HomeMy WebLinkAboutUNDERGROUND TANK-C-02/28/86FILE CONT~NTS'SUMMARY
/
ENV.
· FACILITY :'
AD~ESS : ,2~ /¢~r
~E~IT #/?~0/~
SENSITIVITY:
Activity Date
# Of Tanks
Comments
!,Ke r n .~C'oUn ty/'H ea't th. ~.D~e' ~a r
{MIT MPORI MANENT"
· .~.'.:".'..,....,.:-': ~Conditions..,, ..... as Follows.:...i/'[.,.~
:','~..' .; ' permit application.
'"."'.~;'..-:,:;/L:j:3,.--: AK1 procedures u~ed must be in ac'c.ordanco' wi~. }::, ,~;~J'~,~:~,~,;~':'~'.... ..... .... .
[~ ~..',"j[".&g.......:.'.-"~:'"'[requirements of :Standards .and (.~.uide!ines d'eve:lope'd
:~J;~.?.~:/."~:~"?.. ,..implementation of:: Kern .Couh'tY; : ..on~'inanee:,~C. od
'..? .... 'S'.,:~."'..~:~"}/'. FlashPolnt o~ ~ubstance 'wi.thi~:::.th~:':tanks
"'.::} /, '.' ':....and .'ffeported to ['he 2ermf:ttin'g A't~Ho~i.ty. ';,.." it~(~.'.":"i:."".~.?"::v~:..:t'' ~."
Kern Connty Health ~epa~tmen
Division of Environmental Health
'1700 -Flower Street, Bakersfield, CA
Permit - · ·
Appl ication Date
93305 No. of Tanks'~to be Abandoned
. T~ of ~plication (Fill Out One Application Per _'Facility) ..-:, .. ,,,r:.~-~,,.;,,~,,~.,-,
' ' ~T~rary .Closure/A~ndo~e6~ ·Michael' Callagy . -~ ~ Pemanent Closure/~ndo~ent '
A. 'Project Contact. (~me, area c~e, phone): ~ys (805) 325-947~ . .Nights (80-5~ 323-6880"' "
: Facility Name Orowheat Bakery
. ' Facility ~dress 222 Oak ·Street Nearest Cross St. Bank Street-
T ~',;~- R S~ (Rdral' ~catio~ ~ly) . .
," ~r O~ktr~9 Associati~'n ' . -' Tele~one fRo~%327-)8p.1."--" '
" ',~dress 7J00. Baker. Street · . ' ' Zip /-
:' -' :~rator Lee Sattley Tel'ephone 327_qR~ip
· · Address 700 Baker Street ' 93305
~ ' : ..... .i " ' -" '
:.:'. B. ,. Water· to' Facility. Provid~ by Cal Water v~:]~:q'''-'''''' [: 41:7-[{[b:t]L p~ ~ Gro~d~ter 250'
.... S°il CharacteristiCs at Facility ~C Type III " ': ""~ ...... ~'
~sis for Soil ~ and Gro~ter ~pth ~te~inatio~ Evaluation by
C.' Tank Removal Contractor Turman Construction CA'License NO~ 227755
.' Address -4301 Park Circle Drive Zip 93309 Telel~hone 831-0905
'Proposed Starti.ng Date 09/09/85 Proposed Ccmpletion Date 09/09/85
Worker's Compensation Certff'£catibh' ~ InSurer Wal~er M0rtenson
Environmental Assessment Contractor
Address
Proposed Starting Date
Worker s Compensation Certification
.N/Ai~ff CA License No.
.' Telephone
Proposed Completion Date
Insurer
Chemical Composition of Materials Stored
· Tank ~ Chemical Stored (non-co~nerci'al name)-
1 Water
_ 2 Water
3 ~t~r
DatesStored Chemical Previously Stored
· (if different)
1980 to Present Gasoline
lqg~ to 'Pr~nt ~Sn]~n~
],qgO to pr~nt G~n]{n~
tO'
Describe Method for Retrieving samples . Glm~T,,hm & pl~ mmmpl~ hn~tl~
Samples Will be Analyzed for Flash point
Laboratory That Will Perform Analyses of Samples B.C. Labs '
Address .Telephone
F. This application for: ~removal or []]abandonment in place ',
* * PLEASE PROVIDE INFORMATION REQUESTED ON REVERSE SiDE OF THIS SHEET BEFORE SUBMI~ING
- APPLICATION FOR REVIEW.
