HomeMy WebLinkAboutUNDERGROUND TANK 4/20/1985
KERN COUNTY HEALTH DEPARTM~/"
I 700 FLOWER STREET
BAKERSFIELD, CALIFORNIA 93305
(805) 861-2231
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BilLING DATE
AMOUNT DUE
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AMOUNT ENCLOSED
r ~ ro () )~ ~k ~ rM -, CHARGES PAST DUE ARE SUBJECT TO PENALTY
ÒQ rer1 >S Ä-U.--t-Ð ?ec.rt-S DUE DATE
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L ~C\.keÎs~reld Cq.P~307-.J ,
DETACH HERE -. PLEASE '¿ETURN THIS PORTION TO INSURE CORRECT PAYMENT IDENTIFICATION r DETACH HEF
DESCRIPTION
AMOUNT
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c< I s<:J 00 r (}/J/'è:JI/
CDOLKer8-ß'e/d; Co.
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KERN COUNTY HEALTH DEPARTMENT SECTION 3801 PfNAlll'S, If oy .. '.qvi'od by 'n', di.i"o" i, 00' ",,'d """, \0 'h.
d"ljflQuencv dot",. in addition en fee. Ihe oøølico..., .hall po.,. 0 penalty eqvol to twenty.
1700 FLOWER STREET Ii.. "".0' f25~oI of ,h. f.., Th. '"'"' 'd.H""".ne, do'.' ....11 "'OO" in 'h. '0" of.
.rene~ JuJv 31, a~.,. """ COM øI o~ y ~"'~_oø~tIWfv·ØNÞ( J.
BAKERSFIELD. CALIFORNIA 93305 da,,,_ c.......oc"""'"'...... bu~"",,,,, 0(1i.'",
6t~cz
TOTAL AMOUNT DUE
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Incomplete information on ~ page of application entitled
"Application for Permit to Operate Underground Storage Facility".
The information required is noted in ~ on emclosed copy.
p ~mplete information on second page(s) of application - "Tank
I ~ Sheet". e i ion required is oted i red on enclosed copy.
D Other:
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FILE CONTENTS INVENTORY
Pac!li ty ¿~':..4
PTO # Date
Construction Permit #
Abandonment Permit #
Modification Permit #
Amended Permit Conditions
Annual Report Forms
!Jv;W/~
App. Date i/;;.q/~7 ,#of Tanks-L Plot Plan~
Date App. Date #of Tank
Date App. Date #of Tanks
Date Appl. Date
"
,-'
Copy of Written Contract Be~ween Owner « Operator
Inspection Reports
I ,
Correspondence - Received
Date
Date
Date
Date
Correspondence - Mailed
Date
Date
Date
Date
Unauthorized Release Reports
Abandonment/Closure Reports .
Sampling/Lab Reports
MVF Compliance Check (New Construction Checklist)
ŠTD Compliance Check (New Construction Checklits)
MVF Plan Check (New Construçtion)
STD Plan Check (New Construètion)
MVF Plan Check (Existing Facility)
STD Plan Check (Existing Facility)
"Incomplete Application" Form
Permit Application Checklist
Permit Instructions
Tightness Test Results
Discarded
Date
Date
Date
Monitoring Well Construction Data/Permits
Environmental Sensitivity Data:
Groundwater Drilling, Boring Logs
Location of Water Wells
Statement of Underground Conduits
, Plot Plan Featuring All Environmentally
Photos Construction Drawings
Half sheet showing date received and tally
Miscellaneous '
SeI:lsitlve Data
. Location:
of· ~hspection time, ete
.'
e
K~r0 çounty IIb31tt\ Deµartmént
DiVision of Env i rorunenta1 Heal tJ),
1700 'Flower Street, BakerSfie~'':A 9130')
,h:tI~liL N'J. ___d6JlG/,":) (~
ApplIcatIon Date
e-'
A.
APPLICATION FOR PERMIT 'fa OPERATE UNDERGROUND
HAZARDOUS SUBSTANCES STORAGE FACILITY
~ of Application (check):
o New Facility o~ification of Faci1ity~istirY;J Facility DTransfer of CMnership
Ðnergency 24-Hour Contact code, phone): Days ç:; f \.{ 5 '5 C; C
, ~ Nights 'J '?' 7 éJ 2.....2... r"L
Facility Name No. of Tanks I. '
Type of Business (check): Gaso lne Station er. (describe) A.u ~ YL F3 rPrIN
Is Tank(s) Located on an Agricultural Farm? Dyes SNo
Is Tank(s) Used Primarily for hjricµltural Purposes? DYes ~ 6l '
Facility Address, t.JQ Nearest Cross St. -' (A ¡...J '"2.-
T R SE (Rura Locat ons Cbly)
Owner &q-VL Contact Person ¡:::) L ß A Á/1- 0.1-/
Address e- Zlp '1 Ò "7 Tele¡ñone g:r ,¡: s- .? .r'
Operator Contact Person
Address Zip Telephone
B. Water to Facility Provided by NO ~ €.... Depth to GroW1dwater
Soil Characteristics' at Pacility
Basis. for Soil Type and GroW1dwater Depth Detenninations
CA Contractor's License No.·
Zip Telephone
proposed Completion tete.
