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HomeMy WebLinkAboutBUSINESS PLAN 7-Eleven Food Store #2125-19382 1626 Beale Avenue Bakersfield, CA 93305 $~-ore HM433001 Account Number ACCOUNTS.~.RECEIVABLE ADJUSTMEN..~_T February 16~ 1994 Dete New Account New Address Esther Duren Close Account From Service Change Other Adjustments X Fire Department- Hazardous Materials Division Department/Division 7-ELEVEN Billing Name 1626 BEALE AVE. Billing Address Site Address Parcel # (If Applicable) Landlord Name & Address (If Applicable) ADJUSTMENT Last Billed Correct Billing Adjustment to Effective Date of Billing Change 160.00 0 < 160.00 · 1-1-94 Approved By: Remarks: HAZ MAT BILLING FOR STATION THAT REMOVED UST'S 4/93. ELEVEn April 15, 1993 Attn: Accounts Receivable This is to inform you ~hat effective May 1, 1993, the following stores ( list attached ) will be reporting to the Sacramento Accounting Center. Please direct all billing and correspondence to th~ following address: . Southland Corporation . ~/ .,7 3~46 Gold Camp Dr~ve, Su~te 350 ~ \~ O Rancho Cordova, CA 95670~ . ~ ~~~[[' Than~.'You, . ' ' ~ ~. · ~n~e~;ervisor ~~' ~ ."' Fresno Accounting Center 7-Eleven Stores 295 W. Cromwell/Suite 104 1 Fresno, California 93711 / Phone (209) 261-0711 OlVlSrON Ol: THE SOUTHLAND CO;PORA?~O, · ~;T CEMTER ZZG3 ...... Linde ctsnero8, Acc, S~ervlaor...295 b/. Cromwell, Suite 106, Fresno CA 93711 ................. 209/261-0711 ...~ESNO/BKSR) #[T 2237..Tim Jones, #arket #seeger ........ 295 b/. Crma4eLL, Suite 10~, Fresno, CA 93711 ................ 209/261-0711 -~AICENSFIELD PHONE NUHOEli...805/8~-2712 BA/ERSFIEU) FAX 805/8~-~)25 FRES#O FAX 4209/261-0614 ' DATE iN HARI(ET. GAS STORE~ FRAHCHISEK ADDRESS. .TELEPHONE NO STORK 2237 15912H C 14gr - GLoria PaLKioe 2&50 East Gettysburg, Fresno, CA 93726 209/229-5757 93/07/88 2237 15915E 148Lcho,, Carol & Gary 5758 Ndrth Palm, Fresno, CA 9370~ 209/&31-5~5~ 02/1&/05 2237 15915A Con, terse, Bert & Helen &783 East Gettysburg, Fresno, CA 93726 209/291-8511 03/1&/68 2237 x 13916A BerwhiLL, Ken &Jasnne 5630 East AshLan, Fresno, CA 93737 209/291-9025 06/18/86 2237 13925C ' Crecket,* ALex & Judy &909 North Cedar,. Fresno, CA 93726 209/226-0533 03/11/7& 2237 139264: Braun, Gene & b/ar~ 1629 East AshLnn, Fresno, CA 93704 209/227- 8778 ~ 08/08/72 2237 13932J C Hgr - ~-~'~'~& e/~/ 2331 ChoiCer Lane, Bel~rsftetd, CA :. 9330&: 805/3Z3-5661~. 10/02/92 2237 13936A Singh, Harry & GurmiL ~3760 Bernard Street, Bakersfield, CA 93306 P 805/871-0377/ 10/08/85 2237 1&110C Berdtni, Jack & Sallie 77 East OLive Drive, #erced, CA 933~0 209/722-8969 06/03/75 2237 16288C Takhsr, Tejiflder & IcuLshinder /5301 StockcbLe Nlghuey, Bakersfield, CA *93309 ~ 805/832-/~55© 01/10/89 2237 x 163298 Devere, Betty & Robert V-1701 Pacheco Rood, Bakersfield, CA 93307* 805/834-1550:* 0~/09/90 2237 x 16373B J~rw, Jack 1110 North Lanoore, Lemoore, CA 932&5 209/92&-3712 11/2&/76 223? x 16~590 CLinton, I(erri 2255 Gerard Avenue, #arced, CA 933~0 209/383-7979 06/15/88 2237 x 16S&92 b/aflg, Shun & Shu ~ 46&7 UILson Road, Bakersfield, CA* 93309; 8~5~3~-07~ 06/30/92 2237 16675B RsgscbLe, Tau & Beth 1107 Loughborough,' Herced, CA * 953~0 - - 209/383-9033~ ' 06/15/81 2237 x 1683~ HcGILL, germ & Jerry ~ 525 ~est CoLLnlx, s, Bakersfield, CA 93301. 805/322-787~* 02/2~/86 2?37 x. 16895(: Diaz, Gene & Judy 1933 Nouord Road, Noder~, CA 93637 209/67&-9271 05/28/83 2237 169~H ¢ Hgr - Jasflette CiBrksenr~ 820 UILson Avenue, OIicloLe, CA 93308 805/393-1982 01/12/89 2237 x 169~78 Park, E~gsee & Beu~gje 2389 East She~, Fresno, CA 93726 209/229-~&00 0~/01/80 2237 x 169708 Anthony, HarLone 2397 South Chestnut, Fresno, CA 93725 209/252-5221 11/0~/80 2237 x 169998 Robinson, Boyd & Roxana 396 b/est Gettysburg, CLovis, CA 93612 209/291-0583 08/13/86 223? 170968 #al,ayah, serge & Vera ~69 North (:Levi8, Fresno, CA 93727 .209/251-6082 09/18/90 2237 x 17117B Singh, Dave 904 CLeveland, #oders, CA .~93637 ......... ~ 209/67&-1371 , 12/09/87 2237 x 17721B Le~efldecker, Jim ~' 3601 SteckdaLe Hlghuay, B~orsfleLd,-;CA. 93309 808/83&-3093/ 01/17/05 2237 x 179~3A Standou, Tamy & Pat 5210 East OLive, Fresno, CA 9370S 209/2S2~43~0 02/06/81 2237 18601C b/IiLiamon, Andre~ & Annette 1810 NRa Street, #ercedrCA--gS3&O-~-~--~ 209/383~9111._I 01/07/92 2237 x 18655E SeLzor, Bert ~ North Chester, Bakersfield, CA 9~ 808/593-5700J~ 09/06/88 2237 18723J C #gr - JoceLine Remigio ¥ 1200 II Street, BekorlfleLd~ CA 93301~/ 80S/37A~&138/ 05/15/90 2237 x 18872C Klm, Ted & Sue 178~ Uest She4, Fresno, CA 93711 209/435-4130 09/07/83 2237 x 18922A HikkeLson, Joe & Holly &20 East BuLLard, Fresno, CA 93710 209/432-1158 0~/22/8T 2237 x 19198C Steird~ch, Jay 1596 North Palm, Fresno, CA. 93728~- .... 209J2~-&5~1_ 10/06/8& 2237 x 19382B Singh, Harry & suramiL /~0 ~4&36 Beale Avenue, BebrBfleLd, 'CA 9330S; 80S/323~466Z) 02/07/89 2237 x 19~01F Chavez, Narie V. 926 Cecil Ave, DeLerm, CA 93215 803/725-0711 0~/09/92 2237 x 19835A Dennis, Larry & 14arole 6015 East Kings Carlyofl, Fresno, CA 93727 209/252-94~4 11/15/79 2237 20125A Smith, David & Anita 3105 East Veil,ufa, Fresno, CA 93702 209/Z37_-~8~21 ~ 06/13/78 2237 x 20317(: Gravel, Benjit & Shamshor ~) 2351 South Union, Bakor~fleLd,'CA' 93307~ 8(]S~f83&- ~.92~ 01/0~/84 2231' x 20322A He,ilar, Ran & Beverly 25~0 North b/est, Fresno, CA 93705 209/268-99~0 09/27'/02 2237 x ~1505H C Hgr - Hector Gu4:ierrez ~805 North Hughes, Fresno, CA 937T)S 209/229_-69~1. 08/28/91 Z237 x 214768 IcamboJ, Shashi &Vesna ~1700 Brunclage Lane, Bakersfield, CA .93304-~ 808/3~'6&71~ 02/12/92 2237 x 21~81c UppLe, Shinda & Paramjeet 2636 River BeuLewrd, BakeflfleLd, CA 93305 803/32~-~99S/ 01/15/90 2237 x 2201&A Crtb~m, Chuck & Carol 518 South Lovers Lmle, ViBaLia, CA 93277 209/627-2090 08/0;'/81 2237 x 221509 Uang, Shun & Shu %/~012 k~lte Lane, Bakersfield, CA 93309i 803/83~-8565/ 10/31/90 2237' x 22199J C Hgr - 1208 North First, Fresno,. CA 93703 209/~5-0631 10/23/92 2237' x 22S~1B Berbarlte, Anthony 2515 East #cl(InLey, Fresno, CA 93703 · 209/4&1-7320 05/09/88 2237' x 226~78 Stoke~, Terry & Kathy 0 33390 Roesdate elglmay, BakerBfletd~ 'CA" 9331ZJ 808/S89-0~8~ 01/03/8~ 2257' x 227360 Beza, Samuel & Lochen 603-A Pacheco Boulevard, Las Benes, CA 93635 209/826-026S 06/27/88 2237 x 227388 Crib, Chuck & Carol .111 b/est b/aleut Street, Vl~aLii, CA 93277 209/627-&915~ 08/02/86 ~237 25446C UppLe, Shincla & Poreejeet ~/ 2300 CoLual~8, Bakersfield, CA 93306) 8135/871,1438/ 01/25/92 2237 x Z39~TA Goneer, Grng & Loutoe 7314 North BLacks,one, Fresno, CA 93710 209/439-'9231 09/2?/83 2237 x 239~6A Hauaman, Jeff 1903 Jenson Avenue, Ganger, CA 9365}' 209/875-&362 11/16/83 223? x 2&180A Green, Tcxa & #arBhe 42~6 b/est AshLon, Fresno, CA 93711 209/27S-6970 05/26/8S 2237' 2~2B Chatha, SurJeet & Ranjana 1201 Noeney Boulevard, ViasLie, CA 93277 209/734-8016 08/27/91 2237 x 245268 aisle, BeLtmnt 3o03 b/as, Ashisn, Fresno, CA 93711 209/222-1121 01/13/93 2237 2~628A ICing, Ethel 300 Hadera Ave, Haciore, CA 93637 209/673-338& 02/11/85 2237 25141A Rableh, Hohammad & Nahid 6015 North BLacks,one, Fresno, CA 93704 209/436-1217 0~/12/8~ 2257' x 25505A CLmaing~, Pat & Bonny 1170 North CLovis, CLOVts, CA 93612 209/298-1277 02/08/85 2237' x ZSgSSJ C Hgr - Linch GoflzaLas 10~00 Hain Street, Lamo~t, CA 93241 80S/8~5-1&3~ 03/27/92 223}' x 26178J T #gr - Eric carlton $9S North 11th Avenue, Hartford, CA 93230 209/58~-2398 0~/12/87 2237 x 265998 Dashttpour,. Bm ~ 6529 East 6rt~e Lane, Bakersfield, CA 9330~! 80S/366-&788! 06/15/87 2237 26650A Badatl, Vetadtmlr & ShahL8 0 1700 South Chester, Bakersfield, CA 933~i, 805/835-7'~!1; 05/16/88 2237 x 26701J ¢ Hgr - Keri Steuart 1S40 Bear Hountain' BLvd., Arvin, CA 93203 805/85~-3758 07/12/89 2237 x 2681911 Sotanki, Yogendra (Togi) $124 North Chester, OiiclaLe, CA 93308 805/399-83~2 11/03/90 2237 x 27122A Toro, Joe & Rite 122& 6th Street, Taft, CA 93268 805/763-7030 0~/07/86 27.]7 x 27~03J C #gr - Linde BLs, para ~51 East Lerdo High~ay, Shelter, CA 93263 805/746-S~07 02/06/91 Sr. FC - Dave kheeler; Field Cons - David Taylor, Hark Pivnick, Dave Orozco, Rod Graham, Don lays,t, Teri NtchoLacn, Brant Cru~, Fred tJaLtace, HeLissa Cambria //; Secretaries - SatUrn Horti., Sue Freeland ~ - ~ ~d STORES 10 CORP /,~ GAS 2/4/93 Utilities Name Search Process SNHESRCH Last: SEVEN Searching for: SEVEN ~~ . page 1. ~57601 ELEVEN 12125-13932, ~ 2331 CHESTER LN~¢--3 2 ~29101 ELEVEN #2125-13932, @ 2331 CHESTER LN 3 ~22601 ELEVEN #2125-13936, @ 3760 BERNARD ST 4 28401 ELEVEN #.2!25-13936, @ 3760 BERNARD ST 5 ~.630701 ELEVEN #2125-13936 @ 3760 BERNARD ST 6 ~2,/275001 ELEVEN #2125-16288, ~ 5301 STOCKDALE 7 ~640001 ELEVEN ~2125-16288 @ 5301 STOCKDALE 8 ~158301 ELEVEN $2125-16329 @ 1701 PACHECO RD 9 ~28101 ELEVEN $2125-16329 $ 1701PACHECO RD 10 *~25201 ELEVEN ~2125-16329 ~ 1701 PACHECO RD 11 <~35801 ELEVEN ~2125-16549 $ 4647 WILSON RD 12 ~28201 ELEVEN $2125-16549 $ ~647 WILSON RD 13 25301 ELEVEN ~2125-16549 ~ 4647. WILSON RD 14 ~4ZSOO~ gn~V~N ~2~Z~-~aJ4 ~ hZ5 W COLUMBUS 15 ~428901 ELEVEN ~Z1Zb-i'/ZZ!. ~ 3601STOCKDALE HWY Enter Selection, <CR> for more, o~ 'XX' to exit 1111111111111111111111111111111 ALT-F10 for HELP 1111111111111111111111111II1i~j Utilities Name Search Process SNMESRCH Last: SEVEN Searching for: SEVEN page 1. ~C'129701 ELEVEN #2125-17721, @ 3601 STOCKDALE HWY 2. ~'725401 ELEVEN #2125-17721, ~ 3601 STOCKDALE HWY 3 ~ 273201 ELEVEN ~2125-18723 ~ 1200 H ST~,~,Jo~ 5 ~433001 ELEVEN ~2125-19382 ~ ~626 BEALE AVE~5 6 ~-~686401 ELEVEN i2125-19382 ~ ~1630 BEALE AVE/ 7 ~725501 ELEVEN !2125-19382 ~ ~1626 BEALE AVE-- 8 M~428801 ELEVEN ~2125-21476 ~ 1700 BRUNDAGE LN~m~,g~'~} 9 ~ 627801 ELEVEN ~2125-21476 ~ 1700 BRUNDAGE LN 10 ~725601 ELEVEN $2125-21476 ~ 1700 BRUNDAGE LN 11 ~299701 ELEVEN ~2125-22150 ~ 4012 WHITE LN ~m~3~", 12 ~428601 ELEVEN ~2125-22150 ~ 4012 WHITE LN 13 ~526401 ELEVEN ~2125-22150 ~ 4012 WHITE LN 14 ~725801 ELEVEN t2125-22150 ~ 4012 WHITE LN 15. ~ 162001 ELEVEN ~2125-23446 ~ 2300 COLUMBUS ST~ ' . Enter Selection, <CR> for more, or 'XX' to exit 1111111111111111111111111111111 ALT-F10 for HELP 1111111111111111~111111.1111111 . / / Utilities Name Search Process SNMESRCH Last: SEVEN Searching for: SEVEN page 3 1~ ~-~428501 E.LEVEN,#2125-23446, @ 2300 COLuMBu 2.~ Ut.1725901 ELEVEN #2125-2'3446, @- 2300 COLUMBUS ST/ 3 %O400~ aAVC ~,T~T~v ~,,TO ~ 2~ OLD 4. 766301 OAKS COUNTRY CLUB, 9 2000 GBAND LAKES AVE Enter Selection, <CR> for more, or 'XX' to exit 06/25/93 7 ELEVEN FOOD STORE #2720-19382 215-000-000875 Page 1 Overall Site with 1 Fac. Unit General Information Location: 1626 BEALE AV Map: 103 Hazard: Low Community: BAKERSFIELD STATION 04 Grid: 20D F/U: 1 AOV: 0.0 Contact Name Title Business Phone 24-Hour Phone- HARRY SINGH I~I 323-4662 x (805) 323-4662 S~I~BW~-JONES 4~34r~--x (~jJ Administrative Data Mail Addrs: 4~4~8-W~fTE--L~9/b~& B~a(~ /~-- D&B Number: 00-734-7602 City: BAKERSFIELD State: CA Zip: ~3-3~g- Comm Code: 215-004 BAKERSFIELD STATION 04 .SIC Code: 5541 Owner: THE SOUTHLAND CORPORATION__.._._j Phone: (209) 261-0711 Address: ~-125 WiLLOW--AV. SU----38m~R95~C¢~6/~ State: CA City: FRESNO Zip: ~ Summary I, ~ Do h~by ~ti~y that I reviewed the aUach~d h~a~ous m~Os manage- any ~r~ions c0nstitu~e a ~mple~e and ~ man- agement plan for my 06/25/93 7 ELEVEN FOOD STORE #2720-19382 215-000-000875 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-002 UNLEADED PLUS GASOLINE~ Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-003 SUPER UNLEADED GASOiLINE Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-001 UNLEADED GASOLINE Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 06/25/93 7 ELEVEN FOOD STORE #2720-19382 215-000-000875 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-002 UNLEADED PLUS GASOLINE Liquid 10000 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 10,000 ~ 7,500.00 175,778.00 Storage Press T Temp~ Location UNDER GROUND TANK Ambient~AmbientlUNDERGROUND FRONT PARKING -- Conc~ Components MCP ----iGuide 100.0% IGasoline ModerateI 27 02-003 SUPER UNLEADED GASOLINE Liquid 1000.0 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-- 10,000 ~ 7,500.00 45,572.00 Storage~_~Press T Temp Location UNDER GROUND TANK IAmbient~AmbientlUNDERGROUND FRONT PARKING -- Conc Components MCP ---~uide 100.0% IGasoline IModeratel 27 02-001 UNLEADED GASOLINE Liquid 10000 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 10,000 ~ 7,500.00 120,954.00 Storage~~.Press T Temp Location UNDER GROUND TANK IAmbient]AmbientlUNDERGROUND FRONT PARKING -- Conc~ Components ~ MCP ---TGuide 100.0% IGasoline ~ModerateI 27 06/25/93 7 ELEVEN FOOD STORE #2720-19382 215-000-000875 Page 4 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation VERBAL & CALL 911 FOR RELEASE OF HAZ MAT NOTIFY BFD HAZ MAT AND STATE OES. <3> Public Notif./Evacuation VERBAL AND CALL 911 <4> Emergency Medical Plan POLICE/FIRE CALL 911 NEAREST ER TO LOCATION IS TO BE USED IN THE EVENT OF INJURY. 06/25/93 7 ELEVEN FOOD STORE #2720-19382 215-000-000875 Page 5 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention STANDARD. GASOLINE STATION SAFETY FEATURES FOR GAS PUMPS, AUTO SHUT OFFS, VAPOR SHIELDS, SHEER OFF VALVE. COMPRESSED GASSES PROPERLY STORED IN SMALL SAFETY CONTAINERS WITH PROPER FITTINGS. <2> Release Containment CONTACT FIRE DEPARTMENT TO CONTAIN RELEASE. SECTION OFF AREA OF RELEASE. <3> Clean Up CONTACT SOUTHLAND GASOLINE DEPARTMENT TO CLEAN UP RELEASE. <4> Other Resource Activation 06/25/93 7 ELEVEN FOOD STORE #2720-19382 215-000-000875 Page 6 00 - Overall Site <F> Site Emergency Factors. <1> Special Hazards CALL 911 <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - BACK ROOM HALLWAY C) WATER - STORE SIDE/FRONT D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS LOCATED AT THE FACILITY FIRE HYDRANT - IN FRONT OF STORE ON BEALE AV <4> Building Occupancy Level 06/25/93 7 ELEVEN FOOD STORE #2720-19382 215-000-000875 Page 7 00 - Overall Site <G> Training <1> Page 1 WE HAVE 4 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE TRAINING OF ALL STORE OPERATORS COMPLETED REGARDING USE OF EQUIPMENT AND PROPER PROCEDURES PERTAINING THE HANDLING OF HAZARDOUS MATERIALS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use 07/27/92 7 ELEVEN FOOD STORE #2720-19382 215-000-000875 Page 1 Overall Site with 1 Fac. Unit General Information F/ Location: 1626 BEALE AV Map: 103 Hazard: Low Community: BAKERSFIELD STATION 04 Grid: 20D ~/U: 1 AOV: 0.~ ! Contact Name [ Title [ Business Phone/ , 24~Hour Phone~ iHARRY SINGH (805) 323-4662 ~/' 1(~3~)~%~ -q~ STEVS' ONES (805) 834-2711%/ Administrative Data Mail Addrs: 4008 WHITE LN D&B Number: 00-734-7602 City: BAKERSFIELD State: CA Zip: 93309- Comm Code: 215-004 BAKERSFIELD STATION 04 SI~ Code: 5541 / Owner: THE SOUTHLAND CORPORATION ~hone: (~';)~1 -~! Address: 3128 WILLOW AV SU 301 ~ ~tate: CA City: FRESNO ~/ Zip: 93612- Summary 07/27/92 7 ELEVEN FOOD STORE #2720-19382 215-000-000875 Page 2 02 - Fixed Containers on Site Hazmat'Inventory Detail in Reference Number Order 02'001 UNLEADED GASOLINE Liquid 10000 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 I Daily Average GAL I Annual Amount GAL 10,000 ~ 7,500.00 120,954.00 Storage ~~Press T Temp Location UNDER GROUND TANK IAmbient~AmbientlUNDERGROUND FRONT PARKING -- Conc Components MCP List ·100.0% I Gasoline I Moderate I 02-002 UNLEADED PLUS GASOLINE Liquid 10000 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 -- 10,000 ~ 7,500.00 175,778.00. Storage Press I TempI Location UNDER GROUND TANK Ambient~AmbientlUNDERGROUND FRONT PARKING -- Conc Components . MCP List 100.0% IGasoline IModeratel 02-003 SUPER UNLEADED GASOLINE Liquid 10000 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 10,000 ~ 7,500.00 45,572.00 Storage~~Press T Temp Location UNDER GROUND TANK IAmbientlAmbientlUNDERGROUND FRONT PARKING -- Conc Components { ........ MCP List 100.0% IGasoline ~ModerateI 07/27/92 7 ELEVEN FOOD STORE #2720-19382 215-000-000875 Page 3 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation VERBAL & CALL 911 FOR RELEASE OF HAZ MAT NOTIFY BFD HAZ MAT AND STATE OES. <3> Public Notif./Evacuation VERBAL AND CALL 911 <4> Emergency Medical Plan POLICE/FIRE CALL 911 NEAREST ER TO LOCATION IS TO BE USED IN THE EVENT OF INJURY. % 07/27/92 7 ELEVEN FOOD STORE #2720-19382 215-000-000875 Page 4 O0 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention STANDARD GASOLINE STATION SAFETY FEATURES FOR GAS PUMPS, AUTO SHUT OFFS, VAPOR SHIELDS, SHEER OFF VALVE. COMPRESSED GASSES PROPERLY STORED IN SMALL SAFETY CONTAINERS WITH PROPER FITTINGS. <2> Release Containment <3> Clean Up <4> Other Resource Activation 07/27/92 7 ELEVEN FOOD STORE #2720-19382 215-000-000875 Page 5 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards CALL 911 <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - BACK ROOM HALLWAY C) WATER - STORE SIDE/FRONT D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS LOCATED AT THE FACILITY FIRE HYDRANT - IN FRONT OF sTORE ON BEALE AV <4> Building Occupancy Level 07/27/92 7 ELEVEN FOOD STORE #2720-19382 215-000-000875 Page 6 00 - Overall Site <G> Training <1> Page 1 WE HAVE 4 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE TRAINING OF ALL STORE OPERATORS COMPLETED REGARDING USE OF EQUIPMENT AND PROPER PROCEDURES PERTAINING THE HANDLING OF HAZARDOUS MATERIALS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use .,..-~°.,,,. ~h C!TY of B,dN£R.S£IELD · ,,, - : ,..~.-... ~ , ~.~ ;,;,~,, --.o.,;.;,',.' ,.,~. -, .... :,.~ Steven S. Jones (~c~,'~e or Dr~.m~ ri&me i Do hereby certify that I have reviewed ~he - ~. attached Hazardous Materials business ~lan 7-Eleven Fo~~.~___~ ,., (name of business) and that it alon~ with the attached additions er corrections constitute a comDlete and correct Business Plan for my facility. " t~/si.~a daze AF'R 1'7 '~98§ - ~' BAKERSFIELD, CA 93308 (805) 86 -276 APR I 7 989 ID# BUSINESS NAME DO NOT WRITE ABOVE THIS LINE HAZARDOUS MATERIALS .BUSINESS PLAN FORM 2A INSTRUCTIONS: 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for your business as a whole. 4. Be as brief and concise as possible. 'But explain fully. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: 7-Eleven Food Store #2720-19382 B. PHYSICAL'i'LOCATION/STREET ADDRESS: 1626 Beale Avenue CITY: Bakersfield ZIP: 93305 BUS.PHONE: (805) 329-4662 C. MAILING ~DORESS: 4008 White Lane CITY: ~Bakersfield ZIP: 93309 BUS. PHONE: (805).834-2711 SECTION 2: EMERGENCY NOTIFICATIONS In cas6 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 WHOSHOULD BE NOTIFIED IN CASE OF EMERGENCY: NAME AND TITLE DURING BUS. HRS. AFTER BUS. HRS. A. Harry SinBh? Franchisee Ph# 805/323-4662 Ph# s~e B. Steve Jone. Market Manamer Ph# 805/834-2711 Ph# sa~e SECTION 3: LOCATION OF UTILIT~ SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: None B. ELECTRICAL: Back Room Hallway C. WATER: Store side/Front D. SPECIAL: E. LOCK BOX: YES /~ IF YES, LOCATION: IF YES. DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO OVER SECTION 4: PRIVATE RESPONSE TEAM FOR ~USINESS AS A WHOLE Emergency Coordinator) pre-determined shall notify all agencies and inter- company persons in the event of incident. Emergency Coordinator shall imple- ment all necessary measures in. regard to employee/environmental safety as instructed by training received. SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE Police/Fire Department: 911 Nearest E.R. to location is to be used in the event of injury. SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROORAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAININO IN THE FOLLOWINO AREAS. CIRCLE YES OR NO INITIAL REFRESHER o, C. PROPER USE OF SAFETY EQUIPMENT: .............. .... ~ NO ~ NO D. EMERGENCY EVACUATION PROCEDURES: ................. NO NO E, DO YOU MAINTAIN EMPLOYEE TRAININO RECORDS: ....... (~ NO NO I, Harry & Gurmail Singh , certify that the above information is accurate. I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et Al.} and that-inaccurate information constitutes perjury. H94CU-4 KERN COUNTY FIRE DEPARTMENT 5642 VICTOR STREET BAKERSFIELD, CA 93308 ID# BUSINESS NAME: DO NOT WRITE ABOVE THIS LINE BUSINESS PLAN FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. But explain fully FACILITY UNIT NA~: 7-Eleven Food Store #2720-19382 SECTION 1: PREVF2fTION, MININIZATION, A~D CLEAN-UP PROCEDURES PREVENTION - Training of all store operators completed regarding use of equipment ana proper procedures pertaining to the handling of hazardous materials. MITIGATION - Procedures in response to a release or threatened release of hazardous materials will be handled by The Southland Corporation upon notification by the Emergency Coordinator. SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES FOR THE EMPLOYEES TO USE THAT MOI~ IN TRI$ FACILITY The Emergency Coordinator shall implement procedures for the safety of all persons and the envioronment. Notification will be completed by the Emergency Coordinator as instructed. SECTION 3: ~US )~ATERIALS FOR Tills UNIT ONLY A. Does this Facility Unit contain Hazardous Materials? ...... ~ NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret as defined by Section 6254.7 of the Government Code? ......... 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 SYSTEI~ 1. Fire extinguishers located at the facility. 2. Call 911 or (805) 861-2577. SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EI~GENCY RESPONDERS In front of store on Beale Avenue. SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS L~NIT ONLY. A. NAT. GAS/PROPANE: B. ELECTRICAL: Back Room'Hallway C. WATER: Store side/Front D. SPECIAL: E. LOCK BOX: YES / NO IF YES. LOCATION: IF YES, SITE PLANS? YES / NO MSDSs? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO HMCU-6 ST TE~/FAC~ L~ TY ~ 01~I~ NORTH SCALE: BUSINESS'NAt4E: FLOOR: OF 7-Eleven Food Store DATE: / / FACILITY NANE: UNIT ~: OF 7-Eleven 2720-19382 (CHECK 0N£) $[TE OEAGRA/4 ~' FACILETY DEAGRA/4 IInspector's Co..ents): -OFFICIAL US£ O~LY- HHCU-13 leven Food Score #2125-19382 1626 Beale Avenue Bakersfield, CA 93305 '7-11 ,5 ;'~,r,.: CIT}' of BAK£RS., I£LD NON--'F~ID~D E S ECRETS BUSINESS NAT+~E: 7-Eleven Store ~720-19382 OW~'g~ N"~v' 7-Eleven Marke~_ 2720 SANE OF T~ [KqJgi~: 7-ElevgR $t~re 19382 l.ocArlON: 1626 Beale Avenue ~POagSS: 4008 White Lane STANDARD IND. C~ASS CO~E54 !1 55 41 29 J C~TY, Z~P: Bakersfield CITY, ZI~: Bakersfield ~3309 OU~ AND B~ADSTR~T ~U~B~R J P.ONE ~: 805/~23-466,2 _ P~ONg ~:_ (805) 834.27~L_ 0 0-. 7 3 4 - 7 6 0 2 J ~ ~ IA~YRUCfiO~ ~R ~OP~ COD~; ~e~lth of Pr~su~o Heolth KGFD Steven S. Jones, ~arket ~ang~er HAZARDOUS ~\TERIALS HANDLING PROCEDURES FUEL SPILLAGE EMERGENCIES 1) In case of large fuel spill, (50 square feet or larger or any- thing that looks potentially hazardous) CALL THE FIRE DEPARTMENT. 2) In case of small fuel spill 50 square feet or smaller, determine potential hazard. Use absorbent material (kitty litter or sand), absorbent pad, or for very small spills, let evaporate. UNDER NO CIRCUMSTANCES HOSE OFF WITH WATER. THIS WOULD CAUSE UNDER- GROUND CONTAMINATION AND WE COULD BE FACED WITH A VERY LARGE CLEAN-UP BILL. Keep used clean-up material in a metal container with metal lid. 3) For removal of clean-up material for #1 or #2, call Tom Carmichael at 1-800-541-0334. 4) Know where the fire extinguisher is and how and when to use it. If you have to use a fire extinguisher, ALWAYS CALL THE FIRE DEPARtmENT FIRST. In our store the fire extinguishers are located: . 5) Know where and how to shut off power to gasoline equipment. Every store is different; have someone show you. In our store the gaso- line power shut-off is located: . CO2 TANK HANDLING 1) All COz tanks are to be stored with metal cap in place (except when in use). Replace metal cap on tank after use (empty). 2) All CO2 tanks are to be chained up tightly 3/4 way up at all times. Signed: Witness: Employee Franchisee/Store Manager Complete and file in each employee file. ~%ZARDOUS ~TERIALS HANDLING PROCEDURES FUEL SPILLAGE EMERGENCIES 1) In case of large fuel spill, (50 square feet or larger or any- thing that looks potentially hazardous) CALL THE FIRE DEPARTMENT. 2) In case of small fuel spill 50 square feet or smaller, determine potential hazard. Use absorbent material (kitty litter or sand), absorbent pad, or for very small spills, let evaporate. UNDER NO CIRC~ISTANCES HOSE OFF WITH WATER. THIS WOULD CAUSE UNDER- GROUND CONTAMINATION ~ND WE COULD BE FACED WITH A VERY LARGE CLEAN-UP BILL. Keep used clean-up material in a metal container with metal lid. 3) For removal of clean-up material for #1 or ~2, call Tom Carmichae! at 1-800-541-0334. 4) Know where the fire extinguisher is and how and when to use it. If you have to use a fire extinguisher, ALWAYS CALL THE FIRE DEPARTMENT FIRST. In our store the fire extinguishers are located: 5) Know where and how to shu~ off power to gasoli,e equipment. Every store is different; have someone show you. 7n our store the gaso- line power shu~-off is located: CO2 TANK HANDLING 1) ~11 CO~ tanks are to be stored with metal cap in place (except when in use). Replace metal cap on tank after use (empty). 2) All CO= tanks are to be chained up tightly 3/4 way up at all times. PLEASE POST IN STORE Faclllty.lde~tlfication.. :::: *.. . ' Owner/Operator Name ' '" Tier Two " 7=ELEV:~ STORE N0: 1 93;>2 "-- N~ ~e ~ut~d Co~ration ~ { 214~ 522-4790 EMERGENCy S,,.,A~ LEAL~ AVE ~ FL0t2~R ST (-- ,,,~.,, 2828 N. H~ke11- Nlas, ~ 75204 AND U~<ERSFi:L~ CA 9330~I ' HAZARDOUS COUNTY" (~[~N ~ EmerGency Contact. :..::.......... - "." : CHEMICAl. ";~ Store M~ager S T 0 R ~ N O: 1 932 2 INVENTORY S ~C: ~41 N~ NA ~ ~: Specific ~C~ ., ~ ( ~ TITLE: Inlorm~lion '.:'. FOR . I ~ ' I Linda C~t~iqht 2 4 = H 0 U R: ( ~y Chemicat PhO,~f: · ~:'.OFFICIA~ N~ · Important: Rg~E ~il in$tructio~ ~[or~ comDl~tin~ [orm Reposing Period Fr~ Ja~a~ ~ to ~ 3% m :2 '::.:: -'.":" ' : : '. .... ..:~'::':[ ":: ",':'..:~': c~ 811 ~al a~y). (code) '- (code) (days) ' S~ Re~aso - ' ' Che~. N~e ~ ol ~o ' X ~l~ 1~) - " .... ~ -. . ....": :: k------ I~l ~1~: ~ ~i~ ~ ~ ~ '' ' .... ": "' S~ Re~a~ Chem, Name __ of ~o that ~pply: ~o S~ Chem. N~e of ~ess~o I c~tl~ ~ ~IW of ~ t~t I ha~ ~5~allV oa~ln~ a~ a~ familiar with t~ Inl~mati~ ~ilt~ ~ t~*s a~ all atlec~ ~umenls, e~ thai bas~ ~ my ~ui~ of ~ ~al~ resemble f~ obtainl~ the inl~mati~, I ~l~e t~ su~tt~ Inf~m~ i5 [t~. ~cc~rale, a~ c~plete. ~ I havo atta~ a 5~to plan Page ~) of 2 pages Fo~m ADgXove<l OMB NO. 2050-0072 Facllity.ldentlUcatlon Owner/Operator Name .....: :... : · . ... Tier Two ~.~ ~ ~ge 1 ~ ~ ~uthl~d co--ration ~ , 214) 522-4790 2828 N. H~kell -.~llas, Texas 75204 E~ERGENCY Strut A~ros~ Mail ~ess CHEMICAL INVENTORY N~ Title /nformation ~m~r by Chemical · '.::~::.ONL~. . ~ ~' ~ ( · . ':' Amount .Amount On-sl~e ' ·" ""'" ':'':~:'' .... ' :: ' .... *' ': ' S~ Re~ .. '. I ghat apply: ~e Min ~1~ L~ Gao S~ Re~a~ Chem, N~e __ of ~iate (a~to) I that apply: ~e Mi~ ~1~ ~id Gas S~den Release Chem. N~e ol Press~e ~iate (acute) that apply: ~e Ma ~lld U~ Gas Czfllllcallon (Read and ~i~n after ~ompleling all ~eclion~) Optional Allachmznis JUNE 21, 1988 Dear ~1 NOTI VIOLATION AND SCHEDULE FOR COMPLIANCE IN THE INSPECTION OF YOUR BUSINESS,THE SEVEN-ELEVEN STORE AND GAS STATION, LOCATED AT 1626 BEALE AVE. BAKERSFIELD, CA 93305 ON JUNE 21st THE FOLLOWING HAZARDOUS MATERIALS P[GULATION VIOLATIONS WERE IDENTIFIED.: 1) NO SAFEI~ PROCEDURES AVAILABLE OR EMERGENCY PLAN FOR SPILL ABATEMENT. VIOLATION OF CALIFORNIA HEALTH AND SAFETY CODE CHAPTER 6.95, 255041B) Business plans shall include all of the foll. o~n~: Emergency response plans and procedures in the event of a reportable of threatened release of a }~azardous material, including, but not limited to, all o]' th~ fo].lo~in.g: (1) Immediate notification to the administering agency and to appropriate local emergency rescue personnel and the office. (2) Procedures for the mitigation of a fei. ease or threatened release to minimize any potential harm or damage to persons, property, or the environment. (3) Evacuation plans and procedures, including immediate notice, for the business site. 2) N'O SAFETY TRAINING AVAILABLE. VIOLATION OF OSHA 1910.1200(H) (2) Training. Employee training shall include at .least: (i)Methods and observations that may' be used to detect 'the presence or release of a hazardous chemical in the work area (such as monitorin~ conducted by the employer, continuous monitoring devices, visual appearance or odor of hazardous chemicals when 'being released, etc.); (ii)The physical and health hazards of the chemicals in the work area; (iii)The measures employees can take to protect themselves from.these hazards, including specific procedures the employer has implemented to protect employees from exposure to hazardous chemicals, such as appropriate work practices, emergency procedures, and personal protective equipment to be used; and, (iv)The details of the hazard communication program developed by the employer, including an explanation of the labeling system and the material safety data sheet, and how employees car] obtain and use the appropriate hazard informa'tion. 3) NO MATERIAL SAFETY DATA SHEETS AVAILABLE. VIOLATION OF OSHA 1910.1200 (g) The employer sha]..l, maintain 'copies of the required material safety data sheets for each hazardous chemJ, cal in the workplace, and shall, ensure that they are readily accessible during each work shift 'to employees when they are in their ~qork areals) (h)(1) INFORMATION. Employees shall be informed of: " (i)Tbe requirements of this section (ii)Any operations in their work area ~qhere hazardous chemicals are present; and, (iii)The location and availa'bility of the written hazard communication program, inc].uding the required list(s) of hazardous chemicals, and material safety data sheets required by this section. 4) CARBON DIOXIDE CYLINDERS NOT PROPERLY RESTRAINED. VIOLATION OF UFC 74.107 (a) General. All compressed gas cylinders in service or in storage shall be adequately secured to prevent falling or being knocked over. EXCEPTIONS: (1) Compressed gas cy].inders in the process of examination, servicing and refilling are exempt from this section. (9.) Medical gas cylinders .lay be stored and used in the horizontal position in accordance **ith nationally recognized standards. The above violations must be corrected by JULY 12. :1.988 The ¢l. epartment wi],l schedule a re-inspection o.t.' .x,~o,~r t'acility to verify compliance. If you have any questions r'eg~rdJ, r}g this notice, please contact Ralph Hue5' at 3Z6-3.~79. ,q J ncerel.~.*, . / /H2zar.ioLs M~terials Coordinator JUNll 2i, 1988 Dear Ms, NOT!CZ OF VIOLATION AND SCI~EDCLE YO~ [OHPLIANCE !Y THE !YSPECTION O? YOUR BUSINESS~THX SZV;Z'q-ELIVEX STORE AND GAS STATION, LOCATED AT ]82~ BEAL% AVE~ B,iIfERf~FiELD~ CA 9U30ff ON JUNE 21st TIlE FOiLO[,ING ilAZA'IDOb"2 MATEU~iALS ViOLATiOi< OF C,'XLiFO~N2.'i HX,'LTH AND gAFXTY CODE CHAPTER 3,5:5~ 2g50!{B} Buslne~ ~lans shall incluae al! of tits event o.U a re~o','tab!s of threatened re!sase of a "~azardc~s ma'[a:'ia!~ includin~ hu% :,tot !Jmlted { I~ imxec[ia':'a n:~tlfication 'to 'hhe adminiaterinS r'escu~ ,~er~,onnel and the office: ~[f) PPoccdurcs fop %he mitigation cf a reiea~,e threatenod release %o minimize an~~ !].u.~ ol~ ~ -~ :~'~ anvironment ~ [2) Evacu~.-tion Dlaaa and -croce~dres~ includin,~ i:umso, iate notic.e~ for the ~susiness site, 2) NO SAFETY TRAINING .IVAII, gBLE0 (2~ Trainin~ Eupictzae tPainln,~ shall include .. east: (i}He%hods and obsezvations thmt may be used to detest the oresence o:~ Pelegse of a hazardous chemical in the work area (such as monitoring conducted by the employer, continuous monitoring devices, visual appearance or odor of hazardous chemicals when being released, etc.); (ii)The physical and health hazards of the chemicals in the work area; (iii)The measures employees can take to protect themselves from .these hazards, includin~ specific procedures the employer has im~'~lemented to protect employees from exposure to hazardous chemicals, such as appropriate work practices, emer,Eency procedures, and. personal protective equipment to be used; and, (iv)The details of the hazard comm,~nic[:~tinr~ program developed by the employer, includin~ an explanation of the labeling system and the material safety data sheet, and how employees can obtain and use the a'ppropriate hazard information. 3) NO MATERIAL SAFETY DATA SHEETS AVAILABLE. VIOLATION OF OSHA 1910.1200 (g) The employer shall maintain copies o~' the requi, red material safety data sheets for each hazardous chemical in the workplace, and shall ensure that they are readily accessible during each work shift to employees when they are in their work area(s) (h) (1) INFORMATION. Employees shall be ii]formed of: " (i)Th, e requirements of this section (ii)Any oper~t%ions in their work area where hazardous chemicals are present; and., (iii)The location and availability of the written hazard communication program, including the required list(s) of hazardous chemicals, and material safety data sheets required by this section. 4) CARBON DIOXIDE CYLINDERS NOT PROPERLY RESTRAINED. VIOLATION OF UFC 74.107 (a) General. All compressed gas cylinders in service or in storage shall be adequately secured to prevent falling or being knocked over. ,EXCEPTIONS: (1) Compressed gas cylinders in the process of examination, servicing and refiilin.E are exempt from this section. (2) Medical gas cylinders may be stor'ed and. used in the horizontal position in accordance with nationally recognized standards. The above violations must be corrected by JUI,¥ 12. 