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TELE1?HCNE NUMBER ¿ -;;J is!
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FACSI}1T'LE NUMBER ~ ,~
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HL\ŒC CCNSTRUCTICN, INC.
4609 m;,.¡ HORIZON BLVD. SUITE 2
BAKERSFIELD, CALIF. 93313
TELEPHCNE NUMBER 805) 397-6555
FACSI11IIZ NUMBER 80S) 836-8164
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~~OR OF!GINAL
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CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (661) 326--3979
APPLICATiON TO PERFORM
FUEL MONITORING CERTIFICATION
FACILITY~CUL-er-~-8~d t.A i.c... IMu~~ì-e~
ADDRESS 2:2 \ 2 S. 11 YLI tJY\. ~t· ,~~B Jl ~ d
OPERATORS NAME FYô-Y\...IL fu l f~
OWNERS NAME
NAME OF MONITOR MANUFACTURER
DOES FACILlTYHAVEDISPENSER PANS? YES_ NoL
TANK #
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VOLUME
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CONTENTS
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NAMEOFTESTINGCOMPANY_hzv1?~f\-i-liLJ ('1)r~frYl
CONTRACTORS UCENSE # 3()4lli I
NAME & PHONE NUMBER OF CONTACT PERSON ðU1Y\.rYlQ.r LJ~
DATE & TIME TEST IS TO BE CONDUCfED \h.u.r5d.<l.t1 1 ~ .?.f\1!'- @ > ql.OOo.m.
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APPROVED BY
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SIONATÙRE OF APPUCANT
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H 31 03 11:29a Franzen Hill 5596881467
ar !VIU1~ll UKll~(j- ~Y~TJ!:M CJ!:RTl.1ill;ATION
For Use By All Jurisdictiolls Withill the State 01 California
, A IIthoriry Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23. California Code of Regulations
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This fonn must be used to document testing and servicing of monitoring equipment. A separate certification or reDOI1 must be nrepared
for each monitorim~ system control pane1 by the technician who performs the work. A copy of this Corm must be provided to the tank
system owner/operator. The owner/operator must submit a copy of this foml to the local agency regulating UST systems within 30
days ohest date. '
A. General Information
Facility Name: B~
Site Address: 2.- µf 2.- S': U N/ tJ IV,
Facility Conta·ct Person: Fìj(NK; AJrt..rz,Atl...
MakeIModel of Monitoring System: ¡;.,.Ie"..,;,) TJ -(~
Bldg. No.:
City: ~~.J4'1!51f:;/ c:¿- Zip: '7,>:J is "7
Contac:tPhone No.: (~ ) 'i?.Jtf- J..v7"Z..-
~¿, r,,4Y Date of Testing/Servicing: Lt;"r t oJ
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B. Inventory of Equipment Tested/Certified
Check, the a ro rlate boxes to Indicate s eclOc: e ul ment Ins eeted/servlced:
Tank ID: .ðC)O. ~'- ~ Taøjc ID: i:¥~.r~Z/ 10, Oô Û
61n-TankGau ingProbe. Model: "l.t6 10/ B'fn-Tank Gauging Probe. Model: Lk:S /ðl
ar ce Vault Sensor. Model: t...s .1~ a Annular Space or Vauh Sensor. Model:
la1iiping u !Tren<:h Sensor(s). 'Model: LS;1 A- a Piping Sump/Trench Sensor(s). Model:
a Fill Sump Sensor(s). Model: a Fill Sump Sensor(s). Model:
a Mechanical Line Leak Detector. Model:· [J Mechanical Line Leak Detector. Model:
a Electronic Line Leak Delector. Model: -:n.J _ð,d a Electronic Line Leak Detector. Model:
I4"1'ãnk Overfill! High-Level Sensor. Model: :J...rJe,,-oJN [j-'fãñk Overfill! High-Level Sensor. Model: ~c:..<::>
[J Other s eci e ui ment t e and model in Section Eon Pa e 2 . a Other s eif ui ment t e and model in Scetion Eon Pa e 2 .
Tank ID: Tank 10:
[J In-Tank Gauging Probe. Model: [J In-Tank Gauging Probe. ModeJ:
[J Annular Space or Vault Sensor. Modcl: a Annular Space or Vault Sensor. Model:
a Piping Sump / Trench Sensor(s). Model: 0 Piping Sump / Trench Sensor(s). Model:
O· fill Sump Sensor(s). Model: 0 Fill Sump Sensor(s). Model:
!J Mechaniçal Line Leak Detector. Model: [J Mçchanical Line Leak Detector. Model:
:J Electronic: Line Leak Detector. Model: a Elççtronic Line Leak Detector. Model:
::¡ Tank Overfill I High-Level Sensor. Model: a Tank Overfill I High-Levcl Sensor. Model:
::J Othcr 5 cif1 e ui ment t e and model in Section Eon Pa e 2). a Other ( ecif e ui ment t e and model in Section E on Pa e 2 .
:)ispenser ID: G..tS Dispenser ID; /J/~.rf:SL;
.J D~nser Containment Sensor(s). Model: [J Dj~enscr Containment SensoJ(s). Model:
J...8h~ Varv ' ' lì'S1\ear Valve(s).
IS enser Containment oat s and Chain s . 0 Dis enser Containment Float s and Chain s .
)¡spenser 10: Dispenser ID:
J Dispenser Containment Sensor(s). Model: IJ Dispenser Containment Sensor(s). Model:
J Shear Valve(s). a Shear Valve(s).
J Dis enser Containment float s and Chain s . a Dis nsi:r Containmcnt Float s and Chain s .
)Ispenser ID: Dispenser ID:
J Disperuer Containment ~ensor(s). Model: C Dispenser Containment Sensor(s). Model:
J Shear Valve(s). [J Shear Valve{s).
JDis cnsCr Containment Float S Bnd Chain 5 . a Dis enser Containment Float s and Chain s .
If the facility contains more tanks or dispensers, copy this form. Include inronnation for every tank and dispenser III tþe (acility.
., CertificatioD -I certify Chat tbe equipment IdcDtiOed In this document was inspectedfserviced ia accordance with the manuCacturers'
guidelines. Attached to this Certification Is Information (e.g. manufacturers' checklists) necessary 10 verify that this (alormatloD'1s
correct and a Plot Plan showing tbe layout of moaitorlng equipment. For aay equipment caplbIe of generating such reports, 1 have wo
attached a copy of the report; fe/leek "IIII,al apply): ¡;¡ S) Item set:-up ff~ bj¡tory report
'echnician Name (print): ...J6uL Si'~ (JI Signature: ~ -
:ertificatìon No.: :rW 1 . License. No..
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Phone NO.:( .Qì ) ~W /" ¿,-'17"/
Date ofTestinglServicìng: LI ;- n JJ,L
·csting Company Name: (9 Å'"N~-1ft,1
ite Address: LL 06 pJ, J '7'w A'"Ñ2.-
Page J on
03101
IODltoriog System Certification
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Mar 31 03 11:30a Franzen Hill
D. Results of Testing/Servicing
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Software Version Installed: , ~
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5596881467
Com refe the followin checklist:
Yes C No· Is tbe audible alann 0 erational?
es C No· Is the visual alarm 0 erational?
es Q No· WcrealI sensors visuall ins ected, functionalI tested, and confmned 0 erational?
es C No· Were an sensors installed at lowest point of secondary containment and positioned so that other equipment will
not interfere with their co er 0 eration?
If alanns are relayed to a remote monitoring station. is aU communications equipment (e.g. modem)
operational?
For pressurized piping systems. does the turbine automatically shut down if the piping secondmy containment
monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors ùùtiate
positive shut-down? (Check all that apply) a SumpII'rench Sensors; a Dispenser Containment Sensors.
Did ou confinn ositive shut-down due to leaks and sensor failure/disconneclion? Q Yes' Q..lohr;""
a No· For tank systems that utilize the monitoring system as the primary tank overfiJl warning device (i.e. DO
a N/A mechanical overfill prevention valve is ins~l1ed). is the overfill warning alann visiblc and audible at the tank
fiU" oint s and 0 eratÎn ro crl ? If so at wbat ercent of tank ca aci does the alarm tri er??': %
Was any monitoring equipment replaced? lfyes, identify specific sensors, probes, or other equipment replaced
and list tne manufacturer name and model for all laèement arts in Section below.
Was liquid found inside any secondary containment systems designed as dry systems? (Check all tl¡at apply) a
Product; Q Water. If s, describe causes in Section E below.
Yes Q No· Was monitorin stern 5et-u reviewed to ensure ro ersettin 51 Attach set u
es Q No· Is all inonitonn e ui ment 0 erational er manufacturer's cifications?
· In Section E below, describe how and whentbese deficienc:ies were or will be corrected.
Q Yes
a No"
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C ~.
Q"'NJA
¡;J Yes
Yes
Q Yes·
Q Yes·
licable
E. Comments:
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Page 2 or]
83101
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Mar 31 03 11:30a
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F. III-Tank Gauging I SIR Equipment:
Q Check this box iftank gauging is used only fOT inventory control.
I:) Check this box if no tank gaugin¡ or SIR equipment is instaUed.
This section must be completed ¡fin-tank gauging equipment is used 'to perfonn leak detection monitoring.
Comolete the foIJowin2 c:hec:kJlst:
e:f yes a No· Has all input wiring been inspected for proper entry and tennination, including testing for ground faults?
e::r yes a No· Were all tank gauging probes visually inspected for damage and residue buildup?
er Yes Q No· Was accuracy of system product lcvel readings tested?
O"'Yes a No· Was accuracy of system watcr level readings testcd?
ç;t"Yes a No· Were all probes TeinstaUed properly?
-9"Yes a No· Were aU items on the equipment manufacturer's maintenance checklist completed?
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LANDCO CIRCULA nON
PLAN AMENDMENT
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BAKERSFIELD FIRE DEPARTA
aU.lAu 0' "11 PIIVINTlON
PERMIT
Permit No.
16 October 1978
Date
015
In conformity with provisions of pertinent ordinances, codes and/or regulations, permission is hereby
granted to: .
Lutre1 Trucking 2212 So. Union Avenue
Nome of Company Address
to display, store, install, use, operate, sell or handle materials or process involving or creating con-
ditiOl1s deemed hazardous to life or property as follows:
Put in 10.000 gal. deisel tank.
subject to the provisions and/or limitations os provided on the reverse hereof. Violation of pertin-
ent ordinances, codes ond/or regulations shall void this rmit.
~C: ~~
Fire Marshal
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FACILITY: llA+reJ ¡y:.uc_k i vîS ) IV'ì~
ADDRESS : ~ J- ) ~ ~. Lt Vì lO f\. A-I.tf.
