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Home My WebLink AboutBUSINESS PLAN 8/26/1996 SITE/FACILITY D I AG R,~2v[ FORM 8 NOT TO S~E ~/PM MINI ~ET ~589 1 1 DATE: 7~10~87FACILITY. N~E: ~IT ~: 0F (CHECK ONE) SITE DIAGR~ FACILI~ DIAGR.~ : C A L I F 0 R NI A A ~. ,~~ ~--- ENTRANCE/EXITS DRIVEWAYS---~ '~2~ < WATER SHUT-OFF ALLEY WAY PARKING LOT I(Inspecto~'s Comments): -OFFICIAL,USE 0NLY- - SA - SITE/FACILITY D I AGRD~4 F 0 l~l~I 5 NORTH SCALE: BUS INEsS NAME: FLOOR: OF i N,O,T TO SCALE AM/PM MINI MARKET %589 , ,1 1 [ ~ DATE: 7 ./10/87 FACILITY NAME: UNIT ~: O~ (CHECK ONE) SITE DIAGRAW FACILITY DIAGR.~W 4 ENTRANCE/EXIT FIRE EXTINGUISHER FIRE EXTINGUISHER OEMERGENCY FUEL SHUT-OFF SWITCH SALES AREA · '' ~MAIN ELECTRICAL PANEL , ~IERGENC¥ ~XIT (Inspector' s Comments) -OFFICIAL ,USE ONLY- LlJl -~1 STORAGE ,, rrI I RR PSI #589 . 1501 CALIFORNIA AVE *NOT TO SCALE SALES AREA I GAS ISLAND I ~,o K / ~ [~) MAIN ELECTRIC PANEL ~ LOCATED OUTSIDE RR, NW SIDE ~ I GAS ISLAND ! (~) MAIN WATER VALVE SOUTH OF LOT SE CORNER OF LOT I ~ I _ CALIFORNIAAVE STORAGE I RR PSZ #589 1501 CALIFORNZA AVE - *NOT TO ~qCALE SALES AREA IGAS ISLAND ~IN ELECTRIC PANELS ~ ~IN WATER VALVE I GAS DS'LAND I ~ FI~ HYD~NT ~ STO~ FL ~ _ DRIVEWAY DRIVEWAY CALIFORNIAAVE SITE MAP N rr STORAGE CO SALES AREA % . !SK o (.~ :1 ~. _./ :1 ~%N~ [GAS ISLAND I DRIVEWAY DRIVEWAY CALIFORNIA AVE MAIN ELECTRIC PANELS MAIN WATER VALVE FIRE HYDRANT Business Name: AM/PM MINI MARKET #589 Address: 1501 California Avenue, Bakersfield, CA 93304 Phone: [805] 323-2024 ~ CUST '~.,~ E & NO. ~_ _.~ ~:~ "7 _~_ MlSCELL^NEOUS RECEIVABLES ADJUSTMENT DATE c..~. ~ ~o' (~(~ NEW ACCOUNT ' ADDRESS CHANGE CLOSE ACCT · FINANCE CHARGE i OTHER ADJ CUSTOMER NAME MAILING ADDRESS CI~ ~C~~ STATE PARCEL NUMBER (IF APPUCABLE) ADJUSTMENT I CNG DATE CHARGE CODE ADJUSTMENT AMOUNT 07/26/96 AM PM MINI MARKET #6115 215-000-000 ge 1 Overall Site with 1 Fac. Unit ~, ~U~ ~9~l~9~QQ~ ~.'.I! General Information Ry. ,~ __ Location: 1501 CALIFORNIA AV Map:103 Haz:2 Type: 3 City : BAKERSFIELD Grid: 3la F/U: 1 AOV: 0.0 Contact Name Title Contact/~ame Title ~ff-~-I~A~L.~_~ / MANAGER Fd~Ng~-4%~~ / FIELD SUPERVISe Business Phone:_(805)i 323-2024x _ Business Phone: ~vv~, .... 24-Hour Phone : $~) 553-J2~x~ 24-Hour Phone : (~00)~55~ Pager Phone : ( ) - x Pager Phone : ( ) - x ~dministrative Data -&l Mail Addrs: ~ $ ~GX ~225 D&B Number: 51-012 3 City:~ ~ State: CA Zip: ~7~=2- Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: 5541 Owner: PRESTIGE STATIONS INC Phone: ~3lO} 402-12~ Address: _~O._~X.~25 ~ State: CA city: summary TANKS: HAS OWNER-OPERATOR AGREEMENT HAS FINANCIAL RESPONSIBILITY HAS SPILL RESPONSE AND MONITORING PLAN I, ~oe~l ~c~o~5, Do hereby certify that I have ~ m p~n( ~)~ review~ the a~ached h~a~ous mate~als ma;:age- ment plan fo( anO that it along ~th ' ' (~ of ~n~) any ~rr~ions constitute a complete and ~rre~ man- ~ement plan for my facili~, 07/26/96 AM PM MINI MARKET #6115 215-000-000264 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-003 GASOLINE ARCO UNLEADED Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-002 GASOLINE ARCO UNLEADED Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-001 GASOLINE MIDGRADE UNLEADED Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-005 GASOLINE ARCO EC PREMIUM Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-004 CARBON DIOXIDE Gas 448 Minimal · Fire, Pressure, Immed Hlth FT3 07/26/96 AM PM MINI MARKET #6115 215-000-000264 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-003 GASOLINE ARCO UNLEADED Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: FUEL Daily Max GAL I Daily Average GAL I Annual Amount GAL 10,000 I 5,000.00 600,000.00 Storage ~~Press T Temp Location UNDER GROUND TANK IAmbientlAmbientlNE END OF LOT -- Conc Components MCP ---~uide 100.0% IGasoline IModeratel 27 02-002 GASOLINE ARCO UNLEADED Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: FUEL Daily Max GALI Daily Average GAL I Annual Amount GAL 10,000 ~ 5,000.00 600,000.00 StorageI Press T Temp Location UNDER GROUND TANK IAmbient~Ambient NE END OF LOT -- Conc Components MCP ---~uide 100.0% IGasoline IModeratel 27 02-001 GASOLINE MIDGRADE UNLEADED Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: FUEL Daily Max GALI Daily Average GAL 1 Annual Amount GAL 10,000 i 3,000.00 240,000.00 StorageilPress T Temp Location UNDER GROUND TANK IambientlAmbientlNE END OF LOT -- ConcI Components I MCP ---~uide' 100.0% IGasoline IModeratel 27 07/26/96 AM PM MINI MARKET #6115 215-000-000264 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-005 GASOLINE ARCO EC PREMIUM Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: FUEL Daily Max GAL Daily Average GAL I Annual Amount GAL 10,000 I 3,000.00 180,000.00 Storage ~ IPress T Temp . Location UNDER GROUND TANK I Ambient~AmbientlNE SIDE OF LOT -- Conc Components MCP Guide 100.0% I Gasoline I ModerateI 27 02-004 CARBON DIOXIDE Gas 448 Minimal · Fire, Pressure, Immed Hlth FT3 CAS #: 124-38-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3I Daily Average FT3 I Annual Amount FT3 448 ~ 224.00 5,824.00 StorageIIPress T Temp Location PORT. PRESS. CYLINDER IAmbient/AmbientlSOUTH SIDE OF BUILDING. -- Conc Components MCP ---~Guide 100.0% ICarbon Dioxide ILow ~ 21 07/26/96 AM PM MINI MARKET #6115 215-000-00026'4 Page 5 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation IN THE EVENT OF ANY MAJOR INCIDENT, OUR FACILITY PERSONNEL (I.E. FACILITY MANAGER, ASSISTANT, CASHIER OR MAINTENANCE) WILL IMMEDIATELY CALL 911 AND REPORT. IF EVACUATION IS NECESSARY, AND AFTER 911 HAS BEEN CALLED, EMPLOYEES ARE DIRECTED TO A SITE OPPOSITE THE DANGER AREA. FACILITY PERSONNEL WILL THEN CALL AND NOTIFY EMERGENCY CONTACT PERSONNEL. <3> Public Notif./Evacuation WOULD INSTRUCT TO LEAVE FACILITY THROUGH AVAILABLE EXITS. ALARM SHALL BE GIVEN BY SHOUTING. <4> Emergency Medical Plan MERCY HOSPITAL - 2215 TRUXTUN AVE. - 327-3371 BAKERSFIELD CITY FIRE DEPARTMENT - 2101H ST - STATION #1 07/26/96 AM PM MINI MARKET #6115 215-000-000264 Page 6 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention FACILITY UTILIZES (4) 10,000 GALLON UNDERGROUND TANKS LOCATED AT THE NORTH EAST END OF THE SITE. INVENTORIES ARE MONITORED AND ARE KEPT AT A MINIMUM TO MINIMIZE RISK. "NO SMOKING", "PLEASE TURN OFF YOUR ENGINE", AND "DO NOT TOP OFF TANK" SIGNS ARE POSTED IN CLEAR VISION OF CONSUMER AND EMPLOYEES. COMPLIANCE TO POSTED SIGNS MINIMIZES POTENTIAL RISK AND HAZARDS. FOR MINOR SPILLAGE (I.E. CUSTOMER GAS TANK OVERFLOW)EMPLOYEES ARE INSTRUCTED TO CLEAN AND DISPOSE OF MATERIALS SAFELY. PROTECTIVE RUBBER GLOVES AND CLEAN-UP EQUIPMENT IS PROVIDED AT EACH FACILITY. FOR A MAJOR SPILLAGE, EMPLOYEES ARE TO CALL 911 AND REPORT. THEY WILL THEN NOTIFY EMERGENCY CONTACT PERSONNEL. FACILITIES ARE EQUIPPED WITH RED JACKET LEAD DETECTORS WHICH SHUTS SYSTEM DOWN IF LEAK OCCURS. IN ADDITION, INVENTORIES ARE ALSO MONITORED ON A DAILY BASIS AND ARE KEPT AT A MINIMUM TO MINIMIZE RISK. <2> Release Containment NO SMOKING, PLEASE TURN OFF YOU ENGINE, AND DO NOT TOP OFF TANK SIGNS ARE POSTED IN CLEAR VISION OF CONSUMER AND EMPLOYEE. COMPLIANCE TO POSTED SIGNS MINIMIZED POTENTIAL RISK AND HAZARDS. FACILITY PERSONNEL ARE INSTRUCTED TO CLEAN-UP MINIMAL SPILLS AND DISPOSE OF PROPERLY AND TO REPORT ANY MAJOR INCIDENT BY CALLING 911. IF NEEDED, PERSONNEL WILL PROCEED TO CALL ALL PERTINENT PEOPLE. <3> Clean Up FOR MINOR SPILLAGE, EMPLOYEES ARE INSTRUCTED TO CLEAN AND DISPOSE OF MATERIALS SAFELY. PROTECTIVE RUBBER GLOVES AND CLEAN-UP EQUIPMENT IS PROVIDED AT EACH FACILITY. FOR MAJOR SPILLAGE, EMPLOYEES ARE INSTRUCTED TO CALL 911 AND REPORT. <4> Other Resource Activation 07/26/96 AM PM MINI MARKET #6115 215-000-000264 Page 7 00 - Overall Site <E> Mitigation/Prevent/Abatemt <4> Other Resource Activation (Continued) 07/26/96 AM PM MINI MARKET #6115 215-000-000264 Page 8 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - SOUTHEAST CORNER OF BUILDING C) WATER - SOUTH SIDE OF SITE BEHIND BUILDING D) SPECIAL - EMERGENCY FUEL SHUT-OFF LOCATED ON CASH REGISTER E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - EMPLOYEES ARE INSTRUCTED ON LOCATION OF FIRE EXTINGUISHERS AND THEIR LOCATION. INSTRUCTION IS GIVEN ON USE AND OPERATION. INSTRUCTION IS ALSO GIVEN ON LOCATIONS OF EMERGENCY FUEL PUMP SHUT-OFF SWITCHES. FIRE HYDRANT - INTERSECTION ON CALIFORNIA AVE AND CHESTER AVE, <4> Building Occupancy Level 07/26/96 AM PM MINI MARKET #6115 215-000-000264 Page 9 00 - Overall Site <G> Training <1> Employee Training WE HAVE 12 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: ALL PERSONNEL, NEW AND EXISTING, ARE GIVEN INSTRUCTION ON COMPLYING WITH THE CITY OF BAKERSFIELD BUSINESS EMERGENCY PLAN. UPON COMPLETION OF SAID INSTRUCTION, EMPLOYEE WILL SIGN AN ACKNOWLEDGE SLIP. IN ADDITION, A TRAINING LOG WILL BE KEPT BY THE FACILITY MANAGER TO ENSURE THAT INSTRUCTION HAS BEEN CARRIED OUT. <2> Page 2 <3> Held for Future Use <4> Held for Future Use HAZARDOUS MATERIALS INS~TION ~ Batrers/~e]d l~ize Dept. 1715 Chester Av~. B~ersfield, CA 93301 Date Completed. ,Business Iden~fica~on No. 215-000 ~_~ ~op of Business Plan) ~val Time: ~ Depa~ure Time: Inspec~on Time: Adequate Inadequate Adequate Inadequate Address Vi,sable ~ [] Emergency Procedures Posted Correct Occupancy ~ I-I Containers Properly Labled ~ I-I Verification of Inventory Materials ~ i-I Comments: Verification of Quantities ~ [] Verification of Location El-" El Verification of Facility Diagram 1:3..," r-I Proper Segregation of Material I~/ [] Housekeeping ~ [] , Fire Protection ~ [] Comments: Electrical ~" [] Comments: Verification of MSDS Availablity ~ [] Number of Employees: UST Monitoring Program ~,- [] Comments: Verification of Haz Mat Training ~ El Permits Comments: Spill Control Hold Open Device ~ [] Verification of Hazardous Waste EPA No. Abbatement Supplies and Procedures IZ]" [] Proper Waste Disposal ~ El Comments: Secondary Containment Security IZl-" I'1 Special Hazards Associated with this Facility: Violations: RF;~P. ,:~X~ / .,~.-- All Items O.K Business Owner/Manager PRINT NAMESIGNATURE Correction Needed White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy u. 01/31/95 AM PM MINI MARKET 215-000-000264 Page 1 Overall Site with 1 Fac. Unit General Information Location: 1501 CALIFORNIA AV Map:103 Haz:2 Type: 3 City : Bakersfield Grid: 3la F/U: 1 AOV: 0.0 Contact Name Title ~ ~3d~o~t a~ Name Title IR AY VIVAL / MANAGER / FIELD SUPERVISO Business Phone: (805) 323-2024x Business Phone: (805) 4~x ~ 24-Hour Phone : (~ 24-Hour Phone : (800) ~ ~1 Pager Phone : (~/~) ~-~x Pager Phone : ( ) ~ ~ ~ Administrative Data Mail Addrs: P.O. BOX 6225 D&B Number: 51-012-0713 City: ARTESIA State: CA Zip: 90702- Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: 5541 Owner: PRESTIGE STATIONS INC Phone: (310) 402-1278 Address: P.O. BOX 6225 State: CA City: ARTESIA Zip: 90702- TANKS: HAS OWNER-OPERATOR AGREEMENT HAS FINANCIAL RESPONSIBILITY ?~ ~ 3 1995 HAS SPILL RESPONSE AND MONITORING PLAN I,_ ~',~,,~m,~, ~ r'~x~, Do hem~ ~ffi~ th~I have re~ew~ the ~~ h~ous mae~ls m~- memplanfor~/~,. ~[~' ~~ ~ ~' ~.~i._ a~ t~ it a~ w~h any ~~ons ~t~e a ~mplete and ~r~ ~ agement plan for my f~li~. 01/31/95 AM PM MINI MARKET 215-000-000264 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-003 GASOLINE ARCO UNLEADED Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-002 GASOLINE ARCO UNLEADED Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-001 GASOLINE MIDGRADE UNLEADED Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-005 GASOLINE ARCO EC PREMIUM Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-004 CARBON DIOXIDE Gas 448 Minimal · Fire, Pressure, Immed Hlth FT3 01/31/95 AM PM MINI MARKET 215-000-000264 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-003 GASOLINE ARCO UNLEADED Liquid 10000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL CAS ~: 8006-61-9 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: FUEL Daily Max GAL Daily Average/P~L Annual Amount GAL o,ooo I o o oo.oo I Press ~ ~m~!000 sOO Storage f ..... ~ Location UNDER GROUND TANK AmbientJAmbient NE END OF LOT -- Conc~ Components ~ MCP ---/Guide 100.0% IGasoline IModeratel 27 02-002 GASOLINE ARCO UNLEADED Liquid 10000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: FUEL Daily Max GAL Daily Average GAL Annual Amount G~_~ -- o,ooo I I ~ 0-~~'~ ~oo Storage Press T Te~ Location UNDER GROUND TANK AmbientJAmbient NE END OF LOT -- Conc~ Components MCP ~Guide 100.0% IGasoline ModerateI 27 02-001 GASOLINE MIDGRADE UNLEADED Liquid 10000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: FUEL Daily Max GAL Daily Average GAL___~T~ Annual AmountG_~AL-~- lO,OOOI ~o~ I ~~o-oo.oo Storage ~~Press T Temp Location UNDER GROUND TANK IAmbient~AmbientlNE END OF LOT -- Conc Components MCP ---~uide 100.0% IGasoline IModeratel 27 01/31/95 AM PM MINI MARKET 215-000-000264 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-005 GASOLINE ARCO EC PREMIUM Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: N° Form: Liquid Type: Mixture Days: 365 Use: FUEL Daily Max10,000GAL I Daily Ave~a~~.,~vv.vv~ Annual Amount~GAL Storage IIPress T Temp ~OOO Location ~Dt ~0~ UNDER GROUND TANK IAmbient[AmbientlNE SIDE OF LOT -- Conc Components MCP ---FGuide 100.0% [Gasoline [Moderate[ 27 02-004 CARBON DIOXIDE Gas 448 Minimal · Fire, Pressure, Immed Hlth FT3 CAS #: 124-38-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3I Daily Average FT3 1 Annual Amount FT3 448 i 224.00 5,824.00 StorageIIPress T Temp Location PORT. PRESS. CYLINDER IAmbientlAmbientlSOUTH SIDE OF BUILDING. -- Conc Components MCP ---~uide 100.0% ICarbon Dioxide ILow ! 21 01/31/95 AM PM MINI MARKET 215-000-000264 Page 5 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation IN THE EVENT OF ANY MAJOR INCIDENT, OUR FACILITY PERSONNEL (I.E. FACILITY MANAGER, ASSISTANT, CASHIER OR MAINTENANCE) WILL IMMEDIATELY CALL 911 AND REPORT. IF EVACUATION IS NECESSARY, AND AFTER 911 HAS BEEN CALLED, EMPLOYEES ARE DIRECTED TO A SITE OPPOSITE THE DANGER AREA. FACILITY PERSONNEL WILL THEN CALL AND NOTIFY EMERGENCY CONTACT PERSONNEL. <3> Public Notif./Evacuation WOULD INSTRUCT TO LEAVE FACILITY THROUGH AVAILABLE EXITS. ALARM SHALL BE GIVEN BY SHOUTING. <4> Emergency Medical Plan MERCY HOSPITAL - 2215 TRUXTUN AVE. - 327-3371 BAKERSFIELD CITY FIRE DEPARTMENT - 2101H ST - STATION #1 01/31/95 AM PM MINI MARKET 215-000-000264 Page 6 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention FACILITY UTILIZES (4) 10,000 GALLON UNDERGROUND TANKS LOCATED AT THE NORTH EAST END OF THE SITE. INVENTORIES ARE MONITORED AND ARE KEPT AT A MINIMUM TO MINIMIZE RISK. "NO SMOKING", "PLEASE TURN OFF YOUR ENGINE", AND "DO NOT TOP OFF TANK" SIGNS ARE POSTED IN CLEAR VISION OF CONSUMER AND EMPLOYEES. COMPLIANCE TO POSTED SIGNS MINIMIZES POTENTIAL RISK AND HAZARDS. FOR MINOR SPILLAGE (I.E. CUSTOMER GAS TANK OVERFLOW)EMPLOYEES ARE INSTRUCTED TO CLEAN AND DISPOSE OF MATERIALS SAFELY. PROTECTIVE RUBBER GLOVES AND CLEAN-UP EQUIPMENT IS PROVIDED AT EACH FACILITY. FOR A MAJOR SPILLAGE, EMPLOYEES ARE TO CALL 911 AND REPORT. THEY WILL THEN NOTIFY EMERGENCY CONTACT PERSONNEL. FACILITIES ARE EQUIPPED WITH RED JACKET LEAD DETECTORS WHICH SHUTS SYSTEM DOWN IF LEAK OCCURS. IN ADDITION, INVENTORIES ARE ALSO MONITORED ON A DAILY BASIS AND ARE KEPT AT A MINIMUM TO MINIMIZE RISK. <2> Release Containment NO SMOKING, PLEASE TURN OFF YOU ENGINE, AND DO NOT TOP OFF TANK SIGNS ARE POSTED IN CLEAR VISION OF CONSUMER AND EMPLOYEE. COMPLIANCE TO POSTED SIGNS MINIMIZED POTENTIAL RISK AND HAZARDS. FACILITY PERSONNEL ARE INSTRUCTED TO CLEAN-UP MINIMAL SPILLS AND DISPOSE OF PROPERLY AND TO REPORT ANY MAJOR INCIDENT BY CALLING 911. IF NEEDED, PERSONNEL WILL PROCEED TO CALL ALL PERTINENT PEOPLE. <3> Clean Up FOR MINOR SPILLAGE, EMPLOYEES ARE INSTRUCTED TO CLEAN AND DISPOSE OF MATERIALS SAFELY. PROTECTIVE RUBBER GLOVES AND CLEAN-UP EQUIPMENT IS PROVIDED AT EACH FACILITY. FOR MAJOR SPILLAGE, EMPLOYEES ARE INSTRUCTED TO CALL 911 AND REPORT. <4> Other Resource Activation 01/31/95 AM PM MINI MARKET 215-000-000264 Page 7 00 - Overall Site <E> Mitigation/Prevent/Abatemt <4> Other Resource Activation (Continued) 01/31/95 AM PM MINI MARKET 215-000-000264 Page 8 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - SOUTHEAST CORNER OF BUILDING C) WATER - SOUTH SIDE OF SITE BEHIND BUILDING D) SPECIAL - EMERGENCY FUEL SHUT-OFF LOCATED ON CASH REGISTER E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - EMPLOYEES ARE INSTRUCTED ON LOCATION OF FIRE EXTINGUISHERS AND THEIR LOCATION. INSTRUCTION IS GIVEN ON USE AND OPERATION. INSTRUCTION IS ALSO GIVEN ON LOCATIONS OF EMERGENCY FUEL PUMP SHUT-OFF SWITCHES. FIRE HYDRANT - INTERSECTION ON CALIFORNIA AVE AND CHESTER AVE. <4> Building Occupancy Level 01/31/95 AM PM MINI MARKET 215-000-000264 Page 9 00 - Overall Site <G> Training <1> Employee Training WE HAVE 12 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: ALL PERSONNEL, NEW AND EXISTING, ARE GIVEN INSTRUCTION ON COMPLYING WITH THE CITY OF BAKERSFIELD BUSINESS EMERGENCY PLAN. UPON COMPLETION OF SAID INSTRUCTION, EMPLOYEE WILL SIGN AN ACKNOWLEDGE SLIP. IN ADDITION, A TRAINING LOG WILL BE KEPT BY THE FACILITY MANAGER TO ENSURE THAT INSTRUCTION HAS BEEN CARRIED OUT. <2> Page 2 <3> Held for Future Use <4> Held for Future Use · Prestige ~a~ions, ~nc. RECEIVED '~72'~5 S~udeba~er R(md c~os, c~i~o~ ,o7o~ NOV 0 3 1993 Ar~es~a, CA 90702 Certified Mail P 395-623-981 November 1, 1993 Bakersfield City Fire Department Hazardous Materials Division 2130 "G" Street Bakersfield, CA 93301 RE: Updated Hazardous Materials Inventory Plan Dear Mr. Ralph Huey, Enclosed please find the above for the following facilities: PSI #5164/ARCO #5365:4010 Wible Road, Bakersfield PSI #589/ARCO #6115:1501 California Avenue Underground Storage Tanks for both stores were changed to 4 - 10,000 gallon tanks. Please see site map for details. If there are any questions, corrections or comments, please call me at (310) 402-1278, extension 3. Sincerely yours, Gemrffa S. Cortes ' Environmental Assistant ARCO ENVIRONMENTAL COMPLIANCE ~0~15/93 AM PM MINI MARKET 215-000-000264 ~ Page Overall Site with 1 Fac. Unit General Information Location: 1501 CALIFORNIA AVI Map: 103 Hazard: Low Community: BAKERSFIELD STATION 01 Grid: 3la F/U: 1 AOV: 0.0 Contact Nam~v._. ~" Title I Business Phone 24-Ho~r P e EV~.