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Home My WebLink AboutBUSINESS PLAN Hazardous. Miaterials/Hazardous Waste Unified. Permit ~ PER ON ?~? CONDITIONS OF.- .MIT ~REVERSE SIDE _ : ~ '~ ~ This ~ermit is i~ for ~ follo~: Permit ID ~:: 015~00~00791 D Risk ~n~ P~mm /:'.'CAEIFORNIAAVENUE SHEL · ~"-~ou, W,~O,S,,m~ :6'~"LOCAT~ON: ~2aCAU~O.N~A~A~E TANK H~RDOI 015-000-000791_0001 WASTE OIL ~ING 015-000-000791-0002 GASOLINE 015-000-000791-0003 PREMIUM UNLI 015-000-000791-000, UNLEADED PLU~ . GASOLINE ... : , '..).' , ~ I~ued by: Bakersfield Fire Depa~ment OFFICE OF EN~RONMENTAL SER~CES' · ' 1715 CheSter Ave., 3rd Floor· ' : Appr°v~by: Bakersfield, CA 93301 .,.3~, Voice (661)326-3979 F~(661) 326-0576 ' '.'~?~:':?':~Eip~tionDate: 'Ju~ 30. 2OO3 ~ HazardoUs Materials/Hazardous Waste Unified Permit '~'~'CONDITIONS OF PERMIT ON REVERSE SIDE ~ ~,~?~,~' ? ?i;? ?i?? i?!!i;~,,~,,~ ,,, This permit is issued for the following: H~RDOUS SUBSTANCE TANK ~;;:~-,::.:~: PIPING PIPIN . METHOD ONIT ~ F ....... ' PRESSURE ALD ~ 10'000:~ MIR .,?~,.~:,~' PRESSURE ALD ~0007 I GASOLINE TTT PRESSURE ALD Issu~ by: B~crsfield F~c Depa~mcnt / ~P~ 1715 Chewer Ave., 3rd Floor B~e~fiel~ CA 93~01 Voice (805) ~26-3979 F~ (805) 326-0576 Expiration Date: 'June 30, 2000 City of Bakersfield Office of EnvironmentaI Services 1715 Chester Ave., Suite 300 Bakersfield, California 93301 (805) 326-3979 An upgrade compliance certificate has been issued in connection with the operating permit for the facility indicated below. The certificate number on this facsimile matches the number on the certificate displayed at the facility. IInstructions to the issuing agency: Use the space below to enter the following information in the format of your choice: name of owner; name of operator; name of facility; street address, city, and zip code of facility; facility identification number (from Form A); name of issuing agency; and date of issue. Other identifying information may be added as deemed necessary by the local agency. This permit is issued on this 2na day of November, 1998 to: CALIFORNIA AVE SHELL Permit/4015-021-000791 '3623 California Ave Bakersfield, California 93309 ':%~,~?~C:, ?.." tq-~-~;~,, ::-~/,:' ', L,'-;~'r! .... . .,'.~:,,~,,~. ,~., ~:-:~ix,~.F,.2:., ..-, ?%, < ~ v .,, ~. .~, .,. ..:~ ~.' ',, - ~- ~¢~t ~ -. · ,,~?~-U'?,~ : %-~ :. ~: ;~r~-~L-" ':':Z~'~'~T~-'x'L;?., ~;.~.~]~ ~';~ ,?'-'~-:'1 ;,','=~ ,. ' -- ' 'F%. ~Q , .'. "- '. · T % ./~ .- ,.. {,_., ,~ . ~ . ~ . ..,~ .s~ .... . ,:= ~s..~ ...... . ....... ~=~ -- ~ -- . ~ -- - .. · ,--, ~, I Ii GALL--) ~ i SUPER 8 MOTEL ~ 8E~ ~A~ON LEGEND ~ 1"=30'-0"~ J DA~= 03/13/96 ~ EMERGENCY PUMP ~ MONITORING ~LLS S. UT-O~F A O.SE.V*~O. ~S SITE PLAN s.u~-o~ ~ *.~EEZE CALIFORNIA SHELL ~ NA~RAL GAS SHUT-OFF ~ BAT~RYSTORAG[ 3625 CALIFORNIA AVENUE ~ WA~R SHUT-OFF ~ GREASE (BARREL) TANK MONITORING ALARM ~ MOTOR/~ANSMISSION o~ BAKERSFIELD, CALIFORNIA 95509 ~ RRST AID KIT ~ U.6. PRODUCT TANK ~ RRE EX~NGUISHER ~C~ 0462--2399 ~ S~OR" DRAIN · ~ SOL~NT SINK ~ OIL/WA~R SEPARATOR ~ U.G. WAS~ OIL TANK ~ ~ E.[.¢[.C~ '~ SHELL OIL COMPA~ ASSEMBLY AREA ~ ABSORBENT MsDsHMMP LOCA~oNHMMP' AND MSDS ~ WAS~ OIL RL~RS ~ HOIST (SER~C[ 8AY) ~ WASH AN~BEEZ[ ~BEE i i U MSDS J GAL'~' . ' · ' NORTH ~ MOTEL (ULL 8E~VlOE STATION LEGEND SCALE= 1"=50'-0"~ DA~ 5/17/94 EMERGENCY PUMP ~ MONITORING ~LLS SHUT-OFF A o~s~wT~o~ ~s SITE -PLAN ELECTRICAL PANEL s~u~o~ ~ ,,T~z~ CALIFORNIA SHELL NATURAL GAS S~UT4O~ ~ .*T~.~STO~*O~ ~625 CALIFORNIA AVENUE WATE~ SHUT-OFF ~ GREASE (BARREL) TANK ~MONITORINO ALARM ~ MOTOR/TRANSMISSION T~.~o~'~ o~ BAKERSFIELD, CALIFORNIA 9~309 FIRE ~XTINGUISHER WlC~ 0462--2599 OIL/W~TER sEPARATOR ~ U'G' WASTE OIL TANK EMERdENCY~ 9HELL OIL COMPANY ASSEMBLY AREA ~ ABSORBENT I ~ WA~+[ ANTIFREEZE ~ROBERT H. LEE A A880ClATE8. INC. FIRE ~DRANT J~A~CH~fECtU,E EN6INEER~N6 EN~,ONBENTAL SER~CES ~:-/- ~ sITE/FACILITY DIAGR~v~ ,.. ;.,2, .;. . .'. . DATE: / / FACILITY N~IE: UNIT ~: OF (CHECK ONE) SITE DIAGRA~%~' .~ FACILITY DIAGR.%~{ , ~ .. ~(Inspector's Comments): -OFFICIAL -USE ONLY- -.~ ' , ..... - SA'- ,-' ~ ENTERPR. ISES LLC Shell & Texaco Working Together P.O. Box 8509 San Jose, CA 95155 March 8, 2002 Betty-Finance Dept. City of Bakersfield " P.O. Box 2057 Bakersfield, CA 93303 Subject: Haz Mat - UST fees 2002 Dear Betty, Enclosed check #2000251370 in the amount of $3,873.00 is for 7 operating Equilon facilities in Bakersfield, fo; which I have received 2002 invoices for. Do to the Equilon Enterprises, Bakersfield facility re-alignment to the Northwest Region3 invoices were forwarded late to me for payment. February 15, 2002 I requested an extension to the payment due date, which you approvedl.thank you. f'T~ere are 3 invoices I Ye~i~ti,-Whf~h ~a-r~-fi~r-~zi(~s~d-n~n--Operating facilities. I aln enclosing these invoices -Y~;fihout payment, exaco l'21017;'2601'Whiti/Ln,.Bakersfield ID 2898 (closedl/20/02), Shell 1350751 3623 . California Ave, Bakersfield ID 3118 (closed 2001) and Shell 135073, 3130 24th St, Bakersfield ID 2931 (closed .2001). . There are 2 other facilities within Bakersfield, which I have not receivedinv. oices for, but may have already been paid by the Pacific South Region - Texaco 121372, 5300 Olive Dr, Bakersfield and Texaco 121467, 6439 Rosedale Hwy, Bakersfield. Please advise if annual payments are outstanding. Als0 let me know if your agency handles the Texaco 121190, 9069 Grapevine Rd, Lebec and the Shell 135392, 25712 Ward Dr, Kettleman City. I have no invoices for these facilities either. Feel free to contact me at 209-577-5960, fa~ 209-577-5964 or e-mail b~:raarubash±@equ±v~, cern, if you have any questions or require other information. Sincerely, Bruce T. Marubashi ~'~-~' '------ H,S&E Permit Analyst - PNR/NWR / -.20 _,9.2._ "~~- 'x Bakersfield UST inv 3 8 02.doc E U LON Shell & Texaco Working Togethe. r 3468~Claremont Ave. Modesto, CA 95350 April 22, 2002 Mr. Ralph Huey City of Bakersfield - Environmental Services P.O. Box 2057 Bakersfield, CA 93303-2057 ~ - ~ Su=~ject:~Facility~,oSures~-~ancel~ST~Operating~Permits~-~?~: ~-~-~ 1). ES 3118 - Shell, 3623 California St. Bakersfield CA 93309 1): ES 2931 - Shell, 3130 24th St. BakerSfield CA 93301 Dear Agency, .. Enclosed are to invoices for,ppe_~rat~g_p~rmit fees July 200 l·,~o~qgh_June~ l_,~2_Q02~._These two facilities are closed'Shell, 3623 California St. Bakersfield CA 93309 closed June 27, ~0-i.~Shell. ' 3130 24th St. Bakersfield CA 93301 closed June 1, 1999. Please cancel the facility UST operating permits and update your facility records. Please advise if these fees are not .related to gasoline underground storage tanks. Feel free to call me if there are any questions at 209-577-5960 fax'5964. E-mail address: btmambashi~equiva.com Sincerely, .. STATEMENT OF ACCOUNT PAGE 1 CITY OF BAKERSFIELD P 0 BOX 2057 BAKERSFIELD, CA 73303-2057 /02 TO: 4101/02 ~:::;"~:: ~'~ ': BE~ ~:~NN~,q~ 57~. O0 For GUESTIONS?~BR?~CHAN~ES t~B~YOUR&~CCOUNT PLEASE CURRENT OVER 30 OVER &O OVER ~0 ~ I~NTERpRISES LLC Shell & Texaco Working Together · 3468 Claremont Ave. ~ Modesto, CA 95350 April 22, 2002 Mr. Ralph Huey City of Bakersfield - Environmental Services P.O. Box 2057 Bakersfield, CA 93303-2057 Subject: Facility Closures -Cancel UST Operating Permits -~---~--~l-):-ES~3-14-8-~She1Iv-36E-3~Califomia~St,-Bake~,sfield-CA~,933 09~ 1). ES 2931 - Shell, 3130 24th St. Bakersfield CA 93301 Dear Agency, EnclOsed are to inv.°ices for operating permit fees July 2001 through June 31, 2002. These two facilities are closed. Shell, 3623 California St. Bakersfield CA 93309 closed June 27, 2001. Shell, 3130 24th St. Bakersfield CA 93301 closed June !, 1999. Please cancel the facility UST operating permits and update your facility records. Please advise if these fees are not related to gasoline underground storage tanks. Feel free to call me if there are. any questions at 209-577-5960 fax 5964. E-mail address: btmambashi~equiva.com Sincerely, Brace T. Marubashi ......... H~S~&E_~Aknalyst Shell Oil Products US Northwest Region Attachments cc: file Bakersfield Closure 3130, 3626 -4 22 02.doc Hat 2? 02 01:59p ~ruce T. Harubashi 209-577-596~ p.1 EI: .UIVA ~ SERVICES LLC Shell & Texaco Working Together P.O. Box 8509 San Jose, CA 95155 FROM: Bruce T. Marubashi ~ Equiva Se~i~s LLC Pacific NoAh Region Phone ~: (209) 577-5960 btmarubashi~equiva.com Fax ~: (209) 577-5964 FAX TRANSMITTAL NUMBER OF PAGES INCLUDING THIS PAGE IF YOU DID NOT RECEIVE ALL OF THE PAGES, PLEASE CALL (20~ 577-5960 THANKS ~ CALL ME IF ANY PROBLEMS. Bruce T. Marubashi Permit Analyst- PNR, Bay Area Nar 2? 02 01:59p Bruce T. Marubashi 209-577-5964 p.2 March 18, 2002 EQUILON ENTERPRISES LLC SHELL & TEXACO WORKING TOGETHER ~,uu CU,Er P O BOX 8509 aON fROZE SAN JOSE, CA 95155 ADMINISTRATIVE SERVICES 21o, -~r street RE: HAZ MAT - UST FEES 2002 Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 Dear Bruce, SUPPRESSION SERVICES 2101 "H'Street I am returning two statements, for payment. Texaco 121017 located at Bakersfield, CA 93301 VD,CE (661)626-69n, 2601 White Lane which closed January 20, 2002 and Shell 135075 FAX (r~l).~gS-lanS located at 3623 California Avenue which closed September 13, 2001. PREVENTION SERVICES As you can see both sites were closed after June 30, 2001. The City 1715 ChesterAve. bills every fiscal year if a business is open during the beginning of the Bakersfield, CA 93301 VOICE (661) 326-3951 fiscal that company is billed the City does not prorate. The company F~X (661)626-o676 therefore owes the services and must pay the bill in tull. ENVIRONMENTAL SERVICES 1715 Ch~$ter^ve. The other facilities you inquired about Texaco 121372, 5300 O/iTc ~ake~'afield. CA 93301 VOICE (661)3~6-3979 Drive, Texaco 121467, 6439 Rosedale Hwy, Texaco 121190, 9069 r~x t~,) az~-osz6 ~ Grapevine Road and Shell 135392, 25712 Ward Drive, Kettleman City 3'RAINING DIVISION are not the City's. 5642 Victor Ave. ! Bakersfield, CA 93308 VD,CE (6~1) 3s~s? Please feel free to contact-,mc if you have any quest FAX (661) 399-5763 : Sincerel. y~, 1715 Chester Avenue Bakersfield, CA 93301 (661) 326-3642 From: Steve Underwood To: Betty Wilson Date:- 1/10/02 7:26AM Subject: Remove Billing for Calif. Ave shell 3623 California Ave. Betty, I have removed all inventory data, for the above mentioned site. This site has had all tanks and piping removed. The building will be demolished next week. Please remove them from the billing system for 2002, a.s they are no longer there. CC: Esther Duran OFFICE OF ENVIRONMENTAL SERVICES I~ rltt~ ~ 1715 Chester Ave., CA 93301 (661) 326-3979 BUSINESS OWNER / OPE~TOR I~ENTIFICATION FACILI~ INFORMATION BUS.SS NAME (~ as FAClLI~ N~E or O~- ~ing Bu~ne~ ~) . 3 BUSINESS PHONE SITE ADDRESS/ ~ ~ k 103 DUN & ~os SIC CODE . B~DSTREET (4 Digit ~) ~~ ~ ' OPE~TORNAME~. ~ ~ ~ ~~ ~ ' ~ .09 OPE~TORPHONE '11o OWNER MAILING CONTACT ~ILING ADDRESS ~0 t~O~ ~ ~ 119 TITLE ~~ / ~ ~ ~ 125' TITLE ~ ~ ~ ~~t~ ~ 130 BUSINESS PHONE /~(~j - ~ ~_ ~1 ~ - 12s BUSINESS PHONE ~t~ -- ~ ~ 24-HOURPHONE ~ - ~-- ~O ~ 127 24-HOURPHONE ~ __ ~32 Ce~ification: Based on my inqui~ of those individuals responsible for obtaining the information, I cedi~ under penal~ of law that I have personally e~mined and familiar ~th the infor~tion s~bmiEed In this invento~ and believe ~e infor~tion is true, accurate, and complete. SIGN~~ DATE 134 NAME OF DOCUMENT PREPARER 135 NAMES ~O~O ~ )~ 136 TITLE OF OWNE~OPE~TOR 137 RECEtVED C:~W. INNT40~mfiles~traylor.000~Desktop~OES2730,~d CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 9,3301 (661) 326-3979 BUSINESS OVVNER / OPERATOR IDENTIFICATION FACILITY INFORMATION 1. FACILITY IDENTIFICATION As 12/31/2000 I:JU61NE~5~5 NAMI- (Same as FACILITY NAME or DBA- Doing Businew ) 3 BUSINESS PHONE. 102 CALIFORNIA AVENUE SHELL 661-322-3122 SITE ADDRESS 103 3623 CALIFORNIA AVENUE CITY BAKERSFIELD m4 CA ZiP 93309 ~o~ DUN & 106 SIC CODE ll07 BRADSTREET (4 Digit #) 554 ! COUNTY KERN lo~ NAME GLENN HENRY 1o9 I OPERATOR PHONE 661-322-3122 no OPERATOR 11. OWNER INFORMATION OWNER NAME SAME AS ABOVE in I OWNER PHONE 661-322-3122 n2 [ OWNER MAILING ADDRESS Il3 I STATE Rs ZIP n6 114 I · Ill. 'ENVIRONMENTAL CONTACT FERYAL SARRAFIAN H? [ CONTACTPHONE 818-736-5078 Ils CONTACT NAME CONTAOT MAILING ,,9 ADDRESS PO BOX 7869 ,~o STATE CA ~2] ZIP 91510-7869 122 -PRIMARY- ,IV. EMERGENCY CONTACTS -SECONDARY-. NAME GLENN HENRY 123 NAME FERYAL SARRAFIAN 129 TITLE. DEALER ' ~2s TITLE' SH&E COMPLIANCE COORDINATOR ~3o BUSINESS PHONE 661-322-3122 126 BUSINESS PHONE 81.8-736-5078 ,3, 24-HOUR PHONE 661-323-4007 12'/ 24-HOUR PHONE 310-489-6296 132 PAGER# 661-329-1567 ,28 PAGER # 133 -"V. GERTIFIGATION ... Certification: Based on my inquiry of those Individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined ~; ~--' -"---~,formation submitted In this inventory and believ~ the Information Is true, acoumte, and complete. ?OPERATOR DATE 134 I NAME OFDOCUMENT PREPARER ~3~ I i R.S. WATSON ~-~,'~'~mE:5=OF-O~'VNEPJOPERATOR (print) 136 TITLE OF OVVNERJOPERATOR 137 FERYAL SARRAFIAN SH&E COMPLIANCE COORDINATOR OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS -UST FACILITY . ~ Pago Of TYpE OF ACTION j ((~heck on@ item only) [] 1. NEW SITE P~RMIT [] 3. RENEWAL PERMIT. [] 5. CHANGE OF INFORMATION (Specify, change". [] 7. PERMANENTLY CLOSED SITE [] 4. AMENDED PERMIT local use only). [] S. TANK REMOVED [] 6. TEMPORARY SITE CLOSURE I. FACILITY / SITE INFORMATION BUSINESS NAME (Someas FACILI'PfNAME Or DBA, - Doing BusEmssAn)~CALiFORNiA AVENUE SHELL ' 3 FACILITY ID O NEAREST CROSS STREET 401. FACILI'Pt' OWNER TYPE [] 4.4. LOCAL AGENCY/DISTRICT- [] I.CORPORATION [] 5. COUNTY AGENCY* CALIFORNIA/REAL [] 2. INDIVIDUAL [] 6. STATE AGENCY- BUSINESS [] I. GAS STATION [] 3. FARM [] 5. COMMERCIAL [] 3: PARTNERSHIP · TYPE [] 2. DISTRIBUTOR [] 4. PROCESSOR [] S. OTHER 403.: [] 7. FEDERAL AGENCY* TOTAL NUMBER OF TANKS I Is facility on Indian Reservation or - · if owner of LIST a public agency name of supervisor of REMAINING AT SITE I trustlands? division, section or office - which the UST. (This is the contact person for for tank records.) IL PROPERTY OW~IER INFORMATION PROPERTY OVVNER RAW 407. I PHONE T EQUILON ENTERPRISES, LLC I 818-736-5078 MAILING OR STREET ADDRESS 4 PO BOX 78(;9 CITY 410. STATE 411. ZIP CODE URBANE CA 91510-7869 PROPERTY OWNER TYPE [] 2. INDIVIDUAL [] 4. LOCAL AGENCY/DISTRICT [] S. STATE AGENCY 41 [] I - CORPORATION [] 3. PARTNERSHIP [] 5. COUNTY AGENCY [] 7. FEDERAL AGENCY TANK OWNER NAME · 14. PHONE SAME AS ABOVE AILING OR STREET ADDRESS 4 ITY 417. STATE · 18. I' ZIPCODE 411 ANK OWNER TYPE [] 2. INDIVIDUAL [] 4. LOCAL AGENCY / DISTRICT [] 6. STATE AGENCY 42 [] 1. CORPORATION ' [] 3. PARTNERSHIP [] 5, COUNTY AGENCY [] 7, FEDERAL AGENCY -IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER - 'Y(TK) HO 14 4I-0 ~1~14~4 Call (916, 322-9689 Ifquestions arise 42, V. PETROLEUM UST FINANCIAL RESPONSIBILITY DICATE METHOD(S)) [] 1. SELF-INSURED [] 4. SURETY BOND [] 7. STATE FUND [] 10. LOCAL GOV'T MECHANISM [] 2. GUARANTEE [] 5. D- ~ 1 ~-R OF CREDIT [] S. STATE FUND & CFO LETTER [] 99. OTHER: [] 3. INSURANCE [] 6. EXEMPTION [] 9. STATE FUND& CD 422. VI. LEGAL NOTIFICATION AND MAILING ADDRESS ec~ one box to Indicate which address should be used for legal notifications and malting. [] 1. FACILITY [] 2. PROPERTY OWNER [] 3. TANK OVVNER 423. gal nofif~'~ations and mailings will bo sent to the tank owner unless box 1 or 2 is checked. VII. APPLICANT sigNATURE ,. Ilification: I certify that the information provided herein Is true and accurate to the best of my knowledge, NATURE OF APPLICANT DATE 424. J '~'H0r~t- 4z~. t)~~.~.~ I 818-736-5078 ME OF APPLICANT (prin · 20. TITLE OF APPLICANT 421. FERYAL SARRAFIAN SH&E COMPLIANCE COORDINATOR .,q It: U&I FACILITY NUMBER (For local use only)'.- 420. I 1 998 UPGRADE CERTIFICATE NUMBER (r0r local use.0nly) ~z~. ?.,-~. ~ ......................... CITY OF BAKERSFIELD ~ "OFFICE OF ENVIRONMENTAL SERVICES .(~ .,~~. ' 1715-Chester Ave., CA 93301 (661) 326-3979 FACILITY INFORMATION . Business Activities " ~ Page I of ' ~ . ' - ' I. FACILITY IDENTIFICATION FACI-LITY ID # (For office use only - please leave blank) 1 EPA ID # 2 DBA/FACILITY NAME 3 II. ACTIVITIES DECEARATION Does Your Facility... If Yes, Please COmplete... A. HAZARDOUS MATERIALS (~S (~NO 4 v' ' OES FORM 2731 (Chemica~ Description Form) 1. Have on site (for any purpose) hazardous materials at or ~ CONSOLIDATED COMPLIANCE PLAN above 55 gallons for liquids, 500 pounds for solids, or 200 Minimum required p annin,q elements: cuft for compressed gases (include liquids inASTs and · Emergency Response Plan USTs)? · Maps 2. Have any amount of an explosive matedal (other than (~)YES (~O s · Training ammunition) on site? · Prevention · , Certifications B. REGULATED SUBSTANCES (RS) (~d~S C)NO 6 v' OES F~RM 2731 (Chemical Description Form) Have onsite RS at greater than the threshold planning v' RISK MANAGEMENT PLAN (RMP Submit to USEPA) quantities established by the California Accidental ~ v' CONSOLIDATED COMPLIANCE PLAN · Release Prevention program (CalARP)? · Incorporating CalARP Program Elements C. UNDERGROUND STORAGE TANKS (USTs) --(~S C)NO ? ¢ UST FACILITY FORM ~-,. Own or operate Underground Storage Tanks? v' UST TANK FORM (one per tank) Intend to up{]rade existing or install new USTs? C)YES 8 v' UST FACILITY FORM '~'- v' UST TANK FORM V' UST INSTALLATION FORM (one per tank) D. TANK CLOSURE / REMOVAL (~YES ~O 9 ~ UST TANK FORM (closure section--one per tank) 1. Need to report closing a UST that held hazardous materials or waste? 2. Need to report the closure/removal of a tank that was (~)YES lo v' TANK CLOSURE FORM classified as'hazardous waste and cleaned onsite? E. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs) C)YES (~1~O 1~ ~' CONSOLIDATED COMPLIANCE PLAN OWn or operate ASTs above these thresholds: any tank · .~ Incorporating Federal Spill Prevention capacity is greater than 660 gallons or the total capacity · Control and Countermeasure (SPCC) for the facility is greater than 1,320 gallons. Elements pursuant to 40 CFR Part 112 F. HAZARDOUS WASTE: . V' EPA ID number---provide on this page 1. ~ Generate hazardous waste? ©YES ~ 12 TO obtain EPA ID#, please phone (916) 324-1781 2. Recycle more than 100 kg/mo of recyclable materials at (~)YES (~O 13 v' RECYCLING FORM , the same location it was generated? 3. Recycle more than 100 kg/mo of recyclable materials at (~)YES (~ 14 v' RECYCLING FORM an offsite location different from the point of generation? 4. Treat Hazardous Waste On site? C)YES ~ 15 ¢ TP FACILITY FORM'(DTSC Form 1772) ,, / v' TP UNIT FORM (one per unit) 5. Subject to Financial Assurance requirements? (~d:~;ES C)NO I~ ~/ CERTIFICATION OF FINANCIAL ASSURANCE 6. Consolidate Hazardous Waste generated at a remote C)YES (~"O a7 ~/ REMOTE WASTE / CONSOLIDATION SITE site? NOTIFICATION FORM G. PERMIT CONSOLIDATION ZONE: 18 v' CONSOLIDATED COMPLIANCE PLAN Intend to consolidate other CaI~EPA agency permits? · Incorporating all other environmental (If yes, please complete Section III and attach) permit requirements per 27 CCR 10410 ]TE: ./If you checked YES to any part of Sections IIA-IIG above, ther{ in addition to the forms requested above, please Submit OES Form 2730.' UPCF (7199) S:\CU PAFORMS~ACTIVITY.wpd CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 " FACILITY INFORMATION Business Activities Addendum Page ~'~""~ of ~ I. FACILITY IDENTIFICATION FACILITY ID # (For office use only - please leave blank) 1 J EPA ID # , 2 DBNFAClLITY NAME 3 III. CONSOLIDATED PERMIT ACTIVITIES for satisfying the conditions of tl~ese permits? Is your Facility Compliance Plan subject to review by._. ~O H. DEPARTMENT OF TOXIC SUBSTANCES CONTROL OYES v' STANDARDIZED PERMIT ~ · All Modifications OYES (~O ~ Non-RCRA HAZARDOUS WASTE FACILITY OYES v' RCRA HAZARDOUS WASTE FACILITY I. SAN JOAQUIN VALLEY UNIFIED AIR POLLUTION OYES (~ v' AUTHORITY TO CONSTRUCT CONTROL DISTRICT ---) (~S ONO v~ PERMIT TO OPERATE ... J. STATE WATER RESOURCES CONTROL BOARD OYES ' V' WASTE DISCHARGE REQUIREMENT (WDR) L_:NTRAL'VALLEY REGIONAL WATER QUALITY CONTROL */ GENERAL PERMITS ~O-~'-~'~' . _ ' . _ _ ' C)YES ~ , OYES ~O V'' SPECIFIC PERMITS OYES (~ ~ NATIONAL POLLUTION DISCHARGE ~ ELIMINATION SYSTEM (NPDES) K. CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD oYEs,(~ v' REGISTRATION PERMIT L. KERN COUNTY RESOURCE MANAGEMENT AGENCY (~O ENVIRONMENTAL HEALTH SERVICES PERMITS OYES v' Domestic Water'Well Permit -- OYES ~O v' Haz Mat Monitoring Well Permit (~YES (~ v' Septic System Permit OYES (~ v' Public Swimming Pool' Permit OYES (~ v' Food Facility Consiruction Permit ~ OYES ~O v" Solid Waste Local Enforcement Agency (LEA) Related Permits OYES (~ ~ Medical Waste Related Permits M. CITY OF BAKERSFIELD WASTE-WATER DIVISION OYES (~ v~ INDUSTRIAL WASTE WATER DISCHARGE PERMIT NOTE: v' If you checked YES to any part of Sections III-H to III-M above, then please address all applicable permit requirements in the Facility Compliance Plan,' S:~CUPAFO RMb~Activity adendum.'*lXt ju~y 1, 1998 OFFICE OF ENVIRONMENTAL SERVICES · 1715 Chester Ave., CA' 93301 (661) 326-3979 (' "~'"' . HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION , (o~e form per material per building ora~,~ I-] NEW [] ADD [] DELETE i-~ REVISE 200 Page J,_ of ..~ I. FACILITY INFORMATION · ' J BUSINESS NAM~E (Same as FACILITY NAME or DBA - Doing Business As) 3 CHEM,CAL'OCAT,ON ~'4J ~ ~ &~---~-~--'~- C~C---- ~.._.C'"r-- 20, CHEM,CAL'OCAT,ON OYes [].o 202 I CONFIDENTIAL (EPCRA) FACILITY ID # ~'~ ~ ~ I I ' 1 MAP # (optional) 203 T GRID # (optional) 204 · '" : ' II. CHEMICAL INFORMATION '."i'~,;:. CHEMICAL NAME ~.. 205 t TRADE SECRET [] Yes ~No 206 "~"'~.0 (,,---~ ~.~ ~.~'J~ ~ ~ ~...A~'~ ~,~"~ ~ ~ I If Subject to EPCRA, refer to instructions 207 EHS' I--lyes ~.No 208 CAS # ~:~'0 ~ - C,~ \ "-c::l 2oo .,,E.s ,,-Y,,.- .,i =o..,, ~io~ FIRE CODE HAZARD CLASSES (Complete if requested by lOCal fire chief) ~-TYPE 'CURIES 2~3 [] p PuRE ~ m M~X~UR~= [] w WASTE 21~ i RADiOACTiVE [] Yes [] No 2~2 i [] s SOLID ~1 LIQUID [] g GAS 214 1 PHYSICAL STATE LARGEST CONTAINER 215 FED HAZARD CATEGORIES ,~1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE ~ 4 ACUTE HEALTH ~ CHRONIC HEALTH · 2~6 Ir'''~:;k all that apply) i{ AL WASTE ~::)218 AVERAGE 219 i STATE WASTE CODE 220 'ai''OUNT' ,~ ' 217I MAXIMUM · OAILYAMOUNT \~) ~ (:~::)~:~ DAILY AMOUNT ~.~ ) I~)~=)~ ~ DAYS ON SITE 222 UNITS* ~[,ga GAL [] cf CUFT [] lb LBS [] tn TONS 221 1 · ff EHS, amount must be in lbs, ; ~) ~.~ STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) '~b UNDERGROUND TANK []f CAN []j BAG r-ln PLASTIC BO']-rLE []r OTHER " [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ]~ a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT 224 STORAGE TEMPERATURE [~ a AMBIENT [] aa ABOVE AMBIENT r-I ba BELOW AMBIENT [] c CRYOGENIC 225 ...-~. :'~.~:~. YoVVT -.:,~ ":.-.:~?::~':.,.i,i';-; ¥;~:,~?~,?:.~.~:::::::':~.:~:: :..HAZARDOUS COMPONENT?::.':':. '.':~.:._.?.~: .'- ~"'-'~'":' ": '!~;'": "'1:"' "...EHS, ':~,~. :' ~ - · CAS #: 1 ~ ~" 226 ' ~ 227~ 229 233 3 I / 234 235 [] Yes ~i~No 236 239 [] Yes ~]No 240 ,.~ 238 . ~ ~ ~ ~'"~"" ~'~ \ -- ~..~:) ,~. 241 /PC"NY NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 UPC~ (7/99) S:\CUPAFORMSiOES2731 .TV4.wpd OFFICE OF ENVIRONMENTAL SERVICES 1715 CheSter Ave., CA 93301 (661) 326-3979 I'*~-" HAZARDOUS MATERIALS INVENTORY ' CHEMICAL DESCRIPTION (one form per material per building or~l~.a) 200 Page ~ of ~ ' I, FACILITY INFORMATION BUSINESS NAM~._E (Same as FACILITY NAME or DBA - Doing Business As) . 3 CHEMICAL LOCATION ~ ~ ~ .~ ¥~..~:;-- .~ {~ ~ ~ O -"{'- 201i, CONFIDENTIAL ,EPCRA,CHEMICAL LOCATION [] Yes [] No 202 FACILITY ID # I ~-'~ i ~ [ i I [ i MAP # (optional) 203 [ GRID # (optional) 204 I1. CHEMICAL INFORMATION 205 j TRADE SECRET []Yes ~[No 206 207 , = FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 CURIES 213 il TYPE [] p PURE '~ m MIXTURE [] w WASTE 211 i RADIOACTIVE [] Yes [] No 212 ! PHYSICAL STATE [] s SOLID ~1 LIQUID [] g CAS 214 LARGEST CONTAINER 215 i FED HAZARD CATEGORIES .~1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE 'I~ 4 ACUTE HEALTH ~ CHRONIC HEALTH 216 '^,,~UNT J DA~LYA~U~ \~:) ~ D^~LY^~UNT ~=~ ) ~C::'C:>4::> 'i-, DAVSONS~TE UNITS* ~ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 ; * If EHS. amount must be in lbs. ~) ~ STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) '~.b UNDERGROUND TANK [] f CAN [] J BAG [] n PLASTIC BOTTLE [] r OTHER [] C TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [] t CYLINDER [] p TANK WAGON .?STORAGE PRESSURE ]~ a AMBIENT [] aa ABOVE AMBIENT [] be BELOW AMBIENT 224 STORAGE TEMPERATURE [~aAMBIENT [] aa ABOVE AMBIENT ~ ba BELOWAMBIENT [] c CRYOGENIC 225 · %WT ' ' HAZARDOUS coMpoNEN~ ' EHS CAS # 23s[] Yes ~No 23~ I .D 25'0 - ~ - "-/' .37 241 ~ 242 245 " III, SIGNATURE P~NT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~'"N ~"~ DATE 246 UPCF (7/99) S:\CUPAFORMS\OES2731 .TV4.wpd :~ ..-'~'i, . .......... CITy OF BAKERSFIELD~ OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 I. '-~~"'~"~--" HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per m~rial per building or 200 Page ~ of ~ NEW ~ ADD ~ DELETE ~ REVISE I. FACILI~ INFORMATION BUSINESS NA~E (Same as FACILI~ NAME ~ D~ - ~ng B~m~s As) - ' 3 2o~ j T~OESECRET ~Y~ ~No 20~ CHEMICAL NAME ~~O~ O k~ ~ O~~ ~& ~ ~ > I ,f Subj~ to EPC~. refer to instmmions 207 COM~N NAME ~ ~ EHS' O Y~ ~No 208 FIRE CODE H~RD C~SSES (~plete if r~u~t~ by I~1 fire ~ie0 210 CURIES 213 ~PE ~ p PURE ~ m MI~URE ~ w WASTE 211 j ~DIOACTIVE ~ Yes ~ No 212 · PHYSlCALSTATE ~ s SOLID ~1 LIQUID ~ g ~S 214 ~RGESTCONTAINER 215 FED H~RD ~TEGORIES ~1 FIRE ~ 2 R~CTIVE ~ 3 PRESSURE REL~SE ~ 4 ACUTE H~LTH ~ CHRONIC H~LTH 216 ~ all that apply) .~ 'A,,~U~ L DAILYAMOUm '~ X w ) ~ DAYSON SITE 222 U~ITS' ~ga ~L ~ ~ CU ~ ~ lb LaS ~ tn TONS 221 ; · ~ EHS. am~nt must be in lbs, ~ ~ STOOGE CO~AINER ~ a ABOVEGROUND TANK ~ e ~STIONONM~ALLIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL CAR 223 (Check all that apply) ~b UNDERGROUND TANK ~ f ~N ~ j ~G ~ n P~STIC BO~LE ~ r OTHER ~ c TANK INSIDE BUILDING ~ g ~RBOY ~ k BOX ~ o TOTE BIN ~ d STEEL DRUM ~ h SILO ~ f CYLINDER ~ p TANK WAGON STOOGE PRESSURE ~ a AMBIE~ ~ aa ABOVE AMBIENT ~ ba BELOWAMBIENT 224 STOOGE TEMPE~TURE ~ a AMBIE~ ~ aa ABOVE AMBIE~ ~ ba BELOWAMBIE~ ~ c CRYOGENIC 225 %~ H~RDOUS COMPONENT EHS L CAS ~ ~ [ ~ 227 O Y~ ~No 228 / t ~ ~ ~-- O~ - ~ 229 2 ~r ~ 230 ~O~~ 231 OY~ ~o 232 IO~-~- ~ 233 235 237 III. P~NT ~ME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~ ~ DATE 246 UPCF (7/99) S:\CUPAFORMS\OES2731 .TV4.wpd l~ii OFFICE OF ENVIRONMENTAL SERVICES e~,anrt~s~r 1715 Chester Ave., CA 93301 (661) 326-3979 ~~~' ~' H~RDOUS MATERIALS INVENTORY ~ CHEMICAL DESCRIPTION (one fo~ per m~fial ~er building o~a) 2~ Page ~ NEW ~ ADD ~ DELETE ~ REVISE I. FACILI~ INFORMATION BUSINESS NA~E (Same as FAClLI~ NAME ~ D~ - ~ng Busings ~) 3 CHEMICAL LOCATION ~~ O[ ~ + ~.~, ~--~ ~ ~ 201i CHEMICAL LOCATION O Yes~o 202 ~ CONFIDENTIAL (EPC~) II, CHEMICAL INFORMATION 205 ; T~DE SECRET ~ Y~ ~No 206 CHEMICAL ~ME 207 , FIRE ~DE H~RD C~SSES (~plete if r~u~t~ by I~1 fire ~ieO 210 ~PE ~ p PURE ~ m MI~URE ~ w WASTE 211 ~ ~DIOACTIVE ~ Yes ~ No 212i' CURIES 213 PHYSICAL STATE ~ s SOLID ~1 LIQUID ~ g ~S 214 ~RGEST CONTAINER 215 FED H~RD ~TE~RIES ~1 FIRE ~ 2 R~CTIVE ~ 3 PRESSURE REL~SE ~ 4 ACUTE H~LTH ~5 CHRONIC H~LTH 216 {c~ all ~at apply) . ': ALWASTE 217 j ~IMUM ~O 218 AVENGE 219 ~ STATE WASTE CODE 220 : DAYS ON SITE 222 UNITS* ~ga ~L ~ d CU ~ ~ lb LBS ~ tn TONS 221 ': ' ~ EHS, am~nt must be in lbs. STOOGE CONTAINER ~ a ABOVEGROUND TANK ~ e P~STIONONMETALLIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL CAR · 223 (Check a8 that apply) ~ b UNDERGROUND TANK ~ f ~N ~ J ~G ~n P~STIC BO~LE ~ r OTHER ~ c TANK INSIDE BUILDING ~ g ~RBOY ~ k BOX ~ o TOTE BIN ~ d STEEL DRUM ~ h SILO ~ I CYLINDER ~ p TANK WAGON STOOGE PRESSURE ~ a AMBIE~ ~ aa ABOVE AMBIENT ~ ba BELOW AMBIENT ~4 STOOGE TEMPE~TURE ~ a AMBIE~ ~ aa ABOVE AMBIE~ ~ ba BELOW AMBIE~ ~ c CRYOGENIC 225 o/o~ ." H~aDOUS coMpoN~"~; "::: EHS CAS 5 2n2 243 ~ Y~ .~No 244 245 IlL SIGNATURE POINT ~ME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~ ~ DATE 246 UPCF (7199) S:\CUPAFORMS\OES2731 .TV4.wpd ~" ....'~'i ........... CITY OF BAKERSFIELD D OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 "~=~=~" ~'"" HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION' (one form per material per building 200 Page ~' of I. FACIM~ INFORMATION BUSINESS NA~E (Same as FACILI~ NAME ff D~ - ~ng Busings As) 3 CHEMICAL LOCATION ~ ~--~ r ~' O ~ ~ ~ O O' ~O'~ 201i CHEMICAL LOC~TION O Yes O No 202 ~ CONFIDENTIAL (EPC~) · II. CHEMICAL INFORMATION CHEMICAL ~ME 207 FIRE CODE H~RD C~SSES (~plete if r~u~t~ by I~1 fire ~ieO 210 WPE D p PURE D m MI~URE ~w WASTE 211 ~ ~DIOACTIVE D Yes ~No 212 , CURIES 213 PHYSICAL STATE ~ S SOLID ~ LIQUID ~ g ~S 214 '~RGEST CONTAINER 215 FED H~RD ~TE~RIES ~ FIRE ~ 2 R~CTI~ ~ 3 PRESSURE REL~SE ~ 4 ACUTE H~LTH ' ~ CHRONIC H~LTH 216 ~C~ all that apply) ~,,,~O~ . } DAILY A~U~ DAILY AMOUNT ~ ~ :~ DAYS ON SITE 222 ' ff EHS, am~nt must be in lbs. STOOGE CO~AINER · ~ a A~VEGROUND TANK ~ e P~STIONONMETALLIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL CAR 223 (Check all that apply) ~ UNDERGROUND TANK ~ f ~N ~ J BAG ~ n P~STIC BO~LE ~ r OTHER ~ c TANK INSIDE BUILDING ~ g ~BOY ~ k BOX ~ o TOTE BIN ~ d STEEL DRUM ~ h SILO ~ I CYLINDER ~ p TANK WAGON STOOGE PRESSURE ~ a AMBIE~ ~ aa ABOVE AMBIENT ~ ba BELOW AMBIENT 224 STOOGE TEMPE~TURE ~a AMBIE~ ~ aa ABOVE AMBIE~ ~ ba BELOW AMBIE~ ~ c CRYOGENIC 225 H~RDOUS coMPoNENT" /' ERS CAS ~ %~ 2 ~ 230 231 I ~Y~ ~No 232 233 3 [ 234 235 ~ Y~ ~ No 236 237 '/. 4 / 238 239 ~Y~ ~No 240 241 5 242 243 ~ Y~ ~ No 244 245 '' ~ III. SIGNATURE DATE 246 )~NT ~ME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE UPCF (7/99) ~ S:\CUPAFORMS\OES2731 .TV4,wpd · CITY OF BAKERSFIELD ' OFFICE OF ENVIRONMENTAL SERVICES · 1715 Chester Ave., Bakersfield, CA (661) 326-3'979 HAZARDOUS MATER/ALS 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 as brief and concise as 'possible. 5. You may also attach Business Owner / Operator Form and Chemical Description Form(s) .to the front of this plan instead of completing SECTION 1. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA BUS/NESS NAME: CALIFORNIA AVENUE SHELL LOCATION: 3623 CALIFORNIA AVENUE MAILING ADDRESS: 3623 CALIFORNIA AVENUE CITY: BAKERSFIELD STATE: CA ZIP: 93309 PHONE: 661.322-3122 PRIMARY ACTIVITY: RETAIL GASOLINE SERVICE STATION OWNER: GLENN HENRy PHONE: 661-322-3122 MAILING ADDRESS: 3623 CALIFORNIA AVENUE EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE I. GLENN HENRY DEALER 661-322-3122 661-323-4007 2. FERYAL SARRAFIAN SH&E COMPLIANCE COORDINATOR 818-736-5078 310-489-6296 -. EMERGENCY RESPONSE PLAN UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitoring program must be kept at the UST location at all times. The information on this monitoring program are conditions of the operating permit. The permit holder must notify the Office of Environmental Services within 30 days of any changes to the monitoring procedures, unless required to obtain approval before making the' change.' Required by Sections 263 2(d) and 264 1 (h) CCR- Facility Name CALIFORNIA AVENUE SHELL Facility Address' 3623 CALIFORNIA AVENUE, BAKERSFIELD, CA 93309 I If an unauthorized release occurs, how will the hazardous substance be cleaned up? Note: If released hazardous substances reach the environment, increase the fire or explosion hazard, are not cleaned up from the secondary containment within 8 hours, or deteriorate the secondary containment, then the Office of Environmental Services must be notified within 24 hours. ATTENDANT WILL USE KITTY LITTER AND/OR ABSORBENT SOCKS TO CONTAIN AND CLEAN UP THE SPILL. MATERIAL WILL BE PLACED IN A CLOSED CONTAINER UNTIL PICKED UP BY CONTRACTOR. IF SPILL IS MAJOR, THEN THE FIRE DEPARTMENT WILL BE NOTIFIED AND LC SERVICES, FRESNO WILL BE CALLED FOR CLEANUP. Describe the proposed methods and equipment to be used for removing and 2. properly disposing of any hazardous substance. KITTY LITTER AND ABSORBENT SOCKS. CONTRACTOR~ LC SERVICES WILL REMOVE CONTAMINATED ABSORBENT MATERIAL. 3. Describe the location and availability of the required cleanup equipment in item 2 above. MATERIAL IS LOCATED JUST OUTSIDE THE CASHIER'S AREA. 4. Describe the maintenance schedule for the cleanup equipment: CLEANUP EQUIPMENT IS REPLENISHED ON AN AS NEED BASIS. MANAGER WILL PERIODICALLY CHECK TO ENSURE ADEQUATE SUPPLIES ARE ON HAND. 5. List the nme(s)) and title(s) of the person(s) responsible for authorizing any work necessary under the response plan: GLENN HENRY, DEALER OR LEAD EMPLOYEE ON DUTY. FERYAL SARRAFIAN, SH&E COMPLIANCE COORDINATOR WILL BE NOTIFIED IF SPILL IS MORE THAN MINOR. HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION Il; I - DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: STATION IS EQUIPPED WITH VEEDER ROOT TLS-350 CONTINUOUS MONITORING SYSTEM. AN ALARM WILL SOUND AND SYSTEM WILL AUTOMATICALLY SHUT DOWN IF THERE IS A LEAK. IF THE ALARM SOUNDS, THE MANAGER WILL BE NOTIFIED AND WILL DETERMINE NATURE OF PROBLEM. IF NECESSARY, THE FACILITIES ENGINEER AND/OR MAINTENANCE CONTRACTOR.WILL BE CONTACTED FOR DISPATCH OF A REPAIRMAN. B. EMPLOYEE AND AGENCY NOTIFICATION: STATION EMPLOYEE WILL NOTIFY MANGER OR DEALER WHO WILL THEN INVESTIGATE. THE MAINTENANCE CO~CTOR WILL BE NOTIFIED IF DETERMINED THAT REPA1RS ARE NECESSARY. THE LOCAL AGENCY WILL BE NOTWIED IF A LEAK HAS OCCURRED. IF THE SPILL' IS SERIOUS, EMPLOYEE WILL CALL 9-1-1 AND THEN THE DEALER OR SH&E COMPLIANCE COORDINATOR WILL NOTIFY THE OFFICE OF EMERGENCY SERVICES AT 800-852-7550 IF SITUATION IS NON-EMERGENCY THE LOCAL OFFICE OF ENVIRONMENTAL SERVICES WILL BE CONTACTED AT 661-326-3979. C. ENVIRONMEN'I~AL RESPONSE MANAGEMENT: EMPLOYEE ON DUTY wILL NOTIFY MANAGER OR DEALER WHO THEN WILL CONTACT SH&E COMPLIANCE COORDINATOR. IF NECESSARY, THE FACILITIES ENGINEER WILL BE CONTACTED WHO THEN WILL CALL THE CONTRACTOR, LC SERVICES TO EFFECT REPAIRS. D. EMERGENCY MEDICAL PLAN: ON SITE FIRST AID KIT WILL BE USED AS NEEDED. IF INJURIES ARE SERIOUS AND REQUIRE MORE THAN BASIC FIRST AID, THE INJURED PARTY WILL BE ~ TRANSPORTED TO THE NEAREST MEDICAL FACILITY. UCLA HOSPITAL & CLINICS 310-825-2111 FIRE DEPARTMENT' 911 POLICE DEPARTMENT 911 PARAMEDICS 911 OFFICE OF EMERGENCY SERVICES 800-852-5502 MERCY HOSPITAL 661-632-5000 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 11.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION-MEASURES: EMPLOYEES ARE TRA1NED IN THE SAFE AND PROPER HANDLING OF HAZARDOUS MATERIALS AND EMERGENCY PUMP SHUT DOWN PROCEDURES. FIRE EXTINGUISHERS ARE LOCATED NEAR THE CASHIER AND EMPLOYEES ARE TRAINED IN THE PROPER USE. B. RELEASE CONTAINMENT AND/OR MITIGATION: EMPLOYEES ARE TRAINED TO USE KITTY LITTER, ABSORBENT SOCKS OR SIMILAR MATERIALS TO CONTAIN MINOR SPILLSi MAJOR SPILLS ARE TO BE CALLED TO 9-1-1. C. CLEAN-UP AND RECOVERY PROCEDURES: MINOR SPILLS ARE CLEANED UP WITH KITTY LITTER AND/OR ABSORBENT SOCKS. MAJOR SPILLS ARE CLEANED UP BY THE CONTRACTOP~I~ THE FIRE DEPARTMENT IS NOTIFIED IF THE SPILL IS MAJOR. UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: ELECTRICAL: WATER: SPECIAL: LOCK BOX: YES/NO IF YES, LOCATION: PRIVATE FIRE PROTECTION/WATER AVAH,ABILITY A. PRIVATE FIRE PROTECTION: ON SITE FIRE EXTINGUISHERS B. WATER AVAILABILITY (FIRE HYDRANT): 3 HAZARDOUS MATERIALS MANAGEMENT PLAN · SECTION III: TRAINING . NUMBER OF EMPLOYEES: 5 MATERIAL SAFETY DATA SHEETS ON FILE: 3-RING BINDER IN CASHIER AREA BRIEF SUMMARY OF TRAINING PROGRAM: : SENIOR EMPLOYEE OR MANAGER IS RESPONSIBLE FOR TRAINING NEW EMPLOYEES. THE NEW EMPLOYEE IS TAKEN ON A TOUR OF THE STATION AND IS SHOWN THE LOCATIONS OF AND HOW TO USE FIRE EXTINGUISHERS, KITTy LITTER/ABSORBENT SOCKS, EMERGENCY SHUTOFF (ON BUILDING AND ON CONSOLE) AND THE PROTOCOL TO FOLLOW FOR HANDLING EMERGENCY NOTIFICATIONS AND CALLS. THE NEW EMPLOYEE IS INFORMED ABOUT SAFE HANDLING OF GASOLINE AND PORTABLE GAS CONTAINERS SAFETY. A TRAINING CHECK LIST IS KEPT ON FILE AND PERIODIC FOLLOW UP TRAINING IS CONDUCTED ON A SCHEDULED BASIS. CERTIFICATION I,. .GLENN HENRY ' CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM?S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND .-.-.'.-.'.-.'. '.-. THAT INACCURATE INFORMATION CONSTITUTES PERJURY. '~;;;i~;~i~i~i~;" SIG TITLE DATE HAZ MAT MNGMNT PLAN &' INSTRUC 4 0462-2599 ' " ' sx ~,x~o~ . ' .. < I~¢,o~,/,L~ ,?' ' '~' I I W o X - 550~ G~k~- ~ ' NOR~ ~ S~ ~A~ L~ND ~A~: 1"=30'-0"~ j DA~ 4/1/97 EMERGENCY PUMP ~ MONITORING ~LLs ~ s~uT-o.. A' o.s.~v,~o, w~..s SITE 'PLAN ~ ~EC~ICAL PANEL s~u~-o~. ',' ~ *~...Ez~ CALIFORNIA SHELL ~ NA~RAL GAS SHUT-Orr ~' BArRY STORAGE 3623 CALIFORNIA AVENUE ~ wA~. SHUT-Orr ~ O~*S~ (BA.R~L) TANK MONITORING ~ ALARM MOTOR/TRANSMISSION o~ BAKERSFIELD, CALIFORNIA 93509 BRST AID KIT ~ RRE EX~NGUISHER ~ U.G. PRODUCT TANK 'STORM DRAIN ' ~ SOL~NT SiNK ~C~ 0462--2599 EMERGENCY ' e Product8 Company HMMP HMMP, AND MSOS M~S LOCATION e wAs~ OIL FILERS . HOIST (SER~CE BAY) e WAS~ AN~FRE~E ~EP~EO BY: PA~ n~E H~*N~ I ~ -~O~ S~S ~NCE '~ WAS~ BA~RIES ~ ~ [~& 1137 ~ ~ ~, ~ ~ (~ 765-16~ X~EFS 'WRITTE MoNiTORiNG pROcEDUrES " UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitoring program must be kept at the usT location at all times The information on this monitoring program are con~htions of t eh-T-6~-erating permit. The Permit holder must notify the Office of Environmental,7 Services within 30 days of any changeS.to the monitoring procedures, unless required to obtain approval before making_the Change. Required by Sections 2632(d) and 2641(h) CCR. Facility Name C^LiFOP, NIA AVENUE SHEI.I. Facility Address 3623 CALIFORNIA AVENUE A. Describe the frequency of performing the monitoring: Tank CONTINUOUS m~UOTE MONITOmNG IS pROVIDED BY VEEDER ROOT TLS-350R SIMPLICITY PROGRAM. Piping SAME AS ABOVE B. What methods and equipment, identified by name and model, will be 'used for performing, the monitoring: Tank VEEDER ROOT TLS-350R SIMPLICITY. Piping SAME AS ABOVE C. Describe the locatiOn(s) where the monitoring will be performed (facility plot plan should be attached): MONITORING EQUIPMENT IS IN THE CONTROL BOX IN THE STORE ROOM. (SEE PLOT PLAN) D. List the name(s) and title(s) of the people responsible for performing the monitoring and/or maintaining the equipment: GLENN HENRY, DEALER OR STATION MANAGER. E. Reporting Format for monitoring: Tank TRANSMITTED ELECTRONICALLY TO OFFICE IN CONNECTICUT WHERE ANALYZED. Piping WRITTEN REPORTS AND ANNUAL CERTIFICATION. F, Describe the preventive maintenance schedule for.the monitoring equipment, Note: Maintenance must be in accordance with the manufacturer's maintenance schedule but not less than every 12 months, ANNUAL CERTIFICATION BY MAINTENANCE AND/OR TESTING CONTRACTOR, G. Describe the training necessary for the operation of UST system, including piping, and the monitoring equipment: THE OPERATORS RECEIVE INITIAL AND ANNUAL REFRESHER.TRAINING IN ACCORDANCE WITH THE MANUFACTURER'S RECOMMENDATIONS. REFER TO THE STATION'S HS&E GREEN BINDER. EMPLOYEE TRAINING SECTION, LOCATED AT THE CAS. HIER CO[~N. TER, FOR MORE DETAILED INFORMATION. t Center Nbr 135075 BUSINESS PLANS AS A SERVICE TO yOu, THIS BUSINESS PLAN WAS PREPARED BY WEST COAST COMPLIANCE SERVICES, INC. IN ORDER TO COMPLY WITH THE CALIFORNIA HEALTH AND SAFETY CODE (cHApTER 6.95, ARTICLE I, SECTION 25503.5). BY ACCEPTING THIS PLAN, YOU ARE ACKNOLEDGING THAT THERE ARE NO REPRESENTATIONS OR WARRANTIES THAT THE INFORMATION CONTAINED IN THIS BUSINESS PLAN WILL PRODUCE ANY PARTICULAR RESULT WITH REGARD TO THE SUBJECT MATTER. OWNER/OPERATOR AGREEMENT OPERATOR: As operator of the underground storage tanks, I hereby certify that I understand the monitoring and reporting · . requirements contained in Title 23, of the California Code of Regulations and I have received a copy of - ~ '-'""""""" Section 25299, chapter 6.7, Ca!ifomia Health and Safety Code. '"'""" "" "": %*- t,' ~--&.. ~.: i' i.' i ..'. '. ~. '.' OPERATOR NAME: GLENN HENRY BUSINESS NAME: CALIFORNIA AVENUE SHELL LOCATION #: 135075 OWNER: As the owner of the underground storage tanks, EQUILON ENTERPRISES LLC certifies that we have provided the operator a copy of the monitoring and reporting requirements contained in Title 23, of the California Code of Regulations. Equilon certifies that we have provided the operator with a copy of the penalties of noncompliance as specified in Section 25299, chapter 6.7 of the California Health and Safety Code. SIGNATURE: ~-~~_~~ DATE: Equilon Enterprises LLC C:\GOVFORMS~BuspLANs\OWNER_OPERATOR\ 135075 California_Real. DOC .1 REVISED 1/10/2001 · I Center r 135075 SERVICE STATION MONITORING pROCEDURE Title 23 of the California Code of Regulati°ns (CCR) requires that a written monitoring procedure be established for all underground storage tanks. This form is used to satisfy the information required in Section 2632 & 2641, Title 23, CCR. A Copy of this form will be maintained on-site (located inside the Equilon's Marketing Service Station Health, Safety and Environmental Manual.also known as the Red Book) and a copy will be submitted to the local administering agency (inside of the Business Plan and inventory disclosure). Facility Name CALIFORNIA AVENUE SHELL Facility Address: 3623 CALIFORNIA/REAL, BAKERSFIELD Facility Telephone Number: ' (661) 322-3122 Tank Owner: EQUILON ENTERPRISES LLC ATTN: SH&E DEPARTMENT P.O. BOx 7869 BURBANK, CA 91510-7869 Telephone Numbers: (818) 736-5078 OR (714) 992-0689 As Operator, I am responsible for monitoring the underground storage tank system in accordance with Title 23, CCR. The following pages outline the specific monitoring procedures as required in Section 2632 ~: i':-~ '~' 2':72- 2-' 2" i or 2641. My signature below conf'mns that I have read and understand my responsibilities as they pertain to Zi~ ~ ~i ~ ~i ~' ii ~ ~ ~'. tank monitoring, reporting, and records retention. :::::::::::::::::::::::: undergroUnd Storage Tank/Line and Monitoring Information Tank Type: Double Wall Tank Material: Fiberglass Monitoring Type: (X) Interstitial (X) Wet ( ) Dry (X) Electronic Tank Monitor Tank Monitor Mgr: Vecder Root Model Nbr: TLS-350R Line Type: Single Wall Line Material: Fiberglass · Monitoring Type: '( ) Interstitial(X) Electronic Line Pressure ( ) Mechanical Line Monitor Mgr: Veeder Root Model Nbr: TLS-350R Used Oil Tank: Double Wall Tank Mat6rial: Fiberglass Monitoring Type: (X) Interstitial (X) Wet ( ) Dry (X) Electronic Tank Monitor ( ) Visual Tank Monitor Mgr: Veeder Root Model Nbr: TLS-350R C:\GOVFORMS~BUSPLANS\OWNER_OPERATOR\ 135075 California_Real.DOC 2 REVISED 1/10/2001 Center Nbr 135075 Dispenser Information: Containment Box Mgr: Unknown Containment Sump Type: ( X ) Deep ( ) Shallow ( ) None Sump Liquid Sensor Type: ( X ) Electronic ( ) Mechanical ( )'None Positive Shut Down: ( X ) Yes ( ) No REPORTING REQUIREMENT Any monitor that is discovered in Alarm (RED Lights On) or audible alarm is sounding or any monitoring that cannot pass the daily inspection test must be reported immediately to: 1. Equilon Enterprises LCC SH&E Compliance Coordinator (818) 736-5078 Maintenance Coordinator' (714) 992-0689 Training by COmpany Personnel Per manufacturer guidelines, the authorized installation contractor performs the training necessary to operate the tank and line monitoring system. The location is also responsible for daily inspections of the monitoring panel, alarm Panel Test Log and corrective actions. Operator/Manager 1. Each 'Individual alarm systcm is determined and located at the service station premises. ' 2. Visually inspecting the alarm panel light~ and pushing the appropriate audible alarm button activate each Individual alarm system.~ No impromptu repairs, changes, adjustments, etc. will be made to the monitoring equipment at the station. Designee ' ' · It shall be the responsibility of the operator/manager to train the designee to perform alarm panel tests. [] It shall be the responsibility of the operator/manager to train the designee to perform physical inventories. Additional Releases Safety Features at the Service Station [] Inventory reconciliation as defined by Article 6.3 of the Equilon MOtor Fuel Lease and Title 23, CCR. Equil0n must be notified if the absolute value of the monthly variations exceeds a variation of 1.0 percent of the total monthly input to or withdrawals from the tank plus 130 gallons, the variation shall be investigated in accordance with subsection (e) of Paragraph 2646 Electronic Monitoring systems described above · Annual Tightness Testing of Single Wall Lines (If required by the Local Implementing Agency ) [] Physical Inventory · Annual UST Equipment Certifications C!\GOVFORMS~BUSPLANS\OWNER_OPERATOR\ 135075 California_Real.DOC 3 REVISED 1/10/2001 Center Nbr 135075 · Double wall tanks are monitored by in tank gauging probes and there is a continuous electronic monitoring of the annular interstice space in each tank. A monthly' status report of the annular space condition in each tank is submitted to the station at the end of each month. Hard copies of all test data will be maintained on-site in the ETM Results binder. [] Single wall tanks with Electronic Tank Monitors (ETM) will at a minimum comply with Section 2643, CCR: Electronically test each tank a't least once per month after product delivery or when - 'tank is filled to within 10% of highest operating level during previous month. The system is capable of detecting a release of 0.2 GHP. A Hard copy of all test data will be maintained on-site in the ETM Results binder. [] Single wall tanks with no eletronic monitoring equipment will be tested annually using the volumetric testing guidelines specified in Section 2643, CCR. Lines · All fines, Single wall or Double wall, are monitored by Pressure Line Leak Detection probes (PLLD). The sensor at 3 GPH every time the dispenser is used, and a 0.2 GPH leak rate once a month according.to CCR, Title 23, Div 3, chapter 16 LIST Regulations. Also the monitor is capable of a 0.1 GPH leak rate test once a year if mandated by the City Ordinance or Municipal code from Local Regulatory Agency. All product lines have Positive Shut Down and will stop the flow of product through the lines in the event of a leak. Some Double Wall lines are also monitored with either interstitial or sump sensors. ' [] Double wall fiberglass.lines will have continuous sump monitors and line pressure monitors which are certified annually. · Single wall lines: Al! single wall lines will be pressure tested annually according to Section 2643, CCR. And will be monitored with a line pressure device (mechanical or electronic) that is certified annually Tank / Line Testing or Certification Results: · The Simplicity System Installed at this location provides continuous electronic leak detection of the product tanks pressurized product lines. The system provides audible and visual alarms along with automatic notification through the Veeder-Root system in the event that a leak is detected. Hard copies of the UST System test results are to be mailed to the station the first week of each month. These copies of the UST Testing and Certifications will be maintained on-site at the station and . · available for inspection. UST Test/Certification results will also be sent to the local agency by certified mail as required. . · Tank and line testing Will be conducted by a qualified contractor and results of these tests will be. maintained on-site and available for inspection. C:\GOVFORMS~BUSPLANS\OWNER_OPERATOR\135075 California Real.DOC 4 REVISED 1/10/2001 . Center Nbr 135075 FUel Tanks ~ Veeder-Root TLS-350R The Simplicity System installed at this location provides continuous electronic leak detection of the product tanks pressurized product lines. The system provides audible and visual alarms along with automatic notification through the Veeder-Root system in the event that a leak is detected. Hard Copies of the UST System test results are to be mailed to the station the first week of each month. These copies ofthe'UST Testing and C~rtifications will be maintained on-site at the station and available for'inspection. UST Test/Certification results will also be sent to the local agency by certified mail as required.' Veeder,Root TLS-350 On a daily basis the operator / manager ~'designee will push the RED alarm test button which will indicate that the remote sensor and the monitor control panel are working as well as the condition of the alarm and that ALL FUNCTIONS ARE NORMAL. The RED and YELLOW lights will be observed to be OFF. These copies of the UST Testing and Certifications will be maintained' on-site at the station and available for inspection. UST Test/Certifications results will also be sent to the local agency by certified mail as required. [] Dealer Inventory Rec. 'Inventory reconciliation as dei~med by Article 6.3 of the Equilon Motor Fuel Lease and Title 23, CCR. Equilon must be notified if the absolute value of the monthly variations exceeds a variation of 1.0 percent of the total monthly input to or withdrawals from the tank plus 130' gallons, the variation shall be investigated in accordance with subsection (e) of Paragraph 2646 Fuel Lines Veeder-Root TLS-350R · The Simplicity System Installed at this location provides continuous electronic leak detection of the product tanks pressurized product lines. The system provides audible and visual alarms along with automatic notification through the Veeder-Root system in the event that a leak is detected. Hard copies of the UST System test results are to be mailed to the station the first week of each month. These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certification results will also be sent to the local agency by certified mail as required. [] Veeder-Root TLS-350 On a daily basis the operator / manager / designee will push the RED alarm test button which will indicate that the remote sensor and the monitor control panel are working as well as the condition of the alarm and that ALL FUNCTIONS ARE NORMAL. The RED and YELLOW lights will be observed to be OFF. These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications results will also be sent to the local agency by certified mail as required. []. Red Jacket All electronic monitoring devises will be inspected for operation in accordance with section 2632, CCR. A log 'will be maintained' on-site· showing daily documentation of inspections and · C:\GOVFORMS\BUSPLANS\OWNER_OPERATOR\135075 California_Real.DOC 5 REVISED 1/10/2001 Center Nbr 135075 · maintenance requirements. The monitoring 'will be tested daily in accordance of manufacturer instructions. Copies of the UST Testing and certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications will also be sent to the local agency · Dispenser Containment Dispensers are contained with: [] Bravo containment boxes. Bravo boxes are equipped with float sWitches to detect liquid under the dispenser. When liquid is detected the float switch engages the shear valve shutting down product flow to the dispenser. Beaudroux containment boxeS. These boxes are equipped with a mirror liquid sensor system, which detects liquid by light refraction. When liquid reaches are set level the mercury sensor switchis activated which engages the shear valve and shuts down product flow to the dispenser. · The Simplicity System Installed at this location provides continuous electronic leak detection of the product tanks pressurized product lines. The system provides audible and visual alarms along with automatic notification through the Veeder-Root system in the event that a leak is detected. · A sump liqUid sensor will cause the fuel supply to the dispenser to be shut off in the event the liquid level reaches a prescribed height. In some cases an alarm will sound. In the event of a shut down or an alarm is activated, it will be the Operator's responsibility to investigate the cause and to notify an Equilon Representative if any further action is required · If an under dispenser leak occurs, the fuel supply to the dispenser will be shut off. It shall be the responsibility of the dealer or designeeto remove the dispenser cover and visually check to determine source of leakage. The environmental contact and/or facility engineer plus the designated maintenance contractor shall be called to make repairs as needed and before returning dispenser to service. · Waste Oil Tank Veeder-Root TLS-350R The Simplicity System Installed at this location provides continuous electronic leak detection of the product tanks pressurized product lines. The system provides audible and visual alarms along with automatic notification through the Veeder-Root system in the event that a leak is detected. Hard copies of the UST System test results are to be mailed to the station the first week of each month. These copies'Qf the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certification results will also be sent to the local agency by certified mail as required. [] Veeder-Root TLS-350 On a daily basis the operator / manager / designee will push the RED alarm test button which will indicate that the remote sensor and the monitor control panel are working as well as the condition of the alarm and that ALL FUNCTIONS ARE NORMAL. The RED and YELLOW lights will be ob. served to be OFF.These copies of the UST Testing and Certifications will be maintained on-site at the'station and available for inspection. UST Test/Certifications results will also be sent to the local agencY by certified mail as required C:\GOVFORMS\BUSPLANS\OWNER OPERATOR\135075 California Real. DOC 6 REVISED 1/10/2001 t Center Nbr 135075 [] Dealer Inventory Rec. Inventoryre~onciliation as del'reed by Article 6.3 of the Equilon Motor Fuel Lease and Title 23, CCR. Equil0n must be notified if the ~absolute value of the monthly variations exceeds a variation of 1.0 percent of the total monthly input to or withdraWals from'the tank plus 130 gallons, the . variation shall be investigated in accordance.with subsection (e) of Paragraph 2646 On a daily basis the dealer takes a physical inventory (stick reading) of the levels of the tank. Each . day he subtracted sales from and added deliveries to the boo~k inventory. His daily inventories are compared to the "book" inventory to give the dealer a Cumulative reading. At the end of each month the dealer will compare his daily inventories to net his overage or shortage for the month-to- date and make a monthly report. These reports will be maintained on-site at the station and available for review during inspection. A copy of the report will be sent to the local agency by certified mail ~s required. ~ C:\GOVFORMS\BUSPLANS\OWNER_OPERAToR\I35075 California ReaI.DOC~ 7 REV~ISED 1/10/2001 - Center Nbr 135075 UNDERGROUND STORAGE TANK LEAK RESPONSE PLAN Tank Owner: EQUILON ENTERPRISES LLC ATTN: SH & E DEPARTMENT P.O. BOX 7869. BURBANK, CA 91510-7869 Telephone Numbers: (818) 736-5078 or (714) 992-0689 If a Leak Detection Alarm or System is Activated: 1. Determine which tank system is involved. 2. Shut offpump and discontinue operations. 3. Call the Tank Owner Immediately. 4. Persons responsible for contacting the leak response unit / company and authorizing any work necessary. SH&E Compliance Coordinator (818) 736-5078 Maintenance Coordinator (714) 992-0689 5. Notify the local agency: Bakersfield City Fire Department PHONE#: '911 6. Call 911 (if necessary): The Methods and Type of Equipment Used for Removing Hazardous Substances. All unauthorized releases will be removed from the secondary containment by vacuum truck. A licensed hazardous waste contractor will be called to perform the clean up and removal of hazardous substances. The location and Availability of Cleanup Equipment: Major Spills: A local licenSed hazardous waste contractor. Minor Spills: A spill kit with absorbent is to be maintained and supplied by the operator. To dispose of small generated hazardous waste, the operator / dealer will call Equilon's Contractor for proper disposal A copy of this response plan should be maintained near the electronic monitoring system. A copy is also sent to the local agency. C:\GOVFORMS~BUSPLANS\OWNER~OPERATOR\135075 California_Real. DOc 8 REVISED 1/10/2001 ' Center Nbr 135075 SERVICE STATION MONITORING PROCEDURES Product Information Volume Regular Unleaded · 10,000 Plus Unleaded 10,000 Premium Unleaded 10,000 DieSel M-85 Waste Oil Tank 550 Total Number of Tanks on Site: 4 Persons Responsible for Performing Monitoring: Glenn Henry (Dealer)/Manager Preventive Maintenance Schedule Daily Operator / Manager / Designee will perform equipment checks to ensure that.monitors are operational. The Alarm Panel Test Log must be initialed by the person performing the daily equipment check (sample attached). Annual - (A) All monitoring equipment will be inspected and certified operational, according to manufacturer's specifications, by a licensed tank tester who is authorized and trained by the manufacturer. (B) Operational status Will be reviewed on site bY theEquilon SH&E Representative using the Equilon Service Station Audit Check List once a year. Records Retention All records associated with inspecting, certifying, testing, monitoring, and maintaining the UST system must be on site and available to Equilon / Agency auditors for a period of not less than three (3) years. · Operating status of the monitors will be recorded DAILY on the Alarm Panel Test Log (as mentioned above.) [] Physical Inventory will be recorded daily on the Inventory log. C;\GOVFORMS~BUSPLANS\OWNER_OPERATOR\135075 California Real. DOC 9 REVISED 1/10/2001 - Center Nbr 135075 Tank and Line Testing Guidelines: [] All Simplicity monitors are continUously being monitored at a central office In Connecticut. Simplicity operators will notify each dealer and Equilon in the event that an alarm goes on at a station. They will also dispatch a service contractor to investigate those alarms and notify an Equilon Representative if any further action is required. Gas tanks are monitored by in-tank gauging probes. These probes are capable of testing at 0.1 and 0.2 leak rate. TLS-350R controller is programmed for Continuos Statistical Leak Detection CSLD .which tests the tanks at 0.2 GPH leak rate. Hard copies of all test data will be maintained on-site in the E. TM Results binder. · In the event that an alarm is activated it will be the Operator's responsibility to investigate the cause and to notify an Equilon Representative if any further action is required. Gas tanks are monitored by in-tank gauging probes. These probes are capable of testing at a 0.1 to 0.2 GPH leak rate. Hard copies of all test data will be maintained on-site in the ETM Results binder. [] In the event that the Operator finds a reconciliation variance during physical inventories greater then the allowable variation, the Operator will begin the inventory discrepancy investigation procedures. The Operator will be responsible to notify an Equilon Representative if any further action is required. Inventory is taken on daily basis. Each month will have a'monthly report which will be maintained on-site. C:\GOVFORMS~BUSPLANS\OWNER OPERATOR\135075 California Real.DOC 10 REVISED 1/10/2001 · Rec?ed: Il.Jan.01 03:19 PM From: Unknt~ender To: 2536608247 Powered by-'~.Fax.¢om Page; 2 o! ..~ , s=ora~ U~(S) i~tffi~' ~ve. 2. The ~n~ce afford~ ~ re.ct ~ ~ch ~~e is ~= ho ~!1 o= the . con~o~ WiUh ~secti~ {a) ~gh (e). Received:,i1.dan.01 03:19 PM From: Unkno~/kender To: 2536608247 Powered by~--~Fax.com Page: 3 ;~', t~ ~t Of .~y ~dne~Ie for w~ch c~a~e d. c~ella~on or ~ o~r te~=atiou of Ace ~er~ ~a C~al~ C~ ~th~ 's~ ~n~hm of ~e eff~ti~ date of C1~ re~e~ au:~n~ ~ch ~ben~e~ re~r~ ~ ~~, Suite H~, ~ 77056-1975 Rec.eived: 1'1.Jan.01 03:19 PM From: Unkn~i~ender' To: 2536608247 Powered by"~Fax.¢om Page: 4 ~ ;~;~ .?J~[N,~_Jll-~'~- 13;~9 FEOIff,TE ~D~ ID;... ~ PAGE Acc~--~t:ed By: · N_-me (print) ~ ., Title: D&te -- EI UIVA /SEFIVICE'S LLC January 11, 2001 City of Bakersfield Fire Department. ~'1~8 Attn: Ralph E. Huey Director, Office of Environmental Services 1715 Chester Ave. Bakersfield, CA 93301 RE: Hazardous Materials Business Plan - Update California Avenue Shell 3623 California/Real, Bakersfield Dear Mr. Huey: Referencing a request from your office, an updated Business Owner/Operator identification, Business Emergency Plan and other related documents is enclosed. Please replace what is in your file with the enclosed set. Should you have any questions regarding the enclosed material, please contact me at (818) 736-5078 Thank you. Sincerely, Feryal Sarrafian SH&E Compliance Coordinator Enclosures: Cc: Station 'files PO BOX 7869. BURBANK, C~ 91510-7869 CALIFORNIA~SHELL SiteID: 015-021-000791 // Manager : // BusPhone: (805) 322-3122 Location: 3623 CALIFORNIA AVE ~/ Map : 102 CommHaz : Low City : BAKERSFIELD Grid: 35B FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 03 SIC Code:5541 · EPA Numb: DunnBrad:36-467-0372 Emergency Contact / Title Emergency Contact / ·Title · ~K-~={A / MANAGER &~7 /~/1 BiLL iiiLTEREP~Ai~ / MANAGER B~iness 2hcne~_~805} 83i-5151~ ~uoi**~os- Dhorto: (805) Pager Phone : ( ) ~9-/~) x Pager Phone : ( ) - x Hazmat Hazards: RSs Fire Press ImmHlth DelHlth Contact : Phone: ( ) - x MailAddr: PO BOX 8080 State: CA City : MARTINEZ Zip : 94553 Owner EQUILON ENTERPRISES LLC Phone: ( ) - x Address :' PO BOX 8080 State: CA City : MARTINEZ Zip : 94553 Period: to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: Yes Emergency Directives: C.3j_¢~.,. ~z=~./_ Do hereby certify that I have I, (Type or print name) reviewed the attached hazardous materials manage- ment plan for ~'~/-1/~ ~'.~)L..._and that it along with - (Name of Busin any corrections constitute a complete and correct man- agement plan for my facility. .~ . .' . -- Date ~ S~gnature · . -1- 12/12/2000 CALIFORNIA'AVENUE SHELL SiteID: 015-021-000791 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: CALIFORNIA AVENUE SHELL Cross Street : Business Type: Org Type: Total Tanks : IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : BILL HILTERBRAN Phone:· (805) 322-3122x Address: City : ~ State: Zip: Type : TANK OWNER INFORMATION Name· : BILL HILTERBRAN Phone: (805) 322-3122x Address: CitY : State: Zip: Type : BOE UST Fee# : 039026 Financ'l Reap: SELF INSURED Legal Notif~ : Tank Owner Mailing Address Date:05/10/2000 Phone: (818) 736-5078x Name:FERYAL SARRAFIN Ttl:H&S COORDINATOR State UST # : 1998 Upg Cert#: 00777 ~ Hazmat Inventory One Unified List --As Designated Order Ail Materials at Site Hazmat Common Name... ISpecHazlEPA HazardsI Frm I'DailyMax Unit MCP WASTE OIL F DH L 550 00 GAL Low GASOLINE F IH DH L 10000 00 GAL Mod MOTOR OIL F DH L 150 00 GAL Min PREMIUM UNLEADED GASOLINE F IH DH L 10000 00 GAL Mod UNLEADED PLUS MID GRADE GASOLIN F IH DH L. 10000 00 GAL Mod CARBON DIOXIDE P IH G 348 00 FT3 Min WASTE ANTIFREEZ IH DH L 55 00 GAL UnR WASTE OIL FILTERS DH L 200 00 LBS Un WASTE BATTERIES IH L 4 00 GAL UnR BATTERIES F IH S 26 00 GAL Hi -2-- 12/12/2000 CALIFORNIA AVENUE SHELL SiteID: 015-021-000791 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site WASTE OIL Days On Site ~ 365 Location within this Facility Unit '~ Map: .Grid: W SIDE OF SERVICE BAY CAS# 221 STATE T TYPE PRESSURE . TEMPERATURE' CONTAINER TYPE Liquid Waste Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container / Daily MaximUm Daily Average 550.00 GALL 550.00 GAL 250.00 GAL HAZARDOUS COMPONENTS %Wt. ~S CAS# 100.00 Waste Oil, Petroleum Based N 0 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount, EPA Hazards { NFPA USDOT# MCP ' No N° I lNG No/ .Curies F DH / / / Low ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ -- COMMON NAME / CHEMICAL NAME GASOLINE Days On Site UI~LEADED 365 Location within this Facility Unit Map: Grid: W SIDE OF LOT CAS# 8006619 F STATE i TYPE PRESSURE i TEMPER3tTURE CONTAINER TYPE Liquid Pure Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average oooo.oo loooo.oo GAL 5000.00 GAL wt. ,{ HAZARDOUS COMPONENTS 100'001Gas°line N~S CAS# . 