HomeMy WebLinkAboutUNDERGROUND TANK-C-10/21/922130
BAKERSFIELD'FIRE DEPARTMENT
HAZARDOUS MATERIAL DIVISION
G Street, Bakersfield, CA 93301
(805) 326-3979
TANK REMOVAL
FACILITY ~/'~' ~-~ r/~?~
Po~-~ --
INSPECTION FORM
OWNER ~_~~~ PERMIT TO OPERATE#
CONTRACTOR ' ~~ (~ CONTACT PERSON ~'~
'. ~'~' LABO~TORY · ~ ~ ~ OF S~PLES
. '~. ':.~".-?.:' "~;~-/~TEST METHODOLOGY ~~ ~//~'~" ~ ~ /.~ ' ~ "
~'. 'P~Lx~MAaM ~SSESSEENT CO.~r~ CONTACT PEaSON
' CO2 RECIEPT ~ . LEL% ~- 3
PLOT PLAN
fONDITION OF
CONDITION OF PIPING
' ~ DAT~ '
INSPECTORS NAM~
CITY of BAKERSFIELD
"WE CARE"
FIRE DEPARTMENT
S. D. JOHNSON
FIRE CHIEF
Lawton Powers, Inc.
1825 18th Street
Bakersfield, CA 93301
Attn: Darren Powers
October 21, 1992
2101 H STREET
BAKERSFIELD, 9330~
326-3911
CLOSURE OF 3 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANKS LOCATED
AT 1100 OAK STREET, IN BAKERSFIELD, CALIFORNIA. PERMIT #BR0038
Dear Mr. Powers,
This is to inform you that this department has reviewed the results
for the preliminary assessment associated with the Closure of the
tanks located at the above stated address.
Based upon laboratorydata submitted, this office is satisfied with
the assesSment performed and requires no further action at this
time.
This letter does not ~relieve you of any liability for past,
present, or future operations. In addition, any future changes in
site use may require further assessment or mitigation. It is the
property owners responsibility to notify this department of any
changes in site usage. ~
If you have any questions regarding this matter, please contact me
at (805)-326-3979.
Sfncerel~,
Hazardous Material Speciali t
Underground Tank Program
CC:
Doug Wegener
Wegener Construction
1710 Calloway
Bakersfield, CA 93312
mADVANCED ENVIRONMENTAL CONCEPTS INCm
October 20, t992.
Mr. Joe Dunwoody
Bakersfield City Fire Department
2130 "G" Street
Bakersfield, California 93301
Regarding:
Tank Closure Report
The Tire Exchange, 1 I00 Oak Street, Bakersfield, Ca
Dear Mr. Dunwoody:
Per your request, enclosed please find a copy of the tank closure report submitted by Advanced '
Environmental Concepts, Inc. [AEC] in February 1992 for the above referenced location.
If you need any additional information, please do not hesitate to call AEC at your convenience.
Respectfully,
Advanced Environmental Concepts, Inc.
Attachment: Tank Closure Report
Distribution:
t/Addressee
1/Darren Powers~ Lawton Powers, Inc.
'l/Bksfld File
· ENVIRONMENTAL CONCEPTS WITH DESIGN IN MIND
-4400 ASHE ROAD. #206 * BAKERSFIELD. CA 93313 .: 8051831-1646'-io'
"ADVANCED ENVIRONMENTAL CONCEPTS INC~
Advanced P. nvironmental ~oncepla, Inc. is pleased to present the following.
Tank Closure Report
for
County of Kern . Hak~.rslield, Californi~
This report ha.~ been prepared fo~.
Lawton Powers and
Dr. Marion Barnard
February 1992
· BAKERSFIELD. CA93313_:~ 805/83:(-16~6-';o¢' FA,~:§0'5/8~l-':r7'71 .' '-: '
- . - ~ ~"~ ~.-7~:' '~;-'i'_; *:,-~ -~-'.~.L' L-'LT_'-:'~;:"~ :.,. ~-~:~:_~ ~;~'
4400~ASHE ROAD, #206
_ T,~nk Closure Report
Table of Contents
AdwanC~d Environmental Concepta, Inc.
