HomeMy WebLinkAboutUNDERGROUND TANK-C-02/13/92
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,-,kersfield Fire Dept. _
H~DOUS MATERIALS DIVISION .
UNDERGROUND STORAGE TANK PROGRAM
PERMIT No. ße... CX)j'
PERMIT APPLICATION FOR REMOVAL OF AN UNDERGROUND STORAGE TANK
SITE INFORMATION
sITe Computer Smog
FACILITY NAME Computer Smog
TANK OWNER/OPERATOR Pam Roberts
MAILING ADDRESS 113 Dunlap
Hwy
ADDRESS 3621 Stockdale ZIP CODe
CROSS STREET
93309 APN
PHONE No. 323-0135
'CITY Bakersfield ZIP CODE
93309
CONTRACTOR INFORMA nON
COMPANY Kern Environmental Service PHONE No. 805/589-5220 LICENSE No. 432372
ADDRESS 'Post Office Box 5337 CIN Bakersfield ZIP CODE 93388 Ii>
INSURANCE CARRIER Tolman lie Wiker WORKMENS COMP No. WC-582-2131
PRELlMANARY ASSEMENT INFORMATION
COMPANY 5',4~.é"
ADDRESS
INSURANCE CARRIER
,PHONE No. LICENSE No.
CIN ZIP CODE
WORKMENS COMP No.
TANl<ClEANING INFORMATION
COMPANY Kern Environmental Service PHONE No. 805/589-5220
ADDRESS Post Office Box 5337 CITY Bakersfield ZIP CODE 93388
WASTE TRANSPORTER IDENTIFICATION NUMBER CAD982495608
NAME OF RJNSTATE DISPOSAL FACILITY Gibson Oil lie Refining
ADDRESS End of Commercial Drive CITY Bakersfield ZIP CODE 93308
FACILITY INDENTIFICATJON NUMBER CAD980883177
TANK TRANSPORTER INFORMATION
COMPANY KVS Transportation. Inc ~ ' PHONE No. 805/589-5220 LICENSE No. 432372
ADDRESS Post Office Box 5295 CITY Bakersfield . ZIP CODE 93388
TANK DESTINATION Golden State Metals - 2000 E. Brundage Lane. Bakersfield. CA
TANK INFORMATION
TANK No. AGE VOLUME CHEMICAL " DATES CHEMICAL
STORED STORED' PREVIOUSLY STORED
1 30 years 12,000 gal Gasoline 1950's-1991 Gasoline
2 30 years 10.000 2al Gasoline 1950'5-1991 Gasoline
3 30 years 250 ¡al Waste Oil 1950'8-1991 Waste Oil
': . .,.. '; :<...... '.:;'. .............: ::.~.'.. ·.··...P.,.~·~.:.·.,.; .:··.·.:..;···:·}···;::~:';::·:·<,:~:::/}:::):::~·\i?:;.;.~...~.;:::;'-"'.":~:"': ':.. ::.;;:":- '. ...:'..<':-":':~'-;-'. . .' ". " - .'.:.....-. ..-:.....-. ¡
THE APPLICANT HAS RECëIVED. UNDERSTANDS, AND Will COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER
STAfE.LOCAL AND FEDERAL ~EGULATlONS. .
THIS FORM HAS SEEN COMPLETED UNDER PENALTY OF PERJURY. AND TO THE BEST OF MY KNOWlEDGE. IS TRUE AND CORRECT.
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~PPROVED BY: '
¡fl' Co)¿N<P-7'"'F
APPLICANT NAME (PRINT)
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
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DRAWN BY C.t:...
REVISEO
DRAWINC NUMBER
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BAKERSFIELD FIRE DEPARTMENT
HAZARDOUS MATERIAL DIVISION
2130 G Street, Bakersfield, CA 93301
(805) 326-3979
TANK REMOVAL INSPECTION FORM
FACILITY&~~ SVVlO~ ADDREss3{,2-( ~k lfivy
OWNER J(D s¡L (~. .-fo.be...-:6)PERMIT TO OPERATE# /V//I- /
CONTRACTOR K £...5' CONTACT PERSON é..R. 19-1 Þ- Cov-e.Jve::tf-
LABORATORY B Co # OF SAMPLES /0
TEST METHODOLOGY f, /Æ"'}c. r?#t:-." c:::>.. '/ r 6.,r-ec....r-e...
PRELlMANARY ASSESSMENT c6. .f,?/77E CONTACT PERSON cR/'1/'- GOY~
CO2 RECIEPT ~ LEL% '"Ie¡ O2% "I. '1 TJ
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CONDITION OF TANKS ~~r--
CONDITION OF PIPING P!/o ?'i"// (::7 ß.-e5~-yC.
CONDITION OF SOIL M ~/~ '5
COMMENTS ?JPJ r~ffi:¿"y = /IH'7!y"tle
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HAZ. MAT. D'V.
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CITY of BAKERSFIELD
"WE CARE"
FIRE DEPARTMENT
S, D. JOHNSON
FIRE CHIEF
February 13, 1992
2101 H STREET
BAKERSFIELD,93301
326·3911
Pam Roberts
Computer Smog
113 Dunlap
Bakersfield, CA 93309
CLOSURE OF 3 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANKS LOCATED
AT 3621 Stockdale Hwy., IN BAKERSFIELD, CALIFORNIA.
PERMIT # BR0015
Dear Ms. Roberts,
This is to inform you that this department has reviewed the results
for the preliminary assessment associated with the closure of the
tanks located at the above stated address.
Based upon laboratory data submitted, this office is satisfied with
the assessment performed and requires no further action at this
time. .
This letter does not relieve you of any liability for past,
present, or future operations. In addition, any future changes in
site use may require further assessment or mitigation. It is the
property owners responsibility to notify this department of any
changes in site usage.
If you have any questions regarding this matter, please contact me
at (805)-326-3797.
Æ'nczeð~ ..'
Joe A. Dunwoo~
Hazardous Material Specialist
Underground Tank Program
, ~~~.
e Bakersfield Fire Dept. .
HAZARDOUS MATERIALS DIVISION
2130 G Street, Bakersfield, CA 93301
(805) 326-3970
~
~
UNDERGROUND TANK
AUG 1 4 199'
HAZ. MAT. Dtv.
I. FACILITY/SITE
DBA OR FAr-ÛAME
ADDRESS
No. OF TANKS
QSTATE AGENCY QFEDERAl AGENCY
tyPE OF BUSINESS
NIGHTS: NAME (LAST. FIRST)
PHONE No. WITH AREA CODE
II,
CARE OF ADDRESS INFORMATION
./ BOX Q INDIVIDUAL 0 LOCAL AGENCY 0 STA TE AGENCY
TO INDICATE Q PARTNERSHIP 0 COUNty AGENCY 0 FEDERAL AGENCY
STA TE
CA-
PHONE No. WITH AREA CODE
J3-0 ßS-
-, ru~te~
CARE OF ADDRESS INFORMA nON
./ BOX
TO~N'p~CA!E
Q1f1Ï5ÍVIDUAL
, ,_0 PARTNERSHIP
o LOCAL AGENCY 0 STATE AGENCY
O_COUNty AGENCY 0 FEDERAL AGENCY
STATE ZIP CODE
PHONE No. WITH AREA CODE
eft-
t13"3"01
05 3~?-O 13$""
OWNER'S
TANK No.
Uh tn'Dv-'
DATE
INSTALLED
VOLUME
PRODUCT
STORED
IN
SERVICE
Y/N
Y/N
Y/N
Y/N
Y/N
Y/N
DO YOU HAVE FINANCIAL RESPONSIBILITY? Y/N TYPE
....
"
Fill one segment o~for each tank, unless all t~nks and piping are
constructed of theWame materials,. style and .e, then only fill
one segment out. please identify tanks by own ID #. .
I. TANK DESCRIPTION COMPLETE ALL ITEMS.. SPECIFY IF UNKNOWN
A, OWNER'S TANK I. D. # B. MANUFACTURED BY:
C. DATE INSTALLED (MOIDAYIVEAR) D. TANK CAPACITY .IN GALLONS:
"- .. ... ---.. ..
III. TANK CONSTRUCTION
MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND ALL THAT APPLIES IN BOX 0
A. TYPE OF 0 1 OOUBLË WALL 0 3 SINGLE WAll WITH ËXTERIOR LINER D 95 UNKNOWN
SYSTEM 0 2 SINGLE WALL 0 4 SËCONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER
0 1 BARË STEEL 0 2 STAINLESS STEEL D 3 FIBERGLASS D 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC
B. TANK
MATERIAL 0 5 CONCRETE D 6 POL ¥VINYL CHLORIDE D 7 ALUMINUM D 8' 1000/. MEiHANOL COMPATIBLE W/FRP
(Primary Tank) D 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OiHER
01 RUBBER LINED D 2 ALKYD LINING D 3 EPOXY LINING 0 4 PHENOLIC LINING
C. INTERIOR D 5 GLASS LINING D 8 UNLINED 0 95 UNKNOWN D 99 OTHER
LINING
IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES _ NO_
D. CORROSION 01 POLYEiHYLENE WRAP 0 2 COATING ,~O 3 VINYL WRAP 4 FIBERGLASS REINFORCED PlASTIC
,,0
, ,.
PROTECTION 0 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN "0 99 OiHER
,IV. PIPING INFORMATION
-CIRCLE-A'IFABOVEGROUND OR U·IFUNDERGROUND,BOTH IFAP?LlCABLE----,
. .,-,----
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 A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POL ¥VINYL CHLORIDE (PVC) A U 4 FIBERGLASS PIPE
CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100% MEiHANOL COMPATIBLEWIFRP
PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER
D. LEAK DETECTION D 1 AUTOMATIC LINE LEAK DETECTOR D 2 LINE TIGHTNESS TESTING o 3 INiERSTlTlAL D 99 OiHER
MONITORING
V. TANK LEAK DETECTION
o 1 VISUAL CHECK 0
D 6 TANK TESTING D
2 INVENTORY RECONCILIATION 0 3 VAPOR MONITORING D 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING
7 INTERSTITIAL MONITORING 0 91 NONE 0 95 UNKNOWN D 99 OTHER
I. TANK DESCRIPTION
COMPLETE ALL ITEMS .. SPECIFY IF UNKNOWN
A, OWNER'S TANK L D. #
B. MANUFACTURED BY:
C, DATE INSTALLED (MOIDAYIVEAR) D. TANK CAPACITY IN GALLONS:
III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND ALL THAT APPLIES IN BOX D
A. TYPE OF
SYSTEM
D 1 DOUBLE WALL 0 3 SINGLE WAll WITH EXTERIOR LINER
D 2 SINGLE WALL D 4 SECONDARY CONTAINMENT (VAULTED TANK)
D 1 BARE STEËL 0 2 STAINLESS STEEL 0 3 FIBERGLASS
o -;-~RÈrr·· - -----·t~f6 P"ÔLWiÑÝLCHLORIDE ~D'7-- ÃLÛi.liNUM .
D 9 BRONZE 0 10 GALVANIZED STEEL D 95 UNKNOWN
D 1 RUBBER LINED 0 2 ALKYD LINING D 3 EPOXY LINING
o 5 GLASS LINING 0 6 UNLINED 0 95 UNKNOWN
B.- TANK--~
MATERIAL
(Primary Tank)
C. INTERIOR
LINING
IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL?
YES_ NO_
D 3 VINYL WRAP
o 95 UNKNOWN
D. CORROSION
PROTECTION
D 1 POLYETHYLENE WRAP D 2 CO A TING
o S CATHODIC PROTECTION 0 91 NONE
IV. PIPING INFORMATiON
CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABLE
D 95 UNKNOWN
D 99 OTHER
.
o 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC
-0"8100% METHANOL COMPATlBLEW/FRP
D 99 OTHER
o 4 PHENOLIC LINING
D 99 OTHER
D 4 FIBERGLASS REINFORCED PLASTIC
o 99 OTHER
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 9S UNKNOWN A U 99 OTHER
C.MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIOE (PVC) A U 4 FIBERGLASS PIPE
CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEËL WI COATING A U 8 100% MEiHANOL COMPATIBLE WIFRP
PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER
D. LEAK DETECTION D 1 AUTOMATIC LlNË LEAK DETECTOR o 2 LINE TIGHTNESS TESTING o 3 INTERSTITIAL 099 OTHER
MONITORING
V. TANK LEAK DETECTION
D
D
[J 1 VISUAL CHECK
-I 6 TANK TESTING
2 INVENTORY RECONCILIATION 0 3 VAPOR MONITORING 0 4 AUTOMATIC TANK GAUGING D 5 GROUNDWATER MONITORING
7 INTERSTITIAL MONITORING 0 91 NONE D 95 UNKNOWN D 99 OTHER
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I. TANK DESCRIPTION
COMPLETE ALL
.. SPECIFY IF UNKNOWN
A. OWNER'S TANK I. D, #
B. MANUFACTURED BY:
C. DATE INSTALLED (MOIDAYIVEAR)
D. TANK CAPACI1Y IN GALLONS:
---- .--..-.-- ---.
.--.------- ----------
---'------"
.~-,-- - .._-" ---...
III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C, AND ALL THATAPPlIES IN BOX D
A. TYPE OF 0 1 DOUBLE WALL 0 3 SINGLE WAll WITH EXTERIOR LINER 0 95 UNKNOWN
SYSTEM D 2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER
0 1 BARE STEEL 0 2 STAINLESS STEEL 0 3 FIBERGlASS 0 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC
,B. TANK
MATERiAl D 5 CONCRETE 0 6 POLYVINYL CHLORIDE D 7 ALUMINUM D 8 100% METHANOL COMPATIBLE WiFRP
(Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER
0 1 RUBBER LINED " 0 2 ALKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING
C. INTERIOR 0 5 GLASS LINiNG 0 6 UNLINED 0 95 UNKNOWN 0 99 OTHER
UNING "
is LINING MATERiAl COMPATIBLE WITH 100% METHANOL ? YES_ NO_
D. CORROSION ,0 1 POLYETHYLENE WRAP D 2 COATING .: D 3 VINYL WRAP 0 4 FIBERGLASS REINFORCED PlASTIC
PROTECTION D ~::CATHODIC PROTECTION 0 91 NONE ';:~' .... '., ~.~-; 0 95 UNKNOWN 0 99 OTHER
..
IV. PIPING INFORMATION
CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABlE
_ . c. "-.!! ~,
A. SYSTEM TYPE A U, ,1 SUCTION "...~ . . A U 2 PRESSURE A U 3 GRAVI1Y , . A U 99 OTHER
B. CONSTRUCTION A u, 1 SINGLE, WALL_ _ A_U, ,2,J~),UIi!LE W~ _A_U_;¡ _ UN~, TRENC!i....- A ,U _ 95,UNKI'!0WN A U ~ OTfiER
C. MATERIAL AND A U 1 BARE STEEL ,A U 2 STAINLESS STEEL A U 3 POLYVINYL 'CHLORIDE (PVC) A U 4 FIBERGLASS PIPE
CORROSION A U 5 ALUMINUM ,A: U 6 CONCRETE, .~;.' A U 7 STEEL WI COATING A U B 100% METHANOL COMPATIBLEWiFRP
PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER .,
D. LEAK DETECTION o 1 AUTOMATIC lINELEAK DETECTOR o 2 LINE TIGHTNESS TESTING o 3 INTERSmlAL o 99 OTHER
MONITORiNG
V. TANK LEAK DETECTION
D
D
o 1 VISUAL CHECK
D 6 TANK TESTING
2 INVENTORY RECONCILIATION 03 VAPOR MONITORING 0 4 AUTOMATIC TANK GAUGING 0 5 GROUNDWATER MONITORING
7 INTERSTmAL MONITORING 0 91 NONE 0 95 UNKNOWN D 99 OTHER
I. TANK DESCRIPTION
COMPLETE ALL ITEMS.. SPECIFY IF UNKNOWN
A. OWNER'S TANK I. D. #
B. MANUFACTURED BY:
C. DATE INSTALLED (MOIDAYIVEAR) D. TANK CAPACI1Y IN GALLONS:
III, TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B,AND C. AND ALL THAT APPLIES IN BOX D
A. TYPE OF 0 1 DOUBLE WALL 0 3 SINGLE WALL WITH EXTERIOR LINER D 95 UNKNOWN
SYSTEM 0 2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER
0 1 BARE STEEL 0 2 STAINLESS STEEL 0 3 FIBERGlASS 0 >4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC
B. TANK
MATERIAl 0 5 CONCRETE D 6 POLYVINYL CHLORIDE 0 7 ALUMINUM , 0 B 100% METHANOL COMPATIBLEWIFRP
> (Primary Tank! , DJI BRQ,NZE 0> 10 GALVANI~O STEEL 0 95 UNKNOWN D 99 OTHER
>
01 RUBBER LINED D . 2 ALKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING
C. INTERIOR 05 GLASS LINING D 8 UNLINED 0 95 UNKNOWN 0 99 OTHER
LINING
is LINING MATERIAL COMPATIBLE WITH 1000/0 METHANOL? YES_ NO_
D. CORROSION 0 1 POLYETHYLENE WRAP D 2 COATING o 3 VINYL WRAP 0 4 FIBERGLASS REINFORCED PlASTIC
PROTECTION D 5 CATHODIC PROTECTION D 91 NONE o 95 UNKNOWN 0 99 OTHER
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 A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A U 4 FIBERGLASS PIPE
CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100% METHANOL COMPATIBLE WtFRP
PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER
D. LEAK DETECTION o 1 AUTOMATIC LINE LEAK DETECTOR o 2 LINE TIGHTNESS TESTING o 3 INTERSTITIAL o 99 OTHER
MONITORING
)
V. TANK LEAK DETECTION
o 1 VISUAL CHECK 0 2 INVENTORY RECONCILIATION 0 3 VAPOR MONITORING 0 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING
o 6 TANK TESTING 0 7 INTERSTITIAL MONITORING 0 91 NONE 0 95 UNKNOWN D !J9 OTHER
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UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK) I CONT AMINA TION SITE REPORT
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HAS STATE OFFICE OF EMERGENCY SERVICES
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TANK TEST
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D INV~TORY CONTROL D SUBSURFACE MONITORING D NUISANCE CONDITIONS
~K REMOVAL D OTHER
METHOD USED TO STOP DISCHARGE (CHECK ALL THA T APPLY)
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GROUNDWATER
o DRINKING WATER· (CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED)
D PRELIMINARY SITE ASSESSMENT WORKPlAN SUBMITTED
D PRELIMINARY SITE ASSESSMENT UNDERWAY
G2!~SE ClOSED (CLEANUP COMPLETED OR UNNECESSARY)
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INSTRUCTIONS
EMERGENCY
Indicate whether emergency response personnel and equipment were involved
at any time. If so, a Hazardous Material Incident Report should be filed
with the State Office of Emergency Services (OES) at 2800 Meadowview Road,
Sacramento, CA 95832. Copies of the OES report form may be obtained at
your local underground storage tank permitting agency. Indicate whether
the OES report has bee~ filed. as of the date of this report.
~PORTED BY
~nter your name, telephone number, and address.
represent and provide company or agency name.
Indicate which party you
Preliminary Site Assessment Workplan Submitted - workplan/proposal
requested of/submitted by responsible party to determine whether ground
water has been, or will be, impacted as a result of the release.
Preliminary Site Assessment Underway - implementation of workplan.
Pollution Characterization - responsible party is in the process of fully
defining the extent of contamination in soil and ground water and assessing
impacts on surface and/or ground water.
Remediation Plan - remediation plan submitted evaluating long term
remediation options. Proposal and implementation schedule for appropriate
remediation options also submitted.
Cleanup Underway - implementation of remediation plan.
Post Cleanup MonitorinK in Pro~ress - periodic ground water or other
monitoring at site, as necessary, to verify and/or evaluate effectiveness
of remedial activities.
Case Closed - regional board and local agency in concurrence that no
further work is necessary at the site.
LOCAL AGENCY ONLY
To avoid~uplicate notification pursuant't~Health and Safety code Section
25180.7, a desi$nated government emplóyee ,should sign and date the form in
this block. A signature here does not mean that the leak has been
determined to pose a significant thrëãt to humàn health or safety, only
that notification procedures have been followed if required.
RESPONSIBLE PARTY
Enter name, telephone number, contact person, and address of the party
responsible for the leak. The responsible party would normally be the tank
owner.
IMPORTANT: THE INFORMATION PROVIDED ON THIS FORM IS INTENDED FOR GENERAL
STATISTICAL PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REPRESENTING THE
OFFICIAL POSITION OF ANY GOVERNMENTAL AGENCY
SITE LOCATION
Enter information regarding the tank facility. At a minimum, you must
provide the facility name and full address.
REMEDIAL ACTION
Indicate which action have been used to cleanup or remediate the leak.
Descriptions of options follow:
CASE TYPE
Indicate the case type category for this leak. Check one box only. Case
type is based on the most sensitive resource affected. For example, if
both soil and ground water have been affected, case type will be "Ground
Water". Indicate "Drinking Water" only if one or more municipal or
domestic water wells have actually been affected. A "Ground Water"
designation does not imply that the affected water cannot be, or is not,
used for drinking water, but only that water wells have not yet been
affected. It is understood that case type may change upon further
investigation.
Cap Site - install horizontal impermeable layer to reduce rainfall
infiltration.
Containment Barrier - install vertical dike to block horizontal movement of
contaminant.
Excavate and Dispose - remove contaminated soil and dispose in approved
site.
Excavate and Treat - remove contaminated soil and treat (includes spreading.
or land farming).
Remove Free Product - remove floating product from wate~ table.
PumP and Treat Groundwater - generally employed to remr.'e dissolved
contaminants.
Enhanced Biode~radation - use of any available technology to promote
bacterial decomposition of contaminants.
Replace Supply - provide alternative water supply to affected parties.
Treatment at Hookup - install water treatment devices at each dwelling or
other place of use.
Vacuum Extract - use pumps or blowers to draw air through soil.
Vent Soil - bore holes in soil to allow volatilization of contaminants.
No Action Required - incident is minor, requiring no remedial action.
IMPLEMENTING AGENCIES
Enter names of the local agency and Regional Water Quality Control Board
involved.
SUBSTANCES INVOLVED
Enter the name and quantity lost of the hazardous substance involved. Room
is providea for information on two substances if appropriate. If more than
two substances leaked, list the two of most concern for cleanup.
DISCOVERY/ABATEMENT
Provide information regarding the discqvery and abatement of the leak.
~SOURCE/CAUSE
""Indicate source(s) of leak. Check box(es) indicating cause of leak.
COMMENTS - Use this space to elaborate on any aspects of the incident.
SIGNATURE - Sign the form in the space provided.
No Action Taken - No action has been taken by responsible party beyond
initial report of leak.
Leak Bein~ Confirmed - Leak suspected at site, but has not been
confirmed.
DISTRIBUTION
If the form is completed by the tank owner or his agent, retain the last copy
and forward the remaining copies intact to your local tank permitting agency
for distribution.
1. Original - Local Tank Permitting Agency
2. State Water Resources Control Board, Division of Loans and Grants,
Underground Storage Tank Program, P.O. Box 944212, Sacramento, CA 94244-
2120
3. Regional Water Quality Control Board
4. County Board of Supervisors or designee to receive Proposition 65
notifications.
5. Owner/responsible party.
CURRENT STATUS
Indicate the category which best describes the current status of the case.
Check one box only. The response should be relative to the case type. For
example, if case type is "Ground Water", then "Current Status" should refer
to the status of the ground water investigation or cleanup, as opposed to
that of soil. Descriptions of options follow:
i
e
BAKERSFIELD FIRE DEPARTMENT
HAZARDOUS MATERIAL DIVISION
2130 G Street, Bakersfield, CA 93301
(805) 326-3979
CERTIFICATION STATEMENT OF TANK DECONTAMINATION
I, C/èAJG, COllNf.77
name
an authorized agent of
kéß(\/ ~Nl/hZoft/.M~ÑÎkL S€-llvIC.€ here by attest under penalty of
contracting co.
perjury that the tank(s) located at 3 b 2/ ~dc£k_¡t.,/and
addres s .
being removed under permit# ßl?-OO /5 has been
cleaned/decontaminated properly and a LEL (lower explosive limit)
reading of no greate~ than 5% was measured immediately following
the cleaning/decontamination process.
/O-2-q
date
GIlA-I (, CP fùJ e--rr-
name (print)
7Si~
~~-~
D/V OF KERN BACKHOE SERVICE INC
e
October 18, 1991
RECEIVED
OCT 2.~ 1991
Ans'd.
...........
Mr. Joe Dunwoody
CITY OF BAKERSFIELD - FIRE DEPARTMENT
2130 "G' Street
Bakersfield, CA 93301
REGARDING: Underground Fuel Tank Removal Project at 3621 Stockdale Highway,
Bakersfield, California, (Tank Removal Permit Number BR0015), KES
Project Number E·716
Dear Mr. Dunwoody:
Enclosed please find analytical results (BC Laboratory Sample Numbers 10845-1
through 10845-10), site map showing sample locations and chain of custody record for the
above referenced project.
Also attached is a copy of Uniform Hazardous Waste Manifest Number 91634110,
a copy of the Tank Destruction Forms 10101 and 10102 and a copy of the Non Hazardous
Waste Manifest Nos. 103057 and 103058.
Sincerely,
£-
CORNETT, Lead Technician
:bd
.Enclosures
- -- - - -
- - ~ - - -~-,----- - ---~
~- -, --- .---- -. -.
,-- --~~-~-----,
.
Post Office Box 5337, Bakersfield, California 93388 . (805) 589-5220
In California . (800) 332-5376
ENVIRONMENTAL
INC.
CHEMICAL ANALYSIS
PETROLEUM
J. J. EGL.IN. REG. CHEM. ENGR.
4100 ATLAS CT., BAKERSFIELD, CALIFORNIA 93308 PHONE (80S) 327-491' FÞX (80S) 327·'918
KERN ENVIRONMENTAL SERVICES
POBOX 5337
BAKERSFIELD, CA 93388
Attn.: CRAIG CORNETI' 589-5220
Date Reported: 10/07/91
Date Received: 10/02/91
Laboratory No.: 10845-1
Page
1
Sample Description: E-716, P. ROBERTS: PR-1, SOIL SAMPLE AT 2', 10-02:91 SAMPLE
COLLECTED BY C. CORNETI'
CHEMICAL ANALYSIS
Constituents Sample Results
Units
Method
P.O.L.
Method
Total Petroleum Hydrocarbon 40.
mg/kg
20.
EPA-418.1
REFERENCES:
EPA = "Methods for Chemical Analysis of Water and Wastes", EPA-600, 14-79-020.
~~
Department Supervisor
)
ENVIRONMENTAL
tþ, e
LABORATORIES, INC.
J. J. EGLIN, REG. CHEM. ENGR.
4100 ATLAS CT., BAKERSFIELD, CALIFORNIA 93308 PHONE (805) 327-4911 FAX (805) 327·1918
CHEMICAL ANALYSIS
PETROLEUM
KERN ENVIRONMENTAL SERVICES
POBOX 5337
BAKERSFIELD, CA 93388
.Attn.: CRAIG CORNETT 589-5220
Date Reported: 10/07/91
Date Received: 10/02/91
Laboratory No.: 10845-2
Page
1
Sample Description: E-716, P. ROBERTS: PR-2, SOIL SAMPLE.AT 6', 10-02~91 SAMPLE
COLLECTED BY C. CORNETT
CHEMICAL ANALYSIS
constituents
Sample Results Units
Method
P.O.L.
Method
Total Petroleum Hydrocarbon
None Detected mg/kg
20.
EP.A-418.1
REFERENCES:
EPA = "Methods for Chemical Analysis of Water and Wastes", EPA-600, 14-79-020.
~? ì
Department Supervisor
. ..".......!..~:>
~....,
ENVlRONME^7AL
. e
LABORATORIES, INC.
J. J. EGLIN, REG. CHEM. ENGR.
~100 ATLAS CT., BAKERSFIELD, CALIFORNIA 93308 PHONE (80S) 327-4911 FAX (805) 327·1918
CHEM/CAL ANALYSIS
PETROLEUM
Petroleum Hydrocarbons
KERN ENVIRONMENTAL SERVICES
POBOX 5337
BAKERSFIELD, CA 93388
Attn.: CRAIG CORNETT 589-5220
Date of
Report:
Lab #:
10/11/9,1
10845-3
Sample Description: E-716, P. ROBERTS: PR-3, SOIL SAMPLE AT 2', 10-02-91 SAMPLE
COLLECTED BY C. CORNETT
TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015
Individual constituents by EPA Method 5030/8020. .
Sample Matrix: Soil
Constituents
Date Sample Date Analysis
Received @ Lab: Completed:
10/02/91 10/10/91
Minimum
Analysis Reporting Reporting
Results Units Level
None Detected mg/kg 0.005
None Detected mg /kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 1.
Date Sample
Collected:
10/02/91
Benzene
Toluene
Ethyl Benzene
o-Xylene
m-Xylene
p-Xylene
Total Petroleum
Hydrocarbons (gas)
Comments:
California D.O.H.S. Cert. #1186
~0J
Department Supervisor
ENVIRONMENTAL
. e
LABORATORIES, INC.
J. J. EGLIN, REG. CHEM. ENGR.
4100 ATLAS CT.. BAKERSFIELD, CALIFORNIA 93308 PHONE (805) 327-4911 FAX (805) 327·1918
CHEMICAL ANALYSIS
PETROLEUM
Petroleum Hydrocarbons
KERN ENVIRONMENTAL SERVICES
POBOX 5337
BAKERSFIELD, CA 93388
Attn.: CRAIG CORNETT 589-5220
Date of
Report:
Lab #:
10/14/9,1
10845-4-
Sample Description: E-716, P. ROBERTS: PR-4, SOIL SAMPLE AT 6', 10-02-91 SAMPLE
COLLECTED BY C. CORNETT
TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015
Individual constituents by EPA Method 5030/8020.
Sample Matrix: Soil
Constituents
Date Sample Date Analysis
Received @ Lab: Completed:
10/02/91 10/11/91
Minimum
Analysis Reporting Reporting
Results Units Level
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 1.
Date Sample
Collected:
10/02/91
Benzene
Toluene
Ethyl Benzene
o-Xylene
m-Xylene
p-Xylene
Total Petroleum
Hydrocarbons (gas)
Comments:
California D.O.H.S. Cert. #1186
~~
Department Supervisor
PETROLEUM
~ ..
_~;.. . "LABORATOB!§:~~HE.I~C.
4100 ATLAS CT., BAKERSFIELD, CALIFORNIA 93308 PHONE (80S) 327-4911 FAX (80S) 327·1918
ENVIRONMENTAL
CHEMICAL ANALYSIS
Pet~oleum Hydrocarbons
KERN ENVIRONMENTAL SERVICES
POBOX 5337
BAKE~FIElJ), CA 93388
Attn.: CRAIG CORNETT 589-5220
Date of
Report:
Lab #:
10/11/91
10845-5
Sample Description: E-716, P. ROBERTS: PR-5, SOIL SAMPLE AT 2', 10-02-91 SAMPLE
COLLECTED BY C. CORNETT
TEST METHOD: TPH by D.O.H.S. I L.U.F.T. Manual Method - Modified EPA 8015
Individual constituents by EPA Method 5030/8020.
Sample Matrix: Soil
Constituents
Date Sample Date Analysis
Received @ Lab: Completed:
10/02/91 10/10/91
Minimum
Analysis Reporting Reporting
Results Units Level
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg /kg 0.005
None Detected mg /kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 1.
Date Sample
Collected:
10/02/91
Benzene
Toluene
Ethyl Benzene
o-Xylene
m-Xylene
p-Xylene
Total Petroleum
Hydrocarbons (gas)
Comments:
California D.O.H.S. Cert. #1186
~~
Department Supervisor
PETROLEUM
. e
LABORATORIES, INC.
J. J. EGLIN, REG. CHEM. ENGR.
4100 ATLAS CT.. BAKERSFIELD, CALIFORNIA 93308 PHONE (80S) 327-4911 FAX (80S) 327·1918
EN~'/RONMENTAL
CHEMICAL ANALYSIS
Petroleum Hydrocarbons
KERN ENVIRONMENTAL SERVICES
POBOX 5337
BAKERSFIELD, CA 93388
Attn.: CRAIG CORNETT 589-5220
Date of
Report:
Lab #:
10/14/91
10845-6
Sample Description: E-716, P. ROBERTS: PR-6, SOIL SAMPLE AT 6', 10-02-91 SAMPLE
COLLECTED BY C. CORNETT
TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA SOlS
Individual const~tuents by EPA Method 5030/8020.
Sample Matrix: Soil
Constituents
Date Sample Date Analysis
Received @ Lab: Completed:
10/02/91 None Detected
Minimum
Analysis Reporting Reporting
Results Units Level
None Detected mg/kg 0:005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 1.
Date Sample
Collected:
10/02/91
Benzene
Toluene
Ethyl Benzene
o-Xylene
m-Xylene
p-Xylene
Total Petroleum
Hydrocarbons (gas)
Comments:
California D.O.H.S. Cert. *1186
~ç:- )
Department Supervisor
E!o'VIRONMENTt.¿
~LABORATO B!,t~~HE.'EI)}C.
4100 ATLAS CT., BAKERSFIELD, CALIFORNIA 93308 PHONE (805) 327-4911 FAX (805) 327·1918
CHEMICAL ANALYSIS
PETROLEUM
Petroleum Hydrocarbons
KERN ENVIRONMENTAL SERVICES
POBOX 5337
BAKERSFIELD, CA 93388
Att~.: CRAIG CORNETT 589-5220
Date of
Report: 10/14/~1
Lab #: 108-45-7
Sample Description: E-716, P. ROBERTS: PR-7, SOIL SAMPLE AT 2', 10-02-91 SAMPLE
COLLECTED BY C. CORNETT
TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA SOlS
Individual constituents by EPA Method 5030/8020.
Sample Matrix: Soil
Constituents
Date Sample Date Analysis
Received @ Lab: Completed:
10/02/91 10/11/91
Minimum
Analysis Reporting Reporting
Results Units Level
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg /kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 1.
Date Sample
Collected:
10/02/91
Benzene
Toluene
Ethyl Benzene
o-Xylene
m-Xylene
p-Xylene
Total Petroleum
Hydrocarbons (gas)
Comments:
California D.O.H.S. Cert. #1186
~¿
Department Supervisor
)
ENVIRONMENTAL
. e
LABORATORIES, INC.
J. J. EGLIN, REG. CHEM. EN GR.
4100 ATLAS CT.. BAKERSFIELD, CALIFORNIA 93308 PHONE (805) 327-4911 FAX (805) 327·1918
CHEMICAL ANALYSIS
PETROLEUM
Petroleum Hydrocarbons
KERN ENVIRONMENTAL SERVICES
POBOX 5337
BAKERSFIELD, CA 93388
Attn.: CRAIG CORNETI' 589-5220
Date of
Report:
Lab #:
10/14/91
1084s-é
Sample Description: E-716, P. ROBERTS: PR-8, SOIL SAMPLE AT 6'; 10-02-91 SAMPLE
COLLECTED BY C. CORNETT
TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015
Individual constituents by EPA Method 5030/8020.
Sample Matrix: Soil
Constituents
Date Sample Date Analysis
Received @ Lab: Completed:
10/02/91 10/11/91
Minimum
Analysis Reporting Reporting
Results Units Level
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 1.
Date Sample
Collected:
10/02/91
Benzene
Toluene
Ethyl Benzene
o-Xylene
m-Xylene
p-Xylene
Total Petroleum
Hydrocarbons (gas)
Comments:
California D.O.H.S. Cert. #1186
~~
Dèpartment Supervisor
E^1'IRDNMEh'TAL
-~LABORATOJ~!~ê~"E}E~C.
4100 ATLAS CT., BAKERSFIELD, CALIFORNIA 93308 PHONE (805) 327-4911 FAX (805) 327-1918
CHEMICAL ANALYSIS
PETROLEUM
Petroleum Hydrocarbons
KERN ENVIRONMENTAL SERVICES
POBOX 5337
BAKERSFIELD, CA 93388
Attn. : CRAIG CORNETT 589 - 5220
Date of
Report:
Lab #:
10/15/91
10845-~
Sample Description: E-716, P. ROBERTS: PR-9, SOIL SAMPLE AT 2', 10-02-91 SAMPLE
COLLECTED BY C. CORNETT
TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015
Individual constituents by EPA Method 5030/8020.
Sample Matrix: Soil
Constituents
Date Sample Date Analysis
Received @ Lab: Completed:
10/02/91 10/14/91
Minimum
Analysis Reporting Reporting
Results Units Level
None Detected mg/kg 0.005
0.01 mg/kg 0.005
None Detected mg/kg 0.005
0.036 mg/kg 0.005
0.045 mg/kg 0.005
O.OlS mg/kg 0.005
None Detected mg/kg 1.
Date Sample
Collected:
10/02/91
Benzene
Toluene
Ethyl Benzene
o-Xylene
m-xylene
p-Xylene
Total Petroleum
Hydrocarbons (gas)
Comments:
California D.O.H.S. Cert. #1186
~~
Depärtment Supervisor
ENI'IRONIr!ENTAL
"'~ABORATORI~S, INC.
_-=:: J. J. EGUN, REG. CNE.. ENGR.
4100 ATLAS CT.. BAKERSFIELD, CALIFORNIA 93308 PHONE (805) 327-4911 FAX (805) 327·1918
CH£II.JCA~ J.NALYSfS
PETROLEUM
Petroleum Hydrocarbons
KERN ENVIRONMENTAL SERVICES
POBOX 5337
BAKERSFIELD, CA 93388
Attn.: CRAIG CORNETT 589-5220
Date of
Report:
Lab #:
10/15/91
10845-1,0
Sample Description: E-716, p, ROBERTS: PR-l0, SOIL SAMPLE AT 6', 10-02-91 SAMPLE
COLLECTED BY C. CORNET!'
TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Y~ual Method - Modified EPA 8015
Individual constituents by EPA Method 5030/8020.
Sample Matrix: Soil
Constituents
Date Sample Date Analysis
Received @ Lab: Completed:
10/02/91 10/14/91
Minimum
Analysis Reporting Reporting
Results Units Level
0.055 mg/kg 0.005
0.28 mg/kg 0.005
0.059 mg/kg 0.005
0.14 mg/kg 0.005
0.19 mg/kg 0.005
None Detected mg/kg 0.005
2. mg/kg 1.
Date Sample
Collected:
10/02/91
Benzene
Toluene
Ethyl Benzene
o-Xylene
m-Xylene
p-Xylene
Total Petroleum'
Hydrocarbons (gas)
Comments:
California D.O.H.S. Cert. #1186
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Department Supervisor
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CHAIN OF CUSTODY RECORD
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KERN ENVIRONMENTAL SERVICE
Posl Office Box 5337
Bakersfield, California 93388
(805589-5220
In California (800332-5376
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16. GEN£RA1OR1 aR1lFICATION: I hereby deem that the contenfl of tIW ccnigrmen! ae f~ cn:t occuratel1 deocrt>ed aboIIe by proper Ihippng nc:n-. a>d eft cbal"oed.
pocked. mailed. cn:t labeled. cn:t a. n aI respect. n pr~r cordlion IOf tICrIIpOIf by h~ occorclrlg to appicable r.errdioncj cn:t natiOtd gcMIIIYTM I8glACllIonI.
r , øn c Ia;e Qua'IItIy generator. I cert'ly ItIØf I ho.9 0 pIOOlØn n pee. to ,.o.,c.e the voUne 0"Id tolliclly of WCII. oenerated to the deg- I ho.9 ÒIIt8IIÑ'WCI to be
econorriccly proc1icC1b1e 0"Id that I ~ ..lec:ted the prcc:ticobIe method of t..atmenl. stOlC08. Of dilPoØ CUIIenlly Ø\dobIe to me IooItIIch rmnë.. the ~ cn:t luI\Ie
t!weat to huma'\ health end the erMrOlYTl8I"11; OR. r 1 em c tmaI ~ genelOlOf.11'IO\I8 mode 0 good faith eflO!! to nWWnIzIe m( \o/CIII. ;el'lelOlion cn:t aeIect the bel! WQI!e
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20. kx:Ity O\oIMr 0' Operator Ce,trlcotiol'l at ,.c:eipf of hcIzordOla mat.ö ~ed by ttW marl." except CII noted n ~em 19.
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(PA e)QO-22
Wtile: 1SDf SENDS THS COf'V 10 DHS WI1HN 30 OA vs.
To: P.O. 80( 3CXX). Soctanen1o. CA 95812
-----.
.
, \..'
Veil, Tank No.
I
lield or Area
IC~~
P.o. BOX 5295 . BAKERSFIELD, CALIFORNIA 93388
(805) 589-5220
NON-HAZARDOUS WASTE HAULER RECORD
TO BE USED FOR NON-HAZARDOUS WASTES ONLY
N<? 103057
I ,¡GEr';II;RATQRi!ijiry t' (Generator Must Complete)
WASTE TO BE DISPOSED
~ Type r/J/Vlt.J
rif Generating Location oS ~ f
Special Handling Instructions:
o Gloves 0 Goggles 0 Other
Quantity "Z-
~ DESIGNATED FACILITY ,
.... Name GC)(_LJ~,v £"'TIIJ'TT1' /V1 ~"TA'c... ~
. Address 2-000 e'- "&,....,,,dc, t
City, State, Zip /:"" ¡~h,":(A,1 i CIf 93'30-S
Phone
t\.. Name CO/,?!'v rG-f'C SM 0 G
If Field Address "3 b z.. J -STOCIf ~ L(; }I w'1
City, State, Zip /5A-!'f6-'/!5PI€-LO LA Q3"1o q
_Phone ~L'3-0 I~.s
Order Placed By .?~ .ÆOß ~'TJ
Signature of ,Aut"EFhOr¡ ed Agent
~ ~ Ji.,- A..., ~-~-'
Date ~......- *11
Title
i'~TRANSPORT~R~1 (Hauler Must Complete)
Name J--( J/~ 1m-AN..{ FlJÆ7Yr!7(fIA/ 't'YC)
Address ? ~ .80J¡ .£"33?
City, State,'ZiP ~#¡ÞrSl re4.J . CA 93:386
/trhone (e ð.sJ ~!) 9- <"?:Z,O
Signature of AU.~d Agent ory .0
Date / tJ - Z- ? J if'
"DISPO~A4~FACI41;r~Y"1 (Facility Operator Must Complete)
. I
Bbls.
Ticket #
Unit No. 2 31 /
Pick Up Date
/ó-Z.é}-/
.
Time 7~ Óo
52-
¡NAM
DPM
NOTE: This form to be used in lieu of the California Department of Health Services
Hazardous Waste Manilest lor NON-HAZARDOUS wastes only.
REMARKS:
Quantity Received
Bbls. Date
DAM
DPM
Name
Address
City, State, Zip
Phone
Signature of Authorized Agent
Time
DISPOSAL METHOD:
D Surface Impoundment
D Landfill D Other
Return Copy To: GENERATOR UNLESS OTHERWISE SPECIFIED
D Injection
/ Disp. Ticket #
Date
NOTE: It is not necessary to send copy to Depl. of Health Services.
NO HAZARDOUS FEES SHOULD BE LEVIED
,-~ r·~' . .-- ...,
Well, Tank No.
Field or Area
KV~
JI~AJISIIOIIAØ,IIC.
P.O. BOX 5295 . BAKERSFIELD, CALIFORNIA 93388
(805) 589-5220
NON-HAZARDOUS WASTE HAULER RECORD
TO BE USED FOR NON-HAZARDOUS WASTES ONLY
N? 103058
J~GENERATORr..~:~ (Generator Must Complete)
£~ JØ/¢-I
WASTE TO BE DISPOSED
~ Type 7¿g/\/Î'(.
r;;' Generating Location ..s~ ~
Special Handling Instructions:
D Gloves D Goggles D Other
Quantity / Bbls.
~ DESIGNATED FACILITY
'7 Name C Ot--/J~~ frA7T; /V11:7ðl.-.S
Address 7.. ood €... ßRulV' L)A9(;~
City, State, Zip ßt:1h~4 GeL; / C-¡¡r q :¡3t?~
Phone
~ Name COMPC/TG'¿· </no G.
If Field Address .3 6 Z I S~¿h/JAL~
City, State, Zip ~ A kr r...f £It-! / CA
Phone 3"'2,-3 ....OJ3~
e Order Placed By /:a """ ./ê 0 h~ rr-s
Signature of Authorized Agent
~ . ~~ ;1"..-
Date /;3- t,-
)/'f.-../ 7
93~Oq
Title
'i,'rRf\NSêþ~t¡¡¡ß~I· (Hauler Must Complete)
Name IT V..s "T£¿./f/IcP())erI1T/ON . ,~tJc.
"
Address ,{P ð. .2? ð X S3.3"7
City, State, Zip ß~),.~",· cI;&i ,,1 ~ If ?3813
Phone (80S) S"8?-.5"" '- 0
i. sgnatur~'iZ~ Agent OY' ¡/
Date /~- i -q¡ r
J l\,DISPOSAU:~~ACILiIÎ:~4i,1 (Facility Operator Must Complete)
Name
Address
City, State, Zip
Phone
Ticket #
1-27
Unit No. ~ I tlu
Pick Up Date 10.- 2- 9/
Time 10: 30
~AM
DPM
NOTE: This form to be used in lieu of the California Department of Health Services
Hazardous Waste Manifest for NON-HAZARDOUS wastes only.
REMARKS:
Quantity Received
Bbls. Date
El AM
DPM
Time
DISPOSAL METHOD:
o Surface Impoundment
D Landfill D Other
Return Copy To: GENERATOR UNLESS OTHERWISE SPECIFIED
o Injection
I Disp. Ticket #
Signature of Authorized Agent
Date
NOTE: It is not necessary to send copy to Dept. of Health Services.
NO HAZARDOUS FEES SHOULD BE LEVIED
FORM KV5-T-20
GENERATOR COpy
5/90
· - . - .
GOLDEN 5ArE METALS, INC.
P. O. Box 7015P!'2000 E. Brundage Lane
Bakersfield, California 93387
Phone (805) 327-3559 . Fax (805) 327-5749
Scrap Metals, Processing & Recycling
K DISPOSAL FORM
,19q¡
Date
Contractor's
License No.
Contractor'!V(J,,~
Phone No. lðlJ~
2- '2..ù
JOB SITE:
ADDRESS:
DESTINA TlON:
G. S. M. . 2000 E. BRUNDAGE LANE . BAKERSFIELD, CA 93387
LICENSE NO:
HAULER:
3 1 Ù'ì)
EHSD PERMIT NO: ~ t - CD/ ç
COUNTY: 1
TANKS RECEIVED
QTY
GALLONS
SERIAL NO. NET TONS
TOTAL
~ TANK INSPECTION
~LEAN & DRY (ACèEPT), OR
o RESIDUALS PRESENT (REJECT)
..3 LEL READING
L OXYGEN CONTENT
2~ ~4
~~~¡~~~~¡¡¡~~~~~1~~~~¡gj~j~~~~~j1tm~~~~¡~~~~~ili~¡~~¡~¡~¡~!fI*~11~¡ill¡~¡¡~~¡~i~¡~¡¡¡¡¡¡~¡~¡¡~~~@~!t~~~~~;~~~~~¡~¡~~~~ti~~~~~~j~j~~II~~i~jI~~~~l¡~~¡~iIj~j~~~~~~~~~~~¡¡¡~¡~¡¡:
550 .24
Wt~tttJrt::::m::t¡:¡Im:Ji::::¡:¡;~~ª:2:~J.~H¡I:::J¡I¡:)~:t:::r:::::t:::::::tt¡::IMI¡;I~!iiIIit¡I::¡¡:¡
1000·611 .61
::::::¡:::~:::::~:~::~::::::::::::r::::::::f:::::i:::::m::::i~p.:J¡:::::::::::¡:::::J::::::I¡::i::f::r::H::::::::::::::::::::::::¡::J:::¡¡{¡:J@i:¡:I¡I:¡:I¡:¡::::,
2000 .97
¡~m::~t:t::::~::::::tt::::@¡~¡¡¡¡œ]][~g¡;m¡Æ¡¡¡¡Illi]¡¡¡¡::::~::r:r~r:::::t:r::::¡]]Æ1I¡ltH!;¡¡¡¡;¡¡¡¡;;;:¡¡:
3000 1.32
~~i~¡¡;~m~~i¡i~¡~i@;¡;~~~~~~jjj~j~lli¡1tfili~~~~liqi~j~~~j~I~~]~¡~~~~~t@tt~jij(j\~j(jijjjftj~¡~I~j~j~~~~~lli~~i~,]I¡~i¡¡¡f~
DISPOSAL FEE
5000 2.42
:¡;:::¡::::t::::t:~~:t:t::\::::¡mt;;M;;¡:.¡:ri¡¡¡:¡¡l¡:¡¡lIl}:::::::t:t~::t:'::~:::~:(¡l:rJI:::::t:!;~;~t::::t:::::::::¡
7500 3.28
¡l~¡¡~~~~~~~;¡¡~~~~~¡~~~j~¡jj~j~j~jt~~{~~~~~;I~~i¡~I~¡¡¡¡¡¡!æe~~~~¡¡~;¡¡¡¡~¡~¡~~¡~~~¡¡¡¡j~¡~¡~~~Itjj~~~¡;~~j;~;¡¡~~~~¡¡¡¡¡¡¡¡¡¡¡~j¡¡~~¡~¡¡¡¡j¡¡~¡~I~~m¡~;¡!f!f~~~~~j~~¡¡¡¡;¡~¡~i¡¡¡:
9000 3.82
m;::~:::::::::::::::::t::f:it@1kŒlli::!.I¡::¡i,II~::::::¡~:i:i::::::t(::::t::::::::::::::{:~t;f:¡¡¡t@~;it~i.I¡I:i.it:i?
12000 4.93
:ill1:¡:¡:/Wt::::::::::::::::::l'¡mîi!~¡I:i:H@:I:::r::::¡:¡¡¡¡:¡:¡:¡:¡:¡:::::::::::::::ti:::::t:::::::::;:¡:¡:¡:¡¡¡:¡;¡:¡¡¡:m:¡:¡::¡¡¡;::::::¡¡:::::?I¡:¡:
SCRAP VALUE
OTHER
TOTAL CHARGES $
TOTAL
All fees Incurred are per load unless specified. Terms are
net 30 days from receipt of tank. Contractor's signature
represents acceptance of terms for payment, and confirms
that tank removal complies with State laws.
CONTRACTOR'S SIGNATURE
CERTIFICATE OF TANK DISPOSAL I DESTRUCTION
TO CERTIFY THE R EIPT AND ACCEPTANCE OF THE TANK(S) AS SPECIFIED ABOVE. ALL MATERIAL SPECIFIED WILL BE COMPLETELY
E YCLlNG PURPOSES NL Y.
j()--¿ql
DATE
WHITE - Contr.clor Copy . YEllOW - AI. Copy . PINK - p"rm.""nI Copy
1'4_ IVIVi-
-" '~
GOLDEN SeE METALS, INC.
P. O. Box 70158 . 2000 E. Brundage Lane
Bakersfield, California 93387
Phone (805) 327-3559 . Fax (805) 327-5749
Scrap Metals, Processing & Recycling
K DISPOSAL FORM
(.. ,,99/
Date
Contractor's
License No.
Contractor'~........... ,C'(
Phone No.4 L6 .J _)2
2Zo
ADDRESS:
~U.Cc .C133W
JOB SITE:
ADDRESS:
~G..q3~
HAULER:
G. S. M. . 2000 E. BRUNDAGE LANE . BAKERSFIELD, CA 93387
LlCENSÊÑO:
~
~
DESTINA TlON:
TANKS RECEIVED
EHSD PERMIT NO: IS R - (X)¡ ::.
CTY
GALLONS
SERIAL NO. NET TONS
TOTAL
:- T A~K INSPECTION
tg.-tLEAN & DRY (ACèEPT), OR
) 0 RESIDUALS PRESENT (REJECT)
~ LEL READING
.~
¡¡¡¡¡]illt~t~::tt:::t¡llIm:m:¡;¡:¡:¡:II¡:;I¡:::¡:¡::::::I:¡:::t=:tttttt=t:::¡:¡::::::¡:;::j::::¡:¡:¡:;ii:¡:¡It¡:ji::jij:¡:¡::
550 .24
::¡ft::=:::::::)):::::::::::::::::::::[:[:::[:[]:::m:[:[~I¡Ul~:ij[I:::::::I:[:::=))):::::tt==:::::::{fl:III{~n::[I:I::::::::::::::~
1000 - 6 tt .61
::::::::::::=:rt:t:tt:=:=::t::::::::::l::¡::::::::::::j,i\?:MI:::I:::::I:::::::::::::i::::::r=irr:\\\:=:=::=:::I::::It::I@f::::::::¡:::::::::I:::
2000 .97
:i@:=:=:=:tit::=::=ii:::\tæŒi::t:i.i92Ü:iI¡:ŒIÜ:¡it\::t\:(ii(::::::I@¡:mm~~!:~[¡I:::::::I:::::¡
3000 1.32
¡~~~~t¡lt;~~Ii~¡~~~;l~~t¡!¡!t&~filli~~~ml~¡¡f~.lr~¡~~iI¡~lI~~~~r~lI¡ii~ii!i!i!i!i~~~~~~;j;!jfi!!!it¡~l~!¡ftf~¡~tig~~i~I~!~Jf~~~I~i¡¡¡¡¡i¡i!~
OXYGEN CONTENT
5000 2.4 2
:;::::::=:=:tt::::=::::t::t::::{fI::::::::::::¡¡¡tig]]¡Ill:::¡::m:::::::=:===tii/:::=::======:===::{¡::::::¡::::fl~;!M¡::I:::::::::::¡
7500 3.28
DISPOSAL FEE
~¡¡;¡¡¡}g~¡¡~~¡~~t¡~¡;j~¡~~~~~;;~~~¡¡~¡¡~¡¡¡II~~I~liijªJ¡¡¡¡¡¡~tI~~¡¡¡¡j~¡j¡~lIj~~tm~~~~f;¡~~¡~;~~~~~~~~~~~~~i~¡¡~¡¡¡¡¡¡¡~¡~~¡¡\¡\¡~jjj¡j¡'Jf~rjII\¡~~~¡¡¡\}
SCRAP VALUE
9000 3.82
@i:t::::::::r:::::r::::::r:¡::m::@illtIåi!w!]:JlillT:i:::¡:::::::r=:==\:::::r:::::==:=r:~:::æ:m;::nßï!I;::::::¡:;:::::::
12000 4.93
OTHER
:¡~l~~~fjt\jrf~tt{~fsfæl~tI~¡¡¡¡¡~~m~¡¡~~~¡f¡¡jl¡¡ili~jjI¡¡¡~¡;))trmmmmrrj~I~jI¡¡¡¡~¡i[¡¡i¡i¡¡¡¡¡¡¡¡[¡¡¡II¡jff¡¡¡¡¡i¡¡¡¡¡¡¡}
TOTAL CHARGES $
TOTAL
All fees Incurred are per load unless specified. Terms are
net 30 days from receipt of tànk. Contractor's signature
represents acceptance ofterms for payment, and confirms
that tank removal complies with State laws.
CONTRACTOR'S SIGNATURE
CERTIFICATE OF TANK DISPOSAL I DESTRUCTION
ND ACCEPTANCE 0 TANK(S) AS SPECIFIED ABOVE. ALL MATERIAL SPECIFIED WILL BE COMPLETELY
G PURPOSES ON .
JJ)--I,' q I
DATE
WHITE - Contraelol Copy . YELLOW - File Copy . PINK - ~Irnanenl Copy
')~ ~
1'.
e
e
August IS, 1991
Pam Roberts
Richard Roberts Family Trust
113 Dunlap Street
Bakersfield, CA 93309
RE: Underground storage tanks located at 3621 Stockdale
Highway, Bakersfield, California
Dear Ms. Roberts,
Proof must be submitted to this office that the tanks were indeed
abandoned in the proper manner prior to 1984. There is no record in
this office or at the county of such abandonment taking place. This
puts the onus on you to supply the information required to resolve
the situation. The easiest way to do this is to remove the fill
lids and "stick the tank". To do this you must make an appointment
with me to witness the procedure.
An inspection of the facility and a review of the records revealed
that three tanks are located on the property and the following
violations have been detected.
1. No permit to operate(any of the tanks),
2. No response plan on file,
3. Tanks have not been tightness tested,
4. No record of having paid state surcharge or county and city
fees,
5. No record of permit to close or temporarily close tanks,
6. No monitoring program is in place,
7. No response plan on file.
I have listed the sections of the California Health and Safety
Code, Chapter 6.7, Division 20 and the Uniform Fire Code that the
violations correspond to.
California H&SC:
Sec. 25284(a), Failure to obtain a permit to own and operate
i'
~,
.
e
an underground storage Facility for Hazardous Material;
Sec. 25298, Failure to properly close an underground tank;
Sec. 2587(a&b), Failure to pay city fees and state surcharge
for underground tanks;
Sec. 25292, Failure to monitor and maintain records.
Uniform Fire Code:
Sec. 79.115 (a,b,& f);
(a) Failure to remove or safeguard an out of service
tank(s),
(b) Failure to obtain an permit to remove or temporarily
close an underground tank(s),
(f) Failure to remove an underground tank out of service for
one .( 1) year.
It should be noted that even if the two motor fuel tanks were
properly abandoned prior to 1984 you are still in violation with
the waste oil tank.
"1, ¡I v
In regards tovquestï~~~8Yt the law governing underground tanks.
The ~ state law is thapter 6.7 and to some extent 6.5 and 6.75
of the California Health and Safety Code. This "CODE" is the LAW in
the State of California. The regulations that describe the
underground tank laws are found in Division 16, Title 23 of the
California Code of Regulations. In addition, the City of
Bakersfield has adopted, by ordinance, the Uniform Fire Code.
Violations of the Health and Safety Code and the Code of
Regulations are punishable by fines of not less than $500.00 or
more than $5,000.00 per day, per violation, per tank. The Uniform
Fire Code violations are misdemeanor offenses.
If you wish to read these laws and regulations they are available
at the Kern County Law Library located on Truxton Avenue.
It is this office's policy to work with citizens and members of the
business community that demonstrate a "good' faith effort" in
resolving these problems.
~,
q
,
--
.
Please notify me as to your intention regarding this matter as soon
as possible. If you have any question or comments please contact me
at (805)-326-3979.
Äf.i cer7~ ,
ßU '
Joe A. Dunwood
Hazardous Material Specialist
Undergròund Tank Program