HomeMy WebLinkAboutAST.l
PHYSICIANS PL/~A
SLIRG.~C.~L CENTER
6000 Physicians Blvd.
-~:: Bakersfield, CA 93301
BLDG.
D
~ PHYSICIANS PLAZA
SURGICAL CENTER
.6000 Physicians Blvd.
~BLD. - D;
C'ONN~:::T
'4-"~ T~
I~IEL~· ,
SCAI;.E: t'=.30' - O'
· 'i:0886 ¥0
'P~lft sm~. !~qd 0009
'~....~ROVIDE DRAWING
OF ~'"~YSICAL
LAYOUT OF FACILIIY""USING SPACE PROVIDED BELOW.
ALL OF THE FOLLOWING INFORMATION ~]...~[ INCLUDED IN ORDER FOR THE
APPLICATION TO BE PROCESSED~
TANK(S), PIPING & DISPENSER(S), INCLUDING LENGTHS &
DIMENSIONS.
PROPOSED SAMPLING LOCATIONS DESIGNATED BY TitIS SYMBOL "~
NEAREST STREET OR INTERSECTION
ANY WATER WELLS OF SURFACE WATERS WITHIN 100' RADIUS-OF
FACILITY
NORTH ARROW
BAKERSFIELD FIRE DEPARTMENT
BUREAU OF FIRE PREVENTION
PERMIT Permit No.
In conformity with.provisions of pertinent ordinances, codes and/or regulations, permission is hereby
granted to:
Nome of Company Address ..~c2~ ?Z'C~
to display, store,, install, use,"operote, sell or handle materials or process involving or creating con-
.ditions deemed hazardous to life or proper~ as follows:
/
subject to the provisions and/or limitations as provided on the.' reverse hereof. Violation of pertin-
ent ordinances, codes and/or regulations shall void this permit.
BAKERSFIELD FIRE DEPARTMENT
BUREAU OF FIRE PREVENTION
APPLICATION
Application No.
In conformity with provisions of pertinent ordinances, codes and/or regulations, application is made
Name of Company Address
to display, store, install, use, operate, sell or handle materials or processes involving or creating con-
ditions de?med hazardous to life or property as follows.]/
BAKERSFIELD FIRE DEPART/V~I'
BUREAU OF FIRE PREVENTION
7/2~/83
Date APPLICATION
is made
in conformity with provisions of pertinent ordinances, codes and/or
by: ~
~la'~'~a l~lueb:l..;, 2903 ~:~,tles, ~,ake~rst*/.el.d~, C~ -~ '~: .
Name of Company Address
to display, store, install, use, operate, sell or handle materials or processes involving o~ creating con-
ditions deemed hazardous to life or property as follows: ':' ~i
(1) drexel, t:anlc (1~ ~.Z-t05G35) ~:o be locat:ecl at 400! Saz~ O:~maa . ~
I OURCE MANAGEMENT GENCY
RANDALL L ABBOTT
DIRECTOR
DAVID PRICE !11
ASSISTANT DIRECTOR
ENVIRONMENTAL HF~.LTH SERVICES DEPARTMENT
Faci 1 ity .N. ame:_
xxUNDERGROUND TANK DISPOSITION TRACKING RECORD**
,Ke,~ County Permit#
County ~t: I
This form is to be returned to the 'Kern County Environmental Health Services
Department ~i, thin 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~ection I To-~)ie-~ out by tank removal contractor:
Phone #: _ ......
· No. of Tank(s):--
Tank Removal Contractor:.
Address:
~ecti~n g To be filled out by contractor "decontaminating" tank(s):
Tank "Decontamination" Contractor:.
Address:__ , ,
Tank Size L.E.L.