1.0 INTRODUCTION
2.0 BACKGROUND
3.0
SrI'R GEOLOGY and
DRPTH TO GROUNDWATER
4.0
TANK RRMOVAL PR~URF~
4.1 ~ ~ample Locations and
Collection Proced~
2
.2
5.0 LABORATORY ANALYSIS and ~BULT8
3
6.0 CONCLUSIONS
3
7.0 RF-.COMM104DATIONS
8.0 LIMITATIONS
4
9.0 CLOSING
Appendices:
(A)
(B)
(g)
(D)
Tank Removal Permit
Ha~rdous Waste Manifest
Tank Disposal Documenlation
l~horatory Reports/Choin-of-Custody Documenla
Pmje~: AEC 91V-1058
· ENVIRONMENTAL CONCEPTS WITH DESIGN IN MIND =- m - - - -
4f~00 ASHE ROAD. #206 · BAKERSFIELD. CA 93313 -= '80_5/83~1~1646:L~?. =F~JA, X 805J83_1-17-7-'~ _,2~. ~ _-. ~..:~ _.- .;~_~ : - ,
Tnnk Clomlre Report
,Advlmced 'l~.n'vilX~nmenl;al ConCeptS, Inc.
1.0 INTRODUCTION
This report documents tank removal procedures performed on February 17 and 18, 1992 by Advanced
Environmental Concepts, Inc~ (AEC). Soil samples were collected following the removal of two (2) 12,000-
gallon gasoline underground storage tankg (UST's) and one (1) 500-gallon waste off UST to evaluate
whether hydrocarbons have adversely impacted the adjacent soil. The product piping between the UST's
and two (2) islands, formerly containing two (2) dispensers each,' was also removed during this project.
The above described tank8 were located at 1100 Oak Street, Bakersfield, California (Figure 1). Tank
removal and subsequent soil sampling procedures were performed under the direct supervision of
Hazardous Materials Specialist Joseph Dunwoody, Bakersfield City Fire Department (BCFD).
Included in the following report is background information 'regarding existing site characteristics, local
geology and hydrology, tank removal procedures, sample collection procedures, analytical results, and
related conclusions and recommendations. Report appendices contain T, nk Removal Permit (Appendix
A), Hazardous Waste Msnifest for tank rinseate (Appendix B), T, nk Disposal Documentation (Appendix
C), and Laboratory Reports/Chain-of-Custody Documents (Appendix D).
2.0 BACKGROUND
Lawton Powers, et al contracted AEC to supervise the following tank removal services:
1) Excavate the backfill surrounding the UST's;
2) Certify the UST's status as hazardous/non-hazardous using an LEL meter under the
supervision of the Bakersfield City Fire Department Inspector;
3) Provide a geologist to collect representative soil samples in accordance with Kern County
regulations;
4) Perform required s nslytical testing of soil samples using a California Certified Laboratory;
5) Summarize the above described services in the form of a Tank Closure Report.
3.0 SITE GEOLOGY and DEPTH TO GROUNDWATER
The subject site is located in central-west portion of Kern County, the south central part of the City of
Bakersfield and within the southern part of the San Joaquin Valley. The Valley forms the southern two-
thirds of the Central Valley and is characterized as a broad structural trough. It is bordered on the .east
by the Sierra Nevada, the south by the Tehachapi and San Emigdio Ranges, and to the west by the
Temblor Range.
Geology of the Central Valley consists of a Pre-Tertiary basement complex overlain by marine and non-
marine sedimentary rocks of Tertiary Age. These rocks are composed of consolidated sandstones,
siltstones, and shales which thicken from northeast to southwest. The Valley was once an inland sea of
comparatively shallow depth that continued to subside due to an ever increasing load of sediments
transported and deposited from higher elevations. These deposits consist of sand, gravels, silts, and clay.
AFdC 91V-1058 1
· ENVIRONMENTAL CONCEPTS WITH DESIGN IN.MIND · . __ L_
4zt.00 ASHE ROAD. #206 ,, BAKERSFIELD. CA 933:13'~ 805/83.1-1646~_._ -_--FAX-80~/.8~,-1--177~ ~ : ' ........ ;~ .~ ._~- ~.
Tsnl~ Cl~are Report
Advanced F-.nvironmen~a~ Concei~ INC-.