~DO V~LASCO ¥,V~ ~4ANAGER ( 805 ) 323-. %024 :-~ ( 805 ) Administrative Data Mail Addrs: P.O. BOX 6225 D&B Number: 51-012-0713 City: ARTESIA State: CA Zip: 90702- Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code:. 5541 Owner: PRESTIGE STATIONS INC Phone: (310) 402-1278 Address: P.O. BOX 6225 State: CA City: ARTESIA Zip: 90702- Summary TANKS: HAS OWNER-OPERATOR AGREEMENT HAS FINANCIAL RESPONSIBILITY HAS SPILL RESPONSE AND MONITORING PLAN I, ~ Do hereby certi.5, ~hat I have reviewed the a~tached P~6F ~~ m~tefia~ manage. merit plan fo any corre~lons C°~:~,~*~e' "':" ' a complete and ~rrea man- agement plan for my 10/15/93 AM PM MINI MARKET 215-000-000264 Page 2 ~ Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP lU~OO~ 02-003 GASOLINE ARCO ~'J2~R UNLEADED Liquid '~800 Moderate · Fire, Immed Hlth, Delay Hlth GAL 191~0 Moderate 02-00~.. GASOLINE ARCO UNLEADED Liquid o,uu.~ · Fire, Immed Hlth, Delay Hlth GAL 02-00¢ GASOLINE MIDGRADE UNLEADED Liquid ~ 'Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-00~ CARBON DIOXIDE Gas 448 Minimal , · Fire, Pressure, Immed Hlth. FT3 10/15/93 AM PM MINI MARKET 215-000-000264 Page 3 02 - Fixed Containers on Site Hazmat InVentory Detail in MCP Order 0 -00 I~ Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: {~re ~ ..... .Days: 365 Use: FUEL Daily Max GAL -, Daily Average GAL /-TJX/ Annual Amount GAL Io l ooD ~ , Storage ~ IIPress T Temp Location -- Conc -. :" Components MCP Guide 100.0% I Gasoline I Moderate I 27 0/~ io uo ~ 02-0 GASOLINE ARCO UNLEADED Liquid ~ Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: .'u~ Days: 365 Use: FUEL Daily Max GAL I Daily Average GAL F Annual Amount GAL -- ~,vvv ' ~,IOO,vv ..... Storage Press T TempI Location UNDER GROUND TANK AmbientlAmbientlNE END OF LOT -- Conc~ Components ~ MCP ---~uide 100.0% IGasoline IModeratel 27 02-0~ GASOLINE MIDGRADE UNLEADED Liquid ~OModerate ~ · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Days: 365 Use: FUEL lo lm,/' boo Storage Press T Temp~ Location ,UNDER GROUND TANK ~bient~ient[NE END OF LOT -- Conc Components ~ MCP ~uide 100.0% ~Gasoline ]Moderate~ 27 10J15/93 AM PM MINI MARKET 215-000-000264 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 5 - 02-0 CARBON DIOXIDE ? Gas 448 Minimal ~ Fire, Pressure, Immed Hlth FT3 CAS #: 124-38-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3 I Daily Average FT3 --~--- Annual Amount FT3 448 ~ 224.00 5,824.00 Storage , Press T Temp , Location PORT. PRESS. CYLINDER I~ ........ Amb~entlL. ~L -- ConcI ~.b4f~A Components MCP --~Guide 100.0% ICarbon Dioxide Minimal I 21 10J15/93 AM PM MINI MARKET 215-000-000264 Page 5 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation IN THE EVENT OF ANY MAJOR INCIDENT, .OUR FACILITY PERSONNEL (I.E. FACILITY MANAGER, ASSISTANT, CASHIER OR MAINTENANCE) WILL IMMEDIATELY CALL 911 AND REPORT. IF EVACUATION IS NECESSARY,~AND AFTER 911 HAS BEEN CALLED, EMPLOYEES ARE DIRECTED TO A SITE OPPOSITE THE DANGER AREA. FACILITY PERSONNEL WILL THEN CALL AND NOTIFY EMERGENCY CONTACT PERSONNEL. <3> Public Notif./Evacuation WOULD INSTRUCT TO LEAVE FACILITY THROUGH AVAILABLE EXITS. ALARM SHALL BE GIVEN BY SHOUTING. <4> Emergency Medical Plan MERCY HOSPITAL - 2215 TRUXTUN AVE. - 327-3371 BAKERSFIELD CITY FIRE DEPARTMENT - 2101H ST - STATION #1 10,/15/93 AM PM, MINI MARKET 215-000-000264 Page 6 f ~,~/ 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prey ntion ----r, ' , FACIDITY UTILIiZES ~) 67~ GALLON ~AD._-(,~$ ~;~,,,. ~A-T~T.~N UNDERGROUND TANKS LOCATED AT THE~--END OF THE SITE. INVENTORIES ARE MONITORED .'AND ARE KEPT AT A MINIMUM TO MINIMIZE RISK. "NO SMOKING", "PLEASE TURN OFF YOUR ENGINE", AND "DO NOT TOP OFF TANK" SIGNS ARE POSTED IN CLEAR VISION OF CONSUMER AND EMPLOYEES. COMPLIANCE TO POSTED SIGNS MINIMIZES POTENTIAL RISK AND HAZARDS. FOR MINOR SPILLAGE (I.E. CUSTOMER GAS TANK OVERFLOW) EMPLOYEES ARE INSTRUCTED TO CLEAN AND DISPOSE OF MATERIALS SAFELY. PROTECTIVE RUBBER GLOVES AND CLEAN-UP EQUIPMENT IS PROVIDED AT EACH FACILITY. FOR A MAJOR SPILLAGE, EMPLOYEES ARE TO CALL 911 AND REPORT. THEY WILL THEN NOTIFY EMERGENCY CONTACT PERSONNEL. FACILITIES ARE EQUIPPED WITH RED JACKET LEAD DETECTORS WHICH SHUTS SYSTEM DOWN IF LEAK OCCURS. IN ADDITION, INVENTORIES ARE ALSO MONITORED ON A DAILY BASIS AND ARE KEPT AT A MINIMUM TO MINIMIZE RISK. <2> Release Containment NO SMOKING, PLEASE TURN OFF YOU ENGINE, AND DO NOT TOP OFF TANK SIGNS ARE POSTED IN CLEAR VISION OF CONSUMER AND EMPLOYEE. COMPLIANCE TO POSTED SIGNS MINIMIZED POTENTIAL RISK AND HAZARDS. FACILITY PERSONNEL ARE INSTRUCTED TO CLEAN-UP MINIMAL SPILLS AND DISPOSE OF PROPERLY AND TO REPORT ANY MAJOR INCIDENT BY CALLING 911. IF NEEDED, PERSONNEL WILL PROCEED TO CALL ALL PERTINENT PEOPLE. <3> Clean Up FOR MINOR SPILLAGE, EMPLOYEES ARE INSTRUCTED TO CLEAN AND DISPOSE OF MATERIALS SAFELY. PROTECTIVE RUBBER GLOVES AND CLEAN-UP EQUIPMENT IS PROVIDED AT EACH FACILITY. FOR MAJOR SPILLAGE, EMPLOYEES ARE INSTRUCTED TO CALL 911 AND REPORT. <4> Other Resource Activation 10J15/93 AM PM MINI MARKET 215-000-000264 Page 7 00 - Overall Site <E> Mitigation/Prevent/Abatemt <4> Other Resource Activation (Continued) 1~/15/93 AM PM MINI MARKET 215-000-000264 Page 8 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - SOUTHEAST CORNER OF BUILDING C) WATER - SOUTH SIDE OF SITE BEHIND BUILDING D) SPECIAL - EMERGENCY FUEL SHUT-OFF LOCATED ON CASH REGISTER E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - EMPLOYEES'ARE INSTRUCTED ON LOCATION OF FIRE EXTINGUISHERS AND THEIR LOCATION. INSTRUCTION IS GIVEN ON USE AND OPERATION. 'INSTRUCTION IS ALSO GIVEN ON LOCATIONS OF EMERGENCY FUEL PUMP SHUT-OFF SWITCHES. FIRE HYDRANT - INTERSECTION ON CALIFORNIA AVE AND CHESTER AVE. <4> Building Occupancy Level 1~/15/93 AM PM MINI MARKET 215-000-000264 Page 9 00 - Overall Site <G> Training <1> Page 1 WE HAVE 12 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: ALL PERSONNEL, NEW AND EXISTING, ARE GIVEN INSTRUCTION ON COMPLYING WITH THE CITY OF BAKERSFIELD BUSINESS EMERGENCY PLAN. UPON COMPLETION OF SAID INSTRUCTION, EMPLOYEE WILL SIGN AN ACKNOWLEDGE SLIP. IN ADDITION, A TRAINING LOG WILL BE KEPT BY THE FACILITY MANAGER TO ENSURE THAT INSTRUCTION HAS BEEN CARRIED OUT. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION 2130 "G" STREET RECEIVED BAKERSFIELD, CA. 93301 (805) 326-3979 NOV 0 $1993 HAZ. ~AT. DiV. HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ ] BUSINESS NAME PRESTIGE STATIONS, INC. #589 FACILITY NAME AM/PM MINI MARKET #589 SITE ADDRESS 1501 California Avenue CITY Bakersfield STATE CA ZIP 93304 NATURE OF BUSINESS Convenience Store with Retail Gas Sales SIC CODE 5541 DUN & BRADSTREET NUMBER 510120713 OWNER/OPERATOR PRESTIGE STATIONS, INC. PHONE [310] 402-1278 MAILING ADDRESS c/o E, H & S - Post Office Box 6225 CITY Artesia STATE CA ZIP 90702 EMERGENCY CONTACTS NAME Ray Vival TITLE Facility Manager BUSINESS PHONE [8051 323-2024 24-HOUR PHONE [805] 397-0365 NAME Richard Macy TITLE Field Supervisor BUSINESS PHONE [310] 402-1278 24-HOUR PHONE [800] 553-6246 September 30, 1992 REGION V LEPC STANDARD BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS INVENTORY Page I of 3 Business Name AM/pM MINI MARKET #589 Address 1501 California Ave. Bakersfield. CA 93309 CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [X] Deletion [ ] Check if chemical is a NON TRADE SECRET IX] TRADE SECRET [ ] 2) Common Name: ARCO MIDGRADE UNLEADED GASOLINE 3) DOT # (optional) 1203 Chemical Name: G A S O L I N E AHM [ ] CAS # 4) PHYSICAL & IlEAL,TH PHYSICAL HEALTH HAZARD CATEGORIES Fire IX] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) IX] Delayed Health (Chronic) [X] 5) WASTE CLASSIFICATION ~ (3 Digit Code From DHS Form 8022) USE CODE 19 6) PHYSICAL STATE Solid [ ] Liquid IX] Gas[ ] Pure [ ] Mixture IX] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 10.000 lbs [ ] gal IX] ft3 [ ] a) Container: Average Daily Amotmt: 2.000 curies [ ] b) Pressure: Annual Amount: 300.000 c) Tamperature & Ambient Largest Size Container: 10.000 # Days on Site: 365 Circle Which Months: All year: J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS# %WT AHM thc three most hazardous 1) Xvlene 1330.20.7 8-15% [ ] chemical components or 2) Methv Tertiary Butyl Ether 1634-04-4 0-15% [ ] any AHMcomponents 3) Toulene 108-88-37 7-14% [ ] ! 10) Location: NORTHEAST SIDE OF SITE (TANK//2) CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [X] Deletion [ ] Check if chemical is a NON TRADE SECRET [X] TRADE SECRET [ ] 2) Common Name: ARCO UNLEADED GASOLINE 3) DOT # (optional) 1203 Chemical Name: G ~- S O L I N 1~ AHM [ ] CAS # 08006-61-9 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [X] Reactive[ ] Su~ldea Release of Pressure [ ] Immediate Health (Acute) [X] Delayed Health (chmnic) [X] 5) WASTE CLASSIFICATION (3 Digit Code From DHS Form 8022) USE CODE 19 6) PHYSICAL STATE Solid [ ] Liquid IX] Gas[ ] Pure [ ] Mixture IX] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 10.000 lbs [ ] gal IX] ft3 [ ] a) Container: 01. Under~ound Average Daily Amount: 4.000 curies [ ] b) Pressure: I. Ambient Annual Amount: 800.009 c) Temperature 4, Ambient Largest Size Container: 10.000 # Days on Site: 365 Circle Which Months: All year: J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS# %WT AI-IM the three most hazardous 1) Xylene 1330-20-7 8-15% [ ] chemical components or 2) Methv Tertiary Butyl Ether 1634-04-4 0-15% [ ] any AHM components 3) Toulene 108-88-37 7-14% [ ] 10) Location: ]~QRTHEAST SInE OW ~qlTE (TANK//3 ) I certify under penally of law, that I have personally examined and am familiar with the Information submitted on this and all attached documents. I believe the submitted information is true, accurate, and complete. NANCY MaR- ENVIRONMENTAL. HEALTH & SAFETY 1.29-9, P#nt Name & 77tie of Authorized Company Representa#ve Signature Date September 30. 1992 REGION V LEPC STANDARD FORM · BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS INVENTORY Page 2 of 3 Business Name, AM/PM MINI MARKET #589 Address 1501 California Ave.. Bakersfield. CA 93309 CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision iX] Deletion [ ] Check if chemical is a NON TRADE SECRET iX] TRADE SECRET [ ] 2) Common Name: AR(~O UNLEADED GASOLINE 3) DOT//(optional) 1203 Chemical Name: G A $ O L I N E AHM [ ] CAS # 08006-61.0 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire iX] Reactive[ ] Sudden Release of Pressum [ ] ImmediateHcalth(Acnte) iX] DelayedHcalth(Chmnic)[X] 5) WASTE CLASSIFICATION (3 Digit Code From DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid iX] Gas[ ] Pure [ ] Mixture iX] Waste [ ] R~dioactive [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 10.000 ~ lbs [ ] gal iX] ft3 [ ] a) Container: 01. Under,curtal Average Daily Amount: 4.000 ~aries [ ] b) Pressure: Annual Amount: 800.0OQ ~ c) Temperature 4. Ambient Largest Size Container: 10.000 # Days on Sim: 365 Circle Which Months: All year: J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS// %WT AHM the three most hazardous 1) Xvlene 1330.20.7 8.15% [ ] chemical components or 2) Methv Tertiary Butyl Ether 1634-04-4 0-15~ [ ] any AHMcomponents 3) Toul~il~ 108.88.37 7-14% [ ] .10) Location: ]~QRTHEAST SID]~ OF SITE t~I'~NK #4 ~ CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision iX] Deletion [ ] Check if chemical is a NON TRADE SECRET iX] TRADE SECRET [ ] 2) Common Name: ARCO EC-PREMIUM GASOLINE 3) DOT # (optional) 1203 Chemical Name: G A S O L I N E AHM [ ] CAS # 08006-61-9 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire iX] Reactive [ ] Sudden Release of Presmre [ ] Immediate Health (Acute) iX] Delayed Health (Chronic) iX] 5) WASTE CLASSIFICATION __ (3 Digit Code From DHS Form 8022) USE CODE 19 6) PHYSICAL STATE Solid [ ] Liquid iX] Gas[ ] Pure [ ] Mixture iX] Waste [ ] Radioactive [ ] 7) AIVlOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 10.00Q lbs [ ] gal iX] ft3 [ ] a) Container: ~ Average Daily Amount: 2.000 curies [ ] b) Pressure: 1. Ambient Annual Amount: 300.000 c) Temperature 4. Ambient Largest Size Container: 10.000 # Days on Site: 365 Circle Which Months: All year: J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COlVlPONENT CAS~ %WT AHM the three most hazardous 1) Hydrocarbons none 80-100% [ ] chemical components or 2) Meth¥ T~rtlarv Butyl Ether 1634-04-4 5-15% [ ] any AHM components 3) Toulqll~ 108-88-37 5-15% [ ] I0) Location: b[QRTHEAST SIDE OF SIT]~ (TAblK Oil certify under penalty of law, that I have personally examined and am familiar with the Information submitted on this and all attached documents. I believe the submitted Information Is true, accurate, and complete. NANCY B. t^/,~/TI · .. ,.---,, MGR- ENVIRONMENT.~L. HEALTH ~ SAFETY 10-29-93 P#nt Name & Title of Authorized Company Representative Signature Date September 30, 1992 REGION V LEPC STANDARD FORM · BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS INVENTORY Page 3 of 3 Business Name AM/PM MINI MARKET #589 Address 1501 California Ave.. Bakersfield. CA 93309 CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [X] Deletion [ ] Check il'chemical is a NON TRADE SECRET IX] TRADE SECRET [ ] 2) Common Name: Carbon Dioxide fCo2] 3) DOT ii (optional) 1013 Chemical Name: C A R B O N D I O X I D E AHM [ ] CAS ii 124-38.9 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [] Reactive[ } Sudden Release ofPressum [X] lmmediate Health (Acute) [X] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION __ (3 Digit Code From DHS Form 8022) USE CODE 01 6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas IX] Pure IX] Mixture [ ] Waste.[ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 448 lbs [ ] gal [ ] ft3 IX] a) Container: 04. Portable Average Daily Amount: 224 curies [ ] b) Pressure: Annual Amount: ~.824 c) Temperature Largest Size Container: 174 ii Days on Site: 365 Circle Which Months: All year: J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CASii %WT AHM the three most hazardous 1) CarDon Die. de 124-3g-9 100~ [ chemical components or 2) [ ] any AHM components 3) [ ] 10) Location: ~OUTH SID]~ OF THE BUILDING CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET IX] TRADE SECRET [ ] 2) Common Name: 3) DOT ii (optional) Chemical Name: AHM [ ] CAS ii 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (chronic) [ ] 5) WASTE CLASSIFICATION (3 Digit Code From DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: lbs [ ] gal [ ] ft3 [ ] a) Container: Average Daily Amount: ~ curies [ ] b) Pressure: Annual Amount: 'i c) Temperature Largest Size Container: ii Days on Site: Circle Which Months: All year: J. F, M, A, M, J, J, A. S, O, N, D 9) MIXTURE: List COMPONENT CAS~ %WT AHM the three most hazardous 1) [ ] chemical components or 2) [ ] any AHM components 3) [ ] 10) Location: I certify under penalty of law, that I have personally examined and am familiar with the information submitted on this and all attached documents. I belisve the submitted information ia true, accurate, and complete. Pdnt Name & 77tie of Authorized Company Representative Signature Date September 30, 1992 REGION V LEPC STANDARD FORM AM/PM MI~NI[ MARKET #589 1501 California Avenue Bakersfield, CA 93304 I~J EXISTINO PO~R ~- ~s8.oo' _ ........ ;~.~::_..~ -' 'il U~N [L[C. EmSnhG *~ ~ S~ 10 IBOARD -- ~ [ ,:.~ ..... ~u l~:-:~l [~ 51::1 t ,,. ,..,... E! ,,. [~ " ~ ...... ~"~ I I ~- ;, ,, ,s ~,' ,,, ",, U z '~' .... ~'----'~' "~"~- I / " '%';' &> 'v',' ' II / ' I / x ' ? ~1~. ' - ~ ~~ ;~;:::-~ ~ROA~ U~TS~ ....... r-lq~ '1 ' ~*~ II ~GN -- // CALIFORNIA AVENUE 02/04/93 AM PM MINI MARKET 215-000-000264 Page Overall Site with 1 Fac. Unit General Information Location: 1501 CALIFORNIA AV Map: 103 Hazard: Low I Community: BAKERSFIELD STATION 01 Grid: 3lA F/U: 1 AOV: 0.0 Contact Name Title Business Phone 24-Hour Phone] EVERADO VELASCO MANAGER (805) 323-2024 x (805) 589-2507! LUKE OZCELIK FIELD SUPERVISOR (805) 834-2978 x (800) 553-6246/ Administrative Data · Mail Addrs: P.O. BOX 6225 D&B Number: 51-012-0713 City: ARTESIA State: CA Zip: 90702- Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: 5541 Owner: PRESTIGE STATIONS INC ~'~ Phone: (310) 402-1278 Address: P.O. BOX 6225 State: CA City: ARTESIA Zip: 90702- Summary TANKS: HAS OWNER-OPERATOR AGREEMENT HAS FINANCIAL RESPONSIBILITY HAS SPILL RESPONSE AND MONITORING PLAN i, .. NANCY B. WALTI Do hereb)~ c, erli~ th~ ! ~ reviewed the affach~ h~a~ous mate~s m~e- · AM/PM MINI MART~589 ment plan for~ ~ ~~,,~ __ and ~at it ~ ~ any corrosions ~nsfitute a ~plete and ~ffe~ m~- agement plan. for my facility. ~~ 02/04/93 AM PM MINI MARKET 215-000-000264 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on~te Pln-Ref Name/Hazards ~ / Form Quantity MCP 02-003 GASOLINE (REGULA~ ~ Liquid 8000 Moderate GAL · Fire, Immed Hlth~Delay Hlth// 02-002 GASOLINE (SUPER UNLEA~D) / Liquid 6000 Moderate GAL · Fire, Immed Hlth, Del~'~lth 02-001 GASOLINE (UNLEADED)/ ~ Liquid 8000 Moderate GAL · Fire, Immed Hi~ Delay Hi~ 02-004 CARBON DIOXID~/ _ _ _ ~ Gas 448 Minimal ' · Fire, Pr~ure, Immed Hlth ~ FT3 02/04/93 AM PM MINI MARKET 215-000-000264 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-0'03 GASOLINE (REGULAR) Liquid 8000 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL -- Daily Max GALI Daily Average GAL I Annual Amount GAL -- 8,000 ~ 2,000.00 549,000.00 Storage Press T Temp~ Location UNDER GROUND TANK AmbientlAmbientlNE END OF LOT -- Conc~ Components ~ MCP --/Guide 100.0% IGasoline IModeratel 27 02-002 GASOLINE (SUPER UNLEADED) Liquid 6000 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GALI Daily Average GAL I Annual Amount GAL -- 6,000 ~ 2,000.00 549,000.00 Storage Press T Temp~ Location UNDER GROUND TANK AmbientlAmbientlNE END OF LOT -- Conc Components MCP ----/Guide 100.0% IGasoline IModerateI 27 02-001 GASOLINE (UNLEADED) Liquid 8000 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GALI Daily Average GAL I Annual Amount GAL 8,000 ~ 4,000.00 585,000.00 Storage Press I TempI Location UNDER GROUND TANK AmbientlAmbientlNE END OF LOT -- Conc Components MCP ---/Guide 100.0% IGasoline IModeratel 27 02/04/93 AM PM MINI MARKET 215-000-000264 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP,Order 02-004 CARBON DIOXIDE Gas 448 Minimal ~ Fire, Pressure, Immed Hlth FT3 CAS ~: 124-38-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3 Daily Average FT3 Annual Amount FT3 -- 448 I 224.00 I 5,824~.00 Storage Press T Temp~ Location PORT. PRESS. CYLINDER Ambient~AmbientI -- Conc Components MCP ---TGuide 100.0% ICarbon 'Dioxide IMinimal I 21 02/04/93 AM PM MINI MARKET 215-000-000264 Page 5 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation IN THE EVENT OF ANY MAJOR INCIDENT, OUR FACILITY PERSONNEL (I.E. FACILITY MANAGER, ASSISTANT, CASHIER OR MAINTENANCE) WILL IMMEDIATELY CALL 911 AND REPORT. IF EVACUATION IS NECESSARY, AND AFTER 911 HAS BEEN CALLED, EMPLOYEES ARE DIRECTED TO A SITE OPPOSITE THE DANGER AREA. FACILITY PERSONNEL WILL THEN CALL AND NOTIFY EMERGENCY CONTACT PERSONNEL. <3> Public Notif./Evacuation WOULD INSTRUCT TO LEAVE FACILITY THROUGH AVAILABLE EXITS. ALARM SHALL BE GIVEN BY SHOUTING. <4> Emergency Medical Plan MERCY HOSPITAL - 2215 TRUXTUN AVE. - 327-3371 BAKERSFIELD CITY FIRE'DEPARTMENT - 2101H ST - STATION #1 02/04/93 AM PM MINI MARKET 215-000-000264 Page 6 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention FACILITY UTILIZES (1) 6,000 GALLON AND (2) 8,000 GALLON UNDERGROUND TANKS LOCATED AT THE WEST END OF THE SITE. INVENTORIES ARE MONITORED DAILY AND ARE KEPT AT A MINIMUM TO MINIMIZE RISK. "NO SMOKING", "PLEASE TURN OFF YOUR ENGINE", AND "DO NOT TOP OFF TANK" SIGNS ARE POSTED IN CLEAR VISION OF CONSUMER AND EMPLOYEES. COMPLIANCE TO POSTED SIGNS MINIMIZES POTENTIAL RISK AND HAZARDS. FOR MINOR SPILLAGE (I.E. CUSTOMER GAS TANK OVERFLOW) EMPLOYEES ARE INSTRUCTED TO CLEAN AND DISPOSE OF MATERIALS SAFELY. PROTECTIVE RUBBER GLOVES AND CLEAN-UP EQUIPMENT IS PROVIDED AT EACH FACILITY. FOR A MAJOR SPILLAGE, EMPLOYEES ARE TO CALL 911 AND REPORT. THEY WILL THEN NOTIFY EMERGENCY CONTACT PERSONNEL. FACILITIES ARE EQUIPPED WITH RED JACKET LEAD DETECTORS WHICH SHUTS SYSTEM DOWN IF LEAK OCCURS. IN ADDITION, INVENTORIES ARE ALSO MONITORED ON A DAILY BASIS AND ARE KEPT AT A MINIMUM TO MINIMIZE RISK. <2> Release Containment NO SMOKING, PLEASE TURN OFF YOU ENGINE, AND DO NOT TOP OFF TANK SIGNS ARE POSTED IN CLEAR VISION OF CONSUMER AND EMPLOYEE. COMPLIANCE TO POSTED SIGNS MINIMIZED.POTENTIAL RISK AND HAZARDS. FACILITY PERSONNEL ARE INSTRUCTED TO CLEAN-UP MINIMAL SPILLS AND DISPOSE OF PROPERLY AND TO REPORT ANY MAJOR INCIDENT BY CALLING 911. IF NEEDED, PERSONNEL WILL PROCEED TO CALL ALL PERTINENT PEOPLE. <3> Clean Up FOR MINOR SPILLAGE, EMPLOYEES ARE INSTRUCTED TO CLEAN AND DISPOSE OF MATERIALS SAFELY. PROTECTIVE RUBBER GLOVES AND CLEAN-UP EQUIPMENT IS PROVIDED AT EACH FACILITY. FOR MAJOR SPILLAGE, EMPLOYEES ARE INSTRUCTED TO CALL 911 AND REPORT. <4> Other Resource Activation 02/04/93 AM PM MINI MARKET 215-000-000264 Page 7 00 - Overall Site <E> Mitigation/Prevent/Abatemt <4> Other Resource Activation (Continued) 02/04/93 AM PM MINI MARKET 215-000-000264 Page 8 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B)-ELECTRICAL - SOUTHEAST CORNER OF BUILDING C) WATER - SOUTH SIDE OF SITE BEHIND BUILDING D) SPECIAL - EMERGENCY FUEL SHUT-OFF LOCATED ON CASH REGISTER E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - EMPLOYEES ARE INSTRUCTED ON LOCATION OF FIRE EXTINGUISHERS AND THEIR LOCATION. INSTRUCTION IS GIVEN ON USE AND OPERATION. INSTRUCTION IS ALSO GIVEN ON LOCATIONS OF EMERGENCY FUEL PUMP SHUT-OFF SWITCHES. FIRE HYDRANT - INTERSECTION ON CALIFORNIA AVE AND CHESTER AVE. <4> Building Occupancy Level 02/04/93 AM PM MINI MARKET 215-000-000264 Page 9 00 - Overall Site <G> Training <1> Page 1 WE HAVE 12 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: ALL PERSONNEL, NEW AND EXISTING, ARE GIVEN INSTRUCTION ON COMPLYING WITH THE CITY OF BAKERSFIELD BUSINESS EMERGENCY PLAN. UPON COMPLETION OF SAID INSTRUCTION, EMPLOYEE WILL SIGN AN ACKNOWLEDGE SLIP. IN ADDITION, A TRAINING LOG WILL BE KEPT BY THE FACILITY MANAGER TO ENSURE THAT INSTRUCTION HAS BEEN CARRIED OUT. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use CITY OF BAKERSFIELD **REVISED** HAZARDOUS MATERIALS INVENTORY 2/22/93 HAZARDOUS MATERIALS DIVISION, 2130 'G° Street, Bakersfield, CA 93301 E]Farm and Agriculture ~-']Standard Business BUSINESS NAME: AM/PM MINI MARKET #589 ow~.R NAME: PRESTIGE STATIONS, INC. #589 Name of this Facility: LOCATION: 1501 California Avenue A99R~.SS = P.O. BOX 6225 Standard Ind. Class Code: 5~41 CITY, ZIP: Bakersfield, CA 93304 c~?¥, ZTP: ARTESIA, CA 90702 Dun & Bradslzeet Number 52-012-0713 PHONE ~ [805] 323-2024 P~ONE if: [310] 402-1278 & ~deral lO ~ R~F~R ~0 INSTRUCTIONS FOR PROP~ CODES I of 1 I 2 3 4 5 6 7 8 9 10 11 12 13 14 Trane Type Max Average Annual Measure if Days Cont Cont Cont Use Location Where % by Names of Mixture/Components Code Code Amt Amt Est Units On Site Type Press' Tamp Code Stored in Facili~ Wt See Instructions I U M 8, 000 2, 500 580, 000 G A L 3 6 5 0 1 I 4 19 Northeast end Gasoline-MIDGRADE Unleaded Physical and Health Hazard c~.s. Number 1~ of lot 0 to 15 Methyl Tertiary-Butyl Ether Check all that apply (1634,04-4) 8to15 Xylene (1330-20-7) IX]Fire Hazard [-~Reactivity_ i_Xj'-'lDelayed ~_-ISuddan Release '-,__,lmmedmte-' ' 7t014 Toluene (108-98-37) Health of Pressure Health I u I M I~°°° I s. 0o0 I~.~ m,,,,on IG A L I a 6 SI 0 ~ I ~ I 4 I ~g North.stand Ga.o, in.-^RCOUNU~ADED Physical and Health Hazard c~.s. Number 16,'34~ of lot 9 9 Hydrocarbons (none) Check all that apply I 0 Methyl Tertiary-Butyl Alcohol (TS-ge-0) :X;Fire Hazard L_ JReactivity ~JDalayed L_',Sudden Release L_',lmmediste I I Methyl Tertiary. Butyl Ether ,Health of Pressure Health (1634-O4-4) ~1 u I M I 6. g0o I 2,0°° I~oo. 0oo I~ A · I ~ 6 SI O ~ I ~ I ~ I 'g .orthee.,end C.~,.~.COSUPE. UN~_,~EO Physical and Health Hazard C.A.S. Number 1634~ of lot 9 9 Hydrocarbons (none)' Check all that apply I 0 Methyl Terllary-Butyl Alcohol ,--, ,-, ,--, (7S-65-0) ,.X_~Fire Hazard L_.,Reactivity LX.~Delayed__.~ ISudden Release .-_.~ Ilmmediate I I Methyl Tertiary-Butyl Ether Health of Pressure Health (1634-04-4) Physical and Health Hazard c.~.s. Number 12438-9 I 0 O CARBON DIOXIDE Check all that apply "Used in soft clrink dispensing (124-38-9) [] ire. zar '-' '---' -- t_ _ l Reactivity t_Xj0e[ayed ~X_ iSudden Release [__[immediate Health of Pressure Health EMERGENCY CONTACTS #1 Everado Velasco Facility Manager [805] 589-2507 Name Title 24-hr Phone · 2 Luke Ozcelik Field Supervisor [800] 553-6246 Name Title 24-hr Phone Certification (Read aed $1ge after completieg all sections) I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents, and that based on my i nquiryofthos, ind~,id~srespor=ibilifyforobtalningth, inforr, ation,, be,eve that the submitted inform~tion is true, accurate, and complete.NANCY a. WALT', Manager-Environmental, Health &Safety amre-~/"~.~ ~//~- 2/22/93 Name and official '~tle of owner/operator OR owner/operator's authorized representative Sign Date Signed APPC 308 Rev. Date ~' ARCO MIDGRADE UNLEADED GASOLINE 09/17192 ARCO PRODUCTS COMPANY DIVISION OF ATLANTIC RICHFIELD COMPANY 1055 WEST SEVENTH STREET LOS ANGELES, CALIFORNIA 90051 IMPORTANT: Read this MSDS before handling and disposing of this product and pass this information on to employees, customers, and users of this product I. GENERAL TELEPHONE NUMBERS: Emergency: 213/222/3212 LA POISON 800/424-9300 CHEMTREC Customer Service: 800/322-2726 INFO ONLY TRADE NAME ARCO MIDGRADE UNLEADED GASOLINE OTHER NAMES ARCO CLEAR GASOLINE, UNLEADED MOTOR VEHICLE GASOLINE, UNLEADED REGULAR GASOLINE OR PETROL GENERIC NAME PETROLEUM NAPHTHAS (BLENDED) CHEMICAL FAMILY PETROLEUM HYDROCARBONS CAS NUMBER 0008006-61-9 COMPANY ID NUMBER 1000710096 DOT PROPER SHIPPING NAME GASOLINE UN/NA NUMBER UN 1203 DOT HAZARD CLASS 3 ~FOR 'DISCLAIMER OF LIABILITY", SEE THE STATEMENT ON PAGE 12'** Page ! of 12 ARCO MIDGRADE UNLEADED GASOLINE MSDS No. APPC 308 11. IMMEDIATE HAZARDS DANGER HIGHLY FLAMMABLE! OSHA/NFPA CLASS-IA FLAMMABLE LIQUID. KEEP AWAY FROM HEAT, SPARKS, AND OPEN FLAME. MAY CAUSE IRRITATION TO EYES, E'.r~IN, AND RESPIRATORY SYSTEM. AVOID BREATHING VAPORS OR MISTS. USE ONLY WITH ADEQUATE VENTILATION. ABSORPTION OF LIQUID THROUGH THE SKIN OR INHALATION OF VAPORS CAN CAUSE CENTRAL NERVOUS SYSTEM (CNS) DEPRESSION AND/OR SYSTEMIC EFFECTS. HARMFUL OR FATAL IF SWALLOWED. CONTAINS PETROLEUM DISTILLATES! IF SWALLOWED, DO NOT INDUCE VOMITING SINCE ASPIRATION INTO THE LUNGS MAY CAUSE CHEMICAL PNEUMONIA. OBTAIN PROMPT MEDICAL ATYENTION. BASED ON THE RESULTS OF ANIMAL STUDIES, COMPONENTS OF THIS MATERIAL HAVE PRODUCED TOXIC EFFECTS ON THE LIVER, KIDNEY, AND OTHER INTERNAL INTERNAL ORGANS AND THE FETUS. LONG TERM EXPOSURE TO COMPLETELY VAPORIZED GASOLINE HAS CAUSED CANCER IN LABORATORY ANIMALS. GASOLINE MAY SENSITIZE THE HEART TO SYMPATHOMIMETICS LIKE EPINEPHRINE RESULTING IN IRREGULAR HEART BEATS. SEE SECTIONS IV AND XI FOR ADDITIONAL INFORMATION. Page 2 of 12 ~~I ,RCO MIDGRADE UNLEADED GASOLINE 1MSDSNo. APPC 308 Rev. Date '~~' 09/17/92 i iii. FIRE AND EXPLOSION FLASH POINT METHOD=(D-56) AP-45° F AUTOIGNITION TEMP. METHOD=(E-659) GT 600° F FLAMMABLE LIMITS (% VOLUME IN AIR) AT NORMAL ATMOSPHERIC TEMPERATURE AND PRESSURE LOWER: AP 1.3 UPPER: AP 7.6 BASED ON GASOLINE HAZARD RATINGS NFPA RATINGS HEALTH HAZARD RATING: (1)SLIGHT FIRE HAZARD RATING: (3)HIGH REACTIVITY HAZARD RATING: (0)INSIGNIFICANT FIRE AND EXPLOSION HAZARDS HIGHLY FLAMMABLE! THIS MATERIAL RELEASES VAPORS AT OR BELOW AMBIENT TEMPERATURES. WHEN MIXED WITH AIR IN CERTAIN PROPORTIONS AND EXPOSED TO AN IGNITION SOURCE, THESE VAPORS CAN BURN IN THE OPEN OR EXPLODE IN CONFINED SPACES. BEING HEAVIER THAN AIR, FLAMMABLE VAPORS MAY TRAVEL LONG DISTANCES ALONG THE GROUND BEFORE REACHING A POINT OF IGNITION AND FLASHING BACK. EXTINGUISHING MEDIA HALON, FOAM, WATER FOG, CO2, OR DRY CHEMICAL. CONSULT FOAM MANUFACTURER FOR APPROPRIATE MEDIA, APPLICATION RATES AND WATER/FOAM RATIOS. WATER AND WATER SPRAY MAY COOL THE FIRE BUT MAY NOT EXTINGUISH THE FIRE. SPECIAL FIREFIGHTING PROCEDURES FOR FIRES INVOLVING THIS MATERIAL, DO NOT ENTER ANY ENCLOSED OR CONFINED FIRE SPACE WITHOUT PROPER PROTECTIVE EQUIPMENT. THIS MAY INCLUDE SELF- CONTAINED BREATHING APPARATUS TO PROTECT AGAINST THE HAZARDOUS EFFECTS OF COMBUSTION PRODUCTS AND OXYGEN DEFICIENCIES. IF FIREFIGHTERS CANNOT WORK UPWIND TO THE FIRE, RESPIRATORY PROTECTIVE EQUIPMENT MUST BE WORN. COOL TANKS AND CONTAINERS EXPOSED TO FIRE WITH WATER. ~FOR 'DISCLAIMER OF LIABILITY', SEE THE STATEMENT ON PAGE 12'"* Page 3 of 12 'ARCO MIDC;RADE UNLEADED GASOLINE MSDS No. APPC 308 SUMMARY OF ACUTE HAZARDS LIQUID, MIST OR VAPORS CAN CAUSE EYE, SKIN AND RESPIRATORY TRACT IRRITATION AND CNS DEPRESSION. ASPIRATION INTO THE LUNGS MAY CAUSE CHEMICAL PNEUMONIA. ROUTES OF EXPOSURE INHALATION -- PRIMARY ROUTE VAPORS OR FUMES FROM THIS MATERIAL CAN IRRITATE THE NOSE, THROAT, AND LUNGS, AND CAN CAUSE SIGNS AND SYMPTOMS OF CENTRAL NERVOUS SYSTEM DEPRESSION, ( DIZZINESS, LOSS OF COORDINATION, COMA AND DEATH ) DEPENDING ON THE CONCENTRATION AND DURATION OF EXPOSURE. EYE CONTACT EYE IRRITATION MAY RESULT FROM CONTACT WITH LIQUID, MIST, AND/OR VAPORS. SKIN CONTACT NO SIGNIFICANT SYSTEMIC EFFECTS ARE EXPECTED UNDER NORMAL USE CONDITIONS. COMPONENTS OF THIS MIXTURE CAN BE ABSORBED THROUGH THE SKIN AND MAY PRODUCE CENTRAL NERVOUS SYSTEM (CNS) DEPRESSION OR OTHER TOXIC EFFECTS, DEPENDING UPON THE CONCENTRATION AND DURATION OF EXPOSURE. SKIN IRRITATION MY OCCUR UPON SHORT TERM EXPOSURE. INGESTION MAY CAUSE IRRITATION OF THE MOUTH, THROAT AND GASTROINTESTINAL TRACT LEADING TO NAUSEA, VOMITING, DIARRHEA, RESTLESSNESS AND CENTRAL NERVOUS SYSTEM DEPRESSION SIMILAR TO THAT CAUSED BY VAPOR INHALATION. SUMIVlARY OF CHRONIC HAZARDS AND SPECIAL HEALTH EFFECTS PROLONGED OR REPEATED SKIN CONTACT MAY PRODUCE SKIN IRRITATION OR MORE SERIOUS DISORDERS. MAY SENSITIZE THE HEART TO SYMPATHOMIMETICS LIKE EPINEPHRINE RESULTING IN IRREGULAR HEARTBEATS AND POSSIBLE CARDIAC ARREST. A CHRONIC INHALATION STUDY WITH A GENERIC UNLEADED GASOLINE FORMULATED BY APl, CAUSED KIDNEY DAMAGE AND KIDNEY TUMORS IN MALE RATS AND LIVER TUMORS IN FEMALE MICE. THE EXACT RELATIONSHIP BETWEEN THESE RESULTS AND POSSIBLE HUMAN EFFECTS IS NOT KNOWN. CONTAINS BENZENE, A KNOWN HUMAN CARCINOGEN. OVEREXPOSURE TO VAPORS OR LIQUIDS MAY CAUSE LEUKEMIA, APLASTIC ANEMIA OR OTHER BLOOD DISORDERS OR IMMUNOTOXICITY. PERSONNEL WITH PRE-EXISTING CNS DISEASE, SKIN DISORDERS,IMPAIRED LIVER OR KIDNEY FUNCTION OR CHRONIC RESPIRATORY DISEASES SHOULD AVOID EXPOSURE. SEE SECTION XI FOR ADDITIONAL INFORMATION. Page 4 of 12 ~ a l~ ARCO MIDGRADE UNLEADED GASOLINE ,SDS No. "jl~, APPC 308 Rev. Date ~~' 09117/92 I V. PROTECTIVE EQUIPMENT I CONTROL MEASURES RESPIRATORY PROTECTION FOR VAPOR/MIST CONCENTRATIONS IN EXCESS OF THE OCCUPATIONAL EXPOSURE LIMITS IN SECTION VI, USE A NIOSH/MSHA APPROVED ORGANIC VAPOR/MIST, SUPPLIED AIR OR SELF CONTAINED BREATHING APPARATUS. RESPIRATOR SHOULD FOLLOW OSHA 29 CFR 1§10.134 OR EQUIVALENT. EYE PROTECTION EYE PROTECTION SHOULD BE WORN. IN THE LIKELIHOOD OF SPLASHING OR SPRAYING, CHEMICAL TYPE GOGGLES AND/OR A FACE SHIELD SHOULD BE WORN. IF CONTACT LENSES ARE WORN, CONTACT THE SAFETY DEPARTMENT FOR USER POLICY OR AN EYE SPECIALIST FOR ADDITIONAL PRECAUTIONS. SUITABLE EYE WASH WATER SHOULD BE AVAILABLE IN CASE OF EYE CONTACT WITH MATERIAL. SKIN PROTECTION AVOID PROLONGED AND/OR REPEATED SKIN CONTACT. IF CONDITIONS OR FREQUENCY OF USE MAKE PROLONGED CONTACT LIKELY, CLEAN AND IMPERVIOUS CLOTHING SUCH AS GLOVES, APRON, BOOTS, AND FACIAL PROTECTION SHOULD BE WORN. ENGINEERING CONTROLS USE ADEQUATE VENTILATION TO KEEP VAPOR AND MIST CONCENTRATIONS OF THIS MATERIAL BELOW THE OCCUPATIONAL EXPOSURE LIMITS SHOWN BELOW IN SECTION VI, ELECTRICAL EQUIPMENT SHOULD FOLLOW NATIONAL ELECTRICAL CODE (NEC) STANDARDS. OTHER HYGIENIC PRACTICES USE GOOD PERSONAL HYGIENE PRACTICES. IN CASE OF SKIN CONTACT, WASH WITH MILD SOAP AND WATER OR A WATERLESS HAND CLEANER. IMMEDIATELY REMOVE SOAKED CLOTHING AND WASH THOROUGHLY BEFORE REUSE. DISCARD GASOLINE-SOAKED SHOES. OTHER WORK PRACTICES RESPIRATOR USE SHOULD COMPLY WITH OSHA STANDARDS 29 CFR 1910.134 OR EQUIVALENT. MAINTAIN EXPOSURE LEVELS BELOW I PPM BENZENE IN ADDITION TO THE 300 PPM GASOLINE TLV. NEVER SIPHON GASOLINE BY MOUTH. SEE SECTION XI, FOR ADDITIONAL INFORMATION. ~FOR 'DISCLAIMER OF LIABILITY~, SEE THE STATEMENT ON PAGE 42*** Page 5 of 12 - ARCO MIDGRADE UNLEADED GASOLINE MSDS No. APPC 308 IVI. OCCUPATIONAL EXPOSURE LIMITS SUBSTANCE SOURCE DATE TYPE VALUE/UNITS TIME BENZENE ACGIH 1992 TWA 0.1 PPM 8 HRS OSHA 1992 PEL 1 PPM 8 HRS STEL 5 PPM 15 MIN CUMENE ACGIH 1991 TWA 50 PPM 8 HRS OSHA 1991 PEL 50 PPM . 