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Home My WebLink AboutBUSINESS PLAN COMMERCIAL T ~ \ FEN ~ < I >- o x \ ~ -r c~ Ld GE ,,, ~ Ld x._ CONC SLAB ,~ ~- I I >-. I < \ / RIVERSIDE DRIVE VACANT FULL SERVICE STATION LEGEND SCALE: 1"=40'-0"+ DATE: 10/24/90 ~ EMERGENCY PUMP · MONITORING WELLS SHUT-OFF SITE PLAN ~ ELECTRICAL PANEL Q GREASE (BARREL) ~ NATURAL GAS ~ U.G. WASTE OIL TANK 2600 PIERCE WAY SHUT-OFF (~' U.O. PRODUCT TANK BAKERSFIELD, CALIFORNIA (~ WATER SHUT-OFF 3655 SOLVENT SINK ~ FIRST AID KIT L]/'~ FIRE EXTINGUISHER (~ BATTERY STORAGEAREA ~ [] STORM DRAIN ~) MOTOR/TRANSMISSION OIL (~ HOIST (SERVICE BAY) I~ TELEPHONE ROBERT H. LEE & ASSOCIATES, INC. HYD HYDRANT EMERGENCY MEETING g~ LARK..~PUR I.AI41)I,~ PLACE ' ..: ,t~','~,' , ,,~.,,, ~ p CODE ' :-'. FEE · ' '""'"'" '~:' ~' oo · ~C~'''~ ~,~-o~ .... ' -- PERMIT REQUIRED -PERMIT NO. ,BUSiNESS'LICENSE NO ..... ~ ~' .YES ~ NO" ~01L~G CLASS/~YPE OF occUPANCY . . ~[ . ~ . - [, .; ,.. , . , ~, ";CL.,.,.... ~, : . ESPO~ ~.~0,S~N.~SS ~W~R. , ~,- . ' .iBUSlN[S$:PHO NE " .. ., . ARE. FOOTAGE' ' ~NO. OF FuooRs ' "' " ;~'O ;- ' "' : ' '" ;.' - .' ~T.LOAD .,-..:.~ ?10LAT. ION NOTICE ~SSUED? ~O' '- '?' ? ;' ~: x: ?:.. ..... - OTHER'.- ?'D~E 0~ R'~INSPECTION ('1) . (2) (3) E ~ '-'-. ' '. ~ -:'., - '.- ~ : ST, -' ,'Ns..s~o"':'~ /. _ ~ . ...'.: · Account Number g~ · AccOUNTS RECEIVABLE ADJUSTMENT January 24, 1994. Date New Account New Address ESther Duran Close Account From Service Chan.qe Other Adjustments X Fire Department - Hazardous Materials Division Departmen~/Dlvlsion · WILLY'S uNOCAL #36551 Billing Name 911 WILSHIRE BLVD STE 1010 ' Billing Address 2600 PIERCE RD Site Address Parcel # (if Applicable) Landlord Name & Address. (If Applicable) ADJUSTMENT Last Billed Correct Billing Adjustment to Effective Date of Billing Change $ .26 0 1-1-94 AP~ vroged By; Remarks: LATE FINANCE CHARGES ADDED AFTER PAYMENT POSTED 02-01-93, WRITE OFF. Utilities General Account Maintenance PUTLS801 Acct Nbr: 457501 Bill Stat: FB Transfer-from: Page 1 of 6 Cyc Stat: 'CL AcCt Cyc Stat:~CL Transfer-to: Due: 0.26 1. Customer Name: WILLY'S UNOCAL #36551 2. Social Sec 'Nbr: 3. Telephone: 4. Service Address: 2600 PIERCE RD ~ 5. Service City: BAKERSFIELD 6. State: CA 7..Zip: 93308 8. Parcel ID: ~ 9. Bill Cycle:~'5 20. Water Svc Class: 10. ~ROute Nbr: 11. Comments : CHANGED NAME 12/12/91 12. Prev Acct: HM01173 23. Misc Services: 23.1 F99 NOT IN BUSINESS j 13. Service Date: 23.2 '14. Fund no: 23.3 15. Billt° Adl:C/O SHIRLEY SHEA 23.4 16. Billto Ad2:911 WILSHIRE BLVD STE 1010 24. Closing Date: 01/23/92 17..Bill-to City: LOS ANGELES 18. State: CA .19. Zip: 90017 Enter Save(S), Cancel(XX), Next Page(/), or Field # to Change ALT-F10 HELP I ADDS VP FDX I 9600 E71 I LOG CLOSED I PRT OFF I CR I CR Unocal Petroleum Produc~,hemicals Division Unocal Corporation 911 Wilshire Blvd., P.O. Box 7600 Los Angeles, California 90051 Facsimile (213) 977-5389 UNO .AL January 17, 1993 City of Bakersfield Hazardous Materials Division 2130 "G" Street Bakersfietd;--CA-'93301- RE: 'Unocal SS # 3655 2600 Pierce Rd. Bakersfield, CA 93308 UST Annual Operating Permit Fee Dear Sir: In reference to your invoice # UT 764801 dated January 1, 1993, please be informed that the underground storage tanks at this facility have been removed permanently on May 22, 1992, from the above referenced service station. Therefore an UST annual operating permit is not ~required for this location. Should you have any questions regarding this matter, please do not hesitate to contact Mr. Luis Amado at (213) 977-5040. I can be reached at (213) 977-7063. Very truly yours, . Compliance ~na!_yst ST~:lsa' Enclosure cc: J.M. Tyson S.T. Shea · Correspondence File Environmental Permit File · - l: ',i : :': ,,' "''~'. "'i": ' ," ' ~"; -.':'"'": ,':" :':::' :~ '?' PLEASE AAAKE CHECKS'PAYABLE TO: -, ,... , · RETURN :RsFiELD.::,,..?' .:.,.~::..~:.. ~..... ~i~L:,~i:'! ~.[.~i]['~-:.~:0' : ' :':, CITy OF BAKERSFIELD . . ,.: - . ' ,,. ~ ' ,..-, :,.:~ '.' .,. '.,,..~;~ ,',.::':P:'O. :'" "": ' ~:"":" "O "' .'r';":',','~ ........ : ..... ,,,., ::~.~.<'.~,~.~'~" ;~':'"~,'~;., ~o~ " [-~,, . . , , ,. . UT 7648O1 Account Number ACCOUNTS RECEIVABLE ADJUSTMENT January 15, 1993 Date New Account New Address Valerie Pender9rass Close Account X From Service Chan.qe Other Adjustments X Fire Department - Hazardous Materials Division Department/Division Will¥'s Unocal Billing Name Billing Address 2600 Pierce Rd Site Address Parcel # (if Applicable) Landlord Name & Address (If Applicable) ADJUSTMENT Last Billed Correct Billing Adjustment to Effective Date of Billing Change $100.00 0 1/01/93 -Approved By: Remarks: 'This account should not have been billed. Tanks were removed before June. Page: 1 Account Billing/Collection Activity Inquiry SUTL108 Acct : 764801 Cyc St CL Bill St: NO Cyc: 6 Rt: 1 Seq: SSN :~ Parcel: - - Svc Cls :e Name, : WILLY'S UNOCAL #36551 ~ ~ Svc Add: 2600 PIERCE RD Amt due: 100.00 Current Period Postings Lst Pmt: Type Desc Date Amount Receipt # Pmt Dte:· -- Prior'Bills -- Date Balance 0i/01/93 100.00 ~\~ Enter '/' For Bill History~'P' To Print Report, '/C' For Credit and Deposit History or 'XX' To Exit ALT-F10 HELP I ADDS VP. I FDX I 9600 E71 I LOG cLOSED I PRT OFF I CR I' cR Utilities ~' ;eneral Account Maintenance PUTLS801 Acct Nbr: 457501 Bill Stat: NO Transfer-from: Page l'of 6 Cyc-S%at: CL Acct Cyc Stat: CL Transfer-to: Due:~ 194.00 1. 'cuStomer Name: WILLY'S UNOCAL #36551 2. Social Sec Nbr: 3-. TelephOne: 4. Service Address: 2600.PIERCE RD 5. Service City: BAKERSFIELD 6. State: CA 7. Zip: 93308 8. Parcel ID: 9. Bill Cycle: 5 20. Water Svc Class: 10. Route Nbr: 11. Comments : CHANGED NAME 12/12/91 12. Prev Acct: HM01173 23. Misc Services: 23.1 F05 HAZ MAT HANDLING 13. Service Date: .~', 23.2 T02 2 UNDERGROUND~TAN 14. Fund no: "? 24. C10s~ing Date: 15. Bill-to Addressl: 2600 PIERCE RD 16. Bill-to Address2: 17. Bill-to City: BAKERSFIELD 18. 'State: CA 19. ZiP: 93308 Enter Save(S), Cancel(XX), Next Page(/), or Field # to Ch~ge ALT-F10 HELP~ I ADDS VP I FDX I 9600 E71 I LOG CLOSED I PRT OFFal CR ~ CR Hazardous MateriM~ Division RECEIVED 2130 "G" Street JAN 2 5:1991 Bakersfield, CA. 93301 HAZ MAT. DIV. HAZARDOUS MATERIALS MANAGEMENT' PLAN ,NS~.UCTIONs:. 1. To avoid further action, return this form wilhin 30 days of receipt. 2. ~PE/PRINT ANSWERS IN ENGLISH· 3. Answer the questions below for me bqsiness ~s a whole. 4. .:e Dnef cna concise as possible. ', SECTION 1' BUSINESS IDENTIFICATION DATA ~USINESS NAME' WI LOCATION: ~ (.t9 (~ MAILING ADDRESS: 'DUN & BRADSTREET NUMBER: oc~ _c:] ,~ff_'7'~z-- SIC CODE: PRIMARY ACTIVITY: Ar..JCL'O/4OCvLz~ /E~:::icC~L~/N'~ ~: ~YC~ . OWNER' ~/IL~(....T MAILING ADDRESS: ,:~,~O~ '-i~1~_.4~-,~--~ ~'t,/-~'""~ SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE Hazardous ~faterials Division HAZAiJ~[OUS MATERIALS MANAGEM PLAN SECTION 3: TRAINING:. SP.l~. UNOCAl", MONITORING PT.kN FOI'.LoWTNG FOR DRTAIT, ED 1~.XP1'.~NATION ,NUMBER OF EMPLOyEss:,j~' · MATERIAL SAFETY DATA SHEETS ON FILE: y BRIEF SUMMARY OF TRAINING PROGRAM' EMPLOYEE TRAINING PLAN Employees must be given this training before starting work, and refresher courses must be provided annually. Records must be kept to show when each .station employee has been given his/her safety training. . SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH &' SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, ~v~/J L_L ,Y' HAVV'AT H~H CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILLBE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER ~.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. SIGNATURE .- TITLE DATE Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: SEE UNOCAL MONITORING PLAN FOLLOWING FOR DETAILED EXPLANATION A~' AGENCY NOTIFICATION PROCEDURES: UNOCAL will notify the appropriate State and Local agencies unless the situation requires urgent immediate response by the agencies, in which case the DEALER should notify these agencies: 1. LOCAL AGENCY: Kings Co. Div. of Envir. Health Services PHONE NUMBER: 209-584-1411 2. CALIFORNIA OFFICE OF EMERGENCY SERVICES: (800).852-7550 (24 HOURS) B, EMPLOYEE NOTIFICATION AND EVACUATION' CONTACT the station dealer if s/he is not already at the station. Use the list below for emergency contacts: 1. Name/Bus./Home: Willy Hawatmeh 805-322-5618/805-833-4020 2. Name/Bus./Home: George Hawatmeh 805-322-5618/805-833-9109 C. pUBLIC EVACUATION: 2. If there is any immediate danger, ANNOUNCE to all persons on the site: ,,There is an.emergency. Please turn off your engines and leave the station on foot immediately." D. EMERGENCY-MEDICAL PLAN: NEARES~ MEDICAL FACILITY: Employees should know what facilit'~e~--are 'available in case customers or other employees need medical attention: NAME: Mercy Hospital ADDRESS: 2215 Truxton Ave., Bakersfield PHONE NUMBER: 805-327-3371 NEAREST DESIGNATED TRAUMA CENTER: NAME: UCLA Hospital and Clinics ADDRESS: 10833 LeConte Avenue, Los Angeles PHONE NUMBER: 213-825-2111 Hazardous Materials Di~sion HAz JJ!DoUS MATERIALS MANAGEI T PLAN SECTION 7: MITIGATION,, PREVENTION AND ABATEMENT PLAN: SEE UNOCAL MONITORING PLAN FOLLOWING FOR DETAILED ExpLANATION A RELEASE PREVENTION STEPS: OVERFILL/SPILL PROTECTION AND CLEAN-UP. Del iveries/Gauging ~ Ball Vent Line Float System Waste Oil Tank Clean_up/Records · RELEASE CONTAINMENT AND/OR MINIMIZATION' Inspections To Be Conducted By Deale~ ~ns_ T.o Be Conducted Bv~3e~/~--'---~ Product Tank Gauging Procedures Second_ar . al'nme- - ~oring Procedure Record Keeping For Fuel Tanks Waste Oil Tank Gauging Procedure What To Do If You Exceed The Allowable Variation · C., CLEAN-UP PROCEDURES: Small spills: .Absobent material Larger spills: Report to terminal by dealer or delivery driver Spills shall be cleaned up within 8 hours.,~Dealer shall record a~'l spills over 1 gallon - any spill over 1 gallon shall be reported to local agency or Calif.office of Emerg. Svcs. SECTIONS: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)' · WATER' MOka ~' SPECIAL: ~-~e,~klc..¥ 1:~01qP Gf-t.,~o~'F: ~~ o~ OUT~m~Wm~ ~, ~ - oF: LOCK BOX: YES~) ~, IF YES, LOCATION: SECTION 9:' PRIVATE"FIRi~ PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: B. WATER AVAILABILITY (FIRE HYDRANT): .. CITY of BAKERSFIELD Farm and Agriculture Standard · NON--TRADE SECRETS Page' _J ..... of~. BUSINESS NAME: WIL. L.¥)~ L)/~O~,xLL-.--~/~'-OWNER NAME: W~L.Y ~A~V,A"TH~-~-/ NAME OF THIS FACILITY: LOCATION; ~ ~,~,~~ ADDRESS: ~,~ WA~ . STANDARD IND. CLASS ~ CIIY. ZIP: ~~t~. ~~ CITY. ZIP~ ~~~/~ w~ DUN AND BRADSTREE[ N E ..... ~ "~- PttONE fl: ~-- 3~ ~.~ PHONE fl: ' REFER TO~NETRUC~ONS POH PROP~ CODES ~ ~ - ~ ~- I 2 3 , 5 , I 8 , lO II I2 ,;~y ,,,es of ,ixture/Co,,onent, 1runs [yfie Max AvvHe Annual Measure I~[e ConL ~onL Cont Us LocaLjon?e[e. Code ~ooe AeC Rec Est Un~ts on lype. Fress lemp Co~e Stored tn eac~/Ity See Instructions Physical and ~ealth Hazard C.A.S. Humber ~~[~ Component, II Name I C.A.S. Number ( ~U~ (Check all tha~ eo~on~n~ Hame C.A.S. Number ~ire Hazard ~ Reactivity ~qelayed D Sudden Release ~ Immediate Health of Pressure Health ' Component 13 Hame I C.A.S. Number Physical Iod Health ~azard C.A.a. Number ~~[~ Component. II Name I C.k.S. Number / ~t~ (Check al/ :ha: a~/yJ ~ .... Component 12 Hame I C.A.S. Hueber ~FireHazard- D Reactivity ~qehyed D Sudden Release ~ uae/th of Pressure Component 13 Name I C.A.S. Number Physical and Health Ualard C.A.S. Humber , Component II Name I C.A.S. Number (Check ali [hat applyJ ~ V__~ ComPonent 12 Name I C.A.S. Number FireHazard ~ Reactivity ~Oelayed ~ Sudden Release ~ Immediate ~ Health of Pressure Health Coeponen[ 13 Name I C.A.S. Humber physical and Health Ualard C.A.S. Humber ~~--[~-~ Component II Name I C,k,S, Number ~ ~~N~[~o~ [Check all t.hat apply) Co=ponenL 12 Naae I C,~,S. Nuaber ~;Fire Hazard ~ Reactivity ~Oelayed ~ Sudden Release ~ Immediate /--' Health of Pressure Health Component 13 Name t C.A.S. Humber ~erLi[j;atioq [Repd ~.nd.~fgn a~r compl~i~9.~11 sec~ipn~) ~~ L cer[tLy.unoer pena~[~ o1]a~ [n~t l naVJpe[sonal~.eXaaln~glqola taai~ar.~it~ the. Inlor~a[]pn ~u~aittp~ in this.lnd ail ' at'~ac~eg.oQc~ent~, 8n~ [~a[ oase~ on.ay Inqu~r~ ~t. tnose InOlVlOUa/S responsible rot obtaining the Intoraa[Ion, J believe that L suD~.Leo l~lor~a[Ioo IS [rue, Iccura[e~ and coap/e[e, ~ a,d ofici~i titJ~ of o~net/operator u~ o~ner/opera[or's"authorized r~pre~entatlve . ~ture ~.. ~ Di[~f~~" CITY of BAKERSFIELD MATERIALS Farm andAgticulture [] Standard Business ~HAZARDOUS INVENTORY · ' NON--TRADE SECRETS BUSINESS NAME: Wl(-..(..,']'~.~ U?~O~,~,L..."J~~-WNER NAME: NAME OF THIS FACILITY: LOCATION: ADDRESS: STANDARD IND. CLASS CODE: CIIY, ZIP~ CITY. ZIP:_ DUN AND BRADSTREE1' NUMBER-'-: ............. PItONE #: ' REFE~PHON.#,~O._~NETRUC7.TONS ~uN PROPER CODES --- - ' 2 3 , 5 , , 8 9 10 11 12 ,l~y ,a,esof,ixture/Com,oflent, Trans !yQe Hex Average Annual Heasure I tY[e Cont ~ont Cont Us Location?eta. Code cBoe Ami AmC Est Un,ts on lype Press lemp ColeStored In facilityWt See Instructions. !Physical amd Health Hazard C.A.S. Number ~,,/F'~'~c2-~Z~-7 Component II Name I C.A.S. Number ICheck ail that applyl ' I Component I~ Name i C.A.$. Number lxFire Hazard [] Reactivity,~91~'l)eleyed [] Sudden Release [] immediate ~ -" Health of Pressure Health Componen~ 13 Name I C.A.So Number Physical Ipd Health Ualard C,A.S. Humber '. Component II Name & C,A.S. Number tCheck al/ that app/yl Component 12 Hame I C.A.S, Number [] Fire Hazard [] Reactivity [] Belayed [] Sudden Release [] Immediate Health of Pressure Health Component 13 Name I C.A.S. Number Physical and Health ~alard C;A.S. Humber , Component II Name I C.A.S, Number tCheck all that apply! Component I~ Name I C.A,S. Number ~ Fire Hazard ~ Reactivity 'ri Belayed [] Sudden Release FI Immediate Health of Pressure - Health Component 13 Name I C,A.S. Number ~-- PhYsical and Health UaIard. C.A.S. Humber Component II Hame I C.A,S. Number (Check a1.1 that apply! Component 12 Name I C,A.S. Number ~ Fire Hazard [] Reactiyity [] Belayed [] Sudden Release [] Immediate Health of Pressure Health Component 13 Name I C.A.S, Humber EMERGENCY CONTACTS #1same TTtle z[Hr ~hone #'2Rams atio Re and f naf r corn 7 ting ~71 sections) f certify unter penal~, of~ th,t ]~avCpe[son~.examlnfi~,q~am familla[¥iLb the tn(creation ~u~mittpd in this.and aH' at'~ached.doc~ment~, an~ t~at Based on.my inquiry qT.tnose Inulvlaua~s responsible Tor obtaining the Information, I believe that the ,suBmitteD inlormstlon IS true, accurate, and complete, ~ee--rh-~~le of o~ner/operator oH o~ner/operator's authorized representative Signature ~' O~t~-ST{r.e~ .... UNOCAL SERVICE STA~ON MONITORING PLAN DEALER: Willy N. Hawatmeh UNOCAL SERVICE STATION: 3655 ADDRESS: 2600 Pierce Road· CITY: Bakersfield PHONE: 805-833-8438 24-HR. STATION NUMBER 805-833-4020 UNOCAL REPRESENTATIVE: Jim Foster PHONE: (209)237-5141 UNOCAL EMERGENCY PHONE: (415)867-0360 (24 HOURS) LOCAL AGENCY:Bakersfield Fire Department ADDRESS: 2130 "G" Street PHONE: 805-326-3979 CALIFORNIA OFFICE OF EMERGENCY SERVICES PHONE: (800)852-7550 (24 HOURS) UNDERGROUND TANKS 87 OCTANE: 10,000 Single Wall 89 OCTANE: BLENDING VALVE 92 OCTANE: 10,000 Single Wall DIESEL: WASTE OIL: 280 Single Wall PIPING CONTAINMENT:Single Wall MONITORING METHODS:Inventory Reconciliation (Rev. 11-90) Prepared by Robert H. Lee and Associates -TABLE OF CONTENTS ' Pa~e 3 EMERGENCY RESPONSE PROCEDURE ' ' A copy of,this page. must be filled out and posted conspicuously on site. '" · HOW TO USE THIs BOOKLET ' ' Page'4 DAILY VIsuAL/MONITORING ' ' ,' ' Page 4 - MONITORING FOR'SINGLE WALL TANKS Page 5 InSpeCtions To-Be Conducted By Dealer ~. ProduCt TankGauging ProCedures Record Keeping For Fuel Tanks ' Waste Oil Tank Gauging Procedure What To Do If You Exceed The Allowable'Variation MONITORING DOUBLE WALL TANKS ' page 6 InSpections To Be Conducted By Dealer Secondary Containment Monitoring Procedure Record Keeping For Secondary COntainment Electronic Monitoring Systems OVERFILL/SPILL PROTECTION AND CLEAN UP ' Page 7 Deliveries/Gauging' Ball Vent Line Float System Waste Oil Tank Clean'up/Records INSPECTIONS TO BE COORDINATED BY UNOCAL ' Page 8 Yearly InspeCtions and Testing' Vadose/Groundwater Monitoring Wells EMPLOYEE TRAINING PLAN ' Pages 9 10 Outline for Mandatory.SafetY Training for Ail Employees' FORMS TO BE COMPLETED (Copy these forms for your-oWn use) Quarterly Report ' Form A Daily'Visual Monitoring Log Form B Inventory Reconciliation Sheet · ' Form C waste Oil Tank Gauging Sheet .................. , ............. ' Form D Release EvalUation Checklist .................................... Form E Unauthorized Release Report · Form F Equipment Test Log ' Form G Safety Training Log ............................................. - Form H NOT ALL INFORMATION IN THIS BOOKLET WILL BE APPLICABLE. REFER TO THE .COVER SHEET TO CONFIRM WHAT EQUIPMENT IS ON SITE. ' Page.2 'of 10 EMERGENCY RESPONSE~OCEDURE In the event of a fire,, spill, or a leak or suspected leak in the tanks and/or piping, the following steps are to be taken as applicable: 1. TURN OFF PUMPS using the Emergency Pump Shut-Off Switch. 2. If there is any immediate danger,~ANNOUNCE tO.all persons on the site: "There is an emergency. Please turn off-your engines and leave the station on foot immediately." 3. CALL FOR HELP in case of an emergency by dialing 9-1-1 and giving the following information: "THERE IS A FIRE / DANGEROUS GASOLINE SPILL at the UNOCAL Station at (give address)." If anyone is trapped or needs medical attention, tell the answering dispatcher. Stay on the phone and be prepared to answer any questions concerning the situation. 5. ATTEMPT TO EXTINGUISH any fire if you can do so safely. Have the fire extinguisher ready to use in the event of any dangerous spill. Try to contain any large spill, or use absorbent on smaller spills. 6. REPORT to arriving emergency response personnel to provide them with any information or assistance they might need. 7. CONTACT the station dealer is s/he is not already at the station. Use the list below for emergency contacts: 1. Name/Bus./Home: Willy Hawatmeh 805-322-5618/805-833-4020 2. Name/Bus./Home: George Hawatmeh 805-322-5618/805-833-9109 ~8, NOTIFY your UNOCAL Retail Representative by phone WITHIN 24 HOURS (also use the UNOCAL Emergency Phone, after hours): 1. UNOCAL REPRESENTATIVE/PHONE NUMBER: Jim Foster/(209)237-5141 2. UNOCAL EMERGENCY PHONE: (415) 867-0760 (24 HOURS) You must mail a completed Unauthorized Release Report to the Rep within 24 hours. UNOCAL will notify the appropriate State and Local agencies unless the situation requires urgent immediate response by the agencies, in which case the DEALER should notify these agencies: 1.LOCAL AGENCY: Bakersfield Fire Department PHONE NUMBER: 805-326-3979' 2.CALIFORNIA OFFICE OF EMERGENCY SERVICES: (800)852-7550 (24 HOURS) 9. Dealer should attempt to isolate leak location by inspection. 10. UNOCAL Retail Representative will coordinate with UNOCAL Maintenance and Construction whatever corrective actions need to be taken beyond the Dealer'capabilities. UNOCAL Maintenance and Construction will file whatever reports need to be filed with local and state agencies, and send a copy .to the station for the Dealer's file. A COPY OF PAGE MUST BE FILLED OUT AND POSTED coNsPICUOUSLY ON SITE. Page 3 of 10 How' ,o usx ,His ,ooxLE . · .The. cover sheet o~his booklet contains us~ .information about the underground facili~es at your station.