The majority of groundwater pumped from the Valley floor occurs within these relatively unconsolidated
near-surface continental deposits. Groundwater in the south-central Bakersfield area occurs in the flood
plain sediments of the Kern River. Perched water has not been identified in the area. Well data from the
Kern County Water Agency's "Water Supply Report, 1990" indicates depth to groundwater in the vicinity
of the subject site at approximately 185-feet below grade level, with a general easterly groundwater flow
direction. From Spring of 1990 to Spring of 1991, groundwater levels have dropped approximately 20-feet
in the vicinity due to groundwater overdraft and the fifth consecutive year of draught.
4.0
TANK REMOVAL PROCEDURES
On February 18, 1992 Wegener Construction began excavation of two (2) 12,000-gallon gasoline UST's and
one (1) 500-gallon waste oil UST located at the northern portion of the subject site (Figure 2). The top
and sides of the tanks were uncovered with a backhoe. The tanks were then pressure washed and triple
rinsed by MP Vacuum Service. No gasoline odors were noted in the soil during the excavation procedures.
The tanks still retained a portion of their tar paper cover and appeared to be in excellent condition. No
holes were observed in the UST's by AEC's on-site representative. Dry ice was then inserted through the
bung openings and internal vapors were monitored by Wegener Construction until satisfactory lower
explosive limits (LEL) and oxygen levels were achieved. The tanks were then removed from the
excavation with a crane, loaded on flatbed trucks, and transported to Golden State Metals in Bakersfield,
California for disposal.
4.1 Soil Sample Locations and Collection Procedures
Upon completion of the t~nk removal procedures on February 19, 1992, a total of fourteen (14)
soil .samples were collected at the subject site in accordance with Bakersfield citY Fire Department
guidelines. Soil sample collection and tank removal procedures were carried out under the direct
supervision of Mr. Joe Dunwoody. The following sampling protocol was observed:
1)
2)
3)
A backhoe (and hand auger) were used to excavate representative samples of
native soil from beneath the former tanl~s at 13 and 17-feet below grade (2 and
6-feet below the tsnl~ inverts) and bring the Samples to surface grade for collection;
A qualified AEC representative pushed a brass sleeve or glass jar into an
undisturbed portion of the soil, leaving no head space in the container;,
The container was then capped with teflon lined lid, sealed with duct tape, labeled,
and stored in a cooler with blue ice; :
4)
The soil samples were recorded on a Chain-of-Custody document to ensure sample
integrity and traceability;
5)
6)
The soil samples were delivered to the laboratory by an AEC representative, where
they were subsequently analyzed within 14-days; and,
Analytical tests were carried out by SMC Laboratory, Inc., a California Certified
Laboratory located in Bakersfield, California.
AHC 91V-lfiS~
2
· ENVIRONMENTAL CONCEPTS WITH DESIGN IN N41ND ·
5.0 LABORATORY AblALYSIS and RF~ULTS
The analyses specified and performed on the soil samples were in accordance with EPA method 5030 for
Total Petroleum Hydrocarbons as gasoline (TPH-g) and EPA method 8020 for volatile aromatics (BTXE).
Total Recoverable Petroleum Hydrocarbons (TRPH), Tox, and total lead were run on the waste oil
samples. Results of the analyses are summarized below and the laboratory reports are provided in
Appendix D. Units are in micrograms per gram (~g/g) which are equivalent to parts per million (ppm).
Xytenes,
TPH-g Benzene Toluene Total Ethylbenzene
Sample I.D. EPA 5030 EPA 8020 EPA 8020 EPA 8020 EPA 8020
ETS-13' ND ND ND ND ND
ET~-17' ND ND ND ND ND
ETN-13' ND ND ND ND ND
ETIq-17' ND ND ND ND ND
WT~13' ND ND ND ND ND
W~I~-17' ND ND ND ND ND
WTI~-13' ND ND ND ND ND
WTN-17' ND ND ND ND ND
~?~;."~ I..~ (/~,~/8m) LO 0.003 0.003 0.003 0.003
Non-detected at indicated level of detection
Total petroleum hydrocarbons as gasoline
Total Lead Total Oreo nlc Halides TPH
~ample I.D. EPA 7420 EPA 9020 .... EPA 41R_l
W/O @8' ND ND ND
W/O @ ~2' NA ND ND
Non-detected at indicated level of detection
Not analyzed
6.0 CONCLUSIONS
All site work was performed and supervised in accordance with Bakersfield City Fire Department
regulations, which documents requirements for permanent closure of underground hazardous substance
_ 4400 ASHE ROAD, #206
3 I
· ENVIRONMENTAL CONCEPTS WITH DI:SIGN IN MIND * ' ;"-: ....
