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Home My WebLink AboutUST-REPORT 07/23/1991 NOTI ~m CATI O.N OF APPLi CATi ~.... FOR A PERMIT ACTiViTy ....... AT A UST FACILITY iN BAKERSFIELDCiTY DATE APPLICATION SUBMITTED: APPLICATION SUBMITTED FOR WORK TO BE COMPLETED AT THE FACILITY LISTED BELOW: FACILITY NAME:~__~~~~~ FACILITY ADDRESS:~ FACILITY PERMIT NUMBER: DESCRIPTIONS OF WORK FOR WHICH PERMIT APPLICATION HAS BEEN SUBMITTED: SPECIALIST' GIVEN THE APPLICATION: DATE GIVEN TO THE SPECIALIST: Bakersfield Fiz-e Dept. HAZARDOUS MATERIALS DIVISlO~iiE £ E I V E D · ' 2130 G Street, Bakersfield, CA 93301-- . (805) 326.3970 .. D~C 2 1991 X~ Ans'd.., .......... UNDERGROUND TANK~QUE~STIONNAIRE I. FACILITY/SITE BOX TO INDICATE I NAME OF OPERATOR .... ~"~ · ' NEAREST CROSS STREET ~ / ~ PARCEL N~.(OPTIONALj STATE ZIP CODE /~CORPORATION [~INDIVlDUAL [~PARTNERSHIP [~ LOCAL AGENCY DISTRICTS (~COUNTYAGENCY [~STATEAGENCY [~ FEDERAL AGENCY TYPE OF BUSINESS I GAS STATION ~2 DISTRIBUTOR I KERN COUNTY PERMIT FARM [~ 4 PROCESSOR 25 OTHER I TO OPERATE No. EMERGENCY CONTACT PERSON (PRIMARY) DAYS: NAME (LAST, FIRST) PHONE No. WITH AREA CODE /DAYS: NAME (LAST, FIRST) NIGHTS: NAME (LAST, FIRST) ~' PHONE I~o. WITH AREA CODE / NIGHTS: NAME (IA, ST, II. PROPER~ OWNER INFOR~TIO~ (~UST BE COMPLETED) EMERGENCY CONTACT PERSON (SECONDARY) optional PHONEtNo. WITH AREA CODE MAILING OR STREET ADDRESS.~3 CARE OF ADDRESS INFORMATION ~' BOX ~ INDIVIDUAL [~ LOCAL AGENCY ~ STATE AGENCY TO INDICATE ~L~RTNERSHIP [~ COUNTY AGENCY [~ FEDERAL AGENCY ZIPCODE I PHONE No. WITH AREA CODE III. TANKOWNER INFORMATION (MUST BE COMPLETED) NAME CARE OF ADDRESS INFORMATION MAILING OR STREET ADDRESS ¥ BOX . [~ INDIVIDUAL {~ LOCAl. AGENCY [~ STATE AGENCY TO INDICATE [~ PARTNERSHIP [~ COUNTY AGENCY [~ FEDERAL AGENCY CITY NAME STATE I ZIPCODE PHONE No. WITH AREA CODE OWNER'S DATE TANK No. INSTALLED VOLUME PRODUCT STORED IN SERVICE Y/N Y/N Y/N Y/N Y/N Y/N DO YOU HAVE FINANCIAL RESPONSIBILITY?. YIN TYPE ~ ,~ ~ BAKERSFIELD FIRE DEPARTMENT .~/~~".Z~,~ Nome of C~ny b ' ~dress to display, store, install, use, o~rate, sell or handle materials or pr~esses involving or creating con- ditions deemed hazardous to life or 'pro~ as follows: AuZhoriz~epre~nt~Jve REC RESOURCE MANAGEMENT AGENCY RANDALL L. ABBOTT DIRECTOR DAVID PRICE Ill ASSISTANT DIRECTOR ENVIRONMENTAL HEALTH SERVICES PERMIT. FOR PERMANENT UNDERGROUND HAZARDOUS SU. ST.' ,.NCES sTo oE FACmI Environmental Health Services Department STEVE McCALLEY, REHS, DIRECTOR Air Pollution Control District WILL/AM d. RODDY, APCO Planning &: Development Services Department TED JAMES, AICP, DIRECTOR DEPARTMENT PERMIT NUMBER A 1510-1_9 FACILITY NAME/ADDRESS: Sir Lube 800 Oak Street Bakersfield, CA 93304 PERMIT FOR CLOSURE OF 4 TANK(S) AT ABOVE LOCATION OWNER(S) NAME/ADDRESSi Mel Stansbury 800 Oak Street Bakersfield, CA 93304 Phone: (805) 323-8348 CONTRACTOR: Calpi, Inc. P. O. Box 6278 Bakersfield, CA 93386 License #506025 Phone: (805) 589-5648 PERMIT EXPIRES _September 18, 1991 APPROVAL DATE --June 18, 1991 -- Laurel Funk Hazardous Materials Specialist ............................................................................................... _POST ON PREMISES ........................ i....: ............................................................... i.. CONDITIONS AS FOLLOWS: 1. It is the responsibility of the Permittee to obtain permits Which may be required Departments). by other regulator, agencies prior to beginning work (i.e., City ~ Fire and Building Permittee must ~ the Hazardous Materials Management Program at (805)'861-3636 two working days ~ to tank removal or abandonment in place to arrange for required inspections(s). Tank closure activities must be per Kern Coumy Environmental Health and Fire Departmem approved methods as described in Handbook UT-30. It is the contractor's responsibility to know and adhere to all applicable laws regarding the handling, transportation or treatment of hazardous materials. The tank removal contractor must have a qualified company employee on site supervising the tank removal. The employee must have tank removal experience prior to working unsupervised. If any contractors other than those listed on permit and permit application are to be utilized, prior approval mu'st be granted by the .specialist_ listed on the permit. Deviation from the submitted application is not allowed. Soil Sampling: - a. Tank size les,, than or equal to 1,000 gallons - a minimum of two samples must be retrieved from beneath the center of the tank at depths of approximately two feet and six feet. . b. Tank size greater than 1,000 to 10,000 gallons - a m~inimum- of four samples must be reirieved one-third of the wav in from the ends of each tank at depths of approximately two feet and slx feet. C. Tank size greater than 10,000 gallons - a minimum_ of six samples must be retrieved one-fourth of the way in from the ends of each lank and beneath Ihe center of each tank at deplhs of approximately two feet and slx feet. - Soil Sampling (piping area): /'% minimum of lwo samples must be retrieved at depths of approximately two feet and six feet for c~ery 15 linear feet of pipe run and under'the dispenser area. 5. 6. 7. 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 8~51-3636 FAX: (805) 861-3429 MIT FOR PERMANENT ~zOS'c~R-E UNDERGROUND HAZARDOUS JBSTANCES STORAGE FACILITY PERMIT NUMBER A 1510-19 ADDENDUM 9. Soil Sample analysis: 10. All soil samples retrieved from beneath gasoline (leaded/unleaded) tanks and appurlenances must be analyzed for benzene, toluene, :('ylene, and total petroleum hydrocarbons (for gasoline).' Ail soil samples retrieved from beneath diesel tanks and appurtenances must be analyzed for total petroleum hydrocarbons (for diesel) and benzene.. All soil samples retrieved from beneath waste oil tanks and appurtenances must be analyzed for total organic halides, lead, oil and grease. All soil samples retrieved from beneath crude oil tanks and appurtenances must be analyzed, for oil and grease. All soil samples retrieved from beneath tanks and appurtenances that contain unknown substances must be analyzed for a full range of substances that may have been stored within the tank. 'Die following timetable lists pre- and post-tank removal requirements: ACTIVITY Complete permit application submitted to Hazardous Materials Management Program Notification to inspector listed on permit of date and time of closure and soil sampling Transporlation and lracking forms sent lo l lazardous Materials Management Progrnn~. All hazardous waste manifests must be signed by the receiver of the hazardous waste DEADLINE At least iwo weeks prior to. closure 'D. vo working days No later than 5 working days for transportation and 14 working days for the tracking form after tank removal Sample analysis to Hazardous Materials Management Program No later than 3 working days after completion of analysis 11. Purgin~Inerting Conditions: a. Liquid shall be pumped from tank prior to purging such that less than 8 gallons of liquid remain in tank. (CSH&SC 41700) b. Tank shall be purged through vent pipe discharging at least 10 feet above ground level. (CSH&SC 41700) c. No emission shall result in odors detectable at or beyond property line. (Rule 419) d. No emission shall endanger the health, safety, comfort or repose of 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 TANKS This department is responsible for enforcing the Kern County Ordinance Code, Division 8 and state regulations pertaining to underground storage tanks. Representatives from this department respond to job sites during tank removals to ensure that the tanks are safe to remove/close and that the overall job performance is consistent with permit requirements, applicable laws and safety standards. The following guidelines are offered to clarify the interests and expectations for this department. Job 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. Thejob foreman is responsible for the crew and any subcont'raetors on the job. As a general rule, workers are not permitted in improperly sloped excavations or when unsafe conditions exist in the hole. Tools and equipment are' to be used only for their designed function. For example, backhoe buckets are never substituted for ladders. ' Properly licensed contractors 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 from the permit conditions may result in a stop-work order. Individual contractors will be held responsible for their post-removal paperwork. Tracking forms, hazardous waste manifests 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 cases results. If this continues, processing time for completing new closures will