This form has .be.eh completed unde~ penalty of Perjury. and to the best. of my knowledqe is true'
Provide D~scrip~:ion ¢ [cai Layout' of Facility ~ce Provided Below;
Include All the Following Information:
Location of Tank(s), piping & Dispenser(s)
Proposed sampling Locatio~ Indicating' Approxilaate Depth
of Samples
-, Any Water Wells br Surface Wa'rets within 100 {~. Radius -of
- ... 'l' "' -" '~'"
. ._ .- . '- ~ ' ./--...... ; '.' - , "!' '<:-,,{.'; ,,-,,.".,.
Approved By
Scale
1700 Flower Street
Bakerstield, California 93305
Telephone (805) 861-3636
Oaktree Association
?00 Baker Street
Bakersfield, CA
KERN COUNTY HEALTH DEPARTMENT'
ENVIRONMENTAL HEALTH DIVISION
February 28, 1986
HEALTH OFFICER ' "' '(' / '
Leon M Hebertson, M.D: "' ' - ' -
DIRECTOR OF ENVIRONMENTAL HEALTH
93305
Dear Sir/Madam:
This is to advise you that this department has reviewed the
certification letter from Cornerstone Engineering pertaining to the
tank abandomaents at the Oro~heat Bakery, '222 Oak Street. Bakersfield,
California.
Based upon the findings described in the letter, this department
ts satisfied that no significant soil conta~lnation ~esulting from fuel.
tank leakaze exists at the site. · "
Thank you for your cooperation in this matter.
SincerelY, ~
Environmental Health Specialist. III
Hazardous Substances,Management Prozra~
AB:aa
· DISTRICT OFFICES
M.'..Boyce:
.emen:
This correspondence will certify that on'september 16~'= 1985
:'"-' :: :".i:"' '"~ and September 17, 1985, four 6,500 gallon fUel.storage .tanks
' ~-where removed from the property at 222 Oak Street, Bakers-
field, Ca 93301. .. .... .
At the time these tanks where uncovered they where filled' with
drilling fluid completely to the top of the pipe connections
extending therefrom. The tanks .evzdenced no indicatmon of
lea~ge from th~ top. · '- ~ ' : .... ~ .. ,
Upon excavation of the tanks from their position the earth .
materials underneath where checked for any signs of leakage.
None was found. 'Upon lifting the tanks from thei= buried .
~..positions a check was made to dete~ine if the tanks' exhibited
a~y ~n~a~o~ o~' ~a~a~ o~ ~a~o~. ~on~ was ~oun~. .
.
· ' -' .Christopher L. Conway
·" Civil Engineers
' L~nd Surveyors
!: ~'~':~:"!:'::: . 4. Generator's Phone ( '~5 ) 325-.~474
' ."':' ' 5 .Transporter 1 Company Name
St=tenor Calltornla'Heaitl~ an~l Welfare
Please print or type.. (Form designed for usa on elite ~i2-pltch) typewriter.) ' .
41: UNIFORM HAZARDOUS. ll. Generator's US EPA ID No.
TI WASTE MANIFEST !' C&Z.0002..52:3 t2'.' .
'113' Generator's Name and. MatllngAddress . .
93301
2; Page .1
No.
· · . . of
· Department of Health Services
TOXIC Sub~tances Control Division
~' , 8a;ramento, California
M~ Vlcuum Tru~ 8eFv~e; :[ua, I.~ 0006~2A7 ' . ·
7. Transpofler 2 Company Name' 8; ' US EPA ID Number
~. ':~"~"' ..... ' ' ....... ' "': '"':': !' "' " · · '~ .'
9. Deaignat~ Facility Name and Site Addr~a ' 10. '- US EPA ID Numar
II
· , Us ~T'~rlPti~ (In'elUding p<~, sh/PP/ng Name, HaZarE C/ass, and/D N,m~). lZContalnera
Is not ·required: by Federa!
15. Special Han0fing Instructions and Additional Information
16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and ace.rarely described
above by proper shipping name and are classified, packed, marked, and labeled, and are ih all respects in proper condition
for transport bY highway according to applicable International and national ~overnmen'tal regulations.
17. Transportei ~l~Acknowledgement 'of Receipt of Materials Printed/Typed Name
ol18. Transporter ?~'-.~Ckn~wledgeme~t of Race pt of Materials
I Signature
Date·
Month Day Year
Month Day Year
I ' 'Date ":':
PrlntedlTyped Name
DiscrepanCy Indication Space
:acillty Owner ,r Opel
tern ~9.
Printed/Typed Name
ISIgnature
Month Day ~ea(
i.
