HomeMy WebLinkAboutUNDERGROUND TANK-C-10/25/91
;:- " -
. Bakersfield Fire Dept.',
HAZARDOUS MATERIALS DIVISiON
UNDERGROUND STORAGE TANK PROGRAM
PERMIT No, ß':t DD IJ
PERMIT APPLICATION FOR REMOVAL OF AN UNDERGROUND STORAGE TANK
SITE INFORMATION
SITE 'ìTJ.....:S W \Ì~~~ '~Q , ADDRESS
FACILITY NAME W \ \'\L..1:é Äu ro lh~ï'\\»J,¡~CROSS STREET
TANK OWNER/OPERATOR M~,-\ '3"O:)e.\>'rt
MAILING ADDRESS \ 3. \ \:;::' I..- c.. e. ~ Q.. l-m
ZIP CODE
¡..) A
PHONE No.
CITY tJ \ f'o MÔ
APN
CONTRACTOR INFORMATION
COMPANY R,:r· ~Eotl6 "'=;-0 ~~'TNc.PHONE No.
ADDRESS ~Otoó-\ \ 5 ~9~ ~T ,
INSURANCE CARRIER ,.s.~"E WNÒ '.
<6l~ ìhg -)..\')...hLlCENSE No. '3 ~O b'3 \
CITY S\J..} Vr--L-t..m ZIP CODE C{ I ~S;2..
WORKMENS COM No. '1.7-.(P?b~-'ìl
PREllMANARY ASSEMENT INFORMATION
COMPANY ~ C- L~ß~
ADDRESS .... \ DO A-'\...M CX--.
INSURANCE CARRIER
PHONE No.
LICENSE No,-
CITY ~f\.\LI:::1)¿,Ç, t:::L.ì> ZIP CODE '\ 3,0 ð
WORKMENS COMP No.' '.~.,
..;;.......'
.-00'" _
:':.-,!'...;...
. .\.. .-:~.. ,~.
TANK CLEANING INFORMATION
COMP ANY Ñl.c N-Þ. p Q,
ADDRESS
WASTE TRANSPORTER IDENTIFICATION NUMBER
NAME OF RINSTATE DISPOSAL FACILITY
ADDRESS
FACILITY lNDENTlFICATION NUMBER
CITY
PHONE No.
ZIP CODE
, }'
'l.
"
CITY
ZIP CODE
'-,.¡
-:;.
TANK TRANSPORTER INFORMATION
COMPANY ({J' ft\4~ ~~N~
ADDRESS l O~ '-I t -5'~<i ~ '5, - ,
TANK DESTINATION . ~O'-'bEÑ ~~:TG;
TANK No. AGE
VOLUME
\QDD
\OöD
lIDO"\- -
)... \00 -t-
PHONE No. 21'ð-lb~-'1-Y1-(. LICENSE No. 130£..31
CITY 5UN VA-t..t-~ ZIP CODE q 13 ::)2
(\\ eIA"- RpL...... <:..\-, \)'(~
~ ~
TANK INFORMATION
CHEMICAL
STORED
C~ þ.:::'O ,-. N E..
GMO~liVt:::'
DATES
STORED
\) f" 1...1'"', \-
~Y"'" \9Að
\, \\
CHEMICAL
PREVIOUSLY STORED
6~o~ l Nt::"
6) ~O '- ~ 'fJE
'" , ."., ",',' ... ",..'...'""..' ",.. ,',', .'.' ".,.."..,'.....,..........',...,..'...,.,'",.. ...,.~~.?F~I.~IAl US!:J~;r:.,......i!.¡¡¡.',¡¡¡¡...'f..n.:.....:m:::.:.........!.....¡......!...~.'..-"..;.':::.!!....'!.....'.:.'...........\
¡·.~;~,~89ðÎ!gN::ffi~Í~.:..!~...'· .::',..,.';":..:.'.,.?~.~í~1.!~;-~9j:".,;-..:,:.-·'··,'",.:,.·~·.·::·:·?~gi:§~§:d~N~r...::..~,·:f:E;.:.~.·~t'!>·,~
THE APPLICANT HAS RECEIVED. UNDERST ANDS. AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS ?!::1MIT AND ANY OTHER
ST ATE. LOCAL AND FEDERAL REGULA nONS,
THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE. IS TRUE AND CORRECT,
~f:(l~
THIS APPLICATION BECOME$. A PERMIT WHEN APPROVED
- -'
CITY of BAKERSFIELD
"WE CARE"
FIRE DEPARTMENT
S, D,JOHNSON
FIRE CHIEF
October 25, 1991
2101 H STREET
BAKERSFIELD, 93301
326-3911
May Joseph
131 El Cerrito
Nipomo, CA 93444
CLOSURE OF 1 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANKS LOCATED
AT 7725 WIBLE ROAD IN BAKERSFIELD, CALIFORNIA.
PERMIT # BR0011
Dear Ms. Joseph,
This is to inform you that this department has reviewed the results
for the preliminary assessment associated with the closure of the
tanks located at the above stated .address.
Based upon laboratory data submitted, this office'is satisfied with
the assessment performed and requires no further action at this
time.
If you have any questions regarding this matter, please contact me
at (805)-326-3797.
A'ncer~y,
¿¡.i/cÞ?tt~
Joe A. búÌÍWOó~
Hazardous Material Specialist
Underground Tank Program
e
e
BAKERSFIELD FIRE DEPARTMENT
HAZARDOUS MATERIAL DIVISION
2130 G Street, Bakersfield, CA 93301
(805) 326-3979
CERTIFICATION STATEMENT OF TANK DECONTAMINATION
I, Nil-I-· ])l'l(Û
name
7<' J. M Y¿y ;5
. contracting co.
an authorized agent of
here by attest under penalty of
perjury that the tank(s) located at 7 7 ~ VLr~h Le- .J~ and
address
being removed under permit# 8,l..t!JC) /1 has been .:f:
cleaned/decontaminated properly and a LEL (lower explosive limit)
reading of no greater than 5% was measured immediately following
the cleaning/decontamination, process.
qj/7/7' I
date
4/¡J~.J),,, ~
name (print)
"t¿íq//~eL
signature
fDù~
hL~hlt ~~ IVcvÞ/2.E.
~ ~ -r/f7V6 ,- Zk-c...~~;~~q")/] Vv~ ~
~eJ7 1.-<:.. :T-?;vb ~ Æ'..~h.J ~¿//
t?~ ~N ~Ie- J L/ðuR.-S ·de., -I/f"NkS Æ-J
ð?d.-t:>0 L¿~ ~ ~u;-~o~
-0
~~
/Lë:J
L-e-L
/- ¡)~~-Ih~jJtA.-~ ç;~
V-f/r;;<
.
e
e
fJr60 If
BAKERSFIELD FIRE DEPARTMENT
HAZARDOUS MATERIAL DIVISION
2130 G Street, Bakersfield, CA 93301
(805) 326-3979
TANK REMOVAL INSPECTION FORM
FACILITY 'fI;tk ~. tt;ÆÆ<::k.MoDRESS ) 7 2-:5 U-J7~. æ1L.
OWNER /J7. /~ \J PERMIT TO OPERATE# ~_
CONTRACTO 1? Þ. ..,..- M V~.5 CONTACT PERSON ~) /Vly.---er~
LABORATORY ß. c.. # OF SAMPLES c::;
TEST METHODOLOGY ß7.;C;")C J :T:P#-G-
PRELlMANARY ASSESSMENT CO. .5-AØ~ CONTACT PERSON ,~~
CO2 RECIEPT ÆJ./4 LEL% é) O2% ~.. 7
PLOT PLAN
tÞ
"> 5/1-M?te- (t?cdt;,.. í~ f'+
, AJ.ift¡Jk--EÐ
~'
"
r
cl~.¿ ¡ ~
'5. TAN k.
