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HomeMy WebLinkAboutST - 15011 TUKWILA INTERNATIONAL BLVD - CITY OF TUKWILA / JC7N PROPERTY - STORAGE TANKSTANKS) UNDERGROUND STORAGE TANKS (UST) I ABOVE GROUND STORAGE TANKS (AST) 15011 TUKWILA INTERNATIONAL BLVD RELATED PERMIT NUMBER(S) 35-19 Date: 6/28/19 Tukwila Fire Department OPERATIONAL PERMIT By virtue of the provisions of the International Fire Code adopted by City of Tukwila Ordinance, 35-19 Rivers Edge Environmental Services located at 139e4Tukwila Intl. Blvd. 19011 having made application in due form, and as the conditions, surrounding, and arrangements are, in my opinion, such that the intent of the Ordinance can be observed, authority is hereby given and the PERMIT is granted to install, alter, remove, abandon or otherwise dispose of a flammable or combustible liquid tank per 105.7.8 of the International Fire Code. This PERMIT is issued and accepted on condition that all Ordinance provisions now adopted, or that may hereafter be adopted, shall be complied with. THIS PERMIT IS VALID FOR -Ninety Days - This permit does not take the place of any License required by law and is not transferable. Any change in use or occupancy of premises shall require a new permit. Fire Marshal THIS PERMIT MUST BE POSTED ON THE PREMISES MENTIONED ABOVE. T.F.D./F.P. #2 4 � w 24? 2-7% Aso% 4ist CITY OF TUKWILA FIRE MARSHAL'S OFFICE 6300 Southcenter Blvd., #209 Tukwila, WA 98188 206-575-4407 Email: FireMarshal@tukwilawa.gov Commercial Underground/Aboveground Fuel Tank Removeal/Installation Permit To install or remove any flammable or combustible liquid tank per International Fire Code 105.7.8. Installation of aboveground tanks shall be limited to MIC/H, MIC/L LI and C/LI zones. You will need to submit the following: 1. Two scaled site plans showing property lines, building location(s), storm drain location(s), public access, vehicular damage protection, proposed screening and containment must be submitted for review prior to approval. 2. Specification sheets for the tank. Business Name of the Contractor: g‘VF..s EDEj tl•IVIent1WtENITAL. SVCS Contractor's Business Address: PO 13tsic q08 City: 1 AU . D1 A,14O JD State: IATA Zip: $0 ( 0 Contact Person:1'A(t(t,.. iC,E1i kp Telephone: 20(0- 3A 4-0 v71 Name of Business at Job Site: eit9p T(A.Ewi [ a., - J N Pro Job Site Address: _ 0U 1 I n4yrtn (ions d 131'4 ,1.i Ic.vi I&,1,ci Ac '3e 190 Number of tanks to be removed x. , modified , or installed Individual tank capacity (Gals.): 4O) Total aggregate capacity (gals.): L(0b How many tanks total: 1 The permit fee is $150.00 per tank. Date: ENVIRONMENTAL Pump and Rinse Certification 0-44.6831 Lck Job: Cy/�cti, /ta, kdr.9- To Whom It May Concern: This letter is to certify that the following tank(s), sized at have been pumped and rinsed for removal. Work was performed at: Address !4i For: Please note that this letter does not certify that the above tank(s) have been cleaned for disposal or that it (they) should be considered gas -free. Sincerely, Northern Environmental Services 253.503.3096 7517 Portland Avenue, Suite B, Tacoma, WA 98404 Phone: 253.503.3096 ENVIRONMENTAL Pump and Rinse Certification Date: CM 11 Job: To Whom It May Concern: This letter is to certify that the following tank(s), sized at v have been pumped and rinsed for removal. Work was performed at: Address For: Please note that this letter does not certify that the above tank(s) have been cleaned for disposal or that it (they) should be considered gas -free. Sincerely, Northern Environmental Services 253.503.3096 Date: a i1 �ENVlRONMENTA.. Pump and Rinse'' Cerl:If ication 12 Job: To Whom It May Concern: This letter is to certify tF at the folic wing tank(s), sized at _ ., So S?( have been pumped and rinsed for removal. Work was performed at: Address 5-0 t( i t :V2.��.LhfZ CO! For: Please note that this le:ter does not certify that the abov tank(s) have been cleaned for disposal or that it (they) should bE considered gas -free. Sincerely, Northern Environmen':al Services 253.503.3096 7517 Portland Avenue, Suite B, Tacoma, WA 98404 Phone: 253.503.3096 ENVIRONMENTAL 2661 North Pearl St. #145 Tacoma, WA 98407 253.503.3096 27800 y Customer (<1:11 t::(Z- 0)66 Ca rneoU Ak Ai Job Phone d06 / Job Address / SO /1 /lb 'WA L $1 ti/) c,s,z ifieWat Wiz, CUSTOMER NAME: SIGNATURE: 2661 North Petri St. #145 Tacoma, WA 98407 ENVIRONMENTAL 253.503.3096 / - 7 Customer Job, Address 4 CA E L Job Phone ..)C 3c% -6,? 7/ C, S, Z SIGNATURE BELOW ACKNOWLEDGES PAYMENT TERMS ON REVERSE: CUSTOMER NAME: SIGNATURE: ,.., START (:I JANT!TY STOP UAC -au IN OUT ,Jcif3 DESCRiPT1ON c L 4 6 CX Cx/c( 4. RA"' E 0 , r C, -Ai_ L. ft- 5 o it ( it .3 -r-Alue s kflus-( i'..) .4A) da Pki 0'4-4) (0 S-0 0 u S (.) -6-?/(e ec/??s. i / % 6A)Cie6 c/ -4a,166 DISPOSAL: El ON SITE rij OFF SITE SUBTOTAL LOCATION: S (260? TAX .. .22s04e l'ut TOTAL CUSTOMER NAME: SIGNATURE: 2661 North Petri St. #145 Tacoma, WA 98407 ENVIRONMENTAL 253.503.3096 / - 7 Customer Job, Address 4 CA E L Job Phone ..)C 3c% -6,? 7/ C, S, Z SIGNATURE BELOW ACKNOWLEDGES PAYMENT TERMS ON REVERSE: CUSTOMER NAME: SIGNATURE: ENVIRONMENTAL EPAID# WAH00003921I B.O.L. # 6255 SHIPPING PAPER 1 usuv r a 1786 253.212.5446 DELIVERY DATE ,)7 • // WO # J {'� 16' f SHIPPER / CUSTOMER ,e7-4 re S % ' C . ' ICJ U`(. -,,,f‹.4/ (...)—(Alt/' C C 5 . ./CK CONTACT NAME t i L.. ADDRESSPHONES / So (1 ZAJT'?V ,D r,%a J4 L ,1(///5 v -5 4- 00:?. CITY, STATE, ZIP fAllU ' (L, 4" t )/a"_ SIGNEE / FACILITY F S GP()L) i CONTACT NAME 1-M ADDRESS v003 i 9(6tC ton 'f PHONE S dS'3"(I/ 7,5 CITY, STATE, 1071(4 ZIP » LL X11 / A AAATERIALN NOT REGULATED BY DOT (USED OIL AND WATER) B MATERI-- L N T Rt=GULATEL BY DOT (SPENT- ANTIFREEZE) G BYJ)QT (SPENT-OBl. ABSOR ENTSL1 ND....DE&R1&). D w, y, • ", , RCI -{100)- E F Special` Handling Instruction and Additional Information: A. PROFILE # '2 `_; C."_1 --i3 D. PROFILE # B. PROFILE # E. PROFILE # C. PROFILE # F. PROFILE # SHIPPER'S CERTIFICATION: "I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified, patio ed. marked and labelled/placarded, and are Inc all respects in proper condition for transport according to applicable international and national governmental regulations." I alsooertify that all times listed above are true and correct. (SHIPPER) PRINT OR TYPE NAME SIGNATURE x x MONTH DAY YEAR (CARRIER/TRANSPORTER) PRINT OR TYPE NAME SIGNATURE s X le f- -..,---1 1). f Pi31 I ( x , S'-4 MONTH DAY YEAR / �-/ (CONSIGNEE/FACILITY) PRINT OR TYPE NAME SIGNATURE '" x x MONTH 6A YEAR ENVIRONMENTAL EPAID# WAH000039211 B.O.L. # 5402 SHIPPING PAPER ` USDOT# 21331396 263.212.5446 DELIVERY DATE , - -) _ / < WO #/ �3 / l. \!y SHIPPER /CUSTOMER CONTACT NAME ADDRESS ° (/ LA/7(k 7- fcW, 7 L ' L kJ PHONE # ;k) . (6 - c 1 CITY, STATE, ZIP (4 - CONSIGNEE I FACILITY ,` � 20 ? `✓� CONTACT NAME ILA `j ADDRESS _23)3 ?YLr . ` PHONE* x.13 3 t CITY, STATE, ZIP tk4Jtlsi /t A MATERIAL NOT REGULATED BY DOT (USED OIL AND WATER) 0 �. " Y a US (.., MATERIAL -NO (SPENT -Ott- ABSORBENTS AND DEBRIS) COMBUSTIBLE-, KO:S , 3-;-NAT993010etit, RQ1: (CONTAINS DIESEL & G E Special Handling instructs ,rnd Additional Information: A. PROFILE # 7 SS 4 - j D. PROFILE # B. PROFILE # E. PROFILE # C. PROFILE # F. PROFILE # SHIPPER'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are: classified _a packaged, marked and tabeiledlplacarderd, and are in all respects in proper condition for transport according to applicable international and national governmental regulations.' 1 also certify that all times listed above are true and correct. (SHIPPER) PRINT OR TYPE NAME SIGNATURE DAv YE R (CARRIER/TRANSPORTER) PRINT OR TYPE NAME SIG — -'-- ��}} ( / X tri j� i S 1 V �� _ w MONTH DAY t YEAR ('"± t_ (CONSIGNEE/FACILITY) PRINT OR TYPE NAME SI(��Ili X X MONTH DAY YEAR • Dixon Environmental Services LLC 4010 N 7th Street, Tacoma, WA 98406 Tel 253.380.4303 www.DixonES.com July 23, 2019 Mr. Clayton Mullendore Rivers Edge Environmental Services PO Box 908 Black Diamond, WA 98010 4SSMN, 4111111&6,. ENVIRONMENTAL SERVICES 235_ti DIXON L UST DECOMMISSIONING CERTIFICATION — 15011 TUKWILA INT. BLVD.. TUKWILA. WA Mr. Mullendore: } Dixon Environmental Services (Dixon ES) is pleased to provide the enclosed Underground Storage Tank (UST) Decommissioning Certification for the four USTs (UST2-UST5) formerly located at 15011 Tukwila International Boulevard in Tukwila, WA. The following supplemental documentation is also included: • Site Photos • City of Tukwila Fire Tank Permit • Marine Chemist Certificates for Tank Inertion • Pump and Triple Rinse Certificates • Scrap/Disposal Receipt Should you have any questions about the contents of this 380-4303. Your business is very much appreciated. Regards, Brian A. Dixon President / Principal Envir. - .1 Scientist ICC Certified UST Decommissioner - #8359322 submittal, please contact me directly at 253- 15o11 �gT M5r P€r\vaQ PNtfl xc&, Page Il DIXON UNDERGROUND STORAGE TANK DECOMMISSIONING CERTIFICATION ENVIRONMENTAL SERVICES PROJECT INFORMATION DATE: 4 - (9 4 7 -1- 19 PROJECT ADDRESS: -� ] }� I y- /t' 15911 TAA. t 1 ,,`rB J r�k 'Ja UST DECOMMISSIONER: D, Kcw l ICC CERTIFICATION #: _IJ 5zl3Jr--/ 3 a a. TIME ON SITE: 7'1) OW 0 7-1 7(15 UST PERMIT #: 35 - ( 9 TIME OFF SITE: 7 -$ 1 t$ J(/ 7_ 1t' `re O ECY NOTIFICATION? YES X No PROJECT PERSONELL EXCAVATION CONTRACTOR R^ vers r Fd �.Tj/', �tV rr} r terl �) ,,,„.,,5 MARINE CHEMIST F B. �� Maf•? n415 - Ge c?r{P O feu r SITE ASSESSOR (JP I e r( s , \ W-th 11 "ll QuM? Rin t /(14., E) r.' Prrl E411 ron Men k°o Gcntfhcr(vr NN P, UST INFORMATION TANK ID CONTENTS DIMENSIONS CAPACITY I pA,1,E ' CONSTRUCTION MATERIAL HOLES? METHOD OF DECOMMISSIONING VSToZ kern ir, 6x IZ' g,SCDU U Rendda) ‘)"71ToZi j�" ! '3'x S' 265 (4 i OSTo' v CA,pty 4I x !`I' f3t>CCa 1 uSic 5 il�Em,pf.s 3` I, $ r Si0 G DECOMMISSIONING CHECKLIST YES NO N/A NOTES SAFETY EQUIPMENT ON JOB SITE? §. OVERHEAD ELECTRICAL LINES LOCATED? SUBSURFACE UTILITIES LOCATED, OFF, OR DISCONNECTED? X WORK ZONE IDENTIFIED AND TRAFFIC CONTROLLED? )‹ DRAINED AND COLLECTED PRODUCT FROM ONES? QUANTITY? r ^ 'J( l Norte REMOVED RESIDUAL PRODUCT FROM TANKS? QUANTITY? �/ /� CLEANED TANKS? RINSE WATER QUANTITY? X// )©© Q'� / J INERTED TANKS PRIOR TO HOT WORK OR REMOVAL? ,X FIRE DEPARTMENT INSPECTION?',Y]\ DISPOSAL INFORMATION DISPOSAL METHOD DISPOSAL CONTRACTOR RECEIVING'1FACILITY LISTS 5t_ R� ‘tPr j E- c)1.. '..7t)N �rE-,n 4 %Z�a1 PRODUCT PIPING i ' 1 II I ' PRODUCT Vac 1 rue- k - Orn En V. P R S RINSE WATER ,l IT'! t( CONTAMINATED SOIL C61 047E i`S F�r`'t►'t •2 REMOVAL AND DISPOSAL CHECKLIST YES NO N/A NOTES TANK PLACEMENT AREA CLEARED? [X� SOIL STAGING AREA COVERED WITH PLASTIC? TANKS BLOCKED TO PREVENT MOVEMENT? X TANK SET ON TRUCK AND SECURED WITH STRAPS? X 1),A r.tp Trot' k." - TANK LABELED BEFORE LEAVING JOB SITE? \/ SITE ASSESSMENT INFORMATION YES NO N/A NOTES {] SITE ASSESSED FOR CONTAMINATION? tki4-(ejr. .r SOIL SAMPLES COLLECTED AND ANALYZED? L�YJ e _ ` A OBVIOUS SIGNS OF CONTAMINATION? �I �\ WATER IN TANK CAVITY? X SITE MAP CREATED? RR✓K �• art -6 SOIL/FILL CLASSIFIED? yl- F'n^!(1 I CERTIFY THAT THIS UNDERGROUND STORAGE DECOMMISIONNING WAS CONDUCTED UNDER THE SUPERVISION OF AN ICC CERTIFIED UST DECOMMISSIONER AND WAS COMPLETED IN ACCORDANCE WITH RULES AND REGULATIONS ESTABLISHED IN THE WASHINGTON ADMINISTRATIVE CODE AND THE UNIFORM FIRE CODE. SIGNATURE: ICC CERTIFICATION #: th35 (3 Q 02 George D. Blair - Northwest Marine Chemist, Inc. P.O. Box 7084, Tacoma, WA 98417 Office: 253-752-0149 Fax: Email: gbcmc637@gmail.com Rivers Edge Environmental, Inc. Survey Requested by Tank Farm Vessel Heating Oil Last Three 3 Loadings MARINE C EMIST CERTIFICATE City of Tukwilla Vessel Owner Agent Underground Storage Tank Type of Vessel 02, LEL, Visual, VOC Serial 637-01052 Page 1 of 1 Jul 8, 2019 Date 15011 Tukwilla International Blvd. Specific Location of Vessel 11:14 Tests Performed Time Survey Completed Inspected Spaces: Group 1. 1-1,000-2,000 gal UST Test Results f&03 ale LEL VOC Inspected spaces group 1 <6% N/A 150 ppm Limits of Detection 0.1 ppm VOC Safety Designations: NOT SAFE FOR WORKERS SAFE FOR MUTED HOT WORK LIMITATIONS: Specific Location: At job site. Hot Work Type: These Tanks have been purged with CO2 to <6% Oxygen and are safe for excavation and cutting of access. INERTED Inert Medium: Carbon Dioxide (CO2) Method for maintaining safe conditions: All openings are and must remain secured. Measures for safe disposal of inert gas: Ventilate and test for 20.8% Oxygen to properly dispose of inerting gas. Other instructions: Chemist shall be in attendance throughout hotwork operations. In the event of physical or atmospheric changes affecting the STANDARD SAFETY DESIGNATIONS assigned to any of the above spaces, this certificate is voided; spaces not listed on the Certificate are not to be entered unless authorized on another Certificate and/or maintained in accordance with OSHA 29 CFR 1915; or if in any doubt, immediately stop all work and contact the undersigned Marine Chemist. Unless otherwise stated on the Certificate, all spaces and affected adjacent spaces are to be reinspected daily or more often as necessary by the competent person or the authority having jurisdiction as applicable in support of work prior to entry or recommencement of work. QUALIFICATIONS: Transfer of ballast, cargo, fuel or manipulation of valves or closure equipment tending to alter conditions in pipelines, tanks, or compartments subject to gas accumulation, unless specifically arriprovedon this ertifrcate, requires inspection and a new Certificate for spaces so affected. At lines, vents, heating coils, valves, and similar enclosed appurtenances shall be considered safe' unless otherwise s • : yy designated. Movement of the vessel from its specific location voids the Certificate unless shifting of the vessel within the facility has been specifically authorized on thus certificate. T NEAR a • F lY DES! NATION : (�ug (partial list, paraphrased from NFP 306, Subsections 4.3.1 through 4.3.6) concentration a ttammaoe metenels Li *below loompartment or space so designated (a) the oxygen content of the atmosphere shall be at bast 19.5 percent and not greater than 22 percent by volume; (b) the 0 within lssible concentrations at the timed the percenttof the lower explosive lank (c) any toxic materials In the atmosphere associated with cargo, fuel, tank coatings, inerting mediums, or ftmigants are inspe NOT FE FOR WORKERS: In the compartment or space so designated, entry shen not be permitted. EN t t via t H ttkb t 1(0..I wNS: In the compartment or space so designated, entry for work is permitted only if conditions of proper protective equipment, or clothing, or time, or all of the aforementioned, as appropriate, are as specdied. SAFE FOR HOT WORK In the compartment or space so designated (a) the oxygen content of the atmosphere is not greater than 22 percent by volume; (b) the concentration of flammable materials in the atmosphere isva 8 Iflathann 10ppercent boy (tri) lower explosive) all a��lineir;tf(c) the residues, scale, or preservative coatings are cleaned sufficiently to prevent the spread d fire and are not be capable of producing a timings to prevent than spread d fire; o(the S spaces, containing or having contained flammable or combustible materials shall be sufficiently cleaned of residues, scale, or preservative y are inerted. hip's fuel tanks, lube tanks, or engine room or fie room bilges, or other machinery spaces, are treated in accordance with the Marine Chemist's requirements. SAFE FOR LIMITED HOT WORK::IInnthe compartment or space so designated nated (a) portions of the space meet the requirements Safe for Hot Work andPartial Cleaning, as applicable, or (b) the space is and thnettede aatace t acent tpespaces of hot work meet the requirementshallbe I' for or Safe for Hot Work, and hot work is restricted to specific locations; (c) portions d the space shag meet the requirements for Safe for Hot Work, es applicable; restricted. NOT SAFE FOR HOT WORK: In the compartment or space so designated, hot is not permitted CHEMISTS ENDORSEMENT. This is to certify that I have personalty determined that alt spaces in the foregoing list are in accordance with NFPA 306 Control of Gas Hazards on Vessels and have found the condition of each 10 be in accordance with its assigned designation. 'The undersigned aGnaa!edges receipt of the Certificate under !FPA 306 and urdeaaes conditions and limitations This Certificate b bisect on conditions existing at the time the inspection halvah, ca font was completed and is issued urger eintch I was Issued, and the requirements for maintaining IS vseddy.' subject to corrtp6sr10e wkn as Wasfiutora we instructions_ Rivers Edge Environmental, Jul 8, 2019 Authorized Representative Company Date 637 Signed Marine Chemist CMC No. George D. Blair - Northwest Marine Chemist, Inc. P.O. Box 7084, Tacoma, WA 98417 Office: 253-752-0149 Fax: Email: gbcmc637@gmail.com Rivers Edge Environmental, Inc. Survey Requested by Tank Farm Vessel Heating Oil Last Three 3 Loadings MARINE C EMIST CERTIFICATE City of Tukwilla Vessel Owner Agent Underground Storage Tank Type of Vessel 02, LEL, Visual, VOC Serial 637-01054 Page 1 of 1 Jul 8, 2019 Date 15011 Tukwilia International Blvd. Specific Location of Vessel 11:16 Tests Performed Time Survey Completed Inspected Spaces: Group 1. 1-1,000 Gal. UST Test Results % O, % LEL VOC Inspected spaces group 1 20.8% 0% 1 ppm Limits of Detection 0.1 ppm VOC Safety Designations: ATMOSPHERE SAFE FOR WORKERS SAFE FOR LI►^_7ITED HOT WORK LIMITATIONS: Specific Location: At job site. Hot Work Type: This tank has been pressure washed in excess of EPA triple rinse requirement, and is free of running liquid residue, flammable vapors and liquids, and is safe for excavation and transportation. In the event of physical or atmospheric changes affecting the STANDARD SAFETY DESIGNATIONS assigned to any of the above spaces, this certificate is voided; spaces not listed on the Certificate are not to be entered unless authorized on another Certificate and/or maintained in accordance with OSHA 29 CFR 1915; or if in any doubt, immediately stop all work and contact the undersigned Marine Chemist. Unless otherwise stated on the Certificate, all spaces and affected adjacent spaces are to be reinspected daily or more often as necessary by the competent person or the authority having jurisdiction as applicable in support of work prior to entry or recommencement of work. QVALIFICATIONS: Transfer of ballast, cargo, fuel or manipulation of valves or closure equipment tending to atter conditions in pipelines, tanks, or compartments subject to gas accumulation, unless specifically approved on mss t.ertificeite, requires inspection and a new Certificate for spaces so affected. Alt lines, vents, heating coils, valves, and similar enclosed appurtenances shall be considered 'not safe' unless otherwise specifically designated. Movement of the vessel from its specific location voids the Certificate unless shifting of the vessel within the facility has been specifically authorized on this certificate. STANDARD SAFETY DESIGNATIONS: (artial list, paraphrased tom NFP 306, Subsections 4.3.1 through 4.3.6) A I MV SPHL 9c�H WU b SAFE FNKbNS: In the compartment or space so designated (a) the oxygen content of the atmosphere shall be at least 19.5 percent and not greater than 22 percent by volume; (b) the concentration or flammable matenats is below 10 percerd of the lower explosive limit; (c) any toxic materials in the atmosphere associated with within permissible concentations at the time of the inspection. cargo, • tank ooattngs, inerting mediums, or fumigants are NOT SAFE F R WORKERS: In the compartment or space so designated, entry shall not be permitted a - ' • S: In the compartment or space so designated, entry for work is permitted only ii conditions of proper protective equipment. or clothing, or time, or all of the aforementioned, as ppfopra e, we 83 SAFE FOR HCT •RK: In the compartment or space so designated (a) the oxygen content of the atmosphere is not greater than 22 percent by volume; (b) the concentration of flammable materials in the a osp -re is ass i an 10 percent of the lower explosiveovlimit; (c) � residues, scale, or preservative coatings are cleaned sufficiently to prevent the spread of fre and are not be capable of producing a higher concentration than by (a)h (b);(d)4 paces, containing or having contained flammable or combustible materials shall be sufficiently leaned of residues, scale, or preservative coatings to prevent the spread of fire; or they are Marled. Ship's fuel tanks, lube tanks, or engine room or fire room bilges, or other machinery spaces, are treated in accordance with the Marine Chemist's requirements. SAFE FOR LIMITED HOT WORK In the compartment or space so designated (a) portions of the space meet the requirements Safe for Hot Work and Partial Cleaning, as applicable, or (b) the space is sorted, adjacent spaces meet the requirements for Safe for Hot Work, and hot work is restricted to specific locations, (c) portions of the space shall meet fie regtsrements for Safe for Hot Work, as applicable; and the nature or type of hot work shall be limited or restricted. NOT SAFE FOR HOT WORK In the compartment or space so designated, hot is not permitted CHEMISTS ENDORSEMENT. This is to certify that I have personalty determined that all spaces in the foregoing list are in accordance with NFPA 306 Control of Gas Hazards on Vessels and have found the condition of each to be in accordance with its assigned designation. 'The undersigned acknowledges receipt of this Certificate under NFPA 306 and understands conditions and limitations This Certificate is based on conditions existing at the rine Inde inspection herein set forth was completed and is issued under which It was issued, and the requkemens for maintaining its validity.' subied to complance with 11 qualifications and ktstnrNons_ Rivers Edge Environmental, Authorized Representative Company Jul 8, 2019 Date Signed Marine Chemist Geoige D. Blair - Northwest Marine Chemist, Inc. P.O. Box 7084, Tacoma, WA 98417 Office: 253-752-0149 Fax: Email: gbcmc637@gmail.com Rivers Edge Environmental, Inc. Survey Requested by Tank Farm Vessel Unknown Last Three 3 Loadings MARINE C City of Tukwilla Vessel Owner Agent Underground Storage Tank Type of Vessel 02, LEL, Visual EMIST CERTIFICATE Serial 637-01055 Page 1 of 1 Jul 8, 2019 Date 15011 Tukwilla International Blvd. Specific Location of Vessel 11:13 Tests Performed Time Survey Completed Inspected Spaces: Group 1. 1-500 Gal? UST Test Results Inspected spaces group 1 O, /9 LEL 5.7% N/A Safety Desiunations: NOT SAFE FOR WORKERS SAFE FOR MATED HOT WORK LIMITATIONS: Specific Location: At job site. Hot Work Type: Safe for excavation and cutting of access. in the event of physical or atmospheric changes affecting the STANDARD SAFETY DESIGNATIONS assigned to any of the above spaces, this certificate is voided; spaces not listed on the Certificate are not to be entered unless authorized on another Certificate and/or maintained in accordance with OSHA 29 CFR 1915; or if in any doubt, immediately stop all work and contact the undersigned Marine Chemist. Unless otherwise stated on the Certificate, all spaces and affected adjacent spaces are to be reinspected daily or more often as necessary by the competent person or the authority having jurisdiction as applicable in support of work prior to entry or recommencement of work. QUALIFICATIONS: Transfer of ballast, cargo, fuel or manipulation of valves or closure equipment tending to alter conditions in pipelines, tanks, or compartments subject to gas accumulation unless specifically approved on this l.ertficate, requires inspection and a new Certificate for spaces so affected. At lines, vents, heating coils, valves, and similar enclosed appurtenances shall be considered "not safeunless otherwise specificalty des'gnated. Movement of the vessel from its specific location voids the Certificate unless shifting of the vessel within the facility has bean specifically authorized on this certificate. gTANppAR SAFETY of�S I NATIQQN$: (partial list, paraphrased from NFP 306, Subsections 4.3.1 through 4.3.6) A t MUSYH1 t bAFt hJK KpthKS: In the compartment or space so designated (a) the oxygen content of the atmosphere shall be et least 19.5 percent and not greater than 22 percent by volume; (b) the concentration of flammable matenals is below 10 percent the lower explosive limit; (c) arty toxic materials in the atmosphere associated with cargo, fuel. tank coatings, netting mediums, or fumigants are within permissible concentrations at the time of the In NOT SAFE FOR WORKERS: In the compartment or space so designated, entry shall not be permitted. EN I t vvr t h Ktm I KK. I IuNS: In the compartment or space so designated, entry for work is permitted only if conditions of proper protective equipment, W appropriate, are as s ecified. clothing, or time, or all of the aforementioned, as SAFE FOR HOT less RK: In1the compartment or space so designated (a) the oxygen content of the atmosphere is not greater than 22 percent by vokxne. (b) the concentration of flammable materials in the higher atmosphereislessthan percent of th)e) lower explosive lurid; (c) the residues, scale, or preservative coatings are cleaned sufficiently to prevent the spread of fire aro are not be capable of producing a coatings concentration prevent the read otedeby (() or (b); (d) all adjacent spaces, containing or having contained flammable or combustible materials shall be sufficiently cleaned of residues, scale, or preservative ns to requirements. they are inetted. Ship's fuel tanks, tube tanks, or engine room or fire room bilges, or other machinery spaces, are treated in accordance with the Marine Chemist's SAFE FOR LIMITED HOT WORK In the compartment or space so designated (a) portions of the space meet the requirements Safe for Hot Work and Partial Cleaning, as applicable, or (b) the space is neted, adjacent spaces meet the requirements for Safe for Hot Work, and hot work is restricted to specific locations; (a) potions of the space shall meet the requirements for Safe for Hot Work, as applicable; and the nature or type of hot work shall be limited or restricted. NOT SAFE FOR HOT WORK In the compartment or space so designated, hot is not permitted. CHEMISTS ENDORSEMENT. This is to certify that I have personally determined that all spaces in the foregoing list are in accordance with NFPA 306 Control of Gas Hazards on Vessels and have found the condition of each to be in accordance with its assigned designation. 'The undersigned acknowledges receipt of this Certificate under NFPA 306 and understands conditions and IkrRaeons This Cendlcale is based on conditions exMing at the time the Inspection herein set forth was completed and is issued under which it was issued, end the requirements for makdainfng its validity.' sullied to compliance with all qualifications and instructions, Authorized Representative Rivers Edge Environmental, Jul 8, 2019 Company Date 637 Signed Marine Chemist CMC No. George D. Blair - Northwest Marine Chemist, Inc. P.O. Box 7084, Tacoma, WA 98417 Office: 253-752-0149 Fax: Email: gbcmc637@gmail.com Rivers Edge Environmental, Inc. Survey Requested by MARINE C City of Tukwilla Vessel Owner Agent EMIST CERTIFICATE Serial 637-01056 Page 1 of 1 Tank Farm Underground Storage Tank Vessel Type of Vessel Unknown 02, LEL, Visual, VOC Jul 9, 2019 Date 15011 Tukwilla International Blvd. Specific Location of Vessel 9:56 Last Three 3 Loadings Tests Performed Time Survey Completed Inspected Spaces: Group 1. 1-750 Gal. UST Test Results % O, % LEL VOC Inspected spaces group 1 14.5% <1% 4 ppm Limits of Detection 0.1 ppm VOC Safety Designations: NOT SAFE FOR ¶NORKERS SAFE FOR LIZITED HOT 1,7ORK LIMITATIONS: Specific Location: At job site. Hot Work Type: Safe for excavation and cutting of access. In the event of physical or atmospheric changes affecting the STANDARD SAFETY DESIGNATIONS assigned to any of the above spaces, this certificate is voided; spaces not listed on the Certificate are not to be entered unless authorized on another Certificate and/or maintained in accordance with OSHA 29 CFR 1915; or if in any doubt, immediately stop all work and contact the undersigned Marine Chemist. Unless otherwise stated on the Certificate, all spaces and affected adjacent spaces are to be reinspected daily or more often as necessary by the competent person or the authority having jurisdiction as applicable in support of work prior to entry or recommencement of work. QUALIFICATIONS: Transfer of ballast, cargo, fuel or manipulation of valves or closure equipment tending to atter conditions in pipelines, tanks, or compartments subject to gas accumulation, unless epproved oh t is t.ertRcate, requires inspection end a new Certificate for specie so affected. As lines, vents, heeling oohs, valves, end similar enclosed appurtenances shell be considered 'not s>�ess otherwise specifically designated. Movement of the vessel from its specific location voids the Certificate unless shifting of the vessel within the facility has been specifically authorized on this certificate. STANDARD SAFETY DESIGNATIONS: (partial hat, paraphrased from NFP 306, Subsections 4.3.1 through 4.3.6) In the compartment or space so designated (a) the oxygen content of the atmosphere shell be at least 19.5 perces and not greater than 22 percent by volume; (b) the concentration o flammable ma ens is below 10 percent of the lower explosive limit; (c) any toxic materials in the atmosphere associated with cargo, fuel tank coatings, inerting mediums, or fumigants are within Spermmissssiiblle concentrations at the time of the inspection. N tit AF (H FtkS l RK 1Rr}N In the the compartment or space so designated, entry shall not be permitted. compartment or space so designated, entry for work is permitted only rf conditions of proper protective equipment, or cloth ng, or time, or all of the aforementioned, as appropriate, are as specified. ,SAFE FOR HOT WORK In the compartment or space so designated (a) the oxygen content of the atmosphere is not greater than 22 percent by volume; (b) the concentration of flammable materials in the atmosphere is less than 10 percent of the lower explosive limit; (c) the residues, scale, or preservative coatings are cleaned sufficiently to prevent the spread of fire and are not be capable of producing a higher concentration than permitted by (a) or (b); (d) all adjacent spaces, containing or having contained flammable or combustible materials shall be suaticlently cleaned of residues, scale, or preservative coatings to prevent the spread of fire; or they are carted. Ship's fuel tanks, lobe tanks, or engine room or fire room bilges, or other machinery spaces, are treated in accordance with the Marine Chemist's requirements. SAFE FOR LIMITED HOT WORK In the compartment or space so designated (a) portions of the space meet the requirements Safe for Hot Work and Partial Cleaning, as applicable, or (b) the space is mated, adjacent Spaces meet the requirements for Safe for Hot Work, and hot work is restricted to specific locations; (c) portions of the space that meet the requirements for Safe for Hot Work, as applicable; and the nature or type of hot work shall be limited or restricted. NOT SAFE FOR HOT WORK: In the compartment or space so designated, hot is not permitted. CHEMISTS ENDORSEMENT. This is to certify that I have personally determined that all spaces in the foregoing list are in accordance with NEPA 306 Control of Gas Hazards on Vessels and have found the condition of each to be in accordance with its assigned designation. 'The undersigned acknowledges receipt of this Certificate under NFPA 306 and understands conditions and limitations This Certificate Is based on conditions edstkp at the time the inspection herein set forth was completed and is issued subject to compliance with afi qualifications and instructions. under which fi was issued, and the requirements for maintaining is validity.' Rivers Edge Environmental, Authorized Representative Company Jul 9, 2019 Date 637 Signed Marine Chemist CMC No. PHOTOLOG Photo 1: Pumping Residual Product from UST3 Photo 3: Removal of UST3 .41:tilib, ENVIRONMENTAL SERVICES DIXON Photo 2: Marine Chemist Checking for Flammable Vapors in UST3 Photo 4: Triple Rinsing UST3 Page 1 PHOTOLOG Photo 5: Cutting Holes in UST2 Photo 7: Tank Loaded for Disposal X DIXON ENVIRONMENTAL SERVICES Photo 6: Cleaning UST4 Photo 8: UST Labeled Inert for Disposal Page 2 PHOTOLOG Photo 9: UST4 Loaded for Disposal DIXON ENVIRONMENTAL SERVICES Photo 10: Cleaning UST5 Page 3 Date: ENVIRONMENTAL Pump and Rinse Certification Job: kw4 IJ A j W 4 To Whom It May Concern: This letter is to certify that the following tank(s), sized at have been pumped and rinsed for removal. 4. Work was performed at: ��/ Address l cP),( UrC.J°/(1 (f:J�� For: de, --S 4 criv ,/zoo Please note that this letter does not certify that the above tank(s) have been cleaned for disposal or that it (they) should be considered gas -free. Sincerely, Northern Environmental Services 253.503.3096 7517 Portland Avenue, Suite B, Tacoma, WA 98404 Phone: 253.503.3096