20. Facility Owner or Operator: Certification of receipt of hazardous materials covered by this manifest except as noted in
Item 19. . .
DHS.8022 A (11184)
'(EPA 8700-22)
ISignature ,
YELLOW:GENERATOR RETAINS'
State of Californta~Health and Wellare Agen . ,~' ~ ~ '~' ~ r=" ~'
Please print or type. . (Form designed for use on elite (12:pitch) typewriter.) · '" ·
UNIFORM HAZARDOUS il. Generator's US EPA ID NO.'
WASTE'MANIFEST J.C~& 3[ 0~0. 0.2!$ 2:3
Generator's Name and Mailing Address
"'" ~' / .... /' :'/' ' ' " ' Oepartmem Of Health Services
· ' ' TOXic Sul~tencea Control Division
.. . .. ~ .. , :',: ,~ Sacmmento, Callf~nla
2. Page !
io mn o
Is not'required' by. Federal
~1D-cu-e-t N-' of: law..
4. Generators Phone (' . ~ ) 3~7~ -: , '
5. Transpo~er I Company Name · 6. ,US EPA ID Number
'~ Vm ~k b~ ~, I.c A T:0.0 0. 6.2 :~ :2 ~7
7. Tr~spo~er 2 ~mpany Name -.,', .. 8. ..: US EPA ID Numar
11. ~ ~T ~rlption (In~/u~/ng Proof Shipping Name, H~
I
a',.,t¢2~ ,'' .... ~, .'"¢~ ' ~ ,'1';¢ -', ~.; ; , 4 : -'~' .~;~ ,;-.as~ ,~ :t~? "~.¢~ ',': · · ~, ~. ' ¢;'~,~ -.,~- ~4~ ~ .~-,~ .:'-:>': ', ,~. "'* ,~i/~ ~:~-~-~ ~ -
15. Special Handling Instructions and Additional Inlormatlon .: ~ '
. ' . .' -.: ': :~:~F'~:
16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described
above by proper shipping name and are classified, packed, marked, and labeled, and are in all respects in Proper condition
for t~'ansPort by highway according to aPplicable international and national governmental.regulations.
Printed/Typed Name ,. ISIgnature,,~.'
-,"'~" . '. , -,"
17. Transporter I Acknowledgement of Receipt of Material'
Printed/Typed Name Signature.
18. Transporter 2 Acknowledgement of Race!pt of Materials
Date
Month 'Day
Date ,
Month Day Year
Date
Printed/Typed Name Signature" . Month Day. Year
19. Discrepancy Indication Space : . . · ' , '..:- · i': :'
; 20. Facility Owner or Operator:. Certification of receipt of hazardous materials covered by thle manifest except as noted in
Item 19. ' ' '
I Date '
Prln%edlTyped Name
/
DHS 8022 A (11184)
· (EPA 8700-22)
s,.g,,t..u.,. ..,: .;.
YELLOW': GENEfb~TOR RETAINS
- Month Day 'Year
84 U9641 '1
State'of CaJlfornla--Health and Welfare Agan~ ]DR~]~[~]i. ~t[,,L07,~'
· Please print °r type, . (Form designed for use on eltra (12-pitch) typewriter,)
UNIFORM HAZARDOUS ]~. Generator's US EPA ID No~ ,~u~e~t N?,
: WASTE MANIFEST . I' · · *"' ' " · " '
Generat~ N~me'and Ma ling.Address ~ ~Z~Z3~ ' . .
5. Transporter I Compa~Viqame'L~''~u~tq 6.
7. Transporter 2 Company Name .~ . 8.
.... :.';' Department of Health SerVices
· '. '.:. ' :: :". "Toxic'Substances Control Division
sacramento, California
2. Page 1
of
US EPA ID Number ..:.
US EPA ID Number
9, Designated Facility Name and Site, Address .!0, ' ,~.,..,.~.j US EPA ID Num!~er
11. US ~T ~rlPtion (!nc/ud/ng. Pro~r ~/pp/ng Name, H~a~ C/~, end/D Numbs)
If& t~993...:. ! ..... ~ ~
do
Is not required by Federal
law.
15. Special Handling Instructions and Additional Information
16. GENERATOR'S CERTIFICATION: i hereby declare that the contents of this consignment are fully and accurately described
above by proper shipping name and are claa,~lfled, packed, marked, and ~a~,eled,.~nd.are In all ro~p6ct,~ 1,-, proper condition,
'. ' :i .17' for TransporterPrl.ntedlTyped Printed/Typed' transport lbYAcknowledgement Name Name highway., accordingof to Receipt appltcaDle of InternationaIMaterlals., "' IIIii Signature Signature and national., governmental! . regulations.
