The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLAN 5-3-01 715 Chester Ave., Bake=sfleld, CA 93301 (805) 326-3979 ?AHK R.EIIOVAL ZNSPECTZON FORM PLOT ~t fo CONDITION OF TANKS CONDITION OF PIPING CONDITION OF, SOIL COMMENTS I ~+ DATE ..-k/-,-.. r_ A..~,..,~ XNIPECI'OR8 ~ 8XImAllJIW D May 3, 2001 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 UH" Street Bakersfield, CA 93301 · VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Livengood, Inc. Ming Avenue Shell 3700 Ming Avenue Bakersfield, CA 93309 Dear Business Owner: Enclosed, please find the Site and Facility Diagram Instructions packet. When your Hazardous Materials Management Plan and Inventory were submitted it was lacking the diagram portion. Please draw and submit the diagram(s) of your facility by June 8, 2001. The diagram should include the following: 1) 2) 3) 4) 5) 6) 7) 8) 9) name of your business; business address; indicate which direction is North; the cross streets neighboring business addresses (within 300 feet) entrances and exits location of utility shut-offs; location of the nearest fire hydrant; portions of the building protected by automatic sprinkler system; and most importantly the location of the hazardous material(s). If you have any questions, please feel free to call me at (661) 326-3658. Thank you for your assistance. Sincerely, RALPH E. HUEY, DIRECTOR OFFICE OF ENVIRONMENTAL SERVICES Esther Duran, Accounting Clerk II Office of Environmental Services ED\db Enclosures 6060 EQUlVA SERVICES LLC SURVEY FORM. -- 1.' please use one (1) sheet per'dl'$Pense'r'''''' 2. Fill in all bubbles completely; 3. Select only one bubble per question, 4. Leave question blank if unsure. 5. SUbmit immediately to EquK, a Ser~ices 6. Please pdnt neatly and use all caps for letters ~) ~ ~ · · ,,Notl~a'lhi~: Shell 135072 3700 Ming Avenue Bakersfield, CA O Regular Type Size Manufacturer PV Vent Valve? Deadman? OSWF O550 ·OwensComtng ·Y ON OY ON O PI/~I¢:¢/' · DWF · Premium O 1,000 O Xerxes Manifolded? · Unknown O Diesel .O Steel O 10,000 Remote Fill? O Dbl. Fiber Steel O Joor O Y · N O Waste Oil O Single Fiber Steel O 12,000 O Y · N O Methanol (M85) O Bladder Insert O 15,000 O Modem Welding Syphon Positive Shutdown? O Ethanol O Other O Other O Other O Y ·~_N · Y O N , ~ ~" Drain? Size' i~ Spillbox Manufacturer Spillbox OOPW OPhiltite ~Y ~)5 O25 ' oY~N ·Y ·Y OY L ·EBW ONone ON O15 OOther ·N oUnknownoN ON ·N ~ .............. ~ Sump Type Overfill Protection Type X Spillbox Manufacturer Drain? Splilbox Size O AC/WP O West. Fiber. O Ballfloat P OOPW OPhiltite ~Y O5 O25 oEnvlron OXerxes i~ · EBW 'O None O N O 15 O Other O Fluid Cont. O Other · Flapper valve O TCI · None O None Type Manufacturer If In sump, O TLS O TLM O APl Ronan O Veeder Root 350 O Fill sump Wireless? O Gtlbarco · Veeder Root 350R (Simplicity) O Y · N O Veeder Root 250 O Other · Turbine sump If not in sump, secondarily contained? oY oN Capacity (hp) Type 0.5 O .75 O1 ~ 1.5 02 Contained? Container Manufacturer Flex. Conn. If yes, how? O FE Petro · Y O N O AC/WP O TCl Contained? O Boot · Red Jacket Container Type O Bravo · West. Fiber. · Y O Zipper O Other ~ Sump O CTC O Xerxes O N ~ Sump O Environ O Other O Unknown .~ O Bucket 'O Fluid Cont. O None O Other Manway? OY O Unknown Comments: Rev. S.C 3~23/99 Company: 6066 6060 EQUlVA SERVICES LLC TANK SURVEY FORM, -- 1,' Please use one (1) sheet per dispenser"' 2. Fill In all bubbles completely. 3. Select only one bubble per question. 4. Leave question blank if unsure. 5. Submit immediately to EquiVa Services 6. Please pflnt neatly and use all caps for letters ~) t ~ · .. Net li~.e thi~: Shell 135072 3700 Ming Avenue Bakersfield, CA · Regular Type Size Manufacturer O PI~'/ O SWF O 550 · Owens Coming O Pre'mium · DWF O 1,000 O Xerxes O Diesel O Steel · 10,000 O Dbl. Fiber Steel O Jeer O Waste Oil O Single Fiber Steel O 12,000 O Methanol (M85) O Bladder Insert O 15,000 O Modem Welding O Ethanol O Other O Other O Other PV Vent Valve? Deadman? · Y ON OY ON Manifolded? · Unknown Remote Fill? OY ·N oY ·N Syphon Positive Shutdown? OY ·.~N ·Y oN ~pillbox ~aanuTac~urer rain pi o p ¢ont.~' Manway? Drop Tub·Striker Plate?Tube cage? OOPW OPhilttte ·Y ·5 O25 OY·N ·Y ·Y OY L ·EBW ONone ON O15 OOther ·N oUnknownoN ON ·N ~.. ............. Sump Type Overfill Protection Type ~ Spillbox Manufacturer Drain? Spillbox Size O AC/WP O West. Fiber. O Ballfloat P OOPW O Philtite ·Y · 5 O25' O Environ OXerxes Flapper valve ~ ·EBW 'oNone ON O15 OOther O Fluid Cont. O Other O TCI · None O None Type Manufacturer If in sump, O TLSO TLM O APl Renan O Veeder Root 350 O Fill sump Wireless? O Gilbarco · Veeder Root 350R (Simplicity) O Y · N O Veeder Root 250 O Other Turbine sump If not in sump, secondarily contained? OY ON Capacity (hp) Type Contained? COntainer Manufacturer Flex. Conn. O .5 O FE Petro · Y O N O AC/WP O TCl Contained? O .75 O 1 · Red Jacket Container Type O Bravo ~ West. Fiber. ~ Y O CTC O Xerxes O N e 1.5 O Other · Sump O Environ O Other O Unknown O 2 O Bucket O Fluid Cont. O None If yes, how? Manway? O Boot OY O Zipper · Sump O Other '~ O Unknown Comments; Date: ~J'~ / ['~ / ~']' Signature: Rev. S.C 3/23/99 Company: 6066 6060 EQUIVA SERVICES LLC 1.' Please use one (1) sheetP~r~81'S:pens~r ' 2, Fill in all bubbles completely; 3, Select only one bubble per question. 4. Leave question blank if unsure. 5. SUbmit immediately to EqulVa Services 6. Please pflnt neaUy and use all caps for letters I 1 [ Is I ~ [ ~ · ' ,,Notl~athi:: Shell 135072 3700 Ming Avenue Bakersfield, CA O Regular Type Size Manufacturer PV Vent Valve? Deadman? · PI~ OSWF O550 · Owens Coming ~Y ON OY ON O Premium ~ DWF O 1,000 O Xerxes Manifolded? · Unknown O Diesel O Steel · 10,000 Remote Fill? O Dbl. Fiber Steel O Joor O Y ~ N O Waste Oil O Stngle Fiber Steel O 12,000 O Y · N O Methanol (M85) O Bladder Insert O 15,000 O Modem Welding Syphon Positive Shutdown? O Ethanol O Other. O Other ' O Other O Y ·~_N · Y O N Spillbox Manufacturer Drain? Spilibox Size p (;onLY' Manway? Drop TubeStr~ker Plate? Tube cage? OOPW OPhiltite ·Y ·5 O25 OY·N ·Y ·Y OY L ·EBW ONone ON O15OOther ·N oUnknownoN oN ·N ~._ ............. Sump Type Overfill Protection Type ~ Spillbox Manufacturer Drain? Spillbox Size O AC/WP O West. Fiber. O Ballfloat P OOPW OPhlltite ·Y ·5 O25 OEnviron OXerxes Flapper valve ~ ·EBW 'ONone ON O15 oOther O Fluid Cont. O Other O TCI · None O None Type Manufacturer If In sump, O TLSO TLM O APl Ronan O Veeder Root 350 O Fill sump Wireless? O Gilbarco · Veeder Root 350R (Simplicity) O Y · N O VeederRoot 250 O Other · Turbine sump If not in sump, secondarily contained? oY oN Capacity (hp) Type 0.5 0.75 01 · 1.5 O2 Contained? Container Manufacturer Flex. Conn. If yes, how? O FE Petro · Y O N O AC/WP O TCI Contained? O Boot · Red Jacket Container Type O Bravo · West. Fiber. · Y O Zipper O Other ~ Sump O CTC O Xerxes O N · Sump O Environ O Other O Unknown ~ O Bucket O Fluid Cont. O None O Other Manway? oY O Unknown Comments: Date: [--~ / ~ / ~"Signature: company: Rev. S.C 3123199 6066 6065 EQUIVA S'ERVICES LLC TANK SURVEY FORM' '- 1. Please use one (1) sheet per dispenser 2. Fill in all bubbles completely. 3, Select only one bubble per question, 4, Leave question blanklf unsure. 5, Submit immediately to Equlva Services 6, Please print neatly and use al caps, for letters Shell 135072 3700 Ming Avenue Bakersfield, CA Regular Type Size Plus O SWF · 550 Premium · DWF O 1,000 Diesel O Steel O 10,000 O Dbl. Fiber Steel Waste Oil O Single FiberSteel O 12,000 Methanol (M85) O Bladder Insert O 15,000 Ethanol O Other O Other Manufacturer PV Vent Valve? Deadman? OOwensComlng OY ON OY ON O Xerxes Manifolded? ~l Unknown Remote Fill? O Joor OY ~ N IY oN O Modem Welding Syphon Positive Shutdown? OOther OY ~.~N OY ON F Spillbox Manufacturer Drain? Spillbox Size tsump [;onLY Manway? Drop TubeStriker Plate?Tube cage? L OY OY OYON ~Y ~)Y OY OOPW O Philtite O25 L OEBW ONoqe ON O15 OOther ~N oUnknownoN ON ~N .. '~-. .... _9.?_~?~._ Sump Type Overfill Protection Type ~ O AC/WP O West. Fiber. O Ballfloat Spillbox Manufacturer Drain? Spillbox Size P OOPW OPhiltite OY O5 O25 OEnvlron oXerxes O Flapper valve OR oEBW oNone ON O15 OOther O Fluid Cont. O Other O TCI I None ~ None Type Manufacturer If in sump, (~ TLSO TLM O APl Ronan O Veeder Root 350 O Fill sump Wireless? O Gilbarco O Veeder Root 350R (Simplicity) O Y O N O Veeder Root 250 O Other' 0 Turbine sump If not in sump, secondarily contained? oY ON Capacity (hp) Type 0.5 O .75 O1 O 1.5 02 'Contained? COntainer Manufacturer Flex. Conn. Contained? O FE Petro O Y O N O AC/WP O TCl O Red Jacket Container Type O Bravo O West. Fiber. O Y O Other O Sump O CTC O Xerxes O N O Environ O Other O Unknown O Bucket O Fluid Cont. O None If yes, how? Manway? O Boot oY O Zipper oN O Sump O Other '~ O Unknown Comments:' Date: / / Signature: Company: Rev. S.C 3/23/99 6066 MING AVE SHELL Manager : ~~%-~~-~ Location: 3700 MING AVE City : BAKERSFIELD BusPhone: CommCode: BAKERSFIELD STATION 07 EPA Numb: SiteID: 015-021-000243 Map : 123 Grid: liB (661) 831-5151 CommHaz : Low FacUnits: 1 AOV: SIC Code:5541 DunnBrad:10-307-2708 Emergency Contact / Title GLEN HENRY / DEALER Business Phone: (661) 831-5151x 24-Hour Phone : (661) 323-4007x Pager Phone : (661) 329-1567x tEme~enc¥ Contact / Title ~Business Phone: ~- 24 -Hour Phone : Pager Phone : Hazmat Hazards: RSs Fire Press React ImmHlth DelHlth Contact : FERYAL SARRAFIAN MailAddr: PO BOX 7869 City : BURBANK Phone: (818) 736-5078x State: CA Zip : 61510-7869 Owner EQUILON ENTERPRISES LLC Address : PO BOX 7869 City : BURBANK Phone: (818) 736-5078x State: CA Zip : 61510-7869 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: Yes Emergency Directives: reviewed the a~'mc~ed h~ardous mmeHals manage- ment plan for ~k, ~ ~v~ 5~ha~ i~ alOng ~i~h ' (Name of Busine~) -- any corrections constitute a comple~s and corre~ man- agemem plan for my facility. -1- 10/31/2000 MING AVE SHELL STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: MING AVE SHELL Cross Street : Business Type: Org Type: Total Tanks : D .~'IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name · -~...~. ~.~.~ ~ ~'~ c~ot~_o~ ~.~-~z~~ ~_~ ~ Phone Address: ~o City : ~o~ T~e : Name : Address: City : Type : SiteID: 015-021-000243 TANK OWNER INFORMATION ~.~ ~i~o ~o-~-C Phone: ~5~ 326-432G:x-- State: Zip: BOE UST Fee# : 039026 Financ'l Resp: SELF INSURED Legal Notif : Property Owner Mailing Address Date:02~09~1997 ~ Phone: (818) 736-5078x Name:FERYAL SARRAFIAN Ttl:~COORDINATOR State UST # : 1998 Upg Cert#: 00714 = Hazmat Inventory --As Designated Order Hazmat Common Name... GASOLINE GASOLINE GASOLINE MOTOR OIL W$~TE ?~ITIFREEZE . ~ASTE OIL FILTERS 4CASTE BATTERIES I SpecHaz I EPA Hazards I Frm F IH DH L F IH DH L F IH DH L ~co~ F DH L One Unified List Ail Materials at Site I DailyMax IUnitlMCP 10000.00 GAL Mod 10000.00 GAL Mod 10000.00 GAL Mod 550.00 C.~ ,Lcw 150.00 GAL Min 55.00 ~ UnR 2~.00 LBS ~R -2- 10/31/2000 MING AVE SHELL SiteID: 015-021-000243 = Inventory Item 0001 Facility Unit: Fixed Containers on Site ~lvUVl~ ~Vl~ / ~l~,/"~J-~ N~vl~ GASOLINE Days On Site UNLEADED 365 Location within this Facility Unit Map: Grid: SE SIDE OF LOT CAS# 8006619 STATE ~ TYPE Liquid/Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 3000.00 GAL %Wt. 100.00 Gasoline HAZARDOUS COMPONENTS I ~S CAS# N 8006619 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F IH DH NFPA/// I USDOT# Mod Inventory Item 0002 Facility Unit: Fixed Containers on Site ~lvUVl~N N~Vl~ / ~l~4_.J.~ ~Vl~ GASOLINE Days On Site SUPER UNLEADED 365 Location within this Facility Unit Map: Grid: SE SIDE OF LOT CAS# 8006619 STATE ~ TYPE Liquid /Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 2500.00 GAL I%Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS 8006619 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F IH DH NFPA/// I USDOT# Mod -3- 10/31/2000 MING AVE SHELL SiteID: 015-021-000243 = Inventory Item 0003 Facility Unit: Fixed Containers on Site GASOLINE Days On Site UNLEADED (89 OCTANE) 365 Location within this Facility Unit Map: Grid: SE SIDE OF LOT CAS# 8006619 [ STATE ~ TYPE Liquid/Pure PRESSURE Ambient TEMPERATURE Ambient Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL CONTAINER TYPE UNDER GROUND TANK Daily Average 2500.00 GAL %Wt. 100.00 Gasoline HAZARDOUS COMPONENTS RNo~ CAS#8006619 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F IH DH NFPA I USDOT# I MCP / / / Mod Item 0004 Facility Unit: Fixed Containers on Site / WASTE O~L ~C~ ~ Days 365 On Site Location w~his Facility Unit Map: Grid: E SIDE OF SALES BL%~ CAS# 221 Liquid I Waste Ambient Ambient UNDER GROUND TANK Largest Container 550.00 GAL AMOUNTS Daily LOCATION 550 GAL HAZARDOUS COMPONENTS %Wt. I 100.00 Waste Oil, Petroleum Based ITSecretI ~S BioHaz No N No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F DH Daily Average I 300.00 GAL CAS# NFPA /// 01 Low -4- 10/31/2000 MING AVE SHELL SiteID: 015-021-000243 ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site UUIV~VlUN N~vl~ / U~ £ U~-UL~ N~vl~ MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: IN SERVICE BAY CAS# 8020835 F STATE ~ TYPE Liquid {Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Containerl.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 150.00 GAL Daily Average 100.00 GAL %Wt. 100.00 HAZARDOUS COMPONENTS Motor Oil, Petroleum Based N 8020835 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F DH NFPA /// USDOT# I MCP Min Inventory Item 0008 Facility Unit: Fixed Containers on Site ~FUVI~ ~Vl~ / ~l~*k.b ~Vl~ CARBON DIOXIDE Days On Site 365 Location within this Facility Unit Map: Grid: CASHIER AREA CAS# 124-38-9 FSTATE ~ TYPE Gas IPure PRESSURE TEMPERATURE CONTAINER TYPE I Above Ambient I Below Ambient I PORT. PRESS. CYLINDER Largest Container 174.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 348.00 FT3 Daily Average { 174.00 FT3 %Wt. 100.00 Carbon Dioxide HAZARDOUS COMPONENTS 124389 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies P IH NFPA/// { USDOT# { MinMCP -5- 10/31/2000 MING AVE SHELL SiteID: 015-021-000243 ~ Inventory Item 0009 Facility Unit: Fixed Containers on Site ~lVUVl~ ~Vl~ / ~A~ ~.~.-~.J.