HomeMy WebLinkAboutUNDERGROUND TANK FILE #1" 'mAZARDOUS' MATERI.ALS DI~SlON
. 2130 'G Street, BakerSfield, CA 93301
(805) 326-3970
UNDERGROUND TANK QUESTIONNAIRE
DEC 1 9 1991 ,,,
HAZ,
MAT.
DIV.
I. FACILITY/SITE No. OF TANKS
0~ OR FACILITY NAME I NAME OF OPERATOR
i
AODRESS NEAREST CROSS STREET PARCEL No.(OPTIONAL)
CI1Y NAME STATE ZIP CODE
~PE OF BUSlN~ O 1 GAS OTA~ON O 2 DIOmlB~OE ~m KERN COUN~ PERM~
~ 3 FARM ~ 4 PR~E~E ER TO OPE~ ~.
EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY) optional
DAYS: NAME (LAST, FIRST) PHONE No. WITH AREA CODE . I DAYS: NAME (LAST, FIRSt) PHONE NO. WITH AREA CODE
NIGHTS: NAME (~ST, FI~ PHONE ~, W~ AR~ CODE NIGHTS: NAME (~, FI~O PHONE ~. WITH AR~ CODE
II. PROPER~ OWNER INFORMATION (MUST BE COMPLETED)
M~ME -~ ~ _~ ~ . CARE OF ADDRE~ IN~RMAHON
MAILING OR STEE~ ADDRESS ./;. : '- ~ / BOX ~ INDIVIOUAL ~ LOCAL AGENCY ~ STA~E AGENCY
III. TANKOWNER INFORMATION (MUST BE COMPLETED)
NAME CARE OF AODRE~ INFORMATION
MAILING O~ STRE~ ADDRE~ - ~ BOX ~ INDIVIDUAL ~ LOCAL AGENCY ~ STATE AGENCY
TO INDICATE ~ PARTNERSHIP ~ COUNt. AGENCY ~ ~D~RAL AGENCY
C[~ NAME .STATE ~ ZIP CODE J PHONE No, WITH AR~ CODE
OWNER'S DATE VOLUME PRODUCT IN
TANK No. INSTALLED STORED SERVICE
.YIN
¥'/N
DO YOU HAVE FINANCIAL RESPONSIBILITY? YIN TYPE
'~ Fill One segment~t for each tank unless a~tanks and piping are
constructed of t~ same materials, style an~ype, then only fill
one segment out. please identify tanks by owner ID #.
I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOW%I
A. OWNER'S TANK L 0. ~ ' I PI, MANUFACTURED BY:
C. DATE INSTALLED (MO/OAY/YEAR) D. TANK C,-~°ACIT? IN GALLONS:
III, TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, R. ANDC. ANOALLTHATAPPLIESlNBOXD
, A. TYPE OF [] 100UBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN
SYSTEM [] 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER
B. TANK [] I BARE STEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC
MATERIAL [] S CONCRETE '[] $ POLYVINYL CHLORIDE [] 7 ALUMINUM [] 8 10~/o METHANOL COMPATIBLEW/FRP
(PdmatyTank) [] g BRONZE [] 10 GALVANIZED STEEL [] g5 UNKNOWN [] 99 OTHER
[] , .UBSER LI.ED [] 2 AL~O L..G [] 3 ~OXY L,.,.G [] . PHENOL~ L,NING
C. INTERIOR
lINING [] 5 GLASS LINING [] e UNLINED [] 95 UNKNOWN []. 99 OTHER
IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES__ NO__
D. CORROSION [] 1 .POLYETHYLENE WRAP [] 2 COA'rING '-'~'; [] 3 vINYL WRAP [] 4 FIBERGLASs REINFORCED PLASTIC
PROTECTION [] 5 CATHODIC PROTECTION [] 91 NONE ~:,~:. [] 95 UNKNOWN [] 99 OTHER
IV, PIPING.INFORMATION CIRCLE A IF ABOVE GROUND OR U IFUNDERGROUND. BOTH IF APPLICASLE
A. SYSTEM TYPE A U I SUCTION . A U 2 PRESSURE , .. A U 3 GRAVITY A U 99 OTHER
B. CONSTRUCTION A U I SING£E WALL A U 2 DOUSLE 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 U 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 U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER
D. LEAK.DETECTION [] I AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 INTERST~TIALMoNITORiNG [] 99 OTHER
V. TANK LEAK DETECTION
[] , v,SUAL CHECK [] 2 ,N~NTORY RECDNCIL,AT~ON [] 3 V~OR MON,TO'R,NG []. *UTOMAT,C TANK GAUGING [] ~ GROUND WATE. MONITOR,NG
[] ~ TANK TESTING [] ? iNTERSTITIAL MONmTORING [] 9, NONE [] ,, UNKNOWN [] ~ OTHER
I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN
A. OWNER'S TANK L O.# B. MANUFAC3~JRED BY: I
I
C. DATE iNSTALLED (MO/DAY/YEAR) D. TANK CAPACITY IN GALLONS:
III. 'TANKCONSTRUCTION MARK ONE iTEM ONLY IN BOXES A, B. AND C, AND ALL THAT APPLIES IN BOX D
A. TYPE OF [] 1 DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] g5 UNKNOWN
- - SYSTEM [] 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER
B. TANK [] I BARE STEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC
MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] e 100./o METHANOL COMPATIBLEW/FRP
(PrimaryTank) [] 9 BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN [] 99 OTHER
[] 1 RUBBER LINED [] 2 ALKYD LINING [] 3 EPOXY LINING [] 4 PHENOLIC LINING
c. ~NTER~OR [] ~ GLASS LINING [] . UNLINED [] ,~ UNKNOW. [] ,, O~ER
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 IFABOVEGROUNOOR U IFUNDERGROUND, BOTH IF APPLICABLE
~ A. SYSTEM TYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVI3~' A U 99 OTHER
B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U ~5 UNKNOWN A U 99 OTHER
~ U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A U 4 ~IBERGLASS PIPE
C. MATERIAL AND
CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100% METHANOL COMPATIBLEW/FRP
PROTECTION A U g GALVANIZED STEEL A [J 10 CATHOOIC PROTECTION A U 95 UNKNOWN A U 9g OTHER
O. LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 INTERSTITIAL
MONITORING [] 99 OTHER
V. TANK LEAK DETECTION
:'-'-~_; 1 VISUAL CHECK [] 2 INVENTORY RECONCmLIATION ~ 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GROUNDWATER MONITORING
'~ ~ ~ANK ~ESTINO [] ~ INTERS~,T,~LMON,TOR'N~ ~ ,1 .ONE [] .~ .N~NO~N ~ ~. O~E.
I. TANK OESCRIPTION - SPECIFY IF UNKNOWN
C. DATE iNSTALLED (MO/DAY/YEAR) D. TANK CAPACI'~Y IN GALLONS:
III. TANK CONSTRUCTION MARKONE~TEMONL¥1NBOXESA, B.^NOC. N~OAU. THATAPPL~ES~NBOXO
A. TYPE 0F [] I DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR .LINER : [] 95 UNKNOWN -
SYSTEM [] 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER
,B. 'TANK [] .1 BARE STEEL [] 2 STAINLESS STEEl. [] 3 FIBERGLASS ;[~ 4 ST~ELCLAD W/FIBERGLASS REINFORCED PLASTIC
MATERIAL [] 5 CONCRE'I~ [] 8 POLYVINYL CHLORIDE [] 7 ALUMINUM . [] 8 10(~. METHANOL COMPATIBLEW/FRP
(PrimaryTank) [] 9 BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN [] 99 OTHER'
[] '"1 RUB. B~R LINED ' [] 2 ALKYD LINING : [] 3 El=OXY LINING [] 4 PHENOLIC LINING .... - "
C. INTERIOR []'5 GLASS LINING [] 6 UNLINED [] 95 UNKNO~,~I [] 99 OTHER
UNING .....
IS UNING MATERIAL COMPATIBLE WiTH 100% ME33'IANOL ? YEB~ NO~
D. CORROSION .-.i1-'~ 1 POLYETHYLENE WRAP [] 2'~OAT1NG ':?:":: .'"i'i'.[] 3 VINYL WRAP [] 4 FIBERGLASS REINFORCED PLASTIC
PROTECTION, [] S.,CATHODIC PROTECTION []. 91 NONE ;~i~::',~ .~;,;~r'.[] ~5 UNKNOWN [] 99 OTHER ' '.. '
IV. PIPING INFORMATION C~RCLE A IFABOVEGR(3~JNDOR U IF UNDERGROUND. BOTH IF APPLICABLE · :~:' :':. ~:~.' :-'"~;~'[ .~ ..... : - '~'
A. SYSTEM TYPE A 0 . I SUCTION .......... A U 2 PRESSURE .~ :..., A U 3 GRAVITY A U 99 OTHER ::.,
B. CONSTRUCTION A U 1 SINGLE WALL ...-A U '2 DOUBLE WALL · A U 3 LINED TRENCH A U 95 UNKNowN A U 99 OTHER
C. MATERIAL AND A U I BARE STEEL -' :'::..!A U. 2 STAINLESS STEEL J~ U 3 POLYVINYL CHLORIDE (PVC)A U 4 FIBERGLASS PIPE :-.'.:. '...~: ..
CORROSION A U 5 ALUMINUM ' '~':J~ U '6, CONCRETE ,~=~;.~'" '~ U · 7: BTEELWlCOATING ' ' A U B 100% METHANOL COMPATIBLEW/FRP
PROTECTION A U 9 GALVANIZED sTEEL" A-U 10 CATHODIC PROTECTION ' "A U 95 UNKNOWN ' 'A U 99 OTHER ;::~ ~ :?- ''
D. LEAK DETECTION [] 1 AUTOMATlC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 Ihq'ERSmlN.
I~ONrrORING [] 99 OTHER
V. TANK LEAK DETECTION ' .
[] I VISUAL CHECK [] 2 INVENTORY RECONCILIATION [] 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GROUND WATER MONITORING
[] ~ TANK TEST,NG [] ? ,N~RST,TIAL~ON~TOR,NG [] S~ NO"E [] ~ UNKNOW. [] ~ OTHER
!. TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN
A. OWNER'S TANK L D. # ' '' B. MANUFACTURED BY:
I
C. 'DATE INSTALLED (MO/DAY/YEAR) D, TANK CAPACITY iN GALLONS:
III, TANK CONSTRUCTION MARK ONE tTEM ONLY IN BOXES A, B, AND'C, ANDALLTHATAPPLIESINBOXD
A. TYPE OF [] 1 DOUBLE WALL [] 3 SINGLE WAIL WiTH EXTERIOR LINER [] 95 UNKNOWN
SYSTEM [] 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT (VAULTEDTANk3 [] 99 OTHER
R. TANK [] 1 BARESTEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 4 STEELCLAD W/ FIBERGLASS.REINFORCED PLASTIC
MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] a 100% METHANOL COhiPATIELEWiFRP
(PrimaryTank) [] g BRONZE [] 10 GALVANIZED STEEL [] g5 UNKNOWN [] 99 OTHER
[] ~ RUBBER L,NED [] ~ AL~o LINi. G [] 3 ~.ox~ UNING [] , PHENOLIC LINING
C. INTER[OR [] 5 GLASS LINING [] S UNLINED [] 95 UNKNOWN [] 99 OTHER
DNING
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 CIRCL~ ~ ~FABOVEGROUNOOR U ~FUNDERGROUNO. BOTH~FAPPUCABLE
A. SYSTEM TYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER
B. CONSTRUCTION A U 1 SINGLE WALL A U 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 U 3 POLYVINYL CHLOR!OE (PVC)A U 4 FIBERGLASS PIPE
CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL Wl COATING A U 8 100% METHANOL COMPATIBLEW/FRP
PROTECTION A U g GALVANIZED STEEL A U 1~ CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER
D. LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR [-'-~.2 LINE TIGHTNESS TESTING [] 3 INTERSTITIAL ~ 99 OTHER
MONITORING
V. TANK LEAK DETECTION
[] 1 VISUAL CHECK [] 2 INVENTORY RECONCILIATION [] 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GROUND WATER MONITORING
[] ~ TANK TE~T, NG [] ~ ,NTERST,T,ALMON,TOR,.G [] ~..ONE [] ~. ~NKNOW. [] ~ OTHER
ENSR
Commission No, B-20203-B01 January 31_~_ 199__~0
T%~e subgrade for both excavations was not tested prior to
b.ackfilling. The 1/4 inch gravel from the original tank
backfill was utilized on Tank No. 6 from subgrade to
approximately three (3) feet below adjacent grade. No'
benching into the original slopes was observed in either
excavation during backfilling.
~Ic teStS wer~ performed in the gravel backfill interval on
Tank No. 6.. Tests were taken in the backfill interval at
locations and depths indicated cn the attached compaction
test results. Compaction equipment consisted of a small
front end loader.
Maximum densities were determined in accordance with
- Procedure ASTM 2~-if57-78, Method ~ or C.
Respectfully,submitted,
BUENA ENGINEERS, iNC.
Encls: Compaction Tes~ MICHEL K. ~E
'- Results Project Engineer
MKL:cp
BUENA ENG NEERS, INC.
COMPACTION TEST RESULTS
MANVILLE FORESTRY
5801 DISTRICT BOULEVARD
BAKEERSFIELD, CA 93309
JOB NO. B20203-BOX
TEST ){OIST DRY MAX REL
NO, LOCATION ELEV CONT DEN DEN . COMP
I Tank #6 Eas~ 1/3 End 2' BFG 13.5 111.2 124.8 89
2 Pea Gravel 4' BFG NO TEST RECORDED
3 Tank #6 East 1/3 2' BFG' 13.1 111.7 124.8 90
4 Tank ~6 West 1/3 2' BFG 12.2 112.1 124.8 90
5 Tanks ~2-5 'SE Corner 8' BFG 4.5 120.3 134.3 90
6 Tanks #2-5 NW Corner 8' BFG 5.0 121.5 134.3 91
7 Tanks ~2-5 SW Corner 7' BFG 6.5 124.9 /134.3 93'
8 Tanks #2-5 NE Corner 7' BFG 5.6 125.0 134.3 93
9 Tanks ~2-5 SE/4 5' BFG 6.1 125.4 134.3 94
10. Tanks ~2-5 NW/4 5 BFG 7.5 123.3 134~3 92
11. Tanks ~2-5 under 5' BFG 5.0 118.5 134.3 88
existing concrete
!2. Tanks -~2-5 NE/4 3' BFG 7.2 126.0 131 96
13. Tanks ~2-5 SW/4 3' BFG 8.7 123.6 131 94
14. Tanks ~2-5 NW/4 1' BFG 6.4 127.1 131 97
15. Tanks ~2-5 SE/4 1' BFG 7.1 127.7 131 98
16. Tanks #2-5 SW/4 FG 6.6 133.5 131.0 102
17. Tanks #2-5 Center of FG 5.9 134.1 131.0 102
Pad
18. Tanks ~2-5 NE/4 FG 7.0 135.4 131.0 103
STATE OF CALIFORNIA
3C~ WILLIAM M. 8ENNE~
STATE BOARD OF EQUALI~ION
Fi~t District, Kenffield
1020 N STREET, SACRAMENTO, CALIFORNIA coNwAY H. COLLIS
(P.O. BOX 942879, SACRAMENTO, CALIFORNIA 94279-0001) S~ond Disffict, Los Angeles
(916) 739-3230 ERNEST J. DR~ENBURG, JR.
~" Third Distrid, San Diego
~'~-. ~ May 16, 1991
PAUL CARPENTER
~ Fou~h District, Los Angeles
GRAY DAVIS
Ms. Dolores Gough Contro~c Sac .... mo
Environmental Health ~ervices Dept. CINDYRAMBO
2700 M St., Suite 300 ~ecufiveOirec~r
Bakersfield, CA 93301
Dear Ms. Gough:
Your letter of March 8, 1991, has been referred to me for
response. Based on the information you provided, I am unable to
confirm that a reduced Hazardous Waste Disposal Fee on the
Manville Forest Products Site would be allowable.
Pursuant to Section 25297.1 of the Health and Safety Code, local
agencies can provide oversight to unauthorized releases of
hazardous substances from underground storage tanks. Although
you stated that your agency has oversight responsibility from
the Regional Water Quality Control Board, Section 2535~.1 of the
Health and Safety Co~e governs the Remedial Actioh Plan (RAP)
approval process.
Section 25356.1 of the Health and Safety Code has numerous
requirements, which must be met. During your phone conversation
with me, we discussed that some of them were not completed. For
example: public notices and approvals must be prepared and
published in newspapers. If Manville Forest Products has an
approved RAP with the Regional Water Quality' Control Board or
the Department of Health Services, they should notify our
registration section at (916) 739-2678. Upon verification of
this information, a special Hazardous Waste Tax Return will be
sent to' them, which includes the reduced rates.
Until the requested information is presented, a reduced rate
cannot be g~anted. If you have any further questions, please
call me at (916) 739-3230.
Sincerely,
K_nneth
Senior Tax Auditor
Environmental Fees Section
Excise Taxes Division
KR:cls
cc: Mr. Scott Shrader
Manville Forest Products
5801 District Blvd.
Bakersfield, CA 93309
Ms. Dolores Gough
Hazardous Materials Specialist
Hazardous Materials Management Program
.Environmental Health Services Department
2700 "M" Street, Suite 300
· Bakersfield, California 93301
Subject: Completion of Remedial Action
.. Manville Forest Products Facility
5801 District Boulevard
Bakersfield, California
Dear Ms. Gough:
Remedial actions developed to address the presence of petroleum contaminated soil
at the above-mentioned facility 'have been completed. These actions, proposed by
Blymyer Engineers on behalf of The Manville Corporation, comprised:
1) ' Paving a 60-foot by 30-foot area, which included the/former location of
a diesel storage tank, in order to prevent infiltration of rain water into
contaminated soil, and
-~ 2) Installing a well in the tank area fill to facilitate removal of any
contaminated water contained in the shallow subsurface.
The paving was completed according to the specifications stated in your letter of
authori, zation, dated March 11, 1991. The well work occurred on April 17, 1991.
However, the well was not completed since no water was encountered. This decision
not to install the well was arrived at jointly by the geologist on-site, Mr. Joel
Pomerene, Manville Corporation's Plant Engineer, Mr. Scott Shrader, and yourself.
The bore hole was backfilled with sand and native soil t° a depth of two feet below
ground surface, and the remaining space was filled with cement to the level of the
asphalt.
It is our understanding that'completion of this work fulfills requirements for
removing this site from further consideration as an environmental problem. If this
is so, we would appreciate your drafting a letter that states this as fact.
(415) 521-3773 · 1829 Clement Avenue, Alameda, California 94501-1395 · FAX (415) 865-2594
RESOURCE MANAGEMENT A JENCY
Environmental Health Serv/ces De~rtment
RANDALL L. ABBOTT, S'rL:~ McCAI ! Fy, REHS, DIRECTOR
;~DIRECTOR
- ' Air Pollution Control District
% DAVID PRICE ili ......
ASSISTANT DIRECTOR Scot£~h~ 76&4 "Post-it" Routing-Request Pad
~0artment
ROUTING - REQUEST 30.
~ READ To
ENVIRONMENT,~-~HANDLE ~1/'- _t '~f/l r ~ _ ~?/~ ~
l--"] APPROVE q ~.~/'~ -- ~ .~ -
and , -
J. Scott Shrader ['-] FORWARD ~ / ~ .~'T~.
Manville Forest Products I~] RETURN
~ .5801 District Boulevard ['--I KEEP OR mSCARD
-~' Bakersfield, CA 93313-2134 : J--] REWEW W~TH ME
~'~ ~'~ SUBJECT; Location: 58( Oste F~om
~ ~ . Known As: Ma
Permit .#: 310012
Dear Mr. Shrader:
We have reviewed the Remedial Action Plan including the addendum prepared by Blymyer
Engineers for the subject site. The plan to remove any accumulated water below the-tank area
(by B-2) and then paving the area with asphalt is acceptable to this Department.
In the implementation of the plan, we recommend that the following be incorporated:
1. Construct the well in a similar manner as a groundwater monitoring
.~ well: i.e., with bentonite seal, Iockable cap (refer to Kern County
UT-50).
2. Well should not be abandoned at this time..We recommend
. checking the well every 3 - 4 months to monitor the accumulation
of water (if any).
3. Asphalt cover should be placed at least 5 feet beyond B-4 and
B-lO.
Please notify this office at least 48 hours prior to starting work. If you have any
questions regarding this matter, please call me at (805) 861-3636, extension 545.
Sincerely,
Dolores Gough
Hazardous Materials Specialist
Hazardous Materials Management Program
DG:cas
cc: Robert Galley, Blymler Engineers, Inc.
~ ·
\310012.1tr ..
2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636
FAX: (805) 861-3429
EnvironmentaJ Heakh SennCes Department
RANDALL L. ABBOTT' STL:VE McC,~ ~Y, REHS, DIRECTOR
/~DIRECTOR - ~ Pollution Control Disirict
~ DAVID PRICE !I! W~LU~ .j. RODD¥, APCO
ASSISTANT DIRECTOR Planning & Development Smvices Department
TED .JAMES, AICP, DIRECTOR
ENVIRONMENTAL HEALTH SERVICES DEPARTMENT
March 8, 1991
'Environmental Fees Section
STATE BOARD OF EQUALIZATION
P. O. Box 942?89
Sacramento, CA 94279-0OO1
SUBJECT: Remedial Action Plan for
Manville Forest Products, Bakersfield, CA
Gentlemen:
Pursuant to Section 25297.1 of the Health and Safety Code, the
Kern County Environmental Health Services Department, on behalf of
the Regional Water Quality Control Board is currently providing
oversight for the clean-up of diesel contamination resulting from
an underground storage tank at the above-referenced facility. One
aspect of our oversight activities includes the review and approval
of their remedial action plan (RAP!.
This Department approved the RAP for this site on March 8,
1991. This plan meets the RAP criteria in Section 25356.1 of the
Health and Safety Code. Accordingly, we recommend that your office
grant a reduced hazardous waste disposal fee for the Manville
Forest Products site.
If you have any questions'regarding this matter, please call
me at (805) 861-3636 ext. 545.
Sincerely,
~, DolOres Gough
" Hazardous Materials SpeCialist
~ Hazardous Materials Management Program
DG:3g
cc: Scott Shrader, Manville Forest Products
2700 "M" STREET, SUFFE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636
FAX: (805) 861-3429
FACSIMILE MEMORANDUM SHEET
BLYMYER ..--..
Date:
~Job No,: '~/~-/ ~'
Fax No.: ~"~'- ~r./-j,-/~-'/
Comments:_~.. ~ ~, ,
i~'~ ~ /,r~.~ /f~%. ~'.__ ~ ~.-/. ,
From: .....
Total number of pages (including this memo).
Carbon Copy:
If this transmissiOn has not arrived as.described or in readable condition, please contact BIymyer
Engineers. InC. and we will re-transmit.
~ (415) 521-3773 1829 clement Avenue, Alameda, CA 94501-1895 Fax (415) 865-2594
~ (209) 727-,3555 P.O. Box 1054, Lockeford, CA ' 95237-t054 Fax (209) 727-5004
February 15, 1991
BEI No. P. 1563;
Proposal for Performance of Remedial Action
MANVILLE FOREST PRODUCTS FACILITY
5801 Dlstrict Boulevard, Bakersfield, California
Scope of Wgrk
The scope of work for this remedial action has previously been approved by the Kern County
Environmental I-Iealth Services Department. It entails: 1) removal of all water located in the
tank baclff'fll, and 2) capping the soil surface near the tank to prevent additional water from
entering the backfill. Blymyer Engineers proposes to accomplish this work by performing the
following tasks:
1. Installation of a 4-inch diameter PVC well near the storage tank in the vicinity of ~oil
bore B-2. This well may later be used as a monitoring point to determine whether water
re-enters the backfill.
2. Removal of approximately 200 gallons of water contained in the backfill by pumping
- from the well. All pumped water will be collected in 55-gallon drums and sent to
Gibson Oil and Refining Company, located in Bakersfield. DeNenno-Kardoom
Company, located in Compton, wiI1 be used as an alternate facility for receipt of the
waste water. ,
3. . Paving the 4S-foot by 30-foot grass covered area around the tank with asphalt. Rerouting
of the sprinkler system located near the tank area is also included .this task.
Dolores Gough, the supervising regulatory official for this project, indicated that performance
of these tasks is an acceptable means of accomplishing the scope of work. Her approval .was
indicated during a telephone conversation on January 24, 1991.
The necessity of abandoning the monitoring well will be determined following completion of the
above-mentioned tasks. Finally, a brief report will be prepared to document activities that
occurred at the site.
Site Safety Plan
A site specific site safety plan is attached to this proposal.
Blymyer Engineers is prepared to proceed with the proposed work within two weeks of final
approval to proceed-with the project and will complete the work within 30. day.,.
Ncv
· ~ Environmental Health ~ ~nt
~DALL L. ABBO~ ~ ~ McCA~ ~ FY, ~S, DI~CTOR
DIRECTOR ~, Po,~ c~ O~
DASD PRICE HI ~ ~. ROODY. ~O
~IST~ DI~CTOR ~nm~ ~ D~bp~t ~ ~ent
~ ~, ~CP, D~CTOR
ENVIRONMENTAL H~L~ SERVlCES DEPAR~NT
$. Scott Shrader .
Manville Forest Products Corporation
5801 District Boulevard
Bakersfield, California' 93313-2134
SUBJECT: Location: 5801 District Blvd., Bakersfield, CA
Known As: Manville Forest Products
Permit #: 310012
· Dear Mr. Shrader:
We have completed our review of the site charac~erization report
including the addendum prepared by Dames & Moore for the sub3ect
site. The addendum discussed three remediation alternatives
appropriate for the diesel plume. These alternatives along with
our comments are as follows:
1. No Action: Using the LUFT Manual Table 2-1, a more
appropriate'maximum allowable level (MAL) for diesel is 100
ppm because the minimum depth to groundwater from the
contaminated soil is in the-25-50 feet range. Also, perched
water is present right on the contaminated area. Further, if
we are to incorporate the Central Valley Regional Water
Quality Contr~ Board's recommended limiting water quality
goal of 10 ~for:U6" diesel, the MAL may even be lower.
Accordingly, ?~his alternative is not acceptable to this
Department.
2. Perched Water Removal/Capping: We concur with Dames & Moore's
rationale of this alternative. As a precaution, the effect
of the excavation on the structural integrity of the ad3acent
building should be considered.
3. Perched Water Removal and In-situ Bioremediation: This is
possible but its design and implementation/operation are
complicated and costly which makes this option not viable for
this site.
2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636
FAX: (805) 861-3429
J. Scott Shrader
Page Two
January 4, 1991
If you decide to proceed with the second option, p~ease submit a
remedial action plan (RAP) for its implementation by February 15,
1991. Please refer to page 10 of the UT-35 Handbook on our
requirements for the RAP. For this site, items 2, 3, 6, 7 (or 8)
and 9 are essential.