increase. LE:cas ~/' DATE ~al510-19.p{c ., ,- ' FILE CONTENTS INVENTORY Facility ormit to Operate ~ nstruction Permit ~]Permit to abandon{ · rqAmended Permit Conditions [-]Permit Application Form, [~]Application to Abandon r~Annual Report Forms Date Da t e Tanks Date Tank Sheets,-~w--~-~ tanks (s) Date []Copy of []Inspection Reports .r~Correspondence - Received Operator. . Written ·Contract Betw,een Owner & []Correspondence - Mailed' Date "Da te Date Date Date Da te [~Unauthorized Release Reports []Abandonment/CloSure Reports []Sampling/Lab Reports rqMVF Compliance Check (New Construction Checklist) [~STD Compliance Check (New Constr~ction Checklist) r~MVF Plan Check (New Construction) []STD Plan Check (New Construction) [~MVF Plan Check (Existing Facility) [-]STD Plan Check (Existing FaciIity) I-]"IncomPlete Application" Form ~Permit Application Checklist '' rqPermit Instructions r]Discarded [~Tightness Test Results []Monitoring Well Construction Data/Permits [-]Envi~ronmental Sensitivity Data: rqGroundwater Drilling, Boring Logs' [-]Location of Water Wells rqstatement of Underground Conduits· r]Plot Plan Featuring All DPhotos [-]Construction Drawings []Half sheet showing []Mi scel laneous Date Da te Date Environmentally Sensitive Data Loca t i on: date received and tally of·inspection time, etc Questionnaire Normally, permits are sent to fa'cilitM Owners but since many Owners live outside Kern County, them 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 fo~m with payment: 1. Send all" lnfor~ation to O~ner ~t the address ' /'~ - - listed on invoice ~if O~ne~ is different th~ to proVide . O~er~tor ~ith pertinent lnfor~tion). 2. Send all information to following corrected address: Owner at the 3. Send all Information to Operator: Name:. Address: (Operator can make copy of permit Owner}. for PERMIT CHECKLIST ' This checklist is provided to ensure that all necessary packet enclosures were received and that the Permit.tee has obtained all necessary equipment to implement the first phase of monitoring requirements. .' Please complete this form and return to KCHD in-the self-addressed enveloPe provided within 30 days of receipt. Check: . , ..'~j.. '.~ '?" A. The packet i received contained: Signature of Person Completing Checklist: Title: ~'f'~ ' ~ ' . Date: 1) Cover Letter, Permit Checklist, Interim 'Permit' .... Phase I Interim Permit Monitoring Requirements, Information Sheet r(Agreement Between Owner and Operator), Chapter 15 (KC0C ~G-3941), :Explanation 'of .Substance .Codes, :2) ~odlfled Inventory Control Monitoring Handbook· with form: "quarterly Modified Inventory Control Sheet" with "quarterly · SUmmary" on reverse. 3) An Action Chart (to post at facility). B. I have' examined the information on my Interim Permit, Phase I ~onitori~ Requirements, and Information Sheet (Agreement' between 0~ner 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 5 of Handbook #UT-IS). 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). E. I have enclosed a copy of Calibration Charts for all tanks at this facility (if tanks are identical, one chart ~ill suffice; label chart(s) with corresponding tank numbers listed on permlt). F. ~odified Inventory Control ~onitoring was started at this facility in accordance with procedures described in Handbook #UT-15. Date Started 1700 Flower Street Bakersfield, California 93305 Telephone (805) 861-3636 couNT'Y HEALTH DEpART~- ENVIRONMENTAL HEALTH DIVISION HEALTH OFFICER Leon M Hebertson, M.D. DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Reichard SIR LUBE 800 OAK ST. BAKERSFIELD, CA ATTN: Mel StanSbury Dear Sir: August 15,. 1986 Enclosed is the application for abandoning the three tanks not in use at the Oak St. facility. We spoke briefly about this matter August 7, 1986 and as stated then you will have 14 days from the time you return from your vac-' ation' (Aug. 25, 1986)'to complete and submit this application to the Health Department. This will give you enough time to review and accept the removal contractors bid that will be best for you. If you have any questions concerning this matter please call me at 861- 3636. Sincerely, Janis Lehman Environmental Health Specialist Hazardous Materials Management Program JL:dk DISTRICT OFFIcEs Delano . Lamont . Lake laat~ella . Mojave . Ridgecrest . shafter Taft _UNDERGROUND IiAZARDOUS SUBSTANCES STORAGE FACILITY Bakersfield, (;alifornia 93305 ' ' . Leon M Hebert$on, ~,O, IR"LUBE f~ORPORiT[ON STREET BAKERSFIELD '!'LUBE':'CORpORATiON:'!OF ICA OAK STREET FANK '~# IN YRS~ STANCE ~RESSURIZED PIPING' ?'-!~:!;:-i:.~/:~!i':':~ii;:(,NOTE: ALL, iNTERIt4 REQUIRE~IEN'Ts "ESTABLISHED nY THE 'PERMITTING .,,.::~=-.,':',.:,?~f~i:~?i~/5.,:g:i~>:2.-?..;:~' UTHORYTY ~UST BE ~ET DURING THE TER~ OF PER~IT :'.,NON--TRANSFERABLE ':' ** POST E~I SES'f?': DATE PERMIT MAILED: DATE PEtR. flT CHECK LIST RETURNED: : ,'' 7.2:. Kern County Health D~-q~a~tment Division 0~ Enviro~ental Hea Applicati0n ~t~ /_~~ 1700 Flo~r Street, Bake~sfie -.A 93305 .~ .. ~PLI~TION FOR PE~IT TO OPE~TE ~DE~R~D ~~US SUBST~CES S~E FACILI~ ' T~ of Application (check): ~New. Facility. ~dification of Facility ~isti~ FacLlity ~ansfer of ~ershlp ~s Tank(s) ~cat~ on ~ Agricultural Fa~? ~y~ Is Tank(s) Us~ Prtmarlly for ~ricultural ~r~ses? ~Yes ~" - ..... · -;." .. Soil Characteristics' at Fact] ~ Basis for' Soil Type and Groundwater Depth Determinations . C.~ Contractor ~- Address ~ Proposed Starting Date ~_ Worker's C~mpensation certification ~ 'Depth to' Gro'undWatar' CA Contractor's License No. Zip Telepho~ Proposed CcmpI~tion []lite Insurer If This Permit Is For Modification Of An Existing Facility, Briefly Describe Modifications Proposed Tank(s) Store (check 'all that apply): 'Tank ! Waste -Product Motor Vehicle Fuel Unleaded Regular Premium Diesel Waste Transfer of Ownership Date .of- Transfer Previous Facility Name I, Previous Owner accept fUll~a~6bligations of Permit No. issued to · I understand that the Permitting Authority may review and ~odify or terminate the transfer of the facility upon receiving this'completed form. Permit to Operate this ~dergro~d storage This form has been cc~leted under penalty of true and 'correct. ,~ c~ / i .' Signature Division ot El~virormlental lieO 1706 fi'SC;er Street, Bakersfield'.., CA -9~']()5 ae !'" "'. Soil Characteristics' at Facllt~y' . . ' t" Depth to' Groundwater ~.. '..~ Basis for Soil Type and Groundwater Depth Detemlnattons , C Contractor · CA ContraCtor, s License No. ' , t, Addr ess ~ ..APPLICATION FOIl PERMIT' TO OPI'.:RATE UNDERGROUND tlAZARDOUS SUBSTANCES STORAGE FACILITY ' Type o_~f Appl i ca fi i on (check): I-]New Facility l-]Modification of Facility .~isting Facility [:]Transfer of Ownershl~ Dmergency 24-ltour Contact (name, area code, phone): Days/ll(.:/'?'td~i,-{I./ill v' -~J" :~' / , l, /i .~, , . ' Nights37'*'.l-'/l,~[".~i/,..,i"3'1 Facility Name .... //~' .:. ~t. 1. r.__J_i::t'-I:' _._ No. of T/~nks ~ //z - Type of Business (check): 121Gas6I-ine~Stati0n [~]Other (de.scribe) Is Tank(s) Located on an Agricultural Farm? FlYes I~INO , .Is Tank(s) 'Used Primarily for kJricultural Purposes? i-lYes Facility Address ~ Ct." /5~/}i:~i,.'~ [- Nearest Cross. st.. (nil~,2['-,, ,".,.! l-:c~l<<.. T R SEC' (Rural LocatiOns (]~ly) Owner . ~- ~ ~'~ ~(-OfD ~M~- .~r~<~. ~-- ' Contact Perso~ ' · Address ~ .'.~' ~k~m~;'t. , Zip g3'3~ T. lephone Operator · Contact Person Address Zip .... .Telephone ~ Proposed 'starting Date ' , Zip Telephone Worker's Proposed completion II, re ' ~ Proposed. · . _ , Existing Facility, Briefly 12~ribe Modification ~:{Tank(s) Store (check all that apply): ,--~ Tank ! Waste Product Motor Vehicle unleaded Regular Premium Diesel ' Waste b~ -- , Fuel .v)~ ? / /..-./~',.,t.'m m ~ -- .. · "--" -- ~I- . ~ . -~. L/_~ _~ u · [] [] [] ' [] .... - ~ ...- ~ .5- /-' ,.;...','/' u , D [] [] [] '~ ' ~ ~ F. Chemical C~mposition of Materials Stored (not necessary for motor vehicle fuels) Tank ! Chemical Stored (non-commercial name) CAS ! (If known) Chemical Previously Stored Ge Transfer 'of Ownership Date of- ~-~n~fer Previous Facility Name I, Prey tous Owner accept fd'lly ail. ~b'll~'atiOns of Permit' No. issued t I understand that the Permitting Authority may review an modi'fy or te'minate the transfer of the' Permit facility upon receiving this completed form, to Operate this mdergromd stora~_ This form h~s been com~.let~ed under penalty of . true and corr~,.t., '-~<'- ~-' . S~gnature ' ~" [ ,~ '} · / ,~ , it perjury and to the best Of my .knowledge i Title .'acil ity Name 3.. Primary .Containment Date InStalled Thickness (Inches) 4. Tank Secondary Con't'a'inment [2]Double-Wall [] Synthetic Liner r~other (describe): []Material Tank Interior Lining ~]~Rubber r~ Alkyd Permiu No~ TANK. ~ (FILL OUT SEPARATE FORM FOR~_,,-~ TANK) FOR EACH SECTION, CHECK ALL' APPROPRIATE BOXES Tank is: [~Vaulted:' [-]Non-Vaulted []Double-Wall [qSingle-Wall ~ Material ' Carbon Steel [] Stainless steel [] Polyvinyl Chloride [] FiberglasS-Clad Steel Fiberglass-Reinforced Plastic [] Concrete [] Al~inteu [] Bronze' ~Unk~own Other (describe) e CaPacity []Lined Vault Thickness (Inches) []Epoxy []l~enolic []Glass Manufacturer nNone unkno. Manufacturer: Capacity (Gals.) rTclay []unlined ~unkno~ r~other (describe): Tank Corrosion Protection '--~Galvani~' ~ass-Ciad '[]Pol~hylene Wrap [[]Vinyl Wrapt~ing · '[']Tar or Asphalt ~kncm~ _~None []Other (describe) Cathodic Protection: L~None [-]Impressed Current System :['lSaCrlfiCial 9a~ode System DesCribe System & Equil3uent: Leak Detect ion,. Moni tot ir~,. and Inte rce~ti0n · , a. Tank: r~visual (vaulted tanks only) ~GroUndwater Monitoring Wall(s) r~Vadose Zone Monitoring Wall(s) []U-Tube Without Liner ~U-Tube with Compatible Liner Directing Flow to Monitoring Wa,ii(s)* [] Vapor Dstector* [] Liquid Level S~nsor~ [] Conductivit~ Sensor [] Pressure Sensor in Annular Space of Double Wall Tank [] Liquid l%atrieval & Inspection Frc~ U-Tube, Monitoring Nell or Annular Space •Daily Gauging & Inventory Reconciliation •Periodic Tightness Testing None~.Unkno~,a~ [] Other Piping: ~lFlow-Restricting Leak Detector(s) for Pressurized Piping' r~Monitoring S~p with Race~y r~ Sealed Concrete Race~y r~Half-Cut C~mpatible Pipe Raceway []Synthetic Liner Race~ay []None []Yes ~NO []Unknown Results of Test Testing Company Unknown [] Other *~e~cribe Make & Model.' 8. s sen Tightness Tested? Date of Last Tightness Test Test Name 9. Ta~nk ~ . Tank Repaired? []Yes []No []Unknown Da te (s) of [{epa i r (s) Describe RePairs 10. 'Overfill Protection []Operator Fills, Controls, & Visually Monitors Level E]Tape Float Gauge rqFloat Vent Valves []Auto Shut- Off Controls Capacitance Sensor []Sealed Fill Box []None [[]unknown : Other: List Make & Model For Above Devices 11. Pipi~ a.. Underground Piping: be Ce []Yes []No ~unknown Material Thickness (inches) Diameter Manufacturer ~Pressure ~Suc~iOn" r~Gravity Approximate Length of Pipe Underground Piping Corrosion Protectio~ : E]Galvanized rqFiberglass-Clad rqImp~essed Current [2]Sacrificial Anode .[]Polyethylene Wrap [qElectrical Isolatio~ rqvinyl Wrap []Tar or Asphalt ~Unknown []None []Other (describe): underground Piping, Secondary Containment: E]Double-Wall r-]synthetic Liner System [-]None ~Unknown' [-]Other (describe): ~0 ke~n C,~unty ~.lealth Departme~ Division of Environmental Heal'~ 1700 Flo%~r Street, Bakersfield, CA 93305 APPLICATICN FoR PERMIT FOR 'TEMPORARY OR PERMANENT App[ lcation Date ~-~'. ~, ~ No. of Tanks to be Abandoned 3 HAZAREOt~ SUBSTANCES ~E f~CILITY ae 'B Ce Type of Application (Fill Out One Application Per Facility) ' [-]T~:~porary Closure/Abandonmen--~ · ~_ .·~ '~ ~Permanent Closure_~Abandonmen_~. ' Nights Project Contact (name_, ,area ~od~, phj~ne) :'Dales .' '- , . T ..... ~' R SEC - -' (Rural Locations Only) J ~sis for ~il ~ and'Gro~d~ter ~pth ~teminatio~ Tank Removal ContractOr Address Proposed Starting Date Worker' s. Ccmpensation Certificazion Environmental Asse*s~-nent Contractor Address Proposed Starting Date Worker's Cc~pensation Certificatio~ CA License No. Zip Te!e-~hone Proposed C~npletion Date ........ insurer CA License No. Zlp Telephone Proposed c'cmpletion Date Insurer Ch~ical Ccmposition of 'Materials Stored Tank ~ Chemical Stored (non-cowmercial name) Dates Stored to to. to to Chemical Previously Stored (if different) E. Describe Method for Retrieving Samples Samples Will ~e Analyzed for · F. Laboratory That Will Perform Analyses of Samples Address Telephone This application for: [-]removal or ~a~%ndonment' in place * * PLF3~SE PROVIDE INFORMATION REQUESTED CN REVERSE SfDE OF THIS SHEETBEFORE S.UPQ4iT?ING APPLICATION FOR REVIEW. .This form has been completed under penalty Of Pe['jury and to the best of my knowledge is. true and. correct: SignaZure ':'- '" provide Des~'iption ,sical Layout of Facility .pace .Provided Below; ~'~:'~":" Include All the Following [nfo~mat[on: ' · ----- Location of Tank(s), Piping & DiSpense~ (s)' ~ Proposed Sampling Locations Indicating Approxim. ate .Depth .,~ of Samples ! " - Nearest Street or Intersection ~"' '":' '"'"'~:"-"'"'~' ";-~"~. ., , Any Water Wells or Surface waters Within 100' Radi'u~' of ' '~'? -,' Facility " ,-- · Approved By Scale 1700 Flower Street . Bal~ersfield, California 93305 Telephone (805) 861-3636 'COUNTY HEALTH DEPARTMEN~''-* .EALTHOF~CER · Leon M Hebertson'. M.D. ENVIRONMENTAL HEALTH DIVISION :' Harch 25° 1987 DIRECTOR OF ENVIRONMENTAL HEALTH, Vernon S. Reichard .Mel St'~nsbury Sir Ldbe Corp of. America 125 Pacific Street' :' Bakersfield, California 93305 Dear Mr. Stansbury: In reviewing your abandonment file for the Underground storage tanks, it has come to our attention that numerous attempts have been made to obtain pertinent Information regarding closure o[ the tank located at 800 Oak Street in Bakersfield, California. _ Kern County Ordinance Code. DlvlslOn 8 Chapter 5 describes the abandonment requirements for hazardous substance underground storage tanks. This includes closing or temporarily closin~ the operation of these tanks. Chapter 5 states that Section 3912.5.01. No person shall abandon an underground sto~age tank or close or temporarily cease operating an underground storage tank except as provided in thls chapter. Section 3912.5.02. An underground storage tank which is temporarily ·taken out of service, but which the operator intends to return to use, shall continue to be subject to all the permit, inspection, and monitoring requirements of 'this Chaptar, unless the operator comp.lies with 'the provisions of Section 3912.5.03 .for the period 'of time the underground tank Is not In use. Section 3912.5.03. No person shall close an underground storage tank unless the person undertakes all the following act.lons after first obtaining a permit from the Permitting Authority. Demonstrates to the Permitting Authority that all residual amounts of the hazardous substa'nce or hazardous substances which were stored In the tank prior to lts closure have been removed, properly disposed of or neutralized. Adequately seals the tank to minimize any threat Co the Public safety and, the possibility of water intrusion lnto.. or runoff from, the tank. · DISTRICT OFFICES Sir Lube Corp of A, March 24. 1987 Page 2 C. Provides for, and carries out, the maintenance of the tank as permltti'ng Authority 'determines is necessary, for. the period of- time the Permitting Authority requires. D. Demonstrates to 'the Permitting Authority that there has been no significant soil contam'lnation resulting from a disch&rge in. th'e area surrounding the underground storage tank or facility. ..~ . If the tank at your facility is not intended for future use, its permanent closure will be necessary, sinCe no action has' been taken recently on the initial application.-~nclose'd you will. find new tank abandonment applications forms and requirements which must ' be completed and returned to this ,office within 15 days. Note that a Permit is required prior to initiation of amy closure or' abandonment work. If the tank · is not closed under permit['- Section 3912.5.02 applies. :,. .. , . ,,j, ii~,:.~i,:, ,,' This letter is to advise you of the requirements of law and to give you the opportunity to make necessary important decisions regarding this matter.. If I can assist by answerin~ questions, please do not hesitate to call me at (805) 861-3636. Sincerely, Joe Canas Environmental Health Specialist Hazardous Materials Management Program JC:sw Encl'osure K'E ~--R.. N COUNTY RE$OURCE MANAGENEN T ,-.?' ENVIRONM~TAL HEALTH SERVICES DEPARINT .;. :2700 ."'M" STI~I~ET~:'SUITE 300, BA'KERSF.IEL ,[~1,~ CA.933~ . :~ (805)861-3636 .. " ~u " ": ::' .UNDERG ND HAZARDOUS SUBSTANCE STORAGE FAC[LZTY ..' .... .':.. ..:.. '.,'-. .:.'... '. -.* ~.~.~o. ".':'~:' "~.:;'?:;:':-:::~;::-,.~.:f~";~ '"':' '?':" "" '... ;?.~;?~;??.::;-:/:;::'???C-:::':- p ' · ' :. '-~ '~-" ; ,. ", ' .-,-~ PERN[T PO~ YES ', '"' ~"" ';F~ACZL[~TY ADDRESS:800 OAK STREET ~ . ONNERS NAN,:SIR LUBE CORPORAT[0N'OF ANER[CA '. ' d. In-~ank Level Sensing Device , ' ' ~' ' e. ' ~roundwa~e~ ~ni~oring ' ~' .- ' - .... f. Vadose Zone ~onitoring :'. . - 7. g. SECONDARY CONTAINMENT MONITORING: a. Liner b. Double-Walled tank ¢. Vault / PIPING MONITORING: a. Pressurized Suction Gravity 4. OVERFILL PROTECTION: TIGHTNESS TESING NEW CONSTRUCTION/MODIFICATIONS CLOSURE/ABANDONMENT UNAUTHORIZED RELEASE MAINTENANCE, GENERAL SAFETY, AND OPERATING CONDITION OF FACILITY 7 FILE CONTENTS SUMMARY Activity Date' # Of Tanks Comments ¢-/ RANDAIJ- L. ABBOTT DIRECTOR DAVID PRICE ill ASSISTANT DIRECTOR Emdmmnemal Health Se~ices Department STEVE McC~ ~ ~'Y, REHS, DIRECTOR Air Pollution ContrOl District Wn ! lAM & RODDY, APCO Planning & Development ~ Department TED JAMES, AICP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT July 23, 199~ Mr., Mel Stansbury 800 Oak Street Bakersfield, California 93304 CLOSURE OF 4 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANKS LOCATED. AT 800 OAK STREET IN BAKERSFIELD, CALIFORNIA. PERMIT # A1510-19/190012 This is to advise you that this Department has reviewed the pro3ect 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 for your cooperation in this matter. LAUREL FUNK, HAZARDOUS MATERIALS SPECIALIST cc: Calpi, Inc. P. O. Box 6278 Bakersfield, CA 93386 27~ "M" STREET, SUITE3~ BAKERSFIELD, CALIFORN~ 93301 (~5) ~1-3~6 FAX:(~5) ~1-34~ MC: cd ' ' P.O. BOX 6278 · BAKERSFIELD, CALIFORNIA93386 · (805) 589-5648 July 16, 1991 Kern County Environmental Health Services 'ATTENTION: Laurel Funk 270.0 M Street, Suite 300 Bakersfield, Ca. 93301 SUBJECT: Permit ~A1510-19. Dear Ms. Funk: On.June 24, 1991 CALPI, Inc. removed four (4) [3 - 4K and ]- 550 gallon] underground gas and waste Oil tanks from Sir Lube at. 800 Oak. Street, Bakersfield, California 93304. '~'he tanks were decontaminated on site using a high pressure steam cl~all~ffr'and inerted with dry ice. Rinsate was disposed of at Gibson in Bakersfield, California under hazardous waste manifest nu[nber 89958932. The tanks were remOved to American Metal Recycl- ing and Valley Tree. Soil was sampled under the direction of Kern County. The samples' were analyzed at SMC of Bakersfield. A complete chemical analysis is enclosed. In addition to the lab results, copies of the manifest, chain of. custody and the tank dispOsition tracking record is enclosed. Please contact our main office at (805)589-5648 if you have any questions or require further information. Sincerely, Pat Mul lhofer SuPervisor PM/m~ cc: Sir Lube Santa Maria, California 93454 (805) 925-2231 Bakersfield, California FAX (8o5.) 589-53'! 2 . ..... . ...... .~ ..~ ......... ~-, ..... ~ i~,...., ~ ' ..~-.: , ~. ..... ~ .... ,. . ,'.~. 4233 ~im Rd.:~;f?:: .... ~;,.;..~ ~ -~:?~?~i~.~::~:~:,~e.:-'~- , -; ::: '.;: ,~ ~ ~ ....... ~:/~,1,~..~,~:~ ~ .~.~ ~:~:., ~ . . ...,~,,:.,. ~ ~. ~ ~ .~. · :--.!.:.~ ;.' . . .....,'" _ :' RANDA! ! L. ABBOTT DIRECTOR DAVID .PRICE !I1 ASSISTANT DIREC'rOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Facility Name: **UNDERGROUND TANK DISPOSITIONTRACKING RECORD** Kern CountvPermit County This form is to be returned to the Kern County Environmental Health Services Department within 14 days of acceptance of the tank(S) by an approved disposal or recycling facility. The holder of the Permit with the number noted above is responsible for insuring that this form is completed and returned. .S..e.c_tjo_n l_ To be filled out by tank removal contra~or: . ' Tank Remov a l_C_qn t r~c t.¢~: · D~te Tnnk(s) Removed: . Sec~ton 2 To be fi]]ed out by con~ractor "decontaminating" ~ank(s)- Tank, "Decont~ i nat I on'~Oont rector: , ~ " Authorized representative of the contractor cer, tifies by ,signing below that the tank(s) have been decontaminated in accordance with Kern County Environmental ~ SI gnat'~re ' Title ':;~'~':,':Sectioh"j~ :T°,'be,ftlled out-'and.'.'stgn~d,:b '.'en-.authOrtZed:~r~ resent ~ ' "~i'-':::~,,'_~ .,h '.'.. ~;. · ,.~,.... . .....· . Y ........ P attve oft..:the,~,,, .,~,..~: ........ ; "-~"~?~ . ' 'V ',' .' ~,' (' ~'."~ ' ' '.. ' ' ~ r::~ ",~ ~;~6,~C'."':~~'' ,'r, .~ ,~t~f(,:~ :~.,,::.,.'t':r~'..~a,. approv.ed..d~ sposal ,or,. ,recycl lng. facl 1 lty, accept Ing the · tank(s/*.~,~:~'~'~..~:~*::~ '.~,':.~,.': ' ,~ : ~,"....', :.",-.t,'.c ..W'"..L" ' k · , · . ~' ' '~ , ." ~ ~,'..)%~- l,~''' '.:~ ~ t'~ '.~'~ .:,':.,'4h :', ,,:.:?:.'. '. "' -' , .... ....,...:~....... ,.... ,: ,. ;:.- ,:,: .~. ~,~. :..~ .... ,::.:...:,~.~..;~.,~,;,~.~..:,~:~?,.,,...~...~:~.~,..~,.:~,.r.... ..,',~.......:. ~: FncilitvNa~ ~-~-=~ ~~, ~ ," ~ · ~. :~'~..' .... : .... ..;,,.~'~',.'...:,,.....,':.,' , .,, ;;,,.,..,~;...,~ ¢.~ .,,. . , ' , ?:~,..'.f~';[:.;.r'.',:..~ddr~s: ~,-39 ~_.~~ c~ ~. Phone ~-~ / ~'~' '":.: ~)":~'.::" ':..' .". '-~ --' -., : , . Zip: '~.¢.~V~ . ' . · '~. '~'.,:~',~'~',.,:::~te Tqfik(s) ~ehelved: ~/2 ~/qr No ,of T~fik(~- '/ ' ' . ' 27~ "M" S~F~, SU~ 3~ B~SFIFI D, C~FORN~ 9~01 {~5) ~1-~6 ~ z · , ·MAILING ·INSTRUCTIONS: Fold and staple. F~: (~5)~l-~ m.;'' ~?.'~ ~. , ,~ · Zip:._: ~"~.. ~ ~' ~-~ ' Tank Size ' L.E.L. "SMC Laboratory Analytical Chemistry Client Name: Calpi, Inc. Address : P.O. Box 6278 Bakersfield, CA 93386 Attention' : Mr. J.P. Mullhofer Date Samples Received : 6-24-91 Date Analysis Completed: 6-27-91 Date of Report : 6-28-91 Project ~ : 4299 RESULTS OF ANALYSIS .Sample ~ ID 2476 ~7 2477 ~8 2480 ~11 2481 #12 2482 ~13 2483 ~14 TOTAL ORGANIC HALIDES (TOX) uqm/qm ND ~` ! 5 o 17...:~ 18. 24. 27 MDL,uqm/gm 10. 10. 10. 10. 10. 10. Method of Analysis: EPA 9020 MDL = Minimum Detection Level ugm/gm = micrograms per gram ND = none detected A~fg61a 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: Calpi, Inc. ' Address : P.O. Box 6278 Bakersfield, CA 93386 Attention : Mr. J.P. MUlhoffer Date samples received : 6-24-91 Date analysis completed: 7-02-91 Date of.report : 7-03-91 Project ~: 4299 P.O.~.: 03275291 RESULTS OF ANALYSIS: Oil &.Grease ~ ID ugm/gm MDL,ugm/gm 2476 7 ND 20 2477 8 ND 20 '2480 11 ND 20 2481 12 ND 20 2482 .13 440. 20 2483 14. ND 20 Method of Analysis for Oil & Grease: EPA 9071 MDL = Minimum Detection Level ugm/gm = micrograms per gram (ppm). ND = None Detected 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: CALPI, Inc. Address : P.O. Box'6278 .Bakersfield, CA 93386 Attention : Mr. J.P. Mulhoffer Date samples received ': 6-24-91 Date analysis completed: 6-28-91 Date of report : 7-01-91 Project ~ : 4299 RESULTS OF ANALYSIS' P.O. ~ : 03275291 ~2470 ID:' 1 ugm/gm MDL,ugm/gm Benzene ND 0.005 Toluene ND 0.005 Ethylbenzene ND 0.005 p-Xylene ND '0.005 m-Xylene ND' 0.005 o-Xylene ND 0.005 Isopropylbenzene ND 0.005 TPH (Gasoline) ND 1.0 Method of Analysis for BTX/TPH. (Gasoline): 8020 (FID) MDL = Minimum Detection Level TPH = Total Petroleum Hydrocarbons ugm/gm = micrograms per.gram (ppm) ND = None Detected Analytical Chemist ,i';', FF'FI\,'F!"), - .. -. 8 1991 3155 Pegasus Drive P.O. Box 80835 · · Bakersfield, CA 93308 Bakersfield, CA 93380 · ·(805) 393-3597 FAX (805) 393-3623 RESULTS OF ANALYSIS: ~2471 ID: 2 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 O. 005' 0.005 0.005 0.005 0.005 0.005 1.0 ~2472 ID: 3 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 i'0 ~2473 ID: 4 Benzene Toiuene '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 Mau~' Analytical Chemist RECEIVED 199l RESULTS OF ANALYSIS: ~2474 ID: 5 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 ~2475 ID: 6 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 ~2476 ID: 7 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 Maung .M~Th~fn Analy%ical Chemist c Er'ElVED 8 1991, RESULTS OF ANALYSIS: ~2477 ID: 8 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 ~2478 ID: 9 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 ~2479 ID: 10 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 Analytical Chemist RECEIVED RESULTS OF ANALYSIS ~2480 ID: 11 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 ~2481 ID: 12 Benzene Toluene Ethylbenzene p-Xylene m-Xylene o-Xylene Isopropylbenzene TPH (Gasoline) ugm/gTM 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 Analytical Chemist EI~ONlV~AL HEALTH SEEVICF~ DEPARTMENT '~ ,. Kern County Pe~it .~: County ~: ==UNDERGROUND TANK DISPOSITION TRACKING RECORD== This form is to be returned to the Kern County Environmental Health Services Department within 14-days of acceptance of the tank(s) by an approved disposal or recyclin9 facility. The holder of the permlt with the number noted above is responsible for insuring that this form ts completed and returned. ... : ...Sectio~ 1, To be filled out by tank removal contract)or: ':"i 'i'?';":::kresR:m°va~'~/~act~' ~~z2/ ,. Phone #: ~,,.3, ',-);~70~,~<~ \No. of'Tank(s): t - ·-':'Secl:i°n"::_2· T: be. filled out ~y contractor "decontaminating"/tank(s): ' .:,:i:: ::::::::::::::::::::::::::::::: '-:'?i:..: .:. ::,:::. .:;'::.?,.: :T;n~'': Decontamtnatton..<Oontr>~tor:', /,/g~/ ///D ~.- :" '.,i :' .-,'-'::!~. ;:Address: .~..~,~/ f/"~: ' ~ Phone : '.' :?.:;:!::.:.. ~.. '". -..-::-:..',:.'... Tank/Size L.E.L .... Tank. _~ze . . L,.E.L.. .,' _. . . · '.'"';':':'".. :~'::'::,i.:::i'::": - - ,~'/ :. - ..: .?..~ .~ .:.. :.,.-: :.'::?.;:':'.:.:.' . .- ........ : -:,: . ~-...::' :,,~::':: .. · . : . . · ." '.:'. --.tank(s) have been decont~tna~ed in accordance wi~ Kern County ~nvi~o~men~a~ ':'.:'.' ... "'-.' :.'-::":": ' " · ~lgnatu~e ' .. Title .-.' .- '2700 'IV[" STI~FFT, sUrrE 300 - * = * MAILING INSTRUCTIONS:. Fold and staple...: .~,... '..,: .... ;-.....,,?..;...,:. ,-~-:. -:., ., ...= ._~. .., ;.' , .: . .'. ;": : . : '..,. ,.'.::: ;.-. !,.. '..~.:, Chain .of .Custody Record AOORES$ C,~LPI, Inc. PARAMETERS OTHI~I P O BOX 6278 BAKERSFIELD CA 93386 (805)589-5648 SAMPLE NO0A~ ~ME LOCA~ON / &~'Yt /~°9 ~l ~' ~ ¢ 2470 ~ *' ~e~r ".~' ~;. ¢ .' 247/ RELINQUISHED BY OATE RECEIVED BY ' ~ CATE RELINQUISHED 8Y OA/E RECEIVED BY DA~ [~TAL NUMBER M~OO OF SHIPMENT ) ~/ Signature ~ien~ture , ' ~ Signature Signature REUNOUISHEO 8Y DATE RECEIVED 8Y DATE RELINQUISHED 8Y DATE RECEI~ 8Y Si;nature Signature Signature Slgnatu& : Pdnte~ Name Printed Name Prinled Name Pdm~ Na~ i AOORF~S' CALPI, Inc. PARAMETERS OTH~-'~ ~ O BOX 6278 BAK~SFIELD CA 93386 I (805) 589-5648 '~'"//~'~"~-'~-~"'"?'i REL NQUISHED ~Y ~ . j0A;E ~ ~J RECEIVED BY ~ ~~ ~/ 'OATE I R~LINQUIS~EO 8Y i ~ATE ' R..VEO 8Y , 'OA~ M~O0 I TOTAL NUMBER OF CO~AIN.S OF SHIPMENT Comoan~ ~ Comoa~ ~ Ccmoanv Comoa~ REUNOUISHEO aY 0ArE ~1' RECEIVED 8Y 0ATE ~ REUNGUISHED aY gATE RECE~ 8Y (la~mto~) 7. Tflnl~ 2 ~ NI~ 6. EPA/~h~ c. 8tile EPAl~her I I I I I I I EPA/~h~ II I I I II c. d. I~. Traflepo~er ~ Acknowledgement of Receipl of Prln~yped Name ~ ~onth Day /Year 1~ ~aflspo~e~ 2 Acknowledgement ol Receipt of ~ateAiII Printed/Typed Name ISignatme Month Day Year I I I I I I 1~. Dlscrepmncy Ifldlcsllofl ~plce OHS 6022 A (1/88) EPA 67OO---22 (Rev. 9-88) Previoua editions are obeolele. Do Not Write Below This Line White: TSDF SENDS THIS COPY TO DOHS WITHIN 30 DAYS To: P.O. Box 3000, Sacramento, CA 95812 36983 ~0. TANK DISPOSAL FORM Date: ~ ~- ,,,Z..~'"~,19 ~;;~// Job tt RO.# DESTINATION: DATE I TIME SPECIAL INSTRUCTIONS: A.M.R. 2202 S. Milliken Ave., Ontario, CA 91761 IPROJEC~ ED TANKS I ORDERED BY: ,,' ':.Services Rendered Cost Disposal Fee 200.00 Extensive Loading Time 15o. oo Disposal Fee with permil Fiberglass Tank Disposal .Fee Per Tank 40000 Fiberglass Tank Delivered 200.00 Bobtail Disposal Fee 250~0 TOTAL CHARGES All fees incurred are per load unless specified. Terms are net 30 days from date of invoice. Conlraclor'$ signature represents acceptance of lerms for payment, and confirms thai tank removal complies with State laws. ,I TIME IN: CONTRACTOR'S SIGNATURE ILIC NO. TIME OUT: TANKS RECEIVED QTY GALLONS . TYPE NET TONS NO. OF TANKS TOTAL NET TONS 'F -- FIBERGLASS *S -- STEEL 105 TOTAL CERTIFICATE OF TANK DISPOSAL I DESTRUCTION THE RECEIPT AND ACCEPTANCE OF THE DESTROYED FOR SCRAP PURPOSES ONLY. · /~'~ BEEN.COMPLETELY TANK(S) AS SPECIFIED ABOVE. ALL MATERIALS SPECIFIED A~'"ORIZ ED RER DATE CONTRACTOR COPY ..... **UNDERGROUND TANK D:]:$PO$ITION TRACKING 'RECORD** ':"!'/';-::., ;'-.:i.~::i'' :' ' ~'''~'?' ,:.. . ~: .: . ~ ~i..-:~: :. :. ;,,~. -. This .form. is t°':".iSe ~t'urned-~.~° the Kern count¥.::Environmen~a':!!~iH~alth:'ser:~ice$.'.:'. Department within' 14 days of acceptance of the tank(s) by an: approved' disPoSal .... or recyCling facility. The holder of the permit With".the number:noted a~Ov'& is responsible for insuring that this. form is completed and returned',· "~':<-;~i: ;:~?.; ' Section 1;..TO?~'~.:-:~i'1 led. OUt "i~y tank removal'"c°ntractor::TM ':"!':::: ' .....':. '.?:ili:i~' '-, i : ,Tanl~='~:"R~O~):al Con;ti, aCtOr:. /'. '. :'!~-- ~.......~.,....~.. ~... . . . . ::'?hone #: ~,~,~ . ~ , ..;. ~: I Section'.2 To be;-:~illed out bY contractor "decon~ina~ing tank(s): ':;.:-: · - ~:i~ .~ : . :':.-.~ .. . ,;~:~:::~,., . , . ~ ' , . ::...:'. , . . · · ,-.,,- ~ ....... - . ~ ~ . '~.'~- ~ '?..: :-~ ~,.., , - "':~ · . .~,:~ .. . ':,~' . . '~ :. · .: :. Au~ho~ ~d:~F~Sen~a~ive o~ ~he con~ac~o~ cer~.~es by s~gn~ng 'be~o~ tha~ the ~ad~ ~h~:'"b'een.~dec°n~amina~ed in accordance .~i~h K~rn Coun~ Environmental' Health S'~i.ces Depa~men~ requirements. ' .:' ' . . .'/~:-';. ' :"~ -:"' ' .- Section '3'To":be filled ou~ an sisne y an approved disposal or recycling facility.' :accepting. ~he ~ank(s): ~' ~,:,. AddreSs:'~/'~~- ~.. ~z~4~ ~, , '~hdne ~: ~Y ~~ ~ 'Da~~'). Rec~tved~ ' '~ - ~ ~ ~/ 'No. o~ Y~k(s~: ~ ) MA~L~NG INSTRUCT~ON~:.' Fold and s~apla. ... :~:.:.:.,..., ..,..--~.~...::...~,:.:.....?~?~.~::.. ~..(~) ~1-~ "-' ':: :.~ ,-~.-~:" ,.: ~,-~': '.,~ ~,.' .... ~,.'~. ='..~ ,'..' ........ '~ .... ~ ......... ~.~-?. ~, ,-~'~ ??~'"'?':~'~"'~::" ''' ......; '''~:~ ;~':''' :' ' '"' ''''~ ~ ~;' ~ ?"" .._,~.~;~-~ :.~, ,~:~' .. :,. ~ ',_-.: . · . · , . RANDALL L. ABBOTT DIRECTOR DAVID PRICE !Ii ASSISTANT DIRECTOR RESOURCE· MANAGEMENT A NCY Environmental Health Sendces Department STEVE McCA! ! Fy, REHS, DIRECTOR ** Air Pollution Control District WlLUAM J. RODDY, APCO P~annin9 & Development Services Department TED JAMES, AICP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT PERMIT FOR PERMANENT CLOSURE OF UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY PERMIT NUMBER A 1510.19 FACILITY NAME/ADDRESS: OWNER(S) NAME/ADDRESS: CONTRACTOR: Sir Lube .- 800 Oak Street Bakersfield, CA 93304 Mci Stansbury 800 Oak' Street Bakersfield, CA 93304 Phone: (805) 323-8348 Calpi, Inc. P. O., Box 6278 Bakersfield, CA 93386 License #506025 phOne: (805) 589-5648 PERMIT FOR CLOSURE OF PERMIT EXPIRES September 18, 1991 4 TANK(S) AT ABOVE APPROVAL DATE June 18, 1991 LOCATION APPROVED BY ,~,.o~9 t-~,. _. Laurel Funk Hazardous Materials Specialist ............................................ ~ .................................................. POST ON PREMISES .................. .......... .................................................................... 5. 6: 7. CONDITIONS AS FOLLOWS: It is the responsibility of the Permittee to obtain permits which may be required by other regulatory agencies prior to beginning work (i.e., City Fire and Building Departmenls). Permittee must notify the Hazardous Materials Management Program at (805) 861-3636 two WOrking days prior to tank removal or abandonment in place to' arrange [or required inspections(s). Tank closure activities must be per Kern County Environmental Health and Fire Department' approved methods as described in Handbook UT:30. It is the contractor's responsibility to know and adhere to ali applicable laws regarding the handling, transportation or treatment of hazardous materials. The tank removal contractor must have a qualified company employee on site supervising the tank removal. The employee must have tank removal experience prior to working unsupervised. : If any contractors other than those listed on permit and permit application are to be utilized, prior approval must be granted by the specialist listed on the permit. Deviation from the submitted application is not aUowed. Soil Sampling: a. Tank .size less than or equal to 1,000 gallons - a minimum of two samples must be retrieved from beneath the center of the tank at depths of · approximately two feet and six feet. b. Tank size greater than 1,000 to 10,000 gallons - a minimum of four samples must be retrieved one-third of the way in from the ends of each tank at depths of approximately two feet and six feet. c. Tank size greater than 10,000 gallons - a minimum of six samples must be retrieved one-fourth of the way in from the ends of each tank and beneath the center of each tank at depths of approximately two feet and six feet. Soil Sampling (piping area): A minimum of two samples must be retrieved at depths of approximately two feet and six feet for every 15 linear feet of pipe nm and under the dispenser area. 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (8O5) 861-3636 FAX: (805) 861-3429 PERMIT FOR PERMANENT CLOSURE OF UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY PERMIT NUMBER A 1510-19 ADDENDUM Soil Sample analysis: a. All soil samples retrieved from beneath gasoline (leaded/unleaded) tanks and appurtenances must be analyzed for benzene, toluene, xylene, and total petroleum hydrocarbons (for gasoline). ~ b. All soil samples retrieved from beneath diesel tanks and appurtenances must be analyzed for total petroleum hydrocarbons (for diesel) and benzene. c. Ail soil samples retrieved from beneath waste oil tanks and appurtenances must be analyzed for total organic halides, lead, oil and grease. d. All soil.samples retrieved from beneath crude oil tanks and appurtenances must be analyzed for oil and grease. e. Ail soil samples retrieved from beneath tanks and appurtenances that contain unknown substances must be analyzed for a full range of substances that may have been stored within the tank. 10. The following timetable lists pre- and post-tank removal requirements: ACTIVITY DEADLINE Complete permit application submitted to Hazardous MateriaLs Management Program Notification to inspector listed on permit of date and time of closure and soil sampling Transportation and tracking forms sent to Hazardous MateriaLs Management Program. Ail hazardous waste manifests must be signed by the receiver of the hazardous waste At least two weeks prior to closure Two working days No later than 5 working days for transportation and 14 working days for the tracking form after tank removal Sample analysis to Hazardous Materials Management Program No later than 3 working days after completion of analysis 11. PurgingAnerting Conditions: a. Liquid shall be pumped from tank prior to purging such that less than 8 gallons of liquid remain in tank.' (CSH&SC 41700) b. Tank shall be purged through vent pipe discharging at least 10 feet above ground level. (CSH&SC 41700)' c. No emission .shall result in odors detectable at or beyond properly line. (Rule 419) d. No emission shall endanger the health, safety, comfort or repose of 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 TANKS · This department is responsible for enforcing the Kern County Ordinance Code, Division 8 and state regulations pertaining to underground storage tanks. Representative~ from this department respond to job sites during tank removals to ensure that the tanks are safe to remove/close and that the overall job performance is consistent with permit requirements, applicable laws and safety standards. The following guidelines are offered to clarify the interests and expectations for this department. Job 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 unsafe conditions exist in the hole. Tools and equipment are to be used only for their designed function. For example, backhoe buckets are never substituted for ladders. Properly licensed contractors ire 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 from the permit conditions may result in a stop-Work order. Individual contractors will be held responsible for their post-removal paperwork. Tracking forms, hazardous waste manifests 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 cases results. If this continues, processing time for completing new closures will increase. Accepted By: LF:cas ~al510-19.ptc OWNER OR AGENT~/I DATE KEI~I COUNTY RESOuRcE .MANAGEMENT ACENCY ENVI RCNMENTAL HEALTH SERVICES DEPARTMENT 2700 'M' STREET, SUITE 300 BAKERSFIELD, CA 93301 (805)861-3636 (FILL OUT ONE APPLICATION PER FACILITY) THIS APPLICATION IS FOR ~A: FACILITY ]J~tel~li~ PROJECT COfl~CT: MEL STANSBURY FACILITY.: SIR LUBE .Rt~E I." 323-8348 MEL STANSBURY 323-8348 8: (XlqlJ~T(R II~q:~TI~N lPHC H E 1:.323-3348 TNt~I~O:HI'I~1~:' CALPI, Inc. (805)589-5648 1~:800 OAK STREET CITY:BAKERSFIELD ZIP: 93304 ADage: 800 OAK STREET CITY: BAKERSFIELD ! T"R' STRr~-h ~LANECHESTER SIAIE: CA ZiP: 93304 ~ STJ~T DkTE: O~10R I~I'RIEYII~ S~LES: ' CALPI, ~1: (805)589-5648 06-22-911~F°mIALICS~'nl~&I: A506025 Inc. I Jq](J~$: P O BOX 6278 I ClTY:BAKERSFIELD IIEM~R:STATE FUND' SMC iA~O~SS: 3155 PEGASUS IclTY: 'BAKERSFIELD gl~Jr'$~llal: 1011809 ~1(RYI~AT#I~AqAI.~ESN'R~: Rt~EI: (805)393-3597 lAIdlaW:p O BOX 6278 lmm CITY:BAKERSFIELD IIP:93~6 I H~R'$~TI~I:1011809. [~l~: CA- ZIP:93386, I~k~: CA ZIP:93308 C: (:H~JCq' lll:~TlOI CHEMICAL CCMPO~TION OF MATERIALS STORED: TANK # VOLUME CHEMICAL STORED 1 _4_~QDJi___ C.A~q__ :/_:: ,. 550 " " DATES STORED %TF--TO--9T--- CHEMICAL FOI:~,'IERLY STORED O: ENV]~AL IJ~TiOI NMER TO F~ILITY I~/ll~EO BY: CALIFORNIA WATER NEAqI~ ~TER IdEL-GIVT DIS~A~C~ IF NIll'IIN 500 FEET: BASIS R~ SOIL 11~ J~ Oq[X.l'ff:]~Tl~ E?IH ETEJ:IqINATIGN: KERN ,1OTN. N. H3E:R CF ~ TO E ,qtN.YIEg: 16 E: OISPITaq. DFC~TICN Si~RVICE I IS O~LHt:~,~TE~ NImlN 50 Fl~q? Y eR N N I~lL T'flT AT F,tCILI1Y: SANDY LOAM COUNTY WATER AGENCY' IMPROVEMENT DISTRICT ISN~tEST0~N~LYZ[DF~R:TVH,BTX GAS & TOX OIL#4' AND GREA~E DI~MINAII~~:' TRIPLE RINSE D~NT~]~[i~COfl~: CALPI, Inc. OISK~LL0CA~I~F~R~t~A~£: GIBSON REFINING ~H~I: (805)589-5648 OJ~ ~ ~ T~(S): RECYCLE O]~ ~TI~ ~ T~(S): AMR DJ~ ~ ~ PIPIt: RECYCLE D]~ ~Tl~ ~ PIPIt: AMR ~~ ~~E ~E ~~ SI~ ~ ~lS ~I~TI~ 6E~ '~I~l~ ~ ~I~ THIS FORM HAS BEEN CONPLETED UNDER PENALTY TRUE AND CORRECT. SI(~ATURE: ~-"~" ~~ OF PERJURY AND TO THE BEST OF MY KNOHLEDGE IS RECEIPT 06/11/91 4:18 pm KERN COUNTY PLANNING &:DEVELOPMENT 2700 'M' Street Bakersfield, CA 93301 (805) 861-2615 InvoiCe Nbr. 1 Type of Order 50699 CASH REGISTER CALPI INC .ICustomer P.O.~ Nth 8y IOrder Date I Ship Date Line Description Quantity 1 PERMIT TO CLOSE/ABANDON 1 170G V~a I Terms· D,D I NT I Price Unit Disc Total 250.00 E 250.00 Order ToTal 250.00 THANK YOU AND HAVE A NICE DAY! Amount Due Payment Made By CheCk 250.00 250.00 .. . '"(805) 86t-3636 UNDERGROUND HAZARDOUS SUBSTANCE' STORAGE FACZLZTY ""' ' PERMIT~ 0 TIME IN '~,l TIME OU~ .' NUMBER OF TANKS: O N RS NA -S[R LUeE CCRP ERATORS NAME:SIR LUBE CORPORATION OF AH~'~'~"~'~ .................................... : ............................................................................. COMMENTS: .......................................................................................................................................................... ~ .................................................................. a. Intercepting an directing system ~odified Inventory Control d. In-~ank Level Sensing Device e. Groundwater Monitoring f.' Vadose Zone Monitoring 2, SECONDARY CONTAINMENT MONITORING: a. Liner b. Double-Walledtank c. Vault 3. PIPING MONITORING: a. Pressurized )Suction Gravity 4. OVERFILL PROTECTION: -TIGHTNESS TESING NEW CONSTRUCTION/~ODIF!CATIONS 'CLOSURE/ABANDONMENT 8. UNAUTHORIZED RELEASE XAINTENANCE, GENERAL SAFETY, AND OPERATING CONDITION OF FACILITY " i I COMMENTS/RECOMMENDATIONS Quest i onnai re 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 PERNIT # /~00/~ ~ 1. Send all" Information to Owner at the address listed on invoice (if Owner ts different than 'Operator, it will be Owner's responsibility t° provide Operator with pertinent information). 2. Send all information to following corrected address: Owner at the 3. Send all information to Operator: Name: Address: (Operator can make copy of permit Owner). for PEP, MIT CHECKLIST This checklist is provided to ensure that all necessary packet enclosures, were received and that the Permittee has obtained all necessary equipment to implement the first phase of monitoring requirements. ' Please complete this form and return to KCHD in the self-addressed envelope Provided within 30 days o.f receipt. . Check:. - Yes No Signature of Person Completin~ Checklist: 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 (KCOC ~G-3941), Explanation of Substance Codes, Equipment Lists and Return Envelope. 2) Modified Inventory Control Monitoring Handbook #uT-15. with form: "Quarterly Modified Inventory Control Sheet" with "Quarterly Summary" on reverse. $) An Action Chart (to post at facility). 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 5 of Handbook #UT-15). 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). E. I have enclosed a copy of Calibration Charts for all tanks at this facility (if tanks are identical, one chart will suffice; label Chart(s) with· corresponding tank numbers listed on permit). F. Modified Inventory Control Monitoring was started at this facili'ty in accordance with procedures described'in Handbook #UT-15. Date Started ~- ~- ~7 ii,JO i:lower Street Bakersfieid, Calllornia 93305 Telephone (805) 861-3636 N cOUNTY HEALTH DEPA'RTM ENVIRONMENTAL HEALTH DIVISIOI~I HEALTH OFFICER Leon M Hebertson, M.D. DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Reicherd August 15, 1986 SIR LUBE 800 OAK ST. BAKERSFIELD, CA ATTN: Mel Stansbury Dear Sir: Enclosed is the application for abandoning the three tanks not in us~ at the Oak St. facility. We spokebriefty about this matter August 7, 1986 and as stated then you will have 14 days from the time you return from your vac- ation (Aug. 25, 1986) to complete and submit this application to the Health Department. This will give you enough time to review and accept the removal contractors bid that Will be best for you. If you have'any questions concerning this matter please call me at 861- 3636. Sincerely, Janis Lehman Environmental Health Specialist · Hazardous Materials Management Progra~ JL:dk DISTRICT OFFICES Delano . Lamont . Lake isabella . Mojave . Rldgecrest . Shafter . Taft .... __217 MOUNT VERNON, SUITE 6. ~?-.,~ N~ SIR LUBE Jesus Hernandez-Manaqer 800 ~Oak Street - r~'~ Bakersfield, Ca. · 323-6520 w,!/owNm .SIR LUE .. Mel Stansbur¥ 800 Oak Street m~ ~. ~^~ Bakersfie]d.. Ca, ~..~.oN~ 805-323-8345 ~ii:_ 400~ Diesel None TANK TESTING INTERNATIONAL, INC.' BAKERSFIELD, CALIFORNIA 93307_2749 805-322-2067 PRECISION T~STING I~SULTS T=^NK F~RM LOC. AT1ON CONT^~'3' C~, 5'TAI'~ ~L~O~ Tank ~OP test is' not for certifica'- o~ Fernando Valenzuela & R. Osor]-,o tion. Only to indicate whether leak D^~ 5-3-87 is in pipinq or tank.~est indicates ~u~,o~ 805-322-2067 leak is in piping, ~ank good yes none 76" 20" N/A wA'~ ~ T,~*K WAS nl.L~ Cc~q,K:m~ ST,MCT~ B,i~D R~UI.I~*I~i~.11 I~LI3 +50' 2.356. 5-2-,87 .00044 11:4313:13 none 0078N/~ ~ - . 217 MOUNT VERNON, SUITE 6, TANK TESTING INTERNATIONAL, INC. BAKERSFIELD, CAUFORNIA 93307-2749 805-322-2067 [~.EC]$1ON 'r~I'ING I~UL'll TANK FARM LOCA'I'ION CONTACT C3TY,.$TATE I"D..E~.IC)NE '~e sv~-m re, ed ~or t~in$ is the "~;Z'Y CHE)(' Le.,~k Demcban ~ This desiLrnc"d to meet'~e NF'P^ ~-guif~nenl~ ,~d is al3.,~ble oi de~,am~ · teak ra~ a~ ix~ hour. Tnb ~na of .05 pli~ Der hour is not W be t:zmsm.~d as a permissable i~ ~ 55140 oral 40o(: Water'_.. ~/{~, Water'Table Test level EZY-CHEK WORK SHEET Product Capacity ['~, 0~ Measured gravily : ."';q~, level kart level end Product letup. ~5='.2" gain + x (A) loss - x (A) X Chart cal._.,. .05 +-.~r..~..~~= -',~o{2 ~- level temp. temp. gain + · x(B) result start end loss - x (B) fA) -- '?/-~~D! temp. final ' result result lime = Y =T X ---- X --- -' X LEAK RATE Cerlified light /_~_ .. Leak rale per hour ~ fOl~ 217 MOUNT 'VERNON, SUITE El, INVOICE ADDRESS o,, DATE REQUESTED.~ ~--3- DIA. SIZE pRoDuCT BAKERSFIELD, CALIFORNIA 93307-2749 TANK LOCATION TIME REQUESTED PUMP 805-322-2067 P.O- CONTACT TECHNICIAN . CASH _CHARGE / / ~'.3 .... A- r" PM "TI~ START, ' p. F~S~ED/ ~ PRINT ' "SPECIAL INFO~TION · TECHNICAL SERVICES FANK TEST: @,TANK 5QW_J~E_Y_EL T$ST: SINE TEST: SFER: OA~URS: FRAVEL: ~ILEAGE: @ HOUR @ MILE PER DIEM MIL_RAGE FINISH DELAY TOTAL COMMENTS: UNDERGROUND~ HAZARD · SIR LUBE CORPORATION'.' 800 OAK STREET TANK AGE(IN CODE: NOTE: ALL;, INTERIN REQUIRENENTS ESTABLI.SHED.BY',~,~HE AUTHORITY MUST' Be NET DURING THe. NO N-- TRANS F g RAB'L g --.* . . · ,...... ...... , . ..~.',--:. ...... :,.,,~::~.:...: ~ .... .....::..,.: -.... ~. - . .......-,.} ....)..~ .: ... : :,. '~'... ~..- .~:,. - ' ' '- - '~'L~ '" .'. ': :~: ,'- ' '. " ~ ' ', ~. . ' ": ! ...- .,.: .. ..... :', . ' .,....4,,/.':?,. , "T." ,, :" "? L'd'~ ~. .... :-.?.:, ','.. : ::" .'."}',i:,;..~:':;',,. ..... ,.,-..,.,:.... :- - !i" . .- ' ': "' " "'"' ..... ' - .DATE PERHIT HAILED: .. .... :.- .... .i~ .~ . .. .- ....... .,... -..,.: ' ' - ' ". l- 1' ' : :'' ' ~' ' "' ' · " ·DATE PEP, HIT. CHECK LIST RETURNED: · , ; ..' . PLEASE PRIN1z 1. OWNER P,oporty ~. T~nk(~) ~] 2. OPERATOR 3. REASON FOR TEST (Explain Fully) 4. WHO. REQUESTED TEST AND WHEN c~art: Foi: i~ai'ik aystem. .,~tness Test ' p?fro T. it__? ~ TANK IESIEi~ Telephone 5. WHO IS PAYING FOR THIS TEST? 6. TANK(S) .INVOLVED 7. INSTALLATION DATA 8. UNDEnGROUND WATEn 9. FILL-UP ARRANGEMENTS AHenlion of: feluphone _~.~ (~os~) Identity by Direction Location Capacity Cover · Co~c~ele, I]l.~ck TOD. EaHh. etc. Size, Tilefdl make. D~OO lubes, Remolo Fills Depth to the ~,Vatet table ~,, Tanks to be filled hr. ~ --c~ ~-(~r/Da,e A .... ged by Extra product to "top all" and run TSTT. How and who to provide ? Grade Approx. Age Siphones Steel/Fiberglass Pumps Suclion, Remote, Name Telephone Con$idc, r NO Lead. 10. CONTRACTOR, MECHANICS, any other contractor involved 11. OTHER 'INFORMATION' "OR REMARKS Terminal or other contact for notice or inquity~ Compa,ny Name 12.. TEST RESULTS CEIITIFICA TIOI'J Sensor Tests were made on the above tank systems in accordance with test procedures prescribed as detailed on attached lest char~s with results as follows: Tan~ Idenlificalion Ind;caled Ih0 ~I~IJoA~I PIto Ptolectlon Asoci~lion ~mphlel 329. 14. ,.~/ Name of Supplier, Owner or Dealer 15. TANK.TO TEST identity by Dosirion / 6~"Rcl~nd Grade / Address No. and SIreei(s) City State Date of Test CAPACITY ,omir~al Capacity '~)(~ C) Gallons IS there doubt as to True Capacity? [] See Section "DETERMINING TANK CAPACITY" By most accurate .~____~/,~ capacity chart available /. ~ ,/ ~ Gallons From ~] Station Chart [] Tank Manuracturer'~ Chert i~.] Company Engineering Data [~oharts supplied with p~tro Tgfe ther ~OoO ~-~×~ o>o~ 17. 'FILL-UP FOR TEST Stick Water Bottom · before Fill-up ' "~)~ __ ~ Io t/s in. Gallons Inventory Fill up. STICK BEFORE AND AFTER EACH COMPARTMENT DROP OR EACH METERED DELIVERY QUANTITY Tank Diameter Product in full tank (up to fill pipe) Stick Readings to Vs in. Total Gallons Gallons ea. Reading 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANKzJ~.~__ ~-/~4-f~..~. ~, See mange, secl,o.s.pp,,cab,e. Check berow and,eco,d procedure ,n 'og ,d?.T-- [] Water in tank [] High water table in tank excavation [] Line(s) being tested with LVLLT /~P.~' '~ ~,~f.~/"~C~ o~ VAPOR RECOVERY SYSTEM ~__.~._~ ~0¢~ ~o?__.____~. [] Stage, ]Stage II 19. TANK MEASUREMENTS FOR TSTT ASSEMBLY Bottom of tank to Grade*..... ............... Add 30" for 4" L ................. Add 24" for 3" L or air seal ....... Total tubing to assemble Approximate ........ 20. EXTENSION HOSE SE'FI'lNG Tank top lo grade' . ................................. Extend hose on suction tube 6" or more below tank top .. .................................... *If Fill pipe extends above grade, use top of fill. LOG OF TEST PROCEDURES Record details of setting up and running test. (Use full length of line if needed.) 29. Reading 21. TEMPERATURE/VOLUME FACTOR (a) TO TEST THIS TANK Is Today Warmer? Colder? ' . .... ~ f Product ~n Tank .... ' F Fdl-up Product on Truck ___° F Expected ChanGe ( · or 22. Thermal-Sensor reading after circulation . //~/'/c~ ~)/~;)/ 'F · 23. Digits per OF in range of expected change. d,g,ts tota~ quantity coefficient of expansion for voluted change'in this tank full tank (16 or 17) involved product per =F ~".. 25. /. "~'~y"~ . ~ / ~ = , ~:)~) .~ ~/Z(~ This is volume change per °F (24) Digits per °F in test Volume change per digit, test Compute to 4 decimal places, factor (a) CONTROL Standpipe level in Inches 1which Restored VOLUME MEASUREMENTS RECORD TO .001 GAL. Product in Graduate Before After Reading Reading Range ,(23) 34. Product 35. Replaced (-) Thermal Sensor Product Reading Recovered (+} TEMPERATURE COMPENSATION ACCUMULATED USE FACTOR (a) CHANGE Al X~gh Level reconf Total End Oeflectpon 36. ' ' 37. hange Computation Higher + (C) x (a) = ,j L%i,- Espan,io.+ Contraction - 38. NET VOLUM 39. CHANGES EACH R£ADING Temperature Adjustment Volume Lflnu5 Expans,on (,)or C0ntract,0n (-) ,, 331V) -- · 37(T) it Low Level compute Change per Nour (NFPA Criteria, Form 569 ~~US SUBST~CES S~E FACILI~ ~ of Application (check): :~ ' t'" ~Ne~ Facility. ~dification of Facility ~ergen~ 24-~ur Contact (n~ew area c~e, ~one): ~ of Business' (Check): ~~mline s~tion ~er ( e~r Tank(s) ~cat~ on ~ Agricultural Faro? ~Y~ Tank(s) Us~ Primarily for ~ricultural ~Yes ~'SEC ...... (Rural ~s ~ly) . . · O~rator " 7' . . ., ¢o ~o~_ele_~on® ~ Soil Characteristics, at Facility ':; Basis for Soil Type and GroUndwater' Depth Deteminatfons 2.Ci Contractor CA Contractor' s LicenSe No. Address Zip Telephone , "Proposed Starting Date'. Proposed bcmple'tion Date , . .... ':' Worker's Compensation Certification ! Insurer : ~:~ If This Permit Is. For Modification Of An Existing Facility, Briefly Describe Modificatio~ .:: Proposed ~;~. % Tank(s) Store (cheCk all that apply): ~ Tank t Waste Product Motor Vehicle Unleaded Regular Premium Diesel Waste --- ' uel .... Chemical C~mposition of Materials Stored (not necessary for motor vehicle fuels) Tank I Ch-mical Stored (non-co~mercial 'name) CAS ! (if known) Chemical Pr.e~iously Stored (if differ~nt) Transfer of'~ Date 'of ' '~-&n~ Previous Facility Name I, Previous Owner- ~od'ify or terminate the facility upon receiving this completed form. accept fUlly all ~bl'igations of Per~itNo. issued to I understand that the Pemitting Authority may review and t~ansfer of the Permit to Operate this ~dergro~d storage m ~is form has been of true and corral../, completed under penalty Signature I~I ~ ,j~ .7 ~'~/,?~,~ perjury and to the best of my knowledge is Title d Date. ,A. 9~ 3O5~ ' ~PLICATION FOR PERMIT 'FO OPE~'I'E UNDE~R~ND I~~US SUBST~CES STO~E FACILI~ T~ of Application (check): ~New Facility ~dificatIon of Facility ~isti~ Facility ~Transfer of ~ershlp ' ~ - '"" *~* '~ ' { '~'2 c' ~acllltv Nam ' ~ /~'" ~ -']t.. /,.f'-~ - - - , _ ._- . .-'~.. ..'-t.~...~ .i, r-~.. ~ of Business (check): ~line/s~ti0n ~'O~er (de~rl~) Is Tank(s) ~cat~ on an Agricultural Farm? ~Y~ ~.~ · ' .... l'J~'["J'" - Is Tank(s) Us~ Primarily for ~rtcultural ~r~ses? ~Yes Facility Addre~ r~"(~,'' (~;i}~" ~; ... Nearest Cro~ St. T R 'SEC' (Rural ~atlons ~ly) " ~er ~ ~ ~ ~~['D ~ ,~~C_~ con,ct ~rs~ '~dresS :, ~1~7], , Z'iP ~3~ ~le~one O~rator Contact ~rson ~dr ess Z I p Tele~one ~tl ~aractertsttcs' at FaCility Basis for Soil Type and Groundwater Depth Detemt'nattons C. :~I Contractor t. Address CA Contractor' s LicenSe No. Zip Telephone Proposed startl~ Date proposed canpl~t.ion Dete Worker's Cc~pensatlon Certification- I Insurer ;If This Permit Is For ModificatiOn Of An Existing Facility, Briefly Describe Modifications Proposed .~,~Tank(s) Store (check all that apply): Tan___~k ! Waste Product Motor Vehicle Unleaded Regular Premium Diesel Waste Chemical Canposition of' Materials Stored (not necessary for motor vehicle fuels) Tank ! Chemical Stored (non-co~lnercial name). CAS ! (if known) Chemical Previously Stored Transfer of Ownership' Date of- Transfer Previous Facility Name I, Previous Owner accept fUlly all ~bllgatt0n~ of Permit No. issued to I understand that the Permitting Authority may review and modify or terminate the transfer of the facility upon receiving this completed form. Permit to Operate this mdergro~d storage This fora has been comfleted under true and corr~,.,/:t., penalty of 'SignatUre ... " / perjury and to the best of my knowledge is Title ',././/~.',.-.; Date ~;Z W FO--R EACH SECTION, CHECK ALL APPROPRIATE 'BOXES 1. Tank is: []Vaulted [~Non-Vaulted. [~Double-Wal1 '[-]Single-Wall/~__~°~_~ 2. Ta--~. Material --~Carbon Steel [] Stainless Steel [] Polyvinyl Chloride [] Fiberglass-Clad Steel Fiberglass-Reinforced Plastic []Concrete []Alumin~ml []Bronze ~Unknown Other (describe) 3. primary .Containment Date Installed Thickness (Inches) Capacity (Qa~h~ ManufaCturer Tank SecondaryConta'ilml-'~'iem: 3-,~000/"~~J ..... 4. ,-~-Double-Wali [] Synthet'ic Liner []Lined Vault []None ~[~.Unknown [2]Other (describe): Manufacturer: []Material Thickness (Inches) Capacity (Gals.) 5. Tank Interior Lining r-]~ber [~lAlkyd []Epoxy UlPhenolic []Glass []Clay []unlined' ~[tlakno~ []Other (describe): 6. Tank Corrosion Protection ~GalVanfze~l ~ass-Clad U]Pol~thylene Wrap []Vinyl Wrapping [~Tar or Asphalt ~.known _~None UlOther (describe)~ Cathodic Protection: [~None L]Impressed Current System ~lS~'crifiClal' Al~oda Systw Des6'ribe System & Equil~nent: , 7.' Leak Det.ection, Monitori .r~, .and Int~ ~. 'Ta'~'k. []Visual (vaul'ted ~-an~-~ only) []Groundwater Monitorirg' Well (s) ['lVadose Zone Monitoring Nell(s) []U-Tube Without Liner [~U-Tube with Compatible Liner Directin~ Flow to Monitoring We,Il(s)* [] Vapor Datector* [] Liquid Level Sensor" [-[ Conductivit~ Sensor UI Pressure Sensor in Annular Space of Doubze Wall Tank [] Liquid Retrieval & Inspection Fr~n U-Tube, Monitoring Well or Annular Space. []Daily Gauging & Inventory Reconciliation []Periodic Tightness Testing []None ~Unknotm [']Other b. Piping: []Flow-Restrictirg Leak Detector(s) for Pressurized PiPing~' []Monitoring SL~p ~ith Race~ay. []Sealed Concrete Race~ay []Half-Cut C~mpatlble Pipe Raceway []Synthetic Liner Race~ay []None [~]Unkno~n [] Other ~ *~fe~cribe Make & Model l , , 8. ~en Tightness Tested? []Yes ~No []Unknown Date of Last Tightness Test .Test Name 9. Tank Repair Tank Repaired? "[]Yes []No Date(s) of Repair(s) Describe Repairs 10. Overfill Protection []Unknown Results of Test' Testing Ccmpany [']Operator Fills, Controls, & Visually Monitors I~vel []Tape FloatGau~e ~]Float Vent Valves [-]Auto Shut- Off Controls Capacitance Sensor []Sealed Fill Box ~]None ~'lUnknown Other: List Make & Model For Above Devices 11. Piping a. Underground Piping: be Co []Yes []No ~Unknown Material Thickness (inches) Di~neter __Manufacturer [[]Pressure []SuctiOn DGravity Approximate Length of Pipe Run Underground Pipin~ Corrosion Protectio~ : [[]Galvanized [~]Fiberglass-Clad [[]Impressed Current ~'lSacrificial Anode [[]Polyethylene Wrap ~]Electrical Isolation []Vinyl Wrap DTar or Asphalt ~Unknown []None [']Other (describe): · Underground Pipirg, Secondary Contat~nent~ ~Double-Wall [[]Synthetic Liner System [[]None ~Unknown DOther (describe): .,',em Count~ Health De-pa~tm~,~tt Division of. Environmental Heal 1700 Flower Street, Bakersfield, CA Ds Ce 93305 APPLICATION FOR PERMIT FOR TEMPORARY OR PERMAN .~ o__~f Application (Fill Out One Application Per Facility) [] T~nporary Closure/Abandonme~-~ Project Contact (name, ,area ~od- -~ ..... ~Permanent Closure~ Facili~,, ~,~_~ ,~-'. ,A ~ ~, ~,~e;: ~s ~ , Nights" Facilit~ ~dTess ~ ~',~' ___ ~ - ~.~ '~ Nearest Cross S~. T R S~ (Rura ~catlo~ ~ly) ~rator ~; ~ ~ ~ ~dr ess ~ ~ D ~ ~ ~ F" Soil Characteristics at Facility ~sis for ~il ~ and Gro~d~ter ~pth ~te~inatio~ Tank Removal Contractor Address Proposed Starting Date Worker's Ccm~ensation Certification Environmental Asses~-nent Contractor Address Proposed Starting Date Worker's Compensation Certificatioh'~ -- Chenical Ccmposition of Materials Stored Tank ~ Chemical Stored (non-commercial name) E. Describe Method for Retrievirg Samples · Samples Will t~ Ana yzed for Laboratory That Will Perfom Analyses of Samples Telephone '~'. 6 ~ · Zip Telephone '/~Z~-- p ._ CA License No. Zip Te!e-~hone Proposed Ccmpletion Date Insurer CA License No. Zip .Telemhone Proposed C~cmplet ion. ~ate Insurer Dates Stored chemical Previously Stored (if different) to , to ~" to to Addr?ss Telephone. F. This application for: [']removal or ~abandonment in. plaCe .:-:. * * PLEASE PROVIDE INFORMATION REQUESTED ON REVEP~E.SIDE OF THIS SHEET BEFORE SUBMI~iNG APPLICATION FOR REVIEW. This form has been completed under penalty of pe~'jury and to the beSt of my knowledge is true · and correct. Signature . .~ __ . .... Title 'y~-~.~;t,l~h't __ Date Bakersfield, California 93305 Telephone (805) 861-3636 ENVIRONMENTAL HEALTH DIVISION March 25. 1987 HEALTH OFFI(~ER Leon M Hebertsofl. M.D. DIRECTOR OF ENVIRONMENTAL HEALTH vernon S. Reich-,rd Mel Stansbury Sir Lube Corp of America 125 Pacific Street Bakersfield, California 93305 Dear Mr. Stansbury: In reviewing your abandonment file for the underground Storage tanks, it has come to our attention that numerous attempts have been made to obtain pertinent information regarding closure of the tank located at 800 Oak Street in Bakersfield, California. Kern County Ordinance Code, DivisiOn 8 Chapter 5 describes the abandonment requirements for .hazardous substance underground storage tanks. This includes closing or temporarily closin~ the operation of these tanks. Chapter 5 states that: Section 3912.5.01. No person shall abandon an underground storage tank or ,close or temporarily cease operating an underground storage tank except as provided tn this ,chapter. Section 3912.5.02. An underground storage tank which is temporarily taken out Of service, but which the operator intends to return to use, shall continue to be subject to ail the permit, inspection, and monitoring requirements of this Chapt(~r, unless the operator complies with the provisions, of Section 3912.5.03 for the period of time the underground tank is not in use. Section 3912.5.03. No person s.hall close an underground storage tank unless the person undertakes all the following actions after, first obtaining a permit from the Permlttln~ Authority. A o Demonstrates to the Permitting Authority that all residual amounts of. the hazardous substance or hazar;dous substances which were stored in the tank prior to its closure have been removed, properly disposed of or neutralized. Adequately seals the tank to minimize any threat Lo the public safety and the possibility of water intrusiOn into, or runoff from, the tank. OISTRICT OFFICES March 24, 1987 Page 2 C. ProVides for, and carries out, the maintenance of-the tank as Permitting Authority determines is necessary, for the Period of time the Permitting Authority r. equires. . D. Demonstrates to the Permitting Authority that there has been no signifiCant Soil contamination resulting, from a discharge in the area surrounding the underground storage tank or facility. If the tank at your facility is not intended for future use, its permanent closure will be necessary. Since no action has been taken recently on the initial application, enclosed you will' find new tank abandonment aPPlications forms and requirements which must be completed and returned to this office within 1.5 days. Note that. a Permit is requlred prior to initiation of a~ly closure or abandonment work' If the tank is not closed under permit Section 3912.5.02 applies. , This letter is to advise you of the requirements of law and to give you the opportunity to make necessary important, decisions regarding, this matter. If I can assist by answerin~ questions, please do not hesitate to call me at (805) 861-3636'. Sincerely, Joe Canas Environmental Health Specialist Hazardous Materials Management Program JC:sw Enclosure