HomeMy WebLinkAboutBUSINESS PLAN Hazardous Materials/Hazardous Waste ' Unified Permit
.~.. .., REVERSE SIDE
:
Permit ID ~:: 0~ 5~00~00683 :, ~ Risk ~n~e~t P~mm
..~'_.. ~:. .. ~ . ~ .
OFFICE OF EN~RONMENTAL SER ~CES'
1715 Chester Ave., 3rd Floor Appmv~by:
Bakersfield, CA 93301
I
HaZardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
......... ~;~,;~;~"i~'~v,~:~;,~,~ ......... This permit is issued for the following: .
., ?i'7 ??,!:>~:si~:'~ ' '~;ili!iilL ! i!=: "'"': ': ~" "~'"i?;;:~'::)ii?~i:U?~emround Storage of HazardoUs Materials
PERMIT ID# 015-0214)00683 =~:~ii?ii'/!i~ ~!~ i;,, ~iiii:illii!i? ......!!!!!iiii!i!i!i!ii!!ii! il i!!i/:!!!!!'::?!iiii:iiii:~,~!!i~ki:i~a~agement Program
?0,,',=i~%~. '~i~'.~," ,~ii~igiiiiii~iii;'ai~ ..... '~ ¥:~.',d~~''' ..,~ '~ .-Z.. ~. -
LocATION ' 4540 EASTON
~,.% '~' {~i ;~ ~,.4 "~ "~ ~' . '~ .~; ~; .. '""~,
~L':'-...
~ .... .a :~:~;:~ ~..,. ~;~ E"'-:,.~
'~:'
~-, -~ X~, · ~ ......... ""~." ~ /,,.,..,,,,
a~..-.~,.
Is~ by:
Ave., 3rd Floor ce of~~
B~e~fiel~ CA 93301
Voice (805) 32~3979
F~ (S05)3264576 Expiration Date: ~n~ ~0~ ~000
;ITE/FACILITY D~GRAM
FORM
NORTH SCALE:~ BUSINESS NAME: FLOOR:; OF I
DATE: 7/ &/BTFACILITY N~E: UNIT ': 0F
(CHECK ONE) SITE DIAGR.~M X FACILITY DIAGR.~M
I(.Inspector's Comments): -OFFICIAL USE ONLY-
- §A -
F O l~lVf ~
NORTH SCALE: ~)~ BUSINES, S NAME: FLOOR: 0FI
DATE: "~ / ~, ZO~f
/~.~FACILITY NA~ME: ~ UNIT ~: ~
{C~BC~ O~E.) SITE DI~GR.~M F~ClLI~ DI~GR.~ ~~
(Inspector s Comments'): -OFFICIAL USE ONLY-
- 5A -
' DATE: 7/~/8?FACILITY,NAME: UNIT ~:/OF ~
(CHECK ONE} SITE DIAGR.~M FACILITY DIAGRAzZ ~
'
(Inspector s Comments): -OFFICIAL USE ONLY-
- SA -
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES ~ '3~0 ~-//
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME ti. t/C~.+ ~SPECTION DATE ~- ~-
ADD.SS ~fY~ ~t~ PHONE NO. ~-
FACILITY CONTACT ~e~./ ~~ ~ BUSINESS ID NO. 15-210- Or~-Ogl
~SPECTION TIME 3~ ~. ~ NUMBER OF EMPLOYEES
Section 1: Business Plan and Invento~ Program
Routine ~ Combined ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection
OPERATION C V COMMENTS
Appropriate permit on hand ',,,'
Business plan contact information accurate ~,,
ViSible address
Correct occupancy
Verification of inventory materials /.,'
Verification of quantities ·
Verification of location
Proper segregation of material
Verification of MSDS availability
Verification of Haz Mat training
Verification of abatement supplies and procedures
Emergency procedures adequate
Containers properly labeled
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardous waste on site?: [~ Yes o
Questions regarding this inspection? Please call us at (661) 326-3979 ' ~l~sin~¥ Responsible Party
White - Env. Svcs. Yellow- Station Co py Pink- Business Copy I nsp ec to~ ~'~'~"'-'~
HILLCREST. SHEET METAL INC SiteID: 015-021-000683
Manager : BusPhone: (661) 322-5081
Location: 4540 EASTON DR Map : 102 CommHaz : Moderate
City : BAKERSFIELD Gri'd: 35A FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 03 SIC Code:
EPA Numb: DunnBrad:95-230-8853,
Emergency Contact / Title Emergency Contact / Title
~5~-R=~4~B / PRESIDENT /
Business Phone: (661) 335-1500x Business Phone: ( ) - x
24-Hour Phone : (661) 335-1500x 24-Hour Phone : ( ) - x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hanmar Hazards: Fire Press ImmHlth DelHlth
Contact : Phone: (661) 335-1500x
MailAddr: 4540 EASTON DR State: CA
City : BAKERSFIELD Zip : 93309
Owner CO .... RT SV~WnM~ ~_ J~'---~Phone: .... ,
Address : ......... . ....... ~ ,l ~e .... :
City : ~ (g~ 6.~b~j~ ~ 0%~ O_ ~ _g. ~~ ~lp :
Period : to ~ TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: Res: No
Emergency Directives:
~ Hazmat Inventory One Unified List
--Alphabetical Order Ail Materials at Site
Hazmat Common Name... ISpooHazlEPA HazardsI Frm DailyMax I~UnitIMCp
ACETYLENE E F P IH G 375 00 FT3 Hi
CARBON DIOXIDE F P IH G 1000.00 FT3 Min
MOTOR OIL F DH L 55.00 GAL Min
NITROGEN F P IH G 375.00 FT3 Min
OXYGEN F .P IH G 375.00 FT3 Low
REFRIGERANT F P IH G 40000.00 FT3 Min
I, .~~ ~5~-~c,2~ Do hereby cedify ~hm I have
' (T~-~e ~ ~lm ~e)
reviewed the a~ached h~ardous mmerials manag~
~~~~ ~tha~ i~ ~ With
mere plan for~ W,,.-~c~-
along
(~ of ~i~)
~ny ~rre~iofls ~fls~i~u~ ~ ~mpl~e and~rr~
HILLCREST SHEET METAL INC SiteID: 015-021-000683
~ Inventory Item 0005 Facility Unit: Fixed Containers on Site
~U~U~ ~vl~ / ~£~ ~Vl~
ACETYLENE Days On Site
365
Location within this Facility Unit Map: Grid:
IN SHOP AND IN YARD CAS#
74-86-2
F STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Gas Pure Above Ambient I Ambient PORT. PRESS. CYLINDER
I AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
375.00 FT3 375.00 FT3 300.00 FT3
l i HAZARDOUS COMPONENTS '1 I
'%Wt. RS CAS#
lb0.00, Acetylene Yes 74862
HAZARD ASSESSMENTS
ITsecretl~S BiOHazNO N No Radioactive/Amount No/ Curies EPA HazardsF P IH NFPA/// I USDOT# MCPHi
----- Inventory Item 0007 Facility Unit.~ Fixed Containers on Site
%j%yiVliVlUl~4 l'~Y-~lvlJzb / %ji-2J~51VlJ. IjY-~, £'~-~ivlj~
CARBON DIOXIDE Days On Site
365
Location within this Facility Unit ,Map: Grids:
IN SHOP CAS#
124-38-9
F STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER
I I AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
1000.00 FT3 1000.00 FT3 340.00 FT3
I I °RI
%Wt. S CAS#
100.00 Carbon Dioxide N 124389
TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No N No NO/ Curies F P IH / / / Min
-2- 01/30/2003
HILLCREST'SHEET METAL INC SiteID: 015-021-000683
~ Inventory Item 0003 Facility Unit: Fixed Containers on Site
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
REAR CENTER OF YARD CAS#
64742-57-0
i= STATE -- TYPE PRESSURE i TEMPERATURE CONTAINER TYPE
Liquid Pure Ambient Ambient DRUM/BARREL-METALLIC
AMOUNTS AT THIS LOCATION
Largest Container. I' Daily Maximum Daily Average
55.00 GALI 55.00 GAL 55.00 GAL
HAZARDOUS COMPONENTS
100.00 Motor Oil, Petroleum Based ' N '8020835
HAZARD ASSESSMENTS
TSecret RS BioHazl Radioactive/Amount EPA Hazards I NFPA I USDOT# MCP
No No No No/ Curies F DH / / / Min
---- Inventory Item 0006 Facility Unit: Fixed Containers on Site ~
~UlVllVlk~£'~ £~/-~lVl.~ / . k~i-lJ~lVl.Lk~/-~,
NITROGEN Days On Site
365
Location within this Facility Unit Map: Grid:
· IN SHOP AND IN YARD CAS#
77-37-9
i----STATE TYPE PRESSURE i TEMPERATURE CONTAINER TYPE
Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
375.00 FT3 375.00 FT3 500.00. FT3
HAZARDOUS COMPONENTS
[ %Wt' Nitrogen oRSI CAS#
100.00 N 7727379
HAZARD ASSESSMENTS
[ I oR BioHaz Radioactive/Amount EPA HazardsTSecret NFPA I USDOT# MCP
S No/ Curies F P IH / / / Min
No N No
-3- 01/30/2003
HILLCREST SHEET METAL INC SiteID: 015-021-000683
~ Inventory Item 0004 Facility Unit: Fixed Containers on Site
~U~U~ ~vl~ / ~±~ ~Vl~
OXYGEN Days On Site
365
Location within this Facility Unit Map: °Grid:
IN SHOP AND IN YARD ~ CAS#
7782-44-7
Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum I Daily Average
375.00 FT3 375.00 FT3 300.00 FT3
HAZARDOUS COMPONENTS
%Wt. R{NoRS{ CAS#
100.00 Oxygen, Compressed 7782447
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# I MCP
No N° No No/ Curies F P IH / / /I Low
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site
L.,Ulvllvlul%{ i%{Y-k{.Vl~'', / ~,~l-].~.lVl ± ~f-l{,
REFRIGERANT Days On Site
365
Location within this Facility Unit Map: Grid:
IN YARD AND .IN SHOP CAS#
75-71-8
Gas {Pure Above Ambient Ambient METAL CONTAINR-NONDRUM
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily A~erage
40000.00 FT3I 40000.00 FT3 37000.00 FT3
HAZARDOUS COMPONENTS
{ {
%Wt. RI RSI CAS#
100.00 Dichlorodifluoromethane{No { 75718
TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No N No No/ Curies F P IH / / / Min
-4- 01/30/2003'
F HILLCREST SHEET METAL INC siteID: ~015-021-000683
Fast Format
~ Notif./Evacuati0n/Medical Overall Site
--Agency Notification 03/30/1999
~CALLgll.
-- Employee Notif./Evacuation 03/30/1999
AUDIBLE ON PA OR VERBAL DIRECT AND CALL 911. ·
Public Notif./Evacuation 03/30/1999
NOTIFY BY PHONE OR ON-SITE CONTACT.
Emergency Medical Plan 03/30/1999
CLOSEST HOSPITAL.
-5- 01/30/2.003
HILLCREST SHEET METAL.INC SiteID: 015-021-000683
Fast Format
~ Mitigation/Prevent/Abatemt Overall Site
-- Release Prevention 08/31/1992
PRESSURIZED CYLINDERS ARE CHAINED TO PREVENT FALLING.
-- Release Containment .- 0'8/31/1992
THE REFRIGERANT, OXYGEN, ACETYLENE, NITROGEN, AND C02 WOULD ALL DISPENSE
INTO THE ATMOSPHERE IF A RELEASE OCCURRED.
-- Clean Up 08/31/1992
THE MOTOR OIL WOULD BE ABSORBED BY ULTRASORB.
Other Resource Activation
6 01/30/2003
F HILLCREST SHEET METAL INC SiteID: 015-021~000683
'Fast Format
.~ Site Emergency Factors ~Overall Site
Special Hazards
--Utility Shut-Offs 07/06/1998
A) GAS - #1 INSIDE. FRONT FENCE E SIDE, #2 IN SHED E SIDE
,B) ELECTRICAL - #1 INSIDE SHOP ~NW CORNER, #2 IN SHED E SIDE
C) WATER - #1 INSIDE FRONT FENCE E SIDE, #2 IN SHED E SIDE
D). SPECIAL - NONE
E) LOCK BOX - NO
-- Fire Protec./Avail. Water 07/06/1998
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS AT STRATEGIC LOCATIONS IN BOTH
BLDGS #1 AND #2.
FIRE HYDRANT - ACROSS ST IN FRONT OF 4540 E DR BLDG #1) FENCED CANAL AT
REAR OF PROPERTY.
Building Occupancy Level
-7- 01/30/2003
F HILLCREST SHEET METAL INC SiteID: 015-021-000683
Fast Format
~ Training Overall Site
-- Employee Training 03/30/1999
WE HAVE 35 EMPLOYEES AT THIS FACILITY.
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: INITIAL REVIEW OF OUR MOST USED HAZARDOUS
MATERIALS, AND THEN AT REQUIRED SAFETY MTGS EVERY 90 DAYS) A REVIEW ALONG
WITH OTHER SAFETY CONSIDERATIONS.
Page 2
Held for Future Use
Held for Future Use
-8- 01/30/2003
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
~t./A ~ ,-7L' ~f~~/INsPECTION DATE / O ~ / '10~---
FACILITY ME ,'{[G,'~.
ADD, SS ' ~O ~s~o, ~ . PHONENO.
FACILITY CONTACTDB~-~ O~ BUSINESS ID NO..15-210- O/)~-OZl. OOO~2
~SPECTION TIME NUMBER OF EMPLOYEES {o 0
Section 1: Business Plan and Inventory Program
[~outine ~} Combined ~ Joint Agency ~ Multi-Agency ~ Complaint [~ Re-inspection
OPERATION C V COMMENTS
Appropriate permit on hand ~,'
Business plan contact information a~curate
Visible address
Correct occupancy o,,'
·
Verification of inventory materials
Verification of quantities ' '
Verification of location
Proper segregation of material
Verification of MSDS availability i,,"'
Verification of Hat Mat training
Verification of abatement supplies and procedures
Emergency procedures adequate
Containers properly labeled
Housekeeping
Fire Protection ~ " ~,/4,.,t.~;~.,.~ ~ iq--- ,,~ ]'g-cc ~.~rt~5 et(
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardous waste on site?: ~Yes ~]No
Quesuons reg~dsng th~s inspection? Please call us at (661) 326-3979 ~siness Site Respqnsible Party
White - Env: Svcs. Yellow - Station Copy Pink- Business Copy [nspe
HILLCREST SHEET METAL INC ~EC-EI'~'£D'V, SiteID: 015-021-000683
Manager : ~ BusPhone: (661) 322-5081
Location: 4540 EASTON DR Map : 102 CommHaz : Moderate
-- Grid: 35A FacUnits: 1 AOV:
City : BAKERSFIELD
CommCode: BAKERSFIELD STATION 03 SIC Code:
EPA Numb: C ~kOOO ~ I~ $/~ DunnBrad: 95 - 230 - 8853
Emergency Contact / Title Emergency Contact / Title
-~.q~ WILLIWAWS / PRESIDENT -~
Business Phone: (661) 322-5081x111 Business Phone: (~)~ -/~cox.
24-Hour Phone : ( ) - x 24-Hour Phone : (&~)33~ -i~-oo x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact : Phone: (661)~=~=~--5~81x
MailAddr: 4540 EASTON DR State: CA
City : BAKERSFIELD Zip : 93309
Owner COMFORT SYSTEMS USA Phone: (713) 830-9600x
Address : THREE RIVERWAY 200 State: TX
City : HOUSTON Zip : 77056
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
---- Hazmat Inventory One Unified List ~
-- As Designated Order Ail Materials at Site 9
Hazmat Common Name... ISpeoHazlEPA HazardsI Frm DailyMax {Unit{MCP.
REFRIGERANT F P IH G 40000 00 FT3 Min
MOTOR OIL F DH L 55 00 GAL MinI
OXYGEN F P IH G 375 00 FT3 Low:
ACETYLENE F P IH G 375 00 FT3 Hi
NITROGEN F P IH G 375 00 FT3 Min
CARBON DIOXIDEi, q'~v~ ~5~u0 Do hereby u that I have
ce~i%,p IH G 1000 00 FT3 Min
(Type or.print name)
reviewed the attached hazardous materials, manage-
merit plan for ~CL(~rU.,~' ~</'/~a~that it along with
(Name of Business)
any corrections constitute a complete and correct man-
agement plan for my facility.
Signature Date
HILLCREST SHEET METAL INC SiteID: 015-021-000683
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site
m COMMON NAME / CHEMICAL NAME
REFRIGERANT Days On Site
365
Location within this Facility Unit Map: Grid:
IN YARD AND IN SHOP CAS#
75-71-8
F STATE ~ TYPE PRESSURE i TEMPERATURE CONTAINER TYPE
Gas /Pure Above Ambient Ambient METAL CONTAINR-NONDRUM
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
FT3 40000.00 FT3 37000.00 FT3
HAZARDOUS COMPONENTS
CAS#
100.00 Dichlorodifluoromethane N 75718
.,,HAZARD ASSESSMENTS
TSecret' RS BioHaz' Radioactive~Amount, EPA Hazards' NFPA USDOT# MCP
NoI ° I I IN No No/ Curies F P IH / / / Min
~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
REAR CENTER OF YARD CAS#
64742-57-0
Liquid Pure Ambient Ambient DRUM/BARREL-METALLIC
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
55.00 GALI 55.00 GAL 55.00 GAL
HAZARDOUS COMPONENTS I
%Wt.I ~S CAS#
100.00 Motor Oil, Petroleum Based N 8020835
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# MCP
No N° No No/ Curies F DH / / /I Min
2 09/28/2000
HILLCREST SHEET METAL INC SiteID: 015-021-000683
= Inventory Item 0004 Facility Unit: Fixed Containers on Site
OXYGEN Days On Site
365
Location within this Facility Unit Map: Grid:
IN SHOP AND IN YARD CAS#
7782-44-7
F STATE -- TYPE PRESSURE i TEMPERATURE CONTAINER TYPE
Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
FT3I 375.00 FT3 300.00 FT3
HAZARDOUS COMPONENTS
%Wt. ~S CAS#
100.00 OxYgen, Compressed N 7782447
HAZARD ASSESSMENTS
TSecretNo N~S I Bi°HasINO Radi°active/Amount I EPANo/ Curies F P HazardsiH NFPA/// USDOT# MCP
---- Inventory Item 0005 Facility Unit: Fixed Containers on Site ~
ACETYLENE Days On Site
365
Location within this Facility Unit Map: Grid:
IN SHOP AND IN YARD CAS#
74 -86-2
Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container ~ Daily Maximum Daily Average
FT3L 375.00 FT3 300.00 FT3
HAZARDOUS COMPONENTS
%Wt. RS I CAS#
100.00 Acetylene Yesl 74862
HAZARD ASSESSMENTS
TSoorot I oRS IBi°HazNo N No Radi°active/Amount I EPA HazardsINo/ Curies F P IH NFPA/// USDOT# HiMCP
-3- 09/28/2000
HILLCREST SHEET METAL INC SiteID: 015-021-000683
~ Inventory Item 0006 FaCility Unit: Fixed Containers on Site
-- COMMON NAME / CHEMICAL NAME
NITROGEN Days On Site
365
Location within this Facility Unit Map: Grid:
IN SHOP AND IN YARD CAS#
77-37-9
Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
FT3I 375.00 FT3 500.00 FT3
HAZARDOUS COMPONENTS
%Wt. Nitrogen ~S CAS#
100.00 N 7727379
HAZARD ASSESSMENTS
ITsecretl RSIBioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# MCP
No No No No/ Curies F P IH / / / Min
~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ~
-- COMMON NAME / CHEMICAL NAME
CARBON DIOXIDE Days On Site
365
Location within this Facility Unit Map: Grid:
IN SHOP CAS#
124-38-9
STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE
/Pure Ambient I PORT PRESS CYLINDER
/Gas IAbove I Ambient · .
