HomeMy WebLinkAboutUNDERGROUND TANK-C-12/05/95
HAZ~OUS MATERIALS !àVISION
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HAZARDOUS MATERIAlS DIVISION
CITY OF BAKERSFIELD
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KEENAN SUPPLY
DIVISION OF HAJOCA CORPORATION
720 Williams Street
Bakersfield, Ca 93305
(805) 327-1623
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KC Form #;{·~Rev.7-65)
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CITY of BAKERSFIELD FIRE DEPARTMENT
FIRE SAFETY CONTROL & HAZARDOUS MATERIALS DIVISIONS
1715 CHESTER AVE, . BAKERSFIELD,CA . 99301
December 6, 1995
R,E, HUEY
HAl·MAT COORDINATOR
(805) 326-3979
Mr. Ernie Phoenix
1601 South Union Avenue
P.O. Box 751
Bakersfield, Ca 93302
RE: Underground Tank Removal at \Z2CLWilliari:is_S.fi:ã'èt, in Bakersfieldl Ca.
Dear Mr. Phoenix:
R.B, TOBIAS.
FIRE MARSHAL
(805) 326-3951
This is to inform you that this department has reviewed the result of the Tank Removal Report
associated with the above referenced property.
Based upon the information provided, this department has determined that appropriate
response actions have been completed, that acceptable remediation practices were implemented, and
that, at this time, no further investigation, remedial or removal action or monitoring is required at the
above stated address.
Nothing in this determination shall constitute or be construed as a satisfaction or release from
liability for any conditions or claims arising as a result of past, current, or future operations at this
location. Nothing in this determination is intended or shall be construed to limit the rights of any
parties with respect to claims arising out of or relating to deposit or disposal at any other location of
substances removed from the site. Nothing in this determination is intended or shall be construed to
limit or preclude the Regional Water Quality Control Board or any other agency from taking any further
enforcement actions.
This letter does not relieve the tank owner of any responsibilities mandated under the California
Health and Safety Code and California Water Code if existing, additional, or previously unidentified
contamination at the site causes or threatens to cause pollution or nuisance or is found to pose a
threat to public health or water quality. Changes in land use may require further assessment and
mitigation.
If you have any questions regarding this matter, please contact me at (805) 326-3979.
Sincer~ly,
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Howard H. Wines, III
Hazardous Materials Technician
HHW/dlm
cc: R. Huey
J. Castillo, RWQCB
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720 WILLIAMS STREET
UNDERGROUND STORAGE TANK REMOVAL
Fol-- HoWðl--d vJ;,.,e~
~14.~sf\'dd F¡I..Q f1¡.
For
HARRY E. PHOENIX TRUST
ERNIE PHOENIX
Bakersfield, California 93307
Presented By
Lutrel Services, Inc.
2212 South Union Avenue
Bakersfield, California 93307
(805) 834-5986
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TABLE OF CONTENTS
Sec. Description
Page
I INTRODUCTION... ...'.....................................................................1
II PURPOSE AND SCOPE...................................................................l
III j3i\CI(CJRO{J]\[[) ~O~i\TION.......................................................1
a. Project ~ation .........................................................................1
b. Site Description. . .... .. . .. . . ... .. .. .. .... . .. . . .. . . . .. . . . .. . . .. . . . .. . . . .. . . .. .... . . . ... . . .2
N SITE CJEOLOCJY AND HYDROLOOY ..................................................2
V SITE HISTORy........ ............................ ....................... ............ ......3
VI PROJECT HISTORY.. ............................. ........................................3
a. Laboratory i\nalysis of Soil Samples............ ................................. ....3
vn LSI SITE CHARi\CTERIZi\TION FINDINCJS ... .................... ... ..............3
a. Soil Profile. . . . .. . . . ... ... . . . .. . . . .. . . ...... . . . .. . . . ... ... . . . .. .. . .. . . .. . . .. . . .. . . . . . . . . ..3
b. Results of soil Sample i\nalysis.................. .... .... ................. ............4
c. Extent of Soil Contamination. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . .4
VITI CONCLUSIONS............................................................................4
IX REMEDIl\L i\CTION 1\LTERNi\TIVES................................................4
X EXCi\ V i\ TION OF CONTi\MINA TED SOIL..........................................5
a. Suggested i\ction. . . . .... . .. . . .. . . . .. . . . .. . . ... . .. . . . .. . . . .. . . .. . . . .. .. . .. . . .. . . .. . . . . . ..5
b. Findings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . .. . . . . . . . .. . . . . . . . .5
c. Conclusions..............................................................................5
Certification........................................................................................... .6
a Conclusions..............................................................................6
b. Recommendations.......................................................................6
Mi\P #1
Mi\P #2
i\PPENDIX i\
FICJURE #1
CJENERA.L VICINITY Mi\P
CJENER1\LPLOTPLi\N
EXCi\ V i\ TION S1\MPLINCJ RESULTS
T i\NK DlACJRA.M i\ND CJENER1\LIZED CROSS SECTION
Harry E. Phoenix
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Lutrel Services, Inc.
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SITE TANK REMOVAL REPORT
720 WILLIAMS STREET
BAKERSFIELD
I INTRODUCTION
This report outlines the underground storage tank removal methods and results of Lutrel Services, Inc.
(LSI) operations on the underground storage tank at 720 Williams Street in Bakersfield, California. The
underground storage tank removal was authorized by Mr. Ernie Phoenix, Owner on March 3, 1995.
II PURPOSE AND SCOPE
The purpose of the underground storage tank removal was to eliminate the possibility of contaminating soil
from the tank. LSI presented one scenario for removal, 1) Excavate, recycle and backfill.
Scope of work for this remediation project involved the following:
· Permits were purchased by Mr. Phoenix on January 13, 1995.
.
Excavation of the subject tank began on March 6, 1995. The tanks were rinsed, the rinsate removed
and recycled, filled with 47 pounds of dry ice, loaded on a flatbed truck and transported as a non-
hazardous material. Samples were not taken as RESNA Environmental had performed soil borings on
Apri112, 1994 and found no contamination adjacent to or beneath the subject tank. Groundwater was
not encountered during excavation.
.
Mr. Mark Turk of the City Fire Department was on site to witness the actual removal of the tanks.
III
BACKGROUND INFORMATION
Information regarding the site location, site description, site geology and hydrogeology, and project
history is presented in the following sections.
a. Project Location
The project site is located at 720 Williams Street in the City of Bakersfield, Kern County,
California. The site is south of Edison Highway, bounded by Williams Street to the east and
surrounded by light industrial businesses. The site is within southwest quarter of Section 23,
Township 29 South, Range 28 East, M.D.B. & M. (See Map #1)
Harry E. Phoenix
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b. Site Description
The site is a level, paved, chain-link fence enclosed property. An office I shop building is located
directly west of the UST. California Water Service is the company in charge of domestic water
service. All sewage is discharged into the sewage system.
The underground storage tank was located west of the office I shop building. (Map #2) The tank
was constructed of steel, set below grade, was approximately five feet in diameter with the top at
four feet in depth. (see Figure 1).
IV SITE GEOLOGY AND HYDROLOGY
The site is located within the San Joaquin Valley Great Valley geomorphic province of California. Near-
surface site soils consist of sand, sandy silt, and silty clay which are Quaternary alluvial deposits of the
Kern River, located approximately 3.5 miles northwest of the site. According to Kern County Water
Agency Water Supply Report, 1993, groundwater is greater than 250 feet below grade with a gradient of
approximately 0.01 foot per foot in a northeast direction. This shallow unconfmed aquifer recharges the
deeper confined and semi-confined groundwater basin which provides the community and agricultural
water supply for the southern valley. Average rainfall in the Bakersfield area is approximately six inches
per year and does not contribute to the groundwater recharge by surface infIltration.
Harry E. Phoenix
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V SITE HISTORY
Information regarding the site history was obtained from owner of the property, Mr. Ernie Phoenix. The
site was subdivided into light industrial parcels during the middle 1970s. The site was developed by the
present owner and used as an office and shop doing business as Keenan Pipe Supply until recently when a
new tenant moved in.
The tank was used to store unleaded gasoline for company vehicles. It is unknown when the tank was
taken out of service.
VI PROJECT HISTORY
The Bakersfield City Fire Department, in conjunction with Kern County Environmental Health Department
is concerned that underground Storage Tanks have the potential to degrade water quality of the unconfined
aquifer which underlies the city. Because the tanks commonly consist of organic hydrocarbon
compounds, KCEHSD and the City Fire Department has required that the owners of property known to be
equipped with these types of systems demonstrate that the tanks are replaced with double walled tanks
with leak detection systems and that the soil beneath the system components has not been impacted by .
organic constituents.
a. Laboratory Analysis of Soil Samples
Soil samples were taken by soil borings by RESNA Environmental and tested for BTEX by EPA
Method 8020 and TPH-g by EPA Method 8015. Samples were taken at two (2) feet and six (6)
feet below the dispenser. These samples were also analyzed for TPH-g by EPA Method 8015 and
BTEX by EP A Method 8020.
vn LSI SITE CHARACTERIZATION FINDINGS
a. Soil ProfIle
Subsurface soils in the area of the investigation generally consist of silty sands underlain by
interbedded layers of poorly graded sand and silty clay to a maximum depth of 12 feet.
Harry E. Phoenix
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b. Results of soil Sample Analysis
Laboratory results of the soil samples tested for BTEX, and TPH-g were taken by RESNA but
were not available for this report, however the Bakersfield City Fire Department, in a letter dated
June 30, 1994 reviewed the Underground Tank Assessment and "based on analytical results of the
soil samples collected, there appears to be no gasoline impacted soil adjacent to or beneath the
UST."
c. Extent of Soil Contamination
Based on the results of the analytical testing of soil samples, petroleum hydrocarbons as gasoline
were not present in the subsurface soils to a depth of at least 6 feet
vm CONCLUSIONS
On the basis of the findings, the following conclusions:
· Soil profile at the site consists of silty sand, poorly graded sand, silty
clay and gravelly sand to the maximum explored depth of 16 feet.
No groundwater was encountered.
IX REMEDIAL ACTION ALTERNATIVES
KCEHSD requires that three remediation options be evaluated if significant levels of contamination are
found. Remediation alternatives for soils containing gasoline include ex-situ and in-situ methods. Soil
excavation (ex-situ treatment) is effective for most soils and petroleum hydrocarbons. Excavation is
generally limited to depths of 25 feet and can be further limited by site development and site operations,
however the extent of attainable cleanup is usually more predictable and more likely to be complete. Ex-
situ remediation usually requires shorter time periods and is time-dependent on the type of surface
treatment selected (i.e., recycling, bioremediation). Environmental impact and site disturbance can be
substantial, including risk of chemical exposure and physical contact with chemicals. The potential for
damage to nearby structures and other site features can be high.
Harry E. Phoenix
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In-situ methods include bioventing and bioremediation. In-situ methods generally are effective in
permeable soil types (i.e., sand and sand silt mixtures) and are less limited by depth or by site
development Site operations are usually only minimally interrupted by system installation and
maintenance tasks. Extent of attainable cleanup often varies depending on soil types and type of
contaminant and is generally not entirely complete. In-situ methods require long periods of time
(sometimes on the order of several years) in comparison to ex-situ treatment. Long-term liabilities may
result from incomplete reduction of contaminants. Costs associated with in-situ methods are generally less
in comparison to ex -situ methods, especially when deep soil contamination is present.
Harry E. Phoenix
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X EXCAVATION OF CONTAMINATED SOIL
Since no contamination was found on the site, no remediation should be required.
a. Suggested Action
L.S.!. has backfilled. the excavation with the soil removed during excavation with the addition of
10 yards of sand to account for the tank volume.
b. Findings
Samples were analyzed and non-detect levels were reported at the tank.
XI LSI CONCLUSIONS AND RECOMMENDATIONS
c. Conclusions
a. The gasoline contamination located beneath the tank has been reported as non-detect, resulting in
clean closure. These levels are documented by TPH-g and BTEX analyses from samples at the
bottom ofthe excavations in a report by RESNA dated May 11, 1994.
Field observations and measurements, and laboratory analyses indicate that the site does not pose a
present or reasonable threat to groundwater due to this report's findings of non-detect or extremely
low contaminant concentrations.
b. Recommendation
As a result of the findings described in this report and the aforementioned letter from the
Bakersfield Fire Department, we recommend that a clean closure declaration be granted by the
KCEHSD and the Bakersfield Fire Department for the underground storage tank at 720 Williams
Street, Bakersfield, California.
Harry E. Phoenix
UST Removal
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Lutrel Services, Inc.
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Certification
I certify under penalty of law that this documentation and all aJtOf:hments were prepared under my direction
or supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the infonnation submitted. Based on my inquiry of the person or persons who manage the
system, or those persons directly responsible for gathering the. infonnatìon, I certify that the information
submitted is, to the best of my knowledge and belief, troe, Of:curate, and complete. I am aware that there
are significant penalties for submitting false information, including the possibility of fine and
imprisonment for knowing violations.
Bill Rosica REA 875
Operations Manager
Lutrel Services, Inc.
~:~~
Lutrel Services, Inc.
720 Williams Street Project
Page 7
Project # 95-03-01
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Certification
1 certifY under penalty of law thai this documentation and all attachments were prepared under my direction
or supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the
system, or those persons directly responsible for gathering the information, I certifY that the information
submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware thai there
are significant penalties for submitting false information, including the possibility of fine and
imprisonment for knowing violations.
Bill Rosica REA 875
Operations Manager
Lutrel Services, Inc.
Randall Metz RG #3995
Registered Geologist
Pacific Geotechnical Associate, Inc.
Harry E. Phoenix
UST Removal
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Lutrel Services, Inc.
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Map #1 General Vicinity Map
LUTREL SERVICES. INC.
720 Williams Street
Underground Storage Tank Removal
March, 1995
+
North
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Map # 2 General Plot Plan Underground Storage Tank Removal March, 1995
Warehouse/Office Ramp
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Surface
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Sandy Clay
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Figure # 1 Tank Diagram
LUTREL SERVICES, INC.
720 Williams Street
Underground Storage Tank Removal
March, 1995
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Contact Name:
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.¡;¡ . Complete items 1 . 2 for additional services.
I\) . Complete items 3, a & b,
I!! . Print your name an dress on the reverse of this form so that we can
I\) return this card to you,
~ . Attach this form to the front of the mailpiece, or on the back if space
~ does not permit,
1 . Write "Return Receipt Requested" on the mailpiece below the article number,
.. . The Return Receipt will show to whom the article was delivered and the date
delivered,
3. Article AddresseØ\ to:
I al..wish to receive the
foll0"Wervices (for an extra
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1. 0 Addressee's Address
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2. 0 Restricted Delivery
Consult postmaster for fee.
4a. Article Number
P-390-214-
4b. Service Type
o Registered
~ GeFtified J
o Express M"ail
o Insured
o COD
o Return Receipt for
Merchandise
7. Date of Del~iA'i 1 1, 1_
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Mr. Ernie' :Phoenix
1601 South "Union Avenue
P.O. Box 751
Bakersfield, CA 93302
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and fee is paid) 16
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DOMESTIC RETURN RECEIPT
UNITED STATES POsa
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Official Business <?
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OF POSTAGE, $300
Print your name, address and ZIP Code here
· City of Bakersfield,Fire Dept.
Hazardous Materials Division
1715 Chester Avenue, Suite 300
Bakersfield, CA 93301
.
P 390 214 453
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UNfTED STATES
POSTAl SfRY1Œ
Receipt for
Certifted Mail
No Insurance Coverage Provided
Do not use for International Mail
(See Reverse)
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Sent to
Mr. Ernie Phoenix
Street and No,
1601 South Union Ave
P,O" State and ZIP Code
Bakersfield. CA 93302
Postage $
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Certified Fee
1.10
Special Delivery Fee
Restricted Delivery Fee
Return Receipt Showing
to Whom & Date Delivered 1.10
Return Receipt Showing to Whom,
Date, and Addressee's Address
TOTAL Postage $
& Fees 2.52
Postmark or Date
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CERTIFIED MAIL FEE, AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES (88e frontt.
1. If you want this receipt postmarked, stick the gummed stub to the right of the return address
leaving the receipt attached and present the article at a post office service window or hand it to
your rural carrier (no extra charge).
2. If you do not want this receipt postmerked, stick the gummed stub to the right of the re~.Yo!n
address of the article, date, detech and retain the receipt, and meil the article, '
3. If you want a return receipt, write the certified mail number and your name and address on',a
return receipt card, Form 3811. and attach it to the Iront 01 the article by means of the gumm~
ands if space permits. Otherwise, affix to back of article, Endorse front of article RETURN RECEIPT
REQUESTED adjacent to tha number.
4. If you want dalivery restricted to the addressee, or to an authorized agent of the addressee.
endorse RESTRICTED DELIVERY on the front of the article.
5. Enter fees for the services requested in the eppropriate spaces on the front of this receipt. II
return receipt is requested, check the applicable blocks in item 1 01 Form 3811.
6. Save this receipt and present it if you make inquiry,
105603-92-S-0226
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CITY of BAKERSFIEW FIRE DEPARTMENT
FIRE SAFETY CONTROL & HAZARDOUS MATERIALS DIVISIONS·
1715 CHESTER AVE. . BAKERSFIELD, CA . 99301
R,E, HUEY
HAl-MAT COORDINATOR
(805) 326-3979
May 8, 1995
R,B, TOBIAS,
FIRE MARSHAL
(805) 326-3951
Mr. Ernie Phoenix
1601 South Union Avenue
P.O. Box 751
Bakersfield, CA 93302
CERTIFIED MAIL
RE: 720 Williams Street, Bakersfield, CA.
Dear Mr. Phoenix,
The intent of this letter is to inform you of the necessary deadlines for the
submission of documentation to this office related to the decontamination, reroval,
disposal and laboratory analysis for 1 underground tank at the above referenced
property.
Our records indicate that you were required to submit the documentation to this
office within five days after the results are available. Since your underground tanks were
removed on March 6, 1995, sufficient time has elapsed for these documents to have
been submitted as required. Failure to submit the documentation in a timely manner
may cause the data to become suspect and may result in a full characterization of the
site to be required by this office.
Therefore, within seven (7) days of this letter,' please submit the necessary
documentation relating to the aforementioned underground tank removal.
If you have any questions regarding this notice, please call me at 326-3979.
Sincerely,
c:rL-[ cd u-
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Howard H. Wines, III
Hazardous Materials Technician
HHW/dlm
cc: Ralph Huey
TANK REMOVAL INSPECTION FORM
-
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FACILITY~f'R_,^A V'\ ~~~ ,c;\A.~\T ADDRESS 7Â1? L.J: {( ,\,¿¡ tlVt5
OWNER F~V\~'P- ~hÐe\At~ PERMIT TO OPERATE#
CONTRACTOR L.u'fe....e..\ CONTACT PERSON fi.' If i2n<IC4
LABORATORY ~r # OF SAMPLES LJ .
TEST METHODOL GY
PRELIMANARY ASSJ;SSMENT CO. Li'~ol CONTACT PERSON 3; (( ~'5t;~A
CO2 RECIEPT V"" ' LEL% (") O2% ID
PLOT PLAN
~RSFIELD FIRE DEPARTME~
~ZARDOUS MATERIAL DIVIS I_
2130 G Street,
Bakersfield, C~ 93301
(805) 326-3979
(
PIPE Y¡qRfj
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CONDITION OF TANKS n~
CONDITION OF PIPING ~K
CONDITION OF SOIL (N" vis; hlf'/
COMMENTS
r" V\ 'f 1'\ vv.. " /\/4'¡', 'D""
, y~ /~5
DATE
mARk X~JL . _~~ (1U./1/t_- ~~
INSPECTORS NAME SIGNM:URE
· .
CITY of BAKERSFIELD
"WE CARE"
FIRE DEPARTMENT
M. R. KELLY
FIRE CHIEF
January 3, 1995
1715 CHESTER AVENUE
BAKERSFIELD, 93301
326·3911
Mr. Ernie Phoenix
1601 South Union Avenue
P.O. Box 751
Bakersfield, CA 93302
RE: 720 Williams Street, Underground Tank Abandonment
As a follow up to our telephone conversation this day, I am enclosing a copy of the
correspondence sent to RESNA industries in response to their assessment for
abandoning the tank in place.
To avoid any further regulatory action regarding the underground storage tank, you must
obtain a permit to abandon the tank, from this office, within 10 days from receipt of this
letter. The permit charge is $483.00 and will remain valid for 90 days after issuance. All
contractor information is to be listed on the permit and must be approved prior to any
work being performed. Please give this office at least 5 working days notice so that an
inspector can be available on site during the abandonment and sampling activities.
If you have any questions, please call me at 326-3979.
Sincerely,
dI~d1 ¿j~ ~
-
Howard H. Wines, III
Hazardous Materials Technician
HHW/dlm
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RECORD OF TELEPHONE CONVERSATION
Location: 72Ð GJ;I('~MS
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Contact Name: t;n'l e.. ~ eCM.~ X
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Business Phone:
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InspeCtor's Name:
Time of Call: ' Date:
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Type of Call: Incoming [ ]
Outgoing ~
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Content of Call: C~l(~ &-1f\1e. -to .:r~,-J Ì"""", ~~+
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Time Required to Complete Activity # Min:
~
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CITY of BAKERSFIELD
"WE CARE"
June 30, 1994
FIRE DEPARTMENT
M. R. KEllY
FIRE CHIEF
1715 CHESTER AVENUE
BAKERSFIELD, 93301
326-3911
Mr. Robert J. Becker
RESNA Industries
1500 S. Union Ave.
Bakersfield, CA 93307
Dear Mr. Becker:
I have reviewed the Underground Tank Assessment dated May 11, 1994 for the Keenan
Pipe Supply facility located at 720 Williams Street in Bakersfield.
Based on the analytical results of the soil samples collected, there appears to be no
gasoline impacted soil adjacent to or beneath the UST.
This office agrees with RESNA's recommendation to abandon the UST in place using a
concrete slurry. This will avoidt~e demolition of storage buildings and the possibility of
undermining the shop building.
In addition, the fuel dispenser must be removed and soil samples must be collected at
2' and 6' beneath the dispenser location and analyzed for TPHg and BTEX to assess the
soil beneath the dispenser area.
Please follow the procedures listed in Handbook UT-30 published by Kern County
Environmental Health in cooperation with the Kern County Fire Department for
abandonment in place. A copy of the pertinent section is included herewith.
A permit for abandonment must also be obtained through this office before any work is
to begin. Please give this office at least 5 working days notice so that an inspector can
be available on site during the abandonment and sampling activities.
If you have any questions, please don't hesitate to call at 326-3979.
Sincerely,
~.(¿¿J~,~
Howard H. Wines, III
Hazardous Materials Technician
¡.~
~9~ (Ç ffii~~
! 1 3 1994 ;!:
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Working to Restore Nature
1500 So. Union Avenue
Bakersfield, California 93307
Phone: (805) 835-7700
FAX: (805) 835"7717
TO: Mr. Ralph Huey
City of Bakersfield Fire Department
[L~íJlJ~~ CQJ[F IJ~&OO~[MJ~TI &[L
DATE: May 11, 1994
1715 Chester Avenue
RE: Underground Tank Assessment
Keenan Pipe Supply Facility
720 Williams Street
Hazardous Materials Division
Bakersfield, California 93301
Bakersfield, California
WE ARE SENDING YOU IX! Enclosed 0 Under separate cover via
0 Site Assessment Report 0 Closure Report
0 Workplan for Site Assessment 0 Proposal
0 Preacquisition Site Assessment ~ As above.
the following:
THESE ARE TRANSMITTED as checked below:
o For approval
[2g As requested
o For your use
o FOR BIDS DUE
o For review and comment
19_ 0
REMARKS
COPY TO:
Ernie Phoenix, Bakersfield, California
SIGNED ~ -ß ~ /~ry
obert J. Becker .G.5076 ' /
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....~...
Working to Restore Nature
1500 So. Union Avenue
Bakersfield, California 93307
Phone: (805) 835-7700
FAX: (805) 835"7717
May 11, 1994
Mr. Ralph Huey
City Of Bakersfield Fire Department
Hazardous Materials Division
1715 Chester Avenue
Bakersfield, California 93301
Subject:
Underground Tank Assessment
Keenan Pipe Supply Facility
720 Williams Street
Bakersfield, California
Mr. Huey;
On April 12, 1994, RESNA Industries Inc. (RESNA) of Bakersfield, California drilled one 15-
foot soil boring adjacent to a 1,000 gallon gasoline underground storage tank (UST) at subject site
(Plate 1 & 2). This assessment report contains the analytical results of a soil sample collected at a
depth of lO-feet adjacent to the fill end of the UST and presents conclusions and recommendations
for the site.
BACKGROUND
The 1,000 gallon UST has stored gasoline for use to fuel service vehicles at the facility. According
to personnel at the site no records of spills or losses from the UST have occurred. The UST is
located under some storage buildings and appears to be partially under the main shop building (east
end of tank).
FIELD PROCEDURES
RESNA utilized a Mobile B-53 Hollow-stem auger drilling rig to advance a soil boring to a depth
of 15-feet adjacent to the fIll end of the UST. This boring (B-1) was located to assess the extent of
gasoline in the soil adjacent to and beneath the UST. A soil sample was collected at a depth of 10-
feet using a California modified split-spoon sampler advanced 18-inches with a 140 pound hammer
dropped repeatedly from 30-inches. The soil sample was retrieved from the sampler, capped with
Teflon-lined plastic caps, labeled, and placed in a cooler with ice. A RESNA geologist described
the soil sample using the Unified Soil Classification System. The soil sample was transported to
'... - ", IICi/RJB/770135.32
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....~~....
Working to Restore Nature
BC Laboratories for analyses of Total Petroleum Hydrocarbons as gasoline and for Benzene,
Toluene, Ethylbenzene, and Xylenes.
The soil boring was backfilled with non-impacted cuttings and capped with concrete.
FINDINGS
Analytical results indicated no gasoline constituents in the soil sample collected and analyzed from
boring B-l. See enclosed laboratory reports and the chain of custody for the sample.
No petroleum odor was detected in any of the soil samples or soil cuttings evolved from the
boring. The soil encountered in the boring consisted of fine to medium grained sand with
occasional silty sand lenses.
CONCLUSIONS AND RECOMMENDATIONS
Based on the analytical results the soil sample collected and analyzed and field observations of soil
cuttings, there appears to be no gasoline impacted soil adjacent to or beneath the UST. RESNA
recommends the abandonment of the UST by filling the UST with a 2-sack concrete slurry in
place. This will avoid the demolition of storage buildings and the possibility of undennining the
shop building.
In addition-the fuel dispenser should be removed and a soil sample collected approximately 2-feet
beneath the dispenser location and analyzed for TPHg and BTEX to assess the soil beneath the
dispenser area.
If there are any questions concerning this project please contact RESNA at (805) 835-7700.
Sincerely,
RESNA Industries Inc.
ØU} ~-,
Robert J. Becker, R.O. #5076
Professional Services Manager
Enclosures: Plate 1, Location Map
Plate 2, Plot Plan
Laboratory Analytical Reports
IICi/RJB/770 135 .32
2
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Working to Restore Nature
Keenan Pipe & Supply
720 Williams Street
Bakersfield, CA
PLATE
DATE: 5/10/94
PROJECT NUMBER:
1
Location Map
I
Williams Street
N~
OFFICE
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STORAGE YARD SHOP BUILDING
Vent
--/
Dispenser D ~ I-
1,000 Gallon U$.!. ~ Shed
B'1.~~
FiII.Q
Shed
/' LEGEND "'"
. Soil Boring Location
B-1
Not To Scale
"- ....
PLATE
Keenan Pipe & Supply
720 Williams Street
Bakersfield, CA
Plot Plan
....~....
--~ ~ ....... - -- -
...........
Working to Restore Nature
2
DATE: 4/16/94
PROJECT NUMBER: 770135.32
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LABORATORIES, INC.
RlECE][V1En~
APR 1 9 1994 ~~.,.
April 18, 1994
ROBERT BECKER
RESNA
1500 S. UNION AVENUE
BAKERSFIELD, CA 93307
Dear MR. BECKER,
The samples(s) listed on the acknowledgement report were received by BC
Laboratories, Inc, on 04/12/94.
Enclosed please find the analytical data for the testing requested. If you
have any questions regarding this report please contact me at (805)327-4911,
ext. 204.
Any unused sample will be stored on our premises for 90 days (excluding
bacteriologicals) at which time they will be returned or disposed of upon your
request.
Please refer to submission number 94-03761 when calling for assistanc~'-
s,iïcere1 '
~.~J--
HEIDI MOORE
Client Services
BC Laboratories, Inc.
41 CXJAtJas Ct, . Bakersfield. CA S33:E . (B:E) 327-4911 . FAX (B:J5) 327-191 B
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LAËiORATO!'1IES
JRECEKVlED
APR 19 1994 .
Purgeable Aromatics
and
Total Petroleum Hydrocarbons
RESNA
1500 S. UNION AVENUE
BAKERSFIELD, CA 93307
At tn.: ROBERT BECKER
Date of
Report:
Lab #:
04/15/94
94-03761-1
805-835-7700
Sample Description: #770135.32 KEENAN PIPE: B-1-10 (SOIL) 04-12-94 @ 10:20AM SAMPLED BY
ROBERT J. BECKER
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:
04/12/94
Date Sample Date Analysis
Received @ Lab: Completed:
04/12/94 04/13/94
Practical
Analysis Reporting Quantitation
Results Units ~(^r.Tfñi t ,
, , "
',. <, ,
None Detected mg/kg Ò';,OOS
None Detected mg/kg 0.00.5
None Detected mg/kg 0.005
None Detected mg/kg 0.01
None Detected mg/kg
Constituents
Benzene
Toluene
Ethyl Benzene
Total Xylenes
Total Petroleum
Hydrocarbons (gas)
California D.O.H.S. Cert. #1186
, ^
All results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc, assumes no responsibility for report alteration, separation. detachment or third party Interpretation.
41COAtlasCt, . Bakersfield, CA 933J8· (805)327-4911 ; FAX(B:J5)327-191B
{à\ \1_ ~.~I'!.
.~.........
3l~1
CHAIN OF CUSTODY RECORD AND ANALYSIS REQUEST
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PROJECT NO, PROJECT NAME/SITE ANALYSIS REQUESTED lp,O, II:
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AEL~j:Jb-// DATE TIME RECEIVED BY: l\. -\'lJ:1l\ LABORATORY: PLEASE SEND RESULTS TO:
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RELlNQUISHEI! BÝ: -
DATE TIME RECEIVED BY: l.5()O .>. C1N~¥
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215 000 000249
--EENAN SUPPLY
.Ii um er: - - :
, ESTER 06/17/91
Location: 720 WILLIAÞ1S ST Map: 103 Hazard: Moderate
Emerg. Plan for: Overall Site 1 Fac. Units Grid: 28C Area of Vul: 0.0
[ Contact Name l Title [ Business Phone lr Hour ~hone1
) - x )
) - x )
, Summary
<A> Hazmat <B> Area Plan
<F> Site Facts <G> Training
<K> Held Aside <L> Incidents
<C> Fac. Units <D> NotifjEvac <E> Mitigation
<H> Not Used <I> Not Used <J> Not Used
<M> Inspection <N> Admn <P> Print <Esc> Exit
K~r,! çõunty H.ealth Departmera-I.
DiV1Sion of Environmental HdIJ j
1700 Flower Street, Bakersfield, CA 93305
Permit.: / ~ÓO 5 ~<7-
Appl ication .e
M>PLlCA.TION FOR PERMIT TO OPERATE UNDERGRa.JND
HAZARDOUS SUBSTANCES S'l'ORÞGE FACILITY
~ of Application (check):
DNeW Facility DfWbdification of Facility DExistiD3 Facility OTransfer of o-mership
A. Emergency 24-Hour Contact (name, area code, ¡X1one): Days #r<-~ c;Pkr,f;.J -i ~~( g3/'~/y-g
, Nights fr..; (- '2-5-ç...O
. --:: Fac il i ty Name . ~.A.J N t:n../ i I"'?ú·- <;; U 'Pc .-- No . of Tanks ..,
Type of Business (check): Gaso me StatlO Other describe) vJ;::~'Jv<;.:s- '
Is Tank(s) Located on an Agricultural Farm? Dyes DNo .
Is Tank(s) Used Primarily for f9ricu1tura1 Purposes? Dyes g¡ No '
Facility Address tól tJ Wi J;avrJ,~ ò~. ' Nearest Cross St. WJ(::Lc,-Ç fL'7\}'''c.-
T 'R SEC (Rural Locations 0'11y) . /
Owner ~ æ;- P;t:¡C:lf::;<U A- Contact Pèrson ,5 ",,;,<,¡r-
Mdress /6 í' S-c: U.¡..r~ ....vt;-' P.().ß!hl7~1 Zip 9"3 '307- Tele¡X1one C:;-:J / ·f¡<;.3
Operator ÁU~. hers. " .' " Contact ,Person, 6U;j/tð6C'
Address 7:2. C. )/{<-!..,v-~-s 'g í Zip CJ3'506- Tele¡X1one ~;L7-/6 ~J
B. Water to Facility Provided by eOL-If' G...}(~ l&--"" St.,,,-,, Depth to Groundwater
Soil Characteristics at Facility
Basis for Soil Type and Groundwater Depth Detenninations
CA. Contractor's License No.
Zip Telephone
proposed Canpletion Date
Insurer
C. Contractor
Address
Proþosed StartiD3 Date
Worker's Canpensation Certification I
D. If '111is Permit Is For Modification Of An Existing Facil ity, Briefly Describe Modifications
Proposed ,/f J C) .
E. Tank(s) Store (check all that apply) :
Tank I Waste Product Motor Vehicle unleaded Regular PremÎl.ID Diesel waste
-- Oil
4/ Fuel
0 0 0 0 0 0 !J 0
0 0 0 0 0 0 0 0
0 0 0 0 B 0 8 B
0 0 0 0 0
F. Chemical Canposi tion of Materials Stored (not necessary for tOOtor vehicle fuels)
Tank i Chemical Stored (non-commercial name) CAS I (if known) Chemical previousl y Stored
(if different)
G. Transfer of Ownership
D:!te of Transfer /LJø
Previous Facility Name
I,
Previous <Mner
accept fully all õbligations of Permit No. issued to
I understaoo that the Permittin:J Authority may review and
modify or tenninate the transfer of the Pe~it to Operate this underground storage
facility upon receiving this completed form.
This form has been canpleted under penal ty of
true and correct.
~r~
Signature ~ ~/.Þ~ " _
ð
per jury and to the best of my knowledge is
Title (/(~./ /V¿~
Date <~// 7/,;('
/ /
11. Piping
a. Underground Piping: @]Yes DNa DUnknown Material <;;'7ðc'L-
Thickness (inches) Diameter Manufacturer
OPressure ¡aSuction OGravityApproximate ~rxjth of pipe ,.~ .
b. ""Underground Pipi~ Corrosion Protection : .
~Galvanized DFiberglass-Clad DDnpressed CUrrent OSacrificial Anode
OPolyethylene Wrap OElectrical Isolation OVinyl Wrap DTar or Asphalt
DUnknown DNone OOther (describe):
c. Underground Pipi~, Secondary Contairment:
ODoub1e-Wall DSynthetic Liner System DNone ~Unknown
[JOther (describe):
Far.:il~ty.
H.
."- -. ....- -.
10.
Name ~/u /Jr j /...;.... "A
, /
TANK ~
--
F()H EACH
L~PP{1'p e( Pennli: N0.
(FI LL OUT SEPP..RATi:: FORM FOR EACH TANK)
SC:CTI0N, CHECK ALL APPROPRIATE BOXES-
--
--
Tank is: Ovaulted 8Non-Vaulted DCollbl~-Wall DSingle-Wall
Tank Material
~Carbon Steel 0 Stainless Steel DPolyvinyl Chloride 0 Fiberg1ass-<:lad Steel
o Fiberglass-Reinforced Plastic 0 Concrete [] Ahminum [] Bronze DUnknown
o Other (describe)
primary Containment
Date Installed Thickness (Inches)
/.9 h 9" úvj¿v~'-
Tank Secondary Containment
o Double-WallU Synthetic Liner
DOther (describe):
DMaterial Thickness CInches)
Tank Interior Lining "
DRubber 0 Alkyd DEp:>xy o Phenolic DGlass DClay DU11ined "Œt..hknown
o Other (descri be) :
6.'Í',ink Corrosion Protection
-crGalvanized DFiberglass-Clad OPolyethylene Wrap DVinyl Wrapping
DTar or Asphalt 2Unknown· DNone DOther (describe):
Cathodic Protection: o None DImpressed CUrrent System DSacrificial Anode System
Describe System & Equipment:
7. Leak Detection, Monitoring, and Interception .
a. Tank: I!IVisual (vaulted tanks only) LrGrouOOwater Monitoril'J3 Well (s)
o Vadose Zone Moni toring Well (s) 0 U-Tube Wi thout Liner
o U-Tube with Ccmpatible Liner Directi~ Flow to Monitoril13 Well (s) *
o Vapor Detector* 0 Liquid Level Sensor 0 Conductivit;r: Sensor·
o Pressure Sensor in Annular Space of Double Wall Tank
o Liquid Retrieval & Inspection Fran U-Tube, Monitoring Well or Annular Space
o Daily Ga~in; & Inventory Reconciliation 0 Periodic Tightness Testin;
o None 0 U1known' 0 Other
b. Pipi~: 0 Flow-Restrictiß1 Leak Detector (s) for pressuri zed Pipin;"
o Moni torin; Sump wi th Raceway 0 Sealed Concrete Raceway
D Half-Cut Canpatible Pipe Raceway 0 Synthetic Liner Raceway 0 None
I!I Unknown D Other
*Describe Make & Model:
Tank Tightness
Has 'nus Tank Been Tightness
Date of Last Tightness Test
Test Name
9. Tank Repair
Tank Repai red? 0 Yes I§No DUnknoW'l1
Date(s) of Repair(s)
Describe Repairs
OVerfill Protection
DOperator Fills, Controls, & Visually Monitors Level
OTape Float Ga~e OFloat Vent Valves 0 Auto Shut- Off Controls
[]Capacitance Sensor OSealed Fill Box \?iNane DU1known
[]Other: List Make & Model For Above Devices
l.
2.
3.
4.
_Capaci ty (Gallons)
/Ot7OGt::>t--
_ Manufacturer
U .u A:.uo'J..I~
---'-'-- .
OLined Vault gtNone OUnknown
Manufacturer:
Capaci ty (Gals.)
5.
-- - -- - - . ---
. ._.___,.__ ____"_"' _ w__
8.
Tested? ,DYes D No fiUnknown
Resul ts of Test
Testing Canpany
KERf'.! COUr,ITY I j~/\111\ UtI' /\R Ilv\Ef . \
1 700 nOWER S ¡ REEl ..
BAKERSFIELD, C/\LlFUr'r JI^ 9:3::'U 'i
(1305) 861-22:11
e(
/s-00 ,S-~
I
I
AMOUNT DUE
/ :)1;;-
BIlliNG DATE
AMOUNT ENCLOSED
'tkl7r'tl_gf!z~j^~~L I
'~~~¡;?(;~~ -p~2€- -4-U-¡r¡-
rff tJ l' :3 df ~ ?)/? . r-
L?:J~d ¡ C,a . ~ '3:) 0:3-
DETACH HERE t PtEASE RETURN THIS PORTION 10 I¡'¡SURE CORRECT PAYMENT IDENTIFICATION
CHARGES PAST DUE A~~_ S~IBJECT- TO PEf\jAllY-
DUE DATE
r DETACH HE
--- -.
. - _.._---..-
V (~£ ,. ,'f'()5""'G
DATE
DESCRIPTION
AMOUNT
~ / pnk
7070 WdV w»w.J $,
r- L) /- , " I ,'¡1,({ Û,
"----" ,':~( .1<../,,/' ";';';_' j-"'/ ,
:/
/¿ro-
Jtt.. .:/d~ (' ~~~~~ Q¿' s b -.-"f'~ ftU./<....
ERN COUNTY HEAlllt UEPARTMENT "u,,"" 'M.- ''''''I'!!''''';' ,". ,... '"'" ...' ,,; ,..., d,,,·,,...,, ....' ,....., r....· .', "..
('"1""1\""':"'"',,,,, "..,¡,.."....\.,.I'....·.....·,I'··.(·,·' ..I..JII,..,..",......·IIt.~.I:'"I."'....."I.... <~
700 flOWER STREET :::,~..~·:,.~~I'. ';:.,,:,~,',:':;.;:',~...'::~ :':::~i:·.::':,'~::.:, ':;::~,..:':'~:'~;~:','~·,t;,'~;,: 7~,~ TOTAL AMOUNT DUE ....) (¿)'
A~ERSFIElD. C~LlFOR~IA ~3305 d'.,. .',,'.......',..'..,'.' ,,,..'..',.......".....
o
Incomplete information on ~ page of application entitled
"Application for Permit to Operate Undergrourid Storage Facility".
The information required is noted in red on emclosed copy.
o
Incomplete information on second page(s) of application - "Tank
Sheet" . The information required is noted in ~ on enclosed copy.
I ~Dlan lacking o~ incomplete. Refer to instruction sheet enclosed.
o
Other:
.-.. --- - -.----
, I
,~\;<,jJ~\'G'" ,d9P <#'$'0
" ,,"'
~ ..
1. ..... ~,
000' " t'1
, ,0
~,' "
~I \),
/(/:/is\:\'éY
-. - .-' - -
------ -.,
. e e .
Phoenix & Son Garage & Storage Co.
P.O. BOX 751 . BAKERSFIELD, CALIFORNIA 93302 · (805) 831-8183
JANUARY 26J 1987
- ._.,--_..~_.-.-
- ,.-.- --_..,_..~_._--_.--- - --.--..-. "-~"-
, ' ,
.. '~'-'-:---"--,- ----.-
.. -~-
,';-
, BAKERSFIELD~FIRE~EPARTMENT
ATTENTION: MR, NICK DUNN
5642 VICTOR STREET
BAKERSFIELDJ CA, 93308
"'---,-DEAR SIR:·
- .-.
- . -,~ ."- '.-"-- .-
- --- -£. -- -... -.-
- , -. ~ -~ -~.~ ~.- -- .~.~- --.
I AM CURRENTLY THE OWNER OF THE PROPERTY LOCATED AT
720 WILLIAMS STREETJ BAKERSFIELD. THE FACILITYS NAME
IS KENNEN PIPE SUPPLY. I WOULD LIKE TO APPLY FOR A
.
PERMANENT ABANDONMENT PERMIT FOR AN UNDERGROUND TANK
WHICH IS LOCATED AT THIS ADDRESS. THE TANK IS LOCATED
IN SUCH A POSITION THAT IT WILL HAVE TO BE MUD JACKED
ACCORDING TO MARK PISHINSKY WITH THE KERN COUNTY
HEALTH DEPARTMENT, AT THIS TIME I AM REQUESTING A '
PERMIT FROM THE FIRE DEPARTMENT SO I CAN GO AHEAD WITH
CONSTRUCTION.
INTERIM' , .' ,_ "_,~. _, IF WE HAVE A
/__~EROBLEM PLEASE CONTACT ME AT 1601 S. UN I ON AVE,
,/ _ ~:}_~~~_~_3 37..£- 3?f' / ß,cO
THANK YOUJ {q/,!rr,:tt {' P>' rey
HARRY E. PHOENIXJ II
PHOENIX TRUCK REPAIR
1700 Flower Street
Bakersfield, California 93305
Telephone (805) 861-3636
~ " . ('
e ~ERN COUNTY HEALTH DEPART~T
ENVIRONMENTAL HEALTH DIVISION
HEALTH OFFICER
Leon M Hebertson, M.D.
DIRECTOR OF ENVIRONMENTAL HEALTH
Vernon S. Reichard
INTERIM PERMIT
TO :OPERATE:
'PERMI T#150054C
.~ ,;. ."'';'- . "'-' .:~~: ':.-'-~,~~":;<~:;:::":'':';~'' "~;~".~.'..
::','I SS U ED :>::iNOVEMBER 1,
U~DERGROUND HAZARDOUS SUBSTANCES
,""'ilt}:~,t';:J~~:~~~j~~~~~~i~~~'~1~{~~~;~'::'~i~-~l{~~~:~~~
~..\~~:-' I
. -. . .
., - . .~.. 'I ~ ~ -: ": ,,' . ,,' . ,..,' ,.
t'",~:NOTE : ALL INTERIM REQUIREMENTS ESTABLISHED BY ,THE 'PERM I TT ING'X;t-';¡~:~~,~:~'~~i; ;i::
',' /',~:,:, .:,t::?,',;;;:'.AUTHORITY MUST BE MET DURING THE TERM OF "THIS .:PERMIT,j1'Š~;,~(.,;,:~.~!¡;,¿:f;T'i~:~1;"
',.';:;.,;-,<,.;;.,\,.~~·~~'ii~!·:" '.:" """'-~('>"'~" , " ',.''¡,':::;:','''~{~' \:,:::,."ki';;: :i!~':~SiU<: ::':'::(~''-:~¡'~:''(;;~&;1,~?:~*:''~~'f~"i:¡;(',':1tq~{~;-:.~~;~f.~~~;;~\~~'~\<;
NON-TRANSFERABLE *** 'POST "::ON':é:PREMI-SES
-
. '
"
;;~.
"
"
DATE PERMIT MAILED:
MOV 2 4. \U&
, ,
DATE PERMIT CHECK LIST RETURNED:'
....
/'
" '
, '
."~"~'''''''''''~~'"'-
-·~~--"!-""'~___''''_~_'''''''~__'___o......~.,¡___~.~~_,_~_~......r..'-...~_r-,-_ ~..-,......~_~___ ~'- - - ___1 ~~--------=...".-
-- -------=-~-------,-,,-,-~. ..-..--_-~ ---".- ~"'.-~ .~--...~."'-
,,~_..----.-
,~
1700 Flow... Street
aak81IlIeld, California i3306
~ UIQCi) aot-aoao
K. COUNTY HEALTH DEPAR~¡;NT e
HEALTH OFFICER
Lton .. HtÞer1.Ion. MoD.
----------------------------------------------------------------------
~CTQR OF ENVIRONMENTAL HEALTH
¥ImOfI S. ReiGhard
PERMIT#1fi0054C
XNTER:IM PERM:IT
1:'0 OP2RATE:
DERGROUND HAZARDOUS SUBSTANCES
... ~,. STORAGE fACILITY
:I S SUE D : OOVEMBER 1, 1986
EX P J: RES: NOVEMBER 1, 1989
NUMBER Of TANKS= 1
~ACILITY:
KENNEN PIPE SUPPLY
120 WILLIAMS STREET
BAKERSfIßLD. CA
OWNER:
PHOENIX. HARRY E.
P.O. BOX 751
BAKERSFIELD. CA 93302
----------------------------------------------------------------------
. - -"
illl1!-Xß'§1
19
, -
ä!H!ä!~!£.ä_£Q.!!ä
MVll 3
--'
!~ri!_!
1
fß!!äYßl!ED f!f!~gZ
NO
NOTE: ALL INTERIM REQUIREMENTS ESTABLISHED BY THE PERMITTING
AUTHORITY MU~T BE MET DURING THE TERM OF THIS PERKIT
NON-TRAN~FERAaL~ *** POST ON PREMISES
.onitorln¡. These Phase !! options will include various co.binationa ot
U¡htnes. tesUn¡. in-tank level .enin¡. ¡roundwater/vadole zone .onitor1n¡.
c
and 1nventory control. The options .vaUable to each tacHi ty w111 depend on
the "environaental sensitivity" at the lite. " Envlronaental Jen8itlvity·
des1¡nat1ona and the related tank · substance codes" on eacà ~er.lt are
explained 1n ~ encloaed attachaent.
A 11at1n¡ of the specific PHASB ! Inter!. Per.it Mon!tor1n¡ requ!r.,.enta
for each tank 18 included and referenced by tank nuaber: please!..!!S! these
requlreaents carefullY. A copy ot the finea and pendUe. for non-co.p1alnce
18 included tor your Intor.atlon.
Work.hops will be coñducted by Health Depart.ent Itatt to explain Inventory
Control Monitor1n¡. 'or questions. or to r;equelt attendance at .one ot theae
wQrk,hop.. pleaae call (805) 881-3638 and ask for t~~}nder¡roun4 Tank Section.
Hazardous Material. Mana¡e.en~ Pro¡raa
Under¡round Tank SectIon
DISTRICT OFFICES
.~
e/
FILE CONTENTS INVENTORY
... . ~ - ._._,~--
. '
Facility - )(~~ fJt-b Þ4/
DPermit to Operate t J.5tJO 'i
DConstruction Perm i t t
o Perm i t to abandonJ
o Amended Pe rm it Cond i t i o,ns
·E}Perm i-t ·--Appl lea t i.on Form,:
DApplication to Aban~on
DAnnual Report Forms
No. of Tanks
Date
Date
Date
KII~/ ~~
I
- - Tank Shee-ts;--Flow-Chart
tanks(s) Date
. .... .. -. ~
[]Copy of Written Contract Between Owner & Operator
Dlnspeetion Reports
'-<.'~' -- ----._- ~-"
"' - _____ _u_ .
DCorrespondenee - Received
Date
Date
Date
DCorrespondence - Mailed
Date
Date
Date
DUnauthorized Release Reports
DAbandonment/C1osure Reports
o Sampl i ng/Lab Repo r ts
[]MVF Compliance Check (New Construction
o S TD Com p I i a n ce C he c k ( New Con s t r u c t ion
DMVF Plan Check (New Construêtion)
DSTD Plan Check (New Construction)
DMVF Plan Check (Existing Facility)
DSTD Plan Check (Existing Facility)
O"Incomplete Application" Form
Dpermit Application Checklist
DPermit Instructions DDi5carded
o Ti<J htne 5S Test Resu I t5
Checklist)
Checkl ist)
Date
Date
Date
DMonitoring Well éonstruction Dat,a/Permits
-----------------------------------------------------------------
DEnvironmental Sensitivity Datá:
DGroundwater Drilling, Boring Logs'
OLocation of Water Wells
DStatement of Underground Conduits
Dplot Plan Featuring All Environmentally Sensitive Data
DPhotos DConstruction Drawings Location:
DHalf sheet showing date received and tally of inspection time, etc
DMi sce1laneous
e flt.S,