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HomeMy WebLinkAboutBUSINESS PLAN 1997 .BAKIE~SFIELD CITY FIRE DEP/~TMENT OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVENUE, 3RD FLOOR //~' ~ BAKERSFIELD, CA 93301 .. (805) 320-3979 H~RDOUS MATERIALS INVENTORY FAClLI~ DESCRIPTION CHECKIF BUSINESS ISA FARM [ ] BUSINESS NAME Chevron SS¢ 1~42/203576 FAClLI~ NAM E Chevron SS¢ 1 ~42/203~76 SITE ADDRESS 112~ GoEee Cl~ ~kers6eld STATE CA ZIP 93308 NATURE OF BUSINESS Gasoline Station SIC CODE 5541 DUN & B~DSTREET 00-91~0559 OWNER/OPERATOR Chevron Products Company PHONE (805) 588-9066 MAILING ADDRESS P.O. Box 6004 ClTYSan Ramon STATE CA ZIP 94583 EMERGENCY CONTACTS NAME Staff TITLE Duty Clerk BUSINESS PHONE (805) 598-_9_066 24-HOUR PHONE(_g05) 5gg-9066 NAME Noushad Hyder TITLE CSI Territory, Manager BUSINESS PHONE (909) 343-2944 24-HOUR PHONE (gg8) 347-5011 Pager BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS INVENTORY Page1 of 1 Business Name Chevron SS# 1842/203576 Address 1125 Coffee Road Bakersfield 93308 CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition[ ] Revision [ ] Deletion[ ] Check if chemical is a NON TRADE SECRET IX] TRADE SECRET [ ] 2) Common Name: Gasoline (Generic) 3) DOT # (optional) 1203 Chemical Name: Gasoline AHM [ ] CAS # 8D06-61-9 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 OHS Form 8022) USE CODE 19 6) PHYSICAL STATE Solid [ ] Liquid D~ Gas [ ] Pure [ ] Mixture [X~] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: ;3L6000 lbs [ ] gal ~1 fi3 [ [ a) Container:. 1 Average Daily Amount: 18000 cudes [ ] b) Pressure: 1 Annual Amount: unknown c) Temperature: 4 Largest Size Countainer:. 12~00 # Days On Site: 365 Circle Which Months: ~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) 108-88-3 20 [ chemical components or any AHM components 2) Xylenes 1330-20-7 20 [ ] 3) Methyl Tart Butyl Ether .. 1634-04-4 10 [ ] 10) Location South side of site CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET ~ TRADE SECRET [ 2) Common Name: P_r. j3p~ne 3) DOT # (optional) 1978 Chemical Name: Propane AHM [ ] CAS # 74-98-6 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire ~ Reactive [ ] Sudden Release of Pressure [K] Immediate Health (Acute) D(] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE 19 6) PHYSICAL STATE Solid [ ] Liquid [;X~] Gas [ ] Pure ~] Mixture [ } Waste [ ] Radioactive [ ] CHECK ALL THAT APP~ Y 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 750 lbs [ ] gal D(] ft3 [ ] a) Container:. 2 Average Daily Amount: 375 curies [ ] b) Pressure: 2 Annual Amount: unknown c) Temperature: 4 Largest Size Countainer. 1000 # Days On Site: 385 Circle Which Months: ~Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazardous 1) [ ] chemical components or any AHM components 2) [ ] 3) [ l 10) Location blorth sk:le of site i / cetlify under penatly of law, that I have personally examined and am familiar with the information submitted on this and all attached documents. I believe the submitted information is true, accurate, and complete, Pdnt Name & Title of Authorized Company Representative SignatU~ J Date BAKERSFIELD CITY FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVENUE, 3RD FLOOR BAKERSFIELD, CA 93301 (805) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN ~~J INSTRUCTIONS: ~ '\, 1. To avoid further action, return this form within 30 days of receipt. '. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: Chevron SS# 1842/203576 LOCATION: 1125 Coffee Road Bakersfield 93308 MAILING ADDRESS: P.O. Bo× 6004 CITY: S~n Ramon STATE: CA ZIP: 94583 PHONE: (g05) 588-9066 DUN & BRADSTREET NUMBER: 00-914-0559 SIC CODE: 5541 PRIMARY ACTIVITY: Gasoline Station OWNER: Chevron Products Company MAILING ADDRESS: P.O. Bo× 6004 San R~mon CA 94583 SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE 1. Staff Duty Clerk (805) 588-9066 (805) 588-9066 2. Nm~ad Hyder CSI TerritoryjVlanager (909) 343-2844 (888) 347-5011 Pager Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING NUMBER OF EMPLOYEES: 8 MATERIAL SAFETY DATA SHEETS ON FILE: Yes BRIEF SUMMARY OF TRAINING PROGRAM: Training includes but is not limited to: a. Hazard Communication Program, written and audiovideo program including MSDS review. b. Hazwoper, written and audiovideo program. C. At a minimum, all employees are trained initially (upon hire) and training is refreshed annually. 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; Kathy Norris CERTIFY THAT THE ABOVE INFOR- MATION 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. SIGN~,TURE TITLE DATE 2. Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: ~Chevron SS #1942/203576 SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: a. In any incident that jeopardizes human health and safety: 1) Activate appropriate emergency shutoff; 2) Evacuate personnel from facility using safest routes available according to the situation; and 3) Go to an upwind area and maintain a safe distance. b. Coincident with evacuation, notify emergency response agencies by dialing 911 if incident represents an immediate threat. c. Deny entry to the area by anyone other than 911 emergency response personnel until area is declared safe. d. Standby to assist emergency response personnel. Any incident involving a fire, release, or threatened release of a hazardous material must also be reported to the Station Manager. The Station Manager will notify the CSI Terrkory Manager and Chevron Maintenance Dispatch immediately. Chevron Maintenance Dispatch will: 1) dispatch Company/Contractor assistance if necessary; and 2) notify Chevron Environmental Marketing Assistant for proper notification to regulatory agencies. B. EMPLOYEE NOTIFICATION AND EVACUATION: Notification will be accomplished verbally (shouting) and via the intercom system. C. PUBLIC EVACUATION: a. The Staff Duty Clerk will announce "There is an emergency. Please leave the Station on foot immediately." b. If evacuation from the area is deemed necessary, the neighboring properties listed below will be notified if possible. Fastrip 1200 Coffee Road 589-6305 D. EMERGENCY MEDICAL PLAN: MEDICAL FACILITIES: Memorial Urgent Care 6501 Ming Avenue 397-4004 Bakersfield Memorial 420 34th Street 327-1792 Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: a. Barriers installed to prevent vehicle collision with pumps. b. Vapor Recovery Systems used when filling underground tanks. c. Antilock nozzles on pumps. d. No sales to unauthorized containers. e. "No Smoking" signs posted. Self-serve instructions posted. f. Monitoring Program implemented. g. Double walled tanks with leak detection system B. RELEASE CONTAINMENT AND/OR MINIMIZATION: a. Stop source o£ release as necessary and safe. If gasoline, stop source of release by activating emergency pump shutoff switch. b. Evacuate all nonessential personnel from area. c. Extinguish or remove all ignition sources. Use fire extinguisher if necessary. d. While using proper personal protective equipment, contain and absorb spill with inert absorbent. Avoid breathing gasoline vapors by approaching from upwind. C. CLEAN-UP PROCEDURES: a. Keep nonessential personnel away from area. b. Notify Chevron Maintenance Dispatch (800) 423-6911 for coordination with Hazardous Material Contractor to remove contaminated absorbent materials if required. c. Materials involved in cleanup will be disposed of in accordance with all applicable Federal, State, and Local regulations. SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: At tank: North side of lot ELECTRICAL: Inside Food Mart "back room" (main is in breaker box) WATER: Meter: In Northeast sidewalk of Brlmhall Road SPECIAL: Emergency. Pump Shutoff: a) Cashier console; b) Northeast corner of Food Mart, outside LOCK BOX: YESN~ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: Fire extinguishers are kept at the facility. Extin~ishers are inspected annually and are recharged after use. B. WATER AVAILABIEITY (FIRE HYDRANT): Southwest corner of Brimhall Road and Coffee Road 4. E.M.S.S., Inc. An Environmental Regulatory Compliance Service Company Febm~ 25, 1997 B~ersfield City Fire Dep~ment Office of Enviro~ental Se~ices 1715 Chester Avenue, 3rd Floor B~ersfield, CA 93301 Attention: Hazardous Materials Coordinator Chevron Stations Inc. has contracted Environmental Management Software Systems, Inc. (EMSS) to provide the Hazardous Materials Management Plan for their facility located in your juriSdiction. Enclosed you will find an updated 1997 Hazardous Materials Management Plan for: Chevron SS #1830/201527 6601 Ming Avenue Chevron SS #1842/203576 1125 Coffee Road Please replace an3' plans that you may currently have on file with this updated version. If you have any questions regarding this submittal, please contact me at (805) 925-6285. Sincerelv, Sharon L. Conley Compliance Analyst Enclosure E.M.S.S., Inc./RO. BOX 5604/SANTA MARIA/CA 93456/(805) 925-6285/FAX: (805) 349-2753