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HomeMy WebLinkAboutBUSINESS PLAN Permit to Operate Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE lj .......... ¢??~7~?~?~,~ ..... This permit is issued for the following: · ~:?.~, ~ ,-,.,?~..~ ............ :.. ~..,... ~.-H~ s Matenals Plan .=~,,. ~ ,. w== ...... ,~,,:~,~. #~=~,,,, .=,,~,,, ~,,-.~:Und .~g ound Storage of H~rdous Mate~als PERM~ ID~ 015~21000814 a~,' ~',~ ~??~'.~:~::;:Fx?.~,a;=~ ~sk Mana.ement Proaram ~ ~ :~ :. j~:' ~, %~. '~ .... .=?.~' '::~ ............ ~ .......... ~...~ ,?'~"~,~.;':~=,~:,'~i~:~:,' .... -:~, . ..-,,= ~ v ~*!; m ~~m~ ~vv~ ~l~ ~/~,-~/~,..~;;;~ LOCATION 1700 ...... ~,Y..'. ' ~'-'.'-'-! ~ ,~:.-~~.~,":' ," ,' ,' ,' ,,' ,' "' .~:~ ~,~ a ":','-4 TAN H~RDOUSSUBSTANCE CAP~O~ ~AL (~'~,~~~ ~ T~K '~"";$~NK i PIPING PIPING PIPING PIPI (~;-.:.:'~ ~.:,, '~LL? ~E~ERI~E ~O~15¢R '...'ONITOR TYPE TYPE METHOD ONI ~... "*~ '' 001 UNI FABED GASOLINE 10 0~O"~ GAE{'.. ' ~788~-'-~; :"RW';' S AT& /' '"1~'{' I SW S PRFRRIIRF ALD ...... ,~ ~-i , ...' .~ ; _..~, ~, '-, ,,,,~ ......... ~'~02 UNLEADED PLUS GASOLINE 10,00~;00,. GAL_:; ;;,.,. .... ~,1/80-'., ........ ;SW S ,,.d~'.ATG ~/.'"..'-: ~T SW S PRESSURE ALD ? C..~.1~8.Q.,-, SW ~;.~¢.L,,'";::?"ATG./[,.",,"~;~~ TTT SW S PRESSURE ALD 0003 SUPER UNLEADED GASOLIN 10,000:~ '~-.--- '~:. ": ..4':~~.~V ¢¢ ~' . .%.........?. ,.,.-....-. ..... ,... ,....,... ,. .... ¢ ~ ~,' I~ by: O~CE OF E~R ON~L 1715 Chewer Ave., 3rd Floor  B~e~el~ CA 93301 vo~. (~o~),:~,9,9 December 22, 1998 F~ (805).32~576 Expiation Date: 7 ELEVEN FOOD STORE #2125-21 ! SiteID: 215-000-000814 MAR161998 Manager · - ' usPhone: (805) 322-8671 Locationl 1700 BRLTNDAGE LN [B~. ' ~ap : 102 CommHaz : Low City : BAKERSFIELD /~ ' ~rid: 36D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 06 SIC Code: 5541 EPA Numb: DunnBrad: 00 - 734 - 7602 Emergency Contact / Title Emergency Contact / Title SHASHI/VEENA KAMBOJ / FRANCHISEE DAVID LISUKI / FIELD CONSULTAN Business Phone: (805) 322-8671x Business Phone: (209) 230-0711x 24-Hour Phone : (805) 322-8671x 24-Hour Phone : (209) 861-4653x Pager Phone : ( )~37 -~St]Ox Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Emergency Directives: ~ Hazmat Inventory One Unified List -- MCP+DailyMax Order Ail Materials at Site Hazmat Common Name... SpecHazlEPA HazardsI Frm DailyMax Unit MCP UNLEADED GASOLINE F IH DH L 10000 GAL Mod s~3NuLEADED PLUS GASOLINE F IH DH L 10000 GAL Mod PER IINLEADED GASOLINE F IH DH L 10000 GAL Mod -1- 03/16/1998 7 ELEVEN FOOD STORE #2125-21476 SiteID: 215-000-000814 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~U~IU~ ~Vl~ / ~l ~/~ ~Vl~ UATLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: UNDERGROUND FRONT PARKING CAS# 8006-61-9 Liquid Pure Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 10000.00 GALI 10000.00 GALI 7500.00 GAL HAZARDOUS COMPONENTS I 100.00 Gasoline N 8006619 HAZARD ASSESSMENTS No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ -- COMMON NAME / CHEMICAL NAME UNLEADED PLUS GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: UNDERGROUND FRONT PARKING CAS# 8006-61-9 Liquid /Pure Ambient Ambient UNDER GROUND T~NK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 7500.00 GAL HAZARDOUS COMPONENTS %Wt. ~S CAS# 100.00 Gasoline N 8006619 HAZARD ASSESSMENTS I TSecreto RS BioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# MCP No N No No/ Curies F IH DH / / / Mod -2- 03/16/1998 7 ELEVEN FOOD STORE #2125-21476 \ SiteID: 215-000-000814 ~ = Inventory Item 0003 \ Facility Unit: Fixed Containers on Site SUPER UNLEADED GASOLINE ~ Days On Site 365 Location within,this Facility Unit Map: Grid: UNDERGROUND FRONT PARKING CAS# 8006-61-9 F STATE TYPE PRESSURE i TEMPERATURE i CONTAINER TYPE Liquid Pure Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 10000.00 GAL I 10000.00 GAL I 7500.00 GAL HAZARDOUS COMPONENTS I loRe 100.00 Gasoline N 8006619 HAZARD ASSESSMENTS TSecretI oRSIBioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# MCP No N No No/ Curies F IH DH / / / Mod -3- 0~/16/1998 ~ 7 ELEVEN FOOD STORE #2125-21476 SiteID: 215-000-000814 Fast Format = Notif./Evacuation/Medical Overall Site --Agency Notification 01/07/1990 CALL 911 Employee Notif./Evacuation 01/07/1990 VERBAL & CALL 911 FOR RELEASE OF HAZ MAT NOTIFY BFD - HAZ MAT DIV AND STATE O.E.S. -- Public Notif./Evacuation 01/07/1990 VERBAL AND DIAL 911 Emergency Medical Plan 01/07/1990 POLICE/FIRE DEPARTMENT: 911 NEAREST E.R. TO LOCATION IS TO BE USED IN THE EVENT OF INJURY -4- 03/16/1998 ELEVEN FOOD STORE #2125-21476 SiteID: 215-000-000814 Fast Format Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 01/25/1996 STANDARD GASOLINE STATION AFETY FEATURES FOR GAS PUMPS/AUTO SHUTOFF VALVE -- COMPRESSED GASSES PROPERLY STORED IN SMALL SAFETY CONTAINERS & WITH PROPER FITTINGS -- Release Containment 01/25/1996 STANDARD GASOLINE STATION SAFETY FEATURES FOR GAS PUMPS/AUTO SHUT OFFS. VAPOR SHIELDS. SHEER OFF VALVE - COMPRESSED GASSES PROPERLY STORED IN SMALL SAFETY CONTAINERS AND WITH PROPER FITTINGS. BUSINESS EMERGENCY PLAN ON FILE AT EACH STORE. DAILY INVENTORY RECONCILIATION TO INDICATE LEAKAGE ABOVEGROUND. FIRE DEPARTMENT AND GROUNDWATER TECHNOLOGY (800) 288-4832 *12792 CONTACTED FOR BELOW GROUND LEAKS HEALTH DEPARTMENT CALLED ALSO BOTH INSTANCES EQUIPMENT WILL BE SHUT DOWN FOR REPAIRS. -- Clean Up 01/25/1996 USE ABSORBENT MATERIALS, ABSORBENT PAD (KITTY LITTER). Other Resource Activation -5- 03/16/1998 · ~ 7 ELEVEN FOOD STORE #2125-21476 SiteID: 215-000-000814 Fast Format F Site Emergency Factors Overall Site lSpecial Hazards --Utility Shut-Offs 01/07/1990 A) GAS - NONE B) ELECTRICAL - BACK ROOM HALLWAY C) WATER - STORE SIDE FRONT D) SPECIAL - NONE E) LOCK BOX - NO -- Fire Protec./Avail. Water 01/07/1990 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS LOCATED IN STORE PER FIRE CODE FIRE HYDRANT - SOUTHWEST CORNER OF PARKING LOT Building Occupancy Level [ -6- 03/16/1998 7 ELEVEN FOOD STORE #2125-21476 .SiteID: 215-000-000814 Fast Format ~ Training Overall Site -- Employee Training 01/25/1996 WE HAVE 7 EMPLOYEES AT THIS FACILITY. WE DO HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING'PROGRAM~ SEE HAZARDOUS MATERIALS HANDLING PROCEDURES POSTING AND EMPLOYEE AWARENESS FORM. -- Page 2 ~ Held for Future Use --Held for Future Use -7- 03/16/1998 ~[1/01/95 7 ELEVEN FOOD STORE #2125-21476 215-000-0( Overall Site with 1 Fac. Unit '.' JAN 2~ 5 1996 General Information Location: 1700 BRUNDAGE LN / Map:102 Haz:2 Type: 3 City : BAKERSFIELD Grid: 36D F/U: 1 AOV: 0.0 Contact Ng~e , ' ' Contact Name ~1~ SHASHI/VEENA KAMBOJ / Business Phone: (8~05) 322-8671x Business Phone: (209~.~ml~0711x 24-Hour Phone : (~ ~-~7! x .~; 24-Hour Phone : (:~..0¢/) ~f~/-~ Pager Phone : ( ) - x Pager Phone : ( ) - x . ~ ......... Administrativ. e Data Mail Addrs: ~.~90 B .... ,~u~v.~N~/~,~ ~~ ~~D&B Number: 00-734-7602 City: ~ ~ ~~37/6~ State: CA Zip:-9-3-34~4-~7~ Comm Code: 215-006 BAKERSFIELD STATION 06 SIC Code: 5541 Owner: THE~SOUTHL,.A,~N*D*CORPORATIONmo~. ~, p~~ Phone: (209) 261-0711 Address: 29~_ ....... -~ .... t~A~ ~D~~ State: CA Summary I, , g/... _ Do hereby certify that I have reviewed th~ attached'_ .,, ~Thazard°us materials manage- for_~~ that it along with merit plan any corrections constitute a complete and correct man- agement plan for my facility. 11/01/95 7 ELEVEN FOOD STORE #2125-21476 215-000-000814 Page 2 Hazmat Inventory List in MCP'Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qt¥ MCP 02-002 UNLEADED PLUS GASOLINE Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-003 SUPER UNLEADED GASOLINE Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-001 UNLEADED GASOLINE Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 11/01/95 7 ELEVEN FOOD STORE #2125-21476 215-000-000814 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 GAL Daily Average GAL I Annual Amount GAL 10,000 I 7,500.00 233,721.00 Storage ,~Press T Temp Location UNDER GROUND TANK IAmbient~AmbientlUNDERGROUND FRONT PARKING -Conc Components MCP ---TGuide 100.0% IGasoline .~ ModerateI 27 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 GAL Daily Average GAL I Annual Amount GAL 10,000 I 7,500.00 32,675.00 Storage Press T Temp Location UNDER GROUND TANK IAmbientlAmbientlUNDERGROUND FRONT PARKING -- Conc Components MCP ---/Guide 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 GAL Daily Average GAL I Annual Amount GAL 10,000 I 7,500.00 187,430.00 Storage .Press~T.~Temp Location UNDER GROUND TANK AmbientlAmbientlUNDERGROUND FRONT PARKING -- Conc Components MCP ---TGuide 100.0% IGasoline IModeratel 27 11/01/95 7 ELEVEN FOOD STORE #2125-21476 215-000-000814 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 DIV AND STATE O.E.S. <3> Public Notif./Evacuation VERBAL AND DIAL 911 <4> Emergency Medical Plan POLICE/FIRE DEPARTMENT: 911 NEAREST E.R. TO LOCATION IS TO BE USED IN THE EVENT OF INJURY 11/01/95 7 ELEVEN FOOD STORE #2125-21476 215-000-000814 Page 5 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention STANDARD GASOLINE STATION AFETY FEATURES FOR GAS PUMPS/AUTO SHUTOFF VALVE -- COMPRESSED GASSES PROPERLY STORED IN SMALL SAFETY CONTAINERS & WITH PROPER FITTINGS <2> Release Containment STANDARD GASOLINE STATION SAFETY FEATURES ~RGAs'PUMPS/AUTO SHUT OFFS. VAPOR SHIELDS. SHEER OFF VALVE - COMPRESSED GASSES PROPERLY STORED IN SMALL SAFETY CONTAINERS AND WITH PROPER FITTINGS. BUSINESS EMERGENCY PLAN ON FILE AT EACH STORE. DAILY INVENTORY RECONCILIATION TO INDICATE LEAKAGE ABOVEGROUND. FIRE DEPARTMENT AND m~-T-~-' ::_~n~_-n ,, 2 ~ ~ ~ ~ ~ ~- ~ ? ~ CONTACTED FOR BELOW GROUND LEAKS HEALTH DEPART~-~CALLED ALSO BOTH INSTANCES EQUIPMENT WILL BE SHUT DOWN FOR REPAIRS. <3> Clean Up ~ ~0'0~ .--~-~~ ~ / ~7~ <4> Other Resource Activation 11/01/95 7 ELEVEN FOOD STORE #2125-21476 215-000-000814 Page 6 00 - Overall Site <F> Site Emergency Factors <l>~Special Hazards <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 IN STORE PER FIRE CODE FIRE HYDRANT - SOUTHWEST CORNER OF PARKING LOT <4> Building Occupancy Level 11/01/95 7 ELEVEN FOOD STORE #2125-21476 215-000-000814 Page 7 00 - Overall Site <G>.~raining <1> Employee Training WE HAVE 7 EMPLOYEES AT THIS FACILITY> DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? SEE HAZARDOUS MATERIALS HANDLING PROCEDURES POSTING~AND EMPLOYEE AWARENESS FORM <2> Page 2 <3> Held for Future Use <4> Held for Future Use 06/25/93 7 ELEVEN FOOD STORE #2125-21476 215-000-000814 Page 1 Overall Site with 1 Fac. Unit General Information Location: 1700 BRUNDAGE LN Map: 102 Hazard: Low Community: BAKERSFIELD STATION 06 Grid: 36D F/U: 1 AOV: 0.0 -- Contact Name Title Business Phone 24-Hour Phone 'TCDD & '~-RE~DA ~~~;'J~en~ ~3 1(805) 322-8671 x~ JONES (~4]~) ~34--2-7q-t--~. (() - 1) Administrative Data Mail Addrs: 1700 BRUNDAGE LN D&B Number: 00-734-7602 City: BAKERSFIELD State: CA Zip: 93304- Comm Code: 215-006 BAKERSFIELD STATION 06 SIC Code: 5541 Owner: THE SOUTHLAND CORPORATION Phone: (~o~) ~! -oTff Address:-3~"~. F'T~T T ~%T&?,,~--~.. ...~" SU--30 I--3~ ~ ~.~o~4~~State: CA City: FRESNO ""---~ -- Zip: -8-3f~--Z= ~'~71/' Summary RECEIVED JUL I 9.1993. HAZ. I~,I~T. ~lV. I, '~-~f~ ~"~D'~m,-~~''''' Do hereby certify that I have "0.~/~o,~ reviewed the attached hazardous materials manage- ment plan for ?-E/~,~,~. ~,.~/.,/7~ and that it along with (Name of Business) any corrections constitute a complete and correct man- agement plan for my facility. 06/25/93 7 ELEVEN FOOD STORE #2125-21476 215-000-000814 Page 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention STANDARD GASOLINE STATION AFETY FEATURES FOR GAS PUMPS/AUTO SHUTOFF VALVE -- COMPRESSED GASSES PROPERLY STORED IN SMALL SAFETY CONTAINERS & WITH PROPER FITTINGS <2> Release Containment <3> Clean Up <4> Other Resource Activation 06/25/93 7 ELEVEN FOOD STORE #2125-21476 215-000-000814 Page 6 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <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 IN STORE PER FIRE CODE FIRE HYDRANT - SOUTHWEST CORNER OF PARKING LOT <4> Building Occupancy LeVel 06/25/93 7 ELEVEN FOOD STORE #2125~21476 215-000-000814 Page 7 00 - Overall Site <G> Training <1> Page 1 WE HAVE 7 EMPLOYEES AT THIS FACILITY> DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? SEE HAZARDOUS MATERIALS HANDLING PROCEDURES POSTING AND EMPLOYEE AWARENESS FORM <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use 06/25/93 7 ELEVEN FOOD STORE #2125-21476 215-000-00081'4 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 DIV AND STATE O.E.S. <3> Public Notif./Evacuation VERBAL AND DIAL 911 <4> Emergency Medical Plan POLICE/FIRE DEPARTMENT: 911 NEAREST E.R. TO LOCATION IS TO BE USED IN THE EVENT OF INJURY 06/25/93 7 ELEVEN FOOD STORE #2125-21476 215-000-000814 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 ] Annual Amount GAL 10,000 ~ 7,500.00 233,721.00 Storage~lPress-T Temp Location UNDER GROUND TANK IAmbient/ambientlUNDERGROUND FRONT PARKING -- Conc Components MCP --TGuide 100.0% IGasoline IModeratel 27 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 32,675.00 Storage Press T Temp~ Location UNDER GROUND TANK Ambient~AmbientlUNDERGROUND FRONT PARKING -- Conc Components MCP -~Guide 100.0% IGasoline IModeratel 27 02-001 UVLEADED 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 ~ 7,500.00 187,430.00 StorageI~Press T Temp Location UNDER GROUND TANK IAmbient~ambientlUNDERGROUND FRONT PARKING -- Conc~ Components MCP ---/Guide 100.0% IGasoline ModerateI 27 06/25/93 7 ELEVEN FOOD STORE ~2125-21476 215-000-000814 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 GASOLINE Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL ~02-001 UVLEADED GASOLINE Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL CERTIFICATE OF UNDERGROUND STORAGE TANK SYSTEM TESTING NDE ENVIRONMENTAL CORPORATION 20000 Mariner Avenue, Suite 500 Torrance, California 90503 (310) 542~2 Test Date~ 13 May 19 9 3 Work Order~: 9 6 0 9 0 2 Client: THE SOUTHLAND CORPORATION Site: 7-11 #960902 / 295 W. CROMWELL, #105 1700 BRUNDAOE LN. ~/ FRESNO , CA 93711 BAKERSFIELD , CA 93305 Attn: JEFF SIMONSON The following tests were conducted a~ ~he site described above in accordance with all applicable portious of Federal, NFPA, and Local regulations. TANK SYSTEM INFORMATION Tank Tank Product Vapor Recovery Tank Capacity Diameter Level Tank No. Gallons Inches Product Inches Material Stage I Stage II I 9,980 95 PREMIUM 52.00 STEEL COAX BALANCE 2 9,980 95 MIDORADE 56.50 STEEL COAX BALANCE 3 9,980 95 UNLEAD 58.00 STEEL COAX BALANCE TEST~GRESULTS VPLT Wetted Vent & Leak Leak Volume Portion Ullage Vapor Product Detector Detector Tank Change of Tank Test Lines Lines Present? Results No. (gph) Pass/fail Pass/Fail. Pass/Fail Pass/Fail Yes/no Pass/Fail I 0.013 PASS PASS PASS PASS YES PASS 2 -0.001 PASS PASS PASS PASS YES PASS 3 0.025 PASS PASS PASS PASS YES PASS NDE appreciates the opportunity to serve you, and looks forward to working with you in the future. Please call any time, day or night, when you need us. NDE CUStomer Service Representative Testing conducted by F. MILLER~ ~~, M. LEVESQUE Reviewed by~ ~ Technician certification no.: Benjamin/. Alicea 14 05 T~tDa~: 13 May 1993 WorkOrde~: 960902 TANK TESTING DATA Tank 1 Tank 2 Tank 3 Tank 4 Tank 5 Tank 6 Product: PREMIUM~MIDGRADE/UNLEAD~ True Capacity-gal: 9,980 9,980 9,980 Manifolded tanks: NO NO NO Manifolded Vents: NO NO NO Tank Bottom to top of fill-in: 135 125 122 Fill pipe length-in: '40 30 27 Tank diameter'in: 95 95 95 Tank Bottom to top of grade-in: 142 134 131 Fill pipe diameter-in 4 4 Fluid Level-in: 52.00 56.50 58.00 Fluid Volume-gal: 5,591 6,187 6,383 Water in tank-in: 0 0 0 Specific Gravity: 0.748 0.746 0.743 Tank Construction: STEEL STEEL STEEL OFT/UFT: UFT UFT UFT No. thermistor: 5 5 5 Ground Water level-in How determined: NO WELL NO WELL NO WELL Test start time: 19:17 19:20 19:25 : : : Test finish time:- 21:30 21:23 21:25 : : : Total temperature change (degrees F): 0.059 0.038 0.000 Total fluid level change (inches): 0.001 0.001 0.000 Leak Rate (GPH): 0.013 -0.001 0.025 I] PASS PASS PASS Pass/Fail: NDE Environmental Corporation - 20000 Mariner Avenue Ste 500 - Torrance, CA. 90503 - 010) 542-4342 Page I T~tDa~: 13 May 1993 WorkOrde~: 950902 ULLAGE TEST~G DATA II Tank 1 Tank 2 Tank 3 Tank 4 Tank 5 Tank 6 Product: PREMIUM MIDGRADE UNLEAD True Capacity-gal: 9,980. 9,980 9,980 Ullage volume-gal: 4,389 3,793 3,597 Fluid pressure on tank bottom(psi): 1.41 1.52 1.56 Ullage test pressure: 2.59 2.48 2.44 Stabilization time: 20 20 20 Fill start time: 21:35 21:35 21:35 : : : Time to i PSI: 2 2 2 Time to test pressure: 4 4 Start time - test 1: 22:00 22:00 22:00 : : : Nitrogen flow (cfh): 0.20 0.20 0.20 Ullage temperature-F: 78.5 77.1 77.7 Finish time - test 1: 22:10 22:10 22:10 : : ~ : Nitrogen flow (cfh): 0.20 0.20 0.20 Start time - test 2: 22:10 22:10 22:10 : : : Nitrogen flow (cfh): 0.20 0.20 0.20 Ullage temperature: 78.6 77.2 77.8 Finish time - test 2: 22:20 22:20 22:20 : : : Nitrogen flow (cfh): 0.20 0.20 0.20 Start time - test 3: 22:20 22:20 22:20 : : : Nitrogen flow (cfh): 0.20 0.20 0.20 Ullage temperature-F: 78.6 77.3 77.9 Finish time - test 3: 22:30 22:30 22:30 : : : Nitrogen Flow (cfh): 0.20 0.20 0.20 Pass/Fail: II PASS PASS PASS 'l ULLAGE TEST COMMENTS: NO~: [ 2 ~ecu~ve ~t @ < 0.275 ~nstim~ n P~S ] [ 3 ~nsecu~ve ~ @ > 0.275 ~nztim~ a FAIL ] NDE ~ronmen~ Corpo~on - 20000 Mariner Avenue S~ 5~ - Torran~, CA. ~503 - ~10) 542~342 P~e 2 T~tDa~: 13 May 1993 Wo~O~e~: 960902 LINE TEST DATA I Tank 1 Tank 2 Tank 3 Tank 4' Tank 5 Tank 6 Product: PREMIUM MIDGRADE UNLEAD Pump type: PRESSURE PRESSURE PRESSURE Pump Make: REDJACKET REDJACKET REDJACKET Isolator: ELEMENT ELEMENT ELEMENT Line Material: STEEL STEEL STEEL Line Length (ft): 15 15 15 Line Diameter (in): 2 2 2 Test pressure (psi) 50 50 50 Bleed Back (cc): 20 15 15 Test start time: 20:00 20:00 20:35 : : : Time* (1): 20:10 20:10 20:45 : : : Finish PSI: 49 49 49 Vol Change (cc): 10 5 10 ~ Time (2): 20:20 20:20 20:55 : : : Finish PSI: 49 48 48 Vol Change (cc): 0 10 10 Time (3): 20:30 20:30 21:05 : : : Finish PSI: 49 48 48 Vol Change (cc): 0 0 0 Volume change-GPH:[[0.005 0.008 0.011 NDE Environmental Corporation - 20000 Mariner Avenue S~ ~00 - Torrance, CA. 90503 - (310) ~42-4342 Page 3 T~t Da~: 13 May 19 9 3 Work O~er0: 9 6 0 9 0 2 LEAK DETECTOR DATA Tank 1 Tank 2 Tank 3 Tank 4 Tank 5 Tank 6 Serial number: I 2 3 Product: PREMIUM MIDGRADE UNLEAD Leak Detector manufacturer: REDJACKET REDJACKET REDJACKET Leak detector model: D.L.D. D.L.D. D.L.D. Leak detector serial number: iN/R N/R 411886337 Open time - sec: 5 5 5 Element holding-psi: 13 12 12 Resiliency - cc: 100 100 100 Leak calibration-cc: 252 252 252 Leak Rate - GPH: 4.00 4.00 4.00 Metering PSI: 10 10 10 Detected Leak (Y/N): YES YES YES Pass/Fail: IPASS PASS PASS FA~ED LEAK DETECTORS I Tank 1 Tank 2 Tank 3 Tank 4 Tank 5 Tank 6 Leak Detector manufacturer: Leak detector model: Leak detector serial number: Leak Rate~- Pass/Fail: i LEAK DETECTOR TEST COMMENTS: NDE Environmental Corporation - 20000 Mariner Avenue Ste 500 - Torrance, CA. 90503 - (310) 542-4342 Page 4 TestDate: 13 May 1993 WorkOrder~: 960902 COMMENTS SITE CONDITIONS, NECESSARY REPAIRS: ADDITIONAL WORK PERFORMED: PARTS/EQUIPMENT PROVIDED: Was lock-out/tag-out procedure used?: YES Was location fully operational upon leaving site?: YES Was a visual inspection of all submersible pumps, leak detectors, dispensers, etc. conducted while on-site?: YES Was station manager or attendant present during final inspection?: YES NDE Environmental Corporation - 20000 Mariner Avenue Ste 500 - Torrance, CA. 90503 - ('310) 542-4342 Page 5 ,- Steven S. Jones (uy~e or ~rinu name Do hereby certify that I have reviewed the /gE'CEI~D FEB I4 19~J9, attached Hazardous .Materials business *ola~fA.~.MAT. DiV. for 7-El,,e, veB FO,~ Store {name of business) and that it alon~ with the attached additions er corrections constitute a com~!ete and correct Business Plan for my facility. . nhre _ : .... 2/918.~ .... BUSINESS NAME ? ELEVEN FOOD STORE ~:ZlZS-Zi4?G i0 NUMBER Z15--0~;~}-00.~814 t. OCRTION 17~N~ BRUNDRGE LN HIGH HAZARD RATING Z 1. OVERVIEW LAST'CHANGE 1Z/tZ/88 BY VAL JURIS CODE ZlS-OOB JURiS BAKERSFIELD STATION MAP PAGE 10Z GRID 36O FACILITY UNITS 1 HAZARD RATING Z RESPONSE SUMMARY ZR SEC 4) EMERGENCY COOROINATOR (PRE-OETERMINEO) SHALL NOTIFY ALL. AGENCIES ANO INTER- COMPANY PERSONS IN THE EVENT OF INCIOENT. EMERGENCY COORDINATOR SHALL IMPLEMENT At.L NECESSARY MEASURES IN REGARD TO EMPL. OYEE/ENVIRONMENTRL SAFETY AS INSTRUCTED BY TRAINING RECEIVED. EMERGENCY CONTACTS ZR SEC 2) TOOO ~ FREDA RAWLES - 3ZZ-8GT1 RA~x~ - 834-Z711 - Steve Jones UTILITY SHUTOFFS ZA SEC ~) R) GAS - NONE 8)ELECTRICAL - 8ACK ROOM HALLWAY C) WATER - STORE SIDE/FRONT D) SPECIAl. - NONE E) LOCK BOX - NO Z. NOTIFICATION / PUBLIC EVACUATION LAST CHRNOE / / BY Verbal and dial 911. < NO INFORMATION RECORDED FOR THIS SECTION > PAGE 1 01/19189 1'6':~" MATERIAL SAFETY DATA SYSTEMS, INC. (805) G48-GS~ BUSINESS NAME 7 ELEVEN FO00 STORE ~2125-Z14?G ID NUMBER Z15-(a~.-O$OB14 LOCATION 17~ BRUNDAGE LN HIGH HAZARD RATING 3. HAZ MAT TRAINING SUMMARY L, RSTC'RRNGE' /' / BY See Hazardous Materials Handling Procedures Posting and Employee Awareness form (attached). < NO INFORMATION RECORDED FOR THIS SECTION > LOCAL EMERGENCY MEOIC~L ASSISTANCE LAST CHANGE lZ/lZ/S8 BY VAL SEC S) POLICE/FIRE DEPARTMENT: 911 NEAREST E.R. TO LOCATION IS TO BE USED IN THE EVENT OF INJURY PAGE Z 01/19/8B 1G:4B MATERIAL SAFETY DATA SYSTEMS, I'NC. (805> G48-6800 BUSINESS NAME ? ELEVEN FOOD STOR~ ~ZIZS-Z14'?G tO NUMBER Z15-000-000814 LOCATION 1"70~) BRUNOAGE LN HIGH HAZARD RATING Z FACILITY UNIT 01 OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 1Z/tZ/88 BY VAL ID TYPE NAME M~X AMT UNIT HAZARD LOCATION CONTAINMENT USE 1 PURE UNLEADED GASOLINE 18000 GAL HIGH H ST SIDE OF STORE UNDERGROUND'TANKS FUEL ID PERCENT COMPONENTS HAZARD LIST 118Z.00 100.0 GASOLINE HIGH Z PURE REGULAR GASOLINE 10000 GAL. HIGH H ST S10E OF STORE UNDERGROUND TANKS FUEL ID PERCENT COMPONENTS HAZARD LIST t18Z.00 100.0 GASOLINE HIGH 3 PURE SUPER UNLEADED GASOLINE t0008 GAl_ HIGH H ST SIDE OF STORE UNDERGROUND THNI<S FUEL ID PERCENT COMPONENI'S HAZARD LIST 118Z~00 100.0 GASOLINE HIGH B. FIRE PROTECTION / WATER SUPPLIES · LAST 'CHANGE t'2'7-IZ/88'BY VAL SEC 4) NO PRIVATE FIRE PROTECTION 3R SEC S) FIRE HYDRANT "- ? Located in southwest corner of parking lot. Fire extinguishers located in store per fire code. PAGE 3 01/19/89 16:49 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648'-0800 BUSINESS NAME 7 ELEVEN FOOD STORE ~21ZS-Z14.T6 IO NUMBER Z15-0~-000814 LOCATION 17~ BRUNDRGE LN HIGH HAZARD RATING Z O. EMPLOYEE NOTIFICATION / EVACURTION [P1ST'CHANGE iZ/12/88 BY Vt-ll_ 3R SEC Z) VERBAL. & CRI_L 911 FOR RELERSE OF HAZ MAT NOTIFY BFD - HAZ MAT AND STRI'E OES Call Tom Carmichael, Development Manager at 1-800-541-1334 for removal of cleanup materials. MITIGATION / PREVENTION / ABATEMENT LEST CHRNG£'1'Z/'lZ/88 BY VEL. 3A SEC 1) STANDARD GASOLINE STATION AFETY FEATURES FOR GAS PUMPS/AUTO SHUTOFF VALVE-- .'C-~OH?RESSED G~SSES r'r~ur.~-,,~_, ~,~,~[D IN ~,-,n~. ...... See Hazardous Materials Handling Procedures Posting and Employee Awareness form (attached). PAGE 4 0t/t9/89 16:49 MATERIAL SAFETY OR'fA SYSTEMS, INC, (805> 848-6800 CITY of BAKERS cTELD Loc~1o~: ~ Brundage Lane ~PPRESS: 4008 White Lane 5r~C,:~RO I~. C~gSS CO~54 11 55 41 29 C~TY. ZIP: Bakersfield 93304 CitY, Z~P: Bakersfield ~29 Ou~ AND PHONE ~: 805/322-8671 ~ONg ~: ~5) 834~12 ..... ~J ' ' ' ' I Underground/Front PK~ ~ ........ t.l.$.~.' 8006619 ~ ~1 ~.~.~.~ ~ular Gasoline ~_19 r-~ ~t ~! ~C.~.s.r~ Unleaded Gasoline 8006619 ~t T~ ~ % C.~.$. ~ er Unleaded ,, Health of Prflsure H~lth ~t S~ ~ ~ C.A.S. ~P ~arke t Ma~O~ 805 / 66~ ', Steven S. Jones, Market Man~x~K .................. , .......... I~-.-~--~--:~--}~ ............. Form Ai:~:~ovld OK48 No. ~350-0072 Facility Identil~lcatJort. :!':::~ . . -:: Owner/Opera(or Name : ' :'" ' "" Tier Two ": 7-E~EVEN STORE NO: 21476 ~-- .~ ~e ~ut~d Co.ration ~ , 214, 522-4790 EMERGENCy s,,.,.~ BRUN~AG~ ~ H ST ~ .~.~.. 2828 N. H~kell-.~las, ~ 75204 AND BAKERSFIELD CA 93304/ '_ _'_ ........ . :.' HAZARDOUS C 0 UN T Y: K E ~ ~ Emergency Contact .. CHEMICAL ..... · .......... _ INVENTORY S ~ C: 5541 S~o~e H~age~ S T 0 R ~ ~ 0: 2147 6 ~ NAME: s~,~i/~c ~c~ ~ ~ ( ~ TITLE: STORE MANAGER Information ' ...... PHONE: (805) 3~2-8671 byChemical :r"::"~::.OFFiCmAE':'FOR .1~, J ..... .~ Linde C~t~iqht Z4-HOUR: (805) 3~2-~671 Important: Read all instructio~ before co~ ~letin~ form RepoSing Period Fr~ Ja~a~ I ~ ~ 31. 19 s~.,~ -. ~ ~ P~no lot ne~ n~ isl~. ~.,~ ~ F~. '- 3 1 4 P~ng lot ne~ D~ isl~ S~ Re~a~ Chem. Name __ o; ~e , Pr~ Unlead~ ~oline Re~,,.,,y ~ ~ 13~6 I~"1 ~ t~at apply: ~m M~ ~ ~ Gas .... ' .... / Chem. Name __ of Press~e X ~lay~ (~) I m that apply: ~o ~ ~ ~ Gas Certification ' ' (Read and tign after ¢ompittin8 all ~ection~) ' Optional AtZachmanta (~eCk Fc~m Al~'oved OMB No. 2050-0072 Tier Two .~ ~ ~ge 1 ~ ~ ~uthl~d Co--ration ~ , 214, 522-4790 E~ERGENCY S,,.,A~,... .., ~.,. 2828 N. H~kell - ~llas, Texas 75204 AND City State Zip · ... · v" . CHEMICAL INVENTORY N~ Title Information ':::.?:USE 'l I 522-4790 .... ~ortant: Read all instructions ,,~] ........ ~leting form Reporting Period From January t to December 3t. 19 . ,,, Sudde~ Rele&s~ :. Chem. Name of Pressure ~ . Delayed (c.~onicl '. ' that apply; Pu~a Mix ~ollcl Liquid Gas ' Sudcle~ Release Chem. Name ot Irnn'~Kliat e (acute) Delayed (clvonlc } that app!y: Pure Mix Solid Liquid Gas Sudden Release Chem. Name ol Pressu, e ~ Reactivity -- ~iate (acute) i ~ Delayed (chronic) that apply: Pure Mix Solid Uquid Gas Certification (Read and ~i&n after ,ompicting all sections) Optional Attachments (Check one) SEE FRONT PAGEl I'"a*'a"acn~aU"olsi" HAZARDOUS MATERIALS 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 Raso!ine equipment. Every store is different; have someone show you. In our store the gaso- line power shut-off is located: CO2 TANK HANDLING 1) ~ CO2 tanks are to be stored with metal cap in place (except when in use). Replace metal cap on tank after use (empty). 2) ~1! 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 CIRCL~ISTANCES 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 Carmiehael 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 F1RST. 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 £s located: CO2 TANK HANDLING 1) All CO2 tanks are to be stored w£th 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. PLEASE POST IN STORE  SAK~RSFIELD ciTY FIRE DEPART~.~ R ~ ~ ~ ~ V ~ 0 ~ 2~30 "O" S~EET " B~RSFIELD, CA 93301 J~[ ~3 1987 (805) 326-3979 ~O~ Ans'd ...... ..... OFFICIAL ~SE O~LY USINESS N~E ~AZA~DOUS ~TE~ALS BU~NE~ P~ AS A WHOL~ FOR~ ~A INSTRUCTIONS: 1. To avoid further action, return this focm by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and conctse as posstble. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NA~E: 7-Eleven Food Store #2125-21476 B. LOCATION / STREET ADDRESS: 1700 Brundage Lane CITY: ~kersfield ZIP: 93304 BUS.PHONE: (805) 322-8671 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 aoti~ ~our loca! ~re departmen~ and the State 0ff~ce of Eser~enc¥ Services as requ~:ed h~ law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NARE AND TITLE DURING BUS. HRS. AFTER BUS. HRS. A. Todd & Freda Rawles, Franchisees Ph~ (805) 322-8671 Ph~ same B. Kathy MeJia. District Manager 2125 Phe (805~ 834,2711 Ph# same SECTION 3: LOCATION OF UTIL~TYSilUT-OI~S FOR BUSINESS AS A~IOLE A. NAT. GAS/PROPANE: None B. ELECTRICAL: Back room hallway ¢. WATER: Store side/front D. SPECIAL: E. LOCK BOX: YES /(NO) IF YES~ LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? (/YE~ / NO MSDSS? (yES)./ NO FLOOR PL~S? YES / NO KEYS? YES / NO - 2A - SECTION 4: PRIVATE RESPONSE TEA~ FOR BUSINESS AS A WHOLE Emergency Coordinator(pre-determined) shall notify all agencies and inter-company 7~?~ i ~?i '~] · uersons in the event of incident. Emergency Coordinator shall implement all ~ ~}~ecessary measures in regard to employee/environmental safety as instructed by trainings'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 inuthe event of injury., SECTION 6: ,ENPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRA~ WHICH PROVIDES E)~PLOYEES WITH INITIAL A~ REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL REFRESHER A. ~ETHODS FOR SAFE HANDLING OF HAZARDOUS .~ATER[ALS: ....................................... YES NO YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... YES NO YES NO C. PROPER USE OF SAFETY EQUIPMENT: .................. YES NO YES NO D. E~ERGENCY EVACUATION PROCEDL~ES: ................. YES NO YES NO E. DO .YOU ~AINTAIN E~PLOYEE TRAINING RECORDS: ....... YES NO YES NO SECTION ?: CIRCLE YES OR NO DOES YOUR BUSINESS F~a~DLE HAZARDOUS ~ATERIAL IN QUANTITIES LESS TF~N $00 POL~DS OF A SOLID, I, Todd ~aWq'a~ , certify that the above information is accurate. I understand that this information will be used to fulfill my firm's obligations under the new ~allfornla Health and Safety code on Hazardous Materials {Div. ~0 Chapter 6.95 Sec. 25500 Et Al.) and that inaccurate information constitutes perjury. SIGNATURE, ~ ,~~ TITLE Franchisee' DATE - 2B - BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 /· OFFiCiAL USE ONLY ID#---.--- BUSINESS N~%ME: . . BUSI NESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible.' ...... ~' ........................ .-' .... FACILITY UNIT~ FACILITY UNIT N~ME: SECTION 1: MITIGATION, PREVENTION~ ABATEMEN~F PROCEDURES SECTION 2: NOTIFICATION .%\q] EVACUATION PROCEDURES AT THIS U/IT 05~LY BAKERSFIELD CITY FIRE DEPARTMENT I.D. ~ FORM 4A-1 Pa~e ! . o~ 1 NoN--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY BUSINESS NAME: 7-Eleven Food Store #2125-21476 OWNER NAME: The Southland Corporation FACILITY UNIT #': 100 ADDRESS: 1700 Brundage Ln. @ "H" Street ADORESS:1240 S. State College Bi. FACILITY UNIT NAME: CITY, ZIP: Bakersfield~ CA 93304 CITY,ZIP: Anaheim~ CA 92806 PHONE ~:. (805)322-8671 PHONE #: (714)635-7711 [OFFICIAL USE CFIRS CODE { ONLY ,, I 2 3 4 5 6 7 8 9 lO TYPE MAX ANNUAl, CONT USE LOCATION IN THIS · BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE OUIDE M 0 10,000 est. "H" · 187',4~0 GAL O1 19 St:.: .side of store 100 Gasoline/Unleaded \\~-~/' FLLQ 1203 M~.~ 10,000 233,721 GAL 01 1.9 "· 100 Gasoline/Regular FLLQ 1203 M ~ 10,000 32,675 GAL 01; 19 " 100 Gasoline/Super Unleaded FLLQ 1203 M ~ GAL 4 99 near Sales Counter 100 CO2/Carbon Dioxide ~ NFLG 1013 NAME: Jack Doolittle TITLE: Gasoline Manager SIGNATURE: ~ -~ c~ DATE: 6/8/87 EMERGENCY :CONTACT: Todd & Freda Rawles TITLE: Franchisees~ PHONE # BUS HOURS: (805)322-8671 AFTER BUS HRS: (805)322-8671 EMERGENCY CONTACT: Kathy Mejia TITLE: District Manager, 2125. PHONE # BUS HOURS: (805)83~82711 PRINCIPAL BUSINESS ACTIVITY: Convenience store with self-serve gasoline AFTER .BUS HRS: (805)834-2711 - 4A-1 -