1988 The d. er)ar'tment will schedule a re-inspection of your facility to verify compliance. If you have any questions regarding this notice, piease contact Ralph ttuey at 326-3979. /ilX~kr:lofis h~terials Coordinator HAZARDOUS MATERIALS INSPECTION INSPECTION DATE: ~:~-- ~'-- ~ INSPECTOR: ~--~--~ VERIFICATION OF INVENTORY MATERIALS ~ VERIFICATION OF QUANTITIES ~ VERIFICATION OF LOCATION ~ PROPER SEGREGATION OF MATERIAL ~ VERIFICATION OF ABATEMENT SUPPLIES & PROCedURES ~ COMMENTS: EMERGENCY PRO~I~URES POSTED ~ CONTAINERS PROPERLY LAB~--~.~ ~ COMMENTS: VERIFICATION OF FACILITY DIAGRAM SPECIAL HAZARDS ASSOCIATED WITH THIS FACILITY: VIOLATIONS: BAKERSFIELD. CA 93301 (805) 326-3979 ,~, ~8 ~ OFFICIAL USE ONLY ] IUS [~ESS I 1. To avoid further action, return this form by 2. ~PE/PRI~ ~S~RS IN ENOLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. A. BUSI~SS N~: 7-Eleven Food Store #2125-19382. B. LOCATION / 9TREET ADDRE$S: 1626 Beale Avenue CIW: Bakersfield ZIP: 93305 BUS.PHONE: (805) 323-~662 SECTION Z: EI~NOZ~C/ ~)TIFICATIOI~ In case of an emergency lnvolvin~ the release or threatened release of a hazardous material, call 911 and 1-800-852-?$50 or 1-916-427-4341. This will aot£fy your local fire department and the State Office of Eser~ency Services as required by law. ENPLOYEES TO NOTIFY IN CASE OF ~RGEN~: ~E ~ TI~E D~IN6 BUS. ~8. ~TER BUS. ~S. i. Dan & Jo~ce Webb, Franchisees Ph~ (805) 323-4662 Ph~ s~e B. Kathy Meiia~ District Manager 2125 Ph~ (805) 834-2711 Ph~ s~e A. NAT. GAS/PROPAI~: none B. ELECTRICAL: back room hallwa~ C. WATER: store side/front D. SPECIAL: E. LOCK BOX,: YES /(NO) IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? (YES ~ NO NSDSS? (YES),/ NO FLOOR PL~S? YES / ~O KEYS? YES / NO - 2A - SECTION 4: PRIVATE RESPONSE TEA~! FOR BUSINESS AS A ~I~OLE Emergency Coordinator(pre-determined) shall notify all agencies and inter-company persons in the event of incident. Zmergency Coordinator shall implement all necessary measures in regard to employee and environmental safety as instructed by training received. SECTION 5: LOCAL EMERGENCY ~4EDICAL ASSISTANCE ~OR YOUR BUSINESS AS A WHOLE Police/Fire Department: 911 Nearest E.R. to location is to be used in the event of injury. E~PLOYER$ ARE. REQUIRED TO HAVE A PROGRA~ ~BICH PROVIDES E~LO~ES ~ITH ~NITZAL A~ REFRESHER ~INING rN THE FOLLOWrNG ~EAS. CIRCLE ~S OR ~0 ~ITI~ REFRESHER A. ~TBOD$ FOR SAFE ~LING O~ ~Z~DOUS ~TERZALS: ....................................... YES ~0 YES B. PROCEDURES FOR COORDiNATiNG ACTiViTiES ~ITH RESPONSE AGENCIES: .......................... ~S ~0 ~S C. PROPER USE OF S~E~ EQUIP~: .................. ~S NO YES D. E~RGEN~ ~ACUATION PROCEDb~ES: ................. ~S ~0 YES E. DO YOU ~AIN E~LO~E ~INING RECORDS: ....... ~S NO ~S NO SE~ZOB ~: ~~ CIRCLE ~S OR NO DO~S YOb~' ~5Z~8 ~LE ~Z~OUS ~TER~AL ~ QC~WZTZES LESS T~N 500 POL~DS OF SOLID, 55 G~LON8 OF A LIQUID, OR 200 CUBIC FEET OF A CO~RESSED GAS: ...... YES ~, Dan ~ebb , certify ~ha~ ~he above in~orma~ion ~s accu~a~e. ~ understand ~hat ~his information ~ill be used ~o ~ulflll my ~lrm's obli~a~ions unde~ ~he ne~ California Bea]th ~d Safety code on Haza~doue ~ateria~s (D~v. 20 Chap~e~ 6.95 Sec. ~5500 E~ Al.) and ~hat inaccurate inEorma~ion constitutes perjury. - 2B - BAKERSFIELD CIT7 FIRE DEPART)IE.h'T 2130 "G" STREET BAKERSFIELD, CA 93301 0FFiCLAL USE ONLY ID~ BUSINESS N~%ME: , , BUSINESS PLAN SINGLE FACILITY UNIT F O l~_lVf INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/?RINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY b~IT LISTED BELOW 4. Be as BRIEF and CONCISE as .possible. FACILIT~f UNIT~ FACILITY UNIT NAME: SECTION I: MITIGATION, PREVENTION~ ABATE~5-~ PROCEDURES SECTION 2: NOTIFICATION' .%\~ EVACUATION PROCEDL-RES AT THIS U~'IT 0h*LY BAKERSFIELD CITY FIRE DEPARTI~ENT I.D. ~t FORM 4A-I Page NON--TRADE SECRETS HAZARDOUS I~IATI~ R I ALS I NV~NTORY BUSINESS NAME: 7-Eleven Food Store #2125-19382 O~NER NAMe: The Southland Corporation FACILITY UNIT ~: 100 ADDRESS: 1626 Beale Ave. ~ ..Flower ADORESS:1240 S. State College B~. FACILITY UNIT NAME: CITY, ZIP: Bakersfield: CA 93305 CITY,ZIP: Anaha~ CA 92806' PHONE ~: (805)323-46~2 PHONE ~: (714)635-77~ ~OFFICIA'L USg CFIRS COOL ' I 2 3 4 5 6 7 8 9 TYPE MAX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON HANg CODE GUID~ M 10,000 120.qS4 G~ 01 19 left side of store 100 Gasoline/Unleaded I I~ ~L~ ~20 ) M 10,000 175,778 GAL O1 ,, 19 100 Gasoline/Regular FLLQ~ 1203 ~M 10,000 45,572 G~ 01 19 " 100 Gasoline/Super Unleaded FLLQ 1203 ~ ~~ ~ ~t3 06~. 99 mr Salos counter, 100 C02/Carbon D~ox~do ~] ~G 1013 NAME: TITLE: Gasoline ~nager SIGNATURE: DATE: 6/8187 EMERGENCY CONTACT: Dan & Joyce Webb TITLE: Franchisees PNONg · BUS BOUR8: (805)323-4662 AFTER BUS MRS: (805)323-4662 EMERGENCY CONTACT:.~athy Me.~ia TITLE: District Manager~ 2125 PHONE ~ BUS NOURS: (805)834-2711 PRINCIPAL BUSINESS ACTIVITY: Convenience store with self-se~e gasoline AFTER BUS MRS: (805)834-2711 - 4A-1 -