~ ~Vl~ ~WASTE ANTIFREEZE Days On Site L~Loot 365 ion within this Facility Unit Map: Grid: IN SERVIa. CAS# 107-21-1 STATE TYPE PRESSURE Liquid Mixture Largest Container 55.00 GAL TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC AT THIS LOCATION )aily Maximum I Daily Average 55.00 GALI 15.00 GAL HAZARDOUS %Wt. I RSI CAS# HAZARD ASSESSMENTS TSecret BioHaz Radioactive/Amount EPA Hazards ~PA USDOT# ~ MCP No No No/ Curies IH DH ~ UnR Item 0010 Facility Unit: Fixed Containers ~ite ~ ~UlVl.n~ l~Vl~ / ~A~1~Z~J~ ~vl~ '~ WASTE O~LTERS Days365On Sit? Location W~n this Facility Unit Map: Grid: IN SERVICE BAY ~ CAS# 800-20-59 ~URE TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC rSTATE TYPE Liquid I Mixture ~ AT THIS LOCATION t Largest Container Maximum I Daily Average I 55.00 LBS 0.00 LBS I 100.00 LBS HAZARDOUS COMPONENTS %Wt. RS CAS# HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies DH UnR -6- 10/31/2000 MING AVE SHELL SiteID: 015-021-000243 F Inventory Item 0011 Facility Unit: Fixed Containers on Site ~ B~TTERIES Days On Site365 Loc~on within this Facility Unit Map: Grid: IN SERVI~ ~ F STATE T TYPE PRESSURE Mixture Liquid >ient -- TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1.00 GAL AT THIS LOCATION ily Maximum 1.00 GAL Daily Average 1.00 GAL ~./%.7,.Z-,~"~..LJ U U ~ ~Uivi~U/~l ~ I~l'i'~~ %Wt. RS CAS# Lead Dioxide . No 1309600 Sulfuric Acid (EPA) No 7664939 Lead No 7439921 HAZARD ASSESSMENTS TSecretI RSIBioHazI Radioactive/Amount I EPA HazardsI NFPA No Yes No No/ Curies R IH / / / -7- 10/31/2000 MING AVE SHELL SiteID: 015-021-000243 Fast Format = Notif./Evacuation/Medical --Agency Notification Overall Site 06/14/1999 EQUILON WILL NOTIFY THE APPROPRIATE STATE AND LOCAL AGENCIES UNLESS THE SITUATION REQUIRES URGENT IMMEDIATE RESPONSE BY THE AGENCIES, IN WHICH CASE THE DELAER SHOULD NOTIFY THESE AGENCIES: 1) LOCAL AGENCY: BAKERSFIELD FIRE DEPT 805-326-3979. 2) CALIFORNIA OFFICE OF EMERGENCY SERVICES: 800-852-7550 (24 HRS). 3) CALL FOR HELP IN CASE OF AN EMERGENCY BY DIALING 9-1-1. -- Employee Notif./Evacuation NOTICE WILL BE VERBAL. EMPLOYEES WILL ASSEMBLY AREA. 06/14/1999 EVACUATE BLDGAND MEET AT EMERGENCY Public Notif./Evacuation 04/19/1996 IF THERE IS ANY IMMEDIATE DANGER, ANNOUNCE TO ALL PERSONS ON THE SITE: "THERE IS AN EMERGENCY. PLEASE TURN OFF YOUR ENGINES AND LEAVE THE STATION ON FOOT IMMEDIATELY." Emergency Medical Plan UCLA HOSPITAL & CLINICS FIRE DEPARTMENT POLICE DEPARTMENT PARAMEDICS OFFICE OF EMERGENCY SERVICES MERCY HOSPITAL (310) 825-2111 911 911 911 (800) 852-5502 (805) 328-5275 04/19/1996 -8- 10/31/2000 MING AVE SHELL SiteID: 015-021-000243 Fast Format = Mitigation/Prevent/Abatemt --Release prevention Overall Site 05/07/1993 ABOVEGROUND AUTOMOTIVE PRODUCT ARE STORED IN UNBREAKABLE CONTAINERS AND IN MINIMUM QUANTITIES. THE UNDERGROUND STORAGE TANKS ARE MONITORED USING AN APPROVED MONITORING METHOD TO DETECT LEAKS. ALL EMPLOYEES ARE TRAINED IN SAFE HANDLING OF HAZARDOUS MATERIALS. --Release Containment 05/07/1993 STOP A RELEASE BY TURNING OFF THE PUMPS AND USING EITHER ABSORBENT MATERIALS OR A FIRE EXTINGUISHER AS NECESSARY. -- Clean Up 05/07/1993 CLEAN UP WITH ABSORBENT MATERIAL, BROOM AND SHOVEL OR BY VACUUM TRUCK IF NECESSARY. Other Resource Activation 9 10/31/2000 MING AVE SHELL SiteID: 015-021-000243 Fast Format Site Emergency Factors Special Hazards Overall Site Utility Shut-Offs 06/14/1999 A) GAS - NONE B) ELECTRICAL - ON W WALL OF SERVICE BAY C) WATER - SIDEWALK FRONTING REAL RD, ADJACENT TO E DISPENSER ISLAND D) SPECIAL - EMERGENCY PUMP SHUT-OFF LOCATED ON EXTERIOR WALL BETWEEN SERVICE BAY AND CASHIERS BOOTH, AT CASHIER, W SERVICE BAY WALL E) LOCK BOX - NO (BINDER IN CASHIER'S BOOTH) Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER. 06/14/1999 FIRE HYDRANT - LOCATED ON NE CORNER OF MING AVE AND REAL RD AND DIRECTLY ACROSS MING FROM CENTER OF SITE. Building Occupancy Level -10- 10/31/2000 MING AVE SHELL SiteID: 015-021-000243 Fast Format Training -- Employee Training WE HAVE,8~EMPLOYEES AT THIS FACILITY. Overall Site 05/13/1994 WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: EMPLOYEES MUST BE GIVEN THIS TRAINING BEFORE STARTING WORK, AND REFRESHER COURSES MUST BE PROVIDED ANNUALLY. RECORDS MUST BE KEPT TO SHOW WHEN EACH STATION EMPLOYEE HAS BEEN GIVEN HIS/HER SAFETY -- Page 2 Held for Future Use Held for Future Use -11- 10/31/2000 BUSINESS EMERGENCY PLAN (Hazardous Materials Management Plan and Disclosure/Inventory ) EQUILON ENTERPRISES LLC Ming Ave. Shell 3700 Ming Ave. Bakersfield, CA. 93309 204-0462-00018 (805) 83 ~-5 ~ 5 ~ Rev 12/18/98 TABLE OF CONTENTS 1. Owner Operator Agreement ................................. Section 1 California Health and Safety Code, Section 25299 2. Business Emergency Plan .................................... Section 2 3. Hazardous Material Disclosure ............................. Section 3 4. Monitoring Procedures Section 4 Leak Response Plan Emergency Response Procedures Training Log 7-1 5. Site Map Site Map Symbols Reviews and Revisions This plan was created to comply with section 25503.5 of the California Health and Safety Cods. It is required to be revised within 30 days of any significant change in quantities of hazardous chemicals or operations at the facility. In addition plans are reviewed every two years and Inventory Disclosure is submitted annually to the local administering agency. A revision is also required if there is a change in Business Owner, operator, or address. Certification This plan must be reviewed by the Business owner to ensure that it is complete and accurate. After signing this plan, a copy must be kept on-site and available for review (the best place is in the back of the SH & E Red Book). In addition a copy is maintained by the tank owner, and a copy is sent to the local administering agency in your name. 204-0462-00018 BUSINESS PLANS AS A SERVICE TO YOU, THIS BUSINESS PLAN WAS PREPARED BY SERVICE STATION SERVICES, INC. IN ORDER TO COMPLY WITH THE CALIFORNIA HEALTH AND SAFETY CODE (CHAPTER 6.95, ARTICLE I, SECTION 25503.5). BY ACCEPTING THIS PLAN, YOU ARE ACKNOLEDGING THAT THERE ARE NO REPRESENTATIONS OR WARRANTIES THAT THE INFORMATION CONTAINED IN THIS BUSINESS PLAN WILL PRODUCE ANY PARTICULAR RESULT WITH REGARD TO THE SUBJECT MATTER. OWNER/OPERATOR AGREEMENT OPERATOR: As operator of the underground storage tanks, I hereby certify that I understand the monitoring and reporting requirements contained in Title 23, of the California Code of Regulations and I have received a copy of Section 25299, chapter 6.7, California Health and Safety Code. SIGNATURE: ./~_ ~A.~ d/~r~ DATE: OPERATOR NAME: Glen Henry /% ?b-- BUSINESS NAME: Ming Ave. Shell LOCATION #: 204-0462-00018 OWNER: As the owner of the underground storage tanks, EQUILON ENTERPRISES LLC certifies that we have provided the operator a copy of the monitoring and reporting requirements contained in Title 23, of the California Code of Regulations. Equilon certifies that we have provided the operator with a copy of the penalties of noncompliance as specified in Section 25299, chapter 6.7 of the California Health and Safety Code. Equilon Enterprises LLC Bakersfield Fire Department 2130 G Street Bakersfield, CA. 933001 (805) 326-3979 Business Name Ming Ave Shell Owner/Operator Name Glen Henry Business Address 3700 Ming Avenue City Bakersfeild State CA. Phone: (805) 831-5151 Zip 93309 Environmental Contact: Feryal Sarrafian Mailing Address P.O. Box 7869 SH & E Compliance Coordinator Phone: (818) 736-5078 City Burbank State CA. Zip 91510-7869 Biennial Review and Recertification I certify that the Business Plan has been reviewed and the information contained in it is accurate and complete as of date below. I certify that I have reviewed the previously submitted Business plan and have updated the following items on the attached pages. [] Emergency contacts names and phone numbers [] Site/facility map [] Other Updates Annual Inventory Update Inventory Forms are correct for the upcoming reporting year. No changes Necessary. Inventory Forms required updating. Replace previous inventory with attached inventory. [certify under penalty of law, that I have personnally examined and I am familiar with the information submitted in this and all attached cuments, and based on my inquiry of those individuals responsible for obtaining the information, I beleive that the submitted information is true accurate and complete. Name Glen Henry Title Dealer Bakersfield Fire Department Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 (805) 326-3979 Your business is required by State Law to provide immediate notification of any release or threatened release of hazardous material to 1) local fire emergency response personnel, 2) the office of Emergency Services (OES) and 3) this administering agency. If you have a release or threatened release of hazardous materials, immediately call: FirelParamedicslPolicelSheriff Phone: 9-1-1 Individual responsible for calling 9-1-1Dealer' Manager, Senior Employee After the local emergency response personnel are notified, you shall then notify the administering agency (HMDO) and the office of Emergency Services (24 hours a day) State Office of Emergency Services: (800) 852-7550 OR (916) 427-4341 AND: ~cal Administering Agency (805) 326-3979 Individual responsible for calling this Administering Agency and State OES: Dealer or SH & E Compliance Coordinator 2. List the local emergency medical facility that will by used by your business in the event of an accident or injury caused by release or threatened release of hazardous materials. Hospital / Clinic Kern Medical Center Address: 1830 Flower St. Bakersfield CA. 93305 Phone: (805) 326-2000 3. Does your business have a private on-site emergency response team? If yes describe what policies and procedures your business will follow to notify your on-site emergency response team in the event of a release or threatened release of hazardous materials? (attach additional pages if necessary) EMERGENCY RESPONSE CONTINGENCY PROCEDURES AND PLAN 1. PREVENTION- Describe the types of hazards associated with the materials present at your facility What actions are taken to prevent these hazards from occurring? The primary hazardous material is gasoline. It constitutes an immediate fh'e hazard and an environmental hazards. Tanks are equipped with spill boxes and overfill protection to prevent release of spill by the distribution truck. Tanks and lines are continuously monitored. Dispensers are equipped with shear valves and automatic shut-offto prevent overfill by customer. All gasoline is stored in an approved storage and dispensing system. Distribution truck drivers are trained in preventing inadvertent spills while offioading product to the station storage tanks. Personnel are trained in the safe handling of hazardous materials and in leak detection when inspecting hazardous material storage containers, tanks and locations. Storage locations are inspected on a routine basis during operations for signs of leaks and deterioration. 2. MITIGATION- What actions will your business take to lessen the harm or damage to persons, property, or the environment, and prevent what has occurred from getting worse? The senior employee on site will institute immediate spill'control measures with the site spill kit for minor product release. The employee will immediately stop the source of the spill and prevent the flow of the spill material off-site, if this can be done safely. Stopping the spill may involve turning offpumps and closing valves. Any spill greater then 55 gallons may be turned over to an outside finn. Employees will respond to small fires with the site fire extinguishers and attempt to contain it before it gets out of control. In the event ora dispenser drive over or fire the employee will immediately shut down the tank turbines with the emergency shut-off switch. The goal of the site employee is to stop or contain any immediate threat and to summon the appropriate City Agencies (i.e. Fire Department) and Equilon contractors to follow up with damage assessment and cleanup. 3. ABATEMENT - What will your business do to stop the hazard? Tanks and lines are set up to automatically shut down when a leak is detected. For small releases the spill control kit absorbent material and absorbent "sausages" for containment damming. Equilon contracts with a number of State Licensed Abatement Contractors to properly clean the site and ready generate wastes for hauling to an approved landfill. The State Licensed Abatement Contractor will manifest, haul, and dispose of the material at an approved landfill or other approved disposal site. The station manager will resume responsibility for directing cleanup activities. He will summon to the scene the manpower and equipment needed to respond to incident, and will direct their activities for the duration of the response. He will contact any support groups whose assistance is needed in the response effort, such as Police or Fire Department. Notification of regulatory agencies, should it be required will be handled in accordance with notification procedures above. Once the spill has been eliminated, efforts will be directed towards containment of the spill material to the smallest area possible. After the bulk of the spilled material has been removed, final cleanup of the area will be conducted. This will include decontamination of the area and equipment used for the cleanup. 4.~ EVACi[IATION- How will your business handle evacuation? In the event of emerge, ney situation, fire or spill, site personnel are notified verbally. The station manager or senior employee will at this time assess the situation and determine whether outside notification is required. In the event of an emergency which would require total evacuation of the facility, notification will be made verbally by the senior employee in the affected area. The routes of evacuation to be taken are noted on the facility drawing. Once evacuated, personnel will assemble at a safe distance away from the facility, (conditions permitting wind direction, other risks) and the station manager will conduct a head count. If it is possible, the station manager will notify the surrounding businesses by phone or by a door to door means, 5. Your business is required by required by law to keep a copy of Business Plan, including the chemical inventory and site map. Describe where the copies will be kept in your business. Where will other copies be maintained? The business plan is located in the cashier area. Equilon Enterprises also Maintains a copy at their Office. Equilon Enterprises LLC SH&E Compliance Coordinator PO BOX 7869 Burbank, CA. 91510-7869 Describe where you keep other records required by this plan, such as employee training records, (including drills) release records, persons responsible for maintenance/safety and their records, and emergency phone numbers. Other record required by this plan, such as employee training records, release report records, persons responsible for maintenance/safety and their records, and emergency phone lists are located in the green SH & E book located in the cashier area. EMPLOYEE TRAINING 1) Descdbe the training new employees receive in handling and using hazardous materials and waste that are part of your operation. Within 90 days of their hire date, new employees are trained in the safe handling of the hazardous materials they will be using. This training is completed using OSHA hazard communication regulations. When the new employee has completed the "Right to Know" training, it will be documented in the employee's files. This training covers the labeling, MSDS and hazards associated with the materials they work with. The station manager is self trained in the contents of this business plan, which outlines the procedures that are to be followed in dealing with initial response to an emergency. A work shift is not allowed to operate without someone trained in the procedures to follow during initial response to emergencies. The training consists of the instructor reviewing the plans line by line, and answering any questions the employee might have. Once the employee has been trained and verified competent in the contents of the plan, a notation is made in the employee records that they have completed the training required to handle initial response. All employees are trained thoroughly with the emergency response plans and procedures with annual refresher training. Refresher training is completed as noted above, and once trained, a notation is made in the employees record. Refresher training consists of reviewing the evacuation procedure and spill notification procedures and all emergency contact telephone numbers. A record of this training will be noted in the employee's records. Any amendments to the plans are relayed to the personnel required to carry out the plans as soon as those amendments are known. 