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STATEMENT OF ACCOUNT TO' ,il, OF BAKERSFIELD iSOi TRU×TUN AVE Tosco CorporationBAKERSFIELD' CA c/330i-520i Licensing Dopt. DC 36 P.O, Box 52085 Phoenix~ :)~ OSWELL ~ P SER~ DATE: 6/01/98 CUSTOMER NO' ES/ 3278 5. 01/.8 ~EGIN~ING BAEANCE? .... =~=~ ~ :~,. ~ HMO17 6/01/98 H~ZJ, MAT ~NNUAL ~INS~:~TION ...... ::' ~?~ ~:::X:~ 50. O0 . I RECEIVED JUL ,7 19g~ LICENSING DEPT FOR G~ CHAN~ES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT 178.30 OVER 30 OVER 60 OVER 90 DATE' 7/01/98 PAYMENT DUE' TOTAL DUE' 178.50 $178.50 B P OIL FACILITY #11160 - Manager : I JUN 990 Location: 2688 OSWELL ST I City : BAKERSFIELD CommCode: BAKERSFIELD STATION 08 EPA Numb: SiteID: 215-000-001107 BusPhone: (805) 872-0122 Map : 103 CommHaz : Low Grid: 22B FacUnits: 1 AOV: SIC Code:5541 DunnBrad:04-468-3969 Emergency Contact ZIAD DUGUM(TOM) Business Phone: 24-Hour Phone : Pager Phone : Hazmat Hazards: / Title / DEALER (805) 872-0122x (805) 872-9098x (805) 328-2846x Emergency Contact / Title COMPLIANCE SPECIAL / STAFF Business Phone: (510) 277-2319x 24-Hour Phone : (510) 277-2319x Pager Phone : ( ) - x Contact : STUART'S PETROLEUM MailAddr: 1100 E 4TH ST City : BAKERSFIELD Phone: (805) 325-6320x State: CA Zip : 93307 Owner STUART'S PETROLEUM Address : 1100 E 4TH ST City : BAKERSFIELD Phone: (805) 325-6320x State: CA Zip : 93307 Period : Preparer: Certif'd: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: CHECK WITH STEVE BEFORE CLOSE SITE. = Hazmat Inventory --As Designated Order Hazmat Common Name... One Unified List Ail Materials at Site ISpecHazlEPA Hazards Frm DailyMax UnitlMCP L .,, (v.,~..~..,.,.~) - Do hereby certify ~hat ~ have r®vi®~sd ~h® sttachsc~ hazardous rnamdals manage- Signatura Date 06/16/1998 OIL FACILITY #11160 SiteID: 215-000-001107 Fast Format ~ Notif./Evacuation/Medical --Agency Notification 'Overall Site 08/18/1997 AGENCY NOTIFICATION PROCEDURES: IF~EMERGENCY RESPONSE ASSISANCE NOT REQUIRED, NOTIFY BAKERSFIELD CITY OFFICE OF ENVIRONMENTAL SERVICES 326-3979 AND WITHIN 24 HOURS STATE OFFICE OF EMERGENCY SERVICES 800-852-7550 IF RELEASE POSES PRESENT OR POTENTIAL HAZARD TO HUMAN HEALTH AND SAFETY, PROPERTY OR ENVIRONMENT, AND EMERGENCY ASSISTANCE IS REQUIRED, IMMEDIATELY NOTIFY: FIRE DEPARTMENT - BAKERSFIELD FIRE DEPARTMENT 9-1-1 POLICE DEPARTMENT 9-1-1 BAKERSFIELD CITY HAZARDOUS MATERIALS DIVISION 9-1-1 STATE OFFICE OF EMERGENCY SERVICES 800-852-7550 OR 916-26221621 -- Employee Notif./Evmcuation 08/18/1997 UPON RECOGNITION OF A RELEASE, THE DUTY CLERK WILL VERBALLY (SHOUTING) NOTIFY ALL OTHER SITE PERSONNEL. THE CLERK WILL ENSURE THE SHUTDOWN OF HIS/HER AREA OF RESPONSIBILITY (IF POSSIBLE) BEFORE EVACUATING. ~ THIS INCLUDES ELIMINATION OF POTENTIAL IGNITION SOURCES IN THE CASE OF THE RELEASE OF FLAMMABLE MATERIAL. EVACUATION WILL FOLLOW THE DESIGNATED ROUTES (IF UNOBSTRUCTED) AS DIAGRAMMED ON THE SITE/PLOT PLAN. EMPOLYEES WILL BE NOTIFIED TO EVACU3~TE BY VERBAL (SHOUTING) METHOD TO A PRE-DETERMINED EVACUATION STAGING AREA WHERE ALL EMPLOYEES WILL BE ACCOUNTED FOR. -- Public Notif./Evacuation o8/18/1997 IF EVACUATION FROM AREA DEEMED NECESSARY, THESE NEIGHBORING PROPERTIES WILL BE NOTIFIED IF POSSIBLE: PIER ONE IMPORTS MARIE CALLENDAR'S UNION BANK - 3800 MALL VIEW RD - 872-9667 - 2631 OSWELL ST - 872-1051 - 2671-B OSWELL ST - 871-3100 Emergency Medical Plan MERCY HOSPITAL - 2215 TRUXTUN AVE - 32'7-3371 KERN MEDICAL CENTER - 1830 FLOWER ST - 326-2000 08/18/1997 -2- 06/16/1998 OIL FACILITY ~11160 SiteID: 215-000-001107 Fast Format Mitigation/Prevent/Abatemt Release Prevention Overall Site 08/18/1997 RELEASE PREVENTION STEPS: 1. BARRIERS INSTALLED TO PREVENT VEHICLE COLLISION WITH PUMPS. 2. VAPOR RECOVERY SYSTEMS USED WHEN FILLING UNDERGROUND TANKS WHICH ARE OF F~BERGLASS~CONSTRUCTION. 3. ANTI-LOCK NOZZLES AT PUMPS. 4. NO SALES TO UNAUTHROIZED CONTAINERS. 5. NO SMOKING SIGNS POSTED, SELF-SERVE INSTURCTIONS POSTED.' 6. TANK MONITORING PROGRAM IMPLEMENTED. -- Release Containment 08/18/1997 RELEASE CONTA%~EN'? ~ND/OR MINIMIZATION: 1. PREVENTIVE DIKING WiTH ABSORBENT MATERIALS. 2. SHUT OFF ALL EMERGENCY SWITCHES TO PREVENT FURTHER SPILLAGE. 3. BARRICADE AREA TO PREVENT POSSIBLE EXPOSURE TO GENERAL PUBLIC. 4. AVOID PERSONAL EXPOSURE TO FUMES/VAPORS AND CONTACT WITH LIQUID. 5. ELIMINATE ~J~L SOURCES OF IGNITION IN AREA OF SPILL OR VAPORS. 6. ABSORB LIQUIDS WITH ABSORBANT MATERIALS AND PLACE IN SEALED CONTAINER FOR DISPOSAL. -- Clean Up 08/18/1997 NOTIFY TOSCO ENVIRO]~IENTAL MANAGER (602)200-4528 FOR CooRDINATION WITH HAZARDOUS WASTE DISPOSAL COMPANY TO REMOVE CONT~WfINATED ABSORBENT~MATERIALS IF REQUIRED. Other Resource Activation -3- 06/16/1998 F B P OIL~FACILITY #11160 SiteID: 215-000-001107 9 Fast Format Site Emergency Factors Special Hazards Overall Site --Utility Shut-Offs A) NATURAL GAS - SW CORNER OF'BLDG/PROPANE: ON TANK B) ELECTRICAL - INSIDE LUBE BAYS, W END OF N WALL C) WATER - IN SIDEWALK ALONG OSWELL ST BETWEEN THE DRIVEWAYS D) SPECIAL - NONE E) LOCK BOX - NO 08/18/1997 -- Fire Protec./Avail. Water ~PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. 08/18/1997 FIRE HYDRANT - THERE ARE NO VISIBLE HYDRANTS NEAR SITE. Building Occupancy Level -4- 06/16/1998 OIL FACILITY #11160 SiteID: 215-000-001107 Fast Format Training -- Employee Training Overall Site 08/18/1997 WE HAVE 3 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TP~AINING: SPECIAL ON-THE-JOB TR3%INING IN THE HANDLING OF HAZARDOUS MATERIALS iS PROVIDED IN THE FOLLOWING AREAS: 1. PROPER MAINTENANCE AND USE OF GASOLINE EQUIPMENT. 2. USE OF ABSORBENT FOR SMALL SPILLS. 3. EMPLOYEES ARE INSTRUCTED ON PROPER RESPONSE TO POLICE, FIRE DEPARTMENT, EMERGENCY MEDICAL AND CIRCLE K ENVIRONMENTAL DEPARTMENT. 'A REVIEW OF THE CONTENTS OF THE EMERGENCY RESPONSE PLAN WILL BE MADE BY ALL NEW EMPLOYEES WITHIN ONE MONTH OF HIRING AND BY ALL EMPLOYEES ON AN ANNUAL BASIS. SAFETY'AND EMERGENCY EQUIPMENT USAGE TRAINING WILL PROVIDE FAMILIARIZATION WITH THE LOCATION AND PROPER USE OF FIRE FIGHTING EQUIPMENT (FIRE EXTINGUISHERS)~ THE LOCATION OF AND PROCEDURES FOR FACILITY SHUTDOWN ~ (INCLUDING THE LOCATION OF SHUTOFFS FOR GAS AND ELECTRICITY) AND THE PROPER -- Page 2 -- Held for 16utL~.re~. Use Held for Future Use MR4~0101 CiTY Mis~laneous Customer ID . . . : 3832 Last. statement : 6/01/98 Last invoice : 0/06/00 Current balance : 296.00 Pending ..... : .00 Previous balance : 296.00 Deposit balance : .00 TYpe options, press Enter. Open l=Select Opt Code Description SS002 UST. STATE SURCHARGE UT001 UNDERGROUND TANK ANNUAL OF BAKERSFIELD' Receivables Inqu: Name: BP OIL FACILITY 11160 Addr: TOSCO REFINING & MARKETING 2130 PROFESSIONAL DR STE ROSEVILLE, CA 956613738 A ACTIVE ENVIRONMENTAL Activity 6/11/98 14:40:15 100 SERVICES Current Overdue Total due 32.00 .00 32.00 264.00 .00 264.00 F3=Exit F10=Combined detail F14=Deposit detail FT=Pending activity F8=Charge hsty F11=Invoice inquiry F12=Cance1 F21=Other tasks F9=Payment hsty F13=Auto charges FINANCE DEPARTMENT CITY OF BAKERSFIELD P.O. BOX 2057 O, AKERSFIELD, CALIFORNIA 93303 RETURN SERVICE REQUESTED O~E~ ~BBO~lOO RETURN TO SENDER :OSHELL BP SERVICE PO BOX ~ij,~/~o~"? II,l,,,,ll,,,ll,ll,,,,,ll,,,I,li Ill,,,,,ll,,,I,IIl,,,,I,l,t,,,I,l,l,l,,,I "" ' i~_ . IRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (805) 326-3979 TANK REMOVAL INSPECTION FORM FACILITY /9~(L~[ ~ t2 ADDRESS ~9~ $~ OWNER ';-~ PERMIT TO OPERATE~ CONTRACTOR ~.;~d(~m~t~! ~ ~ CONTACT PERSON LABORATORY ~a J~ # OF SAMPLES TEST METHODOLOGY PRELIMANARY AssESSMENT CO.~...~=(.! ~J~J~TACT PERSON CO~ RECIEPT ~ (~ LEL% PLOT PLAN /, CONDITION OF TANKS CONDITION OF PIPING .~rul~ ,~ ,~r~.&& CONDITION OF SOIL ~4 ~lr~,! DATE INSPECTOR8 ~E 8IG~TURE BAKEI~IELD CITY FIRE DEPA~ ENT ~ //' OFFICE OF ENVIRONMENTAL SERVICES H~RDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS ISAFARM [ ] BUSINESS NAME Circ]e K Store #30205 / dba BI) FACILITY NAME SITE ADDRESS 2688 Oswell Street CITY Bakersfield NATURE OF BUSINESS Gasoline Station SIC CODE 5541 STATE CA ZIP 93306 DUN & BRADSTREET 04468-3969 OWNER/OPERATOR Ziad ,(Tom) Dugum MAILING ADDRESS 2688 Oswell Street CITY Bakersfleld PHONE (805) 872-0122 STATE CA ZIP 9330~' NAME Ziad ,(Tom) Dusmm BUSINESS PHONE (805) 872-0122 EMERGENCY CONTACTS TITLE Dealer 24-HOUR PHONE (805) 872-9098 · NAME Tim Johnson BUSINESS PHONE (206) 442-7434 TITLE Regional Environmental Manager 24-HOUR PHONE (800) 928-6416 Pager BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS INVENTORY Business Name Circle K Store #30205 / dba BP Address 2688 Oswell Street Bakersfield Page1 93306 _ of 3 CHEMICAL DESCRIPTION INVENTORY STATUS: New [ ] Addition [ ] Revision [X~] Deletion [ ] Check if chemical is a NON TRADE SECRET ~] TRADE SECRET [ ] 2) Common Name: Gasoline. Un!.=d~l Regular Chemical Name: Gasoline~ Unleaded Regular 3) DOT # (optional) 1203 AHM [ ] CAS # 8006-61-9 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire ~] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) ~ Delayed Health (Chronic) 5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE 19 6) PHYSICAL STATE Solid [ ] Liquid ~ Gas[ ] ?) AMOUNT AND TIME AT FACILITY Maximum Daily Amount: 12000 Average Daily Amount: 6000 Annual Amount: Largest Size Countainer. 12000 # Days On Site: 365 Pure [ ] Mixture D(] waste [ ] Radioactive [ ] UNITS OF MEASURE 8) STORAGE CODES lbs [ ] gal ~] fi3 [ ] a) Container:. 01 curies [ ] b) Pressure: 1 c) Temperature: 4 Circle VVhich Months: ~Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List the three most hazardous chemical components ot any AHM components 1) Methyltert Butyl Ether 2) Toluene 3) M-Xylene COMPONENT CAS # % VVT AHM 1614-04-4 16 [ ] 106-68-3 8 [ ] 108-38-3 7 [ ] 10) Location UPderground t~nk. northwest of service pumps CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision ~ Deletion [ ] Check if chemical is a NON TRADE SECRET [X~] TRADE SECRET [ ] 2) Common Name: Gasoline_ Unleaded Plus Chemical Name: Gasoline. Unleaded Plus 3) DOT # (optional) 1203 AHM [ ] CAS # 8006-61-9 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire ~] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [X~] Delayed Health (Chronic) 5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE 19 6) PHYSICAL STATE Solid [ ] Liquid [X~ Gas [ ] 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount: 10000 Average Daily AmOunt: 5000 Annual Amount: 150516 Largest Size Countainer: 10000 # Days On Site: 365 Pure [ ] Mixture ~ Waste [ ] Radioactive [ ] CH~CK A~r~ T~AT APPI~Y UNITS OF MEASURE 8) STORAGE CODES lbs [ ] gal ~ fi3 [ ] a) Container. 01 cudes [ ] b) Pressure: 1 c) Temperature: 4 Circle Which Months: ~)Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List the three most hazardous chemical components or any AHM components COMPONENT CAS # % WT 1) Methyltert BuN. I Ether 1614-04-4 16 2) Toluene 108-88-3 8 3) M-Xylene 108-38-3 7 [] [] 10) Location Underground tank. northwest of service pumps I certify underpenalty of law, that I have personally examined and am familiar with the information submitted on this and all attached documents. I believe the submittedinformationist~'ue, accur~e, and.complete. Pant Name& T'~tle of Au}~oazed ComPany I~'~resentative Signature Date .. r¥ ~ BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS INVENTORY Business Name Circle K Store #30205 / dba BP Address 2688 Oswell Street Bakersfield Page2 93306 of 3 CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition[ ] Revision ~] Deletion[ ] Check if chemical is a NON TRADE SECRET TRADE SECRET [ ] 2) Common Name: Gasoline. Unleaded Super Chemical Name: Gasoline. Unleaded Super 3) DOT # (optional) 1203 AHM [ ] CAS # 8006-61-9 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [X~] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) ~ Delayed Health (Chronic) 5) WASTE CLASSIFICATION (3-digit code Eom OHS Form 8022) USE CODE 19 6) PHYSICAL STATE Solid [ ] Liquid ~] Gas [ ] Pure [ ] Mixture [~3 Waste [ ] Radioactive [ ] CHECK A~ T~T ~pP~ Y 7) AMOUNTAND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 10000 lbs [ ] gal ~] ft3 [ ] a) Container. 01 Average Daily Amount: 5000 cudes [ ] b) Pressure: 1 Annual Amount: 98163 c) Temperature: 4 Largest Size Countainer. 10000 # 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 the three most hazardous 1) Methyltert Butyl Ether 1634-04-4 chemical components or any AHM components 2) Toluene 108-88-3 8 3) M-Xylene 108-38-:3 7 AHM [] [] [] 10) Location Underground tank. northwest of service pumps CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition[ ] Revision [ ] Deletion[ ] Check if chemical is a NON TRADE SECRET [X~] ,. TRADE SECRET [ ] 2) Common Name: Waste OII Chemical Name: Waste Oil 3) DOT # (optional) AHM [ ] CAS # 4) PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL Fire [X~] Reactive [ ] Sudden Release of Pressure HEALTH Immediate Health (Acute) [ ] Delayed Health (Chronic) [X~] 5) WASTE CLASSIFICATION VV'221 (3-digit code from OHS Form 8022) USECODE 6) PHYSICAL STATE Solid [ ] Liquid [X~ Gas [ ] Pure [ ] Mixture [X~ Waste CHECK ALL TH4 T APP~ y 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STOP, AGE CODES Maximum Daily Amount: 550 lbs [ ] gal [X~ fi3 [ ] a) Container:. Average Daily Amount: 275 curies [ ] b) Pressure: Annual Amount: 400 c) Temperature: Largest Size Countainer. 550 # Days On Site: 365 (~)Year, J, F, M, A, M, J, J, A, S, O, N, D Circle Which Months: Radioactive [ ] 02 1 9) MIXTURE: List the three most hazardous 1) Waste Oil chemical components or any AHM components 2) 3) COMPONENT CAS# %WT 100 AHM [] [] [] 10) Location Underground tank. west of service bays I cerlify under penafly of law, that ~ have pers~na!~y examined and am fami~iar with the inf~rmati~n $ubm~ed ~n this and a~ attached d~cument$~ I believe the submiffed informa§ott is true, accurete,~, nd complete. Print Name & Title of Authorized Company Representativ-e Date BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS INVENTORY Business Name Circle K Store #30205 / dba BP Address 2688 Oswell Street Bakersfield Page3 93306 of 3 CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition~x0 Revision [ ] Deletion[ ] Check if chemical is a NON TRADE SECRET TRADE SECRET [ ] 2) Common Name: Propane Chemical Name: Propane 3) DOT # (optional) 1978 AHM [ ] CAS # 74-98-6 4) PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL Fire ~ Reactive [ ] Sudden Release of Pressure HEALTH Immediate Health (Acute) ~ Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION ~3-digit code from OHS Form 8022) USECODE 19 6) PHYSICAL STATE Solid [ ] Liquid ~] Gas ~"0 Pure ~] Mixture [ ] Waste [ ] CHECK/~tJ- TH~T,aPPg, Y 7) AMOUNTAND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 16400 lbs [ ] gal [ ] fi3 ~ a) Container. Average Daily Amount 8200 cudes [ ] b) Pressure: Annual Amount: Variable C) Temperature: Largest Size Countainer: 164O0 # Days On Site: 365 ~Year, J, F, M, A, M, J, J, A, S, O, N, D Circle Which Months: Radioactive [ ] 03 02 O4 9) MIXTURE: List COMPONENT CAS # the throe most hazardous 1) Propane 74-98-6 chemical components or any AHM components 2) 3) %WT lOO AHM [] [] [] 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: 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL Fire [ ] Rea~ve [ ] Sudden Release of Pressure [ ] HEALTH Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] !5) WASTE CLASSIFICATION '(3-digit code from OHS Form 8022) USE CODE $) PHYSICAL STATE Solid [ ] Liquid [ ] Gas[ ] 7) AMOUNTAND TIME AT FACILITY Maximum Daily Amount: Average Daily Amount Annual Amount: Largest Size Countainer. # Days On Site: Pure[ ] Mixture[ ] Waste [ ] CHECK A~L THAT APPLY UNITS OF MEASURE 8) STORAGE CODES lbs[ ] gall ] fl3[ ] a) Container. curies [ ] b) Pressure: c) Temperature: Circle Which Months: Radioactive [ ] AIl Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List the three most hazardous 1) chemical components or any AHM components 2) 3) COMPONENT CAS # % VV'T AHM [] [] [] '10) Location I certify under penalty of law, that I have personally examined and am familiar with the information submitted on this and afl attached documents. I believe the submitted2 ~ A¥"~inf°rmati°n( is._~_F)~d~true, aq. curate, anc~complet~. Print Name &-Title of Authorized Company Representative ~i~nature Date SITE DIAGRAM Business Name: CITY OF BAKERSFIELD HMMP PLAN MAP FACILITY DIAGRAM CIRCLE K STORE #30205/dba BP North SCALE 1" = 30.5' Name of Area: BUSINESS AS A WHOLE Area Map # 1 of 1 KAISER PERMANET! PARKING LOT EASEMENT 7' FENCE PARKING LU Z 14.1 U. LOADING AREA <FL> ..".. V ,, ', :~,, ',~'4 J J WASTE R ~ ~O_,_L.. I~_1 ~o~ ~. FL.~, ss0, Ipl -II USED ~._. J DOOR coo~;~~ PROPANE~ PIER ONE IMPORTS -5- Z' '-I Z Z m 'SYMBOLS IMSDSi MSDS STORAGE ELECTRIC WATER SPRINKLER FIRE DEPT. CONNECTION FIRE HYDRANT - PUBLIC FENCE (ALL TYPES) INDICATE HEIGHT GATE IN FENCE Jm STANDARD 'DOOR m m m mm m ! 10,000 "I STORAGE UNDERGROUND i~ '~a" _1 TANKS- LIST L. _ - - CAPABILITY FIRE HYDRANT- PRIVATE AUTOMATIC SPRINKLERED BUILDING OR AREA FIRE ALARM 1 0,OD0 G~I RAILROAD TRACKS ABOVEGROUND TANKS EVACUATION AREA PESTICIDE STORAGE AREA TYPES OF HAZARDOUS MATERIALS FLAMMABLE CORROSIVE WATER REACTIVE LIQUID SOLID GAS >EXPLOSIVE <~ RADIOLOGICAL WASTE EXAMPLE.: FLAMMABLE LIQUID EXPLOSIV'= GAS BAKERSFIELD CITY FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVENUE, 3RD FLOOR BAKERSFIELD, CA 93301 (805) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 2. 3. 4. To avoid further action, return this form within 30 days of receipt. TYPE/PRINT ANSWERS IN ENGLISH. Answer the questions below for the business as a whole. Be brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: Circle K grote #30205 / dba BP LOCATION:2688 Oswell Street MAILING ADDRESS: 601 Union Street: Suite 3920 CITY: Seattle STATE: WA DUN & BRADSTREET NUMBER: 04-468-3969 PRIMARY ACTIVITY: Gasoline Station OWNER: Ziad ,(Tom) Dumdum MAILING ADDRESS: 2688 O.~well Street ZlP:gglol B~k*rsfield Bakersfield 93306 PHONE: (go5)g72-0122 SIC CODE:5541 CA 9330~ SECTION 2: CONTACT 1. Ziad (Tom) Dugum 2. Tim Johnson EMERGENCY NOTIFICATION: TITLE BUS. PHONE Dealer (805) fl72-0122 Regional F. nvlronmental Manager (206~ 442-7434 24 HR. PHONE (805) 872-9098 (800) 928-6416 Pager ~akersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN. SECTION 3: TRAINING NUMBER OF EMPLOYEES: MATERIAL SAFETY DATA SHEETS ON FILE: Ye~ BRIEF SUMMARY OF TRAINING PROGRAM: Special on-the-job training in the handling of hazardous material(s) is provided in the following areas: 1. Proper maintenance and use of gasoline equipment. 2. Use of absorbent for small spills. 3. Employees are instructed on proper response to police, fire department, emergency medical and Circle K Environmental Department. A review of the contents of the Emergency Response Plan will be made by all new employees within one month of hiring and by all employees on an annual basis. Safety and emergency equipment usage training will provide familiarization with the location and proper use of fire fighting equipment (£n-e extinguishers), the location of and procedures for facility shutdown (including the location of shutoffs for gas and electricity) and the proper use of equipment used in the day to day business. 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: 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. SIGNATURE TITLE DATE Qakersfield Fire 'Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: Circle K Store #30205 / dba BP SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: Ao AGENCY NOTIFICATION PROCEDURES: If emergency response assistance not required, notify: Bakersfield City Hazardous Materials Division State Office of Emergency Services 326-3979 AND 800-852-7550 WITHIN 24 HOURS If release poses present or potential hazard to human health & safety, property or environment, and emergency assistance is required, immediately notify: Fire Department - Bakersfield Fire Department 911 Police Department - Bakersfield Police Department 911 Bakersfield City Hazardous Material Division 911 State Office of Emergency Services (800) 852-7550 or (916) 262-1621 Bo EMPLOYEE NOTIFICATION AND EVACUATION: Upon recognition of a release, the Duty Clerk will verbally (shouting) notify all other site personnel. The clerk will ensure the shutdown of his/her area of responsibility (if possible) before evacuating. This includes elimination of potential ignition sources in the case of the release of flammable material. Evacuation will follow the designated routes - (if unobstructed)' as diagrammed on the Site/Plot Plan. Employees will be notified to evacuate by verbal (shouting) method to a pre-determined ev. acuation staging area where all employees will be accounted for. 