8006619 .,,HAZARD ASSESSMENTS TSecret' RS BioHaz' Radioactive~Amount, EPA Hazards' NFPA USDOT# MCP NoI ° I I IN No No/ Curies F IH DH / / / Mod 3 12/12/2000 CALIFORNIA AVENUE SHELL SiteID: 015-021-000791 Item 0003 Facilit~ Unit: Fixed Containers on Site Inventory MOTOR OIL Days On Site '365 Location within this Facility Unit Map: Grid: IN STORAGE ROOM CAS# ' 8020835 ~ STA~E TYPE PRESSURE -- TEMPERATURE CONTAINER TYPE I [Ambient AmbientPLASTIC CONTAINER Liquid Pure AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 150.00 GAL 100.00 GAL HAZARDOUS COMPONENTS I ~ %Wt. S CAS# 100.00 MOtor Oil, Petroleum Based N 8020835 HAZARD ASSESSMENTS ITSoorot RS BioHazl Radioactive/Amount I EPA HazardsI NFPA USDOT# MCP No No No . - No/ Curies F DH ' / / / Min ---- Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ -- COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED GASOLINE Days On Si~e 365 Location 'within this Facility Unit Map: Grid: W SIDE OF LOT CAS# 8006-61-9 r STATE i TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Pure Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION J Largest Container J Daily Maximum Daily Average 10000.00 GALJ 10000.00 GAL 3500.00 GAL HAZARDOUS COMPONENTS 100.00 Gasoline N 8006619 HAZARD ASSESSMENTS TSecretl RSIBioHazNo No No Radioactive/Amount No/ Curies EPA HazardsF IH DH . NFPA/// I usDoT# MCP'Mod -4- 12/12/2000 F CALIFO~IA AVENUE SHELL SiteID: 015-021-000791~ ~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ~LE~ED PLUS MID GRADE GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: · W SIDE OF LOT CAS# 8006-61-9 Li~id Pure A~ient A~ient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 10000.00 G~I 10000.00 G~ 3500.00 G~ HAZARDOUS COMPONENTS wt. N sl CAS# Gasoline 8006619 Tsecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP I No No No/ Curies .F IH DH / / / Mod = Inventory Item 0008 Facility Unit: Fixed Containers on Site CARBON DIOXIDE Days On Site 365 Location within this Facility Unit Map: Grid: IN 'SALES AREA AND STORAGE ROOM CAS# 124-38-9 r TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas STATE ~/Pure i Above Ambient i Below Ambient i PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 174.00 FT3I 348.00 FT3I 174.00 FT3. -- HAZARDOUS COMPONENTS %Wt. N~S CAS# 100.00 Carbon Dioxide 12438.9 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P IH / / / Min. -5- 12/12/2000 CALIFORNIA AVENUE SHELL SiteID: 015-021-000791 ~ Inventory Item 0009 Facility Unit: Fixed Containers on Site ~UlVUVl~ ~Vl~ / - ~ £ ~./'-'~L~ ~Vl~ WASTE ANTIFREEZ Days On Site 365 Location within this Facility Unit Map: Grid: NEXT TO TRASH ENCLOSURE CAS# 107-21-1 F STATE I TYPE PRESSURE --~ TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient. DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 55.00 GALI 55.00 GAL 30.00 GAL HAZARDOUS COMPONENTS RS CAS# %Wt. TSecret RS BioHazI HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / UnR ~ Inventory Item 0010 Facility Unit: Fixed Containers on Site ~ -- COMMON NAME / CHEMICAL NAME WASTE OIL FILTERS Days On Site 365 Location within this Facility Unit Map: Grid: NEXT TO TRASH ENCLOSURE CAS# 800-20-59 F STATE TYPE PRESSURE i TEMPERATURE · CONTAINER TYPE I Ambient MiXture Ambient Liquid · DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION LargeSt Container Daily Maximum Daily Average. · 55.00 LBS · 200.00 LBS 50.00 LBS %Wt. I HAZARDOUS COMPONENTS RS CAS# HAZARD ASSESSMENTS TSecret ~$ BioHazl Radioactive/Amount EPA Hazards NFPA I USDOT# MCP No N No No/ Curies DH / /~ / UnR 6 12/12/2000 CALIFORNIA AVENUE SHELL · SiteID: 015-021-000791 ~ ~ Inventory Item 0011 Facility Unit: Fixed'Containers on Site -- COMMON NAME / CHEMICAL NAME WASTE BATTERIES Days On Site 365 Location within this Facility Unit Map:' Grid: TRASH ENCLOSURE CAS# STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid /Mixture I Ambient I Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 1.00 GAL 4.00 GALI 2.00 GAL HAZARDOUS COMPONENTS %Wt RS CAS # HAZARD ASSESSMENTS' TSecretl RslBioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH ; / / / UnR ~ Inventory Item 0012 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME BATTERIES Days On Site 365 Location within this Facility Unit Map: Grid: SERVICE BAY CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE ~Solid I Mixture I Ambient I Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION , Largest Container Daily Maximum I Daily Average 1.00 GAL 26.00 GAL I 18.00 GAL HAZARDOUS COMPONENTS 31.00 Lead Dioxide N 1309600 34.00 Sulfuric Acid (EPA) INo I 7664939 34.00 Lead liN° 7439921 HAZARD ASSESSMENTS TsecretNO yeRSs BioHazINO , Radi°active/Am°unt I EPANo/ Curies F HazardsIIH NFPA/// USDOT# HiMCP _'~_ 12/12/2000 CALIFORNIA AVENUE SHELL SiteID: 015-021-000791 Fast Format = Notif./Evacuation/Medical Overall Site -- AHency Notification 04/19/1996 SHELL WILL NOTIFY THE APPROPRIATE STATE AND LOCAL AGENCIES UNLESS THE SITUATION REQUIRES URGENT IMMEDIATE RESPONSE BY TH AGENCIES, IN WHICH CASE THE DEALER SHOULD NOTIFY THESE AGENCIES: 1) LOCAL AGENCY: BAKERSFIELD FIRE DEPT 805-326-3979. 2) CALIFORNIA OFFICE OF EMERGENCY SERVICES 800-852-7755 (24 HRS). 3) CALL FOR HELP IN CASE OF AN EMERGENCY BY DAILING 9-1-1. Employee Notif./Evacuation 04/19/1996 NOTICE WILL BE VERBAL. EMPLOYEES WILL EVACUATE BLDG AND MEET AT EMERGENCY ASSEMBLY AREA. -- Public Notif./Evacuation 04/19/1996 IF THERE IS ANY IMMEDIATE DANGER, ANNOUNCE TO ALL PERSONS ON THE SITE: "THERE IS AN EMERGENCY. PLEASE TURN OFF YOUR ENGINES AND LEAVE THE STATION OF FOOT IMMEDIATELY". EmerHency Medical Plan 04/19/1996 MERCY HOSPITAL - 2215 TRUXTUN AV - 328-5275. 12/12/2000 CALIFORNIA AVENUE SHELL SiteID:~ 015-021-000791 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 05/07/1993 ABOVE GROUND AUTOMOTIVE PRODUCT ARE STORED IN UNBREAKABLE CONTAINERS AND IN MINIMUM QUANTITIES. THE UNDERGROUND STORAGE TANKS ARE MONITORED USING AN APPROVED MONITORING METHOD TO DETECT LEAKS. ALL EMPLOYEES ARE TRAINED IN SAFE HANDLING OF HAZARDOUS MATERIALS. -- Release Cont'ainment 05/07/i993 STOP A RELEASE BY TURNING 'OFF THE PUMPS AND USING EITHER ABSORBENT MATERIAL OR A FIRE EXTINGUISHER AS NECESSARY. -- Clean Up 05/07/1993 CLEAN UP WITH ABSORBENT MATERIAL, BROOM AND SHOVEL, OR BY VACUUM TRUCK IF NECESSARY. Other Resource Activation. -9- 12/12/2000 ~ CALIFORNIA AVENUE SHELL SiteID: 015-021-000791 f Fast Format F Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 05/07/1993 A) GAS - NONE B) ELECTRICAL - EAST WALL LUBE BAY C) WATER - EAST OF STATION SIDEWALK REAL RD ~ D) SPECIAL - EMERGENCY PUMP SHUTOFF, N SIDE OF SALES BLDG E) LOCK BOX -NO -- Fire Protec./Avail. Water 05/07/1993 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - SOUTHEAST CORNER OF LOT. Building Occupancy Level · -10- 12/12/2000 CALIFORNIA AVENUE SHELL SiteID: 015-021-000791 Fast Format -~ Training Overall Site -- Employee Training 05/07/~993 WE HAVE 10 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: EMPLOYEES MUST BE GIVEN THIS TRAINING BEFORE STARTING WORK, AND REFRESHER COURSES MUST BE PROVIDED ANNUALLY. RECORDS MUST BE KEPT TO SHOW WHEN EACH STATION EMPLOYEE HAS BEEN GIVEN HIS/HER SAFETY TRAINING. Page 2 Held for Future Use Held for Future Use -11- 12/12/2000 ARCHITECTURE · ENGINEERING ' ENVIRONMENTAL SERVICES 1137 North McDowell Blvd., Petaluma, CA 94954-1110 Telephone: (707) 765-1660 Facsimile: (707) 765-9908 JOHN W. JOHNSON March 18, 1998 ~, t, b I i, h · d ~ ~ 6 S Architect Co-President Livengood, Inc. California Shell 3623 California Avenue BP. IAN F. ZITA Bakersfield, CA 93309 AGENOY Architect Co-President Dear Livengood, Inc.: Attached is the new Hazardous Materials Management Plan (HMMP) for your facility. This new J o H N B. H I C K S HMMP is intended to replace your current HMMP. Please place this document in your Green Architect Book. Vice President The "DEALER" copy should be maintained in your Green Book, and available to all employees and agency personnel at any time. CECIL R. SPENCEP. Architect 1. Please sign: Vice President A. All 4 copies of the HMMP where flagged and indicated with a "X"o 2. Please Return: BRUCE J. Gg. EENFIELD Managing Architect A. "AGENCY' copy. Associate B. "SHELL' copy. C. "FILE" copy 3. File the "DEALER" copy at the station in your Green Book. HOWARD G. KIMURA Architect Associate This package must be returned to RHL DESIGN GROUP, Inc. within 10 days-of the above date. RHL will forward the "AGENCY" copy to Bakersfield Fire Department. .CHRIS -LAWTON Regional Manager David Lundy J^MES E. PRESTEN Project Coordinator Regional Manager Associate cc: H,S & E Assistant - Shell Oil Products Company GARY M. SEMLING Managing Architect Associate ' .B,~YTHE I:l.. W ILSO N · ManagingArchitect Associate BELLEVUE, WA LA HABRA, CA SACRAMENTO, CA SCOTTSDALE, AZ ~ Californi iness & OWner/Operator Ide cation Page CALENDAR YEAR BEGINNING 11 I 1/1/98 I'ENDING (2)I 12/31/98 I (3) PAGE1OFI 11 BUSINESS NAME {4) California Shell I BUSINESS PHONE:(5) I 805 322-3122 SITE ADDRESS (6) 3623 CalifOrnia Avenue CITY (7) Bakersfield STATE (s) I CA ZIP (s) 93309 DUN & 11o) 36-467-0372 SIC CODE (4 DIGIT#) 111) 5541 7538' BRADSTREET 5411 OPERATOR 112i Livengood, Inc. OPERATOR PHONE 113) 805 322-3122 NAME OWNER INFORMATION OWNER NAME 114) I Livengood, Inc. OWNER PHONE {lB) I 805 322-3122 OWNER MAILING ADDRESS (lB) I 3623 California Avenue CITY 117} Bakersfield STATE (lB) ZIP (lB) 93309 ENVIRONMENTAL CONTACT NAME (2o) I Shell HS&E Assistant CONTACT PHONE 121) I 1510) 335-5014 CONTACT MAILING ADDRESS (22) I P.O, Box 8080 CITY (23) Martinez STATE (24) ZIP (2s) 94553 Primary EMERGENCY CONTACTS Secondary NAME: (2s) Bill Hilterbran NAME: (31} Frank Quercia TITLE: (27) Manager TITLE: (32) Manager BUSINESS PHONE: (2s) 805 322-3122 BUSINESS PHONE: (33) 805 831-5151 24-HOUR PHONE: (2s) 805 588-0352 24-HOUR PHONE: (34) 805-398-8997 PAGER #: 13o) PAGER #: (35) ACUTELY HAZARDOUS MATERIALS (AHM) ON SITE AHM 136)1 [] Yes [] No I If yes, and abOVedescriptionThreshOldof thePlanningprocessQuantitieS'and principalattaChequipment.a sheet of paper with a general ADDITIONAL LOCALLY COLLECTED INFORMATION 37) Certification: I certify under penalty of law that I have personally examined and am familiar with the information submitted in this inventory and believe the information is true, accurate, and complete. Print Name of Document Preparer (38) _1 RH__~H_~L Design Gro~ Inc../.~ SignatUre of Owner/Operator (39) ~j) ~~/ Date 140)b~_ r~. OES Form 2730(04/96) - ¥ ~' APPENDIX C California Hazardous Material Inventory Form/Addendum- Chemical Description Page BUSINESS NAME {4} California Shell CHEMICAL LOCATION 151 WEST SIDE OF .LOT CHEMICAL NAME (8) PETROLEUM HYDROCARBONS TRADE SECRET II1! DY I~N COMMON NAME (9) REGULAR UNLEADED GASOLINE (87) 'EHS (12! []Y []N CAS # IlO) 8006-61-9 'IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS FIRE CODE I-A: FLAMMABLE LIQUID HAZARD CLASSES' (13) *COMPLETE BLOCK {13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. PHYSICAL STATE (17) I-I SOLID [] LIQUID [] GASI CURIES FED HAZARD [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES (18) STATE WASTE (19) UNITS (22! I [] GAL [] CU FT MAX DAILY AMT 123l ~ 10000 CODEI [] LBS [] TONS DAYs ON SITE 120! 365 'If EHS, amounts must be in lb. AVG DAILY AMT (24) 5000 LARGEST (21) 10,000 ANNUAL WASTE AMT (25l CONTAINER ' STORAGE 126) [] ABOVE GROUND TANK [] CAN [] BOX [] TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE' [] Other... [] PLASTIC/NONMETALLIC DRUM [] BAG [] TOTE BIN PRESSURE (27) [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT STORAGE STORAGE (28) [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC TEMPERATURE I (29) %VVT (30) HAZARDOUS COMPONENTS (31) EHS (32) CAS// 1. < 15.0 METHYL TERT BUTYL ETHER [] Y [] N 1634044 2. < 6.5 ,TOLUENE [] Y [] N 108883 3. < 4.6 XYLENE [] Y [] N 1330-20-7 4. ElY []N 5. []Y r~N (33) ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) APPENDIX C California' Hazardous Material Inventory Form/Addendum- Chemical Description Page BUSINESS NAME (4) California Shell CHEMICAL LOCATION ~5) WEST SIDE OF LOT CHEMICAL NAME (e) PETROLEUM HYDROCARBONS TRADE SECRET {11) I-Iy []N coMMON NAME (9) SUPREME UNLEADED GASOLINE (92) 'EHS 112) I'qy I~N CAS # (lO) 8006-61-9 'IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS FIRE CODE - I-A FLAMMABLE LIQUID HAZARD CLASSES' (13) 'COMPLETE BLOCK {~31 ~F REQUESTED BY THE LOCAL FraE CHIEF - REFER TO ~NSTRUCT~ONS. TYPE (14) [] PURE [] MIXTURE [] WASTE RADIOACTIVE (15)I [] Y [] N I(le) PHYSICAL STATE (17) [] SOLID [] LIQUID [] GAS CURIES FED HAZARD [] FIRE I-I REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES (18) STATE WASTE (19) UNITS (22~1 [] GAL [] CU ET I MAX DAILY AMT (231 10000 CODEI [] LBS [] TONS I DAYS ON SITE (2Ol 365 *If EHS, amounts must be in lb. AVG DALLY AMT (24) 3500 LARGEST (21) 10,000 ANNUAL WASTE AMT (25) CONTAINER STORAGE (26) [] ABOVE GROUND TANK [] CAN [] BOX [] TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] Other... [] PLASTIC/NONMETALLIC DRUM [] BAG ~ TOTE BIN .PRESSURE (27) [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT STORAGE STORAGE (28) [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC TEMPERATURE I 129) %WT . (30) HAZARDOUS COMPONENTS (31) EHS (32) CAS// 1, < 15,0 METHYL TERT BUTYL ETHER [] Y [] N 1634044 2, < 14,0 TOLUENE [] Y [] N 108883 3, < 8,8 XYLENE [] Y [] N 1330-20-7 4, []Y []N 5. •Y []N (33} ADDITIONAL LOCALLY COLLECTED INFORMATION •ES Form 2730(11/94) APPENDIX C California Hazardous Material Inventory Form/Addendum- Chemical Description Page i,i [] ADD [] DELETE [] REViSE.~ NO CHANGEI PAGE I21 OF I3II 11 BUSINESS NAME (4} California Shell CHEMICAL LOCATION I5! WEST SIDE OF LOT CHEMICAL NAME Iai PETROLEUM HYDROCARBONS TRADE SECRET II1~ CIy []N COMMON NAME I9} PLUS UNLEADED GASOLINE (89) 'EHS {12! r-ly CAS # IlO! 8006-61-9 'IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS FIRE CODE I-A FLAMMABLE LIQUID HAZARD CLASSES' 113! *, ;OMPLETE BLOCK {13} IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. PHYSICAL STATE (17} [] SOLID [] LIQUID [] GAS CURIES FED HAZARD [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES {18) STATE WASTE (19) UNITS (2211 [] GAL [] CU FT I MAX DAILY AMT (23! 10000 CODEI [] LBS [] TONS · I DAYS ON SITE (20I 365 'If EHS, amounts must be in lb. AVG DAILY AMT (24} 3,500 LARGEST (21I 10,000 ANNUAL WASTE AMT ~25I CONTAINER STORAGE (26I [] ABOVE GROUND TANK [] CAN [] BOX [] TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] Other... [] PLASTIC/NONMETALLIC DRUM [] BAG [] TOTE BIN PRESSURE (27I [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT STORAGE I STORAGE (28I [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC TEMPERATURE I (291%WT (301 HAZARDOUS COMPONENTS {311 EHS 132) CAS# 1. < 15.0 METHYL TERT BUTYL ETHER [] Y [] N 1634044 2. < 9.5 TOLUENE [] Y [] N 108883 3. < 6.3 XYLENE [] Y [] N 1330-20-7 4. []Y []N 5. I-Iy []N Is31 ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) F:~-iAZMAT~SHI~L_I~\FORM~STATEINV.MRO APPENDIX C California Hazardous Material Inventory Form/Addendum- Chemical Description Page BUSINESS NAME (4) California Shell CHEMICAL LOCATION 15) IN STORAGE ROOM MAP// I8, I I GRID// (7) CHEMICAL NAME (81 PETROLEUM HYDROCARBONS TRADE SECRET (11) I-]y COMMON NAME (9) MOTOR OIL 'EHS I12) I-Iy ~]N 'IF EHS BOX IS "Y" CAS // IlOl 64742-65-0 ALL AMOUNTS MUST BE IN LBS FIRE CODE III-B COMBUSTIBLE LIQUID HAZARD CLASSES' (13) PHYSICAL STATE (171 [] SOLID [] LIQUID [] GAS CURIES FED HAZARD ~ FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES (181 STATE WASTE ,19, UNITS (22) 1 [] GAL [] CU FT I MAX DALLY AMT (23) 1 150 CODEI [] LBS. [] TONS I DAYS ON SITE (2ol 365 'If EHS, amounts must be in lb. AVG DAILY AMT 124) 100 LARGEST (21) QUART ANNUAL WASTE AMT CONTAINER STORAGE (26) [] ABOVE GROUND TANK [] CAN [] BOX 1'3 TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] ' [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] Other... [] PLASTIC/NONMETALLIC DRUM [] BAG [] TOTE BIN PRESSURE (27) [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT STORAGE STORAGE (281 [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC TEMPERATURE I 129) %W'I' (30) HAZARDOUS COMPONENTS (31) EHS (32} CAS// 1. > 70.0 DISTILLATES [] Y [] N 64742547 . 2. < 25.0.. ADDITIVES [] Y [] N MIXTURE 3. < 5.0 SYNTHETIC BASE OIL [] Y [] N MIXTURE 4. []Y []N S. []Y[]N ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) F:~U~SMA'I~b~ELL_E~FORM~STATEINV.MRO APPENDIX C California Hazardous Material Inventory Form/Addendum- Chemical Description Page BUSINESS NAME (4) California Shell CHEMICAL LOCATION ~51 SERVICE BAY CHEMICAL NAME (81 LEAD/ACID BATTERY TRADE SECRET (11) COMMON NAME 19l BATTERIES 'EHS (12) I-]y []N CAS # II01 MIXTURE 'IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS FIRE CODE OXIDIZER B: CORROSIVE HAZARD CLASSES' 1131 *COMPLETE BLOCK {13} IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. I PHYSICAL STATE (171 [] SOLID [] LIQUID [] GAS CURIES FED HAZARD [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES (181 STATE WASTE (191 UNITS {2211 [] GAL [] CU FT I MAX DALLY AMT (23) 26 CODEI [] LBS [] TONS I DAY~ ON SITE {201 365 'If EHS, amounts must be in lb. AVG DAILY AMT (241 18 LARGEST (21} BATT ANNUAL WASTE AMT 1251 CONTAINER STORAGE (261 [] ABOVE GROUND TANK [] CAN [] BOX [] TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR ~ [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] BATTERY [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] Other... [] PLASTIC/NONMETALLIC DRUM [] BAG [] TOTE BIN PRESSURE (271 [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT STORAGE I STORAGE (2a) [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC TEMPERATURE I {29) %WT 130) HAZARDOUS COMPONENTS (31) EHS {321 CAS# 1. 31 LEAD DIOXIDE [] Y [] N 1309-60-0 2. 34 SULFURIC ACID [] Y [] N 7664-93-9 3. 34 LEAD [] Y [] N 7439-92-1 4. []Y []N 5. []Y []N (ss) ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) APPENDIX C California Hazardous Material Inventory Form/Addendum- Chemical Description Page BUSINESS NAME {41 California Shell CHEMICAL LOCATION is, SALES AREA MAP// {o, I I GRID// (7, I ¥=7 'CHEMICAL NAME is) CARBON DIOXIDE TRADE SECRET {11) i-ly []N COMMON NAME (9) CARBON DIOXIDE 'EHS (12) I-Iy ~N CAS # (lO) 124-38-9 'IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS FIRE CODE INERT COMPRESSED GAS HAZARD CLASSES' (13) *COMPLETE BLOCK {131 IF REQUESTED BY THE LOCAL FIRE CHIEF-REFER TO INSTRUCTIONS. TYPE (14) [] PURE [] MIXTURE [] WASTE RADIOACTIVE (15) PHYSICAL STATE (17) [] SOLID [] LIQUID [] GAS CURIES FED HAZARD [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES (181 STATE WASTE (19) UNITS (22) 1 [] GAL [] CU FT I MAX DAILY AMT (231 348 CODEI [] LBS [] TONS I DAYS ON SITE {2o) 365 'If EHS, amounts must be in lb. . AVG DAILY AMT (24) 174 LARGEST (21) 174 ANNUAL WASTE AMT (25) CONTAINER STORAGE {2e) [] ABOVE GROUND TANK [] CAN [] BOX [] TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] Other... [] PLASTIC/NONMETALLIC DRUM [] BAG [] TOTE BIN PRESSURE (27) [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT STORAGE I STORAGE {28) '[] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC TEMPERATURE (291%WT (30} HAZARDOUS COMPONENTS 131) EHS 132) CAS# 1. 100 CARBON DIOXIDE [] Y [] N 124-38-9 2. []Y []N 3. []Y [~N 4. []Y []N 5. I-Iy []N ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) F:XHAZ~A~SH~L_ES~FO~=~rAm~V.M,O APPENDIX C California Hazardous Material inventory Form/Addendum- Chemical Description Page 'BUSINESS NAME (4} California Shell ,CHEMICAL LOCATION (5) WEST SIDE OF SERVICE BAY (8, I I GRID// (7, I- MAP// I I ~CHEMICAL NAME (8) PETROLEUM HYDROCARBONS TRADE SECRET (11) r-ly []N ~COMMON NAME {9! USED MOTOR OIL 'EHS (12l I-'ly []N 'CAS# IlO) 800-20-59 'IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS ,FIRE CODE III-B COMBUSTIBLE LIQUID !HAZARD CLASSES' 113} *COMPLETE BLOCK 113} IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. I :PHYSICAL STATE (17} [] SOLID [] LIQUID [] GAS ' CURIES FED HAZARD [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES (18) STATE WASTE (19) 221 UNITS(22) 1[] GAL [] CU FT I MAX DAILY AMT (231 550 CODEI [] LBS [] TONS I DAYS ON SITE (20) 365 'If EHS, amounts must be in lb. AVG DALLY AMT (24) 250 LARGEST ~21) 550 ANNUAL WASTE AMT (2si 1000 CONTAINER .STORAGE ~ (28~ [] ABOVE GROUND TANK [] CAN [] BOX [] TANK WAGON ~CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] Other... [] PLASTIC/NONMETALLIC DRUM [] BAG [] TOTE BIN ~PRESSURE (27) [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT STORAGE I 'STORAGE (281 [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC 'TEMPERATURE I (291%~fr I30) HAZARDOUS COMPONENTS (3il EHS (32) CAS# 1. 100.0 USED OIL [] Y [] N 800-20-59 2. []Y []N 3. , []Y []N 4. []Y []N 5. "' DY []N (331 ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) APPENDIX C California Hazardous Material Inventory Form/Addendum- Chemical Description Page ~I-I DELETE I-I REVISE ~ NO CHANGEI , PAGE(2)I 9 I OF (3) BUSINESS NAME (4) California Shell CHEMICAL LOCATION (5l SERVICE BAY MAP// (e) I I GRID// CHEMICAL NAME (8) ETHYLENE GLYCOL TRADE SECRET (11) I-Iy []N COMMON NAME (9) USED ANTIFREEZE 'EHS (12) CAS # (lO) 107-21-1 'IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS FIRE CODE III-B COMBUSTIBLE LIQUID HAZARD CLASSES' (13) *COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. I PHYSICAL STATE (17) I-I SOLID [] LIQUID [] GAS CURIES FED HAZARD [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES {18) STATE WASTE (19) 343 UNITS (22) I [] GAL [] CU FT MAX DAILY AMT (23) 55 CODE [] LBS [],TONS DAYS ON SITE (20) 365 'If EHS, amounts must be in lb. AVG DAILY AMT (24) 30 LARGEST (21) 55 ANNUAL WASTE AMT (25i 100 CONTAINER STORAGE (2e) [] ABOVE GROUND TANK [] CAN [] BOX [] TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] Other... [] PLASTIC/NONMETALLIC DRUM [] BAG [] TOTE BIN PRESSURE (27) [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT STORAGE STORAGE (28) [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT' [] CRYOGENIC TEMPERATURE I (291%~'1' (30) HAZARDOUS COMPONENTS 131} EHS (32) CAS# 1. 100.0 USED ANTIFREEZE [] Y [] N 107-21-1 2. r'ly []N 3. []Y []N 4. []Y []N 5. []Y []N (aa~ ADDITIONAL LOCALLY COLLECTED INFORMATION =OES Form 2730(11/94) F:~H.au~AT~SHELL_t~liXFORMS~TATEiNV. MRO · APPENDIX C California Hazardous Material Inventory Form/Addendum-Chemical Description Page (1) [] ADD [] DELETE [] REVISE {~ NO CHANGE PAGE 12) OF 13) 1 1 BUSINESS NAME 14) California Shell CHEMICAL LOCATION (5) SERVICE BAY CHEMICAL NAME 18) PETROLEUM HYDROCARBONS TRADE SECRET Illl r-ly I~N COMMON NAME (91 USED OIL FILTERS 'EHS (12) r-ly [~N CAS # (lO) 800-20-59 'IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS FIRE CODE Ill-B: COMBUSTIBLE LIQUID · HAZARD CLASSES ' (13) *COMPLETE BLOCK (13~ IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. TYPE (14) [] PURE [] MIXTURE [] WASTE RADIOACTIVE (15) PHYSICAL STATE (17) [] SOLID [] LIQUID [] GAS CURIES FED HAZARD [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONICHEALTH CATEGORIES I181 STATE WASTE (10) 223 -UNITS (22) 1 [] GAL [] CU FT I MAX DAILY AMT (23) 200 CODEI [] LBS [] TONS I DAYS ON SITE (20) 365 'If EHS, amounts must be in lb. AVG DAILY AMT (24) 50 LARGEST (21), 55 ANNUAL WASTE AMT (25) 600 CONTAINER STORAGE (2e) [] ABOVE GROUND TANK [] CAN [] BOX [] TANK WAGON CONTAINER [] UNDER GROUND TANK i-I CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] Other... [] PLASTIC/NONMETALMC DRUM I-I BAG [] TOTE BIN PRESSURE (27) [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT STORAGE I STORAGE (28) [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC ] TEMPERATURE I (291%WT (30) HAZARDOUS COMPONENTS (31) EHS (321 CAS// 1, 100.0 USED OIL FILTERS [] Y [] N 800-20-59 2, []Y I~N 3. []Y [33N 4. []Y [~N 5. r-ly I~N ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) F:\H.~Z.V. AI~SIIlR.t._EIi\FORMS~srAI~N%M,O APPENDIX C California Hazardous Material Inventory Form/Addendum- Chemical Description Page BUSINESS NAME (4, California Shell CHEMICAL LOCATION isI NEXT TO TRASH ENCLOSURE CHEMICAL NAME I8) LEAD~,CID BA'I-I'ERY TRADE SECRET Ill) r-ly []N COMMON NAME (9) USED BATTERIES 'EHS (~2) []Y I~N 'IF EHS BOX IS "Y" CAS # (101 MIXTURE ALL AMOUNTS MUST BE IN LBS FIRE CODE OXIDIZER B; CORROSIVE HAZARD CLASSES' I131 *COMPLETE BLOCK (13~ IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. TYPE 1141 [] PURE' [] MIXTURE [] WASTE RADIOACTIVE (1511 [] Y [] N 1"8I PHYSICAL STATE (17) [] SOLID [] LIQUID [] GAS CURIES FED HAZARD I--I FIRE [] REACTIVE Fl PRESSURE RELEASE '[] ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES 118) STATE WASTE {19l ~62 UN~TS (22) 1 [] GAL [] CU ET I MAX DALLY AMT (23) 4 CODEI [] LBS [] TONS I DAYS ON SITE I2O) 365 'If EHS, amounts must be in lb. AVG DAILY AMT (24) 2 LARGEST (21, BATTERY ANNUAL WASTE AMT (261 100 CONTAINER STORAGE (2e) [] ABOVE ,'ROUND TANK [] CAN [] BOX [] TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] BATTERY [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] Other,,, [] PLASTIC/NONMETALLIC DRUM [] BAG [] TOTE BIN PRESSURE (271 [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT STORAGE I STORAGE (28, [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC TEMPERATURE I 129) %w'r (30) HAZARDOUS COMPONENTS I31I EHS (321 CAS# 1. 31 LEAD DIOXIDE [] Y [] N 1309-60-0 2. 34 SULFURIC ACID [] Y [] N 7664-93-9 3. 34 LEAD [] Y [] N 7439-92-1 4. []Y []N 5. []Y []N ~33} ADDITIONAL LOCALLY COLLECTED INFORMATION ODS Form 2730(11/94) 0462-2,399 ~,-, ~ L I ~ I F" ] No.m. SUPER 8 MOTEL ~ SE~ ~A~ON LEG~D ~ 1"=30'-0"~ DA~: 3/18/98 ~ EMERGENCY PUMP ~ MONITORING ~LLS SHUT-OFF A o.sc.w~o. ~s SITE PLAN ~ E~C~ICAL PANEl. s.u~-o.. ~ ~.~,z. CALIFORNIA SHELL ~ NA~RAL GAS S"OT-OFF ~ 8A~RYSTORA6E 3623 CALIFORNIA AVENUE TANK MONITORING ~.~.. ~ .OTOR~NS.,SS, O. BAKERSFIELD. CALIFORNIA 95309 RRST AID KIT ~ RRE EX~NGUISHER ~ U.G. PRODUCT TANK STORM DRAIN ~ SOL~NT SINK. ~C~ 0462--2399 o,.w.~. ~.~.~o. ~ ~.~. ~ o,,,~,~ ~ A Shell 0il EMERGENCY HMMP HMMP, AND MSDS MSDS LOCA~ON ~ WAS~ OIL RL~RS HOIST (SER~CE BAY) ~ WAS~'AN~FREEZE ~~ ~C~E * E~G~ER~G RRE H~RANT * HAZARDOUS MATERIAL MANAGEMENT PLAN DEALER: Livengood, Inc. SHELL OIL PRODUCTS COMPANY BUSINESS NAME: California Shell P.O. BOX 8080 STREET: 3623 California Avenue MARTINEZ, CA 94553 CITY: Bakersfield WIC No: 0462-2399 DESCRIPTION RETAIL SALES OF GASOLINE AND RELATED PETROLEUM PRODUCTS. DESCRIFrION OF THE UNDERGROUND TANKS ARE AS FOLLOWS: No. of SIZE MATERIAL CONST. TANKS (gal) (STL/FG) (SW/DW) FORMULA SHELL REGULAR 1 10,000 FG DW FORMULA SHELL PREMIUM 1 10,000 FG DW FORMULA SHELL PLUS 1 10,000 FG DW DIESEL WASTE OIL 1 550 FG DW PRODUCT LINES: MATERIAL: FG CONSTRUCTION: Single Wall All product lines are pressurized using a submerged pumping system. All.product lines have in-line,leak detectors, 'Red Jacket' or eXl. uivalent which are capable of detecting, a release equivalent to 3.0 gallons per hour defined at 10 pounds per square inch (psi) within one hour of its occurence. The l~tlc detector will restrict or shut off the flow of product if a leak is detected. Annually a test is performed to assure the leak detectors are properly functioning. Impact valves under each dispenser are also inspected annually to assure closure. Repair and/or replacement of all Ieak detectors and impact valves will be done annually at the time of inspection and retested to meet the above test conditions. All gravity fed piping associated with the waste oil tank will be tested bi-annually in the odd numbered years. (1995, 1997, 1999, etc). * This document is to be kept current and placed in the Environmental Health & Safety #Green Book~ maintained at the site. (revision 03/18/98) MONITORING PROCEDURES FOR DOUBLE WALL TANKS TANK MONITORING: The l.rfiderground storage tanks are monitored using an approved continuous monitoring, system (see below). This system is able to detect the presence of a leak in the primary as well as secondary containment through the use of a Wet (liquid filled) or a Dry annular space and submerged liquid level sensor. The operator will maintain a daily log that charts the operating status of the monitoring system. If a alarm conditions occurs, the dealer will call Service Station Services at 800-887-8009 (24 hour) immediately. Response to the alarm condition will occur within 24 hours. If the alarm condition is' NOT the result of an equipment failure, then Shell Oil Products will repair the tank system in accordance with all local and state requirements. If the alarm condition is the result of an equipment failure, Shell will repair the equipment as required and ensure that it is functioning properly. MONITORING SYSTEM: The following continuous monitoring system is used at this facility: API-RONAN-TRS?6 The monitoring will be preformed on site by the authorized personnel below. INVENTORY RECONCILIATION: Daily product inventory reconciliation will be completed by the Shell Dealer at the facility. 1) Only approved meters for tank inputs and withdrawals will be used. 2) Inventory reconciliation which exceeds an allowable measurement error of: '1 percent (.01) the monthly thruput plus 130 gallons' at any time during a 30-day period shall require further investigations: (monthly 'thruput gallons x .01 + 130 gallons = maximum allowable error) (example: 50,000 gal monthly thruput x .01 = 500 gal + 130 gal = 630 gal maximum allowable error) Should inventory reconciliation indicate a loss greater than calculated using the above method, the investigative steps outlined in California Administrative Code, Title 23 Waters, Division 3, Chapter 16, Underground Storage Tank Regulations, Section 2646(e), will be implemented. PREVENTATIVE MAINTENANCE: The monitoring equipment shall be inspected and certified annually. Maintenance will be performed annually or as needed. All work performed to the monitoring system will be in accordance to the manufacturers recommendations. VISUAL MONITORING of the tank monitor alarm box is performed daily by the dealer or a designated employee. Please see the attached site map for the location of all equipment at the site. The dealer is to sound the alarm daily and document each test on a log. The electronic monitoring devices are maintained according to manufacturer's recommendations. TRAINING Training will be given which includes information regarding: how to self test the electronic monitoring equipment, what the equipment monitors, how to tell when the alarm goes off, how to perform inventory reconciliation, record keeping requirements and procedures to follow in the event of alarm activation, leak, suspected leak, or other emergency. The tank operators are trained on the proper operations of the monitoring equipment per the manufacturer's instructions. RESPONSIBLE SHELL PERSONNEL: The following personnel are responsible for performing monitoring or maintaining the equipment. NAME TITLE pHONE Bill Hilterbran Manager Day 805 322-3122 24hr 805 588-0352 Alex Perez Environmental Engineer Work 510-335-5027 Home Brett Hovland District Engineer Work 510-335-5032 Home 510-756-7022 Dan T. Kirk Project Engineer Work 510-335-3035 Home 510-228-6787 See also 'Shell Leak Response Plan' MONITORING PROCEDURES LUBE BAY SUMPS/CAR WASH SUMPS LUBE BAY SUMP Lube bay sumps to be visually inspected by the dealer to determine whether the sump is to be cleaned. If the sump requires cleaning, the dealer is to contact a hazardous waste contractor to arrange to have it cleaned. All hazardous wastes will be handled in compliance with all applicable federal, state, and local ordinances. The floor drains in the lube bay, drain into the sump. The sump drains into the sanitary sewer. The dealer will record all visual inspections in his monitoring log. CAR WASH SUMPS The car wash sump will be visually inspected by the dealer who will determine if the sump needs to be cleaned. If the sump requires cleaning, the dealer will contact a contractor will clean it. Ail wastes will be properly disposed of. The car wash sumps drain into the sanitary sewer. The dealer will record all visual inspections in his monitoring log. 3 BATTERY STORAGE (NEW OR USED) All new automotive batteries, when stored at the service stations, will be stored on a open rock to easily detect a leak. All used and/or damaged batteries will be stored with a plastic (polyethylene), watertight pan underneath. The pan or pans must have a 1" lip on all four sides of the pan to contain any battery acid that may leak from the batteries stored. Used batteries will be returned to the battery supplier, who Will recycle them with a battery reclaimer. If a battery is dropped, treat it as if were cracked until it is determined that it is not leaking. DISPOSAL PROCEDURE FOR ANTI-FREEZE Used anti-freeze should be put in a 55 gallon drum or similar container and the container labeled "Waste Anti-freeze / Hazardous Material". The container must be placed on a metal or plastic pan with a 2" to 3" lip all the way around the pan to contain any spills or leaks from the container. When the container is full, call an "Anti-freeze Recycling Contractor" to remove the container of used anti-freeze. Do not, under any circumstances, pour used or new anti-freeze or a mixture thereof on the floor or on the ground and hose it down to floor drains or storm drains. Do not pour anti-freeze into your waste oil tank. DISPOSAL PROCEDURE FOR USED OIL FILTERS The dealer will put Used oil filters in a 55 gallon dram or similar container and the container labeled "Waste Oil Filters / Hazardous Material". The container will be placed on a metal or plastic pan with a 2" to 3" lip all the way around the pan to contain any spills or leaks from the container. When the container is full, the dealer will call a "Waste Oil Recycling Contractor" to remove the container of used oil filters. The dealer will drain all used oil filters of free-flowing oil.prior to placement into the above noted container. Free flowing 6il is d6fined as a continuous stream of oil exiting the filter when the 'filter is inverted. Oil exiting drop by drop is not considered free flowing. If oil exiting the filter is restricted in any way, the filter shall be manipulated to allow used oil to exit the filter freely. Used oil filters will not be placed in a refuse disposal container. DAILy VISUAL MONITORING PROCEDURES FOR ABOVEGROUND HAZARDOUS MATERIALS Hazardous Materials stored aboveground include: IX] Motor Oil [X] Transmission Oil [ ] Antifreezo [ ] Grea~ [ ] Gear Lubricant (80W/90) [ ] Solvent (including parts cleaners) [ ] Propane [X] Battery Acid * [] Car Wash Products [ ] Keroseno IX] CO~ [X] Waste Oil (prior to dumping in underground tank) [X] Spent Anti-freeze * [X] Used Oil Filters The storage areas for these hazardous materials must be visually inspected every day for signs of leakage. Items designated with a (*) require secondary containment with the contents of each container clearly labeled. If there is a leak or spill of any of the hazardous materials, whe~ther stored above- or underground,. Dealer must follow 'the'"EmergencY~Response Procedures," attached. 5 EMERGENCY RESPONSE PROCEDURI~ 0462-2399 In the event of a fire, spill, or a leak or suspected leak in the tanks and/or piping, the following steps are to be taken as applicable: 1. TURN OFF PUMPS using the Emergency Pump Shut-Off Switch. 