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Home My WebLink AboutBUSINESS PLAN 3/25/2004 ~' ITE/FACI LI TY D GR ~ FORM 5 ~HRIS' LIQUORS ~ ~ NORTH SCALF.: ,~ ~1 BUSINESS ~AMg: FgOOR: O~ / : ~ CHRIS' LIQUORS DATE:~~FACILITY N~ME: UNIT ': OF (CHECK ONE) SITE DIAGRAM ~ FACILITY DIAGR.~' l (Inspector's Comments): -OFFICIAL USE ONLY- - SA - F~R. : OF NORT8 SCALg: ~ ~ BUSINESS $~ME: '/ = ~5o CHRIS' LIQUORS (C~ECg ONg) S~Tg D~AGRAM ~ FAC~gl~ (Inspector's Comments): -OFFICIAL USE ONLY- - SA - CHRIS LIQUORS SiteID: 015-021-000368 Manager : CHRIS DRULIAS BusPhone: (661) 323-5444 Location: 2732 BRUNDAGE LN Map : 102 CommHaz : Low City : BAKERSFIELD Grid: 36C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 03 SIC Code:5411 EPA Numb: DunnBrad:05-921-6838 Emergency Contact / Title Emergency Contact / Title CHRIS DRULIAS / OWNER DAVID PALMER / OPERATIONS/MNGR Business Phone: (661) 323-5444x Business Phone: (661) 393-7000x 24-Hour Phone : (661) 831-1597x 24-Hour Phone : (661) 393-7000x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : DAVID PALMER Phone: (661) 393-7000x MailAddr: PO BOX 1807 State: CA City : BAKERSFIELD Zip : 93303 Owner J T COMPANY 200 Phone: (661) 393-7000x Address : 3101 STATE RD State: CA City : BAKERSFIELD Zip : 93308 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~'- (Typ~ or p~im name) t reviewed the attached hazardous materials manage- ment plan tortoni ~~ and th~ -- (~ ~ ~s~) ~ny corr~ions ~nstitute a complete and agement plan for my facili~. 1 03/24/2004 CHRIS LIQUORS SiteID: 015-021-000368 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: CHRIS LIQUORS Cross Street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : DAVID PALMER Phone: (661) 393-7000x Address: City : State: Zip: Type : CORPORATION TANK OWNER INFORMATION Name : DAVID PALMER Phone: (661) 393-7000x Address: City : State: Zip: Type : CORPORATION BOE UST Fee# : 006722 Financ'l Resp: SELF INSURED Legal Notif : Property Owner Mailing Address Date:04/28/2000 Phone: (661) 393-7000x Name:DAVID PALMER Ttl:VP State UST # : 1998 Upg Cert#: 00731 -2- 03/24/2004 CHRIS LIQUORS SiteID: 015-021-000368 = Hazmat Inventory By Facility Unit -- MCP+DailyMax Order Fixed Containers on Site Hazmat Common Name... SpecHazlEPA HazardsI Frm { DailyMax IUnit[MCP PREMIUM GASOLINE F IH DH L 12000.00 GAL Mod UNLEADED GASOLINE F IH DH L 12000.00 GAL Mod UNLEADED PLUS GASOLINE F IH DH L 12000.00 GAL Mod 3 03/24/2004 CHRIS LIQUORS SiteID: 015-021-000368 ~ = Inventory Item 0001 Facility Unit: Fixed Containers on Site 9 -- COMMON NAME / CHEMICAL NAME PREMIUM GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: IN FRONT OF STORE CAS# 8006-61-9 Liquid/Pure Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 8000.00 GAL HAZARDOUS COMPONENTS 100.00 Gasoline N 8006619 HAZARD ASSESSMENTS ITSecret, RSIBioHazI Radioactive/Amount EPA Hazards NFPA USDOT# [ MCP No INO I No No/ Curies F IH DH / / / Mod MISC. LOCAL AGENCY DATA Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Definedg: Ag.Definel0: -- Ag.Definell 4 03/24/2004 CHRIS LIQUORS SiteID: 015-021-000368 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: IN FRONT OF STORE TANK DESCRIPTION Tank ID~: 3 Mfr: MOSIER BRO. Compart Tank: N Installed: 02/1982 Capacity: 12000 Gals No. Of Comparts: Additional Info: TANK CONTENTS Tank Use: MOTOR VEHICLE FUEL Petrol Type: PREMIUM UNLEADED Matl Name:PREMIUM GASOLINE Cas #: 8006-61-9 TANK CONSTRUCTION Type : SINGLE WALL W/INT LINER & C.P. Material(p): BARE STEEL Material(s): BARE STEEL Lining : EPOXY LINING Installed: Corr Prot: CATHODIC PROTECTION Installed: Spill Cnt : 1997 Alarm : Exempt: No Drop Tube : 1997 Ball Float : Striker Plate: 1997 Fill Tube S/O: 1997 '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- 03/24/2004 CHRIS LIQUORS SiteID: 015-021-000368 = 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 : UNKNOWN Mtl : BARE STEEL & : Corr : CATHODIC PROTECTION Prot : PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS DISPENSER CONTAINMENT Installed: 03/18/2003 Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Date: 04/28/2000 Name:JOHN KERLEY Ttl:VP Prmt Number: 0368 Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :11/20/1997 CP CERT. :12/03/2001 DUE MANWAY INSP. :12/22/1998 UST MONIT. CERT:08/13/2003 STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: No Installation Inspected & Certified by Registered Engineer: No Installation Inspected by Unified Program Agency: Yes Manufacturer's Checklist Completed: No Installer Certified by Contractors' State License Board: Yes Approved Alternate methods: Date: 04/28/2000 Name:JOHN KERLEY Ttl:VP -6- 03/24/2004 CHRIS LIQUORS SiteID: 015-021-000368 = Inventory Item 0002 Facility Unit: Fixed Containers on Site UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: UNDERGROUND TANK CAS# 8006-61-9 r STATE -T-- TYPE PRESSURE --~ TEMPERATURE I CONTAINER TYPE Liquid/Pure I Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 12000.00 GALI 12000.00 GALI 8000.00 GAL HAZARDOUS COMPONENTS 100.00 Gasoline N 8006619 I HAZARD ASSESSMENTS I I TSecretI RSIBioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No INO I No No/ Curies F IH DH / / / Mod MISC. LOCAL AGENCY DATA Ag. Definedl: Ag. Defined2: Ag. Defined3: Ag. Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag. Defined8: Ag. Definedg: Ag.Definel0: -- Ag.Definell -7- 03/24/2004 CHRIS LIQUORS SiteID: 015-021-000368 = 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: UNDERGROUND TANK TANK DESCRIPTION Tank ID#: 1 Mfr: MOSIER BRO. Compart Tank: N Installed: 02/1982 Capacity: 12000 Gals No. Of Comparts: Additional Info: TANK CONTENTS Tank Use: MOTOR VEHICLE FUEL Petrol Type: REGULAR UNLEADED Matl Name:UNLEADED GASOLINE Cas #: 8006-61-9 TANK CONSTRUCTION Type : SINGLE WALL W/INT LINER & C.P. Material(p): BARE STEEL~ Material(s): BARE STEEL Lining : EPOXY LINING Installed: Corr Prot: CATHODIC PROTECTION Installed: Spill Cnt : 1997 Alarm : Exempt: No Drop Tube : 1997 Ball Float : Striker Plate: 1997 Fill Tube S/O: 1997 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 03/24/2004 CHRIS LIQUORS SiteID: 015-021-000368 = Inventory Item 0002 Facility Unit: Fixed Containers on Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping AboveGround Piping Type : PRESSURE Const: SINGLE WALL Mfgr : UNKNOWN Mtl : BARE STEEL & : Corr : CATHODIC PROTECTION Prot : PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS DISPENSER CONTAINMENT Installed: 03/18/2003 Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Date: 04/28/2000 Name:JOHM KERLEY Ttl:VP Prmt Number: 0368 Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :11/20/1997 CP CERT. :12/03/2001 DUE MANWAY INSP. :12/22/1998 UST MONIT. CERT:08/13/2003 STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: No Installation Inspected & Certified by Registered Engineer: No Installation Inspected by