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
FT3 1000.00 FT3 I 340.00 FT3
HAZARDOUS COMPONENTS
%Wt. ~S CAS#
100.00 Carbon Dioxide N 124389
HAZARD ASSESSMENTS
TSecretI RSIBioHazI Radioactive/Amount I EPA Hazards I NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Mit
-4- 09/28/2000
F HILLCREST SHEET METAL INC SiteID: 015-021-000683
Fast Format
~ Notif./Evacuation/Medical Overall Site
--Agency Notification 03/30/1999
CALL 911.
-- Employee Notif./Evacuation 03/30/1999
AUDIBLE ON PA OR VERBAL DIRECT AND CALL 911.
Public Notif./Evacuation 03/30/1999
NOTIFY BY pHONE OR ON-SITE CONTACT.
Emergency Medical Plan 03/30/1999
CLOSEST HOSPITAL.
5 09/28/2000
HILLCREST SHEET METAL INC SiteID: 015-021-000683
Fast Format
F Mitigation/Prevent/Abatemt Overall Site
Release Prevention 08/31/1992
I PRESSURIZED CYLINDERS~ ARE CHAINED TO PREVENT FALLING.
-- Release Containment 08/31/1992
THE REFRIGERANT, OXYGEN, ACETYLENE, NITROGEN, AND CO2 WOULD ALL DISPENSE
INTO THE ATMOSPHERE IF A RELEASE OCCURRED.
Clean Up 08/31/1992
THE MOTOR OIL WOULD BE ABSORBED BY ULTRASORB.
Other Resource Activation
6 09/28/2000
F HILLCREST SHEET METAL INC SiteID: 015-021-000683
I Fast Format
F Site Emergency Factors Overall Site
Special Hazards
--Utility Shut-Offs 07/06/1998
A) GAS - #1 INSIDE FRONT FENCE E SIDE, #2 IN SHED E SIDE
B) ELECTRICAL - #1 INSIDE SHOP NW CORNER, #2 IN SHED E SIDE
C) WATER - #1 INSIDE FRONT FENCE E SIDE, #2 IN SHED E SIDE
D) SPECIAL - NONE
E) LOCK BOX - NO
-- Fire Protec./Avail. Water 07/06/1998
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS AT STRATEGIC LOCATIONS IN BOTH
BLDGS #1 AND #2.
FIRE HYDRANT - ACROSS ST IN FRONT OF 4540 E DR (BLDG #1) FENCED CANAL AT
REAR OF PROPERTY.
Building Occupancy Level
-7- 09/28/2000
F.~ILLCREST SHEET METAL INC SiteID: 015-021-000683
Fast Format
~ Training Overall Site
-- Employee Training 03/30/1999
WE HAVE 35 EMPLOYEES AT THIS FACILITY.
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: INITIAL REVIEW OF OUR MOST USED HAZARDOUS
MATERIALS, AND THEN AT REQUIRED SAFETY MTGS (EVERY 90 DAYS) A REVIEW ALONG
WITH OTHER SAFETY CONSIDERATIONS.
-- Page 2 I
--Held for Future Use
Held for Future Use
-8- 09/28/2000
June22,1998
Ralph E. Huey
Hazardous Materials Coordinator
Environmental Services
1715 Chester Avenue
Bakersfield, California 93301
Phone: (805) 326-3979
Fax: (805) 326-0576
Dear Mr. Ralph E. Huey:
Please find the revised edition of Hillcrest Sheet Metals Hazardous Materials Business Plan. Please do
not hesitate to contact me if there is any further infom~ation that you need. Thank you for your help and
attention to this matter.
Sincerely,
Jana Drake
Administrative Assistant
Hillcrest Sheet Metal, Inc. o 4540 East0n Drive o Bakersfield, CA 93309
· (805) 322-5081 o Fax (805) 322-1463
www;hillcrestair, c0m
Location: 4540 EASTON DR
City : BAKERSFIELD
CommCode: BAKERSFIELD STATION 03 SIC Code:
EPA Numb: DunnBrad: 95-230 -8853
Emergency Contact,. / Title, _ Emergency Contact / Title
Business Phon~: (805) ~~- I Business Phone: (805) 322-5081x
24-Hour Phone . (~,-~I~ .... ~ 24-Hour Phone :
Pager Phone : ( ) - x pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact: Phone:
MailAddr: 4540 EASTON DR State: CA
City : BAKERSFIELD Zip : 93309
"'S' (CO5
Owner B/L~ J~WAGNERm Q01'~:f-'~'gL~ '~(]S ~5~ Phone: ) 322-5~"~dTX'
Address : ~ ~IB/~-~A~Y~r~-R(~~i~U'~L2~)O State:
City : ~k~KF~S F I_FYL D ~ ~~O~ Zip :
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif ' d: RSs: No
Emergency Directives:
~ Hazmat Inventory One Unified List
--As Designated Order Ail Materials at Site
Hazmat Common Name· . . SpecHazlEPA Hazards
Frm
DailyMax
Unit
MCP
REFRIGERANT F P IH G 40000 FT3 Min
MOTOR OIL F DH L 55 GAL Mit
OXYGEN F P IH G 375 FT3 Low
ACETYLENE F P IH G 375 FT3- Hi
NITROGEN ~m' ~. F P IH G 375 FT3 Min
CARBON DiOXI~ET~d[~-~, ~ DO ~ ~"~f'~ ~b~hb~ G 1000 FT3 Min
mvi~w~ ~h~ ~ch~ h~a~ match,Is m~ .age. .~.,
any ~rr~ion~ ~n~itut~
ag~msnt
HILLCREST SHEET METAL INC. SiteID: 215-000-000683 ~
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site
-- COMMON NAME / CHEMICAL NAME
REFRIGERANT Days On Site
365
Location within this Facility Unit Map: Grid:
IN YARD AND IN SHOP CAS#
75-71-8
Gas /Pure Above Ambient Ambient METAL CONTAINR-NONDRUM
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
FT3 40000.00 FT3 37000.00 FT3
Maximum Stored Maximum Open USe Maximum Closed Use
FT3 FT3 FT3
HAZARDOUS COMPONENTS
%Wt. ~S CAS#
100.00 Dichlorodifluoromethane N 75718
-2- 06/17/1998
HILLCREST SHEET METAL INC SiteID: 215-000-000683
~ Inventory Item 0003 Facility. Unit: Fixed Containers on Site
MOTOR OIL Days On Site
365
Location within'this Facility Unit Map: Grid:
REAR CENTER OF YARD CAS#
64742-57-0
F STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid /Pure I Ambient I Ambient DRUM/BARREL-METALLIC
AMOUNTSAT THIS LOCATION
Largest Container Daily Maximum Daily Average
GAL 55.00. GAL 55.00 GAL
Maximum Stored Maximum Open Use Maximum Closed Use
GAL GAL GAL
HAZARDOUS COMPONENTS
%Wt. ~S CAS#
100.00 ~otor Oil, Petroleum Based N 8020835
3 06/17/1998
HILLCREST SHEET METAL INC SiteID: 215-000-000683
= Inventory Item 0004 Facility Unit: Fixed Containers on Site
~lVUVlU~ ~Vl~ / ~1£ ~Z-.x_J~ ~Vl~
.OXYGEN Days On Site
365
Location within this Facility Unit Map: Grid:
IN SHOP AND IN YARD CAS#
7782-44-7
r STATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Gas Pure Above Ambient I Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container· Daily Maximum Daily Average
FT3 375.00 FT3 300.00 FT3
Maximum Stored Maximum Open Use Maximum Closed Use
FT3 FT3 FT3
HAZARDOUS COMPONENTS
I ,%Wt. ~S CAS#
100.00 Oxygen, Compressed N 7782R47
-4- 06/17/1998
HILLCREST SHEET METAL INC SiteID: 215-000-000683
~ Inventory Item 0005 Facility Unit: Fixed Containers on Site
-- COMMON NAME / CHEMICAL NAME
ACETYLENE Days On Site
365
Location within this Facility Unit Map: Grid:
IN SHOP AND IN YARD CAS#
74-86-2
rSTATE -- TYPE PRESSURE ~ TEMPERATURE CONTAINER TYPE
Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
FT3 375.00 FT3 300.00 FT3
Maximum Stored Maximum Open Use Maximum Closed Use
FT3 FT3 FT3
HAZARDOUS COMPONENTS
%Wt. ~S CAS#
100.00 Acetylene N 74862
-5- 06/17/1998
HILLCREST SHEET METAL INC SiteID: 215-000-000683
~ Inventory Item 0006 Facility Unit: Fixed Containers on Site
-- COMMON NAME / CHEMICAL NAME
NITROGEN Days On Site
365
Location within this Facility Unit Map: Grid:
IN SHOP AND IN YARD CAS#
77-37-9
ST~T~ T~ ~SS=~ T~=T=~ CO~T~I~R T~
rGas [ pure Above Ambient 'Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
FT3 375.00 FT3 500.00 FT3
Maximum Stored Maximum Open Use Maximum Closed Use
FT3 FT3 FT3
HAZARDOUS COMPONENTS
%Wt. ~S CAS#
100.00 Nitrogen N 7727379
6 06/17/1998
HILLCREST SHEET METAL INC, SiteID: 215-000-000683
~ Inventory Item 0007 Facility Unit: Fixed Containers on Site
CARBON DIOXIDE Days On Site
365
Location within this.Facility Unit Map: Grid:
IN SHOP CAS#
124-38-9
Gas /Pure. Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
FT3 1000.00 FT3 340.00 FT3
Maximum Stored Maximum Open Use Maximum Closed Use
FT3 FT3 FT3
HAZARDOUS COMPONENTS
100.00 Carbon Dioxide N 124389
7 06/17/1998
HILLCREST SHEET METAL INC SiteID: 215-000-000683
Fast Format
~ Notif./Evacuation/Medical Overall Site
-- AHency Notification 02/27/1990
CALL 911
-- Employee Notif./Evacuation 02/27/1990
AUDIBLE ON PA OR VERBAL DIRECT AND~CALL 911.
-- Public Notif./Evacuation 02/27/1990
NOTIFY BY PHONE OR ON-SITE CONTACT
EmerHency Medical Plan 02/27/1990
CLOSEST HOSPITAL.
8 06/17/1~998
HILLCREST SHEET METAL INC SiteID: 215-000-000683
Fast Format
Mitigation/Prevent/Abatemt Overall Site
-- Release Prevention 08/31/1992
PRESSURIZED CYLINDERS ARE CHAINED TO PREVENT FALLING.
--Release Containment 08/31/1992
THE REFRIGERANT, OXYGEN, ACETYLENE, NITROGEN, AND CO2 WOULD ALL DISPENSE
INTO THE ATMOSPHERE IF A RELEASE OCCURRED.
-- Clean Up 08/31/1992
THE MOTOR OIL WOULD BE ABSORBED BY ULTRASORB.
Other Resource Activation
-9- 06/17/1998
F HILLCREST SHEET METAL INC SiteID: 215-000-000683
f Fast Format
~ Site Emergency Factors Overall Site
'Special Hazards
--Utility Shut-Offs 08/31/1992
A) GAS - #1 INSIDE FRONT FENCE EAST SIDE, #2 IN SHED EAST SIDE
B) ELECTRICAL - #1 INSIDE SHOP NORTHWEST CORNER, #2 IN SHED EAST SIDE
C) WATER - #1 INSIDE FRON. T FENCE EAST SIDE, #2 IN SHED EAST SIDE
D) SPECIAL - NONE
E) LOCK BOX - NO
-- Fire Protec./Avail. Water 08/31/1992
PRIVATE FIRE PROTECTION -~ FIRE EXTINGUISHERS AT STRATEGIC LOCATIONS IN BOTH
BUILDINGS #1 AND #2.
FIRE HYDRANT - ACROSS STREET IN FRONT OF 4540 EAST DR (BUILDING #1) FENCED
CANAL AT REAR OF PROPERTY
Building Occupancy Level
-10- 06/17/1998
HILLCREST SHEET METAL INC SiteID: 215-000-000683
Fast Format
~ Training Overall Site
-- Employee Training 04/11/1991
WE HAVE ~g~EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
INITIAL REVIEW OF OUR MOST USED HAZARDOUS MATERIALS, AND THEN AT REQUIRED
SAFETY MEETINGS (EVERY 90 DAYS) A REVIEWALONG WITH OTHER SAFETY
CONSIDERATIONS.
Page 2
Held for Future Use
Held for Future Use
-11- 06/17/1998
07/29/'92 HILLCREST SHEET METAL-INC. 215-000-000683 Page 1
Overall Site with 1 Fac. Unit
General Information
I
Location: 4510 EASTON DR Map: 102 Hazard: Moderate I
Community: BAKERSFIELD STATION 03 Grid: 35A F/U: 1 AOV: 0.0
Contact Name Title Business Phone 24-Hour Phone]
I I I 805) 831-4660,
BILL WAGNER (805) 322-5031 x ('805) 399-6174/
FRANK REEDER · ~ (805),322-5081 x (
Administrative Data
Mail Addrs: 4510 EASTON DR D&B Number: 95-230-8853.
City: BAKERSFIELD State: CA Zip: 93309-
Comm Code: 215-003 BAKERSFIELD STATION 03 SIC Code:
Owner: BILL 'J. WAGNER Phone: (805) 322-5081
Address: 8600 ANTIBES WAY State: CA
City: BAKERSFIELD Zip: 93311-
Summary RECEIVED
AUG ? 5. 1992
14 ~.i!;,,;T.. w~er Do hereby certi~
reviewed ~he attached hazardous nla~er~als
men~ plan for Hi!lcres% Slmeg ~qhat i~ alon0 with
'~ions constitute a complete and ~rr~
~s~s~ plan for my facil~W.
07/29/92 HILLCREST SHEET METAL INC 215-000-000683 Page 2·
02 - Fixed Containers on Site
Hazmat Inventory Detail in Reference Number Order
02-001 REFRIGERANT Gas 40000 Minimal
· Fire, Pressure, Immed Hlth FT3
cas #: 75-71'8 Trade Secret: ~No
Form: Gas Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE
-- Daily Max FT3 I· Daily~ Average FT3 I Annual Amount FT3
40,000 ~ 37,000.00 _ 74,000.00
~Storage · ~ Press T Temp~ Location
METAL CONTAINR-NONDRUMIAbove ~AmbientlIN YARD AND IN SHOP
--Conc components ~ MCP ---/List
100.0% IDiChlorodifluoromethane IMinimal '1 '
02-002 GA~·~OLINE ~t3 ~'~J /g ~ Liquid 60~ Moderate
· Fi'~ Immed Hlth, Delay Hlth % ' GAL~ ·
CAS ,: ~61-9 Trade secretl.NO~ / ~
Form: Li~uid~ype: Pure Days. 365 ~: FUEL ./
~ -- Daily Max G~ .' Daily Average GAL~~ Ann~al ~oun~AL --~
· ... ,.ooo , / . ,,,oo o
Storage ' ~"ress Temp ~ ' ~ ~ ~ocation ~~
-- Conc ~ ~omponents' XI MCP i Li~t
. 100~0% .Gasoline . < . ~derate, ~
02-003 MOTOR OIL Liquid 55~inimal
~ Fire, Delay Hlth GAL
CAS %: 64742-57-0 Trade SeCret: No
Form: Liquid Type: Pure Days: 365 Use-: LUBRICANT
Daily Max GAL ~ Daily Average GAL ~ Annual ~ount GAL
55 55.00 ', 110.00
Storage .~' Press T Temp Location
DR~/BARREL-METALLIC ~ient~ient~REAR CENTER OF YARD
-- Conc CompOnents ~ MCP' List
100.0% ~Motor Oil, Petroleum Based ~Minimal ~
07/29/92 HILLCREST SHEET METAL INC 215-000-000683· Page 3
02 -' Fixed Containers on Site
Hazmat Inventory Detail in Reference Number'order
02-004 OXYGEN Gas 375 Low
· Fire, PressUre,'Immed Hlth FT3
CAS #: 7782-44-7 Trade Secret: No
Form: Gas /Type: Pure Days: 365 Use: WELDING SOLDERING
~ Daily Max~FT3,~ 375 I 'Daily Average~FT3300.00 .l Annual Amount600..00FT3 --
~ Storage ~ Press T~Temp Location
PORT. PRESS. CYLINDER IAbove [AmbientlIN SHOP AND IN YARD
-- Conc ~ Components
100.0% Ioxygen, Compressed ILo~cP IList
02-005 ACETYLENE Gas. 375 High
· Fire, Pressure, Immed Hlth FT3
CAS #: 74-86-2 Trade Secret: No
Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING
Daily Max FT3I Daily Average FT3 I Annual Amount FT3
375 ~ 300.00_ 600.00
StorageI Press T TempI Location
PORT. PRESS. CYLINDER IAboVe IAmbientlIN SHOP AND IN YARD'
--Conc Components MCP List
100.0% IAcetylene IHigh I
02-006 NITROGEN t Gas .1000' Minimal
· Fire, Pressure, Immed Hlth 'FT3
CAS' #: 77'37-9 Trade.Secret: No ~ /.
/
Form: Gas Type: pure.. Days: 365 Use: OTHER.
~-Daily Max FT3 Daily Average FT3 ' Annual ount FT3
Storage ~ V~ess T Temp~ _ Loc~ion - ~
PORT. PRESS. CYLINDER IAbove /~ientlIN'SHOP AND IN YARD
-- Conc COmponents I MCp List
100.0% ~'Nitrogen ' , ' ~LOw ~
07/29/92 HILLCREST SHEET METAL INC 215-000-000683 Page 4
02 - FixedContainers on Site
Hazmat Inventory Detail in Reference Number Order
02-007 CARBON DIOXIDE Gas 1000 Minimal
~ Fire, Pressure, Immed Hlth FT3
cAs #: 124-38-9 Trade Secret: No
Form: Gas Type: Pure Days: 365 Use: OTHER
-- Daily Max.FT31,000 I Daily Average340.00FT3 I Annual Amount2,000.00FT.3
Storage ~ Press_~T Temp Location ·
PORT. PRESS..CYLINDER IAbove ~AmbientlIN SHOP
-- Conc COmponents ~ MCP List
100.0% ICarbon DioXide IMinimal [
07/29/92 HILLCREST SHEET METAL INC 215-000-000683 page 5
00 - Overall Site
<D> N0tif./Evacuation/Medical
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
AUDIBLE ON PA OR VERBAL DIRECT'AND CALL 911.
<3> Public Notif./Evacuation
'NOTIFY BY PHONE OR ON-SITE CONTACT
<4> Emergency Medical Plan
CLOSESTHOSPITAL.
07/29/92 HILLCREST SHEET METAL INC 215-000-000683 Page 6
00 ' Overall Site
<E> Mitigation/Prevent/Abatemt :
<1>' ReleaSe Prevention
PRESSURIZED CYLINDERS ARE CHAINED TO PREVENT FALLING.
<2> Release Containment
The re£rigeran~, oxygen, acety!ene~ nitrogen, and 002 would
a~ ~Sg'e~se into the atmosphere i£ a release occu2red.