If you have any questions regarding this matter, please dall me at
(805) 861-3636 ext. 545.
Sincerely,
Dolores Gough
Hazardous Materials Specialist
Hazardous Materials Management Program
DG:3g
cc: Robert Troutman, Dames & Moore
/'/,,i/ /
Environmental Health Services Department
2700 "M" Street, Suite 300
Bakersfield, CA 93301
Subject: Remediation Techniques of Diesel Area
Dear Ms. Gough:
The enclosed report addendum is in response to your November ~...~'P'"
21, 1990 letter. As discussed on the phone, the .'~ver~V ~
date was changed to December 24, 1990.
If there are any questions please call me at (805) 398-3430.
Sincerely,
· ,.."'
J~. Scott Shrader -
.~ Plant Engineer
Man.ville Forest Products Corporation
Packaging Division
Bakersfield Carton Plant
5801 District Boulevard · Bakersfield, California 93313-2134 · 805 398-3400
6701 M't'~VI~ DRIVE, SUITE B, BAKERSFIELD, 93313
(805) 397-3373 FAX (805) 835-8456
December 21, 1990
Manville Forest Products
5801 District Blvd.
Bakersfield, California 93313
Attention: Mr. Scott Shrader
Plant Engineer
Subject: Report Addendum
Phase I Site Characterization
Former underground Diesel Storage Tank Location
Manville Forest Products
Bakersfield, California
INTRODUCTION
This report addendum addresses a request from the Kern County
Environmental Health Department (KCEHD) to evaluate and~discusStwo
additional soil remediation options to supplement information
presented in our November 7, 1990 report. The November 7, 1990
report described the results of our Phase I Site Characterization
of soil contamination related to the former location of an under-
ground diesel storage tank at the Manville Forest Products (MFP)
Bakersfield facility (Figure 1). The report also presented a
leaching potential analysis formulated by state regulators that was
interpreted by Dames & Moore to indicate that, in general,
concentrations of diesel detected in on-site soils were below
cleanup standards. As indicated in their letter dated November 21,
1990, KCEHD requested that two remedial action options plus the "no
action" alternative be evaluated and discussed. The two options
discussed herein in addition to "no action" are:
o Removal of the shallow perched water above the tank crib
and capping of the area to minimize infiltration of
surface water (no soil remediation); and
o Removal of perched water in conjunction with remediation
of soil contamination by in-situ enhanced biodegradation.
The results of our Phase I Site Investigation pertaining to
diesel contamination are briefly summarized below as background for
the discussion of remedial options.
tgF~:ICES
Manville Forest Products
Report Addendum
December 21, 1990
Page 2
SUMMARY OF DIESEL CONTAMINATION
As discussed in the report, diesel contamination in soil was
foUnd to be present in borings B-l, B-2, and B-4 (Figure 2) in the
immediate vicinity of the former tank location down to depths of
about 20 to 35 feet below ground surface (bgs). Diesel was also
present in samples collected-from boring B-10 between depths of 20
to 100 feet bgs. Perched water was encountered within tank
backfill material at about 15 feet bgs in boring B-2 immediately
west of the buried tank crib (concrete layer) for the former diesel
tank. Detected total petroleum hydrocarbons (TPH) (as diesel)
concentrations were generally highest in borings B-i, B-2, and B-4,
ranging from 750 to 2,600 ppm (Table 1). TPH concentrations in
boring B-10 were generally lower, ranging from 450. ppm to 1,400
ppm. An analysis of the sand and the clay contained in sample 20A
collected at 100 feet bgs in boring B-10' yielded 1,300 ppm in the
sand and 790 ppm in the underlying clay. This relationship
suggests that the clay encountered at 100 feet bgs in boring'B-10
may be inhibiting downward migration-of diesel in the soil. Water
level data in the site area suggests-that depth to ground water is
on the order of 150 feet bgs at.the site.
EVALUATION OF REMEDIAL OPTIONS
This evaluation of remedial options addresses requirements set
forth in KCEHD handbook UT-35 as specified by KCEHD's letter to MFP
dated November 21, 1990. The UT-35 requirements include evaluating
the potential threat to public health and environment, expected
post-remediation contaminant concentrations, the need for monitor-
ing and/or analysis du~ing or after remediation, and recommenda-
tions for site remediation. It is our judgement that the most
significant threat to public health and environment at the site
would be migration of diesel through unsaturated zone soil to
ground water. The presence of perched water under certain
conditions can promote downward mobilization of diesel contamina-
tion in the unsaturated zone toward ground water. For that reason,
DAVIES & MOORE "- -
,A LLt~OFESS~C>)~Stl I'EL' P,%RTNERSHI?
Manville Forest Products
Report Addendum
December 21, 1990
Page 3
two of the remedial action options that are considered below
include removing the perched water from the shallow subsurface.
Finally, the discussion of remedial options and< the recommended
remedial action are based on the assumption that TPH concentrations
decrease significantly with depth below 100 feet and that diesel
contamination does not presently extend down to ground water. This
assumption may be supported by the presence of fine-grained
sediments encountered at the bottom of boring B-10 and the decrease
in TPH concentrations obServed within the 100-foot sample collected
from boring B-10.
NO ACTION ALTERNATIV~
As discussed in our November 7, 1990 report,' it is 'our
interpretation that concentrations of diesel and BTEX detected in
soil during the Phase I Site Investigation are generally below
cleanup levels estimated using the California Regional Water
Quality Control Board's Leaking Underground Fuel Tank (LUFT) Manual
(LUFT Field Manual: Guidelines for Site Assessment, Cleanup, and
Underground Storage Tank Closure; State of California Leaking
Underground Fuel Tank Task Force). Diesel and BTEX concentrations
are below LUFT Manual Maximum Allowable Levels (MAL) with two
exceptions. Toluene is slightly above the MAL at 70 feet in B-10
and the upper portion of the 100-foot sample contained diesel at a
concentration of 1,300 ppm, 300 ppm higher than the MAL of 1,000
ppm TPH that was estimated using the LUFT Manual procedure. In
light of the lower portion of this sample yielding, a lower TPH
concentration (490 ppm) and no detected BTEX and the fact that no
other soil. samples from below 50 feet in Boring B-10 contained TPH
above the MAL, it appears that this higher TPH concentration at 100
feet is atypical of TPH'concentrations at depth.
The fact that the tank has been removed thereby eliminating
the potential for further discharge of diesel fuel to the subsur-
face and the LUFT Manual procedure can be used to justify leaving
diesel contaminated soil in place supports the no action alterna-
tive. Moreover, diesel concentrations detected during our
investigation will likely decrease with time through natural
biodegradation.
Manville Forest Products
Report Addendum
December 21, 1990
Page 4
SECOND REMEDIAL ACTION OPTION: PERCHED WATER REMOVAL/CAPPING
The second remedial action alternative would consist of
removing the perched water observed in boring B-2 and capping of
the area. No soil remediation would be performed by the remedia-
tion contractor as part of this option. The main purpose of this
' .option would be to minimize the potential for infiltration and
downward migration of surface and perched water whichcould enhance
the downward movement of the diesel contamination in soil.
Removal of the perched water would be accomplished by
excavating down to the base of the tank backfill material and using
a vacuum truck to extract perched water from the excavation. It is
anticipated that the excavation would be open and perched water
would be extracted from the excavation over the course of one to
two days depending on the amount and extent of p~rched water
encountered. Based on results of our previous field investigation,
it is estimated that no more that several hundred gallons of
perched water are present in the former diesel tank area.
'- The excavation would be monitored for organic vapors and, if
necessary, vapors would be controlled through the use of a.foaming
agent. The excavation would then be backfil_led~, compacted and an
asphalt cap placed over the area (as shown on Figure 2) to minimize
infiltration of surface water in the future. In addition, care
will be taken during the excavation to find and eliminate potential
sources of 'the perched water (ie. leaky irrigation pipes, etc.).
Lastly, a 2" diameter PVC monitoring well will be installed near
boring B-2 to evaluate whether perched water persists and to serve
as a potential extraction point in the future, if necessary.
Although no soil remediation would be conducted as part of
this option, it is our opinion that this option is appropriate for
the site due to the minimization of the threat to ground water
through perched water removal and capping of the area. With the
area capped and perched ground water removed, thereby minimizing
the potential for downward infiltration of water, and assuming land
use remains the same and ground water levels do not rise substan-
tially, it does not appear possible for the diesel contamination to
become mobilized. Moreover, it is likely that the diesel contamih
nation left in place Will decrease 'in concentration with time
through processes of natural degradation.
Manville Forest Products
Report Addendum
December 21, 1990
page 5
Assuming shoring is not needed and the amount of perched water
to be removed is not excessive (ie. not more than several hundred
gallons) and can be completed within two days, it is estimated that
this option would cost on the order of $10,000 to $20,000 to
implement.
THIRD REMEDIAL ACTION OPTION: Perched Water Removal and In-Situ
Bioremediation
This option would include removal of Perched water as
described above, fOllowed by remediation of diesel in soil using
enhanced in-situ bioremediation technology. In-situ bioremediation
is the process of enhancing the growth of naturally occurring
microorganisms (hydrocarbon degrading bacteria) which degrade
hydrocarbon contaminants into carbon dioxide and water. Factors
which affect the capacity of the microorganisms to degrade
hydrocarbons include available dissolved oxygen, pH, temperature,
oxidation-reduction potential, availability of mineral nutrients,
salinity, soil moisture, and contaminant concentrations. For
bi6remediation to be effective, great care must be. taken to
maintain many of these factors at appropriate levels.
Although it is not possible to more accurately assess delivery
system design without more testing, it is envisioned that in-situ
biodegradation would involve the use of both an infiltration
gallery and infiltration wells to deliver nutrients and oxygen
(typically in the'form of hydrogen peroxide) to the contaminated
soil zone. The infiltration gallery would be located in the tank
backfill area to deliver nutrients and~oxygen to the area with
relatively shallow soil contamination. A series of infiltration
wells would be used to treat the zone of deeper soil contamination
near boring B-10.
Whether or not in-situ bioremediation will work at the site is
unknown. Laboratory bench-Scale studies would be needed in order
to evaluate the ability of the native microbial population to
degrade the contaminants, and the nutrients needed to promote
maximum cell growth. Field testing of water infiltration rates
would be needed to evaluate if sufficient oxygen and nutrients can
be supplied to the subsurface. These data would be used to assess
the viability of the method and design the treatment system.
Manville Forest Products
Report Addendum
December 21, 1990
Page 6
Because of the uncertainties associated with this option, in-situ
biodegradation would also likely include:
o Installation and monitoring of soil moisture sensors;
o Periodic drilling, sOil sampling and analysis to monitor
progress of the system; and possibly; and,
o Ground-water monitoring.
If effective, in-$itu bioremediation would likely result in
TPH concentrations being reduced one to two orders ~of magnitude
from present levels. However, there are several uncertainties
associated with bioremediation technology, such as:
o The length of time required to reduce' contaminant
concentrations to desired levels may be excessive;
o .Uncertainties in the design of a bioremediation system,
such as the proper amount and mix of nutrients and
oxygen, and spacing and depth of nutrient infiltration
points (wells and trenches) could lead to portions of the
diesel plume remaining untreated; and,
o If the nutrient delivery system is not designed properly,
the diesel plume could be mobilized downward as a result
of the infiltration and downward migration of the liquid
nutrient mix.
To summarize, while in-situ enhanced biodegradation may be a
feasible method at the site, it is clearly not the preferred option
for several reasons. First, given the uncertainties of the
technology, appreciable time and expense may be invested in further
evaluating the feasibility of'the technology, the outcome of which
may be that the technology is not viable at the site. Second, as
discussed above and in our November 7, 1990 report, an evaluation
of-cleanup levels for TPH and BTEX in soil using the LUFT Manual
was interpreted to indicate that in general TPH and BTEX concentra-
tions did not exceed MAL's. Third, the costs for installation and
monitoring of an in situ bioremediation system are estimated to be
on the order of $750,000 to $1,000,000. In a worst case scenario,
Manville Forest Products
Report Addendum
December 21, 1990
Page 7
(site conditions require a lengthy time interval to achieve desired
cleanup levels), costs could be substantially higher. Finally, it
is likely that the diesel contamination left in' place would
decrease in concentration with time. through natural degradation.
RECOMMENDATIONS
While. we believe that the no action alternative merits
consideration, given the factors discussed above, our present
knowledge of the site and the assumptions specified in this report,
it is recommended that the second remedial option described above
be implemented. It is our judgement that' removal of perched water
and capping of the area should sufficiently mitigate %he potential
for diesel contamination to adversely affect ground water.
oOo
Should you have any questions regarding this rePort, please
call.
Very truly yours,
DAMES & MOORE
Richard N. Stout
California Registered Geologist
Robert E. Troutman
Project Geologist
cc: Mr. Charles Welch ~d.~.:~ ~/~ ....
Manville Forest Products ;Z~~~.
TABLE 1 *
LABORATORY RESULTS
DIESEL, MEK, AND BTEX
(All results in rog/kg (ppm))
Boring Sample Depth Total TPH Methyl
No. No. (Feet) Benzene Toluene Ethylbenzene Xylenes (as Diesel) Ethyl Ketone
Diesel Area
B-1 '3A 15 0.14 <0.04 <0.04 0.14 2600 NA
4A 20 < 0.04 < 0.04 < 0.04 0.15 2100 . NA
8A 40 <0.04 <0.04 <0.04 <0.04 <5 NA
9A 45 <0.04 <0.04 <0.04 <0.04 <5 NA
B-2 3A 15 <0.04 <0.04 <0.04 <0.04 2200 ' NA
5A 25 < 0.04 < 0.04 < 0.04 < 0.04 750 NA
6A 30 0.06 <0.04 <0.04 0.06 1600 NA
B-4 4A 20 < 0.04 0.34 < 0.04 0.31 1000 NA
6A 30 <0.04 <0.04 <0.04 0.14 1400 NA
8A 40 <0.04 <0.04 <0.04 <0.04 <5 NA
9A 45 <0.04 <0.04 <0.04 <0.04 <5 NA
B-5 4A 20 < 0.04 < 0.04 < 0.04 < 0.04 <5 NA
5A 25 <0.04 <0.04 <0.04 <0.04 <5 NA
B-7 4A 20 <0.04 .<0.04 <0.04 <0.04 <5 NA
5A 25 <0.04 <0.04 <0.04 <0.04 <5 NA
B-8 4A 20 <0.04 <0.04 <0.04 <0.04 <5 NA
5A 25 <0.04 <0.04 <0.04 <0.04 <5 NA
B-9 4A 20 <0.04 <0,04 <0.04 <0.04 <5 NA
_. 5A 25 <0.04 <0.04' <0.04 <0.04 <5 NA
B-10 6A 30. <0.09 <0.09 <0.09 <0.09 1400 NA
8A 40 <0.04 < 0.04 < 0.04 < 0.04 1200 NA
10A 50 0.14 0.10 <0.04 0.20 '450 NA
! 4A 70 ' 0.05 ~ 0.61 < 0.04 0.29 960 NA
16A 80 < 0.04 < 0.04 < 0.04 < 0.04 900 NA
18A 90 · <0.04 <0.04 <0.04 <0.07 920 NA
RET/Manville.tbl
TABLE 1 (con~ludexl)
Boring Sample Depth Total TPII . Methyl'
No. No. _(Fcct} Be, me. nc Toluene ..~¢ Xvl~n~' (as Die. sd' Ethyl Ketone
B-10 20A(sand) 100 0:06 1.60. <0.04 0.09 i300 .. NA
20A(clay) . 100 <0.04 <0.04 ,~0.04 <0.04 490 NA
MEK Arr. a
B-ll 3A 15 NA NA NA NA NA 22
6A 30 NA NA NA NA NA 3.6
9A 45 NA NA NA' NA NA 6.4
I lA 55 NA NA '. NA NA NA. 6.2
15A 75 NA NA NA NA NA <0:03
' 17A ' 85 NA NA NA NA NA <0.03
19A 95 NA NA NA NA NA <0.03
20A 100 NA NA HA NA NA <0.03
B-12 ZA l0 NA NA NA NA NA <0.03
B-13 5A 25 NA NA NA NA NA <0.03
' 7A 35' NA 'NA NA NA NA <0,03
· NA: Not 'Analyzed · '
.... '. , 0 ,~ / ~ ~, '¢~~ ~ ..... ~::'-'~ "~ "-
~ ~ %"~ i~' ¢ ~ r High Sch I II ~ '
~?"'.._. .... ~,~..--'~:0:;~:~ ~~::~~'':~" .,..,.~ ~,:~:--.,
~ ':;~.. ~ ~ SITE LOCATION ~¢' Q~/ . ( ~,' .... ~',, ..~
~%,... ~, ?~,.,.,~ - ~ ~"~ ., ~, ~, '~ ........ , .....
N ~ ' ',, , "', , ~ ' .~' % % / / ~ ~, ~:; .......... II ........
_._ .., ...... ..... .,, ,,., ..... ., . . ,, ,, ... :. ..... ,.,, ................. _.. . _ .. _ _
~ ~ ~ ~.~o. ~ I ......... · ~ ......
~ . -, ~,~ ~ ., ,~..: : ~ [' /-
,. ,.. .. .., .,,, ,, ,,,,,,, .
~ II i
~. - ~ , :: ':,'::,',, ,v,':::::::::::,';::&'::::::::::::'.:'.v.v.':,:::::::::',',','.','::,:,
; ,
FIGURE 1 i !
:
!
' i
~ Forest Products
~ ~/~ ~ SilE LOCATION ~AP
Sc~e in Miles Manville
B~em~: USGS 7.5 Minute quadr~gle Bakersfield, California
Gostord, C~ifornia 1973 I
~ DAMES ~ MOORE I
RE~URCE MANAGEMENT A ~1C¥
~ ' ' ~ Environmental Health Serwc~ Department
RANDALL L. ABBOTT ~ STEVE McCAII FY, REHS, DIRECTOR
DIRECTOR Air Pollution Comrol District
DAVID PRICE !II wi ~LLU~ J. RODDY, APCO
ASSISTANT DIRECTOR Planning R, Dc~/elopment Se,z~ces D~partment
TED JAblES, AICP, DIRi~.CTOR
ENVIRONMENTAL HEALTH SERVICES DEPARTMENT
November 21, 1990
.. J.'Scott Shrader
Manville Forest Products Corporation
5801 District Boulevard
Bakersfield, CA 93313-2134
SUBJECT: Location: 5801 District Boulevard, Bakersfield~ California
Known as: Manville Forest Products
Permit #: 310012
Dear Mr. Shrader:
We have reviewed the site characterization report prepared by Dames & Moore
for the subject site. The report presented the following information:
¢
1. Diesel' contamination is present beneath the diesel tank area
.~ to a depth of 100 feet (at one boring).
2. Methyl ethyl ketone (MEK) was found at ~he MEK area to a
depth of. 55 feet. The MEK concentrations detected ranged
from 6.2 to 22 ppm.
3. Analytical data indicated that the background levels of oil and
grease at this site are less than 30 ppm.
4. Perched groundwater was encountered in one of the borings
(B-2) at the diesel tank area. This perched water is likely due
to the presence of a five-foot clay.and a concrete layer just
below the tank backfill materials.
5. Dames & Moore recommended leaving the diesel and the MEK
in place.
This Department is satisfied that the diesel' and MEK plumes in the vadose
zone have been adequately assessed. However, only one remediation alternative
was discussed in the report. As per our Handbook UT-35, we require that at
least two options plus the "no action" option be evaluated and discussed in the
report (refer. to .page 8 of UT-35).
2700 "M" STREET, .SUITE 300 BAKERSFIELD, CALIFORNIA 93301' (805) 861-3636
FAX: (805) 861-3429
J. Scott Shrader
November 21,. 1990
Page 2
Please submit the above information for the "diesel area" by December 10, 1990,
in order that we may complete our review.
If you have 'any questions regarding this matter, please call me' at (805)
861-3636.
Sincerely,
Dolores Gough
Hazardous Materials Specialist
Hazardous Materials Management Program
DG:jrw
cc: Robert Troutman, Dames & Moore
(hazmat \gough\manville.ltr)
GARY J. WICKS '-- 2700 M Street, Suite 300
AgenC~ Olrector Bakersfield, CA 93301
(805) 861-3502 ~*~**~-. Telephone (805) 861-3636
Telecopier (805) 861-3429
STEVE McCALLEY
Director RESOURCE · " NT AGENCY
DEPART MENTAL
June 20, 1990
Matthew Redman
Manville Forest Product Corp.
5801 District Blvd.
Bakersfield, CA 93313-2134
_ SUBJECT: Location: 5801 District Blvd., Bakersfield, CA
Known As: Manville Forest Products
Permit #: 310012
Dear Mr. Redman:
We have reviewed the revisions to the site characterization workplan prepared
by ENCOR for the subject site. Per our June 20, lggO, telephone conversation, the
workplan (with revisions) is approved provided the location of B-6 is moved outside
the backfill area (by the edge).
Prior to initiating work, please contact this office so that a convenient
time can be arranged for a representative from this Department to witness/inspect
site activities.
After all samples have been retrieved and analyzed, a report describing the
full'extent of contamination must be submitted to this office within 30 days. This
report must also discuss the remediation alternatives appropriate for this site in
accordance with Kern County Handbook UT-35.
If you have any questions regarding 'this mattpr, please call me at (805)
861-3636 Ext. 545.
Sincerely,
Dolores Gough
Hazardous Materials Specialist
Hazardous Materials Management Program
DG: ch
cc: Glen R. Landry, ENCOR
dolores\redrnan2.1et
Environmental Cons'biting and Remediation
June 15, 1990
Kern County Department of Environmental
Health Services
2700 M Street, Suite 300
Bakersfield, California 93301
Attention: Ms. Delores Gough
S~ C~~~ON
B~RS~LD, C~IFO~
KCDEHS PE~W NO: 310012
Dear Ms. Gough:
Please find the reused Figure 3 referenced in our recent letter. 'It was inadve~ently
left out of the letter.
I hope this has not caused you any inconvenience.
Sincerely,
ENCOR
GRL/arp
Enclosure
cc:' Charles Welch
Matthew Redman
Claton Dampier
Alan Harrison
C490.029
Environmental Consulting and Remediation
.; June 14, 1990
Kern County Department of Environmental
Health Services
'2700 M Street, Suite 300
Bakersfield, California 93301
Attention: Ms. Delores Gough Project No. 90C029
MANVILLE FOREST PRODUCTS
BAKERSFIELD, CALIFORNIA
KC'DEllS PERMIT NO. 310012
Dear Ms. Gough:
Manville Forest Products has received your letter of May 29, 1990 and has indicated
that your comments/concerns are acceptable. Consequently they have authorized ENCOR
to submit the following revisions to the submitted work plan. Specifically these revisions
are as follows:
1. One boring (B-2A) will be added to th~_._b_q_ri~g_program._~..IL._~till_h~...d, ril]~ed on
the west side of Tanks 4 and 5~ -'~A-f'~Cised Soil Boring Plan is submi[t~d ~
your .approval. %-- --. ---~
2. Soil sampli~ng performed on five foot intervals plus when there is a change in
'- lithology will be adequate for the purpose of logging, field screening and
laboratory analysis. An adequate number of soil samples will be analyzed in
a state certified laboratory to obtain a concentration profile of the
contamination plume.
3. Soil samples obtained from the 5 toot and 20 foot depths of Boring B-3 will
be submitted to an analytical laboratory for the determination of background
levels for oil and grease and lead.
4. The' bpring plan in the vicinity of the diesel tank has been revised to locate
Borings B-4 and B-6 closer to the tank. The revised boring locations are
indicated on the before referenced revised Soil Boring Plan. The number and
location of any additional borings (if necessary) will be approved by a
-representative of KCDEHS prior to drilling. We understand that a
representative of KCDEHS will be present on site during the drilling
operations.
C190.029 6
A Diw~ion of O$CA
Ms. Delores Gough 2 June 14, 1990
If you have any further' comments or concerns regarding this workplan. We
appreciate your attention to this matter. Feel free to contact Manville Forest Products or
myself.
Sincerely,
ENCOR
Glen R. Landry,
GRL/arp
cc: Charles Welch
Matthew Redman
Claton Dampier
Alan Harrison
C190.029
9
GARY J. WICKS i - -~ 2700 M SIreel, Suite 300
Agency Director Bakersfield. CA 9330'1
(805) 861-3502 ,. ~ ~~ Telephone (805) 861-3636
STEVE McCALLEY ~:. ~*~_.~V~~ Telecop,e. (805)861-3429
DIr"ect°r R. E S ~ U R C E ,~~~.E N T A 'G E N C Y
DEPAR~~MENTAL
May 29, 1990
Matthew P. Redman
Manville Forest Products Corp.
5801'District Blvd.
Bakersfield, CA 93313-2134
SUBJECT: Location: 5801 District Blvd.,.Bakersfield, CA
Known As: Manville Forest Products
Permit #: 310012
Dear Mr. Redman:
We havereviewed the site characterization workplan prepared by ENCOR for the
subject site. The following are. our comments/concerns regarding the proposal:
1. In the. vicinity of tanks 4 and 5, one boring (B-2) ,was. proposed to
determine the vertical extent of MEK contamination. We require that an
additional soil boring be drilled, preferably on the west side of. the
tank area.
'2. Regarding the proposed soil sampling at 2 1/2-foot intervals, we consider
· ~ "5 foot intervals plus when there is a change in lithology" adequate for
the purposes of .logging, field screening and laboratory analysis.
An adequate number of soil samples, however, must be analyzed in a state-
certified laboratory to get a profile of the contamination plume.
3: Regarding the proposed boring (B-3) to establish background levels of oil
and grease and lead, we recommend that at least two samples, at approxi-
mately 5- and 20-foot depths, be retrieved and analyzed.'
4. By the diesel tank, we recommend placing at least one of the outer
borings (B-4, 5, 6) closer to the tank area. The number and location of
additional borings (if necessary) must be approved by a representative
from this Department prior to drilling.
Please respond/address the above items by June 15, 1990. If you have any
questions regarding this matter, please call me at (805) 861-3636.
Sincerely,
Dolores Gough
Hazardous Materials Specialist
Hazardous Materials Management Program
DG:cd
cc: Glen Landry, ENCOR
dolores\redman, let
WATER RESOURES CONTROL BOARD
DIVISION OF WATER QUALITY
UST CLEANUP PROGRAM
SITE SPECIFIC QUARTERLY REPORT
CONTRACTOR NO: 15000 SOURCE OF FUNDS: SUBSTANCE: 12034
SITE NO: 310012 FEDERAL EXEMPT: N PETROLEUM: Y
SITE NAME: MANVILLE FOREST PRODUCTS DATE REPORTED: 01/31/9
ADDRESS: 5801 DISTRICT BLVD DATE CONFIRMED: 01/31/9
CITY/ZIP: BAKERSFIELF, CA 93313 CATEGORY:
SITE STATUS
CASE TYPE: S CONTRACT STATUS: 4 EMERGENCY RESPONSE:
RP SEARCH: S DATE UNDERWAY: 01/31/90 DATE COMPLETED: 01/31/9
PRELIMINARY DATE UNDERWAY: 01/12/90 DATE COMPLETED: 03/05/9
ASSESSMENT: C '
REMEDIAL DATE UNDERWAY: ~/l~/~O DATE COMPLETED: / /
INVESTIGATION: "
REMEDIAL ACTION: DATE UNDERWAY: / / "DATE COMPLETED: / ~
POST REMEDIAL DATE UNDERWAY: / / DATE COMPLETED:
ACTION MONITORING
ENFORCEMENT ACTION TYPE: DATE TAKEN:
TAKEN:
RAP REQUIRED: DATE APPROVED!
CASE CLOSED: DATE CLOSED: / /
DATE EXCAVATION STARTED: REMEDIAL ACTIONS TAKEN:
'RESPONSIBLE PARTY
CONTACT NAME: SPECIALIST: ~
COMPANY NAME: MANVILLE FOREST PRODUCTS SENSITIVITY: NES
ADDRESS: 5801 DISTRICT BLVD. VERIFIED (X)
CITY/STATE: BAKERSFIELD, CA 93313 DATE OF REPORT: 03/07/90
ABANDONMENT #: A1092-31
West Monroe, Louismna 71294-0488
318 362-2000 Telex 588430
..i~'~ ,~. ~,~.~,: _.
April 27, 1990
Ms._Dolores Gough
Kern County Environmental Health
2700 M Street, Suite 300
Bakersfield, CA 93301
Dear Ms. Gough:
It has recently come to my attention that there was an error in
my April 4th letter to you. In this letter, I had requested that
we be granted a 60-day response period for completing the Site
Characterization Plan versus the standard 30-day period as
outlined in the original notice from KCEH. Sixty days from
March 16, 1990, the date we discussed the matter, and you gave
verbal approval of the extension, would be May 15th not April
18th as shown in my previous letter.
We have selected a firm to prepare the Site Characterization Plan
and have been assured that the plan will be completed in plenty
of time to meet the agreed upon deadline. I appreciate your
assistance in this matter. '
Sincerely,
Allen Harrison
Manager I.E.
Carrier Operations
c: Mr. Ira Henderson Mr. Matt Redmann
Mr. Charlie Welch
FIL?- CONTENTS SUMMARY-
Activity Date # Of Tanks Comments
Manville Forest ProduCts
Po., o. ic. Box
West Monroe, Louisiana 7129~
318 ~2-2~ Telex ~
April 4, 1990
Ms. Dolores Gough
Kern County Environmental Health
2700 M Street
Suite 300
Bakersfield, CA 93301
Dear Ms. Gough:
The-purpose of this letter is to document the current status of
our plans for responding to the requests outlined in the notice
received on'March 12, 1990 pertaining to the possible release of
hazardous materials from underground storage tanks at our
Bakersfield carton plant, 'located at 5801 DistriCt Blvd.,
Bakersfield, California. We have selected Option "B", the Kern
County Local Agreement Option as the method for oversight cost
recovery. It is my understanding that our local plant management
has taken all necessary actions required to initiate this plan as
per. the guidelines set forth in your letter.
Work is underway to select a firm for the.development of a Site
Characterization,.Feasibility Study, and Remedial Action Plan.
As per our conversation on March 16th, we are requesting a 60-
day period for consumation of this work, and in response to your
verbal approval of this request, we plan to submit the necessary
.proposal by April 18, 1990.
The selection of a firm to develop the necessary plans,
implementation of remedial actions, and all coordination of
activities with the appropriate KCEH officials will be handled by
our Environmental ~rvices Department in West MonrOe, LA.
'~'~'~-f~'le for these activities. Mr. Welch can be contacted at
We look forward to working with you and the Kern County
Environmental Health Department in the prompt and amiable
resolution of this matter.
Sincerer...//
Manager I.E.
Carrier Operations
AH/km
GARY J. WICKS 2700 M Street, Suite 300
AGency D~rec~or - Bakersfield. CA 93301
(805) 861-3502.- ........... Telephone (805) 861-3636
,,.' Tetecopier (805) 861-3429
STEVE McCALLEY ,'. --' -
Director
R ES,O U RCE ~~ENT AG ENCY
DEPART MENTAL
March 15, 1990
Manville Forest Products
5801 District Blvd.
Bakersfield, CA 93313
ATTN: Ira Henderson
SUBJECT: Location: 5801 District Blvd.
Known As: Manville Forest Products
PERMIT #: 310012
Dear Mr. Henderson:
The intent of this letter is to inform you of the necessary deadlines for
- work required at the property described above. As a responsible party for a
leaking underground storage tank, you have previously received a letter from this
Department notifying you of the required work necessary to identify the extent of
the contamination. We are now.requesting that this work, outlined in UT-35, be
done in a timely manner. .,'
In accordance with California Health and Safety Code Chapter 6.7 and Kern
County Ordinance Code Chapter 8.48, the Kern County Environmental Health Services
Department requires a determination of the threat to the environment. Accordingly,
you must select an environmental contractor and submit a site characterization
workplan proposal to this office within 30 days from the date of this letter. The
workplan must be approved by this Department before any work is started.
If you'should have any questions_regarding this matter, please contact me
immediately at (805) 861-3636.
Sincerely',
Dolores Gough.
Hazardous Materials Specialist
Hazardous Materials Management Program
DG:cd
dolores'~manvilhm. 1... ]
GARY J- WICKS RECEIPT FOR CERTIFI~ED MAIL
· Age~¥ Director ;t0 iNSURANCE C~DED
(805) 861-3502 ;JOT FOR !NTERNATiONAL MA/L,
"'~ " '~ ~" (See Reverse)
~Z,,d.':" ' ...... '"::%-. ~
STEVE McCALLE' '[" '"' ~ ~ ~L~
O,r~,o, R E S O U R C E '~~.~ ~.:..E N T
Strut and No.
DEPART MEN3 o P.O., State anO ZIP C~o
~ i" ':'~'"' :' "~ ~ Postage s
H~ Cen~fi~ Fee
Speoa~ Del~ve~ Fee
Restnct~ Delive~
~arch 12, 1990
Return R~e*pt snowing
to w~om and Date De/ivered
,i . mm Return Receipt showing to whom.
-- Date. and AOdress of Delive~
i = TOTAL Postage an~ F~s
Han ]~e F0~est P~oducts
5801 District Blvd. o Po~r~o.~e
I Bakersfield, .CA 93313
SUBJECT: Location: 5801 District Blvd.
Bakersfield, CA 93313 ~
Known As: Manville Forest Products ~ -
PERMIT ~: 310012
Gentlemen:
This letter is an official notice to infom you that the property described above has
been detemined by Kern County Environmental Health to be the site of an unauthorized
release of hazardous materials from an underground storage tank. This notice is sent
to you because our records indicate that you are a responsible, party for this property.
As a responsible Party, you must provide for all studies 'and work relating to the
able described property and the cost for oversight of these activities. California
Health and Safety Code Chapter 6.7 and Kern County Ordinance Code Chapter 8.48 require
a dete~ination of the threat to the environment as a result of this release. THE
RESPONSIBLE PARTY SHALL, ON A TIMELY BASIS, DEVELOP A SITE CHARACTERIZATION,
FEASIBILITY STUDY AND REMEDIAL ACTION PLAN FOR KERN COUNTY ENVIRONMENTAL HEALTH'S
........ ~EV. IEW__AND_APPROVAL~BEFORLTHE~WORK IS INITIATED. Enc],osed you .will find attachment
(ire work plan activities, the
SENOER: Complete items 1 and 2 when additional se~lce, ere d.lred, and complete items 3 ~ractors qual i fi ed to perform
and 4.
Put,~our addre~ In the "RETURN TO" Space on the reverse slde. Failure to do thls wlll pr~entthls and a section discussing the.
card from being reZurn~ to you. The re~urn r~el~% fee will orovlde you ~he name of qhe Person
delivered to and the da~e of delivery. For additional fe~ the following se~ices are available. Consult
pos~ ~aster for fees and ch~k box(~) for additional se~lce(s) requested.
1. E I Show to whom delivered, da~e, and addressee's addr~. 2. ~ R~trlcted Delivery
· - ~r~..o~..~)~ tr~.~.~.)t For the oversight of the work
3, A~icle Addressed to: 4, A~icle Number
~ILLE FOIST PRODUCTS PSq~ ~ ~ ,mediation action plan, site
any fees or pe~its. These
5801 DISTRICT BLVD Type of Se~ice: th in one of the' two methods
Registered ~ Insu~
BA~RSFIELD CA 93313 Cemified D COD 'the method of oversight cost
Expmss Mail .unty of Kern Local Agreement
~ ~'~' ..... '.with oversight.
~Amways obtamn s~nature of addre~
'~'~ .p~mt.~nd OA~E DELIVERED.
5. Si~ nature - Addressee /~Oy ' ~'' '8~[ Addr~see's Addr~s (O~L Y [~
~'~ 7~ ~ re~ue{ted and fee paid)
PS M~. 1987 · U.S.G. RO; 1987-17~268 DOMESTIC RETURN RECEIPT
(A) STATE coNT~T
.,The State Leaking Underground Storage Tank Pilot Program provides a mechanism for the
State to reimburse the County for County oversight. The County will conduct the
necessary oversight and bill the State Water Resources Control Board under this State
contract. The State will then charge you, a responsible party, for both the costs
incurred by the County and the State, pertaini'ng to your site, under the State terms
explained below:
Whereas the Legislature has appropriated t'unds from the California Hazardous Substance Clean-up Fund to pay the local and state
agency administrative and oversight costs associated with the cleanup of releases from underground storage tanks; and Whereas the
direct and indirect costs of overseeing removal or remedial action at t he above site are funded, in whole or in part, ~roim the Hazardous
Substance Cleanup Fund; and Whereas the above individual(s)'or entity(les) have been identified as the party or parties responsible
for investigation and cleanup of the above site; YOU ARE HEREBY NOTIFIED that pursuant to Section 25360 of the Health and
Safety code, the Above Responsible Party or Parties shall reimburse the State Water Resources Control Board [or all direct and
indirect costs incurred by any and all state and local agencies while overseeing the cleanup of :he above underground storage tank
,site, and the above Responsible Party or Parties shall make full payment of such costs within 30 days et' receipt of a detailed invoice
from the State Water Resources Conlrol Board.
(B) COUNTY OF KERN LOCAL AGREEMENT OPTION
Kern County Environmental Health is providing this option for those who prefer to pay
the County directly and avoid the addition of ~State costs. Prior to the County's
performance of services, this option requires your deposit of $1,000.00 (one thousand
dollars) with the County to be held in the Local Option Trust Account. Charges for
County oversight are made against this account. In this option, a responsible party
must enter into a County agreement, attachment "B".
~he environmental sensitivity (attachment "C") of this site has been reviewed by
Environmental Health to determine the potential threat for groundwater contamination.
Only sites determined to be non-environmentally sensitive may enroll in the Local
Option Agreement. The site described above is not in an environmentally sensitive area
and may be enrolled in the Local Agreement Option; however,~the County of Kern reserves
the right to cancel any Local Agreement Option, should it be discovered that
groundwater contamination or a unique,, complex hydrogeological condition exists. In
such cases, Environmental Health will utilize the State contract to pay for County
oversight activities. The. County of Kern reserves this right for any site even when
the site is located in a non-environmentally sensitive area.
It is necessary for you to respond, in writing, within ten (10) calendar days of
receipt of this letter to advis'e Kern County Environmental Health of your choice:
either the State contract or the County's Local Agreement Option. If you select the
County's Local Agreement, please complete and sign the Local Agreement, (attachment
B), and return it with your check for $1,000.00 (one thousand dollars) made payable
to the County of Kern, addressed to Kern County Environmental Health 2700 M Street,
Suite 300, Bakersfield, CA 93301, Attention: r Accounting -Local Agreement Option.
If you select the State contract, pl. ease indicate, in writing, that you have made this
selection and that you have read the above official notification.
Failure to respond within ten (10) calendar days to ~his notice will automatically
mesult in oversight cost recovery for your site(s) to be placed under the terms of the
State contract for Leaking Underground Storage Tanks.
If you 'should have any questions regarding this matter, please contact Susan Gonzales
at (805) 861-3636.
Sincerely,
Environmental Health Services D~p~rtment
attachments
UNDERGROUND STORAGE 7-~NK UNAUTHORIZED RELEASE (LEAK)/.CONTAMINATION SITE REPORT
EMERGENCY
[] YES ~"NO REPORTBEENFiLEO? yES [] NO i:iREP~RTEDi~`H~:iNF~RMAT1~N:::T~;L~cA~:~t-F~c~A~S:PUR~ANT;i~T~$E~T~!:~3$~
[~ ' NAME OF INDIVIDUAL FILING REPOR...~_.T PHONE SIGNATURE -- ' .......
@ / RE.~ESE~ING [] OWNE~O.ERA~O. [] REG,ONAL~A~ , ~PAN¥OR^GEN~CYNAM~ ~ .; , , .
~ - "'-' ' ~TREET CiTY STATE ZIP
NAME CONTACTPEFISQN ~ I PHONE
~ ~. ADDRESS '
I~"REET C~ ~'TAT~
ADDRESS
~ CROSS~TREET I TYPEOF AREA [] COMMERCIAL.~iNDUSTRIAL [] RUFI~L TYPE OF ~USINESS [] RETAIL FUEL STATION
~ m l LOCAL AGENCY AGENCY NAME CONTACT PERSON J I~HONE '
~ LU ~ REGIONAL BOARD , . PHONE
(1) NAME QUANTrrY LOST(GALLONS)
~ OATEDISCOVERED Y HOW DISCOVERED ' [] INVENTORY CONTROL [] SUBSURFACE MONITORING [] NUISANCECONOITION$
~ MI '- MI D[ DI ¥1 [] TANKTEST ~ TANK REMOVAL [] OTHER
DATE DISCHARGE BEGAN METHOD USED TO STOp DISCHARGE (CHECK ALL THAT APPLY)
i ~SD,SCHARGEBEENSTOPPED? [] REPAIRT~K [] REPAIRmmNG [] CH~GEPROCEDURE
~ SOURCE OF DISCHARGE I TANKS-QNLY/CAPACiLTY I MATERIAL CAUSE(S)
i [] TANKLEAK "~UNKNOWN Z_.~..~:.~O _~,I¢~I~.~,L. [] FIBERGLASS [].OVERFILL [] RUPTURE/FAILURE
[] P.PINGL . AGE /O [] =..OS,ON 'UN NO .
] OTHER NKNOWN
~ ~' ~ UNDETERMINED [] SOILONLY [] GROUNDWATER [] DRINKING WATER - (CHECK ONLY IF WATER WELLS HAVE ACTUALLY EIEEN AFFECTED)
CHECK ONF ONLY
~ ~ ~ SITE INVESTIGATION IN PROGRESS (DEFINING EXTENT OF PROBLEM) [] CLEANUP IN PROGRESS [] SIGNED OFF' (CLEANUP COMPLETED OR UNNECESSARY)
0 u~ [] NO ACTION TAKEN [] POST CLEANUP MONITOR!NG IN PROGRESS [] NO FUNDS AVAILABLE TO PROCEED ~ EVALUATING CLEANUP ALTERNATIVES
CHECK APPROPRIATE ACTION(S) (SEE BACK ~OR DETAILS)
~_ [] CAP SITE (CD) [] EXCAVATE 8, DISPOSE (ED) [] REMOVE FREE PRODUCT (FP) [] ENHANCED BIO DEGRADATION (IT)
~. r'--} CONTAINMENT BARRIER (CB) []EXCAVATE,TREAT,ET) l~] PUMP & TREAT GROUNDWATER (GT) [] REPLACE SUPPLY (RS)
[] TREATMENT AT HOOKUP (HU) [] NO ACTION REQUIRED (NA) [] OTHER(OT)
8
HSC ~5(4~7
Formerly ERT
ENSR Constructo~
December 18, 1989 1220 Avenida Acaso
Camarillo, CA 93010
(805) 388-3775
Ms. Turonda CrUmpler
Hazardous Material Specialist
Kern County Environmental Health Department
2700 "M" Street, Suite 300
Bakersfield, CA 93301
RE: Tank Removal Permit for Manville Forest Products,
5100 Division Rd., Bakersfield
Dear Ms. Crumpler:
ENSR Constructors is pleased to submit the following information
requested by your office in order to complete the permitting
process for removing tanks at the referenced facility.
ENSR has included the Material Safety Data Sheets' for the
solvents 'and the extender which was stored in some of the tanks.
The waste solvent and extender was utilized in the cleaning
process to remove ink and machine oil from the priDting presses.
.~!nformation regarding the detergent used in washing out glue pots
~2has also been included. The glue is used tO seal~artons
containing food products and is not considered a health threat.
The waste found in the tank would contain a dilute solution of
the detergent and glue. Due to the high pH of the detergent, a
'~epresentative soil sample analyses would be that for pH.
ENSR will utilize an independent laboratory to collect and
analyze the soil samples. The sampling protocol of FGL
Environmental is enclosed. ENSR understands that this lab and
their sampling protocol has been approved for many other
permitted sites. The number of samples obtained during tank
removal will correspond with that specified by your office, a
total of 32. The samples will be obtained from beneath the tanks
as shown in Figure 1, Underground Tank Site Plan. Also shown in
the figure is the piping that connects the tanks to their
associated systems. The piping lies above the tanks and
continues directly to and underneath the building. ENSR will.
sever and plug the piping that will be closed at the excavation.
Please find enclosed a sample copy of our Statement of Workman's
Compensation Insurance Coverage. A copy from the insurer can be
forwarded to you at your request. Also find enclosed a copy of
ENSR's generic Health and Safety Plan for tank removals.
December 18, 1989
Ms. Turonda Crumpler
Page 2
We look forward to' working with you to meet all of the Health
Department requirements as they pertain to the tank removals'at
this facility. If you have any questions or~. require further
information, please contact the undersigned at (805) 388-3775.
Your timely response would be greatly appreciated.
Sincerely,
Project Manager
Steven O. ~Wright
Operations Manager
enc.
cc: Allen Harrison/Manville Forest Products
w/o eno. i'
., . UND£RGROUND STCRAG_E T?~!Ei Rf'/qOVAL
Tank ~ Construction Capacity Contents
i .' Steel '20,000.gat iesel
2 Steel !0,000 gal 4. Solvent i
.. 3 Steel 10,000 gal ~ Solvent
4 Steel 15,000 gal ~ Extender ~
5 ·Steel 4,000' gal ~. Waste Solvent
& Extender *** p~
$ Steel '"" 4,00'0 gal ~. Caustic Wast'e.-~ ~'
& Water(NaOH)
7 Steel 2,000 gal R G!~e Wash Water
* Contains Toluene, Ethlyi Acetate, & Ethyl Alcohol
** In addition con .~,n.n~ DJ.butyl Phthalate & isoDropy1
· Alcehei '
~ '*'** in addition, contains 'ink pigments.
FIGURE 1
UNDERGROUND TANK SITE PLAN
MATERIAL SAFETY DATA SHEET
EXTENDER
S~CTION I - P~ODUCT INFORMATION
MANUFACTURER'S NAME: PP~ INDUSTRI~.S, INC.
PRODUCT CODE/IDENTITY: A~.-700-451 (050289E)
CUSTOMER PAR~/NAME:
PRODUCT TRADE NAME: BALANCED EXTENDER
CHEMICAL FAMILY: ROSIN ESTER
**********************************
SHIPPING INFORMATION
US-DOT: SHIPPING NAME: I1TK; FLAMMiABLE LIQUID
HAZARD CLASS:
UN NUMBER: UNlZl0
NAME: U1TAVAILABL E
ICAO: HAZARD LABEL: UNAV;~ILABL~
INTERNATIONAL: SHIPPING NAME: UNAVAILABLE
HAZARD CLASS: UITAVAILABLE
**********************************
SAR~ 311/312 CATESORIES FOR THIS PRODUCT
ACUTE=Y CHRONIC=N FLAM=Y PRESS=N REAC=N
ALL CHEMICAL SUBSTANCES IN THIS PRODUCT COMPLY WITH ALL APPLICABLE
RULES OR ORDERS UNDER THE ENVIRONMENT~tL PROTECTION AGF~NCY'S TOXIC
SUBSTANCES CONTROL ACT. '
PRODUCT SAFETY INFO: 260 KAPPA DRIVE
PITTSBURGh. PA 15238
._ (4~2) 063 5822
EMERGENCY MEDICAL INFO: (304) 843-1300
EMERGENCY SPILL INFO: (304) 843-1300
DAT~ OF MSDS PREPARATION: 5/02/89
THIS MATERIAL SAFETY DATA SHEET HAS BEEN PREPARED IN ACCORDANCE
WITH T~E OSHA HAZARD COM/~3NI~TION STANDARD (29 CFR 1910.1200),
CANADA'S WORKPLACE HAZARDOUSMATERIALS INFORFiATION SYSTEM. THE
SUPPLIER NOTIFICATION REQUIREMENTS OF SARA TITLE III,SECTiON 313
AND OTHER APPLICABLE RIGHT-TO-KI~OW REGULATIONS. ABBREVIATIONS
AND' OTHER DESIGNATIONS USED ON THIS MATERIAL SAFETY DATA SHEET
INCLUDE THE FOLLOWING:
~ = UNK~,OWN INFORMATION; N~A = NOT APPLICABLE;
~STAB. = NOT ESTAB%ISHED, CERT. LTR..= CHEMICAL
O.K. ON TSCA INVENTORY, CAS NO. NOT AVAILABLE
(CUSTOMER NO.) LOCATION : 89AE/700/451/502
CO~ITINILtATION OF HAklUFACII-~ER~S £.ODE: A~-'700-~51 DATE' OF PREP: 5/02/~,9 PAI;E 2
SECTION II - INGREDIENTS ~'
....................... i...OC~UPATIONAL EXPO~3RE LIMITS ................. ~. ......... SARA TITLE I]! ;~ CERCLA RATI#~' ....
% .......... ACGIH .................... OSHA ................... PPG-[PEL ......... HS EHS TC+ RQ TPQ SABA $11/~12
~}iGREOJENTS ~IGHT TLV-i"d'A ~LV-STEL PEL-TedA PEL-STEL IPEL-TI,/A IPEL-STEL (102) (]02) (31]) (LBS) (LBS) AC ai FL FR RE
ANHYOR(~dS ETHYL ALCOHOL 15-20 1,000p~q NOT ESTA8 1,0Oeptom NOT ESTA8
.-. [64-17o5 ].o. A~TE: ~ SEVERE HA~S IDEnTIFiED ~AL=U/I DERM~/I INHLcU/[ CHRO~IC: ~ L~G-TERM EFFECTS ]DE~T[F]ED
ETHYL ACETATE 15-20 ¢~ ~ NOT ESTAB 400 ~ NOT ESTAB 4~ ~ NOT ESTRB Y N N 50~'
...[141-78-6 }... 'A~E: NO SEVERE HAZARDS IDEXTIFIED ORAL= 9.~ DERM=. 18.04 ~N~L=U/[ CHROMIC: NO L~G-TER~ EFFECTS IDENTIFIED
IOLUENE 25-30 100 ~ 150 ~ 200 ~ 300
... [108-~-~ ' ]... ACUIE: SKIN IRRITANT ' ORAL= 5.00 DEAN= 14.00 INflL~/~ ' C~R~IC: ~0 LO~G-TERfl EFFE~S [OENTIF~ED
IS~ROPYL AL~HOL, ANHYOR~S I- 2 400 ~ 500 ~ AO0 ~ ~OT ESTA8 400
....[67-63-0 ]... ACUTE: EYE iRRiTANT ORAL= 5.~ DERH~ 16.Q0 INHL=U/I CHRONIC: NO LONG-TERM EFFECTS IDENTIFIED
FIL~ FORMERS, RESINS, ~D ~D]TIVES 35-~0 NOT ESTAB. NOT ESTAB. NOT ESTA8. NOT ESTAB.
... [NOT EST,. ]... ACUTE: NO SEVERE HA~RDS IDENTIFIED O~L~/I DE~=U/[ [NHL=U/[ CHRO~IC: NO L~G-TERH EFFECTS IDENTIFIED
(g/kg) DERM= LOSO DERMAL (RABBIT), (g/kg) INBL= LCSO iNHALATION (RAT), (Ilo/L}
TC COLUMN ARE SUBJECT [0 THE REPORT]#G REQUIREMENTS OF SARA TITLE III. SEE 40 ~FR PART 3T2o
SECTION III - ~HYBIC~/CHE~IC~ ~CTERISTICS
~ ~F~MULA VALES, ~OT ~LES
BOILING ~NGE: ~ - 110 DBG. C ~LUB[L[TY IN'WAT~R:
VAPOR PRESSURE: ~O.~g WT/GAL (LBS): 7.93 (U.S.)
VAPOR DENSITY: HEAVIER THAN A[R ~:
EVAP RATECB~c:iO0): 27& SPECIFIC G~AVITY:
~/APPEAR~CE: V[$C~S LI~ID WITH AN ~OE CHARACTERiST{C OF THE
~LVENTS, C[$TED IN ~CTI~
SSCTiON IV - PIR~ ~ EX?~ON ~2~D DATA
U~-DOT CATEr%: ~L~ABL~ /
FLASHY[MT: 2B DEG. F ~CC FLAM~OLE LIMITS= LE~- UEL U/[
U~ N~TI~AL FIRE PROTECTI~ ASS~AT]~ (NFPA} CLASS B EXTIN~]SHEES (~R~N DIOXIDE, DRY
CH~I~L, OR UNIVER~L AQUE~ FILM FORMING FOAM) DESIGNED TO E~IN~ISH NFPA CLA~S
UNU$~[~ AND EXPLOSt~
· K~EP CONTAINERS TIGHTLY CLOSED. ISOLATE F~ NEAT, ELECTRICAL E~UIPMENT, SPARKS, AND OPEN
F~ES, CLOSED C~TAINER$ MAY EXPL~E WHE~ EX.ED TO E~REME ~EAT. ~0 NOT APPLY ON HOT
SURFACES. T~IC ~SES MAY FORM WHEN P~UCT IS CONTACTED BY F~E O~ HOT SURFACE~.
