HomeMy WebLinkAboutBUSINESS PLAN J~S-4~~~ SiteIg: 015:02'ii~01808
Manager : ~,~,~ BusPhone: (661) 328-1770
Location: 430 E CALIFORNIA AVE ~~ v Map : 103 CommHaz : Low
City- : BAKERSFIELD Grid: 3lB FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 06 SIC Code:5541
EPA Numb: DunnBrad:
Emergency Conta~ / Title Emergency Contact / Title
~ / OWNER ~LETiCIA CF33YEZ
Business Phone: (661) 328-1770x Business Phone: (661) 328-1770x
24-Hour Phone : (661)-~}--~x~7- 24-Hour Phone :
Pager Phone ~ ) - x ~ Pager Phone : ( ) - x
Hazmat Hazards:
Contact : Phone: (661) ~5x
MailAddr: ~01
e~ State: CA
City : BAKERSFIELD Zip : 93307
O~er - -- =- ~Phone: (661) ~x
Address : ~01 DA~J ST ~ [ ~O~]C~State: CA
City : BAKERSFIELD Zip : ~2207
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
i, Do hereby certify thru I have
(Type or'p~nt nar~)
reviewed the a~ached h~ardo~$ ma~e~als manage-
mere plan ~or and ~ha~ i~ along ,~i~h
(Name of ~sine~)
any corrections constitute a complete and corre~ man-
agemem plan for my ~acili~.
~ ' ' Sign~re~ ~ Date
1 10/02/2000
JENNYS MINI MARKET SiteID: 015-021-001808
STORAGE CONTAINER DATA (UST FORM A)
Last Action Type:
FACILITY/SITE INFORMATION
Business Name: JENNYS MINI MARKET
Cross Street :
Business Type: Org Type:
Total Tanks : 3 IndnRes/Trust: No PA Contact:
PROPERTY OWNER INFORMATION
Name : LETICIA CHAVEZ Phone: (661) 328-1770x
Address:
City : State: Zip:
Type :
TANK OWNER INFORMATION
Name : LETICIA CHAVEZ Phone: (661) 328-1770x
Address:
City : State: Zip:
Type :
BOE UST Fee# : UNKNOWN
Financ'l Reap: STATE FUND
Legal Notif : Property Owner Mailing Address
Date:08~24~1999 Phone: (661) 861-9145x
Name:BLAS GARCIA Ttl:OWNER
State UST # : 1998 Upg Cert#: 00875
~ Hazmat Inventory One Unified List
--As Designated Order Ail Materials at Site
Hazmat Common Name... ISpecHazlEPA HazardsI Frm DailyMax Unit MCP
PREMIUM UNLEADED L 10000.00 GAL Mod
UNLEADED PLUS L 10000.00 GAL Mod
GASOLINE L 10000.00 GAL Mod
-2- 10/02/2000
JENNYS MINI MARKET SiteID: 015-021-001808
= Inventory Item 0001 Facility Unit: Fixed Containers at Site
PREMIUM UNLEADED Days On Site
365
Location within this Facility Unit Map: Grid:
CAS#
Liquid Pure Ambient Ambient UNDER GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
10000.00 GALI 10000.00 GAL 10000.00 GAL
%Wt. HAZARDOUS COMPONENTS
100.00 Gasoline N~S CAS#8006619
HAZARD ASSESSMENTS
[TSocrot RS BioHaz I Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Mod
= Inventory Item 0002 Facility Unit: Fixed Containers at Site
~N~I~ ~-,~'Vl~ / ~£~_,cx_.b ~Vl~
UNLEADED PLUS Days On Site
365
Location within this Facility Unit Map: Grid:
'
Liquid Pure Ambient Ambient UNDER GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
10000.00 GALI 10000.00 GAL 10000.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS#
Gasoline
N° 8006619
HAZARD ASSESSMENTS
lTSecret RS BioHaz I Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Mod
3 10/02/2000
JENNYS MINI MARKET SiteID: 015-021-001808 ~
~ Inventory Item 0003 Facility Unit: Fixed Containers at Site 9
-- COMMON NAME / CHEMICAL NAME
GASOLINE Days On Site
REGULAR UNLEADED 365
Location within this Facility Unit Map: Grid:
8006619
Liquid Pure I Ambient Ambient UNDER GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
10000.00 GAL 10000.00 GAL{ 10000.00 GAL
HAZARDOUS COMPONENTS
100.00 Gasoline N 8006619
HAZARD ASSESSMENTS
TSecret{ RSIBioHaz Radioactive/Amount I EPA Hazards I NFPA USDOT# { MCP
No No No No/ Curies / / / Mod
-4- 10/02/2000
F JENNYS MINI MARKET SiteID: 015-021-001808
Fast Format
= Notif./Evacuation/Medical Overall Site
--Agency Notification 09/09/1999
911 AND FIRE.
-- Employee Notif./Evacuation 09/09/1999
VERBAL.
Public Notif./Evacuation 09/09/1999
N/A.
Emergency Medical Plan 09/01/1999
MEMORIAL HOSPITAL~
-5- 10/02/2000
F JENNYS MINI MARKET SiteID: 015-021-001808
Fast Format
= Mitigation/Prevent/Abatemt Overall Site
--Release Prevention 09/01/1999
~T~DO~S LEAK P~EV~[TI~N MONITORING.
--Release Containment 09/09/1999
FOR SMALL SPILLS USE ABSORBANT, FOR LARGE SPILLS CALL 911 AND FIRE DEPT.
-- Clean Up 09/09/1999
USE KITTY LITTER AS ABSORBANT, WHICH STORED IN 5 GAL BUCKET 'AND THEN
PROPERLY DISPOSE OF IT.
Other Resource Activation
6 10/02/2000
? JENNYS MINI MARKET SiteID: 015-021-001808
Fast Format
F Site Emergency Factors Overall Site
Special Hazards
--Utility Shut-Offs 09/01/1999
A) GAS - N/A
B) ELECTRICAL - FRONT OF STORE NW WALL
C) WATER - FRONT OF STORE SW WALL
D) SPECIAL - NONE
D) LOCK BOX - NO
-- Fire Protec./Avail. Water 09/09/1999
NEAREST FIRE HYDRANT - ON THE CORNER OF TULARE AND CALIFORNIA AVE.
Building Occupancy Level
-7- 10/02/2000
JENNYS MINI MARKET SiteID: 015-021-001808
Fast Format
~- Training Overall Site
-- Employee Training 09/01/1999
WE X-L~V~~PLoY~S ~T THIS F~CILITY. ~~-
WE DO HAVE MSDS SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM:
Page 2
Held for Future Use I
Held for Future Use I
-8- 10/02/2000