.' BAKERSFIEED: CA 933,13~ :'. '~05183:l'1646:":*-~FAX-805118~-1:'-:I:/':11 ~_:
storage tAnk.~. All ~mples collected from the subject site exhibited non:detectable levels of gasoline
constituents when analyzed by EPA test methods 5030/8020 for TPH-g and BTXE, respectively. The soil
samples analyzed for waste oil constituents also exhibited non-detectable concentrations.
7.0 RECOMMENDATIONS
Advanced l~.nvironmental Concel~ Inc~ recommends final closure for the site based on the absence of
TPH and BTXE concentrations in soil samples collected belOW the UST's.
8.0 LIMITATIONS
This work has been performed in accordance with generally accepted tank removal and environmental
science and engineering practices. Conclusions and recommendations are based upon information
collected and compiled during the tank removal and data supplied by the ClienL No other warranty,
expressed or implied, is given.
The soil samples for this project were obtained on a finite grid; hence, the laboratory results are indicative
of a discrete samples and are not meant to be misconstrued as representative of unsampled areas.
Project: AHC~V-lflS~ 4
' ENVIRONMENTAL CONCEPTS WITH DESIGN IN MIND e i~ ~ ...... '
4400 ASHE ROAD. #206 '~ ~3-~-'-'~l-~:~-~-"-FAX'805/831'--'1-771 .... 7-~--~ ----- -Z*~'~ -"' ::
~ Tenl~ ~oeure Report
9.0 CLOSING
Advanced Environmental Concepts, Inc. appreciates the opportunity to be of service to Lawton Powers and
Dr. Marion Barnard on this project. If there are any questions or if additional informntion should be
required regarding this report, please call our office at (805) 831-1646..
Sincerely,
_.ar,-.dvu, nced Knvironmental Concepts, Inc.
Jonathan L. Buck
Project Geologist
All environmental site work with which Advanced Environmental Concepts, Inc~ was involved, was
performed under my supervision to ensure proper sampling protocol and environmental assessment. This
report has been technically reviewed by the undersigned.
Joel S. Pomerene
California Registered Geologist #4724
§
ENVIRONMENTAL CONCEPTS WITH DESIGN IN MIND. '
SMC
Laboratory'
Analytical Chemistry
Client Name: Advanced Environmental Concepts
Address: 4400 Ashe Road, ~206
Bakersfield, CA 93313
Attention: Mr. Jori Buck
Date Samples Received : 2-18-92 (added 2-20-92)
Date Analysis Completed: 2-20-92
Date of Report : 2-20-92
Project Name: Tire Exchange
RESULTS OF ANALYSIS
Sample ~ ID
473 w/o ~ 8'
TOTAL LEAD
uqm/qm MRL,uqm/qm
ND 10.
Method of Analysis: 3050/7420
MRL = Minimum Reporting Level
ugm/gm = micrograms per gram
ND = none detected
A~$1a Horton
Analytical Chemist
3 t 55 Pegasus Drive
P.O. Box 80835 ·
· Bakersfield, CA 93308 · (805) 393-3597
Bakersfield, CA 93380 · FAX (805) 393-36;53
~,- ', ..... 1920 E. Deem Ave., Suite 130
nc: ' Santa Ar~, CA 92705
Tel 714.757.7022
E NV I R 0 N M E N T A L T ES T I N G Fax714.757.7274
¢~,~~~''~"' ' ~: "'4,. ~-
I J ame -, .,. ~. i ,. .