Phone#:
Zip:
Tank Size
Authorized representative of the contractor certifies by signing below that the
tank(s) have been decontaminated in accordance with Kern County Environmental
Health Services Department requirements,
i Title
Signature , , , ,,, ,,,
~~ To be filled out and signed by an authorized representative of the
approved disposal or recycling facility accepting the tank(s):
Facility Name:
Address:
Date Tank(s) Received: r
Signature: i
-{Authorized Representative)
2700 '~" S~, SUITE 300
x , * MAXLZNG INSTRUCTIONS:
Phone #:_ .
No. of Tank(s):
Title:
BRKF~SFI~LD, CAUFORNIA 93301
Fold and staple.
(~os)
FAX: (aos)
/
PERMIT #:~G~7~' ENV. SENSITIVITY:3~/~'~.~
Date- :--8 'OfTanks
ENVI'~ONME~m~L HEALTH SERVICES DEPART~m~T
2?00 "M" STRLmlP' ,. SUITE 300, BAKERSFIELD,mmv''.93301
(805)861-3636
UNDERG'R~UND HAZARDOUS SUBSTANCE STORAGE FACILITY
* INSPECTION REPORT *
PERMIT~t~_D6O'O26P.;~"~>~--"~ TIME IN ..~' ............ ~'~ TINE OUT('"~..( ~ NUMBER OF TANKS~ /'1 ·
PERMIT POSTED'7. YES ~N0 .................... ~'~SPECT[ON DATE: ~/~7~"r .........
TYPE OF INSPECTION: '"~'~'~NE ...... ~,]]]]]"'~[NSPECT[ON ...................
"FACILITY NA~'7~Si~iANS PLAZA"~-E'GIC~L:~CENTER
FACILITY ADDRESS:6000 PHYSICIANS BLVD.
BAKERSFIELD, CA
OHNERS NAME:PHYSICIANS PLAZA SURGICAL CENTER
OPERATORS N~AME :~:~U..,B_B_S_,L~.A__N ! ECE
COMMENTS: :''~ __
ITEM
1. PRIORY CONTAINMENT ~ONITORING:
· ,~, 'Intercepting an directing system
Standard Inventory Oontnol
c. Modified Inventory Control
d. In-tank Level Sensing Device
e.' 6~oundwater Monitoring
f.. 'Vadose Zone Monitoring
SECONDARY CONTAINMENT MONITORING:
a. Liner
~ Oouble-~lled tank
¢. Vault
PIPING MONITORING:
a. Pressurized
(~ Suction
c. Gravity
· 4. OVERFILL PROTECTION:
TIGHTNESS TESING
NEN CONSTRUCTION/MODIFICATIONS
CLOSURE/ABANDONMENT
UNAUTHORIZED RELEASE
)AINTENANCE, GENERAL SAFETY. AND
OPERATIN~ CONDITION OF FACILITY
1.
9.
V I 0 LAT I ONS/OBSE RVAT IONS
<'. c.b, · '
· . /
IN SPEC_T OR: ............ _~.~..~~REPORT R ECEZVED E~Y: ..... ..~ ..... '¥'~i~ ........... ' .....
:' 170OFIower Street KERN COUNTY HEALTH DEPART ,
Bakelsfleld, California 93305
Telephone (805) 861-3636 ENVIRONMENTAL HEALTH DIVISION
I NTERI M P~RMI T
HEALTH OFFICER
Leon M Hebertson, M.D,
DIRECTOR OF ENVIRONMENTAL HEALTH
Vernon S. Reichard
'PERMI T~O 600 ~ 6 0
ISSUED: JULY 1, 1986
EXPIRES: July 1, 1989
FACILITY: [ OWNER: .- -
PHYSICIANS PLAZA SURGICAL CENTER [ PHYSICIANS PLAZA SURGICAL' CENTER
600~ PHYSICIANS BLVD. [ 6000 PHYSICIANS BLVD.
BAKERSFIELD, CA [ BAKERSFIELD, CA 93301
AGE(IN YRS) SUBSTANCE CODE
I NO
MVF 3
PRESSURIZED PIPING?