18. Transporter 2 Acknowledgement of Receipt of Material8
. Printed/Typed Name I Signature
DHS 8022 A ('11/84) '
(EPA 8700-22)
Date
Month Day. Year
. Date
Month Day yea~
19. Discrepancy Indication Space . · ·
20. Facility Owner or Operator:. Certification of receipt of hazardous materials covered by this manifest except as noted in .. -I ' ' Date
Item 19
· Printed/Typed Name .ISignature . :.'- . 'Month' Day. Year
yELLOW, GENERATOR RETAINS' - · :"
. please prin~ or4yp~. '. {Fo~ ~e~lgn~d fo~ u~e on ~ll~e (l~.ptlch} ~ypewri~er~] .~'
' UNIFO~ffi H~ZA~DOUS ~.n~r~or'~ US EPA IDNo.
3. Generator.'.~ Namean~ M~lllng Address , : .: · ., ..... . . .
5. Transpolar ICom, p~am~,'-~- -""'--~ ~ 6. .: US. EPA'ID Num~
Numar
9; Designate'Facility N~e and Site'Address 10...~ ....~ US:EPA ID Number
~:~'?'~'" ~7' ~ ~.. "~; "'" ~'" :~ '
~1.' US. ~T ~rlption (Including Pro~Shlpplng'Name, H aza~ Class, and ID Num~)
2. Page 1
of
' Department of Hea'lth Se~icea.
:Toxic'SubstanceS Cbntrol DiVision
· .' ..Sacramento, Callfom!a,..
· : not required by Federal
law.
15-Special Handling Instructions and Additional Information
16. GENERATOR'S CERTIFICATION: I .hereby declare that the contents of this consignment are fully and accurately described
above by'proper shipping name and are classified, packed, marked, and labeled, and are In all respects in proper condition
for transport by highway according to applicable International and national governmental regulations.
,ed Name
17. Transporter I
Printed/Typed Name
19. Discrepancy Indication Spa;e
3orter 2 Acknowledgement of Receipt of Materials
Printed/Typed Name I Signature . Month Day Year
· ' I- I'.1"1
20. Facility Owner or OPerator. Certification of receipt
Item 19.
Printed/Typed Name
of hazardous materials covered by this manifest except a8 noted In
Date
'lSIgnature
r Month-Day Year
DHS 8022 A (11184)
(EpA 8700-22)
YEkEOW' GENERATOR RETAINS
· ' .. 84 89641
State of Calllornla_Health.and Weltere Agency'
Please Print Or type.. (Form designed for .se on elite
)itch)' typewriter:)
Company Nam
Name
No.
6. "US EPA ~ber
+::. :~ .
....... and. Site 10
' .":- ~.. '. . = ...,g proper dipping N.m.' H=a~ Cl~e, andlO
nstructlons and Ad(Ill
ion
e conten cna1
or OVe b),; proper shipping name and are classified, packed, marke(~; and labele~l, and are in
transport by highway according to'applicable international and national
1 Acknowledgemen~ ~ Receipt of
'pad Name
2 Acknowledgement of ame
19. Discrepancy Indication Space
·. DHS 8022 A (11/84)
(EPA 8700~22)
aterials
· . : ' ' ' ": -'Department'of Health Servi&ea ~ '}.,'
:: : ,Toxic Substances-Control Division
Sacramento, California,...
of not
all respects i
governmental regulations.
~rately
proper condition
on of receipt of hazardous materials covered by
Printed~Typed Name .
-.
'YELLOW: GENERATOR RETAINS"' '
Date
Mont,
- Date
Da.re
Month
Date
Men
84 89641
'Stata.'o~ Call~rnla' Health and' Welfare Age
· .' : 'Ptee_-e print or type.. (Form designed for use on elite (12-pitc!~) typewriter.)
· 1. Generator's US EPA' ID No.
'
· ' : WA E MANIFEST ' ;ument No.
.
.' Generators N~eand Marling A~dress , : '". *- .-. ',.' ~ '.
US EPAID Number
. US EPA.iD.Number
. . 'Oepa~:tment of Health Services
... ' Toxic Sul)etancea ContrOl DIv sion.