- Depending on the information- given, you 'must use different forms in this booklet: -1. If your station has any single wall product.tanks, use FOrm C.. 2. If your station has any double wall product tanks, use Form B. ~3. 'If your station, has a single wall waste oil tank, use Form-D.' 4~. If your station has a double wall waste oil tank',~ use Form 5. If your station has any double wall piping, Use Form B. 6. If your station has'a piping trench, liner, use Form B. 7, If your station has an electronic monitoring system for any doubie. · ~wall piping or trench liner, you need not use Form B for any double wall tanks or piPing. 8. If your station has' vadose or groundwater monitoring Wells, you still need to .use Forms C and/or D as applicable.' 9. If your station has other hazardous materials (see Daily Visual..- .Monitoring,'below), you are responsible also for that portion of Form B. Also, all stations must complete Form A and send it in every. 3 months to the local aqency shown on the cover sheet. In case of a leak or spill, you must complete Form E to attach to Form.-A, and yOu .mUst send a copy of' Form F to your UNOCAL Representative within 24 hours. You must also notify your representative.by phone (and/or call the UNOCAL Emergency Phone after hours). Your must post a copy of Page '3 at a conspicuous'location in your .cashiers area. Your must keeP a copy of Form H to'document the training received by your employees. KEEP COPIES OF ALL FORMS YOU MAIL OUT! DAILY VISUAL MONITORING Hazardous MateriaIs.stored underground include: Gasoline Diesel Fuel Waste Oil These products are monitOred for leaks in the underground tanks and piping .~ 'Hazardous Materials stored aboveground include: Propane Waste Oil (prior to dumping in, underground tanks) Motor Oil Transmission Oil Gear LUbricant (80W/90) Grease Solvent '(including parts cleaners) ·' Battery Acid Antifreeze If your station stores any of these materials, the storage areas must be visually inspected every day for signs of leakage. · If there is a leak or spill of any of the .hazardous materials, whether' stored above or underground, you must follow the Emergency Response procedures'outlined on Page 3, as applicable. INSPECTIONS TO. BE ~NDUCTED BY DEALER~' . 1.-. Daily reconCil~cion Shall-be'made'of the~vent0ry control records. 2. Daily.Visual insPection for leaks shall be made in the areas~0f:· ~. " -'Submerged pump . --~ " - Tank.fill-(also inspected~after each delivery) 3. DealeriMUST be aware that a reduction 'in Product flow to 3 .gallons per minute (gpm)· indicates a potential.piping leak. PRODUCT TANK GAUGING PROCEDURE '-'- 1. Use a gauge stick.(dipstick) to measure the leVel'of gasoline in each~ tank. Lower the stick slowly, until it hits'the bottom of the.tank. The use of fuel-finding paste is recommended. 2. Slowly~pulI the sti~k back out, 'and observe the point where the stick begins to be-discolored'by the'liquid. 3. Write this number down,.~and repeat the same procedure. If-the two number are not close, repeat 'the procedUre.until the numbers agree. 4~ Enter the final, number in yoUr dealer books. If it is raining, water.can spoil the readings, and should not be allowed . to enter the tank. If .it does not stop raining, care must be taken to ensure the stick readings are accurate. ~ REcoRD KEEPING FOR SINGLE-WALL TANKS 1. Use your~dealer books to keep track of. your daily dipstick reading. 2. Record daily-all dispenser meter readings in yOur dealer books. 3. RecOrd all deliveries in your dealer books. 4. The dipstick, dispenser meter, and delivery reCordings are to be'.used. daily in.filling out:the "Inventory Reconciliation Sheet" (attached). · WASTE OIL TANK GAUGING PROCEDURE 1. To monitor the inventory level in the waste oil tank, be prepared to have the tank locked for at least 12 hours or' longer if required by your local agency. This shall be done weekly. NO INPUTS OR . WITHDRAWALS SHALL OCCUR DURING THESE PERIODS.. .. 2. Stick gauge the tank immediately before closing access to the waste oil tank, .and immediately after reopening the tank, and enter those nu ,mbers in columns C and 'D of the "Waste Oil Tank Gauging Sheet" (attached) 'in both .inches and 'gallons. ., 3. The difference between those two columns 'is the actual variation (column E). 4. For allowable variation (column F), use 2.8 gallons%if you have a 280 · . gaIlon capacity,~ or 5.0 gallons if you have a·520 or 550 gallon tank. WHAT TO DO IF YOU EXCEED THE-ALLOWABLE VARIATION~ If you EVER .exceed the allowable variation (Inventory Reconciliation. Sheet, column 13, or Waste Oil Tank Gauging Sheet', column G), follow the RESPONSE PROCEDURE shown on Page 3. Notify your'UNOCAL representative within 24' hoUrs .of discovery of a suspected -leak. UNOCAL will be responsible for coordinating one or more of the following: - Performing a metered vs. measured inventorY reconciliation. - Contacting the appropriate State and Local'agencies., - Visually inspecting for leaks. - Calibrating the dispenser meters. - Hiring a tank tester to determine if there is a leak. - Having the tank(s) and/or piping repaired or. replaCed if necessarY. ,, ~The UnauthoriZed Release Report'' must be sent to UNOCAL within 24 hours. The "Release EvalUation Checklist" 'must be attached to the "Inventory Reconciliation Sheet"., or the "Waste"Oil Tank Gauging Sheet" where the allowable variation was exceeded. ' '~ ' .... .Page 5. of 10 HONITORING FOR DOUBLE-WALL TANKS '~ INSPECTIONS TO BE ~FDUCTED BY DEALER ~- 1. Daily reconcilla~lonW' shall be made of the~nventory Control ReCords. · 2. Daily visual.inspection for leaks shall be made in the areas of: - Submerged pump - Tank fill (also inspected after each delivery) 3. Dealer MUST be aware that a reduction in"product flow to 3 gallons per minute (gpm) indicates a potential leak. SECONDARY CONTAINMENT MONITORING PROCEDURE · Tank or Piping Secondary Containment (annular space or .piping Trench Liner) shall be monitored daily by the dealer, unless a less frequent period is allowed. This is done to determine if prOduct is leaking from the primary container-or if water is entering from an outside source. This-procedure is not necessary if an electronic monitorinq system is installed to monitor these items. Contact your UNOCAL representative.for 'monitoring port locations. 1.. Use a gauge stick (diPstick) to detect any liquid in the tank annular space, double wall piping mOnitoring ports, or piping trench liner monitoring wells. Lower the stick slowly until it hits the bottom of the tank annular space. 2. Slowly pull the stick back out and observe whether the stick has been discolored by liquid. If product and/or water is detected, immediately contact your representative. 3. Write' this number down, and repeat the.same procedure. If the two numbers are not close, repeat the procedure until the numbers agree. 4. Enter the final number in the "Secondary Containment Recording Sheet (attached). NOTE: Piping trench monitoring wells consist of slotted PVC-pipe which allows liquid intrusion and a manhole for access. Wells are located at the lowest point of the fiberglass trench liner. RECORD KEEPING FOR DOUBLE-WALL T~%NKS & PIPING 1. Keep 'track daily of the liquid level on the "Secondary Containment Recording Sheet". 2. If ANY fuel and/or water is discovered in the trench liner, call your representative IMMEDIATELY, and explain the situation. 3. If the representative has been notified, but after 8 hours it has not been possible to remove all the liquid from the secondary containment, dealer must contact the local agency shown on the cover sheet. ELECTRONIC MONITORING sYSTEMS If this station is equipped with an electronic monitoring system fOr underground tanks and piping, in the event of a leak in the primary containment, product will be contained in the annular space. The sensors for the electronic monitoring system are located at the iow end ,of each tank, and at the low end of the piping where the product will drain back into the tank. There may be sensors at additional locations. Sensors will signal the'presence of a leak. If a leak is discovered, the "Unauthorized Release Report" must be sent to UNOCAL within 24 hours. The "ReleaSe Evaluation Checklist" must be attached to the "Quarterly Report". Page 6 of'10 OVERFILL/SPILL PROTECTION & CLEANUP 1. E IVER ES/ A Dealer is resp~ible to ensure that the ivery he or she requests is not in excess of the tank capacity, taking into consideration.the amount currently in tank. Driver is to gauge tank to assure capacity is'available for'the entire load and must remain in attendance during'- the entire.delivery 'to monitor the operation. 2. BALL VENT LINE FLOAT SYSTEM (Only for double-wall tanks installed after July 1986.) The ball float valve system installed with the tank substantially prevents the possibility of overfill occurring. If the tank is filled to the ball float level, the petroleum product delivery will be cut to 3 gallons'per minute alerting the driVer of a'potential overfill condition. In the event that this occurs, the following aCtions will be taken: 1. The delivery truck.driver shall turn off the petroleum product supply at the truck, leaving the hose.fully connected to the tank fill pipe line .and the truck. 2 The small amount'of petroleum product remaining in the hose shall be slowly drained into the tank. Since the ball float valve 'is 2 to 3 inches below the top of the tank, there remains a 100 + gallon capacity within the tank at the moment when the ball float closes off'delivery. The bleed hole in the ball float valve allows the remaining petroleum product in the hose to completely drain through the fill pipe into the tank. 3. The hose shall be discOnnected from the fill pipe only when it'has fully drained. In the event that spillage occurs upon hose disconnection,'the remaining small amount of petroleum product will be properly contained. 