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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