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HomeMy WebLinkAboutUST REP -08/30/89 FILE CONTE.~TS PERMIT ~: .~,~J'O ]~J ENV. SUMMARY SENSITIVITY: Activity Date .. # Of Tanks Comments t GARY J. WICKS Agency Director (805) 861-3502 2700 M Street, Suite 300 Bakersfield, CA 93301' Telephone (805) 861-3636 Telecopier (805) 861-3429 August 30, 1989 Victor Tack 410 East Planz Road Bakersfield, Cal~o~=ia~ --- CLOSURE OF i UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANK LOCATED AT 4!0 EAST PLANZ ROAD IN TKE CITY OF BAKERSFIELD, CALIFORNIA. PERMIT # A928-25/250016 This is to advise you that this Department has reviewed the pro3ect results for the preliminary assessment associated with the closure of the tank noted above. 'Based upon the sample results submitted, this Department is satisfied that the assessment is'complete and nO'Significant soil contamination has resulted-from discharges from the subject tank. - '- Thank. 'you. for_-, your coooeration-.-in-- t~bi.s ma-t-t-.e~? .......... - -": ..... / . .-'3.'.---:.;.'.-"' :'"7-.'-'.'--..- ' SPECIALIST ..... cc: KERN ENVIRONMENTAL SERVICE 3 EI. D30?; ~R O?E~TOR: ., P~EAS~ CALL TBE T~LEp~0NE "~;=~,,~'.,~.,. ~$ (805) 589-5220. O~R ~gTO?L~TIC ?~.X N~;~ER ~S .. (805) '58g-71'~3.. : - .. - -. '.- . - - L-~c ~...': . CNElYI~4L PETRO~ LABORATORIES. INC. J, J, EGLIN, REG. CHEM, P-NCR, 4100 PIERCE RD., BAKERSFIELO, CALIFORNIA 93308 PHONE 32%4911 (SOIL) Bakersfield, CA 93388 Attention: Chris Dean I~b NO~': ......... ......................................................................................... · '~AT~' ~%MPLE .............. --DATE' SAMPLE - COLLECTS: RECEIVED ~ LAS: 18-Au8-89 21-Au,8-89 Reporting Analysis Constituent Units Results t~er,.zene u~/g ' none det~,ct~t O. 02 Toluene us/g none det,~ O, 02 .... :.. .... ~t~l ~n~ene ~/g none de~ O. 02 .._ :.: ~lene ~/~ O. 11 O. 02 . ~lene ' ~/g 0,21 ' 0.02 .......... ~~r~ns ~g 24.94 5.00 Call fo~nia D.O.H.$, Cert, .102 J, J. Eg).ir, LABORATORIES, INC. 4100 PIERCE RD,, BAKERSFIELD, CALIFORNIA 93308 PHONE 327.4911 BTX QUALITY COntrOL DATA K~rn ~vi~z-nm~n%al Services S~ike ID: 6431-4 93388 ~ersfield, CA ......................................................... ~"M~~{~Y-~[I ................................................ ' ........ A~ntion: ' ~lS ~A~rr~n ~le ~Sc:' Wa~r W~ PI~ Rd ~ ~0' ~low Dispenser , 8/18/89 Conc, Spike. ' -SamEie'-~ of' ~Spike Dup Spike Constituen% Oonc. Spike % Rec % Re~ RPD m-7~lene ND 5.1[ 91.28 94.32 3.28 e-X, vlene ND 5.03 89.95 93. $0 .T~I Ga~ .... ' .... ND ........... 5°i.-~6 9-2:'60 94.77 3.8? 2,32 X lO0 LABORATORIES, lNG. ~00 PI£~C~ RO,, gSAK£R~FIELO, CALIFORNIA ~3308 PHONE 327.4~11 Purgeable Aromatics (SoIL) CDLLECI'I~D: RECEIVED ~ LAB: 18-Au~-89 2~."-Au~- 89 Repor~in~ Analysis C~n~%ituen% Un£tm ' Results ~nz~e u~/~ · Tolu~ ~-~l~e ug/~ none de~te, d none none detected none 0.02 O. 02 0',02 TEST ~'IOD: "~:~'-for gasoline by D.O.M,$, L.U,F,T. method .................. :.= ..... ..Individual oon~ti~ent~ by EPA ~thnd. 8020,. . .... : ........... -- .. ................ Dry1._ Matter. ~]~a~is ............................................... :__... ............................................................................... =__:' CalLfo~d.a D,O.H.$. Gert, ~J102 J. J. Eglin '~J Analyst LABORATORIES, INC. J.J.~GLIN. REQ. CHEM ENGR. 4100 PIERCE RD, BAKERSF~ELO, CALIFORNIA 93308 PHONE 327.4911 BTX ~U~'I~' CONTS'OL DATA Kern ~nvfornmental ~ervices Spike ID: 64,31-4 ~Z 15' ~low Dis~nser, 8/18/89 ~ 5:20 ~n Benzene ND 5.01 88.72 93.28 Toluene '- ND' '- 5.03" 96.10 100.75 '~l,~l~n~ene ND . 5.09 66,96 90.24 5.01 4.72 3.?0 o-Xylene ND 5.03 89,95 T[~Gas ..... ND ..... 301,06 ...... 92.60 g4,3-0- 3.29 93.50 3,8? '"94,77 .........2 ;-32 ND: None Detected Spike~ ~r~le ¢~,ncr~u,tr~t~ .>n - Sat~t~le g Reo~ve~ = ....................................................... X 100 (C4~ncer, trattoD of Spike) KF. RN F. ' IRi IMF. NT[[h - F-E 31Cil A Di~:m of Kern Sackhoe Service, Inc. '~ Contr, Lic. #432372 July 19, 1989 ..: ....... 2-/-'7Z_%_--LZL¥-:;ZT. TZZZLT'.TZZ-;ZZLZ'Z-_'7-;ZTiZZi-_'-ZT'- ;Z.~_ L'¥%L-_Z'_. 77*_'L'f-S. 'Z77'~' 7Li'.;%_L KERN COUNTY HEALTH.DEPARTMENT Environmental Health Division 2700 M Street Suite 300 Bakersfield, CalifOrnia 93301 ATTENTION *Teronda. Crumplee REGARDING Tank Removal Project at Waterways Irrigation. Removal Permit No. A928-25, KES Project No. E-274. Gentlemen: Enclosed Please find coPies of the laboratory analysis results'*-and non-hazardous waste m~nifest from the above mentioned project. · If you have any further questions or comments, please feel free to . _~ contact the undersigned. Thank you, I~EODING DIVISION: CORPORATE ADDRESS: 3675 Charlanne, Suite A. Reddlng. California 96002 · (916) 223-4214 Post Office Box 5337. Bakersfield. California 93388 · (805) 589-5220 In California · (800) 332-5376 ENVIRONMENTAL HEALTH -- ' CBD:jm ......................................................................... Enclosures PfTttOI[UM FILE COPY LABORATORIES, I r-lc. J. J. EGLIN, REG. CHEM. ENGR. 4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911 5~rgeable ~om~tics (SOIL) Kern Enviro~nt~l Services Date of ~P. O.... Bcx..533_7___~ ........................... ' Bal~ergf~*eld, 'CA~ '~ 93388 .................... Attention: Chris DeArmon ...... Lab-No~-~ .......... L--4322-1 ...................................... '--~ ......... ~mpleDesc: ~E-274 Water Ways Irrigation T-1 Tank South 2' 6/2/89 @ 2:51 . DATE_SAMPLE .... COLLECTED: 02-Jun-89 DATE SAMPLE .... RECEIVED @ LAB: 03-Jun-89 · DATE_ ANALYSIS COMPLETED: 16-Jun-89 Constituent '- Minimum Reporting Analysis Reporting Units Results Level Benzene ug/g Toluene ug/g Ethyl Benzene ug/g p-X~lene ug/g m-Xylene ug/g o-Xylene ug/g. none detec+~d 0.02 none detected 0.02 none detected 0.02 none detected 0.02 none detected 0.02 none detected 0.02 Total petroleum Hydrocarbons ug/g none de*~cted 5. O0 TE,.T METHOD: TPH for gasoline ~ D.O.H.S L.U.F T. ~r~thod. Individ~i' constituents ~ EPA rr~th¢~] 8020: ~ Mat*~r ~sis -- ' ~,~nts: C~lifornia D.O.H.S. Cert. ~102 Armlyst AGflICUL TUR~c P£TflOL£U¥ FILE COPY LABORATORIES, Inc. J. J. EGLIN, REG. CHEM. ENGR. 4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911 Purgeable A~m~tics (SOIL) Kern Enviror~ntal Services Date of Bakersfield, CA ' '93388 .................................. Attention: Chris DeArmon Lab' No :-: .......... 4-322-2 ............. - ............................................................................................................ ,Sample Desc: ~E-274 Water Ways Irrigation T-2 Tank South 6' 6/2/89 @ 3:03 DATE SAMPLE ...... COLLECTED: 02-Jun-89 Constituent Reporting Units DATE..SAMPLE _. .".DATEANALYSIS _.. RECEIVED@LAB: COMPLETED: 03-Jun-89 16-Jt~-89 Minimum Analysis Reporting ResUlts Level Benzene Toluene E%hyl Benzene p-Xylene m-Xylene ug/g none detected 0.02 ug/g none detected 0.02 ug/g none detected 0.02 ug/g .. none detected .... 0.02 ug/g none detected 0.02 o-Xylene ~g/g none detected 0.02 To~l Petroleum HYdrooar~s ug/g none detected 5.00 TEST METHOD: TPH for gasoline_by D.O.H.S.L.U.F.T. rr~t?~d. Individual constituents by EPA ~r~thc~]'8'0~-0'. .................... Dry Matter Basis . ' Corm~nts: California D.O.H.S. C~rt. ~102 By PE TnO~ FILE COPY LABORATORIES, Inc. J. J. EGLIN, REG. CHEM. ENGR. 4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-491 ! Purgeable Aron~tics (SOIL) Kern Environnental Services Date of P_O. Box 5337 - Report: 19-Jun-89 ....... Attention: C~xis Mb'No..: .............~43~2=3 S~ple Desc: ~E-274 Water Ways Irrigation T-3 Ta~North 2' 6/2/89 @ 3:09 DATE SAMPLE DATE SAMPLE DATE A~flLYSIS 'COLSECTED-i ........... RECEIVED@LAB: COMPLETED: 02-Jun-89 03-Jun-89 16-Jtu~-89 Constituent -. Minimum RePOrting Analysis Reporting Units Results Level Benzene ug/g none detected Toluene ug/g none detected Etbv1 Benz?ene ug/g none detect~ · p-Xylene ug/g none detec+~d m-Xylene ug/g none detected o-Xylene ug/g none detected 0.02 O. 02 O. 02 O. 02 .... O. 02 O. 02 Total Petroleum ................. Hydrc~rbor~s ug/g none detected 5.00 TEST METHOD: T~H for gasoline by D.O.H.S.L.U.F.T. ~thod. Individual C~nstituentS b~' EPA ~r~th~l 8020. ' ............. Dry Matter Basis Corr~'~nts: Califc, rr~ia D.O.H.S. Cert. ~102 LABORATORIES. Irqc. J. J. EGLIN, REG. CHEM. ENGII. 4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911 t%~-geable Aromatics (SOI L ) Kern Environmental Services P.O. B'~.¥ __.~:~_? P.~-;ersfielrd,'--CA '93388 -' Attention: Ckris Date. of ~e_PSr; .Z~.~. :'_. _ 197]_Unz8.9 .................................. '.z ............ Lab- No-.--:--- - - -4322--:.-4 ......... ............. :' ................. S._-~ple I)esc: ~E-274 Water Ways Irrigation T-4 T~']~ North 6'. 6/2/89 @ 3:16 DATE. SAMPLE _ DATE SAMPLE_. _ DATE _ANALYSIS COLLECTED: RECEIVED @ ~: COMPLETED: 02-Jun-89 03-J~ua-89 16-Jun-89 ' ' Mini~mm Reporting ~malysis Reporting Constituent Units Results Level Benzene ug/g none detected 0.02 Toluene ug/g . none detec+~d 0.02 Ethyl Benzene ug/g none detected .... 