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KERN COUNTY ENVIRONMENTAL HEALTH D~PARTMENT
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INVESTIGATION RECORD
DBA
OWNER
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ASSESSORS' PARCEL'
1cDDRESS
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CHRONOLOGICAL RECO~ OF INVESTIGATION
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KERN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
INVESTIGATION RECORD -
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OWNER
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ASSESSORS' PARCEL'
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CHRONOLOGICAL RECORD OF INVESTIGATION
DATE
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RESOURCE MANAGEMENT AGENCY'
RANDALL L. ABBOTI
DIRECTOR
DAVID PRICE ßI
ASSISTANT DIRECTOR
Environmental Health Services Department
STEVE McCALLEY, REHS, DIRECTOR
Air Pollution Control District
WllUAM J. RODDY. APCO
Planning & DeveJopment Services Department
TED JAMES. AlCP, DIRECTOR
ENVIRONMENTAL HEALTH SERVICES DEPARTMENT
August 2, 1991
Jerry W. Palmer
2464 South Union Avenue
Bakersfield, California 93307
CLOSURE OF 3 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANKS LOCATED
AT 2464 SOUTH UNION AVENUE IN BAKERSFIELD, CALIFORNIA,
PERMIT # A1470-31
This is to advise you that this Department has reviewed the project
results for the preliminary assessment associated with the closure
of the tanks noted above.
Based upon the sample 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. .
It is also important to note that this letter does not relieve you
of further responsibili ties to investigate and remediate
contamination discovered on site and beneath other underground
storage tanks permitted with this department.
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Thank you for your cooperation in this matter.
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-WESLE~/NICKS, HAZARDOUS MATERIALS SPECIALIST
2700 "M" STREET,SUITE 300
BAKERSFIELD, CAUFORNIA 93301
(805) 861-3636
FAX: (80S) 861-342q
MAY 09
'91 09'52tÃx MIIE~ssa~e-6Ø4P01:01
. 4-9-91
Date:
To:
Wesley Nick~~..._.
Fax Phone No.:
E.H.D
86.1-3429
Ccmpany:
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Subject:
Jeru Palmer
Palmer Tank @ '::0 1B t ~ Inc.
Æ:lding tanks 1:':f r~sisting permit
Ccmpany:
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PAlMER ,TANK & CONSTtJCTION, INC.
tELEPHONE NO~ (SO,;;: 834-1110 ¡
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As, per our phone conve:rsat:~~:~~.last week please. add two (2)
. S ,000 gal. gasoline tanks I Plen:::,e add to our permit 1# A 1470-31,
The tank. should be ready to re.mo~~!~~_êt the end of next week.
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jUL 30 '91 16:34
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GIBSON OI~G CO., INC.
RE: Load Acceptance
Dear Customer:
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MANIFEST# . '2 '8 s q q () 1 d
This Letter is to inform you that Gibson 011 & Refining has the appropriate permits for and has
accepted your material for recycling. The amount we received was ~ 00 ' J t gallons.
If this does not agree with your data please notify us within 10 days so that we can resolve
any discrepancies. Phone (805) 327-0413
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Very..truly, yours, 6. Yu..J2L-U..
Gibson Oil & Refining Co.. Inc.
Customer Service
3300 Truxtun Avenue, Suite 200
Bakersfield, CA 93301
211 East Ocean Blvd.. Suite 231
Long Beach, CA 90802
213/499·4996 Telex: 664-611
FAX 213/499-4980
A Subsidiary of V.L.S., Inc.
2101 Webster St., Suite 1500
Oakland, CA 94612
415/446-7777 Telex: 338-139
FAX 415 I 836-4503
C, Recycled Paper
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3300 Truxtun Avenue, Suite 200
BaKersHeld, CA 93301
805 /327·0413 / 800-582·3935
FAX 80S I 861 -0229
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UNIFORM HAZARDOUS .. Jene/ator's us EPA 10 No.
WASTE MANIFESt
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11. US OOT tleacrlpUon (Including Proper Shipping Name. Hazard ClaSi, IInd 10 Numbor')
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GENERATOR'S C:EFlTIFICATION: t hereby declare that the contents Qf this cQnsignl'l'ltllnt .ro fully Md acc~rately described abova by proper shipping name
IIIId IIrÐ Qlassifiød, pi\çlled, mllrkçd. IInd I¡\beh,d, and ari!! in all respects In proper condition tor transport by highway according to, spplicablø internation81 IlId
national government regulatlona. '
It I am a large quantity generator, I certify that I hav€! II prQ¡¡ram in ølnce to red~ce the volume a~d toxicily ot: waste genereted to the degree I have determined
to bo cconOf'lliC!!Illý procticable tlnd that! have selected the practicable method ot treetment, storsge, or dili'¡)Q,al C~rr'1\tly .voil.ble to mo whien l'I'Ii~im¡lee the
present and future threat to human health and the environment; OR, if I am a $mllll Clua~titý ge1\er!!ltor, I nave made a good faith elfon to minimize my waste
ganeratiól'lllnd $oloct tho be,t wute ma1\agel'l'lcnt l'I'Iet1'l0d that is available 10 me and thet I can atford.
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~tate 01 éaIirMnJ.~eallh anCl wellare AQency
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D.partment 01 Health Service,
Toxic $uÞataneea Control Dlvialor
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GENERATOR'S CERTIFICATION: I hereby declare that the contents of this con!Signmclllli .ro fully Md aceurately deacribed above by proper shipping name
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111 am a large quanUtygenerator. I certify that 1 have II program in pla~o to reCluco the voluma slid tOXicity o(waate generated to !tie degree I have determined
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ZALCO LABORATORIES, INC.
,-
Analytical & Consulting Services
Palmer Construction
2464 So. Union Ave.
Bakersfield, CA 93307
Laboratory No:
Dåte Received:
Date Reported:
27729
6-4-91
6-25-91
Attention: Jerry Palmer
Samp 1 e: Soil
Sample Description: 5,000 Gallon Gasoline Tank#3N
27729-9 Sample #5 2 ft. West End
27729-10 Sample #5A 6 ft. West End
27729-11 Sample #6 2 ft. East End
27729-12 Sample #6A 6 ft. East End
Sampled by Tim Mason of Zalco Laboratories on 6-4-91
at 1000 through 1300 hours
-9
!Jl9Lkg
-10 -11 -12
!Jl9Lkg mgLkg !Jl9Lkg
< 0.025 < 0.025 < 0.025
< 0.025 < 0.025 < 0.025
< 0.025 < 0.025 < 0.025
< 0.025 < 0.025 < 0.025
Volatile Aromatic Hydrocarbons
Benzene
Toluene
Ethyl Benzene
Xylenes
< 0.025
< 0.025
< 0.025
< 0.025
Method: EPA 8020
Date Analyzed: 6-18-91
Minimum Reporting Level 0.025 mgjkg
!Jl9Lkg
mgLkg mgLkg !Jl9Lkg
< 10 < 10 < 10
6-13-91 6-13-91 6-14-91
Total Petroleum Hydrocarbons
as Gasoline
< 10
Method: DOHS Luft Manual
Date Analyzed:
6-13-91
Minimum Reporting Level = 10 mgjkg
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Richard L. Penner
Laboratory Director
RLP/tds
cc: Kern County Environmental Health Department
2700 M Street, Suite 300, Bakersfield, CA 93301
4308 Armour A venue Bakersfield, California 83308
(805] 395,.0539 FAX (805) 395-3069
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ZALCO LABORATORIES', INC.
Analytical & Consulting Services
Palmer Construction
2464 So. Union Ave.
Bakersfield, CA 93307
Laboratory No: 27729
Date Received: 6-4-91
Date Reported: 6-25-91
Attention: Jerry Palmer
Sample: Soil
Sample Description: 5,000 Gallon Gasoline Tank #2S
27729-5 Sample #3 2 ft. West End
27729-6 Sample #3A 6 ft. West End
27729-7 Sample #4 2 ft. East End
27729-8 Sample #4A 6 ft. East End
Sampled by Tim Mason of Zalco Laboratories on 6-4-91
at 1000 through 1300 hours
-5
!Il9Lkg
-6 -7 -8
m.gftg JTI9L.kg JTI9L.kg
< 0.025 < 0.025 < 0.025
< 0.025 < 0.025 < 0.025
< 0.025 < 0.025 < 0.025
< 0.025 < 0.025 < 0.025
Volatile Aromatic Hydrocarbons
Benzene
Toluene
Ethyl Benzene
Xylenes
< 0.025
< 0.025
0.70
0.40
Method: EPA 8020
Date Analyzed: 6-17-91
Minimum Reporting Level = 0.025 mg/kg
!Il9Lkg
m.gftg JTI9L.kg JTI9L.kg
,,< 10 < 10 < 10
6-12-91 6-12-91 6-12-91
Total Petroleum Hydrocarbons
as Gasoline
< 10
Method: DOHS Luft Manual
Date Analyzed:
Minimum Reporting Level = 10 mgjkg
6-11-91
~ ~~. '---
Richard L. Penner
Laboratory Director
RlP/tds
cc: Kern County Environmental Health Department
2700 M Street, Suite 300, Bakersfield, CA 93301
4309 Armour Avenue Bakersfield, California 93308
('805) 395-0539 FAX (805) 395-3069
· .
- ZAL:CO LABORATORIES. INC.
Analytical & Consulting Services
Palmer Construction
2464 $0. Union Ave.
Bakersfield, CA 93307
Laboratory No:
Date Received:
Date Reported:
27729
6-4-91
6-25-91
Attention: Jerry Palmer
Sample: Soil
Sample Description: 10,000 Gallon Gasoline Tank #1
27729-1 Sample #1 2 ft. West End
27729-2 Sample #lA 6 ft. West End
27729-3 Sample #2 2 ft. East End
27729-4 . Sample #2A 6 ft. East End
Sampled by Tim Mason of Zalco Laboratories on 6-4-91
at 1000 through 1300 hours
-1
mgi1g
-2 -3 -4
!!!9Lk9. mgi1g ill£Lkg
< 0.025 < 0.025 < 0.025
< 0.025 < 0.025 < 0.025
< 0.025 < 0.025 < 0.025
< 0.025 0.953 0.850
Volatile Aromatic Hydrocarbons
Benzene
Toluene
Ethyl Benzene
Xylenes
< 0.025
< 0.025
< 0.025
< 0.025
Method: EPA 8020
Date Analyzed: 6-17-91
Minimum Reporting Level 0.025 mg/kg
ill£Lkg
!!!9Lk9. !!!9Lk9. ill£Lkg
< 10 < 10 < 10
6-7-91 6-7-91 6-7-91
Total Petroleum Hydrocarbons
as Gasoline
< 10
Method: DOHS Luft Manual
Date Analyzed:
6-11-91
Minimum Reporting Level = 10 mg/kg
~~/~,
/
Richard L. Penner
" Laboratory Di rector
-
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RLP/tds
cc: Kern County Environmental Health Department
2700 M Street, Suite 300, Bakersfield, CA 93301
4308 Armour A venue Bakersfield. California 83308
(805J 395-0539 FAX (805J 395-3069
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erry, W. Pa . :,~;:,;:~,d . ,
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Section 3 ::,: Tob~,filled \out and. signed :'klM ;'aùthor!zëd' representative
" treatment. storage, .Q.t disposal "facl1lli accepting tank{s):
Faci 1 i ty Nalle' '~;"&~::;/';:;¿ (l,;:;lif:id;.;;, ,
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RESOURCE MANAGEMENT AGENCY
-~. -. ~~- ----
RANDALL L. ABBOTT
DIRECTOR
DAVID PRICE ßI
ASSISTANT DIRECTOR
Environmental Health Services Department
STEVE McCALLEY, REHS, DIRECTOR
Air Pollution Control District
WILLIAM J. RODDY. APCO
Planning & Development Services Department
TED JAMES. AlCP, DIRECTOR
ENVIRONMENTAL HEALTH SERVICES DEPARTMENT
PERMIT FOR PERMANENT CLOSURE
OF UNDERGROUND HAZARDOUS
SUBSTANCES STORAGE FACILITY
PERMIT NUMBER A 1470-31
FACILITY NAME/ADDRESS:
OWNER(S) NAME/ADDRESS:
CQNTRACTOR:
Palmer Construction Inc.
2464 South Union Ave.
Bakersfield, CA 93307
Jerry W. Palmer
2464 South Union Ave.
Bakersfield, CA 93307
Phone: 805-834-1110
Palmer Construction Inc.
2464 South Union Ave.
Bakersfield, CA 93307
License #A-328388
Phone: 805-834-1110
PERMIT FOR CLOSURE OF
.3 /tA..J 1'1
'1 TANK(S) AT ABOVE
PERMIT EXPIRES
July 4. 1991
APPROVAL DATE
LOCATION
APPROVED BY
.... ..... ............... ........ ..................................... ......... ............ .....P OST ON PREMISES........ ............ ...... ................ ............. .........................................
CONDITIONS AS FOLLOWS:
1. It is the responsibility of the Permittee to obtain permits which may be required by other regulatOl)' agencies prior to beginning work (i.e., City Fire and Building
Departments).
2. Permittee must notify the Hazardous Materials Management Program at (805) 861-3636 two working days prior to tank removal or abandonment in place to
arrange for required inspéctions(s).
3. Tank closure activities must be per Kern County Environmental Health and Fire Department approved methods as described in Handbook UT-30.
4. It is the contractor's responsibility to know and adhere to all applicable laws regarding the handling, transportation or treatment of hazardous materials.
5. The tank removal contractor must have a qualified company employee on site supervising the tank removal. The employee must have tank removal experience
prior to working unsupervised.
6. If any contractors 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. Deviation from the submitted application is not allowed.
7. Soil Sampling:
a. Tank size less than or equal to 1,000 gallons - a minimum of two samples must be retrieved from beneath the center of the tank at depths of
approximately two feet and six feet. ' /
b. Tank size greater than 1,000 to 10,000 gallons, a minimum of four samples must be retrieved one-third of the way in from th~ ends of each tank
at depths of approximately two feet and six feet.
c. Tank size greater than 10,000 gallons - a minimum of six samples must be retrieved one-fourth of the way in from the ends of each tank and beneath
the center of each tank at depths of approximately two feet and six feet.
8. Soil Sampling (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 under the dispenser area.
2700 "M" STREET, SUITE 300
BAKERSFIELD, CALIFORNIA 93301
,PRINTED ON RECYClED PAPER
(805) 861-3636
FAX: (805) 861-3429
.
.
PERMIT FOR PERMANENT CLOSURE
OF UNDERGROUND HAZARDOUS
SUBSTANCES STORAGE FACILITY
PERMIT NUMBER A 1470-31
ADDENDUM
9. Soil Sample analysis:
a. All soil samples retrieved from beneath gasoline (leaded/unleaded) tanks and appurtenances must be analyzed for benzene, toluene, xylene, and total
petroleum hydrocarboils (for gasoline).
b. All soil samples retrieved from beneath diesel tanks and appurtenances must be analyzed for total petroleum hydrocarbons (for diesel) and benzene.
c. All soil samples'retrieved from beneath waste oil tanks and appurtenances must be analyzed for total organic halides, lead, oil and grease.
d. All soil samples retrieyed from beneath crude oil tanks and appurtenances must be analyzed for oil and grease.
e. All soil samples retrieved from beneath tanks and ,appurtenances that contain unknown substances must be analyzed for a full range of substances
that may have been stored within the tank.
f. All soil samples retrieved from beneath tanks and appurtenances that contained furfuryl alcohol resin must be analyzed for phenols, formaldehyde
and furfuryl alcohol.
10. The following timetable lists pre- and post-tank removal requirements:
ACTIVITY
DEADLINE
Complete permit application submitted
to Hazardous Materials Management Program
At least two weeks prior to closure
Notification to inspector listed on permit of date
and time of closure and soil sampling
Two working days
Transportation and tracking forms sent to Hazardous
Materials Management Program. All hazardous waste
manifests must be signed by the receiver of the
hazardous waste
No later than 5 working days for transportation and 14 working
days for the tracking form after tank removal
Sample analysis to Hazardous Materials Management
Program
No later than 3 working days after completion of analysis
11. Purging/Inerting Conditions:
a. Liquid shall be pumped from tank prior to purging such that less than 8 gallons of liquid remain in tank. (CSH&SC 41700)
b. Tank shall be purged through vent pipe discharging at least 10 feet above ground level. (CSH&SC 41700)
c. No emission shall result in odors detectable at or beyond property line. (Rule 419)
d. No emission shall endanger the health, safety, comfort or repose of any person. (CSH&SC 41700)
e. Vent lines shall remain attached to tank until the inspector arrives to authorize removal.
RECOMMENDATIONS/GUIDELINES FOR REMOVAL OF UNDERGROUND STORAGE TANKS
This department is responsible for enforcing the Kern County Ordinance Code, Division 8 and state regulations pertaining to underground storage tanks.
Representatives from this department respond to job sites during tank removals to ensure that the tanks are safe to remove/close and that the overall job performance
is consistent with permit requirements, applicable laws and safety standards. The following guidelines are offered to clarify the interests and expectations for this
department.
1. Job site safety is one of our primary concerns. Excavations are inherently dangerous. It is the contractor's responsibility to know and abide by CAL,OSHA
regulations. The job foreman is responsible for the crew and any subcontractors on the job. As a general rule, workers are not permitted in improperly sloped
excavations or when unsafe conditions exist in the hole. Tools and equipment are to be used only for their designed function. For example, backhoe buckets
are never substituted for ladders.
2. Properly licensed contractors are assumed to understand the requirements of the permit issued. The job foreman is responsible for knowing and abiding by
the conditions of the permit. Deviation from the permit conditions may result in a stop,work order.
"
3. Individual contractors will be held responsible for their post-removal paperwork. Tracking forms, hazardous waste manifests and anal~ .documentation are
necessary for each site in order to close a case file or move it into mitigation. When contractors do not follow through on necessary paperwork, an
unmanageable backlog of incomplete cas If this continues, processing time for completing new closures will increase.
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KE~ COJNTY RESCtlRCE MANAGEMENT ACfNCY
ENY I RCNMENT AL HEAL 1H SERV I CES DEPARTMENT
2700 -M- STREET, SUITE 300
BAKERSFIELDA CA 93301
(605)661-36.:J6
(FILL OUT ONE APPLICATION PER FACILITY)
APPLICATION FOR PE~IT FOR PERMANENT
CLC6URE/A8ANrx::t.JMENT OF UNDERGRŒJND
HAZARCOJS SUBSTANCE STORAGE FACILITY
noons APPLICATI~ IS FOR ~ REÞ'OVAL, OR [] A8AN¡:a..¡MENT IN PLACE
A: flCIllTY I~TICN
INTE~L USE CNL Y:... -18 91
APPLICATION DATE:~~~_:___
tt OF TANKS TO A8AN~: _1_
PIPING FT. TO A8ANCO'h
PT A: _8...L'1 7fl~_i!..¿
PTo:dJQOO£~
projECT WIT.ACT: Mr. Jerry H. Palmer I FH:NE I: 805-834-1110 I T~ (ftIAAL LOCI.TICffi): T17, R30, S28 i
FICIlllY twE: Palmer Construction, Inc. A!:t)SS: 2464 South Union Avenue NEAREST cro3S Whi te Lane
93307 STREET : 1
MNEI: (805) 834-1110 CITY: Bakersfield, lIP: Hhite Lane !
afÆR: Mr. Jerry W. Palmer A!:t)SS: 2464 South Union Avenue STATE: CalifornÌi
(805) 834-1110 Bakersfield, California . ZIP: 93307 I
mJ£ I: CITY:
8: o::HTæTæ I~TICN
TN« R8(J{.IJ.. ()){TRJCTœ: Palmer Construction, nc. on venue STATE' ¡
M:tEI: (805) 834-1110 CITY: Bakersfield, California liP: . 93307\
PR:roìED START ~Tt: 04-30-91 CÞtI~)A l}æ,'SE"TYPf: & I: 328388 "A" mER'S ~T1rn I: 690929-90
ca.wcTœ IìETRIEVI() SIH'ŒS: Zelco La oratory ~. !IITlour venue STATE'
FID£1: (805) 395-0539 CITY: 'Bakersfield, California ZIP: '93308
KmR'5 C1J4>B6&.Tlrn I: 268-2357-5 IISM:R: Industrial Indemnity Insurance Co.
~m WAT WILL NW..YlE ~: ~: STÞ.TE: "
MJ£ I: Same as above CITY: Same as above ZIP:
c: OØ1CIL ~TlCII
CHEMICAL CCMPœTICN OF MA.TERIALS STORED:
TANK # VOlUME CHEMI CAL ~TORED
One.\ Fuel1gaso1ine Fuel/Gasoline
~¡.r, I' I'
~ \1 II
I
DATES STORED ŒŒMICAL FORMERLY STORED·
19/4 ToPres~nt' .J:tuel/Gasoline .
10
10
10
0: aMFOfelT.IJ.. DfŒW.TlCN
W,TER TO F.ACILlTY Pror'IŒD BY: Private Hell IS ~TER iI1THlH SO FfIT? Y CR N No
HE.ASð:ST ""-TER ~ -{)IVE DISTNa IF WITHIH 500 FŒT: . 300 r / ft. roiL 1YP€ AT F.lCILlTY: Sand
B.tSIS Fæ rolL TYPE N{) ~TER OCP1H [{T'EOOKA.TJCN: 243 I / ft.
TOTAl NJOO/ (f ~ TO ~ N/ALY1ED: SIWLES TO BE NW.,Y1ED Fæ: leakage B I
E: DI~ I1fm'tA.TlCN
taXHTNŒiAJICH~: See attached
taXHTNlIIi1.TJrn CŒTRACTCR: Palmer Construction, rnc.
MŒI: (805) 834-1110
OISfŒ.IL I£I1ro Fæ TN«(S): Cutting Apart
DISf(GAL ÞEnÍO Fæ PIPI~: Cutting Apart
/
OISfWl. LOCATlCI/ FŒ RIIß&.Tt:
OISKf,lt lOCA110l fœ 1~(S):
DI~ lœA1(}( Fœ PIPII(3:
Inc.\
**PLEASE c::cMPLETE 1HE REVERSE S I DE OF TI1 I S AWl I CAT I ~ BEFORE SU8MI IT I NG FOR REVI EWt:*
THIS FORM HAS BEEN ca.\PLETED UNDER PENALTY OF PERJURY AND TO Tl-iE BEST OF MY KNŒJLECGE IS
TRUE AND COR~ 03-2.3-9
President
SIGNATURE: " 11TLF ,"_ __ ,___,_,_ ,__,_ DA1E_____ ,_,
Mr. rrv T. Palmer
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PROCEDURES FOR CLEANJN; UNDERGROUND TANKS
1. Test Tank for L.E.L. Level and Document. (HS-82, GX-82 and 1214).
2.
3.
4.
5.
6.
7.
Remove as mush of the Fuel and Sludge as possible with a Vacuum Truck.
Wash with Water and repeat VacuumProcedure.
Use High Pressure Washer to Remove Sludge, Dirt, etc. Vacuum.
(Hotsy 3000 or Landa 3000 High Pressure Washers)
Repeat with the Hotsy 3000 or Landa 3000 and VacUlIDl Dry.
Test and Document L.E.L. Level. If above 5%-(Five Percent), Repeat Cleaning
Procedure umtil Level is below 5%-(Five Percent).
If needed, repeat High Pressure Cleaning.
Palmer Construction, Inc. Technicians are trained and certified by the following:
a. GasTech, Inc.
8445 Central Avenue
Newark, California
j
b. LijeCom Safety Services
6110 Valley View Avenue
Buena Park, California
90620
c. LifeCom Safety Services
6000 Schirra Court
Bakersfield, California
93313
/
~'
PAL~1ER TANK & CONSTRUCTION, INC.
Dated: January 01, 1990
STATEOF CALIFORNIA-HEALTH AND WELFAR_
.
GEORGE DEUKMEJIAN, Governor
DEPARTMENT OF HEALTH SERVICES
714/744 P STREET
P.O. BOX 942732
SACRAMENTO, cA 94234,7320
(916) 324-2430
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*** HAZARr.CUS WASTE HAUIER REX:;ISTRATION ***
NAME AND ADDRESS OF RÐ:;ISTERED HAUIER:
Pal1ner Construction, Inc.
2464 S. Union
Bakersfield, CA 93307
HAULER RÐ:;ISTRATION NO: 1299
EXPIRATION I::lA.TE: August 31, 1991
lliIS IS rro CERI'IFY 'IHAT '!HE FIRM NAMED ABOVE IS IXJLY RÐ:;IS-
TERED rro HAUL :HAZARroJS WASTE IN 'lEE STATE OF CALIFORNIA IN
ACCC>RIl'\NCE WI'IH '!HE PROVISIONS OF æ:API'ER 6.5, DIVISION 20
OF '!HE HEAI1IH AND SAFEI'Y mOE AND æ:API'ER 30, OIVISION 4,
TITIE 22 OF 'IRE CALIFORNIA mOE OF RÐ3UIATIONS.
'IRIS RffiISTRATION MUS'r BE CARRIED IN THE VEHICIE USED 'ID
TRANS:EORr HAZARI:XXJS WASTE.
~&frn~
AUG 29~.
(qate)
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---'THIS CERTIFICATE IS ISSUED AS A MArTER OF ¡\;FOFiMA710N ONLY AND :::CN¡::õj,,'
NO RIGHTS UPOH THE CERTIFICATE HOLDER. THIS CERTIF:CATE DOES NOT AM=~:::
EXTEND OR ALTER THE COVERAGE AFFOP.DE!) BY TH::' POLICIES BELOW,
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Wa 1 ter Mor tens en Assoc:. Ins.
r (Phone: 805-834-6222)
4701 Stockdale Hiway
Bakersfield, CA 93309
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~~ V~ccuum Service ~ Plastics,Div
1~1 2464 S. Un i on Ave.
''f'11 Baker15field Ca 93307
'COMPAN'I' A
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COMPANIES AFFORDING COVE~AGE
AMERICAS INSURANCE CO.
Southern Marine & Aviation
! COMPANY ~
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COMPANY C
LETIER
Golden Eagle Insurance CO.
AMERICAS INSURANCE CO.
Southern Marine & Aviation
I COMPANY D
,lETTER
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~':', ~~ THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FûFì THE POLICY PER/OO INDICA iE;:)
~~ NOTWITHSTANDING ANY REOUIREMENT, TERM OR COHDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE I,!t,'·
*r, BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSI~NS, AND CONL;';·
}. j TIONS OF SUCH POLICIES.
~:( CO F'OLICY EFFECTM I F'OL:CY EXI'!RA~;c!; ! ~!AaIL!7Y liMITS IN THOUSAÑ!:,:o
'"':'1LTR TYPE OF INSURANCE POLICY NUMBER DATE (MMIOOIYY) DATE íM~~tO:YY1: I :<:cG'~'i:~.:C= ¡ ~GG==~,"::
:,::,: Þr. GENERAL LIABILITY 26045 10/01/90¡ 10/01/91 : ~::.¡:v I
(; .~:x X COMPREHENSIV,E FORM ! ; '~;,:':;;" Is: s
t ,X PREMIS~S;CPEAATIONS I >~'",,:o-,
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Q EXPLOSiON to COLLAPSE HAZARO I
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pc XI CONTP.AGii!AL ! CIa i ms Ma de Ba 5 i 5
. ~ INDEPENOEN7rcaNT~CTORS I
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:w PERSC/¡AL iNJURY ,I
B, AUTOMOBILE LlA21LITY
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UMBRE~LA FCRM
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: DESC¡:¡:PTION OF C?Eí'ìA 7ICN5;LOCA TIONSNEH¡CLES,S?ECIAL ITE/o.'5
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SHCULD ANY OF THE A:BOVE DESCRleED ;:O~IC:E~ 2E CA,';CELl!:9 ~E=':-:;:: 7;"::: ~'
PIRATI~" DATE THEREOF, THE ISSt:;~;G CO\l~':'~;Y 'r';Iö..l "sc:,::;,'.::,:C
t ; )"'lh!l 30 O~ ':'5 'rV~ITìëH 1',·)1:CE ìC ::"'E CE ~T:: ..: /. ":"E r.C'~~~ ~ ~,~ '= J -~.
t lEFT, 2üT FAiLUr-;= 70 \IAIL SL,:CÌ'1 ~'~'T;Cë :':.-::"';..L ". . .:~:: ~~.:: C·::~::"'."- .::
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Dept. of Health Services
Toxic Substance Control Division
714/744 "P" St.
Sacramento, Calif.
3- 24
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STATE
COMPI!NSATION
INSURANCE
O'FUND
APRIL 1,1990
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
POLICY NUMBER:
CERTIFICATE EXPIRES:
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--
DEPARTMENT OF HEALTH SERVICES OF 1HE STATE Of CA
TOXIC SUBSTANCES CONTROL DIVISION
714"P" STREET
SACRAMENTO
CA 95~14
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J~90929 - 90
4 -1 -91
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California.
I nsurance Commissioner to the employer named below for the policy period indicated. ..
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This policy i's not subject to cancellation by'the Fund except upon ten days' advance ~ritten notice to the erhployer.
We will alšo give you TEN days' advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the
policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with
respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies
described herein is subject to all the terms, exclusions and con~itions of such policies.
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E,~PL'~YER1 S LIÞ.2ILITY LP~!T: 53,:]00,000 PER GCCl;etRENCE.'
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PRESIDENT
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SCIF 10262 (REV, 10,86)
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OLD 262A
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I 11:32 am KERN COUNTY PLANNING & DEVELOPMENT
I 2700 'M' Street
I Bakersfield. CA 93301 Type of Order W
! (805) 861-2615 I
1______-----------------------------------------------________________________1
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I CASH REGISTER PALMER CONSTRUCTION ¡
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I_~___________________________________________________------------------______1
¡Customer P.O.# 1 Wtn By larder Date I Ship Date I Via I Terms I
IH0327911 1 YKN I 03/27/91 I 03/27/91 ¡DD I NT
1______---______1________1___________1___________1___-____________1___________1
Line Description Quantity Price Unit Disc Total
PERMIT TO CLOSE/ABANDON 1 250.00 E 250.00
170G
Order Total
250.00
Amount Due
250.00
Payment Made By ChecK
250.00
THAt~K YOU AND
H,A,VE A NICE DAY!
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Permit #' 3¡(";Or"" I ' ..~. "-"\ ,r "..., ,.te - '--~_;/l~ì .'
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Environmental Sensitivity' ,---/ Inspection lh<i' /(): /""':',,,"Î
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UNDERGROUND HAZARDOUS SUBSTANCE STORAGE FACILITY
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· INSPECTION REPORT ·
Facility Name
No. of Tanks,
Type of Inspection:
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Is Information on Permit/App/jcation Correct?
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Permit Posted?
Reinspection
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Yes ,À'
No
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Routine
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Complaint
Comments:
ITEM
VIOLATIONS NOTED
1. Primary Containment Monitoring: ~/ . 1 /j
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a. Irttercepting and Directing System í .j¿jio.-'::"L.'\\L. ¡ ,,1,1\. ....-'V' U '..V\ ¡I . ,_ " {:'.J'-.
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[' b. ,Standard Inventory Control Monitoring J'\Œ, 1.0 ~a (~/è
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c. Modified Inventory Control Monitoring
d. In-Tank Level Sensing Device
e. Groundwater Monitoring
f. Vadose Zone Monitoring
2. Secondary Containment Monitoring:
a. Liner , ] /1
b. Double-Walled Tank !\~ J f1
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c. Vault
3. Piping Monitoring: " "
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p"".... fr" ')::. /\J' - rt L.lO",c)~!;(l -J-.. '''"" ¡ _/ Y\...1~--L '- ~\1L
-~_~;,.,,;Pre5SUrized j~.(\' '''''''''-'
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b. Suction \)
c. Gravity
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4. Overfill Protection 1'--'-'1(>' .;.\... -~~,.{ f..j._, . \... f' '---'-' "
<30 dC(.tv\ð
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5. Tightness Testing /"; C,Je..cJ~\.··\ C~··· (2\, (~~ - "i''', "', \. C,,"
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6. New Construction/Modification . ,
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7. Closure/ Abandonment t-./~~.
8. Unauthorized Release ,- '
9. Maintenance, General Safety, and "
Operating Condition of Facility \ (::_L', <,,':(:: ',"II.:'
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Comments/ Recommendations:
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Reinspection scheduled?
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No
Approximate Reinspection Date /Jf~.-:: t
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INSPECTOR:
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REPORT RECEIVED BY:'
Health 580 4113170 (7·87)
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KERN COUNTY AIR POLLUTION o..'l'JTROL DISTRICT
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2700 ";vrl S·treet. Suite 275
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8akersf~eld. CA. 93301
(805) 861-3682
PHASE r VAPOR RECOVERY INSPECTION FORM
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Ccrnpany l~i 1 i ng Address ..£.~/{¿..y......~e:..<()I1.LQll" ..............._..........................,......... c i t'/.i=-.r;~.kf/.d,L,q.,Ll..........
8ate ....:5=:./=..!Q...................... PZhcne .......'?1ª.Y..-:.JIIQ..,............................... :':ystem Ty;:e: 3130. Riker \(~=:::~:>
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Inspector 'µl.:LJ,c.~«..:,....... '..L~...~.....,....................... ..................... Noti ce R'2C r d B\ì".~,~~~:.::.~,~.~<:6j-J'\~..¡\,L-,~:.::::::...."
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1. PRODUCT (UI_. PUL. P. or R)
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2. TANK LOCATICN REFERENCE
:3. BROI\EN OR iVlISSING VAPOR CAP
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4.. 8ROK.E~·J OR rliIS~3ING FILL C.AP
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'5. BROKEN cÞ,r" LOCI, ON VAPOR CAP
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5, FILL CA,PS NOT PRO?ERLY SEÞ·,ED
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7. VAPOR CAP~.3 NOT PROPERLY SEÞ.TED
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3, GASKET MI3SIr,jG FROIY1 FILL c.~.¡';
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.,¡, GASKET ~r,IS3INi3 FRCiYl VAPOR O,0..P
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10. FILL ADAPTOR NOT TIGHT
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11. VAPOR ,ADAPTOR t.¡OT TIG.I..jT
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12. ¡3t>SKET B ET'v'JEENA.D.A,PTOR & F I L.L
TUSE i'lIISSTNG I U1PROPERL Y 3EÞ.TED
13. DRY BREAf\ GA,2i'\ETS DETERT ORATED
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:4, EYCESSIVé"VERTICAL PLil.Y IN
COAXIAL FILL TU8E
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..; 5. r:O.A.XIAL PI LL TUBE ~3PRING
:·1¿CH.~.j'': rsr'~ JEFEC"TIVE
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16. T.·A.Nr<~ DEPTH iV1E.~~·UREr/lENT
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'20. CCMf1'JEi',ITS:
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'.: :NARNING : SYSTEMS MARKED WIT'rl A CHECK ABOVE ARE IN VIOL~,TICN OF KERN C::)JNTY .~.:R POLLUTION
,~*:fC( CCNTROL DISTRICT RULE(S) 209, 412 AND/OR 412.1. THE CAUFORNIA HEAL;;., ·Sc SAfETY CODE
'd(~ SPECIFIES PENA.L TIES OF UP :0 $1, GOO. 00 PER DAY ¡=CR EÞC:-i \/ICL.\TION. TELEPHONE (805)
;';;;':*=>1< 851-3682 CCNCERNING FINAL RESOUJTICN OF THE VIOLATICN(S) ,~ØOICtc~..;,,"