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Home My WebLink AboutUST REP. 1/2/1975 r'f/~4 POOR ORIGINAL ,,( tI(- 2700 M Street, Suite 300 Bakersfield, CA 93301 Telephone (805) 861-3636 Telecopler (805) 861-3429 GARY J. WICKS Agency Director (805) 861-3502 STEVE McCALLEY Director -- . RESOURCE ~J~çti;;:¿J;"" .' Mir¡¡'~Ñ~ A,·G '8~~ , ;':~~;:':, : : DEPARTMEÑTdOE,iENMIÆONMENT AL " \:>;i.::t\,,{</'."*-Y'<t:"';'::::~:i:')'·· ",';"-"~:f_.'·· HEÄl:TH^:'SERVICES ~.' .~:. AGENCY PERMIT FOR PERMANENT CLOSURE PERMIT NUMBER Al014-18 OF UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY FACILITY NAME/ADDRESS: OWNER(S) NAME/ADDRESS: CONTRACTOR: Occidental 5000 Stockdale Highway Bakersfield, CA 93309 Occidental 1200 Discovery Drive Bakersfield, CA Pinnacle Environmental Construction Company 3051, Fairhaven Drive Bakersfield, CA License 1573533 Phone: (805)321-6503 Phone: (805) 322-2920 1 TANK(S) AT ABOVE PERMIT EXPIRES November 29, 1989 APPROVAL DATE Auqust 29, 1989 APPROVED BY ~:;:~!a.a ~r~~s If:. ~ Hazardous Materials Specialist PERMIT FOR CLOSURE OF LOCATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . POST ON PREMISES. . . . . . . . . . . . . . . . . . . . . . . . . . . CONDITIONS AS FOLLOWS: 1. It is the responsibility of the Permittee to, obtain permits which may be required by other rägulatory agencies prior to beginning work. 2. Permittee must notify the Kern County Environmental Health Services Department at (805) 861-3636 two working days prior to tank (removal) or inerting and filling) to arrange for required inspections(s). 3. Permittee must obtain a City Fire Department permit prior to initiating closure action. 4. .Tank closure activities must be per Kern County Environmental Health Services Department and Fire Department approved methods a~ described in'Handbook #UT-30. · " / -( PERMIT FOR PERMANENT CLOSURE OF UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY PERMIT NUMBERA1014-18 ADDENDUM 5. Soil Sampling A~y 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 Kern County Environmental Health Services Department. a. (Tank size between 1,000 to 10,000 gallons) - minimum of four samples must be retrieved one-third of the way in from the ends of each tank at depths of approximately two feet and six feet. 6. If any contractors or disposal facilities 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. 7. Soil Sqmpling (piping area) 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). 8. Sample analysis a. All (leaded/unleaded) gasoline samples must be analyzed for benzene, toluene, xylene, and total petroleum hydrocarbons for gasoline. 9. Copies of completed transportation manifests must be submitted to the Kern County Environmental Health Services Department within five days of waste disposal. 1D. All applicable state laws for hazardous waste drsposal, transportation, or treatment must be adhered to. The Kern County Environmental Health Services Department must be notified before moving and/or disposing of any contaminated soil. 11. Permittee is responsible for making sure that "tank disposition tracking record" issued with this permit is prop~rly'filled out and returned within 14 days of tank removal. - '- . PERMIT FOR PERMANENT CLOSURE OF UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY PERMIT NUMBER A1014-18 ADDENDUM 12. Advise this office of the time and date of the proposed sampling with 24 hours advance notice. 13. . Results must be submitted to this office within three days of analysis completion. TC:cas DATE" 59 rfj ACCEPTED BY: \A1014-18.ptc , e( GARY J. WICKS Agency Director (805) 861·3502 - , . ..... -'" ~ 2700 M Street. Suite 300 Bakersfield. CA 93301 Telephone (805) 861-3636 Telecopier (805) 861-3429 STEVE Mc CALLEY Director ,::4...,~,.:,.' .~~.....'''~L''~ RES 0 U R C E' M'Â~A.G·~··'~,M,E NT 'ì\JWioir"I" :1, '\G.... ··~{t·~·~·..·:.~~·.~ l''';''\~Z' DEPARTMENT~OE'ENV1RØNMENTAL ~~~) ..;~".oI""~,:':"':':::':~".".':'"L"':; , HEALTH SE RVICE 5 '.~~" .... ~... ." ~ AGENCY October 23, 1989 Occidental 1200 Discovery Drive Bakersfield, California CLOSURE OF 1 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANK LOCATED AT 5000 STOCKDALE HIGHWAY IN BAKERSFIELD, CALIFORNIA. PERMIT # AI014-18/180011 This is to advise you that this Department has reviewed the project results for the preliminary assessment associated with the closure of the tank noted above. Based upon the sampl~ results submitted, this Department is satisfied that the assessment is complete. Based on current requirements and policies, no further action is indicated at this time. It is important to note that this letter does not relieve you of further responsibilities mandated under the California Health and Safety Code and California Water Code if additional or previously unidentified contamination at the subject site causes or threatens to cause pollution or nuisance or is found to pose a significant threat to public health. ~~our cooperation ~~~matter. TURONDA R. CRUMPLER, R.E.H.S., HAZARDOUS MATERIALS SPECIALIST cc: PINNACLEENVIRONMEN,:\AL CONSTRUCTION COMPANY -,-- <.... .; er ~ DXY ~ OXY USA INC. 1200 Discovery Way Box 12011, Bakersfield, CA 93389-2011 October 13, 1989 Turonda R. Crumple, REHS County of Kern Department of Environmental Health Services . 2700 M Street, suïte 300 Bakersfield, CA 93301 Subject: UST Closure Report Permit No. A1014-18 Dear Mr. Crumple: Occidental completed remòval of the 10,000 gallon underground storage tank in compliance with the prescribed requirements of Permit No. A1014-18. Enclosed we provide documentation associated with this project. 1) Kern County Health Department Tracking Form 2) Environmental Health Services Department Permit #A1014-18, endorsed by inspector 3) Chain-of-Custody for soil samples analyzed 4) Laboratory Analyses 5) U.S. EPA uniform hazardous waste manifest #89458600 6) Bakersfield Fire Department Pe~it #FL-289 Please contact me at your convenience if you have any questions or require additional information. Sincerely, ~tk. U~ Tony M. Dominguez Environmental Coordinator Bakersfield District (805) 321-6032 TMD:rae Enclosures An Occidental Oil and Gas company ~ ; ¡ i ~ J I , e, " SMC Laboratory . Analytical Chemistry Client Name: Stockdale Environmental Corporation Address 4520 California Avenue, Suite 210 Bakersfield, CA 93309 Date samples received 9-19-89 Date analysis completed: 9-21-89 Date of report 9-22-89 Laboratory No. 2537 through 2542 Project: Occidental RESULTS OF ANALYSIS #2537 ID: W-1 Benzene Toluene , Ethylbenzene p-Xylene m-Xylene o-Xylene Isopropylbenzene TPH (Gasoline) ugm/gm ND ND ND ND ND ND ND ND #2538 ID: W-2 Benzene Toluene Ethylbenzene p-Xylene m-Xylene o-Xylene Isopropylbenzene TPH (Gasoline) ugm/gm ND ND ND ND ND ND ND ND NRL,ugm/gm 0.1 0.1 O. 1 0.1 0.1 // 0.1 0.1 1.0 I MRL,ugm/grn 0.1 0.1 0.1 0.1 0.1 0,1 0.1 1.0 Nethod of Analysis for BTX/TPH (Gasoline): 3810/8020 (FID) MRL = Minimum Reporting Level TPH = Total Petroleum Hydrocarbons ugm/gm = micrograms per gram ND = Not detected ~~ Stan Comer 3155 Pegasus Drive P,O. Box 80335 Bakersfield, C.\ 93308 Ba:-:ersf¡eld, C\ 93330 . . (805) 393·3597 FAX (805) 393,3623 · Laboratory No. 2537 through 2542 RESULTS OF ANALYSIS ; j i #2539 ID: E-1 Benzene Toluene Ethylbenzene p-Xylene m-Xylene o-Xylene Isopropylbenzene TPH (Gasoline) #2540 ID: E-2 Benzene Toluene Ethylbenzene p-Xylene m-Xylene o-Xylene Isopropylbenzene TPH (Gasoline) ugm!gm ND ND ND ND ND ND ND ND ugm!gm ND ND ND ND ND ND ND ND .1 Project: Occidental NRL,ugm!gm 0.1 0.1 0.1 /0.1 0.1 0.1 0.1 1.0 HRL,ugm/gm 0.1 0.1 /0.1 0.1 0.1 0.1 0.1 1.0 Nethod of Analys~s 'for BTX/TPH (Gasoline): 3810/8020 (FID) MRL = Minimum Reporting Level TPH = Total Petroleum Hydrocarbons ugm/gm = micrograms per gram ND = Not detected ~ G~2.L] Stan Comer e Laboratory No. 2537 through 2542 RESULTS OF ANALYSIS #2541 ID: D-1 Benzene Toluene Ethylbenzene p-Xylene m-Xylene o-Xylene Isopropylbenzene TPH (Gasoline) #2542 ID: D-2 Benzene Toluene Ethylbenzene p-Xylene m-Xylene a-Xylene Isopropylbenzene TPH (Gasoline) e i- Project: Occidental ugm/gm ND ND ND ND ND ND ND ND ugm/gm ND ND . ND ND ND ND ND ND tvIRL, ug\Tl/ gm 0.1 0.1 0.1 0.1 0.1 0.1 0.1 1.0 MRL,ugm/gm 0.1 0.1 0.1 O. 1 0.1 0.1 0.1 1.0 Method of Analysis for BTX/TPH (Gasoline): 3810/8020 (FID) NRL = Minimum Reporting Level TPH = Total Petroleum Hydrocarbons ugm/gm = micrograms per gram ND = Not detected s~Gr Stan com~ If,! ~ Analytical Chemistry Jr3 ~JV~L. Laboratory CHAIN OF CUSTODY 3155 Pegasus Drive e Bakersfield. CA 93308 . e(805) 393·3597 P.O. Box 80835 . Bakersfield, CA 93380 . FAX (805) 393-3623 Client: Sampler: Sampl e 'I'ype: Analysis Requested . Name 1 smdJrJt £n(¡~f'ðYI0t/{zI.1!ßØ1 f¡ Namelf.VlV\udÞ/Sfttltj¡v(¡ ~J Vater Other ~ Address'15JO úJt!;l'v<t, l)/c sou. --- ( specify) Address: ~ ¡UúL- Sludge () ~lÍ1l1ev~t J (A- t113ð1 Oil --..J c--... \;:p At tn: J'II) ~A,k ~7-{' c57-( K ~ <:::;) - DescriPt1.0nl( uCLA V~7\J~) ........ IN Other Tests ~ t:<"" ~()J €, (J/ ~ ~. 253/ V" , -I ~mQ.. f;v .;¿ ~ P. ./ ~I¥) 6 2.53% V , ~_i £J) P ¿;' /./1./ 2S~9 V l')V-~ ') E-L ~'vl ØJ {ó ( ~~ 2'540 V 1)-/ Q f-:2/ £Æ 2..S41 V' - D-J WfÎ(,( ~ 2SL\ 2- V"" ~ ß\l\ 40 " -:Dan O<!nJF' - elinquished By: Date: Time: Received. By: Date: :ime: Comments: \l~ .~~~ ~I~ -' ~~º-o-t\,.^ A ^'ÝßCì ~l1 l;6~ l3: s~> '" cr ..¡ .. . " . , , '. ...- - -.-- "__.___... ..__ _...__._____..________ 4 c~. 30 \'1o~ Do" BAKERSFIELD FIRE DEPARTMENT BUREAU OF FIRE PREVENTION PERMIT . < ',. , . . ,,': ..; .' . ': '. ~,'; '. '. . t J . ~ . ,'. ,'. ;. .....·.·r~è(":¡;¡!FD;;:/i:;,:· '.',. f.'" " . ... ·,;:?;;:,,;~~,i?j;;ù';/i;: {: }:,' .... ' :: . '.. . ...... .' " ðL-- ;2g, Permit No, In conformity with provisions of pertinent ordinances, codes and/or regulations, permission is hereby ~anted to: ¡{ . " Yl~ n Vl{1t.lL./ rv1...\[ ~ ( l<)(ì Y¥\-1 v1 +a.L..., 3:J?1 JCL.' ( Mll LíL.l)ý . Nome of Company J. Address to display, store, install, use, operate, sell or handle materials or process involving or creating con- ditions deemed hazar ous to life or property as follows: -tcLvL- subject to the provisions and/or limitations as provided on the reverse hereof. Violation ent ordinances, codes and/or regulations sholl void this permit. ~,~~ ~9/~ of pertin- _ tJJ C~ Fi\e Morshal U~< tI " :.. . .', ,... . , . , . ..; .-. . . . , . :e a , . .-.. : .'!:>- ". ~'. .- ---"'" _._.....--....._.....,~,.:,... . .: --._....._-~.- ." .." - .- ~.,..:- fr .-!'- ~ ~,~ .:'~:~ ~~_::':~.:.'~':'~. .:.."'.,~.,:,~:-:::. '- 0 \0 \0 .... N \0 CO ~ - ,j « :>0 ::>~ z ~~ ')~ ..J t« 0 :')Z G jê E ~ N E N R ~ A CO T ... 0 N A i - a: ~ z w 0 w (/) Z 0 a. (/) w a: ..J « Z ,0 ,¡:: ,« z w i= .J ..J « 0 ..; ..J ã: (/) a: 0 > () Z w C a: w ~ w z « II. 0 W (/) « 0 ~ F Ii C I I. I T '! .' I . ..:-._:_ 0" .......: ~_ ~:.:o ..~. '. _ '. ..:, ..:.. _.-1.:- ....: ... Stat. of C-,4Í¡fomia-4iaalth and Waltare Agency Form A~l'OYed OMB No. :zosG--«)39 (Expiree 9·30-9 f) p,.,ar:/ print Of' type. (FomI desiQned ,« us. on .tit. ('211itCIl typewrYt8t'J. 1. Generator'. US EPA 10 No. See Instructions on Back at Page 6 and Front at Page 7 Dep.rtment of Health Servicea Toxic Substances Control Division Sec,amento, Call1ornia UNIFORM HAZARDOUS WASTE MANIFEST 2. PaQe 1 Information in Ihe shaded a,eaa ¡a not required by Federa' law. A. Slale Maniteat Document Number 89458 00 3. Generalor', Name and Mailinv Acldleaa Occidental International Exploration & Production Co. P. O. Box 12011, Bakersfield, CA 93389-2011 4, Genelalor'sPhone(805) 321-6032, 6503 Stockdale UST Closure 8. State. Generatora D a'Waste Combustible Liquid" N.O.S. Tank Bottom Waste. CoAl ;~rn} 0- b. ,~ ~~:;':~~~''''¡';f¡':{ .-';': "~)1õ,.t'.,R:;. C;¡,-:",!, ~~J.!r: .*:;'\~ .' ;fto~J,,'_'\.Jr.I:\-·~:" 0 "' ,~;~~;~;is:~J.~';:r ~~~;~~>~·ii~:]; ~~!0:éj§ff~~ c. c1. .- ."" , . .%~:~::·~.'T . "'j. - , , Gibson Release No. q~'i8-1 :... -' ., 18. GaÆRATOR'S CERTFICATlON: I hereby declare Ihat lI1e contenta oIlI1is consiQnment a.. tully and accaratsly deacribed above by proøet shiøomv...me and are claasified, packed, martled. and labeled. and ar. in an reapects in proper condition lor I,anaøort by hiQhwey according 10 applicable inl"",alional and aalion.al ~I rllQUlationa.. . I _ a larva quantity getler1Itor. I certify that I have a prooram in place 10 red<lce tile volume and toxicity of waale generated to tile de9rM I have det8m\ined to be econonlicaly practicable and that I hava ..'ected the practicable method of Ir88tmen!. atoraoe, or dispoaa' culTenlty 'YII¡¡able to .... wtll(:h minimiua lhe pre....nl and I'\rture Ihreal 10 human llealth and the environment: OR. It I am a -.H Quantity QeCHH'ator, I have made a good faìlll snort to rainimlz. lIlY _ata generallon and seIec:Ilhe beat weate management method that ia available 10 1M and that t can altord. , I D8y Y..r ; ....-,. '0 :.:" ~~~:!~ ! ·or. ~. ~: . .. 't: " . " ~.. : '·'ðNr?y. ^ddress a ( \' ~ SEPzu _nN R£t£Ntu r ~,I', ~~ 1,1 .l.' (",' ...... \ llJ ~ I ':' ,,~~ ~. 1: 1700 Flower Street Bakerslleld, Colllomla 93 Telephone (805) 861·36 , UNTY IIE/\LII I DEPAnTMt.:.NT ~ NVInONMEN r~L fJEAL1!f DIVISION "EA!.H! OFFICER Loon M Hebertson, M.D. DIRECTOR OF ENVIRONMENTÀL HEALTH Vernon S. Relchord FacUlty Name ð~¿ickn¡nj J(ern County Pcrmi t # ~kl!/ð-Æ1d. ~ If H / ()/f- /r (í hAkj * '" UNUHRUHOUNU TANI( U1SPOSI'l'lON TRACKING RECORD * '" This fOl'm is to be retul'ued to the Rel'n County Uealth Department sdthln .!.! dn~s of acceptance of tnnk(s) by dIsposal or recycling facil.1ty. The holder of the permi t wi th lIumbcl' uoted auove Is responsible for .1.nsurlng that this form is comp1 c led mlù re tUl"Iwd. . , . . .. . .. . . .. . .. . . . . . .. .. .. . .. . .. . . . .. .. . .. . .. . .. .. .. --- SectIon.! - To un filled out l!Y.. l1'!!!.l~ T(!IR~!Ü £()tItractol": '\ . Tank H(!movn1 C(nlI'act()~': _Bn nO. r t e.. E V)tl \ rOYì vrîeY'-k \ Adùl'CSS 3~ ""'\ t ~\Y" '^-.o...lJ£lA.. Dr _ Phoue It 32.2- 2_'7 ë <:> 15c...~ ,~~ ~ \ c\ I (iG\ Zip C) '? 3' () <K Date 'fanlts m~moved 9- /q-ge¡ No. or 1'aults --1-- -- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section Æ. - To ue Cilled out .!!.ï coutl'actol' "decontaminating tanl«s): Talll{ "Uecontamination" GOlllraclor Q\~Y'lCÅ-('~-€...- Ev'\n,1('on!lYt~v\'-\-QJ Address 30 sf h.1'v h.:o..\"'~/.A. ':D r Phone # gZ2"';'292.G l~a...kLv-c::¡:'-e{d , ~e>-.. Zip (l>~~ \ . Authorized l'epl'eaentativf~. o[ coull'acloL' certifies uy signing below that have !Jean dccon tamllll1 lcd in accunlullcc 11i th Kerll COUl~;r llcallJ¡ nt reflull'e nts,' ¿;:::? / .~ ~, 19nu tUl'C ·ï +~ ~ . C;:&Û~~ Ti e . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . Section 3 - To be fille.!! 9-':11=. i!!'!Q §.,lg!L~<1 .!!X Jill ~utho1'!zed representütive of the treatmcnl, stora~e, Q.!: .91,nV~.Q.Q.:!.[aclllL~ acCepll~lg talllc(s): Fac111 ty Name Valley Tree & Construction 1989 Phone # 399-1783 Zip 93308 No. of Tanks 1 Bookkeeper J\cldreS9 4'233 Quinn Road Bakersfield~ CA.. September 19, ~~~ Sigual . Title U tho!" ,lzed HCIJI" ";(111 l f\ tl vo) . . . .. - . . . . . . . . . . . . . . . . , . . . . . .. * * * MAILING INSTJWCTlONS: FoJd 1)1 ha.lC ulld. stuple. (Form #I/MMP-150) 001'1110 , 1.0"'<' VIS TIICT OFFICES 'k" ,">'.1",11" . Monvc . nldgecles\ . Shorter . T¡\fI ei \ . ~;:""~,..iiv~~""'~~-;"'-' ... -~~~~,~,J:~~-___,",~~ , . "~ No. lO.3.L' NO HAZARDOUS MATERIALS ~'.~ WARNING: Transport1ng any unauthorized " hazardous waste to this facility for disposal Is prohibited by law. Persons violating this prohibition are subject to cM and criminal prosecution. A&M Disposal·. & . Recycle. 4233 Quinn Rd. Bakersfield, CA 93308 (805) 399-5575 Date 9~?/ð7 Time In: /L:'¿~ .:;;" Time Out: Customer ~J-~7/;"'~'f' (l E;/L /'-c,.; ê'," -". Carrier /-;é¿A j, '_ ,i.:L.--e ,(..:~ Vehicle Ucense No. .'- ~ ~ -I w..!: .. '\ _. . Type of Debree Tons Total Yards Clean Wood .. Dirty Wood , Asphalt , Concrete Hard to Handle ... ('other ") / /,,'-' ;J Of.; ý.t..( L::7:' , -' - . -.,.' Totals 0'0 o~ -= ..,:. - ::'~""'::~{~., \-:?- .4 .:~'1;·~; ~ ~~~f~: 'j , Remarks Job No. .. ....'..... .. .. :. ~ ... ..... I. Driver Signature Dump At Your Own Risk /) /' ¿ u ,d.... nstuction Waste Only ,..~' , "of "'-.~ / . , ! ~ ,. .....'- ~ ¿,..___,l-/ / I 3' 7 -. ~ . .. l-.,Þ , I," :, , " .';,... ,-:";:J:"\~"¿:""'~:" ,~ ..,. ',;: .. ,~<.~~'~>~:~;::, <O":~~';:~'~::.~:. <::&€~"'<"'~ :~.:~'~~:;~~:~~t ,.......r¥-f:"".¡.,l-;)'.......·"'·~,.....,..,.."¥~,.'z4....-I-·J'~· .. ~ ".......~.I:'I>...' .' _t,¿;;~-:;.....,·;;'<ifF~~'· f.~.£c-~:~~.. ~~'-'~ ~ <..,.:.;.,-~J' -"' 1-~:.:jy.-~~:: ,.~- 'f' .' .,..~_~:1..., ..... y ~.';.... _' :;"':"~_~~" ... :'.~~~~'!.:'f.1J..;,.~;.J...:..~¡.. ,'TERMS: Cash before dumping unless preV!oUs arroogements have been agreed on bY"",::,;;;" > '., ',', _~_owners. Payments are due by fhe;.lOth of the month following date of J)(Ic:hasè; '~' /1.../ ¡¡ "A late payment penalty of 1.5'1. WÎ1I, be oppned on p,cst due balances month/'f. ,<~1';~~?· ¥iì ,7 c Custom9/' agrees to pay reasonable costs. expenses. attorney's and collection',:: ~: >:~. ~ agency fees as may be Incurred In collecting this Indebtedness. ' ," i.: \. --,--.--.- ,.. " .- " j i 1 ."..Oì,·,.i ~ '1 -I ~ e ,-~ , .(~ iff 1: 1700 Flower Slleel Bakersfield, ColI/omla 93305 Telephone. (605) 661-3636 lŒ.J IH CUUI-I \'Y I !í':'/\U t I DEPAnTMENT IIEAL11I OFFiCe" Loon MllelJollson, M.D. ErWmor'fr,lEII tAL HEM:III DIVISION FacUl ty Name OUlECion OF ENVIRONMENTAL IŒALTH Vernon S. "olellold Ker11 County PermIt # ^ddt'ess H!O/!-¡r (í hI? kj * :1< UNUEHG¡WUNU 'I'M/!{ U 1 ;,/,US lTlON THM:¡UNG HECO!UJ * " This fot'm is to be ¡·ctul·tlcd to the ¡{cen County Ileal th Uepa¡·tment id thin l! da~s ,of aeeeptmwe of t:nnk( s) uy dlsposul or recycling fnclil ty. The holder of the perm! t i'lll:h numhet' notnd above Is l.·caponslblc fat' Insut'ing thut this form is compl c ted í1UÙ 1"0 lm'lwù. . . . . . . . . . . . . . II . . . . . . . . a . . . . . . . . . . . . . . Section.1 -!.Q. l)(~ SHIed out .!!.y.. .~!!IJS ·TeI!.~In1..L 5:.ul~trncto¡·: , Tank Hemuvnl COli true tor: _HY:'lY-lC"- r \ e. E VH) \ fO Yì Y'í1F' '¡!tin \ Atldl'c99 3~""'\ I ~\V",^-o...\J-e!l\.. 'UY",-- I'hollc , 322-2..'7 zG -:-Rc... kD r£ ~, "c \ ( Cc'\ Z 11> C¡ '<i 3 () <=6 Uate 'failles Removcd 9 -,¡q -'8'0/ No. of Tnnl<s I . . . . .. . . . . . . . . . . . .. . . . . . . Section Æ. - To be [I lIed out Ql eontr<J.ctol' "dCCUlIlíll:tll1<J.t1uf;: t~Itle(sì: Tauh; "Decou tamIuati un" COlllrac tor ç\ .;., '('¡ (À.C' \ -€- :E V\ \ '\ 1 '\f'O n ¡()II C" \l\-k l Add¡'ess 30'!51 h I'''' kCL\.,~Ì^ :D r Phone' ~22-2Cj2.C3 i~a....k:C'ý~ frdd . \~ D-- Zip q3~ ~ \ Authorized l'epl'eselltallvl! uf GOlllr,\I;lu¡' certif les by sIgnIng beluw thnt tallk (s) have beell l!econ té1mil1U leò jn accoJ"LluJH;O 11 i l1l l(c¡'n COUIJ ty Heal th f}cpnr nt l'e(luÜ'c IItS.' ~./ .¿A~' 19natul"p. &~j~~;t;.a¡0- T! e . . . . . . . . . . . . . .. . . . ... . .. . .. . . . . . . . . . . . . . . .. . Section -ª. - To k~ [Ill e1! ou t .{!.!!Q 2.1.ß!lC_rJ 1¿:o-: UII ~u lhud zed t'c()¡'escn La tl vc 0 f t!Je lrealmenl. slul'ar.c. .2.!:.YJ::pu:;u.!. füdUtv QcccpUng tanlc(s): Foell! ty tIume Véillev Tree & Construction J\ddt'esft 4233 Quinn Road Bakersfield, CA-=-. September 19, a~J SIgnat . Phone # 399 -1783 ZIp 93308 No. of T¡1l1lcs 1 Bookkeeper 1989 TItle uthor.lzp.d HelJl" ':I!IIt.nllvc) . . . . . . . . . . .. . . . . . . . . . . . . . . '" '" '" HJ\LLING INSTIWCTlONS: Fo I Ii 1: !lalf ·(\I\d atnplc. (Form #WI~IP-150) I)<; I rllc I 0r-FICES Oe(;\I\O . t.íHHf' -,t~... 1".:'b~I;'I Mnl'1VC . nId<Jp.r.I~"\ . SlInltN , Ton e , FILE CONTE~TS SUMMARY FACILITY: ('rl~irien+al ADDRESS : .~()()() ;:)~J'JO)~ 1-I-13hU)Q « PERMIT #: ¡fOOII ENV. SENSITIVITY: NÞ..s Activity Comments Date # Of Tanks appli(ld{'ÖVl ) !?()()/ /(1" arp),'CQ{¡òV1 ..A /(Jp!-j g ,~mp)e re~JJ-s Ok. 1eYer ,3¡bl 10/ J' S- 7) I /cfb '?l;/ ~ ~J 27' ~/ ~9/ð'7 C¡/~:1/ff /ti~/131 ;(1 . 7?) q::era-k. . Ï7) oœíak ~ I 77J ol2?nr!ð ý) ¡;:; 11 k c /t155~rf J I. I / e /'" 1m!'.!!!: ill gf( PrO -LJðO "c-' , rtA -Aj.oJ41-J2 APPLICATION DATE . P I ~ f.{ ( 1" . OP TAHKS TO BE AIWiOONED J . KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT 2700 "M" STREET, SUITE 300 BAKERSFIELD, CA 93301 (80S) 861-3636 LEHGTII 0' 'I'INO TO A8AHOON APPLICATXON FOR PERMXT FOR PERMANENT CLOSURE/ABANDONMENT OF UNDERGROUND HAZARDOUS SUBSTANCES STORAGE PACXLITY THIS APPLICATION IS rOR JllrAEHOVAL. OA. c:J A'ANOOHHEHT IN PLACE 'PILL OUT ~ APPLICATION PER PACILITY! PROJeCT CONTACT :: Dcx.Vì~e.. \ ~ ~ FACILITY NAHE J'" . =~ . cc.. - 0""1::11 o CC \c\ e... IRURAL LOCATIONS ONLYI \.ec.. '\ ~ $"000 ADDRESS }2.0ð \) ~~u~\ - 'S-C~ PHONE <80S- >J'2.2-.-2.'t2..0 :It :0 . .. ~! :õ .... ': ,- ?/55 PIIONE (?f~ >]93 -3'5'<1) CI/EHIC.l.L COHPOSITJOIl OF MATERIAU STORED z TAN( e VOLUME 0 >- IIJ, ON", : .. -'- ,.. . s: :¥ 10 :... 1:1: - - CIIVUCAL STORED INON-COMMERCIAL NAME! ðCl.X(1~'j,~ DAns STORED 17(f() TO 9-·,(;(9 CIIEMICÅL PREVIOUSLY STORED ~\~m¿- TO TO TO WATER, TO ~AC/LITY_, PROVIO~D BY , -+- ~ Ie l (\..ll -to Vtî I f''-. !\ ,\ L'\...... : ~ /fUllEST W4TER WELL.. GIVE: DISTANCE 4NO D£SCIUBE TYPE 11 WITIUH 400 lEET ¡.. / - ¡ i ~ mr:Lt:.- SOti--k é C4S-/- ~ ~ BASIS FOR SOU, TYPE AHD GROUHQIfAT£R D£PTIJ DETElUltHATIDH I p¡ lIS {)ê¡JCt.~+rn¿,yd 01 .styl CvyZ.st""va.»~'7 /r:l:f,}o~+ r Æ;J't aUft..-I¡ tJðL<. DTAL HUMBER OF SAMPLES TO BE ANALYZED SAMPLES WILL BE AH4LYZED PDR: (,,, 'r?( f' I I ~ 4'(tJrl- I ESCKIBE 110" RESIDUE IN To\H(ISI 4NO PIPING I z o ...- .... ." .. ~ x ..II: '.1\0 - ... c:.z (~ '. )/'1(),.o)( PIPING ... . . ~ """1V1n: :HpnRMATTnH 1!!~!! !!!! !~ l!!!!~ !!! !!!!~ ~!!!;~ ll!!!1!! 2!.!!!!!!..!:!H!!! ~PPI.ICATIO" !!2! !!Y!!.!! . . $ ICH4ro/fr: ¡¡£EN .' . LETEO UNDER PEII4L",...-:or pUJURY ANO TO TilE BEST 01' MY KNowLEonr: IS T1!ur: ANO CORRECT. ~'/ . ..' /' / ~ "j '';/ , . ,~ -v-V . /.~- é: TITLE &'¿/f 1L.'Ú£t:'¡ C;,¿: ?/ ./ / om ;?~7<1/9J7 i--/ T1IIS POIIl' .....:; \) ~ ,\{ ~\ \i\ ~! I \ I ¡ \ I i v \ \ I \ , J er .- PROVIDE DRfMING Of PIIYSIC1\L .L.:\ïCUT Of ri\CILITY USH;; SPT\CE PROVIDED ßELC\-J. -. -. -- A.I.J.. OF THE FOUJ..¡""WING INFORNATICN MUST 8E INCLUDED 1: I ORDER FOR APPLICATION TO 5E -- PROCESSED: '/; ) I - .---- .:., 1 N , TANK (S), PIPING & DISPENSER (S), INCLùD Wl; LENGTI1S AND DlMENS IONS PROPOSED SAMPLING LOCATIONS DESIGNATED BY TIllS SYMBOL "0" NEAREST STREET OR INTERSECTION' mY WATER WEI.LS CR St:m-.1\CE NATERS WITHIN 100' RADIUS OF FACILITY 'I \? VJ X NORTIJ 'ARRCW ~ (~) ·4.cc \:: Á rt \ ~ ~. \ ,', \ ,,' . :\ \' , '. ',) -I ~- Z1J' Cl ì L.~ \ 1\ ,j , (~. ¡ 1 It\. ~JL í Ii' 1. " 'j ¡ \ i \ \ \ \ \. ED \\/J b \Ll\ ~~~ \\ ~ \ } -.J - , -' ~ .......!/ S'ðOO oJ.~}"}'\~ au-e ' old oc.<:-.'<kw.\¿ 0CC~es ~.~ "~~""" ........-........, --" .", : .- R E C E I P T PAGE 1. --------------------------------------------------------------------"---------- ! 08/24/89 Invoice Nbr. 21922 J I 3:48 pm KERN COUNTY PLANNING & DEVELOPMENT I I 2700 'M' Street I /: 8akers,field. CA 93301 Type of Order W I I (805) 861-2615 I I______---------------------------------~-------------____________________~___! I ¡ I CASH REGISTER PINNACLE ENVIRONMENT i I I I I I I !_____________________________________________________------------------______1 I Customer P. 0 _ if: I Wtn 8y IOrder Oa-ce I Shi p Date I Vi a I Terms I H082489-1 I DLG I 08/24/89 I 08/24/89 I I NT I 1______---______1________1___________1___________1___-____________1___________1 Line Description Quantity Prîce Unit Disc Total 1 TANK PlAN CHECK 100.00 E 100.00 I ~ 170,A, . Order ;ota~ 100.00 Amount: Due 100.00 Payment Ma6a By Chec~ 100.00 THA.NK YOU! . , _I'" FACILITY e( ANNUAL REPORT Permit #/&JO/l c.. Month/Yr. ? - '81 any major modifications to this facility during the .' Signature Note: All major modifications the Permitting Authority. to Construct from " 2. I have done major modifications for which I obtained Perlllit(s) to Construct fromPerllitting Authority Signature Permit to Construct # 3. Repair and Maintenance Summary Date Attach a summary of all: Routine and required maintenance done to this facility's tank, piping, and monitoring equipment. Repair of submerged pumps or suction pumps. Replacement of flow-restricting leak detectors with same. Repair/replacement of dispensers. meters, or nozzles. Repair of electronic leak detection components, or replacement with same. Installation of ball float valves. Installation or repair of vapor recovery/vent lines. Include the date of each repair or maintenance activity. NOTE: All repairs or replacements in response to a leak require a Permi t to Construct from the Perlli tting Authority as do all, other modifications to tanks. piping or monitoring equipment not listed here. 4. Fuel Changes - Allowed for Motor Vehicle Fuel tanks Only, List all fuel storage changes in' tanks, noting: Date(s), tank number(s), new fuel(s) stored. 5. Inventory control monitoring is required for this faciIi ty on the Permit to Operate. and I have not exceeded any reportable limits as listed in the· appropriate inventory' control lIoni toring handbook during the last twelve months (if not applicable, disregard). Signature S-.,?: (..~ 6. Trend Analysis Summary Please attach Annual Trend Analysis Summary for the last 12 periods. 7. Meter Calibration Check Form Please attach current, completed Meter Calibration Check Form ·. e' ANNUAL TREND ANALYSIS SUMMARY QUARTER 3 TIME PERIOD: /l- 8'-88 to 'l-Zt-gr PERIOD 7: Total Minuses TIÙ~ Period (Line 3) /1'/ Action Number for this Period ( Li,ne 4) 117 PERIOD 8: Total Minuses This Period (Line 3) /32 Action Number for this Period (Line 4 ) /33 PERIOD 9: Total Minuses This Period (Line 3) /47 Action Number for this Period (Line 4) 1'/1 TANK # QUARTER 1 PERIOD 1: 'PERIOD 2: PERIOD 3: QUARTER 2 PERIOD 4: PERIOD 5: PERIOD 6: / TIME PERIOD: :2. ~ /-g~ 8-Z TIME PERIOD: . :2.../g- g S' to Total Minuses This Period (Line 3) Action Number for this Period (Line 4) - . Total Minuses This Period (Line 3) Action Number for this Period (Line 4) Total Minuses This Period (Line 3) Action Number for this Period (Line 4) TIME PERIOD: h -23,88 to Total Minuses This Period (Line 3) Action Number for this Period (Line 4) Total Minuses This Period (Line 3) Action Number for this Period (Line 4) Total Minuses This Period (Line 3) Action Number for this Period (Line 4) QUARTER 4 TIME PERIOD: 'f ~28 ~<xq to PERIOD 10: Total Minuses This Period (Line 3) Action Number for this Period (~ine 4) ·to 9 -Ii -'6'1 6-22~gg I~ 20 30 _~7 L/& 5'1 11M 7- gg 66 t? ~I 'lS 97 /01 '9-//- gc¡ /~i( / h,"'; /7'3 ¡gO /91 ¡7r; PERIOD 11: Total Minuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD 12: Total Minuses This Period (Line 3) Action Number for this Period (Line 4) I hereby certify this is a true and accurate report. Signature ,£:.-¿: (~ Date 9-/ ~ -g'1 ~~~~~~~~~~~~~~~~~~~~~~~ 1I@1"'~III~IIII®IIII~I"'®IIII®IIII®fI/l®IIII~IIII@IIII®IIII*IIII~IIII*IIII®IIII@IIII~1I"*IIII~II"*IIII®IIII®I\ ~~~~~~~~~~~~~~~~~~~~~~~ ~ CERTIFICATE OF INTEGRITY~· ~ . ~ ~ ~ ~ 0 ~ ~ ~ ~ ~ II@II II~II ~ ~ ¡,kl THE UNDERGROUND STORAGE TANKS LOCATED AT ~ ~_.~ ~. ~~-'~ ~ OCCIDENTAL PETROLEUM, 5000 STOCKDALE HIGHWAY. BAKERSFIELD. CALIFORNIA ~ . ~ HAVE BEEN CERTIFIED ENVIRONMENTALLY SAFE WITHIN ~ . . THE GUIDE~INES OF THE STATE OF CALIFORNIA I] ~. BY ~t1i I REDWINE - MANLEY TESTING SERVICES, INC. I ~ ~~ ~ ON THIS THE 8th DAY OF APRIL 19 89 ~ , .~ ~ .~ ~ ~ ATTESTED BY ~"^" 1~ ~ ~ ~ ~ .CERTIFICATION =#= CA 0183 I] ~ ~ I@I' II~I ~ ~ ~ . MEMBER NATIONAL FIRE PROTECTION ASSOCIATION ' -' Iß. ~~~~~~~~~~~~~~~~~~~~~~~ "~IIII®IIII~II/I®I"I~II"®II"~III®"'I®'JII®II"®"II®"'I®IIII®II"®""®IIII®''''@II"®"II®IIII*"II®II~ ~~~~~~~~~~~~~~~~~~~~~~ - i I - I MEMBER ~PEI~ crfUM EQ1JIPMENT INS" AUTOMOTIVE - INDUSTRIAL PETROLEUM EQUIPMENT INSTAL~ATlON - MAINTENANCE 2080 SOUTH UNION ·BAKERSFIELD. CA. 93307 . PHONE 834·1100 CALIF. CONTRACTORS LlC, # 294074 PAGE 1 r 202:1. I OXY USA INC INTE~:;:NAT~6r.AC Cq:N G F' 0 BOX 12021 BAKEI:~S F I ELI! CA 9J389-2021 -.J L REl~UESTE[I BY ED DATE RECEIVED t?~[I~~ß;~ ..., " I.~ tr-f~.~.,,~~, ~',""i".'~~ '..,:::..K~:ì"¡;. ~.,.:,~~f.;.. 'I¡¡.<,'ìf:"'!i (7', ~f.~] ~M;~ff;: I'!."~.'~ ~":'-: ~1j~;',~ h ~,: . . ··i'ctl.t.~ ,.. l i ø ~~~;'t.:;" ,., ~ ' ' . ~ 1:;) ~Ij ª~',;..~. . r..:;:,::~,¡ ~~(ì~'~t( .~~ Wi-t...~ ~:;.~ ,,~ "~ l.~~..Í!" f\ > ,'" .~~?, '6" '\.~ ' BRANCH OFFICE 1450 W. McCOY SUITE A SANTA MARIA, CA. 93455 (805) 926-1135 MAILING ADDRESS P.O. BOX 640 BAKERSFIELD. CA. 93302 DATE . ()4/26/89 55:1.61 INVOICE NO. CUSTOMER'S ORDER NO. BBL 242:1. LOCATION ;:J . ,BAKERSFIELD . ED HICE ORDERED BY SPL.RPT .CO CASH olsa. ~ìUBCONTRACT : TOTAL: 312 312. PLEASE PAY FROM THIS INVOICE TERMS: NET 30 DAYS A ""ANCI CHAIOI Of 1.5"'. ,.. MONTH WHICH It 'I". PlI ANNUM CHAIG(D "".. 30 DAYS. IN THI (YINT Of ANY lAW'Un OUT 0' THIS TRANSACTION THE P.EVAllING 'AIIITY SHAll I' INTITLED TO .ICOVEI I'ASONAIU AnOIHEY'S ftf', All MEICHANDlSE I£MAINS THI 'IO,U1Y OF IIlW EQUI'MEN1' UNTIL 'AID "01 IN FULl. A IIIESTOCKING CI,,!oUGE Of NOT lESS THAN 10"1. Will I' MAOE ON AlllTIMS IETUIHID FOI CIIDIT WHIN 11101 IS NOT oun, MATUIAl RETUINID Will NOT I( ACCI'1ID AFTU 30 DAYS. CLAIMS FOI SHOI'AGU MUIT I' MADIIMMIDIA'B. Y UP'ON IICIIP' 0' GOODS. .. ORIGINAL \ \ \ \ .:(~;~;~¡:~' . e -' : :..;,......, ..".... - - ...".J:..;.~~:' ... ........ .' NOON '.' '. ", -' . . :/'.. '}:f:i/~"}};r -îI¡~~ j~~[ , .. . ,. , ' :...:..:;:.....~.,' ....: :.f .:~;'..., ,"; '..:::. ,-,>' . ... .... .... ..... . .~-_.".. .- 'IESnNG METHOD: HORNER EZY-CHEK.' REMARKS: CALIBRATION: ^'. . .....:i1:... L£ ...1J..;. (, '. ~ .1L....l.L '¡ ~'. . ' ..s.L 2L...1.L ',";/ " :\ 2DWlNE-MANLEY 'IEStlNG SE&V1CES. INC. .0. BOX 1567 : AlŒRSFlELD, CA.. 93302 805) 834-6075 . OWNER OF SITE ! ADDRESS ... ~., . . '.t". .~ c.~~' CITY-STATE-ZIP CODE 'I .~ NO~ TEST 1ZVEL #/61-1 PRODUCTP...cJL··: CAPACITY lð/dztJ CHART CAl. ,tJ~ + J. ã I, ::ASU1ŒD GRAVITY ..{'I,,{" PRODUCT '!EMP &'1° C~FnCIENT ,(1.1, 'tEMP CAL ,m7')("SO X /O;nuo 'I m LEVEL START LEVEL END GAlN+ x(A) LEVEL . 'IEHP TEMP GAIm- x(B) TEMP FINAL: LOSS- xCA) RESULT START END LOSS- RESULT RESULT TIME ~ AI.... ¿';3o - ~ I X II -.Oðm 1ð$'t.. _. _,z,'. ~ ff' ",~J.r1 . (A OWNER OF TANKS , - 1: <7)' CD . ~ ADDRESS' ~ ¡ f. ,CITY-STATE-ZIP CODE OPERATORS NAME .AT SITE .:{J- - ~5 þ - .6'3 .. .,-2- - .j-), .:> - -¡ / J ~y '5 ;.:> J.~ -,)'3 /d ~ .;" , . ~ ,ð57- - -@- rrYPE OF' SYSTEM ' . SUBMERGED -LSUCTION ~ LENGTH OF FILLPIPE PRODUCT COLOR . .52'" lAME OF TANK METALL F BERGLA.sS ' t, : 11 t'Sf .-9 1 .' -r::r. ,tJ ø /, - -ø- ,O~Ï)' .-0 ..... I . -6-' - .- 5 !1- · - I ' ~/],- 1Þ. -Þ . ' !Þ !¡...-. ~ ~7-' t/Þ-. -e ~ÿ" '¡-V. -{T- o/-y 47/. -e- .. ..J ¡... .. -_.,,;' ·'1~r 0; · -e- (if known) . 1~30 1: .5Ç-. . 1: 1'J- , } (if different>· c /' 3 <13 </3 t/-3 4~ .(3 $1':3 L/3 t/7 ¿j--, .~ .~ 113 ~3 C ¡:+ g:,)~ . $: I?-- ~: It.. ~;;l 1.,6D . -e- .^ . -&- ~ -r.., : d 4 . {//' () l? ~~~¿ ŒRT?lI..~~?(~~(~. (í,./ ðl4V . :1, )-, /'( ..~:/). ~ ~(\L' ':I'/I)~) /./. . ¡JtL-( It L-' \." ' · -l? x(, J; - '-(J x. /1· ...g. Xtfl)l./J - .e- . ) '. . ..t. .." . "'."~ '".:. - ,\0 2080 SO. UNION AVE. BAKERSF.IELD, CA 93307 (805) 834·1100 1450 W. McCOY, SUITE A SANTA MARIA, CA 93455 (805) 928-1135 ~ IH..Sffl '~P!l~, SERVICE INVOICE AUTOMOTIVE·INDUSTRIAL PETROLEUM efiUIPMENT INSTALLATION·MAINTENANCE "L.A.. HOTE ALLIHQUIR'.. AHD CORAa· .P'ONOCMC': ...auU) R...." TO THIS CAL.IF. CONTRACTORS L.IC. NO. 294074 ::';:~~~ s DATE REQUESTED BY PHONE NO. I ~-:LO-8~ L(û.\~ 2./- ~=O3 Ð:J R tL¿: í L o C A T I o N 1 MAIL INVOICE ~í.~C r DENTAL PETROLEUM .v )000 ~TOCKDALE HWY 2021 BAK~RRPrELD1 GA 93304 Lf)Q J. 81 ' rr ~L.. - :'4':> I WORK TO BE PERFORMED: t<ep\d(Ç +O+Al~4e/'2... , fJY\-¥- W-~ .vORK PERFORMED: ~.,~~.~ i:t,.-t..ø.J.;,t.A y.. l.JJ.~v." 1f !2A.Q-i..~~ (') . /(. . I f l.J CO" ì' &-L...- ')LDT~''A\t~QÂ'" ~Ct.·" ~, ~:L ~O'-1ltl.D t0~ - oooe 5.Q TO ..J ?:O() ';r l.. ,,\ \, 1 . lJ o - 1S, 1 MAKE -rDt.~¡ ~ MODEL NO. ì ~ "3 SERtAL NO. () S '-1 ()ì 5 QTY. PART NO. DESCRIPTION L t\ ...(- .y~.."... t :"1. e.-c¡- ~ ;>'.Q., '.µ I ,)$ t 0'1..0130 d. ~ ()'6 'S, LI ~ U 5.3 ",\0 '3 J '-I ¥- 11. ' .. Date Completed I';). . ~ I - '?~ ~A /£?chnician(s);~JÏ..c.o·3 Y' .>- ff /.-A- r Received & Accepted By (';::::!(: ~\ //"/. PLEASE PA Y FROM THIS INVOICE. Tr....:¿, Net due upon Receipt PLEASE " ç:in:1nrp. rh~r,.,p r)f ?0f. nor Mnnth CUSTOMER ORDER NO. 4249 ¡ INVOICE NO. ! ¡ I <i5 o CASH CHARGE '50DO S+Od<.OA\e ~i {5"'ro.. -#'/ ~ lock f ('f\ec hCln ICA (\ I \. FOR-' n {----rï OFFICE C.~~/1:.~..dJ_ USE ONLY .. ~. I TECHNICAL. SERVICE HOURS MILEAGE , Sub Contract Rentals ( _J I ! - '.' ==1 ¡ Supplies Sales Tax TOTAL RLW EOUIPMENT I li~W~- _ Record of com.' - -,hange, Meter Change, or CaUbrat' o COMPUTER CHANGE 0 CAL.-r- o METER CHAN~I;__- '0 W/M NOTIFIED arAflOfC NO. DAfE Company .. ol~tAJ iC\3 CHECKED SlOW ~ DISPA TCH HO. SiI'II~ NUMBER '(3.- ~\..:~ V\"'L~<1 CALI BRA nON \O~ ()5YOì Q~~ONI MONO fllST ";;}<¿).S 11C\3'"2..0.·S TOTI\LIZER READINGS TOTAlIUR stALED -a "ÿ($ 0 NO G~~ONI RETURNED TO 110AIIOE 5'.0 'AS' CHECKED !iLOW fAST ADJUSTED TO f;LOW METER 6EA\.ED .,,~ QttO' --..- MONEY TOT AlIZEH FINISH REI\OINGS MUNEY START ~ooucr Pump It TOTAL QAt ~Ü~:¡--- .. -- - - GALLONS lOlAUlEl\ SEAL D DVES OHO . CHECKED IoIONU G4L¡:"ì4S - -,- .....-., ._- Im'·- ,- SLUW TOT"LllEA ftNtSH READINGS WON1O'I UAIIIJNS lOT AlIlER StALED START DVES ONO Pump # TOTAL allUONS HUUIINI U 10 :¡ldll~l.f Ii( AI~ NU"B'" ----..- .-.- CHECKEU '~~"_..==~-r:'-- 'OI"..'/(li ~t"'I"U .--- MCJNU 1 U' ALlZER FINISH REAOINUS "'''H. y START PAC'ic":ï,,'":ï-- "''''AKE ..NO "OOEI. IoIOHIY TOTALIZER FINISH READINGS MOHEY START "RODuer 1'\1.... ........¡ .....0 MOU(L MONU .10TALIZI:A FINISH READINGS IoIOHL Y START ,""ouuCT Pump ,# TOTAL r,O\llI)N:i (iAl.t;~---···- . Ovu ONO GAUONS Rt IURN'U TO :;JOAAü~ CALIBRA nON lAST ADJUSTEO TO SlOW -- '--- MErtR SEALED Dns ONO AOJUS fEO TO TW- METER 3EAI.EO DYES 'ASf DNO CALIBRA TlON ":;1 AOJUStEO TO s\.ow Uk 1'i Ä -:.ã"Al f U -,..~--- Dvu ON" 8EAI~ NUWBEA C"LIBRA TION CHECKED ADJUSTED TO QA~LONS 'ASf S\.OW aA~lONS fOl-'l.llER SEA~ED DvES oNO ALLaN6 REfURNED TO STORAOE 'o\Sf SLOW METER SEALED DYES D NO (. GAllONS FAST SLOW st,nO\l NVIoI8tH CALJ8RA nON CHECKED AOJUSTED TO '''ST 5~UW IOI""ltlH Sf "lEU DyES oNO I ~~ LONS RETURNED 10 STORAGE I - -'Ii ....IN~..:.' 6I<JNt)RE <.S;::£ QJ) IotETER SEAlEO DyES DNO AUTOMOTIVE - INDUSTRIAL PETROLEUM EQUIPMENT INST ALLA TION . MAINTENANCE 2080 SOUTH UNION BAKERSFIELD. CA. 93307 · PHONE 834-1100 CALIF. CONTRACTORS LIC. Ii 294074 t.~ ~ "'. \ r .... ....... ø "J..-- ~ \~' ~~, ~G ~~\\ eGO ~ MAILING ADDRESS P.O. BOX 640 BAKERSFIELD. CA. 93302 , MEMBER ....~ PEl 5".t j, <:?fUM EQUIPMENT I~ :~,..: . Y 1\ . 2021 I ÞA'tE PAGE 1 IOXY CITIES SERVICE ATTN:ACCDUNTING DEPT POBOX 12011 L BAI\ERSFIELtI INvOiCE No. 52036 CA ~.~:. ~<,'.,,' ~.,' .., 93389-201\~';F: ':', ,'~ .~.,~ ~"lj) ..:\:.. "0' . ..,\ lOCA110N CUS'tOMER'S ORDER NO. BBL-242:1. 5000 STDCI'\DAL·· . ~ It . . oyr.-f.'. ....,.. ~r~~F,I'IV\EPEC_RFE LORE'MED-r CABELE (cJN KEF" YLOCK SYSTEM BROKEN.. I;;8'~ALLED NEIJJ Ire ::. A -{ AN I R PLA ED 'LASTIC TOTALIZER COVER "~lCHECKED FOF: PROPER OPERATION ." . .-- \. MATERIAL: ~~.:, . ~ aTY PART ~t- DESCF:IPTION F' . E 9 p-.,.<.........\ - '< 1 022107 55257 I SHAFT FLEX* 37 ' , ~~ ~ 1 OOOOOOPL/Js-rTG I REPAIR PART 1. 0 , -ror"t4-t-Zl.£.i!. Go ) f£¿S --'-:.--. OIEPC -- DATE ReCEIV( BAK 3F lD A <»NATURE/DATE 'J27-7i 7J ~: ,I COMPA '.'~ ~ ~t... ; :" ¡;;.' 101 ;,j :~ï ,,!TV iP'O\ NUMBER 11 ;~:" ""t;'a ~ j ~. ~ .Á':....'. J I L 1 i J J . ti#L 8Ji~~ J::/~j~' . ~ ~~. I -- - -- 1~,:mT. · .. ....¿ .., t·) f.'", >., ,.:.. If hI ~ t1ILF()f';F:: :to !'1(HEFUAL. ~ G U F' F' I.. I E!3 :: SAL.E~; TAX: TDTAL.~ TERMS: NET 30 DAYS SPL RP1 r:r> \"""I~'~UP ME ,. "'0 MC 810 VE/UflEO 7",· ,) ~5 3D Ü 'ì ,;.. :1.21. A flNANCI CHARGE OP 2% "1 MONTH' WHtCH IS 2..% 'PI. ANHUM ("..ICIO A"" 30 DAVS. IN nu I:VI:NT 0' AN'f lAWSUI1 OUt OF nus HlAHSAcnON fHi ,.II:VAltlHG '....n SHAll I' (HUTLED TO I(COVEI ItIASONAIU ""OINU'S "U. All MUCHANOISf '!MAINS THI "o,.nn 0' fUr.' IQUI'M(NT UNfll rAID 10' IN FUrl. A RESTOCKING CHARCE 0' NOT uss THAN 1Q% W1t.l I' MADI ON AUI1'(MS RttulltN(O '01 ClttDn' WHIM (1101 d NOT OU.S. MA.TUtAlIUUltN(O Wilt NOT I( ACC(PTEO ,-"(It 30 DAYS. CLAIMS FO' IHOITAOIS MUst" MADI"""'IDlAtILY UPON IICIIPI 0' GOO~. ORIGINAL "," . ' ., , . ... Date Completed Supplies Sales Tax Received & Accepted By PLEASE PA Y FROM THIS INVOICE. ~,ER""S' _Net due upon Re:~iDt PLEASE TOTAL RLW EIlI!lPMPIT I 1700 Flower Street Bakersfield, California 93305 Telephone (805)861-3636 .r _r" KeRN COUNTY HEALTH DEPARTMENl HEALTH OFFICER Leon M Heöenson, M.D. ENVIRONMENTAL HEALTH DIVISION INTERIM PERMIT TO OPERATE: DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Reichard PERMIT#:L800:L:LC ISSUED: JULY 1,1986 . EXPJ: RES: JULY 1, 1989 UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY NUMBER OF TANKS= 1 ---------------------------------------------------------------------- FACILITY: OCCIDENTAL EXPLOR. &: PROD. 500Ó' STOCKDALE HIGHWAY BAKERSFIELD, CA I COMPANY I I OWNER: OCCIDENTAL '" 5000 STOCKDALE HIGHWAY . ',;, , ,..iBAKERSFIELD, CA,.93309 ': --------------------------------------------------------------~------- TANK # 1 , , AGE(IN.YRS) .UNK . . ~ , ~,.. . PRESSURIZED :>~;}JNK " -.;.~~~{ .' ," '.~. NOTE: ALL INTERIM REQUIREMENTS ESTABLISHED BY THE PERMITTING AUTHORITY MUST BE MET DURING THE TERM OF THIS PERMIT ~ ~.' . . - '. . NON-TRANSFERABLE *** POST ON PREMISES DATE PERMIT MAILED: JUL 1 6 1986 DATE PERMIT CHECK LIST RETURNED: . . ., , ." ( e- I \ TANK FACILITY ANNUAL REPORT Facility ðx;Y Permit #/8'CO//<' Month/Yr. 1. I have not done any major modifications to this facility during the last 12 months. Signature Note: All major ~odifications the Permitting Authority. to Construct from 2. I have done major modifications for which I obtained Permit(s) to Construct from Permitting Authority , Signature Permit to Construct # 3. Repair and Maintenance Summary Date Attach a summary of all: Routine and required maintenance done ,to this facility I stank, piping, and monitoring equipment. Repair of submerged pumps or suction pumps. Replacement of flow-restricting leak detectors with same. Repair/replacement of dispensers, meters, or nozzles. Repair of electronic leak detection components, or replacement with same. Installation of ball float valves. Installation or repair of vapor recovery/vent lines. Include the date of each repair or maintenance activity. NOTE: All repairs or replacements in response to a leak require a Permi t to Construct from the Permitting Authority as do all other modifications to tanks, piping or monitoring equipment not listed here. 4. Fuel Changes - Allowed for Motor Vehicle Fuel tanks Only. List all fuel storage changes in tanks, noting: Date(s), tank number(s), new fuel(s) stored. 5. Inventory control monitoring is required for this facility on the Permit listed during to Operate, and I have not exceeded any reportable limits as in the appropriate inventory control monitoring handbook the last twelve months (if not applicable, disregard). Signature ;::(.. A -: /....:::-=--'~ ,i 6. Trend Analysis Summary Please attach Annual Trend Analysis Summary for the last 12 periods. 7. Meter Calibration Check Form Please attach current, completed Meter Calibration Check Form ·(. ANNUA~ TREND e- ( ANALYSIS SUMMARY to /-1l/-87 /5 20 30 37 i.f8 5'1 QUARTER 3 TIME PERIOD: 6-/,17 to It) ·5 -f7 PERIOD 7: Total Minuses Tlli~ Period (Line 3) 110 Action Number for this Period (Line 4) 1/7 PERIOD 8: Total Minuses This Period (Line 3) 12'1 Action Number for this Period (Line 4) /3~ PERIOD 9: Total Minuses This Period (Line a) 1'10 Action Number for this Period (Line 4) flit:! QUARTER 4 TIME PERIOD: /()~6' '11 to 2.·¡7·XK PERIOD 10: Total Minuses This Period (Line 3) /55 Action Number for this Period (Line 4) /65 PERIOD 11: Total Minuses This Period (Line 3) /71 Action Number for this Period (Line 4) /80 PERIOD 12: Total Minuses This Period (Line 3) /'Il( Action Number for this Period (Line 4) /C16 TANK # / TIME PERIOD: 9-'·86 QUARTER 1 PERIOD 1: 9-9-86 TIME PERIOD: Total Minuses This Period (Line 3) PERIOD 2: Action Number for this Period (Line 4) . Total Minuses This Period (Line 3) " Action Number for this Period (Line 4) PERIOD 3: Total Minuses This Period (Line 3) Action Number for this Period (Line 4) QUARTER 2. PERIOD 4: TIME ,PERIOD: 1-20-R7 to Total Minuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD 5: Total Minuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD 6: .Total Minuses This Period (Line 3) Action Number for this Period (Line 4) I hereby certify this is a true and accurate report. Signature ~,¿ ~ ~ ( ---- to 2-/1-11 S·29·P..7 65 61 80 g5 96 101 Date oZ -/ 7·R'? METER CALIBRATION CHECK FORM Pacility: C¿c,;,'i<-\J(.,r.r\"h....1 ~.<L-t~~ ICl..0'.'" Pl:!rm!!! \ 900_' , ~ Note: L All meters must have calibration checks a minimum of twice ~ year, which may include checks done by the Department of Weights and Measures. Before starting calibration runs. wet the, calibration can with product and return product to storage. Run 5 gallons with nozzle wide open into the can. Note gallons and cubic inches, drawn. and return product to storage. Run 5 ~allons with the nozzle one-half open into t1i~ can. Note gallons and cubic Inches drawn. and return product to stor~ge. . After all product for one calibration check is returned to storage. remember to record the volume returned' to storage in column 9 of the Inventory Recording Sheet. If the volume measured in a 5-gallon calibration can is more than ~ cubic Inches above or below the 5-gallon mark, the meter requires calibration by a. registered device repairman. ~e " ... 3. <i. 5. 6. Date/Time Hose or Tank t/ Fast Flow Slow Plow Vol'Ullle Returned Calibration Device Repairlllan Date of Pump t Product 5-0a11on Draft 5-0allon Draft to Stora2e Reaulred? Usec;t for Calibration Oals Cu. Inches Gals Cu. Inches Gallons Yes No Calibration J-\ Î-- ß ~ ,,5 t ~~\ X ~-f\t.J5'J c ~I \ \)\"l~\, - S ,-7- iC) J '\ I ; .: {. ~.." '-.e- <st' ~v-. .. . \ I /? .-:> Owner or Operator Signature ..' K Cali bra tor IS Signa t ure 'LQ..tr.ó...",,-,-·' SUBMIT A COPY OF THIS FORM WITH ANNUAL REPORT. . Registration' ~~ 1;,(., ~> ¡;)'5 - (~c' "3 () o COMPUTER CHANGE o METER CHANGE e [3-cALI8AA TIO" RI.~ Record of computJt.'...nge, M.ter Change, or Calibration o W/M NOTIFIED Company .. C G0\ \) E ¡,.,jT~ l,. PUMI'-MAIIE AND IoIODEL SrATlON NO. DATE -rt.~ (~q"3 CHECKED SLOW MONEY FIIST TOTALIZER READINGS FINISH I èÝ~l>' S 3 GALLONS l \J'--i~ 50. 3 GALLONS RETURNED TO STORAGE \ "2- TOTIILIZER SEALED (9-ns 0 NO MONEY START "' PRODUCT tA~t CHECKED !\LOW lS .0 FAST - METER SEALED &e- ADJUSTED TO SLOW - DNa uP·...AIIE AND "'ODI;L ~-_....._-. MONrV GAt ,:--ü,-:;--- - TOT AlIlER READING.S FINISH MONEY GIILLONS TOtALIZER SEALED DVES DNO START PRODuCT Pump # TOTAL . CHECKED ,¡;;¡-¡.-.--' SLOW MõHi'Y--'--- ----.- GÅLL";¡S- ...-....--.. FINISH TOT~LlZER READINGS IoIONU START ~ùu7~-' Pump # TOTAL PUMP tr,4AII E. ANI' ",-'ULL .--.----- "",NEV FINISH 1 U r AlIZER AEADINüS '''(IN;·Y START PAC')I:-I·'!"·,ï---- AL f'V "·...AKE AND MODEL ,; MONEY TOTALIZER FINISH READINGS MONEY START PRODUCT GAllONS lOT ALlZER StALED DVES DNa GALLO,.SHf.tURNI"U lo:¡,r,)R'&f.E sr f":IAL NUMa.- R - ------_.,- _._- CHECKfU --·-rn. t:~'_._.._ SL,O: 10IALI'[H~tAILU fà-'ll \ )NS ....---- f.AI'UN$ OVES ONO GllLl.l>NS Rl r uRNt u TO:; laRA...!; SERIAL NUMBER GALLONS FIIST CHECKED S~OW GIILLONS TIJT ALIZER SEALED DVES ONO GALLONS RHURNED TO STORAGE N".' \4.~( ANO MoueL SERiAl NUMBtH MUNt:V GIILL ONS CHECKED· SLOW FAST TOTALIZER READINGS FINISH MONI:V lL tiNS IIJIAU,ttH :>E~L£U DYES DNa START PROOuCT LONS RETURNED TO STORAGE Pump # TOTAL ......-'\ S SI~~TURE ~ /' _ _~ ,.K'. , ./ ,_ - . :> ,p=.:;> " /' ,.,~~ / CALIBRATION fAST MUER SEALED OVES FIIST METER SEAI.ED Oves CALI BRA nON f""T "'tl~Ã~ru DYES CALIBRATION FAST METER S£A~ED DYES CALIBRATION FAST IoIETER SEALED OVES ADJUSTEO TO 51 OW DNa ADJU~ rEU TO ~lC}W---· ONU ADJUSTED TO SLOW _.._e___ ONÙ ADJUSTED TO SLOW DNa ADJUSTED TO SlllW DNa e·.. Record of Comput~r Cnangt!, M"t&r Change, or CaUbrø'Uor. / /L/ "d1(/ /1~AJC¿ / 1Nj~ /A/~o.ð7l;j¡;ON W¡I/:5AJor --71?Ñ~l) o;.rro /Ñ'£" c~uAd)' A:;;t?A1. ...... /. tf'..:. I~ (~ :¡rAIION NO. OAre .DISPATCH NO, e:tlè'~UA 7 - <87 I SERIAL ,¡u..øeA Ô~'fOI GALLONS ¡ 0 ~3 G l d.. t ~ GAllONS ~ Q ~ 3~__~D 1 GAL t.L'US fiE ru. A~ËDìJ s r ~~R"'\;f. ! ..! a II0 1 . - '" e··-:' ( . R\1"~""" ....- '" t· ;' " ~:', ." o COMPUTER CHANGE . 0 METER CHANGE ~t.I8AATION o WI", NOTIFIeD Company ·O((r,~ CHECKED !FAST ~ ,- Z ¡"L~W I -to I TOTALIZER READINGS FINISH IoiIOltEV ¡ TOTAUZEIt :>[AlE!> !~ ). ! 0..0 START PAOOUC T GÇ)~ TOTAL ; ~..~ ~êiR''''~ NV"'¡¡ER -J ,. lÃÏLÜN-;¡--' -,- '-, rA~ IGAlLÙN¡. TorAL'ZEII SE'-I. C [] YES ALL HI> RErUR"IEO TO STORAGE CHECKED ..----- MO"¡'Y TOTALIZER FINISH READINGS ,""ONEY START ""OOUCT Pump # TOTAL 5~01H DHa ;..- - 1 CAUBRA T:ON FAST ~1t.OW OHO CALlBRA T¡ON ADJUSTEO TO 'AST -- 51 ~)w "'UtR SEALED DVES --..--...-.- ~ i , ONO j)EI1IAL NU"'8l1l . t CAUSAl>. nON ' ~'--T------ ---- ------- --- ------""r'" -1__-!":~'o K'- - ! MONEY' (.AtlIJNS 1~1I.j' SLOW fFAST ,~.t ow I fiNISH I I ; ,______,_ _ ,'-.1 "'ON~V GA' I (..~ ¡ loTAulER StA~lO ¡MHER Sl41.EO OVE~ 0,,,0 D'¡;S TOTo\UZER READINGS STAAT fi>iii5ûi;;:¡-- . 'VAL L.()Ñš-HfTÜftÑÏÕÎÕ'~ï:);¡¡;-~f7 - I .Pump # -TOTAL ! , ^' PU '.1" AAA II LAN' 1 ML\Ul L. S( r~IA\.. .....UMl.it A CNO Io'J '-'-------~F~NISt! LC'''E' 1 t) I ALlZER READINGS ---- 'I<'NiY _.., .------J START i ì ~OI:\I,'1 ¡pump # I OTAl Ii' ( ,\ ;; ~ C,\;.i3RATlON I --C:~fCKEIJ I AO';US1EO TO ---r'Iï:7)Ñ~-"--"-""" '-'t,-¡:;f----'-p:~:._,--·-' if4';1 '::1l0W I - i ¡ ¡ I"A" (;;.;;---" ,---" -. ·+'ÕïÄ'7D~:;"";:~' - -",-"prïi:Ã-:;tAi:~-"'----! IGAU()NS IIlIURNfU'U :;10RA'Gc!----9ytS 0"0 _"DYES ~ ,",', ..-[ I ! I , . . ~~~!!~L~;: s,¡RIA~ ,",U"'¡¡EB C¡'UJRAnON' 1'1.1 "·"'ME "".0 ...oOli ""'HEY CHECKED < SL ÙoN I GALLONS ONO TOTALIZER READINGS FINISH 1o.IONEY GALLONS S'f ART PAOOUCr ¡G"LLONSHHURNEO TO S10IlAO£ I " , oI\,;Mt' \Aa.l\l AND Muon. St:f"Al NUlolÐEH MONty &.ow I. I --k-['0IA' '-'EH SfALEU Dns OttO - -- LONS RETUrlNlO TO STORAGE GALLO..::; fAST TOTALIZER READINGS flNt$H MON£. Y GAlLONS START PROnUCT I Pump # TOTAL ,: ,..""~ s S(..~~ ;;).1\\ . j¡l,¡.t ~'-___ ,-I- DNO " ADJUSTED TO (A51 MHER SEALEO DYES SlOW 0..0 '.i¡~r~J'\; ~:)() _'j: I:;f~'~~;/\~~".:\ \ìr..~ ~ \, CAr. I j!"TI ON C~IECIS. FORM P .<?Û/V\ Perm!.!.! I 'gO_O.!} -C MErr.ER ,..-. Facility: O.cc/ de, .,"\. Note: 1. All meters IIIllSt have calibration checks a minimum of twice a year, which Clay include checks done by the Department of Weights and~easures~ ~. Before starting calibration runs, wet the, calibration can with product and return product to storage. 3. Run 5 gallons with nozzle wide open into the can. Not~ gallons and cubic Inches drawn, and return product to storage. ". Run 5 Rallons with the nozz Ie one-half open into th'~ can. Note gallons and cubic inches drawn, and return product to storage. . 5. After all product - for one calibration check is returned to storage, remember to record the volu~e returned to storage in column 9 of the Inventory Recording Sheet. 6. 'If the volume lIIeasured in a 5-gallon calibration can Is more than 6 cubic .--. inches above or below the 5-gallon mark, the meter requires calibration by a registered device repairman. D t IT' Hose or Tank II Fast Flow Slow Flow Vorul1le Returned Calibration a e lIue P ump , Product 5-Gallon Draft 5-Gallon Draft to Stora e Re uired? Gals Cu. Inches Gals Cu. Inches Gallons Yes No 1 ¡ '"" I(')-~C - A~:J <:,- IS ~5 /'~- ~ ___J -- - tC::J I : /~ o:rL)~te6 \ GA'J 5' 0 ,S a '0 '^' . \--=? .. Owner or Operator Signature_ Calibrator's Signature SUBMIT A COPV OF THIS PO Device Repairman Use~ for Calibration S"bA 1~f\J íe~l' ~~N\ Registration' . Date of Calibration , I -/0 -\I' i ') ( ) (. ! ( "'. ~ Record of Computer Change. Metef Change, or Calibration ~ o COMPUTER CHANGE e:- " ' '~~I8R~TlON [J] W/M NOTIFIED ·R' wm~"~ ': 1, ''(ja , " - o METER CHANGE OArE / _ / ()_ f 0 OISPAfCH NO. CAL/BRATION ~,eRS"""LIiO 0..0 I, DYES I '--..--- MaNry TOTALIZER FINISH READINGS MUNEY START "",,OOUCT Pump # TOTAL CHECKED Sl..OW . --.- --- UA& l {)ftc~ fAS! GALLUNS DNa . MõÑË¥--'--' -'--.- (¡ÅLi:,;ÑŠ-' ... ....-., . AS'--· FINISH TOT"LIZER READINGS IotONEY START PIIVU\~-' Pump # TOTAL P\J..w MAi'l ANi \ ML'UU. ..-.-.----- W(N(Y FINISH 1 U r ALlZER AEADlNUS YON' 'If STAAT PR(ïl':'~-!~, 1 Pump # ü"lI O..S lOT All lEA StAltO DVES DNa GALLON~ Ht-lyRNI U 10 :.;rdR.(,f - .-----..--.-.-- CHfCKf\.> 'A:;'--' -T,-;'vw'-" _.._._1__ lOl""'/U4 ~tÂ' L\) (jAi. L~}N:-¡ ti...' ,t)~--"-"-" OVI::S 0'"0 GAltllNS RllURNfU TO :; IORA<>L PVIIIP·"¡""E ~..o ~OOE~ Sl:RI"L I'4UM8€11 IotONEY fAST GALLONS TOTALIZER READINGS FINISH MONEY GAL~ONS TOI AlllER SU.~EO DYES DNa START PRODUCT SUI1AI. NUMa~M G"'LIONS RUUR>lED TO STORAOE "'.HIII"· \4.....f ""1) MOO(l MONt:Y GALLUNS CHECKED Si.OW f...ST TOTALIZER READINGS FINISH IotONtv GALi.ClNS H)'''' Ill'1 :>.AtEI> START DYES , PRODUCT ~\ ¡ ,) Pump #. TOTAL LONS RETUH>lED TO STORAGI¡ \I. Atll:~E ~ 'S\6'G"" f .;/lE ~j\¡v" To\ST AOJUSTEO TO St ow MErt.1I SEALEO Dns ; -'----¡ oNO I ì ONU CALIBRATION ! AOJUS1W TO ¡ ,!f.'1 I- I . I _____ L.__ - -.-----1 -pi "'llêry:~u 0 N\1 ¡ "1 I CAU~RAT¡ON Si.OW ONO CALleRA nON ADJUSTED TO FA:iT SlOW ONO \. r--------- -- e(-- erOo PER~II1' CIIECI<L 1ST Facill tY~'£)£JU?'ÁL b~.MMJ .¡4ã,.t?b'ð'í.tJN' ~. Permi t # /$I1O//C ThIs checl<list' is provided to ensure thilt a I I necessary packet enclos1Ires l'Iere received and that the Per-mittee has obtained all necessary equipment to implement the first phase of monitoring requir-ements. Please complete this form anrl return to !<r:lln in. the self-addressed envelope provided within 30 ~~ of receipt. Check: yes N~ ..!L V 1- v' í , L ± .; .L 0...,:,-1" .\~ "A. The pacl<et r received contained: ., ¡:. ", " 0"::'" . 1) Cover Letter. Permit. Checklist. Tnterim Permit. Phase c:T .,>.Interim Permit ~Ionitoring Requirements. Information Sheet (Agreement Bet1~een Ol'lner and Operator), Chapter 15 (I\(~(C #(ì-3U41). Explanation of Substance 'Codes, Eqll i pmen t Lis ts and Re turn Enve 1 OÍ)IL,n.,,_. 2) Standard Inventory Control Monitoring Handbook lilT-tO. 3} The Pollowlng Forms:' a) Inventory RecordinK Sheet b) Inventory Recordin(~ Sheet Io¡i th summilry on reverse c) Trend Analy~is Worksheet 4) An Action Chart (to post at facilityl B. I have examined the information on my Tnterim Permit. Phase I Monitoring Re!ì1lirements. and Informution Sheet (;\grt-'!ement betl'/I'~p.n Owner and OpenHor), and finri O\o¡nel"s name and adcÙ'ess, facility name and address, operator's name and address. substance code~, and numhel' of tanks to be accurately listed (if "no" is checked. note appropriate COtTections on the back side of this sheet). C. I have the foll.ol'ling !:.~'.!l.r,~~ equipment (as descriher! on page 6 or Handbook): 1) Acceptable gallgin~ instrument 2) "Striker plate(~)" in tflnk(::;) 3) Water-finding paste D. I have rend the inform<1t:ion Oil theenr.lt1st!d "rnforlllation Sheet" pertaininr.- to Agreements bet\.¡een O\>lnet' and IIper·utot· 'and herehy ~tate thnt the m>lncl' of this facility is t.he opernto!' (it "no" i~ checl_etl. attach a copy of agreement between owner and operator). for all tanks at this facility (if label chart(s) with corresponding E. I have enclosed a copy of r.alihration r.harts tanks are identical. one chart ~.¡ill slIEtïce; tank number-s listed on permit). 1 F. As required on pnge 6 'of Handhook #IJT-10, all meters at this facility have had calibr'ation checks within the Inst 3D clays i!!1~ we¡'e calibratf:d hy a registel'eli c1evtce repait'man.if Ollt of tole!'i.II\(~e (rdl nu'!tl![' c:alihrations mllst be reco¡'ded 01\ "t-1eter Cal ihl'iltion Check Form" fOllnd in .tlw Appendix of lIanrlbool,\. 1 G. Standard Inventory Cont!"ol Moni torin(~ Nas 5t.arted at this fad 1 ity in accordance \'i th procedures descr ¡ bed in lIi1ndhook #1J'I'-lO. Date Started ?-8-Sb CompleUng Checklist: ~ ¿ L~-:> Tit 1 e: A1~-sr. /J7,¡(1Ntd".£,v",,~ :s: v,.:}£ep,,;rtl/2.. )a t P. : //- /t::1- ßb Signature of Person Kern County Health Oepartme./-, Division of Envirorunental H \, 1700 Flower Street, Bakersfield, CA 93305 Permit.~ / P CJ ð/IG Appl ication , 18 APPLICATION FOR PERMIT TO OPERATE UNDERGROOND HAZARDOUS SUBSTANCES S'I'()RJ>£;E f'ACILIT':l ~ of Application (check): ONëW Facility O~ification of Facility .f2lExistiD;J Facility (]Transfer of ownership A. Emergency 24-Hour Contact (name, area code, phone): DaYS£i:6_{fl£í:.C.ïítCigQç..gSOE, Nights _ (!ð5~,~f::--\Á~ S- Facility Na , -.. J .~.A".I No. of Tanks I r Type of Business (check): Gaso ne Statlon Other (describe~~()u1¿ r"):L'¡r':~~;yí2.,:ilft:" Is Tank(s) Located on an Agricultural Farm? Dyes DNo . Is Tank(s) Used Primarily for þ¡gricultural Purposes? DYes 0 No Facility Address ,~t" ~/?;'ctí')AlC~/'.JY Nearest Cross St. CAùr:L'Ø..¡,;¢ ,/#__ T . R SEC Rural Locations 011y) Owner l""'d;,,=L... Contact Person £~ ~R.P1E7Í Address :Õ¿'¿;"{l~-rð<:d'~¡'¿¡; H~ Zip l$&J'I Telephone ~~-~~' Operator -:5:.,11,,"/'0';::: Contact Person h_ ~__ Address . Zip Tele¡i1one, . .' ~ B. water to Facility provided by ~; Depth to' Grol.1l1ll1oBtec ~ Soil O1aracteristics at Facility __ /V/l _~. Basis for Soil Type and GrolK1dwater Dep DetemiTnations 1'/19 C. Contractor C'/J:1~ erð'~£;;.J¿7'n:v CA Contractor's License lib. /g'?762g' Address ~~ -So.. v,v.-ðN h'Æ . - Zip fi5D7 Telephone f{Q/,(J,6 í~ Proposed Start l¥J Date Propos Canpletion Dlte WOrker's Compensation ,Certification t Insurer D. If 'Ibis Permit Is For Modification Of An Existirg Facility, Briefly Describe Modifications Proposed E. Tank(s) Store (d1eck all that apply): ~! Waste Product Motor Vehicle Unleaded Regular Pr_i... Diesel waste Fuel 011 I 0 0 Iil m B ~ 8 8 0 0 0 0 0 0 (] 8 B 8 B 0 0 (] F. Chenical Canp::.si tion of Materials Stored (not necessary for D:)tor vehicle fuels) Tank t Chemical Stored (non-coamercial name) CAS . (if kn<M\) Chemical previously Stored - (if dIfferent) G. Transfer of OWnership Date of Trãns~er Previous Facility Name I, Previous Owner accept fully all obligations of Permit bb. issued to I understand that the PennittiBj Authority may review and modify or tenninate the transfer of the Pe~it to Operate, this underground storage facility upon receivirg this completed fonn. 'I'his form has been canpleted under penalty of perjury and to the best of my Icnowladge is true and correct. ß .....-, ð 6' ç-'-// Signature ,/::',-.-:../ /.-L~~ Titl~P:/4/.~S.-<::'r.~"".:i~te 3~";:' -ð~ / Fadl í ty Nameat~¿d',1JA'. ,~-i~,~~?-£.:-i;"", permit TANK ~ eC' (FILL OUT S¡'=PARATE FORM .('.CH TANK) -'FÕR EArn SEcTIõÑ, CHECK ALL APPRõPRIATE BõXES- H. 1. Tank is: 0 vaul ted f)Non-vaul ted ODouble-Wall IiZ!single-Wall 2. Tank Material acarbon Steel 0 Stainless Steel 0 Polyvinyl Chloride 0 Fiberglass-<:lad St.eel o Fiberglass-Reinforced Plasti Concrete 0 AlLrnim.ln 0 Be,onze OUnknown D Other (describe) ,/,¿r' { - 'L'T~ØØ/N& 3. primary Containment Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer 1'" , '1«'70 4. ~ Secondary Containment o Double-Wall--r:J Synthetic Liner 0 Lined Vaul t ¡sa NOne 0 tklknown o Other (descr ibe)'~ Manufacturer: OMaterial Thickness (Inches) Capacity (Gals.) 5. Tank Interior Lining -¡:fRubber (] Alkyd DEµJxy OPhenolic OGlass DClay fæl11lined Olbkno..... DOther (describe): 6. Tank Corrosion Protection --crGalvanized [JFiberglass-Clad DPolyethylene Wrap OVinyl Wrappin;¡ , ~Tar or Asphalt OUnknown ONone DOther (describe): . Cathodic Protection: .5None OImpressed CUrrent System DSacr1ficial Anode System DescrU::e System Iir Equipnent: 7. Leak Detection, Monitoring, and Interception . a. Tank: DVisual (vaulted tanks only) [j"Grouoowater Monitorin;¡ welles) o Vadose Zone Moni toriBJ Well (s) D U-Tube Without Liner OU-Tube with Compatible Liner Directi~ Flow to Monitorin;¡ welles)· o VaPJr Detector· D Liquid Level Sensor 0 Condœtivit;t Sensor· o Pressure Sensor in Annular Space of Double Wall Tank o Liquid Retrieval Iir Inspection Fran U-Tube, Moni tori~ Well' or Annular Space ti1 Daily Gal.W:)irq Iir Inventory Reconciliation 0 Periodic Tightness Testi~ o None 0 Unknown 0 Other b. PipiBJ: Flow-Restricti~ Leak Detector(s) for Pressurized Piping- o Moni toriI'¥] SlInp wi th Race'lioBY 0 Sealed Concrete Race..øy o Half-cut Canpatible Pipe Raceway 0 Synthetic Liner Raceway Ql.None o Unkno\Wn 0 Other *Describe Make Iir Model: 8. Tank Tightness Has '!'tus Tank Been Tightness Tested? 121 Yes 0 No Dunkno'lt'l'\ Date of Last Tigþtness Test ø ce7.-, &'( Resul ts of Test Test Name 7/Æ-?"';v:;i:¿ 'l'estiBJ ~anpany J",- :v 9. Tank Repair Tank Repaired? DYes E1No Ounknown Date (s) of Repair (s) Describe Repairs 10. OVerfill Protection ~ator Fills, Controls, , Visually Monitors Level DTape Float Gau;)e DFloat Vent Valves 0 Auto Shut- Off Controls OCapacit~ce SensOr,n o Sealed--.. FH,l Box DNone Dunkno\Wn ŒlOther: ~æ- &N~¿/.¿ff/2.'Ie.$::.· List Make Iir Model Por Above Devices ~. IF (J' () / Ie 11. Piping a. Underground PipiBJ: Dyes' DNa IDUnknown Material Thickness (inches) Diameter Manufacturer OPressure OSuction LJGravi ty . Approximate Len:Jth of Pipe RLn b. Underground Piping Corrosion Protection : DGalvanized DFiberglass-Clad DImpressed Current OSacrificial Anode '. OPolyethylene Wrap OElectrical Isolation OVinyl Wrap OTar or Asphalt ßUnkno\Wn DNone OOther (describeì: ' c. Underground Piping, Secondary Containme~t: DDouble-Wall OSynthetic Liner System ONone ,Øunkno\or11 []Other (describe): þ ~ ---::" - ,:,~ = ':='I..I,y - y nnr:"1 r:'r¡ -..:. . 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