0.02 p-Xylene ug/g none detected 0.02 m-Xylene ug/g none detected 0.02 o-Xylene ~g/g none detected 0.02 Total F~dr~.~ar~ns ug/g none det~ted 5. O0 TEoT M~THOD: TPH for gasoline ?~y D.O.H.~ L.U.F.T. ,','ethod. Individual constituents by EPA ~,,ethod 8020. Dry Matter Basis California D.O.H.S. Cert. ~102 ('~ IAnaly.,.., F L[ I.;Ul-'l' CH[M/CA/ All~Al YSlS LABORATORIES. Ir'lc. J. J. EGLIN, REG. CHEM. ENGR. 4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911 Purge.able Arorr~tics (SOIL) Kern Environmental Services Date of 'P.O. ~Box-5337- . - ........................................... 'Report:-.~:- 19.--Jun=89 ..... ........................................................... V~-':*. ............ --.' .'~' "? Bakersfield, CA 93.388 Attention: Chris DeArmon ......... C~5-NoF! ............... -4322=5 ........................................................................................................................ Sample Desc: ~E-274 Water Ways Irrigation P-1 Piping 2' 6/2/89 @ 3:30 DATE SAMPLE COLLECTED: 02-Jun-89 .DATE SAMPLE- RECEIVED @ LAB: 03-Jun-89 DATE ANALYSIS COMPLETED: 16-Jun-89 Constituent Minimum Reporting Analysis Reporting Units' Results Level Benzene Toluene Ethyl Benzene p-Xylene m-Xylene ug/g' none detected 0.02 ug/g none detected 0.02 ug/g none detected 0.02 ug/g none detected 0.02 ug/g none detected 0.02 o-Xylene .. Total Petroleum ' Hydr¢~ar¥~ns ug/g ug/g., ~ ...... ,. ,_qone Detected ' 0.02 none detected 5.00' TEST METHOD: TPH for gasoline_by D,O.H.S.L.U.F.T._~r~thc~d .................. Individual cor~tituents by EPA fr~th~%l 8020, ......... D. ry Matter Basis Comrr~n'~: California D.O.HiS. cert. ~102 AGRI£UL TUAE C~I[AIICAL A~A~ Y$15 P[TROL£U¥ FILF. OOP¥ LABORATORIES, Inc. J. J. EGLIN, REG. CHEM. ENGR. 4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911 ~'geable Aror~tias SOIL) Kern Environmental Services Date of 2akers£ield, CA 93388 Attention: Chris DeA~n Sample Desc: ~E-274 Water Ways Irrigation P-1 Piping 6' 6/2/89 @ 3:36 DATE SAMPLE .COLLECTED: 02-Jun-89 DATE SAMPLE. RECEIVED @ kgB: 03-Jun-89 DATE AN.~LYSIS COMPLIED: 16-Jun-89 Mini~.~ Reportin~ Analysis Reporting Constituent. Units Results Level Benzene ug/g none detected 0.02 Toluene' ug/g none detected 0.02 Ethyl Benzene ug/g none detected 0.02 p-Xylene ug/g none detected 0.02 m-Xylene ug/g none detected 0.02 o-Xylene %~/g _none. detected 0: 02 ......... 7 1'..~.':..':_ : ........................... : ..L.. ..... : f ...................... :.~_._i.:_[..:~' -.:. / .......... ~ ._~ .... ~. .:i5': ...... Total Petroleum Hydrocarbons ug/g none d. etect~] 5,00 TEST METHOD:-TPH .for gasoline ?~ D.O.H.S.L.U.F.T.. Individual cor~stituents by EPA ~r~thod 8020. Dry~ Matter Basis ODt~f~nts: Califozmia D.O.H.S. Cert. $102 ~ ~nalyst AGIflCUL TUllE C#£MICAL A~AZ Y$15 FILE COPY LABORATORIES, In . J. J. EGLIN, REG. CHEM. ENGII. 4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911 Purgeable Aror~tics (SOIL) Kern Environmental Services Date of P.O.-Bo×5337 ............... . .......... ................... Report.:....:._ .19:J.un:89 ................... ~ .... ~ ....... P-~kersfield]' CA '93388 ................................... ' ................................... Attention:C~is DeArmon ...........................Lab No.: 4322-7~ ..... ~ple Desc.: ~E-274 Water Ways Irrigation D-1 Dispenser 2' 6/02/89 @ 3:59 DATE SAMPLE COLLECTED: - 02-Jun-89 DATE SAMPLE RECEIVED @ LAB: 03-Jun-89 DATE ANALYSIS COMPLETED: 16-Jun-89 Reporting Analysis Reporting Constituent Units Results Level Benzene ug/g None Detected 0.02 Toluene ug/g 12.00 0.02 Ethyl Benzene ug/g None Detected 0.02 p-Xylene ug/g None Detected 0.02 m-Xylene ug/g None Detected 0.02 o-Xylene ug/g None Detected 0.02 Hydrocar¥~.w~ ug/g 190. O0 5. O0 TEST METHOD: TPH for gasoline Indivi~nal constituents ?~y EPA :rethc~d 8020. D~7 Matter Basis California D.O.H.S. Cez%. ~102 Analyst F LE C0? LABORATORIES, Inc. J. J. EGLIN, REG. CHEM. ENGR. 4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911 Purgeable Aromatics (SOIL) Kern Environmental Services Dat~ of Bakersfield, CA 93388 Attention: Chris DeA~Dn Sample Desc: ~E-274 Water Ways Irrigation D-2 Dispenser 6' 6/02/89 @ 4:09 DATE SAMPLE COLLECTED: 02-Jun-89 DATE S~LE RECEIVED@ LAB: 02-Jun-89 ' DATE ANAL. YsIs COMPLETED: 15-Jun-89 Minimum 'Reporting Analysis Reporting Constituent Units Results Level Benzene ug/g none detected 0.02 Toluene ug/g none detected 0.02 Ethyl Benzene ug/g none detected 0.02 'p-Xylene 'ug/g '- 0.14' 0.02 .............. m-X¥1ene ug/g 0.21 0.02 o-Xy!ene . ug/g . . 