HomeMy WebLinkAboutUST-REPORT 01/23/88
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~ UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK) I CONTAMINATION SITE REPORT
EMERGENCY
HAS STATE OFFICE OF EMERGENCY SERVICES
REPORT BEEN FILED? DYES' I8r NO
fPRLÖÇAI;AC2EfojCYUSEONLY>
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J8100
REPORT DATE
CASE.
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NAME OF INDIVIDUAL FILING REPORT
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~ ~ LOCAL AGENCY D OTHER ~r".J CO. FAl ¡). /lr"Æ/7"-t.
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NAME
QUANTITY LOST (GALLONS)
r8j: UNKNOWN
HOW DISCOVERED
D TANKTEST
D UNKNOWN
D INVENTORY CONTROL D SUBSURFACE MONITORING', D NUISANCE CONDITIONS
I2:f TANK REMOVAL D OTHER.
METHOD USED TO STOP DISCHARGE (CHECK ALL THAT APPLY)
D REMOVE CONTENTS D REPLACE TANK ~ CLOSE TANK
D REPAIR TANK D REPAIR PIPING D CHANGE PROCEDURE
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~ DATE DISCOVERED
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D ·OVERFR.L
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CHECK ONE ONLY
D UNDETERMINED lIB
CHECK ONE ONLY
~ NO ACTION TAKEN
D LEAK BEING CONFIRMED
D REMEDIATION PLAN
CHECK APPROPRIATE ACTIOIII(S)
(SEE MCKFOROET~
D CAP SITE (CD)
D CONTAINMENT BARRIER (CB)
D VACUUM EXTRACT (VEJ
SOIL ONLY
D GROUNDWATER D DRINKING WATER· (CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED)
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D PRELIMINARY SITE ASSESSMENT WORKPlAN SUBMITTED
D PRELIMINARY SITE ASSESSMENT UNDERWAY
D CASE CLOSED (CLEANUP COMPLETEÒ OR UNNECESSARY)
D POLLUTION CHARACTERIZATION
D POST CLEANUP MONITORING IN PROGRESS
o CLEANUP UNDERWAY
D
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REMOVE FREE PRODUCT (FP) D
PUMP & TREAT GROUNDWATER (GT) D
TREATMENT AT HOOKUP (HU) . D
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TAJJt'S-tj/A -t'¡'CJN
HSC 05 (11/89)
- COUNTY OF KERN e
Environmental Health Department
. .
.,
2700 "M" STREET, SUITE 300
BAKERSFIELD, CALIFORNIA 93301
(805) 861-3636
January 24, 1989
George Cole
Colecrest Inc.
5001 Stine Road
Bakersfield, CA 93309
Dear Mr. Çole:
'This is to advise you that this department has reviewed the
project results for the subsurface contamination investigation at
5001 Stine Road in Bakersfield, California.
Based
department
significant
exists'.
upon the findings described in the, report, this
is satisfied that the assessment is còmplete ana no
soil contamination resul tin'g from any fuel .tank leakage
Thank you for your cooperation in this matter.
SinceriJIY, .
o (;~
ø: ca=~
Environmental Health Specialist
Hazardous Materials Management Program
JC:dr
1-24-89
staff.haz\cole.ltr
I
tþ, COUNTY ÒF KER~ e
Environmental Health Department
.'
2700 "M" STREET, SUITE 300
BAKERSFIELD, CALIFORNIA 93301
(805) 861-3636
January 24, 1989
George Cole
Colecrest Inc.
5001 Stine Road
Bakersfield, CA 93309
Dear Mr. Cole:
This is to advise you that this department has reviewed the
project results for the subsurface contamination investigation at
5001 Stine Road in Bakersfield, California.
Based upon the findings described in the report, this
dep~rtment is satisfied that the assessment is complete and no
significant soil contamination resulting from any fuel tank leakage
exists.
Thank you for your cooperation in this matter.
(
. ,~inCe~lY'
1 ---
.' t..L tDtA------
, flJoe Canas
Environmental Health Specialist
Hazardous Materials Management Program
,
JO~dr
1-24-89
staff.haz\cole.ltr
BSl~& ~ssociates
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Geotechnical Consultants. Inc.
Wesley I, Braun. CE
Robert D, Skaggs. CE
Hugo Kevorkian, CE
lohn R, Hedley, CE
John B:Moore, CE
John M. Minney, CE
James G, Sutton, CE
Alex Y. Eskandari, CE
--. .,. ".- .,
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oh~-H;K¡rk', C.c" ,.;:.:. :'J ; ;'\L r: t:h_ TI-
Thomas E. Vahlstrom, Ch
September 23, 1987
-------------
OUR JOB B87211
George Cole
Colecrest Inc.
5001 Stine Road
Bakersfield, California
93309
SUBJECT: Preliminary Site Assessment
Underground Tank Removal
Colecrest Inc.
5001 Stine Road
Bakersfield, California
Gentlemen:
.. At your request on September 17, 1987, 'we sampled soil at
5001 Stine Road, Bakersfield, California. Samples were taken at
prescribed locations to determine if the soil was contaminated.
Sampling was performed in conjunction with the removal of a
5000 gallon tank. The tank was 15 feet long, 8 fee~ in diameter,
. and buried with 5 feet of soil cover. The tank ~eportedly
contained unleaded gasoline, and had not been in u~e for the last
six years. There was no visible sign of contamination in soil
below the tank or in soil adhering to the outsid~ of the tank.
Following tank removal, a track hoe was utilized to excavate to
the specified depths of sampling. Soil was obtained with the
trackhoe bucket at 2 and 6 feet below the bottom of the tank at
the location shown in Figure 1.
Soil samples w~reobtained by driving stainless steel tubes into
soil. The sample's \.¡ere capped with pressure fitted plastic caps
and then sealed with adhesive tapé. The samples were labeled
wit h .a n a d h e s i v e - b a c ked 1 a bel i n c 1 u din 9 b 0 r i n g des i 9 n a t ion, de p t h
of sample, and initials of the individual collecting the sample.
A Chain of Sample Custody form was prepared and is enclosed.
The samples were placed in a cool chest for preservation and
transported cold, by Greyhound bus, to BSK Laboratories, in
Fresno, Calif~rnia.
r
Soil Engineering' Engineering Geology· Engineering Laboratories· Chemical Laboratories
o Fresno. California 93706 ".
o Visalia. California 93278
o Bakersfield, California 93304
o Pleasanton. California 94566
1414 Stanislaus Street Telephone (209) 485,8310
3901 So. Mooney Blvd., P.O. Box 3236 (209) 732,8857
117 "V" Street Telephone (80S) 327,0671
5729'G Sonoma Drive Telephone (415) 462-4000
I ,
I .
I
;
Undterground Tank Remùvai
·Colecrest Inc.~
500 IS tin e R 0 a
Bakersfield, Ca lfornia
1____
.
~eptemDer ¿j, l~~/
Page 2
The con~tituents tested comply with the Kern County Health
Department Permit for Tank Abandonment #242-31. The analytical
test results are enclosed and summarized in Table 1.
TABLE 1
------
Total
Sample Total Petroleum
1oc~!lQ~__Q~E!~:____~~~~~~~_--IQ!~~~~_~_!r~~~_~~r~IQ£~IQQ~i
1 2 ND ND ND ND
1 6.0 ND ND ND ND
" 2 2 ND ND ND ND
..
2 6.0 ND ND ND ND
Detection Limit 0.02 0.05 0.05 10
*Dept~ measured bel~w bottom of tanks.
ND = None Detected
Benzene, Toluene, and Xylene tested by E.P.A. Method 5020/8020.
~
TPH test~d by DHS extraction GC/FID.
All concentrations in mg/kg.
Tfie laboratory analyses ~o not indicate that soil contamination
is present at the site.
We appre~iate the opportunity to be of service. If you have any
questions, please call.
Respectfully submitted,
KJC/JBM/d1r
Enclosure
BSl(
-.-----.---
& Associates
~
CHAIN OF CUSTODY RECORO
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Station Sample Water 5011 No. of Analysis
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BSI( & Associates
.
Geotechnical Consultants. Inc.
Wesley I. 8,aun. CE
~obert 0, SkaRRs. CE
HURoKevorkian. CE
lohn R, Hedley. CE
John B. Moore. CE
John M. Minney. CE
James e. Sutton, CE
Ale. Y. E,kandari. CE
fohn H. Kirk. CEe
Thomas £, Vahlstrom. Ch
Colecrest, Inc.
(B87211)
. 4
';,1
EXë:m. No. Ch871923-1
Report Date: " 9/22/87
Sample Type:
/
'-
Soil
Date Sample Collected:
9/17/87
Sample Description:
1 @ 2'
Date Sample Received @ Lab: 9/18/87
1615 hrs.
Date of Analyses:
9/21/87 'BTX
9/22187 TPH
Constituent.
Units
Results Detection Li m its
NO 0.02
NO 0.05
NO 0.05
ND 10
..
Benzene
Toluene
Total Xylene Isomers
Total Petroleum
Hydrocarbons
mg/Kg
mg/Kg
mg/Kg
mg ¡Kg
N D=None Detected
Method of Analyses
BTX by EPA 5020/8020 GC/PID, 2nd Edition
TPH by DHS extraction GC/FID
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L~¿L!iÄ'
Lab Director
Soil Engineering' Engineering Geology. Engineering laboratories. Chem.ical laboratories
~Frl!sno. California 93706 1414 Stanislaus Street Telephone (209) 485-8310 .
o Vlulia. California 93278 . 3901 So. Mooney Blvd.~ p.d, BOK 3236 (209) 732-8857
o B.Jkenfield. California 93304 ". 117 "V" Street' . Telephone (805) 327'()571
o Pleaunton. California 94566 5729-C Sonoma .Drive Télephone (415) 462-4000
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BSI~ & Associates
.
.
Geotechnical Consultants, Inc.
W@~I@y I. 8raun. CE
Robert D, SkaØII~. CE
Hugo KevOIkian. CE
lohn R. Hedley. CE
John 0, M;"'re. CE
John M. Minney. CE
Jame~ G. Sutton. CE
Ale. Y. Eskandari. CE
John H, Kirk. CEG
Thomas E, Vahlstrom, Ch
Colecrest, Inc.
(B87211)
. .
Exam. No. Ch871923-2
Report Date:
9/22/87
Sample Description:
1 @ st
Date Sample Collected: 9/17/87
Date Sample Received @ Lab: 9/18/87
Sample Type:
Soil
1618 hrs.
Date of Analyses:
9/21/87
9/22/87
BTX
TPH
Constituent
Units
Results Detection Limits
ND 0.02
NO 0.05
NO ¿ 0.05
NO 10
-
Benzene
Toluene
Total Xylene Isomers
Total Petroleum
, Hydrocarbons
mg/Kg
mg/Kg
mg/Kg
mg/Kg
ND=None Detected
Method of Analyses
BTX by EPA 5020/8020 GC/PID, 2nd Edition
TPH by OHS extraction GC/FID
-w Á- ~<V. et. c.~
na yst. t=º
La~/'d&:
Soil Engineering. Engineering Geology· Engineering Laboratories ~Chemical laboratories
1m F,"no. California 'B70b
o Vluli.1l, California 93278
o B~kenield, California 93304,
o Pleu.1Inton, California 945&6
1414 Stanislaus Street Telephone(20'J) 485,8310
3901 So. Mooney Blvd. P.O. Box 3236 (2O'J) 732·8857
117 "V'· Street Telephone (805) 327-0671
5729·C Sonoma Orive Telephone (415) 462,4000
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BSI~ & Associates
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Geotechnical Consultants, Inc.
W",I"y n',1Un, CF
Rolw,. D. Sk"~~,, (f
Hu~o Kt''''orki.ln, Ct:
lohn R Hl',III'Y, (f
John II Moor.'. cr
lohn ^', .\'lfmr'V. Cl
Idn1t~1Ii C SUllo". cr.
Alt·, Y I d:.Jnd.ul. cr
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Thorn.1' I \',lh"'I.'II"'. ( h
Colecrest, I nc.
(B87211)
EXé:¡¡:. No.
Ch871923- 3
~,2port Date#;
9/22/87
Sample Type:
Soil
Date Sample Collected: 9/17/87
Sam,ple Description:
2 @ 2'
Date Sample Received @ Lab: 9/18/87
1625 hrs.
Date of Analyses:
9/21/87
9/22/87
BTX
TPH
Constituent
Units
Results Detection Limits
NO 0.02
NO 0.05
NO / 0.05
, NO 10
Benzene
Toluene
Total Xylene Isomers
Total Petr"oleum
Hydrocarbons
mg/Kg
mg/Kg
mg/Kg
mg/Kg
ND=None Detected
Method of Analyses
BTX by EPA 5020/8020 GC/PID, 2nd Edition
TPH by DHS extraction GC/FID
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Soil E n~mel'rin~ . I. n~ifH'erín~ Cl'olol¡v . I· ngín(,l'rín~ Lolboro1rorí('~ . Chemic 011 LJbor,1t,HII"
~ F'e~nn. C.llrtorni.1 I) lìOf,
o Viuli.l. Ctl,inrn',I ') !2711
[J B.I~eHfield. Cdiforni" 'J IIO~
í; Ple.lSdn'on,C"liforno" ()~'i""
1 ~ 1~ St,I""I,IUS 5"....' f,'I"phntlt' (20'" ~I\'d\ \ 10
3901 So ,\1oorlt'V Blvd, I' 0 Bm HI" (2.0'1) 7 121\1I;~
117 "V" S"...., Tt·lt'I)ho,1t'(80<;11270f.~1
572'1,(; Sonom,l Drive T el.'phonl' (~1") ~fo2,~I!I!O
B· S· 1/-
, .,.. ,,,"' & Associates
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Geotp.chnical Consultants, Ine.
w".rev , Hr,Hln. CI,
Rnh"rt () ~""1i:L!"'. C f
HuJ,:o kt·"nrkl.II1, cr
10/1.. R ",,<II.,\" rr
lohn n ,,"'OOff', CI
lohn .\.1 ,"~,"nt'\,. cr
Idmt'" C Sutton, CI
AII',( Y I..Lltul,HI, CI
lohn" ~If~ <'I C
'hom.,,, I \"dll,trOO1, (h
Colecrest, Inc.
(B87211)
EX'::iìi. No. Ch871923-4
::<200¡-t Date:
9/22/87
,Sample Type:
Soil
Date Sample Collected: 9/17/87
Sample Description:
2 @ 5'
Date Sample Received @ Lab: 9/18/87
1630 hrs.
Date of Analyses:
9/21/87
9/22/87
BTX
TPH
Constituent Units
-
Benzene mg/Kg
Toluene mg/Kg
Total Xylene I somers mg /Kg
Total Petroleum
Hydrocarbons mg/Kg
Results
Detection Limits
NO
NO
NO
0.02
0.05
0.05
NO
10
ND=None Detected
Method of Analyses
BTX by EP^ SOLO/(!020 GC/PO, 2nd Eclilioll
TPH by OHS extraction GC/FID.
~,C\ ^ _ L-..\/,C(-<:)
·~s~~
L~~d&
Soil I'n¡¡in('\·rlf1t.:. rnt.:in,'\·rin~ Cl'%gv' [ngin"\~ring l,Ihnrator,l'S. ClH'mirolll..IJOr.¡tor,t"
X r,t"sn.!. C "I,fornr.! <) t¡Oh
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.P't-..Is.Jn'nn, (' .lldorn!.) (J~ :¡(,h
l.tl.t Sf,ln"I,,,,, SI,,"'!
.1'\01 50 ,\\()OI"'~' Blvd. r ()
117 "V" 51"','(
~7~')-C. Sonorn., Orl\'~
1 ..I..phon.. (10'1) .tfl~·flI \11
lI,n !nh (l0'1) 7 11 fI/I~7
'el..phon\· (/10:;1 .l27·0/}71
1,'I.·phon.. (.t l,>j.lhl-.tO(MI
¡4It FILE CONTENTS INVEN~Y
~
F ae i 1 i ty (}c IE (?i-l-i:)f -7;í/r', i
DPermit to Operate. 3ICO(::'(..
DConstruétion Permit t
o Perm it to abandontlt )V'l- q,
o Amended Pe rm i t Cond i t lons
DPer,mit Application Form,
ŒJ-,(pplication to Abancion
OAnnua 1 Repo r t Fo rm s
No. of Tanks
-L
Date
Date
Date
Tank Sheets, Flow Chart
tanks(s) Date
DCopy of Written Contract Between Owner & Operator
o Inspect ion Reports
o Co'rrespondence - Rece i ved
Date
Date
Date
DCorrespondence - Mailed
Date
Date
Date
'0 Unauthorized Release Reports
DAbandonment/Closure Reports
DSampling/Lab Reports
DMVF Compliance Check (New Construction
o STD Compliance Check (New Construction
o MVF PIa n Chec k (New ,Cons truct ion)
DSTD Plan Check (New Construction)
DMVF Plan Check (Existing Facility)
DSTD Plan Check (Existing Facility)
D· Incomplete Appl ication" Form
DPermit Application Checklist
DPermit Instructions DDiscarded
o T i<) h tne ss Test Re su 1 ts
Checklist),
Checklist,)
Date
Date
Date
OMonitoring Well Construction Data/Permits
-----------------------------------------------------------------
o Env i ronmental Sens i t iv i ty Da ta:
DGroundwater Drilling, Boring Logs
DLocation of Water Wells '
DStatement of Underground Conduits
Dplot 'Plan Featuring All Environmentally Sensitive Data
DPhotos DC~nstruction Drawings Location:
DHalf sheet showing date received and tally of inspection time, etc
DMi scellaneous
1700 Flower Street
Bakersfield, California 93305
Telephone (805) 861·3636
ENVIRONMENTAL HEALTH DIVISION
,,¿RN COUNTY HEALTH DEPARTMEN.
.
.
HEALTH OFFICER'
Leon M Hebertson, M.D.
,
J
, !
IJ
,)'
4
~ PERMIT FOR TEMPORARY OR PERMANENT
.~ CLOSURE/ABANDONMENT OF UNDERGROUND
!
HAZARDOUS SUBSTANCES STORAGE FACILITY
PACILITY NAME/ADDRESS:
OWNER(S) NAME/ADDRESS:
Colecrest Inc.
5001 Stine Road
Bakersfield. CA
George Cole
5001 Stine Road
Bakersfield. CA 93313
PERMIT TO ABANDON
PERMIT EXP IRES
1 TANK AT ABOVE
APPROVAL DATE
LOCATION.
APPROVED BY
. . . . . . . .
. . . . . .
. . . .POST ON PREMISES.". ~
CONDITIONS AS FOLLOWS:
DIRECTOR OF ENVIRONMENTAL HEALTH
Vernon S. Reichard
PERMIT NUMBER A242-31
CONTRACTOR:
Colecrest Inc.
5001 Stine Road
Bakersfield, CA 93313
License No. '.A304528
'~"~ -
~ ',~. .:._~,'
Octob·e~' ~ :<1987' ,;:jjX
, ;--
"-.,
Octob¡r 3, 1986
-¡"K (æ4t V-
'J oe Canas
I
,
,
. . . . . . .
*
1. Permittee must notify Kern County Fire Department at (805) 861-2577 two
working days prior t~ initiating abandonment action to arrange for
required inspection(s).
2. Tank removal activities must be per Ker~ County Fire Department approved
methods as described in handout included with this permit.
3. All procedures used must be in accordance with requirements of
Standards and Guidelines developed for implementation of Kern County
Ordinance Code.
4. A minimum of four samples must be obtained at depths of appro~imately two
feet and six feet, one-third from the end of the tank.
5. All samples must be analyzed for benzene, toluene; xylene. and total
petroleum hydrocarbons.
6. Advise this office of the time atld date of proposed sampling with 24
. hours advance notice.
ACCEPTED BY ,~"--::t-A..'1 ~?,~ 5.9<:_.
DATE /O-,~ -RCo
DISTRICT OFFICES
Delano . Lamont Lake Isabella . Mojave . Rldgecrest . Shatter . Tatt
Provide )e~CriPtion_. physical Layout of
Include All the Foll~rig Information:'
Location of Tank(s), piping & Dispenser(s)
____ Proposed Sßm~linF. Locßtion~ Indicati~~fPproximate Depth of Samples
____ Nearest street or Intersection ~ /è,tt// ~ Ptl~l/b~
____ Any Water Wells ,or SurfRce Waters Within 100' Radius of Facility /ù:- .
Facility,Using Spa~e Provided Below;
--
".
NORTH
,T
i
! P L
I
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\; "'"b
I 60 0 DtJ..J
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Kern 'GOunty lIealtlt iJepartment
Division of F.nvlronmen~ 'ealth
1709 Flower street, BakeL,.:ield. CA 93305
(805)861-3636
Permit NÒ.
.-'ication Date
, .:......<8 to' be Abandoned
/lei< tfç). - 3 j
APPLIéATION FUR PERMIT FOR TEMPORARY OR PBRMANENT
CLUSURB/ABANDONMENT OF UNDBRGROUND
HAZARDUUS SUBSTANCBS StORAGB FACILITY
I·
I
~ .Qf. APplication (Fill Out One AppJication Per Facility)
[] Temporary Closure/Abandonment ~ Permànent Closure/Abandonme¡
A. Project Contact (name, area code. phone): Days Nights
Facili ty Name Co /... £. C IP E ;t ~ 11Vc,
FacUJtyAddress .t;(H' / S T/ po If ¡) Nearest Cross St. pC'~
T R SEC (Rural Locations Only)
. ~:~~:..(}·~Î c'~~MW Telephone "08- :?j'~;/I~~us
Operator ___________ _ Telephone
Addres~' Zip
B.
Water to Fac111 ty Provided by C;' Ii/' t'~E.1ç' ,ë'~ ~epth to Groundwater
Soil Characteristics at Facility _______~
Basis for SoU Type and Groundwater Depth Determinations
3ðOÇr
C.
Tank Removal Contractor
Address 5'00' (<).f.ìtoJL
Proposed starting Date
Worker's Compensation Certification t
_Ç""EJ-r
~J-
Ziþ
Proposed
, /
CA License NoA- 3"0 1~f ~ ~
Telephone (805) ~ - =? sc..,
Completion Date
Insurer
CA License No.
Telephone
Completion Date
Insurer
Environmental Assessment Contractor
Address '
Proposed Starting Date
Worker's Compensation Certification t
Zip
Proposed
u.
chêmical Comp09it~on of Materials Stored
Tank' Chemical stored (non-commercial name)
Dates stored
Chemical Previously Stor'
(if different)"
I
~
SC<?I'J¿
to
to
to
to
E. Describe Metl~od for Retrieving Samples ij~~--LAr1A J -lSl"r7o
~~ ß í X ~ L-h;;f ¡;¿j-vt?!o,-< "'~
ry That Will Perform Analyses of Samples
1/) v.1;f
.:!..k- Uøo ve,..
Telephone 3 ~7'~ð b 7/
F. This Application for: ~ Removal or 0 Abandonment in Place
* * PLEASE PROVIDE INFORMATION REQUESTED UN REVERSE SIDE OF THIS SIIEET BEFURE SUBMIT'
APPLICATION FUR REVIEW.
This form has been completed under penalty of prejury and to the best of my knowledge is
a~d correct.
Signature 4~ ~
Ti tle
~
Date ~- 3 -&'""(p .
1700 Flower Street
Bakersfield, California 93305
~ Telephone (805) 861-3636
-k:RN COUNTY' HEALTH DEPARTM.~~'
HEALTH OFFICER
Leon M Hebertson, M.D.
ENVIRONMENTAL HEALTH DIVISION
Facility Name
~I.:cr~<?-t ,1 ~c..
Address SCOI S-hNC R.Cr.\Æ
& /a'-5 .Q~J! CA
r ,
DIRECl:OR OF ENVIRONMENTAL HEALTH
Vernon S. Reichard
Kern County Permit #
A 2'/7-4 ~ I
* * UNDERGROUND TANK DISPOSITION TRACKING RECORD * *
This form is to be returned to'the Kern County Health Department within il
days ,of acceptance of tank (s) by disposal or recycling faciU ty. The
holder of the permit with number noted above is responsible for insuring
that this form is completed and returned.
. . . . . . . . . . . . . . 1,- . . . . . . . . . . . .
. . . .
. . . . . . . . .
i
Section 1 - To be filled out ~ tank removal contractor:
Tank Removal Contractor: ~(e c..~e"!)~1:'tJc:..
Address Ë) I D Sf. J,..J~ ¡¿~a d
~{J.h..,~~Jd, e4
I
Dat,e !anks Removed 0<1, /7- S 7
Phone #
Zip q ~ ~ \ (,.,
No. of Tanks ::L
..
~'
. . . . . . " . . . . . . . . . . . . . . . . . . . . . . " . .
. .'. '.'- . . . .
Section.! - To be filled out !Œ contractor "decontaminating tank(s):'
Tank "Decontadnat~;; è~~ctor "DflJ19 t.+- ~Jlr""..~-Iwl .
.- Address Ro~ C-6GS- Phone # 3Z¿~qs~~
&t..--.. .t1d<lj·,eA Zip 16"ð8h
Authorized representatioYe'" of contractor certifies by signing below that
tank (s) have been decontaminated in accordance with Kern County Hèal th
D artme requirements.
Signature
~i~~/5r~:~e~~1
Title
. . . ,'. . .
. . . . . . . . . . . . . . . . . . . . . . " . . " . . . . . . . . .
Section 3 - To be filled out and signed !?Y !ill authorized representative, of the
treatment, storage, Qt disposal facility accepting tânk(s):
Facili ty Name
Address
Phone # ì /9- q 4/· "2. '65'8'
Zip 933~"
¡¿;cof~.øðe
'~, ~~
Date Tanks
Signature
(Authorized Representative)
. . . . .
. . . . . .
. . ~@@~ @1R9@U~ß¡ P ,
. . . . . . .
*
*
* MAILING INSTRUCTIONS: Fold in half and staple. Postage and mailing
label have already been affixed to outside for your convenience.
(Form #HMMP-150)
DISTRICT OFFICES
D..,,,"o . Lamont . L:lke '."hell" , Mnj,we , Ridqecr"91 , Sh:lfter , T:lft
e e
F I,,¿ CONTE~T~¡ \' ~ \I."J¡';.'f
Œn/eJI/(,"e...~ f _ rAi¿ ,
J2S¡ ,> : i. m i t toO pe rat e it 3 J DO/~
OC'')nstru:;tion Permit #
o Permit to abandon~
DAmended Permit Conditions
taPermit Application Form,
DA?plication to Abandon
DAnnual Report Forms
F,. .~lity
No. of Tanks
Date
Date
Date
! / .
, ,i/'".? ¿.
--..,...
/
Tank Sheets
tanks(s)
4?tc+ 'Plo.V\s·, --
Date
c.
DCopy of Written Contract Between Owner & Operator
o Inspection Reports
DCor respondence - Received
DCorrespondence - Mailed
DUnauthorized Release Reports
DAbandonment/Closure Reports
o Sampl ing/Lab Reports
DMVF Compliance Check [New Construction
DSTD Compliance Check (New Construction
DMVF Plan Check (New Construction)
DSTD Plan Check (New Construction)
OMVF-Plan Check (Existing Facility)
DSTD Plan Check (Éxisting Facility)
0" Incomplete Appl ication" Form
DPermit Application Checklist
o Permit Instructions DDiscarded
o T i-J h tness :rest Resul t.s
..-
Date
Date
Date
Date
Date
Date
Checklist)
Checklist)
OMoritoring Well Constructìcn Data/Permits
Date
Date
Date
-----------------------------~---------.----------------------__._·M
OEnvironmental Sensitivity Data:
DGroundwater Drilling, Boring Logs
:J".ocation of Water Wells
OSta tement of Underground Condui ts
'~Plot Plan Featuring All Environmentally Sensitive Data
OP~c~~s Construction Drawings Loca~îon
~J""L f sheet showing date rec:eived and tally of ~:lspection tir.\ë' p.t~
r.; ..... ij , <,~' 1 a neo us
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Division ot I:;nvlconment.ðl Heal AfJf:HlCüUùn L
1700 Flower Street, Bakersf4IÞd"CA 93305
. 'APPLICATION FOR PERMIT TO OPERATE .ERGROUND
HAZARDOUS SUBSTANCES.STORÞ.GE FACILITY
~ of Application. (check) : .
DNeW Facility Oftbdification of Facility RfExisting Facility DTransfer of CM'lership
A. Ð"nergel1CY 24-Hour Contact (name, area code, phone): Days ýt! ~- - <;j- -:<;2- 1 i 5-b
~ Nights /, // //
Facility Name . U~~..JJ fB...-d---- No. of Tanks I '
Type of Business (check): Gaso lne Station r20ther (describe) ~~..z-~
Is Tank(s) Located on an Agricultural Farm? Dyes J;iNo
Is Tank(s) Used primar~ly fo~ Þtgricultural Purposes? . DYes,!JrNo '£>.
Facility Address ..S)O I ~ Æ!~ . Nearest Cross St. r~ß6&<__
T R SEC (Rural Locations O'lly)
o.mer t:ftA'~~ Contact Person '~ ~
Mdress ..> () . . ~_ Z i p 7 1;' L) <] Tele¡:hone IJ~- ~ - S-l.
Operator' Contact Person .
Address Zip Telephone
B. water to FacUity Provided by 01 ~ Depth·toGroundwatar .?SD II
Soil Characteristics at Facility ____~
Basis for Soil Type and Grolll'dwaterDep . Dete nat ons
C. Contractor
Address
Proposed Starting Date
Worker's Compensation ,Certification I
CA Contractor' s License No.
Zip Telephone
proposed Completion Date
Insurer
D. If This Permit Is For Modification Of An Existing Facility, Brieflv Describe Modifications '
Proposed
I
E. Tank(s) Store (check all that:: apply):
~! waste Product Motor Vehicle Unleaded. Regular Pr_iUl1 Diesel Waste
10/ Fuel 011
D 0 Ið- ~ 8 0 8 8
0 0 0 §
0 0 0 B B B B
0 0 0
F. Chanical Canposi tion of Materials Stored (not necessary for IDOtor vehicle fuels)
Tank t Chemical Stored (non-coamercial name) CAS . (if kn<M'1) Chemical previously Stored
(if different)
G. Transfer of OWnership
Date of Transfer
Previous Facility Name .
I,
Prev ious OWner ~(à)(õ)~ @~¡¡~~~,
'J
accept full y all obligations of Permit No. issued to
I understand that the Petmitting Authority may review and
modify or terminate the transfer of the Permit to Operate this \mdergrolnd storage
facility upon receiving this completed foon.
'Ibis form has been canpleted under
true and correct.
Signature '/-!~.L/ ~~c---
penal ty o.f perj ury and to the best of my knowledge is
1'1 tIe fO,/U-:?---
Date.? - 2- ~~.-
1700 Flower Street
Bakersfield, California 93305
Teleph0'1e (805) 861-3636
1-
.ERN COUNTY HEALTH DEPARTMENT, HEALTH OFFICER /ý'<./''-- ¡
A Leon M Hebertson, M.D.
ENVIRONMENTAL HEALTH DIVISION .
DIRECTOR OF ENVIRONMENTAL HEALTH
Vernon S. Reichard
PERMIT,#310015C
. ,
INTERIM' PERMIT
TO OPERATE:
UNDERGROUND HAZARDOUS SUBSTANCES
STORAGE FACILITY
ISSUED: JULY 1,1986
EXPI RES: JULY 1, 1989
NUMBER OF TANKS= 1
------------------------------------~---------------------------------
FACILITY:
COLECREST, INC.
5001 STINE ROAD
BAKERSFIELD, CA
OWNER :'
, COLECREST, INC..
5001 STINE ROAD
BAKERSFIELD, CA 93309
f
,
. ,
.----------------------------------------------------------------------
,"r'
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,c
TANK # AGE ( IN YRS)
101 11
.,
.. ""¡,,
.,."
SUBSTANCE CODE
MVF 3
"
',,'
',', .
NQTE: ALL. INTERIM REQUIREMENTS ESTABLISHED BY THE PERMITTING
AUTHORITY MUST BE MET DURING THE TERM OF THIS PERMIT
NON-TRANSFERABLE *** POST ON PREMISES
¿¡¡
.... -~ ,.;....;.. '- ~ .;: ,
·r
, ,
"
DATE-PERMIT MAILED:
JUL 1 {; 1986
DATE PERMIT CHECK LIST RETURNED:
" ,
,-~.,
. ,
. ø
11. Piping
a. underground Pi piB3 : ŒlYes DNa Dunknown Mater ial
ThickneSS (inches) Diameter Manufacturer
DPressure SSuction DGravi ty' Approximate LelY:)th of Pipe IU1 .I 11 /¡'f-
b. Underground PipilY:) Corrosion Protection :
~lvaniZed DFiberglass-Clad DImpressed CUrrent DSacrificial Anode
DPolyethylene Wrap DElectrical Isolation DVinyl Wrap DTar or Asphalt
DUnknown o None DOther (describe):
c. Underground Piping, Secondary Containment:
DDouble-Wall DSynthetic Liner System árNone Dunknown
DOther (describe):
H.
, 10.
lhl'" :!. I ,\'~:::: ~ ,:,'Lr'M.I"'"'''lr:. ~ ~ ~ TANh)
. FO~CH SECTION, CHECK ALL APPROPRIATE BOXES
'rank is: 0 Vaul ted Non-vaul ted DDouble-wall' Lle-wall
Tank Material
~Carbon Steel"O Stainless Steel 0 Polyvinyl Chloride 0 Fiberglass-Clad Steel
o Fiberglass-Reinforced Plastic 0 Concrete 0 Allltlim.ln D Bronze OUnkmwn
o Other (describe)
Primary Containment
'Date Installed Thickness, (Inches)
~ ~~., jq7¥= -t;:" ,
4. ank Seconaary Containment
o Double-Wall U Synthetic Liner
DOther (describe):
OMaterial
5. Tank Interior Lining
-¡:rRubber D Alkyd DEpOxy DPhenolic DGlass DClay ~lblined DlbknoW1
OOther (describe):
Tank Corrosion,Protection
-UGalvanized QFiberglasS-Clad OPolyethylene Wrap DVinyl WrappiBj
DlTar or Asphalt DUnknown [JNone DOther (describe): .
Cathodic Protection: o None DImpressed CUrrent System I::::JSacrif1clal 1tnode System
Descrit:s System & Equipnent:
Leak Detection, MonitoriB3, and Interception ' .
~Tank: OVisual (vaulted tanks only) LfGrourowater Monitor1n:j' W811(s)
o Vadose Zone Moni toriB3 Well ( s) 0 U-'l'ube Wi thout Uner
OU-Tube with Compatible Liner Directi~ Flow to Monitorin:j WBll(s)*
o Vapor Detector* 0 Liquid Level Sensor 0 Conductivi t~ Sensor*
D Pre~sure Sensor in Annular Space of Double Wall Tank
o Liquid Retrieval & Inspection From U-T~, Mon! torilY:) Well or Annular Space
o Daily Gau:JilY:) & Inventory Reconciliation 0 Periodic T19htne. TestiRj
~ None D unknown 0 Other
b. PiplB3: Flow-RestrictilY:) Leak Detector(s) for pressurized Piping-
o Moni toriB3 SlIDp wi th RaceWlY 0 Sealed Concrete Raceway
o Hal f-cut Cc:mpatible Pipe Raceway 0 Synthetic Liner Raceway 0 None
Jg Unknown 0 Other
*Describe Make & Model:
8. Tank Tightness
Has nns Tank Been Tightness Tested?
Date of Last Tightness Test
Test Name
9. Tank Repair'
Tank Repaired? DYes ~ Dunknown
Date(s) of Repair(s) .
Describe Repairs
OVerfill Protection
~ator Fills, Controls, & Visually Monitors Level
DTape Float Gau:Je DFloat Vent Valves D Auto Shut- Off Controls
BCapacit.ance Sen59r DSealed Fill Box [¡None Dl1'1knoW'1
Other: List Make & Model For Above DeVices
l.
2.
r~
3.
Capac~ty (Gallons)
t;.J ð t.l t7 .1zr-i
o Li ned Vaul t 0 None 0 unknown
Manufacturer:
Capac1 ty
Manufacturer
--~.A:~
Thickness (Inches)
(Gals.)
6.
7.
DYes ~ Dtbknown
Results of Test
Testi~ Company
· - - -.-----......... i -.--i- -..---~--- i \. ~_--;
/. BAKERSFIELD, Ctt9331 3ERMlT CHECKLIST
Facility C~TJ~..,.,
I
1
perm. #3/ð €II Sc
,~
This checklist is provided to ensure, that all necessary packet enclosures were received
ani! that the Permittee has obtaine~ all necessary equipment to implement the first phase of
monitoring requirements.
Please complete this
within 30 days of receipt.
form and re turn to j{ClID
in the self-addressed envelope provided
Check:
f
, Xes ~.Q
f A.
~
~
L
k
~
The packet I received contained:
1) Cover Letter, Permit Checklist, Interim Permit, Phase I Interim Permit
Monitoring Requirements, Information Sheet (Agreement Between Owner and
Operator), Chapter 15 (KCOC #G-3941), Explanation of Substance Codes;
Equipment Lists and Return Envelope.
2) Standard Inventory Control Monitoring Handbook tUT-IO.
3) Th~ Followjn~~FGrms:
a) Inventory Recording Sheet
b) Inventory Recording Sheet with summary on reverse
c) Trend Analysis Worksheet
4) An Action Chart (to post at facility)
B. ~ have examined the information on my Interim Permit. Phase I Monitoring
Requirements, and Information Sheet (Agreement between Owner and Operator), and
find owner I s name and address. fac il i ty name and address, opera tor I s name and
address. substance codes. and number of' tanks to be acdurately listed (if "no"
is check'ed, note appropriate corrections on the back si~e of this sheet),
.K
C. I have the following r~quired equipment (as described on page 6 of Handbook):
1)' Acceptable gauging instrument
2) "Striker plate(s)" in tank(s)
3) Water-finding paste
4-
D. I have read the information on the. enclosed "Informatiòn Sheet" pertaining to
Agreements between Owner and Operator and hereby state that the owner of this
facility is the operator (if "no" is checked, attach a copy of agreement between
owner and operator).
E. I have enclosed a copy of Calibration Charts for all tanks at this fad Ii ty (if
tanks are identical, one chart will suffice; label chart(s) with corresponding
tank numbers listed on permit).
F. As required on page 6 of Handbook #UT-10, all meters at this facility have/had
calibration checks withi n the last 30 days -ª_f)~ were cal ibrated by a registered
device repairman lf out of tolerance (all meter .calibrations must be recorded on
"Meter Cali uration Check Form" found in the Appendix of Handbook).
G. Standard Inventory Control Monitoring was started at this facility in accordance
with procedures described in Handbook #UT-IO.
Date Started
Signature of' Person Completing Checklist:· ¿j,..r1..~~~ / aL __ /
Title: P./H~" --
Date: ~ .1_11-J-1:
BACKHOES · DOZERS · TRUWG · SIDE BOOMS · LOW BEDS ,. iERAL ENGINEERING . CONTRACTORS
'.
CO LEG RES TIN C '~MACHINERY '"~~~~':~;
5001 S. Stine Road
Bakersfield, California 93309
Phone (805) 832-3156
~
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Qu.estion.n.aire
Permit
Normally, permits are sent to facility Owners but since many
Owners live outside Kern County,they may choose to have the permits
s~nt to the Operator~ of the facility where they are to be posted.
Please fill in Permit # and check one of the following before
returning this form with payment:
For PERMIT
# 'g/(JoJl;C
.
~
1.
Send all information to Owner at the address
listed on invoice (if Owner is different than
Operator, it will be Owner's responsibility
to provide Operator with pertinent
information) .
{]
2. Send all information to
following corrected address:
Owner at the
3. Send all information to Operator:
Name:
Address:
(Operator can make copy of permit for
Owner) .