2) How are employees trained to react to emergency situations? All employees are instructed to call 9-1-1 if warranted, Call Equilon's Maintenance center and personnel, and initiate mitigation procedures 3) Describe how new employees are trained in the use of safety equipment and supplies needed to stop leaks or fires. All employees are instructed in the use of safety equipment and review procedures for proper use of safety and spill control equipment. A Refresher training is conducted every six months. CERTIFICATION We have demonstrated reasonable care in preparing our Business Emergency Plan. This statement certifies that our Emergency Business Plan has been implemented and should be adaquate in the event of an emergency involving our hazardous materials. Document Prepared.l~. ~R~CE STA.T-IOI~RVICES Signature y~. _,.._,~ ~ Business Owner/Oper~ Glen Henry Signature ~./~ {~/~~- Date 12/17/98 Date APPENDIX A California Business & owner/Operator Identlxlcatlon Page 6USINESS NAME (4) Ming Avenue Shell , I! 805 8,,3,1 51 SffE ADDRESS (6) 3700 Ming Road CITY r~ ~kersf~elc~ STATE (at ! CA i ZiP 93309 DUN & ilO) 10-307-2708 SIC CODE {4 DIGITl) ¢1 ti 5541 5411 BRADSTREET 7538 OPERATOR It2) Glen } OPERATOR PHONE 113) 805 831-5151 NAME I u I~ He~ry ~ i · OWNER INFORMATION OWNER NAME (14} l~ilon ~nte~rises OWNER MAILING ADDRESS is 6) I CITY (~7) .Burbank STATE C~a) ZIP c~.9} ENVIRONMENTAL CONTACT CONTACT NAME MAILING ADDRESS (=o! [Feryal Sarrafian (zz) I .P.O. Box CITY (za} Burbank STATE CONTACT PHONE I2SI ,(,818) 73625078 ZIP (25) 91.-510-7869 Primary EMERGENCY CONTACTS Secondary NAME: TITLE: 127) Dealer BUSINESS PHONE: 24-HOUR PHONE: PAGER #: ($o) Glen Henr~ (805) 323-4007 NAME: i311 '. Fred Lonq'-- TITLE; ($z) BUSINESS PHONE: (33) (805) 326-4326 24-HOUR PHONE: (34) (81 5) 333-2123 PAGER #: II ON SITE AHM ACUTELY HAZARDOUS MATERIALS (AHM) de~tlpdon of the p~ooeee e~ ptin~M equipment. ADDI~ONAL LOCALLY COLLEClED INFORMATION IIII I I II I I I III II Certification: I certify under I~enaiw of law that i have personally examined and em familiar with the informer;on subm~ted in this inventory and believe the information is true. accurate, and complete. Print Name of Oocument Preparer (3e~ ~S- e~ice. St,a~on SeL~ices OE$ Form 2730(04196} ' ~D[ C oHazardous Material Inventory Form/Addendum- Chemical Description Page BUSINESS NAME (ct I Ming Avenue Shell CHEMICAL LOCATION I~) UTHEAST SIDE O.F LOT I II PETROLEUM HYDROCARBONS I$1 REGULAR UNLEADED GASOLINE (87) I1 o) 8006-61 -B I-A: FLAMMABLE LIQUID CHEMICAL NAME COMMON NAME CAS # RRE CODE HAZARD CLASSES' TYPE PHYSICAL ~r'ATE FED HAZARD CATEGORIES STATE WASTE COOE ON SFrE .ARGEST CONTAINER STORAGE CONTAINER PRESSURE STORAGE STORAGE TEMPERATURE I~1%WT 1.< 15.0 2. <6.5 3. <4.6 5. TRADE SECRET 111) DY ~ 'EHS ;12~ C~Y 'IF EHS BOX IS 'Y' ALL AMOUNTS MUST BE IN L~S 'COMPLETE BLOCK [13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. I14I r-I PURE ~ MIXTURE O WASTE RADIOACTIVE IiSI (~71 ~ SOLID [] UQUID I~ GA~ CURIES [~ FIRE t-1 REACTIVE [] PRESSURE RELEASE [] ACUTE HEAL.TH ~ CHRONIC HEALTH ~ 365 'If EHS, amoum m~ be in lb. AVG DALLY AMT 1241 ~ 3000 ;2~1 10,000 ANNUAL WAS {27I ABOVE GROUND TANK UNDER GROUND TANK TANK INSIDE BUILDING STEEL DRUM PLASTIC/NONMETALUC DRUM [] CAN [] BOX [] TANK WAGON C] CARBOY [] CYLINDER ~ RAIL CAR ~ ~LO [D GLASS BOTTLE [] l-i FIBER DRUM [] PLASTIC BO~'~LE (~ Other,.. ~ BAG lq TOTE BIN ! AMBIENT ~ ABOVE AMBIENT t'"l BELOW AMBIENT AMBIENT C] ABOVE AMBIENT BELOW AMBIENT [] CRYOGENIC tS0I HAZARDOUS COMPONENTS I31I EHS . I32) CAS~ METHYL TERT BUTYL ETHER I~ Y [] N 1834044 TOLUENE I~ Y t~ N 108883 XYLENE C] Y ~ N 1330-20-7 {~Y ~N []Y ~l ADDITIONAL LOCALLY COLLECTED INFO~TION DES Fon~ 173 tt/9~) ,~,~,~.~u.~~~,~: . APP]~qDIX C ~,,California Hazardous Materia__.___~l Inventory Form/Addendum- Chemical Description .Page ADO [] DELETE [] REV1SE ~ NO CHANGE PAGE (2! OF {3) 10 BUSINESS NAME {~ CHEMICAL LOCATION ISl MAP# (el CHEMICAL NAME (81 COMMON NAME lei CAS # {lOl FIRE CODE HAZARD CLASSES' U31 TYPE PHYSICAL STATE I1 FED HAZARD CATEGORIES ~rATE WASTE CODE DAYS ON SITE I2oI LARGEST CONTAINER CONTAINER PRESSURE STORAGE STORAGE TEMPERATURE 129i %WT 1.< 15.0 2.< 14.0 3. < 8.8 4. 5. Ming Avenue Shell SOUTHEAST SIDE OF LOT I J GPJD# {11J PETROLEUM HYDROCARBONS SUPREME UNLEADED GASOLINE (92) 8006-61-9 'EHS ('t2t ~Y I~N 'IF EHS BOX IS ALL AMOUNTS MUST BE IN LBS I-A FLAMMABLE LIQUID *COMPLETE BLOCK [13) IF REQUESTED BY THE LOCAL FIRE CHIEF * REFER TO INSTRUCTIONS. 0 PURE (~ MIXTURE r~ WASTE ] RADIOACTIVE IlS] I r-I y ~ N ! cie! [] SOUD ~ LIQUID r-] GAS [ CURIES ~ FIRE [] REACTIVE [] PRESSURE REI~E ~ ACUTE HEALTH I~ CHRONIC HEALTH (27) 365 10,000 UNITS(22tl(~GAL I~]CUFTIr''l kBS TONS 'if EHS, amounts must be in lb. ~ ABOVE GROUND TANK UNDER GROUND TANK I,} TANK INSIDE BUll. DING STEEL DRUM [] PLASTIC/NONMETALlIC DRUM MAX DALLY AM'F Ia3} [ 10000 AVG DAILY AMT [24) I 2500 ANNUAL WASTE AMT (25)~ {-1 CAN {-1 BOX O TANK WAGON O CARBOY (-1 CYUNDER ~1 RAIL CAR O SIL0 O GLASS BOTTLE [] 0 FIBER DRUM C~ PLASTIC BOTTLE C~ Oth~,., [] BAG 0 TOTE BIN AMBIENT [] ABOVE AMBIENT I~ BELOW AMBIENT AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT 0 CRYOGENIC (3ol HAZARDOUS COMPONENTS WI) EHS (az) CAS# METHYL TERT BUTYL ETHER [] Y ~ N 163~044 TOLUENE [] Y I~ N 108883 XYLENE [] Y ~ N 1330-20-7 ~Y I~N ElY I~N ~::) .&DDmONAL LOCAT.I.Y COT.T.~'CTIED ~RMA.TION OF.~ Form 2'Y30(11/94) AP~IX C ~alifornia Ha~rial Inventory Form/Addendum- Chemical De~., crlption Page BUS~NESS NAME CHEMICAL LOCATION IS} MAP~ CHEMICAL NAME COMMON NAME ~S ~ (~ol FI~E CODE HAZARD CLASSES' Il31 TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE AYS ON SITE CONTAINER STORAGE CONTAINER PRESSURE STORAGE STORAGE TEMPERATURE Ming Avenue Shell SOUTHEAST SIDE OF LOT 1 I GRID# ¢~ i g'~ PETROLEUM HYDROCARBONS PLUS UNLEADED GASOUNE (89I 8006-61-9 TRADE SECRET {11l 'EHS (12) ! , [~Y {~N I OY {~N 'IF EHS BOX IS 'Y' ALL AMOUNTS MUST BE IN LBS I-A FLAMMABLE LIQUID 'COMPLETE, B, LOCK [13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. RADIOACTIVE I, SiI ny =N I"" (141 E:] PURE I~ MIXTURE ['-1 WASTE i ?, G' I CU ES FIRE [~ REACTIVE C] PRESSURE RELEASE I~ ACUTE HEALTH I~ CHRONIC HEALTH 365 10,000 LBS. (::] TONS 'If EHS, amounts must be in lb. (18l I19) 120! (211 (26! O ABOVE GROUND TANK UNDER GROUND TANK TANK INSIDE BUILDING [] STEEl. DRUM PLASTIC/NONMETALUC DRUM MAX DAILY AMT (2S! /10000 AVG DAILY AMT (24!f 2S00 ANNUAL WAS~'E AMT I251 CAN r'qBOX O TANK WAGON CARBOY l'~CYLINDER C] RAIL CAR SILO 0 GLASS BOTTLE r"1 FIBER DRUM D PLASTIC BOTTLE O O~her... BAG E] TOTE BIN (ZTI I~ AMBIENT O ABOVE AMBIENT [] BELOW AMBIENT {2e; ~ AMBIENT ~ ABOVE AMBIENT I-~ BELOW AMBIENT C] CRYOGENIC IZa) %WT 2. <9.5 3. <6.3 5. HAZARDOUS COMPONENTS (31l EHS (az! CAS# METHYL TERT BUTYL ETHER 0 Y {~ N 1634044 TOLUENE O Y ~ N 108883 XYLENE ~ Y {~ N 1330-20-7 r-ly ~N DY i~N (33l ADDITIONAL LOCALLY COLLECTED INFORMATION OES Fom't 2'~0(l 1/94) ~.~u~ucr,~r~_a~e,~'t^'r~w.~to ~D[ C entory Form/Addendum- Chemical Description Page BUSINESS NAME CHEMICAL LOCATION (si CHEMICAL NAME COMMON NAME {al CAS # F1RE CODE HAZARD CLASSES' (1:~) Ming Avenue Shell IN SERVICE BAY 1 I GRID# PETROLEUM HYDROCARBONS MOTOR OIL 64742-65-0 Iea II I TRADE SECRET 111! 'EHS (12} IIl-B COMBUSTIBLE LIQUID [DY ~N ElY ~N 'IF EHS BOX IS ALL AMOUNTS MUST 8E IN LBS TYPE PHYSICAL STATE FED HAZARD CATEGOFUES eDAYS ON SITE LARGEST CONTAINER STORAGE C0NTAJNER PRESSURE STORAGE STORAGE TEMPERATURE tZ~1%WT 1. > 70.0 2. < 25.0 3. <5.0 4. B. 'COMPLETE BLOCK {13} IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. {~ PURE {~ MIXTURE {~ WASTE RADIOACTIVE (tS} ~ [] Y ~ N I (let [17~ r-] SOUD ~ LIQUID [] GAS CURIES i~ FIRE [] REACTIVE [~ PRESSURE REt. EASE [] ACUTE HEALTH I~ CHRONIC HEALTH (181 (20l (26! {27 365 QUART UN{TSI2~J{~G~L []CUFT [ LBS [~] TONS 'if EHS, amounts must be in lb. ABOVE GROUND TANK UNDER GROUND TANK TANK INSIDE BUll. DING STEEL DRUM [] PLASTIC/NONMETALLIC DRUM MAX DALLY AMT AVG DALLY AMT (24) ANNUAL WASTE AMT 150 100 O CAN [] BOX Q TANK WAGON [] CARBOY [] CYLINDER ~, RAIL CAR O ~L0 I~ GLASS BOTTLE [~ [] FIBER DRUM {~ PLASTIC BOTTLE {~ Oth~.., O BAG C'I TOTE BIN AMBIENT ~ ABOVE AMBIENT (~ BELOW AMBIENT [] ABOVE AMBIENT ~ BELOW AMBIENT ~) CRYOGENIC (30) HAZARDOUS COMPONENTS (31) EHS r~2) CAS# DISTILLATES [~ Y t~ N 6474,2547 ADOmVES ~ Y ~ N MIXTURE SYNTHETIC BASE OIL [~ Y {~ N MIXTURE ~Y ~N C~Y ~N ADDITIONAL LOCALLY COLI.F. CTED INFORMATION OES Form 2730(11/94) APPENDIX C ~ ~ia Hazardous Material Inventory Form/Addendum- Chemical Description Page I ..! BUSINESS NAME CHH~iCAL LOCATION MAP~ CHEMICAL NAME COMMON NAME CAS # It0I FIRE CODE HAZARD CLASSES' Ming Avenue Shell CASHIER AREA CAJ:~BON DIOXIDE CARBON DIOXIDE 12~-38-9 TRADE SECRET INERT COMPRESSED GAS {111 'EHS (12) ~Y ~N OY ~N 'IF EHS BOX IS 'Y' ALL AMOUNTS MUST BE IN LBS TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE W.A ST~ COOE IDAYS ON SITE LARGEST C0NTAJNER STORAGE CONTAJNER PRESSURE STORAGE STORAGE TEMPERATURE {29) %WT *COMPLETE BLOCK {I 3? IF REQUESTED BY THE LOCAL FIRE CHIEF. REFER TO INSTRUCTIONS. (14) ~ PURE n MIXTURE n WASTE RADIOACTIVE {15) [19) C~ SOLID ~ LIO. UID ~ GAS CURIES I-I FIRE [] REACTIVE ~ PRESSURE RELEASE [] ACUTE HEALTH (~ CHRONIC HE~t. TH LBS TONS ... (~o) 365 'If EHS, amounts must be in lb. 174, (Zl) 174 I27! l-'1ABOVE GROUND TANK O CAN O UNDER GROUND TANK r-1 CARBOY fi'}TANK INSIDE BUILDING n SILO ~ STEEL DRUM ~ FIBER DRUM ~ PLASTIC/NONMETALLIC DRUM [] BAG [] AMBIENT ~ ABOVE AMBIENT CI BELOW AMBIENT AVG DALLY AMT (24) ANNUAL WASTE AMT n BOX t-I TANK WAGON r~ CYLINDER {~ RAIL CAR n GLASS BOTTLE n PLASTIC BOTTLE ~ Other.,, ~ TOTE BIN 1. 100 2. 3. 4. 5. (28) (~ AMBIENT L'*'] ABOVE AMBIENT [:::] BELOW AMBIENT ~) CRYOGENIC HAZARDOUS COMPONENTS (31) IHS (32) CAS# CARBON DIOXIDE I"] y {~ N 124-38-9 DY [~N E]Y ~N ElY ~N nY I~N {33} ADDITIONAL LOCALLY COLLECTED INFORMATION DES Form 2730(1 t/94) APPENDIX C Hazardous Material Inventory Form/Addendum- Chemical Description Pag~ BUSINESS NAME CHEMICAL LOCATION MAP# tel CHEMICAL NAME COMMON NAME CAS # FIRE CODE HAZARD CLASSES' rl~l TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE. ON SITE ,&RGEST CONTAINER STORAGE CONTAINER PRESSURE STORAGE STORAGE TEMPERATURE 1. 100.0 2. Ming Avenue Shell PETROLEUM HYDROCARBONS EAST SIDE OF SALES BLOC USED MOTOR OIL 800-20-59 TRADE SECRET ¢'t~t ~Y 'EHS t~21 'iF EHS BOX IS ALL AMOUNTS MUST BE IN LBS Ill-ii COMBUSTIBLE LIQUID 'COMP. LETE..I~LOCK {13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. , , RADIOACTIVEIi,, I1,1.) [] PURE [::] MIXTURE ~ WASTE I (15) I [] Y '(~ N ,, 7, ¥ _ CUR,ES' (18) l--I FIRE /-] REACTIVE t-~ PRESSURE RELEASE D ACUTE HEALTH {~ CHRONIC HEALTH l LBS []-1 TONS 12or 365 'I~ EHS, amounts must be in Ih. AVG DALLY AMT 12&) :300 i21): 550 ANNUAL WASTE AMT t~$! 600 (2el~ ABOVE GROUND TANK [] CAN r-] BOx I'1 TANK WAGON ~ UNDER GROUND TANK Q CARBOY t~ CYLINDER [] RA}L CAR C] TANK INSIDE BUILDING (~ SILO C] GLASS BOTTLE C] STEEL DRUM O FIBER DRUM C3 PI.~STIC BOTTLE C~ Other... [] PLASTIC/NONMETALUC DRUM i~ BAG [] TOTE BIN 127) {~ AMBIENT [] ABOVE AMBIENT [~ BELOW AMBIENT (2at ~3 AMBIENT [] ABOVE AMBIENT ~ BELOW AMBIENT [] CRYOGENIC 130t HAZARDOUS COMPONENTS 13'tl EHS 1321 CAS~ USED OIL [] Y ~ N 800-20-59 [DY ~N ElY ~N DY ~N []Y ~N ADDITIONAL LOCALLY COLI-~'.CTED INFORMATION OES Farm 7'730(t t ~94) ~California Hazardous Material Inventory Form/Addendum- Chemical Description Page_ BUSINESS NAME 14! ~ing Avenue Shell CHF. MICAL LOCATION iSI SERVICE BAY ~ I II ~ ~ I CHEMICAL NAME le) ETHYLENE GLYCOL TI~tM)E SECRET Ill) r-Iy COMMON NAME Jo) USED ANTIFREEZE 'EHS (s~ IDY CAS # uol 107-21.1 'IF EHS BOX I$ *Y' ALL AMOUNTS MUST BE FIP~ CODE III-B COMBUSTIBLE LIQUID J HAZARO CLASSES' ~ 31 °COMPLETE ~L.OCK J13J IF REQUESTED BY THE LOCAL FIRE CHIEF- REliER TO INSTRUCTIONS.. PHYSICAL STATE (17! l-1 SOLID ~ LIQUID D GAS CURIES FED HAZARD C~ FIRE C REAC?IVE ID PRESSURE RELEASE ~ ACUTE HEALTH [~ CHRONIC HEALTH CATEGORIES (18~ DAYS ON SITE t2ol 365 'If EHS, amounts must be in lb. AVG DALLY AMT ~24t 15 _ LARGEST (2~l 55 ANNUAL WASTE AMT (25i I 50 C0NT~JNER STOI~GE {=el [] ABOVE GROUND TANK [] CAN [] BOX C] TANK WAGON CONTAINER [] UNDER GROUND TANK ID CARBOY ;'1 CYLINDER C1 RAIL CA~ [] TANK INSIDE BUILDING I~ SILO r'l GLASS BOTTLE ~ STEEL DRUM ~ FIBER DRUM ~ PLASTIC BOTTLE ~ Other,,. [] PLASTICJNONMETAL~,IC DRUM (~ BAG n TOTE BIN PRESSURE Iz?~ ~ AMBIENT ~ ABOVE AMBIENT (~ 8ELOW AMBIENT STORAGE STORAGE 128l ~ AMBIENT ~] ABOVE AMBIENT g BELOW AMBIENT r-1 CRYOGENIC J TEMPERATURE ~z:~1%W'T I:~Ol HAZARDOUS COMPONENTS ~,~ EHS (3:'~ CAS# 1. 100.0 2. 3. &. 5. USED ANTIFREEZE C3 Y [] N 107-21-1 DY t~N IDY I~N DY ~N []Y []N ADDITIONAL LOCALLY COLLT'.CTI~ INFO~~ON OES Form 2730(11/94) ;:uu.z~t~.m~j._~,~,oexs~rrA'm~v.~o ~alifornia Hazardou~ Materia~l Inventory Form/Addendum- Chemica,!,Description Page ADO [] D~E C] REVI~E ~ NO CHANGE PAGE I21 9 OF I"! 10 BUSINESS NAME CHEMICAL LOCATION MAP# let CHEMICAL NAME COMMON NAME CAS J~ FIP~ CODE HAZA~ CLASSES TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE COOE ON SrTE CONTA~IER STORAGE CONTAINER PRESSURE STORAGE STORAGE {2~ TEMPERATURE 12si %WT 2. 3. 4. 5. Mir~ Avenue Shell IN SERVICE ~AY PETROLEUM HYDROCARBONS USED OIL FILTERS 800-20-59 TRADE SECRET (~) 'EHS 112! ~Y ~N ~]Y ~N 'IF EH$ BOX IS 'Y' ALL AMOUNTS MUST BE IN I.ES I~1-~: COMBUSTIBLE UQUID *COMPLETE BLOCK. [13) IF REQUESTED BY THE LO~,L FIRE CHIEF_- REFER TO INSTflUCTiON~. 4) 1 I~ PURE [] MIXTURE ffi WASTE ~ R~DtOACTIVE 1141 [ [~ Y I~ N ] I16) {~'n [] SOLID ffi UOU$1~ [] GAS CURIES I~ REACTIVE C1 PRESSURE RELEA.,~ C] ACUTE HEALTH ffi CHRONIC HEALTH [] FIRE 223 365 UNITS ~22) [ ~ ~AL ~ CU ~r I~ IRS [~ TONS 'If EHS, amounts must be in lb. 55 MAX DAJLY AMT AVG DAILY AMT ANNUAL WASTE AMT [] ABOVE GROUND TANK [] UNDER GROUND TANK TANK INSIDE BUILDING STEEL DRUM [] PlASTIC/NONMETALLIC DRUM .1-1 CAN [] BOX [] CARBOY I-I CYLINDER t'l SILO t"'] GlASS BOTTLE [] FIBER DRUM [] PlASTIC BOTTLE ~ ~G [] TOTE BIN (.