SPECIAL F~E FI.G~,X,.NG PR~EDURES:
~ATER ~RAY ~T BE INEFFECTIVE. ~TER SPRAY ~Y BE USED TO C~L CLOSED ~NTAINER~ TO
PR~ENT PRESSURE BUILD-UP AND POSSIBLE AUTOIGN[TiON OR EXPL~[~ gHEN ~OS~ TO
HEAT. IF WATER IS USED, FOG NOZZLES ARE PREFERABLE. F~RE-FIGHTERS SH~ ~AR SELF
~TAINED BREATHING APPARA~S.
sECTIoN V'- ~CTIVITY DATA
STABILITY: STABLE HAZARD.S POLYM~,RIZATION: NOT EXPECTED TO OC~R
INC~PA~[BILITY (~tERIALS A~q CONOIT[ONS TO
AVOID ~TACT WITH STR~G ALKALI'ES, STR~G MINERAL ACIDS, ~ STRONG OXIDiZiNG AGENTS.
HAIRDOS ~EC~.IT)ON PR~UCTS:
MAY ~UCE HAZARD.S DEC~POSITION PR~UCTS WHEN HEATED. ~L~ING, BRAZING, ~
FL~E-~TTING ~ SURFACES COATED WITH TNI~ PR~CT ~Y PR~UCE F~E~
Car~m M~x)~ Ox(des o~
SECTION VI - SPILL OR L~ PR~ED~ES
STEPS TO ~E TAWEN_[~ CASE MATERIAL I~ ~ELE~[D.O~ SPILLED:
PROV~E NAX)~ VENTILAT[~. ONLY PERS~WEL EQUI~ED WITH P~OPER RESPIRATOR7 AND $KZN AND
EYE ~OTECT[~ SH~ BE PERMITTED ]N THE AREA. REM~ ALL ~RCE$ OF IGNITION. TAKE UP
SP~LLED HATERZAL ~[TH SA~UST~ VERHI~L[TE, OR OTHER A~$ORBENT ~TER[AL A~ PLACE INTO
.- ~NTA~ HERS F~
~ASTE D] SP~AL
~ASTE MATERIAL ~ST ~E DISP~ED OF IN AC~DANCE V~TH FEDE~L~ STATE, PROV[NCtAL~
L~L ENV[R~HENTAL C~TROL EEGULATi~S. EMPTY CONTAZNER~ SH~LO BE RECYCLED OR
OF THa~GH AN APPROVED ~ASTE HAHAGE~EHT FACILITY,
SECTION VII - HE~TH ~Z~ DATA
~NGE$TI~:
-~ARHFUL ~ FATAL I~
EYE CONTACT:
-~USES $E~RE EYE IRRITATZON.
SK.)N ~TACT:
I N~ALAT I ON:
-VA~ AND SPRAY MIST HAY BE HARMFUL IF JNHALEO.
-V~ IRRITATES EYES, NOSE, ANO THROAT.
-REPEATED EX.SURE TO HIGH VAPOR C~C~NT~TI~S MAY CAUSE I~RITAT[~ OF THE RESPI~AT~Y
SYSTEM AND PERMANENT BRAIN AND NERVES ~YSTEM DA~GE.
'' -iNTENTIONAL MISUSE BY DELIBERATELY C~CENTRATIflG AND INHALING THE C~TENT~ ~N BE HARMFUL
OR FATAL.
CHR~[C
A~ID L~G TERM AND REPEATED ~TACT.
~_[ GN$ AND SYMPT~$ OF ~ERE~pp~RE:
-E~ WATERING, ~EADACNES, NAUSEA, DIZZINESS, AND L~$ OF C~RD[NATION A~E [ND[~T[ON~ THAT
~NT CE~LS ARE T~
'REDNESS; ITCHING, BURNING SEN~ATiON AND VI~L DIST~BANCE$ ~Y INDICATE EXCESSIVE EYE
~TINUED ~ PAGE G
, COHTI~UATION OF MANUFACTURER'S ~L~--700--45~ DATE OF PREP: 5/0; PAGE
-DRYNESS, ITCHING~ CFL~CKING, I~JRHING~ REDNESS, AND SWELLING ARE CONDITIONS ASSOCIATED ~[TH
~ ~ EXCESSIVE SKiN C~TACT.
~E~[CAL._CO~OIT[O~' ~G.G.~VATED aY EX~NOT APPL[~BLE ....
BECTION VIII - FIRST AID PR~ED~ES
IN ~SE OF SKiN C~TACT, FLUSH IMMEDIATELY WiTH PLENTY OF UATER FOLL~ED BY gASHING WITH
~P AND WATER,
~NHALA'rION:
:F AFFECTED aY ~NHALAT~ON OF VAPOR ~ SP~Y ~ST~ R~HOVE TO FRESH A:R. APPLY
RESP~RAT:~ AND OTHER ~PP~T~VE HEA~R~S AS
IF ANY OF THE FOLL~]NG OC~R DURING OR FOLL~ING USE O~ THIS PR~UCT~ CONTACT A
' C~TROL CENTER, EMERGENCY E~ ~ PHYSICIAN [~ED[ATELY; HAVE HATERtAL SAFETY DATA SHEET
ZNFOR~T]~ AVAILABLE. *iNGESTION *EXCESS[YE ~X~RE TO A C~ROStVE HATER[AL.
* ~R$]STENT SE[N/EYE ~RRITAT[OE ~ BREATHING DIFFICULTIES.
.SECTION IX - PR~CTION I~O~TION
P~R~AL..~T~C~ E~PM~T FO~:
EYE PROTECTION:
~E~ ~E~I~L-TYP~ SP~SH ~GGLES.
~AR' PROTECTIVE CLOT~ING~ ZNCL~NG I~ERMEABLE APR~ ANO GL~ES C~STR~TED
N]TRILg R~SER, NEOPRENE RUB~R O~ ~L~INYL
RE~IRATO~Y PROTECTI~:
- ~REXP~RE TO VAPORS MAY BE PREVENTED BY EN~RING VENTtLATION C~TR~S, VA~ EX~UST
FRESH AIR ~NTRY. ~I~M/MS~A-APPRO~D (TC-~C-) PAINT 5PRAY OR AIR SUPPLIED
RESPIRAT~S ~Y ALSO R~UCE ~XPO~R~. READ RESP]~T~ MANUFACTURER'S INSTRUCTIONS AND
LITE~TUR~ ~REFULLY TO DETERMINE THE TY~ OF AIRS~N~ COHT~INANTS AGAINST WHICH
RESP~RAT~ ]S EFFECTIVE AND H~ IT IS TO BE PR~RLY FITTED.
CLEAN ~ D:8~RD CONT~[NATED CLOTHING ~O
VENT~LAT~ON_~EOU[REMENTS:
PROVIDE GENE~L D[LUT[~ ~ LOlL EXHAUST ~T]~T~ iN VOL~E AND PATTERN TO ~EEP THE
C~CENTRAT]~ OF ~NGREDJENTS LIS~EO IN ~CT[~ ][ BEL~ THE L~EST SUGGESTED EXPOSURE
L[H~T$, THE LEL IN SECT[ON IV BEL~ T~E ~TATED LIMIT, AND TO REMOVE OEC~POS[T[~ PR~UCTS
~R[EG ~ELD[NG OR F~ME CUTT[NG ~ ~RFACES C~TED ~[TH T~[S
SEOTION X - 8~ECI~ PREOA~IONS
O0 NOT 8T~E ABlE 120 DEGREES F. ~T~E ~RG~ OUANTITIES IN ~ILDING5 DESIGNED AND
PROTEGTED F~ STAGE OF NFPA CLASS [8 FLYABLE
IF T~IS MATERIAL IS PART OF A MULTIPLE C~ENT COATING SYSTEM, READ r~ ~T~RIAL ~AF~TT
DATA SHEET(~) F~ THE OTHER C~EHT ~ ~NENTS ~EFORE BLENDING ~ THE RESULTING
MIXTURE ~Y HAVE TI~E HA~RD~ OF ALL OF ITS PART~.
CONTAINERS SH~LD BE GRINDED gHEN P~R[NG, AVOID FR~E FALL OF L~QU[DS IN EXCESS OF A FEg
INCHES.
~'~' TOTAL PAGE:005 *~
MATERIAL SAFETY DATA SHEET
SOLVENT
.... ....,., .... . ....
...-:'~u~-'.~e.~.: ~6~"......:';.'~:~ .""-'-: :".~.~' '.-.:',:.: ~' ..-'... L.. ....... .'...". 'A'..;..' · '~ · .::.:::"- ' '..' .i.":;" .'.'.'~.'" ',, .'..:' :' ,;:.,:'.' ~ .'",.;
.. :..',../.'~'.,~~A~R."...{.S~Z}. ~90~'~U~'~ '~', "'.'" "; ' "':' ' '. :..'.-"-:, .'.'v.: .:': :".'.::.f~,S}~',~'~.": ..?., ~- .'.,.';,.".,.'
. ~ ..... ~, ~+'~-,~..---~.,. ., . . ....... .. .. ?:...~.' .....; ,, .... · .. :-...- .~:.. :' .../ .,...'. ~ .'...~f...F .-'~.~? · . .. ....;,
, ...:,.. -'~",' ,..~. '.:..........t . . ..... ' : ." ./ ;: .......'~ .. ..... . ...... . . ~......,. ~.' ......,..~,. . '.. ,
~ · .. ~..
ON: ' · ~ 'hl~iD ' " .-' ,.
. .. " ..':' -...... ..... .~~. - .. ,- .j..,f...:'. ' -.',.: :,: .... '-. .'".' . ..'..~ ~ )' .,.r:'.~-~.: · '.' '.
:
PPM
~'0~ 67-56-~ 2~ PP~ ~ ~A
2~ PPM AC~
,.~ PPM AC~
PPM
': WA~ HONE
' 4~ P~ ACGIH
.... source cf exposure ~nd into fresh ~r. if s~DtOms peas!st, seek ~ed-
ia~e zed~ca~ attention, if vlc~im 'is not bre~.thin~, ~ifi~i~ res:ira- ..
t!on should be a~ini~te~ed, tf b~t~ d~:ficu!t~s develop, o~E~ '..
should ~e ~m!nls.t~ed by qu~ifled ~mso~el. Seek i~md~ate zedlc~ ~. . "
-' 'mouth.' "if' vici&m ~S 'COr~Cio~ ~nd a!er~, vomitL~g shoed be. iaduced for
i~icns of i~ge'~o~ts <mar~ th~ 5 o~ces in ~ ~d~t)
wl~ ~v~up of ipec~c ~de~ direction f~om ~ ph~sict~ om poison
~o~e ~ Pkvs~ci~S: ~i~ ~roduc~ cont~ metk~oi. ~e~k~ol is
zet~boilc acidosis, vlsu~ ~atu=b~ce~ ~ hiin~ness. Because metabolism
One or ~e~compon~zs of :his maWr!al i~ ~ eye irri2e, t. ,Direct
~i~ C0~ACT:
~eor more components of ~his maCeri~ m~ cause skin
ProJ. on~d or repeated e~osure with this ~:atorlai may cause
bu~in~ ~d dryxng ~d c~ck~r~ of ~he
SKi~ ~OFPTiON: , COntaC~ may result in skin absorption, but s-~mpt~ms of toxia!ty ape not
· '. ' ' ."- ""' ' ' . ' · .,..' :" v...' ' .,.. ..... :.' ': .:.."--..'.':; · "'.';'",'....:;-" .': .... ': . :.': '., .<,..,:: :.'.'.'..- "'-.': .:- :'
: :, :.~,~&~6A~IC,~"'(~R~%~.:~Nd:)~,' :'-.' ..'.':':..'":.":.~:.'".': '.' .!. '"..'. ~'".: "", '.' "': ".' .. ':' ' ' .. '. '
"." ' ThrB: material 'has ~ %'ow dez~e .o¢ .~oxlciby. by. '.~.,%ha~. &~L..o.n, ,' Mr.~,~n~... .,.. .... ,,',~,, ,..,,...
". *' :' .' ' ' lrrita'tion o~'~he·,nose.a~d .~hrc~t. . - " '..' · ' . . , '
' ' . · . dizzina~ ioSa of coordination ~d farine.), · · ' ' ' ' ' · ·
· - · · ir=e~%~ 'he~tbeats (~rhy~ias). . ' ' . ' . ' ' ' ~ .
~lon~e~ or repeated 'exposure to vapobs o~ mists m~y c~use: ' ' ·
· visu'a% d~sturb~ces .': · .. · ..' ... . . .. -.. j. ;., ','..'~- ',. ~;.... '{
: ....~ .. ~ . ,.... (in~=~%ng .b%i~e~m,}. ;" 'h...'.. ~7.. L;.. ,.."..':.."...' '>-: ..,..'3 ."" :', '"'? :,' '~, '". .?' '
..... '.'~ ,.',. ~'~".'."":'"::~lmO~Y ~de'~["(a~d~uLaSion Qf.F%uid in,~..l'~s~,~],· .... ','.:~ ..
.. , . ..,., . ... . .....,¢ ... . ~,...... , .., ,,. .,~ - .,% -,.. · .,. .. .... , .-. . .,..- ,1.., · . ....
.......... Blood ~So~,2 ....... . . .. . . ..~ ...... ~ ..
"'.>"".':". ~;" ~ ~." ..' '. (.~emf&).'.":/.., '~ ':< .' ~ ~..{.' ?~..-- '" ~ · '-' '7 ..... :~ ":.j. ¢' .~.' · .:L..>:.'l ...: ~ {' '.: "~.'..'.', ". '. 2 :. '.., ,:'....'.~ ~.~;;. '.: ·
'~'iS ~&~arl~ ~ '~ 1°w d~gree ef toxicity, L~es~icn of excessive
qg~tiuies z~
.' · .. Irritation of the digestive tract..' . . , .>.:.
D ~-~e~es s, . .... .:
· - S~upor, · ;. : . , : ..... '.,..- -.. · ;..,
V~u~, d~urb~c.e~. · .: "' "'*' :' · ' ............ '"
'<'..'h" (i~d/Uding blindness ) ,.
~TIOM ~&~ - One '°r more components of ~ maueri~ c~ enter
~re-existlng He~, Blood diso:ders m~ be ~gEr~vated by
e~osu~e to ~2s
A co~nent of =his p=oduc= c~, caul9 &2~ve=sible oh~Ees ~ the
~et~c n~temi~ (DNA) o~ a ceil, ~,~ h%~ hesi~% consequence of
These ~h~,~es is not ~u!ly ~derstood.
Int~=iona! misuse by del!be=ate ir~ation of toiu~.e h~ be~ .sho~
cause liv6r, ki~ey ~d br~n d~.
Lor¢-~m LqEegtion of i~ Futurities of eth~uoi ~ be~ ~soci&ted'
w!~n ~ver d~, irrev~rslb~e ch~uEes in the g~netic ma~eri~ (Dh'A)
o. &cel_, ~nd adze. se e.~ec~s ~n .... ,epr=~uc~v. sys~ ~d ee e_~..~
f~tus, Such effects have noU been reported, nor ~e ~ected, From
occupational e~osures tO
~i$ substance h~ not ~ iden~ified as a carcinoE~u or prob~ie
C~cinog~ by NTP, ZkRC or
Re~rts have ~socia~ed repeated ~u6 prolonged occupational ove~csure
to solvers with oerm~enz brain ~d nervo~ system d~a~ (scmeti:es
reFe;~red ro ~ Solvent o~ Painters~ 5~drome). Intentional misuse by
delibera%e/.y concen~ratlng ~d i~:aling ~he con~nus may be harmful
..... .~ ~r~ v~t~on .~c~a~ ar° no~. ~d~qu~e .~o ~n~a~n ~~ '... · . : .....
· . :.."v .... .a~di~i'dnaL Vant'ita~ion Or ~haus~ systems 'may' be required. W~,e~ ~iosi~e' ..
"mix~ures ~. be 'present,. e%e~%ric~ systems' sa~e. for such locati6n~ :u~ t ,
'" be.us~..: ' · · ' ' " ' " "
' ~~o~Y ~o~o~:o~, . ' '" ' . ' ·"
, : :... ~h~' ~a~:&btsh~. mx~su~>~2~.%s.;':'QS~,.%%c~i~n '~:.".."9'a~a~"~'~, ..¢~e~: '.." . '
,. -'., .,'.,::o,:'-.~'h~n%:st~oa ;'.:.uCm" ~ '~a~'~:~r '~r Eat ._~s~ wi%a.. &~pr~$&~e',.¢~=:~a~ :... '....' · ,:,.. ,'.:..... :.
%.. · .': ::....:.:.:,.-.., .-, :; ...,'"..¢,: ...:...... :'.. ..., :.. ,. ?...... ~: ,.." ,,:: · :,........ :...':-: ...:'~ .~':~ ....: ·
-': .:'.". ': ~:~:'..':~v~ :.. . :'"":."..':-...-"'. : :-" '":'. ' ' ·" '" '': ' .'"'" .- ' ' .' , ' ' '
...... ," '~ie' ~e"cf gloves 'i~er&e~ble'
to.proven: s~n'conSac~ ~nd possible irritation, ·
EYE PR~CTZON: : .
App~v~d eye pbotec~ion to s&faUqa:'d ag~nst po~:ti~ eye cont.a¢~,.....-
~a~_on or 2nJu~y _s recc~ended.
" : P~iV~ ~ "::' '" '" ....... ' .... ' .... '
oxy~. ,~.
~dizi~
Selected ~nes
~d2ide
zsocy~ate
Org~nome~lic Oont~in~nts
Alk~i Me~la '
._ Halogens
Alka:.ies
~0~ D~O,~OSiTIO~ PRODU~:
~d/om c~bon dioxide.
Will ..Not. Occu=
'
' S~ upwind' ~d ~w~_F=Om .spill,. Keep g!.~oumCs~ of .!~=ion ~d ~_ '.' . '
· "." 'me=.a% ~rraces away F~om'spilL, %~ spili'i8 Indoor~,'vsntiiate apes of -. · '
' ,split, A' ~ivers~ t~e ~o~ 'c~ =e used' to 'supPress 9spots. Kaep ~ill
. ou~ ~ drains, sewers or waterways, Use s~d o= ~h~r ine=~ =a~er~s tO ' .' '
' d~' ~, ~on~aln.spill.. ~0 not, flush ar~a.'~i~b Wa>gr~.:,:.Ro~, ~maI%',s~&%%~.%
...:.'..: ,~ ¥ ~ =~..~%u~'~!,~% .:~m~,; .,~se~. a?=~e~..:~h: '-':C~-D'.~i~' ~e~p'~n~e'~' ~e~.:~ "-' · ' '.. ': ~ '
· .':' ': ~. '.': ~Y~".'~pll!, ' N~irf .aDprQprL~e st~:n/%ocg agencies .... -. , ~.-r...=..-...,.:.",;.. -<' ~ ",. ~'. '..'.'..'2..
,... : ..... ....,~....~.~,. .... .'.' ..,... , ..-'......... . ...-.. , ... ] . '.: .'.,.',: . ? ':. '. '.q . ='..--. · : ,% . ,.~."'........",.:'-~"= ;.......~,.',.
Di'~p~s~'~'f p~duct' ~. acco~dm~ce with %o6~ co~nty, s~, ~d
"" ~'p'e=~on~ hz~i~ ~c~ice. "~pCy" 'con~ne=s re~h residue
~c~o~ va~r; ~= c~ be 6mn~ro~. Do not pressurize, cut, weld, brae,
~o%~r, drill, ~ind or ~pos~ such containers' to hemt, fl~e, sp~ks
other ~ources or i~tion; they may ~:plcde ~.d cause Lujury or
"~pty" d~s shoed be completely ~-gned,' properly b~ed ~d promo~ly
- should be disposes cf in ~u envi~orment~ly safs ~ner ~d Ln accord~ce
wi~ ~ve~~ re~alaticns. =efore working on or in ~ which
or have con.ned ~hzs. p~duct, refer to occupation~ s~'ety ~.d health
a~inis~-atlon re~alationm, ~NSi 'Z~9,1, ~nd other gcv~en~. ~d
.,~ddst. i~ ~.e~ences pe.~a_n-ng ~o ~.e~i..~, .ep~.~ug, we~, or o~ne.
aon~p!ated operations.
7: SECTION VIil - Fi~ ~WD ~PLOS/0N ~Z~D DATA'
C~SS' ~CTZVI~:0 2 = MOD~ C~S ~CTiVI~:
0
~ , F~H P0ihT (DEG. F~.): 27
LOW~ - b~ ~LOSi~ LIMIT (~., VOL.): !.0 - 19.0 * oong T~ Heg=k Effect
~iNGUI~iNG MEDIA:
, ~.2 or a '~Ivers~ t~e fo~.
~i~Z~h wi~ dry chemical
F~E ~D ~PLOSION HA~EDS:
~is materi~ ia Fl~able ~d may be i~ited by heat, sparks, fl~e or
static electricity,
FiRM FI~iNG PEOCEDb~:
~e,Use of a $CSA Is reco~ended for fire fighters. Wate~~ sp~ay m~ be
useful' in mizlmlzin~ vapors mud cooling containers exposed ~o heat ~d
fl=e, Avcld apreaSing burning liquid' wir2~ .water used for cooling
p~rposes,
0
~~.~:~ . ...... . · ,', ,..' ', ~a.. · .........
SE~iON X - ~CUM~ARY iN~T%0N
'.:. . . :', . ,
- ,- .., .. - - ~ ~ ....;'"' ... ..-- ,,
· ..~r. -- -. ,, ..... . . ).", ..' .. . · . . " .
DZSCLAi~ 0F ~PRESS~D a~D L~LI~
~.~, information in this doc~enz' i~ ~kieve~ ~o be correct ~ of the
EOW.~, NO W.~%~ OF >~RCF~3ILi~x Fi~--~S FOR .~%1 P~TICUL~ PS~OSE
OR .~ ~R W~%~ i$ ~RE~ED OR ia ~ BE i~LiED ~DLNG T~
~ T~ USE OF. ~%8 i~O~T!OM OR ~ PEODU~, THE.. SAP~Y OF ~$
PRODU~, OR ~{E M~Z~DS RELAT~ TO i~ USE.
~ia information ~d product ~e Papniskeg on the condition that the oerson
~Ceiving ~kem shall m~<e his ~n daterzlna~icn as to the s~tabili~y'of
thru p~duc~ for his pa.~icular pu.:c~e ~nd on ~he ccndi~.oa _,a. he ~s~e
~,e ~.$k of h_s use
.
~Oh 6 7- 5 6 - 1 2~ PPM ~ ~ ~A
PP~ AC~ '
PPM - AC~H
PPM ACGiE
5~ PPM A~
; WA~ NONE '
· . ' ' · , .; .... -., '~.,~ "~'k"~r.~..' ~'d'.<,' '.' ':.':' , ..,
."..- · · '. , - ' ..'.:~, .... ' .~'- ~'.'
· .,......_-. ~.~.~.~'~.~.~.,~'._-.. ~-~..~ ......... ~ ...... .___~_-.~,---~-~---~,~-~,~-y~-~--, ....
.. .... ~E ~AOT, . ,, . . · , ,, .~ , · , _ ~, .
' ',' ohs ~e~' ~e~S) ~th C~ W~e~ ro~ ~ ~e~t 15 m~utes, Seek
. . ' ~%~ ~n, , · . .. '., ... , ,
, . · ,.. · · .' . . . ..,,.,,., ~ ;' ,~i ~,~%~,'.. :.~.e.',.-' ,,Q ,',-~,~" ',
' · '. ?S~N CO~A~: ...... '.;.. ".." .,'~ ,'.;..,, .,,~ ,,;, 7,.,>,j:i,;. :,',';,"..','c.',.;;.'. :..'.?,,'.:."'~', ' , - .... .'"
.:!-.(")'~., ,:1~ :":,.,R~Vm:~'~%aa"%~%~; ~ 'O~6~e ,~fec~d. ~e%(~) ,.~~t.~y
.. ,..' , : ~n$, ~$~,~,~'.~d. ~a~r..,.:.: .~ff...~rr~,~t~o~. ~. re~g~ ..d[e~e~O~. ~(- .., .,., .:
· ..,. :..' ", .... :'~S'x~t~T' ~,~:~c~, a~t~ten., ..:":"'.': ,,..-,;'. ~ .< ,; ..'..-::.-. ,..,,...:. ~,..,.. ,..,.-.. , ..... .'
...... · '.'" ' '.," ~, "-"*": ","~'"~' '" ' '. .... '' ' "' ' . . ' . · '
.... -.' :. ~. ,~~,o~ ~'s~;~a).~.. '_ · " · ..' ,' '." '; . '
.... source of exposure ~d into' f:esh ~. If s~p~oms persist, s~ek i~- ,
' late ~mdt=al ~tt2ntion, If victim is not b~e~thln~, ~tIflci~ respir~
'. tion should be a~In&s=e=ed, If b~t~ difficulties develop, o~ .'...
should be ~mtnls.=ersd b~ qu~ifled ~so~ei, Se~ ~%diate. me~cac~. ., '" . ~,.
..'. a~tention. . '" . . '.. , .. :. / '' ..... ".": -" · ..... ' .. ' ' ·
· ' :~' place ~.' .~e left '~lde .~i~.-..~e'.head d~'~ ~d' ac' not $i?e '~h~ b~ ~ ." ·
' ". '"-"m~,.' iff' ~ctlm im 'co~clo~ ~ a~e~t, vomit~ shoed b'~ znSuc~ fo, . :' ..
i~ti~s of l~ge ~o~ts (mute ~h~ 5 o~ces in.~ ad~t~ p~e~erably
wz~ Syrup of ipecac ~der di~ection from a ph~sicz~, or pozson cen~er, .,
If possible, dO no~ lemve ~c~m ~ztt~ndad, . ..
'~ote ~ ~ysici~s: · ~Osu~e ~o ~IEh concentr~tio~ ¢~ ~is mat~i~
· (~.g,, ~ ~c!osed ~paces or w~th deliberate ab~e~ m~. ~e ~soci%ted
- Wi~ cardiac ~r~t~&~, Epinephrine ~d othe~ s~mD~n~me~c.~gs '
. ~ t~'~itiate c~dlac a~r~=~ in pe~ons expOSed, ~o. ~s ma~e. ipl,
' Other ~ags with less ~rhy~genic pot~ti~ shoulG De cons~er~,
sy~om~meti9 drB~ ~ a~inzste~d, obse~e for ~e developm~$ of
No~e ~ P~sz~: ~i~ produo= cont~ ze~oi, ZeBh~Ol i9
· meBabollzed to fo~m~dehy~e ~d f~iC :~id; ~s ~ tu~ z~ cause ..
~e:~olic acidosis, vlsu~ ~atumo~ce~ ~ bl~ess. Because me~bolism
m~t occur be~ore the ~oxic effects, the O~se~ of toxic s'~Dtom8 m~y be
'dplayed 'PDOm 6 to 30 hours following ~estion. E~ol cRmpDtas,for
c~3 mpta~olic pa~way ~d has been usea as ~ ~Bidote, ~eth~ol iS
~i~ ~ZARDS/RO~ OF
E~ CO,ACT:
One or mo~ compon~s of ~his maiD&al is ~ eye irr!t~. Direct contact
with ~e Ifquid or exDosu~ $o vapors o~ mfst$ may cause. ~u~ing, teeing,
e~or mpre components of this materi~ m~ taus~ skin irritation,
roJ. o~G or ~eDsateG s~osure with ~is materla& may cause
bu~i~ ~d drying ~d crackir~ of ~he s~.