Unified Program Agency: Yes Manufacturer's Checklist Completed: No Installer Certified by Contractors' State License Board: Yes Approved Alternate'methods: Date: 04/28/2000 Name:JOHM KERLEY Ttl:VP -9- 03/24/2004 CHRIS LIQUORS SiteID: 015-021-000368 = Inventory Item 0003 Facility Unit: Fixed Containers on Site ~v~vl~~ ~v~ / ~£ ~ ~v~ UNLEADED PLUS GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: UNDERGROUND STORAGE TANK CAS# 8006-61-9 r STATE ~ TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid/Pure Ambient Ambient UNDER GROUND TANK I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 8000.00 GAL HAZARDOUS COMPONENTS %Wt. RN~oRS CAS# 100.00 Gasoline 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.Defined8: Ag.Defined9: Ag.Definel0: -- Ag.Definell -10- 03/24/2004 CHRIS LIQUORS SiteID: 015-021-000368 = Inventory Item 0003 Facility Unit: Fixed Containers on Site STOP~AGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: UNDERGROUND STORAGE TANK TANK DESCRIPTION Tank ID~: 2 Mfr: MOSIER BRO. Compart Tank: N Installed: 02/1985 Capacity: 12000 Gals No. Of Comparts: Additional Info: TANK CONTENTS Tank Use: MOTOR VEHICLE FUEL Petrol Type: UNLEADED PLUS/MIDGRADE Matl Name:UNLEADED PLUS GASOLINE Cas ~: 8006-61-9 TANK CONSTRUCTION Type : SINGLE WALL W/INT LINER & C.P. Material(p): BARE STEEL Material(s): BARE STEEL Lining : EPOXY LINING Installed: Corr Prot: CATHODIC PROTECTION Installed: Spill Cnt : 1997 Alarm : Exempt: No Drop Tube : 1997 Ball Float : Striker Plate: 1997 Fill Tube S/O: 1997 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- 03/24/2004 CHRIS LIQUORS SiteID: 015-021-000368 = 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 : UNKNOWN Mtl : BARE STEEL & : Corr : CATHODIC PROTECTION Prot : PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS DISPENSER CONTAINMENT Installed: 03/18/2003 Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Date: 04/28/2000 Name:JOHN KERLEY Ttl:VP Prmt Number: 368 Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :11/20/1997 CP CERT. :12/01/2001 DUE MANWAY INSP. :12/22/1998 UST MONIT. CERT:08/13/2003 STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: No Installation Inspected & Certified by Registered Engineer: No Installation Inspected by Unified Program Agency: Yes Manufacturer's Checklist Completed: No Installer Certified by Contractors' State License Board: Yes Approved Alternate methods: Date: 04/28/2000 Name:JOHN KERLEY Ttl:VP , -12- 03/24/2004 CHRIS LIQUORS SiteID: 015-021-000368 Fast Format ~ Notif./Evacuation/Medical Overall Site -- Agency Notification 12/01/2000 CALL 911. STATE EMERGENCY OFFICE: 1-800-852-7550 OR 1-619-262-1621. -- Employee Notif./Evacuation 12/01/2000 FIRE DEPT, POLICE DEPT, EVACUATE STORE - CLOSE DOORS AND WAIT FOR FIRE OR POLICE. A. SHUT OFF (IF POSSIBLE) MAIN POWER BREAKER. B. EVACUATE THEMSELVES & ANYBODY IN OR AROUND THE PREMISES. C. NOTIFY CLOSE NEIGHBORS TO EVACUATE IF NECESSARY. Public Notif./Evacuation 12/01/2000 911/FIRE DEPT, NOTIFY NEARBY RESIDENTS & SURROUNDING FACILITIES. Emergency Medical Plan 12/01/2000 FIRE DEPT, POLICE DEPT AND MERCY HOSPITAL, 2215 TRUXTUN AVE, 327-3371. -13- 03/24/2004 CHRIS LIQUORS -- SiteID: 0157021-000368 Manager :t.~,/~~~/~ -~;^. ~'h /y/zx3~ BusPhone: (661) 323-5444 Location: 2732 BRUNDAGE LN ~ Map : 102 CommHaz : Low City : BAKERSFIELD .,r%~. ~ .... ~Grid: 36C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 03 SIC Code:5411 EPA Numb: DunnBrad:05-921-6838 Emergency Contact / Title Emergency Contact~j / Title CHRIS DRULIAS / OWNER JOHN KERLEyD~"W/gJ'"~-OPERATIONS/MNGR Business Phone: (661) 323-5444x Business Phone: (661) 393-7000x 24-Hour Phone : (661) 831-1597x 24-Hour Phone : (661) 393-7000x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : %-'~(bt~/~ ~O~/tC./- Phone: (661) 393-7000x MailAddr: PO BOX 1807 State: CA City : BAKERSFIELD Zip : 93303 Owner J T COMPANY 200 Phone: (661) 393-7000x Address : 3101 STATE RD State: CA City : BAKERSFIELD Zip : 93308 Period : to TotalASTs: = Gal Preparer: TOtalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: I. f'q.~,~' ,,~~ Do hereby.certify tl~t I have ~rype ~ IO~nt name) ' · · r~iew~ the a~ached h~ardous materials manag~ for~ ~~d that it along With merit any ~ff~ions ~n~E~e a ~mplete a~ ~ff~ man- ~me~ plan ~r my fadli~. -1- 07/30/2003 /+ CHRIS LIQUORS == SiteID: 015-021-000368 + + STORAGE CONTAINER DATA (UST FORM A) I Last Action Type: + ....... FACILITY/SITE INFORMATION ........................... Business Name: CHRIS LIQUORS Cross Street ~: Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: .......................... PROPERTY OWNER INFORMATION ......................... + Name : :~E~ ~(~JJ~d ~2~u~;~/~-~- Phone: (661) 393-7000x Address :~l~gl S~ City :~~/~' State:~ Zip: Type : CORPORATION + ........................... TANK OWNER INFORMATION ........................... + Name : JO:IN Y. ER~Y ~(~u~/~ ~z~~ Phone: (661) 393-7000x Address: ~OI ~r~c~, ~. City ~<-~ ~^~/~ State :~-Zip: Type : CORPORATION BOE UST Fee# : 006722 Financ'l Reap: SELF INSURED Legal Notif : Property Owner Mailinw Address Phone: (661) 393-7000x Date: 04/28/2000 Name:~=OIIN X~P. LE-Y ~3//d ~;70~ Ttl:VP State UST # : 1998 Upg Cert#: 00731 + 2 07/30/2003 CHRIS LIQUORS - SiteID: 015-021-000368 Manager : BusPhone: (661) 323-5444 Location: 2732 BRUNDAGE LN Map : 102 CommHaz : Low City : BAKERSFIELD Grid: 36C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 03 SIC Code:5411 EPA Numb: DunnBrad:05-921-6838 Emergency Contact / Title Emergency Contact / Title CHRIS DRULIAS / OWNER JOHN KERLEY / OPERATIONS/MNGR Business Phone: (661) 323-5444x Business Phone: (661) 393-7000x 24-Hour Phone : (661) 831-1597x 24-Hour Phone : (661) 393-7000x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : Phone: (661) 393-7000x MailAddr: PO BOX 1807 State: CA City : BAKERSFIELD Zip : 93303 Owner J T COMPANY 200 Phone: (661) 393-7000x Address : 3101 STATE RD State: CA City : BAKERSFIELD Zip : 93308 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ~ ~, /~ /~/U.,~'~/¢~D0 hemb7 cerfih/~hatl have reviewed the a~ached h~ardous minerals manage- ment plan for ~5' J/~~and ~hm it along ~i~h (Namo of B~) - any corr~ions constitute a complete and correc~ man- agement plan for my facili~. 