Form 38-0059 "Supplement Application for Temporary Closure" - County of Los Angeles, California

What Is Form 38-0059?

This is a legal form that was released by the Department of Public Works - County of Los Angeles, California - a government authority operating within California. The form may be used strictly within County of Los Angeles. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2019;
  • The latest edition provided by the Department of Public Works - County of Los Angeles, California;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 38-0059 by clicking the link below or browse more documents and templates provided by the Department of Public Works - County of Los Angeles, California.

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Download Form 38-0059 "Supplement Application for Temporary Closure" - County of Los Angeles, California

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PW USE ONLY:
Los Angeles County Public Works
Environmental Programs Division
SITE-FILE NO. ________________________ RC ________
SUPPLEMENT APPLICATION FOR
TEMPORARY CLOSURE
APPLICATION NO. ________________________________
This supplement must be submitted with the Application For Closure. You must notify this office two
working days in advance to schedule an appointment for an inspection of the temporary closure.
Pursuant to California Code of Regulations (CCR), Title 23, Division 3, Chapter 16, Article 7:
1. All residual liquid, solids, or sludges shall be removed and handled in accordance with the applicable provisions of
Chapter 6.5 and Chapter 6.7 of Division 20 of the California Health and Safety Code (CH&SC). Copies of all
completed hazardous waste manifests and bills of lading must be provided to this office prior to final approval of
temporary closure.
2. If the underground storage tank(s) contained a hazardous substance that could produce flammable vapors at
standard temperature and pressure, then the underground storage tank(s) shall be inerted, as often as necessary,
to levels that will preclude an explosion or to such lower levels as may be required by this office.
3. The underground storage tank(s) may be filled with a noncorrosive liquid that is not a hazardous substance. This
liquid shall be tested and the test results submitted to this office prior to removal from the underground storage
tank at the end of the temporary closure period.
4. Except for required venting, all fill and access locations and piping shall be sealed using locking caps or concrete
plugs.
5. Power service shall be disconnected from all pumps associated with the use of the underground storage tank(s)
unless the power services some other equipment which is not being closed, such as the impressed-current
cathodic protection system, and/or the monitoring system and sensors.
6. The underground storage tank(s) shall be inspected by the owner or operator at least once every three months to
verify that the temporary closure measures are still in place. The inspection shall include at least the following
actions:
a. Visual inspection of all locked caps and/or concrete plugs.
b. If locking caps are used, at least one shall be removed to determine if any liquids or other substances
have been added to the underground storage tank(s) or if there has been a change in the quantity or type
of liquid added.
All approved monitoring requirements remain in place throughout the duration of the Temporary
Closure. Monitoring equipment must continue to be certified annually.
Other:
The owner may terminate the temporary closure at any time and reuse the underground storage
tank(s) only if the USTs meet the requirements of CH&SC Division 20, Chapter 6.7, CCR Title 23,
Division 3, Chapter 16 and with approval from this office. The Temporary Closure will expire 180
days from date of issuance (County Code 11.82.020 B). The Temporary Closure may be extended
for an additional 180 days for one half the Closure Permit fee. At the conclusion of 12 months the
extended Temporary Closure Permit is expired. Pursuant to CCR Title 23, Division 3, Chapter 16
Section 2670 (b), at the end of 12 consecutive months during which the tank is temporarily closed,
this office may approve an extension of the temporary closure period for a maximum additional period
of up to 12 months. Owners and operators shall complete a site assessment in accordance with CCR
Title 23, Division 3, Chapter 16, Section 2672 (d) before an extension may be granted by this office.
APPLICANT SIGNATURE ______________________________________
DATE ______________
PRINT NAME _________________________________
Temporary Closure Permit Conditions
38-0059 - PW Rev. 01/19
PW USE ONLY:
Los Angeles County Public Works
Environmental Programs Division
SITE-FILE NO. ________________________ RC ________
SUPPLEMENT APPLICATION FOR
TEMPORARY CLOSURE
APPLICATION NO. ________________________________
This supplement must be submitted with the Application For Closure. You must notify this office two
working days in advance to schedule an appointment for an inspection of the temporary closure.
Pursuant to California Code of Regulations (CCR), Title 23, Division 3, Chapter 16, Article 7:
1. All residual liquid, solids, or sludges shall be removed and handled in accordance with the applicable provisions of
Chapter 6.5 and Chapter 6.7 of Division 20 of the California Health and Safety Code (CH&SC). Copies of all
completed hazardous waste manifests and bills of lading must be provided to this office prior to final approval of
temporary closure.
2. If the underground storage tank(s) contained a hazardous substance that could produce flammable vapors at
standard temperature and pressure, then the underground storage tank(s) shall be inerted, as often as necessary,
to levels that will preclude an explosion or to such lower levels as may be required by this office.
3. The underground storage tank(s) may be filled with a noncorrosive liquid that is not a hazardous substance. This
liquid shall be tested and the test results submitted to this office prior to removal from the underground storage
tank at the end of the temporary closure period.
4. Except for required venting, all fill and access locations and piping shall be sealed using locking caps or concrete
plugs.
5. Power service shall be disconnected from all pumps associated with the use of the underground storage tank(s)
unless the power services some other equipment which is not being closed, such as the impressed-current
cathodic protection system, and/or the monitoring system and sensors.
6. The underground storage tank(s) shall be inspected by the owner or operator at least once every three months to
verify that the temporary closure measures are still in place. The inspection shall include at least the following
actions:
a. Visual inspection of all locked caps and/or concrete plugs.
b. If locking caps are used, at least one shall be removed to determine if any liquids or other substances
have been added to the underground storage tank(s) or if there has been a change in the quantity or type
of liquid added.
All approved monitoring requirements remain in place throughout the duration of the Temporary
Closure. Monitoring equipment must continue to be certified annually.
Other:
The owner may terminate the temporary closure at any time and reuse the underground storage
tank(s) only if the USTs meet the requirements of CH&SC Division 20, Chapter 6.7, CCR Title 23,
Division 3, Chapter 16 and with approval from this office. The Temporary Closure will expire 180
days from date of issuance (County Code 11.82.020 B). The Temporary Closure may be extended
for an additional 180 days for one half the Closure Permit fee. At the conclusion of 12 months the
extended Temporary Closure Permit is expired. Pursuant to CCR Title 23, Division 3, Chapter 16
Section 2670 (b), at the end of 12 consecutive months during which the tank is temporarily closed,
this office may approve an extension of the temporary closure period for a maximum additional period
of up to 12 months. Owners and operators shall complete a site assessment in accordance with CCR
Title 23, Division 3, Chapter 16, Section 2672 (d) before an extension may be granted by this office.
APPLICANT SIGNATURE ______________________________________
DATE ______________
PRINT NAME _________________________________
Temporary Closure Permit Conditions
38-0059 - PW Rev. 01/19