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Home My WebLink AboutUNDERGROUND TANKD July 11, 2000 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 'H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 'H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICE~ 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 ChesterAve. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Bob Becker Soils Engineering, Inc. 4700 District Bird Bakersfield, CA 93313 CLOSURE OF 1 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANK LOCATED AT 401 OLIVE STREET. PERMIT #BR-0268. Dear Mr. Becker: 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. Accordingly, no unauthorized release reporting is necessary for this closure. If you have any questions regarding this matter, please 'contact me at (661) 326-3190. Sincer ly, Steve Underwood, Inspector Office of Environmental Services SU/dlm cc: Bob Varner S:\USTFORMS~UST.L1 SOilS ENGINEERING, 'INC. TRANSMITTAL SHEET TO: Steve Underwood Bakersfield Fire Department 1715 Chester Avenue Bakersfield, CA. 93301 FROM: BOB BECKER Soils Engineering, Inc. 4700 District Blvd. Bakersfield, CA, 93313 SUBJECT: Varner Residence Tank Closure Report NOTE: Steve- Attached is your copy of the Tank Closure Report for 401 Olive St.. Everything is clean and we are recommending closure. Thanks Bob 4700 DISTRICT BLVD. · BAKERSFIELD, CALIFORNIA 93313 PHONE (661) 831-5100. · 'FAX: (661) 831-2111 SOILS ENGINEERING, June 30, 2000 iNC. File No. 00-9265 Bob Varner 3434 Truxtun Avenue, Suite 240 Bakersfield, CA 93301 Subject: Tank Closure Report 401 Olive Street Bakersfield, California Mr. Varner: Soils Engineering, Inc. (SEI) has completed the removal and closure of one (1) 500 gallon underground storage tank (UST) at a residence located at 401 Olive St. in Bakersfield, CA. (site). See Plate 1 for Location Map. The former UST was located on the west side of the garage and house near a portable shed as shown on the attached Plot Plan (Plate 2). Field Work Conducted On June 2, 2000 the UST was uncovered and prepared for removal with a backhoe. On June 5, 2000 the UST was decontaminated with a high pressure steamcleaner and a degreaser. The rinsate was containerized in one (1) labeled 55-gallon drum for later disposal. The UST was inerted with 20 Pounds. of dry ice prior to removal. A lower explosion level (LEL) meter was utilized to determine hydrocarbon vapors and oxygen content prior to removal. The LEL levels and oxygen levels were at safe concentrations prior to removal.' The UST was removed on June 5, 2000 under permit #BR- 0268 (see attached) obtained from the City of Bakersfield Office of Environmental Services (BOES). A backhoe was used to remove the UST, which was then placed on a truck, marked and transported to Valley Tree for disposal/recycling (see attached UST closure certification). Soil samples were collected from the backhoe bucket at depths of 2' and 6' beneath the bottom of the former UST location. The soil samples (T-2' and T-6') were sealed, labeled and placed in iced storage. The soil'samples were delivered to Zalco Laboratories in Bakersfield, CA. for analysis of Total Petroleum Hydrocarbons as gasoline (TPHg), for benzene, toluene, ethylbenzene, total xylenes (BTEX) and MTBE, along with total lead. The excavation was backfflled with in, ported clean fill and compacted up to match existing grade. The drum of rinsate was pumped out On June 28, 2000 by Cranes Waste Oil and disposed/recycled at Crosby and Overton's facility in Long Beach, CA. under Hazardous Waste Manifest #99368550 (see attached manifest). The analytical results of the soil samples are shown in the following Table 1 and indicate that no 4700 DISTRICT BLVD. ° BAKERSFIELD, CALIFORNIA93313 ° PHONE(661)831-5100 ° FAX:(661)831-2111 I~31LS ENGINEERING, INC.' Tank Closure Report For 401 Olive St; in Bakersfield, Cali[ornia File No. 00-9265 Page No. 2 TPHg, BTEX or MTBE concentrations above detection limits were present in the 2 soil samples. Total lead concentrations were at 20 mg/kg in sample T-2' and at 4.0 mg/kg in sample T-6', both at levels of no concern. TABLE 1 ANALYTICAL RESULTS OF SOIL SAMPLES 401 Olive Street, Bakersfield, CA. Sample ...... No. Date TPHg Benzene Toluene Ethylbenzene Xylenes T-2' 6/5/20001<10 mg/kg 1<5 ug/kg <5 ug/kg 1<5 ug/kg 1<5 ug/kg T-6' 6/5/2000 <10 m~l/k[l 1<5 u~l/k~ <5 u[l/k[l 1<5 u~l/k[! 1<5 u[I/k[l TPHg = Total Petroleum Hydrocarbons as gasoline, ug/kg = parts per billion, mg/kg = parts per million Total Lead I 4.0 mg/kg I 20 m~l/k~ Conclusions & Recommendations SEI concludes that the former UST at this site has not had any significant releases of petroleum hydrocarbons into the surrounding soil. Based on the above information SEI rec°mmends the closure of this site With no additional assessment, or remedial action recommended at this site. If you have any questions concerning this report please contact SEI at (661) 831-5100. Sincerely, Robert J. Becker, R.G., REA II Environmental Division Manager Enclosures: Location Map, Plate 1 Plot Plan, Plate 2 UST Closure Permit UST Closure Certification Hazardous Waste Manifest #99368550 Analytical Reports Location Map Varner Residence 401 Olive St., Bakersfield, CA. i~IOILS ENGINEERING, INC. File No. 00-9265 Plate 1 v_~ N~ $CH. SCHOOL 'Gulf St 0fin WV. 38th St. NCER 34th 21st FEDERA Stree St.~¢ N t PLATE 1 LOCATION MAP- Varner Residence 401 Olive St. Bakersfield, California Residential A Carport L LEGEND O Soil Sample Location L ~ I ' Approx. Scale 0 5' 10' SOILS ENGINEERING, INC. 4700 District Blvd. BAKERSFIELD, CA 93313 DATE: 6/30/00 PROJECT NUMBER: 9265 VARNER RESIDENCE Northwest Comer of Olive St. & Palm Avenue BAKERSFIELD, CALIFORNIA PLOT PLAN PLATE 2 O~ICE OF ENVIRONMEN~kL SERVICES 715"'Chester Ave., Bakersfield, L~A (805) 326-3979 " PERMIT APPLICATION FOR ' REMOVAL OF AN UNDERGROUND STORAGE TANK SITE INFORMATION SITE VAR~_~_.~- ~eJ;E~L~',~e- ADDRESS qO/ OL;~.fT, zmCODE FACILITY NAME CROSS STREET ~-- TANK OwNEWOPERATOR ~ f~ O/9 j,t~v. MejC_ PHONE NO. ~ MAILING ADDRESS ~ q',~ t../ '7-]7..t:~ ~'77.,t,rd/4~'c'; ~tZ_t'/g CiTY ~>>,.~ ~_e_r-r~ele4 ZiP ct-iff O l- CONTR.'\CTOR INFORMATION COMPANY .~'c;L ~ cC~a;~,e~r',,~ OMPANY ',i, /;,~ ~,, ce,',,,; PHO~ NO. .... -:-. .~ ~ ADDRESS .~C. O;J~ ~.r iNSURANCE CA~ER ~ (p~ TANK CLEANING INFORMATION ' 'PHONE NO. dOl"l) ADDRESS 2OCO M. A. la t~aed~ ff~. __ CITY d'ov,-,,~-Jz.r,..-' IZiP FACILITY IDENTIFICATION N'UNtBER ~' _~'FO o°OO I _'~ ~_~'Z. TANK TRANSPORTER INFORMATION 3~-/~c~ L LICENSE NO. COMPANY C ~ mw~l'ho (; - ~~ PHO~ NO. - ~lw ~ers4e/d TANK DESTINATION ~6[d,~, ~ 1~-~ TAN K IN FORMATION CHEMICAL DATES CPIEMICAL TANK NO. AGEVOLUMESTORED STORED PREVIOUSLY STORED AI'I'ROVI';I) BY: ~~ ' ForOtl'iciM Uae Only . . i'. ............. FAP PLICAT.I6N DA..T~.' :_'. .... ": :;'.' '~':i~ :,..: ::::::':i!':.;~~i!::~?i'ii'i~:i:-?~::~5~!:'!~i'i~X~'~ ::.:!. i.-.' '..: :. ::3,~.~ '1'1 IF. ,'\PI'I .ICANT I IA~q RF.C ElVIT'.l). U'NDERS'I'ANDfi. AND WILl. COMf'I.Y WITH THE ATI'ACItI':I) CONI)I'I1ONS OF 'l'l IIS I'I-~RMIT ANI ) ANY O'll II';R STA'I I".. I.OCAI. AND FEDI:.RAL, ILEGULA'noNs. Tl lis I;t)I(M I~AS BI~I,'.N COMPLI,TI'F.I) UNDER t'EN^I;FY OF PERJURY. AND TO TIrE BESI' O1" MY KNOWI,I'3)GE IS TRIll-: APPI.ICAN'I' N^M~t (P[UNT) APPLff~'AN'F SIGNATURE THIS APPLICATION BECOME A PERMIT WHEN APPROVED CITY OF BAKERSFIELD OFI-.,.. OF ENVIRONMENTAL SL4 ilCES 1715 Chester Ave., Bakersfield, CA 93301 ) 326-3979 UNDERGROUND STORAGE TANKS CLOSURE CERTIFICATION I. FACILITY IDENTIFICATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) TANK OWNER NAME 'l p,-oa ,s I . , ' 74~ TANK OWNER ADDRESS ITANK OWNER CITY L '11. TANK CLOSURE INFORMATION 742 STATE ?43 '-ZIP CODE 741 744 Tank ID #. Concentration of Flammable Vapor Concentration of Oxygen (,AZmch 4~dd~k~.~ cop/e.~ of mL~page Top Center Bottom Top j Center Bottom ~o~ mom ~an gt~ee tanks.) 745 746a 746b 746c 747a J 747b 747c TANK 1 ~DV~.~' t " ' . 748- 749a 749b 74~ 750a 750~ 750~ · 751 752.a ' 75Zo ' 752c 753a ; 753~ 753c "' n I vlsuall free from reduct, slud e sca e (thIn flaky residual of tank contents) rlnseate and debns I further IOn examination of the tank, I certify the ta k s y p g . '. ' , . ' ' Icerfifythat the information provided herein is true and accurate*to the best of my knowledge. NAME OF CERTIFIER (Print) TITLE OF CERTIFIER ADD~ES8 ~ t 1715 Chester Ave. Cl~ Bakers~eld, CA 93301 PHONE (661) 326-3979 STATUS OR AFFILIATION OF CERTIFYING PERSON 754 755 DATE 759 CERTIFICATION TIME ~3 ' ~' - ~ (~ ' hazardous substance removal certifica§on) TANK PREVIOUSLY HELD FLAMMABLE OR COMBUSTIBLE MATERIALS · (If yas, Iha tank in,trOt ab'no._!~.,~are shall be m-checked wfth a combusUble gas ind~eto_r I~or to work being conducted on the tank.) Certifier is a representative of the CUPA, authorized agency, or LIA: I,/ Yes . I-I No Name of CUPA, authorized agency, or LIA: 7s~ City of Bakersfield Firs Department - Office of Environmental ~ervlce~ If certifier is other than CUPA / LIA check appropriate box betow:. I-I a. Certified Industrial Hygienist (CIH) 1:3 b. Certified Safety Professional (CSP) [] c. Certified Marine Chemist (CMC) [] d. Registered Environmental Health Specialist (REHS) [] e. Professional Engineer (PE) r'l f. Class II Registered Environmental Assessor ng. Contractors' State'License Board licensed cenbactor [3/~es I-I No 7~ CERTIFIER'S TANK MANAGEMENT INSTRUCTIONS FOR SCRAP DEALER, DISPOSAL FACILITY, E. TC: 164 A copy of thla certificate shall accompany the tank to the recycling I disposal facility and be provided to the CUPA. If there Is no CUPA, cop!es ~hall I~ submlbed to the LIA and authorized agency; owner I ol~rator of the hank s~tsm; removal contractor;, and the recyeJIng I disposal fa~llty. - S:\CUPAFORMS~dtsc1249.doc UPCF(7~9) Non Hazardous Manifes~ [Bou;'oe~ A4d.&'eeo ~A4 Loo&t&on l~agr~pC~on of I¢osignor's ¢ fi ation ., I horoby doGlere ~ tJw r, ofltanta of this conslgnmont erg fully and accurately described above and ara not considered Itazardou8 waste or matarlaJ as defined by 40 CFR 261.8 or 40 CFR 1 ;1.8 of Federal Regulations and CAC Title 22, Article 66084. ~ I further doolam thmtb consignment does not contain a void epaoe which has an atmoephora of combustible gas .that.oxc4od8 5% of tho Lower Exploelvo Limit'(l-E.I..), and that tho consignment is legally transported without a hazardous manJfoet in i~r, ordafl~ with govofll~ont regulations. [ho Gosigfl# shall bo hold ha~Tnloas from liability arising from misrepresentations by tho coeignor. -- Cosicrnee For Malarial Valley Tree .n~ B~ets£~el4, Ca. 93308 PAGal DAeI~eAC, A~,a -- Me,hod a~4 Pl&c:e /Da=e · Form Approved OMB No. 2050-0039 (Expires 9'30.99) , See Instructions on back of page 6. Department of Toxic Substances Control Please print 0'r type. Forth designed for use on ellte*(I 2-pltchl typewriter. Sacrament, Califo ' UNIFORM HAZARDOUS Manifest Documen 2. Page I Informatlon in the shaded areas WASTE MANIFEST ~-' / is not ,eq~,~red by Federal la--. 3,~.~eneratoc's Nameanc~/~lilin~,Adclr.ess_ ~ ':A'~:~'M~J~ D~J N~be~'~.~ 5. Transporter 1 Company Name 6. US EPA ID Number :~i~St~'T~'ii~/~lD [~i~d.] ~ .~ :~C'" ~ . 7. Transporter 2 Company Name 8. US EPA ID Number E~$I~'~:T~"~'ID ~ Designated Facili~ ~ame and Sit,dress · ]0. US EPA ID Number .G~S~'~i ~JD ~ ~'~,~h ...... ,.~ ~.~ 11. US DOT Description (including Proper Shipping Name, Hazard Class, and ID Number) 12. Canto;nets ] 3. Total 14. Unit No. Type Quantity Wi/Vol /'17 I I I I ':::.-.'-- ,'~ ~ ,,. ~ ~:,~:,, 4'~?;~ ~.U?,h'C d--/(l.U/~ <~]::71/ ..... ' 15. Special Handling Instructions and Additional In~ormatlon /.4., L ~,'7..:: ~' "- :"~ '~-~"~;6-,4"& L' '"'~"~ ~ ' "'" ~ .-~ ~/, , .... ~ ~ r .. ~. h .-4~~ 16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper sh pp ng name and are classified, packed, marked, and labeled, and are in all respects in proper condition ~gr transportby highway according to applicab e nterna aha and national government regulations. If I am a large quantity generator, I certi~ that I have a program in place to reduce the volume and toxicity of was e genera ed to the degree have determ ned o be econom ca y practlcab[e and that l have selected the ~racticable method of treatment storage or disposal currently available to me which minim zes he present and future threat to human health and the environment; OR, if I am ~ small quantity generator I have ma~e a go~d faith effort to m nimize my waste genera on and select the best waste management method that avaibble to me and that I can afford. Prlnted/Typed N .... h-,~-/Signature' ?~-'," / "?~,.:~,.. ..' Month Day Year , -.,.;; ,...: 17, rans~orter l:Acknow ed~ement of ~f of Materials Printed/Typed ~'me . ~ ~ ~ -- / ..' / .' ~.~ , - . , .1: 18 Tr ' · p ' ~e~ent o~ eceipt oE Prlated/Typed Name Signature ~onlh Day Year 19. Discrepancy Indication Space : 20. Facility Owner or Operator Certification of receipt of hazardous materials covered by this manifest except a~ not~d4~m t,~: . Printed/Typed Name Signature . ....... '-~U~U~ ' Month Day Year DTSC 8022A (1~99) EpA 8700--22 DO NOT WRITE BELOW THIS LINE. ZALCO BORATORIES, IN I. Analytical & Consulting Services, 4309 Armour Avenue Bakersfield, California 9~)~)08 (661) ~)95-05~)9 FAX (661) ~)95-3069 Soils Engineerin9 4700 District Blvd Bakersfield, CA 93313 Attention: Bob Becker Sample Type: CAM Solid Laboratory No: 0006051-1 Date Received: 06/05/00 Date Reported: 06/16/00 Contract No. : Date Sampled : 06/05/00 Time Sampled : 09:45 Description: T-2', Project 9265 Sampled by Bob Becket Constituents BTXEM & TPH-Gasoline REPORT OF AigALYTICAL RESULTS Results Units DLR Method/Re Benzene Toluene Ethylbenzene Total Xylenes Methyl tert-Butyl Ether TPH Gasoline (MTBE ND ug/kg 5.0 8020/8015M/8 NI) ug/kg 5.0 8020/8015M/8 ND ug/kg 5.0 8020/8015M/8 ND ug/kg 15.0 8020/8015M/8 ND ug/kg 5.0 8020/8015M/8 ND mg/kg 10 8020/8015M/8 cc: ~tnalyzed : 06/06/00 JM~4 Method Reference 1. EPA SW~846, 1994 3rd Edition 8. DOHS LUFT Manual on, Lab Operations Manager ' rog/L ': ~ [~rams per'Liter (parts per million, ug/L : micrograms per Liter (parts per billion) umhos/cm : micromhos/cm at 25 C mmhos/cm : millimhos/cm at 25 C ND :'None Detected N/A : Not Applicable NSS : Not Sufficient Sample for Analysis DLR : Detection Limit for Reporting Purposes This report is furnished for the exclusive use of our Customer and applies only to the samples tested. Zalco is not responsible for report alteration or detachment. ZALC BORATORIES, I Analytical & Consulting Services 4309 Armour Avenue Bakersfield, California 9330B ' (6B1) 395-0539 FAX (661) 395-306@ Soils Engineering 4700 District Blvd Bakersfield, CA 93313 Attention: Bob BeCker Sample Type: CAM Solid Laboratory No: 0006051-2 Date Received: 06/05/00 Date Reported: 06/16/00 Contract No. : Date Sampled : 06/05/00 Time Sampled : 09:50 Description: T-6'/ Project 9265 Sampled by Bob Becker Cons t i tue~t-6~'' REPORT OF ANALYTICAL RESULTS" Results Units DLR Method/Re~ BTXEM & TPH-Gasoline Benzene Toluene' Ethylbenzene Total Xylenes Methyl tert-Butyl Ether (MTBE TPH Gasoline~ ND 'ug/kg ND ug/kg ND ug/kg ND ug/kg ND ug/kg ND mg/kg. 5.0 8020/8015M/8 5.0 8020/8015M/8 5.0 8020/8015M/8 15.0 8020/8015M/8 5.0 8020/8015M/8 10 8020 8015M/8 cc: Analyzed : 06/06/00 JMM Method Reference 1. EPA SW~846, 1994 3rd Edition 8. DOHS LUFT Manual EtherS, Lab Operations Manager /~g/L : milligrams per Liter (parts per million' /u~/b : micro~rams per Liter (parts per billion. umhos/cm : micromhos/cm at 25 c mmhos/cm : millimhos/cm at 25 C ND : None Detected N/A : Nog Applicable NSS : Not Sufficient Sample for Analysis DLR : Detection Limit for Reporting Purposes This report is furnished for the exclusive use of our Customer and applies only to the samples tested. Zalco is not responsible for report o~teratlon or detachment. ZALC BORATORIES, Analytical-'& Consulting Services 4309 Armour Avenue Bakersfield, California 93308 (61~1) 395-0539 FAX (661) 395-3069 Soils Engineering 4700 District Blvd Bakersfield, CA 93313 Attention: Bob Becker Laboratory No: Date Received: Date Reported: Contract No: DeScription: See Below Sampled by Bob Becker REPORT OF ANALYTICAL RESULTS 0006051 06/05/00 06/16/00 Total Lead Lab Sample Number Descri'ption Date Time Sampled Sampled mg/kg 0006051-1 0006051-2 T-2', Project 9265 T-6', Project 9265 06/05/00 09:45 20 06/05/00 09:50 4.0 Date Analyzed: 06/15/00 Analyst: BEP Detection Limit for Reporting: 2.5 Method: 6010A cc: Method References: 1. EPA SW-846, 1994 3rd Edition 8. DOHS LUFT Manual ppmv : parts per million volume ND: None Detected NSS: Not Sufficient Sample This report is furnished for lhe exclusive use of our Customer and applies only to lhe samples tested. Zalco is not responsible for report alteration or detachment. ZALCO LABORATORIES, INC. 4:)09 Armour Ave. Bakersfield. California @3308 (805) :)95~)53@ Fax (S~)5) 395-:)069 Chain of Custody Record Page of Turnaround Time: za,co Lab# 0~/~/~ / RUSH By:.__ - Expedited (1 Week) Field Log # Ice Chest 8. . Temperature?C ~ ~::~outine (2 Weeks) Work Order # Company Name I Repo~ A~ention ~b ~ Sampled W: Emplwed by: - Sample Date ~me Ty~" Containers ID8 Sampled Sampl~ S~ KW Bel~ Legal Sample Description ~ Ty~* NOTE: Samp~es are discarded 30 days aftar results are repo~led unless other an'angements am m~e. KEY: * G. Glass P-Plastic M-Metal T-Tedar V-VOA Hazardous samples will be returned to client o~ disposed of at client's expense.. : ~ W-Water WW-Wastewater S-Solid P-Petroleum L-Uquid O-Other' White- Office Copy Yellow - Lab Copy Pink - Client Copy *** A-Acid, pH<2 (HCI,HNO3,H2SO4) S-NaOH+ZnAc C-Caustic. pH>10 (NaOH) !/~'-~ -. CITY OF BAKERSFIELD ~¥FICE OF ENVIRONME~[~AL SERVICES 171S Chester Ave., Bakersfield, CA (805) 326-3979 PERMIT APPLICATION FOR "~A ~[ REMOVAL OF AN UNDERGROUND STORAGE TANK SITE INFORMATION SITE 'VA~_~_.a ~e~;de.c~ADDRESSqOl Otfv~.c7, ZmCOD~. ~3~~ ~OT-3~Z~/° FACILITY NAME CROSS S~EET ~ ~L~ ,,. TANKOWNEWOP~RATOR ~ ~O~ ~a~Me~ .... ~HONE NO,~) ~2 MAILING ADDRESS 2qJq ~~; ~Z~C1TY ~a~ettZ'eld ziP q~O ] CONTRACTOR INFORMATION_ COMPANY .Co~L.s ~.ajn¢dr't.~ .--7~¢. PHONE NO- ~[[O~°3/-5-/O0 ADDRESS .q~-biJ~riC~-~. CITY' INSTANCE CARRIER ff~ PRELIMINARY ASSESSMENT INFO~ATION ADDRESS ~V ~/t~i c~ TANK CLEANING INFORMATION ADDRESS _.~-o b,J~rct WASTE TKANSPOR~R IDENTIFICATION ~ER ~~c~ NAME OF RINSA~ DISPOSAL FACILI~ ~~ kef' ' 'Jood ADDRESS ZO~ ~, ~.~amed~ ~, .~CI~_ FACILITY IDENTIffiCATION ~ER TANK TRANSPORTER INFORMATION PHONE NO ._~:~2~_/.d$'~7_.. LICENSE NO. ADDRESS ]X'O0 ~e~ L~ TANK DESTINatiON ~[de. ~ ~ ty ~ ~~ ~ee< TAN K INFORMATION /qz/ ._ zIP. q~ta~ CHEMICAL DATES CFIEMI CAL TANK NO. AGE VOLUME STORED . STORED-~ PREVIOUSLY STORED For Official t.r.,~ Only_ ,. ,.....-....,-. ............. . ................. ~....,..' .'.:'.?;..T::,..':..., '.'.' .' '.'- .: ' ".'?,. "..' ..... :: · . . '...: .'.,~4'.'.:~ :~: :: '47".~ '.' .I A~U¢,t.~6.~ o,,.~ :'.,..' :' .. :': !": ':~':i~ :'..: !::~::.:i:..:.~!~:~i~~~:~:~..i....~.:.:.:..:::.~:.:~.~..~;.~:~::...::.:..~:::~.~.~:.'~x~a'~ ":''''~ :'~ '": :' ':.~S ..... : 'i TI I1( Al)lq .ICANT I lAS RECEIVED. UNDERSTANDS, AND WILL COMPI.Y WITH THE ATI'AClti-:I) CONDITIONS O1:' TI IlS PI-:RMIT AND ANY OTl II';R S'I'A'I I:., I.OCAL AND FEDERAL I~EGULA'FIONS, 'l'111:4 I:t)RM I IAS Ifl{l:.N COMPLF,'I.J.~I'YUNI)ER PENAI;IW' OF PERJURY. AND TO THY. BEST O1,' MY KNOWI,EIX;E 1S 'FRill-'. APPI,ICANT N~M'F (PRINT)"' APPI,[~'ANT SIGNATU'RE THIS APPLICATION BECOME A PERMIT WitEN APPROVED OBAKERSF~ET.n FIRE DEPAR~ ~' ENVIROIO]ZHTAL SERVICESqW 1715 Chester Ave., Bakersfield, CA 93301 (805) 326-3979 TANK REMOVAL INSPECTION FORM O~R ~n2 ~v~ PE~IT TO OPE~ ~- CO~CTOR .~n~{s 6~e~f~ ~ CO.ACT PERSON ~ ~O~RY ~(~ ~' ~ OF S~LES TEST ~ODOLOGY ~G - ~ ~ ' PRELI~Y ASSESS~ CO.~g.s ~~ CO.ACT PERSON CO~ ~CIEPT / ~ ~ ~d~ C~ 'LEL~ ~ 02% PLOT PLAN CONDITION OF TANKS CONDITION OF PIPING CONDITION OF SOIL COMMENTS /~ n~, t,~,, DATE XNNPECTORS N~