<3>'Clean uP
The motor oil would be absorbed by "ultrasorb"
<4>-Other Resource Activation
07/29/92 HILLCREST SHEET METAL INC .215-000-000683 Page 7
00 - Overall Site
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - #1 INSIDE FRONT FENCE EAST SIDE, #2 IN SHED EAST SIDE
B) ELECTRICAL - #1 INSIDE SHOP NORTHWEST CORNER, #2 IN SHED EAST SIDE
C) WATER - #1 INSIDE FRONT FENCE EAST SIDE, #2 IN SHED EAST SIDE
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS AT STRATEGIC LOCATIONS IN BOTH
BUILDINGS #1 AND #2, ~D AT GAS ~L~-~=S~
FIRE HYDRANT - ACROSS STREET IN FRONT OF 4540 EAST DR (BUILDING #1) FENCED
CANAL AT REAR OF PROPERTY
<4> Building Occupancy Level
07,/29'/92 HILLCREST SHEET METAL INC 215-000-000683 Page 8
~'00 - Overall. Site
<G> Training
<1> Page 1 " _
WE HAVE 35 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
'INITIAL REVIEW OF OUR MOST USED HAZARDOUS MATERIALS, AND THEN AT REQUIRED
SAFETY MEETINGS (EVERY 90 DAYS) A REVIEW ALONG WITH OTHER SAFETY
CONSIDERATIONS.
<2> Page 2 as needed
<3> Held for Future use
~4> Held.for Future Use
· .'"~..' *,'. '~'~ CITY of BAKERSFIELD
,,. ~:.. .~ ../ .~.~._ '-"~VE CARE ~
~*~.~- ~ o~ ~~ name
~o he~eb~? oe~t~y that [ h~ve ~ev~ewed
attached Hazardous Materials business plan
HILLC~ST S~ ~TAL1 IN~t
for
(name of business)
and that it along with the attached additions
or corrections constitute a complete and correct
Business Plan for my facility.
date
BUSiNeSS NAME HILLCRES EET METAL.INC ID MBER 215-000-000683
LOCATION 45'10 EASTON.DR HIGH HAZARD RATING 3
1 . OVERVIEW
LAST CHANGE 09/30/88 BY ESTER
JURIS CODE' 215-003 JURIS BAKERSFIELD STATION 03
MAP PAGE 102 GRID 35A FACILITY UNITS 1 HAZARD RATING 3
RESPONSE SUMMARY
2A SEC 4) NO PRIVATE RESPONSE TEAM.
EMERGENCY CONTACTS 2A SEC 2)
BILL WAGNER - 322-5031 OR 831-466'0~
FRANK REEDER - 322-5081 OR 399-6174
UTILITY SHUTOFFS 2A SEC 3) A) GAS - #1 INSIDE FRONT FENCE EAST SIDE, #2' IN
SHED E SIDE B) ELECTRICAL - #1 INSIDE SHOP NW CORNER, #2 IN SHED EAST SIDE
C) WATER - #1 INSIDE FRONT FENCE EAST SIDE, #2 IN SHED EAST SIDE D) SPECIAL -
NONE E) LOCK BOX - NO
NOTIFICATION / PUBLIC EVACUATION
LAST CHANGE ! ! BY
' Notify by phone or on-site contacl:
~.u~l rs Emp r Phon--~e
...d~rder ~r~o ~22-20.57
~ellerbach Paper'Co. ~1~11~
4- 90z
~e~o INFORMATION RECORDED F~7~?~ SECTION >
PAGE 1 12/28/88 12:.05
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
LOCATION 4510 EASTON DR HIGH HAZARD RATING 3
3 . HAZ MAT TRAINING SUMMARY
LAST CHANGE /. / BY
Material Safety ,Data ~Sheets are available. ·
< NO INFORMATION RECORDED FOR THiS SECTION >
Initial review of our most used hazardous materials, and then at required
Safety Meetings ,(every 90 days) a review al"ong with Other safety considerations.
4 . LOCAL EMERGENCY ME.D I CAL ASSISTANCE
'LAST- CHANGE '09/30/88 BY ESTER
2A SEC 5) CLOSEST HOSPITAL.
PAGE 2 12/28/88 12:05
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
BUSINESS NAME HILLCREST EET METAL INC ID MBER 215-000-000683
LOCATION 4510 EASTON DR · HIGH HAZARD RATING 3
FACILITY UNIT 01
a . 'OVERALL HAZARDOUS MATERIALS INVENTORY
LAST CHANGE 09/30/88 BY ESTER
ID TYPE NAME ' MAX AMT UNIT HAZARD
LOCATION CONTAINMENT USE
i~ PURE REFRIGERANT 37000 FT3 LOW IN YARD AND IN SHOP PORTABLE PRESS. CYL. COOLANT
ID PERCENT COMPONENTS HAZARD LISTS
1086.00 100.0 DICHLORODIFLUOROMETHANE LOW
2 PURE GASOLINE 6000 GAL HIGH
REAR CENTER OF YARD UNDERGROUND TANKS FUEL
ID PERCENT COMPONENTS HAZARD LISTS
1182.00 100.0 GASOLINE HIGH
3 PURE MOTOR OIL 55 GAL UNKNOWN
REAR CENTER OF YARD DRUMS OR BARRELS MET.~ LUBRICANT
ID PERCENT COMPONENTS HAZARD LISTS
2808.00 100.0 MOTOR OIL UNKNOWN
4 PURE OXYGEN 300 FT3 HIGH
IN SHOP AND IN YARD PORTABLE PRESS. CYL. WELDING/SOLDERING
ID ~ PERCENT COMPONENTS HAZARD LISTS
2359.00 .100.0 OXYGEN, COMPRESSED HIGH
5 PURE ACETYLENE 300FT3 EXTREME
I'N SHOP AND IN YARD PORTABLE PRESS. CYL. WELDING/SOLDERING
ID PERCENT COMPONENTS HAZARD LISTS
1241.00 100.0 ACETYLENE ' EXTREME
6 PURE NITROGEN 500 FT3 MODERATE
IN SHOP AND IN YARD PORTABLE PRESS. CYL. OTHER
ID PERCENT COMPONENTS ~ HAZARD LISTS
2324.00 100.0 NITROGEN MODERATE
7 PURE CARBON DIOXIDE 340 FT3 LOW
IN SHOP PORTABLE PRESS. CYL. OTHER
ID PERCENT cOMPONENTS HAZARD LISTS
1251.00 100.0 CARBON DIOXIDE LOW
PAGE 3 12/28/88 12:05
MATERIAL~SAFETY DATA SYSTEMS, INC. {805) 648-6800
I;0CATION 4510 EASTON DR HIGH HAZARD RATING 3
~.. B , F I i:~E PROTECTION / '~AT. ER SUPPLIES
LAST CHANGE /~ / '~'BY
( NO INFORMATION RECORDED FOR THIS SECTION
Fire ~hydr~nt across street~' in front of 4540 F~ston Dr(Bldg #1)
Fenced canal at rear of preperty.
Fire extinguishers at strategic lecations in both buildings #1 and #2,
and at g~s p~mps.
D . EMPL'OYEE NOTIFICATION / EVACUA.TION
LAST CHANGE 09/30/88 BY ESTER ~
3A SEC 2) AUDIBLE ON PA OR VERBAL DIRECT AND CALL 911.
PAGE 4 12/28/88 12:05
MATERIAL SAFETY DATA SYSTEMS, INC. (8051 648-6800
gU~iN'~SS NAME HILLCREST EE METAL INC. ID M R 215-000-000683
tLOCATION·. ~ 4510'EASTON DR ~ HIGH HAZARD RATING 3
E. MITIGATION /. PREVENTION / ABATEMENT
LAST CHANGE 09/30/88 BY ESTER
3A SEC 1) PRESSURIZED CYLINDERS ARE CHAINED TO.pREVENT FALLING.
PAGE 5 12/28/88 12:05
MATERIAL SAFETY DATA SYSTEMS, INC ' (805) 648-6800 -
CITY of BAKERSFIELD
susx~55 ,Am~: niilcz'es% Shee% Metal, Inc.0~R ~AH~: 3ill J. ~a~ ..... NAME OF T~ F~LI~:
'LOCATION: ~ ~o~ ~ ADDRESS: 8600 ~-~ibe::~ Way _ STANDARD IND. CLASS CODE
CITY, ZIP: . BskeI's~ield, C~: 93309 CITY, ZXP: BakeI'sfieid- C~ . DUN AND'BRADSTREET~ NUMBg~
e Naz.rd [2] l~ttvity [ ] ~ll ] ~ ~lwe ~_a I~t~te .~. : .....
~lth of Pwwre Mlth
~lth
C.A.S.
~41th of Pmsurl Nfllth
H~lth of Fr~sure Health
~KE~Y~TACTS I' Bill J. Wa~er Pz'er~iden~ .. ~4 ~3'2 I; Fz'vnk t{eede]:' Fvrem~n ~r ~.4.
Cdrt~fic~tt~ (Re~d and sJ~ ~ft~r completing ail sections)
CITY of BAKERSFIELD
NAME OF T~ FACILITY:
LOCATION: 4~0 ~a~on ~ve ADDRESS: 0~00 ~t'~(~e,:~ W~' STANDARD IND. CLASS CODE
CITY, ZIP: ~oke~s[~e[d~ C~ ~0q CITY, ZIP: ~oke~'~3~eLd, ~ DUN AND BRADSTREE~ NUMBER
of Pm~ ~lth
blth of ~ blth
H~lth of P~surl ~ith
~ ~ Fire Hazard ~-a ~t~vtty ~la~ ~d~ ~lflee ~-- I~iete ...........
H~lth of Pr~sure Health
~KEKYCaTACTS l1 Bill J. Wa~er President 664 8032 12 Fr~mk Reede]:' Foreman 399 61~ .....
Certiftcitt~ (Read and si~ after coepletinE all sections)
~ L BAKERSFIELD CITY FIRE DEP~URT~4ENT RECEIVED
(~~~' 2130 "G" STREET JUL 8 1987
(805) 326-3979 i Aos'd
FOR~ 2A
00 683
INS~UCTIONS:
.
~. To avoid ffu~theF:a~ion,
2. TYPE/PR~T A~SWERS
3. ~nswe~ ~he questions below ~or ~he bus,ness asa who~e'.
4. Be as b~ieff ~nd concise as poss~5~e.
SECTION 1: BUSINESS IDE~IFICAT~ON DATA
SECTION 2: EMERGENCY NOTIFICATIONS
In case of an emergency involving the release or thr'eatened release of a
hazardous material, call 911 and 1-800-852-7550 ov 1-916-427-4341. This will notify
your local five department and the State Office of Emergency Services as vequi~ed by
law. "
.EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY:
NAME A~ TITLE DURING BUS. HRS. AFTER BUS. HRS.
SECTION 3: LOCATION OF ~ILI~ S~-OFFS FOR BUSI~SS AS A ~OLE
A. NAT. ~AS/~RO~~/O " ......~ 5N~O '--~'~
D. SPECIAL:
~. LOCK'BOX: YES / ~0 IF Y~S, LOCATION:
~F YES, DOES IT C0~TA~ S~TE PLA~S? YES / N0 ~SDSS? Y~S /'
FLOOR PLA~S? YES / ~0 ~E~S? YES /
- 2A -
SECTION 4: PRIVATE 'RESPONSE TEAM FOR BUSINESS AS A WHOLE
SECTION'5,~ LOCAL 'EMERGENCY MEDICAh ASSISTANCE FOR YOUR BUSINESS AS A-WHOLE .
SECTION 6: EMPLOYEE TRAINING
EMPLOYERS ARE REQUIRED ~O.HAVE ~ ,PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND
REFRESHER TRAINING'IN' THE FOLLOWING AREAS:~
-CIRCL.E YES-Ok~NO~ -~ ~' INITI~L~'~ REFRESHER
A. METHODS FOR SAFE HANDLING OF HAZARDOUS
PROCEDURES FOR COORDINATING ACTIVITIES
C. PROPER USE OF SAFETY EQUIPMENT: .................. YES
D. E~ERGENCY EVACUATION PROCEDURES: ...... ........... YES
E. DO YOU ~INTAIN EMPLOYEE TRAINING RECORDS:
SECTION 7: ~Z~OUS ~TERI~
I, 8~1{ ~. ~~e~ , certify that the above info.marion is ~ccur~te.
I understand that this information will be used to fulfill my firm's obligations under
the new California Health and Safe~y code on Hazardous Msterials (Div. 20 Chspter 6.95
Sec. ~5506 Et 'Al.') and t.h~t 'inacCu~ate'informatTon constifUtes,~erj,ury.~
BAKERSFIELD CITY FIRE DEPARTMENT
2130 "G" STREET
BAKERSFIELD,'CA 93301
BUSINESS NA~E:
BUS I. NESS 'PLAN
SINGLE FACILITY UNIT
FORM SA
.~INSTRUCTIONS 1. To avoid further actionl this form"must be returned by:
2. TYPE/PRINT YOUR ANSWERS IN ENGLISH.
,rACII, ITY UNIT LISTED BELOW
3. Answer the questions below for THE"
4. Be as BRIEF and CONCISE as possible.
SECTION 1: MITIGATION, PREVENTION, ABATEMEh~r PROCEDD~ES
SECTION 2: NOTIFICATION .%1~ EVACUATION PROCEDL~ES AT THIS b~IT ONLY
· BAKERSFIELD CITY FIRE DEPARTMENT
NON--TRADE SECRETS
HAZARDOUS MATERI ALS I NVENTORY
ADDRESS: ~~ ~%~B~ ~, ' ADDRESS:~Oo ~t~E~ ~' ' FACILI~.Y UNiT N~:~~~ ~.
PHONS ~: ~ ~- ' P.ON~ e: ~6o~ ~I-~6U {O~[C~AU US~ C~RS COD~
,- - - I ONLY
1 2 3 4 5 6 7 8 9 10
~o~ ,,~o~ c~ ~ ~ y~ ~ ~ s,~r ~
~ ~o '3q~ G~ Ol :Z9 ~ ~s~ ~sTo~ ,~ .... :~.~:o:~-~ //~ PV
t
.... ~,
NAME: ~" TITLE: .... S IO DATE:7--7--~'
~S~NCY CONTACT: T:TL~: ~ON~ ~US ~OU~S: ~-SO~I
- 4&-I -
' MPG FPA'AEROSOL
~Suggested Use: Adhesive for Suggested Use: Adhesive for Suggested Use: Spray insulation
bonding insulation material to bonding insulation material to adhesive
sheet metal. FPG eliminates the sheet metal Product Features: Convenient
fire and explosion hazards often Product Features: Excellent tack spray can, fast tacking,
associated with insulation and quick grab of insulation non-flammable ~
application
ProduCtrubber, designedFeatureS:toSynthetiCmeet NFPA lypical Properties lypical Properties
Standard 90A. Excellent TypE;: Solvent Adhesive Type: Solvent Cement
coverage, fireproof Solids: '19.5 - 20.5% Solids: 25+
Weight: 5.75 - 6.05 lbs. per gal. F & DA Status: N/A
Typical_ Properties co,or: Opaque Light Amber Weight Per Gal.:'10.4 lbs.
Type: Synthetic Rubber Odor: Slight Color: Amber
Solids: '19-22% Viscosity: 800 - '1300 CPS. Odor: None
Weight: ,1'1.2 typical per gal. Brookfield LVF #4/60 RPM Viscosity: 1960 CPS.
C~olor: Green @ 25°C PH: N/A
Odor: None Flammability: Flush Point Tag Flammability:
Viscosity: 2500-6500 CPS. Closed Cup Less Than 0°F Adhesive--Non-flammable,
Brookfield 4/20 Effect of Freezing: None Propellent--Flammable
Flammability: Non-flammable Storage Life: '12 Months at 70°F Effect of Freezing: Not damaged
Effect of Freezing: Not damaged Thin With: Hexane Storage Life: 6 Months
Storage Life: 6 Months (~lean With: Hexane Suggested Surface Preparation:
_Thin With~_ Chlorinated Solvent Suggested Surface_?reparation: Surfaces must be clean of
Clean With: AliPl~a~ic,-~,~,r0'~tic All surfaces should be clean an~t' grea~e~ oil, dirt and other foreign
or Chlorinated Solvent dry, free of dust, dirt, grease, and matter
Suggested Surface Preparation: any other foreign materials Method of Application: Spray
Surfaces must be clean of Method of Application: Spray, Available In:
grease, oil, dirt and other brush, or roller. As general Item # Description
foreign matter it is advisable that liquid 50'15 FPA--'12 cans per case
Method of Application: Spray be stirred prior to use
equipment, also may be applied Available In:
by brush Item # Description
Available In: 5053 MPG-~--'1 Gal. Pail
Item # Description 5054 MPG-5--5 Gal. Pail
50'1'1 FPG-5--5 Gal. Pail 5055 MPG-55--55 Gal. Drum
50'12 FPG-55--55 Gal. Drum
":~21R CONDITIONING .... FORCED AIR HEATING
RESIDENTIAL & COMMERCIAL ALL MAKES COMPLETE SERVICE DEPARTMENT
4540 EASTON DRIVE BAKERSFIELD, CALIFORNIA 93309 TELE'PHDNE (805) ~22-508i'
' , August 12, 1987
RECEIVED'
To: Mr. R~lph E. Huey .
.. Hazardous M~te~ial Coordin~to~ AUG 1 3 1987
- . Ans'd ............
In response to you~ letter of 7/28/87. Please find
· enclosed. .-
1. Completedform# 3-A
2. Inf0rm~tion requested as regards ~ft. on mefrigemants,
C~bon Dioxide and ect. I have highlighted the information
on my original form# 4 A-1.
· Also have enclosed MSDS Sheet fo= the insulmtion mdhesive.
Thank you very much,
HILLCREST S~ET METAL, INC.
eno.
BAKERSFIELD DEPARTME'N~' '
,'- ~ FIRE . ' "'
' BUREAU OF FIRE PREVENTION
· '!9 April l~78 I~ 029
"~ Date APPLICATION ApplicatiOn' No.
In c0nf°~mity with pr09isi0ns of I~ertinent. ordinances, codqs and/Or regulations, application'is made
bY:' ' :~ .'.. ~'
~ l~r,.t ~.heec ~tal .4540 Easton -P. rive '.
Name of Company Address
to display, store, /nstall, use, operate, sell or handle materials-or processes involving or creating con-
ditions deemed hazardous to life or property as follows: .
!n_.t_.!!at~_o?_ ,of ! - 4,000 Eallon under~roun~ ~asoli~e storage tank.
Ome~a Cons crt:etlon
210OSouth Union Avenue, Bakersfield
" ..........
"- Permit deniediSsued "i'-'z:"~'""~""'~'"/'/"'~!'Date .................. By.'.......~.:~l~;;, ................. : .............. '
Aspirator Assist
VAPOR RECOVERY INSTALLATION
~ JMANIFOLD VENT PlP£S
3" PIPE,,
........ ~c.~.n.a.
J R£TURN 'LINEj SAFETY SYSTEM CAI]LE IVAPOR RECOVERY
SEALED IN CONCR£~E SAW CUT/ CONDUIT
ISYSTEM
""' : i '," '.'.; ..': ',: :i'.':: ' '
,'~" p.oouc~ u-'=l .... ~ :~ . · ;... ,.. j
· -"J~ ~ ' - -~ ,, I t ' ' 2" VAPOR VENT PIPE" o
__ _ ' I RED JACKET;J AsPiRATOR ASSIST COMPONENTS
~ ]. S O/NOTES SWING 3DINTED PIPE. .~ ! I~T.E_M~. ~MANUFACTURER I PART NO/SPE(
~ 2. VAPOR RETURN LINES AND VENT LINES TO BE: ]. MOOULATII~G VALVE RED JACKET
i2'' PIPE' SLOPE MuST BE MINIMUM OF '/''' PER ~ 2. ASPIRATOR iRED jACKET. 104.0,6
FOOT, DRAINING TOWARDS PRODUCT STORAGE 3. VAPOR CHECK VALVE RED JACKET ]88-184
TANK. ..