3. WASTE OIL TANK 1. Station is equipped with waste oil buckets which'hold a maximum capacity of 3 gallons (about 3 to 4 cars' worth of waste oil). -2.' Prior to dumping any waste oil, dealer is to gauge the tank to assure that holding capacity is greater than that which will be put into the tank. 3. Waste oil is Poured directly through fill/pump out pipe, using a funnel. Should any waste oil spill during this operation;.it will be properly contained using absorbent material. Page 7 of 10 ' 4'~ CLEAN~UP/RECORDS- . ~.-_. 1. small spill 'less than 1 gallon and o~)requiring 15 minutes to clean up) be cleaned up using abs~ebent materials. 2. Larger spills occurring during product delivery shall be.reported to the terminal by the dealer and/or by delivery truck driver. The terminal .suPervisor will notify a local petroleum maintenance contractor who is equipped with a N.F.P.A. approved type hand pump, vacuum- and transport container~ Large spiils not. caused by delivery shall be reported immediately to your rep. 3. Spills shall be cleaned up within 8 hours 'of detection, returned to local terminal 'and/or disposed of in a lawful manner. 4. Dealer shall record all spills whether or not it is due to delivery overfill or accidental spillage, 'which exceeds approximately one gallon, and action taken on the "Unauthorized Release Report" (attached), and send it to UNOCAL within 24 hours. 5. Large spills (more than i gallon) must be reported to the local agency indicated on the cover sheet within 24 hours. If the spill is large enough to pose a significant hazard, it must also be reported to the California Office of Emergency Services at 800-852- 7550. IN CASE OF EMERGENCY CALL 9-1-1 INSPECTIONS TO BE COORDINATED BY UNOCAL YEARLY INSPECTIONS AND TESTING .Yearly testing shall be made of the following: 1. Pressurized piping systems shall be monitored using in-line leak detectors. Leak detectors shall be tested annually for'proper operation. Dealer MUST be aware that a reduction in product flow to 3 gallons per minute (gpm) indicates a potential piping leak. 2. Tanks and piping shall be tested annually for tightness,, using a State-Certified test system. (For non'secondarily contained tanks and piping only.) 3. Electronic monitoring systems shall be tested annually for proper operation. (For secondarily contained tanks and piping only.) 4. Dispenser core holes, shear valves, and blending valves shall be annually inspected by UNOCAL for signs of leakage.' 5. Dispenser meters (recording total sales in gallons) shall be calibratedonce annually by UNOCAL. Any additional, calibration will be the responsibility of the dealer. Use .the "Dispenser Meter Calibration Form". VADOSE/GROUNDWATER MONITORING WELLS This section is not applicable unless "Monitoring Methods" line on cover sheet shows "Vadose Wells" or "Groundwater Wells".) The monitoring of vadoSe wells and groundwater monitoring wells is contracted out to Applied Geo Systems. Monitoring is' performed monthly for vapor analysis of the vadose wells and subjective analysis for traces of product in the groundwater monitoring wells. Monitoring is performed quarterly for laboratory analysis of groundwater samples. Monitoring records are maintained on-site in the dealer's'office, and are available for inspection. Page 8 of'10 EMPLOYEE TRAINING PLAN Employees must be given this training before starting work, and refresher courses must be provided annually. 'Records must be kept to show when each station emplOyee has been given his/her safety training. Use the following outline: I. FIRST THINGS TO KNOW A. EMERGENCY PUMP SHUT-OFF: This turns off the turbine pumps that provide flow to the dispensers from the underground tanks. In case of a leak, shutting off.the pumps will help to prevent spills. LOCATION: On front of service bay B. ELECTRICAL PANEL: The panel allows you to selectively cut off power to lights, signs, pumps, etc. The main switch kills all power at the site. LOCATION: In storage room C. WATER SHUT-OFF: The water shut-off may be necessary in some cases. LOCATION: D. FIRST AID KIT: LOCATION: In storage room E. FIRE EXTINGUISHERS: Use only on small fires that you can handle. Do not attempt to extinguish large fires on your own; call 9-1-1 for help. LOCATION: 1-in service bay F. ABSORBENT: In the form of crystals or cloth, absorbent can soak up small spills of gasoline, diesel fuel, or other petroleum products. Absorbent should be used rather than washing spills down a drain. In case of large spills merely try to contain it; a vacuum truck should be used to clean up any large spills. LOCATION: In storage room G. NEAREST MEDICAL FACILITY: Employees should know what facilities are available in case customers or other employees need medical attention: NAME: Mercy Hospital ADDRESS: 2215 Truxton Ave., Bakersfield PHONE NUMBER: 805-327-3371 NEAREST DESIGNATED TRAUMA CENTER: NAME: ucLA Hospital and Clinics ADDRESS: 10833 LeConte Avenue, Los Angeles PHONE NUMBER: 213-825-2111 Page 9 of 10 II. All employees should review the Service Station Monitoring Plan, of'which thiStrainingplan is a part. Specifically, each~employee · ~ should understand the Procedures to be used in responding to various kinds'of emergencies, and knoWhow to monitor for leaks of hazardous materials. As'a supplement to this package, employees Should also review~.t~e Emergency Response Plan filed.by your' business to .the .appropriate local agency. Thirdly, employees' should~revieW and have. access to the Materials Safety Data Sheets~ you have on file for each of the hazardous materials stored at the' · station. 'III~. FIRST AID PROCEDURES (For exPosure to gasoline or diesel fuel): A. EYE CONTACT: For direct .contact, flush the affeCted eye(s) with Clean water. If irritation or redness develops, seek medical attention.· B. SKIN CONTACT: Wipe product from skin and remove soaked clothing.. Cleanse affected area(s) thoroughly by washing with 'soap and water. If irritation develops and persists, seek medical attention. Do not use solvents or thinners to remove product from skin. C. INHALATION (Breathinq): If sYmptoms' of exposure develop, move victim away from source of exposure and into fresh air. If symptoms persist, seek medical attention. Symptoms include: flushing, blurred vision, dizziness, nausea, headache, drowsiness, loss of coordination, and fatigue. If victim is not breathing or if breathing difficulties develop, artificial respiration or oxygen should be administered by qualified personnel. Seek immediate mediCal attention. D. INGESTION (Swallowinq): . .DO NOT INDUCE VOMITING BECAUSE GASOLINE CAN ENTER LUNGS AND CAUSE SEVERE LUNG DAMAGE! If victim is conscious and alert, give 2 to 3 cups of milk or water to drink.' Seek medical attention. For further information, consult the Materials safetY Data Sheets for these products and for other hazardous materials. FIRST AID FOR EXPOSURE TO OTHER MATERIALS: Consult' the warning advice on container labels or'refer to the MSDS for that product. . . · · ~, .~ Page 10' of ~10 · ·OUARTF::RL¥ RI:: ORT S/S .#: .BUSINESS NAME: and send in 'with all. other forms,, as applicable. 'Address: . - ' KEEP COPIES .OF. ALL FORMS - YOU MAIL OUT. Quarter # Tank'# Capacity (gal) Product. Start Date: End .Date: .' Year: CHECK ONE BOX BELOW.i AS APPLICABLE: I hereby certify under the penalty of perjury .that all product level variations for this facility were within allowable limits for this quarter. ("NO" in ctoumn 12, Inventory Reconciliation 'Sheet; "NO" in column 7, ~Tank Gauging Sheet; "OK'" in ali applicable columns of the Daily Visual Monitoring Log). Inventory variation at this facili.ty exceeded the allowable limits for this quarter. I hereby certify under penalty of perjury that the'source for the variation(s) was ~ - not .due to an unauthorized (leak.) release. ("YES" to any of the above). I There was on unauthorized (leak)'release at' this facility during this quarter. -- I hereby' cer{ify under penalty of. perjury that oil necessary, corrective actions .. .have ·been or are being taken. DEALER'S SIGNATURE/DATE: LIST: (]ATE, TANK'# AND AMOUNT FOR ALL-VARIATIONS .THAT :EXCEEDED THE ALLOWABLE DATE TANK # AMOUNt " THIS QUARTERLY REPORT SHALL BE SUBMITTED 'TO THE REGULATING LOCAL AGENCY WITHIN 15. DAYS OF THE END OF.EACH QUARTER:- . I.QUARTER 2 · 'APRIL-JUNE' "'1 Submit by July 15 IQUARTER 3 " JULY-SEPTEMBER I. Submit by October' 15' " IQUARTER 4 OCTOBER-DECEMBER "l Submit by January 15 Check off each box "O.K." as applicable..or explain 'why there is indiCotion of a leak. lank lank Sub. Pipe lrench, !'Other Corrective Annular · Fill Pump Monitoring HaZardous Action '" Spaces Boxes Boxes Wells Materials T~ken ~ ~ (Only'necessary if one ~ ~ of the preceding blocks ~~ ~~~ ~ ~ ~ -c is NOT marked "O.K.") ~ c c c c c c c c c c c c c c c c c c c c o e ~ o c ~ Use additional sheets ~ ~~ ~ ~m~ ~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ - as required 1 2 7 10 14 15 17 18 !9 20 21 I 22 23 24 25 2~ 27 29 .... ~0 ~lumn ~~ · Y--~' ~u~ 'O~,t~' Fr~ Accumulat, C~umn ~bUact 1, ~,umn ~ ~ 4 1+2-3 R~g ~umn 3 Column 6 x .~15 -- 9 k IO ~ L~ ~1~ ~ 12 ~eatm ~ 9~1~' gallons gail~s gallons ~.,gallons gallons gallons x .O015 - gallon, gallons g~llons +/-gallons 2 , .oo~ - +/- 4 x .o0~ 5 - t/- [5 .... ~ .OO15 - 6 ~ .OO15 -- , .om5 - +/- 10 ~ -~ - t/- 11 ' 12 ~ ,~5 - t/- x .~1~ = 14 ~ ,~5 = +/- 1~ ~ .~ - +/_ ~ '- . . .oo, 5 - +/- 22 x .~ - +/_ 23 ~ .~ - +/- 24 x .~5 - +/- x .~15 ~ ~ ~26 x .om5 = +/- ~7' ' . .~ = +/- 28 .. ~ .~5 = +/- 2g ~ .~5 - +/- 31 " , .~5 - +/- 'e~lng *Measureman{ error i= b'a~ed on tank size: *ge If Column 4 I= less' than 5 (+) *e* If ~u 'en~wered ~s In d~tlck TANK ~Z~ MEASUREMENT ERRQR If column 5 is Io~s tha~ 4 (-) Column 13 refer to Release reading le~s than 4.~ ~1. ' 25 gal. (leak Evaluation Action · . "~.~Q to 7.5~ gal. 5Q gal. Chart B.OOQ or 10,~O gal. 75 9al. 12,000 gal. 100 gal. ' UlIOCAL ) WASTE OIL TANK'GAUGING SHEET · IS/S #: Business Nome: I Fill out. this form weekly .. IAddress: and send it with' the Year: . CapacitF Report. 'GAUGING PERIOD INVENTORY -VARIATIONS 1 2 3 4 5 6 7 Opening · Closing Actual ' Allowable Allowable FROM TO Dipstick Dipstick , Variation Variation Variation .. Reading Reading (4-3) * * Dote/Time Date/Time Inches 0al. InchesI Gal. 0aliens Gallons Yes/No I. ' ,Allowable variation is based on tank size': Tank Siz~ AII0wqble Variation 280 gallons 2.8 gallons §20 gallons 5.0 gallons 550 gallons 5.0 gallons *.if you answered "Yes" in column 7 (Col. 6 > ,Col. 5), then. an unauthorized release, (leak) shall 'be assumed to have occurred.-Follow the Release Evaluation checklist and attach to this· form. RELEASE-EVALUATION CHECKLIST S/S #: '.. Business Name: · I[Address: .' ] ~whenever the -.. ; ~allowable variatfor .' Tankproduct.:_ '#: .Capacity:' ;, "" I ISend in.' with ~e Date & Time Allowable .Var[at[on was Exceeded: IOua;-tedy Report. CHECK OFF EACH STEP AS IT IS COMPLETED,. STEP '1' r-'~RECORDS REVIEWED Dote/Time: Should be done. Performed by: .- -within 2 hours, STEP 2 ~ NEW RECONCILIATION Date/Time: Should be done , . PERFORMED Performed by: within 24- hours. · STEP CALL UNOCAL, REP. AND Bate/Time: Should' be done - . SEND UNAUTHORIZED Performed b~. within '24 hours. TO EP. 'STEP 4-r'~REcoRDS REviEwED FROM Dote/Time: Should be done LAST STATIC STATION Performed by:. within 24 hours. (BY DEALER OR REP.) ' STEP '5['~ PHYSICALLY'INSPECT' Date/Time: Should be. done' FACILITY FOR .EVIDENCE Periormed by:- within 2.days. OF LEAKS ' DISPENSER METER Date/Time:' Should be done STEP CALIBRATION' CHECKED Performed bF. within 5 days. -- (COMPLETE-TEST REPORT) STEP 7 E~HYDROSTATIC PRESSURE Date/Time: Should be done 'TEST PERFORMED ON PIPING Performed by: within 4 daYS.· -STEP El ~ PRECISION TANK. TEST Dote/Time: ' ' Should ~ PERFORMED ' performed by:. within' 5 deys. STEP 9 E~ ADDITIONAL' INVESTIGATION Date/Time: Should'be' done' PERFORMED AS REQUIRED -Performed by: : within 5 d~ys. Briefly describe the reason the 'allbwable variation was exceeded: -' '"! hereby certify 't.his .'is to be a true and' accurate report. .- .~.. ,..Dealer's signature: - Date: ' '- - ~ , - . .: .: .~ , . ,' -:.. :i: UNAUTHORIZED RELEASE REPORT 'F · IS/S #:, Business Name: ! Complete this form in th~ event of ~ "'"",'jAd~lress:-: confirmed leak' or "; :'.' . 'Tank #: Capacity. . your Unoc'al rep. Product:' -' withir~. 24 hour~'.' TO' 'BE cOMPLETED BY THE DEALER Date leak was discovered: '- Approximate date leak began': Describe fully the cause· of the leak: How was the leak discovered? TO BE COMPLETED BY, THE UNOCAL RETAIL REPRESENTATIVE Has the leak been stopped? Date: How was the leak stopped? ~.ist resources affected: Y¢8 NO 'Threatened # of well~ Soil ~Creek or Storm drains Buildings Or Utility Vaults GrOundwater Public Drinking Water Private Drinking Water Agricultural Other In~tru(;~ions to Unocal Retail Reoresentatives: . This form must be forwarded to Unocal' Maintenance & Construction Department . IMMEDIATELY so they can submit to the appropriate local 'agency within 5 days of discovery .of any leak. UNOCAL( ) - - ': · .EQUIPMENT TEST LOG S/S'#:.-" Business Name: Fill out ~his - "~ '-' AddreSs:" form for ebch - · annual ,. ::.' ~. Contractor: ,.. . inspection - . Name of. person,cOmpleting test(s)i' ' -and keep on Signature; file. Dealer:'s SignatUre: 'Check ;'off each 'test when performed: .-. il. L__J Shear Valye Inspections 'Date: 'j2, l I Blending Valve 'InsPections - Dote:' ~.1 t "LeOk Detector Product Model L~ok Full. Line Pressure /PSI) Simulated Line Leak .Test Inspection Detector Open Max. 12 Close .Min. '26 Pass Foil. Dote Super Unleode-d - Unleaded . 4. ~ Dispenser Meter Calibration'Procedure: · 1. .Before' starting calibration runs, Wet the calibration can with product and return .'Product to storage. · 2.' Run 5 gallons with nozzle 'wide open into the Can'. Note gallons and cubic inches' · ' drawn, and return product'.to storage. 5. .Run- 5' gallons with nozzle one-half open 'into the' can. Note gallons and cubic ,,,.inches drawn, and return product .to storage. ', 4.. 'If the volume measured in a. 5-gallOn calibration can is more.than 6 c~bic inches above or below the 5-gallOn mark, the meter requires calibration by a registered device repairman. Fast Flow Slow Flow' Vol. Returned Calibration Date/time Nozzle ,# Product 5-Gal. Draft 5-Gal. Draft to storage Req.uired? Gal. Cu.ln. Gal. Cu.ln. Gallons .YES*/NO .I · *Note'date of Calibration .&. Device(s) used: · -' '. . i UlIOCiL(~) " SAFETY TRAINING LOG H $/S #: 'Business Name: Address: Zk/IPLOYEES M,UST SIGN THIS FORM TO PROVE THEY RECEIVED THEIR ANNUAL SAFETY TRAINING. Bate of Initial Employee Name Training Dates of 'Annual Refresher Training ,,~ - ~ ~rin~ name) Do hereb.-.,~ oerZi£y th~2 [ h~ve reviewed the H~, MAT, · a-t~ached Hazardous }j~teri%ls_.bu~iness for " (name of business) and that it along with the attached additions or corrections constitute a complete and correct Business Plan for m,v facilit.v. s ~na'~ure date BUSINESS NAME N CA ~ 6S$1 tD 21S-000-001 t73 LOCATION 2600 PIERCE RD ..' HIGH HAZARD RATING 2 l. OVERVIEW [8'S"P'' CHIaNGE "12 / 2 3/87 8Y EVAMC JURIS' CODE 2tS-8(~I JURIS B~KERSFIELD ST.~TION.~I MA~ P~E 18~ GRID Z3D FACILITY UNITS I HAZARD RATING RESPONSE SUMMARY ..... 2A sEC 4) ALL EHPI. OYEES ARE TR~'INED IN FIRST RID PROCEDURES ~NO use OF FiRE EXTINGUISHERS 8ND a~ORBENT TO CONTAIN SHALL SPILLS EMERGENCY CONTaC'rs Za SEC Z) WILLY HnOATHMEH ' 3Z2-56t8 OR 324-466~ UTILITY SHUTOFFS ZA SEC ~> '~A~'8~ NONE~ B> ELECTRICAL - IN~THE UTILITY ROOM NEAR THE SERVICE C) ~TER -~BEHIND THE 8UILDI~ D> SPECt~L - EMERGENCY PUMP SHUTOFF ON"THE FRONT OF THE BUILDING NEaR THE C~NOPY E) LOCK SOX - NO NOTIFICATION / PUBLIC EVACUP, TI'ON LAST CHANGE / / BY P~tGE I 1Z/ZO/88 1Z:t3 MRTERIAL S~F-ET¥'D~TR""SYSTEMS,'II'~C';" (BOB> ~48-8800 BUSINESS NAME UNOCAL ~3655! ,IO NUMBER215-000-~lI73 LOCATION 2G(~D PIERCE RB HIGH HAZARD R~TING 2 3. H~Z M~T TRAINING-SUMMARY' -~,LAST CHANGE / / BY LOCAL EMERGENCY MEDICAL RSS'ISTRNCE LAST CHANGE 12/,23/87 BY EVAMC SEC 5> MERCY HOSPI'TF~L ~2!,5 TAU×TUN RV ~27-~371 MRTERIRL SRFETY DRT~'SYSTEMS, INC. (805) ' BUSINESS NAME UNOCAl SSS1 ID 215-000-00117~ LOCATION ~G00 PIERCE RD HIGH HAZARD R~TING ~ FACILITY UNIT 0I J '. A. OVERALL H~ZARDous MATERIALS INVENTORY ['A~T'"CHANGE 0t/i9/88 BY EVAMC .ID TYPE NAME ~AX AMT UNIT HAZARD LOCATION ': ..... CONTA't'NNENT USE i PURE . REGULAR UNLEADED GASOLINE ....... Je~ee GAL HISH UNDERGRouNo''rANKS ...... Ur'fOERSROVIt~O"rRNKS FUEL. ' tO PERCENT COMPONENTS .'~ H~ZRRO LIST ]182.~4~ ~80.0 G~SOLINE HIGH Z PURE PREMIUM UNLEADED GASOLINE I~(~X~ GAL HIGH UNDERGROUND I'~NKS UNDERGROUND T~KS FUEL ID PERCENT COMPONENTS , HAZARD LIST t}8~.~ 18~.Q GASOLINE ' HIGH ~ WASTE %'WASTE OIL Z88 GAL, UNKNOWN UNOE'~ROUND TANKS UNDERGROUND TANKS W~STE ID .PERCENT COMPONENTS HAZARD LIST 1598.ee te~.e WhSTE 0'~[ .... UNKNOWN 4 PURE MOTOR oIL ~8 GAL, UNKNOWN SERVICE BAYS METAL CONTAINERS LUBRICANT 'ID - PERCENT COMPONENTS " FtRZRRD L~ST Z8~.~ ~e.~ MOTOR OZL UNKNOWN / S PURE ETHYLENE GLYCOL UNKNOWN SERVICE BAYS PLASTIC CONTaINER[SI COOL~~ - tO PERCENT COMPONENTS. , ' //: ~Z'~RD 'LIST ZAeZ:~ l~.e ETHYLENE GLYCOL ~ uNKNowN ' MATERI~'tL SAFETY DATA"-S¥STEPPS', I'NC'.'" ('80S')"G41~'G~B00' ' BUSINESS NAME UNOCAL ~3G.SS! iD NUMBER 21S-~-~1173 LOCATION ~GO0 PIERCE RD HIGH H~ZSRD R~TING 8, FIRE PROTECTION / W~TER 'SUPPLIES. ~ SEC 4) FIRE ~EXTINGUISHE~S ~E 3~ SEC 5) NEAREST FIRE HYDRANT !S 0N THE S!OEU~L~ TO THE NORTH Do EMPLOYEE NOTiFICaTION f EVACUATION · ' LflST CHANGE t2/Z'-3/8?'By EVAMC 3A SEC Z) ANNOUNCE TO 8LL PERsoNs ON'THE SITE. 'tUR~ oFF THE 'ENGINES RNO LEAVE. THE STATION ON FOOT' IM~DlfffELY CALL B11 ' LOCATION 2G~ PtERCE RO HIGH HRZBRD R~TING: 2 E. MITIGATION / P~EVENTION / RE)RTEMENT .' '~?AST'CH~NGE !~tZ3t87 BY EVAMC 3~ SEC 1) UNDE~OUND T~NKS"~'MONITORED'"~tEY .... ~ P~GE 5 tZ/ZO/88 1Z:13 MATERIAL SAFETY DATA SYSTEMS. INC. (805) 648-6800 , CITY of BAKERSFIELD · 1~. R .~r NVE NTO RY ~-~ ~-- ' H ZA DOUS MATERIALS Farm and Agriculture Standard Business NON-- ~Ft~ADE S E CRE.TS C~e C~e - ~t ~t Est Units m Site [~ ~. l~ ~ St~ ~n F~illty ~ ~ I~t~ti~ Ph~ical ~d HNIth ~za~ C.A.S. ~ ~t II ~ i C.A.S. ~ I IC~k 411 t~t a~ly) · Fira Hazard ~--a R~tivity ~--d ~i~ ~ hie ~--~ IJ~ltl · ~)th of P~q ~lth P~ical ~ ~ith'Nezl~ C.A.S. ~ ' at II ~ & C.A.S. i (C~k 411 t~t a~ly) : ; ~lth of Pmk. ~lth ........... ~t-13 ~ & C.i.S. ~ (C~k ~11 t~t ~pply) ' H~lth of P~su~ N~lth - P~ical ~ HNlth ~ll~ C.l.S. ~ ~t 11 h & C.A.S. ~ (C~k oll t~t ~wly) F~re Hazard'[-~ bct~vity . ~la~ ~--d ~Ke'Relme ~--~ N~lth of Prflsure , Health ............. ~t 13 ~ & C.A.S. ~r ~.. ; Certtficatt~ (Read and s~Kn after coepJetJnE a~l sect¥on~) ~ ~ ~-----% BAKERSFIELD CITY FIRE DEPARTMENT '~ ,~ 2130 "G" STREET 93301 C ~,,,.,.' BAKERSFIELD, CA OFrlCrAL .'sE o.',':¥ 001173 ID-' US INESS NAME HAZARDOUS MATERI ALS 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 i: BUSINESS IDENTIFICATION DATA A. BUS NESs NA E: B. LOCAZZON / SZR~Z A~SS: ~ ~ BUS. PHONE: CI~.: ~~~ ZIP: ' 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 1-916-427-43'41. This will notify your local fire department and the State Office of Emergency Services as required by law. · .EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE DURING BUS. HRS. ~FTER BUS. HRS. SECTION 3: LOCATION OF ~ILI~ S~-OFFS FOR BUSI~SS AS A ~OLE A. NAT. GAS/PROPANE: E. LOCK BOX: YES f~. IF YES~ LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / M0 MSDSS? YES / N0 ~L00R PLANS? YES / N0 KEYS? ~YES / NO SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOL~ BUSINESS AS A WHOLE .. SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO iNiTIAL REFRESHER C. PROPER USE OF SAFETY EQUIPMENT: .................. 