Conta?.t m~ Jesult in skin absorption, but symptoms of toxicity are not
~tlc~Dated by this ~oute alone ~der normal conditions of ?e, ,
~r. son~ w%th. pre-exi~tin~ skin diSo~ders ~aF be more suscep~ibie to the.
effect~ of this ma~e,i~, ~ :. "'
~ -. · · ,. ·· '. · ' · ' ..... - : , ' ' ' : -'.' . ' Z.,, ' .... -.' , ; · ' · -~ .', ¢.."~''. .... ,~ .... '.' :'° '.
., ...,.., ...... ,.. ,.. .:. , .,:,,..'.I~'...,. ;.,.,,....: .... ...,..: . ....,~,,....:....:, ..~,,. '' ','.' '.'.' ...,,, .,:: ,..,.. ..... :.; .~' :.,
.,,:' ! .:, :-:z:~.:ro~..(~,:~.i~.~:.) ~.' .'.-,, ,,-..: ',.':.--.,.-:...; ..,.,'.:. .:: ',.., ..: ;'-..: ".,... :. -' .': - .: :' '.. ".':" . "' ,, : ~ "',
";'."'.." ' Th~. materiAiha.4 ~' I~w 8e~ 0¢ .to~&¢i~. by.
...... ~ h&gh' ,~onc.~.~.~$on~,. ~/., ~D~.,~:r ~JJ~t$' ~8~: o~l~e
' ".".". "':~ ":' ' ,~r~i~at~o.n of':the':nose.a~d ,throat.. '' .. ·" '..' · ' '. ". , · '
.'-. ~ · . '-' S_iAm~'. of. neFvous cys.te= .deRre$~ion, (e,~,, ,d.rows&ness · ' ' : .; '; ..
. , ~ ~ ..... ,, ........................
..... ~,...;...., ?,..,. ~.,.~..~.~.~ e~'~,. ,,-..... .... ... ,.., .... . ....... . . · .
-. ....... .',' .... .... .,..:... ,. · ........ ;;.. ....... '.?-
. . .....~ ;-.,,.....,.' ~loed,~o~-~ '.' .;.".'-.'.":.. '. ".~:~:' ~ ......
.......... ' ,..., ..~:-. ..... . ..... . '. :. '~,...'. Q:. ';.:~.'.: ,
'~:'"".:"":; .~ ;:.".. "'.[~'~')'.'."~; ?'~ '.:'."~ L~,' :':'.-: '" ~.~.";;7,'.~;:':..;~.'''''. .';
~G~TION ($WALLOWING): ·
'~'i~ ~ateri~.h~ 'a l°w d~ee of toxicity, ~estion o~ ~ce~ive
' · Ir~itatzon of ~e di~st~ve tract..'- . ....
.-',. ''-; "dizzineSS,' loss'of coo~nation, ~d fati~e), ..
D~e~ess ,' ., .. .: . .,
" Stupor, ' · .~ : , . ~.,...:..:' . . . .. . ~ ,.,..
- · "",' ',V~b~-di~urb~ces,: .: ", ':.' · "'*''',' ' ............ '
'"" "~"' ":" ' (Ihdludi~ blind'ne~).. · "
. ~TION ~ -'One 'o~ more components of
~Es d~g sw~lowin¢ or vomitin~ ~d cause 1~¢ inflow=ion
'~~:
Pr,-exist~ He~, Blood disorders m~ be ~ravated by
A co~nent of ~hls produ~: c~ cause &~versible threes ~'the_
~et~=.materi~ (DNA). of a cell. ~e h~ heal~ consequence of
~e~e ~ges Is not Fully ~derstood,
Int~=i°~i misuse by deliberate i~ation of tolu~e h~ be~ sho~ ~0
cause live~, ki~y ~d b=~n
· LO~-t~ ~gest~on of l~ qu~t=.ies of eth~ol h~ be~ ~soc~ted
wZ=~ ~ver d~, irreversibIe Ch~ges in the $~etic ma~e=i~ (D~A)
of ~ cell, ~d adverse effe~=s on the re~roductave syst~ ~d devel~i~
fstus. Such effects have not be~ repo~ed, nor ~e ~ected, f~m ~=mal
oc~patio~l e~osures to eth~ol.
~i~ substance h~ ~t ~ id~ntified as a carcinog~ or prob~le
c~cino~ by NTP, I~C or
Reports have associated repeated and p~olonged occupa~iona!.overexposure
to solvents with ~ermanen~ brain _a~,d nervous System damage {sometimes.
re£e~red to as So.ven~ or Painters Syndrome). Intentional misuse by
deliberately concentrating and inhaling the contents may be harmful or
fatal.
', .' ..- ":.
' ~.'. ":,".~ .', ' '. '" ,' "' '?~'""; .... ,..3 ~' '} "~,",.' .... , ,, "~' "~";'"'~ ';'"~;"',,".~.'~'',' ,"'v'"h'"v ..... :
' . ' mix~ures.m~, be 'pmesent,. ele=~ric~ systems' safe.
' " bs.us~,.: ,- ' · . ' ' , ' .. ~ . . .... , .... '
~e use of ~aSpir~tory p~o~tion ts adwsed, when
:J ,".2 .-' ': ·" .' :- .',..', ."." ,.",'..'.':-"'. ..' '' '.' · ; · ./".' : · , '. ',
.' ..... , ~e' ~e"o'f gloves 'laRerieable-~c the..specifib ~.a'terla.1 h~dl~ is ~dvi'sed '
' ' . to .prevent s~n' contEct ~d possible irritation, .
EYE PR~TION: ' "
App~ved eye protection ~o s~e~az'd ~nst pot~tf~ eye cont.~C~,.-:....'
~' ~~' ' ' 'EQ~~ ~' . .'l.' - ' [ '" ,,, (', I . ~...?. , .' .., .. ....'"" ~- "' ~. - ~ ' '' " --' · . .'
. 'It lS suE~s~d that a sour~e'of 'cle~ water be av~lable in ~he work ~a
Sgr'f12sS~ 8y%8 ~ ski~, Imperious clothing should b~ wo~ as ~eded, · ·
. ..: · . . · .' . · · ..- ..' ..... ...... · .. , ..... · ...:..:,. .'..'.i..: [..
-'SECT~O~'-V~ ~CTIVi~'DATA . · '' · " · · - · .- . ' ~- ~: """~ :'-'.-'
$$able
- I~ATtBILI~ (~T~i~S T0 AVOID):.
-~is p~duct fo~s-comb~tible ~d/~ explosive mlx~ures
~'.'~duct is incompatible wi,h; ,
~stro~ Acids or
( '~dizf~ ~nts ,
~. Selected ~ines
~ isocy~ate
} 0r~ome~l!c Containers
~Halogens
llka.~.ies
~0~ D~0~OSITION PRODU~:
~e~ decomposi~i~ in the p~sence of ~r m~ yield carb~ m~ox!de
~d/o~ c~b0n dioxide.
~0U5 ~L~i~TION: Will 'Not. Occur
~c~.~: ~ i '"'"f ~'"" "*~*' ' ~." R'"" '~' "' "~*' ' ':'""
..... ...v ..; .,' ,:.... '.~ ~'.. '.,' ~...",.:'.": .:, '.-..'. . .... . .... .,: , ,'~' .Q~.~A..~, :..~.,..,...,
~ . -' '."' .'..,'~ ... ~... '....' '.... '.:...,:. ~.~../,. ,'.,..:'.....: ,;'.~ .~,?. '.:: '.'-.. :.....-..;-' ':,.~: .~.c~i- 'c~~~.~ ~ :'~9~ Cdnt ;~.:-~.;.:~. "-. ,"
.... (Co'~ lec~)." {2~) ~S3-7616"'f~m ~a '& ~a~a!i
""-'? ..... ~ , " . · -'-'~'~'''~' *-~,i-- ,--,~ '~ '. · ,- %~-r.~-r. ,--:,,,. ,"-, '..,,
' ' S~ u~wind' ~d ~w~ ~0~ .spill,. _Keep ~1 ..sources o~ .f~ion ~d ~_ '.: ." "~ ."
' ' ....me,al ~=~ace~ away ~rom spilL, If spill' i~ indod=~, ventilate area of -- ' ' .
' . 's~i!'l. A' ~ive~s~ t~e So~ 'c~ .be used' to 'suppres~ %spots. Keep ~!l!
. out of drains, sewers or waterwayS, US~ ~d Or' 0%~8~ i~e~% ~ate~l~S
d~' ~%d ~on~ln,sDill.. Do not ~lush ~:ma,'~itb Wa~er~..~Ro~ $mak~'.s~&ll~
, . , ' ' · · ~. .'.:,.' , ; '," , ' ". .... '.' ' · ' ', ~." '?':.""
... :,..'., ~ ,.&.7..,,~.. . ., . .. ,,., ~ · ...... .-. . .. .: ..... .. ~, ..': . : .'' : ...... .'.... 'j/~'.
-.7.U'='. ','" '-~' ' rrr77'?.7-~',' ." :.' =~ '~3' 7 '.-"~.'.=
~DLING ~ S~QE. P~A~IONS:
:Keep.cont~nemS .~&ghtI~ closed. Ke~p con=~ne~s 'co61, dry., '~d aw~ f~pm. ' "
' ~rces. of i~i:aon; 'Use ~d s~ c~.s R~odu~.~ ~with 7adequate' ~%lgB~.'. ,~ ",, ." ".:'.
~9~ 'p~rson~ hygiene p~actice. "~pty' cont~ne~s re:~n ~esid~e (liq~d
~op v~F) ~d c~' be ~o~,. Do not pressurize, cu~, weld,
sOl~e~, Orill, ~ine om ~poss SUCh cont,&nets' to he~t, fl~e, sP~S
other sources oti~tion, tkey may ~plode ~d cause ~y om
"~pty" d~ shoed be comDietely ~gned, pm~peml3 b~ed ~
s~oped =0 ~e Suoplie~ or a d~ reconditioned, All other
shohld be dispcse~ of in ~ env~o~ent~ly safe m~ar ~d ~ accord~ce.
W!~ ~Ve~%~ re.latins. Eefore worker on or in ~ ,which
o= naye con.ned ~zs p~duct, refer ~o occup~tion~ saFe~ ~.d health
a~inzs~atfon re~latio~, ~SI 'ZqP,1, ~d Othe~ gov~ent~ ~d
in=~;s~ri~ ~ferences pertaini~ to cle~fnE~ raping, wel~, or
cont~9!ated operations.
..:. SECTION ?VIII'- FI~ '~D .~PLOSION ~Z~ DATA .=~ ,'
-- ~D ~ING
C~SS' ~CTIVI~:0 2 = MOD~ C~S . ~~I~:
0
~: - ~ = HI~ ~: -
z~H P0Z~
LO~ - ~ ~LOSI~ LIMIT (~ VOL.): 1.0 19.O "Loss T~ He~
' ~ti~Zsh wi~ dry chemical, C02 or a ~iveus~ t~e ~o~.
F~E ~D ~PLOBION
~is materf~ is PlP~able ~d may. be i~i~ed by heat, sparks, fl~e or
eta=lc electricity.
FIRM FITTING PROCED~:
~e ~'~e of a SCOA is reco~ended for fire 'fighters. Water spray m~ be
V, ze~ul' i~ mtnlmizfnE vapors ~d 'coolinE containers exposed to heat ~
· fl~e, Avoid spreading burning liquid' wi~ water used for cooling
...... ,,. ,-.,, ~,~..,, ,?.~'~.., ~"~.~ .... · ,. ~'~..'. _.,. ..... . .. ,, ,.., ..,~, .,.:~. , . ~' ~,. · ,
"'~~" ~"'~-,'~ ~' ' ',.' .. '
: '..~,v~~" · ,,' , ~ s0~~ ~.~"~.. ' , ':. ~ ~~.. '.
. ~. .. .. ~ . ,'.
.,' . ...~: .... :::. .:::....~ ...... .~.:,., :~-..:.,.~ ,~ .... ..- ...... :.:'?.:t."~,.:'~.-.~.': :~"~ ' ~ ~' ~" ":' "" ':~
~ ~; ¢ ?."["'i <.":~)?" ~:'~'"' ':~':1~':: "" "
. . · . ."". ~ .... .., '. . . :- ,.. ..................~....;.. · ......... ... ~..'~ ?.~-,.~ .........,. ,
. ~..:.: ,,,, ~~C~ ~~.'.~~).. ~':'.
SE~ION X - ~CUM~RY ~N~TiON.
-.: . ~ .~ . ~" ~'.. .~.
.' · , . . '- ,. ~,.' .. ,.'""', , . .... -.-. , :... . .....
DISCLAI~ 0F ~PR~ED ~D ~LI~ W~~
~e.inPorma~ion ~ this doc~t' is ~l{eved to be co~c~ ~ of the da~e
issued.
HO~, NO W~ OF ~C~ILZ~. Pl~S FOR ~ P~TICU~ P~0~
OR ~ ~R W~ IS ~R~uD 0R IS
A~CY 0E C0~L~S8 0F ~S ~0~TION, ~ R~TS T0 BE OBT~
~ T~ USE 0F
PRODU~, OR ~E ~DS R~AT~
~is information ~d p~duct ~e ~rnished on the condition %ha2 ~he person
~ceivi~ ~em shall m~e h~s ~n determination
the p~uct For his pamticuza~ purpose ~d on the ccndition,~at he ~s~e
~e r&sk of his
CHEMICAL INFORMATION
DETERGENT IN GLUE WASH WATER
MANUFACTURER'S NAME ~ ~~, ~~ Di~i~ TELEPHONE NO. (314) 862-~
CHEMICA[NAME FORMULA
SYNONYMS Al~li~
I~RINCIPAL HAZARDoUs COMPONENT I$I % ORAL LDsO OERMAL LDso ' I TL~
Sodium Hydroxide 80 500 ~ · Untu~w~ 2 m~/
I
*Rabbit oral LDLo. 1978 NIOSH
**OSHA Standard, 29 CFR 1910.1000
8OIl. lNG POINT (°F) N/A, SPECIFIC GRAVITY (H,20-, I ) N/A
PERCENT VOLATILE
VAPeR PRESSURE (mmHg.) HI& BY VOLUME [%!
VAPOR OENSITY (AIR'II I N/A 13H (1% ~)
SOLUBILI~ IN WATER
APPEARANCE AND OOOR ~ ~ m ~ ~ mi~ ~mi~
t Lei
FLASH POINT {Method U~I! FLAMMABLE LIMITS
N/A N/A
EXTINGUISHING MEDIA
Ih. oduc~ b not flammable.
SPECIAL FIRE FIGHTING
PROCEOURE$
UNUSUAL FIRE ANO
EXPLOSION HAZARDS
None
While this information and recommendations set forth herein are.bellevecl to be accurate as of the date ~ereof. CALGON'
CORPORATION MAKES NO WARRANTY WITH RESPECT HERETO AND DISCLAIMS ALL LIABILITY FROM
RELIANCE THEREON.
EFFECTS OF OVEREXPOSURE _
EHERGENCY AND FIRST AID
PROCEDURES
EYES,' In ama of oo~taet, flueh w~t izlenty of Wltzr tM it les~ lS minmm. CMl e
SKIN: In ~ of eon=leT, flush wi~h plecrty of wi~r for it lemt 15 minute. If irritation develops, mil I
INTERNAL: If nvldlowed, do NOT induce ~omitlng, (31ye IlSll q~mfltJlMi of wltlr. Give I~ leek oM ounce of vinegar in in
equd iITtQ~Ktt of wrtlr. Never give inyl:hint by mQ(Jl:h tO in u11eonKd(~d pir~xt. Call I phyfiGi~n.
X CONDITIONS
STABILITY TO AVOID
!NCOMPATAlal LITY.
(M&teriM$ to Avoid) S~*~;N~ ~
HAZARDOUS OECOMPOSiTION
PRQOUCTS NMle
HAZARDOUS POLYMERIZATION CONDITIONS
MAY OCCUR NO TO AVOID
REPORTABLE QUANTITIES (ROI NOTIFY EPA OF PRODUCT SPILLS
IN LBS. OF EPA HAZARDOUS Sodium Hydroxide 1,0~X) [bL EQUAL TO OR EXCEEDING
SUSSTANCES IN PRODUCT 1. lf2~0 LBS.
2.
3. v
STE~ TO 8E TAKEN IN C~E ~
MATERIAL IS RELEASED S~ u~ ~1. ~~ dil~ ~ ~la ~ dil~
OR SPILLED muH~c (hydr~l~c} ~d ~ Fish ~ ~r ~ ~W of ~r.
WASTE ~ISPOSAL METHOD
RESPIRATORY PROTECTION
(S~ci~ TyH) NIO;~ fllt~ ms~ir~t~ recommended in c~e af ~
VENTI ~TION L~AL EXHAUST Nm ~ui~ ~EClAL Nm ~ui~
MECHANICAL ' OTHER
(Gene~i) N~ ~ui~ Not ~ui~
PROTECTIVE GLOVES Ru~r glov~ ~ EYE PROTECTION G~ ~ f~ ~ld
OTHER PROTECTIVE
E~U~PMENT Ru~r apr~
PRECAUTIONS TO BE TAKEN IN
HANDLING AND STORING DO not get in eyes, Oll skin, Qr on dcrthing. Do not use on
aJuminum or other soft rrmlzl~. Store in a coca, dry place.
OTHER PRECAUTIONS
Wttili making solutJortl, add dowly to surface of walzr to avoid
violent ~t~Hn~ Wad1 tho~ a~ter handling,
~.~H,LI'].OS - H31/VH~ H~IH.I,J,~O~ ' ~
' .................. v'7~ ~
[jjjiiiiiiiiiiiiii iii i i iii i ii i iii ii i iiiiiiiiiiiii iii i iiili ii ii iii iii ii i iiiiiii i iiiiiiiiiiiiiii i iiiiil il il~~. ~'"' ' ~/~-"
. __.._..7........,..' ....... .....y._. ....... ....._.._..y_., ..... 7.,......-.y.....,,.:..~. ~. ~
l ~ V//,/////_/_~
SA IA
~-6A e e . A
· S~ ~A~
{ m I m !
'FILL OUT THE FOLLOWING REPORTING SUM~RY APPLICABLE TO THE TANK NOTE''ON REVERSE (CHECK ONE ONLY)
TANK MONITORED iS A WASTE-OIL OR NON-MOTO~ VEHICLE FUEL TANK TANK MONITORED IS A MOT0~ VEHICLE FUEL TANK
REPORT TO THE PERMITTING AUTHORITY MITHI~ 24 HOURS IF: REPORT TO TIlE PERMITTING( AUTHORITY WITHIN 24 HOURS IF:
A. VOLUME CHANGE,,(GOL. 9) IS' +/- 10 GALLONS.OR MORE A. TANK OF 1000 GALLONS OR ,LESS CAPACITY HAS A VOLUME CHANGE (COL.
' .. ~ OF +/- 25 GALLONS aR MORE
B. CUMULATIVE VOLUME CHANGE'(COL. Il) IS +/-' 100 GALLONS OR MORE B. TANK OF 2002 TO 5000 GALLONS CAPACITY HAS A VOLUME CHANGE (COL.
· { OF +/- 35 GALLONS OR MORE
· ... ' ' < C'. TANK OF OVER 5000 GALLONS CAPACITY HAS A VOLUI~ CHANGE (COLJI .... ;
~ ' ........... .' ': +/- 50 GALLONS OR MORE "" '.;ii'-.! .....
~ D. ANY TANK HAS A CUMULATIVE VOLUME CHANGE (COL. 11) OF +~: 250 GAL
OR MORE OVER THE QUARTER TINE FRAME REPRZSE/~D ON REVERSE.
SUIWMARY SUMMARY -
T~uW}K ~ ~'~ PERMIT · ~/~/'=3-'¢-~- TANK # PERMIT # .
MONITORING BETWEEN DATES OF /~-~_~c~ AND /~-J~-~ MONITORING BETWEEN DATES OF AND
(INCLUD~ YEAR) NOTED ON REVERSE RESULTED IN: (INCLUDE YEAR) NOTED ON REVERSE RESULTED IN:
1. I MAXIMUM WEEKLY VOLUME CHANGE (COL. 9) OF ~ GALS. '{ 1. A MAXIMUM WEEKLY VOLUME CHANGE (COL'. 9) OF GALS.
2. A CUMULATIVE VOLUME CHANGE (COL. 12. BOTTOM L~NE) OF 2. A CUMULATIVEV~LUME CHANGE (COL._il. BOTTOM LINE) OF
GALLONS GALLONS ·
I HEREBY CERTIFY THAT THE ABCVELNOTED RESULTS REPRESENT A TRUE AND I HEREBY CERTIFY THAT THE ABOVE-NOTED RESULTS REPRESENT A TRUE ANU
ACCURATE REPOR~ AND THAT THEYDO NOT EXCEED THE REPORTABLE LIMITS ACCURATE REPORT AND THAT{THEY DO NOT EXCEED THE REPORTABLE LIMITS
'DESCRIBED IN'"A" AND "B" ABOVE.' - DESCRIBED IN "A" THROUOH~"D" ABOVE.
}
I .,' DATE /~,- o~'7 DATE
', ..... 'i:'SUBMIT A COPY OF THIS SU~U~ARY WITH FACILITY ANNUAL REPORT
~,~.:- RETAIN THESE RECORDS AT THE PERMITTED FACILITY FOR A MINIMUM OF THREE YEARS
TANK# ~--' CAPACITY f,d,a u~/;-/,. SUBSTANCE STORED
II lCOL 5I COL 6 COL 7[ COL. 81C0~. 9 COL. 10
COL. 1 COL. 2 [ COL ~ COL 4[ ' I ' ' 1
TEST WEEKLY ~ WATER [ 2ND IST INCH 2ND IST VOLUME ' CU~LATIVE'
' 'C HANG E
WEEK SHUT-DOWN [ LEVEL [GAUGE GAUGE ' CHANGE VOLUME-VOLUME CHANGE
· TI~ ~IOD [ , INCHES [ INC~S INCHES ~ :INCHES GALLONS [ GALLONS [ GALLONS [ GALLONS [ GALLONS
~ CAPACITY < ~:;~; ~3 ~',~.SUBST.~uNCE STORED/;,',~;;'~~ ~-/-~/~$~ QU~TER/~~
, ,coL
COL. 2 ~[ COL. 3 COL. 4lCOLi . '5]~ COL. 6 COL. 7{ . { .
WEEKLY I WATER 2ND 1ST INCH [ 2ND 1ST VOLU~
: -
~SHUT-DO~ [ LEVEL GAUGE ~GAUGE CHANGE.~VOLUM~ VOLU~E CHANGE
TI~ P~IOD , ~ INC~S INC~S ' ~ INC~S ~ INCHES ~ GALLONS ~ GALLONS ~ ~LLONS "
~ I '1 I
~ ! I I I I
DATE/~ ~~ ~~ ~ i' ~ i ~ ~ ~ ~ ~ I ~ '~
I~/~ ~--~ ~'1 -- I I I I
~ I I: I I
I~1~ ~-~- ~¢~ I I I I
I
I
l~l~ F-,~ z~, I I I I
~ I I I
~ I - { ~ I I
i~T~/~ F- ~- ~'~/ I I / I
~o I I / I
~ I { I ,-' I I
I~/~ f-~ ,-,~1 I I I .. I
~ I- I I I I
{~A~/~ V ~' ~zFI !' ~1 I ~/'" ~ I //~ //~ I g
I~r[/U I I I I I
TO I, I I I I
'~ I I I I I
~" .FILL OUT THE'~OLLOWING REPORTING SUMMARY APPLICABLE TO THE TANK NOTED ON REVERSE ICHECK O_NE~ONLY)
TANK MONITORED rS A WAS?E-Oi.._LL OR NON-~OTOR VEHICLE FUEL TANK I T,a~K MONITORED IS A MOTOR'VEHICLE FUEL
REPORT TO_~n~ ~g~I~i~G'A~oRI~ ~i~I~ g~ ~O~s I~: ~ ' I /'~?~~ To ~ P~I~I~ a~o~I~ ~I~I~ ~ ~o~8
A. VOL~ ~NOE (COL. 9) IS +/- 10 GALLONS OR ~ORB ~/~ A. T~K OF 1000 OALL0~S OR LESS CAPACI~ ~S A VOL~E C~NGE (COL.
.... ', :, , ~ / OF +/- 25 GALLO~S OR ~ORE ·
B. CmULATIVE VO~uHE CHANGE (COL 11) I'S +/-100 GALLONS OR ~ORE ~ B. T~K OF ]OOA TO 50~0 GALLONS C~ACI~ ~SA VOL~ C~GE (COL
.~ /' OF +/- 35 GALLO~S OR MORE "
....... .~-.-..~.. / C. TANK OF OVER 5000 ~ALLONS C~ACI~ ~S I VOL~ C~GE (COL~' )
"~ '. .... +/- 50 GALLONS OR ~ORE ....... ' ....... ' .................. : ........
D. A~ TANK ~S A C~TI~ VOL~E C~GE (COL.'-ll) OF +/: 250
" " ............. ~ OR ~ORE OVER THE QUARTER TINE F~ REPRESE~ED ON REVERSE.
S~RY S~Y
T~K ~{ ~ ' PERMIT ~ ~,/~/'~'~ TANK ~ PERMIT
~ONITORING BE~EEN DATES OF T~ ~~ AND ~ ~ ~ONITORING BET~EN DATES OF
(INCLUDE YEAR) NOTED ON REVERSE RESULTED IN: - ' (INCLUDE YEAR)'NOTED ON REVERSE RESULTED IN:
l. A ~XI~ WEEKLY VOL~E CHANGE (COL. 9) OF ~ GALS. 1. A ~XI~ WEEKLY VOL~ C~GE (COB~ 9) OF GALS.
2. A C~LATIVg VOLU~ C~NOg (COL. 11, BOTTO~ LINg) OF 2. A C~LATIV~ VOL~ C~E (COL. ,~1, BO~O~ hI~)
GALLONS GALLONS ,
I HEREBY CERTi~ THAT THE ABOVE-NOTED RESULTS REPRESENT A TRUE AND I HEREBY CERTI~ T~T T~E ABO~E-NOTED RESETS REPRESE~ A ~
ACCURAT~ REPORT ~D T~T THEY DO NOT EXCEED THE REPORTABLE LIMITS ACCURATE REPORT AND T~T THEY DO NOT EXCEED THE REPORTABLE LINITS
DESCRIBED IN }"A" A~ "B" ABOVE. DESCRIBED IN "A" THROUOH,"D" ~0~.