TANK #
1
NOTE: ALL INTERIM REQUIREMENTS ESTABLISHED BY THE PERMITTING
AUTHORITY MUST BE MET DURING THE TERM OF THIS PERMIT
NON--TRANSFERABLE * ** POST
DATE PERMIT MAIT.~:
DATE PERMIT CHECK LIST RETURNED:
ON PREMISES
Division o Environm~3ntal HealtJ~ Application Date_ .: ~ .-.
1700 ,Flowe.~ Street, Bakersfiel "3% 93305
~ APPLICATION FOR PERMIT TO OPERATE UNDERGROUND
HAZARDOUS SUBSTANCES STORAGE FACILITY
Type of Application (c~eck):
[-]Ne-~ Facility ~Modification of Facility ~isting Facility C]Transfer of Ownership
A. ~ergency 24-Hour Contact (name, ~rea code, phone): Days ~/~4A//~c-~ d/~u~s
Type of Busine§s ~('~eck): ~Gasoline S~ation ~_Oth~(describe) ~c~/,
-~,-- ..... Is Tank(s)-4~ocated_on_an Agricultural Farm? [~Yes _.~_ .......... _
Is Tank(s) Used Primarily fo~'Ag-~'iC61t~a-l--i~r~oses? ~Yes ~No? TM
T R SEC (Rural Locations ~ly)
k}dres§ ~ F;/~"$[¢/,~/~ /3&V~',' Zip g~O( Telephone(~f)
s. Water to Facility Provided by C~/.;~O/~/~ ~ATL=F~ ~pth to Grou~Wa-t~f Soil Characteristics' at ~acility
Basis for Soil Type and GroundWater DePth Determinations
c. contractor //~/~/~YA ?£~'~/~ ' CA Contractor's ~.icense No.
~roposed 'starting Date /~--M /q~ ~roposed 'C~mpletion Date /~cH
~orker's C~penSati°n Certification ! Insurer ~m~T~4 ,
O. If This Permit Is For Modification Of An Existing Facility~ Briefly Describe Modifications
Proposed
E.~Tank(s) Store (check all that apply):
Tank ! Waste Product Motor Vehicle
,,!
Fuel
0 O [] Cl
[3 [] ,0 []
13 C! [] Cl
0 121 [] []
Unleaded Regular Premi~ Diesel Waste
Chemical C~mposition of Materials Stored (not necessary for motor vehicle fuels)
Tank ! Chemical Stored (non-commercial name) CAS ~ (if kDo~n.) Chemical Previously St~red
(if different)
Ge
Transfer of Ownership
Date of ~-~fer
Previous Facility Name
I,
Previous Owner
m~ify or terminate the
facility upon receiving this c~mpleted form°
accept fully all obligations of Permit' No. .,. issued to
· I understand that the Permitting Authority may review and
transfer of the Permit to Operate this ~dergro~d storage
Thins ~form ....... has been _~_cmpleted under penalty of perjury and to the best of my knowledge is
true and correct.
Facility Name
H. 1. Tank is:
TANK i (FILL OUT SEPARATE FORM FOR TANK)
FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES
~lVaulted rlNon-Vaulted ~]Double-Wall ~Single-Wall
0
3. Primary Containment
Date Installed _ Thickness (Inches)
4. Tank ~conda~ Contai~nt
~l~all ~~etic ~ner
~Ot~r (de~ri~):
~ ~terial ~ic~ess (Inc~s)
5. Tank Interior Lini~
~~r ~k~ ~~ ~e~lic ~ass
Ta---~Material
Carbon Steel ~]Stainless. Steel ClPolyvin¥1 chloride ~Fiberglass-Clad Steel
Fiberglass-Reinforced Plastic D Concrete ['lAl~nin~n [~Bronze [-1Unknown
ther (describe) /J.£.
Capacity (Gallons) Manufacturer
............ .... ....
