Document RGaOqxkx8vZD932w4NMEVGLE

Post Office Box 9370 Corpus Christi. Texas 78469-9370 Telephone (512) 289-6000 February 28, 1995 Texas Department of Health Division of Occupational Health Asbestos Program Branch `1100 West 49th Street Austin, Texas 78756 ' RE: Amendment to Notification dated 2/23/95 "Notification of Renovation" Dear Sir: Enclosed is an Amendment Number Three (3) to the original "Notification of Demolition and Renovation" form submitted on January 25, 1995. The asbestos abatement will be completed on March 3, 1995, earlier than anticipated (3/10/95) on the February 23, 1995 amendment (25 to the original notification. Please contact me at (512) 289-3305 if you have any questions or need additional information. Sincerely, Environmental Engineer xc: C. Spiekerman, TNRCC N. Renfro R. Tompkins V:\022895.02 VALERO/MOAKE For Office lis a Only TAHPA NESHAP P T D H C lL Vlotatkm? D Y E S n 6 RCVO \ / P08TMAID MnOBC NotffiestkMf Abatement Hyane Insulation Cowpany tjjh License No.: 80-0141 Address: 101 S. Broadway City: Prptwit State: TX Zip: 71 Ofice Phono Number. (512) 348-281B Job BN Phono Number - Site Suporvioor Robelin Saenz TDH License Hunter. 80-3287 Trmnod On-SW NESHAP IndMduatCertification Date. 6/22/04 2) Project Consultant or Operator Rnbelin Sawn TDH License Number RO-' Mailing address: 101 S. Broadway__________________________________________; City: PrewontState: TX Zip: 7837WBoe Phono Number. 512/348-281fi 3) FacSty Owner. Valero RyF-inlwfl fatT^nY - Mailing 5I3ZO_____________________________________________________ Ohr Corpus Christi State TI Zip: 78469 Owner Phono Number 512/289-finnn Description or Facfltty Name: Powerhouse Boiler________________________ Address: 5900 Up River Road, Valero Refining CotapanyCourttr: Nueces City: Corpus Christi Zip: 78407 FadKv Phone Number 512/289-6000 Deseripbon of AraafRoom NumberBoiler ________________________ Prior Use Boiler Future Use: Saae ______________ Aoe of Boldina: H/A Size: M/A Number of Floors: H/* ______________ 5) Typo of Woric Demoltion: CD Rcnouatnc O&ftfc is this a Pubic Buitcfing? D YES D NO faderai Facfflty? YESQPno Industrial Site? (2VES 1 7) Notification Type CHECK ONLY ONE Original (10 Wotfcmg Days) Canoritatian ^ .Amendment Emerpency/Ordered tf this icon amendment which amendment number is this? _3_ (Enclose copy of original} If an emergency, who did you talk with at TDH? Ememencv #___ Date and Hourof Ememencv /HH/MM/EffiFYY1: Description of the sudden, unmmected event Explanation of how the event caused unsafe conditions or would cause equipment damage (computer machinery, etc.): ............ .................. 8) Description of procedures to be fafawed in the event that unexpected asbestos is found or previously no frudiie asbestos materiel becomes crumbled, pulverized, or reduced to powder Wet waterial for rerewl nii handlinn and rin.ihl* wrp mtprint *1 y Was an Asbestos aunrey performed? ?2 YES NO TDH trwpecus License No.: Analyticai Method: Z8 PLM TEN Laboratory Ucenee NumberN/fl **Note: Thorpe Insulation - (Russell Mok) 10) Description of ptenned damofltion or rancuabon work, end method(s) ID be wed: Rewove pipe Insulation iron boiler HA** 11) Description of work practices end engineering controls to be used to prevent amauHons of aWestos attr oemoBborWicioration she: wet and double wrap each section with plastic during removal operation. VALERO/MOAKE R RACM Material Type RACM to he tenanted (fratbte) RACM NOT removed (friable) Category 1 removed (nan-friable) Category i NOT removed (non-Criafaie) Category II removed (norv4riabie) Category II NOT removed (non-friabte) RACM Off-FacBty Component (friable) 1620 u Ul SQ SQ SurtaceArea pi M It M X 13) Waste Transporter Name: BF* Address. p* drawer C Contact P^Sn: ussy lhanpson Ctr. Sinton TDH , Phone Number No: Zfr 78387-01 1-800-274-0649 14) Waste Disposal Site Name: BFI Aamgs: crne.r f.Ftl7?r*,,d 1313atr Sintm TetenhotteT 1-800-2/4-0649 TNRCC Permit tkMttmr. State: J}L_2jp:_za38L -212ft_____________ IS) For structurally unsound tedties, attach a copy of demotion order and Identify Governmental Official factor Name: ... Registration No: _______ _ True: Date of order (MM/DD/YY) Data order to (MM/DONY) Scheduled Dates of Asbestos Abatement (MM/DOYY) Start 2J13.- 95 Complete: O f 3i^V^) Scheduled Dates DemofitionfRenovation (MM/DD/YY) Start Complete: Note: if the start date on this notification can not be met, the Asbestos Notification Section must be fay phone prior to the start dele. Failure to do so is a violation and wi resuit in official action bang taken In accordance wfth TAHPA, Section 28&61. t hereby certify that aB Mom i I have presided it cermet, complete, and true to the best of my knowledge, acknowledge that " /"' ~ " ownerfaperator is responsible for al aspects of the notification form, including, but r hrpibqQ, content dates. The maximum penalty is $10,000 per day per vtoalion. x "U1M- .JcS M AlMAfcAZ 2 / 2Sf' 35 f-^f2.>^s? -^3^5 (Signature of BuAdng (Printed Name) (Date) (Telephone) `Faxes are not accepted* TEXAS DEPARTMENT OF HEALTH DIVISION OF OCCUPATIONAL HEALTH ASBESTOS PROGRAMS BRANCH 1100 WEST 49th STREET AUSTIN, IX 78756 Pfrt512-834-6600.1-800-572-6648 `Faxes are not arxapletf* `Faxes are not not accepted* Form dated 04/01/94. This term replaces TDH form (04/07/83) and TNRCC farm (ACB-99B&GX3/1/91) For asstetenoe in onmplteing this form, cal 800-572-6648 tof-lrae ei Texas VALERO/MOAKE 9 RACM Material Typa RACM to be removed (table) RACM NOT removed ffhabit) Category i removed (non-table) Category I NOT removed (non-tabie) Category (1 removed (nontable) Category II NOT removed (nontable) RACM Off-FacNty Component (table) Pip** 1620 u in SQ SQ Surface Area A M A M X 13) Waste Transporter Name;_____ gFI Address: P# &rawer c Contact Pmn: ^ssy llioaipson .TDH ! No; atr.. Sinton . 8k JX Zip: _78387-01g mow mmr .1-800-274-0649 W`B 14) Waste Oispoisai Site Name; *BFr*I stress: Corner of FHTfrb and CR 3Sjy; SintorT Sb. _DL Zp: 7R3R7 Telephone; 1-^00-//4-6649 .TNRCC"Permit "Number __ ?A7h________ __________ 15) For stmcturaity unsound ferjfias, Name:________________________ a copy of demotton order and identify Governments Official bekwr Registration No: ____________________ Title: Date of otder (MM/DD/YY) / / Date order to begin (MM/DCVYY) 16) /Scheduled Dates of Asbestos Abatement (MM/DO/YY) Start 2/13.- 95 Complete: O 17) Scheduled Dates Demoibon/Rencvabon (MM/DD/YY) Start / Complete: / Note: ff the stert date on this notfcjUori can not be met, the Asbestos Nnttftoation Section must be by phone prior to me start date. Falure to do so is a violation and wi result in official action being taken to accordance wth TAHPA. Section 28&61. 1 nereby certify that afi tofom i i have provided is correct, complete, and true to the best of my knowledge, acknowledge that tlbidding wnartoperator is responsible far al aspects of the notification form, inciudtog, but no dates. The maximum penalty is $10,000 per dey per vototion. Jc^: M- AlMAfcAZ g .33*5 {Signature of Bidding sdl JSi. *Faxss are not accepted* (Prtotod Name) (Dale) (Telephone) TEXAS DEPARTMENT OF HEALTH DIVISION OF OCCUPATIONAL HEALTH ASBESTOS PROGRAMS BRANCH 1100 WEST 490t STREET AUSTIN, TX 78756 PH212-834-6600,1-800672-6648 not accepted* "Fans are not accepted* *Fces are not accepted* Form dated 04/01/94. This farm replaces TDH farm (04/07/93) and TNRCC form (ACB-99BACX3/1/91) For toNiranoe to complying this farm, cal 800-572-6648 to8-fraa in Tans valero/moake 10 T H Q ^L Vtotatton? YES j< Q RCVO / / POSTMARK nuic UHMJk. B IH** WC Amount. NotSieatkMf A*--~**c*m*-rtpr Hyane Insulition Co^rany TDH Uoenx No.: 80-014* Address; 101 S. BroadwayCity: PraTO* _______________________ Stale: 2P-' -2 Qfice Phono Humber 1512) 348-2818 Job & Phono Number- 8te Supervisor Robe!in Saenz . TDH License Number. 80-3287 Trained Orv-SIN NS8HAP Wdividuat:____ ______________________ Oerttficabon Pete: 6/22/04 2) Project Coraufeent or Operator Rnbwlin Saeny TDH License Number _ 80-3 Me^no address: 101 S. Broadway _____________ City: Prcwont Stale: TX Zip: 7837flffioe Phone Number 512/34R-281R 3) FaeSty Owner Valero Refining Cowoanv Maffino Address:, P. 0. Box 9370_____________________________________________________ Otv: Corpus Christi SPNc TX Zip: 78469 Owner Phone Number _ 51?/28b-finnn Description or FaoiBty Name: Powerhouse Boiler ___________ Address: 5900 Up River Road, Valero Refining CoeoanvCountr: Nueces ntv: Corpus Christi 2xa 78407 FadNv Phone Number. 512/289-6000 Description of AreafRoom Number Boiler Prior Use: Boiler Future Use: Sawp_______________________ Age of Buadmg H/fl Size: tt/fl Number of Roots: P/a _______________ 5) Type of Wbric Demotton: JCfi Renovation: O&lft: Is ths a Pubic Buikfing? YES C NO Federal Facttty? YESSXmo Industrial Site? VES N 7) Notification Type CHECK ONLY ONE Original (10 Working Days) Cancstation ^ Amendment Emerpency/Ordered If this is an amandnwnt, which amendment number is this? j[ (Enclose copy of original) If an emergency, who did you ttfc wtth at TDH? Emergency #__ Date and Hour of Emergency (HHA4M/D0/YY):_ Description of the sudden, uneatoectrd event Explanation ef how the event caused unsafe conditions or would cause equipment damage (computer machinery, ate.): _ 8) Description of procedures to bo tofiowed in the event that unexpected asbestos is found or previously not TTwDR nXwDI milinll MCDTOBS UU1UOGU piwVWiMO, Or IVQUON CD DOwOCT Met waterial for resoval and handling and double wrap natprini *1 j Was an Asbestos survey performed? YES NO TDH tnspeetor Lioense No.: Analytical Method: XS PLM OTEM Laboratory Lcenee Number N/A **Note: Thorpe Insulation - (Russell Mok) 10) Description of planned damnation or renovation work, and method(s) ID be used: Rewove pipe Insulation freer boiler____ . HA** 11) Description of work practices and engineering controls to be used id prevuuismieeione of artestos at tht dauuifionfiBncvNion she: _wet and double wrap each section with plastic during rescval operation.. fo r Office Use Only TAHPA NE3HAP VALERO/MOAKE 11