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FILE CONTE~TS SUMMARY
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PERMIT': ~\e,~~L.\- ENV. SENSITIVITY: EËS
Activity
Date
, ot Tanks
Comments
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. 2700 M STREET
~ MAILING ADDRESS
1415 TRUXTUN AVENUE
BAKERSFIELD, CA 93301
(805) 861-3636
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KERN COUNTY HEALTH DEPARTMENT!
HEALTH OFFICER
Leon M Hebertson, M.D.
ENVIRONMENTAL HEALTH DIVISION
DIRECTOR OF ENVIRONMENTAL HEALTH
Vernon S. Reichard
August 10, 1988
King Chambless
Calcrete Company
9701 Wible Road
Bakersfield. California
93309
,
Dear Mr. Chambless.
,
¡
This is to advise you that this department has reviewed the
project results for the fuel seepage investigation that was
condu.cted at 4701 Wible Road. Bakersfield. éalifornia.
Based upon the findings described in the report. this
department is satisfied that the assessment is complete and no
significant soil contamination which would threaten groundwater
resulting from the fuel leakage exists at this site.
Thank you for your cooperation in this matter.
Sincerely.
/t L1M';=--
r00e Canas
Environmental Health Specialist
Hazardous Materials Management Program
JC/gb
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WILLIAMH. PARK
REGISTERED GEOLOGIST NO, 2271
3040 19TH STREET. SUITE 10
BAKERSFIELD, CALIFORNIA 93301
TELEPHONE (805) 327-9681
June 27, 1988
Mr. Noel Chambless
c/o Calcrete
4701 Wible Road
Bakersfield, California 93309
Dear Mr_ r.hambJ.ess~
On June 14, 1988 soil samples were collected from below the
gasoline tank location located on Calcrete property. The property
is located in Section 14, T.30S.,R.27E.,M.D.B.& M. at 4701
Wible Road in Bakersfield, California (see Attachment A) .
The tank, which had been removed prior to sample collection,
;
held about 590 gallons. The tank was used only t~'hold gasoline
,
and will not be replaced. "r inspected the tank ~~ the Calcrete
yard and it appeared to be in good condition. As shown on
,Attachment B, the pump was located over the western end of the
tank. There was only a couple of feet of product line since
the top of the tank was only about one foot below the ground
surface.
As per UT-30, two soil samples were taken from below the tank
at 2 feet and another at 6 feet below the center of the tank
(see Attachment B). These samples were taken with a hand auger.
The samples were place~ in glass jars and stored on ice until
delivered to B.C. Laboratories for analysis.
The samples were analyzed for B.T.X. and T.P.H.(gasoline factor).
The results of the analyses are shown on Attachment C. The
2' foot sample contained no B. T. X. above detectable limits and
107.66 ppm T.P.H. The 6 foot sample contained no B.T.X. or
T.P.H. above detectable limits. Attachment C also contains the
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Mr. Noel Chambless
c/o Calcrete
4701 Wible Road
Bakersfield, California 93309
chain of custody record.
i
Based on the results of this investigation, no significant
contamination from product line or tank leakage exists beneath
the tank location and no site characterization or remediation
measures are deemed necessary.
If you have any que~tions rega~ding this report, please feel
free to
$M//;ý 'Q~ Yffurs truly, ./. ut
fY~/!~'
No. 3584 * Duane R. Smith
Registered Geologist ,
State of CaliforniaNo~ 3584
,1
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DRS/ds
Enclosures (5)
WILLIAM H, PARK
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AGRICUl TURE
. CHEMICAL ANAL YSIS
I'ETROlEUM
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LABORATORIES. Inc.
J, J, EGLIN, REG. CHEM. ENG,R.
4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911
Purgeable Aromatics
(SOIL)
W. H. Park and Associates
3040 19th Street Suite 10
Bakersfield. CA 93301
Attention: Duane Smith·
Lab No.:
Sample Desc:
DATE SAMPLE
COLLECTED:
14-Jun-88
Constituent
Benzene
Toluene
Etf¡y 1 Benzene
p-Xylene
m-Xylene
o-Xylene
Isopropyl
Benzene
Pet. Hydrocarbon.s
Total Petroleum
Hydrocarbons
Date òf
Report: 16-Jun-88
4319-1
Calcrete - 4701 Wible road Bakersfield
T .H. 1 - Soil @2' below tank.
DATE SAt1PLE
RECEIVED @ LAB:
14-Jun-88
DATE ANALYSIS
OO1PLETED :
15-Jun-88
Reporting
Uni ts
ug/g
ug/g
ug/g
ug/g
ug/g
ug/g
ug/g
ug¡' g
Minirrum
R$rting
,: Level
I
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Analysis
Results
None Detected
None Detected
None Detected
None Detected
None Detected
None Detected
0.10
0.10
0.10
0.10
0.10
0.10
None Detected
107.66
0.10
5.00
ug/g
107.66·
,
0.10
TEST METHOD: California D.O. H. S. T . P . H. for -"Gasoline
Dry Matter Basis
Corrments :
PETROLEUM HYDROCARBONS: Q.1antification of volatile bydrtJCarbons
present (Cl to C20) utilizing a gasoline factor. As outlined by
California D.O. H. S . These volatile bydrocaroons are in addition
the constituents specifically defined on this rep-Jrt.
TCYI'AL PETROLEUM HYDROCARBONS: The sum total of all [non-dùorin-
ated] constituents on this report.
By
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Analyst
Attachment C
AGRICUl TURE
CHEMICAL ANAL YSfS
PETROLEUM
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LABORATORIES, Inc.
J. J. EGLIN. REG. CHEM. ENGR.
4100 PIERCE RD., BAKERSFielD, CALIFORNIA 93308 PHONE 327-4911
Purgeable Aromatics
(SOIL)
W. H. Park and Associates
3040 19th Street Suite 10
Bakersfield, CA 93301
Attention: fuane Smith
Date of
Report: 16-Jun-88
Lab No.:
Sample Desc:
4319-2
Calcrete - 4701 Wible road Bakersfield
T.H. 1 - Soil @S' below tank
DATE SAMPLE
COLLECTED:
14-Jun-88
Constituent
Benzene
Toluene
EtbY 1 Benzene
p-Xylene
m-Xylene
o-Xylene
Isopropyl
~nzene
Pet. HydrclCarbons
Total Petroleum
Hydrocaroons
DATE SAMPLE
RECEIVED @ LAB:
14-Jun-88
DATE ANALYSIS
OO1PLETED :
15-Jun-88
Reporting
Units
Analysis
Results
Minim..un
Reporting
Level
,
¡
r
ug/g
ug/g
ug/g
ug/g
ug/g
ugfg
None Detected
None Detected
None Detected
None Detected
None Detected
None Detected
0.10
0.10
0.10
0.10
0.10
0.10
ug/g
ug/g
None Detect.ed
None Detected
0.10
5.00
ug/g
None Detected
0.10
TEST METHOD: California D.O. H. S. T . P . H. for Gasoline
Dry Matter Basis
Corrments :
PETROLEUM HYDROCARBONS: QJaIltification of volatile hydrocarbons
present (C1 to C20) utilizing a gasoline' factor. As outlined by
California D.O. H. S. These volatile hydrocarbons are in addition
the constituents specifically defined on this report.
TOTAL PETROLEUM HYDROCARBONS: The SUIT! total of all [non-chlorin-
ated] constituents on this report.
By
12 ø· ~/
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Analyst
Attachment C
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CHAIN O'F CUSTODY RECORD
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Collector
Name: Vuan ¿ ¡¿. S 1')1 ,'-I-/...
Client
Name: Noc;./ Chan1 blesS
Company: C¿:¿/ c.re/-!e..,.
Address: 4701 IVI"hle f'o~c!
& /~rJ I'/(::.JJ I LA "
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Telephone: ( )
Bill to Client (
e
Location of Sampling
Name: Ca/cre:;.-Ie.
Company:
Address: 4701 ;1//Þ/e /G.>a cI
&kers;-ft~ leI.J CA.
Telephone: (~OS-) fj 3/-of'3 I
B{ll to Property Owner ( )
S l' M h d
Company: W.H. Park & Associates
'Address: 3040 19th St., suite 10
Bakersfield, CA 93301
Telephone: (805) 327-9681
Bill to Collector ~)
amo. 1n~ et 0 : amp.e l'Vpe: reservat10n et 0 5:
Sample No. Date I Time Description Analvsis Reauested Laboratorv No.
T.I~. I 0/1" Ii f AJ.1 I ./ ¿' be/l>w +a 11 L ß.T.X a.11. cl T.r.J.J. ( 6a." ) '-l3/Q-1
, :50'
T 1-1, J b/tvllf AM So j I C, I . he-low -let 11 k. ß. T. X. ßþ(d í. P. N. C6a J 1 ~JI9-;J
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Relinquished By: ¿ ~uaµ ¡( 4- J'd Company; tJ./llM.-Á ú-~ ~. Date: b -/'1- hf
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Received BY:r) , p ~ ~h ~
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Relinquished BY:·.J
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Company: í.) c.. ~,( -J-.'
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Company:
Date: 0-1 L{-o8
Date:
Received By:
Company:
Date:
Relinquished By:
Company:
Date:
Received By:
Company:
Date:
WILLIAM H. PARK AND ASSOCIATES
Sheet
of
KERN' COUNTY HEALTH DEPAR~BNT
DIVISION'OP ENVIRONMENTAL HEALTH
e
INTERNAL USE ~ '
pro 3 /';;.<-It, PTA 111 if / - 3/
APPLICATIO~ DATE ( 7 / I 3 / r? 'g
I f J
, OP TANKS TO BE ABANDONED
1700 PLOWER STREET. BAKERSPIELD. CA, ·93305
(805) 861-3838
LENGTH OP PIPING TO ABANDON
APPLXCATXON POR PERMXT POR PERMANENT
CLOSURE/ABANDONMENT OP UNDERGROUND
HAZARDOUS SUBSTANCES STORAGE PACXLXTY
THIS APPLICATION IS POR IX] REMOVAL. OR 0 ABANDONMENT IN PLACE
PROJECT CONTACT
Z
~8 Mr. Noel Chambless
-1-0
:: S PACILITY NAME
u ¡ _ ...
~ æ Ca.Lcrete
Z
- OWNER
DRESS
605 Redwing Avenue
(PILL OUT Q!! APPLICATION PER PACILITY)
(RURAL LOCATIONS ONLY)
Sec. 14 30/27
NEAREST CROSS STREET
Pacheco Road
PHONE
<805 ) 832- 3508
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TANK REJIOVAL CONTRACTOR ADDRESS PRONE
CALPI, Inc. P.O. Box 63'23 605 ) 589-5648
PROPOSED PROJECT STARTING DATE ¡CALIPORNIA LICENSE' WORKER' S COMPENSATION . IINSURER
July 18, 1988' 506025 1011809-88 State Compo Ins. Fund
PRELIMINARY SITE ASSESSMENT CONTRACTOR ADDRESS PRONE
N.H. Park and Assoc. 3040 19'th Street, Suite 10 <605 >327 -:- 9681
WORKER'S COMPENSATION' INSURER PHONE
1011825-83 State Compo Ins. Fund <805 ~34 -8300
LABORATORY THAT WILL ANALYZE SAMPLES !ADDRESS PHONE
Laboratories 4100 Pierce <g05 )327 -
B.C. Road 4911
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CHEMICAL COMPOSITION OP MATERIALS STORED.
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VOLUME
590 Gal.
ctIEJIICAL STORED (NOII-COJIIIERCIAL NAIll)
Gasoline
DATES STORED
? TO 1987
TO
TO
TO
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CHEMICAL PREVIOUSLY STORED
None
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WATER TO PACILITY PROVIDED 8Y I DEPTH TO GROUNDWATER
Hater ~'le11 200+ feet
NEAREST WATER WELL - GIVE DISTANCE AND DESCRIBE TYPE IP WITHIN 500 PEET ¡SOIL TYPE AT PACILITY
50 feet - In¿ust::-ial Use 0:11,! Hesp~ria-Ha~fo~d Assoc.
BASIS FOR SOIL TYPE AND GROUNDWATER DEPTH DETERMINATION '-' ,v-= '.1 ~~.
U.S.D.A. Soil I1ap of !\:ern Co. - Calcrete ~';ater ~.~ e 11 Datù.
troTAL NUMBER OP SAMPLES TO 8E ANALYZED ISAMPLES WILL 8E ANALYZED POR:
two soil sa@ples B.T.X and T.P.H. (gasoline factor)
=
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DESCRIBE HOW RESIDUE IN TANK(S) AND PIPING IS TO BE REMOVED AND DISPOSED OP (INCLUDE TRANSPORTATION AND DISPOSAL COMPANIES):
CALPI h',rdro blast - H. P 'laCUUìTI truck - Gibson ~efinerv
DESCRIBE BOTH THE DISPOSAL METHOD AND DISPOSAL LOCATION FOR: (714)
TANK(S)
':'ransport and recycle at J..m.erican :,:ietal :tecyclÜ1q, Ontario, Ca1if·947-2883
PIPING
Same as tank - DisDenser and oiDina were over tank.
