HomeMy WebLinkAboutBUSINESS PLAN 7/13/2004 ~ 99 ~1:55p Rdam Hensle~ 393-5028
02/10/99 '*'14:30
~8'e 26 0.576
BFI) ltAZ ~AT DIV
~oo4
I
Fe~ 24 99 ll:57p
Adam Hensle~
393-5028
p.8
.r
Il"-
Feb 24 99 ll:SSp Rdam Hensle~ 383-5028 p.3
4
T£££T
WILSON _~ ASSOCIATES
17OI Weslwtnd Drive Suile 113
Bakersfield, California 93301
Telephone: (805) 323-6460 FAX 323-4723
Tille
Site Detail
8tan'a 'Car.Waah 24th and ~1.' Street
EXHIBIT
2
Job No.
~CHEVRON DOWNTOWN FOOD MART-SULLIV SiteID: 015-021-001920
Manager ":
Location: 2317 L ST
City : BAKERSFIELD
CommCode: BAKERSFIELD STATION 01
EPA Numb:
Emergency Contact / Title
~-IKKi C~.[~BELL / MANAGER
Business Phone: (661) 638-0310x
24-Hour Phone : (661) 393-3203x
Pager Phone : (661) 900-4312x
BusPhone: (661) 638-0310
Map : 103 CommHaz : Low
Grid: 30A FacUnits: 1 AOV:
SIC Code:5541
DunnBrad:
Emergency
BRENDA K EVERIDGE
/ Title
/ RETAIL FUEL MGR
Business Phone: (661) 900-4312x
24-Hour Phone : ( ) - x
Pager Phone : ( ) - x
Hazmat Haza~s~L~.3~ Fire
Contact : ~TKKI C.~_u. PBELL, GENERAL MANAGER
MailAddr: 2317 L ST
City : BAKERSFIELD
Press ImmHlth
Phone: (661) 638-0310x
State: CA
Zip : 93301
Owner SERVICE STATION HOLDINGS
Address : 200 E MINNER AVE
City : BAKERSFIELD
Phone: (661) 393-5017x
State: CA
Zip : 93308
Period :
Preparer:
Certif'd:
ParcelNo:
to
TotalASTs: =
TotalUSTs: =
RSs: No
Gal
Gal
Emergency Directives:
(Typ~ or print name)
reviewed the a~ached hazardous materials manage-
merit plan foru~' ' Ch~Lv~r'~fJand that it along with
(Name of Bus,ess)
any corrections consfituts a complets and cormc~ man-
agement plan for my facility.
1 07/13/2004
F.CHEVRON DOWNTOWN FOOD MART-SULLIV
STORAGE CONTAINER DATA (UST FORM A)
Last Action Type:
FACILITY/SITE INFORMATION
Business Name: CHEVRON DOWNTOWN FOOD MART-SULLIV
Cross Street :
Business Type: Org Type:
Total Tanks : 4 IndnRes/Trust: No PA Contact:
PROPERTY OWNER INFORMATION
Name : BRENDA K EVERIDGE Phone:
Address:
City :
Type :
Name : BRENDA K EVERIDGE
Address:
City :
Type :
State: Zip:
TANK OWNER INFORMATION
Phone:
State: Zip:
SiteID: 015-021-001920
(661) 900-4312x
(661 900-4312x
BOE UST Fee# : UNKNOWN
Financ'l Resp: SELF INSURED
Legal Notif : Tank Owner Mailing Address
Date:01/13/1999
Name:ADAM HENSLEY
State UST # :
Phone: (661
Ttl:G. MGR.
1998 Upg Cert#: 00810
638-0710x
-2- 07/13/2004
F~CHEVRON DOWNTOWN FOOD MART-SULLIV
~ Hazmat Inventory
-- MCP+DailyMax Order
Hazmat Common Name...
PROPANE
GASOLINE
GASOLINE
GASOLINE
DIESEL
ISpecHazI
E
SiteID: 015-021-001920
By Facility Unit
Fixed Containers at Site
EPA HazardsI Frm
F P IH G
L
L
L
L
DailyMax Unit MCP
FT3 Hi
12000.00 GAL Mod
8000.00 GAL Mod
8000.00 GAL Mod
12000.00 GAL Low
3 07/13/2004
:'CHEVRON DOWNTOWN FOOD MART-SULLIV
~ Inventory Item 0005
-- COMMON NAME / CHEMICAL NAME
PROPANE
Location within this Facility Unit
SiteID: 015-021-001920
Facility Unit: Fixed Containers at Site
Map: Grid:
Days On Site
365
CAS#
74-98-6
F STATE -q-- TYPE
Gas /Pure
PRESSURE, TEMPERATURE
Above Ambient I Ambient
CONTAINER TYPE
PORT. PRESS.
