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Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This oermit is issued for the following:
[] Hazardous Materials Plan
[] Underground Storage of Hazardous Materials
[] Risk Management Program
PERMIT ID # 015-021-001284 [] Hazardous Waste On-Site Treatment
THIARA FOOD MART
LOCATION: 3401 S CHESTER ~ ~' IAKERSFIELD CA 93304
TANK DISPENSER PAN MONITORING
015-000-001284-0001 G~SOLINE
015-000-001284-0002 10,000
'~ .. ":~ \.~.,.
OFFICE OF ENV1R ONMENTAL SER VICES' ~ ~
1715 Chester Ave., 3rd Floor Approved by: "~Ralpl/Huey, D~~j , IssueDate
Bakersfield, CA 93301 OfficeofEvbonmee~[Services ~
Voice (661) 326-3979
FAX (661) 326-0576 Expiration Date: . June 30, 2003
City of Bakersfield
Office of Environmental Services
1715 Chester Ave., Suite 300
Bakersfield, California 93301
(661) 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.
Instructions 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 12th day of September 2002 to:
THIARA FOOD MART
Permit #015-021-001284
3401 S. CHESTER AVENUE
Bakersfield, California 93304
8=Tq~P ~ SAVE .~.,'nART SiteID: 015-021-001284
Manager : I~ER ING~ ~~WA BusPhone: (661) 836-9176
Location: 3401 S CHESTER AVE Map : 103 Com~az : Low
City : BA~RSFIELD Grid: 19C FacUnits: 1 AOV:
CommCode: BA~RSFIELD STATION 05 SIC Code:
EPA Nu~: DunnBrad:
Emergency Contact / Title ~XT~. Emergency Co6ta~t__.. / Title
SATii~DER SiNGH ~ / O~ER/~R -IQBAL~GH ~F~N~;$)639-
Business Phone: (661) 832-5900x. . .~ Business Phone: (6~i) 832 5D00x
24-Hour Phone : (~) ~~-~ 24-Hour Phone : (661) 831-4900x
Pager Phone :-----~~(~'8)-~~ Pager Phone : (~,9)77t-~x
+---~ ....................
Hazmat Hazards: Fire Im~lth DelHlth ~
..............................................................................
Contact : Phone: (661) 836-9176x
MailAddr: 3401 S CHESTER AVE State: CA
City : BA~RSFIELD Zip : 93304
................ ~ .............. ~.f c~. Phone: (3Gl) -~31-490Jx
Address : 3401 S CHESTER AVE '-~ .......... State:
City : BA~RSFIELD Zip : 93304
+-
period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: Res: No
................... , ...........................................................
Emergency Directives:
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+~4~-N~A~'-~T SiteID: 015-021-001284
.................... STORAGE CONTAINER DATA (UST FORM A)
Last Action Type:
......................... FACILITY/SITE INFORMATION -+
Business Name: STO~ N SA¥~ ~u.u~.-~' -'/'-~~ ~'O~D ~,~._..
Cross Street :
Business Type: Org Type:
Total Tanks : 2 IndnRes/Trust: No PA Contact:
.......... ~2~3 ........... PROPERTY OWNER,INFORMATION .........................
Name P~L ~i~ ~~ ~ ~W~/~7w4M~ Phone:
Address: ' ~/~¢ ~ ~%~
City : State: Zip:
Type : INDIVIDUAL
........................... TANK OWNER INFORMATION ...........................
Name : ~ / Phone: (ggl) 832-5900x
Address: ~~ ~//q&/+~/~7~j~ ~f~6~
City : State: Zip:
Type : INDIVIDUAL
BOE UST Fee# : UNKNOWN
Financ'l Reap:
Legal Notif :
+-
Date:10/23/i997 Phone: ( ) - x
Name:ROBERT CAMERON REASON Ttl:PRESIDENT - ICES
State UST # : 1998 Upg Cert#: 00833
+= Hazmat Inventory One Unified List
+== Alphabetical Order = All Materials at Site
................................ + ....... + ........... + ..... + .......... + .... +- - -+
Hazmat Common Name... ISpecHazlEPA HazardsI Frm I DailyMax IUnitlMCP
................................ + ....... + ........... + ..... + .......... + .... +- - -+
PREMIUM UNLEADED F IH DH L 10000.00 GAL Mod
REGULAR UNLEADED F IH DH L 10000.00 GAL Mod
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+~JTOP--N SAVE [{d%R$ SiteID: 015-021-001284
+= Inventory Ite~ 0002 Facility Unit: Fixed Containers on Site
+== COMMON NAME ~ CHEMICAL NAME .... +
PREMIUM LrNLEJ~DED Days On Site
~ 365
Location within this Facility Unit Map: Grid: +
N SIDE LOT i CAS#
I 8006-61-9
+= STATE=+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+ .... CONTAINER TYPE
I Liquid I PureI IAmbient IAmbient I UNDER GROUND TANK
+ AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum I Daily Average
100~0.00 GAL 10000.00 GAL 5000.00 GAL
+ + ~ ....
~ ~ I HAZARDOUS COMPONENTS =+===+---
! I sl
100.00 GasolinI No 8006619
q ~ =+===4
+ ....... +===+===~==+== HAZARD ASSESSMENTS ===4 + ~ .....
TSecret, RS BioHaz,' Radioactive/Amount I EPA HazardsI NFPA I USDOT# MCP
{ No INo No No/ Curies F IH DH / / / Mod
+= +===+ + ~ ~ + ~=====+
+= Inventory Iten 0001 Facility Unit: Fixed Containers on Site
+== COMMON NAME /~ CHEMICAL NAME ~
REGULAR UNLEADEDTM I Days On Site I
h~ 365
Location wit in this Facility Unit Map: Grid: + -+
N SIDE LOT CAS#
8006-61-9
+= ~
+= STATE =+= TYPE --==+== PRESSURE ===+ TEMPERATURE ==+ .... CONTAINER TYPE
[ Liquid I Pure { ambient I Ambient I UNDER GROUND TANK
+=========4 ~ ~-~+ ~ ...........
+= ~ AMOUNTS AT THIS LOCATION
Largest Cent ainer I Daily Maximum I Daily Average
10000.00 GAL 10000.00 GAL 5000.00 GAL
+= = ~ ~
+ + HAZARDOUS COMPONENTS s = = = ~
100.00 Gasoline No 8006619
+===== + ~===+ .....
ITSecret RS BioH~az Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No IN° I No I No/ Curies F IH DH / / / Mod
q ¥===+~=====4 + +=====----=----=+ ........ +====----+
-3- 03/04/2002
+ STOP N SAVE MART SiteID: 015-021-001284
+ Fast Format
+= Notif./Evacuation/Medical Overall Site
+== Agency Notification 11/21/2000
ICALL 911'
+
+=== Employee Notif./Evacuation 02/17/1998
CALL 911 AND REPORT SPILL. HAVE ALL PERSONS GO TO A SAFE LOCATION OFF THE
PROPERTY.
+ .... Public Notif./Evacuation 05/17/1990
I N
OTIFY PEOPLE IN IMMEDIATE AREA TO KEEP AWAY FROM AREA.
· Emergency Medical Plan 02/17/1998
CALL 911 FOR EMERGENCY TREATMENT.
-4- 03/04/2002
+ STOP N SAVE MART SiteID: 015-021-001284 +
Fast Format +
+= Mitigation/Prevent/Abatemt Overall Site +
+== Release Prevention 11/21/2000 +
CHECK GASOLINE HOSES AND NOZZLES FOR WEAR OR DAMAGE AND IF ANY, REPAIR OR
REPLACE. CHECK NOZZLES OVERFILL SHUT OFF PROTECTION AND REPLACE AS
NECESSARY. CONTAIN GASOLINE WITH SOIL FROM PLANTER. CALL HAZARDOUS WASTE
REMOVAL COMPANY AND HAVE SPILL CLEANED UP AND DISPOSED OF.
+=== Release Containment 11/21/2000
DAM UP SPILL WITH DIRT FROM PLANTER.
+ .... Clean Up 11/21/2000
CONTACT FIRE DEPT FOR BEST METHOD FOR THAT TYPE OF SPILL.
Other Resource Activation
5 03/04/2002
+ STOP N SAVE MART SiteID: 015-021-001284
Fast Format
+= Site Emergency Factors Overall Site
+== Special Hazards
I
+=== Ut±l±ty Shut-Offs 02/17/1998
A) GAS - NONE
B) EBECTRICAL - INSIDE BACK RM
C) WATER - NW SIDE LOT
D) SPECIAL - NONE
E) LOCK BOX - NO
..... Fire Protec./Avail. Water 02/17/1998 +
PRIAVTE FIRE PROTECTION - FIRE EXTINGUISHER INSIDE DOOR OF STORE.
FIRE HYDRANT - FIRE STATION DIRECTLY ACROSS PLANZ ST, ALSO FIRE PLUG.
Building Occupancy Level
+
03/04/2002
+ STOP N SAVE MART SiteID: 015-021-001284
% Fast Format
+= Training Overall Site
+== Employee Training ..... 02/17/1998
WE HAVE 2 EMPLOYEES AT THIS FACILITY.
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING: EMPLOYEES HAVE BEEN INSTRUCTED ON THE CORRECT
PROCEDURES.
+=== Page 2
+ .... Held for Future Use
Held for Future Use
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