4. VAPOR SCREEN .....
· 3. VAPOR RETURN LINES MUST BE SEPARATE BY 5. NOZZLE .' I RE:C) JACKET ]76-032
' ~, · - - OPW OPW-7V E
PRODUCT. % 6. TRANSOU~:ER UNIT I RED JACKET
4. VENT LINES MUST BE SEPARATE[:) BY PRODUCT ~ ' " ~ ' - ~ ~ -' o · - ' O01-OO].K
J ANO MA/~IFOLO MINIMUM OF 12 FEET ABOVE ., , .. 7. CENTRAL CONTROL PANEL t RED JACKET I 002.002-K
GROUND LEVEL. ' ' ° &. 7 CONDUCTOR FLAT CABLE:; SPECTRA STRIP | 00]-O02.F
9. CONNECTOR (INSIDE BOX) /~ALPHA
I0. VAPOR HOSE, LIQUID HOSE~DAYCO~ ....... '-~ §/8" FULL
10_"_._~?.~ ~ ~LOW:
(~ I MONO-FLEX
-20- Fig. 8 2-1-78
, BAKERSFIELD FIRE DEPARTMENT
Z.'~74 ' · BUREAU OF FIRE PREYENTION I'/, ~i~l0
Dine APPLICATION Application No.
in conformity with provisions of pertinent oidinances, codes and/or regulations, application is made
..... '>... · ~tC~amt Sheet :Hetal 45a0 lmmm ar.
· ..~:' '.~; :,,., ' : ', r ; ...... , .............. , ,., ~ '
": ;"~:display, store, install; use,~ate, sell.or h~ndle materials oi; processes involving or ,:reating con-
~ i:dittons deemed hazardoUS: to life or property as follows:
........................
· permit:"' ' deniedissued ~__ /?~-' 7/;" ' 8 ' '/'""" "~'t~°riz~! R~r~"ti'ir; ,''":' '~ '"" '
TO -' -. .. ': ' _ FROM '
'~" -' ' ....?" ' ~'" ~' li~Crest':Sheeti Metal,
~ ~' ':'~' ~0e .:A I~u/WO( .... "'.. ' .= .... W"4540"'EAST~0N DRIVE - .-
· " :' C±ty o£ B~e~el~
- CONTRACTOR'S LICENSE ~234217 (805) 322.5081
H~z~dOus M~terial='DiVision ', : -. :- .-: -
. .- ~e~& C~' ~ 3301 ~, .~ ~
~ 'Under~o~d -~, .- .. --..'
~virO~enta-1 Health :.8'e~ic~,~,Dep~tment..',/ .'
. . . BELOW THIS tINE .... REPLY'TO'-
REPLY .... · . - ' ' ~'; -~'- ' , ~ ' -
~ R~-~-3' ._ _.~ _- ..:. -,..
RETURN TOORIGIHATOR '
CIT of BAKERSFIELD
"WE CARE.
FIRE DEPARTMENT 2101 H STREET
S. O, JOHNSON November 6, 19911 .BAKERSFIELD, 93301
FIRE CHIEF 326-3911
Dear Tank owner/operator,
This office has not yet received the completed underground tank
questionnaire we mailed to you in August. It is imperative that we
receive this information in order to process and issue .your
operating permit.
I.f this office is unable to issue a permit for your operation it
would leave you in violation of Sections 25284 and 25286 of the
California Health & Safety Code and would make it necessary for us
to take further action.
For your convenience I have enclosed a copy of the Questionnaire,
Please return this to our Office, located at:'
Hazardous Material Division
2130 "G" Street
'Bakersfield CA, 93301
An addition-to State permitting requirements are that each facility
submit a WRITTEN ROUTINE MONITORING PROCEDURE and A SPILL RESPONSE
PLAN to the implementing authority. I have enclosed the minimum
requirements for the plans as a guideline to aid you in preparing
these documents.
Please retur~ the questionnaire by December 1, 1991 and the
monitoring and response plan by January 30, 1992.
If you have any questions, please call. me at (805) 326-3979.
Sinc~21Y~ ,_
· ~HJ~'ze aAr~o~D~i a 1 i s t
Underground Tank Program
RESOURCE MANAGEMENT AGENCY
Env~tonrnental Health Senhces ~,l=anment
RANDA! I L. ABBOTT STEV~ ~4cC~,, ~Y, REHS, DmECTOR
DIRECTOR ~r Pollution Control District
DAVID PRICE Iil wn,~ j. RODDY, APCO
ASSISTANT DIRECTOR Planning & Devebpment Services Demrenent
TED jAMES, AICP, DIRECTOR
ENVIRONMENTAL HEALTH SERVICES DEPARTMENT
.. March 6, 1991
Mr. Bill Wegner
4550 Easton Drive
Bakersfield, California 93309
CLOSURE OF 2 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANKS LOCATED
AT 4540 EASTON DRIVE IN BAKERSFIELD, CALIFORNIA.
PERMIT # A1426-18/180002
This is to advise you that this Department has reviewed the project
'results for the preliminary assessment associated with the closure
of the tanks noted above.
Based 'upon the sample results submitted, this Department is
satisfied that the assessment is complete. Based on current
requirements and policies, no further action is indicated at this
time.
It is important to note that this letter does not relieve you of
- further responsibilities mandated under the California Health and
Safety Code and California Water Code if additional or previously
unidentified contamination at the subject site causes or threatens
to cause pollution or nuisance or is found to pose a significant
threat to public health.
Thank you~Dr your cooperation in This matter.
,
BRIAN PITTS, HAZARDOUS MATERIALS SPECIALIST
cc:. J. R. McOann
3307 Redlands
Bakersfield, CA 93306
2700 '~I" STRFh-I', SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636
FAX: (805) 861-34~9
~o~. ;,~. ,~o,73, INVOICE
72i'7 DURANGO WAY
BAKERSFIELD, CA 9330~e
.: (8051 834-800~
SHIP CAGE
SOLD
TO:
BAKERSFIELD FIRE DEPARTMENT
~te APPLICATION Application No.
In conformi~ with provisions of ~rtinent ordinances, codes and/or regulations, application is rnade
by:
to dfs~oy, store, ~stoH, ~se, o~rote, sell ~ ha~dJe mot~r~a~s o~ ~[~esses ~voJv~g o~ creatfng con-
Y_
'
.... , i- ~ l~ ~ /~ '
Authorized Representative
· '!,'".:-:~'-:.,~-*"~'-. ':~C'~ Environmenta! ~qea!th Services De,artroom
RANDALL L. ABBO~ (:.,~:?~ ........ ~,.~,.-~, -, ,~ , ......
~,:~..,~,,,.,/,~/.~.:%~: ~ S: .~V ~ McCALLEV, ~:~c DIRECTOR
DIRrC~OR ,:: ~? ':.:.'~ ~,. ,-., .~, .~.,...,.,.
..... ",L'?~¢'t~':'
'::P~H Ab Folk~fion Control D~str!c:
:b~¢'" "' '?*""' '"~' :'::
P~tC~ iii
DAVID
~-~~z~:' ' ~D JAM~5 AtCP, DIRECTOR
SUBST~NCRS STCP~_OZ ZACiLi~f
FACILITY NA~ME/'ADDRESS': OWNEP,(S) i'L~v_,'E/A'_DDP. ES£: coNT_~':.CTOZ.:
Hillcrest Sheet Mcm~ ' "'om~"' ~w~,m,~ J.N. McCann
4540 fasten Drive 4550 Zaston Drive 3307 P. ed/ands
Bakersfie!d,'CA Bakersfield, CA, Bakersfield, CA
License ~-A-36183~
Phone: (805i ~zz-~0oz Phone: (805~
PERMIT FOR CLOSURE OF PEP. MIT ZJQ~IRES A~ril 28. 199~
~ T~NK(S) AT ~O%'~ /~PP. OV.~ D.&T~ 5anuaTs_.2S. i99!
.. Brian Pkt~
~ ........................................................................................... [.POST ON PRE)vi?TS ....... : ........................................................................................
CONDITIONS AS FOLLOWS:
i. It is the responsibility of the Pcrmittez to obtain permits which may be rcs:fired bY other reguk:too' agencies prior to beginning wort: (~.c., Cky Fire and
Departments).
2. Pcmfiuce must notify the Hazardous Materials Management Program at (805) 861-3636 two working days srfo~ to tank removal or abandonmcm
ammge %r required inspections(s).
3. Tank closure activities must be per :(em County Environmental lqealth and Fire Department approved methods as described in Handbook UT-30.
4. It is the contractor's responsibility to know and adhere to al! :?plicab!e laws regarding the hnndling, transport:trion er treatment of hazardous mnteNals.
5. The tank removal contractor must have a qualified company cmpfoycc on sim supep.'ising the rank removal The cmplol,;ee mm;: have tank removal exper!enoz -
prior to working unsupep:ised.
6. If any contrnctom other than H~osc listed on permit :md nemfit application are to be 'utilized, prior approval must be granted bv :he sncci:dist '.is:ed on the
permit, l)cviadon from d~c submiucd application is not allowed.
7. Sol! Sampling:
a. Tank size !ess than or equal to l,O00 gallons - a mi:fimum of w,'o samp'.cs must be retrieved frcm 'ccnc::th thc con:er of tlm tank at depths of
approximately two feet and sN
h. Tank size -' "'-- than 1,000 to 10,000 gallons - :, -,in '-,, -' o~" -' each :ant.:
°'¢ .... . ........... our saint,cs must ,.c ,c.,:cEcu cng-third of thc v:av in
at dc[ubs of :q?roxim:ucly two feet :md six feet. n
c. .Tank size greater than 10,000 gallons - a m!nimmtt of six samples must be retrieved one-fourth of thc way h~ from thc ~nds
thc center of ct:ch rank at depths o',' approxim:uc!y two Ccct ;md :;ix foot.
S. Noil Sampling (piping nrc:O:
A n:inimum of tv,'o samples must be retrieved at dc:at!ts of :m):'oxhnatcly two fed ::nd :iix fcc: 2)r c','c0, 15 5near t'cct of pipe Full ;!E~ under tim dlsncnscr :wca.
dER~IT FOR PERMANENT CL'C2U?,E PERMIT NUMBER A 1426-iS
O? UNDERGROUND F[AZ. ARDOUS ADDENDUM
SUB ST.'~NCES
9. · Soil Sample an:dvsis:
,,aso~;.le r c.,d.-,,/unle-~de,~ :t.op, urtenanccs mt:st be ;:aah'zed for benzene, toiuene. :::icon, and totai
a. Ail soil samples retrieved from bene't.h = ..... . ....... ) tool.as and .,
pelto!cum .lwdrocarbons (:'or gasoline).
b. All soil samples retrieved from beneath diesel tan!.:.\ :md appurten:mces must be anal.\'zed ','or total petro!cum hydrocarbo::s (for diesel) and benzene.
c. All soil samp!cs retrieved from beneath waste ()il t:mks and appurtenances must be :m:dx~zed lot total organic halidcs, lead. oil and grease.
d. ,.\1! soil samples retrieved from beneath crude oil tanks and appurtenances must be anal}-zed lot oil and grease.
c. ;Ui soil samples retrieved from beneath tanks :md appurtenances that contain unknown substances must be anabv, ed for :., full nmge of substances
that ma,.' It:eve been stored ,,vltl~in the tank.
!0. The following time.able lists pre- and post-tank removal requirements:
Complete permit app!i.c::tion submitted ,\t least two wee\.:.\ prior to closure
to Huzardous Materials M::magemcnt Progr::m
Noiificution to inspector listed on ee..,:mit of date Two working days
and time of ciosure and soil sampling
Transvortat. .on 'md tracking forms .... sent to l lazard&ts No later :nan 5 working days fo~' transgortntion ',-'~ !4 working
Materials Management Program. ;'d! hazardous waste days. ~e.c, ,,...,,.:~ ir,clang form after tank removal
manifests must be signed N/ the receiver o£ the
!!azardot!s waste
Sample analysis to I [azardous Materials Mnnugement No later than 3 working da?s after completion of analysis
Program
a. Liquid shall be pumped from tank pr!or to purging such that !ess th?m g gallons of Equid remain tn tank. (CS?.&SC'
b. Tank shall be purged through vent. pipe dischargi~:g at least 10 feet above ground !evel. (CSH&SC 41700)
c. No emission shn!l result in ode.'>;.' detectable at or be;'ond property line. (l",tu!c ,119)
d. No emission shah end:roger the heulth, safety, comfort or rep. ese el ::ny person. (CSH&SC 41700)
e. Vent linus \hal! remain attached to tar'.-c until the insnector arrives to at'.tho~ze removal.
This department is resnonsiNe, for enforcing me... K. ern. Counw Ordinance Code., Division S ?4 ........ state regulations pertaining to ,,nde,-,,m,,nd=. ~. storage mai,ts.
Reoresentatives from this de,ar!meat resoond to job sites den-lng toni,: ren:ovais to ensure *.hat .'&e tanks are safe to remove/close and that the ox. er,., eob
is consistent with pem~it requirements, applicable laws and safety standards. The feUd}ring guidelines are offered to cia.si~, the interests and expectations for this
al<part, meat.
!. Job site safety is one of our primap:' concerns. ~',:czv::tionk are inherently dangerous. It is the contractor's responsibility to know and abide by CAL-Og.tL-\
regulations. The job [oreman ...... is responsible %,- ~he crew and :~.nv subcontrnctors., on tee job. ,,ks a general rule, wor.'-:ers nrc not =,-,-tm;'',.',~ in improperly sloped
excavations or when unsafe conditlons exist in thc hole. Tools and equipment are to be used only for tkeir designed function. For example, bac'.d:oe bucnets
are never substituted for ladder.
?_.l'rot~crlv licensed contractors are assumed to undem'.and the recl::iroments, el the De..rmit .o;osue,~ ........ ~te job foreman is responsible for .knowing :',nd
the conditions ef tl:e permit. Deviation from thc permit conditions mew result in a stop4vork order.
3. Individu::l contractors ,.,.'ill bc hdd responsible for their post-removal · - " are
p.:pem'on,,. Trac!dng forms, hazardou:; waste manifests 2nd analyses documentation
necessary !'or each site in order to close a case file or :v..t:'.'c it into mitigation. When contracto.m do not follow through on necessa~ ?aperwor;:, :m
unman::ge:~b.e [.ac;;..og of incomplc',e cases results. [f this continuus, processing time for completing new closures will increase.
OWN lit( OR ;\GENT DATE
itl'!cas
',;t 1426- I S.ptc
.- ~ '::'....~
':- · FILE CO~TE-~ITS SUMMARY
RESOURCE MANAGEMENT AGENCy
Environmental Hea~th Setvk:es Department
RANDALL L. ABBOTT ST~'VE McC~ ~ l:y, REHS, DIRECTOR
DIRECTOR ~ ~o~o~ co~ ~t~
DAVID PRICE I!I ~ J. ROOD¥, ~CO
~ ASSISTANT DIRECTOR ~ Plannir~ & Developing! Se~c~ Department
· TED JAMES, AICP, DIRECTOR
F_~RONH£NT^L HEALTH SERVICES DF..PMtTME~
March 6, 199'
4550 gaston Drive :~'
' .~a~ersfiei~, Ca!iforni~ 93309 ' ' ~''"
CLOSURE OF 2 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANKS LOCATED
AT 4540 EASTON DRIVE IN BAKERSFIELD, CALIFORNIA.
PERMIT # A1426-18/180002
This is to advise you that this Department has reviewed ~he pro3ect
r~sui~s for the preliminary assessment associated with the closure
of the tanks noted above.
Based upon the sample results submitted, this 'Department is
satisfied that the assessment · is comoiete.. Based on c~rren~
requirementa~ and po~icles, no further action is ind!ca~.ed at this
time.
it is important to note tha~ this letter does not relieve you of
further responsibilities mandated under the California Health and
Sa2et¥ Code and Ca2iforn~a Water Code if additiona~ or previously
unidentified contamination at the subject site causes or threatens
to cause poilut~on or nuisance or is found to pose a significan~
threat to public health.
BRIAN PITTS, HAZARDOUS MATERIALS SPECIALIST
cc': 3. R. McCann
3307 Redlands'
Bakersfield, CA' 93306
27~ "M" STREET, SUITE 3~ BAKERSF[ELD, CALIFORN~ 93301 (~5) ~1-3636
FAX: (~5) ~1-3429
' SMC Laboratory Analytical Chemistry
Client Name: Whitten Excavation
Address : P~O. Box 70488
Bakersfield, CA 93387
Attention : Mr. Garry Whitten
Date s'~mples received -. 02-01-91
Date analysis completed: 02-04-91
~ 569 ID: S. TK E. End 2' ugm/gm MDL,ugm/gm
Benzene ND 0.0050
Toluene ND 0.0050
Ethylbenzene ND 0.0050
p-Xy lene ND 0. 0050
m-Xy lene ND 0.0050
o-Xylene ND 0.0050
IsoprOpylbenzene ND ~ 0.0050
TPH (Gasoline) ND 1.0
Method of AnalYsis for BTX/TPH (Gasoline): 3810/8020 (FID)
MDL = Minimum Detection Level
TPH = Total Petroleum Hydrocarbons
ugm/gm = micrograms per gram ('ppm)
ND = None Detected
Analytical Chemist
· 3155. Pegasus Drive · Bakersfield, C,~ 93308 · (805) 393-3597
P.O. Box 80835 - · 'Bakersfield, CA 93380 · ~AX (805) 393-3623
RESULTS OF ANALYSIS:
ID: S. TK E. End 6' ugm/gm MDL,ugm/gm
Benzene ND 0. 0050
Toluene ND 0.0050
Ethylbenzene ND 0. 0050
p-Xy lene ~ ND 0. 0050
m-Xy lene ND 0.0050
o-Xylene ND 0. 0050
Isopropylbenzene ND Q.0050
TPH (Gasoline) "ND i.~. ~ : .~.
~7~ ~D: S' T~ W. 'End 2' '.. ugm/gm 'MDU,ugm/g
Benzene ND 0. 0050
Toluene ND 0. 0050
Ethylbenzene ND 0 · 0050
p-Xy lene ND 0. 0050
m-Xy lene ND 0. 0050
o-Xy lene ND 0.0050
Isopropylbenzene ND . 0.0050
TpH (Gasoline) ND 1.'0
572 ID: S. TK W. End 6'' ugm/gm MDL,ugm/gm
Benzene ND 0.0050
Toluene ND 0.0050
Ethylbenzene ND 0.0050
p-Xylene ND 0.0050
m-Xylene ND 0.0050
o-Xylene ND' 0.0050
IsopropYlbenzene ND 0.0050
TPH (Gasoline') ND 1.0
Ma ung -~Th ~ i n
Analytical Chemist
RESULTS OF..ANALYSIS: ..
~ 573 ID: N. TK E. End 2' ugm/gm MDL,ugm/gm
Benzene ND 0. 0050
Toluene ·. ND 0. 0050
' Ethy lbenzene ND . 0. 005'0
p-Xylene ND - 0,0050
m-Xy lene ND .0. 0050
o-Xy lene ND 0. 0050
· Isopropylbenzene ND .0. 0050~
.~ 574 ID: N. TK E. End 6' -ugm/gm ~L Ugm
'.Toluene . ND -". 0.0050
Ethylbenzene , ND ,0. 0050
p-Xylene ND ,, 0.0050
m-Xy lene . ND 0. 0050
o-Xy lene ' ND 0. 0050
I sopropylbenzene ND 0. 0050
TPH (Gasoline) .ND 1.0
575 ID: N. TK W. End 2' ugm/gm MDL,ugm/gm
Benzene ND 0.0050
Toluene ND 0.0050
Ethylbenzene ND ·0.0050
p-Xylene ND 0.0050
m-Xylene , ' ND 0.0050
o-Xylene ND 0.0050
IsopropYlbenzene ND - 0.0050
TPH"(Gasoline) ND 1.0
Maung -M~--~i= h~
Analytical Chemist
EXCAVATION
' N~MBER OF PAGE~:
(Inuluding Cover Shee~)
Any questions p~ease call (865) ~31-3455.
Whitten Fax.# (805) 631-2113
% c.., :,~:, ~D: N, Tg. W. Fn~] '6~ ~.~,/~,,:l. ~9',,t. ,,9~./9~.. . ..
~en~ene N~ 0.0ob0
Tol~e~e ND 0.0050
~t~ylbenze~e : ND 0,0050
.p -Xy'lene ~]D 0,0050
~-Xylene ND 0.0050 _
o-Xy 1 en~ ND O, 0050
?~'~ ~ ~opropy Ibenz~ne ND O. 0050
--'~ 'rP~ (~aso~ine) ND 1.0
. ' - . ' ' ......' · .... .h ";'..: ;:;~":.~ .'
, - . /. :',
Chemist
" EXCAVATION
· FAX COVER SIlEET
Any questions p!gase call (805) &31-O455 ~[
Whitten Fax .#' (805) 631-2113 "i
RESULTS OF ANALYSIS:
% 576 ID: N. TK W. End 6' ugm/gm MDL,ugm/gm
· Benzene ND 0.0050
To lUene ND 0 ..0 0 5 0
Ethylbenzene ND 0.0050
p-Xylene ND 0. 0050
m-Xylene ' ND 0'.:0050
' o-Xylene ND . 0.0050
. ' Isopropylbenzene ND 0. 0050
. .. .. . .: . . . · .:.'" .
Analytical Chemist
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~ · . · ; .: .....,
.... ....;~..f.: · .~ ~. :,~'.::.::.. C , · ~ ..~.', ... ~.: .:.. ...... ,
· . , ':rC~E.;.r....,-.~' .-'.';.' ..,. ·
I~.
, ~ENE~TO~'~ CE~ICA~ I hereby d~lare that the coat.ts of this consignment a~e ~1~ and accurate~ de~cdb~
and are c~aalfled, packed, ma~, a~ label~, a~ are ~ all Cesp~ta In proper condltl~ f~ Iransp~ by highway according
natl~al govem~nt r~ulat~a.
Itl am a large quant~ genwall, I ce~l~ thai I have a pr~ram In placa Io reduce lhe volume a~ toxici~ of waste gene~al~
~ lo be ec~omtca~ pract~able, and th.t I have sel~ the practicable meth~ of treatment, slorage, or disposal ~t~ avallab~ to me ~h mlnlmlze~ the
pre~e~t and fulure threal to human health and the environment; O~. If I am a small quantlly generator, I have made a
' ganeratl~ 'and sel~ the be~ waste management meth~ that la available to me and that I can a~d. ·
P~/Typed Name · Signature /) t · ~h Day Year
~r ~~ ~H~H~ ~~ ~,~ '101~10111~11
T 17. Tranap~ 1 Ackn~g~t of R~elpl of
~ 18. lranepo~er 2 Ackn~gemenl of ReceipI of Male~ali ~ ~ v- ~-
~ PHnt~/T~ed Name181g M~ Dly Year
E
I
· " '1 I I I,~1'!
F .. '' ; .. : . ... .
A : ..~'.-
I ~. FactlHy ~er ~ ~at~ ~lflcatton ol receipt of hazardou, malerlala cover~ ~ thl. manlfe.l exc~t as ~t~ In
~s ~o22 A O/~) ~ Mol Wrife ~low ~is Line ~he= T~DF ~EMD~ ~15 CO~ TO ~HS WITHIH 30 D~
. EPA 87~2~ . .
(Rev. 9-~)Previous edltlone are obsol~e. ' .
To: P.O. ~x 3~, ~crom~, ~ ?~812
................... : .................................. ~ ................................................ :: ....
'~. , . : ....
, '.
,- '. :/-...
~;~~ 1~, be: :f:t:l.].ad:~ out by .~:r~oval
~ ............
' '.~:.:~'~s~' ~'30'~ ~q~[A~ '. Phone 'fl: ~0~ ,- .::, '~ ....:":'/?T.: ........
:"::-.-..% : Zi~:
, R~oved: .... '-' ;:: . No. of Tank(s~;.
~'i 1 l~d ouC by conCrac~or "dec°nCami naCi ns" Cank(s):
:;=:¢: .... ~nt~l nation ContractOr:
~ --~ .... ~ ~ .
' Tank, Size L.E.L.
: ~r'ized representative Of the contractor c~tifi~~i~T~b~low t,'~a~
; ~S~ h~ve been decont~inated in accordance:~with ~ C~y Env~ronmr
~ ~ ~es ~ep~.~me~' requir~nts..
. _ . - .....
, ~ SignaCure
~ ~c~ion 3 To be f~ led ou[ and signed by an au~
a~Droved dis~osa~ or recycling
~ ~e Tank(s) r~. -'~ved: ,~ ~:-¢ -- '9 ,",~,~ - ~f Tar.~ s:, :. ":
} -.t:O2-S,~uthM~l,ken:Avenue . Date: [ ~ ~ .... :7 .....
Ontario, CA 91761 Job ¢ ] .....
. ' ,';:[ ~R~OR: ~~ ~ ~ -- "
,. ~NAT~O~. '~ "A ' ~. ~02 S. Miiiiken Ave., Ontario, C~;.'~6~ --" ' "" ' ' ':~ :"-
~ TIM~ IN: --'
~ OU~
-.;~ :, '.eS '~ '~' ~t
- ~.,..~ F~e ~' ~ '~ T~KS RECEIV3D ....
GA~Ot~S ~PE NET
. .-.,~'.- 'mit 300~ . ~o ~ ..
" : C~,sp~a~ ~.:e ~r Tan~ 40( O0 ~ O C
~-6~ ~ ~
~ .~=. ,~ Delivered 200.~0 ~ :.:~-':' .~ ~.:. . :~. ~
_~ Bobtail Disposai Fee 250.00 ~ ~ r~ I
..... ~ ¢--- .:;, '~:'. ~.-3. ~ ,
' [ tOTAL CHARGES $ ~ ' ~ ~'" :'~;~:'~'~ ' '~./ ~ ~~O~l~ ',~:-':~'
........ . ~:.':.: .~:.~... .~ .~' . ~_~
. ~ ;ncurred are per IDa ...... ~. ".:~'cifieo · ..~?. . .~) ~
..,~ are neI 30 days Irorn .j~ ,~' - 9 ~ ~ /~ ~ ~ ;~.~
'"o;.uac~or's signature rep~ese~,:- . ._ :' :-ance ....... c.? r~
,~ :~rms for p~ymen,, and'co~ ........ :-.;k NO " ~OTA',_ [~ ~
...... CONTr..'"-,'.~'% ' .... - ' .=.'" :~,0 (' S -- S~ ~EL 1~-~
.. ;... .... . ........ ~%, .,
-
.' CEc' ':'."ElPl .~. ~'" ~ f,'~'i:~Sl~ "'.~C, .'" - -.~z~: -L~ '
~' :'~ ~ ' ..¢EL 702 ~ .'L. :cS ~',,.
: RFa//OUI/CE MANAGEMENT ENCY
· 1.' . RANDALL L ABBOTT' ./~~,~ STEVE McC,~, ! I~g, REH$, DIRECTOR'
: . DIRECTOR " ~ /~Jlll~:::~i~\ .
· : .DAVID PRICE Ill - - ~~~/ WIi~:!-a~M J. RODDY, Al)CO
.. " . . . - . ~ . ~ " . . · ~ J~,~CP, D~CTOR
.i ~;r '. "/""...I . "'~VIRONMENT~ H SER CES , ,...', . .'
:/"'." ~ACm~N~~D~SS: "' '' :O~(S)N~~D~ss: -.:::-'..::~Com~oR:" ~.
:::.:' ' . .. ..' '.~:.. . ,. . . -: .....- . . - . . ·
"..':'~t Sh~t Meal :'.:'::: ':'. :':'~'.. -'- --: :' ..:;::.:-" ~. Bffi Werer' ~" ::::' ::'::;.: "":.~;::~::~ :.~::~:~:.:~J. ~ M~nn ..: :' :_ :~:.:.:..'-.:~': ..... :
'? -: ::: :'45~ ~ton D~ve "::::';":= ~' -. ""' :' "./'"' ~(' "4550 ~ton D~ve . /:. ''~ /'.: ':.-./~:":~ ~'.:;~-~.:'3~ R~ / - : ..'.":.:.
.' " ~m~ ~A-361~ ~..
Phone: (~5) 3~-5081 Phone: (~5) ~1-~72
PE~ FOR ~OS~ OF PE~ ~~ Apffi ~, 1~1
T (S) AT PROV
LOCA ON PRO D BY
B~ Pi~
~dom ~teH~ Spe~a~t
........................................... ......................................... : ........... POST ON PREMISES... ...........: .................................................................................
' ' CO~ITIONS ~ FOLLOWS:
1. It ~ thc ~ibili~ of the Pemitt~ to obtain ~ wMch may ~ ~r~ ~ other mgu~t0~ ag~ phor to ~nning ~ (Le., Ci~ ~ ~d
/ Dep~enm).
Z Pcmitt~ m~t noti~ the ~rdo~ ~te~h Ma~gcment'Pm~m at (805) ~1-~36 ~o wor~g ~ p~or t0 ~ mm~ or abandomcnt ~ p~ to
amnge for ~ui~ im~tio~(s).
3. Tank clmu~ acti~ti~ mint ~ ~r ~m ~un~ En~mmcntal Hmlth and Fi~ Department appmv~ mcth~ ~ d~ ~ ~d~k ~-~.
4. It is thc mntmctoffs ~mibili~ to ~ow and adhc~ to a~ applimblc ~m regarding, thc ~nd~g, t~m~tion or trmtmcnt of ~ffio~ mte~ah.
5. ~e rank removal mnt~ctor m~t have a q~ffied mmpany cmploy~ on site su~ing the ~ mm~ ~c cmploy~ m~t ~vc ~ mmov~
p~or to wor~g ~u~.
6. ~ any ~ntmcto~ other t~n tho~ lht~ on ~mt and ~t app~mtion am to ~ util~, p~or appml mint ~ ~t~ ~ the s~alist l~t~ on the
~mit. D~ation from the submitt~ applimtion h not al]~.
7. So~ Sampling: ..
a. T~ ~ 1~ th~n Or ~ ~O 1,~ ~0~ - a minimum of ~o ~mpl~ mint ~ ~t~ ~m ~nmth thc ~ter of thc m~ at dept~ of
app~mtc~ ~o f~t and s~ f~t.
b. · T~k s~ ~t~ ~an ~,~ to 10,0~ ~llom - a minimum of four ~mpl~ m~t ~ mt~ onc-t~ of thc way ~ ~m thc cn~ of tach rank
at dcpt~ of app~mate~ ~o fcct ~d s~
c. T~ s~ ~t~ t~n 10,0~ ~o~ - a minimum of.s~ ~mpl~ m~t ~ mt~ one-forth of thc my ~ ~m the ~ of ~ch rank and
the ~ntcr of tach rank at dcpt~ of app~tc~ ~o feet and s~ f~t.
8. So~ Sampling (piping a~):
A minimum of ~o mmpl~ m~t ~ mtd~ at dept~ of appm~mtely ~o feet and s~ feet for ~e~ 15 ~mr f~t of pi~ mn and under thc dh~r a~a.
2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636
FAX: (805) 861,3429
OF UNDER~ROUND HAZARDOU~ ADDENDUM
~UBSTANC,~ STORAOE-FACILITY
9. Soft sample analysis: ; . . : .
a. All soil samples retrieved from beneath ~soline (leaded/unleaded) tanks and appurtenances must be analyzed for benzene, toluene, xylene, and total
pem)leum hydrocarbons (for gasol/ne). -
b. All soil samples re~rieved from beneath diesel hmks and appurlenunces must be annl~;[ for total petrole, um hydrocarbons (for diesel) and benzene.
"c. ' - - All soil samples re~r/eved from beneath waste oil tanks and appurtenances must be analyzed for total organic halides, lead, off and grease.... -.-. .
a All soil samples retrieved from beneath crude oil hu~ and appurtenances must be'ao8hjzed for off and grease. -. .,
e_ Ali soil samples retrieved, from beneath ranks and appurtenances that contaia unknown subsl~nc~ must be analyzed for a full range of substances
that may have been stored wiflfin ~be rank..
10. · The following timetable lists pre- and post4auk removal requirements: ':..." ~ · . : : - ' · .... : '
[' ' complete pa~nii application subm/tted . . ' .... ' A~ l~t ~o weei~ prior tO clo~ure ' '" ~' .... "
· ' Notifica~on to h~peaor lhted on permit of date -Two working days '~:,
Tr~usportation and wack/ng form~ sent to I4~rdous . . .. No hter thnn $ working days for Wauspo~. ~on and 14 workin§ ' ".i".'i. ~ :~i-'.. -
- Matefiah M~n~§ement Pro,ram. All h~,~ious waste days for the trac~/ug form ~er ~ removal : . .
manifesto must be si~ned b~ the receiver of the .
h~nrdous w~te ':
Sample analysis to Hn~nrdou~ Materials Ma~§ement . No later than 3 working days after completion of a~lysis
Program
11. Purging/inening conditions:
a. -.Liquid shall be pumped from tank prior to purging such that less than 8 gallons o£ liquid re_m~in in tank. (CSH&SC 41700)
, b. Tank shall b~ purged through vent pipe discharging at least 10 feet above ground level. (CSH&SC 41700)
c. No emisaion shall result ia odors detectable at or beyond property line. (Rule 419)
d. . No emission shall endanger the health, saiety, comfort or repose o[ any person. (CSH&SC 41700)
e. Vent lines shall remain attached to tank until the inspector arrives to authorize removal.
RECOMMENDATIONS/GUIDELINES FOR REMOVAL OF UNDERGROUND sTORAGE TANK~
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 t6 ensure that the tanks are safe to remove/close and that the o~,erall 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.
1. .]ob site safety is one of our primary concerns. Excavations are inherently dangerous. It is the contractor's responsibility to know and abide by CAL-OSHA
regulations. The job foreman is responsible for the crew and any subcontractors on the job. As a general rule, workers are not permitted in improperly sloped
excavations or when unsMc conditions exist in the hole. Tools and equipment.are to be used only for their designed function. For cxample, backhoe buckets
are never substituted for ladders.
2.' Properly licensed coniractors are assumed to understand the requirements of the permit issued. The job foreman is resPOnsible for knowing and abiding by
the conditions of the permit. Deviation [rom the permit conditions may result in a stop-work order.
3. Individual contractors will be held responsible for their post-removal paperwork. Tracking forms, hazardous waste maniiests and analyses documentation are
necessary for each site in order to close a case file or move it into mitigation. When contractors do not follow through on necessary paperwork, an
unmanageable backlog of incomplete eases results. If this continues, processing time [or completing new closures will increase.
OWN--ER OR ~GENT DATE
BP:cas
~a1426-18.ptc
/ KErn COUNTY ENVIRONMENTAL H~LTH SE~[C~ DEPARTN~ - . ~ .
~1'.'". 2?00 '~' STRE~,'~ITE 300 "'....- .: ' . ' * APPLICXTION DATr ~. ~* ' /~/ "::~-~:~:~=¥'
/? '~ 8AKE~FIELD, ~ 93301' .¢~.:<. ~.~',~.:~:~ ~ ~';;~;/~'. =~-:' ;~;'~: . '....~/:::.~-%: ~ o, ?X~Ks ~:8'~ *~N~o
~:', (805) 861-3636' ' ' ~:~-~ ~- ~ /:~, . ' C~GT. or ~T~No~ ~. ' ' -. - - --' ...... "
I ............. PHONE ~ ~ ~ ;~) ~ ) SEC~TlR IRU~L LOC~TIONS ONLY)
~'IpACILJ~ NANE , , . ,., ADDRESS : * , ... :.:,;.;(~ ~*; * ~ ~ NEARE~ ~ROSS STREET
-j .' .... , ~*OOR~SS45~O Easto .PHONEI, ~ 0_.81
o,.~,. ..... ~ ..... . . : n Dr ......... 805 2~ 50
:J~,R. :~.~ccann 77 ;:;?~/~->~;~:'<:":< '/¥' ::~ 3307 .Red~n~s :~:(805 ~7i
PROPO~EU PROJE~ STARTZNG DAT~ CAL]~0RN]& LJC~N~Z I ~RK~R'S COMPENSATION ~ J~HSURER '
]NINARY S XTg ASSESSNE~ CONT~CTOR ~ODRESS LTO1 .T~estwind IPIIONE
'wiIs6n & ,AssOc ??"::, ~'.~ ? .... BakerSfield, CA . (805 ~323 -6460'
, COMPENSATION I . w~.~ .............. ~,% ( '. ) ~ ':--
' On File ~ ~ .--.S~ '
I
I~DORATORY TIIAT WICk ANACYZ[ SAMP~ / Z% *UD~[~S p. O BOX 80035 IPIION[
. ( 80% 393_ 3597
· ~ S."'~.C. &~-~~]~. .CA 93380
I
:,~[c~ CON,OS ~?Z0,. 0~ ~T~,~C= S?0R[D
'~ 'AHK ~ VOLUME :ll~]C~ ~RED (NON-CO~ERC~AL NAME) DA~S S~RED OI~MICAL PR~TOUSLY .STORED
· ~. 1 ~' ~90 ~aso!ine U~ ~ present '
: ~ 2 6,090 Gasoline ~ present -
.
~ATER TO FAC~-~O BY ....... r ' ' }OZ~ ~ GRO~WATZR
Californi~ Water Service ~ 151' +-
~--- G I~REST WATER ~ELL - G~VE O~$TANC~ ANO 0~CR~B~ ~PE ~ WlTX~N ~00 E~ET SO~L ~E AT
., None andy
~ = ]ASIS POR SOIL ~PE ~O GROUNDWATER Og~ll DETERMINATION
~ Dug Soil Samples an'd Kern County Water Agency
= ~ IBenzene, Tolvene, Xylene, ~H
iES~]BE lIOW RE~ZDUE iN T~KIS) .&NO P~PING ZS ~ BE RENDED AND DZSPOSED OP ( iNCLUDE ~HSPO~AT]ON ~O DXSPOSA~
a- Hi-p~r~ RTa~r W~'~ ~, m T. V~o~m and Disposed of at Gibson
~_~ ~ESCRIBE BOTH TIlE DISPOSAL NE~]OO A~ DISPOSAL LO~TJON POR:
~=o ~s~. ~. Hautled to A.H.R. and Cut Up as Scrap .