1 07/15/2002 CHRIS LIQUORS SiteID: 015-021-000368 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: CHRIS LIQUORS Cross Street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : JOHN KERLEY Phone: (661) 393-7000x Address:' City : State: Zip: Type : CORPORATION TANK OWNER INFORMATION Name : JOHN KERLEY Phone: (661) 393-7000x Address: City : State: Zip: Type : CORPORATION BOE UST Fee# : 006722 Financ'l Reap: SELF INSURED Legal Notif : Property Owner. Mailing Address Date:04/28/2000 Phone: (661) 393-7000x Name:JOHN KERLEY Ttl:VP State UST # : 1998 Upg Cert#: 00731 =Hazmat Inventory One Unified List --Alphabetical Order Ail Materials at Site Hanmar Common Name... ISpeoHazlEPA HazardsI Frm DailyMax IUnitlMCPl PREMIUM GASOLINE F IH DH L 12000.00 GAL Mod UNLEADED GASOLINE F IH DH L 12000.00 GAL Mod UNLEADED PLUS GASOLINE F IH DH L 12000.00 GAL Mod -2- 07/15/2002 CHRIS LIQUORS SiteID: 015-021-000368 = Inventory Item 0001 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME PREMIUM GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: IN FRONT OF STORE CAS# 8006-61-9 FSTATE TYPE PRESSURE TEMPERATURE I CONTAINER TYPE Liquid PureIi AmbientIi Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION I Largest Container I Daily Maximum I Daily Average 12000.00 GAL 12000.00 GAL 8000.00 GAL HAZARDOUS COMPONENTS 100.00 Gasoline N 8006619 HAZARD ASSESSMENTS TSecretl ~SIBioHaz Radioactive/Amount EPA Hazards NFPA USDOT# I MCP No N No No/ Curies F IH DH / / / Mod = Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ UNLEADED GASOLINE' Days On Site 365 Location within this Facility Unit Map: Grid: UNDERGROUND TANK CAS# 8006-61-9 Ambient Ambient UNDER GROUND TANK Pure Liquid AMOUNTS AT THIS LOCATION I' Largest Container, Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 8000.00 GAL HAZARDOUS COMPONENTS %Wt. RNo~ CAS# 100.00 Gasoline 8006619 HAZARD ASSESSMENTS TSecret I'NoRS I BioHaz Radioactive/Amount EPA HazardsI NFPA USDOT# I MCP No No No/ Curies F IH DH / / / Mod 3 07/15/2002 CHRIS LIQUORS SiteID: 015-021-000368 ~ = Inventory Item 0003 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 STORAGE TANK CAS# 8006-61-9 Liquid Pure Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 12000.00 GALI 12000.00 GAL 8000.00 GAL HAZARDOUS COMPONENTS 100.00 Gasoline N 8006619 HAZARD ASSESSMENTS ITsecretl RSIBioHazI Radioactive/Amount I EPA Hazards NFPA I USDOT# MCP No No No No/ Curies F IH DH / / / Mod -4- 07/15/2002 CHRIS LIQUORS SiteID: 015-021-000368 Fast Format ~ Notif./Evacuation/Medical Overall Site -- Agency Notification 12/01/2000 CALL 911. STATE EMERGENCY OFFICE: 1-800-852-7550 OR 1-619-262-1621. -- Employee Notif./Evacuation 12/01/2000 FIRE DEPT, POLICE DEPT, EVACUATE STORE - CLOSE DOORS AND WAIT FOR FIRE OR POLICE. A. SHUT OFF (IF POSSIBLE) MAIN POWER BREAKER. B. EVACUATE THEMSELVES & ANYBODY IN OR AROUND THE PREMISES. C. NOTIFY CLOSE NEIGHBORS TO EVACUATE IF NECESSARY. -- Public Notif./Evacuation 12/01/2000 911/FIRE DEPT, NOTIFY NEARBY RESIDENTS & SURROUNDING FACILITIES. Emergency Medical Plan 12/01/2000 FIRE DEPT, POLICE DEPT AND MERCY HOSPITAL, 2215 TRUXTUN AVE, 327-3371. -5- 07/15/2002 CHRIS LIQUORS SiteID: 015-021-000368 Fast Format = Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 12/01/2000 GAS TANKS AND GAS LINES HAVE SECONDARY CONTAINMENT. IF A SPILL SHOULD OCCUR, IT WILL BE CLEANED BY JACO OIL COMPANY. REMOTE AUTOMATIC SHUT OFF SWITCH, AUTOMATIC SHUT OFF NOZZLES AND VAPOR RECOVERY BOOTS. -- Release Containment 12/01/2000 EMERGENCY SHUT DOWN SWITCH AND LEAK DETECTION. -- Clean Up 12/01/2000 ALL EMPLOYEES SHOULD BE AWARE OF'THE LOCATION OF EMERGENCY SHUT DOWN CONTROLS FOR GASOLINE EQUIPMENT. THE FOLLOWING ARE PROCEDURES TO FOLLOW IN THE EVENT OF AN EMERGENCY ON THE GAS ISLANDS: 1) IF A CUSTOMER OVERFILLS A VEHICLE TANK RESULTING IN A SMALL SPILL - USE AN ABSORBANT MATERIAL TO SOAK UP SPILL AND STORE IN AN APPROVED CONTAINER, TO BE PICKED UP BY A HAZARDOUS WASTE DISPOSER. 2) IF A CUSTOMER DRIVES OFF WITH A GAS NOZZLE IN THE CAR FILL TANK, RESULTING IN A SUBSTANTIAL FLOW OF GASOLINE - SHUT DOWN THE ENTIRE SYSTEM, CALL YOU MANAGER AND CLEAR THE GAS ISLAND OF ANY VEHICLES OR PEOPLE. 3) IF VEHICLE DAMAGE TO ONE PUMP RESULTS IN A LEAK - SHUT DOWN POWER TO THIS PUMP ONLY, FOLLOW SAME CLEAN UP 'PROCEDURES AS FOR SPILL AN'D CALL YOUR MANAGER. 4) IF A ADJACENT BUSINESS/BUILDING IS ON FIRE, SHUT DOWN THE ENTIRE GAS ISLAND - EMERGENCY CONTROL SHUT-OFF; FIRE DEPARTMENT WILL ADVISE WHEN TO RESUME NORMAL GASOLINE OPERATIONS. 5) EACH STORE SHOULD HAVE A LISTING OF EMERGENCY CONTACT TELEPHONE NUMBERS POSTED NEAR THE GAS CONSOLE. 6) NOTIFY OPERATIONS MANAGER 393-7000. 7) NOTIFY DISTRICT (OPERATIONS) MANAGER TO CALL OUT RESPONSE EMERGENCY PERSONNEL. Other Resource Activation -6- 07/15/2002 F CHRIS LIQUORS SiteID: 015-021-000368 ~ Fast Format F Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 12/01/2000 A) GAS - W SIDE, FRONT OF STORE B) ELECTRICAL - SE CORNER OF BLDG C) WATER - NW CORNER OF PROPERTY D) SPECIAL - NONE E) LOCK BOX - NO Fire' Protec./Avail. Water 12/01/2000 PRIVATE FIRE PROTECTION - IN HOUSE FIRE EXTINGUISHER. NEAREST FIRE HYDRANT - ON BRUNDAGE'LN. Building Occupancy Level 7 07/15/2002 CHRIS LIQUORS SiteID: 015-021-000368 Fast Format ~ Training Overall Site -- Employee Training 12/01/2000 WE HAVE 5 EMPLOYEES AT'THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: ALL EMPLOYEES ARE TRAINED AND AWARE THAT IN THE EVENT OF AN EMERGENCY SITUATION THEY ARE TO FOLLOW THESE PROCEDURES: 1) SHUT OFF (IF POSSIBLE) MAIN POWER BREAKER. 2) EVACUATE THEMSELVES AND ANYBODY IN OR AROUND THE PREMISES. 3) DIAL 911. 4) NOTIFY CLOSE NEIGHBORS TO EVACUATE IF NECESSARY. Page 2 I Held for Future Use Held for Future Use -8- 07/15/2002 ~ SiteID: 015-021-000368 CHRIS LIQUORS j / '~ ~ BusPhone: (805) 323-5444 Manager : ',,.~ Location: 2732 BRUNDAGE LN Map : 102 CommHaz : Low City : BAKERSFIELD Grid: 36C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 03 SIC Code:5411 EPA Numb: DunnBrad:05-921-6838 Emergency Contact / Title Emergency Contact / Title CHRIS DRULIAS / OWNER JOHN KERLEY / OPERATIONS/MNGR Business Phone: (805) 323-5444x Business Phone: (805) 393-7000x 24-Hour Phone : (805) 831-1597x 24-Hour Phone : (805) 393-7000x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : 'Phone: ( ) - x MailAddr: PO BOX 1807 State: CA City : BAKERSFIELD Zip : 93303 Owner J T COMPANY 200 Phone: (805) 393-7000x Address : 3101 STATE RD State: CA City : BAKERSFIELD Zip : 93308 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ' '~rype or print name) / reviewed the attached, hazardous materials manage- · ment plan for ~Z/~.,T., ~./9 and that it along with (Name o Business) any corrections constitute a complete and correct man- agement plan for my facility. 1 10/31/2000 CHRIS LIQUORS SiteID: 015-021-000368 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: CHRIS LIQUORS Cross Street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : JOHN KERLEY Phone: (805) 393-7000x Address: City : State: Zip: Type : CORPORATION TANK OWNER INFORMATION Name : JOHN KERLEY Phone: (805) 393-7000x Address: City : State: Zip: Type : CORPORATION BOE UST Fee# : 006722 Financ'l Reap: SELF INSURED Legal Notif : Property Owner Mailing Address Date:04/28/2000 Phone: (661) 393-7000x Name:JOHN KERLEY Ttl:VP State UST # : 1998 Upg Cert#: 00731 = Hazmat Inventory One Unified List -- As Designated Order Ail Materials at Site Hazmat Common Name... ISpooHazlEPA HazardsI Frm I DailyMax IUnit MCP PREMIUM GASOLINE F IH DH L 12000.00 GAL Mod UNLEADED GASOLINE F IH DH L 12000.00 GAL Mod UNLEADED PLUS GASOLINE F IH DH L 12000.00 GAL Mod 2 10/31/2000 CHRIS LIQUORS SiteID: 015-021-000368 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site PREMIUM GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: IN FRONT OF STORE 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 GAL[ 12000.00 GAL[ 8000.00 GAL HAZARDOUS COMPONENTS 100.00 Gasoline N 8006619 RS Bi°Has I HAZARD ASSESSMENTS TSecret Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ---- Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ " ~JUlVJ3.Vl%2J.