'C. PUBLIC EVACUATION: If evacuation from area deemed necessary, these neighboring properties will be notified if possible: Pier One Imports 3800 Mall View Road 871-9667 Marie Callendar's 2631 Oswell Street 872-1051 Union Bank 2671-B Oswell Street 871-3100 EMERGENCY MEDICAL PLAN: The primary Company medical facility to treat employees injured by a hazardous materials incident: MERCY HOSPITAL 2215 TRUXTON AVENUE 327-3371 Kern Medical Center 1830 Flower Road 326-2000 ~akersfield Fire Dept. Hazardous Materials DiviSion HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: 1. Barriers installed to prevent vehicle collision with pumps. 2. Vapor Recovery Systems used when filling underground tanks which are of fiberglass construction. 3. Anti-lock nozzles at pumps. 4. No sales to non-authorized containers. 5. No Smoking signs posted, self-serve instructions posted. 6. Tank monkoring program implemented. RELEASE CONTAINMENT AND/OR MINIMIZATION: 1. Preventive diking with absorbent materials. 2. Shut off of all emergency swkches to prevent further spillage. 3. Barricade area to prevent possible exposure to general public. 4. Avoid personal exposure to fumes/vapors and contact with liquid. 5. Eliminate all sources of ignition in area of spill or vapors. 6. Absorb liquids wkh absorbent materials and place is sealed container for disposal. CLEAN-UP PROCEDURES: Notify Circle K Environmental Manager (206)442-7160 for coordination with hazardous waste disposal company to remove contaminated absorbent materials if required. SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: Natural Gas: Southwest corner of bui]din~ / Propane: On tank ELECTRICAL: Inside lube bays, west end of north wall. WATER: In sidewalk along Oswell Street between the driveways SPECIAL: F~mergoncy gang shutoff switch: At cashier station on console LOCK BOX: YE~ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: PRIVATE FIRE PROTECTION: Fire extinguishers WATER AVAILABILITY (FIRE HYDRANT): No visible fire hydrants near site. HAZARDOUS MATERIALS MANAGEMENT PLAN ¢~S~FSS OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVENUE, 3RD FLOOR BAKERSFIELD, CA 93301 (805) 326-3979 HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS ISA FARM [ ] BUSINESS NAME Circle K Store #30205 / dba BP FACILITY NAME SITE ADDRESS 2688 Oswell Street CITY Bakersfield NATURE OF BUSINESS Gasoline Station SIC CODE 5541 STATE CA ZIP 93306 DUN & BRADSTREET 04-468-3969 OWNER/OPERATOR Ziad ,(Tom) Dugum MAILING ADDRESS 2688 Oswell Street CITYBakersfield PHONE (805) 872-0122 STATE CA ZIP 9330~ EMERGENCY CONTACTS NAME Ziad ,(Tom) Dug'urn BUSINESS PHONE (805) 872-0122 NAME Tim Johnson BUSINESS PHONE !206) 442-7434 TITLE Dealer 24-HOUR PHONE (805) 872-9098 TITLE Regional Environmental Manager 24-HOUR pHONE (800) 928-6416 Pager BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS INVENTORY Business Name ~ Address ~ CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision D(] Deletion [ ] Check if chemical is a NON TRADE SECRET Page_l of 3__ _933_Q6_ TRADE SECRET [ ] 2) Common Name: ~ 3) DOT # (optional) 1203 Chemical Name: ' ' AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [X~] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [X~ Delayed Health (Chronic)..~.~_~ 5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE 1.9. 6) PHYSICAL STATE Solid [ ] Liquid IX] Gas [ ] Pure [ ] Mixture ~] Waste [ ] Radioactive[ ] C CKA A A UNITS OF MEASURE lbs[ ] gaID(] fi3[ ] cudes [ ] 7') AMOUNT AND TIME AT FACILITY Maximum Daily Amount: .12000 Average Daily Amount: 6000 Annual Amount: Largest Size Countainer, 12ooo # Days On Site: ,365 Circle VVhich Months: 8) STORAGE CODES a) Container. 01 b) Pressure: 1 c) Temperature: 4 ,~Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT the three most hazardous 1) Methyltert Butyl Ether CAS # % VVT AHM chemical components or any 1614-04-4 16 [ ] AHM components 2) ;Toluene 108-88-3 8 [ ] 3) M-Xylene 108-38-3 7 [ 1 O) Location CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition[ ] Revision ~ Deletion[ ] Check if chemical is a NON TRADE SECRET ~ TRADE SECRET [ ] 2) Common Name: ~ 3) DOT # (optional). 1203 Chemical Name: GasoJJl~JJJ31~ AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire ~ Reactive [ ] Sudden Release of Pressure ] 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 IX3 Gas [ ] Pure [ ] Mixture [:K] Waste [ ] Radioactive [ ] C ECKALL THAT p UNITS OF MEASURE lbs[ ] galJX~] ff3[ ] curies [ ] 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount: 10000 Average Daily Amount: 5000 Annual Amount: 150516 Largest Size Countainer,'- 10000 # Days On Site: 365 9) MIXTURE: List Circle Which Months: 8) STORAGE CODES a) Container. 01 b) Pressure: 1 c) Temperature: 4 (~)Year, J, F, M, A, M, J, J, A, S, O, N, D COMPONENT the three most hazardous 1) Methyltert Bu .fyi Ether CAS # % WT AHM chemical components or any 1614-04-4 16 [ ] AHM components 2) ;Toluene 108-88-3 8 _ [ ] 3) ~ z [] 10) Location __ ~ northwp · I certify under penalty 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, accurat~ and complete. =dnt Name& Ti~l~ Of~utho~zed Company Rel~senta~ve ' ' -~~ ~'~~ Signature Da~e BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS INVENTORY Business Name Circle K Store #30205 / dba BP Address 2688 Oswell Street Bakersfield Page2___of 3 93306 CHEMICAL DESCRIPTION I) INVENTORY STATUS: New [ ] Addition [ ] Revision {)Q Deletion [ ] Check if chemical is a NON TRADE SECRET TRADE SECRET [ ] 2) Common Name: Gasoline Unleaded Chemical Name: ~a"nlipe. Unleaded Super 3) DOT # (optional) 1203 AHM [ ] CAS # 8006-61-9 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire IX3 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[ ] 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount: 10000 Average Daily Amount: 5OOO Annual Amount: 98183 Largest Size Countainer. 10000 # Days On Site: 365 Pure [ ] Mixture ~ Waste [ ] Radioactive [ ] CH~CK A~.~I~ TH4T APP~. Y UNITS OF MEASURE 8) STORAGE CODES lbs [ ] gal ~ It3 [ ] a) Container. 01 cudes [ ] b) Pressure: 1 c) Temperature: 4 Circle Which Months: ~Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List the three most hazardous chemical components or any AHM components COMPONENT CAS # % WT AHM 1) Methyltert Butyl Ether 1634-04-.4 16 [ ] 2) Toluene 108-88-3 8 [ ] 3) M-Xylene 108-38-3 7 [ ] 10) Location Underground tank. northwest of service pumps CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition[ ] Revision [ ] Deletion[ ] Check if chemical is a NON TRADE SECRET ~X~ ~. TRADE SECRET [ ] 2) Common Name: Waste OII Chemical Name: Waste Oil 3) DOT #'(optional) AHM [ ] CAS# i4) PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL Fire ~] Reactive [ ] Sudden Release of Pressure HEALTH Immediate Health (Acute) [ ] Delayed Health (Chronic) 5) WASTE CLASSIFICATION W221 '(3-digit code from OHS FormS022) USE CODE 6) PHYSICAL STATE Solid[ ] Liquid {)(] Gas[ ] Pure[ ] Mixture IX] waste D<] Radioactive[ ] CH~CK A~.g, T~AT APP~.Y 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 550 lbs [ ] gal ~ fi3 [ ] a) Container. 02 Average Daily Amount: 275 curies [ ] b) Pressure: 1 Annual Amount 4o0 c) Te. mperature: 4 Largest Size Countainer. 550 # 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 # % WI' the three most hazardous 1) Waste Oil 100 chemical components or any AHM components 2) 3) AHM [] [] [] 10) Location Underground tank west of service bays I certify under penal~ 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 cqmplete. Dea,er ztA (To 4' Print Name & Title of Authorized Company Representative Signatur~'~ BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS INVENTORY Business Name Circle K Store #30205 / dba BP Address 2688 Oswell Street CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition ~(] Revision [ ] Deletion [ ] Bakersfield Check if chemical is a NON TRADE SECRET [X] Page3 _of 3-- 93306 TRADE SECRET [ ] 2) Common Name: Propane Chemical Name: Propane 3) DOT # (optional) 1978 AHM [ ] CAS # 74-98-0 4) PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL Fire [X~ Reactive [ ] Sudden Release of Pressure IX] HEALTH Immediate Health (Acute) ~X3 Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (,3-digit code from OHS Form 8022) USE CODE 19 6) PHYSICAL STATE Solid[ ] Liquid IX3 Gas 7) AMOUNTAND TIME AT FACILITY Maximum Daily Amount: 16400 Average Daily Amount: 82OO Annual Amount: Variable Largest Size Countainer. 16400 # Days On Site: 365 Pure CHECK ALL THAT ApR y UNITS OF MEASURE lbs[ ] gall ] ff3~ curies [ ] Circle Which Months: Mixture[ ] Waste [ ] Radioactive[ 8) STORAGE CODES a) Container. 03 b) Pressure: 02 c) Temperature: 04 ~Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # % WT the three most hazardous 1) Propane chemical components or any 74-98-6 100 AHM components 2) 3) AHM [] [] [] 10) Location CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New[ ] .Addition[ ] Revision[ ] Deletion[ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL Fire[ ] Reactive[ ] Sudden Release ofPm_%%~re [ ] HEALTH Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3'digit code from OHS Form 8022) USE CODE 8) PHYSICAL STATE Solid[ ] Liquid [ ] Gas [ ] 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount: Average Daily Amount: Annual Amount: Largest Size Countainer: # Days On Site: Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ] CHECKA~. THATAPI~¥ UNITS OF MEASURE 8) STORAGE CODES lbs[ ] gal[ ] fi3[ ] a) Container. cudes [ ] b) Pressure: c) Temperature: Cimle Which Months: AIl Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List the three most hazardous 1) chemical components or any AHM components 2) 3) COMPONENT CAS# %WT AHM [] [] [] 10) Location I certify under penalty 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, a~. ~urate, and complete. Pdnt Name & ~'~le of Autho#zed eompany ~epre~entaOve SITE DIAGRAM [~] Business Name: CITY OF BAKERSFIELD HMMP PLAN MAP FACILITY DIAGRAM CIRCLE K STORE #30205/dba BP J ~ North SCALE 1" = 30.5' Name of Area: BUSINESS AS A WHOLE Area Map # 1 of 1 KAISER PERMANETE PARKING LOT EASEMENT X ~ X X ~, 7' FENCE PARKING Z U.I WASTE OVERH~D f/_o_,_~. I~1 DOOR m '~ ss0, IP +1 I I ~/lGAL, lEI OWR v ------- ~ H~D ~ I DOOR USED ~ J COO~NT ~ 55 GAL LOADING AREA .- ;, ,,"~< ,, ,,, ,.', ,,%?.g,, ',,- ,~'~.?~, J J J J PIER ONE IMPORTS f.~ m m -5- (~GAS 'SYMBOLS IMSDS I MSDS STORAGE ~) ELECTRIC ~) WATER FENCE (ALL TYPES) INDICATE HEIGHT GATE IN FENCE > SPRINKLER FIRE DEPT. CONNECTION FIRE HYDRANT - PUBLIC STANDARD 'D OD R UNDERGROUND '-¢o7o~o- ' i ! STORAGE ~. Gs_I i TANKS- LIST .... CAPABILITY (~ FIRE HYDRANT - PRIVATE (~ AUTOMATIC SPRINKLERED BUILDING OR AREA (~ FIRE ALARM RAILROAD TRACKS 1 0,000 Gsl ABOVEGROUND TANKS EVACUATION AREA .... .-1 PESTICIDE STORAGE PESTICIDE ~ AREA STORAGE ~ STORAGE ..~ TYPES OF HAZARDOUS MATERIALS <~ FLAMMABLE CORROSIVE <~ WATE. R :REACTIVE · <~ LIQUID <~ SOLID <~ GAS EXPLOSIVE WASTE · ~ .POISON <~ RADIOLOGICAL EXAMPLE: FLAMMABLELIQUID EX:PLOSIVE GAS <~ BAKERSFIELD CITY FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVENUE, 3RD FLOOR BAKERSFIELD, CA 93301 (805) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 2. 3. 4. To avoid further action, return this form within 30 days of receipt. TYPE/PRINT ANSWERS IN ENGLISH. Answer the questions below for the business as a whole. Be brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: Circle K Store//30205 / dba BP LOCATION:2688 Oswell Street MAILING ADDRESS: 601 Union Street= Suite 3920 CITY: Seattle STATE: WA DUN & BRADSTREET NUMBER: 04468-3969 PRIMARY ACTIVITY: Gasoline Station OWNER: Ziad (Tom) Du~m MAILING ADDRESS: 268g O.w~el] Street ZlP:ggl01 Bakersfield PHONE: (gO5) 872-0122 93306 SICCODE:5541 Bakersfield CA 9330~, SECTION 2: EMERGENCY NOTIFICATION: CONTACT 1. Ziad (Tom) Dugum 2. Tim Johnson TITLE BUS. PHONE Dealer (805) 872-0122 Regional Environmental Manager (,206) 442-7434 24 HR. PHONE (gO5) ~72-909~ (800) 928-6416Pager Qakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING NUMBER OF EMPLOYEES: MATERIAL SAFETY DATA SHEETS ON FILE: Yes BRIEF SUMMARY OF TRAINING PROGRAM: Special on-the-job training in the handling of hazardous material(s) is provided in the following areas: 1. Proper maintenance and use of gasoline equipment. 2. Use of absorbent for small spills. 3. Employees are instructed on p?oper response to police, fire department, emergency medical and Circle K Environmental Department. A review of the contents of the Emergency Response Plan will be made by all new employees within one month of hiring and by all employees on an annual basis. Safety and emergency equipment usage training will provide familiarization with the location and proper use of fire fighting equipment (fire extinguishers), the location of and procedures for facility shutdown (including the location of shutoffs for gas and electricity) and the proper use of equipment used in the day to day business. 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 $: CERTIFICATION: 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. SIGNATURE ~-~'~'~ ' TITLE DATE akersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: Circle K Store #30205 / dba BP SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: Ao AGENCY NOTIFICATION PROCEDURES: If emergency response assistance not required, notify: Bakersfield City Hazardous Materials Division State Office of Emergency Services 3203979 AND 800-852-7550 WITHIN 24 HOURS If release poses present or potential hazard to human health & safety, property or environment, and emergency assistance is required, immediately notify: Fire Department - Bakersfield Fire Department 911 Police Department - Bakersfield Police Department 911 Bakersfield City Hazardous Material Division 911 State Office of Emergency Services (800) 852-7550 or (916) 262-1621 Bo EMPLOYEE NOTIFICATION AND EVACUATION: Upon recognition of a release, the Duty Clerk will verbally (shouting) notify all other site personnel. The clerk will ensure the shutdown of his/her area of responsibility (if possible) before evacuating. This includes elimination of potential ignition sources in the case of the release of flammable material. Evacuation will follow the designated routes (if unobstructed) as diagrammed on the Site/Plot Plan. Employees will be notified to evacuate by verbal (shouting) method to a pre-determined evacuation staging area where all employees will be accounted for. Co PUBLIC EVACUATION: If evacuation from area deemed necessary, these neighboring properties will be notified if possible: Pier One Imports 3800 Mall View Road 871-9667 ' Marie Callendar's 2631 Oswell Street 872-1051 Union Bank 2671-B Oswell Street 871-3100 EMERGENCY MEDICAL PLAN: The primai-y Company medical facility to treat employees injured by a hazardous materials incident: MERCY HOSPITAL Kern Medical Center 2215 TRUXTON AVENUE 1830 Flower Road 327-3371 3202000 akersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7; MITIGATION, PREVENTION AND ABATEMENT PLAN: RELEASE PREVENTION STEPS: 1. Barriers installed to prevent vehicle collision with pumps. 2. Vapor Recovery Systems used when filling underground tanks which are of fiberglass construction. 3. Anti-lock nozzles at pumps. 4. No sales to non-authorized containers. 5. No Smoking signs posted, self-serve instructions posted. 6. Tank monitoring program implemented. RELEASE CONTAINMENT AND/OR MINIMIZATION: 1. Preventive diking with absorbent materials. 2. Shut off of all emergency switches to prevent further spillage. 3. Barricade area to prevent possible exposure to general public. 4. Avoid personal exposure to fumes/vapors and contact with liquid. 5. Eliminate all sources of ignition in area of spill or vapors. 6. Absorb liquids with absorbent materials and place is sealed container for disposal. CLEAN-UP PROCEDURES: Notify Circle K Environmental Manager (206)442-7160 for coordination with hazardous waste disposal company to remove contaminated absorbent materials if required. SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: Natural Gas: Southwest corner of building / Propane: On tank ELECTRICAL: Inside lube bays; west end of north wall WATER: In sidewalk along Oswell Street between the driveways SPECIAL: F. mergency gas shutoff switch: At cashier station on console LOCK BOX: YES~ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: PRIVATE FIRE PROTECTION: Fire extinguishers WATER AVAILABILITY (FIRE HYDRANT): No visible fire hydrants near site. 02/01/96 Overall Site With 1 Fac. Unit|''~A~ ~. ' General Information LOcation: 2688 OSWELL ST Map:103 Haz:2 Type: 3 City : BAKERSFIELD Grid: 22B F/U: 1 AOV: 0.0 Contact Name Title Contact Name Title ZIAD DUGUM(TOM) / DEALER BP 24 HR EMERGENCY / Business Phone: (805) 872-0122x Business Phone: (800) 2-7~2x 24-Hour Phone : (805) 872-9098x . '24-Hour Phone : (805) 872-9098x Pager Phone : (~o~) 32g -~F~6x j Pager Phone : (~) q2;-7~q~x Administrative Data Mail Addrs: 2688 OSWELL ST D&B Number: City: BAKERSFIELD State: CA Zip: 93306- Comm Code: 215-008 BAKERSFIELD STATION 08 SIC Code: 5541 Owner: TOSCO NORTHWEST PROP II INC Phone: (206) 442-7160 Address: 601 UNION ST 2500 State: WA City: SEATTLE Zip: 98101- Summary. TOSCO CORP, ATTN: . NN'ETT~~,' 601 UNION ST., SUITE 2500 SEATTLE, WA 98101 ~9!6) 63!-f5~ ~.~ ~-7OOO 1 I, ~.~L~ Do hereby certify that I have reviewed the attached hazardous materials m&, :age. ment plan for ~5'dELI. I~ iO and ~ that it alon§ with any corrections constitute a cornp~ete and correct man- agement plan for my facility. 02/01/96 Pln-Ref B P OIL FACILITY %11160 215-000-001107 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Name/Hazards Form Max Qty Page MCP 2 02-002 UNLEADED PLUS · Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL 02-001 REGULAR UNLEADED GASOLINE · Fire, Immed Hlth, Delay'Hlth Liquid 12000 Moderate GAL 02-003 SUPER UNLEADED GASOLINE · Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL 02-004 WASTE OIL · Fire, Delay Hlth Liquid 550 Low GAL 02-006 ANTIFREEZE · Fire, Delay Hlth Liquid 80 Low GAL 02-005 MOTOR OIL · Fire, Delay Hlth Liquid 100 Minimal GAL 02/01/96 B P OIL FACILITY #11160 215-000-001107 Page 02 - Fixed Containers-on Site Hazmat Inventory Detail in MCP Order 02-002 UNLEADED PLUS ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL 10,000 I Daily Average GAL 5,000.00 Annual Amount GAL 168,510.00 Storage UNDER GROUND TANK Press T Temp IAmbientlAmbientlNE OF BLDG Location -- Conc 100.0% IGasoline Components MCP ----~uide IModerateI 27 -- Notes 02-001 REGULAR UNLEADED GASOLINE Liquid 12000 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 12,000 Daily Average GAL 6,000.00 Annual Amount GAL 280,850.00 Storage UNDER GROUND TANK Press T Temp AmbientlAmbientlNE OF BLDG Location -- Conc 100.0% IGasoline Components MCP -~Guide IModerateI 27 - Notes 02/01/96 B P OIL FACILITY #11160 215-000-001107 Page 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 4 02-003 SUPER UNLEADED GASOLINE · Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL 10,000 Daily Average GAL 5,000.00 Annual Amount GAL 112,340.00 Storage UNDER GROUND TANK Press T Temp IAmbient~AmbientlNE OF BLDG Location -- Conc 100.0% IGasoline Components MCP ----~uide IModerateI 27 -- Notes 02-004 WASTE OIL Liquid 550 Low · Fire, Delay Hlth GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL550 I Daily Average225.00GAL Annual Amount GAL -- 2,100.00 Storage UNDER GROUND TANK Press T Temp Location AmbientlAmbientlSERVICE BAY -- Conci Components 100.0% IWaste Oil, Petroleum Based MCP ---TGuide ILow | 27 -- Notes 02/01/96 B P 'OIL FACILITY #11160 215-000-001107 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 5 02-006 ANTIFREEZE · Fire, Delay Hlth Liquid 80 Low GAL CAS #: 107211 Trade Secret: NO Form: Liquid Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max GAL 80 I Daily Average GAL 60.00 Annual Amount GAL 80.00 Storage PLASTIC CONTAINER Press T Temp Location AmbientlAmbientlSTORE ROOM/SERVICE BAY -- Conc 90.0% 10.0% IEthylene Glycol Diethylene Glycol Components MCP ~uide Low 27 Low 27 02-005 MOTOR OIL · Fire, Delay Hlth Liquid 100 Minimal GAL CAS #: 8020835 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL 100 I Daily Average GAL 80.00 Annual Amount GAL --. 