2. EVACUATION: If there is any immediate danger, ANNOUNCE to all persons on the site: 'There is an emergency. Please turn off your engines and leave the station on foot immediately.' 3. CALL FOR HELP in case of an emergency by dialing 9-1-1 and giving the following information: 'THERE IS A FIRE / GASOLINE SPILL at the SHELL station at 3623 California Avenue.' If anyone is trapped or needs medical attention, tell the answering dispatcher. Stay on the phone and be prepared to answer any questions concerning the situation. 4. LOOK AROUND to assure that all others have left the station if necessary, particularly those in vehicles who may need assistance or may not have heard the emergency announcement. Assist, or direct assistance to, anyone having difficulty leaving the station area, and anyone who may be injured. 5. ATTEMPT TO EXTINGUISH any small or incipient fire if you can do so safely. Have the fire extinguisher ready to use in the event of any spill. Try to contain any large spill, or use absorbent on smaller spills. 6. REPORT to arriving emergency response personnel to provide them with any infOrmation or assistance they might need. 7. CONTACT the station dealer if s/he is not already at the station. Use the list below for emergency contacts: 1. Name/Bus Phone/Home Phone: Bill Hilterbran /805 322-3122 /805 588-0352 2. Name/Bus Phone/Home Phone: Frank Quercia /805 831-5151 /805-398-8997 8. NOTIFY your Shell District Engineer by phone WITHIN 24 HOURS A. Shell District Engineer: Brett Hovland PHONE NUMBER: (510) 335-5032 (days) You must mail a completed Unauthorized Release Report to Shell within 24 hours. Shell will notify the appropriate State and Local agencies unless the situation requires urgent immediate response by the agencies, in which case the DEALER should notify these agencies: B. LOCAL AGENCY: Bakersfield Fire Department PHONE NUMBER: 805 326-3979 C. CALIFORNIA OFFICE OF EMERGENCY SERVICES, (800) 852-7550 (24 HOURS) ..D. Submit a follow-up Spill Notification to the State Offieo:of..Emergency. Services. These agencies must be notified within 24 hours of release detection. 9. Dealer should attempt to isolate leak location by inspection. 10. Shell will coordinate whatever corrective actions need to be taken beyond the Dealer's capabilities. Shell will file whatever reports need to be filed with local and state agencies, and send a copy to the station for the Dealer's files. 11. RE-ENTRY: If evacuation has occurred and emergency responders have been called, re-entering this facility should take place with' extreme CaUtion and only under the direction of the senior emergency responder on site and Shell engineers. THESE EMERGENCY RESPONSE PROCEDURES MUST BE FILLED OUT AND POSTED CONSPICUOUSLY ON SITE ALONG WITH THE ATTACHED SITE PLAN EMPLOYEE TRAINING PLAN Employees must be given this training before starting work, and refresher courses must be provided annually. Records must be kept to show when each station employee has been given his/her safety training. Use the following outline and make copies as needed. Have employee date and sign this document upon completion of training on the following page. Retain these records for a minimum of three years. I. FIRST THINGS TO KNOW: A. EMERGENCY PUMP SHUT-OFF: This tums off the turbine pumps that provide flow to the dispensers from the underground tanks. In case of a leak, shutting off the pumps will help to prevent spills. LOCATION: NORTH/FRONT EXTR BLDG WALL B. ELECTRICAL PANEL: Tho panel allows you to selectively cut off power to lights, signs, pumps, etc. The main switch kills all power at the site. LOCATION: EAST INTR SERVICE BAY WALL C.WATER SHUT-OFF: The water shut-off may be necessary in some cases. LOCATION: IN SIDEWALK ALONG REAL ROAD D.FIRST AID KIT: LOCATION: I-CASHIER AREA, I-UTILITY ROOM E. FIRE EXTINGUISHER: Use only on small fires that you can handle. Do not attempt to extinguish large fires on your own; call 9-1-1 for help. LOCATION: 4-SERVICE BAY F. ABSORBENT: In the form of crystals or cloth, absorbent can soak up small spills of gasoline, diesel fuel, or other petroleum products. Absorbent should be used rather that washing spills down a drain. In case of large spill, merely try to contain it; a vacuum truck should be used to clean up any large spill. LOCATION: SERVICE BAY G. NEAREST MEDICAL FACILITY: Employees should know what facilities are available in case customers or other employees need medical attention. 1. NAME: MERCY HOSPITAL .ADDRESS: .2215 TRUXTON AVENUEi BAKERSFIELD PHONE NUMBER: 805 328-5275 DESIGNATED TRAUMA CENTER: 2. NAME: UCLA HOSITAL AND CLINICS ADDRESS: 10833 LECONTE AVENUE, LOS ANGELES PHONE NUMBER: 310-825-2111 II. All employees should review the Service Station Monitoring Plan, of which this training plan is a part. Specifically, each employee should understand the procedures to be used in responding to various kinds of emergencies, and know how to monitor for leaks of hazardous materials. As a supplement to this package, employees should also review the Emergency Response Plan filed by your business to the appropriate local agency. Thirdly, employees should review and have access to the Materials Safety Data Sheets you have on file for each of the hazardous materials stored at the station and must be drilled in all emergency response procedures contained herein. 1II. FIRST AID PROCEDURES (For exposure to gasoline or diesel fuel): A. EYE CONTACT: Flush with water for 15 minutes while holding eyelids open. Get medical attention. B. SKIN CONTACT: Flush with water while removing contaminated clothing and shoes. Follow by washing with soap and water. Do not reuse clothing or shoes until cleaned. If irritation persists, get medical attention. C. INHALATION (Breathing): Remove victim to fresh air and provide oxygen if breathing is difficult; If not I~reathing, give artificial respiration. Get medical attention. D. INGESTION (Swallowing): DO NOT INDUCE VOMITING BECAUSE GAsoLINE CAN ENTER LUNGS AND CAUSE SEVERE LUNG DAMAGE! If vomiting occurs spontaneously keep head below hips to prevent aspiration of liquid into lungs. Get medical attention. E. NOTE TO PHYSICIAN: If more than 2.0 ml Per kg has been ingested and vomiting has not occurred, emesis should be induced with medical supervision. Keep victim's head below hips to prevent aspiration. If symptoms such as loss of gag reflex, convulsions or unconsciousness occur before emesis, gastric lavage using a cuffed endotracheal tube should be considered. F. For further information, consult the Materials Safety Data Sheets for tbeso products and for other hazardous materials. FIRST AID FOR EXPOSURE TO OTHER MATERIALS: Consult the warning advice on container labels or refer to the MSDS for that product. Use the attached Training Log to document that each employee has received his/her training, and the type of training given. BUSINESS NAME: California Shell ADDRESS: 3623 California Avenue, Bakersfield EMPLOYEES MUST SIGN THIS FORM TO PROVE THEY RECEIVED THEIR INITIAL AND/OR ANNUAL SAFETY TRAINING. DATE OF TYPE OF EMPLOYEE NAME EMPLOYEE SIGNATURE TRAINING TRAINING (updated: March 18, 1998) SPILL RESPONSE PLAN To clean up after a discharge or at the end of'each _week, u. se the. followin.~ p, roced, u.?,es ~h?n,~ev~er,~p~o~Sl~b~,,U,s,,e a dami~ mo~ for routine cleanup, and wet-mop me tloor omy in me areas mat neea it. ARE,6S OR ALLOW HAZARDOUS MATERIALS TO IJRAIN INTO A SANITARY SEWER OR STORM DRAIN INLET. As regular practice, avoid cleaning up spills and splatters by wet mopping the whole floor. This could make your mop water a hazardous waste. ' All employees are to be trained in the following best management practices in an effort to minimize waste, and controF pollutants. 1. Collect used motor oil~ coolant and other fluids in designated containers where there are no connections to storm drains or sanitary sewer. Contact you local recycler for proper disposal. 2. When working on a vehicle: A) P.reform repairs only in designated areas. Do not conduct repairs outside of the shop where drains may I~e present. B) Wipe up. sl~ills and drips immediately with a rag. C) Collect lea'king or dripping fluids in a drip pan or other container. D) Promptly transfer, used fluids into the designated drum or tank. Do not leave pans or other open containers unattenoea. ' 3. Mak,e sure employees do not pour hazardous, materials into floor drains; sinks, outdoor storm drain inlets, or other connections. 4. · During the winter months the lot is dry swept once per week, and during the spring/summer months it is dry swept once per month. DATE TIME EMPLOYEE NAME SPILLED MATERIAL CLEAN-UP PROCEDURES SHELL LEAK RESPONSE PLAN .INTRODUCTION ,IT IS THE PURPOSE OF THIS SECTION TO ESTABLISH BASIC GUIDELINES AND PROCEDURES FOR USE BY THE SHELL ENTERPRISES, LLC. FOR THE HANDLING OF PRODUCT SPILLS/LEAKS WHICH MAY OCCUR AT SHELL FACILITIES. DESIGN AND INSTALLATION IMPROVEMENTS ARE CONTINUOUSLY BEING EVALUATED AND IMPLEMENTED IN ORDER TO REDUCE, AND ELIMINATE, THE POTENTIAL FOR PRODUCT LEAKAGE. RESPONSIBLE SHELL PERSONNEL NAME TITLE PHONE ~Bill Hilterbran Manager Day 805 322-3122 24hr 805 588-0352 Alex Perez Environmental Engineer Work 510-335-5027 Home Brett Hovland District Engineer Work 510-335-5032 Home 510-756-7022 'Dan T. Kirk Project Engineer Work 510-335-5035 Home 510-228-6787 'RESPONSIBLE CONTRACTOR SERVICE STATION SYSTEMS, INC 800-887-8009 24 HOURS ~236 NORTH 5TH STREET SAN JOSE, CA 95112 LEAK VERIFICATION ,WHEN A SERVICE STATION PRODUCT LOSS IS SUSPECTED OR REPORTED, THE FOLLOWING LEAK VERIFICATION PROCEDURES WILL APPLY: 1. THE SHELL ENGINEER WILL ARRANGE FOR THE SHELL TERRITORY MANAGER TO IMMEDIATELY (THE SAME DAY) VISIT THE STATION TO REVIEW THE DEALER'S PHYSICAL CONTROL OF PRODUCTS AND .,INVENTORY.RECORDS. 2. AT THE SAME TIME, THE ENGINEER WILL ORDER A PUMP/DISPENSER CALIBRATION, ASSURE METERS ARE SEALED, INSPECT ACCESSIBLE POTENTIAL LEAK SOURCES, AND CHECK LEAK DETECTOR OPERATION (ON REMOTE SYSTEMS). 3. ALSO, THE ENGINEER SHALL START MAINTAINING A PRODUCT LOSS LOG AS WELL AS A RECORD OF SIGNIFICANT DAILY LEAK RELATED ACTIVITIES. 4. IF THE ABOVE INVESTIGATIONS PROVE INCONCLUSIVE, THE TERRITORY MANAGER SHOULD IMMEDIATELY BEGIN A DAILY INVENTORY LOG (EXHIBIT B), WHICH WOULD BE MAINTAINED FOR A MINIMUM PERIOD OF 48 HOURS AND A MAXIMUM OF 7 DAYS, FOR SUBSTANTIATION OF A SUSPECTED LEAK. DEPENDING ON THE CIRCUMSTANCES (POTENTIAL HAZARDOUS CONDITION, ETC.), IT MAY BE NECESSARY TO TAKE ADDITIONAL LEAK RESPONSE ACTION DURING THE PERIOD OF ,INVENTORY. 5. IF PRODUCT 'LOSSES ARE VERIFIED, PRODUCT LINES AND/OR TANKS MAY REQUIRE TESTING TO DETERMINE THE LEAK SOURCE. 11 A. PRODUCT LINES MAY BE TESTED USING AIR PRESSURE (APPROXIMATELY 50 PSI) OR A SHELL ? APPROVED LINE TESTING SYSTEM 0E.G., KENT-MOORE). SHOULD THE LINE TESTS INDICATE LEAKING LINES, THEY SHALL BE REPAIRED OR REPLACED AND RETESTED TO ASSURE THE LEAK HAS BEEN STOPPED. IN ADDITION, A PRODUCT LOG INVENTORY CHECK SHOULD BE MAINTAINED FOR A PERIOD OF 7 DAYS AFTER THE LINE REPAIRS TO ASSURE THERE ARE NO OTHER LEAKS IN THE SYSTEM. B. SHOULD THE TEST INDICATE THE LINES ARE NOT LEAKING OR IF A SHORTAGE CONTINUES AFTER THE LINES HAVE BEEN REPAIRED, THE UNDERGROUND TANK(S) SHALL BE TESTED BY A PRECISION OR OTHER APPROVED PROCEDURE. (SEE N.F.P.A.329). NOTE: LOCAL FIRE CODES AND ORDINANCES MAY DICTATE THE APPROPRIATE TESTING PROCEDURES FOR USE ON UNDERGROUND TANKS. AIR TESTS OF UNDERGROUND TANKS ARE NOT RECOGNIZED AS CONCLUSIVE, ARE DEEMED UNSAFE BY MANY FIRE PREVENTION AGENCIES, AND SHOULD NOT BE USED. IF THE TANK TEST INDICATES ONE OR MORE TANK LEAKS, REPAIR OR REPLACEMENT WILL BE COMPLETED. CORRECTIVE ACTION 1. THE SHELL ENGINEERING STAFF SHALL TAKE IMMEDIATE ACTION TO STOP, CONTAIN, AND SHALL TAKE IMMEDIATE DECISIVE ACTION TO RELIEVE THE THREAT OF PUBLIC HEALTH AND SAFETY HAZARDS, OR PROPERTY DAMAGE. 2. IT MAY BE APPROPRIATE TO OBTAIN SAMPLES OF THE RELEASED PRODUCT FOR TESTING AND IDENTIFICATION BY SHELL LABORATORY. 3. OBSERVATION WELLS WILL ONLY BE INSTALLED WITH HEAD OFFICE, MARKETING ENGINEERING, ENVIRONMENTAL GUIDANCE. IF LOCAL AUTHORITIES AND/OR CONDITIONS DEMAND IMMEDIATE INSTALLATION, THEN INSTALL THE TEST WELLS IN ACCORDANCE WITH STANDARDS SHOWN FOR MINIMUM FOUR INCH PVC PIPE WITH INSTALLATION. IF FORCED, BY SITUATION, TO INSTALL OBSERVATION WELLS OFF SITE ON PUBLIC PROPERTY, ACQUIRE LOCAL AUTHORITY APPROVAL OR WRITTEN ORDER TO PERFORM THE WORK. 4. OBSERVATION WELL INSTALLATION STANDARDS (SEE OBSERVATION WELL DETAIL ATTACHED). A. INSTALL OBSERVATION WELLS IN LOCATIONS SPECIFIED AND/OR APPROVED BY HEAD OFFICE, MARKETING ENGINEERING, ENVIRONMENTAL. B. DRILL (AUGER) A MINIMUM 12-INCH DIAMETER HOLE TO A DEPTH OF AT LEAST 5 FEET BELOW THE MINIMUM WATER TABLE. C. INTO THE HOLE, INSTALL 4-INCH OR 6-INCH DIAMETER SCHEDULE 40 SLO3~ED AND BLANK PVC PIPE, WITH PIPE SIZE DEPENDENT UPON THE SITE'S GEOLOGY AND LOCAL REGULATIONS. SLOTI'ED PIPE SHALL HAVE FACTORY CUT TWENTY THOUSANDTHS (.020) INCH SLOTS. D. USE SLOTTED PIPE FROM THE BOTTOM OF THE WELL HOLE TO APPROXIMATELY 3 FEET ABOVE THE MAXIMUM GROUNDWATER TABLE, CONSIDERING WATER TABLE FLUCTUATION. THE SLOTTED PIPE SHALL BE CAPPED AT THE BOTTOM. E. THE BLANK PIPE SECTION AT'FACHED TO THE TOP OF THE SLOTrED PIPE AND EXTENDS UPWARD TO JUST BELOW GRADE ELEVATION. AVOID USING GLUE TO COUPLE THE PIPE SECTIONS; RATHER, USE THREADED PVC PIPE OR OTHER COUPLING METHODS WHENEVER POSSIBLE. A LOCKABLE CAP SHALL BE INSTALLED ON TOP OF THE BLANK PIPE. 12 F. ONCE THE SLOTTED AND BLANK PIPE HAS BEEN SET IN THE HOLE, BACKFILL WITH A FILTER PACK OF POROUS MATERIAL SUCH AS PEA GRAVEL. THE FILTER PACK SHOULD BE FILLED AROUND THE PIPE TO AT LEAST 2' FEET ABOVE THE TOP OF THE SLOTTED SECTION'. DO NOT BACKFILL AROUND THE SLOTTED PIPE WITH CLAY OR OTHER MATERIAL WHICH WOULD IMPEDE GROUNDWATER FLOW INTO THE OBSERVATION WELL. G. ABOVE THE FILTER PACK, BACKFILL WITH CLEAN, DRILLED SOIL MATERIAL TO APPROXIMATELY 2 TO 3 FEET BELOW GRADE, AND TOP THE BACKFILL WITH A SURFACE SEAL OF CEMENT GROUT OR PACKED CLAY TO PREVENT SURFACE CONTAMINATION FROM INFILTRATING THE FILTER PACK AND ENTERING THE WELL. H. 'DEVELOP' THE OBSERVATION WELL BY FLOODING rr WITH WATER'AND THEN PUMP IT OUT. THIS ACTION WILL DRAW DRILLING MUD AND FINE PARTICLES OUT OF THE FILTER PACK, IMPROVING THE PERFORMANCE OF THE WELL. I. AUGURED HOLE SOIL CHARACTERISTICS WILL BE RECORDED. j. OBSERVATION WELLS SHALL BE PROTECTED FROM DAMAGE DUE TO TRAFFIC OR OTHER HAZARDS AND REMAIN ACCESSIBLE FOR FUTURE USE AND OBSERVATION. WHERE LOCATED IN TRAFFIC AREAS, DRIVEWAY MANHOLES AND COVERS SHALL BE INSTALLED. 5. OBSERVATION WELL MONITORING AND DATA A. ESTABLISH A BENCHMARK AND DETERMINE THE RELATIVE ELEVATIONS AT THE TOP OF EACH TEST WELL PIPE. B. MONITOR THE WATER AND DEPTHS IN EACH PIPE. NOTE: IT IS IMPORTANT THAT ALL MEASUREMENTS BE FROM THE TOP OF EACH PIPE TO THE WATER AND/OR PRODUCT LEVELS IN EACH PIPE. RECORD MEASUREMENTS TO THE NEAREST EIGHTH INCH. C. PRODUCT SHOULD BE PUMPED OUT OF THE OBSERVATION WELLS ONLY WHEN DIRECTED BY HEAD OFFICE. PREMATURE REMOVAL OF SAID PRODUCT COULD CAUSE INCORRECT WELL "READINGS". WELL EQUIPMENT/MATERIALS 1. OBSERVATION WELL PIPE A. SCHEDULE 40 PVC PIPE (4.5" OD-.237 WALL THICKNESS) AVAILABLE IN BOTH FACTORY SLOTTED AND STANDARD PIPE WITH FITFINGS AND CAPS AVAILABLE. B. SIX, EIGHT, TEN AND TWELVE INCH SCHEDULE 40 PVC PIPE ALSO AVAILABLE WITH FACTORY MACHINE SLOTS AT TWENTY THOUSANDTHS OF AN INCH. C. FACTORY SLO~ITED PIPE AVAILABLE FROM THE FOLLOWING MANUFACTURERS: 1.2" TO 14' AVAILABLE GATOR PLASTICS, INC. BOX 15020 BROADVIEW STATION BATON ROUGE, LOUISIANA 70815 TELEPHONE: 504/926-0100 MR. TOM HAYES 2. 2" TO 14" AVAILABLE HYDROPHILIC INDUSTRIES 5815 A NORTH AMERICAN PUYALLUP, WASHINGTON 98371 ~ TELEPHONE: 206/927-4321 MR. PHIL GALLAGER 13 ~' ' ~I~AB 3. 2" TO 12" AV LE DIVERSIFIED WELL PRODUCTS, INC. P.O.BOX 3495 FULLERTON, CALIFORNIA 92634 TELEPHONE: 714/632-9334 MR. KURT GOSS 4.2" TO 12" AVAILABLE HANDEX 703 GENESI DRIVE MORGANVILLE, NEW JERSEY 07751 TELEPHONE: 201/536-8500 MR. GREG REUTER 5.2" TO 8" AVAILABLE JET STREAM PLASTICS SILOAM SPRINGS, ARKANSAS 72761 TELEPHONE: 501/524-5151' NOTE: IN ORDERING PIPE, REMEMBER TO ORDER POLYVINYL CHLORIDE (PVC) PIPE. BE CAREFUL THAT A SUPPLIER DOES NOT SUBSTITUTE ACRYLONITRILE-BUTADIENE-STYRENE (ABS), WHICH TENDS TO BECOME BRITTLE WITH WEATHERING. SELECTION OF THE CORRECT WELL CASING AND RELATED PRODUCTS IS OF PARAMOUNT IMPORTANCE. MISAPPLICATION AND IMPROPER SELECTION CAN BE THE SOURCE OF POTENTIAL WELL FAILURE. IT IS RECOMMENDED THAT ALL PVC PIPE ORDERS BE SCHEDULE 40 PVC. 2. SUBMERGED PUMP AND MISCELLANEOUS PRODUCT RECOVERY EQUIPMENT. A. THE EQUIPMENT SELECTED FOR A PRODUCT RECOVERY OPERATION WILL DEPEND UPON SPECIFIC CONDITIONS AT THE JOB SITE. THE HEAD OFFICE HYDROGEOLOGIST WILL SPECIFY THE EQUIPMENT TO BE USED FOR EACH SITUATION. PRODUCT RECOVERY SYSTEMS 1. SHOULD A PRODUCT RECOVERY BE NEEDED THE DESIGN WILL VARY DEPENDING UPON THE sPEcIFIC SITE CONDITIONS. IN SOME CASES, WHERE PRODUCT MOVEMENT IS CONFINED AND THE WATER TABLE IS RELATIVELY SHALLOW, A TRENCH MIGHT BE USED TO INTERCEPT AND COLLECT THE PRODUCT. IN OTHER SITUATIONS, WHERE PRODUCT MIGRATION IS WIDESPREAD AND/OR THE WATER TABLE IS RELATIVELY DEEP, THE "CONE OF DEPRESSION" RECOVERY WELL APPROACH MAY BE MOST EFFECTIVE. (SEE RECOVERY WELL DETAIL ATTACHED.) EXACT METHOD OF RECOVERY WILL BE APPROVED BY SHELL OIL PRODUCTS COMPANY, HEAD OFFICE MARKETING ENGINEERING, ENVIRONMENTAL., 2. IN A LIMITED NUMBER OF SITUATIONS, THE OBSERVATION WELL MAY BE USED EFFECTIVELY AS A PRODUCT RECOVERY-WELL. THE FOLLOWING CONDITIONS MUST EXIST: A. PRODUCT DEPTH IS NOT BEYOND THE LIFTING CAPABILITY OF AN APPROPRIATE PUMP. B. PRODUCT LOST IS MINIMAL, CONCENTRATED IN THE AREA OF THE OBSERVATION WELLS, AND OF THICKNESS WHICH CAN BE SKIMMED OFF OF THE WATER TABLE. C. PRODUCT IS CONTAINED IN AREA BY SOIL CHARACTERISTICS (CLAY, ROCK, ETC.) AND HAS MINIMAL MIGRATION. HAZARDOUS MATERIAL REMOVAL THE WATER/GASOLINE MIXTURE WILL BE REMOVED BY A LICENSED INDUSTRIAL WASTE HAULER (SUCH AS I.T. CORPORATION OR ACE INDUSTRIAL CLEANING INC.) AND RETURNED TO SHELL OIL PRODUCTS COMPANY, MARTINEZ MANUFACTURING COMPLEX, MARTINEZ, CA 94553 FOR REPROCESSING. 14 ' LOCATION EQUIPMENT LIST ADDRESS: 3623 California Avenue CITY: Bakersfield MONITORING INFORMATION: TANK TYPE: ( ) STEEL ( ) SINGLE WALL FIBERGLASS ( ) STEEL AND FIBERGLASS TANKS (X) DOUBLE WALLED FIBERGLASS TANKS OWENS CORNING - (X)YES ( )NO CONTINUOUS ELECTRONIC MONITORING OF ANNULAR SPACE (X)YES ( )NO ( )N/A · INVENTORY CONTROL: (X)MANUAL RECONCILIATION ( )TLS-250/350 ( )RONAN X76ETM VADOSE MONITORING: ( )INSTALLED (X)NOT INSTALLED GROUNDWATER MONITORING WELLS: ( )YES (X)NO MAINTENANCE CONTRACTORS: RONAN: VAPOR MONITORING AND INLINE CHECK CONTRACTOR: SERVICE STATION SERVICES 1236 North 5th Street, San Jose, CA 95112 " PHONE NUMBER: 800-887-8009 EMERGENCY RESPONSE CONTRACTOR: MAINTENANCE CONTRACTOR: SERVICE STATION SERVICES 1236 North 5th Street, San Jose, CA 95112 PHONE NUMBER: 800-887-8009 ENVIRONMENTAL CONTRACTOR: SERVICE STATION SERVICES 1236 North 5th Street, San Jose, CA 95112 · PHONE NUMBER: 800-887-8009 FOR EMERGENCY CALL: Week Days: SHELL DISTRICT OFFICE: (510) 335-5000 After Working Hours Call: ENVIRONMENTAL ENGINEER: Alex Perez: 510-335-5027 DISTRICT ENGINEER: Brett Hovland ': 510-335-5032 PROJECT ENGINEER: Dan Kirk: 510-335-5035 Service Station Services 800-887-8009. FIRE DEPARTMENT: 911 POLICE DEPARTMENT: 911 EMERGENCY MEDICAL AID: 911 15 INVENTORY VARIATION WORKS _ TO: SHELL REPRESENTATIVE FROM: STATION OPERATOR DATE: RE: INVENTORY VARIATION EXCEEDING MAXIMUM ALLOWABLE LIMITS On (date), the station at (address) had an inventory variation that exceeded the allowable limits as indicated below: FormulaShell Regular FormulaShell Plus FormulaShell Premium Auto Diesel I have begun inventory discrepancy procedures and (check one) I have stoPped dispensing product I have not stopped dispensing product This notification is in addition to the phone call I previously placed. (Dealer or Station Manager's signature) Remember to write the Area Representative's name and number on the bottom left hand comer of the envelope. GROUP INC. AR'CHiTE'CTURE - ENGINEERING " ENVIRONMENTAI: SERVICES 1137 No~th McDowell Blvd., Petaluma, CA 9~0 Telephone: (707) 765-1660 Facsimile: (707) 765-9908 "APR' g'l /III! 1997 JOHN W. JOHNSON April 16, 1997 ' ~/ E s t a b I i s h e d I 9 6 6 Architect , L~ y.._.______ Co-President Ralph Huey Bakersfield Fire Depa~ment 1715 Chester Avenue, 3rd Floor ~,~ ~. z~t, Bakersfield, CA 93301 Architect Co-President Dear Ralph Huey; Enclosed please find j o ~ ~ ~. ~ces SHELL controlled station(s) as listed on the attached. Architect ~ e~i&,t ~ese inventories and HMMP(s) ~e being submi~ed for your review and approval. If ~ere are any fees associated wi~ ~ese submissions, direct notices or invoices of such fees along with any ~re relat~ correspondence to: Ms. Aura Mattis c~c~ ~. s~c~ at Shell Oil Products Company, P.O. Box 4023, Concord CA 94524. Architect Vice President If ~ere are any questions, please feel &ce to contact me. Sincerely, BRUCE J. GREENFIELD ManaeineArc~itect ~ DESIGN GRO~, INC. ~ssociate Steven A. Skanderson, HOWARD G. KIMU~A Project Manager Architect Associate Enclosures cc: Shell Oil Company c.~xs L~wTo8 File Regional Manager Associate JAMES E. PRESTEN Regional Manager Associate GARY M. SEMLING Managing Arch itect Associate BLYTHE R.WILSON Managing Architect Associate BELLEVUE, WA LAHABRA, CA SACRAMENTO, CA SCOTTSDALE, AZ 0461-05 0462-18 0462-19 Livengood, Inc. Livengood, [nc. Monther Samarneh White Lane She[[ Ming Avenue Shell Oak Shell 2600 White Lane 3700 Ming Road 3130 24th Street Bakersfield, CA 93304 Bakersfield, CA 93309 Bakersfield, CA 93301 0462-23 Livengood, Inc. California Shell 3623 California Avenue aakersfietd, CA 93309 GROUP INC. ARCHITECTURE · ENGINEERING · ENVIRONMENTAL S ERV CES 1137NoithMcDowellBlvd.,Petaluma CA ~4954'-111'0 Telephone:(707) 76~-1660 Facsimile:(707) 765-9908 JOHN W..JOHNSON March 31, 1997 APR ."Irchit~ct Co-President Livengood, Inc. ' ~r 3623 California Av'e~ BRIAN }:. 7ITA Bakersfield, CA 93309 Architect 'Co-President Dear LiVengood, Inc.- Attached is the Hazardous Materials Management Plan (HMMP) Certification for .your facility. This certification 'is an addendum to your current HMMP. Please. place this document in your Jo~ B. H~c~s Arch~te. Green Book WITH your current HMMP. The "DEALER" copy shoUld be maintained in your Green' Book, and available to all employees CECIL 1~. SPENCEB. Architect and agency personnel at any time. Vice President '. 1. Please sign:. ' A. All 4 copies of the HMMP where flagged and indicated with a "X". 2. Please Return to RHL Design Group, Inc.: 34anaging Architect Associate B. "SHELL" copy. C. "FILE" copy. 3. File the "DEALER" copy at the station in your 'Green Book. HOWAR. D G. KIMUKA Architect ~ssociate This package must be returned to RHL Design Group, Inc. within 10 daYs of the above date. We have provided a self addressed stamped envelope for your convenience. RHL will forward' the · ~ "AGENCY" copy to Bakersfield Fire Department. c~.~s U.~WTOS Very Truly, Regional .¥lanager Associate RHL DESIGN GROUP, INC. Regional Manager A,o,iate Steven A. Skanderson Environmental Project Manager' EncloSures G ~. P.¥ M, Managing Architect Associate CC: H,S & E Assistant- Shell Oil Products Company. BLYTHE I~. W ILS~DN .¥lanaging Architeqt ' -' Associate B ELLEyUE', WA LA HABR. A,'~ SACtl. AMENTO, CA SCOTTS. DALE, AZ . Bakersfie ire Department' - .... HAZARDOUS MATERIALS BUSINESS PLAN / INVENTORY 1997 CERTIFICATION FORM Business Name: California Shell Owner/Operator Name: Livengood, Inc. Phone: 805 322-3122 *Business Address: 3623 CalifOrnia Avenue City: Bakersfield *State: 'CA Zip: 93309' Environmental Contact: H.S. & E. Assistant Phone: 510-675-6114 Mailing Address: P.O. Box 4023 " ,City:. Concord State: CA · 'Zip: 94524 BIENNIAL REVIEW AND RECERTIFICATION: I certify that the Business Plan has been reviewed and the information contained in it is accurate and complete as of the date below. ~ I certify that I have review the previously submitted Business Plan and have updated the following items on the attached pages. Emergency contacts,names and/or phone numbers. __ Site/Facility map. ~ Other Updates: ANNUAL INVENTORY UPDATE: (, Inventory Forms are correct for the upcoming reporting year.. NO changes are necessary. __ Inventory Forms, required updating. Replace previous inventory with attached inventory. I certify under penalty of law, that I ha~/e personally'examined .and I am familiar with the information submitted in this and 'all attached documents, and based on my inquiry of those individuals responsible for obtaining the information, I believe that the submitted information is true, accurate and complete. (TYpe or Prj,Q/t) . F:X.H AZMAT\SH ELL_EB\FORM S\9 7 C ERT.M RG .. APPENDIX A ; CaliforniaB~us~ness & Owner/Operator Identification-Page · CALENDAR YEAR BEGINNING (1 .1/1/97 ENDING (2) 12/31/97 (3) PAGE 1 OF II BUSINESS NAME (4) California.Shell I BUSINESS 'PHONE:(5) I 805 322-3122 SITE ADDRESS (6) 3623 California Avenue CITY (7) Bakersfield STATE (8) I' .CA I ZIP (9) 93309 DUN & (lO) 36-467:0372 SIC CODE (4 DIGIT#) '(ll) 5541 7538 BRADSTREET 5411 OPERATOR' (12) Livengood, Inc. OPERATOR PHONE '(13) 805 322-3122. NAME OWNER INFORMATION OWNER MAILING'ADDRESS (16) 3623 California Avenue I CITY (17). Bakersfield STATE (~8) ZIP (~9) 93309 ENVIRONMENTAL CONTACT coNTACT NAME (2?) Shell HS&E Assistant CONTACT PHONE (21) I (510) 675-6114 MAILING ADDRESS . (22) I P.O. Box 4023 CITY (23) Concord STATE (24) ZIP (25) 94524 , Primary EMERGENCY CONTACTS Secondary NAME: (26) Bill Hilterbran NAME: (31) Frank Ouercia TITLE: (27) . Manager TITLE: (32) Manager BUSINESS PHONE: (28) 805 322-31 22 BUSINESS PHONE: (33) 805 831-5151 24-HOUR PHONE: (29) · 805 588-0352 24-HOUR PHONE: (34) 805-398-8997 , PAGER#:(30)I PAGER#:(35)I ACUTELY HAZARDOUS MATERIALS (AHM) ON SITE AHa (36)I [] Yes [] No I If yes, and abOVedescriptionThresholdof thePlanningprocessQUantitieS'and principalattach a sheetequipment, of paper with a general ADDITIONAL LOCALLY COLLECTED INFORMATION 37) t Certification: I certify under penalty 'of law that I have personally examined and am familiar with the information s.u§mitted in this inventory and believe the information is true, accurate, and complete. Print Name Of Document Preparer (38) ]~l~Design Gr~gJal~, Inc. ' Signature of'Owner/Operator (39) . Date OES Form 2730(! 1/94) , ... ' APPENDIX C Galifornia Hazardous Material Inventory Form/Addendum- Ghemical Description Page [ (1) [] ADD E] DELETE I-i REVlSE ~j~,NOCHANGE I PAGE(2) BUSINESS NAME (4)I California Shell CHEMICAL. L~OCATION 151[ WEST SIDE OF LOT MAP# 16} 1 .. GRID# 171 t CHEMICAL NAME i81 PETROLEUM HYDROCARBONS' TRADE SECRET (11) COMMON NAME (91 UNLEADED GASOLINE 'EHS (12)I [-Iy I~N 'IF EHS BOX IS "Y" CAS # (lOl 8006-61-9 · ALL AMOUNTS MUST BE IN LBS 'FIRE CODE I-A: FLAMMABLE LIQUID HAZABD CLASSES" (13) · COMPLETE BLOCK (131 IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. PHYSICAL STATE. , (17) [] SOLID [] LIQUID [] GAS'I CURIES FED HAZARD [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES (18) STATE WASTE (19) UNITS (22,1 [] GAL [] CU FT I , MAX'DAILY AMT 123} 10000 CODEI [] LBS [] TONSI. DAYS ON SITE ' (20) 365 'If EHS, amounts must be in lb. AVG DAILY AMT (241 5000 LARGEST (21} 10,000 ANNUAL WASTE AMT (25) CONTAINER STORAGE (261 [] ABOVE GROUND TANK [] CAN. [] BOX' [] TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] Other... [] PLASTIC/NONMETALLIC DRUM [] BAG [] TOTE BIN PRESSURE (27) [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT STO RAG E I STORAGE ' (28) [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC TEMPERATURE I (29) %WT (30) HAZARDOUS COMPONENTS 1311 EHS (32) CAS# 1. < 15.0 METHYL TERT BUTYL ETHER ' [] Y [] N 1634044 2. < 6.5 TOLUENE [] Y [] N 108883 3. ~ 4.6 XYLENE [] Y [] N 1330-20-7 '4. []Y []N 5. []Y []N ~331 ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) F:\HAZMAT\SHELL_EB\FORMS~STATEINV.MRG APPENDIX C California Hazardous Material Invent°fy Form/ ddendum- GhemiCal Description Page · I1) _~ ADD [] DELETE[] REVISE ~NO CHANGE. PAGE (2} OF (3) BUSINESS NAME '(4) CalifOrnia Shell CHEMICAL LOCATION (5) WEST'SIDE OF LOT · MAP// .(6, 1 : I . GRID// (7)I DS CHEMICAL NAME (8) PETROLEUM HYDROCARBONS TRADE SECRET (11) .[]Y []N ' COMMON NAME (9) SUPER UNLEADED GASOLINE 'EHS (121 []Y []N CAS # IlOl 8006-6.1-9 'IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS FIRE CODE I-A FLAMMABLE LIQUID HAZARD CLASSES' (13) · *COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. TYPE FED HAZARD [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES (18) STATE WASTE (19) UNITS (22).l [] GAL [] CU FT I MAX DALLY AMT (23) 10000 CODEI [] LBS [] TONS DAYS ON SITE (2ol 365 'If EHS~ amounts must be in lb. AVG DAILY AMT (24) 3500 LARGEST (21) 10,000 ANNUAL WASTE AMT (25j CONTAINER STORAGE (20~ [] ABOVE GROUND TANK [] CAN [] BOX [] TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING · [] SILO [] GLASS BOTTLE [] [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] Other... [] PLASTIC/NONMETALLIC DRUM [] BAG [] TOTE BIN PRESSURE (27) [].AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT STORAGE STORAGE (28) [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC TEMPERATURE 129) %V~T · 1301 HAZARDOUS COMPONENTS (31) EHS (321 CAS// 1. < 15.0 METHYL TERT BUTYL ETHER [] Y [] N 1634044 2. < 14.0 'TOLUENE [] Y [] N 108883 3. < 8.8 XYLENE [] Y [] N 1330-20-7 4. []Y []N 5. []Y []N (33) ADDITIONAL .LOCALLY COLLECTED INFORMATION QES Form 2730(11/94) V:mAZMATXm~LL EB\FORMSXSTATEINV.MRG 'APPENDIX C California Hazardous Material Inventory Form/Addendum- Chemical Description Page (11 [] ADD [] DELETE [] REVISE ~Z~NO CHANGE PAGE 12) OF (3) . BUSINESS NAME , (4) California Shell CHEMICAL LOCATION -(5) WEST SIDE OF LOT MAP# (61' 1 '. GRID# (7)I DS. CHEMICAL NAME (81. PETROLEUM HYDROCARBONS TRADE SECRET (111 []Y COMMON NAME (el UNLEADED GASOLINE (89 OCTANE)' 'EHS 1121 r-ly []N CAS # (lOl 8006-61-9 'IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS FIRE CODE I,A FLAMMABLE LIQUID HAZARD CLASSES" (13) *COMPLETE BLOCK {13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. TYPE ~' (14~ [] PURE [] MIXTURE [] WASTE I RADIOACTIVE (15)I [] Y, [] N 1(16) I PHYSICAL STATE (171 [] SOLID [] LIQUID [] GAS cURIES FED HAZARD [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES (18) STATE WASTE (19) · UNITS (22) [] GAL [] CU FT MAX DAILY. AMT (23) 10000 CODE [] LBS [] TONS DAYS ON SITE (201 365 "If EHS,' amounts must be in lb. AVG DAILY AMT (24) 3500 LARGEST 121) 10,000 ANNUAL WASTE AMT (251 CONTAINER STORAGE (26) [] ABOVE GROUND TANK [] CAN [] BOX [] TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAlY CAR [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] Other... [] PLASTIC/NONMETALLIC DRUM [] BAG [] TOTE BIN PRESSURE (27) [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT STORAGE STORAGE (28) [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC TEMPERATURE ~ -. [29) %WT ' {30) HAZARDOUS COMPONENTS (311 EHS (321 CAS// 1. <' 15.0 METHYL TERT BUTYL ETHER [] Y [] N 1634044 2. < 9.5 TOLUENE [] Y [] N 108883 3. < 6.3 XYLENE [] Y [] N 1330-20-7 4. []Y [~N 5. []Y []N (33) ADDITIONAL LOCALLY COLLECTED INFORMATION OES .Form 2730(11/94) . ' F:\HAZMAT\SHELL EB\FoRMb~STATEINV. MRG APPENDIX, C California Hazardous Material InVentory Form/Addendum- Chemical Description Page (1) ~ ADD [] DELETE D REVISE [~,NO CHANGE PAGE (2) BUSINESS NAME (4) [ California Shell ! CHEMICAL LOCATION (5) IN STORAGE ROOM CHEMICAL NAME (8) PETROLEUM HYDROCARBONS TRADE SECRET Ill) []Y []N COMMON NAME (91 MOTOR OIL' 'EHS (12) []Y []N CAS # (lO~ 64742-65-0 'IF EHS BOX'IS "Y" ALL AMOUNTS MUST BE IN LBS FIRE CODE III-B COMBUSTIBLE LIQUID HAZARD CLASSES' (13) *COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. TYPE (14) Fl PURE [] MIXTURE [] WASTE RADIOACTIVE (15)I [] Y [] N 1(16, PHYSICAL STATE (17) [] SOLID [] LIQUID [] GAS CURIES FED HAZARD [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES (18) STATEWASTE (191 UNITS(22) I[]GAL []CUFT I MAX DAILY AMT (23) 150 CODE [] LBS [] TONS DAYS ON SITE (2o) 365 'If EHS, amounts must be in lb. AVG DAILY AMT (24) 100 LARGEST (21) QUART ANNUAL. WASTE AMT (25) CONTAINER STORAGE (20} [] ABOVE GROUND TANK [] CAN [] BOX [] TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] Other,., ~ [] PLASTIC/NONMETALLIC .DRUM [] BAG [] TOTE BIN PRESSURE ' (27) [] AMBIENT· [] ABOVE AMBIENT [] BELOW AMBIENT · STORAGE STORAGE (28) [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC TEMPERATURE 12g) %WT (30) HAZARDOUS COMPONENTS (31) EHS (32) CAS# 1. > 70.0· DISTILLATES [] Y [] N 64742547 2. < 25.0 ADDITIVES [] Y [] N MIXTURE 3. < 5.0 SYNTHETIC BASE OIL [] Y [] N MIXTURE 4. .