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--~- If' -~' ~ DAY AND NIGHT MARKET SiteID: 015-021-001282 Manager : Location: 355 CHESTER AVE City BAKERSFIELD BusPhone: Map : 103 Grid: 31C (661) 322-7270 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 06 EPA Numb: SIC Code:5541 DunnBrad:95-373-4318 Emergency çontact,...J>'/ Title ...KIM IIYUN Ch.' c.: I SH:JIý/ OWNER Business Phone: (661) 322-7270x 24-Hour Phone : (661) -325 e'224}t- Pager Phone '/, ( ) 6t (- ?l1/¡Kx Emergency Contact / Title ,.WJLLIAM GONZA-LBS «o5€-- ~tl'iO> Business Phone: '~661) 322-7270x 24-Hour Phone (66) CSi ~982x Pager Phone W )¿~f-034x Hazmat Hazards: Contact : MailAddr: 355 CHESTER AVE City BAKERSFIELD Owner . KIM MY1.JN.-- Address 355 CHESTER City BAKERSFIELD Period to Preparer: Certif'd: ParcelNo: Emergency Directives: Fire ImmHlth DelHlth Phone: (661) 322-7270x State: CA Zip 93301 Phone: (661) 322-7270x State: CA Zip 93301 TotalASTs: = Gal TotalUSTs: = Gal RSs: No i. Chi.., I1l0 I ("'1171/ Do hereby certify that ~ havs ~ reviewed the attached hazardous materials managsa mant plan forÞf/..,~~øhal II along with any corrections constitute a complete and corroo mai1ø agement plan for my 1acility. ~- -..... ,f" _ 11/J ¡fl) .þ';. ~ ~..~'~ ~, Signature 0. ':r~?lrø1f 0tIt0 -1- 08/27/2004 " F DAY AND NIGHT MARKET f= Hazmat Inventory f== MCP+DailyMax Order SiteID: 015-021-001282 By Facility Unit Fixed Containers on Site L L 9 9 9 DailyMax Unit MCP 20000.00 GAL Mod 10000.00 GAL Mod Hazmat Common Name. . . specHaz EPA HazardS Frm I UNLEADED GASOLINE REGULAR GASOLINE F F IH DH IH DH -2- 08/27/2004 F DAY AND NIGHT MARKET f= Inventory Item 0002 == COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE SiteID: 015-021-001282 9 Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UNDERGROUND TANK Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 20000.00 GAL Daily Average 10000.00 GAL %Wt. I 100.00 Gasollne HAZARDOUS COMPONENTS CAS# I 8006619 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -3- 08/27/2004 F DAY AND NIGHT MARKET SiteID: 015-021-001282 ì f= Inventory Item 0002 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: UNDERGROUND TANK TANK DESCRIPTION Mf r: UNKNOWN o Capacity: 10000 Gals Compart Tank: N No. Of Comparts: Tank ID#: 2 Installed: 0/ Additional Info: Tank Use: MOTOR VEHICLE FUEL MatI Name:UNLEADED GASOLINE TANK CONTENTS Petrol Type: PREMIUM UNLEADED Cas #: 8006-61-9 TANK CONSTRUCTION Type : SINGLE WALL W/INT LINER & C.P. Material(p): BARE STEEL Material(s) : Lining : EPOXY LINING Corr Prot: CATHODIC PROTECTION Spill Cnt : 1998 Drop Tube : Striker Plate: TANK LEAK Sgl Wall: AUTOMATIC TANK GAUGING Alarm : Ball Float : Fill Tube S/O: DETECTION Dbl Wall: Installed: Installed: Exempt: No 1998 Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -4- 08/27/2004 F DAY AND NIGHT MARKET SiteID: 015-021-001282 ì f= Inventory Item 0002 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping PRESSURE SINGLE WALL AboveGround Piping Type : Const: Mfgr : Mtl : & : Corr : Prot : CATHODIC PROTECTION PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS LINE TIGHTNESS TESTING Installed: 01/16/2004 Date: 11/12/1999 Name:Mr. Park Prmt Number: 1282 DISPENSER CONTAINMENT Type: FLOAT MECH. SHUTS OFF SHEAR VAL. OWNER/OPERATOR SIGNATURE TANK/LINE TEST :07/25/1996 CP CERT. :07/10/2003 MANWAY INSP. :12/22/1998 UST MONIT. CERT:11/03/2003 Ttl:Owner Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED PASSED -5- 08/27/2004 