Laserfiche WebLink
San Joaquin Valley Unified Air Pollution Control District <br /> Asbestos Notification <br /> Operator Project'-, Postmark Date Rcc6%ed Datc Fee Rcvei%ed S District Notification it <br /> Completed by Kecin[)'Nlalle� Company: AS-]-Inc Phone: 661-327-2900 <br /> I.TYPE OF NOTIFICATION ()ruin;l❑ Revised(Dates)❑ Revised(Others)❑(Hightight Changes) CMICeled❑ Courtesy❑ <br /> 2.TYPE OF OPERATION lkmo El [h<lered Demo ❑ Renovation ❑ Lntetgencv Reno axion <br /> 3.FACILITY DESCRIPTION: Former Chewon crude oil pump station,currently an open held <br /> Building Name: N/A Lease Name: N/A <br /> Address: 14821 West errant Line Road City: Tracy County: San Joaquin <br /> Site Location on property: open field northwest of existing buildings <br /> Is demolition in prepa"tion for construction? ❑ Yes ® No Building Size: Sq Ft number of Floors: Agc: <br /> Present Use: Vacant Prior Use: ,'avant Future t-,e: Vacant <br /> 4. IS ASBESTOS OS PRESENT": ® Yeti ❑ No SURVEY COMPLETED:® Yes ❑ No ❑ TO BE CONDUCTED <br /> 5. A COPY OF THE INSPECTION REPORT WITH PROCEDURE,INCLUDING ANALYTICAL METHOD USED TO DETECT THE <br /> PRESENCE OF ASBESTOS MATERIAL MUST BE INCLUDED WITH THIS NOTIFICATION. <br /> 6. Approximate amount of asbestos, including: (1) (2) (3) <br /> L Friable Regulated ACM to be removed. RACM Non-triable ACM Non-friable ACM to be removed <br /> ' 2. Category UH ACM not removed. to be ACM not to be removed (Courtesy) <br /> 3- Non-fiiable ACM to be removed. removed Category I Category II Category I Category I1 <br /> Pipes(linear Feet) <br /> Surface Area(Square Feet) <br /> Volume(Cubic Feet-tf raft Or Sgfr Could Not Be Measured) 2700 of <br /> ASBESTOS REMOVED FROM Surfaces: ❑ Yes ® No Pipes: ❑ Yes ® No Components: ❑ Yes ® No <br /> AMOUNT OF EACH TYPE OF Acoustic ceiling Sheet Vinyl Insulation Fire Proofing Ducting Stucco Mastic <br /> ASBESTOS(in square feet) <br /> Floor Tile(VAT) Dry Wall Plaster Transite Roofing Others(Describe) <br /> ACM mixed in soil. See attached asbestos report <br /> 7. REMOVAL DATES:(%9oVDDtYY) Start: 10/31/2011 Complete: 1 1 1?[)l l <br /> ' 8.DEMO/RENOV ATTON DATES(Nl�t[)I)�,N,) Start: Complete: <br /> 9.FACILITY OWNER INFORMATION: Chevron USA,Inc. <br /> 1 Address: 6101 Bollinger Canyon Road City: San Ration State: CA Zip: 94583 <br /> Contact: Mike Oliphant Telephone: Site Supen tsor NA <br /> 925.790.6431 <br /> ' 10. REMOVAL CONTRA(TOR: A.S.L Inc CAL-OSH_A REGISTRA ION#: 004 <br /> Address: 2130 F as[ Brundage Lane City: Bakersfield State: CA zip: 93307 <br /> Cottacr Kc%in[1'Mallev Telephone. 661.327.2900 Site Super i": Kevin O'Malley <br /> 11,OTHER CONTRACTOR CSLB LICENSE 4: <br /> ' Address: City: Slate: lip: <br /> Contact: Telephone: Site Supu�sor <br /> Asbestos Notification(rcv.:07112!2006 <br />