· Project Address
Proje~ct Con~. c~./
Sampte ID
Sample Locat on
Turn Around Requested:
[-~ Immediate Attention
~ Rush 24-48 Hours
.~; Rush 72-96 Hours
~_J Mobile Lab
Date Time
~) Relinquished by (signature)
Company
Laboratory
Sample
Number
Y'TZ
. / / / / TTLProject#
/,.~1 Analysis Requested
/
./,~?~ ' u-'F~, o.1£
Sample Condition
as Received:
/~ ( . Container/Comments
Date
'~me
.7_-/
Total Number of Containers
AdditionaJ Comments
~/,/~~'' q ~ Received by (signature)
ITin~e ' ~;ompa~ . .-:..?,::
SMC
Client Name: Advanced Environmental Concepts
Address : 4400 Ashe Road, Ste 206
Bakersfield, Ca. 93313
Attention : Jon Buck
Analytical Chemistry·
Date samples received :2-18-92
Date analysis completed:2-19_92
Date of report :2-19-92
Project Name: Tire Exchange
RESULTS OF ANALYSIS:
#461
~462
ID:NED-4
Benzene uGm/gm
Toluene ND
ND
Ethylbenzene ND
p-Xylene ND
m-Xylene ND
o-Xylene ND
Isopropylbenzene ND
TPH (Gasoline) ND
ID:SED-4
Benzene Ugm/gm
Toluene ND
Ethylbenzene ND
p-Xylene ND
ND
m-Xylene ND
o-Xylene ND
Isopropylbenzene ND
TPH (Gasoline) ND
MDL, uGm/gm
0.005
0.005
0.OO5
0.005
0.005
0.005
0.005
1.0
MDL,ugm/gm
0.005
0.005
0.005
0.005
0.005
0.005
0.005
1.0'
Method of AnalYsis for BTX/TPH (Gasoline): 8020
MDL = Minimum Detection Level
TPH = Total Petroleum Hydrocarbons
uGm/gm = micrograms per Gram (Ppm)
ND = None Detected
Kevin Lagan ~ --/
Analytical Chemist
3155 Pegasus Drive
P.O. Box 80835 .
' Bakersfield, CA 93308
Bakersfield, CA 93380 .
· (805) 393-3597
FAX (805) 393-3623
RESULTS OF ANALYSIS
~463
ID:NWD-4
Benzene
Toluene
Ethylbenzene
p-Xylene
m-×ylene
o-Xylene
Isopropylbenzene
TPH (Gasoline)
ugm/gm
ND
ND
ND
ND
ND
ND
ND
ND
MDL, ugm/gm
0.005
0.005
0.005
0.005
0.005
0.005
0.005
1.0
~%464
ID:SWD-4
Benzene
Toluene
Ethylbenzene
p-Xylene
m-Xylene
o-Xylene
Isopropylbenzene
TPH (Gasoline)
ugm/gm
ND
ND
ND
ND
ND
ND
ND
ND
MDL, ugm/gm
0.005
0.005
0.005
0.005
0.005
0.005
0.005
1.0
~465
ID:ETS-13
Benzene
Toluene
Ethylbenzene
p-Xylene
m-Xylene
o-Xylene
Isopropylbenzene
TPH (Gasoline)
ugm/gm
ND
ND
ND
ND
ND
ND
ND
ND
MDL, ugm/gm
0.005
0.005
0.005
0.005
0.005
0.005
0.005
1.0
Kevin Lagan
Analytical Chemist
RESULTS OF ANALYSIS
~466
ID:ETS-17
Benzene
Toluene
Ethylbenzene
p-Xylene
m-Xylene
o-Xylene
Isopropylbenzene
TPH (Gasoline)
~467
ID:ETN-13
Benzene
Toluene
Ethylbenzene
p-Xylene
m-Xylene
o-Xylene
Isopropylbenzene
TPH (Gasoline)
~468
ID:ETN-17
Benzene
Toluene
Ethylbenzene
p-Xylene
m-Xylene
o-Xylene
Isopropylbenzene
TPH (Gasoline)
Analytical Chemist
ugm/gm
ND
ND
ND
ND
ND
ND
ND
ND
ugm/gm
ND
ND
ND
ND
ND.