150.00 Storage PLASTIC CONTAINER Press I Temp Location. AmbientlAmbientlSTORE ROOM/SERVICE BAY -- Conci Components 100.0% IMotor Oil, Petroleum Based MCP ---~uide Minimal I 27 -- Notes 02/01/96 B P OIL FACILITY #11160 215-000-001107 00 - Overall Site <D> Notif./Evacuation/Medical Page 6 <1> Agency Notification 1) LOCAL FIRE AND EMERGENCY DEPARTMENT NOTIFIED (911). 2) BP 24 HOUR EMERGENCY MAINTENANCE DEPARTMENT NOTIFIED (800-274-3572). <2> Employee Notif./Evacuation IN THE EVENT OF AN EMERGENCY SITUATION, EMPLOYEES WILL BE VERBALLY NOTIFIED TO EVACUATE THROUGH THE NEAREST EXIT TO THE EVACUATION AREA AT THE SE CORNER OF THE SITE. <3> Public Notif./EvaCuation CUSTOMERS WILL BE ESCORTED TO THE EVACUATION AREA. <4> Emergency Medical Plan KERN MEDICAL CENTER - 1830 FLOWER ST - 326-2000 FIRE DEPT AND PARAMEDICS - 911 02/01/96 B P OIL FACILITY #11160 215-000-001107 00 - Overall Site <E> Mitigation/Prevent/Abatemt Page <1> Release Prevention UNDERGROUND TANKS. MONITORED DAILY. CALL CO. NO SMOKING SIGNS. WIPE UP WITH RAGS. <2> Release Containment THE RELEASE SHALL FIRST BE MINIMIZED BY SHUTTING THE PUMPS DOWN, CLOSING VALVES, PLUGGING HOLES, OR UPRIGHTING THE LEAKING CONTAINER, IF POSSIBLE. THE RELEASED MATERIAL SHALL BE CONTAINED BY SURROUNDING THE HAZARDOUS WASTE WITH A DIKING MATERIAL SUCH AS SOIL OR AN ABSORBANT. <3> Clean Up ONCE THE SPILL IS CONTAINED, IT SHALL BE ABSORBED AND/OR NEUTRALIZED AND DISPOSED OF AS HAZARDOUS WASTE. <4> Other Resource Activation 02/01/96 B P OIL FACILITY #11160 2'15-000-001107 00 - Overall Site <F> Site Emergency Factors Page 8 <1> Special Hazards <2> Utility Shut-Offs A) GAS - N/A B) ELECTRICAL - INSIDE LUBE BAYS, WEST END OF NORTH WALL C) WATER - IN SIDEWALK ALONG OSWELL STREET BETWEEN THE DRIVEWAYS D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS LOCATED IN THE LUBE BAYS. FIRE HYDRANT - THERE ARE NO FIRE HYDRANTS NEAR THE SITE. <4> Building Occupancy Level 02/01/96 B P OIL FACILITY #11160 215-000-001107 Page 00 - Overall Site <G> Training <1> Employee Training WE HAVE 3 EMPLOYEES AT THIS FACILITY . WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE . BRIEF SUMMARY OF TRAINING: ALL EMPLOYEES ARE VERBALLY TRAINED IN SPILL MITIGATION, EMERGENCY RESPONSE NOTIFICATION AND PROCEDURES, PROPER HAZARDOUS MATERIALS HANDLING, AND THE USE OF EMERGENCY EQUIPMENT. EMPLOYEES ARE TRAINED WHEN THEY ARE HIRED AND GIVEN A REFRESHER COURSE ANNUALLY. <2> Page 2 <3> Held for Future Use <4> Held for Future Use San Frandsco ReRk)nai 1252 Quarry Lane P.O. Box 9019 Pleasanton, CA 94566 (510) 426-2600 Fax (510) 426-0106 March 13, 1995 Bakersfield City Fire Department Hazardous Materials Division 1715 Chester Avenue Bakersfield, California 93301 Clayton ENVIRONMENTAL CONSULTANTS Project No. 64101.03 Subject: Submittal of Business Plan/Hazardous Material Management Plan computer forms for British Petroleum Service Stations Dear Bakersfield City Fire. Department: Enclosed is a copy of the revised Business Plan computer forms that you requested for the British Petroleum (BP) gasoline service stations located at the following adresses: 2 Oak Street in Bakersfield, California (Facility #11159) 688 Oswell Street in Bakersfield, California (Facility #11160) In addition, we are submitting replacement pages for the HMMP submitted on November 12, 1995 for the Oak Street site. Note that Tosco Refining and Marketing Company has purchased the British Petroleum service stations. Tosco is now the owner but has chosen to retain the British Petroleum name. If you have any questions, please call me at (510) 426-2679 or Ms. Lynn Chun of Tosco Refining and Marketing Company at (206) 442-7193. Sincerely, Mici°del J. Zimmerman Senior Engineer Environmental Management and Remediation San Francisco Regional Office MJZ/JDG 2859L282.wp Enclosures: Copy of the Hazardous Material Business Plan computer forms for the British Petroleum Service Stations. (Facility #11159 and Facility #11160) cc: Lynn Chun, Tosco Refining and Marketing Company (w/enclosures) Clayton Environmental Consultants, Inc. · Atlanta · Chicago - · Cleveland · Detroit · Honolulu · Indianapolis Clayton// i auser 7901 Stoneridge Drive Suite 123 Pleasanton, CA 94588 (51 O) 416-2900 Fax (510) 416-.0957 December 12, 1995 Bakersfield City Fire Department Hazardous Materials Division 1715 Chester Avenue Bakersfield, California 93301 Clayton ENVIRONMENTAL Project No. 64101.41 Subject: Submittal of Business Plan/Hazardous Material Management Plan for British Petroleum Service Station Dear Bakersfield City Fire Department: Enclosed is a copy of the revised Business; Plan for the British Petroleum (BP) gasoline service station located at 2688 Oswell Street in Bakersfield, California. The revised plan is being submitted with the written underground tank monitoring procedures and an emergency response plan as required by your agency. Note that Tosco Refining and Marketing Company has purchased the British Petroleum service stations. Tosco is now the owner but has chosen to retain the British Petroleum name. If you have any questions, please'call me at (510) 416-2908 or Ms. Lynn Chun of Tosco Refining and M~ arketing Company at (206) 442-7193. Sincerely, Michael J. Zimmerman Senior Engineer Environmental Management and' Remediation San Francisco Regional Office MJZ/paw 2859L217.wp Enclosure: Copy of the Hazardot~s Material Business Plan for the British Petroleum. Service Station (Facility # 111'60) o cc: Lynn Chun, Tosco Refining and Marketing Company (w/enclosure) Clayton Environmental ConSultants, Inc. · Atlanta · Chicago · Cleveland · Detroit · Honolulu · [_os Angeles - · Minneapolis · New York .' Or. ange County · Portland · Rockford' · San Francisco Indianapolis · Seattle HAZARDOUS MATERIALS DIVISION 1715 CHESTER AVE, BAKErSFiELD, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: TY?~./?,RINT ANSWERS iN ~NGL;;H. 3e Drier c~c cc'~c:se cs 2c~2:e, '. SECTfCN l' 3USINESS fDENTIFiCATfCN,DATA IllgO MAr'.,,.':NG ADCRESS: '~gg'g OF~'/..J. C?" J~.~rk:~gS R 6u) STATE: _u~'~ & ~R,ACST~EET ' PHONE: s~c cooE: 981ol SECTT©N 2: EMERGENCY NOTIFICATION: CONTACT TITLE 1. ~'lAb (1-o m) Du~u~ lP~.~ BUS. PHONE '24 HR. PHONE 2. l"o.rco Sq'-Hour.- Bakersfield Fire Dept/ .Hazardous Materi~]~ Divisio-~ HAZARDOUS MATERIALS MANAGEMENT PtAN SECTION 3: TRAINING: NUMBER OF EMPLOYEES: MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: All use emeFgm e pment- I I 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 TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. SECTION 5: OTHER (sPECIFY REASON) CERTIFICATION: i.,' z/aa (Tom) IDu~,Um· CERTIFYTHAT THE ABOVEIlNFOR- l 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. 90 CHAPTER 6.95 SEC. :25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. '~k-~- ~ Dealer 12 ~- ~ - ? _~ SIG~NATURE ~"-- TITLE I ' DATE Bakersfield Fire Dep.$ Hazardous Materi~-~ Dive,on HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: "DP Oil F~cili+u ,-~!116o I SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: .A. AGENCY NOTIFICATION PROCEDURES: LoCI fire ~nct. emer¢¢~c~ dcF~rtme~ EMPLOYEE NOTIFICATION AND EVACUATION': In ~hc eve~ o'F ~n e~ere~¢nc~ si%~tlo~ emplo~ee~ will ver~ll~ not~fi~ to evacuate ~ro~h ~he n~rest exit 'C. PUBLIC EVACUATION: C~sfomers will ~e eScorf~ D. EMERGENCY MEDICAL PLAN: BSkersde~d Fire Dept. Hazardous Materi~L~ Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: Bo RELEASE C'ONTAINMENT AND/OR MINIMIZATION: valves, gl~i~ hol~ or upriqhtinq ~e. le~ki~ .co~;ffer, if ~o~sible.' waste with ~ di~i~ ~r/~l.~uch ~5 ~il ~r ~n ~b~rDa~. . . Co CLEAN-UP PROCEDURES: Once +he SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANF' 'ELECTRICAL: l~id~ tub~ b~d~., west- WATER' In SPECIAL: LOC' ' K. BOX. YES IF YES, LOCATION: SECT]ON 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: Ao PRIVATE FIRE PROTECTION: Fire cxfi%~isl~r~ Ioc~te~ in Che lube ~s. WATER AVAILABILITY (FIRE HYDRANT)' Name · BAKERSFIELD CITY FIRE DEPARTMENT HAZArdOUS .MATERIALS INVENT~Y ¢,? o~t.., F~, ~.m/~= 11160 Address PageJ_of_.5-_ CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition v ' ReV~Si°n ~X~ Deletion ( ] Check if chemical is a NON TRADE SECRET ~! TRADE SECRET [ 2) Common Name: ¢~'~'U~,. (]~L-~A.D~'~) ~A~oJ-I/~J~' ,3) IiX~T # (option= Chem~..me: Hvor~o~_~°~ p'l~n'0~[,~ ~a[ ] CAS# 4) PHYSICAL & HEALTH HAZARD CATEGORIES . PHYSICAL' Fire {J~ Reactive { ] Sudden Release of Pressure [ ] HEALTH Immediate Health (Acute) 0(I Delayed HeaJtll (Chronic) [,~ 5) WASTE CLASSIFICATION r (3*digit code from DHS Form 8022) USE CODE ~ (~ 6) PHYSICAL STATE Solid [ ] Liquid ~ Gas [ ] Pure [ ]. Mixture ~ Wa~te [ ] RadioaCtive 7) AMOUNT AND TIME AT FACILITY Ma,Umurn bally Amount: Average Omly Amount: ~ Annuai Amount:. 0 Largest Size Contmner. ~ 7..~O00 # Days On Site ~ ~- MIXTURE: List the ~ree most haza~ous chemicaJ C°moonents or any AHM components UNITS OF MEASURE 8) STORAGE COOES lbs [ ] gal [~ ft3 [ ]' a) Container. cunes[ ] b) Pressure: c) Temperature: ~or . ~, F, M, A; M, J, J, A, S, O, N, D Circle Which Months: CHEMICAL DESCRIPTION' I ) INVENTORY STATUS: New {. ] Addition [. J ReVmion Of,] Deletion [ ] Check if chemical isa NON TRADE SECRET ~ TRADE SECRET 3) DOT # (optiona~ AHM [ ] CAS# ~:::~/9 PI~YSICAL & HEALTH . PHYSICAL HEALTH HAZARD CATEGORIES Fire ~ Reactive[-'] Sudden Release of Pressure [ ] Immediate Health (Acute) [,(]_ Deleyed Health (Chronic) IX]. WASTE CL%,SSIFICATION ' .(3-digit code from OHS Form 8022) USE CODE J I~ PHYSIC,,~LSTATE Solid [ ] ' IJquid ~ Gas [ ] Pure [ ] Mixture ,[J(J Waste [ ] Radioactive [ ] AMOUNT AND TIME AT FACiLITY : UNITS OF MEASURE 8) STORAGE COOES Maximum Daily Amount: Average Omly Amount: AnnueJ Amount: Lan:jest Size Contmner. # Days On Site '~(~' Circle Which Months: ~,~ Ye~_~ J. F. M. A. M. J. J. A. S. O. N. O MIXTURE; List ' CA,.~ the three most hazm'dous 1) Xt~L.~NE COMPONENT chemic, si components or any AHM components lO.O [1 ~.o 3) 6~%~¢ 7-~- 45-7_ 5',o [ ] pentaX, or/aw, ~a~ 1 have personafly exam/neD aha am familiar w~zh ~e ~ntoma~on sunm~rte~ on fl~is and all artacnea c~ocumenrs, I Defieve me accurate, and complete. Title of Au~o~zeo Company Bepresentafive Signature Dam Jsiness Name BAKERSFIELD CITY FIRE .DEPARTMENT "AZAi~OUS MATERIALS INVENT~Y CHEMICAL DESCRIPTION PageZ.. of_~ 1 ) INVENTORY STATUS: New ( ] Addition ( ] Revision [,kJ. Deletion ( ] Check if chemical is a NON TRADE SECRET [~ TRADE SECRET [ ] C.e~i~Name: F~OC~:~'O~ ~r~ NlM ~ ~ CAS, · PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL F~re j,~ ReaCtiVe [ ] Sudden Release of Pressure [ ] HEALTH Immediate Hemth (Acute) {~ -Delayed Health (Chronic) [J~ 5) WASTE CLASSIFICATION (3-digit code from DHS Fern1 802~) USE CODE 6) PHYSICAL STATE Solid [ ], Liquid ~ Gas [ ] Pure [ ] Mixture ['J~L waste 'AMOUNT AND TIME AT FAC~UTY UNITS OF MEASURE 8) sTORAGE CODES MaXimum Daiy AmourS: ('0~000 lbs [ ] ga [~' 'fO3 [ ] a) Container.. O Average OaUiy Amount: =Jr ooo curies [ ] b) Pressure: AnnuaJ AmourS. ~ I [Z,,z~o~ .. c) Temperature: La,jest Size Contmner. ~,O, eeo # Days On Site .._~(?~" Circle Whic, Months: ~. F. M. A. 'M. J. J. A. S. O. N. 19) MIXTURE; List the t~me most haza,-dous cfiemicai com0onems or any AHM components 10) Location N~' O~ ~;~V1{..~',46 CHEMICAL DESCRIPTION 1 ) INVENTORY STATUS: New [ ] Add,on [ ] Revision J~ Oele~on [ ] CheCl( if chemicaJ is a NON TRADE SECRET 12) Common Name: Chemical Name: ~/4~rE· AHM [] DOT # (optionm), CAS #. '4) PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL Fire r,~ Reactive { ] Sudden Release of Pressure [. ] HEALTH Immediate'Health (Acute) [K[ Oelm~ed HeaJth (Chronic) WASTE CLASSIFICATION ~. Z I .(3-digit code from OHS Form 8022) USE CODE / ~ PHYSICAL STATE Solid [ ] Uquid [J~] Gas [ ] Pure [ ] Mixture ~ Waste [J~ Radioactwe [ ] :[)-- AMOUNT AND TIME AT FACILITY Maximum Daily Amount: Average Oaqy Amount: Annual Amount: La,jest Size Con~mner: # Days On Site UNITS OF MEASURE 8) STORAGE CODES ~'~ lbs [ ] ga [~.] ~t3 [ ] a) Container. ~""""""""'~ cunes[ ] b) Pressure: '~.i OO_-~_ c) Temperature: ~- Circ. JeWhich Months: . F. M. A. M. J. J. A. S. O. N. 9) M~XTURF_: [Jst the three most hazardous 1 chemicaJ components or any AHM components o,~.s ~z~z 5- ~ - o so%~'o NlM [] r~fy unaer penm~ or taw, ~az I nave personally examined and am tammar wi~ ~11e Jnromaoon suornffteo on gli$ anct all a~acneo oocumenl~. 1 OelJeve ~e mi~eo mforma{Yon is O~Je, accurate, and complete. Name & ~fle of A~onz~ Com~ Represenm~e Signature Date !usiness Name BAKERSFIELD CITY FIRE ,DEPARTMENT HAZAi OUS 'MATERIALS INVENT Y CHEMICAL DESCRIPTION INVENTORY STATIJS: New { ] Addition [ ] ReWSion [i~ Deletion [ ] Common Namo: IOTO Otu Che¢~ if chemical is a NON TRADE SECRET [~'] TRADE SECRET [ ] 3) mT # (omion~u) Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL HEALTH Fire ~ ReaC~Ve [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) ~ Delayed He-_~_h (Chronic) 5) WASTE CLASSIFICATION (3-digR code from DHS Form 8022) USE CODE Z ~o 6) PHYSICAL STATE Solid [ ] UCl~id ~ Gas [ I Pure [ ] Mixture [~ Waste [ ] Radioac~ve [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES MaXimum Daiy Amount: [00 ihs [ ] gat [,X~ ~t3 [ ] a) Container:. [0 Averege oaqy AmOunt: ~:Z curies [ ] b) Pressure: Annual Amount. l 5'0 c) Temperature: Largest $!ze Comaner. O.Z.q' #D~ysOnSit. ~" C'rcleWhichMontl~,: A~Ye~ J. F, M, A. M. J. J. A, S, O, N, D 9) MIXTURE: List the three most hazardous chemical coml~onents or ~qy AHM coml:~onents 2), 3) [! [] 10) Loca~on CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] ReWSion Ivy. Deletion[ Chec~ if chemical is a NON TRADE SECRET [~ TRADE SECRET [ ] Common Name: Chemical Name: 3) DOT # (opfionaO AHM [ ] CAS # !4) PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL HEALTH FIre ~ Reactive [ ] Sudden Release of Pressure [ ] Immediate HeaRh (Acute) Dq. I:~layed Health (Chronic) [,~ ,5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022} USE CODE (~ O) !6) PHYSICAL STATE Solid [ ] Uquid [/~ Gas [ ] Pure J~ Mixture [ ~ Waste [ ] Radioactive [ ] AMOUNT AND T~ME AT FAC:IITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: ~0 lbs [ ] gal [,X[ fl3 [ ] a) Container. Average Daily Amount: ~0 cunes[ ] b) Pressure: Annual Amount: ~o0 c) Temperature:' Lm'gest Size Corffmner. l. 0 # Days On Site .T~" Circle Which Months: ~"~J. F. M, A. M, J,. J, A. $, O, N, D MIXTURE; Ust ~ COMPONENT CA8 # % WT AHM the three most h~za.mous ' {::::THYLEN,~ ~-~/cO[- ! o~--Z! - I q0 [ l chemic~J compenents or ~ny AHM c~mponems ~1E'I'+~YLi~N ~' 6LVCO~- III - 4-6 3) [ ] )us/ness Name BAKERSFIELD CITY FIRE DEPARTMENT HAZAi OUS MATERIALS INVEN'i Y Z 88 CHEMICAL DESCRIPTION 1) IN~cNTORY STATUS; New { ] Addition" , Revision [*)~ Deletion ( ] Check if chemicaJ is ,, NON TRADE SECRET [4 TRADE SECRET AHM [ ] .3) DOT # (optional) CAS# PHYSICAL & HEALTH HAZARD CAT~-C-ORIE$ PHYSICAL F~re ~ Reactive ~ Sudden Release ~f Pressure [ ] HEALTH Immediate H,,,,.~'_h (Acute) ~ _r'~e_!_,~y~ Heath (Chronic) WASTE CLA$$1FiCAT~ON (3-digit code from OHS PHYSICAL STA~ Sol~ ~ ~uid ~ G~ [ ] Pure [ ] .M~m [~ W~te [ ] R~e [ ] AMOUNT AND ~ME AT FAC~U~ . UNITS OF M~SURE 8) STOOGE CODES M~mum O~N Average O~N A~um: ~ curies ( ] b) Pressure: I ~ Size Con~ne~ O~ On Cimte ~ich Mo~s: ~Ye~, F, M, A, M, J, J, A, S, O; N, O 9) MIXTURE; List ~" COMPONENT chemi~ ~m~nen~ or ~y AHM ~m~nen~ 2) 3) AHM [] CHEMICAL DEScRIPTIoN 1) INVENTORY STATUS: New { ] Addition [ ] Revision ~ Deletion Chec~ if chemicat is · NON TRADE SECRET ~ TRADE SECRET [ ] 2) CommonName: ~'TO00~D ~OL,~'~/~ ( ~',~.'~'~. d~'A/~.~ 3) DOT#(opfionaJ) Chemical Name: NA.J~'~ AHa ( ] CAS# PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL Fire DJ. Reactive ( ] Sudden Release of Pressure ( ] HEALTH Immediate Hemth (Acute) [<::]. Delayed He-__~ (Chronic) ~ WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE ~ PHYSICAL STATE Solid [ ] Liquid [~ Gas [ ] Pure [~ Mixture [ ] waste [ ] Radioective [ ] AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: ~j 7_ lbs [ ] ga ~ ft3 [ ] a) Container. O~ Average Omly Amount: J 5- cudas [ J b) Pressure: J Annuai Amoum: -5'7. c) Temperature: 4- L.a~Jes~: Size Container: -z~'/.. ~ # Days On Site '~" Cimle Which Months:~]] Y..~,) J. F, M, A. M, J. J, A, S, 0, N, O 9) MIXTURE: List the three most hazardous chemical components or a~y AHM componenm % WT AHM 1) .,/00 [ ] =1 [ I ' pen~ or law, ~ I have pe~on~ty ex~m~ ~a ~ [~lll~ Wl~ ~e Inromaaon 3UD~l~ on ~1~ ~o ~/ a~c~ aocumefl~ ~ Del/eve ~e info~a~on is ~e, accumm, ~d complete. & UEe of A~ofiz~ Com~ Represenm~e Signal.~0~ /~ ' ~- ~ usiness Name 'BAKERSFIELD CITY FIRE DEPARTMENT HAZA! . US MATERIALS 'INVENT tY Page..__Cof_.~ CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] RewSion ~ Deletion ( ] Chec~ if chemical is a NON TRADE SECRET ~ TRA~E SECRET [ ] 3) DOT # (omionm) PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL t-'ire [~ Reactive [ ] Sudden Relaase of Pressure [ ] HEALTH Immediate Hemth (Acutel' I~ Delayed Heatttl (Chronic) 5) WASTE CLASSIFICATION '7., '7., ( (3-digit code from OHS Form 8022) USE CODE 6) PHYSICAL STATE' Solid JJ<~_ L~clUid [~ Gas [ ] Pure [ ]~ Mix~ure [~ Waste [ ] Radioactive [ ] 7) AMOUNT AND T1ME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES MaXimum Daily Amount: ~' E.~ lbs [ ] gal. [ ] ~ [ ] a) Container. Average Daily Amount: ~.0 E~ cunas [ ] b) Pressure: T' Annual Amount: ( O0 E.~ ' E~C.~I ~K'~ c) Temperature: La~'gast Size Container. ~'" ~4/-- # Days On Site ~'~' Circie Which Monks: ~ J. F. M. A. M. J. J. A. S. O. N. D 9) MIXTURE; IJst , (~OMPONENT CAS# % WT 'AJ'tM chemical components or any AHM components 2) [ ] 3) [) CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] ReViSion [ ] Deletion[ Check if chemicel is ~ NON TRADE SECRET [ ] TRADE SECRET 2) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL . HEALTH HAZARD CATEGORIES F~re [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION __.(3-digit code from DHs Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] ~luid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ] Radioectfve [ ] 7) AMOUNT AND T~ME AT FACilITY Maximum Daily Amount: Average Daily Amount: Annual Amount: Largest Size Container:. # Days On Site uNITS OF MEASURE cunas[ ] 8) STORAGE CODES a) Container. b) Pressure: c) Teml3eratura: Circle Which Monttts: All Year. J. F. M. A. M. J. J. A. S. O. N. O MIXTURE; List the three most hazardous chemica~ components or any AHM components COMPONENT CAS # % WT AHM [] [ ] 10) b=caaon erofy unaer pen~u~y or law, ~at I have person~iy exarn~nea an= ~m famiiiar w~ me ~nromaaon su~3m~rtea on ~s aha ail az~acnea aocumen=, t believe ~mitted information is true. accurate, and complete. Name & TTffe of AuZhorfze<l Company Representa~ve Signature (~ Date MIMP SITE DIAGRAM Business Nc:me: Business Address: FACILITY DIAGRAM I--~ For Office Use Only First In Station: Area Map # of Inspection station: J NORTH~ - lto, ooo ~ __0 5k,,/EL L '~q'. UNDERGROUND STORAGE TANK (UST) MONITORING PLAN FACILITY ,NAME AND ADDRESS: 2688 Oswell Street Bakersfield, California 93306 BP Oil Facility # 11160 RESPONSIBLE PERSON Manager: ZIAD (TOM) DUGUM Work Phone Number:. (805) 872-0122 HOme Phone Number: (805) 872-9098 1.0 INTRODUCTION The intent of this monitoring plan is to outline visual and electronic monitoring which must be performed to comply with state and local laws and regulations. The plan contains policies for . monitoring frequency, monitoring equipment, report/ recordkeeping, testing, and a leak response plan. This plan shall be kept on file for viewing by regulatory agencies. Additionally, monitoring records muSt be maintained for 3 years. 