SiteID: 015-021-001282 ì Facility Unit: Fixed Containers on Site ì F DAY AND NIGHT MARKET f= Inventory Item 0001 == COMMON NAME / CHEMICAL NAME REGULAR GASOLINE Days On Site 365 Location within this Facility Unit UNDERGROUND TANK Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 5000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS#S006619 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No. No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined5: Ag.Defined8: - Ag.Define11 -6- 08/27/2004 F DAY AND NIGHT MARKET SiteID: 015-021-001282 ì f= Inventory Item 0001 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: UNDERGROUND TANK TANK DESCRIPTION Mf r: UNKNOWN o Capacity: 10000 Gals Compart Tank: N No. Of Comparts: Tank ID#: 1 Installed: 0/ Additional Info: Tank Use: MOTOR VEHICLE FUEL MatI Name:REGULAR GASOLINE TANK CONTENTS Petrol Type: REGULAR UNLEADED Cas #: 8006-61-9 TANK CONSTRUCTION Type : SINGLE WALL W/INT LINER & C.P. Material(p): BARE STEEL Material(s) : Lining : EPOXY LINING Corr Prot: CATHODIC PROTECTION Spill Cnt : 1998 Drop Tube : Striker Plate: TANK LEAK Sgl Wall: AUTOMATIC TANK GAUGING Alarm : Ball Float : Fill Tube S/O: DETECTION Dbl Wall: Installed: Installed: Exempt: No 1998 Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -7- 08/27/2004 F DAY AND NIGHT MARKET SiteID: 015-021-001282 ì f= Inventory Item 0001 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping PRESSURE SINGLE WALL AboveGround Piping Type : Const: Mfgr : Mtl : & : Corr : Prot : CATHODIC PROTECTION PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS AUTOMATIC LEAK DETECTORS Installed: 01/16/2004 Date: 11/12/1999 Name:Mr. Park Prmt Number: 1282 DISPENSER CONTAINMENT Type: FLOAT MECH. SHUTS OFF SHEAR VAL. OWNER/OPERATOR SIGNATURE TANK/LINE TEST :07/25/1996 CP CERT. :07/10/2003 MANWAY INSP. : 12/22/1998 UST MONIT. CERT:11/03/2003 Ttl:Owner Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED PASSED -8- 08/27/2004 DAY AND NIGHT MARKE~ SiteID: 015-021-001282 Manager : _~%% BusPhone: (661) 322-7270 Location: 355 CHESTER AVE~~ Map : 103 CommHaz : Low City : BAKERSFIELD ,x~~ Grid: 31C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 06 SIC Code:5541 EPA Numb: DunnBrad:95-373-4318 Emergency Contact / Title Emergency Contact / Title ~-'-- ,,z.~__ ~'lh'//-f~4,~ OWNER WILLIAM GONZALES / Business Phone: (661) 322-7270x Business Phone: (661) 322-7270x 24-Hour Phone : (661) 325-0224x 24-Hour' Phone : (661) Pager Phone : ( ) - x Pager Phone : ( ) Hazmat Hazards: Fire ImmHlth DelHlth Contact : Phone: (661) 322-7270x MailAddr: 355 CHESTER AVE State: CA City : BAKERSFIELD Zip : 93301 Owner Y~N..C-I~=.~. PAR.~,- ~1~ W?~, Phone: (661) 322-7270x Address : 355 CHESTER State: CA City : BAKERSFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: reviewed tbs a~ached h~ardous mms~a~s man~s. plan fo ~ ~ha~ j~ ~ong ~i~h -1- 08/04/2003 DAY AND NIGHT MARKET / SiteID: 015-021-001282 Manager : BusPhone: (805) 322-7270 Location: 355 CHESTER AVE Map : 103 CommHaz : Low City : BAKERSFIELD Grid: 31C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 06 SIC Code:5541 EPA Numb: DunnBrad:95-373-4318 Emergency Contact / Title Emergency Contact / Title ~ONG HAK PAP/~, / OWNER W!~T_ZkM ~T.