PERMIT #: ,,~I 00 8'S"" ENV. SENSITIVITY:
NES
Activity
# Of Tanks
Comments
Date
~
. d/5~{)()@"(' 7/ //fS'b .
(lfJpJìr'.a+¡,cj j, ì ~/ 3/9()
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C,ra~~d !2T r:t-- Pac; II'+¡ #:- jqJrO +mrYl 07. t) (JO();:;L
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~ LABO RATOJFjtêAêtHE.'~ c.
. ' ';'00 PIERCS RD.; BAKERSFIEI.D, CAI.JFORNIA 93308
CHE.Illc.lL ANALYSiS
PETROLEUM
p,..t......, , ':'1 '.0 tJ, ,...1 "''-'("-~'" \.,(".,...,~.
.'0iI ...__...... :...;, _". .'....,.."'_..
(SOIL)
Hirr~c Const~~cticn
4609 N~w Horizon Ste. 2
&<.kerlield, CA 93313
At~ntion: ~~rles Artt!strong
D.;:¡,t-i: r:,f
8~F-<:\l't: ::.7 -~';¡l'-81)
Lab Nc'. :
Sarr:ple Desc:
2125-1
Soil Sarrlpl~ 2 f.:et S, ~/24/90 - 10:15
DatÆ: SSIr¡pl~
Coll~(;ted :
24-Feb-90
DatP. Sarnple
Extr,:\::ted:
19-Mal--9(,)
D9te S.arrrpll:!
Received @ Lab:
12-Mar-90
D.:t.: Þ.n.alysi$
c...'mpl,::ted :
21-M..:...r- 9 Q
c;ons't:'tu~nt
Reporting
OrJ. t:3
Mini¡m;¡r¡
~eporti!'.g
L",=vel
:1rlalys i ~
R~.sult.s
&-nzene
Toll.lene
Ethyl ~r.zene
p-Xylene
m.o;Xylene
(,'- X.V 1 ene
nf.:'rl~ detecœd
nçr:~ det...ect.ed
!lcne detected
none detect.ed
none detect-e¿
n~n~ det&:teè
ugjg
ug/S
ug/g
ug/g
¡;gIg
ug/g
0.02
0.02
0.02
0.02
0.02
0.02
Tr:¡'t'.al Pet..
H,vr:irœarr.x-,ms
(Di~s~l)
1.lg/ g
n(g"~ df:!t.:r:~d
~\
TEm' r£!'HOD: TFH by D, 0 . H. S. I L. fJ . F ."!' M:~.:11.J/:Ù M~t:'<:-d.
Indi viclual cr')nstì t;,,¡~rrt3 by Mr:\di!i~l EPA t1,,::~~h:,¿ 5020/8020.
A~ R~~iv~d Basis
())rm~nt.o:: :
Cali f\)r:'1i,~ D.O. H. S. C,;;>r~. . 11102
By ,,__ __....
,]. ..1, Eglin
o L ')? ~
'''' ,:?-:q.?_=_, ,., L,.,_,_~L,.
t,rl~ly,,,:t. /
~ ....... ....-....
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PHONE 327·4911
-
r'1 A P - 2' :=: - -:;:. .::) l·~ E De, 4 1
BC
LAB '=; - 0 F.: C. C
F'
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~lir:RçNMENi..U
LABORATORIES, INC.
J. J. eOLIN, REO. CHEM, ENCR,
4100 PIERCE AD... 6AKER$FIElD. C).lIFORNJA 93308 PHONE 327.J9"
CHEJ,(ICAL .J./I,j,r$í$
PEiROLiU,1,f
P-:tr(';l.::I..\W Hyrlrt:~:,:\l·ì-.;çn.~¡
( :30!!..)
Hi~c Construction
4609 New Horizon Ste. 2
B~rfiald, CA 93313
At~1'1ticn: Charles Ar¡f~~t:t<::r¡~
D.a t<:: r.,.f
R~p(1rt: 27·Mar-90
Lab N(). :
Sëu-r¡pl~ ~sc;
2125-2
Soil S,ample 4 f~.:t :~, :2/24/90 - 10: 20
Da:tF.:: Sample Date Sampl~ D~~ Soê',mpl!~ D~Ut A..'1.alysi£
Co llac":.;;¿ : Rec~ived @ L,:;.b: E:..'<...r,;.c~.l : G:1fr¡plet¿:
24-2F.:0-90 12 -M£...r- 9 () lS-rtar-90 21-M;~r-90
Hin im..un
Eeportin~ .A.r.alysis Repo rti r-...g
C?nstituent Unit.:¡ Pesult.5 Level
&nzene ug/g nc'ne de~c'tP.'d 0.02
Toluene Ilg/g :lone de tac'tßd 0.02
E..th,yl Benzene t,¡g/ g non~ detectJ::d 0.02
p-Xylene ug/g none det.ecœd 0.02
m-Xylene ug/g r.Qn~ detected 0.02
o-Xylene UZ/g; none ¿~t.:f.:~:i 0,02
Total P~t.
¡.i.ydrocar:Xms Il/!.:! e r¡Qn~ d~t.<=ct.;:d :,
'.
(Di~s~l)
TEST M.E."'!'HOD: T?H by D. (). H. S. / L. i). F. T M.:I."'!I,1.Ü M.~th(Jd.
Tndi vidual !';r.msti tur;:nt~ r.>;I t'k'difi":!d EPA M..;:thr.)(j 5020/8020.
A$ R!;;<::~iv~d Basis
ç.:'rr!r~n tz :
CÆ:lliiç1r;ti03 D. () . H . S. Cl'n·t., n 1(.12
By
...........---.. ..
(L' ¡ !:'
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CHE.\lICAL ANALYSIS
'LABORATORIES, II'JC.
J.J. EGI.IN. REO. CI'IEM. I;NGR.
4100 PIERCE RD., BAKERSFIELD, CAL.IFORNIA 93308 PHONE 327·4911
t.'íV/RONIrlE.'ITAL
PEiROLEU,W
?~trol:<:llIn H.ydrl:'c,:1rr~n.~
(SOIL)
D.a~ d
Re??rt.: 27-t1.E:.l"-90
Hi:r;.~(' Cr.'rlstl-·.lc'ti('.;f!
4609 N~w Horizon Ste. 2
&kerii~lr.!. CA 93313
Att.:ntion; C:"'árl~s Al"!'\1.strong
L-ab t'k>. :
Sample De$<::
Da't€: SamÞle
(~l1ect€:d :
24-Feb-90
Ccn..sti -:'uent
&nzene
Toluene
Ethy 1 Eenz~r.e
p-Xylene
m-Xyl~n~
..,-^yj~n~
T,:¡t,aJ. ?~t,
!i:r¿r'I"'..>C.:tl"Ì:.:öt:$
(Lìi~.~~J :'
2125-.3
Soil Sample 2 fœet N. 2/24/90 - 10:30
Date ~npl~
Received @ L,Si.b:
12-Mar~90
Dart~ ~r.¡ple
Extr.acter.l :
19-t%r-90
Da~ Maly5i~
Compl~t~:
21-Mar-90
Mi~im..:.rn
R~rti('.g
tJni t3
Reporc.ir-é'
L(o::vel
ÞJ'lalysis
, Resul't.S
~
\.lg/ g
ug/g
u.,yS
'¡g/g
ugjg
ug/g
none detected
none ¿etected
none det.ect.ed
nc.n.e dE:tected
none detecte¿
none detec'ted
0.02
0.02
(J. O~:
0,02
n.02
(j.O~
J:.g/g
r¡(')rL~ d8t~,:~d
~,
TEST METHOD: T':-:1 by D.O. H. S. / 1;, n . E' . 'tt'!.anual Method.
I......¡~"'r4I',,' ....··\r.~-~...I'..,.,...... '-. "",.v"1i~~~~1 ;:;'p~ i0oi·...\.""'1 50'"'_, 0/8 I"i" ° ,
....... v . ... ..,,,.. ,I. .... "... "...>:... ",... I.I;¡ L'.\...,¿ "'_";' ...... ,',I':: '..~.,,,, \)..
A.~ k~~;i v/~d B=:: ;,,:'
c._'tnrr~Tlt.:,', :
r:,ali.f\...,rnJ.¿, D.!.>.H.:;, {;~rt9 #ln~
By .._"
,J, ..1, EF71 ir:
.--,..-
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. ) t, ~L- fj ~-' '";L"" '~
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EN¡iRO,l/'\{E,\'iA~
. .
LABORATORIESJ INC.
J. J. aGt./N, REO, CHE"'. ENGA,
4'00 PIERCE RD" BAKERSFIE1.D, CALJFORNIA 93308 PHONE 327-4911
CHEMiC,J' ;'NALYS/S
,~i7.90W)1J
Pt;:trr-J 1 stun ~-Y'¿l·'.:~,='l" r,).?r~.~j
(SOIL)
Hlrrp,...: ç.)nst~,¡c~:'on
4609 N~w HC1rizon St.::. 2
Sakerfield, CA 93313
D,Elt.~ ci
Fi;P-:.I2."t: '2.7 -~'hr-::í,}
Atv;:ntir,m:
Charles Armstrong
L,;¡,b No.:
S,;"rrIP 1 I'! 'C':$c:
2125-4
Soil S~..rr\ple 4 f~,zt N I 2/24/90 - 10: 45
Dati:: $;;...wple
0'; ll~cted:
24-Feb:..90
Date Saraple
Ri::CE:ived @ Lab:
12-Mar"90
Ds.'t.e :~...II'I?le
Extral':."t<:d:
19-Har-90
Dat~ AT¡,dy~;;;Ü~
CorC.'Pl~1:;.!d :
21-Ma!"·90
r;or:~ti t.u~r.t.
R~~rt;'ng
Units
Ar..alysis
Be::;ul "w
Mir:imuJri
Re'f'Ortir~
L~t/-::l
&:m;~:ì(=,;
Tc",;luen~
Etby 1 Benz,,=!:~
p-Xyl~n~
rn-Xylene
,,-Xylen~
ug/g
ug/g
ug/g
ug/g
I.1g/g
ug/£ .
none dete-:ted.
none detected
none detected
none ¿et.ecuè
none detected
none det.ec'ted
0, (;~
~ O.U2
(J.n?
O.Q2
O,O~
(j , ~)~~
Total P€:t,
Hyri r( '\~,3.l· r.......; !'1.<J,
: Lij !~!'~F'! J ì
ug/g
nonr:: dl::tP.c'tÆd
"
,.'
TEST METHr'{1: ¡PH toy D, O. H . S . I L. fJ . F . T Marl1J.al M~tbxl.