8 HRS CYCLOHEXANE ACGIH 1991 TWA 300 PPM 8 HRS OSHA 1991 PEL 300 PPM 8 HRS ETHYL ALCOHOL ACGIH 1991 TWA 1000 PPM 8 HRS OSHA 1991 TWA 1000 PPM 8 HRS ETHYL BENZENE ACGIH 1991 TWA 100 PPM 8 HRS STEL 125 PPM 15 MIN OSHA 1991 PEL 100 PPM 8 HRS STEL 125 PPM 15 MIN GASOLINE ACGIH 1991 Tv'VA 300 PPM 8 HRS STEL 500 PPM 15 MIN OSHA 1991 PEL 300 PPM 8 HRS STEL 500 PPM 15 MIN N-HEXANE ACGIH 1991 TWA 50 PPM 8 HRS OSHA 1991 PEL 50 PPM 8 HRS N-OCTANE ACGIH 1991 TWA 300 PPM 8 HRS STEL 375 PPM 15 MIN OSHA 1991 PEL 300 PPM 8 HRS STEL 375 PPM 15 MIN TOLUENE. ACGIH 1992 TWA 50 PPM E, HRS STEL 150 PPM 15 MIN OSHA 1992 PEL 100 PPM 8 HRS STEL 150 PPM 15 MIN TRIMETHYL BENZENE ACGIH 1991 TWA 25 PPM 8 HRS OSHA 1991 PEL 25 PPM 8 HRS XYLENE ACGIH 1991 TWA 100 PPM 8 HRS STEL 150 PPM 15 MIN OSHA 1991 PEL 100 PPM 8 HRS STEL 150 PPM 15 MIN IVII. EMERGENCY AND FIRST AID I INHALATION IMMEDIATELY MOVE PERSONNEL TO AREA OF FRESH AIR. FOR RESPIRATORY DISTRESS, GIVE OXYGEN, RESCUE BREATHING OR ADMINISTER CPR ( CARDIO PULMONARY RESUSCITATION), OBTAIN MEDICAL ATTENTION. EYE CONTACT FLUSH WITH CLEAN LOW-PRESSURE WATER FOR AT LEAST 15 MINUTES,. OCCASIONALLY LIFTING THE EYELIDS. IF PAIN OR REDNESS PERSISTS AFTER FLUSHING, OBTAIN MEDICAL ATTENTION. SKIN CONTACT IMMEDIATELY REMOVE CONTAMINATED CLOTHING. WASH AFFECTED SKIN THROUGHLY WITH SOAP AND WATER. IF IRRITATION PERSISTS, OBTAIN MEDICAL ATTENTION. INGESTION DO NOT INDUCE VOMITING. OBTAIN PROMPT MEDICAL ATTENTION. EMERGENCY MEDICAL TREATMENT PROCEDURES SEE ABOVE PROCEDURES. Page 6 of 12 > MIDGRADE UNLEADED GASOLINE MSDS No. [ '~~RCO APPC 308 Rev. Date 09117192 PRECAUTIONS IF MATERIAL IS SPILLED OR RELEASED ELIMINATE ALL POTENTIAL SOURCES OF IGNITION. HANDLING EQUIPMENT MUST BE GROUNDED TO PREVENT SPARKING. STOP SOURCE OF RELEASE WITH NON-SPARKING TOOLS. VENTILATE ENCLOSED AREAS TO PREVENT FORMATION OF FLAMMABLE OR OXYGEN DEFICIENT ATMOSPHERES. WATER SPRAY MAY BE USED TO REDUCE VAPORS. AVOID VAPOR CLOUD EVEN WITH PROPER RESPIRATORY EQUIPMENT. ISOLATE THE HAZARD AREA AND DENY ENTRY TO UNNECESSARY PERSONNEL. DIKE AND CONTAIN LARGE SPILLS. SOAK UP RESIDUE WITH AN ABSORBENT SUCH AS CLAY, SAND, OR OTHER SUITABLE MATERIAL. PREVENT SPILLED MATERIAL FROM ENTERING SEWERS, STORM DRAINS AND OTHER UNAUTHORIZED TREATMENT DRAINAGE SYSTEMS AND NATURAL WATERWAYS. NOTIFY FIRE AUTHORITIES AND APPROPRIATE FEDERAL, STATE AND LOCAL AGENCIES. IMMEDIATE CLEANUP OF ANYSPILL IS RECOMMENDED. IF SPILL OF ANY AMOUNT IS MADE INTO OR UPON U.S. NAGIVABLE WATERS, THE CONTIGUOUS ZONE, OR ADJOINING SHORE LINE, NOTIFY THE NATIONAL RESPONSE CENTER (800) 424-8802 WASTE DISPOSAL METHODS MAXIMIZE PRODUCT RECOVERY FOR REUSE OR RECYCLING. UNUSED LIQUID SHOULD BE DISPOSED ON BY APPROVED TREATMENT, TRANSPORTERS, AND DISPOSAL SITES IN COMPLIANCE WITH ALL APPLICABLE LAWS. TANK BOTTOMS AND TANK WATER BOTTOMS MAY BE HAZARDOUS TO HUMAN, ANIMAL, AND AQUATIC LIFE. IF SPILL IS INTRODUCED INTO A WASTEWATER SYSTEM THE CHEMICAL AND BIOLOGICAL OXYGEN DEMAND WILL LIKELY INCREASE. SPILL MATERIAL IS BIODEGRADABLE IF GRADUALLY EXPOSED TO MICROORGANISMS. A POTENTIAL DISPOSAL METHOD IS INCINERATION, IF PROPERLY PERMITTED. ~FOR 'DISCLAIMER OF LIABILITY', SEE THE STATEMENT ON PAGE 12'** Page 7 of 12 ARCO MIDGRADE UNLEADED GASOLINE MSDS No. APPC 308 I IX. COMPONENTS (This may not be a complete list of components.) .. COMPONENT NAME CAS NUMBER CARCINOGEN1 %COMPOSITION BY VOLUME GASOLINE 08006-61-9 N/AP EQ 100 WHICH CONTAINS: BENZENE 71-43-2 1,2,3,4 AP 1-5 CUMENE 98-82-8 N/AP LT 1 CYCLOH EXAN E 110-82-7 N/AP LT 2 ETHANOL 64-17-5 N/AP AP 0-10 ETHYL BENZENE 100-41-4 N/AP AP 1-3 METHYL TERTIARY BUTYL ETHER ( MTBE ) 1634-04-4 N/AP AP 0-15 N-HEXANE 110-54-3 N/AP AP 2-5 N-OCTANE 111-65-9 N/AP LT 1 TOLUENE 108-88-37 N/AP AP 7-14 1,2,4 TRIMETHYL BENZENE 95-63-6 N/AP AP 1-4 TRIMETHYL BENZENE 25551-13-7 N/AP LT 5 XYLENE 1330-20-7 N/AP AP 8-15 ~Listed by: NTP, IARC, 3=OSHA, 4=Other 1 2 See qualification below. Compositions given are typical values, not specifications. C~ualifications EQ - Equal AP - Approximately N/P - No Applicable Information Found LT - Less Than UK - Unknown N/AP - Not Applicable GT - Greater Than TR - Trace N/DA - No Data Available Page 8 of 12 ~ MSDS No. ~~. RCO MIDGRADE UNLEADED GASOLINE APPC 308 Rev. Date ~~P' 09117/92 iX. PHYSICAL AND CHEMICAL DATA I BOILING POINT AP 35° TO 437° F PH N/AP FREEZING POINT N/AP DRY POINT AP 430F SPECIFIC GRAVITY (H20=1 AT 39.2° F) AP .7 TO .8 VOLATILE CHARACTERISTICS APPRECIABLE VISCOSITY UNITS, TEMP. (METHOD) N/AP SOLUBILITY IN WATER SLIGHT VAPOR PRESSURE AP 5 TO 15 (PSI AT 100 F) STABILITY STABLE VAPORSPGR(AIR=I AT 60°-gO°FI AP 4.0 HAZARDOUS POLYMERIZATION NOT EXPECTED TO OCCUR OTHER CHEMICAL REACTIVITY N/AP OTHER PHYSICAL AND CHEMICAL PROPERTIES WATER IN CONTACT WITH OXYGENATED GASOLINE CAN CON- TAIN UP TO 80% OXYGENATE & HYDROCARBON MATERIALS. APPEARANCE AND ODOR COLORLESS TO STRAW-COLORED LIQUID; PETROLEUM NAPHTHA ODOR. CONDITIONS TO AVOID HEAT, SPARKS, AND OPEN FLAME, AND BUILD UP OF STATIC ELECTRICITY. MATERIALS TO AVOID HALOGENS, STRONG ACIDS, ALKALINES AND OXYDIZERS. HAZARDOUS DECOMPOSITION PRODUCTS BURNING OR EXCESSIVE HEATING MAY PRODUCE CARBON MONOXIDE AND OTHER HARMFUL GASES/VAPORS INCLUDING OXIDES AND/OR OTHER COMPOUNDS OF SULFUR. ~FOR "DISCLAIMER OF LIABILITY", SEE THE STATEMENT ON PAGE 12~ P;~ge 9 of 12 ARCO MIDGRADE UNLEADED GASOLINE MSDS No. APPC 308 XI. ADDITIONAL PRECAUTIONS HANDLING STORAGE AND DECONTAMINATION PROCEDURES STORE AND TRANSPORT IN ACCORDANCE WITH ALL APPLICABLE LAWS. KEEP AWAY FROM HEAT, SPARKS, AND OPEN FLAME! KEEP CONTAINERS CLOSED, PLAINLY LABELED, AND OUT OF CLOSED VEHICLES. CONTAINERS SHOULD BE ABLE TO WITHSTAND PRESSURES EXPECTED FROM WARMING OR COOLING IN STORAGE. GROUND ALL DRUMS AND TRANSFER VESSELS WHEN HANDLING. STORE IN COOL (80F OR ~ELovv) WELL vENTiLATED LOCATION. ALL ELECTRICAL EQUIPMENT IN STORAGE AND/OR HANDLING AREAS SHOULD BE INSTALLED IN ACCORDANCE WITH APPLICABLE REQUIREMENTS OF THE NATIONAL ELECTRICAL CODE, (NEC). KEEP OUT OF REACH OF CHILDREN! EMPTY CONTAINERS RETAIN SOME LIQUID AND VAPOR RESIDUES, AND HAZARD PRECAUTIONS MUST BE OBSERVED WHEN HANDLING EMPTY CONTAINERS. AVOID CONTACT WITH SKIN. AVOID INHALATION OF VAPORS OR MISTS. USE IN A WELL VENTILATED AREA AWAY FROM ALL IGNITION SOURCES. ADDITIONAL TOXICOLOGY INFORMATION COMPONENTS SEVERAL COMPONENTS OF THE GASOLINE LMIXTURE HAVE BEEN FOUND TO AFFECT EITHER MALE OR FEMALE REPRODUCTIVE CAPACITY OR TO BE TOXIC TO THE FETUS IN LABORATORY STUDIES. INHALATION EXPOSURE TO HIGH CONCENTRATIONS OF MTBE ( 4,000 TO 8,000 PPM ) HAS CAUSED FETAL TOXICITY AND MALFORMATIONS ( CLEFT PALATE, SKELETAL VARIARIONS) IN LABORATORY ANIMALS. MATERNAL TOXICITY WAS REPORTED AT THESE LEVELS. THE NO OBSERVED EFFECT LEVEL (NOEL) FOR FETAL EFFECTS WAS REPORTED TO BE 1000 PPM. EXPOSURE TO OTHER COMPONENTS OF GASLINE SUCH AS BENZENE, TOLUENE, XYLENE, ETHYLBENZENE, TRIMETHYLBENZENE AND N-HEXANE HAVE ALSO BEEN SHOWN TO AFFECT REPRODUCTIVE CAPACITY AND/OR FETAL DEVELOPMENT IN LABORATORY ANIMALS. ' THE EXACT RELATIONSHIP BETWEEN THESE EFFECTS AND HUMANS IS NOT KNOWN. EXPOSURE TO N-HEXANE, A COMPONENT OF GASOLINE, HAS BEEN ASSOCIATED WITH PERIPHERAL NEUROPATHY IN HUMANS. CHRONIC EXPOSURE TO VERY HIGH LEVELS (8000 PPM) OF MTBE HAS PRODUCED URINARY SYSTEM EFFECTS ( NEPHROSIS, NEPHROPATHY OR ABNORMAL KIDNEY EFFECTS) IN LABORATORY ANIMALS. THE RELATIONSHIP BETWEEN THESE EFFECTS AND HUMANS IS NOT KNOWN, BUT COMPARABLE HUMAN EXPOSURES WOULD BE CONSIDERED HIGHLY UNLIKELY UNDER TYPICAL USE CONDITIONS. Page 10 of 12 Rev. Date '~~' 09/17/92 I XII. REGULATORY INFORMATION SUPERFUND AMENDMENTS AND REAUTHORIZATION ACT OF 1986 (SARA), TITLE III SECTION 311/312 HAZARD CATEGORIES DELAYED (CHRONIC) HEALTH HAZARD FIRE HAZARD SECTION 313 THiS PRODUCT CONTAINS THE FOLLOWING CHEMICALS SUBJECT TO THE REPORTING REQUIREMENTS OF SARA TITLE III, SECTION 313 AND 40 CFR 372: BENZENE CUMENE ETHYL BENZENE TOLUENE 1,2,4 TRIMETHYL BENZENE XYLENE TOXIC SUBSTANCES CONTROL ACT (TSCA) ALL COMPONENTS OF THIS PRODUCT ARE LISTED ON THE TSCA INVENTORY. COMPREHENSIVE ENVIRONMENTAL RESPONSE, COMPENSATION AND LIABILITY ACT (CERCLA) THIS PRODUCT CONTAINS THE FOLLOWING CHEMICALS SUBJECT TO THE REPORTING REQUIREMENTS OF CERCLA: REPORTABLE QUANTITY (RQ), LBS BENZENE 10#/4.54KG CUMENE 5000#/2270KG CYCLOHEXANE 1000#/454KG ETHYL BENZENE 1000#/454KG TOLUENE 1000#/454KG XYLENE 1000#/454KG CALIFORNIA SAFE DRINKING WATER AND TOXIC ENFORCEMENT ACT OF 1986 - PROPOSITION 65 THIS PRODUCT CONTAINS THE FOLLOWING CHEMICAL(S) LISTED BY THE STATE OF CALIFORNIA AS "KNOWN TO THE STATE OF CALIFORNIA TO CAUSE CANCER", AND/OR REPRODUCTIVE TOXICITY. BENZENE TOLUENE 'DISCLAIMER OF LIABILITY~, SEE THE STATEMENT ON PAGE 12~ Page 11 of 12 ARCO MIDGRADE UNLEADED GASOLINE MSDS No. APPC 308 IXIII. SUPPLEMENT IXIV. DISCLAIMERS Disclaimer of Liability The information in this MSDS was obtained from sources which we believe are reliable. HOWEVER, THE INFORMATION IS PROVIDED WITHOUT ANY WARRANTY, EXPRESS OR IMPLIED, REGARDING ITS CORRECTNESS. The conditions or methods of handling, storage, use and disposal of the product are beyond our control and may be beyond our knowledge. FOR THIS AND OTHER REASONS, WE DO NOT ASSUME RESPONSIBILITY AND EXPRESSLY DISCLAIM LIABILITY FOR LOSS, OR DAMAGE OR EXPENSE ARISING OUT OF OR IN ANY WAY CONNECTED WITH THE HANDLING, STORAGE, USE OR DISPOSAL OF THE PRODUCT. This MSDS was prepared and is to be used only for this product. If the product is used as a component in another product, this MSDS information may not be applicable. Page 12 of 12 CITY of BAKERSFIELD "WE CARE" HAZARDOUS MATERIAL RELEASE REPORT FOR FiRE DEPARTMENT Notify CA O.E.S. (800) 852-7550 2t01 H STREET S. D. JOHNSON BAKERSFIELD, 93301 FIRE CHIEF 326-3911 Company Name Address i ~01 ~'g0F~3 ;~, .~_. Chemical Name Hazard Level - Low Moderate ~e (Acute) ~s~ima~ed Ouan~i~y of Release ~ · ~e ~ Oate 3~/e,~ Duration of Release ~-~ ~;~O~,% Date Medium into which release occurred: ' I '' Health risks know or anticipated: Proper Precautions: Contact Person Telephone Number HAZARDOUS MATERIAL RELEASE FOLLOW UP REPORT Number of People Affected by Release Extent of Any Health Related Problems: Dates of Cleanup Contractor Contractor's Respresentative Time of'Contractor Arrival Description of Extent of Contamination Soil Water Air Other Description of Cleanup Procedures Used Qaulity of Hazardous Materials Removed (identification.procedures, lab results if available) Registered Hauler Utilized Hauler # Material Transported to Manifest Time and Date Job was Completed Current Status of Site Report By Agency RECEIVED UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE ~'/~K~'~ ~:[I~[!~IINATION SITE REPORT EMERGENCY HAS STA~ OFFICE OF EMERGENCY SERVICES ;:~ FOR[OCAE~'AGENCY ~USE REPORT DATE CASE ~ NAME OF INDIVIOU~ FILING REPORT PHONE / ~ ADDRESS ~ ~ ADDRESS STRE~ Cl~ STA~ Z~P FAClLI~ N~E 0F APPLICABL~ OPERATOR ~ PHONE ~ ADDRESS ~ CROSS STREET ~ z REGION~BOARD~ PHONE (1) NAM E QUANTI~ LOST (GALLONS) z ~ ~ UNKNOWN ~ DATE DIS~VERED Y HOW DIS~VERED ~ INVENTORY~NTROL ~ SU~URFACE MO2~ORING ~ NUIS~CE CONDITIONS ~ DA~ DI~HARGE BE~N M~HOD USED TO STOP DISCHARGE (CHECK ~L ~AT APPLY) ~ ~ ~ m~ot ~,~ ,I ~ UNKNOWN HAS DISCHARGE BEEN STOPPED ? ~ REPAIR TANK ~ CLOSE TANK & FILL IN P~CE ~ CHANGE PROCE~RE CAUSE(S)Y SOURCE OF DISCHARGE g ~ ~ TANK mAK ~ UNKNOWN ~ OVERFILL ~ RUPmR~FAILURE SPILL ~ ~ UNDE~RMINED ~ SOILO~Y ~ GROUNDWATER ~ DRINKING WATER - (CHECK ONLY IF WATER WELLS HA~ AC~ALLY BEEN AFFEC~D) CHECK ONE ONLY ~ ~ NO ACTION TAKEN ~ PRELIMINARYSI~ASSESSMENT~RKP~NSUBMI~ED ~ POLLUTIONCHARACTERI~TION ~ ~ ~ LE~ BEING CONFIRMED ~ PRELIMINARYSI~ ASSESSMENT UNDERWAY ~ POSTCLE~UP MONITORING IN PROGRESS o~ ~ REMEDIATION PLAN ~ CASE CLOSED(CLE~UP ~MPLE~DOR UNNECESSAR~ ~ CLEANUP UNDERWAY CHECK APPROPRIATE ACTION(S) ~ EXCAVATE & DISPOSE (ED) ~ REMOVE FREE PRODUCT (FP) ~ ENH~CED BIO DEGRADATION (1~ QO ~ CAPSI~(CD) ~ EXCAVATE&TREAT(E~ ~ PUMP&TREATGROUNDWATER(G~ REP~CE SUPPLY (RS) m~ =o ~ CON*A~NUENTaARm[R(Ca) ~ NOACT~ONREOU~REDIN~ TREATUENTATHO~P(~m ~ ~ENTm~L(VS) INSTRUCTIONS EI~IERGENCY Leak Being Confirmed -- Leak suspected at site, but has not been confirmed. lndicate whether emergency response personnel and equipment were involved Preliminar]~ Site Assessment Work.lan Submitted - workplan/proposal at any time. if so, a }~azardous Material Incident R~port should be filed requested of/submitted by responsibi~ party to determine whether ground with the ~ = of ~,~tat~. Office Emergency Services (OES) at 2800 ~ebdo~iew Roa~ water hms been, or will be, impacted as a result of the release. Sacramesl, o, CA 95832. Copies of the OES report form may be obtai~ed at ' Preliminar~ Site Assessment Underwa~ - implsmenhation of workplan. your local underground storage tank permitting agency. In(licate whether Pollution Characterization responsible party is in the process of fully the OES report has been filed as of:the date of this report~ defining the extent of contamination in soil and ground water and assessing · .. impacts on surface ~nd/or ground water. LOCAL ASENCY ONLY Remediation Plan - remediation plan submitted evaluating long term To avoid duplicate notification pursuant'to Health and Safety code S~ctiQn remediation options~ Proposal and implementation schedule for appropriate 25180~5~ a gove~sment emp~syee should sign and date 6he form in this block, remediation options also submitted~ A signature here dos~ no_= mean that the Ie~ has been determined ~o pose 'a C~~rw~ ~ implementation of remedia'tion plan. significant threat to human health or safety~ only that notification Post Cle~nup. Monitor~~gss - periodic ground water or other procedures have been fo/io?~ed if requirgd~ monitoring at site~ a~ necessary~ to verify and/or evaluate effectiveness of remedial activities, REPORTED BY Case Closed - regicidal board and local agency ~ A~ further work is necessary at the.site_ Enter your name, ~.<:=.ep ~one n~ber, and address, indicate which party you represent and i~)rovida, come. any or agency na~e. IMPORTANT: THE INFO~%TION PROVIDED ON THIS FOPd~ IS iNTENDED FOR GENE~ RESPONSIBLE PARTY STATISTICAL PURPOSES ONlY AND IS NOT TO BE CONST~UED AS ~Pi~SENTING THE Enter na~nsF t~el~phone number, contact person~ and address of the party OFFICIAL POSITION OF ANY ~RR~/~TAL AGENCY responsmbie for ~he leak. The responsible party would normally be %be tank o~,a~er ~ RE~EDIAL ACTION Indicate which action ~ave been used 6o cleanup or remsdiate bile leak~ SITE LCCATIOI'I Descriptions of opt, ions follow: Enter inform]etlon regarding th~ tank facility. At a ~inimum, you must provid~ gte facility n~s and full address. Ca~ Site - install horizontal impermeable !.s~yer %o reduce .rainfall infiltration. IMPLE~E~TING AGE~CIEB , Contairnment Barrier - install verhicai dike Lo block horizontal movement Enter names of the Local a&ency and Regional Wa%er Quality Control Eoard contaminant. involved, Excavate and D~s~ ~ remove contaminated soil and dispos~ in approved site. SUBSTA~CES II~VOI.VED Excavate and Treat - remove conLaminated soJi and trna% (includes spreading Enter the na~e sad quantity'lost of the hazardous substance involvsd~ Room or !and farming). is providgd fo~ in,ore, aliGn on two substances if appropriate. If more than Remove Free Product - remove floating product from water table. %~o substances ].~aksd; .,lis% thc t~o of mos'g concern for cleanup. Pa~ and Treat Ground%'ater - generally employed to remove dissolved contaminants. ~$COVERY/ABA%Ef~t~T . Enhanced Biode~radation - use of any available technology to pro~ot~ ~ information ~egardin& the discovery and abatement of %he leak. basLsrial decompoai'b~on of cont~inanbs. · - ~_piace ~%~ - provide alternative water supply to affected p~rties. SOURCe/CAUSE Treatment at Hookun - install water t~reatment devices ah each d%?elling or %ndicate source(s) of leak. ~heck box(es) indicasing cause of te~. other piece of use. Vacuum Ex~ract - use pumps cr blowers to draw air tl~rongh-soil. ~ASE TYPE Vent Soil ~- bore holes in soil to ~dicate the casa type category for ~his le~. Check one box only. Case No Action Re~4uired - incident is minor, requiring no remedial action. ~ype is b~sed on the most sensitive resource ~ffecbed. For example, if bo. th ~oil end S~ound wa~er' h~ve bean affected, ca~e type will be "Grou~d COI{,~NTS - Use this spzce to elaborate on any espesLs of the incident. Water'. IndicaL~ "Drinking Water" only if one or more municipal or dome.~c water wells have actually been affected. A "Ground Water" SIGNAT~E - Sign the form in the space provided. designation does not imply that the affected water cannot be, or is used for drinking water, but only that water wells have not yet been DISTRIBUTION a~fected. It is understood that case type may change upon further If the form is completed by the 5sr~ o~mer or his agent, retail~ the last copy investigation. ' and forward the remaining copies intact to your local tank permittin~ agency for distribution. CURRENT STATUS 1~ Origi~al - Local Tank Permitting Agency indicate the category which best describes the current status of the case. 2. State ~ater Resources Control Board, Division of Clean Water Programs, Check one box on]y~ The response should be relative to the case type. For Underground Storage Tank Progr~m, P.O. ~oz 944212, Sacramento, CA 94244- example~ if case type ia "Ground Water". then "Current Stat~s' should refer 2120 to the status of the ground water investi.gaglon or cleanup, as opposed to 3. Regional Water Quality Con,roi Board that of soil. Descriptions of options follow: 4. Local Health Officer and County Board of~u~e_.~c ~ ,~..l~o,~> ..... or their desJg[~ee to receive Proposition 65 notifications. No Action Taken ~ No action has b~en taken by responsible party beyohd 5, ~.-ne~/responsible party, initial re]')ort ef leak. BUSINESS PLAN and CHEMICAL INVENTORY UPDATE F~M BAKERSFIELD FIRE DEPARTMENT, HAZARDOUS MATERIALS DIVISION 2130 "G" STREET ADDRESS: 1501 California Avenue \ Bakersfield, CA 93304 CONTACT PERSON: Everado Velasco, Facility Manager BUSINESS PHONE NUMBER: [805] 323-2024 ANNUAL INVENTORY UPDATE r~ No significant changes in inventory have occurred since the last business plan or inventory was submitted. [] NEW INVENTORY FORMS ARE ATTACHED. [] REPLACE PREVIOUS INVENTORY WITH A'FI'ACHED INVENTORY. [] REPLACE ONLY DESIGNATED PAGES OF INVENTORY. SPECIAL INSTRUCTIONS: BIENNIAL REVIEW AND RECERTIFICATION I CERTIFY THAT THE BUSINESS PLAN HAS BEEN REVIEWED AND THE INFORMATION CONTAINED IN THE BUSINESS PLAN IS ACCURATE AND COMPLETE AS OF THIS DATE WITH THE BELOW CORRECTIONS. OTHER UPDATES Please incorporate the following information into the business plan for this facility. FACILITY MANAGER: Everado Velasco MANAGER HOME PHONE: [805] 589-2507 FIELD SUPERVISOR: Luke Ozcelik SUPERVISOR HOME PHONE: [805] 834-2978 I declare, under penalty of perjury, that the information provided herein is true and correct to the best of my knowledge. Signature: '~~~ !/~ iIJ Date: 12/31/92 Printed Name: Nancy B. Walti, Manager-Environmental, Health & Safety NOTE: DEHS provides this information to local police and fire jurisdictions. Please provide three (3) copies of all update information. PRESTIGE STATIONS, INCe P. O. Box 6225 Artesia, CA 90702 [213] 402-1299 UPDATED EMERGENCY CONTACT INFORMATION (To be attached to current Business Response Plan) ARCO Station #: 6115 PSI StaUon #: 0589 Facility: AM/PM MINI MARKET #0589 1501 CALIFORNIA AVENUE BAKERSFIELD, CA 93304 County: KERN Facility Telephone: 805-323-2024 Facility Manager: 805-323-3952 KEITH D. HUSKEY Field Supervisor: 805-834-2927 MARY SCHEIBER Area Manager: 213-313-0134 FERNANDO SENDEJAS MAINTENANCE: PSI Maintenance [800] 553-6246 ARCO Maintenance [213] 402-9126 WHEN CALLING ARCO MAINTENANCE, GIVE ONLY THE ARCO # PSI CERRITOS MAIN OFFICE: 213-402-1299 (~rTY OF B~RSF[ELD ~ IqOI RECEIVED HAZARDOUS MATERIALS INVENTORY *' HAZARDOUS MATERIALS DIVISION, 2130 'G' Street, Bakersfield, CA 93301 ~l~R I I 1092 r--1 L.JFarm and Agriculture ~ Standard Business BUSINESS NAME: AM/PM MINI MARKET #589 ow~;.R [q~HE: PRESTIGE STATIONS, INC. #589 Name of this Facility: HA ?. t~,~ Z~T. DIV. LOCATION: 1501 California Avenue ADJURe. SS · P.O. SOX 6225 Standard Ind. Class Code: 5541 CITY, aP: Bakersfield, CA 93304 ciTY, zip: AFITESIA, CA 90702 Dun & Bradslmet Number 52-012-0713 PHONE #: [805] 323-2024 PHO~;. #: [310] 402-1278 & Federal ID # Z~_~Z~ ~Z~ ZZ~S~r/CTZOZ~S ,;OZ; .=~OPZ~ CODZS e I of 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Trans Type Max Average Annual Measure # Days Cont Cont Cont Use Location Where % by Names of Mixture/Components Code Code Amt Amt Est Units On Site Type Press Temp Code Stored in Facility Wt See Instructions I U M 16, 000 9, 000 2.0 million G A L 3 6 5 0 I I 4 19 Northeast end Gasoline-ARCO UNLEADED Physical and Health Hazard C.A.S. Number 16,34-04-4 of lot 9 9 Hydrocarbons (none) Check all that apply I 0 Methyl Tertiary-Butyl Alcohol (TS-6S-0) Lx~;Rre Hazard l__IReactivity l_X~Deieyed ~__ISudden Release [_ .~lmmediate I I Methyl Tertiary-Butyl Ether Health of Pressure Health (1634-04-4;) I u I M I 6, oo0 I 2,~ I~o,~ IGALI3 6 SlO ~ I ~ I ~ I ~e Northeastena ~,n~-A~COSUP~,UNLE*OED Physical and Health Hazard C.A.S. Number 16,34-04-4 of lot 9 9 Hydrocarbons (none) Check all that apply I 0 Methyl Tertiary-Butyl Alcohol (TS-6S-0) ~_X.~Fire Hazard !__!Reactivity !_X!Deieyed !__!Sudden Release [_jlmmed~ate 1 I Methyl Tertiary-Butyl Ether Health of Pressure Health (1634-04-4~) I u I P I ~ ~ ~ I 2 2 ~ 16,~¢~.ft. lET ~13 6 slo ~1 ~ I ~ I ~** Stor~ee^rse CARBOND~OX~DE Physical and Health Hazard c.~s. Number 124-,38-9 I O 0 CARBON DIOXIDE Check all that apply **Used in soft drink dispensing [124-,38-9) Health of Pressure Health I I I I I I I I I I I Physical and Health Hazard C.A.$. Number Check all that apply ' ~Fire Hazard ~ ~Reactvity ~ 'Deayed ' ~Sudden Release ~ Hmmediate HeaJth of Pressure Health EMERGENCY CONTACTS ffi Lynn Canny Facility Manager [805] 836-2602 Name Title 24-hr Phone ~ Richard Macy Field Supervisor ...[805] 366-0181 Name Title 24-hr Phone Certification (Rea# an# sige afte~ completing all sections) I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents, and that based on my//~ inquiry of those individuals responsibility for obtaining the inforrration, I believe that the submitted information is true, accurate, and complete. ~ ! / / NANCY B. WALTI, Manager-Environmental, Health & Safety .-~J~ ~//~.~ ///~~'""~- 3~6/92 Name and official title ol owner/operator OR owner/operator's authorized representative Signature~ ~ - ~' ~ ~ Date Signed 02/20/92 AM PM MINI MARKET 215-000-000264 Page 1 Overall Site with 1 Fac. Unit General Information Location: 1501 CALIFORNIA AV Map: 103 Hazard: Low Community: BAKERSFIELD STATION 01 Grid: 3lA F/U: 1 AOV: 0.0 £~J~/~' ~ ~/' ~Namo , Title Business Phone, 24-Ho~~ i'~.,- o~"-~-- ~ suP~wso~ (~0~) ~ x ~ ~ -~ ~"~"~' ' ' ~/ Administrative Data Mail Addrs: PO BOX 6225 D&B Nu~er: 51-012-0713 City: ~~ ~~ State: CA Zip: -~l- Co~ Code: 215-001 BAKERSFIELD STATION 01 SIC Code: 5541 Owner: PRESTIGE STATIONS INC Phone: (Su~; Address: P O BX 6225 State: CA City: -~ ~~ Zip: ~- Sugary ~EOEIVED M~ll 1992 H~7~ H~T. DIV. 02/20/92 AM PM MINI MARKET 215-000-000264 Page 1 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 GASOLINE (UNLEADED) Liquid 8000 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GALI Daily Average GAL 1 Annual Amount GAL 8,000 ~ 4,000.00 585,000.00 Storage~~Press T Temp Location UNDER GROUND TANK IAmbient~ambientlNE END OF LOT -- Conc Components MCP List 100.0% IGasoline IModeratel 02~002 GASOLINE (SUPER UNLEADED) Liquid 6000 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GALI Daily Average GAL 1 Annual~ Amount GAL 6,000 ~ 2,000.00 549,000.00 StorageI~Press T~Temp Location UNDER GROUND TANK IAmbient~AmbientlNE END OF LOT -- Conc Components MCP List 100.0% IGasoline IModeratel 02-003 GASOLINE (REGULAR) Liquid 8000 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GALI Daily Average GAL I Annual Amount GAL 8,000 ~ 2,000.00 549,000.00 Storage~~Press T Temp Location UNDER GROUND TANK Iambient~ambientlNE END OF LOT -- Conc Components ~ MCP List 100.0% IGasoline IModerate[ 02/20/92 AM PM MINI MARKET 215-000-000264 Page 2 02 - Fixed'Containers on Site Hazmat Inventory Detail in Reference Number Order 02-004 CARBON DIOXIDE Gas 448 Minimal · Fire, Pressure, Immed Hlth FT3 CAS #: 124-38-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3I Daily Average FT3 1 Annual Amount FT3 448 I 224.00 5,824.00 Storage~}Press T Temp Location PORT. PRESS. CYLINDER IAmbientlAmbientl -- Conc Components MCP --~List 100.0% ICarbon Dioxide IMinimal I 02/20/92 AM PM MINI MARKET 215-000-000264 Page 3 00 - Overall Site ~ <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation IN THE EVENT OF ANY MAJOR INCIDENT, OUR FACILITY PERSONNEL (I.E. FACILITY MANAGER, ASSISTANT, CASHIER OR MAINTENANCE) WILL IMMEDIATELY CALL 911 AND REPORT. IF EVACUATION IS NECESSARY, AND AFTER 911 HAS BEEN CALLED, EMPLOYEES ARE DIRECTED TO A SITE OPPOSITE THE DANGER AREA. FACILITY PERSONNEL WILL THEN CALL AND NOTIFY EMERGENCY CONTACT PERSONNEL. <3> Public Notif./Evacuation .~ WOULD INSTRUCT TO LEAVE FACILITY THROUGH AVAILABLE EXITS. ALARM SHALL BE GIVEN BY SHOUTING. <4> Emergency Medical Plan MERCY HOSPITAL - 2215 TRUXTUN AVE. - 327-3371 BAKERSFIELD CITY FIRE DEPARTMENT - 2101 H ST - STATION #1 02/20/92 AM PM MINI MARKET 215-000-000264 Page 4 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention FACILITY UTILIZES (1) 6,000 GALLON AND (2) 8,000 GALLON'UNDERGROUND TANKS LOCATED AT THE WEST END OF THE SITE. INVENTORIES ARE MONITORED DAILY AND ARE KEPT AT A MINIMUM TO MINIMIZE RISK. "NO SMOKING", "PLEASE TURN OFF YOUR ENGINE", AND "DO NOT TOP OFF TANK" SIGNS ARE POSTED IN CLEAR VISION OF CONSUMER AND EMPLOYEES. COMPLIANCE TO POSTED SIGNS MINIMIZES POTENTIAL RISK AND HAZARDS. FOR MINOR SPILLAGE (I.E. CUSTOMER GAS TANK OVERFLOW) EMPLOYEES ARE INSTRUCTED TO CLEAN AND DISPOSE OF MATERIALS SAFELY. PROTECTIVE RUBBER GLOVES AND CLEAN-UP EQUIPMENT IS PROVIDED AT EACH FACILITY. FOR A MAJOR SPILLAGE, EMPLOYEES ARE TO CALL 911 AND REPORT. THEY WILL THEN NOTIFY EMERGENCY CONTACT PERSONNEL. o FACILITIES ARE EQUIPPED WITH RED JACKET LEAD DETECTORS WHICH SHUTS SYSTEM DOWN IF LEAK OCCURS. IN ADDITION, INVENTORIES ARE ALSO MONITORED ON A DAILY BASIS AND ARE KEPT AT A MINIMUM TO MINIMIZE RISK. <2> Release Containment NO SMOKING, PLEASE TURN OFF YOU ENGINE, AND DO NOT TOP OFF TANK SIGNS ARE POSTED IN CLEAR VISION OF CONSUMER AND EMPLOYEE. COMPLIANCE TO POSTED SIGNS MINIMIZED POTENTIAL RISK AND HAZARDS. FACILITY PERSONNEL ARE INSTRUCTED TO CLEAN-UP MINIMAL SPILLS AND DISPOSE OF PROPERLY AND TO REPORT ANY MAJOR INCIDENT BY CALLING 911. IF NEEDED, PERSONNEL WILL PROCEED TO CALL ALL PERTINENT PEOPLE. <3> Clean Up FOR MINOR SPILLAGE, EMPLOYEES ARE INSTRUCTED TO CLEAN AND DISPOSE OF MATERIALS SAFELY. PROTECTIVE RUBBER GLOVES AND CLEAN-UP EQUIPMENT IS PROVIDED AT EACH FACILITY. FOR MAJOR SPILLAGE, EMPLOYEES ARE INSTRUCTED TO CALL 911 AND REPORT. <4> Other Resource Activation 02/20/92 AM PM MINI MARKET 215-000-000264 Page 5 00 - Overall Site <E> Mitigation/Prevent/Abatemt <4> Other Resource Activation (Continued) 02/20/92 AM PM MINI MARKET 215-000-000264 Page 6 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - sOUTHEAST CORNER OF BUILDING C) WATER - SOUTH SIDE OF SITE BEHIND BUILDING D) SPECIAL - EMERGENCY FUEL SHUT-OFF LOCATED ON, CASH REGISTER E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - EMPLOYEES ARE INSTRUCTED ON LOCATION OF FIRE EXTINGUISHERS AND THEIR LOCATION. INSTRUCTION IS GIVEN ON USE AND OPERATION. INSTRUCTION IS ALSO GIVEN ON LOCATIONS OF EMERGENCY FUEL PUMP SHUT-OFF SWITCHES. FIRE HYDRANT - INTERSECTION ON CALIFORNIA AVE AND CHESTER AVE. <4> Building OccUpancy Level 02/20/92 AM PM MINI MARKET 215-000-000264 Page 7 00 - Overall 'Site <G> Training <1> Page 1 WE HAVE 12 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: ALL PERSONNEL, NEW AND EXISTING, ARE GIVEN INSTRUCTION ON COMPLYING WITH THE CITY OF BAKERSFIELD BUSINESS EMERGENCY PLAN. UPON COMPLETION OF SAID INSTRUCTION, EMPLOYEE WILL SIGN AN ACKNOWLEDGE SLIP. IN ADDITION,, A TRAINING LOG WILL BE KEPT BY THE FACILITY MANAGER TO ENSURE THAT INSTRUCTION HAS BEEN CARRIED OUT. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use ' Bakersfield Fire Department RECEIVED Hazardous Materials Division 2130,,G. Street t.J~ 2 5 1990 Bakersfield, CA 93301 M~7. MIT. DiV. HAZARDOUS MATERIALS MANAGEMENT PLAN Instructions: 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible. ~ SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: AM/PM MINI MARKET #589 LOCATION: 1501 California Avenue, Bakersfield, CA 93304 BUSINESS PHONE: [805] 323-2024 MAILING ADDRESS: Prestige Stations, Inc. #589 Attn: Environmental Analyst P. O. Box 6225 Cerritos, CA 90701 PHONE: [213] 402-1278 DUN & BRADSTREET NUMBER: 51-0120713 SIC CODE: 5541 PRIMARY ACTIVITY: Convenience store with retail gas sales OWNER: Atlantic Richfield Company OPERATOR: PRESTIGE STATIONS, INC. P. O. Box 6225 Cerritos, CA 90701 SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HI~ PHONE 1. Keith D. Huskey Facility Manager [805] 323-2024 [805] 323-3952 2. Mary Schreiber Field Supervisor [805] 834-9033 [805] 834-9033 Bakersfield Fire Department Hazardous Materials Division H./ ARDOUS M/ AGEMENT PI.d SECTION 3: TRAINING: NUMBER OF EMPLOYEES: Average total 12 for the facility Shift 1= 3; Shift 2= 2; Shift 3= 1 MATERIAL SAFETY DATA SHEETS ON FILE: Facility copies of MSDS is located in the yellow HAZARD COMMUNICATION PROGRAMS binder BRIEF SUMMARY OF TRAINING PROGRAM: All employees are instructed as follows: 1. For minor spillage (i.e. customer gas tank overflow), employees are instructed to dean and dispose of materials safely, protective rubber gloves and clean up equipment is provided at each facility. For major spillage, employees are instructed to call 911 and report. They will then notify the Emergency Coordinator or his alternate who will then activate the NOTIFICATION procedures. 2. Use and location of absorbant, protective clean-up equipment and fire extinguishers. Annual inspection and maintenance of safety equipment (fire extinguishers, rubber gloves and clean up equipment), and review of procedures for proper use of safety and spill control equipment. 3. Review of Emergency Response Plan; evacuation procedures; location of emergency fuel shut-off switches and main electrical shut-off switch; use and location of absorbant, protective clean-up equipment and fire extinguishers; and the list of ALL pertinent people to call in case of an emergency. Make sure employees know the location of the Emergency Response Plan. 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 TIME EXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, MITCHELL K. NG, CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATION UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. ~'] '~'~LL~MI HE~ Manager, Admin. Svcs. 06/22/90 Signature: T . NG Bakersfield Fire Department Haz~dous l~terial~ Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: AM/PM MINI MARKET #589 SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: Fire 911 Police 911 Mary Schreiber, Field Supervisor [805] 834-9033 The Field Supervisor will then notify: Bruce Taylor [213] 838-5670 PSI CORPORATE OFFICE 213-402-1299 MAINTENANCE 800-553-6246 California Office of Emergency Services 800-852-7550 Environmental Protection Agency 415-974-8131 National Response Center 800-424-8802 B. EMPLOYEE NOTIFICATION AND EVACUATION: Job Title: Facility Manager a. For any emergency, call 911 and report. b. Evacuate, if necessary, to a site opposite danger area. c. Call your Field Supervisor; give details of emergency. d. Your Field Supervisor will notify Atlantic Richfield maintenance, Area Manager and main office. Job Title: Facility Personnel (i.e. cashier, maintenance). a. For any emergency, call 911 and report. b. Evacuate if necessary, to a site opposite danger area. c. Call your Facility Manager; give details of emergency. d. Your Facility Manager will call Field Supervisor and report. e. Your Field Supervisor will notify Atlantic Richfield maintenance, Area Manager and main office. C. PUBLIC EVACUATION Alarm shall be given by shouting. D. EMERGENCY MEDICAL PLAN CALL 911 AND REPORT - PARAMEDICS WILL RESPOND 3 Bakersfield Fire Department Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: RELEASE PREVENTION STEPS: Facilities are equipped with red jacket leak detectors which shuts down if leak occurs. Inventories are monitored dally and are kept at a minimum to minimize risk. "No Smoking', "Please Turn Off Your Engine", and "DO Not Top Off Tank" signs are posted in clear vision of consumer and employees. Compliance to posted signs minimizes potential risk and hazards. B. RELEASE CONTAINMENT AND/OR MINIMIZATION: For minor spillage (i.e. customer gas tank overflow) employees are instructed to clean and dispose of materials safely. Protective rubber gloves and clean-up equipment is provided. For a major spillage, employees are to call 911 and report. They will then notify the emergency response personnel. Inventories are monitored dally and are kept at a minimum to minimize risk. "No Smoking', "Please Turn Off Your Engine", and "Do Not Top Off Tank" signs are posted in clear vision of consumer and employees. Compliance to posted signs minimizes potential risk and hazards. Containment shall be completed by Diking with Absorbant/Other Material. C. Cleanup Procedures Cleanup procedures include using Absorbant, Evaporation, and a Licensed Hazardous Waste Treatment, Storage, and Disposal Company, if necessary. SECTION 8: UTILITY SHUT-OFFS {LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: NONE ELECTRICAL: Southeast corner of building WATER: South side of site behind building SPECIAL: Emergency Fuel Pump Shut-Off Switch is located in the sales area near the cashier LOCK BOX: YES/[NO] IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAH. ABILITY: A. PRIVATE FIRE PROTECTION: NONE ]3. WATER AVAILABILITY (FIRE HYDRANT): Southeast corner of lot off South Chester Avenue Bakersfield Fire Depart:ro~t Hazardous Materials Divi S~o~, SITE PLAN DRAWING 1 2 I 3 I 4 I 5 I 6 I 7 .... ~[ 1~.. FI' ~ -I · · gl "1 [~1.' .... ~x~'~ x~x '-I'' ','"- ......... mi ! Io[. · .[ · ' D o:/ 1 II. -'r · E]~ ' ' ' ~-~-- ' ..... . ........ ; ............. ...... :::::)/ · I G,aSISLAND·I · ~,:.,.. N ¢./.~', : : : : ~-'~ F / ...... '.E-- ..... ' ...... ' ...... ' ...... ' .... .I .... · r',, . I GAS ISLAND . I · / PL .... 