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Home My WebLink AboutBUSINESS PLAN T-~ ~~- _ _ -_«._ _- r -_-_.-~ ____~~s-__= 4y.~ 3', i '~ HaZardOUs Materials/Hazardous Waste Unified Permit' . CONDITIONS OF-PERMIT ON REVERSE SIDE This ~ermit is Issued for the followin~j; [] Hazardous Materials Plan E] Underground Storage of HazardOus Materials Permit ID #:: 015-000-000917 E] Risk Management Program BAKER STATION MARKET o Hazardous Waste On-Site Treatment LOCATION: 631 BAKER ST 1ELD TANK HAZARDOU~S ~AN'(E '"~*,:~ .CAP~rI~.~!}}~ DISPENSERPANS~MONITORING 01§-000-000§17-0001 REGULAR 015-000-000917-0002 UNLEADED GASOLINE ' ~? *:.~; ..... ,. ~0~: :-.'.2 015-000-000917-0003 PREMIUM GASOliNE ~:~ :.:.-~,-'. ,luu~u_ ;, . . ', . - '. OFFICE OF EN~R ONMENTAL SER ~CES 1715 Chester Ave., 3rd Floor Approved by: ~.~lp~Hu~,D~ 'Issue ~te Bakersfield, CA 93301 om~of~~~i~' Voice (661) 326-3979 F~ (661) 326-0576 Expiation Date: ,~ r UNIFIED PROGRAM .INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services A r; R S F , „ - .900 Truxtun Ave.,, Suite 210 iFiRE Bakersfield, CA 93301 o AerM Tel.: (661) 326-3979 . - ' ~ Fax: - (661) 872-2171 FACILITY NAM ' ~ II ~ ~ INSPECTION DATE - 4 " ~ INSPECTION TIME o• C3 t0l~l I ~I G ^ Q ( ADDRESS ~ ~ ~ ~ ( ~ ~ ~ - - - _ PHONE NOi ,~~~~ 3 NO OF EM~YEES FACILITY CONTACT ~ - BUSI ESS ID NUMBER 45-021- 4k _- __ _ __ __-_ _ -- __ _I Section 1: Business Plan and Inventory Program ~ ^ ROUTINE C~C~OMBINED ' '^ .JOINT AGENCY' ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION l C V ~ C=Compliance OPERATION V=Violation COMMENTS Ql/ ^ APPROPRIATE PERMIT ON HAND ~ / LU/ ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF. INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL " / LY/ ^ VERIFICATION OF MSDS AVAILABILITY ~; ~I ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES 1 ~ (~/ ^ EMERGENCY PROCEDURES ADEQUATE ~^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING FIRE PROTECTION ` -f -6. ~irc. ~`~ - C'~t ^ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES C~NO EXPLAIN: QUEST~NS REGARDING THIS INSPECTION? PLEASE CALL US AT ,(661) 326-3979 Inspector (Please Prin Fire P Ion / 1s' In /Shift of Site/Station # usiness Site /Responsible Party (Please Print) ' - White -Prevention Services ~ Yellow -Station Copy ~ Pink -Business Copy - FD 2155 (Rev. 09/05 k `~,"~ INSPECTIONS B E R S F I D BUSINESS PLAN & ~RrM r INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST FACILITY NAME: ~n rir ~~~ ~~GI, INSPECTION DATE: Q d Section 2: Underground Storage Tanks Program ^ Routine C1YCombined ^ JointA ency ^ Multi-Agency 3Complaint ^ Re-Inspection Type of Tank C~.~ Number of Tanks Type of Monitoring ~ (S"~ Type of Piping ~~~ ~, t'~. OPERATION C V COMMENTS Proper tank data on file Proper owner /operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? ^ Yes `'~ No Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank Aggregate Capacity Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF?) If yes, does tank have overfill /overspill protection? C =Compliance V =Violation Y =Yes N = No Inspector: Questions regarding this inspection? Please call us at (661) 326-3979 White -Prevention Services BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 ' Fax: (661) 852-2171 Page 1 of 1 siness Site Responsible Party Pink -Business Copy KBF-7335 FD 2156 (Rev. 09/05) ~* BASERSFIELD FIRE DEPT ~s~ ~ a Prevention Services IDNIFIED PROGRAM INSPECTION CHECKLIST ' rr~t~ 9oolYuxtunAve., Suite 210 ~~,...::~,. ~::;:~~ : t.,. <- ~ ._. , ,:, ~.,. ,- ..... .... ...... .:. :~ ._.- . ...<. :_._:..: sRrr Bakersfield. CA 93301 SECTION 1: Business Plan and Inventory Program ~ Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NA NSP ON ATE INSPECTION TIME ADDRESS ~ ~ / I ~` ~ `K~C_~ HO~NO. ~ ~ ~ ~ r O OF E PLOYEES FACILITY CONTACT USINESS ID NUMBER 15-021- Section 1: Business Plan and Inventory Program ~5 ~f D ^ ROUTINE OMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (c=Compliance OPERATION V=Violation COMM NTS ^ APPROPRIATE PERMIT ON HAND ~^ BUSin@SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ~A~~~ SIN 1 ~~I Q~~ ^ VERIFICATION OF INVENTORY MATERIALS _ ~ ~~ ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY - / 6Y ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND RO EDURES " EMERGENCY PROCEDURES ADEQUATE CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ ^ FIRE PROTECTION SITE DIAGRAM ADEQUATE & ON HAND ,, ~~~,,~ (j,~,,, ~~,~~ a~ --~~~~9~~-~Q-6LL1C1~1-~-5]!SL[ISLd._ ~ u ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ~ _~ ^ YES C6::1~0 r~s'c"~ QUESTI REGARDI G T IS INSPECTION? PLEASE CALL US AT (881) 326-3979 Inspector (Please Print) Fire Prevention / i" In / Shift of SRe/Stetion # mess SRe/School Site Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2l)48 (Rev. 02105) ~. = .- ~.F.LD ~:- ~++w,Q`~' `r~'~~\ (:ITY ®F BAK.EI2SFIEI,U FIRE DEPAR'I'MF,NT ~~ ~ ~ ~°~ OFFICE OF >h;NVIRf)1Vli'IENTAL SERVICES ~~' '~+` UNIFIED PROGRAM INSPECTION CI~ECKLIST ~`-,w ~g~,~'~~ 1715 Chester Ave., 3''`' Floor, ~akerstield, CA 93301 ...,~~ FACILITY NAME A,.ICC'~ S`~ ~8~f ~~ INSPECTION DATE Section 2: Underground Storage Tanks Program ^ Routine ~ombined ^ Joint Agency ^Mulfi-Agency Complaint ^ Re-inspection Type of Tank ,gu~,~. C~ . P Number of Tanks Type of Monitoring ~~( C'~ Type of Piping S ~ , OPERATION C V COMMENTS Proper tank data on tile. - Proper owner/operator data un file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current ~ ~ , ~ ~ ~ ` Failure to correct prior UST violations Has there been an unauthorized release? YeS NO L~ Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OF,S Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: Office of Environmental Services (661) 326-3979 usiness Site Responsible Party white - F nv. Svcs. Pink -Business C~~pv ~, ~'-- UNIFIED PROGRAM INSPECTION CHECKLIST~~' 3.E"~..,,..t^.:igA'.PW.tif:1'3Rn'?l.~vabF«;•.Ft .~.{ .,, '.~:.~-.. ":. .d. -e.:. ..'.tt ...._..;.: w+~. ~'. .•- .~ .. A... .SECTION 1: Business Plan and Inventory Program BASERSFIELD FIRE DEPT Prevention Services ~~~~ 9001Yuxtun Ave., Suite 210 ~t>rr Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAM 2 r NSPECTION DATE --o INSPECTION TIME ,.3 ADDRESS HONE NO. O OF EMPLOYEES ~~ ~ FACILITY CONTACT ~ USINESS ID NUMBER ,5-02,- q~ Section 1: Business Plan end Inventory Program ^ ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (~=Compliances OPERATION V=Violation COMMENTS ,~ ^ APPROPRIATE PERMIT ON HAND ~(. ^ BUSIfieSS PLAN CONTACT INFORMATION ACCURATE /~ ^ VISIBLE ADDRESS ' \ ^ CORRECT OCCUPANCY fy~( ~/ ~ ^ VERIFICATION OF INVENTORY MATERIALS ,~( (/ ~ ~ ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL /R3, ^ VERIFICATION OF MSOS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PR CEDURES ^ EMERGENCY PROCEDURES ADEQUATE _ T~ y ~J O CONTAINERS PROPERLY LABELED ~ e ~D ^ HOUSEKEEPING ^ FIRE PROTECTION ~^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZA,FiDOUS WASTE ON SITE? ^ YES ^ NO EXPLAIN:.~~~1 ~-~G7//~~~_~~~Q ~ -. ~ .~~~.i~ ~c ,~-._--~.~~~ - QUESTIONS REG/AlRDING THIS INSPECTION? PLEASE CALL US AT (881) 326-3879 Inspector (Please Print) Fire Prevention / 1" In / Shift o) Sfte/Stetion k ~usiness SRe/School Site Responsible PaAy (Please Print) White -Prevention Services Yellow -Station Copy Pink - Business Copy FD2049 (Rev. OZ/t15) ~. ~• - w ~ '4 ,i~~' `~~ ~ CITY OF BAKERSFiELD 1' 1RE DEPARTMENT e ~ ~°~~~ OFFICE OF E:NVIRONI~~IF.NTAL SERVICES ~' y~' UNIFIED PROGRAM INSPECTION CHECKLIST _c~ ~gti,,e'A 1715 Chester Ave., 3~`' Ftoor, Bakersfield, C:A 93301 FACILITY NAME~~}Kf~2 ,~'i/t7~~nnJ ~~/[.r.-~~ INSPECTION DATE_1_~~~ Section 2: Underground Storage Tanks Program ^ Routine ~Eombined ^ Joint Agency ^Mulfi-Agency ^ Complaint ^ Re-inspection Type of Tank 5~:~,I~ ovAll ~~a-`~ L~ti Number of Tanks ~ Type of Monitoring 6r) b,4RLo Type of Piping S~ ~~~w.Ql( OPERATION C V COMMENTS Proper tank data on file Proper ownen`operator data on file Permit fees current Certification ot• Financial Responsibility ~~ ~ ~(„/ ~ry¢ 1 S Monitoring record adequate and current a2 _ Maintenance records adequate and current Failure to correct prior UST violations ,(~~ ' Has there been an unauthorized release? Yes ~~ U ~~~ Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling (s tank used to dispense MVF? If yes, Does tank have overfill/overspill protection'? C=Compliance V=Violation Y=Yes N=NO Inspector: N ~,,,~ Oi~ice of Environmental Services 661) 326-3979 wI11rC - 1=nV. SVCS. Pink -Business Cory f'" usiness Site Responsible Party UNIFIED PROGRAM INSPECTION CHECKLIST SSE TION 1 Business Plan and Inventory Program FACII.iT`r' NAME __ ~~~Cc_r._.__-S-~t~~{.C_N--- __._~.1~.~ --- - - - ---- .- -- i -_. _-_ ADCRESS 13~ - - - ~.3~-- c~ ~ ~----~ --------- - -- _.- _.. _. ---- -- ---- -- -- FAl'ILITYCONTACT Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 I SPECTION DATE INSPECTION TIME PHONE No. j No. of Employees ~3i_=~ 1~s_~._ - - - _ __--- --- Business ID Number l 5-02 l - ~~'/~ Section 1: Business Plan and Inventory Pt-ogram ^ Routine Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection C V ~ V=V o ationnce l OPERATION i i ~ ^ APPROPRIATE PERMIT ON HAND BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY I LY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION --_-- - ~^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE VERIFICATION OF FIAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ ^ FIRE PROTECTION D ^ SITE DIAGRAM ADEQUATE & ON HAND COMMENTS ANY HAZARDOUS WASTE ON SITE: ^ YES L'9 NO EXPLAIN: QUESTIONS R ARDIN TH INSPECTIONS PLEASE CALL US AT ~GG'I ~ 326-3979 - - - -- --- - -.__...__ ._.-.. . - ---- -- ~ ~ r Inspector Badge No., Business Sit R sponsible Party While -Environmental Services Yellow - Stettin Copy Pink - Business Copy ~~~~ ~ ~ ~, w •~ 00 CITY OF BAKERSFIELD FIRE DEPAR"I'MENT OFFICE OF E;NVIRONI~'IF.N"1'Al. SERVICES UNIFIED PROGRAM INSPECTION CHECKI.[ST 1715 Chester Ave., 3"' Floor, Bakersfield, CA 93301 FACILITY NAME ~CI~E ~t~~lcnl ~l~C-T Section 2: Underground Storage Tanks Program INSPEC"1-IUN DATE~~ ~ 3 ^ Routine (~ Combined ^ Joi''{ Agency ^Molti-Agency ^ Complaint ^ Re-inspection Type of Tank Swfi ~ ~ . p I Number of Tanks 3 Type of Monitoring ~(~ Type of Piping SCys ~ C • P OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Pennit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations / Has there been an unauthorized release? Yes NU ~f Section 3: Aboveground Storage Tanks Program TANK SIZE(S) TYpe of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection'? C=Compliance V=Violation Y=Yes N=NO Inspector: Office of Environmental Services (661) 3 6-3979 White - inv. Svcs. ~'.~.Z ~.~ ~v Business Site Responsible Party Pink -Nosiness Cory ~AKER STATION MARKET SiteID: 015-021-000917 Manager : BusPhone: (661) 631-1777 Location: 631 BAKER ST Map : 103' CommHaz : Low City : BAKERSFIELD Grid: 29C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 02 SIC Code:5541 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title GIRMACHEW CHEKOLE / OWNER / Business Phone: (661) 631-1775x Business Phone: (~61)65/-~ 24-Hour Phone : ~ I)~-6~x 24-Hour Phone : Pager Phone : ~_~z~ Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : Phone: (661) 631-1777x MailAddr: 631 BAKER ST State: CA City : BAKERSFIELD Zip : 93305 Owner GIRMACHEW CHEKOLE Phone: (661) 631-1777x Address : 4415 COLUMBUS ST C State: CA City : BAKERSFIELD Zip : 93305 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: I. ~~ /W~,~;~ Do hereby certify that I have or ~-int na~'e) revieweO 'ihe attached h~ardous matorials manage- ment plan for ~ ~~D~nd that it ~ong wRh (N~e of Bu~) , any corrections constitute a complete and mrm~ man- agement plan for my facility...;.) ~ .,..'-.- .~-~ 1 03/30/2004 ~AKER STATION MARKET SiteID: 015-021-000917 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: BAKER STATION MARKET Cross Street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : Phone: ( ) - x Address: City : State: Zip: Type : CORPORATION TANK OWNER INFORMATION Name : Phone: ( ) - x Address: City : State: Zip: Type : CORPORATION BOE UST Fee# : UNKNOWN Financ'l Resp: SELF INSURED Legal Notif : Property Owner Mailing Address Date: Phone: ( ) - x Name: Ttl: State UST # : 1998 Upg Cert#: -2- 03/30/2004 ~AKER STATION MARKET SiteID: 015-021-000917 = Hazmat Inventory By Facility Unit -- MCP+DailyMax Order Fixed Containers on Site Hazmat Common Name... ISpooHazlEPA HazardsI Frm DailyMax IUnit MCP REGULAR GASOLINE F IH DH L 10000.00 GAL Mod UNLEADED GASOLINE F IH DH L 10000.00 GAL Mod PREMIUM GASOLINE F IH DH L 10000.00 GAL Mod -3- 03/30/2004 ~AKER STATION MARKET SiteID: 015-021-000917 = Inventory Item 0001 Facility Unit: Fixed Containers on Site ~U~U~ ~Vl~ / ~£~ ~vl~ REGULAR GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: UST CAS# 8006-61-9 Liquid/Pure Ambient Ambient tINDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 10000.00 GALI 10000.00 GAL 1800.00 GAL H~ZARDOUS COMPONENTS %Wt. ~SI CAS# 100.00 Gasoline N 8006619 HAZARD ASSESSMENTSI TSecreto RS BioHaz Radioactive/Amount EPA Hazards NFPA I 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 -4- 03/30/2004 F~BAKER STATION MARKET SiteID: 015-021-000917 ~ 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: UST TANK DESCRIPTION Tank ID#: 2 Mfr: UNKNOWN PRE 1964 Compart Tank: N Installed: 0/ 0 Capacity: 10000 Gals No. Of Comparts: Additional Info: TANK CONTENTS Tank Use: MOTOR VEHICLE FUEL Petrol Type: REGULAR UNLEADED Matl Name:REGULAR GASOLINE Cas #: 8006-61-9 TANK CONSTRUCTION Type : SINGLE WALL W/INT LINER & C.P. Material(p): FIBERGLASS Material(s): FIBERGLASS Lining : EPOXY LINING Installed: Corr Prot: CATHODIC PROTECTION Installed: Spill Cnt : 1998 Alarm : Exempt: No Drop Tube : 1998 Ball Float : Striker Plate: 1998 Fill Tube S/O: 1998 TANK LEAK DETECTION Sgl Wall: AUTOMATIC TANK GAUGING Dbl Wall: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Last Used: Qty Remaining: Was.Filled: No -5- 03/30/2004 ~AKER STATION MARKET SiteID: 015-021-000917 ~ 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: SINGLE WALL Mfgr : Mtl : CATHODIC PROTECTION & : Corr : Prot : PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS DISPENSER CONTAINMENT Installed: 01/30/2004 Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Date: Name: Ttl: Prmt Number: 917 Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :04/03/1997 CP CERT. :07/01/2003 due date MANWAY INSP. :12/22/1998 UST MONIT. CERT:02/13/2004 -6- 03/30/2004 BAKER STATION MARKET SiteID: 015-021-000917 = Inventory Item 0002 Facility Unit: Fixed Containers on Site I/NLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: UST CAS# 8006-61-9 F STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Pure AmbientI~ Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 10000.00 GALI 10000.00 GAL 1500.00 GAL HAZARDOUS COMPONENTS 100.00 Gasoline N 8006619 HAZARD ASSESSMENTS TSecretl ~S Bi°HaZNo N No Radi°active/Amount I EPA HazardsNo/ Curies F IH DH NFPA/// [ USDOT# MCP 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 -7- 03/30/2004 ~AKER STATION MARKET SiteID: 015-021-000917 = 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: UST TANK DESCRIPTION Tank ID#: 3 Mfr: UNKNOWN PRE 1964 Compart Tank: N Installed: 0/ 0 CapacitY: 10000 Gals No. Of Comparts: Additional Info: TANK CONTENTS Tank Use: MOTOR VEHICLE FUEL Petrol Type: UNLEADED PLUS/MIDGRADE Matl Name:UNLEADED GASOLINE Cas #: 8006-61-9 TANK CONSTRUCTION Type : SINGLE WALL W/INT LINER & C.P. Material(p): FIBERGLASS Material(s): Lining : EPOXY LINING Installed: Corr Prot: CATHODIC PROTECTION Installed: Spill Cnt : 1998 Alarm : Exempt: No Drop Tube : Ball Float : Striker Plate: Fill Tube S/O: 1998 TANK LEAK DETECTION Sgl Wall: AUTOMATIC TANK GAUGING Dbl Wall: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Last Used: Qty Remaining: Was Filled: No -8- 03/30/2004 BAKER STATION MARKET SiteID: 015-021-000917 = Inventory Item 0002 Facility Unit: Fixed Containers on Site STOPJtGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping AboveGround Piping Type : PRESSURE Const: SINGLE WALL Mfgr : Mtl : BARE STEEL & : Corr : Prot : PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS DISPENSER CONTAINMENT Installed: 01/30/2004 Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Date: Name: Ttl: Prmt Number: 917 Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :04/03/1997 CP CERT. :07/01/2003 due MANWAY INSP. :12/22/1998 UST MONIT. CERT:02/13/2004 9 03/30/2004 BAKER STATION MARKET SiteID: 015-021-000917 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~U~ ~v~ / ~L£~ ~vL~ PREMIUM GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: UST CAS# 8006-61-9 Liquid Pure Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION I Largest Container I Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 1200.00 GAL HAZARDOUS COMPONENTS 100.00 Gasoline N 8006619 HAZARD ASSESSMENTS TSecretl ~SlBioHaz Radioactive/Amount I EPA Hazards NFPA I 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.DefinedS: Ag.Defined9: Ag.Definel0: -- Ag.Definell -10- 03/30/2004 F'~AKER STATION MARKET SiteID: 015-021-000917 = 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: UST TANK DESCRIPTION Tank ID#: 1 Mfr: UNKNOWN PRE 1964 Compart Tank: N Installed: 0/ 0 Capacity: 10000 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 : SINGLE WALL W/INT LINER & C.P. Material(p): FIBERGLASS Material(s): Lining : EPOXY LINING Installed: Corr Prot: CATHODIC PROTECTION ~ Installed: Spill Cnt : 1998 Alarm : Exempt: No Drop Tube : Ball Float : Striker Plate: Fill Tube S/O: 1998 TANK LEAK DETECTION Sgl Wall: AUTOMATIC TANK GAUGING Dbl Wall: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Last Used: Qty Remaining: Was Filled: No -11- 03/30/2004 BAKER STATION MARKET SiteID: 015-021-000917 = 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: SINGLE WALL Mfgr : Mtl : BARE STEEL & : Corr : Prot : PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS DISPENSER CONTAINMENT Installed: 01/30/2004 Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Date: Name: Ttl: Prmt Number: 917 Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :04/03/1997 CP CERT. :07/01/2003 due MANWAY INSP. :12/22/1998 UST MONIT. CERT:02/13/2004 -12- 03/30/2004 BAKER STATION MARKET Sit'eID: 015-021-000917 Manager : BusPhone: (661) 631-1775 Location: 631 BAKER ST Map : 103 CommHaz : Low City :' BAKERSFIELD Grid: 29C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 02 SIC Code:5541 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title GIRMACHEW CHEKOLE / OWNER / Business Phone: (661) 631-1775x Business Phone: ( ) - x 24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : Phone: (661) 631-~rT5~ MailAddr: 631 BAKER ST , State: CA ./777 City : BAKERSFIELD Zip : 93305 Owner GIRMACHEW CHEKOLE Phone: (661) 631-1775x Address : 4415 COLUMBUS ST C State: CA City : BAKERSFIELD Zip : 93305 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No' Emergency DirectiveS: (Type or print name) reviewed the .attached hazardous materials manage- ment plan for~ (N~.~ofB~.--i and that it alOng with any corrections constitute a complete and correc~ man- agement plan for my facility. 1 07/25/2002 BAKER STATION MARKET SiteID: 015-021-000917 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: BAKER STATION MARKET Cross Street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : Phone: ( ) - x Address: City : State: Zip: Type : CORPORATION TANK OWNER INFORMATION Name : Phone: ( ) - x~ Address: City : ~ State: Zip: Type : CORPORATION BOE UST Fee#. : UNKNOWN Financ'l Reap: SELF INSURED Legal Notif : Property Owner Mailing Address Date: Phone: ( ) - x Name: Ttl: State UST # : 1998 Upg Cert#: ~ Hazmat Inventory One Unified List --Alphabetical Order Ail Materials at Site Hanmar Common Name... ISpooHazlEPA HazardsI Frm DailyMax lUnit]MCP PREMIUM GASOLINE F IH DH L 10000.00 GAL Mod REGULAR GASOLINE F IH DH L 10000.00 GAL Mod UNLEADED GASOLINE F IH DH L 10000.00 GAL Mod -2- 07/25/2002 BAKER STATION MARKET SiteID: 015-021-000917 = Inventory Item 0003 Facility Unit: Fixed Containers on Site ~lVUVl~ ~Vl~ / ~£ ~ PREMIUM GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: UST CAS# ' 8006-61-9 F STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid /Pure ~ [Ambient [Ambient J UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 10000~00 GALI 10000.00 GALI 1200.00 GAL %Wt. S CAS# 100.00 Gasoline N 8006619 HAZARD ASSESSMENTS TSecretl ~slBioHaz Radioactive/Amount EPA Hazards NFPA USDOT# I MCP No N No No/ Curies F IH DH / / / Mod = Inventory Item 0001 Facility Unit: Fixed Containers on Site 9 t. Jt.,;,I, vUvlk.;.L%l ,LN.6U.vI~ / ~.["11";1v1£ %~, .L%I.~-.U.vI~ REGULAR GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: UST CAS# 8006-61-9 STATE i TYPE PRESSURE -- TEMPERATUREI CONTAINER TYPE Liquid Pure Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily'Average 10000.00 GAL 10000.00 GAL 1800.00 GAL HAZARDOUS COMPONENTS %Wt. RNo~ CAS# 100.00 Gasoline 8006619 HAZA~RD ASSESSMENTS TSecret I oRS I BioHaz Radioactive/Amount EPA ,HazardsI NFPA USDOT# MCP No N No No/ Curies F IH DH / /. / Mod 3 07/25/2002 BAKER STATION MARKET SiteID: 015-021-000917 ~ = Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ -- COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: UST CAS# 8006-61-9 Liquid /Pure Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 10000.00 GALI 10000.00 GAL 1500.00 GAL HAZARDOUS COMPONENTS I 100.60~G s line N 8006619 HAZARD ASSESSMENTS I ITSecret] ~SlBioHazI Radioactive/Amount I EPA Hazards NFPA ] USDOT# MCP No N No No/ Curies F IH DH / / / Mod 4 07/25/2002 F BAKER STATION MARKET SiteID: 015-021-000917 Fast Format ~-Notif./Evacuation/Medical Overall Site --Agency Notification 07/24/1992 PHONE 911. -- Employee Notif./Evacuation 05/08/2000 NO EMPLOYEES. -- Public Notif./Evacuation 07/24/1992 IF ANY ARE AROUND IN AN EMERGENCY, THEY WOULD BE VERBALLY ASKED TO MOVE AWAY AS FAST AS POSSIBLE. Emergency Medical Plan 07/24/1992 PHONE 911. -5- 07/25/2002 BAKER STATION MARKET SiteID: 015-021-000917 Fast Format = Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 07/24/1992 ALL EQUIPMENT AND MACHINERY I-S CHECKED REGULARLY. --Release Containment 07/24/1992 EXTREME CAUTION AT ALL TIMES. -- Clean Up 07/24/1992 CAT LITTER IS KEPT ON HAND, IN CASE OF SPILL, TO BE USED AS AN ABSORBENT. Other Resource Activation -6- 07/25/2002 F BAKER STATION MARKET SiteID: 015-021-000917 Fast Format ~ Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 05/08/2000 A) GAS - NONE B) ELECTRICAL - N WALL BEHIND CHECK STAND C) WATER - S SIDE OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO Fire ,Protec./Avail. Water 03/01/1993 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS AND SPRINKLER SYSTEM. FIRE HYDRANT -. W SIDE OF BAKER ST BETWEEN 18TH & 19TH ST. Building Occupancy Level -7- 07/25/2002 BAKER STATION MARKET SiteID: 015-021-000917 Fast Format = Training Overall Site -- Employee Training '05/08/2000 WE HAVE NO EMPLOYEES AT THIS FACILITY, RUN BY OWNER. WE DO HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: 10 YEARS OF EXPERIENCE. -- Page 2 I IHeld for Future Use I i Held for Future Use I 8 07/25/2002 UNION~T _ ~- SiteID: 215-006-000917 Manager : 5 2~n Phone: (805) 831-7103 Location: 631 BAKER ST / /~? ~vuu Map : 103 CommHaz : Low ~- Gr d 29C FacUnlts. 1 AOV City : BAKERSFIELD IBy:~, Gr~ : ' · : CommCode: BAKERSFIELD. STATION 02 STC Code: 5541 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title TALHUN ALEME / OWNER ~ . / Business Phone: (~TYT--8-3/-~5~x Business Phone: ( ) - x 24-Hour Phone : (~J--~'l-~3x 24-Hour Phone : ( ) - Pager Phone : ~)~/ ~77~ Pager Phone : ( ) - x Hazmat HaZards: Fire ImmHlth DelHlth Contact : Phone: ( ) - x MailAddr: 631 BAKER ST State: CA City : BAKERSFIELD Zip : 93305 Owner ~E ~o~. ~_~ Phone: (805) 831-7103x Address : 631 BAKER ST /~,_~ ; Cji,/ ~ / State: CA, City : BAKERSFIELD ~{~C~ ~L{/ .d3~~Zip : 93305 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: ~/5- C~/z~7,~5 ~ ~ ~.~z~~: No Emergency Directives: = Hazmat Inventory One Unified List --As Designated Order Ail Materials at Site ISpeoHazlEPA HazardsI Frm DailyMax Unit MCP Hazmat Common Name... REGULAR GASOLINE F IH DH L 10000.00 GAL Mod UNLEADED GASOLINE F IH DH L 10000.00 GAL Mod PREMIUM GASOLINE F IH DH L 10000.00 GAL Mod I, ~"'"/"'F~ c-~ ~'/-X-/_ DO hereby certify that ~ h~ve (Type or pdnt name) reviewed the attached hazardous materials and that it along with ment plan for (Name ol Business) -- any corrections constitute a complete and correct man- agement plan for my facility. Si~a.,m = Oate 04 / 26 / 2000 UNION MINI MART SiteID: 215-000-000917 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME REGULAR GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: UST CAS# 8006-61-9 r STATE -- TYPE PRESSURE i TEMPERATURE i CONTAINER TYPE Liquid Pure Ambient · 'Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 1800.00 GAL HAZARDOUS COMPONENTS 100.00 Gasoline N 8006619 HAZARD ASSESSMENTS TSecretl RSIBioHaz Radioactive/Amount I EPA HazardsI NFPA USDOT# I MCP No No No No/ Curies F IH DH / / / Mod = Inventory Item 0002 Facility Unit: Fixed Containers on Site 9 -- COMMON NAME / CHEMICAL~NAME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: UST CAS# 8006-61-9 Liquid Pure Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 10000.00 GALI 10000.00 GAL 1500.00 GAL HAZARDOUS COMPONENTS 100.00 Gasoline N 8006619 HAZARD ASSESSMENTS ITSoorot] RSIBioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# MCP No No No No/ Curies F IH DH / / / Mod 2 04/26/2000 L~NION MINI MART SiteID: 215-000-000917 Inventory Item 0003 Facility Unit:.Fixed Containers on Site COMMON NAME / CHEMICAL NAME PREMIUM GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: UST CAS# 8006-61-9 F STATE -- TYPE PRESSURE ITEMPERATURE I CONTAINER TYPE Liquid Pure Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 10000.00 GAL 10000.00 GAL I 1200.00 GAL HAZARDOUS COMPONENTS I 100.00 Gasoline N 8006619 HAZARD ASSESSMENTS I TSecret oRS BioHazl Radioactive/Amount EPA Hazards NFPA I USDOT# I MCP No N No No/ Curies F IH DH / / / Mod 3 04/26/2000 UNION MINI MART SiteID: 215-000-000917 Fast Format ~ Notif./Evacuation/Medical Overall Site -- Agency Notification 07/24/1992 PHONE 911. Employee Notif./Evacuation 07/24/1992 INO EMPLOYEES ~ ~ublic Notif./Evacuation 07/24/1992 IF ANY ARE AROUND IN AN EMERGENCY, THEY WOULD BE VERBALLY ASKED TO MOVE AWAY AS FAST AS POSSIBLE. Emergency Medical Plan 07/24/1992 PHONE 911. -4- 04/26/2000 F UNION MINI MART SiteID: 215-000-000917 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site --Release Prevention 07/24/1992 ALL EQUIPMENT AND MACHINERY IS CHECKED REGULARLY. -- Release Containment 07/24/1992 EXTREME CAUTION AT ALL TIMES. -- Clean Up 07/24/1992 CAT LITTER IS KEPT ON HAND, IN CASE OF SPILL, TO BE USED AS AN ABSORBENT. -- Other Resource Activation -5- 04/26/2000 F UNION MINI MART SiteID: 215-000-000917 I Fast Format F Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 03/01/1993 A) GAS - NONE B) ELECTRICAL - NORTH WALL BEHIND CHECK STAND C) WATER - S SIDE OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO -- Fire Protec./Avail. Water 03/01/1993 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS AND SPRINKLER SYSTEM. FIRE HYDRANT - W SIDE OF BAKER ST BETWEEN 18TH & 19TH ST. Building Occupancy Level -6- 04/26/2000 UNION MINI MART SiteID: 215-000-000917 Fast Format ~ Training Overall Site -- Employee Training 03/01/1993 WE HAVE NO EMPLOYEES AT THIS FACILITY, RUN BY OWNER. WE DO HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: -- Page 2 -- --Held for Future Use Held for Future Use 7 04/26/2000