Indi '¡ l(h~ 1 <,,:r:--nsti t,1;8nt,~ !:,y Mrx:1if:'>?d E?~ M~thr.)d5(,)2()/802(J,
A<;; ?~(~t'!iw~d &t,-;l::;
G:1rrl!'~nt,:~ :
C-all fornia D, 0. H, S. c.-;:;:.-t. ttl02
~3y ,
.......-......
(! 'I. !' ';1 (/
~ ..ili/ _::,~..-J..:¿ 6¿)'i"'-"~
I An~ly~t. /
.). ,I. F.r:l j,r'¡
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MAR-28-90 WED 10 42 BC
It
LABS-ORGA¡-'~ 1: C
P.06
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e
ENVIRONM~NT)"
LABORATORIES, INC.
oJ. J. EGI.IN. REG. CHEM. ENGR.
4100 PIERCE RD., SAKERSFlëLO. CALIFORNIA 93308 PHONE 327·491'
CHEMJC.4' ANA'YSIS
PETROLEUM
... .~ --. ---.
BTX!l'PH DIESl:.'L
Quali t.y Control D,aUi
.-. ..~, ~-.- -- --- "_-'__::._..;;'.-...>.,~ '--.".
-". '-_. _ _~...o _ ...._,
.-. "'~'-'" ."-........_~
.- -- '- ..-.......--_.~..;_:..~. .
HirtJI::C Construction 'ETX Spike ID: 2125-1
4609 New Horizon Ste. ¿,TPH Sp~ ID: 2125-4
',:Bak~rsfield, CA 93313 Analysis. Date: 21-Mu:'SO
.-..._.':._:~ 'At~ntion: ,".Charle6 Arrnstrong -.--...,- .'----.... 'Matrix: soil '..~.--~~.-
,. -'~,_, ,. "". 'c" ""H ,-' ani ts: l.Jg/g
",=:_c~,'__"~~~,,_~~:'QJa.iity:Cont.rOl___..._,.:;::,_,,,:-:_:·':';c:':'" .""':: ,'u.. ':'._.. '.... ~':;::,.·,~~~'~;:>'c .. _,
, ~~":' "', fc:.\r Lab Nos: 2125-1 J 2125";2 ~ '21.25-~j) '2125-4-,:,,,,,::,~,,~:,,,::\,:::;::,,:~,::~:,~:~~:~J2;'~'~:;;L~"'.: " ::"':~:~::~"C'-'7
.,' spiked. ,'I'he 'percentage t'eCOVt':ry (% R~}t:!£ th~, Æpik~ is '-i\ %v:lattv~ ';"~~:- :-,~··'~.·:~.~:E'::~;:::-:,
" rœa.'St.lri9 'f)f the accuräcyof t~ -!:Inaly:;;ilS. ' TI~ H~,'rnparisc.'riÒf the spi~-'· ""., :~~_',,,,>..,.;
, ...,,:::,;;with a duplica~__,s1?~1œ_ ~s JÆ.rœa~llr'" t:\f th~ .relativ~ pr~isit")n?(-;þ~,:_,.."
:::":':<:,:'~;' ::;~ "'.5'='~,:arl~~YS;S ~::...:;, ;:,~~~:;=;.,'.:l':i~><:*,:;,:~;;,; :,:.;..:.;.~~ :,
c _.', _ ...~.
,"~": '~"- -'-~......-.
.-.... ''''_,'_,. n.,." +
'" ,'..~,,- ......"=--.-......-..... -". ,....:. -.,"~~'
- ---
--'"'"!'-'.:"- .-
....-.__. . '~-. . -- -,...... _.-..,-.-- .-.,,-.-.......-.. ,..
,~..... .,..~..,.......,. ···...··_....._·..·.__h ,_,__ ..'~_...
'.' ,~'Çonsti tuent co" "',
. ,
. . _. -. .-.. . '? .
. "":'.:-",::. .-~.. _..~~~
........,'.. ......
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8S.b!3
SS.lS
',,:.:, ':'0 49
' ":'~ ~ ~: I
:.:.., ".'
n... .
",..
. ~ .".~.-
,.(',lIJ~ne
-- ~9,2n
89.890:77
., Ethy 1 Benzene
90.1)8
9Z. 57·,>:~:;, 2.73
... .:" ::..:;. 'o<;~... '...: .
....-.
~
, '
1F¡H Die5~1
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78.00
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ENVIRONMENTAL
Voice1 'BOS'763-4201
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COMMENTS: ~0-Æ$¿ 'e4~/~ a5'O~'t-.,../¿ ,
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~ GiB~b~ OIL &"REFJNING CO., INC.
~IBSD~ WEIGHT TAG NUM6ER
'; I ' r:
~ 3300'TRUXTUN AVENUE, SUITE 200 ' } It! I ; r
BAKERSFIELD ~~. L. 93301 l'
(805) 32~-04~3~ '. ,\ DATE, ì :J.'I' :1'["
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ORI~~ ~ ~~ t.#¡,; 7/ ~ I 1/·· .. I '......';:, ,j "0' ~ MANIFEST it ~ I , )
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DESTINATION: GIBSON OIL REFINERY . .
COMMERCIAL DRIVE INVOICE TO: , ~.
BAKERSF!ELD,CA. 93308 .. . P,RJCE:
CARRIE~ j CARRIER AELEASE II COMMODITY QUANTITY TEMP. GRAV: ...) NET GAI-LONS /BBI.S
J .'
f' ( , " 1//1- J ,>:' ..,~.. ~c ¡c.e
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" '." ')
" ARRIVED TO UNLOAO
START TO UNI.OAO ,; FINISH UNLOADING SOLIDS o/c I
"
A~ AM AM
PM PM PM WASHOUT -, '
UNLOADED TO ~.4.1 , (")t>J~ " ,Ii
LOADED FROM ¡JP/
" 1./ .I I DEDUCT
/ A ' , I .." .) BS&W% ,/-;
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LOAD~R'S SIGNATURE DR veR'S)IGNA~e/-)~j :, NET
.' ,¿.. BARRELS
.' L -;;;: 2~/"?<" ,I, .I /)" ,..:-'7./ RECEIPT TICKET
. - .' ", ;, '.. I
REMARKS -:-
'I,) ç, If 42618
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GREEN: HAULE~ rtET Ai,
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-.,-------,.. tRN COUNTY HEALTH DEPARTME~
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1700 FIo_r Street
Ba'~er.neld. California 93305
Telephone (805) 861-3638
ENVlRONMEN1ÄL HEAL'ni DIVISION
HEAL'ni OFFICER
Leon M Hebertson. M~
- ,- ,J'~
· · UNDERGROUND T:K.t7;~:éiTc:TRACKING_ R~CORD' -~11~:{1~~W~5;;{'
This. form is to be returned to the Kern County Health Department witliiíi"i'4' :':",,", '
. '.. - - >, \.- "-
,'.;,;:, days of acceptance of tank (s), by ,~i!:1posal or recycling' :facil.i~y .·.~;::~~e.!,,!tf;:i,
,'::;',i1'holderof the permit with'numberhöted above is responsible ·forinsurlrig,,·~<'.~);;,;t ,
sediO~;éi:~i;T::~~~I~:l~~::]~i~1j7.~~i~1~r~.:~1)'~~~~]I¡I,C;"~"1~~~~,:;· .
Address ft:> 11)',J , Phone' .9ðr';:) 7&,?-~1
/¡1-~r C¡j. Zip 9?~~I.r:",:;:,
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Section 2 - To be filled out ~ contractor "decontaminating tank(s): / ': . .':":"'''/'' " "
,'jTank "DécontaJIlnation" Co~t~~cto;';';&~13 ~,~ .'..~,/J1c-< i'f:;'~'?;'8.¿;1fÎ'í:;~!;';:~ti~j~~]~r~\71G§',;,··,:·,,~··
Address 'Pð ~ y '- :'"Þ"';~'~~;;" : Phone"' ":~ko.~J;·9":J;-'4~i:~:§\L":";;'~;:'_:
'J fJ ~ r éA. Zip '<:} ? .2¿? . ;';~~{';::frNJ;s'/i:'~"~";' ,:;:
Authorized representative of contractor certifies by sig~ingbelow that·::·Œ:'~~~:~<:,\
tank(s) have been decontaminated in accordance with Kern County Hea~t~ '. 'q'." ,
(:J;e;~,r::~re-;:ts'J2 . p/?,-Ùc T SVAcpL~,s2:~"'.'" ":"
',' Signature Ti tIe ' r
DIRECTOR OF ENVlR(?NMENTAL HEAL'ni
Vern<>n S. Reichard
Faci11 ty Name
U\ \~ E\ \' Q.\\C)'--~Ü~C:J
, \
Address '27- \L ~ ~ \'f\\~Vì
\~ Vì LA
Kern County Per~it #
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. . . . . . . . .
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SecUon -ª. - To be filled out and slsmed ~ M authorized representative of the
, treatment, stora~e, ~ disposal facility accepting tank(s):
Facili ty Name A ~ ~
Address 2..?tl"J2 .s. ~.ø/<,e,u
tP.A/65'r/tf) '. ~ .
. ,~,~.¡.,,·c .' 'êr,~:~;·..h ,- ~~&',~';.(!~t·,·{~)~~:"r':f .!~):~ ~:',i ,0:.;,
Date Tanks Received ~ðB., ;;2/·PY'p.Æ'~~~~~·";" "., ,
Signature ~~ ~ ~, ." , 'l'ltle
(Authorized Representativ~).
Phone # (5/:,,) 9,r~-~,
Zip P/7¡tJ/ .'
No ~ of Tanks;~~",':;~::~:.;':~,;:;~,;;;;~;;::.";
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* * * MAILING INSTRUCTIONS:
Fold in half and staple.
(Form #HMMP-150)
DISTRICT OFFICES
·
",........,.--.. hA R Y J. WI C K S
Agency Director
(805) 861,3502
STEVE McCALLEY
Director
PERMIT FOR PERMANENT
RESOURCE
OF UNDERGROUND HAZARDOUS
'.0/" (_ ~~ ,.......-
SUBSTANCES STORAGE FACILITY
FACILITY NAME I ADDRESS:
OWNER(S) NAMEI ADDRESS:
Lutrel Trucking
2122 South Union Avenue
Bakersfield, CA 93307
Roy Lutrel
2122 South Union Avenue
Bakersfield, CA 93307
Phone: (805) 834-5986
PERMIT FOR CLOSURE OF
-
2700 M Street, Suite 300
Bakersfield, CA 93301
Telephone (805) 861-3636
Telecopier (805) 861-3429
AGENCY
PERMIT NUMBER A 1113-31
CONTRACTOR:
HIMEC
4609 New Horizon Blvd. - Suite #2
Bakersfield, CA
License #557-510
Phone: (805) 397-6555
PERMIT EXPIRES April 22, 1990
.! T ANK(S) AT ABOVE
APPROV AL DATE
LOCATION
APPROVED BY
Turonda R. Crumpler, .E.H~S.
