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Home My WebLink AboutUNDERGROUND TANK-C-08/19/87 '. . . :fi ~ '. \ ! I I I j j Î ·1 I I ! --' ),,; -:'-è¡ ~ QJ ¡ ft.,I\) .... J ~ "-, ;'1' 'I!j ct' ,\ , -;ï)1j - ~I ..I =.. -.- P.. = ,.... T "1', ....' J ..- c::::.. 0.:1 '~Î ',J; ¡;; & -- , I' ~rl'¡' '1 .,' I,~ ~- 't) Í<'¡ ":11'( t"tlt. ~I øc ,-I ;.~, +¿u,:',~ "'I ,~ , , ". \ ~ .. . , -, " , . r ~ tit ~rIf1!' " \ I ,1 ) '.t :1_ ..~' I I,~ (- . ) : ~ " ' :, þ ill/"; It¡ l~ __ . . t~ rn :l- I r . () ~~~: C.Pa'¡¡r~ - ..~:...-_._.....__. A ~ ........ _.......¡:t.?~. ':' ,,. ~.=¡ ;' ~. ¡¡U IJ j "'... \ ! ~ \9 ,i ~ 00 !" I ~ ~ ~ .... ~H ~ ,_. '" '/ ; .) , I \ - ~ \ II: ___ '0 , J A' S TP.E. E. T ~~ '¡'~ . .1. ,(5) J",!,' ~ I I' '.' , 11\ ,.' . , . '"-0.; fi··.. . ; ~ . .", n .i. , -,,<". ,.' ' ,~._, ..' ,': '. " .J. ..... ". j,. ··,JI . ~;:'_: i -." '! ---;;. <'.¡..'¡' -~.;:' iO.¡ SOUTHERN PACIFIC: COMPANVi , ~ PACIFIC LINts ;.. ' ·8' , A K,' "', E ¡", S', f.~rF L ,0 r" , j r'\ K " 0-' , I ~.~ .1.' ..:. 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'-J ~;~~~'~f:å~:~{ -~'J;<~!i.~~" ~ft '~>-~""S;~' J "~* r' !" ,'~ . ~.'. ,.,'\.;;,.. .' e' "~i< ""'-..,. .....,. ......, ~~", ',.:>:~\ >:.. '::"-'. ,"",::.~::,: í~.' ./ . ~.::~;.::j " .~':-~~;..,,:-~:: ,,!, ",+ -·4'- - l~ -¡;-:; ;; ,. 4;- A" -, :'" ¡.' .- , I rr ORAW~Ff' Ie "-,,... V~_ ; , '~"f " '! " .~..: -, . . - -- /.: - --, " '.' "", -"'",\> ~) FILE COHTE~TS SUMMARY - ì 1_ FACILITY: D\I e)5 I rOYì~4?e r c¡-- S+-n fo QG 1 v ADDRESS : -=) l c:z ':=\Cl vY\ V\ er S+ ' ENV. SENSITIVITY: NEs PERMIT #: /.5 ()û;;¿ ::2., Activity Comments Date # Of Tanks n\OOlìC,O+\() V) I Of -:y;!icc-k(') 11 /I- /Z5 -/-')' " )Q h rf6ulhs ()I< )pj.k ( . -:s /=2. 57 :1,"\- / 71 /Lj I &"G ! , . I !/Jis/~ I / .' 7!/7Ig7 '( , ??/ / 9 /,~ '7 I ' operû-k-. aha Ylcln j/ ì 0;00 y¡d.n VÎ 1700 Flower Street Bakersfield, California 93305 Telephc:me (805) 861-3636 '., "'AN COUNTY HEALTH DEPARTM~) ENVIRONMENTAL HEALTH DIVISION HEALTH OFFICER Leon M Hebertson. M.D. DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Reichard August 19, 1987 Joe Nani Dye's Tr~nsfer and Storage 518 Sumner Street Bakersfield, California 93305 (f Re: A185-15 Mr. Nani: A review of the analysis of the initial soil samples taken at the Dye's Transfer located on 518 Sumner Street in Bakersfield indicated that some minor background contamination was identified at approximately six feet below the tank. Further soil sampling performed at the site indicated that at approximately eight feet below the tank no further contamination was found. The Kern County Health Department is satisfied with the results of the investigation and considers abandonment A18S-lS complete. Thank you for .your cooperation. ~incerely. , ~' --- ~ ) >:1 J- / Tom Mele Environmental Health Specialist Hazardous Materials Management Program TM:aa .....-.......,.,........ .....~,....,..,...,... 1700 Flower Street Bakerslleid. Call1orn'a 93305 Telephone (805) 861-3636 ,.""1 COUNTY HEALTH DEPART_-} ENVIRONMENTAL HEALTH DIVISION ~"'- HEALTH OFFICER Leon M· Hebert.on. lioii,0. DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S, Reichard May 30, 1986 Joe Nani Dye's Transfer and Storage P.O. Box 3037, Station A Bakersfield, California 93385 Dear Mr. Nani: The abandonment permit application you sent this office on May 22 does not clearly indicate how you propose to abandon the tank located at your facility. Please try to complete the new application form as ~st you can and call this department if you need furt..'1er guidance. Remember you must indicate who is going to rerrove the tank and who is going to take soil samples beneath the tank. Also, indicate on the reve~se side of the applica- tion form a plot plan showing the tank and piping location in relation to the rest of your facility. Sincerely, ~..! ~·ž /")-1t-2:- Thomas A. Mele Hazardous Materials Management Program TAM:sw DISTRICT OFFICES Delano ,Lamont lake Isabella " Malave , Rldgecre,1 . Shaftllf , Tan 1700 Flower Street Bú....II.id. Call1ornla 93305 Tel.phone (8051861-363/1 t" _l ' E~N COUNTY HEALTH DEPART~ HEALTH OFFICER L.on M H.b...t.on, M.D. ENVIRONMENTAL HEALTH DIVISION OIRECTOR OF ENVIRONMENTAL HEALTH V.rnon S. R.lchard May 13, 1986 \ Joe Nani 518 Sumner Street Bakersfield, CA 9330,5 Dear Mr. Nani: In response to our telephone conversation, I have enclosed an abandonment permit application and our requirements regarding tank removal. A permit to abandon will be issued after the submitted application has been approved. The permit will enable you to get necessary approval from the local Fire Department for tank abandon- ment. Please feel free to contact this office if you have any questions concerning the enclosed application. Sincerely, 7L¿f~ Thomas A. Mele Hazardous Substances Management Program TAM: sw OISTPIC"!' QFC!CES !)~I!Snl) . ...... . ..~h...II'~ -'i..... ~HQr ""!"'...ti ~ 1700 Flower Street Bakersfield. California 93305 Telephone (805) 861-3636 .'~ ~) KERN COUNTY HEALTH DEPARTMENT HEALTH OFFICER Leon M Hebertson. M.D. ENVIRONMENTAL HEALTH DIVISION DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Reichard Dear Tank Owner: An invoice for current annual fee for a Permit to Operate underground storage tanks is enclosed. This year's billing also includes a state surcharge that we are required by law to collect. This surcharge will not be collected annually, It was establ ished for the term ~ the permi t, 5 years. inc luding the current conditional permi t period. Kern County fees ar~ annual fees. A packet with your permit, options. and required forms for receipt of fee payment. monitoring requirements reporting will be sent and upon Please return the ~ttached 4uestiunnuire and the top portion of the invoice with payment in the enclosed s~lf- addressed envelope. The questionnaire will assure that the facility permit and instructions are sent to the proper address, I f there are any el'rOI'S on questions regarding this núrin'. (805) 861,-3636, YOllr invoice. or if you have please contact Jane Warren at Thank YOII fnr YOllr I'()nnor",t" 1 on Hözart10us Ma tf~r i a I s Managemen t Pro~ram Underground Tank Ser.ti')!1 - ~/ -1-_ - /~u.:i oK.,; v(,/1 f~1/Yn ~1./-dj-1 J -!1.J.;ù?-- ctj (}<-~-:i;::...¿/ /7 - , /. 'j ~iÁ-¡¡- -----;-- I /-?i-V I~ ~}{J r- '7;/ /2;?.£..~4~ I~Y &¿¿, ~ - /~L.-.:¡ , - I I ~þ C'L:,ut JJ j.v;'-'M,. (,:¿ c /1':1 I 'U " ~/ IO·,j¿-·i rA~~- /Zr'¡'¡'U' tV(A.}rK? ~·-I.,-( , ,¡ ,,'JÎJI ki~'- ) -, i ~; .Ij- , - \, DISfJitCì '.' e. ~ -'-) PETROLEUM LABORATORIES. Inc. J. J. EGLIN, REG. CHEM. ENGR. 4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911 , AGRICUl TURE ~ CHEMICAL ANAL YSIS Purgeable Aromatics (SOIL) DYES TRANSFER AND STORAGE 518 SUMNER STREET BAKERSFIELD, CA. 93305 Attention:SHELLY HILL Date of Report: 17-Jul-87 Lab No.: 13763 Sample Desc.: GASOLINE TANK @8' DATE SAMPLE COLLECTED: 13-Jul-87 DATE SAMPLE RECEIVED @.LAB: 13-Jul-87 DATE ANALYSIS COMPLETED: 14-Jul-87 Constituent Reporting Units Analysis ,Results Minimum Reporting Level Benzene Toluene Ethyl Benzene p-:-Xylene m-Xylene o-Xylene Isopropyl Benzene Petroleum Hydrocarbons ug/g None Detected 0.10 None Detected 0.10 None Detected 0.10 None Detected 0.10 None Detected 0.10 None Detected 0.10 None Detected 0,10 None Detected 5.00 None Detected 0.10 ug/g ug/g ug/g ug/g ug/g ug/g ug/g Total Pet. Hydrocarbons ug/g TEST METHOD: California State D.O.H.S. SW 5020: Dry Matter Basis Comments: PETROLEUM HYDROCARBONS: Quantification of volatile hydrocarbons present (C1 to C20) utilizing a gasoline factor. As outlined by the California D.O.H.S. These petroleum hydrocarbons are in additi?n to the constituents specifically defined on this report. TOTAL PETROLEUM HYDROCARBONS: The sum total of all [non-chlorin- ated] constituents on this report. By ~~ C%J .J. glin ~ /)/,Ì ., / r/ 7/ }/'t/./_ i L//~V/~ . . Analyst AGRICUl TURE .,J LABORATORIES, Inc. J. J. EGLIN, REG. CHEM. ENGR. 4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911 CHEMICAL ANAL YSIS PETROlEUM Purgeable Aromatics (SOIL) DYES TRANSFER AND STORAGE 518 SUMNER STREET BAKERSFIELD, CA. 93305 Attention:SHELLY HILL Date of Report: 08-Jul-87 Lab No.:. 12565 Sample Desc.: 1000 GALLON GASOLINE TANK MIDDLE OF TANK @2' DATE SAMPLE COLLECTED: 29-Jun-87 DATE SAMPLE RECEIVED @ LAB: 30-Jun-87 DATE ANALYSIS COMPLETED: 07-Jul-87 Benzene Toluene Ethyl Benzene p-Xylene m-Xylene o-Xylene Isopropyl Benzene Petroleum Hydrocarbons ug/g ug/g ug/g ug/g ug/g ug/g ug/g ug/g' Minimum Analysis Reporting Results Level None Detected 0.10 None Detected 0.10 None Detected 0.10 None Detected 0.10 None Detected 0.10 None Detected 0.10 None Detected 0.10 None Detected 5.00 None Detected 0.10 Constituent Reporting Units Total Pet. Hydrocarbons ug/g TEST METHOD: California State D.O.H.S. SW 5020: Dry Matter Basis Comments: PETROLEUM HYDROCARBONS: Quantification of volatile hydrocarbons present (Cl to C20) utilizing a gasoline factor. As outlined by the California D.O.H.S. These petroleum hydrocarbons are in addition to the constituents specifically defined on this report. TOTAL PETROLEUM HYDROCARBONS: The sum total of all [non-chlorin- ated] constituents on this report. ...,....,.. . " " ... -~ '/1 ' ~~:.h"ðf!-;r.. J. J. ð"/. ,/"'". -;..r / ~ I""(..:~., "r~f/ /,' ('/ Eglin (2~í~~ Analyst AGRICUl TURE -'-) LABORATORIES, Inc. CHEMICAL ANAL rSIs PETROLEUM J. J. EGLIN, REG. CHEM. ENGR. 4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911 Purgeable Aromatics (SOIL) DYES TRANSFER AND STORAGE 518 SUMNER STREET BAKERSFIELD, CA. 93305 Attention:SHELLY HILL Date of Report: 08-Jul-87 Lab No.: 12566 Sample Desc.: 1000 GALLON GASOLINE TANK MIDDLE OF TANK @6' \., DATE SAMPLE DATE SAMPLE DATE ANALYSIS COLLECTED: RECEIVED @ LAB: COMPLETED: 29-,Jun-87 30-Jun-87 07-Jul-87 Minimum Reporting Analysis Reporting Constituent Units Results Level \ ~.. Benzene ug/g 0.94 0.10 Toluene ug/g 5 ..25 0.10 / Ethyl Benzene ug/g 2.98 0.10 p-Xylene ug/g 4.42 0.10 m-:-Xylene ug/g 9.97 0.10 o-Xylene ug/g 9.97 0.10 Isopropyl Benzene ug/g 1. 25 0.10 Petroleum Hydrocarbons ug/g 36.37 5.00 Total Pet. Hydrocarbons ug/g 71.15 0.10 TEST METHOD: California State D.O.H.S. SW 5020: Dry Matter Basis Comments: PETROLEUM HYDROCARBONS: Quantification of volatile hydrocarbons' present (Cl to C20) utilizing a gasoline factor. As outlined by the California D.O.H.S. These petroleum hydrocarbons are in addition to the constituents specifically defined on this report. TOTAL PETROLEUM HYDROCARBONS: The sum total of all [non-chlorin- ated] constituents on this report. By t 1- ,q¿0./ VJ. JPEglin C2~µJ!~~ Analyst 1700 Flower Street Bakersfield, California 93305 Telephone (805) 861·3636 _ N COUNTY HEALTH DEPARTMEN~ ' HEALTH OFFICER ,., ~_ ") Leon M Hebertson, M.D. , ENVIRONMENTAL HEALTH DIVISION ;".::' - "- DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Reichard Kern County Permit # A- Ig5cí:~) Facility Name 3) \j G IS IfCU'lC~e.r ~ S~~~c.- Address 5J ~ ~ Win (\e.f" S+ræt bJ<er~c:;·Ç;·\~Já 1 Gt q~ * * UNDERGROUND TANK DISPOSI¡ION TRACKING RECORD * * This form is to be returned to .the Kern County Heal th Department wi thin .!1 days of acceptance of tank (s) by disposal or recycling facility. The holder of the permit with number noted above Is responsible for insuring that this form is completed and returned. " . . . . . . . . . . . . . . . . . . . . .. . . . . t- . . . . . . . . . . . . . Section.! - To be filled o,ut .Qy tank removal .£Qntractor: Tank ::::::~ con;~c~~ £~ :~~~:i~Äi~~í . "3 aJ<er5~:e ,íJ ; C..A ~~ ';¡" G Date Tanks Removed {p / -d.. q ( g'1 Phone # Q'7! -géY19 Zip q 33CJ¿~ No., of Tanks I . . . . . . . . . . , . . . . " " " . I . . " . . . . . " " . . " . " . Section -ª. - To be filled out .!?}: contractor "decontaminating tank(s): I Address # çg'1 (- 'i017' Zip c¡ 330~ signing below that Kern County Health Tank "Decontamination" Authorized representative of contractor tank (s) have be n decontaminated " ' Department r ui emen ()f(y('~ ¿ (J~~ U ) Title " . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section 3 - To be filled out and sl~ned .Qy -ª!! authorized representative of the treatment. stora~e, EK disposal facility acceptin~ tank(s): Facil i 1:Y Name Address COMMERCIAL TANK SALES EPA# CAD961979388 41) Phone # 209-233-8265 Zip 93706 No. of Tanks ~ Title S7fll/-7r¡e. oþ.eœd~ 3::>::9 Sn_ E1 m Ave. (HWY. ~~ø~nn, CA. q~?06 Date Tanks Received 1--10 - f~7 SIgnature L'fyY} 0 . ~~ (Authorized Repr nt~ive) . . . . . . . . . . . . . . . . . . . . . . . . . . . . * * * MAILING INSTRUCTIONS: Fold in half and staple. Postage and mailing label have already been affixed to outside for your convenience. (Form #HMMP-150) DISTRICT Q;FICES Delano . Lamont . Lake Isahnlla , Mojave . Rldgecresl . Shatter . Taft 1700 Flower Street Bakerslleid. California 93305 Telephone (805) 861-3636 .~"N COUNTY HEALTH DEPAh ..~-'') HEALTH OFFICER Leon M Hebertson, M.D. PERMIT FOR TEMPORARY OR PERMANENT OIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Reichard PERMIT NUMBER A185 CT 14 FACILITY NAME/ADDRESS OWNER (S) NAME/ADDRESS: Dye's Transfer & Storage 518 Sumner Street _Bakersfieldr CA 93305 Joe B. Nani Box 3037, Station A Bakersfield, CA 93305 PERMIT TO ABANJX)N PERMIT EXPIRES Ju 1 Y 1 8 r 1987 1 TANK AT ABOVE APPROVAL DATE ,T\Jly 18, 1qRn I.J:CATION. APPROVED BY / I Æ.:'>m<.,;J. él 7y¡.<-e( ~ Thomas A. Mele I' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . POST ON PREM I SES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CONDITIONS AS FOLLOWS: 1. Permittee must obtain a Fire Department permit prior to initiating abandonment action. 2. An procedures used must be in accordance wi th requirements of Standards and Guidelines developed for implementation of Kern County Ordinance Code #G-3941. A copy of these requirements are enclosed with this permit. 3. A'minimum of two soil samples at depths of approximately 2' and 6' below the center of the tank must be obtained. 'All gasoline tank soil samples must be analyzed for benzene, toluene, and xylene. 4. Advise this office of the time and date of proposed sampling with 24 hours advance notice. Accepted By . MAIU.!J Date 7PN6 / DISTRICT OFFICES n...l"n" I Ámnnf I A&ua f"Ahøftn "4nln\fA Rlrlnpr'fut ~"'nttnr Tf'ft e K~rn County Health Department Qi'Ji:5Ìon of Environmental Henlth 1700 Flo\~r Street, Bakersfield, CA 93305 Permitf:') A/6'5 Application Date No. of Tanks to be Abandoned j --¡;;; y )<' APPLlCATlOO FOR PERMIT FOR TEMPORARY OR PERMNmn' CLOSURE/ABANOONMEN'l' OF UNDœ:;ROUND BAZAROOUS SUBSTANCES S'l't'JRAGE FACILITY A. ~ of ~plication (Fill Out One , DTemporary Closure/Abandonment Project Cont~ct (name, area code, phone): Days FéJsility Name % f(,f ~I< F;:¡cil i ty Address ' <:'-Þu~ d T' R SEC (Rural C)..¡ner ' .\ddress Operator Address Application Per Facility) jDipermanent Closure/Abandonment Nights ~, . Nearest Cross St. Locations Only) Telephone /C---q I s.-r-, Zip Zip Telephone B. \-Jater to Fac.il i ty Provided by Depth to Groundwater Soil Charasteristics at Fñ~ility Basis for Sail Type and Groundwater Depth Determinations C. Tank Removal Contractor --:Dr 'Þ;1- ~ ? }}t],5 CA License No. Nð)(itir t!>t~IÏV-;Ý' Address .r¡ 1? ~5r Zip Telephone 3 "...7 -(j~0 Proposed Startirt:j Date Proposed Canpletion Date ~~!J~ Worker's Compensation Certification ~ 5i>/;:. (1~I'U~ Insurer r::~L /- ,~ /,:'" Environmi::nt¡:Ü Assessment Contractor q 33 D :::: CA License No. };)0-,'0 (... ~~ Address .ft 8 S ~)-U/ _\ê . Zip Telephone . >I ~ 27- i£-;¿,j_ ¡ Proposed Starting ?ate !fftt- ;¡~f ,prg.~sed Ccmpletion Date ~J¡~ ,') ¡...Jorker s CompensatlOn Certl lcatlOn ,..5fi;tz. (6'1s-'f1.¿,i~' Insurer -;t;.;y ~ ' \ ÍC-? Gv7t/ / r1 I ' .f~ ' D. Chemical Composition of Materials Stored ' Tank ~ Chemical Stored (non-commercial name) Dates Stored Chemical Previously Stored (if different) ----- - to to to to -- E. Describe Met~od for Retrieving Samples Sampl~s Will be Analyzed for ~~1 e ,L -;;. h Laboratory That Will Perform Analyses of Samples Address Telephone F. This app.lic<ìtion for: æI removal ::>r o abandonment in place * * PL~ASE PROVIDE INFORMATION REQUESTED ON REVERSE SIDE OF THIS SHEET BEFORE SUBMITTING ~PPLICATI~N FOR RE'n~w. T:1Ìs b¡:m I v;s b<,~2n c()mrlet~rl under penalty of perj ury an~ to the best of my knowledge is true é'lnc.ì ;;'.)r((~ct S ).<Jna tura ___-¡%5:_4¡~_ ¿~!:~:..__ ___._____._____.__... Ti tl~ _!::I<-:~~ik.i:.;¡t:---- Date 7); 'It/It> ,/ e (A -) \~ '-- Provide Description of Physical Layout of F~cility Using Space Provided Below: Include All the Following Infonnation: ---- Location of Tank(s), Piping & Dispenser(s) ---- Proposed Sampling Locations Indicating Approximate Depth ~ 1/.._ ".J of Samples ' /7 ~ Nearest Street or Intersection ~ Any Water Wells or Surface Waters Within 100' Radius of Fadl ity t NORTH L ~wI¿ -~~,,- - ""1-' I , !3ð- / w s,~ -- 'S~/)'Z,.¡¿~~ fþ I / I. .~:J~)r ') ",'," 1 r~ / c::.......;.), '. 93305 Perlllit. ' . Appl i cat ion "''-_) /,..:::' V ~/.~~.;~ J~ K~n:. \:ounty Hecllth Oeparuf,entà D1V 1510n of Env'l rop.rr.<-mtal He~ 1700 Flower Street, Bakersfield, ~ _<-!:'~-85 APPLICATION FOR PERMIT TO OPERATE úNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILIT'i . ~ of Application (check): o New Facil i tyD flbdification of Facility g.ExistiD;) FacilIty DTransfer of OWnership J B Na~ 805-871-5130 Emergency 24-Hour 'Contact (name, area code, phone): Days 08. . Nights Same Facil i ty Name DYE'S TRANSFER & STORAGE IHC., No. of Tanks 1 Type of Business (check): [JGasoline Station gOther (describe) Moving & :::.t.orage Is Tank(s) Located on an Agric.ult.ural Farm? Dyes E] No Is Tank(s) Used Primarily for Agricultural Purposes? DYes !] No Pacility Address 518 Sumner Street Bakersfield,Ca..,earest Cross St. Kern T R SEC (Rural Locations cnly) owner DYE'S TRF & S'l'lJ INC;., Contact Person tJO¡:; jj NAN.L Address BOX 10":17 STA A 518 SUMNER STREET zip Cì-:J, :.;gç TeleP1008 ö05-327-4261 Operator SAME Contact Person Address Zip Telephone A. ----- -, 8. water to Facility Provided by erVlce Depth to GroundWAter Unknown Soil Characteristics at facility ~nknown Basis for Soil Type and Ground~ter Depth Detenninations CA Contractor's License No. Zip Telephone proposed Canpletion Date Insurer C. Contractor Address Proposed Starting Date Worker's Compensation ,Certification . D. If This Pepnit Is Por Modification Of An EXisting Facility, Briefly DalCribe Modifications proposed E. Tank(s) Store (d1eck all that apply) : \~! Waste Product Motor Vehicle' Unleaded Regular pr.i... Di..1 waste Fuel 011 1! D 0 fJ I!J 8 ~ B 8 0 0 0 0 [J B D 8 B B 8 0 0 r. Chemical Composition of Materials Stored (not necessary for ~tor vehicle fuels) Tank I Chemical Stored (non-cOlllnercial name) CÞ.S t (if KnO\lll1) Chemical Previously Stored (if different) '~!'y' G. Transfer of Ownership Date of Transfer prev lous Owner Previous Facility Name I, accept fully all obligations of Per.mit No. issued to I understand that the PermittiR;J Authority may review and modify or terminate the transfer of the Permit to Operate this œder9ro~d storage facility .upon receiving this éompleted foom. Signature Jim Murphy pe r ) ur y and to the best of my knowledqe is 'ftlis form has been completed true and correct. ~ T1 tle Manager Date 3/25/85 " · '."-, - ~ ~ '-- , - ( -~ \ ¡:..,; ... -.-.... ",- -:::: _ ~ ~ \ J.. .... TANK ~ e· (FILL OUT SEPARATE FORM .:JCH TANK) -FOR EACH~ECTIõN, œECK ALL APP"RõPRÏÄTE-BõXES- H. 1. Tank is: DVaultèd DNon-Vaulted OI:))uble-Wall OSingle-Wall Unknmoffi 2. Tank Materiál' DCarbon Steel 0 Stainless Steel 0 Polyvinyl Chloride 0 Fiberglass-Clad Steel o Fiberglass-Reinforced Plastic 0 Concrete 0 AlLlI1im.aIl D Bronze DUnknown o Other (describe) 3. Primary Containment Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer UnimOiffi Unknmm 1, ana Unmmm 4. Tank Secondary Containment o Double-Wall U Synthetic Liner 0 Lined Vaul t D None [) unknoW'\ OOther (describe): Manufacturer: Dt-Bterial Thickness (Inches) Capacity (Gals.) 5. Tank Interior Lining , DRubber 0 Alkyd DE'EX>xy, OPhenolic OGlass DClay Dlblined D1l1'1knoW1 DOther (describe): 6. Tank Corrosion Protection -rrGalvanized DFiberglass-Clad D~lyethýlene Wrap OVinyl Wrappin:j OTar or Asphalt [?jUnknownONone OOther (describe): ' Cathodic Protection: o None DImpressed CUrrent System r::J Sacrificial Anode System Describa System & Equipnent: 7. Leak Detection, Monitoring, and Interception . a. Tank: OVisual (vaulted tanks only) LJGrourdwater Monitoril'J} Well (5) o Vadose Zone Monitor in:j Well (s)O IJ-Tube Wi thout Uner o U-Tube with Canpatible Liner Directi~ Flow to Monitor11'J} Well(s) * o Vapor Detector* 0 Liquid Level Sensor 0 Condoctivi t~ Sensor* , 0 Pressure Sensor in Annular Space of Double Wall Tank o Liquid Retriev~l & Inspection Fran U-Tube, Moni toriD:] Well or Annular Space D Daily GalX1iD:] & Inventory Reconciliation 0 Periodic Tightness Test1D:] D None 1&1 unknown 0 Other b. Piping: Flow-Restricting Leak Detector(s) for Pressurized PipingW D Moni torin:j SlDp wi th RaceWlY 0 Sealed Concrete RaceWlY o Half-cut Canpatible Pipe Raceway 0 Synthetic Liner Raceway 0 None ~ UnknoW'1 0 other *Describe Make & Model: 8. Tank Tightness Has nus Tank Been Tightness Tested? DYes D~ 6C]unknown Date of Last Tightness Test Results of Test Test Name Testing Company 9. Tank Repair Tank Repaired? DYes aNa DUnknown Date(s) of Repair(s) Describe Repairs 10. OVerfill Protection ~Operator Fills, Controls, & Visually Monitors Level OTape Float GalX1e OFloat Vent Valves [] Auto Shut- Off Controls OCapacitance Sensor DSealed Fill Box DNone Dunknown [JOther: List Make & Model For Above Devices 11. Piping a. underground Piping: DYes DNa EaunknoW'1 Material Thickness (inches) Diameter M~nufacturer DPressure DSUction OGravi ty Approximate Le~th of Pipe Run b. Underground Piping Corrosion Protection : DGalvanized DFiberglass--Clad DImpressed CUrrent OSacrificial Anode Dpolyethylene Wrap DElectrical Isolation OVinyl Wrap DTar or Asp-¡alt E9Unknown o None DOther (describe): c. Underground Piping, Secondary Containment: ODouble-Wall OSynthetic Liner System DNone Ounknown [JOther (describe): i __