~3) 1 200 (24) I 100 [] TANK WAGON [] RAIL CAR Other,,. AMBI~IT [] ABOVE AMBIENT [] I[ELOW AMBIENT AMBIENT ~ ABOVE AMBIENT C] BELOW AMBIENT O01 HAZARDOUS COMPONENTS c311 EHS ~2) CAS~ USED OIL FILTERS 171 y 0~1 N 800-20-69 ~Y ~N OY ~N ~Y ~N DY ~N [33! ADDITIONAL LOCALLY COT.I.ECTED INFORMATION d~Califomia Hazardous Material Inventory Form/Addendum- Chemical Description~ BUSINESS NAME CHEMICAL LOCATION MAP~ CHEMICAL NAME COMMON NAME CAS ~ FIRE CODE HAZARD CLASSES' (1 31 Ming Avenue Shell IN SERVICE BAY LEAD,ACID BATTERY USED BATTERIES MIXTURE OXIDIZER B; CORROSIVE TRADE SECRET II 'EHS Il 2) ElY ~N 'IF EHS BOX IS 'Y' ALL AMOUNTS MUST BE IN LBS TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARG EST CONTAINER STORAGE CONTAINER PRESSURE STORAGE STORAGE TEMPERATURE (2el %W'I' 1. 31 2. 34 3, 34 'COMPLETE BLOCK !13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO, INSTRUCTIONS. 114) ~ PURE E] MIXTURE ~ WAb-'rE RADIOACTIVE its) J E]Y ~I N ! tlel (27I 128! 162 365 BATTERY ~ SOLID '2~ LIO, UID Ct GAS CURIES ~-IFIRE ~ REACTIVE ~ PRESSURE RELEASE ~ ACUTE HEALTH C~ CHRONIC HEALTH 'if EHS, amounts must be in lb. AVG DALLY AMT 1241 ANNUAL WASTE AMT 13s~ 30 C'1 ABOVE GROUND TANK ~ UNDER GROUND TANK [] TANK INSIDE BUILDING [] STEEL DRUM PLASTIC/NONMETAl. MC DRUM [] CAN [] BOX ~ TANK WAGON ~ CARBOY CI CYLINDER 1-1 RAIL CAR '~ SILO i-I GLASS BOTTLE .~ BATTERY ~ FIBER DRUM [] PLASTIC BOTTLE C~ Other.** ~ BAG [D TOTE BIN AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT ~ AMBIENT I. ABOVE AMBIENT 0 BELOW AMBIENT [] CRYOGENIC (301 HAZARDOUS COMPONENTS (31) EHS (32I CAS# LEAD DIOXIDE CI y ,~ N 1309-600 SULFURIC ACID [~ Y C} N 7664-93-9 LEAD C~ Y ~ N 7439-92-1 [DY ~N [~Y ~N ADDITIONAL LOCALLY COLLECTED INFORMATION 0ES Form 2730(lt/94) SERVICE STATION MONITORING PROCEDURE 204-0462-00018 Title' 23 of the California Code of Regulations (CCR) requires that a written monitoring procedure be established for all underground storage tanks. This form is used to satisfy the information required in Section 2632 & 2641, Title 23, CCR. A Copy of this form will be maintained on-site (located inside the Equilon's Marketing Service Station Health, Safety and Environmental Manual also known as the Red Book) and a copy will be submitted to the local administering agency (inside of the Business Plan and inventory disclosure). Facility Name: Ming Ave. Shell Facility Address: 3700 Ming Ave., Bakersfield, CA. 93309 Facility Telephone Number: (805) 831-5151 Tank Owner: EQUILON ENTERPRISES LLC ATTN: SH&E DEPARTMENT P.O. BOX 7869 BURBANK, CA. 91510-7869 Telephone Numbers: (818) 736-5078 or (805) 326-4326 As Operator, I am responsible for monitoring the underground storage tank system in accordance with Title 23, CCR. The following pages outline the specific monitoring procedures as required in Section 2632 or 2641. My signature below contruxns that~LIJaav~e~ad and understand my responsibilities as they pertain to tank monit ring, reportin , and rec~~mtion. ~ Dper~/oPe~ator Signature ;~derground Storage Tank/Line Information Tank Type: Double Wall Tank Material: Fiberglass Monitoring Type: TLS-350R Monitor Manufacturer: Veeder Root Line Type: Double Wall Line Material: Fiberglass Monitoring Type: TLS-350R Line Leak Detector: PLLD Monitor Manufacturer: Veeder Root Waste Oil Tank: -Double Wall Fiberglass 204-0462-00018 REPORTING REQUIREMENT Any monitor that is discovered in Alarm (RED Lights On) or audible alarm is sounding or any monitoring that cannot pass the daily inspection test must be reported immediately to: Equilon Enterprises LCC SH&E Compliance Coordinator (818) 736-5078 Maintenance Coordinator (805) 326-4326 Training bv Company Personnel Per manufacturer guidelines, the training necessary to operate the tank and line monitoring system is performed by the authorized installation contractor. The location is also responsible for daily inspections of the monitoring panel, alarm Panel Test Log and corrective actions. Operator/Manager Each Individual alarm system is determined and located at the service station premises. Each Individual alarm system is activated by visually inspecting the alarm panel lights and pushing the appropriate audible alarm button. No impromptu repairs, changes, adjustments, etc. will be made to the monitoring equipment at the station. Designee · [] It shall be the responsibility of the operator/manager to train the designee to perform alarm panel tests. It shall be the responsibility of the operator/manager to train the designee to perform physical inventories. Additional Releases Safety Features at the Service Station Inventory reconciliation as defined by Article 6.3 of the Equilon Motor Fuel Lease and Title 23, CCR. Equilon must be notified if a single daily variation exceeds plus or minus 300 gallons, or exceeds +/- 150gallons of daily variations for three (3) consecutive days, or the month end cumulative variation exceeds +/-0.005 x monthly throughput, or the month end cumulative variation exceeds +/- 130 + 0.01 x monthly throughput. · Electronic Monitoring systems described above Annual Tightness Testing of Single Wall Lines (If required by the Local Implementing Agency ) Physical Inventory Annual UST Equipment Certifications 204-0462-00018 Double wall tanks are monitored by in tank gauging probes and there is a continuous electronic monitoring of the annular interstice space in each tank. A monthly status report of the annular space condition in each tank is submitted to the station at the end of each month. Hard copies of all test data will be maintained on-site in the ETM Results binder. Single wall tanks with Electronic Tank Monitors (ETM) will at a minimum comply with Section 2643, CCR: Electronically test each tank at least once per month after product delivery or when tank is filled to within 10% of highest operating level during previous month. The system is capable of detecting a release of 0.2 GHP. A Hard copy of all test data will be maintained on-site in the ETM Results binder. Single wall tanks with no eletronic monitoring equipment will be tested annually using the volumetric testing guidelines specified in Section 2643, CCR. Lines · All lines, Single wall or Double wall, are monitored by Pressure Line Leak Detection probes (PLLD). The sensor at 3 GPH every time the dispenser is used, and a 0.2 GPH leak rate once a month according to CCR, Title 23, Div 3, chapter 16 UST Regulations. Also the monitor is capable ora 0.1 GPH leak rate test once a year if mandated by the City Ordinance or Municipal code from Local Regulatory Agency. All product lines have Positive Shut Down and will stop the flow of product through the lines in the event of a leak. Some Double Wall lines are also monitored with either interstitial or sump sensors. Double wall fiberglass lines will have continuous sump monitors and line pressure monitors which are certified annually. Single wall lines: All single wall lines will be pressure tested annually according to Section 2643, CCR. And will be monitored with a line pressure device (mechanical or electronic) that is certified annually Tank / Line Testing or Certification Results: The Simplicity System Installed at this location provides continuous electronic leak detection of the product tanks pressurized product lines. The system provides audible and visual alarms along with automatic notification through the Veeder-Root system in the event that a leak is detected. Hard copies of the UST System test results are to be mailed to the station the first week of each month. These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certification results will also be sent to the local agency by certified mail as required. Tank and line testing will be conducted by a qualified contractor and results of these tests will be maintained on-site and available for inspection. 204-0462-00018 Fuel Tanks Veeder-Root TLS-350R On a daily basis the operator manager / designee will push the RED alarm test button which will indicate that the remote sensor and the monitor control panel are working as well as the condition of the alarm and that ALL FUNCTIONS ARE NORMAL. The RED and YELLOW lights will be observed to be OFF. These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications results will also be sent to the local agency by certified mail as required, Ronan All electronic monitoring devises will be inspected for operation in accordance with section 2632, CCR. A log will be maintained on-site showing daily documentation of inspections and maintenance requirements. The monitoring will be tested daily in accordance of manufacturer instructions. Copies of the UST Testing and certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications will also be sent to the local agency Red Jacket All electronic monitoring devises will be inspected for operation in accordance with section 2632, CCR. A log will be maintained on-site showing daily documentation of inspections and maintenance requirements. The monitoring will be tested daily in accordance of manufacturer instructions. Copies of the UST Testing and certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications will also be sent to the local agency Dealer Inventory_ Rec. On a daily basis the dealer takes a physical inventory (stick reading) of the levels of the tank. Each day he subtracted sales from and added deliveries to the book inventory. His daily inventories are compared to the "book" inventory to give the dealer a cumulative reading. At the end of each month the dealer will compare his daily inventories to net his overage or shortage for the month-to- date and make a monthly report. These reports will be maintained on-site at the station and available for review during inspection. A copy of the report will be sent to the local agency by certified mail as required. Fuel Lines Veeder-Root TLS-350R On a daily basis the operator / manager / designee will push the RED alarm test button which will indicate that the remote sensor and the monitor control panel are working as well as the condition of the alarm and that ALL FUNCTIONS ARE NORMAL. The RED and YELLOW lights will be observed to be OFF. These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications results will also be sent to the local agency by certified mail as required. Ronan 204-0462-00018 All electronic monitoring devises will be inspected for operation in accordance with section 2632, CCR. A log will be maintained on-site showing daily documentation of inspections and maintenance requirements. The monitoring will be tested daily in accordance of manufacturer instructions. Copies of the UST Testing and certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications will also be sent to the local agency Red Jacket All electronic monitoring devises will be inspected for operation in accordance with section 2632, CCR. A log will be maintained on-site showing daily documentation of inspections and maintenance requirements. The monitoring will be tested daily in accordance of manufacturer instructions. Copies of the UST Testing and certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications will also be sent to the local agency Waste Oil Tank Veeder-Root TLS-350 On a daily basis the operator / manager / designee will push the RED alarm test button which will indicate that the remote sensor and the monitor control panel are working as well as the condition of the alarm and that ALL FUNCTIONS ARE NORMAL. The RED and YELLOW lights will be observed to be OFF. These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications results will also be sent to the local agency by certified mail as required Dealer Inventory Rec. On a daily basis the dealer takes a physical inventory (stick reading) of the levels of the tank. Each day he subtracted sales from and added deliveries to the book inventory. His daily inventories are compared to the "book" inventory to give the dealer a cumulative reading. At the end of each month the dealer will compare his daily inventories to net his overage or shortage for the month-to- date and make a monthly report. These reports will be maintained on-site at the station and available for review during inspection. A copy of the report will be sent to the local agency by certified mail as required. 204-0462-00018 UNDERGROUND STORAGE TANK LEAK RESPONSE PLAN Tank Owner: EQUILON ENTERPRISES LLC ATTN: SH & E DEPARTMENT P.O. BOX 7869 BURBANK, CA. 91510-7869 Telephone Numbers: (818) 736-5078 or (805) 326-4326 If a Leak Detection Alarm or System is Activated: 1. Determine which tank system is involved. 2. Shut off pump and discontinue operations. 3. Call the Tank Owner Immediately. 4. Persons responsible for contacting the leak response unit / company and authorizing any work necessary. SH&E Compliance Coordinator (818) 736-5078 Maintenance Coordinator (805) 326-4326 5. Notify thelocalagency: BAKERSFIELD FIRE DEPT PHONE#: (805) 326-3979 6. Call911 (if necessary): The Methods and Type of Equipment Used for Removing Hazardous Substances. All unauthorized releases will be removed from the secondary containment by vacuum mack. A licensed hazardous waste contractor will be called to perform the clean up and removal of hazardous substances. The location and Availability of Cleanup Equipment: Major Spills: A local licensed hazardous waste contractor. Minor Spills: A spill kit with absorbent is to be maintained and supplied by the operator. To dispose of small generated hazardous waste, the operator / dealer will call Equilon's Contractor for proper disposal A copy of this response plan should be maintained near the electronic monitoring system. A copy is also sent to the local agency. SERVICE STATION MONITORING PROCEDURES Product Information Volume Regular Unleaded 10 Plus Unleaded 10 Premium Unleaded 10 Diesel M-85 Waste Oil Tank 550 Total Number of Tanks on Site: 4 Persons Responsible for Performing Monitoring: GLEN HENRY (Retailer/Manager) 204-0462-00018 Preventive Maintenance Schedule Daily Operator / Manager / Designee will perform equipment checks to ensure that monitors are operational. The Alarm Panel Test Log must be initialed by the person performing the daily equipment check (sample attached). Annual - (A) All monitoring equipment will be inspected and certified operational, according to manufacturer's specifications, by a licensed tank tester who is authorized and trained by the manufacturer. (B) Operational status will be reviewed on site by the Equilon SH&E Representative using the Equilon Service Station Audit Check List once a year. Records Retention All records associated with inspecting, certifying, testing, monitoring, and maintaining the UST system must be on site and available to Equilon / Agency auditors for a period of not less than three (3) years. Operating status of the monitors will be recorded DAILY on the Alarm Panel Test Log (as mentioned above.) Physical Inventory will be recorded daily on the