~ Fzpzng HaUte-~ to A.M.R. and Cut Up.as scrap
~liS FORw .'~ OEEH ",~NPLETZO ~ER P~NAL~ OF P~RJURY AND ~ Ttl~ BEST OP HY KNOWLEDGE IS ~UE AND CORRE~. '
'~..~q ¥~ ~ ~ ' 'PARTNER/~G~ ~/~7/S~
, ......... ~.'c/ ~c .~~_ ?~?~' e~?s' '
· ~ · pROvIDE DRAWING OF Ft~SIC.~L ~YCUT oF FACILI~f USiI" SPACE PROVIDED B~_CW.. '~.OF ~ FO~WIN~ I~O~TICN MUST BE INCLUDED I'1 O~ER FOR ~PLiCATION
~--:¢~< ......... ;L; ...... "=../:'T~ (S) ,. PlPI~ &' DIspOSER(S) , .INCLUDIi.I,3. ~S ~ DI~SIONS
. - .............. ._"''~ ............ /... ~ .',, ..... ................... ~ ~.
· .
"" "'"*" '"'" 'F: COUN'IY HEALTH DEPA'~'I~i~ (<--.
~elep~o~ {tOSl 1~1.3tlt · IHYlflO~VlNt~L HSALTH OlylllO~ .
~ ".,C~,, OlhlCTOn O~ ~NVlaONMEN'~AL MtA~TH
,~~.~ . · . . Yemen I, fltlchlfd
,. :. ...._: . .
' .. . '.'. ?.. : .:.~- - ::'. :::??T:,:~'~ ':~."..' '=" ..::-::,.. : ,' '.:.:- '_:.: :-....
O~
".' 38~ ~icle 3' of the ~om~i. i~. Code req~,~ee t~% ~er~
. ...~(: '~-....:~.:'~:.'-.-~/~or_. .. oity req~ ine~nce of .a ~,~t am a cot~ikt~t~ for co~t~c~ Of al
": .:~'- - - -~.' '~ .. '. .. '-.:' - ' .-~-: '.;~ .:.: .'.'.:.,.~ .... .' :..' ::<:..~-'C,.'~.
· 1, A e~ication eo~ent to se~=~m~'e laeued ~ tl~e D~c~r o~ '?:c ~'''' '~"
2. A._._ee~icate of worker's c~peu~ation ~u~a~e ~sued ~.~
~rt or , , :. . ~:..,:~.,
3. A, h,r,or
~er.
of ex~P~ion be~w. Ibe ce~cate m~t al~w the e~'atAon ~te. of th~
~ese req~ente e~ ~t app~ ~ the' folluw~ atatemaub ~ read
b~ app~ce~
I stall ~t~loy ar~ person ~ ~t~ ~u~r ,o.~, to become e~jeet ~ the ~r~er'
~ ''~- ' .:"
1
:
,..~. , , JR McCann
3307 Redlands Dr.
~'"- Bakersfield, CA 93306 -- ·
RE: :~<General safty Plan for Tank Removals ~ ~'~'~:~"
· ~lease find below .the safety plan for the underground tank removal,
~,~:~<~':/Tank~ to be t~iple rinsed with a high pressure washer and nontoxic''~
There .shall be one (1) 20BC fire extinguisher on site at all times.
There shall be an appropriate explosivity meter on site until backfill '
operations begin to insure worker and public safety. .. ~-~ ,,.~,~=~.~?.~<~
There is to be no sources of ignition in area of tank abandoning.
Tank to be purged with 20 lbs'of dry ice after rinsing 0f tan~, ~
minimum of four (4) hours before pull. '~'
Tank 'to be promptly removed to approved location after a maxim~ 5%LEL.
reading ~s achieved and oxygen level is below 12%.
No one allowed in excavation unless tank hole is shored or sloPed.
Soil samples to be obtained by backhoe bucket by an approved site
assement contractor.
Soil samples 'shall be taken for analyst to approved lab.~
Tank hole 'to be filled up ASAP for safety reasons} If soil is considered
clean and not visually contaminated.
Barrzcades will be set around hole for employee and public protection.
All CAL OSHA regulations pertaining to personnel protection.and safety
be observed.
a~cCann ..
MC ~ nn
, ~ .- 2:,~.7~/' . , .. . . · . .. .,:!:; - ._,~_,..,.~¢...
,-~7~'~'~ ',-'. ..... . ............ ' .... . .... .:, ........ ~ -Z~;;~;;
m.:' --'----pm '-:' KERN COUNTY 'PLANNING & DEVELOPMENT... ; -': :.""'. '~-:'- "' "-'.:' :~"~}:~]':b.;~]'~.":/]~'~:;~;Y~:~];'~;
/ ; 1 ~-7 :.~_<~-' . ~ ,. . . .... 2700 M Street ' ~ :. ... · ~ , ., ~,-,,~,,,~,~..~,>-~,~,,~
~ - :~. ~'~-,' - . · 8akersf3e]d,.CA 93301 Type o~ Order .,.;,~H
~ I. :':"~'.:~'~'~' ..... (805) 861-26!5 . .... ::1" '.... ,'' ',- , · ,; ~.'
' ! .'CASH REGI~TER · , ..' ' : _; /'"NH I , TEN . ' .' :'-.., '7':.- . ;..;....,; .'. ~ ,.
-'...'lCus~omer P.O..~ i Nth .By ~Order Date .J 'Shlp Date j V~a , .'.,~.:..:.'- I Terms
L~ne:DescP~pt~on .. :Qu~'n:~ty ,- ,PPtce -Unit ,O~sc: ~',';. ,.':Tot. a] "
,1 : PERN~T TO CLOSE/ABANDON 1 250.00 E ,2.50'.00
,.-.. I?0G ..
:~:'.:~' 'O~er To~a7 ' ,..- '"~'250 '00
'" Amount Due ' 250.00
Paymen~ ~ade By Check 250,0~
THAN K YOU !
Environme~-1~eIS~n. sitivity ' ~'~'"~-~.,' ' '-' ~'~
. UNDERGROUND HAZARDOUS SU~TANCE ~ORAGE FACILI~
~ " ~' *' INSPECTION REPORT *
F.iliw~me ,' ' ~ ~ ~~ ~y~ ~ddr~
~. * No. of Tanks .: 5~. . · ' . ' I, Information on Permi~Appli~tion Corr,? Y~
' Ty~ of In--ion: Routine ~ ~' Complaint =*~'~*-
Coming: *: ~'
~ '~ ' ' ITEM : :/' :/ ' -:' "": ~ VIOLATIONS NOTED
.; ~ ':~ndard Inve=d~ Control Monitoring : ' ~. ~: .~'~:: ~': ~*?'-c ~'~.~L :' .... :.'*::~'~?/":~'~;~." ~; ~,~ ~**~.' '~:'~;~:~
' ~ .... :., ~: :-. , *~ .-" :;:."'d:: * *~*: 1,+ : .L~
' :-~Modif'~ Inventow ~ntro, Monitoring., 7-. '. ~ ..~'~~'~ ~. ~~.'~'~"
'L~ ~ -d. I~TankL~el~n~ngD~i~ '~'~.,'. '.- '~ ~% ?~_~ :~...' r~..>..-'.~:...--: . ~"~ ~: /-' ·
, *]- *':f; V~ Zone Monitoring ' ;: * ,.~:?~.~;'%.- :~: ' ~ ::'r'~:~'''.,L.':~ r''L ';, ' ' -'':¥.*~,,* ' :'~ ~'
b. ~ubleWall~ Tank ' ' ~ ~ '
~riz~' ' ",
'::': A ~ .'- ..
-E ~ion :' : ~i- ' '"'
C. GmviW .... !
~.C~
.
v-,,
6. N~ Con~ru~ion/Modifi~tion ~v I) ~
~,/~~'-,~...).V ~-~_., ~N?":-.-',"~'~ "- ~' : ~ '~
9.Maintenance, General ~fety, and
Operating Condition of Facility
t v
L/
Reinspection scheduled? Yes ~-"~.~,/,f/ No ' Approximate Reinspection Date
INSPECTOR ' 1~ : \
_ '., . ~- ~"v.',"~:, ~ , ' ~, ',~", "'.; '\ '"'~.,, REPORTflECEIVEDBY:
Health 580 4113 170 (7-87)
V
~ 4. ~IVEL
0 5. OVE~D R~CTOR
E 8. ~ER~PILOT
K~ ~o s~y~; I Key ~o deficfi~ci~: N~ no= cer=ifi¢, .8= brok~
8A~a]ance ~HE~ey · ~ mffsslng, T~ torn, F=
RJ=R~ Jacket ~lF'Rasse]~nn I A~ n~s adjust~, L=
K~ to ins~tim r~u]ts: Blan~ OK, 7~ Re.'ir wfit~
tn sgv~ da~, T= Tagg~ (noz$]e
until re~ir~) U=T~ggable Violati~, ~t left in use.
-~ VIO~TI~S: SYST~ MARKED WI~ A "T" ~DE IN INSPECTI~ R~LTS, ARE IN VIO~TI~ OF
~ 5E~'"~N~ AIR ~LLUTI~ ~T~L DISTRICT ~LE(S) 412 ~D/OR 412.1 ~E CALIFO~IA
-~ H~L~ & SAF~ ~OE SPECIFI~ P~ALTIES OF UP Tg $1,000.00 PeR DAY FOR ~ DAY OF
~ VIO~TI~. TELE~E (805)861-3682 C~CE~ING F,NAL RE~LUTI~ OF ~E VIO~TI~.
~: CALIFO~IA H~L~ & ~F~ ~DE SECTI~ 41960 2, R~IR~ ~AT ~E ~OVE LISTED 7-DAY
DEFICI~CI~ BE ~RRECTED WI~IN 7 DAYS. FAI[0RE TO ~PLY ~Y R~LT IN ,LEAL ACTI~
. ,~ ' /' AIR POLL._U~., iON R9 ST
.. ~.::_..- .... 2700 t'M" Str~.~, Suffte 275 .....
'" ,~ ': 8akersfffe]d, CA. 93301
~' '- ~..'"' (805) 861-3682
'l ;."~ ~,_~~." ' ' ~ ~--~'~'"~~~~~~:: ':" '" ' ' " '' ' "
. - _~~~,--~---~-~. -~ . : -- . ....... ~,,: ..: ---
'-=??-~"'" :- ,. . · ~ :'.' .'..-:..T~K ~1 T~
.. .' . : ~- ,' r , ~ - L .' "::"- -. - -::-: . ,"' :~-' 't i / .
'' ~'"~ " ' " ' '"' '~ .... ~R "' ...." '~ ~ ...... ' ' .... '"''
'. ;.'' -' -. :.?.'. 1."P~CT (U~. ~L?- .:'o ) : '--.'.-, ." ~"'
': ........ :'~".-'":..-" :"- " " : '-".-.W:.. :": "'.',':":'~ '~~"': ' ;" :"'.-:' ,,.": ~:
" : . .2. -.- -.- .'.
· ' ~,-'~. B~K~ O~ ~I~IN~ VA~ CAP .... ': '~ ~;: ~' :: .. :~';-''~
"' '~- ": :'~;~:""' ::':?:"'"'-~?. :'i. 'B~K~ OR '"imrNG FILL ~P ."¢;x-:.,: '- :z' ~: :,':;-', 'X'X__': .....
:~K~ .... C~' 'L~K: ~ ' ' ' -:.. ... -.c · .~- .
~ :: : - .'::-:":-.:': :'.'=. ~~R ~P ..: .:~ .h .~..~- :.....~i~.} :-.:.~.,.,:.':
'. ~:. .6'. 'FILL CAm. NoT P~PEEC~~,' ' . ' ~' ' : ' . -' :'~,."_.:." 7:,:¢'.
l~. VA~R ADAPTOR NOT TI~T ~ --
12. ~K~ B~E~ ADAPTORt& FILL -,.~ t., : .,.
~BE ~I~ING / INP~PEELY ~TED
13. DRY BR~K ~K~S D~ER[O~TED
1~. ~CE~IVE VERTICAL P~. IN .....
~IAL FILL ~EE '<
~~ 16. T~K~E~ I~DEP~ DEFECTIVE~ R~IT (~]/. "' '" "--" .........
18. DIFFER~CE (~CD BE 6" OR LESS) '
19. O~ER
20. CC~4~IENTS:
WARNING : SYSTEMS hlARKED WITH A CHECK ABOVE ARE IN VIOLATION OF KERN COUNTY AIR POLLUTION
ODNTR~L DISTRICT RULE(S) 209, 412 ~'qD/OR 412.1. THE CALIFOF~IIA H~LTH ~ SAFE'D(
SPECIFIES PENALTIES OF UP TO $1,000.00 PER DAY FOR EACH VIOLATION. TELEPHONE (805)
8.81-3682 CX]NCERNING FINAL RE~LUTION OF THE VIOLATION(S) ~
HAZARDOUS SU~TANCE STORA~ACILI~
~ IN~ECTION REPORT * '*. ~' '.' ' '
5. Tightness Testing
6. New Construction/Modification
7. Closure/Abandonment
8. Unauthorized Release
'9. Maintenance, General Safety, and
Operating Condition of Facility.
'.. Comm?nts/Recommendations: , . ~ ,
,~<~_' ¢~'-., I ,, ~. .
!!~ein--tion~chad.l.? __~L_¥e,__ No Approximate Rain..ion Date 5/~-.,/,/'~ ~.. q
.':~ ' -/ / ~- '~ ' "
.'.~} ~alth 580 4113 170 (7-87) '
Perl~t # ~ ~.~ ~/ . Dete ~
EnvironmentRI Sansitivity' ES I. '- ~ion Time
'~. & UNDERGROUND HAZARDOUS SUB~ANCE ~ORAGE CILI~ . ',~.', .
, , ~ , ~ . ~ . . . :~, .
. ~ '- ~ ~ *' IN~ECTION REPORT * ' . ..' :.
.. - ]
:~ ,~ - ' ';'9"."":: hmit ~
'~ ..No. of T, nks ":' '~,' ~ : ~.' ~..': ~? Ii Informstion on Pemi~Appl~ion Corr~ . ::Y, ~ No ' - ' :~::;~'
~:" T~ of I,~io,: · Routine :~ -' ~ .e?... ':;'.':': ::..."~on~hi~ - .... · . · ,. · Re,~on. '
: ';' ~ ~""""" ~'~i""~""" ' '??"t -'
' ."b; ~,n~rdl~en~o~Oon~rolMo,iloring . ~.....~ ~ :~.:--~?~ ~e:z-.'-~-~; ~' .-~ ~..::~:,-.;'~r:~.rT..:.~L~?~ ':'~''~ :;' ']'hl'~h"%:'";"z;"~'~;~ s~'x:~'?';:-,' ';'": /.V~t~'.'.~4' .."<~:;.:
~?':~ ~' ~bl~Wall~ Tank ".e:'d':..~:~:.:::.~:::~'. L': I' -":'" %'': ;~';; ~:": "h(' '~'. · '?? .... ' ?~...."::;:~ ...'~: .' ' ...-.: ..~:.' ,.~..; ~-.~: .'-
' ' ~ Vaul~ , · : -. r..-- ,
,' ' 3. Pipi~ ~n~oring:. :" ::' '~"~..;"" . .. , _ . : :, · .-::; :-'. , : .-.,:~:...f,
.... , . ,..:.~,,:. :.. .,' ..:: ;' ,: ,.':: :.,.: - .,
. .... ~.,
-. ~ ~riz~ ' ,:,: ..... ?;p.~. ::. ,' '.. ~:; '.:'* '. ', ' ,~--, -:' -..: ":,?L':. :L : :'.'
Pro--ion . .. · . ..
~ ~ .." L. ~... · · .. . '. . [.~ ..
5. Tightness Testing
6. New Construction/Modification
7. Closure/Abandonment
8. Unauthorized Release
9. Maintenance, General Safety, and
Operating Condition of Facility
Comments/Recommendation,: "~,~,M /~. rez 'Y .i ,'
t t . ' .... I '
y ~7 No Approximate Reinspection Date
Reinspection scheduled? es ....
Health ~80 4113 170 i7-87)
: KERN COIJI~TY HE~d..,TH DEP~fl:~TI~IENT ..... -f-- PERI, II
. : ~ .'. . - .- "S~- : -:.". · .. . ~-~ ., ....... ...... . ..... ._
FA~I~I'~'' "' ' 5~ ~~ 'f~C'~K''' ''''~ : '"c~AcI~ '~~ ": "" "'" '-'" 'P~°D~>:~I~~ ' :' .... '°N~~" ~ ii:~:'::::;::~
.. .' .. ::::>-' ~ ,-: <.-s--. -..: ':..' -:::::~:' :: -:. ~ ~'-':.: - :' :'-::::':-"~:? :':": ' '" : :'~'': :- "' ?> ,7 ..- --.. · ' ' '.' · '~ '- '~:-:':: ': ::-::':'~':::':::'":::<:_-.': ..... ': :' -'~" ' ---::":' ':'! '': .: :'~ ' -':'
I 2 3 4 5 '6 J ~ J 8 ~ 9 10 , 1: 12 .
OPENING OPENING CLOSING CLOSING H~TER DAILY HETER TOTAL RE~ING GAUGING ~UGING DELIVERED
DATE ~UGING I~NTORY / I~NTORY RE~ING ~ RE~ING = NETERED ~JUS~NT ~ BEFORg AFTER _ ? ~I~TORY GAUGING
~: ,.~ - SALES ~ ~ · DELi~Ry DELIVERY ~ :, .~:~>_ c?¥~.-~
DAY/HOUR INCHES GALLONS GALLONS GALLONS ~LLONS GALLONS - GALLONS INCHES GALS INCHES~ GALS GALLONS ~
.~-~. ~ ~q.~ ~,~ ~~,~ 0~6~,~ t~,~ ..... ...
~q ~ ~.o ~q.o o~qz~,~ ~:~.qi q~,q _ ........
I:
I HEREBY CERTIFY THAT THIS IS A TRUE AND ACCURATE REPORT. SIGNATURE DATE
Env. H~lth 580 4113 1018 (6/86)
. ....: · . - . ,~... -- . .._,.. . .~.:.~
.... 15 ',:;'15
' . ' "14 '" 8"
- ; ' 12 -~.' ' ' '5 ' ' TOTA~ '~ETE~D '~- ')-I~E~ORY .~:,?~z~:~;~5:;:.'.~OUNT:zS:~''
,. 1 ,' "- ~ ': 4 . ~ . ' -. RE~ING TOTAL ~ETERED
.'~5~.~.;;r''~';: :.~:' OPENING DELIVERED ."CLOSING .- I~N~ORY TOT~ ~ETERED :~_ .THROUGBP~.?~:~.?~REDUETION-~:~ER'OR-sHORT
DATE ..~' ~-.I~E~ORY -' -I~E~ORY ~ - 'z S~ES :;'-:~7.;~:'~:~. ' ~JUST~ENT '~. "-.' THROUGHP~.. ~LS,
' '" GALLONS' G~LONS G~LONS GALLONS ,. GALLONS ". GALLONS .'f:' ~::, '~' GALLONS
" '2~ -' i
~EK 2 ~S ). 0
WEEK
MONTIILY ~AI, S
';:'/'~?"~:':'i KERN COUNTY HEALTH DEPARIMENT ., L-' BILLIhI~'DAIE i
· ~g Address: 1415 Truxtun Avenue '
· . :.' ~:-~---;4 Bakersfield, CA 93301 .! 0 3 / 0 6 / 8 g
; >"::;" :> ~i~! ., " 2700 M Street, Bakersfi~Jd
':.'.:~,: ?.:.; -', :,' .Office Address:
· ..:, .:..:...:,..~(805) 861-3636 .~ ' '. ~ ~ ~ r ~ AMOUNT DUE
....' - .', 120.00
""':' PERMIrt/INVOICE
·
. : ' , '.':i; 2.... ,'., :, : ..... , , AMOUNT ENCLOSED
: --J .