~ / Business Phone: (805) 322-7270x Business Phone: (805) 322-7270x Pager Phone : ( ) - x Pager Phone : ( ) %%~- ~ Hazmat Hazards: Fire ImmHlth DelHlth Contact : Phone: ( ) - x MailAddr: 355 CHESTER AVE State: CA City : BAKERSFIELD Zip : 93301 Owner ¥O~O ~_~ P~3,K Phone: (805) 322-7270x Address : 355 CHESTER State: CA City : BAKERSFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: : Hazmat Inventory One Unified List -- As Designated Order Ail Materials at Site Hazmat Common Name... ISpocHazlEPA HazardsI Frm DailyMax UnitIMCP REGULAR GASOLINE F IH DH L 10000.00 GAL Mod UNLEADED GASOLINE F IH DH L 20000.00 GAL Mod I, _~.L~_~__Z.~Z' /3,4/(/:" Do hereby ceni~ thru ! have rev ,,.wed the a~ached h~ardous materials manage- ment plan fo~¢ ~'~f and that it along with / (N~ of any corrections constitute a complete and correc~ man- agement plan for my facili~. _ X.,/~-//~~ /;//?/~ ~ 10/31/2000 V ~t~e / ~,~ DAY AND NIGHT MARKET SiteID: 015-021-001282 = Inventory Item 0001 Facility Unit: Fixed Containers on Site ~v~v~ ~vx~ / ~£ ~./-.~.l_J ~v~ REGULAR GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: UNDERGROUND TANK 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 5000.00 GAL HAZARDOUS COMPONENTS wt.I CAS# 100.00 Gasoline N 8006619 HAZARD ASSESSMENTS TSoorot ~S BioHaz Radioactive/Amount EPA HazardsNo N No No/ Curies F IH DH NFPA I USDOT# MCP = Inventory Item 0002 Facility Unit: Fixed Containers on Site UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: UNDERGROUND TANK CAS# 8006-61-9 F STATE -- TYPE PRESSURE --~ TEMPERATURE CONTAINER TYPE Liquid Pure Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 10000.00 GALI 20000.00 GAL 10000.00 GAL HAZARDOUS COMPONENTS %Wt. R~NoRSI CAS# 100.00 Gasoline 8006619 HAZARD ASSESSMENTS TSecretI ~SlBioHazI Radioactive/Amount EPA HazardsI NFPA USDOT# MCP No N No No/ Curies F IH DH / / / Mod -2- 10/31/2000 DAY AND NIGHT MARKET SiteID: 015-021-001282 Fast Format ~ Notif./Evacuation/Medical Overall Site -- Agency Notification 11/28/1990 CALL 911 -- Employee Notif./Evacuation 11/28/1990 VERBAL Public Notif./Evacuation 11/28/1990 EVACUATE PEOPLE FROM STORE AND PARKING LOT THEN CALL 911 Emergency Medical Plan 11/28/1990 MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371 3 10/31/2000 F DAY AND NIGHT MARKET SiteID: 015-021-001282 Fast Format = Mitigation/Prevent/Abatemt Overall Site --Release Prevention 11/28/1990 CALLING SUN VALLEY AND THEY WILL TAKE WHATEVER ACTION HAS TO BE DONE. --Release Containment 11/28/1990 DIKE WITH CAT LITTER TO KEEP IT FROM SPREADING -- Clean Up 11/28/1990 CAT LITTER THEN CALL A HAULER TO PICK IT UP Other Resource Activation -4- 10/31/2000 F DAY AND NIGHT MARKET SiteID: 015-021-001282 Fast Format ~ Site EmerHency Factors Overall Site Special Hazards --Utility Shut-Offs 11/28/1990 A) GAS - NONE B) ELECTRICAL - NORTH SIDE OF STORE HAS SHUT OFF FOR ALL ELECTRICAL C) WATER - EAST FACING CHESTER ON THE RIGHT HAND SIDE D) SPECIAL - NONE E) LOCK BOX - NO -- Fire Protec./Avail. Water 11/28/1990 PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS FIRE HYDRANT - NORTHWEST CORNER OF CHESTER AND 4TH ST. BuildinH Occupancy Level -5- 10/31/2000 DAY AND NIGHT MARKET SiteID: 015-021-001282 Fast Format ~ Training Overall Site -- Employee Training 11/28/1990 WE HAVE 2 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: TRAIN NEW EMPLOYEES AND THEN PERIODICALLY WE GO OVER ANY CHANGES OR REVIEW ANYTHING NECESSARY. -- Page 2 Held for Future Use Held for Future Use -6- 10/31/2000 DAY AND NIGHT MARKET -=-~-~--+'--====~?'-~ SiteID: 215-000-001282 ~.t ._~,~.V.~.,,.L~I Manager : NOV ~J99~ 1BusPhOne: (805) 322-7270 Location: 355 CHESTER AVE ~Map : 103 CommHaz : Low City : BAKERSFIELD i~¥: _~Grid: 31C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATI()N 06 SIC Code:5541 EPA Numb: DunnBrad:95-373-4318 Emergency Contact / Title Emergency Contact ~ Title YONG HAK PARK / OWNER ~FILLI~ ~OI~ZALED~ ~?-~O/~ Business Phone: (805) 322-7270x Business Phone: (805) 322-7270x 24-Hour Phone : (805) 325-0224x 24-Hour Phone : (805) 872-7648x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Emergency Directives: ---- Hazmat Inventory One Unified List -- MCP+DailyMax Order Ail Materials at Site Hazmat Common Name... ISpooHazlEPA HazardsI Frm DailyMax IUnitlMCP UNLEADED GASOLINE F IH DH L 20000 GAL Mod REGULAR GASOLINE F IH DH L 10000 GAL Mod -Z- 03/18/1998 DAY AND NIGHT MARKET SiteID: 215-000-001282 ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: UNDERGROUND TANK CAS# 8006-61-9 Liquid PureIi Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 10000.00 GALI 20000.00 GAL 10000.00 GAL HAZARDOUS COMPONENTS %Wt. RIgoR8I CAS# 100.00 Gasoline 8006619 HAZARD ASSESSMENTS ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N° No No/ Curies F IH DH / / / Mod = Inventory Item 0001 Facility Unit: Fixed Containers on Site REGULAR GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: UNDERGROUND TANK CAS# 8006-61-9 r STATE TYPE PRESSURE --~ TEMPERATURE CONTAINER TYPE Liquid Pure Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 10000.00 GALI 10000.00 GAL 5000.00 GAL HAZARDOUS COMPONENTS %Wt. CAS# 100.00 Gasoline 800 HAZARD ASSESSMENTS ITSecret ~S BioHaz Radioactive~Amount EPA Hazards NFPA I USDOT# MCP No N No No/ Curies F IH DH / / / Mod -2- 03/18/1998 F DAY AND NIGHT MARKET SiteID: 215-000-001282 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 11/28/1990 CALL 911 -- Employee Notif./Evacuation 11/28/1990 VERBAL -- Public Notif./Evacuation 11/28/1990 EVACUATE PEOPLE FROM STORE AND PARKING LOT THEN CALL 911 Emergency Medical Plan 11/28/1990 MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371 -3- 03/18/1998 DAY AND NIGHT MARKET SiteID: 215-000-001282 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 11/28/1990 CALLING SUN VALLEY AND THEY WILL TAKE WHATEVER ACTION HAS TO BE DONE. --Release Containment 11/28/1990 DIKE WITH CAT LITTER TO KEEP IT FROM SPREADING -- Clean Up 11/28/1990 CAT LITTER THEN CALL A HAULER TO PICK IT UP ~ Other Resource Activation -4- 03/18/1998 F DAY AND NIGHT MARKET SiteID: 215-000-001282 Fast Format ~ Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 11/28/1990 A) GAS - NONE B) ELECTRICAL - NORTH SIDE OF STORE HAS SHUT OFF FOR ALL ELECTRICAL C) WATER - EAST FACING CHESTER ON THE RIGHT HAND SIDE D) SPECIAL - NONE E) LOCK BOX - NO -- Fire Protec./Avail. Water 11/28/1990 PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS FIRE HYDRANT - NORTHWEST CORNER OF CHESTER AND 4TH ST. Building Occupancy Level -5- 03/18/1998 DAY AND NIGHT MARKET SiteID: 215-000-001282 Fast Format ~ Training Overall Site -- Employee Training 11/28/1990 WE HAVE 2 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: TRAIN NEW EMPLOYEES AND THEN PERIODICALLY WE GO OVER ANY CHANGES OR REVIEW ANYTHING NECESSARY. Page 2 Held for Future use -- Held for Future Use -6- 03/18/1998 ' ~ B'~,fii~dFireDept ........ a~ers de HAZARDOUS MATERIALS DIVISION Business Name: 0~ ~ ~-~" Location: ~5"~- ~:~,~-~_~ /~-~ Business Identification No. 215-000 0o~ (Top of Business Plan) Station No. (o Shift ~ Inspector Adequate Inadequate RECEIVED Verification of Inventory Materials AUG 2 3 1995 Verification of Quantities HAZ, MAT. DIV, Verification of Location Proper Segregation of Material Comments: Verification of MSDS Availablity Number of Employees Verification of Haz Mat Training Comments: ~ Verification of Abatement Supplies&Procedures ments: Emergency Procedures Posted Containers Properly Labeled Comments: Verification of Facility Diagram Special Hazards Associated with this Facility: ~ 7'~ Violations: All Items O.K. ~'l/t,~-,_-~ ~~._ Correction Needed Business Owner/Manager FO 1652 (Rev. 1-90) White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy L 02/24/92 DAY AND NIGHT MARKET 215-000-001282 Page 1 Overall Site with 1 Fac. Unit General Information Location: 355 CHESTER AV Map: 103 Hazard: Low Community: BAKERSFIELD STATION 06 GrSd: 31C F/U: 1AOV: 0.0 Contact Name Title _ BuSiness Phone 24-Hour Phone- MAHOUB HOUTER ~L"~'~3'~~'''''' (805) 322-7270 x/ -~1805) 325-~3~7 WILLIAM GONZALES (805) 322-7270 x 805) 872-7648 Administrative Data Mail Addrs: 355 CHESTER D&B Number: 95-373-4318 City: BAKERSFIELD State: CA Zip: 93301- Comm Code: 215-006 BAKERSFIELD STATION 06 SIC Code: Owner: MAHOUB HOUTER Phone: (805) 325-0397 Address: 324 EYE ST State: CA City: BAKERSFIELD Zip: 93301- Summary RECEIVED 0 7 1992 · ~,' '"'~ ~. LI~V. mvi®~®d the a~ched hazardous m~ ~~ any ~rre~io~'~s consdtute a compl~ and ~rr~ ~- 02/24/92 DAY AND NIGHT MARKET 215-000-001282 .Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 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 GALI Daily Average GAL ] Annual Amount GAL 10,000 ~ 5,000.00 60,000.00 StorageI~Press T Temp Location UNDER GROUND TANK Iambient~AmbientlUNDERGROUND TANK -- Conc comp°nents~ ~ ~ IMCP List 100.0% Gasoline IModeratel 02-002 UNLEADED GASOLINE Liquid 20000 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 20,000 I 10,000.00 I 60,000.00 StorageIIPress T Temp Location UNDER GROUND TANK Iambient]ambientlUNDERGROUND TANK -- Conc Components MCP List 100.0% IGasoline Moderate 02/24/92 DAY AND NIGHT MARKET 215-000-001282 Page 3 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation VERBAL <3> Public Notif./Evacuation EVACUATE PEOPLE FROM STORE AND PARKING LOT THEN CALL 911 <4>.Emergency Medical Plan MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371 02/24/92 DAY AND NIGHT MARKET 215-000-001282 Page 4 00 - Overall Site ~ <E> Mitigation/Prevent/Abatemt <1> Release Prevention CALLING SUN VALLEY AND THEY WILL TAKE WHATEVER ACTION HAS TO BE DONE. <2> Release Containment DIKE WITH CAT LITTER TO KEEP IT FROM SPREADING <3> Clean Up CAT LITTER THEN CALL A HAULER TO PICK IT UP <4> Other Resource Activation 02/24/92 DAY AND NIGHT MARKET 215-000-001282 Pag'e 5 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - NORTH SIDE OF STORE HAS SHUT OFF FOR ALL ELECTRICAL C) WATER - EAST FACING CHESTER ON THE RIGHT HAND SIDE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS FIRE HYDRANT - NORTHWEST CORNER OF CHESTER AND 4TH ST. <4> Building Occupancy Level 02/24/92 DAY AND NIGHT MARKET 215-000-001282 Page 6 00 - Overall Site <G> Training <1> Page 1 WE HAVE 2 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: TRAIN NEW EMPLOYEES AND THEN PERIODICALLY WE GO OVER ANY CHANGES OR REVIEW ANYTHING NECESSARY. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use / o~/'ap ~ ~ RECEIVEU DAY NIGHT MARKET ~ ~ ~-O00-O~ ~ Pa;~ ~ Ge~,eral Inforrnat ior, HAZ, MAT. DIV. . Locatior~: .355 CHESTER AV Map: 103 Hazard: L~:,w Ider~t Number: 215-000-001282 Grid: 31C Area c,f Vul: 0.0 Cor~tact Name ~ Title ~ Busir~ess Phor~e ~ 24 Hour Phor~o]~ MAHOUB HOUTER (805) 322-7270 x ~(805) 325-4317~ WILLIAM GONZALES (8.}o) 322-7270 x (805) 872-7~48~ I, Admi~,istrativ. Data ~~ - Mail Addrs: 355 CHESTER D&B Number: City: BAKERSFIELD State: CA Zip: ~33~l- Corem Code: 215-00~ BAKERSFIELD STATION O~ SIC Code: Owner: MAHOUB HOUTER Phc,~e: (~) 3~3 ? ~ Address: 324 EYE ST State: CA City: BAKERSFIELD Zip: 33301- Summary reviewed the al~che~ ......... ~o materials manage~ ment plan for any correction:~ c~..;,~ agement plan for my facility. 10/08/90 · DAY NIGHT MARKET 215-£)00-1 Page 2 ~ Haz Inventory List in MCP Order 02 - Fixed Containers oN Site Pln-Ref Name/Hazards Form Quantity 02-001 REGULAR GASOLINE Liquid 10,000 Moderate Fire, Immed Hlth, Delay Hlth GAL 02-002 UNLEADED GASOLINE Liquid 1(;,000 Moderate Fire, Immed Hlth, Delay Hlth GAL 10/08/90 DAY NIGHT MARKET 215-000-0[~82 Page 3 00 - Overall Site <D> Notif. /Evacuat ion/Medical <1> Agency Notification CALL 911 ~2> E~ployee Notif. /Evacuation <3> Public Notif. /Evacuation ~ ?~ ~ ~ r ~ ~' ~.~1I~?1/ <4> Er~ergency Medical Plan MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371 1¢)1¢)8190. DAY NIGHT MARKET 215-000-0~82 Page 4 00 - Overall Site <E> Mi t i gat ior,/Prevent/Abat erst <1> Release Preverstiors CALLING SUN VALLEY AND THEY WILL TAKE WHATEVER ACTION HAS TO BE DONE. <4> Other Resource Activation 10/08/90 . DAY NIGHT MARKET 215-000-0~82 Page 5 · ~ 00 - Overall Site <F> Site Er~lerger~cy Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - NORTH SIDE OF STORE HAS SHUT OFF FOR ALL ELECTRICAL C) WATER - EAST FACING CHESTER ON ]'HE RIGHT HAND SIDE D) SPECIAL - NONE E) LOCK BOX - NO PRIVATE FIRE PROTECTION FIRE HYDRANT - NORTHWEST CORNER OF' CHESTER AND 4TH ST. <4> Held for Future use 10/C)8/90. DAY NIGHT MARKET 215-000-0~82 Page 6 ' 00 - Overall Site <G> Trairsirlg <1> Page 1 WE HAVE .~_ EMPLOYEES AT THIS FACILITY ~DO~ YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? ~RIEF SUMMARY OF TRAINING: <2> Page 2 as needed <3> Held for Future Use <4> Held fc, r Future Use CII'Y Of BAKERSFIELD HAZARDOUS MATERTALS TNVENTORY Farm andAgticulture ~ Standard Business ~ NON--TRADE SECRETS Pacje ....... of ' · t ~USINESS NAHE: ~ ~5~ ~,1¥.~ 0NNER NAHE' ~-/O~ ~~ NAHE 0F THIS FACILITY: .0CATION; ~ ~ ~c/ ~ ADDRESS; ' 3~ ~'~ ~' STANDARD IND. CLASS CODEf~ ~1~ glP~-~ff~,'¢C~ --~%--~--~- CliY. ZlP~~¢~~~33~) DUll AND BRADSIREEI NUHBER N~ ~: ~ ~'-';-'~'-~ ......... PlO ~' ~-~ -~ ~ - - lr~ns lyre ~ax Average Annual ~easure IalLOnge ~ont ~ont ~ont Us~ tocqtion. Whe(~. '~ Na~es o~ PixturelCor~onents (;ode cboe A~t A~t Est Units on iype Press IemO Coue 'w~Y See Instructions Store~ In ~aClIl~y ~ Fire N~z~rd U Reactivity ~Oelayed U Sudden Release U i,mediateC°"ponent 12 Ha,e I C.A.S. Humber flealth of Pressure Health ~-' Phy$icll IOd Health ~alard C,A.5. Number Component II Hame I C,A,S. Number ICheck all that app/yJ Component 12 Hame I C,A,S. Humber ~ Fire Hazard ~ Reactivity ~ Oelayed ~ Sudden Release ~ immediate Health of Pressure Health - Component I~ flame I C,A,S, Physical And Health Hazard C,A,S. Number Component II Name I C,A.S, Humber lChe:k all that apply] Component I~ Name I C.A,S. Number ~ FireHazard · ~ Reactivity ~ Oelayed ~ Sudden Release ~ leAediate Health of Pressure Health Component 13 Name I C.A.S. Number Physical Ind Health halard C,A.S, Number Component II Hame I C,A,S. Humber (Check al1 that applH Component I~ Name I C,A.S. Number ~ Fire Hazard .~ Reactivit~ ~ Belayed ~ Sudden Release ~ Immediate Hea/th of Pressure Health Component la Name I C,A,S, Humber EMERGENCY CONTAC]S fll MA H'/°~ ~ ~/ ~~ fl2 ~ ~- o 3 ~ ~ :erti[i~atioq .(Rep~ p,n~.~fgn.af~pc compl~Cf(~g,~ll, sec~on~) cer~H~ under ~ena~t~ o/]a~ tn~t ~nav~¢ersonH~,eXanln~¢~o~n ~,,i~,Ltlt~ ~heJnlornatJpn ~u~,itt¢~ in this.~nd ali l[acneU documents, Ifl~ t~8[ oAseo on. my Inquiry 9l.[flose InOlVlOOll~ responsible for obtaining cna Ifl/or~acIO8, ! believe t~at the ;u~m~tted Information Is uue, accure&e, ano~oep/ece, ?:"" ' / BAKERSFIELD Ci~f FIRE DEP:\RTT,~ENT ~' ;~ ~ 2230 "G" S~EET BAKERSFIELD, CA 93301 (805) 326-3979 0FFIC[AL USE ONLY BUSINESS N~E HAZARDOUS MATERI INS~UCT! ONS: 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 IDENTIFICATION DATA 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 wi!! 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. SECTION 3: LOCATION OF ~ILI~ S~-OFFS FOR 8USI~SS AS A ~OLE A. NAT. GAS/PROPANE: D. SPECIAL: ~ ' d/~ ~/ ~. zoc~ ~ox:~,/ xo ~ vzs, ZOCAZZON:. ~~ ~ IF YES, DOES IT C05:TA[N SITS PEAKS? YES /~ FLOOR PLANS? YES / KEYS? SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTION S: 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 TRAi.YiNG IN THE FOLLOWING AR£AS. CIRCLE'YES OR NO INITIAL REFRESHER C. PROPER USE OF SAFETY EQUIPMENT: .................. NO ~0 D. E>IERGE~CY EVACUATION PROCEDURES: ................. - YO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES ~ YES SECTION 7: HAZARDOUS MATERIAL CIRCLE YES ~- NO - NONE DOES YOUR BUSINESS HANDLE HAZARDOUS ~TERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A SOLID,,55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YE(y.~0 NO I, /~l;ll~'~~a-- 60~1~ , certify that the above information is accurate. I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 8.9~ Sec. ~$$00 Et Al.) and that inaccurate information constitutes perjury.' 3130 "G" STREET BAKERSFIELD, CA 93301 O~-~CTAL US~ ,~'r · ' BUSIXESS "'v~ BUSI NESS PLAN SINGLE FACILITY UNIT FOR~ ~ INSTRUCTIONS I. To avoid further action, thi:~ form must be returned 2" TYPE/PRINT 5'OUR A~X'SWERS IN ENGLISH. 3. Anz~er the questions below for THE FACII, ITY UNIT LISTED EEI. OW ~. Be as BRiE~ and CONC~o~ as possible.' ~[CTION I: MITIGATION, PR~ION, ABATEME~ PROCEDb~ES SECTION 2: i<OT/.riCATiON AND r.v.~C ....... PROCEDL.~ES AT Ti-tlS L~."[. ONLY - 3A - SECTION 3: HAZARDOUS MATERIALS FOR THIS [~iT ONlY A. Does this Yacility Unit contai'a Hazardous Hateria!s? ...... ~ If YES, see B. If N'O, continue with SECTION 4. 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 If Yes, complete a hazardous materials inventors' form marked: TRADE SECRETS ONLY (~ellow form =4A-2) in addition to the non-trade ~ecret form. List o~1~' the trade secrets on form 4A-2. SECT!O~ ~: LOCATe_ON OF WATER SL'PPL¥ FOR USE BY EME.RGENC~ RESPO~ERS SECTION 6: LOCATION OF L'rlLITY Sh'UT-0FFS .iT THIS L~IT 0,Nq, Y. 61o oe. D. SPYC!AL: LOCK BO.X:~,' .X'O .i? YES, IOCATIO?:: .'IS u., S~T2 PL~,',~. Y£S .... FLOOR PLA:S? YES ." KEYS? BAKERSFIELD CITY FIRE DEPARTMENT , I.D. # FORM 4A-! Page _ NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY ADDRESS: ~ ~ ~ ADDRESS: ~ '2~q ~,~ ~ FACILITY UNIT NAME: PHONE ~: ~2~-727~' PHONE {: 3~-~{~ ,, {OFFICIAL USE CFIRS CODE ONLY ,. 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE C00E FACILITY UNIT MT. CHEMIqAL OR COMMON NAME CODE GUIDE EMERGENCY CONTACT:,A ~ ,. LiV~A~.~ TITLE:- ':~'~~' .... PHONE f BUS HOURS: · PRINCIPAL BUSINESS ACTIVITY: ~d ., AFTER ~US H~S: ~J//~/~ I certify under p~ ~lty of perjury that I have re~ ;he information '/2~garding Chapter 6.95 ' the Health and Safety Code, ~ that my business is exempt from these requirements. I do understand that random checks may be ' conducted to insure exemption, status. ' ~. '- Business_N~e ~ ~ ' . [ype o B~siness Address Na~e (PrifitedF ' ~{le .... P~one ' >ignat~re REH/eg CITY of BAKERSFIELD RRE DEPARTMENT /~~ 2101 H STREET D. S. NEEDHAM ~ 8AKF..RSRELD. ~1 RRE CHIEF 32fk3911 Dear Business Owner: Enclosed please find a cooy of your response to the Hazardous Material Business Plan request. We have founa it. necessary to reject your plan for :ne following. reason(s) as checked below. r~T Illegible Business Plan (please print or type information in English). Form 3A r--~ Missing or n-~ Incomplete site Diagram ~ Missing or r--[ Incomplete -- Facilities Diagram ~ Missing orr'~ Incomplete Bakersfield City Fire Department Hazardous Materials Division 2130 "G" Street Bakersfield, CA 93301 If additional copies of any forms are needed they can be picked up from the Hazardous Materials Division at' 2130 "G" Street in person. Sincerely Yours, Hazardous Materials Coordinator R£H/eg ............. 2].30 ."G"__-STREET BUSI N~SS PLAN AS ~O~M 2 ,~ [NS~UCTIONS: l. To avoid further action, return thls ~ot-~ by __ ~ TYP~/'PR[NT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. ~. Be as b~ief and concise as possible. S~CTION 1: BUSI~SS ID~I~ICATION DATA B. LOCATION / STREET ADDRESS: Srf SECTION 2: E~WERGENCY 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 AN~ ~iTLE - -DU~'ING'-BUSq -HRS. -- AFTER-BUS - HRSx SECTION 3: LOCATION OF ~ZFILiTY SHDT-OFFS FOR BUSINESS AS A NI{OLE B ELECTRICAL: D. SPEC[AL: - FLOOR PLANS? YES KEYS? ~o.~.,/ NO 2A - SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR ¥Ot~ BUSINESS AS A WHOLE SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRA}! WHICH PROVTDES EMPLOYEES WITH iNiTiAL REFRESHER TRAIXING IN THE FOLLOWING AREAS. CIRCLE YES OR NO iNiTIAL REFRESHER A. METHODS ?OR SAFE HANDLING OF HAZARDOUS MATERIALS: ....................................... ~NO ~ ~0 B. PROCEDURES FOR COORDINATING ACTIVITIES C. PROPER USE OF SAFETY EQUIPMENT: .................. NO N0 D. EMERGENCY EVACUATION PROCEDURES: ................. ' N0 E. DO YOU MAINTAIN RECORDS: YES SECTION 7: HAZARDOUS .~ATERIAL CIRCLE Y~_.~- NO - NONE DOES YOUR BUSINESS HANDLE HAZARDOUS >[~TERIAL I~ QUANTITIES LESS THA~ 50~ P©U}~DS OF A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... NO I, { ~/ ~7~¢_q , certify that the above information is accurate. I underst~u~d' that ~-~s- ~nformation wi]! be used to ~"~=:~' ~' =~- '' ...... ~u~~~ m~ .~.m ~ obiigaiions under the new California Health and Safe~¥ code on Hazardous Za~erials (Div. ~O Chapter 8,95 Sec. 25500 Et Al.) and that inaccurate information constitutes perjury. 2B ~ ; i BAKERSFIELD CITY FIRE DEPARTMENT / ' ' I.D. # ~ FORM 4A-2 page, _ 'i TRADE SECRET'S H'AZ ARDOUS MATERI ALS INVENTORY UNIT BUSINESS NAME: 1~'O ~- ~,A¢~- ~ ~ ( OWNER NAME:_ ~00 / ~ FACILITY ADDRESS: ~5,~ Q'~e~C~ O~1~ " ADDRESS: ~Tg/~ fie' FACILITy UNIT NA~E: I 2 3 4 5 6 7 8 { 9 10 TYPE ~AX ANNUAl, CONT USE LOCATION IN THIS g BY~ HAZARD D.O.T CODE A~OUNT A~OUNT UNIT CODE CODE FACILITY UNIT WT. CHE'MICAL OR CO~ON ~AHE CODE GUIDE NAME:~ : ~ ~ SIGNATURE:,: DATE: " E~ERGENCY TACT: " TITLE:' v 1' ~ PHONE'~ BUS HOURS: EMERGENCY CONTACT: ,1. f~ & ~ ; TITLE: ~'~' PBONE ~ BUS HOURS: