HomeMy WebLinkAboutUNDERGROUND TANK
\t.LD j
'( <-
t; ~ 'v1 . \
IJ.J ' .
'....
\ .,'-
UNITED STATES POSTAL SERVICE
First-Class Mail
.......- .- Postage & Fees Paid 0,
...."...-.- USPS'
".." Permit No. G-10
\~> I:¡ l G ::,
· Sender: Please print your\~ftI§u~ddress, and ZIP+4"in this box · _"'^'__~_
( ,
. BAKERSFIELD FIRE DEPT
PREVENTION SERVICES
1715 CHESTER AVE 3RD FL
BAKERSFI~LD CA 93301
'<..--- ---4
-::¡=-.::::=:c: i -+-::52 i Ci
/1,11111/111111111 /1111111, 111 III 1,lllItHllIlllI f,III,tl'lIl
Complete items 1. 2. and 3. Also complete
item 4 if Restricted Delivery is desired.
. Print ypur name and address on the reverse
so that we can return the card to you.
. Attach this card to the back of the maìlpiece.
or on the front if space permits.
1. Article Addressed to:
(
I TERRY WJJ.;.¡KERSON
I HALLIBURTON ENERGY SERVICE
2309 S UNION A VENUE
: BAKERSFIELD CA 93307
""--"---"~~---~--
2. Article Number
(Transfer from service labeO
PS Form 3811 . August 2001
'\
. Is delivery address different from item 1? 0 Yes
If YES, enter delivery address below: 0 No
j
3. Service Type
¡A Certified Mail
o Registered
o Insùred Mail
o Express Mail
o Return Receipt for Merchandise
o C.O.D.
4. Restricted Delivery? (Extra Fee)
DYes
~, 7002:3JfSO'«OOÒ4· 9985 3660
Domestic Return Receipt
102595-02-M-154C
o
..[J
..[J
rn
- _n_ ____
U.S. Postal ServiceTM
CERTIFIED MAILM RECEIPT
(Domestic M. "I Only; 'No Insurance Coverage Provided)
. ,
LJ"
I:[]
IT'
IT'
OFFICIAL
USE
Postage $
3'
o
o Retuin Reclept Fee
o (Endorsement Required)
o Restricted Delivery Fee
LJ" (Endorsement Required)
ñ
rn Total Postage & Fees
Certified Fee
Postmark
Here
ru
o
o
I"'-
. II :.. .:.,(!lll
Certified Mail Provides: Æ(9SJe~el:l) ¡:oœ eunr 'ooee WJO, Sd
· A mailing receipt - "
· A unique identifier for your mallpiece -~
· A record of delivery kept by the Postal Service for two years
Important RemInders:
· Certified Mail may ONL V be combined with First-Class Maile or Priority Maile.
· Certified Maills not available for any class of International mail.
· NO INSURANCE COVERAGE is PROVIDED with Certified Mall. For
valuables, please consider Insured or Registered Mall.
· For an additional fee, a Return Receipt may be requested to provide proof of
delivery. To obtain Return Receipt service, pfease complete and attach a Return
Receipt (PS Form 3811) to the article and add applicable postage to cover the
fee. Endorse mallpiece "Return Receipt Requested". To receive a fee waiver for
a duplicate return receipt, a USPSq¡, postmark on your Certified Mail receipt is
required.
· For an additional fee, delivery may be restricted to the addressee or
addressee's authorized aQ!nt. Advise the clerk or mark the mailpiece with the
endorsement "RestrictedVeiiveryu.
· If a postmark on the Certified Mall receipt is desired, piease present the artl·
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed, detach and affix label with postage and mail.
IMPORTANT: Save this receipt and present it when making an inquiry.
Internet access to delivery information is not available on mail
addressed to APOs and fPOs.
/7
i
,.¡.
"'~ -
August 25, 2003
CERTIFIED MAIL
Terry Wilkerson
Halliburton Energy Service
2309 S. Union A venue
Bakersfield, CA 93307
FIRE CHIEF
~<CN FRAZE
Re: Permit for High and Low Explosives and Verification of
Proper Storage Containers
ADMINISTRATIVE SERVICES
2101 "H" Street
Bakersfield,CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
Dear Mr. Wilkerson:
SUPPRESSION SERVICES
2101 "W Street
Bakersfield, CA 93301
VOICE (661) 326·3941
FAX (661) 395·1349
This office is in receipt of your letter dated August 8, 2003. Our
Business Plan records show no inventory of either high or low
explosives stored at your 2309 S. Union Avenue facility.
Furthermore, a separate permit must be obtained to continue to
store them there.
PREVENTION SERVICES
FIRE SAFETY SERVICES· EHYIROHIlEHTAL SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326·3979
FAX (661) 326-0576
You may obtain this permit application through this office. When
submitting your applications you must show documentation on
the UL approved magazines for storage. You must also update
your Business Plan - Chemical Inventory once your permit has
been approved.
PUBLIC EDUCATION
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326·3696
FAX (661) 326-0576
Prior to signing off on your permit, a facility inspection will be
performed to assure compliance with the UFC & NFP A
Regulations regarding storage.
FIRE INVESTIGATION
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3951
FAX (661) 326-0576
If I can be of further assistance, please feel free to contact me at
661-326-3190.
TRAINING DIVISION
5642 VIctor Ave.
Bakersfield. CA 93308
VOICE (661) 399-4697
FAX (661) 399·5763
Sincerely yours,
Ralph E. Huey
Director of Prevention Services
BY:jt ~
Steve Underwood
Fire InspectorÆnvironmental Code Enforcement Officer
Office of Environmental Services
SBU/db
(,10 y~ de ~"n/;u~ .%p v.ø6~, .~ .A c¡g,n./u/y""
..~
'"
--~._.. --
_ _?/64~LL j4:~*(I_7.?~~.rD__."QçjÇ)á.,,__-¡;;~. /:5.A. ÇA'~~7E _
rq þ2;Jv'C;rbJ _' ø/l! n &tJI¿4JI/!/t'f_. _.:¢¿& _ . _~~&.P¿)ùY{J .6."/o2,AC"Æ..: _
. /)7?_ /0&_ ;¡;4,!J/O/!KPC6 _t#/I-;Cé2/~. ..zÞ¿lA/Y4Jt.b:5flC?/i(5
_?~læcAl~____. ....
- .0________ __ ___ _____ __ __ ....---___._._______ ______
-- ~ - - -. - ---- - -- -- -- --- - -- -- -
----- -- ------ --------+----
------ - - -.. -- ---- - ----- .--
- _____u_____ __ ______ ____.
-- +--~- .--- --
_ ___on _ _ __ __ _._ +__ _ _ __ _ __ ~ ___ +_
.- -- - ------ -. +~
/¡!JELEK. . ---.__.
_ . ,2X;?'l. __::J.V.-0Df'¿. I4tJé
_C/~rCA.9 /-:f?7
- - - - -- -- - --
.- - --. -- -
--- --- - - - --- -
.-- - ----
- - -+ - -
. _. .-Z;;: _ .F dt¿)~¿;j2
__ C?~7/~o(__~t.! /.~Pt.Si;/;¿u _ _._ d
_ _é3~.!-i:37Ý_ __.. ___._._._ .
- -- - -.-.
-- -- -- - - - - - -'-
- -+--- -- -- - --
- -- . -- -- ------- -
- .-. -- +--, -- - -- ..- -
--~ -- -. - --
-- --- -- -
..---- - - - -
____________ __ 0+_- _._.. ________~_____
- - -~ ----. -- -- - - --~-
.- - - - --.
-- - - -- - -
--- ~ - --
_ _ _ __ n_
- - - - - - -
- - - - - ---
- .- - -
. ------ +.- -- --- --
__ _ __ ~ u
-- -------
- - - - _0 ___+_ _. __ .
- ---- - _._~-
- -+ --
- . -- ---. ---- -- - ---- - -+ --. ~ . +--.
-------- - -
- . - - . - -- .-
u~ _____. _____
--- -- _ _ --- _ ---- _ -- _ --~-- ---- -- - --
- - - . --
- - - --.
.~ - - --- - - -
~.:.;.
(1).
(')
J:
~
Z
r
z
"
~
z
(')
I'T1
VACANT LOT
wso
t
N
,;~
PSV GM
FH
SC
EM
60' X 200'
METAL BLDG.
LD-...
ELECTRICAL BOX~
DIESEL_~ L
PUMP~ _ UNDERGROUND ~FD
. TANK - 1000 GAL. ER ~
30' X 25'
WASHRACKb
~WSO
50' X 140' BI-dg ®
METAL BLDG.
jJ
SPOOLING
UNIT
..J:
~/O
15'0
V~
-S-
C~
(C'ú' ~
~
-<1~
¡,
~c:
4~
l'
<0
/'
~
~-=-
--~-
-:::-." ~~ ~-..,...,.
Q-
UNDERGROUND
EXPLOSIVE /f')
BUNKERC c."'"
EM
/ER
..~
FD
I SHED
~FFICE BLDG,
I
BODY SHOP'
N
UJ
o
<.D
G>
o
r
o
m
z
(j)
-f
~
rrl
:I:
:E
-<
.'
þ
Z
-{
r
o
-1
r~
,-
FE
......
~
FG
E
¡-
so
.
so
.
FE
.. E
---
- -
~E
-
~v<.1 I dtNJ
~
fE---+-
.-
e..-
E
N
1
,
u
-_.
-i'
-
r
. .
JI
.ii
--
e
h>
'J'
~
,r;
8~
IJiN~
BB
UPSTAIRS
/
--.
AA
UPSTAIRS
~ "~
::.
--
._;~
..
..
--'-
wso
!
_of':
.
FE
so
~
.
AC
i
TL
PL
.
so
Sf
¡
,
FE
1
N
<JM
'i e e
I;j- ~
·t
N .~
~ --...
(f)
.~ 0
¡
N
Cl f S'tC(IR.$
Î3w/J ''''~ 1
Sect1!>ß
MSDS
N
FL
PL
BB
,.
~,,';-'~ ',-, ~
L
UpS-kI~ See!
Dt4.dJ.IIII~ 1
~ec.t;- 4R
e
N
~(I)
o
...... (I)
o
"T\
fTI
~(I)
o
AA
e
"T\
fTI
\)
0)_
(')
:J:
~
Z
r
z
^
"T\
rT'I
Z
()
rT'I
VACANT LOT
YARD DRAIN
FG~
PG
OG
wso
PSV
60' x 200'
METAL BLDG.
F A ~ L J Ty UN i r <t I
EM
L 0 ----i>O
30'x 25'
WASHRACKb
~WSO
ELECTRICAL BOX~
DIESEl.u~ L .
PUMP-r--' UNDERGROUND -- FD
TANK -1000 GAL. ER --+--
50 'x 140' ~
METAL BLDG.
¡-':Ac.:rLJty <ANi,.. tt.,¡
P
SPOOLING
UNIT
~&
~O
0'0
V~
..y
('~
«'0'
~
~
'<1~
"<;
('-<1
1/;-
<0
/'
EM
~
UNDERGROUND
EXPLOSIVE À
BUNKERl c.~)
r SHED
tEMPT; ",FFICE BLDG.
I
BODY SHOP-
FH
SC
<
ge
þ
z
-i
N
()J
o
W
Gì
o
r
o
JT1
Z
(f)
---
~
rT1
::r:
:£
:<
r
o
-i
e
-
2
so
!
so
±
FE
so
!
<1:
<1:
e
2
.
so
"
so
@
-
SO-+{)
t
so
e
C/)
a
C/)
~
..J..J
u..Q.
(I)
CD
2
2
w.
-.(.
,
8L 0 :iJ-¿
,
I
,
¡
--
FE
~
...-
FG
E
....-
E
I
I
I
I
(
FE --+-
e
so
..
so
.
FE
....-
E
~
E
"
"
l\
'"
.
BL D :t; 1
BB
UPSTAIRS
AA
UPSTAIRS
It
a
z
::>
o
a:
t:>
a:
w
o
z
::>
t
a:
so
t
ø
FE
PL
SD
l
FE
I
e
wso
!
AC
i
TL
SR
i
50' X 140' Æ: P I
METAL BLDG. BOO'( SHOP'
FA~1:' t}' \ANtt- u,¡ SPOOLING
UNIT
EM Q-
~.9 /ER
~O UNDERGROUND
ó'O .~ EXPLOSIVE ~
v)': BUNKERl c.,..{\
'Ý FD
C' 'Ý. I SHED
~ (C"ó'
~
0-<1 1>
/YJ- </"" I EMPT~FACE BLDG.
(C"
(0
')-
;¡
e
0'1_
("')
:r
~
z
r
z
:x
."
",
Z
("')
T
',~
·,·.,.'·.·..'6'.
. ::-,~ .~' ;. ~. ,
'""'" '
4 .-: .~ '. ';; ';- ..;'..K:. "
VACANT LOT
WSO
PSV
60' X 200'
METAL BLDG.
FAQ.ILlry LtNir #,
EM
LO -...
30'x 25'
WASHRACKtJ
-'-WSO
ELECTRICAL 80X~
DIESEL ~.~ L
PUMP~ UNDERGROUND ~FD
TANK - IÖOO GAL. ER --...
FH
<
»
()
þ
N Z
()J -;
0
to
C') 5
0
r -;
0
"...
Z
(f)
~
.....
"...
:r
~
:<
e
e
SD
!
2
so
!
<t
<t
FE
2
>.
SD
i
FE
e
e
CD
CD
..J..J
!.La.
2
('
en
o
en
~
so I SO
. .
2
SO'"
T
SO
!
8L D .J 1
B8
UPSTAIRS
AA
UPSTAIRS
~
o
z
:;)
o
a:
~
a:
w
o
z
:;)
I
tt:
i
FE
SD
t
.
FE
PL
SD
~
.
I
FE
I
wso
i
AC
i
TL
SR
i
FE
1
GM
~,
,
~
('
8L 0 :Ji-¿
e
FE
..-
...-
FG
E
u ¡'\()E~l.,.ROU¡.jÍ/
r--
~.,--"
T__",^,
FE ---..
e
SO I SO
. .
FE
-...
E
.......
E
;...--
..
......
,
.( -
FILE CONTE~TS SUMMARY .
FACILITY: tkJlhh/Jrkn MJ(Jif7J .:y.fIJit.t:'. J T"r ,
ADDRESS : 01.30f cC;. ()n/or]
PERMIT #: 3/ðð.35' ENV. SENSI TIVITY: '£5
Ac'tivity
Comments
Date
# Of Tanks
o¡:rJi~a./../(j r1
.. 3)"ll~5'~
rtJii;!~~n
/Oh re8ú/h
(Jk /eikr
<3j;<g/~~
7/1/ !~
71ft! 9ð
sy rP-/f'()
t /;2. ~/7Ó
~/~J7()
/
/
I
/
()f>(o-k
o~
::/ha;::z neJ
e
.
-;
RANDALL L. ABBOTT
Agency Director
(805) 861·3502
STEVE Me CALlEY
Director RESOURCE
......,,-:-".'."".~.,..-,.
/,,-"'~. .
~I ' .
2700 M Street. Suite 300
Bakersfield. CA 93301
Telephone (805) 861·3636
Telecopier (8051861-3429
MANAGEMENT
AGENCY
. . . .
DEPARTMENT OF ENVIRONMENTAL
~ --. . .
HEALTH SERVICES
September 7, 1990
Halliburton Logging Service, Inc.
2309 S. Union Avenue
Bakersfield, California 93307
CLOSURE OF 1 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANK LOCATED
AT 2309 SOUTH UNION AVENUE IN BAKERSFIELD, CALIFORNIA.
PERMIT # A1289-31/310035 ~
This is to advise you that this Department has revi'ewed the project
results for the preliminary assessment associated with the closure
of- the tank noted above.
Based upon the sample results submitted, this Department is
satisfied that the assessment is complete. Based on current
requirements and policies, no further action is indicated at this
time.
It is important to note that this letter does not relieve you of
further responsibilities mandated under the California Health and
Safety Code and California Water Code if additional or previously
unidentified contamination at the subject site causes or threatens
to cause pollution or nuisance or is found to pose a significant
threat to public health.
Thank you for your cooperation in this matter.
~~~
LAUREL FUNK, HAZARDOUS MATERIALS SPECIALIST
cc: Kern Environmental
P. o. Box 5337
Bakersfield,CA 93388
'-~"-"'KE~
~RONMENW SERVICE
ON. OF KERN ØM;I(HOf SERVICf. we.
e
August 28, 1990
Ms. Laurel Funk
KERN COUNTY-ENVIRONMENTAL HEALTH SERVICES
2700 "M" Street
Suite 300
Bakersfield, California 93301
-REGARDING: Underground Tank Closure Permit No. A1289-81
KES Job No. E-468
Dear Ms. Funk:
Enclosed please find analytical results (B. C. Lab Nos.
7136 -1 through 6) and chain of custody record for the above
referenced project.
Also attached is a copy of Uniform Hazardous Waste Manifest
No. 90154550 and a completed Underground Tank Disposition Tracking
Record. ,
Sincerely,
"
I
I
¡
BW:be
Enclosures
'.""..n....d·.._'.·.-..' 4.. .~_ ,~,~. .
...-" -~......._." _ ~~~_"'____....""¡u.,'.....'"'....................,..'"
Post Office Box 5337, Bakersfield, California 93388 . (805) 589·5220
In California . (800) 332-5376
¡
ENVIRONMENTAL
el -,
LABORATORIES, INC.
, J. J. EGLIN. REO. CHEM. ENGR.
4'00 ,PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911
Petroleum Hydrocarbons
( SOIL)
CHEMICAL ANALYSIS
PETROLEUM
Kern Environmental Service
P.O. Box 5337
Bakersfield, CA 93389
Attention: Brandon Walters
Date of
Report: 27-Aug-90
Lab No.:
Sample Desc:
7136-1
Project #E-486, Haliburton Logging, Sample #1,
2ft East End, 8-9-90 @ 2:40pm
~
'Date Sample Date Sample Date Sample Date Analysis
Collected: Received @ Lab: Extracted: completed:
09-Aug-90 14-Aug-9O 17-Auq-90 18-Aug-90
Minimum
Reporting Analysis Reporting
Constituent Units Results Level
Benzene uqlq none detected 0.02
Toluene ug/g none detected 0.02
Ethyl Benzene uqlg none detected , 0.02
p-Xylene uglq none detected , 0.02
;
m-Xylene uqlq none detected f 0.02
¡
o-Xylene u9/9 none detected J 0.02
,
Total Pet.
Hydrocarbons uqlg none detected 5
(Diesel)
TEST METHOD: TPH by D.O.H.S. 1 L.U.F.T Manual Method.
Individual constituents by Modified EPA Method 5020/8020.
As Received Basis
Comments:
California D.O.H.S. Cart. #1186
By
J. J. Eglin
J~ j) i~
Analyst
-
_._ .. _ 4 ~'::' ' , .
~
e
e
ENviRONMENTAl.
( (,
LABORATORIES. INC.
J. J. EGLIN, REO. CHEM.ENGR.
4100 PIERCE AC" BAKERSFIEL.D, CALIFORNIA 93308 PHONE 327-4911
Petroleum Hydrocarbons
( SOIL)
CHEMICAL ANA.LYSIS
PETROLEUM
Kern Environmental Service
P.O. Box 5337
Sakersfield, CA 93388
Attention: Brandon Walters
Date of
Report: 27-Aug-90
Lab No.:
Sample 'Desc:
7136-2
Project #E-48ó, Haliburton Logging, Sample #2,
6ft East End, 8-9-90 @ 2:45pm
Date sample Date Sample Date Sample Date Analysis
Collected: Received @ Lab: Extracted: Completed:
09-Aug-90 l4-Aug-90 17-Aug-90 18-Aug-90
Minimum
Reporting Analysis Reporting
Constituent Units Results Level
Benzene ug/g none detected ~ 0.02
Toluene ug/g none detected 0.02
Ethyl Benzene uq/g none detected I ' 0.02
p-Xylene ug/g none detected 0.02
m-XYlene ug/g none detected ,J 0.02
o-XyleJ}e ug/9 none detected' 0.02
Total Pet.
Hydrocarbons ug/g none detected 5
(Diesel)
TEST METHOD: TPH by D.C.H.S. / L.U.F.T Manual Method.
Individual constituents by Modified EPA Method 5020/8020.
As Received Basis
Comments:
California D.O.H.S. Cert. #1186
J. J. Eglin
('q{ IJ ¥
~~ Analyst
By
-----',
EJfV/RONMENTAL
CHEMICAL ANALYSIS
e···· _,-
LABORATORIES, INC.
J. J. EGUN, REG. CHEM. ENGR.
. 4100 PIERCE AD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911
Petroleum Hydrocarbons
(SOIL)
PETROLEUM
. Kern Environmental Service
P.O. Box 5337
Bakersfield, CA 93388
Attention: Brandon Walters
Date of
Report: 27-Aug-90
Lab No.:
Sample Desc:
7136-3
Project #E-4S6, Haliburton Logging, Sample #3,
2ft West, 8-9-90 @ 3:00pm
Date Sample Date Sample Date Sample Date Analysis
Collected: Received @ Lab: Extracted: Completed:
09-Aug-90 14-Auq-90 17-Au9-90 18-Auq-90
Minimum
Reporting Analysis Reporting
Constituent Units Results Level
Benzene ug/g none detected 0.02
Toluene ug/g none detected 0.02
Ethyl Benzene ug/g none detected , 0.02
p-Xylene ug/g none detected , 0.02
m-Xylene u9/g none detected , 0.02
I
o-Xylene ug/g detected J ¡ 0.02
none
Total Pet.
Hydrocarbons ug/g 71 10
(Diesel)
TEST METHOD: TPH by D.O.H.S. / L.U.F.T Manual Method.
Individual constituents by Modified EPA Method 5020/8020.
As Received Basis
Comments:
California D.O.H.S. Cert. #1186
By
J. J. Eglin
,Yf¥b- j) Ic¥
~ Analyst
=:; 1- ,. - - - C' : ."
-
e
ENI'/RONMENTAL
LABORATORIES, INC.
J. j. EGLIN, REG. CHEM. ENGR.
4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 3~7.49'1
Petroleum Hydrocarbons
( SOIL)
CHEMICAL ANALYSIS
PETROLEUM
Kern Environmental Service
P.o. Box 5337
Bakersfield, CA 93388
Attention: Brandon Walters
Date of
Report: 27-Aug-90
Lab No.:
Sample' Desc:
71:36-4
Project #E-4S6, Haliburton Logging, Sample #4,
6ft West, 8-9-90 @ 3:15pm
Date Sample Date Sample Date Sample Date Analysis
Collected: Reoeived @ Lab: Extracted: Completed:
09-Aug-90 14-Aug-90 17-Aug-90 lS-AUg':-90
Minimum
Reporting Analysis Reporting
Constituent Units Results Level
Benzene ug/g none detected ~ 0.02
Toluene ug/g , none detected , 0.02
Ethyl Benzene ug/g detected J 0.02
none I
¡
p-Xylene uq/g none detected) 0.02
m-Xylene u9/9 none detected' 0.02
,o-Xylene uq/9' none detected 0.02
Total Pet.
Hydrocarbons ug/g none detected 5
(Diesel)
TEST METHOD: TPH by D.C.H.S. 1 L.U.F.T Manual Method.
Individual constituents by Modified EPA Method 5020/8020.
As Received Basis
Comments:
California D.O.H.S. Cert. #1186
By
J. J. Eglin
S¿~L û Æ',y:
I Analyst
'1
,e
-
£N}'IRONMf.NTAL
( (.
LABORATORIES. INC.
J. J. EGI.IN, REG. CHEM. ENQR.
4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911
STX/TPH DIESEL
Quality Control Data
CHEMICAL ANALYSIS
PETROLEVM
Kern Environmental Services
P.O. Box 5:337
Bakersfield, CA 933SB
Attention: Brandon Walters
B~X Spike ID: 7136-1
TPH spike ID: 7136-1
Analysis Date: lS-Aug-90
Matrix: soil
Quality Control
for'Lab Nos: 7136-l, 713/$-2, ;13/$-3, 7136-4
One sample in twenty is selecteà as a representative matrix which is
spiked. The percentage recovery (% Ree) of the spike is a relative
measure of the accuracy of the analysis. The comparison of the spike
with a duplicate spike is a measure of the relative precision of the
analysis.
Constituent
Spike
% Ree
Dup
Spike
%. :t'ec
spike
RPD
,
--------~~~~---------~~--~-~--------~--~------------~~-------~~-~~~
I
Benzene 93.94 91. 96 2.l3
Toluene 95.29 93.55 1.84
Ethyl Benzene 91. 50 90.48 1.12
TPH Diesel 104.00 99.00 4.93
QC Comments:
J .
KES
IŒRN ENVIRONMENTAL SERVICE
,;
A DMaion of
ICem BKkhoe S.....ic.. Inc.
."
P.O, BOX 5337 . BAKERSFIELD. CA 93388
(80S) 589·5220
. CHAIN OF CUSTO~Y RECORD .\
, AOJ. leD. I 'ROJECT N.u:E ~C1/Î :/70 l~ IV ' ~V\
~ - Vf'& í 4/,6, L#\, loG ...1 " ,,~
~-'g / if1 L 01
./ /-1- / '/'J /~ R£:.IARKS
co...·
-7 v' . TAIH(AS
~
04TI Tlul 1 "" STATION loc;A TICH .
Sf ~ tea. 0 cr;
U \)
/ If-7 ~ :(fr. V a F I- J:LJ""./ ¿-/?/'l . / v v
~ ~i, Iq . C{~ ¡/ (p F1 rA<..1 Efr)/ì / l.- !/v
\. -~ ("<7 8.'(1') vi .-2 F-f ù :J,r.<;.. +- ( v v /'
¿¡ -<;? ~ -~:rs ¡/ '/b çi I~ 1.c;.<.,1- / V v
If ~
.
:
,
.
,
'-
.~
...
;r 2:Ï2~ ~II/T...... Ihcr."cd by: a.,..._., R."I\Q""hcClII,: IS."........, . 1.)..1 IT..... R.«:.;..d by: IS....._.
I '?~i -10 t 9.:2,' .j.~ ~4/q" 100:3" h1 f-h ~J¿t/dr.
lI1¡'~d by; ISoro.-.I 0... IT..... II."....d II.,: Is-r.-.' n.I-o-,,,"cG OJ' IS.,...,..., o.~ í T_. R.Cf...~by: lJ.,..._1
I
.
A. I............ 0 II,' 11-__' 0.... IT.".. R.co..ed f... l.w...o.. "" 0... I r..... Rc.",."
I lJ..-rt.,,,,., I
..
. .'
-
e
...J
...J
<
()
<
Z
a:
o
u.
,'It ::¡
:Lt). ~
i~z
:oê
!en' ~
k::,::_):.·
'0
.11)
II)
~ -'n -'.
-:'~.,:'; '.
. I
1:.
if'
¡:
1-·'
~ '. .
I'
i
roved OMS No. 2050-0039 (f"p".. ;;-30·r· " --
or type. (Form designed I'or uu on eli. )'PitCh typewriter).
!. FORM HAZARDOU 1: "ator'a US EPA ID No.
WASTE MANIFEST
j QAIÇ .:,;)YU::tltllH...Uð vUIIHU. .....".~.v,
Sacramento, California
7. Transporter 2 Company Name
Information in the shaded areas
is not required by Federel lew.
Generator's Name a~d Mailing Address
~.,/ - ,:;\' .-~'
". l·... ._.' - :' .:.to* (.J'"
.... -.
,
. ~ ·f:
"
.-,
- - ,
4. Generator's Phone (.-:-. ..~ J :;:' :,. ~ i';: -,,' r..l
o
I/)
I/)
,..
N
I/)
co
8
II?
-
5. Tranaporter 1 Company Name
. þ' r . ",~-.,< ~ ~J~ ..A" þ''''
,,-" /
, .
9. Designated Facility Name and Sit.1I Address
.,; ..:-, ~'.I:<.~"" ~:J,.: (..... ~ :-'~~::' /- . ";'. I":=¡
,;'~#·..~::'-?I·' .' ./'-:~:.. ,", .," ,.... . 1, ,..,. . .. r,;' It....·f...
_ ~,. . .,. I- i" -~ ,..or '-' .,..'
,.
~~~~j~~":~~~~~~~~iWf#'iTh:P§¡';;:<~f~:~1:~;,-~: .
'.'
.~... ,
/;~-
/;"'.'''~''
.;. .-
" .,;"),.'
. _: I
13. Total
Quantity .
a. /J.,-.....::., -<':(:i"~
G
. E.
:? ~,
: ~ R '..
·'.A:',:'
... T';
;.:(i.:~'
..
.. ,
--
, -
..
C<
.-
. .~
;".
,
,- ,~:
.... ';i:
~~~
.,. .,
'. -"":)'
.: ~. ....(~,
.'.
"
".. ,", ":
';:~~/:.~:~.f' -;~ _.?~~ ·1::_:~~'- ~;,;1~:~~~~i'~·::.:'i·~:w)~·
18..;~)~~:#;,.;·~~ .;~.~='~~~~:::~: :..:.~"
. .
&~~~5;:~!d~~~~!~~~~~t~~~1~?~t!:·~:Œf}.~::~':2:Wir\:~~~~~::1~~~~:~,'~~~fri~~1?t
a1~IT·:'¿T)!TtY~{~ifíJ~'~~~m:~~~~~~]t;;ff'r!i:s:.~t~~~~Wjf~;!~
. .' . .
':.':.~ .:. ";.": ,:
, .
. I
.'
-- ":-
",'---'.
DHS 8022 A (1/88)'
. EPA 8700-22'" ,., .
(Re". 9·88) P~é¡'¡oue editions ere obsolete.
GREEN: HAULER RETAINS
----"--
....
..;,."
..
'l\]OR ORIGINAL
..
..'
- .~.----
---'-..
- --- - -"--.--.--'---------.:..-- ---"
nP.'"""
, f'kp 'ft"hP"t'" .ì' \1nP,:;¡,.
::-..
nJr.....",..."..,..
~:."!.,.. .~_-: _ :~~~-é::~m.è~~~·~~:;·!"·<'~
1.","",,1
;;
RANDALf- L. ABBOTT
" Agency Director
(805)861-3502
er
(
e
~
STEVE McCAllEY
Director
RE SOU R C E M .A. NAG. E,M, E N T
. ..'~t;.~,' ,~~.~····.'_·~~t".:~}·~.~~t .
DEPARTM~NT, C?,FE.~"',R,ONMENTAL
HEAlTH"SERVICËS
~';;4.t:~:;S~~~·
,."" -:~~,:~{~~;:N>~\.~
2700 M Street. Suite 300
Bakersfield. CA 93301
Telephone (805)861·3636
Telecopier (805) 861-3429
AGENCY
PERMIT FOR PERMANENT CLOSURE PERMIT NUMBER A 1289-31
OF UNDERGROUND HAZARDOUS ,. .
SUBSTANCES STORAGE FACILITY '< ,
Jß,'J§~~\'¡i~1:~~~;,~}~ :i".(g;";(:"i~;;ç{à,;,;;;;;.;)¡,..,;,{tJi~;~,,;5i.,~"~tf'!i';¡;c;,¡,~~~¡¡~~¿:æ~{~~i-iff';'é¡';'.
,:~';t'~~;~'>Þ:FACIi.ITY NAME/ÀDDRESS: :;t:~~:·~;;,·;/~'i.if:~:OWNER(S) 'NÁME/ÂDDRES . ONTitAC'i'O" ."
'r~' !;{;~~~ft~~~~ift:~~¿1i;t~0~~lf~~;~;S~~t~;;~f~·~~~!~;tI$~!it!:~: f1~~~~~i~~;]@~\'!:';:!1:~~"~~~~;~ß~~~~~~3~~t;;~¡k .. '.':16i;?:;
','" Xj~Halibu~On' ,Lògging è~1~1ce, ."?¡::\\~:H~~alibur~On ,Logging~~vice,I Ker~ _E!l~~lronm,ënta1
2309ß'- p DIon ,~'ye. :~]è~~~.} ~!~;~;.~2309ß· p Dlon .A ve~,:' .q~¿;~~¡,~~~l .
"j/~:;~,B.a~e,rsf~~ld,Ç~, 93,3~7 ':ì;;.W~,,:-:, ';'~~'~":~""'; ".1': .iJJI!3akersflel~"ÇA, ,~~y~~~~!,~~lg';~~~l2~,~
, " ',;, \.~~~i;?\Ì;'~~~: -;'.}:,~~~;~t,:.~, ,,':,~ ~~;;~~~. ~~'?<'b,,~,.! ~~'ì::_~"o:,. ~:; ~ '~¡ ~-~;~t·:;>(ft>r.: : '~~':~. ~','.;.;':. '~.: ~,.~~:(t:.~~ì:~ :¡~ -} '~\'::"'/! ;::'i~~" .;~~;!~: "i{\'{:2{, ~~ ~f\ ¡"..~~:.~:. ~jPf~~~r~~~~.:~~:~~':;:;:!~~ig~~~.
Licensè#432372
Phone: 805-831-1374 Phone: 805-589-5220
'. ".:' "~- ì~' :" ". "i.' -
. .
, '~: ,:, ' :, ,~~~"'~h~;lrY;.:~:/}:'t~M~-:~--\¥t<_~/.:,¡~~:~f!> :,
November 8. 1990'"
PERMIT FOR CLOSURE OF
PERMIT EXPIRES
,,'
. ' ~ :', .,
.! T ANK(S) AT ABOVE
. 'LOCATION /1
.' urel Funk . ~,:>'j1~;~.ëJ~< "
Hazardous Materials Specialist
. . . .,". i'::':~o;::~;iI':;.:t~~~;"'.~:
.............. ...... .., ...... ....... ... ...... .... ...... ..... ... ......... .... ... POS TON 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 (i.e., City
Fire and Building Departments).
2. Permittee must notify the Hazardous Materials Management Program at (80S) 861-3636 two working days prior to tank removal or abandonment
in place to arrange for required inspections(s). ·';;'·.'Ô'c':"·,·
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. " :':'
S. The tank removal contractor must have a qualified company employee on site supervising the tank removal. The employee must have tank removal
experience prior to working unsupervised.
6. If any contractors other than tbose listed on permit and permit application are to be utilized, prior approval must be granted by the specialist
listed on the permit_ Deviàtion from the submitted application is not allowed. . .
7.· Soil Sampling:
a. Tank size less than or equal to 1,000 gallons - a minimum of two samples must be retrieved from beneath the center of the tank at depths
of approximately two feet and six feet. .
b. Tank size greater than 1,000 to 10,000 gallons - a minimum of four samples must be retrieved one-third of the way in from 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 one-fourth of the way in from the ends of each tank
and beneath the center of each tank at depths of approximately two feet and six feet.
8. Soil Sampling (piping area): .
A minimum of two samples must be retrieved at depths of approximately two feet and six feet for every 15 linear feet of pipe run and under the
dispenser area.
)\
e
,r--
(
e
('
. "
.' ,
PERMIT FOR PERMANENT CLOSURE
OF UNDERGROUND HAZARDOUS
SUBSTANCES STORAGE FACll.ITY
PERMIT NUMBER A 1289-31
ADDENDUM
9. Soil Sample analysis:
a. All soil samples retrieved from beneath gasoline (leaded/unleaded) tanks and appurtenances must be analyzed for benzene, toluene, xylene,
and total petroleum 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 fun range of
. f~:~iúbstances that may have been stored within the tank. ..." .,.... ",. ,.:. . ,: :-';: ':-:~;:, '.i,Ú,".,..,:' h ',;
:."_::,~';;:.....~~~._,;, ~c,."';i~ ._' <,:'.~(':.' ,"'.... e>',' __~."" ·t-..;'~:-:"'~~:,~"':·"~"';<":"'~':l'~;;~_- <~,~:~~,õ:i(~;:;~~:~J
"i:-'t~efonowing t!~et~ble list.s pre- .and post~taDk removal requirements:.,';,;: '..~",
"·'.~~~¡t'~~~~~;¥";¡'~l1$~·t ,'. , ,
. mplete permit application submitted '
"'HazardousMater;ialS Manàgement:~~gra~ '. .'
··~~~~t~,~·~¡{~~~$;f?;t{{~.-~;~üt~~~~~¡,~~i";i':~ii.r~~f:Gf¿·t:'::;:,;¡ti~~"
.;::.. ..~Notification· ïò irispeétor listed on Permit or date'
" and time of closure and soil sampling
.
Transportation and tracking forms sent to Hazardous No later than S working days for transportation and 14 working
Materials Management Program. All hazardous waste days for the tracking form after tank removal
. ~~~~:::.:::e ugn<d by 'be ""''''.. 'be, ," . ·.·.~,;;'!;:;c~~;,,';;~jIit~t\;'~~"
<. 'Sample analysis to Hazardous Materials Management '. No later than 3 working da~ ;"ter compl~.ti~n of.a~~Irs,~··
Program . " . ',' - ." ,,:~.\ ,~:~. i¡~;'t~~
11. PurginglInerting Conditions: __ / _ .'f,~~Æ·
a. Uquid shall be pumped from tank prior to purging such that less than 8 gallons of liquid remain in tank. (CSH&SC 41700)
b. -Tank shall be purged through vent pipe discharging at least 10 feet above ground level. (CSH&SC 41700) . -.
c. No emission shall result in odors detectable at or beyond property line. (Rule 419) .
d. No emission shall endanger the health, safety, comfort or repose of any person. (CSH&SC 41700)
e. Vent lines shall remain attached to tank until the inspector arrives to authorize removal.
-..
RECOMMENDATIONS/GUIDELINES FOR REMOVAL OF UNDERGROUND STORAGE TANKS
This department is responsible for enforcing the Kern County Ordinance Code, Division 8 and state regulations pertaining to underground storage tanks.
Representatives from this department respond to job sites during tank removals to ensure that the tanks are safe to remove/close and that the overall
job performance is consistent with permit requirements, applicable laws and safety standards. The following guidelines are offered to clarify the interests
and expectations for this department. .
'.', "
'. ¡>'
1. Job site safety is one of our primary concerns. Excavations are inherently dangerous. It is the contractor's responsibility to know and abide by
CAL-OSHA regulations. The job foreman is responsible for the crew and any subcontractors on the job. As a general rule, worker.¡ 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 ladder.¡. . -.
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 are necessary for each site in order to close a case file or move it into mitigation. When contractors do not follow through on
necessary paperwork, an unmanageable backlog of incomplete cases results. If this continues, processing time for completing new closures will
increase.
A=p'edBaf~) /J~M,
OWNER OR AGENT
LF:ch
funk\l289-31.pta
~·g'~7Ò
DATE
i
e:
JJ!!!!''i.41. ill e ( .
PTC --3 / fJo35f!./
APPLIC.l.TION DATE Ô/I' {þ
I 0' TANKS TO BE A!4HOOHtD
PTA 4/)&9-3/
:::? /99CJ
~
~
KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMEHT
2700 °Mo STREET, SUITE 300
BAKERSFIELD, CA 93301
(805) 861-3636
I.!:NGTII or 1'11'1110 TtI A8J.IlOOH
APPL~CAT~ON FOR PERMIT FOR PERMANENT
CLOSURE/ABANDONMENT OF UNDERGROUND
HAZARDOUS SUBSTANCES STORAGE FACILITY
THIS APPLICATION IS POR
~ REHOVAI.. OR 0 4UNOOl{)(tI/'T IN PUCE
I'ILI. OUT ~ APPLICATION PfR 'ACII.:~)
PROJECT CONTACT ~~
hA//dJ/1 ;ð
PAC1LITY /lAH£
¡RURAL LOC.I.·~IOI/S ONLYI
2:
>0
.. -
- ..
....
-2:
ua:
c C
.....
~
-
PHONE
CIOf)8'3¡-/$7'/
~
PIIOH£
<lðS" ).5"'8'7 -...r,;z;zo
z
:co
;; -,
.. ..
;.J.
~::
=:õ
ª~
..-
PROPOSfD PROJECT STARTIHG DATE
,/ /ss
SITt .:.SSESSHENT
I!:
WORKER'S COHrEHSATION .
r NSURtR
I#.DORESS
'//ðð AG~€ lilt> :BAki'"J11':¡c-l.D 6
t¡.c¡ 1/
..
UDORATORY 111AT WILL ;"NALY2t SANPLES
3t!. ~A"'/'" .e/~~
ClltHIC.l.L COHPOSlTIOtl OF /(AT£RIALS STORtD
2: TANK I VOLUME
Q
~- ~ /'::OD
c .. -'--
;.¡ ~
- E
:=
:..: Q
=...
uz
Ú -
~IEXICAL STORED (NON-COMMERCIAL HAMEl
-~$OAn~ 2)/¿;:;cy.=-/
DAns STORED'
Û/1JHlJwnro' ~I:'t~~
'1"0
TO
'1"0
CUEM I C.\1. PllrvT OUSL y S'tORED
/,?¡;)1'11T'
~
cz
-0
5::
'" c
%:c
::0..
=0
- ...
>z
z-
...
:100 FEtT
Q
z
o
~-
C...
II> C
ex
.. ..
II>Q
- ...
cz
-r.
PIPING
It..
A
..;
~: ~ ~"OIUUTTO !!Q!!l1!!º m! .!!~Y!ill ;¡m~ Dt !!!!! ~!!~rr ~~ ~~L!I1!!!! ~PP!.1CATlnN ~ HYill
° .
TIlTS POllIO .,...:; ~EEN ·.1!4P'L~Tr:D UNDER "ENALTY OP PEIIJURY .1.110- TO Tilt IIt:5T 0,. MY KIIOWLEonE IS TJ!UE AIID CORRECT.
""'~~) V¿.4AJ
TITLE Æ~ (fZp"'ïeL,)l~¡(.
OA'TE 7-/1-9ð
u4t
(r-
.--
R E eEl P T
PAGE
-----------------------------------------------------------------------------
¡ 08/01/90 Invoice Nbr. 1 37755 I
I 8:58 am KERN COUNTY PLANNING & DEVELOPMENT/
I 2700 'M' Street '.·1
I Bakersfield, CA 93201 Type of Order W. ._1
¡ . : ___~_~__~~_________~----~~~~~--~~~=~~~~---~--~-~~-~-~-~·~~_~~~~~~Li~~L~:j~i~:ii~r
,. I·· CASH REGISTER KERN 8ACKH06SERVÌ:èEINC -:' _ .. . F.·/::~:'r._l
I --.. .. . "'. '. . ,,' .- I
I .. ,. - -.' ':.~ ~ ::-~ _: ,.';";'. ':~--- ·1
I . :-..: ·'1
I______~-----~--~-~-------------~------------------~~-_________~_________~~_~_I
ICustomer P.O.# ! Wtn By !Order Date ! Ship Date ¡ Via I Terms I
- :H0801901 ; R.ÄR ! 08/01/90 ! 03/01/90 IDC 1. NT
1_______________;___.____1____________1___________1________________I~__________I
Line DescriPtion Quantity Price Unit Disc Total
1 PERMIT TO CLOSE/ABANDON 1 250.00 ~ 250.00
170G .'
J
Order Tcital
/
250.00
Amoun't Due
250.00
Pay~en~ Made By Check
250.00
ThANK YOUl
1700 Flower Street
Bakersfield, California 93305
Telephone (805) 861·3636
.' - .. .
~/ ~ERN COUNTY HEALTH DEPARTM~ .
HEALTH OFFICER
Leon M Hebertson, M.D.
ENVIRONMENTAL HEALTH DIVISION
INTERIM PERMIT
TO OPERATE:
DIRECTOR OF ENVIRONMENTAL HEALTH
Vernon S. Reichard
PERMIT#3:L0035C
IS SUED: JULY 1, 1986
EXP IRE S: JULY 1, 1989
UNDERGROUND HAZARDOUS SUBSTANCES
STORAGE FACILITY
NUMBER OF TANKS= 1
----------------------------------------------------------------------
FACILITY:
WELEX, A HALLIBURTON CO.
2309 SO. UNION AVENUE
::,"_BAKER~FIELD, CA
,
I
I
I
I
NOTE: ALL INTERIM REQUIREMENTS ESTABLISHED BY THE PERMITTING
AUTHORITY MUST BE MET DURING THE TERM OF THIS PERMIT
'NON-TRANSFERABLE
* * *
POST O~
/
,
,
PREMISES
,".:. ......:;:-,
.. ~:-,. :'
.",
DATE PERMIT MAILED:
AUG G J í~86
DATE PERMIT CHECK LIST RETURNED:
·
e
Permi t No. _3 !,2Q3. S- C
Application rr'~'~
3/
Ktfr!} çounty Health Department
DIV1Slon of Envirorunental Heali-
1700 Flower Street, BakersfieÙ., CA 9330')
APPLICATION FOR PERMIT 'to OPERATE UNDERGROUND
HAZARDOUS SUBSTANCES STORAGE FT\CILITY
~ of Application (check):
o New Facil i ty 0 r-bdification
A.
of Facility 1ŒExistiog Facility DTransfer of <M1ership
STEVE WITTEN/ Opere Sup.:
Emergency 24-Hour Contact (name, area code, phone): Days (805) 831-1374-
Nights (805) 366-6737
Facility Name No. of Tanks One #234-3
Type of Business (check): Gaso lne Statlon Other (describe) Oilfield Wireline Servic
Is Tank(s) Located on an Agricultural Farm? Dyes ŒJNo
Is Tank(s) Used Primarily for Þqricultural Purposes? Dyes [] No i
Facility Address 2309 So. Union Ave, Bakersfield, Nearest Cross St. Union Ave./Che~ter
T ~30s . R 20w SEC 18 {Rural Locations cnly)
Owner WELEX~,'A Halliburtop Company ..':.-- Contact PersoncS'teve WitÙ;n
Mdress 2309 So. Union Ave. ~ BakersfieldZip 93307 Telephone (805) '831-1374-
Operator same Contact Person same
Address same .' - Zip TelePtone same i·~""·'.;.i:c,..
.~...,...",
B. Water to Facility Provided by CaliLWat'er'''Sé~vice '\ . Depth to Groundwater 600' + '
Soil Characteristics at Facility n/a
Basis for Soil Type and Groundwater Depth Detenninations n/a
CA Contractor's License No.
Zip Telephone .
Proposed Canpletion )):Ite . r
Insurer .
C. Contractor
Address
Proposed Starting Date
Worker's Canpensation Certification t
D. If 'l11is Permit Is For Modification Of An Existing Facility, Bri~f1y Describe ~ifications
Proposed
E. Tank(s) Store (check all that apply) :
Tank ! Waste Product Motor Vehicle Unleaded Regular Premium Diesel Waste
Fuel on
0 ~ -
234-3 I2J 0 0 0 IZJ 0
0 0 0 0 0 B 0 0
0 0 0 8 8 B B
0 0 0 0
F. Chanical Canposi don of Materials Stored (not necessary for IIIOtor vehicle fuels)
Tank t Chemical Stored (non-conmercial name) CAS t (if known) Chemical Previously Stored
(if different)
G. Transfer of owñership
Date of Transfer Previous Owner
Previous Facility Name
I, accept fullyall obligations of PermitN:>. issued to
I understand that the Pennitting Authority may review and
modify or ter.minate the transfer of th~ Pe~it to Operate this underground storage
facility upon receiving this completed form.
This form has ~en completed under penal ty of
true and cor t~. . //}. I
d~f1.J ß/d~/~_ ....._
perjury and to the best of my knowledge
is
Signature
Title
District ManagerDate
3/28/85
~I]ELEX, A Hall.rton Company e pennit No. 3/ () 0 35-C
TANK ! ~__. (FILL OUT SEPARATE FORM FO\ ..ACH TANK)
FOR EACH SECTION, CHECK, ALL APPROPRIATESõXiŠ--
Facility Name
"
H.
Tank is: Ovaulted I::9Non-Vaulted OlX>uble-Wall ØlSingle-Wall
Tank Material
~Carbon Steel 0 Stainless Steel 0 PolYv'inyl Chloride 0 Fiberglass~lad Steel
o Fiberglass-Reinforced Plastic 0 Concrete 0 Aluninum 0 Bronze OUnkrown
o Other (describe)
primary Containment
Date Installed Thickness (Inches)
8/80 ~"
Tank Secondary Containment
o Double-Wall-r:! Synthetic Liner
OOther (describe):
OMaterial
Tank Interior Lining
--¡j"Rubber 0 Alkyd DEpoxy DPhenolic DGlass DClay Œ}lr\lined Dlr\kno\lK1
. OOther- (describe):
Tank Corrosion Protection
--rTGalvanized []FiberglasS-Clad DPolyethylene wrap [JVinyl wrapping
Œ}Tar or Asphalt OUnknown DNone DOther (describe):'
Cathodic Protection: ~None [JDnpressed CUrrent System [Jsacrlflcial Anode System
Descriœ System &, Equipnent:
Leak Detection, Monitoring, and Interception
~Tank: OVisual (vaulted tanks only) [JGrouoowater Monitorin:i Well(s)
o Vadose Zone Moni toring Well (s) 0 U-Tube Wi thout Liner
OU-Tube with Compatible Liner Directin¡ Flow to Monitoring Well(s)·
o Vapor Detector* 0 Liquid Level Sensor 0 Condoctivit¡r Sensor·
o Pressure Sensor in Annular Space of Double Wall Tank ~
o Liquid Retrieval &, Inspection From U-Tube, Moni torin:] Well or Annular Space
m Daily GalX;)in:] &, Inventory Reconciliation D Periodic Tightness TestiDj
o None 0 unknown ŒI Other Stock inventory and pressure test
b. PipiDj: Flow-Restricting Leak Detector(s) for Pressurized PipiDj-
-- 0 Moni torin:] SlInp wi th Race1lØY 0 Sealed Concrete Raceway
OHalf-cut Canpatible Pipe Raceway DSynthetic Liner Raceway ~None
OUnknOW'1 ŒJOther underground/suction
*Describe Make & Model:-
8. :n\iigh~:SBe
s 15 en Tightness Tested? []Yes [JNe [Junknown
Date of Last Tightness Test 8/80 Results of Test o.k.
Test Name Pneumatic test Testing Company OMEGA
Tank Repair
Tank Repaired? DYes K]No DUnknown
Date(s) of Repair(s)
Describe Repairs
Overfill Protection
~Operator Fills, Controls, &, Visually Monitors Level
DTape Float GalX;)e DFloat Vent Valves [J Auto Shut- Off Controls
Beapacitance Sensor [JSealed Fill Box ONone Dunknown
Other: List Make &, Model For Above Devices
1.
2.
3.
4.
Capacity (Gallons)
10,000 Gallons
Manufacturer
Modesto Tank Co.
5.
[JLined Vault rnNone Ounknown
Manufacturer:
Capacity (Gals.)
--
Thickness (Inches)
6.
7.
9.
10.
11. Piping
a. Underground Pipin:J: ŒJYes ONe Dunknown Material steel
Thickness (inches) 3-16TT Diameter 2TT Manufacturer OMEGA
[JPressure [ZJSuction DGravi ty . Approximate Len:Jth of Pipe Rœ vertical 10!
b. Underground Piping Corrosion Protection :
DGalvanized DFiberglass~lad Ormpressed CUrrent DSacrificial Anode
OPolyethylene Wrap OElectrical Isolation DVinyl Wrap OTar or As~lt
DUnknown o None mOther (describe): 20 mil. tape (Fletcher coat)
c. Underground Piping, Secondary Containment:
DDouble-Wall DSynthetic Liner System rnNc Ie Dunknown
DOther (describe):
-.-----
-,
, .
CALIBR~TION CHECK FORM
3. J 00"3 s-C--
METER
Facility: ~~\
.
Permit #
Note
1
may
which
year,
a minimum of twice !
Weights and Measures.
the, calibration can wi th
checks
.. of
et
calibration
the Departmen..
runs
by
calibration
have
done
All meters must
include checks
and
and
cubic
Note ga}}ons
product
and
-
gallons
Note
can
into
~..orage, .
161 open into the
o storage. .
check Is returned
:orage in column
can
the
Before storting
return product to
Run 5 gallons with wide open
inches drown, and return product to n..
Run 5 ~allons wi th the npzzle one-I ,I.
cubic inches drawn, and return produ
After all product for one calibratJ I
to record the volume returned tc
storage
nozzle
2
3
4
5
remember
Inventory
to storoge
9 of the
--e
more than 6 cubic
.-.
colibrat ton by a
can is
requires
Recording Sheet
If the volume measured in a 5-gaJlon calibration
inches above or below the 5-gallon mark the meter
registered device repairman.
6
Date of
Calibration
<t-~-ðÞ
e
Repairman
for
Device
Used
Cal ibrat 1.Q!!
CA,j
5" G/ì\ -Ye::'~
Votume Returned Calibration
to Storage Re uired?
Gallons Ves No
JD - '{.
Slow Flow
5-Ga11on Draft
G.!!l.s I C.!h..lnches
S -t~
Fast Flow
5-Gallon Draft
Gals , Cu Inches
.
-\- 5
5'
Hose orlTank 1/
Pump ., Product
ðc.Î'J\:\,
\
Date/Time
"8e.
~,.
q-
"2..?--
Registration ,
...
ANNUAL REPORT
...
,
Owner or Operator Signature
Calibrator's Si~nature ---:
SUBMIT A COPV OF THIS FORM WITH
o COMPUTER CHANGE
o CALIBAATø
.. .. .., '--'.......
Record of computer_ de, M,.ter Change. or CalibratIon
"
o METER CHANGE
o W/M NOTIFIED
Company
u€
3S-
MONEY
FINISH
TOTALIZER
READINGS
MONEY
STAAT
e(~t:'1
TOTAL
GALLONS IIETURNED TO STORAGE
;0
SERIAL NUMBEII
MONEY
FINISH
TùT ALlZER
READINGS MONEY
STAAT
,""OOUCT Pump # TOTAL
-----
GAt l ()N~
GALLUNS
MONEY
FINISH
TOT~LIZER
READINGS WOHEY
STAAT
pqOUIJC I Pump # TOTAL
GÅlLUÑS. --- u". _..
GA"ONS
GALLONS H£.TUIINIU I 0 ~ l"II_'.f
SC 1:1..... NUMUI II
---..- -.
..fJNE Y
FINISH
1 U r ALlZER
READINUS
P'fIt(11:,ji":ï
PI; P·MAKE "ND MODEL
WONEY
TOTALIZER FINISH
READINGS WONEY
STAAT
'RODUCT
.-u..... \A......( ÂNO MOOCL
MONE Y
FINISH
TOTALIZER
READINGS MONl Y
STAAT
I'fIO/Juc T Pump # TOTAL
GAl,. LONS
-------...--.
(¡AI I ()NS
GAlI.UNS Al IUIINtU TO :;IORA(;L
SERIAL NUMØER
GALLONS
GALLONS
GALLONS liE TURNED TO STOIIAaE
. DISPATCH NO.
- ~-ð<é>
---'
CALIBRATION
CHECKED ADJUSTED TO
FAST SLOW FAST 5LOW
+ ~ -r-2-.
TOTALIZEA SEALED METER SEALED
DYES DNa DYES ONO
IASI
CHECKED
!iLOW
CALIBRA TlON
TOTAliZER SEALED
DYES DNO
.ffi·- .._. .- SLow
rOTAlIZER StALED
DyES
ONO
~
ADJUSTEO TO
lAST
SlOW
,
I
CHECKEU
IA~~._~IÚ~·
IOIAt,'L(H ~t.A, 1.1)
DYES
ONO
METER SEALED
. Dyes
OND
FAST
CHECKED
SLOW
AOJUSTED TO
FAST
~Lnw
TOT "'-llER SEALED
DVES DNa
MUER SEAteD
DVES
ONO
CALI BRA TlON
F"ST
ADJUST ED TO
SLOW
...t1lÃ~iALru
DYES
-..---
OND
CALIBRATION
FAST
ADJUSTED TO
Sl.OW
METER SEALED
DYES
DNa
GALLUNS
SERIAL NUMOtt< CALI BRA nON
CHECKED ADJUSTED TO
fAST
SIUW
GALLONS
FAST
SLOW
10IA....lEH SfALEU
OVES DNa
LONS RETUANED TO STORAGE
METER SEALED
DYES
DNO
~2~
~.. "
~~.~".,' .
, , .
~_ .' 6:~".
~i:: tt~,
;~" .
.'
,'i"
. ,
·oJ...·)'··
~
'." ..'
V-··
KELLOGG. ....
MADlaoN e.IS.IO
......
1,'.
.J\O.;,
~.,
;'Y'
e
e"-- "H'_ .' ......-.
r
I (JJJ 1111 LIB
- .~............-........._,
.' ..'::-~"
. .
I ~.;...:: =.'f I
'. " .
TANK AND 'W.LDINO 'WORK.
QUAI.ITY YOU CAN alrK
321 WEST KATELLA AVENUE ORANGE, CALIFORNIA
io. 000 Gallon Gauge Chart - 95" I.D. x 328" Shell - 'Flat Heads
~ Denotes depth of contents in inches. GAL Denotes contents at that depth.
D GAL D GAL D GAL D GAL D GAL
T ~ 20 15.57 39 3930 58 6501 17 ãiE
t·
9' .
,~." .
.1. .
~J'~(
}~ . ~'.'
,¡ . .
;
.:!:¡
. .,......
5Z,.,
21
.r.. ._t
. ~'.. .: . \ -. -.: .
-
.~:-. :.'. 3 9-6- -.. 2Z
~):-,;,,; .~..' }.. .~¿.:. - -: ",:/j+~:~'>;
~\~,:~,:.; ':4 ·'··',147
r .~~...,.~~..~. 'J I
,...- .. ., '". ~!:.: ....~.
~~1{;c' Z;O~;; Z4
~i~~¡~"Ef:;:'~.;> :tt;:; " Z7
!.. ")
Z3
f5.
I'
26
:
.9
488
28
,
10
29
570
..
'.
.,
11
656
30
12
745
31
'.~,;}
13
32
837
14
932
33
..
.~: .
15
34
1030
I';
16
35
1130
.
:&:
17
1Z34
36
18
1339
37
19
1447
38
1669
40/
..": J783
41
1899
42
2017
43
2136
~44
2257
45
2379
46
2502
47
2627
48
2753
49
2880
50
3009
51
3138
52
3268
53
3399
54
3531
55
3664
56
3797
57
4065
419'9
4335
'4470
-
4606
4742
4878
~014
5150
5286
5423
5559
5694
5828·,
5965
6100
6234
6368
59
60
61
62
63
64
65
66
!'
67
68
69
70
71
72
73
74
75
76
6633
78
6765
79
6896
80
7026
81
7156 ,
82
l
7284' 83
J' ¡-tfY
7.411 1:).- 84
7537
85
7662
86
7786
87
7908
88
8028
89
8148
90
8265
91
8381
92
8495 -
93
8607
94
8717
95
DU-IO.OOO-FH
10164
8931
"., .
__U.~ 90 34
9134
.. ..
. .
9232
9328
··:.~r
94Z0
. "
9509
".
..9594
9676
9754
'9827
9896
. 9959
10017
10068
~ ".',
4",£' .".
--.~
10112
10146
~
Facil i ty
e
.
,-
\
r-
PERMIT CHECKLIST
LJe{~ A tI..II(6t.4t~.... ~.
I
Permit # "3\ OO"3S'c::..
This checklist is provided to ensure that all 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 KCHD in the self-addressed envelope provided
within 30 days of receipt.
Check:
Yes
v
~
.........
L..
No
A. The packet I received contained:
1) Cover Letter, Permit Checklist, Interim 'Permit, Phase I Interim Permit
Monitoring Requirements, Information Sheet (Agreement Between OWner and
Operator), Chapter 15 (KCOC #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 Reconciliation Sheet with summary on reverse
~c) Trend Analysis Worksheet
4) An Action Chart (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's name and address, facility name and address, operator's name and
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).
,/
:::;::----
t/
L
/
/'
/
C{ I have the following required equipment (as described on page 6 of Handbook):
1) Acceptable gauging instrument
2) "Striker plate(s)" in tank(s)
3) Water-finding paste
D. I have read the information on the enclosed "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-10, all meters at this facility have had
calibration checks within the last 30 days and were calibrated by a registered
device repairman if out of tolerance (all meter calibrations must be recorded on
"Meter Calibration Check Form" found in the Appendix of Handbook).
G. Standard Inventory Control Monitoring was started at this facility in accordance
with procedures described in Handbook #UT-IO.
Date Started '7- /h- 3' (,
Signature of Person Completing Checklist: ~..J----" I /1 ~~
Title:
J) \ ~7\\-\.<"l
M I>./VÄ c.. ~\
.
f"'\...............
-"
-'
e,
'.(
.'
Perm.1.t
Quest.1.onna..1.re
NOl'mally, pel'mits are sent to facility Ownel'S 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 #
3J 003 SC
~ 1 . Send all information to Owner at the address
listed on invoice (if Owner is different than
Operator. it will be OWner's responsibility
to provide Operator with pertinent
inforaation) .
2. Send all information to Owner' at the
following corrected address:
,
3. Send all information to Operator:
Name:
Address:
,
,
I
/
(Operator can make copy of permit for
Owner) .