Inventory log. Tank and Line Testing Guidelines: 204-0462-00018 All Simplicity monitors are continuously being monitored at a central office In Connecticut. Simplicity operators will notify each dealer and Equilon in the event that an alarm goes on at a station. They will also dispatch a service contractor to investigate those alarms and notify an Equilon Representative if any further action is required. Gas tanks are monitored by in-tank gauging probes. These probes are capable of testing at 0. I. and 0.2 leak rate. TLS-350R controller is programmed for Continuos Statistical Leak Detection CSLD which tests the tanks at 0.2 GPH leak rate. Hard copies of all test data will be maintained on-site in the ETM Results binder. In the event that an alarm is activated it will be the Operator's responsibility to investigate the cause and to notify an Equilon Representative if any further action is required. Gas tanks are monitored by in-tank gauging probes. These probes are capable of testing at a 0.1 to 0.2 GPH leak rate. Hard copies of all test data will be maintained on-site in the ETM Results binder. In the event that a Operator finds a reconciliation variance during physical inventories greater then the allowable variation, the Operator will begin the inventory discrepancy investigation procedures. The Operator will be responsible to notify an Equilon Representative if any further action is required. Inventory is taken on daily basis. Each month will have a monthly report which will be maintained on-site. Individual Training Record Date Training Topic Employee's Signature Trainer's Name Individual Training Record Employee Name Acknowledgement: By signing this form, I hereby acknowledge that I have attended the training sessions listed, and I understand the content and my responsibilities in these areas. Date Training Topic Employee's Trainers Signature Name Required HazCom (Hazard Communication) Hazwoper (Hazardous Waste Operations and Emergency Response) Lockout/Tagout (Control of hazardous energy sources) RCRA (Resource Conservation & Recovery Act) RECOMMENDED Freon Recycling (as applicable) Spill Containment & Control Robbery Deterrence Waste Management Safe lifting Accident Reporting Fire Prevention & Evacuation Plans Personal Protective Equipment TSCA (Toxic Substance Control Act) Safe Food Handling (as applicable) Service Bay Safety (as applicable) Civil Disturbance response Natural Disaster Response " Use of Fire Extinguishers W~C# 0462-184.7 2 3 4 6 7 8 A HMMP uso$ CHUCK E. CHEESE RESTAURANT I 'MING AVENUE 76 SER~CE STA~ON 0 NORTH EM~ROENCY PUMP · MCNIT(:~NC WI~ ~UT-~F ~ AN~ WA~ ~UT-~ ~ ~ ~ ~ ~& P~ T~K AID ~ Ex~ ~ U.~ PR~CT T~ ST~ ORaN ~ ~T ~NK ~WA~R SEP~AT~ ~ U.C. WA~ ~ TANK L~A~ ~ W~ OIL RL~S H~RANT SITE PLAN MING AVENUE SHELL 3700 MING AVENUE BAKERSFIELD, CALIFORNIA 93309 0462-184-7 Shell 0il Products Company SERVICE STATION SERVICES Date:~ Page One of: TO: COMPANY: FAX #: FROM: FAX NUMBER (714) 546-0812 ** ~/. ~ W ~,'~ r ~ /'; /',f ~ ,'" ~' w ~', If you do not receive any of the pagcs properly, please call (714) 546-1227 ~/,'o 3 HURON CENTRE DRIVE, SUITE 711 · SANTA ANA, CALIFORNIA 92707 (714} 546-1227 BUSINESS EMERGENCY PLAN (Hazardous Materials Manage~nent Plan and Disclosure/Inventory ) EQUILON ENTERPRISES LLC Ming Ave. Shell 3700 Ming Ave. Bakersfield., CA. 93309 204-0462-00018 (805) 831-5151 Rev 12/18/98 TABLE OF CONTENTS 1. Owner Operator Agreement ................................. Section I California Health and Safety Code, Section 25299 2. Business Emergency Plan .................................... Section 2 3. Hazardous Material Disclosure ............................. Section 3 4. Monitoring Procedures ....................... Section 4 Leak Response Plan Emergency Response Procedures Training Log 7-1 5. Site Map Site Map Symbols Reviews and Revisions This plan was created to comply with section 25503.5 of thc California Health and Safety Cods. It is required to be revised within 30 days of any significant change in quantities of hazardous chemicals or operations at the facility. In addition plans are reviewed every two years and Inventory Disclosure is submitted annually to the local administering agency. A revision is also required if there is a change in Business Owner, operator, or address. Certification This plan must be reviewed by the Business owner to ensure that it is complete and accurate. Alter signing this plan, a copy must be kept on-site and available for review (thc best place is in the back of the SII & E Red Book). In addition a copy is maintained by the tank ovmer, and a copy is sent to the local administering agency in your name. £O'd ~IBO 9~ ~It S3DIAB3$ NOIZYZS 3OLAB35 d~2:I0 B6-IZ-¢"Q BUSINESS PLANS 204-0462-00018 AS A SERVICE TO YOU, Tills BUSINESS PLAN WAS PREPARED BY SERVICE STATION SERVICES, INC. IN ORDER TO COMPLY WITH THE CALIFOIt.NIA HEALTII AND SAFETY CODE (CttAPT~;R 6,95, ARTICLE 1, SECTION 25503.5). BY ACCEPTING THIS PLAN, YOU ARE ACKNOLEDGING TIIAT THERE ARE NO REPRESENTATIONS OR WARR.ANTIES TIlAT THE INFORMATION CONTAINED IN THIS BUSINESS PLAN WILL PRODUCE ANY PARTICUI,AR RESULT WITH REGARD TO TIlE SUBJECT MATTER. OWNER/OPERATOR AGREEMENT OPERATOR: As operator of the m~derground storage tanks, I hereby certify that I understand the monitoring and reporting requirements contained in Title 23, of the California Code of Regulations and I have received a copy of Section 25299, chapter 6.7, California Health and Safety Code. SIGNATURE: DATE: OPERATOR NAME: BUSINESS NAME: LOCATION #: Glen Henry Ming Ave. Shell 204-0462-00018 OWNER: As the owner of tile underground storage tanks, I~QU ILON ENT[F, RFF, J. SES LLC certifies that we have provided the operator a copy of the monitoring and reporting requiremenLq contained in Title 23, of the Culifomla Code of Regulations. Equilon certifies that wc have provided the operator with a copy of the penalties of noncompliance as specified in Section 25299, chapter 6.7 ofvhe California 1 lealth and Safety Code. Equilon Enterprg~e.v LEG Bakersfield Fire Department 2130 G Street Bakersfield, CA. 933001 (805) 326-3979 Business Name Min/~ Ave Shell Owner/Operator Name Glen Henry Business Address 3700 Min~ Avenue City Bakersfeild State CA. Phone: (805) 831-5151 Zip 93309 Environmental Contact: Feryal Sarrafian Mailing Address P.O. Box 7869 SH & E Compliance Coordinator Phone: (818,) 736-5078 City Burbank State CA. Zip 91510-7869 Biennial Review and Recertification [] [ certify that the Business Plan has been reviewed and the information contained in il. is accurate ,'md complete as of date below. 1 certify that ! have reviewcd thc previously submitted Business plan and have updated the following items on the attached pages. [] Emergency contacts names and phone numbers [] Site/facility map [] Other Updates Annual Inventory Update Inventory Forms arc correct tbr the upcoming reporting year. No changes Necessary. Inventory Forms required updating. Replace previous inventory with attached inventory. I certif3' under penalty of law, that I have personnally examined and I am familiar with the information submitted in this and all attached documents, and based .n my inquiry of those individuals responsible for obtaining Ibc intb~ation, l belcive that. the submitted infom~atimx ~eacc~ate ~dcomplete. _~~~ ...... Name Glen Henry _ ,. Signature Title Dealer Date Bakersfield Fire Department Hazardous Materials Division 2130 'G" Street Bakersfield, CA. 93301 (805) 326-3979 Your business is required by State Law to provide immediate notification of any release or threatened release of hazardous material to 1) local fire emergency response personnel, 2) the office of Emergency Services (OES) and 3) this administering agency. If you have a release or threatened release of hazardous materials, immediately call: Fire/Paramedics/Police/Sheriff Phone: 9-1-1 Individual responsible for calling 9-1-1Dealer' Mana~=r, Senior Employee After the local emergency response personnel are notified, you shall then notify the administering agency (HMDO) and the office of Emergency Services (24 hours a day) State Office of Emergency Services: AND: Local Administering Agency (800) 852-7550 OR (916) 42%4341 (805) 326-3979 Individual responsible for calling this Administering Agency and State OES: Dealer or SH & E Compliaace Coordinator 2. List the local emergency medical facility that will by used by your business in the event of an accident or injury caused by release or threatened release of hazardous materials. Hospital I Clinic Kern Medical Center Address: 1830 Flower St, Bakersfield CA. 93305 Phone: (805) 326-2000 3. Does your business have a private on-site emergency response team? If yes describe what policies and procedures your business will follow to notify your on-site emergency response team in the event of a release or threatened release of hazardous materials? (attach additional pages if necessary) 90'd ~[B0 9~ ~[Z S33IA~3~ NOIZV£S 33IAB3S dgZ:EO B6-E2-~eO 1. PREVENTION- Describe the types of hazards associated with the materials present at your facility What actions are taken to prevent these hazards from occurring? The primary hazardous material is gasoline. It constitutes an immediate fire hazard and an environmcntal hazards. Tanks are equipped with spill boxes and overfill protection to prevent release of spill by the distribution truck, Tanks and lines are continuously monitored. Dispensers are equipped with shear valves a,~d automatic shut-off.to prevent .veffill by customer. All ga.~oline is stored in an approved storage and dispensing system. Distribution truck drivers arc trained i~ prewnting inadvertent spills while ollloading product to thc station storage tanks. Persomtel arc trained in the sal~ handliug of hazardous materials and in leak detection when inspecting hazardous material storage containers, tanks and locations. Storage locations are inspected on a routine ba~is during operations thr signs of leaks and deterioration. 2. MITIGATION- What actions will your business take to lessen the harm or damage to persons, property, or the environment, and prevent what has occurred from geffing worse? Thc senior employee on site will institute immediate spill control measures with the site spill kit for minor product release. The employeu will immediately stop the source of the spill and prevent tile flow nfthe spill material off-site, il'this can be done safely. Stopping the spill may involve turning off pumps and closing valves. Any spill greater then 55 Calk,ns may be turnud over to an outside firm. Employees will respond to small fires with the site fire extinguishers and attempt to contain it before it gets out o£control. In the event ora dispenser drive over or fire thc employee will immediately shut down the tank turbines with the emergency shut-off switch. The goal of thc site employee is to stop or contain any immediate threat and to summon thc appropriate City Agencies (i.e. Fire Department) and gquilon contractors to follow up with damage assessment m~d cleanup. ABATEMENT - What will your business do to stop the hazard? Tanks and lines are set up to autmnatically shut down when a leak is detected. For sinai[ releases thc spill control kit absorbent material and absorbent "sausages" Iht containment damming. Equiton contracts with a number of Stare Licensed Abatement Contractors to properly clean the site and ready generate wastes tlr hauling to an approved landfill. The State l,icensed Abatement Contractor will manifest, haul, and dispose of the material at an approved h'mdfill or oliver approved disposal sit~. The statinn manager will resume responsibility for directing cleanup activities. He will summon to the scene the manpower and equipment needed to resl~md to incident, and will direct their activities for the duration of the response. Hc will contact any support groups whose assistauce is needed in the response effort, such as Police or Fire Department. Notification ofregulatury agencies, should it be required will be handled in accordance with notification procedures above, Once the spill ha.~ been eliminated, efforts will be directed towards containment of the spill material to the smallest arcs possible. After the bulk of the spilled material has been removed, final cleanup of the area will be conducled. This will include decontamination of the area and equipment used for the cl~mup. 4. EVACUATION- How will your business handle evacuation? In the event of emergency situation, fire or spill, site personnel are notified verbally, Tile stalion manager or senior employee will at this time assess the situation and dclcrmine whether outside notification is required, in the event of an emergency which would require total evacuation of the facility, nofific~'stion will be made verbally by the senior employee itl the affected urea. The routes of evacuation to bc taken are noted on the facility drawing, Once evacuated, personnel will assemble at a safe distance away fi'om the facility, (conditions permitting wind direction, other risks) and tl~e station m,'mager will conduct a head count. If it is possible, the station manager will notif3, the surrounding businesses by phone or by a door to door means, 5. Your business is required I~y required by law to keep a copy of Business Plan, including the chemical inventory and site map. Describe where the copies will be kept in your business, Where will other copies be maintained? The business plun is located in the cashier area, Equilon Emcrprises i.,LC SI'I&E Compliance Coordinator PO BOX 7869 Burbank, CA. 9 t 510-7869 Equilon Enterprises also Maintains a copy at their Office. 6. Describe where you keep other records required by this plan, such as employee training records, (including drills) release records, persons responsible for maintenance/safety and their records, and emergency phone numbers, Other record required by this plan, such as employee training records, relcase report records, persons responsible for maintenance/safety and their records, and emergency phone lists arc located in the green SH & E book located in the cashier area. EMPLOYEE TRAINING 1) Describe the training new employees receive in handling and using hazardous materials and waste that are part of your operation. Within 90 days of their hire date, new employees are trained itl the safi~ handling of the hazardous materials they will be ushlg. This training is completed using OSHA hazard communication regulations. When the new employee has completed die "Right to Know" training, it will be documented in the employee's files, This training covers the labeling, MSDS and hazards ~sociated with the materials they work with. The station manager is self trained in the contents of this business plan, which outlines the procedures that are to be followed in dealing with initial response to an emergency. A work shift is not allowed to operate without someone trained in the procedures to follow during initial response to emergencies. The training consists of the instmclor reviewing the plans line by line, and answering any questions the employee might have. Once the employee has been trained and verified competent in tile contents of the plan, a notation is made in the employee records that they have complelcd the training required to handle initial response. ^ !1 employees are trained thoroughly with the emergency response plans and procedures with annual refresher training. Refresher training is completed as noted above, and once trained, a notation is made in the employees record. Refresher training consists of reviewing the evacuation procedure and spill notificatim~ procedures and all emergency contact telephone numbers, A record of this training will be noted in the employee's records. Any amendments to the plans arc relayed to tile personnel required to carry ,ut the plans as soon as those amendments are known. BO'd ZIBO 9~ ~IZ ~33IAB35 NOI~£$ 33IAB3S d~g: IO B6-E2-veO 2) How are employees trained to react to emergency situations? All employees arc instructed tt~ call 9-1-1 il'warranted, Call Equilon's Maintetmnce center and personnel, and initiate mitigation procedures 3) Describe how new employees are trained in the use of safety equipment and supplies needed to stop leaks or fires. All employees arc instructed in the use of safety equipment mid review procedures for proper use of safety and spill control equipment. A Refresher training is conducted every six monlhs. CERTIFICATION We have demonstrated reasonable care in preparing our Business Emergency Plan. This statement certifies that our Emergency Business Plan has been implemented and should be adaquate in the event of an emergency involving our hazardous materials, Document Prepared By: SERVICE STATION SERVICES Signature Date 12/17/98 Business Owner/Operator Glen Henry Signature Date 60'd Z[80 9~S ~[£ S33IA~3S NOI~V£S 33IAa3S d92:[0 APPENDIX A ~ California Business & Owfier/Operutor ldenth,¢etlon Puge Ill Il . I [ .. Il I I I I Il I lB Il I eUSINES$ NAME c4) Mi?il AYenue Shell ., .. ] BUSINESS PHONE:cSJ,, , r805 831-5151 SITE ADDRESS (6) 3700 Ming RoM Crry ~7) hkorafield. .. STATE (si ~ ZIP (e) 93309 DUN OPERATOR I1 :~) Glen [-.[erL.-.--7 OPERATOR PHONE 1131 805 B31-5151 OWNi~ NAME · OWNER MAILJNG ADDRESS ~?) ~u.cb~nk OWNER INFORMATION OWNER PHONE (~8j 818) 736-5078 STATE O')el ZiP (19) ENVIRONMENTAL CONTACT CONTACT NAME ;2o) Sarra fian MAILING ADDRESS .P.O. Box CITY tza) Bu~ Primary NAME: fze) I Glen Henry TF~LE: ~ De ,a,ler BUSINESS PHONE: 24-HOUR PHONE: PAG~ ON SITE AHM III g CONTACT PHONE ~18) 736-5078 STATE ZIP ~29) 91.510-7869 EMERGENCY CONTACTS 24-HOUR PHONE: ca4! PAGER al: I S~condary NAME: (311 , _ rrc~,_~ --.bonE,.' , . Ttl~E: ($Zl I ~inte~nce ~dina~o~ I I ACUTELY HAZARDOUS MATERIALS ,,.,IE] v.. I~1 No ,1 ".',..'" ..'-- ~/**',.,". '".,,,~., ~.,,.,.,, .,,..~, · .,,.., ,,, ..,,., ..h . ..,.,., I II · III · L I iii ADDITIONAL LOCALLY COLLECTED INFORMATION IIII III II I I . I Certi~e. ution: I certify ufldor penalty of law that I have personally examb~ed fred om famll~ar w~h the bWormat;e, submhted b~ ~hls b~ventory end believe the information is true. accurate, and eompleto. Pr;n( Name of Oocument Preparer (aa) [,qervice, Sta ion sgrVices DES Fora1 2730(04/J61 .... 7 eT 'd ZIBO 9t~g I~IZ $3~I^B35 NOII~Y.LS 2aIAI~2S dgZ: ID B6-TE-~aQ California Hazardous Material Inventory Form/Addendum- Chemical Description Page ~USINES$ NAME CHEMICAL LOCATION CHEMK::AL NAME COMMON NAME CAS l' RIlE CODE HAZARD CLASSE$' TYPE PHYSICAL STATE FED HAZARD CATEGORIES ToDATE WASTE E DAYS ON SrrE INER bT'ORA, GE CONTAINER Ming Aver~le Shell SOUTHEAST SIDE OF LOT laETIIIOL.L~M HYOIqOCARBON$ REGULAR UNL~D~ GASOLINE PRESSURE STORAGE ]~[TEMORAGE PERATURE I-A: FLAMMABLE LIQUID GRIDI ;~ L. ~/'~ 'EH$ OY ~Y IN 'IF EH$ BOX I$ 'Y' AU. AMOUNTS MUST BE IN LBS 'COMPIII~'TE BLOCK J,13) IF REQUESTED BY THE LOCAL FIRE CHII;F ~REFER TO 1171 1181 SOLID ~ U~UID ~ GU [_ ,, CURIES PME ~ R~E n PRESSURE Rm~;'"'~ AC~E H~TH ~ CHRONI~ H~TH 0 CARBOY 0 SILO 0 FIBER DRUM CI I UNITS (aa) ~ CU FT TONS 366 'If EH$, amourtts must be in lb. 0 ABOV~ G~UND ~ UNOER GROUND ~ T~K ~SIDE BULLDOG ~ STOL DRUM 2. <6.5 3. <4.6 &. $, MAX DAILY AMI' I~a) I 10000 ' AYG DALLY AMT (2w, II 300? ANNUAL WASTI~ Al)MT 0 BOX 0 TANK ~ CYLIND~ ~ ~IL ~ ~ G~ BO~ ~ TOTE I~ AMe~mT 0 ABOVE A'MWE~T r'l BELOW AMSIBIT * AMalmT C~-ASOVE_. AMBIENT 0 BELLOW ~U,a"~mT 0 cRyOGENK;; I (au) HAZARDOUS COMPONENTS 1311 KHS METHYL TERT BUTYL ETHi~ C3 Y ~ N 1634044 TOLUENE r-] y [~ N $ 08883 XYLENE C] Y ffi N 1330-20-7 (~Y ~N OY I~N ADDITIONAL LOCALLY' COLLECTED J '~Es Form IT'd 2TBO 9~ ~;Z S3DIA~]S NOIZ~ZS gDXA~3S dg2: TO ~5-TZ-o~O .California Hazard. ou$ Material Inventory Form/Addendum- Chemic.81 Description Page ADD lQ BUSINESS NAME (~ CHEMIC, XL LOCATION ~t) MAPJ (oi CHEMICAL NAME (~ COM~N NAME (e) ~S ~ tlO~ fiRE col~ Ming Avenue Sl~ell SOUTHEAST SIDE OF LOT FED HAZARD CATEGORIES &DA~E WASTE DAYS ON SITE 42ol LARGEST CONTAINER STORAGE C0NTAINEfl ~PR~0$$URE RAGE i~RATURE 3. <8,8 4. GFUDI PETROLEUM HYDROCARBONS SUPREME UNLEADED GASOLINE 8006-61-g I-A FLAMMABLE LtOUIO TRADE ~d::l~L~'r n~) Iic]Y (~N ] 'El. iS I~:q · ~N 'iF Efts BOX IS 'Y' ALL AMOUNTS MUST 8E IN L~ ,1 COMPLETE. BLOCK {13! IF AEgUE. ,~r. TED BY THE LOCAL FIRE CHIEF - REFER TO ' I cu Es · FIRE ~ R~T~E ~ PRE~E' eEL'SE ~ ACUTE H~LTH ~ CHRONIc H~L~ - MAX DALLY AMT ;z$1 J 1 AVG DAILY AMT (241 ~NNUAL WASTE AMT ~.$! J BOX ' ' ~ T~K WAGON ~ ~IL ~ 0~,'.. (3~2 0 TONS '1t EHB, amounts must be in 10.000 J o Aso G,ou,o u.. ~ ~BI~ 0 ABOV~ ~8[~T O BELOW ~BGT , · AMBI~ ~ ABOVE ~BI~T ~ BELOW AMBImT (3OJ HAZARDOUS COMiNgS (311 EHS 0 CYLJNOER C;] GLASS BOTTLE 0 fLASTIC BOTTLE O TOTE BIN METHYL TERT BUTYL ETHER 0 Y ~ N 1634044 TOLUENE C] Y I~l H 108883 XYLENE O Y I~ N 133~2~7 DY ~N OY ~N ADDITIONAL LOCALLY COT3~;CT~J INFORMATION ~['d ~[~O 9~ ~L $3DIA~3$ NOI~¥~$ 3DIAB3S dDZ:[O B6-[Z-oeO California Hazardous ~ [~ ADD ¢'1 DELETE (~ RE¥'ISE NAME Material Inventory Form/Addendum- Chemical Description Page I M}n9 Avenue S~ell SOUTHEAST SiDE OF LOT -- I I . III PETROLE1JM HYDROCARBONS TRADE SECRk--r 41 PLUS UNLEADED GASOUNE {89) 'El, IS (1 ~ ~T ~N 8006-61-9 'IF EH$ BOX iS *Y' ALL AIM~UNTS MUST BE IN LBS I-A FLAMMABLE MOULD :OMPLk"TE 8LOCK (13) IF REQUE~Ti~) BY THE L0C~L FIRE CHIEF - ~ TO INSTRUCTIONS. [] PURE I~ MIXTURE O WASTE i RADIOACTIVE tlSl r~ souo' =-U~UtD ~] c'~S I CUR~ES CHEM..AL LOCAI~ON MAP~! NAME COMMON NAME CAS t fiRE CODE HAZARD ClaSSES' TYPE I~[YSICAL STATE ~ FIRE [-I REACTNE ~ PRESSURE RELEASE I~ UTE HEALTH ~ CHRONIC HE~LTN FED HAZARD CATEGORIES (~ el STATE WASTE 11~) UNITS (act I GAL C FT MAX DAILY AMT 123! 100~)0 CODE LBS NS DAYS ON SITE ~2o~ 365 _ 'if EH$, amounts must be in lb. AVE DALLY AMT (z4) SOO UblM~E~rCONTAiNF_~ (Zll I O,OOO ANNUAL WA~E AMT (26! STORAGE (=~e) {~ A~OVE Gi~OUND T~K '~ C~ ~ BOX ~ T~[ WAG~ C~AINER ~ UNDER GROUND T~K ~ ~RBOY ~ TANK INSIDE BUI~G ~ SIL0 ~ $TE~ DRUM ~ FIB~ DRUM ~ P~ST~ BO~LE ~ ~,,. ~ P~STIC~ONM~AL~ DRUM ~ ~G ~ TOTE BIN ~ESS~ (zT] ~ AMB~ ~ ABOVE ~BI~T ~ BELOW AMBI~T STORAGE ~J ~ i~) HAZA~US COM~N~NT~ 1. < 1S.O METHYL TERT BUTYL ETHER O Y I~ N 163404& 2- < 9.5 TOLUENE 0 Y ~1 N 108883 3. < 6.3 XY~ENE 0 Y ffi N 1330-20-7 5. OY ADDITIONAL I.,OCALT-Y COLLF.,CTED INFORMATION ;i'd ZTBO 9~ ~I~ S3OI^B3S NOI±~S 3~I^B3S dgZ:SO s6-~z-~ea A~~ C : Ca!!,fo.r.n.ia Hazardous Material Inventory Form/Addendum- Chemical Description Page F1RE CODE HAZA~ CLASSES' PHYSICAL STAT~ ~~ ,,,, ~ ~ ,,, ~Y$ ON SITE C~NER I~E$SUP~ I27 ~roF~,GE (2~) IPt %w'r 1. t00 2. 3. 4, $, Form 2TJCI(11/94) I~nla Avenue Shell CASHIER AREA II II I CAIqBON DIOXID~ CARBON DIOXIDE 12&-38-9 IN~ COMI:~ESSED GAS TK&DE SECRET (ltl C]Y ~N 'EH$ ~l?J OYm# 'IF EHS BOX iS 'Y' ALL AMOUNTS MU,ST BE IN LBS :OMPLETE ELOC~/~.3) I~ I~..GU~J:) BY THE LOCAL FIRE CHIEF - RI~ T9 INST~UCl'K)N6. soL,° o L~,=.,, . ~s !_ , , ,.,,,,.C~,~s ,. FIRE 0 S~e · PR~URE RECESS 0 AC~E H~LTH ~ CHA~IC j ~ll EHS, amounts must be ;n lb. o"ABovE GROUND TANK C] UNDER GROUND TANK ~. TANK tN$iOE 8USLD~G 0 STEEL DRUM ~ P~6TtC~ONM~IC DRUM · Me{~T O Ae0VE MBI~T O BELOW ~BI~T ~ CAYOG~IC ~1 HA~ROOUS COMiNgS (311 c~u~ CARBOY SIL0 BAG B~OW AMBImT ~vG DALLY AMT' tz4,) 17& ANNUAL WASTE AMT {Z,s~/& C3 BOx O ?~U~K WAGO~ C;] KArL CRA ~ CYLINDER ~ GUI, SS BOTTLE [] PLASTIC: BOTTLE [:] TOTE BIN t~ CAS~ -i CARBON DIOXIDE 0 Y ~ N 124-38-9 DY ~N ~Y ~N ADDITIONAL LOCALLY COLLECTED ~I~,,'~.~TION ~['d ~[~O 9~S t[L $3DI^B35 NOJZ~£S 3~I^B3S dZZ:IO g6-[Z-o--a ~~ C California Hazardous Material Inventory Form/Addendum- Chemical Description Page BUSINESS NACRE I4) Ming Avenue Shell CHEMICAL LOCATION (61 IN SERVICE BAY CAS # i~m F~E C00E HAZARD CLASSES' TYPE PHYSICAL STATE DAYS ON SITE t2Ol EST ~,~NININI~A iN E]q ,21) STORAGE cohrr~NER PRESSURE STORAGE 5'fORAGE TEM~TURE I~ %WT 1. > 70.0 2. < 2S.0 3. <5.0 4. 5. 'IF ~lS BOX i$ 64742-65-0 ~.LL AMO~JNT$ MUST eE IN LBS III-B COMBUSTIBLE LIQUID 'COMP,L,ET! 8LOC~( [13! m REOU~ESTEO ilV THE LOCAL FiRE CHIP - REI:E~ TO IMSTRUCTi0N. $. ,,~ o souo m uouIo O G~S I CU,~?, I~ FIRE O aeRo-nvE O PREssuRE RELF.~SE O ACUTE HEALTH i~ CHRONIC HEALTN 127) 385 OUAm. ....mS ,S. i 'if EHS, amounts must Be in lb. ABOVE GROUND T~NK UNDER GROUND TANK T~NK ~I$1DE BUILD~IG STEF. L DRUM Pt. ASTIC~NONMETALLIC DRUM AVG DA~LY ANNUAL WASTE 0 ~ ' 0 ~X ~ CARBOY ~ CYL~ER ~ ~LO 0 G~ BO~LE ~ ~G ~ TOTE BIN AMBIENT 0 ABOVE AMBIENT 0 BELOW AMSIk-NT AMBIENT [;] AiOVE ~BI~ O e~OW AMBI~ CRYOG~ ~30) H~RDOUS COM~NENTS DISTILLATES O Y I~ N 64742547 ADDmvEs C) Y C~ N MIXTURE SYNTHETIC BASE OIL 0 Y I~ N MIXTURE L __ {~) ADDmON&L LOCALLY COT.T_£CTIED INFORMATION DES ~ 2730(11194) AI'I)I~I)IX C : California Hazardous Material Inventory Form/Addendum- Chemical Description Parle BUSINESS HAME CHEMICAL LOCATION MAP~ CHEM$CAL NAME COMMON NAME FIRE COOE HAZARD Ct. ASSES' PHY~IC)J. STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAJNER ST0~AGE CONTAINER I~E$SURE $'rOR~GE STORAGE ~MPEP~TURE 1. 100.0 I131 EAST SIDE OF SALES BLOG PETROLEUM HYDROCAI~ONS n~l 0¥ 'EHS I~ OY 'IF EH$ ~OX l~ 'Y' USED MOTOR OIL 800-20-.69 TRADE SECRET III-B COMBUSTIBLE LIQUID ALL AMOUNTS MUST BE IN LBS "CQMLq.~'iLeLOCK [13! W REQUEb~ED 114,) t'"l PURE C] MIXTURE ~ WASTE' 1 (18l 120! B',' T.,~ ,.O~- ,;,.E C.,~- .E,~. TO .,STRUC~,~.S. _. I;I~O,OACTIVE (1KI l ("]_Y. N ~lle]. i 1 CUP4ES n FIRE ~ REACTIVE E] PRESSURE RELEASE O ACUTE mG~..ALTM I~ CHRONIG HEALTH 38S $5O UNITS 'Z~ [~-~A$LCI(D' ~;U FT-ToNS 'If Lq'IS, amounts must be In lb, ABOVE (IROUNO TANK ~ CAN UNDER GROUND TANK [~ CARBOY TANK INSIDE BUILDING O SILO STEEL DRUM n FIBER DRUM PL~STIC/NONMETALUC DRUM ~ BAG - MAX DAILY AMT (2311550' AVG OAILY AMT Ii&!/300 ANNUAL WASTE AMT Iz~,) J 600 & ~ BOX ~ T~K WAGON ~ TOTE ~m AMBIENT O ABOVE AMBIENT O BELOW AMBIENT O CRYOGENIC (~0} HAZAR[:N~US COMPONENTS 1311 EHS 13,2! CASI USI~) OIL 0 Y i~ N 800-20-59 ~Y i2IN OY ~N OV )N C]Y ~N ADDITIONAl, LOCALLY COT3~I~-CTED IN1K)RMATION 9I'd 2[BO 9~ ~[£ S33IAB3S NOISe.S 33IAB3S d£Z:[O ~6-lZ-o~O , California .Hazardoua Material Inventory Form/Addendum- Chemical Description Page_ mi I ' III II m-i i_ m I III IIII BUrNErS NAIVE I&! t Mi~ Avefl~ SI~II CHF. MtC~ LOCAllON ISt IN SERVICE BAY iim CH~dlCAL NAME COMMON N4,ME CAS W TYP~ FED H~D ~TEG~ES CODE DAYS ON SITE i201 ~O~GE CONTAINER S'rOI~GE czm TEMPERATURE II · I ETHYLENE GLYCOL USED ANTIFREEZE 107-Z1-1 IIF~ COMBUS'I'IBI..~ LIQUID 'EHS (12] C]Y ~N 'IF E'rt$ BOX I~ 'Y' ALL AMOURS MUST BE IN ~S °C:0MPLETE BLOCK_ [!3) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO ~iSTRUCTIONS. PURE C3 MIXTURE ~ WASTE I RADIOACTIVE Ils)I O Y · N lrle~ SOklD- ~ LIQUID ~ OA~'' [ CURIE.~ Frae D REACTIVE C] PRESSURE RELE~S~'"~ ACI~'E HE&LTN ~ CHRONIC HEad.TH ~ONS 365 . 'If EHS. amounts mus~ 0e in lb. AVG DALLY AM-/' I2oi15 ._ '55 I ANNUAL WASTE AMT IZSi[ 50 t O ABOVE GROUND T~K ~ ~ O BOX ~ TANK WAG~ ~ UNDER GROUND T~K ~ ~RBOY ~ CYLm~ ~ ~ ~ 0 TANK ~SIDE BUI~G ~ SILO D G~SS BO~ ~ ~ STEEL DAUM ~ FIB~ D~UM ~ P~IC BO~ ~ ~r,,~ ~ F~STIC~ONM~A~ DRUM ~ 8AG ~ TOTS B~ ' ....... ffi AMBI~ ~ ABOVE AMBImT O BELOW AMeI~T D C~OGENiC (22) CA3a ~t~) %WT 13o) HAZARDOUS COMPONENTS q3. EN$ 1. 100,0 USE0 ANTIFREEZE O Y ~ N 107-21-1 · Dy ~N 3. C~Y OY ~N 5. C]Y ~N (331 ADDITIONAL LOCALLY COLLECTED INFORMATION OES Fo~m Z['d ZISO 9~S ~l£ S33IA~3S NOI£~ZS 3DIA~3S dgZ:[O · California_Hazardous Material Inventory Form/Addendum- Chemical Description Page. BUSINESS NAME 4&l Ming Avenue CHEMICAL LOCATION ~j IN SERVICE BAY MAPJ Mi CHE)dlC&L NAME mi ~ROL~M HYDROCARB~$ COMMON ~ME ts) US~ OIL FIL~S ~S ~ tie) 80~2~5g CODE HAZAJqD CLASSES ' t'~ $) STATE DAYS ON S~rE CONTAINER STORAGE CONTAINER Ill-B: COMBUSTIBLE LIQUID 'IHS 'IF El'IS BOX IS 'Y' ALL AMOUNTS MU~T BE IN L~$ 'COMPLETE BLOCK t13,} IF REQUESTED BY THE LO~.AL FIRE C"I~F,- ,,,~ o .u"~ a .~TURE p w,~ ~ ~OA~v~ ,., [ ~ y =. 1"~ ,,~ -~ souo = ~ou,o'° ~s. ,i cu~Es ,,' ~ FIRE ~ R~NE ~ Pfl~SURI R~ ~ AC~E H~LTH ~ CHR~IC H~ (19t t2al PRESSURE STORAGE TO GE ,J 365 ] 'if EHS, amounts mus~ be in lb. AVG DALLY AIv~r I,,le 100 , 65 ANNUAL WASTE AMT 1261 400 ~ A~OVE GROUND TANK ~ C~ ~ BOX ~ UNDER GROUND T~K ~ ~RBOY ~ CY~DER ~ ~IL CAR ~ T~K ~DE BUILDING ~ 81LO ~ G~ B0~LE ~ ~TE~ ORUM ~ FIBER DRUM ~ P~TIC BO~ ~ Oth~... ~ P~TIC~M~ALLIC DRUM ~ ~G ~ TOTE BIN / ~ ~ ~ AeOVE AMUleT G BELOW ~B;~T ~ CRYOG~;C (30~ HA~flDOUS COM~NENTS 1311 ~$ ~2) I. 100.0 USED OIL ;ILTERS C] Y ~ N 800-20-&0 2. (~Y ~g 3. C3Y IN ~' C]Y ~N (33~ ADDITIONAL LOCAT-Y~Y COT-T_-F.,CT]CD INFORMJI,~ON DES Form 2730(11;94) ~IX C Califomla Hazardous Material Inventory Form/Addendum- Chemical. Description Page. · [ I I' BUSINESS NAME CHEMICAL LOCATION MAP~ CHEIdI~AL NAME COMMON NAME FIRE COO~ HAZARD CLASSES' tlOI T~PE I~IY$ICAL STATE FED NA~kRD C~TEGORIE$ STATE WAS~ CODE D~YS ON Sl~ STOP--GE CONTAINER (13) 1,14l (111] (1 O) ( 20i (2'si ~Zel STORAGE ~[ORAGE MPERATURE OXIOIZI~I B; CORROSIVE TRADE $F.J:RET 411) 'sF EH$ 8OX A~ AMOUNT~ MUST OE IN LeS 'COMPLETE BLOCK [13J IF REQUESTED BY THE LOCAL FiRE CHIEF - RE~ER ~.J~J~'r'RUC~rIDNS. _:~ .,~)LID ~ uc~u~a O GAS , [ cuRIES ~ATTERY UNITS 122} [ [] GAL 'I! EHS, amount~ must be in lb, M*X AVG DALLY AMT ANNUAL WASTE AMT ABOVE GROUND TANK ~1 CAN UNOF..~ GROUND TANK ~ ~ARBOY TANK fNSIDE BUiLDWG ~ SILO ~E~ DR~ ~ PIB~ DRUM 9~IC~ONM~ALUC DRUM O BAG ~BI~ ~ ABO~ AMBI~ ~ BELOW AMBI~ AMBI~T ~ ABOVE ~B(~T O BELOW ~B]~T ~ CRTOG~iC 13o~ HAZARDOUS C~NE~S 1311 80X CYLINDER GMS8 BOTTLE PLA~rt¢ BOTTLE TOTE BIN (23) 1 1241 1 a YA K WAGON · uTTERY C) ~h~... I [33) CA$~ 1, 31 LEAD DIOXIDE 0 Y [] N 1309.$0,~ i 2. 34 SULFURIC ACID f~ Y CJ N 7664-93-9 . 34 LEAD ~ Y I~ N 743g-92-1 , 4. ['ly •N L6. OY ~N ADDITIONAL LOCALLY COT-L~CTF, D INFORMATION OP.