'E 5'0 D. EMERGENCY EVACUATION PROCEDURES: ................. . vt-- NO NO 'E, DO YOU .MAINTAIN EMPLOYEE TRAINING RECORDS: ....... NO NO SECTION ?: HAZARDOUS MATERIAL CIRCLE ~ - NO -NONE DOES YOUR~BUSINESS HANDLE HAZARDOUS M_~TERIAL IN QUAiNT!TiES LESS THAN 500 POL'N~<D.~_~OF A SOLID, $5 GALLONS OF A LIQUID, OR 200 CUBIC FEET Or A COMPRESSED GAS: ...... I, ~AVlI:::) ~4. ~L~M~M certify that the above information is accurate. I understand that this information will be used to fulfill my firm's obligations tinder the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25§00 Et Al.) and that inaccurate information constitutes perjury. A~J~4T~ ~ UNCF__~L. BAKERSFIELD CITY FIRE DKPART).IEXT 2130 "G" STREET BAKERSFIELD, CA 93301 0FF:CTAL USE ONLY ID¢ BUSINESS SAME: BUS I NESS PLAN SINGLE FAC ILI T'F UNIT FORM 8A INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE,,'?RINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY '"'~..,.. ~,~_~''='~ BELOW 4. Be as BRIEF and CONCISE as possible. '. FACILITY UNIT~ ~6~ FACILITY UNIT N~E: UNOC, A~- ~ ~SD SECTION !: MITIGATION ,. PREV~ION, ABATEMEN'F PROCEDURES SECTION 2: NOTIFICATION AS'D EVACUATION PROCEDL'~ES AT TI{IS B~.'iT 0.~L¥ ~ ~ · TE/FACILIT¥ DI RAM '/ FLOOR: 0F ,,NO~H SCALE: ~"=50' BUSINESS NAME: ~W~ ~ ~ ~ ~ / ~ FACILI~ D I AGR.%M / (CHECK ONE) SITE DI-AGR.%M Inspector's Comments): -OFFICIAL USE ONLY- - SA - SECTION 3: HAZARDOUS )I~T~.,RIALS FOR T~I,~ IF¢IT A. D'oes ~his Facility Unit con~a;_n [{;~zardous }{a~er~:.]!?? ...... If YES, see B. If NO. continue with SECTION 4. B. A~e any of the hazardous materials a bona fide T~de Secret YES If No, complete a separate hazardous materials inventory form marked: NON2TRADE SECRETS ONLY (~hite form If Yes, complete a hazardous materials inventory form marked: T~DE SECRETS ONLY (yellow form ~4A-2) in addition to the non-trade secr,,t form. List only the trade secrets on form 4A-2. SE~ION 4: PRIVA~ FIRE PROTECT!ON SECTION 8: LOCATION OF L'I'ILIT%'. Sh-u'T-OFFS AT TI{IS U~IT ONLY. ,A. XAT. GAS.,'PROPANE': No~J~ -' LOCK BnX YES L l' ? YES g ,"Tr. P~..X;;~' ':'ES '.'r . . ~'. .... FLOOR PLAX.~: ? ',.'~ g X:O ~-:EVS" \'FS x:O ! NON--TRAI) B IIAZAllDOU~ ~AI'~ RI ALg' I NVEN'rOllY tlAN ANNUAl. ,I,()CATiOH IH TIII9 AHIIIIUI' AHI)UHI' FAC UNIT CIIEHI~AL OR CUFIFIOH HAHE C()I)E O0 I oo ., ., AFTER flUS IIRS: uNOCALe Emergency ResDonse and Evacuation Plan for Unocal SS# 1. TURN OFF PUMPS using the EMERGENCY PUMP SHUT-OFF switch located o~ ~ ~ ~ ~ ~,~ ~~ 2. ANNOUNCE: to all persons on'the site: "There is an emergency. Please turn off your engines and leave the station on foot immediately." 3. CALL HELP by dialing 9-1-1 and giving the following information: "THERE IS A (FIRE) (DANGEROUS GASOLINE SPILL) 'at If anyone is trapped or neeas'medical attention, tell the answering dispatcher. Stay on the phone'and be prepared to answer any questions concerning the situation. 41 LOOK AROUND to assure that all others have left the station,'particularly those in vehicles who may need assistance or may not have heard the emergency announce- ment. Assist, or direct assistance to, anyone having difficulty in leaving the station area. 5. ATTEND ANY INJURED persons and direct incoming assistance to them. 6. ATTEMPT TO EXTINGUISH any fire if you can do so safely. Have the extinguisher ready to use in the event of any dangerous spill. Try to contain any large spill, or use absorbent on smaller spills. 7. REPORT to arriving emergency response personnel to provide them any information or assistance they may need· 8. NOTIFY the following : 1. UNOCAL representative (name/phone #): .w,t..um~ 2. Local agency (name/phone 9): ~A~5~ ~RE 3. State Office of Emergency Services: (800)852-7.550 (24 hrs.) Initial and annual refresher training plan for your business: Initially and as necessary thereafter, employees are familiarized with the loCation, containment, and potential dangers of the hazardous materials on the. site. Employees are trained on the location and use of emergency equipment including fire extinguishers, shut-off switches, and first-aid kits. UNOCALe BAFETY TRAININCB PRClGEDUREB Employees must be given this training before s~arting work, ar~ refresher courses must be provided as needed. In the city of San Luis Obispo, this is every year. Records should be kept to show when each ~plOyee of the station has been given his/her safety tra/ning. I. FIRST ~14/NGS TO KNCW: A. EMERGENCY P~MP SHUI~CFF: This turns off the turbine pumps that provide flow to the dispensers fr~n the underground %~%nks. In case of a leak, shutting off the pumps will help to prevent spills. LOCATION: B. k~.~fRICAL PANRI.: The 'panel allc~s you to selectively cut off pow~_r to lights, signs, pumps, etc. The main switch kills .all po~_r at the site o LOCATION: C. ~R SHUT-CFF: The ~ater shut-off may be necessary in very rare cases. LOCATION: D.FIRST AID KIT:' I/3CATION: E. FIRE EXTINGUISHERS: Use °nly on Small fires that YOu can hamd']e. Do not attempt to har~le large fires on your own; call 9-1-1 inst~. F. ABSORBENT: In the fozm of crystals or cloth, absorbent can soak up small spills of gasoline, diesel fuel, or other petroleun products. Absorbent should be Used rather than washing spills down a drain. In case of large spills, merely try to contain it; a vacuun truck should be used to pu~p up any large spills. Page 1 of 3 II. EMERGENCY RESPONSE PLANS AND PROCEDURES 1. TURN OFF PUMPS using the EMERGENCY PUMP SHUT-OFF switch located 2. ANNOUNCE: to all 9ersons. on the site= "There is an .emergency. Please turn off your engines and leave the. station on foot 'immediately.,, 3. CALL HELP by dialing 9-1-1 and giving the following information: "THERE IS A (FIRE) (DANGEROUS GASOLINE SPILL) at If anyone is tragped or needs medical attention, tell the answering disgatcher. Stay on the phone and be 9repared to answer any questions concerning the situation. 4. LOOK AROUND to assure that all others have left the station, particularly those in vehicles who may need assistance or may not have heard the emergency announce- ment. Assist, or direct assistance to, anyone having difficulty in leaving, the station area. 5. ATTEND ANY INJURED 9ersons and direct incoming assistance to them. 6. ATTEMPT TO EXTINGUISH any fire if you can do so safely. Have the extinguisher ready to use in the event of any dangerous spill. Try to contain any large spill, or use absorbent on smaller spills. 7. REPORT to arriving emergency response personnel to provide them any information or assistance they may need. 8. NOTIFY th~ owner or manager of the station.' That'person shall be responsible for contacting UNOCAL ~t (415) ~t-q~12; and also for notifying any.local health or envirohmental agencies. Page 2 of 3 III. FIRST AID PR~ (For exposure to gasoline or diesel fuel): A. EYE CONTALT: For direct contact, flush the affected eye(s) with clean water. If irritation or redness develops, seek medical attention. B. SKIN CONTACT: Wipe product from skin and rerove soaked clothing. Cleanse affected area(s) thoroughly by washing with soap and water. If irritation and redness develops and persists, seek medical attention. Do not use solvents or thinners to r~ve product frc~ skin. C. IAHALATI~N (Breathing): If symptoms of exposure develop, move victim away fr~ source of exposure and into fresh air. If s~ persist, seek medical attention. Symptc~s include; flushing, blurred vision, dizziness, nausea, h~aache, drowsiness, loss of coordination, and fatigue. If victim is not breathing or if breathing difficulties develop, artificial respiration or oxygen should be administered by ~ml ified personnel. Seek inxuediate medical attention. D. IN~FSTI~ (Swallowing): DO NOT INDUCE VOMITING BECAUSE GASOLINE CAN ENTER LUNGS AND CAUSE SEVERE LUNG DAMAGE. If victim is conscious and alert, give 2 to 3 cups of milk or water to drink. Seek medical attention. E. For further information, consult the Material Safety Data Sheet (MSDS) for these products. FIRST A~D FOR EXPOSURE TO (Ii, ER MATER/ALS: Consult warning advice on con~ i her labels. CERTIFICATION I, , certify that the above information will be used to fulfill my business's obligations under the laws and that inaccurate information constitutes perjury under the law. Signature Title Date Page 3 of 3 r'UNOf. AL~. SAFETY TRAINING I. OG DATE OF INITIAL EMPLOYEE NAME TRAINING DATES OF ANNUAL REFRESHER TRAINING UNDERGROUND TANK MONITORING PLAN UNOCAL ]~4ERI~TCY PPE)NE: (415) 5~1-9322 (24 HOURS) PH(~IE: (800) 852-7550 (24 HOURS) UNT~ADED: K GAL. S/D (SINGT_E/DEX3BI~ ~ZkT~,) SUPER: K GAL. S/D DIESEL: K GAL. S/D ~ OIL: K GAL. S/D k~~C (rev 12/4/87) ~ by 1~0]~ H. T~'~. & ~_~~, INC. TABLE OF'CONTENTS Section 1. LEAK RESPONSE. PROCEUJRE Page 3 E~kILY INVENTOR~ OONTROL FOR SINGLE ~T.L TANKS Page 4 Record Keeping And Notification For Fuel Tanks Waste Oil Tank Gauging Procedure What To Do If You Exceed The Allowable variation Section 3. ~ TANK M0~ITC~lqG PLAN: DAILY INSPECTION FOR DOUBLE ~ALL TANKS Page 6 Recordkeeping And Notificatic~ For Annular Space for Section 4. PIPING ~ OC~FZg_~fl~T M~ITORING Page 7 Recordkeeping and notification for Piping Section 5. ME1TDD FOR OVERFILL/SPILL ~ON AND ~AN-UP Page 8 Deliveries/Gauging Ball Vent Line Float System Waste Oil Tank Clean-up/R~cords Section 6. INSPECTI°NS TO ~E O00RDINATED BY UNOCAL Page 10 Section 7. FORMS TO BE ~: Quarterly Report Page: llA Inventory Reconciliation Sheet llB Waste oi~ Tank Gauging Sheet ~C Unauthorized Release Report (for referenoe only) llF Dispenser Meter Calibration Form (for reference only) llG If your station has SINGLE-W~T.L TANKS, you are responsible for Sections 1, 2, 5 and 6, and Section 7 Forms A, B, C, E, F, and G. If your station has DOUBLE~T.T. TANKS, you are responsible for Sections 1, 3, 5, and 6, and Section 7 For~s A, D, E, F, and G. If your station has PIPING ~Y CC~T~I~T, you'are additionally responsible for Section 4 and Section 7 Form D. Page 2 of 10 8ECTION 1 LEAK RESPONSE PROCEDURE In the event of a leak or suspected leak in the tanks and/or piping, the following s~s 1. Shut down the slrstem using the ~ Pump Shut-Off Switch. 2. In case of extreme Em~_rg~ dial 9-1-1. 3. Contact Dealer/Owner or a designated responsible substitute. 4. Contact UNOCAL Retail Representative or UNOCAL ~e~gency Phone. UNOCAL will notify the appropriate State and Local agencies unless the situation requires urqent immediate response by the agencies, in which case the DF_~TRR should notify those agencies (see cover sheet). 5. Dealer should attempt to isolate leak location by inspection. 6. UNOCAL Retail Representative will coordinate with UNOCAL Maintenance and' Construction whatever corrective actions ~ to be taken beyor~ the Dealer's capabilities. UNOCAL .Maintenance and Construction will file an Unauthorized Release Report, and send a copy to the station for the Dealer's files. Page 3 of 10 SEC:I'ION 2 'CIAII,.Y INVENTORY FOR EINGI-B WAl-I- TANK E INSPECTIONS TO BE CONDUCTED BY DEALER 2. Daily visual inspection for leaks shall be made in the areas of: - Tank Fill (also inspected after eac~ delivery). ~3. Dealer ~3ST be aware that a reduction in product flow to 3 gallc~s per m~nute (gpm) indicates a potential piping leak. FUEL TANK GAUGING PROCEDURE 1. Use a gauge stick (dipstick) to measure the level of gasoline in each tank. ~ the stick slowly until it hits the bottom of the tank. /he use of fuel-finding paste is 2. Slowly pull the stick back out, and observe the point where the stick begins to be discolored by the liquid. 3. . Write this number down, and repeat the same procedul~. If the two numbers are not' close, repeat the procedure until the numbers agree. 4. Enter the final number in the "Dipstick Recordir~ Sheet". If it is raining water can spoil the read/rigs, 'and .should not be allowed to enter the tank. If it does not stop raining, care must be taken to ensure the stick readings are aouurate. RECORDKEEPING AND NOTIFICATION FOR FUEL TANKS 1. Use your dealer books to keep track of your day-to-day dipstick reading. 3.. Record all deliveries in your dealer books. 4. ~ne dipstick, ~ ~ter, and delivery re~rdin~ are to be u~d daily in fillin~ out the "Inventory Reconcilation Sheet" (Form attached). 5. A "~a~terly Report" (Form. attached) must be filled out, and a copy sent to local agencies, along with the "Inventory Reconciliation Sheets" for that period. Send · these forms to the local agency shown on the cover, sheet. FF~D OOP~ OF ~{ESE FORMS FOR YOUR OWN P4DOORDS. If you exceeded the allowable variation during this period; do not forget to include the '5~_lease Evaluation Checklist". Page 4 of 10 ] WASTE OIL TANK GAUGING PROCEDURE 1. To monitor the inventory level in the waste oil tank, be pre~r~ to have the tank locked for at least 24 hours. This shall be done weekly. NO /ATUPS OR WTIPEX~RAL~ S~-]ATL ~ ]3Ui:~ING %~"]E~-q~ PERIOE~. 2. Stick gauge the tank immediately before closing access to the waste oil tank, and immediately after reopening the tank, and enter t_hose numbers in columns C and D of the 'Waste Oil Tank Gauging Sheet" .(attached) in both ~ and gallons. 3. The difference betw~_n those two columns is the actual variation (column E). 4. For allowable variation (Column F), use 2.8 gallons if you have a 280 gallon capacity, or 5,0 gallons if you have a 520 or 550 gallon tank. 5. A "~,mrterly Report"~ form must be filled out and a copy sent to the local agency indicated on the bottom of page 3, with the '5~aste Oil Tank Gauging. Sheets" for that period. ~ OOPIES OF ~ FO~ FOR YOUR OWN RECORDS. If you exceeded the allowable variation in this period, do not forget to include the '5~_lease Evaluation Checklist". WHAT TO DO IF YOU EXCEED THE ALLOWABLE VARIATION If you EVER exceed the allowable variation (Inventory Reconciliation Sheet, colun~ B, or Waste Oil Tank Gauging Sheet, column G), follow the RESPONSE PROCEDURE shown on Page 3. Notify your UNOCAL representative within 12 hours of discovery of a suspected leak.' UNOCAL will be responsible for coordinating one or more of the following: - Performing a metered vs. measured inventor~ reconciliation. - Contacting the appropriate State and Local agencies. - visually inspectin~ for leaks. - Hiring a tank tester to determine if there is a leak. - Having the tank(s) and/or piping repaired or replaced if necessary. ~ne '~Jnauthorized P~_lease Report" must be sent to the local agency shown on the cover sheet, within 5 days. ~ will be done by UNOCAL. The '5~_lease Evaluation Checklist" must be attached to the "Inventory Reconciliation Sheet", or the '5~aste Oil Tank Gauging Sheet" where the allowable variation was exceeded. Page 5 of 10 SECTION .3 DAILY INSPECTION i=OR DOUBLE WALL' TANKS INSPECTIONS TO BE CONDUCTED BY DEALER 2. Daily visual inspection for leaks shall be made in the areas of: - Sk~marged pump. - Tank fill (also inspected after each delivery). 3. Dealer ~3ST be aware that a reduction in product flow to 3 gallons per minute (gpm) indicates a potential piping leak. TANK ANNULAR SPACE MONITORING Tank Secondary Corfcainment (annular space) shall be monitored daily by the dealer, unless a less fz~quent period is allowed. This is done to determine if gasoline is leaking from the primary container or if water is entering f;-~-~ an outside source. ~ procedure is not necessary if an electronic monitoring system is installed. 1. Use a gauge stick (dipstick) to detect any liquid in the tank annular space. Lower the stick slowly until it hits the bottom of the tank annular space. 2. Slowly pull the stick back out and observe whether the stick h~.~ been discolored by liquid. If gasoline is detected, immediately contact your representative. 3. Write this ~ down, and repeat the same prooedure. If the two numbers are not close, repeat the procedure until the numbers agree. 4. Enter the final number in the "Secondary Containment Recording Sheet" (attached). NOTE: The tank slopes 1/8 inch per foot. minimum toward the monitoring port. 1. F~ep track daily of the liquid level in each tank on the "Secondary 2. If the water level in the annular space reaches 2 inches, call your UNOCAL Representative. If ANY fuel is discovered in the annular space, call your representative I~4ED~, and explain the situation. 3. If the representative has been notified, but after 8 hours it bas not been possible to remove all the liquid from the annular spaoe, dealer'must contact the local agency. shown on the cover sheet. Unocal will then complete an '~3nauthorized Release Report" 4. A "(~mrterly Report" Form must be filled out and a copy sent to the local agency. If you had any liquid in the annular space that you were ur~__ble to re, ye in 8 hours, then the 'q%elease Evaluation Check List-" must be included for that date. OF THESE ~ FOR YOUR OWN RECORDS. If t_his station is equipped with an electronic monitoring symte~ for underground tanks and piping, in the event of a leak in the primary containment, product will be contained in the annular space. The sensors for the electronic monitoring system are located at the low end of each tank, and at the low end of the piping where the product will drain back into the tank. ~here may be sensors at additional locations. Sensors.will signal the presence of a leak. If a leak is discovered, the '"Jnauthorized Release Report" ~ust be sent to the local agency Evaluation Checklist" must be attached to the "Quarterly ~port." Page 6 of 10 SECTION 4 PI PI NB CONTAI NME NT MONITORING_ PIPING SECONDARY CONTAINMENT MONITORING The piping trench liner or double-wall piping, if present, shall be monitored daily by the · dealer, unless a less frequent period is allowed, or if electronic mo .nitoring b~ been installed. Contact your representative for monitoring port locations. '* 1. Use a gauge stick (dipstick) to measure the level of liquid in the piping trench liner monitoring w~lls. Lower the stick slowly until it hits the bottom of the well. 2. Slowly put the stick back out, and observe the point where the stick begins to be discoloi~d by the liquid. If gasoline is detected, immediately contact your representative. 3. Write this number down, and ~ ~repeat the same procedure. If the two numbers are not close, repeat the pro~ until the numbers agree. 4. Enter the final number in the "Secon~ Conta~ Recording Sheet" (attached). NOTE: Piping trench monitoring wells consist of slotted PVC pipe which allc~s liquid intrusion and a manhole for access. Wells are located at the low~st point of the fiberglass trench liner. · RECORDKEEPING AND NOTIFICATION FOR PIPING 1. Keep track daily'of the liquid level on the "Secondary Containment Recording Sheet". ~2. If the water level in the trench liner reaches 2 inches, call your UNOCAL representa- tive. If ANY ~_el is discovered in the trench liner, call your representative I~2~DIATELY, and explain the situation. 3. If the representative has been notified, but after 8 h°urs it ham not been possible to remove all the liquid f-ro~% the trench liner, dealer must contact the local agency 4. A "Quarterly Report" Form must be filled out and a copy sent to tb~ local agency. If you had any liquid in the trench liner that you were unable to remove in 8 hours, then the '5~elease Evaluation C~ecklist" must be included for that date. ~ OOPTF~ OF DIAGRAMI DOUBLE WALL TANK DOUBLE WALL PIPING PIPING TRENCH LINER *lONrll~t~ '~ ~ "*~.' '. ~' .' · ~,'* ~-' ~ '.'