HomeMy WebLinkAboutBUSINESS PLAN~CALIFORNIA AVENUE CHEVRON SiteID: 015-021-000565
Manager : BRENDA K. EVERIDGE BusPhone: (661) 336-0263 ~
Location: 4100 CALIFORNIA AVE' Map : 102 CommHaz : Low
City ~: BAKERSFIELD Grid: 35A FacUnits: 1 AOV: ·
~CommCode: BAKERSFIELD STATION 01 SIc Code:5541
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact ~/ Title
BRENDA K. EVERIDGE / SITE MANAGER ~~IRD~- '/ FACILITY ~MG~.
Business Phone: (661) 336-0263x BUsiness Phone: (661) 327-5008x
24-Hour Phone : (661) 330-0262x 24-Hour Phone :, (661) ~
Pager Phone : ( ) - x Pager Phone : (661)~~~o ~
HaZmat Hazards: Fire Press ImmHlth DelHlth
Contact ~ ~~ yowl ~ Phone: (661) 327-5008x
MailAddr: 1508 18TH ST 222 State: CA
Owner SULLIVAN PETROLEUM CO LLC Phone: (,661) 327-5008x
Address : 1508 18TH ST 222 State: CA
City : BAKERSFIELD Zip : 93301
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: ~ = Gal
Certif'd: Res: No
ParcelNo:
Emergency Directives:
Uype or pnnz name)
reviewed the attached hazardous materials manage-
ment plan for ~ , ~OFo/,--, and that it along with
(Name of Business)
any corrections constitute a complete and correct man-
agement plan for my facility.
· " -1- 03/18/2004
F~CALIFORNIA AVENUE CHEVRON ,SiteID: 015-021-000565
sTORAGE 'CoNTAINER DATA (UST FORM A)
Last Action TYPe:..
. FACILITY/SITE'INFORMATION
Business Name: CALIFORNIA AVENUE'CHEVRON
CroSs Street.:
Business Type: ' .., Org Type:
Total Tanks .' ~15 IndnRes/Trust: No--'PA Contact: ·
: PROPERTY OWNER INFORMATION
Name. : DAVID 'BIRD ,.~ Phone: (661) 327-5008x
AddresS:~
City " ... ~ ~State: ~Zip:
Type -:'
TANK ONNER INFORMATION
Name ': DAVID BIRD Phone:. (661) 327-5008x
Address:
City :; · ~ . .. State: Zip:
Type · : . ..~
BOE UST-Fee# :
Financ'l Resp: STATE'FUND .
.~Legal Notif : prOperty Owner Mailing Address
Date:01/12/200t Phone: (661) 330-0261x
Name:DAVID.BIRD.' Ttl:RETAIL MGR.
State UST # .~ 1998 UP9 Cert#: 00879
-2- 03 18 2004
F~CALiFORNiA AVENUE'CHEVRON SiteID: 015-021-000565
~ Hazmat Inventory By Facility Unit
~---- MCP+DailyMax Order Fixed Containers on Site
'Hazmat Common Name... ]SpooHazlEPA Hazards] Frm [ DailyMax IUnit[MCP.