~'
6'
tN
¡U. lJ'~~er .... ~ /
.
S. D us' fie.)\} 8.¿ V b" I
CONDITION 9l TANKS U..e.v~/ 6o..d¡ k.-l( ~y-rJ- /~ðyJ
/<.ø~u~ / lJ -J/ ~_ ."r~--R... ~/ A/L/Y'Vtb~c..á .A~/..p ~
/ .
CONDITION OF PIPING I~ ýV i2'ð 1-&
" I
CONDITION OF SOIL /hØ ~5) /Uð
.
COMMENTS
.
...s/hl-/ ~
91/:/ ~I
D E
JIH ~f)C/)I/~ k ¡J+-hØ~
' INSPECTORS N /' SIGNATUR ,
~
'-
(
1\ ' '
} 1 i ;
<'
\.
(
e
(
~ f f, r -
Ë(
,;,
l~
~
o
e
8(
tiS
ai
C\
f f ¡: I
(
e
(
(
(
) r i f
(
WEIGHMASTER CERTIFICATE
v THIS IS TO CERTIFY that the following descrioed commodity was weighed. measured, or counted by a wei\lhmaster, whose signature is on this certificate. 'who is a
recogniZed authority of accuracy, as prescribed by Chapter? (commencing with Section 12700) of Division 5 of the ~rnl~siness and Professions Code.
administered by the Division of Measurement Standards of the California Department of Food and Agriculture. '» (:') 'j)
. ~.-4 '8
''? rV rn
:> - ~
'J:Þ ..- -
~ -.:. rn
. ....., 0
o ':B.
~
GOLD~N STATE METALS, iNC.
2Ø00 L. BRUNDAGE LANE
8AhEh:'::)~IELÜ, C:'¡-J S3:~,I;~,/
C [) m i!ICJ Ò i t Y
UNP. NO. 1 HI'1S
B/L
:...,,,"
I '-i !.._i.:
(~Et '('l'~' :i. (:: r-',
: R. J'. I'ÎY'C r,'::
~ß
r~'n i d Li,,'ì~;H
L 1 C e j'¡~" .~,+¡
Ül~i "/ ~ r·'
I. C.
»u>
* * * ~ i N T A K E * * * ~
~.J£" i t::¡ht
Pr~ ì c e
1 øø:t. . 26
2Ø.ØØ
TOH-li._ [idE:: )}} >
t;(r.:.Ci;~ J \; ¡::" j)
J-.:\-Y
ì»»
T I CI-ŒT
1'r1Y b~ 'i, e.
R.J. MYERS & SONS
.3ó :1. :5j
~¡rr;OU'flt
Weights
s. 2 tL!
Gr-'oJ S S
8 77iZ1 1:"üUNDS
T¿n~€:'
aè:5iZ¡ PUUNDS
j'<2 ';:
;,::' 2 ~:¡ PO Ì"J ¡'"I j; ,:~.
:Ueduct i e:,p
ø F-'uU¡\tÙ=-,
~-IC¡.i, !\;et
~2~) r-llJtJ!~lU::;
._.. ......_ _._ _. ._m ___ _.__~
5.. f~l!)
L:c;,,"Ì..:"E" ;.
TImp:
S'¡"'USS
!¿;":;'/ i ï /'j 1
1 b. iZ¡Jf p. [,'"
lb" 1¿: p. ìl.1'
Tar"€:
GOLDEN S1R1EMETALS. INC.
¡'J"" 1 qhF:ast E;'r-'
Grüss:LINDA HAMMQND
-
I' ,:,\ Ì" e : L, I NlJH HI if'Widl\! U
_~¢n_._~,.: -~,-Û~~_
ENVIRONMENTAL
e e
\
LABORATORIES, INC.
J. J. EGLIN, REG. CHEM. ENGR.
4100 ATLAS CT., BAKERSFIELD, CALIFORNIA 93308 PHONE (805) 327·4911 FAX (805) 327·1918
..
~~, .~
CHEMICAL ANALYSIS,
PETROLEUM
Petroleum Hydrocarbons
DODD'S BACKHOE SERVICE, INC.
1590 W. TEFFT
NIPOMO, CA 93444
Attn.: NAT DODD 805-929-1700
Date of
Report:
Lab #:
09/29/91
10352-1
Sample Description: 7725 WIBLE RD: N. TANK 7725 WIBLE @ 2', 9/17/91 @ 2PM SAMPLE
COLLECTED BY KEN MITCHELL OF B CLABORATORIES, INC.
TESTMETHD: TPHby D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015
Individual constituents by EPA Method 5030/8020.
Sample Matrix: SG..:L
Constituents
Date Sample Date Analysis
Received @ Lab: Completed:
09/17/91 09/26/91
Minimum
Analysis Reporting Reporting
Results Units Level
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 1.
Date Sample
Collected:
09/17/91
Benzene
Toluene
Ethyl Benzene
o-Xylene
m¡Xylene
p-Xylene
Total Petroleum
Hydrocarbons' (gas)
Conunents:
California D.O.H.S. Cert. #1186
~¿
Department Supervisor ~
ENVIRONMENTAL
e e
LABORATORIES, INC.
,J. J. EGLIN, REG. CHEM. ENGR.
4100 ATLAS CT., BAKERSFIELD, CALIFORNIA 93308 PHONE (805) 327-4911 FAX (805) 327.1918
CHEMICAL ANALYSIS
PETROLEUM
Petroleum Hydrocarbons
DODD'S BACKHOE SERVICE, INC.
1590 W. TEFFT
NIPOMO, CA 93444
Attn.: NAT I.iODD 805-929-1700
Date of
Report:
Lab #:
09/29/91
10352-2
Sample Description: 7725 WIBLE RD: N. TANK 7725 WIBLE @ 6', 9/17/91 @ 2PM SAMPLE
COLLECTED BY KEN MITCHELL OF B C LABORATORIES, INC.
TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015
Individual constituents by EPA Method 5030/8020.
Sample Matrix: SqIL
Date Sample
Collected:
09/17/91
Constituents
Date Sample Date Analysis
Received @ Lab: Completed:
09/17/91 09/26/91
Minimum
Analysis Reporting Reporting
Results Units Level
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 1.
Benzene
Toluene
Ethyl Benzene
o-Xylene
m-Xylene
p-Xylene
Total Petroleum
Hydrocarbons (gas)
Comments:
California D.O.H.S.Cert. #1186
~~
Department· Supervisor ,
ENViRONMENTAL
CHEMICAL ANALYSIS
e e
LABORATORIESJ INC.
PETROLEUM
J. J. EGLIN. REG. CHEM. ENGR.
4100 ATLAS CT., BAKERSFIELD, CALIFORNIA 93308 PHONE (805) 327·4911 FAX (805) 327.1918
Petroleum Hydrocarbons
DODD'S BACKHOE SERVICE, INC.
1590 W. TEFFT '
NIPOMO, CA 93444
Attn.: NAT DODD 805-929-1700
Date of
Report:
Lab #:
09/29/91
10352-3
Sample Description: 7725 WIBLE RD: S. TANK 7725 WIBLE@ 2'" 9/17/91 @ 2PM SAMPLE
COLLECTED BY KEN MITCHELL OF B C LABORATORIES, INC.
TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015
Individual constituents by EPA Method 5030/8020.
Sample Matrix: SOIL
Constituents
Date Sample Date Analysis
Received @ Lab: Completed:
09/17/91 09/26/91
Minimum
Analysis Reporting Reporting
Results Units Level
None Detected mg/kg 0.005
None D,etected mg/kg 0.005
None Detected mg/kg 0.005
None Detected' mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/lcg 1.
Date Sample
Collected:
09/17/91
Benzene
Toluene
Ethyl Benzene
o-Xylene
m-Xylene
,p-Xylene
Total Petroleum
Hydrocarbons (gas)
Comments:
California D.O.H.S. Cert. #1186
.~~'
Department Supervisor
e
e
ENVIRONMENTAL
LABORATORIES, INC.
J, J, EGLIN, REG, CHEM, ENGR.
4100 ATLAS CT., BAKERSFIELD, CALIFORNIA 93308 PHONE: (805) 327·4911 FAX (80S) 321·1918
CHEMICAL ANALYSIS
PETROLEUM
Petroleum Hydrocarbons
"DODD'S BACKHOE SERVICE, INC.
1590 W. TEFFT
NIPOMO, CA 93444
Attn.: NAT DODD 805-929-1700
Date of
Report:
Lab #:
09/29/91
10352-4
Sample Description:, 7725 WIBLE RD: S. TANK 7725 WIBLE @ 6',9/17/91 @ 2PM SAMPLE
COLLECTED BY KEN MITCHELL OF B C LABORATORIES, INC.
TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015
Individual constituents by EPA Method 5030/8020.
Sample Matrix: SOIL
Date Sample
Collected:
09/17/91
Constituents
Date Sample Date Analysis
Received @ Lab: Completed:
09/17/91 09/27/91
Minimum
Analysis Reporting Reporting
Results Units . Level
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
, mg/kg
None Detected 1.
Benzene
Toluene
Ethyl Benzene
o-Xylene
, m-Xylene
p-Xylene
Total Petroleum
Hydrocarbons (gas)
Comments:
California D.O.H.S. Cert.'#1186
~¿-
. Department Supervisor
)
e
e
ENVIRONMENTAL
,LABORATORIES, INC.
>CHEMICAL ANALYSIS
PETROLEUM
J. J. EGLIN, REG. CHEM. ENGR.
4100 ATLAS CT., BAKERSFIELD, CALIFORNIA 93308 PHONE (805) 327·4911 FAX (805) 327·1918
Petroleum Hydrocarbons
I'
I
DODD'S BACKHOE SERVICE, INC.
1590 W. TEFFT
NIPO~O~ CA 93444
Attn.: NAT DODD 805-929-1700
Date of
Report:
Lab #:
10/02/91
10352-5
Sample Description: 7725 WIBLE RD: N. DISPENSER @6', 9/17/91 @ 2PM SAMPLE COLLECTED BY
KEN MITCHELL OF B C LABORATORIES, INC.
TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015
Individual Cot1st1-tuents by EPA Method 5030/8020.
. . "'
Sample Matrix: SOIL
Date Sample
Collected:
09/17/91
Date Sample Date Analysis
Received @ Lab: Completed:
09/17/91 09/27/91
Minimum
Analysis Reporting Reporting
Results Units Level
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg!kg 0.005
None Detected mS/kg 0.005
None Detected mg/kg 1.
Constituents
Benzene
Toluene
Ethyl Benzene
o-Xylene
m-Xylene
p-Xylene
Total Petroleum
Hydrocarbons (gas)
Comments:
California D.O.H.S. Cert. #1186
,"~~
Department Superv~sor
I
e
e
ENVIRONMENTAL
LABORATORIES, INC.
J. J. EGLIN, REG. CHEM. ENGR.
4100 ATLAS CT., BAKeRSFIELD, ,CALIFORNIA 93308 PHONE (805) 327·491'1 FAX (805) 327·1918
CHEMICAL ANALYSIS
PETROLEUM
Petroleum Hydrocarbons
, DODD'S BACKHOE SERVICE, INC.
1590 W. TEFFT
NIPOMO, CA 93444
Attn.: NAT DODD 805-929-1700
Date of
Report:
Lab#:
09/30/91
10352-6
Sample Description: 7725 WIBLE RD: S. DISPENSER @ 6', 9/17/91 @ 2PM SAMPLE COLLECTED BY
KEN MITCHELL OF B C LABORATORIES, INC.
. - --- .--- --- - _.
--+- .- -~-
TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015
Individual constituents by EPA Meth:.0d 5030/8020.
,-
Sample Matrix: SOIL
bate Sample
Collected:
09/17/91
Constituents
Date Sample 'Date Analysis
Received @ Lab: Completed:
, 09/17/91 09/27/91
Minimum
Analysis Reporting Reporting
Results Units ' Level
None Detected mg/kg 0.005
None Oetec::ted n\g/kg 0.005
Nörie Detected mg/kg 0.005
Norie Detected fi\g/kg '0.005
None Detected .mg/kg 0.005
None Detected mg/kg 0.005
None Detected mg/kg 1.
Benzene
Toluene
Ethyl Benzene
o~Xylene
m-Xylene
p-Xylene
Total Petroleum
Hydrocarbons (gas)
Comments:
California D,Q,H.S. Cert. #1186
~&-)
Department Supervisor
> Report 1;0:
C Name: 0",7'>1, & J/J.INc. Sé-Rv:.
o
~ Address:l$9D WI nFFT
:;:) City:U/ POlL#?
(.) '1/
LL State,: rß Zip:; ':>':'TT
o Attn:' A/t;-r í)~ --
z
ëC Phone: ~~~-/~ó>~
:I: Lab# Sample Description
~Oß5d--\ Ai, 71WA" ?7.2S ._,,. :;'
-~ I.' I' If If ~ I
~3 $" " II I~ ~ '
-<..¡ 'f f{ I( " c;, i
-) M, n/.çþ~IUS'£R L r
I . ,.
-\0 .s, I, c."
co
o
CO')
CO')
0')
1::(t
~h:
()ê5
I (/) ~
(t-
-(t
<tü
I o'Ö
~~
'<t(;¡
...
(1)
..x::
(t
CD
ù
c
(j
w
a:
o
~
[
o
-aJ
<t
..J
~.
,{
(1)
0>
'0
Project:7?;?S uJl.BŒ I<D ~ ~
Project#: . , , ~ð ~
Sampler Name:£ ~ fë.hel/ -i ~~ ::
Other: ' ~ ~ ~
CJ)
~~ ~,
j ~~
5 ,/ v//
V 1//
V 1//
V¡/
Y ..-V~,
,V V V
-'-
\. '- .J J-..) ð -\0 '
.
Date & Time Sampled
Qt~ L - t') _ A
//r';;r¿/ (¡If r .-,
I V '
,\;
1
'.J
-
-'
Comment:
Billing Info:
C ù1 A.,.- A -' Ll /).... J /.-
-rF' "Yf c:; /1"t!:"
Name:
Address
Citý
Attention:
Time: Ir 5 rI.R
Miles: (c.
-
State
.
Sample Disposal
o BC Disposal @ 5,00 ea,
o Return to client
P.O.#
, --
-Analysis Requested
. I
,
ê . I
\ ...... 2
~ ...... li '(1)
'0 ~ '0(1) '00..
Õ (/) CD E c>-
U Cü '0.- (tf-
Ó CD CDI- .... ...
CJ) (1)oð CD ,(1)
(1) Z .D .!:
... >- (/)~ E (t
(/) '0
CD 0 ~(t ~E
a. - ~a Zo
(/)
E ~ (1) ()
(t () ex:
CJ)
YN Ie/¡ /9/ I ó£!:; .
--
~ bV \j
\oJ
--I
~:d b(: (Si9..o.atu~) './';? iR~ceived by,: {Signature)
,1 £/.A? \;';, f ~ -k' ^ 0 ~ fu~
Relinquished by: (Signature) 'Re,ceiVed by: (S¡gnaturetr-
9atz Time:
"Tr /71/ 3pJ,1t
(Óate: Time:
-
. Relinquished by: (Signature)
Received by: (Signature)
Date: Time:
Relinquished by: (Signature)
Received by: (Signature)
Date: Time:
Relinquished by: (Signature)
Received by: (Signature)
Date: Tìme:
Relinquished by: (Signature)
~
Received by: (Signature)
Date: Time:
EHVIROÑMENfAL.
6609
PETROLEUM
-'LABORATORI@S, INC.
J. J. EGLIN; REG. CHEM. ÈNGR.
4100 ATLAS COURT, BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911; FAX 327-1918
CHEMICAL ANALYSIS
DDDSB
CLIENT NO.
P.O. NUMBER
DATE
10-07-91.
LABORATORY SAMPLE NO.
10352
DODD I S BACKHOE SERVICE, INC.
1590 W.' TEFFI'
NlPOMO, CA 93444
Attn: NAT DODD
805-929-1700
SUBMITTED ON
09...,.17-91
SUBMITTED BY
B C LABORATORIES
TERMS:
NET 30 DAYS
PAGE 1
UNIT AMOUNT
QUANTITY DESCRIPTION OF SERVICE
1 7725 WIBLE RD: N. TANK 7725 WIBLE @ 2 I ,
9/17/91 @ 2PM SAMPLE COLLECTED BY KEN
MITCHEr,L OF B C LABORATORIES, INC.
2 7725 WIBLE RD: N. TANI< 7725 WIBLE @ 6 I ,
9/17 /91@ 2PM SAMPLE COLLECTED BY KEN
MITCHF...LL OF B C LABORATORIES; INC.
3 7725 WIBLE RD: S. TANI{ 7725 WIBLE @ 2 r ,
9/17/~1 @2PM SAMPLE COLLECTED BY KEN
MITCHELL OF B C LABORATORIES, INC.
4 7725 WIBLE RD: S. TANK 7725 WIBLE @ 6 I ,
9/17/91 @, 2PM $AMPLE COLLECTED BY KEN
MITCHELL OF a C LABORATORIES, INC.
5 7725 WIBLE RD: N. DISPENSER @ 6 I ,
9/17/91 @ 2PM SAMPLE COLLECTED BY KEN
MITCHELL OF, B C LABORATORIES, INC.
6 7'725 WIBLE RD: S. DISPENSER @ 6 I ,
9/17191 @ 2PM SAMPLE COLLECTED BY KEN
MITCHELL OF B' C r.ABORATORIES, 'INC.
SAMPLES: 1, 2; 3, 4, 5, 6
6 ORGANICS: EPA 8020 - BTKE, TPH (gas)
106
SAMPLING CHARGES
TIME: 1. 50 hQ\U's @ $35. 00 111
PLEASIM~TO lHãdlOlØJQJ "UUBER ABOVE WHEN MAKING YQ"R PAYMENT.
'"
THIS IS YOUR INVOICE
WE DO NOT ITEMIZE AGAIN
Plòr ÞlÃ'N
.
2.
3.
4,
5,
6.
7,
.
¡ot Plan must show the following:
Roads and alleys
buildings
location of tanks. piping. and dispensers
utilities
SCALE
water wells (if on site)
any otheí relevent information
is)I,... M.~A.¡"" J
\2w.~\~,
\
-\
ì
¡(XX) 6j'þ.L'VCìÙ T ~ IL
rbc /'..-
'2. -' \ LL
, "'¡ e>oJí
~ ~-=-~
~.St:Q..'Ù'. 0 /
::..~. ~ I- Qc..'A,;"""-O~
6v '\. '\- \:) \ tJ6 tl O-ç: ~~O c.~ P\11V\f~
A,ß-A,W;;)()Nd'::. \
ç, ~ ~
~~ I
\
..
Ii
III
.J
(!J
-
3
h
r<
r
r
.\
,-'
-lA~é;
~.. - ." .~.