- []Y []N 5. , []Y [Z]N (33) ADDITIONAL LOCALLY COLLECTED INFORMATION OES.Form 2730(11/94) F:\HAZMAT\SI~ELL_EB\FORM S~STATEINV. M RG " AppENDIX C California Hazardous'Material InVentOry Form/Addendum- Chemical Descripl~ion Page BUSINESS NAME (4) California Shell : , ' CHEMICAL LOCATION (5)I sERvICE BAY ' ' ' ' ' , MAP// (6) ' 1 " ' "GRID// (7) J::::~ ~CHEMICAL NAME (e) LEAD/ACID BATTERY TRADE'SECRET (11) []Y []N COMMON NAME -(9) BATTERIES 'EHS (12) I-1y []N cAS// I1~) MIXTURE 'IF EHS BOX IS "Y" .' ALL AMOUNTS MUST BE IN LBS FIRE CODE -. CORROSI'VE HAZARD CLASSES" (13) ' *COMPLETE BLOCK {13! IF REQUESTED BY THE LOCAL FIRE CHIEF . RE~ER TO INSTRUCTIONS. I PHYSICAL STATE (17) [] SOLID [] LIQUID Fl GAS CURIES FED HAZARD [] FIRE [] REACTIVE [] pRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES (18) I STATE WASTE (19) . UNITS (22) [] GAL [] CU FT MAX DAILY AMT (23) 26 CODE [] LBS [] TONS DAYS ON SITE (2o) ~365 'If EHS, amounts must be in lb. AVG DAILY AMT (24) 18 LARGEST ~21) BATT ANNUAL WASTE AMT (251 CONTAINER · STORAGE (26) r-I'.ABOVE GROUND TANK [] CAN [] BOX [] TANK wAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] BATTERY .. ~ [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] Other... [] PLASTIC/NONMETALLIC DRUM [] BAG [] TOTE BIN · PRESSURE 127) [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT STORAGE ', STORAGE (28) [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC 'TEMPERATURE I (29) %W'T (30) HAZARDOUS COMPONENTS (31) EHS (32) CAS# 1. 31 LEAD DIOXIDE- , . [] Y [] N 1309-60-0 2. 34 SULFURIC ACID [] Y [] N 7664-93-9 '3. .34 LEAD '[] Y [] N .7439-92-1 4. []Y []N 5. ~]Y []N (33) ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form '2730(11/94) F:\HAZMAT\SHELL:EB\FORMSS.ST,~TI~INV. MR( .. APPENDIX C - California Hazardous Material Inventory Form/Addendum- Chemical Description Page BUSINESS NAME (4! California Shell CHEMICAL LOCATION (5) SALES AREA MAP// (6) 1. GRID// (7)I F~ CHEMICAL NAME ('8) CARBON DIOXIDE TRADE SECRET (11) []Y []N COMMON NAME (9) CARBON DIOXIDE 'EHS CAS # (lO) 124-38-9 -. 'IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS FIRE CODE COMPRESSED GAS HAZARD CLASSES · (13) *COMPLETE BLOCK {13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. TYPE (14) [] PURE [] MIXTURE [] WASTE RADIOACTIVE (15)I [] Y ~ N I (16) PHYSICAL STATE (17) [] SOLID [] LIQUID ~ GAS CURIES FED HAZARD [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES (18) STATE WASTE (19) [ UNITS (22)I [] GAL [] CU FT MAX DALLY AMT (23) 348 CODE I [] LBS [] TONS DAYS'ON SITE (20) 365 'If EHS, amounts must be in lb. AVG DAILY AMT (241 174 LARGEST (21) 174 ANNUAL WASTE AMT (25) CONTAINER STORAGE (26) [] ABOVE GROUND TANK [] CAN . [] BOX [] TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] Other... [] PLASTIC/NONMETALLIC DRUM ' [] BAG [] TOTE BIN PRESSURE (27)' [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT STORAGE STORAGE (28) [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC I TEMPERATURE (29) %W-[' {30) HAZARDOUS COMPONENTS (31) EHS {321 CAS// 1. 100 CARBON DIOXIDE [] Y ~'N 124-38-9 2. []Y ,~N 3. []Y ~N 4. []Y ~N 5. []Y .'~N 1331'ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) F:\HAZMAT\SHF. LL_EB\FORM~STATEINV.MRG ~ APPENDIX C · California Hazardous Material'Inventory Form/Addendum-Chemical Description Page I1) [] ADD [] DELETE [] REVISE I;~.NO CHANGE PAGE 12} OF 13) BUSINESS NAME . 141 California Shell CHEMICAL LOCATION (5} WEST SIDE OF SERVICE BAY CHEMICAL .NAME ' (8) PETROLEUM HYDROCARBONS TRADE SECRET (111 []Y ~]N COMMON NAME (91 USED MOTOR OIL "EHS (121 []Y: CAS # (101 800-20-59 'IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS FIRE CODE - . III-B COMBUSTIBLE LIQUID HAZARD CLASSES' (13) *COMPLETE BLOCK (13)IF REQUESTED BY THE LocAL FIRE CHIEF'- REFER TO INSTRUCTIONS. TYPE (14) [] PURE [] MIXTURE [] WASTE RADIOACTIVE (15} PHYSICAL STATE (17} [] SOLID [] LIQUID [] GAS CURIES FED HAZARD [] FIRE .E3 REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES (18) STATE WASTE (19) 221 UNITS (22}] [] GAL [] CU ET I MAX DALLY AMT (23) 550 CODEI [] LBS [] TONS I DAYS ON SITE (20} 365 'If EHS, amounts must be in lb. AVG DAILY AMT (24) 250 LARGEST (21i 550 ANNUAL wASTE AMT {25} 1000 CONTAINER STORAGE (26) [] ABOVE GROUND TANK [] CAN [] BOX [] TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING '[] SILO [] GLASS BOTTLE [] [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE '[] Other,.. [] PLASTIC/NONMETALLIC DRUM [] BAG [] TOTE BIN / PRESSURE ~(27) i [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT STORAGE I STORAGE (28) 1 [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC TEMPERATUREI ' (291%WT '(30) HAZARDOUS COMPONENTS (31} EHS (32l CAS'# 1. 100.0 'USED OIL [] Y [] N 800;20-59 2. []Y []N 3. []Y []N 4. []Y []N 5. []Y []N (33) ADDITIONAL'LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) F:X~Z~C~S~ELL EB\FORMSkSTATEINV.MRG - APPENDIX C California Hazardous Material Imtentory Form/ ddendum- Chemical Description Pa§e '(1)~ADDE3DELETE[]REVISEE~OCHANGEI. , .. PAGE(2) OF (31 [ 'lI BUSINESS NAME 141 California Shell MAP# 1 CHEMICAL NAME (8) ETHYLENE GLYCOL TRADE SECRET (111 r-ly []N COMMON NAME (91 USED ANTIFREEZE 'EHS (12) i-'ly []N CAS # '(10) 107-21-1 'IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS. FIRE CODE N/A HAZARD CLASSES'. (13) , . I ' '*COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CRIEF - REFER TO INSTRUCTIONS.' TYPE (14) [] PURE [] MIXTURE [] WASTE I RADIOACTIVE (15)J [] Y [] N I PHYSICAL STATE (171 [] SOLID [] LIQUID [] GAS : C'URIES FED HAZARD [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES (181 STATEWASTE {19) 343 UNITS(22) I[]GAL []CUFTI MAX DAILY AMT (23, t55 .CODE . [] LBS [] TONS DAYS ON SITE (2o! 365 'If EHS, amounts must be in lb. AVG DAILY AMT (24) 30 LARGEST {21) 55 ANNUAL WASTE AMT ~251 100 CONTAINER STORAGE (2el []' ABOVE GROUND TANK [] CAN [] BOX [] TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] Other,.. [] PLASTIC/NONMETALLIC DRUM [] BAG [] TOTE BIN PRESSURE (27) [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT STORAGE STORAGE 1281 [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC TEMPERATURE I 129) %WT 130l HAZARDOUS COMPONENTS (311 EHS (32~ CAS# 1. 100.,0 USED ANTIFREEZE [] Y [] N 107-21-1 2. " []Y 3. [] Y'IXI N 4. []Y []N 5. · r-ly I~N (33).ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) F:\HAZMAT~SHELL_EB\FORMS~STATEINV.MRO .... APPENDIX C California Hazardous Material Inventory Form/Addondum- Chemical Description Page. (ilI-]ADDI~ DELETE[~-REVlSE[~NOCHANGEI PAGEI2I [ 10 OF (31 1.. BDSINESS NAME {4} Caldomia Shell- CHEMICAL LOCATION ~5} SEBVICE BAY MAPg (6} 1 'l GRiD~ (7, J~. CHEMICAL NaME {8~ P~ROLEUM HYDROCARBONS TRADE SECR~ {1~ DY ~N COMMON NAME (gj USED OIL fiLTERS 'EHS {~2~ ~Y ~N CAS ~ (lOj 800-20-59 'if EHS BOX iS "Y" ' ALL aMOUNTS MUST BE IN LBS fIRE CODE Ill-B: COMBUSTIBLE lIQUID hAZARD ClaSSES' *COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS.' .., PU.= ,XTURE WAS = I RADIOACTIVE ,,., I y u I'""''1 I PHYSICAL STATE (17) g SOLID Z LIQUID ~ GAS CURIES FED HAZARD ~ FIRE Q R~CTIVE E PRESSURE REL~SE ~ ACUTE H~LTH ~ CHRONIC H~LTH CATEGORIES (~ 8) STATE wASTE. (~9} 223 "UNITS (22) J ~ GAL ~ CU FT MAX DAILY AMT (23) 200 CODE .J ~ LBS .~ TONS DAYS ON 'SITE {20) 365 'If EHS, amounts must be in lb. AVG DAILY AMT i24) 50 LARGEST ~2~) 55 ANNUAL WASTE AMT (25) 600 CONTAINER STORAGE (26) ~ ABOVE GROUND TANK ~ CAN ~ BOX ~ TANK WAGON CONTAINER ~ UNDER GROUND TANK ~ CARBOY ~ CYLINDER ~ RAIL CAR ~ TANK INSIDE BUILDING g SILO g G~SS BOTTLE ~ STEEL DRUM ~ FIBER DRUM ~ P~STIC BOTTLE ~ Other... ~ P~STIC/NONM~ALLIC DRUM ~ BAG ~ TOTE BIN PRESSURE (27) ~ AMBIENT ~ ABOVE AMBIENT ~ BELOW AMBIENT STORAGE STORAGE (28) ~ AMBIENT ~ ABOVE AMBIENT ~ BELOW AMBIENT ~ CRYOGENIC TEMPERATURE {29) %~ (30) HAZARDOUS COMPONENTS (31) EHS {321 CAS~ 1. 100.0 USED OIL FILTERS ~ Y ~ N 800-20-59 2. ~Y ~N 3. ~Y ~N 4. ~Y ~N 5. ~Y ~N 1331 ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) F:\FtA7_aMAT~SHELL_EB\FORMS~STATE1NV.MRG APPENDIX'C California Hazardous Material Inventory. Form/Addendum- Chemical Description Page BUSINESS NAME (4) California Shell CHEMICAL LOCATION (5) NEXT TO TRASH ENCLOSURE MAP# ,6, '1 '- I GRID# (7, I D"7 I I CHEMICAL NAME (8} LEAD\ACID BATTERY TRADE SECRET (11) I~y COMMON NAME (9} USED BATTERIES . 'EHS (12) r-ly CAS # (lO) MIXTURE , "IF EHS BOX IS "Y~ ALL AMOUNTS MUST BE IN LBS FIRE CODE' CORROSIVE HAZARD CLASSES' (13) '*COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. PHYSICAL STATE (17) [] SOLID [] LIQUID [] GAS CURIES FED HAZARD' [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES (18)' STATE WASTE (19} 162 UNITS (22) [ [] GAL .Fl CU FT MAX DAILY AMT (23) 4 CODE 'I ·Fl LBS [] TONS DAYS ON SITE (20) 365 I 'if EHS, amounts must be in lb. AVG DAILY AMT (24) 2 LARGEST (21) BATTERY ANNUAL WASTE AMT (25} 100 CONTAINER STORAGE (26) Fl ABOVE GROUND TANK [] CAN [] BOX Fl TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER Fl RAIL CAR [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] BATTERY [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] Other... [] PLASTIC/NONMETALLIC DRUM [] BAG Fl TOTE BIN PRESSURE (27) [] AMBIENT Fl ABOVE AMBIENT -[] BELOW AMBIENT STORAGE STORAGE (28} [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT Fl CRYOGENIC TEMPERATURE 129) °,/oVVT (30) HAZARDOUS COMPONENTS (31) EHS (32.) CAS# 1. 31 LEAD DIOXIDE [] Y [] N 1309-60-0 2. 34 SULFURIC ACID [] Y [] N 7664-93-9 3. 34 LEAD [] Y [] N 7439-92-1 4. []Y [Z]N 5. '[]Y r~N (33) ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(.11/94) F:\HAZMAT\SHELL_EB\FORMS~STATEINV.MRG EMERGENCY RESPONSE PROCEDURES In the event of a fire, spill, or a leak or suspected leak in the tanks and/or piping, the following steps are to be taken as applicable: 1. TURN OFF PUMPS using the Emergency Pump Shut-Off Switch. 2. EVACUATION: If there is any immediate danger, ANNOUNCE to all persons on the site: "There is an emergency. Please turn off your engines and leave the station on foot immediately. 3. . CALL FOR HELP in case of an emergency by dialing 9-1-1 and giving the following information: "THERE IS A FIRE/ GASOLINE SPILL at the SHELL station at 3623 California Avenue." If anyone is trapped or needs medical attention, tell the answering dispatcher. Stayon the phone and be prepared to answer any questions concerning the situation. 4. LOOK AROUND to assure that all others have left the station if necessary, particularly those in vehicles who may need assistance °r may not have heard the emergency announcement. Assist, or direct assistance to, anyone having difficulty leaving the station area, and anyone,who may be injured. 5. ATtEMpT TO EXTINGUISH any small or incipient fire if you can do so safely. Have the fire extinguisher ready to use in the event of any spill. Try to contain any large spill, or use absorbent on smaller spills. 6. . REPORT to arriving emergency response personnel to provide them with any information or assistance they might need. 7. CONTACT the station dealer if s/he is not already at the station. Use the list below for emergency contacts: 1. Name/Bus Phone/Home Phone: Bill Hilterbran /805 322-3122 /805 588-0352 2. Name/Bus Phone/Home Phone: Frank 0uercia /805 831-5151 /805-398-8997 8. NOTIFY your SHELL OIL District Engineer by phone WITHIN 24 HOURS A. SHELL OIL District Engineer:Brett HovlandPHONE NUMBER:(510) 675-6149(days) (510)756-7022 (home) You must mail a completed Unauthorized Release Report to SHELL within 24 hours. SHELL will notify, the. appropriate State and Local agencies unless the situation requires urgent immediate response by the agencies, in whiCh Case the DEALER should notify these agencies: B.' LOCAL AGENCY: Bakersfield Fire Department PHONE NUMBER: 805 326-3979 C. CALIFORNIA OFFICE OF EMERGENCY SERVICES, (800) 852-7550 (24 HOURS) D. Submita follow-up Spill Notification to the State Office of Emergency Services. These agencies must be notified within 24 hours of release detection. 9. Dealer should attempt to' isolate leak location by inspection. 10. SHELL will coordinate whatever'corrective actions need to be taken beyond the Dealer's capabilities. SHELL will file whatever reports need to be filed with local and state agencies, and send a copy to the station for the Dealer's files. 11. RE-ENTRY: If evacuation has occurred and emergency responders have been called, re-entering this facility should take place with extreme caution and only under the direction of the senior emergency responder on site and Shell engineers. THESE EMERGENCY RESPONSE PROCEDURES MUST BE FILLED OUT AND POSTED CONSPICUOUSLY ON SITE ALONG WITH THE ATTACHED SITE PLAN · 3/31/97 : 1997 HMMP SUPPLEMENT WIC#: 0462-2397 Livengood, Inc. California Shell 3623 California Avenue , Bakersfield ' , CA 93309 SITE PHONE:805 322-3122 EMERGENCY CONTACT PERSONNEL FIRST CONTACT: Bi[[ Hi[terbran Manager ISECOND CONTACT: Frank Quercia Manager 9401 Southwick Drive, Bakersfield 93312 ] 25 Williams Ave ~D, Bakersfield 93309 DAY PHONE:805 322-3122 24-HOUR PHONE:805 588-0352 I DAY PHONE: 805 831-5151 24-HOUR PHONE: 805-398-8997 EMERGENCY EQUIPMENT LOCATIONS PUMP SHUT-OFF: NORTH/FRONT EXTR BLDG WALL ELEC. SHUT-OFF:* 'EAST INTR SERVICE BAY*WALL WATER SHUT-OFF: IN SIDEWALK ALONG REAL ROAD GAS SHUT-OFF: HONE FIRE EXTINGUISHER: 4-SERVICE BAY FIRST AID KIT=' 1-CASHIER AREA, 1-UTILITY ROOM ABSORBENT M~TERIAL: SERVICE BAY TANK INFORMATION SIZE #TNKS MATERIAL SPLL OVFL TYPE MANUFACTURER YR REGULAR '~ 10,000 1 FG Y Y DW OWENS CORNING ~86 PREMIUM 10,000 1 FG Y -Y OW OWENS CORNING ~86 PLUS 10,000 1 FG Y Y DW OWENS CORNING '86 WASTE OI~ 550 1 FG Y Y DW OWENS CORNING ~86 PIPING CONTAINMENT: Single Wa[[ PIPING MATERIAL:FG TANK MONITOR : API-RONAN-TRS76 SPLL = OVER SPILL PROTECTION OVFL = OVER FILL PROTECTION DW = DOUBLE WALL. SW = SINGLE WALL FG = FIBERGLASS STL = STEEL CHEMICAL INVENTORY MAXIMUM AVERAGE LOCATION REGULAR 10000 5000 WEST SIDE. OF LOT PREMIUM 10000' 3500 WEST SIDE OF LOT PLUS 10000 3500 WEST SIDE OF LOT MOTOR OIL 150 100 IN STORAGE ROOM BATTERY 26 18 SERVICE BAY C02 .- 348 174 SALES AREA. '' WASTE INVENTORY (if any) ~ MAXIMUM AVERAGE THRUPUT LOCATION USED OIL 550 ' 250 1000 WEST*SIDE OF SERVICE BAY ANTIFREEZE' 55 . 30 100 SERVICE BAY OIL FILTERS 200· 50 600 SERVICE BAY BATTERY 4 2 100 NEXT TO TRASH ENCLOSURE LOCAL REPORTING AGENCY: Bakersfield Fire Depar~tment 2130 "G" Street, Bakersfield, Ca 93301 805 326-3979 ~-Geotechnical Specialists HAZARDOUS MATERIALS BUSINESS PLAN Presented by: I California Avenue Shell 3623 California Avenue m Bakersfield, California 93309 m I BM BH 157A B~I BH BH BH BH BH BM ~H BH BH ~!-~ ~'~ ~ i0~ ~ 105 ~ IO9 ~G' ~ t33 703~' T77- -13§-$90 I 1~2 103 440 1.064,000E 1.06~,000 ~ ~.070,000 E J.O 74 00~ ....I~0 ~q~O00~ --- },O~,~O~Oe - J,O ~lO,O00 ~ ~° l m Krazan ~ associates, inc. ! H~AZARDOUS MATERIALS . 'BUSINESS PLAN Presented to:.. Bakersfield City Fire Department by: California Avenue Shell 3623 California Avenue .Bakersfield, Calfornia 93309 ! ! Prepared by: . Krazan & Associates~ Inc. 3960 North Winery Avenue I Fresno~ California 93726 (209) 291-7337 I I I I ' CONTENTS I I I I BUSINESS PLAN Emergency Response Plan and Procedure I Hazardous Materials Training for Employees I' APPENDICES I Summary of Business plan Requirements i General Information and Employee Training Program Introduction to Material Safety Data Sheets (MSDS) I I. I I I I - "F"_; '. ' ' -? " ~,BAKERSFIELD CiTY 'FIRE DEPARTMENT .... · . "' '-. 2120' '.' G'' STREET . · , : . _,, BAKERSFIELD, CA 93301 .; ' - , .,..~ (sos)'~26,3970' ' ~' ' ~ -' ~ ',~-. ],': T' '" ' :' ' U [NESS'N~HE ' ' ' ": -~ ' H~R~()US , ~TERZ'-A~S · BUSI NESS PLAN AS A 'WHOLE FORM 2A INS~UCTIONS: ' 1. To avoid further .action, return this form by -. '~. 2..~PE/PR~NT ANSWERS IN ENGLISH. 3. Ans~er'~he'~uesr~o.ns belo~ goe' the bus~ness as a ~hole. ~. Be as br~e~ and concise as possible.- ' SECTIO~ 1: BHSI~SS IDE~IFIC~TIO~ A. BHSI~ESS ~E ' Cai ~f~rn~ a Avenue Sheli B~ coc~Tro~ / STREET ADBRESS: 36~.~ Ca,liforn~a gve. ..~ cI~: · gakers'f~ el d glP: 93309 . BUS.PHO~: ~05 ) ~731 rn CaSe of an e~ergenc~ invoiy~ng rhe~release o~ threatened ~elease o~ a hazardous ~a~erZal, 'call. 01~ and 1-800-852-7~0 or 1-01fl-427-4341. Th~s ~11 '~our loca~ ~re depar.rmenr and the State, Off,ce o~ Eme~genc~ Services as required · - E~PLOyEES TO ~OTIFY I~ C~SE OF ~A~ A~B'TrTLE B~I~G HRS. AFTER BUS. HRS. A. Rick. HoWard ~ .Ph~ (805)322-3122 Ph~ (g~6)~2g-9595 B. Sherri Hildebrand Ph~. (805)320-1 71 ~ Ph~ ggCTIO~ 3: ~OCATIO~ OF ~I~I~'S~-O~g FOR BDSI~SS AS A ~O~g A. ~AT. GAS/PROPANE: See page 3B .~ . B. gE~CTRIGAL: D. SPECIAg: ~.~ 'EF ~0CK BOX: YES / ~Q:' ~E~:YES'~LOCATIO~: ."' 'IF Y~S · DOES IT CO>iTA[X SI+'~ PCA~S? YES"/ >lO ~SDSS?'. YES / .... . -' '~FLOOR PLA~S? Y~S / ~O K~YS? Y~S ./ ~O '- . , . . ,.~. ,, , ': ,: - _ I . .~ LEE A'T~A'CHED EMERGENCY RESPONSE PLAN & PROCEDURES ' I . I SECT!O~ 5: LOCAL EMERGc,.~C~ MEDICAL 'ASSI~TANC~ FOR vOl~ ~US!NESS AS A WHOLE Mercy Hos-pital Bakersfield M.emorial Hospital I 2215 Truxtun Ave 420 34th St I Bakersfield ' Bakersfield .328-5275 "; 327-1729 I I I I SECTION 6: EMPLO~E ~INING EMPLCYERS ARE REQL'IRED T0 HAVE A.PROGRAMW, HIC.H' PROVIDES ~NPLOYEES WITH 'v~..~ .... .... r AND I I REFRESHER TRAINING IN THE FOLLOWING AREAS. . cIRCLE YEs OR NO , . ~N'iTIAL REFRESHER I A. .~ETHODS fOR SAFE HANDLING OF HAZ~RDO,S · I >LATER IALS: ....... ..: ..... : ....................... ~ N0 ~S7 PROCEDURES ~OR COORDINATING ACTIVITIES C. PROPER USE,O[, 'SAFETY EQUIP~EMT: ~'. .... .,...: .... ~'0 NO D a.'.ExGa.',C~ a~C~TiO., . ROLa~E2.S .... .............. 5;0 E.'DO YOU ,>LqINT.A[X EMPLOYEE TRAINING'RE~ORDS: ....... NO , NO I SECTION 7: HAZARDOUS ~ATERIAL - CIRCLE YES - - No~ ~ " DOES 'YOUR 3USI>~ESS HANDLE HAZARDOUS MATERIAL/IN QUANTITIEs LESS THA)~ 500 POUf:DS 0F~ SOLID 55 GALLONS,'OFzA, LIQUID OR 200 cUBIc FEET OF A COMPRESSED GAS: ......" {ES ~he..ne~.Califo~nia ~eal~h ~nd S~fe~7 code on ~zn~dous M~e~i~ls (Dlv. 20 Chap~e~ Sec. 25500 Et Al.-) and that inaccurate information COnstitutes perjury. I I BAKERSFIELD CITY FiRE .DEPART.XlENT - · ,.. ~ + 2130 ','G" STREET .. '. -' BAKERSFIELD, 'CA 93301 ' OF~FiCiAL' USE ONLY ID~ BUSIN£SS M.,\M£ :' " BUSI NEg,. ~L~N SINGLE F'ACI LITY UNIT. ,- FORM 3A INSTRUCTIONS' .. . 1 To avoid further ion, this form must be returned 2 .TYPE/PRINT. YOUR ANSWERS IN ENGLISH. .. o Alluwei~ the below for THE FACILITY UNIT LISTED BELOW' ..... questions 4 Be as ~R,IEF and CONC]SE as possible. ' ' " SECTION 1: MITIGATION~ PRE~NWION, ABATEMEN~ PROCEDURES .. I SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS L.~."iT ONLY I SEE' ATTACHED EMERGENCY RESPONSE PLAN & PROCEDURES SECTION 3: ItAZARDOU.S M:[TERIALS FOR-TttIS UNIT ONLY A. Does this Facility Unit contain Haza"rdoUs Materia!s? ...... NO If YES, see B. [f NO,. continue.wi'th. SECTION 4. I B. Are:any'of the hazardous materials a bona fide-Trade Secret YES If No, complete a-separate'hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form ~4A-1)' If Yes, complete a hazardous materials inventory forum marked: I . TRADE SECRETS ONLY (yellow form ~4A-2) in addition to the non'trade s'ecret form'. List only the trade secrets on form 4A-2. SECTION'4:' PRIVATE FiRE PROTECTION I Fire Extinguisher .in northeast Corner, southeast .corner and ~ southwest corner of'service bay. ' ' ~l SECTION 5: .LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONI)ERS Hydrant located at southeast corner of site I SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A.: NAT. GAS/PROP.-'\NE': I Natural gas shut-off located outside south Wa]] at rear of bui.ldi~ ng I B. ELECT'R[CA.L: . ~ Service panel i'ocated on east wall in service bay C. WATER: I Located on sidewalk f'ronting Real I D, SPECIAL' Emergency pump s'hut-off on north wall outside between I cashier's, window and bay doors~ · ~" IF YrS, LOCATION: E LOCK B)A: YES.,/ _ Binder. in' cashie'r.' S' booth .. F[.OOR PI. AXS? NO KEYS? YES / . ~,,.iii,:D:..~ ' BAKERSFIELD CITY FIRE DEPARTMENT - ' ' ' ' :: - Page ' NON ..'TRADE SECRETS ~" :~, ",'' HAZ'ARDOUS MATERI ALS I NVENT.ORY . . d~,v BUSiNEss 'NAME: Cal'ifnrnia AvenHe' Sh~l 1 OWNER .NAME: Del Li~in~§ FAC'ILI'TY UNIT ~: ..~DDRESS: 36'?3 £alifnrnia Ave. ADDRESS: 3623 CaT~'~-0~fi'-i~ e FACILITY :UNi-T NA~iE: 204046223 ,'t~ITY, ZIP: Bakersfield- CA q33.0q CITY,ZIP: Bakersfield CA 93T09 ' RHONE'· , .'~ ~'(8,05) 322-31 22· . PHONE #: {805)"589-39.90 . ]OFFI. C IAL:.ONLY_..'_,_ USE' CFIRS: [?PE ': MAX ANNUAL CONT USE [,OCATION. IN THIS % B'Y ' '-, ',' ' ' ,. , ':ODE: .AMOUNT AblOUNT UNIT CODE CODE ' FACILI.TY UNIT WT. CHEMICAL OR'COMM'0N'.NAME:, . " ".'~'0"D'E'-,__..~ ..... ~i ...... . ,' 'Center ,of West .... . ~ '-- . 10,000 350,00£ GAL O1 "19 Si'de of site q'O0 Shell Regular Gasoqline '~" FLLq .' · ,, ...., . . -. R..U. 2000 ., "~ 10.',000 ~00,00C GAL 01 19 .' "'"i. '" ' 100 -Regular Unleaded . . ,, .. . FLL.Q 1~01,0100' 300,00C GAL 01 19 " " 100''." Super U'nl,eaded ' . .":' FLLQ.., '!'~2.2i '.,' West of building in .. . ... 55'0 i',00C GAL 01 40 SW.corner Of si.te' i00 W~s't'e 0.il ~. . .. 0RME .- . Storeroom in rear } M'· '5'00' 2,00[ GAL lO 26~ of building 1'00 Motor Oil . CMLQ' )..M 100 50C GAL 10 26 " " 100 Transmission Flui'd .~!5 CMLQ ~M i00 75C GAL ]0 09 " " ]00 Anit-freeze' '~9 CMLQ' , SIGNATURE: EMERGEnCY.CONTACT: Rick Howard ' TITI, E: Manaqer PIt~'NE # BUS HOURS: 322-3122 . AFTER BUS HRS:- 325 9595 E. MERGENC'Y 'CONTACT: Sherri Hildebrand TITLE: Asst. Mana.qer . PHONE # BUS HOURS: 3'26-1714~ PRINCIPAl, BUSINESS ACTIVITY: AFTER ,BUS HRS: " KRAZAN & ASSOCIATES' INC I-Construction Testing and Inspection ~' Environmental Engin.ring Laboratory Soils Testing Monitoring Wells . BMg~GBNCY ~BSPONSB PLAN ~ P~oCBBu~B5 L i. Prevention: This s~a~ion incorporates several features which offer a reasonable level of pro~ec~ion ~g~ins~ a hazardous material release or spill. Features such as: emergency shu~-offs, vapor recovery, leak de~ec~ion systems, and approved ~anks and containers help ~o preven~ or minimize releases. Regular ~es~ing and certification of ~anks, produc~ lines and dispensers as well as inventory records are used' ~o verify ~he integrity of ~he fuel s~orage and delivery systems. 2. Reporting and Notification: ~ In ~he even.~ of a spill or release of a hazardous material, regardless of ' size, the event Will be reported 'immediately to the station's designated emergency response coordinator. The' coordinator will determine if t~e spill or release' is reportable to the appropriate emergency response agencies. Threatened releases will also be reported if it is determined that a significant threat to individual saiety, property or the environment.is present. If a release is determined to be reportable, this person will immediately .contact ~he emergency ~esponse ' agencies. The agencies and their telephone numbers are: 91'1 for Police, Fire Department & ,Medical 326-3979 for City 0f Bakersfield Fire Department Hazardous Materials Control Unit (~00) g~2-7~0 for _California Office of Emergency Service, warning center, or (916) ~27-~3~1 Main 0IIio~: Fresno/Clovis · 3860 N. Wine~' · Fresno, California 93726 · (209) 29~-7337 BakerMiel~ (80~) ~-~3 ~ Vis~lia (209) 625-825L ~ Merced The immediate reporting Shall 'include, asa 'minimum: I 1. the exac't location of, the release or thr'eatened release 2. the name of the person reporting the release. 3. the hazardous materials involved in the release , I 4. an estimate of the quantity of hazardous material involved; and 3, if knOwn, the pOtential hazards presented by the hazardous material involved in the release. ,I If the spill, release or threatened release is determihed to be minor, and therefore non-reportable, service station employees will immediately commence clean-up and containment of the spill or release, and carry out all necessary action to mitigate the release in accordance with standard service I station procedure. These Procedures include but not limited to mop-up are use of an appropriate absorbant and/or cleaner on spills of 'gasoline, oils, I solvents,, etc. ' Coincident with reporting, employees with emergency response training i will take whatever measures are appropriate to assist the emergency response agency .and offer the benefit of their knowledge of the station and its contents. ~. Evacuation: Should it beCome necessary to evacuate the station, the order will be I given verbally to evacuate to off-site location indicated on site diagram. I 5. Medical Assistance: All employees in need of medical assistance should be transported to I Mercy Hospital or Bakersfield Memorial Hospital. If the injury involves exposure to a hazardous material, a copy of the appropriate Material Safety I Data Sheet (MSDS) shall accompany the effected person to the hospital., I 6. Additional InfOrmation: I Telephone numbers for Emergency Response agencies and applicable MSDS's are located in the ~ashier's station. ' I KRAZAN & A-SSOCIATES, ,INC. I Constructi°n Testing and Inspection Geotechnical Investigations Environmental Engineering Laboratory Soils Testing , - I* Monitoring Wells I I HAZARDOUS MATERIAL TRAINING FOR EMPLOYEES · 'l l) Alt employees will be trained in the contents of the Business Plan, Emergency Response Plan and Procedures (ERP&P), and Material Safety Data I Sheets (MSDS). I 2) All training will be documented by employee's signature on a training session sign up sheet. This record of training will be maintained by Station Man'ger. I 3) New employees will be trained on Hazardous Materials Emergency Response i Procedures prior to working with hazardous substances. #) Employees-who handle hazardous materials will be trained in the safe I ' handling of hazardous material, and appropriate emergency response actions. 5) Employees will receive training on the location and proper use of on-site I emergency response equipment. 6) Personnel responsible for incident reporting will receive special training with regard tO the reporting of releases or threatened releases of hazardous materials as described in the ERP&P. 7) Refresher training will be done on an annual basis and will encompass all aspects of the Business Plan, ERP&P, MSDS,~ and all facets of training listed above. Main Office: Fresno/Clovis · 3860 N. Winery · Fresno, California'93726 .' (209) 291-7337 I Bakersfield (805) 393-2343 [] Visa/ia (209) 625-8251 [] Merced (209) 383-3993 BUSINESS PLAN REQUIREMENTS SHELL OIL SERVICE STATIONS (City Of Bakersfield Fire Jurisdiction) · Service station businesses are required by law to provide hazardous material information (Business Plans) to local health and safety agencies. FOllowing is a brief outline of City of Bakersfield Fire Department requirements. 'The Complete business plan Includes the Following Forms · Hazardous Materials Business Plan (FormS 2A and 3A) · Hazardous Materials Inventory (Form 4A-1) · Site Map' and Facility Diagram (Form 5) Hazardous Materials to be Registered Include: · Gasoline, solvents, and waste oil, in quantities at or above 55 gallons Business Requirements - Initial Compliance .. · File Plan within 30 days of notification from City of Bakersfield Fire Dept. - File one copy with Fire Department -'Fees: Sliding scale, billed after submittal · Copy of Plan to be kept at.business · Copy of Material Safety and Data Sheet to be kept at business · Conduct and document Employee Safety Training -New emPloyee hazardous material handling ~ -New emploYee emergency response training -Annua! refresher Business requirements- Continued. Compliance · Bi-annual Business Plan review · Annual HazardousMaterial Inventory Form update · 30-day notification of major changes in business activity - 100% increase in volume of regulated material - Storing a new regulated material - Change of business name, address, ownership or emergency contact person; or business closure Other business operation changes 'Release Reporting Procedures · Must report significant releases immediately to' - City of Bakersfield Fire Department - California Office of Emergency Services 800-852-7550 - Local fire department ~ Must provide access 'for emergency response personnel~ . Please Note: This business plan requirement summary .was derived from City of Bakersfield Fire Department Guidelines and business plan forms distributed June, 1988 and is not meant as a substitute for these guidelines. For'more detailed information, please refer to'the specified guidelines, and forms. [KRAZAN & ASSOCIATES, INC, Geotechnical Investigations Environmental Engineering i Laboratory Soils Testing Monitoring Wells INTRODUCTION ! In 1985, the California Legislature enacted Assembly Bill 2185, the 'I Hazardous Materials Release Response Plans and Inventory Law. It became effective immediately ,when Governor Deukmejian signed the bill on September I' 28, 1985. In 3anuary of 1986, the California Office of Emergency Services (OES) I issued-emergency regulations that, in conjunction with AB 2185, requires handlers of hazardous materials to report releases or threatened releases to the local administrative agency and the OES. Provisions of AB 2185 require every ~ I county to designate an administrative agency to implement a hazardous materials program. In some counties, certain cities 'have assumed authority f°r I their own programs. I BUSINESS PLANS I In addition to the reporting of a release or threatened release of a hazardous material, businesses that handle hazardous materials are required to I submit a business plan. The business plan consists of: 1) Specific details of the business, including ownership, address, description of business, and 2#-hour emergency contact information for the I business. 2) An inventory of the hazardous materials on site. I 3) ~ site plan of the business 4)' Emergency response procedures in the event of a release or I threatened release of a hazardous material Main Oflioe: Fresno/Olovis · 3860 Iq. Winery · FreSno, California 95726 * (209) 291-7537 Bake/slield (80~) $98-2~4~ [] Visalia (209) 625-82~I [] Merced (209) 5) Procedures'~ for immediate notification of releases to the administrative agency and OES 6) Procedures for the mitigation, minimization, prevention, and abatement of a hazard resulting from a release 7) Evacuation plans and Procedures for the business site 8) Training for employees Who handle hazardous materials to include the safe handling of such materials and proper emergency response procedures in the 'event of a release or threatened release Who must file Any business which handles a quantity of'a hazardous material a't any one time during the reporting-year equal to at least a total weight of 500 pounds or a total volume of 55 gallons, or 200 cubic feeet~ of a compressed gas at standard temperature and pressure (STP). HAZARDOUS MATERIALS According to the definition given in AB 2185, "'Hazardous material' means any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present,, or potential hazard to human health and safety or to the environment if released into the workplace or the environment..." 'EMPLOYEE TRAINING Businesses that handle hazardous materials, and are not exempt from filing a Business 'Plan, must provide and document employee training in' safety prodecures in handling hazardous materials and in the event of a release or threatened release .of a hazardous material.. Training should be undertaken a soon as possible for existing employees and before any new employees handle any hazardous material. Employee training must be documented and~ signed by the employee. This documentation should be maintained by the station manager and should be made available in the event the administering agency conducts an !nspection. (2) Training must include, but need not be limited to: I. Methods of safe handling of hazardous materials. Several sections of the -I Material Safety Data Sheets (MSDS)'pertain to the safe handling of hazardous materials. It is recommended that the employee reads a representative sample of MSDS's (i.e., those corresponding to, the products on site). The appropriate I OSHA Hazard Communication Program also will satisfy training requirements of the business plan. ~ 2. P~ocedures for coordination with local emergency a~encies. The station I manager or a designated emergency response coordinator (ERC) should be on duty during all business hours. If it is likely that only one person is on duty at I any time, that person should be a designated ERC and should undergo the appropriate training, It is the responsibility of the ERC to determine if the release or threatened release is reportable. Please note that, according to California Administrative Code, Title 19, I SectiOn 2703: "Immediate reporting shall not be required if there is :.." I reasonable belief that the release or threatened release poses no significant present or potential hazard to human health and safety, property, or the environment." I This definition of a reportable-release is fairly broad and the ERC should' exercise caution in his/her determination as to whether a release is reportable. ' I 3.' Use of on,site emergency response equipment and Supplies. If, in the event I there is a release of a hazardous material, and the ERC has determined the release to be minor and .therefore does not warrant reporting, the ERC will I direct employees to commen.ce cleanup and containment. Proper equipment and supplies for this action are outlined in the correct MSDS. Emergency equipment and supplies for a gasoline sta~:ion include, but are not limited to: fire I .extinguishers, absorbants, neutralizers, sand, and underground tank leak detection ~monit0rs. Also included should be personnel protective and safety I (3) I equip~nent such as gloves, safety glasses, face shield, and first aid kits/first aid I stati°n'. I 4. 