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BUSINESS PLAN 3/25/2004
-'T' ~ I TE/FACI LI TY ~ R~lv~ NORTH SCALE: BUS INESS NA~ME: FLOOR: OF /" ' ~~""~-~ ~--~ ~'C"-'~'z~'"~'~"~ ~ ~n~ UNIT ~' OF DATE:7/9 /FP FACILITY N~ME: (CHECK ONE) SITE DIAGRAM ~ FACILITY DIAGRAM _ Inspector's Comments): -OFFICIAL USE ONLY- FASTRIP #621 SiteID: 015-021-000619 Manager : R~gN--o~gN~S ~~ ~~ BusPhone: (661) 325-0110 Location: 805 34TH ST Map : 103 CommHaz : Low City : BAKERSFIELD Grid: 19D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 SIC Code:5541 EPA Numb: DunnBrad:17.-364-9625 Emergency Contact /~ Title ~ Emergency Contact / Title ' / OPE TIONS Business Phone: (661) 325-0110x Business Phone: (661) 393-7000x 24-Hour Phone : (661) ~ ~ ..... 22x 24-Hour Phone : (661) 393-7000x P ~e~ Phone : ( )~o~-%4,~x cP~_~ Phone : ( · Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : DAVID PALMER Phone: (661) 393-7000x MailAddr: PO BOX 1807 State: CA City : BAKERSFIELD Zip : 93303 Owner JACO HILL 300 Phone: (661) 393-7000x Address : 3101 STATE RD State: CA City : BAKERSFIELD Zip : 93308 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: Res: No ParcelNo: Emergency Directives: I,~-'~..~. ~-1~,.~ Do hereby certify that I have ~y~ ~ ~nt ~) -- ~ reviewed the a~ached h~ardous materials manage- ment plan fo[ ~ ~ ~ a~ that it alo~ ~th any corre~ions ~nstitute a ~mplete and ~rr~ man- agement plan for my fadli~. -1- 03/24/2004 FASTRIP #621 SiteID: 015-021-000619 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: FASTRIP #621 Cross Street : Business,Type: Org Type: Total Tanks : 4 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : DAVE PALMER Phone: (661) 393-7000x Address: City : State: Zip: Type : TANK OWNER INFORMATION Name : DAVE PALMER Phone: (661) 393-7000x Address: City : State: Zip: Type : BOE UST Fee# : 019753 Financ'l Resp: SELF INSURED Legal Notif : Tank Owner Mailing Address Date:04/26/2000 Phone: (661) 393-7000x Name:JOHN KERLEY Ttl:VP State UST # : 1998 Upg Cert#: 00758 -2- 03/24/2004 FASTRIP #621 SiteID: 015-021-000619 = Hazmat Inventory By Facility Unit -- MCP+DailyMax Order Fixed Containers on Site Hazmat Common Name... ISpecHaz EPA HazardsI Frm DailyMax IUnitlMCP PROPANE E F P IH G 2184.00 FT3 Hi UNLEADED PLUS GASOLINE F IH DH L 12000.00 GAL Mod DIESEL F IH DH L 12000.00 GAL Mod UNLEADED GASOLINE F IH DH L 12000.00 GAL Mod PREMIUM GASOLINE F IH DH L 12000.00 GAL Mod -3- 03/24/2004 F FASTRIP #621 SiteID: 015-021-000619 ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: BLDG STORE FRONT CAS# 74-98-6 FSTATE ~ TYPE PRESSURE Gas I TEMPERATURE CONTAINER TYPE ~Pure ~ Above Ambient Ambient ~ PORT. PRESS. CYLINDER iAMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 182.00 FT3 2184.00 FT3 1092.00 FT3 %Wt. I ~ HAZARDOUS COMPONENTS 100.00 Propane CAS# 74986 TSecret--~ BioHazI -- HAZARD ASSESSMENTS j· Radioactive/Amount / EPA Hazards NFPA USDOT# MCP No ~ No/ Curies F P IH / / / Hi MISC. LOCAL AGENCY DATA Ag.Definedl: Ag. Defined2: Ag. Defined3: Ag. Defined4: Ag. Defined5: Ag. Defined6: Ag. Defined7: Ag. Defined8: Ag. Definedg: Ag.Definel0: -- Ag.Definell -4- 03/24/2004 FASTRIP #621 SiteID: 015-021-000619 = Inventory Item 0001 Facility Unit: Fixed Containers on Site · ---- COMMON NAME / CHEMICAL NAME UNLEADED PLUS GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: IN UST BELOW ISLAND CAS# 8006-61-9 ~ STATE ~ TYPE Liquid PRESSURE TEMPERATURE CONTAINER ~ Mixture ~ Ambient L Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION1 J Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 4673.00 GAL %Wt ' l~ HAZARDOUS COMPONENTS N~°RS 1 100.00 Gasoline RS CAS# 8006619 TSecret BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No ~ No No/ Curies F IH DH / / / Mod MISC. LOCAL AGENCY DATA Ag. Definedl: Ag. Defined2: Ag. Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag. Defined8: Ag. Definedg: Ag. Definel0: -- Ag.Definell -5- 03/24/2004 FASTRIP #621 SiteID: 015-021-000619 = Inventory Item 0001 Facility Unit: Fixed Containers on Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: IN UST BELOW ISLAND TANK DESCRIPTION Tank ID#: 2 Mfr: JOOR Compart Tank: N Installed: 6/1995 Capacity: 12000 Gals No Of Comparts: Additional Info: · TANK CONTENTS Tank Use: MOTOR VEHICLE FUEL Petrol Type: REGULAR UNLEADED Matl Name:UNLEADED PLUS GASOLINE Cas #: 8006-61-9 TANK CONSTRUCTION Type : DOUBLE WALL Material (p): STEEL CLAD W/FIBERGLASS R. P. Material (s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Installed: Corr Prot: FIBERGLASS REINFORCED PLASTIC Installed: Spill Cnt : 1995 Alarm : 1995 Exempt: No Drop Tube : 1995 Ball Float : 1995 Striker Plate: 1995 Fill Tube S/O: 0 TANK LEAK DETECTION Sgl Wall: Dbl Wall: INTERSTITIAL MONITORING TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Last Used: Qty Remaining: Was Filled: No -6- 03/24/2004 F~FASTRIP #621 SiteID: 015-021-000619 = Inventory Item 0001 Facility Unit: Fixed Containers on Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping AboveGround Piping Type : PRESSURE Const: DOUBLE WALL Mfgr : UNKNOWN Mtl : FIBERGLASS & : Corr : FIBERGLASS Prot : PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS DISPENSER CONTAINMENT Installed: Type: NONE OWNER/OPERATOR SIGNATURE Date: 04/26/2000 Name:JOHN KERLEY Ttl:VP Prmt Number: 0619 Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :10/30/2002 PASS CP CERT. :10/07/1993 MANWAY INSP. :07/01/1999 UST MONIT. CERT:08/12/2003 STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: Yes Installation Inspected & Certified by Registered Engineer: No Installation Inspected by Unified Program Agency: Yes Manufacturer,s Checklist Completed: Yes Installer Certified by Contractors, State License Board: Yes Approved Alternate methods: Date: 04/26/2000 Name:JOHN KERLEY Ttl:VP -7- 03/24/2004 F FASTRIP #621 SiteID: 015-021-000619 = Inventory Item 0002 Facility Unit: Fixed Containers on Site --COMMON NAME / CHEMICAL NAME' DIESEL Days On Site 365 Location within this Facility Unit Map: Grid: IN UST BELOW ISLAND CAS# 8006-61-9 F STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE ./Liquid /Pure ] Ambient I Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container '1 Daily Maximum Daily Average 12000.00 GAL I 12000.00 GAL 4724.00 GAL %Wt. RS CAS# 100.00 Diesel Fuel No. 1 No 70892103 TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies F IH DH / / / Mod MISC. LOCAL AGENCY DATA Ag.Definedl: Ag. Defined2: Ag.Defined3: Ag. Defined4: Ag.Defined5: Ag.Defined6: Ag. Defined7: Ag.Defined8: Ag. Defined9: Ag.Definel0: -- Ag. Definell 8 03/24/2004 FASTRIP #621 SiteID: 015-021-000619 = Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: IN UST BELOW ISLAND TANK DESCRIPTION Tank ID#: 4 Mfr: JOOR Compart Tank: N Installed: 6/1995 Capacity: 12000 Gals No. Of Comparts: Additional Info: TANK CONTENTS Tank Use: MOTOR VEHICLE FUEL Petrol Type: DIESEL Marl Name:DIESEL Cas #: 8006-61-9 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): STEEL CLAD W/FIBERGLASS R. P. Material(s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Installed: Corr Prot: FIBERGLASS REINFORCED PLASTIC Installed: Spill Cnt : 1995 Alarm : 1995 Exempt: No Drop Tube : 1995 Ball Float : 1995 Striker Plate: 1995 Fill Tube S/O: 0 TANK LEAK DETECTION Sgl Wall: Dbl Wall: INTERSTITIAL MONITORING TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Last Used: Qty Remaining: Was Filled: No 9 03~24~2004 FASTRIP #621 SiteID: 015-021-000619 = Inventory Item 0002 Facility Unit: Fixed Containers on Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping AboveGround Piping Type : PRESSURE Const: DOUBLE WALL Mfgr : Mtl : FIBERGLASS & : Corr : Prot : PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS DISPENSER CONTAINMENT Installed: Type: NONE OWNER/OPERATOR SIGNATURE Date: 04/26/2000 Name:JOHN KERLEY Ttl:VP Prmt Number: 0619 Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :10/30/2002. PASS CP CERT. :10/07/1993 MANWAY INSP. :07/01/1999 UST MONIT. CERT:08/12/2003 -10- 03/24/2004 FASTRIP #621 SiteID: 015-021-000619 9 = Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ -- COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: IN UST BELOW ISLAND CAS# 8006-61-9 F STATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Pure Ambient I~ Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 4724.00 GAL HAZARDOUS COMPONENTS 100.00 Gasoline N 8006619 HAZARD ASSESSMENTS TSecretI ~S]BioHazI Radioactive/Amount I EPA Hazards NFPA ] USDOT# MCP No N No No/ Curies F IH DH / / / Mod MISC. LOCAL AGENCY DATA Ag.Definedl: Ag. Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag. Defined6: Ag.Defined7: Ag. Defined8: Ag.Defined9: Ag.Definel0: -- Ag.Definell -11- 03/24/2004 FASTRIP #621 SiteID: 015-021-000619 = Inventory Item 0003 Facility Unit: Fixed Containers on Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: IN UST BELOW ISLAND TANK DESCRIPTION Tank ID#: 1 Mfr: JOOR Compart Tank: N Installed: 6/1995 Capacity: 12000 Gals No. Of Comparts: Additional Info: TANK CONTENTS Tank Use: MOTOR VEHICLE FUEL Petrol Type: REGULAR UNLEADED Matl Name:UNLEADED GASOLINE Cas #: 8006-61-9 TANK CONSTRUCTION Type : DOUBLE WALL Material (p): STEEL CLAD W/FIBERGLASS R. P. Material (s): STEEL CLA2D W/FIBERGLASS R. P. Lining : UNLINED Installed: Corr Prot: FIBERGLASS REINFORCED PLASTIC Installed: Spill Cnt : 1995 Alarm : 1995 Exempt: No Drop Tube : 1995 Ball Float : 1995 Striker Plate: 1995 Fill Tube S/O: 0 TANK LEAK DETECTION Sgl Wall: Dbl Wall: INTERSTITIAL MONITORING TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Last Used: Qty Remaining: Was Filled: No -12- 03/24/2004 FASTRIP #621 SiteID: 015-021-000619 = Inventory Item 0003 Facility Unit: Fixed Containers on Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping AboveGround Piping Type : PRESSURE Const: DOUBLE WALL Mfgr : UNKNOWN Mtl : FIBERGLASS & : Corr : FIBERGLASS Prot : PIPING LEAK DETECTION UnderGround Piping AboVeGround Piping AUTOMATIC LEAK DETECTORS DISPENSER CONTAINMENT Installed: Type: NONE OWNER/OPERATOR SIGNATURE Date: 04/26/2000 Name:JOHN KERLEY Ttl:VP Prmt Number: 0619 Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :10/30/2002 PASS CP CERT. :10/07/1993 MANWAY INSP. : UST MONIT. CERT:08/12/2003 STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: Yes Installation Inspected & Certified by Registered Engineer: No Installation Inspected by Unified Program Agency: Yes anufacturer,s Checklist Completed: Yes nstaller Certified by Contractors, State License Board: Yes Approved Alternate methods: Date: 04/26/2000 Name:JOHN KERLEY Ttl:VP -13- 03/24/2004 F FASTRIP #621 SiteID: 015-021-000619 = Inventory Item 0004 Facility Unit: Fixed Containers on Site --COMMON NAME / CHEMICAL NAME PREMIUM GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: IN UST BELOW ISLAND CAS# 8006-61-9 Liquid Pure Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 12000.00 GALI 12000.00 GAL I 6576.00 GAL HAZARDOUS COMPONENTS %Wt. I RSl CAS# 100.00 Gasoline No 8006619 HAZARD ASSESSMENTS ; TSecretINo N~S I Bi°HasINo Radi°act ire/Amount I EPANo/ Curies F HazardsiH DH NFPA//./ IuSDOT# ModMCP MISC. LOCAL AGENCY DATA Ag. Definedl: Ag. Defined2: Ag. Defined3: Ag. Defined4: Ag. Defined5: Ag. Defined6: Ag. Defined7: Ag.DefinedS: Ag.Defined9: Ag. Definel0: -- Ag. Definell -14- 03/24/2004 FASTRIP #621 SiteID: 015-021-000619 = Inventory Item 0004 Facility Unit: Fixed Containers on Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: IN UST BELOW ISLAND TANK DESCRIPTION Tank ID#: 3 Mfr: JOOR Compart Tank: N Installed: 6/1995 Capacity: 12000 Gals No. Of Comparts: Additional Info: TANK CONTENTS Tank Use: MOTOR VEHICLE FUEL Petrol Type: PREMIUM UNLEADED Matl Name:PREMIUM GASOLINE Cas #: 8006-61-9 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): STEEL CLAD W/FIBERGLASS R. P. Material(s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Installed: Corr Prot: FIBERGLASS REINFORCED PLASTIC Installed: Spill Cnt : 1995 Alarm : 1995 Exempt: No Drop Tube : 1995 Ball Float : 1995 Striker Plate: 1995 Fill Tube S/O: 0 TANK LEAK DETECTION Sgl Wall: Dbl Wall: INTERSTITIAL MONITORING TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Last Used: Qty Remaining: Was Filled: No -15- 03/24/2004 FASTRIP #621 SiteID: 015-021-000619 = Inventory Item 0004 Facility Unit: Fixed Containers on Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping AboveGround Piping Type : PRESSURE Const: DOUBLE WALL Mfgr : UNKNOWN Mtl : FIBERGLASS & : Corr : FIBERGLASS Prot : PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS DISPENSER CONTAINMENT Installed: Type: NONE OWNER/OPERATOR SIGNATURE Date: 04/26/2000 Name:JOHN KERLEY Ttl:VP Prmt Number: 0619 Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :10/30/2002 PASS CP CERT. :10/07/1993 MANWAY INSP. :07/01/1999 UST MONIT. CERT:08/12/2003 STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: Yes Installation Inspected & Certified by Registered Engineer: No Installation Inspected by Unified Program Agency: Yes Manufacturer,s Checklist Completed: Yes Installer Certified by Contractors' State License Board: Yes Approved Alternate methods: Date: 04/26/2000 Name:JOHN KERLEY Ttl:VP -16- 03/24/2004 F FASTRIP #621 SiteID: 015-021-000619 Fast Format = Notif./Evacuation/Medical Overall Site --Agency Notification 08/18/2000 CALL 911. IF NEEDED, CALL STATE EMERGENCY OFFICE: 1-800-852-7550 OR 1-619-262-1621. -- Employee Notif./Evacuation 08/18/2000 ALL EMPLOYEES ARE TRAINED AND AWARE THAT IN THE EVENT OF AN EMERGENCY SITUATION THEY ARE TO FOLLOW THESE PROCEDURES: A) SHUT OFF (IF POSSIBLE) MAIN POWER BREAKER, B) EVACUATE THEMSELVES AND ANYBODY IN OR AROUND THE PREMISES, C) DIAL 911. Public Notif./Evacuation 08/18/2000 ALL EMPLOYEES ARE TRAINED AND AWARE THAT IN THE EVENT OF AN EMERGENCY THEY ARE TO EVACUATE ANY PERSON OR RESIDENTS WITHIN OR AROUND THE VICINITY OF THE EMERGENCY SITUATION. THEN NOTIFY AUTHORITIES BY DIALING 911. Emergency Medical Plan 08/18/2000 EMERGENCY - 911. MEDICAL - MEDI CENTER, 820 34TH ST, 325-6334 OR MEMORIAL HOSPITAL, 420 34TH ST, 327-1792. -17- 03/24/2004 FASTRIP FOOD STORE ~ SiteID: 015-021-000619 Manager : RON JONAS Location: 805 34TH ST Map :, 103 CommHaz : Low City : BAKERSFIELD ~%~%~ BusPhone: (661) 325-0110 Grid: 19D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 SIC Code:5541 EPA Numb: DunnBrad:17-364-9625 Emergency Contact / Title Emergency Contact / Title RON JONAS / MANAGER DAVE~ALMER / OPERATIONS MNGR Business Phone: (661) 325-0110X Business Phone: (661) 393-7000x 24-Hour Phone : (661) 332-3032x 24-Hour Phone : (661) 393-7000x Pa~er Phone : ( ) - x Pa~er Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact :~~,~ ~/~ Phone: (661) ~~ MailAddr: PO BOX 1807 State: CA City : BAKERSFIELD Zip : 93303 Owner JACO HILL 300 Phone: (661) 393-7000x Address : 3101 STATE RD State: CA City : BAKERSFIELD Zip : 93308 Period : to TotalASTs: = Gal Preparer: Certif'd: TotalUSTs: = Gal RSs: No ParcelNo: Emergency Directives: ,.~/--s,~//:::?~--/~ DO hereby certify that I have I ' (Type or ~'lnt name) reviewed the attached hazardous materials manage- ment plan for~j~.,~,~o/~d that it along with - (l~a~e'of Susine~) an7 corrections constitute a complete and correct man- agement plan for my facility. -'Date -1- 08/05/2003 FASTRIP FOOD STORE #621 SiteID: 015-021-000619 Manager : BusPhone: (661) 325-0110 , Location: 805 34TH ST Map : 103 CommHaz : Low City : BAKERSFIELD Grid: 19D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 SIC Code:5541 EPA Numb: DunnBrad:17-364-9625 Emergency Contact / Titl~~-- Emergency Contact / Title ~HUCK MORRIS / MANAGER~~ JOll~ I~LEY / OPERATIONS MNGR Business Phone: (661) 325-011~"x Business Phone: (661) 393-7000x 24-Hour Phone : (661) 366-3032x 24-Hour Phone : (661) 393-7000x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: (661) 325-0110x MailAddr: PO BOX 1807 State: CA City : BAKERSFIELD Zip : 93303 Owner JACO HILL 300 Phone: (661) 393-7000x Address : 3101 STATE RD State: CA City : BAKERSFIELD Zip : 93308 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: I,-~~ ~'~i~~' Do hereby certify that I have ' (Type oF.print name) ment plan for~~(~B~> and thru it along with any corr~fions constitute a complete and ~ffe~ man- agement plan for my facili~. -1- 07/15/2002 FASTRIP FOOD STORE #621 SiteID: 015-021-000619 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITy/SITE INFORMATION Business Name: FASTRIP FOOD STORE #621 Cross Street : Business Type: Org Type: Total Tanks : 4 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : JOHN KERLEY Phone: (661) 393-7000x Address: City : State: Zip: Type : TANK OWNER INFORMATION Name : JOHN KERLEY Phone: (661) 393-7000x Address: City : State: Zip: Type : BOE UST Fee# : 019753 Financ'l Reap: SELF INSURED Legal Notif : Tank Owner Mailing Address Date:04/26/2000 Phone: (661) 393-7000x Name:JOHNKERLEY Ttl:VP State UST # : 1998 Upg Cert#: 00758 ~ Hanmar Inventory One Unified List [----Alphabetical Order Ail Materials at Site Hazmat Common Name... ISpooHazIEPA HazardsI Frm DailyMax lUnit[MCP DIESEL F IH DH L 12000.00 GAL Mod PREMIUM GASOLINE F IH DH L 12000.00 GAL Mod PROPANE E F P IH G 2184.00 FT3 Hi UNLEADED 'GASOLINE F IH DH L 12000.00 GAL Mod UNLEADED PLUS GASOLINE F IH DH L 12000.00 GAL Mod 2 07/15/2002 FASTRIP FOOD STORE #621 SiteID: 015-021-000619 = Inventory Item 0002 Facility Unit: Fixed Containers on Site -- CO~ON NAME / CHEMICAL NAME DIESEL Days On Site 365 Location within this Facility Unit Map: Grid: IN UST BELOW ISLAND CAS# 8006-61-9 Liquid /Pure A~ient A~ient UNDER GROUND T~K I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 4724.00 GAL I I HAZ~DOUS COMPONENTS I I %Wt. RS CAS# 100.00 Diesel Fuel No. 1 No 70892103 TSecret RS,BioHazI HAZARDASSESSMENTS ] Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No I No No/ Curies F IH DH / / / Mod ---- Inventory Item 0004 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME PREMIUM GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: IN UST BELOW ISLAND CAS# 8006-61-9 STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid /Pure IAmbient I Ambient UNDER GROUND TANK I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 6576.00 GAL HAZARDOUS COMPONENTS 100.00 Gasoline No 8006619 HAZARD ASSESSMENTS TSecretI oRSlBioHaz Radioactive/Amount EPA HazardsI NFPA USDOT# I MOP No N No No/ Curies F IH DH / / / Mod -3- 07/15/2002 FASTRIP FOOD STORE #621 SiteID: 015-021-000619 = Inventory Item 0005 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: BLDG STORE FRONT CAS# 74-98-6 F STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE T I Ambient PRESS CYLINDER Pure Above Ambient . Gas PORT. AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 182.00 FT3I 2184.00 FT3 1092.00 FT3 HAZARDOUS COMPONENTS 100.00 Propane Yes 74986 HAZARD ASSESSMENTS ITsecretl ~slBiOHazNo N No Radioactive/Amount I EPA HazardsNo/ Curies F P IH NFPA/// I USDOT# IMCPHi = Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: IN UST BELOW ISLAND CAS# 8006-61-9 Liquid /Pure Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 12000.00 GALI 12000.00 GALI 4724.00 GAL HAZARDOUS COMPONENTS 100.00 Gasoline N 8006619 HAZARD ASSESSMENTS TSecretI oRSlBioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# I MCP No N No No/ Curies F IH DH / / / Mod 4 07/15/2002 FASTRIP FOOD STORE #621 SiteID: 015-021-000619 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site 9 -- CO~ON N~E / CHEMICAL N~E ~LE~ED PLUS GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: IN UST BELOW ISLAND CAS# 8006-61-9 STATE -q-- TYPE PRESS~E TEMPE~T~E CONTAINER TYPE Liquid I Mixture A~ient I~a~ient ~DER GRO~D T~K ~O~TS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 4673.00 GAL ~Z~DOUS COMPONENTS I 1%Wt. I I RS CAS# 100.00 Gasoline No 8006619 ~ZARD ASSESSMENTS TSecretl RS[BioHaz Radioactive/Amount ] EPA Hazards I NFPA IUSDOT# MCP No No No No/ Curies F IH DH / / / Mod -5- 07/15/2002 F FASTRIP FOOD STORE #621 SiteID: 015-021-000619 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 08/18/2000 CALL 911. IF NEEDED, CALL STATE EMERGENCY OFFICE: 1-800-852-7550 OR 1-619-262-1621. -- Employee Notif./Evacuation 08/18/2000 ALL EMPLOYEES ARE TRAINED AND AWARE THAT IN THE EVENT OF AN EMERGENCY SITUATION THEY ARE TO FOLLOW THESE PROCEDURES: A) SHUT OFF (IF POSSIBLE) MAIN POWER BREAKER, B) EVACUATE THEMSELVES AND ANYBODY IN OR AROUND THE PREMISES, C) DIAL 911. -- Public Notif./Evacuation 08/18/2000 ALL EMPLOYEES ARE TRAINED AND AWARE THAT IN THE EVENT OF AN EMERGENCY THEY ARE TO EVACUATE ANY PERSON OR RESIDENTS WITHIN OR AROUND THE VICINITY OF THE EMERGENCY SITUATION. THEN NOTIFY AUTHORITIES BY DIALING 911. Emergency Medical Plan 08/18/2000 EMERGENCY - 911. MEDICAL - MEDI CENTER, 820 34TH ST, 325-6334 OR MEMORIAL HOSPITAL, 420 34TH ST, 327-1.792. 6 07/15/2002 F FASTRIP FOOD STORE #621 SiteID: 015-021-000619 Fast Format = Mitigation/Prevent/Abatemt Overall Site --Release Prevention 08/18/2000 ALL EMPLOYEES SHOULD BE AWARE OF LOCATION OF EMERGENCY SHUT DOWN CONTROLS FOR GASOLINE EQUIPMENT. PROCEDURES TO FOLLOW IN THE EVENT OF AN EMERGENCY ON THE GAS ISLAND ARE AS FOLLOWS: GAS ISLAND ARE AS FOLLOWS: A) IF A CUSTOMER OVERFILLS A VEHICLE TANK RESULTING IN A SMALL SPILL - HOSE DOWN THIS AREA WITH WATER. B) IF A CUSTOMER DRIVES OFF WITH GAS NOZZLE IN CAR FILL TANK, RESULTING IN A SUBSTANTIAL FLOW OF GASOLINE - SHUT DOWN ENTIRE SYSTEM, CALL FIRE DEPT., CALL DISTRICT MGR, CLEAR THE GAS ISLAND. C) IF VEHICLE DAMAGE TO ONE PUMP RESULTS IN A LEAK SHUT DOWN POWER TO THIS PUMP ONLY, HOSE DOWN AREA AND CALL YOUR DISTRICT MGR. D) IF AN ADJACENT BUSINESS/BLDG IS ON FIRE, SHUT DOWN THE ENTIRE GAS ISLAND. -- Release Containment 12/06/1994 GAS PUMPS HAVE EMERGENCY SHUT OFF BUTTONS, ABSORBENT MATERIAL IS STORED NEALR GAS ISLANDS FOR EASY ACCESS IN CASE OF A SMALL SPILL. -- Clean Up 08/18/2000 SMALL SPILLS - USE AN APPROVED ABSORBENT MATERIAL, SPREAD OVER THE SPILL, SWEEP AND PUT IN COVERED APPROVED CONTAINER. LARGE SPILLS - SHUT DOWN ENTIRE SYSTEM AND CALL 911. CALL OPERATIONS MANAGER 393-7000. Other Resource Activation 12/06/1994 NOTIFY DISTRICT (OPERATIONS) MANAGER TO CALL OUT RESPONSE EMERGENCY -7- 07/15/2002 FASTRIP FOOD STORE #621 SiteID: 015-021-000619 Fast Format Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 08/18/2000 A) GAS - SE EXTERIOR CORNER OF BLDG B) ELECTRICAL - NW INTERIOR SIDE STOCK RM C) WATER - NW CORNER EXTERIOR OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO -- Fire Protec./Avail. Water 08/18/2000 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS; 1 E SIDE DOORS INTERIOR WALL NEAR GAS ISLAND AND 1 SW INTERIOR STOCKROOM BEHIND DOOR. FIRE HYDRANT - 40 FT S OF PROPERTY LINE ON Q ST. Building Occupancy Level 8 07/15/2002 FASTRIP FOOD STORE #621 SiteID: 015-021-000619 Fast Format ~ Training Overall Site -- Employee Training 08/18/2000 HOW MANY EMPLOYEES AT THIS FACILITY?????????????? DO YOU HAVE MSDS SHEETS ON FILE?????????????? BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES SHOULD BE AWARE OF LOCATION OF EMERGENCY SHUTDOWN CONTROLS FOR GASOLINE EQUIPMENT. PROCEDURES TO FOLLOW IN THE EVENT OF AN EMERGENCY ON THE GAS ISLAND ARE AS FOLLOWS: A) IF A CUSTOMER OVERFILLS A VEHICLE TANK RESULTING IN A SMALL SPILL, HOSE DOWN THIS AREA WITH WATER, B) IF A CUSTOMER DRIVES OFF WITH A GAS NOZZLE IN CAR FILL TANK - RESULTING IN A SUBSTANTIAL FLOW OF GASOLINE SHUT DOWN ENTIRE SYSTEM, CALL DISTRICT MANAGER AND CLEAR THE GAS ISLAND, C) IF VEHICLE DAMAGE TO ONE PUMP RESULTS IN A LEAK SHUT DOWN THE POWER TO THIS PUMP ONLY, HOSE DOWN AREA AND CALL DISTRICT MANAGER, D) EACH STORE WILL HAVE A LISTING OF EMERGENCY CONTACT PHONE NUMBERS POSTED NEAR THE SALES COUNTER AREA. Page 2 I -- Held for Future Use I Held for Future Use I -9- 07/15/2002 JACO OIL COMPANY P.O. BOX 82515 BAKERSFIELD, CA 9:}380-2515 (661)393-7000 Steve Underwood City of Bakersfield Office of Environmental Services 1715 So. Chester Ave. Bakersfield, CA 9:}:}01 RE: Certified Mail dated December 8~ 2000 on "Failure to add propane t,, chemical inventory at Fastrip sites located in the City of Bakersfield" Dear Mr. Underwood, Using the forms provided by your office, I have included with.this letter, the applications to add propane exchange programs at 6 city location: Fastrip//621/:}46, 805 - 34th Street, Bakersfield - company operated Fastrip #633/:}62, 6401 So. "H" St., Bakersfield - company operated Fastrip #640/:}66, 8001 White Lane, Bakersfield "company operated Fastrip #641/705, 1200 Coffee Road, Bakersfield - company operated I Fastrip #6/562, 1640 So. Chester Ave., Bakersfield - lease operated Fastrip #622/781, 401:} So. "H' St., Bakersfield - lease operated I have enclosed data on "Blue Rhino" propane exchange programs for your files. I hope the enclosed data will correct any deficiencies noted on your visits. Th~ L~'V-~ ~..~ Division Manager ~-_ ~'> Fastrip Food Stores -~o . Lawrence Henson ~/ DivisiOn Manager Office: [661) 633-7542 Fax: ~661) 393-6736 1 State Ro~d · e/Pager; (661~*~4~4~e~''~ ~ ' ~ ~o, ~=s~s, ~3~?-=5~ ~o~,~ . ~ ~=,~e~=co.co~ = ~akerslield, CA 9~u~ (~ ,~J r December 8, 2000 (~O~~~ John Kerley Jaco Oil Company P.O. Box 82515 Bakersfield, Ca 93380 CERT~IED MAIL RE: Failure to Add Propane to Chemical Inventory at Fastrip Sites Located in FIRE CHIEF RON FRAZE Bakersfield ' ADMINISTRATIVE SERVICES NOTICE OF VIOLATION & 2101 "H" Street . - - cA = o1 SCI:[EDULE FOR COMPLIANCE vo,cE (66,) · FAX (661) 395-1349 . Dcar Mr. Kcrley: ' SUPPRESSION SERVICES 2101 'H" Streel Bakors~eld. cA ~33m During my annual compliance inspections at Fastrip facilities owned by Jaco Oil, vo~c£ (66~)326.394~ it has been determined that many facilities have approximately (15) 5 gallon FAX (66~) 305-1349 tanks of propane. PREVEN'nON SERVICES 1710 Chester Ave. These facilities have not updated their business plans to accurately reflect Bakersfield, CA 93301 vOiCE (661) 32s-a~s~ hazardous material inventories and are thus in violation of section 25504 & FAX (66~)32a-os7a 25505 of thc California Health and Safety Code. ENVIRONMENTAL SERVICES 17~5 C,ester^ve. "Whenever a substantial change in the handlers operation Bakersfield. Ca 933m (chemical inventory) occurs which requires a modification of its vOiCE (60~) 325-3079 FAX (56~) 326-O570 business plan, thc handler shall submit a copy of thc plan revision to the administering agency within thirty (30) days of TRA~N~N~ roY'S'ON operational ohange." 5642 ~ctor Ave. Bakersfield, CA 93308 -' VOICE (6Ol) 3~-46~7 Our investigation reveals that you installed your propane tanks approximately 2 FAX (661) 399-5703 months ago. You arc hcrcby required to update each of your business plans for each facility handling propane within thirty (30) days. January 8, 2001. Failure to comply will result in further enforcement action. Sincerely, Ralph E. Huey, Director o c. o n ronm..,a, s ~ ~ R s F ~. %, r,~ I OFFICE OF ENVIRONMENTAL SERVICES l~fft~r~l~rr I~Plv~ 1715 Chester Ave., CA 93301 (661)326-3979 CHEMICAL DESCRIPTION (one ~ per m~l per ~di~r ama) ~ NEW ~ ADD ~ DElE ~ISE ~ Page ~ ~..~ ~ ~NFIDE~ (E~) CHEMI~L ~E ~ Subj~ to ~ ~ to i~ ~N ~ EHS* ~ y~ FIRE ~OE ~D ~SSES (~¢~e ~ ~u~t~ by I~ fire ~ 210 p PURE ~ ~mRE ~ w W~ 211 i mDmA~m ~ Y~ ~ 212 CURIES ~PE 213 PHYSI~L STATE ~ S SOLID ~ I LIQUID ~mS 214 ! ~RGEST ~AINER ~l~ ~ 2 ~ ~ 3 ~SSU~ ~E D 4 AC~ H~ ~ 5 CHRONIC H~ 216 FED ~RD ~TE~RIES (~ alt ~at apPN) [ DAILY ~U~ DAILY A~U~ DAYS ON * ~ ~S. ~nt m~t be in I~. STOOGE CO~AINER ~ a A~VEGROUND T~K ~ e P~NM~LIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL (~eck all ~at apply) ~ b UNDER~OUND TANK ~ f ~N ~ j ~G D n ~S~C BO~LE ~ r O~ER ~ c TANK INSIDE BUILDING ~ g ~R~Y ~ k BOX ~ o TOTE BIN ~ d S~EL DRUM ' ~ h SILO ~YLINDER ~ p T~K WA~N STOOGE PRESSU~ ~a A~IE~ ~ ~ ~VE A~IE~ ~ ba BELOW~IE~ ~4 STOOGE ~M~ ~a A~IE~ ~ ~ A~VE ~IE~ ~ ba B~OW ~IE~ ~ c ~Y~NIC ~5 i pRINT ~ & TI~E OF AU~OR~ED CO~A~ RE~ESE~A~E DATE 246 UPCF (7~99) S:\CUPAFORMS\OES2731.TV4.wpd '~,.' ' CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 "'"*'~'~""'"~*' BUSINESS OWNER I OPERATOR IDENTIFICATION FACILITY INFORMATION ×o,/' Page F^¢ILITYI~#~ /~I~~~ al~/_t~' Year Beginning ~ ,00,, YearEnding _ ~.- BUSINESS ~M~..~Same?sFAClLITYNAMEorOl}A.l:)~ngBuslnessA~)~ _ / 3 I BUS'SS PF~ONF._ ~02 SiTE ADDRESS ,,~s,-,,~- ,r7---~,,/- ,. ,,ccoo~. ,o, (n Digit #) ~"'"'~/ o,.~,~-ro~,~./,rv~/~..S"r~~~ .~,.w-c. ,o, o,~-~o,,,.,/~) ~.~//o ,,o · : ;:.,:;,-..,., :~;::::~:~..,:,..~..::~;~ , ~.:;~1;~ ,~ ~: -,,.,: ¢ M~;~:~ ~; [~?' '~:~;~/,: .... .. o~ "~ ~-.-~ -~_.~ ~ . ,,, o~R P.~(~~7~_~',,~ o~..~,...~ ~ ~ - ClW 114 STATE ~lS ZlP 9 ~~' ,16 " CONTACT~ILIN~'~ ¢~ ~ - ~ ~ ' 1~9 CIW [ ~ I j ~ 12o ~ STATE 121 ZIP , :. ": ":' ?:~'??~'PRIMARY-'?~? '~/::~:'~:~;?~'~'~;;':~Iv~ EME' '~ ENCY~ON .... ~ , ':~ :~ j NAME ~m ~ME ~ r~ $ $ _ ~27 24-HOUR PHONE ~ ¢ s Ceffifi~Uon: Ba~ on my inqui~ of ~ose indMdua~ insensible ~r ob~ining ~e india[on, I ~ under penal~ of law ~at I have pe~onally e~mined 'NAMES-~F OWNE~PE~TOR ¢dnt) ~ ~ ~a8 '[ TITLE OF O~E~OPE~TOR ~ V ~ 137 UPCF (7/99) S:~CUPAFORMS\OES2730.TV4.wpd M ERIAL SAFETY DATA SHE r FOR ODORIZED PROPANE Product Name: Odorized Commercial Propane Chemical Name: Propane Chemical Family: Paraffinic Hydrocarbon Formula: C3H8 Synonyms: Dimethylmethane, LP-Gas, Liquefied Petroleum Gas (LPG), Propane, Propyl Hydride Name & Address: Transportation Emergency Number: Emergency Number: For Routine Info, Call: INGREDIENT NAME PERCENTAGE OSHA PEL ACGIH TLV /CAS NUMBER Propane/74-98-6 ................................................................................... 87.5 - 100 Simple asphyxiant Ethane/74-84-0 ........................................................................................... 0 - 5.0 Simple asphyxiant Propylene/115-07-1 .................................................................................. 0 - 10.0 1,000 ppm Simple asphyxiant Butanes/various .......................................................................................... 0 - 2.5 Simple asphyxiant Ethyl Mercaptan/75-08-1 ................................................................... 16 - 25 ppm 0.5 ppm 0.5 ppm EMERGENCY OVERVIEW FIRE HAZARD DANGER! Flammable liquefied gas under pressure. Keep away HEALT~..~/ from heat, sparks, flame, and all other ignition sources. Vapor replaces oxygen available for breathing and may cause suffocation in confined spaces. Use only with adequate ventilation. Odor may not provide adequate warning of potentially hazardous concentra- tions. Vapor is heavier than air. Liquid can cause freeze burn ~V~~ similar to frostbite. Do not get liquid in eyes, on skin, or on clothing. Avoid breathing of vapor. Keep container valve closed when not in use. SPECIAL HAZARDS* REACTIVITY POTENTIAL HEALTH EFFECTS INFORMATION Severe = 4 Slight = 1 ROUTES OF EXPOSURE: Serious = 3 Minimal = 0 Moderate = 2 * (Ref. NFPA 704) Inhalation: Asphyxiant. It should be noted that before suffocation could occur, the lower flammability limit of propane in air would be exceeded, possibly causing both an oxygen-deficient and explosive atmosphere. Exposure to concentrations >10% may cause dizziness. Exposure to atmospheres containing 8%-10% or less oxygen will bring about unconsciousness without warning, and so quickly that the individuals cannot help or protect themselves. Lack of sufficient oxygen may cause serious injury or death. Eye Contact: Contact with liquid can cause freezing of tissue. Skin Contact: Contact with liquid can cause frostbite. [Skin Absorption]: None. L[Ingestion]: Liquid can cause freeze burn similar to frostbite. Ingestion not expected to occur in normal use. 'CHRONIC EFFECTS: None. MEDICAL CONDITIONS AGGRAVATED BY OVEREXPOSURE: None. OTHER EFFECTS OF OVEREXPOSURE: None. CARCINOGENICITY: Propane is not listed by NTP, OSHA or IARC. 1 PN 5039 INHALATION: Persons suffering from lack of oxygen should be removed to fresh air. If victim is not breathing, administer artificial respiration. If breathing is difficult administer oxygen. Obtain prompt medical attention. EYE CONTACT: Contact with liquid can cause freezing of tissue. Gently flush eyes with lukewarm water. Obtain medical attention immediately. SKIN CONTACT: Contact with liquid can cause frostbite. Remove saturated clothes, shoes and jewelry. Immerse affected area in lukewarm water exceeding 105° F. Keep immersed. Get prompt medical attention. INGESTION: If swallowed, get immediate medical attention. NOTES TO PHYSICIAN: None. FLASH POINT: - 156° F (- 104° C) AUTOIGNITION: 842° F (432° C) IGNITION TEMPERATURE IN AIR: 920-1120° F FLAMMABLE LIMITS IN AIR BY VOLUME: Lower 2.15% Upper: 9.6% EXTINGUISHING MEDIA: Dry chemical, C02, water spray or fog for surrounding area. Do not extinguish fire until propane source is shut off. SPECIAL FIRE-FIGHTING INSTRUCTIONS: Evacuate personnel from danger area. Immediately cool container with water spray from maximum distance, taking care not to extinguish flames. If flames are accidentally extinguished, explosive re-ignition may occur. Where water is abundant and immediate, the fire should be allowed to burn while the container and area are cooled and the flow of propane is shut off. Where water is scarce, compare the risk of allowing the area to continue to heat from the fire and the alternative of extinguishing the fire without shutting off the propane flow, which may allow for the propane to accumulate and re-ignite explosively. UNUSUAL FIRE AND EXPLOSION HAZARDS: Propane is easily ignited. It is heavier than air; therefore, it can collect in low areas where an ignition source can be present. Pressure in a container can build up due to heat and container m.ay rupture if pressure relief devices should fail to function. Propane released from a properly functioning relief valve on an overheated container can also become ignited. HAZARDOUS COMBUSTION PRODUCTS: None. STEPS TO BE TAKEN IF MATERIAL IS RELEASED OR SPILLED: Evacuate the immediate area. Eliminate any possible sources of ignition provide maximum ventilation. Shut off source of propane, if possible. If leaking from container, or valve, contact your supplier. HANDLING PRECAUTIONS: Propane vapor is heavier than air and can collect in low areas that are without sufficient ventilation. Leak-check system with a leak detector or solution, never with flame. Make certain the container service valve is shut off prior to connecting or disconnecting. If container valve does not operate properly, discontinue use and contact supplier. Never insert an object (e.g. wrench, screwdriver, pry bar, etc.) into pressure relief valve or cylinder valve cap openings. Do not drop or abuse cylinders. Never strike an arc on a gas container or make a container part of an electrical circuit. See "16. OTHER INFORMATION" for additional precautions. STORAGE PRECAUTIONS: Store in a safe, authorized location (outside, detached storage is preferred) with adequate ventilation. Specific require- ments are listed in NFPA 58, Standard for the Storage and Handling of Liquefied Petroleum Gases. Isolate from heat and ignition sources. Containers should never be allowed to reach temperature exceeding 125° F (52° C). Isolate from combustible materials. Provide separate storage locations for other compressed and flammable gases. Propane containers should be separated from oxygen cylinders, or other oxidizers, by a minimum distance of 20 feet, or by a barrier of non-combustible material at least 5 feet high having a fire rating of at least 1/2 hour. Full and empty cylinders should be segregated. Store cylinders in upright position, or with pressure relief valve in vapor space. Do not drop or abuse cylinders. Keep container valve closed and plugged or capped when not in use. Install protective caps when cylinders are not connected for use. Empty containers retain some residue and should be treated as if they were full. ENGINEERING CONTROLS Ventilation: Provide ventilation adequate to ensure propane does not reach a flammable mixture. RESPIRATORY PROTECTION (SPECIFY TYPE) General Use: None. Emergency Use: If concentrations are high enough to warrant supplied-air or self-contained breathing apparatus, then the atmosphere may be flammable (See Section 5). Appropriate precautions must be taken regarding flammability. PROTECTIVE CLOTHING: Avoid skin contact with liquid propane because of possibility of freeze burn. Wear gloves and protective clothing whict~_ are impervious to the product for the duration of the anticipated exposure. EYE PROTECTION: Safety glasses are recommended when handling cylinders. OTHER PROTECTIVE EQUIPMENT: Safety shoes are recommended when handling cylinders. 2 BOILING POINT: @ 14.7 psia = -44° F SPEClI~IC GRAVITY OF VAPOR (Air = l ) at 60" F: 1.50 ./ ~PECIFIC GRAVITY OF LIQUID (Water = 1) at 60° F: 0.504 vAPOR PRESSURE: @ 70° F = 127 psig @ 105° F= 210 psig EXPANSION RATIO (From liquid to gas @ 14.7 psia): I to 270 SOLUBILITY IN WATER: Slight, 0.1 to 1.0% APPEARANCE AND ODOR: A colorless and tasteless gas at normal temperature and pressure. An odorant (ethyl mercaptan) @ been added to provide a strong unpleasant odor. Should a propane-air mixture reach the lower limits of flammability, the ethyl mercaptan concentration will be approximately 0.5 ppm in air. IDORANT WARNING: Odorant is added to aid in the detection of leaks. One common odorant is ethyl mercaptan. CAS No. 75-08-01. Odorant has a ul smell. The ability of people to detect odors varies widely. Also, certain chemical reactions with material in the propane system, or fugitive propane s from underground leaks passing through certain soils can reduce the odor level. No odorant will be 100% effective in all circumstances. If odorant ppears to be weak, notify propane supplier immediately.' STABILITY: Stable. Conditions to Avoid: Keep away from high heat, strong oxidizing agents and sources of ignition. REACTIVITY: Hazardous Decomposition Products: Under fire conditions, fumes, smoke, carbon monoxide, aldehydes and other decomposition products. When used as an engine fuel, incomplete combustion can cause carbon monoxide, a toxic gas. Hazardous polymerization: Will not occur. X-Propane is non-toxic and is a simple asphyxiant, however, it does have slight anesthetic properties and higher concentrations may cause dizziness. [IRRITANCY OF MATERIAL]: None. [SENSITIZATION TO MATERIAL]: None [REPRODUCTIVE EFFECTS]: None [TERATOGENICITY]: None [MUTAGENIClTY]: None [SYNERGISTIC MATERIALS]: None No adverse ecological effects are expected. Propane does not contain any Class I or Class Il ozone-depleting chemicals (40 CFR Part 82). Propane is not listed as a marine pollutant by DOT (49 CFR Part 171). WASTE DISPOSAL METHOD: Do not attempt to dispose of residual or unused product in the container. Return to supplier for safe disposal. Residual product within process system may be burned at a controlled rate. if a suitable burning unit (flare stack) is available on site. This shall be done in accordance with federal, state and local regulations. DOT SHIPPING NAME: Liquefied Petroleum Gas HAZARD CLASS: 2.1 (Flammable Gas) IDENTIFICATION NUMBER: UN 1075 PRODUCT RQ: None SHIPPING LABEL(S): Flammable gas IMO SHIPPING NAME: Propane PLACARD (WHEN REQUIRED): Flammable gas dO IDENTIFICATION NUMBER: UN 1978 SPECIAL SHIPPING INFORMATION: Container should be transported in a secure, upright position in a well-ventilated vehicle. Thc following information concerns selected regulatory requirements potentially applicable to this product. Not all such requirements are identified. Users of this product are responsible for their own regulatory compliance on a federal state [provincial} and local level. U.S. FEDERAL REGULATIONS ~ EPA Environmental Protection Agency CERCLA Comprehensive Environmental Response, Compensation and Liability Act of 1980 (40 CFR Parts 117 and 302) Reportable Quantity (RQ): None SARA Superfund Amendment and Reauthorization Act · SECTION 302/304: Requires emergency planning on thre. s, hold planning quantities (TPQ) and release reporting based on reportable quantities (RQ) of EPA's extremely hazardous substances (40 CFR Part 355). Extremely Hazardous Substances: None Threshold Planning Quantity (TPQ): None · SECTIONS 311/312: Require submission of material safety data sheets (MSDS's) and chemical inventory reporting with identifica- tion of EPA-defined hazard classes (40 CFR Part 370). The hazard classes for this product are: IMMEDIATE: No PRESSURE: Yes DELAYED: NO REACTIVITY: No FLAMMABLE: Yes · SECTION 313: Requires submission of annual reports of release of toxic chemicals that appear in 40 CFR Part 372. Propane does not require reporting under Section 313. 40 CFR PART 68 Risk Management for Chemical Accidental Release TSCA Toxic Substance Control Act Propane is listed on the TSCA inventory. OSHA Occupational Safety and Health Administration 29 CFR 1910.119: Process Safety Management of Highly Hazardous Chemicals. FDA Food and Drug Administration 21 CFR 184.1655: Generally recognized as safe (GRAS) as a direct human food ingredient when used as a propellant, aerating agent and gas. SPECIAL PRECAUTIONS: Use piping and equipment adequately designed to withstand pressure to be encountered. NFPA 58 Standard for the Storage and Handling of Liquefied Petroleum Gases and OSHA 29 CFR 1910.10 require that all persons employed in handling LP-gases be trained in proper handling and operating procedures, which the employer shall document. Contact your propane supplier to arrange for the required training. Allow only trained and qualified persons to install and service propane containers and systems. WARNING: Be aware that with odorized propane the intensity of ethyl mercaptan stench (its odor) may fade due to chemical oxidation (in the presence of rust, air or moisture), adsorption or absorption. Some people have nasal perception problems and may not be able to smell the ethyl mercaptan stench. Leaking propane from underground gas lines may lose its odor as it passes through certain soils. While ethyl mercaptan may not impart the warning of the presence of propane in every instance, it is generally effective in a majority of situations. Familiarize yourself, your employees and customers with this warning, and other facts associated with the so-called "odor-fade" phenomenon. If you do not already know all the facts, contact your propane supplier for more information about odor, electronic gas alarms and other safety considerations associated with the handling, storage and use of propane. ISSUE INFORMATION Issue Date: This material safety data sheet and the information it contains is offered to you in good faith as accurate. This Supplier does not manufacture this product but is a supplier of the product independently manufactured by others. Much of the information contained in this data sheet was received from sources outside our Company. To the best of our knowledge this information is accurate, but this Supplier does not guarantee its accuracy or completeness. Health and safety precautions in this data sheet may not be adequate for all individuals and/or situations. It is the user's obligation to evaluate and use this product safely, comply with all applicable laws and regulations and to assume the risks involved in the use of this product NO WARRANTY OR MERCHANTABILITY, FITNESS FOR ANY PARTICULAR PURPOSES, OR ANY OTHER WARRANTY IS EXPRESSED OR IS TO BE IMPLIED REGARDING THE ACCURACY OF COMPLETENESS OF THIS INFORMATION, THE RESULTS TO BE OBTAINED FROM THE USE OF THIS INFORMATION OR THE PRODUCT, THE SAFETY OFTH1S PRODUCT, OR THE HAZARDS RELATED TO ITS USE. Prepared by NATIONAL PROPANE GAS ASSOCIATION, 1600 Eisenhower Lane, Suite 100, Lisle, lllinois 60532, Phone 630/515-0600 ~k Printed in U.S.A. The purpose of this bulletin is to set fi~rth general safety practices.fi~r the installation, operation, and maintenance of LP-gas equipment. It is not intended to be an exhaustive treatment of the subject, and should not be interpreted as precluding other procedures which would enhance safe LP-gas operations. Issuance of this bulletin is not intended to nor should it be construed as an undertaking to perform services on behalf of any part), either.fi~r their protection or for the protection of third parties. The National Propane Gas Association assumes no liability for reliance on the contents of this bulletin. Issued 12/96 4 America's Choice For Grill Gas. Do not place replenishment orders. Blue Rhino regularly services locations according to demand and capacity. If you are getting Em Iow and think you will need service before your next scheduled delivery, call Blue Rhino's 24 hour, 7 days a week, · 20 lb. propane cylinders only toll-free customer service helpline: 1-800-258-7466 · 4" Collar intact Receiving · Valve plug or Blue Rhino · Makes deliveries per customer receiving hours, cap intact and · Arrives and gets keys from front-end manager, engaged · Counts missing cylinders. · Removes and counts empty cylinders. ° Intact & operable Retailer · Approves counts. ____UwP~g~tt valve Blue Rhino · Replenishes stock, gauge Retailer · Attests display is completely replenished. · No excessive rust, dents of Blue Rhino · Creates delivery ticket via a hand held structural computer terminal, defects Retailer · Authorizes delivery ticket. · .Fo.o~ing '" ." ' Blue Rhino · Provides copy of delivery ticket to front-end. ~ntac[ I I Safet), Reminders IF EMPTY LOOKS LIKE THIS: CUSTOMER GETS THIS: Propane is flammable and hazardous if handled improperly. Please help promote the safe use of propane cylinders by follow ng ROUND HANDWltEEL INTERNAL THREADS Never bring cylinders indoors. ROUND HANDY/HEEL EXTERNAL THREADS · Never store cylinders upside down. ~ · Never relocate display without the permission of Blue Rhino and FULL your local fire marshal. ROUND HAND.EEL NO THREAD-COUPLING · DO not smoke or allow smoking near the display. ~~L~ · Keep display locked when not in use. · Remind your customers to secure and transport their cy nder TRIANGULARHANOWHEELEXTERNALTHREAOS to p~ace of use. Cylinders stored in unventilated, hot vehicles can be dangerous. ~ FULL · If you smell gas, locate the smelly cylinder-check to make sure the valve is closed completely. If you still smell gas, isolate theTRIANGULAR HANDWHEEL NO THREAD-COUPLING America's Choice For Grill Gas. Consumer · Leaves empty at display and proceeds to check-out area. · Informs cashier they would like to exchange their empty cylinder for a full one. Cashier · Scans "Exchange" UPC Consumer · Pays for transaction. EXCHANGE Cashier ·Hands receipt to front-end person. Front End · Escorts consumer to the display. · Determines cylinder valve type (use chart on display or key chain). ? 4 · Dispenses matching cylinder Consumer · Leaves with a precision-filled Blue Rhino. Consumer · Informs cashier they would like a full cylinder. Cashier · Scans "Spare" UPC. Consumer · Pays for transaction. Cashier · Hands front-enO person receipt. SPARE Front End.Escorts,. DispensesC°nsumerfull cylinder.t° the display. IIII Marks receipt as "delivered". ? 8 · Locks up display. 0 0 0 Consumer · Leaves with a precision filled Blue Rhino cylinder FASTRIP FOOD STORE #621 SiteID: 015-021-000619 Manager : /~. - ~ G2000 ~M~;P.ho~;; (805) 325-0110 Location: 805 34TH ST CommHaz : Low City : BAKERSFIELD ,, ~~/~rld: 19D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 SIC Code: 5541 EPA Numb: DunnBrad: 17-364-9625 Emergency Contact / Title Emergency Contact / Title CHUCK MORRIS / MANAGER JOHN KERLEY / OPERATIONS MNGR Business Phone: (805) 325-0110x Business Phone: (805) 393-7000x 24-Hour Phone : (805) 366-3032x 24-Hour Phone : (805) 393-7000x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : Phone: ( ) - x MailAddr: PO BOX 1807 State: CA City : BAKERSFIELD Zip : 93303 Owner JACO HILL 300 Phone: (805) 393-7000x Address : 3101 STATE RD State: CA City : BAKERSFIELD Zip : 93308 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: I, %\,.,,~,,.c,._~,-,~,-~ _ Do hereby certify that~ have ',~(l'ype or print name) reviewed the attached hazardous materials ma~mge- rnent plan for ~7o._~.~ ..~_(.,,~...and that it along with -- (Name 'of Bt~inass) any corrections constitute a complete and correct man- agement plan for my facility. i 08/10/2000 FASTRIP FOOD STORE #621 SiteID: 015-021-000619 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: FASTRIP FOOD STORE #621 Cross Street : Business Type: OrH Type: Total Tanks : 4 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : JOHN KERLEY Phone: (805) 393-7000x Address: City : State: Zip: Type : TANK OWNER INFORMATION Name : JOHN KERLEY Phone: (805) 393-7000x Address: City : State: Zip: Type : BOE UST Fee# : 019753 Financ'l Reap: SELF INSURED LeHal Notif : Tank Owner MailinH Address Date:04/26/2000 Phone: (661) 393-7000x Name:JOHN KERLEY Ttl:VP State UST # : 1998 UpH Cert#: 00758 ~ Hazmat Inventory One Unified List -- MCP+DailyMax Order Ail Materials at Site Hazmat Common Name... ISpeoHazlEPA HazardsI Frm I DailyMax IUnit MC~ UNLEADED PLUS GASOLINE F IH DH L 12000.00 GAL Mod DIESEL F IH DH L 12000.00 GAL Mod UNLEADED GASOLINE F IH DH L 12000.00 GAL Mod PREMIUM GASOLINE F IH DH L 12000.00 GAL Mod 2 08/10/2000 FASTRIP FOOD STORE #621 SiteID: 015-021-000619 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME UNLEADED PLUS GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: IN UNDERGROUND TANK BELOW ISLAND CAS# 8006-61-9 STATE i TYPE PRESSURE --~ TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION ! Largest Container I Daily Maximum Daily Average 12000.00 GALI 12000.00 GAL 4673.00 GAL HAZARDOUS COMPONENTS 100.00 Gasoline No 8006619 HAZARD ASSESSMENTS TSecretNo N~SIBioHazNo Radioactive/AmountNo/ Curies FEPAHazardsIH DH NFPA/// IUSDOT# ModMCP ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME DIESEL Days On Site 365 Location within this Facility Unit Map: Grid: IN UNDERGROUND TANK BELOW ISLAND CAS# 8006-61-9 F STATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid Pure Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average, GALI 12000.00 GAL I 4724.00 GAL HAZARDOUS COMPONENTS %Wt. I RSI CAS# 100.00 Diesel, Fuel No. 1 No 70892103 HAZARD ASSESSMENTS TSecret; oRS I Bi°HaZNo N No Radioactive/AmountNo/ Curies FEPA HazardsiH DH NFPA/// IuSDOT# ModMCP 3 08/10/2000 FASTRIP FOOD STORE #621 SiteID: 015-021-000619 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ -- COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: IN UNDERGROUND TANK BELOW ISLAND CAS# 8006-61-9 V STATE -- TYPE PRESSURE --~ TEMPERATURE CONTAINER TYPE Liquid Pure Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 12000.00 GALI 12000.00 GAL 4724.00 GAL HAZARDOUS COMPONENTS 100.00 Gasoline N 8006619 HAZARD ASSESSMENTS ITSecretI RSIBioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# I MCP No No No No/ Curies F IH DH / / / Mod ---- Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ -- COMMON NAME / CHEMICAL NAME PREMIUM GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: IN UNDERGROUNI) TANK BELOW ISLAND CAS# 8006-61-9 STATE TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid Pure I Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 6576.00 GAL HAZARDOUS COMPONENTS I 100.00 Gasoline N 8006619 I I I I IHAZARD ASSESSMENTS I TSecret, RS,BioHaz, Radioactive/Amount, EPA Hazards ,No No No No/ Curies F IH DH NFPA/// USDOT# MCPMod -4- 08/10/2000 F FASTRIP FOOD STORE #621 SiteID: 015-021-000619 Fast Format = Notif./Evacuation/Medical Overall Site --Agency Notification 12/06/1994 CALL 911 IF NEED, CALL STATE EMERGENCY OFFICE: 1-800-852-7550 1-619-262-1621 -- Employee Notif./Evacuation 12/06/1994 ALL EMPLOYEES ARE TRAINED AND AWARE THAT IN THE EVENT OF AN EMERGENCY SITUATION THEY ARE TO FOLLOW THESE PROCEDURES: A) SHUT OFF (IF POSSIBLE) MAIN POWER BREAKER B) EVACUATE THEMSELVES AND ANYBODY IN OR AROUND THE PREMISES C) DIAL 911 -- Public Notif./Evacuation 12/06/1994 ALL EMPLOYEES ARE TRAINED AND AWARE THAT IN THE EVENT OF AN EMERGENCY THEY ARE TO EVACUATE ANY PERSON OR RESIDENTS WITHIN OR AROUND THE VICINITY OF THE EMERGENCY SITUATION. THEN NOTIFY AUTHORITIES BY'DIALING 911. Emergency Medical Plan 12/06/1994 EMERGENCY - 911 MEDICAL - MEDI CENTER - 820 34TH ST - (805) 325-6334 OR - MEMORIAL HOSPITAL - 420 34TH ST - (805) 327-1792 5 08/10/2000 FASTRIP FOOD STORE #621 SiteID: 015-021-000619 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 12/06/1994 ALL EMPLOYEES SHOULD