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HomeMy WebLinkAboutBUSINESS PLAN ~OR~ ~ -""";"': ...... '~","': . ,.,,,,~,,,,%'~,~,,~. NORTH SCALE: BUSINESS N~E: FLOOR: OF D~TE: 7/3V 87F~CI~ITY ~: N/A ~IT'~:1 OF 1 (CHECK ONE) SITE DIAGR~ FACILITY DIAGR~ X : "' ' ~ ' ~ F~ c ~ ?' / / '"'~"':"" :'" ~,~,.... ~ 4 .V' ' ~ ' X '0'' ... ,. .-; . . ~ . . · . . · ,.:::..:: ...... ,"' '-. [ ~ ~', ~., .. ;. ... , . .., ,. · , .'.. '.~::..'.]..::j..:':.~.'.': '.:' ,~ ,.~ .' · ..?' ,' :... [ . ' . ' . . ' --~J"~ ~ . 't: .'. · ~ ~t~ ~ ,~... · :', ~ - .. ~ " ~... ,. ~ ~ · .,i ' . .. ~ ~ ~:~ f ~... [ '  {Inspoctor's Co~ents): ' -OF~I. CI~L US~ O~B~~ ' ....................... ' ~C~- 10 .............. ' ...... NORTH SCALE: BUS INESS N~E: FLOOR: OF ". · ~ 1"=40' Star..Petr°leum '".. (CHECK ONE} SITE DIAOR~ X FACILITY OIAGR~ (Inspector's Comments): -OFFICIAL USE ONLY- ' ................... ~: ......... :'"'i RETURN PAY~MENTS TO: ~ ' ~I~,.. PLE.~,§~'~,b, KE CHECKS PA't;'ABLE TO: ~ ©~Y'E)FBAKERSFIELD !'i~¢~[~0;~, '**'x'~'~AL'~ 0.~'~[0N ' '''~ T ..... ..... ' .... '"" . Cl Y.OF.BAKERSFIELD · ) -~P.O.'BOX 2057 ~- '-..: . ~ .. . 'BAKE~SRELD, CA 93303-2057 ACCOUNI NO. ~T :~61g~. ~;Z~'~ "% ,':.' ~ '~; ~.:~ ~ t) ,",: ~ ~'.',,~¢,~' - ~t~ - . . , · . : ,",.'.'.%, _, , ¢:',. -. . .: z .' · ' .~ - .' 'INQUIRIES CONCERNING THIS BILL, PLEASE PHONE:. (~ g;.), ~, 3~ 6~ ~97g · · INVOICE NUMBER 6~.~? ~.6T~; ST .' ' ~.~'.~ ~r,~ ~- 93382 CUSTOMER COPY~ P. o. Box 387 ~':' BAKERSFIELD, ~LIF. 9~02 ,-.~ c,~ ~ .... ~_~~ ._, BUSINESS LICENSE NO. -- ....... PERMIT REQUIRED ...-- PERMIT NO. ~ f ? $o3- .., ,--~'~ ? - ~ - '~ YEs n No ~ ~, BUILDIN? CLASS/TYPE OF OCCUPANCY BUSINESS NAME . !, ~ ~ BUS~NESS.~{~OWNER/~4( ~ ~5 :,,, J" ': ., , BUS~NESS MGR./RESPONSiBLE .., ~~ ~ . BUSI~ PHONE ~ HOME PHONE ~ NO. OF FLOORS SQUARE FOOTAGE V~0LAT~ON NOTtCE ~SSUED? OCCUPANT LOAD ~ DATE OF REINSPEOTION (1) (2) (3) ~ ~ INSPECTOR, ! StATION/SHIFT/STATI0~ PHONE ;'' ~ Star Petroleum : ~3C I~uf~-..~o~d · R O. Box 387 · Bakersfield, CA 93302 :~ 5 F ~ ~'~ ~ ~,~ ~.~~ ........ '~ ........... . .... · City o'f Bakersfield P.O. Box 2057 Bakersfield, Ca 93303-2057 Attn: Haz Mat Fees KERN COUNTY FIRE DEPARTMENT .... I .D. # FORM 4A-2 ~ page_l__- of1 TRADE SECRETS HAZARDOUS lV[ATE RI ALS I N, VENTO~RY BUSINESS NAME:' Star Petroleum OWNER NAME:John M. Rogers FACILITY UNIT #: ADDRESS: 619 16th Street ADDRESS: Rt. 1 Box 279 FACILITY UNIT NAME: CITY, ZIPs.Bakersfield 93302 CITY,ZIP: Wasco, Ca. 93280 PHONE/,.#,:-'805- 323-8133 PHONE #: 805-758-5632 [0FFICIALoN[,y USE CFIRS CODE 1 ~ 2 3 4 5 6 7 8 9 10 TYP, E~ MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.0.T ..'CO~E~~T AMOUNT UNIT CODE .CODE FACILITY UNIT WT./ CHEMICAL OR COMMON NAME CODE GUIDE "M 800 ~ 9,600 Gal O1 19 1/Oy Gasoline FLGS M 13,750~165~.0..00 Gal 06 26 ~00 Lube Oil CMLQ M 1,750 21,0 BS 06 26 95 Grease CMSL M 240 3,000 G^L "-.. 10 09 . 95 Antifreeze CMLQ M 110 1,320 GAL 06~"-26 100 Kerosene CMLQ M 110 1,320 GAL 06 08 />~. 100 Solvent CMLQ NAME: John M-.--R$-g-~-s ................... TiTLE:-O~-~'er SIGNATUR .-- - - DATE: 7 EMERGENCY CONTAC'f:__.J_u_~l_ian'~--~-~-~a ____TITLE:Delivery Salqtsman PHONE #tBUS HOURS: J23-8133 =_ ~.._~ AFTER BUS HRS: 323-4899 Jessie l,. Gilbert _____TITLE:Warehouse Manager PHONE # BUS HOURS:323-813~3 EMERGENCY CONTACT: PRIN~;IPAL BU.S~×I ACTIVITy:Oil Distribu AFTER BUS HRS: HMCU- 1 fl CONTAINER CODES TYPE CODES 01 Underground Tank P = Pure 02 Aboveground'Tank M '= Mixtures of pure 03 Fixed Pressurized Tank substances 04 Portable Pressurized Cylinders W = Wastes (Also add 05 Insulated Tank (Includes Cryogenics) appropriate waste 06 Drums or Barrels - Metallic code) 07 Drums' or Barrels - Non-Metallic 08 Carboy(s) 09 Glass Container(s) 10 Plastic Container(s) 11 Box(es) UNIT CODES 12 Bag(s) 13 Metal Containers (Not Drums) LBS = Pounds 14 In Machinery or processing equipment TON = Tons (2,000 lbs) 15 Bin(s) GAL = Gallons 99 OTHER - Specify on separate sheet BBL = Barrels (42 gals) Ft3 = Cubic Feet CUR = Curies USE CODES 01 Additive 23. Herbicide 02 Adhesive 24 Insecticide 03 Aerosol 25 Instructional 04 Anesthetic 26 Lubricant 05 Bactericide 27 Medical Aid or Process 06 Blasting 28 Neutralizer 07 Catalyst 29 Painting 08 Cleaning 30 Pesticide 09 Coolant 31 Plating 10 Cooling 32 Preservative 11 Drilling 33 Refining 12 Drying 34 Sealer 13 Emulsifier/Demuisifier 35 Spraying 14 Etching 36 Sterilizer 15 Experimental 37 Storage 16. Fabrication 38 Stripper 27 Fertilizer 39 Washing 18 'F~rmulation 40 Waste 19 -Fuel 41 Water Treatment 20 ~ungicide 42 Welding Soldering -.21 Orind~ng-'- ---4~!~--I-n-j~ee-~i-on-- ~ 22 ~eating 44. Oil Treatment 99. OTHER-Specify on HAZARD CODES EXPL - Explosive ORMA - Anesthetic, Irritant CMLq - Combustible Liquid Olde - Hazardous Waste CMSL - Combustible Solid ORMS- Other regulated Material B,C,and D CRET - Corrosive Material PSNA - Poison A (Gas) FLGS -F]ammable Gas PSNB - Poison B (Liquid or Solid) FLLQ - Flammable Liquid RADI - Radioactive FLSL - Flammable Solid WATR - Water Reactive NFI,G - Non-Flammable Gas ETIO - Etiological Agent OG~X - Organic Peroxide PYRO - Pyrophoric, Hypergolic or .. spontaneously combustible OXiD - Oxidizer CR¥O - Cryogenics Star Petroleum FUELS · LUBRICANTS · SOLVENTS c~y of BakersfSeld ' ;'~~~''~t~/~ P,O, Box 2057 Bakersfield, Ca 93303-2057 February 14, 1999 Ref: Customer No: 11315 Dear Sirs: As of August 1, i997; this site was closed. Therefore, it is no longer subject to Haz Mat handling fees.and any billings should be credited. Sincerely, /1 /.1 / Tim O~Harra President P, O, Box 387 ° Bakersfield, CA 93302 · 805-323-2600 · Fax (805) 323-3323 .MISCELLANEOUS RECEIVABLES ADJUSTMENT i' DATE /- u.~,-~ -9 7 NEW ACCOUNT ADDRESS CHANGE CLOSE ACCT FINANCE CHARGE i ' OTHER ADJ MAILING ADDRESS ~J¢ ~ ~'X ':~ q CITY {.A.~O, ~ e O STATE C.~' ZIP CODE SITE ADDRESS ~lc~ I (..o~L, ~ PARCEL NUMBER (IF APPLICABLE) ADJUSTMENT CHG DATE CHARGE CODE ADJUSTMENT AMOUNT APPROVED BY 03/15/94 STAR PETROLEUM 215-000-000885 ~¥ ;~ge 1 Overall Site with 1 Fac. Unit General Information 8¥ Location: 619 16TH ST Map:103 Haz:2 Type: 1 Community: BAKERSFIELD STATION 02 Grid: 30D F/U: 1 AOV: 0.0 Contact Name Title Business Phone 24-Hour Phone- JOHN M ROGERS (805) 323-8133 x (805) 758-5632 JULIANO EVOLA (805) 323-8133 x (805)~-~F~4~/ Administrative Data Mail Addrs: 619 16TH ST D&B Number: 06-773-6116 City: BAKERSFIELD State: CA Zip: 93302- Comm Code: 215-002 BAKERSFIELD STATION 02 SIC Code: Owner: JOHN M. ROGERS Phone: (805) 323-8133 Address: RT. 1BX 279 State: CA City: WASCO Zip: 93280- b Summary I, .o~,~.,~,~..~ ~:~o~ Do hereby certify tha! I have (3 ype or p~nt name) reviewed the a~ached h~ar~ous mate~als ma~a~e- ment plan fo~, ~,~ and thru i~ along w~th ~ame e~ any corrections const~u'~o a complote and corro~ man- agement plan for my facil~. -, ~ ~" %~. ~'.. ~ , ~t~ 03/15/94 STAR PETROLEUM 215-000-000885 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-001 GASOLINE Liquid 800 Moderate · Fire, Immed Hlth, 'Delay Hlth GAL 02-004 ANTIFREEZE Liquid 240 Low · Delay Hlth GAL 02-003 GREASE Liquid 1750 Minimal · Fire, Delay Hlth LBS 02-002 LUBE OIL Liquid 13750 Minimal · Fire, Delay Hlth GAL 03/15/94 STAR PETROLEUM 215-000-000885 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP order 02-001 GASOLINE Liquid 800 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ~ Daily Average GAL .~ Annual Amount GAL 800I 300.00I 9,600.00 Storage~~Press T Temp Location OTHER - SPECIFY IAmbient~AmbientlTANK REMOVED -- Conc Components MCP -~Guide 100.0% IGasoline IModeratel 27 02-004 ANTIFREEZE Liquid 240 Low · Delay Hlth GAL CAS #: 107-21-1 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max GALI Daily.Average GAL I Annual Amount GAL -- 240 ~ 200.00 3,000.00 Storage Press T Temp Location PLASTIC CONTAINER /~anbientlAmbientlWAREHOUSE -- Conc Components MCP --TGuide 100.0% IEthylene Glycol Inow ! 27 02-003 GREASE Liquid 1750 Minimal · Fire, Delay Hlth LBS CAS #: 64742-52-5 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max LBS Daily Average LBS Annual Amount LBS -- 1,750 I 750.00 I 21,000.00 Storage Press T Temp Location DRUM/BARREL-METALLIC Ambient[AmbientlWAREHOUSE -- Conc Components MCP --TGuide 100.0% IHeavy Machine Oil IMinimal I 27 03/15/94 STAR PETROLEUM 215-000-000885 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-002 LUBE OIL Liquid 13750 Minimal · Fire, Delay Hlth GAL CAS #: 68649-42-3 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL Daily Average GAL Annual Amount GAL -- 13,750 I 9,000.00 .I 165,000.00 Storage Press T Temp Location DRUM/BARREL-METALLIC AmbientlAmbientlWAREHOUSE -- ConcI Components MCP ----~uide 100.0% IMotor Oil, Petroleum Based Minimal I 27 03/15/94 STAR PETROLEUM 215-000-000885 Page 5 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation . THERE ARE 5 EVACUATION POINTS IN OUR FACILITY. ANY VEHICLE STILL IN THE AREA WILL BE MOVED TO AN AREA FAR ENOUGH AWAY TO ALLOW EMERGENCY EQUIPMENT ACCESS. THE FIRST SIGN OF AN EMERGENCY CONDITION, ALL APPROPRIATE AGENCIES WILL BE NOTIFIED <3> Public Notif./Evacuation FIRE DEPARTMENT - 326-3911 OR 911. KCAPCD - 861-3682, ENVIRONMENTAL PROTECTION CORP -0327-9681 VEHICLES STILL IN THE AREA WILL BE MOVED TO ALLOW EMERGENCY EQUIPMENT ACCESS. <4> Emergency Medical Plan MERCY HOSPITAL - 2215 TRUXTUN AV - 327-3371. CALL 911. 03/15/94 STAR PETROLEUM 215-000-000885 Page 6 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention SINCE WE ARE A DISTRIBUTOR OF OIL PRODUCTS ALL CONTAINERS ARE SEALED AT THE MANUFACTURING LOCATION. HOWEVER, SHOULD A SPILL OCCUR, PROMPT NOTIFICATION OF ENVIRONMENTAL PROTECTION CORP LOCATED AT 3040 19TH ST, BAKERSFIELD IS INITIATED. CLEAN UP MOPS ARE LOCATED THROUGHOUT THE FACILITY. THERE ARE NO STREET DRAINS OR WATERWAYS CLOSE TO THIS FACILITY. FIRE DEPT, ENVIRONMENTAL AGENCIES AND EMERGENCY NUMBERS ARE POSTED ON OUR BULLETIN BOARD FOR QUICK REFERENCE <2> Release Containment ALL PRODUCTS ARE IN CONTAINERS SEALED AT THE MANUFACTURING LOCATION <3> Clean Up ENVIRONMENTAL PROTECTION COR - 3040 19TH STREET 327-9681 RLW 2080 SOUTH UNION -834-1100 <4> Other Resource Activation 03/15/94 STAR PETROLEUM 215-000-000885 Page 7 00 - Overall Site <F> Site Emergency Factors <i> Special Hazards 4000 GAL (GASOLINE) TANKER TRUCK PARKS AT THIS LOCATION SOMETIMES. <2> Utility Shut-Offs A) GAS - NORTHEAST CORNER NEAR STREET B) ELECTRICAL - EAST SIDE INTERIOR NEAR BACK OF BUILDING C) WATER - NORTHEAST CORNER D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER FIRE HYDRANT - DIRECTLY ACROSS THE STREET <4> Building Occupancy Level 03/15/94 STAR PETROLEUM 215-000-000885 Page 8 00 - Overall Site <G> Training <1> Page 1 WE HAVE 3 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: STAFF TRAINING REVIEWS ON WEEKLY BASIS AND UPON RECEIPT OF ANY NEW MATERIAL DATA SHEETS. EMERGENCY PROCEDURES AND LOCATION OF FIRE EXTINGUISHERS AND BLANKETS POSTED THROUGHOUT BUILDING. DISCUSSIONS ON NEW PROCEDURES AS WELL AS CURRENT PROCEDURES DONE ON PERIODIC BASIS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use RECEIVED Page 1 $ STAR PETROLEUM 215-000-000885 03/18/92 Overall site with 1 Fac. Unit APR ~ 3 1992 General information i~Z.%IAT. DIV. Map: 103 Hazard: Low Location: 619 16TH ST Grid: 30D F/U: 1 AOV: 0.0 Community: BAKERSFIELD STATION 01 ----- Contact Name Title Business Phone ~ 24-Hour Phone- JOHN M ROGERS (805) 323-8133 x (805) 758-563'2 (805) 323-8133 x (805) 323-4899 JULIANO EVOLA Administrative Data. D&B Number: 06-773-6116 Mail Addrs: 619 16TH ST. State: CA Zip: 93302- City: BAKERSFIELD Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: Phone: (805) 323-8133 Owner: JOHN M. ROGERS State:' CA Address: RT. 1BX 279 Zip: 93280- City: WASCO -.Summary I,/J),~',~3.~' ~.-.<..'~.~,~,.~e.-~z,~3 Do hereby ~ that ! reviewed ~me attached t~ardous mate~als manage- ment plan ~o~/~ /~~,~nd that it ~ong wEh (Name of ~) any corrections ~nsUt~e a ~mplae and ~rr~ man- ~ement plan for my fadlity. 03/18/92 STAR PETROLEUM 215-000-000885 Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 GASOLINE Liquid 800 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid -Type: Pure Days: 365 Use: FUEL Daily Max GAL Daily Average GAL Annual Amount GAL -- 800 I 300.00 I 9,600.00 Storage IIPress T Temp Location UNDER GROUND TANK IAmbient/AmbientlNW CORNER -- Conc Components MCP List 100.0% I Gasoline 8 ModerateI 02-002 LUBE OIL Liquid 13750 Minimal · Fire, Delay Hlth GAL CAS #: 68649-42-3 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL Daily Average GAL Annual Amount GAL 13,750 I 9,000.00 I 165,000..00 Storage Press T Temp Location DRUM/BARREL-METALLIC Ambient/AmbientlWAREHOUSE -- Conc Components MCP List 100.0% IMotor Oil, Petroleum Based IMinimal I 02-003 GREASE Liquid 1750 Minimal · Fire, Delay Hlth LBS CAS #: 64742-52-5 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max LBS Daily Average LBS Annual Amount LBS -- 1,750 I 750.00 I 21,000.00 Storage Press T Temp Location DRUM/BARREL-METALLIC /~abient[AmbientlWAREHOUSE -- Conc Components MCP List 100.0% IHeavy Machine Oil IMinimal I 03/18/92 STAR PETROLEUM 215-000-000885 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-004 ANTIFREEZE Liquid 240 Low · Delay Hlth GAL CAS #: 107-21-1 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max GAL Daily Average GAL Annual Amount GAL -- 240 I 200.00 I 3,000.00 Storage Press T Temp Location PLASTIC CONTAINER IAmbient/AmbientlwaREHOUSE -- Conc Components MCP List 100.0% IEthylene Glycol ILow I 03/18/92 STAR PETROLEUM 215-000-000885 Page 4 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation THERE ARE 5 EVACUATION POINTS IN OUR FACILITY. ANY VEHICLE STILL IN THE AREA WILL BE MOVED TO AN AREA FAR ENOUGH AWAY TO ALLOW EMERGENCY EQUIPMENT ACCESS. THE FIRST SIGN OF AN EMERGENCY CONDITION, ALL APPROPRIATE AGENCIES WILL BE NOTIFIED <3> Public Notif./Evacuation FIRE DEPARTMENT - 326-3911 OR 911. KCAPCD - 861-3682, ENVIRONMENTAL PROTECTION CORP -0327-968i VEHICLES STILL IN THE AREA WILL BE MOVED TO ALLOW EMERGENCY EQUIPMENT ACCESS. <4> Emergency Medical Plan MERCY HOSPITAL 2215 TRUXTUN AV 327-3371 CALL 911 03/18/92 STAR PETROLEUM 215-000-000885 Page 5 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention SINCE WE ARE A DISTRIBUTOR OF OIL PRODUCTS ALL CONTAINERS ARE SEALED AT THE MANUFACTURING LOCATION. HOWEVER, SHOULD A SPILL OCCUR, PROMPT NOTIFICATION OF ENVIRONMENTAL PROTECTION CORP LOCATED AT 3040 19TH ST, BAKERSFIELD IS INITIATED. CLEAN UP MOPS ARE LOCATED THROUGHOUT THE FACILITY. THERE ARE NO STREET DRAINS OR WATERWAYS CLOSE TO THIS FACILITY. FIRE DEPT, ENVIRONMENTAL AGENCIES AND EMERGENCY NUMBERS ARE POSTED ON OUR BULLETIN BOARD FOR QUICK REFERENCE <2> Release Containment ALL PRODUCTS ARE IN CONTAINERS SEALED AT THE MANUFACTURING LOCATION <3> Clean Up ENVIRONMENTAL PROTECTION COR - 3040 19TH STREET 327-9681 RLW 2080 SOUTH UNION -834-1100 <4> Other Resource Activation {jI'iY ot-BAKERSFIELU HAZARDOUS MATERIALS INVENTORY Farm and ~gticulture [] Standard Business [] ./~//~-':I.' I~/X l::l J~ .... S ~ C R E T S'"; ' Patio ....... of ___ '~U~SA[~E~ UAH. E: %~ P~O/~ ~ ~ ~NE NAHE: ~' ..~P~~~_~ "AHE OF THIS FACILITY: ' I 2 3 4 5 6 I 8 9 10 II 12 / ,ype~°n~ ~ress~°nt ~e~p~°nt Usd Loc~Hon_Vhe[e T?yT fla~eSseeOf Hixture/Cc~o~ents/[nstru:t~cns Ir~ns lyre Hax Avtrege Annual ,ea~ure IItVSe C0ee Code Coae Act AeC Est Untts. on Storea ~n eac~ty Phy~icplaand Health Hazard C.A.S. Humber ~oo~/~ Component II Name I C,A.S. Number (Check I/ that apply) Component 12 Name I C.A.S. Number ~Fire Hazard ~ Reactivity ~ Oelayed .U Sudden Release ~lmmediALe HealLh of Pressure Health ..... Component 13 Name I C.A.S. Number Physical IPd Health Ualard C,A.S. Humber ~ ~f~3 Component II Name I C.A.S. Number (Check al/ Chat APPfU Component I~ Name I C,A.S, Number ~Fire ~azard ~ Reactivity ~elayed ~ Sudden Release ~ Health of Pressure Hea~tn ~' Component 13 Name I C.A.S, Number rhysical and ~ealth Ualerd C.A.S. Humber ~¢?¢~r~5-- Component II Name I C,A.S. Number ICheck all that 8pplyl Component I~ Name I C.A.S. Number ~ Fire HazBrd ~ Reactivity ~ Belayed ~ Sudden Release ~ ]'mmedia[e Health of Pressure Health Componenk Ii Name I C.A.S. Number /' / ~hysicil dnd Health Ualard C.A,S. Humber /~T~// Component II Hame I C.l,S, Number Ithaca' all. that a~/y~ Component t~ Nlme I C.A.S. Number ~ Fire Hazard ~ Reactivity doela~ed ~ Sudden Release ~ Health of Pressure Component 13 Name I C,A.S. Humber Certifisatioq ,(Re~d and sign af~pr compl~Cipg.~ll.~¢.c~i~n~) cerk~rx unbar pena~c~ oltaW thqL ! ha~epersona~y eXamln~glqo Im lamillar.vitg ~ne~nloEmaupn ~u~miktp~ in this.end ~CHched.dqcvment~, aflq that oasea on.my Iflquir[ qf. Lhose Iflalytauafs responsible for obtaining tile Information, ! believe ~e ., BaKERSFIESD CITy FraE DEPA T NT 2130 "G" S~EET B~ERSFIELD, CA 90301 (805) 326-3979 OFFICIAL USE ONLY ID# BUSINESS N~ME HAZARDOUS MATERI ALS BUSINESS PLAN AS m WHOLE INSTRUCTIONS: . 1. To avo{d further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: Star Petroleum B. LOCATION / STREET ADDRESS: 619 16th Street CITY:Bakersfield ZIP: 93302 BUS.PHONE: (805) 323-8133 SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE DURING BUS. HRS. AFTER BUS. HRS. A. John M. Rogers Ph# 323-8133 Ph# 805-758-5632 B. Juliano Evola Ph# 323-8133 Ph#gOi-373-48qO SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: Northeast Corner Near Street B. ELECTRICAL: East Side Interzor l~ear t~ack o~ t~u~10~ng C. WATER: Northoa.qt Cnrnor D. SPECIAL: E. LOCK BOX: YES ~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO - 2A - SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE 4 Fire Extinguishers; 3 located near each exit door in warehouse. 1 located by the gas pump. Water faucet located between each exit door in the warehouse. 2 safety blankets located in middle of warehouse. SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE Mercy Josp'ital at 2215 Truxtun Ave. is the closest to our location. Phone Number-~327-3371. Ail p~ers6nnel aware '~f' eme~g'e-~--91i-Phone Number O~the~ emergencies not critical to life can be handled by Staff. Emergencies such as exposure to Hazardous Materials are written out in detail on Material Safety Data Sheets which are maintained in the office. SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS, CIRCLE YES OR NO INITIAL REFRESHER A, METHODS FOR SAFE HANDLING OF HAZARDOUS ,MATERIALS:,... .................................... ~YES~NO YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... YE~ NO YES NO C, PROPER USE OF SAFETY EQUIPMENT: .................. E~ NO 'YES NO D, EMERGENCY EVACUATION PROCEDURES: ................. ~ N~ YES NO E, DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YESN~ YES NO ++ Owner plus two Employees ++ SECTION 7: -HAZARDOUS MATERI~- -- CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YE~ NO I, John M. Rogers , certify that the above information is accurate. I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et Al.) and that inaccurate information constitutes perjury. SIGNAT - TITLE Owner DATE BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# BUSINESS NAME: BUSINESS PLAN SINGLE FACILITY UNIT ' FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT# FACILITY UNIT N~ME: SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES Since we are a Distributor of oil products all containers are sealed at the manufacturing location. However, should a spill occur, prompt notification of'Environmental Protection Corp located at 3040 19th St. Bakersfield is 'initiated. Clean up mops are located throughout the facility. There are no street drains or waterways close to this facility. Fire Department, Environmental agencies and Emergency numbers are posted on our bullitin board for quick referrence. SECTION 2: NOTIFICATION AN~ EVACUATION PROCEDb~ES 'AT THIS b~IT ONLY There are 5 evacuation points in our facility. Any vehicle' still in the area will be moved to, an area far enough away to allow Emergency equipment access. At the first sign of an emergency condition, all appropriate agencies will be notified. - 3A - SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contaip. Hazardous Materials? ...... YES NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES NO If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form ~4A-1) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yell. ow form #4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY ET,~RGENCY RESPONDERS SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT. c3AS/PROPA~ B. ELECTRICAL: C. WATER: c D .... P .... E. LOCK BOX: YES /' NO tF 5:ES, 1.0CATION: IF YES, S,m.t,E PLANS? YES / NO MSDSs? YES / NO FLOOR PLANS? YES / NO KEYS? YES / XO - 3B - BAKERSFIELD CITY FIRE DEPARTMENT I.D. ~ FORM 4A-! Page , NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY BUSINESS NAME: Star Petroleum OWNER NAME: John M. Rogers FACILITY UNIT #: ADDRESS: 619 16th Street P.O. Box 387 ADDRESS: Rt. 1 Box 279 FACILITY UNIT NAME: CITY, ZIP: Bakersfield 93302 CITY,ZIP: Wasco, Ca. 93280 PHONE ~: 805 323-8133 PHONE #: 805 758-5~32 ~OFFICIAL USE CFIRS CODE ONLY __ 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE ,~~M 800 9,600 GAL O1 19 Northwest corner 100 Gasoline / / ~ FLGS M _13,750 165,000 GAL 06 26 Warehouse i00 Lube oil ~f~Y CMLQ M 1,750 21,000 LBS 06 26 " 95 Grease ~fd Y CMSL M 240 3,000 GAL 10 09 " 95 Antifreeze ~ f~ CMLQ ~X 110 1,320 GAL 06 26" ,, 100 Kerosene //.~~~ O CMLQ M 110 1,320 GAL 06 08 100 Solvent /~ CMLQ NAME: John M Rogers TITLE: Owner 'SIGNATURE DATE: 8/10/87 EMERGENCY CONTACT: Juliano Evola TITLE:Delivery Salesmat / 323-4899 323-8133 EMERGENCY CONTACT: Jessie L. Gilbert TITLE Warehouse Manager"-' PHONE # BUS HOURS:323-8133 ': PRINCIPAL BUSINESS ACTIVITY: 0il Distributor AFTER BUS HR$: - 4A-1 - 03/18/92 STAR PETROLEUM 215-000-000885 Page 6 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards 4000 GAL (GASOLINE) TANKER TRUCK PARKS AT THIS LOCATION SOMETIMES. <2> Utility Shut-Offs A) GAS - NORTHEAST CORNER NEAR STREET B) ELECTRICAL - EAST SIDE INTERIOR NEAR BACK OF BUILDING C) WATER - NORTHEAST CORNER D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER FIRE HYDRANT - DIRECTLY ACROSS THE STREET <4> Building Occupancy Level 03/18/92 STAR PETROLEUM 215-000-000885 Page 7 00 - Overall Site '<G> Training <1> Page 1 WE HAVE 3 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: STAFF TRAINING REVIEWS ON WEEKLY BASIS AND UPON RECEIPT OF ANY NEW MATERIAL DATA SHEETS. EMERGENCY PROCEDURES AND LOCATION OF FIRE EXTINGUISHERS AND BLANKETS POSTED THROUGHOUT BUILDING. DISCUSSIONS ON NEW PROCEDURES AS WELL AS CURRENT PROCEDURES DONE ON PERIODIC BASIS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use 10/23/90 STAR PETROLEUM 215=000-000885 Page 4 O0 - Overall Site <E> Mit igat ior,/Prevent/Abater~t <1> Release Prever, tior, SINCE WE ARE A DISTRIBUTOR OF OIL PRODUCTS ALL CONTAINERS ARE SEALED AT THE MANUFACTURING LOCATION. HOWEVER, SHOULD A SPILL OCCUR, PROMPT NOTIFICATION OF ENVIRONMENTAL PROTECTION CORP LOCATED AT 3040 19TH ST, BAKERSFIELD IS INITIATED. CLEAN UP MOPS ARE LOCATED THROUGHOUT THE FACILITY. THERE ARE NO STREET DRAINS OR WATERWAYS CLOSE TO '[HIS FACILITY. FIRE DEPT, ENVIRONMENTAL AGENCIES AND EMERGENCY NUMBERS ARE POSTED ON OUR BULLETIN BOARD FOR QUICK REFERENCE <2> Release Cor, tair, mer, t <3> Clear, <4> Other Resource Act i vat i or, 10/.- ~,/BC STAR PE'r ROLEUM 215-000-000885 Page 6 00 - Overall Site <G> Trait, lng < 1 > Page 1 WE HAVE 3 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: <2> Page ?'' ~ as needed <3> Held for Future Use <4> Held for Future Use 10/23/90 PE~rROLEUM 215-000-0( Page 5 O0 - Overall Site <F> Site Emergerscy Factors <1> Special Hazards 4[)[)[) GAL (GASOLINE) TANKER TRUCK PARKS AT THIS LOCATION SOMETIMES. <2> Utility Shut-Offs A) GAS - NORTHEAST CORNER NEAR STREET B) ELECTRICAL - EAST SIDE INTERIOR NEAR BACK OF BUILDING C) WATER - NORTHEAST CORNER D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec. /Avail. Water <4> Held for Future use 10123/90 STAR PETROLEUM 215-000-000885 Page 2 Hazrnat Inver~tory List in MCP Order (])2 - Fixed CorJtair~ers on Site Pl r~-Ref N~rne/Hazards Form Quant ity MCP 02-001 GASOL I NE .o 800 Moderate GAL 02-006 SOLVENT .o 110 Moderate GAL 02-004 ANTIFREEZE .o 240 Low GAL 02-005 KEROSENE .o 110 Low GAL 02-00~ LUBE OIL .o 13,750 Mir~in~al GAL 02-003 GREASE .o 1,750 Minimal LBS RECEIVED lC/,- ~/~[ PETROLEUM 215-00C~-C~008 Page Overall Site with 1 Fac. Ur, it ~ General Informat ic,~ ~ N~, ~T. ~V. Location: ~19 I~TH ST Map: 103 Hazard: Low Ident Number: 215-000-000885 Grid: 30D Area of Vul: 0.0 I Contact Name I Title Business P'hc,~e I 24 Hour Phone- J JOHN M ROGERS I (805) 323-8133 x J(805) 758-5~32 JULIANO EVOLA (805) 323-8133 x (8[)5) 323-48~ ~ Administrative Data ~ Mail Addrs: ~I~ I~TH ST D&~ Number:~-~-~ ~ City: BAKERSFIELD State: CA Zip: ~3302- Comm Code: 215-001 BAKERSFIELD STATION O1 SIC Code: ~ Owner: JOHN M. ROGERS Phone: (~)~ -~ Address: RT. 1 BX 27~ State: CA City: WASCO Zip: ~3280- - Sun, mary (T~ ~r print namo) reviewed th(¢ ,,,.~..,..,,, men~ p!2n ~'ot' ~:~ ~.~_.~, ~.= that it ~lon8 wi~h ~n7 corr6ct;D:~s agement plan ~o~ my ~scility. 1 )/~/9o PE]'ROLEUM 215-o0~ Page 3 O0 - Overall Site <D> Not if. /Evacuat ior,/Medical <1> Agency Notificmtior, CALL 911 <2> Employee Notif./Evacuation THERE ARE 5 EVACUATION POINTS IN OUR FACILITY. ANY VEHICLE STILL IN THE AREA WILL BE MOVED TO AN AREA FAR ENOUGH AWAY TO ALLOW EMERGENCY EQUIPMENT ACCESS. '[HE FIRST SIGN OF AN EMERGENCY CONDITION, ALL APPROPRIATE AGENCIES WILL BE NOTIFIED <3> Public Notif. /Evacuation NONE LISTED /~_~ ~~-.,~e,wu~ ~- ~q// ~ ~// <4> Emergency Medical Plan MERCY HOSPITAL 2215 TRUXTUN AV 327-3371 CALL ~11