DATE 2~r;2- ~'~ DATE
SUBMIT A COPY OF THIS SUMMARY WITH FACILITY ANNUAL REPOR?
RETAIN THESE RECORBS AT THE PERMITTED FACILITY FOR A MINIMUM OF THREE YEARS
~ANK# c~-- CAPACITY .z~j'..~,,~ d~SUBSTANCE STORED~//~T~/g~;'/Z~(~UARTER/YEAR~
:OL 11 COL 2 I COL. 3 COL. 41COL-'5 COL. 61COL 7I COL OICOL 9 COL lO I COL. 11
$ ' C U~LAT I VE
TEST ~ WEEKLY ~ WATER 2ND ~ IST INCH ~ 2ND IST ,VOLUME+ UBTOT~'
WEEK ~SHUT-DOWN ~ LEVEL GAUGE 'GAUGE ~ CHANGE.~VOLUME-VOLU~E CHANGE CHANGE
~ } TI~ P~ IOD ~ INCHES INCHES ~ INCHES INCHES ~ GALLONS ~ GALLONS GALLONS. ~ G~LONS ~ G~LONS
~ I ~ I I I I I' ;'
1~/~ I I I I ~1- I
I ~ I I I I .I
i to I I I {
I UA~/~ ~ I t I ~ ,
1~/~ I I I- I I
~ 0 I tO I { I {
I DATE/HR { ~ ' { ._
FILL OUT THE FOLLONING REPORTING S~Y APPLICABLE TO THE TANK NOTED ON REVERSE (CHECK ONE ONLY)
TAI~K MONITORED [S A WASTE-OiL OR NON-MOTOR VEHICLE FUEL TANK TANK MONITORED IS A ~OTOR ~HICLE FUEL
REPORT TO T~ PErilING A~BORI~ MI~IN 24 ~O~S IF: ' ~ TO ~ PE~I~IN6 A~ORI~ MI~IN 24 ~O~S IF:
A VOL~ C~NGE (COL. 91' IS +/- 10 OALLONS OR MORE A. TANK OF 1000 OALLONS OR LESS C~ACI~ ~S A VOL~ C~GE (COL.
· '- -: O~ ~/- 25 GALLONS ~OR ~ORg
B C~ULATIVE VOLUNE CHANGE (COL 11) IS +/- 100 GALLONS OR ~ORE B. TANK OF 1001 TO 5000 GALLONS CAPACI~ ~ A VOL~ C~GE (COL
.................................. ' " OF +/- 35 GALLONS ~OR ~ORE -~
..... ~' '" ....... C. TANK OF O~R 5000 ~ALLONS ~PACI~ ~S A VOL~
....... ~; .......... '~" ........... . D. A~ TANK ~S A C~LATI~ VOL~ C~6E (COL. 11)
~ "-' ......... OR WORE OVER THE QUOTER TINE F~ REPRESE~D ON R~ERSE
S~RY S~ARY .
~ONITORING BE~EEN DATES OF ~-/~-~ AND ,~-J~-~ ~ONITORING LEBEN DATES OF
(INCL~E YEAR) NOTED ~ON REVERSE RESULTED IN: (INCLUDE YEAR) NOTED ON REVERSE RESULTED
1. A ~XI~ WEEKLY VOL~E C~NGE (COL. 9) OF ~ GALS. 1. A ~XIM~ WEEKLY VOL~ C~GE (COL. 9) OF GALS.
2. A C~LATIVE VOLU~E CHANGE (COL. 11, BOTTO~.LINE) OF 2. a C~MTIVE VOL~ C~GE (COL:"II. SO~O~ LI~) OF
, ~ ~ GALLONS GALLONS ·
I HEREBY CERTI~ THAT THE ABOVE-NOTED RESULTS REPRESENT A TRUE AND I HEREBY CERTIFY T~T THE ABO~-NOTED RESETS REPRESE~
ACCURATE REPORT ~D T~T THEY DO NOT EXCEED THE REPORTABLE LINITS ACCURATE REPORT AND T~T THEY DO NOT EXCEED THE RE~RTABLE LIMITS'
DESCRIBED IN "A" A~ "B" ABOVE. DESCRIBED IN "A" THROUGH "D" ALOe.
DATE /- ~ - ,f~ .~' DATE
SUBMIT A COPY OF THIS SU~tARY I~ITH FACILITY ANNUAL REPORT' ~
RETAIN THESE. RECORDS AT THE PERMITTED FACILITY FOR A MINIMUM OF THREE YEARS
TANK# _~ CAPACITY -~.~o ~L SUBSTANCE STORED~U,~J~TER?I"E-AJ~
COL. ~ll COL. 2 II COL. 3 COL. 4 OL. 511 COL. 6ICOL[ ' 711 COL. OICOL'I 9 'COL.'. lO I '
TEST .~ WEEKLY I'.WATER ~; 2ND ~sT INCH
' 'C HANG E +SUB T 0 TAL
WEEK ISHUT-DO~ ~ LEaL IGAUGE 'GAUGE CHANGE[VOLUME-VOLUME CHANGE
~ I TIME P~IOD ~ INCHES ] INC~S INC~S INCHES ~ GALLONS ~ GALLONS ~ GALLONS GALLONS ~ G~LONS
I
I
FILL OUT THE FOLLOWING REPORTING SUMMARY APPLICABLE TO THE TANK NOTED ON REVERSE (CHECK ONE ONLY)
{
T~NK MONITORED iS A' WASTE-OIL OR NON-MOTOR VEHICLE FUEL TANK TANK MONITORED IS A MOTOR VEHICLE FUEL T~U~IK
REPORT TO TH~ PERMITTING AUTHORITY MITHIN .24' HOURS IF: REPORT TO TIlE PERMITTING AUTHORITY MITHIN 24 HOURS IF:
A. VOLUME CHANGE (COL. 9) IS +/- 10 GALLONS OR MORE A. TANK OF 1000 GALLONS OR LESS CAPACITY' HAS A VOLUME CHANGE (COL. 9~
OF +/- 25 GALLONS OR MORE ,.
B. CUMULATIVE VOLUME CHANGE (COL. 11) IS +/- 100 GALLONS OR MORE B. TANK OF 1001 TO 5000 GALLONS CAPACITY HAS A VOLUI~ CHANGE (COL. 9)
-- OF +/- 35 GALLONS OR MORE · ~-~,, ~
- C. TANK OF OVER 5000 GALLONS CAPACITY .HAS A VOLUME CHANGE (COL.
D. ANY TANK HAS A-CUMULATIVE,VOLUME CHANGE (COL. 12) OF +Y- 250 GALLO
OR MORE OVER THE QUARTER TIME l~ REPRESENTED ON REVERSE
SU)U~ARY SUMMARY
TANK #~ ~ PEP~IT # ~/~/~-~-~- TANK * PERMIT #
MONITORING BETIVEEN DATES OF /O- ~/- ~'~ AND /~-~-~ ~ MONITORING BETh~EN DATES OF ,. AND
(INCLUDE YEAR) NOTED ON REVERSE RESULTED IN: (INCLUDE'YEAR) NOTED ON REVERSE RESULTED IN~'. ": .
. 1. A MAXIMUM WEEKLY VOLUME CHANGE (COL. 9) OF ~P GALS. .1. A'MAXIMUM WEEKLY VOLUME CHANGE (COL;,,9)'0F GALS.
2. A CUMULATIVE VOLUME CHANGE (COL. 11, BOTTOM LINE) OF 2. A CUMULATIVE VOLUME CHANGE (COL. .11, BOTTOM LINE) OF
d~> GALLONS GALLONS · .. '~
-'I HEREBY CERTIFY THAT THE ABOVE-NOTED RESULTS REPRESENT A TRUE AND I HEREBY CERTIFY 'THAT THE ABovE-NOTED RESULTS REPRESENT A TRUE AND
ACCURATE REPORT AND THAT THEY DO NOT EXCEED THE REPORTABLE LIMITS ACCURATE REPORT AND THAT THEY DO NOT EXCEED THE REPORTABLE LIMITS
DESCRIBED IN "A" AND "B" ABOVE. DESCRIBED IN "A" THROUGH, "D" ABOVE.
{
DATE /-- ~--~7 { DATE
.~. ~ ~ . SUBMIT A COPY OF THIS SUMMARY WITH FACILITY ANNUAL REPORT
~> RETAIN THESE RECORDS AT TIlE PERMITTED FACILITY FOR A MINIMUM OF THREE YEARS
T~%~NK~_ ~ CAPACITY ~ ~ ~1 SUBST~CE STORED f~ ~r,~ /~.r~ QUARTER/YE~ ~
ICOL 5I COL. 6 COL 7I COL 8ICOL 9I CO,L 10 I COL
COL. 1 COL 2 I COL 3 COL. 4l . [ . [ - ] - [ - [ -
TEST WEEKLY [ WATER 2ND IST' INCH 2ND IST VOLUME ~ CU~LATIVE
- "C HANG E+S UBT OTAL ~
WEEK [SHUT-DO~ [. LEVEL GAUGE -GAUGE = CHANGE VOLUME VOLUME CHANGE
8 ] TI~ P~IOD [ INCHES INC~S INC~S INCNES GALLONS GALLONS GALLONS G~LONS. ' [ : ' ~LONS
I
I ~o
~ '! ~ ~ I
~ I I I I .I
n~T~/~ ~-z/ q~l I I I I "
9
10
~0 ~ { {
I~/~. I I I I I '
~ ~ I ~o I I I I I I
~ I ~ I I ! I I , I,
" ,FILL OUT THE FOLLOWING REPORTING SUMMARY APPLICABLE TO THE TANK NOTED ON REVERSE (CHECK ONE ONLY)
TANK MONITORED IS'A WASTE-OIL OR NON-MOTOR VEHICLE FUEL -TANK TANK MONITORED IS A MOTOR VEHICLE FUEL TANK
REPORT TO THE PERMITTING AUTHORITY WITHIN 24' HOURS IF: REPORT TO Tl~ PERMITTING AUTHORITY WITHIN 24 HOURS IF:
A. VOLUME CHANGE (~COL. 9) IS +/-~ 10 GALLONS OR MORE A. TANK OF 1000 GALLONS OR LESS CAPACITY HAS A VOLUME CHANGE (COL. 9)
' , .. OF +/- 25 GALLONS OR MORE
B. CUMULATIVE VOLUMI~ CHANGE (COL'. 11) IS +/- 100 GALLONS OR MORE B. TANK OF 1001 TO 5000 GALLONS CAPACITY HAS A VoLuME CHANGE (COL.' 9)
~ ~ I -- OF +/- 35 GALLONS OR MORE
· ..:-_ : "' ', C. TANK OF OVER 5000 GALLONS CAPACITY HAS A VOLUME CHANGE (COL.
.... . ...... '.. ~ " '; 2 ' ' ' '~ · -. - - .~ -"
~..~,~.'- ' ( ~ +/- 50 GALLONS OR MORE "- .... ~.' ~'~'
~ ~ : D. ANY TANK HAS A CUMULATIVE VOLUME CHANGE (COL. 11) OF +/- 250 'GALLON:i
'~. ........ : ........ OR MORE OVER THE QUARTER -TIME FRAME REPRESENTED ON REVERSE. ~
' SUMMARY SUMMARY
·
TANK # , ' PEI~IT I~ ~/~/~.~---~ TANK # PERMIT ~ , .
MONITORING BETWEEN DATES OF ~,-,~-,J~3~'' AND ~-~-~ MONITORING BETWEEN DATES OF AND
(INCLUDE YEAR) NOTED ON REVERSE RESULTED IN: (INCLUDE YEAR) NOTED ON REVERSE RESULTED IN:
1. A MAXIMUM WEEKLY VOLUME CHANGE (COL. 9)'OF d~ GALS.. 1. A MAXIMUM WEEKLY VOLUME CHANGE (COL. ,9) OF GALS.
2. A CUMULATIVE VOLUME:CHANGE (COL. 11, BOTTOM LINE) OF .{ 2. A CUMULATIVE VOLUME CHANGE. (COL. ll,/BOTTOM LINE) OF
GALLONS GALLONS ,
I HEREBY CERTIFY THAT THE ABOVE-NOTED RESULTS REPRESENT A TRUE AND I HEREBY CERTIFY THAT THE ABOVE-NOTED RESULTS REPRESENT A TRUE AND
ACCURATE REPORT AND THAT THEY DO NOT EXCEED THE REPORTABLE LIMITS ACCURATE REPORT AND THAT THEY DO NOT EXCEED THE REPORTABLE LIMITS
DESCRIBED IN "A" AND "B" ABOVE. DESCRIBED IN "A" THROUGH "D" ABOVE.
DATE f'- ~.~- oc~ ~ DATE
SUBMIT A COPY OF THIS SUMMARY WITH FACILITY ANNUAL REPORT
RETAIN THESE'RECORDS AT THE PERMITTED FACILITY FOR A MINIMUM OF THREE YEARS
FACILITY _/~#,~'1//~ f~,~.~ ?,,~_~,,.,.~. PER~IIT' # ~/ .~;.~ /-~
T~K~_ ~ CAPACITY ~.~ ~.~ SUBST~%/~CE STORED ~'~,,~'/~'~-~ QU~I~TER/YE
COL. 11 COL. 9_ [ COL 3[COL 4[COL' 5~ COL 6[COL 7[ COL. 8{COL 9[ COL'. 10 '1 COL. 11 ' [
. · CUB4ULAT I
TEST ~ WEEKLY ~ WATER I 2ND I ST INCH I 2ND '~ ST VOLUblE+suBTOTAL.,
WEEK {SHUT-DOWN [ LEVEL ~GAUGE -GAUGE = CHANGE~VOLU~E-VOLUME 'CHANGE CHANGE
· TI~ P~IOD ~, INCHES [ INCHES ~ INCHES ~ INCHES [ GALLONS [ G~LONS ~ GALLONS [ . G~LONS -- [ - - ~LONS
~ -- ~ I." ,/~ , . , , I ' , '
~/~ .~'-/~ v,z, I .~.~.,, ..~" '~' I ~ ~/, ~ I .-~t-..; ~ -/~,~..~ ./~.~ ~ . ~ ..
4 ~o ~ I I - { I I I I
' DATE/~ [ [ I { }
DA~/~ I { I I I .. .
~ S ~0 I I. I I ..
.~*~/u I I I I I
z o ~0 I I I I I .
~uA~E/~ ' ' { I I I ' ~.~.' "
u,~/~ { I I I ~1
~ { I I I
1 2 TO { [ [ [
~' n~z~ I I I ~ I ~'1
~ ~ ~o ~ I I I . I
~I~L ~OUT THE FOLLOWING REPORTING SUMMARY APPLICABLE TO.THE TANK NOTED ON REVERSE CHECK ONE ONLY)
TANK MONITORED iS A WASTE-OIL OR NON-MOTO~ VEHICLE FUEL' TANK TANK MONITORED IS A MOTOR VEHICLE FUEL TANK
REPORT TO THE PERMITTING 'AUTHORITY MITHIN 24 HOURS IF: REPORT TO THE PERMITTING AUTNORITY#ITHIN 24 HOURS IF:
A. VOLUME CHANGE (COL. 9) IS +/- 10 GALLONS OR MORE A. TANK OF 1000 GALLONS OR LESS CAPACITY HAS A'VOLUME CHANGE (COL. 9)
.~ ,~- " OF +/- 25 GALLONS OR MORE'
B. CUMULATIVE VOLUM~ CHANGE (coLj'll) IS +/- i00 GALLONS OR' MORE B. TANK OF 1001 TO 5000 GALLONS CAPACITY HAS A VOLUME CHANGE (COL. 9)
· -- OF +/- 35 GALLONS OR MORE
- : C. TANK OF OVER 5000 GALLONS CAPACITY HAS A VOLUME CHANGE (COL.
, +/- 50 GALLONS OR MORE ~"
· · D. ANY TANK HAS A CUMULATIVE VOLUME CHANGE (COL. 11) OF +/- 250 'GALLONS
..................... ' · .... ! '~:- ~' -* .... OR MORE OVER THE QUARTER TIME FRAME REPRESENTED ON REVERSE.·
SUMMARY SUMMARY
TANK # . PER~IT t ~/~/~-~__~. TANK # PERMIT # .
MONITORING BETWEEN DATES OF n,~"--/~-~F~ AND ~-~o-,F-vc-~ MONITORING BETWEEN DATES OF AND
(INCLUDE YEAR) NOTED' ON REVERSE RESULTED IN: (INCLUDE YEAR) NOTED ON REVERSE RESULTED IN:
1. A MAXIMUM WEEKLY VOLUME CHANGE (COL. 9) OF ~ GALS. · 1. A MAXIMUM WEEKLY VOLUME CHANGE (COL. 9), OF GALS.
2. A CUMULATIVE VOLUME C~NGE (COL. 22, BOTTOM LINE) OF 2. A CUMULATIVE VOLUME CHANGE (COL. 11, BOTTOM LINE) OF
GALLONS' GALLONS ·
I HEREBY CERTIFY THAT THE ABOVE-NOTED RESULTS REPRESENT A TRUE AND I HEREBY CERTIFY THAT THE ABOVE-NOTED RESULTS REPRESENT A TRUE AND
ACCURATE REPORT AND THAT THEY DO NOT EXCEED THE REPORTABLE LIMITS ACCURATE REPORT AND THAT THEY DO NOT EXCEED THE REPORTABLE LIMITS
DESCRIBED IN "A" AND "B" ABOVE. ' DESCRIBED IN "A" THROUGH "D" ABOVE.
SUBMIT A COPY OF THIS SUHMARY WtTH FACIDITY ANNUAL REPORT
RETAIN THESE RECORDS AT THE PERMITTED FACILITY FOR A MINIMUM OF THREE YEARS
TANK#_.f CAPAC'I'TY f.~0~¢/.. SUBSTANCE STORED ~/~/k'/.// ~..s~'~ (~)UA~RTER/YEAR, /
TEST ' WEEKLY WATER [ 2ND IST INCH [ 2ND IST .VOLU~ --UBTOTAL- C~LATI
WEEK ~SHUT-DO~ LEVEL {GAUGE 'GAUGE " CHANGE.~VOLU~E-VOLUM~ CHANGE+~ CHANGE
· , [ TI~ P~D INCN~ ~ INC~gS ' '~ INC~S ~ INCHES ~ GALLONS GALLONS GALLON~ ~ GALLONS [ , G~LONS.
i FILL OUT THE FOLLOWING REPORTING SLU4MARY APPLICABLE TO THE TANK NOTED oN REVERSE (CHECK ONE ONLY)
TANK MONITDR~'b [SA WASTE-OIL OR NON-MOTOR VEHICLE FUEL TANK TANK MONITORED I$ A M.'.OTOR VEHICLE FUEL TANK
REPORT TO THE PgR~ITTING AUTHORITY-WITIilN 24:'HOURS. IF: ' '"' REPORT TO TRE PERMITTING AUTRORITY WITRIN 24 HOURS IF:
A. VOLUME CHANGE ('COL.',9) I$ +/- 10 GALLONS OR MORE A. TANK OF 1000 GALLONS OR LESS CAPACITY HAS I VOLUME CHANGE
: ;, ~-~ OF +/- 25 GALLONS OR MORE
/':' B'. cUMULATIVE./VOLUME CHANGE (cOL. 11) IS +/- 100 OALLONS OR MORE B. TANK OF 1001 TO 5000 GALLONS CAPACITY HAS A VOLUME CHANGE
"[' , ._ OF +/- 35 GALLONS OR MORE
',, C. TANK OF OVER 5000 GALLONS CAPACITY HAS A VOLUME CHANGE
D. ANY TANK HAS A CUMULATIVE VOLUME CHANGE (COL. 11) OF +/- 250
..... '- OR MORE OVER THE QUARTER TIME FRAME REPRESENTED ON REVERSE.
t' SUNNARY SUGARY
MONITORING BETWEEN DATES OF /~'-~-[~/ AND ' /o~-_F~-~F MONITORING BETWEEN DATES OF /',~' ~ AND
(INCBUDE YF.~) NOTED. ON REVERSE RESULTED IN: (INCLUDE YEAR) NOTED ON REVE~S'E'~%ESULTED IN:
1. A MAXIMUM WEEKLY'VOLUME CHANGE (COL. 9) OF ~ GALS. 1. A ~AXIMUM WEEKLY VOL~'CI~GE .(COL. 9)'OF GAL
2. A ~UMU~TIVE VOLUME CHANGE (COL. 11, BOTTOM LINE) OF '~'~"r~.¢ 2. A CUMULATIVE VOLU~NGE (COL. 11. BOTTOm4 LINE) OF
...... GALLONS ~~'-
I HEREBY CERTIFY THAT THE ABOVE-NOTED RESULTS REPRESENT I TRUE AND I HEREBY CERTIFY THAT THE ABOVE-NOTED RESULTS REPRESENT I TRUE Al'.
ACCURATE REPORT AMD THAT THEY DO NOT EXCEED THE REPORTABLE LIMITS ACCURATE REPORT AND THAT THEY DO NOT EXCEED THE 'REPORTABLE LIMITS
DESCRIBED IN "A" AND "B" ABOVE. DESCRIBED IN "A" THROUG}{ "D" ABOVE.
~ ~ SUBMIT A COPY OF THIS SUMMARY WITH FACILITY ANNUAL REPORT ~
.., t /- RETAIN THESE RECORDS~ AT THE PERMITTED FACILITY FOR A MINIMUM OF THREE 'fEARS
TANK~ 7 CAI~ACI TY ~ ~ ~ ~ SUBSTANCE STORED
, ,~,,~-~ QUARTER/YEAR ,
COL 1[ COL 2 I COL. 3 COL. 4 COL. '5 COL. 6 COL. 7I '
' ~ ' I '
TEST I WEEKLY I WATER I 2ND , 1ST INCH I 2ND 1ST .VOLUME+
WEEK ISHUT-DOWN [ LEVEL {GAUGE.-GAUGE =CHANGE. IVOLUP'f]:~--VOLUI~]~ CHANGE ~U.z~-~.-u-~.-,~,.~ .CHANGE
# TINE PERIOD, 'l INCHES t INCHES I INCHES I INCHES I GALLONS [ GAtn0N$
~A'r~./t~ ~'- '~ - ~"~'" t /,,¢'~',z. tl /,~?..z Ii tl '37~ I .... II tz'l 0
~?~-/m~ 7-/Y' .,z~.l I I -I -- I I I .. I tf'l .. , ......
2 to I I I I '1 I I I I
3 ~ I I I I I I ! I I
~A?~./m~ _'zoz,,.~,:O! I /,~'Vz.~ /~"%- I '~ I $1'/ I
4 TO I I I 1 1' I I I I
S m~?E/m~ ~-~ ?~-~ I I I I I I I I ~'"1
TO I I I I '1 I ! I " .
~/~ ~-)~ z~ I I I I I I I I '-' ~"I ,-'
I I I I I I'
~'E/[m ~-1 ~ ~u~ll)l · 1 I I I I I I
'DATE/~ fl'J,~' ~0~[ I I I I. I I 1
9 ~ ~ I I I I I I I I ,,
. _. _ o ., v
~ I ~o I I I .... I I. , I I I . .1
" I DATE/~ I I ' ' t .... I' I .... " ! I I : F · -
I D~/~ I I ! I I I I I [i ,
.- i , FILL OUT THE FOLLOWING REPORTING SUNNARY APPLICABLE TO THE TANK NOTED ON REVERSE (CHECK ~NE. ONLY)
TANK MONITi)RED IS A~WAST~OIL OR NON-MOTOR VEHICL~ FUEL TANK TANK MONITORED IS A MOTOR'.VEHICLE FUEL TANK
REPORT TO THE pERJ4ITTING'AUTHORITY WITHIN'24 HouRs IF: ' REPORT TO THE PER~ITTIN6 AU'ITIORITY WITHIN 24 HOURS IF:
A. VOLU~E CHANGE (COL. 9) IS +/- 10 GALLONS OR 'MORE A. TANK OF 1000 GALLONS OR LESS CAPACITY HAS A VOLUME CHANGE (COL.
t ....... · ...-' OF +/- 25 GALLONS 0R NORE ·
B. CUMULATIVE VOLUNE CHANGE (COL 11) IS q/- 100 GALLONS OR MORE B. TANK OF 1001 TO 5000 GALLONS CAPACITY HAS A VOLUIH~ CRANGE-(COL.
-- 0F +/- 35 GALLONS OR MORE
.. '.. C, TANK OF OVER 5000 GALLONS CAPACITY HAS A VOL[T/~ CHANGE .(COL.
.- D. ANY TANK HAS A CUNULATIVE VOLU/4E CHANGE (COL. 11) OF +/- 250'GA~
.... OR ~ORE OVER THE QUARTER TINE FRN~ REPRESENTED ON REVERSE.
SU~4ARY SU/,~ARY
TANK #, .~ PERMIT · ._u~/ ~ /~--~ TANK # PERMIT # . . .
MONITORING BETWEEN DATES OF ~_ ~_~c.~ AND . ~-~.F~ -o~>~c~ MONITORING BETWEEN DATES OF AND
(INCLUp. E YEAR) NOTED ON REVERSE RESULTED IN: (INCLUDE YEAR) NOTED.ON REVERSE RESULTED IN:
~. A ~×IMt~ WEE~y VOLt~E CSANGE (COL. 9) OF d> GALS. ~. A ~×IMU~ WEEKLY iVOL~E C~GE {COL. ~) OP SALS.
Z. A CUmULATivE VOLUME C~ANGE (COL. n, BOTTOM LINE) OF Z. A CU~JLATIVE VOLU~rS CHANG~ (COL.. n, SOTTO, L~) O~
t ~ ' GALLONS GALLONS ·
I HEREBY CERTIFY THAT THE ABOVE-NOTED RESULTS REPRESENT A TRUE AND I HEREBY CERTIFY THAT THE ABOVE-NOTED RESULTS REPRESENT A TRUE AND
ACCURATE REPORT AND THAT THEY DO NOT EXCEED THE REPORTABLE LIMITS ACCURATE REPORT AND THAT THEY DO NOT EXCEED THE REPORTABLE LIMITS
DESCRIBED IN "A',' AND "B" ABOVE. DESCRIBED IN "A" THROUGH "D" ABOVE.
SIGNED -.-~-~ ~ TITLE ~_~'~_/ SIGNED TITLE
Ii ' DATE- ../~ c~-- ~. ' DATE
SUBMIT A COPY OF THIS SUi~IARY WITH FACILITY ANNUAL REPORT )
RETAIN T~ESE RECORDS AT THE PERMITTED.FACILITY FOR A MINIMUM OF THREE YEARS
QUARTERLY SU~RY
FILL OW THE FOLLOWING REPORTING SUMMARY APPLICABLE TO THE TAm NOTED ON REVERSE (CHECK ONE ONLY)
TANK MONITORED IS A WASTE-OIL'OR NO__..~-MOTOR VEHICLE FUEL TANK T,~IK MONITORED IS A MOTOR VEHICLE FUEL T,~d~IK
REPORT TOi., PE im'ING AUT~ORITYMITHIN 24 HOURS IF: REPORIIOIItEPEI~I'I~ING AUTIIORITYMITItlN 24 HO~S IF:
A. VOLUME CHANOE:(COL.: 9)~ IS +/- 10 GALLONS OR MORE 1- A. oFTANK+/-OF251000GALLoNsGALLONSoR MoREOR LESS CAPACITY HAS A VOLU~ CHANGE (COL i'~)'
B. CUMULATIVE VOLUME CHANGE (coLj 11) IS +/- 100 GALLONS OR MORE { B. TANK OF lO01 TO 5000 GALLONS CAPACITY HAS A VOLUI~ CHJU~IGE (COL
: { OF +/- 35 GALLONS OR MORE
~ { C. TANK OF .OVER 5000 GALLONS CAPACITY HAS A VOLUME CHANGE (COL. ~ 3F
[. +/- 50 GALLONS OR MORE
· i D. ANY TANK HAS A CUMULATIVE VOLUME CHANGE (COL. 11) OF +/- 250 GALLONS
t OR MORE OVER THE QUARTER TIME FRAME REPRESENTED ON REVERSE.
.~ , SUMMARY SUMMARY
TANK # '- pERMITI # ~/~ /=2-~___ TANK * PERMIT ·
MONITORING BETWEEN DATES OF .5--/~-~ AND ~ -~- ~ MONITORING BETWEEN DATES OF AND
(INCIAIOE YEAR) NOTED ON REVERSE RESULTED IN: (INCLUDE YEAR) NOTED ON REVERSE RESULTED IN:
1. A I~XlM~ WEEKLY VOL~'E CHANGE {COL. O) OF ~ GALS. 1. A I~XlM~ WEEKLY VOLUME CIt.~GE (COL. ~) OF GALS.
~. A CIJI~LATIVE VOLUME CHANGE (COL. 11, BOTTOM LINE) OF 2. A CUI~LATIVE VOBIJI~ CI~NGE (COL. 11, BOTTOM LINE)
" OALLONS i OALLONS °
I HEREBYCERTIFY THAT THE ABOVE-NOTED RESULTS REPRESENT A TRUE AND I HEREBY CERTIFY THAT THE ABOVE-NOTED RESULTS REPRESE~ A TR~ AND
ACCURATE REPORT AND THAT THEY DO NOT EXCEED THE REPORTABLE LIMITS ACCURATE. REPORT AND THAT THEY DO NOT EXCEED THE REPORTABLE LIMITS
DESCRIBED IN "A" AND "B" ABOVE. DESCRIBED IN "A" THROUGH "D" ABOVE. -
DATE /- ~ -~ ' DATE
SUBMIT A COPY OF THIS SUMMARY WITH FACILITY ANNUAL REPORT
T~NK# / CAPACIiTY ~,/~ ~ SUBSTANCE STORED /~'~ ~,,~/ QUARTER/YEAR
~ COL. 8 COL 9~ COL. 10 J COL. 11
COL 1 COL. 2 J COL ~3 COL. 4[COL 5j COL 6 COL 7[ . ~
TEST WEEKLY ] WATER 2ND IST INCH ' 2ND IST VOLUME+su. BTOTAL' CU~LATIVE
WEEK SHUT-DOWN. [ LEVEL GAUGE 'GAUGE : CHANGE VOLUME-VOLUME :CHANGE CHANGE
· TI~ P~ IOD [ INCHES~ INC~S ~ INC~S INCHES GALLONS [ G~LONS GALLONS G~LONS [ 6~LONS
~ ~A~/~ ~-~ ~1 I ~1 I
~/~ I MI I
6
m ' -. I I I
' DAT~/~ I ~ I
~ ~/~ I ~1 !
~ I - I I
~AT~/~ I ~ I
8
,A~/~ I I
~..~' ~~-'~W !.. I I
~0 I~ I I !
~0 I I I '1
~0 I I ! '1 ' '~ I
~o I I I I I
.AT~/H~ I {~ I I I I
.~?oonow.. su.t K N COUNTY HEALTH DEPARTMEN OFF~n
Te~phone {805)861-3636 ENVIRONMEN".'~I. HEALTH DIVISION ~--. - '-"., . '
Tank Re,oval Contractor:
h~tlo~ ~ ! decontaminating tank(s)......: .:.., . ·
Authorized representative of contractor certifies by sl~ln~ belo~ that
ta~(s) have been decont~tnated tn accordance with Kern County Health ..
Department requlreIents. - , - - ""'-'"'""':'
~tion ~ -~3 b3 .Iii]ed oat and slE~ed ~ a~ a~tho~lzed represe~tative of
treat~e'nt~ storaEe, or ~tsposal ~aot]it~ acoeptinE
' .... ~: ... ~- . .... ~~--t,::.~ . : .. ' ,.., -:>,-,';~;~L"'":'~:'~"~;"~'~'"": ~'";""
-- .~,~i~it~ ~=, j~ ~--" "--.--'- '--.~:-:;:~.~'-- ............. . ; ..'-': ......... ".' ..... -...~- .... ..
~, .., . ....,...;...,,... ~~~ ~., _._ .... ..-..... , ,... ~p ,, ~/~ ...... ~,.~:,,..~:,~,,~-,.,~...
(. : (Authorized ~epreSentative) ""'- ·
s s · ~I~ING INSTRUO{IONS: ~old ~n hal~ and staple. ·
(Form
KERN COUNTY HEALTH DEPARTMENT ~mOF~C~R
... · .
Tank I~e.~'~al C'ofitract~:""
(, · "::::: .... · ~??'::..'~:.:<~ ' :"- .:' : ';,'::':":,.- .. ~ -" ' ;.' '.:'7'~ -':. ' .,'..: ....
. ~ct~oa ~ "~ To',.be:~l~led-out:~'~ contr~cto~ ."decont~fflatln~ tank~sl';'" ~j~
..~- ::, -...-. : .... - .. .:: .... ->.:......~...,... -. . .:.... .~:: ..... ~. -. :.,.:.:. -
,~' iuth .rized representative of contractor c~rttfles by ai~ln~,-'belo~
ta~:(~) have been deconi~lna~ed In accordance with Ke~;~ County Health :"~-
- . . . ' . , ,~ ..~ - .. .~ .-.~ ~ ;' ...- . ,. ., . ~ ~- .... ~ ~' . . .-.--~z:t- ~ .- _
. - : ' ' ~:T-:::' ~. ,",~-., ' - ;.--~'~ :'-,.~:~:~?'.-~'?< ~r~;:': -;uu~,->'''':.'' " ~" - '~'
'~ . ' ':..: :: .. ' ' ':,:., ..-~l~t~ · ::::::::::::::::::::: ':.-. ......... :': ........ ~jtj~ .... J;, :-. · · ,' ~j' "-
.~c~im~ ~ -To .be filled out and ~ ~ an authorized representitlve"of..,~" ·
.:':>:' "~reatmen~, storage, ~ ~tsposal fact~~ff 'tank(s):
FacilltF N~e ~~ ~ ':':' - --:',:, '""':[M::-:>::::~:: .... - . ': .:.- '' ....... :'.. :-'::' .' :,:.:':::/. .. .:: ?:':'.' :' .'
. .. ~ - - ~ f e ...... ,~%~-- ';:: .... ' .... . " ....... "; 5:': :::.'..1 :'' _
'::::~ 9ate Tanks ece e ' ........ ': ....... ~' "- ' ·
:::': '~:/' ':::.81~ature ~~~ -~~- .... : Title '"~' ..:, .:~::. :~?:~: :-~ -:~:. ~ ' ?.,:::..: .... '.."
~: [. -. (Authorized ~epresentatlve) ' ---:.
· · 's '~ILINfl INS~UCT!ON~: "~eld ,tn hal~ ~n~ ~taple. ..' ....
(Fox'~ ~4P-150)
Fofm'Ap~ )red OMB No. 2050~(X339 (Exp~[es 9-30-91) arid Front of Page 7 ~ ?o.,c ~.~.,,ces ~.~m,~
P~;~e p . ~ or type. (Form desJgned ~o~ u~e on elite ( t~-pilch typewriter). Sacramento, Cahfornia
No~ Info,ma/ion in fha shaded areas
· -' WASTE MANIFEST J~lql,~ll Ig1'7171~1D olcJ~ ~1~ o~ ~
. 1~.?,"~ . ~ ~.~ ~
7. Transgoner 2 Company Name 8. US EPA ID Numeer ' --.~ E.?Slate Trsns~n~'s ~g ,.-~
12. Containerl 13. Tolal 14. I.
11. US DOT Description (Including Proper Shipping Name. Hazard Class, and I0 Number) QuantiW Unit Waste
No. Type ~t/Vot
G ~ EPAl~her '
N
E b. / ~ Sfa~e
R
A
R c. State.
EPA/~h~
d.. State
EPA~her
J. Additional Des~iptions for Materials Lisled Above K. Handling C~es f~ Wastes Listed Above
' GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name
and are classified, packed, marked, and labeled, and are in ali respects, in proper conaition for transpo~ by highway according to applicable international and
~adonal government regulations. '.~
If I am a large quantity generator, I ce~i~ ~hal I have a program in place to reduce the volume and toxicity of wasle generated to the degree I have determined
~ to be economicafly precticab~e and that I have selected the p~actJcable meihod of treatmenl, slorege, or disposal currently available 1o me wh~c~ romanizes the
present and future threat to human health and the environment; OR, if I am a ~malt quantity generator, I have made a DODO faith effo~ to minimize my waste
~ generation end select fha best wasle management ~ethod that is available to me and that I can afford.
~ 17. Tra~soodef 1 Acknowledgement of Receipt of Materials ' '
~ ~ 18. Tt~spo~er 2 Acknowledgement o(Receipt of Material~ ~ .....
~~ E ~ Prin'ted/Typed Name ~ Signature ' ' Month ' Day Year
lb. Oiscrepancy Indication Space ~ ~
C
I
L
I 20. Facility Owner Or Operator Cedification el race;pt o~ hazardous materials covered by this manifest except as noted in Ilea 19.
T
y PH~' ~ed Mon/~ Day Year
OHS 8022 A (~/SaJ Do Not Write Below This Line
EPA 87~22
(Re~. 9-88) Pre~ious edilio,s ere obsolele. ~;te: TSDF SENDS THIS COPY TO DOHS WITHIN 30 DAYS
To: P.'O. 8ox 3~, Sacramento, CA 95812
GARY J. WICKS "°'~}'~"~':"
: Agency Director Bakerlfleld, CA 93301
Telephone (805) 801-3636
(805) 861-3502 . .: ,..~" :::-:cc:: . :*'7" ' Telecopler (805) 861-3429
STEVE McCALLEY
D EPART,~~,?M ENTAL
PERMIT FOR PERMANENT CLOSURE PERMIT NUMBER A 1092-31
OF UNDERGROUND ItAZARDOUS
SUBSTANCES STORAGE FACILITY
FACILITY NAME/ADDRESS: OWNER(S) NAME/ADDRESS: CONTRACTOR:
Manville Forest Products Manville Forest Products ENSR Constructors
$801 District Blvd. $801 District Blvd. 1220 Avenida Acaso
Bakersfield, CA Bakersfjeld, CA Camarrillo, CA 93010
License #537220
phone: (805) $98-3445 Phone: (805) 388-3775
PERMIT FOR CLOSURE OF PERMIT EXPIRES,' April 4, 1990
_.7 TANK(S) AT ABOVE APPROVAL DATE January 4, 1990
Turonda R. Crumpler, R.i~.H.S.
Hazardous Materials Specialist
..................................................................................... POST ON PREMISES ....................... ' ...................................................
CONDITIONS AS FOLLOWS:
I. It is the responsibility of the Permittee to obtain permits which may be required by other regulatory agencies prior to beginning work. (i.e., City
Fire and Building Departments)
2. Permittee must notify the Hazardous Materials Management Program at (805)'861-3636 two working days prior to tank removal or abandonment
in place to 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
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 removal
experience prior to working unsupervised.
6. If any contractors other than those listed on permit and permit application are to be utilized, prior approval must be granted by the specialist
listed on the permit. Deviation from the submitted application is not allowed.
7. Soil Sampling:
a. Tank size less than or equal to 1,000 gallons - a minimum of two samples must be retrieved from beneath the center of the tank at depths
of approximately two feet and six 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 from the ends of
each tank at depths of approximately two feet and six feet.
c. Tank size greater than 10,000 gallons - a minimum of six samples must be retrieved on-fourth of the way in from the ends of each tank
and beneath the center of each tank at depths of approximately two feet and six feet.
8. Soil Sampling (piping area):
A minimum of two samples must be retrieved at depths of approximately two feet and six feet for every 15 linear feet of pipe run and under the
dispenser area.
PERMIT FOR PERMANEN~ CLOSURE PERMIT NUMBER A 1092-31
OF UNDERGROUND HAZARDOUS ADDENDUM
SUBSTANCES STORAGE FACILITY
9. Soil Sample Analysis (Note: Mu~t be' performed by a state-certified !ab):.
a. All soil samples retrieved from beneath gasoline (leaded/unleaded) tanks and appurtenances must be
analyzed for benzene, toluene, xylene, and total petroleum hydrocarbons (for gasoline),
b. All soil samples retrieved from beneath diesel tanks and appurtenances must be analyzed f(~r total
c. ':: 2~dl soil samples retrieved from beneath waste oil tanks and appurtenances must be analyzed for total
, ,,,:,d;-,y:'~,:~.All soil samples retrieved from beneath crude oil tanks and appurtenances must be analyzed fo.~ '°il and
,.' -.::7 ': e. ,.,..:~,:~'Ail soil samples retrieved from beneath tanks and appurtenances that contain solvent 'must be analyzed
ketone, iso ro anol eth I acetate [Method 801~]).
.. :.: .::,.:~.<¢/y.f. ?..~'.-~AI! Soil samples retrieved from .beneath tanks and appurtenances that contain exteiider' ~aust be ~hnalyzed
. '!' v~t! ::i .:&.i." .':.~: ';' for(anhydrous ethyl alcohol, ethyl acetate, Jsopropyl alcohol-anhydrous [Method 801S])i toluene~(,dibutyl
g. All soil samples retrieved from beneath tanks and appurtenances that contain waste solvent and extender
· - must be analyzed for those chemical constitueuts listed In 9e and 9f, lead, ethyl benzene, xylene, and pH.
h. All soil samples retrieved from beneath tanks and appurtenances that contain caustic waste and water
· (NAOH) must be analyzed for lead, chromium, copper, zinc, arsenic, pH, and oil and grease.
i. All soil samples retrieved from beneath tanks and appurtenances that contain glue wash Water must be
analyzed for pH, phenol, and oil and grease. - .... ' ..... : . * .......... -.- ........
j. Ali soil samples retrieved from beneath tanks and appurtenances that cona3i~t unknown substances must be
analyzed for a full range of substances that may have been stored withil~ the tank.
10. The following timetable lists pre' and' post-tank rem°val requirements: .
ACTIVITY DEADLINE
Complete permit application submitted to At least two weeks prior to closure
Hazardous Materials Management Program
Notification to inspector listed on permit of date Two working days
and time of closure .and soil sampling
Transportation and tracking forms sent to Hazardous No later than 5 working days for transportation
Materials Management Program. All hazardous waste and 14 working days for the tracking form after
manifests must be signed by the receiver of the tank. removal
hazardous waste
__ Sample analysis to Hazardous Materials Management No later than 3 working days after completion of
Program analysis
11. Purging/Inerting Conditions:
a. · Liquid shall be pumped from tank prior to purging such that less than 8 gallons of liquid remain in tank.
(¢sH&sc 41700)
b. Tank shall be purged through vent p-ipc' discharging at least 10 feet above ground level. (CSH&SC 41700)
c. No. emission shall result in odors detectable at or beyond property line. (Rule 419)
d. No emission shall endanger the health, safety, comfort of repose of any person. (CSH&SC 4~700)
e. Vent lints shall remain attached to tank until the inspector arrives to authorize removal.
:- ,~t-.. ", ~; ?'¥','i~,, -.
PERMIT FOR PERMANENT CLOSURE '~ .. PERMIT NUMBER A I092-31
OF UNDERGROUND HAZARDOUS ADDENDUM
SUBSTANCES STORAGE FACILITY
RECOMMENDATIONS/GUIDELINES FOR REMOVAL OF UNDERGROUND STORAGE TANKS
This department is responsible for enforcing the Kern County Ordinance Code, Division 8 and state regulations
pertaining to underground storage tanks. Representatives from this department respond to job sites during tank
removals to ensure that the tanks are safe to remove/close and that the overall ,job performance is consistent with
permit requirements, applicable laws and safety standards. The following guidelines are offered to clarify the interests
and expectations for this department. -
. ., ' ' . t,;~'
1." .' Job site safety"is one of our Primary concerns. ;.,Excavations are inherently ,d~angerous. ?It is 'the ,contractor's
~': responsibility to know and abide by CAL-OSHA regulations.., The .job .foreman is responsible for the ciew and
:,!~ i, ,'~. '7::afiy subcontractors On' the .jOb. As a general rule Workers are not permitted in imProPerly sloped eXCavations or
~,').~When unsafe conditions exist in the hole. ,TOOls and equipment are to be used. 'o~lY for their designed'function.
, :.,.,,; ,,:,,For example, backhoe buckets are never substituted for ladders. :. ~'.~';r, '.~'-~,'¢:,',~¢~!~:.,;~,.':' %~*:,~a:;~%,,¢'~r¢:¢*,?t,?~;,~¢?~,.,'*~.~ ,',
2. Properly licen~d cont~ctors are a~umed to understand the requirements of the Permit i~ued. "~e jOb foreman
is responsible for knowing and abiding by the conditions of the permit. Deviation from the permit conditions may
result in a stop-work order.
In~ividu~ contractors will he held responsible for their post-remov~ paperwork. Tracking forms, hamrdous-
waste manifests and,analy~s documentation is neces~ry for each site in order to c~o~ a ca~ file or move it into
mitigation. When contractors d° not follow through on nece~ry paperwork,, an unmanageable backlog of
incomplele ~ses results. If this continues, pr~e~iag time for completing new,~losu~s will inc~a~.
Acceptedm: /-- ~- ¢0 ""
OWNER OR A~NT / DATE
TRC:cd
crumpler\ 1092-31.p~a
I N'llm. AL
17~ 'M* ~EET, SUITE ~ APPLI~TION DA~
BAKERSF~BLD, CALIFORNIA 9~01 I OF TA~ ~
CLOSURe/AB~DON~NT O~ UNDgRGROUND
HAZARDOU~ SUBST~C~S STORAGg PAC~LITY
t~l~ ~PLICATION IS ~R ~ R~0VAL. ~ ~ ~AN~E~ Ig P~CZ (FILL 0~
~ ~ ~ck ~acleto ] ~. 805-3~8-3775
... ~m~- ~5-9~7-11~1
~ ~z~ ~ ~D~SS N~e~ ~oss s~
~~ ~ville Forest Pr~ucts 5801 Dis~ict Elvd. E~ersfield StYe
' 4 ~vJ.lle Forest Pr~ucts 5801 Dis~ict Dlwl., ' D~:ersfield ( ~05 ) 398 - 3445
~ ~,ISR Cons~ctora ~ 1220 ~v~da'~caso, C~l}o {~q5 )38g - 3775
~~S- ~ ..... ~ .~ ~.~.~~~ ( gO5 ) 388 - 3775
T
.~41J270~ ~si~ & ~.~I~, Inc. (805)388- 3775
~vli~i~en~l OZ ~ ~C~W/~
853 Coloration, E~ Da~a, (805)659 - 0910
C[~Ic~a CO~Tl~ O~ ~T~l~ ~R~
'~ m .~OL~ Cfl~l~ ~ (~-~CIA~ ~B) ~ ~R~ ~I~ PR~IOUSLY ~R~
see at~ched
~TZR ~ ~CIl. I~ ~V[D~ BY ]O~
<'.': t-~..,' of h~kersfieldI 100 '
NEAREST WATER ~LL - OI~ DIST~C~ ~ DE~CRIB~ ~ 1~ MITH[N ~ FE~ [SOIL ~ AT FAGI~I~
- ;~l~ical Su~ey
or as direct~ ~iI, Volatile p~'Ce~le come.ds,
Ra~a~n~ng pr~uct to ~. p~l, ~c ~ ~ hv~o rinsed b~ B&L Va~ ~d ~. r~v~.
DESCRIBE ~I'H ~E D'IS~ ~OD ~ OIS~ ~TION FOR:
?i?ing to ~:' cle~ed ~d dis~s~ of as scrap
· · ~t~ ~OV~D~ IN~R~T[P~ RE~ O~ R~RS~ Stp~ ~ ~[S SHE~ ~E~pR~ SUrgidINe ~PLZCATIO~
SlONA~ ~'~ 5~/ TITLE O~ration r~naqer o*~ 11/29/89
R E C E I P T oAGE 1
'i~/29/89 [~vofice Nbr, ~ 259?8
2:3~_ pm KERN. OO(,JN~..~Y PLANNING & DEVELOPMENT
2?00 '~' S~ree~
.Bakersfield, CA 93301 Type of Order N
: (805) 861-2615
CASH REGISTER ENSR CONSTRUCTORS
TANK PLAN ¢' ~ · '
HECK 100 00 E~ 100 O0
Order To~ 100,00
.¢ Amount' Due 100.00
Paymen~ Made By Check 100,00
1700 Flower Street COUNTY HEALTH DEPARTMEN ~,j HEALTH OFFICER
Bakersfield~ California 93305 Leon M Hebertson, M,D.
'1%lephone (805) 861-3636 , · ENVIRONMENTAL HEALTH DIVISION
DIRECTOR OF ENVIRONMENTAL HEALTH
Vernon S. Reichard
I NTERI M PERlV!I T PERMI T~3 100 1 2 C
TO OPERATE:
, ISSUED: JULY 1, 1986
· EXPIRES: JULY 1, 1989
UNDERGROUND HAZARDOUS SUBSTANCES
STORAGE FACILITY NUMBER OF TANKS= ?
.FACILITY: I OWNER:
MANVILLE FOREST PRODUCTS I MANVILLE CORPORATION
5801 'DISTRICT BLVD. I KEN CARYL RANCH
-BAKERSFIELD CA ~ 'DENVER, CO 80217
:'.~ ~'~. '~.. i. -. ..
TANK # AGE(IN YRS) SUBSTANCE CODE PRESSURIZED PIPING? '~:'~ ~'~-
T/1 5 .NON-MVF 3 YES ,~.~.
T/2-7 5 NON-MVF 3 UNK :
NOTE: ALL INTERIM REQUIREMENTS ESTABLISHED BY THE PERMITTING
AUTtlOR~TY MUST BE MET DURING THE TERM OF THIS PERMIT
NON--TRANSFERABLE * ~ * POST ON.' PREMISES
DATE PERMIT MAILED: ~?~ Z 9 1~1
DATE PER'.fIT CHECK LIST RETURNED:
Division o~ Enviro~en~l Heal_. A~lication L~_e 3-20-85
1700 'Flo~r Street, Bakersfield, ~ 93305
~PLI~TI~ ~ P~T ~ OP~TE ~E~R~
~~S S~ST~CES S~E FACILI~
~ of Application (ch~k):
~N~ Facility ~ification of Facility ~isti~ Facility ~ansfer of ~r~ip
A. ~ergen~ 24-~ur Con,ct (~, area c~e, ~lone): ~ Bill Johnston 397-10A~
Nigh~ ~98-8671
Facility Na~ Manville Fores~~ Products ~. of T~ 7
~ of B~iness (c~ck): ~l'ihe S~tion ~er (de~ri~) Carton
Is Tank(s) ~cat~ on ~ ~ricultural Fa~? ~Y~
Is Tank(s) Us~ ~i~rily for ~ricultural ~r~ses? ~'Yes ~
Facility ~dre~ 5801 District Blvd, Nearest Cro~ St. Stine Rd.
T R SEC ' (R~al ~atio~ ~ly)
~er' Manville Cgrpar~t~ nn ~n~ct ~r~
~dress ~~ ~.an~~O · Zip 80217 ~le~one (303) 978-2000
o~rator ~ pA~~ ~ con,ct ~rson
~dress ~d~/ ~~ ~z~ Zip ~/~ Tele~one
B.~ter ~ Facili~ Provid~ by California Water Serv~ep~ ~' Gro~wa~r.
~il ~aracteristics at ~cility
Basis for Soil'~ ~ Gro~ter ~p~ ~teminati6~
C. Contractor ~ ~ntra~or's ~ce~e ~.
Addr e~ Zip Tele~
Pro~s~ S~rti~ ~ Pro~s~ C~pletion
Worker,s C~~ti~ Certifi~ti~ ~ Insurer .
D. If ~is ~mit Is For ~ifi~tion Of ~ ~isti~ ~cility, Briefly ~ri~ ~ifi~ti~
Pro~s~
E. Tank(s) Store (~eck all ~t a~ly):
Tank ~ ~s~ Pr~uct ~tor Vehicle Unlead~ R~ular. Pr~i~ Die~l ~s~
~el
T4 ~ ~ ~
F.Ch~i~l ~sition of ~terials Stor~ (~t ~ces~ry for ~tor v~icle f~ls)
Tank ~ Chemi~l Stor~ (n~c~rclal ~e) ~ ~ (if kn~) ~ical Pr~i~ly
( if different)
T1 Fuel oil #2 grade - not for auto use
T2 To]Uene:Ethy Alcohol~Et~yl Acetate & Xylene
' T3 Varnish.water top lacqoer.acrylic resin & monoe thylOmine
T4 Nitro-cellulose,gum resiD,toluene,ethz1 alcohol & D.O'P.
(Remainder of tanks - SEE ATTACHED).
G. Transfer of ~ership
~te of ~fer Pr~io~ ~er
Previo~ Facility N~
I, a~ept fully all obligatio~ of ~it ~. __ is~
. I ~ers~ ~t .~e ~itti~ ~rity
~i~y or te~i~te ~e ~fe~ of ~e ~it ~ ~rate ~is ~dergro~d ~or~e
facility u~n r~eivi~ ~is c~plet~ fo~.
