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Home My WebLink AboutUNDERGROUND TANK-C-01/05/93BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 TANK REMOVAL INSPECTION FORM FACILITY ~ ~-~.~,'~_~.~F_~_. ADDRESS "~OO OWNER ~Cc[~'~ ~ . PE~IT TO OPE~TE~ CO~CTOR C~CQ ~ ' CONTACT PERSON TEST ~ETHODOLOGY ~ -~ ~ e O~S__.., i~-~' CO~ RECZEPT /O ~ LEL% PLOT PLAN CONDITION OF PIPING CONDITION OF SOIL 3~ ~ D~TE ~ Bakersfield Fire Depe' HAZARDOUS MATERIALS DIVISION UNDERGROUND STORAGE TANK PROGRAM PERMIT N o.~/~-~q..~ PERMIT APPLICATION FOR REMOVAL OF AN UNDERGROUND STORAGE TANK SITE INFORMATION SITE HAY RESIDENCE ADDRESS 300"OT,;RANDER FACILITY NAME RESIDENCE CROSS STREET TANK OWNER/OPERATOR HARRIET HAY MAILING ADDRESS 300 OLEANDER ZIP CODE 93301 APN - THIRD PHONE No. 322-2813 CID( BAKERSFIR]%D ZIP CODE 93301 CONTRACTOR INFORMATION COMPANY CALPI, INC. ADDRESS P O BOX 6278 INSURANCE CARRIER STATE FUND 589-5648 LICENSE No. !~A"506025 CID( BAKERSFIRr~,D ZIP CODE 933Ub WORKMENS COMP No. 1011809 589-5648. LICENSE NO. "A"506025 CID( BAKERSFIELD ZIP CODE 93386 WORKMENS COMP No. 1011809 PHONE No. PHONE No. 589-5648 CITY BAKERSFIRT,D ZIP CODE 93386 BAKERSFIRT,D ZIP CODE 93308 LICENSE No. "A" ,506025 CID( BAKERSFIRLD ZIP CODE 933U6 GOLDE~ STATE METALS ?RELIMANARY ASSEMENT INFORMATION COMPANY CALPI, INC. PHONE No. ADDRESS P O BOX 6278 INSURANCE CARRIER STATE FUND .T.ANK CLEANING INFORMATION COMPANY CALPIr INC. ADDRESS P O BOX 6278 WASTE TRANSPORTER IDENTIFICATION NUMBER 312805 NAME OF RiNSTATE DISPOSAL FACILITY GIBSON R~'.I.N~RY ADDRESS__ ~ OF COMMERCIAL DRIVE CID( FACILITY INDENTIFICATION NUMBER CAD 9808831 77 TANK TRANSPORTER INFORMATION COMPANY CALPI, INC. PHONE No. 589-5648 ADDRESS P O BOX 6278 TANK DESTINATION TANK INFORMATION TANK No. AGE VOLUME CHEMICAL DATES CHEMICAL STORED STORED PREVIOUSLY STORED I UNKNOWN 250 GAS UNKNOWN -- THE APP[ICAN! HAS RECEIVED, UNDERSTANDS, AND WILT COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL AND FEDERAL REGULATIONS. THIS FoRM HAS BEE.IN COMPLETED UNDER PENAHY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT. APPROVED BY: APPLICANT NAME (PRINT) APPLICANT SlGNA~E THIS APPLICATION BECOMES A PERMIT WHEN APPROVED Plot Plan must show the following: 3. 4. 5. 6. 7. Roads and alleys buildings location of tanks, piping, and dispensers utilities S__CALE waler wells (If on slle) any other relevenl Information FiRE DEPARTMENT S. D. JOHNSON FIRE CHIEF CITY of BAKERSFIELD "WE CARE" January 5, 1993 2101H STREET BAKERSFIELD, 93301 326-3911 Harriet Hay ~ 300 Oleander St. BakerSfield, CA 93304 CLOSURE OF 1 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANK LOCATED AT 300 Oleander St. PERMIT # BR-0065 Dear Ms. Hay: 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 laboratory data submitted, this office is satisfied with the assessment performed and requires no further action at this time. If you have any questions regarding this matter, ~please contact me at (805)-326-3797. Sincerely, /Ralph E. Huey~ / Hazardous Materials Coordinator ,,/ Underground Tank Program · :ii:-~- ~:---=-'i~iT-T-ENT=IO__N..:.-~.~_R_a_lp___h_-~I~fle:~/~:-~-~i-:=? '-:u:'? ..... :- ..... ~ ..... +'-~- ~ ---~- :--= -::- ..... ~::_--~_: ~ --_- :::Bake~sf~iei-d:~: C~.~93 ~01-~_-~:::-':- --:_:==: :::L::_~:-_':~.:- _-_': £=_=. ~: =. £~-_= On: Dece~b-~r- -4' ~ --.-199'2-,..=C~LP T ~: :-In¢ :- -~e mo_v_ed= ~= ;' :'-~:::'~-- .:- The=~tan'ks~:wer-e:.decontaminated~-on/ Site~i~in~_':~:~igh =pr~s~.~Ts~eam l:~a'n~?~-h~'Li:n~t~.:t-~ ~wit.-h_: ~-~-Y----i~ R-iT~-te ~s'~ isp~ ~ ~f' 7~.t-~ GibS~.-= .......... ._=== .... c z e: _. , ~- '2.-~[~ ~ ~i:~ r:;: ~--EnV-i~_~ n~&~-tJ:-i~-:2 [Bake r s f-i ~ i ~,:_- c-a 1 i ~b~n i:a~unde r [_ ha ~ ~ ~d6U~= ~ st e ,~/_--.i_ '~ ....... man:if~es-t---#--:9~l:-4:~'~.%:~=% -- The:-%a.nks were ~rem~v~ :::-i~'_'-:~::~-: "- -fo~TP~-~si~--_:-BT~X'-<&=:-E- -~ -~=60~p-ie-te-=ch-~m~a-l-~:an:a:i¥~i=~is:-."'~n-61-osed ~ ; -~,~-=- ....... custod~-=-and th~--tank_ di-~6~i:.~f6h ~t-f~-~ih~:' ~e~-~: , i, ':-~ .............. - - ~':-: ' Please ~60n~d~'!o:o~k'main~ office a~- ( 8'O5-')'5~8~---5-~-~=8 ...... =if- y._OU~: ,haVe__ ahy= ............ =:~ -' ' Petroleum Hydrocarbons RECEIVED HA.?~ ~flT. DIV. 'CALPI' Date of' P 0 BOX 6278 Report: 12/09/92 BAKERSFIELD, CA 93386 Lab ~: 10891 1 589-5648 Sample Description: JOB ~5300: SAMPLE %1, 2 FT CENTER TANK, 12-04-92 TEST METHOd: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015 Individual constituents by EPA Method 5030/8020. Sample Matrix: Soil Date Sample Collected: 12/04/92 Date Analysis Completed: 12/08/92 · Minimum · Reporting Reporting Constituents Units Level Date Sample ReCeived @ Lab: 12/04/92 Analysis Results None Detected mg/kg None Detected mg/kg None Detected mg/kg None Detected mg/kg None Det'ect'ed Benzene Toluene Ethyl Benzene Total Xylenes . Total Petroleum Hydrocarbons (gas) mg/kg 0.005 California D.O.H.S. Cert. ~1186 41 O0 Atlas Ct. · Bakersfield, CA 9330E) · (805) 327~4911 · FAX(EI(Db--] 327-1 91 8 E..CEIVED.D£C LASORATOFIIES Petroleum Hydrocarbons CALPI P O BOX 6278 .BAKERSFIELD, CA 589-5648 93386 Date of Report: 12/09/92 Lab ~: 10891-2 Sample Description: JOB ~5300:. SAMPLE ~2, 6 FT CENTER TANK, 12-04-92 _ _ ...... · TEST METHOD: TPH by D.0.H.S. / L.U.F.T. Manual Method - Modified EPA 8015 Individual constituents by EPA Method 5030/8020. Sample, Matrix: Soil Date Sample Collected: 12/04/92 Constituents Benzene Toluene Ethyl Benzene Total Xylenes Total Petroleum Hydrocarbons (gas) Date Sample Received ® Lab: 12/04/92 Analysis · Results None Detected None Detected None Detected None Detected None Detected Date Analysis. Completed: 12/08/92 Reporting Units mg/kg mg/kg mg/kg mg/kg mg/kg Minimum Reporting Level 0.005 9'.=005 1. California D.O.H.S. Cert. ~1186 Report To: ~"' ~ Analysis Requested Name: ) Project: "' ---- '- Address: ~.0. (~)OX ~q~ Project#: ~'~~. Lab# Sample Description ~ Date & Time Sampled Gommont: ~illin~ Info: ~olinquishod by: (Si~naturo) ~:oivod by: (Si~naturo) Dato: lime: City State ~ nquish~y: ~Signature) Received by: (Signature) Date: Time: ~ ~ ~ A~ention: Relinquished by: (Signature) Received by: (Signature) Date: Time: I~-~ Miles: Relinquished by: (Signature) Received by: (Signature) Date: Time: ~ Sample Disposal P.O.~ ~ ~-- ~ ~ ~ Relinquished by: (Signature) Received by: (Signature) Date: Time: ~ BC Disposal ~ 5.00 ea. G Return to client ECEIVED DEC ] lgg2 - UNIFORM HAZARDOUS ~ 1. Generato¢$ US EPA ID No. Manl{l~t Document No. I 2. Page I. I Irffon'nattonlnthelhadeclareol 5. Tr__ansporter 1 Company Nart~ 7. l'ransl:~de, 2 Corn party Name 8.. US EPA ID N umber ilJ~!!~:.~ ~!i!~i::i::i::iiiiii;::iiiii::il! ii!!! ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: " I I i I i f ~ '"' .... - ~. 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DHS 8022A (12/90) White: EPA 8700--22 To: TSDF SENDS THIS COPY TO DHS w1THIN 30 DAYS. .P.O. Box 3000, Sacramento, CA 95812 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 N_.o 10392 TANK DISPOSAL FORM Date /.~..~./_ ?~__ Contractor's License No. ,19 Contractor's Phone No. CONTRACTOR: # ADDRESS: JOB SITE: 300 DEST,NAT, ON: .... -GTS. M. 'WEIGHT CERT. "O: _ 250 .14 T~NK INSPECTION ~ CLEAN & DRY (ACCEPT), OR [] RESIDUALS PRESENT (REJECT) LEL READING .~.,O__ OXYGEN CONTENT DISPOSALFEE SCRAP VALUE OTHER NET TONS 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 550 .24 1000 - 6 ff .61 2000 .97 3000 1.32 5000 2.42 7500 3.28 9000 3.82 12000 4.93 TOTAL TOTAL WHITE-- Contractor Copy · YELLOW-- File Copy · PINK-- Permanent Copy /X~ CERTIFICATE OF TANK DISPOSAL / DESTRUCTION - THIS IS TO CEI:~IFY )I-HE R/CEIPT AND ACCEPTANCE OF THE TANK(S) AS SPECIFIED ABOVE. ALL MATERIAL SPECIFIED WILL BE COMPLETELY