1 ~L - I ' - ............ D~V~W~'C ............ rm~w~ ........ C. AL IFORNI:A AVE G I ~- MAIN ELECTRIC PANELS ~' MAIN WATER %;ALVE Business Name: AM/PM MINI MARKET//589 Address: 1501 California Avenue, Bakersfield, CA 93304 Phone: [805] 323-2024 CT'FY of BAKERSFLELU rm and Agriculture [-I Standard Business-- ~HAZARDOUS MATERIALS INVENTORY NON--TRADE SECRETS Page 1 of 1 [NESS NAME: AM/PM MINI MARKET # 589 OWNER NAME:PI~E~STIG£ STA3',T,0~IS,, IN~ , NAME OF THIS FACILITY: ~_~NI ~RKET ~ 589 ATION; 1501 California A~e6ue ' AODRESS:C/O,~m~.~v~ k~,oux o~25/ STANOARO IND. CLASS CODE~ 55~Z ......... .... ~uv~ ~o-~v~ REFER TO~STRUCTIONS-'~R-PROPER CODES --- - 14 2 ] 4 5 6 ) 8 9 I0 II 12 ~i!y Ne,es of ~s Tyqe Hax Average Annual Measure I tI~e (~ont goflt ~ont Us Locetion. Wbece Loae A~t Act Est Un,ts on /emp Co3e See Instructions ~ Stored - /ype ~ress sic~l and Health Hazard C.A.S. Humber l~-O~-~ Coeponent ~1 Name I C.A.5. HuBber lO0 H~d~oc~bons }~Hazard ~ Reactivity ~ Delayed ~ Sudden Release 0 1emediatec°ep°nent 12 NaBei C.A.5. HuBber 23 Toquene (108-88-~) Health of Pressure Heal th .... Component 13 Hame I C.A.S. Number 25 ~ethy] Te~ti~v-autv~ I ~ i""~"°°~! ~'°°°.l~'°°°, IG~L, l, ~' I o~ ! ~ .!" I ~ ! ~. ~ ~/o-~ " ~co ~o~ ~so~ :beck !1/ [ha[ a~l~l LO0 H~d~oca~bons (none ~ ~ .- methyl lertiary-Uuty I Fire Hazard ~ Reactivity Oelm~ed ~ Sudden Release ~ im~il~e Compone,t t~ Na~e I t.A,S. Number 10 Alcohol (75-65-0) Health of Pressure .... me,ny( ler~lary-uuty~ Component U Name ~ C.A.S. Number 11 Ether (1634-04-4) ~ M ) ~000~ 2~000.).549,000~ ~) 365 ) 01 ) I l 4 ) ~9 .).P.~' 5 D-5 .. ARCO SUPER UNLEADED G~SOL!.N~' ~sicml end Hemlth Hmzmr~ C.A.S. Number 1634-04~4 (omponent ~l Nmme $ C.A.S. Number ,;heck m$S that apply) .00 Hydrocarbons {none} Methyl Tertiary-ButYl 12 Name I C.A.S, Nu.ber ' Heelth of Pressure.ea~c. lO Alcoho] (75-65-0) ,~ Coeponeflt 13 Hame & C.A.S. Number Methyl Tertiary-Butyl 11 Ether (~6~.4-04-4) (sicml and Hemlth Hazard C.A.S. Number 124238-9 Component II Name I C.l.S. Number ~:heck all that applyJ ~OO Carbon Dioxide {124-38-9) ] F~re Hmzmrd D Remctivity 00elmyedHemrth ~ Suddeno~ Pre~sureRelemse D Im~i)~e Component 12 Nmmm i C.A,S. Number Component 13 Nmme I C.A.S. Number *99 = u.~ed in soft ~dKink dispensinq ............... ~)ERGENCY CONTACTS ~1 Keith Huskey Facility Mgr. 805-323-3952 ~2 r.l~v Arhpih~ Field Supervisor 805-834-9033 ~eff ~tle ~Fne hame ~ - ....... Title L cnld.docvlenLF, eno t~lt olseo on. Il inquiry 9l.:nose InOlVlOUIIS rlsponsIo/t tlr obtllfliflg ~ne lnlormluon. I believe thio the ~t~eo I~tOrBaLlO~ IS true, accuride, Ifld comptece. itFhel] K. Ng, Manager-Administrative Services ~D~ ~ 6-22-90 ~F~I~I~ oV~erioOerjcor u~ oWfleri~Perm~or:s ~u~norizeO reparative ~[l - CALL: 911 ~RC0 #: 6115 ?S~' #: 589 STATION MANAGER: [805] 323-3952 Keith D. Huskey FIELD SUPERVISOR: [805] 834-9033 Mary Scheiber AREA MANAGER: [213] 313-0134 Fernando Sendejas MAINTENANCE: PSI Maintenance [800] 553-6246 ARCO Maintenance [213] 402-9126 WHEN CALLING ARCO MAINTENANCE, GIVE ONLY THE ARCO # CERRITOS MAIN OFFICE: 213-402-1299 ATTACHMENT AA Bakersfield Fire Department Hazardous Materials Division 2130 "G" Street Bakersfield, CA 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN Instructions: 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: AM/PM MINI MARKET #589 LOCATION: 1501 California Avenue, Bakersfield, CA 93304 BUSINESS PHONE: [805] 323-2024 MAILING ADDRESS: Prestige Stations, Inc. #589 Attn: Environmental Analyst P. O. Box 6225 Cerritos, CA 90701 PHONE: [213] 402-1278 DUN & BRAI)STREET NUMBElVc 51-0120713 SIC CODE: 5541 PRIMARY ACTIVITY: Convenience store with retail gas sales OWNERc Atlantic Richfield Company OPERAT01~ PRESTIGE STATIONS, INC. P. O. Box 6225 Cerritos, CA 90701 SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HI~ PHONE 1. Keith D. Huskey Facility Manager [805] 323-2024 [805] 323-3952 2. Mary Schreiber Field Supervisor [8051 834-9033 [8051 834-9033 Bakersfield Fire Department Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYEES: Average total 12 for the facility Shift 1= 3; Shift 2= 2; Shift 3= 1 MATERIAL SAFETY DATA SHEETS ON FILE: Facility copies of MSDS is located in the yellow HAZARD COMMUNICATION PROGRAMS binder BRIEF SUMMARY OF TRAINING PROGRAM: All employees are instructed as follows: 1. For minor spillage (i.e. customer gas tank overflow), employees are instructed to clean and dispose of materials safely, protective rubber gloves and clean up equipment is provided at each facility. For major spillage, employees are instructed to call 911 and report. They will then notify the Emergency Coordinator or his alternate who will then activate the NOTIFICATION procedures. 2. Use and location of absorbant, protective clean-up equipment and fire extinguishers. Annual inspection and maintenance of safety equipment (fire extinguishers, rubber gloves and clean up equipment), and review of procedures for proper use of safety and spill control equipment. 3. Review of Emergency Response Plan; evacuation procedures; location of emergency fuel shut-off switches and main electrical shut-off switch; use and location of absorbant, protective dean-up equipment and fire extinguishers; and the list of ALL pertinent people to call in case of an emergency. Make sure employees know the location of the Emergency Response Plan. 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 TIME EXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I. MITCHELL K. NG. CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATION UNDER THE "CALIFORNIA HEALTH AND SAFE'I~ CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. ign~-~%ature~ MITCH~ Mana_~er. Admin. Svc,. 3/7/90 S K. NG 2 Bakersfield Fire Department Hazardous Materials Division I-IJ~at~OUS M~TE~ I~AGEMENT PI~N Facility Unit Name: AM/PM MINI MARKET #589 SECTION O: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: Fire 911 Police 911 Mary 8chreiber, Field Supervisor [805] 834-9033 The Field Supervisor will then notify: Bruce Taylor [213] 838-5670 PSI CORPORATE OFFICE 213-402-1299 MAINTENANCE 800-553-6246 California Office of Emergency Services 800-852-7550 Environmental Protection Agency 415-974-8131 National Response Center 800-424-8802 B. EMPLOYEE NOTIFICATION AND EVACUATION: Job Title: Facility Manager a. For any emergency, call 911 and report. b. Evacuate, if necessary, to a site opposite danger area. c. Call your Field Supervisor; give details of emergency. d. Your Field Supervisor will notify Atlantic Richfield maintenance, Area Manager and main office. Job Title: Facility Personnel (i.e. cashier, maintenance). a. For any emergency, call 911 and report. b. Evacuate ff necessary, to a site opposite danger area. c. Call your Facility Manager; give details of emergency. d. Your Facility M_~nager will call Field Supervisor and report. e. Your Field Supervisor will notify Atlantic Richfield maintenance, Area Manager and main office. C. PUBLIC EVACUATION Alarm shall be given by shouting. D. EMERGENCY MEDICAL PLAN CALL 911 AND REPORT - PARAMEDICS WILL RESPOND Bakersfield Fire Department Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMIC~NT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: Facilities are equipped with red jacket leak detectors which shuts down ff leak occurs. Inventories are monitored daily and are kept at a minimum to minimize risk. ':No Smoking'', "Please Turn Off Your Engine", and "Do Not Top Off Tank" signs are posted in clear vision of cons~mer and employees. Compliance to posted signs minimizes potential risk and hazards. B. RELEASE CONTAINMENT AND/OR MINIMIZATION: For minor spillage (i.e. customer gas tank overflow) employees are instructed to clean and dispose of materials safely. Protective rubber gloves and clean-up equipment is provided. For a major spillage, employees are to call 911 and report. They will then notify the emergency response personnel. Inventories are monitored dally and are kept at a minimum to minimize risk. "No Smoking'', "Please Turn Off Your Engine", and "Do Not Top Off Tank" signs are posted in clear vision of consumer and employees. Compliance to posted signs minimizes potential risk and hazards. Conts~ tnment shall be completed by Diking with Absorbant/Other Material. C. Cleanup Procedures Cleanup procedures include using Absorbant, Evaporation, and a Licensed Hazardous Waste Treatment, Storage, and Disposal Company, if necessary. SECTION 8: UTILITY SHUT-OFFS {LOCATION OF SHD~-OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: NONE ELECTRICAL: Southeast corner of building WATEI~ South side of site behind building SPECIAL: Emergency Fuel Pump Shut-Off Switch is located in the sales area near the cashier LOCK BOX: YES/[NO] IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: .~ PRIVATE FIRE PROTECTION: NONE B. WATER AVAILABILITY (FIRE HYDRANT): Southeast corner of lot off South Chester Avenue 4 ~,m~ Bakersfield Fire DLWpt. ~_~, .~ _.~ Hazardous Materials Inspection ~ Date Completed Plan ID ~ 215-000-~& ~ (Top fight co.er Business Plan) S~ion ~o. ~ Sm Adequate Inadequate Ve~ficafion of Invento~ Mate~als Ve~ficafion of Quantities Ve~ficafion of Location ~oper Se~egafion of Mate~al Co~: Verification of MSDS Availabfli~ Nmber of Employees Vehficafion of Haz Mat Trai~ng Cornn~ents: Verification of Abatement Supplies & Procedures CorfllTlenIs: Emergency Procedures Posted [-] Containers Properly Labeled [~ [-~ Cornrne/%{s: Verification of Facility Diagram Special Hazards Associated with this Facility: Violations: FD 1652 {Rev. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office 17215 Stuaebaker Road Cerritos, California 90701 RECEIVED March 22, 1989 HAZ. MA~Di~ Ralph E. Huey City of Bakersfield Fire Dept. Hazardous Materials Division 2130 G Street Bakersfield, CA 93301 Re: Business Emergency Response Plans Various Locations Dear Mr. Huey, Enclosed for your review are 8 Business Emergency Response Plans for various locations that we operate within your jurisdiction. If you should have these plans on file then consider the enclosed as an update. PSI~535 4203 Ming Ave. Bakersfield PSI~589 1501 California Ave. Bakersfield PSI#593 1701 Brundage Ln. Bakersfield PSI#613 1129 Union Ave. Bakersfield PSI#5175 6450 White Lane Bakersfield PSI#5191 4100 California Ave. Bakersfield PSI~5199 4800 Fairfax Rd. Bakersfield PSI#5238 900 Monterey Ave. Bakersfield I will be your contact for any additional information or questions that you may have. My number is (213)402-1299. Sincerely, M~ager, Administrative Services Enc cc: M. M. Zawacki w/o Enc C. ~. Connor w/o Enc F. Seguin w/Enc ARCO STANDARD BUSINESS EMERGENCY RESPONSE PLAN FOR CITY OF BAKERSFIELD Address Hhere Business Is Conducted: 1501 California Av. Zip Code: Bakersfield, CA 93304 Unlt Type: Unit Number: HORK PHONE NUMBER Business Owner Name: PRESTIGE STATIONS INC. ~ 589 (213)402-1299 On-Site Manager: Marcia Stencil (805)323-2024 EMERGENCY PHONE NUMBER (2~-NOUR) Emergency Contact: Marcia Stencil .(805)325-1026 'Alternate Emergency Contact: CHARLIE CONNOR 1-800-553-6246 ; ARCO MAINTENANCE (213)402-9126 !Standard Industrial Classification (SIC) Code of Business: 9200 "Belo~ is your mailing address. Please make corrections on the space provided to the left. AM/PM MINI MARKET ~ 589 P.O. BOX 6225 ATTN: ADMIN. SVC. CERRITOS, CA 90701 iOescribe the business operations that use or handle hazardous materials: CONVENTENCE STORE WITH GAS SALES Maximum number o~ employees: 12 Total square footage of facility: 2,.000 EST . ADMIN. SERVICES 16 ~VLAR 89 Signature of(Business 0~er or Authorized Representative Title Date il Office Use Only I 902: Insp. I.D.,__ Date: D/E I.D.: Date: CITY of BAKERSFIELD ~ON~T~ADE ~CR~T~ ' Page .... of .... SuSZNESS NAME: ~/PM Mini-Market 9 0WNgR HAME: PRESTIGE ......... STATIONS.~..~. INC. NAME OF T~ FACILITY: LOCATION: ADDRESS: ~'~ BOX 6225 STANDARD IND. CLASS CODE CITY, ZIP: CITY, ZIP: CERRITOS, CA 90701 DUS AND P.OSg ~: P~ONg *: ~)402-1299 __ - - Ph~ic,1 ~ HNIth ~1~ C.A.S. ~ 8006-61-9 ~t ~ ~ ~ C.A.S. ~ REGULAR ~lth of P~ ~lth .............. With of ~ ~lth .................. (C~k iii t~t apply) SUPER UNLEADED __ - ~t I~ ~&C.A.S. (C~k all t~t mly) H~lth of Pr~suee Health ...... ....... ~t 13 M&C.A:S. ~e Certtficat~ (Re~d and sJ~ after co.pIettnE ail sections; I certify ~dee ~lty of lee t~t I ~ve ~es~allye~amn~ ~d aa f~Jl~ar etth t~ tnfoemtim su~ttt~ tn thts ~ ill IttK~ ~wts, ~ tMt Ms~ ~ ~ ~t~ of t~e tMtvJ~ls e~sJble for obtatn'~n9 t~ tnf~tt~. I ~lteve tMt t~ suMttt~ info. tim ts t~. accurate, ~d cmpiete. MTm~LL NG~ ~NAGER~ ADMIN~ SERVICES 16 March 89 STANDARD BUSINESS PLAN BP-5 (b) MEDICAL ASSISTANCE - in the event of a reportable hazardous materials or waste release or threatened release: V. List all local emergency medical facilities that will be used: Fi re Department (c) EVACUATION PLAN How will immediate notification and evacuation of the business be done? (Include a description of the steps needed to evacuate employees and/or residents of the area surrounding the business in the event of a spill or release.) Are all new employees who may be impacted trained on evacuation procedures? Check one: XX Yes No. Are all employees who may be impacted given refresher traininq on evacuation proedures? Check one: XX Yes No. Evacuation routes, emergency exits, and staging areas for employees at the facility: -- Work area: Facility Sales Area -- Evacuation route: Leave facility; go to area opposite danger. -- Emergency exits: Two doors only. -- Staging area: Area opposite danger zone. -- Work area: Office/Storage -- Evacuation route: Leave facility; go to area opposite~anger. -- Emergency exits: Two doors only. -- Staging area: Area opposite danger zone. STANDARD BUS[NESS PLAN BP-5 6. EMERGENCY RESPONSE PLANS (a) NOTIFICATION PROCEDURES - in the event of reportable hazardous materials or waste release or threatened release: I. Will the State Office of Emergency Services, OES, (telephone number 1-800-852-7550 or 1-916-427-4341) immediately be notified? Check one: XX Yes No Il. Will local emergency respnse personnel immediately be notified by dialing 9117 Check one: XX Yes No If business has an additional emergency response notification system, explain here. Job Title: Facility Manger -- For any emergency, call 911 and report. -- Evacuate, if necessary, to a site opposite danger a rea. -- Call your Field Supervisor; give details of emergency. -- Your Field Supervisor will notify Atlantic Richfield maintenance, Area Manager and main office. Ill. How will people within the business facility who must respond to an incident be notified? Job Title: Facility Personnel (i.e. cashier, maintenance). -- For any emergency, call 911 and report. -- Evacuate, if necessary, to a site opposite danger area. -- Call your Facility Manager; give details of emergency. -- Your Facility Manager will call Field Supervisor and report. -- Your Field Supervisor will notify Atlantic Richfield maintenance, Area Manager and main office. STANDARD BUSINESS PLAN BP-5 (d) MITIGATION (RECUE THE HAZARD} - Describe what procedures will be followed to reduce any harm or damage to persons, property, or the environment. "NO Smoking", "Please Turn Off Your Engine", and "Do Not Top Off Tank" signs are posted in clear vision of consumer and employee. Compliance to posted signs minmizes potential risk and hazards. Facility personnel are instructed to clean-up minimal spills and dispose of properly and to report any major incident by calling 911. If needed, personnel will proceed to call all pertinent people listed on Attachment AA. (e) ABATEMENT (STOP THE HAZARD): Describe what actions your business will take to stop any hazard caused by the release of a hazardous material or waste. For minor spillage (i.e. customer gas tank overflow), employee's are instructed to clean and dispose of materials safely. Protective rubber glo es and clean-up equipment is provided at each facility. For major spillage, employee's are instructed to call 911 and report. They will then notify personnel listed on Attachment AA. 7. PREVENTION PLAN - (how will an unathorized release be prevented?) Facilities are equipped with red jacket lead detectors which shuts system down if leak occurs. In addition, inventories are also monitored on a daily basis and are kept at a minimum to minimize risk. 8. NEW EMPLOYEE TRAINING (a) Employees handling hazardous materials: All personnel, new and existing, are given instruction on complying with theC±.ty of Bakers'£±el~usiness Emergency Plan. Upon completion of said instruction, employee will sign anAcknowledge Slip (Attachment C). In addition, a Training Log (Attachment D) will be kept by the facility manager to ensure that instruction has been carried out. One copy is kept at the facility and one copy is kept in employee's file located at 17215 Studebaker Road, Cerritos, CA, in Employee Relations Department. STANDARD BUSIN£SS PLAN BP-5 (b) Employees responsible for coordinating with first responders: Facility personnel are instructed to call 911 and report. They will then call all pertinent people listed on Attachment AA and report. (c) Employees responsible for deployment of emergency equipment: Employee's are instructed on location of fire extinguishers and their proper use and operation. Instruction is also given on locations of emergency fuel pump shut-off switches. See Attachments A and B. (d) Employee training on Emergency Response Plans: -- Personnel are instructed to call gll and report emergency. -- Personnel are then instructed to proceed to a site opposite danger. -- If needed, personnel will proceed to call all pertinent people listed on Attachment AA. -- All secondary entities will then be notified. g. REFRESHER TRAINING {a) Employees who handle hazardous materials: A Training Log (Attachment D) will be kept at facility to ensure that initial instruction has been carried out. Said training log will also be used for refresher training of said employee con~ensurate with employee's anniversary date. (b) Employees responsible for coordinating with first responders: Facility personnel are instructed to call 911 and report. They will then call all pertinent people listed on Attachment AA and report. STANDARD BUS[NESS PLAN BP-5 (c) Employees responsible for deployment of emergency equipment- Fmployee's are instructed on location of fire extinguishers and their proper use and operation. Instruction is also given on locations of emergency fuel pump shut-off switches. See Attachments A and B. , (d) Refresher training on Emergency Response Plan: A Training Log (Attachment D) will be kept at facility to ensure that initial instruction has been carried out. Said training log will also be used for refresher training of said employee commensurate with employee's anniversary date. o., ~,,~,:,~. ,,,~,~ ~,~ ~.