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MITIGATION FILE 2
CONTRACT OPTIONS FOR LEAKING TANKS Site Specific Time Accounting Sheet Permit cf ,~'-'-7~'~ ~) I ("~ Site Specific Status Changes: Employee cf t' ~ Employee Sign~ek,~ -- Site Name or Addres~(.~ f~r-j~ ~ ~ ~¢~ ~ / ~ ~P ~~tate, of Federal) Category Activity ~ Hours Date Code Code Description (lOths) otes: ~ Notes: /~-,~,~z_~,~.~,~ -~-'.~ ~ ~~ · ,, ~ ~,. -~ Data Entered By: Date: Env. Health 580 4113 137 (REV. 5/89) CONTRACT OPTIONS FOR LEAKING TANKS , ,, Site Specific Time Accounting Sheet ,ermit'-# ,loyee # Employee Signature ;ite Name or ~3~! f~ (Loc_~a~l, State, of"Federal)'~,.~ Site Specific Status Changes: Category Activity Code Code ]escription lOths) Entered By: Date: Env. Healtl3 580 4113 137 (Rev. 5/89) CONTRACT OPTIONS FOR LEAKING TANKS Site Specific Time Accounting Sheet Site Specific Status Changes: !Date ~eegOry ~Y ~ Hour~ !Code Description (10ths) ,f ,:~'.~ ~: ~ '~ ~~'~. ~ ~ .:. ,,.i'..~.:.~: Data Enter~ By: ~te: CONTRACT OPTIONS FOR LW. AKING TANKS Site Specific Time Accounting Sheet Employee Employee Signature "~/~kS/ Site Namg~rc~ A~Ores s~ ~~ (~ca%, S~te, of F~o~i) Site Specific Status Changes: ~at~egory Activity Hours Date uo~e Code Description (1,~0.th$~ Data Entered By: Date: Env. Health 580 4113 137 (Rev. 5~89) CONTRACT OPTIONS FOR LEAKING TANKS Site Specific Time Accounting Sheet ?ermit # Employee oyee Funding ii(Loca~, State, of Federal) ISite Specific Status Changes: ~ ~ ~ Hours Category Activity . Date Code Code Description ( 10ths ) Employee CONTRACT OPTIONS FOR LEAKING TANKS Site Specific Time Accounting Sheet Site Name or Address ti . ~., .~ .... ~'~ ~-~U [t~ Funding ~Loc~, State, of Federal Site Specific Status Changes: Code Description IHours (10ths) Data Entered By: Date: Env. Health 580 4113 137 (Rev. 5/89) CONTRACT OPTIONS FOR LEAKING TANKS Site Specific Time Accounting Sheet Employee# ' _/'~ ~ ' ,-~ ~. ~- // . ; /Site Name or Address ~L ~(~--'~"'- ; ~)'i ~'~ ~7~:>~5~ [Funding (Lo~te, of F~er~) Site Specific Status Changes: ----- Hours Category Activity Code Code Description (10ths) Date ;, Dat~ Entered By: Date: Env. Health 5~ 4113 137 (REV. 5/89) CONTRACT OPTIONS FOR LEAKING TANKS Site Specific '13me Accounting Sheet Permit# Employee # / ~ .,..? Employee Sigr~a~tu~.~_~c.~'~_ Site Name or Address Funding (Local, State, of Federal) Site Specific Status Changes: Category Activity Hours Date ~. ,- Code Code Description (lOths) 'm /',~/ ',~-x' ~-~-- / q.,... ""-. / --?! ?~ -.:' I ,:---, z--, "-,. Data Entered By: Date: Permit # 270010 Employee # 13 Employee Signature CONTRACT OPTIONS FOR LEAKING TANKS Site Specific Time Accounting Sheet Site Specific Status Changes: Site Name or A~sress ARCO AM PM #583 Funding (Local, State, of Federal) TASK 4 ~---~--~ -- Ho---~s Category Activity Date Code ' Code Description (10ths) '28/91 00 RESPO~SZBLE PARTY ID AND NOTIFICATION 0.5 Notes: PREPARED CASE FOR NOTIFICATION OF R.P. A~dD ENROLL2.~NT I~{ C.O.L.T. SEi~SITIVITY VERIFIED BY ~<ERN CO. WATER SUPPLY REPORT, 1988. Data Entered By: Date: ~nu ~.alth 580 411310 (Rev. 5/89) 02 KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Service Re~luest [] Comolaint CT No.. ......... : ..... Assigned to:_ l_ocatlon ....................................... ~ ............. ~. Clty .................................................................. ~...~ ~ / __~ ............................................................... ~e~orUng Person ~ / ss Phone ~o~rty Owner .............................................. A~dress ~one Complainant notified of results ................................. Investigated I~y ............... ~ ............ _ ~. Date . . Environmental Health 580 4:113 2029 (Rev. 0/1t9) KERN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT INVESTIGATION-RECORD DBA OWNER ADDRESS ADDRESS ASSESSORS' PARCEL CT CHRONOLOGICAL RECORD OF INVESTIGATION DATE MC:cd ~7 KERN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT INVESTIGATION RECORD DBA OWNER ADDRESS A$$1~S$ORS ADDRESS CHRONOLOGICAL RECORD OF INVESTIGATION DAT~ IZ ARCO Products C0~- 1731% Studebaker RoaO Cerrit0s. California 90701-1488 Telephone 213 404 5300 Mailing Address: Box 6411 Artesia, California 90702-6411 November 25, 1991 7 KERN COUNTY ENVIRONI.~.NTAL HEALTH 2700 "M" ST., SUITE 300 BAKERSFIELD, CA 93301 Re: Gasoline Spill Reporting Guidelines Gentlemen: The typical spill that occurs at our retail gasoline out,ets (RGO) is five gallons or less, and is totally contained on the RGO premises. No product enters subsurface soil or groundwater, and the spill is cleaned up immediately. Applicable regulatory provisions do not require that we report spills if "there is a reasonable belief tht the release or threatened release poses no significant present or potential hazard to human health and safety, property or the environment" Nonetheless, we have taken and continue to take a conservative approach, and currently report these types of spills. For a number of recent reports of this nature, we have been told by both the Local Implementing Agency (LIA) and the Office of Emergency Services (OES) that reporting of these types of spills is not required. (This would also seem to be consistent with EPA's approach concerning spills of this nature). The reason for my letter to you is to request your formal concurrence that spills that meet all of the following criteria need not be reported: 5 gallons or less Totally contained on the premises Cleaned up immediately No product enters subsurface soil or groundwater No personnel injured due to the spill If you should agree that we discontinue reporting of these small, totally contained spills, it could eliminate needless effort in' terms of dollars and manpower by both our organizations. We would greatly appreciate receipt of your response on this matter as soon as possible. If you wish to discuss this with me, please call me at (310) 407-2604. Thank you for your expeditious consideration of this matter. Very truly yours, Will~a~ZaDka EnvirOnmental' Compliance Adminit~V~tor ~RCO Proaucls Company is a Ow,sion ot AllanhcRict~tle]dComoanv ARCO Products Com 17315 Studebaker Road Cerritos, California 90701-1488 Telephone 213 404 5300 Mailing Address: Box 6411 Artesia, California 90702-6411 County of Kern Environmental Health 2700 M Street. Bakersfield, Ca. 93301 SUBJECT Tank Interity test results ARCO Station 583 3220 Ming Ave. Bakersfield, Ca. Dear Sir Date 02/28/91 The new tanks and piping at the above station passed a system test as noted in the attached test results. ARCO Petroleum Products Company is committed to compliance with the laws that govern the operation of underground storage tanks, If you have any question please call. Sincerely C.D. Morton 213 404-5353 APPC ARCO Products Company is a Division ol Allar~ticRlchheldCompany (~7.88) :XTYo SIRTE s ~OJECT MO. z 0021S rl~8: TEST ~tt REEM4ZNE 1'~1118 SVCS., IN~. PO BO~ tS~? IM:II(I~F IELD, ~l:t. 93302 LOSS TEST ~z 1~= ¢SYSTElq) SIZEs 10000 I"~(]OUCT TEIqP z 6? C~EFF ICIENTz O. 0006dl H RESULT STFIRT ElqO 6.4 CRLIBI~ITZ(Mq IMMt OR I. ZQUrDt ~ O. OS ~ CRLC (R)t O. OSO /tS -- O.(JOB2 TE]qP ~ ¢B)t 0.00064 H 100(30 = 6.4 PRODUCT z S ~ TOTAL LINE ~z 46 LOSS - = 9 x 0.00320 61 - ?l = tO x 0.00920 ?t - 01 -- tO x 0.00320 Bt - 89 = · x 0.00320 89 - 99 = ~ tO x 0.00320 38 - 46 = 8 x 0.00320 46 - ~6 = tO x 0.00320 56 - 65 = 9 x 0. OO~20 65 - 75 = tO x 0.~ 7'5 - 8~ = it x 0.00320 86 - ~ = 9 x 0.00320 38 - 4;' = 9 x 0.00320 4;' - 57 = tO x 0.00320 57 - 6? = lO x O. ~ 6~' - ?O = Il x 0.00320 · 8 - 88 = tO x 0.00320 53 - 63 = lO x 0.00320 ~3 - ?,q = ti x 0.00320 M = 12 x O. (M)320 O. 02880 0.292 - 0.274 = '-0. (XI8 x 0.02880 0.27'4 - 0.300 = 0.026 x 0.092120 0.300 - 0.310 = O. Ol x O.~tX3200 0.310 - 0.318 = O. OOO x 0.02560 0.318 ~- O.M : 0.03 x 0.03200 0.3'18 - 0.350 = O. Ot x 0.02560 0.358 - 0.370 = 0.012 x 0.03200 0.370 - 0.37'7' = 0.007 x 0.02880 0.377 - 0.383 = 0.006, x 0.03200 0.383 - 0.389 = O.OOE, x 0.03520 0.38'9 - 0.39,'1 '" 0.005 x O.02EM~O 0.394 - 0.399 = 0.005 x 0.02880 0.399 - 0.404 -- 0.005 x 0.03200 0.40'1 - 0.'109 : 0.0(0 x O. 0:3200 0.409 -- 0.413 : O. OOdl X 0.0352~ 0.'113 -- 0.'118 : O.~r]~G__ x 0.03200 0.'118 - 0.,122 = 0.004 x 0.03200 0.422 - 0.426 = O.O0'l x 0.03520 0.426 - 0.432 = 0.006 x 0.038"M) 0.432 - 0.43? = 0.005 x x(B) TE]~P F xNIqL. x(B) RESULT RE~UI.T 6.4 = -0.05t2 0~18 6.4 = O. t664 -0. t376 131 t 6.4 = O. 06'1 -Q. 032 6.4 = 0.0512 -0.01~'2 ].32~ 6.4 = O. 1,92 -0.1,664 ]329 6.4 = O. 06~1 -0.0~2 6.4 = O. 0768 --0.0512 l~dlt 6.4 : 0.0448 --0.0128 6.4 = O. 03~dl -0. (]09~ 13~3 6.4 : O. 03~dl --0. 0064 13~9 6.4 : 0.032 0.0032 6.4 = 0.032 -0. 0032 J.41t 6.4 = 0.092 -0.0032 1417 6.4 = 0.032 -0. O(K)2 1'123 6.4 : O. 025~ 0.~ 1429 6.4 : 0.032 O. 0032 6.4 = O. 02~6 0.0064 1441 6.4 = O. 025~ O. 006'1 14,17 6.4 : 0.038'1 -0.0032 1453 6.4 = 0.032 0.0064 1459 ~. TRNK BOT J. TRNK TI]P TO 8RFli~: :. TMiK Olf~8~=TE~t ). TEST LEVEL fBOVE MlJ~l~ I -_'. DEPTH OF i41TER ZN TItle 158.0 57.0 9t.O 0.00 0.00 F. 8. 'TEI'IPER~TURE PROBE OEP'IH: H. TEST I. ~ 14:ITER I:IBOVE TRIqK BOTTOFI J. PI~)OI. JCT ~ PER t" HEI6HT 102.5" &l.0" 158.0 · 0.000" 0.026 PSI RESULTS PER HOUR: 0.02220 TI6HTt I~T TEST STI:fI[]I:IRD OEV II=IT I011 O. 00'120 TEST DI:ITE z 2-13-91 TECHNIC llqNz TRU3ILLO CI:IL IF. LIC. RGOMI~TESTI~S~CS., IIIIIESSs HIIII 121~t~: 2-li-91 CHIIIFF l:l~s 100012 ~ NOt 4 Ollq-* 0U~I8 I.B~t PtIIIJCT LIN[ CI~ICLUSIGfqt Sl2~ iF Fll. l.t TOP ~ TIIqEz MILS. I~E-TEST H20z POST-TEST LII~ T leH'I' TIlE I PIE I 10IS I SO I 13 I S~ I I~IS I ,SO I SI I SI I 1420 I BO I St I SI I ldllS I SO I ~1 I SI I I4mO I ~0 I SI I ~l I 144S I ~0 I SI I SI I I I I I I I I I I I I I I I I I - - I~1- I~l SITE SKETI:M ILIiE LOSSIOI:L.L.(:M3S I~"1. L05SI I I ~---------' I -2 I --10. O06 I -O.QO:2dl I -l I -.0.1203 I "-'13.012 I -'l I -0.00~ I --O.Ot2 I 0 I 0 I o I 0 I 0 I o I 0 I 0 I o I 0 I 0 I 0 I 0 I 0 I o I I I I I I I I I I I I I I I ----.----- I I I I I I I I I I I I I I I 'rL~:l~lClfqlq: L ICI~MS~ IqUPIB~: 13lqT~e TmlJJZLLO 0~J-1337 8130 :ITY, STII~ s #I1~ & MIBLE 8$1KERSFI~ n, CR q~OJECT NO. z 0021S ~HK TEST It ~ LEVEL: SI~t ~ TEI4P~ COEFI= lC IE~fr8 1~01411~ TESTZR~ SVCS., INC. PO BOM 1567 BRKERC~F lEI. D, CR. 93302 C805) 326-0446 L(K)' ¢SYSTE]'I) IOIX)O 0.0006? X tO000 -- ~ LEVEL MIN 4 ,'TflRT EM) LOSS- ' 52 = -2 x 49 = -3 x 49 - 4? = -2 x 4? - 44 = -3 x 44 - 42 = -2 x 42 - 39 = -3 x 39 - 37 = -2 x 37 - 33 = -4 x 33 - 32 = '1 x 32 - 30 = -2 x 30 - 29 = -1 x 29 - 28 = -1 x 28 - 27' = -1 x 27 - 25 = -2 x 25 - 23 = -2 x 23 - 21 = -2 x 21 - 19 :z -2 x RESULT 0.00397 O. 003c~;· O. 0039? O. 00397 0.00397 0.0039? O. 0039? 0.0039? O. 0039? O. (X)397 Oo 0.00397 O. G0397 O. 0.00397 0.0039? 0.00397 0.0039? -0.01190 -0.00794 -0.01190 -"0.007S,4 "-0.01190 -0.00794 -0.01587 -0.00397 -0.00794 -.0.0039? --0. 00397 -0.007'9,4 --0. -0. 00794 -(3. 00397 -'0.00397 -0.00~97 END LOSS- BI:IR O. OS 0.0040 101300 = 6.7' PRIX3UCT HEI~ TOTRL LZNE~ x CB) RESIST RESIJI..T 1'Erie 0.820 - 0.821 0.821 - 0.81& "' -0.005 x G.? '"' '-.0.0335 0.816 - 0.818 : 0. G02 x G.? = 0.0134 o. ete - o.02o = o. oo2 x G.? = o. o134 0.82Q - 0.820 = 0 x 6.? = 0 0.820 - 0.820 = 0 x 6.? =: 0 o.02o - 0.821 = O. OOt x &*? = 0.821 - 0.821 : 0 x G.? = 0 0.821 - o.022 = 0.001 x &.? = 0.13067 0.822 - 0.822 = 0 x G.? = 0 0.822 - 0.822 : 0 x 6.? = 0 0.822 - 0.821 = -0. 001 x G.? 0.821 - 0.820 = -0.001 x &.? 0.82'0 - 0.819 = -0. 001 x &.? = -0.00~,7 o.019 - 0.819 : 0 x G.? = 0 0.819 - 0.819 : O x 6.? -- O o.019 - o.ele : -O. oOt x 6.? = 0.818 - 0.817 : -O. OOl x G.? = -0.006? O.el? - 0.017 = 0 x 6.? = 0 o.el? - o.81& = -0.001 x 6.7 -- -O.OQ~? -0.0146~ ' 130S O- 0215(J5 131 1 -0.02133 131;' --0.02530 1323 -(3. OO793 1329 -0.01190 1335 -0.014~)3 1341 -o. o1507 1347' -o. olo&~ 1353 -0o 0039~ 1405 O. 01~1 1411 0.002731 1417 -0.00123 14~3 -0 o 00','Ir3 1435 -0.00123 1441 O. 0027'31 1447 -0.00396 14S3 O. G02~I 1459 I. TRNIC BOT TO eltl~OEt I. TI~IC TOP TO eltFK]E: :. ~ OIRIqET~t I. TEST LEVEl. IBOVE ~: **** DEPTH OF 141hER IN TI~NC 160.0 ' 69.0 · 91.0" 0.00 ' 0.00 · F. I:J~PTH FOR TFII~ SFI,Ipt. E t 0. TEJqF'~RMT%$RE PROI~ OEPTH: H. TEST LEVEL. TO ~ BOTTGI'I [. 61tl~JIqD NMTER FIBOVE TI:INK BOTTOI, I 3. PI~XXJCT ~ PE~ 1" HEIGH'r 114.5" 7"3.0" 160.0 ' O. GO0" 0.026 PSi TIeI'IT t YES NET TEST STMIqI:J:Ii~D ~IRTI~ 0.~ ~IF. LZC. REDHI~TESTI~VC'~.,I~. 01Vl~t 2-t3-gt CNftFF ClOt lO000 ~ MOt 3 or~q- 0I~lqs 91 L~46t TOP OFF' TINE: PIlE-TEST H20z 1~ST-TEST H20t I--~l&~ I -----.--------- I ~~ I lt~ tits tim 12~5 l~ I ISI~ ~ I I I i I I I I I I I I I C01qCLUS 1ONt LINE TIGHT ~ ILIIqE LOS~;IBI:L.LII~ I~PH. LOS~I I I ~.D I ~.012 I ~.~ I ~.012 I ~.~ I ~.012 I ~.~ I ~.01~ I 0 I 0 I 0 I 0 I 0 I 0 I I I I I I I I I I I opn~t 800 X REDMINE TESTIN6 ES., INC. PO BOH 1567 BI~ERSF IELD, CFI. 93302 (805) 326-0446 'eI - 38 : -3 x 0.00190 = .-~}.00570 O. 131 - O. 142 : O.OII x 6.6462 : O.07':JIO 0.486 0.4 38 - ;i? = -I x 0.00190 = -0.00~90 O. I42 - O. [;i3 : -0.009 x 6.6462 = -0.0593 0.492 0.4 ;i? - ~4 = -3 x 0.00190 = -0.00~?0 O. I;i3 - O. 112 = -0.02i x 6.6462 = -0. [395 0.49I 0.4 ~1 - ;il = -3 x 0.00190 = -0.005;'0 O. [[2 - O. lOG = -0.00'1 x 6.6462 = -0.0265 0.'189 0.4 ;Il - 29 = -2 x 0.00190 = -0.00380 O. [08 - O. 107 = -O.OOI x 6.6462 = -0.0066 0.'189 0.4 29 - 26 = -3 x O. O01cJO = -0.00~?0 O. 107 - O. lO'l = -0.003 x 6.6462 = -0. 0199 0.41~9 0.4 26 - 24 : -2 x O. 00190 : -0.00380 O. 104 - O. 103 = -0. 001 x 6.6'162 = -0.00~6 0.'11~) 0.4 24 - 22 = --2 x 0.00190 = -0.00:~0 O. 103 -- O. 103 = 0 x 6.646,2 = 0 0.":1~ 0."~ 22 - .20 = -2 x 0.00190 = -0.00380 O. 103 - O. 103 = 0 x 6.6462 : 0 O.'qE)8 0.4 51 - ~50 = --1 x 0.00190 = -0.00190 O. 103 -- O. 103 : 0 x 6.64E,2 = 0 O."l~? 0.4 .~0 - '17 : -3 x O. 00190 = -0.00~570 O. 103 - O. 102 : -0. 001 x 6.6462 : -0. O0~G O.'q~? 0.4 'q? - 46 = -I x O. 00190 : -0.00[90 O. 102 - O. 102 : 0 x 6.6462 : 0 O.'q~? 0.'~ 46 - 44 = -2 x 0.00190 : -0.00380 O. 102 - O. 10[ : --0.00[ x 6.6462 : -0.00~6 O.'qG? 0.'~ ' 'q'l - 42 : -2 x 0.00190 : -0.00380 O. 101 - O. 10[ : 0 x 6.6462 : 0 0.4E)6 0.4 · q2 - 40 = -2 x 0.00190 : -0.00380 O. [01 - O. 102 : 0.00[ x 6.6462 : 0.00664 0.'185 0.4 40 - ;i? : --3 x 0.00190 : -0.00570 O. [02 - O. 102 : 0 x 6.G'q62 : 0 0.483 0.4 ~ - 35 = --2 x 0.00190 : -0.00380 O. 102 - O. 102 : 0 x 6.6462 : 0 0.485 0.4 .~- 32 = --3 x 0.00190 : -0.00'370 O. 102 - O. 10[ : -0.00[ x 6.6'~62 : -0.0066 0.486 0.4 - 30 = -2 x 0.00190 : -0.00380 O. 101 - O. 100 : -0.001 x 6.6462 : -0. O06G O~'ql~ 0.4 ~1) - 26 = --4 x 0.00190 : -0.00760 O. 100 - O. I00 : 0 x 6.6462 : 0 0.'q85 0.4 R. TI:INK GOT TO 6RRI)E: 162.0 B. ~ TOP TO 6Rt:IDE: 73.0 C. ii:INK DII:IHETER: 91.0 D. TEST LEVEl- FIEIOVE 6RRI)E: O. O0 E. DEPTH OF HFITER IN TFII'4K O. O0 F. DEPTH FO~ TFII~ SFIn~'PLE: 6. TEI'IPERFITURE PROBE D~PTH: H. TEST LEVEL TO TFINK BOTTOIq I. 6ROUND 14FITER FIBOVE TFINK GOTTON 3. PRODUCT PRESSURE PER !" HE [GHT 128.5" ??. 0" 162.0" 0.000" 0.026 PSI RESULTS PER HOUR: 0.00(~7 TIGHT: YES NET TEST PRESSURE: 4.21200 STRNDRRD DEVIRTION . 00?2 TEST OFITE: 2--13-91 TECHN[C [FIN: TRU3 ILLO CRLIF. LIC. HO. 93-1337 61:1 IN + x(Bl) TEFIP F TNI:IL END LOSS - x(B 1 ) RESUI_T TEI'IP RESULT T [lie = O.(X)6 x 6.6409 = 0.0398 O. 11:30 -0. 11866 1025 -0. O01 x &. 6409 = -0.0066 -0. 066.5 O. 06456 t 03 l --0.002 x 6.6439 = -0.0133 -0. 1529 O. t4?IS 1037 0 x &. 6'109 = O. 0000 --0. 0266 O. 0201~ 1043 0 x &. 6439 = O. 0000 -0. 0066 O. 0028.4 t 0,19 0 x 6.6409 : O. 0000 -0. 0199 0.01.42.4 1055 -0.001 x 6.6.409 : -0.0066 -0.0133 0.00948 1101 0 x 6.6409 = O. 0000 0. 0000 -0. 003(~3 1107 -0.001 x 6.6409 : -0. OOEdS -0.0066 0.0028.4 1113 0 x 6.6.409 : O. 0000 O. 0000 -0. 00190 1119 0 x 6.6.409 : 0.0000 -0.0066 0.00094 1125 0 x 6.6.409 : O. 0000 O. 0000 -0.001.90 1131 -0.001 x 6.6409 = -0.0066 -0.0133 O. 009.4~ 1137 -0. OOt x &. 6.409 = -0.0066 -0.0066 0.0028.4 1143 0 x 6.6.409 = 0.0000 0.0066 -0.01045 Il,V9 0 x &.6,109 = 0.0000 0.0000 -0.00570 11.55 ~.OOl x 6.6409 = O. 0066 O. OOE,6 -0. 0104,1 1.201. o00 a $.ffi : -0o O0~a~ --0.01.$$ O. ~0~'~ 1215 = -0o 00:~ x 6. ffi = -0.01.$$ -0.0133 O. 00.'~0 1219 · TI:Il'e( BOT TO EIRI:M2E: · ~ TOP TO GRFIDE: · TI:II~ OI'I:fIE'TER: · TEST LEVEL I:EOVE GRflDE: · [EPTH OF I4flTER rN TI:IIqK: 160.$" F. DEPTH FOR TI:NqK SIt'IPLE: llS.O 69.5 " 6. TEI'IPERI:ITURE PI~q)BE DEPTH: 91..O" H. TEST LEVEL TO TI:If~K BOTT01'I O.00 ' l. (3ROUIqD I, EITER flBOVE TI:II'4K B 0.OOO ' 0.00 ' J. PRODUCT PRESSURE PER 1' H 0.026 PS;I mm LII~ TEST ll~:13JaqJTtlON mm REOMI~TESTI~S~CS., I~. 1~I~3.0,~ 933t02 CITY ST~ BJ~IRSFIm fl, C~t ~ C:~P8 100(20 IJWEs 2-1:~-91 CHRRT C~Pt lOG(X) ~ JOt l&2 OlPI- Olf~lqt 91 SI2E OF FILL.: 4'* TOP (3FI: TIIqE: 8zOO eFLS. f~I:IOEDs PRE-TEST POST-TEST H:20s PtOOIJCT LIJ~ ~5'Tt COI~IONt LINE TIOHT PSI I STI:IFF I BiO ILIIqE LOSSIOFIL.LOSS lePH. LOSSI · 0 I I? I N,. -t I --0.003 I -O.012 SO I 96 I 35 -t I -O.~ I -0.012 9(10 I ~01 ~ I 9IS I ~O I 3kd I 9001 SOl ;Id1 ~dlS I SO I Odl I IOC~ I ~01 341 lOIS I SO I 3dl I I I I I I I I I I I I I I I I -I I ~.003 I ~.012 I OI OI OI OI OI OI OI OI OI OI OI OI OI OI OI I I I I I I I I I I I I I I I SITE SKETCH LICENSE TRUJILLO 93-1~37 2-13-9t ~ II~TER[~L= F6 WATER RESOURES CONTROL BOARD DIVISION OF WATER ~UALITY UST CLEANUP PROGRAM SITE SPECIFIC ~UARTERLY REPORT (iONTRACTOR NO: SITE ?ltD: SITE XAHE: ADDRESS: : 15000 SOURCE OF FUNDS: 270010 FEDERAL EXEMPT: ARCO AM PNI --583 3220 HIXO AVE. BAKERSFIELD? CA 93304 L SUBSTANCE: 12034 N PETROLEUM: Y DATE REPORTED: 0""-'/;/t)l 91 DATE CONPIR}fED: 02/01/91 HULTIPLE R.P's: N SITE STATUS ........ CASE TYPE: S u~,NTRAc~ STATUS: 9 DATE UNDERWAY: 02/01/'91 DATE UNDERWAY: 01/31/91 DATE " .... ' ~' c:~DaR~_-~i: 03/15/91 DATE UNDERWAY: / ,.' ,._~ · E UNDERWAY: / / ~MERUEi~L ~ RESPONSE: DATE COMPLETED: 02/'01/91 DATE COHPLETED: 03/01/9! oAT..'. ,.,_,::P~: i El. i0/17/9i DATE COHPLETED: DATE COMPLETED: LLFT [:i~_b~ HA:'[U..L CONSiDERATiON 2, S, C, A. {CATEGORY [, 2, 3, PLUS H, S, C, A, R, W, G, OR O AS APPLICABLE} CASE .,}LOSEL; Y DATE E}iCAV~TiO'-.~ SiAi~TED: ~ / DATE RE."iEDIAL ACT!OXS TAKEN: rO,,S iBLE PARTY ~ES~ v '~ ,'.~',>:-7.\, T i"A:.!E: 'l IT!'.," Z l F: SPECIALIST: 15 SENSITIVITY: NES ,,B.-~.~ONME.~T --.: Ai~'-'(]u-_~ :~-~ DATE OF REPORT: 10,/12,'91 LEAK REPORT: Y CONTACT NAME: COMPANY NAME: ADDRESS: PHONE =: ADDRESS: CITY/ZIP: PHONE =: CONTACT NAME: COMPANY NAME: ADDRESS: CITY/ZIP: KEI~N COUNTY ENVtRONMENF. 2700 "M" STREW,-, RESOURCE MAN At~IE~M'E"!NT' HEALTH SERVICES DEPARTM(" SUITE 300, BAKERSFIELD, '~-A.933'01 (805)861-3636 UNDERGROUND HAZARDOUS SUBSTANCE ST0'RAGE FACILITY ~ INSPECTION REPORT ~ PERMIT~' 2700 , TiME iN TIME OUT NUMBER ~,~.M~ ....... ~ YES ~', SPECTION ........ c.,:, ~_ OF fNSPECT:ON: ~OUT~NE 'tE~NSPECT~ON ~":'~) '~-"TL;~'~'""'.C~'~'X'""~'~'~'~"~"; .......... ..: *~. (; ~ L ....... T v A U u ,~ .:~ .:~"~'""X"X'&'o: .~ 4 ~ ......... 0 .,,';~";'"'"'~""';~ N ,¢ ..~'"7':'%~('v c ~ J"";"~L, ~. ...................................................................................................................................................................... ,.;";";~":';"~"~T~':"': .......... %",; .......................................................................................................................................................................... ..... ::-: ............. s~,~..~ .... ~. ..... ¢¢.~=~ .... ~¢.l~.~ ......... ~1¢/ ...... ~ .......... ~.~.s3~ ..,~ .....,~. .......... _._.._ ......... ...... .......... .~.~.~= ............ +_ .................. ....... : = ~...~,,~.---'- I .......... - ~ '-- ~p ~~ ........... c~e~~~-- ........................................................................................... -- ---L.... ........................... .... ~.=-A , .'.¢N.:,/wSSmRVA , :*..'.~ :. OF TANKS: 5 OAT_: COi'4~LA I NT :~!'~.~¥ CONTA~NMEN? MON!TO?ING: '~. : -¢. &.,) '.*,., - .... ~:~ RELEASE ~. ~iNTENANCF uu,.~L .:~r~:,, AND ..... '~;~;1,-'/? w, :'3 0 M M E h; "-"/' R ~' ' ; .::. cCOMMENDATIONS RANDALL L. ABBOTT DIRECTOR DAVID PRICE [] ASSISTANT DIRECTOR Air Pollution Control District WILLIAM ,J. RODDY, APCO Pla~ & i~,veio~mt ~ Dem.m~t TED JAMES, AlCP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT October 17, 1991 Kateri Luka ARCO PRODUCTS P. O. Box 6411 Artesia, CA 90702-6441 SUBJECT: Location: Known As: Permit #: 3220 Ming Avenue, Bakersfield, CA Arco AM/PM #583 270010 Dear Ms. Luka: This letter confirms the completion of site investigation and remedial action at the above site. With the provision that the information provided to this agency was accurate and representative of existing conditions, it is the position of this office that no further action is required at this time. Please be advised that this letter does not relieve you of any liability under the California Health and Safety Code or Water Code for past, present, or future operations at the site. Nor does it relieve you of the responsibility to clean up existing, additional or previously unidentified conditions at the site which cause or threaten to cause pollution or nuisance or otherwise pose a threat to water quality or public health. Additionally, be advised that changes in the present or proposed use of the site may require further site characterization and mitigation activity. It is the property owner's responsibility to notify this agency of any change in report content, future contamination findings, or site usage. 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 FAX: (805~ ~-.~a~ Kateri Luka Page Two October 17, 1991 If· you have any questions regarding this matter, please contact Flora Darling at (805) 861-3636 ext. 549. Chris Burg~ Manager Hazardous Materials Management Program CB:jg RESOUk E MANAGEMENT AGENt., RANDALL L. ABBOTT DIRECTOR DAVID PRICE I11 ASSISTANT DIRECTOR Environmental Health Setvic~ Department STEVE McCAll ~,, REHS, DIRECTOR A~r Pollutkm Control Di~aict WILLIAM J. RODDY. APCO Planning & Development Se~ce~ Department TED JAMES, AICP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT' October 17, 1991 Kateri Luka ARCO PRODUCTS P. O. Box 6411 Artesia, CA 90702-6411 SUBJECT: ARCO AM/PM #583 3220 Ming Avenue, Bakersfield, CA Permit #270010 Dear Ms. Luka: The site characterization report submitted by Groundwater Technology Inc. (GTI) for the above-referenced site has been reviewed. GTI has recommended a "No Action" remeidation choice as appropriate based upon the below surface assessment performed May 30, 1991. Providing that all information received by this office is correct and representative of subsurface conditions, our Department agrees. A closure letter will follow under separate cover. Sin~~ ~-----Fi~ra Darling, R..~E.H.S./.R:E.A. Hazardous Materials Specialist Hazardous Materials Management Program FD:jg 27~ "M" STREET, SUITE3~ BAKERSFIELD, CALIFORNIA 93301 PRINTED ON RECYCLFA~ PAPER (805) 861-3636 FAX: (805) 861-3429 GROUNDWATER TECHNOLOGY, INC. 4101'Alk~a~e~'Suite B-l, Bakersfield, CA 93308 (805) 589-8601 June 20, 1991 ·-"' :' ~-'. Fax: (805) 589-8605 Ms. Flora Darling Hazardous Materials Specialist Kern County Resource Management Agency Department of Environmental Health Services 2700 M Street, Suite 300 Bakersfield, California 93301 RE: Drill Cuttings Disposal, ARCO Facility #0583, 3220 Ming Avenue, Bakersfield, California Dear Ms. Darling: Concentrations of gasoline hydrocarbons in samples of drill cuttings and wash water generated from assessment at the above-referenced site were not detected by laboratory analysis (see attached laboratory reports). The cuttings are presently stored at the site in two 55-gallon drums. The water is also stored on-site in one 55-gallon drum. Because the concentrations of gasoline in the soil cuttings were not detected, ARCO requests County approval to transport the soil to unpaved ARCO property a[ 1701 B~mndage Lane in Bakersfield. ARCO also requests approval to dispose of the wash water in th~ nearest municipal storm drain. If you have any questions, please contact me at (805) 589-8601. Sincerely, GROUNDWATER TECHNOLOGY, INC. .~. ..- '~..( . ~. StephanA.,Bork/. ' ............. - Project Geologist cc: Kateri Luka, ARCO Products Company Offices throughout the U.S., Canada and Overseas 06/20.'91 07:31 FAX I 213 '. 8720 G.T.E.L. Client Number: GTI78.ARC01 Fac;l!ty Numb@r: 05&3 Arco Representative: Kateri Luka Work Order Number: T106009 ~001 Table 1 (Continued) ANALYTICAL RESULTS Aromatic Volatile Organics and Total Petroleum Hydrocarbons as Gasoline in Soil EPA Methods 8020 and modified GTE_~ S_ampi'~'l,~'umt~ f 13A Clien~ Id~Adficaiion B-5-COMP Date Sampled I Date Extrac[ed 14A B-8-COMP 5-31-9i 5-31-91 6-6-91 6-6-9t < 0.005 <0.015 Date AnaLyzed 8-6-91 6-6-91 Detection Anai~e Urnk, rng/Kg Concentration mg/Kgb Benzene 0.005 ,:0,005 <0.005 Toluene 0,005 <0,005 <0.005 Ethyl Benzene 0005 , ---0.005 Xylene (total.) O,O ~ 5 ~0,015 BTEX (total) --- I TPH as Gasoline " !o ! <I01 Detection Limit MuZtiplier _. Percent Solids, % ! 88,6 i 86.5 <I0 1 a Te3t Methods for E,,'alua[h-~ S~t[d Waste. SW-846, TMr,.I c, Citi~n, Revislcn O, US EPA November 1988;Meth~nolie oxtr~:n by EPA Method ~'3~0 burp; ard tre ~ fn~ a'-'m*+:-, ...... :',- - ~ ~ ..... '~ * ¢ ~,:te¢ n~sourcu~ U0ntr~J ~aara LU~ Manua~ Cr,:,ic, cms. Mav 1988 revls~on b. Concentrations c~lculated on,,ve~ basis. ' GTEL Torrance, CA T106009.DOC Page 5 o~ 5 ENVIRONM[NT~L ~ LABORAI'OglE'~, INC. 06:19/91 13:08 FAX i 21 8720 G.T.E.L. 004 Client Number:. GTI78.ARC01 Facility Number: 0583 Arco Representative: Ka£eri Luka Wore Order Number: T106009 Table 2 ANALYTICAL RESULTS Aromatic Volatile Organics. In Water Modified EPA Method 8020a Client Identification] WASH Dale Sam, p. led 5-31-91 ' - .. Date An.~ly:zed 6-10-91 Detection Analyte Umitl ug/L Concemration, ug/L _..Toluene. 0.3 I <0.3 Et, hyl Benzene _ 0.3 [, <0.3 Xyl.ene (total) ,. I 0.6] ( <0.6 BTEX (total) ~ - .1 ..... { wt,=t~or, Lim!,.M,m~.!.~., i ,. _--'~ ' I ..... " .., .... " ... ' Ten Methods for Evaluating ,.~]id Waste, $W-.?,46, T~'d~d E~lition, Revision 0, US EPA N,~vemDer 1955; Ex'~a~"'don by EPA Me;hod 5030 (purge aha rca. p). GTEL Torrance, CA T 106009. DOC Page 6 of 6 TEL 6 ~atr~ Soil [ Wale: Other I ' I Ptesz.,rvalion Ice ,acid Chain of Custody .{ ~traCl numtmr ot shipment Special dalecLion LimPJrepor~ing I i' I Omo l Time 'iemperalure received: Received by Received RPPC-32gz 'turnaround time P~larib/Rush 1 Busin~ Day Rush 2 B~ln~ Days ~padlted 5 Business Days 10 Busl~ss Days £c0 FACILITY: ADDRESS : ~ ~_- 2 ~_~ FILE CONTENt'S ENV. SENSITIVITY Activity Date · Of Tanks Comments RESOURCE MANAGEMENT AGENCY RANDALL L. ABBOTT DIRECTOR DAVID PRICE [] A~$_LSTANT DIRECTOR STEVE McCAi; Fy, REHS, DIRECTOR Air Pollution Control Di~ Wn HJd~ J. RODDY, APCO TED JAMES, AICP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT April 30, 1991 Kateri Luka ARCO Products Company P. O. Box 6411 Artesia, CA 90702-6411 Location Known As Permit it : 3220 Ming Avenue, Bakersfield, CA : ARCO AM/PM it583 : 270010 Dear Ms. Luka: Our Department has reviewed the site characterization workplan submitted by Groundwater Technology, Inc. The workplan addressing soil sampling constituents to be analyzed is acceptable, and health and safety considerations are also acceptable, for investigation of extent of contamination present at this former underground tank site. Please notify this office 48 hours prior to retrieving soil samples. Within thirty (30) days after sampling and laboratory analyses are completed, a comprehensive report describing extent of the site contamination must be submitted to this office for review. The report must describe remedial alternatives available and professional recommendations for the most feasible one. If you have any questions you may contact me at (805) 861-3636. Sincerely, Flora Darling, R.E.H.S.