CYLINDER
Largest Container
FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
FT3
Daily Average
FT3
%Wt.
100.00 Propane
HAZARDOUS COMPONENTS
RSI CAS#
Yes
74986
HAZARD ASSESSMENTS
Radioactive/Amount I EPA Hazards
No/ CuriesI F P IH
NFPA
///
USDOT#
MCP
Hi
Ag.Definedl:
Ag.Defined5:
Ag. Defined8:
-- Ag. Definell
MISC. LOCAL AGENCY DATA
Ag. Defined2: Ag. Defined3:
Ag. Defined6:
Ag.Definedg:
Ag.Defined4:
Ag.Defined7:
Ag. Definel0:
4 07/13/2004
CHEVRON DOWNTOWN FOOD MART-SULLIV SiteID: 015-021-001920
= Inventory Item 0001 Facility Unit: Fixed Containers at Site
~U~ ~Vl~ ! ~£~ ~Vl~
GASOLINE Days On Site
REGULAR GASOLINE 365
Location within this Facility Unit Map: Grid:
CAS#
8006619
STATE ~ TYPE
Liquid/Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
12000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
12000.00 GAL
Daily Average
12000.00 GAL
%Wt.
100.00 Gasoline
HAZARDOUS COMPONENTS
RN~oRS CAS#8006619
HAZARD ASSESSMENTS
Radi°active/Am°unt I EPA HazardsINO/ Curies
NFPA/// I USDOT#
MCP
Mod
Ag. Definedl:
Ag.Defined5:
Ag.DefinedS:
-- Ag.Definell
MISC. LOCAL AGENCY DATA
Ag.Defined2: Ag.Defined3:
Ag. Defined6:
Ag.Definedg:
Ag. Defined4:
Ag.Defined7:
Ag. Definel0:
-5- 07/13/2004
F.CHEVRON DOWNTOWN FOOD MART-SULLIV SiteID: 015-021-001920
= Inventory Item 0001 Facility Unit: Fixed Containers at Site
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2
Last Action Type:
Location In Site:
TANK DESCRIPTION
Tank ID#: 1 Mfr: Trusco Compart Tank: N
Installed: 12/1998 Capacity: 12000 Gals No. Of Comparts:
Additional Info:
Tank Use: MOTOR VEHICLE FUEL
Matl Name:GASOLINE
TANK CONSTRUCTION
Type : DOUBLE WALL
Material(p): STEEL CLAD W/FIBERGLASS R. P.
Material(s): STEEL CLAD W/FIBERGLASS R. P.
Lining : UNLINED
Corr Prot: FIBERGLASS REINFORCED PLASTIC
Spill Cnt : 1998 Alarm
Drop Tube : 1998 Ball Float
Striker Plate: 1998
Sgl Wall:
TANK CONTENTS
Petrol Type: REGULAR UNLEADED
Cas #:
Installed:
Installed:
:
:
Fill Tube S/O: 1998
TANK LEAK DETECTION
8006619
Exempt: No
Dbl Wall: INTERSTITIAL MONITORING
Last Used:
TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Qty Remaining: Was Filled:
No
6 07/13/2004
F~CHEVRON DOWNTOWN FOOD MART-SULLIV SiteID: 015-021-001920
F Inventory Item 0001 Facility Unit: Fixed Containers at Site
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2
PIPING CONSTRUCTION
UnderGround Piping AboveGround Piping
Type : PRESSURE
Const: DOUBLE WALL
Mfgr : TOTAL CONATINMENT
Mtl : "FLEX"
& :
Corr :
Prot : "FLEX"
PIPING LEAK DETECTION
UnderGround Piping AboveGround Piping
AUTOMATIC LEAK DETECTORS
Installed: 12/08/1998
Date: 01/13/1999
Name:ADAM HEMSLEY
Prmt Number: 1920
TANK/LINE TEST :
CP CERT. :
MANWAY INSP. :
UST MONIT. CERT:12/22/2003
DISPENSER CONTAINMENT
Type: DISP. PAN SENSOR W/ POS. SHUTOFF
OWNER/OPERATOR SIGNATURE
Ttl:G. MGR.
Approved: Yes Expiration Date: 06/30/2006
AGENCY DEFINED
STORAGE CONTAINER DATA (UST FORM C)
Installer Certified by tank/piping manufacturer: Yes
Installation Inspected & Certified by Registered Engineer: No
Installation Inspected by Unified Program Agency: Yes
Manufacturer's Checklist Completed: Yes
Installer Certified by Contractors' State License Board: Yes
Approved Alternate methods:
Date: 01/13/1999
Name:ADAM HEMSLEY
Ttl:G. MGR.
7 07/13/2004
CHEVRON DOWNTOWN FOOD MART-SULLIV
~ Inventory Item 0002
-- COMMON NAME / CHEMICAL NAME
GASOLINE
MIDGRADE GASOLINE
Location within this Facility Unit
SiteID: 015-021-001920
Facility Unit: Fixed Containers at Site
Map: Grid:
Days On Site
365
CAS#
8006619
STATE TYPE PRESSURE
Liquid Pure Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
8000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
8000.00 GAL
Daily Average I
8000.00 GAL
%Wt. I
100.00 Gasoline
HAZARDOUS COMPONENTS
IRSI CAS#
No 8006619
HAZARD ASSESSMENTS
Radioactive/Amount I EPA Hazards
No/ Curies
NFPA/// I USDOT#
MCPI
Mod
Ag.Definedl:
Ag. Defined5:
Ag.Defined8:
-- Ag. Definell
MISC. LOCAL AGENCY DATA
Ag.Defined2: Ag.Defined3:
Ag. Defined6:
Ag.Defined9:
Ag. Defined4:
Ag. Defined7:
Ag. Definel0:
8 07/13/2004
:'CHEVRON DOWNTOWN FOOD MART-SULLIV SiteID: 015-021-001920
~ Inventory Item 0002 Facility Unit: Fixed Containers at Site
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2
Last Action Type:
Location In Site:
TANK DESCRIPTION
Tank ID#: Mfr: Trusco Compart Tank: N
Installed: 12/1998 Capacity: 8000 Gals No. Of Comparts:
Additional Info:
Tank Use: MOTOR VEHICLE FUEL
Matl Name:GASOLINE
TANK CONTENTS
Petrol Type: UNLEADED PLUS/MIDGRADE
Cas #: 8006619
TANK CONSTRUCTION
Type : DOUBLE WALL
Material(p): STEEL CLAD W/FIBERGLASS R. P.
Material(s): STEEL CLAD W/FIBERGLASS R. P.
Lining : UNLINED
Corr Prot: FIBERGLASS REINFORCED PLASTIC
Spill Cnt : 1998 Alarm
Drop Tube : 1998 Ball Float
Striker Plate: 1998
Installed:
Installed:
:
:
Fill Tube S/O: 1998
TANK LEAK DETECTION
Sgl Wall:
Exempt: No
Dbl Wall: INTERSTITIAL MONITORING
Last Used:
TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Qty Remaining: Was Filled: No
-9- 07/13/2004
:,CHEVRON DOWNTOWN FOOD MART-SULLIV SiteID: 015-021-001920
= Inventory Item 0002 Facility Unit: Fixed Containers at Site
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2
PIPING CONSTRUCTION
UnderGround Piping AboveGround Piping
Type : PRESSURE
Const: DOUBLE WALL
Mfgr : TOTAL CONTAINMENT
Mtl : "FLEX"
& :
Corr : "FLEX"
Prot :
PIPING LEAK DETECTION
UnderGround Piping AboveGround Piping
AUTOMATIC LEAK DETECTORS
Installed: 12/08/1999
Date: 01/13/1999
Name:ADAM HEMSLEY
Prmt Number: 1920
TANK/LINE TEST :
CP CERT. :
MANWAY INSP. :
UST MONIT. CERT:12/22/2003
DISPENSER CONTAINMENT
Type: DISP. PAN SENSOR W/ POS. SHUTOFF
OWNER/OPERATOR SIGNATURE
Ttl:MGR.
Approved: Yes
AGENCY DEFINED
Expiration Date: 06/30/2006
STORAGE CONTAINER DATA (UST FORM C)
Installer Certified by tank/piping manufacturer: Yes
Installation Inspected & Certified by Registered Engineer: No
Installation Inspected by Unified Program Agency: Yes
Manufacturer's Checklist Completed: Yes
Installer Certified by Contractors' State License Board: Yes
Approved Alternate methods:
Date: 01/13/1999
Name:ADAM HEMSLEY
Ttl:MGR.
-10- 07/13/2004
CHEVRON DOWNTOWN FOOD MART-SULLIV
~ Inventory Item 0003
-- COMMON NAME / CHEMICAL NAME
GASOLINE
PREMIUM GASOLINE
Location within this Facility Unit
SiteID: 015-021-001920
Facility Unit: Fixed Containers at Site
Map: Grid:
Days On Site
365
CAS#
8006619
STATE TYPE PRESSURE
Liquid I Pure I Ambient
-- TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
8000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
8000.00 GAL
Daily Average I
8000.00 GAL
%Wt.
