HomeMy WebLinkAboutBUSINESS PLAN8/25/2003JOHNNY'S FOOD MART . SiteID: 0 - ~- 08
BusPhone:
(661)
Manager :
326-1309
Location: 2612 BUCK OWENS BLVD ~ ~%%~
Map : 102 CommHaz : Low
City : BAKERSFIELD Grid: 23D FacUnits: 1 AOV:
CommCode: COUNTY STATION 66 SIC Code:5541
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
HAING YAM / OWNER /
Business Phone: (661) 326-1309x Business Phone: ( ) - x
24-Hour Phone : (661) ~ qg~;~ 24-Hour Phone : ( ) - x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire ImmHlth DelHlth
Contact : Phone: (661) 326-1309x
MailAddr: 2612 BUCk-OWENs BLVD -'-star-'e: CA
City : BAKERSFIELD Zip : 93308
Owner HAING YAM Phone: (661)
Address : ~[5-OF' ~-~)Jl~'5~J-~,~-. State: CA
City : BAKERSFIELD; C~r ~%~%% Zip :
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif 'd: RSs: No
ParcelNo:
Emergency Directives:
-1- 08/14/2003
~JOHNNY'S FOOD MART SiteID: 015-021-000308
STORAGE CONTAINER DATA (UST FORM A)
Last Action Type:
FACILITY/SITE INFORMATION
Business Name: JOHNNY'S FOOD MART
Cross Street :
Business Type: Org Type:
· Total Tanks : 3 IndnRes/Trust: No PA Contact:
Name ~V~q ~ PROPERTY OWNER INFORMATION
: Phone: (~) ~3' ~x
Address: ~b~~%a ~0u%
City : ~VK ~ ~ State: ¢~ ZiP:
T~e :
~ T~K O~ER INFOR~TION
Name : ~ ~ Phone: (~{)~-~x
Address: %~ ~~
City : ~~[~ State:~ Zip: ~(/
T~e :
BOE UST Fee~ : 036116 ....
Financ' 1 Reap: STATE F~D
Legal Notif : Tank.Owner Mailing Address
Date: 12/27/2001 Phone: (661) 326-1309x
Name: ~ING Y~. Ttl: OWNER
State UST ~ : 1998 Upg Cert~: 00721
2 08/14/2003
Manager :
Location: 2612 BUCK OWENS BL~ Map : 102 Com~az : Low
City : B~ERSFIELD Grid: 23D FacUnits: 1 AOV:
c0mmcode: CO~TY STATION 66 SIC Code: 5541
EPA Nu~: DunnBrad: ~
Emergency Contact / Title Emergency Contact / Title
~ / ~AGER S~ / ~
Business Phone: (661) 326-1309x Business Phone: (661)
24-Hour Phone : (~i) ~6~ 24-Hour Phone : (661)
Pager Phone : (~/)~Q-~~ Pager Phone : (~)~7 -~x~
Hazmat Hazards: Fire Im~lth DelHlth
Contact : Phone: (661) 326-1309x
MailAddr: 2612 BUCK OWENS BL~ State: CA
City : B~ERSFIELD Zip : 93308
· O~er :%~P iiC{~TMEi:TS ~ ~ t ~ ~ ~ Phone: ~
Address : ~0~ ST CA~LN~o~ ~~H~R ~ State: CA
City . : ~EnSFIELD ~n~R~(~/~ Zip : 9330~
Period : to TotalASTs: = Gal
Preparer: ~, TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
i, ~,,?~ ~// DO hereby certily that I have
~ '(Type ~r print ~ame~ ~
reviewed the attached hazardous materials manage-
ment plan for ,~rn ~)oq ~ P.,,_,,3 and that it along with
' "(Nhh~e or Business)-
any corrections constitute a complete and correct man-
agement plan for my facility.
-1- 10/31/2000
F ARCO AM PM MINI MART SiteID: 015-021-000308
STORAGE CONTAINER DATA (UST FORM A)
Last Action TYPe:
FACILITY/SITE INFORMATION
Business Name: ARCO AM PM MINI MART
CroSs Street :
Business TYPe: Org TYPe:
Total.Tanks : 3 IndnRes/Trust: No PA Contact:
PROPERTY OWNER INFORMATION
Name :~ ~ ~ ~ ~ ~ ~1__~ ~ PhOne: (661)
Address:City : ?~oi ~~~ ~,~ ~ State: Zip: ~
TYPe
Address:
City : ~.~ ~ Ca~OU~Q~ State: Zip:
Type :
BOE UST Fee# : 036116
Financ'l Reap: STATE FUND
Legal Notif : Tank Owner Mailing Address
Date:04/13/2000 Phone:
Namo:~3~E.qESH p~ET= ~ Ttl:OWNER
State UST # : ~~ c4~00~~
1998
upg
Cert#:
00721
~- Hazmat Inventory One Unified List
--As Designated Order Ail Materials at Site
Hazmat Common Name... ISpooHazlEPA HazardsI Frm DailyMax lUnitlMCP
PREMIUM UNLEADED F IH DH L 10000.00 GAL Mod
UNLEADED PLUS GASOLINE F IH DH L 10000.00 GAL Mod
UNLEADED GASOLINE F IH DH L 10000.00 'GAL Mod
-2- 10/31/2000
F ARCO AM PM MINI MART SiteID: 015-021-000308
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site
PREMIUM UNLEADED Days On Site
365
Location within this Facility Unit Map: Grid:
NORTHEAST CORNER UNDERGOUND CAS#
8006-61-9
Liquid Pure Ambient Ambient UNDER GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
GALI 10000.00 GAL 5000.00 GAL
HAZARDOUS COMPONENTS
%Wt. ~SI CAS#
100.00 Gasoline N 8006619
HAZARD ASSESSMENTS
TSeoretl RSiBi°Hazi Radioactive/Am°unt ,EpA HazardsI I I to NFPA USDOT# MCP
No N No No/ Curies F IH DH / / / Mod
~- Inventory Item 0002 Facility Unit: Fixed Containers on Site 7
UNLEADED PLUS GASOLINE Days On Site
365
Location within this Facility Unit Map: Grid:
NORTHEAST CORNER IINDERGROUND CAS#
8006-61-9
F STATE -- TYPE PRESSURE ~ TEMPERATURE CONTAINER TYPE
Liquid Pure Ambient Ambient UNDER GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
GALI 10000.00 GAL 5000.00 GAL
HAZARDOUS COMPONENTS
100.00 Gasoline N 8006619
I Tsecret,. , RS , BioHaz HAZARD ASSESSMENTS
Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No ]No I No No/ Curies F IH DH / / / Mod
3 10/31/2000
F ARCO AM PM MINI MART SiteID: 015-021-000308
= Inventory Item 0003 Facility Unit: Fixed Containers on Site
-- COMMON NAME / CHEMICAL NAME
UNLEADED GASOLINE Days On Site
365
Location within this Facility Unit Map: Grid:
. NORTHEAST CORNER UNDERGROUND CAS#
8006-61-9
LiqUid Pure Ambient Ambient UNDER GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum I Daily Average
GAL I 10000.00 GAL I 5000.00 GAL
· HAZARDOUS COMPONENTS
I
100.00 Gasoline N 8006619
HAZARD ASSESSMENTS
I TSecret I NRoS IBiOHazNO No Radioactive/AmountNo/ Curies FEPA HazardsiH DH NFPA/// I USDOT# IMCPMOd
-4- 10/31/2000
F ARCO AM PM MINI MART SiteID: 015-021-000308
Fast Format
~ Notif./EvaCuation/Medical Overall Site
--Agency Notification 08/02/1994
CALL 911 EMERGENCY RESPONSE
OFFICE OF EMERGENCY SERVICES 1-800-752-7550
CORPORATION OFFICE 1-805-665-9135
-- EmploYee Notif./Evacuation 08/02/1994
EMPLOYEE'S ARE NOTIFIED TO GO ACROSS THE STREET TO DENNY'S AND REMAIN THERE
AND CALL 911. THEY ARE TO STAY THERE UNTIL IT IS SAFE.
Public Notif./Evacuation 08/02/1994
MAKE SURE THERE IS NOBODY IN THE PARKING LOT IN THE EVENT OF ANY MAJOR
ACCIDENT. BEFORE THEY LEAVE THE SITE, THEY ARE TO MAKE SURE NOBODY IS
Emergency Medical Plan 08/02/1994
MAKE'SURE ALL THE EMPLOYEES FILL OUT THE FORM THAT HAS THEIR DOCTOR'S NAME &
HOSPITAL NAME AND THE PHONE NUMBER WHERE THEY WANT TO BE TAKEN. ALSO, GET
THE TWO NAMES OF THE FRIENDS OR RELATIVES WHERE WE CAN REPORT ANY EMERGENCY
AND ALSO GET THEIR PHONE NUMBER, ALSO, WE HAVE A LIST OF MEDICAL FACILITIES
CAPABLE OF HANDLING AN ACCIDENT INVOLING A HAZARDOUS MATERIAL EXPOSURE.
-5- 10/31/2000
F ARCO AM PM MINI MART SiteID: 015-021-000308
Fast Format
= Mitigation/Prevent/Abatemt Overall Site
--Release Prevention 07/22/1994
1) LEAK DETECTORS
2) SUMP LIQUID DETECTORS W/TURBINE SHUT OFF
3) ~EMERGENCY PUMP STOP AT REGISTER
~4) EMERGENCY SHUT OFF AT EXTERIOR WALL
ALSO, TO PREVENT OR MINIMIZE THE ACCIDENT TO HAPPEN, WE TRAIN EMPLOYEES ON
HOW TO STORE THE HAZARDOUS MATERIAL.
Release Containment 07/22/1994
SURROUND AND ABSORB WITH KITTY LITTER. KITTY LITTER IS STOCKED AND SOLD AT
THE STORE AT ALL TIMES. MINIMUM STOCK IS 50 POUNDS.
-- Clean Up 07/22/1994
WE ALSO TRAIN EMPLOYEES TO USE ABSORBENT FOR ANY SMALL GASOLINE sPILLS AND
ALSO WHAT TO DO IF THERE ARE ANY MAJOR SPILLS. TURN OFF ALL THE TURBINE
PUMPS AND CALL 911. EVACUATE ALL PEOPLE AND EMPLOYEES.
Other Resource Activation
10/31/2000
F ARCO AM. PM MINI MART SiteID: 015-021-000308
Fast Format
Site Emergency Factors Overall Site
-- Special Hazards 07/22/1994
GASOLINE HANDLING & STORAGE.
--Utility Shut-Offs 08/29/1997
A) GAS - NONE
B) ELECTRICAL - N SIDE, INSIDE BLDG/STORAGE RM
C) WATER - N SIDE, OUTSIDE NEAR BATHROOMS
D) SPECIAL - EMERGENCY SHUT OFF SWITCH: NW CORNER OF BLDG
E) LOCK BOX - NO
Fire Protec./Avail. Water 08/29/1997
PRIVATE FIRE PROTECTION - 2 FIRE EXTINGUISHERS
FIRE HYDRANT - NW CORNER OF PROPERTY JUST OFF PIERCE RD
BUilding Occupancy Level
-7- 10/31/2000
Training ~~~~~~~~ Overall Site i
i~ Employee Training ~~~~~~~ 08/29/1997 i
o
WE HAVE 6 EMPLOYEES AT THIS FACILITY. o
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M.S.D.S~ SHEETS ON FILE. o
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BRIEF SUMMARY OF TRAINING: WE GIVE THEM TRAINING ON HOW TO HANDLE HAZARDOUS o
MATERIALS. THE CORRECT WAY TO USE EMERGENCY RESPONSE EQUIPMENT AND o
SUPPLIES, EMERGENCY EVACUATION PLAN, CAL OSHA HAZARD COMMUNICATION STANDARD. o
HOW TO CALL FOR EMERGENCY ASSISTANCE IN THE EVENT OF AN ACCIDENT INVOLVING °
HAZARDOUS MATERIALS. o
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