0.45 .......... 0.02 ...... ~_. .............. Total Petrole,mm Hydrocarbons ug/g 72.86 5.00 TEST METHOD: TPH for gasoline by D.O.. H.S.L.U.F.T. :~thod. Individual constituents by EPA rr~thc~l 8020. Corrments: Califo~,ia D.O.H.S. Cez~. ~102 A Division of Kern Backhoe Service,. Inc. KERN EN~ZR ONMENT*A L SERVICE P. O. BbX 5337 - BAKERSFIELD. CA 93388 i': (SOS) 589-5220 RECORD' Well, Tank No. Field or Area KERN BRI:KUI3E '.SERUli:E lNg.' KERN 'UF.i:uUM 5F. RUli:E * ! P.O. BOX 5337 · BAKERSFIELD, CALIFORNIA 93388 (805) 580-5220 . ! NON-HAZARDOUS .WASTE HAULER RECORD TO BE USED FOR NON-HAZARDOUS WASTES ONLY 10105 (Generator Must Complete) Name ~/.~ V-J/~~ ~-_[~'- ' Field Address '~JO '~_~ ~ ~~ Ci~, State, ~p ~~-~~ ~ Phone. ~- ~ / --~~ ' - O~er ~aced By ~~ ~-~ Date Title (Hauler Must Complete) Address ~"~o City, State, Zip ~.~5~,~)~"~ = .~---~- .~ .:~c~. Phone S~A ~z~ Driv!r Date (Facility Operator ~Must Complete) Name Address City, State, Zip Phone Signature of Authorized Agent / Disp. Ticket # Date WASTE TO BE DISPOSED t'~'~-/c'~'~"~z i'~/~:~"~ iType/.Jx/_~-~TI~~O ~./~-.c~/xJ'~'" Generating Location ~/~ Special Handling Instructions: , ~ Gloves ~ Goggles~ther :Quantity ~0~~ D~SIG NATED-FACILI~: , . ~Name ~~[/ ~ ~ ~-~~/~ ~Add~es~ ~ ~_~~ '~City, State, Zip ~~~~ ~Phone -- - ' ~ / :~cket ~ '~ Z~ Unit .o. AM .~ck up gate d~-~?~me . ' ~M ' NOTE: This form to be used in lieu of the California Depa~ment of Health Ser- vices Haza~ous Waste Manifest for NON-H~ARDOUS wastes only. ~ REMARKS: Quantity Received Time DISPOSAL METHOD: Bbls. Date [] AM [] PM [] Surface Impoundment [] Landfill [] Other [] Injection ~etu,~, Copy .r,-~.- GENERATOR UNLESS OTHERWISE SPECIFIED NOTE: It is not necessary'to send copy to Dept. of Health Services. NO HAZARDOUS FEES SHOULD BE LEVIED 1700 Flnwer Sheel Bnker.lleld, Cnlffofnln 93305 ]elephone (805) 86 t.3636 KERN COLIN'I*Y I IEAEI*I'I DEPARTMENT ENVIllONMEt~ IAL IlEAl Jill DIVISION Facility Name HEALTH OFFICER Leon M Ilobertson, M,D. DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Relchard Kern County Permit # * * UNDERGROUND TANK DISPOSITION TRACKING RECORD ,This form Is to be retur.ed to the Kern County llealth Department within, 1_~4 _da_~y~ of acceptance of tank(s) by disposal or recycling facility. The holder of the permit with number noted above la 'responsible for Insuring tlmt.t~ls form la completed and returned ........ 5eetlon 1 - To be filled ouk ~ tank removal con~ractor: Tank Removal Contractor: ~ ~~~~~ Address ~ ~ ~~ Phone ~-~~~ ~~~ c~. ?~? ,. z~p~ Date Tanks Removed ~-~'~ No. of Tanks Secklon 2 - To be filled out ~ contractor "decontaminating tank(s).: " ~ Ta,k "Uecontam~nn~lon" Conkrac~or ~~ ~c~~~ *- A .... ~ ........ :~: '-u ~.:'~ Authorized representative o~ conkracCo~ certifies by signing below tha~ tank(s) have been decontaminated ~n acco~dmme ~itb Ker~ CoulitF ile~t~ .'v~ . ~k requirements. ":::s;c~Oa S": ~o'-be' ~lZZed" o~-and sl~a b~-'a, ~'~U~-iz~&:'~eP~ea~ata~lve ~reatment, .s~ora~e, or dlsposa] facility acceptIn~ tank(s): Signature ~)~ [1~~ Title (Auth~lzed RepresenLatlve) * * * ~4AILING INSTRUCTIONS: Fold In hal£ and staple. (Form #11blbfP-150) DISTRICT OFFICES Oelnno . Lame' ~ke Isabella . MoJavo . Rlda~crest Shaller Plenle rial or I e. F ' ' ' · ' ,, '." __ Control Divll on -J ..~ UNIFORM HAZA. ~OUS ~. Oenerll~ DNa ....... . an fee1 2 P.ge I ..... ' : ~4~m' n~n~..----~-- ' ' '" ' ' ' ' ' ' " ' ~ '." :,. ~ :'" ' ~1 Documenl No ' '... mormat o~ fl I~t Ihlded Irell : , ' ' 3. OlflerllOt"l Name lad Mailing Address :~: ;--: ~ ~ :~ ~ · ~ ~ ~ ~ ~ ~ ~ ~ ~ , . '~, . ..]., I. -" · - ' ...... .., · , ~ . .... ~ n ~llle M&n leal ~,ffiefll Number .... '%.. H ~:.'., , .a i,~ ~,....,_L~ :~ - - . ..._ · ,,' . ~, ., ::. , . ..'. . .:~ . . ~.' ':,~..=:.'.,i :~:.4: ,?:..~ , 4 Oeneralor'nPhone' ~1~ ~ . __"~'~'~ · ' ...... ~ I ' . :..'. ' '~ '. .3 ".'~c ' ?~"~' '.x".",?'.'' . ( ,. __ -..,.. · . : ~, .. . , . . :,.,;.:;~.~,,.,: .%. ~-'- .?. , ~ .% -,~:~Y.~.~..~,, ,.,~...:.' , _ ' ~ ~~'~-~ " '" '~~/ ,'" .... .'-'::'. ",;'~?,:1 ~::1:.~1 '1 ~1 ~.:1..'.1-~1 ~'l.~.l'"J?~l".~:'.- ~ . o., .rlnnpoffier I Company Name~ ' ' '' ~- "6.. ,.~ .' ~EPA ~D Number ' ........ I '1 I ~ .... ~" ' N, ~ 'r .' ~' , ~ . ..-' US EP~D~ E State Trnnapo~er's ID"~ ~,~.~.'~ ' ~ ' "-':'**~'~ '"' · '~.'~ .' ~ .. ;. -,.,' - . . , ,r . ... · . .'..~ ,,.~,~.~I-,'~,:,, .), ... :, ~y, * :i " .......... ~ ..... ' ......... "' .......... ' .... "' I'1 I I I I I';l".'l"l'~,'1' :'1'?: .............. -~ ..... - .......... .. ~. De~ted Flcility Nmme and,,,~./~lle Add~ii~ ,.. ' ':..' · .-~ !0. , . =. U~ EPA D Number ' · ~. Slate Faclllly's ID ,~;(;.~,.~ s'~.~,,~.~., .;:,.~ .... ~ ' - .. , , .~. /.:-.'~?, :,,:.. ,.~. ,. ..... , :~,'t.,'...: .. ~..-,,....: ...; ~. . . ...... : · .;~, , . ., . .~;~.~. .~., .,..... ... ~ .'' ~ ,~,.~.. : . ,..~.: '~... ,..,.., ~ ~.K ~' ~.-'~~~" ~2~...'.'' ".-,~ ".":.,." '.....~-"'.'::-~:-..,.-;.. H ~.~,~',. .~.~.~..~,./..~ ~:,.. ' ' ,. - '~' ~ '~ .'~.: ~. ' . ,, · '.' · . '-, ' . " '., ' .... . ..... ' ~- · . ~. .'~. : '.. ...,,.~.~. ' ~. ~ ...~. ~ .,~ ~ . ~ ~-- d- ..~.e ~.~ ; , :. ~ ..I /~..~ ,.. ~ ~. "~ -. ~ ~.~ '12~ Co~tatner~, "~l~Tota~~ '~4.' -~,~'~r~l~'~'~,. ~ I I. US DOT Description'(Including' Prope~ Sh pp ng Name Hazard Claee ~nd ID Nu'mber) ' " : ' '~ · ' ' -. · ..'Quanti~ ,:' Un t ~:~;" .:.W~ie'N~:~  -, .... ~ ~.~ ..... ~, ..... ~1 ~1 t ~ ~1 4'1 "~1 q/~. ~" ~A' . ....... z .~ ..~ .:., ,.r ",.'.~.;-':, ...: ,. ,, ~ ': · '. ,....~ .... ~,- .",~,' ~.. . ~'.': '..~ '. .'. ..~.-; ... ~,~.:.;~ ~ '-~.~ ~ ;O .'.,,. ,~,<,",~'.-~:~.,'~.:.,~.~ ~.'.?.,.~,~?<.; ~:~,.~.,.~ .. ~.~ ,....;~ ?..;.~;~...:..r~:..?,, :.1... '.':1.' .'. '. ' .~' ~' EPA/~her ~.,.'~'~:., Slate ~.--:..~ ~,~: '. '.,, ........... ' ...... '"'...' .... " ....  ''~ .. ' : , ~.~,.~,.':.f -.~ . ~fk...~..' .f~-~... :,~..~..~7~ ~ /.~' . ... ,...,'~... ~.:-, ,.. ,,.~.;:,.. ~ . · ...,;:. .; .., ~ '~:;~(~.'...~."~,' , . .,,~,~ ., , .- ,.;.. ,~, · ,~ ..~ ,.,~.~.<, ~., . .... .. .,,, .~ .~,~ ..... .........~ ~'.~"~ ~ . ~ ·., =.,........ ...~,~. ~ ~.,' " ' ~'"~"' ~'~'"'~ ~-~';'~;~J'~"~"~ ~:~'~' ~: ..... '":~ ~" ;'~' "~ ........ '~""'? '':-';'~'"~" '"'Z*' '~"~ ""'-' ' '' ~" ' ' ":"' '' ""' ;:"~'~' :~ ' '1 ~ '. ~. -..O~TOR.~ ~E~TI~IC~TION: I hereby declare th,t the contente of Ibis consignment are fu lad accurately descri ,b~;, 'hv'~,~'i~'~ '~:~' '7~: "~ "'~ c.ae.n~ea, pac, ea. ma~ed, and labeled, and a,e In all respects In p~0pe, condition for Ir~napo~ by hi=h~av ,cc~-~l ~'I~';~;T~'~'~ .. ,.~1110~1 government regulations. ,,;.'. '.,. .... .: .; '. , .y ?.,., · .. .,. ,.. ,. -,.... . .- , : ..... - --.~ ........................... :.~'~:~:. ' ~ ~' ~v ~e ,~nom~ca~ prlCllc~e lad In~ ~ ri, vi le~e~ed the pracllclble ~elhod el lreatment Ilorage o~ disposal curre~lly aveilable lo me ~lch minimizes the" ,;.::. present ,nd luture th~e,I lo human hea~ and the envtr~m~t; O~, f I ~m ~ small quantity generator; I ~ave made a good faith e~fo~ ~o mlnlmize.~y waste :~.~.... +'.,.,~ .. ?.~:glnlrlll~ lad lelect Ihe'beal waale management method that s ~va ab · t~ me and'thal I can afford ............. '"' ...... ' ........................ ' ........... ~ ...... .'. '"'--.' ~'~ ' "" ." ~ ~ 7. ~rlnsp~er 1 Acknowledge~l of ~i~i pi el Mater a s ~ ~ ' · · ~ ~ ~ ~ Printed/Typed Name '~' .' 7" · ' ' · " ' " "-' ' ' '" ' ' ' ' "" :' '~ ........ '"~'~'"' ~''; . ~ . ,.~ '. , ' ...,¥ -,~';~'~' ,/'~, .'::~:~ ~.-'~ ~"~: ':' a'~'""" ';:-" ' ....... ' ' I ~ ...... gnature '. ',.~ ',,' ' '.'~,.,.~. ' .,:~' ' . · ..... . Month . Day"kYear 18. T~lnlN~et 2 Acknowledgement of Rece pi of MaleHa s · .:. . ~.~:, . . ,,.. / .... .~ , I I I, ~ I ['R , Pr~ted/T~ed Name ................ ~' e ::.. ': .................. ' ......... ' '"""*~ ~ ~ "" '" ~T ' '~ ,., ' ' '~-~-e ,"~'~'': '" ~ '--:'"''~" '':~"~ ~"~,:'~ ';,"~l~v""'u" ~..~j ..... ',, -~'. '. · · .'~; · · ,, Month .~Day ~Year  ~ ': ...: . ~'-".-.'~ ,~,~ .: ,,.~,. ,..., .,,,,..,: .. ,.. ., ;.. ., .~..~. . ~., ~ :' .~.< :. ~.,,., .., . ..,,.,~ ?. - ..., , · :~ . , . /;. '[., Ig. Di~crepancy~dicatlonSpace ~ :, ..-....~. . . , . ,.. ...... ~ .. ~ ~ , . . , .... ' ' ' ~ I :1 I ' 1: I '1 ' ' , · , ..~,~, , .~ , . .... ... .... . ........ ,~, , .. . . . . ... ,. ... · :. '~ ~,..~,.,....~.~ ~:, ....... ~:,.,....~,~ .~ ~..,~..., .,. ,,....~,. :. ~...,;:,.,..~.....,.....,::.~ ,~ -,~.~ . ~..~.~ ',- ~ ~.~...~.~...?~.~,~~~'~" ~ .... : ....~ .:..~.,:. :~ .?~..:.~.,,~ -. .. ...... ~, ....... ~..,.~., ..... ..~.. ~, ~.~. ~,], ~.~ ~/.~,,~.,,..~. ~ .~,.,.. , ~., ~ ... ~ ,.. ~ · ,, , , ~ . : ....... ..,.,. .... ,, . ~.., .:~ . . ....~., . .,,.,.~ :~,,,~,,.~ ¥....,~:~.:.,~.~ ~,,..~ ~.~-.~. ~..~ . ~.,, , . . ~... ,. .... . , ~ ,.; .,.....,. , ....... .~,.... ~ ..... ~ ~. .~.. ~ , ..~.~ .... ~.,~ ..... ~.. ~.. . ~..~,~.,~. ,., , ~. .,. ~.. . ...~ ,,~ .....~ ...,.. .,......,,......;~,,....~.. ~ I ~. ~. ~lcll~ ~ ~ ~rltor ~lflcltlon el receipt of h,z~doul male~lls covered by thl~ manifest excepl aa noted I~ ~ 19. ' ~: '"' 1' "' '"" '~Y ~" : ~" ~ "~- .'..'. · · - , ,, .',:' ~, ..' :". '~..~,Do Not This Lne · - ~ .... :", EPAgTO0--22 .,! · .'-' '.',,.' ~ .....' '* ' · ..... ..;. .'. .. .. . '. .. ' . · · ...' : (~lav. e-aa) Pre~ous'ldltlo~a'are'ob-olate: ,-t' ~' ", "~ ~. ' ' ', ;""'".. ' ' ":~- -': · ': .v ... · .... , '.. ' . . .'~' . ; .... . ':: .:- ." '. i.-.... '.'.'., .::.:" ':' ., . '. ' ,.. .' .':: ,,,-' ,~ ." ~:":~ , ~..~ '.,. "~' ...~..','~'~!~.?,' : "";.'~ .': "?7".. :~;."" "'~,.': ' .':,: ' :,::... '..'. .... :' ' , .; . ' ,.. '.,, ,, ?~'~.°F.,'.:"."? . .., ',. :-',:-~'~:, "-'~ ~' .:,'" :: ', :, '-..'". ...' .', :';'-.~',~ .'~' ~ ~" ',',.. ....... ,~':.' . ,"" ,. ', ";,..i-,;,~.' '' · . , ' · .... ~ ' ' ',.'. ?' ' GREEI~ HAULER JtETAI~$ ..... i . ~. ,, .... ... . ,..,,,. ;,.-.,~.:, ;.~.~,.... ~..?..~ . ,~ .:..,,:.... . .: .. ~, · ,.: ....,, .~,. ,.. , .,. :. ..? ..,., .~ , . · · ' ' ' ' " :~'" . ":-~ "' : ~"' ' ' : "'-',.~;"~,,.' ..... '""':" ~ ' ~ · ~', "" "'~ ' - :'""~"7' :': ~ '"'. .....  GI'BSON OIL & REFINING CO., INC. 3300 TRuXTuN AVENUE, SUITE 200 BAKERSFIELD, CA. 93301 , (,.8,05) ~.27~04t~: -, ORIGIN: "¢. '.'~ ."'Z',~ ;" ''')p ,t ~ · · ' ~'','~ ~ '"-' DESTINATION: GIBSON OIL REFINERY COMMERCIAL DRIVE BAKERSFIELD, CA. 93308 ARRIVED TO UNLOAD START TO UNLOAD AM PM LOADED FROM LOADER'S SIGNATURE '..." .-./;:;, " .... , .... ..... : ..... .~ j .'.. f,,/' ...... WEIGHT TAG NUMBER DATE, ~,'~ MANIFEST # INVOICE TO: QUANTITY TEMP. i ~.G. RAV. FINISH UNLOADING REMARKS AM PM UNLOADED TO DRIVER'S SIGNATURE PRICE: NET GALLONS ~BBLS . RECEIPT TICKET SOLIDS % AM PM WASHOUT iGALLONS DEDUCT BS&W% NET BARREL;S ~82~6 ~700 °~M" Strt~t, Sutt~ 300 Baker~ileld, CA 93301 (805) 86k.~636 (805) 861.3429 Fax Number PERMIT FOR PERMANENT CLOSURE ,COUNTY OF KI? N En~'ronmental Health Services Departm~rnt PERMIT NUMBER A928-25 -z~' OF'UNDERGRoUND :~0-US--~----:'z' :"'- SUBSTANCES. STORAGE FACILITY . FACILITY NAME/ADDRESS: OWNER(S) NAME/ADDRESS: CONTRACTOR: Waterways Irrigation Engineers 410 E. Planz Road Bakersfield, CA .. Victor Tack 410 E. Planz Road Bakersfield, CA Phone # 805-831-3535 ~ Environm~m! .Service.. P.O. Box 5337 License #' ~r32372 Phone # 589-5220 PERMIT FOR CLOSURE OF '.- -.- ' PERMIT EXPIRES August 11. 1989 - TANK(S) AT ABOVE LOCA~ON APPROVAL DATE May 11, 1787 APPROVED BY Brian Pitts CONDITIONS AS FOLLOW: 1. Permktee must notify the County Environmental Health Depamuent at (805) 861-3636 two working days prior to tank (removal) to arrange for required inspection(s). 2. Permittee must obtain a City Fire Depa~unent permit prior-to initiating closure action. 3. Tank closure activities must be per Kern County Environmental Health and Fire Dep~uhuent-- ~Pb~:~a: methods as described in Handbook UT-30. PERMIT FOR PERMANENT CLOSURE OF UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY . PERMIT NUMBER A928~25 ADDENDUM 4. Soil Sampling Any deviation from sample locations and numbers or constituents to be sampled for which are described below and in Handbook #UT-30 .must receive prior approval by the Environmental Health Department. ..... a... Crank size 1,000 gallons or less)-a mirdmum of two.samples mus!; _be retrieved.ben~a~ ~e..c_e~t_e~ .... 5. Tank removal contractor must have a qualified company employee on-site supervising the actual tank · must be granted by the spedalist listed on the permit. 7~ Soil sampling (piping area) a minimum of two samples must be retrieved at depths of approximately two feet and six feet for every 1S linear feet of pipe nm and also.near the dispenser_area{s)_. 8. Sample Analysis - a. All (leaded/unleaded) gasoline samples must be analyzed for benzene, toluene, xylene, and total petroleum hydrocarbons. 9. Copies of transportation manifests must be- submitted- to the Health Depamaent within five days~ of-waste. disposal 10. All applicable state laws for hazardous waste disposal, transportatign, or treatment mu. st be. Kern County Environmental-Health Department must be notified before moving and/or disposing of any contaminated soil. !!.. _. Permittee is .responsib_le .for ~ .maldng sure that "tank disposition tracking record" issued with this permit is properly filled Out and' returned within 14 day~' of tank rem0val~ ................. 12; "Advise this office of' the 'time and-date ofthe proposed sampling with-24- hours advance notice; .... :'~.: ....... z~z 13. Results must be submitted to this office within three days of analysis completion. ' '"":" · BP:dr pitts\waterway.per $/11/18 ~e·~N COU~?¥ IIEALTIt DEPARTH~N~ DZVISZON O~ ENVIROH~ENTA6 118ALTil (eO~) Be~-~e30 / # Of T.4~qK8 TO ~B ADANDON~D /. LENGTH DP PIPING TO ABANDON z c.R s*A ON :--' . .-589-5220 c~dOIFACJC~T¥ NAt(g Waterways Irrigation I~D~8~ Z~Engineers Inc. ]~410 E. Planz Road ~10~gR - · ~DRES~ [TARK RLUdOYA~ CONTUCTOR APPL! CATTON FOR PERMIT FOR PERI~I~IgNT Cr-OSt~-/AB,~AWOONM~-NT OF UND~-R(~ROUNO ~REMOVAL, OR OABANDONMENT IN PLACE (FILL OUT ONE APPLICATION PER FACILITY) ISEC/T/R (RU~t COCATJONS ['Sec. 8; T30S, R28E NEAREST CROB~ 8T~ET IUnion Avenue .............. ~'*l'~[t-0NE( 805' :) 83I=-~353'5 1 93388 IADDRE$S ?. O. Box 5337, Bakersfield, Ca. I WC 581-71-04 IINSURER Clifford Bradford Kern Environmental Service PROPOSED PROJECT Sr~rINO OATS ICAJ, I~'0RRIA Upon Permit Apprpval i 432372 Same Same ( ) S~e :NO~R'8 CO~EHSATZON ~ INSURER PIlOt8 ~a0~oaY T~mt w~ ~AcYza s~P~ B C Labs ~oaa~s 4100 Pierce Rd, Bakersfield ~05 ,327-4911 or National Toxicology Labs· 3101 16th Street, BakGrsfield, Ca. '805 ~22-4~50 IPHOH~¢ 805 )589 - 5220 CHEMICAL COHPOSITION OF J<ATERIALS STORED 1 . , 1,000 Gal. Gasoline 1971 ?0 1988 None . . . T0 T0. l~kTER TO J'ACItITy PROVIDED *BY [DEPTH TO 0ROUNDI~ATER On Sit. e Water Well '1165 Foot ' Approximately 150 feet S/W of Tank Location I Kimberlina Fine Sandy Loam ~A~IS FOR SOIL TYP~ ~O GROUNDWATER OgPTff 'DBT~INATION ' ' TOT~ H~BER OP 8~PLB8 TO ER ~ALYZED i S~LBa NILL Bg ~ALYZSD PORI T.v.H. Refining (CAD 980883177) Boru THE DISPOSAL ~?fl0~ ~ ~IS~OSAh LOCATION poa~Tm be rJnsed--inerted, and~transDorted.go, eiCher~ · T~¢B) Valley Tree & Construction (BakersfieI~, Ca.7 or Amermcan meca± xecy=zzng kuncarmo, ua.) PIPIXO Same ALL OF THE FOZlX:I4ING INFORMATION MUST BE INCLUDED IN ORDER FOR APPLICATION TO BE PROCESSED: TANK(S), PIPING & DISPENSER(S), INCLUDING T.k~GTHS AND DIMENSIONS __ PROPOSED SAMPLING LOCATIONS DESIGNATED BY THIS SYMBOL "(~" ~ NEAREST STREET OR INTERSECTION ~ ANY WATER W~.Lq OR SURFACE WATERS WITHIN 100' RADIUS OF FACILITY NORTH ARROW ffiAN JOAQUIN ,~ 21850 %/. MANNING AVE. SAN JOAQUIN~'CA 93660 ' (209) 693-2441 Moblll (209) 445-4246 IRRIGATION ENGINEERS, INC. BAKERSFIEtD (Main) OFFICE P. O. Box 4188 410 EAST PLANZ ROAD BAKERSFIELD, CALIFORNIA 93387 TELEPHONE (805) 831-3535 GREENFIELD HWY. 101 50. MONTEREY COUNTY GREENFIELD, CA 93927 (406) 6.74-5550 Kern County Health ~700 Plower Street Bakersfield, Calif. 93305 · RE: InvOi. ce .~ 250016C-8q · ' ....... - ..... ::~This¥.~:t,ett. er-:Tis ;~-to i-n form-~-you,, that we'- · ' ~" ""' :'":~6~.':f66~'r&~e the' ~inS~'rU'?o~ln8 stor,,,.,e facii.'i ~.¥, ......... 'iodA.ted::a*t".41'O .Ei:"Pla~ Road, Baker'sfi~'l'd','.'~c~ · . ' ' ":. :':i' :~ .':' "::: : .... ?.",::. :.*"'"'.!'.'ii; ': ':' ""' ' ' :'.. :- .~ - ' · :.':..;: ".'.,. s,..,:.-,; ...... ~., . . ...... ~. : ' ' .............':: ~r::'})i"""5,'!"~"T:-'l""~h~:;'st0~'A~e: ~aS±[~Y ~as' not' been Used ~.at'ieast. s.±x months. If you have any questions concern±rig this matter, please con,act Oon. Tkao, at 8.31-35'35. cody mailed to : K.C. EnvironmentaI Health 2700 "M" Street ste 300 Bks. Ca. 93301' SAN JOAQUIN 21850 W. MANNING AVE. SAN JOAQUIN, CA 93660 (209) 693-2441 , Mobile (209) 445-4246 · IRRIGATION ENGINEERS, INC. BAKERSFIELD (Main) OFFICE P. O. Box 4188 410 EAST PLANZ ROAD BAKERSFIELD, CALIFORNIA 93387 TELEPHONE (805) 831-3535 GREENFIELD HWY. 101 $O. MONTEREY COUNTY GREENFIELD, CA 93927 · (408) ~74-5550 April 4, 1989 Kern County. Health Department 1700 Flower Street Bakersfield, Calif.` 93305 RE: Invoice # 250016C-89 This letter is to inform you, that we do not operate the underground storage facility, located_.at 410 E. Planz Road, Bakersfield, Ca.. -'_ ....... -.The.storage facility.has not been used.for at least six months. If you have any questions concerning this matter, please contact Jon Tkac, at 831-3535. Sincerely, Vicki Kitchen, bkper ENVI RONMI~NI'AL 'HEALTH ~lvisio~l of Environme~..al lleai~ A ~ ~ Date 1700 Flower Street, Bakersfle.l]~', CA 93305 (805) 861-3636 APPLICATION FOR PERMIT TO OPERATE UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY Type Of Application (check): ~]New FacilttYC]Modificatlon Of Facillty[~J[xlsttng Factltty r-]Transfer Of O~nershlp A. Emergency 24-Hour Contact (name, area code, phone): Days ' ~[- ~~' _ No. Of Tanks I ....... Type. Of Business-(check):- ~6asoline.Station ~ther (describe)[~t~ Is Tank(s) Located On An Agricultural Farm? ~Yes ~o [s Tank(s) Used Primarily For Agricultural Purposes? ~es ~o Vac[lity.Address-.~lO--~,. ~~ -~ Nearest Cross'-St. ~c0 -. T R SEC (Rural Locations Only) ~ ~ ' Owner ~~.~[ ~ Contact Person Address ~{O ~ , ~~ ~ Zip ~%0~ Telephone Operator Contact Person Address Zip Telephone B. Water To Facility Provided By ~ Depth to Groundwater Soil Characteristics At Facility Basis For Soil Type and Groundwater Depth Determinations C. Contractor Address CA Contractor's License No, Zip 'telephone Proposed Completion Date Insurer D. If This Permit Is For Modification Of An Existing Facility; Briefly Describe Modifications Proposed " Proposed Starting Date Worker's Compensation Certification No, Tank(s) Store (check all that apply): Tank # Waste Product Motor Vehicle Unleaded ReEular Premium' Diesel · Waste Fuel Oil [] [] [] [] [] , [] [] 0 [] [] [] [] . [] o.. [] ..... Chemical Composition Of Materials Stored (not necessary fo~ motor' vehicle 'fuelS)- Tank t Chemical Stored (non-commercial name) CAS # (if known) Chemical Previously Stored ..... ...... ..' .- (if different) :~ ...... Transfer Of Ownership Date Of Transfer Previous Owner Previous Faciiity Name I, accept fully all obligations of Permit No, issued to I understand that the Permitting Authority may review and modify or terminate the transfer of the Permit. to Operate this underground storage facility upon receiving this completed form. This form-has been completed under penalty of perjury and to the best of my knowledge is true and correct. Fact 1 i t~¢ Nam{,. -- - Permit No. TANK # (FILL OUT SEPARATE FORM ~ ~A~tl TANK) FOR EACII SECTION, ClIECK ALL APPROPRIATE BOXES Ho 1. Tank is: [] Vaulted [] Non-Vaulted 2. Tank Material ~' Carbon Steel [] Stainless Steel [] Fiberglass-Reinforced Plastic [] Other' (describe): [] Double-Wall [] Single-Wall [] Polyvinyl Chloride [] Fiberglass-Clad Steel [] Concrete [] Aluminum [] Bronze r~ Unknown 8. Primary Containment 'Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer 4. Tank Secondary Containment ....... :,~.. [] Double-Wall [] Synthetic Liner. []'"Lined'Vault 'r~-'Non~ [] Unknown [], Other (describe): Manufacturer: Material Thickuess (inches) capacity (Gals.) §.'Tank Interior Liuing [] Rubber [] Alkyd []Epoxy [] Phenolic [] Glass [] Clay [] Unlined [~-Unknown [] Other (describe): 6. Tank Corrosion Protection [] Galvanized [] Fiberglass-Clad [] Polyethylene Wrap [~ Vinyl Wrapping []~-' Tar or Asphalt [~ Unknown [] None [] Other (describe): Cathodic Protection: [~'None [] impressed Current System ~ Saorificial Anode S~stem ~ Describe System & Equipment: 7. Leak, Detectioq, Monitoring, m{d interception ~. Tank: ~ Visual (vaulted tanks only) ~ Groundwater Monitoring Well(s) ~ Vudose Zone Monitoring Well(s) ~ U-Tube Without Liner ~ U-Tube with Compatible Liner Directing Flow To Monitoring Well(s)* ~ Vapor Detector *~ Liquid Level Sensor* ~ Conductivity Sensor* ~ Pressure Sensor In Annular Space Of Double Wail Tank * ~ Liquid Retrieval & Inspection From U-Tube, Monitoring Well Or Annular Spa~e ~ Daily Gauging & Inventory Reconciliation ~ Periodi~ Tightness Testing ~ None ~ Unknown ~ Other b. Piping: ~ Flow-Restricting Leak Detector(s) For Pressurized Piping* ~ Monitoring Sump With Raceway ~ Sealed Concrete Raceway ~ Half-Cut Compatible Pipe Raceway ~Synthetic Liner Raoeway ~ None ~ Unknown ~ Other · Describe Make & Model:'. 8. Tank Tightness Has This Tank Been Tightness Tested? ~ Yes ~No ~ Unknown Date Of Last Tightness Test Results Of Test Test Name Testing Company -9. Tank Repair .... -~ Tank Repaired? ~ Yes ~ No ~ Unkno,n ........... Date(s) Of Repair(s) - : · Describe Repairs 10. Overfill Protection ~Operator Fills, Controls, & Visually Monitors Level ~ Tape Float Gauge ~ Float Vent Valves ~ Auto Shut-Qff Controls ~ Capacitance Sensor ~Sealed Fill Box ~ None ~ Unknown ~ Other: List Make & Model For Above Devices 11. Piping a. Underground Piping: ~].'Yes [] No [] Unknown Material Thickness (inches) ~ Diameter ~ Manufacturer [] Pressure ~Suction [] Gravity Approximate Length Of Pipe Run b. Underground Piping Corrosion Protection: [] Galvanized [] Fiberglass-Clad [] Impressed Current [] Sacrificial Anode  Polyethylene Wrap [] Electrical Isolation [] Vinyl Wrap ~Tar or Asphalt Unknown [] None [] Other (describe): c. Underground Piping, Secondary Containment: [] Double-Wall [] Synthetic Liner System [-]'None [] Unknown [] Other (describe): NORTH SCALE.: / .: BUSINESS N.~hME: DATE: ~./~,~//~') FACILITY NAME': ............. ~H~K._.ONE)_ ..... SI~E..D!AG~M FLOOR: 'FACILITY DIAGRAM OF OF 1 _ .i .................. RD, I(Inspeutor's Comments): ... .L!'~:,:J' ':.':: ~: :" .' " '-'OFFICIAL USE ONLY- .. ... :: _ -