.:.] j--" CHARGES PAST DUE ARE SUBJECT TO PENALTY
,.' WAGNER, BILL J.
i 4540 EASTON DRIVE 04/05/89
': BAKERSFIELD ' CA 93309
DETACH.HERE , PLEASE RETURN THIS PORTION TO INSURE CORRECT PAYMENT IDENTIFICATION DETACH HERE
SEND PAYMENT WITHIN 30 DAYS TO AVOID 50~ PENALTY
L AMOUNT
...~ DESCRIPTION
· DAlE. , . . , J
:' 03/06/89 PERMIT/INVOICE # 180002C-89
i ANNUAL FEE FOR PERMIT TO OPERATE UNDERGROUND STORAGE FACILIT1
J WITH 2 TANK(S) LOCATED AT:
" 4540 EASTON DRIVE 120.0£
BAKERSFIELD, CA
.:.
· KERN COUNTY HEALTH DEPARTMENT ~c~,o- ~o~
' ' ~., ........ d
... ~:,.,,~g~~r~X~['~'~"~?~:~*~ X~TAL AMOUNT DUE ·
'.,. Ju,y 31, o , '
.... : '"':'7'.'.. ' ". . .f~';.- . · " '
~ VlRONMENTAL HEALTH DIVISION
~00 M Street, Suite 300
ERSFIELD, CALIFORNIA 93301
,?
' KERN COUNTY AIR POLLUTION CONTR ISTRICT
'"" --- ""'"""'"'"' "'"' OPERATE
, BAKERSFIELD. CA. 93301
.. " ~ U ~': ~) e ;' · 8 2 2,3 0 0 2 - 0 0 2 TELEPHONE: (805) 861-3682
PERMIT' TO OPERATE .IS HEREBY GRANTED TO: HILLCREST SHEET METAL
· FOR EQUIPMENT LOCATED AT: - ; ':" 4540. Easton Drive. Bakersfield
EQUIPMENT OR PROCESS DESCRIPTION: Gasoline S~oraf, e & DispensJn~S~,stem
OPERATIONAL.,,CONDITIONS LISTED BELOW. ~'' ., ~ '"' ] : - ' · - '"
THIS PERMIT BECOMES VOID UPON'ANY CHANGE 0F OWNERSHIP OR LOCATION, 'OR
the e~ission of ai~ contaminants in excess
o¢ those allo~ed by. ~he Rules and Regulations
o¢ the K.C.A.P.C.D. Fo~ Period:. 12-31-88 T0 12-3:'89
60~ITIO~ ~PROV~:
Compliance ~ith all conditions of approval imposed by any applicable Authorit~ to
Construct is ~equi~ed Fo~ life of this equipment unless modified by application.
~UI~ D~SORI~ION: 6ASOLINE STORACE SYSTE~. includin¢ the Folio~in¢ equipment:
One 4.000 Unleaded
One 5.000 gallon ,Regular grade underground gasoline storage
tankfs) each'with a permanently affixed fill tube terminating no more than six inches
from the bottom of the tank and provisions for the collection of gasoline vapors during
OPERATIONAL CONDITIONS: --
1. At ]east 90% by Weight of all gasoline vapors displaced during the filling
of Storage tanks shall be prevented from being emitted to the atmosphere.
2. All lines, f~ttings, adaptors, caps an~i connections shall be leak free.
3. Liquid spillage and. drippaMe at disconnect shall be prevented.
4. 0nly California Air Resources "Certified" vapor control equipment shall be
utilized.
5. Tanks on delivery .vessels shall be leak 'free.
6. Tank-filling shall be accomplished only through a permanently affixed submer~ed
fill device.
,. " KERN COUNTY AIR-POLLUTION CONTROL DISTRIC~.~.,~;; .
2700 "M" Street, Suite 275- '~'
Bakersfield, California 93301 ~- Director of 15ublic Health
Telephone (805) 861-3682 ~ , Air Pollution Control Officer
PERMIT TO OPERATE
"'" ~ · RENEWAL STATEMENT
HILLCREST SHEET METAL
MR. ,STANLEY H. CHAPIN ~ ..: '* PLEASE .RETURN PINK COPY
4540 EASTON DRIVE " . - ' * WITH REMITTANCE *
SFIELD ' .~ - ' CA 93301-0000 . ,:,, ,._ ' ·******************************.
%,~.,-~-,;.~ ·.. . . . , ..... ., .- .
... ,.: ~, .-.. :,........'.~ -.. , '- . ,-. , - ', -; 'i':..: ':.Date: NOVEMBER . I, I988 ..
· ' , ' ;,~ :' .,- . '. -; . /- ' - ' ' .-' ';-'- . -:,: '-/,--:':,¥~,"~:~ ':.-4 ' :. _' %' .:..-,,::.~,
";-:'NUMBER "'?:'-'"'SOH. 'fY:? E':":"?;*RATING ' "':' ' :;' :: "'""" FEE ;':'"?'-'"/-.':""" ':P'AID ' - ' ";"":'"'::'":"DUE ;":
8228001 ;. ,;..:(50)' ; "- .: 4.000.00 GALLONS , :..,....,,..60..00 '.'i/:':!i':.,., . . .00 .. ' . -' "60.00
82.28002 '(50) ":..5000 . 00 · GALLONS "60.00 ':-:' . ' .00
TOTAL FEES DUE 120.00
CREDIT . O0
o TOTAL AMOUNT DUE lZO.O0
DATE FEES DUE: DECEMBER ~, ~988
PERMIT ~ SOURCE OPERATION DESCRIPTION QTR/SEC/TWN/RGE
8228001 GASOLINE STORAGE / / /
8~28002 GASOLINE STORAGE
~733
NONPAYMENT OF THE FEE WITHIN THE PERIOD PRESCRIBED BY RULE 301 SHALL RESULT IN AUTOMATIC CANCELLATION OF APPLIOATION,
PERMIT FEE PENALTY. OR PERMIT REVOCATION.
. ./ RETAIN THIS cOpy FOR YOUR RECORDS
KERN COUNTY HEALTH DEPARTMENT
'i-700 FLOWER STREET ... : . [ BILLING DATE
· BAKERSFIELD,~CALIFORNIA 93305 J 4 / 0 ! / 8 8
' (805) 861-3636 '. - ' ....
NAGNER, BILL 'J. CHARGES P~T DUE ARE'SUBJE~ TO... PENALT"-
HILLCREST SHEET ~ETAL, INC.
4540 EASTON DRIVE J DUEDATE
BAKERSFIELD.' CA 93309 J 5/01/88
DETACH HERE ~ PLEASE R~URN THIS PORTION TO INSURE CORRECT PAYMENT IDENTIFI~TION ~ DETACN
SEND PAYMENT ~ITHIN 30 DAYS TO AVOID 50~ PENALTY
4/01/~8 PER~IT/INVOICE * 180002C-88
'ANNUAL FEE FoR PERMIT TO OPERATE UNDERGROUND STORAGE FACILITY'
~ITH 2 'TANK(S) LOCATED AT:
4540 EAST0~
BAKERSFIELD, 'CA /~0.'e j ~20
Ck
KERN COUNTY HEALTH DEPARTMENT s~,o~ ~: ~,~. ,, o~, , .............
1700 FLOWER STREET ~, ~~~- - 1 2 0
BAKERSFIELD, CALIFORNIA ~330~ ................. , ........ ~ ......
· SEND r~ ...... WITHIN 30 DAYS TO AVOID 50% PENALTY
, ~:~..:~ ~:,,~.. , DES'CRIPTION ~ AMOUh
· , ' '..,\O~CE = ~8000~C'-87 ' '
FEE FOR PER~:iT 'TO OPERATE U~'DERGROUND STORAGE FACILITY ·
' ~".'" ' LOCATED
WITH 2 ,:~K~,,(S i ' -'- '
...... ;~? ~ :~': "~n'40 EASTON DRIVE : ' ''; ;.' "' ' .-.. : ~ · ·
.... ~:;" .:, --. ;-'_ _ ' ..~ ~. "." .,--'::" ':.'..;~.: .' ::::': ' ;" l'~0 0:
" -~x.~.~:~,-x-~.~X,~:~.~v~.~-~.~;~ TOTAL AMOUNT DUE ~ 1 2 o. o
.Kern County Health Departmen_~t ~-7. Permi~¢--' .-/._
Division or Environmental H~',, ' 'applicatio~..i',-~
-1700" Fiower Street, Baker'sft~[~i~ ,' CA 93305
APPLICJ%TION FOR PERMIT TO OPERATE UNDERGROUND
.-" HAZARDOUS SUBSTANCES STC~E FACILIT%f
Type of Application (check): ' .'
r~Ne~ Facility [1Modification of'Facility f~lExisti~g Facility [~Transfer of
' ~mergency 24-ttour Contact (name, area Code~ phone): Days Bill J. WaC~er 831-4660
Facility Nan~ ;. HILLOREST BTr~. 1~ IN~., No. of Tanks '2'
~ of'Business (check):. rlGasoline Station ~(Ych~ (describe) A/C, shee% Metal .......
Is Tank(s) LOcated on an A~ricultural Farm? [~Yes
Is Tank(s)Used Primarily for ~l~r. icultural Purposes? ~]Yes ,~.N~. - . i ... '-,i:".",,..:
Facility Address ;.4540 Easton__., ;. 'c-.,,. Nearest~,,~ St. California
~' T R SEC (Rural Locations ~ly) - ~-'<,>
-(~r , . Rill J. Wa~ner 'Contact Per~(~ 'Bill fi_ Wn~n,.~ - '<
..... '-,' Address ~540 Eqs~o~ D~ , ,,, ' Zip c~5S~ - -Telephor~ '%22.5o81
"B, Water to Facility prOVided by :'California Wafer'Service ':.De~th to' Grou~heater ~:U-~own
C. Contractor Omen, , CA Contractor'-- License No.
~ddress 2100 So. U~io~ Zip ~eleF~one i'~%~-o67$ '
F~oposed Starting Date Proposed Completion r~te
Worker' s Ccm .pensation .Certifl6atio~ ! Insure~
D. If This Permit Is For. Modification Of An Existing Facility, Briefly 'Describe Modifications.
Proposed
Tank(s) Store (check all that apply):
Tar~ 9 Waste Product M~tor Vehicle Unleaded Regular Pr~i.m Diesel Waste
Fue .... -6tT-
F. Ch~ical ~po~ition of l~aterials Stored '(not r~ces.~ry for ~otor v~htcle fu~ls)
Tank ! Chemical Stored (non-co~nerctal name) CAS ! (if kncma~) Ch~ml~a~S~r~d
, (if different)
G. Transfer of Ownership
Date of ~-ansfer Previous Owner
Previous Facility. Name
I, accept f~lly all o61'i~atio~s of Permit No. issued to
. I understand that the Pemitting A~thority may review and
modify or terminate the transfer of the Permit to Operate this ~%dergro~d storage'
facility upon receiving, this completed form.
~his form has been c~mpleted under l~nalty of perjury and to the b~st of my knowledge is
true and correct.'
signatur~e __ Title Presiden~ Date
4/22/8~
1700 Flower Street KERN COUNTY HEALTH DEPARTM NEA,TH OF~CE. ' ·
B~kersfleld, California 93305 -. ~. Leon M Hebertson,
: Telephone (805) 861-3~6 ENVIRONMENTAL HEALT~ DIVISION
· ' DIRECTOR OF ENVIRONMENTAL HEALTH
iNTERI'M .'PERMIT" PERMIT'S'3- eooo2
~'. ..;:- . ".' ',"... ISSUED: ' ~Y 1, 1986
' '~: S : EXPIRES = ~Y..1, 1989
UND . '. STOOGE FACILITY ~' ".' ";~-'?-'~ ": N~BER OF T~KS= 2 .
.. HIL~REST SHEET METAl, INC. '~ ' . WAGNER~ BILL J.
' 4540 gASTON DRIVE '~ 4fi40 EASTON DRIVg
BAKERSFIELD,:' CA ~ -BAKERSFIELD, CA 93309
-'"-- 'T~K {." . AGE(tN YRS} : ~-- SUBSTANCE cODE '-'-PRESSURIZED PiPZNG?
'. 1 ·' .- 12 ~F 2 ONK
2 '10 M~ 2 UNK
~. NOTE: ALL INTERIM REQUIREMENTS ESTABLISHED BY THE PE~ITTING
. AUTHORITY MUST BE MET DURING THE TE~ 0F IHIS PE~IT
NON_TRANSFERABLE ** * POST ON PREMISES
DATE PERMIT MAIl,RD: JUL 2 1 1986
DATE PERMIT CHECK LIST
..c~<~>~:~'~ :'. ~: .. ....... · .... , '. T~'{ ~':'{ ~ (FILL ~T SEPA~TE ~
{~j?,i: z, .".Tank ~terial .-., ..-~ : ' · - 'J.
~'.,;:;;.':-::',~, <' ~car~ SC~l ~s~inl~ss Steel ~l~inyl C~0ride
)~.Z?[~2~.,::.~:.-.:~ .. ~i~rg~ss-R~nforc~ Plastic ~ Concrete...~ ~n~
~:'= i':-,.,."' · .:--~ uuner (-de~rz~) ' · ; · :. - ~....,-
~.-~.,. ..... - .... 973 . ...... · ,. ~ - - · - , .
'... =-.,' - .'' · · : '.. 5PO0. '.. ....-
:~1::4,.:::?.'-.'?~" Tank Eecondary Contai~nt -:"; .... "% .'.
~?.Y.':..::-,:?-. "Bother :(de~ri~)~- ~.'-- ' .: . .- '....: .... :.
:::::::::::::::::::::-:L.":;.:) ". ~ter~ai "..-" ; '~ic~ess (Inc~s') '. -.
~;~:.":~:,::'Y:"?'~~r ~ ~ · "" ":-' '"'?, * '. ....... :::::::::::::::::::::::::::::::::::::::::::::::::::
::%-~-~ :'.' .... ~i _ . .~-.=~-~7' ~ ~ ~ ~ ~ ~v~
~-~:z~--?. ::.--'.-~'ca~xc Proc~txon: · ~ ~ res~ ~rent S t : '" ' '
~ ? ~:::~ .7. Leak ~t~t~on~ ~n~tort~ and Interceotton : ·
%,.'.,..,;.>, .-..~-~ wi~. C~ible Liner Dir~ti~ Flow
...~. '~ Pressure ~n~r In ~ular S~ce of ~le ~all Ta~
~'~ ~i~ld_~t[i~al i Ins~ction Fr~ U-T~,~nitori~ ~11 or
.
: .,.' ':Q :::.-
-:" ~ -'- . :.'::: .:'<.:?:.:j.,
~ .-. ~te of ~ Tightne~ Test 3971 ---- Results of Te~ OK
.- Test ~e Pmess~e ~sti~ ~ny Omega ' '" ~'
;.. .... 9. T~k Re~i~'
~... ~te(s) of ~ir(s) : .:"
?-." ~ri~ Re, irs "' ', , ;,,
· ..:-~ . '
~: ... · 10.. ~erfi11 Pro~cti0'n , : ... ::. <.~::.:~:.:%.
?.. ~rator Fills, Controis, a Vis~lly Monitors ~vel ' . ........ · ~-
~.. . ~Ta~ Fl~t ~e ~Fl~t Vent Valves ~Auto Shut- Off C~trols' ": .... "'~ .... ':.:'?::-
'~"~-"-'.-' ~~ita~e ~r ~al~ Fill ~x ~ne ~o~
.
.~.~, .
.. ....: .
, · ... . . -: .: ::-, ;:"< . :...':;'-?':' .:.~
' ': ...' Thickne~ (i~hes) 5ch.80 Dieter 2,, Hanufac~urerU~~ .- ..... .:<.:: %::;....
"-:":~::... · b. U~ergro~ Pipi~ Corrosi. Prot~ti~ ; ":"". ........'.:... ,
.... ,- .... , ./' . ,~... . ::.,,~.:
:' · O~lvani~ OFi~rglass<l~ O~ess~ ~r~ent O~rificial '~ :v,'-:.
-:"":-. ~Pol~yle~ wrap OElectrical :~lati~ DVinyl
/~(":'::'~:' c. Ondergro~ Pipit, Seco~ary Contai~nt:
¥~. ' ..... ~l~all ~~etic Liner ~st~ ~ne ~~ -' . ':...:".::,: "-
~k.;' <' ~Other (de~ri~): .
r,,-: ..',.. .... . . . ...
,~%,::hq:q""" '~':..-" '. .... T~K ~ ~ (FILL ~T ,~EPA~TE ~ ~ T~K) <-~ '..~
C~...~- - ' ' ' ~ -: :':..~
,<~, :': 2. ~ ~te[lal · - ' . .' · :" ' "
· .{::::.:.:-...-..: '" ::.:.~C~~I D S~inless Steel O ~l~inyl Cmoride 0
,':'t.:).:':-:<' ~'.:: ':::':'. ':".~ Fi~rglass-~einforc~ Plastic ~ Concrete ~ ~in~ ~ Sr~
:<:.::.::-- .,. ~Other (de~ri~) - . · · :: .~-
~[:~::?~'::...... '..:'.~e ins(all~ ~ic~ess (Inches) Ca,city (~11o~) .--..:,:,-:-' ....
:::::_>-./:~:- ::.,"..- ..: .,: ........:.. -~ .: . .
· _ : , ;,
?:.::::::-' ::4. ' Tank Secoffdary Contai~nt . - ::'- .~ · -
- . ..~-<..
::?:?..':' '.'.<'--.'~1~il ~thetic ~ner ~Li~ Wult ~ne ~~.
'" ~uf~u~: ":1:: :::::::::::::::::::::::::::::::::::::::::::::::::::
::,::::. ~-:-.:. :,,?.-.' '. O~teri'al ' ~ ~ic~ess (Inc~s) i : '~ity:.(~I~';)[ :
::~'>-.0":: .:5. :.-Tank-, Interior Lini~ ,..' - .' · ',.- .: ..--: .... '::'
:~:~::-:~:~:-.'.,:,:::S..::::: ~Other (de~ri~): - ' '.. . ' "· ...' .,".' ::' .-.: ',::::-: '::-':." -.' ===== == == =?==?====
:-1:~:(::?':~:".6.'" Tank CoFrosion Protectl~ '' ' :" ' · ..... ..... - .... ' '' -?: :-:'<--'
:l~::::~:.:::.?.::C~ic Pr~t~on: ~ ~es~ ~rent.S~ ~ri~i~i~::.~,
~uo~; ~o=i~, e~ I~tercep~i°n' . ~- ' ' ' "q,--.-::::::::::::::::::::::::::::::::::::::::::::::::::::::
· · -, ..- ..J..' waose zone (m -. -. -::'...'.:
:'::::,'::? '.::':.' :' "' ':' ~-~ ~i~ C~tible ~ine~ Die,tim ~1o~ ~ ~nito~i~ ~n(*)"* ::::::::::::::::::::::::::::::::
::?:';:~1:-':. :' ·. :.,"'.. ~ Va~r rotator* ~ Li~id ~el ~n~r~ ~ Co~tivity ~r*
..:: :- :.'::~: ' - ' - ' ". -- ~ ~..
,'~-'-,-'-:''-.'' ~ Pressurs ~n~r in ~ular S~ of ~ble Wall ~ --
:: ': ~ily ~i~ & I~entory Re~nciliation ~ri~ic T~h~
.:':
:<.'"'" ~ ~ne ~ ~o~ ~ ~er · .': .... '. ·. .... .:.-",. - -,'
:.:': .::. . ....... , , w ~. ~, ~. ~ r. : .:
,.. .-.,. b. ~i~i~ ~l~Restricti~ ~ak ~t~tor(s) for Pre~i~ ~i~i~ :; :. .;'-,':......:,..
~U~o~ ~er ..... :- ........ ... :".:"_.. .
..'. 8. · "' .'
~te off ~ Ti~htne~ Test 1973 : Results of ~ 0K
Test ~e ~ress~e ~sti~ ~ny Omega .... .' ' ,."~: .....
9. T~k Re, ir '.' '- ' ......... ." .... '"
:.,:-: ~ ~lr~? ~Yes ~ ~kno~ . '"- --
.. . ~te(s) of ~ir(s)
~ri~ Re, irs .' ..... :"::,--'.
--:. 10. ~erfill Pro~ction . ' -:,'- '
:': ~' ~ci~e ~r ~al~ Fill ~x ~ne ~o~ - '-
.-.....i::[: ~Ot~r: : List ~ i ~1 ~ ~ ~i~.
~:~':,. :c:~ .... :": '.: .':'. '-' ?(<,.,[;:3,::..-','v~'., .'.:,'~)'~!;"/'- '
~?[:",?..". 11. ' .:... ~_~.., ,
:"':~ <:::<:, ::. ' a. ~ergro~d pipit: '~es ~ ~om ~terial steel
'~::-.f'<~ :,' .. Thickne~. (i~hes) Sch 80 Dieter 2" ~anui~c~urer 20'f}. "
~i.?.'-",'~; .- '
!,'--:',.':.:. b. U~ergro~ Pipi~ Corrosi~ Prot~ti~ · ·
.... ,..... · · · --: ..-:." :. ~.5: .'.'..' .~':-..:.~'. .-
,,~,? ...... . ..... ~Polye~yle~ Wrap ~Elec~rical I~la~i~ ~Vinyl ~r~ .~
?' . ~l~all ~~etic Liner ~st~ ~ne
KERN COUNTY HEALTH 'NT
2700 M Street HEALTH OFFICER
Bakersfield, California ENVIRONMENTAL HEALTH DIVISION Leon M Hebertson, M.D.
Mailing Address: · ' DIRECTOR OF ENVIRONMENTAL HEALTH
1415 Truxtun Avenue Vernon S. Relchard
Bakersfield, California ~3301
(805) 861-3636
July ll, 1988
Hillcrest Sheet Metal, Inc.
4540 Easton Drive
Bakersfield, CA 93309
Dear Mr. Wagner,
After careful review of the reportable inventory variations
at your facility located at 4540 Easton Drive (permit #180002C),
the Department has concluded that these results are due to a
history of low throughput. This letter is to advise you that you
will be granted a "provisional exemption" from the standard
reporting described in your permit packet.
This Department is currently undertaking a study of the
inventory control problems of low-throughput tanks. To
facilitate this, a copy of reconciliation worksheets for' tanks
listed on the attached outline must be sent to this DePartment
monthly so that we may add this information to our data base.
Please send all submittals to my attention.
Our .preliminary information indicates that a change in
reportable variations is necessary when the throughput of a tank
is less than 2,000. qallons per week and less than 10,000 .qallons
pe~ month. The accompanying "Low-Throughput Tank Reporting
Outline" describes these changes.
A revised action chart and an example of a changed summary
sheet (on the back of inventory reconciliation worksheet) have
also been enclosed for your convenience. Please make these
changes on your worksheets for weeks in which you have low
throughput.
DISTRICT OFFICES
Delano . Lamn.' Lake Isabella . MoJave . Rldgecrest . Shafter . Talt
Hillcrest Sheet Metal, Inc.
July 11, 1988
Page 2
Be advised that this provisional exemption is subject to
change as further data becomes available to the Health
Department. If, however, a listed tank at any time exceeds the
~defined low-throuGhput amounts, you must revert to compliance
:with the original reporting requirements. If you have any
questions regarding this correspondence I can be reached at (805)
861-3636 between 8 am - 9 am.
Sincerely,
Mary Kryszak
Environmental Health Specialist
Hazardous Materials Management Program
" MK: dr
Enclosures
HMMP #510
., Low--ThrouMhput Tank
" Repot-ti n~ Outline
· : These amended permlt requirements are only applicable to tank(s)
" .Indicated below when weekly throughput is less than 2000 gallons
""~ and monthly throughput is less than 10,000 ~allo.ns:
:: Effective Date:
~ f.,.~ .. Tank # .., · _ .......
i.: Tank # ,
~; Tank # ,
· .'. Tank # ., - ''.
Amended Permit Requirements:
1. Revised inventory reconciliation monitoring worksheets are to
be submitted to the Health Department on a monthly basis.
" 2. Revised Action Chart is to be posted at facility
" 3. All variations exceedina the following amounts must be
reported as described on page 16, 'Part "2" of llalldbook ~IIT-IO, : .....
.f
~< DAILY - 75 gallons .
:'"'i WEEKLY - 150 gallons .
~-'., MONTHLY - 200 gallons ,
i~, TREND ANALYSIS - No change
~ '..~}
(Form #HMMP-110)
........
TOTAL.':':~:. ,~ .~-
~EC~EO
~TEn
TO
-~.. ~ I~' ~-... ...
READINGS .
..ST~T ..*
Pumo_ ~ TOTAL · ~ , "-- .... *- ' " --
.
Moo~.~. ,' CALIBRATION
o C~EC~EO ~'
TOTALIZER FINISH* ? ' .....
READINGS ~Y ~ ~ r~ ~or~zEn ~o ~r~
C~I~ATION
~F~EU AOJUgT ED TO
FINISH
~ ~o u~ ~ ~e~ ~E~SRATION
~ED · A~TED TO
R~DINGS ~ ULL~ TO~ ~ZR ~ED ~T~R
~.' ~-~ ~r, uuu(c CALIBRAT~N
~ED ~D TO
TOTALIZER FINISH
,, ,,-, ,,. .... :,..., ~aclltt~'.,_..__... ~,: - . .....
~ ,' ,~, '~.l~".-All';'meters muh~ have calibration checks a minimum of twice a ~, which may
~,. :, ..'.:~.(.lnclude checks done by the Department of Wei~htm and Measures.
· "~L '" Q.,"'-,Before'starting.calibration runs, wet the, calibration can with product 'and .
' S,,:.Run~'5 gallons 'with"nommie wide o~en into the can. Note gallons and cublo
" ': '='.'.~" ~ ' "inches drawn, and return product to storage.
;' 4.' 'Run 5 Rallons'wlth,.~h~ ,nozzle one-half open into t~ can. Ho~e gallon~ and
,..r.~ .'.: ~cubic,lnches dra~,~hd-'r&~rn~product to storaae. '
'" 5.:"After all product' for one calibration check is. returned to storage, remember
, ,. to record the volume, returned to storage in column 9 of the Inventory
.... Recordln~ Sheet.
O. / If' the volume ~easured in a 5-gallon calibration can is more than O cubic
' ., ~..',,~.lnches above or below the 5-~allon mark. the ~eter requires calibration by a ~, registered device repairman.
' , ' Device Repai~ Date
Outs/Time Hose .or 1/ ~ast Flow Slow ~1o~ Vo~e Returned Calibration
5-Gallon Draft to Storage Required? Used for [Calibratiou
Pump[.,~ Product 5-Gallon Draft . ' Calib~ati~
Cu Inches Cu. Inches Gallons Yes No '-~ vc .c-~- .....
~' .., , ~': ~ t . ~.~ ~ 'U~' ~ - -. -
· '.:': ' .4.. ~,,~' .~7.;~' (',.'~t
. ,~, ~. :. ,~.:
Owner 'or 'Operator Signature_, .
. . · ,- -
Calibrator's 91~nature ~ ~/~.~ ~. Registration
:. ",~'.. SUBMIT A COPY OP THI9 ~OR~ ~ITH ~NUAL REPORT.
[ O .E~R C~NGE O. W~M NOTIFIED
'~' FINISH ' ~ ' ' '"
-READINGS '~ - ....
:*' *" CHE~ED
!
~Pump ~ ~OTAL
;uu. ~^.~ ~.t, UOUL~ ~rm~. ~JUa~ R CALIMATION
CHECKEIJ ~OJUS1 ED TO.
FINISH ' - '
I~[ALIZER
START DYeS ~ DYES .. -. DNO
~~o uoo,;~. .. CALIBRATION · '
;.. ,., L ' ' ~* "* "" ~ ~ * "' CHECKED TO
. LONS I .~LOW: FAST
~ '~" FiNi~ *' i "' ) · .
I
TOTALIZER
READINGS To~ ~IZEA S~LED ~TER ~O
-. 8T~T ~VES ~ ~v, ".
TO ST~AOE
~E~ED ~USTED TO
READINGS .. ~.
., inCl~j: ~:.a~n, . .,'i~rod. et.' to' ato.t!l~, No~e' Ral lone., a~ J.'.~." .' ':" =?.'"=','~ . "- ':'
~=.¥,..?=,~4,· ~un 5".~all~ns:::~:','the ~ssle'''~ha]f'=.°~n leto. t~ cnn
::, ~,~'. :"~ c~lc~ ~nc~='= d~;/, and tetatn. ~toduet.,.t~ ntotn~. .
. .... ~ :.~ J..:~:~<'Afte~, 'nl):':'~t~;~fo~.: o~ calibtattO~' c~ck ls ~etu~ne~ to .~to~age, '
="~' ~?::':~::' to,'. ~eo~d 'the:~?~l~e ~etu~d to :.ntotn~ In co~u.n 9 of~ the lnv.en~
...,=: ~' .':. ...: .' .
..... · , . · than 6 cuble"' ·
"~.~ .~ '..-",'.-'~: ."..';~:-~-:'=" .~ ': ..~.::. 6.' / If ~he ' ·
: .' ':.:.'%~?~:.-~:: .;,~.,::,~=.,:...~.,. , ~o1~.' lease can ~s .ore
lnch~ a~ve.-or'~~o" ~he 5-gallon nark~ .the nete~ requlres ce~lbrn~lon b~ a
. . . -.~ ~.. registe~ed=..devic~..repairm~,"" ' ' ./' ~ '
' or Tank ~/ Fast Fi~.' ' Slow Flow , lVolume Returned Ual Device Repairman Date of
Date/Time Pump' ~ )roduct 5-Gallon Draft 5-Onllon Draft~ to Store Used for Calibration
'.'; ' -. inchea Oat ions ration _
:-'. : ' . . .-. · . ,'. ~ ~
.. .~:.:~ ~'. :.: ....... ~ ....
,. .. · .:: ~: ': :" .. . ~.. ..:: .
. ~'...~ ..: =... .... -., :./. ..... :'...:. .j-.~.. J
... - --:,..:.,, : /,' ' '
· . .::/'..=. '~ . . ,,. :. '~ .,,: ·
: ~ ,~ ,..~. :. .' -:: '?~.~ ?=':.'......:. .
~..;.~,-'. -, .... : ..'~ - · ~,..:.:., .'.
.:
PEI~IT CHECKLIST
Facility HILLC~,T SHMMP p~TAL~ INC. Permit # 18000PC
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 K~HD in the self-addressed envelope provided
within SO days of receipt.
Check:
Yes No :
~ A. The packet I received contained:
1) Cover Letter, Permit Checklist, Interim Permit, Phase I Interim Permit.
Monitoring Requirements, Information Sheet (Agreement Between Owner and
Operator), Chapter 15 (RCOC #G-3941), Explanation of Substance COdes,
Equipment Lists and Return Envelope.
2) Standard Inventory Control Monitoring Handbook #UT-10.
~ 3) The Following Forms:
a) Inventory Recording Sheet
b) Inventory Recording Sheet with summary on reverse
c) Trend Analysis Worksheet
/ 4) An Action Chart (to post at facility)
w/ 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 address, 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 6 of Handbook): .1) Acceptable gauging instrument
2) "Striker plate(s)" in tank(s)
3) Water-finding paste
,/ 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).
V/ 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) ~ith corresponding
tank numbers listed on permit).
F. As required on page 6 of Handbook #UT-10, all meters at this facility have had
calibration checks within the last 30 days and were calibrated by a registered
device repairman if out of tolerance (all meter calibrations must be recorded on
"Meter Calibration Check Form" found in the Appendix of Handbook).
G. Standard Inventory Control Monitoring was started at this facility in accordance
with procedures described in Handbook #UT-10.
Date Started Aua~ust 21, 1986
Signature of Person Completing Checklist:~
Title: President
Date: August 21~ 1986 .
Permit questionnaire
Normally, permits are sent to facility Owners but since many
Owners live outside Kern County, they may choose to have the permits
sent to the Operators of the, facility where they are to be posted.
Please fill in Permit # and check one of the following before
returning this form with payment:
For PERMIT # 180002C
~ 1. Send all information to Owner at the address
listed on invoice (if Owner is different than
Operator, it will be 0wner's responsibility
to provide Operator with pertinent
information ).
2. Send all information to Owner at the
following corrected address:
Send all information to Operator:
Name:
Address:
(Operator can make copy of permit for
Owner).
/" ...... ERiE '"
- 10
~ : ~!"~" STREET. SU~TE
~ . .: . BAKERSFIELD. CA. 9~1-51~
....
' A PERMIT TO OPERATE IS 'GRANTED TO: ~llcrest Sheet Met~
-~ For equf~ent located a~t: &5~ Easton ~.
' '--"~ Equi~ent or Process ~scription- GASOLINE STOOGE'
~'"~:: 'OR ANY ALTERATION." ~ - ", . · . :'~.: .' ' ~'~; .
". "", NOTE. The permJttee may be ' · ,:' -'.,' ' .',~>~-'~::;:.~*,~'~:~
., sampling and testi,~ ~acilities. ' LEON M REBERTSON,
Equipment modification :r quires AIR POLLUTION CONTROl"OFFICER
... a new permit, i ' '?~/?,.,<.:'"
~.. REVOCABLE: This permit~: does not .:. ..'.~
~"" authorize the emission pf air '-.'- ;
~ contam[nants ,n excess bf those By: , .... ) '~" ~,~" "'~" ~ .... ':"'"'"'
.~. ~allowed by the Rules and Regu- .~'.-~.,~-{::;~',. ..... .
. , ...: % .-- ..
Iations of the Kern CoUpty Air
~llution Control Distr'ict. Period: ~%o~
EQUIPMENT DESCRIPTION: GASOLINE STORAGE, including the following ,:_~...'.,.'~'
equi~ent:
, -~.~:
"
~ ~- l,.~o gallon ~eaded grade underground gasoline
storage tank(s)' each with a permanently affixed tube terminating no
-~3 .. more than six. inches from the bottom of the tank and provisions for '.=he
'"" · collection of gasoline Vapors during the filling.
- ' .~
.,-' OPERATIONAL CONDITIONS:
.;.~.:' 1. 'At least 90% by weight of all gasoline va~rs displaced during .the
2 '~. filling of storage ~anks shall be prevented from be. ing.
:- the atmosphere. ~
~' 2. 'All lines, fittings, adaptors, caps and connections shall 'be 'lea.:k
'~. 'ir ee.. i '
~- 3. Liquid spillage and drippage at disconnect shall be prevented.
~"./'". 4. Only CalifoFn[a Air Resources 'Certified' vapor coatrol'equi~en.['...
~ shall be utilized
" 5. Tanks on delivery vessels shall be leak ieee. ~ ....
~' 6. Tank filling shall )e accomplished only through a permanen'tlY'
affixed submerged fll device
.. · ;... ; ...-..-,?. ;~,,'?.~
~;,,- ,.
'~"
;';~ 'November 21, 198Z~ - · !-'
'~ Hillcre,st Sheet Metal -' .....
i'-'-~'~ ~5~0 Easton Drive .:.
:~' Bakers£-i eld~ CA. 93301 i ....
,.~. --- "Dear Sir: ' ' ·
::~.- ~' i . .' : - -., ..~, .- . . '- ':.'..,, .', '/,: :.;.~,'.' ..
. .. i .' -." . ~,' - ,~ :../- .-.~ .- ~: .' .'. ~ .,~'-:..
;~ .. I ....... . .... '~: -.. . .'" . .~..
~e ..-- . ....... i. : , ...
,.~-: ...... , ..... ..,. ...... i ' ~ '
~.. ....... ,..- ~ "--
~:~ RULE 201 C~:...~TING O~ PERMIT TO O~ERATE .: - .
'A person '$ho ~m..~een granted unde~ Ru'I'~'201 b., a permit to operate
any equipment descf'~bed, i~ 2OI b., shall firmly affix such
opera~e, an approved facsimile, o~ oChe~ approved identification
bea~ing the pe~mi~ number upom the article, machine, equipment
othe~ coa~rivance, in.such a manme~ as to be clearly visible and
accessible.
' rn the event ~ha~ ~he equipmen~ is so constructed or operated tha~ ~he
pe;mit ~o operate cannot be so placed, the p~rmi~ to opecate shall be
~ounted 5o as ~o be clea~ly visibl~ in 'an accessible place within
" feet of ~he equipment o~ maintained ~ead[17 available aC all times on
~ the o~e~ating p~emise~. ~ , -
Sincerely yours, ·
LEON M HEBERTSON, M.D.
A~R POLLUTION CONTROL OFFICER
"-
i.i;,il KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT
:: *:..' .:i'..i'*!..ii..:'.. i~ SERVICE AND COMPLAINT FORM Date..~..~...~..-~....~_...~.. .... Time:. ..................
'~ '('' ~1~ l'ocat IOn c~tv .............................................. '..
·" '* 1' Directions ............... ~..-- .......... ==~.
-.*} Reporting Person Address ............................................................. Phone .........................
I Property Owner Address ..................................................................... Phone .........................
Taken by
RESULTS OF
INVESTIGATION ~ .................................
Cnmplalnant notified
.~ of results .................. Investigated by ............................................................................... Date ...........................................
· ' Environmental Health 580 4113 2029 (Rev. 9/1~9)
~::~'or; 'recyclt"ng. fsc,,~ity:.?¢:I~'~holder Of;:the pemit ~ith :the 'number;.
I I I[ILI II I I ' I[ ' ' '11 ' l'J ." [ I I~rl]1 ' L I
T~nk R~ova-1
Bate Tank(s)Removed.: .,~.," - -'-f- " ,'"' .......... No. o~ T~k(s),:-";,,., ,,,
AddreSs:` ~:~::'~~ )~.t :L' ::,7-7,. :.': / PhOne ;~-: ~' ~2~'.'"'. "2
-.. :,_ --.F;.: -'-'""2 ].'.'.~i'."-.' ':,:'-.,Z~P:-_::- .- ..
..... ~ Tank-.8 .~ "k~E;L,;I Tank' S~ze_
~AU~hOrize~rep~en~A~.l;ve'_~of:~,the?cOfi~FA~'o'r, ce~if~s~by, s~gnJnD.~elo~':~hag. ~he.
' ~.¢ a~e0rdanca' ~:t~h.;:AePn -~ungy "~vTrOmeh~a'l:. :"~
~ank(~::'h~e~' be~n-' dacon~1nS~ d
, , . ':,,~ ;, - , . ... -,f-
., . [. . ..... ~ ...... :.,, -? ~ ~;'.' ~, -~.:.- .,
· HAI~NG .~NSTRUCTIONS: Fatd..',.afld staple; - '
.,.'KERN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
'INVESTIGATION RECORD
ADDRESS "
.ASSESSORS' PARCEL %, CT ' ' ' ',
,"? · CHRONOLOGICAL RECORD OF INVESTIGATION ..... '~:
DATE
MC:cd