100.00 Gasoline
HAZARDOUS COMPONENTS
RN~oRS CAS#
8006619
TSecret ~S BioHaz
No N No
HAZARD ASSESSMENTS
Radioactive/Amount I EPA Hazards
No/ Curies
NFPA/// I USDOT#
MCP
Mod
Ag. Definedl:
Ag. Defined5:
Ag. Defined8:
-- Ag.Definell
MISC. LOCAL AGENCY DATA
Ag.Defined2: Ag.Defined3:
Ag. Defined6:
Ag.Defined9:
Ag. Defined4:
Ag. Defined7:
Ag. Definel0:
-11- 07/13/2004
f'CHEVRON DOWNTOWN FOOD MART-SULLIV SiteID: 015-021-001920
~ Inventory Item 0003 Facility Unit: Fixed Containers at Site
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2
Last Action Type:
Location In Site:
TANK DESCRIPTION
Tank ID#: Mfr: Trusco Compart Tank: N
Installed: 12/1998 Capacity: 8000 Gals No. Of Comparts:
Additional Info:
Tank Use: MOTOR VEHICLE FUEL
Marl Name:GASOLINE
TANK CONSTRUCTION
Type : DOUBLE WALL
Material(p): STEEL CLAD W/FIBERGLASS R. P.
Material(s): STEEL CLAD W/FIBERGLASS R. P.
Lining : UNLINED
Corr Prot: FIBERGLASS REINFORCED PLASTIC
Spill Cnt : 1998 Alarm :
Drop Tube : 1998 Ball Float :
Striker Plate: 1998
TANK CONTENTS
Petrol Type: PREMIUM UNLEADED
Cas #:
Sgl Wall:
8006619
Installed:
Installed:
Exempt: No
Fill Tube S/O: 1998
TANK LEAK DETECTION
Dbl Wall: INTERSTITIAL MONITORING
Last Used:
TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Qty Remaining: Was Filled:
No
-12- 07/13/2004
F'CHEVRON DOWNTOWN FOOD MART-SULLIV SiteID: 015-021-001920
~ Inventory Item 0003 Facility Unit: Fixed Containers at Site
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2
PIPING CONSTRUCTION
UnderGround Piping AboveGround Piping
Type : PRESSURE
Const: DOUBLE WALL
Mfgr : TOTAL CONTAINMENT
Mtl : "FLEX"
& :
Corr :
Prot : "FLEX"
PIPING LEAK DETECTION
UnderGround Piping AboveGround Piping
AUTOMATIC LEAK DETECTORS
Installed: 12/08/1999
Date: 01/13/1999
Name:ADAM HEMSLEY
Prmt Number: 1920
TANK/LINE TEST :
CP CERT. :
MANWAY INSP. :
UST MONIT. CERT:12/22/2003
DISPENSER CONTAINMENT
Type: DISP. PAN SENSOR W/ POS. SHUTOFF
OWNER/OPERATOR SIGNATURE
Ttl:MGR.
Approved: Yes
AGENCY DEFINED
Expiration Date: 06/30/2006
STORAGE CONTAINER DATA (UST FORM C)
Installer Certified by tank/piping manufacturer: Yes
Installation Inspected & Certified by Registered Engineer: No
Installation Inspected by Unified Program Agency: Yes
Manufacturer's Checklist Completed: Yes
Installer Certified by Contractors' State License Board: Yes
Approved Alternate methods:
Date: 01/13/1999
Name:ADAM HEMSLEY
Ttl:MGR.
-13- 07/13/2004
CHEVRON DOWNTOWN FOOD MART-SULLIV
= Inventory Item 0004
-- COMMON NAME / CHEMICAL NAME
DIESEL
Location within this Facility Unit
SiteID: 015-021-001920
Facility Unit: Fixed Containers at Site
Map: Grid:
Days On Site
365
CAS#
F STATE TYPE PRESSURE
Liquid Pure Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
12000.00 GAL
AMOUNTS AT THIS LOCATION
I Daily Maximum I
12000.00 GAL
Daily Average I
12000.00 GAL
%Wt.
100.00
HAZARDOUS COMPONENTS
Diesel Fuel No. 2
IRSI CAS#
No 68476302
HAZARD ASSESSMENTS
Radioactive/Amount I EPA Hazards
No/ Curies
NFPA/// I USDOT#
Low
Ag.Definedl:
Ag.Defined5:
Ag.Defined8:
-- Ag.Definell
MISC. LOCAL AGENCY DATA
Ag.Defined2: Ag.Defined3:
Ag.Defined6:
Ag. Defined9:
Ag. Defined4:
Ag. Defined7:
Ag.Definel0:
-14- 07/13/2004
F'CHEVRON DOWNTOWN FOOD MART-SULLIV SiteID: 015-021-001920
~ Inventory Item 0004 Facility Unit: Fixed Containers at Site
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2
Last Action Type:
Location In Site:
TANK DESCRIPTION
Tank ID#: Mfr: Trusco
Installed: 12/1998 Capacity:
Additional Info:
Tank Use: MOTOR VEHICLE FUEL
Matl Name:DIESEL
Type
: DOUBLE WALL
12000 Gals
TANK CONTENTS
Petrol Type: DIESEL
TANK CONSTRUCTION
Material(p): STEEL CLAD W/FIBERGLASS R. P.
Material(s): STEEL CLAD W/FIBERGLASS R. P.
Lining : UNLINED
Corr Prot: FIBERGLASS REINFORCED PLASTIC
Spill Cnt : 1998 Alarm :
Drop Tube : 1998 Ball Float :
Striker Plate: 1998
Sgl Wall:
Compart Tank: N
No. Of Comparts:
Cas #:
Installed:
Installed:
Exempt: No
Fill Tube S/O: 1998
TANK LEAK DETECTION
Dbl Wall: INTERSTITIAL MONITORING
Last Used:
TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Qty Remaining: Was Filled:
No
-15- 07/13/2004
F~CHEVRON DOWNTOWN FOOD MART-SULLIV SiteID: 015-021-001920
~ Inventory Item 0004 Facility Unit: Fixed Containers at Site
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2
PIPING CONSTRUCTION
UnderGround Piping AboveGround Piping
Type : PRESSURE
Const: DOUBLE WALL
Mfgr : TOTAL CONTAINMENT
Mtl : "FLEX"
& :
Corr : "FLEX"
Prot :
PIPING LEAK DETECTION
UnderGround Piping AboveGround Piping
AUTOMATIC LEAK DETECTORS
Installed: 12/08/1999
Date: 01/13/1999
Name:ADAM HENSLEY
Prmt Number: 1920
TANK/LINE TEST :
CP CERT. :
MANWAY INSP. :
UST MONIT. CERT:12/22/2003
DISPENSER CONTAINMENT
Type: DISP. PAN SENSOR W/ POS. SHUTOFF
OWNER/OPERATOR SIGNATURE
Ttl:MGR.
Approved: Yes
AGENCY DEFINED
Expiration Date: 06/30/2006
STORAGE CONTAINER DATA (UST FORM C)
Installer Certified by tank/piping manufacturer: Yes
Installation Inspected & Certified by Registered Engineer: No
Installation Inspected by Unified Program Agency: Yes
Manufacturer's Checklist Completed: Yes
Installer Certified by Contractors' State License Board: Yes
Approved Alternate methods:
Date: 01/13/1999
Name:ADAM HENSLEY Ttl:MGR.
-16- 07/13/2004
fHEVRON DOWNTOWN FOOD MART
Manager :
Location: 2317 L ST
City : BAKERSFIELD
CommCode: BAKERSFIELD STATION 01
EPA Numb:
SiteID: 015-021-001920
BusPhone: (661) 638-0310
Map : 103 CommHaz : Low
Grid: 30A FacUnits: 1 AOV:
SIC Code:5541
DunnBrad:
~..m, erqency Contact / Title
Business Phone: ~! ~38-0310x
24-Hour Phone : ~t ~q~-'3-a°)
Pager Phone : (-~l ~OO ~[~
Emeraencv Contact / Title
~.7~.~--- ~./~lO~<'/ PETAIL FUEL MGR
Business Phone: (~/ ~OO ~/~
24-Hour Phone : ~-~
Pager Phone
Hazmat Hazards:
Fire Press
ImmHlth
Contact : ~C( ~~GENERAL MANAGER
MailAddr: 2317 L ST
City : BAKERSFIELD
Phone: (661) 638-0310x
State: CA
Zip : 93301
Owner SERVICE STATION HOLDINGS
Address : 200 E MINNER AVE
City : BAKERSFIELD
Phone: (661)
State: CA
Zip : 93308
Period :
Preparer:
Certif'd:
ParcelNo:
to
TotalASTs: =
TotalUSTs: =
RSs: No
Gal
Gal
Emergency Directives:
,'-~~. &J~/~GOo hereby certify
n'~t plan for c~c ~ and that it along with
any c0rrec~i0ns c0Ds~i~u~s a ~mpls~s and ~rr~ ma~-
1 03/07/2003
CHEVRON DOWNTOWN FOOD MART
STORAGE CONTAINER DATA (UST FORM A)
Last Action Type:
FACILITY/SITE INFORMATION
Business Name: CHEVRON DOWNTOWN FOOD MART/~/~
Business Type: C ~m~ [xD/~ Org Type:
Total Tanks : ~3c, 4 IndnRes/Trust: No PA Contact:
. P~QPERTY OWNER INFORMATION
Name : ~C~ ~J~-~_-O~! Jc~ Phone:
Address:
City : State: Zip:
Type :
Name : ~~)~ ~O~/~OWNER INFORMATION
Address:
City : State:
Type :
SiteID: 015-021-001920
Phone: ~/-~OO ~/[_
Zip:
BOE UST Fee# : UNKNOWN
Financ'l Reap: SELF INSURED
Legal Notif : Tank Owner Mailing Address
Date:0]/~/l~ Phone: (661) 638 O~/~
Name:~~D~, ~L~~I ~ Ttl:G. MGR.