..3
. . ~ PROVIDE INFORMATION REOUESTED .Qr! ~ ~ ~ ~ ~ ~ SUBMITTING APPLICATION !Q! ~ · ·
THIS .... HAS .... """"""'" ,~rt OP P!M>RY ... TO THE ..'" .F ... """"'.... IS THO' ... """"CT.
SIGNATURE ~t~,' \~~ TITLE ~t\~\._
I
(;-~()-£jt
DATE
(POI"II 'HMMP-140)
AMERICAN FUEL TANK
METAL
RECYCLING, INC.
'--,'
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No.
2 7' 9 (' f)
2202 South Milliken Avenue
Ontario, CA 91761
(714) 947-2888
,rrANK DISPOSAL FORM
Date: - ¿ ~l ,19 g';
Job #
p. O. #
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6
DATE
LlC, NO,
TIME IN:
SPECIAL INSTRUCTIONS:
TIME OUT:
v Services Rendered Cost
Disposal Fee 100,00 TANKS RECEIVED
OTY, GALLONS TYPE NET TONS TOTAL
Extensive Loading Time 150,00 F' S'
280 0 0 .14 '-r
Disposal Fee with Permit 250,00 -, 500 0 I .21 .
550 0 II ,24
Fiberglass Tank Disposal Fee Per Tank 400,00 1000 - 12 ft. 0 [l .44
1000 - 6 ft. 0 [1 ,61
Delivered 200,00 1500 0 [J ,87
2000 [1 [1 ,97
e Bobtail Disposal Fee 250,00 2500 [1 [1 1,14
3000 [1 [1 1,32
4000 [1 [1 1,64
Cancellation Fee 5000 [1 [1 2.42
6000 [1 [1 2,84
7500 [1 [1 3,26
8000 0 0 3,44
9000 [1 [1 3,82
All fees incurred are per load unless specified. 10000 [1 [] 4,33
Terms are net 30 days from date of Invoice, 12000 [1 C'J 4,93
Contractor's signature represents acceptance
of terms for payment, and confirms Ihallank NO. OF TANKS TOTAL NET TONS
removal complies with State laws. ~ .2/
CONTRACTOR'S SIGNATURE OF - FIBERGLASS
CERTIFICATE OF TANK DISPOSAL I DESTRUCTION
THIS IS TO CERTIFY THE RECEIPT AND ACCEPTANCE 0 THE TANK(S) AS SPECIFIED ABOVE. All MATERIALS SPECIFIED
HAVE BEE co lETE STROYED FOR SCRAP PURPOSES ONLY,' £J ~ ./
~ r-;-Z,-~cS
AUTHORIZED REP.
DATE
, r
"''''''ITn A. "'Tnn ~nnv
er
--
i700 FIo_r Street
Bakersfield, California 93305
. Telephone (805) 881-3838
KERN COUNTY HEALTH DEPARTMENT
HEALTH OFFICER
Leon M Hebeftaon, M.Q.
ENVlRONMENT.AL HEALTH DIVISION
PacUi ty Nalle
. {! a j)('_vr!- ~L
Address ~7nl (;.J;LL RJ
Uf5!¡\pfJ
DIRECTOR OF ENVlRONMENW. HEALTH
. :' , _Vernon S. ReIchafd
~-. .
Kern County Per.it .
11141~31
.,
* * UNDERGROUND TANK DISPOSITION TRACKING RECORD · *
This for. is to be returned to the Kern County Health Departaent within 14
days 'of acceptance of tank(s) by disposal or recycling facility. .' The '-:'''-':~.
holder of the per.i t wI th nu.ber noted above is responsible for insuring'
that this fora is coapleted and returned. .
- .- . . . . . . . . . . . . . . . . . . . . . . . .' . . . . . . . .- .' . . . .
. . . .
SectIon.! - To be filled out ~ tank reaoval £Qntractor:
Tank ReJlloval Contractor: r de" 'I VL c-
~~GJ:
Cate Tanka Removed' ~-~ 7 - ./
Address
Phone ,(~S) 5"!,C¡ - 5¿,c[ ß
Zip
No. of Tanks
e, . . . . . . . . . . . . .
. . . . . . . . . . . . . .
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Section.! - To be fUled .2!!! J!! conÙ'actor "decontaainating tank(s'):
Tank "Decontuination" co, ntractor~ LIJ í ¡ltt C-
.- ~ /'':} I ' '/d/"
Addre.. 0 :~ n h 7 Phone # íÞ tí ¡¡ 151 i}. YJ
~0_h d (tt Zip 13~g-£
Authorized rept'esentative of contractor certifies by signing below that
tank(s) have been decontuinated in accordance with Kern County Health
Deparçtment :7/1t'eð(~··
~Æ~ ~/~~~r
. . . . . ./. . . . . . . s~g~a~u~e. . . .'. . .. . . . . . . :. . T~ t~e. . . . . . . .
Section.! - To be filled out and signed ~ ID! authorized rept'esentative of the
treatment. stora . or dis a1 facilibv accepting tank(s):
Facility Na.e --. I "ì
Addre.a ~r~ 'é'rv¡'!!A~ í-lv
Cate Tanka Received ~-_.~~
Signature ~ ________ ¿% ,
(Authorized Representative)
???
No. of Tanks
Title -Dì~j)~7Zh (r
Phone 'I
Zip 9 I'?b /
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* MAILING INSTRUCTIONS: Fold in half and staple. Postage and mailing
label have already been affixed to outside for your conveniencè.
(Form IHMMP-150)
DISTRICT OFFICES
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t Form ,\pproved OMB No, 205Q--{)()39 (Expires 9·30· ToxIc Substances Control D,.vlslon
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i UNIFORM HAZARDO~S ".)~fonna~ion in the shaded areas
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3. A. State Manifest. Document Number
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11, US DOT Description (Including Proper Shipping Name, Hazard Class, and ID Number)
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J. Additional Descriptions for Materials Listed Abov,e
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15, Special Handling Instructions and Additional Information
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GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping
name and are classified, packed, marked, and labeled. and are in all respects in proper condition for transport by highway according to applicable
international and national government regulations,
If I am a large quantity generator, I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have
determined to be economically practicable and that I have selected the practicable method of treatment, storage. or disposal currenlly available to
me which minimizes the present and future threat to human health and the environment; OR, if I am a small quantity generator, I have made a good
'faith effort to minimize my waste generation and select the best waste management method that is available to me and that I can afford,
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dgement of Receipt of Materials
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17, Tranapo~er 1 Acknowledgement of Receipt of Materials
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19. Discrepancy Indication Space
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20. Facility Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19,
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Year
Monfh
Prinled/Typed Name
Signature
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INSTRUCTIONS ON THE BACK
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DHS 8022 A (1/87)
EPA 8700-22
(Rev. 9-86) Previous editions are obsolete,
YEllOW: GENERATOR RETAINS
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I\ERN COUNTY HEALTH DEPARTME~ .
2700 M Street
Bakersfield, California
Mailing Address:
1415 Truxtun Avenue·
Bakersfield, California 93301
(805) 861-3636
ENVIRONMENTAL HEALTH DIVISION
HEALTH OFFICER
Leon M Hebertson, M.D.
DIRECTOR OF ENVIRONMENTAL HEALTH
Vernon S. Reichard
PERMIT FOR PERMANENT CLOSURE
OF UNDERGROUND HAZARDOUS
, SUBSTANCES -STORAGE FACILITY
PERMIT NUMBER A741-31
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. ",FACILITY NAME/ADDRESS: ~:.'
. ,.;:: OWNER(S) NAME/ADDRESS:
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Calcrete
4701 Wible Road
Bakersfield, CA
93313
Noel Chambless
605 Redwing Avenue
Bakersfield, CA
Phone #(805) 832-3508
License No. 506025
Phone #(805) 589-5648
,
PERMIT FOR CLOSURE OF
PERMIT EXPIRES
I
O;::tober 18, .1988
LOCATION.
APPROVED BY
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1 TAN~(S) AT ABOVE
APPROVAL DATE
. . . . .
. . . . .
. . . . .POST ON
Joe Canas
EMISES. . . . . .
. . . . . . . . . . . .
CONDITIONS AS FOLLOW:
1. It is the responsibility of the Permittee to obtain permits which may be
required by other regulatory agencies prior to beginning work.
2. Permittee must obtain a City Fire Department permit prior to initiating
closure action.
3. A minimum of two samples must be retrieved beneath the center of the tank
at depths of approximately two feet and sJx feet.
,.,4. I f any contractors other than those listed on permi t and permi t
application are to be utilized, prior approval must be granted by the
specialist listed on the permit.
5~ All (leaded/unleaded) gasoline samples must be analyzed for benzene,
toluene, xylene, and total petroleum hydrocarbons and benzene.
DISTRICT OFFICES
Delano . Lamont . Lakp !qabella . Mojave . Ridgecrest · Shatter · Taft
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PERMIT FOR PERMANENT CLOSURE
OF UNDERGROUND HAZARDOUS
SUBSTANCES STORAGE FACILITY
PERMIT NUMBER A723-33
ADDENDUM
6. Copies of transportation manifests m~st be submitted to the Health
Department within five days of waste disposal.
7. All applicable state laws for hazardous waste disposal, transpor~ation, or
treatment_ must be adhered to., .The "Kern County Health Departmen,t"must be
notified before moving and/or disposing of any, contaminatëdsoi'l.::\f:;;';}'~"i;:~L'~:':·~
'Permittee i sre s pons i b 1 e' for'~making suretha t ~'<:~ tank di spos i ti onÜ;tracking
"record" issued with this permit, is properly fflledout :cand ,'rEi'tú'rnèd,'within
, " J 4 ,days of , tank 'd i s po s a 1 .~':':~ ·,t:;'~';:::A~:' }:!j:;r~:;;:,: ", ,,-:,'.,-)\\~;): :';;Z: ?;,~:~;:;ç::,~¡'E~i'?,:~!r,:¿j.J::i):'r~f::?~;':~;~;;~'i.?:~;·~~ t~}?,M~~;;:~:~èi:; ',:'
9 .'f,Adv i sethi s , of f ice' 'of 'the "--:time and <'date c':of:-:the ': propösêd '~famprfng'jfÎ th ,24
'I' hours advancè notice. -J," >"';:", -- ;'" ;",,-,.,,:":.[--/':.>'::\":?:)~' "':"\;.::,'" '.";<~">:~;--.
1 O. Results must be submitted to this office within three' day s of analysis
completion.
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AC~CEPTED
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DATE
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1700 Flower Street
Bakersfield, California 93305
Telephone (805) 861-36~6
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KERN COUNTY HEALTH DEPARTME~ I
HEALTH OFFICER
Leon M Hebertson, M.D.
ENVIRONMENTAL HEALTH DIVISION
DIRECTOR OF ENVIRONMENTAL HEALTH
Vernon S. Reichard
I NTERI M PERMI rr
TO OPERATE:
PERMI'I'#3:J... 0034C
IS SUED: JULY 1, 1986
EXPI RES: JULY 1, 1988
NUMBER OF TANKS= 1
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F AC I L I TY : I OWNER:
CALCRETE COMPANY I CHAMBLESS, KING ":"",,;',
,4701 WIBLE ROAD I,;' 4701 WIBLE ROAD' "i"i',~',::'..::::';\:_:;:ô-:<',>.:..
:':,:\;,-.;'.: BAKERSFIELD, CA <,:.',' : I 'd;{/~:!,~~~~"BAKERSFIELD --':"'CA >":933Ô~'::~~:~£~è~i(~:~:~;~:f'
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YRS} "", ,·'·"'SUBSTANCE "CODE ·"f~';'''á'PRESSURIZED >'PIPING~'-"""
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NOTE: ALL INTERIM REQUIREMENTS ESTABLISHED BY THE PERMITTING
AUTHORITY MUST BE MET DURING THE TERM OF THIS, PERMIT
,
NON-TRANSFERABLE ***
POST Ç!>N PREMISES
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DATE PERMIT MAILED:
AUG 0 8 1986
DATE PERMIT CHECK LIST RETURNED:
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Permit N0", -3/ Ù Ù 3 if( )
Appl ication rí
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Kern County Health Department c
Division of Envirorunental, .HeaJ
170b Flower Street, ßakersfield, CA 93305
APPLICATION FOR PERMIT TO OPERATE UNDERGRCXJND
HAZAROOUS SUBSTANCES STORÞGE FACILITY
~ of Application (check):
DNewFacility Ot-4odification of Facility I}aÐtisti~ Facility OTransfer of <M1ership
A. Ð'nergency 24-Hour Contact (name, area code, phone): Days
Nights
Facility Name ð '. ' No. of TanKs I
Type of Business S tlon Other describe) fV\ a h u +ö riu y'Ÿ ~
Is Tank(s) Located on an Agricultural Farm? Dyes ØNo ,r-
Is Tank(s) Used Primarily t,o~)Mric~l~ural Purposes? DYes EJ No () I
Facility Address 1190 I ~ Nearest Cross St. ...ltJ. (" LJ 6J (' (')
T ' . R SEC (Rural Locations Q11y)
Owner !C_t~~ ~~~ ble. ~"5' Contact Person N""j (',Ac¡ lM/ð/tJK<;
Mdress '. 'If' ~ -~ . ,Ji _FJ _ z~p 'J '3 :jO '¡Telephone 8'1./- t') 8:r/ .
Operator __ ___ ' _ Contact Person
Address Z p Telephone
8. Water to Facility Provided by \AJtJ /I Depth to' Groundwater 300 I
Soil Characteristics' at Facility 7
Basis for Soil Type and Groundwater Depth Detecninations ?
CA Contractor's License No.
Zip Telephone ~
proposed Canpletion tate..'
Insurer "
C. Contractor
Address
Proposed StartiBJ Date
WOrker's Compensation ~ertification I
D. If This Permit Is For Modification Of An Existirx;J Facility, Briefly Describe Modifications
Proposed ,_
E.
Tank(s) Store (check all that apply):
.~! Waste Product Motor Vehicle Unleaded Regular pr_i..- Diesel Waste
Fuel on
---L. 0 -
0 ~ ~ 8 0 0 B
0 0 § [J
0 D 0 8 B 8 B
0 0 0
F. 'Chemical Canp:>si tion of Materials Stored (not necessary for motor vehicle fuels)
Tank . Chemical Stored (non-coamercial name) CAS t (if kn<M'1) Chemical Previously Stored
(if different)
.
G. :Transfer of OWnership
'Date of Transfer
!previous Facility Name
:1,
Previous <Mner
accept full y all obligations of Permit tÐ. issued to
I understand that the Penn1tting Authority may review and
modify or terminate the transfer of the Permit to Operate this underground storage
facility upon receiviD:J this canpleted form.
This form has been canpleted under penalty of
true and correct. t~\ f"'. ", "
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per ~ ury and to the best of my knowledge is
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Date 1, - »- -,> ')
Facility Name LC\ \ CV' ~ te Lc. I e pennit No·;3 i 00 3 '-f-C-
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TANK ~ (FILL OUT SEPARATE' FORM FO~ \Œ TANK)
- roR EAŒ SEcTÏÕÑ , CHECK ALL APPRõPRÏÃTE ãõXEŠ--
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DSingle-Wall 2
o Fiberglass-<lad Steel
o Bronze J8t. Unknown
1. Tank is: 0 Vaulted DNon-Vaulted DIbub1e-Wall
2. Tank Material
DCarbon Steel 0 Stainless Steel 0 Polyvinyl Chloride
o Fiberglass-Reinforced Plastic 0 Concrete 0 AlLminlll1
o Other (describe)
Primary Containment
Date Installed Thickness (Inches)
17b()' 1
4. Tank Secondary Containment
o Double-Wall U Synthetic Liner
DOther (describe):
DMaterial
Tank Ìnterior Lining
~Rubber Dlùkyd DE¡x>xy DPhenolic DGlass DClay DU1lined I2{thkno~
DOther (describe):
Tank Corrosion Protection
-UGalvanized DFiberglass-Clad DPol~thylene Wrap DVinyl Wrappil'J) ,
DTar or Asphalt zUnknown DNone DOther (describe): :
Cathodic Protection: 'l]None DDnpressed current System DSacrificial Anode System
Descr ire System & Equipnent:
Leak Detection, Monitoring, and Intercéption
~Tank: DVisual (vaulted tanks only) DGroumwater Monitorirg' well (9)
o Vadose Zone Monitoril'¥J Well (s) 0 U-Tube Without Liner
DU-TUbe with Compatible Liner Directi~ Flow to Monitorirg well(s)*
o Vapor Detector* D Liquid Level Sensor D Condoctivit~ Sensor*
D pressure Sensor in Annular Space of Double Wall Tank . .
o Liquid Retrieval & Inspection Fran U-Tube, Moni torirg:Well or Annular Space
ŒlDaily GatJ;Jirg & Inventory Reconciliation D Periodic'-Tightness Testirg
o None D Unknown 0 Other .
b. Biping: Flow-Restricting Leak Detector(s) for Pressurized Piping-
D Moni torirg SlInp wi th Race'MIY 0 Sealed Concrete RaceW!y
D aal f-Cut Compatible Pipe Rac5e~ 0 Synthetic Liner Raceway 0 None
DUnknown ~Other I No f ¡ F) ~1q-; ,
*Describe Make & Mode : ,.... fL-
8. :nk4igh~~S Be
s 1S en Tightness Tested?
Date of Last Tightness Test
Test Name
Tank Repair
Tank Repaired? DYes ~ DUnknown
Date(s) of Repair(s)
Describe Repairs
OVerfill Protection
~Operator Fills, Controls, & visually Monitors Level
OTape Float GatJ;Je DFloat Vent Valves D Auto Shut- Off Controls
DCapacitance Sensor DSealed Fill Box ONone DUnknown
DOther: List Make & Model Por Above Devices
3.
Capacity (Gallons)
.5('){)
ManUfacyrer
5.
o Lined Vaul t 0 None ~lbknown
Manufacturer:
Capacity (Gals.)
Thickness (Inches)
6.
7.
DYes 0 t«) [!unknown
Resul ts of Test
Testing Company
9.
10.
11. Piping
ð. Underground Pipir¥J: DYes ØiNo DUnknoW1 Material
Thickness (inches) Diameter Manufacturer
[]Pressure []SUction L]Gravity Approximate Length of Pipe Run
b. Underground Piping Corrosion Protection :
DGalvanized []Fiberglass-Clad OImpressed CUrrent []Sacrificial Anode
[]polyethylene Wrap OElectrical Isolation DVinyl Wrap DTar or Asphalt
DunknoW1 o None DOther (describe):
c. Underground Piping, Secondary Containment:
ODouble-Wall DSynthetic Liner System· DNone DUnknown
OOther (describe):
2700 M STREET
MÄILING ADDRESS
1415 TRUXTUN AVENUE
.~KERSFIELD, CA 93301
(805) 861-3636
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KE.tiN COUNTY HEALTH DEPARTMEN'I HEALTH OFFICER
Leon M Hebertson, M.D.
ENVIRONMENTAL HEALTH DiVISION
DIRECTOR OF ENVIRONMENTAL HEALTH
Vernon S. Reichard
May 17, 1988
Calcrete Company
Attn: Noal Chambless
4701 Wible Road
Bakersfield, California
93309
Dear Mr. Chambless,
Per our telephone discussion, enclosed is Handbook #UT-30.
Requirements for Permanent Closure of Underground Hazardous
Substance Storage tanks. An after-the-fact closure application
must be submitted to the Kern County Health Departmént within one
week. All sampling procedures and preliminary site assessement
requirements must still be followed.
Contractors performing preliminary site assessments and soil
s amp I i n g c an be f 0 u n din the p h 0 neb 0 0 k un d erE n vir 0 n men t a I an d
Ecology Services. I have included places that accept underground
tanks for disposal purposes.
The Kern County Health Department does not regulate above
ground storage tanks. If you choose to convert your tank into an
above ground storage tank for waste oil, the City of Bakersfield
Fire Department must be notified. A written approval from the
Fire Department for this use of the tank must be sent to this
department and added to your closure file. If you choose to
di spose of your tank. you must do so in a lawful manner. and
within the guidelines stated by this department.
If you have any questions, I can be reached at 861-3636.
s ~c¡;:;y ~fÞaP
Mary Kryszak
Environmental Health Specialist
Hazardous Materials Management Program
MK/gb
enclosure
DISTRICT OFFICES
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DISPOSAL FACILITIES FOR UNDERGROUND TANKS
American Metal Recycling - AMR
Ontario, California
(714) 947-2888
H&H Shipyard
San Francisco. California
(414) 543-4835
I
Crosby & Overton
Long Beach, California
(213) 893-2468
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Permit
Questionnaire
v
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:
por PERMIT # ~ \ 6>0 '6 J.}L
.At.
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
inforllation) .
2. Send all information to Owner at the
following corrected address:
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3. Send all information to Operator:
Name:
Address:
(Operator can make copy of permit for
Owner) .
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