UNLEADED GASOLINE F IH DH L 10000 00 GAL Mod
UNLEADED GASOLINE F IH DH L 10000 00 GAL Mod
UNLEADED~PLUS GASOLINE F IH DH L 10000 00 GAL Mod
UNLEADED GASOLINE' F IH DH L 1.0000 00 GAL Mod
GASOLINE, PREMIUM F IH~DH L 10000 00 GAL Mod
CARBON DIOXIDE F P IH G 870 00 FT3 Min
-3- 03/18/2004
F~CALIFORNIA AVENUE CHEVRON SiteID: 015-021~000565 ~
= Inventory Item 0001 Facility Unit: Fixed Containers on Site
UNLEADED GASOLINE Days On Site
365
Location within this Facility Unit Map: Grid:
E OF LOT CAS#
8006-61-9
Liquid Pure Ambient Ambient UNDER GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum I Daily Average
10000.00 GALI ~ 10000.00 GALI 1100.00 GAL
100.00.Gasoline N~s 8006619
HAZARD ASSESSMENTS
[TSecretI ~slBioHaz Radioactive/Amount EPA HazardsI NFPA USDOT# I MCP
No N No No/ Curies F IH DH / / / Mod
MISC. LOCAL AGENCY DATA
-Ag.Definedl: Ag.Defined2: Ag. Defined3: Ag. Defined4:
Ag.Defined5: Ag. Defined6: Ag. Defined7:
Ag. DefinedS: Ag. Defined9: Ag.Definel0:
-- Ag.Definell
4 03/18/2004
F'~CALIFORNIA AvEnUE' CHEVRON SiteID: 015-021-000565
= InVentory I~em.0001 Facility Unit: Fixed Containers on Site 9
STORAGE CONTAINER DATA~.(UST FORM B and AGENCY-DEFINED) Page l'of 2
Last Action TYPe:
LOcation In Site: E OF LOT~
TANK DESCRIPTION
Tank ID#: 1 Mfr: XERXES Compart Tank: N
Installed: 01/1995 Capacity: 10000 Gals No. Of Comparts:
Additional Info:
TANK CONTENTS
Tank Use: MOTOR VEHICLE. FUEL Petrol TYPe: REGULAR UNLEADED
Matl Name:UNLEADED GASOLINE Cas #: 8006-61-9
TANK CONSTRUCTION
TYPe :.DOUBLE WALL
MateriaI(p): FIBERGLASS
Material(s): FIBERGLASS
Lining :.UNLINED Installed:
Corr Prot: FIBERGLASS REINFORCED PLASTIC Installed:
Spill Cnt : 1995 .Alarm : 'Exempt: No
DroP Tube : 1995 Ball Float :
Striker Plate: 1995 Fill Tube S/O: 1995
TANK LEAK DETECTION
Sgl Wall: Dbl Wall: INTERSTITIAL MONITORING
.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Last Used: Qty Remaining: Was Filled: No
-5- 03/18/2004
F~ALIFORNIA AVENUE CHEVRON SiteID: 015-021-000565
= Inventory Item 0001 Facility Unit: Fixed Containers on Site
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2
PIPING CONSTRUCTION
UnderGround Piping AboveGround Piping
Type : PRESSURE
Const: DOUBLE WALL
Mfgr :-UNKNOWN
Mtl : FIBERGLASS
Corr : FIBERGLASS
Prot :
PIPING LEAK DETECTION
UnderGround Piping AboveGround Piping
AUTOMATIC LEAK DETECTORS
DISPENSER CONTAINMENT
Installed: 08/09/2001 Type: DISP. PAN SENSOR W/ POS. SHUTOFF
OWNER/OPERATOR SIGNATURE
Date: 01/12/2001
Name:DAVID BIRD Ttl:RETAIL MGR.
Prmt Number: 0565 Approved: Yes Expiration Date: 06/30/2006
'AGENCY.DEFINED
TANK/LINE TEST :01/02/1995
CP CERT. :
MANWAY INSP. :01/04/1900
UST MONIT. CERT:ll/ll/2002
6 03/18/200~
F CALIFORNIA AvENUE,'CHEVRON . SiteiD: 015_021_00~565
= Inventory'Item .0002 FacilitY Unit: Fixed Containers on Site
-- COMMON NAME /~CHEMICAL NAME
UNLEADED GASOLINE .... Days On Site
· ~ 365
Location within this Facility'unit. Map: Grid:
E OF LOT
, CAS#
· ~' 8006-61-9
FSTATE'[ TYPE .PRESS E TEMPE TURE CONTA NER'TYPEGRoUND
Pure ' Ambient ~ Ambient · I UNDER TANK
Liquid
. ~ AMOUNTS AT. THIS LOCATION
Largest C°ntainer~ I Daily Maximum Daily Average
10000.00 GAL I '10000.00 GAL 1100.00 GAL
HAZARDOUS COMPONENTS
%Wt. " · I RSI CAS#
100'00 Gasoline No 8006619
HAZARD ASSESSMENTS
'TSecretl ~SIBioHaz Radioactive/Amount I' EPA Hazards[ NFPA I USDOT# MCP
No N No No/ ' · Curies F IH DH / / / Mod
MISC. LOCAL AGENCY DATA
Ag.Definedl: Ag. Defined2: Ag.Defined3:. Ag.Defined4:
Ag. DefinedS: Ag'.-Defined6: Ag.Defined7:
Ag. Defined8: Ag. Defined9 Ag.Definel0:
Ag.Definell
-7- -' 03/.18/2004
~ALIFORNIA AVENUE CHEVRON SiteID: 015-021-000565
= Inventory Item.0002 Facility Unit: Fixed Containers on Site
STORAGE CONTAINER DATA (UST-FORM B and AGENCY-DEFINED) Page 'l'of 2
Last Action Type: -
LocatiOn ~In Site: E OF LOT '
TANK DESCRIPTION
Tank ID#: 2 - Mfr: XERXES Compart Tank: N
Installed: 01/1995 caPacity: 10000 Gals No. 'Of Comparts:
Additional Info: ·
TANK CONTENTS
Tank Use: MOTOR'VEHICLE FUEL ~Petrol'.Type: REGULAR UNLEADED
Matl Name:UNLEADED GASOLINE Cas #: 8006-61-9
" TANK ~CONSTRUCTION
Type : DOUBLE WALL
Material(p): FIBERGLASS
Material(s): FIBERGLASS .
Lining . : UNLINED' Installed:
Corr Prot: FIBERGLASS REINFORCED PLASTIC ' Installed:
Spill Cnt : 1990 Alarm . : .Exempt: No
Drop Tube : 1990 Ball Float :
Striker Plate~ 1990 Fill Tube S/O: 1990
TANK LEAK DETECTION
Sgl Wall: Dbl Wall: INTERSTITIAL MONITORING
TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Last Used: Qty Remaining~ Was Filled: No
· 8 03/18/2004
CALIFORNIA AVENUE CHEVRON SiteID: 015-021-000565'9
= Inventory Item 0002 Facility Unit: Fixed Containers on Site
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2
PIPING CONSTRUCTION
UnderGround Piping AboveGround Piping
Type : PRESSURE
Const: DOUBLE WALL
Mfgr
Mtl : FIBERGLASS
& :
Corr : FIBERGLASS
Prot :
PIPING LEAK DETECTION
UnderGround Piping ~ AboveGround Piping
AUTOMATIC LEAK DETECTORS
DISPENSER CONTAINMENT
Installed: 08/09/2001 Type: DISP. PAN SENSOR W/ POS. SHUTOFF
OWNER/OPERATOR SIGNATURE
Date: 01/12/0100
Name:DAVID BIRD Ttl:RETAIL MGR.
Prmt Number: 0565 Approved: Yes Expiration Date: 06/30/2006
AGENCY DEFINED
TANK/LINE TEST :01/02/1995
CP CERT. :
MANWAY INSP. :01/04/1900
UST MONIT. CERT:ll/ll/2002
-9- 03/ 8/2004
CALIFORNIA AVENUE CHEVRON SiteID: 015-021-000565
~ Inventory Item 0003 Facility Unit: Fixed Containers on Site
UNLEADED PLUS GASOLINE Days On Site
365
Location within this FaCility Unit Map: Grid:
E OF LOT CAS#
8006-61-9
F STATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Pure Ambient I Ambient I UNDER GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum I Daily Average
10000.00 GAL 10000.00 GAL 1100.00 GAL
HAZARDOUS COMPONENTS
Gasoline N 8006619
HAZARD ASSESSMENTS
lTSecretl ~SIBioHaz Radioactive/Amount EPA HazardsI NFPA USDOT# I MCP
No N No No/ Curies F IH DH / / / Mod
MISC. LOCAL AGENCY DATA
Ag. Definedl: Ag.Defined2: Ag.Defined3: Ag. Defined4:
Ag. Defined5: Ag. Defined6: Ag.Defined7:
Ag.Defined8: Ag.Definedg: Ag. Definel0:
-- Ag.Definell
-10- 03/18/2004
F~CALIFORNIA AvENuE CHEVRON SiteID: 015-021-000565
F -Inventory Item 0003 Facility Unit: Fixed Containers on Site
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) page 1 of 2
Last Action Type:
Location In Site: E OF LOT
TANK DESCRIPTION
Tank ID#: 3 Mfr: XERXEs Compart Tank: N
Installed: 01/1995 Capacity: 10000 Gals No. Of Comparts:
Additional Info:
TANK CONTENTS
Tank Use: MOTOR VEHICLE FUEL Petrol Type: UNLEADED PLUS/MIDGRADE
Matl Name:UNLEADED PLUS GASOLINE· Cas #: 8006-61-9
TANK CONSTRUCTION
Type : DOUBLE WALL
Material(p): FIBERGLASS
Material(s) :'~FIBERGLASS
Lining- : .UNLINED Installed:
Corr Prot: FIBERGLASS REINFORCED PLASTIC Installed:
Spill Cnt : 1990 Alarm '- : Exempt: No
Drop Tube : 1990 Ball Float :
Striker Plate: 1990· Fill Tube S/O: 1990
TANK LEAK DETECTION
Sgl Wall': Dbl Wall: INTERSTITIAL MONITORING
TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Last Used: Qty Remaining: Was Filled: No
-11- 03/18~2004
F~CALIFORNIA AVENUEi'CHEVRON
~ Inventory Item 0003 Facility Unit: Fixed Containers on Site
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2. of 2
PIPING CONSTRUCTION
UnderGround Piping AboveGround Piping
Type : PRESSURE
Const: DOUBLE WALL ~. ·
Mfgr : UNKNOWN.