Hazardous Materials Specialist
.................................................................... ............ .... .POST 0 N PREMISES............. ....... ............. ..................... ....................
CONDITIONS AS FOLLOWS:
1. It is the responsibility of the Permittee to obtain permits which may be required by other regulatory agencies prior to beginning work. (Le., City
Fire and Buildirig 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 inspections(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 onsite 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 applic¡uion 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 beneaih 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 the 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 on-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,
"
e
~ERMIT FOR PERMANENT CLOSURE
L~oF UNDERGROUND HAZARDOUS
SUBSTANCES STORAGE FACll..ITY
.
PEaMIT 1113-31
ADDENDUM
9. Soil Sample analysis:
a. All soil samples retrieved from beneath gasoline (leaded/unleaded) tanks and appurtena¡¡ces must be analyzed for benzene, toluene, xylene,
and total petroleum hydrocarbons (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 retrieved 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.
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 a"nd 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. PurginglInerting 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 of 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 analyses
documentation is 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 cases results. If this continues, processing time for completing new closures will
increase. '
A"'P",d Bv.£2<,J ß
OWNER OR AGENT
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HIMEC e
CONSTRUCTION, INC.
.,....___,..~ì;'
4609 New Horizon · Suite 12
Bakersfield, CA 93313
Phone 805/397-7236
FAX 805/836-8164
#.
FACSIMILE COVER SHEET
DATE
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ADDRESS
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TELEPHONE NUMBER
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FACSIHILE NUMBER
(80S) 836-8164
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COMMENTS:
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GARY J, WI~KS
,þ'-gency Dlrecto~ '
"(805) 861-3502
STEVE McCALLEY
Director
i.'
.
2700 M Street. Suite 300
Bakersfield, CA 93301
Telephone (805) 861-3636
Telecopier (805) 861-3429
RESOURCE
: ,E N T
AGENCY
January 5, 1990
Himec Construction
4609 New Horizon - Suite 2
Bakersfield, CA 93313
ATTN: Clifford Martin I David Combs
RE: Tank Removal Application
Permit Number All13-31
Gentlemen:
Enclosed you will find a copy of the application for a permit to abandon one
(I) underground storage tank located at 2122 South Union Avenue, in Bakersfield.
This application cannot be processed until additional information is provided, in
writing, to this Department. Specifically: ,I .' /
1. The tank removal contractor must submit current: po~t copy with
expiration date of contractor license ~~site safety plans for tank
removals. ~.~ . ¿~
""""
/~.J
l________
The application does not specify who the preliminary site contractor
will be nor the worker's compensation number, the insurer or phone
numbers for the contractor and insurer.
Mobile Labs Inc. is not a certified laboratory by the state to do
analyses for Totaì Petroleum Hydrocarbons for diesel, which is requireà
on soil samples taken beneath tanks and appurtenances containing
diesel.
'~ Cole Vacuum is listed as the decontamination contractor and hazardous
. ~ ,waste hauler. Cole Vacuum does not have on file with this Department
~\\\~'\"T:) a copy of their decontamination procedures, a copy of their hazardous
"ì' " waste haulers license nor the worker's compensation number and insurer.
/"
~
/'
5.y'/ The application is lacking information on where the rinsate will be
hauled.
.
.
¡:
Hymec Construction
January 5, 1990
Page 2
I
"
6. The plot plan submitted with the tank removal application shows a pump
north of the tank. Please provide additional details regarding the
piping from the tank to the pump and do sampling at 21 and 61 below the
pump and 2 I and 61 for every 151 of pi pi ng. Thus, the number of
samples required will be six (6). However, more will be required if
piping distance is greater that 151.
7. The soil samples must be analyzed for Total Petroleum Hydrocarbons for
diesel and Benzene.
Please provide this information in writing so that the application can be
processed expeditiously. Feel free to call me at (805) 861-3636 if I can be of
assistance.
In addition, note that this Department inspects the tanks after they have
been inerted, but prior to their removal. Also, the depth to groundwater in the
area is approximately 150 feet to 200 feet per the Kern County Water Agency1s maps.
Thank you for your cooperation.
~Q~,~S
Turonda R. Crumpler, R.E.H.S.
Hazardous Materials Specialist
Hazardous Materials Management Program
TC:cas
Enclosures
\all13-31.1tr
(
e(,
~
:- ':"~~8-S- '" 1l1/l3-·~
(-3-'O
I
\
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of
KERN COUNTY EHVIRO/'lMEHTAL ItEALTH SERVICES DEPARThŒHT
1700 .... STREET. SUIT8 )00
APPLICATION DArt
B^,ŒRSP!8LD. CALIFORHIA 933QI
, 0' TAH¥$ TO S£ A~DOHtD
(60S) "I· )4,.
LENGTH 0' PIPINO TO A!AHDON
APPLICATION FOR PERMIT FOR PERMANENT
CLOSURE/ABANDONMENT OP UNDERGROUND
HAZARDOUS SUBSTANCES STORAGE PACILXTY
TIiIS APPLICATION IS I'0Il ŒJ REJ40YAL. oa 0 ABANOOHMßHT ¡. PLACE
I'ILL OUT ~ APPLICATIOI PIA FACILITY)
PROJECT CONTACT
~ ~ DAVID COMB
:: iI 'ACILITY 1W4!
: ~ LUTREL TRUCKING
.
.. OWN~.
.ë ROy Lutre1
PllO:V:,805) 397-6555
10· -0
(RURAL LOCATIONS ONLY)
2212 SO. Union Ave.
ADOR!SS
same
N!AREST CROSS STREET
PLANZ RD/50 Union
PRONE
( 805 )834 - 5986
12-28-89
557-510
4609 NEW HORIZON BLVD.
WORKtK'S COMPENSATION'
1064985-89
PHOKE
<gOS ) 397':-6555
TAHK RDIOVAL COHTRAC'T'OIt
HlMEC CONSTRUCTION INC.
PROPOSED PROJECT STARTIHG OAT! CALIFORNIA LICENSE'
PRELIHINARY SITE ASSESSHEHT COHTRAcroa
Fund
PHONt
(
)
.
PIIONE
'(
)
LABORATORY TAAT WILL ANALYZI UXPU,S
PHOMI
~
",La05!327-4911
Be LABS
4100 PIERCE ROAD
..a!
ð'"
¡i
...
ua
-
VOLtnI! I
10 ,000 gal.
CHDlICAl. STORti) lHOII-COMMPCtAL IWCI)
diesel
DA T!S STORm
1978 TO 1989
TO
TO
TO
CH!JUc.u. PREVIOUSLY STORED
same
"¡¡)ClCAL COMPOSITION 0' MATtRl.A1.S STORED
ù
å
TEa TO FACILITY PWOVICID i'IY
Calif. City Water
tARtsT WATER WELL - GIVE DIS'AHCI AND O£SCRI.£ TYP£ I' WITIIX 500 '!ET
DIPTI TO GltOt1llt*J. n.a
approx. 350 ft.
SOlL TYPE AT 'ACILITY
,.J
~!
S;:
II
Š~
unknown
BAS (S 1'01 SOIL TYPt AHt) GROUKOWAT'U DE.P'TII DEnIUUII4TIOII
visual basis/ groundwater depth determination from owner
AL IR1JiIBER 0' S.utPLU TO 8! .uw.Y1ED SAKPLU WILl. U .uw.yz~
'.. :Øccord. to Env. Health 8015 & 8020
!
..1-
~ï
o~
tanks will be hot water rinsed in lace & vaccumed b
ESCUIIt &aTH T'H£ DI.SPOS.u. IIET1JOO AND DISPOSAL LOCATIO" 1'01:
T~(S) triple rinsed on site ~s~cted
y
'1'1/10
piping to be hauled the same place
('''-- '-- -'U""'ORTATIO!1 ,UID DISPOSAL COICPANIESJ:
AM PUMPH\G
Hauled b truck to AMR Co.
(714) 947-2888
fire dept) Hauled to AMR CO. Fontana, Calif.
ESotJ8! aow R!SIDUt II TANK IS) AND 'IPUIG IS TO aE Rt)fOV'!D AJ(I) DISPOSED OF
.;
. · ~ P1IOVID1 IHPORMATloN ¡ttOUtSTtD M ltenRSt 'ID~ Qt JJ!.!11!!ID et~! 'U8MITTIHO APPLICATIoN !'OR IDll! · ·
nus PORI( AAS S£VI cnfPL!1'!D iJIIDEA P!HALTY or nJµURV AId) TO 1111 SUT 0' In' JQfOWLEOOE IS TRU'! .uID CORRECT.
..,..",., (2.1 #J Ã,Ý ¥;z;,) TlTL& ~ ,.pI 71<" '7..Tt 1- :3 - 'I ø
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SITE/FACILITY DIAGR~~
FORM .5
NORTH
BUS Ii'iESS NA.\fE:
~
DATE ;.)//(.,.1 í'7FACILl'N ~A~;
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SCALE:
(CHECK ONE) SrTE DIAG~~
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-OFFICIAL USE O~LY-
---
-
GARY J, WICKS
Agency Director
(80S) 861-3502
¡STEVE McCALLEY
Director
.
2700 M Street. Suite 300
Bakersfield. CA 93301
Telephone (80S) 861-3636
Teiecopler (80S) 861-3429
RESOURCE
AGENCY
. '. .-.. . .. . " ~
January 5, 1990
Himec Construction
4609 New Horizon - Suite 2
Bakersfield, CA 93313
ATTN: Clifford Martin / David Combs
RE: Tank Removal Application
Permit Number Al113-31
Gentlemen:
Enclosed you will find a copy of the application for a permit to abandon one
(1) underground storage tank located at 2122 South Union Avenue, in Bakersfield,
This application cannot be processed until additional information is provided, in
writing, to this Department. Specifically:
1. The tank removal contractor must submi t current' pockef/copy wi th
expiration date of contractor ,license and site safety plans for tank
removals.
2. The application does not specify who the preliminary site contractor
will be nor the worker's compensation number, the insurer or phone
numbers for the contractor and insurer.
3. Mobile Labs Inc. is not a certified laboratory by the state to do
analyses for Total Petroleum Hydrocarbons for diesel, which is required
on soil samples taken beneath tanks and appurtenances containing
diesel.
4. Cole Vacuum is listed as the decontamination contractor and hazardous
waste hauler. Cole Vacuum does not have on file with this Department
a copy of their decontamination procedures, a copy of their hazardous
waste haulers license nor the worker's compensation number and insurer.
5. The application is lacking information on where the rinsate will be
hauled,
(j
·
\e
'Ò! ~:.