%l .L~_l--%/Vl,,~ / ~,,:l-J.~SlVl.L ~ D4.,~l. Vl UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: UNDERGROUND TANK CAS# 8006-61-9 F STATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Pure AmbientI~ Ambient UNDER GROUND TANK I I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 12000.00 GAL 8000.00 GAL 100.00 Gasoline N 8006619 TSoorot ' RS BioHazll HAZARD ASSESSMENTS [ Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No I NO ' NO/ Curies F IH DH / / / Mod 3 10/31/2000 CHRIS LIQUORS SiteID: 015-021-000368 ~ Inventory Item 0003 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 STORAGE TANK CAS# 8006-61-9 r STATE ~ TYPE i PRESSURE i TEMPERATURE CONTAINER TYPE Liquid /Pure Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 12000.00 GAL 8000.00 GAL HAZARDOUS COMPONENTS 100.00 Gasoline N 8006619 ~ HAZARD ASSESSMENTS TSecretl RSIBi°Haz Radi°active/Am°unt I EPA Hazards INFpAI USDOT# MCP No INo No No/ Curies F IH DH / / / Mod 4 10/31/2000 ~ CHRIS LIQUORS SiteID: 015-021-000368 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 06/03/1997 CALL 911. STATE EMERGENCY OFFICE: 1-800-852-7550 OR 1-619-262-1621 -- Employee Notif./Evacuation 11/29/1994 FIRE DEPARTMENT. POLICE DEPARTMENT. EVACUATE STORE - CLOSE DOORS~AND WAIT FOR FIRE OR POLICE DEPARTMENT. A. SHUT OFF (IF POSSIBLE) MAIN POWER BREAKER. B. EVACUATE THEMSELVES & ANYBODY IN OR AROUND THE PREMISES. C. NOTIFY CLOSE NEIGHBORS TO EVACUATE IF NECESSARY. Public Notif./Evacuation 11/29/1994 911/FIRE DEPARTMENT NOTIFY NEARBY RESIDENTS & SURROUNDING FACILITIES. Emergency Medical Plan 11/29/1994 FIRE DEPARTMENT. POLICE DEPARTMENT. MERCY HOSPITAL - 2215 TRUXTUN AVENUE - 327-3371 -5- 10/31/2000 ~ CHRIS LIQUORS SiteID: 015-021-000368 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site --Release Prevention 11/29/1994 GAS TANKS AND GAS LINES HAVE SECONDARY CONTAINMENT. IF A SPILL SHOULD OCCUR, IT WILL BE CLEANED BY JACO OIL COMPANY. REMOTE AUTOMATIC SHUT OFF SWITCH, AUTOMATIC SHUT OFF NOZZLES AND VAPOR RECOVERY BOOTS. --Release Containment 11/29/1994 EMERGENCY SHUT DOWN SWITCH AND LEAK DETECTION -- Clean Up 11/29/1994 ALL EMPLOYEES SHOULD BE AWARE OF THE LOCATION OF EMERGENCY SHUT DOWN CONTROLS FOR GASOLINE EQUIPMENT. THE FOLLOWING ARE PROCEDURES TO FOLLOW IN THE EVENT OF AN EMERGENCY ON THE GAS ISLANDS: 1) IF A CUSTOMER OVERFILLS A VEHICLE TANK RESULTING IN A SMALL SPILL - USE AN ABSORBANT MATERIAL TO SOAK UP.SPILL AND STORE IN AN APPROVED CONTAINER, TO BE PICKED UP BY A HAZARDOUS WASTE DISPOSER. 2) IF A CUSTOMER DRIVES OFF WITH A GAS NOZZLE IN THE CAR FILL TANK, RESULTING IN A SUBSTANTIAL FLOW OF GASOLINE - SHUT DOWN THE ENTIRE SYSTEM, CALL YOU MANAGER AND CLEAR THE GAS ISLAND OF ANY VEHICLES OR PEOPLE. 3) IF VEHICLE DAMAGE TO ONE PUMP RESULTS IN A LEAK - SHUT DOWN POWER TO THIS PUMP ONLY, FOLLOW SAME CLEAN UP PROCEDURES AS FOR SPILL AND CALL YOUR MANAGER. 4) IF A ADJACENT BUSINESS/BUILDING IS ON FIRE, SHUT DOWN THE ENTIRE GAS ISLAND - EMERGENCY CONTROL SHUT-OFF; FIRE DEPARTMENT WILL ADVISE WHEN TO RESUME NORMAL GASOLINE OPERATIONS. 5) EACH STORE SHOULD HAVE A LISTING OF EMERGENCY CONTACT TELEPHONE NUMBERS POSTED NEAR THE GAS CONSOLE. 6) NOTIFY OPERATIONS MANAGER 805-393-7000. 7) NOTIFY DISTRICT (OPERATIONS) MANAGER TO CALL OUT RESPONSE EMERGENCY PERSONNEL. Other Resource Activation 6 10/31/2000 F CHRIS LIQUORS SiteID: 015-021-000368 f Fast Format ~ Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 06/03/1997 A) GAS - WEST SIDE, FRONT OF STORE B) ELECTRICAL - SOUTHEAST CORNER OF BUILDING C) WATER - NORTHWEST CORNER OF PROPERTY D) SPECIAL - NONE E) 'LOCK BOX - NO -- Fire Protec./Avail. Water 06/03/1997 PRIVATE FIRE PROTECTION - IN HOUSE FIRE EXTINGUISHER FIRE HYDRANT - BRUNDAGE LN Building Occupancy Level -7- 10/31/2000 CHRIS LIQUORS SiteID: 015-021-000368 Fast Format = Training Overall Site -- Employee Training 06/03/1997 WE HAVE 5 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: ALL EMPLOYEES ARE TRAINED AND AWARE THAT IN THE EVENT OF AN EMERGENCY SITUATION THEY ARE TO FOLLOW THESE PROCEDURES: 1) SHUT OFF (IF POSSIBLE) MAIN POWER BREAKER. 2) EVACUATE THEMSELVES AND ANYBODY IN OR AROUND THE PREMISES. ~3) DIAL 911. 4) NOTIFY CLOSE NEIGHBORS TO EVACUATE IF NECESSARY. -- Page 2 --Held for Future Use --Held for Future Use -8- 10/31/2000 Manager : ~ usPhone: (805) 323-5444 Location: 2732 BRUNDAGE LN ~8¥_~_ lap : 102 CommHaz : Low City : BAKERSFIELD /i_.____ ;rid: 36C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 03 SIC Code:5411 EPA Numb: DunnBrad:05-921-6838 Emergency Contact / Title Emergency Contact / Title CHRIS DRULIAS / OWNER JOHN KERLEY / OPERATIONS/MNGR Business Phone: (805) 323-5444x Business Phone: (805) 393-7000x 24-Hour Phone : (805) 831-1597x 24-Hour Phone : (805) 393-7000x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Agency-Defined Topic Title ~ ~ Hazmat Inventory One Unified List -- MCP+DailyMax Order Ail Materials at Site Hazmat Common Name... ISpocHaz]EPA HazardsI Frm I DailyMax UnitlMCP, PREMIUM GASOLINE F IH DH L 12000 GAL Mod UNLEADED GASOLINE F IH DH L 12000 GAL Mod UNLEADED PLUS GASOLINE F IH DH L 12000 GAL Mod · i, o he'mby cerfi;~ ~hst I have reviewed the a~eched hazardous materials manags- CH~ ~QUO~ and ~ha~ i~ along wi~h any ~rrecfions ~nsfi~u~e a comple[e and corrs~ man- e~emen~ plan ~or m~ facili~,~ 1 06/02/1997 CHRIS LIQUORS SiteID: 215-000-000368 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site PREMIUM GASOLINE Days On Site 365 Location within this Facility Unit IN FRONT OF STORE CAS# 8006-61-9 Liquid Pure Ambient Ambient UNDER GROUND TANK AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 12000.00 8000.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS EHS CAS# %Wt. 100.00 Gasoline No 8006619 -2- 06/02/1997 CHRIS LIQUORS SiteID: 215-000-000368 ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit UNDERGROUND TANK CAS# 8006-61-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE ~Liquid I Pure Ambient I Ambient UNDER GROUND TANK AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 12000.00 8000.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL I HAZARDOUS COMPONENTS EHSI CAS# %Wt. [No 8006619 100.00 Gasoline -3- 06/02/1997 CHRIS LIQUORS SiteID: 215-000-000368 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME UNLEADED PLUS GASOLINE Days On Site 365 Location within this Facility Unit UNDERGROUND STORAGE TANK CAS# 8006-61-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE ~Liquid I Pure Ambient I Ambient UNDER GROUND TANK AMOUNTS STORED AND IN USE Lrgst Cent.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 12000.00 8000.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS EHS CAS# %Wt. No 8006619 100.00 Gasoline -4- 06/02/1997 CHRIS LIQUORS SiteID: 215-000-000368 Fast Format Notif./Evacuation/Medical Overall Site -- Agency Notification 11/29/1994 CALL 911 STATE EMERGENCY OFFICE: 1-800-852-7550 OR 1-619-262-1621 -- Employee Notif./Evacuation 11/29/1994 FIRE DEPARTMENT. POLICE DEPARTMENT. EVACUATE STORE - CLOSE DOORS AND WAIT FOR FIRE OR POLICE DEPARTMENT. A. SHUT OFF (IF POSSIBLE) MAIN POWER BREAKER. B. EVACUATE THEMSELVES & ANYBODY IN OR AROUND THE PREMISES. C. NOTIFY CLOSE NEIGHBORS TO EVACUATE IF NECESSARY. -- Public Notifo/Evacuation 11/29/1994 911/FIRE DEPARTMENT NOTIFY NEARBY RESIDENTS & SURROUNDING FACILITIES. Emergency Medical Plan 11/29/1994 FIRE DEPARTMENT. POLICE DEPARTMENT. MERCY HOSPITAL - 2215 TRUXTUN AVENUE - 327-3371 -5- 06/02/1997 f CHRIS LIQUORS SiteID: 215-000-000368 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 11/29/1994 GAS TANKS AND GAS LINES HAVE SECONDARY CONTAINMENT. IF A SPILL SHOULD OCCUR, IT WILL BE CLEANED BY JACO OIL COMPANY. REMOTE AUTOMATIC SHUT OFF SWITCH, AUTOMATIC SHUT OFF NOZZLES AND VAPOR RECOVERY~BOOTS. -- Release Containment 11/29/1994 EMERGENCY SHUT DOWN SWITCH AND LEAK DETECTION -- Clean Up 11/29/1994 ALL EMPLOYEES SHOULD BE AWARE OF THE LOCATION OF EMERGENCY SHUT DOWN CONTROLS FOR GASOLINE EQUIPMENT. THE FOLLOWING ARE PROCEDURES TO FOLLOW IN THE EVENT OF AN EMERGENCY ON THE GAS ISLANDS: 1) IF A CUSTOMER OVERFILLS A VEHICLE TANK RESULTING IN A SMALL SPILL - USE AN ABSORBANT MATERIAL TO SOAK UP SPILL AND STORE IN AN APPROVED CONTAINER, TO BE PICKED UP BY A HAZARDOUS WASTE DISPOSER. 2) IF A CUSTOMER DRIVES OFF WITH A GAS NOZZLE IN THE CAR FILL TANK, RESULTING IN A SUBSTANTIAL FLOW OF GASOLINE - SHUT DOWN THE ENTIRE SYSTEM, CALL YOU MANAGER AND CLEAR THE GAS ISLAND OF ANY VEHICLES OR PEOPLE. 3) IF VEHICLE DAMAGE TO ONE PUMP RESULTS IN A LEAK - SHUT DOWN POWER TO THIS PUMP ONLY, FOLLOW SAME CLEAN UP PROCEDURES AS FOR SPILL AND CALL YOUR MANAGER. 4) IF A ADJACENT BUSINESS/BUILDING IS ON FIRE, SHUT DOWN THE ENTIRE GAS ISLAND - EMERGENCY CONTROL SHUT-OFF; FIRE DEPARTMENT WILL ADVISE WHEN TO RESUME NORMAL GASOLINE OPERATIONS. 5) EACH STORE SHOULD HAVE A LISTING OF EMERGENCY CONTACT TELEPHONE NUMBERS POSTED NEAR THE GAS CONSOLE. 6) NOTIFY OPERATIONS MANAGER 805-393-7000. 7) NOTIFY DISTRICT (OPERATIONS) MANAGER TO CALL OUT RESPONSE EMERGENCY PERSONNEL. Other Resource Activation 6 06/02/1997 CHRIS LIQUORS SiteID: 215-000-000368 Fast Format ~ Site Emergency Factors Overall Site Special Hazards -- Utility Shut-Offs 09/10/1990 A) GAS - WEST SIDE, FRONT OF STORE B) ELECTRICAL - SOUTHEAST CORNER OF BUILDING C) WATER - NORTHWEST CORNER OF PROPERTY D) SPECIAL - NONE E) LOCK BOX - NONE. ------ Fire Protec./Avail. Water 09/10/1990 PRIVATE FIRE PROTECTION - IN HOUSE FIRE EXTINGUISHER FIRE HYDRANT - BRUNDAGE LANE Building Occupancy Level -7- 06/02/1997 f CHRIS LIQUORS SiteID: 215-000-000368 Fast Format ~ Training Overall Site -- Employee Training 04/10/1991 WE HAVE 5 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: ALL EMPLOYEES ARE TRAINED AND AWARE THAT IN THE EVENT OF AN EMERGENCY SITUATION THEY ARE TO FOLLOW THESE PROCEDURES: 1) SHUT OFF ( IF POSSIBLE) MAIN POWER BREAKER. 2) EVACUATE THEMSELVES AND ANYBODY IN OR AROUND THE PREMISES. 3) DIAL 911 4) NOTIFY CLOSE NEIGHBORS TO EVACUATE IF NECESSARY -- Page 2 -- Held for Future Use Held for Future Use 8 06/02/1997 10/18;'94 CHRIS LIQUORS 215-000-000368 Page 1 Overall Site with 1 Fac. Unit General Information Location: 2732 BRUNDAGEA___.iLN " Map:102 Haz:2 Type~ 3 City : ~F ~ ~t~v/ Grid: 360 F/U: 1 AOV. 0.011 I Contact Na4ne Title Contact Name r ------ Title ,I /' CHRIS DRULIAS' OWNER / / Business PhoHe: (805) 323-5444x Business Phon~: (805) ~- q~O~ . [~.. /' 24-Hour Phone : (805) 831-1597x 24-Hour Phone : (805) ~,~--~00~-~~ Pager Phone : ( ) - x Pager Phone : ( ) - ~ x ~Administrative Data Mail Addrs: ~.0.~'(~O~'~.../ D&B Nu~er: 05-921-6838 City: BAKERSFIELD State: CA Zip: Co~ Code: 215-003 BAKERSFIELD STATION 03 SIC Code: 5411 ~ner: J T COMPANY ~ ~/ Phone: (805) 393-7000 Address: ~0~ ~ ~ v' State: CA I, ~ Do hereby certi~ %hat I hav~ reviewed the attached hazardous materials ma~age~ merit plan 10/18t94 CHRIS LIQUORS 215-000-000368 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-001 PREMIUM GASOLINE Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-002 UNLEADED GASOLINE Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-003 UNLEADED PLUS GASOLINE Liquid 12000 Moderate ~ Fire,'-Immed Hlth, Delay Hlth GAL 10/18f94 CHRIS LIQUORS 215-000-000368 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-001 PREMIUM GASOLINE Liquid 12000 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GALI Daily Average GAL I Annual Amount GAL 12,000 ~ 8,000.00 175,000.00 Storage Press T Temp~ Location UNDER GROUND TANK AmbientlAmbientlIN FRONT OF STORE -- Conc~ Components MCP ---~uide 100.0% IGasoline ModerateI 27 02-002 UNLEADED GASOLINE Liquid 12000 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GALI Daily Average GAL I Annual Amount GAL -- 12,000 ~ 8,000.00 175,000.00 Storage ~ Press T Temp~ Location UNDER GROUND TANK .IAmbient~AmbientlUNDERGROUND TANK -- Conc Components MCP ---TGuide 100.0% IGasoline IModeratel 27 02-003 UNLEADED PLUS GASOLINE Liquid 12000 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL I Daily Average GAL I Annual Amount GAL 12,000 ~ 8,000.00 175,000.00 Storage ~~Press T Temp Location UNDER GROUND TANK IAmbientlAmbientlUNDERGROUND STORAGE TANK -- Conc~ Components ~ MCP ---TGuide 100.0% IGasoline IModerate~ 27 10/18/94 CHRIS LIQUORS 215-000-000368 Page 4 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation ~/~/~ ~-/-/ FIRE DEPARTMENT. POLICE DEPARTMENT. EVACUATE STORE - CLOSE DOORS AND WAIT FOR FIRE OR POLIC~DEPARTMENT. <3> Public Notif./Evacuation 91i/FIRE DEPARTMENT <4> Emergency Medical Plan FIRE DEPARTMENT. POLICE DEPARTMENT. MERCY HOSPITAL - 2215 TRUXTUN AVENUE - 327-3371 10/18f94 CHRIS LIQUORS 215-000-000368 Page 5 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention GAS TANKS AND GAS LINES HAVE SECONDARY CONTAINMENT. IF A SPILL SHOULD OCCUR, IT WILL BE CLEANED BY JACO OIL COMPANY. REMOTE AUTOMATIC SHUT OFF SWITCH, AUTOMATIC SHUT OFF NOZZLES AND VAPOR RECOVERY BOOTS. <2> Release Containment EMERGENCY SHUT DOWN SWITCH AND LEAK DETECTION <3> Clean Up ALL EMPLOYEES SHOULD BE AWARE OF THE LOCATION OF EMERGENCY SHUT DOWN CONTROLS FOR GASOLINE EQUIPMENT. THE FOLLOWING ARE PROCEDURES TO FOLLOW IN THE EVENT OF AN EMERGENCY ON THE GAS ISLANDS: 1) IF A CUSTOMER OVERFILLS A VEHICLE TANK RESULTING IN A SMALL SPILL - USE AN ABSORBANT MATERIAL TO SOAK UP SPILL AND STORE IN AN APPROVED CONTAINER, TO BE PICKED UP BY A HAZARDOUS WASTE DISPOSER. 