* ~ .'~**~ Pc~r ~- .,'.,.,.,.,. , - ..~-p'~ .'- ..... "~ "' '~-'-~1 ' 'Page 7 of 10 SEC:I'ION 5 METHOD FOR OVERFIL-I./ plI-I- ' I::IROTECTION AND CI. EANUFI 1. DELIVERIES/GAUGING Dealer is to responsible to ensure that the delivery.he or she requests is not in exDess of the tank capacity, taking into consideration the amount currently in tank. Driver is to gauge tank to assure capacity is available for the entire lOad and must . -,-em~in in atter~ance during the entire delivery to monitor the operation. 2. BALL VENT LINE FLOAT SYSTEM (Only for double-wall tanks installed after July, 1986. ) /he ball flOat valve system installed with the tank substantially prevents the possibility of overfill occurring. If the tank is filled to the ball flOat level, the petrol~ product delivery will be cut to 3 gallons per minute alerting the driver of a potential overfill condition. In the event that this occurs, the following actions A. ~he delivery truck driver shall turn off the petroleum product supply at the truck, leaving the hose fully connected to the tank fill pipe and the truck. B. /he small amount of petroleum product ;-~-~-edning in the hose shall be slowly drained into the tank. Since the ball float valve is 2 to 3 inches below the top of the tank, there remains a 100 + gallon capacity within the tank at the moment when the ball flOat closes off delivery. The bleed hole in the ball flOat valve allc~s the z-~sining petroleum product in the hose to completely drain through the fill pipe into the tank. C. ~ne hose sb~l 1 he d~ from the fill pipe only when it has fully drained. In the event that spillage occurs upon hose disconnection, the remaining small amount of petroleum product will be properly contained. 3. WASTE OIL' TANK A. Station is equipped with waste oil buckets which hold a maximum capacity of 3 gallons-(about 3 to 4 cars' worth of waste oil). B. Prior to dumping any waste oil, dealer is to gauge the tank to assure that holding capacity is greater than that which will be put into the tank. 'C. Waste oil is poured directly through fill/pump out pipe, using a funnel. Should any waste oil spill during this operation, 'it will be properly contained using absorbent mterials. Page 8 of 10 CLEAN-UP/RECORDS ~ A. Small spills (less than 1 gallon and' c~ly reqn~rin~ 15 minutes to clean up) shall be cleaned up using absorbent materials. B. Larger spills shall be reported to the terminal by the dealer and/or by delivery truck driver. The terminal supervisor will notify a local petroleum mintenance contra~r who is equipped with a N.F.P.A. approved type hand pump, vacuum and C. Spills shall be cleaned up within 8 hours of detection, returned to local terminal and/or disposed of in a lawful-manner. D. Dealer shall record all spills whether it is due to delivery overfill or accidental spillage, which exceeds approximately one g~llon, ar~ action taken on the '~%~cordahle Discharge Log" (form attached). E. Large spills (more than 1 gallon) must be reported to the local agency indicated on the bottom of page 3 within 24 hours. If the spill is large enough to pose a significant hazard, it must also be reported to the California Office of Emergency Services at 800-852-7550. IN CASE OF ~G~qCY CALL 9-1-1. Page 9 of 10 SECTION 6 INBI:IECTION8 TO COORDINATED BY UNOCAl- Yearly testing shall be made of: 1. Pressurized piping s~ shall be monitored using c~-line leak detectors. Leak detectors sk~]l be tested yearly for proper operation. Dealer ~3ST be aware that a reduction in pruduct flc~ to 3 gallons per minute (gpm) indicates a potential pipir~ l~k. 2. Tanks and piping shall be tested yearly for tightness, using a State-Certified t~st system. (For'nc~-secondary contained tanks and piping ~nly). 3. .Dispenser core holes and shear valves shall be anr~ly inspected by Unocal for signs of leakage. 4. Dispenser meters (recording total sales in gallons) shall be calibrated once annually be Unocal. Any additional calibratio~ will be the responsibility of the dealer. Use the "Dispenser Meter Calibration Form". Page 10 of 10 ~ mc~itoring of vadose wells and groundwater monitoring wells is ccmtracted, out to Applied Geo Systems.. Mcnitorin~ is performed monthly for vapor analysis of t_he vadose wells and subjective analysis for traces of product in the groundwater monitoring wells. Monitoring is performed q~rterly for laboratory analysis of groundwater samples. Monitorin~ records are maintained on-site in an orange birder in the dealer's office, and are a~ailable for inspection. UNOCAL QUAR'I'ERI. Y REPORT Facility Name: Tank# Slze Product Facility Address- I hereby certify under penalty:of perjury that all product level variations for.the above mentioned facility were within allowable 1 lm£ts for this quarter . (No in Column 13,, Inventory Reconciliation Sheet, or Column G, .Tank Gaug.i~Sheet, or no excessive liqu/d in the Tank " Annular iSpace or Piping Trench Liner.') --~ Inventory variations exceeded the alloWable limits for this quarter. I hereby certify under penalty of perjury that the source for the variation was not due to an unauthorized (leak) release. (Yes in Column G of the Tank Gauging Shee~.) List date, tank #, and amount for all variations that exceeded the allowable limits: Date Tank # Amount. The quarterly summary report shall be submitted wi:hln 15 days of the end of each quarter. Quarter I - January --) March --su]mmit by April 15 Quarter 2 - Aprl 1 --) June ---suhnit by July 15 Quarter 3 - July --) September --sukxnit by October 15 Quarter 4 - October -~) December --suhnit by January 15 Send to: (Local Agency) K~P COPIES OF THESE FOF~4S FOR YOUR OWN RECORDS. ' ' Include the following forms if applicable: Inventory Reconciliation Sheet; Waste Oil Tank Gauging Sheet; Secondary ContaJ_ranent Recording Sheet; Release Evaluation Checklist; Unauthorized Release Report. Pace 12A UN0CALe FIIJ~ OUT THIS FO~ EL~ILY INVENTORY REC::ONC:I'-IATIC]N SHEET ~oR s~-~ x .~15 ~ +/_ x .~15 ~ .+/- 4,000 ~ 7,500 g~. 50 gal. 8,000 or 10,000 gal. 75 UNOCALe m~ ~~ ~ ~ WASTE OIL TANK GAUGING SHEET Gauging Period Inventor7 Variations A B C D E ¥ G Opening ClOsing ' * Exceed From To Dipstick Dipstick AcZual All°wa~le Allowabl.e Reading Reading Variation Varlatlon Variation (C-D) Is "Date/T~me Date/T~ae finches 6a~ons ~ncnes ~allons: Ga~ons +/- uallons YeS/NO +/- +/.- +/- +/- +/- +/- +/- +/- +/- +/- +/- +/- +/- +/- +/- +/- +/- +/- Allo~eble Variation x .0! = I~ Total is 0 --) S - Enter'Exact ~mount Tank S~ze '' Total Over $ - Enter 5 · * If you answered Yes in Column G, an unauthorized release (leak) shall be assumed ~o have occurred. All leaks shall be reported within 24 hours tof Page 12C UNOCAL~ ~ ~ ~',K~ ~ ~y ~:~ 8ECGNDARY CQNTAINMENT RECORDING 8HEBT Tank #1: Tank #2: Tank #3: Tank ~4: Trench diner Date! Water .?uel Water Fuel Water Fuel Water Fuel Wa t~=r 1 2 3 4 5 6 7 8 9 10 11 12 '17 20 21 22 23 24 25 26 27 28 29 3O 'If there is ARSf fuel, call your representative immediately. Paae 12D .. / ..'?:?:-,:. :.'. RELEASE EVALUATION CHECKLIST Facility Hame: Tank O: Slzet Productt The allovable verlatlofl wes exceeded; Dete/Tlme~ Check o~f each 8tep as It is completed. I~ completion o~ any o~ the nteps revealn thq reason for exceeding;the allovable variation It Is r~t necessary to complete the remainder o~ the-steps. Ste~ i 0 ~s ~evtewd Dtte/Ylne: Should be done ~ by, wi~n 2 h~s. st~ ~ ~ ~ '~Jltatl~ ~ ~t~: S~uld ~ done ~ b~: wi~n 24 ~s. St~ 3 ~ ~ ~ ~tl~l~ ~t~l~: S~uld ~ done ~f~ b~: wi~n 24 ~s. St~ 4 ~ ~ ~1~ fr~ !~ Static ~t~l~ S~uld ~ done Situti~ (~ ~ ~ bT ~ bT, ~ 24 ho~s. ~lltlM.'~.) St~ S ~ ~llltf ~NI~Ilf l~M.t~ ~te~lM, Should ~ done ~ide~ ~ ~ ~ bf~ wi~ 2 ~ys. ~M (~lele ~t~ ~l~atl~ ~ hf~ S~uld ~ done ~~ ~ 3 ~ys. St~ 7 ~ ~atlc ~e ~ ~ PI~I~ ~1~, S~uld ~ done ~ ~ b~: ~ 4 ~ys. 'St~ 8 ~ '~lsl~ ?aM ~ ~ ~te~lM~ S~uld ~ done ~ bf: wi~ 5 ~ys. S~ 9 ~ ~itl~i 4~l~ati~ ~ ~. ~t~lMz S~uld ~ done f~lrM bY ~ bY' wi~n 5 ~ys. ~r~be ~le~.ly the Fe~ ~he mllo~le w~tdtio~ ~a8 except; I Hereby Certify this to be a Tcue and Accurate Report. $igrmture/Datet Attach tkis rel~xt to Form B, C, or D where allouaMe v~i,tioe uss es:eedM. =Page 12E ~ C LETE THIS FORM IN EVENT ~' UNOCAL~ ~ o~ co~,~-~.~ o~ s~ UNA!JI'NOI:IIZEO. RE~ASE REPORT Permit #.. Tank # FaC!llty Name: Slze~ Fac'lllt¥ Address: Product: Date leak was discovered: Approximate date leak'began: Describe,fully the cause of the leak: How was the leak discovered? Has the leak been stopped? Date leak was stopped: How was the leak stopped? Resources affected: yes no threatened unknown # of wells Air (Vapor) Soil Groundwater Surface Water/Storm Drain Building or Utility Vault Other {specify) Water Supplies Affected: Public Drinking Water Private Drinking ,Water Industrial Agricultural Other Submit this form within 5 days of the discovery of a leak or suspected leak. Send to: ~1 AgencTwithQua_~rlyRe~rt. · Page 12F UNOCAL(i) " CALIBRATION FORM Fecllltyt Ho~ez 1~ All uet~ ~hall bare caln~ration c~k~ a ninluuu th~ ~tnent o~ Velghts a~ ~~. 2. ~f~e st~tl~ ~llbretlon ru~, ~t the calibration can ~ith pr~uct aM ret~n pr~t to st~ege. 3. ~n 5 gell°~ ~lth ~szle ulde ~n into the Mote gello~ eM ~ic l~ dra~. aM ret~n pr~t to storqe. 4. ~n S valio~ ~ith the ~zzle o~1~ o~n into the can. Note galloM eM ~lc i~h~ ~mun. ret~n.pr~t to stor~e. S. l; the volu~ u~ In a ~alion calibration carl tn uo~e than 6 ~tc t~h~ ~ o~ ~t~ the ~ellon'~k. the met~ ~ut~ ~tt~ration e r~tnter~ devi~ repalrun. Calibrator's Signature ,l~tstt'atloe ~ Page 12G