'The business F-mer~ency Response Plan and Procedures. All employees should be familiar with the contents of' the Business Plan. The employee should i r ead and understand the Emer§ency Response Plan and Procedures, MSDS, ,and all other aspeqts of the Business I I I I I (4) I KRAZAN & ,ASSOCIATE'S, IN C. Geotechnical Investigations · , ~,~ Environmental Engineering Laboratory Soils Testirfg MATERIAL SAFETY DATA SHEETS (MSDS) Mater'ial Safety Data sheets (MSDS) are a valuable tool in hazardous material handling. A considerable amount of information is contained in the MSDS. Of particular importance to the Service station employee are: 'Section III Health Information Section V Emergency & First Aid Procedure. Section VIII Fire & Explosion Hazard Section X Employee Protection 'Section XI Environmental Protection Section XII Special Precautions It is recommended that all employees who handle hazardous materials (e.g., gasoline, 0il, waste oil) beCome familiar with the Business Plan) Emergency Response Plan & Procedures} and MSDS. A copy of these items .should be placed in a-conspicuous location, accompanied by the names and telephone numbers of the appropriate emergency, response agencies. Main Olfioo: Fresno/GIovi$ · $860 N. Winery · Fresno, Oalffornia ~$72~ *. (20~) 2~-?$~7 Bakersfield (805) ~-254~ [] Visalia (20~) ~25-825~ [] Morced (20~) ROBERT. H. & ASSOCIATES INC. , ARCHITECTURE PLANNING ENVIRONMENTAL SERVICES · II37.NoRT~ McD0w~.t B~.v~., l~rA~, CA 94954-1110 MAn. mo A~Dm~SS: P.O. Box 750908 P~r,o. tr~& CA 94975 Pn0~m 707-765-1660 .- FAX 707-765-9908 Voxc~ MA~ 707-765-2344 Co-President Arclfitect Co-President California Shell ~o~ n. mc~s 3623 California Avenue Archite~t ,&, ~,~d~, Bakersfield, CA 93309 A~t~ ellgood, Inc.: Vice President z~s n. ~v Attached is the Hazardous Materials Management Plan (I-IMM. P) Certification for your facility. This certification is an addendum to your current HMMP. Please place this document in your BRUCE ~. GREENFIELD A,=~,~ Green Book WITH your current HMMP. Assoc~te Associate CHRI~ LAWTON A~sodate The "DEALER" copy should be maintained in your Green Book, and available to all employees ~s~SA,~=e '~' e~srr~ and agency personnel at any time. GARY M. SEMI.ING A~e A. All 3 copies of_the HMMP where flagged and indicated with a "X". s~rr~ ~. w~sos B. Acknowledgement of R~eipt at the bottom of this page. Architec~ Asso~at¢ 2. Please Return: A. "AGENCY" copy. B. 'SIIELL' copy. C. Acknowledgement of Receipt 3. File the "DEALER" copy at the station irt your Grin Book. This package must be returned to the East Bay District's HS&E Analyst at Shell Oil Products Company within $0 days of the above (late. Shell will forward thc '*AG£~C¥" copy to Bakersfield Fire Department. Very Truly, ROBERT H. LEE & ASSOCIATES, INC. ACKNOWLEDGEMENT OF RECEIPT Project Manager .y /~/./~.... TITLE Enclosures cc: H,S & E Analyst - Shell Oil Products Company File MARIETTA, GA S~.Cg.a,~E~/TO, CA BELLEVUE, WA LA HABR. A, CA SCOTTSDA~.£, AZ ,.',' < :~i:; ,.,i~;~:.,:~'::?:~::i?i!!:. HAZARDOUS' MATERIALS INVENTORY / BusINESS RESPONSE PLAN 3623'~fo~a Argue ".:.-. - ' B~emfield' ~ CA ' 933~ BUS'SS O~OpE~TOR: ~v~g~, ~c. PHO~:'.805 322-3122' S~LL CO~A~: H.S~ A~s~five Sup~ . PHO~: 510~75~114 ~W OF ~~RY FO~S, EMERGENCY CO~A~S, ~ S~ M~ ~S BEEN COMPLE~D; ~DICA~ BELow ~L ~T ~PLY. ~ .Emergent7 mnmc~ ~d phone. nm~ m ~t for ~o u~oming re~g y~r. NO ch~g~ are n~. ~ Emergency ~n~c~ ~d phone nm~ r~ u~g. ~g~ X Bus~s R~ PI~ ~ ~ 'review~ ~d is ~t. NO c~g~ are n~. ~ B~s R~ PI~ ~ ~n review~ ~d r~ u~t~g, ch~g~ are ~dica~ ~d are submtt~. I' hereby ~i~, ~der pe~' of law ~at'I have pe~ly examln~ ~d am h~liar With the ~fomtion sub~t~ ~ ~s ~d ail atmch~ d~umen~ ~d ~t b~ on ~q~ 0f ~ose ~dividmls re~o~ible for obmlnlng the ~fomtion, I ~lieve ~at ~e sub~t~ ~0~tion is tree, ~m~.~d ~le~. I ~demmd ~at I my be r~uir~ to show pr~f of co~li~ d~g ~7 fsc~ ~fion ~nduc~ by 1~, ~ty, Nme: Livened, ~cl Si~am~: 03/04;'96 ~ CALIFORNIA AVENUE SHELL 215-.000-00.0791 Page 1 OVerall Site with 1 Fac. Unit General Information Location: 3623 CALIFORNIA AV Map:102 Haz:2 Type: 3 City : BAKERSFIELD .~ Grid: 35B F/U: 1 AOV: 0.0 Contact Name Title Contact Name Title FRANK QUERCIA / MANAGER BILL HILTERBRAN / MANAGER Business Phone: (805) 831-5151x Business Phone: (805) 322-3122x 24-Hour Phone : (805) 398-8997x 24-Hour Phone : (805) 588-0352x Pager Phone : ( ) - x Pager Phone '. : ( ) - x Administrative Data Mail Addrs: P O BOX 4023 D&B NUmber: 36-467-0372 City: CONCORD State: CA Zip,: 94524- Comm Code: 215-003 BAKERSFIELD STATION 03 SIC Code: 5541 Owner: DEL LIVENGOOD Phone: (805) 322-3122 Address: 12117 APRIL ANN State: CA City: BAKERSFIELD Zip: 93312- Summary reviewed the attached 'hazardous mmerials manage- any corre~ions constitute a complete and correct man- agement plan for ray facility, 03/04f96 ~ CALIFORNIA AVENUE SHELL 215-000-000791 .Page 2 'Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-012 BATTERIES Solid 26 High · Fire, Immed Hlth GAL 02-002 REGULAR GASOLINE .Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth . GAL 02-007 PLUS GASOLINE Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-006 PREMIUM GASOLINE Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-001 WASTE OIL Liquid 550 Low · Fire, Delay Hlth GAL 02-003 NEW OIL Liquid 150 Minimal · Fire, Delay Hlth GAL 02-008 CARBON DIOXIDE Gas 348 Minimal · Pressure, Immed Hlth FT3 02-009 WASTE ANTIFREEZ Liquid 55 Unrated · Immed Hlth, Delay Hl~h GAL 02-010 WASTE OIL FILTERS Liquid 200 Unrated · Delay Hlth LBS 02-011 WASTE BATTERIES Liquid 4 Unrated · Immed Hlth GAL 03/04~96 CALIFORNIA AVE~E SHELL 215-000-000791 Page 3 02 - Fixed Containers'on Site Hazmat Inventory Detail in MCP Order 02-012 BATTERIES Solid 26 High · Fire, I~ed Hlth GAL CAS #: '' Trade Secret: No Form: Solid TyPe: Mixture Days: 365 Use: BATTERY/ELECTROLYTE Daily Max GALI Daily Average GAL I Annual Amount GAL m 26 I 18.~00 100.00 Storage Press T TempI Location PLASTIC CONTAINER Ambient~AmbientlSERVICE BAY -- Conc Components MCP ----~uide 31.0% ILead Dioxide [High ~ 42 ' 34.0% Sulfuric Acid (EPA) High 39 34.0% Lead Low 53 02-002 REGULAR GASOLINE Liquid' 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: NO Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL Daily Average GAL I Annual Amount GAL 10,000 I ~I 612,000.00 StorageIIPress T Temp Location UNDER GROUND TANK IAmbient~AmbientlWEST SIDE -- Conc Components MCP ---~uide 100.0% IGasoline IModeratel' 27 02-007 PLUS GASOLINE Liquid 10000 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 ~ Annual Amount GAL 10,000 I 3,500.00__ 206,000.00 StorageIIPresS T Temp Location UNDER GROUND TANK .IAmbient|AmbientlWEST SIDE - Conc Components MCP -~Guide 100.0% IGasoline IModeratel 27 03/04~96 ~ CALIFORNIA 'AVENUE SHELL 215-000-000791 Page 4 02 - Fixed Containers on Site Hazmat Inventory 'Detail in MCP Order 02-006 PREMIUM GASOLINE Liquid 10000 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 -- 10,000 ~ 3,500.00 206,000.00 Storage Press T Temp~ Location UNDER GROUND TANK Ambient~AmbientlWEST SIDE -- Conc~ Components ~ MCP ----FGuide 100.0% IGasoline IModeratel 27 02-001 WASTE OIL Liquid 550 Low · Fire, Delay Hlth GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL550I~ Daily Average250.00GAL I Annual Amount1,000.00GAL -- Storage Press T TempI Location UNDER GROUND TANK Ambient~AmbientlBEHIND STATION -- Conc~ Components~ MCP ---~uide 100.0% IWaste Oil, Petroleum Based ILow ! 27 02-003 NEW OIL Liquid 150 Minimal · Fire, Delay Hlth GAL CAS #: 8020835 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GALI Daily Average GAL I Annual Amount GAL -- 150 i 100.00_ 150.00 Storage Press T TempI LoCation PLASTIC CONTAINER Ambient]AmbientlSTORE ROOM REAR OF BLDG -- Conc Components MCP ---TGuide 100.0% IMotor Oil, Petroleum Based Minimal I 27 03/04'/96 ~ CALIFORNIA AVENUE SHELL 215-000-000791 Page 5 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-008 CARBON DIOXIDE Gas 348 Minimal · 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 I Annual Amount FT3 348 ~ 174.00 3,132.00 Storage Press T Temp~ Location PORT. PRESS. CYLINDER Above ~Below liN SALES AREA AND STORAGE ROOM -- Conc Components MCP ---~uide 0.0% ICarbon Dioxide ILow ~ 21 ' 02-009 WASTE ANTIFREEZ Liquid 55 Unrated · Immed Hlth, Delay Hlth GAL CAS #: 107-21-1 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: WASTE Daily Max GAL55I~ Daily Average30.00GAL ] Annual Amount100.00GAL -- Storage Press T Temp~ Location DRUM/BARREL-METALLIC Ambient~AmbientlNEXT TO TRASH ENCLOSURE -- Conc ~ Components ~ MCP ---~Guide 02-010 WASTE OIL FILTERS Liquid 200 Unrated · Delay Hlth LBS CAS #: 800-20-59 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: WASTE --Daily Max LBS_200I~ Daily Average50.00LBS I Annual Amount600.00LBS -- Storage Press T Temp~ Location DRUM/BARREL-METALLIC Ambient~AmbientlNEXT TO TRASH ENCLOSURE -- Conc ~ Components ~ MCP ----~Guide 03/04~96 ~ CALIFORNIA AVENUE SHELL 215-000-000791 Page 6 02 .- Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-011 .WASTE BATTERIES , Liquid 4 Unrated · Immed Hlth GAL CAS #: Trade Secret: No Form: Liquid Type:MiXture Days: 365 Use: WASTE Daily Max GAL4 I Daily Average2.00GAL [ Annual 3maount100.00GAL Storage I Press T Temp ' Location PLASTIC CONTAINER' IAmbientl~ientlT~SH ENCLOSURE -- Conc ~ Components ~ MCP ~uide 03/04996 ~ CALIFORNIA AVENUE SHELL 215-000-000791 Page 7 O0 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification SHELL WILL NOTIFY THE APPROPRIATE STATE AND LOCAL AGENCIES UNLESS THE SITUATION REQUIRES URGENT IMMEDIATE RESPONSE BY TH AGENCIES, IN WHICH CASE THE DEALER SHOULD NOTIFY THESE AGENCIES: 1) LOCAL AGENCY: BAKERSFIELD FIRE DEPT 805-326-3979. 2) CALIFORNIA OFFICE OF EMERGENCY SERVICES 800~852-7755 (24 HRS). 3) CALL FOR HELP IN CASE OF AN EMERGENCY BY DAILING 9-1-1. <2> Employee Notif./Evacuation NOTICE WILL BE VERBAL. EMPLOYEES WILL EVACUATE BLDG AND MEET AT EMERGENCY ASSEMBLY AREA. <3> Public Notif./Evacuation IF THERE IS ANY IMMEDIATE DANGER, ANNOUNCE TO ALL PERSONS ON THE SITE: "THERE IS AN EMERGENCY. PLEASE TURN OFF YOUR ENGINES AND LEAVE THE STATION OF FOOT IMMEDIATELY". <4> Emergency Medical Plan MERCY HOSPITAL - 2215 ~q%A~ AV - ~ 03/04~96 ~ CALIFORNIA AVENUE SHELL 215-000-000791 Page 8 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention ABOVE GROUND AUTOMOTIVE PRODUCT ARE STORED IN UNBREAKABLE CONTAINERS AND IN MINIMUM QUANTITIES. THE UNDERGROUND STORAGE TANKS ARE~MONITORED USING AN APPROVED MONITORING METHOD TO DETECT LEAKS. ALL EMPLOYEES ARE TRAINED IN SAFE HANDLING OF HAZARDOUS MATERIALS. <2> Release Containment STOP A RELEASE BY TURNING OFF THE PUMPS AND USING EITHER' ABSORBENT MATERIAL OR A FIRE EXTINGUISHER AS NECESSARY. ~ <3> Clean Up CLEAN UP WITH ABSORBENT MATERIAL, BROOM AND SHOVEL, OR BY VACUUM TRUCK IF NECESSARY. <4> Other Resource Activation 03/04~96 ~ CALIFORNIA AVENUE SHELL 215-000-000791 Page 9 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - EAST WALL LUBE BAY C) WATER - EAST OF STATION SIDEWALK REAL RD D) SPECIAL - EMERGENCY PUMP SHUTOFF, N SIDE OF SALES BLDG E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - SOUTHEAST CORNER OF LOT. <4> Building Occupancy Level 03/047/96 ~ cALIFORNIA AVENUE SHELL 215-000-000791 Page 10 00 - Overall Site <G> Training <1> Employee Training WE HAVE 10 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: EMPLOYEES MUsT BE GIVEN THIS TRAINING BEFORE STARTING WORK, AND REFRESHER COURSES MUST BE PROVIDED ANNUALLY. RECORDS MUST BE KEPT TO SHOW WHEN EACH STATION EMPLOYEE HAS BEEN GIVEN HIS/HER SAFETY TRAINING. <2> Page 2 <3> Held for Future Use <4> Held for Future Use ' ', ~ ' ..- '::: '~: ~:~?,,~':~:: (/:~-'~-X"?.;~':'~:-~..~:--::~ ?~ ~:;::4 --'~, ~.-.-.'. :. ~ ;' ....... ' · . .' , ~ , , .." , , ' . ,, ~ , . . · . '.. · ' . "appli~le:':::::???:?::?::::?):.::~-~::'::~::::~:.:::..:,.:-:~.:.:.:-::::::'~,~.::..:".: .::':.": ,::.. - :-' : .: '' '- ? . '" , ' '.' -. : .. ; '.. ... I.- ': :~ ~ O~ PU~S u$~g ~ Emergency ~p ShuJ~ Switch. . ~... :.::: :'.~.' ':,?:. :'-~:: ..:. .... ...:.. . 2. ::.EVACUA~ON: If ~r~ is ~Y imm~iat~ d~ger~ ANNOUNCE m ~1 persom on ~ site: "~re is .... .~morg~ncy..Pl~e ~ offyo~ eng~ ~d l~ve ~e $~fion on f~ ~iat~ly." ~:..' C~L FOR HELP ~:'~ of ~ emergency by dii~g' 9-1-1 ~d giv~g ~ following ~omation: . . .~E~ ISA F~ /GASOLI~' SP~L at ~e SHEL: station at S~23 C~ifomia Avenue." If ~yone is :~p~ o~ n~s m~i~ a~n~on~ t~ll ~e ~w~r~g dispatcher. S~y on ~ phon~ ~d b~ prep~ ~o ~wer ' ' · ~y qu~fi0~ ~nce~i~g ~e sima~on. .: 4.- :LOOK ARou~ m ~s~ ~at~l' °~ers have le~ ~e $~tion' ff n~s~, p~cul~ly ~ose ~ v~hi~l~ who' " may n~ ~sis~ce or may not. have h~d ~e emergency ~o~¢ement. ASsist, or dff~ ~sis~ce m, ~yone "hav~g di~c~ !~v~g ~e s~On ~, ~d ~yone who may be ~jur~. 5. A~~ TO' E~NGUISH ~y sm~l or ~cipient ~e if you ~ do so safely. Have ~e fire ext~isher . r~dy ~ use'~ ~e event of ~y sp]l. T~ ~ ~nt~in. ~y l~ge sp]l, or use absorbent on smiler spills. '6. ~0RT'~ ~iy~g emergency r~po~e perso~el ~ provide ~em wi~ ~y ~o~ation or ~sis~ce ~ey ~ght . "~. .- . co'ACT ~e s~tiou d~er if s~e is not ~r~dy at ~e s~tion. Use ~e list b~low for emergency ~ 1. Nme~us Phone~ome'Phone: B]I Hilterbr~' /805 322-3122 /805 '.. . 2, N~e~us Phone~ome Phone: Fr~ Quercia /805 831-51~1 /805-398-8997 .... :~ . ~: ' :'... . 8. NO~Y yO~ .SHELL O~ Dis~i~ Eng~r By phone ~IN 24 HOURS A. SHELL O~ Dis~i~ Engulf: Ieff Byrm 'PHO~ ~ER:(510) 675~l~(days) (510)674-9413 ~ome) You must ma~ a' ~mplet~ Unau~or~ Rel~e R~po~ to SHELL wi~in 24 hours. SHELL w~l nOti~ ~e appropriate S~te ~d ~ 'agenci~ u~s ~e situation r~uir~s urgent immolate r~po~e by ~e agenci~, ~"which c~e ~e DEALER should noti~ ~ agenci~: B. LOC~ AGENCY: B~ersfield Fire Depm~nt ' PHONE ~ER: 805 326-3979 C. C~O~ OFFICE OF E~RGENCY SER~CES, (8~) 852=7550 (24 HOURS) ' 'D: Submit a follow-up Spill. Notification to ~e Smt~ O~ce of Emergency Se~ic~s. Thee agen~ m~t be notifi~ ~thin 24 houm of rel~e det~tion. 9. ' D~er should aRempt to isolat~ I~ location by i~p~tion. !0. SHELL will coordinate whatever ~tiw actio~ n~ to be ~en beyond ~e D~er's capabilities. SHELL .-will file Whatever repo~ n~ to b~ ~ wi~ loc~ ~d state agencies, ~d s~nd a ~opy to D~er,S:~. 11. :' ~-E~Y: !f evacuation h~ occu~'~d emergency responders have b~n c~l~, re-entering ~is facili~ .- should. ~e place wi~ exUeme caution ~d o~y under ~e dir~tion of ~e senior emergency r~ponder on site and Shell engin~rs. ~E E~RG~CY ~NSE pR~~ ~ BE ~LED O~ ~ PO~ CONSPICUOUSLY . -' :.. ON SIT~ ~NG ~'~ A~AC~ Sl~ PL~ FIRST' cONfACT: BiLL ~:' :"" ':= Hi'tte'rb;an . "' ' 'Ha~ger *'~.-* ISECONO C~TACi: Frank Ouercia Manger ' .9~01 Southw~ck Dr~ve, BakersfieLd 9331Z . I 25 WiLL~ Ave ~, BakersfieLd 95309 DAY PHONE:805 32~-3122 2~-H~R PHONE:805 5~0352 ~- I DAY PHONE:. 805 831-5151 2~-H~R PHONE: 805-398-8997 .............. .... .... ...... : .......... ..... , .................................. ............ · · ENERGENGY EQU%~ENT LO~TIONS ' pUMp'~HUT-OFF~ ' NORTH/FRONT EXTR BLDG WALL . · . '.. ELEG. SHUT-OFF:~ 'EAST INTR SERVICE BAY WALL ~ATER'$HUT-OFF: IN SIDEWALK ALONG REAL RO~ " ~S SHUT-OFF: NONE F%RE EXTINGUISHER: ~-$ERV%CE BAy FIRST AID KIT: ~ 1-CASH%ER AREA, 1-UTzL%TY R~ 'ABSORBENT ~TER?AL: SERV?:CE BAY TANK % NFOR~T%~ $%ZE ~TNK$ ~TER%AL SPLL OVFL TYPE ~NUFACTURER YR RE~LAR 10,000 1 FG Y N D~ ~N$ C~N%NG PREM?~ 10~000 ' 1 FG Y N D~ ~NS CORN%NO PLUS 10~000 1 FG Y N D~ ~NS CORN%NO ~ASTE O%L 550 1 FG Y N D~ ~N$ CORNING PXpZNG C~TA%HMENT; S~ngLe ~aLL PIPING ~TERIAL:FG TAN~ HONZTOR ALARM: APZ-RONAN-TRS76 SPLL = OVER SPILL~ PROTEGTION" OVFL~= OVER FILL PROTECTI~ DW = D~BLE WALL SW = SINGLE WALL FG = FIBERGLASS STL = STEEL ................................... ~ ............... J~ ............................................................................ CHEMICAL INVENTORY ~X % M~ AVENGE LOCAT I ~ REGULAR 10000 5000 WEST SIDE OF LOT PREMIUM 10000 35~0 WEST SIDE OF LOT PLUS 10000 3500 ~EST SiDE OF LOT HOTOR OIL 150 100 iN STOOGE R~ BATTERY 26 18 SERVICE BAY C02 3~8 174 SALES AREA .................................................................................................................................. NASTE INVENTORY (if any) HAX ~ HUH AVERAGE T HRUPUT LOCAT ~ ON USED OZL 550 250 1000 ~EST SIDE OF SERVICE BAY ANT]FREEZE 55 30 100 SERVICE BAY OIL FILTERS 200 50 600 SERVICE BAY BATTERY 4 2 100 NEXT TO T~SH ENCLOSURE .................................................................................................................................. LOCAL REPORTING AGENCY: Bakersfield Fire De~rt~nt 2130 "G" Street, Bakersfield, Ca 93301 805 326-3979 03~09~95 CALIFORNIA AVENUE SHELL 215-000-0007 ~ ~A¥ 9 1995 ~ e 1 Overall Site with 1 Fac. Unit ~ General Information By Location: 3623 CALIFORNIA AV Map:102 Haz:2 Type: 3 City : BAKERSFIELD Grid: 35B F/U.: 1 AOV: 0.0 Contact Name Title Contact Name Title Business Phone: (80' ~ 831-5'151x Business Phone: (805) 322-3122x 24-Hour Phone : (80 !~ - ~ 24-Hour Phone : (805) 588-0352x Pager Phone : ( ) ......... Pager Phone : ( ) - 'x Administrative Data Mail Addrs: PO BOX 4023 D&B'Number: 36-467-0372 City: CONCORD State: CA Zip: 94524- Comm Code: 215-003 BAKERSFIELD STATION 03 SIC Code: 5541 Owner: DEL LIVENGOOD Phone: (805) 322-3122 Address: 12117 APRIL ANN State: CA City: BAKERSFIELD Zip: 93312- Summary I, ~ ~/~,~3~3/~ ~'~ DO hereby ~e.iN reviewed the a~hed h~a~ous mmedais manage- ment plan fo~~ ~cc, and that it along with ' (~ of ~) ' ' any corrosions ~nstitute a comDlete snd corr~ man- agement p~an for ~ 03/09/95 CALIFORNIA AVENUE SHELL 215~000-000791 Page 2 Hazmat Inventory List in MCP Order 02 ~ Fixed Containers on Site : Name/Hazards Form Max Qty MCP 02-002 REGULAR GASOLINE Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-007 PLUS GASOLINE Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-006 PREMIUM GASOLINE Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-001 WASTE~OIL Liquid 550 Low · Fire, Delay 'Hlth GAL 02-003 NEW OIL Liquid 150 Minimal · Fire, Delay Hlth GAL 02~008 CARBON DIOXIDE Gas ~ J~-I~Minimal · Pressure, Immed Hlth FT3 02-009 WASTE ANTIFREEZ Liquid 55 Unrated · Immed Hlth, Delay Hlth GAL )10 WASTE OIL FILTERS Liquid 200 Unrated · Delay Hlth ~~ 02-011 WASTE BATTERIES Liquid 4 Unrated · Immed Hlth, GAL 03/09/95 CALIFORNIA AVENUE SHELL 215-000-000791 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 002 REGULAR GASOLINE Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL Daily Average GAL ! Annual Amount GAL I . ~=0 O0 10,000 6,000 00 I ~1~ ~9~,~ . Storage Press T TempI Location UNDER GROUND TANK Ambient/AmbientlWEST SIDE -- Conc · Components MCP Guide 100.0% IGasoline IModeratel 27 02-007 PLUS GASOLINE Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL I Daily Average GAL [ Annual Amount GAL 10,000 I 3,500 00 I ~O~O~ Storage Press T TempI Location UNDER GROUND TANK Ambient/AmbientlWEST SIDE -- Conc Components MCP ---/Guide 100.0% IGasoline IModeratel 27 02-006 PREMIUM GASOLINE Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL I Daily Average GAL [ Annual Amount GAL 10,000 ~ 3,500.00 ~<~OO 373,291.O0. Storage Press T Temp~ Location UNDER GROUND TANK AmbientlAmbientlWEST SIDE -- Conc Components MCP ---TGuide 100.0% JGasoline [ModerateI 27 03/09/95 CALIFORNIA AVENUE SHELL 215-000-000791 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order )01 .WASTE OIL Liquid 550 Low · Fire, Delay Hlth GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL Daily Average GAL Annual Amount GAL 550 I 250.00 ~---- 1,000.00 Storage IIPress T Temp Location UNDER GROUND TANK IAmbient/AmbientlBEHIND STATION -- Conc~ Components M ---TGuide 100.0% IWaste Oil, Petroleum Based LowCp ~ 27 02-003 NEW OIL Liquid 150 Minimal · Fire, Delay Hlth GAL CAS #: 8020835 Trade Secret: No Form: Liquid TYpe: Pure Days: 365 Use: LUBRICANT -- Daily Max GALI Daily Average GAL I Annual Amount GAL 150 ~ 100.00 150.00 Storage Press T Temp Location PLASTIC CONTAINER IAmbient[AmbientlSTORE ROOM REAR OF BLDG -- ConcI Components I MCP ----~uide 100.0% IMotor Oil, Petroleum Based IMinimal I 27 02-008 CARBON DIOXIDE Gas 150 Minimal · 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 -- Storage Press T TempI Location PORT. PRESS. CYLINDER Above /Below liN SALES AREA AND STORAGE ROOM -- Conc Components MCP -~Guide 0.0% ICarbon Dioxide JLow ! 21 . 03/09/95 CALIFORNIA AVENUE SHELL 215-000-000791 Page 5 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 09 WASTE ANTIFREEZ Liquid 55 Unrated · Immed Hlth, Delay Hlth GAL 'CAS #: 107-21-1 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: WASTE Daily Max GAL I Daily Average GAL.--~-- Annual Amount GAL -- 55 ~ 30.00 100.00 Storage Press T TempI Location DRUM/BARREL-METALLIC Ambient[AmbientlNEXT TO TRASH ENCLOSURE -- Conc ~ Components ~ MCP ---TGuide 02-010 WASTE OIL FILTERS Liquid 200 Unrated · Delay Hlth CAS #: 800-20-59 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: WASTE Daily Max~A~ I Daily Average ~ I Annual Amount 200 ~ 50.00 600.00 Storage Press T TempI Location DRUM/BARREL-METALLIC Ambient[.AmbientlNEXT TO TRASH ENCLOSURE -- Conc ~ Components ~ MCP ~uide 02-011 WASTE BATTERIES Liquid 4 Unrated · Immed Hlth GAL CAS #: Trade Secret: No Form: Liquid Type:' Mixture Days: 365 Use: WASTE Daily Max GAL · Daily Average GAL [ Annual Amount GAL -- 4 2.00 [ I~0,0~ ~ Storage Press T Temp~ Location PLASTIC CONTAINER Ambient[AmbientlTRASH ENCLOSURE -- Conc ~ Components ~ MCP ~uide BAKEI FIELD CITY FIRE DEP :ITMENT HA'Z'ARDOUS MATERIALS INVEI~'I'ORY Page 1 of 0462-2399 Business Name California Shell Address 3623 California Ave., Bakersfield CHEMICAL DESCRIPTION 2) Common Name: BATTERIES 3) DOT # (optiqnal) 2794 Chemical Name: LEAD/ACID BATTERY AHM [ ! CAS # MIXTURE 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) IX] Delayed Health (Chronic) 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 47 6) PHYSICAL STATE Solid [ ] Liquid IX] Gas [ ] Pure [ ] Mixture [X] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 26 lbs [ ] gal IX] ft3 [ ] a) Container: 10 Average Daily Amount: 18 curies [ ] b) Pressure: 1 Annual Amount: ~.~'~ IC)O c) Temperature: 4 Largest Size Container: BATT # Days On Site: 365 Circle Which Months: ~,' F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazardous 1 ) LEAD DIOXIDE 1309-60-0 31 [ ] chemical component or 2) SULFURIC ACID 7664-93-9 34 IX] any AHM components 3) LEAD 7439-92-1 34 [ ] 10) Location: SERVICE BAY m y under penalty of/aw, that I have personally examined and am familiar with the/n£ormat/on submitted, j~ this and ail attached documents. I believe itted information i$ true, accurate, and complete. PRINT N-~-m~& Title of Authorized Company Representative ' Date 03/09/95 CALIFORNIA AVENUE SHELL 215-00'0-000791 Page 6 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification SHELL WILL NOTIFY THE APPROPRIATE STATE AND LOCAL AGENCIES UNLESS THE SITUATION REQUIRES URGENT IMMEDIATE RESPONSE BY TH AGENCIES, IN WHICH CASE THE DEALER SHOULD NOTIFY THESE AGENCIES: 1) LOCAL AGENCY: BAKERSFIELD FIRE DEPT 80'5-326-3979. 2) CALIFORNIA OFFICE OF EMERGENCY SERVICES 800-852-7755 (24 HRS). 3) CALL FOR HELP IN CASE OF AN EMERGENCY BY DAILING 9-1-1. <2> Employee Notif./Evacuation NOTICE WILL BE VERBAL. EMPLOYEES WILL EVACUATE BLDG AND MEET AT EMERGENCY ASSEMBLY AREA. <3> Public Notif./Evacuation IF THERE IS ANY IMMEDIATE DANGER, ANNOUNCE TO ALL PERSONS ON THE SITE: "THERE IS AN EMERGENCY. PLEASE TURN OFF YOUR ENGINES AND LEAVE THE STATION OF FOOT IMMEDIATELY',. <4> Emergency Medical Plan MERCY HOSPITAL - 2215 TRUXTUN AV - 327-3371. 03/09/95 CALIFORNIA AVENUE SHELL 215-000~000791 Page 7 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention ABOVE GROUND AUTOMOTIVE PRODUCT ARE STORED IN UNBREAKABLE CONTAINERS AND IN MINIMUM QUANTITIES. THE UNDERGROUND STORAGE TANKS ARE MONITORED USING AN APPROVED MONITORING METHOD TO DETECT LEAKS. ALL EMPLOYEES ARE TRAINED IN SAFE HANDLING OF HAZARDOUS MATERIALS. <2> Release Containment STOP A RELEASE BY TURNING OFF THE PUMPS AND USING EITHER ABSORBENT MATERIAL OR A FIRE EXTINGUISHER AS NECESSARY. <3> Clean Up CLEAN UP WITH ABSORBENT MATERIAL, BROOM AND SHOVEL, OR BY VACUUM TRUCK IF NECESSARY. <4> Other Resource Activation 03/09/95 CALIFORNIA AVENUE SHELL 215-000-000791 Page 8 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - EAST WALL LUBE BAY C) WATER - EAST OF STATION SIDEWALK REAL RD D) SPECIAL - EMERGENCY PUMP SHUTOFF, N SIDE OF SALES BLDG E) LOCK BOX - NO <3> Fire Pro%ec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - SOUTHEAST CORNER OF LOT. <4> Building Occupancy Level 03/09/95 . CALIFORNIA AVENUE SHELL 215-000-000791 Page 9 00,_- Overall Site <G> Training <1> Employee Training WE HAVE 10 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: EMPLOYEES MUST BE GIVEN THIS TRAINING BEFORE STARTING WORK, AND REFRESHER COURSES MUST BE PROVIDED ANNUALLY. RECORDS MUST BE KEPT TO SHOW WHEN EACH STATION EMPLOYEE HAS BEEN GIVEN HIS/HER SAFETY TRAINING. <2> Page 2 <3> Held for Future Use <4> Held 'for Future Use AN ESOP COMPANY ROBERT H. LEE & ASSOCIATES, INC. ARCHITECTURE " ENGINEERING " ENVIRONMENTAL SERVICES I 137 NORTH McD0%~ELL BOULEVAFID = PETALUMA,. CALIFORNIA 94954-1469 [707) 7~5-1660 Mailing Address: P.0. Box 750908, Petaluma, CA 9~4975-090E~ Fax (707) 755-9908 SRIAN F, ZITA Architect JOHN W. JOHNSO'N Arch,tect Livengood, Inc.: JOHN s. H,CKS .~ California Shell Arch,tect 3623 California Ave. S*E"EN J. ~^',",'NE. Bakersfield, CA 93309 , Architect CECIL R. SPENCER Architect D~.~r LiVengood, Inc.: JAMES H. RAY civ. En~ .... Attached is the new Hazardous Materials Management Plan (HMMP) for your facility. This new HMMP is intended to replace the current HMMP. The HMMP should be placed in your Green Book and kept up-to-date on the premises. : i. Please sign all 3 copies of the 'HMMP where flagged and indicated With a "X" and the Acknowledgement of Receipt at the bottom of this page. 2.Return the 2 copies marked "AGENCY" and "SHELL" and. the Acknowledgement of Receipt to your Territory Manager. 3. Keep the "DEALER" copy at the station in your Green Book. Copies of the HMMP will be sent to Bakersfield Fire Department within 30 days and Ms. Lisa Waters of Shell Oil Company. Very Truly, ROBERT II. LEE & ASSOCIATES, INC. Steven A. Skanderson Project Manager Enclosures cc: Ms. Lisa Waters, Shell Oil Company File SIGNATURE ~.~_~,~,~.~) 'Trl~E MARIETTA, OA SACRAMENTO, CA BELLEVUE, WA LA HABRA. CA 03/08/94 CALIFORNIA AVENUE SHELL 215-000'.000791 %/ Page 1 Overall 'Site with '1 Fac. Unit General Information '.LoCation: 3623 CALIFORNIA AV Map:102 Haz:2 Type: 1 Co,unity: BAKERSFIELD STATION 03 Grid: 35B F/U: 1 AOV: 0.0 Contact Name Title 'Business_~hQne ~ 24-Hour Phone- IF~NK QUERCIA ~NAGER ' 1(805)l~,-5'5[ ~ ! ,(805) 834-2131 BILL HILTERB~ND MANAGER (805) '322u3~2-~ v'7'- {.(805) 588-0352 Administrative Data Mail Addrs: PO BOX '402.3 D&B Nu~er: 36-467-0372 City: CONCORD State: CA Zip: 94524- Co~ Code: 215-003 BAKERSFIELD STATION 03 SIC Code: 5541 Owner: DEL LIVENGOOD Phone: (805) 322-3122 Address: 12117 APRIL ANN State: CA City: BAKERSFIELD Zip: 93312- Sugary reviewed h'e a ached h ardous, mmedals manag 03/08/94 CALIFORNIA AVENUE SHELL 215-000-000791 Page - 2 Hazmat Inventory List in MCP Order 02- Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCp 02-002 ~ REGULAR GASOLINE Liquid 10000 Moderate · ~ Fire, Immed Hlth, Delay Hlth GAL 02-007 PLUS GASOLINE LiqUid 10000 Moderate · Fire,, Immed Hlth, Delay Hlth GAL 02-006 PREMIUM GASOLINE Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth ~ GAL 02-005 ~ , ~ov~ Liquid · Immed Hlth, Delay Hlth GAL · Fire, Delay Hlth GAL' 02-001 WASTE OIL Liquid 5/50 Low · Fire, Delay Hlth gAL 02-003 NEW OIL' Liquid '~0~1000 Minimal · Fire, Delay Hlth GAL BAKB SFIELD CITY FIRE'DEI RTMENT HAZARDOUS MATERIALS INVENTORY Page I of 2 6023.20 Business Name California Shell Address 3623 California Ave., Bakersfield CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Additiq~n IX] Revision [ } Deletion [ ] ' Check if chemical is a NON TRADE SECRET IX] TRADE SECRET [ i 2) Common Name: CARBON DIOXIDE ~/ 3) DOT # (optional) 1013 Chemical Name: CARBON DIOXIDE AHM [ ] CAS # 124-38-9 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Rre [ ] Reactive [ ] Sudden Release of Pressure [Xl Immediate Health (Acute) IX] Delayed Health (Chronic) [ ! 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 99 - For drink dispensers 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: 150cuft ~ lbs [ i gal [ ] ft3 IX] a)' Container: 04 Average Daily Amount: 75cuft curies [ ] b) Pressure: 2 Annual Amount: 900cult c) Temperature: 6 Largest Size Container: 75cuft Circle Which Months: ~J, F, M, A, M, J, J, A, S, O, N, D # Days On Site: 365 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazardous 1) CARBON DIOXIDE 124-38-9 100 I ] chemical component' or 2). [ ] any AHM components 3). [ ] ' 1 0) Location:. IN SALES AREA AND STORAGE ROOM CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New { ] Addition [X~ Revision [ ] Deletion [ ] Check if chemical ia a NON TRADE SECRET IX] TRADE SECRET [ ] 2) Common Name: WASTE ANTIFREEZE I 3) DOT # (optional) 9189 Chemical Name: ETHYLENE GLYCOL AHM [ ] CAS # 107-21-1 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) IX] Delayed Health (Chronic) [XI 5) WASTE CLASSIFICATION 343 (3-digit code from DHS Form 8022) USE CODE 40 6) PHYSICAL STATE Solid [ ] U~luid IX] Gas [ ]. Pure [ ] Mixture IX] Waste IX] Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 55 lbs [ ] gal IX] ft3 [ ] a) Container: 06 Average Daily Amount: 30 curies [ ] b) Pressure: 1 Annual Amount: 100 c) Temperature: 4 Largest Size Container: 55 gal # Days On Site: 365 Circle Which Months: ~J, F, M, A, M, J, J, A, S, O0 N, D 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazardous 1 ) WASTE ANTIFREEZE 107-21-1 100.0 [ ] chemical component or 2) [ ] any AHM components 3) [ ] 10} Location: NEXT TO TRASH ENCLOSURE thecertifYsu~;~ormationUnder penalty of laW,is true,thatl'accurate,have personallYand complete.eXamined and am familiar wit~___~ation subm~ on this and ail attached documents. I believe PRINT Na~e & Title of Authorized Co~npan¥ RePresentative S~natur~' /'/ ff Date BAKI FIELD CITY FIRE DEI RTMENT HAZARDOUS MATERIALS INVENTORY Page__2 of 2 ~ 6023.20 Business Name California Shell Address 3623 California Ave., Bakersfield CHEMICAL DEscRIPTION 1) INVENTORY STATUS: New [ ] Addition IX] Revision [ ] Deletion [ ] Check i~ chemical is a NON TRADE SECRET IX] TRADE SECRET I ] 2) CommOn Name: WASTE OIL FILTERS 3) DOT # (optional) 9189 Chemical Name: PETROLEUM HYDROCARBONS AHM [ ] CAS # 800-20-59 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ! Sudden Release of Pressure [ ] Immediate Health (Acute) i ! Delayed Health (Chronic) IX) 5) WASTE CLASSIFICATION 223 (3-digit code from DHS Form 8022) USE CODE 40 6) PHYSICAL STATE Solid [ ] Liquid IX) Gas [ ] Pure [ ] Mixture IX] Waste [Xi Radioactive [ i 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 200 lbs [ ] gal [XI ft3 [ ] a) Container: 06 Average Daily Amount: 50 curies [ ] b) Pressure: 1 Annual Amount: 600 c) Temperature: 4 Largest Size Container: 55 gal # 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 i CAS # % WT AHM the three most hazardous 1) WASTE OIL FILTERS 800-20-59 100.O [ ]. chemical component or 2) ~ [ ] any AHM components 3) [ ] 10) Location: NEXT TO TRASH ENCLOSURE CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition IX) Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET IX) TRADE SECRET 2) Common Name: WASTE BATTERIES 3) DOT # (optional)2794 Chemical Name: LEAD,ACID BATTERY AHM [ ] CAS # MIXTURE 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) IX) Delayed Health (Chronic) 5) WASTE CLASSIFICATION 162 (3-digit code from DHS Form 8022) USE CODE 40 6) PHYSICAL STATE Solid [ ] Liquid IX) Gas [ ] Pure [ ] Mixture IX) Waste IX) Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 4 lbs [ ] gal'IX} ft3 [ ] a) Container: 10 Average Daily Amount: 2 curies [ ] b) Pressure: 1 Annual Amount: 50 c) Temperature: 4 Largest Size Container: BATTERY # 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 the three most hazardous 1) LEAD DIOXIDE 1309-60-0 31 [ ] chemical component or 2) SULFURIC ACID 7664-93-9 34 IX! any AHM components 3) LEAD 7439-92-1 34 [ ] 10) Location: TRASH ENCLOSURE cart/fy under penalty of law, that I have personally examined and am familiar with t~on submitte~n this and ail attached documents. I beliew the submitted in~rmation is true, accurate, and complete.I ' . / PRINT Name & Title of ,4utho~ized Company Representative . Signature -'~ y Date 03/08/94 CALIFORNIA AVENUE SHELL 215-000-000791 Page 3 02 - Fixed Containers on Site ~. Hazmat Inventory Detail in MCP Order 02-002 REGULAR GASOLINE. Liquid 10000 Moderate ~ · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: LiqUid Type: Pure Days: 365 Use: FUEL Daily Max GAL Daily Average GAL ~ Annual AmoUnt GAL ~ 10,000 I 6,000.00 , Storage Press-T TempI Location UNDER GROUND TANK AmbientlAmbientlWEST SIDE .-- Conc Components MCP ~GUide 100.0% IGasoline Moderate! 27 02-007 PLUS GASOLINE ~. Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid -Type: Pure 'Days: 365 Use: FUEL / Daily Max GAL Daily Average 'GAL Annual ~~ Storage Press T Temp Location UNDER GROUND TANK · Ambient~Ambient I WEST SIDE -- Conc Components MCP ---TGuide 100.0% IGasoline Moderatel 27 02-006 PREMIUM GASOLINE Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ~ 'Daily Average GAL T Annual Amount GAL -- o,ooo I 3, oo.oo / Storage Press T Temp Location UNDER GROUND TANK AmbientlAmbientiWEST SIDE -- C°nc Components MCP ---~uide 100.'0% ]Gasoline : IModeratel' 27 03/08/94 CALIFORNIA AVENUE SHELL 215-000-000791 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP order 02r005 ANTIFREEZE~ Liquid 60 Low · Immed Hlth,.Delay Hlth GAL CAS #: 107211 Trade Secret: No~ Form: Liquid Type: Pure · DaYs: 365 Use: COOLANT/ANTIFREEZE Daily Max GAL~ I~ Daily Average GAL_~.00.~ Annual Amount~.00GAL -- storage Press T Temp Location PLASTIC CONTAINER Ambient~Ambientl'STORE ROOM REAR OF BLDG -- Conc ~ Components MCP ---/Guide 100.0%~ IEthylene Glycol ~'~.. Low I 27 02-004 TRANSMISSION FLUID Liquid 400 Low · Fire, Delay Hith GAL CAS #: Trade Secret: No Form: Liquid Type: Pure ~,. Days: 365 'Use: LUBRICANT -- Daily Max GAL Daily Average GAL Annual Amount GAL Storage PresS T Temp Location PLASTIC CONTAINER IAmbient~AmbientlSTORE ROOM REAR OF BLDG -- Conc Components MCP -~Guide 100.0% ITransmission Fluid (Petroleum-Based) Low ! 27 02-001 WASTE OIL Liquid 550 Low · Fire, Delay Hlth GAL· CAS #: 221 Trade Secret: No ~Form: Liquid Type: Waste Days: 365 Use: WASTE ' -- Daily Max GAL Daily Average GAL Annual Amount GAL -- 550 I 250~.00 ] 1,000.00 Storage ~ Press T Temp Location UNDER GROUND TANK AmbientlAmbientlBEHIND STATION -- Conc Components MCP --/GUide 100.0% IWaSte Oil Petroleum Based ILow ! 27 03/08/94 CALIFORNIA AVENUE SHELL 215-0~0-000791 Page 5 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-003 NEW OIL " Liquid 1000 Minimal ., Fire, Delay Hlth GAL CAS #: Trade Secret: No .Form: Liquid Type: Pure Days: 365 Use: LUBRICANT · .~ Daily~Max GAL I Daily Average GAL I Annual Amount GAL 1~=;={)={)~) {. -45'0T. 00 I 1,600.00 Storage PressT Temp Location pLASTIC~CONTAINER Ambient{AmbientlSTORE ROOM REAR OF BLDG -- Conc Components MCP Guide 100.0% IMotor Oil, Petroleum Based IMinimal I 27 03/08/94 CALIFORNIA AVENUE SHELL 215-000-000791 Page 6 O0 - Overall Site <D> Notif./Evacuati°n/Medical <1> Agency Notification SHELL WILL NOTIFY THE APPROPRIATE STATE AND LOCAL AGENCIES UNLESS THE SITUATION REQUIRES URGENT~IMMEDIATE RESPONSE By TH AGENCIES, IN WHICH CASE THE. DEALER SHOULD NOTIFY THESE AGENCIES: 1) LOCAL AGENCY: BAKERSFIELD FIRE DEPT 805~326-3979. 2) CALIFORNIA OFFICE' OF EMERGENCY SERVICES 800-852-7755 (24 HRS). 3) CALL FOR HELP IN CASE OF AN EMERGENCY'BY DAILING 9-1-1. ~ <2> Employee Notif./Evacuation NOTICE. WILL BE VERBAL. EMPLOYEES WILL EVACUATE BLDG AND MEET AT EMERGENCY ASSEMBLY AREA. <3> Public Notif./Evacuation IF THERE 'IS ANY IMMEDIATE DANGER, ANNOUNCE TO ALL PERSONS ON THE SITE: "THERE IS AN EMERGENCY. PLEASE TURN OFF YOUR ENGINES AND LEAVE THE STATION 'OF FOOT IMMEDIATELY,. <4> Emergency Medical Plan MERCY HOSPITAL.- 2215 TRUXTUN AV - 327-3371. 03/08/94 CALIFORNIA AVENUE. SHELL 215-000~000791 page 7 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention ABOVE GROUND AUTOMOTIVEPRODUCT ARE STORED IN UNBREAKABLE CONTAINERS AND IN MINIMUM QUANTITIES. THE UNDERGROUND STORAGE TANKS ARE MONITORED USING AN APPROVED MONITORING METHOD TO DETECT LEAKS. ALL EMPLOYEES ARE TRAINED IN SAFE HANDLING OF HAZARDOUS MATERIALS. <2> Release Containment STOP A RELEASE BY .TURNING OFF THE PUMPS AND USING EITHER ABSORBENT MATERIAL OR A FIRE EXTINGUISHER AS NECESSARY. <3> Clean Up ~ CLEAN UP WITH ABSORBENT MATERIAL, BROOM AND SHOVEL, OR BY VACUUM TRUCK IF NECESSARY. <4> Other Resource Activation 03/08/94 CALIFORNIA 'AVENUE SHELL 215-000-0.00791 Page 8 ' 00 ~- Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - EAST WALL LUBE BAY C) WATER - 'EAST OF STATION SIDEWALK REAL RD D) SPECIAL - EMERGENCY PUMP SHUTOFF, N SIDE OF IALES BLDG E) LOCK BOX - NO <3>'Fire~Protec./Avail. Water PRIVATE FIRE PROTECTION = FIRE EXTINGUISHERS .FIRE HYDRANT - SOUTHEAST CORNER OF LOT. <4> Building Occupancy-Level 03/0'8/94 CALIFORNIAAVENUE SHELL 215-000-000791 Page 9 00 - Overall Site <G> Training <1> 'Page 1 WE HAVE 10 EMPLOYEES AT THIS FACILITY ~WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: EMPLOYEES MUST BE GIVEN THIS TRAINING BEFORE~ STARTING WORK, AND REFRESHER COURSES MUST BE PROVIDED ANNUALLY. RECORDS MUST BE KEPT TO SHOW WHEN EACH STATION EMPLOYEE HAS.BEEN GIVEN HIS/HER SAFETY TRAINING. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use Shell Oil Company ~ EAST BAY MARKETING DISTRICT P.O. BOX 4023 Concord, CA 94524 .(510) 676-14.14 To Whom it may ~oncern: 'Please fi'nd attached cop~es of fnvoices fees for permits, statements and or other information that was mailed from your Agency. to our Shell District in Southern California. Due to Shell's re-organization stations now are w~thin Shell East Bay District. Please updated your records to show the following add~es.s: Shell Oil Company P: O. Box 4023 Concord, CA 94524 Attn: HS&E Admin. Support if you have any questions, please contact me at 510 675-6114. Sincerely, /' . HS&E Administrative Support ' - ,'~, /,/ ~ KAREN D. CLARK '~ ?-?: Environmenta~ P.O. Box 4023 J' ' ~~"~'~ ~90~ _.....~.~ East Bay Distr,ct CONCORD. CA 94524 · .' ].-K~C~_~ 0 L~...~- .~ SHELL OIL COMPANY (510) $75-63 '~4 '- ,~, 0462-2399 'Bakersfield Fire Dept. -' Hazardous Materials Division 2130 "G" Street Bakersfield, CA93301 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 below for the business as a whole. 4. Be brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: California Shell LOCATION: 3623 California Ave. MAILING ADDRESS: P.O.-Box 4023, Concord, CA 94524, At'n: Lisa Waters CITY' Bakersfield STATE: CA ZIP: 93309 PHONE: 805 322-3122 DUN & BRADSTREET NUMBER: 36-467-0372 SIC CODE 5541 7538 PRIMARY ACTIVITY AUTOMOBILE REFUELING STATION OWNER: Shell Oil Company MAILING ADDRESS' P.O. Box 4023, Concord, CA 9452,4 SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE 1. Frank Quercia Manager 805 322-3122 805 834-2131 2. Bill Hilterbrand Manager 805 322-3122 805 588-0352 BAKERSFIELD FIRE DEPT. ~ '~ Hazardous Materials Division " - HAZARDOUS 'MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING' NUMBER· OF EMPLOYEES: 10 ' MATERIAL SAFETY DATA SHEETS ON FILE: YES (SEE SITE PLAN FOR LOCATION) BRIEF SUMMARY OF TRAINING PROGRAM: EmPloyees mUst be given this training before starting work, and refresher courses must be provided annually. Records must be kept to show when each station employee has been given his/her safety training. 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,¢ , CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH & SAFETY CODE" ON HAZARDOUS MATERIALS ( DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFQ. RM.~TION CON. S, TITUTES P~RJURY. BAKERSFIELD FIRE DEPT. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN FACILITY UNIT NAME: California Shell SECTION. 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION AND EVACUATION PROCEDURES: Shell will notify the appropriate State and Local agencies unless the situation reqUires urgent immediate response by the agencies, in which case the DEALER should notify these agencies: 1.. LOCAL AGENCY: Bakersfield Fire Department PHONE NUMBER: 805-326-3979 2. CALIFORNIA OFFICE OF EMERGENCY SERVICES: (800)852'7550 (.24 HRS.) 3. CALL FOR HELP in case of an emergency by dialing 9-1-1 B. EMPLOYEE NOTIFICATION AND EVACUATION: NOTICE WILL BE VERBAL. EMPLOYEES WILL EVACUATE BUILDING AND MEET AT EMERGENCY ASSEMBLY AREA. (SEE SITE .PLAN FOR LOCATION) C. PUBLIC EVACUATION: IF THERE IS ANY IMMEDIATE DANGER, ANNOUNCE TO ALL PERSONS ON THE SITE: "THERE IS AN EMERGENCY. PLEASE TURN OFF YOUR ENGINES AND LEAVE THE STATION ON FOOT IMMEDIATELY." D. EMERGENCY MEDICAL PLAN: PLEASE SEE EMERGENCY RESPONSE PLAN ATTACHED BAKERSFIELD FIRE DEPT. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: ABOVEGROUND AUTOMOTIVE PRODUCT ARE sTORED IN UNBREAKABLE CONTAINERS AND IN MINIMUM QUANTITIES. THE UNDERGROUND STORAGE TANKS ~RE MONITORED .USING AN APPROVED MONITORING METHOD TO DETECT LEAKS. ALL 'EMPLOYEES ARE TRAINED IN SAFE HANDLING OF HAZARDOUS MATERIALS B. RELEASE CONTAINMENT AND/OR MINIMIZATION: STOP A RELEASE- BY TURNING OFF THE PUMPS AND USING EITHER ABSORBENT MATERIAL OR A FIRE EXTINGUISHER AS NECESSARY C. CLEAN-UP PROCEDURES: CLEAN UP WITH ABSORBENT MATERIAL, BROOM AND SHOVEL,OR BY VACUUM TRUCK IF NECESSARY SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: NONE ELECTRICAL: EAST WALL OF SERVICE' BAY WATER: IN SIDE WALK ALONG REAL ROAD SPECIAL: EMERGENCY PUMP SHUTOFF LOCATION: NORTH SIDE OF SALES BUILDING LOCK BOX: NO SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABLE: A.PRIVATE FIRE PROTECTION: Fire Extinguishers,' B. WATER AVAILABILITY (FIRE HYDRANT) PLEASE SEE SITE PLAN FOR LOCATION OF NEAREST FIRE HYDRANT LOCATION 4. ? B,AKI SFIELD CITY FIRE DIF_ RTIVIENT '~' ~ : FTAZARDOUS MATERIALS INVENTORY Page 1 of 5 0462-2399 ~ Business Name California Shell Address 3623 California Ave., Bakersfield CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New | ] Addition I | RevisionlXJ Deletion [] Check if chemical is a NON TRADE SECRETIXI TRADE SECRET{} 2) Common Name: FORMULASHELL REGULAR GASOLINE 3) DOT #(optional) 1203 Chemical Name: PETROLEUM HYDROCARBONS AHM [ ] CAS # 8OO6-61-9 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES FirelXJ Reac{ive [] Sudden Release of Pressure[] Immediate Health (Acute) IX} Delayed Health (Chronic) 5) WASTE CLASSIFICATION (3-digit code from DHS Form'8022) USE CODE 19 6) PHYSICAL STATE Solid [ ] Liquid IX] Gas I'l Pure [ ] Mixture [XJ Waste I ] Radioactive I l 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 10,000 Ibsl] gal[X] ft3 [] a) Container: 01 Average Daily Amount: 6~OOO curies [ ] b) Pressure: 1 Annual Amount: 540,000 c) Temperature: 4 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 the three most hazardous 1 ) METHYL TERT BUTYL ETHER 1634044 < 15.0 I ] chemical component or 2) TOLUENE 108883 < 6.5 (] any AHM components 3) XYLENE 1330-20-7 < 4.6 ( 1 10) Location: WEST SIDE OF LOT CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New[ | Addition.I ] Revision IX] Deletion [] Check if chemical is a NON TRADE SECRET IX] TRADE SECRET 2) Common Name: FORMULASHELL PREMIUM GASOLINE 3) DOT # (optional) 1203 Chemical Name: PETROLEUM HYDROCARBONS AHM[] CAS // 8006~61-9 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire IXl Reactive I ] Sudden Release of Pressure [ ] Immediate Health (Acute) IX] Delayed Health (Chronic) IX] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 19 6) PHYSICAL STATE Solidi] Liquid iX) Gas[J Pure(] Mixture IX) Waste[ } Radioactive 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 10,000 Ibs[] gal[X] ft3 [] a) Container: 01 Average Daily Amount: 3~600 curies [ ] b) Pressure: 1 Annual Amount: 540,000 .. .. c) Temperature: 4 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 the three most hazardous 1) METHYL TERT BUTYL ETHER 1634044 < 15.0 chemicalcomponent or 2) TOLUENE 108883 < 14.O I ) any AHM components 3) XYLENE 1330-20-7 '< 8.8 1 0) Location: WEST SIDE OF LOT certify under penalty of law, that I have personally examined and am familiar wit~ion submitted,,e'h, Tthis and all attached documents, I believe · the submitted information is true, accurate, and complete'. ~'~ ~'~' L ~)~'/~'~'"'~:> '~"-- ' ~--Y ' Sign-atur~"~--~"~~'~'/-f~ ~)RiNT Name & Title of .Author~ed Company Representative . ,,~ Date BAI(IF SFIELD CITY FIRE DIF_i RTMENT R'AZARDOUS MATERIALS INVENTORY Page 2 of 5 0462-239S ]usiness Name California Shell. Address 3623 California Ave., Bakersfield CHEMICAL DESCRIPTION ) INVENTORY STATUS: New [ ] Addition (] Revision [X) Deletion [] ~ Check if chemical is a NON TRADE SECRET(XJ TRADE SECRET( ] 2) Common Name: FORMULASHELL PLUS GASOLINE 3) DOT # (optional) 1203 Chemical Name: PETROLEUM HYDROCARBONS AHM[] CAS # 8OO6-61-9 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire IX] Reactive [ ] Sudden Release of Pressure I ] 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 I ) Liquid IX) Gas[ ]. Pure (l Mixture [X] Waste [] Radioactivell 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 10~OOO lbs [ ] gal[X] ft3 [] a) Container: O1 Average Daily Amount: 3,500 curies [ ] b) Pressure: 1 Annual Amount: 324,000 c) Temperature: 4 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 the three most hazardous 1) METHYLTERT BUTYL ETHER 1634044 < 15.0 I ] chemical component or 2) TOL'UENE 108883 < 9.5 I ] any AHM components 3) XYLENE 1330-20-7 < 6.3 I I 0) Location: WEST SIDE OF LOT CHEMICAL DESCRIPTION )INVENTORYSTATUS:Newll Additionl.l Revision IX] Deletionl] C'heck if chemical is a NON TRADE SECRET IX) TRADE SECRET 2) Common Name: MOTOR OIL 3) DOT #(optional) 1270 Chemical Name: PETROLEUM HYDROCARBONS AHM [ ] CAS # 64742-65-0 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire I ] Reactive I ] Sudden Release of Pressurel I Immediate Health (Acute) [] Delayed Health (Chronic) 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 26 6) PHYSICAL STATE Solid I ]' Liquid IX] Gasl I Pure[] Mixture IX) Waste I ) Radioactive I ~ 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 500 Ibs[] gal [X] ft3 [] a) Container: 10 Average Daily Amount: 255 curies [ ] b) Pressure: 1 Annual Amount: 1,600 c) Temperature: 4 Largest Size Container: quart ' ' # 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 the three most hazardous 1) DISTILLATES 94742547 > 70.0 I I chemical component or 2) ADDITIVES MIXTURE < 25.0 I ] any AHM ~omponents 3) SYNTHETIC BASE OIL MIXTURE < 5.0 10) Location: IN STORAGE ROOM certify under penalty of law, that I have personally examined and am familiar with~-i~ation submitt~on this and all attached documents. ~ believ~ ~RIN;~Name & TiU~ of ,~,~thorized~Company Representat ve · . ~g~natu'-re -- . y ' Date . .BAKI SFIELD CITY FIRE DE .RTMENT ' HAZARDOUS MATERIALS INVENTORY Page 3 of 5 0462-2399 ~Jusiness 'Name California Shell Address 3623 California Ave., Bakersfield CHEMICAL DESCRIPTION ) INVENTORY STATUS: New [ ] Addition ( ] Revisi'on (XI Deletion [ ] Check if chemical is a NON TRADE SECRE:'I' IXl TRADE SECRET [ ] 2) Common Name: ANTIFREEZE 3) DOT # (optional) 1142 Chemical Name: ETHYLENE GLYCOL AHM[] CAS # 107-21-1 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire(] Reactivell Sudden Release of Pressure(] Immediate Health (Acute) IX] Delayed Health (Chronic) (X] 5)-WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 09 6) PHYSICAL STATE Solid ( ] Liquid [XI Gas I 1 Pure ( 1 Mixture [XJ Waste ( ] Radioactive I I 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 60 ' lbs [ ] gal.lX] ft3 [ ] a) Container: 10 Average Daily Amount: 20 curies [ ] b) Pressure: 1 Annual Amount: 500 c) Temperature: 4 Largest Size Container: ,qallon # 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 the three most hazardous 1) ETHYLENE GLYCOL 107-21-1 94.0 ~ I chemical component or 2) I I any AHM components 3) I ] 10) Location: IN SERVICE BAY CHEMICAL DESCRIPTION 1) iNVENTORY STATUS: New I ] Addition I ] RevisionlXJ Deletion II Check if chemical is a NON TRADE SECRET[X] TRADE SECRET[] 2) Common Name: wASTE OIL 3) DOT # (optional) 9189 Chemical Name: PETROLEUM HYDROCARBONS AHMI ] CAS # 800-20-59 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ I Reactive I J Sudden Release of Pressure[] Immediate Health (Acute) [ ] Delayed Health (Chronic) IX~ 5) WASTE CLASSIFICATION 221 (3-digit code from DHS Form 8022) USE CODE 40 6) PHYSICAL STATE Solid [ I Liquid IX) Gas I ] Pure [ ] Mixture [X] Waste [X] Radioactive [ I 7) AMOUNT' AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 550 Ibsl ] gallX] ft3 I] a) Container: O1 Average Daily Amount: 250 curies I ]. b) Pressure: 1 Annual Amount: 1,000 c) Temperature: 4 Largest Size Container: 550.qal # Days On Site: 365 Ci'rcle 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) WASTE OIL 800-20-59 1OO.O I ) chemical component or 2) I ) any AHM components 3) I I 10) Location: WEST SIDE OF SERVICE BAY personally examined and am familiar with th~tion submitted o~this and all attached documents. I beliew the submitted information is true accurate, and complete. ~"-~~ ~'~" ~ {) ~f"~ m~pany :' ' ~' '~ ~'~ '/'~~-~/J ' ' ~I~RINT Name & Title of Authorized Representative SignatUrev ~ ~ Date BAKiSFIELD-CITY FIRE D RTIVIENT '? R'AZARDOUS MATERIALS INVENTORY Page 4 of 5 · O462-2395 Business Name California Shell Address 3623 California Ave., Bakersfield' CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New {] Addition { ] RevisionlXl Deletion [] Check if chemical is a NON TRADE SECRET IX] , TRADE SECRET J 2) Common Name: WASTE ANTIFREEZE 3) DOT # (optional) 9189 Chemical Name: ETHYLENE GLYCOL AHM| ] CAS # 107-21-1 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive[ ] Sudden Release of Pressure[] Immediate Health (Acute) iX] Delayed Health (Chronic)[XJ 5) WASTE CLASSIFICATION 343 (3-digit code from DHS Form 8022) USE CODE 40 6) PHYSICAL STATE Solid [ ] Liquid iX] Gas I I Pure [ ] Mixture iX] Waste iX] Radioactive I } 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 55 lbs[ ] gat[X] ft3 [] a) Container: 06 Average Daily Amount: 30 curies [ ] b) Pressure: 1 Annual Amount: 100 c) Temperature: 4 Largest Size Container: 55 ,qal # 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 the three most hazardous 1) WASTE ANTIFREEZE 107-21-1 100.O I ~ chemical component or 2) I } any AHM components 3) I ] 10) Location: NEXT TO TRASH ENCLOSURE CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [] Addition II Revision IXI Deletion I] Check if chemical isa NON TRADE SECI~ET[X] TRADE SECRET 2) Common Name: WASTE OIL FILTERS 3) DOT #(optional) 9189 Chemical Name: PETROLEUM HYDROCARBONS AHMI] CAS # 800-20-59 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive I I Sudden Release of Pressure[] Immediate Health (Acute) [ ] Delayed Health (Chronic) 5) WASTE CLASSIFICATION '223 (3-digit code from DHS Form 8022) USE CODE 40 6) PHYSICAL STATE Solid [ ] Liquid IXl Gas I J Pure [] Mixture IX] Waste IX] Radioactive 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 200 lbs [] gal[X! ft3 [] a) Container: 06 Average Daily Amount: 50 curies [ ] b) Pressure: Annual Amount: 600 c) Temperature: 4 Largest Size Container: 55 .qal # 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 the three most hazardous 1) WASTE OIL FILTERS 800-20-59 1OO.O I 1 chemical component or 2) I ] any AHM components 3) 10) Location: NEXT TO TRASH ENCLOSURE certify under penalty of law, thatlhave personally examined and amfamiliar with the information submitted ol>,thisand all attached documents. Ibeliew ~tt (~d'~' "~ ~ inforr~tion ~/~*~ is true, ~'~ accurate, ~ and complete.· ~-~/~ ~ ~.,~.~ ~"'~ ,~ . [ . PRIN'Name&Title°f Auth°r~edC°mpanyRepresentative ~ // ~ '~ ' Date · Signature . BAKERSFIELD CITY FIRE DE ,RTIVIENT ~ HAZARDOUS MATERIALS INVENTORY Page 5 of 5 0462-2399 Business Name California Shell Address 3623 California Ave., Bakersfield CHEMICAL DESCRIPTION 1 ) iNVENTORY STATUS: New [ ] Addition I ] Revision IXI Deletion [ ] Check if chemical is a NON TRADE SECRET IX] TRADE SECRET J J 2) Common Name: WASTE BATTERIES 3) DOT #(optional) 2794 Chemical Name: LEAD\ACID BATTERY AHMI ] CAS # MIXTURE 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire[ ] Reactive[ ! Sudden Release of Pressure[] Immediate Health (Acute)[X] Delayed Health (Chronic) I I 5) WASTE CLASSIFICATION 162 (3-digit code from DHS Form 8022) USE CODE 40 6) PHYSICAL STATE Solid I ] Liquid IX] Gas I I Pure I ] Mixture iX} Waste [X] Radioactive I ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 4 Ibsl ] gal Ix] ft3 I] a) Container: 10 Average Daily Amount: 2 curies [ J b) Pressure: 1 Annual Amount: 50 c) Temperature: 4 Largest Size Container: BATTERY # 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 the three most hazardous 1) LEAD DIOXIDE· 1309-60-0 31 I ] chemical component or 2) SULFURIC ACID 7664-93-9 34 IXJ any AHM components 3) LEAD 7439-92-1 34 [ ] 10) Location: TRASH ENCLOSURE / certify underpena/t¥ of/aw, that / have persona//¥ examined and am lam~/~ar w/th t~a~n subm/tted on t~nd al~ attached documents. I bel/eve thesubmittedinformationistrue, accurate, andcomp/ete. . ~ - ~--dl~r '~~ PRINT Name & Title of Authorize~ Company Representative Sig e Date ~ ~ I U MSDS NORTH MOTEL FULL SER~CE STATION LEGEND SCALE, 1"=30'-0"~ DATE, 3/0~/93 (~ EMERGENCY PUMP ~ MONITORING WELLS SHUT-OFF ~ OBSERVATION WELLS ~ITE PLAN ~ ELECTRICAL PANEL SHUT-OFF ~ ANTIFREEZE OALIFO~IA %~ELL S,uT-m~ ~ ~*~ s~o~,o~ 3623 CALIFORNIA AVENUE ~ WAT(R S~uT-Orr ~ ~E*% (8*~L) T~A TANK MONITORING ¢ ~ AL~R~ ~ MOTOR/TRANS~IS'SION o,~ BAKERSFIELD, CALIFORNIA 93309 ~ TELEPHONE ~ k I 0 J ~O~ ~ ~ FIRS~ AlP KIT ~ FIRE EXTINGUISHER ~-~ UG. PRODUCT TANF, ~ STORM DRAIN (~:) SOLVENT SIN:~ WICff 0462-2399 ' ~ OIL/WATER SEPARATO~ :~ U.O. WASTE OIL TANK . ~ ~E~O~C:l ~ 8HELL OIL COMPANY ASSEM~L f AREA ~'~ ABSORBENT HMMP HMMP, AND MSDS MSDS LOCATION ~ WAS3E OIL FI~TER$ ~ FIRE HTDRANT .... FENCE ~ W~STE BATTERIES *'HAZARDOUS MATERIAL MANAGEMENT PLAN DEALER: Liveneood, lnc. O~R: SHELL OIL COMPANY BUSINESS NAME: California Shell .p.O. BOX 4023 STREET: 3623 Californi'a Ave. CONCORD, CA 94524 CITY: Bakersfield WIC NO: '0462-2399 DESCRIPTION RETAIL SALES OF GASOLINE AND RELATED PETROLEUM PRODUCTS. EXIST1NG UNDERGROUND TANKS ARE AS FOLLOWS: No. of SIZE MATERIAL CONST. TANKS (gal) (STL/FG) (SW/DW) SHELL SUPER UNLEADED I 10,000 FG DW SHELL REGULAR UNLEADED I 10,000 FG DW SUPER REGULAR UNLEADED I 10,000 FG DW DIESEL 0 WASTE OIL I 550 FG DW PRODUCT LINES: MATERIAL: FG CONSTRUCTION: Single Wall All product lines are pressurized using a submerged pumping system. All product lines have' in-line Red Jacket leak detectors which restrict product flow rates bY more than 50%. Annually all product lines are pressure tested and a test performed to assure the leak detectors are functional. Impact valves are also inspected annually to assure closure. Repair and/or replacement of all leak detectors and impact values will be done annually at the time of inspection and retested to meet the above test conditions. * This document is to be kept current and placed at the site as part of the "Green Book" in the manager's office. (revision 12/92) MONITORING PROCEDURES FOR DOUBLE WALL TANKS TANK MONITORING The Underground storage tanks are monitored using an approved continuous monitoring system (see below). This system is able to detect the presence of a leak in the primary as well as secondary containment through the use of a liquid filled annular space and submerged liquid level sensor. MONITORING SYSTEM The following continuous monitoring system is used at this facility: API-RONAN-TRS76 RESPONSIBLE SHELL PERSONNEL NAME TITLE PHONE Frank Quercia Manager Day 805 322-3122 24hr 805 834-2131 Jeff Granberry Project Engineer Work 510-675-6145 Home 510-825-1538 Dan T. Kirk Environmental Engineer Work 510-676-6168 Home 510-945-8573 See also "Shell Leak Response Plan" 2 MONITORING PROCEDURES LUBE BAY SUMPS/CAR WASH SUMPS LUBE BAY SUMP Lube bay sumps to be visually monitored montl~ly by a licensed Hazardous Material Contractor who will determine whether the sump is to be cleaned. If the sump requires cleaning, the contractor will arrange to have it cleaned. All hazardous wastes will be handled in compliancelwith all applicable-federal, state, and local ordinances. The dealer,' or his designate, will-accompany the Hazardous Material Contractor during his inspection and actions taken will be recorded in the "Visual Monitoring Log~" The floor drains in the lube bay drain into the sump. The sump drains into the sanitary sewer. CAR WASH SUMPS The car Wash sump will be visually monitored monthly by a contractor who will determine if the sump needs to be cleaned. If the sump requires cleaning, the contractor will clean it. All wastes will be properly disposed of. The car wash sumps drain into the sanitary sewer. The dealer will record visual inspeqtions in his monitoring log. BATTERY STORAGE (NEW OR USED) All automotive batteries} when stored at the service stations, must have a plastic (polyethylene) pan underneath. The pan or pans must have a 1" lip on all four sides of the pan to contain any battery acid that may leak from the batteries stored. 4 'DISPOSAL PROCEDURE FOR ANTI-FREEZE Used anti-freeze should be put in a 55 gallon drum or similar container and the container labeled "Waste Anti-freeze / Hazardous Material". The container must be placed on a metal or plastic pan with a 2" to 3" lip all the way around the pan to contain any spills or leaks from the container. When the container is full, call an "Anti-freeze Recycling Contractor" to remove the container of used anti-freeze. Do not, under any circumstances, pour used or new anti-freeze or a mixture thereof on the floor or on the ground and hose it down to floor drains or storm drains. Do not pour anti-freeze into your waste oil · tank. '5 . DISPOSAL PROCEDURE FOR USED OIL FILTERS The dealer will put Used oil filters in a 55 gallon dram or similar container and the container labeled "Waste Oil Filters HazardOus Material". The container will be placed on a metal or plastic pan with a 2" to 3~ lip all the way .around the pan to contain any spills or leaks from the container. When the container i~; full, the dealer will call a "Waste Oil R~ycling Contractor" to remove the container of used oil 'filters. The dealer will drain all used oil filters'of free-flowing oil prior to placement into the above noted container. Fre~ flowing oil is defined as a continuous stream of oil exiting the filter when'the filter is inverted. Oil exiting drop by drop is not considered fre~ flowing. If oil exiting the .filter is restricted in any way, the filt~r shall be manipulated to allow used oil to exit the filter freely. used oil filters will not be placed in a refuse disposal container. DALLY VISUAL MONITORING PROCEDURES FOR ABOVEGROUND HAZARDOUS MATERIALS Hazardous Materials stored aboveground include: IX]' Motor Oil [X] Transmission Oil [X] Antifreeze [ ] Grease [ ] Gear Lubricant (80W/90) [ ] Solvent (including parts cleaners) [ ] Propane I ] Battery Acid * [ ] Car Wash' Products [ ] Kerosene [ ] co. [X] Waste Oil (prior to dumping in underground tank) IX] Spent Anti-tYeeze * IX] Used Oil Filters The storage areas for these hazardous materials nmst be vi'sually inspected every day for signs of leakage. Items designated with a (*) require secondary containlnent with the contents of each container clearly labeled. If there is a leak or spill of any of the hazardous materials, whether stored above- or underground, Dealer must follow the "Emergency Response Procedures," attached. EMERGENCY RESPONSE PROCEDU 0462-2399 In the event of a fire, spill, or a leak or suspected leak in the tanks and/or piping, the following steps are to be taken as applicable: 1. TURN OFF PUMPS using the Emergency Pump Shut-Off Switch. 2. EVACUATION: If there is any immediate dancer, ANNOUNCE to all persons on the site: "There is an emergency. Please turn off your engines and leave the station on foot immediately." 3. CALL FOR HELP in case of an emergency by dialine 9~1:1 and giving the following information: "THERE IS A FIRE / GASOLINE SPILL at the SHELL station at 3623 California Ave.." If anyone is trapped or needs medical attention, tell the answering di~spatcher. Stay on the phone and be prepared to answer any questions concerning the situation. 4. ' LOOK AROUND to assure that all others have left the station if necessary, particularly those in vehicles who may need assistance or may not have heard the emergency announcement'. Assist, or direct assistance to, anyone having difficulty leaving the station area, and anyone who may be injured. 5.' ATTEMPT TO EXTINGUISH any small or incipient fire if you can do so safely. Have the fire extinguisher ready to use in the event of an)' spill. Try to contain an5' large spill, or use absorbent on smaller spills. 6. REPORT to arriving emergency response personnel to provide them with any int'brmation or assistance they might need. CONTACT the station dealer if s/he is not ah'eady at the station. Use the list below for emergency contacts: 1. Name/Bus Phone/Home Phone: Frank Quercia /805 322-3122 /805 834-2131 2. Name/Bus Phone/Home Phone: Bill Hilterbrand /805 322-3t22 /805 588-0352 8.' NOTIFY your SHELL OIL District Engineer by phone WITHIN 24 HOURS A. SHELL OIL District En.ginecr: JeffGranberr¥ PHONE NUMBER: (510}675-6145(days) (510) 825-1538(home) You must mail a completed Unauthorized Release Report to SHELL within 24 hours. SHELL will notify the appropriate State and Local agencies t,nless the situation requires ureent immediate response by the aeencies, in which case the DEALER should notify these agencies: B. LOCAL AGENCY: Bakersfield Fire Departnaent PHONE NUMBER: 805 326-3979 C. CALIFORNIA OFFICE OF EMERGENCY SERVICES, (800) 852-7550 (24 HOURS) These agencies must be notified within 24. hours of release detection. 9. Dealer should attempt to isolate leak location by inspection. 10. SHELL will coordinate whatever cor,'ective actions need to be taken beyond the Dealer's cap,abilities. SHELL will file whatever reports need to be filed with local and state agencies, and send a copy to the station for the Dealer's files. 11. .RE-ENTRY: If evacuation has occurred and emergency responders have been called, re-entering this facility should take place with extreme caution and only under the direction of the senior emergency resp0nder on site and Shell engineers. THESE EMERGENCY RESPONSE PROCEDURES MUST BE FILLED OUT AND POSTED CONSPICUOUSLY ON SITE ALONG WITH THE ATTACitED SITE PLAN 8 EMPLOYEE TRAINING PLAN Employees must be given this training befilre starting ~vork, and refresher courses must be provided annually. Records must be kept to show when each station employee has been given his/her safety training. Use the following outline and make Copies as needed. Have employee daie and sign this document upon completion of training on the following page. Retain these records for a minimum of three years. I. FIRST THINGS TO KNOW: A. EMERGENCY PUMP SHUT-OFF: This tums off the turbine pumPs that provide flow to the dispensers from the underground tanks. In case of a leak, shutting off the pumps will help to prevent spills. LOCATION: NORTH SIDE OF SALES BUILDING B. ELECTRICAL PANEL: The panel allows you to selectively cut off power to lights, signs, pumps, etc. The main 'switch-kills all power at the site. · LOCATION: EAST WALL OF sERvIcE BAY WATER SHUT-OFF: The water shut-off may be necessary in some cases.. LOCATION: .IN SIDE WALK ALONG REAL ROAD D. FIRST AID KIT: LOCATION: l-IN CASHIERS AREA I-IN SERVICE BAY E. FIRE EXTINGUISHER: Use only on small fires that you can handle. Do not attempt to extinguish large fires on your own; call 9-1-1 tbr help. LOCATION: 4-1N SERVICE BAY · F. ABSORBENT: In the lbrm of crystals or cloth, absorbent can.soak up small spills of gasoline, diesel fuel, or other petroleum products. AbsOrbent should be used rather that ~vashing spill~ down a drain. In case of large spill, merely try to contain it; a vacuum truck should he used to clean np any large spill. .LOCATION: IN SERVICE BAY G. NEAREST MEDICAL FACILITY: Employees should know what facilities are available in case customers or other employees need medical attention. 