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Home My WebLink AboutUNDERGROUND TANK-C-05/13/92 ;.- ." ~ .-4-o---.--___.~ -'---'.--:-" --.--~ _' -. '-~'. .. he "'. '7"" _1- ._~ .f . _~.. .. ~"~' .. i.e. '..0' ............~ ,. '..{ .' .>,:;"".,¡.,.\:.;¡:;/··.'8~tÇ(.:;2i , BAKERSFIELD FIRE DEPARTMENT.: ;,,\' <'>:",;, ..' .t,,~:J . ."'.' . " . ;"i . .6" .,"'. '\."...,' ,..¡¡.........,.; ::> .~UR~~· ~F FIRE PRIV~:'·",.., ;·":';.";';*\'Y'h;"': ,:C"C¡, .... '. '. . '...\;:è> APPL~TION. .Þ1,~'~1~-i~~{ .Jncon#c,;mity witt\próvis;Ot1$ 'pfpériment- ordinànc8S, cQdes,GÍ1dIor.i"..ëgtJJotiQrist àwt by: .' '.. '. <¿".;,.., . , ~ ",E"~>{':·<~;~S.!:~;1'Is~t.~ ...' L'" T~ ......:r 1It'.'~; .' ~ of ~ ".' -! . ._ ..._~ : :', ...~'.'~~~:\;~,;~(.-f;.~·,{,'-.'.:<;~~.~~;f:;;:;}·:'- . .' to dÍsp'ÇJY, Sfore,.instoll, use, ope;cite;'~ìf or hondle moteriels or FœesSe$ ·inv~,1g:·Or_'.~;q)ñ~.: .~ ~;ditions'dee"": hozardous to tifeor ~pe~ ô~:foows: . .' ;:;'};':::'..:-·~{~-.?;;·i':::~.:'~1~~t;:1·:::.:~:1'<~~~i~< JlìJ'í-fl.'t"'.... (1).,1'- ~ f~"'H" ..1 "jr'_·~. gr:ßr¡";Ti":1IIi"~';',;3;>.;;<~4,: . , ' ... . . ", . '... ,,' . ':,. " ':::, . . "¡ '/~::it:;.i~~~.~~í::·;i , --,'. ~ OM~"é"",· -.s.;W. "Lil.·~ . ~:f ... .~:-. . ,..., '.." ,. ....". - ". _ J . ..'~ - ~ 1': -'~ ". . . L .'" ': issued t.: : . ··Permit .8il.iæ ~1?::I(l.1.....~:~....... . ::!k!.:.~ . , . Date 'I. Co-~ _ . .~~~':L~__~; BYu...,...(!~__'-..u:.,.~·. " ~.Æ.:. i .fire Marshal ' . ..' , . . { .,' +, ". ~ .. ; " . ., . ~, ~, . ; ~ :., ~ .,. , CO¡/ë:J:' jlJ-t¡-qÇ~ '. . . '.' ~--.-.' - ".~' '.'~ ;., _~'j.l.,,::"'c;"'~~'{~':'í' '\_-~~:~~--~,...:-.'.,"':'~/:::._..' L{k?fW!'/ .Ie í~.íÞÎ-/J 1- /S(}()J<f! ï¿¡S Áf,l - .;J,-;;! 7'/ FL-CJ/C} ~ gO rer,1;,t Þ úfV1lðtle. _ (- Qßt)f'7/ ·/;.v¡I /2-/6 ··9/ 8R.. -ðóJ] ¡hI) fet'~,r C¿>;15/ fft'y¡j wi c'wrí?i1f ffcórc{ ße1f /tJ -~- 9{" .,;:- "'~... .¡; ! r ¿'¿Þ/;øe /ft!/<.t'- ~ ~ t\ I (\ ---- e I r r ;e~,~ rf?þt!~- ~- P ß II /ß.hð'dw:;;> fr' ; ~ f?'c? St:?· a~/t?~ 4v~ /$ d'c? ~~ \ ""~ "',~ ~ c:::::. ~~ - ".. "- -- ,-,." ~ -.. " ~ '-):..., -0- --.,,~ <;;. ". '; " ...... . ~~ ~ .-, ,... ~., \.~. "" .~ .............. -.: ~\ '~ .~ ~ ~ / - .-7' ß~-" ~".þ--/ . wi f.. ß P ,(;~~ fr'7~ //;-~ "-/ 1- ~ I~ I, I-J" I ( I I I I I I . i L. i 1'2:- I I~ ~\ " ~~ \t ~ ~~ ~~ o "- I, '\ ¡ I I i _..--=- -- 7/ .------.-- /' I I I I e ..¿J/l/ltJ~ .,~ \-" ,... Av'e_' e II V') ~ ~. 'rt ¡21?d ç~ ;7t:J?'o ,.¿)o. t//II'/hL ,~P...., A9'~µ ...~~ ¡¿.:,/.t? -......ec.... I I I ~,. ß "'rf' !J .r¿~ O ;lO¿)O 6'.../. IF _-r ."",Jt,. ::; Ct\ . '\ ""S '". ~ " ~ ......... I~ , "- I j ~ t .. i<-r c 7 þ\ ~ , ~ ... ...s. ~ , ,-- , ~ - , ~ '-t ~ l' Þ ~ \~ ~ \J J\ ~ ~ t e e BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 TANK REMOVAL INSPECTION FORM FACILITY èí( ¿ IA), OWNER ~@ L, (/;Ut'; I , , ~ CONTRACTOR ,¡} L { '. / LABORATORY V),:" TEST METHODOLOGY ~7"£x. PRELIMANARY ASSESSMENT CO. CO2 RECIEPT r- ADDRESS 20 80 ~'. () ,-u/~(~ PERMIT TO OPERATE# CONTACT PERSON # OF SAMPLES L- T?q£6- I~CJ~w 5~ACT PERSON ¿.~" ;J..$~ /LEL% 0 O2%'0 z.ø-r PLOT PLAN t~ ~o I {}l~ \ f I \ ( Jj~ <) ~J11t Uþ '. ~S ,'1 ~ :; 7l~ J CONDITION OF TANKS CONDITION OF PIPING CONDITION OF SOIL COMMENTS ,/ ~ 2JJ 2../ {QJ/C¡V' .~ J<>e. ÌJUAJ WðÐ~ INSPECTORS N CUST TYPE & NO. E '~'j - '-f Q~~9 MISCELLANEOUS RECEIVABLES ADJUSTMENT DATE :?) _.. \ \ - 0'-\- NE'N ACCOUNT ADDRESS CHANGE CLose ACCT FINANce CHAAGE OTHER ADJ 'J ,. CUSTOMER NAME t( (LrJ:C e.,{\- N; \ \ to(? ' MAILING ADDRESS \ \ 00 D ~ ~ CITY J l ') \cue STATE CA ZIP CODE9.~-).l~ SITE ADDRESS ? ò PARCEL NUMBER (IF APPUCABlE) ADJUSTMENT (" ~ r-- \ _ LU'\ (\~ t' " ~ APPROVED BY t~, £ ~~ /' " ¡ Page 1 of 1 ---~'''-:::::-::''-_'::... Esther Dura(~::~~ ------ . .. From: To: Date: Subject: Pat Beebout Esther Duran 3/10/2004 9:09 AM ES 40299 ,,~. c.:-' ~, ~ I;;o?( T~Xì . '-~)I \ }~ 9t,\~ fU "y,,\)(J , Please look at this account for Franzen-Hill Corp. According to them, they vacated the location around 9/02. They would like to see if they truly owe the charges. You can contact Amana Hill @559-688-2977 X3016 if you have any questions. I did see that the auto charges have been deleted,bútth;;:e~tion is th~ pre~iou~ Ch~5,--dO they owe them? They say no. What do you sa'fJJ?? . If we need to adjust the crar~es ~ff, I need the \request by Friday 5PM. ,/ \ '¿. . ,/ ~' t -'" , /'. \ rY,,~):-- ...~~ =-J .~~ ,/ , "\ '\ \ '<='-'-'. e Çl " \ )J ~" ,t'-. . , .A"~' 1" '---""...---- () ,~, ,....' )'. ~ ~ ¡'-::J ~;,ý/". l,i ~/ -) .....-' Thanks, Pat B y v ------- ~//" ~ l¡1 ./'/ \ (p \\ ~ l .~ ý~ - ~'~'J ,> <, t~ . ',,-- t ~: .' " file://C:\Documents%20and%20Settings\eduran\Local %20Settings\Temp\GW }OOOO I.HTM 3/10/2004 ==\ CERTIFICATE OF INS 25-S 1------------------------------1 9/16/1997 1------ --------------------------...-========================4Ii===--------------======- PRODUCER .., THIS CERTIFICATE IS~UED AS A MATTER OF Wilson, Schultz & Paves Ins. INFORMATION ONLY AND CONFERS NO RIGHTS UPON 2300 Bahamas Drive THE CERTIFICATE HOLDER. IT DOES NOT AMEND, Bakersfield, CA 93309 EXTEND OR ALTER THE COVERAGE AFFORDED BY THE (805) 327-3111 POLICIES BELOW. -------------------------------- ======1 COMPANIES AFFORDING COVERAGE 1======= INSURED COMPANY A: AMERICAN INTERNATIONAL R L W ENTERPRISES COMPANY B: SPECIALTY LINES 2014 SOUTH UNION, STE 107 COMPANY C: COMMERCE & INDUSTRY BAKERSFIELD, CA 93307 COMPANY D: CANCELLATION FOR NON PAYMENT COMPANY E: WILL RESULT IN A 10 DAY NOTICE -------------------------------------------------------------------------------- 1------------------------------1 COVERAGES 1-----------------------------------1 ------------------------------ ----------------------------------- This is to certify that policies of insurance listed below have been issued to the insured named above for the policy period indicated, notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. Limits shown may have been reduced by paid claims. Icol-I INSURANCE 1----1 POLICY NUMBER 1--1 DATES 1----------------------------1 - ---- -- ---------------------------- -------------------------------------------------------------------------------- GENE~~ Llþ~ILITY Effective $ 2,000,000 General Agg A [X] Gen Liability PR 8196107 09/04/97 $ 2,000,000 Prod/CoOps Agg [X] Occ [ ] CM $ 1,000,000 Pers/Adv Inj [ ] OCP $ 1,000,000 Occurrence [X] POLLUTION Expiration $ 50,000 Fire Damage r-:;~-~~.-=-~=~.~ ~_ 09/04/98 $ 5,000 Medical Exp --+ÃÜTÕ-LÏÃËÏLÏTÿ---+------#D)~~~U\V7~~~¥~;~i;~+-------------------------- B [X] Any Auto CA 505.~.;,r448. 1..1'1¡ 04/97 $ 1,000,000 CSL [ ] All Owned :¡/I ë.:.:,') ~ ~~ 109 i; [ ] Scheduled !; '- n" .L. ,,) J .' [ ] Hired· g\ .~ I [ ] Non-owned :-Y_---:;;::;. -:___ Expiration [ ] Garage Liab - . ·'--·-09/04/98 [ ] $ $ $ --+-----------------+-------------------+----------+-------------------------- EXCESS LIABILITY / / $ Occurrence [ ] Umbrella $ Aggregate [ ] Other / / -------------------------- --+-----------------+-------------------+---------- [ Statutory Lmts WORKERS COMP / / $ Each Accident AND $ Disease-Limit EMPLOYERS LIAB / / $ Disease-Empl - - +--.---- - - -~.---.-.-----.+----.-~-------. - - ------- --~-~-- ---·+----~~----~-------T - - --~.:-=-=-=-=- 0..----=-=-=-=-= - --- / / $ / / $ BI (person) BI (accident) PD ------------------------------------------------------------------------------ Description of operations/locations/vehicles/other CITY OF BAKERSFIELD ENVIRONMENTAL SERVICES 1715 CHESTER AVE. BAKERSFIELD CA 93301 -----------------------------------------------IAuthorized Representativel------ -~~!,:~~ --------------------------------------1 CANCELLATION 1------------------------ ======1 CERTIFICATE HOLDER 1======= Should any of the above described policies ----------------------------------- be cancelled before the expiration date thereof, the issuing company will endeavor to mail 30 days written notice to the certificate holder named to the left, but failure to mail such notice shall pose no obligation or liability of any kind upon the company, its agents or reps. - -~~-~- ~..,....- ----- ~-- ---,.- - - / ~/q /qs- 'i/2S1tí" ,e - JOBO 6. Ù~'\ ~ nV\ ~f TC<A ¡Iee( 3-d ¡Yf-'¡V'4-bb A~ Iol::l Æ,c~Jiõ ~ lA.l>-e- hl~ i,:>r/A.f<. 4vB~~ he ..s~~ ¡OR.!:Jve. Ý'h~ ~+- fYle<e>/s ~ ec?[(/1iee~is l!)~ UL /.lJ:l. (fie s4hf Atid be. ~2/~ c le4 _ b t I j .I Ýð Jc:1 h /Þv-. ..¡.-J../4t 'f t.. ~ ~* j>ADhA'b{ 'J fvte 'f- +~e ~. .6 ~ U 1- S"8 (u. Lì.) I 6vf Ý~'ft':+- he. ...sh.~t... 0. C-1¥{ / cfL.e t11>'9'I/1VJ.ç.cY4.€<f!.~ Ý-6.søt!!!. ¡-Ç /{- l'u.e't U L /ý 2 1l2[.>. /II!!:- .¡J.sk.~ t.uh.,q;}- -f-h.e., O'uÆ¡¿.- e J1C-e. I.v~~ bo.Yvv¿tZ..Yl L)s "fí'. ~'4y..(t?11 ~ ~f~-es-lhr4f stope. rU'4-~ 'f- Ö4 f/i$. "...!- - '-k)j /... · \.';' \ ~e s; z..e (>..(> cll-t. e CC>t1.-+-4'~Q.~ ~ A ,7::eIt::- f<.OV\ VO l ~ ~ A-l L~ I T~.e. ~...../:::- l \...",. i ~ t!5Ý-. "ø ...... I: ~ o£.\J2... ~~ t~l~ PI 3...~L. :rlU!r £~L-L- I~ '8i' . ~ ~F~ ""¡ð u..~e.- So Iv~ I s'fo¡¿~ ¡'--..... -t-L...e., t-A-"'-Ú.. I 14.~ ;4t;\. Itt(&et pVl,~p v--' I 't u fr.~. c.o VI.~tJ ~ +0 'i-~ f- i"", ~b.I~'¿ ~ I e~." li- Wðt.J¿' be A C!~sod. S'7.si~.:::C ~{cS. k.~ -tó f:.c.4 ~ ~ t: +l~ ..¡.... ...J'<. /"V\...e'f- ¿j L ILt 'J... R"2..5. Jk SA.'~ " k I , '. e -~ ~ .\ - ';Ç' e llI,tÎ~'N '7Jo.JJ,I. v.J... /1 5'4 ( (R.I. "7ß,;vJ:. ttL-;r''5"Jlf:¿... -,:...L ¡,¿ØW- ~-t-6". / Cq¡~ ('h,~I~P7"'^,.I- n,,~~ 7 'x~n /0" b.,.~/ ,. , " I ,t ~ -------..--....-~--... ~ ~ - ,....--- a. Bakersfield Fire Dept. ___ _AZARDOUS MATERIALS D1VISIWJ UNDERGROUND STORAGE TANK PROGRAM . PERMIT No.BR-ð~ . PERMIT APPLICATION FOR REMOVAL OF AN UNDERGROUND STORAGE TANK SITE INFORMATION . SITE I?L I,/ £., FACILITY NAME ..:5 ... 'Y? C!'_ TANK OWNER/OPERATOR 5"'...r.n _ MAILING ADDRESS ADDRESS J oPø A". /)A}~ZIP CODE '9 ~~ð7 APN CROSS STREET P/~¥? ,fZÃJ PHONE No. Jr ~ '9- 110 () ZIP CODE CITY CONTRACTOR INFORMATION COMPANY ~LlJ ~, ADDRESS.-?~ 0 A . v-'V/--' A.... ('" INSURANCE CARRIER Wi JJ J~¡y, ~. .L.. '1 tHJ ~ PHONE No. ? ~ ¿¡-II Þ () LICENSE No. .;2 '94j t:> 79- - ~ ¿/ CITYß~,.,...,o~&zIP CODE -9 ~ "".::07 WORKMENS COMP No. -5'"1 W8~)/.22 ¿-93 JI., "..'¡'¡:'...d ("'ð.. . PRELlMANARY ASSEMENT INFORMATION COMPANY 8 (: L~ b PHONE No. ~.27- 4<;'11 LICENSE No. ADDRESS .L//po A+/:LS c../-. CITY Bz.é....~~..I/J..ZIPCODE 93~()~ INSURANCE CARRIER bJ...I..J..,,,.. M(n.f-l"l.J~o.u TIN!. WORKMENS COMP No. <i:-~ 'µj??R7Z,?.ð91 CtQt."¡"1 ',u è:-Alf... ¿. &;. TANK CLEANING INFORMATION COMPANY B -t L lIz'~UVJ"Y1 ' PHONE No. 39.3-¿;T770 ADDRESS 7~ ðl .J-vG///~ A-vc. _ CITY B#.k....,,~..,IJ,..f,ßZIPCODE 7~~¿)y WASTE TRANSPORTER IDENTIFICATION NUMBER c: A"D 9';::;0 PI ?74~ ;5+:,.-1-.. .:#. ~.:z I NAME OF RINSTATE DISPOSAL FACILITY 6'; b,> ON ð;L -( ¡p... ~"N i 11/ ~ . ADDRESS ~4 /..?/ ~'6 ~ ",~ .51-, CITY .13.. k-,,>-f¡,;. ;I ZIP, CODE 7~ ~ ð) J? FACILITY INDENTIFICATION NUMBER e ,4 þ . 9Ro ~ f ~ I 77 PHONE No. TANK INFORMATION TANK No. AGE VOLUME CHEMICAL STORED u/¿ C7~ , DATES CHEMICAL STORED PREVIOUSLY STORED ¡t;7ð -1 991 / JJII4 /7Ç'O . , THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ÁNY OTHER STATE, LOCAL AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF pERJURY. AND TO THE BEST OF MY KNOWLEDGE. IS TRUE AND CORRECT. k-11nt~ Qu,,.} jYk¡'U,Þ ~ / APPROVED BY:. APPLICANT NAME (PRINT) APPLlC NT SIGNATURE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED -t'LQT t' LA I'" N Plot Plan must show the following: e I 1. e Roads and alleys 2. buildings 3. location of tanks, piping, and dispensers 4. utilities 5. SCALE JJ6/fJé:. 6. water wells (if on site) 7. any other relevent information 1 JI I q". ~ ~. I ,~ I ~I ~I ~ \A A/Ie .~ ~~ .~~ ~~'>' '-\j \) ~ i ~ ~ f \ -J ~~ Oc::: Ii;:) ~ \\~ 1/¡J Iii N It S IJ c.-ri 0 AI J ,. Ñ -e Ii )( , IJ' L D~:J Pum - / .q' ."..... e e BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 CERTIFICATION STATEMENT OF TANK DECONTAMINATION I, :ßW /7?C /ú.,tbß name an authorized agent of pLl-<Jcon~ctin;~. perjury that the tank(s) located at;2..0 £SO here by attest under penalty of s: () /l.)tOV"\ k.and address being removed under permi t# å g - 0033 has been cleaned/decontaminated properly and a LEL (lower explosive limit) reading of no greater than 5% was measured immediately following the cleaning/decontamination process. Z liD / '7 2- { dáte pv d Jpótf/l~6j.. name (print) , 5ED~~~ signature e e STATE OFCAUFORNlA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM D 1 NEW PERMIT D 2 INTERIM PERMIT D 3 RENEWAL PERMIT D 4 AMENDED PERMIT D 5 CHANGE OF INFORMATION ~ERMANENTLY CLOSED ON SITE D 6 TEMPORARY TANK CLOSURE ~ 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTAllED: I. TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN A. OWNER'S TANK L D. # B. MANUFACTURED BY: '7 ., C. DATE INSTALLED (MO/DAYIYEAR) .-¡ D. TANK CAPACITY IN GALLONS: II. TANK CONTENTS IFA-1ISMARKED,COMPLETEITEMC. A. g: MOTOR VEHICLE FUEL D 4 OIL B. ~GULAR D 3 DIESEL D 6 AVIATION GAS C. UNLEADED D D ~PRODUCT D 1b PREMIUM 4 GASAHOL D 7 METHANOL D 2 PETROLEUM 80 EMPTY D UNLEADED 5 JET FUEL D 3 CHEMICAL PRODUCT D 95 UNKNOWN D 2 WASTE D 2 LEADED D 99 OTHER (DESCRIBE IN ITEM D. BELOW) D. IF (A.1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED C.A.S.#: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, AND C, AND ALL THAT APPLIES IN BOX D A. TYPE OF D 1 DOUBLE WALL D 3 SINGLE WALL WITH EXTERIOR LINER D 95 UNKNOWN SYSTEM ~ SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER ~ BARE STEEL D 2 STAINLESS STEEL D 3 FIBERGLASS D 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL o 5 CONCRETE 0 6 POLYVINYL CHLORIDE 0 7 ALUMINUM 0 8 100% METHANOL COMPATIBLE W/FRP (Primary Tank) D 9 BRONZE D 10 GALVANIZED STEEL D 95 UNKNOWN D 99 OTHER 01 RUBBER LINED D 2 ~LKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C. INTERIOR D 5 GLASS LINING ~UNLlNED D 95 UNKNOWN D 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES - NO - D. CORROSION D 1 POLYETHYLENE WRAP D 2 COATING D 3 VINYL WRAP D 4 FIBERGLASS REINFORCED PLASTIC PROTECTION D 5 CATHODIC PROTECTION ~ NONE D 95 UNKNOWN D 99 OTHE R IV. PIPING INFORMATION CIRCLE A IF ABOVEGROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE V SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A@:) SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A Ð 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 W/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. lEAK DETECTION D 1 AUTOMATIC LINE LEAK DETECTOR D 2 LINE TIGHTNESS TESTING D 3 ~Ó~~~~¡~~ V. TANK LEAK DETECTION o VISUAL CHECK D 7 INTERSTITIAL MONITORING o 3 VAPOR MONITORING D 4 AUTOMATIC TANK GAUGING D 5 GROUND WATER MONITORING D 91 NONE D 95 UNKNOWN D 99 OTHER VI. TANK CLOSURE INFORMATION 2. ESTIMATED QUANTITY OF SUBSTANCE REMAINING 3. WAS TANK FILLED WITH INERT MATERIAL? YES D THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT APPLICANT'S NAME (PRINTED & SIGNATURE) oe.- LOCAL AGENCY USE ONLY COMPOSED OF THE FOUR NUMBERS BELOW STATE 1.0.# COUNTY # m JURISDICTION # [QI2llJ FACII)TY # ~ TANK # ITIJ \~I/ \ PERMIT NUMBER I PERMIT APPROVED BY/DATE I PERMIT EXPIRATION DATE FORM B (9-90) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FOR0034B·R4 e e STATE OF CALIFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM A COMPLETE THIS FORM FOR EACH FACILITY/SITE MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAL PERMIT D 4 AMENDED PERMIT o 5 CHANGE OF INFORMATION o 6 TEMPORARY SITE CLOSURE 7 PERMANENTLY CLOSED SITE I. FACILITY/SITE INFORMATION & ADDRESS· (MUST BE COMPLETED) NAME OF OPERATOR ,.¿" PARCEL # (OPTIONAL) co o INDIVIDUAL o PARTNERSHIP o lOCAL-AGENCY DISTRICTS D ./ IF INDIAN # OF TANKS AT SITE E. P. A. L D. # (optional) RESERVATION OR TRUST LANDS o COUNTY-AGENCY o STATE·AGENCY o FEDERAL·AGENCY TYPE OF BUSINESS D 1 GAS STATION D 2 DISTRIBUTOR D 3 FARM D 4 PROCESSOR ~OTHER EMERGENCY CONTACT PERSON (SECONDARY)· optional DAYS: NAME (LAST, FIRST) NIGHTS: NAME (LAST. FIRST) II. PROPERTY OWNER INFORMATION· MUST BE COMPLETED CARE OF ADDRESS INFORMATION o lOCAL-AGENCY III. TANK OWNER INFORMATION· (MUST BE COMPLETED) NAME OF OWNER ~ MAILI CARE OF ADDRESS INFORMATION ./ box to indicale 0 INDIVIDUAL o CORPORATION 0 PARTNERSHIP STATE ZIP CODE D lOCAL-AGENCY D STATE·AGENCY D COUNTY-AGENCY D FEDERAL-AGENCY PHONE # WITH AREA CODE CITY NAME IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER· Call (916) 323·9555 if questions arise. TY(TK) HQ @E]-CIIIIIJ V. PETROLEUM UST FINANCIAL RESPONSIBILITY· (MUST BE COMPLETED) -IDENTIFY THE METHOD{S) USED ./ box to indicat. o 1 SELF-INSURED D 5 lEITER OF CREDIT D 2 GUARANTEE D 6 EXEMPTION D 4 SURETY BOND VI. lEGAL NOTIFICATION AND BilLING ADDRESS Legal notification and billing will be sent to the tank owner unless box I or II is checked. CHECK ONE BOX INDICATING WHICH ABOVE ADDRESS SHOULD BE USED FOR LEGAL NOTIFICATIONS AND BilLING: L D II~ D TH/S FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY. AND TO THE BEST OF MY KNOWLEDGE. /S TRUE AND CORRECT 1Øfq,~ JURISDICTION # [Q[illJ FACILITY # ~ LOCATION CODE - OPTIONAL CENSUS TRACT # - OPTIONAL 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 (5-91) FOR0033A-5 ... ,~.-...!.-....,.- L' r 2-D 10 ¡() (), ~ ~ ,..-' (f I BSK Log #: (93 ?:::. Sa~ple Seals: A (P) E Containers: ðD k' L TYPE;' (!) L G Due Date:, ~lz..rff1- ~'l- LONNY SAUNDERS BACKHOE SERVICE ~ ,- 4412 ORRICK cr. OILDALE, CA.IJF. 93308 ~ ~ , . -. .- .. - ~ - . . - . _ __ . .___ 4 . '" ~ -.. - -- .-... ..--,. ' ., ... -- - --- :>JECT NO,: SITE NAME: "~I /~ / ~j ,t<lLù ~O(;~111~') -( Lb en a: u.W ~S(SI~~ Q SITE ADDRESS V o~ REMARKS .« t-~ 'J 2D~b Sof,}'7'H / 2,,~ A-f)l- 01- zz ".MPLE I6ÄTE TIME tAA~~~~ SAMPLE LOCATION DESIGNATION 0 COMP GRAB Ü J.NO. L. / T z/¿, ¡O:4Zw, I (~/ ( V J «9A~¡..;>~. /'" 5D." 7ü.Þ-t- 2 (þ--iL)' I) Ç' - . ...., 7t':Æ? r",-"...::.~ Z-I~ioh¡ 'to/QAt- I 11/ c/ - J & C.€iù1€6?, o~~. / V G.~l~ . -~ ~ . -~ ~ _L ~ ..~ _u_J . . _u~ -~ J .L ~I ,I I) /ì UN UISH:;Z~ DATE TIME R72~;~ R~~~SHED BY (SIGNATURE) DATE TIME (¡Z~ ~ ¡SIG:¿;URE) Z/;Oh71 tI:CÒt4- _v ·/~AA.4//~ ;?. /'17-92/ J I ~ I/ ~ /~tv?~.. ~~ ~ L~: (SIGNATURE) DATE TIME RECEIVED BY (SIGNATURE) RELrNQUISHED BY (SIGNATURE) DATE TIME ~CEIV!:D BY (SIG~tURE) ~h?1 C/cð I , :/{~ INQUISt"lED ~:(SIGNATURE) DATE TIME RECEIVED FOR LABORATORY BY DATE TIME REMARKS: 1 /7~NATYR~./.L ' :2-//--9;.[ t? 8ÎJ D 111/1/ {/ h ^ . A-" -------- - --- ,- f .~2- .. Organics Supervisor e 1414 Stanislaus Streel Fresno, California 93706 Telephone (209) 485-8310 FAX (209) 485·6935 1 ·800-877·8310 e ANALYTICAL ~ lABORATORIES Eir~~ BSK-Bakersfield Lonny Saunders Backhoe Service Date Sampled Time Sampled Date Received Date of Analysis Report Issue Date: Case Number Lab ID Number Project Number Sample Description: Ch920325 0325-2 É92042 Center of tank 17' Sample Type: SOLID Analyses for BTEX bv EFA Method 8020 and TFH (G) bv BFA Method 8015 Results Reported in Milligrams per Kilogram (mg/kg) compound Results DLR ND 0.005 ND 0.005 ND 0.005 ND 0.005 ND 1. DLR Multiplier 1 Benzene ......................... Toluene ........................ Ethylbenzene .................... Total Xylene Isomers ........... Total Petroleum Hydrocarbons (G) Sample DLR = DLR x DLR Multiplier, DLR: Detection Limit for the Purposes of Reporting. Exceptional sample conditions or matrix interferences may result in higher detection limits. ND: None Detected Cynthia //; if Pigman,?QA/QC Supervisor Michael Brec 02/10/92 1052 02/11/92 02/20/92 02/25/92 .~ . ANAL YTICAL ~ LABORATORIES EI(~~ 1414 Stanislaus Str' 'Fresno, California 93706 Telephone (209) 485-8310 FAX (209) 485-6935 1·800-877 -8310 e Date Sampled Time Sampled Date Received Date of Analysis Report Issue Date: BSK-Bakersfield Lonny Saunders Backhoe Service Case Number Lab ID Number Project Number Sample Description: Ch920325 0325-1 B92042 Center of tank 13' Sample Type: SOLID Analyses for BTBX by BPA Method 8020 and TPH (G) by BPA Method 8015 Results Reported in Milligrams per Kilogram (mg/kg) Compound Results DLR Benzene ........................ Toluene ........................ Ethylbenzene ................... Total Xylene Isomers ........... Total Petroleum Hydrocarbons (G) ND ND ND ND ND 0.005 0.005 0.005 0.005 1. Sample DLR = DLR x DLR Multiplier, DLR Multiplier DLR: Detection Limit for the Purposes of Reporting. Exceptional sample conditions or matrix interferences may result in higher detection limits. ND: None Detected Cynthia Pigman, QA/QC Supervisor R910701 BTPS.t 02/10/92 1042 02/11/92 02/20/92 02/25/92 1 Michael ~ chmann, Organics Supervisor State of C~lifòrnia-Health and Welfar~ Agency Form Apprqved ~MB No. 205<>-1?039 ¡(Expires 9-30·91) Please prinlòr type. Form designed }or use on ef UNIFORM HAZARDOUS WASTE MANIFEST o Ii) Ii) .... '" Ii) OJ 6 o O? ....I ....I < Ü O~ (V) æ <D~ r-~ ('\1 ü U')~ ,_. ..... i....)~ OJ,- N o OJ OJ .: N '<t 8 O? a: w f- Z W Ü w en z o 0- en w a: ....I < Z o ¡= < Z W :I: f- ....I ....I < ü ..1 ....I ë: en a: o >- ü z w (! a: w ::E w z < LI- o w en < ü ~ , ! I / See Instructions on Back of Page 6 and Front of P ge 7 Department of Health Services Toxic Substances Control Division Sacramento, California 3. Generator's Name and Mailing Address RL vJ €Cif/;j?NI¿-'N T _ ¡.:.;; è' "1. 0 ~ O!l7l-ll/N / ~ J' ,(I/lf. , P ¡:¡ Kt:;7:. 'Sf.' /£.¿ /j C J:.f ('/ 3-5 () 7 4. ''G''.Jnerator s Phone (ó )£"')' --? '/ . 5. Transporter 1 Company Name ()V.4LIl-t, 7. Transporter 2 mpany Name 11. a. G E N E R A T o R A'ðN- b. EPA/Other State. c. EP A I Other d. State EP A ~ Other "'1. . J. Additional Deacriptlona for Materlala Listed Above X)-/(~ 6r1S...... .' ðJ-./CJOt¡r> 'W,1¡;~ ; t..J d. 15. Special Handling Instructions and Additional Information (2leSo~1 416037 16. GENERATOR'S CERTIFICATION: I hareby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified, packed, marked, and labeled. and are In all respects in proper condition for transport by highway according to applicable international and national government regulations. If I am a large quantity generator, I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I hAve determined to be economically practicable and that I have selected the practicable mathod of treatment, storage. or disposal currently available to me which minimizes the present and future threat to human health and the environment; OR. If I am a smali quantity generator, I have made a good faith effort to minimize my waste generation and select the best waste management method that is availabla to me and that I can afford. T R A N S P o R T E Month Year ?{ Ir/r Printed/Typed Name Month Day Year Month Day Yellf ¡' '. /. ,.,.,/.. ~, . . .....l , . ~ ~/ ~ ~...:' 19. Discrepancy Indication Space F A C I L , 20. Facility Owner or Operator CertificatiJn of receipt of hazardous materials covered by this manifest except as noted in T y Printed/Typed Name Month Day Year ~ Do Not Write Below This Line DHS 8022 A EPA 8700-22 (Rev. 6-89) Previous editions are obsolete. Yelhw: TSDF SEt·IDS THIS COPY TO GE~JERA TOR \'ITHIN 30 DAYS .....,...- '-,,,,,-~~-~,,-,,,~..............,-, . , > -··''<.·-',.u.:''':''',,-~'';'<':'!~;6i;ti;'?$--,,::.r_~-,:..,æ;_~~'':'~·_n:_~~_._~L"~"'-"~..~"~""L'_"'__.'_ __.~___ ___ ',_.. '~.__~'~'L",.-.~~~l.i>~M__.':",>._~.".",- '''''"''-'''T~'~Jl)~aJ[~'~''~'~ .... í~_ . .';i:'\\'~"J<''¡::i;,j< . ·K':'DISPOSAL···FO'RM:;:·)i;i:~0 . . ,', ',;: -. "v" ..':~. "".':_ _' _.;_..-j~j~~;:.r;::-'::::-:;~Q cJ¿../ I..) e e CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT S. D. JOHNSON FIRE CHIEF May 13, 1992 2101 H STREET BAKERSFIELD, 93301 326-3911 R L W Equipment 2080 South Union Bakersfield, CA 93307 Attn: Bud McNabb CLOSURE OF 1 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANK LOCATED AT 2080 SOUTH UNION IN BAKERSFIELD, CALIFORNIA. PERMIT # BR0033 This is to inform you that this department has reviewed the results for the preliminary assessment associated with the closure of the tanks located at the above stated address. Based upon laboratory data submitted, this office is satisfied with the assessment performed and requires no further action at this time. If you have any questions regarding this matter, please contact me at (805)-326-3797. 51 C¡;~ oe DunwooV Hazardous Material Specialist tt. _.~. FILE'CONTENTS INVENTORY Facili ty 'I 1- jJ PTO # Construction Permit # Abandonment Permit # Modification Permit # Amended Permit Conditions Annual Report Forms ~ &, .' App. Date '. Date Date '2.æ #of Tanks I App. Date App. Date Date Plot Plan ...--- #of Tank #of Tanks Appl. Date Copy of Written Contract' Between Owner « Operator I ~SPE7c:ion R~!,ort,s 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) STD Compliance Check (New Construction Checklits) MVF Plan Check (New Construction) STD Plan Check (New Construction) 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 p~ta: Groundwater Drilling, Boring Logs Location of Water Wells Statement of Underground Conduits Plot P'lan Featuring All-Environmentally Sensitive Data Photos Constrti~tion Drawing_ Location: Half sheet showing date reèeived and tally of inspection time, etc Miscellaneous ' e(/L::: /. <.:rn (;ullI\l y IIl:J~ th Ot:p,~. lll~t::. , ~v 1S161. of Env lroruncntdl Hea. .41 '700 FloW'er Street, Bakt:rsfielci, CA 93301) I'.: (11\ i"- 1::::- 0 /1/ /.f- C- Appl icdt ion nGlte-'-M~ÿ~T~--' APPLICATION FOR PERMf1' TO OPERAT~' UNm:RGHOUND ---. ._- HAZARDOUS SUBSTANCES STORN;E r ACILITY T~ of Appl icatiün (check): - ONew Facility OM:>dification of Facility ŒlExisti~ Facility DTransfer of OWnership Ðnergency 24-Hol.lr Contact (name,' area code, phone): ~ys .Ron Wnlfp (RO~)R14-11nn Nlghts Ron Wolfe (805)871-4132 Facility Name....__JiL1LEauipment Co. No. of Tanks 1 Type of Business (check): L1Gasoline Station tX]Other (describe) Equipment Business Is Tank(s) Located on an Agricultural Farm? Dyes ŒJNo Is Tank(s) Used primarily for hjricultural Purposes? DYes (]J ~ Facility Address 2080 South Union Avenue Nearest Cross St. MinQ Avenue T " R SEC (Rural Locations 011y) Owner Robert L. Wolfe Contact Person Ron Wolfe Address 2080 So. Union Avè. Bakersfield.Ca Zip 93307 Telephone (805)834-1100 C~:~ ~or Contact Person . SAME Þ.1dress SAME Zip Telephone SAME )Jat&r to FacUity Provided by Bakersfield City Water Depth to Groundwater ISO' S:'.~ O1aracteristics at Facil i ty Sandv/Loam--Cl av 8'sis for Soil Type and Grourowater Depth Determinations Water and soil maDS (,on~r.actor RLW EQuipment CA Contractor's License N:>. 2Q4074 l.dd-e.iS 20RO s~ IIn;nn Avp Rñkprc:;f;plr1,r.a Zip J~~n7 . Telephone (RO~)R14-11n(1 P;or-:> "00 Start D1 Date propos Completion Date WOrk~r's Compensation Certlflcacion I ON FILE Insuré' ON FILE If --. .s Permit Is For Modification Of An ExistiD1 FacUity, 8riefly Describe Modifications P¡,'c¡r-sed Nj A Ta'1k (s) Store (check all that apply): Jer ~ ! Waste Product Motor Vehicle Unleaded Regular Premium Diesel Wast~ Fuel Oil 0 - 1 ]) Ii ü1 B 0 0 0 0 0 0 0 0 0 0 ..---- 0 0 0 8 B 0 B -8 0 0 0 0 Chemicai Composition of Materials Stored (not necessary for motor vehicle fuels) ~ ,~ ~ -.emical Stored (non-coarnerclal name) CAS . (if knOW1) Chemical Previously Stored (if dIfferent) -- _. NjA ---- -- -- Traa '.r of Ownership ~te of Transfer Pr~.")us facU i ty Name I, NjA N)A pr ev i ous Owne r accept fully all obligations of ~~onit No. issued to I understand that the Perml ttiD] :\lJthor1ty may review and moð.f. :y or terminate the transf~r of the Permit to Operate this œdergroœd storage facl.. Þ.ty upon recelviD] this canpleted form. -- - '!'hI.: :;1)'11. has been canpleted under penalty of tree ¿rf ~ó~.~~: ~ ---=: Signawc ~ perjury and to the best of my knowledge is -::-:: - Ti tIe GJ;nera 1 Mi'1ni'1ncV' 1)arF' .. F'acUity Name ~ RLW Equipment Permit Ne.dS-OC! I~> TANK I e- (FILL OUT SEPARATE FORM . _~CH TANK) - roR EACH SECTION, æEèI< ALL APPRõPRÏÃTE-šõXES- -- H. 1. Tank is: DVaulted DNon-Vaulted Ol))uble-Wall JX]Single-waU 2. Tank Material gCarbon Steel 0 Stainless Steel 0 Polyvinyl Chloride 0 Fiberglass-Clad Steel o Fiberglass-Reinforced ~lastic 0 Concrete 0 Aluninum 0 Bronze DUnknown o Other (describe) . 3. Primary Containment Date Installed Thickness (Inches) ¡J4" 4. Tank Secondary Conta1nment ODouble-Wall ~ Synthetic Liner [JOther (describe): o Material 5. Tank Interior Lining -rfRubber OAlkyd OEpoxy OPhenolic DGlass DClay [llblined DLhkno\rot1 DOther (describe): 6. Tank Corrosion ProtectIon -UGalvanized . o Fiberglass-Clad DB>lyethylene Wrap DVinyl Wrappin:¡ UTar or Asphalt OUnknown ONone OOther (describe): . Cathodic protection: ij¡None OImpressed CUrrent System D Sacrificial Mode System Descr Ue System & Equi¡::ment: 7. Leak Detection, Monitoring, and Interception ~Tank: DVisual (vaulted'tãnks only) DGrouMwater Monitorin}' Well (s) D Vadose Zone Monitoring Well(s) D U-Tube Without Liner DU-Tube with Compatible Liner Directi~ Flow to Monitoring Well(s)* o Vapor Detector* 0 Liquid Level Sensor 0 Conductivit~ Sensor* o Pressure Sensor in Annular Space of Double Wall Tank o Liquid Retrieval & Inspection Fran U-Tube, Moni toring Well or Annular Space m Daily. GalX;1ing & Inventory Reconciliation fi1 Periodic Tightness Testing D None D UnknO\rot1 0 Other b. Piping: OFlow-Restrictirq Leak Detector(s) for pressurized Piping" D Moni toring Slnp wi th Raceway 0 Sealed Concrete Race'MiY D Half-Cut Compatible Pipe Raceway D Synthetic Liner Raceway IXJ None D Unknown 0 Other *Describe Make & Model: 8. ~nk4igh~n~sBe s 1S a en Tightness Tested? Date of Last Tightness Test . Test Name 9. Tank Repair Tank Repaired? DYes DNa DUnknown , Date(s) of Repair(s) Describe Repairs 10. OVerfill Protection. ~Operator Fills, Controls, & visually Monitors Level DTape Float Gau:Je DFloat Vent Valves 0 Auto Shut- Off Controls Dcapacitance Sensor Dsealed Fill Box DNone DUnknown DOther: . List Make & Model For Above Devices Capacity (Gallons) ? Jnno gallQR$; o Lined Vaul t [XI None Dunknown Manufacturer: Capacity Manufacturer Unknown Thickness (Inches) (Gals.) . _ .....r.-..- o Yes []I No D unknown Results of Test ~sli03 Company 11. Piping . a. tJndergroW1d Piping: œYes ONe OUnknown Material G;:¡1,,;:¡n;7P"¡ C:teel Thickness (inches) Diameter 1-1I~Manufacturer Unknown [Jpressure .~Suction (]Gravity Approximate Length of Pipe Run 51 b. Underground Plpll'~ Corrosion Protect ion : '. ~Galvanized []Fiberglass-Clad OImpressed currentDSacrificial Anode' Polyethylene Wrap . DElectrical Isolation OVinyl Wrap DTar or Asphalt Unknown o None OOther (describe): c. UndergroW1d Pipi03, Secondary Contai m\ent: o Doub 1 e-Wa 1 1 OSynthetic Liner System ŒJNone OUnknown DOther (describe): . e - \ er .,-,'-r May 29, 1987 Kern County Health Dept. 1700 Flower Street Bakersfield, Ca. 93305 ATTN: Bill Scheide Dear Bin, These are the plot plans and i tank charts used by RLW Equip- ment. ,'" . 'j Thanks, ~¡ d - L <::S-7 ,,/- :..~¿. ~ 7?7 -~~-d-~7/~)d- .1 Bud McNabb . ./ .¡ Service Manager , » jb