// Hazardous Materials Specialist Hazardous Materials Management Program FD:cas cc: Groundwater Technology, Inc. ~270010-h~n14 2700 "M" STRFFT, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 RESOURCE MANAGEMENT AGENCY RANDALL L. ABBOTT DIRECTOR DAVID PRICE [] ASSISTANT DIRECTOR Environmen~ Health Smvice~ Department STEVE McCALLEY, REHS, DIRECTOR Air Pollution Control District WILl.lAM ,I. RODDY, APCO Planning & Development Set~ce~ Department TEl) .JAMES, AICP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT April 19, 1991 Kateri Luka Arco Products Company 17315 Studebaker Road Cerritos, CA 90701-1448 Re: Arco AM PM #583 3220 Ming Ave., Bakersfield, CA Permit #: 270010 Dear Ms. Luka: Our letter of March 15, 1991, describing work necessary to characterize the known contamination at the above-referenced site has remained unanswered. Handbook UT-35 clearly outlines the information required to be reviewed by this office before work may commence and reasonable time guidelines for submittal of workplans. You should contract with an environmental contractor possessing the necessary qualifications immediately with instructions to submit a site characterization workplan to this office for review. The workplan should reach my desk within 15 days of receipt of this letter. If you have any questions contact me at (805) 861-3636, Ext. 549. Sincerely, FD:ch darling~luka.let 2700 "M" STREET, SUITE 300 Flora Darling, R.E.H.S. Hazardous Materials Specialist Hazardous Materials Management Program BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 FAX: (805) 861-3429 Attachment ~B* KERN COUNTY LOCAL AGREEMENT OPTION BETWEEN KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT (Kern County Underground Storage Tank Permitting Authority) AND JOHN TULLY Responsible Party for Underground Storage Tank for: ARCO AM PM #583 Permit #270010 This facility has experienced an unauthorized release of hazardous substances from an underground storage tank. Action is necessary to protect the public health and the environment of the County, pursuant to Chapter 6.7 of the California Health and Safety Code and Chapter 8.48 of the Kern County Ordinance Code. THE WITNESS FOR THE COUNTY AND SIGNATURE(S) FOR A RESPONSIBLE PARTY OF THE SUBJECT FACILITY DESCRIBED ABOVE DO HEREBY AGREE THAT: Kern County Environmental Health Services Department shall act as the lead agency for regulatory oversight for the: a~ Site characterization: the study of a site, including sampling of subsurface soil and water where contamination is found in order to fully assess its extent and threat to the environment. It shall include a discussion of the relative risk to biological receptors and possible pathways of exposure. It may include removal or in-place closure of the tank, disposal or on-site treatment of contaminated backfill or adiacent soil, removal of hazardous substances floating on groundwater, and the drilling of groundwater monitor wells. b~ Feasibility study: the identification and evaluation of feasible alternatives for cleaning up the site and remedying threats to public health and safety. c~ Remedial action plan: the most cost-effective, appropriate plan to lessen, alleviate, abate, correct or clean-up the effects that a release of hazardous substances may have on the environment, based on the feasibility study. d) Remediation: the action chosen by the responsible party and approved by Kern County Environmental Health Services Department for the mitigation and clean-up of contamination resulting from an unauthorized release of hazardous materials and any ongoing monitoring of the site. The responsible party shah do the following: ao Conduct aH work as directed by Kern County Environmental Health Services Department pursuant to State and local law and in conformance with appropriate regulations to assess and remediate the contaminated site. bo Deposit with the Kern County Environmental Health Leaking Underground Storage Tank Local Option Trust Fund the sum of $1,000.00. The Department's oversight activities will be charged against this account at the rate prescribed by Kern County Ordinance Code Chapter 8.04 (currently $50.00 per hour). Monthly statements will be prepared detailing the activities and services provided and the remaining credit balance. Kern County Environmental Health Services Department shah provide the following services: Oversight of all activities to characterize the site's threat to the environment and/or the groundwater, and coordination with the appropriate State, County and local regulatory agencies. Serve as the single contact point for the responsible party's representatives and other regulatory agencies for the activities described in Wa" above. If during the Department's review of the site characterization/remedial action plan, it is determined that a permit may be required by another agency, the responsible party shall be referred to that permitting agency. Review reports, conduct inspections, and oversee monitoring until the site poses no further environmental or public health threat. An official certification letter shall be given to the responsible party when the site is determined to no longer pose a significant threat to the environment. do The responsible party will be officially notified by Kern County Environmental Health Services Department when: Necessary oversight is completed. A final statement will be provided to the responsible party. If there remains an unexpended balance of the deposit made by the responsible party in the Leaking Underground Storage Tank Trust Fund, a refund for the unexpended balance will be issued; - or - Fourteen (14) hours' of billable time has been reached. This will give notice that the available funds will be exhausted after six (6) additional hours of billable time, at which time the agreement will expire. A statement estimating the amount of time necessary to complete any remaining oversight work will be sent. The responsible party will then have another opportunity to renew his agreement with the County. Failure to enter into another agreement shall require Kern County Environmental Health Services Department to utilize the State Water Resources Control Board Pilot Project for which the responsible party may be billed by the State directly for the cost of County services as well as State costs. Kern County Environmental Health Services Department reserves the fight to cancel this agreement at any time for any reasons, including groundwater contamination or a uniquely complex hydrogeological condition. If an unexpended balance remains on deposit from the.~ responsible party under the terms of this agreement, a refund for the unexpended balance will be issued and the agreement terminated. Once the agreement is cancelled, you, as a responsible party, will be enrolled in the State Leaking Underground Storage Tank Pilot Program; see Attachment "D". This agreement may be cancelled any time by either party by certified registered return receipt letter to the other party within five days of said notification. I, (responsible party), have read and agree to the conditions of this agreement for the contaminated site described as: Site Name Site Address Zip Owner Owner's Address CiW Zip Telephone Telephone Attn: Operator Billing Address Permit # In order for this agreement to be executed, it must be signed and accompanied by the deposit of one.thousand doilars ($1000.00). Responsible Party: Date: For the County of Kern: Date: X ,×es CenturY-Cast, . -4 Jllass Underground Storage Tankt .Double Wall "' To: Installation Supervisor From: Xerxes Corporation Subj: Installation Checklist Read the preceding Tank Installation Instructions, then fill in the information below. AS the tank installation progresses, fill in each applicable inspection, testing and installation checklist item below, initialing the items as its conditions are satisfactorily met. (Refer to Installation Instructions for details.) The tank's U.L. number can be found on the U.L. label next to the lifting lug. When the checklist is complete, tear off at the dotted line and mail to: XERXES CORPORATION, 7901 Xerxes Avenue South, Minneapolis, MN 55431. INSTALLATION DATE(S) SITE OWNER 't~/~-'~'~ TANK'S U.L. NUMBER INSTALLATION CONTRACTOR INSTALLATION SUPERVISOR t'.~m~ ,\,~ PRIOR TO INSTALLATION: A. Visual inspection. No evidence (holes, cracks, deep scrapes) in domes, or flats of damage to the tank from physical abuse or a blow from a hard object. ' B. Physical testing. Completed in accordance with current Xerxes Double Wall Installation Instructions (5 psig pressuri- zations and soap test). C. Backfill material (indicate material type). I. Pea Gravel per specification in Insta!lation Instructions. 2. Crushed Gravel or Stone per specification in Installation Instructions. 3. Other (requires specific approval by Xerxes rep.) Describe: D. Excavation hole size. Ho!e dimensions are correct per lnsta!iation Instructions for stable and unstable walls. E. Hole conditions (select one): 1. Dry hole. Ground water elevation not anticipated to reach tank and area not subject to flooding. (Dry hole installation) 2. Wet hole. Ground water elevation expected to reach tank or area subject to flooding. (Wet hole installation) E Traffic load (select one): 1. Traffic loading anticipated. (Requires deep buria! per Instailation Instructions.) 2. No traffic loading. (Allows normal burial per Installation Instructions.) DURING INSTALLATION: A. Backfill material bed is level and at 12" (300mm) minimum depth over native soil or slab prior to setting tanks in place. B. Tanks set in place with correct spacing from wail and other tanks. C. Deadmen and tie downs positioned and secured in accordance with Installation Instructions. (Wet hole installation) D. Backfill material tamped and compacted to fill ail voids around tank. E. Tank properly ballasted during backfill. (Wet hole installation only.) Never fill secondary (external) tank with ballast. F. Tank(s) buried at proper depth to conform to ,,vet or dry hole; traffic or no traffic conditions. iNSTALLATION TESTING: Ail tanks with manways must be inscected from the inside a~er installation. Visually inspect the tank for any sicns (cracks, holes, indentations) of physi~at damage, MEASUREMENT OF DEFLECTIONS: A. All tanks must be measured to determine vertical tank deflection during installation, ln!erior diameter of tan.iI , Interior diameter of tank prior to ~ac~;:!hna.;~,~,l) a~:er back,':!ting,;. .... ~? ~bgrade. Def',ecfion (A) "'"' - (S) Ma.ximum Allowable Deflections: Tank Diameter Deflection 4' 6' / ~, ~.,.v.;., -~' , , , ... · :" ,/'8'~'''I 1 V-." '-~'/:z. ":' "'" :' /' ;~ "I0"~' 1V~" Vertical def',ec:ion in excess of these values indicates improper installation and voids the tank warranty. Ve r~ied by: Y, ERXES PLANT LOCATIONS 342E0 Mills Road '4.,zen. OH :;;',.011 ..!'1'13 P:;:y::o:.ds k? .{'t,i?.;':{. ;:!_ 3?803 Route 3 Sox 10,30 Wiiiiams.,'_,.ort. ?FiD 21795 {301) 223-65'33 'i911 Midland Road R-,cP Hill. "" 229731 515 West South St. Tipton? IA 52772 (319) 886-6'172 XERXES CO}-~POP,,.'.,T'-i OFFiC~ 7~01 .',(e~,':.'es Av.'anue South !iinneapoiis. :-,~;,.~ EE,.1.31 (S'~ 2) 887-I 3g0 !STALLATiON .,--; ~ Century-"~----~ ~iber'~ass Underground Storage Tank(s) Double Wall To: Installation Supervisor From: Xerxes Corporation Subj: Installation Checklist Read the preceding Tank Installation Instructions, then fill in the information below. As the tank installation progresses, fill in each applicable inspection, testing and installation checklist item below, initialing the items as its conditions are satisfactorily met. (Refer to Installation Instructions for details.) The tank's U.L number can be found on the U.L label next to the lifting lug. When the checklist is complete, tear off at the dotted line and mail to: XERXES CORPORATION, 7901 Xerxes Avenue South, Minneapolis, MN 55431. INSTALLATION DATE(S) ./ SITE OWNER.. ',~/~¢~2 TANK'S U.L NUMBER_ INSTALLATION CONTRACTOR INSTALLATION SUPERVISOR PRIOR TO INSTALLATION: A. Visual inspection. No evidence (holes, cracks, deep scraoes) in domes, or fiats Of damage to the tank from physical abuse or a blow from a hard object. ' B. Physical testing. Completed in accordance with current X'erxes Double Wall Installation Instructions (5 psig pressuri- zations and soap test). C. Backfill material (indicate material type). 1. Pea Gravel per specification in Installation Instructions. 2. Crushed Gravel or Stone per specification in Instal!ation Instructions. 3. Other (requires specific approval by Xerxes rep.) Describe: g. Excavation hole size. HoIe dimensions are correct per Instal!etlon lastructions for stable and unstable walls. E. Hole conditions (select one): 1. Dry hole. Ground water elevation not anticipated to reach tank and area not subject to flooding. (Dry hole installation) 2. Wet hole. Ground water elevation expected to reach tank or area subject to flooding. (Wet hole installation) F Traffic load (select one): 1. Traffic loading anticipated. (Requires deep burial per Instai!a~ion Instructions.) 2. No tra,ffic loading. (Allows normal burial per Installation Instructions.) DURING INSTALLATION: A. ~ackfill material bed is level and at 12" (300mm) minimum der. lh over native soil or slab prior to setting tanks in place. S. Tanks set in place with correct spacing from ,,'vail and other tanks. C. Deadmen and tie downs positioned and secured in accordance with Installation Instructions. (Wet hole installation) D. Backfill material tamped and compacted to fill all voids around tank. E. Tank properly ballasted during backfill. (Wet hole installation only.) Never fill secondary (external) tank with ballast. F. Tank(s) buried at proper depth to conform to ,,vet or dry ho!e; traffic or no traffic conditions. INSTALLATION TESTING: All tanks with manways must be insoected from the ins!de aher installation. Visually inspect the tank for any signs (cracks, holes, indentations) of physical damage. MEASUREMENT OF DEFLECTIONS: A. All tanks must be measured to determine vertical tank deflect!ch during installation. Interior Oameter of tank Interior diameler of tank prior to uac~fihing ,~¢ ,-w ;-¢~ ,:) - , Maximum Allowable Deflections: Tank Diameter Deflection 4' /~, :~ ¢, ~-A ,' :/ 2/ ' ~'" 1V.~" Verified by: ,/ Vertical deflection in excess of these values indicates imprc;er :nsta:!ation and voids the tank warranty. ;-',ERXES PI_ANT LOCATIONS ,%2F. 0 Mills Read .-','.,'Ciq. ~'4 ' · "_ £: :--:,i:~: r::.i. ?-':_ ' -!"~;) ,? ,:ii:-. Route 2ox IC~;0 Wiilisr'nscc. rL (3C.",) 1911 Midland Road :-~oc:( ,':hi. SC 29731 ;i703) SSa-,!'tl 5 515 West South St. Tipton. iA 52772 (31:~) 83,5-5i72 :(:E.-'E, :;.E 3 C O R ? O RAT,':: 7201 :-%:-:-.'as Avenue .~c',~'.:'.'~ L'iinn.~:oiis,.,:. ih~, :',.c :.,,~': ..... ~ ]N TALLAT]O N CHEC'-' ]ST - F Xer, xes Century-Ca'~-( ~~ Underground Storage Tank Double Wall To: Installation Supervisor From: Xerxes Corporation Subj: Installation Checklist Read the preceding Tank Installation Instructions, then fill in the information below. As the tank installation progresses, fill in each applicable inspection, testing and installation checklist item below, initialing the items as its conditions are satisfactorily met. (Refer to Installation Instructions for details.) The tank's U.L. number can be found on the U.L label next to the lifting lug. When the checklist is complete, tear off at the dotted line and mail to: XERXES CORPORATION, 7901 Xerxes Avenue South, Minneapolis, MN 55431. INSTALLATION DATE(S) s eOWNe TANX'S U.L NUM E SITE ADDRESS ~ ~. ,~.O INSTALLATION CONTRACTOR INSTALLATION SUPERVISOR ~"~l",/ .~,.~---~1 .~., PRIOR TO INSTALLATION: A. Visual inspection. No evidence (holes, cracks, deep scrapes) in domes, or flats of damage to the tank from physical abuse or a blow from a hard object. B. Physical testing. Completed in accordance with current Xerxes Double Wall Installation Instructions (5 psig pressuri- zations and soap test). C. Backfill material (indicate material type). 1. Pea Gravel per specification in Installation Instructions. 2. Crushed Gravel or Stone per specification in Instal!ation Instructions. 3. Other (requires specific approval by Xerxes rep.) Describe: D. Excavation hole size. Hole dimensions are correct per Installation Instructions for stable and unstable walls. E. Hole conditions (select one): i. Dry hole. Ground water elevation not anticipated to reach tank and area not subject to flooding. (Dry hole installation) 2. Wet hole. Ground water elevation expected to reach tank or area subject to flooding. (Wet hole installation) F Traffic load (select one): 1. Traffic loading anticipated. (Requires deep burial per Installation Instructions.) 2. No traffic loading. (Allows normal burial per Installation Instructions.) DURING INSTALLATION: A. Backfill material bed is level and at 12" (300mm) minimum depth over native soil or slab prior to setting tanks in place. B. Tanks set in place with correct spacing from wall and other tanks. C. Deadmen and tie downs positioned and secured in accordance wiIh Installation Instructions. (Wet hole installation) D. Backfill material tamped and compacted to fill all voids around tank. E. Tank properly ballasted during backfill. (W'et hole installation only.) Never fill secondary (external) tank with ballast. F Tank(s) buried at proper Cepth to conform to ,,vet or dry hole; traffic or no traffic conditions. INSTALLATION TESTING: Ail tanks with manways must be inspected from the inside after installation. Visually inspect the tank for any signs (cracks, holes, indentations) of physical damage. MEASUREMENT OF DEFLECTIONS: A. All tanks must be measured to determine vertical tank deflection during installation. (Al - Maximum Allowable DeflecTions: Tank Diameter 4' Deflection Verified by: Vertical deflection m excess of theee values indica[es imcroeer ins~al!ation and voids the tank warranty. XF_.~XES PLANT LOCATIONS ,34250 t,,.li!ls Road Avon. CH 44011 $-:-:? .: :.:-7~:ci:~s ~:::.:-~. Route .~ox Y'/iifismspc rt. .?]i ) 191I hlidland.,Road Sock,,nl. SC 29731 (5':'~'.: ~ 3'1'2-0'5':-':' 0 515 West South St. ~ ip~on, IA 52772 (319) 886-6'i72 XEF;;{ES COFFCRA'TF: OFFICE 7~0-i Xerxes .':v,/enue South ':'..l;n::ea soiis. ;'..i ;'-I {.-3.12) 857-! 39,.3 !NSTALLATION -. U.demround Storage Tank(s) Double Wall' To: Installation Supervisor From: Xerxes Corporation Subj: Installation Checklist Flead the preceding Tank Installation Instructions, then fill in the information below. As the tank installation progresses, fill in each applicable inspection, testing and installation checklist item below, initialing the items as its conditions are satisfactorily met. (Flefer to Installation Instructions for details.) The tank's U.L number can be found on the U.L. label next to the lifting lug. When the checklist is complete, tear off at the dotted line and mail to: XERXES CORPORATION, 7901 Xerxes Avenue South, Minneapolis, MN 5543'1. INSTALLATION DATE(S) / "' Z'~""'"' '~,,/ SITE OWNER /"/.'~C~) TANK'S U.L. NUMBER ,2. '~'.~_. SiTE ADDRESS INSTALLATION CONTRACTOR ,¢~/,~-,d:~.~--~Aj.~:..,,~..,~,,_,.~.,~,,..~%~/./,..,:,,..,/~../,:lA/c .... ' s .... INSTALLATION SUPERVISOR _./"""',~/,~,,,~ ~,:~:~/,¢/2~ PRIOR TO INSTALLATION: A. Visual inspection. No evidence (holes, cracks, deep scrapes) in domes, or flats Of damage to the tank from physical abuse or a blow from a hard object. B. Physical testing. Completed in accordance with current Xerxes Double Wall Installation Instructions (5 psig pressuri- zations and soap test). C. Backfill material (indicate material type). 1. Pea Gravel per specification in Installation Instructions. 2. Crushed Gravel or Stone per specification in Installation Instructions. 3. Other (requires specific approval by Xerxes rep.) Describe: D. Excavation hole size. Hole dimensions are correct per Installation Instructions for stable and unstable walls. E. Hole conditions (select one): 1. Dry hole. Ground water elevation not anticipated to reach tank and area not subject to flooding. (Dry hole installation) 2. Wet hole. Ground water elevation expected to reach tank or area subject to flooding. (Wet hole installation) F. Traffic load (select one): 1. Traffic loading anticipated. (Requires deep burial per Installation Instructions.) 2. NO traffic loading. (Allows normal burial per Installation Instructions.) DURING INSTALLATION: A. Backfill material bed is level and at 12" (300mm) minimum depth over native soil or slab prior to setting tanks in place. B. Tanks set in place with correct spacing from wall and other tanks. C. Deadmen and tie dovvns positioned and secured in accordance wiin Installation Instructions. (Wet hole installation) D. Backfill material tamped and compacted to fill all voids around tank. E. Tank properly ballasted during backfill. (Wet hole installation only.) Never fill secondary (external) tank with ballast. E Tank(s) buried at proper depth to conform to ,,'vet or dry hole; traffic or no traffic conditions. INSTALLATION TESTING: Ail tanks with manways must be insoected from the inside after installation. Visually inspect the tank for any signs (cracks, holes, indentations) of physical damage. MEASUREMENT OF DEF.LECTIONS: A. Ail tanks must be measured to determine vertical tank deflection during installation. pnor to bac~;dhncl. /. a~er isacxfiih,~ tcz~su[.gfade Defie-ction (A) ' / Z. - (B) :" = Maximum Allo,.`v, ab!e Deflections: Tank Diameter Deflection 4' V~" .~;,. ~,:" :' -.-. ,- ~.-' ,:5.. '-,: ~ / ~t o' t,/~" Verified by: Vertical d~,~.c.,on in excess of these values indicates improper ins:ailation and voids the tank warranty. ..~m..,:~ PLANT LOCATIONS 54250 hliI!s Road (2-: S) 32'7-.'305 ~ Rou~e 3 Sox !060 (SS~) 223-S'3S:; 19il Midland Road >~ec=,.' Hill. SC 29731 ?.C.. /:o:r :~0.35 (..7'12; 515 West South St. Tipton, IA 52772 (S'~ S) aas-,s'i 7~ :(ER.'(ES CO~:-'Oi-~.,-"~'F~ OFF;CE 77:91 Xerxes Ave~ue Souti~ ?'Jinneapolis, ;YiN 55431 (S:2~ S37-'IS~O ,L 'I ..)0.0 ,.I EXISTING APPROACH .< ¢9 Z t.u' t CONC BLOCK EXISTING PARKING SPACIES x ×--a L. ' ? ._! $ohn Tully March 8, 1991 Page 2 site remediation, and ongoing monitoring is not covered by any fees or permits. These costs are recovered by Kern County Environmental Health Services Department in one of the two methods described below. It is your responsibility to select the method of oversight cost recovery under the terms of (A) State contract or (B) County of Kern Local Agreement Option. These options pertain only to costs associated with oversight. (A) STATE CONTRACT The State Leaking Underground Storage Tank Pilot Program provides a mechanism for the State to reimburse the County for County oversight. The County will conduct the necessary oversight and bill the State Water Resources Control Board under this State contract. The State will then charge you, a responsible party, for the costs incurred by both the County and the State, pertaining to your site, under the State terms explained below: Whereas the federal Petroleum Leaking Underground Storage Tank Trust Fund provides funding to pay the local and state agency administrative and oversight costs associated with the cleanup of releases from underground storage tanks; and Whereas the Legislature has authorized funds to pay the local and state agency administrative and oversight costs associated with the cleanup of releases from underground storage tanicq; and Whereas the direct and indirect costs of overseeing removal or remedial action at the above site are funded, in whole or in part, from the federal Trust Fund; and Whereas the above individual(s) or entity(les) have been identified as the party or parties responsible for investigation and cleanup of the above site; YOU ARE HEREBY NOTIFIED that pursuant to Title 42 of the United States Code, Section 699lb(h)(6) and Section 25360 of the Health and Safety Code, the above Responsible Party or Parties shall reimburse the State Water Resources Control Board not more than 150 percent of the total amount of site-specific oversight costs actually incurred while overseeing the cleanup of the above underground storage tank site, and the above Responsible Party or Parties shall make full payment of such costs within 30 days of receipt of a detailed invoice from the State Water Resources Control Board. (B) COUNTY OF KERN LOCAL AGREEMENT OPTION Kern County Environmental Health Services Department is providing this option for those who prefer to pay the County directly and avoid the addition of State costs. Prior to the County's performance of services, this option requires your deposit of $1,000.00 (one thousand dollars) with the County to be held in the Local Option Trust Account. Charges for County oversight are made against this account. In this option, a responsible party must enter into a County agreement, Attachment "B". The environmental sensitivity (Attachment "C") of this site has been reviewed by Environmental Health Services Department to determine the potential threat for groundwater contamination. Only sites determined to be non-environmentally sensitive may enroll in the Local Option Agreement. The site described above is not in an environmentally sensitive area and may be enrolled in the Local Agreement Option; March 8, 1991 Page 3 however, the County of Kern reserves the fight to cancel any Local Agreement Option should it be discovered that groundwater contamination or a unique, complex hydrogeological condition exists. In such cases, Environmental Health will. utilize the State contract to pay for County oversight actMties. The County of Kern reserves this right for any site even when the site is located in a non-environmentally sensitive area. It is necessary for you to respond, in writing, within ten (10) calendar days of receipt of this letter to advise Kern County Environmental Health Services Department of your choice: either the State contract or the County's Local Agreement Option. If you select the County's Local Agreement, please complete and sign the Local Agreement (Attachment B), and return it with your check for $1,000.00 (one thousand dollars) made payable to the County of Kern, addressed to Kern County Environmental Health Services Department, 2700 M Street, Suite 300, Bakersfield, CA 93301, Attention: Accounting - Local Agreement Option. If you select the State contract, please indicate, in writing, that you have made this selection and that you have read the above official notification. Failure to respond within ten (10) calendar days to this notice will automatically result in oversight cost recovery for your site(s) to be placed under the terms of the State contract for Leaking Underground Storage Tanks. If you should have any questions regarding this matter, please contact Susan Gonzales at (805) 861-3636, Extension 510. Singe-~xely, fx /-. ~t~ve McCalley, Director ( ~ Environmental Health Services D~ment SMC:cas Attachments ~270010.clt RANDALL L. ABBOTT DIRECTOR DAVID PRICE [] ASSISTANT DIRECTOR Envirommmtal Health ~ Dqxu'tm~nt STEVE McCa,! ~ Fy, REHS, DIRECTOR Air Pollution Control DiStrict WILLIAM J. RODD¥, APCO Planning & Devdopm~t ~ Department ~ JAMF.~, .~IGP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT March 8, 1991 John Tully ARCO Products Company 17315 Studebaker Road Cerritos, CA 90701 SUBJECT: Location: Known as: PERMIT #: 3220 Ming Avenue Bakersfield, CA 93304 ARCO AM PM #583 270010 Dear Mr. Tully: This letter is an official notice to inform you that the property described above has been determined by Kern County Environmental Health Services Department to be the site of an unauthorized release of hazardous materials from an underground storage tank. This notice is sent to you because our records indicate that you are a responsible party for this property. As a responsible party, you must provide for all studies and work relating to the above- described property and the cost for oversight of these activities. California Health and Safety Code, Chapter 6.7, and Kern County Ordinance Code, Chapter 8.48, require a determination of the threat to the environment as a result of this release. THE RESPONSIBLE PARTY SHALL, ON A TIMELY BASIS, DEVELOP A SITE CHARACTERIZATION, FEASIBILITY STUDY AND REMEDIAL ACTION PLAN FOR KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT'S REVIEW AND APPROVAL BEFORE THE WORK IS INITIATED. Enclosed you will find Attachment "A", Handbook UT-35, which states the minimum required site work plan activities, the necessary requirements for selecting environmental contractors qualified to perform this work, a glossary of terms, example illustrations, and a section discussing the answers to commonly asked questions. The cost incurred by Kern County Environmental Health Services Department for the oversight of the work for the site characterization, feasibility study, remediation action plan, 2700 "M" STREET, SUrl'E 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 P 540 626 147 RECEIPT FOR CERTIFIED MAIL NO iNSURANCE COVERAGE PROVIOED NOT F0R INTERNATIONAL MAIL (See Reverse) Sent to JOHN TULLY ARCO PRODUCTS COMPANY 17315 STUDEBAKER ROAD CERRITOS, CA 90701 Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered Return Receipt showing to whom, Date, and Address of Delivery TOTAL Postage and Fees Postmark or Date " "~ ~D TOR~ DAVID~ PRICE ill ASSISTANT DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT ' ' ...¢~.~. ~ ............. /~./ ................. ::' .... ,:..,'" ~ :. ~ ...... :' .',. ,,,', ,"', ,:~. :.':: ~-'.. , ......_.._,: ~ go ~,;©~ ,4~.. ~,~-k~,~-s-'~2r/Z).r u~/ll . .............................. : ................................ ./,, .......... :':::fYT:FY UNDER PENALTY OF :~' : ~.'. ' ~ ' :':¥ "~ ,'~. ': '~.'~.~....,~.J .....~.~l.~......4'~......h,~_~.....:~.~J/~,.~.~.&~. AS ~.'~i',~'~L.~:=~ ~.i',i A I'/tAi',~NE~' ',: ;'¢,~-~:;':.~-'~,.~',~: :/,~(.":',~ ;'3PEC~F~CAT~ONS PROVIDED ' E.;C;:,.'.. ~?¢~¢'L.~:~1-~"i'b,., ~ :'~'4(~ .'~,. ~Fhl~' ~ ,:.:' ..... ,'..~:'~ (~,TATF AND FEOERAL LA~S REGUL. ATZi'~G . . ................. ~ ........... ~ ............................................... · ................ ...,.,~.~.:.~,,..=...~,~,,~.~.~ 27~ M ST~ET, SUI~ 3~ B~ERSFIELD, C~IFO~ ~0t ................... 7'"(~T'~:~ ......... F~: (~5) ~1-34~ MARK ONLY [] I NEW' PERMIT ** STATE OF CAUFORI~A . . STATE WATER RESOURCES CONTROL BOARD' *.... : UNDERGROUND STORAGE TANK PERMIT 'APPLICATION`. FORM ..:~ I [] 3 RENEWAL PERMIT 4~5 CHANGE OF INFORMATION, [] *7'PERMANENTLY CLOSED SITE ONE ITEM [] 2 INTERIM PERMIT I-~ 4 AMENDED PERMIT i---'] 6 TEMPORARY SITE CLOSURE '' I. FACILITY/SITE INFORMATION & ADDRESS- (MUST BE COMPLETED) DBA OR FACILITY NAME , NAME OF OPERATOR ADDRESS { NEAREST C ROSS STREET P'ARCEL # (OPTIONAL) CODE v/ BOX ~:'CORPORATIO. ~ INDIVIDUAL ~ PARTNERSHIP ~ LOCAL-AGENCY TO INDICATE ENCY [~[ STArE"AGENCY ~ FEDERAL-AGENCY ~.~' DEITRICTS TYPE OF BUSINESS ~ I GAS STAT,ON [---'] 2 DISTRIBUTOR I---[ .v' IF INDIAN ,, OF TANKS AT SITE, E. p.A.I.D.,(optional) RESERVATION [:~ 3 FARM ~:] 4 PROCESSOR [~] 5 OTHER OR TRUST LANDS I I EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY). optional DAYS: NAME (LAST. FIRS'~ PHONE #.WITH AREA CODE ~- DAYS: NAME (LAST. FIRST) PHONE # WITH AREA CODE NAME (LAST. FIRST) PHONE # WITH AREA CODE NIGHTS: NAME (LAST. FIRST) PHONE # WITH AREA CODE II. NAME PROPERTY OWNER INFORMATION- (MUST BE COMPLETED) CARE OF ADDRESS INFORMATION ,/' box ~oindicate ~-~ INDIVIDUAL ~ LOCAl-AGENCY [~] STATE-AGENCY :." "{~ ~a' 'p'~? ~'~ CORPORATION [~ PARTNERSHIP [:~ COUNTY-AGENCY ~ FEDERAL-AGENCY STATE ZIP CODE PHONE ~ WITH AREA CODE " ' :'-"t-.,, MAILING OR STREET ADDRESS C~TY NAME III. TANK OWNER INFORMATION - (MUST BE COMPLETED) NAME OF OWNER CARE OF ADDRESS INFORMATION MAILING OR STREET ADDRESS v/ box Ioindica~e ~ INDIVIDUAL I'~ LOCAL-AGENCY [~ STATE-AGENCY [:~CORPORATION F'~ PARTNERSHIP ~ COUNTY"AGENCY [:~ FEDERAL-AGENCY CITY NAME STATE ZiP CODE PHONE # WITH AREA CODE IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER- Call (916) 739-2582 if questions arise. TY (TK) HQ ~-I-" ': .... -' "'- '~ V. LEGAL NOTIFICATION AND BILLING ADDRESS Legal notification and billing will be sent to the tank owner unless box I or II is checked. ICHECK USED FOR LEGAL NOTIFICATIONS AND BILLING: I. [] II. [] II1. [] ONE BOX INDICATING WHICH ABOVE ADDRESS SHOULD BE THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE. IS TRUE AND CORRECT LOCAL AGENCY USE ONLY COUN ,'TY # JURISDICTION # FACILffY # LOCATION CODE - OPTIONAL CENSUS TRACT # - OPTIONAL SUPVISOR - DISTRICT CODE - OPTIONAL THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR MORE PERMIT APPLICATION - FORM B~ UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY. FORM A (9-90) FOR0033A-R2 MARK ONLY [] ONE ITEM [] 2 INTERIM PERMIT STATE WATER RESOURCES CONTROL BOARD, UNDERGROUND STORAGE TANK PERMIT CO~L~E A SEPARATE FORM FOR EA~'T~'SYS~L ~ 4 ~ENDED PERMIT ~ 6 ~Mm~ TANK cLOSURE DBA OR FACILITY NAME WHERE TANK IS INSTALLED: I. TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN IA. OWNER'S TANK,.D., / / B. MANU AC REDBY; C. DATE iNSTALLED (MO/DAY/YEAR) '-- /Z.~ ~ i I D. TANK CAPACITY IN GALLONS: II. TANK CONTENTS IFA-1 IS MARKED. COMPLETEITEM C. · ~ la REGULAR [] 3 DIESEL A. ~'1 MOTOR VEHICLE FUEL [] 4 OIL B. C. ~ ~J. INLEADED [] 6 AVIATION GAS ~ 2 PETROLEUM ~ ~0 EMPTY [] '1 PRODUCT I-~-bPREMIUM [] 4 GASAHOL [] 7 METHANOL UNLEADED [] 5 JET FUEL ~_~ 3 CHEMICAL PRODUCT [] 95 UNKNOWN [] 2 WASTE [] 2 LEADED [] 99 OTHER (DESCRIBE IN ITEM D. BELOW D. IF (A.1) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED C.A.S. #: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, ANDC, AND ALL THAT APPLIES IN BOX D A. TYPE OF []' 1 DOUBLE WALL SYSTEM [] 2 SINGLE WALL ] 3 SINGLE WALL WiTH EXTERIOR LINER [] 95 UNKNOWN [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER B. TANK [~ 1 BARE STEEL MATERIAL [] 5 CONCRETE (PdmaryTank) [] 9 BRONZE ] 2 STAINLESS STEEL [~ 3 FIBERGLASS [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] GALVANIZED STEEL [] UN OWN ] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC [] 8 100% METHANOL CQMPATIBLEW/FRP ] 99 OTHER [] 1 RUBBER LINED [] 2 ALKYD LINING [] 3 EPOX~ LINING [] 4 PHENOLIC LINING C. INTERIOR [] 5 GLASS LINING [~'(~' UNLINED [] 95 UNKNOWN [] 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES__ NO__ O. CORROSION ~ 1 POLYETHYLENE WRAP [] 2 COATING [] 3 VINYL WRAP PROTECTION ~ 5 CATHODIC PROTECTION [] 91 NONE F-"-I 95 UNKNOWN F~I g9 OTHER FIBERGLASS REINFORCED PLASTIC IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A~ U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A.U' '2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND CORROSION PROTECTION D. LEAK DETECTION 1 BARESTEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE(PVC)A'U(~..~, FIBERGLASS PIPE A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING A U 8 100% METHANOL COMPATIBLEW/FRP A U 9 GALVANIZED STEEL A U lO CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER []'1 AUTOMATIC LINE LEAK DETECTOR [~ 2 LINE TIGHTNESS TESTING I-7~'~JqNTERSTITIAL ~ MONITORING [] 99 OTHER V. TANK LEAK DETECTION [] 6 TANK TESTING E~' 7 INTERSTITIAL MONITORING [] 91 NONE [] 95 UNKNOWN [] 99 OTHER VI. TANK CLOSURE INFORMATION I1. ESTIMATED DATE LAST USED (MO/DAY/YR) 2. ESTIMATED QUANTITY OFsuBSTANCE REMAINING GALLONS 3. WAS TANK FILLED WITHiNERT MATERIAL ? YES ~-_-] NOF'-) TH/S FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT I APPLICAN~SNAME I DATE (PRINTED & SIGNATURE) LOCAL AGENCY USE ONLY THE STATE I.D. NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW COUNTY #JURISDICTION # FACILITY # TANK # STATEI.D.# ~ I I I I I-:l;I,--'-,Io-I/Iol PERMIT NUMBER ' FORM B (9-90) PERMIT APPROVED BY/DATE PERMIT EXPIRATION DATE THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION · FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FOROOa4B*R4 MARK ONLY ONE ITEM · STATE OF CAUFORtJIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION.~ FORMS' *'~* ' , '* COMPLETE A SEPJ~ATE FORM FOR EACH TANK SYSTE~ . . *';:;:.~:i:'.: ~ · [-~ 1 NEW PERMIT [] 3 RENEWAL PERMIT ~"'~"CHANGE OF INFORMATION ~ 7 PERMANENTLY CLOSED ON SiTE [] 2 INTERIM PERMIT [] 4 AMENDED PERMIT [] 6 TEMPORARY TANK CLOSURE [] 8 TANK REMOVED DBAOR FACILITY NAME WHERE TANK IS INSTALLED: "~/~1/ /L!, I. TANK DESCRIPTION COMPLETE ALL ~TEMS -- SPEC~F';' IF UNKNOWN A. OWNER'S TANK I.D.# ~ C. DATE iNSTALLED (MO/DAY/YEAR) S. MANUFACTURED BY: D. TANK CAPACI'fY IN GALLONS:/~-~ .-.~C.~. II.TANK CONTENTS iF A-1 IS MARKED, COMP!~ETE ITEM C. A. ~.~"1' MOTOR VEHICLE FUEL [] 4 OIL B. " C. [] laREGULARuNLEADED [][] 43 GASAHoLDIESEL [] 6 AVIATION GAS ~ 2 PETROLEUM [] 80 EMPTY [~"1 PRODUCT [] lbPREMIUM [] 7 METHANOL _,-.-.~tNLEADED [] 5 JET FUEL [] 3 CHEMICAL PRODUCT [] 95 UNKNOWN [] 2 WASTE [~2 LEADED [] 99 OTHER (DESCRIBE IN ITEM D. BELOW) D. IF (A.1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED C.A.S. #: III. TANK CONSTRUCTION MARK ONE iTEM ONLY IN BOXES A, B, ANDC, ANDALLTHATAPPLIESINBOXD A, TYPE OF [~' 1 DOUBLE WALL SYSTEM [] 2 SINGLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER B. TANK [] 1 BARE STEEL MATERIAL [] 5 CONCRETE (PrimaryTank) [] 9 BRONZE ] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 10 GALVANIZED STEEL [] 95 UNKNOWN ] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC ] 8 100% METHANOL COMPATIBLE W/FRP ] 99 OTHER [] 1 RUBBER LINED [] 2 ALKYD LINING [] 3 EPOXY LINING C. INTERIOR [] 5 GLASS LINING [] 6 UNLINED [] 95 UNKNOWN LINING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES_ NO__ ] 4 PHENOLIC LINING ] 99 OTHER D. CORROSION [] 1 POLYETHYLENE WRAP [] 2 COATING PROTECTION ~ 5 CATHODIC PROTECTION [] 91 NONE ] 3 VINYL WRAP [] 95 UNKNOWN E~*~' FIBERGLASS REINFORCED PLASTIC [99 OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IFUNOERGROUNO. BOTH IF APPLICABLE A. SYSTEMTYPE A U 1 SUCTION A U' 2 PRESSURE A U 3 GRAVITY A U 99 OTHER 8. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND CORROSION PROTECTION D. LEAK DETECTION V. TANK LEAK DETECTION BARESTEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE(PVC)A U.,4 FIBERGLASS PIPE ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING A U 8 100% METHANOL COMPATIBLEW/FRP GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN. A U 99 OTHER AUTOMATIC LINE LEAK DETECTOR [] 2 LiNE TIGHTNESS TESTING r~' 3 INTERSTITIAL MONITORING [] 99 OTHER [] 1 VISUAL CHECK [] 2 INVENTORY RECONCILIATION [] 3 VAPOR MONITORING []'"~t' AUTOMATIC TANK GAUGING [] 5 GROUNDWATER MONITORING [] 91 NONE [] 95 UNKNOWN [] 99 OTHER TANK TESTING []' 7 INTERSTITIAL MONITORING VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE LAST USED (MO/DAY/YR) I 2. ESTIMATED QUANTITY OF 3. WAS TANK FILLED WITH YES [] NO [] I SUBSTANCE REMAINING GALLONS iNERT MATERIAL ? THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT I APPLICAN'PSNAME I DA'r[ (PRINTED l SIGNATURE) LOCAL AG ENCY USE ONLY THE STATE I.D. NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW COUNTY # JURISDICTION # FACILITY # TANK # ,/ PERMIT NUMBER PERMIT APPROVED BY/DATE PERMIT EXPIRATION DATE FORM B (9-90) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION - FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FOROO;4B-R4 MARK ONLY ONE iTEM STATE WATER RESOURCES CONTROL BOARD ' UNDERGROUND STORAGE TANK PERMIT APPLICATION~-': FORM!B,~!'!;~:~!:i~' [] 1 NEW PERMIT [] 3 RENEWAL PERMIT CHANGE OF'INFORMATION '.r--~.;-,7 ~,PERMANENTrY CLOSED ON SITE ~--~ 2 INTERIM PERMIT [] 4 AMENDED PERMIT [] 6 TEM'~ORARy TANK cI:OSURE]---] S~T~'~I~OWD":"-; r*~:"" "~' t DBA OR FACILITY NAME WHERE TANK IS INSTALLED:. ~t ~ (: ~- ~ ,'~/J~/~/ / I. TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN II. TANK CONTENTS IFA-1 IS MARKED, COMPLETE ITEM C. y ' ~'~7~;aUNLEADEDREGULAR [] 3 DIESEL [] 6 AVIATION GAS A. [~1 MOTOR VEHICLE FUEL [] 4 OIL B. C. ~ 2 PETROLEUM [] 80 EMPTY ~ 1 PRODUCT [] lbPREMIUM [] 4 GASAHOL [] 7 METHANOL UNLEADED [] 5 JET FUEL ~-~ 3 CHEMICAL PRODUCT [~ 95 UNKNOWN [] 2 WASTE [] 2 LEADED [] 99 OTHER (DESCRIBE IN ITEM D. BELOW) D. IF (A,1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED C, A. S. #: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, ANDC, ANDALLTHATAPPLIESINBOXD A. TYPEOF ~"i DOUBLE WALL [] 3 SINGLE WALL WiTH EXTERIOR LINER SYSTEM [] 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT (VAULTED TANK) B. TANK [] 1 BARE STEEL [] 2 STAINLESS STEEL [~'~ FIBERGLASS MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM (PrimaryTank) [] 9 BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN ] 95 UNKNOWN ] 99 OTHER [] 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC ] 8 100% METHANOL COMPATIBLE W/FRP ] 99 OTHER [] 1 RUBBER LINED [] 2 ALKYD LINING [] C. INTERIOR LINING [] 5 GLASS LINING [] '6 UNLINED [] IS LINING MATERIAL COMPATIBLE WITH 1005'o METHANOL ? YES 3 EPOXY' LINING [] 4 PHENOLIC LINING 95 UNKNOWN [] 99 OTHER __ NO__ D. CORROSION ~ 1 POLYETHYLENE WRAP [] 2 COATING [] 3 VINYL WRAP PROTECTION [] 5 CATHODIC PROTECTION [] 91 NONE [] 95 UNKNOWN [~BERGLASS REINFORCED PLASTIC ] 99 OTHER IV. PIPING INFORMATION CIRCLE A IFABOVEGROUNDOR U IFUNDERGROUNO. BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A ,1~'~2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U I SINGLE WALL A.U '2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A [/ 99 OTHER C. MATERIAL AND CORROSION PROTECTION D. LEAK DETECTION BARESTEEL A U 2 STAINLESS STEEL A U 3 POLYVlNYL CHLORIDE(PVC)A ~j4 FIBERGLASS PIPE ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING A U 8 100% METHANOL COMPATIBLEW/FRP GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [--~3']N~TIT!AL ~ MONiTORING r~ 99 OTHER V. TANK LEAK DETECTION '._~ ~ WSUAL OHECK [] ~ ,NVENTORY RECONO,UAT,ON [] ~ VAPOR MON,TOR,NG AUTOMAT,C TANK GAUGING [] 5 GROUNDWATER MON,TOR~NG [] 6 TANK TESTING [~-~"7 INTERSTITIAL MONITORING [] 91 NONE [] 95 UNKNOWN [] 99 OTHER VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE LAST USED (MO/DAY/YR) 2. ESTIMATED QUANTITY OF 3. WAS TANK FILLED WITH YES [] NO [] SUBSTANCE REMAINING GALLONS INERT MATERIAL ? THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT I APPLICANTS NAME I DATE (PRINTED & SIGNATURE) LOCAL AG ENCY USE ONLY THE STATE I.D. NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW COUNTY # JURISDICTION # FACILITY # STATE,.D.# II I;"'"! TANK PERMIT NUMBER ~; - ,,-' PERMIT APPROVED BY/DATE PERMIT EXPIRATION DATE FORM B (9-90) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPUCATION - FORM A, UNLESS A CURRENT FORM A HAS BEEN'FILED. MARK ONLY [~ ONEITEM [] 2 INTERIM PERMIT STATE OF CALIFOI~DA - STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT 'APPLICATION -FORM' B COMPI~ETE A *"*:" . SEPARATE FORM'FOR EAC~TANK SYSTEM. ' ", '" .... 1 NEW PERMIT [] 3 RENEWAL PERMIT CHANGE OF INFORMATION [] 7 PERMANENTLY CLOSED ON SITE [] 4 AMENDED PERMIT [] 6 TEMPORARY TANK CLOSURE [~i 8 .TANK REMOVED DBAOR FACILITY NAME WHERE TANK IS INSTALLED: /~-~yl~/>/*~P'] ~ (.~ _<:~' .~.. ~ I. TANK DESCRIPTION COMPLETE ALL ~TEMS - SPECIFY IF UNKNOWN C. DATE iNSTALLED (MO/DAY/YEAR) "~ / / ,_//,y ? t D. TANK C 'AC,TY ,, GALLONS:., II. TANK CONTENTS ~FA-1 IS MARKED, COMPLETE ITEM C. ' .,. [~-,~l'a REGULAR [] 3 DIESEL [] 6 AVIATION GAS A. MOTOR VEH,CLE FUEL [] ~ 3 CHEMICAL PRODUCT ~ 95 UNKNOWN ~ 2 W~TE ~ 2 L~DED ~ 9g O~ER (DESCRIBE IN I~M O. BELOW D. IF (A.1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED C.A.S. ·: III. TANK CONSTRUCTION MARK ONE ITEM ONLY tN BOXES A, B, ANDC, ANDALLTHATAPPLIESINBOXD A. TYPE OF [~/1 DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER SYSTEM [] 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT (VAULTED TANK) B. TANK [] 1 BARE STEEL [] 2 STAINLESS STEEL ~'3'~ FIBERGLASS MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM (PrimaryTank) [] 9 BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN ] 95 UNKNOWN ] 99 OTHER ] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTI( ] 8 100% METHANOL COMPATIRLEW/FRP ] 99OTHER ~ 1 RUBBER LINED ~ 2 ALKYD LINING ~ 3 EPOXY LINING C. INTERIOR ~ ~ 5 GLASS LINING ~ 6 UNUNED [] 95 UNKNOWN LINING IS LINING MATERIAL COMPATIBLE WiTH 100% METHANOL ? YES__ NO__ ] 4 PHENOLIC LINING ] 99 OTHER D, CORROSION ~ 1 POLYETHYLENE WRAP [] 2 COATING [] 3 VINYL WRAP PROTECTION [] 5 CATHODIC PROTECTION ~ 91 NONE [] 95 UNKNOWN [] 99 OTHER [~]'~'FIBERGLASS REINFORCED PLASTIC IV. PIPING INFORMATION CIRCLE A IFABOVEGROUNDOR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A .U 1'2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U' 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND CORROSION PROTECTION D. LEAK DETECTION V. TANK LEAK DETECTION A U I BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A(~U~, 4 FIBERGLASS PIPE A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING A U 8 IO(P/o METHANOL COMPATIBLEW/FRP A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER ~'1 AUTOMATIC LINE LEAK DETECTOR [~ 2 LINE TIGHTNESS TESTING r-~~J iN~TERST~TIAL ~ MONITORING [] 99 OTHER VISUAL CHECK [] 2 INVENTORY RECONCILIATION [] 3 VAPOR MONITORING [~AUTOMATIC TANK GAUGING [] 5 GROUNDWATER MONITORING TANK TESTING []'7 INTERSTITIAL MONITORING [] ~1 NONE [] 95 UNKNOWN [] 99 OTHER VI. TANK CLOSURE INFORMATION I1. ESTIMATED DATE LAST USED (MO/DAY/YR) 2. ESTIMATED QUANTITY OF 3. WAS TANK FILLED WITH YES [] NO [] SUBSTANCE REMAINING GALLONS INERT MATERIAL ? THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT IAPPLICANT'S NAME IDATE I (PRINTED & SIGNATURE) LOCAL AGENCY USE ONLY THE STATE I.D. NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW COUNTY # JURISDICTION # FACILITY # TANK # PERMIT NUMBER *; PERMIT APPROVED BY/DATE .- PERMIT EXPIRATION DATE ',, ~. ~ ,-./t,:*1 FORM B (9-90) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPUCATION - FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FOROO34B-P.4 MARK ONLY ]-~ ONE ITEM [] 2 INTERIM PERMIT CONTROL*BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION:'- COUPLER A sEPARATE FORM FOR EACH,~K Sys~.*?.~*;*. DRA OR FACILITY NAME WHERE TANK IS INSTALLED: . .~ .: I. TANK DESCRIPTION COMPLETE ALL ~TEMS - SPECIFY IF UNKNOWN A. OWNER'S TANK I. D. # ~ C. DATE INSTALLED (MO/DAY/YEAR) .. B. MANUFACTURED BY: ' , ~.~*' ,',. \~ ' I D. TANK CAPACITY IN GALLONS: ~,~ r"~ II. TANK CONTENTS ~F A*I IS MARKED, COMPLETE ITEM C. A. [~..'~1 MOTOR VEHICLE FUEL [] 4 OIL B. C. [] la REGULAR [] 3 DIESEL [] 6 AVIATION GAS UNLEADED [] 4 GASAHOL [] 2 PETROLEUM F~ 80 EMPTY [] I PRODUCT [] lb PREMIUM [] 7 METHANOL UNLEADED [] 5 JET FUEL ~ 3 CHEMICAL PRODUCT [] 95 UNKNOWN [] 2 WASTE [] 2 LEADED [] 99 OTHER (DESCRIBE IN ITEM D. BELOW D. IF (A.1)IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED C.A.S. #: III, TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, ANDC, ANDALLTHATAPPLIESINBOXD [] lo,DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN A. TYPE OF SYSTEM ~2 SINGLE WALL L_J 4 SECONDARY CONTAINMENT (VAULT~EDTANK) [] 99 OTHER B. TANK ~ 1 BARE STEEL MATERIAL [] 5 CONCRETE (Primary Tank) [] 9 BRONZE ] 2 STAINLESS STEEL [:.~FIBERGLASS [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 10 GALVANIZED STEEL [] 95 UNKNOWN ] 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC ] 8 100% METHANOL COMPATIBLEW/FRP ] 99 OTHER [] I RUBBER LINED [] 2~..AJJ(YD LINING [] 3 EPOX~ LINING C. INTERIOR ~ 5 GLASS LINING [~"~6 UNLINED [] 95 UNKNOWN LINING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES__ NO__ O. CORROSION [] 1 POLYETHYLENE WRAP [] 2 COATING [] 3 VINYL WRAP PROTECTION ~ 5 CATHODIC PROTECTION ~ 91 NONE [] 95 UNKNOWN ] 4 PHENOLIC LINING [] 99 OTHER [~FISERGLASS REINFORCED PLASTIC ] 99 OTHER IV. PIPING INFORMATION C~RCLE A IFABOVEGROUNDOR U IFUNDERGROUNO, BOTH IF APPLICABLE A. SYSTEMTYPE A U 1 SUCTION A.,U-:2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION C. MATERIAL AND CORROSION PROTECTION D. LEAK DETECTION A U.~' 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER A U I BARESTEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE(PVC)A~4 FIBERGLASS PIPE A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING A U 8 100% METHANOL COMPATIBLEW/FRP A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER [~ 1 AUTOMATIC LINE LEAK DETECTOR ~' 2 LINE TIGHTNESS TESTING [] 3 INTERSTITIAL MONITORING [] 99 OTHER V. TANK LEAK DETECTION I '~.~ ~ TANK TESTING [] 7 INTERSTITIAL MONITORING [] 1 VISUAL CHECK [] 2 INVENTORY RECONCILIATION [] 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GROUNDWATER MONITORING ~~ 91 NONE [] 95 UNKNOWN [] 99 OTHER 2, ESTIMATED QUANTITY OF .' 3. WAS TANK FILLED WITH YES[] SUBSTANCE REMAINING '7: GALLONS INERT MATERIAL ? VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE LAST USED (MO/DAY/YR) THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT I APPLICANT'S NAME DATE I (PRINTED & SIGNATURE) LOCAL AGENCY USE ONLY THE STATE I.D. NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW COUNTY # JURISDICTION # FACILITY # TANK # PERMIT NUMBER ~ /"--"/'~/'": //'-i PERMIT APPROVED BY/DATE PERMIT EXPIRATION DATE FORM S (B-gO) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPUCATION - FORM A, UNLESS A CURRENT FORM A HAS BEEN RI.ED. MARK ONLY ONE ITEM STATE OF CAUFORNIA ~ · STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION- FORM'Bi COMPLETE A SEP~TE FORM FOR '~:~CH'T'~K $~'STEU'** ' ~ I NEW PERMIT [] 3 RENEWAL PERMIT [~'~CHANGE OF INFORMATION [~]' 7 PIERMA.NENTLY CLOSED ON SITE [] 2 INTERIM PERMIT [] 4 AMENDED PERMIT [] 6 TEMPORARY TANK CLOSURE [~'. 8' TAN?REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: I. TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN A. OWNER'S TANK I. D. # - .~ ~,~ B. MANUFACTURED BY: ! ,,,~ ,/~r\ D. TANK CAPACITY IN GALLONS: .?: C, DATE INSTALLED (MO/DAY/YEAR) ; ~ , -y-~,~. ~ II. TANK CONTENTS ~F A-1 tS MARKED, COMPLETE ITEM C. A. ~-'~1 MOTOR VEHICLE FUEL [] 4 OIL B. C. [] la REGULARuNLEADED [] 3 DIESEL [] 6 AVlATION GAS [] 2 PETROLEUM [] 80 EMPTY [] '1 PRODUCT ~-~"{~PREMIUM [] 4 GASAHOL [] 7 METHANOL UNLEADED [] 5 JET FUEL [] 3 CHEMICAL PRODUCT [] 95 UNKNOWN [] 2 WASTE [] 2 LEADED [] 99 OTHER (DESCRIBE IN ITEM D. BELOW D. IF (A.1)IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED C.A.S. #: III, TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, ANDC, AND ALL THAT APPLIES tN BOX D A, TYPEOF [] 1 DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN SYSTEM [] 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER B. TANK [] I BARE STEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM (PrimaryTank) [] 9 BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN ] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC ] 8 IO(:P/o METHANOL COMPATIBLE W/FRP ] 99OTHER ~-~ 1 RUBBER LINED [] 2 ALKYD LINING [] 3 EPOXY LINING C. INTERIOR ~ ~ 5 GLASS LINING [] 6 UNLINED [] 95 UNKNOWN LINING iS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES_ NO__ [] 4 PHENOLIC LINING 99 OTHER O, CORROSION [] 1 POLYETHYLENE WRAP [] 2 COATING PROTECTION ~ 5 CATHODIC PROTECTION [] 91 NONE [] 3 VINYL WRAP [] 4 FIBERGLASS REINFORCED PLASTIC [] 9~ UNKNOWN [--q B~ OTHER IV. PIPING INFORMATION CIRCLE A IFABOVEGROUNDOR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A U I SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A IJ 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER A,U"I BARE STEEL C. MATERIAL AND CORROSION A U 5 ALUMINUM PROTECTION A U 9 GALVANIZED STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A U 4 FIBERGLASS PIPE A LI 6 CONCRETE A U 7 STEEL W/ COATING A U 8 100% METHANOL COMPATIBLEW/FRP A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION ~ I AUTOMATIC LINE LEAK DETECTOR C~' 2 LINE TIGHTNESS TESTING [] 3 INTERSTITIAL MONFFORING [] 99 OTHER V. TANK LEAK DETECTION [] 1 VISUAL CHECK [] 2 INVENTORY RECONCILIATION [] 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GROUNDWATER MONITORING [] 6 TANK TESTING [] 7 'NTERSTITIALMONITORING ~ 91 NONE [] 95 UNKNOWN [] 99 OTHER VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE LAST USED (MO/DAY/YR) 2. ESTIMATED QUANTITY OF ~ 3. WAS TANK FILLED WITH YES [] NO [] - ,_. ~ .,~. SUBSTANCE REMAINING GALLONS INERT MATERIAL ? ,. . THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT APPLICANTS NAME DATE (PRINTED & SIGNATURE) LOCAL AGENCY USE ONLY STATE I.D.# THE STATE I.D. NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW COUNTY # JURISDICTION # FACILITY # TANK # PERMIT NUMBER. ~:'? 7.(,~,!. . (~.~)/ (~,/} PERMIT APPROVED BY/DATE PERMIT EXPIRATION DATE FORM B (9-90) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION - FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FOROO34B-R4 MARK ONLY ONE ITEM STATE WATER RESOURCES CONTROL. BOARD'* UNDERGROUND STORAGE.. TANK PERMIT APPLICAilON ...... ' ' '~MPL~E A SEPARATE FORM FOR ~~ SYg~ ~ 1 N~ PERMIT 2 IN.RIM PERMIT --[] 3 PERMIT C.A, E. O" ,,FORMAT,O" O, ~ 4 ~ENDED PERMIT ~M~ TANK CL~URE DBA OR FACILITY NAME WHERE TANK IS INSTALLED: I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN .- .~ . ' IA' OWNER'S TANK L D'# ~' -~'~ B' MANUFACTURED BY: (:~ ~'/'~'~-""~ ~-(~'"~' '~3~:/"'3 ~ "" '~ I C. DATE INSTALLED (MO/DAY/YEAR)/..~ .,.~.. D. TANK CAPACI'rY IN GALLONS: ~ /'"? (..~ (,~,~ / II. TANK CONTENTS ~FA-~ IS MARKED, COMPLETE ITEM C. · ~GULA" [] 3 DIESEL [] 6 AVIATION GAS A. ~ 1 MOTOR VEHICLE FUEL [] 4 OIL B. C. ~ UNLEADED [] 4 GASAHOL [] 2 PETROLEUM [] 80 EMPTY [] '~"PRODUCT [] lbPREMIUM [] 7 METHANOL UNLEADED [] 5 JET FUEL _~ 3 CHEMICAL PRODUCT [] 95 UNKNOWN [] 2 WASTE [] 2 LEADED [] 99 OTHER (DESCRIBE IN ITEM D. BELOW D. IF (A.1) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED C.A.S. #: III. TANK CONSTRUCTION MARKONEITEMONLYINBOXESA, B.ANDC, ANDALLTHATAPPLIESINBOXD A. TYPE OF [] 1 DOUBLE WALL SYSTEM [] ~2 SINGLE WALL ] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER B. TANK [] I BARE STEEL MATERIAL [] 5 CONCRETE (PrimaryTank) [] 9 BRONZE [] 2 STAINLESS STEEL []'3 FIBERGLASS [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 10 GALVANIZED STEEL [] 95 UNKNOWN [] 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC ] 8 100% METHANOL COMPATIBLEW/FRP ] 99 OTHER __~ 1 RUBBER LINED [] 2 ALKYD LINING __ ~ 3 EPOXY LINING~ ~ 4 PHENOLIC LINING C. INTERIOR ~ 5 GLASS LINING F-~ 6 UNLINED I-~ 95 UNKNOWN [] 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WiTH 100% METHANOL ? YES_ NO__ D. CORROSION [] 1 POLYETHYLENE WRAP [] 2 COATING PROTECTION [] 5 CATHODIC PROTECTION [] 91 NONE [] 3 VINYL WRAP [~iBERGLASS REINFORCED PLASTIC [] BS UNKNOWN [] ~ OTHER IV. PIPING INFORMATION C~RCLE A IFABOVEGROUNDOR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEMTYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND CORROSION PROTECTION A U 1 BARE STEEL A U 5 ALUMINUM A U 9 GALVANIZED STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A~ 4 FIBERGLASS PiPE A U 6 CONCRETE A U 7 STEEL W/ COATING A U 8 100% METHANOL COMPATIBLEW/FRP A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION ~ 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 INTERSTITIAL MONITORING [] 99 OTHER V, TANK LEAK DETECTION ~ 1 VISUAL CHECK [] 2 INVENTORY RECONCILIATION [] 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GROUNDWATER MONITORING i--~ 6 TANK TESTING [] 7 INTERSTITIAL MONITORING [] 91 NONE [] 95 UNKNOWN [] 99 OTHER VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE LAST U,SED (MO/DAY/YR) 2. ESTIMATED QUANTITY OF 3. WAS TANK FILLED WITH YES [] NO [] /. SUBSTANCE REMAINING GALLONS INERT MATERIAL ? THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT APPLICANI'S NAME DATE (PRINTED & SIGNATURE) LOCAL AG ENCY USE ONLY THE STATE I.D. NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW COUNTY # JUR, ISDICTION # FACILITY # TANK # PERMIT NUMBER ~,." ,)?',. /-"~ PERMIT APPROVED BY/DATE PERMIT EXPIRATION DATE ?' FORM S (9-90) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION · FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED.' MARK ONLY ONE ITEM · STATE UNDERGROUND STORAGE TANK PERMIT'APPLICATION' . ,-,.,,,. IN. RIM PERMIT ~ 4 ~ENDED PERMIT ~ 6 ~M~RY T~K CLOSURE~8~'T~K'; ~. *~'~MO~D. DBA OR FACILITY NAME WHERE TANK IS INSTALLED: I. TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN IA. OWNER'S TANK ,. 0.. ~r~ ,, ~:. ~'-- /'/ B. MANUFACTURED BY: C. DATE INSTALLED (MO/DAY/YEAR) ./n''~ _:, ?.../ D. TANK CAPACITY IN GALLONS: II, TANK CONTENTS ~FA-~ IS MARKED,COMPLETEITEM C. A [] 1 MOTOR VEHICLE FUEL [] 4 OIL B. C. ~]-1;REGULAR [] 3 DIESEL [] 6 AVIATION GAS ~. UNL~DEO [] ~ c~s~o, [~ 2 PETROLEUM [] 80 EMPTY []-'~ PRODUCT [] lbPREMlUMuNLEADED [] 5 JET FUEL [] 7 METHANOL ~ 3 CHEM[CAL PRODUCT [] 95 UNKNOWN [] 2 WASTE [] 2 LEADED [] 99 OTHER (DESCRIBE IN ITEM D. BELOW I D. IF (A.1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED C.A.S. #: III. TANK CONSTRUCTION MARK ONE ITEM ONLY1NBOXESA,B,ANDc,ANDALLTHATAPPLIESINBOxD A. TYPE OF ~ 1,.DOUBLE WALL SYSTEM ~'~' SINGLE WALL ] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER B. TANK I~.~/~ BARE STEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM (Primary Tank) ~ 9 BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN [] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC [] 8 100% METHANOL COMPATIBLE W/FRP ] 99 OTHER [] ~ RUBBER LINED [] ~ AL~D LIN,NG [] ~ EPOX~ LINING [] ~ PHENOL~ L,.,N~ C. INTERIOR .r~ 5 GLASS LINING [~]"6' UNLINED [] 95 UNKNOWN [] 99 OTHER LINING I$ LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES__ NO__ O. CORROSION [--] 1 POLYETHYLENE WRAP [] 2 COATING. [] 3 VINYL WRAP PROTECTION ..~ 5 CATHODIC PROTECTION [~9i"' NONE [] 95 UNKNOWN ] 4 FIBERGLASS REINFORCED PLASTIC 99 OTHER IV. PIPING INFORMATION C,RCLE A IFABOVEGROUNDOR U IFUNDERGROUNO, BOTH IF APPLICABLE A. SYSTEMTYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND CORROSION PROTECTION A U"'I BARESTEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE(PVC)A U 4 FIBERGLASS PIPE A U~ 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COAT)NG A U 8 100% METHANOL COMPATIBLEW/FRP A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION [~ I AUTOMATIC LINE LEAK DETECTOR ~ ~ LINE TIGHTNESS TESTING [] 3 INTERSTITIAL MONITORING [~ 99 OTHER V. TANK LEAK DETECTION [] 1 VISUAL CHECK []~'2 INVENTORY RECONCILIATION [] 3 VAPOR MONITORING F-~ 4 AUTOMATIC TANK GAUGiNG [] 5 GROUND WATER MONITORING ~-~*~ TANK TESTING [] 7 INTERSTITIAL MONITORING [] 9t NONE [] 95 UNKNOWN [] 99 OTHER VI, TANK CLOSURE INFORMATION il.ESTIMATED DATE LAST USED (MO/DAY/YR) 2. ESTIMATED QUANTITY OF 3. WAS TANK FILLED WITH . ~ GALLONS INERT MATERIAL ? / THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT I APPLICANT'S NAME I DATE {PRINTED & SIGNATURE) YES [] NO LOCAL AGENCY USE ONLY THE STATE I.D. NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW COUNTY # JURISDICTION # STATE I.D.# ~ C) ~.~' ~ FACILITY # TANK # PERMIT NUMARr /" ,' ) / ~ //~} PERMIT APPROVED BY/DATE PERMIT EXPIRATION DATE :/, ,.'(i(I/(/ FORM B (9-90) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPUCATION · FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. MARK ONLY ONE ITEM STATE WATER RESOURCES . · 1 NEW PERMIT 3 REN~ PERMIT OBAOR FACILITY NAME WHERE TANK IS INSTALLED: '" '~ "' '* '" ':'~':~:*=::~- ~ I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN A. OWNER'S TANK L D.# ~ ~ B. MANUFACTURED BY: C. DATE iNSTALLED (MO/DAY, EAR) - ~. D. TANK C~ACI~ IN G~LONS: II. TAN K CONTRAS ~ A-1 IS MARKED.~MPLE~ ITEM C. A. [] 1 MOTOR VEHICLE FUEL [] 4 OIL B. C. [] ,a REGULAR [] 3 DIESEL [] 6 AVIATION GAS UNL~EO [] 4 [] 2 PETROLEUM [] 80 EMPTY [] 1 PRODUCT [] lb PREMIUM [] 7 METHANOL UNLEADED [] 5 JET FUEL __~ 3 CHEMICAL PRODUCT [] 95 UNKNOWN [] 2 WASTE [] "2-LEADED [] 99 OTHER (DESCRIBE IN ITEM D. BELOW] D. IF (A.1) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED C.A.S. #: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, ANDC, ANOALLTHATAPPLIESINBOXD A. TYPEOF [] 1 DOUBLE WALL SYSTEM [] 2 SINGLE WALL ] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER B. TANK [] 1 BARE STEEL MATERIAL [] 5 CONCRETE (Primary Tank) [] 9 BRONZE ] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 6 POLYVINYL CHLORIDE E~ 7 ALUMINUM [] 10 GALVANIZED STEEL [] 95 UNKNOWN ] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC ] 8 100% METHANOL COMPATIBLEW/FRP ] 99 OTHER [] 1 RUBBER LINED ~ 2 ALKYD LINING ~r-~ 3 EPOXY LINING C. INTERIOR I~ 5 GLASS LINING [] 6 UNLINED [] 95 UNKNOWN LINING iS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES__ NO__ ] 4 PHENOLIC LINING ] 99 OTHER D. CORROSION ~ 1 POLYETHYLENE WRAP [] 2 COATING PROTECTION [] 5 CATHODIC PROTECTION [] 91 NONE [] 3 VINYL WRAP [] 4 FIBERGLASS REINFORCED PLASTIC [] ~S UN~.OW. [] ~ OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A 1.1~ 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND CORROSION PROTECTION A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE(PVC)A U 4 FIBERGLASS PIPE A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEELWlCOATING A tJ 8 lO(~Yo METHANOL COMPATIBLEW/FRP A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 INTERSTITIAL MONITORING [] 99 OTHER V. TANK LEAK DETECTION I.~ 1 VISUAL CHECK [] 2 INVENTORY RECONCILIATION [] 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GROUNDWATER MONITORING I [] 6 TANK TESTING [] 7 ,NTERSTITIALMONITORING [] 91 NONE [] 95 UNKNOWN [] 99 OTHER VI. TANK CLOSURE INFORMATION YES [] NO [] I. ESTIMATED DATE LAST USED (MO/DAY/YR) 2. ESTIMATED QUANTITY OF 3. WAS TANK FILLED WITH / ,~ SUBSTANCE REMAINING GALLONS INERT MATERIAL ? THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT I APPLICANT'S NAME ]DATE I (PRINTED & SJGNATUFIE) LOCAL AG ENCY USE ONLY THE STATE I,D. NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW COUNTY # JURISDICTION # FACILITY # TANK · /'~ ¢', ' ' ~ PERMITAPPROVED BY/DATE PERMfTNUMBER_.:2 7,'~ C:/() ~'~-~ ~/~RMITEXPI~TIONDATE FORM B (9-~) THIS FORM MUST BE ACne.lED BY A PERMff ~PLICATION - FORM A, UNLESS A CURRE~ FORM A ~S BE~ RANDALL L. ABBOTT DIRECTOR DAVID PRICE !I! ASSISTANT DIRECTOR Environmental Health Setn6cea Department STEVE McCAII Fy, REHS, DIRECTOR Air Pollution Control District WllJ lAM J. RODDY, APCO I~anning & Develol:m'~ent Set. ices Department TED JAJelES, AICP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT HAZARDOUS MATERIALS MANAGEMENT PROGRAM MONITORING WELL(S) PERMIT PERMIT #: MW 517-27 MW 518-2/ OWNER'S NAMe: ARCO, FACILITY NAME: ARCO Gas Station AM/PM #583 FACILITY LOCATION: 3220 Ming Avenue, Bakersfield, CA 93304 DRILLINO METHOD: N/A (Wells in e~cavation of new underground storage tanks only.) CONTRACTOR: Wegener Construction ENVIRONMENTAL CONTRACTOR Groundwater Technologies TYPE OF MONITORING WELL(S) Vadose Zone NUMI~ER OF WELLS REQUIRED TO MONITOR FACILITY: Two (2) DATE: January 14~ 1991 LICENSE NO.: 413913 GENERAL CONDITIONS OF THIS PERMIT: 1. Well site approval is required before beginning any work related to well construction. It is unlawful to continue work past the stage at which an inspection is required unless inspection is waived or completed. 2. Other required inspections include: conductor casing, all annular seals, and final construction features. 3. A phone call to the Department office is required on the morning of the day that work is to commence and 24 hours before the placement of any seals or plugs. 4. Construction under this Permit is subject to any instructions by Department representatives. 5. All wells constructed of PVC located at a contaminated site where degradation may occur must be destroyed after 2 years or prove no degradation is occurring or has occurred. 6. Any misrepresentation or noncompliance with required Permit Conditions or Ordinance will result in issuance of a "STOP WORK ORDER." 7. A copy of the Department of Water Resources Driller's Report, as well as copies of logs and water quality analyses, must be submitted to the Health Department within 14 days after completion of the work. 8. A well destruction application must be filed with this Department if a well is being destroyed that is not in conjunction with a test hole permit. 9. The permit is void on the ninetieth (90) calendar day after date of issuance if work has not been started and reasonable progress toward completion matte. Fees are not refunclable nor transferable. 10. I have read and agree to comply with the General Conditions noted above. SPECIAL CONDITIONS: 1. Approved Annular Seal Depth _. This permit must be signed by either the contractor or owner. OWNER'S SIGNATURE PERMIT APPROVED BY: Wesley G. Nicks DATE: January 14, 1991 WGN:cas /.// CONTRAC;i'ORrS SIGNATURE DATE \mwSl 7-27. ptc 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 FAX: (805) 861-3429 GARY J. WICKS Agency Director (80S) 861-3S02 STEVE McCALLEY Director RESOURC HAZARDOUS MATERIALS MANAGEMENT PROGRAM .' ~ T DEPART~~~MENTAL MONITORING WELL(S) PERMIT 2700 M Street, Suite 300 Bakersfield. CA 93301 Telephone (605) 861.3636 Telecopler (605) 86%3429 AGENCY PERMIT #:- MW OWNER'S NAME: FACILITY NAME: DATE: FACILITY LOCATION: DRILLING METHOD: CONTRACTOR: ENVIRONMENTAL CONTRACTOR TYPE OF MONITORING WELL(S). NUMBER OF WELLS REQUIRED TO MONITOR FACILITY: LICENSE #: GENERAL CONDITIONS OF THIS PERMIT: 2. 3. 4. 6. 7. 8. 9. 10. Well site approval is required before beginning any work related to well construction. It is unlawful Io continue work past the stage at which an inspection is required unless inspection is waived or completed. Other required inspections include: conduc{or casing, all annular seals, and final construction features. A phone call to the Department office is required on the morning of the day that work is to commence and 24 hours before the placement of any seals or plugs. Construction under this Permit is subject to any instructions by Department representatives. All wells constructed of PVC located at a contaminated site where degradation may occur must be destroyed after 2 years or prove no degradation is occurring or has occurred. Any misrepresentalion or noncompliance with required Permit Conditions or Ordinance will result in issuance d a "STOP WORK ORDER." A copy of the Department of Water Resources Driller's Report, as well as copies of logs and water quality analyses, must be submitted to the Health Department within 14 days after completion of the work. A well destruction application must be filed with this Department if a well is being deslroyed that is not in conjunction with a test hole permit. The permit is void on the ninetieth (90) calendar day after date of issuance if work has not been started and reasonable progress toward completion made. Fees are not refundable nor transferable. I have read and agree to comply with thc General Conditions holed above. SPECIAL CONDITIONS: 1. Approved Annular Seal Depth This permit must be signed by either the contractor or owner. OWNER'S SIGNATURE PERMIT APPROVED BY: DATE: DATE CONTRACTOR'S SIGNATURE DATE a-monito, per (6~8~90) 2700 M Bmkm~field, Celifo~nie Mailin~ Addrm: 1415 Truxtun Avenue ~05) 861-~36 HAZARDOUS MATERIALS MANAGEMENT PROGRAM MONITORING WELL APPLICATION e ':RN-qOUNTY HEALTH DEPART~~' .--' ENVIRONMENTAL HEALTH DIVISION HEALTH OFFICER Leon M Heblft$on, M.D. DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Reichmd 51 i - z7 APPLICATION FOR A PERMIT NE) ~ RECONSTRUCT, DEEPEN-OR DESTROY A WELL TO FEE PAIO AMOUNT PA[O I ~PPI:TC~TION'- OATE TART[NG DATE /-/7-{/ PROPOSED COMPLET]ON DATE FACILITY NAME O~ CONTRACTOR ADDRESS /~t~ ENV[ ~ONMENIAL CON)RAC)OR. ADDRESS ;.~THOLOGY LOGGING REVIEWED SY: ~-k; ',~-t~t OEPTW TO GROUNDWATER & FLOW OiRECTION PERFOR/4EO BY: .... ~::~-AJ W~,T~'~z CT ~ APN: HOME PHONE NO. WORK PHONE NO. lICENSE NO. PHONE NO. ON APPROVE0-EIS~ES ( ) NO LICENSE NO. PHONE NO. ON APPROVED'-[TS~E~-- REG)STRATION 13: REGISTRATION 13: JOB SITE: T R SEC. 40 ACRE SUB. ~IRECTIONS TO WELL SITE: GENERAL I. 2. 3. 4. 5. 7. 9. CON01TiONS OF THE PERMIT: Permit ~olications must be submitted to the H~a)th 0epartment at least 10 working days Drier to the Well site aD,reval is reouired before beoinning any work related to well construction. It is law,u) to continue work past the stage at which an inspection is required unless inspection is waived or comoleted. Other required inspections include: conductor casing, all annular seals, and final construction features. A phone call to the Department office is required on the morning of the day that work is to commence and 24 hours before the placemen~ of any seals or plugs. Construction under this Permit is subject to any instructions by Department representatives. Any misrepresentation or non-compliance with required Permit Conditions. or Ordinance will result in issuance of a 'Stoo Work Order.' A copy of the Department of Water Resources oriiler's Reoort as welt as copies of logs and water qua]ity analyses must be submitted to the Health Department within 1~ days after completion of the.work. A well destruction application must be filed with this Department if a well is being destroyed that is not in conjuction with a test hole 'oermit. ' The oermit is void on the ninetieth (go) calenoar day after date of issuance if work has not been started and reasonable progress toward completion made. Fees are not refundable nor transferable. ted ve. ~0. i have read and agree to comoiy with the General Con itions no~ OWNER'S SIGNATURE ~ O E ' CONTRACTOR'S SIGNATURE ~" DATE APPLICAT,, APPROVED BY~,,~~ OATE: DISTRICT OFFICES /_//- ¢ / R E C E [ P T PAGE 01/I 1/91 3: 35 p m KERN COUNTY PLANNTNG & DEVELOPMENT 2?30 'M' Stree% Baker~¢~e]d, CA 93301 805) 95!.-2615 Invoice NbP. 1 Type of Order 44403 ;~:EGENER CONSTRUCTION ! NT Prfice Unit Offsc 335,00 E 570,,00 Ordgr Total 670,00 Amount Due Made By Check 670.00 .570 . 00 ~GARY J. WICKS Agency Dtllctm' (805) 861-3502 STEVE McCALLEY Dlrecto~ ' ' '~ · Bakelllk4d. CA g3301 ~...,.. '"'::'-:r:..:..... :' ~' "'" ~ Tt~O~(~) ~1-34~ R E S O U R C E ~~'~ENT AGENC-Y DEPART MENTAL ~'~ HAZARDOUS ~ATEmALS A~PL]CAT[ON ~OR 'A ~ER~]T T( .. (CmCL~ ONE) MANAGEMENT PROGRAM .." CONSTRUCT, RECONSTRUCT, MONITORING WELL APPLICATION DRILLINO METHOD FEE PAID AP PLICATION DATE PROPOSED STARTING DATE ?--1-41 PROPOSED COMPLETION DATE DEEPEN OR DESTROY A WELL CT ~ ENVIRONMENT,aL, CONTRACTOR ADDRESS LITHOLOGY LOGGING REVIEWED BY: HOME PHONE WORK PHONE LICENSE No..C.//.~//.~ PHONE ~O. ('.~35)3f<V-$,~?r~ ON APPROVED LIST ( ) YES ( ) N~ LICENSE NO. PHO~ NOI. Z/8) '-/0q- ON APPROVED LIST ( ) YES ( ) REGISTRATION #: DEPTH TO GROUNDWATER & FLOW DIRECTION PERFORMED BY: REGISTRATION #: JOB SITE: T R DIRECTIONS TO W~-L SITE: SEC. 40 ACRE SUB. GENERAL CONDITIONS OF THE PERMIT: 1. Permit applications must be submitted to the Health Department at least 10 working days prior to the propo_~c starting date. 2. Well site approval is required before beginning any work related to well construction. It is unlawful to contim- work past the stage at which an inspection is required unless inspection is waived or completed. 3. Other required inspections include: conductor casing, all annular seals, and final construction features. 4. A phone call to the Department office is required on the morning of the day that work is to commence and 24 hou before the placement of any seals or plugs. 5. Construction under this Permit is subject to any instructions by Department representatives. 6. Any misrepresentation or non-compliance with required Permit Conditions, or Ordinance will result in issuance a 'Stop Work Order.' 7. A copy of the Department of Water Resources Driller's Report as well as copies of logs and water quality anals, z. must be submitted to the Health Department within 14 days after comptetion of the work. 8. A well destruction application must be filed with this Department if a well is being destroyed that is conjuctio:.~ with a test hole permit. 9. The permit is void on the ninetieth (90) calendar day after date of issuance if work has not been started ar. reasonable progress toward completion made. Fees are not refundable nor transferable; 10. I ~3ve read apd agree to comply with the General Conditions noted above. ~:~-~- ~f~i~ ~3r~l~ ~:~57L~ff- CONTRACTOR'S SIGNATURE DATE APPLfCATION APPROVED BY: DATE: a-monito.app :cd GRDUND ELEVATIC~{ (1.01') DEPTH TO GRDUN[Y~TER (1.01') ]iF KNOWN BOREHOLE DIAMETER CASING INSIDE DIAMETER C..,,,a.S'rNG ~~ a ~Mctroph~ ~.k- d,-o htr' SCREEN MATERIALS & TYPE OF BENTONITE PLUG & DEPTHS ANNULAS SEALANT MATER/_AL & DEPTH FILTER PACK MATERIAL & SIZE SCREEN SnOtS SIZE & .OZO SEAI~NT r_eCK ra FACILITY PLOT PLAN - WELL DIMENSIONS - ZONE OF INFLUENCE - FOR VADOSE Z~NE .NOTE: If this application .kEG: cd: formtool\monitor Provide a description of the facility to be monitored, Include location of tanks, proposed monitoring and placement, nearest street or intersection, location of any water w~lls or surface waters within a 500' radius of facility. Please attach. Provide a detailed drawing of w~ll(s). Include: w~ll, casing length, screen/filter pack length, sealants, and well cap. Note any irregularities. attach. depth of Please Provide mathematical calculations that determine the zone of influence for the soil at each site taking into account the monitoring method being used. Please attach. is not c__~plete it will be returned. R E C £ ~ ,o T PAGE o i /I ;]/g i Invoice Nbr. Ty'De of Opder DEV. 44281 V~'~ DD Prdce Unfit Dfisc Order T~rm$ NT 67 0. 0 O Amount Du~ Made By ,Check ~70.00 ENVIRONMENTAL HEALTH DIVr..~NN HAZARDOUS SUBSTANCES SECI BAKERSFIELD, CA 93305 PHONE (805) 861-3636 . INSPECTION RECORD .... "~ ..~ ':- ~' · ........ "i.'.:.~/':~. ~-~,?.~..S.i,.' '-' i.i'?.i,.~:~.~.,:!-;:.;.POST' CARD.;AT ' JOBSITE '.. i .2.'7:` ~ . .' ,:.l' -P-. ,:'.~' .';. '- ' '.-. · , '"' .i,i:>:~.:4~':/." .. ... · ' FACILITY ADDRESS 13:220 Min? ~Posd C I TY }%akersfj eld: CA PHONE NO. (80%) 398-0303 PERMIT # 270010 O W N E R /LqCO PRODUCTS' ADDRESS 17315 Studebaker Road CITY Cerrito$, CA {213) 404-5300 INSTRUCTIONSt Please call for an inspector only when each group of inspections with the same number are ready. They will run in consecutive order beginning with number 1. DO NOT cover work for any numbered group until all items ir] that group are signed off by the Permitting Authority. Following these instrutions will reduce the number of required inspection visits and therefore prevent assessment of additional fees. - TANKS & BACKFILL - INSPECTI ON DATE INSPECTOR - PIPING SYSTEM 2 !Pipin~ & RacewaV w/Collection Sum~ ICorrosion Protection of Piping, .Joints. Fill 2iElectrical Isoia~ion of Piping From Tank{s) Piping pressure/Soap Test - SECONDARY CONTAINMENT OVERFILL PROTECTION LEAK DETECTION - Level Gauges or Sensors, Float Vent Valves 2/ ..?/ /:'P .... ./ ',"N~ / Leak Detector(s) for Annular Space-D.W. Tank(s} ~/~/~1' -~IMon!torin~_ Wells. Cams a Locks - FINAL - !Fill Box Lock _~j. Mon!torin= Reguirements Standard Compliance Check [-]Suction ~ressurized '~]Gravity, Plpin[ Req'd Approv.ed~'' !~ Proof of Contractor's License - License · ~/~/~ Type of License ~/~ Proof of Contractor's Worker's Coipensatlon Insurance Prtiary Containment ~FFlberglass (FRP) iberglass-clad steel E]Uncoated steel ~]Other: Comment: 'Make & Model~-2~ Make & Model Make & Model Make & Model Additional: Inspection: Secondary Containment of Tank(s) ~Double-wal]ed tank(s) Make & Mode] ><'~.g~_~ ~Synthetlc liner Make & Model [~5tned concrete vault(s) Sea]er used [-]Other Type Make & Model Comment: Additional: Inspection: Secondary Containment Volume at Least 100% of Primary Tank Volume(s) Comment: Additional: Inspection: Secondary Containment Volume for More Than One Tank Contains 150~ of Volume of Largest Primary Containment or 10~ of Aggregate Primary Volume, Whichever is Greater Comment: Additional Inspection: Approved Secondary Containment Open to Rainfall Must Accommodate Hour Rainfall Total Volume Comment: Additional: Inspection: if/'/' Secondary Containment Is Product-Compatlble Product ~So./,',C~/./'F/~.'q4o~,~.! Documentation ~E-~X~-~ Comment: Additional: Inspection: Annular Space Liquid is Compatible with Product Product Comment: Additional: Annular liquid Inspection: Prlnar~Contalnment of Piping lberglass piping OCoated steel piping ~Uncoated steel piping OOther Size & Make Size & Make Size Comment: Additional: Inspection: Secon~r[_y Containment of Piping ,CXuouble-walled pipe OSynthetlc liner in trench ~'}Other Size & Make/4,('~, Size & Make Comment: Additional: Inspection: Corrosion Protection [:]Tank(s) OPlplng & fittings ~Electrlcal Isolation Coasent: Additional: Inspection: Piping Manufacturer-Approved Backfill for Tanks & Type / ~/~ ~'~Ac)~ [ Comment: Req'd Approved _ Additional: ______ / ........ Inspection: ~/ff/ Tank(s) Located Comment: Additional: Inspection: no Closer than 10 Feet to Building(s) Complete Monitoring System Monitoring device within secondary [~Llquld level Indicator(s) [-]Liquid used /~Thermal conductivity ~ensor(s) Pressure sensor(s) Vacuum gauge " {~]Sump(s) ~-.~ E]Gas or vapor detector(s) ~Manual Inspection & sampling ~Vlsual inspection LJOther Comment: contalnaent: Additional: Inspection: Other Monitoring ~Pertodtc tightness ~Pressure-reduclng testing line leak Method detector(s) ~30ther Comment: Additional: Inspection: Overfill Protection ~]Tape float gauge(s) _loat vent valve(s) ~]Capacttance sensor(s) ~]High level alarm(s) oAUtomatlc shut-off control(s) Fill box(es) with 1 ft. 3 volume perator controls with visual level monitoring Other Comment: - 3 - ~e~'d Approved Additional: Inspection: Monitoring Requirements Additional Connents Inspection: Inspector Date Extra !nspectlons/Relnspectlons/Consultatlons Date: Purpose: Comlent: Date: Time Utilized Purpose: Comment: Date: Time Utilized Purpose: Comment: Date: Time Utilized Purpose: Comment: Invoice Date: Inspector Time Total Date: Utilized Time: - $ - Permit Application Checklist Facility Name _ ~.~dc'> .~/~,~. _ Facility Address Applicatiop/Category: /_Standard' Design (Secondary Containment) Motor Vehicle Fuel Exemption Design (Non-Secondary Containment) Permit Application Form Properly Completed Deficiencies: 3 Copies of Plot Plan Depictinq: Property llnes Area encompassed 'by'min'imum 100 foot radius around tank(s) and piping I Ail tank(s) identi'fied by a number and product to be stored Adequate scale (minimum 1"=16'0'' in detail) North arrow All structures within 50 foot radiu~ of tank(s) and ~iping Location and labeling of all product piping and dispenser islands Environmental sensitivity data including: *Depth to first groundwater at site ~e~ *Any domestic or agricultural water well within 100 feet of tank(s) and piping *Any surface water in unlined conveyance within 100 feet of tank(s) and piping _. *All utility lines within 25 feet of tank(s) and piping (telephone, electrical, water, sewage, gas, leach lines, seepage pits, drainage systems) . *Ast~ri.~ked i~ems:' appr'opriate documentation ~f~p~r~{i'tt'ee seeks a motor vehicle fuel exempti6n ~from secondary containment Comments: Approve_ 3 Copies of Construction Drawings Depicting ~'ide '~i~-~ of Tank Ins6allati0n'with"Backfill, Secondary Containment and/or Leak Monitoring Raceway(s}, System in. Place Top Vi6w of 'Tank Install'~tiOn with Raceway(s), Secondary Containment and/or Leak Monitoring System in Place Materials List (indicating those used Backfill ' ~-~--~,~ Tank (s) Product' Pipin~ in the construction): s~a le'r'(s) Secondary Containment Lea'k Detector(s) ~¥A 7~c~_ ~- ~. Overfill Protection Gas or Vapor Detector(s) Sump(s) ~-' ~-_ ~ ' ' ~ " / Monitor"lng Well(s) Addi'tional: Documentation of Product Performance Additional Comments Reviewed By ~/~ Date ///.~k/?/ SITE INSPECTION: Commen ts: Approved Disapproved / / Inspector Date Facility Name Inspector Date FINAL INSPBCTION ClIRCKI, IST N Plot Diagram 1. All new and existing tanks located on plot plan? 2. Does tank product correspond to product labels on plot plan? 3~---_~ no =odifications identified which were not depl~iLrd~ve~-~_~l.~t plans? If "No" described ..................... Yes No Are monitoring wells secure and free of water and product in sump? 5. Is piping system pressure, suction or gravity? 8. Are Red Jacket subpumps and all line lea ~et tot . accessible? Type of line leak detector if any Yea No 7. Overfill containment box as specified on :.)pltcation? If "No", what type and model number: a) b) c) 8. Identify type of monitoring: I8 fill box tightly sealed around fill tube? I8 mcca88 over water tight? Ia product present in fill box? a) Are ~anual monitoring instruments, product and water finding paste on premises? b) Is the fluid level in Owens-Corning liquid level ~' ............ ~hl-tb~r~ng-reeervoir and alarm panel-irt-proper operating condition? c) Does the annular space or secondary containment liner leak detection system have self diagnostic capabilities? If "Yes", is it functional If 'No", how is it tested for proper operating condition? 9. Notes on any abnormal, conditions: Sign Footing Proposed Tank Locations /~/~ <~10~~~ New Store Location 0 Septic Tank I II IlZr¢~~/ ~<~,,'o =' lo> // /~¢ ~ '~:10 &: Leach Field ~' <~0 <10 1500 500 I<10 I I<~0 I ~--,~.-~ Building <1o I I LE6END 2' X Sample Location 6' w/ TPH SCALE: I 20' 0 10' 20' JaB # 215 SITE, Arco SS //0585 ;~50 0605 SITE LOC, 5220 Ming Avenue Bakersfield, California MAP TYPE, Site Map DRAWN BY, I DATE* APPROVED BY, DATE~ MHI ,2/90 JDP 12/go REV REVISION ])ATE ~ty Sign Footing Proposed Tank Locations Location <10 1 Septic Tank I II I1:.'~"11' /. J<lO & Leach Field II I ~.t~_, ~. ~ q~~ <1o 1500. 300 I<10 , I I ~<~o --.~---, Building i <10 I I [ Ming Ave~e LEGEND 2' X Sample Location 6' w/ TPH SCALE: [ I 20' 0 10' 20' JOS # 215 SITE, Arco SS #058._3 350 0605 SITE LOC, .3220 Ming Avenue Bakersfield, California MAP TYPE, Site Mop DRAWN BY, DATE: IAPPROVED BY= DATE, MH 12//90 I JDP 12//90 REV REVIS;IDN DATE SMC Laboratory Client Name: Groundwater Technology, Inc. Address : 4101Alken Street, Suite B-1 Bakersfield, CA 93308 Attention : Mr. Jon Parker Date samples received : 01-16-91 Date analysis completed: 01-16-91 Date of report : 01-16-91 Analytical Chemistry Project Name: Arco 0583 Project ~ : 215-350-0605 RESULTS OF ANALYSIS: 388 ID: T2S-2' Benzene Toluene Ethylbenzene p-Xylene m-×ylene o-Xylene Isopropylbenzene TPH (Gasoline) ugm/gm MDL,ugm/gm 0.012 0.0050 ND 0.0050 ND 0.0050 ND 0.0050 0.0050 0.0050 0.0064 0.0050 ND 0.0050 1.4 1.0 Method of Analysis for BTX/TPH (Gasoline) : 3810/8020 (FID) MDL = Minimum Detection Level TPH = Total Petroleum Hydrocarbons ugm/gm = micrograms per gram (ppm) ND = None Detected Ma ung~--~e i n Analytical Chemist 3155 Pegasus Drive P.O. Box 80835 · · Bakersfield, CA 93308 · (805) 393-3597 Bakersfield, CA 93380 · FAX (805) 393-3623 RESULTS OF ANALYSIS: 389 ID: T2S-6' Benzene Toluene Ethylbenzene p-Xylene m-Xylene o-Xylene Isopropylbenzene TPH (Gasoline) ugm/gm 0.22 2.7 2.4 7.9 16. 16. 2.3 380. MDL,ugm/gm 0.0050 0.0050 0.0050 0.0050 0.0050 0.0050 0.0050 1.0 390 ID: T3S-2' Benzene Toluene Ethylbenzene p-Xylene m-Xylene o-Xylene Isopropylbenzene TPH (Gasoline) ugm/gm 11. 83. 42. 100. 220. 160. 14. 2000. MDL,ugm/gm 0.0050 0.0050 0.0050 0.0050 0.0050 0.0050 0.0050 1.0 391 ID: T3S-6' Benzene Toluene Ethylbenzene p-Xylene m-Xylene o-Xylene Isopropylbenzene TPH (Gasoline) ugm/§m 5.9 32. 22. 69. 140. 110. 12. 1500. MDL,ugm/gm 0.0050 0.0050 0.0050 0.0050 0.0050 0.0050 0.0050 1.0 Analytical Chemist RESULTS OF ANALYSIS: 392 ID: T4S-2' Benzene Toluene Ethylbenzene p-Xylene m-Xylene o-Xylene Isopropylbenzene TPH (Gasoline) ugm/gm 6.1 6.8 37. 83. 64. 8.1 1100. MDL,ugm/gm 0.0050 0.0050 0.0050 0.0050 0.0050 0.0050 0.0050 1.0 393 ID: T4S-6' Benzene Toluene Ethylbenzene p-Xylene m-Xylene o-Xylene Isopropylbenzene TPH (Gasoline) ugm/gm 0.22 0.72 1.4 7.2 16. 16. ND 300. MDL,ugm/gm 0.0050 0.0050 0.0050 0.0050 0.0050 0.0050 0.0050 1.0 Analytical Chemist GTEL Concord, CA 94520 800-$44-3422 (In CA) AND ANALYSIS RECIUEST 72- 236 ENVlRONM~NIA[ 415-685-7852 800-423-7143 (Outside CA) ~ ~.o..~o.,~. ,.c ANALYSIS REQUEST ~'d, ¢ - '- FAX ¢' ~,d.%' ':%:;V ¢~'.v' Address: ~/IOl /41~'~' ~;'t ~ CJ Sitelocation: Project Number Project Name: ~~[~T~-;~i ~ .............. ~ampler aamo (Print): )r0cedures were used during the c0 ect on .... ) /~ ~ ~ ~ ~ ' 'J,,, / i"~,' o'~l ~'~[~' -I -' I - 0 a - 0f these samples. ' ....... ~oir~ ~]~lm o o o[o o o Fiela~ ~;- ..... %~-E-[ ....... ~ .... Matrix .... Method [Sampling Samplel of Lab¢ ~[ Preserved [ - ~ : ~ ~ o~i[.-I~[~l ~ I ,~ o ~ ' ui ~' ~. o ~o,o o~ ~ ~ x ~ ~ I ~ 0 0 LU o . ~ ............... _? .......... '. '--~ : ...................... .... ......... ~--~ · [ ~~ .................................. i i : [ , i [ I I I [ , , I I I ................... SPECIAL H~NDLING SPECIAL DETECTION LIMITS (Specify) REMARKS: 2~ HOUaS~ EXPEDITED 48 Hours ~ SEVEN O~Y ~ OTHER_ --(~) BUSINESS DAYS ......................................... QNQC CLP Level D Blue Level 0 -~E~i~L RE~'0RTING REQUIREblENTS Lab Use Only Storage Location FAX ~ (Specify) Lot 01/15/91 11:06 F:%_~ 1 21 ,71 8720 G.T.E,L. ~001 Table 1 ANALYTICAL RESULTS Purg~able Aromatlcs and Total Petroleum Hydrocarbons as Gasoline in Soil Modified EPA Method 8020/8015a GTEL.S. amP[e Number !'[~- % ~ 3/'1 ~' ~ -- Client Identification T l E -?--. .,._TI W Date Extmctecl '}17 !~ i Detection Analyte I_tmlt mg/Kg Concentration, rog/Kg Benzem; 0.005 O,L'JO S ~,eO~o O.~DOS- Toluene 0.005 -cO, 0{3 '-;' 0.00~' Ethyl Benzene 0.005 <.0 .(90%' 4'0. O0 ~' O.OID BTEX (t,)tal) ......... 0, o0'~~ 0,0~ J_ (~. ~"2./ 0,O3. Vr TPHas lasoline 10 <iD /-.,t0 GTEL Sample Number Client Identification Date Sampl~ Detection An~e Llm~, rog/Kg Toluene 0.005 -_ Eth~ B~nzene 0.005 XHene (to~l) 0.015 TPH as ,Sasoline lO GTEL Torra nco. CA BTEXSSD.~ ET 't'est Methods for EvaJuattng Solid Waste, SW-846, Third Edition, Revision O, US EPA Methods i' Iovember 1986; Extraction by EPA Methods 3550 and 5030 01/18/'91 11:07 FA.~ 1 21 i?1 8720 G.T,E.L, ~002 cProJec~ Number:. O~.~ o~o~h~ t.. ontm~ Numb~ ~~~ F~ N~en Work O~er Num~ ~ a~ i~ue Date: NOV~r 19, 1~ Table 1 ANALYTICAL RESULTS Purgeable Aromatic~ and Total Petroleum Hydrocarbons as Gasoline in Soil Modified EPA Method 8020/'8015a -- GTEL Sample Number ~ ~ /e h 11 h I~/~l ,, Date Extracted Detection Annlyte Limit, rog/Kg Concentration, rog/Kg -- Benzene -' 0.005 Toluene 0.005 <.8.00~' , 0,0(~ <~0,00~' 40.0e%"' _. Ethyl Benzene 0.005 Xylene (to:al) o.o15 TPH as G;moline 10 GTEL Sample N~mber' Client Identification Date Sampl~ - ' Date ~mct~ Dete¢ion A~l~e ~m[ rog/Kg -' Toluene 0.005 Eth¢ Be~ene 0.005 xylene (~ otal~ 0,015 - - TPH as Gasollne 10 a -- T.~st Methods for EvaLuating Solid Waste, $W-84§, Third Edition, I,,ovember 1988; Extraction by EPA Methods 35~0 and 5030 GTEL Torra.3ce, CA BTEXSSD.,¢ ET Page 2 of 7 IGTEL ENVIRONMENTAL L,A. BO RATO R I ES, tNC, 01/22/91 16:20 F,~.'{ 1 21 171 8720 ¢.T,E.L. Post-It= b and fax transmittal memo 7671~ et pages TOte. n r~.~,, c. '~':::"~'" Project Number;. ~mtract Number: ~ "port Issue Date:. No'ember 29. 1 Table 1 ANALYTICAL RESULTS Purgeable Aromatics and Total Petroleum Hydrocarbons as Gasoline in Modified EPA MethcM 8020/8015a .... D~te ~~ ,. Dam Dot.on ~e Um~ mg~g Toluene 0.005 ~{h~ ae,~ene '~' ... 0,00~ ~en~ (total) . 0,015 TPH as (,~lne ,. 10 ...... a = T,.~st Methods for Evaluating Solid Waste. SW-846, Third Edition. Revision O, US EPA Methods November 1986; Extraction by EPA Methods 3550 end 5030 ~001 GTEL Ton'al ~oe, CA BTEXSSD.$ET Page 2 of 7 01/'22/91 16:21 8720 G.T.E.L. Project Number:. Corm'act Number: ~ Faeil!ty Number:. Work Order Number: ~-~' Report Issue Date: Novernoer 29, 1990 [~002 Table 1 ANALYTICAL RESULTS Purge, able .Aromatics and Total Petroleum Hydrocarbons as Gasoline In 6o0 Modified EPA Method 8020 f8015a GTEL Sample Number Client Identification I Date Sampled Date Extracted Date Analyzed Detection ' Analyte Limit, mg/.,K,g_ Concentration, rog/Kg BenZene '- 0.005 Toluene 0.005 Ethyl B .e} tzene ........ 0.005 ... Xylene (1 or, al) , 0.015 BTEX (t_c,tal) ,. _ TPH as Gasoline 10 a -- T.ast Methods for Evaluating Soffd Waste, $W-846, Third Edition, Revision O~ US EPA Methods November 1986; Extraction by EPA Methods 3550 and 5030 ,,.~r GTEL Terra, rca, CA Page 2 of 7 BTEXSSD.SET RESOURCE MANAGEMENT AGENCY RANDALL L. ABBOTT DIRECTOR DAVID PRICE !I1 ASSISTANT DIRECTOR Environmental Health ,Se~dc~ Department STEVE McCALLEY, REHS, DIRECTOR Air Pollution Control District WiLLLAM J. RODDY, APCO Plannir~ & Dewiopment Services Department 'lTD JAMF~, AICP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT PERMIT TO CONSTRUCT UNDERGROUND STORAGE FACILITY FACILITY ARCO Station #583 3220 Ming Road Bakersfield, CA 93304 PERMIT NUMBER 27O010 OWNER(S) NAME/ADDRESS: ARCO ProducLs Company 17315 Studebaker Road Cerritos, CA Phone No. (213) 404-5300 CONTRACTOR: Wegener Construction 1710 Calloway Bakersfield, CA License # 413913 Phone No. (805) 589-5570 X NEW BUSINESS CHANGE OWNERSHIP RENEWAL MODIFICATION OTHER PERMIT APPROVAL APPROVED EXPIRES" April 23, 1991 DATE January 23, 19~[ HazardoMs Mater~ls Specialist .............................. POST ON PREMISES .............................. 3. 4. 5. 6. CONDITIONS AS FOLLOW: Standard Instructions All construction to be as per facility plans approved by this department and verified by inspection by Permitting Authority. All equipment and materials in this construction must be installed in accordance with all manufacturers' specifications. Permittee must contact Permitting Authority for on-site inspection(s) with 48-hour advance notice. Backfill material for piping and tanks to be as per manufacturers' specifications. Float vent valves are required on vent/vapor lines of underground tanks to prevent overfilling. Construction inspection record card is included with permit given to Permittee. This card must be posted at job site prior to initial inspection. Permittee must contact Permitting Authority and arrange for each group of required inspections numbered as per instructions on card. Generally, inspections will be made of: a. Tank and backfill b. Piping system with secondary containment leak interception/raceway c. Overfill protection and leak detection/monitoring d. Any other inspect/on deemed necessary by Permitting Authority. 2700 "M" STREET. SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 FRO~I G~TI BAKERSF'" ~' r GROUNDWATER TECHNOLOGY, INC. 410! Alkcn SL-eet. SuBa 8-1. Bfl<ats.~eld. CA 93308 t805) Pa.,c (~05) 589.8605 FACSIMILE COVER SHEET Company Location: FAX No.: Job Name: Job No.: Cover + Pages FKO.M: ~o.,.~ . ?,~-~' Phone No.: FAX No.: (805) 589-8(~r~'t (805) COMMENTS: FROM GTI BAKERSFIELD 01,~0,19~ 11:05 NO~ 5 P'2 GROUNDWATER TECHNOLOGY, INC. January 29, 1991 4101Alken Strut, Suitz B-I, B~kersfield, CA 93308 (805) 589-8601 (805) $$9-860,~ Mr. Wesley Nicks Hazardous Materials Specialist Kern County Resource Management Agency Department of Environmental Health Services 2700 M Street, Suite 300 Bakersfield, California 93301 RE: Soil Pile, ARCO Facility #0583, Ming Avenue and Wible Road, Bakersfield, California Dear Mr. Nicks: Whitten Excavation would like to transport soil generated during tank excavation activities at the above- '¢ferenced site to a Class III landfill in Bakersfield. Groundwater Technology proposes the ~ oilowing sampling scheme in an effort to characterize the soil. Sampling will be done within a 20-foot by 20-foot grid as shown in figure 1. Each block will be divided into four quadrants and a sample will be collected from each quadrant. The four samples for a given block will be composited in the laboratory (40 samples composited into 10). Each composite will be analyzed for BTEX and TPH as gasoline. Laboratory analyses will be expedited and the results forwarded to the County upon receipt. A separate soil pile in the southeast corner of the property is suspected of containing hydrocarbons. This soil was generated from excavation near the service islands and the southern portion of the tank pit. ARCO has made arrangements with Falcon Environmentai for the disposal of this soil to the GSX facility in Buttonwillow. If you have any questions, please contact me at (805) 589-8601. Sincerely, Groundwater Technology, Inc. n D. Parker, R.G. Project Manager cc: Kateri Luke, ARCO Sign 3el IlO IQ~K i ~ -' --' .,~ I \ P~iej I ! I K /1,-..,, Mir~g Ave~ LEGEND N SCALE: 20' O I-aB #215 s~T£ ,~c: 5220 Ming Avenue Bakersfield, California .~P ~Ye£. Sampling Grid MH 112/'90 I ~P 112/90 i,r_..v ~v~:s'xc. ... DA'n:! ~',' I , t , ~ I i[~~~! GROUNDWATER ,L__~~~ TECHNOLOGY, INC. Faa: ($o5} 5~9~,., FACSIMILE COVER SHEET Company Name: Location: Job Name: A,.~... ss Job No.: Cover + ,.tV' Pages FROM:_.. Phone No.: FA_X No.: (805) 589-8601 (805) 589-8605 O;~qr~ lP, roughout t,h¢ U-$., Canad~ ~nd Oe~t$oa$ FEB-- t,1 (:3 1"4 :1~..,~ 2 ..~, r,1 C L R ~ 13 R R T Cl ~i' SMC Analytical Che~,,:;.~try C1~n~ Name~ ~roundwater Technology AO4r.~$ t 4080 Pine Lake Conoord Ca. 94520 D~e samples rece~¥ed ~ 1~31-9! D~te ~nalyS~s comple~ed~ 2-01-91 De~ of reDort ~ 2-01-9! Arco Service Sta%ion ~f 0583 215-350-0605 ~:f,i',t,:P$ OF ANALYSIS: ~.~ Compos~%e of %'s 538, 539, 540,_~41 ID: FI,E2,~3,E4 ugm/~m HDL,u~m/gm Benzene ND 0.005 Toluene ND O.00~ Eth~Zbcnze~e ND 0.005 p-Xylene ND 0.005 m-Xylene ND 0,005 o-Xylene 0.o0g 0,005 Isopropyl~enzene ND 0.005 '?PH (Caso![ne} (Diesel #2) ?0.? 10. ~e{1',,'4 of Analysts for BTX/?P~ (Sasoltne), 5030/8020 Metl'::~,~ of Analys~$ for TPH (Diesel)~ 5030/8020 (PID) Ml~. = Minimu.~ De~e¢~on Level TP[{ = To[al Pe%ro[eum Hydrocarbon~ NJ? = None De,et%ed S'.,- ~ 'C,'omer Ar.~]~f,[¢al Chem~st~ 3155 Pegasus Drive · Bakersfield, (IA 93308 · (805) 393.3597 P,O. Box 60835 · L:~kersfi¢ld, CA 93380 · F,%X (805) 393-3623 SMC Analytical Che:¥' istry Groundwa%er Technology Inc. 4,080 Pine Lake Concord Ca. 94520 atl.~'-,n~;~.or~ i Jon Parker samples received analysis completed: 2-0!-9! of re~ort I 2-01-91 p~.'~joc% N~m.~ Arco Service Station % 0583 Pt'( j,:,~,t, ~: ~ 215-350-0605 R:'::'.!.:'~,?$ OF ANALYSIS~ Composi%e of %'s 534,555,536,537 ID~ D1,D2,D3,D4 ugm/gm MDD,ugm/gm ~enzene ND 0.005 Toluene ND 0.005 E%hylbenzene ND 0.005 p-Xylene ND 0.00§ ~-Xylene ND 0.005 o-Xylene ND 0.005 T$opropy~nzene ND 0.005 r~ (¢asoline) ND 1.0 'I'PH (Diesel ~2) tl.6 10. Nefh~,4 of AnalySis for BTX/?PH (Gasoline)= 5030/8020 (PID) Mei},":fl of Analysis for TPH (Diesel): 5030/8020 (PID) MPt. = Minimum De~ec~ion Level T~..'i~ = To~al Petroleum Hydrocarbon~ u.i~'.'/~m .~ micrograms per gram (ppm) N9 = ~one De~ec~ed 3155 Pegasus Driva · ~ksr~,!!~, CA 93308 · (805) 393-3597 ~ ~ ~ sr~a~5 · P~%~r,~.~M CA ia%~.aO · FAX/805) 393-3623 SMC Analytical Ch¢.",.. i tly Groundwater Technology Inc. 4080 Pine Lake Concord Ca. 94520 A+.I.~Dt. ion I Jon Parker r:~..'e sample~ received : 1-31-91 D,,;,e of report I 2-01-91 l~,aJ.c,<;~. Name~ Arco Service Station $ 0583 F.,,>~,c~, # ~ 215-350-0605 R~::<~'~.T$ OF ANALYSES: .'~ ¢'mmBo~ite of %'s 545,547,548,549 ID~ ~I,~2,G3,G4 ugm/gm MDL,ugm/gm 'Benzene ND 0.00~ To].uene ND 0.00~ Ethylbenzene ND 0.005 p-X¥1ene ND 0.00~ m-Xylene ND 0.005 o-X¥1ene ND 0.005 I~oprop¥:benzene ND 0.005 3'P}{ (Gasoline) ND 1. O (Diesel ~2) I0.0 of AnaIys~s for BTX/TPH (S~$OIine): 5030/8020 of ~alysis for TP~ (Diesel)~ 5030/8020 (PZD) Minimum Detect,on Level TotaZ Pe%roleum ~ydrocarbons 3~$5 Pegasus Drk.c · B~kersfie!d, CA 93308 · (805) 393.3597 M ot.I i SMC Laborato Analytical Che',':' ;stry C~Ic, nb Namer Groundwater Technology Inc. Ad,~r~s , 4080 Pine Lake Concord Ca. 94520 Parker samples reeeivecl ~ 1-31.-91 analysi.9 completed.' 2-01-91 of report , 2-01-gl Arco Service Station % 0583 Z~5-350--0605 R¥'~,:;~,T$ 0~' ANALYSIS: C,~mpos~%e of 9's 542,543,544,§4§ ID~ F1,F2,F3,F4 ugm/gm MDL,ugm/~m Benzene ND 0.005 Toluene ND 0.005 F~hylbenzene ND 0.005 p-Xylene ND 0,005 m-~yle~e ND 0.00~ o-Xylene ND 0.005 T~opropyl~e~zene ND 0.005 1.0 TPH (Diesel $2) ND I0.0 ~,t,~',od of Analysis for BTX/TPM (Gasoline), 5030/8020 M~,~h,'~d of Analysis for TPH (Diesel)~ 5030/8020 (PID) M~',~. = M~n~mum Detection Level Ti'~! · Total Petroleum H~drocarbons uC~/~m = m~c~ogNams per ~ram (ppm) N~> ~ None De~e¢~ed Co,er A.;' ,,, ~ ~ t. J ca 1 ChemiS ~ 3155 PcS~S~,~$ Drive P.O. ~x 80835 · · P_.e. kersfield, CA 93308 B~kmrv~¢ld, CA 93380 · ,(805) 393,3597 FAX (80,~) 393.3623 SMC Analytical Chf. J,'~.:.~try Groundwater Teohnology 4080 Pine Lake Concor~ Ca. 94590 AtL,'~r~.on I Jori ParKer b~,~ ~amples received ~ 1-31-91 D,.~ analy$~S completed: 2-01-91 D~,I~:~ oE report ~ 2-01-91 Arc(; Service S%atton % 0583 215-350-0605 C~mpostte of ~'s 550,551,55~,553 ID: J1,J2,J3,J4 upm/gm MDL,ugm/gm Benzene ND 0.005 Tol~en~ ND 0.005 ~;thy'lbenzene ND 0.005 p-Xylene ND 0.005 m-Xylene ND 0.005 o-Xylene ND 0.005 ~apropylbe~lzene ND 0.005 TPH (Sa~oline) ND 1.0 #2) 91.7 ~0.0 Me~%,,:,d of Ana;ysis for BTX/TPH (Gasoline)= 5030/8020 Me'.!.~,:,4 of AnalySiS for TPH (Diesel)$ 5050/8020 (PID) MD~. ~' Minimum Detee~fon Level T~.[I :~ Total Petroleum Hydrocarbons u~../~2~ = microp'ram8 Per gram (ppm) N!',-: None Detected Comer ktfcal Chemist 315,5 Pegasus Drive , Eaker:~fleld, CA 93308 (005) 393-3~97 FAX ('80~) 393-3623 AtlantlcRichfleldCompar~ Facsimile Transmission Ou~olng · Location / Time TEL N0:213 404 534~ ~579 P01 FrOm Time I3 a.m. Q p.m. Comments initials Ol~rltor's initimll JgN-24-'91THU 10:19 ID:gRCO PETROLEUM PROD ARCO PrOdu~ COml~lly 1731S Studebaker Road C~rrlto~, C~llfornla 9070t.1488 Telephone~'i ~ 404 :~00 Mailing Addraee: BOX 6411 Artaall, Callfoml~ 90702-6411 January 23, 1,991 Mr. Wesley Nicks Hazardous Materials Specialist Ker,x County Resource Management Agency Departmem of Environmental Health $ervices 2700 M Street, Suite 300 Bakersfield, California 93301 TEL NO:2&3 404 5342 RE: Hydrocarbon-Bearing Soil, ARCO Facility #0583, Ming Avenue and Wible Road, Bakersfield, 'California Dear Mr, Nick.~; Hydrocarbon-bearing soil has been encountered during construction activities at the above. referenced ARCO facility. The soil underlies the southern end of thre¢,, former storage tanks. ARCO understands that the County may request further assessment of tile extent of contaminatio:l, and that remediation of this sell may be required in the future. ARCO also understands that some assessment and remediation optiom may not be possible because of the installation of new tanks. However, well.established technologies for assessing and remediating gasoline-bearing soils in place are available and can be utilized if necessary at this site. ARCO will install new underground storage tanks adjacent to the former storage tanks. As requested by the County, th~ following procedures will be followed during tank replacement: ) Ali work at the site will be conducted following the recomanendatlons in the site safety plan submitted by Groundwater Technolog-j; * A Groundwater Technology representative will supervis~ all excavation in the vicinity of known hydrocarbon impaction, and soil will be screened and ambient air will be monitored with a photolonization detector; ~ All soil suspected of containing hydrocarbons will not be removed from the immediate vicinity of areas of known impaction, such that this soil can be characterized during later assessment, if required; · If ambient air concentrations exceed 100 ppra workers will be required to wear NIOSH approved respirators as described in the site safety plan. APPC. ?076-B ARCO PfOd~t C,om~efW ia m II)W~lOn of Atl~ntl~aRIchfleld¢ornl~anv t/.1~1~ " JHN-~4-'~i IHU l~d:l~ ID:HNCU PETROLEUM PROD TEL NO:~15 404 5~42 If you have rely questions, please colttact mo at (213) 404-5360. Sincerely, ARCO Products Company Senior Environmental Engineer CC: Amy Green, Kern County Environmental Health. Jori Parker. Groundwater Technology, ? Standard Instructions Permit No. 270010 11. 12. All underground metal connections (e.g. piping, fitting, fill pipes) to tank(s) must be electrically isolated and wrapped . to a minimum 20 mil thickness with corrosion-preventive, gasoline-resistant tape or otherwise protected from corrosion. Primary and secondary containment of both tank(s) and underground piping must not be subject to physical or chemical deterioration due to the substance(s) stored in them. Documentation from tank, piping, and seal manufacturers of compatibility with these substance(s) must be submitted to Permitting Authority prior to construction. No product shall be stored in tank(s) until approval is granted by the Permitting Authority. Contractor must be certified by tank manufacturer for installation of fiberglass tank(s), or tank manufacturer's representative must be present at site during installation. Monitoring requirements for this facility will be described on final 'Permit to Operate.' Monitoring wells on "Typical Drawings" are not allowed unless monitoring probes are installed and functioning. Construction must be in accordance with Hazardous Materials Management Program standards as per UT-50. WGN:cas DATE: ~270010. ptc ENVIRONMENTAL HEALTII DE 2700 "M" STREET , STE. 3~d BAKERSFIELD, CA 93301 No. Application Date Co APPLICATION FOR PERMIT TO OPERATE UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY Type Of Application (check): ~New Faclllty~Modiftcation Of Facility ~]Exlstlng Facility [-]Transfer Of Ownership Emergency 24-11our Contact (name, area code, phone): Days ~'~(~ ~fSd ]}0 Facility Name ~rdO ~ ~ ~ [ZI~ No. Of~O~-Tanks~~y T~pe Of Business (check): ~6asollne Station ~Other (describe) Is Tank(s) Located On An Agricultural Farm? ~Yes ~o Is Tank(s) Used Primarily For Agricultural Purposes? ~Yes ~No Facility Address ~0 ~d,'~ ~. Nearest Cross St. ~t'~[~ T R SEC (Rural Locations Only) Tank Owner ~r~D ~u~ ~. Contact Person ~,'~,~ Address %~%~ %~u~/~ ~d. City/State ~{rC(~ Telephonef~/~ ~/0~-~00 Operator ~o~ ~/~ Contact Person - ' Address ~ /v];~ 5~. ~k~r%~cl~ Zip q~Oa/ Telephone f~f~'O~ Water To Facility Provided By ~ / ~O.~F~- Soil Characteristics At Facility ~ £.~ Basis For Soil Type and Groundwater Depth Determinations Depth to Groundwater~ Contractor ~(2~ ~/~/7~/7~f~/'/7~/~ CA Contractor's License No. Address I'"']lO ~C~tllObJa~, ~'~v~t~ Zip ~._ -Telephone Proposed Starting Date ~c~r ~ Proposed Completion Date ~r~ ~. Worker's Compensation Certification No. S~J~C/-~ Insurer - If This Permit Is For Modification Modifications Proposed ~n~ r~e~7 Tank(s) Store (check all that apply): Tank # Waste Product Motor Vehicle Of An £xtsttng 'Facility, Briefly Describe Unleaded Regular Premium piesel .Waste Chemical Composition Of Materials Stored (not necessary for motor vehicle fuels) Tank # Chemical Stored (non-commercial name) C S'A'~-~-(if known) Chemical PFeviousiy Stored (If different) Transfer Of Ownership Date Of Transfer ~r~(_~ Previous Owner Previous Facility Name I, accept fully all obligations of Permit No. Issued to I understand that the Permitting Authority may review sad- 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 .nd o rect./f Facility Name g. 'l. t-ennit No. TANK # { {'FILl, OUT SEPARATE FORM FOR EACH TANK} FOR EACH SECTION, CHECK ALL APPROPRIATE BOXF..q Tank. is: ( ) Vaulted ( ) Non-Vaulted ~XJ Double-Wall ( ) Tank Material ( ) Carbon Steel ( ) Stainless Steel ( ) Polyvinyl Chloride ( ) OcY' Fiberglass-Reinforced Plastic ( ) Concrete ( ) Aluminum ( ) ( ) Other (describe) 3. Primacy Containment Date Installed Thiel(ncss (Inches) / 4. 'Yank Secondary Containment (~) Double-Wall ( ) Synthetic Liner Other (describe): ( ) Material 5. Tank Interior l,ining ( )' Rubber ( ) Alkyd ( ) Other (de~'cribe): o Single-Wall_ Fib~ri'lass-Clad Steel Bronze ( ) Unknown Capacity (Gallons) Manufacturer ( ) Lined Vault ( ) None ( ) Unknown Manufacturer: Thickness (Inches) Capacity (Gallons) () Epoxy () Phenolic {~ Glass () Clay () Unlined () Unknov~ Tank Corrosion Protection ( ) Galvanized ~ Fiberglass. Clad ( ) Polyefllylene Wrap ( ) Vinyl Wrapping ( ) Tar or Asphalt ( ) Unknown ( ) None ( ) Other (describe): Cathodic Protection: (~)' None ( ) Impressed Current System ( ) Sacrificial Anode System Describe System and Equipment: l.enk Detecfign,~ .M~m3~iLo. rin~ and l_n_terception n. Tank: ( ) Visual (vatfited tanks only) ( ) Groundwater Monitoring Well(s) ( ) Vndose 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* 0<3 Pressure Sensor in Annular Space of Double Wall Tank* ( ) Liquid Retrieval & Inspection From U-Tube, Monitoring Well or Annular Space ( ) Daily Gauging & Inventory Reconciliation ( ) Periodic Tightness'Testing () None () Unlmown () Other Piping: ( ) Flow-Restricting Leak Detector(s) for Pressurized Piping* ,-' 0el Monitoring Sump with Raceway ( ) Sealed Concrete Raceway ( ) Half. Cut Compatible Pipe Raceway ( ) Synthetic Liner Raceway ( ) None ( ) Unknown () Other *Describe Make & Model: Tank Tightness Has This Tank Been Tightness Tested? (~ Yes Date of Last Tightness Test Test Name Tnnk Repair 'rank Repaired? ( ) Yes ~ No Date(s) of Repair(s) () No Results of Test Testing Company ( ) Unknown ( ) Unknown Describe Repairs 10. 11. bo Overfill Protection ( ) Operator Fills, Controls, & Visually Monitors Level ( ) Tape Float Gauge ( ) Float Vent Valves ( ) ( ) Capacitnnee Sensor 0q Sealed Fill Box ( ) None ( ) Other: Piping a. Underground Piping: I?~(~n Yes () Thickness (inches) ~ Diameter, ! Q~ Pressure ( ) Suction ( ) Gravity Underground Piping Corrosion Protection: ( ) Galvanized ~ Fiberglass-Clad ( ) Polyethylene Wrap ( ) Electrical Isolation ( ) Vinyl Wrap ( ) Unknown ( ) None ( ) Other (describe): Underground Piping, Secondary Containment: ~ Double-Wall ( ) Synthetic Liner System (') None () Other (describe): Auto Shut-Off Controls ( ) Unknown List Make & Model for Above Devices ( ) Unknown Mat ,r~al Manufactu~i Approximate Leng~ of Pipe Run < / ~O t ~m~. ( } Impressed Cu~ent ( } Sacrificial ~ode - ( } Tar or ~phalt ( ) Unknown Facility Name H, ~)-~'~ ,~ . ' Permit No. TAv,,x # ,.~ (FILL OUT SEPARATE FORM FL,..~'EACI-~ flANK} FOR EACH SECTION, CHECK ALL APPROPRIATE BOXEg Tank is: ( ) Vaulted ( ) Non-Vaulted ~XJ Double-Wall ( ) Single-Wall._ Tank Material ( ) Carbon Steel ( ) Stainless Steel ( ) Polyvinyl Chloride ( ) Fib~r~'lass-Clad Steel (kY' Fiberglass-Reinforced Plastic ( ) Concrete ( ) Aluminum ( ) Bronze ( ) Unknown () Other (describe) 3. Primary Containment Date Installed Thickness (Inches) / 5/6-" 4. Tank Secondary Containment (~) Double-Wall ( ) Synthetic Liner Other (describe): ( ) Material 5. Tank Interior Lining ( ) Rubber ( ) Alkyd ( ) Other (describe): o Capacity (Gallons) Manufacturer ( ) Lined Vault ( ) None ( ) Unknown Manufacturir: Thickness (Inches) Capacity (Gallons) ( ) Epoxy ( ) Phenolic · ~ Glass ( ) Clay ( ) Unlined ( ) Unknown Tank Corrosion Protection ( ) Galvanized (,'9' Fiberglass-Clad ( ) Polyethylene Wrap ( ) Vinyl Wrapping ( ) Tar or Asphalt ( ) Unknown ( ) None ( ) Other (describe): Cathodic Protection: C~)' None ( ) Impressed Current System ( ) Sacrificial Anode'System Describe System and Equipment: Leak Detection, Monitoring, and Interception a. Tank: ( ) Visual (vaulted tanks only) ( ) Groundwater Monitoring Well(s) ( ) Vadose 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* 0'0 Pressure Sensor in Annular Space of Double Wall Tank* j~°2' ~O, or~trt ~/o~X ( ) Liquid Retrieval & Inspection From U-Tube, Monitoring Well or Annular Space ( ) Daily Gauging & Inventory Reconciliation ( ) Periodic Tightness Testing () None () Unknown () Other Piping: ( ) Flow-Restricting Leak Detector(s) for Pressurized Piping* ,-.' I~f Monitoring Sump with Raceway ( ) Sealed Concrete Raceway ( ) Half-Cut Compatible Pipe Raceway ( ) Synthetic Liner Raceway ( ) None ( ) Unknown ( ) Other *Describe Make & Model: Tank Tightness Has This Tank Been Tightness Tested? (~ Yes Date of Last Tightness Test Test Name Tank Repair Tank Repaired? ( ) Yes ~ No Date(s) of Repair(s) () No Results of Test Testing Company ( ) Unknown ( ) Unknown Describe Repairs 10. 11. Overfill Protection ( ) Operator Fills, Controls, & Visually Monitors Level ( ) Tape Float Gauge ( ) Float Vent Valves ( ) ( ) Capacitance Sensor Oaf Sealed Fill Box ( ) None ( ) Other: Piping a. Auto Shut-Off Controls ( ) Unknown List Make & Model for Above Devices bo Co Underground Piping: i/~Q~,' Yes ( ) No ( ) Unknown Martial Thic~ess (inches) ~'~- Diameter ~1 Manufac~fi,~ ~ Pressure ( ) Suction ( ) Gra~W Approfimate Len~ of Pi e R~ Under~ound Piping Co~osion Protection: P ~ '~"~ () Galvanized ~ Fiberglass-Clad ( ) Impressed Cu~ent ( ) Sac~cial ~ode - ( ) Polye~ylene Wrap ( ) Elec~cal Isolation ( ) Vinyl Wrap ( ) T~ or ~phalt ( ) Un~o~ ( ) None ( ) O~er (describe): Under~ound Piping, Seconda~ Containment: ~ Double-Wall ( ) S~etic L~er System (') None ( ) Un~o~ ( ) Other (describe): H. 1, ?ermit No. 'rANK # ~ (FILL OUT SEPARATE FORM FOR EACH TANK) FOR EACH SECTION, CHECK Al& APPROPRIATE BOXES Tank is: ( ) Vaulted ( ) Non-Vaulted ~XJ Double-Wall ( ) Single-Wall_ Tank Material ( ) Carbon Steel ( ) Stainless Steel ( ) Polyvinyl Chloride ( ) Fiberglass-Clad Steel . ~ Fiberglass-Reinforced Plastic ( ) Concrete ( ) Aluminum ( ) Bronze ( ) Unknown ( ) Other (describe) 3. Primary Containment Date Installed Thickness (Inches) / 4. Tank Secondary Containment (~) Double-Wall ( ) Synthetic Liner Other (describe): ( ) Material 5. Tank Interior Lining ( ) Rubber ( ) Alkyd ( ) Other (describe): o Capacity (Gallons) Manufacturer ( ) Lined Vault ( ) None ( ) Unknown Manufacturer: Thickness Onches) Capacity (Gallons) Epoxy ( ) Phenolic (~ Glass ( ) Clay ( ) Unlined ( ) Unknown Tank Corrosion Protection ( ) Galvanized (2~ Fiberglass-Clad ( ) Tar or Asphalt ( ) Unknown Cathodic Protection: (5,)' None ( ) Describe System and Equipment: Leak Detection, Monitoring, antl Interception ( ) Polyethylene Wrap ( ) Vinyl Wrapping () None () Other (describe): Impressed Current System ( ) Sacrificial Anode System a. Tank: ( ) Visual (vaulted tanks only) ( ) Groundwater Monitoring Well(s) ( ) Vadose 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 Wall Tank* ( ) Liquid Retrieval & Inspection From U-Tube, Monitoring Well or Annular Space ( ) Daily Gauging & Inventory Reconciliation ( ) Periodic Tightness'Testing () None () Unknown () Other Piping: ( ) Flow. Restricting Leak Detector(s) for Pressurized Piping* :' ~f Monitoring Sump with Raceway ( ) Sealed Concrete Raceway ( ) Half-Cut Compatible Pipe Raceway ( ) Synthetic Liner Raceway ( ) () No Results of Test Testing Company ( ) Unknown ( ) Unknown ( ) Unknown ( ) Other *Describe Make & Model: Tank Tightness Has This Tank Been Tightness Tested? (~q Yes Date of Last Tightness Test Test Name Tank Repair Tank Repaired? ( ) Yes ~ No Date(s) of Repair(s) None Describe Repairs 10. 11. Overfill Protection ( ) Operator Fills, Controls, & Visually Monitors Level ( ) Tape Float Gauge ( ) Float Vent Valves ( ) ( ) Capacitance Sensor (~ Sealed Fill Box ( ) None ( ) Other: Piping a. Auto Shut-Off Controls ( ) Unknown List Make & Model for Above Devices bo Underground Piping: ..(.~ Yes ( ) No ( ) Unknown Mat, grjal O.u~l,'~ t',~a.~. Thickness (inches)~'~/~n_ Diameter ~ Pressure ( ) Suction ( ) Gravity Approximate Length of Pipe Run ~! 0/9 * o,~,-,,v' Underground Piping Corrosion Protection: ( ) Galvanized 0kff Fiberglass-Clad ( ) Impressed Current ( ) Sacrificial Anode ( ) Polyethylene Wrap ( ) Electrical Isolation ( ) Vinyl Wrap ( ) Tar or Asphalt ( ) Unknown ( ) None ( ) Other (describe): Underground Piping, Secondary Containment: ~ Double-Wall ( ) Synthetic Liner System (') None ( ) Unknown ( ) Other (describe): Facility Name H. l). 10. 11. TANK # q- fl:ILL OUT SEPAI1-ATE FORM FOR EACH TANK} FOR EACH SECI'ION, CHECK/~.I. APPROPRIATE BOXES Tank is: ( ) Vaulted ( ) Non-Vaulted ~XJ Double-Wall ( } Tank Material (') Carl>on Steel ( ) Stainless Steel () Poly~dnyl Chloride ( ) ~ Fiberglass-Reinforced Plastic ( ) Concrete ( ) Aluminum ( ) ( ) Other (describe) Permit No. Single-Wail_ Fib~r~'lass. Clad Steel Bronze ( ) Unknown Capacity (Gallons) %noo Manufacturer ( ) Lined Vault ( ) None ( ) Unknown Manufncmn;r: 'l'hiclcness (Inches) Capacity (Gallons) .I? rim_,3Ey. Conra inment Date Installed Tlflclcncss (Inches) / ,, Tank Secondary. Contninme_~nt iX} Double-Wall ( ) Synthetic Liner () Other (describe): ( ) Material Tank. Interior l,ining~ ()' Rubber () Alkyd () Epoxy () Phenolic (~ Glass () Clay ( ) Other (des'cribe): Unlined ( ) Unknov~ Tank Corrosion Protection ( ) Galvanized ~ Fiberglass-Clad ( ) Polyethylene Wrap () Vinyl Wrapping ( ) Tar or Asphalt ( ) Unknown ( ) None ( ) Other (describe): Cathodic Protection: 0~' None ( ) Impressed Current System ( ) Sacrificial ^node'System Describe System and Equipment: l.oak Detecrion,_MOtLitoFj__ng~3_an.~ lntercep.~On a. Tank: ( ) Visual (vaulted tanks only) ( ) Groundwater Monitoring Well(s) ( ) Vadose 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* iX) Pressure Sensor in Annular Space of Double Wall 'rank* . ( ) Liquid Retrieval & Inspection From U-Tube, Monitoring Well or Annular Space ( ) Daily Gauging & Inventory Reconciliation ( ) Periodic Tightness'Testing () None () Unknown () Other Piping: ( ) Flow-Restricting Leak Detector(s) for Pressurized Piping* :' 0?J' Monitoring Sump with Raceway ( ) Sealed Concrete Raceway ( ) Half-Cut Compatible Pipe Raceway ( ) Synthetic Liner Raceway ( ) None ( ) Unknown( ) Other *Describe Make & Model: Tank Ti?htness 14as This Tank Been Tightness Tested? (x~f Yes Date of Last Tightness Test Test Name .. Tank Repm_r.'r Tank Repaired? ( ) Yes 00~ No Date(s) of Repair(s) () No Results of Test Testing Company ( ) Unknown ( ) Unknown Describe Repairs Overfill Protection ( ) Operator Fills, Controls, & ¢isually Monitor~ Level ' ( ) Tape Float Gauge ( ) Float Vent Valves ( ) Auto Shut-Off Controls ( ) Capacitance Sensor 09' Sealed Fill Box ( ) None ( ) Unknown ( ) Other: List Make & Model for Above Devices Piping tS~o /*. ~,~ n. Underground Piping: ~ Ye~ () No . () Unknown Material ~. ' ( ) '~ ppr ximate Leng~ of Pipe Run . b. Under~ound Piping Cohesion Protection: ( ) Galvanized ~ Fiberglass-Clad ( ) Impressed Cu~ent () Sacrificial Anode ( ) Polyethylene Wrap ( ) Elee~ieal Isolation ( ) Vinyl Wrap ( ) Tar or ~phalt ( ) Unkno~ ( ) None ( ) Other (describe): c. Under~ound Piping, Seconda~ Containment: ~ Double-Wall () S~thetie Liner System (') None () Un~o~ ( ~ Other (degcribo3: RECEIPT PAGE 1 12/'03/90 2:48 pm KERN CCL/NTY PLANNING & DEVELOPMENT 2?00 'N' Stree'u 3ake¢$field. CA 93301 805') 86!-36t5 Invoice Nbr. 1 43018 Type of Order DiVERSiFIED DEV SERV FEE t Terms 350.00 E 350.00 350 _ 00 Amount Due 350.00 350.00 RESOURCE MANAGEMENT AGENCY RANDALL L. ABBOTT DIRECTOR DAVID PRICE I11 ASSISTANT DIRECTOR Envitom~ l.lealth Se~ce~ De~m~ STEVE It,IcC,A! I rg, REHS, DIRECTOR A~. Poiluti~ C.x~tmi D~tr~'t ~ J. RODDY, APCO Planning & Develooment Setwices Department TED JAMES, AiCP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT .... · ~ ................ ..::Oi',~P,'~.i'.~Y P'ERFORMi',JG THE FUN(':F:,'~',i: CERTIFY UNDER PENALTY OF A ',~'[-"H SPECIFICATIONS PRG'./ ;.,Z, CO [3'f AGENC'~ES,,~NO STATE ANO FEDERAL i..AI:'~,"5 q:E::&LIL.;~,T.T.N(~ TPCIRNIA ..... ,,,, ~-~,cc-r c,,,'T'C ~rv'~ n,~T:~,C:T::TT:T n r",~T ..................................................................................................... (8051"861:3636 ......... GROUNDWATER TECHNOLOGY, INC. January 31, 1991 Mr. Wesley Nicks Hazardous Materials Specialist Kern County Resource Management Agency Department of Environmental Health Services 2700 M Street, Suite 300 Bakersfield, California 93301 RE: Soil Pile, ARCO Facility #0583, Ming Avenue and Wible Road, Bakersfield, California Dear Mr. Nicks: Whitten Excavation would like to transport soil generated during tank excavation activities at the above-referenced site to a Class III landfill in Bakersfield. Groundwater Technology proposes the following sampling scheme in an effort to characterize the soil. Sampling will be done within a 20-foot by 20-foot grid as shown in figure 1. Each block will be divided into four quadrants and a sample will be collected from each quadrant. The four samples for a given block will be composited in the laboratory (28 samples composited into 7). The original sampling scheme that was faxed to you on January 28 has been revised as the size of the soil pile was not as large as was first approximated. The grid size, however, was not changed. In addition, one area of the pile was tall enough to require two sampling blocks, one above the other. Each composite will be analyzed for BTEX and TPH as gasoline. Laboratory analyses will be expedited and the results forwarded to the County upon receipt. A separate soil pile in the southeast corner of the property is suspected of containing hydrocarbons. This soil was generated from excavation near the service islands and the southern portion of the tank pit. ARCO has made arrangements with Falcon Environmental for the disposal of this soil to the GSX facility in Buttonwillow. If you have any questions, please contact me at (805) 589-8601. Sincerely, Groundwater Technology, Inc. ?~onathan D. Parker, R.G. Project Manager cc: Kateri Luka, ARCO Offices throughout the U.S., Canada and Overseas Sign D* - Sampling area D is above area G. Footing _J I I I I I Soil I Pile _] ' ' ~0 I)T- -- H I I Soil ,__ Pilel LEGEND SCALE: I I 20' 0 1 O' 20' ~,TE, Arco SS #0583 ~[~#0~ SITE LaC, 3220 Ming Avenue Bakersfield, California MAP TYPE, Sampling Grid DRAWN DY~ I DATE, IAPPRDVED I)Y, DATE, MHI 12//90 I JDP 12/90 REV REV]SIDN DATE ]~Y RES RCE MANAGEMENT AGI:NCY RANDALL L. ABBOTT DIRECTOR DAVID PRICE !I1 ASSISTANT DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT March 15, 1991 jo*~'"Tully ARCO PRODUCTS COMPANY 17315 Studebaker Road Cerritos, CA 90701-1488 SUBJECT: Location: Known As: Permit #: 32~0 Ming Avenue, Bakersfield ARCO AM PM #583 270010 Dear Mr. Tully: The intent of this letter is to inform you of the necessary deadlines for work required at the property described above. As a responsible party for a leaking underground storage tank, you have previously received a letter from this Department notifying you of the required work necessary to identify the extent of the contamination. We are now requesting that this work, outlined in Handbook UT-35, be done in a timely manner. In accordance with California Health and Safety Code, Chapter 6.7, and Kern County Ordinance Code, Chapter 8.48, the Kern County Environmental Health Services Department requires a determination of the threat to the environment. Accordingly, you must select an environmental contractor and submit a site characterization workplan proposal to this office within 30 days from the date of this letter. The workplan must be approved by this Department before any work is started. If you should have any questions regarding this matter, please contact me immediately at (805) 861-3636 ext. 549. Sincerely~ Hazardous Materials Spec/al/st Hazardous Materials Management Program FD:jg 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 'J°"°''~TE~' 0 LOCAL A~-=ENCY // .,~ AGENCY NAME ~mo~nm I ~W DI~D ~ D[~AR~ ~N M M D O Y y ~S DI~H~ ~EN ~U~ ~ DI~&RGE ~E~ ONEO~Y ~ ON~ O~Y / I ONE~ ~P~OPRIA~ ~TION(~ NAUE I~TACT PEI:tSO~ 1~ I ~,~-~ 3~)e- I PHONE J~E OU~T~ L~T (G~N~ ~ U~NO~ . j'-'-J' U~ [~] INVENTORY CONTROL [] SUBSURFACE MONITORING * [---J NUL.R~NCE CONDITIONS [] TANKTEST ~ TANK REMOVAL [] OTHER J ~oo u~ TO s~. O~R~ (~C~ ~L ~T ~ HAS DI~H~ ~EN ST~D ? .... ~ ~S ~ ~ FYES DA~ O~R ~ T~K~ ~ U,~ ~ OVERFLL ~ ~P~R~AILURE ~ 8p,~ [] SOILONLY [] GROUNDWATER [] DRINKINGWATER-(CNECKONLYIFWATERWt~i.~HAVEACTUN.LYBEENAFFECTED) PRELIMINARY SITE ASSESSMENT WORKPLAN SUBMrl-rED PRELIMINARY SITE ASSESSMENT UNDERWAY CASE CLOSED (CLEANUP COMPLETED OR UNNECESSARY) [] POLLUTION CHA R~c'r~RIzATION [] 'POST CLEANUP MONITORING IN PROGRE&~ ] CLEANUP UNDERWAY, [] EXCAVATE&DISPOSE(ED) [] REMOV~FREEPRODUCT(FP) ~ ENHANCED BiO DEGRADATiON ( T) [] EXCAVATE&TREAT(E1) [] PUMP&TREATGROUNDWATER(GT)[] REPLACE '~LIppLY (RS)& I._~r~. CONTAINMENT~RRIER(CB) [] NOACTIONRE~IUIRED/{NA)~REATMENTATHOOJJUp(HU) J~ ~EI~OIL(VJ): :,1,,: -,' / -,, ' ""'"J~l-- , , r - -- · *. : -- " ~..-, · /'i '''z -"'- ...... -' ' ' .' " ~ '"' F'B-I::L:,., ~., ,.:.,...:~ .... ,',.-, ~/~ lZ,~'~.,~i.- · ~, , / / ' -.4-::-:,' ,:::';'~ :.>x,'.//,'/.~l"~"~' / ~/f,,~i · :-: ~. '.-: , · f --'>:' ,"..' ,, r.// I/ ' ' - ,'1 INSTRUCTIONS and in_vmilved OE S ) code Sect/[o~-- ," ~ /' e~7~; da~e ~he ~o~ ~ ;d~es aoX' ne; has been '.:~ ~ ~hrea~ hea~h or safe~y, only have been fol~ed if re~ired. %:3 ;~er, ~d;' a ss. Indi~at'~ which party you comply or a~en~ n~e. ; ~ · n~er, con~ac~erson, ~a~adaresS of the party " ~e~., ,~e respo~ible pa~',~u~d normal~y be %he ~a~ i~& ~he ~aci~i~. ~ a mini~, ~ou mus~ and,~$~ona~ ~a~e~ ~a~f~y Con~o~ Board ~sency on.~wo s~s~ances if app~opria~e. If more than %~ %we of mos~ conce~ for cleanup. Pfc d~s¢overy~and ~a~em&n~ of .~he le~. e"~' ' ~ : ') ":' " ck ~(es)~'~hd~c;Sin8 ~ause o~- ~e~. , .'~ f~ls ~e~. ~eck one box ~y. Case ~ive.,fesou~ce 8ffec~ed. ~or e~p~e, if ~been affected, case ~ype wi~ be "~round only if one or more municipa~ or ~'l~: ~u~y ~een affected. A "~ound ~a~e~" ~el that the affected water cannot be, or is not, but only that watg; wells have not yet been that case typ~-%ay ch~&e-upon further Indic which best describe~he current,status of the case. ~e%~ ~e. ~e response should b~ relative ~o. ~he ca~e ~ype. For )e is "Ground Wa~e~", ~n "Cu=ren~ S~atus" should refer ~o. ~ 8ro~d wa~er ~a~s~iia'~ion ~ cleanup, as opposed ~o , ~. ~ Lined - Le~ suspected a~ site, but' 'has n0~ been confi~ed. Preliminary Bite AsSessment Workpl~J'Submitted - .ork~lan/Fr?..I~al requested of/sut~nitted by responsibl~ party to ~et~m.~ne water ~as been, or will be, impacted as a resul~ az ~ne re~eas~'~ Prelimina~ Site Assessment Unde~ay - implementati~ of workp~ ',~ Pollut ~aracterization - responsible party is in the process~ fully ~efinin~ the extent of cont~ination in soil and ~ro~d water impacts on surface ~d/or ~round water. ~.. ~ ~ Remed~$~on Plan - remediation plan submitted evaluatin~ lon~ remediation options. Proposal and i~lementation schedule for appropria~e remed~tion options also s~mitted. Cle~nde~ - implemen~a~ion of remedia~ion pl=. ~i~o~in~ in Progress - ps~iodio gro~d ~at?~ of remedi8~ activities. /% ~/ Case Closed - re~i~n~ board and ~ocal a~eno~in .concurrence %ha~o further work is necessary'at the site. / STATISTIC~ P~ES O~Y, ~D IS NOT TO BE CONS~D ~ ~Nx~ OFFICI~ ~SITION OF ~Y ~NT~ AGENCY ~ox~ ACTZON ~.. ' ...... ~.~ Indicate which action have been used ~o cle~up or reme~za~e %ne ~/~ Descriptions of options follow: .]"J ~ "~ infil5ra~ion. ' "/ Con~ai~en~ Barrier - install vertical dike %o block horizon%al ~vemen~ cont~inan~. Excavate ~d Dispose - remove cont~inated soil and dispose in aD,roved site. ~ '-/ Excavate ~d Trea~ remove cont~lna%ed soil and 5rea~ (includes spreadin~ or lend farming). ~" ' .~ Remove Free Produc~ - remove floaLin~ product from water ~e. ~p and Treat Gro~dwa~er - ~enerally e~loyed to remove dissolved~ E~anced Biode~rada~ion - use of any available ~ec~olo~y %o'pro~e. bacterial decomposition of co~%~inan~s. Replace Supply - provide alternative water supply ~o affec~ Trea~men~ a~ Hookup - install water ~rea~men~ devices a5 each dwgllin~ or o~her place of use. ' . Vacu~ Ex~ra¢~ - use p~ps or blowers ~o draw air ~hrou~h Soil; Ven~ Soil - bore holes in soil 5o allow vola~ilization of ¢~n~n~s. No Action R6~red - inciden~ is minor, re~irin~ no remediaI C~NTS - Use ~his space ~o elaborate on any aspects of %he i~oiden~'. SIGNAT~ - Sisn ~he form in ~he space provided. DIS~IBUTION If ~he fo~ is completed by the %a~ o~er or his a~en~, re~ain.~he and forward 5he remainin~ copies intact %o your local %a~ pemi~ a~ency for distribution. & 1. Original - Local Ta~ Permit~in~ A~ency 2. Sta~e Wa~er Resources Control Board, Division of Loans ~ ~ran~., Under,round Storage Ta~ ProEr~, P.O. Box 944~1~, Sacr~en~o, CA 94244- 2120 ;t:~ ' 3. Re$ional Wa~er ~ality Control Board 4. County Board of Supe~isors or desiinee to receive notifications. 5. ~er/responsib[e par~y. RESOURCE MANAGEMENT AGENCY RANDALL L. ABBOTT DIRECTOR DAVID PRICE Iii ASSISTANT DIRECTOR Environmental Health Set~,ic~ Department STEVE McC~l I I:y, REHS, DIRECTOR Air Pollution Control District WILLIAM J. RODDY, APCO Planning & Development Services Department TED JAMES, AICP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT PERMIT FOR PERMANENT CLOSURE 'OF UNDERGROUND HAZARDOUS SUBSTANCES STORAOE FACILITY PERMIT NUMBER A 1366-27 FACILITY NAME/ADDRESS: OWNER(S) NAME/ADDRESS: CONTRACTOR: AM/PM #583 3220 Ming Avenue Bakersfield, CA 93304 ARCO PRODUCTS COMPANY 17315 Studebaker Road Cerrito, CA 90701 Phone: (213) 404-5300 Wegener Construction 1710 C. alloway Road . Bakersfield, CA License #413913 Phone: (805) 589-5570 PERMIT FOR CLOSURE OF PERMIT EXPIRES March 7, 1991 5 TANK(S) AT ABOVE LOCATION APPROVAL DATE December 7~ 1990 "-'-W~ley.,~icics Hazar~Sus Materials SpecialiSt ............................................................................................... POST ON PREMISES ................................................................................................ CONDITIONS AS FOLLOWS: 1. It is thc responsibility of thc Permittee to obtain pe.rmits which may be required by other regulatory agencies prior to beginning work (i.e., City Fire and Building Departments). 2. Perminee must noti~ the Hazardous Materials Management Program at (805) 861-3636 two working days prior to tank removal or abandonment in place to arrange for required inspections(s). 3. Tank closure activities must be per Kern County Environmental Health and Fire Department approved methods as described in Handbook UT-30. 4. It is the contractor's responsibility to know and adhere to all applicable laws regarding the handling, transportation or treatment of hazardous materials. 5. 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. 6. 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 [rom the submitted application is not allowed. 7. Soil Sampling: a. Tank size lc~ than or equal to 1,000 gallons - a minimum of two samples must be retrieved from beneath the center of the tank at depth~ of approximately two feet and slx 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 o[ 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 rite center of each tank at depths o£ approximately two feet and six feet. 8. Soil Sampling (piping area): A minimum of two samples must be retrieved at depths of approximately two feet and slx feet for every 15 linear feet of pipe run and under the dispenser area. 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 I:A~. fRr~ PERMIT FOR PERMANENT CLOSUR~ OF UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY PERMIT NUMBF/~ A 13(~-27 , ADDF.,NDUM 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. 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. 10. The following timetable lists pre- and post-tank removal requirements: ACTIVITY Complete permit application submitted to Hazardous Materials Management Program At least two weeks prior to closure Notification to inspector listed on permit of date and time of closure and soil sampling Two working days Transportation and tracking forms sent to Hazardous Materials Management Program. All hazardous waste manifests must be signed by the receiver of the hazardous waste 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. Purging/Inerting Conditions: a. Liquid shall be pmnped 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 thc 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 lbllowing guidelines are offered to clarify the interests and expectations for this department. .]ob site safety is one of our primary concerns. ~xcavations 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 tim 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. 2. Properly licensed contractors are assumed to understand tile requirements of tile 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, proccszing time for completing new closures will increase. WON:ca~-~'' O~NEI¥,OR ,~GE~T- ~a1366-27.ptc ~ GROUNDWATER TECHNOLOGY, INC. 4101 Alken Street, Suite B-L B~ker~eld, CA 03308 (80~) 68~.8601 Faa: (805) ~89.860~ FACSIMILE COVERSHEET Attn:_ p'b. a,?,l~7 /v,.dns Date: Company Name:~ k',,, _t~,.,~ %?~. ~:~. ~4.~%.t~.~ Job Name: Location: Job No.: FAX No.: 5.o.~ -~ z~ Cover + . -_~ Pages Phone No.: (805) 589-8601 FAX No.: (805) 589-8605 T HIJ LA.ORATOR ~2 SMC Groundwater Technology, 4101Aiken Street, Suite Bakersfield, CA 93308 ALt.~r, tion i Mr. Jon ~a~'ker rake samples received : 01-36-91 D,,I.~ analysis eo~ leted: 01-16-91 D~.t,e of report : 01-16-91 INC. Analytical, Cher,'~.ist%, ~.,,~jc,:'t Name~ Arco 0583 t"r,'~jcct % : 215-350-0605 ~'~.~,~..1.'1-$ OF ANALYSIS: 788 ID: T25-9' "C!u,'~ ~enzene 0.012 Toluene ND Fthyl~enzene ,~D p-Xylene ND m-~ylene 0.0050 o-xylene 0.0064 ~opropylben~ene ND Ml:L,ugm/gm 0.0050 0.0050 0.0050 0.0050 0.0050 O.005O 0.005O (Gasoline) 1.4 1.0 ~,.t~',,'~d of Analysis for BTX/TPH (Gasoline) · N~:f. ~: Minimum Detection Level T~';: ~ Total Petroleum Mydroca~bons u9,'./,3~ ~ micrograms per gram (ppm) 75~, '- NoDe Detecbed ~ 381o/8010 Mi" ,', r,,] '. ;:. ,;i~t!cal Chemis$ 3155 Pegasus Drive . LA~kersfle!d, CA 93308 .(805) 393.3~97 FAX ¢R05~ 393-3623 SR'N-- & 7-- ~ [ THU P~,r.br,TS OF ANALYSIS: 389 ID: T2S-6' Benzene Toluene Ethylbenzene p-Xylene m-XyleDe o-Xylene ~sopropylbenzene ugm/gm 0.22 2.? 2.4 7.9 16. 3eO. MDL, U gm/gm 0.0050 0.0050 0.0050 0.00~0 0.0050 0.0050 0.OO5O 1.0 300 ID: T3S-2' ~enzene Toluene Ethylbe~zeDe p-Xylene m-Xylene o-Xy[ene Isopropylbenzene ugm/gm 83. 42. 100. 220. 160. 14. 2000. MDL,ugm/gm 0.0050 0.0050 0.0050 O.OO50 0.0050 0,0050 0.0050 1.0 ID: T3S-6' Benzene Toluene Ethylbenzene p-Xylene m-Xylene o-X¥1ene r~opropylbe~zene ugm/gm 5.9 32, 22. 69. 140. 110, 12. 1500. MDL,ugm/gm 0.0050 0.O05O 0.0050 0,0050 0.0050 0.0050 0.0050 1.0 Ar-,:, l y t tea 1 C~erot St T HI_! p. 04 ~;.:.q~',!,T$ O~ ANALYSIS: 392 IOl T45-2' Benzene Toluene F, thylbenzene p-Xylene m-xylene o-Xylene Isopropylbenzene T~H (Gasoline) ugm/gm 1.3 6.1 6.8 37. 83, 64. 8.1 1100. MDL,ugm/gm O.0050 O.OO5O 0.0050 0.0050 0.0050 0.0050 0.0050 1.0 393 ID: T4S-6' Benzene Toluene Fthylbenzene p-Xylene m-Xylene o-Xylene Isopropylbenzene TPH (Gasoline) ugm/gm 0.22 0,72 7.2 I6. 16. ND 300. MDL, ugm/gm 0.0050 0.005O 0.0050 0.0050 0.0050 0.0050 0.0050 1.0 ~. r'~3 3 ~ t,! ca 1 Chemist THIS APPLICATION IS FOR A: FACILITY ]II:CII~TICII K£1~I COUNTY RESOU~E MANET ACENCY ENVlRONI~ENTAL HEALTH SERVICES DEPARTMENT 2700 "M" STREET, SUITE 300 BAKERSFIELD. CA 93301 (805)861-3636 (FILL OUT ONE APPLICATiON PER FACILITY) APPLICATION FOR PERMIT FOR PERMANENT CLOSURE/ABANDONMENT OF UNDERGROUNO HAZAREX:XJS SUBSTANCE STORAGE FACILITY [~REMOVAL, OR [] ABANDONMENT IN PLACE 9: O:Ifll~CT~ IIFG~TlOl INTEL USE ONLY APPLICAT ION DATE: st : zip: ~0-/o/ START DiE: [~. ~) ]CAL. IFC~IA LIcI~IS[ TYPE i I: CHEMICAL CC~P0~TION OF MATERIALS STORED: TANK # VOLUME CHEMICAL STORED DATES STORED . ~ --~ o ~,~~ ~ ~. ,, ~o' :~ ~~_:~-~?:' _ to' ,, ~P~OVIDE DRAHING ~ t ;AL LAYOUT OF FACILI~ SPACE PROVIDED 8ELON, ALL OF THE FOLLOWING INFORMATION ~_S..~._~[ INCLUDED IN ORDER FOR THE APPLICATION TO BE PROCESSED= TANK(S), PIPING & DISPENSER(S), INCLUDING LENGTHS & DIMENSIONS. PROPOSED SAMPLING LOCATIONS DESIGNATED BY THIS SYMBOL NEAREST STREET OR INTERSECTION ........ ANY WATER WELLS OF SURFACE WATERS NITHIN 100' RADIUS OF FACILITY NORTH ARRON II -- o$ II · II~ II IIi IIII ii ,'rr 4¢r'0 . '" ~e o'f Order P A G E ~ ARCO Products Comp 17315 Studebaker Road Cerritos? California 90701-1488 Telephone 213 404 5300 Mailing Address: Box 6411 Artesia, California 90702-6411 County of Kern Environmental Health 1700 Flower Street. Bakersfield, Ca. 93305 SUBJECT Tank Interity test results ARCO Station 583 '~ 3220 Ming Ave. ~ ,' ~ Bakersfield, Ca. Date 08/24/90 Dear Sir The tanks and piping at the above station passed a Gasoline system test as noted in the attached test results. ARCO Petroleum Products Company is committed to compliance with the laws that govern the operation of underground storage tanks, If you have any question please call. Sincerely 213 ~04-5353 APPC-7076-B ARCO Proc~ucts Company is a Division of AtlantlcRichfieldCompan¥ (7-88) Associated Environmental Systems, Inc. P.O. Box 80427 Bakersfield, CA 9338L (805) 393-2212 PRECISION TANK & LINE TEST RESULTS Invoice Address: ARCO PETROLEUM PROD. 17315 STUDEBAKER RD. CERRITOS~ CA. 90701-1488 Tank Location: ARCO 3220 MING AVE. BAKERSFIELD, CA. W.O.#: 12443 I.D. Number: SS# 0583 Technician:BWH Tech.#:88142 Van#:6105 Date: 8-12-90 Time Start: 19:45 End: 05:30 County: KE Facility Phone#: (805)398-0303 Groundwater Depth: 15'+ Blue Prints: N/A Contact: MGR Dare,Time system was filled: 8-12-90 22:45 Tank Tank Capacity Peoduct Tank Ppoduct Line Tzpe Of Vapor Inches of _Pump Tank Mecovepy Watep/Tank /ype Material 1 1OK R/UL PASS PASS [I 0" TURB. SWF ~ 4K S/UL-E PASS N/A II 0" N/A SWS ~ 4K S/UL-W PASS PASS II 0" TURB. SWS 4 6K REG.-S PASS PASS II 0" TURB. SWS 5 6K REG.-N PASS N/A II 0" N/A SWF Additional Information: BO'rH REG. TANKS ARE MANIFOLD AND SHARE COMMON TURBINE AND P/L. BOTH S/UL TANKS ARE MANIFOLED AND SHARE COMMON TURBINE AND P/L. SITE LOS TIME Set Up Equip: 23:00 Bled Product Lines: 22:55 Bled Vapor Lines: 22:45 Bled Vent lines: N/A Bled Turbine: 23:45 Bled Suction Pump: N/A Risers Installed: N/A a) This system and method meets the criteria set forth in NFPA #3~9. b) Any failure listed above may require further action~ check with all regulatory agencies. California O.T.T.L. Number : 91-1069 Certified Technician Signature :~~ ~tSSOCT~ITE]) 0 VENT RE6,-H iii( RE6,-S $/UL-N 4K EHVTROHHEHT~IL R/UL !6K VEH1S 0000 ARCO SS# 8S83 SVSTEHS ~10,#i2443 3228 HIH6 AVE, Si~e Lagou~ For ~ ARCO ]~i~KERSFIEL]), CA, Invoice No.: 12443 Datem Technician: BWH Tank: Volume(gal)~ 10000 Grade Water Level On Tank(in): 0 Specific Gravity~ 0.74 Calibration Value(mi): 1134 Level Segment From: 1 To 225 08/12/90 Time { 23:29:59 R/UL Tank Diameter(in): 93 Level(in): 122 Product Level(in)= 103 Coefficient Of Expansion: 0.0006566 Channel: 1 Temp Segment From: 1 To 225 Change In Calibration Zone = 25 Calibration Unit(gal/unit) = 0.01179 Starting Temperature (F): 99.747 Head Pressure(col/in (Btm))= 76.2 Surface Area(sq. in): 276.1 Temp. Change(F/h) : ~0.000 Level volume(gph): 0.02 Temp. volume(gph): 0.00 Product Line(gph): -.009 Net change (gph) : 0.02 ** Notes ** ~ARCO SS# 0583 3220 MING AVE. BAKERSFIELD, THIS IS A MID LEVEL TEST WITH A 6X-CAL. CA. AE$~/$y st -.. I.I Pre¢ i s i ~ Leak ?e st Invoice No.: 12443A Date: Technician: BWH Tank: Volume(gal): 4000 Grade Water Level On Tank(in): 0 Specific Gravity: 0.74 Calibration Value(mi): 1134 Level Segmen~ From: 70 To 275 08/13/90 Time : 00:45:34 S/UL-E Tank Diameter(in): 76 Level(in): 109 Product Level(in): 87 Coefficient'Of Expansion: 0.0006577 Channel: 2 Temp Segment From: 100 To .075 T i:1 E M Change In Calibration Zone = 3 Starting Temperature (F): 97. 923 Surface Area(sq. in): 2300.9 EAST WEST Level volume(gph) :O.1S 0.1§ Temp. volume(gph):O.07 0.09 Net change(gph) : -0.01 Result ----> PASS Calibration Unit(gal/unit) = 0-098.08 Head Pressure (col/in (Btm)): 64.~4 Temp. Change(F/h) : 0. 028 Product Line(gph): P/L ----> N/A ** Not es ** ARCO SS$~ 0582 3.020 MING AVE. BAKERSFIELD, CA. THIS IS A MID LEVEL TEST WITH A 6X-CAL. THIS TANK THIS GRAPH IS VALID FOR BOTH S/UL TANKS. IS MANIFOLD WITH S/UL-W. AES/Sy st e I T ~'reci s i o Invoice No.: 12443A Date: 08/13/90 Technician: BWH Tank: S/UL-W Volume(gal): 4000 Grade Level(in): 109 Water Level On Tank(in): 0 Specific Gravity: 0.74 Coefficient Calibration Value(mi): 1134 Channel: 3 Level Segment From: 110 To 270 Temp Segment Time : 00:45:34 Tank Diameter(in): 76 Product Level(in): 87 Of Expansion: 0.00065?2 From: 150 To 300 T i:J E M p ilL i i Change In Calibration Zone = 5 Starting Temperature (F): 98. 568 Surface Area(sq. in): 1380.6 WEST EAST Level volume(gph) :0~15 0.15 Temp. volume(gph):0.09 0.07 Net change(Apb) : -0:01 Result ----> PASS Calibration Unit(gal/unit) = 0.05897 Head Pressure(col/in (Btm)): 64.4 Temp. Change(F/h) : 0.037 Product Line(gph): -.002 P/L ----> PASS Notes ARCO SS# EJSJ 3~:-'0 MING AVE. BAKERSFIELD, CA. THIS IS A MID LEVEL TEST WITH A 6X-CAL. 'THIS TANK THIS GRAPH IS VALID FOR BOTH S/UL TANKS. IS MANIFOLD WITH S/UL-E. Invoice No.: 12443C Date: Technician: BWH Tank: Volume(gal): 6000 Grade Water Level On Tank(in): 0 Specific Gravity: 0.75 Calibration Value(mi): 1701 Level Segment From: 75 To 300 08/13/90 Time : 03:25:26 REG.-S Tank Diameter(in): 94 Level(in): 127' Producer Level(in): 99 Coefficient Of Expansion: 0.0006450 Channel: 2 Temp Segment From: 100 To 300 T E H p Change In Calibration Zone = 34 Starting Temperature <F): 98.116 Surface Area(sq. in): 300.5 SOUTH NORTH Level volume(gph): -0.24 -0.24 Temp. volume(gph): -0.07 -0.16 Net change(gph) : -0.01 Calibration Unit(gal/unit) Head Pressure(col/in (Btm)): Temp. Change(F/h) : -0.020 Product Line(gph): -.005 0. 01301 ** Notes ** ARCO SS# 0583 3220 THIS IS A MID LEVEL THIS GRAPH IS VALID FLING AVE. BAKERSFIELD, CA. TEST WITH A 9X-CAL. 'THIS TANK FOR BOTH REG. TANKS. IS MANIFOLD WITH REG. -N. AE$/$y st em I'I Pre¢is i on Leak Test Invoice No.: 12443C Date: Technician: BWH Tank: Volume(gal): 6000 Grade Water Level On Tank(in): 0 Specific G~avity: 0.75 Calibration Value(mi): 1701 Level Segment From: 97 To 300 08/13/90 Time : 03:25:26 REG.--N Tank Diameter(in): 90 Level (in>: 13'-2 Product Level (in): 104 Coefficient Of Expansion: 0.0006450 Channel: 1 Temp Segment From: 100 To 300 T [i Change In Calibration Zone = 105 Calibration Unit(gal/unit) = Starting Temperature (F>: 97. 648 Head Pressure (col/in (Btm)): Surface Area(sq. in): 97.3 Temp. Change(F/h) : -0.042 NORTH S0~TH Level volume(gph): -0.24 -0.24 Temp. volume(gph): -0.16 -0.07 Product Line(gph): N/A Net change (gph) : -0.01 Result ----> PASS I--'/L ----) N/A 0. 004:~ 1 78.0 ** Notes ** ARCO SS# 0583 3220 MING AVE. BAKERSF~IELD, CA. THIS IS A MID LEVEL TEST WI]-H A 9X-CAL. ]'HIS TANK THIS GRAPH IS VALID FOR BOTH REG. TANKS. IS MANIFOLD WITH REG. -S. ,\ TEST LOCATION: / KC o LEAK DETECTOR TEST DATA FACILITY #: CONTACT: PHONE #: TEST DATE: ASS~-$,J, ATED ENVIRONMENTAL SYSTEMS, INC. P.O. BOX 80427 BAKERSFIELD, CA 93380 (805) 393-2212 ............... ' . ....... .'.. :.:, . ... '.?-..: 2.---....~... ~ .... .: DOES LEAK RESULTS PRODUCT DET EXIST TEST #1 TES~ #2 RESULTS P/L TEST yes ~ ~¢~/~ ~o'r ~¢~ . . Pass ~ Pass REG no / Gal _~ Gal Fall Fall yes~/~ ~ ~//~' ~? Pass /~" Pas's /-~/ R/UL no / Gal J Gal Fail Fail O~l? Pass Pass S/UL no / Cat Gal Fail Fail yes Rash Pass DSL no Gal Gal Fail Fail TEST PROCEDURE ":"' Test #1: perform for ~0 seconds with nozzle in full open position Test #2: perform for 30 seconds after nozzle closed for 10 seconds EXAMPLE OF POSSIBLE RESULTS Test #1 Test.#2 Results Test #1 Test #2 ReSults / Gal _~ Gal Pass _3 Gal _~ Gal Fail TECHNICIAN '~'~,,-¢_...~-'~ DATE J/l ASSOCIATED ENVIRONMENTAL SYSTEMS, INC. P.O. BOX 80427 BAKERSFIELD, CA 93380 (805) 393-22 ! 2 INVOICE NUMBER //:~- ~Z~_ ~ AES HYDROSTATIC PRODUCT LINE TEST WORKSHEET TEST PRODUCT START END START END TEST VOL. NO. TIME TIME VOL. (ml) VOL. (ml) DIFF. Divide the volume differential by the test time (15 minutes) and multiple by 0.0158311, which will convert the volume differential from milliliters per minute to gallons per hour. The conversion constant is found by: (60 rain~hr)~(3790 ml/gal) = 0.01583Ii(rain/hr) (gal/ml) The conversion constant causes the milliliters and minutes to cancel out. EX. If the level dropped 3ml in 15 minutes then: 3/15 ml./min. X 0.0158311(min/hr)(gai/~l) = 0.003 gal/hr. RESULTS OF THIS WORK SHEET TO BE COMPLIED ON A.E.S. RESULTS ARCO Petroleum P -~'Jcts Company 17315 Studebaker Road Cerritos, California 90701-1488 Telephone 213 404 5300 Mailing Address: Box 6411 Artesia, California 90702-6411 70OlO Date -~c.t i:..scs .5 ~3asoi ~.ne .~., ::;-.n-, ':?,3t .~s no'ed ir, the attached APPC-7076-A ARCO Petroleum Products Company is a Oivisioll of AllanticRichfieldOompany (7-86) ARCO Products Comp; 17315 Studebaker Road Cerritos, California 90701-1488 Telephone 213 404 5300 Mailing Address: Box 6411 Artesia, California 90702-6411 ~N~/II~ONMENTA~ H~AL TH rank i~:ter:,. :,., {:.sst 'e~_u.: ts Date 08/i4/8e 2asa! ! ...... ....=,-:m ?~-_,=e ,::-. ..-.-<- .... :.-, t,-,~- =ttached test results. :lc:mn [ i:;:'-~ce .-.~: T!". ~':-.e . .:_:..:,:~ ..... ::::' ,:'.1,'....'~'-:=~ :-,,,'ne ooeNa~ion o'f- APPC-7076-B ARCO Products Company IS a Division of ~tlanNcRichheloComDany (7-88) Associated Environmental Systems, inc. P.O. Box 80427 Bakersfield, CA 9558Q (805) 595-2212 PRECISION TANK & LINE TEST RESULTS Invoice Address: ARCO PRODUCTS CO 17315 STUDEBAKER RI} CERRiTOS~CA 90701 i488 Tank Location: 7: ':': ".'-' i"~ 1"! ! N (3 '"': .... BAKERSF i ELD ,.,. CA W.O.~: 9360 I.D. Number: 583 Technician:DLK Tech.#:89173 Van~:6103 Date: 7/27/E,'9 Time Start: 2].::0() End: 05:00 County: KE Facility Phone.~: 805.-~ 398 0]!:03 Groundwater Depth: 1()+ Blue Prints: N/A Contact: MGR I}ate;Time system was filled, '? .... 2~.. · ' ,/.,:.//89 .,..30 Tank Fill/Vent Tank Capacity Product Tank Vapor Lines Product Type Of Vapor Line Recovery Inches of Pump Tank Water/Tank Type Material i 6K REG PASS PASS ~ASS PH 2 0 0 RJ S-W-S 2 6K REG PASS PASS PASS PH 2 0 0 N/A S-W-S ~ 4K S/UL PASS PASS PASS PH 2 0 0 RJ S-W-S 4 4K S/UL PASS PASS ?ASS PH 2 0 0 N/A S-W-S 5 i0K R/UL PASS PASS PASS PH 2 0 0 RJ S-W-S 6 Additional Information: SITE LOG TIME Set Up Equip: 2.i. 00 Bled Product Lines: 2i2,.']) Bled Vapor Lines: 2130 Bled Vent lines: 21(]),:]) Bled Turbine: 223(.'.) Bled Suction Pump: N/A Risers Installed: N/A a) This system and method meets the criteria set forth in NFPA #~29. b) Any failure listed above may require further action~ check with all regulatory agencies. ASSOCZATE]) ENVIRONM VENTS REG ~K R/UL t8K ENTAL SYSTEMS MING AVE VENTS ,:~FjI.) .~!~ I~--. F~.I S/UL S/UL L____j REG "' .......ARCO 'S '"322o" ]~AKERSFIEL])'" Szl;e Layou; For: S S83 MING , CA W L E I Ca!!br~tion Value? z'j~ UNITS Technici an Date 7"2S/~F'? :' System Variatisn /r~/t I UNITS HiGH LEVEL (FULL SYSTEM) I I I_OW LEVELC]¥) MID LEVEr.!,< ) l PRODUCT LINE I I I Ground Wa TEST CONDUC,~:D Al T .*'I ?, .[ ** Notes ARCO c~.:,.'.5~13 .... '~ ~" '~' ~" THZS Z~ A LuP~ LEVEL T[~ST ~q; F:-I A IX-CAL Technician DL3< : Calibration Value UNITS = Gal. Date 7/28/89 ~ System Variation ; UNITS ~ GPH Time Started ,'])3:{)4 ~ HIGH LEVEL (FULL SYSTEM) : ~ Gallons 6K LOW LEVEL( ) "MID LEV---.L( ) ~ ~ Tank Diameter 94 PRODUCT LINE ~ 0~ ~ Ground Water 10+ TEST CONDUCTE:D AT I\ It~ INCHES TEST IS ~F~'F]ASSED ()FAILED () INCONCLUSIVE GRADE LEVEL AT l~ INCHES *~.' Notes ARCO SS~583 F'U~'dP TEST hI!NG AVE,f.':AKERSFIELD~CA Technician DLK I Calibration Value ~ UNITS = O~Sml. I Date 7/28/89 I System Variation__~? I UNITS -I GPH Time Started 01:04 I HIGH LEVEL (FULL SYSTEM) Gallons iOK LOW LEVEL~) MID LEVEL( Tank Diameter 95 PRODUCT LINE GroL{nd Water 10+ TEST CONDUCTED AT ~-INCHES TEST IS ~ASSED ()FAILED ()INCONCLUSIVE,I GRADE LEVEL. AT 16' ~ INCHES L ,E L T E ** Notes ARCO SS#583 5220 MING AVE,BAKERSFIELD,CA THIS IS A LOW LEVEL TEST WITH A 1X-CAL AES/Syste~! I I F'reci si or'"~ Technician DLK ; Calibration Value UNITS = Gal. Date 7/28/89 ~ System Variation ; UNITS ; 8PH Time Started 05:04 I HIGH LEVEL (FULL SYSTEM) I I Gallons 1OK ~ LOW LEVEL( ) MID LEVEL( )I ~ Tank Diameter 95 PRODUCT LINE i ~ ~ i Ground Water 10+ TEST IS ()PASSED ()FAILED ()INCONCLUSIVE TEST CONDUCTED AT ~0 INCHES GRADE LEVEL AT I~ INCHES ']" ';' "" E .... ;,,,I '" t',,i'"'"' I::' ,,, I'l , , J, l,J ,t .....:iii ** Notes ARCO SS~585 5220 MING AVE~BAKERSFIELD~CA PUMP TEST I T ..... ician DLK ~ Calibration Value :~., ~ . System Variation ~ ~ UNITS I GPH ~ Date 7/28./'~9 Fime Started 02:08 Grou/~d War a~r HiGH LEVEL (FULL SYSTEM) LOW LEVEL{~)o~MiD LEVEL( F'RDDUCT LINE t0+ ; TEST IS ~PASSED ( ) 7AILED ()INCONCLUSIVE *'~ Notes ~.*o-,-,..-,o<, 3~2C) M ] ~':G AVE, BAKERSF i ELD, -.. THIS IS A LOW LEVEL TEST WITH A 1X-CAL NO, I Technician DLK I Calibration Value UNIT8 m ~al. I Date 7/28/89 Time' Started 05:04 I System Variation I UNIT8 I 8PH I I HIGH LEVEL (FULL SYSTEM) I '' ["' ' ......... '~'¥'" I Gallons 4K I LOW LEVEL( ) MID LEVEL( ) I Tank Diameter 76 I PRODUCT LINE I Ground Water 10+ I TEST IS ()PA~'SED ()FAILED TEST CONDUCTED ATI0~ INCHES I GRADE LEVEL AT ~/~, INCHES L V £ L T E I,,I 1'91 :' :1: H Ii!: .... H :r, I'.,I I..l':l',' Ii..: '::: FOCU_-C: ~,00 L/ 1,~0 T ** Notes ARCO SS#585 52~0 MING AVE,BAKERSFIELD,CA PUMP TEST 0 ]~D E~ NO, $~0P 1 CERTIFICATE OF PRECISION LEAK TEST Associated Environmental Systems, Inc. has tested and certifies the following: DATE: 07/27/69 LOCATION: Arco SS# CERTIFIED TESTER: D L K # 89158 Cerlification # 583 3220 Ming Ave, Bakersfield~ CA 899360 TANKS: TANK LINE PROD/LINE 1. 6K RFG PASS PASS PASS 2. ~K RER PASS PASS PASS 3. 4K S/HI PASS PASS PASS 4. 4K S/HL PASS PASS PASS s._lO~ PASS PASS PASS 6. XXXXXXXX XXXX XXXX XXXX Associated Environmental Systems ANY FAILURE LISTED MAY REQUIRE NOTIFICATION OF AGENCY. Recertification Date Recommended: 07/90 Home Office: P.O. Box 80427, Bakersfield, CA 93380 · 8051393-2212 ,."<.: - ' ',; 'C :: ' "" Z'~,.J :,~V,"~:.< ~:.c ~ ..~;.~: ':'~ · ' ' ' '. :.'-: ' . '. ~.~' :,.:~':'.: · .'.'~ ~'' ';;~ .... ' "": '-~':~'""'. .... :'~' ¢~'"~'~:~:~5~'~-?:~;~:"~ " :': ' . AddreSs=. ' Tank. ~ocatton~-' ' ' ,~'-W"O.~I '~24'~; -'~/<':¥ ',:-' ' ' ' ARco F'ETRO PRODUCTS 1.731..5 STUDEB~MER CERRITOS C~, ~O'70~ ~-~ ARCO SS f~583 3220 MiNG AVE =,~--i, ,~. ~ .: F ... EL_ D CA. Date: C, 3-;.,S.-.SG Time St art: Faci 1 i t y Phor, e~: ~3o5 .792-.03o3 Oc, r, tac~; EI}NOND NASSM~;R I.D. Numbe~'l~ 7243" Technician~KEM . Tech.#:87129 Van#:8111 End: .... :: ,~._, County: ,,= Grour, dwat6'r Depth: 15 FT+ Blue Prir, ts~ i',i/A Date;Time system was filled: 08/16 OS:nO Tank F i 1 1/Vent Tank Capacity Product Tank Vapor Lines I S!< R.-]G ~:'A SS ---A i L 3 4 K ...... - Product Ty~e Of Vapor Inches of Pump Tank Line ;xecovery Water/Tank Type Material ;:ASS i I 0 ~" ::'A~;R ; i 0 TUR SUS N/A l I ~] --- ;-'A~S ! i 0 TUR SWF MANIFOLDED SITE LOB TIME Set Up Equip: Bled Product Lirn::.s: E~led Vapor' I_i~es: Bled Ver, t lines: Bled Turbine: Bled Sucti,;,n Pump: Risers Ir, stalled: a). These results obtained ,.,sing the patented A.E. 9,/Brockma~ sYst'em"?!:-'.~r<;:...__,;~ ,.., ---...<..i::i;i'~: . b)' Thi~; systenl."and method 'meets the criteria'se c~' Am' fat lure- 1 isted above maY requi~-e furth"e~ act ion'', ch~c'~:;":~"~'t~~/???-?:<''..' ' '- ;: - :::L. all regulatory agencies,.- . · ....,,.. · , c:::~-, · , - ,,. .... :':... - .... .. · -. ,.. -'.~;': C~rt i f fed' T~ch n i c i an, S i g nar'ute : '/~~w-;]~¢;O,:~.;;- ':,?~?:.~?;.i;,.-'~:: <.. ~ .:'.'.- g'L. -.$-,-..~> -.," ~' >.. " .. : . .,~ . :_,~.... / ! ~ Tim~ Stab-ted 1~:48 ~ailo~s 6K Xa LOW LEVPL( ) MID LEVEL(XJ [ i~) ":!':'~!~,~0 i Tank Diameter 95 PRODUCT LINE · I ;' ..I. ': .... I Grc, ur, d Water 15 FT+ TEST IS ~PASSED ()FAILED ()INOONOLUSIV~ I E .....:?FOCUS .i.~,00 L/ ARcO SS # ~a~'~aa~:MING:nVE. MID LEVEL TEST'CALIBS. =15X TANKS -#1 & ~ MANIFOLDED CLEAR 09 DEGREES BAKERSFIELD CA. lOX Tim~ St a~ted ' ll:O~ · ! Gallons -6K X.° ". I LOW LEVEL( ) MID LEVEL( ~! :~'~'~?~;::',:"~:~:t-"'~':~:~s~:~''''-t I , ,:-.;.-: :,?.,?-..,~ .....,..,,,.. :,,~ . . . ;:.>~.~.~. '~.~.~: I Tank Diameter- 9~ I PRODUCT LINE I' ~"~'~;'~""~'"l '--'~":' I I G}'ound Wate~- 15 FI+ I TEST IS () PASSED ~FAILED ' () INCONCLUSIVE I I TEST CONDUCTED nr/~ INCHES I BRnDE LEVEL nT /~ INCHES " ~. :" I T E bi 1:' · Fo C U $ ' ~ ,' 00"L/ .T ' -':'"": '" ': ....... ": ........... '"-'~"' ...................... ~'~'":::~'~':~:~"?"~'" : ~ .,. ':.-'~: : . .. ~...:,..,.. >~ ~. .... ..?~ ~ ,?~..~'~;:.~,;~.-:~.~::~;.~'~,-... ,. ARCO SS ~2~0 MING CLEAR 90 DEGREES .:.':'...t:. ',' · .'.:¥: .-~'.-.~,::;.?:,~J,.:~:~;?~JjC~~~~ff~;~:~: '-:.~ tar, k Diar, ete~- 95 I PRODUCT LINE.~/a ~o.~ I ' '"':1, I Grour, d W~t~- 15 FT+ I TEST IS ~PASSED ()FAILED ()INCONCLUSIVE I TEST CONDUCTED AT INCHES I GRAD~ LEVCL AT INCHES I .{.... '.?:~..~:...::.9:::~:~!?!:?::?.- I Ground Wate~- 15 FT+ I TEST IS ~PASSED ()F~ILED-?.~.)%NCONCLUS~VE I 1 TEST CONDUCTED AT/// INCHES I GRADE LEVEL AT /// %NCHES I T £ H P ;i!!: I .:." :1: I Time Sta,-ted 14:31 I HIGH' LEVEL I Gallon~ 4K I LOW LEVEL() MID LEVEL( )1 :. ..... :-' :. :.:-.': ?i-..- kl I '.;_ Tank Diameter 75 I PRODUCT LINE~ G~'ound Wat~- 15 FT+ I TEST IS~PASSED ()FAILED ()'INcoNCLUSIVE TEST CONDUCTED AT INCHES I GRADE LEVEL AT INCHES' I 6~llo~$ 10~ --' '. I LON LEVEL( ) ' '" ' '.- Gr¢,ur:d Water -- 15 FT+ I TEST IS ~PASSED ()FAILED :.'(:)'INCoNCLU~'IgE I TEST CONDUCTED AT /a~ INCHES I aRADE LEVEL AT /~ INCHES "~'-' '" ',"":-.: I ~L'EAR 90 DEGREES .: ~"~..:: :'~?'-~::.:-' · '.??'-..": :':., -:. :,.. :.~:~ j ....... :.. ... ~.~... . . ...: ..... . ...... , . , .-. ,.. ,..: -,... ...... :::.::-?:.,...-~:.%.,._.:,, ..... ~,.,~,,~~.,.- ~ :;~- .., .................... IIIIIII~ll ................... i .T~me ~rled -' I~31 I .HIGH I Tank Dia~leter 93 I PRODUCT LINE~.___ ~a5.~% · I ' ' ~l ".' I 15 FT+ I TEST IS __~_PASSED ()FAILED ()INCONcLUSIvE I I TEST CONDUCTED AT INCHES I GRADE t. EVEL AT INCHES I E I i I t i iq,i ,. m. m '~ ,, .,,,:, l,i ,l, I"'11 "I .~", ,,,,, ,.....:: ..... es ... - ,.. :~:~::,..-:. ::::::::::::::::::::: .?. ::,,~ :........ ..... :. , ....... . ._ :..:.:.o:'.-:~,::,.:~::::_?~i.::::,:~: CERTIF .,_ATE OF PRECISION TEST' Associated Environmental Systems, Inc. has tested and certifies the following: Certification # 887243 DATE: 08/1 6/88 CERTIFIED TESTER: KEH # 87129 LOCATION: Arco SS t~583 3220 Ming Ave., Bakersfield, CA TANKS: TANK LINE PROD/LINE 1. 6K PEG PASS FAlL PASS 2. 6K REG PASS FAlL PASS 3. 4K $/UL PASS PASS PAS~ 4..4K S/UL PASS PASS PASS 5. 1OK U/L PASS PASS PASS 6..XXXXXX XXXX XXXX XXXX Associated Environmental Systems, Inc. ANY FAILURE LISTED MAY REQUIRE NOTIFICATION OF AGENCY. Recertification08/89 Date Recomrnend~ Hcme Office P.O. Box 80427, Bakersfield, CA 9,3,380 · 393-2212 MARCU!~ MAINTENANCE 1577~GRIFFITH RD. RAMONA, CA. 92065 PH. (619) 789-4337. Location Station number Finish (monev) Readings Start (money) Start~ tgallons) Make and Model ['~Pump Totalizer Read i ngs Fimsh (money) Start (monev) Product Pump Totalizer Readings Make an(~ ~/,odel Finish (monevI Pro j j Pump Totalizer Readings Make and Modet Start (moneyJ Product Pump Totalizer Read ings Make and Model Finish ~monev~ Make and Model Finish (mone¥l Totalizer Readings Start (money) De-~ler's S[gna.t~re ' ' Distribution: / Original (white) Re,ion File Duplicate (canary) District File Triplicate (pink) Dealer Copy Serial Number Finish (gallons) F~eturrn tO Storage ,gallons) IO cq Finish (gallons) of oolO Record of Computer or Meter Change ~ Meter Change Contractor [] Computer Change [] W/M Notified Tagged J Tag ~ I ~Red ~Green []Blue Calibration: Fast Slow Checked 0 O Fast Slow Adjusted To Totalizer Sealed [Meter P Sealed e"~es [] No Yes Tagg Tag # [~] Red ~Oreen ~]Blue Calibration: Fast S~ow Checked O 0 Fast Slow Adjusted To Totalizer Sealed Meter Sealed ¢' e s [] No es Tagged Tag # []Red ~'~G teen Calibration: Fast Checked Fast Adjusted To Totalizer Sealed )Y e s [] No Tagged []Red ~Green ~--] Blue Meter Sealed Tag # Calibration:Checked F a s'~'"I Fast Adjusted To Stow Totalizer Sealed ] Meter Sealed {~l~Yes ~NO J ~es 'F---~N° CalibratiOn:checked Fast~ Adjusted Fast To Totalizer Sealed Meter Sealed Yes [] No es Tagged Tag ~ []Red [~Green I--]Blue []No []No ~L~,No Totalizer Sealed Meter Sealed Tagged Tag .~ I~Red []Green ~Blue Checked --~--' 0 Adjusted Fast Slow To Location Make and Mod~ Finish Imone¥) Totalizer Readings Startlmonev) F ir%ish ~mone¥) Totalizer Readings Start Imoney) Make and IV~odel Finish ,money) Totalizer Readings Start ~money) Product Pump Make and Model Totalizer Readings Start (money~ MARCUI~ MAINTENANCE 1577GRIFFITH RD. RAMONA, CA. 92065 PH. (619) 789-4337 Record of Computer or Meter Change ~ [] Computer Change j f-~ W/U Notified Tagged ~r~ Red ~_~ O r,?en Calibration: Fast Checked Fast Adjusted To Product Make and Model []Blue [ Finish I money) Pump Totalizer Readings Start imoney) St3rt g,Hlo, s' Make and Model F il~ish (money) Totalizer Sealed ' es .r~ NO Tagged I~Red []Green ~Blue CalibratiOn:checked I Fast Adjusted Fast To Totalizer Sealed Tagge~eS ,~ NO ?~Red !--~ O reen []Blue Tag ~ Meter Sealed Tag ~ O Calibration:J Fast I Slow Adjusted Fast To Totalszer Sealed j Meter Sealed ~I~Y e s L~No ' ~JYes Tagged Tag 4~ i~! Red '~L~Greer~ ¢~ 81ua Calibrati°n: t Fast IChecked -- Sl~ Adlusted Fast I Slow I To Totalizer Sealed ¢~Y es ~ No ~No Calibration: Fast Checked Fast Adjusted To Totalizer Readings Start (money) Distribution: Or~g~na"[ (white) Region File Ouphcate (canary) District File ! J No Start Pump Slow Totahzer Sealed J Meter Sealed ~Yes J--]No J [--~ Yes ~anc.~Vs Signature ~No Tagged Tag ~ I~l R ed r~Green ~Blue Meter'Sealed Calibration:Checked Fast Slow AdiustedTo Fast Slow Totalizer Sealed Meter Sealed []Yes ~No E]Yes ,~No Tagged r~,Red E]Green ~Blue Tag ~ C_~.No I.Contractor I Meter Sealed Yes [] No Tag ~ Location Finish (money) Totalizer Readings Start (money) Product - ~,l~'kea~'d ~6del Finish (mone~)~ Totalizer Readings Start I money) Product MARCU ~l~ MAINTENANCE 1577'GRIFFITH RD. t~J~V[ONA, CA. 93065 PH. (619) 789-4337 Totalizer I Finish ~money) Readings / Start (money) P,~ct Totalizer Readings IStation number Serial Number IoP- ol FIr]lSh t gallons) 55egqS-- Return tO Storage !gallons) Serial Number Finish lgallons) Record of Computer or Meter Change I ~ Meter Change [ Contractor [] Computer Change [] W/M Notified Tagged J Tag # []Red ,~Green []Blue o,;'t:::'::: -,¥q Totalizer Sealed Meter Sesled Adjusted ~Green []Blue Calibration: Fast Checked 0 I Fast To Slow Finish (morle¥l Start {moneyl Totalizer Readings Make al]d Model Finish (money) Start tmoney) Finish (money) Totalizer Read ings Start (money) P,~uct Distribution: Return tO Storage (gallons) Serial Nun]Der Flllish (gallorls) 5 0'-/ Start Serial Number Finish (gallonsl Stat gall~)ns',~ - Original (white) Region File Duplicate (canary) District File Triplicate (pink) Dealer Copy Totalizer Sealed j! Meter Se¢led d~Yes ~No Yes ~]No Tagge Tag ~ []Blue []Fled E~Oreen To [ Fast CalibratiOn;checked Fast~' ~=~ SIo.~j Adjusted Slow Totalizer Sealed I Meter ~Sea(ed ~Yes ~lNo I pYes Tagged / Tag f--] Red ~Green ~elueJ Fast i Slow To Calibration: Checked Adjusted "~Yes [] No Yes Tagge~ Tag []Red r-lG reen r--]Blue Checked JFastFast'~'~ © Calibration: S ~..w~ Adjusted To Slow Totalizer Sealed J Meter Sealed ~Yes []No Tag #~Yes Tagged []Red [~Green []Blue Calibration; J Fast Slow Checked 0 4 Adjusted / Fast I Slow TO Totalizer Sealed Meter Sealed pYes rqNo ~i~ Y es ,r--]No L~jNo ARCO Petroleum Products Compan~ ~ ~ Leak Det~tor Division of Atlantic Richfiel~ Comoany Annual Equipment Retail Mark~i~ Verification & Leak Ins~cti~ ~a ,e~ ~ Inspector ~nspection Fac er Leak No leak Repaired III Leak Detectors Test Leak No leak Repaired Pipi ~ -- ..-___.__. ng ARCO Check valve ---------- ARCO Clear Unleaded Hoses ARCO Unleaded Supreme Nozzles IV Visual check of area Fittings ._~ Low spots around station I1 Tanks Landscaped area Wellp°int ~ Nearby ditches, creeks, etc. Piping ~ V Dealer/Operator Fill boxes / ' ~(~ Has experienced leaks Vapor recovery fittings ~, Has experienced spills Submerged Turbine .~, ~X~ (explain in comments) IIA Leak Detectors Existing Missing Installed VI Other Install ~d ARCO ~ Filter Ihstructions ARCO Clear Unleaded ~ ARCO Unleaded Supreme , Leak Detector~ Sealed "~ - Deaiers/M'g'r~' Signa/t/u re f°r I lA 0 ;C°mmentsT~, . , .4f'. __ APPC-248 (8-81) 1700 Flower Street Bakersfield, California 93305 Telephone (805) 861-3636 PERMIT FOR PERMANENT CLOSURE OF UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY FACILITY NAME/ADDRESS: Arco Mini Mart 3230 Ming Avenue Bakersfield, CA 93309 PERMIT FOR CLOSURE OF I TANKS AT ABOVE LOCATION. ERN COUNTY HEALTH DEPARTMIE~, ENVIRONMENTAL HEALTH DIVISION OWNER(S) NAME/ADDRESS: HEALTH OFFICER Leon M Hebemlson, M.D. DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Reichard PERMIT NUMBER A452-27 CONTRACTOR: Atlantic Richfield 17315 Studebaker Road Cerritos, CA Phone #(213) 404-5359 PERMIT EXPIRES APPROVAL DATE APPROVED BY Precision Engineering 9991 Citrus Fontana, CA Phone #(714)829-4774 License No. 484934 September 1, 1987 Thomas A. Mele ..................... POST ON PREMISES CONDITIONS AS FOLLOWS: ..................... Permittee must obtain a City Fire Department permit prior to initiating closure action. Tank closure activities must be per Kern County Health and Fire Department approved methods as described In Handout #UT-30 included with this permit. 3. 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 Health Department. a. A minimum of two samples must be retrieved beneath the center of the tank at depths of approximately two feet and six feet. 4. A minimum of two samples must be retrieved at depths of approximately two feet and six feet for every 15 linear feet of pipe run and also near the dispenser area(s). 5. All waste oil samples must be analyzed~ for total organic halides oil and grease, and lead. , 6. Permittee is responsible for making sure that "tank disposition tracking record" issued with this permit Is properly filled out and returned within 14 days of tank removal. Advise this office of the time and dat~ of the proposed sampling with 24 hours advance notice. Results must be submitted to this office within three days of analysis completion. ACCEPTED BY DISTRICT OFFICES I ~k~ I~h~{l~ Mc~i~ve . Ridoacre.~t . Shafter . Taft 'KER~ COUNTY HEALTH DEPARTMENT DIVISION OF E~ViROm~ElrrAL HBALT~// / 1700 FLOMER STREET, BAKERSFIELD, CA 93305 (808) 861-3836 // THiS APPLICATION 15 FOR PROJECT CONTACT , FACILITY NAME ARCO AM PM MINI C}#NER ATLATIC RICHFIELD CO. TANK REMOVAL CONTRACTOR OF TANKS TO "K ABANDONBD ENGTH OF PIPING TO ABANDON PERMIT FOR O'F UNDERGROUND sTORAgE FAClLITY'~ APPLICATION FOR .A..A. OOUS SUBST^NC"S IPHONE # DAYS- N [GHTS- ADDRESS MART 13230 Min~ I AUDRESS 117315 Studebaker (FILL OUT ONE APPLICATION* PER .FACILITY) I SBC/T/R (RURAL LOCATIONS ONLY) INKAREST CRON9 STREET RD. Cerri~os 13 ~t,~ ENGINEERING, INC. ADDRESS IPHONE -- 9991 Citrus Ave. Fo~tana~ CA ~14 )829 477~ [ 715631 - 86 l State Comp, /ns. Fund 4DURESS rHONE 9991 Citrus Ave. Fontana, C/ (714)829- 477~ ~HONE PRECISION PROrOSEH PROJECT STARTING DATE I { A 484934 PRELIHINARY SITE ASSESSMENT CONTRACTOR PRECISION ENGINEERING, INC. WORKER'S COMPENSATION 715631 - 86 IJABORATORY TIIAT HILL ANALYZE SAMPLES INSURER State Comp. Ins. ADDRESS Fund L~ ~c~, ~o~o7 ( ) - PHONE (2/.~ ) 3HEMICAL COMPOSITION OF MATERIALS STORED rANK ~ VOLUME ~ CBEMICAL STORED (NON-COMMERCIAL NAME) 550 MAX. WASTE OIL DATES STORED TO TO TO TO CHEMICAL PREVIOUSLY : {ATER TO FACILITY PROVIDEO BY {DEPTH TO OROUNDMATER ~bo', NEAREST WATER WELl, - DIVE DISTANCE AND DESCRIBE TYPE IF WITHIN 500 FEET {SOIL TYPE AT FACILITY I BASIS FOR SOIL TYPE AND OROUNDWATER DEPTH DETERMINATION TOTAl, NUMBER OF S~PLBS TO BE ANALYZED [SAMPLES WILL BE ANALYZED FOR: o DETOXIFICATION BY TRIPLE RINSING WITH THE MANIFESTED HAUt OFF DESCRIBE BOTII TIlE DISPOSAL METIIOD AND DISrOSAL LOCATION FOR: TANK ( S ) PIPINO * * PLEASE PROVIDE INFO~TION REQUESTED O~ REVERS~ SIDE OF THiS SHEET BEFORE SUBMITTING APPLICATION Tills FORI~IA~BEEN coMPLETED U~I~I~PENALTY OF PERJURY AND TO Tile BEST OF MY KNOMLEDOE IS TRUE AND CORRECT. $1ONATURE(I~ ~ .- ~_ ~ TITLE PRESIDENT DATE 5/11/87 (Form tlIMMP-140) ~PROVIDE DRAWING, O__~F P__I~SIC.____~DUT OF FACILITY..USING SPACE ~'D__~ BEIJ0W? ALL 'OF THE FOLI/2~ING INFORMATION MUST BE INCLUDED IN ORDER FO~APPLICATIf~ .~/~:~B~ .... PROCESSED: TANK(S), PIPING & DISPENSER(S), INCLUDING LENGTHS AND DIMf~SIONS PROPOSED SAMPLING LOCATIONS DESIGNATED BY THIS SYMBOL "(~)" N~g~EST STREET OR INTERSECTION ANY WATER WELLS OR SURFACE WATERS WITHIN 100' RADIUS OF FACILITY NORTH ARRC~ IS' I~-- ~s" J ~O' ----a [0 t T fi'liNC,- /(,,/o T~? ce~4't"ev o-F --f'a.k, ~ 17OO Flower Street Baker.~fleld, CaliFornia g3305 Telephone (805) 861-3636 I NTERI M TO OPERATE : KERN COUNTY HEALTH DEPARTMENT UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY ENVIRONMENTAL HEALTH DIVISION FACILITY: ARCO #583 3220 MING AVENUE BAKERSFIELD, CA HEALTH OFFICER Leon M Hebertson, M.D, DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Relchard PERMI T~e2 7 0 0 1 O C I S SUE D : NOVEMBER 1, 1986 E XP I RE S : NOVF/MBER 1, 1989 NUMBER OF TANKS= 5 OWNER: ARCO 17315 STUDEBAKER ROAD CERRITOS. CA 90701 TANK # AGE[IN YRS,. SUBSTANCE CODE PRESSURIZED PIPING? UN/10M UNK MVF 3 YES ILK/6M-A UNK MVF 3 YES RE/6M-B UNK [~v'F 3 YES PR/4M-A UNI< MVF 3 YES PR/4M-B UNK bfVF 3 YES NOTE: ALL INTERIM REQUIREMENTS ESTABLISHED BY THE PERMITTING AUTHORITY MUST BE MET DURING THE TERM OF THIS PERMIT NON--I'RANS FERAB L E * * * POST ON PREMI S E S DATE PERMIT MAILED: DATE PERMIT CHECK LIST RETURNED: 17OO Flower Street Bakersfield, California 93305 Telephone (806) 861-3636 I NTERI M PERMIT TO OPERATE : UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY FACILITY: ARCO #583 3220 MING AVENUE BAKERSFIELD, CA COUNTY HEALTH DEPARTM~ ENVIRONMENTAL HEALTH DIVISION OWNER: ARCO 17315 HEALTH OFFICER Leon M Hebertson, M.D. DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Relchard PERMI T~2'70 O I OC I S SUED : NOVEMBER 1, 1986 EXP I RES : NOVEMBER 1, 1989 NUMBER OF TANKS= 4 STUDEBAKER ROAD CERRITOS, CA 90701 TANK # ~JIN YRSl SUBSTANCE CODE PRESSURIZED PIPING? 1 UNK MVF 3 YES 2-4 UNK MVF 3 YES NOTE: ALL INTERIM REQUIREMENTS ESTABLISHED BY THE PERMITTING AUTHORITY MUST BE MET DURING THE TERM OF THIS PERMIT NON--~'RANS F E RABL E * * * POST ON PREMI SES DATE PERMIT MAILED: DATE PERMIT CHECK LIST RETURNED: ~;ern-County Health Departme~ Rtvision of Environmental He~C~_¢h 1700 Flower Street, Bakersfield, CA (806) 861-3636 Ao 93305 Permit A -_cation Date Fo APPLICATION FOR PERMIT TO OPERATE UNDERGROUNP HAZARDOUS SUBSTANCES STORAGE FACILITY Type Of Application (check): ONew Facility,-]Modification Of Facility~Existlng FacilityC]Transfer Of Ownership Emergency 24-Hour Contact (name, area code, phone): Days Zl~ / Yoz- ~oz Facility Name /2A~ 55~ ~'S_~ Nights ~/~ / ~z -~ No. Of Tanks Type Of Business (check): ,~Oasoline Station ~Other (describe) Is Tank(s) Located On An Agricultural Farm? ~Yes ~No Is Tank(s) Used Primarily For Agricultural Purposes? ~Yes ~No Facility Address Y~ ~& ~. /~~/~ 'Nearest Cross St. ~~ T Owner Address Operator Address R SEC (Rural Locations Only) .~ ~C d~ Contact Person 173/.~' 5To,.~ £8~'~'/z ~ ~z~,~,~ Zip ~o~o/-/~ Telephone ~~ ~ ~.~ Contact Person 3~ ~,.~ ~. ~~/~ Zip ~o~/ Telephone Depth to Groundwater Water To Facility Provided By Soil Characteristics At Facility Basis For Soil Type and Groundwater Depth Determinations Contractor Address Proposed Starting Date Worker's Compensation Certification No. CA Contractor's License No. Zip Telephone Proposed Completion Date Insurer If This Permit Is For Modification Of An Existing Facility. Briefly Describe Modifications Proposed Tank(s) Store (check all that apply): Tank t Waste Product Motor Vehicle Unleaded Regular Premium Diesel Waste Fuel 0tl emical Composition Of Materials Stored (not necessary for motor vehicle fuels) Tank # Chemical Stored {non-commercial name) CAS # (if known) Chemical Previously Stored (if different) Transfer Of Ownership Date Of Transfer Previous Owner Previous Facility 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 p~alty of perjury and to the best of my knowledge is true and correct. , - Facility Name TANK ~/~.~0 ~Z~ (FILL OUT SEPARATE FORM FOR EACH ~ANK) FOR EACH SECTION, CIIECK ALL APPROPRIATE BOXES 1. Tank i__s: [] Vaulted [] Non-Vaulted 2. Tank Material Carbon Steel [] Stain]ess Steel Fiberglass-Reinforced Plastic Other (describe): 3. Primary Containment ,Date Installed Thickness (Inches) [] Double-Wall J~ Single-Wall [] Polyvinyl Chloride [] Fiberglass-Clad Steel [] Concrete [] Aluminum [] Bronze [-] Unknown Capacity (Gallons) Manufacturer 4. Tank Secondary Containment [] Double-Wall [] Synthetic Liner ['] Lined Vault ~ None [] Other (describe): Material Thickness {inches) 5. Tank Interior Lining [2] Rubber [] Alkyd [] Epoxy [] Phenolic [] Glass [] 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 [] Sacrificial Anode System [] Describe System & Equipment: 7. Leak Detection. Monitoring, and Interceptiou a. Tank: [] Visual (vaulted tanks only) [] Groundwater Monitoring Well(s) [] Vadose Zone MonJtorinE Well(s) [] U-Tube Without Liner [] U-Tube with Compatible Liner Directing Flow To Monitor|nE Well(s)* [] Vapor Detector *~ Liquid Level Sensor* [] Conductivity Sensor* [] Pressure Sensor In Annular Space Of Double Wall Tank * [] Liquid Retrieval & Inspection From U-Tube. Monitoring· Well Or Annular Space ~.Daily Gauging & Inventory Reconciliation ~ Periodic Tightness Testing [] None [] Unknown [] Other b. Pip|nE: ~ Flow-Restricting Leak Detector(s) For Pressurized Piping* [] Monitoring Sump With Raceway [] Sealed Concrete Raceway [_] Half-Cut Compatible Pipe Raceway []Synthetic Liner Raceway [2] None [] Unknown [] Other · Describe Make & Model: ~/),i~$(~_~ 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 [] Unknown Date(s) Of Repair(s) Describe Repairs [] Unknown Manufacture~: Capacity (Gals.) [] Clay '~ Unlined [] Unknown 10. Overfill Protection [] Operator Fills, Controls, & Visually Monitors Level [] Tape Float Gauge '~ Float Vent Valves [] Auto Shut-Off Controls [] Capacitance Sensor [] Sealed Fill Box [] None [] Unknown [] Other: List Make & Model For Above Devices 11. PipinK a. Underground Piping: ~ Yes [] No ~q Unknown Material ~/ Thickness (inches) Diameter Manufacturer ~ Pressure []Suction [] Gravity Approximate Length Of Pipe Run b. Underground Piping Corrosion Protection: J~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 Iq Unknown ~ Other.(describe): Facility Name Permit No. TANK # ~0~0 [~ (FILL OUT SEPARATE FORM FOR EACH TANK) '-FOR EACtl SECTIO--~,--, cHECK ALL APPROPRIAT--~-, BO--~ 1. Tank i~s: r']Vaulted [] Non-Vaulted 2, Tank Material [~r Carbon Steel [] Stain]ess Steel '~ Fiberglass-Reinforced Plastic [] Other (describe): 3. Primary Containment [] Double-Wall ~ Single-Wall [] Polyvinyl Chloride ~] Fiberglass-Clad Steel [] Concrete [] Aluminum [] Bronze r~ Unknown [] Unknown [] Other *Describe Make & Model: ~eO.i~i~'? 8. Tank Tightness Has This Tank Been Tightness Tested? [] Yes Date Of Last Tightness Test Test Name 9. Tank Repair Tank Repaired? [] Yes [~No ~] Unknown Date(s) Of Repair(s) ~ Describe Repairs .Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer 4. 'rank Secondary Containment [] Double-Wall [] Synthetic Liner [] Lined Vault ~ None [] Unknown [] Other (describe): Manufacturer: Material Thickness (Inches) Capacity (Gals.) 5. Tank Interior Lining [] 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 [] Sacrificial Anode System [] Describe System & Equipment: 7. Leak Detection, Monitoring, and Interception a. Tank: [] Visual (vaulted tanks only) [] Groundwater Monitoring Well(s) [] Vadose Zone Monitoring ~ell(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 Oouble Wail Tank * [] Liquid Retrieval & Inspection From U-Tube, Monitoring Well Or Annular Space . ~-.Oaily Gauging & Inventory Reconciliation ~Periodic Tightness Testing [] None [] Unknown [] Other b. Piping: ~-Flow-Restricting Leak Detector(s) For Pressurized Piping* [] Monit'oring Sump With Raceway [] Sealed Concrete Raceway [] Half-Cut Compatible Pipe Raceway []Synthetic Liner Raceway [~] None No [] Unknown Results Of Test Testing,Company 10. Overfill Protection [] Operator Fills, Controls, & Visually Monitors Level [] Tape Float Gauge ~- Float Vent Valves [] Auto Shut-Off Controls [] Capacitance Sensor' [] Sealed Fill Box [] None [] Unknown [] Other: List Make & Model For Above Devices 11. Pipin~ a. Underground Piping: '~Yes [] No [] Unknown Material ~4~[ Thickness (inches) Diameter ~2_ Manufacturer ~-Pressure [~]Suction [] Gravity Approximate Length Of Pipe Run b. UnderMround Piping Corrosion Protection: _'~Z-Galvanized [] Fiberglass-Clad [] Impressed Current [] Sacrificial Anode [] Polyethylene Wrap [] Electrical Isolation ~Vlnyl Wrap []Tar or Asphalt [] Unknown [] None [] Other (describe): c. Underground Piping, Secondary Containment: [] Double-Wall r-] Synthetic Liner System J~<-None ~'] Unknown [-3 Other (describe): Facility Name Permit No. TANK # ~ofa~ _~o/~ (FILL OUT SEPARATE FORM FOR EACH TANK) FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES 1. Tank is: [~ Vaulted [] Non-Vaulted 2. Tank Material Carbon Steel [] Stain]ess Steel Fiberglass-Reinforced Plastic [] Other (describe): 8. Primary Containment .Date Installed Thickness (Inches) [] Double-Wall ~ Single-Wall [] Polyvinyl Chloride [] Fiberglass-Clad Steel [] Concrete [] Aluminum [] Bronze [-]Unknown Capacity ~Gallons) Manufacturer 4. 'rank Secondary Containment [] Double-Wall [] Synthetic Liner [] Lined Vault ~ None Unknown [] Other (describe): Manufacturer: Material Thickness (Inches) Capacity (Gals.) 5. Tank Interior Lining [] 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:J~None [] la, pressed Current System [] Sacrificial Anode System [] Describe System & Equipment: 7. Leak Detection, Monitoring, and Interception a. Tank: [] Visual (vaulted tanks only) [] Groundwater Monitoring Well(s) [] Vadose 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' Space -~--Daily Gauging & Inventory Reconciliation ~--Periodic Tightness Testing ~] None [] Unknown [] Other b. Pipinff: ~-Flow-Restricting Leak Detector(s) For Pressurized Piping* [] Moni{oring Sump With Raceway [] Sealed Concrete Raceway [] Half-Cut Compatible Pipe Raceway ~ Synthetic Liner Raceway [] None [] No [] Unknown Results Of Test Testing Company [] Unknown [] Other *Describe Make & Model: ~i~;D?~C/LiL.T 8. Tank Tightness Has This Tank Been Tightness Tested? [] Yes Date Of Last Tightness Test Test Name 9. Tank Repair Tank Repaired? [] Yes ~ No [] Unknown Date(s) Of Repair(s) i Describe Repairs 10. Overfill Protection [] Operator Fills, Controls, & Visually Monitors Level [] Tape Float Gauge J~Float Vent Valves [] Auto Shut-Off Controls [] Capacitance Sensor [] Sealed Fill Box [] None [] Unknown [] Other: List Make & Model For Above Devices 11. Piping a. Underground Piping: .~Yes [] No [] Unknown Material ~¢~1' Thickness (inches) Diameter ~ ~' Manufacturer · ~---Pressure [] Suction [] Gravity Approximate Length Of Pipe Run b. U~erground Piping Corrosion Protection: '~alvanized [] 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 ~-Nene [] Unknown ~ Other (describe): Facility Name Permit No. TANK # ~000 g~ (FILL OUT SEPARATE FORM FOR EACH TANK) FOR EACtl SECTION, CHECK ALL APPROPRIATE BOXES 1. Tank i__s: []Vaulted [] Non-Vaulted 2. Tank Material Carbon Steel [] Stain]ess Steel Fiberglass-Reinforced Plastic [] Other (describe): 3. Primary Containment ~Date Installed Thickness (Inches) [] Double-Wall ~ Single-Wall [] Polyvinyl Chloride [] Fiberglass-Clad Steel [] Concrete [] Aluminum [] Bronze [] Unknown 4. Tank Secondary Containment [] Double-Wall [] Synthetic Liner [] Lined Vault [] Other (describe): Material Thickness (Inches) 5. Tank Interior Lining [] Rubber [] Alkyd [-] Epoxy [] Phenolic [] Glass ~] Other (describe): 6. Tank Corrosion Protection Capacity (Gallons) Manufacturer ~ None I'-I Unknown Manufacturer: Capacity (Gals.) [] Clay ~,Unlined [] Unknown [] Galvanized [] Fiberglass-Clad [] Polyethylene Wrap [] Vinyl Wrapping [] Tar or Asphalt ,~Unknown [] None ~] Other (describe): Cathodic Protection: i~--None [] impressed Current System [] Sacrificial Anode System ~ ~scr-~; S-~-~m & Equipment: 7. Leak Detection. Monitoring, and Interceptioq a. Tank: [] Visual (vaulted tanks only) [] Groundwater Monitoring Well(s) [] Vadose 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 Wall Tank * [] Liquid Retrieval & Inspection From U-Tube, Monitoring Well Or Annulai' Space N aily Gauging & Inventory Reconciliation ~Periodic Tightness Testing one [] Unknown [] Other b. Piping: '~Flow-Restricting Leak De-~ecto~ For Pressurized Piping* [] Monitoring Sump With Raceway [] Sealed Concrete Raceway [] Half-Cut Compatible Pipe Raceway []Synthetic Liner Raceway [] None [] Unknown [] Other · Describe Make & Model: 8. Tank Tightness Has This Tank Been Tightness Tested? [] Yes [] No f'] Unknown Date Of Last Tightness Test Results Of Test Test Name Testing Company 9. Tank Repair Tank Repaired? [] Yes ~No ~ Unknown Date(s) Of Repair(s) Describe Repairs 10. Overfill Protection [] Operator Fills, Controls, & Visually Monitors Level [] Tape Float Gauge ~Float Vent Valves [] Auto Shut-Off 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 (incl~es) Diameter .2~~' Manufacturer ~Pressure []Suction [] Gravity Approximate Length Of Pipe Run b. Underground Piping Corrosion Protection: '.~alvanized [] Fiberglass-Clad [] Impressed Current [] Sacrificial Anode [~] Polyethylene Wrap [] Electrical Isolation ~('-Vinyl Wrap [2]Tar or Asphalt [] Unknown [] None [] Other (describe): c. Underground Piping, Secondary Containment: [] Double-Wall [] Synthetic Liner System ~'-None [] Unknown r-1 Other {describe): Facil.ity Name 1. Tank i~s: [] Vaulted [] Non-Vaulted 2. Tank Material Carbon Steel [] Stainless Steel Fiberglass-Reinforced Plastic [] Other (describe): 3. Primary Containment .Date Installed Thickness (Inches) [] Double-Wall [~] Single-Wall [] Polyvinyl Chloride [] Fiberglass-Clad Steel [] Concrete [] Aluminum ['] Bronze [] Unknown [] Unknown [] Other *Describe Make & Model: 8. Tank Tightness Has This Tank Been Tightness Tested? [] Yes Date Of Last Tightness Test Test Name 9. Tank Repair Tank Repaired? [] Yes [] No [] Unknown Date(s) Of Repair(s) Describe Repairs Capacity (Gallons) Manufacturer 4. Tank Secondary Containment Double-Wall [] Synthetic Liner [] Lined Vault ~ None [] Other (describe): Material Thickness (Inches) 5. Tank Interior Lining [-] Rubber [] Alkyd [~] Epoxy [']Phenolic [~ Glass C] 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 [] Sacrificial Anode System [] Describe System & Equipment: 7. Leak Detection. Monitoring, and Interception a. Tank: [] Visual (vaulted tanks only) [] Groundwater Monitoring Well(s) [] Vadose Zone MonJtorin~ 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 Wall Tank * [] Liquid Retrieval & Inspection From U-Tube, Monitoring Well Or Annular Space ~.Daily Gauging & Inventory Reconciliation ~Periodic 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 Raceway ~ None o [] Unknown esuits Of Test Testing Company [] Unknown Manufacturer: Capacity (Gals.) [] Clay '~Unlined f-] Unknown 10. Overfill Protection [] Operator Fills, Controls, & Visually Monitors Level [] Tape Float Gauge ~loat Vent Valves [] Auto Shut-Off 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 ;2.'~ Manufacturer ~Pressure []Suction [] Gravity Approximate Length Of Pipe Run b. Underground Piping Corrosion Protection: _~--Galvanized [] Fiberglass-Clad [] Impressed,_~urrent [~ 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): ARCO Petroleum cts Company 17315 Studebaker Road Cerritos, California 90701-1488 Telephone 213 404 5300 Mailing Address: Box 6411 Artesia, California 90702-6411 County of Kern Environmental Health 1700 Flower Street. Bakersfield, Ca..93305 OCT 06 1988 Environmenta. ealtl~ Div. SUBJECT Tank Interity test results ARCO Station 583 3200 Ming Ave. Bakersfield, Ca. Date 9/89/88 Dear Sir The tanks and piping at the above station passed a gasoline system test as noted in the attached test results. ARCO Petroleum Products Company is committed to compliance with the laws that govern the operation of underground storage tanks, If you have any question please call. Sincerely C.D. Morton 213 404-5353 ARCO Petroleum Products Company is a Division of AtlanticRichfieldCompany APPC-7076-A (7-86) ENVIRONM NTAL LABORATORIES ' INC C.D. Morton ARCO PetroLeum Company 17315 Studebaker Road Cerritos, CA 90701-1#88 September 23, 1988 CO ¥ Re: ARCO Station 11583 3200 Ming Avenue Bakersfield~ CA Dear Mr. Morton: On September 7, 1988, a Petro Tire System Test(s) was performed at the above- referenced location. The test was performed by Ray Norman, E.L.I. Technician. The NFPA Code 329.02 criteria for a tight system is a maximum loss of .05 gallons per hour. Because of the almost infinite variables involved~ this is not the permission of actual leakage. During the stand-pipe test procedure, the internal liquid hydrostatic pressure applied to the underground tank system is generally two to three times greater than normal liquid storage pressures. This increase in hydrostatic pressure will amplify the indicated rate of leak accordingly. SYSTEM TESTS: Tank No. I - North Size - 6,000 gallons Product - Regular The test showed a minus .035 gallons per hour. Based on the above criteria, we find the tank tested mathematically tight. Tank No. 2- West Size - 6,000 gallons Product- Regular The test showed a minus .035 gallons per hour. Based on the above criteria, we find the tank tested mathematically tight. This concludes our test and findings on September 7, 1988. If you have any questions regarding the results, please contact me. It is your responsibility to notify your local County Health Department, Environmental Health, within thirty (30) days of the results of this test. This notification is required by the California Administrative Code, Title 23 Waters, Chapter 3, Water Resources Control Board~ Sub-chapter 16~ Underground Tank Regulations, Article t~.30. We have enjoyed working with you on this project. If you need any further information, please feel free to contact our office. ,~.rr'Shannon Office Manager Encls 1477 E. Shaw, Suite 150 / Fresno, California 93710 / (209) 225-6698 ~ENVIRONMENTAL Ii~. ORATORIES PLEASE PRINT ! 1. OWNER Prom~y Tank(s) 2. OPERATOR 3. REASON FOR TEST (Explain Fully) 4. WHO REQUESTED TEST AND WHEN 5. WHO IS PAYING FOR THIS TEST? 6. TANK(S) INVOLVED 7. INSTALLATION DATA 8. UNOERGROUND WATER 9. FILL-UP ARRANGEMENTS 10. CONTRACTOR, MECHANICS, any other contractor involved 11. OTHER INFORMATION OR REMARKS 13. CERTIFICATION ..... :_:.._/- ,~,~ Data Chart for Tank System Tightness Test Name Address ~ Repwntaflve TeleDh~ne - Telephone Name Address Name Title Address Company or Affiliation Date Teleohone Company, Agency of Individual __ __ Person Authorizing Title Telephone / 7.~ / ~. ~ 7-~d.~.._b~J~:~£~._Z~'_. . ,~:_~_.~:~. ~, Billing Add~es~ ' -- Attention of: O~der No. Othe~ Instructions Idenhfv by Direction Location Capacity Cover Concrete. Black TOO, Earth, elc. Brand/Supplier Size. Tilefill make, Drop tubes, Remote Fills Grade J Approx. Age Vents I Siphones Size. Mlnitolded! Which tank~ ? Steel/Fiberglass Pumps Suction. Remote, Make it known Is the water over the tank Depth to the Water table ~_.~j4~'~,~'~_~/ ~'_~___~_ --~ " ~ Yes ~ No Tanks to be filled ~-'~ hr. ~--7- ~ Date Arrangedby Name Teleghone Extra product to "top off" and run TSTT, How and who to orovide? Consider NO Lead, Terminal or other contact for notice or inqu*ry Comoa~y Name T~leohone Additional information on any items above. Officials or others to be advised when testing is in progress or completed. Visitors or observers present during test etc. Tests were made on the above tank systems in accordance with test procedures prescribed forpetro Trle as detailed on attached test charts with results as follows: ~^.. r~s~, ~ Tank Identification Tight Leakage Indicated Date Tested -~ . ,:., 3'3' "~- ~' ~ iL_ This is to certify that these tank systems were tested on the date(s) shown. Those Indicated el "Tight" meet the cfttefil ellebllshed by the National Fire Protection Asociation Pamphlet 329. ' ENVIRONMENTAL LABORATORIES,/NC /By/' s,o.~,u,. - - ~/~/~i//~ 1447 E. Shaw Ave. Suite 150 Fresno, CA 93710 ' ' ' T-echni(~la ns Work Performed, ~Testing or Construction~] Arrival Time ~.'~ a.m.~// Fuel Arrival Time Departure Time ~/~,~,;~/ (~p.m. // Fu~l Departure Time Initials o! Station Operator JQ~ ]X3CL2~EI~TATION SHEET: Telephone Time: Telep~ae ~: Time CGaver&~l; Tele~ae t: C~veg~.~gXoa: ~lmu: 14. 15. TANK TO TEST 16. CAPACITY Is the~e (MqJM a~ to True Capacity? capacity chert 17. FILL-UP FOR TEST 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK See menu~l sections a~icat~e. Check below end record procedure in log (26). VAPOR RECOVERY SYSTEM Observed Te~'tperatures ~ ~:~ ~' r~ stage t C ....... d APl Gravily ~ ~' ~ ~ St'~ II ~. c.o~ ~ J~/~ 19. TANK MEASUREMENTS FOR TSTT ASSEMBLY Bonom of tank Grade'. ..... / :~ ~"~ Add 30' for 4' L Add 24' for 3' or air leal ..................... Total lubing Io assemble Approximate ................. J~ O 20. EXTENSION HOSE SETTING Tank to!~ to g;aole' . ..................................... Extend hose on suction tulle 6' of more 21. TEMPERATURE/VOLUME FACTOR (a) TO TEST THIS TANK IS Today Warmer [] Cooler? [] Product in Tank __ °F Fill-up Product on truck __ °F F. xp~ctad Chartge ( + or - ) 23. Digits per 'F in range ot expected change '~ '/~'~ 24. ~'~"~ ~ ~ "~ 25. ~- ?PT ~?~ ~ ?~ + ~/~ = - ~-~/~2~G 9~- ~ ARRIVED AT TEST SITE AND MEASURED FOR WATER ON TANK BOTTOM TRANSPORT TRUCK TOPPED OFF TANK, AND TOOK INVENTORY OF PRODUCT___/_~-{ REMOVED FILL CAP AND SPLASH TUBE. SET-UP TEST EQUIPMENT '/~"'~ c'~ 27. 28.~ / .¢ ~ ~ ~A' ~/'6 ~:-..¢~' 29. s,..,,,,~.., 32. Prodder. ~od~l 35. 36. 37. /~0.~ Fill Test Equipment wi~ Product & Pump Primed and Runnin~ %/ FactorA = . ~1 -~ ~ 2~ ~ ~.~/ /';'~ ~ q.".? /' ~'J~ ~.3~- .a%~ ~ -E -./~/ .... ~ ,..., ~ ~ +.~ _ - .~ "" - ./o/ Test conclud. ~ "'~ (~ ~ ~ found tO be tight or not tiqh' 14. . 15. TANK TO TEST 16. CAPACITY Is there doubl e~ to True Capacily? By mosl accurate capacity chart available r-1 ~taflo~ Chart [] Tank Manufac~'~ C~art .~ Company Engir~e~lng Data [] Chain Sub. led wl~ Peffo Tire 17. FILL-UP FOR TEST 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK See mars,iai 8ectio~a applicable. Check bek~v and recold procedure in log (26). Water in tank High wate~ table l~ tank excavation. Line(s) being tested with LVLL~: Observ~ Gravdy Observed Temperatures Corrected APl Gravity COE VAPOR RECOVERY SYSTEM [] Stage ~ '~ Stage ~l 19. TANK MEASUREMENTS FOR TSTT ASSEMBLY ~o.0m o, ,..~ G,.de'. ...... / ~' Add 30' for 4" L Add 24' for 3° or air seal ..................... Total t~bing to assemble Approximate ............... .'/~ ~ 20. EXTENSION HOSE SETTING 'If Fill pioe extends above grade, use top of fill. 21. TEMPERATURE/VOLUME FACTOR (a) TO TEST THIS TANK Is Today Warmer [] Cooter'~ [] Product in Tank __ ~F Fill-up P~oduct on truck __ °F Expected Change ( + or - ) 22. T~ .... ,-Send ..... ding after circulation 23. Digits per ~F in range of expect~ cha~e 24. ~ ~:~ ~ 25. /~ o ?~ ,, ,'..,:, 7 ~ ~ ~ ,' ~ = .Ot~/~ volume change per 'F 124) Digits per ~F in test Volume change per digit Range (23) Compute to 4 decimal places. gallons ARRIVED AT TEST SITE AND MEASURED FOR WATER ON TANK BOTTOM -" TRANSPORT TRUCK TOPPED OFF TANK, AND TOOK INVENTORY OF PRODUCT__.:. REMOVED FILL CAP AND SPLASH TUBE. SET-UP TEST EQUIPMENT ~"' Plot Plan ~obaite Location Invoice # $obsite Description E P%_.t~..,-' f? ip Kern County Health Department Division of Environmental Health 1700 Flower Street, Bakersfield, CA 93305 APPLICATION FOR PERMIT TO OPERATE UNDERGROUND_ HAZARDOUS SUBSTANCES STO~GE FACILITY Type of-- Application (check): [-]New Facility [~Modification of Facility Facility [-~Transfer of Ownership A. Emergency 24-Hour contact (n~me, area code, phone): Days~ Type of Business (check): Station DOt-her scribe) Is Tank(s) Located on an Agricultural Farm? [-]Yes Is Tank(s) Used Primarily for Ag~icultural Purposes? EYes ~ Facility Address ~12~1~_ ~/%/~ ~/~, Nearest Cross St. T' R SEC (Rural Locations Cnly) Owner ~¢0 Contact Person V/~,¢~ ;~]dress /7~/~' ~r~a~a~-~ Bo zip ~O7o~ Telephone ~-F5 O Operator ~ro /.//~/;~ ~ . Contact Person ~ ~;~.~- Address zip ?550 Q; Telephone · Is Fo~.. Modif~ati_on.Of .~ ~ist!__~G .=~_cili%~_~ 9ri-fly r~sc_ri_~, Modifications Tank(s) Store (check all that apply): Tank [ Waste Product Motor Vehicle ~uei Unleaded Regular Premium Diesel Waste an e ' ' ' ' i-f-- k,,u~d Chemiual Prevtousl ¥ Stored (if di'fferen~) · Previous Owner ~ · lit ~ -- , ,_ accept full'y all obl'igations of Permit No. issued to Cmod-~-~v~----~¥- . . ..~ ... I understand that the Permitting Authority ma-~eview and ry or termznate the transfer of the Pemit to Operate this t~dergrot~d storage ,facility upon recei~ this completed form. This form has begS: cq~plete~ )~nder penalty of Signature Facility Name -- 3. . 5. --8. ,9. Permit No. TANK ~ / (FILL OUT SEPARATE FORM FOR EACH TANK) FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES Tank is: []Vaulted ['~Non-Vaulted ~]Double-Wall S~le-Wall ~ Material ~g~bon Steel [] Stainless Steel [] P~lyvinyl Chloride []'7 Fiberglass-Clad Steel ~Fiberglass-Reinforced Plastic [] Concrete N Al~in~ [] Bronze []Unknown [] Other (describe) . -- Primary Containment Dste Installed Thickness (Inches) 4. Tank Secondary Containment []Double-Wall [] Synthetic Liner []Other (describe): [] Materiai Thickness (Inches) Tank Interior Linin~ []Rubber []Alkyd []Epoxy []Phenolic []Glass [-]Other (describe): 6. Tank Corrosion Protection e Capacity (Gallons) O [] Lined Vault Manufacturer [] None Manufacturer: Capacity (Gals.) []Clay ~J~ined --]~Galvanized -~-~--~'~ass-Clad []Polyethylene Wrap []Vinyl Wrappir~ []Tar or Asphalt ~nknown []None []-]Other (describe): ~' Cathodic Protection: [~None []Impressed Current System ~lSacrificial' Anode System DescrY'be System & Eguil~ent: Leak Detection, Monitoring, and Interception a. Tank: [2]Visual (vaulted tanks only) ~Groundwater Monitorirg' Well(s) []Vadose Zone Monitoring Well(s) [~U-Tube Without Liner []U-Tube with Ca~patible Liner Directing Flow to Monitoring Well(s)* []~ Vapor Detector* [] Liquid Level Sensor* [] Conductivit~ Sensor* [~ Pressure Sensor in Annular Space of Double Wall Tank ~ [] Liquid Retrieval & Inspection Frc~ U-Tube, Monitoring Well or Annular' Space [] Daily Ga~ng & Inventory Reconciliation [] Periodic Tightness Testing []None ~__~own [] Other b. Piping: ~Flow-Restrtcting Leak DeteCtor(s) for Pressurized Piping' [-]Monitoring Sump with Race~ay [] Sealed Concrete Race~y DHalf-Cut Compatible Pipe Raceway []Synthetic Liner Raceway []None ~'] Unknown [] Other *Describe Make & Model: Tank Tightness ~-~--This Tank Been Tightness Tested?. ~ []No [']Unkno~ Date of Last Ti~t~s~Test Test Name ~/7/-~ i/. (~, ~ "~ Testing Company ~OL.~ - Tank ~ Tank Repaired? []Yes ~]No ~'~-known Date(s) of Repair(s) Describe Repairs 10. Overfill Protection []Operator Fills, Controls, & Visually Monitors Level ~]Tape Float Gauge []Float Vent Valves [] Auto Sh__u~r~Off Controls []Capacitance Sensor []Sealed Fill Box []None ~k.nown []Other: List Make & Model For Above Devices 11. Piping a. Underground Piping: ~~es[qNo []Unknown Material Thick.~ss (inches) Diameter Manufacturer ~Pressure ~Suc~i~n []Gravity Approximate Length of Pipe ~ ~ b. Underground Pipirg Corrosion Protection : []GalvaniZed []Fiberglass-Clad []Imlxessed Current []Sacrificial Anode [2]U~U.O~UnknYethylene Wrap ~Electrical Isolation []Vinyl Wrap []Tar or Asphalt own []None []Other (describe): c. Underground Piping, Secondary Contairment: []Double-Wall [~Synthetic Liner System []None ~l~'k~own Facility Name TANK~ Permit No. (FILL OUT SEPARATE FORM FOR EACH TANK) FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES -- 3. . 5. Tank is: []Vaulted []Non-Vaulted DDouble-Wall ~e-Wall ~ ~aeer ial ' [~Carbon Steel []Stainless Steel []polyvinyl Chloride []Fiberglass-Clad Steel Fiberglass-Reinforced Plastic [] Concrete [] Alunin~ [] Bronze []Unknown Other (describe) Primary Containment Date Installed Thickness (Inches) 4. Tank Secondary Containment [] Double-Wall [] Synthetic Liner []Other (describe): []Material Thickness (Inches) Tank Interior Linin~ DRubber [qAlkyd []Epoxy []Phenolic []'Glass []Other (describe): 6. Tank Corrosion Protection ® --8. ,9. [] Lined Vault Manufacturer [] ],lone I~-~o~'~ Manufacturer: Capacity (Gals.) [] Clay ~'{ined ---~IGalvani'zed --~------c~ass-Clad []Polyethylene Wrap []Vinyl Wrapptrg []Tar or Asphalt ~known []None []Other (describe): .' Cathodic Protection: []None []Impressed Current System ~l~a¢'rificial Anode Syst~m~ Describe System & Equipment: Leak Detection, Monitorir~, and Interception a. Tank: [2]Visual (vaulted tanks only) [-]Groundwater Monitorirg' Well(s) []Vadose Zone Monitoring Well(s) [~U-Tube Without Liner [-].U.-Tube_w.ith. C.c~,pa~tible Liner Directirg Flow to Monitorirg Well(s)* [] vapor uetector k~ Liquid Level Sensor* [] Conductivit~ Sensor* [] Pressure Sensor in Annular Space of Double Wall Tank. ~ ~-]Liguid ~etrieval & Inspection From U-Tube, Monitoring Well or Annular Space []Daily Gaging & Inventory Reconciliation []Periodic Tightness Testirg [] None ~___~k~known [] Other b. Piping: ~Flow-Restricting Leak Detector(s) for Pressurized Piping* [~Monitorirg Sump with Raceway [']Sealed Concrete Raceway []Half-Cut Compatible Pipe Raceway []Synthetic Liner Raceway []None [] Unknown [] Other · Describe Make & Model: en Tightness ~Te~ted? . [~f~s []No []Unknown ---7'. Date of Mst Test of Te Tes.tName _. /~/~, · ~ " T~s%ing Company · rank Re~air ' · Tank Repai red? [] Yes []No ~i~nown Date(s) of Repair(s) Describe Repairs 10. Overfill Protection 11. []Operator F~--~, Controls, & Visually Monitors Level []Tape Float Gau~e []Float Vent Valves [']Auto Sh__u~r~Off Controls []Capacitance Sensor []Sealed Fill Box Ii]None ~f[]nknown []Other: List Make & Model For Above Devices Piping a. Underground Piping: ~es[~No [-]Unknown Material Thick, p6ss (inches) Diameter Manufacturer ~Pressure []Suction []Gravity Approximate Length ~f Pipe R~n b. Underground Piping Corrosion Protection : []Galvanized ~Fiberglass-Clad []Impressed Current []Sacrificial Anode [']U~UnknYethylene Wrap ~Electrical Isolation Ii]Vinyl Wrap []Tar or As~lt own [~None []Other (describe): c. Underground Piping, Secondary Contairment: []Double-Wall []Synthetic Liner System []None ~"~o~ Permit No. TANK ! ~ (FILL OUT SEPARATE FORM FOR EACH TANK) FOR EACH SECTION, CHECK ;~r.r. APPROPRIATE BOXES H,-- 1. Tank is: []Vaulted [']Non-Vaulted [~Double-Wall S[~le-Wall eel [] Stainless Steel [] P~lyvinyl Chloride [] Fiberglass-Clad Steel B. Fiberglass-Reinforced Plastic []Concrete []Alunin~ []Bronze []Unknown Other (describe) -- 3. P. rimary Containment Date Installed Thickness (Inches) . 5. 4. Tan____~k Secondary Containment []Double-Wall ~--Synthetic Liner [-]Other (describe): []Material Tank Interior Lining iSi'aubber []mk~d []Epoxy []Other (describe): 6. Tank Corrosion Protection e ,9. C~pac~l ty (C~a llons) [] Lined Vault Thickness (Inches) []Phenolic []Glass Manufacturer [] None ~n"k~own Manufacturer: Capacity (Gals.) [] Clay [~]~ned []Unknown --]~Galvanized [qFiber~lass-Clad []Polyethylene Wrap []Vinyl WraPPirg []']Tar or Asphalt ]~nknown [~]None []Other (describe): Cathodic Protection: []None []Impressed Current System ['1Sacrificial Anode System ~--~ribe System & Eguil~ent: Leak Detection, Monitoring, and Interception a. Tank: []Visual (vaulted tanks only) ~Groundwater Monitoring' Well(s) []Vadose Zone Monitoring Well(s) ~U-Tube Without Liner ~]~.U.-Tube with C.~,pa_tible Liner Directing Flow to Monitoring Well(s)* vapor Detector [_] Liquid Level Sensor* [] Conductivit~ Sensor* [] Pressure Sensor in Annular Space of Double Wall Tank F~ Liquid Netr/eval & Inspection From U-Tribe, Monitoring Well or Arglttla~ Space [] Daily Ga~rg & Inventory Reconciliation [] Periodic Tightness Testing []None ~__~r[known ~']Other.. b. Piping: ~Flow-Restricting Leak Detector(s) for Pressurized Pipingw [-]Monitoring St~np with Race~ay [-]Sealed Concrete Race~y []Half-Cut Compatible Pipe Raceway ~Synthetic Liner Race~ay [~None [] Unknown [] Other *Describe Make & Model: Tank Tightness ]~-This Tank Been Tightness ~%t ~7~ ~ []NO []Unkno~ __ Date of Last Ti~t__qness Test~/~/~ Results of Test Test Name. ./-~/,~ ~' Testing Company Tank ~ Tank Repai red? [] Yes []No ~-~own Date(s) of Repair(s) Describe Repairs 10. Overfill Protection []Operator Fills, Controls, & Visually Monitors Level []Tape Float Gauge []Float Vent Valves [] Auto Sh_ut~Off Controls [2]Capacitance Sensor Ii]Sealed Fill Box [None ~09Jnknown []Other: List Make & Model For Above Devices 11. Piping a. Underground Piping: ~i~es'"es []No []Unknown Material Thick. p6ss (inches) Diameter Manufacturer ~Pressure []Suction []Gravity Approximate Length of Pipe ~ .. b.. Underground Pipirg Corrosion Protection : []Galvanized []Fiberglass-Clad []Impressed Current ~]Sacrificial Anode ~U~Uf/UnknYethylene Wrap [']Electrical Isolation []Vinyl Wrap Ii]Tar or Asphalt own ~None [~]Other (describe): c. Underground Piping, Secondary Contairment: []Double-Wall ~Synthetic Liner System []None ~]~'k~own Facility Name TANK ! ~ (FILL OUT SEPARATE FORM FOR EACH TANK) FOR~ACH SECTION, CHECK ALL APPROPRIATE BOXES H-' 1. Tank is: [']Vaulted [']Non-Vaulted , 2. ~rial ~[Carbon Steel [] Stainless Steel -- 3. . 5. l~Double-Wal 1 [~'~le-Wal 1 [] Polyvinyl Chloride [] Fiberglass-Clad. Steel BFiberglass-Reinforced Plastic [] Concrete [] Al~intm~ [] Bronze Dt~nknown Other (describe) Primary Containment Date Installed Thickness (Inches) 4. Tank 'Secondary Contair~nent [] Double-Wall [] Synthetic Liner [']Other (describe): [] Ma ter ial Thickness (Inches) Tank Interior Linin~ '"[]]'Rubber []]Alkyd []]Epoxy [3Phenolic []Glass ~]Other (describe): 6. Tank Corrosion Protection e --8. ,9. Capaz~ ty (Gallons) 0 [3 Lined Vault Manufacturer [3 None Manufacturer: Capacity (Gals.) []Clay --~Gdlvani~ --~'~-~ss--Clad []Polyethylene Wrap []Vinyl Wrapping []Tar or Asphalt~nknown FqNone []Other (describe): Cathodic Protection: []]None [3Impressed Current System [~Sacrifici'al Anode System ~--~ribe System & Equipment: Leak Detection, Monitorinc~, and Interception a. Tank: []Visual (vaulted tanks only) []]Grour~water Monitorirg' Well(s) [3 Vadose Zone Monitoring ~ell(s) [~]U-Tube Without Liner '' be []U-Tube with C~npatible Liner Directing Flow to Monitoring Well(s) ['] Vapor Detector* ['] Liquid Level Sensor* ['~ Conductivit~ Sensor* [-] Pressure Sensor in Annular Space of Double Wall Tank. [] Liquid l%~trieval & Inspection From U-Tube, Monitoring Well or Annular b~ce [] Daily Ga~rg & Inventory Reconciliation [] Periodic Tightness Testing ~None ~___~own [']Other Piping: ~Flow-Restricting Leak Detector(s) for Pressurized Piping' []Monitoring S~ap with Raceway |-]Sealed Concrete Raceway [3Half-Cut Ccmpatible Pipe Raceway []]Synthetic Liner Race%~ay DNone [] Unknown [3 Other *Describe Make & Model: ~en Tightness Tested? ~s []]']No []]"[Unknown Test Name , ' Testing Company Tank ~ ' T nk'Repaired? [3Yes []NO Date(s) of Repair(s) Describe Repairs 10. Overfill Protection [-]Operator Fills, Controls, & Visually Monitors Level [2]Tape Float Gauge ~Float Vent Valves ~Auto Sh__ut~Off Controls · ~Capacitance Sensor [2]Sealed Fill Box ~None ~3nknown - [2]Other: List Make & Model For Above Devices 11. Pipxng a. Underground Piping: [~es[2]No []]Unknown Material Thick. p6ss (inches) Diameter Manufacturer ~Pressure [~Suction []]Gravity Approximate Length of Pipe 1%m% ., b. Underground Pipirg Corrosion Protection : []Galvanized [3Fiberglass-Clad [~]Impressed Current [2]Sacrificial Anode ~U~F]U~yethylene Wrap []]Electrical Isolation []]Vinyl Wrap [2]Tar or Asphalt own [-~None []]Other (describe): c. Underground Piping, Secondary Contairment: ' []Double-Wall []]Synthetic Liner System ~None Facility Name -- 3. . 5. 'Permit No. TANK ~ .~" (FILL OUT SEPARATE FORM FOR TANK) FORE~CH SECTION, CHECK ALL APPROPRIATE BOXES Tank is: []Vaulted ?gNon-Vaulted DDouble-Wall [~f~le-Wall ~ Material ~n Steel [] Stainless Steel [] Polyvinyl Chloride [2] Fiberglass-Clad Steel ~'Piberglass-Reinforced Plastic [] Concrete [] Al~in~ [] Bronze [-]Unknown [] Other (de~ri~) Primary Containment Date Installed Thickness (Inches) 4. Tank Secondary Contair~ent [] Double-Wall ~ Synthetic Liner [-]Other (describe): []Material Tank Interior Linin~ DRubber []Alkyd []Epoxy [] Other (describe): 6. Tank Corrosion Protection --8. ,9. Capaqi t_y (Gallons) Lined Vault Thickness (Inches) []Phenolic []Glass Manufacturer [] None ~'~own Manufacturer: Capacity (Gals.) []Clay [.~(l%lined I"]unkno,~, --~[G~lvanized -'~-~---~-c~ass-Clad []POlyethylene Wrap [3Vinyl Wrapping [']Tar or Asphalt ~[~]nknown [-]None [-]Other (describe): Cathodic Protection: []None []Impressed Current System ~3sacrificial Anode System De~ribe System & Egui~nent: Leak Detection, Monitoring, and Interception a. Tank: []Visual (vaulted tanks only) []Groundwater Monitoring' Well(s) []Vadose Zone Monitoring Well(s) []U-Tube Without Liner []U-Tube with Compatible Liner Directing Flow to Monitoring Well(s)* _[] Vapor Detector* [] Liquid Level Sensor* [] Conductivit~ Sensor* k~ Pressure Sensor in Annular Space of Double Wall Tank [] Liquid_lq~tr. ieval & Inspection From U-Tube,_Monitoring Well or Annular' Space [] Daily ~j_aj~ng & Inventory Reconciliation [] Periodic Tightness Testing [] None ~own [] Other b. Piping: ~Flow-Restricting Leak Detector(s) for Pressurized Piping' []Monitoring Sump with Race~y FTSealed Concrete Race~y []Half-Cut Compatible Pipe Race~ay ~]Synthetic Liner Race~ay []None [] Unknown [] Other *Describe Make & Model: Tank Tightness ~--Tnis Tank Been Tightness Te§ted?~ ~es []No []Unknown Test [qame. ~ ~-.'C~ ". Testing Ccmpany ~ Tank ~ Tank Repai red? [3 Yes []NO ~'~nown Date(s) of Repair(s) Describe Repairs 10. Overfill Protection [-]Operator Fills, Controls, & Visually Monitors Level [-]Tape Float Gauge [']Float Vent Valves []Auto Sh_~Off Controls [~]Capacitance Sensor []sealed Fill Box []None ~09Jnknown [3Other: List Make & Model For Above Devices 11. Piping a. Underground Piping: ~~es[]No []Unknown Material Thick.~ss (inches) Diameter Manufacturer ~Pressure [3Suction [~]Gravity Approximate Length of Pipe b. Underground Piping Corrosion Protection : []Galvanized [3Fiberglass-Clad []Impressed Current ['3Sacrificial Anode [-]U~U~'nknYethylene Wrap []Electrical Isolation [3Vinyl Wrap [-]Tar or Asphalt own []None []Other (describe): c. Underground Piping, Secondary Contairment: ~Doublc Wall [3Synthetic Liner System [-]None Facility Name Ho · TAN___~K~ ~' (FILL OUT SEPARATE FORMBYS, EACH ~ANK) FOR EACH SECTION, C}IEC_____~K ALL APPROPRIATE BOXES 1. Tank l__s: [']Vaulted [] Non-Vaulted [] Double-Wall ~ingle-Wall 2. Tank Material [~["Carbon Steel [] Stainless Steel [] Polyvin~l Chloride [] Fiberglass-Clad Steel [] Fiberglass-Reinforced Plastic [] Other (describe): Primary Containment Date Installed Thickness (Inches) 4. Tank Secondary Containment [] Concrete [] Aluminum [] Bronze O Unknown. C~Pacity (Gallons) Manufacturer [] Double-Wall [] Synthetic Liner [] Lined Vault [] None [~-qJnknown [~], Other (describe): Manufacturer: Material Thickness (Inches) Capacity (Gals.) 5.'Tank Interior Lining [] Rubber [] Alkyd [-]Epoxy [~] Phenolic [] Glass [] 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 [] Sacrificial Anode System []' Describe System & Equipment: 7. Leak Detection, Monitoring, and Interception a. Tank: [] Visual (vaulted tanks only) [] Groundwater Monitoring Well(s) [] Vadose 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 Wall Tank * [] Liquid Retrieval & Inspection From U-Tube, Monitoring Well Or Annular Space C~Daily Gauging & Inventory Reconciliation ~ Periodic 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 [2] Synthetic Liner Raceway [] None []Unknown [] Other *Describe Make & Model:. 8. Tank Tightnes~ Has This Tank Been Tightness Tested? [] Yes Date Of Last Tightness Test Test Name 9. Tank Repair Tank Repaired? [-]Yes [] No []Unknown Date(s) Of Repair(s) Describe Repairs 10. Overfill Protection [] No [] Unknown Results Of Test Testing Company [] Clay [~Unltned [2] Unknown [] Operator Fills, Controls,.& Visually Monitors Level [] Tape Float Gauge [] Float Vent Valves [] Auto Shut-Off Controls [] Capacitance Sensor [] Sealed Fill Box [-] None [] Unknown [~] Other: List Make & Model For Above Devices 11. Piping, Underground Piping: [] Yes [] No [] Unknown Material Thickness (inches) Diameter Manufacturer [~/ Pressure []Suction [] Gravity Approximate Length Of Pipe Run Underground Piping Corrosion Protection: [] Galvanized [] Fiberglass-Clad [] Impressed Current [] 'Sacrificial Anode [] Polyethylene Wrap [] Electrical Isolation [] Vinyl Wrap [2]Tar or Asphalt lq. Unknown [] None [] Other (describe): underground Piping, Secondary Containment: [] Double-Wall ~ Synthetic Liner System [2] None [2] Unknown