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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