~is fora ~s ~en ~plet~
true and corr~ ~der ~~f ~rj~y a~. ~ ~e ~st 0f my ~owl~e
Kern County Health Department~'
Division o.~ Environmental Heal Application
1700 Elower Street, Bakersfield,~ 'CA 93305
APPLICATION FOR PERMIT TO OPERATE UNDERGROUND
HAZARDOUS SUBSTANCES STOR~SE FACILITY
Type 0.f. Application (check):
[-]New Facility EModification of Facility [-~Existing Facility ETransfer of Ownership
A. Emergency 24-Hour Contact (name, area code, phone): Days
Nights
Facility Name No. of Tanks
Type of Business (check): 'l~lGa's~li'ne Stati'on [2]Other (describe)
Is Tank(s) Located on an Agricultural Farm? EYes [']No
Is Tank(s) Used Primarily for Agricultural Purposes? [~Yes [] No
Facility Address Nearest Cross St.
T R SEC (Rural '[Joca't'ions Only)
Owner Contact Person
Address zip Telephone '
Operator . Contact Person
~ Address Zip Telephone
B. Water to 'Facility Provided by Depth to' Groundwater-
Soil Characteristics' at Facility
Basis for Soil Type and Groundwater Depth Determir{ations
-C. Contractor CA Contractor' s License No.
Address. Zip Telephone
Proposed 'Starting Date Proposed C~pletion Date
Worker's Ccmpensation Certification t Insurer
D. If This Permit Is For Modifi'cation Of An Existing Facility, Briefly Describe Modifications
Proposed
/ E. Tank(s) Store (check all that apply):
Tank ~ Waste Product Motor Vehicle Unleaded Regular Premium Diesel Waste
Fuel O-~
T6 [] [] [] []
[] [] O []
Ch~ical Oom~ositiom of Materials Stored ~no~ necessary ~or motor ~ehicle fuels>
~ank ! Chemical Stored ~non-coe~ercial ~a~e> OAS ! (if know~) ~e~ical ~re~io~sl~
./ (if ({i'ffer~nt)
T5 Ethano'l ,me. thyl . ethyl ketone ', cellosolve, tolAene ,.ethyl benzene, x¥1ene&l~P
T6 Water,l.ead,c.h..rqmium,c0pper,zi. nc & arsenic
T7 Water and glue
G. Transfer of Ownership
Date of Transfer Previous Owner
Previous Facility Name
I, accept fully all obliga~i6ns of permit No. __ issued to
· I understand that the Permittirg Authority may review and
modify or terminate the transfer of the permit to Operate this ~dergro~d storage
facility upon receiving this completed form.
This form has been completed ~der penalty of perjury and to' the best of my knowledge is
true and correct.
'Signature Title' . Date
TANK ~ (FILL OUT .qEPARATE FOP~ ~ TANK)
I . ~ FOR . SECTION; ~-~E~-~ ~ ~PP--~-~RIA~BOXE~
~' H. 1. Tank is: ~Vaulted' ~n-Vault~ ~uble-Wall ~Si~le~a!l
2. Ta~k Material.
' ~Car~n Steel ~Stainless Steel ~l~inyl C~oride ~Fi~rglass<l~ Steel
~ Fi~rglass-Reinforc~ Plastic ~Concrete ~ ~in~ ~ Bronze ~k~
~Other (de~ri~)
3. Priory Contai~nt ~ ..
~te Install~ ~ic~ess (Inches) Ca.city (Gallons) ~nufacturer
1980 5/16" , 20,000 ,. , Banks - Fresno
4. Tank Secondary Contai~ent
~le-Wall '~thetic Liner ~Lin~ Vault ~ne
~Othe~ (descri~): Manufacturer:
~terial. Thic~ess (Inches) Ca,city (Gals.)
5. Tank Interior
~~r ~kyd ~xy ~enolic ~Glass ~Clay ~li~ ~o~
~Other (descri~):
6. Tank. Corrosion Protection
~Galvaniz~ ~aSs-Cl~ ~l~ylene ~ap' ~Vinyl ~a~i~
~Tar or ~p~lt ~k~ ~No~ ~Other (de~ri~):
Cath~ic Protection: ~ne ~pres~ ~rrent Syst~ ~riftc'ial ~ ~t~
~scri~ System & Equi~ent:
7. Leak Detection, ~nitori~, and Interception
a. Tank: ~Vis~l (vault~ ~ks only) ~Grou~ter ~nitori~' ~ll(s)
.~Vadose Zone ~nitori~ ~ll(s) ~U~ Wi~out ~ner
~U-~ wi~ C~tible Liner Dir~ti~ Flow ~ Monitori~ ~l(s)*
~ Va~ ~t~tor* ~ Liquid ~vel ~n~r* ~.Cond~tivit~
~ Pressure Sen~r in ~ular S~ce of ~uble Wall Tank
~Liguid ~tri~al & Ins~ction Fr~ U-T~, Monitori~ ~11 or ~ar
~ ~ily Ga~i~ & I~entory Reconciliation ~Peri~ic Tigh~e~ Testi~
~None ~o~ ~her
b. Pipit: Fl~-Restricti~ ~ak ~t~tor(s) for Pressuriz~ Pipit'
nitori~ S~p ~th ~ce~y ~al~ Concrete ~ce~y
'- ~lf~ut C~tible Pi~ ~ce~y ~ S~thetic Liner ~y ~None
~Unkno~ ~er
*~ri~ ~ke & ~el:
8. ~en Tigh~ess ~st~? ~Yes ~ ~kno~
~te of ~st Tightne~ Test Results of Test
Test ~e ~sti~ C~ny
9. Tank Re~i.r
Ta~ Re~ir~? ~Yes ~ ~kno~
~te(s) of ~ir(s)
~ri~ Re, irs
10. ~erfill Protection
~O~rator FillS, Controls, & Visually Monitors ~vel
~Ta~ Fl~t Ga~e ~Fl~t Vent Valves ~Auto Shut- Off Controls
~ci~ance ~r ~al~ Fill ~x ~ne ~o~
~Other: List ~ke & ~el For ~e ~ices
11.
a. ~d~rgro~d Pipi~: ~Yes ~ ~o~ ~terial black iron
Thickne~ (inches) 5] .&0 Di~eter ~ 2" Manufacturer
~Pressure ~S~tion ~Gravity ~proxi~te ~ of Pi~ ~ 30'
b. Undergro~d Pipi~ Corrosion Prot~tion :
~!vanized ~Fi~rglass~l~ ~ess~ ~rrent ~crificial ~e
~Polye~yle~ Wrap ~Electrical Isolati~ ~Vinyl Wrap ~Tar or ~lt
~Unkno~ ~None ~her (de~ri~):
c. Undergro~ Pipit, Seco~ary Contai~ent:
~le-Wall ~~etic Liner ~stem ~ne ~kno~
~Other (descri~):
TANK ~ ~ ~ (FILL OUT .qEP,aJ~TE FOP/q--FO[ ~ TANK) FOR ~C~E~,~ ~-~E~( ALL ~R~T~~--
H. 1. ,Tank is: ~Vaulted .-~n-Vault~ ~uble-Wall ~Si~!e~all
2. Tank Material
~Car~n Steel ~ Stainless Steel ~ ~l~iayl C~oride ~ Fi~rglass~l~ Steel
~Fi~rglass-Reinforc~ Plastic ~Concrete ~~in~ ~Bronze ~k~
~Other (de~ri~)
3. ~ri~ry Contai~nt
~te Install~ ~ic~ess (Inches) Ca.city (Gallons) ~nufacturer
1980 ~"_ .. lO:OOff .... n~ks - Fresno
4. Tank Secondary Contai~ent
~le-Wall ~thetic Liner ~Lin~,Vault ~ne ~o~
~Other (descri~): ' Manufacturer:
~terial Thic~ess (Inches) Ca.city (Gals.)
5. .Tank Interior '~i~i~
~R~r ~kyd ~xy ~enolic ~Glass ~Clay ~li~ ~o~
~Other (descri~):
6. Tank Corrosion Protection
alvanfZ~ ~ass-Cl~ ~l~ylene ~ap ~Vinyl ~a~i~
ar Or ~p~lt ~k~ ~No~ ~Other (de~ri~):
Cath~ic Protection: ~ne ~pres~ ~rrent Syst~ ~riftcfai
~ri~ System & Equi~ent:
7. Leak Detection, ~nitori~, and Interception
a. Tank: ~Vis~l (vault~ t~ks only) ~Grou~ter ~nitori~'
~ Vadose Zone ~nitori~ ~ll(s) ~U~ Wi~out ~ner
~U-~ wi~ C~tible Liner Dir~ti~ Flow to Monitori~ ~ll(s)~
.~ Va~r ~t~tor* ~ Lipid ~vel ~n~r~ ~ Cond~tivit~ ~r*
~ Pressure Sen~r in ~ular S~ce of ~uble Wall Tank,
~ Liquid ~tri~al & Ins~ction Fr~ U-T~, Monitori~
~ily Ga~i~ & I~entory Reconciliation ~Peri~ic Tlgh~e~
~None ~o~ ~her
b. Pipit: Fl~-Restricti~ ~ak ~tector(s) for Pressuriz~ Pipit'
~nitori~ S~p with ~ce~y ~al~ Concrete ~ce~y
~if~t C~tible Pi~ ~ce~y ~S~thetic Liner ~y ~None
~Unkno~ ~er
*~ri~ ~ke & ~el~
8.
~en Tigh~ess ~st~? ~Yes ~ ~kno~
~te of ~st Tightne~ Test 1980 Results of Test
Test ~e Pressure 7 lbs. . ~sti~ C~ny Banks & CO. ~FresnQ ,
9. Tank Re~ ~ r
Ta~ Re~ir~? ~Yes '~ ~kno~
~te(s) of ~ir(s)
~ri~ Re. irs
10. ~erfill Protection
~rator Fills, Controls, & Visually Monitors ~vel
~Ta~ Fl~t Ga~e ~Fl~t Vent Valves ~Auto Shut- Off Controls
~ci~ance ~r ~al~ Fill ~x ~ne ~o~
~Other: List ~ke & ~el For ~e ~ices
a. ~dergro~d Pipi~: ~Yes ~ ~o~ ~terial
Thickne~ (inches) Di~eter Manufacturer
~Pressure ~S~ti%n ~Gravity ~proxi~te
b. Undergro~d pipi~ Corrosion Prot~tion : -.
~lvanized ~Fi~rglass~l~ ~ess~ ~rrent ~crificial ~e
~Polye~yle~ Wrap ~Electrical Isolati~ ~Vinyl Wrap ~Tar or ~lt
~Un~o~ ~None ~her (descri~):
c. Undergro~ Pipit, Se~o~ary Contai~ent:
~le-Wall ~~etic Liner S~stem ~ne ~kno~
~Other (descri~):
Facility Name MANVILLE CARTON PRODUCTS pe~nit ~o. ~/'~
TANK ~ (FILL OUT .~;EPARATE FORM TANK)
FOR EACH SECTION~ CHECK ALL APPROPRIATE BOXES
H. 1. Tank is: []]V~ulted [-]Non-Vaulted []Double-Wall I-]Single-Wall
2. Tank Material
[] Carbon Steel [2] Stainless Steel [] Polyvinyl Chloride [] Fiberglass-Clad Steel
~ Fiberglass-Reihforced Plastic [] Concrete [] Al~ninum [] Bronze []Unknown
[] Other (describe)
3. Primar. y Containment
Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer
1980 %" 15,000 Banks - FresDo
4. Tank Secondary Containment
[]Double-Wall [] Synthetic Liner []Lined Vault [] None []Unknown
DOther (describe): Manufacturer:
DMaterial Thickness (Inches) Capacity (Gals.)
5. Tank Interior Lining
.~[]Rubber []Alkyd []EpOxy []Phenolic []Glass []Clay ~[]U~lined []Unknown
D0ther (describe):
6. Tank Corrosion Protection
.--~Galvan£zed [2]Fiberglass-Clad []Polyethylene Wrap []Vinyl Wrappi,~
~]Tar or Asphalt DUnknown ~-]None []Other (describe):
Cathodic Protection: []None '[]Impressed Current System ~lsacrfficial Aaode System
~--~ribe System & Equipment:
7. Leak Detection, Monitoring, and Interception
a. Tank: [qVisual (vaulted tanks only) []Groundwater Monitorir~' Well(s)
[]Vadose Zone Monitoring Well(s) []-]U-Tube Without Liner
[]U-Tube with C~npatible Liner Directir~ Flow to Monitorin~ Well(s)*
[] Vapor Detector* [] Liquid Level Sensor~ [] Conductivit~ Sensor*
[] Pressure Sensor in Annular Space of Double Wall Tank
[] Liquid Retrieval & Inspection From U-Tube, Monitorir~ Well or A~n, Har Space
[] Daily Gau~ir~ & Inventory Reconciliation [] Periodic 'Tightness Testin~
~None[]Unknown ~Other
b. Piping: Flow-Restricting Leak Detector(s) for Pressurized PipitS'
[] Monitoring S~p with Race~ay [] Seal_ed Concrete Race~ay
~-]Half-Cut C~mpatible Pipe Raceway []SYnthetic Liner Race~y []None
[]Unknown [] Other.
~ *Describe Make & Model:
8. Tank Tightness
l~is Tan]{ Been Tightness Tested? [~]Yes []No []Unknown
Date of Last Tightness Test 1980 Results of Test
Test Name Pressure.6-7 lbs. Testing Company B~?~_= & CO.,Fre_~no
9. Tank Repair
Tank Repaired? []Yes ~J~No []unknown
Date(s) of Repair(s)
Describe Repairs
10. Overfill Protection
[-]Operator Fills, Controls, & Visually Monitors Level
[]Tape Float Gauge []Float Vent Valves [] Auto Shut- Off Controls
[~Capaci~ance Sensor []Sealed Fill Box ~None [-]Unknown
[]Other: ~ List Make & Model For Above Devices
11. Piping
a. Underground Piping: []Yes []NO IX]unknown Material
Thickness (inches) Diameter Manufacturer
[']Pressure []Suction []]Gravity "Approximate Length o'f Pipe
b. Underground Pipir~ Corrosion Protection :
[]Galvanized []Fiberglass-Clad I-]Impressed Current []Sacrificial Anode
[[]Polyethylene Wrap []Electrical Isolatio~ []Vinyl Wrap ~]Tar or Asphalt
[]Unknown [-]None []Other (describe):
c. Underground Piping, Secondary Contair~nent:
[]Double-Wall []Synthetic Liner System []None [-]unknown
.~Other (describe~: concrete race~.~,av
H. 1.''~ Tank is: [-]Vaulted.' ~]Non-Vaulted ODouble-Wall I-]Single-Wall
2. Tank Material .
[]Carbon Steel [] Stainless Steel []Polyvinyl Chloride [] Fiberglass-Clad Steel
O Fiberglass-Reinforced Plastic [] Concrete [] Aluminum [] Bronze []Unknow~
[] Other (describe)
3. Primary Containment
Date Installed ~nickness (Inches) Capacity (Gallons) Manufacturer
¼" 4,000 ...... Bartkis - Fresno
4. Tank Secondary Containment
[]Double-Wall '~Synthetic Liner Onined Vault ONone OUnknown
[]Other (describe): Manufacturer:
OMaterial Thickness (Inches) Capacity (Gals.)
5. Tank Interior ~
rqRubber [-]Alkyd []EpOxy []Phenolic []Glass' [qclay [~U~lined []L~tkno~'~
[]Other (describe):
6. Tank Corrosion Protection
~Galvani'zed ~ass-.Clad l-]Polyethylene Wrap l-]Vinyl Wrappirg
[~ZITar or Asphalt [-]Unknown [X~None []Other ~(describe):
Cathodic Protection: []None I-]Impressed Current System ~Sacrift~ial ~l~de System
Describe' System & Equipment:
7. Leak Detection, Monitoring, and ~on
a. Tank: []Visual (vaulted 'tanks 'only) ~rGroundwater Monitoring' W~ll(s)
[]Vadose Zone Monitoring Well(s) [U-Tube Without Liner
[]-]U-Tube with Compatible Liner Directing Flow to Monitoring
[] Vapor Detector* [] Liquid Level Sensor* [] Conductivity Sensor*
[] Pressure Sensor In Annular' Space of Double Wall Tank*
[] Liquid Betrieval & Inspection Frown U-Tube, Monitoring Well or Annular Space
IX] Daily Gauging & Inventory Reconciliation [] Periodic' Tightness
[] None [] Unknown [] Other
b. Piping: Flow-Restricting Leak Detector(s) for Pressurized Piping'
./~]Monitortng S~m~p with Race~ay r~Sealed Concrete Race~ay
IX]Half-Cut C~mpatible Pipe Raceway [~Synthetic Liner Raceway []None
[] Unknown [] Other
*Describe Make & Model:
8. Tank Tightness
l~is Tank Been Tightness Tested? [~Yes []No []Unknown
Date of Last Tightness Test . . 1980 . Results of Test .
Test Name Pressure 5-7 213 Testing C~pany Banks & S0, ,.Fres.n.o
9. Tank Repair
Tank Repaired? []Yes [~NO []Unknown
Date(s) of Repair(s)
Describe Repairs
10. Overfill Protection
[lqOperator Fills, Controls, & Visually Monitors Level
[]Tape Float Gauge []Float Vent Valves []Auto Shut- Off Controls
~Capaci~ance Sensor []Sealed Fill Box [-]None []Unknown
[]Other: List Make & Model For Above Devices
11. Piping
a. Underground Piping: [-]Yes I-]No [~]Unknown Material
Thickness (inches) Diameter Manufacturer
[]Pressure []Suction ~-]Gravity 'APProx'imate Length 6f Pipe R~
b. Underground Pipirg Corrosion Protection :
[]Galvanized []Fiberglass-Clad [-]Impressed Current [-]Sacrificial Anode
[]Polyethylene Wrap []-]Electrical. Isolation []Vinyl Wrap [~Tar or'Asphalt
[]Unknown []None []Other (describe):
c. Underground Piping, 'Secondary Containment:
[]Double-Wall [-]Synthetic Liner System ~X]None ~-]Unknown
[]Other (describe): .'
FOR
H. 1.~ Tank is: ~Vaulted ~n-Vault~ ~uble-Wall ~Si~le~all
2. Tank Material'
~Car~n Steel ~ Stainless Steel ~ ~l~inyl C~oride ~ Fi~rglass~l~ Steel
~Fi~rglass-Reinforc~ Plastic ~Concrete ~~in~ ~Bronze ~k~
~Other (de~ri~)
3. Priory Contai~nt
~te Install~ ~ic~ess (Inches) Ca.city (Gallons) ~nufacturer
1980 %" 4.O0O
4. Tank Seqondary Contai~ent
~le-Wall ~thetic Liner ~Lin~ Vault ~ne ~o~
~Other (desCri~): Manufacturer:
~terial Thic~ess (Inches) Ca.city (Gals.)
5. Tank Interior Li~
~R~r ~kyd ~xy ~enolic ~Glass ~Clay ~lin~ ~o~
~Other (descri~):
6. Tank Corrosion Protection
~GalvanfJ~ ~Fi~rglass-Cl~ ~l~ylene ~ap ~Vinyl ~a~i~
~Tar or ~p~lt ~k~ ~No~ ~Other (de~ri~)':
Cath~ic Protection: ~ne ~pres~ ~rrent Syst~ ~crtftcial ~e ~t~
~ri~ Syst~ & Equi~ent:
7. Leak Detection, ~nitori~, and Interception
a. Tank: ~Vis~l (vault~ tanks only). ~Grou~ter ~nitort~' ~ll(s)
~Vadose Zone ~nitori~ ~ll(s) ~U~ Wi~out ~ner
~U-~,wi~ C~tible Liner Dir~ti~ Flow ~ Monitori~ ~ll(s)*
~ Va~r ~t~tor* ~ Liquid ~vel ~n~r* ~ cond~tivit~ ~r*
~ Pressure Sen~r tn ~ular S~ce of ~uble Wall Tank,
~ Liquid ~tri~al & Ins~ction Fr~ U-T~, Monitori~ ~11 or ~ar
~ ~ily Ga~i~ & I~entory Reconciliation ~ Peri. lc Tigh~e~ Testi~
~None ~o~ ~her
b. Pipit: Fl~-Restricti~ ~ak ~t~tor(s) for Pressurtz~ Pipit'
~nttori~ S~p ~th '~ce~y ~al~ Concrete ~ce~y
~lf~ut C~tible Pi~ ~ce~y ~S~thetic Liner ~y ~ne
~Unkno~ ~er
· ~ri~ ~ke & ~el:
8. ~ ·
~ee o~ ~s~ Ti~h~ne~ Teat 1980 ~ Results o~ Test
Test ~e Pressure ~sti~ C~ny Bank~
9. Tank Re. ir
Ta~ Re~i'r~? ~ Yes ~.~ ~kno~
~te(s) of ~ir(s)
~ri~ Re. irs
10. ~erfill Protection
~rator 'Fills, Controls, & ViSually Monitors ~vel
~Ta~ Fl~t Ga~e ~Fl~t Vent Valves ~Auto Shut- Off Controls
~ci~ance ~r ~al~ Fill ~x ~ne ~o~
~Other: ' List ~ke & ~el For ~e ~ices
11. Pipi~
a. ~dergro~d Pipi~: ~Yes ~ ~o~ ~terial
Thickne~ (inches) Di~eter ' Manufacturer
~Pressure ~S~{i°n ~Gravity ~proxi~te ~ of Pi~
b. Undergro~d Pipi~ Corrosion Proration :
~lvanized ~Fi~rglass-Cl~ ~press~ ~rrent ~criftcial ~e
~Polye~yle~ Wrap~ ~Electrical Isolati~ ~vinyl Wrap. ~Tar or ~lt
~Un~o~ ~None ~her (de~ri~):
c. Undergro~ Pipit, Seco~ary Contai~ent:
~le-Wall ~~etic Liner S~stem ~ne ~kno~
~Other (descri~):
Facility Name MANVILLE CARTON PRODUCTS pe~m~t No. 'j/
2. Tank Material'
~ Caren Steel ~ Stainless Steel ~ ~l~inyl C~oride ~ Fi~rglass~l~ Steel
~Fi~rglass-Reinforc~ Plastic ~Concrete ~in~ ~Bronze ~k~
~Other (de~ri~)
3. Priory Contai~nt
~te Install~ ~ic~ess (Inches) Ca,city (~ilons) ~nufacturer
1980 ~" 2,000 Banks -
4. Tank Secondary Contai~ent
~le-Wall ~thetic Liner ~Lin~ Vault ~ne ~o~
~Other (descri~): Manufacturer:
~terial Thic~ess (Inches) Ca,city (Gals.)
5. Tank Interior Lini~
~Other - (de~ri~):
6. Tank Corrosion Protection
~Tar or ~p~lt ~k~ ~No~ ~Other (de~ri~):
Cath~ic Protection: ~ne ~pres~ ~rrent Syst~ ~criftcial ~e
~ri~ SYStem & Equi~ent:
7. Leak Detection, ~nitori~, and Interception
a. Tank: ~Vis~l (vault~ tanks only) ~Grou~ter ~nitori~' ~ll(s)
- ~Vadose Zone ~nitori~ ~ll(s) ~U~ Wi~out ~ner
~U-~ wi~ C~tible Liner Dir~ti~ Flow ~ Monitori~ ~ll(s)*
~ Pressure Sen~r in ~ular S~ce of ~uble Wall Tank
~ Liquid ~tri~al & Ins~ction Fr~ U-T~, Monitori~ ~11 or ~ar
~ ~ily Ga~i~ & I~entory Reconciliation ~ Peri,lc .Tigh~e~ Testi~
~None ~o~ ~her
b. Pipit: Fl~-Restrtcti~ ~ak ~tector(s) for Pressuriz~ Pipit'
-~nitori~ S~p with ~ce~y ~al~ C~crete ~ce~y
~lf~ut C~tible Pi~ ~ce~y ~S~t~tic Liner ~y ~None
~Unkno~ ~er
8.
~en Tigh~ess ~st~? ~Yes ~ ~kno~
~te of ~st Tightne~ Test 1980 Results of Test Passed
Test ~e. Pressure 5-7 lbs. ~sti~ C~ny Banks & C0.,Fresno
9. Tank Re,ir.
Ta~ Re~ir~? ~Yes .~' ~kno~
~te(s) of ~ir(s)
10. ~erf[ll Protection
~rator Fills, Controls, & Visually Monitors ~vel
~Ta~ Fl~t Ga~e ~Fl~t Vent Valves ~ Auto Shut- Off Controls
~Other: List ~ke & ~el For ~ve ~ices
a. ~dergro~d Pipi~: ~Yes ~ ~o~ ~terial
ThiCkne~ (inches) Di~eter Manufacturer
~Pressure ~S~t'ion ~Gravity' ~proxi~te ~ of Pi~ ~
b. Undergro~d Pipi~ Corrosion Prot~tion :
~lv~nized ~Fi~rglass-Cl~ ~ess~ ~rrent .~crificial
~Polye~yle~ Wrap ~Electrical Isolati~ ~Vinyl Wrap ~Tar or ~lt
~Unkno~ ~None ~her (de~ri~):
c. Undergro~ Pipit, Seco~ary Contai~ent:
~l~Wall ~thetic Liner S~stem ~ne ~kno~
~Other (descri~):
PERMIT CHF-CKLIST
Facility MANVILLE FOREST PRODUCTION Permit #310012C
This checklist is provided to ensure that all necessary packet enclosures were received
and that the Permittee has .obtained all necessarY equipment to implement the first phase of
monitoring requirements'.
Please complete this form and return to KCHD in the self-addressed envelope provided
within 30 days of receipt.
Check:
Yes No
A. The packet I received contained:
X 1) Cover Letter, Permit Checklist, Interim Permit. Phase I Interim Permit
Monitoring Requirements, Information Sheet (Agreement Between Owner and
Operator), Chapter 15 (KCOC. #G-3941), Explanation of Substance Codes,
Equipment Lists and Return Envelope.
X 2).Modified Inventory Control Monitoring Handbook #UT-iS.
with form: "Quarterly Modified Inventory Control Sheet" with "Quarterly
Summary" on reverse.
X 3) An Action Chart (to post at facility).
X B. I have examined the information on my Interim Permit, Phase I Monitoring
Requirements, and Information Sheet (Agreement between Owner and Operator),
and find owner's name and address, facility name and~ddress, operator's name
and address, substance codes, and number of tanks to be accurately listed (if
"no" is checked, note appropriate corrections on the back side of this sheet).
C. I have the following required equipment (as described on page 5 of Handbook
~UT-15).
X 1) Acceptable gauging instrument'
X 2) "Striker plate(s)" in tank(s)
X 3) Water-finding paste
X D. I have read the information on the enclosed "Information Sheet" pertaining to
Agreements between Owner and Operator and hereby state that the owner of this
facility is the operator (if "no" is checked, attach a copy of agreement
between owner and operator). -
E. I have enclosed a copy of Calibration Charts for all tanks at this facility
(if tanks are identical, one chart will suffice: label chart(s) with
corresponding tank numbers listed on permit).
X F. Modified Inventory Control Monitoring was started at this facility in
accordance with procedures described in Handbook #UT-IS.
Date Started July 31, 1987
Signature of Person Completin~ Checklist: