HomeMy WebLinkAboutSLOUNIFLOW_FS1 Admin iRC3926i Color_2488_001ilI Pacifrc Easand
Elw,fric Cotnpany,
Environmental Remediation
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April22,2010
Corey Walsh
California Regional Water Quality Control Board
Central Coast Region
895 Aerovista Place, Suite 101
San Luis Obispo, California 93401
$ubject: Transmittal of Underground Storage Tank tnvestigation Report, Pacific Gas and Electric
Company, San Luis Obispo Servrce Center, 4325 S. Higuera Sfreed San Luis Obispo,
California
Dear Mr. Walsh:
Attached is the Underg round Storage Tank tnvestigation Report, Pacific Gas and Etectric Company, San
Luis Obispo Servrbe Center, 4325 S. Higuera Street, San Luis Obispo, California prepared by Staniec
Consulting Gorporation and dated Apri|22,2010. The report presents the results of a subsurface
investigation that was conducted in the vicinity of the former undprground storage tanks at the pG&E San
Luis Obispo Service Center. ' / , ,
Based on the results of this investigation, no further work appears necessary for this site at this time.
PG&E requests your review and written approval of this report.
Please contact me at 925.41 5.6371 or r4sw@pge.com if you have any questions.
Sincerely,
WL
Robert Saur, PG
Remediation Project Manager
/cc: fl("rry Boyle, City of San Luis Obispo Fire Department
,1
T
Underground Storage Tank
lnvestigation Report
Pacific Gas and Electric Company
San Luis Obispo Service Center
4325 S. Higuera Street,
San Luis Obispo, California
PN: 185702213
Stantec
I
April26, 2010
,)
Stantec
UNDERGROUND STORAGE TANK INVESTIGATION REPORT
PACIFIC GAS AND ELECTRIC COMPANY
Results
April26,2010
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3.0 Results
3.1 SUBSURFACE STRATIGRAPHY AND GROUNDWATER OCCURANCE
Based on the EC logs, the area of investigation is underlain by soils interpreted as an interbedded
heterogeneous sequence of sands, silty sands, silts, and clays of varying thickness. Soil layers greater
than a few feet thick exhibiting conductivity values of less than 50 milli-Siemens per meter or mS/M
(interpreted to be composed predominantly of sand) were encountered within the upper 40 ft-bgs in all
borings. These sand layers are interbedded with layers characterized by higher conductivity values
(greater than 50 mS/M) and interpreted to be finer-grained sediments (silts and clays).
Groundwater was encountered and groundwater samples were collected within the upper 20 ft-bgs at
boring locations SLO-1, SLO-2, and SLO-4. Groundwater sampling was attempted in SLO-3 within the
upper 17.5 ft-bgs and in SLO-2 at 20 to 24 ft-bgs and 32 to 36 ft-bgs, but free-draining groundwater was
not encountered within these intervals.
3.2 MIP PROFILE RESULTS
The MIP sensors (FlD and PID) indicated possible low levelVOC impacts at boring SLO-2 from 10 to 1B
ft-bgs. All other MIP borings showed no evidence of volatile fuel hydrocarbon impacts to the subsurface.
3.3 ANALYTICAL RESULTS
Groundwater analytical results are summarized on Table 2. Results were compared to the Maximum
Contaminant Levels or MCLs established for drinking water by the California Department of Public Health
(CDPH), which are enforceable regulatory drinking water standards. There are two types of MCLs,
primary and secondary. Secondary MCLs are established for aesthetic reasons such as taste, odor or
color, and are not health-based standards. Primary MCLs are health-protective standards that must be
met by public water systems. Groundwater data were screened against primary MCLs. For chemicals
lacking an MCL, the CDPH Drinking Water Notification Level or DWNL (formerly referred to as "action
levels") was used for comparison. Notification levels are health-based advisory levels established by
CDPFlfor chemicals in drinking water that lack MCLs. For comparison purposes, MCLs and DWNLs are
included on Table 2. Complete laboratory analytical reporis and COC records are provided in
Appendix D.
