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HomeMy WebLinkAboutUNDERGROUND TANK~ ~ ;,u ~~ SEAR RETAIL STORE RE ``^ ~ v~ a 9 - zt - ~~ ~~ 4313 SHEPARp STREET L ~""S~ro ~ ~ ~- $G ~ ~ 310081C J ,` ~~ v~ ~~' 'i 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