2) IF A CUSTOMER DRIVES OFF WITH A GAS NOZZLE IN THE CAR FILL TANK, RESULTING IN A SUBSTANTIAL FLOW OF GASOLINE - SHUT DOWN THE ENTIRE SYSTEM, CALL YOU MANAGER AND CLEAR THE GAS ISLAND OF ANY VEHICLES OR PEOPLE. 3) IF VEHICLE DAMAGE TO ONE PUMP RESULTS IN A LEAK - SHUT DOWN POWER TO THIS PUMP ONLY, FOLLOW SAME CLEAN UP PROCEDURES AS FOR SPILL AND CALL YOUR MANAGER. 4) IF A ADJACENT BUSINESS/BUILDING IS ON FIRE, SHUT DOWN THE ENTIRE GAS ISLAND - EMERGENCY CONTROL SHUT-OFF; FIRE DEPARTMENT WILL ADVISE WHEN TO RESUME NORMAL GASOLINE OPERATIONS. 5) EACH STORE SHOULD HAVE A LISTING OF EMERGENCY CONTACT TELEPHONE NUMBERS POSTED NEAR THE GAS CONSOLE. Other Resource Activation 10/18/9'4 CHRIS LIQUORS 215-000-000368 Page 6 00 - Overall Site <E> Mitigation/Prevent/Abatemt <4> Other Resource Activation (Continued) 10/18Jg4 CHRIS LIQUORS 215-000-000368 Page 7 O0 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - WEST SIDE, FRONT OF STORE B) ELECTRICAL - SOUTHEAST CORNER OF BUILDING C) WATER - NORTHWEST CORNER OF PROPERTY D) SPECIAL - NONE E) LOCK BOX - NONE. <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - IN HOUSE FIRE EXTINGUISHER FIRE HYDRANT - BRUNDAGE LANE <4> Building Occupancy Level 10/18jg4 CHRIS LIQUORS 215-000-000368 Page 8 O0 - Overall Site <G> Training <1> Employee Training WE HAVE 5 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: ALL EMPLOYEES ARE TRAINED AND AWARE THAT IN THE EVENT OF AN EMERGENCY SITUATION THEY ARE TO FOLLOW THESE PROCEDURES: 1) SHUT OFF ( IF POSSIBLE) MAIN POWER BREAKER. 2) EVACUATE THEMSELVES AND ANYBODY IN OR AROUND THE PREMISES. 3) DIAL 911 4) NOTIFY CLOSE NEIGHBORS TO EVACUATE IF NECESSARY <2> Page 2 ~ <3> Held for Future Use <4> Held for Future Use o x mx o CHRIS LIeOORS 1 -000-0003%= Page ~ Overall Site with 1 Fac. Ur, it AU~ ~ 4 Ger, eral Ir, format ior, ~'d ............ Location: 2732 BRUNDAGE LN Map: 102 Hazard: Low Ident Nurnber: 215-000-000368 Grid: 36C Area c,f Vul: 0.0 DRULIAS . ~~ (805) 323-5444 x (805) 831-15~7 GEORGE DRULIAS .~~ (805) 323-5444 x (805) 831-1597 Admir, istrative Data Mail Addrs: 2'732 BRUNDAGE LN D&B Number: City: BAKERSFIELD State: CA Zip: 93304- Cornm Code: 215-003 BAKERSFIELD STATION 03 SIC Code: Address: 2}~E BEUNDAGE LN ~.~ ~ ~ -- St~ S Ur~lr~lar y g, _: .~'. hereby certify ~ha~ J} have Cr~, or ~nt ~svie~ed th~ ~ached h~zardo~s ma~sriais ~an~gs- ~en~ plan for ~~~.~nd that it slong with any corre~ions constitute a complete and ~rrsc~ man- ~gemsn~ plan for my facilitg. ~g~re 07/26/90 CHRIS LIQUORS 215-00D-0003~"8 Page 2 ~ Hazr~at Inventory List in Reference Nur~ber Order 02 - Fixed Containers on Site Pln-Ref Nar~e/Hazards For~ Quant ity MCP (')2-001 GASOLINE Liquid 36,000 Moderate Fire, Ir~ed Hlth, Delay Hlth GAL A7/26/90 CHRIS LIQUORS 215-000-0003~ Page ~ O0 - Overall Site <D> Notif. /Evacuation/Medical <1> Agency Notificatior~ CALL 911 <2> Er~ployee Notif./Evacuatior~ FIRE DEPARTMENT. POLICE DEPARTMENT. EVACUATE STORE - CLOSE DOORS AND WAIT FOR FIRE OR POLICY DEPARTMENT. <3> Public Notif~ /Evacuation <4> 'Emergency Medical Plar~ FIRE DEPARTMENT. POLICE DEPARTMENT. MERCY HOSPITAL - 2215 TRUXTUN AVENUE - 327-3371 07/26/90 CHRIS LIQUORS 215-000-0003~ Page 4 ~ 00 - OYerall 8itc <E> Mi'tigation/PreYent/Abaterat <1> Release Prevention GAS TANKS AND GAS LINES HAVE SECONDARY CONTAINMENT. IF A SPILL SHOULD OCCUR, IT WILL BE CLEANED BY JACO OIL COMPANY. REMOTE AUTOMATIC SHUT OFF SWITCH, AUTOMATIC SHUT OFF NOZZLES AND VAPOR RECOVERY BOOTS. <2> Release~~z~i~Contairmlent ~~--~J ~r~/~ ~-~ _~ <3> Clears Up <4> Other Resource Activation 07/26/90 CHRIS LIQUORS 215-000-000 Page 5 ~ 00 - Overall Site <F> Site Erg~ergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - WEST SIDE, FRONT OF STORE B) ELECTRICAL - SOUTHEAST CORNER OF BUILDING C) WATER - NORTHWEST CORNER~OF PROPERTY D) SPECIAL - NONE E) LOCK BOX - NONE. <3> Fire Protec. /Avail. Water <4> Held for Future use 07/26/90 CHRIS LIQUORS 215-000-0003~8 Page 6 ~ O0 - Overall Site <G> Training <1> Page 1 WE HAVE 4 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use GASOLINE EMERGENCY PROCEDURES Ail employees should be aware of the location of emergency shut down controls for gasoline equipment. The following are procedures to follow in the event of an emergency on the gas islands: 1. If a customer overfills a vehicle tank resulting in a small spill - use an absorbant material to soak up spill and store in an approved container, to be picked up by a hazardous waste disposer. 2. If a customer drives off with a gas nozzle in the car fill tank, resulting in a substantial flow of gasoline - shut down the entire system, call your manager and clear the gas island of any vehicles or people. 3. If vehicle damage to one pump results in a leak - shut down power to this pump only, follow same clean up procedures as for spill and call your manager. 4. If an adjacent business/building is on fire, shut down the entire gas island - emergency control shut-off; fire department will advise when to resume normal gasoline operations. 5. Each store should have a listing of emergency contact telephone numbers posted near the gas console. 5/12/89 ~!otific~zticn and 2v?cuation Prccedures At this Unit All =~olove== are trained and awar~ that in th~ event of sn. emer%~nc~,. ~ituz. tion tha~ are t~ foilo~.~ the==.. _.~ ~oc~dures:~._ A. Shut off <if oossib!e) ~ain Power 3reakmr. 3. Evacuate ~h._maelves= and anybody,, in or areund t~.._ premises. C. Dis! 9! 1 ~ ~ ~: bors to evacuate i~ necessary ~. ~otif~ close n__=:~ _ CITY of BAKERSFIELD · ..HAZARDOUS MATERIALS INVENTORY Farm andAgticulture ~ Standard Business ~ NON--TRADE SECRETS CITY. ZIP: ~~~~. ~ ~CITY. ZIP: ~~~~.~.q~o~u- ~nu -~ ~. ~ Trans [y~e Nax Avfr~e Annual' ~easure I ~J~e Cent Cent Cent Us LocaLion,~hece Code ~ooe AmC A~C Est Units Off Type Press Temp Co~eStored Iff ~aclllty~t See (Check 8// that apply) Compoflen[ 12 Name J C.A,S. Number ~ire H4z4rd B Reactivit~ ~Ofl~ye.d a Sudden Release ~ Heatt~ of Pressure ComponenC 13 Name I C,A.S. Number Physical Ind Health ~azard C,A.S. Humber ComponenL II Name I C.k,S. Number (Checka//thatapp/y) . . ., , Component 12 Name t C.A.S, Number ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Immediate Hem(Ch of Pressure Health ,, Co~ponenC 13 Name I C.A.S. Number Physical and Health Ualard C.A.A. Number Component tl Name ~ C.A.A. Number ICheck a11 (hat 4pp/yl ~ Fire Hazard ~ Reactivity ~ ge)eyed ~ Sudden Release ~ lmmediaceC°AponenC 12 Name i C,A.S. Number Health of Pressure Health Componen[ 13 Name I C.A.S. Number Physical led Health UATard C.A~S. Humber Component I1 Name I C.A,S, Number (Check 41/ that App/H : . .,, Component I~ NaAe& C,A.A..Number ~ Fire Hazard ~ Reactivity ~ ~layed ~ Sudden Release ~ ]A~i~ .,. Hem(Ch of Pressure Component 13 Name I C.A.S, Number ferti[igatioq.