HomeMy WebLinkAboutUnderground Tank Removal - Oil Tank Removal - 340 BRADFORD STREET 11/12/2020 84 New Salem 't. Ph:077.668.2657 111HII:
, 11 akefiald, 1A 01 HBO 800.628.8261) Weh:�r,� �r.coinnitan .corn
M M OTa n
Installation I Maidenance Removal Fax.781.224,9908
November ber 12, 2020
Fire Prevention
North Andover Fire Department
795 Chilering Road :.
North Andover, MA 01
Vi Underground Tank Removal —340 Bradford Street, forth Andover, MA
Dear Fire Prevention:
On October 5, 2020 ComrnTank removed one 1 1, 00-g lloin underground storage tangy (UST)
at the above referenced address. Enclosed is the tank closure report and tank disposal receipt
following the removal of the UST,
Should you require any further information on this please contact us at 617-628-8260.
Sincerely,
Z" Pevi
Leury Perez
Sales Representative
C MMTAN,1<,INC,84 NEW SALEM STREET,WAKEFIE LD,MA
TANK CLOSURE SPORT
Pm: CREW: ., DATE: _.,t 0
JOB NAME: 6kr� CUSTOMER PHONE ��"� `� � -moo
SITE ADDRESS
CITY: V Q, STATE. N00" ZIP CODE,
Within 24 hours rifler Ilse remo vat of a UST the mmerloperafor shall measure,for lite preseizee of a release of oil or hazardous materials to tote
eit viromitew ipltere eonlrtminalron is most likely to be preseut ort the,site,
HOMEOWNER/BUSINESS OWNER QUESTIONS
El TYPE C�E_ 1- I ONE
II U1.,1 F �1LY I 1 S1I MULTI-FAMILY RESIDENCE BUSINESS -',rYPE
El UST AGE. YEARS OLD YEAR I STALLE
0 UST SIZE I0 00 GALLONS
0 UST FUEL TYPE (CIRCLE I
FUEL OIL GASOLINE OTHER
0 IS THE TANK IN USE I CL o �,
YES 0 WHY? A ? V N ' Ilk bboAI"V",A4
0 HAVE'THEME BEEN ANY ERRA ANGIES IN YOUR USAGE,OR BILL` �� D-1
U YES EXPLAIN
0 LAST FILL DATE AMOUNT of LAST FILL GALLONS
El HAS YOUR TAN E VE R BEEN RELINED
NO YES WHY
11 HAVE THERE BEEN ANY SPILLS IN THE PAST`
o DATE S RI
0 IS THE ANY OTHER FLAMMABLE OR HAZARDOUS MATERIALS IALS ST REDON-SITE99
o NO
o YES LIST:
0 NOTES:
EACH BOX MUST BE CHECKED BEFORE RE,M VAL of THE UST
❑ TANK PERMIT FORM#FP-292
El DIGSAFE5 q DATE OBTAINED I IGSAF1-800-322-4844
El TANK INFORMATION : FIBERGLASS STEEL
CYUNDRICAL TANK
Formula For a CYLINDRICAL TANK � •
x
TD
2 awn
D= inches L- inches
o UST SIZE GALLONS
o 3 '4' GALLONS OF OIL EMPTIED FROM TANK
o GALLONS OF WATER EMPTIED
0 ., ,�.�.INCHES OF OIL IN TAjqK .....................� '. INCHES F WATER
0 1S THERE ANY STRESSED VE ETATION OR DISCOLORED PLANTS IN` H E AREA?
o NO
o YES DESCRIBE.
IS THERE ANY BROKEN OR PATCHED PAVEMENT AROUND OR NEAR THE(CIRCLF,IF YES
TANK FILL PIPES PUMPING ISLANDS OT14ER
. IS THERE ANY STAINING ON ARO JND BO IE THE GIRL E IF YES)
TANK ILL ENT PIPES LIKE A OTHER
g,"o 1
FILL MATERIAL- GRAVEL NATIVE FILL OTHER
DEPTH TO TOP OF TANK- ;L c
EACH BOX MUST BE, CHECKED DURING THE RE,MOVAL OF THE UST
Ef D ERSOI NEL ON-SITE :NAME TITLE
0 ON TANK IS TI4RE ANY VISIBLE SIGNS OF:
0 O LESBREKAE DESCRIBE EO SW CORROSION OSION DESCRIBE
0 S
AINS DESCRIBE
0 `1 HEIDESCRIBE
C IN THE EX N-�I THERE R ANY VISIBLE SIGNS OF:
SOIL STAINING DESCRIBE � �
O � DESCRIBE
❑ GROUNDWATER EVALUATION:
IS THERE GROUNDWATER ATER IN THE EXCAVATION?
NO YES
IF YES IS THERE:
FREE PRODUCT D ESCRIBE
SHEEN DESCRIBE
TABULA,T
DATE— TIME SAMPLE ID SAMPLE DEPTH PID PID [BACKGROUND] SAMPLER NOTES
DIYY :1 AM PI (FEET) PP PPI i INITIAL
io Y 3o S IDEWALL
5/10 ,3 SIDEWALL 3 :.
SIIWLL 4
* ,' PIT 80TTOM
PIPING AREA
NOTES:
ARE THERE PETROLEUM ODORS IN:
O NEARBY STORM SEWERS-PID READING pp
O DRAINAGE DITCHES-PID READING -ppm
BASEMENTS-PID READING � -ppm
D WETLANDS -PID READING p
HAS THE TANK BEEN CLEANED`'
O OUTSIDE
0 INSIDE
•*A KFILL MAT RIAL- GRAVEL LOAM SAND WILLP A K OTHER
CAVATIN(CIRCLE ALL THAT APPLY)
o LINED WITH POLY
COVERED WITH POLY
FENCED IN WITH: SNOW FENCING CHAIN LIN FENCING CAUTION TAPE
F PHOTOGRAPHS TAKEN: :PC qJ PIPING TANK EXCAVATION
F DRUMS LEFT ON SITE. CONTENTS.
O'LD A.TI N OF DRUMS: D UMS CAN NOT BE LEFT ON GRASSY AREAS)
[� F TOTS OR FRAC TANKS: CONTENTS:
NOTES:
SITE SKETCH:
NORTH i
kk
PLEASE INDICATE: I.The location of the UST
2,The UST piping
3.Field screening points&+laboratory sample collection
. eneri observations
N TE :
r
ATTACHED DOCUMENTATION
❑ WITIUN 72 HOURS CLOSING T11E USA`,PROVIDE ECEI T TO THE LOCAL FIRE DEPARTMENT FOR DELIVERY OF UST TO THE
DISPOSAL,SITE DESIGNATED ON PERMIT
C1 WITHIN DAYS OF RErVIOVINGTHE UST,SEND NOTICE To DPS TO GRANGE REGISTRATION INFORMATION FOR THE UST.FP-
9
0 BILLS OF LADING L RAZARDOUS WASTE MANIFESTS USED TO TRANSPORT CONTAMINATED MEDIA OFF-SITE,
COPY MUST BE ATrA D.
CI COPY OF F Rm FP 292(PERMIT FOR REMOVING UST AND FOR TRANSPORTATION TO TANK YARD)
ElCOPY F F m 291 RE EIPT F THE UST T DISPOSAL FA ILIT ,IN LUDIN TAT LI E SE NU i� R F FA IL�T .
r
❑ Within 24 hours after the removal.of the UST,measure for the presenco of contamination ination t locations where it i
most likely to be present,as required by 527 CNM .07 . Steps 13 through 15 describe DEP and DPS
recommendations for fulfilling this requirement.
i ..TABLE
TABLE 1: Summary-of Follow up Procedures to Heads pace Screening
RESULT ACTION
Readings> 100 ppmv 1, Notify the DEP within 72 hours
. Note the local Fire Dept.
Readi 100ppniv,but>ambient air Obtain a minimum of one sample for lab mialysis
Readings<or=to ambient air Gasoline only Assume"clean"
Fuel oil only I composite sample for lab
Other eentaininates I composite sample for known/suspected contanuntates
Greater than
Less than
llidrok-uni Pixiducrt Sall or NVILtUr A lilt 6-1
G4rsofirs .it id imi1.-rrWeir;lrt CFO .; 8 0 C1,kS 240.8 60.o DEIl-V P1.1
VtO Oil;(No.«,41.5. ) N'0C.S �20. 40, ? fir.kv 1 P-N 1111-1
Dig*. 1,I�ubi-i tines Oil aril sitr ihr m d c`'
��• i�l:t I���lt�ta
100. 2)70.sod'DE41)-111111
PAI l
GC-1+1I or 418.1
Ujikiio%%-ji I le t vo katin I1ro(Ito eI V C S 9240.8 260.o r D E I-VI 1-1
m4;diod'1
PAH 8 100.8270,or 1)1 1)-1-:1)1-1
'r hc DEll has(le sr,11cti Iwo fllctl i1A for chi-vnA nity die c�`��ceilltr'��tiojii-of I tr��lckrrrt
waitran(I i1oC0111I-)1CIIc-i]tnrid s ti lip c,rld)�-1 �ieolt�gic iIn1)1)1vocItioev:iIti.ii hurnniiI):aIdtMpaiiNIsih-,it
I I I'.ly'WAIIt 11'M c.S.P05tIIr tee SL[C r CO III t€r1ik. I'll0 Mesh t1 for dio t�*r in iii:llit)n o1'Extinct:able 1��'woL-Ittli
I�I�f�Ifoc��1.�oly"IT.111-1) CLACCtiwly Inca ilre.; tie ConCCi)tr;rt Pn+ of cxtr.ic1,ab 31il)11;11i ;Irr(l nnci ati
1*1146hini cx-mc tru Lion-.;of V I-Is. The NMIW-ror iho I te:mihivion of Volitile
I>e r lc n 1•I Yelrrj0.tjrbon-.-, nV.tistrrc:; c0I1cctin- Cionc•nw-ition;:, or xt-11:ilil: n1ilAmic and nvomniic
r ctrtl< � ,:14�1 I '1"I 1 tr %r� .'I'l ��c.17tII),IL I�r,01IC. �k-nt�).
1 •f
44
- �a.._. .�,..,..�.._.........�.. �� -
�'i' 1 1 111 stwinmry trt'A 1 .'11 1tvp orf iA]) r OnktUtIons Aud I N-quivvntvnl for
'r Ott#art Tinieframe
ReI*ors f rcnIcr t utn 10 gallom in 24how 2110tir
AIIL.iI gi\\alcr Aran or e#e tial to 1 7-1 6xil
C.'c►wcnInifion� pi al c rIIviii I C sIa pwttclw�ttcrwidiin 400 Aoflitib1 ier:,t,I.j-j1y or 5CA) 7?IviiNt
VCCs in pvxrrrcl\.tternI 1 6 LvIo -V w trn(I stirl w e,' 5 111API.widiiI1 0 11 01, T)1 itirs
�1�ae����e�tr wi�c1 rac:�icl�trfial:�t�t�ct�rr�
Coil •jltrn ions in soil Litral rtivin I C= '' I r w
Not i fi cni iki i i to DEI tiiav nM 11k•AxItiircxl ifa L4nitM Its%rncw:jI AcI b ii'c;rrr tht Ink,;ri.
'Fable IV: MCP Reportable Concentrations for Seleeted Petroleum Constituents
ANALVTE SOIL WATER
(nig/ t !
RC�;W-i RCGW-2
RCS-1 RCS-2
Benzene to 10 0.005
Toluene 30 300 :-.1
M R
Eta lbnno 80 500 0.3 4
` Xylenes total 00 Soo
'dotal Petroleum Hydrocarbons(TPA) 20o 2000 0.2 t
I sa t 11411!- Locationsja
'
Fill P1ptt
+ 5
i
f
i+ f-4
it ,'4ti• J{y 'M1}l{ #i� � x * �Tra Ra� ■
s'' f,AtFS1.
—'�'• X 'R
SIDEWALLS
IL
PI
s"
,y
PIT BOTTOM
`I his IIf"tlkvJglic1.,;11w 1411C all dInAmp(SH(,I*a v tell III 11ST leak aitdpoteuIi;i1 exposu w ImIIt4�'rl�`a.
. :� &
' Gasoli1Irt1�
If
.I.[�F� +.#r�. •T'`r-s.f fir' ''{{}' ''1 !� -. s
I
RECEIPT DISPOSAL OF
OUND STEEL STORAGE TANK
RLY CONTAINING pMAMMA
FORME a
I
ANK
T • '
NAME AND.ADDRESS OF Ey
i
App
i 1
i
rov d Tank Yard NU mbqr;
5
r `
Tank Yard Ledger
[ b CMS.. .00
t w .
k '
ally
d the underground- t al atora -tank dell er
td
I certify u.nder penalty.of law 020 have Wsan -
'� ston's or
to,thIs o r �r � (frm,Corporation or o - vIn pd r r nd
and accepted a e-Ire conform ��h head f the LO AL fire
ti Yards. ` ldeed
--------
-d ' tt a tT01
P .
ik #
to trMi5port tie tank to this yard.
car or oarauthorized rerr�tt��le*
r
sr e..a o i 1 tithe fr p ro ed.1an ' ar {
Date sine
IL
0
Al
"TANK REMOVED FROM: �
TANK A :
No. and Strel t. .
City and` v ;
Previous cant ntsl.
tJ
s
Fire De Pt. POrMR
o la a r;
x Notes: a
Length*. .
Date a lip :..
R
Serial i#available):
r
Tn I. .- (Form. -2 *.
i
EACH
I
TANK-MUST HAVE Ar RF.CEIPT of oISPOSAL
G
owner/Operror te nsible.fob`.notifying the Dena
en o Environmental Protection;
- UST Program
Bu: lflet .Pt-
Boston,. MA 22
. o the head of the local fire department, �
This Sig d
receipt Of.die oI to
17)
Fora