~,~,,~ .~. ,,,~ ~arn H~ To Pass IItSIIucI~flS Off yOU[ exl~ngu~she; lot vartal~;ts m m m m ~mExtinguis~~ [..~ p~tu,e ,n your m.~ ,hal will ,.l Ihe ,nslruct,ons I Pull on Ihe eahngu~sher you will ~ tl~ltg · m ~ 2. II Ih~e's a lire. gel ~e~e oulside. Call the life Pull Ihe Pn ~ units f~uire the releasing ~d~nl. ~ lighl a s~ll Ii~e ~. II Ihe li~e gels el a I~k la,ch. ~essmO a punclu,e I~eL o, olhef ~hon. large. ~1 ~t. Close ~s Io s~ I~ li[e s~ead. ~"~ "~ '" '"~ '" '" ~""' ~" '~' '"~ ~'~ 2 Aim ~f ~caffi ~lh in case ~1 ~s ~1 el c~l;~. · 3 Make sure you ~n'l u~ one ly~ exlingulshe, A~m lite exhngt~shef nozz~ (hem. or ho~) on a~l~ ly~ flre--d may make I~ hre wor~ at Ihe ba~ el Ihe h~e ~ *rOtS (lh~ can ~ ,alal)a,e u~ng wale, 3 ~ze (A) ~ a ~,ea~ ~ on an e~l~cal hre (B or C) ~ 3 Sq~ze of Woss the handle · Sw~p Item s~de Io s~de al Ihe ba~ el lbo h~e u~tl~l ii g~s ~1 Shul oll I~ exli~ulshe~ Walch Io~ ~ellash aml ~e~hvale I~ exl~ng~she~ Foam and waler exhnOu~she, s ~u~e shohlly ddle~eld acl~t Read the ~nstruchons ~am ~t~ ~m ABCD's Portable ""' "' "'"'"""'"'"' eNa.~e, ~ a class "A' ly~. I1~ I~1~.~ I;l~l ~ld Buying ind mllnlllnlng In exllngulsher. Fire Extinguishers h)~d ~1 4 Sll~l hie. ~1 a ~g~m )~. 2 The highe~ Ihe nummi faling 0n Ihe exlinguishei. Ane~ll~,~t Is la~l~ ~c~dle~ Io~l~e I~ ' ' Ihe ~e h~e d ~ls ~1 thgh ~al~ o~les a~e o~en (~tol h,e ~ wh~h d is Io ~ us~ ~cu~s in ~ ~ clolh. NFPA I0. Sla~d f~ ~la~e F,e E ~ li~uis~ls, a~a~) lira ~avm~ ~els. Make sure ~u can ~ld liable I~1~. el~h~al. ~ ~1~ s~c~ Usi~ ~~ I~t exli~ul~S ~ la~l~ wdh P~l~ a~ o~ale lira o~ ~u might i,~ I~ eil~t,s~t ~ ~1~ ly~ h~e c~ ~ke I~ ~a~ t~v~ I~ ~ ~y I1~ I~ II~ll~al A.B.C.D ~ ~ui~ Io use al ~k. la~l~ ~ ~ ~ ~ exiliC. 3. Ask ~f ~ale~ ~ lo have ~ e~inguishe~ s~ic~ a~ ins~l~ flecha~ge il allef ANY use. A T~mbl~lly Ihe la~ls AB.C. m D ~ve ~n us~ Io Y~ ~ ~ e~l~ls~ al ~. ~dially us~ m~e mighl as well ~ erupt. ~m~ale I~ ly~ gl ll~e ~ wh~h ~ exh~u~m~ is Io ~ II ~ ~an Io ~y ~ e~i~uishm, a mulli.~s8 4. Extinguishers s~ld ~ Inslall~ away h~ us~ ~ ~em~al la~l~ A~C ~ls ~1 ~sl lyes W ~lenlial Ii~e ~zalds and ~a~ an esca~ li~es - ~. ~. a~ c~h. I~a~e I~u~. ~ 5 F~ m~e delails, s~ Sla~a~d el~ll~al li~es. E~mgu~she~s. NF PA I O. II ~ ~ly ~e I~a~ one. yo~a m~hl wa~d Io gel a BC Io~ lhe kdchen, an A I~ Ihe Iw~ ~m. and A~ Im Ihe ~nl a-d garage a~ ~ plaslics require a walm F.es ~ ~ls. gasoli~, s~ ~q~s. grease m a IW~ ~n ~ In Ihe ~n. so~enls a~ OIh~ Ilammab~ I~u~s ~uUe an e~ln- F~es In ~flnG, luse ~xes. ene~ .... Giz~ elecl~al ~ui~enl a~ Metml~ ~sh~e melals such as mag- nesi~ a~ s~lum ~ui~e s~cial National Headquarters 17215 Studebaker Road ACKNO~EDGMENT SLIP I have been instructed on the use of the Business Emergency Plan Manual and have read and understand all the information and instructions as stated. Further, I agree to abide by the statements and guidelines outlined. I further acknowledge that failure to conduct my actions in compliance with these guidelines may result in the termination of my employment. Signed this day of , 19 . Employee Signature Facility Number Witnessing Supervisor Signature Attachment C BUSINESS EMERGENCY TRAINING LOG INSTRUCTOR TITLE DATE OF T~AINING EMPLOYEE'S SIGNATURE INSTRUCTOR'S $IGNATURE~'., ,. c sE EMERGENCY CALL: 911 STATION MANAGER Marcia Stancil 805/325-1026 FIELD SUPERVISOR M. Scheiber 805/834-9033 AREA MANAGER .J. Ba~ker-Kleih 702/~73-5168 MAINTENANCE 1-800-553-6246 BOB ELKINS 213/402-9126 ARCO ~ 6115 PSI ~589 WHEN CALLING ARCO MAINTENANCE GIVE ONLY THE ARCO ~. CERRITOS MAIN OFFICE: 213/402-1299 Attachment AA Hazardous Materials Inspection Date Completed (,~, RECEIVaD Plan ID ~ 215-000 Oc~q (Top ~ght comer Business Plan) 'J~ Station No. ~ S~k ~%_ Inspector ~/~c& z/g-, ~[~¢~,,... ~,hT..,.. DIV. Adequate Inadequate Ve~ficafion of Invento~ mate~als ~ ~ . VeHfica6on of Quantities Ve~fica6on of Location ~oper Se~egafon of Material Co~: Verification of MSDS Availabfliw Nmber of Employees ~ , ./ Vehficafion of Haz Mat Trai~n~ ~~~ Ve~cafion of Abatement Supples & Procedures Conlrnents: Emergency Procedures Posted [--] ~ Containers Properly Labeled ~ [~ Conlnlen~s: Verification of Facility Diagram [~ [--] Special Hazards Associated with this Facility: Violations: FO 1652 (Rev. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office STANDARD BUSINESS EMERGENCY RESPONSE PLAN FOR ~ APR 2 I 1989 CITY OF BAKERSFIELD HAZ. MAT. DIV. Address Hhere Business Zs Conducted: 1501 California Av. Zip Code: Bakersfield, CA 93304 Unit Type: Unit Number: HORK PHONE NUMBER Business O~ner Name: PRESTIGE STATIONS INC. t 589 (213)402-1299 On-Site Manager: Marcia Stancil (805)323-2024 EMERGENCY PHONE NUMBER (2q-HOUR) Emergency Contact: Marcia Stancil (805)325-1026 'Alternate Emergency Contact: CHAP. LIE CONNOR 1-800-553-6246 ARCO MAINTENANCE (213)402-9126 Standard Industrial Classification (SIC) Code of Business: 5541 leloM is your mailing address. Please make corrections on the space provided to the left. AM/PM MINI MARKET ~ 589 P.O. BOX 6225 ATTN: ADMIN. SVC. CERRITOS, CA 90701 0escribe the business operations that use or handle hazardous materials, CONVRNT;~ STORE WITH GA~ SALES Maximum number et employees: 12 Total square footage of facility: 2,000 EST ~~~ MANAGER _ ADMIN. SERVICES 16 ,MAR 89 Signature of/Business O~er or Authorized Representative Title Date J Ottice Use Only I 902: . Insp. I.D.,. Date: D/E I.D.: Date: CITY of BAKERSFIELD ' NO N .-- 'l' R A l) I~ S ~ C R ~ 1' ' P~ .... of .... BUSINgSS NANE: ~/PM Mini-Market ~ 589 OWNgR NANE: PRESTIGE ~TATIONS. INC. NaMg Of T~s ~OCATZON: 15bl California ave~---93 ADDreSS:-- P~6~ ~6~ ~-~ ..... ' STANDARD XND.-ekaSS CODZ 5541 citY, zzv: Baker~ CA 04 cz~Y, zz~: CERRITOS, CA 907Q~ DUN AND BRADSTR~ZT NUMBER PHONZ ~: I~flq% q2q-~f124 ~HON~ J: (21'3)~02-1299 _~- D~-- - ~7~ _ (~ C~ ~ ~ lit ~itl m Site l~ ~ I~ ~ St~ in ~Ktlity ~ b INt~tiw ..~l~_._J3.L.o29.1~,ooo JS~O,oooE~ 36Sl o~j ~ I~ i~% I~h~** ~o~o~t~ ~~~ ............... ,~,c,I ~ ~l~ ~,~ C.A.S. ~ · 8006-61-9 ~t ,~ ~ & C.A.S. ~ REGULAR ~t ~ ~&C.A.S.~ [ I I I .... "u ~ 12,0o0 4,000 sSs,ooo~n~3651 Oll 1 Iq /lO [~he.~a-e~o~lO0 P~icll ~ ~l/h ~t~ C.I.S. ~ 8006-61-9 ~t II ~ I C.A.S. ~ IC~k iii t~t ~ly) UNLEADED ~lth of h~ ~ltk .................. ~t 13 ~&C.I.S. k iii t~t ~ly) SUPER UNLEADED - ~,, ~lc.A.s. ~ ~lth of P~ ~lth ---~ ~t 13 ~&C.~.S. ,,:,L t J , 2-- ............. 1__1 .............. (C~k ell t~t ~lf) - ~-, ~-, :-~ ~-~ ~t. ~c.A.s. ~ ~lth of Pm~ blth ........... C~lfic~t,~ (~e.d .nd ~i~ after c~pl~tln~ aJ/ '°r ''""'' t' 'af--t''' I 'il' t't t'"''tt' '"'--ti' 1' t'' 'c''~" 'c'"t" _ I~CH~LL ~G~ ~.Q~.~, ~.~M~.N~ SERVICES ~'~ 16 March 89 ~ ~'~,,~1~ ~ ~,~'~'~&DG~(~ V~T~]~'~iiETG& ST~TG~i"--'~ ......................................./ ~[i'ST~ ............................ / STA,NOAJ~O BUSINESS PL~q BP'S (b) MEO[CAL ASSISTANCE - in the event of a reportable hazardous ,~aterials or waste release or threaCened release' 't. List all local e.~erlency ,~edical facilities that '.ill be used: Mercy Hospital Fire Oepartment 2215 Truxton Ave. 0gal - Bakersfield, CA 93301 (805) 327-3371 (c) EVACUATION PLAN - How will izmediate notification and evacuation of the business be done? (Include a description of the steps needed to evacuate employees and/or residents of the area surrounding the business in the event of a spill Or release.) Are all new employees who may be impacted trained on evacuation procedure"s.~ Check one: ~XX Yes __N~. Are all employees who may be i~acted given refresher traintn¢j on evacuation proedures? Check one: XX Yes No. Evacuation routes, emergency exits, and stagin(j areas for eml~loyees at the facility: -- ~lort area: Facility Sales ~ea -- Evacuation route: Leave Facility through available exits. -- Emergency exits: Two doors only. -- Staging area: Go directly to SW Corner of lot or area opposite danger. -- '~0rk area: Office/Storage -- Evacuation route: Leave Facility through available exits. -- Emergency exits: Two doors only. -- Staging area: Go directly to SW Corner of lot or area opposite danger. -1- , STA,NOMO 8US[N£SS PLM4 6. E.~ERGENC¥ RESPCNSE PLA,qS (a) NOTCFECA~:ON ?qOC~URES - in ~he e'~enC of reportable hazardous ~er~]s or '~s~e release ~ tnre~ene~ release' [. w~11 ~he S~e Of~ce oF E~er~ency SedUces, O~S, (telephone number ~-800-8S~-75S0 or 1-9~6-427-434[) i~ediately be notified? Check one: XX Yes II. Will local e~rgency respnse personnel i~ediately be notified by dialing glo? (Non-~me:genc~ tocal Administering Agency 805/326-3979. Check one: XX Yes If business has an additional emergency response notification syste~, explain here. Job Title: Facility ~nger -- For any e~rgency, call gll and report. -. ~eave ~acility through available exits. -- Call your Field Supervisor; give details of emergency. -- Your Field Supervisor will notify Atlantic Richfield 3~intenance, Area Manager and main office. III. How will people within the business facility who must respond to an incident be notified? Job Title: Facility Personnel (i.e. cashier, ~aintenance). -- For any emergency, call 911 and report. -- T~eave facil£t¥ thz:ough available ex£ts. -- Call your Facility Manager; give details of emergency. -- Your Facility Manager will call Field Supervisor and report. -- Tour Field Supervisor will notify Atlantic Richfield ~inten~nce, Area Manager and m~ifl office. -2- STAJ~OAJ~I) BUS[NESS PLAN BP-S (d) ,MITIGATION {RECUE THE HAZARO}- Describe what procedures will be followed to reduce any har~ Or damage to persons, property, or the any iron,hank. "NO S~noking', "Please Turn Off Your Engine', and 'Do Not Top Off Tank' signs are posted in clear vision of consumer and e~ployee. Compliance to posted signs minmizes potential risk and hazards. Facility personnel are instructed to clean-up minimal spills and dispose of properly and to report any major' incident by calling 911. If needed, personnel will proceed to call all pertinent people listed on Attachment AA. (el ABATEMENT (STOP THE HAZARD): Oescribe what actions your business will take to stop any hazard caused by the release of a hazardous material or waste. For minor spillage (i.e. customer gas tank overflow), employee's are instructed to clean and dispose of materials safely. Protective rubber glo es and clean-up equipment is provided at each facility. For major spillage, employee's are instructed to call 911 and report. They will then notify personnel listed on Attachment A.A. 7. PREVENTION PLAtl - (how will an unathorized release be prevented?) Facilities are equipped with red jacket lead detectors which shuts system down if leak occurs. In addition, inventories are also monitored on a daily basis and are kept at a minimum to minimize risk. 8. ~EW EMPLOYEE TRAINING Maximum n~tmbe: of employees - 12 (a) Employees handling hazardous materials: All personnel, new and existing, are given instruction on complying with the City of Bakersf£el~usiness Emergency Plan. Upon completion of said instruction, employee will sign an~:knowledge Slip {Attachment Cl. In addition, a Training Log (Attachment O) will be kept by the facility manager to ensure that instruction has been carried out. One copy is kept at the facility and one copy is kept in employee's file located at 1721S Studebaker Road, Cerritos, in Employee Relations Department. STA,,q~ARO BUS[NESS PLAN. BP-$ (b) E~oloyees responsible For coordinating ~ith f~rst resoonders: Facility personnel are instructed to call gl! and re~ort. They will then c~11 all pertinent people listed on Attach~nt AA and report. (c) F~3ployees responsible for deployment of emergency equipment: Employee's are instructed on location of fire extinguishers and their proper use and operation. Instruction is also given on locations of emergency fuel pump shut-off switches. See Attachments A and B. (d) Employee training on Emergency Response Plans: -- Personnel are instructed to call 911 and report emergency. -- Personnel are then instructed to proceed to a site opposite danger. -- If needed, personnel will proceed to call all pertinent people listed on Attachment AA. -- All secondary entities will then be notified. -- MSDS Sheets a:e p:esent at each fac±lit¥. g. REFRESHER TRAINING (a) Employees who handle hazardous materials: A Training Log (Attachment O) will be kel)t at facility to ensure that initial instruction has been carried out. Said training log will also be used for refresher training of said employee con~ensurate with employee's anniversary date. (b) Employees responsible for coordinating with first responders: Facility personnel are instructed to call 91! and report. They will then call all pertinent people listed on Attachment AA and report. STANOARO 8US[FlESS PLA~ BP-5 (c) E,~ployees responsible for deployment of e,~ergency equipment: F-~ployee's are instructed on location of fire extinguishers and their proper use and operation. Instruction is also given on locations of e~ergency fuel pump shut-off switches. See Attachments A and B. , Refresher training on Emergency Response Plan: A Training Log {Attachment D} will be kept at facility to ensure that initial instruction has been carried out. Said training log will also be used for refresher training of said employee commensurate with employee's anniversary date. ~. ~,~. ,,.. ~...~.,,,~,~ ..~,, ,,,~ Learn Ho~ To Pass ~ Ex~nguis~~ ~"' ~'*. ~ ~ ~ '""-*',' '". ~"~'-* I Pull ~ 2. II I~'~ ~ lice. gel ~ ~lS~e C~II I~ h~e Pull Ihe ~~. ~ I~N i s~fl Me ~. Il I~ lite ~s of a IKk IdlCh. ~eS&llt(j a ~I~CIUle I~el. Ol ~" ~"'"' ~"" ~" "' "" ~" ~ Aim 3 ~e ~e ~ ~'1 ~ ~ ly~ emlqu~s~ A~ I1~ e,l~jL,~e~ floll~ (ho~fl. ~ ho~) ~ ~ ~ I~e-~ ~y ~e I~ fee ~ al Ihe ba~ ol Ihe lue ~ .,~. ~,~ .~ ~ ,.,.,, .. u~ '"' ~~~---- - ze Sq~ze ~ ~ess Ihe hdnale - S~I} horn WalcIi ~()dnl dlKI walee dllletetll dcl~ll Ile~ Ihe #t Id~w lite lyp, e BI I.e ~Ni wllich Mi e-I~i$~ is Io be ABCD's Portable ,, · eAme~e. ~icl/5s' A ly~, lira I~l~H~ I~l~ ~d Buying end mllnl;lnlno afl exllflOullhef. Extinguishers INe ~, ~h d es ~ ~ ~ Kcml m K ~ cl~h. NFPA lO. Sl~d I~ ~liUe Fue E NI~is~fS. ibiS) I1~ ~av~( ~lels ~dke SuYe ~U Gin I1~ ~. KIRKS. ~ ml~ ~cfl ~.~ IK~ I~l eNl~s ~ Ij~ ~lh KI~ i~ ~iM II~ ~ ~ mlolll ~y I~ ~ use imm I~ e,l~,~ m ~ I~ I,e c~ ~e I~ Fm I N~ IN ~ ~y I~ lie If~l~l~ A.B.C,O ~ i~ul~ Io use ii ~k I. · n~h wN ~ MMn ~ IAI~Mi Me ~l. m ~h I~ KI~w ~ IM A.O.C.D M~s 3 ASk ~ ~alef ~ ~ have ~; eMing.ishef IM~~ ~ ~exl~ s~ a~ ms~l~ fleclM~ge il all~ ANY Use A I~ Mkl~ly 114 IMS ABC. M D ~ve ~ u~ Io YN M M IM~I~ M ~. ~fllally uS~ Mm m~hl as well ~ em~ nKMt IM lyH ~ I~e ~ ~h ~ e~l~4~ il Io M II ~ ~ Io ~ ~ eminase, a mulli.~ 4 ~ ~lmg~she~s S~hJ Im ,~slall~ away h~ ~ ~ ~al M~ ABC ~ls ~ ~sI I~s M ~lial IMo ~za~ds i~l ~ma~ an esc~lm ~1~ Ihel - ~. ~. I~ c~. IW~ I~ud. ~ 5 FM ~e ~la~ls. s~ Sla~d IM ~na~e F,e e~b~M IMes. Exlm~ls~ls. N~ PA I0. II ~ b~y ~e I~oM. yolJ ~ll w~d Io ~el a Fb~ ~ ~. c~h. ~. ~u~. ~ ~ ~asi~s Jequ~e a walm IlaM ~s ~Wo Mt ed~- E~ Equl~t ~ 9jz~ e~k~al ~~ ~ ............................................. ~sl~W Mils such ~s National Headquarters 17215 Studebaker Road Cerritos, Califorma 90701 ACKNOWLEDGMENT SLIP I have been instructed on the use of the Business Emergency Plan Manual and have read and understand all the information and instructions as stated. Further, I agree to abide by the statements and guidelines outlined. I further acknowledge that failure to conduct my actions in compliance with these guidelines may result in the termination of my employment. Signed this day of , 19__ Employee Signature Facility Number Witnessing Supervisor Signature Attachment C Attachment D ,. CAS : EMERGENCY CALL: ~11 STATION MANAGER Marcia Stancil 805/325-1026 FIELD SUPERVISOR M. Scheiber 805/834-9033 AREA MANAG£R J. Barker'Klein , 702/873-516~ ,. MAINTENANCE 1-800-553-6246 BOB ELKINS ,.213~,402-9126 ARCO ~ 6115 PSI ~589 WHEN CALLING ARCO MAINTENANCE GIVE ONLY THE ARCO ~. CERRITOS MAIN OFFICE: 213/402-1299 Attachment AA TIER THO Facility Identification Operator Name Phone: (805) 323-2024 EMERGENCY Name : ARCO FACILITY NO. 06115 Name : PRESTIGE STATIONS INC 589 AND HAZARDOUS Street Address: 1501 CALIFORNIA AVE Mail Address : 1501 CALIFORNIA CHEMICAL City and State: BAKERSFIELD CA 95304 : BAKERSFIELD CA 95504 INVENTORY SIC Code: I 5541 I Dun & Brad No. I 0q-542~6725 I Emergency Contact Specific Name: MARCIA STANCIL Title: MGR Information FOR Phone (805) 323-2024 24 Hr. Phone (805) 325-1026 By Chemical OFFICIAL I ID # i (800) 553-6246 USE Name: ARCO MAINTENANCE ONLY I Date Received I Phone (213) 404-5356 24 Hr. Phone (213) 402-3166 Important: Read all instructions before completing form Reporting Period: From January 1 to December 31, 1988 INVENTORY STORAGE CODES AND LOCATIONS PHYSICAL AND HEALTH Max Daily Avg Daily No of Days (Non-Confidential) CHEMICAL DESCRIPTION HAZARDS Amount Amount On-site check all that apply code code days Storage Code Storage Location CAS: 008006-61-9 X Fire I 04 I I-bTI I 365 I I s-i~-I Chem. Name PETROLEUM Sudden Release NAPTHAS (Blended of Pressure Gasoline) Reactivity Type: LIQUID ONLY X Immediate (acute) _ Delayed (chronic) Certification: (Read and sign after completing all sections Optional Attachments (check one) I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents, and that based on my inquiry of those individuals responsible for obtaining I I I have attached a site plan the ~nformation, I believe that the submitted information is true, accurate, -- I--I ! have attached a list of coordinate FRED T. SEGUIN, C & M ADMINISTRATOR ~ ~'~ - abbreviations Owner/Operator or Authorized Representative Signature Date Signed HAZARDOUS MATERIALS INSPECTION INSPECTION DATE: ~- ~- ~ INSPECTOR: d~ ~ VERIFICATION OF INVENTORY MATERIALS ~--~ VERIFICATION OF QUANTITIES ~' VERIFICATION OF LOCATION ~ PROPER SEGREGATION OF MATERIAL ~ VERIFICATION OF HAZ MAT TRAINING ~_~ VERIFICATION OF Mb'DS AVAILABLE ~ COMMENTS: VERIFICATION OF ABATEMENT SUPPLIES & PROcedURES L~ CO~NTS: EMERGENCY PROCEDURES POSTED CONTAINERS PROPERLY LAB~--T.~n COMMENTS: ~SPECIAL HAZARDS ASSOCIA-£~u WITH THIS FACILITY: SECTION 4: PRIVATE RESPONSE TEA~ FOR BUSINESS AS A WHOLE For a minor spillage (i.e. customer gas tank overflow), employees are instructed to clean and dispose of materials safely. Protective rubber gloves and clean-up equipment is provided at each facility. For major spillage, employees are instructed to call 911 and report. They will then notify personnel listed on Page 2C. SECTION $: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOSE The following is the closest facility to our business: Mercy Hospital 2215 Truxtun Avenue (805) 327-3371 Bakersfield City Fire Department Station #1 2101 "H" Street (Emergency medical technician on site) SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRA~ WHICH PROVIDES E.~PLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL REFRESHER A. ~ETHODS FOR SAFE HANDLING OF HAZARDOUS .WATERIALS: ....................................... ~ NO ~~ NO B. PROCEDURES FOR COORDINATINO ACTIVITIES WITH RESPONSE AGENCIES: .......................... NO · NO C. PROPER USE OF SAFETY EQUIPMENT: .................. NO NO D. E~ERGENCY EVACUATION PROCEDURES: ................. NO NO E. DO YOU ~AINTAIN EMPLOYEE TRAINING RECORDS: ....... NO NO SECTION ?: HAZARDOU~ NATEltlAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS ,',tATERIAL IN QUANTITIES LESS THAN 500 POL'NDS OF A SOLID, 55 GALLO~ OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES NO I, Mitchell N~ , certify that the above Information ls accurate. I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et Al.) and that inaccurate information constitutes perjury. SIGNATURE TITLE R~tail operations DATE ~alyst - 2B - ,, CAS o; EMERGENCY CALL: ~11 STATION'MANAGER PAM BRILL (805) 326'1723 FIELD SUPERVISOR Bruce Wilkes (509) 754-3174 AREA MANAGER Ron Rose (916) 487-5500 MAINTENANCE Vince Corsello (213) 402-8026 ARCO # 6115 PSI # 589 WHEN CALLING ARCO MAINTENANCE GIVE ONLY THE ARCO %. Cerritos Main Office (213) 402-1299 402-1203 BAKERSFIELD CI~FIRE DEPA~R1QiE~ 2130 "G" STREET BAKERSFIELD, CA 93301 0FFiC~AL .USE ONLY IDm BUSINESS N~IE: ' BUSINESS PLAN SINGLE FACILITY UNIT FORM SA INSTRUCTIONS 1. To avoid further action, this form must be retu~-ned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE F.aCILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY L~IT# 589 FACILITY UNIT N~%~E: AM/PM Mini Market SECTION 1: MITIGATION, PREVENTION, ABATEMEN'~ PROCEDURES Facility utilizes (1) 6,000 gallon and (2) 8,000 gallon underground tanks located at the West end of.-the site. Inventories are monitored daily and are kept at a minimum to minimize risk. "No Smoking", "Please ~urn Off 'Your Engine", and "Do Not Top Off Tank" signs are posted in clear vision of consumer and employees. Compliance to posted signs minimizes potential risk and hazards. For minor spillage (i.e..customer gas tank overflow) employees are instructed to clean and dispose of materials safely. Protective rubber gloves and clean-up equipment is provided at each facility. For a major spillage, employees are to call 911 and report. They will then notify personn.nel listed on Page 2C. SECTION 2: NOTIFICATION ~D .. EVACUATION PROCED~q~ES AT THIS L'.~.'IT ONLY In the event of any major incident, our facility personnel (i.e. facility manager, assistant, cashier or maintenance) will immediately call 911 and report. If evacuation is necessary, and after 911 has been called, employees are directed to a site opposite the danger area. Facility personnel will then call and notify personnel listed .. on Page 2C. SECTION 3: HAZARDOUS MATERIALS FOR TRIS UNIT O~LY A. Does this Facility Unit contain Hazardous ~[ateria!s? ...... If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret If No, complete a separate hazardous metertals inventory form marked: NON-TRADE SECRETS ONLY (~hite form =-!A-l) If Yes, complete a hazardous mate~'ials inventory form marked: TRADE SECRETS ONLY (yellow form ~4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2, SECTION 4: PRIVATE FIRE PROTECTION g~nployees are instructed on location of fir~ extinguishers and their location. Instruction is given on use and operation. Instruction is also given on locations of ~Jnergency fuel p~uup shut-off siwtches. See AttacbJaent A and B. SECTION $: LOCATION OF ~ATER SUPPLY FOR USE BY E,~IERGENCY RESPONDERS Fire hydrant is located at the intersection on California and Chester Avenue, SECTION 6: LOCATION OF L"rILITY SLUT-OFFS AT T~IS UNIT 0~Y. A..X'AT. ,';.%S.PROPANE': N/A B. ELECTRICAL: Main electrical panel is located in the back room (see Page 5A). C. WATER: Water shut-off is located at the California 'driveway (see Page .5A). D. SPECTA~: Rmergency Pump Shut-Off Switch/ is located on the cash register (see Page 5A). E. LOCK BOX: YES ~ IF YES, LOCATi0N:.. IF YES, SITE PLANS? YES / NO MSDSs? YE~ " ~0 FLOOR PLANS? YES / NO KEYS? YES -' XO - 38 - RAKERSFIELD CITY FIRE DEPARTNENT I.D. # FORN 4A-I Page 1 of NON--TI~AD~ S~CR~TS HAZARDOUS MA TER~ ALS ~ NVgNTORV BUSINESS NAME: AM/PM Mini Market # 589 OWNER NANE: Prestiqe Stations, Inc. FACILITY UNIT #: 589 ADDRESS: ]50] California Avenue ADDRESS: P.O. Box 6225 FACILITY UNIT NAME:AM/PM Mln~~-t CITY, ZIP: Rak~r~f~]d 93304 CITV.ZIP: Cerritost CA 90701 PNONE #: 3~05) 323-2024 PRONE #: 213/402-1299 OFFICIAL USE CFIRS CODE ] 2 S 4 5 0 ? 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN T#IS · DY #AZARDiD.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT MT. C#E#!~AL OR CO##ON NA~E CODE P 4,000 [624,000 gal O1 19 West on lot 100% Gasoline (Unleaded) //~2~ FT.T'Q (1) 8,000 gallon P 2,400 374,400 gal O1 19 West on lo% 100% Gasoline (Super Unleaded)//g~ FLLQ (1) 6,000 gallon P 2,400 374,400 gal O1 19 West on lot 100% Gasoline (Regular) //g~ FLLQ (1) 8,000 ~allon This Is HowMost ,.Al,hough ,he maiorily of extinguishers work with our directions, there are exceptions. Read the Learn How To Pass instructions on your extinguisher for variations ~ ='~"=~ RreExtinguishers ~,x~ piclure in your mind fha! will fit the instructions 1. Pull Work on the extinguisher you will be using. 2. If there's a fire, get evegtone outside. Call the fire Pull lhe pin. Some units roquiro the releasing department. Then fighl a small fire only. If the fire gets of a lock lalch, pressing a punclure lever, or large, gel oul. Close doors Io slow the fire spread, olher motion. Stay belween the fire and an exit. Don't let fire block 2 Aim your escape path in case it goes out of control. · 3. Make sure you don't use one ty~ extinguisher Aim the extinguisher nozzle (horn, or hose) on another type fire--it may make the fire worse, at lhe base of the fire. Common errors (they can be fatal) are using water ~S~eze (A) on a grease or on an electrical fire (B or C). 3~ 3. //~ Squeeze or press the handle. 1. 4.Sweep_ Sweep from side to side at lhe base of the · ~ fire until it goes out. Shut off the extinguisher. · Watch for reflash and reactivate the extinguisher if necessary. Foam and waler extinguishers roquire slightly different action. Read the instructions. , Leam Not'l Bum This ;is HewMost ,.Although the maiority o! extinguishers work wilh our directions, there are exceptions. Read the Learn How To Pass instructions on your extinguisher for variations. ~-mm,,,-~ ~"'~.-,,== *; - ; .,x~ picture in your mind thai will fit the instructions 1. Pull ~-W~ on the extinguisher you will be using. 2. If there's a fire, get everyone outside. Call the fire Pull lhe pin. Some units require the releasing department. Then fight a small fire only. If the fire gets of a lock latch, pressing a puncture lever, or large, get out. Close doors to slow the fire spread, other motion. Slay between the fire and an exit. Don't let fire block 2 Aim your escape path in case it goes out of control. · 3. Make sure you don't use one type extinguisher Aim the extinguisher nozzle (horn, or hose) on another type fire--it may make the fire worse, at the base of the fire. Common errors (they can be fatal) are using water (A) on a grease or on an electrical fire (B or C). ~1~.~~/~Ze 3. /~ Squeeze or press the handle. I 4.Sweep_ · Sweep from side to side at the base of the .' fire until il goes out. Shut off the extinguisher. ; ~ Watch ~or reflash and reactivate the extinguisher if necessary. Foam and water extinguishers require slightly different action. Read the instructions. Learn NotTo in blue lhe lype of fire on which an exlinguisher is lo be ABCD's_.nf Portable used. Shown in b,ack w,,h a red s,ash are p,c,ures o, ,, ,s manageme ,'s ,o ,,ave e t. g,,,she,s ava,,- fires on which lhe exlinguisher Is nol Io be used For able for use aJ~d your lob Io k~ow how lhey work example, on a class "A'* type, the following label would Buying and maintaining an extinguisher. Fire Extinguishers appear: 1. Extinguishers come in dry chemical, foam. carbon A fire exlinguisher is a storage container for an extin- ti il should be labeled by a lesling laboralory. guishing agent such as waler or chemicals I1 is designed 1o pul oul a small fire, nol a big one .'~. .. 2. The higher lhe number raling on lhe extinguisher, An extinguisher is labeled according to whelher Ihe ' - Ihe more tire it puts out. High rated ones are often (not lire on which it is to be used occurs in wood or clolh, NFPA 10, Standard for Podable Fire Extinguishers. always) lhe heavier models. Make sure you can hold flammable liquids, eleclrical, or metal sources. Using recommends that extinguishers be labeled wilh picfo- and operale lhe one you mighl buy for home use or one type exlinguisher on another lype lire can make the grams. However lhe user may find the traditional A.B,C, D be required to use at work. tire much worse. So learn how extinguishers are labels, or both lhe pictograms and lhe A,B.C, D labels labeled and used. on an extinguisher. 3. Ask your dealer how to have your extinguisher serviced and inspecled. Recharge il after ANY use. A Tradilionally the labels A,B.C. or D have been used to You need an e~dinguisher at home. padially used one mighl as well be empty. indicate lhe lype of fire on which an exlinguisher is Io be It you plan to buy one extinguisher, a multi-purpose 4. Extinguishers should be installed away from used. dry chemical labeled ABC puls out mosl types of potential tire hazards and near an escape route. fires - wood, paper, and clolh, Ilammable liquid, or 5. For more details, see Standard for Podable Fire electrical fires. ~, Extinguishers, N FPA 10. If you buy more ll~'one, you mighl Wahl to get a BC Ior lhe kitchen, an A for lhe living room. and an ABC for the basement and garage. :~~ Ordinary Combustibles Fires in paper, cloth, wood, rubber, and many plaslics require a waler type extinguisher labeled A. ~ ~ Flammable Liquid. Fires in oils, gasoline, some paints, lacquers, grease in a frying pan or in the oven, solvenls and olher flammable liquids require an extin- · guisher labeled B. Fires in wiring, fuse boxes, ener- gized electrical equipment and olher eleclrical sources require an extinguisher labeled C, Combustible metals such as mag- nesium and sodium require special extinguishants labeled D. in blue Ihe type of fire on which an exlinguisher is to be ABCD'sut"" Portable used Shown in black wil, a red slash are pictures of ,, is managements lob ,o have ext,ngumh~rs ava,I- fires on which the extinguisher i~ nol Io be. used For able for use a;~d your lob Io k~ow how ltm¥ work example, on a class "A" lype. the Iollowing label would Buying and maintaining an extinguisher. Fire Extinguishers appear: ~~ 1. Exlinguishers come in dry chemical, foam. carbon A lire exlinguisher is a slorage conlainer for an extin- t~ ~ dioxide, waler, or halon types. Whatever lype you buy, guishing agenl such as waler or chemicals. II is designed ; ~ il should be labeled by a lasting laboratory. 1o pul out a small tire. not a big one ~ .~ 2. The higher lhe number raling on Ihe extinguisher, An exlinguisher is labeled according to whether the Ihe more fire il puts out. High rated ones are often (nol lire on which it is fo be used occurs in wood or cloth. NFPA t0, Slandard for Portable Fire Extinguishers. always) the heavier models. Make sure you can hold llammable liquids, electrical, or metal sources. Using recommends that extinguishers be labeled with picto- and operale the one you mighl buy for home use or one type extinguisher on anolher type fire can make the grams. However the user may lind the tredilional A.B.C.D be required to use at work. tire much worse. So learn how exlinguishers are labels, or bolh lhe pictograms and the A.B.C.D labels labeled and used. on an extinguisher. 3. Ask your dealer how to have your extinguisher serviced and inspected. Recharge il after ANY use. A Tradilionally lhe labels A.B.C. or 13 have been used to You need an extinguisher at home. partially used one mighl as well be empty. indicale the lype of fire on which an exlinguisher is lo be If you plan to buy one extinguisher, a mufti-purpose 4. Extinguishers should be installed away Irom used dry chemical labeled ABC puls out mosi types of polenlial lire hazards and near an escape roule. fires - wood, paper, and cloth, flammable liquid, or 5. For more delails, see Slandard for Portable Fire electrical liras. ~ Extinguishers, NFPA 10. Il you buy more tl~one, you mighl Wahl to get a ' BC lor the kitchen, an A lot the living room. and an · ABC for lhe basemenl and garage. t~~ Fires in paper, cloth, wood. rubber, and many plastics require a water ': type extinguisher labeled A. ¢1- ~ Fires in oils, gasoline, some paints, 13:1 lacquers, grease in a In/lng pan or in the oven, solvents and other flammable liquids require an ex'tin- guisher labeled B. Fires in wiring, fuse boxes, ener- -- : _ __ gized electrical equipmenl and ~', .! olher electrical sources require an .' .,,,d~, extinguisher labeled C. Corf~ustible metals such as mag- ',-. ' nesium and sodium require special extinguishanls labeled D. BUSINESS EMERGENCY TRAINING LOG INSTRUCTOR TITLE DATE OF TRAINING EMPLOYEE' S SIGNATURE INSTRUCTOR' S SIGNATURE i Presfig® S[afions, ~nc. Ne~ionel Headquarters ~ 72~ 5 S~ude~aker Roed Cerri~os, Ceiifornia ~070J ACKNOWLEDG~NT SLIP I have been instructed on the use of the Business Emergency Plan Manual and have read and understand all the information and instructions as stated. Further, I agree to abide by the statements and guidelines outlined. I further acknowledge that failure to conduct my actions in compliance with these guidelines may result in the termination of , my employment. Signed this day of , 19__ Employee Signature Facility Number Witnessing Supervisor Siqnature