BE AWARE OF LOCATION OF EMERGENCY SHUT DOWN CONTROLS FOR GASOLINE EQUIPMENT. PROCEDURES TO FOLLOW IN THE EVENT OF AN EMERGENCY ON THE GAS ISLAND ARE AS FOLLOWS: GAS ISLAND ARE AS FOLLOWS: A) IF A CUSTOMER OVERFILLS A VEHICLE TANK RESULTING IN A SMALL SPILL - HOSE DOWN THIS AREA WITH WATER. B) IF A CUSTOMER DRIVES OFF WITH GAS NOZZLE IN CAR FILL TANK, RESULTING IN A SUBSTANTIAL FLOW OF GASOLINE - SHUT DOWN ENTIRE SYSTEM, CALL FIRE DEPT., CALL DISTRICT MGR, CLEAR THE GAS ISLAND. C) IF VEHICLE DAMAGE TO ONE PUMP RESULTS IN A LEAK SHUT DOWN POWER TO THIS PUMP ONLY. HOSE DOWN AREA AND CALL YOUR DISTRICT MGR. D) IF AN ADJACENT BUSINESS/BLDG IS ON FIRE, SHUT DOWN THE ENTIRE GAS ISLAND -- Release Containment 12/06/1994 GAS PUMPS HAVE EMERGENCY SHUT OFF BUTTONS, ABSORBENT MATERIAL IS STORED NEAR GAS ISLANDS FOR EASY ACCESS IN CASE OF A SMALL SPILL. ~ Clean Up 12/06/1994 SMALL SPILLS - USE AN APPROVED ABSORBENT MATERIAL, SPREAD OVER THE SPILL, SWEEP AND PUT IN COVERED APPROVED CONTAINER. LARGE SPILLS - SHUT DOWN ENTIRE SYSTEM AND CALL 9-1-1. CALL OPERATIONS MANAGER 805-393-7000. Other Resource Activation 12/06/1994 NOTIFY DISTRICT iOPERATIONS) MANAGER TO CALL OUT RESPONSE EMERGENCY 6 08/10/2000 F FASTRIP FOOD STORE #621 SiteID: 015-021-000619 Fast Format ~ Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 01/07/1990 A) GAS - SOUTHEAST EXTERIOR CORNER OF BUILDING B) ELECTRICAL - NORTHWEST INTERIOR SIDE STOCK ROOM C) WATER - NORTHWEST CORNER EXTERIOR OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO -- Fire Protec./Avail. Water 01/07/1990 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS - 1 EAST SIDE DOORS INTERIOR WALL NEAR GAS ISLAND - 1 SOUTHWEST INTERIOR STOCKROOM BEHIND DOOR FIRE HYDRANT - 40 FT SOUTH OF PROPERTY LINE ON Q STREET Building Occupancy Level 7 08/10/2000 FASTRIP FOOD STORE #621 SiteID: 015-021-000619 Fast Format ~ Training Overall Site -- Employee Training 01/07/1990 ALL EMPLOYEES SHOULD BE AWARE OF LOCATION OF EMERGENCY SHUTDOWN CONTROLS FOR GASOLINE EQUIPMENT. PROCEDURES TO FOLLOW IN THE EVENT OF AN EMERGENCY ON THE GAS ISLAND ARE AS FOLLOWS: A) IF A CUSTOMER OVERFILLS A VEHICLE TANK RESULTING IN A SMALL SPILL - HOSE DOWN THIS AREA WITH WATER B) IF A CUSTOMER DRIVES OFF WITH A GAS NOZZLE IN CAR FILL TANK - RESULTING IN A SUBSTANTIAL FLOW OF GASOLINE SHUT DOWN ENTIRE SYSTEM - RESULTING IN A DISTRICT MANAGER AND CLEAR THE GAS ISLAND C) IF VEHICLE DAMAGE TO ONE PUMP RESULTS IN A LEAK SHUT DOWN THE POWER TO THIS PUMP ONLY; HOSE DOWN AREAAND CALL DISTRICT MANAGER D) EACH STORE WILL HAVE A LISTING OF EMERGENCY CONTACT PHONE NUMBERS POSTED NEAR THE SALES CO UNTERAREA. Page 2 Held for Future Use Held for Future Use 8 08/10/2000 1y/.lu/.~4" FASTRIP FOOD STORE #621 215-000-000619 Page 1 Overall Site with 1 Fac. Unit General Information Location: 805 34TH ST Map:103 Haz:2 Type: 3 City : ~~F[~ ~ q~/ Grid: 19D F/U= 1 AOV: 0.0 Contact Name Title Contact Name Title CHUCK MORRIS / MANAGER ~j~ '~'~ / Business Phone: (805) 325-0110x Business Phon~: (805) 393-7000x 24-Hour Phone : (805) 366-3032x 24-Hour Phone : (805) 393-7000x Pager Phone : ( ) - x Pager Phone : ( ) - x Administrative Data Mail addrs: F.Q. ~0~ ~Oq DiS Number: 17-a~4-9625 City: BAKERSFIELD State: CA Zip: Co~ Code: 215-004 BAKERSFIELD STATION 04 SIC Code: 5541 ~ner: JACO HILL ~00 Phone: (805) 393-7000 Address: ~0{ ~~ ~ State: CA City: BAKERSFIELD Zip: Sugary . ,%~iV~o o/k TAd,/v,..,,,,,, ~-~'/~/.-~SL/ Do hereby certify that ~ have I, (Type or print name)/- reviewed the attached hazardous materials manage° ment plan for~-~j-~,D~=i~.2/ and ~hat it along with ' (Name of Business) -- any corrections constitute a complete and correct man- agement plan for my facility. 10/18/94 FASTRIP FOOD STORE #621 215-000-000619 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-001 UNLEADED PLUS GASOLINE Liquid 12000 Moderate · Fire, Immed Hlth, Delay Hlth · GAL 02-004 PREMIUM. GASOLINE Liquid 12000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-002 DIESEL Liquid 12000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-003 UNLEADED GASOLINE Liquid 12000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 10/18/~ FASTRIP FOOD STORE #621 215-000-000619 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-001 UNLEADED PLUS GASOLINE Liquid 12000 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: FUEL Daily Max GAL Daily Average GAL Annual Amount GAL 12,000 [ 4,673.00 [ 30,000.00 Storage ~ Press T Temp Location UNDER GROUND TANK I AmbientlAmbientlIN UNDERGROUND TANK BELOW ISLAND -- Conc Components ~ MCP ~Guide 100.0% [Gasoline [ModerateI 27 02-004 PREMIUM GASOLINE Liquid 12000 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 12,000 [ 6,576.00 [ 89,000.00 Storage Press T Temp Location UNDER GROUND TANK [Ambient[Ambient[IN UNDERGROUND TANK BELOW ISLAND -- Conc Components MCP -~Guide 100.0% [Gasoline [Moderate[ 27 02-002 DIESEL Liquid 12000 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 12,000 [ 4,724.00 ] 266,000.00 Storage Press T Temp Location UNDER GROUND TANK [Ambient[Ambient[IN UNDERGROUND TANK BELOW ISLAND -- Conc Components MCP ---TGuide 100.0% [Gasoline [ModerateI 27 10/18/~? FASTRIP FOOD STORE #621 215-000-000619 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-003 UNLEADED GASOLINE Liquid 12000 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 I Annual Amount GAL 12,000 I 4,724.00 266,000.00 Storage i~Press T Temp Location UNDER GROUND TANK IAmbient~AmbientlIN UNDERGROUND TANK BELOW ISLAND -- Conc Components I MCP ---TGuide 100.0% IGasoline IModeratel 27 10/18/94.. ,. FASTRIP FOOD STORE #621 215-000-000619 Page 5 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 oP_ <2> Employee Notif./Evacuation ALL EMPLOYEES ARE TRAINED AND AWARE THAT IN THE EVENT OF AN EMERGENCY SITUATION THEY ARE TO FOLLOW THESE PROCEDURES: A) SHUT OFF (IF POSSIBLE) MAIN POWER BREAKER B) EVACUATE THEMSELVES AND ANYBODY IN OR AROUND THE PREMISES C) DIAL 911 <3> Public Notif./Evacuation ALL EMPLOYEES ARE TRAINED AND AWARE THAT IN THE EVENT OF AN EMERGENCY THEY ARE TO EVACUATE ANY PERSON OR RESIDENTS WITHIN OR AROUND THE VICINITY OF THE EMERGENCY SITUATION. THEN NOTIFY AUTHORITIES BY DIALING 911. <4> Emergency Medical Plan EMERGENCY - 911 MEDICAL - MEDI CENTER - 820 34TH ST - (805) 325-6334 OR - MEMORIAL HOSPITAL - 420 34TH ST - (805) 327-1792 10/18/9~ FASTRIP FOOD STORE #621 215-000-000619 Page 6 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention ALL EMPLOYEES SHOULD BE AWARE OF LOCATION OF EMERGENCY SHUT DOWN CONTROLS FOR GASOLINE EQUIPMENT. PROCEDURES TO FOLLOW IN THE EVENT OF AN EMERGENCY ON THE GAS ISLAND ARE AS FOLLOWS: GAS ISLAND ARE AS FOLLOWS: A) IF A CUSTOMER OVERFILLS A VEHICLE TANK RESULTING IN A SMALL SPILL - HOSE DOWN THIS AREA WITH WATER. B) IF A CUSTOMER DRIVES OFF WITH GAS NOZZLE IN CAR FILL TANK, RESULTING IN A SUBSTANTIAL FLOW OF GASOLINE - SHUT DOWN ENTIRE SYSTEM, CALL FIRE DEPT., CALL DISTRICT MGR, CLEAR THE GAS ISLAND. C) IF VEHICLE DAMAGE TO ONE PUMP RESULTS IN A LEAK SHUT DOWN POWER TO THIS PUMP ONLY. HOSE DOWN AREA AND CALL YOUR DISTRICT MGR. D) IF AN ADJACENT BUSINESS/BLDG IS ON FIRE, SHUT DOWN THE ENTIRE GAS ISLAND <2> Release Containment GAS PUMPS HAVE EMERGENCY SHUT OFF BUTTONS, ABSORBENT MATERIAL IS STORED NEAR GAS ISLANDS FOR EASY ACCESS IN CASE OF A SMALL SPILL. <3> Clean Up SMALL SPILLS - USE AN APPROVED ABSORBENT MATERIAL, SPREAD OVER THE SPILL, SWEEP AND PUT IN COVERED APPROVED CONTAINER. LARGE SPILLS - SHUT DOWN ENTIRE SYSTEM AND CALL 9-1-1. <4> Other Resource Activation 10/18/94 FASTRIP FOOD STORE #621 215-000-000619 Page 7 00 - Overall Site <E> Mitigation/Prevent/Abatemt <4> Other Resource Activation (Continued) 10/18/~ FASTRIP FOOD STORE #621 215-000-000619 Page 8 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - SOUTHEAST EXTERIOR CORNER OF BUILDING B) ELECTRICAL - NORTHWEST INTERIOR SIDE STOCK ROOM C) WATER - NORTHWEST CORNER EXTERIOR OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS - 1 EAST SIDE DOORS INTERIOR WALL NEAR GAS ISLAND - 1 SOUTHWEST INTERIOR STOCKROOM BEHIND DOOR FIRE HYDRANT - 40 FT SOUTH OF PROPERTY LINE ON Q STREET <4> Building Occupancy Level 10/18494..~ ~ FASTRIP FOOD STORE #621 215-000-000619 Page 9 00 - Overall Site <G> Training <1> Employee Training ALL EMPLOYEES SHOULD BE AWARE OF LOCATION OF EMERGENCY SHUTDOWN CONTROLS FOR GASOLINE EQUIPMENT. PROCEDURES TO FOLLOW IN THE EVENT OF AN EMERGENCY ON THE GAS ISLAND ARE AS FOLLOWS: A) IF A CUSTOMER OVERFILLS A VEHICLE TANK RESULTING IN A SMALL SPILL - HOSE DOWN THIS AREA WITH WATER B) IF A CUSTOMER DRIVES OFF WITH A GAS NOZZLE IN CAR FILL TANK - RESULTING IN A SUBSTANTIAL FLOW OF GASOLINE SHUT DOWN ENTIRE SYSTEM - RESULTING IN A DISTRICT MANAGER AND CLEAR THE GAS ISLAND C) IF VEHICLE DAMAGE TO ONE PUMP RESULTS IN A LEAK SHUT DOWN THE POWER TO THIS PUMP ONLY; HOSE DOWN AREA AND CALL DISTRICT MANAGER D) EACH STORE WILL HAVE A LISTING OF EMERGENCY CONTACT PHONE NUMBERS POSTED NEAR THE SALES COUNTER AREA. <2> Page 2 <3> Held for Future Use <4> Held for Future Use 09/03/93 FASTRIP FOOD STORE #621 215-000-000619 Page 1 Overall Site with 1 Fac. Unit General Information Location: 805 34TH ST Map: 103 Hazard: Low Community: BAKERSFIELD STATION 04 Grid: 19D F/U: 1AOV: 0.0 Contact Name Title Business Phone 24-Hour Phone- CHUCK MORRIS MANAGER (805) 325-0110 x (805) 366-3032 DORIS QUINNELLy SUPERVISOR (805) 393-7000 x (805) 393-7000 Administrative Data Mail Addrs: 805 34TH ST D&B Number: 17-364-9625 City: BAKERSFIELD State: CA Zip: 93301- Comm Code: 215-004 BAKERSFIELD STATION 04 SIC Code: 5541 Owner: JACO HILL Phone: (805) 393-7000 'Address: P O BX 1807 ~, State: CA City: BAKERSFIELD Zip: 93303- Summary - REO~iVED ,~ ocr o ~ 1993 HAZ ~A~ DI~ !, be~z,'< ~z,;/~,,=Z/..7 Do hereby certify thru I h~ve . ~ype or I~Hnt name) ~ reviewed the attached hazardous materials ma~'~age- ment plan for F'/~grA: z) 4+.-/,,z/ and that it along with (NareS'of Busineu) - any corrections constitute a complete and correct man. agement plan for my facility,. 09/03/93 FASTRIP FOOD STORE #621 215-000-000619 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-001 UNLEADED PLUS GASOLINE Liquid 12000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-004 PREMIUM GASOLINE Liquid 12000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-002 DIESEL ~ Liquid 12000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-003 UNLEADED GASOLINE Liquid 12000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 09/03/93 FASTRIP FOOD STORE #621 215-000-000619 Page 3 02 - Fixed Cantainers on Site Hazmat Inventory Detail in MCP Order 02-001 UNLEADED PLUS GASOLINE Liquid 12000 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: FUEL Daily Max GAL Daily Average GAL I Annual Amount GAL 12,000 I 4,673.00 30,000.00 Storage Press T Temp UNDER GROUND TANK I Ambient,Ambient I IN UNDERGRoUN~°cati°~ELOWTANK ISLAND -- Conc Components MCP ~uide 100.0% I Gasoline I Moderate I 27 02-004 PREMIUM GASOLINE Liquid 12000 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 I Annual Amount GAL 12,000 I 6,576 . 00 . 89,000.00 Storage Press T Temp~ Location UNDER GROUND TANK Ambient/Ambient liN UNDERGROUND TANK BELOW ISLAND -- Conc Components MCP ---~uide 100.0% I Gasoline I Moderate I 27 02-002 DIESEL Liquid 12000 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 I Annual Amount GAL 12,000 I 4,724.00 266,000.00 Storage Press T Temp Location UNDER GROUND TANK Ambient~AmbientlIN UNDERGROUND TANK BELOW ISLAND -- Conc Components MCP ---TGuide 100.0% IGasoline IModeratel 27 09/03/93 FASTRIP FOOD STORE #621 215-000-000619 Page 4 02 - Fixed'Containers on Site Hazmat Inventory Detail in MCP Order 02-003 UNLEADED GASOLINE LiqUid 12000 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006r61-9 Trade Secret: No Form: Liquid TyPe: Pure Days: 365 Use: FUEL Daily Max GAL Daily Average GAL I Annual Amount GAL 12,000 I 4,724.00 266,000.00 Storage Press T Temp · Location UNDER GROUND TANK AmbientlAmbientlIN UNDERGROUND TANK BELOW ISLAND -- Conc Components MCP --~Guide 100.0% IGasoline ? IModeratel 27 09/03/93 FASTRIP FOOD STORE #621 215-000-000619 Page 5 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 9 11 <2> Employee Notif./Evacuation ALL EMPLOYEES ARE TRAINED AND AWARE THAT IN THE EVENT OF AN EMERGENCY SITUATION THEY ARE TO FOLLOW THESE PROCEDURES: A) SHUT OFF (IF POSSIBLE) MAIN POWER BREAKER B) EVACUATE THEMSELVES AND ANYBODY IN OR AROUND THE PREMISES C) DIAL 911 <3> Public Notif./Evacuation ALL EMPLOYEES ARE TRAINED AND AWARE THAT IN THE EVENT OF AN EMERGENCY THEY ARE TO EVACUATE ANY PERSON OR RESIDENTS WITHIN OR AROUND THE VICINITY OF THE EMERGENCY SITUATION. THEN NOTIFY AUTHORITIES BY DIALING 911. <4> Emergency Medical Plan EMERGENCY - 911 MEDICAL - MEDI CENTER 820 34TH ST (805) 325-6334 OR - MEMORIAL HOSPITAL 420 34TH ST (805) 327-1792 09/03/93 FASTRIP FOOD STORE #621 215-000-000619 Page 6 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention ALL EMPLOYEES SHOULD BE AWARE OF LOCATION OF EMERGENCY SHUT DOWN CONTROLS FOR GASOLINE EQUIPMENT. PROCEDURES TO FOLLOW IN THE EVENT OF AN EMERGENCY ON THE GAS ISLAND ARE AS FOLLOWS: GAS ISLAND ARE AS FOLLOWS: A) IF A CUSTOMER OVERFILLS A VEHICLE TANK RESULTING IN A SMALL SPILL - HOSE DOWN THIS AREA 'WITH WATER. B) IF A CUSTOMER DRIVES OFF WITH GAS NOZZLE IN CAR FILL TANK, RESULTING IN A SUBSTANTIAL FLOW OF GASOLINE - SHUT DOWN ENTIRE SYSTEM, CALL FIRE DEPT., CALL DISTRICT MGR, CLEAR THE GAS ISLAND. C) IF VEHICLE DAMAGE TO ONE PUMP RESULTS IN A LEAK SHUT DOWN POWER TO THIS PUMP ONLY. HOSE DOWN AREA AND CALL YOUR'DISTRICT MGR. D) IF AN ADJACENT BUSINESS/BLDG IS ON FIRE, SHUT DOWN THE ENTIRE GAS ISLAND <2> Release Containment GAS PUMPS HAVE EMERGENCY SHUT OFF BUTTONS, ABSORBENT MATERIAL IS STORED NEAR GAS ISLANDS FOR EASY ACCESS IN CASE OF A SMALL SPILL. <3> Clean Up SMALL SPILLS - USE AN APPROVED ABSORBENT MATERIAL, SPREAD OVER THE SPILL, SWEEP AND PUT IN COVERED APPROVED CONTAINER. LARGE SPILLS - SHUT DOWN ENTIRE sYSTEM AND CALL 9-1-1. <4> Other Resource Activation 09/03/93 FASTRIP FOOD STORE #621 215-000-000619 Page 7 00 - Overall Site <E> Mitigation/Prevent/Abatemt .<4> Other Resource Activation (Continued) 09/03/93 FASTRIP FOOD STORE #621 215-000-000619 Page 8 00 - O~erall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - SOUTHEAST EXTERIOR CORNER OF BUILDING B) ELECTRICAL - NORTHWEST INTERIOR SIDE STOCK ROOM C) WATER - NORTHWEST CORNER EXTERIOR OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS - 1 EAST SIDE DOORS INTERIOR WALL NEAR GAS ISLAND - 1 SOUTHWEST INTERIOR STOCKROOM BEHIND DOOR FIRE HYDRANT - 40 FT SOUTH OF PROPERTY LINE ON Q STREET <4> Building Occupancy Level 09/03'/93 FASTRIP FOOD STORE #621 215-000-000619 Page 9 00 - Overall Site <G> Training <1> Page 1 ALL EMPLOYEES SHOULD BE AWARE OF LOCATION OF EMERGENCY SHUTDOWN CONTROLS FOR GASOLINE EQUIPMENT. PROCEDURES TO FOLLOW IN THE EVENT OF AN EMERGENCY ON THE GAS ISLAND ARE AS FOLLOWS: A) IF A CUSTOMER OVERFILLS A VEHICLE TANK RESULTING IN A SMALL SPILL - HOSE DOWN THIS AREA WITH WATER B) IF A CUSTOMER DRIVES OFF WITH A GAS NOZZLE IN CAR FILL TANK - RESULTING IN A SUBSTANTIAL FLOW OF GASOLINE SHUT DOWN ENTIRE' SYSTEM - RESULTING IN A DISTRICT MANAGER AND CLEAR THE GAS ISLAND C) IF VEHICLE DAMAGE TO ONE PUMP RESULTS IN A LEAK SHUT DOWN THE POWER TO THIS PUMP ONLY; HOSE DOWN AREA AND CALL DISTRICT MANAGER D) EACH STORE WILL HAVE A LISTING OF EMERGENCY CONTACT PHONE NUMBERS POSTED NEAR THE SALES COUNTER AREA. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use $ 02/24/92 FASTRIP FOOD STORE #621 215-000-0006'19 MAE 1 3 992 Page l Overall Site with 1 Fac. Unit A~B~ ............ General Information Location: 805 34TH ST Map: 103 Hazard:.Low. Community: BAKERSFIELD STATION 04 Grid: 19D F/U: 1AOV: 0.0 Contact Name Title Business Phone 24-Hour Phone- (805) 325-0110 x (805) 366-3©32: Ch.o~ck Morris Manager (805) 393-7000 x (805) 393-7000' Doris Qufnnelly Supervisor Administrative Data Mail Addrs: 805 34TH ST D&B Number: ,?- ~&~- ?&aS City: BAKERSFIELD State: CA Zip: 93301- Comm Code: 215-004 BAKERSFIELD STATION 04 SIC Code: Owner: JACO HiLL Phone: (805')393 -7000 Address: P O BX 1807 State: CA City: BAKERSFIELD Zip: 93303- Summary ~ ~"~:~} materials manage- reviewed the a~ache~ ment plan any ~rrections ~nstitu[e a mmpt~e and ~rr~ man- agemem plan tor my 02/24/92 FASTRIP FOOD STORE #621 215-000'-000619 Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 PREMIUM GASOLINE Liquid 8520 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: FUEL Daily Max GALI Daily Average GAL I Annual Amount GAL 8,520 ~ 4,673.00 30,000.00 Storage Press T Temp Location UNDER GROUND TANK IAmbient~AmbientlIN UNDERGROUND TANK BELOW ISLAND -- Conc Components MCP List 100.0% IGasoline ModerateI 02-002 REGULAR GASOLINE Liquid 8520 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GALI Daily Average GAL I Annual Amount GAL -- 8,520 ~ 4,724.00 266,000.00 Storage Press T TempI Location UNDER GROUND TANK AmbientlAmbientlIN UNDERGROUND TANK BELOW ISLAND -- Conc Components MCP List 100.0% IGasoline IModeratel 02-003 UNLEADED GASOLINE· Liquid 8520 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GALI Daily Average GAL I Annual Amount GAL -- 8,520 ~ 4,724.00 266,000.00 Storage Press T TempI Location UNDER GROUND TANK Ambient~AmbientlIN UNDERGROUND TANK BELOW ISLAND -- Conc Components ] MCP List 100.0% IGasoline ~ModerateI 02/24/92 FASTRIP FOOD STORE #621 215-000-000619 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-004 PREMIUM GASOLINE Liquid 8520 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 8,520 I 6,576.00 89,000.00 Storage Press T Temp Location UNDER GROUND TANK IAmbient|AmbientlIN UNDERGROUND TANK BELOW ISLAND -- Conc Components MCP List ModerateI 100.0% IGasoline 02/24/92 FASTRIP FOOD STORE #621 215-000-000619 Page. 4 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation ALL EMPLOYEES ARE TRAINED AND AWARE THAT IN THE EVENT OF AN EMERGENCY SITUATION THEY ARE TO FOLLOW THESE PROCEDURES: A) SHUT OFF (IF POSSIBLE) MAIN POWER BREAKER B) EVACUATE THEMSELVES AND ANYBODY IN OR AROUND THE PREMISES C) DIAL 911 <3> Public Notif./Evacuation ALL EMPLOYEES ARE TRAINED AND AWARE THAT IN THE EVENT OF AN EMERGENCY THEY ARE TO EVACUATE ANY PERSON OR RESIDENTS WITHIN OR AROUND THE UICINITY OF THE EMERGENCY SITUATION. THEN NOTIFY AUTHORITIES BY DIALING 911. <4> Emergency Medical Plan EMERGENCY - 911 MEDICAL - MEDI CENTER 820 34TH ST (.805) 325-6334 OR - MEMORIAL HOSPITAL 420 34TH ST (805) 327-1792 02/24/92 FASTRIP FOOD STORE #621 215-000-000619 Page 5 00 - Overall Site <E> Mitigation/Prevent/Abatemt <l>~Release Prevention ALL EMPLOYEES SHOULD BE AWARE OF LOCATION OF EMERGENCY SHUT DOWN CONTROLS ~FOR GASOLINE EQUIPMENT. PROCEDURES TO FOLLOW IN THE EVENT OF AN EMERGENCY ON THE GAS ISLAND ARE AS FOLLOWS: GAS ISLAND ARE AS FOLLOWS: A) IF A CUSTOMER OVERFILLS A VEHICLE TANK RESULTING IN A SMALL SPILL - HOSE DOWN THIS AREA WITH WATER. B) IF A cuSTOMER DRIVES OFF WITH GAS NOZZLE IN CAR FILL TANK, RESULTING IN A SUBSTANTIAL FLOW OF GASOLINE - SHUT DOWN ENTIRE SYSTEM, CALL FIRE DEPT., CALL DISTRICT MGR, CLEAR THE GAS ISLAND. C) IF VEHICLE DAMAGE TO ONE PUMP RESULTS IN A LEAK SHUT DOWN POWER TO THIS PUMP ONLY. HOSE DOWN AREA AND CALL YOUR DISTRICT MGR. D) IF AN ADJACENT BUSINESS/BLDG IS ON FIRE, SHUT DOWN THE ENTIRE GAS ISLAND <2> Release Containment Gas pumps have emergency shut off buttons, absorbent material is stored near gas islands for easy access in case of a small spill. <3> clean Up Small Spills- Use an approved absorbent material - spread over the spill, sweep and put in-covered approved container. Large Spills - Shut down entire system - Call 911 <4> Other Resource Activation 02/24/92 FASTRIP FOOD STORE #621 215-000-000619 Page 6 00 - Overall Site <E> Mitigation/Prevent/Abatemt <4> Other Resource Activation (Continued) 02/24/92 FASTRIP FOOD STORE #621 215-000-000619 Page 7 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility .Shut-Offs A) GAS - SOUTHEAST EXTERIOR CORNER OF BUILDING B) ELECTRICAL - NORTHWEST INTERIOR SIDE STOCK ROOM C) WATER - NORTHWEST CORNER EXTERIOR OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS - 1 EAST SIDE DOORS INTERIOR WALL NEAR GAS ISLAND - 1 SOUTHWEST INTERIOR STOCKROOM BEHIND DOOR FIRE HYDRANT - 40 FT SOUTH OF PROPERTY LINE ON Q STREET <4> Building Occupancy Level 02/24/92 FASTRIP FOOD STORE #621 215-000-000619 Page 8 00 - Overall Site <G> Training <1> Page 1 ALL EMPLOYEES SHOULD BE AWARE OF LOCATION OF EMERGENCY SHUTDOWN CONTROLS FOR GASOLINE EQUIPMENT. PROCEDURES TO FOLLOW IN THE EVENT OF AN EMERGENCY ON THE GAS ISLAND ARE AS FOLLOWS: A) IF A CUSTOMER OVERFILLS A VEHICLE TANK RESULTING IN A SMALL SPILL - HOSE DOWN THIS AREA WITH WATER B) IF A CUSTOMER DRIVES OFF WITH A GAS NOZZLE IN CAR FILL TANK - RESULTING IN A SUBSTANTIAL FLOW OF GASOLINE SHUT DOWN ENTIRE SYSTEM - RESULTING IN A DISTRICT MANAGER AND CLEAR THE GAS ISLAND C) IF VEHICLE DAMAGE TO ONE PUMP RESULTS IN A LEAK SHUT DOWN THE POWER TO THIS PUMP ONLY; HOSE DOWN AREA AND CALL DISTRICT MANAGER D) EACH STORE WILL HAVE A LISTING OF EMERGENCY CONTACT PHONE NUMBERS POSTED NEAR THE SALES COUNTER AREA. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use ~ -" ~"-", CITY o/' BAA'ER~/~L.D '~'"-" ~:':" '~ ~_ -~.., ~., ~ ,'~ .... :..,.%~.: ~.,/' JOHN KERLEY (~-~e or Drin% name) JAN 1 9 1989 z z that I have revzewed the Ans'd. attached Hazardous Materials busines's plan FASTRIP FOOD STORE 9621, 805 34th St, Bakersfield for (name of business) and that it along with the attached additions or corrections constitute a complete and correct Business Plan for m,v facilit.v. ONLY CHANGE IS IN SECTION 1. OVERVIEW AS TO EMERGENCY CONTACTS: TIMOTHY GALLARDO, MANAGER 325-0110 or 326-0592 FRED FAULKNER, DISTRICT MANAGER 393-7000 or 832-5247 ~,~1/~ BUSYNESS NANE FASTRIP FOOD STORE #621 ID NUMBER 215-000-000619 LOCATION 805 34TH ST HIGH HAZARD RATING Z I . OVERVIEW LAST CHANGE 11/16/87 BY ESTER JURIS CODE 215-004 JURIS BAKERSFIELD STATION 04 MAP PAGE 103 GRID 19D FACILITY UNITS 1 HAZARD RATING 2 RESPONSE SUMMARY 2A SEC 4) NO PRIVATE RESPONSE TEAM EMERGENCY CONTACTS 2A SEC 2) GORDON BRANSON, - 325-0110 OR 323-1701 DAVE WHITE - 393-7000 OR 871-2738 UTILITY SHUTOFFS 2A SEC 3) A) GAS - SOUTHEAST EXTERIOR CORNER OF BLDG B) ELECTRICAL - NORTHWEST INTERIOR SIDE STOCK ROOM C) WATER - NORTHWEST CORNER EXTERIOR OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO 2 . NOTIFICATION / PUBLIC EVACUATION LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > PAGE 1 12/27/88 16:38 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BU~INES~ NAME FASTRIP FO TORE #621 ID NUMBER 215-000-000619 LOCATION 805 34TH ST HIGH HAZARD R,~TI~'~,G 2 3 . I{AZ MAT TRAINING S UFI~IARY LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > 4 . LOCAL ~M~RG~NCY M~DICAL ASSISTANC~ LAST CHANG~ 10/0~/8~ BY ~ST~H 2A SEC 5) EMERGENCY - 911 MEDICAL - MEDI CENTER 820 34TH ST (805) 325-6334 OR - MEMORIAL HOSPITAL 420 34TH ST , (805) 327-1792 PAGE 2 12/27/88 16:38 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUS%NESS NAME FASTRIP FOOD STORE #621 ID NUMBER 215-000-000619 LOCATION 805 34TH ST HIGH [lAZARD RATING 2 FACILITY UNIT 01 A . OVERALL HAZARDOUS MATERI.zXLS INVENTORY LAST CHANGE 10/09/87 BY ESTER ID TYPE NAME MAX AMT UNIT HAZARD LOCATION CONTAINMENT USE 1 MIXTURE GASOLINE 48000 GAL HIGH EAST SIDE OF BLDG UNDERGROUND TANKS FUEL ID PERCENT COMPONENTS HAZARD LISTS 1182.00 100.0 GASOLINE HIGH B . FIRE PROTECTION / WATER SUPPLIES LAST CHANGE 10/09/87 BY ESTER 3A SEC 4) FIRE EXTINGUISHERS 1 - EAST SIDE DOORS INTERIOR WALL NEAR GAS ISLAND 1 - SOUTHWEST INTERIOR STOCKROOM BEHIND DOOR 3A SEC 5) HYDRANT - 40 FT SOUTH OF PROPERTY LINE ON Q ST PAGE 3 12/27/88 16:38 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINES's NAME FASTRIP FO( STORE #621 ID NUMBER 215-000-000619 LOCATION 805 34TH ST HIGH HAZARD RATING 2 D . EMPLOYEE NOT I F I CAT ION / EV~zkCUAT ION LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > E . MITIGATION / PREVENTION / ABATEMENT LAST CHANGE 10/09/87 BY ESTER ALL EMPLOYEES SHOULD BE AWARE OF LOCATION OF EMERGENCY SHUT DOWN CONTROLS FOR GASOLINE EQUIPMENT. PROCEDURES TO FOLLOW IN THE EVENT OF AN EMERGENCY ON THE GAS ISLAND ARE AS FOLLOWS: A) IF A CUSTOMER OVERFILLS A VEHICLE TANK RESULTING iN A SMALL SPILL - HOSE DOWN THIS AREA WITH WATER. B) IF A CUSTOMER DRIVES OFF WITH GAS NOZZLE IN CAR FILL TANK, RESULTING IN A SUBSTANTIAL FLOW OF GASOLINE - SHUT DOWN ENTIRE SYSTEM, CALL FIRE DEPT., CALL DISTRICT MGR, CLEAR THE GAS ISLAND. C) IF VEHICLE DAMAGE TO ONE PUMP RESULTS IN A LEAK SHUT DOWN POWER TO THIS PUMP ONLY. HOSE DOWN AREA AND CALL YOUR DISTRICT MGR. D) IF AN ADJACENT BUSINESS/BLDG IS ON FIRE, SHUT DOWN THE ENTIRE GAS ISLAND - EMERGENCY CONTROL SHUT-OFF; FIRE DEPT WILL ADVISE WHEN TO RESUME NORMAL GASOLINE OPERATIONS. E) EACH STORE WILL HAVE A LISTING OF EMERGENCY CONTACT PHONE NUMBERS POSTED NEAR THE SALES COUNTER AREA. PAGE 4 12/27/88 16:38 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 CITY of. BAKERSFIELD '-- ~ HAZARDOUS MATERI ALS I NVENT.ORY' F,er,. ,~nd AoricultuvS L.._a S~nd~vd NO N-- 'ITRAD E S E C R E TS , ~,~,.[__of /_.. ' ' STANDARD IND. CLASS CODE CITY, ZIP:~,~C%;I~ c~ ~5~/ CITY, ZIP: ~ff~;o[~ qg~ DUN AND BRADSTREET_ NUMBER_ lrans T~ ~x k~mqe ~1 ~su~ I ~ C~t ~t ~t ~e C~e ~t ~t Est Ufl~ts ~ Site T~ ~l TW ~ ~lth of P~ ~lth ((~k a11 tMt a~ly) (C~k ill t~t e~ly) ...... , of P~sure H~lth ' ~t t) HHith of Pr~surl ~t g) ~Cttficati¢ (Read and sJ~n after co.pJ¢t~nE a~I sections) I ce~T(jfy'~der'x ~lty of lp t~t I ~ve ~rs~ellyexmmin~ end ia fNililr with t~ tnfor~ti~,su~itt~ in this ~ roll lttK~tl, B~ERSFIELD, CA 93301 (805) 326-3979 i OFFICIAL USE ONLY ID# USINESS NME HAZARDOUS MATERI ALS BUSINESS PLAN AS A WHOLE FORM 2A. INS~UCTIONS: 1. To avoid 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 IDE~IFICATION DATA A. BUSINESS NAME: ~ 77~Z~ ~J~ -~Z-~-- B. LOCATION / STREET ADDRESS: FO~'- ~'5~-~/~ CITY: ~//-/~~/'~~ .. ZIP: ~-'~/ BUS.PHONE: ( 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 T0 NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE DURING BUS. HRS. AFTER BUS. HRS. C John Kerley, Jaco Oil Co , 393-7000 office 398-8298 home SECTION 3: LOCATION OF ~ILI~ S~-OFFS FOR BUSI~SS AS A ~OLE D. SPECIAL: E..LOCK BOX: YES /~ I~ YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / N0 MSDSS? YES / N0 FL00R PLANS? YES / N0 KEYS? YES / N0 SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE SECTION 6: EMPLO~E T~INING EMPLOYERS ARE REQUIRED TO HAVE ~A~=PROG~M WHICH' PROVIDES EMPLOYEES WITH INITIAL-AND CIRCLE YES OR NO INITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDOUS' ~0. ' B. PROCEDURES FOR COORDINATING ACTIVITIES ....................... / C. PROPER USE OF SAFETY EQUIPMENT: .................. 0 Y/YES/ NO D. EMERGENCY EVACUATION PROCEDURES: ................. ~ YEW N0~NO E. DO YOU ~INTAIN EMPLOYEE TRAINING RECORDS: ....... ~ N0 NO SECTION ?: ~ZARDOUS ~RIAL CIRCLE YES OR NO DOES YOUR ~USINESS ~NDLE HAZARDOUS ~TERIAL IN QUANTITIES LESS THAN ~00 P0~NDS 0F~_ SOLID, ~S GAttONS OF A LIQUID,' OR ~0' C~OIC FEET O~ ~'~O~?REsSED' 6lS:'.'..q.. ¥~S~ , certify that the ab'ove'infb~mati0n .is accurate. I understand that this information ~ill be used to fulfill my firm's obligations unde~ the ne~ California Health and Safety code on Hazardous Materials (Div. a0 Chapter. 6.95 Sec. a$500 Et Al.) and that inaccurate information constitutes perjury. .. BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# BUSINESS NAME: BUSINESS pLAN SINGLE FACILITY UNIT FORM SA 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. FACILI~ ~,~IT~ /~/ FACI~.~ SIT N~:/-;V~/~ AS~_~ Jz~ SECTION 1: MITIGATIONt PREVENTION, ABATEMEN~r PROCEDURES. SECTION 2: NOTIFICATION AND EVACUATION PROCEDL~RES AT THIS I~WIT"ONL¥' - 3A - Jaco-Jamieson DBA BAKERSFIELD, CA 93303 FOOD STORES (so5) 393-?000 DATE: July 2, 1987 TO: All Stores FROM: Larry Henson RE: Hazardous Material/Gasoline Emergencies In response to new laws governing gasoline shortage, public safety, and our employees safety, procedures for handling emergency situations within our stores need to be clearly conveyed to all employees of Fastrip Food Stores. In most instances, problems or emergency situations from our stores, concern gasoline spills on the gas island through drive offs,.. carelessness or vehicle damage to equipment - all resulting in leaks/ spills of gasoline product. Ail store managers will know the location of emergency shut off controls to totally shut down gas flow to equipment. All store managers will show each current employee and any future employees the emergency shut-off locations and discuss procedures if a spill occurs. Attached is a report to our office indicating that your employees have been shown and understand emergency shut off procedures. Com- plete and return this form to your district manager no later.than July 15, 1987. If you have questions, comments, or concerns discuss with your district manager. cc: John Kerley Fred Faulkner Training Dept. FASTRIP FO'OD STORES (Section 02- Revision 7-1-87) 05-04. Gasoline Emergency Procedures ~ All employees should be aware of location of eme!gen~.shut down controls for gasoline equipment. Procedures to follow in the event of an emergency on the gas island are as follows: 05-04A. If a customer overfills a vehicle tank resulting in a small spill - hose down this area with water. 05-04B. If a customer drives off with gas nozzle in car fill tank, resulting in a substantial flow of gasoline - shut down entire system, call fire department, call district manager, clear the gas island. 05-04C. If vehicle damage to one pump results in a leak - shut down power to this pump Only. Hose down area and call your district manager. 05-04D. If an adjacent business/building is on fire, shut down the entire'gas island - emergency control .... shut-off; fire department will advise when to re- sume normal gasoline operations. 05-04E. Each store will have a listing of emergency/to con- tact telephone numbers posted near the sales counter area. SECTION $: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials? ...... ~ NO If YES, see B. If NO, continue with SECTIO~ 4. B. Are any of the hazardous materials a bona fide Trade Secret YES If No,. complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form #4A-l) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow 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 bSE' By' E~WERGENCY RESPONDERS SECTION ~: LOCAT!O~ OF UTILITY SHUT-OFFS AT THIS UNIT A. NAT. GA~/' ~ . o. P~xOPANE: B. ELECTRICAL: C. WATER: D. SPECIAL , · ~' (NO/IF YES, LOCATION: E LOCK B,.,X: YES /' IF YFS, SITE PLANS? YES / NO MSDSs? YES / NO. FLOOR PLANS? YES / XO KEYS? YES ./".NO - 3B - BAKERSFIELD CITY FIRE DEPARTMENT I.D. # FORM 4A-1 Page ~ of NON--TRADE SECRETS HAZARDOUS MATERlr ALS INVENTORY BUSINESS NAME:~~ /g~-~;~--~'~:~::~'t" OWNER-NAME_: ,..~-/'~-~--'/'~t'~"~'kff FACILITY UNIT ADDRESS: ~_ ~~/_~ ADDRESS: ~.O. ~ /~ FACILITY UNIT NAME: CITY, ZIP~ ~~~. ~.~ / CITY,ZIP:~~~~~ . PHONE ~:~ ~.~1~ PHONE ~: ..~~O~ OFFICIAL USE CFIRS CODE I 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. CHE~IQAL OR COMMON NAME CODE GUIDE 1,031,411 gal. 01 19 see plot: plan 100% gasoline //~~ FLGS P 48,000 I NAME:__ TITLE o~- S GNATURE ~ ~~.~ DATE: E~ERGENCY C0NTA ~~]~~o~ 'TITLE: ~~-~ , PHON~ · BUS HOURS: AFTER BUS HRS: P~INCIPAL BUSINESS ACTIVITY:___~~/~ ~~ ~/~cocz.~'.. AFTER 8US HRS: