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Home My WebLink AboutBUSINESS PLAN Fire Prevention Services CONDITIONS OF PERMIT ON REVERSE'SIDE This hermit is issued for the followino: ~ [] Hazardous Materials Plan ' 0~I~ OF P~~ON SER~S 1715 Chester Ave., 3rd Floor ~~ Bakersfield, CA 93301 Voice (661) 326-3979 ~00~ FAX (661)852-2171 ~~~: EAST CALIFORNIA AVENUE fcas S~orage (,~',ooo"o~, , ~.. gas cut off~ switch MARKET AND SERVICE CENTER gas ~~%lec tr'ica[ meter panel ALLEY EAST CALIFORNIA AVENUE .~ Gas Storage Two hose Disp .?as Isl [12,O'O0 Gals. ~as Storage Ll'2,0OO.Gals. [Gas Storage L12,000 Gals ' 1 gas cut off~ switch MARKET AND SERVICE CENTER gas ~ t%lectrical meter panel . i ALLEY 'i ~E~.,~RAL CALI SiteID: 015-021-000062 Manager : BusPhone: (661) 861-1614 Location: 801 E CALIFORNIA AVE Map : 103 CommHaz : Low ' City : BAKERSFIELD Grid: 32A FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 02 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title E~e~gency, Co~tact / Title -~ I{~L $~/ OWNER ~~ ~I~G~ / Business Phone: (661) 861-1614x Business Phone: (~/)~-D~2~x 24-Hour Phone(~.(661) ~x~93-0%~ 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - ~x Hazmat Hazards: Fire ImmHlth DelHlth Contact : Phone: (661) 861-1614x MailAddr: 801 E CALIFORNIA AVE State: CA City : BAKERSFIELD Zip : 93307 Owner .-A-LI ~ K~Fb ~/~d~ Phone: (661) 861-1614x Address : 801 E CALIFORNIA AVE State: CA City : BAKERSFIELD Zip : 93307 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ---- Hazmat Inventory One Unified List --Alphabetical Order Ail Materials at Site Hazmat Common Name... ISpooHazlEPA Hazards~l Frm [ DailyMax IUnitlMcP SUPER UNLEADE_D GASOLINE F IH DH L 12000.00 GAL Mod UNLEADED GASOLINE F IH DH n 12000.00 GAL Mod UNLEADED PLUS F IH DH L 12000.00 SAn Mod review a ached h ardous CENTRAL CALI SiteID: 015-021-000062 = Inventory Item 0002 Facility Unit: Fixed Containers on Site SUPER UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: UNDERGROUND TANK CAS# 8006-61-9 Liquid PureIl Ambient Ambient UNDER GROUND TANK [ AMOUNTS AT THIS LOCATION Largest Container 'Daily Maximum Daily Average GAL 12000.00 GAL 4000.00 GAL %Wt. S CAS# 100.00 Gasoline N 8006619 HAZARD ASSESSMENTS TSecretl ~SIBioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# I MCP No N No No/ Curies F IH DH / / / Mod = Inventory Item 0001 Facility Unit: Fixed Containers on Site 9 UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: G~id: UNDERGROUND TANK CAS# 8006-61-9 [= STATE ~ TYPE i PRESSURE , TEMPERATUREI CONTAINER TYPE Liquid /Pure Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average GALI 12000.00 GALI 4000.00 GAL HAZARDOUS COMPONENTS %Wt. R~ ~oRSI CAS# 100.00 Gasoline 8006619 HAZARD ASSESSMENTS TSecretNo NoRSIBi°Haz Radi°active/Amount I EPA HazardsNo No/ Curies F IH DH NFPA/// USDOT# I MCPMod -2- 03/03/2003 CENTRAL CALI SiteID: 015-021-000062 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME UNLEADED PLUS Days On Site 365 Location within this Facility Unit Map: Grid: UNDERGROUND TANK CAS# 8006-61-9 ~ STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TPure Ambient I Ambient UNDER GROUND TANK AMOUNTS AT THIS~LOCATION Largest Container Daily Maximum Daily Average GAL 12000.00 GAL 4000.00 GAL HAZARDOUS COMPONENTS Gasoline N 8006619 HAZARD ASSESSMENTS TSecretl ~SlBioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# I MCP No N No No/ Curies F IH DH / / / Mod 3 03/03/2003 CENTRAL CALI SiteID: 015-021-000062 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 10/11/2000 FUEL MONITORING SYSTEM. -- Employee Notif./Evacuation 10/11/2000 911. -- Public Notif./Evacuation 10/11/2000 N/A. Emergency Medical Plan 10/11/2000 MERCY CLINIC. -4- 03/03/2003 F CENTRAL CALI SiteID: 015-021-000062 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site --Release Prevention 10/11/2000 EMERGENCY RESPONSE PLAN ON FILE. --Release Containment 10/11/2000 SMALL RELEASE - USE OF KITTLY LITTER OR ABSORBANT MATERIAL TO ABSORB SPILLED GASOLINE. -- Clean Up 10/11/2000 5 GAL CAN USED FOR STORAGE OF WASTE/MATERIAL. Other Resource Activation -5- 03/03/2003 F CENTRAL CALI SiteID: 015-021-000062 Fast Format F Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 10/30/1991 A) GAS - SW CORNER OF BLDG B) ELECTRICAL - INSIDE SW BACK WALL OF BLDG C) WATER - IN THE ALLEY NEAR THE EAST EXIT D) SPECIAL - AUTOMATIC CUT OFF VALVE ON EACH PUMP E) LOCK BOX - NO Fire Protec./Avail. Water 10/11/2000 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER. NEAREST FIRE HYDRANT - IN PARK ACROSS THE ST. Building Occupancy Level -6~- 03/03/2003 CENTRAL CALI SiteID: 015-021-000062 Fast Format ~ Training Overall Site -- Employee Training 10/11/2000 WE HAVE 3 EMPLOYEES AT THIS FACILITY. WE HAVE MSDS SHEETS POSTED AND FILED IN THE OFFICE. BRIEF SUMMARY OF TRAINING PROGRAM: OES HAS BRIEFED ME ON PROCEDURES AND HAVE TRAINED MY EMPLOYEES. Page 2 Held for Future Use Held for Future Use 7 03/03/2003 July 1, 2002 Central Cali Market 801 E. California Ave Bakersfield, CA, 93304 RE: Deadline for Dispenser Pan Requirement December 31, 2003 for Site Location at 801 E. California Ave., Bakersfield. FIRE CHIEF REMINDER NOTICE ADMINISTRATIVE SERVICES 2101 'H" Street Dear Underground Storage Tank Owner, Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1, 2000. SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 This bill requires dispenser pans under fuel pump dispensers. On December VOICE (661) 326-3941 FAX (661)395-1349 3 1, 2003, which is the deadline for compliance, this office will be forced to revoke your Permit to Operate, for failure to comply with the regulations. PREVENTION SERVICES ,. 1715 Chester Ave. Bakersfield, CA 93301 It is the hope of this office, that we' do not have to pursue such action, which VOICE (661) 326-3951 FAX (661) 326-0676 is why this office plans to update you. I urge you to start planning to retro-fit your facilities. ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 I~ your facility has been upgraded already, please disregard this notice. VOICE (661) 326-3979 FAX (661)326-0576 Should you have any questions, please feel free to contact me at (661)326- 3190. TRAINING DIVISION 5642 Victor Ave. Bakorsfiold, CA 93308 Sine .~. ~ VOICE (661) 399-4697 FAX (661) 399-5763 · Steve Underwood 'Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: // ...... /.~ 2 1. To avoid further action, return thru form w~th~n 30 days of receipt. ~ 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. 5. You maY also attach Business Owne~ / Operator Form and Chemical Description Form(s) to the front of this plan instead of completing SECTION I. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA MAILING ADDRESS: ' -~' EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE / 24 HR. PHONE 2. " HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II. 1' DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: -- Bi ....EMPLOYEE ANDAGENCY NOT~iCATION: C. ENVIRONMENTAL RESPONSE MANAGEMENT: D. EMERGENCY MEDICAL PLAN: ....... . ........ ~~/ ...... '-~, c- .............. ~ ................................................... HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES: B. RELEASE CONTAINMENT AND/OR MITIGATION: C. CLEAN-UP AND RECOVERY PROCEDURES: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/PROPA/~: SPECIAL: LOCK BOX: YES/NO -' IF YES, LOCATION: PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: ~t'/ t,~ /~ ! = /~ B. WATER AVAILABILITY (FIRE HYDRANT): ~r' C, 4 7 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION III: TRAINING NUMBER OF EMPLOYEES: --~ MATERIAL SA~FETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: CERTIFICATION I, ~ ]--/' O 6.3 ;/~/O CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE_!N?:ORMAT!.O_N CONSTITUTES PERJURY. SIGNATURE. c ~ ............. TITLE _._ · ............ ~aT _ 4 ~ CITY OF BAKERSFIELD~. OF~E OF ENVIRONMENTAL S~VICES 1715 Chester Ave., CA 93301 (661) 326-3979 BUSINESS OWNER / OPE~TOR IDENTIFICATION FACILI~ INFORMATION PaGe ~ Of FAClLI~ IV · ~ ~ ' Year Beginning ,~ Year Ending BUSINESS ~E (~me ~ FACILI~ ~ME or D~- Dol~ B~I~ ~) ~ BU~NESS PHONE ~o2 DUN & ~ SIC CODE ~o~ B~DSTREET (4 Digit ¢) COO~ OPE~TOR ~ME ~ OPE~TOR PHONE ~o O~ER ~ILIN6 ADDRESS ~ ~~ : ~3 CI~ ~~ ~4 STATE ~s ZIP CONTACT ~ME ~7 J CO.ACT PHONE CONTACT ~ILIN6 ~9 ADDRESS BUSIN~SS PHON~ ~ 6 t-- / 6 t q ,~ .USINfSS PHON~ ~ ~ f - / 6 / ~ L24'HOURPHONE ~ 6 1-' I 7 ¢0 ,2z 24-HOURPHONE 3¢6- 70 ~--~ ,32 Ce~on: Ba~ on my inqulw of ~0~ IndMdoals res~nslble for ob~inln~ ~e In~a~on, I ~ under ~nal~ of law ~at I have peBonally examln~ and am ~mlllar ~ ~e info~on submi~d In ~ls Invento~ and ~lleve ~e In~a~on I~ ~e, a~umte, and ~mple~. SIGNATURE O~ O~E~OPE~TOR I DATE _ ~ { ~ME OF DOCUME~ PREPARER NAM S O ~ (pdnt) ~s TITLE OF O~E~OPE~TOR 137 UPCF (7199) S:~CU PAFORMS\OES2730.TV4.wpd CHEMICAL DESCRIPTION (one [on'n per mate~tal per I~u~dittg or ama) ~EW I-] ADD ~ DElE ~ ~ISE ~ Page BUSINESS ~E (~e ~ FACIL~ ~ w D~ - ~ng ~n~ ~) 3 ' CHERYL LO~TION -- - ~ ~ ~1~ CHERYL LO~TION ~ y~ ~M~N ~ E~S" ~ y~ ~ ~ ~ ~0 WPE ~ p ~ ~m ~ ~ w WA~ 211 ~A~ ~ Y~ ~ ~ 212 CURIES ~3 PHYSI~STA~ ~ ~ ~UD ~ L~ID ~ g ~S 214 ~ST~AINER FED~~RIES ~1 FI~ ~2 ~ ~3 ~SSU~E ~4 A~H~ ~5 ~NICH~ UN~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ TONS ~1 ~YSON STOOGE CO~AINER ~ a A~G~UND T~K ~ e ~N~IC DRUM ~ i FIBER DRUM ~ m ~S ~ ~ q ~IL (C~ck a8 ~at ap~) UNDER~U~ TANK ~ f ~ D j ~G ~ n P~C BO~E ~ r O~ER T~K INSIDE ~I~ING ~ g ~Y ~ k ~X ~ o TO~ SIN ~ d S~EL DRUM ~ h SILO ~ I ~UNDER ~ p T~K WA~N STOOGE P~SSURE a ~1~ ~ ~ ~A~IE~ ~ ~ BELOWA~IE~ STO~OE~~ ~ a~l~ ~ ~ ~~ ~ ~ B~OWA~I~ ~ c CRY~IC 242 2~ ~ Y~ ~ ~ 2~ 2~ DATE 246 I ix~' UPCF (7/99) S:~,CUPAFORMS\OES2731.TV4.wpd