"' Sacramento, Californi;a
~:---'::~?' ;-:CoL'Uozocou~ Snsi.noez:l. n8
,:. ::"-', 4. Generator's Phone'(
: 5. Transpolar 1. Company Nam·
,= .. · ,~ 7. TranSporter 2 Company Name
Page
of,
not.. required, by Federal
law..
"~ :. ': .'-'. 9. DeSignated Facility Name and Site Addre88 10. . · US EPA ID Number
,' m3d lan. loc4
tlonal D escrlptlons~.:for" Mat&dais.,
5. Special Handling Instructions and Additional Information
GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described
above by proper shipping name and are classified, packed, marked, and labeled, and are in all respects In p?oper condition
for transport by I~lgllway according to applicable International and national governmental regulations.
1 AcKnowledgement of R~celpt of Mater-~als '-'" '~ '/!
'lSignature. ' ~
18. Transporter 2 Acknowledgement of Receipt of Materials
Date
Printed/Typed Name I Signature
Month Day Year
Date
Month Day Year
Date
Month Day Year
19. Discrepancy Indication Space -
20. Facility owner or Operator. Certification of receipt of hazardous material8 covered by this manifest
Item 19.
except as noted in
Printed/Typed Name
DHS 8022 A {11184)
(EPA 8700-22)
,ISIgnature :
YELLOW: GENEEATOE RETAINS
Date
Month Day Year
84 6964
St-~te of Cali~ornia:-.Health and Welfare Agencyi.' '"' ' : '/ ' ,'~ ' ~" '' " /"
~ " :' T ...'..'-~:..~L.. .'; ~- ...... ~
; -. . " .: ' . Toxic Substances Control Division
' ! .... ' ~ ' ' Sacramento, California:
Please print or type.. ·(Form designed for use on elite (12.pltch)'typewriter,) - :- / :
.* DePartment of' Health Services -' %'
~ UNIFORM HAZARDOUS. Jr. Generator's US EPA ID No. Manifest 2.'Pege I Information in the shaded areas
· ' L. ' lis not.required' by Federal
,,~, '~,lOocument No.
WASTE MANIFEST I*C:A Z O 0 0.2.:i.2.3 t, : .... . -u, . I~aw.' '. . ' -
3. Generator's Name and Mailing Address '" .
2032 17th St,-~sZto~, ~ 93301 : :'-' . ~'
4; Generators Phone (. '~ ) ~2~.9~7~ ~~.~~~~
:~. , Transpolar I Company Name 6. , US EPA ID Number C;State~.:~e~:~,~~~,~. . . . .,... . ~ .,..: ~:~
7; Transpo.er 2 Company Name . S. ~ US EPA ID Number .
9. Designa,. Facility' Name :and Site Aaaress 10. US EPA ID Number
11. US DOT ~scrlption (IncluWng Proper Shipping Name, Hazard C/ass, and iD Numo~) 12.Containers *~ 13. -14:
'v~TOtal unit ? ~, ~[ .i~.'~ .~
-. . No. Type ?Ouantlt~ NtlVo~ ......
15. Special Handlin0 Instructions and Additional Information
16. GENERATOR'S CERTIFICATION: 1 ~ere~ ~ecfare t~at t~e comefltSor this coflsiGflmem am fully arid accurately descried
above by proper shipping name ~fid are classlfi~, pscked,'rnark~, and i~eled, and are in all resets in proper condition
,o, ,ranspofl ~, highwaysme . according ,o applicaDl, International. and national govern:e~tal/.... ~"~ul?l°n" I Date
Pr~Typ. N U '~'/ MonthDay Year
' · ~ ~"~.,"~ ' ' ',.:--'-.'-"' ,..~. ? , l) ,,~1 ~':=~'?~ I ~ l'/.'~l~..~:
17. Transpo~e~'l ~cknowl~gem~ht of Receipt- of-~Material~ ..~ t '~-.' -- . [ ~ Date
Printed/Typed Name ISlgnature . - ~ Month Day Year
'~' '" 'I ' ' '
18. Transporter 2 Acknowledgement of Receipt of Materials .- ' ~ ~ ~ ' "Date -
Printed/Typed Name ISIgnature Month Day Year
, ' , .I I I
19. Discrepancy Indication Space . ~
20. Facility Owner or Operator: Ce~lflcatlon of receipt of h~rdous materials cover~ by t~ls manifest except as noted in
Item 19. .
' - } Date
Prlnt~lTyped Name Signature . Month Day 'Y~r
' ' " : '1.1
DHS 8022 A ( 1 i/84)
(EPA 8700-22) .
YELLOW.. GENEAATORI~E'[AINS' '
84 89641