Hymec Construction
January 5, 1990
Page 2
6. The plot plan submitted with the tank removal application shows a pump
north of the tank. Please provicte additional det,ails regarding the
piping from the tank to the pump and do sampling at 21 and 61 below the
pump and 2' and 6' for every 151 of piping, Thus, the number of
samples required will be six (6). However, more will be required if
piping distance is greater that 151.
7. The soil samples must be analyzed for Total Petroleum Hydrocarbons for
diesel and Benzene.
Please provide this information in writing so that the application can be
processed expeditiously. Feel free to call me at (805) 861-3636 if I can be of
assistance.
In addition, note that this Department inspects the tanks after they have
been inerted, but prior to their removal, Also, the depth to groundwater in the
area is approximately 150 feet to 200 feet per the Kern County Water Agency's maps.
/
Thank you for your cooperation.
~Q~,~S
Turonda R. Crumpler, R.E.H.S.
Hazardous Materials Specialist
Hazardous Materials Management Program
TC:cas
Enclosures
\all13-31. ltr
, "
.,(
'c
APPlICJ.TJOII DArt
( . !'.(~.....,
Im!lli m2fiI= ----- --
j ¡ ð08')' r'TA 111//3 -....,
(-3-ifO
I
\
"ERN COUNTY ENVIRONMENTAllfEAlTH SERVICES DEI'ARrnEIlT
HOG 'M' STREET. SUITB JOO
PTO
BA"ERSP!BlD. CALlFORI'<IA 9))0\
(ao5) WI, J4~
r or TAHU TO 8E AIWlOO!CtD
LENGTH or p \ P \ HO TC AMJIOO!I
APPLICATION FOR PERMIT FOR PERMANENT
CLOSUR2/ASANDONMENT OP UNDERGROUND
HAZARDOUS SUBSTANCES STORAGE PACI~ITV
TfilS APPLJCATIOH I' roIt ŒJ RD40VAL. ~ 0 A.8AHDO~ ¡. PLACE
(PI LL OITI' Q.!!I .u>PLICATlotI PEA FACILITY)
PROJECT CONTACT
~~ DAVID C
-too
:: ~ 'ACJI.ITY ~E
~ ~ LUTREL TRUCKING
.
- OWNU
ë Roy Lutrel
PII0~~~805) 397-6555
IQ
5IC/T/I (RURAL ~TIOH5 ONLY)
sarre
IIURUT atOU STRSET
PLANZ RD/So Union
PRONE
( 805 )834 5986
2212 So. Union Ave.
ADOR!5S
~~
~a
~~
o.
v-
557-510
4609 NEW HORIZON BLVD.
IfORKU'S COMP2JlS.\TJ ON .
12-28-89
1064985-89
PRONt
<.. ) -
805 397-6555
TAHK R£)t()VAL CON'TRAcroI
HIMEC CONSTRUCTION INC.
PROPQSED PRQ.JEC"T S¡ARTI!!O DAT! CALJPORHIA LICENSE'
PR~L1MINARY SITE ASS~$S~EXT COSTRAcroa
N/A
Funà
PHONE
( )
RICER'S c~rENSAT10~ ,
PIIONI
( )
..
LABORATORY TKAT WILL A!fAlY'Z1 !.U(PL!.S
MOB IL LABS INC .
!
~¡:
!I
u.
-
VOLt.nœ
10.000 gal.
CIIVlICA.L nœtn (NOI(-COt( (DCIAL IUJIII
diesel
OA Tt! S1'OItCl
1978 TO 1989
TO
TO
TO
C"DUCAI. I'RtvIOUSLY S'T'ORU
sarre
HEMIC.\(. COMPQSITIOH or )(ATUIALS S'T'ORID
c.i
IDIPT'II TO GROCJHt,..4t''U
approx. 350 ft.
¡SOIL TYPE AT 'ACI~lTY
sandvlom
ItAU. TO 'ACI~IT'Y P1t1)....10Ul IV
~ Calif. City Water
s! 1(t.U!ST .ItATU at.¡. - OIY¡ DIS7AJiCt. .UIt> D£SCRIIZ TYPE I' WITBIJI ðOO PUT
~ I unkna.vn
~... LUIS 101 SOIL TYPt .UIt> GROOIIDItAT'U Df.PT1I OETtRJilIKATIOI
S ~ visual basis/ groundwater depth determination from
c:i troToU. IlUJCBU 0' SAXPl.tS TO at AJ(.U.Y'Z!D 1SJ.XPt.tS rILL U .uw.Y'Z!D Pat:
(4) accord. to Env. Health I 8015 & 8020
owner
þES~I8! !to'If RE5100! I. TAllle(S! AHD PfPl1IG IS 1'0 II!: RVfOVID AHD DISPOSlD 0' '.J) CLllDl T7UJ1SPOR1'ATION AJCD DISPOSAL' COWPAXIE3/:
... ~ tan_':s -,á 11 be hot '~Jater rinsed in place & vaccUITed bv Cole Vac, Hauled by truck to AMR Co
i i PtsClt18l 80TII ;)If DISPœAL nTilOO.uro D1SPO'SoU. t.DC.ATIOM roIt: (714) 947-28~:
~~ T~IS) triple rinsed on site (inspected by fire dept) Hauled to N~~ CO; fontana, Cali:.
a.
-
PIPI¡¡O
.¡
piping to be hauled the same place
THIS PQRJt
. . PLu.3E !!QYll!I ¡"FORMATION !I!oot3'nD ~ !m!11lli! Ql T1II5 SHErr eEPQ1I~ SUBMITTING ,u'P!.ICATIOII !2! .!!!Yll! · .
KA$ 8t!Jf CúflPl.mD iJ!IDtA PtHALTY or p~ ARD TO ntl 8!ST 0' ICY IQfOW1.EDCa IS T1IU! AJ(D CORRtCT.
/!£ß~/ Ä y;X~) TlTU ¿,,;.j Y/é:~Ui/J -~Tt
/
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SITE/FACILITY D~GRA~
FORM: !5
\
'.
NORTX
SCALE:
BUS r ~ESS NA.\{E:
Of
<.
DATE :S-/IG. /?7 fAC 11.1TY ~A;.Œ.;
:: c:
~
(CHECR ONE) SITE DIAG~~
x
FAC::!7Y DrAC~~
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:3".2/..z. ,-=-_-50._._V/.7/,O,(,) _,4~ é~_,
(Inspector'S Comments):
-OfF¡CIAL USE O~LY-
('
e
.
~ I,'!. ;1-
6. The muumurn number of samples must be indicated along with a list of
constíruents that will be sampled. Include E.PA sample methodes).
7. Decontamination contractor must have a copy of 1ùs decontamination procedures
on file. These procedures must address site safety and include certification with
the use of an explosiveity meter. Tanks and piping must be cleaned to remove all
sludge/residue and maintain an LEL level of 5% or less with a normal atTI\osphere.
8. All hazardous waste must be hauled under manifest by licensed hazardous waste
haulers.
9. Underground storage tanks must be sent to a Hazardous Materials Management
Program qualified scrapping facility or state licensed disposal facility for disposal
10. Plot plan must include all required information on application.
11. Uncontrolled emissions from contaminated soils are not allowed UIÙess written
approval is received from the Hazardous Materials Management Program.
12. When contaminated soil is encountered during tank removal one of the three
options must be followed:
A. Place contaminated soil back in the excavation with an understanding that
it may have to be removed as a hazardous waste or further assessment
might be required if contamination is significant.
B. Segregate, cover, analyze and make preparation for disposal if analysis show.
significant contamination.
C. Disposal of soil as it is removed from the excavation as a hazardous waste.
13. Completed applications received at the Public Services Counter are routed through
all necessary county departments for approval prior to Environmental Health
(HMMP) review. Environmental Health has no control over the amount of times
these reviews may take, however, once it is received by the HMMP, it is our policy
to endeavor to process completed applications in no more than five (5) working
days.
14. Notify the Air Pollution Control District in writing concerning the removal of any
gasoline or aviation grade gasoline tanks.
DS:cas
\starkey\ut.app
,,)
Gt,RY J. WICKS
Ac¡ ency Ol,..clor
", (80S) 861-3502
STEVE McCAllEY
Olreclor
J. (I
TO:
FROM:
RE:
e
.
2700 M SI...I, Suite 300
S.kenlleld, CA 113301
Telephone (80S) 1161·3636
Tel.copl.r (80S) 861-34211
. ~ .. ... . .
,~~
.,~;;,~~
,'..c.,~".,,,,.,,....;,....
M~f~N:A G EM E N T
" ~~ :';~~-'~~ --~?\'~~"
- ·\~.1., - -. .'..... "':.......
DEPARTMENT. Of"~NVIRONMENTAL
··-;,x·.... .......:-::::- . - ':",-
HEAL'rH-SEBVICES
<:,~~...:-;.'
, ~,u.:.;...:-
AGENCY
RESOURCE
August 9. 1989
All contractors involved with Underground Tank (U.T.) Removal
Hazardous Materials Management Program (HMMP)
Application for U.T. Removal
In order to expedite permit processing before submirring your permit applicationCs) for
pennanent closure, check to see Ùlat all of Ùle following are addressed:
1. Applications must be fully completed or they will be returned, no exceptions. The
use of the answer "NA" (not applicable) is unacceptable. ~
2. Permit fee(s) must be submitted with the application or it will be returned.
3. ContIacrors must have current copies of the following infonnation on file with this
program:
A. Current pocket copy with expiration date clearly noted on one of the
following contractors license: General A, C-61, & D-40, C-36, and
General 8 with restrictions.
B. Current copy of Certificate of Workers Compensation and liability
insurances.
C. Current copy of Cal OSHA trench pennit.
D. Sire safety plans.
4. Preliminary site assessment contractor must also have a copy of his sampling
protocol on file with this program. TIùs protocol must address requirements that
are in E.P.A. document SW-846 and Kern County Handbook U.T. #30 for soil
samples.
5, The laboratory listed on the application must be State Certified for the analysis of
the required samples.
"'2;
;r
~f:RNs;COUNTY ENVIRONMENTAL IIEALTH SER~I DEPAR'ThIE!iT
1700 ..... STREET, SUITE )00
BAK.ERSP!BLD. CALIFORNIA 9))01 .
l~QU_
P"roj~Og~ J>TA 1/11/3-31
(-3 -7 0
I
, 0' TANXS TO 8E A8AHDOHED
APPLICATION DAT!
(805) 841·)634
LENGTH 0' PIPINO TO ASAHDON
APPLICATION FOR PERMIT FOR PERMANENT
CLOSURE/ABANDONMENT OF UNDERGROUND
HAZARDOUS SUBSTANCES STORAGE FACILITY
flilS APPLICATION IS I'OIt GÐ RE>lOYAL, OR 0 ABAHOOmŒHT 1J1 PLACE
PROJECT CONTACT
~ ~ DAVID COMB
~ a PACILITY NAH!