A total of three grab groundwater samples were chemically analyzed during this investigation. TPHd was
detected above the laboratory reporting limit in allthree samples at concentrations ranging from 150 to
2201tg/-. At Stantec's request, the laboratory re-analyzed the samples for TPHd after subjecting the
samples to a silica gel pretreatment procedure (EPA Method 3630C). This procedure uses silica gel to
remove non-petroleum organic matter (polar constituents) prior to analysis. Re-analysis following the
silica gel cleanup revealed no detectable TPHd in all three samples, indicating the low level positive
tm ilpg&e\ust project group b satesveports\sn luis obispovpt-san luis obispo-fnl.doc 3-1
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Stantec
UNDERGROUND STORAGE TANK INVESTIGATION REPORT
PACIFIC GAS AND ELECTRIC COMPANY
Results
April26, 2010
)
,
results in the initial analysis is likely related to the presence of non-petroleum related organic matter
within the C10 to C40 range. Toluene and MTBE were detected in the groundwater sample from boring
SLO-2 at concentrations of 1.3 pg/L and 1.2 pg/L, respectively. No other petroleum hydrocarbons or fuel
constituents were detected in any of the samples.
3.3.1 Quality Assurance and Control Review
Field- and laboratory-based quality assurance/quality control (OA/OC) measures were implemented
during this investigation to ensure that the data are valid and are of adequate quality for their intended
purpose, Field QA/QC samples included a trip blank sample. A blind duplicate sample was not collected
due to insufficient water volume in the boreholes. All downhole sampling equipment was thoroughly
decontaminated between sampling locations to minimize potential cross-contamination. Laboratory
OA/QC measures were consistent with those required by the analytical methods and included matrix
spike/matrix spike duplicate samples, method blanks, surrogate spikes, and laboratory control samples'
No target analytes were detected in the trip blank sample. Based on Stantec's review of the field and
laboratory eA/eC results, the data collected during this investigation are considered valid and useable for
their intended purPose.
tms rlpg&e\ust proJecl group b sitesveports\san luis obispovpt-san luis obispo-fnl.doc 3-2
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Stantec
UNDERGROUND STORAGE TANK INVESTIGATION REPORT
PACIFIC GAS AND ELECTRIC COMPANY
Discussion of Results and Recommendations
April26,2010
a
4.0 Discussion of Results and Recommendations
MIP resulis revealed evidence of low level volatile fuel hydrocarbon impacts to the subsurface at a single
MIP boring location advanced around the former USTs. Laboratory testing results for groundwater
samples revealed only minor concentrations of toluene and MTBE in a single groundwater sample.
concentrations reported in the sample were below their respective MCLs. Results of this investigation
are consistent with data collected at the time of UST removal in 1996. Based on current investigation
findings and the previous source removal and investigation findings, Stantec concludes that that no
significant leakage from the former USTs occurred. Minor residualfuel hydrocarbons in shallow
groundwater are localized, at concentrations below drinking water standards, and do not pose a threat to
surrounding water supply wells. Accordingly, no further investigation appears necessary at this time.
tms ilpg&e\ust project group b sitesveports\san luis obrspovpt_san lurs obispo_fnt.doc 4-1
Gtyo[sanluls ortspo
Re
March 4,2004
FIRE DEPARTMENT
2160 Santa Barbara Avenue . San Luis Obispo, CA 93401'5240 ' 805/781-7380
'tCourtesy E Seruice"
Pacific Gas and Electric Company
Mr. Mike Newsom., Environmental Consultant
P. O. Box 119
Templeton, CA. 93465
4325 S. Higuera St., San Luis Obispo, CA. Closure of Waste Oil
Underground Storage Tank.
Dear Mr. Newsom:
On April 22,2003 one waste oil tank was cleaned, removed, and properly disposed of
from the address mentioned above. The tank was noted to be in good shape with no
holes, and no contamination was observed in or near the tank excavation. Soil
samples were collected from along the sidewalls of the tank excavation at a depth of 8
feet. Samples were analyzedfor TPH-Motor Oil and CAM 17 Metals, with results
below regulatory levels. Provided that all of the information regarding this site is
current and correct, we are closing our oversight of this project with no further
requirements. Should additional or previously unknown contamination be discovered
at the site, further assessment and/or remediation willbe required.
Please contact me at (805) 731-7383 should you have any questions or concerns
regarding this correspondence.
Sincerely,
N,(//4"?-
D. Keny Boyld
Hazardous Materials Coordinator
cc:Building Division Address File
Mr. Corey Walsh, RWQCB
Th.e City of San.Luis-Obispo.is commitfe-d-lo-inclu{e the disabled in all ot its services, programs and activities. @Telecommunications Device for the Deaf (805) 781-7410.
March 29, 1996Mr. BilI FrazierPacific Gas & Electric Company
406 Higuera Street
San Luis Obispo, Cdlifornia 934OL
Subject: Tank Removal and Ground-water Sampling for PG&E Service
Center, San Luis Obispo, California
Upon review of the analytical results of groundwater samples
collected from beneath the former location of the underground
storage tank and fuel dispenser, this office has determined that
no further action is required in this area. However, you aredirected to continue to actively bioremediate the stockpiled
irnpacted soils.
SAN LUIS OBISPO COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH
2156 Sierra Way O P.O. Box 1489 o San Luis Obispo, California 93406
TEIEPHONE (80s) 781-5s44 . FAX (80s) 78r-421r
any
Codeis
Pl-ease be advised that this letter does not relieve you ofresponsibilities mandated by the California Health & Safetyif additional or previously unidentified contamination
discovered at the subject site.
ShouId you
contact the
have any questions regarC j-ng
Hazardous Materials Division at
this matter, please
(805) 781-ss5s.r
CHARLES
Senior
K. TENBORG M.S.,.E
Envi-ronmental Health
H.S, R.E.A.
Special ist
A DEPARTMENT OF THE SAN LUIS OBISPO COUNTY HEALTH AGENCY
\
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CUESTA GEOTECHNICAT
An Environmental Service
670 Chorro Street, #D
San Luis Obispo, CA 93401
(8os) s43-4084
March 25, \996
Bill Frazier
Pacific Gas & Electric Company
PO Box 592
San Luis Obispo, CA 93/106
Re: Pacific Gas & Electric Company,4325 S. Higuera Street, San Luis Obispo, CA
MWL and MW2 were monitored, bailed, and sampled according to Regional Water
Quality Control Board regulations. The groundwater depths for MWL and MW2 are
9.99 feet below grade and 6.40 feet below gtade, respectively
The following Site Map shows the location of MWL and MW2 (no scale):
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Building
O O
MW1MW2
Sincerely,
T ewa
The bailed water, approximately 29 gallons, was stored in one of the metal drum on-
site you approved ior this purpose. The drum was labeled to indicate bailed water
from MWi^and MW2. Th6 grbundwater samples were obtained the following day
after the monitoring wells ha-d recharged. The groundwater samp]9s were_ul4ryqq
for TpH diesel, fflff gasoline, and BTUX using EPA methods 8260 and GC/MS
Combination. The onf constituent above the drinking water level was benzene in
MW2, with a concentration of 3.2 parts per billion. The laboratory report sheets are
attached.
Thank you for using Cuesta Geotechnical. If you have any questions, please call Leo
Fedewa at (805) 54$4084.
rl.. a{17
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Registered Geologist
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71 eaca sdlto 1 1O - ran luh cs 93{$1 - fax 8O5/54+ 8226 - tsl 8OSJ544 4696
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a3-25-L9f)6 L2.4aF||1 ZgmaX enu lrotechno logg 1 8A5 y4 A226 P.A3
REPORT OF ATTALYTICAL RE$ULTS
Leo Fedcwa
Cucsta Geoteohnloal
67O Ghorro St.,8t . D
San CA 93tl0l
hoiect;
Prolrct ttlur$cr:
Higuera gample Decriptionl
MW#1
Andyzcd: O3/ellgG
lletM: Sec Below
Lab llumber:
Collecttd:
Rrcrivtd:
Illairh:
8440-1
o3/18/96
o3/15/s6
t
Brnzcne
Toluene
Ethylbenzene
Xylsne$
Fercent Surrogate Recovery
0.5
o.5
o.5
o.5
ND
ND
ND
ND.
100
TOTAL PETROLEUM HYDftOCAREONS
Gasoline
BTX as a Percent of Fuel
50.ND
N/A
ZymaX cnvlroradrnolofly, hc. ls ccntf,ed by CA Dcpartmcnt of l{edth ScMcec: Ltborttory }171.7
IFOL - fuicd Ouentitetlon Umit
+'Resultr fisted ar t{D would have been reported if present at or above the listed POL-
Notc: Andyrrd by EFA 8260 and GCmS Combination.
Submitted by,
ZyioaX erwiruteclxtologY, inc-
$-r"*MSD #1
g44O-1.xle
JMM{gt/wr/wi
John MacMurphery
Laboraory Director
7l Zcr Lrnr, Suirr I l0
3en Luir Obispo. Cr[fromia 93{Ol
fex 80 3.5{tt.a226
rc 80!.!44.4396e.meil: zTnrx@callamer-cont
lYmaJL
a3-25-1996 12:41PM ZgmaX enu irotechno iogg
-'"-
onYlrotG .lnologly
1 8A5 544 8,226 P.@4
FEFOFT oF ANALYTICAL RESULTS
Fco Fcdcwa
cuceta Gcot*lricd
070 Chor $t., stc. D
Srn Luis cA 934-1
Proieat:
Project ilsmber:
Fc&E - S. l$gurta
teo Fedewa
Srrnplc Dcrcriptim:
tww tl
Andyzed: 03/22196
Matrod: Scs s{row
t b itumbfi
CoIcctGd:
Fect|vrd:
itatrix:
8440.1
0'3t22t96
o3/15/96
Agueous
I
TOTAL PETHOLEUM FTYDHOCARBONS
Dicml
Percent Surrogate 66qov€ry
100,ND
97
ZvttttX mvlrotcduology,inc. ie ccrtficd by CA Drpartmrnt of Hedtt Seruice: L:boratory #1717
"POL. Prestio.I Orrrttltetion Umit
rrne$dfii listed ae ND wouH have becn rcportcd if prcscnt at or lbovr fta lHt d POL
ilotcr And,y*+d by GC/ilB Comh'nrtion-
Note: E:rtracted by FPA 3510 m 03tUOl96.
Note: Ana$gd rangc ic C844{}.
Submitted by,
ZymaX envirotechnology, inc.
IUISD #5
844O-lt.xls
JMM/lp/drlld Laboratory Dirsctor
7l Zacr I,laA Suite I l0
$n Luit Olhpo. Crlifornh 93{01
lrx 101.5{a.8126
tcl 803.911.a5t6*mril; rtmu@salhmer.com
a3-25-1996 12:41PN ZgmaX enu irotechno logg
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onYltot -hnology
1 845 544 A226 P.AS
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FEPOhT OF ANALYTICAI HESULTSLYm,A]L
Guesta Gsotschnlod
67O Ghorro 8t., gt . D
Leo
San luls cA e3401
Lab filumber:
Cdl+ctcd:
Rcceived:
Maflx:
8/na-z
o3/15/96
03115/96
Aqucour
Prdest:
Prdect luumber;
s.
Leo Hewa
$nmpb Delcripfon:
|tltfi 12
Andyzedl 0$/21/96
llrfiod: See Bdout
Benzcne
Toluene
Ethvlbenzene
Xylenes
Percent Surrogate Recovery
o.5
o.5
o.s
o.5
3.2
NO
0.7
o.7
99
TOTAL PETROLEUM HYDROCAREONS
Ga*oline
BTX ae a Psrcent of Fuel
50.150.
3
ZyrnaX cnvmhnotoqy, inc. C cffiifisd by GA Depertmen't of llealth Sewlcet:Laborf,to'ry #1717
*POL - Frrcricrl Ouantita$on lt'r*t
*rgecults llsted c ND wordd h*c bccn tcpgrtrd lf ptsont at or above thc listcd POL
Itlota: Analyrfll hy EPA 8260 erd GC/ilS Combinalion.
Submittod by.
Zymd( cnvlrotecfi nology, inc.
MSD #1
8440-2.xls
.rMMllgt/wr/wi
hffi
Lahorrtory Dbector
7l ?ecr Lrnc, St tc I l0
Srrt Lub ObDpo. Cattbrnh 93.t0t
fax 805,54a.8116
td, BOS.5la,a69ae-mrtt zyrmx@crlhmer.com
A3-25-1996 I?tAIPn ZgmaX enuirotechnologg
lYmT fi;il.ffiio""
1 8A5 s44 A2?6 P.A6
i
REFiOr.. OF ANAtYnCAt REBULTS
Cliefitl Feo Fodora
Currta Caot fihd
O7O Chon St., $ta. D
San lrds Obbeo, CA 934-l
hoiect:
Projoct Numbcr:
- 8, Hiwcra $awlc Destrtiort;
ilw f2
Andyred: 03/A/96Method: S€e 8do$t
Lab t{umber:
Collemcd:
Rcceivcd:
Mrtrix;
8440-.2
03t22ts6
03115/98
Aoucogr
t a
TOTAL FETHO LEUM IJYDHOEAHBONS
Dieccl
Parccnt Surrogat+ Rrcovrry
100.ND
8t
Zymd( uvlrotrchnolo$l, inc. b orrmqO hV GA DFrrtment of He*th Stvloos: L*ot*3orV #1717
'POL - Prrcdoal Ourrlitrtifi Lifiit
**R;rultr llcftd rg t{D rruoqld havt bren rtportd lf prcnent rt or lbove fr lhted FOL.
Hote: Analyzad by GG/mS Gomh&rrton.
Notc: Extractcd by EPA 3510 on OtlZlOl$E,
Note: AnalyticC ranga lt G8-.C4O.
$ubmitted by,
Zymd( €flYlruEcfuidogy, hc.
M$D #5
844t1-zt.xt$
JMMllp/&6d Labontory Dlrcctor
71 ?-zal-ane, Suirq I lO
Srn tulr Obirpo, Crllficrnh 9t{01
fax 60S.s{4,8226
rrl c05.544.4{96+.mell: zTrmr@allarncr.com
TOTflL P.A6
COUNIYO[ SAN LUIS OBISPO
Depaftment of Public Health
?191 JohnsonAvenue . P.O. Box 1489
San Luis Obispo, Catifornia 93406
(805) 549-s500
Reply to: Dl-vlslon of Envlronmental Health
549-5s44
February 16, 1989
Underground Tank Owner and/or Operator
RE: SLO SERVICE CENTER _ 4325 S HIGUEM, SAN LUIS OBISPO
We have recelved your payment for your 1989 permlt to operate an underground
storage tank. Please note the box(es) checked off for lnformatlon needed to
complete the processlng of your permlt. Your prompt reply to ensure your
permlt ls flnallzed would be appreclated.
The followlng were not recleved:
Monitoring alternatlve not lndicated, see attached monltorlng
alternatives (lnclude frequency).\_
\_
HEALTH AGENCY
7^U.
Preclslon test results.
\ Leak detector on pressure plping.v YES or NO (circle one).
\ Double walled plpes.
YES or N0 (clrcle one).
\ Are pipes SUCTION or PRESSURE (clrcle one).
Monltorlng alternatlve :
\Monitorlng alternatlve is not applicable for locatlon and/or slze
and number of tanks.
Please return this letter within i5 days. If you have any questions,
please contact rhis offlce at 549-5544.
TTI,T MAZZACANO,
Divlsion of Env
R.E.H.S., Dlrector
onmental Health
0l s/s-*
fu+-t tEry
b.--V '-s
/ 166
CLL cd
HEATHER PARIS, R.E.H.S.
Envlronmental Health Officer III
TM/HP: Kd
REFERENCE No: 251566
t
t
PAc'TFIc, GIAS A\TD EI,EIc;itrR,Ic, c,OIVIPA\TY
PG@E -+-SAN LUIS OBISPO, CALIFORNIA 93406 . (805) 544'3334
REGTIVTt)
FEB 10 1984
e$v'ngxl+flrrAl.
410 HIGUERA BOX 592
D. L. KENNADY
DISTRICT MANAOER
February B, t984
Mr. Ray Jenson
County Health Department
P. 0. Box 1489
Sanluis Obispo, CA 93406
Dear Mr. Jenson:
Per your requesL, attached are the copies of fsrms pertaining to
the PCB oil contaminaled clean up at the PGandE corporation yard
ax 4325 S. Higuera Street.
If I can be of any further assistance please give me a call.
S incere 1y,
d^. thloR.VJ. MC KELL
District Electric Superintendent
RJM:lk
ALtachments
\
FOpE
Ele.-:r!a ODarrtlon3
6'2.3645
RcY- t./80
lf 5l:iil '*as disovered on tou
Date Discovered
ATTACHMENT A
PCB FLUID SPILL
OR LEAK REPORT Date 2-3-84
GENE RAL IDENTI F TCATION Time on-qolnq
g1";r;e6 Coast Vallevs Substation Circuit N/n
Diitricr Los Padres Headquarters San Luis Obispo
Date of Spill unknown Time of Spill N/a
tine inspection
2-3-84 Date Equipment Was
Previously lnspeaed N/l'
Location (Be specific, i-e., on East Napa Street, one pole east of 3rd Street, East Sonoma)
City San LUis Obispo County San Luis Obispo
southwest co rner of Service Center vard
Type of Equipment lnvolved
E Capacitor
Cassa:
Unit Failure
tr Unit Leaking
E Transformer 6l Other soi'l
B Third Party Accident
tr Unit Damaged During Handling
PGandE oil storage tank
Lightning
6 on.t
Parron Reporting Spill
Vic Borges
DESCBIPTION
Gserd Description of Spill Area:
Atnaxrnt ol Fluid Spilled (gallons):
E Less than one E1 .2
664-249 or (Bo5) 543-7781Telephone
D Residential Neighborhood - (Street Area)
E Residential Neighborhood - lRear Lot Line)
E Shopping Center
E Business District
6 FarmlBanch Area
E Food/Feed Processing Facility
El Playground/School Area
B RuralHighway
E lndustrial
B Other
tr2-5 tr5-10 El0-20 tr20-50
EJOther , . ,,
lGl'rr
02-3686
RcY t/80 )
PC6 FLUID SPILL CLEANUP REPORT
ATTACHMENT B
GENERAL IDENTI FICATION
p|";r;on coast valleYs subatation
District Los Padres Circuit
Date of Spiil unknown Time of Spill
Location (Be specific, i.e., on E. Napa Street one pole east of 3rd Street East, Sonoma)
Serviee Center yard, Higuera Street
south\^rest corner of
Type of Equipment lnvolved:
O Capacitor
Person Reporting Cleanup:
E Transformer d soil
Phone 664-249 or (805) 543-778tVic BorgesNa
DESCRIPTION
Describe in detail the clean-up procedures used for each type of surface contaminated
Surfacc Gleanup Procedursr
Asphalt
Concrete
Dirt
Dirt was excavat.ed by use of a backhoe, samples were taken
again, Lools and equipment cleaned with Pentathol.
Lawn
Trees
Shruba
Ground Covcr
Flower Bed
t4-,910
Rov. 8-28-81
DtvtstoN CoasE Val. lcys
DEPA.RTMEN T Eleccrlc T&D
PG&E INSTRUCTIONS:1.
2.
3.
4.
5.
6.
TESTING OF SAMPLES FO{T'iCB CON
t-AgonnronY PERFoRI\.-' TEsrs
\_-/
CENTRATIONS
Pe tests:. T. Boothroyd
81 1 171
(Substa., Hydro, T&Dl
Address P. O. Box
PT&T Telephone 408
Take sample for PCB tests according to previous lnstructlons.
Fiti outsliltrtanks on this form.
f :i ;i#;"' it',e'.1".i'''f,litJ1i3jll&[ii, J.',,jf,lii,'l3e'J[&fHi""fi"'i
suryer' spirr' etc'r
tf the sampres are to be sent to Anatyticli'Xli.i.ii.-iei th";i;bh-t1,;6;'p;;iv- ;*fl?;ip the samples
in ipprou.d containers and shipping case to: Substation Department, 5555 Florin Perkins Road,
Room 21 1, Sacramento.
Send copy of test results to applicable General Office Department.
Salinas 93 qot
22
c
c-V -
(tl
SAMPLE
N0.
(-
c.V
5
e
PU RPOSE
TYPE
SAMPLE
CHARGE
SAMPLE
TORC#
-ase
LOCATION
T&0=
suB. & s
HYDRO
a
D
D
,
ND
J)
EOUIP.
TYPE
EOUIP.
TYPE
EOUIP.
MFG
BANK OR
sw. N0.
bltf
EOUIP.
SERIAL NO.
EOUIP.
SERIAL NO.
3,
I
I
.('.9
&EOUIP.
SIZE
EOUIP.
VOLT
SPECIFY MAIN,
LTC OR TRANSFER
OATE
1. Analyze sample for PCB content by weight (PPM).
2. Prepare test report showing results indicatlng
the arochlor present,iit any, and all of the
above information.
3 Mail the test results and invoice in triplicate
to the PG&E location requesting the analysis
(see abovel. ;
ldentify sample bottle bY
makinqa label out of a
complEte wrap of masking taPe
on abproved dontainer & writ'
ing with pencil. Choose a
numberirio svsternto suit. but
include thi s'erial number of i
'equipment if applicable" I '
LABO RATORY I NSTRUCTI ONS:NOTES: {ll
.\
Y
&
(
tl2-47f:1 11-62 l5t eAD5 -rO
rNg E\tuil
SUBJECT
)
t
IOWNER
/
MADE BY DATE CHECKED BY SHEET NO.-_ OF-SHEETS-
l0
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PGI*IE
Materlals
61-3400 lrt-821 STRAIGHT BILL U
\Bl
. LADING
LL OF LADING
_ SHORT FORM _ OBIGINAL
I-Not Negotiable
}IAME OF ORIGIN CARRIER
}JALTER, BR6. IBUCTINE
RECEIVED, subject ro rhe classifications and rariffs
in effect on the date of the issue of this Bill of Lading.
AT (Crty or Tovvnl
SAN LIIIS
STATE OF
CALIFORNIA
ON (OATE} t I MO DA YR t 6
coNsrGNED ro CASMAIJA DUMP
DESTINATION (City.or Town)
ROUTE
DELIVERING CARRIER
iol
PKGS.
L5
This is to certify that the above named materials are p
transportation according to the applicable regulations
roperly classified, described, packaged
of the Department of Transportation.
, marked and labeled. and are in proper condilion for
STBEET ADDRESS
COUNTY OF
DEWERY DATE REO'D
CABAr'EHICLE
'
Che*
a
:.i."
STATE OF
CALIFORNIA
CARAr'EHICLE INITIALS
x'il
Haz.
Mar.
DESCRIPTION of MATERIALS, SPECIAL MARKS and EXCEPTIONS : WEIGHT
{Snbj. to Con l
cuss
or RAT!
x YDs. coNrAur}IArED sort (69 m*)
cosr
ELEMENT
SHIPPER
PER
Format 928
Level z
AMOUNT
067
CASRIER'S
'PACIFIC GAS AND ELECTRIC COMPANY
'
tr
trPcrmcnqt Post Olfice address ol shipr:
... PGandE,Room 16{.8,Tl Beale St., San Francisco, CA 94106
This Bill of Lading is to be 3i9n€d by thc SHIPPER tnd AGENT OF THE CARRIER who retains
the'shippiq onlar' (YEIIOW)
dstnDurlo'{{oMMoN crRnlER'fr o,ro Acctg., Rm. 1250.77 BGtle sL, s.F
. tffi#ff'Jli-#:$j|bn.R,n.
r64s.77Baaresr.,s.F.
b-b.r6.'-.il^
COLLECT-Prescnt Biil
to Consignee
PREPAID- peler to Shipper,s
# and rclcr bill to:
Plcilic Gas rrid Ehcrric Co.
PO. Bor 7760, S.F.. CA 94t20
CHARG E NUMBER
FACIUW ACTIVITY SUB
ACTIVITY RESPONSIBILITY CENTER
WORK PACKAGE NUMBER WORX
PACKAGE
ACTIVIW
ORIGINATINGJOB ORDER CHARGED
FNEFIX NUMBER SUF
Drv.Job
Disr,ibution
s
I
R
co
D
E
l.D.ACCOUNT su8
ACCOUtIT
SPECIAL
LD.
CODE
DIV CENTER DM C€NTER
5632
o oSWn I 3U+O l+?2 625 18 2?3
CARRIER
fJ ST,,TAU SHIPMENT SERVICE
REOUESTEO
Released to a value not to
exceed 75 cents per pound.
snmrn's r 2 79964