1. NAME: Mercy Hospital ADDRESS: 2215 Truxtun Avenue, Bakersfield PHONE NUMBER~ 805 328-5275 DESIGNATED TRAUMA CENTER: 2. NAME: Bakersfield Memorial Hospital ADDRESS: 420 34th Street, Bakersfield PHONE NUMBER: 805 327-1792 'II. All employees should review the Service Station Monitoring Plan, of which this ti'hining plan is a part. Specifically, each employee should undergtand the procedures tO be used in responding to various kinds of emergencies, and know how to monitor for leaks of hazardous materials. As a supplement to this package, employees should also review the Emergency Response Plan filed by your business to the appropriate local agency. Thirdly, employees should review and have access to the Materials Safety Data Sheets you have on file for each of the hazardous materials stored at the station and must be drilled in all emergency response procedures contained herein. III. FIRST AID PROCEDURES (For exposure t0 gasoline or diesel fuel): '~ :' A. EYE CONTACT: Flush with water for 15 minutes while'holding eyelids oPen. Get medical attention. B. SKIN CONTACT: Flush with Water while removing contaminated clothing and shoes. Follow by washing with soap and water. Do not reuse clothing or-shoes until cleaned. If irritation persists, get medical attention. C.' INHALATION (Breathing): Remove victim to fresh air and provide oxygen if breathing is difficult. If not breathing, give artificial respiration. Get medical attention. D. INGESTION (Swallowing): DO NOT INDUCE VOMITING BECAUSE GASOLINE CAN ENTER LUNGS AND CAUSE SEVERE LUNG DAMAGE! If ¥omiting occurs spontaneously keep head below hips to prevent aspiration of liquid into lungs. Get medical attention. E. NOTE TO PHYSICIAN: If more than 2.0 ml per kg has been ingested and vomiting has not occurred, emesis should be induced with medical supervision. Keep victim's head below hips to prevent aspiration. If symptoms such as loss of gag reflex, convulsions or unconsciousness occur before emesis, gastric lavage using a cuffed endotracheal tube should be considered. F. For further infi)rmation, consult the Materials Safely Data Sheets for these products and for other hazardous materials. FIRST AID FOR EXPOSURE TO OTHER MATERIALS: Consult the warning advice on container labels or refer to the MSDS for that product. I have reviewed, understand and have been properly drilled in the above'employee training program. EMPLOYEE SIGNATURE DATE INITIAL ANNUAL TRAINING REFRESHER 'CHECK AS APPLICABLE) EMPLOYEE NAME (PRINT) 10 " SHELL LEAK RESPONSE. PLAN INTRODUCTION IT IS THE PURPOSE OF THIS SECTION TO ESTABLISH BASIC GUIDELINES AND PROCEDURES FOR USE BY THE SHELL OIL COMPANY FOR THE HANDLING OF PRODUCT SPILLS/LEAKS WHICH MAY OCCUR AT SHELL FACILITIES. DESIGN AND INSTALLATION IMPROVEMENTS ARE CONTINUOUSLY BEING EVALUATED AND IMPLEMENTED IN ORDER TO REDUCE, AND ELIMINATE, THE POTENTIAL FOR PRODUCT LEAKAGE. RESPONSIBLE SHELL PERSONNEL NAME TITLE PHONE Frank Quercia Manager Day 805 322-3122 24hr 805 834-2131 Jeff Granberry Project Engineer Work 510-675-6145 Home 510-825-1538 Dan T..Kirk Environmental Engineer Work 510-676-6168 Home 510-945-8573 RESPONSIBLE CONTRACTOR GETTLER - RYAN, INC. 510/783-75'00 24 HOURS 2150 WEST WlNTON HAYWARD, CA 94545 LEAK VERIFICATION WHEN A SERVICE STATION PRODUCT LOSS IS SUSPECTED OR REPORTED, THE FOLLOWING LEAK VERIFICATION PROCEDURES WILL APPLY: 1. THE SHELL ENGINEER WILL ARRANGE FOR THE SHELL TERRITORY MANAGER TO IMMEDIATELY (THE SAME DAY) VISIT THE STATION TO REVIEW THE DEALER'S PHYSICAL CONTROL OF PRODUCTS AND INVENTORY RECORDS. 2. AT THE SAME T1ME, THE ENGINEER WILL ORDER A PUMP/DISPENSER CALIBRATION, ASSURE METERS ARE SEALED, INSPECT ACCESSIBLE POTENTIAL LEAK SOURCES, AND CHECK LEAK DETECTOR OPERATION (ON REMOTE SYSTEMS). 3. ALSO, THE ENGINEER SHALL START MAINTAINING A PRODUCT.LOSS LOG AS WELL AS A RECORD OF SIGNIFICANT DALLY LEAK RELATED ACTIVITIES. 4. IF THE ABOVE INVESTIGATIONS PROVE INCONCLUSIVE, THE TERRITORY MANAGER SHOULD IMMEDIATELY BEGIN A DALLY INVENTORY LOG (EXHIBIT B), WHICH WOULD BE MAINTAINED FOR A MINIMUM PERIOD OF 48 HOURS AND A MAXIMUM OF 7 DAYS, FOR SUBSTANTIATION OF A SUSPECTED LEAK. DEPENDING ON THE CIRCUMSTANCES (POTENTIAL HAZARDOUS CONDITION, ETC.), ~IT MAY BE NECESSARY TO TAKE ADDITIONAL LEAK RESPONSE ACTION DURING THE PERIOD OF INVENTORY. 5. IF PRODUCT LOSSES ARE VERIFIED. PRODUCT LINES AND/OR TANKS MAY REQUIRE TESTING TO DETERMINE THE LEAK SOURCE. 11 A. PRODUCT LINES MAY BE TESTED USING AIR PRESSURE (APPROXIMATELY 50 PSI) OR A SHELL APPROVED LINE TESTING SYSTEM (E.G., KENT-MOORE). SHOULD THE LINE TESTS INDICATE ':' LEAKING LINES, THEY SHALL BE REPAIRED OR REPLACED AND RETESTED TO ASSURE THE LEAK HAS BEEN STOPPED. IN ADDITION, A PRODUCT LOG INVENTORY CHECK SHOULD BE MAINTAINED FOR.A .PERIOD OF 7 DAYS AFTER THE LINE REPAIRS TO ASSURE THERE ARE NO OTHER LEAKS IN THE SYSTEM. B. SHOULD THE TEST INDICATE THE LINES ARE NOT LEAKING OR IF A SHORTAGE CONTINUES AFTER THE LINES HAVE BEEN REPAIRED, THE UNDERGROUND TANK(S) SHALL BE TESTED BY A PRECISION OR OTHER APPROVED PROCEDURE. (SEE N.F.P.A.329). NOTE: i, OCAL FIRE CODES AND' oRDINANCES MAY DICTATE THE APPROPRIATE TESTING PROCEDURES FOR USE ., ON UNDERGROUND TANKS. AIR TESTS OF UNDERGROUND TANKS ARE NOT RECOGNIZED AS CONCLUSIVE, AREDEEMED UNSAFE BY MANY FIRE PREVENTION AGENCIES, AND SHOULD NOT BE USED. IF THE TANK TEST INDICATES ONE OR MORE TANK LEAKS, REPAIR OR REPLACEMENT'WILL BE COMPLETED. ' CORRECTIVE ACTION 1. THE SHELL ENGINEERING STAFF SHALL TAKE IMMEDIATE ACTION TO STOP, CONTAIN, AND SHALL TAKE IMMEDIATE DECISIVE ACTION TO RELIEVE THE THREAT OF PUBLIC HEALTH AND SAFETY HAZARDS, OR PROPERTY DAMAGE. 2. IT MAY BE APPROPRIATE TO OBTAIN SAMPLES OF THE RELEASED PRODUCT FORTESTING AND IDENTIFICATION BY SHELL LABORATORY. 3. OBSERVATION WELLS WILL ONLY BE INSTALLED WITH HEAD OFFICE, MARKETING ENGINEERING, ENVIRONMENTAL GUIDANCE. 1F LOCAL AUTHORITIES AND/OR CONDITIONS DEMAND IMMEDIATE INSTALLATION, THEN INSTALL THE TEST WELLS 1N ACCORDANCE WITH STANDARDS SHOWN FOR MINIMUM FOUR INCH PVC PIPE WITH INSTALLATION. IF FORCED, BY SITUATION, TO INSTALL OBSERVATION WELLS OFF SITE ON PUBLIC PROPERTY, ACQUIRE LOCAL AUTHORITY APPROVAL OR WRITTEN ORDER TO PERFORM THE WORK. 4. OBSERVATION WELL INSTALLATION STANDARDS (SEE OBSERVATION WELL DETAIL ATTACHED). A. INSTALL OBSERVATION WELLS IN LOCATIONS SPECIFIED AND/OR APPROVED BY HEAD OFFICE, MARKETING ENGINEERING, ENVIRONMENTAL. B.' DRILL (AUGER) A MINIMUM 12-1NCH DIAMETER HOLE TO A DEPTH OF AT LEAST 5 FEET BELOW THE MINIMUM WATER TABLE. C. INTO THE HOLE, INSTALL 4-INCH OR 6-1NCH DIAMETER SCHEDULE'40 SLOTTED AND BLANK PVC PIPE, WITH PIPE SIZE DEPENDENT UPON THE SITE'S GEOLOGY AND LOCAL REGULATIONS. SLOTTED PIPE SHALL HAVE FACTORY CUT TWENTY THOUSANDTHS (.020)'INCH SLOTS. D. USE SLOTTED PIPE FROM THE BOTTOM OF. THE WELL HOLE TO APPROXIMATELY 3 FEET ABOVE THE MAXIMUM GROUNDWATER TABLE, CONSIDERING WATER TABLE FLUC~FUATION. THE SLOTTED PIPE SHALL BE CAPPED AT THE .BOTTOM. E. THE BLANK PIPE SECTION ATTACHED TO THE TOP OF THE SLOTTED PIPE AND EXTENDS UPWARD T'O JusT' BEL'OW GRADE ELEVATION. AVOID USING GLUE TO COUPLE THE PIPE SECTIONS; RATHER, USE THREADED PVC PIPE OR OTHER COUPLING METHODS WHENEVER POSSIBLE. A LOCKABLE CAP SHALL BE INSTALLED ON TOP OF THE BLANK PIPE. 12 ~ F. ONCE THE SLOTTED AND BLANK PIPE HAS BEEN SET IN THE HOLE, BACKFILL WITH A FILTER PACK OF POROUS MATERIAL SUCH AS PEA GRAVEL. THE FILTER PACK SHOULD BE FILLED AROUND THE PIPE TO AT LEAST 2 FEET ABOVE THE TOP OF THE SLOTTED SECTION. DO NOT BACKFILL AROUND THE SLOTTED PIPE WITH CLAY OR OTHER MATERIAL WHICH WOULD IMPEDE GROUNDWATER FLOW 'INTO THE OBSERVATION WELL. G. ABOVE THE FILTER PA~K, BACKFILL WITH CLEAN, DRILLED SOIL MATERIAL TO APPROXIMATELY 2 TO 3 FEET BELOW GRADE, AND TOP-THE BACKFILL WITH A SURFACE SEAL OF CEMENT GROUT OR PACKED CLAY TO PREVENT SURFACE CONTAMINATION FROM INFILTRATING THE FILTER PACK · ' AND ENTERING THE WELL. H. "DEVELOP" THE OBSERVATION WELL BY FLOODING 'IT WITH WATER AND THEN PUMP IT OUT. 'THIS ACTION WILL DRAW DRILLING MUD AND FINE PARTICLES OUT OF THE FILTER PACK, IMPROVING THE PERFORMANCE OF THE WELL. I. AUGURED HoLE SOIL CHARACTERISTICS WILL BE RECORDED. J. OBSERVATION WELLS SHALL BE PROTECTED FROM DAMAGE DUE TO TRAFFIC OR OTHER HAZARDS AND REMAIN ACCESSIBLE FOR FUTURE USE AND OBSERVATION. WHERE LOCATED IN TRAFFIC AREAS, DRIVEWAY MANHOLES AND COVERS SHALL BE INSTALLED. 5. OBSERVATION WELL MONITORING AND DATA 'A. ESTABLISH A BENCHMARK AND DETERMINE THE RELATIVE ELEVATIONS AT THE TOP OF EACH TEST WELL PIPE. B. MONITOR THE WATER AND DEPTHS IN EACH PIPE. NOTE: IT IS IMPORTANT THAT ALL MEASUREMENTS BE FROM 'THE TOP OF EACH PIPE TO THE WATER AND/OR PRODUCT LEVELS IN EACH PIPE. RECORD MEASUREMENTS TO THE NEAREST EIGHTH INCH. C. PRODUCT SHOULD BE PUMPED OUT OF THE OBSERVATION WELLS ONLY WHEN DIRECTED BY HEAD OFFICE. PREMATURE REMOVAL OF SAID PRODUCT COULD CAUSE INCORRECT WELL "READINGS". WELL EQUIPMENT/MATERIALS 1. OBSERVATION WELL PIPE A. SCHEDULE 40 PVC PIPE (4.51' OD-.237 WALL THICKNESS) AVAILABLE IN BOTH FACTORY SLOTTED AND STANDARD PIPE WITH FITTINGS AND CAPS AVAILABLE. B. SIX, EIGHT, TEN AND TWELVE INCH SCHEDULE 40 PVC PIPE ALSO AVAILABLE WITH FACTORY MACHINE SLOTS AT TWENTY THOUSANDTHS OF AN INCH. C. FACTORY SLOTTED PIPE AVAILABLE FROM THE FOLLOWING MANUFACTURERS: 1. 2" TO 14" AVAILABLE GATOR PLASTICS, INC. BOX 15020 BROADVIEW STATION BATON ROUGE, LOUISIANA 70815 TELEPHONE: 504/926-0100 MR. TOM.HAYES 2. 2" TO 14" AVAILABLE HYDROPHYLLIC INDUSTRIES -5815 A NORTH AMERICAN PUYALLUP, WASHINGTON 98371 TELEPHONE: 206/927-4321 MR. PHILGALLAGER 13 3. 2" TO 12" AVAILABLE DIVERSIFIED WELL PRODUCTS, INC. P.O.BOX 3495 FULLERTON, CALIFORNIA 92634 TELEPHONE: 714/632-9334 MR. KURT GOSS 4. 2" TO 12" AVAILABLE HANDEX "' 703 GENES1 DRIVE MORGANVILLE, NEw JERSEY 07751 TELEPHONE: 201/536-8500 MR. GREG REUTER 5.2" TO 8" AVAILABLE JET STREAM PLASTICS SILOAM SPRINGS, ARKANSAS 72761 TELEPHONE: 501/524-5151 NOTE: IN ORDERING PIPE, REMEMBER TO ORDER POLYVINYL CHLORIDE (PVC) PIPE. BE CAREFUL THAT A SUPPLIER DOES NOT SUBSTITUTE ACRYLON1TRILE-BUTADIENE-STYRENE (ABS), WHICH TENDS TO BECOME BRITTLE WITH WEATHERING. SELECTION OF THE CORRECT WELL CASING AND RELATED PRODUCTS 'IS OF PARAMOUNT IMPORTANCE. MISAPPLICATION AND IMPROPER SELECTION CAN BE THE SOURCE OF POTENTIAL WELL FAILURE. IT IS RECOMMENDED THAT ALL PVC PIPE ORDERS BE SCHEDULE 40 PVC. 2. SUBMERGED PUMP AND MISCELLANEOUS PRODUCT RECOVERY EQUIPMENT. A. TH E EQUIPM ENT SELECTED FOR A PRODUCT RECOVERY OPERATION WILL DEPEND UPON SPECIFIC CONDITIONS AT THE JOB S1TE. THE HEAD OFFICE HYDROGEOLOGIST WILL SPECIFY THE EQUIPMENT TO BE USED FOR EACH SITUATION. PRODUCT RECOVERY SYSTEMS 1. SHOULD A PRODUCT RECOVERY BE NEEDED THE DESIGN WILL VARY DEPENDING UPON THE SPECIFIC SITE CONDITIONS. IN SOME CASES, WHERE PRODUCT MOVEMENT IS CONFINED AND THE WATER TABLE IS RELATIVELY SHALLOW, A TRENCH MIGHT BE USED TO INTERCEPT AND COLLECT THE PRODUCT. IN OTHER SITUATIONS, WHERE PRODUCT MIGRATION IS WIDESPREAD AND/OR THE WATER TABLE IS RELATIVELY DEEP, THE "CONE OF DEPRESSION" RECOVERY WELL APPROACH MAY BE MOST EFFECTIVE. (SEE RECOVERY WELL DETAIL ATTACHED.) EXACT METHOD OF RECOVERY WILL BE APPROVED BY SHELL OIL COMPANY, HEAD OFFICE MARKETING ENGINEERING, ENVIRONMENTAL. 2. IN A LIMITED NUMBER OF SITUATIONS, THE OBSERVATION WELL .MAY.BE USED EFFECTIVELY AS A PRODUCT RECOVERY WELL. THE FOLLOWING CONDITIONS MUST EXIST: A. PRODUCT DEPTH iS NOT BEYOND THE LIFTING CAPABILITY OF AN APPROPRIATE PUMP. B. PRODUCT LOST IS M1NIMAL, CONCENTRATED 1N THE AREA OF THE OBSERVATION WELLS, AND OF THICKNESS WHICH CAN BE SKIMMED OFF OF THE WATER TABLE. C. PRODUCT IS CONTAINED IN AREA BY SOIL CHARACTERISTICS (CLAY, ROCK, ETC.).AND HAS MINIMAL MIGRATION. HAZARDOUS MATERIAL REMOVAL THE WATER/GASOLINE MIXTURE WILL BE REMOVED BY A LICENSED INDUSTRIAL WASTE HAULER (SUCH AS 1.T. CORPORATION OR ACE INDUSTRIAL CLEANING INC.) AND RETURNED TO SHELL OIL COMPANY, MARTINEZ MANUFACTURING COMPLEX, MART1NEZ, CA 94553 FOR REPROCESSING. 14 LOCATION EQUIPMENT ADDREss: 3623 California Ave. ·CITY: Bakersfield MONITORING INFORMATION: TANK TYPE: ( ) STEEL ( ) SINGLE WALL FIBERGLASS . .. ( ) STEEL AND FIBERGLASS TANKS (X) DOUBLE WALLED FIBERGLASS TANKS OWENS CORNING - (X) YES ( ) NO CONTINUOUS ELECTRONIC MONITORING OF ANNULAR SPACE iX) YES ( ) NO INVENTORY CONTROL: (X) OPTION 5 ( ) TLS-250 - YADOSE MONITORING: ( ) INSTALLED (X) NOT INSTALLED GROUNDWATER MONITORING WELLS: ( ) YES (X) NO MAINTENANCE CONTRACTORS: RONAN: VAPOR MONITORING AND INLINE CHECK CONTRACTOR5 : GETTLER - RYAN 2150 WEST WINTON HAYWARD. CALIFORNIA PHONE NUMBER: 510/783-7500 EMERGENCY RESPONSE CONTRACTOR: MAINTENANCE CONTRACTOR: GETTLER - RYAN 2150 WEST WINTON ·HAYWARD. CALIFORNIA PHONE NUMBER: 510/783-7500 ENVIRONMENTAL CONTRACTOR: GETTLER - RYAN 2150 WEST WINTON HAYWARD, CALIFORNIA PHONE NUMBER: 510/783-7500 FOR EMERGENCY CALL: SHELL DISTRICT OFFICE: 510/676-1414 WEEK DAYS AFTER WORKING HOURS: . DISTRICT ENGINEER: .. - DAN KIRK: 510/945-$573 FIRE DEPARTMENT: 91 I POLICE DEPARTMENT: 911 EMERGENCY MEDICAL AID: 911 · INVENTORY VARIATION WOR ET TO: TERRITORY MANAGER FROM: STATION OPERATOR DATE: RE: INVENTORY VARIATION EXCEEDING MAXIMUM ALLOWABLE LIMITS On , the station at (date)(address) had an inventory variation 'that exceeded the allowable limits as indicated below: SU2000 RU2000 SHELL SR I AUTO DIESEL I have begun inventory discrepancy procedures and (check one) I have stopped dispensing product 1 have not stopped dispensing product This notification is in addition to the phone call I previously placed. (Dealer or Station Manager's signature) ' Remember to write the Territory Manager's name and number on the bottom left hand comer of the envelope. 16 STATION ADDRESS WlC# MONTH PRODUCT INSPECTED BY ',MAXIMUM ALLOWABLE VARIATIONS EXIST FOR: -COLUMN G DALLY OVER (+) OR SHORT' (-) -ACCUMULATED WEEKLY VARIATION -TOTAL MONTHLY VARIATION DAILY 'INVENTORY LOG PACE 1 OF 2 COMPARE THESE VALUES AGAINST THE ALLOWABLE COVERAGE CHART FOR YOUR STATION, A B C D E F G COMMENTS: RECONCILED DATE DAY OPENING GROSS DAILY METERED CLOSING CLOSING DAILY BY: OF PHYSICAL GALLONS METERED NON- BOOK PHYSICAL OVER THE INVENTORY LOADED SALES SALES INVENTORY INVENTORY OR SHORT WEEK (A+B-C+D) (-)(E-F) 1 2 , 4 , 5 6 · 7 " 10 12 13 DAILY INVENTORY LOG PAGE 2 OF 2 ,' A B C D E F G COMMENTS: RECONCILED DATE DAY OPENING GROSS DAILY METERED CLOSING CLOSING DAILY BY: OF PHYSICAL GALLONS METERED NON- BOOK PHYSICAL OVER THE INVENTORY LOADED 'ISALES SALES INVENTORy INVENTORY OR SHORT WEEK '1 ~A+B-C+D) (--)(E-F) 15 16 ~ 17 18 19 20 21 ' 22. 23 25 . 26 27 28 30 31 TOTAL ~=T MONTHLY VARIA~ *GASOLINE THAT HAS BEEN PUMPED THROUGH DISPENSERs AND RETURNED TO THE UNDERGROUND GASOLINE TANK (TYPICALLY CALIBRATIONS). I I VISUAL MONITOR NG " (FOR ABOVE GROUND STORAGE OF HAZARDOUS MATERIALS) STORAGE DAlE OF BAlE & CORREClIVE DEALER'S 'FACILITY INSPECTION COMMENTS ACTIONS TAKEN SIONATURE M .O N i T O R ! N G S Y S T E M S DEALER/MAINTENANCE CONTRACTOR TO I.~IT~L ;','HEN TEST WAS PERFORMED TERRITORY MANAGER/SALES REPR. 'fO DATE. INITIAL AND CHECK OFF FOLLOWUP CATEGCRY ON REGULAR SCHEDULED BUSINESS VISIT. ;"' DATE '41TIAL SYSTEM CHK.-OK REOUIRED MAINTENANCE. REMARKS I I I THE PANEL SHOULD BE ¢-~HECKED BY THE SHELL DEALER/EMPLOYEE EVERy 3 HOURS. ~ WASTE OIL TANK GAUGING SHEET ... " WlC NO.: TANK SIZE: YEAR: GAUGING PERIOD INVENTORY I VARIATIONS A B C DI · E F G OPENING CLOSING * '--XCEED FROM TO DIPSTICK DIPSTICK AcTuAL ALLOWABLE ALLOWABLE READING READING IvARIATION VARIATION VARIATION INCHESGALLO_N_S INCHESGALLONS G S t-/.-GALLONSYES/NO +/- +/- +/- +/- ~ +/- .. +/- +/- +/- I ,+/- I +/- I +/- I I I +/. · ALLOWABLE VARIATION X.01= ,IF TOTAL IS 0-) 5 ENTER EXACT AMOUNT TANK SIZE TOTAL OVER 5-ENTER5 · *IF YOU ANSWERED YES IN COLUMN G> AN UNAUTHORIZED. RELEASE (LEAK) SHALL BE ASSUMED TO HAVE OCCURRED. ALL LEAKS SHALL BE REPORTED WITHIN 24. HOURS TO: Overall Site with 1 Fac. Unit, General Information 'Location : 3623 CALIFORNIA AV Map: 102 Hazard: Low ICo~munity: BAKERSFIELD STATION 03 Grid: 35B F/U: 1 AOV: 0.0 , Contact Name' Title II Business PhoneII 124-Hour Phone_q iFRANK QU~.RCIA MANAGER i (805), 322-3122 x 805)~ Administrative Data Mail Addrs:._P O BOX~,~ 4023 D&B Number:-36-4-6-7-0372 City: ;CONCORD,. * ........ State: CA Zip:i 94524 Comm Code: '~-~t~-0'~: ~BAKERSFIELD 'STATION 03 SIC 'Code :--5541-- .... Owner: DEL LIVENGOOD Phone: (805) 322-3122 Address: ~ State: CA City:--~A~C~R~I~I~ - Zip: 93313- Summary 1 !, _ ,, Do hereby ceftin7 that ! have (Tyl~e or print n~n®) -~. reviewed the attachu~ .~ r:..::,~..,.;~.;,,,~,~ materials me.n~.ge- ment plan i'cr ......... and that it along with ~y correclions constitute a complete and corr~ man- ~ement plan for my ~acility. 02/20/92 CALIFORNIA AVENUE SHELL 215-000-000791 Page 1 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 WASTE. OIL Liquid 550 Low · Fire, Delay Hlth GAL CAS #: 22L Trade Secret:~No Form: Liquid Type: Waste 'Days: 365 Use: WASTE Daily Max GALI Daily Average GAL. I Annual Amount GAL 550 ~ ~250.00 2,500.00 Storage Press T Temp~~ Location UNDER GRouND TANK 'Ambient~AmbientlBEHIND STATION -- Conc Components MCP List 100.0% Iwaste Oil, Petroleum Based Low 02-002 SR 2000 GASOLINE Liquid 9310 Moderate · 'Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret:~No Form: Liquid Type: Pure Days: 365 Use: FuEL Daily Max G~LI Daily Average GAL I Annual Amount GAL -- 9,310 I 4,655.00 120,000.00. StorageIIPress T Temp · Location UNDER'GROUND TANK Iambient~AmbientlWEST SIDE -- Conc Components MCP List 100.0% I Gasoline I Moderate I 02-003 NEW OIL .~ Liquid 1000 ~Minimal · Fire, Delay Hlth GAL CAS #: Trade Secret: No .Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL I Daily Average GAL I Annual Amount GAL 1,000 I 450.00 . 1,600.00 Storage ~ I'PresS T Temp Location PLASTIC CONTAINER IAmbient~Ambien~lSTORE ROOM REAR OF BLDG -- Conc~ Components ~ MCP~ List 100.0% IMotor Oil, Petroleum Based . IMinimal ~ 02/20/92 CALIFORNIA AVENUE SHELL 215-000-000791 Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-004 TRANSMISSION FLUID Liquid~ 400 Low · Fire, Delay Hlth GAL CAS #: Trade Secret: No '. ~Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GALI Daily Average GAL --~--- Annual Amount GAL 400 [ 200.00 400.00 StorageiIPress T Temp Location PLASTIC CONTAINER IAmbient{AmbientlSTORE ROOMREAR OF BLDG -- Conc Components MCP List 100.0% ITransmission Fluid (Petroleum-Based) ILOw I .~ U~qued 100 Low 02-005 ANTIFREEZE ~ .... ~ · Immed Hlth, Delay Hlth GAL CAS #: Trade Secret: No Form: Unknown TyPe: Pure Days: Use: COOLANT/A~TIFREEZE Daily Max GAL Daily Average GAL I Annual Amount GAL 1 0 0 ~:20~:~0:0,~' ~.{ 7 5 · -- Storage . PressTTemp , Location PLASTIC CONTAINER ~STORE ROOM REAR OF BLDG -- Conc Components MCP List 100.0% [Ethylene Glycol '1Low I 0.2-006 SU 2000 GASOLINE Liquid 9310 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days:. 365 Use: FUEL Daily Max GAL Daily Average GAL I Annual Amount GAL 9,310 I 4,655.00 120,000.00 Storage .Press T Temp Location UNDER GROUND TANK Ambient{Ambient WEST SIDE -- Conc Components . MCP List 100.0% I GaSoline ~ _ IModerate [ 02/20/92 CALIFORNIA AVENUE SHELL 215-000-000791 Page 3 02 ' Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-007 RU 2000 GASOLINE Liquid 9310 Moderate ~ Fire, Immed Hlth~ Delay Hlth GAL CAS #: ~8006-6119 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL Daily Average GAL Annual Amount GAL 9,310 I 4,655.00 I 120,000.00 Storage~lPress T Temp Location UNDER GROUND TANK Iambient~ambientlWEST SIDE -- Conc Components MCP iList 100.0% 'lGasoline IModeratel 02/20/92 CALIFORNIA AVENUE SHELL 215-000-000791 Page 4 00 - overall Site <E> Mitigation/Prevent/Abatemt <I> Release Prevention NORMAL GAS STATION SAFETY PROCEDURES - AUTOMATIC SHUT OFF'S REMOTE PUMP SWITCH, VAPOR SHIELD ON PUMPS. OIL IN CLOSED CONTAINERS <2> Release Containment -~, ABSORBANT AND/OK CLEANERS ON SPILLS OF GASOLINE, OILS SOLVENTS, ETC. SPILLS PICKED UP WITH'2 NON-CHLOROPHYL KITTY LITTER TO BE MAINTAINED IN CLOSED, AIRTIGHT CONTAINER_~ FORA PERANMENT DISPOSAL AT KETTLEMAN HILLS HASARDOUS WASTE DISPOSAL SITE. <3> Clean Up USE ABSORBANT MATERIAL TO CLEAN UP SPILLS AND PUT IN SEALED CONTAINER WHEN USED <4> Other Resource Activation 02/20/92 CALIFORNIA AVENUE SHELL 215-000-000791 Page 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2, Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - EAST WALL LUBE BAY C) WATER - EAST OF STATION SIDEWALK REAL.RD D) SPECIAL ~ NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - SOUTHEAST CORNER OF LOT. <4> Building Occupancy Level 02/20/92 CALIFORNIA AVENUE SHELL 2~5-000-000791 Page 6 00 - Overall Site <G> Training <1> Page 1 WE HAVE 9 EMPLOYEES AT' THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: ALL HAVE BEEN'TRAINED IN CASE.OF EMERGENCIES - SHUT OFF 'PUMPS - DAM UP SPILLS, CALL 911 AND EVACUATE PREMISES <2> Page 2 as needed <3> Held for. Future Use <4> Held for Future Use. 'i i CITY of BAKERSFIELDRECEIVED ', / ' Farm'and Agriculture Iq I Sta dard Business i~HAZARDOUS. HATERIALS INVENTORY JAN 1 3 1992 · /N"O' .':['RADE S ~ C RETS ;- ~ Page I ofc~ 'Bus! S NA Li'VES]~, :(NC OWNER NAHE: D",~T, L:Fv']gN~D . . NAHE OF THIS FACILiTY~~6'TDI~;)' ' t. lp.,LN ~..~,:~ .:~ zr'.. ~aa:/o~'~g: ~T~loq~' 93309~ ..p~ ~.I~.ONe .'~IP: ~APT~_ ........ ~qT6q , " ' ................ lrans b,' ,ax Average Annual ~,asure I~ Cunt Cunt Cunt ~s locqtion.whece. Code, code AeC' · Aec, . Est · units on ~[e Type Press :~femp Co~e Stor?a In eaCl/l:y... See lnstru:L~cns Hames Of Nix:ure/Cceponents .~ I ~'1 ~,3101~/~55'~I I(~LI ~~10~ I ~ I"'W I, q I~~ ~~~,~ ~'~0,' -, ~re ,azard U Reactivity D Sudden ReleaSe i Component 12 Hame I C,A,S. Humber ~ ~5 ~. :. .'. :'. of Pressure Component t3 Naee. I C.A.S Humber Physical a~d Health ~aTard '~: C.X,S, Humber ~~(~i~ II Hame I C,A,S, Numbe/ (Check al/ that app/yl .j .- Component ~ ~5~~C e Hazard ~ Reacti.yityl B Sudden Release i~ .' ? . ~ ~>X~ J~ /~'~-~ Ph'ysic~l and ~eplth ~4lard'-{ [ C.X.S. Humber Componen: Il Hame I C,A,S, HuAbe~ , Health of Pressure Component'13 Name I'C,A,.S~ Humber.. ()_~) I' ' I I' I. I I I I' :Physical mhd Health ~a]ard ~ ~ '~ C,A,S, Number Componen~ II Name I C,~,S, Number '.(Check a/].tha~ aPPdl .:::, i '.. , Hame l c.A,s, Humber ~ Fire Hazard ~ ReactiVity; ~ 0elayed ~ Sud.den Re]ease ~ l~i~C°mp°nenL · ~ , Hem/Ch of Pressure - ~ Component 13' Hame i C,A,S, Humber EHE~GEHCY CONTACTS ~,~ R~ :' Title .... .' ZIHr Phone- Hame . Tl[le I cer[,ly un~er pertain, o~,.th,tl~avfpe(sona~ exaelnff?aq~, ~milla( Vitb ~e~nfo(mat~pn~ubeiLtpd In this:~nd ,11 . aL'~acned.dec~eent~ an~ ~pa~ od'.see=on.my ~nqu~ry gl.those ~n~lv~ua~s respons~o~e tot obLa~n~n9 the ~ntormac~on, I believe that the ~ g~~~Mltl~ ~netll~rator UH owner/operator's authorized representative - . " CITY of BAKERSFIELD " - i ,I HAZARDOUS HATERIALS INVENTORY Far, and Agticul'ture U Sta'nclard Ousin~ss ~ BUSINESS NAHE~ ~~D; ~C OWNER NAHE:D~ ~~D NAHE 0F THIS FACILITY: ~,T, QTT, m L0CATZ0N; 3623-'~L~/~: ADDRESS; 3281 ~ ~. ~4R0 STANDARD IND. CLASS COD~~_..~.~-.~; ............ '_ CITY.' ZZP:RA~q~T~.~_ q~q CITY. ~IP:~aOTn .l~l DUN AND BRADSTR~E~ NUHB'~- , PHONE ": 805~3~ ..312~ ..... ., ~ ~O~~e~ ~OH PROPER CODES -- lrins ! ~e ~ax Av~r~ge~ Annual ~easure I Cont Cont Cont Us location. Whe[,~. Code ~oae' Act AeC Est Units on e Type Press leap Co~e S~e ~ Stored ~n rac~m~ty I I I I' o. OD Physical and Health Hazard ~ C,A,S,'{Huaber Co~ponent Il' Haae't C,A,S. Humber 1-S9 (Check al/ that apply) ~ ""~ ' '[ ~t Component I~ Hame I C,A,S. Humber 1_c9 ~'FireHazard '~ Reactivityj ~'Delay, ed ~ Sudden Release '~ l~ediate ;,, Hem lth of Pr essure Hem Ith . I Component 13 Hame I C,A.S, Hu~ber 0-1 ~A~ 7732-18-5 Physical add Health ~azard C.A,S.~Humber COmponentil Na~e t C,A,S, Hu~ber (Check al/ that apply) ,, ~ Fire Hazard ~ Reactivity(' ~ Oela~ed ~ Sudden Release ~ ]~,ediate Component 12 Hame I C,A.S. Humber ,,~? ,_ [ Hea;l~th o( Pressure Health Component 13 .Name I C.A.S. Number /~. Physical and Health UHard ~ .; C.A.S.,Humber Component II Hame & C,A,S,'Humber (Check ali that app/H ~ , ~. Fire Hazard ~ eeac[iviLy~~ ~~ ~ Sudden Release ~ Im~?~C°.p°nenL 12 Name I C,A,S, Number ~ of Pressure " -- ~ C°ap°nent 13 Name I C.A.S,.Huaber Ph~sica'l"i'~d Health ,a~ard . ~ C,A,S~, Number Component II Haee I C,A,S, Hueber (Check al/ that applyl ~ . ~,~ ~ ,' ~ Fire Hazard' ~ Reactivity: ~ DelaYed ~ Sud.den Release ~ ]'~i~C°'p°nent 12 ,a~e ~ C,A,S, Number , Hea:Ith of Pressure f -- . ~, '~ Component 13 NAme I C.A.S. Humber ~' " fl~TT.T. ~P ~[~R~ ~A~ 714/460-~3 ,ENE~6EHCY COHTACTS ~1 D~ C~~D ~ ~4 Hr Phone NBme Tlt'le ,,; , ,, Name -,i ~nd al1 J certify unoer pen8~[~ o~a~ ~nqc J n4ve per, sonH~y, examln~oQqo i'm Taming8[ vit~ the intormaMpn ~uUmittpU in ~h~I ~ l~d ofitili title ~nerl~raTor u~ o~ner/operator s authorized representative ~gna~re ~:):~ ' U it'.~i~q~' . BUSINESS PLAN CERTIFICATION OF REVIEW This form is addressed to: BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION 2 30 STREET A. BUSINESS NAME: California Shell ADDRESS: 3623 California Avenue CITY: Bakersfield STATE: C~A ZIP: 93309 B. BUSINESS MAILING ADDRESS: P.O. Box 4848/ Attn: LAE District CITY: Anaheim STATE: C~A ZIP: 92803 I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe that revisions are not necessary to the Hazardous Material Business Plan at this time. Name. of Operator: Livenqood, Inc. Name of Document P~/u~ie A. Mcqueen Signature of Oper~~~ ~ L~¢~c~)~c. Date:-qr~?~l[]~ ,'9 .--~;~1 -~, ~' '., ,' ..',-~ .. -.... ..... '"';>.o : - . ~./ - .... ' ". i ¢~0 ... RECEIVED . . . -..~"~.- Do neze'b5~ oe'J¢~ ~"' ~ . ~ - ~ . ~ · . . at~ached HazardOUS .Ma.~erial's business plan for ' (name of business'.) and' that 'it alon.~ With_ the attached additions c~ corrections constitute a comDiete and correct . Business PLan for m~ facility., ' ~,~~ ..... ...: .,. ~'~ =l~na~ure da%e :~-. ..... . - ... . .-:..~ -.... :~._, -,~,.~:. '~. 'L'O:' ION 3G'Z-:3"="ERLI¢'ORN]iR RV ' "'' - "~r-tlGH',HRZRRD RRTING. Z , ..~,.. I. /.OVERVIE~ - ~ '~' ..: - ....... -. '":~'' - .... LAST CHANGE O1/Z,1 88.8Y -- JURIs.CODE -.'Z1S-~3 _juRIS' BAKERSFIELD STATION O~ _. - . ~fiP Pfi~E IOZ 6RID.3SB FRClLITY UNIT5 1 HRZRRD R~TIN~ .'.. · ~:'. .... . RESPONSE SUMMRRY·. ..~ . _.: 'ZR':SEC'~4) SHELL OIL. COMPANY-IN ANAHEIM EMERGENCY' CONTACTS ZR SEC. 2 )' RICK ~HO~RRD ~MANAGER 3ZZ-31ZZ '..~9 ~i' ~ '~ Z~ DEL LIVE~OOD -OWNER 589-3990,~' UTILITY SHUTOFFS ZR SEC 3) R) GAS NONE B) ELECTRICAL - ERST WALL LUBE BAY C) WATER - ERST OF STATION SIDEWALK ~RL RD D) SPECIAL - 'NONE E) LOCK BOX - NO . . < NO INFO~RTION RECORDED FOR THIS SECTION PAGE 12/14/88 1G:SG~ MATERIAL SAFETY DATA SYSTEMS. INC. (805) G48-6800 BUSINESS NAME CAL: ~,NIB '~AV'ENUE' SHELL ' ": ID'iIiiBER' Z1S-000-000791: 'LOCATION 3D ~L'IFORNIR RV ' '~GH HAZARD RATING Z.. .................. - . - :L~S~ CHANGE 01/Z1/'88 BY EV~MC _ ~: - . . . <: NO INFORMATION ~ECORDED FOR THIS SECTION 4. LOCAL EMERGENCY MEDICAL RSSISTRNCEi LAST CHR~E ~1/21/88 BY EVRMC -PAGE Z 1~'/!¢/88. 16:.56.' - 'MATERIAL SAFETY' DAT. A SYSTEMS, INC. (805) 648-680~' ..- .'"...~ :..., '. . : _ .. "' .- . ..: : .. BUSINESS NAME CR~ BER ~ ~"~ LOCATION "' 36Z3~RLIFORN.~'R' RV '"~IGH.H~Z~RD RATING 2 .., . A. OVERALL HAZARDOUS MATERIALS INVENTORY · " L. RSTCHANGE 09/ZB/8818Y ESTER' TYPE .N .E "' . MAX AMT-UNIT H ZARO LOCATION ~' CONTAINMENT USE~ 1 UASfE--'WRS.TE OIL '. '.. -'- 550 G~L UNKNouN ' ' WEST OF BLDG ,S~-CORNER" 'UNDERGROUND TANKS : W~STE', I'D PERCENT-COMPONENTS '' ' H~Z~RD LIST 1S98.~ 100.0 WASTE OIL UNKNOWN ~Z' -'PURE GRSOLINE ~84)00.GAL HI'GH: CENTER .OF W SIDE OF SITE'UNDERGROUND-TANKS FUE~ ID PERCENT COMPONENTS H~ZARD LIST 1182'.80 !00.0 GASOLINE ' HIGH- ~ PURE ,NEW OIL' 584~GAL UNKNOWN SOTRE ROOM'RE~R OF BL~ PLASTIC CONTAINER[SI .LUBRICMNT -_, x,:..~ ID PERCE~ COMPONENTS - - H~Z~RD LIS Z8~8.~ 1~ MOTOR OIL -"'UNKNOWN 4 PU~ TRANSMISSION FLUID I~ G~L UNKNOWNC STORE ROOM REaR OF 8LDG PLASTIC CONTAINER[SI LUBRICANT ID PERCENT CO~ONENTS Z813.~ 1~.0 TRANSMISSION FLUID (PETROLEUM-BASEO) PURE ANTIFREEZE ID PERCENT .CO~ONENTS "J UNKNOUN'. Z802'.~ 1~.0 ETHYLENE GLYCOL PAGE ~ 1Z/14/88 16:56 MATERIAL SAFETY DATA SYSTEMS,'INC. (805) 648-68~ ~ . .:.~'BUSINESS NAME CRLI R~RV'ENUE' SHE ID 3ER 21'5-O~)~:-(~O'7B1' - ' ' . ~ :-..~..-. LOCATION ]BZ3"L~LIFORNI. A AV'~. .. HRZRRD RR.TING Z B. FIRE PROTECTION / WR:rER SUPPLIES ..~-.~ ~¢k~.. ~ ~:%~.~' ERST CHRNGE Ofl/ZB/B8; BY ESTER. 3R- SEC 4); NO PRIVfiTE FIRE: PROTECTION. / ]R SEC~ S) EIRE'HYDRRNT ON SE cORNER OF LOT' -';~ ;.',.-. '. . . .~- ;~..... D. EMPLOYEE NOTIFICATION / EVF)CUATION-. LAST CHANGE Ot/21/88'BY EVAMC . ~ 3~ SEC Z) E~PLOYEES USE E~SY ' ": '- P~GE 4 IZ/141B8 1G:SG ,.. M~ERIRL S~FETY DRTR"SYSTEMS~ INC. (805) G4B-GB~ .. 2- . ' ., .j -. .. -. ~ ', . ' '.,. .: - , . - . ,-' .~-;.,. L:OCATION 36Z3"~ALIFORN'IR .AV ." GH HAZflRD RATING Z ~.E. MITIGATION / PREVENTION / ABATEMENT; " ', ~ ~"'- . LfiST CHANGE 0t/Z1'/88 BY EVfiM~ " 3A SEC 1 ). NORMAL GAS STATION SSFETY' PROCEDURES - RUTOMfiTIC SHU~ OFF-'s REMOTE ~UMP S~ITCH, V~¢O~ SHIELO ON PUMPS. OIL 'IN C[OSEO CONTfilNERS~ - - '- . _..,::_, ~ ...:. .. - .- :?~,;,. './ ... . . , ~ ~_-'-~.-'~.:. .. . . . .' ~......... ,..?~ _~'~" .~,.~---, ..... ..-...: .,. - ....,..,~ - . ' ..~:~;.~.~-.::_ .--;:..;::?~:;; ~..:..:.~ ~:' "' P~GE 5 . .. 1'Z114/88 1G:56 -.:. ' ' '-. .... ' ...... ~TERIfiL SRFETY O~TR SYSTEMS,. INC. (805) CITY of BAKERSFIELD ' " NO N-- ~?RA[3 E S E C RE TS ' :,,~,..J_of LOCATION: ~~' '0~( ~'~ ADDRESS: 117 ~' ~<~D ~ O~ STANDARD ,IND.' CLASS CODE '~ ~ ~~o~ ~ ~oP~ coD~ " ~lth of P~ ~lth ~t 8~ ~&C.A.S. (C~k ell tMt apply) -- , .... With of Pwm Mlth ~t 13 ~&C.A.S. (C~k ill t~t Ipply) L__J Fire Hazaed L--J R.ctivtty--.e~ ~, Reline -"- i~tate , , , . ~ _ .......... H~lth of P~su~ H~lth of Pr~suee Health Certificatim (Read and sign after colpJetJng ali sec.tJons] I cert~:fy ~der ~lty of la. t~t I ~ve ~rs~ally e~aem~ ~d ae f~iliar .ith t~ 4nfor~ti~ su~itt~ in this~ a11.ett~ ~ts. ~ t~t ~s~ m ~ ~i~ ~f t~e i~tvt~ls for o~)nin9 t~ int~Mttm. I ~lieve t~t t~ su~itt~ info.tim ~s t~, accurate, ~d ~m~lete. / ~ ~ / , _ [] ~ ' CITY' of BAKERSFIELD '~ ~. HAZARDOUS MATERT A~.S Fare and l~riculture Standard Business N O N -- 'J? RAD E S E C R LOCATION: ADDRESS: STANDARD IND. CITY, ZIP:' ~ITY, ZIP: . DUN AND BRAD~TR~T NUNB~R PHONE 8: PHONE 8: -- -- - - ~rans Ty~e ~x avera~ Annual ~asure I ~ Cml ~t C~t he L~lt~ ~re ~ ~ N~m of H~xture/C~ts Code C~e ~t ~t Est Un~ts m Site ly~ Pr~l 1~ C~e Stor~ In Facility Wt ~ Inlt~ttms I~k all t~t apply) .... ' ....... [ ~re Hazard [ ] Reactivity la~ ~--d ~dd~ Release ~--d I~ate Hea Ith of Pr~sure H~ Ith ~t I] ~&C.A.S. '~-~ r--~ -- r-~ -- ~t I~ N~lC.A.S. ~ ~ -d ;;re ,azard ~--d Reactivity ~ ~ ~lay~ ~_d ~dd~ Release [ ~ I~;ate Health of Pr~sure Health C~t 13 Nm & C.A.S. ~ Hca Ith of~ Pr~sure Hca I th .............. ~ ............................................. C~rtificat~ (~eHd and s~n after coepletinR all sectlonsl fo~ obtaining t~ tnfor~tt~ I ~Deve tMt t~ su~ttted'infor~tt~ is true, accurate, and ~" ~';~' _~/ ,~.~ ,/ BAKERSFIELD CITY FIRE· DEPARTMENT 2130 "O" STREET .,A (805) 326-3979 JUL 6 1987 .J' Ans'd .... ' ........ OFFICIAL USE ONLY BUSINESS· .NAME HAZARDOUS .MATERIALS BUSINESS pLAN AS A WHOLE ~OR~ 2A INS~UCTIONS: 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible, SECTION 1: BUSINESS IDE~IFICATION DATA ,. L0C^TION / STREET ADDRESS: ~¢~ C~C ~\~ SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency,involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire dePartment and the State Office of Emergency Services as required by law. EMPLOYEES'TO NOTIFY IN CASE OF EMERGENCY: NAME AND .TITLE DURING BUS'. HRS. AFTER BUS: HRS. Phe SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: D. SPECIAL: E. LOCK"BOX:' YES / NO IF YES, LOCATION: ~Oef ~& ~%v IF ~E~, DOES IT CONTAI~ SITE PLA~S~ YES MSDSS~ FLOOR PLANS? YES / ~EYS~ ~ES - 2A - SECTION 4:.,PRIVATE,~RESPONSE TEAM FOR BUSINESS AS A WHOLE '~.~ SECTION' 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A'PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR' NO INITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDOUS ~ ,MATERIALS .f~ NO YES NO. B. PROCEDURES FOR COORDINATING ACTIVITIES WITH REsPoNsE AGENCIES: .............. ' ............ f'~YE._~NO YES NO C. PROPER USE OF SAFETY EQUIPMENT: ................. ~N0 YES NO n. EMERGENCY EVACUATION PROCEDURES: ................ '~__..~,~L~.x YES NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:... .... VES'~_..q.) YES NO SECTION 7: HAZARDOUS I~%TERIAL CIRCLE YES OR NO, DOES YOUR BUSINESS HANDLE HAZARDOUS ~4TERIAL IN QUANTITIES.LESS THAN 500-'POUNDS OF A 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES ~ SOLID, I,~CiC ~~[~- , certify that the above information' is acdurate. 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. 2130 "G" STREET · BAKERSFIELD, CA 93301 OFFICIAL USE ONLY · ID# BUSINESS:NAME: o BUSINESS · PLAN SINGLE FACILITY UNIT FORM INSTRUCTIONS ' · 1. To avoid further.action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN 'ENGLISH. 8..Answer the.ques.tionS-bel6w.~for THE FACILITY' uNIT 'LISTED BELOW. 4. Be as BRIEF and CONCISE as .possible. FACILITY UNIT# FACILITY UNIT NAME: ' SECTION 1: MITIGATION, PREVENTION, ABATEM~ENT PROCEDURES SECTION 2: NOTIFICATION ~ EVACUATION PROCEDURES AT THIS UNiT ONLY O o 0· SECTION 3: :HZ~Z'ARDOUS.MATERIALS FOR'i,THIS bqNIT ONLY .A, Does .this Facility Unit contain Hazardous Materials? ...... YES NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous ma%erials a bona fide Trade Secret YES NO If No, complete a separate hazardous materials inventory form marked: NON~TRADE SECRETS ONLY (white form #4A-l) If Yes, complete a.hazardous materials 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. S~-CTI'GN ~q.-~R~'V~ FIRE P-~-O~gC~ .... ~-~- ' - ................. .SECTION 5: LOCATION OF WATER' SUPPLY'FOR USE BY EMERGENCY RESP0P~ERS SECTION 6: LocATIoN OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. .A. YAT. GAS./'PROPAN~~ O. SPECiAl,: E. LOCK BOX~ NO IF YES, LOCATION: "" .7.' , r~- }}~ MSDS s? YES .,'.'7.'.:,:;:: .. IF YES S~r. PLAN'S? YES PLOOR PLANS? YES KEYS? YES '" · BAKERSFIELD CITY FIR'E DEPARTMENT I D ~ FORM 4A-1 Page NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY ADDRESS: '~L~ ~''.~~ ' ' ADDRESS: %~~~ FACILITY UNIT NAME:~ 'PHONE {: ~W ~,&~-g/~_ . PHONE *: ~q~q~ , [OFFICIAL ONLY USE CFIRS CODE 1 2 3 4 5 6 7 8 9 10 ~TYPE ~AX A~UAL CO~T USE LOCATION IN THIS ~ BY HAZARD[D.O.T ~ ~ TITLE: ~_ SIGNATURE: ' DATE: Q-{ E~ CONTACT: ~ L~'**~.o~ ,, T I TLE :. O~n.,¢ PHONE { BUS HOURS: ~ ~ ~ PRINCIPAL BUSINESS ACTIVITY: AFTER BUS HRS: ~{~-~