State UST # : 1998 Upg Cert#: 00810
~ Hazmat Inventory
--Alphabetical Order
One Unified List
Ail Materials at Site
DIESEL L 12000.00 GAL Low
GASOLINE L 12000.00 GAL Mod
GASOLINE L 8000.00 GAL Mod
GASOLINE L 8000.00 GAL Mod
PROPANE E F P IH G FT3 Hi
2 03/07/2003
CHEVRON DOWNTOWN FOOD MART' SiteID: 015-021-001920
= Inventory Item 0004 Facility Unit: Fixed Containers at Site
~U~U~ ~Vl~ / ~±~ ~Vl~
DIESEL Days On Site
365
Location within this Facility Unit Map: Grid:
CAS#
F STATE ~ TYPE
Liquid /Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
12000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
12000.00 GAL
Daily Average
12000.00 GAL
%Wt.
100.00
HAZARDOUS COMPONENTS
Diesel Fuel No. 2
S CAS#
N 68476302
TSecretNo N~S{Bi°HaZNo
HAZARD ASSESSMENTS
Radioactive/Amount EPA Hazards
No/ Curies
NFPA
///
USDOT# I MCP
Low
Inventory Item 0001 Facility Unit: Fixed Containers at Site
CU~U~ ~Vl~ / ~±~b ~Vl~
GASOLINE Days On Site
REGULAR GASOLINE 365
Location within this Facility Unit Map: Grid:
CAS#
8006619
STATE TYPE PRESSURE
Liquid [ Pure I Ambient
-- TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
12000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
12000.00 GAL
Daily Average
12000.00 GAL
%Wt.
100.00 Gasoline
HAZARDOUS COMPONENTS
S CAS#
N 8006619
TSecret ~S BioHaz
No N No
HAZARD ASSESSMENTS
Radioactive/Amount I EPA Hazards
No/ Curies
NFPA
///
USDOT# { MCP
Mod
-3- 03/07/2003
CHEVRON DOWNTOWN FOOD MART SiteID: 015-021-001920
= Inventory Item 0002 Facility Unit: Fixed Containers at Site
COmmON N~m~ / CM~m±CAb N~l~
GASOLINE Days On Site
MIDGRADE GASOLINE 365
Location within this Facility Unit Map: Grid:
CAS#
8006619
STATE ~ TYPE
Liquid /Pure
PRESSURE
Ambient
-- TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
8000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
8000.00 GAL
Daily Average
8000.00 GAL
%Wt.
100.00 Gasoline
HAZARDOUS COMPONENTS
I ~S CAS#
N 8006619
TSecretNo N~S BioHazNo
HAZARD ASSESSMENTS
Radioactive/Amount EPA Hazards
No/ Curies
NFPA
///
USDOT# I MCP
Mod
= Inventory Item 0003
-- COMMON NAME / CHEMICAL NAME
GASOLINE
PREMIUM GASOLINE
Location within this Facility Unit
Facility Unit: Fixed Containers at Site
Map: Grid:
Days On Site
365
CAS#
8006619
STATE I TYPE PRESSURE
Ambient
Pure
Liquid
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
8000.00 GAL
AMO~TS AT THIS LOCATION
Daily Maximum I
8000.00 GAL
Daily Average
8000.00 GAL
%Wt.
