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Home My WebLink AboutUNDERGROUND TANK 6/7/1991 - - CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT S, D, JOHNSON FIRE CHIEF January 10, 1992 2101 H STREET BAKERSFIELD, 93301 326-3911 Regina Nickerson Assistant Field Office Manager Public Buildings Service Sacramento field Office 801 I Street, Room 356 Sacramento, California 95814 /lIlu/c¿ hl-P N RJu:t5 BU51 Ae.-5S r(~ RE: Permit requirements for the underground storage tank located at 800 Truxtun Avenue, Bakersfield, California. Dear Ms. Davis, Your letter dated June 12, 1991 addressed to Kern Codnty Environmental Health was forwarded to this office. The Hazardous Material Division of the Bakersfield Fire Department is the implementing agency for the underground tank program within the city limits. ", ! Your letter was accompanied with State forms A & B. These forms were incomplete. All state forms must be filled out completely except for the areas marked for Official Use only. This includes the Board of Equalization account Number. This number can only be obtained by the tank owner. I have enclosed State forms A, B, & C and a Application for a permit to operate an underground storage tank. The State forms must be accompanied with a $56.00 check made payable the City of Bakersfield to cover the state surèharge. You will be billed later for the annual operating permit. If you have any questions, please call me at (805) 326-3979. Sincerely, , I., ¡Jj)Ú/llM)~O~--"" /~ A. Dunwo~-- ~ Hazardous Material Specialist Underground Tank Program ~ e e .' ....' , \ General Services Administration 801 I Street, Room 356 Sacramento, California 95814 June 12, 1991 ,,-, Ms. Donna Davis Kern County Environmental Health 2700 M Street, Suite 300 Bakersfield~ California 93301 /" , ''>, RECEIVED .. J ~< . I, S E P 1, 1991 , './,- '~...... v I¡~?'A 'd /:WA '~M, r'ßS ·...00...... :9~ ,,/)), 'I -", Re: Permit request for underground storage tanks. Dear Ms. Davis Enclosed please find the Underground Storage Tank Permit Application for the tank located at 800 Truxtun Avenue, Bakersfield, California. If you require additional information, please feel free in contacting me at 9l6~55l~2684. Sincerely, 'Ì ,~ e e STATE OF CALIFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM A COMPLETE THIS FORM FOR EACH FACIUTYISITE MARK ONLY ONE ITE,M [R] 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAL PERMIT D 4 AMENDED PERMIT o 5 ())fANGE OF INFORMATION 0 7 PERMANENTLY CLOSED SrrE o 6 TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS· (MUST BE COMPLETED) DBA OR FACILl1Y NAME NAME OF OPERATOR Bakersfield Federal Building GæœX General Services Administration AD~~ðs T:ruxton Ave. NEAREST CROSS STREET PARCEL # (OPTIONAL) CI1Y NAME STATE I ZIP CODE SIT{: PHO)E # WITH AREA CODE Bakersfield CA 93301 209 487-5069 .,/ BOX o CORPORATION o INDIVIDUAL o PARTNERSHIP o LOCAL·AGENCY o COUNTY·AGENCY o STATE,AGENCY ÇJ FEDERAL -AGENCY TO INDICATE. DISTRICTS 1YPE OF BUSINESS D 1 GAS STATION D 2 DISTRIBUTOR D .,/ IF INDIAN 1# OF TANKS AT SITE E.P.A, I. D, # (optional) RESERVATION 1 D 3 FARM D 4 PROCESSOR Qg 5 OTHER OR TRUST LANDS EMERGENCY CONT Ar:r PERSON (PRIMARY) DAYS; NAME (LAST, FIRST) PHONE # WITH AREA CODE EMERGENCY CONTACT PEPÞSON (SECONDARY)· optional DAYS: NAME (LAST. FIRST) PHONE # WITH AREA CODE ME (LAST, FIRST) II. PROPERTY OWNER INFORMATION· MUST BE COMPLETED NAME United States Govermnen.t MAILING OR STREET ADDRESS Sacramento, CARE OF ADDRESS INFORMATION General Services Administrations .,/ box 10 Indicate 0 INDIVIDUAL 0 LOCAL·AGENCY 0 STATE,AGENCY D CORPORATION 0 PARTNERSHIP D COUNTY,AGENCY ~ FEDERAL·AGENCY STATE ZIP CODE PHONE # WITH AREA CODE CA 95814 (916) 551-2684 III, TANK OWNER INFORMATION· (MUST BE COMPLETED) NAME OF OWNER United States Government MAILING OR STREET ADDRESS CARE OF ADDRESS INFORMATION General Services Administration .,/ box IDlndicate 0 INDIVIDUAL D LOCAL,AGENCY D STATE,AGENCY D CORPORATION 0 PARTNERSHIP D COUNTY,AGENCY IXJ FEDERAL·AGENCY STATE ZIP CODE PHONE # WITH AREA CODE CA q5814 (916) 551-2684 IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER· Call (916) 739-2582 if questions arise. TY(TK) HQ @E]-ITIrITJ V. LEGAL NOTIFICATION AND BILLING ADDRESS Legal notification and billing will be sent to the tank ()wner unless box I or II is checked. CHECK ONE BOX INDICATING WHICH ABOVE ADDRESS SHOULD BE USED FOR LEGAL NOTIFICATIONS AND BILLING: 1.0 II.[K] III. D THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT 'th LOCAL AGENCY USE ONLY APPLICANT'S TITLE Asst. Field Office Manag COUNTY # CD JURISDICTION # [JIJ FACILITY # ITIrITJ LOCATION CODE - OPTIONAL I CENSUS TRACT # - OPTIONAL I SUPVISOR - DISTRICT CODE - OPTIONAL THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR MORE PERMIT APPLICATION· FORM B, UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY, FORM A (9-90) FOR0033A,R2 ',þ " e e /' / / 1 NEW PERMIT D 2 INTERIM PERMIT D 3 RENEWAL PERMIT D 4 AMENDED PERMIT D 5 CHANGE OF INFORMATION 0 7 PeRloolANENTLY CLOSED TANK D 8 TEMPORARY TANK ClOSURED 8 TANK REMOVED STATE OF CAUFOINA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM FACIlITY I SITE NAME WHERE TANK IS INSTALLED: I. TANK DESCRIPTION A.. OWNER'S TANK I. D.' / C. YEAR INSTALLED B. MANUFACTURED BY: ~ D. TANK CAPACI1Y IN GALLONS: .5Sò II. TANK CONTENTS IF A-lIS MARKED. COMPLETE ITEM C. A. D 1 MOTOR VEHICLE FUEL D 2 PETROLEUM B. C. D 1 UNLEADED D 2 LEADED D 3 DIESEL D 3 CHEMICAL PRODUCT ~ OIL D 1 PRODUCT D 4 GASAHOL D 5 JET FUEL D 6 AVIATION GAS o 80 EMPTY D 95 UNKNOWN D 2 WASTE D 7 METHANOL D 99 OTl-iER (DESCRIBE IN ITEM D. BELOW) D. IF (A.1) IS NOT I\AARKED, ENTER NAME OF SUBSTANCE STORED C.A..S,,: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A.. B, AND C. AND ALL Tl-iAT APPLIES IN BOX D A. TYPE OF D 1 DOUBLE WALLED D 3 SINGLE WALLED WITI-I EXTERIOR UNER [2('95 UNKNOWN SYSTEM D 2 SINGLE WALLED D 4 SECONDARY CONTAINMENT D 99 OTHER D 1 BARE STEEL D 2 STAINLESS STEEL 03 FIBERGLASS D 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL D 5 CONCRETE D 8 POLYVINYL CHLORIDE o 7 ALUMINUM D 8 100% METHANOL COMPATIBLE FRP (Primary Tank) D 9 BRONZE D 10 GALVANIZED STEEL c::::J-s6 UNKNOWN D 99 OTHER 01 RUBBER LINED D 2 ALKYD LINING o 3 EPOXY LINING 0 4 PHENOLIC LINING C. INTERIOR 0 5 GlASS LINING 0 6 UNLINED ~ UNKNOWN 0 99 OTl-iER UNING IS LINING MATERIAL COMPATIBLE WITH 100'Y. METl-iANOL 7 - YE~ NO D. CORROSION D 1 POLYETHYLENE WRAP D 2 COATING o 3 ViNYl WRÞP D 4 FIBERGLASS REINFORCED PLASTIC PROTECTION D 5 CATHODIC PROTECTION D 91 NONE Q---ø5 UNKNOWN D 99 OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IFAP?LICABLE (MARK ALL THAT APPLY) A. SYSTEM TYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 99 OTl-iER B. CONSTRUCTION A U 1 SINGLE WALLED A U 2 DOUBLE WALLED A U 3 LINED TRENCH A U tf5 UNKNOW~ A U 99 OTl-iER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYViNYl CHLORIDE (PVC) A U 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100% METHANOL COMPATIBLE FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U ~ UNKNOW~ A U 99 OTl-iER D. LEAK DETECTION A U 1 AUTOMATIC LINE LEAK DETECTOR A U 2 LINE TIGH1NESS TESTING A U 99 OTHER V. TANK LEAK [jETECTlON MARK ALL THAT APPLY o 1 VISUAL CHECK D 2 INVENTORY RECONCILIATION 0 3 VAPOR MONITORING D 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING o 6 TANK TESTING 0 7 INTERSTITIAL MONITORING 0 91 NONE ~ UNKNOWN 0 99 OTl-iER I 2. ESTIMATED OUANTlTY OF SUBSTANCE REMAINING 3. WAS TANK FILLED WITl-i GALLONS INERT MATERIAL 7 YES 0 Ng-- APPLICANT'S NAME (PRlN'reD a SIGNATlJRE) FRANK SMITH LOCAL AGENCY USE ONLY COUNTY # [TI JURISDICTION # [IT] FACILITY 10 # ITIIIIJ TANK 10# ITIIJ PERMIT NUMBER I PERMIT APPROVAL DATE I PERMIT EXPIRATION DATE 1 STATE SURCHARGE AMOUNT THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FORM B (1-90)