2.0 DESCRIPTION OF ITEMS BEING MONITORED: The following und'erg~ound storage tanks (USTs) are present at the facility: I - '12,000 Gallon- Regular Unleaded Gasoline I - 10,000 Gallon - Plus Unleaded Gasoline I - 10,000 Gallon - Super Unleaded Gasoline The gasoline tanks and piPe lines are double-walled and constructed of fiberglass. The facility also has a 550-gallon, double-walled, aboveground waste oll tank. Since the tank is aboveground, the monitoring requirements in this plan do' not apply. HoWever, the facility will follow the applicable spill response procedures in this plan in the event of a release from this tank. 3.0 MONITORING OF USTs 3,1 MONITORING EQUIPMENT The station uses the Pollulert FD-103' System to monitor the double-walled tanks and pipes. The Pollulert System monitors the interstitial (annular) space in the containment area of each double-wall tank. Probes are permanently mounted through risers in each tank and are placed, in the lowest elevation of the tanks. These probes are tested annually and certified to work properly. The secondary containment for each double-walled UST is equipped with a collection system to accumulate; temPorarily store; and permit remOval of precipitation, 2868R051 .wpb ,, 1 'LIST MONITORING PLAN, Continued BP ~'Facility # 1 ~ 160, Bakersfield subsurface infiltration, or hazardous substances released from the primary tank container. Each double-walled tank is slanted to allow released material to drain to the lowest pOint in the annular space. Each dOuble-walled tank is monitored using the continuous annular space m°nitoring system and an annual certification of the monitoring system. This system continuously monitors the interstitial space between the primary tank wall and the exterior secondary wall. An alarm is sounded if liquid is detected in the interstitial'space. The monitoring system is tested annually and certified to'work properly. 3.2 MONITORING FREQUENCY 3.2.1 Single-Wall Tanks The facility does not operate any single-wall tanks onsite; therefore, this subsection does not apply. · 3.2.2 Double-Wall Tanks Monitoring of each double-wall tank is performed on a conti'nuous basis using an electronic monitoring system. Leads activate an audible and/or visible alarm'when liquid is detected in the annular space between the containment walls. The station manager, or his/her designee, inspects the monitoring system panels at the beginning of each shift. In addition to the electronic monitoring system, the tanks are monitored on a daily basis Using manual inventory reconciliati.on. Refer to Section 4.0 for the reporting format used by the service station. Tank and Pipe Testing: The continuous monitoring systems for the double-wall tanks and piping are certified annually to be in proper working order using USEPAand state testing methods and certified tes'dng companies. 3.3 ANNUAL SYSTEM INSPECTION The monitoring systems (for single and double-wall tanks) shall be inspected annUally by running system functions as recommended by the manufacturer. Additionally, the manufacturer may recommend cleaning the monitoring probes annually. The double- .walled tanks .and piping were also inspected and pressure tested .initially before installation at the station. The double-walled tanks were tested using USEPA and state testing methods and a certified testing company. 3.4 REPORTING AND RECORDKEEPING Monitoring system inspection, inventory reconciliation, and pipe testing records shall be kept at the Tosco Refining and Marketing Company Office for at least 3 years.. 2859ROgl.wpb 2 lIST MONITORING PLAN, Continued BP Oil Facility // 11160, Bakersfield Records of leaks or suspected leaks and the required investigations shall also be kept at the Tosco Refining and Marketing Office for 3 years. 3.5 LEAK RESPONSE PLAN The facility will follow the procedures in the Business Response Plan included with the Hazardous Material Business Plan. A summary of the procedures that shall be followed by all personnel in the,event of a leak or a suspected leak is provided below. Facility personnel shall notify, the manger/owner immediately if a leak is suspected. Facility personnel shall notify the manager/owner immediately if the continuous monitoring device sounds and/or manual inventory reconciliation identifies the possibility of a release. Th~ manager/owner Shall determine whether a leak has occurred or the monitoring device has 'malfunctioned. Se If the leak detection system has malfunctioned, the manager/owner shall immediately notify the Tosco Maintenance Department. if a leak is suspected, the manager/owner shall contact the Tosco Maintenance Department for investigation and corrective action. In the event of a substantial release of 'more than 5 gallons, the manager/owner shall notify Tosco's Maintenance Department and/or Environmental Department immediately so that notification can be made to the appropriate local agency. A report including confirming procedures shall be completed within 24 hours. The Tosco Maintenance Department shall respond to a. reported leak immediately. 8. The leaking tank shall be excavated, repaired, or replaced. 9. Appropriate soil and groundwater .investigations will commence, if necessary. 10. All records of investigations, repairs, or replacement shall be kept'at the Tosco Refining and Marketing Office for a minimum of 3 years. 2869RO91.w~b 3 UST MONITORING PLAN, ContinUed Facility // 11160, Bakersfield 3.6 TRAINING The facility maintains an Emergency ResPonse Training Program which is attached to the Hazardous Material Business Plan. The Station Manager periodically inspects the site to ensure a safe work environment.' Additionally, employees receive verbal training in the following areas: Emergency shut-off switch lOcation and activation; Emergency response notification procedure; Shut-down operations; and Spill clean-up. 4.0 REPORTING FORMAT Tank and meter inventory reconciliation forms shall be' completed by the dealer/manager, or his/her designee, on a daily' basis. The facility completes the following forms: Inventory Control Program Daily Tank Reconciliation Form Meter Worksheet Inventory Control Program Receipts, Sales and Overages Worksheet Tank and. Meter Reconciliation Tank and Meter ReconCiliation Summary 2869RO91.wpb 4 BP'Oil~cility # 11160, Bakersfield Emergency Response Plan What you do Complete' this emergency response plan, making any additions necessary to adjust for your facility size or emergency procedures. Submit the original to the HMD; keep a copy onsite. ff you · a/ready have a plan Your facility may already have an emergency response document. You should verify that it provides the same information as the plan included here. If So,,submit your document to the HMD in lieu of the enclosed plan. You may also choose to revise your document to incorporate any missing information so that it meets the plan requirements. Caution · This emergency response plan provides the minimum information necessary to meet the law's emergency response plan requirements. It is advised that you do not neglect any portion of this plan without careful evaluation of that item. Table of Contents This table describes the contents of the emergency response plan. Topic See Page overview: Emergency Response Plan 2 General Facility Information 3-4 Emergency Coordinator Information 5 Emergency Procedures 6-10 Emergency Phone Numbers 1 1 ' Emergency Equipment 1 2. Evacuation Procedures · 13 Emergency Services 14 Emergency Response Plan Use Record 15 Employee Training 16~1 7 2869R091.Wl~ 1 Overview: Emergency Response Plan BP 0 ility # 11160, Bakersfield Background When it's required An emergency response plan ensures proper action in the event of emergencies involving hazardous material Or hazardous wastes. The plan: describes actions an operator must take in an emergency or accident involving hazardous materials or Wastes. is developed in advance for implementation during an emergency. provides procedures for immediate and appropriate response to emergencies. · minimizes hazards to human health and the environment. An emergency response plan is required for'all facilities storing and/or accumulating 'hazardous materials or hazardous wastes onsite. Owner/ operator requirements An owner/operator is required to: · keep a copy of the plan and train employees in its .use. · submit copies to agencies invOlved inemergency response. · revise the plan should it fail in an emergency, components change, or should regulations change. Components This list describes the components of the emergency response plan: · · · · · · · emergency coordinator emergency procedures emergency equipment evacuation procedures emergency services emergency phone numbers employee training 2869RO91.wpa 2 General Facility Information BP Oi~t~cility # 11160, Bakersfield Date Date of completion NOVEMBER 20, 1995 Facility Information DBA BP OIL FACILITY #11160 Address 2688 OsWELL STREET City BAKERSFIELD Zip Code 93306 Business Phon~ {805) 872-0122 Parcel Number NOT AVAILABLE Standard Industrial Code '(SIC) Number 5541 0 wner Information Name TOSCO REFINING AND MARKETING COMPANY Address 601 UNION STREET, SUITE 2500 City SEATTLE, WA Zip Code 98101 Business phone (206) 442-7160 Home Number NOT APPLICABLE Hazardous materials description Records location Give a brief description of hazardous materials and/or wastes use/process (e.g., auto repair and maintenance; sale of petroleum products for automobiles, dry cleaning, etc.) THE FACILITY SELLS PETROLEUM FUEL, SERVICES AUTOS, AND OPERATES A CONVENIENCE STORE. State the location of records, relating to hazardous materials/hazardous wastes. State the location of your MSDS and emergency response plan. THESE RECORDS AND THE EMERGENCY RESPONSE PLAN ARE KEPT IN THE FACILITY OFFICE. Continued on next page 2869RO91.Wl~e 3 General Facility Information BP Oi ility # 11160, Bakersfield Waste disposal information If you are a hazardous waste generator, identify your hazardous waste hauler(s) or recycler(s) here: Name: Address: City: Zip code: Phone #: 'EPA ID#: Hauler(s): ROMIC ENVIRONMENTAL, INC. 2081 BAY ROAD EAST PALO ALTo, CA 94303-1316 1-415-324-1638 CAD009452657 Recycler(s): EVERGREEN 1415 EAST 3rd ST. POMONA, CA 91766 1-800-645-4855 CAL000027724 Name: Address: City: Zip code: Phone #: EPA ID#: Additional: EVERGREEN 1415 EAST 3rd ST. POMONA, CA 91766 1-800-645-4855 CAL000027724 Additional: ROMIC ENVIRONMENTAL, INC. 2081 BAY ROAD EAST PALO ALTO, CA 94303-1316 1-415-324-1638 CAD009452657 2859R091 .w~ 4 Emergency Coordinator Information BP OiQcility # 1 1 160, Bakersfield Emergency coordinator Designate your primary emergency coordinator: This person must have the authority to: · make decisions regarding the classification of the release, and . · determine the appropriate response. Name. ZIAD (TOM) DUGUM Address 2688 OSWELL STREET City BAKERSFIELD Zip 93306 Business Phone {805) 872-0122 Home Phone (805) 872-9098 Check whether onsite ~' or on-call [] Alternates Designate alternate emergency coordinators in order that they would assume responsibility: · Alternate 1: Name LARRY SILVA, TOSCO REFINING AND MARKETING COMPANY Address 601 UNION STREET, SUITE 2500 City SEATTLE, WA Zip 98101 Business Phone {206) 442-7160 Home Phone 1-800-921-7341 (PAGER) Check whether onsite [] or on-call V~' · Alternate 2: Name Address City Zip Business Phone Home Phone Check whether onsite [] or on-call [] 2859R091 .wpe 5 Emergen'cy Procedures BP Oilecility # 11160, Bakersfield internal response team Designate your internal hazardous materials response, team and their responsibilities. Names ZlAD (TOM) DUGUM. LARRY SILVA Responsibilities EMERGENCY RESPONSE COORDINATOR ALT. EMERG. RESPONSE COORDINATOR Describe procedures fOr notifying your~team of an emergency! Iv'] voice [,/] phone [ ] Public address system [ ] alarm system Other (describe)' Employee notification List procedures for notifying employees who could be exposed to hazardous conditions by a release. [/] voice [/] phone [ ] public address system [ ] alarm system (sirens, bells, etc...) Designate an individual responsible for notification: ZIAD (TOM) DUGUM, FACILITY MANAGER, OR HIS DESIGNEE. Continued on next page 2868R091 .wpa Emergency Procedures, Continued BP Oilt~cility ~¢ 11160, Bakersfield Technical advisors List personnel who will provide technical advice to offsite emergency responders (fire, police) in case of an emergency incident. '[/] OWner LARRY SILVA, TOSCO REFINING AND MARKETING Iv'] Manager ZIAD (TOM) DUGUM [ ] Supervisor [/] Other BP OIL EMERGENCY .DESK/TOSCO MAINT. CTR. Neighbor notification procedures List procedures for notifying neighboring residences; businesses, schools, etc. which could be affected by a release threatening offsite. [/] voice, personal visit [¢'] phone [ ] public address system [ ] alarm system (sirens, bells, etc...) Designate an individUal who will. perform, the notification: ZIAD (TOM) DUGUM, FACILITY MANAGER, OR HIS DESIGNEE. Keep a list of those to be notified (see next page). Continued on next page 2869RO91.wpe Emergency Procedures, Continued BP Oilecility # 11160, Bakersfield Neighbor notification list Neighbor Emergency Notification List Name PIER,ONE IMPORTS Address 3800 MALL VIEW ROAD Phone (805) 871-9667 Contact Person MANAGER Name MARRIE CALLENDAR Address 2631 OswELL STREET Phone (805) 872-1051 Contact Person MANAGER Name UNION BANK Address 2671-B OSWELL STREET Phone (805) 871-3100 Contact Person MANAGER 'Name Address · Phone Contact Person Continued'on next page 2659RO91.wpa 8 Emergency Procedures, Continued BP Oi~ciliW # 11160, Bakersfield Containment procedures Describe procedures for containing spills, releases, fires, or explosions: [/] blocking drains [/] diking with absorbent/other material [ ] berm in storage/work area [ ] .'other Clean-up procedures Describe your clean-up procedures: [V'] use absorbent [/] [/] [] evaporate dilute/flush (those chemicals acceptable to the sanitary sewer) equipment clean-up as described here: [ ] other (describe): Continued on next page 2869ROe1.wpe 9 Emergency Procedur. es, Continued BP Oil~cility # 11160, Bakersfield Hazardous waste disposal List the name of the hazardous waste disposal company you will use should your emergency generate hazardous wastes: ROMIC ENVIRONMENTAL TECHNOLOGIES, INC. 2081 BAY ROAD EAST PALO ALTO, CALIFORNIA 94303-131 6 1-415-324-1 638 Recycler List the name of the hazardous waste recycling company you will use sho.uld your emergency generate recyclable wastes: EVERGREEN ENVIRONMENTAL 1415 EAST THIRD STREET POMONA,CALIFORNIA 91766 1-800-645-4855 10 Emergency Phone Numbers· BP Oil~ility # 11160, Bakersfield Emergency response phone numbers Fire ....................................... ....911 Sheriff ......................................... 911 California Highway-Patrol ....... ,.. ~ ................. 911 Bakersfield City Fire Department Hazardous Materials Division ................... 326-3979 Ambulance Service ....... ; ....................... 911 Medical Facility (nearest hospital-SAN JANQUIN HOSPITAL) ............................... 395-3000 Poison Control Center ................. .. ~ . 1-800-342-9293 Agency notification numbers California Office of Emergency · 1-800-852-7§50 Services ...... ' .... · ....... State Department of Health Services, Radio!ogic Health Branch ................... 1-916-445-0931 State Department of Toxic Substances. Control ........... · ..... 1-916-324-1826 State Water Quality Control Board, Central Coast Region .................... 1-805-549-3147 US Environmental Protection Agency ' 1-415-744-1500 ,National Response Center ........... · ' 1-800-424-8802 Other Other Important Numbers BP OIL EMERGENCY DESK/TOSCO MAINTENANCE CENTER 287-4368 (24 HOURS) 1-800- 1¸1 Emergency Equipment BP Oil~cility # 11160, Bakersfield Equipment list Provide a complete list of your emergencY response equipment. Specify.all equipment available for your use during an emergency. Name phone broom fire extinguisher [~] absorbent (kitty litter rice hull, ash, sand) shovel 'Location BY CASHIER SERVICE BAY 2 IN SERVICE BAY SERVICE BAY · [ ] [] [] [] [./] [] [V~] Other FIRST .AID KIT decontamination shower eyewash fountain water hose personal protective equipment face shields, safety goggles, glasses SERVICE BAY [,/] rubber gloves SERVICE BAY [ ] rubber boots [ ] respirator protective clothing Capability N/A N/A A,B,C MULTI-PURPOSE N/A N/A 12 Evacuation Procedures 'BP Oilt~cility # 11160, Bakersfield Notification · of Evacuation List your procedur, es for spreading' the alarm to evacuate. [/] voice [/] phone [ ] alarm system [ ] public address system [ ] other (describe): .The individual responsible for spreading the' alarm is: ZIAD (TOM) DUGUM OR HIS DESIGNEE.. Evacuation route Define your evacuation r.oute on your site map and post copies for emplOyees. have posted the evacuation route. V~' ves[] no Evacuation coordinator Emergency assembly area The individual responsible for accounting for all employees and visitors after evacuation: ZIAD (TOM) DUGUM OR'HIS DESIGNEE. Indicate on your map the emergency assembly area for evacuees; describe here: ACROSS MALL VIEW ROAD TO THE PrER ONE IMPORTS STORE. ot "r procedures Describe additional evacuation procedures here: 13 'BP Oil~ility # 11160, Bakersfield Emergency Services Description Describe any arrangements you have made for emergency services with: · local fire and police departments · hospitals · contractors · other (describe): THE FACILITY HAS NOT MADE ADVANCE ARRANGEMENTS WITH THE LOCAL SERVICES LISTED ABOVE. THE FACILITY HANDLES/STORES COMMON PETROLEUM FUELS. WHICH SHOULD NOT PRESENT NEW ISSUES FOR THE SERVICES ABOVE. THEREFORE, THE FACILITY HAS DECIDED THAT SUCH CONTINGENCY PLANNING ARRANGEMENTS ARE NOT NECESSARY.. When required Advance arrangements for emergency services should be made as appropria~te for potential need in an emergency. You may decide that such contingency planning arrangements are not necessary for your facility. Emergency Response Plan, Use Record 'BP Oil iliW # 11160, Bakersfield When required A record must be kept for each time the emergency response plan is utilized. In some' cases, you are required to make specific agency. notification as a result of the emergency. It is therefore important to keep adequate records of any incidents at your facility and to understand your reporting responsibilities. Procedure Follow this procedure anytime you must utilize your emergency response plan to ensure that you make' proper agency notifications as necessary. Step Action 1 Record date, time, and details of incident in operating log. 2 Does the incident/emergency threaten human health or the environment off site? · If yet, go to step 3. · If no, go to step 5. 3 Emergency coordinator notifies the HMD and local emergency response agencies as appropriate (fire, police, etc...). 4 Emergency coordinator notifies the State Office of Emergency Services (OES) and reports: · date and time of incident · name and phone number of person reporting to OES · facility's name and address · type of incident occurrence · names and amounts of hazardous materials involved · description of any injuries · description of hazards to people or the environment offsite 5 Emergency coordinator verifies that prior to resuming operations: · no incompatible wastes are left in affected areas, and · emergency equipment is cleaned up and ready to use. If. OES was not required to be notified, stop here. 6 Owner/operator notifies OES, prior to resuming operations, that requirements of step § have been met. 7 Owner/operator submits a written report to OES within 15 days confirming or revising emergency coordinator's initial report, and reporting the amo.unt and disposition of recovered waste. 15 Emp/oyee Training BP Oil # 11160, Bakersfield Law California Health and Safety Code Chapter 6.95 requires: training for all 'employees on safety procedures and the emergency response plan training for all new employees · an annual refresher course for all employees Suggestions You may currently have a Hazard Communication Training program, in place. If so, review your prograr~ to be certain it meets the requirements described here. You maY wish to use your Business Plan in conjunction-with Material Safety Data Sheets for each chemical as your core training program. You should also include instruction on proper chemical handling, safety, and personal .protection proceduCes. Proof of training required You are required to keep written documentation of ~/our employee training sessions. A sign-off sheet stating dates, employee names and positions, and the training material covered will meet the requirements. Waste generator requirement In addition to the above requirements, training records at hazardOus waste generator facilities must include a brief job description as well as the employees' names. Continued on next page 16 BP Oil~ciliW # 11160, Bakersfield Employee Training, Continued Training elements Check off the training elements you currently implement. [/] new employee orientation and familiarization with hazardous materials, including: [~] handling & safety [~] notification & reporting [V~J emergency response, mitigation, cleanup, and recovery [V~J annual refresher training [v~] documentation of training Training outline You must attach' an outline or condensed version of your 'Hazard communication Employee Training Program or lesson plan. V/' My plan is attached. ;r--] My plan is described in the space below. 1'7 BP Oil {~iliW # 11160, Bakersfield EMERGENCY RESPONSE TRAINING PROGRAM The facility provides initial hazardous material and emergency response training to employees. In addition, annual refresher training is also provided to the employees. The training program includes the topics noted below. Documentation of the training is also maintained for the employees. Training Program Topics. Employees are trained'in proper procedures for handling, hazardous coordinating with emergency response agencies, using emergency equipment and materials, and implementing the' emergency response plan. materials response All employees are,trained in the following procedures: Internal alarm notification. External emergency response organizations notification. Location and content of emergency response plan. Chemical handlers are additionally trained,in the following: ~ . Safe methods for handling and storage of hazardous materials. ~' ProPer use of personal protection equipment. ~ Locations and proper Use of fire and spill control equipment (such as fire ~ extinguishers, absorbent materials, utility shutoffs, first aid supplies, etc. ~ Specific hazards of each chemical to which they may be exposed, ~including the pathways of exposure (e.g. :'skin'adsorption, inhalation, and ingestion).. (if applicable) are additionally trained in the Emergency response team members following procedures: Shutdown of operations. Use, maintenance, and replacement of emergency response equipment. Training Program Records/Documentation All personnel receive emergency response training within 6 m'onths of hiring and annual refresher training. The following training records are maintained for each employee: Type and amount of intrOductory and continuing training. -Date that training was completed. Former.employees' training records are retained at least 3 years. 18 .BP t¥ # 11160, Bakersfield EMERGENCY RESPONSE TRAINING DOCUMENTATION FORM ON insert date here: THE FACILITY EMPLOYEES RECEIVED EMERGENCY RESPONSE TRAINING FOR THE FOLLOWING TOPICS (mark those which apply): Internal alarm notification External emergency' response organizations notification. Location and content of emergency response plan. Safe methods for handling and storage of hazardous materials. Proper use of Personal protection equipment. Locations and proper use of fire and'spill control equipment (such as fire eXtinguishers, absorbent materials, utility shutoffs, first aid supplies, etc. Specific hazards of each chemical to' which they may be exposed, including the pathways of exposure (e.g.: skin adsorption, inhalation, and ingestion).~ Shutdown of operations. Use, maintenance, and replacement of emergency response equipment.., THE FOLLOWING EMPLOYEES RECEIVED THE EMERGENCY RESPONSE TRAINING: EMPLOYEE NAME AND SIGNATURE POSITION '~' "-~ .,~, ~ ~ :L ~'?¥~:.': '~ ' ' BAKERSFIELD FIRE~DEPARTMI ' "r--:,l~i~ iilareil,l.g'/6 'BUREAU OF FIRE ~ * ~' ~ APPLICATION .' .:'..In Confo~mi~ with provisions of ~,inent'ordinan~s,. C~es.' ~' "bY':-'~~ .:i~".-. ,. '"' "' '.~.' ' :...: .-'-',~ to disploy~ st~; install, u~, o~rate, sell or handle materialSr;6p:p~e~'. ditions deemed hazardous to life or pro~ as follows: " Au onzed Representative -- , . PAVIklG ITE DIAGRAM Business Name: Business Address: FACILITY DIAGRAM ESPOIL~ I=,~c~ Li-]--i~. ~ For Office Use Only (e Hxvy First In Station: Inspection Station: Area Map # of iNORTH~ I~JV~. WAy ...,=0 5k,,,/E L L ~'1. .) ! Tank Identification: - x - S~ie Poiat ~ -V,- ZsZan4 - [~- Ta~k 777777' - Vail -- BaCkfill :::'~C:~:~_ Fence Couc~racCor: " Codtractor:,, ~/~~e ~ve~epart: ~ ~/~,~. ~;- ~eather: ~. ~ple Identification: ~ank Identification: '\. Sample Toinl I~.__~.~ Island · . ii wrrrrr - ;il ~- Fence - ~ank lflenCiflcation:_ Le~.j: ~-T,~,, k(~,m..-~ ~ woI_ fi,'&) l~-O~r S;Jt~ C, I TE/FAC ILI TY FORM ~ $ NORTH SCALE: BUSINESS NAME: ~°. -- · FLOOR ! OF ; DATE:~ '/13/f~ FACILITY N~ME: ,~,~,! , . ' .i ' UNIT ~: !0F- / (CHECK ONE) SITE DIAGRAM ~ FACILITY DIAGR.~M .~o~'s Comments): -OFFICIAL USE ONLY- - 5A - PROVIDE DRAWING OF PHYSICAL LAYOUT ~OF FACILITY USING SPACE PROVIDED BEIDW. AT~, OF THE FO~NG INFORMATION MUST BE INCLUDED IN ORDER FOR APPLICATION TO BE PROCESSED: .. / PI~OPOSED SAMPLING LOCATIONS DESIGNATED BY THIS SYMBOL "Q~" / NEAREST STREET OR INTERSECTION' A/~9 ANY W~TER W~T,T.q OR SURFACE WATERS WITHIN 100' RADIUS OF FACILITY 2BAY PEGASUS, FRONT, RIGHT HAND. WO~vC.OU - . . PAVILIG 0¥1=~ oSWEL L 'f9'9 ' [ J,,lcadeJ I::L, 12.o3 I::k, IlO5 ~ G' ~P. IU f. couC. Ocr,vt. C',.l IJ'-) EO FO .J _~ J 'TO 2880 SUNRISE BOULEVARD, SUITE 206 RANCHO CORDOVAi CA 95742 (916) 635-2444 JOB NO DATE -, ATTENTION GENTLEMEN: WE ARE SENDING YOU [] Attached '[~ Under separate cover via [] Shop drawings [] Print~ [] Plans '[]- Co--~'~-6f-I~t't-er- -- ~[]~Ch-~W~--b'-f-d~ . [-]' [] Samples the following items: [] Specifications COPIES DATE NO DESCRIPTION RECEIVED JAN 0 5 1994 THESE ARE TRANSMITTED as checked below: [] For approval [] For your use [] As requested [] For review and comment [] FOR BIDS DUE. ·REMARKS T~"r "~_ [] Approved as submitted [] Approved as noted [] Returned for corrections 19 C:X_~r,~. ~m~ V~T [] Resubmit__copies for approval [] Submit copies for distribution [] Return corrected prints [] PRINTS RETURNED AFTER LOAN TO US . COPY TO LT-584-2 * PRINTED IN U.S,A. If'~6nclosures are not as noted, .kindly notify u~ .at once: ASSOCIATES TO 2880 SUNRISE BOULEVARD,· sUITE'206 RANCHO CORDOVA, CA 95742 - '- ' ' "(916) 635-2444.. GENTLEMEN: WE ARE'SENDING. YOU [] Shop drawings ' [] Copy of letter '- E~ttached [] Under separate Cover via [] Prints [] Plans [] Change order [] [] Samples ' the folk~wing items:' Specifications · COPIES DATE NO. ~ DESCRIPTION REMARKS THESE AR'E TRANSMITTED as checked below: [] For approval [] For yoHr use [] As requested [] For review and comment [] FOR BIDS DUE. [-~ Approved as submitted [] Approved as noted [] Returned for corrections _19 [] Resubmit ~ 'Sdbmit [] Return __.copies for. aPproval copies for dist~'ibution corrected prints [] PRINTS RETURNED AFTER LoAN TO US COPY TO ~ :. LT-584-2 PRINTED IN U.S.A, · SIGNED: If enclosures are not as noted, kindly not/fy 'us ~t' once. Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakersfield, CA~ 93301 RECEIVED H, ,ZARDOUS MATERIALS MANAGEMENT pLAN INSTRUCTIONS: 1 To aJv · , old further action, return this form within 30 do ~ · 32. .TYPE/iPRINT ANSWERs IN ENGLISH. Y Of receipt · Answ~er the questions below for the business as a who 4. Be brief and concise as possible. le. SECTION 1! BUSINESS IDENTIFICATION DATA BUSINESS NAME: ~O LOCATION : Z~,8~ O~well $ MAILING ADDRESS: ~ CITY: .l~:~k~ls~'f~l~J STATE: ~ ZiP: ~_~ PHONE: DUN & BRADSTREET NUMBER: fl~ 1N SIC CODE: ~OO PRIMARY A~TIVITY; OWNER: B,P Oil MAILING DDRESS: ~/~5 ro~ · '. O ~ . q 670 SECTION 2: EMERGENCY NOTIFICATION: CONT ~CT TITLE BUS. ,PHONE ]' ~' . ~ ~r )~ 'Z- t22 24 HR. PHONE ~0o- 2g~- BG 2. Bakersfield Fire Dept. H~zardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING' NUMBER OF EMPLOYEES: MATERIAL SAFETY DATA SHEETS ON FILE: h'eS BRIEF SUMMARY OF TRAINING PROGRAM: Al/empire,5 vcrb ll J 'hr i F.x;l in 5pill mif; t,b eme 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 TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, . Z ia 4 (Tom) Dl~um J 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. 81GNATURE ~ TITLE DATE FD1590 B~ersfield Fire Depte Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: AGENCY NOTIFICATION PROCEDURES: '~, ~c~l ~'re ~d er~r~n~1 dq~rfme~+s n~¢ie, d. (~) EMPLOYEE NOTIFICATION AND EVACUATION} In +kG e.,verCr of' mn er~r~)¢~c~/ ~i~or~, empIo~}e,c,s will ver~ll~ mot~i~ fo ev~du~fe thro~qh ~he n~re~t c~it C. PUBLIC EVACUATION: D. EMERGENCy MEDICAL PLAN:· Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION,__PREVENTiON AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: RELEASE CONTAINMENT AND/OR CLEAN-UP P~OCEDURES: Once ~g II i~ conf~(~cd i+ SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: ~ ELECTRICAL: 5'd~ & e s WATER: ' · '.' '. SPECIAL: LOCK BOX: YESO IF YES, LOCATION: ' SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: PRIVATE FIRE PROTECTioN: Fire ex finquishe, r5 Icc~f~ ','r~ fhe, lub~ l~qs. WATER AVAILABILITY (FIRE HYDRANT): There ~re no ~Cire_ hffclr~nt-5 n~r ttq6 si'he., ...... '' , FD1590 CITY OF BAKERSFIELD ~ Fam and Agriculture ~ Standard Business EARDOUS NAT~RIALS INVENTORY NON - TRADE SECRET ' BUSINESS NAMe: ~SF Oil F~ciJi'l'U'~11160 OWNER NAMe:__ ~P OIL ~. N~ OF THIS FaCILITY=~W¢II ~F ~rv~ LOCATION:~6~05Well ~%' ~D~SS: ~ ff~OS~PnK~ g~ ~ ST~D~ IND. CLASS CODE: ~ CITY, ZIP:~'~[~d,CA. ~5~O~ CITY, ZIP: ~ANC~ ~DovA;CA ~%~NO DUN ~D B~ST~ET N~BER/FEDE~ ID ~ ~R ~ ZNS~U~ONS ~R P~PER ~DES I 2 3 4 5 6 7 8 9 10 ll 12 13 14 Trane Type Max Average Annual Measure ! Days Cent Cent Cent Use Location Where % by Names of Mixture/Components Code code A~t Amt Amt Units on Site Ty~e Press Tem~ Code Stored in Facilit~ w~ See Instructions u i M IlZooo I 6,ooo Izso,~,~ I ~,~1 I 565 .I o~ I 1 I 4- I~'~ IN.E. of' i~uildiw'~ i ~'- Physical and Health HazardC.A.S. N~er ~~lq compoeent f 1 .mm C.A:O. H,,~er (Check all that apply) Component # 2 Name & C.A.8. Number of Pressure Health Health Component # 3 Name & C.A.S. Number U IM 1~0,o0ol5,ooo I~,~,~o 16al 1~5 Iol I 1 ~ % Ilff IN.~.o¢~uildi~ Plus l'1,1~, Physical and Health HazardC.A.S. ""'~er SOO~I~ Componant ~ I H--, C.~.,. ,= (Check all that apply) Component ! 2 Hame & C.A.B. Humb°r of Pressure Health Health Component f 3 Hame S C.A.S. Number U I~ Ilo, oool9, ooo luz,3,,o I~:q l~(~5 Iol I1 14- I1~1 IN.~.of~uildM~ Physical and Health Hazard C.A.8. ,~er ~00~61q Comps.ant , I H--, C.A.O. ,~r v'Su~er (Check all that a~l¥) Compo~ent I 2 Name · C.&.S, Humber ~ Fire Hazard ~ Sudden Release ~ Reactivity [] l~nediate ~ Delayed __ of Pressure Health Health Component ! 3 Name & C.A.B. Number u Iw.~ul~,o0o I 500 I 2ooo I r,.~l. I ~,~ lot ! ~ I 4 140 Iwes-'r ot: I~uildin~ b/' Was+e Oil Physical and Health Hazard C.A.S. Number N./~ Component # 1 Hame & C.A.B. Number (Check all that apply) Component ~ 2 Name & C.A.8. Humber of Pressure Health Health Component ~ 3 Name & C.A.B. Number EMERGENCY CONTACTS #1Zjad Crom~ [ik4~ura ~IcF ~7Z-ol=~ #2[}pZ%Ht. 5w~r~¢~6~ ' Name ; Title 24 gr. Phone Name Title 24 Hr Phone Certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) ! certify under peanlty of law that !haver personally examined and am fandliar with the information submitted in thin end all attached documents and that based on my inquiry of those individuals responsible for obtaining the information. ! believe that the submitted information is true, accurate, and complete. NAME AND OFFICIAL TITLE OF OWNER/OPERATOR OR'OWNER/o~sa~%TORtS A~.~OI~IZED ~u/PaF~kai'xkTIVE SI ~ DATE SIGNED CITY OF BAKERSFIELD [] Farm and Agriculture~ Standard Business HAZ~US MATERIALS 'INVENTORY NON - TRADE SECRET Page, of! 5 ' · BUSINESS NAME: ~P Ot~)FAO~%~¥ ~ 11%60 OWNER NAME: ~p 0(%. CO. NAME OF THIS FACILITY: O%WEU~ LOCATION: ~ O%%q~_~- ~ ADDRESS: 'Z~(~ ?~0~ FA~K ~ #~6) STANDARD IND. CLASS CODE: CITY, ZIP: ' ~~F~6~C) ~ ~A. ~ CITY, ZIP: F~C~O C~Oo~A~C;~. ~(,]O DUN AND BRADSTREET NUMBER/FEDERAL ID PHONE #:. ~O~- ~%- O%7.~. PHONE .#:- ~%te-~%-~%~ --_ - - REFER TO INSTRUCTIONS FOR PROPER CODES 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Trane Type Max Average Annual Measure ~ Days Con( Con( Cont Use Location Where % by /~ Names of Mixture/Components Code Code Am( A~c Am( Un,ts on Site ~/pe Press Tem~ Code S~ored in Fac~lit~ ~c/ See Instructions Physical and H~lth Hazard C.A.S. H~e~ ~%~U~ Co~n~ f 1 N~ S C.A.a. N~ (Check all t~t apply) of Pressu~ H~lth H~lth Co~onent ~ 3 N~ & C.A.S. N~ (Check all t~t apply) ~ Fire Hazed ~ Sudden ~lease ] R~cttv~ty ~ I~iate ~ Delay~ of Pressure H~lth H~lth C~onent ~ 3 N~ & C.A.~. N~ Photos1 (Check all t~t apply) ~ Fire Hazed ~ Sudden Release ~ a,cttvtty ~ Imitate ~Delay~ Co~t, 2 N-- S C.A.B. ,~ of Pressure H~lth H~lth Co,orient ~ 3 Nam · C.A.B. N~ Ph,ical and .,lth Hazard C.A.S. ,~.r ~O~- OS--~ co~.t I1 "~& C.A.B. N~ (Check all t~t apply) Co~on~t ~ 2 N~ & C.A.a. N~ of Pressure H~lth H~lth ~on~t ~ 3 N~ & C.A.B. N~ N~ Title 24 ~. Phone N~ Title 24 ~ Phone .Certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) ! certify under peanlty of law that ! hayer personally examined and am familiar with the Information submitted in this and all attached documents and that based on my inquiry of those ~ndiv~duals responsible for obtain~ng the ~nformat~on. ! believe that the submitted informa~ion ~e true, accurate, and complete. NAME AND O~FICIAL TITLR OF OWNER/OP~R/~TOR OR OWNRR/OPRRATOR'8 AUTHORIZED REPRF~ENTATIV~ HI~NA_~g~R - % DATE HIONED C~TY ~ FaL~n'and AgrlcultureJ~Shandard aue~neee OF BAKE RS F I ELD HAZARDOUS HATERXALS 'rNV'ENTOR¥ NON - ~RADE SECRET · BUSINESS NAHEs ~P Ol~I FACtLIT~ ~ lille OWNER NAMEs LOCATION s ~ ~ o~/~.~- ~T ADDRESS s PHONE [s · ~O~- ~'~ ~.- ~t~.'L~ PHONE .gs: ~ OiL Co NAME OF THIS FAcILITY:0$~e~- ~p~rutcr~ Z~G~ ~e~T ~A~ 9~ST~D~ IND. CLASS CODEz SS~ 1 2 2 4 5 6 ? 8 9 10 11 12 13 ~e ~e ~ Average ~nu~ ~aeu~ ~o C~e ~t ~ .{Check all thc apply) of PE~BU~ HMlth HMlth Ph~tcal a~ H~lth Ha~ ~'A'S* {Check all iht apply) of PE~ou~ HMlth HMlth ~h~i~ and HMlth hza~ ~.A.8. (Chuck all tht apply) ~ Fi~ hz~d ~ Sudden hleaie or Proaou~ Hmlth HMlth L I L -- ~h~tcal and HMlth ~ C.A.a. [c~k all t~t applyJ ~t of ~reseuro Sulth H~lth E~RGENCY CONTACTS ~er~i~tl~ (~ ~D 8IGN A~K ~LETIN~ AnT. SE~'~ONS) I certl£~ under peanlty of law that I hayer personally exmninnd and am gaudliar with the lnfomation nubudtted in thin and all attaohd dooununtj and that heed un my lnquir~ or those ~ndlvlduale responsible for obtainX~g the lngormticn. Z believe that tho eulxttttod ingonnation Il true, accurate, and complete. UNDERGROUND STORAGE TANK (UST) MONITORING PLAN BP OIL FACILITY #11160 2688 Oswell Street Bakersfield, CA 93306 Responsible Person Owner/Manager: Work Phone Number: Home Phone Number: Ziad (Tom) Dugum (805) 872-0122 1.0 IN~ODUC~ION The intent of this monitoring plan is to outline visual and electronic monitoring which must be performed to Comply with state and .local laws and regulations. The plan contains policies for monitoring frequency, monitoring equipment, report/recordkeeping, testing, and a leak response plan. This plan shall be kept on file for viewing by regulatory agencies. Additionally, monitoring records must be maintained for three years. 2.0 DESCRIPTION OF ITEMS BEING MONITORED: Underground Tanks: ! - 12,000 Gallons - Regular Unleaded Gasoline 1 - 10,000 Gallons - Plus Unleaded Gasoline 1 - 10,000 Gallons - Super Unleaded Gasoline 1 - 1,000 Gallons - Waste Oil The tanks and piping were inspected and pressure tested initially before installation at the station. The tanks were tested using United State Environmental Protection Agency (USEPA) regulations and state testing methods and a certified testing cOmpany. 3.0 MONITORING OF DOUBLE-WALLED UST The dOuble-walled USTs are constructed of fiberglass and designed to contain store materials. The secondary container is equipped with a collection system to accumulate' temporarily store, and permit removal of precipitation, subsurface infiltration, or hazardous substances released from the primary container. The tanks are slanted to allow released material to drain to the lowest point in the annular space. The tanks are placed into backfill .material and covered with a concrete pad. UNDERGROUND STORAGE TANK (UST) MONITORING PLAN BP Oil Facility ~11160 3.1 MONITORING FREQUENCY The monitoring system for the double-walled underground storage tanks shall be in compliance with the California Underground Storage Tank Regulations as set forth in Title 23, Section 2634, California Code of Regulations. Monitoring of each tank is performed on a continuous basis uSing an electronic monitoring system. Leads activate an audible and visible alarm when liquid is detected in the annular space. The station manager, or his/her representative, inspects the monitoring system panels at the beginning of each shift. Inventory reconciliation is also performed daily on each UST using an approved meter and comparing the contents of the tanks to the daily sales. Leaks would be determined by unexplained losses of material stored in the tank. This is a secondary precaution to the continuous monitoring system utilized at the service station. Refer to Section 4.0 for the reporting format used by the service station. Annual Tank Testing: Ail tanks and piping are inspected and pressure tested annually to ensure proper operation. The tanks are tested using United State Environmental Protection Agency (USEPA) and state testing methods and certified testing companies. 3.2 MONITORING The station uses the Pollulert System for monitoring the four USTs. This system continuously monitors for precipitation, subsurface infiltration, or hazardous substances in the annular space of the double-walled tanks. ProbeS are permanently mounted through risers in each tank and are placed in the lowest elevation of the tanks. The underground piping running from the tanks to the pump islands are continuously monitored by the Red Jacket System. 3.3 ANNUAL SYSTEM INSPECTION The monitoring system shall be inspected annually by running systems functions as recommended by the manufacturer. Additionally, the manufacturer recommends cleaning the monitoring probe annually. The tanks and piping were also inspected and pressure tested initially before installation at the station. The tanks were tested using United States Environmental Protection Agency (USEPA) regulations and state testing methods and a certified testing comPany. 7 UNDERGROUND STORAGE TANK (UST) MONITORING PLAN BP. Oil Facility #11160 3.4 REPORTING AND RECORDKEEPING Monitoring and tank testing records shall be kept onsite for at least three years. Records of leaks or suspected leaks and the required investigations shall also be kept onsite for three years. 3.5 LEAK RESPONSE-PLAN - UNDERGROUND TANKS The following procedures shall be followed by all personnel in the event of a leak or a suspected leak: Facility personnel shall notify immediately if a leak is suspected. the manager/owner Facility personnel shall notify the manager/owner immediately if the continuous monitoring device sounds. The manager/owner shall determine whether a leak has occurred or the monitoring device has malfunctioned. If the leak detection system has malfunctioned, the manager/owner shall immediately notify the BP Oil Maintenance Department. If a leak is suspected, the manager/owner shall contact the BP Oil Maintenance Department for investigation and corrective action. In the event of a substantial leak of more than five gallons, the manager/owner shall notify the County Health Department. A report including confirming procedures shall be completed within 24 hours. The BP Oil Maintenance Department shall respond to a reported leak with a pump-out truck within 24 hours. The leaking tank shall be excavated, repaired or replaced. Appropriate soil and groundwater investigations will commence, if necessary. 10. Ail records of investigations, repairs, or replacement shall be kept onsite for a minimum of three years. 3 UNDERGROUND STORAGE TANK (UST) MONITORING PLAN BP Oil Facility #11160 3.6 TRAINING The Station Manager Periodically inspects the site to ensure the safe work environment. Additionally, employee have received verbal training in the following areas. 3. 4. 5. 6. The location of monitoring system panel and system manual. Warning and alarm messages and what they mean. Emergency shut-off switch location and activation. Emergency response notification procedure. Shut-down operations. Spill clean-up. 4.0 REPORTING FORMAT Tank and meter inventory reconciliation forms shall be completed by the dealer/manager, or his/her designee, on a daily basis. The following attached forms shall be completed: 1. Inventory Control Program Daily Tank Reconciliation Form 2. Meter Worksheet Inventory Control Program Receipts Sales & Overages Worksheet. ~ ' Tank and Meter Reconciliation Tank and Meter Reconciliation Summary Undergrd,rsp Location... Inventory Control Prograr~ y Tank Reconciliation Farm A Meter Readings 2 3 4 6 8 Toted Actual Tank Inventory i ~em/um Unleaded ~ Prm~um Unleaded I~ ~,L ~.' GaL I.. GaL Tank Rec~nc~ation __.__C~ ~ ~-,~-mor~ Gail~m ~gh~t Prem~m F~RM B Meter Worksheet ! Pen~l 4. Pump 'lest .3. Metem ;~-;~lled [htr. · 4 To*~ i~.-~ T~.~ !L Ib. c. cl. Total Pmnp T~i~ (Mr.-,~?,) - M+O+c+d) · go/Cha~e Offs ,. 2 Daze: 3 Chte: 4: $ Tot~ ~ Ovtgg. j Other Outgo (J~ey). · . [_. ~Tot~f Money MetMIRemomJd Odl uc=) Ih.. . '~ ioved .. ReguLar Unleaded Pluz Unleaaed Premium Umemea ~esel Man, J,. Clo~ing Meter Readings , 3 I T~uJ Cbebg A&.M~ L b. ~' I id' C~flg Moaey~wTolz4 (A~ipmcluc=) . Cl+O+c+d) 04/27/92 OSWELL B P SERVICE.#ll160 215'000-00 Overall Site with 1 Fac. Unit General Information Location: 2688 osWELL ST Community: BAKERSFIELD STATION 08 Map: 103 Hazard: Low Grid: 22B F/U: 1AOV: 0.0 Contact Name IZIAD BUGUM (TOM) BP 24 HR EMERGENCY IDEALER Title Business phone (805) 872-0122. x (800) 321-7302. x Administrative Data Mail Addrs: 2688 OSWELL ST City: BAKERSFIELD Comm Code: 215-008 BAKERSFIELD STATION 08 24-Hour Phone- (~) ~ - 'Owner: ZAID DUGUM Address: 5901 AUBURN City: BAKERSFIELD D&B Number: 15-134-3530 State: CA Zip: 93306- SIC Code: 5541 Phone: (805) 872-0122 State: CA ~ Zip: 93306- Summary reviewed Ih~ a~tached, hazardous ma~i~Is manag~ ( ~usine~) -- ~Y ~rr~ions cons~ute a comp~e and c°rre~ 04/27/92 OSWELL B P SERVICE #11160. 215-000-001107 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 2 02-001 R~AR3JNLEADED GASOLINE · Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS #: 8006-61-9 'Trade Secret: N° Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL 12,000 Daily Average GAL 6,000.00 AnnUal Amount GAL -- · 39,150.00 Storage UNDER GROUND.TANK Press T Temp IAmbient/AmbientlNE OF BLDG Location --.Conc 100.0% IGasoline Components MCP List I ModerateI -- Notes 02-002 UNLEADED PLUS 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 10,000 I Daily Average GAL 5,000.00 Annual Amount GAL 15,600.00 Storage UNDER GROUND TANK Press T Temp IAmbientlAmbientlNE OF BLDG Location -- Conc 100.0% IGasoline Components MCP iList Moderate -- Notes 04/27/92 OSWELL B P SERVICE #11160 215-000-001107 02 - Fixed Containers on Site Hazmat Inventory DetaiI in Reference Number Order Page 3 02-003 SUPER UNLEADED GASOLINE · Fire, Immed Hlth, Detay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Form: Liquid Type: Pure Daily Max GAL 10,000 Storage UNDER GROUND TANK -- Conc 100.0% IGaSoline Trade Secret: No ~ Days: 365 Use: FUEL Daily Average GAL 5,000.00 Press T Temp I.Ambient[AmbientlNE OF BLDG Components Annual Amount GAL m 23,490.00 Location MCP List ModerateI -- Notes 02-004 WASTE OIL · Fire, Delay Hlth Liquid GAVEL0 Low CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL Storage UNDER GROUND TANK - conc 100.0% Daily Average GAL Press 'T Temp I Ambient[Ambient IW OF BLDG Annual Amount GAL -- 5,000.00 Components. IWaste Oil, Petroleum Based Location MCP Low List -- Notes 04/27/92 OSWELL B P SERVICE #11160 215-000-001107 02 - Fixed containers on Site Hazmat Inventory Detail in Reference Number Order Page 02-005 MOTOR OIL · Fire, Delay Hlth Liquid' 70 Minimal GAL CAS #: Form: Liquid Type: Pure Daily Max GAL 7o I Trade Secret: No Days: 365' Use: LUBRICANT Daily Average GAL r Annual Amount GAL 35.00I 780.00 Location Storage Press T Temp METAL CONTAINR-NONDRUM AmbientlAmbientlW OF BLDG -- Conc~ Components 100.0% IMotor 0il, Petroleum Based MCP iList Minimal -- Notes 04/27/92 OSWELL B P sERVICE #11160 215-000-001107 00 - Overall Site <D> Notif./Evacuation/Medical Page 5 <1> Agency~Notification CALL 911 <2> Employee Notif./Evacuation ~VERBAL NOTIFICATION BY MANAGER AND CALL 911. <3> Public Notif./Evacuation VERBAL NOTIFICATION BYMANAGER OR EMPLOYEES <4> Emergency Medical Plan KERN MEDICAL CENTER - 1830 FLOWER ST - 326-2000. FIRE DEPT AND PARAMEDICS - 911 04/27/92 OSWELL B P SERVICE #11160 215-000-001107 00 - Overall Site <E> Mitigation/Prevent/Abatemt .Page <i> Release Prevention · UNDERGROUND TANKS. MONITORED DAILY. CALL CO. NO SMOKING SIGNS. WIPE UP WITH RAGS. <2> Release Containment <3> Clean Up <4> Other Resource ActiVation 04/27/92 oswELL B P SERVICE #11160 215-000-001107 00 - Overall Site <F> Site Emergency Factors Page 7 <1> Special Hazards <2> Utility Shut-Offs A) GAS - SOUTHWEST CORNER OUTSIDE BUILDING B) ELECTRICAL - NORTHWEST CORNER WALL IN LUBE BAY C) WATER - METER BOX ON FRONT SIDEWALK ON OSWELL ST D) SPECIAL - EMERGENCY PUMP SHUT-OFF SOUTHEAST CORNER OF BUILDING E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS AND WATER HOSES ARE PROVIDED. FIRE HYDRANT - ON OSWELL ST ENTRANCE TO EAST HILLS SHOPPING CENTER. ALSO, ACROSS OSWELL ST FROM STATION. <4> Building Occupancy Level 04127/92 OSWELL B P SERVICE #11160 215-000-001107 00 - Overall Site - <G> Training Page 8 <1> Page 1 \ WE,~AVE"~ EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: VERBAL EXPLANATION OF COMMON BUSINESS PROCEDURES, EMERGENCY PROCEDURES, SPILL MITIGATION AND USE OF FIRE SUPPRESSION EQUIPMENT. <2> page ~2 as needed <3> Held for Future Use <4> Held for Future Use BakerSfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 RECEIVED '.JUN 0 8 1990 HAZ. MAT. DIV. HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1, To avoid further action, return this form within 30 days of receipt. 2. TYPE/P~INT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as o whole. 4. Be brief and concise as PosSible. SE.~OTION 1' BUSINESS IDENTIFICATION DATA BUSINESS NAME: '_____ BP Oil Facility #11160 LOCATION: 2688 Oswell Street MAILING ADDREss: Same CITY: Bakersfield DUN & BRADSTREET NUMBER: PRIMARY ACTIVITY: OWNER: "' ' ' MAILING ADDRESS: STATE' CA ZIP: 93306 PHONE: 805_872 ~_~I~ 5500 15 134 3530 SiC CODE: Retail Gasoline Sales SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BP 24 flour ]~nergenc¥ # BUS. PHONE 805-872-0122 24 HR. PHONE 1-800-321-7302 Hazardous Materials Div'~n RDOUS MATERIALS MANA~ :"MENT PLAN SECTION 3:, TRAINING: NUMBER OF EMPLOYESS: 5 MATERIAL SAFETY DATA SHEETS ON FILE: Y BRIEF SUMMARY OF TRAINING PROGRAM' Verbal explanation of common business procedures, emergency procedures,, spill mitigation and use of fire suppression equipment. 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 FOLI:OWlNG REASONS: WE DO NOT HAI~DLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS. BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: "- ' -- ~-- ......... 2, ~, ~U, GULI~ CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURAIE. I UNDERSTAND THAT THIS INFORMATION WILL BE USF. D 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 INFORMAIION CONSTITUTES PERJURY. ]G~~A~U ~'~,~,.R E~~ ,,'"$, Dealer ' S TITLE DATE Hazardous Materials DiviS~ HAZARDOUS MATERIALS MANAGEMENT PLAN Facilih/Unit Name:' SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: AGENCY NOTIFICATION PROCEDURES: · 1 ) Call 911 2) Call BP' 24 Hour ~mergency #1-800-321-7302 B0 EMPLOYEE NOTIFICATION AND EVACUATION: I ) Verbal notification by manager 2) Call 911 C0 PUBLIC EVACUATION; Verbal notification by ,manager or employees. EMERGENCY MEDICAL PLAN: Numbers for Kern Medical Center and Emergency Paramedics posted. CITY of BAKERSFIELD HAZARDOUS MATERtALS TNVENTORY farl ,nd Agriculture ri Standard Business [] ., '?--;W R-.~.'~:~-E. "S'~ c R E T S ~ · Page 'SINESS NAHE' ~ Oil Facility #11160 OWNER NAME' :Zk~ '~M: (~o~ NAME OF THIS FACILITY: ~$~J~'~-~,~- nOD ES ' '"- .~o_ . '~ ~ ST NDARD HD CLASS COD~'~$O0 iC^¥]O,(:Ty. ZIP: ~-~sz3.e-c~26B§-oswez± street~ '~3306 'CTTO. [JEp~?~'i£r~ ~ ~Ju~ DU~ ^ND BA~DbT~EF~T H~JH~BEI~ ~ ~ n {ONE fl: (~Ob) ~/Z-OZ]] REFER PHONE fl:TO~T~c/~uNu~n~v~-~322 ~uK ~RDP~ CODES : ~-~ ~-~ ~ ~ 4 5 ~ I ~ 10 '!1 I~ - ~l~y Hames of ,ixturelCem~onen~s r~ns !~e ~ax Averpge Annual ~easura I ~ont ~ont ' ~ont ~ta Location.Where cone xmt kmL Est .. Units on e mype tress /emp ... Stored IA facility See instruct~ons 1~ I~o, ooo ,.~oo~' ' h~-,~oo I ~1 ~ I o~ I ~ ! ~ I~ I ~'~" °~ ~~. ~~ ~o~ hvsicAl and Health Hlzlrd CJL,S, Humber 8006 6~ ~ Component II Nile & C,X,S, Humber ICheck al/ chit applyj . ~ '" Component It~ Nlme I C,X,S; Humber Fire Hazard ['1Rlactivit~ ~ Deilyed n Sudden Release t1 lmmedlete Hea/t~ of Preiaure Health .- · Component la Naia ~ C,X,$, Number . ..- I ~ I ~'°°°t-~°oo I~o I~1 ~ ~1: o~ I ~ ! ~ I~ I ~'~" °~ ~~ ~~ ~o~ 'hYsicll ind Hellth Hleard C,X,$, Number 800~ 61 ~ Component I! Hall & C,X,S, Numblr CompoAIAL I~ NIle & C,X,So Number Fire Hazard I'1 Relctivtty ~ Dahyed l'1 Sudden Release I'1 immediete HealtL of Pressuro Hemltb , Colponent la Name I C.A,S, Number I~ I ~o,ooolsooo I~.',:~o I' 1 ~ I o~!~ [~ I~ I"-~'. o~ ~l~g ~.~ ~e~ ~oli~ ~hysic~l Ind Health ~lNrd C.X.S. Humber 8006 61 9 ComponeBC II Jlm~ I C.X.~. Humber IChec~ ~11 thlC Ipp/H .-/; Component 12 hmo I C.A.a. Number Fire Hizlrd ~ Rlictivity ~ Oellyed ~ Sudden Releise ~ Immediate Health of Pressure HlliLh Component 13 Hill I C.L,S, Number ~~poo :~. !~1 ~ I o~ I~ !. I.~ I~e~o~~"~ :~o~ Phy~JcII Ind Hlllth Ulllrd C.X.S. kulbl~ Coiponefl~ I1 Kill I C,A.S, Humber COlpOnlnt Kill Nulblr Fire Hazard ~ Reactivity ~ Belayed ~ Sudden Rehm ~ iuedht~ Health of Prei~uri Health Compoflmflt i~' M~i~ I C,A.S; Number 'EMERGENCY CONTACTS #1~'~ Z.~. ~L~¢~(~) De~e~ (800)321-730~2~ 24 Hou~ ~me~ge~c~ #1-800-321-7302 KiBe 11~h z4 Hr PAOAI ';' Nail lltil 'er~ifi atio Re and f'n a£ r corn ; Cf g 11 c fons .; . ..' ?.', .... ~ .,~,!, .3..,,,,~, o'~'F..,, ,~,,~p,,.,~,V,,,,,,.~.f,,~,.,,¢,~ ..ff~,%0,.t!...,.,d t, t,t,.,,d ,,,~. ;cLacked doc. Befits 1fl4 tbit based on my inquiry Q! those Individuals responsible for Obtlinlng Toe ioformlcion, I believe thlt the ivbAILted InToruatlofl la true, iccurito, lfld coJplete. ..<... : ? .. ,....... ~lic$l~[itle ol o. nerlopera[or-u~ o~ner/opera~or's autnorlzeo reoresantltlve ~lgna~ure · '~ See ins~U~ns on FORM C Receipt, Sales & Over,es ~or~sheet Total Daily R~eipts ~ive~es) (Gallons) Daily Overage (Sho~ge) (Gallons) 'Fuel 2 Actual Tank Inver~tory Rogufa; Unleaded li:b<julat Leic~od/l=lus Unleaded I~e.mium Tank ! Al I Tar~ 1W&to~ A~ON:.Mm Oirlflct OffSee pee~ptfy If sho~uge ezceeds I/~% of ~a~jhm.-r, o~ 300 galk~s, o~ if peu'otmdm odoe m, free p~xfuct la Monitorin? Well Check WelLt Well Tes~d (~eir 1~.~' Oete~ocl IF~I PFla~Uc~ ~ Well ff~lo, of Incflesl Damer's ~grunae (il 842Plica~e) loam oi ~ew Station # Location BP AmeriCa. Meter Reconciliation Sum~ y Supervisor/Sales Rep __ I~ulit Rut Unleaded/ Total ~a ~ie~ ~W ~aN ~le~. ~e~i ~mmen~/ ~o~ ~~~ ".. ~ ~ '". ~t~ . ~l :' · White: P~ It Sta~ofl .YeliovA. ~up~qns¢~'/~aJea Represeflta~ve .. See ins~uO=ons on reverse side. BakerSfield Fire Dept. HAZARDOUS MATERIALS DIVISION Business Name: Location: Business Identificatio~ No. 215-000 Station No. ~ Shift Comments: Number of Employees Date Completed · RECEIVED . (Top of Business Plan)- Inspector Adequate Verification of Inventory Materials Verification of Quantities Verification of LoCation Proper Segregation of Material Inadequate .DEC U'6 1990 HA7 ~4AT. PlV. · / Verification of MSDS Availablity U Verification of Haz Mat Training ~'/ Comments: Verification of Abatement Supplies & Procedures Comments: Emergency Procedures Posted Containers Properly Labeled Comments: Verification of Facility Diagram Special Hazards Associated with this Facility: Violations: Business Owner/Manager FO i652 (Rev. 1~9o) ' CorrectiOn Needed ~] Whi~e-Haz Mat Div. Yellow~-Station.C°py ' Pink-Business Copy 1700 Flower Street Bakersfield, California 93305 Telephone (805) 861-3636 I NTERI }4 PER'II "TO OPERATE : ~==7~:U:ND ER G:R0 UND=:HAZ A.R D 0 U S~'~:S~U B'S'T~ N:CE:S STORAGE FACILITY '~'. KERN COUNTY HEALTH DEPARTMENT' HEALTH OFFICER Leon M Hebertson, M.D. .-. ENVIRONMENTAL HEALTH DIVISION - ~ DIRECTOR OF ENVIRONMENTAL HEALTH " Vernon S. Relchard ?E~~ P E RMI-T'~ 0 9 0 0'0'7'C . EXP T RE S = A~RTT. l, 1990 i ;!.'i '~. ; ' · MIT-CHELL' S MOBIL SERV. #14-207 ~ 'i.. ~'-MOBXL' OIL :COMPANY , "i'i~':i '. -~" .~',,: 2658 0SWELL STREET .... ~...=~ :,.'..-,~.,'. 2,~.:-.:~:~i'~;~,1 '/~'../?,.~ ~:(~P .o....~,-eOx , 2122 ', : ' ~'.':' NOTE: 'ALL"iNTERIM REQUIREMENTS E$TABLISHED BY THE PERMITTING ,* ~ ~ .~ '.'~: ...' ~'.=.' 'a &UTHORITY MUST BE MET DURING THE TERM OF .THIS PERMIT NON--TRANSFERABLE ***' 'POST ON PREMI SES TRANSMi~'~AL SLIP Dat ... For Your' // ' / I r-I $ignat~Jre [] Action /~'lnformation !'-1 Fi e Please:-- [] Return [] See Me [] Follow Up [] Prepare Answer Copy to: ......................................................................................................... Memo: .............. ~ .............................................................................. BUbK TRANSFER (BuSiness) BUSINESS NAHE ,,~,.,~ox. ,,.~.~ o~ .~=,,,s=,, ~ '7'-/9-90 BY · /"~A TH'~ {N~0 TI'ON IS TAKEN FROM TItI'; DAILY REPOI~T. AND SllOUbl) BE v sr~t:~isD pR~;OR TO.ANY C'HANGES. ! DISTRIBUTION: Sanitation Wastewater Business bicenses' .Mobil Oil'Corporotion J AI~Jt AX. Viit(';IrltA 2203~ March' t5, 1990 CITY OF .BAKERSFIELD P.O BOX 2057 BAKERSFIELD, CA. 93303-2057 Gentlemen: This'is in' reference to the attached statment of account for 561-11102, located at 2 Oak Street, Bakersfield, California. on June 12, 1989, .I wrote a similar letter to you indicating that this unit is no longer affiliated with Mobil Oil Corporation. all_.'~e~i'o~'~'.~6b~l~Oii-~orP0r'~ti0n-~Servi~'s~tfoh ldcat~on~-in [~he Bakersfield a~a--are now under British Petroleum Corporation Co~.' Any future Correspondence regarding these previous M6bi-l'~Oil Corporation locations should be directed either to the station or to British Petroleum. I am returning this for your disposition. rlm/ attach: Sincerely, D. Hightower Budget SupervJ ~or HOBIL OIL CORP. CF'-%'A CITY o/ BAK£3SFIELD "Hx£ C,q R_F" (t,vue or prin% name) Do hereby cert~ ~-- ' _z~ that I have reviewem the RECEIVED FEB 2 § 1989 HAZ. MAT. DiV. attached'Hazardous Materials business plan for (name of business) and that it along with the attached additions corrections const'~ ~ z~u~e a complete and correct Business Plan for m,v facilit.v. /~- signanur.e date q BUSINESS NAME MITCH~ MOBIL SERVICE LOCATION ZG88-OSWELL ST ID N~R 215-'0~-~1 i.07 HIGH HAZRRO RATING Z 1. OVERVIEW LAST CHANGE 10/07/88 BY ESTER JURIS CODE ~1S-~8 JURIS BAKERSFIELD STATION 88 MAP PAGE 103 GRID 22B ......... F~ctr[.-rT~.-UNrTS i HAZARD RATING Z RESPONSE SUMMARY Z~ SEC 4> FIRE EXTINGUISHERS, W~TER HOSES AND EMPLOYEES. EMERGENCY CONTACTS ZA SEc Z) TOM BIRDWELL - 872-0Zll OR W~YNE VIELLETTE - 872-0122 OR ~GG-421Z UTILITY SHUTOFFS 2A SEC ~) GAS - SW CORNER OUTSIDE BLOG B) ELECTRICAL - NW CORNER WALl. IN LUBE BAY C) WATER -. METER 80X ON FRONT'SIDEWALK ON OSWELL ST D) SPECIAL - EMERGENCY PUMP SHUI'-OFFSE CORNER OF 8LDG E) LOCK BOX - NO NOTIFICATION / PUBLIC EVACUATION LAST CHANGE / / BY < NO INFORMATION RECORDED FOR 'THIS SECTION > PAGE I 12/19/88 11:S3 MATERIAL SAFETY DAT'~ SYSTEMS, INC. (80S) 648-6800 NAME MITCHEI MOBIi.. SERVICE BUSINESS LOCATION Z688 O§I'i~ELL ST 3, H~Z MRT TRRININ6 SUMMARY ID NUIR Z15-OOO-OOllO7 HIGH HAZARD RATING Z LRST'"C~RNGE / / BY < NO INFORMATION REC'ORDED"FOR'THiS SECTION > 4. LOC. AL EMERGENCY MEDICAL. ASSISTANCE ..... ' ~"LAST CHANGE t0/07/88 BY ESTER SEC S) KERN MEDICAL CENTER -' '1830"~-lZOWER ST - 32G-2~ FIRE DEPT Rf,ll]"P'AR~MEO][CS ........... -. 9'iJ P~GEZ lZI1B/88 11:53 MRTERI~L'S'~FET¥"ORT~"SY-STEMS,"rNC'. (805>'-"6~B-GB00 .... BUSINESS NAME MITCHEO MOBIL SERVICE LOCATION 2688 O~WELL ST FACILITY UNIT 0} ID' HIGH HAZARD RATING Z OVERALL HAZARDOUS MATERIALS INVENTORY IZRST"'C~tNGE"l"OTq}?/88 BY ESTER ..ID TYPE NAME LOCATION ......... C.ONTA, iNMENT-~ PURE REGULAR UNLEADED'G~SO[INE NE (DF 8LCK~ UNDERGROUND TANKS MAX AMT UNI'F HAZ~IRO USE GAL HIGH FUEL PERCENT COMPONENTS PURE REGULAR.LEADED GASOLINE NE OF 8LDG UNDERGROUND TANKS ID PERCENT COMPONENTS 1182.00 t~0.0 GASOLINE ~L FUEL PURE SUPER UNLEADED GASOLINE NE OF BLDG UNDERGROUND TANKS ID PERCENT COMPONENTS . 1~8Z.00 100~0 GASOLI'NE PURE WASTE OIL W OF BL. DG ID PERCENT COMPONENTS 1598.00 100.0 WASTE 0I[ ~JNDERGROUND TF~NK'S PURE' MOTOR OIL W OF 8LDG ID PERCENT COMPONENTS Z808.~ 100.0 MOTOR OIL METAL. CONTAINERS .HAZARD LIST HIGH HIGH HAZARD LtS'F HIGH HIGH FUEl_ ~L wASTE HAZARD LIST HIGH UNKNOWN HAZARD LIST UNKNOWN 70 GAL UNKNOWN LUBRICANT HAZARD LIST UNKNOWN PAGE 12/19/88 MATERIAL SAFETY DATA SYSTEMS, INC. ('80S) G48-G800 BUSINESS NAME MITCHEt LOCATION ~BBB Ol MOBIL SERVICE L ST FIRE PROTECTION / WATER SUPPLIES I0 HIGH HAZARD RATING Z LAST CHANGE t0/07/88 BY ESTER SEC 4') FIRE E>(TINGUISHEIRS'~'AN1]~ATER-'ROSES"'~RE'~ROVIDED FOR FIRE PROTECTION. SEC S) FIRE HYOR~NTON"OST~E['U- ST"ENTt~AI~CE'~'TEX' E~ST'HILLS SHOPPING cENTER. ALSO, ACROSS'OSQ1ELb'ST-'FROM"'S~TI'ON. -'' - ..... O. E~PLOYEE NOTIFICATION / EV~CO~TTON .... '~ ' "[RST"CH~NGIE'"F070~/88 BY ESTER 3A ~EC Z) VE:RB~L NOTIFICATION'BY MANAGER AND C~LL PAGE 4 MATERI~tL SAFETY'O~tT~t'""SYSTEMS ;' SNC'.~ -< 805) G48rB800 1Z/lB/88 BUSINESS N~ME MITCHE _~J~MOBIL SERVICE LOCBTION ZB88 OSWELL ST E. M!TIG~TION / PREvENTIoN/ ~BRTEMENT I0 NU~ 2}S-O00~OO~O'7 HIGH H~ZGRO' RATING 'LRST"-CFI~NGE '10t07!88 BY ESTER SEC I> UNDERGROUNT TANKS. WITH RAGS MONITORED DRILY. NO SMOKING SIGNS. WIPE UP PAGE S MA'¥ERIRL SRFETY.DRT~ SYSTEMS, :[NC. (805) 648-6800 1Z/lB/88 11:53 BAKERSFIELD CITY FIRE DEPARTi~NT 2~o "~" STREET BAKERSFIELD, CA 93301 (805) 326-3979 /~~,~'~ RECEIVED . '~?~o~? ~NOV 9 1987 OFFICIAL USE ONLY '" ~A.ou ............. BUSINESS NAME DO, JO7 HAZARDOUS MATERI ALS BUS I NESS PLAN AS A WHOLE INSTRUCTIONS: 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 B', LOCATION / STREET ADDRESS: ~ Y ~ ~-~ ~J ~"//' Y"~-'' CITY: '-'~/,%",_~f(~[.- ZIP: 9~4 BUS.P,ONg: ~a~Z~'~/~ SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or'threatened release of a hazardous material, call 911 and 1-800-852-7850 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. EMPLOYEES T0 NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE . DURING BUS. HRS. 'AFTER BUS. HRS. SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WROLE B. ELECTRICAL: ~, /af~V~ .~m~irf~ zx)~// ~/,~ A~ 6E .~A~ C. WATER: ~~R' ~ ~5~ 71 .~, D. SPECI'AL: ~~,-~~-~~-~F~ E. LOCk ~OX':'"YES /~ IF YES~ LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? FL00R PLANS? YES / NO MSDSS? YES /.NO YES / NO KEYS? YES / NO SECTION !4:!.:PRiV~ 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 REQUI~ED TO HA~E A ~ROGRAM"wHiCH PR0~iDES'EMPLOY~$'WlTH INITIAL AND 'CIRCLE YES OR.. NO INITIAL A. METHODS FOR S~FE HANDLING OF HAZARDOUS MATERIALS:...- .................................... ~ NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: ............ .............. NO C. PROPER USE OF SAFETY EQUIPMENT: .................. ~ NO D EMERGENCY EVACUATION PROCEDURES:.... .............. NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES SECTION 7: HAZARDOUS NATRRIAr. ~REFRESHER YES '~ YES~ YES .YES YES NO, CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN<S00 POUNDS, OF A SOLID,. 55.. GALLONS. , .OF A LIQUID, OR 200'~UBIC FEE~ OF A COMPREssED GAS'~. ~ NO , - -, - , . _~~--~ , y that the above ~nformat~on ~s ' i · . . . . accurate. _~oerstan~ that this lnformatzon.w~ll be used to fulfill my firm's obligations under time new California Health and Safety code on Hazardous Materials (Div 90 Chapter 6 95 Sec. 25500 Et Al.) and that inaccurate information constitutes perjury. TITLE BAKERSFIELDCITY FIRE DEPARTMENT" 2130 "G" STREET 'BAKERSFIELD, CA 93301 BUSINESS NAME: OFFICIAL USE ONLY ID# BUSINESS'PLAN SINGLE'FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS :IN ENGLISH. 3 Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF_and CONCISE as .possible. .. FACILITY UNIT# FACILITY UNIT SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES SECTION 2: NOTIFICATION AND EVACUATION PROCEDb~ES AT THIS UNIT ONLY - 3A - SECTION S: HAZARDO~iMATERIALS FOR THIS'UNIT ONLY · A. Does t:his Facility Unit contain Hazardous Materials? ...... ~ NO If YES, see B. If,NO, con. tinue with SECTION 4. B. Are any of 'the hazardous materials a bona fide Trade Secret YgS O 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 form marked: TRADE SECRETS. ONLY (yellow form'#4A-2) in addition to the non-trade · .~secre.t fol~m. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE E!RE PROTECTION SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDER,~ ..SECTION 6: LOCATION OF UTiLI!5' SHUT-OFFS AT THIS UNIT ONLY, B. ELECTRICAL: C, WATER: F D. SPECL~L: E. LOCK BOX': YES ./~!? YES, LOCATION: IF YES, SITE PLANS? FLOOR PLANS? YES / YES ./ NO MSDSs? KEYS? YES / NO YES / NO - SB - NON--TRADE SECRETS HAZARDOUS .MATERI ALS ! NVENTORY ADDRHSS:~~ '~~//' ~. -- ADDRESS: - CITY, ZIP: ~%fY~l~, ' '~0~ cITy,zIP: FACILITY ILITY UNIT NAME: Page / of / UNIT i#: ,, OFFICIAL .USE CFIRS eODE [ ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT 'USE LOCATION IN THIS ~; BY HAZARD ,CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT MT. CHEbII~AL OR COMMON NAME CODE GUIDe; D.O.T EMERGENCY CONTACT: TITLE:_-./~i~_ PHONE # BUS HOURS :~X~d/~)~_ ~/[~_,,~ AFTER BUS HRS: ~1-/~ ' ' EMERGENCY CONTACT: TITLE: PHONE # BUS HOURS:- ' -' PRINCIPAL BUSINESS ACTIVITY: AFTER BUS HRS: "'~-x..' - 4A- 1 - FILE CONTENTS INVENTORY Permit to Abandon # Permit to Construct # Permit to Operate Application to Abandon Application to Construct ........ = ....... ~_z~=App~ica~ion:to Opgrate_.. Amended Permit Conditions " Annual Report Forms of Tanks Tank(s) Tank Sheets Date Date Date Date Plot._Plans._ · Copy of Written Contract Between Owner.& operator ................. ._~. ........ Inspection.~Report% Correspondence ~ Received Date Date Date Date Date Correspondence - Mailed Date Date Date Date Date .Unauthorized Release Reports. Abandonment/Closure Reports Sampling/Lab Reports MVF Compliance Check (New Construction Checklist) STD Compliance Check (New Construction Checklist) MVF Plan Check (New Construction) STP Plan Check (New Construction) MVF Plan Check (Existing Facility) STD Plan Check (Existing Facility) "Incomplete Application" Form Permit Application Checklist Permit Instructions Discarded Tightness Test Results Monitoring Well Construction Data/Permits Date Date Date Environmental Sensitivity Data: Groundwater Drilling, Boring Logs Location of Water Wells Conduits ~S. ta,tem~.nt~..o~P~d, ergro~p~ .................................................. Plot Plan Featuring All Environmentally Sensitive Data Photos Construction Drawings, Location: Miscellaneous ~Oo'~ ~£'~ P~ ~ ~tD~ ~W ,PrO - KERN COUNTY IIE. AL?H DEP.AR~NT DIVISION OF ENVIRONNENTAL HEALTH 17oo PLO~ER STREET. BAKERSFI£~D. CA' 9S305 (805) 861-3836 APPLICATION FOR PERMIT FOR PER)~ENT CLOSURE/ABANDONMENT OF U~ERQROUND HAZ~DOU$ SUBST~kl~TCES $TOI~QE FACILITY THIS'~PLICATIONIS~R ~'~RENOVAL. OR 'DABANDON~ENTINP~CE (FI~O~O~PLI~TI~ ~ PROJE~ ~A~ JPHONE ~ ISgC/T/R (RURAL LOCATI~S ~LY) · ~- Anthony J. Carrillo I.mm~_(714)824-9878 FACILI~ NANE ~DRESS I ~E&RES't C~OSS ST~E~ Mobil Oil S.S. #11-GBD 2688 Oswell i Hwy. 178 OWNER ~DRESS PRON£ Mobil ~il Corporation 3800 W. Alameda Ave. ,#700 (818)953-2608 .HENICAL CONPOSITION OF NAIF. RIALS STORED ~ ~ /~.W]~9~ ~. un±eaoe~ , -, :' . ~ Same u ~ 3 ~ .~0 Unleaded -- 4 . ~ waste oi~ %-.. ~6 I Hydro Carbons : .,.~?' ,~' ,~.,, .':.__:.._~'7dj~:~:.r~,:~,~2~kh;,~::~v,::'.,.~ .... -:%~.:.~, ',. ,. ,~:~. ,;~k.,~a,.~LLay,i,,-~r~d~Z~,~ ~,%,. . ., a&s Piping I 1946 ~. Occidental ':78~20~88 · I 408337 10327858-88. IState Fund PRELININARY SITE ~S~S~ ~T~R ~D~S PHONE R&S Piping 1946 E. Occidental ~ (714) 558-0306 032~858-88 S~a~e Fund ( ) - ~RA~aY ~T MILL ~LnE ~ , ~DR~S (pot"- IIlIP-14O ) (FILL OUT 5EPARAT;: FORM POk ~ACI-I TAN____~K) FOR EACtl SECTION, CHECK SLL API'ROPRI-ATE BOXES a. 1. Tan___~k.ip: [-]Vaulted '~'Non-Vaulted ~Doublei!.lall [] Single-Wall 2. Tank Material [~ Carbon Steel [] Stain]ess Steel ~ Polyvinyl Chloride ~ 'Flberglaaa-Clad Steel ~ Fiberglass-Reinforced Plastic ~ Concrete ~.Aluminum ~ Bronze ~ Unknown 8. Prlmar~ Containment ,Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer ~. Tank Second~ Containment ~ Dou'ble-~all ~ S~nthettc Liner ~ Lined Vault ~ None ~ Unknown D. }Other (describe): Manufacturer: O~m~ 'Material ~,~6~xx Thickness (Inches) Capacity (Gals.) 8.'Tank~.lgte~ior LlninK ~- Rubber ~ Alkyd ~Epoxy ~Phenolie ~ Glass '~ Clay ~ Unlined ~ Unknown ~ :Other (describe): 8'r'-'Tank'Corros'l-on--Protectlon ............................................................. . ......................................... _ ..... ~ ....... : .............. ~ ........... ~ Galvanized ~FlberMlass-Clad ~ Polyethylene Wrap ~ Vinyl Wrapping ~ Tae or Asphalt ~ Unknown ~ None ~ Other (describe): ........ Cathodic Protection: ~ None ~ Impressed Current'Sgstem ~ 'Sacrificial Anode System ~ Deaortbe System'& Equipment: 7. Leak Detection, MonitortnK, and Interception a. :Tank: ~ Visual (vaulted tanks only) ~ZGround~ater MonitoPin~ Well(s) ~ Vadose Zone Monitoring ~ell(s) ~ U-Tube ~ithout Liner ~ U-Tube ~ith Compatible Liner Directin~ Flo~ To Monitdrinff ~ell(s}* ~Vapor Detector *~ Liquid Level Sensor* ~ Conducttvit~ Sensor* ~ressure Sensor In Annular Space Of Double ~all Tank-*'~t)~o&~. ~ Liquid Retrieval & Inspection From U-Tube, Monitoring ~ell.Or Annular' Space ~'Daily Gauging & Inventory Reconciliation ~ Periodic Tightness Testing ~ None ~ Unknown ~ Other · b. Plpin~: ~ Flo~-Reskricting Leak Detector(s) For Pressurized Piping· " ~ Monitoring Sump ~ith Race~ay ~ Sealed Concrete Race~ag ~ Half-Cut Compatible Pipe Raceffag ~ S~nthetic Liner Raceway ~ None ~ Unknown ~ Other ' 8. ~ank Tightness Has This Tank Been Tightness Tested? ~ Yes ~ No ~Unknoffn Date Of Last Tightness Test Results Of Test Test Name Testing Company 9. Tank Repair Tank Repaired? ~ Yes ~No ~ unknown Date(s) Of Repair(s) Describe Repairs -- 10. Overfill Protection ~ Operator Fills,'.Controls, & Visually Monitors Level '- ~ Tape Float Gauge ~ Float Vent Valves ~ Auto Shut-Off Controls ~ CapaCitance Sensor ~ Sealed Fill Box ~ None ~}Unknown ~- ~ Other: C.~. I ~//M~k~oX ~~ List Make ~ Model For Above Devices a. Underground Piping: ~ Yes ~ No Unknown : Thickness (inches) Diameter ~ "~ ~ Manufacturer~,~a ~ Pressure ~Suction ~ 6rarity Approximate Length Of Pipe Run b. Underground Piping Corros~ion Prdtection: ' ~'~-G~fq~Iff~'H ..... ~Fiberff}ass~Clad .... ~-Impressed..Current ~-:~-Sacnif. icial'Anode ~ Polyethylene Wrap ~ Electrical Isolation ~ Viny'l Wrap ~Tar or Asphalt ~ ~ Unknown ~ None . ~. Other (describe): c. ~ Underground Piping, Secondary Containment: ~ Double-Wall ~Sgnthetic Liner System ~ None ~ Unknown Permit No. TANK # .~--¥ / (FILL OUT SEPARATE OP,? ..FO~___a, SACII %ANK) FOR EACII SECTIOn, UIIECK ALL APP!'.: Pq~'ATE BOXES . H. 1. Tank is: i'[] VaUlted ~Non-Vaulted [] gouble-W:~ll [] Singl~-Wall ~" 2; Tank Material i/' [~ Carbon Steel '[] Stain]ess Steel [] Polyvinyl chloride [] 'Fiberglass-Clad Steel ~ Fiberglass-Reinforced Plastic ~ Concrete ~ Aluminum ~ Bronze ~ Unknown '.. 8. Primary C6ntatnment ' ~.. ,Date Installed Thickness (Inches) Capacity (Gallons) Manufacture~ [' 4. Tank Secondary Containment ~. ' ~ Double-Wall ~ Synthetic Liner ~ Lined Vault ~ None ~ Unknown ~'" ~ Other (describe): Manufacturer: ~ Material ~M~F~S~ Thickness (Inches) Capacity (Gals'.) . ~ Rubbes ~ Alkyd ~ Epoxy ~ Phenolic ~Glass ~' Cla~ ~ Unlined ~ Unknown ~ Other (describe)k ~ ~ Balvanized ~Fiberglasa-Clad ~,Polyath~lene Wrap ~ Vinyl ~rapptng ~ Tar or AsphaLt ~ 'Unknown ~ None ~ Other (describe}: .: Cathodic Protection: ~ None ~ Impressed Current System ~ 'Sac~iftciai Anode System '. · ?. Leak Detect,on, Monitoring, and Interception . a. Tank:~ ~ Visual' (vaul%ed tanks only) ~ Groundwater Monitoring Well(s) ~ Vadose Zone Monitoring Well(s) ~ U-Tube Without Liner . ~ U'Tube with Compatible Liner Directing Flow To Monitoring Well(s)* ~ Vapor Detector'*~ Liquid Level Sensor* ~ Conductivity Sensor* ~ressure Sensor In Annular Space Of,Double Wall Tank.i*'~~M ~ Liquid Retrieval & Inspection From U-Tube, Mon.itorin~ Well Or Annular' Space ~ Daily Gauging & Inventory Reconciliation ~ Periodic Tightness Testinz ~ None ~ Unknown ~ Other b. Piping: ~ Flow-Restricting Leak Detector(s) For Pressurized Piping* ~ Monitoring Sump With Racewa~ ~ Sealed Concrete Raceway. ~ Half-Cut Compatible Pipe Raceway ~ Synthetic Liner Raceway ~ None ~ Unknown ~ Other 8. Tank Tightness Has This Tank Been TtMhtness Tested? ~ Yes ~ No ~Unknown Date Of Last Tightness Test Results Of Test , Test Name . Testing Company 9. Tank Repair Tank Repaired? ~ Yes ~No ~ Unknown - Date(s) Of Repair(s) Describe Repnlr~ 10. Overfill Protection ' ~ Operator Fills, Controls, &'Visually Monitors Level '- I '~ Tape Float Gauge ~ Float Vent Valves ~ Auto Shut-Off Controls' ~ Capacitance Sensor ~ Sealed Fill Box ~ None ~Unknown ~ Other: List Make & Model For'Above Devices '" a. Underground .Piping: ~Yes ~ No ,, ~ Unknown ~' Material Thickness (inches) Diameter. 2 ~74 ~6 Manufacturer ~,~ ~ 'Pressure ~Suction ~-Gravity Approximate Length Of Pipe Run ~o~ b. Underground Piping Corrosion Proteotton: "~-~Galvanized .... ~Fibergtass-C~d=~-%mpressed-.Current ...... ~ Sacrificial. Anode ~ {Polyethylene ,Wrap ~ Electrical Isolation ~ Vinyl Wrap ~Tar or Asphalt ~ lUnknown ~ None ~. Other (describe): : c~. Underground Piping, Secondary Containment: ~ 'Double-Wall ~S~nthetic Liner System ~ None. ~ Unknovn ~ Other (describe): ~~~ ~,~ ~~~.) TANK # · ) (FILL OUT SEPARAT;': FORM FOR EACH TANK) S..ECTION. ^L', BOXES 1. Tank i_As: []Vaulted ~['Non-Vaulted ~Double-!-;all [] Single-Wall 2. Tank Material '[~ Carbon Steel [] Stain]ess Steel [] Polyvinyl ChlGride Fiberglass-Clad Steel .~J- Fiberglass-Reinforced Plastic [] Concrete [] Aluminum [] Bronze []Unknown ,[] Other (describe): ~b&~,-'~# 8. Primary Containment ,..:..? .......... .~.~,Date Installed Thickness (Inches) . Capacity ('Gallons) 4. Tank Secondary Containment :. .~ Double-Wall [] Synthetic Liner [] Lined Vault [~ None [] Unknown .. .i[q.. Other (describe):' Manufacturer: ~7~/~ Material ~6~Gi~$ Thickness (Inches) .Capacity (Gals.) , ..'.' 5. '%ank Interior Lining · . . ~ Rubber ~ Alkyd ~ Epoxy ~ Phenolic ~Glass ~ Clay ~ Unlined ~ Unknown ~_'~ .................. :~.0 .... .Ot_he~ ..(de~q~!be): 6. Tank ~orrosion Protection ~" ~ Galvanized ~Fiberglass-Clad ~ Polyethylene Wrap ~ Vt~i Wrapping ~ Tar or Asphalt ~ Unknown' ~ None ~ Other (describe): GathOd.l~ ,?rotection: ~ None ~ Impressed Current System ~ 'SacPificial Anode System ~ Describe System &. Equipment: 7. Leak Detection, Monitoring, and Interception a. Tank: ~ Visual (vaulted tanks only) ~Groundwater Monitoring Well(s) ~ Vadose Zone MonJtorJn~ Well(s) ~ U-Tube Without Liner ~ U-Tube with Compatible Liner Directing Flow To Monitoring Well(s ~ Vapor Detector*~ Liquid Level Sensor* ~ Conductivity Sensor* ~ Pressure sensor In Annular Space Of Double Wail Tank '*' ~Md~ ~ Liquid Retrieval & Inspection From U-Tube, Monitorin~ Well Or Annular Space ~ Daily Gauging & Inventory Reconciliation ~ Periodic Tightness Testing ~ None .~ Unknown ~ Other b. Piping: ~ Flow-Restricting Leak Detector(s) For Pressurized Piping* . ~ Monitoring Sump With Raceway ~ Sealed Concrete Raceway ~ Half-Cut Compatible Pipe Raceway ~ Synthetic Liner Raceway ~ None ~ Unknown ~. Other · Describe Make & Model:'.. ~Y/~i~ ~/~[ ~ ~~ '8. Tank Tightness .. Has This Tank Been Tightness Tested? ~. Yes ~ No ~Unknown Date Of Last Tightness Test Results Of Test Test Name Testing Company 9. Tank Repair Tank Repaired? ~ Yes ~No ~ Unknown Date(s) Of Repair(s) Describe RepaJrs 10. Overfill Protection ~ Operator Fills, Controls, & Visually Monitors Level ~ Tape Float Gauge ~ Float Vent Valves ~Auto Shut-Off controls· ~ Capacitance Sensor ~ Sealed Fill Box ~ None ~'~Unknown ~ Other: ~ I ~11 ~'1 ~X ~~w~ List Make & Model For AboVe Devices 11.' Piping a. Underground Piping: ~ Yes ~ No ~ Unknown ~ Material Thickness (inches) Diameter ~ ~C> Manufacturer ~,~ ~ Pressure ~ Suction ~ Gravity Approximate Length Of Pipe Run ~ ................... b. ~--Unde~Knound,._.Piping~_Cor~osio~ Protection: ' ~ Galvanized ~ F~Le~i'~'~/-C~ ..... ~'-'I~s~ea --~u~'~'~%~--'~'~' S~c~iftGih'r-'A'~ode : ~ Polyethylene Wrap ~ Electrical Isolation ~ Vinyl Wrap ~ Tar or Asphalt ~ ~ Unknown ~ None ~ Other (describe): c. U~derground Piping, Secondary Containment: ' ~ Double-Wall ~Synthetic Liner System ~ None ~ Unknown ~ ~ Other'(describe): ~m~~ ~ d~ Manufacturer : ' ' 'FOR ~A~! (FILL OUT SEPARA~'' FORM FOR · __. ' ..... .~__~. · ~ __ EACH TANK) .. SECTION, CilECK ALL AI~"ROPRIATE BOXES ' 1. Tank i__~_s: [] Vaulted ~Non-Vaulted ~Doubl~:all []'Single-Wall 2. Tank Material : ' [~ Carbon Steel [] Stain]ess Steel [] Polyvin¥1 Chloride [] Fiberglass-Clad Steel ~ Fiberglass-Reinforced Plastic [q Concrete [] Aluminum [] Bronze [~]Unknown [] Other (describe): ~Z~I~,~# ~,~,~£~ ~/ ~,~,~ ¢~,~.,~.,~ 3. Primary Containment .Date Installed Thickness (Inches) Capacity (Gallons) 4. Tank Secondary Containment ~' Double-Wall [] Synthetic Liner [] Lined Vault [~ None m Unknown []. Other (describe): Manufacturer: Material ~,,~$ Thickness (Incites) Capacity (Gals.) ~,~ 5.'.~an~ Interior LlninK ~ R'~bbe~ ~ Alkyd ~ Epoxy ~ Phenolic ~Glass '~ Cla~ ~ Unlined ~ Unknown ~ Other (describe):. Galvanized ~Fiberfflass-Ciad ~ Polyethylene Wrap ~ Vinyl Wrapping · " Tar or Asphalt ~ Unknown ~ None ~ Other (describe): ~prot~ct~on: ~. Non~ ~ Impressed Current System ~ Sacrificial Anode System ~ Describe System & Equipment:. 7. Leal( Detection, Monitoring, and Interception ~ Tank: ~ Visual' (vaulted tanks only) ~-Groundwater Monitoring Well(s) ~ Vadose Zone Monitoring'Well(s) ~ U-Tube Without Liner ~ U-Tube with Compatible Liner Directing Flow To Monitdring Well(s}*- ~Vapor Detector'*~ Liquid Level Sensor* ~ Conductivity Sensor* Manufacturer [] Liquid Retrieval & Inspection From U-Tube, Monitoring Well Or Annular Space [] Daily ~auging &.Inventory Reconciliation [] Periodic Tightness Testing [] None' [] Unknown [] Other b. Piping: [] Flow-Restricting Leak Detector(s) For Pressurized Piping* [] Monitoring Sump With Raceway [~ Sealed Concrete Raceway [] Half-Cut Compatible Pipe Raceway ~ Synthetic Liner Raceway [] None [] Unknown [] Other 8. Tank Tightness Has This Tank Been Tightness Tested? ~] Yes [] No ~Unknown Date Of Last Tightness Test Results Of Test " Test Name ' Testing Company 9. Tank Repair Tank Repaired? [-]Yes ~'No []Unknown Date(s) Of Repair(s) Describe Repairs ~0. Overfill Protection [] Operator Fills, Co. ntFols, & Visually Monitors Level ['] Tape Float Gauge [] Float Vent Valves ~' Auto Shut-Off Controls [] Capacitance Sensor ~ Sealed Fill Box [] None []!Unknown [] Other: ~.~/.7 ~ ~/ ~foX ~ ~/~' List Make & Model For Above Devices 11. piping a. Underground Piping: ~'Yes [] No [] Unknown : Material ~ Thickness (inches) : Diameter ~ 5~/g.~.~. Manufacturer J;~a [~ Pressure [~ Suc'tion [] Gravity Approximate Length Of Pipe Run b. Underground Piping Corrosion Protection: [] Polyethylene Wrap [] Electrical Isolation [] Vinyl Wrap [2]Tar or Asphalt [] Unknown .[2] None [] Other (des'cribe): c. Underground Piping, Secondary Containment: ' []' l)ouble-Wa]l [~'Synthettc Liner System [] None [] Unlcnown ~ [~-Pressure Sensor In Annular Space Of Double Wall Tank.*· Kern County Health Depart Division of Environmental ~h 1700 Flower Street, Bakersfield, CA 93305 (805) 861'-3636 ';ation Date APPLICATION FOR PERMIT TO OPERATE UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY Type Of Application (check): [-]New Facility ~]Modification Of Facility ~xisting Facility ~]Transfer Of Ownership A. Emergency'24-Hour Contact (name, area code, phone): Days ............ ' , _ Nights ~~ Type Of Business (check): ~asoltne Station ~Other (describe) Is Tank(s) Located On An Agricultural ,Farm? ~Yes Is Tank(s) Used Primarily For Agrtcul, tural Purposes? ~Yes ~o Facility Address .~ ~ ~// Nearest Cross St. ~ /~ T ~ R SEC (Rural Locations Only) Owner ~f~ ~;Z ~o~ Contact Person ~ ~Z~ B. Water To Facility Provided By Depth to Groundwater Soil Characteristics At Facility Basis For Soil Type and Groundwater Depth Determinations C. Contractor ~ ~~ CA Contractor's License No. ~0~ ~ 7 Proposed Startin~ 'Date ~- ~-~ Proposed Completion Date ~- Worker's Compensation Certification No. ~7~-~ Insurer D. If This Permit Is For Modification Of An gxistina Facility, Briefly Describ~ Fo Tank(s) Store (check all that apply): Tank # 'Waste Product Motor Vehicle Unleaded ReMular Premium Diesel Waste Fuel 0il 0 0 0 0 0 0 Chemical Compositlo~ Of Materials Stored (not necessary for motor, vehicle fuels) Tank # Chemical Stored (non-commercial name) CAS # (if known) Chemical Previously Stored (if different) Transfer Off Ownership Date Of Transfer Previous Facility Name I, modify or terminate the ~-f~acili-t.~_-upon~.receivtng .this-compteted.-.form Previous Owner accept fully all obligations of Permit No. issued tc I understand that the Permitting Authority may review anc transfer of the Permit to Operate this underground storage This form has been completed under penalty of perjury and to the best of my knowledge Is true and correct'. Signature 4~.~-/~_~.~-~ Title ~ ~A/~/- ~ ~5~ Date 8. All underground metal connections (e.g. piping, fitting, fill pipes) to tank(s) must be electricallY isolated, and wrapped to a minimum 20 mil thickness with corrosion-preventive, gasoline-r.esistant tape or otherwise Pri/m~rv.x~a seco__~__rv con}aiP_~f both. tan.v~Ct~ .and undervround piping must not be subiect to physical "sea~-m'ih'-iff~cturer. s obi~6-m-~tibiilty wiih ihese substance~sj ni~isi ....... t,--~-~'-x e suom' 'itteu to verJ' - i~fing Autnrfrity pl'ior ' tO construction. : ' I .~L)~-I Spar}[//testill~l (~/j~,OOO/v~lts) roq~red at.~le prior ~hlstallation of tank(s). ~t(s) must ~ cSrtifie~ by / /' t l~9//m~n 9t/a/c~9}eP, a/ I' / T/lle vlaettu~ll/ga~g~..f.or ~c°a tank-kafust h,ve/a, gec~t~eriodic~onitori{lg~/l~d for ~'o'~inge~luipraent anci"materials must be identified by manufacturer and model prio to their I /~installation: ~ ~ ~ -...Ta/uk.~iquid level gauge(s) ---- ~" ~ t //\- ~;~ak~condary/eo~tainmen~.u[o~atic mo./ni{6~ system(s) f X ' sod to fill ~ No l~ ~oq ; Permitting Auth~ i"iCo~} ~ct [on of 'fiberglass /mum mi '~on. /Line5 shbll be i!~'talled by ~..trained experience liner_contractor and installation at site !kl~pr~ l~loni /f~ua.'cti ins. C ust b ' e with H ous 'a/s I~r · Pu~ging/Inertin_.g. Conditions: a. I' Liquja" shl~ll' t / inl nk. ( :St b. [ T~(nkshall be c. "-/No tCt s. ll~be stored.~n/iank~until aj~oval is~X~rant~e Permitting Autho~ity. '; ,r~us~~[ied by taManufacturer ~ ~stallation of 'fibergla~nk(s), or tank ~reFs rep~ntative must be pre~nt at site during installation. ~ }roved by the ~re installed and Materials Management P'ha[gram standards 11 be pumped from~k prior to purging such that less than 8 gallons of liquid remain ~SH&SC'41700~' 5 ' ~ ~ 700, ~e purge~/hFough vent~ging at~above~und ,e~ve,: (CS/~/~SC * emissions sh~~ property line. (R'ule.-4~9)~//// Vent 'lines shall remain a a- mi. . . ptc. 1 BY: Ms. Janis Lehman 10-GBD Page 2 cc: Mr. Bill Hollis (w/ attachments) BP Oil Company, Aetna Building, Suite 360 2868 Prospect Park Drive, Rancho Cordova, S. Pao (w/o) GARY J.:WlCKS~ : Agency Director (805) 861-3502 STEVE McCALLEY Director R E S 0 U R C E DEPART~ PERMIT-T°.` 2700 M Street, Suite 300 Bakersfield, CA 93301 Telephone (805) 861-3636 Telecopier (805) 861-3429 AGENCY ~~E N. T .MENTAL '-~:ii ....... PERMIT NUMBER . STORAGE FACILITY i · FACII~ITY NAME/ADDRESS: OWNER(S) NAME/ADDRESS: . CONTRACTQ. R: ' - ~ Phone No.~-~ ~t~ ~~ ~sF~ v,~, ~1_~]1~6~~Ot. . Phone No.__~_ ~. ~.' RENEWAL ~ APPROVAL DATE O- . q3 ~a zaraou s Materials-'Specialist ............................................................ ~ ..................... POST ON PREMISES....; ..... ~ .......................................................... CONDITIONS AS FOLLOW: Standard instructions ' 1. Thi. s pe~;.mit applies only to t]le~ ~odiQ~ation of an g · 2. ~1 construction t6 b~ ~ facility ~ns a~roved by this depa~ment and verified by inspection by Permitting Authority. 3. ~1 equipment and materials in this construction must be installed ia accordance with all manufacturers' specifi~tions. 4. Permitt~ must contact Permitting Authority for on-site inspection(s) with 48 hour advance notice. 5. Backfill material for piping ~ to be as per manufacturers' specifi~tions. 7. Construction inspection re~ord card is included '~ permtt given to germittee. ~ ___h ~i,, ,,~,v,- ;-;,;-, f~Permittee must contact Permitting Authority and arrange for each group of required inspections numbered as per ~,- MObil Oil rCor' orQt' _ '¢ October 12, 1989 Ms. Janis Lehman MOBIL OIL CO~TION ~ern County Environmental Health Department 1700 Flower Street Bakersfield, CA 93305 FORMER S/S 10-GBD BAKERSFIELD, CALIFORNIA BP S/S 11160 07ooo ~ Enclosed for your review are the Chemical Research Laboratories (CRL) lab results for the soil excavation encountered during the tank replacement at subject location. The results from October 11, 1989 are for the. first round of samples taken from two feet and six feet below the product tanks and dispenser islands. The samples from six feet below the product tanks were ND except for T2B-6' which was 3 ppm. Please see the enclosed CRL plot plan for location of samples. Additional excavation was done under the dispenser island designated as PTA. The results from October 21, 1989 are for the samples taken after over excavation from under the island. Please see the enclosed CRL.plot plan for location of samples and the Mobil blueprint for a plan view of the excavation area. Based on the soil excavation and subsequent sampling at this location, we believe that gasoline affected soils have been removed. We believe that .no further action is required and request that closure be granted at this site. I look forward to your response. If you have any questions, please feel free to contact me at (818) 953-2519. DMN:st attachments sincerely, ., - . David M. Noe, P.E. Environmental Advisor GARY J. WICKS' Agency Director (805) 861-3502 STEVE Mc CALLEY , Director RESOURCE MANAGEMENT DEPARTMENT oF~ ENVIRONMENTAL HEALTH. SERVICES 2700 M Street, Suite 300 Bakersfield, CA 93301 Telephone (805) 861-3636 Telecopier (805) 861-3429 AGENCY. ~ctober 23, 1989 Mobil Oil Corporation 3800 W. Alameda #700' Los Angeles, California CLOSURE OF 4 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANKS LOCATED AT 2688 OSWELL STREET IN BAKERSFIELD, CALIFORNIA. PERMIT # A767-09/090007 This is to advise.you that this Department has reviewed the project results for the. preliminary assessment associated with the closure of the tanks noted above. Based upon the sample results submitted, this Department is satisfied that the assessment is complete. Based on current requirements and policies, no further action is indicated at this time. It is important to note that this letter does not relieve you of further responsibilities mandated under the California Health and Safety Code and California Water Code if additional or PrevioUsly unidentified contamination at the subject site causes or threatens to cause pollution or nuisance or is found to pose a significant threat to public health. ,Thank you for y6ur cooperation in this matter. DOLORE~ GOUGH, HAZARDOUS MATERIALS SPECIALIST cc: R. & S. PIPING Mame/~. ""-~ Permit No. Facility TANK ! ~ (FILL OUT S£pA~ATE FO~Jd FOR EACH TANK) --FOR ~ACH 'SECTION,~ECK ALL APPROPRIATE H. 1. Tank is: [-]Vaulted []Non-Vaulted []Oouble-Wall J~in~le-Wall 2. ~ Material i arbon Steel [] stainless 9teel [] Polyvinyl Chloride {'] Fiberglass-Clad iberglass-Reinforced Plastic [9 Concrete [] Al~uin~n [] BronZ~ []Unknown t. her (describe) 3. Primary Containment ' ' . Pate. Installed _Thi.ckness (!nghes) ....... _Capaci~ty (Gallons) Nanufacturer' 4. ..... []Other .{describe).-<. /t/~/~- . _ ............... 6,---Tank Corrosion Protection Tank Sebondary Containment •Double-~al! •Synthetic Liner •Lined Vault J~ne Ounk~own []Other (describe): Nanufacturer: []Material Thick~ess (Inches) Capacity (Gals.). Tank'Interior Lining ---~m~ber []Alkyd []Epoxy FTPhenolic []Glass []Clay FT~lined []tl~no~m •Tar or Asphalt •~_.kno~ ~None •Other (describe) Cathodic Protection: )~None n~mp~essed Current Syste~ :•Sacrificial ~ System Describe System & Equilment: Leak Detection, ~onitoring, and Int~ a. Tank: []Visual (vaulted tank only) HGround~ater ~onitoring' Mil(s) []Vadose Zone Nonitoring ~ell(s) OU-~ube Without Liner U-Tube with Cmpatible Liner Directing Flow to ~onitoring Vapor Detector* [] Liquid Level Sensors [] Conductivit~ Sensor [] Pressure Sensor ~ Annular Space of Double Wall Tank Liquid Retrieval & Inspection From U-Tube, Monitoring Wall or ~tlar Space Daily _Gauging & I~nventor¥ Reconciliation [] Periodic Tightness Te~tir~ · "l[] None [] Unknown [] Other b. Piping: Flme-Restricting Leak Detector(s) for Pre~ur~zed Piping~' --~Galvanized ~ass-Clad []Polyethylene l~ap []Vinyl !-lYes []NO ~Unkno~ ~Unknown 0 Other *Describe Hake & 14•del: 8. Tank Tightness Bas This Tank ~een Tightness 'Tested? Date'of Last Tightness Test Test Name 9. Tank Re,air Tank Repaired? []Yes nNo ~]mknown Date(s) of l~pair(s) Describe Repairs 10. .Overfill Protection Results of Test Testin9 Cmpany --~Operator Fills, Controls, & Visually Monitors ~evel []Tape Float Gauge []Float Vent Valves [] A~to Shut- Off Controls B Capacitance Sensor FTSealed Fill ~x ON•ne nt~kno~. ~Other: List Hake & Nodel Fo~ ~ove Devices 11. TANK I _~ (FILL OUT SEPARATE FORM FOR EACH TANK) FOR EACH SECTION,. CH£CK ;~r.T. APPROPRIATE BOXES B. 1. Tank is: rgVaUlted I']Non-Vaulted [-]Double~Wall ~Single-~all 2. ~ Materia1 ~~eel [~ Stainless 'Steel [[] Polyvinyl Chloride ['7 Fiberglass-Clad Steel L[~'iberglass-Reinforced Plastic []Concrete [] Al~in~n [] Bronze [-IUnknown [9 Other. (describe) ,. 3. ,Primary C_ontainment .......... : ..... _~ate Installed Thickness (Ingles) Ca~a..cflty. (Ga!lon~) . Nanufacturer, · []Do~le-wen K] synthetic L~ner [] Lined Wult ~None K]mkno~m []other (describe) .- Manu~sctur,r= []~terlal . Thickness {inches) 5. Tank Interior ~ Cap~¢lty"(Gals.) on Pr0eect onT-oR'-~ . ------ -------- 7. __ . ~uectzon, Monitoring, and Interception- ..~ va~ose zone ~onltorlng t/ell(s) 1-10-Tube WithoUt Liner ' ' . · ~ ......... .~ ~qu~,d Level Sensor n ¢ondmttvtt~ Sermor~ , . ~ [l=-..~,~re_ ~,nsor. m ~nnu~ar. Spe~e o~ ~o~e wen b. Piping-- Flow-i~estrlcttrcj ~eak Detector(s) for Pressurized Plpi u..~..,L ,,~-~c ~cmpet~o~e Pipe Raceway I-ISynthettc Liner Race,-,-- - ~l~un~no~n [] Other .. --~ u 'Describe Make & ~kxie~ 8. Tank Tightness . '_l/as Th~s Tar~een 'Tightness Tested7 ~TYes Date of Last Tightness Test ' Results of Test Test Name.' . · ?estir~] C~npany 9. Tank l~epa! r Tank l~epeired? OYes ONO j~_Onkno~n Dete(s) of l~epair(s) Describe l~epairs Overfill ProteCti~n 10. ~J~TT~rator ~ Controls, & .Visually ~onitors Level ape Float Gauge [-]Float Vent Valves [-]Auto Shut- Off Controls [~Capacttance Sensor ?9Sealed Fill Box ~TNone ~]~kno~a~ riOther: List Make & Nodel F~r Above Devices 11. l'ipin~ &. Underground Piping--~e. r'lN° I"l.un.kPo~r~ Material Thickness (inches) ~_ Diameter ~///~ Manufacturer ~ressure ~Suction--~Gravity of Pipe ~oximate Length ................... hz' Underground Pipi-rg'-c~rr-OSion"p~teC£iOn -;. I-IGalvantzed ~TFiberglass-Clad []Impressed Current ~]Sacrificial Anode O~olyethylene Wrap [-IElectrical Isolatim [~Vin¥1 Wrap ~lTar or Asphalt OUnknoun ~None OOther (describe): c. Underground Piping, Secondary Contalm~nti []Double-Wall ~TSynth~ttc Liner Sys:em ~None [']Unkno~ CIOther (describe): TAN_.__~K [_ ~ (FILL OUT SEPARATE FO[~i FOR EACH TANK) .FOR EACH SEC~'IO~,-~ECK ~[.t. '"APPROPRIATE BOXES ii. 1. Tank is: C]~aulted ['TN•n-Vaulted [-]DOuble-~all ~ir~le-Wall 2. ~ Material --~C~eel F7 Stainless' Steel [] PolFvinyl Chloride Fiberglass-Reinforced Plastic []Co~crete [] Alminum Other (describe) ~ Containment [] Fiberglass-Cled 'Steel [] Bronze [] ~nkno~n ., .: ......... ~=~Date.: Installed.:-..~..Thickness ~(.Inches) ........ Cap~_clty '(Gallons)~ ........ ~::- =~':Nanufacture~ , 4. Taa~ 5econaary'Co~taim~ent l-IDouble-t~ll--~--'~lc Liner []Lined Vault ~one []Unknom , i-lother (describe): Manufacturer: I-IH~terial Thickness (Inches) Capacity (Gals.) i. 5. Tank rnterior ~ .. ~ _ 6. Tank Corrosion Protect'£on ~alvanlzed ~Flb~_rglass-Cl_ad []Pol~th~lene Wrap []Vinyl Wrapping· 7. Leak Detection, ~, and Intercept , -----.__ s. Tamnk,.-,.._O__Vi.s~_l !~~. tanks, o.~y>_E)~rou~ater ~onitoring'~,ll(s> .~-~- ~ ~om:or~ng t~ll(a} k]U-~ube Without Liner g] U-Tube with Ca~patible Liner Directim Flow to ~lonlt~-~-- [] Vapor l~tector* [-i Liquid Level Senso~-~ [] Cond~tt.~.~.'~.~.._"~.~' ~'~ , _ ular.spa of Wall ----'. ' ~ ~lUlU ~al:rlevai & Inspection From U-~,~ ~_~.__,3_". ....... ~.,__~_iy ~Ga..ug,lng & I~nventory Reconciliation •Periodic ?t-h~ne-- t.J man~ I-i tzlKno~n l! O~']er -~ ~ r'l. Hal[-Cut cc~l~tlble Pipe Race~ay I~Syntbetic Liner Race~a¥ _ ~nkn°~! DOt-her' [] "Describe Hak~ & Node~ 8. Tank Tightness . ~ l~as TIli_s Tank~Been Tightness Tested? ['lYes []No ~aknotm Date oE L~c ?Ightness Teat Results of Test Test l~me 9. Tank Repai~ Testing Canpan¥ - ~ Repair~ []Yes E]~o Date(s) of Repair(s) ' Describe Repairs 10. Overfill Protectio--~------- ------- ~_~rator~ Controls, & Visually Nonitors Level . L~Tape Float Gau~e []Float Vent Valves []Auto Shut- Off Controls [-]Capacltence Sensor []Sealed Fill Box ONone [_]Ot~er : List Nake & Nodel For Above Devices Facility Name ~-/v~-~2~ .~ :_.. permit No. .' TANK ! ~FOR EACH SECTION, CHECK A~-T- APPROPRIATE BOXES ii. 1. Tank is: [']vaUlted []Non-Vaulted [']Double-Wall J~Single-Wall 2. ~ Material i ~.~a--~ Steel ~] Stainless' Steel [] ~olyvinyl Chloride [] Fiberglass-Clad Steel '~] Fiberglass-ReinfOrced Plastic ~] Concrete [] Al~in~n [] Bronze []t~known I' [] Other (describe) '.' ~ 3. Primary Containment ' " Date Installed Thickn~ess (Inches) Capacity, (Gallons) ..... ~_ __N~. nuf~agtu.re.r/ 4. Tank' Secondary Contair~ent ' •Double-Wall ~]Synthetic Liner [~LinedVault J~J~one ClUnkno~ Manufacturer: Capacity (Gals.) ~---:.-"6;-~'-T~nk 'corrosion i []Other (describe): ~M~terial Thickness (Inches) Tank Interior Lining .:~Rnbber []Alkyd I-IEpp~fy J~_Vhenolic []Glass I-iother (describe) = ~/~/t/~ ............. ,r0te~ion Oaa '-]~GalvaniZed ~ass-Clad I-IPol~ethylene Wrap []Vinyl Wrapping . []Tar or Asphalt .[]~t~.kno~ ~one ~Other (describe) Cathodic Protection. ~one nImpressed Current System :FTSacrificial ~ode Describe System.& Equi~nent: 7. Leak Detection, Monitorir~, and Int~ ~. 'Tank: [-IVlsual '(vaulted' ~n~ only) UIGround~ter Monitoring' i-lVadose Zone Nonitoring ~ell(s) ClU-Tube Without Liner [] U-Tube with Ca~.patible Liner Directing Flow to Monitoring We.ll(s)e F7 Vapor Datector' [] Liquid Level Sensor'. [] Conductivit~ Sensor F7 Pressure Sensor in Annular Space of Double Wall Tank. []~ Liquid Retrieval & Inspection From U-Tube,_Monitoring ~ell or ~mla. r Space ~]4)ai1¥ Gauging & Inventory Reconciliation [] Periodic Tightness Testing [] None [] [] Other b. Piping~ Flow-ReStrictirq Leak Detector(s) for Pressurized Piping' [] Monitoring S~p with Race~¥ ~ Sealed Concrete Racmmy [~Half-Cut ComPatible Pipe Raceway []Synthetic Linex Race,my []N~ne [] Unknown [] Other ~l~e~cribe Make &'Nodel~ 8. ~en Tightness Tested? Date of Last Tightness Test Test Name Tank Repairad? OYes •No J~Unkno~n Dete,(s) o~ Repair(s) Describe Repairs ~0.' Overfill Protection OYes •NO ~Unkno~n Resulte of Test Testin~ O~pany fi aTOpeaperator Fills, Controls, & Visually Monitors Level Float Gau~e []Float Vent Valves [] Auto Shut' Off Controls fi Capacitance Sensor [-]Sealed Fill ~ox []None []t~kno~ Other: List ~take & Model Fc~ ~ Devices 11. Piping a. Underground Piping~ JE~Y. es ON• ClLIn~k~,~m Material~ Thickness (inches) ~_~/~ Diameter g//{//<~ Manufacturer E~essure []Suc~Gravity Approximate Length b-.----U//d~'~/~-PiPing-Corrosio~- Protect'ic~- . I-IGalvanized []Fiberglass-Clad I-Ilmpressed Current .l-ISacrificial Anode ~lpolyethylene Wrap [-]Electrical Isolation CivinYl Wrap [-ITar o~. As~lt ['lUnknmm ~LNone l-lCrcher (describe): c. Underground Pipir~, Secondary Contai~uent: i']Double-~ll r~synthetic Liner Syst~ ~None I-ilJnkno~. I-lOther (describe): /Kern County Health I)epartme~.--- Permi~o.---O? ~0~.~_ F' ? Division. Of Environmental H~ti Application-9~a[ .; 1700 Flo~ier Street, Bakersfield, CA 93305 ~ ." APPLICATION ~ PERmiT TO OPERATE U~DERGROUN~ i <' ~~S SUBST~CES ~E FACILI~ :' .: ~ of Application. (ch~k)- :' O~w Facility ~ificatlon Of Facility ~isti~ Facility ~~fer of ~er~tp -"~?':~ :8~ B~i~z~'' ,_~L'_,_, ~_ ' ~ ~rzcuitural Fa~. ' ~y~ . Is ~nk(s) Us~ ~i~rtly for ~ricultural ~r~ses? ~Yes Facility ~dre~' ~¥/, ~~&~ · N~rest Cro~ St~/G~/~ T -~ R SEC' (R~al ~atIo~ ~ly) - ~ress//~ ~~ ~ ~ ~~ Zip ~/7 ~le~~~~' O~rator ~ ~/~ . - Basis for Soil Type and Groundwater Depth Detem / Do Contractor CA Contractor' s Lle~nse 1~. Address _ Zip Telel~" Proposad Starting Date Proposed C~npl~tto~ ~at~. ~orker' s Cm~ansati~ .C~rttficatlon ~ Insurer If This Permit Is For Modification Of An Existing Facility, Briefly l)escribe Modifications Proposed E. Tank(s) Store (check all that ~pply): ~ _~ k~aste Produc~ l~oto_r ,V,.ehlcle Unleaded Regular Pr~t,~ D. tesel . ~as~e " /_. 0 [] 0 -. ,, F. .Chenlcal O~upoaittefl of Not~rials Stored (no~ neCes'sar¥ for motor vehicle ?ank # Che~nical ~torod Cnor~¢'~rcial ---~, ,--~ ......... ) ~ - '"-"=~ ~"~ · t~ ~'~M~1 Omsnical Previously -- (lf~ alff~rent)' _Transfer of ,...O~ershlp ~ flare of Transfer _Previous Facility'Nama Previous O~ner · .ac~.__ep.t f.ull¥ a.ll obltgatio~s_ .of Pemit !/o. , issued to _ ~_unaers_tand that the Pemltting Authority ~av revi~ And modify or terminate the cranster ot the Permit -- _ _. _ ....... facility upon receiving this ccepleted fora. to Operate thia mdergromd storage ?his form.has_ .beeo//~c~pleted under penalty of perjury and to the best o~ my knowledge 'is SPIT.L RESPONSE PLAN BP.OIL FACILITY #11160 2688 Oswell Street Bakersfield, CA 1.0 EMERGENCY NOTIFICATION Station Dealer/Owner Station Manager: Ziad (Tom) Dugum State Office of Emergency Services BP 24 Hour Emergency Hotline Local Emergency Services Chemtrec Toxic-Info Center Ambulance Police Phone Number W (805) 872-0122 H (805) W (805) 872-0122 H (805) (800) 852-7550 (800) 274-3572 911 (800) 424-9300 (800) 233-3360 911 911 2.0 EMERGENCY RESPONSE PROCEDURES When 'a release is observed or anticipated, the following steps shall be taken. The emergency Shut-off shall be activated if a release originates from a pump island. Service station personnel first on scene shall immediately take steps to secure the area and establish perimeter control at a safe distance until such time as agency personnel and police or fire department personnel, arrive onsite and assume the responsibility. Employee(s) shall contain small releases with absorbent materials to prevent entry into the sewer system. SPILL RESPONSE PLAN BP OIL FACILITY #11160 The station dealer/manager shall determine if there is any potential danger to. ~ndividuals in the area and take appropriate steps to notify and evacuate. In major incidents, county and/or city disaster officials shall make the decision to evacuate the surrounding neighborhoods involved. The station dealer/manager, or his designee, shall see that the following occurs: a) Employees are verbally notified to evacuate. b) Employees leave through the nearest exit and meet at the Eastern property corner of the station on the sidewalk. Be c) d) Customers are escorted from the facility and neighbors are verbally notified. Employees do not reenter the building until the fire department has inspected the premises and certified that it is safe. ' The station dealer, or his designee, will contact 911 and the Kern County Fire Department. Spill response management shall be the responsibility of the station dealer/manager, or his designee, until the arrival of public safety response personnel. In such instance, the station dealer will cooperate with and support the designated response personnel. The station dealer, or designee, shall contact the designated physician and/or appropriate medical services if any person requires minor medical attention. Local emergency services (911) shall be contacted in the event of any medical problem needing immediate attention. If the BP 24 hour emergency number is called, BP will respond within 24 hours to any event related to a spill, leak, or malfunction of the monitoring system. Routine maintenance problems such as a bad hose connection will be responded to within 5 days. 3.0 PROTECTIVE EQUIPMENT The following protective equipment is onsite for use in the event of an emergency. · 2. 3. 4. 5. Fire extinguisher Gloves for personal protection Absorbent for blocking and diking spills. Pan and shovel for remOVing absorbent Goggles for eye protection. SPILL RESPONSE PLAN BP OIL FACILITY ~11160 4 . 0 SPILL CONTAINMENT In the event of a release, control of the released chemical or hazardous waste is necessary to prevent harm to personnel and/or the environment. The following steps shall betaken to control the spill/release. The respondents shall first control the release by shutting the pumps down, closing valves, plugging holes, uprighting the leaking container, if possible. Leaking, damaged, or corroded drums shall be placed in over-pack drums. Se Spilled or released material shall be prevented from entering storm drains by diking around the drain inlet with absorbent material or soil. Incompatible material shall be Used for diking. Personnel performing tasks discussed in number 1 and 2 above shall use personal protective equipment and remain upwind from the spill/release, as appropriate. The released materials shall be contained by surrounding the hazardous waste with diking boomS or diking material (soil, absorbent, bentonite). The released material shall be contained by diking from the farthest point affected by the spill and by working back to the source of the spill. Once the spill is contained it shall be absorbed and/or neutralized and disposed of as hazardous waste. 5.0 DECONTAMINATION/CLEANUP Released material and involved surrounding soil, if any, shall be removed after the 'hazardous waste has been contained. The Steps outlined below shall be performed. Steps shall be taken to decontaminate all victims and response personnel. Care will be taken to avoid spread of contamination by response vehicles leaving the scene. Use necessary equipment, shovels or a front end loader to load the spilled or released material and any affected soil into drums or a lined bin. Place any leaking, damaged, or corroded drums into overpack drums or transfer the contents of the leading drums or tanks into intact containers. Label the containers as hazardous waste identify the spilled material and the date collected. SPILL RI~ SPONS ]Z. PLAN BP OIL FACILITY #11160 Transport and dispose of containerized spilled material and affected soil, if any, aCcording to state, federal, and local regulatiOns to an approved disposal facility. The station dealer shall notify the appropriate state and local authorities that a spill/release of hazardous waste has occurred. Spill.rsp