(Re~d a.nd.~fgn after comp7eCipg,a77 secCfpn~) , ~erpty.unoer pe~alc~ or~w tnAc lflsvepe[sonal~,examln~O~qoJm ~millSr, vi[~ the into[mac~pn ~ugmiCtfd inj~ 8nd ,:ucned.e0c~eenc~, ,n~ t,[ oaseo on.my ,n~,ry ~.[nose ,n~tv,~ua, s responsio,e ,or obta,n,ng cna ,ntorea,,on..hueileve suo~tteo ,n,or.uo, ,s (rye, ,ccurace, ,n~comp,ece. __ .~ ~/_/_ July 26, 1990 Mr. Chris Drulias Chris' Liquors 2732 Brundage Lane Bakersfield, Ca. 93304 Dear Mr. Drulias: Enclosed you will find a computer printout of the Hazardous Materials Mansgement Plan that we have in the computer, please update and address any highlighted areas. Due to a change in the laws that went into effect January, 1989~ we need to have a new inventory form (enclosed) filled out. These forms must be filled out and returned to our office by August 10, 1990. If you have any questions.please don't hesitate to contact us st (805) 326-3979. Sincerely Yours, Ralph E. Huey Hazardous Materials Coordinator Do hereby certify- that i have revie;~ed the. ,. .. ~ ........... . attachea Hazardous Materials business plan for r"' ' ~---~ name of business) and that it along with the attached additions or corrections constitute a complete and correct Business Plan for my facility. CITY oJ' BAKEkI$'bI£'LD ' P~9~ .... of .... CITY, ZiP? ~-?~_r:%'~,'.-~ ~ ~l~.~(-'~ · ~ CITY, ZI~: ~.~.~_{~ , qg3C~ DUN AND BRADSTREET NUHBER 'E~e C~e ~t ~t Est Units m Site I~ ~s 1~ .... 1 ..... l ............ 1 .......... l ........... L_l ..... I ,I, I P~ysical ~d Health Hazard C.i.S. i ~-~ ~- ~-~ r-~ ~t Fire Hazard ~--d Reactivity L ~ hl~ ~--d ~ hIHIt ~--~ lelltl Health of Prm~re ~lth ~t ..... P~ic, l(c~k L.__~1,11 ~ t~t ............ He, lth ,apIy) H,~,~ l .............. 1 ........... l ..... C.A.S.I ....... I--L'"L--L--J"~~,' Il ~ & C.A.S. ~ -- ..... ~-: .... ~= '~" L a Fire ~zard ~ ~ Motivity L ~le~ L a ~ R~Iw ~--a I~late .,,, o,_ .,,, .'Z2_L ........ k ...... L'2.t. I I I I - ' - - - ~ -- ~t ~ ~ Hee H,zard ~ ~ Reactivity ~ ~ ~1.~ ~_a ~d~ Relflle ~ ~ I~t,te Health of P~surl HNlth ..... t ......................... 1 ..... J___~ __1 I ,~, .' , .., (C~k all t~t a~ly) ................ : .... Hca Ith of Pr~sure Health ?NE~GENCY C~TACIS I1 .C h~i:~ ..... Cx~..J;~.r~ ...... , ............. ,-,~-,~ ....... .a ,,,,, ,~,-~, ........ a~q ~ inf~tlm. I ~lieve t~t t~ ~u~itt~ info~ti~ i~ t~. accurate, and cmplete~ , .................. ~ s¥~-~ ....... : .................. CITY of BAKERSFIELD NON~ Tt~ADE SECRETS COCATIO.: ~:~: ~- ~D~ ~a~ ADDRESS: ~ ~mM ~.. STANDARD IND. CCASS CITY, ZIP: ~v~;~[~ ~ ~330~ ~ CITY. ZIP: ~~_1~ I q~O~ .. DUN AND BRADSTREET ~ ~ I~U~ZO~ ~R ~OP~ COD~ [~e C~e Mt Mt Est Un,ts m Site I~ ~1 I~ ~ St~ in F~tltty., ~ H~lth of ~r~sur$ H~lth .... - ...... Certtficatim (Read and sign after compJetJng ali sections) certtfy ~der ~lty of lag t~t ! ~ve ~es~ally exae~n~ ~d is f~l~ar with t~ tnf~mtim su~tt~ tn thts fo~btammg t~ mf~t~. I ~l~eve t~t t~ su~tt~ mfomtl~ ~s t~ accurate, and cmp)ete~ ~ (ty~e or prin~ name) RECEIVE[1 JAN .3 i lg8g Do he.=b.~~ cert~fv that I have reviewed the. ,. ~ . - . . ~fl~ ............ attached Hazardous ~aterials business plan fO r {name of business and that it along with the attached additions or corrections consti~ ~ ~u~e a complete and correct Business Plan for my facility. signature date BAKERSFIELD CITY FIRE DEPAI~fENT BAKERSFIELD, 93301 (805) 326-3979 l CHRIS OFFICIAL USE ONLY LIQUORS 2732 BRUNDAGE LANE BAKERSFIELD, CALIF. 93304 ID# US INESS N~%ME HAZARDOUS lVL~kTERI ALS BUSINESS PLAN AS A WHOLE F 0 RlV~ 2A NS UCTIONS: 0 0" 0 3 G 8 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA ............ :?-'- ....... : .......... ' .................... '- 'j A. BUSINESS NAME: B. LOCATION' STREET ADDRESS: ~~ SECTION ~: E~RGEN~ NOTIFICATIONS ,. In case of an emergency involvins the release o~ threatened release of hazardous m~terial, call 91~ and 1-800-8S2-75~0 or 1-916-4~7-4841. This.will notify your local fire department and the State 0ffioe of Emergency Services as ~equired by law. · ....... NOTIFY IN CASE OF E~ERGENCY: A'~r/~ ,q~ .... ~:~ D~ING ~S./H~S/ AFT C. ~ohn ~&rle7, Gaco Oil Co. 805-393-7000 o~ice 398-8298 SECTION 3: LOCATION OF ~ILI~ S~-O~S FOR BUSI~SS AS A ~OLE D. SPECIAL: ~ ' ,' ~ .'~/ " '" E. LOCK ~OX: YES / NO IF YES, LOCATION: · ~. fF YES, DOES IT CONTAfN SITE PLANS? YES / NO NSDSS? YES / NO FLOOR PLANS? YES / ~O KEYS? YES / NO BAKERSFIELD CITY FIRE DEPARTMENT I.D. ~ FORM 4A-I Page __ of NON--TRADE SECRETS - HAZARDOUS MATERI~.~/ --/ ~.~ -7-- / ,A/,L ,S I NVENTOR'~ BUSINESS NAME: ~- ~ / .. ,.o~ *: ~-~-.~-~~ ..... ~.oN~ ,: -~~ ~~L~ - - IOFF~CXAU US~ CFt~S COO~ ..... ' ........ { O. NLY 1 2 3 4 5 6 7 8 9 10 TYPE ~AX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.O.T CODE A~OUNT AMOUNT UNIT CODE CODE FACILITV UNIT WT. CHEMIqAL OR COMMON NAME . UODE GUIDE P 36,000 247,604 gal. 01 19 see plot: plan 100~ uasoline FLGS ~.-'// .>~ / /~ . ~ / .' . .. -, ,.-~ ?' , . EMERO '~Y CONTACT: TITLE: fj~L'Z~-[ PHONE · BUS HOURS: ..s: EMERGENCY CONTACT: TITLE: PHONE { BUS HOURS: PRINCIPAL BUSINESS ACTIVITY: AFTER BUS HRS: JACO HILL CO. RECEIVED P. o. Box 1807 JUL 1 1987 BAKERSFIELD, CA. 93303-1807 ~,fls'd ............ (805) 393-7000 June 30, 1987 BAKERSFIELD FIRE DEPARTMENT HAZ MAT DIVISION 2130 "G" Street Bakersfield, Ca. 93301 Gentlemen: Enclosed please find the comleted Hazardous Materials Business Plan for our'facility at CHRIS'S LIQUORS, 2732 Brundage Lane, Bakersfield, Ca. · Should you find anything missing or have any questions please do not hesitate to contact me. Sincerely, rley ~perations Manager JK:'js encl EXPLANATION OF SITE ~ACILITY/BUS~NESS/OWNERS At this particular location the actual owners of the business are shown on Form 2A SeCtion 1 Part A. Please be advised that the owners of the business do not own the gasoline facility portion of their business. The gasoline tanks and equipment are owned by: JACO HILL CO. P. O. BOX 1807, Bakersfield, Ca. 93303-1807 (mailing) 3101 State Road, Bakersfield, Ca. 93308 (location address) John Kerley, Operations Manager, (805) 393-7000 office . The business owners completed the total package with the exception of items 1 through 10 on form 4A-1 (being the description of the Hazardous Materials Inventory sheet). The store owners operate the gasoline facilities for JACO HILL CO. on a commission basis and they (store owners) provide the employees who have control over the gasoline pumps. JACO HILL CO. makes the arrangements to have the gasoline delivered to the location and also provides maintenance on the gasoline equipment for major repairs. Normal routine maintenance of the gasoline equipment is the responsibility of the store owner. Chris's Liquors, 2732 Brundage Lane, Bakersfield BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 95301 (805) 326-3979 CHRIS LIQUORS OFFICIAL USE ONLY 2732 BRUNDAGE LANE BAKERSFIELD, CALIF. 93304. ID# 3USINESS N~ME HAZARDOUS.MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS: 1. To avoid further action, return this form by 2, TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA CHRIS' LIQUORS A. BUSINESS NAME: SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. TO NOTIFY IN CASE OF EMERGENCY: NAME, AND,TITLE /7 ' ' DURING BUS.~HRS/ C. John~rley, Jaco O'il Co. 805-393-7000 office 398-8298 office SECTION 3: LOCATION OF ~ILI~ S~-OFFS FOR BUSI~SS AS A ~OLE SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTION 5: LOCAL EMERGENCY ~EDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE SECTION 6: EMPLOYEE TRAINING. EMPLOYERS ARE REQUIRED TO HAVE A' PROGI~ WHICH PROVIDES:~E~PLO~EES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL REFRESHER' A. ~ETHODS FOR SAFE HANDLING OF HAZARDOUS " B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... YES NO YES NO C. PROPER USE OF SAFETY EQUIPMENT: .................. YES NO YES NO D. EMERGENCY EVACUATION PROCEDURES: ................. YES NO YES NO E. DO YOU ~V~INTAIN EMPLOYEE TRAINING RECORDS: ....... YES NO YES NO SECTION ?: I~AZARDOUS MATERIAL CIRCL_R"~Y~R NO DOES~---'Y~ BUSINESS HANDLE HAZARDOUS MATERIAL IN' QUANTITIES LESS THAN 500 POUNDS SOLID, $~ GALLONS OF.A LIQUID,'OR 200 cUBIC FEET OF A .COMPRESSED GAS: ...... ~ YES N~ I, f~,/k/~(' _~-~//~ , certify that the' aLove info~mation iS accurate. I und~rsth~d that %his' info~mation will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Matesials'(Div. 20'Chapte~ 6.95 Sec. 25500 Et Al.) and that inaccurate info~mation constitutes perjury. - 2B - BAKERSFIELD CITY FIRE DEPARTMENT INSTRUCTIONS FOR BUSINESS PLAN AS A WHOLE SECTION 1: BUSINESS IDENTIFICATION DATA List business name, ~ctual location, and phone number. SECTION 2: EMERGENCY NOTIFICATIONS List two employees who are knowledgeable about the materials and processes used by the business as a whole. These persons .- must have the authority to make decisions for the business in the event of an emergency. SECTION $: LOCATION OF UTILITY SHUT-OFFS List location of shut-offs using compass points and known or obvious landmarks. ITEM D: List shut-offs to special 'features of the business. EXAMPLE: Manual and fusible link shut-offs on bulk storage tanks. " ITEM E: LockBox': If you have a lock box, list'its location using compass points and obvious landmarks. Circle the items contained in the lock box. SECTION 4: PRIVATE RESPONSE TEAI~ Summarize the capabilities of the business to handle a minor emergency. Be specific. SECTION $: LOCAL EMERGENCY~4EDICAL ASSISTANCE Summarize plan for handling medical emergencies occurring at your business. List local ~medical facilities capable of handling emergencies 'invol~ing Hazardous Materiil§ dsed at your~ business:. Be specific. SECTION 6: EMPLOYEE TRAINING Circle Yes or No SECTION ?: HAZARDOUS MATERIAL Circle Yes or No Sign, date, and return before the due date, to avoid further action. BAKERSFIELD cITY FIRE DEPARTMENT 2180 "G" STREET , BAKERSFIELD, CA 93301 o OFFICIAL USE ONLY CHRIS' LIQUORS BUSINESS NAME: · .' ' BUSINESS PLAN SINGLE FACILITY UNIT .... ' "FORM· SA INSTRUCTIONS ~. ' · ', 1. To avoid further action, this form must~be returned'by: 2. TYPE/PRINT .YOUR ANSWERS' IN ENGLISH. 3. Answer the questions below, for THE FACILITY: UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT~ FACILITY UNIT NAME:' ~. SECTION 1: MITIGATION, PREVEN~ION~ ABATEMENT PROCEDUREs ~ .. SECTION 2: NOTIFICATION AND EVACUATION PROCEDLnRES AT THIS UNIT ONLY' - 3A - SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials? ...... ~ NO If YES, see B. '.'~*'~," ' '~:' If NO, continue with SECTIO~ 4. B. Are any of the hazardous materials a bona fide Trade Secret YES If No,. complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form If Yes, complete a hazardous materials inventory form m~rked: TRADE'SECRETS ONLY (yellow form #4A~2) in addition to tile non-trade secret .form. List only the trade secrets on form 4A-2.' SECTION 4: 'PRIVATE FIRE PROTECTION /~/~~' ~.~ SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT. GAS./PROPAN~[~ D. SPEC!AL: ~'/ " E. LOCK BOX: YES / NO IF YES, LOCATION: IF YES, SITE PLANS? YES / NO MSDSs? YES /' NO. FLOOR PLANS? YEs / NO KEYS? YES ./~NO - 3B - BAKERSFIELD CITY FIRE DEPARTMENT I.D. # FORM 4A-1 Page of NON--TRADE SECRETS HAZARDOUS MATERI ~A~ I NVENTORy BUSINESS NAME. C~R~'LIQUO~3 ~/ ~ y OWNER NAME: < ACILITY UNIT #: 1 2 3 4 S 6 7 "8 9 10 TYPE ~AX ANNUAL CONT USE LOCATION IN T.IS · BY HAZARD D.O.T ,~,ODE AMOUNT ,,AMOUNT UNIT' CODE CODE FACILITY UNIT WT. ,QHE~I~AL OR ,COMMON NAME CODE GUIDE P 36,000 247,604 gal ' 01 ~9 see plot plan 100% gasoline FLGS }. EMERGENCY CONTACT: "TITLE: PHONE ~ BUS HOURS: ,~~~ E~ERGENCY CONTACT: TITLE: PHONE ~ BUS HOURS: ' PRINCIPAL BUSINESS ACTIVITY: ~ AFTER BUS HRS: SITE DEAGRA~ ~ired items) ., I Address: iffy the 9. (key) Box principle buildings by the Street nuabers. 10. MSOS'Storage Box 2, Street(a), Alleys, 11, Railroad Tracks Driveways, and Parking a Areas adjacent Co the 12. Fence or Barrier property, include the a. Wire street naars. b. Nasonry 3. Store Drains, Culverts, Yard Drains c. #cod " 4. Drainage Canals. Dl[cAes, d..Gates Creeks, '- 13. Powerllnes 5. Buildings a. Frame construction 14. Guard Station b. Masonry construction 15. Storage Tanks: . Identify the c.' Metal construction capacity in gal. a. Above ground · d. Access Door b. Underground 6. Utility Controls a. Gas 16. Diking or Bets b. Electricity 17. Evacuation Route c. Water 18. Evacuation Area: Identify the ?. Fire Suppression Systems: location where a. Fire Hydrants eaploysea will b. Fire Sprinkler 19. Outside Hazardous Connections Waste Storage c, Fire Standpipe 20. 'Outside Hazardous Connections Matorlal Storage d. Water Control Valves 21. Outside Hazardous for protection systems Material Use/Handling e. Fire Pump 22. Type of Hazsrdous Material/Waste Stored 8. Fire Oepartment Access oF Used (See Below) TyPE OF HAZa.RDOUS NATERIA~ F - Flam. able K - Explosive L - Liquid R - Radlologlcal C - Corrosive 0 - Oxidizer 0 - Oas P - Poison w - Water Reactive T - Toxic S - Solid H - Cryogenic O · Waste B - Etiological Example: Flumable Liquid - FL FACIL[~ OIAO~ (Required Items la addition to the abo~e) ; 1. Risers Esr Sprl~lers 8. Fire Escapes ~. Psrtitions ~. Air Conditioning Unlit ~ 3. Stairways: Indicate the 10. Mind.s levels served from highest to lowest. 11. Inside Huardoue Waste Storaga 4. Eacalator: indicate the levela carved ~roa i3. inaide Hamardoua hlgheet to lo.est. Na~eriale Storage 5. Elevator 13. Inside Bazardous ~terlals Use/~]lng &. Attic Access ' 14. Se~t Drain Inlets i ~. Skylights