HomeMy WebLinkAboutUNDERGROUND TANK~ ~
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~~ SEAR RETAIL STORE RE ``^ ~ v~ a 9 - zt -
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4313 SHEPARp STREET L ~""S~ro ~ ~ ~- $G
~ ~ 310081C
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rK~'~n County Health Department
Div~'sion of Environmental Health
1700 Flower Street; Bakersfield, CA
93305
Permit No.
Appl ication Date
NO. of Tanks to be Aba'r~d0ned ' /.
APPLICATION FOR PERMIT FOR TEMPORARY OR PERMANq~F~
Ce
De
of Application (Fill Out One Application Per Facility)_
T-~porary Clo~ure/Abandonmen--~/~/~z~W/WzW~-~,~ L, ~ermanent Closure/Abandonment
Project Contact Jname, ar,em .code, phone): _Days~'~w~f/~3~L/// Ntghts~-3 ~_~2~ ~-~.///
Facility' Address Nearest Cross St.
wn R ---~ SEC (Rural' Locations Only)
Address Zip
water to Facility Provided by ~>~z'/,,~,~,~ ~,¢,-~,~' ~',-,,~' ~%. Depth
Soil Characteristics at Facility.
~sis for ~il ~ and Gro~ter ~pth.~temi~tio~
Ta~ Re~val Contract~
~dress /~ ~ ~~ ./~/.- Zip
Pro~s~ Starti~ ~te ~/2o/~ ~ ~ro~s~C~pletion ~te~///~/
~rker's C~mnsation ~rt~afian
. · .
Envlro~e~ ~s~e~ent,~o~acgor .~~~/~ ,~ Llce~e
~dress.. ~ / ~/~//~ ~/
Promar-S%ar~i~ ~e'~/~//'~-~' ' ,~ro~s~ C~pletion ~te
~rker's C~m~ation ~ti'f~cation
Chemical Composition of Materials Stored
Tank ~ Chemical Stored (non-co,~nercial name)
Dates Stored Chemical. .p..re.v. iously Stored
/~ '- ~if different)
to
to
to
F. This application for: ~ removal or ~ndo~ent in pla~'
* * PL~E ~IDE I~O~TION REQUESTED ~ ~E SIDE OF ~IS SHE~ B~O~. SU~I~I~
APPLI~TI~ ~R ~.
This form has been completed under penalty of perjury and to the best of my knowledge is true
and correct.
Facility , , . ,, . ~..
[~Permit to Operate ~
penStruction .Permit ~
rmit to abandon~ /~
[2]Amended Permit Conditions
[-]Permit Application Form,
/~Application to Abandon
[qAnnua'l Report Forms
FILE. CONTENTS. INVENTOO
NO.
6f Tanks /
I
Tank Sheets,
tanks(s)
Date
Date
Date
Fl'ow
Date
Cha'rt ?)~' ?/,c,,~ ~
E~]Copy of written Contract Between Owner &
[2] Inspect ion Reports
[]C°rrespondence - Received
Operator
Date
Date
Date
Correspondence - Mail d,.
Date
Da te
Da te
[]Unauthorized Release Reports
[]Abandonment/Closure .Reports
[]Sampling/Lab Reports
[]MVF Compliance Check (New Construction
[-]STD Compliance Check (New Construction
~]MVF Plan Check (New Construction)
[]STD Plan Check (New Construction)
E]MVF Plan Check (Existing Facility)
E]STD Plan Check (Existing Facility)
[-]'Inc?mplete Application" Form
[]Permit Application Checklist
[']Permit Instructions []Discarded
E~Tightness Test Results
[]Monitoring Well
Checklist)
Checklist)
Construction Data/Permits
Date
Date
Date
[]Environmental Sensitivity Data:
[]Groundwater Drilling, Boring Logs
[]Location of Water Wells
[-]Statement of Undergfound Conduits
[]Plot Plan Featuring All Environmentally
[-]Photos ~]Construction Drawings
I-]Half sheet showing date ~eceived and ta
[']Mi ~cel laneous k__
Sensitive Data
Mark Gigas
Analytical Chemist
Envlronmenta! Monitoring & ,~ervlce.
Combustion Engineering, inc.
242? West HillCrest Drive
Newbury Park, California 91320
(~,05 ) 498-6771
COMBUSTION/~ ENGINEERING
1700 Flower Street
Bakersfield~, California 93305
Telephone (805) 861-3636
PERMIT FOR TEMPORARY 0R PER-MANENT
CLOSURE/ABANDONMENT OF UNDERGROUND
HAZARDOUS SUBSTANCES STORAGE FACILITY
COUNTY HEALTH DEPARTMEN~
ENVIRONMENTAL HEALTH DIVISION
HEALTH OFFICER
Leon M Hebertson, M.D.
DIRECTOR OF ENVIRONMENTAL HEALTH
Vernon S. Reichard
PERI, IT NU)IBER A182
CT 31
FACILITY NAME/ADDRESS:
Sears Retail Store
4313 shepard Street
Bakersfield, CA
O~F~ (S) NA~/ADD~ESS:
Sears and Roebuck
900 So. Fremont Avenue
Alhambra, CA 91802
PERMIT TO ABANDON
PERMIT EXPIRES
July 25t 1987
I TANK AT ABOVE
LOCATION.
APPROVAL DATE
APPROVED BY
July 25, ~1~9,86
..................... POST ON PREMISES. '
CONDITIONS AS FOLLOWS: ;
1. Permitt~e must obtain a Fire Department permit "prior to initiating
abandonment action.
2. Ail procedures used must be in accordance with requirements of
Standards and Guidelines developed for implementation of Kern County
Ordinance Code #G-3941. A copy of these requirements are enclosed with
this permit.
3. A minimum of four samples must be retrieved beneath the tank at depths of
approximately 2' and 6', one-third from each end of the tank.
4. A minimum of two samples must be retrieved at depths of approximately 2'
and 8' , for each 15 feet of pipe run.
5. All samples must be analyzed for benzene, toluene, xylene, and total
petroleum hydrocarbons.
6. Advise this office of the time and date of .propOsed sampling with 24
hours advance notice.
ACCEPTED BY Mailed DATE 7-30-86
DISTRICT OFFICES
Delano . Lamont . Lake Isabella Mojave . Ridgecrest . Shafter . Taft
r~rnn County Health DepartmenI
Division o~ Environmental He~
l?O0 Flower Street, Bakersfield, CA
93305
Application
No. of Tanks to be Aba~m~J6ned '
APPLICATION FOR PERMIT FOR TEMPORARY OR P~ ·
Type of Application (Fill Out One A?plication Per Facility)
[~T-~porary c10Sure/Abandonmen-~ ~/~/~,~,~. ~ ~ermanent Closure/Abandonment
Project Contact (name, are. a code, phone): DaysA~,~/~. ~L/// Nights~/~f-)~_{~--~///
Facility Address . _ _~~e~J~dNe~'rest CrOss St. · "
T ~ R - "SEC'~' -~ (RUr~I' ~tions Only) ,
Owner ~ ~~~_ "' , .Teleph~one [/'~},~C~
Zip '
Address Zip
.B. ~ater to Facility Provided by ~',,~/_/./-3z.,,'/,* ~,'t?~.~ ...r~,/,,...~- c"~_ Depth to Groundwater /~/~
Soil Characteristics at Facility ~
Basis for Soil Type and Ground~ter Depth. Determio~tions
Address /~/~ d~7~ /~/Z~,~,, /~/. Z~p ~/~_3 Telephone.'~' '~~
Proposed Starting Date .~/~/z2~/~ ,~ _Propgsed~Ccmpletion Dated~///~'~3 '
Worker's Ccmpensation CertFfi~aZion ~ ~Z~(~/. Insurer ~,~-~F~'/~i- ~.~
Addr ess ~/.~/_~ //,f/~7~/~//~7 _ /-/~, Zip ~"/3f.~O Telephone [[04.-3 ~/~F-~ >~ /
Proposed-s%ar~ing Da~e'~F/~//~' ' .~rop~s~d completion Date -F/~;//J7~ '
Worker's Ccml:ensation ~e~ti'f/Ication ~ Lf'~.~/ Insurer. ~//~/~-~~~. '
D. Chemical-Composition of Materials Stored
Tank ~ Chemical Stored [non-commercial name) Dates Stored Chemical_ Previously Stgred
to
to
Samples Will be Analyzed for ~ --
Laboratory That W.i.~ll Perform_ Analyses of SampJ~es
F. T~is application for: ~4.removal or ~a._bandonment in place
* * PLEASE PROVIDE INFORMATION REQUESTED ON REVERSE SIDE OF THIS SHEET BEFORE SUBMITI~ING
APPLICATION FOR REVIEW.
This fo[In has been completed under penalty of perjury and to the best of my knowledge is true
and correct.
Signs ture d///~/~-~ _~,-~._
'Title
Z
......... B/'~.c..~..Izl LL~ I~.)~ t.oA~_, A"c-bO~ A''''r .'BOTI-~-
Ms. Amy Green
September 'i7, 1986
Page '2
Site 2 - Sears - Shephard Street
Tank Sample
8 A
B
C'
D
Total Inorganic
Oil & Grease (mg/kg) Lead (mg/kg)
<5. 7.6
30. 3.8
50. 6.6
10. 1.4
Benzene (ppm) Toulene (pm) o-xylene(ppm) THC (ppm)
A <1. <1. <1. <2.
B <1. <1. <1. <2.
C <1. <1. <1. <2.
D <1. <1. <1. <2.
If you have any questions, please feel to call me at (805)498-6771.
Thank you,
Mark Gigas
Field Technician
MG:mld
File: 51244
17C0 F!ower Street
Bakersfielc, California 93305
Telepho~ne I805) 861-3636
.N COUNTY HEALTH DEPARTMEI
ENVIRONMENTAL HEALTH DIVISION
September 26, 1986
HEALTH OFFICER
LeonM Hebedson, M.D.
DIRECTOR OF ENVIRONMENTAL HEALTH
Vernon S. Reichard
Sears and Roebuck
900 So. Fremont Avenue
Alhambra, CA 91802
Dear Sir/Madam:
This is to advise you that this department has reviewed the
project results for the subsurface contamination investigation at
the Sears Retail Store, 4313 Shepard Street, Bakersfield,
California.
Based upon the findings described in the report, this department
is satisfied that the assessment is complete and no significant soil
contamination resulting from fuel tank leakage exists at the'site.
Thank you for your cooperation in this matter.
Specialist
Hazardous Materials Management Program
AG:aa
DISTRICT OFFICES
Delano . Lamont . Lake Isabella Mojave
Ridgecrest . Shafter . Taft