~ ~ LUTREL TRUCKING
::II
- OWNER
('ILL OUT,~ APPLIC4TIOI PER 'ACILITYJ
(RURAL ~tIOHS ONLY)
~ Roy Lutrel
same
IIl!AREST CROSS STREET
PLANZ RD/So Union
PROII!
( 805 )834 - 5986
2212 So. Union Ave.
ADDRESS
INC.
4609 NEW HORIZON BLVD.
WORKER'S COMPE.HSATION ,
PKOKt
(805 ) 397-=6555
TANK RtMOVAL COHTRAcroa
HIMEC CONSTRUCTION INC.
PROPOSED PROJECT STARTING DATE CALIFORNIA LICENSE'
"'~
~¡:
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~~
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- {,.)-
!
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~...
31
::II.
....
-
RKER'S COMPENSATION'
PHOIIE
(
)
12-28-89
1064985-89
DRESS
State Fund
PHON!
(
)
co
RUORY TKAT WILL AJlALY'Z! s.AXPL!.S
44
CH~ICAL COMPOSITION 0', )(ATERIAU STORED
VOLuxt
~O,OOO aal.
CRPIc.u. STOItED (HOR-COMMDCIAL IIAJI!)
òiesel
rIA TES STORED
1978 TO 1989
TO
TO
TO
CHDIICAL PREVIOUSLY STORED
same
u
TER TO 'ACILITY PROYIDED IY
Calif. City Water
EAREST WATER WELL - OIVE DISTANCE AHD DESCRIB! TYP! I' WIT8111 $00 '!ET
DIPT1 TO GR()4J' (I*4TU
approx. 350 ft.
SOIL TYPE AT 'ACILITY,
unknown
BASIS POR SOIL TYPE AHD GROUNDWATER DUTB DETEIUUIlATlotI
visual basis! groundwater depth determination from owner
AI. II1JM B ER 0' 5..U(P LES TO BE AJI4L Y'ZED SAXPLES. I LL a! .uw. Y'ZED !'OR:
) accord. to Env. Health 8015 & 8020
lorn
Q
"ESCUBE ~ RESIDUE I. TANK(S) AND PIPING IS TO 8! RVIOVED AHD DISPOSED 0' (I)ICLUD! TRAHSPORTATIOIt ,UfD DISPOSAL COMPAJlIESI:
..¡! tanks will be hot water rinsed in place & vaccwned by ~ole Vac. Hauled bv truck to AMR Co.
;; S DESCIIIISE BOTH THE DISPOSAl. IœTBOO AHD DISPOSAL LOCATION POI: (714) 947-2888
~ ! T.uß((S) triple rinsed on site (inspected by fire dept) Hauled to AMR CO. Fontana, Calif.
- too .
Q~
JtIPlHO
piping to be hauled the same place
..;
· · PLEAS! PROYIDE INPORMATION R!OUESTED Q!! R!V1!RS! 3fDp; Qt !!!!! .1!!m B!POR~ SUBMITTING APPLICATION !2! IDill · ·
THIS 'ORM KAS BEM COMPLETBD tnlDEJt P~LTY or PE!µURY AND TO THI BEST or MY JQIOtfLI!OO! IS nIlE AHD CORRECT,
¡¿~"'//~" .~' ,I é/"y' ?f(//'----!-.. ~" ",,/
¡!/.. /1 IF .;,,< / ," /.' /t../' , // ¿,; /." .
3 IONA1mt1 , i ,'.' .J:c/L- / \... , I /.-( .' /-(,'.. TITLE /";:.<'/f:·'>'1;·,<"..,t/ /;>:./,¿,., :~"Ý~<IIAT!
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SITE/FACILITY DIAGR~~
FORM 3
NORTH
OF
SCAr.E;
BUS r~ESS NA.'wiE;
~
DATE ;$""/1 (,.,/?"7 FAC lL 1 T'l ~AMt.;
=: 0:
~
'.
(CHECK ONE)
x
FAC=~!TY DIAG~~
S!'l'Z D !AGRA.'f
Iv/
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.---..-.-..-..-... . -----_. ..-.---....--.-...---.---.-.--..- .
-OFFICIAL USE ONLY-
(Inspector's Comments):
- ~A -
---
~ t ,")
()·I//()~'.?/gO
1 :':;? Dm
e
-, ,:'; " ,-
~, '. ..' ,
KERN COUNTY cLANNING & DEVELOPMENT
CASH'REGISTER
I
!
!Customer p,O,~
¡;-¡0183jO-:
~7()() tfil' 3'~r"\88t
'3 ~k e r s f i 8 1 d. C,.b. 9 '3 3 0 1
(80S) 861-2615
W~n By !Order Date
;_. ,) 1) il ~ .j 0 :? ,/ 9 C
-; '-; P
Jpsc r ~ pr: ~ <))-'!
TAN K P LAN ("; H E C K
TH.hN ~< ~(0J.,! r
170A
HYMEC
Shi p CL"'!'te
:) '/0::)/';n
~¿ U <3 n 't "j' t :..-'
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.
r n \./ () ~- I: ~.:::- ':\;:; .....
T 0:/ r 8 !'J f ;;J ~ d e r
Vi ,""
?ri'ce
,~¡:' S8
~,; :: -of -::
10000
,..
~
()rrl'?r Tor;~ 1
Amount Due
Peymen~ ~ads 9y \~heç~
__ __ _0____ ____ _
T~?rtns
? þ, (~ E
'2 7 :~ 4. :5
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NT
TO'Ç,:;¡l
?GC,OO
20n,0.0
200.00
2 0 n ' '0 C
C:..
~'" r,. 1700 Flower Street
Bakersrleld. California 93305
Telephone (805)861-3636
e(-- e/~
Kt:~N COUNTY HEALTH DEPARTMEN1
HEALTH OFFICER
Leon M Hebertson. M.D.
ENVIRONMENTAL HEALTH DIVISION
INTERIM PERMIT
TO OPERATE:
DIRECTOR OF ENVIRONMENTAL HEALTH
Vernon S. Reichard
PERMIT#250002C
:r: S S OED: JULY 1, 1986
E xp :r: RE S: JULY 1, 1989
UNDERGROUND HAZARDOUS SUBSTANCES
STORAGE FACILI~Y
NUMBER OF TANKS= 1
----------------------------------------------------------------------
FACILITY:
LUTREL TRUCKING, INC.
2212'S. UNION AVENUE
,BAKERSFEILD, CA
OWNER:
LUTREL TRUCKING, INC.
2212 S. ,UNION AVENUE
BAKERSFIELD, CA 93307
----------------------------------------------------------------------
TANK #
1
AGE(IN YRS)
7
SUBSTANCE CODE
MVF 3
PRESSURIZED PIPING?
YES
NOTE: ALL INTERIM REQUIREMENTS ESTABLISHED BY THE PERMITTING
AUTHORITY MUST BE MET DURING THE TERM OF THIS PERMIT
NON-TRANSFERABLE *** POST ON PREMISES
- DATE PERMIT MAILED:
j\.lL 1. ö 1986
DATE PERMIT CHECK LIST RETURNED:
" ,
"
.
.
;ì ! '.. pJ;f
TANK FACILITY ANNUAL REPORT
Facility Lútrel Trucking, Inc.
Permit # 25002-C Month/Yr. 10/87
1. I have not done any major modifications to this facil~ty during the
last 12 months. ~ ~?~ _o~:::-'~___
Signature X':'~~~~·~~ :::.'
Note: All major modificationVrequire a Permit to Construct from
the Permitting Authority.
2. I have done major modifications for which I obtained Permìt(s) to
Construct from Permitting Authority
Signature
Permit to 'Construct #
3. Repair and Maintenance Summary
Date
Attach a summary of all:
Routine and required maintenance done to this facility I stank,
piping, and monitoring equipment.
Repair of submerged pumps or suction pumps.
Replacement of flow-restricting leak detectors with same.
Repair/replacement of dispensers. meters, or nozzles.
Repair of electronic' leak detection components, or I replacement
with same.
Installation of ball float valves.
Installation or repair of vapor recovery/vent lines.
Include the date of each repair or maintenance activity.
NOTE: All repairs or replaèements in response to a leak require a
Permit to, Construct from the Permitting Authority as do all
other modifications to tanks, piping or monitoring equipment
not listed here.
4. Fuel Changes - Allowed for Motor Vehicle Fuel tanks Only.
List all fuel storage changes in tanks, noting:
Date(s), tank number(s), new fuel(s) stored.
5. Inventory control monitoring is required for this facility on the
Permit to Operate, and I have not exceeded any reportable limits as
listed in the appropriate inventory control monitoring handbook
during the last twelve months (if not applicable, disregardL___
Signature~___~~~--~
/'-'
6. Trend Analysis Summary
Please attach Annual Trend Analysis Summary for the last 12 periods.
7. Meter Calibration Check Form
Please attach current, completed Meter Calibration Check Form
e
.
.. _1'::;: ~1'
ANNUAL TREND ANALYSIS SUMMARY
TANK # 1
TIME PERIOD: 08-14-86
to 10-14-87
QUARTER 1
PERIOD 1:
TIME PERIOD: 08-04-86
to 11-03-86
Total Minuses This Period (Line 3) 8
Action Number for this Period (Line 4) 20
Total Minuses This Period (Line 3) 14
Action Number for this Period (Line 4) 37
Total Minuses This Period (Line 3) 18
Action Number for this Period (Line 4) 54
PERIOD 2:
PERIOD 3:
QUARTER 2 TIME PERIOD: 11-04-86 to 02-02-87
PERIOD 4: Total Minuses This Period (Line 3) 22
Action Number for this Period (Line 4) 69
PERIOÐ 5: Total Minuses This Period (Line 3) 26
Action Number for t~is Period (Line 4) 85
PERIOD 6: Total Minuses This Period (Line 3) 31
Action Number for this Period (Line 4) 101'
QUARTER 3 TIME PERIOD: 02-03-87 to 06-10-87
PERIOD 7: Total Minuses\This Period (Line 3) /1/1
Action Number for this Period (Line 4) 117
PERIOD 8: Total Minuses This Period (Line 3) 53
Action Number for this Period (Line 4) 133
PERIOD 9: Total Minuses This Period (Line 3) 69
Action Number ,for this Period (Line 4) 149
QUARTER 4 TIME PERIOD: 06,-11-87 to 10-14-87
PERIOD 10: Total Minuses This Period (Line 3) 78
Action Number for this Period (Line 4) 11)')
PERIOD 11: Total Minuses This Period (Line 3) 83
Action Number for this Period (Line 4) 180
PERIOD 12: Total Minuses This Period (Line 3) 94
Action Number for this Period (Line 4) 196
I hereby certify this is a true and accurate rèport.
Signature
..--::7_____ '.~-/.7~ ~..~~~,C~'~____
.;;::.--~=-~~-~~~ . Date 10-111-87
;;;5 fJCC;;
-'
P.'
,
Owner or Operator
Calibrator's Signature
SUBMIT A COpy OP THIS FORM WITH ANNUAL REPORT
Registration ,
~5
00"50
'e
c<)
'1-' J
Date/TIme Hose or Tank II Fast Flow Slow Plow Vot'ume Returnéd Calibration Device Re.pairlllan Date of
Pump , Product 5-Ga11on Draft 5-Ga11on Draft to Storage ReQuired? Used for Calibration
Gals Cu. Inches Gals Cu. Inches Gallons Yes No Cal ibratlon
(-\ v\ \ 'DI t~,.'S~ I S - S S --3 10.0 ;j V\-I ~ Le.~,:h Ç,è(( 5 ~A' ,9 ~l
t'1..<~ t ~At("\ .
.
I
All lIIeters must have
include checks done by
Before starting cal1br¡ n
return product to storal
Run 5 gallons with nm wide open
inches drawn. and returl oduct to stOI
Run 5 ~allons wi th the r.z Ie one-hall
cubic inches drawn, and urn Ptoduc~ t _
After all product for, calibration cnec
to record the volu~e turned to storage
Recording Sheet.
If the volume lIIeasured ..
inches above or below ..lie
registered device repairman
a 5-gallon calibration
5-gallon mark. the meter
can is more
requires
than 6 cubic
-
calibration by 8
e~
6
i~
...L ,
remember
Inventory
open into
....ontorage
:k is
in
returned
column
to storage
9 of the
5
"
th"e
can
Note
gallons
and
.']
the
can
Note
gallons
and
cubic
"
..
call bration
the
Department. of
runs wet
checks a minimum of twice ª
Weights and Measures
the, calibration can
with
product
and
Note
1
Fac111 ty: -Lut-\-e..~
---
P~rmi t #
---
year
_;:¿ SPQD ;~ C-
which !:lay
r.:¡,
~...
Owner or Operator Signature
Calibrator's Signature
SUBMIT A COPY OF THIS
Registration #
20000 -J 0
e
]!
Date/Time Hgse or Tank #/ Fast Flow Slow Flow Volume Returned Calibration Device Repairman Date of
Pump # Product 5-Gal10n Draft 5-Ga11on Draft to Storage Reauired? Used for Calibration
. .. Gals Cu. Inches Gals Cu. Inches Gallons Yes No Calibration
27 7, ~ /4,., / Ih~5ef ç- 0 ) 4- /O~O ¡/ ('€v-4,'i=...d S-,O ,
1
.
\
?
All meters mu h ,ration checks a minimum of twice !!
include check! n Department of Weights and Measures.
Before start!: c n runs, wet the calibration can with
return product
Run 5 gallom l1 wide open into the can. Note gallons
inches drawn, oduct to storage.
Run 5 gallons t r.zle one-hà1f open into the can., Note gallons
cubic inches ~ n urn product iO,storage.
After all pro t ca1ibration check. is returned to storage
to record tl1 \71 turned to storage in column 9 of the
Recording SheE'
If the volumE ,,,,:: _" ..
inches above ~L' e low...le
registered device repairman
can is more than 6
requires calibration
cubic
by a
\e
6
5
4
3
"'~asured in
-. b ...L
a 5-gallon calibration
5-gallon mark, the meter
remember
Inventory
and
and
cubic
2
product
and
Note
1
year
which
may
Facili ty
METER
CALIBRATION CHECK
Permit!
FORM
2 yoo ö2-C
'.
.
.
/
,..¿ ~,~,.. ':).:..
Permit
Qu.estionna.ire
Normally, permits are sent to facility Owners but since many
Owners live outside Kern County, they may choose to have the permits
sent to the Operators of the. facility where they are to be posted.
Please fill in Permit # and check one of the' following before
returning this form with payment:
For PERMIT # 250002C
.xx... 1. Send all information to Owner at the address
listed on invoice (if Owner.is different than
Operator. it will be Owner I s responsibility
to provide Operator with pertinent
information) .
2. Send all information to
followi~g corrected address:
Owner at
the
3. Send all information to Operator:
Name:
Address:
(Operator
......~a.
;:...;.~~~
.... '. ¡~ .'
of permit
fer
Owner) .
.
PERMIT CHECKLIST
.
~;..;i- ~: ,:r
';ácility~,'7,~//
~{)-"i' "'::¿?'. ./:'-'7/~: c~ C#:D/-?Permit # .,.<-7S'¿)¿;)L)~-J C
::7 &/.:4'J. Cd- .
- This checklist is provided to ensure that aJ 1 necessary packet enclosures were received
and that the Permittee has obtained all necessary equipment to implement the first phase of
monitoring requirements.
Please complete this form and return to l<CHD in the self-addressed envelope provided
within 30 days of receipt.
Check:
Yes No
~
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A. The packet I received contained:
1) Cover Letter, Permit Checklist, Interim Permit, Phase I Interim Permit
Monitoring Requirements, Information Sheet (Agreement Between Owner anà
Operator), Chapter 15 (~COC #G-3941), Explanation of Substance Codes,
Equipment Lists and Return Envelope.
2) Standard Inventory Control Monitoring Handbook #UT-10.
3) The Following Forms:
a) Inventory Recording Sheet·
b) Inventory Recording Sheet with summary on reverse
c) Trend Analysis Worksheet
4) An Action Char~ (to post at facility)
B. I have examined the information on my Interim Permit, Phase I Monitoring
Requirements, and Information Sheet (Agreement between Owner and Operator), and
find owner I s name and address, facil i ty name and addr~ss. operator I s name ana
address. substance codes. and number of tanks to be accurately listed (if "no'
is checked, note appropriate corrections on the back side of this sheet).
C. I have the following r~quired equipment
1) Acceptable gauging instrument
2) "Striker plate(s)" in tank(s)
3) Water-finding paste
(as described on page 6 of Handbook):
D. I have read the information on the encJosed "Information Sheet" pertaining to
Agreements between Owner and Operator and hereby state that the owner of this
facility is the operator (if "no" is checked, attach a copy of agreement between
owner and operator).
E. I have enclosed a copy of Calibration Charts for all tanks at this facility (if
tanks are identical. one chart will suffice; label chart(s) with corresponding
tank numbers listed on permit).
F. As required on page 6 of Handbook #UT-IO, all meters at this facility have had
calibration checks wi thin the last 30 days and were cal ibrated by a registereÖ
device repairman if out of tolerance (all meter calibrations must be recorded on
"Meter Calibration Check Form" found in the Appendix of Handbook). ""-UtJtd4'" /
é,7'f-L ¡c. (./'
G. Standard Inventory Control Monitoring was started at this facility in accordance
with procedures described in Handbook #UT-10.
Date Started .-p- '1-.;-- G
-;.-.:-
.
Signature of" Person Completing Checklist:
, ,
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Ti tle:
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Date:
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......- - -- -.- - -....---
Division or Environmental Hea18; Application Da~~'
1700 F10'Wer Street, Baker.1d, CA 93305 . / /
APPLICATION FOR PERMIT TO OPERATE UNDERGRCXJND
HAZARDOUS SUBSTANCES S'l'QR.lt£;E Fl\CILITY
~ of l\pplication' (check) :
DNew Facility Or-bdification of Facility z]Existir¥3 Facility DTransfer of CMnershiF
A. Emergency 24-Hour Contact (name, area code, phone): Days It~r,/r i¿, &eL .7J..y~,:i'1f,
'/ Nights ,<~ ~-.., )--;Ý;::
Facility Name L> /-:;~L i;:'~:::-c-:,';:<''''-:,?=- hvt' - No. of Tanks /
Type of Businesš (èheck) :DGasoline Station (3 Other, (describe)í/~¿'<¿;;7¿ /;~n',;-
Is Tank(s) Located on an l\gricu1tural Farm? QYes liJNo /
Is ~ar:k(s) Used Pr~rily f,Q.r h3r:ic~ltural Purposes? Dyes g'No -r¡/ /
Fac1l1 ty Mdress :}.:!/,.? J,,- -(/;',//":"v /TL---'e - Nearest Cross St. /';/.c:¿ I¿,./"Z /~_
T -.7:;77c.í; ~¿';'/ ..:;.>-?v__ SEC '. ",(Rural Locations Q1ly) M, t/ / ~ '
Owner J-.j' e 1- ¿.-:,.¿¡/. '.," ..,i.,y,'" Contact Person /ï4'§f ./-v/reL-
Address "'7/2 -....). _ //z,06/// -' Zlp '7,,;76' '/ TeleP'1one, < .¿'7~,,"-:.ç/.?c;:'
Operator ", );.....;,A.4e Co.ntact Perso~ /t;1d/~t, 1.//);;'-eÄ
Address 'I;' , Zip ?fY¿ 7 Tele~ne .,?'7"~,; T::t"('"
/ :.
\/ ..,
Depth to GroUl'dwater /--3 (J :
B. Water to Facility Provided by Q, 1/ _
Soil Characteristics at Facility
Basis for Soil Type and Groundwater
C. Contractor
Address
Proposed Starting Date
Worker's Compensation Certification t
D. If This Permit Is For Modification Of An Existing Facility, Briefly Describe Modificati~
Proposed
E.
Tank(s) Store (d1eck all that apply) :
Tank t' Waste Product Motor Vehicle Unleaded Regular Premium Diesel Waste
--
.-:i/ Fuel Oil
+- ,.., 0 0 0 0 0 ~ 0
w
0 0 0 0 0 0 0 0
0 0 0 0 B 0 B B
D 0 0 0 0
F. Chemical Canp:>si tion of Materials Stored (not necessary for rootor vehicle fuels)
Tank t Chemical Stored (non-coomercialname) CAS t (if knO'tlll1) Chemical Previously Stored
(if different)
G. Transfer of Ownership
Date of ,Transfer 1Íf- v'-¿ Previous OWner
Previous Facility Name,
I, accept fully all obligations of Permit No. issued to
I unders~oo that the Permittirç Authority may review anè
modify or terminate the transfer of the Permit to Operate this underground storage
facility upon receivirç this completed form.
This form has been completed LU'Íder
true and correct...._ /'
Signature /t: ~,~ /~~}--
/1 ~
penalty of perjury aoo to the best of my knowledge i~
Title /~~-
Date
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Facility Name .?~. / //~' ':::. rí( .';/_-; ~>.:..:; - .'
TANK ~ ~ ï (FILL OUT S¡':PARATE FORM FOR tACH TANK)
-FÒR-EÃéHSECTION,CHEéK ALL APPRõP"ROOE-šõXEŠ--
--
H. 1. Tank is: 0 Vaul ted ,gNon-vaul ted DIbuble-Wall DSingle-Wall
2. Tank Material
Hcarbon Steel 0 Stainless Steel 0 Polyvinyl Chloride 0 Fiberglass-{:lad Steel
Cl Fiberglass-Reinforced Plastic 0 Concrete 0 AlLJninum 0 Bronze DUnknown
D Other (describe)
3. Primary Containment
Da~InS~alled Thickness (Inches)
4. allk ~ecóndary Containment
o Double-WÇ1l1 U Synth~7ic L~ner
DOther (describe): It,' -,/\.../e
DMaterial Thickness (Inches)
5. Tank Interior Lining _
.-oRub~r 0 Alkyd DE¡x>xy DPhenolic o Glass
·DOther (describe):
6. Tank Corrosion protection
]GalVaniZed DFiberglass-Clad D~lyoethylene Wrap DVinyl Wrapping
, ' Tar or Asphalt DUnknown ONone DOther (describe): .
C thodic Protection: 'ISdNone Drmpressed CUrrent System Dsacrificial Anode System
Describe System & ièÌui¡:ment:
7. Leak Detection, Monitoring, ~ Interception ,
a. Tank: DVisual (vaulted tanks only) ,[JGroundwater Monitoring well(s)
o Vadose Zone Moni toring Well( s) 0 U-Tube Without Liner
DU-Tube with Compatible Liner Directi~ Flow to Monitoring well(s)*
Ovapor Detector* DLiquid Level Sensor DCondoctivit;t Sensor*
DPressure Sensor in Annular Space of Double Wall Tank
o Liquid ~trieval & Inspection Frcrn IJ-Tube, Moni toriD:3,' Well or Annular Space
Ø,oaily Gal.Çi~ & Inventory Reconcil iation 0 Periodic: Tightness Testing
o None 0 unknown 0 Other ..
b. ~ipiD:3:Flow-Restricting Leak Detector(s) for Pressurized Piping-
o Moni tor ing SlInp wi th Raceway D Sealed Concrete Raceway .-/
o Half-Cut Compatible Pipe Raceway 0 Synthetic Liner Raceway lZJ.None
o Unknown D other
*Describe Make & Model:
8. Tank Tightness
Has Tins Tank. Been Tightness Tested? 0 Yes J8'No Ounknown
Date of Last Tightness Testk~~1!/ .l'ýS'í0//¿(l~esults of Test /;'-r:?~,r
Test Name Testing Canpany .J;T :J7e /-,~,~c:. e
9. Tank Repair
Tank Repai red? 0 Yes .øNo DUnkno'Nl1
Date(s) of Repair(s)
Describe Repairs
10. OVerfill Protection
[]Operator Fills, Controls, & Visually Monitors Level
[]Tape Float Ga~e DFloat Vent Valves 0 Auto Shut- Off Controls
DCapacitance Sensor []Sealed Fill Box ,[INane DlJnknown
[]Other : List Make & Model For Above Devices
--'
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pe nn i t No.
;2. 5000 z..c!---<"
Capaci ty (Gallons),
/ /, ,.--:-e::../¡ c~¿ / -
c_, _ "(___" ,,___
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[]Lined Vault DNone DUnknown
Manufacturer:
Capacity
DClay ~lined
ManUf~ctur7r~ / ~
/w.... /¡i~'f u /",û ,¿;/".' /
/_ /(_'0_ ~~ ",1'" /¿ c::::- / t- /' ,~
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(Gals.)
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11.
Piping ,
a. Underground Piping: ayes· DNa DUnknown Material__('>e~.L'
Thickness (inches»,,!.. 4;> Diameter "}// Manufacturer ¡/)' j"..t3eL.-
ŒJ.Pressure CJSuction DGravi ty -Approximate Le~th of Pipe RLni-1:..'
b. Underground Piping Corrosion Protection :
[]Galvanized DFiberglass-Clad DImoressed CUrre'nt DSacrificial Anode
DPolyethylene Wrap OElectrical Isolation DVinyl Wrap .ÆrTar or Asphalt
OUnkno'Nl1 DNone DOther (describe):
c. Underground piping, Secondary Containment: ~
ODouble-Wall OSynthetic Liner ~'ySt~lT' -LlNor ~ DUnkno'Nl1
[JOther (describe):
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OWI..._eoIllllO. KV
.OWLINQ G"I:E.H. MV
"'AO'~N"'ILLr.. K....
HI.WA'''C, OHIO
0_\.""'00, ".0""0.
HOOSTON. TEa..
.uttt.tMOTOH. .OWA
.....I.NO. CALI"O'U"".
e.~' " ,0'_ - -... .. '-.- ,. ~'V.,-:'·~:,.~'r" -, -
modern - -, METAL PRODUCTS COAST TO T
- 4141 North Brawley Avenue Fresno. caWia 93705
Phone 209-268-8881
95~ X 164
5000
Gallons
Inches
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
, 27
28
29
30
31
32
33
34
3"5
36
37
38
39
'40
41
42
43
44
45
46
47
48
8
24
47
71
98
130
163
196
,245
277
326
358
408
'457
506
555
604
653
718
767
816
865
931
980
1045
1110
1159
1225
1290
1356
1405
'1470
1535
1601
1666
1731
1797
1862
1927
1993
2058
2123
2189
2271
2336
2401
2466
2532
Stora«e Tanks - Pressure Vessels - Carbon & Alloy Pabrication
95~ X 197
6000
Gallons
11
31
57
87
121
159
200
243
289
337
388
441
495
552
610
669
730
793
857
922
988
1056
1124
1194
1264
1336
1408
1481
1555
1630
1705
1781
1858
1935
2013
2091
2170
2249
2328
2408
2488
2568
2648
2728
2808
2889
2970
3051
1f/
CALIBRATION CHART1AAK .
95~ x 244 95~ x 262 ¡;;~" 95~ x 384
7500 8000 l' 9950 .: 12000
Gallons Gallons Gallons / Gallons
12 " 15 16 22
48 41 51 61
73 76 97 112
97 116 129 172
146 162 194 240
, 195 212 258 315
243 325 340 395
292 367 388' 481
340 386 485 572
413 451 549 668
462 518 614 768
535 588 711 872
608 662 808 980
681 737 905 1092
754 814 1002 1207
827 894 1099 1325
900 976 1196 1445
974 1059\294 1569
1047 . 1145 1391 1696
1144 1232 1520 1825
1217 1320 1617 1956
1290 1411 1714 2090
1388 1502 1843 2225
1461 1595 1941 2363
1558 1688 2070 2503
1655 1784 2199 2645
1728 1880 2296 2788
1826 1978 2426 2933
1923 2078 2555 3079
2021 2178 2685 3227
2094 2278 2782 3376
2191 2380 2911 3527
2288 2481 3041 3679
2386 2584 3170 3831
2483 2688 3299 3985
2581 2793 3429 4140
2678 2898 3558 4295
2775 3003 3687 4451
2873 3108 3817 4608
2970 3216 3946 4766
3068 3321 4076 4922
3165 3428 4205 5082
3262 3536 4334 5241
3384 3643 4496 5400
3482 3750 4626 5560
3579 3858 4755 5720
3676 3966 4884 5880
3774 4074 5014 6040
~ ' METAL PRODUCTS CÓAST TO COAST
I .141 North Brawley Avenue Fresno. calif. 93705
-........TS
_. ~ ow£""seopo. ..." ' Phone 209-268-8881'-
~." "_~eow\...I"'c l...¡:e(E.... ....v Storage Tanks - Pressure Vessels - Carbon & Alloy Fabrication ' II /
. ^ M"'OI~ONVILlE ~y
Nf:\VAR"". QUIO -1 ,:¡ ;1/ K
ORLA""OO. "LOAI~'" CALIBRATION CHART
HOU:;"TON. Tt. !(AS II'
IIUI'IIt..I....GTO... !ow.. --=--.
'''£5....0. CAL.F'O"","..It,
951z X 164 95~ X 197 95~ X 244 95~ X 262 I
95~ X 324 ¡ 95~ X 384
5000 6000 7500 8000 9950 . j 12000
Inches Gallons Gallons Gallons Gallons Gallons / Gallons
49 2597 3132 3871 4181 5143 6206
50 2663 3213 3969 4289 5273 6366
51 2728 3294 4066 4397 5402 6526
52 2793 3375 4163 4504 5532 ' 6686
53 2859 3455 4261 4611 5661 6845
54 2940 3535 4383 4720 5823 7004
55 3006 3615 4480 4824 5952 7162
56 '3071 3695 4577 4931 6081 7320
57 3136 3774 4675 5036 6211 7477
58 3202 3853 4772 5142 6340 7633
59 3267 3932 4370 5249 6470 7788
60 3332 4010 4967 5351 6599 7943
61 3398 4088 5064 5455 6728 8097
62 3463 4166 5162 5558 6858 8249
63 3528 4242 5259 5660 6987 8401
64 3577 4318 5332 5761 7084 8552
65 3643 4394 5430 5862 7214 8701
66 3708 4469 5527 5962 7343 8849
67 3773 4544 5624 6060 7472 8995
68 3839 4617 5722 61-58 / 7602 9140
69 3888 4690 5795 6255 7699 9284
70 3953 4762 5892 6350 7828 9427
71 4002 4833 5965 6444 7925 9567
72 4068 4903 6063 6537 8055 9706
73 4133 4972 6160 6629 8184 9843
74 4182 5041 6233 6719 8281 9978
75 4231 5107 6307 6808 8378 10111
76 4296 5173 6404 6805 8508 10241
77 4345 5238 6477 6980 8605 10368
78 4394 5301 6550 7064 8702 10493
79 4443 5363 6623 7145 8799 10615
80 4492 5423 6696 7225 8896 10735
81 4541 5482 67~9 7302 8993 10851
82 4590 5539 6843 7378 9090 10964
83 4639 5594 6915 7450 9187- 11074
84 4672 5648 ó964 7521 9252 11182
85 4688 . 5700 6988 7588 9284 11288
86 4770 5749 7110 7653 9446 11390
87 4803 5796 7158 7715 9510 11474
88 4835 5841 7207 7772 9575 11562
89 4868 5883 7356 7827 9640 11646
90 4901 5921 7305 7877 9705 11723
91 4933 5958 7353 7923 9769 11794
92 4950 5991 7378 7963 9802 11858
93 4982 6018 7426 7998 9866' 11914
94 4999 6042 7451 8025 9899 . 11959
95 5015 6057 7475 8039 9931 11990
95~ 5027 6061 7492 8047 9954 12000
I "
These Are Approximate Capacities