100.00
Gasoline
HAZARDOUS COMPONENTS
S CAS#
N 8006619
TSecret
No
I ~S BioHaz
N No
HAZARD ASSESSMENTS
Radioactive/Amount EPA Hazards
No/ Curies
NFPA
///
USDOT#
MOPI
Mod
-4- 03/07/2003
CHEVRON DOWNTOWN FOOD MART
~ Inventory Item 0005
-- COMMON NAME / CHEMICAL NAME
PROPANE
Location within this Facility Unit
SiteID: 015-021-001920
Facility Unit: Fixed Containers at Site
Map: Grid:
Days On Site
365
CAS#
74-98-6
F STATE TYPE
Gas I Pure
PRES SURE TEMPERATURE
I Above Ambient ~ Ambient
CONTAINER TYPE
I PORT' PRESS' CYLINDER I
Largest Container
FT3
AMOUNTS AT THIS LOCATION
Daily Maximum FT3
Daily Average
FT3
%Wt.
100.00 Propane
HAZARDOUS COMPONENTS
Yes
CAS#
74986
TSecretNo N~S BioHazNo
HAZARD ASSESSMENTS
Radioactive/Amount EPA Hazards
No/ Curies F P IH
NFPA
///
USDOT# MCP
Hi
-5- 03/07/2003
CHEVRON DOWNTOWN FOOD MART
SiteID: 015-021-001920
Fast Format
= Notif./Evacuation/Medical
--Agency Notification
CONTACT CITY FIRE DEPT 326-3979.
LARGE RELEASE CONTACT OES (800) 852-7550.
Overall Site
02/26/1999
-- Employee Notif./Evacuation
CONTACT POLICE 911.
CONTACT FIRE DEPT 326-3979 OR 911.
CHECK ALL ROOMS AND EVACUATE PER MAP.
02/26/1999
Public Notif./Evacuation
Emergency Medical Plan
CONTACT MEDICAL 911 OR MEMORIAL HOSPITAL.
02/26/1999
-6- 03/07/2003
CHEVRON DOWNTOWN FOOD MART
SiteID: 015-021-001920
Fast Format
Mitigation/Prevent/Abatemt
Release Prevention
HOW DO YOU PREVENT RELEASES???????????
Overall Site
02/26/1999
--Release Containment
HOW DO YOU CONTAIN THE RELEASE ONCE. IT HAS OCCURED???????
02/26/1999
-- Clean Up 02/26/1999
HOW DO YOU CLEAN-UP THE RELEASE AFTER IT HAS BEEN CONTAINED??????????
Other Resource Activation
-7- 03/07/2003
F ~HEVRON DOWNTOWN FOOD MART
SiteID: 015-021-001920
Fast Format
Site Emergency Factors
Special Hazards
Overall Site
--Utility Shut-Offs
A) GAS -
B) ELECTRICAL -
C) WATER -
D) SPECIAL
E) LOCK BOX - NO
02/26/1999
-- Fire Protec./Avail. Water
12/28/2000
PRIVATE FIRE PROTECTION - (WHAT ABOUT FIRE EXTINGUISHERS OR SPRINKLER
SYSTEM???????????)
Building Occupancy Level
-8- 03/07/2003
f ~HEVRON DOWNTOWN FOOD MART
SiteID: 015-021-001920
Fast Format
Training
-- Employee Training
WE HAVE 13 EMPLOYEES AT THIS FACILITY.
WE DO HAVE MSDS SHEETS ON FILE.
Overall Site
02/26/1999
BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEE HANDBOOK, EMPLOYEE SAFETY
MANUAL, SAFETY CHECKLIST, AND REVIEW 4 VIDEOS; EMPLOYEE SAFETY AND YOU,
MANAGING WORK PLACE SAFETY, HAZARDOUS COMMUNICATION AND ROBBERY PREVENTION.
-- Page 2
--Held for Future Use
Held for Future Use
9 03/07/2003
11:55p
R.dam Hensle~
393-5028
p.1
DATE:
FACSIMILE COVER SHEET
2/24/99
BAKI~.SFIH~ FIRE DEPT.
1-805-326-0576
STEVE
Adam. Hensley
BUSINF_~S PLAN
12
Olewron
Chevron
Downtown Chevron
2317 t Street
eakersfiekl. CA 93301
Phone 805 638 0310
Fax805 638 0224
COMPANY NAME:
PHONE/FAX:
FROM:
SUBJECT:
NUMBER OF PAGES:
(Including Cove? Page)
Sullivan Petroleum Company, LLC Fa~ Number: (805) 392-0165
Sullivan Petroleum Company, LLC E-mail addrez~: sulpet~light~peed, net
CommentS:
STEVE IF I AM MISSING ANYTHING PLEASE GIVE ME A CALL.
This message is intended only for the use ~f the individual or entity to which it is addressed md may contain
information that is privileggd, confidential and exempt from disclosure under applicable law. If the ma~ o~
this n~ssage is not the intended recipient, t~ thc employee ~' a?nt resl:o[u~bte fi~ deU~ery o~ lhe message to
the intend~l recipient, )mu ar~ hereby notified that dir~eminatio~, distribution or copying of this
cmnmunicatim is strictly ixohibited. If y~u haw received this communication in =~ta, please notify us
immediately by telephone, and return lite original messal~ to us at ~he above address via tho U.S. Postal
Service. Thank You
F~b
24. 99 1
02/10/99
Rdam Hensle~ 393-5028
BFD HAZ MAT
p.4
~o~o
CITY OF BAK?_.RSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (805) 326-3979
INSTRUCTIONS:
2.
3.
4.
To avoid further action, return this ~orm within 30 days ofreceipt.
TYPE/PRInT ANS~ IN ENGLISH.
Answc~ l~e questions below ~or the business u a whole.
Be u brief and concise a~ po~ble.
SECTION 1: BUSINESS 1D~CATI,ON DATA
LOCATION:
MAIl.lNG ADDRESS:
CITY: g ~
DLrN & BRADSTIt~ NUMBER:
PRIMARY ACTIVITY:
STATE: ~A ZIP:~
PHONE:
SIC CODE:~
SEC']ION 2: EMFRGENCY NOTTFICATION
CONTACT
TITLE BUS. PHONE 24 HR. PHONE
24 99 11:56p
02/10/99 14:3.~
Rdam Hensle~ 393-5028
0576
BPI) HAZ ~AT DIV
p.5
~JOll
ItAZ~RDOUS MATER/ALS MANAGEMENT PLAN
SECTION 3: TRA=tNI2qG
NUMBER OF EMPLOYEES: ~
MATERIAL SAFETY DATA SHEETS ON FILE:
BRIEF SUMMARY OF TRAIN'~G PROGRAM:
SECTION 4; EXEMPTION REO _UEST
I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM
THE REPORTING REQ~S 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 TI-IE QUAHTITIE$ AT
NO TIME EXCEED TI-IE MINIMUM REPORTING QUANTFr1Es.
OTHER (SPECn~ REASON)
SECTION 5: CERTIFICATION
I, . /~a~ ~$ ~ ~ ~' CERTIFY THAT THE ABOVE
INFORMATION IS ACCURATE. I UNDERSTAND THAT THIS INFO~TION WILL BE
USED TO FULFR,L MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH
AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTI~R 6.95 SEC. 25500
ET AL.) AND THAT ~?~TE INFORMATION cONST1TLrrES PERILrRY'
Feb 24 99 ll:S6p Rdam Hensle~ 393-5028 p.6
TRAINING OUTLINE - DAY 1
OBJECTIVES:
To help the employees learn the importance off
1. Introduction of Employee's
2. ttistory and Future of Sullivan Petroleum
3. Policies and Procedures of Downtown Chevron
4. Safety Policies and Procedures
5. Tour of Safety areas
YOU 'O,q'LL NEED:
· Employee Handbook
· Employee Safety Manual
Safety Checklis~
· Employee Safety and You (video)
· Managing Work Place Safety (video)
· Hazardous Communication (video)
· Robbery Prevention (video)
Feb
24 99 ll:S?p Rdam
02/10/99 14:33 ~8 t26
Hensl e21
057B
BPI) HAZ MAT DIV
393 -5028
p.?
[~012
HAZARDOUS MATERIAl3 MANAGE~ PLAN
SECTION 6: NOTIFICATION AND EVACUATION PROCF_nURE.~
AGENCY NOTI]='ICATION PROCF. DUIU~S:
EMPLOYEE NOTIFICATION AND EVACUATION:
PUBLIC EVACUATION:
D, EMERGENCY MEDICAL PLAN:
3
Fe~b 24 99 ll:57p
02/10/99 ]4:34
Rdam Hensle~ 393-5028
"~"8 0 26 0576
I~FD IiAZ ]~AT
HAZARDOUS MATERIAL~ MANAGEMENT PLAN
SECTION 7: MITIGATION_ PREVENTION AND ABAT~M~'NT PLAN
A. RELEASE PREVENTION STEPS:
1~'~t ~:-_4.SE CONT~ AND/OR bflN'IM~.ATION:
Ct-~AN-UP P&OCEDURF. S:
SF_.CrION 8: U'I'~-_ITY SHtr['..OFFS _fLOCATION OF S~-RJT~S AT YOUR FACH/T~
NA~ GAS/PROPANE:
ELECTIHCAL:
WArP. R:
SPECIAL:
LOCK BO~ YES/NO
IF YES, LOCATION:
S~_ECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY
A. PRIVATE FIRE PROTECTION:
WATER AVA]LASILITY (FIRE HYDRANT):
4