Insurer
C. Contractor
Address
proposed Startin:j Date
Worker's Compensation Certification t
D. If 'Ibis Permit Is For_Modification Of An ExistiBJ Facility, Briefly Describe Modifications
proposed
E. Tank(s) Store (check all that apply):
~! Waste product Motor Vehicle Unleaded Regular Premium Diesel Wast~
\ Fuel 011
0 0 0 0 B 0 0 ~
0 0 0 0 § 0
0 0 0 8 8 B B
0 0 0
F. Chanical Canposi tion of Materials Stored (not necessary for motor vehicle fuels)
Tank I Chemical Stored (non-cÒcuñercial name) CAS I (if known) Chemical Previously Stored
, (if different)
~ 'A-S4- ~ ot C.
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i. {t I,' L\ ',(..', ./Ó!~J ',,/
Iy../V' v ~ ~'
¡; ,,:J
F' f :
\1 ~ :
. i o\Jo-Þ\~
G. Transfer of Ownership
Date of Transfer
Previous Facility Name
....'- I,
'\S of Permit tÐ. issued to
ittlrq Authority may review and
Operate this Lndergroœd storð:]e
accl
I UI
modify or terminate the transfe~ ,
facility upon receiving this completed foon.
This form has been canpleted W1der penal ty of
true and correct.
~
~~
per jury and to the best of my knowledge is
Title C)LU1'LQA_ Date #L¡
Signature
--
- 2700 M Street
Bakersfield, California
Mailing Address:
1415 Truxtun Avenue
'Bakersfield, California 933Ó1
(805) 861-3636
e KERN COUNTY HEALTH DEPARTreT
ENVIRONMENTAL HEALTH DIVISION
HEALTH OFFICER
Leon M Hebertson, M.D.
DIRECTOR OF ENVIRONMENTAL HEALTH
Vernon S. Reichard
Baron's Auto Parts
2150 So. Union Avenue
Bakersfield, California 93307
Dear Madam or Sir:
This letter is an official notice of your non-compliance with
state and county laws relating to underground tanks.
Upon review of o~r records, it was discovered that the 1988
Permit to Operate fees for Baron's Auto Parts, 2150 So. Union
Avenue, Bakersfield, California were not paid. Enclosed is a copy
of 1988's invoice plus the 50% late penalty required by county
ordinance. The second invoice is for this year I s Permit to
Operate fees. These invoices must be paid within 30 days to avoid
further penalties and/or legal action.
Be advised that these fees must be paid even if the tanks are
no longer in use. I f the tanks are not in use, a permit for
permanent closure must be obtained from this off ice. Permanent
closure requires either removal or closure in place of your tanks
and assessment by soil sampling to determine whether there has been
environmental damage as a resul t of unauthorized releases of
hazardous substances from your tank site. The specific
requirements for these activities are in Handbook #UT-30, available
with your application. NQ ,~!gÊl!!,e -ª£:!;ivity can begin prior to the
issuance of ª p'~£mi1 from ~his gßfice.
If you have any questions or feel this assessment is in error,
or if you would like an application and our handbook on permanent
closure please call me at (805)861-3636. Your prompt attention to
this very important matter is appreciated.
O:::~. iJ~
L Warren
Environmental Health Technician
Hazardo~s Materials Management Program
DISTRICT OFFICES
Delano - Lamont - Lakp i "hella - Mojave - Ridgecrest - Shatter - Taft
1700 Flower Street
Baker.fleld. California 93305
Telephone (805) 861-3636
4IkERN COUNTY HEALTH DEPART~T
ENVIRONMENTAL HEALTH DIVISION
HEALTH OFFICER
Leon M Hebert.on, M.D.
,...........
/',
DIRECTOR OF ENVIRONMENTAL HEALTH
V8I'non S. Reichard
May 8, 1987
Al Barron
2150 s. Union Avenue
Bakersfield, California 93307
Dear Mr. Barron,
Enclosed you will find an instruction sheet and a tank sheet.
Please complete and submit the tank sheet and a plot plan within 7
days so that your application for a permit to operate your underground
tank can be processed. Without this information, processing procedures
cannot begin.
Sincerely,
"--' / ~ )
CJœn¿ U-!(]I/Ut/JC;
~e Warren
Enviroruœntal Health Technician
Hazardous'Materials Management Program
JW: sw
Enclosure
Delano . Lamont ,
DISTRICT OFFICES
Ilabelle , Malave , Rldgecre.t . Shafter . Taft,
, .
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