[]Lined Vault [~ne [~unkno~
Hanufacturer:
Capacity (Gals.)
[]Clay []Unlined l-1.1~no~n --
e
F1Other (describe)~ /Jo~'
Tank Corrosion Protection
--~Galvanized -~F/~ass-Clad r~olyethylene Wrap []Vinyl Wrai~lng
--_
[-1Tar or Asphalt ~Un_known ~lNone ~rother (describe): c~. ~//=t~ /=~/t /7.~. &i~YT/~
Cathodic Protection: ~one rllmpressed Current System C1Sacrificial ;~xle ~yst~n
Describe System & Equil~ent:
Leak Detection, Nonitorir~, and Interception
a. Tank: []Visual (vaulted tanks only) ~Groundwater ~onitorirg' Well(s)
[]Vadose Zone ~onitorin~ Well(s) ~lU-Tube Without Liner
rTU-Tube with C~.patible Liner Directirg Flow to Monitoring Well(s)*
~1 Vapor Detector* [] Liquid Level Sensors ['1 Conductivitl[ Sensor'
['! pressure sensor in Annular Space of Double Wall Tank~
[] Liquid Retrieval & Inspection Frm U-Tube, ~ionitoring Well or Annular $~ace
No ily Gauging & Inventory Reconciliation C1 Periodic Tightness Testing
ne [] Unknown [] Other
b. Piping: [~Flow-Restricting Leak Detector(s) for Pressurized Ptpir~j'
~Monttoring Sump with Race~ay FTSealed Concrete Race~y
[-~Half-Cut C~mpatible Pipe Race~ay []Synthetic Liner Race~a¥ ~one
r7 Unknown [] Other
~Describe Pak~ & ~kxtel:
.<..
Tightness Tested? ~xes [-1No D~nkno~n d.z...
Date of Last Tightness Test /~/{ /¢~ Results of Test/;4~
Test N~me /~/~s~/~ --~stin~ Cx~pany
9. Tank Repair
Tank Repeire ? []Yes E]unk ow.
Date(s) of ~e~air(s)
Describe Repairs
10.
Overfill Protection --
[]Operator Fills, Controls, & Visually Monitors Level
~]Tape Float Gauge []Float Vent Valves []Auto Shu_~.Off Controls
~7Capacitance Sensor []Sealed Fill Box [~None [~lUnkno~n
~]Oth~r: ListMake & Model For Above Devices
11.
Piping
Underground Piping: ~es UINo [-]Unkno~n ~aterial ~£AC~ a~r/~a ~c~ 9
Thic~e~ (i~hes) Dieter ~" ~nufacturer
~ess~e ~i~n ~ravity '~roxi~ ~ of ~ ~~ ~
U~ergro~ Pipi~ Corrosi~-Prot~ti~ _~ ............ ~ ~
~lvani~ ~Fi~rglass~l~ ~ess~ ~ren[-"'~cri~cial ~e
~Pol~yle~ Wrap ~El~tri~l I~lati~ ~Vinyl Wr~ ~ar or ~lt
~U~o~ ~ O~er (~ri~):
c. U~ergro~ Pipit, ~ary Contai~nt:
~1~11 ~~etic Liner ~st~ ~ne ~o~
PERMIT CHECKLIST
This checklist is provided to ~nsure that all necessary packet enclosures were received
and that the Permittee has obtained all necessary equipment to implement the first phase of
monitoring requirements.
....... B~e_~s~_99m~!.e~te .~.h/s_ form-and-return..,toKCHD__ln_t~he__sel~:~ressed _en~elope__prov!ded:_
within 30 days of receipt.
Check:
Yes
No
A. The packet I received contained:
....... 1)_Cover.__Letter, -Permit Check~lsh Interim _Permi~._Phase~.L_Interim~erm£L_
Honitoring Requirements, Information Sheet (Agreement Between Owner. and
Operator), Chapter 15 (KCOC #G-3941), Explanation of Substance Codes,
Equipment Lists and Return Envelope.
2) ~odlfled Inventory Control ~onltortng Handbook #UT-15.
wi~h form: "quarterly ~odified 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 ~onitoring
Requirements, and Information Sheet (Agreement between O~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-15).
1) ~cceptable gauging instrument
2) "S~riker plate(s)" in tank(s)
3) ~ater-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 permit).
F. ~odlfied Inventory Control Monitoring ~as started at this facility
accordance with procedu~s described in.~andbook #UT-15.
Date Started
Date:
in
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PERMIT~HECKLIST
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 of_r~ce~pt.
Check:
Yes No
A~ The packet I received contained:
1) Cover Letter, Permit Checklist, Interim Permit, Phase I Interim Permit
................... Monitoring _Requirements,_ ~nforma~ion .She.et_..(A~reement._Between _.Owner and
Operator), Chapter 15 (KCOC #G-3941), Explanation of Substance Codes,
Equipment Lists and Return Envelope.
w/ 2) Standard Inventory Control Monitoring Handbook #UT-10.
~/ 3) The Following Forms:
a) Inventory Recording Sheet
b) Inventory Reconciliation Sheet with summary on reverse
c) Trend Analysis Worksheet
. 4) 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 O~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 pa~e 6 of Handbook): 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 o~ner 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).
~. As required on page 6 of Handbook #UT-10, all meters at this facility have had
calibration checks within the last 30 days and were calibrated by a registered
device repairman ~f out of tolerance (all meter calibrations must be recorded on
"Meter Calibration Check Form" found in the Appendix of Handbook).
G. Standard Inventory Control Monitorin~as started at this facility in accordance
~ith procedures described in Handboali~dT-10.
........................ Date Started
/ /
:h.~=, "." -" .... ~ .... =. ....... ' · 10000 .120 0¢' .,:.'.,
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NOTIFICATION OF APPLICATION
FOR A PERMIT ACTIVITY
AT A SST FACILITY IN
BAKERSFIELD CITY
TYPE OF APPLICATIONS SUBMITTED:
DATE APPLICATION SUBMITTED:
APPLICATION SUBMITTED FOR
LISTED BELOW:
WORK TO BE COMPLETED
FACILITY NAME:
FACILITY CENSUS TRACT:
AT THE FACILITY
DESCRIPTIONS OF WORK FOR WHICH PERMIT APPLICATION HAS BEEN
SUBMITTED:
/ 7J k
SPECIALIST GIVEN THE APPLICATION:
DATE GIVEN TO
THE SPECIALIST:
RESOURCE MANAGEMENT AGENCY
RANDALL L. ABBOTT
DIRECTOR
DAVID PRICE I1i
ASSISTANT Di~CTOR
Env~onn~,ntal Health Service~ Department
STEVE McCAII ~:y, REH$, DIRECTOR
Air Pollution Control District
WILUAM J. RODDY, APCO
Planning & Development Se~ices Department
TED JAMES, AICP, DIRECTOR
ENVIRONMENTAL HEALTH SERVICES DEPARTMENT
PERMIT FOR PERMANF. NT CLOSUR~
OF UNDEROROUND HAZARDOUS
SUBSTANCES STORAOE FACILITY
PERMIT NUMBER A 1522-05
FACILITY NAMF_~ADDRF_.~S:
Physician's Plaza
Surgical Center
6000 Physician's Blvd.
Bakersfield, CA 93301
OWNER(S) NAME/ADDRESS:
CONTRACTOR:
Physician's Plaza
Sur//cal Center
6000 Physician's Blvd.
Bakersfield, CA 93301
Phone: (805) 322-4744
Noramco, Inc.
6501 Schirra Ct., Ste. 400
Bakersfield, CA 93313
License #A532875
Phone: (805) 832-4842
PERMIT FOR CLOSURE OF PERMIT EXPIRES _October 10, 1991
/ TANK(S) AT ABOVE ' APPROVAL DATE J~v ~,,~~
LOCATION APPROVED BY
C~ris Finber~ /
Hazardous Materia/s SpecialTt
................................................................... , ........................... POST ON PRI~.MISE8 ................................................................................................
CONDITIONS AS FOLLOWS:
1. It is the rmpousibility of the Permittee to obtain permits which may be required by other regutstoty agencie~ prior to beginning work (i.e., City Fire and Building
Departments).
2. Pennittee must I~otifv the Ho~_a_rdons Mater~ls l~dnnngement Progrnm at (805) 861.3636 two working days [0flor to mnk removal or abandonment in place to
arrange for required Inspections(S).
:3. Tnnk closure activities must be per Kern County F, nvironmenlal Health and Flre Department approved methods ns described in Handbook UT-30.
4. It is the eontractor's respousibillty to know nnd adhere to nil applicable laws regarding the handling, ~ransportation or treatment of hazardous materials.
5. The tank removal contractor must have n qtmHfled compaiO, employee on site supervising the tank removaL The employee must have tank removal experience
prior to working u~zupen, ised. '
6. If any eontrsctora other thaJ~ those listed on permit and permit application nm to be utilized, prior approval must be grnnted by the s~list ihted on the
permit. Deviation. fi~om the oubmltted application ts not allowed.
7. Soil Sampling:
a. Tank size less than or equal to 1,000 gnllous - a minimum of tx~o namples must be retrieved from beneath the center of the tank nt depths of
approximately two feet nmi six feel
b. Tank sim greater.than 1,000 to 10,000 gnllous - n minimum of four samples must be retrieved one-third of the way in from the ends of each tank
at depths of nppre0dmateyTwo feet nnd nix feet.
c. Tank size [Fearer t~tn 10,000 ~nllonl - a minimum of slx 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 approxtnmtely two feet and slx feel
8. Soil Sampling (plping area):
A minimum of two smnples must be retrieved at depths of epproxhnntely two feet nnd slx feet for ever~ 1:5 linear feet of pipe run und under the dispenser m-ea.
~. "M" STREET, SUITE 300
BAKERSFIELD, CALIFORNIA 93301
(805) 861-3636
FAX: (805) 861-3429
PERMIT FOR PERMANENT CLOSURE
OF UNDEROROUND HAZARDOUS
SUBSTANC~ STORAGE FACILITY
PERMIT NUMBER A 1522-06
ADDENDUM
Soil Snmple analysis:
a. All soil samples retrieved from beneath gnsoline 0eaded/unleaded) tanks and appurtenanCeS must be analyzed for benzene, toluene, xylene, nnd total
petroleum hydrocarbons (for gasoline).
b. All soil samples retrieved from beneath diesei tanks and appurtenances must be analyzed for total petroleum hydrocarbons (for diesel) and benzene.
All soil samples retrieved from beneath wnste oil tanks attd app~rtennnces 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 annlyzed for oil and grease.
e, All soil samples retrieved from beneath cqn~ and appurtenances that contain unknown substances must be analyzed for a full range of substances
that may have been stored within the tank.
f. All soil samples retrieved from beneath tanks and appunennnces that contained ft~ nlcohol n~sin must be analyzed for phenols, formaldehyde
and fuffutyl nlcohol.
10. The following timetable list~ pre- and post-tank removnl requirements:
ACTIVITY DEADLIN~
Complete permit application submitted
to Hazardous Materials Mnasgement 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. All hn'/~rdous wasl;e
manifests must be signed by the receiver of the
haznrdons waste
At least two weeks prior to closure
No hter than 5 working days for transportation and 14 working
days for the tracking form after tank removal
11.
Sample analysis to FLqznrdons Materials Management
Program
No later than 3 working days nfter completion of analysis
Purgingflnerting conditions:
a. Uquid shah be pumped from tank prior to purging such that less than 8 gnllons of liquid ~etnain in tank. (C~H&SC 41700)
b. Tank shall be purged through vent pipe dischargh~ at least 10 feet above gwund level. (CSH&SC 41700)
No emts~ion shall result in odors detectable at or beyond property line. (Rule 419)
d. No emission shall endanger the health, safety, comfort or repine o~ nlr~, pet~on. (CSH&SC 41700)
e. Vent lines shall tumnl_p attached to tank until the inspector arrives to authorize removel.
RECOMMENDATION$/OUIDELINES FOR REMOVAL OF UNDEROROUND sTORAoE TANKS
This department ts responsible for enforcing the Kern County Ordlnnvce Code, Division 8 nnd state tegulntions pertaining to underground storage tanks.
Representatives from this department respond to job sites dtuing tank removals to ensure that the tanks are safe to remove/close and that the overall job performance
is couslstent with permit requirements, applicable laws and safety standards. The following guidelines are offered to clarify the interests and expectations for this
department.
2.
Job site safety is one of our primary concerns. Fxcnvntions are inherently dangerous. It is the contractot"s responsibility to know and abide by CAL-OSHA
regulations. The Job foreman is responsible for the crew and any subcontractors on the job. As a general nde, workers nre not permitted in improperly sloped
excavations or when Unsafe conditions exist in the hole, Tools nmi equipment sre to be used only for their designed function. For example, backhoe buckets
are never substituted for ladders.
Properly licensed contractor~ are nssumed to understand the requirements of the permit issued. The job foreman is responsible for knowing and abiding by
the conditions of the permit, Deviation from the permit co~ditlons may re~t in n stop-work order.
indMdual contractors will be held responsible for their post-removal paperwork. Tracking forms, hn~rdous waste manifests and analyses documentation n~e
neces~uy for each site in order to close a cnse file or move it Into imhtgntiun. When contractor~ do not follow through on necessary paperwork, an
nnmnnngeable backlog of incomplete cases results. If this continues, ~ time for completing new dosures will increase.
OWNF. R OR AOENT
CF:pss
?../-?/
DATE
KERN COUNTY RESCURCE HANAGENENI' AGENCY
ENVIRCHMENTAL HEALTH SERVICES DEPARIMENI'
2700 'H' STREET. SUIIE 300
E1AKERSFIELDo CA 93301
(805)861-363$
(FILL OUT Ct4E APPLICATIC~ PER FACILITY)
I]NTERHAL USE ONLY-.
APPL ]CAT ICH DATE.-_
tl OF TANKS TO ABANDON; ....
PIPING FT. TO ABANDON:
PTA ..
PTO:
APPLICATION FOR PERHIT FOR PERtVlANENT
CLOSURE/ABANDONMENT OF UNDERGROUND
HAZARDOUS SUBSTANCE STORAGE FACILITY
THIS APPLICATION IS FOR ~RE]flOVAL, OR [] ABANDONMENT IN PLACE
Il., FtClLll'/Ill'O~llOI
STRET~~'A'
I stUE: ~.,,~.
,F',~.s--J,~..~ - ,,,; s~' ] cl,~. ,,"Z,~,~,.~,-/~=/,~ d'~,~ zIP:
8: cCIfll~cTCE ]II't3~TICN
fatr."/'/°°" "e" ' lcALll rtfllllcl3 ,
C: at,Iix Dfa:l~TlOt
ISTATE:
ZIP:
iJP:
CHEIVlICAL COIViPOSTION ~F MATERIALS STORED:
TANK # VOLUME CHENICAL STORED
E: O19~q. ]tI'CI~TiCN
THIS FOI~4 HAS BEEN CONPLETED UNDER PENALTY OF PERJURY AND TO THE BEST OF HY KNOt/LEDGE
TRUE AND CORRECT.