Mtl.: FIBERGLASS
& ' : FIBERGLASS
'Prot':
PIPING LEAK DETECTION
UnderGround Piping AboveGround Piping
AUTOMATIC LEAK'DETECTORS
DISPENSER CONTAINMENT
Installed: 08/Q9/200i TYPe: DISP. PAN SENSOR W/ POS. SHUTOFF
OWNER/OPERATOR SIGNATURE
Date: 01/12/0100
Name:DAVID BIRD' 'Ttl:RETAIL MGR.
Prmt Number: 0565 Approved: Yes Expiration Date: 06/30/2006
AGENCY DEFINED
TANK/LINE TEST :01/02/1995
CP CERT. ~-:
MANWAy INSP"' Q1/04/1'900
UST MONIT 'CERT:ll/ll/2002
,. -12- ~. ~ 03/18/2004
CALIFORNIA AVENUE CHEVRON SiteID: 015-021-000565
~ Inventory Item 0005 Facility Unit: Fixed Containers on Site
-- COMMON NAME / CHEMICAL NAME'
UNLEADED GASOLINE Days On Site
365
LoCation within this Facility Unit Map: Grid:
E SIDE OF LOT CAS#
· 8006-61-9
FSTATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Pure . I Ambient I Ambient I UNDER GROUND TANK
[ AMOUNTS AT THIS LOCATIONI
.Largest Container Daily Maximum Daily Average
10000.00 GAL 10000.00 GAL 5000.00 GAL
II HAZARDOUSCOMPONENTS II
%Wt. RS CAS#
100.00 Gasoline No 8006619
iTSecret, RS,BioHazl HAZARD ASSESSMENTS I
Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No INO I No No/ Curies F IH DH / / / Mod
MISC. LOCAL AGENCY DATA
Ag.Definedl: Ag. Defined2: Ag.Defined3: Ag. Defined4:
Ag.Defined5: Ag. Defined6: Ag.Defined7:
Ag.DefinedS: Ag.Definedg: Ag.Definel0:
-- Ag. Definell
-13- 03/18/2004
F,~CALIFORNIA AVENUE' CHEVRON siteID: 015-021-000565
= Inventory Item 0005 Facility Unit: Fixed Containers on Site
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2
· Last Action Type: ·
Location In Site: E SIDE OF LOT
TANK DESCRIPTION
Tank ID#:. 4 Mfr: XERXES Compart Tank: N
Installed: .01/1995 Capacity: 10000 Gals Nol Of Comparts:
Additional Info:
TANK CONTENTS
Tank Use: MOTOR VEHICLE FUEL Petrol Type: REGULAR UNLEADED
Matl Name:UNLEADED GASOLINE Cas #: 8006-61-9
TANK CONSTRUCTION
Type : DOUBLE WALL
Material (p): FIBERGLASS
Material (s): FIBERGLASS
Lining : UNLINED Installed:
Corr Prot: FIBERGLASS REINFORCED PLASTIC Installed:
Spill Cnt : 1995· Alarm : Exempt: No
Drop Tube : 1995 · Ball Float :
Striker Plate: 1995 Fill Tube S/O: 1995
TANK LEAK DETECTION
Sgl wall: Dbl Wall: INTERSTITIAL MONITORING
TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Last Used: Qty Remaining: 'Was Filled: No
i' -14- 03/18/2004
F~CALIPORNIA AVENUE CHEVRON SiteID: 015-021-000565
= Inventory .Item 0005 Facility Unit: Fixed Containers on Site
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2
PIPING CONSTRUCTION
UnderGround Piping AboveGround Piping
Type : PRESSURE
Const: DOUBLE WALL
Mfgr : UNKNOWN
Mtl : FIBERGLASS
& :
Corr : FIBERGLASS
Prot :
PIPING LEAK DETECTION
UnderGround Piping AboveGround Piping
AUTOMATIC LEAK DETECTORS
DISPENSER CONTAINMENT
Installed: 08/09/2001 Type: DISP. PAN SENSOR W/ POS. SHUTOFF
OWNER/OPERATOR SIGNATURE
Date: 01/12/0100
Name:DAVID BIRD Ttl:RETAIL MGR.
Prmt Number: 0565 Approved: Yes Expiration Date: 06/30/2006
~ AGENCY'DEFiNED
TANK/LINE TEST :01/02/1995
CP CERT. :
MANWAY INSP. :01/04/1900
UST MONIT. CERT:ll/ll/2002
-15- 03/18/2004
CALIFORNIA AVENUE CHEVRON SiteID: 015-021-000565 9
~ Inventory Item 0006 Facility Unit: Fixed Containers on Site 9
-- COMMON NAME / CHEMICAL NAME
GASOLINE, PREMIUM Days On Site
365
Location within this Facility Unit ~Map: Grid:
E END OF LOT CAS#
8006-61-9
F STATE TYPE PRESSURE -- TEMPERATURE CONTAINER TYPE
I Pure I Ambien~ ~ Ambient I UNDER GROUND TANK
Liquid /~
AMOUNTS' AT THIS~LOCATION
I 'Largest Container I Daily MaximumI Daily Average
10000.00 GAL 10000.00 GAL 10000.00 GAL
HAZARDOUS COMPONENTS
i00.00 GaSoline N 8006619
HAZARD ASSESSMENTS
ITSecretl ~SlBioHaz RadioactiVe/Amount EPA HazardsI NFPA USDOT# I MCP
No ~ N No No/ Curies F IH DH / / / Mod
MISC. LOCAL AGENCY DATA
Ag. Definedl: Ag. Defined2: Ag. Defined3: Ag. Defined4:
Ag. Defined5: Ag.Defined6: Ag.Defined7:
Ag.DefinedS: Ag. Defined9: Ag. Definel0:
-- A9.Definell
-16- 03/18/2004
F-~CALIFORNIA AvENuE CHEVRON SiteID: 015-021-000565
=~ Inventory Item 0006 ..Facility Unit: Fixed Containers on Site
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2
LaSt. Action Type:
LocatiOn In.Site: E END OF LOT ·
TANK DESCRIPTION
Tank ID#: 5. Mfr: XERXES Compart Tank: N
InstaI.led: 01/1995 Capacity: 10000 Gals No. Of Comparts:
Additional Info:
TANK CONTENTS
Tank Use: MOTOR VEHICLE FUEL Petrol Type: PREMIUM UNLEADED
Marl Name':GASOLINE, PREMIUM Cas #: 8006-61-9
.TANK CONSTRUCTION
Type : DOUBLE WALL
Material(P): FIBERGLASS
Material(s): 'FIBERGLASS
Lining ~ UNLINED Installed:
Corr Prot': FIBERGLASS REINFORCED PLASTIC Installed.:
Spill Cnt : 1995 Alarm : Exempt: No
DroP Tube : 1995 Ball Float :
Striker Plate: 1995 Fill Tube S/O: 1995
TANK LEAK DETECTION
Sgl Wall: Dbl Wall: INTERSTITIAL MONITORING
TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Last Used: Qty Remaining: Was Filled: No
-17- 03/18/2004~
F~CALIFORNIA AVENUE.CHEVRON SiteID: 015-021-000565
~-Inventory Item 0006 Facility Unit' Fixed Containers on Site
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2
PIPING CONSTRUCTION
UnderGround Piping AboveGround Piping
Type : PRESSURE
Const: DOUBLE WALL
Mfgr : UNKNOWN
Mtl':.'FIBERGLASS
& :
Corr : FIBERGLASS
Prot :
PIPING LEAK DETECTION
UnderGround Piping AboveGround Piping
INTERSTITIAL MONITORING
DISPENSER CONTAINMENT
Installed.: 08/09/2001 Type: DISP. PAN SENSOR W/ POS. SHUTOFF
OWNER/OPERATOR SIGNATURE
Date: 01/12/0100
Name:DAVID BIRD Ttl:RETAIL MGR.
Prmt Number: 0565 Approved: Yes Expiration Date: 06/30/2006
AGENCY DEFINED
TANK/LINE TEST :01/02/1995
CP CERT. :
MANWAY INSP. :01/04/1900
UST MONIT. CERT:ll/ll/2002
-18- 03/18/2004
CALIFORNIA AVENUE CHEVRON SiteID: 015-021-000565
= Inventory Item 0004 FacilitY Unit: Fixed Containers on Site
-- COMMON NAME /:CHEMICAL NAME
CARBON DIOXIDE Days On Site
365
LocatiOn within this Facility Unit Map: Grid:
N SIDE OF BLDG · CAS#
124-38-9
FSTATE ~·TYPE PRESSURE --~ TEMPERATURE CONTAINER TYPE
Gas /Pure- I, Ambient Ambient ~ I, PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum I Daily Average
348.00 FT3 870.00· FT3 348.00 FT3
HAZARDOUS COMPONENTS
%Wt. 'carbon
100.00 Dioxide No 124389
Tsecret· RS BioHaz Radioactive/Amount , EPA Hazards NFPA I USDOT# MCP
No' No No No/ CuriesI F P IH / / /I . Min
MISC. LOCAL AGENCY DATA
Ag.Definedl: Ag.Defined2: Ag,Defined3: Ag.Defined4:
.Ag. Defined5: Ag. Defined6: Ag.Defined7:
Ag.·DefinedS: Ag.Definedg: Ag.Definel0:
-- Ag. Definell
-1'9- 03/18/2004
:~CALIFORNIA AVENUE CHEURON SiteID: 015-021r000565
Fast Format
~ Notif./Evacuati0n/Medical Overall Site
--Agency NOtification 01/30/2001
DAILY STATISTICAL, STICK MONITORING AND RED JACKET LEAD DETECTION.
--.Empioyee Notif./Evacuation 01/30/2001
VERBAL NOTIFICATION TO EMPLOYEES'. AGENCY PHONE NUMBERS POSTED.
Public Notif./Evacuation 01/30/2001
EMPLOYEES ARE TRAINED ~TO STOP LEAK, CONTAIN, REPORT AND CLEN UP IF
Emergency Medical Plan 01/30/2001
FIRST AID KIT ON SITE, PHONE # AND MAP TO NEAREST HOSPITAL POSTED.
-20- 03/18/2004
CALIFORNIA AVENUE ~CHE =
N SiteID: 015-021-000565 +
Manager : ~5~~ -~-~\/~i ~-~ BusPhone: (661) 336-0263
Location: 4100 CALIfORNiA AVE. Map : 102 Com~az : Low
Cfty : BAKERSFIELD "~c'%%~ Grid: 35A FacUnits: 1 AOV:
CommCode: BA~RSFIELD STATION 01 SIC Code:5541
EPA Nu~: DunnBrad:
+= +
% Emergenc~Cont act / Title _Eme r_~.e nc_y. ,Contact /_ _Ti~ le
~,~O~[_k ~[ ~ FACILITY MGR [ ~~p~ ~ ~[~,
~' Business Phone: (661)~336~Q263x ' Business-Phone: (661)~2~-5~OBx~_~
24-Hour Phone : (661)~-~~~ 24-Hour Phone : (661).~-' oZ~ .
~0~ ~[~ : (~/)'~-O~j Pa~er, Ph~e : (~]) ~-~
_'_-_ =~_ ~__~ .................................. ~/~tg13 ..........................
Hazmat Hazards: Fire Press Im~lth DelHlth
...............................................................................
Contact : DAVID BIRD Phone: (661) 327-5008x
MailAddr: 1508 18TH ST 222 State: CA
City : BA~RSFIELD Zip : 93301
Address : 1508 18TH ST 222 State: CA
City : BAKERSFIELD. Zip : 93301
Period : ~ ~to ' TotalASTs: = Ga1
Prep~~ ~~~~~ TotalUSTs: = Gal
Certi~d: ~~ ~ ~~~~ RSs: No
ParcelNo: ~ ~
0
-1- 07/28/2003
/
+~'~CALIFORNIA AVENUE CH N SiteID: 015-021-000565
--~STORAGE CONTAINER DATA (UST FORM A)
I~iLast Action Type:
......................... FACILITY/SITE INFORMATION ..........................
Business Name: CALIFORNIA AVENUE CHEVRON
Cross Street :
Business Type: Org Type:
Total Tanks : 5 IndnRes/Trust: No PA Contact:
......................... PROPERTY OWNER INFORMATION ·
Name' : DAVID BIRD Phone: (661)
Address:
City : State: Zip:
Type :
........................... TANK OWNER INFORMATION
Name : DAVID BIRD Phone: (66~---~-~
Address:
City : State: Zip:
Type :
BOE UST Fee# :
Financ'l Reap: STATE FUND
Legal Notif .: Property Owner Mailing Address
...............................................
Date: 01/12/2001 Phone:
Name:DAVID BIRD Ttl:RETAIL MGR.
State UST # : 1998 Up~ Cert#: 00879
+= Hazmat Inventory One Unified List +
+== Alphabetical Order -- Ail Materials at Site +
................................ + ....... + ........... + ...... + .......... + .... +- - -+
Hazmat Common Name... ISpecHazlEPA HazardsI Frm I DailyMax lUnitlMCPI
.... ~ ....... ~ ................... + ....... + + ..... + .......... + .... +---+
CARBON DIOXIDE F P IH G 870 00 FT3 Min
GASOLINE, PREMIUM F IH DH L 10000 00 GAL Mod
UNLEADED GASOLINE F IH DH L 10000 00 GAL Mod
UNLEADED GASOLINE F IH DH L 10000 00 GAL Mod
UNLEADED GASOLINE F IH DH L 10000 00 GAL Mod
UNLEADED PLUS GASOLINE F IH DH L 10000 00 GAL Mod
+ +
2 07/28/2003
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave. Bakersfield, CA (661) 326-3979
'HAZARDOUS MATERIALS MANAGEMENT PLAN
iNsTRucTiONS:
I. ' To avoid furth, er action, return this fo freceipt.
2. TYPE/PRINT. ANSWERS IN ENGLISH. ...
3. Answer the questions beloTM 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 Descript'{0n Form(s)
to the front of this plan instead of completing SECTION I. below for initial submission.
SECTION I: BUSINESS IDENTIFICATION DATA
MAILI'NG ADDRESS: dT}[ C>l~> ~q [ i~rn z,,,~
CITY:~~/,'~~'~-~'e' ~ ~--/~-J STATE: ~ ZiP:
PRIMARY ACTIVITY: /'--"'~'d' I'"~'~a~.7- /~-"~?//
OWNER: ~°/ /,V,"', ,:t~~]~'~r-,X ~:2 d.. I..__F__. PHONE:7~ZV'-,~'nz>t::>/~
~Mi:.~,.wE~N L5 NOTIFICATION'
CONTACT TITLE BUS. PHONE 24 I-tR. PHONE
SECTION II. 1: DISCOVERY AND NOTIFICATIONS
A. LEAK DETECTION AND MONITORING PROCEDURES:
B. EMPLOYEE AND AGENCY NOTIFICATION:
C. ENVIRONMENTAL RESPONSE MANAGEMENT;
S~ '/~-
D. EMERGENCY MEDICAL PLAN:
· :HAZA~oUs 'MATERIALs MANAGEME~ PLAN
sECTION II.2i RELEASE REsPONsE pLAN
A. HAZARD ASSESSMENT AND pREVENTION MEASURES:
. . .,.. ~*l7
B. RELEASE CON~~NT A~/OR MITIGATION:
C. CLEAN-UP AND RECOVERY PROCEDURES:
UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY),
ELECTRICAL: ~c~q.---m~ t ,'~ t'~,~'~,'t:J'~",-g op~.~~
WAr:R: F~-~-,- ~ ,,"~--- o~ ?"~-/~ ./~~d--~~d ~-~
SPECIAL:
LOCK BOX: YESO IF YES, LOCATION:
'PRIVATE FIRE PROTECTION/~VATER AVAILABILITY
· / '~ HA OUS IliA M AN ·
SECTION III: TRAINING ·
NUMBER OF EMPLOYEES:
BRIEF SUMMARy OF 'TRAINING PROGRAM:
CERTIFICATION
I, -v' t g22> t'~q~2~ 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.
SIGNATURE TITLE / DATE