ND
ND
ND
ugm/gm
ND
ND
ND
ND
ND
ND
ND
ND
MDL, ugm/gm
0.005
0.005
0.005
0.005
0.005
0.005
0.005
1.0
MDL,ugm/gm
0.005
0.005
0.005
0.005
0.005
0.005
0.005
1.0
MDL, ugm/gm
0.005
0.005
0.005
0.005
0.005
0.005
0.005
1.0
SMC Laboratory
Client Name:
Address :
Advanced Environmental~ Concepts
4400 Ashe Road, ~206
Bakersfield, CA 93313
Attention : Mr. Jon Buck
Date Samples Received : 2-18-92
Date Analysis Completed: 2-19-92
Date of Report : 2-19-92
Analytical Chemistry
Project Name: Tire Exchange
RESULTS OF ANALYSIS
Sample~ ID
473 w/o @ 8'
474 w/o ~ 12'
TOTAL ORGANIC HALIDES (TOX)
uqm/qm MDL,uqm/qm
ND 10.
ND 10.
Method of Analysis: EPA 9020
MDL = Minimum Detection Level
ugm/gm = micrograms per gram
ND = none detected
An~eia Horton
Analytical Chemist
3155 Pegasus Drive
P.O. Box 80835 ·
Bakersfield, CA 93308 ·
Bakersfield, CA 93380. ~.
(805) 393-3597
FAX (805) 393-3623
SMC
Laboratory
Analytical ChemiStry'
Client Name: Advanced Environmental COncepts
Address: 4400 Ashe Road, 1206
Bakersfield, CA 93313
Date Samples Received : 2-18-92
Date Analysis Completed: 2-19-92
Date of Report : 2-19-92
Attn: Mr. Jon Buck
Project Name: Tire Exchange
RESULTS OF ANALYSIS
sample ~ ID
473 w/o ~ 8'
474 w/o ~ 12'
TOTAL PETROLEUM HYDROCARBONS
(Oil and Grease)
mq/kq MDL, mq/kq
ND 5.0
ND 5.0
Method of Analysis: 418.1
ND = None Detected
mg/kg = milligrams per kilogram
MDL = Minimum Detection Limit
A~g~la Horton
Analytical Chemist
3155 Pegasus Drive
P.O. Box 80835 ·
Bakersfield, CA 93308 · (805) 393-3597
Bakersfield, CA 93380 ~ FAX (805) 393-3623
RESULTS OF ANALYSIS
~469
ID:WTS-13
Benzene
Toluene
Ethylbenzene
p-Xylene
m-Xylene
o-Xylene
Isopropylbenzene
TPH (Gasoline)
ugm/gm
ND
ND
ND
ND
ND
ND
'ND
ND
MDL, ugm/gm
0.005
0.005
0.005
0.005
0.005
0.005
0.005
1.0
~470
ID:WTS-17
Benzene
Toluene
Ethylbenzene
p-Xylene
m-Xylene
o-Xylene
Isopropylbenzene
TPH (Gasoline)
ugm/gm
ND
ND
ND
ND
ND
ND
ND
ND
MDL, ugm/gm
0.00'5
0.005
0.005
0.005
0.005
0.005
0.005
i.0
~471
ID:WTN-13
Benzene
Toluene
Ethylbenzene
p-Xylene
m-Xylene
o-Xylene
Isopropylbenzene
TPH (Gasoline)
ugm/gm
ND
ND
ND
ND
ND
ND
ND
ND
MDL, ugm/gm
0.005
0.005
0.005
0.005
0.005
0.005
0.005
1.0
Kevin Lagan ~
Analytical Chemist
RESULTS OF ANALYSIS
~472
ID:WTN-17
Benzene
Toluene
Ethylbenzene
p-Xylene
m-Xylene
o-Xylene
Isopropylbenzene
TPH (Gasoline)
ugm/gm
ND
ND
ND
ND
ND
ND
ND
ND
MDL, ugm/gm
0.005
0.005
0.005
0.005
0.005
0.005
0.005
1.0
Kevin Lagan (_~
Analytical Chem~'s t
EN V R 0 N MEN TAL TESTING
1920 E. Deere Ave., Suite 130
Santa Aha, CA 92705
Tel 714.757.7022
Fax 714.757.7274
P~[ Name
Project Address
Project Contact
Sample Location
Chain-Of-Custody Recor.d
D~
Client Project #
I TurnL~Around Re~uestefl: '~ Immediate Attention
~ Rush 24-48 Hours
~ Rush 72-96 Hours
~ No,maiTM
· ~).Relinquished.by (signature)
?o
D~e / ,~/ [ ~ Received by (si, nature)
ITime
Date
IT]me
IDate
Time
Time
Tll. Project #
!Page
Lab Use Only
Sample Condition
as Receive~
Chille.Q.~yes .-., no
Seal~
Container/Comments
Total Number of Containers
Additional Comments
ENVIRONMENTAL TESTING
I Client .
I~roject Name
Project Address '
~am~le I~ t Sample Cocat~on
Relinquished by (signature)
..: .'.'J c°mPa,y.
1920 E. Deere Ave., Suite 130
Santa Ana, CA 92705
Tel 714.757.7022
Fax 714.757.7274
Client Project #
Turn Around Requested:
LJ Immediate Attention
L_J Rush 24-48 Hours
~ Rush 72-96 Hours
__~ !Mobile Lab
J Date Time
If
'f
Chain-Of-Custody Record
/~/ Analysis
/~// / , ,
¢/////
~7 / ~/ /
,~[~/~: ~ Received by (signature)
Tirn~ ' Company
Bate
lime
Laboratory
Sample
Number
..i
/////L_~_ :
Page
///// '
/ / / /
/ / / .~ / Sample Condition
/ / /._~'/ I as Received:
// / ~ / J Chille~FZno
// ~ / Container/Comments
Date
lTime
Total Number of Containers
Additional Comments
7
t[~GENER
'~'. \ :::IX /
CONSTRUCTION
H A R 0 H 9. :, 19. 9. ~.'".'
BAKERSFIELD FIRE DEPT.
HAZARDOUS MATEtqlAL [)IVISION
~i'~130 "G" STREET
BFAKERSFiELD~ CA. 93301.
A T T N: J'ID E D U N t,,,I 00 ID Y
RECEIVED
NAR' 1 0
HAZ M.A,T. DIV.
REC?':' '"-'"'
.... HA7-_. MAT: Otv.
FlrdD :I',.ICLOSED TIdE FOLLQklING DOCUMENTS FOR "(OR FILE, IF ANY
ADI:)ITZOrqAL. ZNF:ORMATION ZS NEEDED PLEA~b: ON"f¢-~C,'f ME
GOLDEN STATE METALS TANK DISPOSAL FORM $'!:10215
RINSATE MANIFEST ~91.581907
DOUG klEGENER
1710 CALLOWAY BAKERSFIELD, CALIFORNIA93312 (805) 589-5570 FAX(805) 589-1161 · LIC. NO. 413913'
GOLDEN STATE METALS, INC.
P. O. Box 70158 · 2000 E. Brundage Lane
Bakersfield, California 93387
Phone (805) 327-3559 · Fax (805) 327-5749
Scrap Metals, Processing & Recycling
CONTRACTOR:
ADDRESS:
JOB SITE:
ADDRESS:
N° 10215
":,i~NK DISPOSAL,'FORM .......
I
· "? :z...
Contractor's .
LicenSe No. '
'ContraCtor's
Phone No.
!100 ,
'DESTINATION:
G.S.M. . 2000 E. BRUNDAGELANE ·
BAKERSFIELD, CA 93387
,.
QTY ·GALLONS SERIAL NO. :NETTONS
250 ,14
~ 550 ' .24
1000 - 6 ft .61
2000 ,97
3000 i.32
5000 2.42
7500 3.28
9000 · 3.82
12000 4.93
....... TOTAL ....
COUNTY:
/___~ANKINSPECTION .
CLEAN & DRY (ACCEPt, OR
r-]RESIDUALS PRESENT(REJEC~
LELREADING
~OXYGEN CONTENT
~DISPOSALFEE
~SCRAP VALUE
~OTHER
All fees incurred are per load unless specified. Terms are
net 30 days from receipt of tank. Contractor's signature
represents acceptance of terms for payment, and confirms
that tank removal complies with State laws.
CONTRACTOR'S SIGNATURE
CERTIFICATE OF TANK DISPOSAL_/DESTRUCTION
THIS IS TO CEP-/T~Y THE RECEIPT AND ACCEPTANCE OF THE TANK(S) AS SPECIFIED ABOVE. ALL MATERIAL SPECIFIED WILL BE COMPLETELY
DESTROYE SCA RECYCLIN P RPOSES ONLY. ' ...........
AUTHORIZED REP. ~ 7 DATE WHITE m Co~tractor Copy · YELLOW -- File Copy · PINK ~ Permanent Copy
IHI~ AI~I~LIL;AII~Iq t~:L;L~M:~ A r:KM'II WI~:r~
See Instructions,°n of puge 6.
UNIFORM HAZARDOUS I~I. GenMat°fl UG EPA ID N°- i I~nllest I::~::umenl ~. I 2. Pc~e I
E
T
L
Y
DO NOT WRITE BELOW THIS UNF. J.
~ OHS 8OZ~ ¢1~m) - ' wht~:
' ~EPA 8700--22 To:
TSOF SENm 11.11S ~ TO Dm WIll.iN 30 DAY~. ·
e.O. Box-_'~'~_,~to.C,A wi2'.
Bakersfield Fire Dept.~_
HAZARDOUS MATERIALS DIVlON
UNDERGROUND STORAGETANK- PROGRAM
PERMIT No.
PERMIT APPLICATION FOR REMOVAL OF AN UNDERGROUND STORAGE TANK
SITE INFORMATION.
SITE (//Tf~/~//~ (..~/~_5 ~___~A_/ ADDRESS //~ ~ ZiP CODE APN
FACILI~ NAME ~ ~~~ CROSS·STREET ~~ ~
TANK OWNER/OPERATOR ~~- / ~~' PHONE No. ~- ~)/
MAILING ADDRESS /~2~ /~~ Cl~ ~~ · 'ZiP CODE
CONTRACTOR II~IFORMATION ~____~/,Z<~,.'
COMPANY/_~ ~/~',~----
ADDRESS /'~,/O ~'~,,,,~/--zgz--~ .~".Z'
INSURANCE CARRIER
PHONE No.
PRELIMANARY ASSEMENT INFORMATION
COMPANY/~Zz~ ~
ADDRESS ~'~o /-'~,~ /,~'~.~-
INSURANCE CARRIER O~ ~ ~
PHONE No,
~'"~'_~'~(.~ LICENSE No. ~r~/~/~
Cl~ ~ ZiP CODE ~/~
WORKMENS COMP No. ~/~
~/- /g y.~ LICENSE No.
CITY ZIP COO~ ? ~ ~/,~
WORKMENS COMP No. ~->~
TANK CLEANING INFORMATION
COMPANY
ADDRESS
WASTE TRANSPORTER IDENTIEICATION NUMBER
NAME OF RINSTATE DIS'P'~'~S~,L FACILITY _/"~/~:~-~.9~J
ADDRESS
FACILITY INDENTIFICATION NUMBER
'CITY
PHONE No.
ZIP CODE
cITY / ZIP CODE
TANK· TRANSPORTER INFORMATION
COMPANY
ADDRESS
TANK DESTINATION
PHONE No. ,~5-/~,~-~/ LICENSE No.
CITY ~/J~-~J ZIP CODE
TANK INFORMATION
TANK No. AGE VOLUME CHEMICAL DATES CHEMICAL
STORED STORED PREVIOUSLY STORED
THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE AI-rACHED CONDITIONS OF THIS pERMIT AND ANY OTHER
STATE, LOCAL AND FEDERAL REGULATIONS.
THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT.
APP .OVEg U
THIS APPLICATION
BECOMES A PERMIT'WHEN APPROVED
BAKERSFIELD FIRE DEPARTMENT
HAZARDOUS MATERIAL DIVISION
2130 G Street, Bakersfield, CA 93301
(805)~326-3979
CERTIFICATION STATEMENT OF TANK 'DEC~ONTAMINATION
! name
contracting co.
an authorized agent of
here by attest under penalty of
perjury that the tank(.s) located at
being removed under permit# J~
0,'~'~ ' ~l~'/' and
address
' has been
cleaned/decontaminated properly and-a LEL (lower explosive limit)
reading of n~-g~eater than 5% was measured immediately following
the cleaning/decontamination process.~
na~ (print)
si~n%ture