~ Fozm 2730(11194) SERVICE STATION MONITORING PROCEDURE 204-0462-00018 Title 23 ol'thc California Code of Regulations (CCR) requires that a written monitoring procedure bc established for all underground storage tanks. This form is used to satist~, the information required in Section 2632 & 2641, Title 23, CCR. A Copy of this form will bc maintained on-site (located inside the Equilon's Marketing Service Station Health, Safe:y and Environmental Manual also known ~ the Red Book) and a copy will be submitted to the local administering agency (inside of the Business Plan end iswentory disclosore). Facility Name: Facility Address: Facility Telephone Number: Tank Owner: Ming Ave. Shell 3700 Ming Ave., Bakersfield, CA. 93309 (805) 831-5151 EQUILON ENTERPRISES LLC ATTN: SH&E DEPARTMENT P.O. BOX 7869 BURBANK, CA. 91510-7869 Telephone Num bors: (818) 736-5078 or (805) 326-4326 As Operator, 1 am responsible for monitoring thc underground storage tank system in accordance with Title 23, CCR. The following pages outline tile specific monitoring procedures as required in Section 2632 or 2~1. My signature below confirms that.t.~'~ead and understand my responsibilities as they pe~ain to tank monitpring, reposing, and regulation. ,/ ....... ..~ _./' ....~:~.~,:::. . ........ 0pe~r/opel;~or Signature ~ff~'~'~reround Storn~e Tank/i,ine Information Tank Type: Double Wall Tank Material: Fiberglass Monitoring Type: TLS-350R Monitor Manufacturer: Veeder Root Line Type: Doublc Wall Linc Material: Fiberglass Monitoring Type: TLS-350R Line Leak Detector: PLLD Monitor Manufacturer: Veeder Waste Oil Tank: -Double Wall Fiberglass OZ'd ~IE~O 9i'~ i,lL ~33IAB3~ NOI_L~f_L~ 33IAB3S d6Z: IO EI6-Ig-~aC! 20~-0462-00018 REPORTING REQUIREMENT Any monitor that is discovered itl Alarm (P.ED Lighls On) or audible alarm is sounding or any monitoring that cannot pass the daily inspection test must be reported immediately to: Equilon Enterprises LCC SII&E Compliance Coordinator (818) 736-5078 Maintenance Coordinator (805) 326-4326 Trainin~ by .C, ompan~f Personnel Per manu£acturer guidelines, the training necessary to operate the tank and line monitoring system is performed by the aufl~orized installation contractor. The location is also responsible for daily inspections of the monitoring panel, alarm Panel Test Log and corrective actions, Operator/Manager Each Individual alarm system is detemfined eaM located at the service station premises. Each Individual alarm system is activated by visually inspecting the alarm panel lights and pushing the appropriate audible alarm button. No improroptu repairs, changes, adjustments, etc. will be made to the monitoring equipment at the station, Designee It shall he the responsibility of the operator/manager to train the designee to perform alarm panel tests. [t shall be the responsibility of the operator/manager to train the designee to perfomi physical inventories. Additional Releases Safety Features at the Service Station Inventory reconciliation as defined by Article 6.3 of the Equilon Motor Fuel Lease and Title 23, CCR. Equilon must be notified if a single daily variation exceeds phis or minus 300 gallons, or exceeds 4./- 150gallons of daily varialion~ Ibr three (3) consecutive days, or the month end cumulative variation exceeds t/-0,005 x monthly throughpuL or the monih end cumulative variation exceeds +/- 130 + 0.01 x monthly throughput. · Electronic Monitoring systems described above 0 0 · Annual Tightness Testing of Single Wall I.ines (If required by the Local Implementing Agency ) Physical Inventory Annnal UST Equipment Certifications I2'd 2180 9~ biz 204-0462-00018 [3 Double wall tanks are monitored by in tank gauging probes and d~ere is a continuous electronic monitoring of the annular interstice space in ouch tank. A monthly status report of the annular space condition in each tank is submitted to the station at the end of each month. Hard copies of all test data will be maintained on-site in the ETM Results binder. Single wall tanks with Electronic Tank Monitors (ETM) will at a minimum comply with Section 2643, CCR: Electronically test each tank ut least once per month a~er product delivc~ or when tank is filled to within 10% of highest operating level during previous month. The system is capable o1' detecting a release of 0.2 GHP. A Hard copy of all test data will be maintained on-site in xhe ETM Kesults binder. Single wall tanks with no clctronic monitoring equiptnent will be tested annually using the volumetric testing guidelines specified in Section 2643, CCR. Lines · All lines, Single wall or Double wall, are monitored by Pressure l,ine Leak Detection probes (PLLD). The sensor at 3 GPH every time the dispenser is used. and a 0.2 GPI'! leak rate once a month according to CCR, Title 23, Div 3, chapter 16 UST Regulations. Also the monitor is capable ora O. 1 GPH leak rate test once a year if mandated by the City Ordinance or Municipal code from l,ocal Regulatory Agency. All product lines have Positive Shut Down and will stop the Ilow of product through the lines in the event ora leak. Some Double Wall lines are also monitored with either interstitial or sump sensors. Double wall fiberglass lines will have continuous sump monitors and line pressure monitors which arc certified annnally. Single wall llncs: All single wall lines will he pressure tested annually according to Section 2643, CCR. And will be monitored with a line pressure device (mechanical or electronic) that is cet'tified annually Tank / Line Testing or Certification Results: The Simplicity System Installed at this location provides continuous electronic leak detection of tl~e product tanks pressurized product lines. The system provides audible and visual alarms along with automatic notification through the Veedcr. Root system in the evenl lhat a leak is detected. Hard copies of the UST System test results are to be mailed to the station the first week of each month. These copies of the UST Testing and Certifications will be maintained on-si~e at the station and available for inspection. UST Test/Certification results will also be sent to the local agency by certiti~d mail as required. Tank and line testing will be conducted by a qualified contractor and results of these tests will bc maintained on-site and available for inspection. ZZ'd ZEBO gl~g '~I/- S3OIAB3S NOII~/S 3OIAB3S d6Z: IO Fuel Tanks 204-0462-00018 Vccder-Root TLS-350R On a daily basis the operator / manager / designee will push the RED alarm test button which will indicate that thc remote sensor and thc monitor control panel am working as well as the condition or,he alarm and that ALL FUNCTIONS ARE NORMAl.,. The RED and YELLOW lights will be observed lo be OFF. These copies of thc UST Testing and Certifications will bc maintained on-site at the station and available for iz~spection. UST Test/Certifications results will also be sent to thc local agency by certified mail as required. Ronan All electronic monitoring dcviscs will be inspected for operation in accordance with section 2632, CCR. A log will be maintained on-site showing daily documentation of inspections and maintenance requirements. The monitoring will be tested daily in accordance of manulhcturcr instructions. Copies of the UST Testing and certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications will also hc sent to the local agency Rcd Jacket All electronic monitoring devises will be inspected lbr operation in accordance with section 2632, CCI,I, A log will be maintained on-site showing daily documentation of inspections and maintenance requirements. The monitoring will be tested daily in accordance of manufacturer instructions. Copies ol'thc UST Testing and certifications will be maintained on-site at thc station and available for inspection, US'r TesffCertifications wilI also be sent to the local agency Dealer Inventory Rec. On a daily basis the dealer takes a physical inventory (stick reading) of the levels of the tank. Each day he subtracted sales from and added deliveries to the book inventory. His daily inventories arc compared to the "b~'~k" inventory to give tile dealer a cumulative reading. At the end of each month the dealer will compare his daily inventories to net his overage or shortage for thc month-to- date and make a momhly report. These reports will bc maintained on-site at the station and available for review during inspection. A copy of tile reporl will be sent to thc local agency by certified mail as required. Fuel Lines Veeder-Root TLS-350R On a daily basis the operator/manager/designee will push thc RED alarm test button which will indicate that the remo~e sensor and thc monitor control panel are working as well as the condition of the alarm and that ALL FUNCTIONS ARE NORMAL. The RED and YELLOW lights will be observed to be OFI". These copies of the UST Testing and Certifications will be maintained on-site at the station and available for itlspection. UST Te.qt/Certifications results will also be sent to the local agency by certified mail as required. EZ'cl ZlBO 9t;,cj '1~I/_ $3~)IA1:t3S NOI_I_V.L$ 3DIAB3~; clO£: I0 86-Ig-::)eO 204-0462-000 Ronan All electrotlic monitoring devises will be inspected for operation in accordance with section 2632, CCR, A log will be maintained on-site showing daily documentation of inspections and maintenance requirements. The monitoring will be tested daily in accordance of manufacturer instructions. Copies of th;: [JST Testing and certifications will be maintained on-site at the station and available fi~r inspection. UST Test/Certifications will also be sent to the local agency Red Jacket All electronic monitoring devises will be inspected for operation in accordance with section 2632, CCR, A log will be maintained on-site showing daily documentation of inspections and maintenance requirements. Tile monitoring will be tested daily in accordance of manufacturer instructions. Copies of thc DST Testing and certifications will be maintained on-site at thc station and available for inspection. UST Test/Certifications will also be sent to the local agency Waste Oil Tank Veeder-Root TLS-350 On a daily basis the operator / manager / designee will push the RED alarm test button which will indicate that the remote sensor and the monitor control panel are working as well as the condition of the alarm and that ALL I:UNCTIONS ARE NORMAL. Thc RED and YELLOW lights will be observed to be OFF. These copies of the I/ST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications results will also be sent to the local agency by certified mail as required Dealer Invento~ Rec. On a daily basis ~hc dealer takes a physical inventory (stick reading) of the Icvels of the tank, Each day lie subtracted sales from and added deliveries to the book inventory. His daily inventories are compared to the "book" inventory to give tile dealer a cumulative reading. At the end of each month the dealer will compare his daily inventories to net his overage or shortage for the month-to- date and make a monthly report. These reports will be maintained on-site at the station and available for review during inspection. A copy of the report will be sent to the local agency by certified mail as required. 204-0462-00018 UNDERGROUND STORAGE TANK , LEAK RESPONSE PLAN Tank Owncr: EQUILON ENTERPRISES LLC ATTN: SH & E DEPARTMENT P.O. BOX 7869 BURBANK, CA. 91510-7869 Telephone Numbers: (818) 736-5078 or (805) 326-4326 If a Leak Detection Alarm or System is Activated: 1. Determine which tank system is involved. 2. Shut off pump and discontinue operations. 3. Call tile Tank Owner hnmediately. 4. Persons responsible I~,~r contacting the leak response unit / company and authorizing any work necessa~, SH&E Compliance Coordinator (818) 736-5078 Maintenance Coordinator (805) 326-4326 5. Notify the local agency: BAKERSFIELD FIRE DEPT PHONE#: (805) 326-3979 6. Call 911 (il'necessary): The Methods and Type of Equipment Used for Removing Hazardous Substances. All unauthorized releases will be removed from file secondary contaimnent by vacuum truck. A licensed hazardous waste contractor will be caltcd to perform tM clean up and removal of hazardous substances. The location and Availability of Cleanup Equipment: Major Spills: A local licensed hazardous waste contractor. Minor Spills: A spill kit with absorbent is to bc maintained and supplied by the operator. To dispose of small generated hazardous waste, tile operator / dealer will call Equilon's Contractor for proper disposal A copy of this response plan should be maintained near the electronic monitoring system. A copy is also sent to the local agency. ~Z'd gI~O 9'1~c~ t~,I/ g:l~)IA~:l:l~ NOI_I_¥_LS 'q~)IA'tl':lS dOg: IO [16-IZ-~a13 SERVICE STATION MONITORING PROCEDURES Product Information Volume Regular Unleaded 10 Plus Unleaded ! 0 Premium Unleaded !0 Diesel M-85 Waste Oil Tank 550 Total Number of Tanks on Site: 4 Persons Resl~onsible for Performing Monitoring: GLEN HENRY (Retailer/Manager) 204-0462-00018 Preventive Maintenance Schedule Daily Operator / Manager / Designee will perform equipment checks to ensure that monitors are operational. The Alarm Panel Test Log must be initialed by the person performing thc daily equipment check (sample attached). Annual -(A) All monitoring equipment will be inspected and certified operational, according to manufacturer's spccitication.~, by a licensed tank tenet who is authorized and trained by the manufacturer. (B) Operational status will be reviewed on site by the Equilon SH&E Representativc using the Equilon Service Station Audit Check List once a year. Records Retention All records associated with inspecting, certifying, testing, monitoring, and maintaining the UST system mu.hr be on site and available to Equilon / Agency auditors lbr a period of not less than three (3) years. Operating status of the monitors will be recorded DALLY on the Alarm Panel Test Log (as menlioned above.) I-'l Physical Inventory will be recorded daily on the Inventory log. 9Z'd ZIBO 91~g 1, IL S33IAl~3S NOI.L¥.LS 33IAB3S dI£: I0 EI6-I2-oe(3 1 3 7 CHUCK E. CHEESE RESTAURANT ~ 1'=30'-°':t 113A'I'E~ 3/18/98 SITE PLAN MING AVENUE SHELL 3700 MING AVENUE BAKERSFIELD, CALIFORNIA 9330g WlCI 0~62-18~7 She//0il £roducts Company S0'd 2IgO 9~S ~I~ S33IAa3S NOI~iS 33IA~3S dI~: lO BUSINESS EMERGENCY PLAN (Hazardous Material Management Plan and Disclosure/Inventory) EQUILON ENTERPRISES LLC Ming Ave. Shell 3700 Ming Ave. & Real Bakersfield, CA. 93309 (661) 831-5151 Rev 05/24/99 TABLE OF CONTENTS 1. Owner Operator Agreement ................................. Section 1 California Health and Safety Code, Section 25299 2. Business Emergency Plan .................................... Section 2 3. Hazardous Material Disclosure ............................. Section 3 4. Monitoring Procedures ........................................ Section 4 Leak Response Plan Emergency Response Procedures Training Log 7-1 5. Site Map Site Map Symbols Reviews and Revisions This plan was created to comply with section 25503.5 of the California Health and Safety codes. It is required to be revised within 30 days of any significant change in quantities of hazardous chemicals or operations at the facility. In addition plans are reviewed every two years and Inventory Disclosure is submitted annually to the local administering agency. A revision is also required if there is a change in the business owner, operator, or address. Certification This plan must be reviewed by the business owner to ensure that it is complete and accurate. After signing this plan, a copy must be kept on-site and available for review. In addition a copy is maintained by the tank owner, and a copy is sent to the local administering agency in your name. BUSINESS PLANS 204-0462-00018 AS A SERVICE TO YOU, THIS BUSINESS PLAN WAS PREPARED BY SERVICE STATION SERVICES, 1NC. IN ORDER TO COMPLY WITH THE CALIFORNIA HEALTH AND SAFETY CODE (CHAPTER 6.95, ARTICLE I, SECTION 25503.5). BY ACCEPTING THIS PLAN, YOU ARE ACKNOLEDGING THAT THERE ARE NO REPRESENTATIONS OR WARRANTIES THAT THE INFORMATION CONTAINED IN THIS BUSINESS PLAN WILL PRODUCE ANY PARTICULAR RESULT WITH REGARD TO THE SUBJECT MATTER. OWNER/OPERATOR AGREEMENT OPERATOR: As operator of the underground storage tanks, I hereby certify that I understand the monitoring and reporting requirements contained in Title 23, of the California Code of Regulations and I have received a copy of Section 25299, chapter 6.7, California Health and Safety Code. OPERATOR NAME: BUSINESS NAME: LOCATION #: Glen Henry Ming Ave. Shell 204-0462-00018 OWNER: As the owner of the underground storage tanks, EQUILON ENTERPRISES LLC certifies that we have provided the operator a copy of the monitoring and reporting requirements contained in Title 23, of the California Code of Regulations. Equilon certifies that we have provided the operator with a copy of the penalties of noncompliance as specified in Section 25299, chapter 6.7 of the California Health and Safety Code. Equilon Enterprises LLC EO_UIL. ON Dear Equilon Marketer: The underground storage tanks located at your facility must be monitored in accordance with the permit to operate issued by the local agency and article 6.3 orthe Motor Fuel Station Lease, The following excerpt From California Health and SaC'ely Code. Division 20, Chapter 6.7 del'mrs the penalties for violating the Permit to Operate or other applicable regulations. Section 25299. Violations; Civil and criminal penalties; operative date. Any operator of an underground tank system shall be liable for civil penalty o[' not less ~an fiv~ hundred dollar~ (5500) or more than five thousand (55,000) for each underground tank ~'or each day the violation for any at'the following violations: ( I ) Operating an underground tank which has not been issued a permit, in violation or this chapter. (2) Violation o f any of the applicable requirements of'the permit issued tar the operation of the underground storage tank system. (3} Failure to maintain recor~ts, as required by this chapter. (4} Failure to report an unauthorized release, as required by Section 25294 and 25295 (5) Failure to properly close an underground tank system, as required by section 25295 (6) Violation of any applicable requirement o[' this chapter or any requirement of uais chapter or regulation adopted by the board pursuant to Section 25299.33 (7) Failure to permit inspection or to perform any monitoring, testing, or reporting requb'ed pursuant to Section 25288 or Z5289 . ($) Making any false statement, representation, or certification in any application, record, report, or other document submitted or required, to be maintained pursuant to this chapter. (b) Any person who ['alsifie$ any monitoring records required by this chapter, or knowingly ~'ails to report An unauthorized release, shall upon conviction, be punished by a fine of'not less than five thousand dollars ($5.000) or more than ten thousand (10.0O0). by imprisonment in the county jail for not to exceed one year. or both that fine Nd imprisonment. Please contact your Equilon Representative it' you have any questions regarding this section of the California Health and Safety Code or Article 6.3 of the Mo~or Fuel Station Lease Agreement. Equilon Enterprises LLC + MING A~E SHELL SiteID: 215-000-000243 Fast Format +~ Notif./Evacuation/Medical +== Agency Notification Overall Site o4/19/1996 SHELL WILL NOTIFY THE APPROPRIATE STATE AND LOCAL AGENCIES UNLESS THE SITUATION REQUIRES URGENT IMMEDIATE RESPONSE BY THE AGENCIES, IN WHICH CASE THE DELAER SHOULD NOTIFY THESE AGENCIES: 1) LOCAL AGENCY: BAKERSFIELD FIRE DEPT 805-326-3979. 2) CALIFORNIA OFFICE OF EMERGENCY SERVICES: 800-852-7550 (24 HRS). 3) CALL FOR HELP IN CASE OF AN EMERGENCY BY DIALING 9-1-1. +=== Employee Notif./Evacuation 04/19/1996 + NOTICE WILL BE VERBAL. EMPLOYEES WILL EVACUATE BUILDING AND MEET AT EMERGENCY ASSEMBLY AREA. + .... Public Notif./Evacuation IF THERE IS ANY IMMEDIATE DANGER, ANNOUNCE TO ALL PERSONS ON THE SITE: "THERE IS AN EMERGENCY. PLEASE TURN OFF YOUR ENGINES AND LEAVE THE STATION ON FOOT IMMEDIATELY." 04/19/1996 + Emergency Medical Plan - 04/19/1996 + UCLA HOSPITAL & CLINICS FIRE DEPARTMENT POLICE DEPARTMENT PARAMEDICS OFFICE OF EMERGENCY SERVICES MERCY HOSPITAL (310) 825-2111 911 911 911 (800) 852-5502 (805) 328-5275 05/19/1999 + MiNG AVE SHELL SiteID: 215-000-000243 Fast Format Mltlgatlon/Prevent/Abatemt +== Release Prevention Overall Site 05/07/1993 ABOVEGROUND AUTOMOTIVE PRODUCT ARE STORED IN UNBREAKABLE CONTAINERS AND IN MINIMUM QUANTITIES. THE UNDERGROUND STORAGE TANKS ARE MONITORED USING AN APPROVED MONITORING METHOD TO DETECT LEAKS. ALL EMPLOYEES ARE TRAINED IN SAFE HANDLING OF HAZARDOUS MATERIALS. +=== Release Containment 05/07/1993 + STOP A RELEASE BY TURNING OFF THE PUMPS AND USING EITHER ABSORBENT MATERIALS OR A FIRE EXTINGUISHER AS NECESSARY. + .... Clean Up 05/07/1993 CLEAN UP WITH ABSORBENT MATERIAL, BROOM AND SHOVEL OR BY VACUUM TRUCK IF NECESSARY. += + ..... Other Resource Activation 3 05/19/1999 + MING AVE SHELL SiteID: 215-000-000243 + Fast Format + += Site Emergency Factors +== Special Hazards Overall Site + +=== Utility Shut-Offs 05/09/1995 + A) GAS - NONE B) ELECTRICAL - ON WEST WALL OF SERVICE BAY C) WATER - SIDEWALK FRONTING REAL RD., ADJACENT TO EAST DISPENSER ISLAND D) SPECIAL - EMERGENCY PUMP SHUT-OFF LOCATED ON EXTERIOR WALL BETWEEN SERVICE BAY AND CASHIERS BOOTH, AT CASHIER, W SERVICE BAY WALL E) LOCK BOX - NO (BINDER IN CASHIER'S BOOTH) + .... Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER 05/09/1995 + FIRE HYDRANT - LOCATED ON NORTHEAST CORNER OF MING AVE AND REAL RD AND DIRECTLY ACROSS MING FROM CENTER OF SITE. Building Occupancy Level 05/19/1999 SiteID: 215-000-000243 + Fast Format + += Training +== Employee Training Overall Site + - 05/13/1994 + WE HAVE 8 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: EMPLOYEES MUST BE GIVEN THIS TRAINING BEFORE STARTING WORK, AND REFRESHER COURSES MUST BE PROVIDED ANNUALLY. RECORDS MUST BE KEPT TO SHOW WHEN EACH STATION EMPLOYEE HAS BEEN GIVEN HIS/HER SAFETY +=== Page 2 + .... Held for Future Use Held for Future Use 05/19/1999 + MING AVE SHELL + SiteID: 215-000-000243 + Fast Format + +='Resp~nse/Risk Management +== Operations Overall Site + +=== Planning + .... Logistics Finance/Administration -6- . 05/19/1999 + MING AVE SHELL +=,A Fast-. Format SiteID: 215-000-000243 + Type+Category+Sub-Category+8 CharID Order + One Unified List + INSPECTIONS :+ IReference Dates Summary Description 09/15/1988 OK BROWN 09/09/1991 OK GAMBILL 09/19/1994 OK GAMBILL 09/01/1995 OK -+ IReference Dates +- Summary Description COOPER 10/05/1993 OK IReference Dates + Summary Description DICKENSH 09/19/1989 OK IReference Dates + Summary Description BORJON 09/03/1992 OK IBUSINESS PLAN PROGRAM + COMBINED PROGRAM INSPECTION IReference Dates + Summary Description Steve 03/25/1997 Business Plan Inspection OK -7- 05/19/1999 + MING AVE SHELL +=~Fast,Format + INSPECTIONS I UNDERGROUND STORAGE TANK PROGRAM ROUTINE INSPECTION IReference Dates Summary Description +- SiteID: 215-000-000243 + Type+Category+Sub-Category+8 CharID Order + One Unified List + Steve 05/20/1998 Sampling under dispensers for modification Steve 05/30/1998 Primary Piping Inspection Ok -+ IUNDERGROUND STORAGE TANK PROGRAM + COMBINED PROGRAM INSPECTION Dates Summary Description 'Reference 3700MING 02/17/1995 UST inspection, all ok! Steve 03/25/1997 04/28/1997 UST & Haz Mat Inspection Correction Needed Return to Compliance _-+ -8- . 05/19/1999 + MING AVE SHELL Manager : Location: 3700 MING AVE City : BAKERSFIELD SitelD: 215-000-000243 BusPhone: (805) 831-5151 Map : 123 CommHaz : Low Grid: lib Fa~Units: 1 AOV: CommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code:5541 DunnBrad:10-307-2708 Emergency Contact / Title GLEN HENRY ~l/ DEALER Business Phone:,~9) 831-5151x 24-Hour Phone ~ ~3) 323-4007x Pager Phone .-~{(-8~ 329-1567x Emergency Contact / Title FRED LONG ~1/ MAINT COORD Business Phone: (~ef~) 326-4326x 24-Hour Phone~i(~H~) 333-2123x Pager Phone : ( ) - x +- + -+ I Hazmat Hazards: RSs + Fire Press React ImmHlth DelHlth I Emergency Directives: += Hazmat Inventory +== MCP+DailyMax.Order Hazmat Common Name... GASOLINE GASOLINE GASOLINE WASTE OIL CARBON DIOXIDE MOTOR OIL WASTE OIL FILTERS WASTE ANTIFREEZE WASTE BATTERIES One Unified List + Ail Materials at Site + ~ ....... + ~ ~ + .... +- - -+ ISpeoHaz}EPA HazardsI Frm I DailyMax IUnitlMCPI + ....... + ........... + ..... + .......... + .... +- - -+ F IH DH L 10000 GAL Mod F IH DH L 10000 GAL Mod F IH DH L 10000 GAL Mod F DH L 550 GAL Low P IH G 348 FT3 Min F DH L 150 GAL Min DH L 200 LBS UnR' IH DH L 55 GAL UnR E R IH L 1 GAL UnR I, _C.~Lv,..,,,, J'j~_,..~'-, .... Do hereby certifY that I have ~Y~e or pdnt name; reviewed the attached hazardous materials manage- ment plan fo nd that it along any corrections constitute a complete and correct man- agement plan for ray facility. -1- 05/19/1999 BUSINESS PLANS 204-0462-00018 AS A SERVICE TO YOU, THIS BUSINESS PLAN WAS PREPARED BY SERVICE STATION SERVICES, INC. IN ORDER TO COMPLY WITH THE CALIFORNIA HEALTH AND SAFETY CODE (CHAPTER 6.95, ARTICLE I, SECTION 25503.5). BY ACCEPTING THIS PLAN, YOU ARE ACKNOLEDGING THAT THERE ARE NO REPRESENTATIONS OR WARRANTIES THAT THE INFORMATION CONTAINED IN THIS BUSINESS PLAN WILL PRODUCE ANY PARTICULAR RESULT WITH REGARD TO THE SUBJECT MATTER. OWNER/OPERATOR AGREEMENT OPERATOR: As operator of the underground storage tanks, I hereby certify that I understand the monitoring and reporting requirements contained in Title 23, of the California Code of Regulations and I have received a copy of Section 25299, chapter 6.7, California Health and Safety Code. SIGNATURE: ~_/~ /~& DATE: ~ OPERATOR NAME: BUSINESS NAME: LOCATION #: Glen Henry Ming Ave. Shell 204-0462-00018 OWNER: As the owner of the underground storage tanks, EQUILON ENTERPRISES LLC certifies that we have provided the operator a copy of the monitoring and reporting requirements contained in Title 23, of the California Code of Regulations. Equilon certifies that we have provided the operator with a copy of the penalties &noncompliance as specified in Section 25299, chapter 6.7 of the California Health and Safety Code. OWNER SIGNATURE DATE Equilon Enterprises LLC SERVICE STATION MONITORING PROCEDURE 204-0462-00018 Title 23 of the California Code of Regulations (CCR) requires that a written monitoring procedure be established for all underground storage tanks. This form is used to satisfy the information required in Section 2632 & 2641, Title 23, CCR. A Copy of this form will be maintained on-site (located inside the Equilon's Marketing Service Station Health, Safety and Environmental Manual also known as the Red Book) and a copy will be submitted to the local administering agency (inside of the Business Plan and inventory disclosure). Facility Name: Ming Ave. Shell Facility Address: 3700 Ming Ave., Bakersfield, CA. 93309 Facility Telephone Number: Tank Owner: (661) 831-5151 EQUILON ENTERPRISES LLC ATTN: SH&E DEPARTMENT P.O. BOX 7869 BURBANK, CA. 91510-7869 Telephone Numbers: (818) 736-5078 or (661) 326-4326 As Operator, I am responsible for monitoring the underground storage tank system in accordance with Title 23, CCR. The following pages outline the specific monitoring procedures as required in Section 2632 or 2641. My signature below confirms that I have read and understand my responsibilities as they pertain to tank monitoring, reporting, and records retention. Operator Signature Owner Signature .Underground Storage Tank/Line Information Tank Type: Double Wall Tank Material: Fiberglass Monitoring Type: TLS-350R Monitor Manufacturer: Veeder Root Line Type: Single Wall (lined trench) Line Material: Fiberglass Monitoring Type: TLS-350R Line Leak Detector: PLLD Monitor Manufacturer: Veeder Root Waste Oil Tank: -Double Wall Fiberglass 204-0462-00018 REPORTING REQUIREMENT Any monitor that is discovered in Alarm (RED Lights On) or audible alarm is sounding or any monitoring that cannot pass the daily inspection test must be reported immediately to: Equilon Enterprises LCC SH&E Compliance Coordinator (818) 736-5078 Maintenance Coordinator (661) 326-4326 Training by Company Personnel Per manufacturer guidelines, the training necessary to operate the tank and line monitoring system is performed by the authorized installation contractor. The location is also responsible for daily inspections of the monitoring panel, alarm Panel Test Log and corrective actions. Operator/Manager Each Individual alarm system is determined and located at the service station premises. Each Individual alarm system is activated by visually inspecting the alarm panel lights and pushing the appropriate audible alarm button. No impromptu repairs, changes, adjustments, etc. will be made to the monitoring equipment at the station. Designee [3 It shall be the responsibility of the operator/manager to train the designee to perform alarm panel tests. It shall be the responsibility of the operator/manager to train the designee to perform physical inventories. Additional Releases Safety Features at the Service Station Inventory reconciliation as def'med by Article 6.3 of the Equilon Motor Fuel Lease and Title 23, CCR. Equilon must be notified if a single daily variation exceeds plus or minus 300 gallons, or exceeds +/- 150gallons of daily variations for three (3) consecutive days, or the month end cumulative variation exceeds +/-0.005 x monthly throughput, or the month end cumulative variation exceeds +/- 130 + 0.01 x monthly throughput. · Electronic Monitoring systems described above · [] · Annual Tightness Testing of Single Wall Lines (If required by the Local Implementing Agency ) Physical Inventory Annual UST Equipment Certifications 204-0462-00018 Double wall tanks are monitored by in tank gauging probes and there is a continuous electronic monitoring of the annular interstice space in each tank. A monthly status report of the annular space condition in each tank is submitted to the station at the end of each month. Hard copies of all test data will be maintained on-site in the ETM Results binder. Single wall tanks with Electronic Tank Monitors (ETM) will at a minimum comply with Section 2643, CCR: Electronically test each tank at least once per month after product delivery or when tank is filled to within 10% of highest operating level during previous month. The system is capable of detecting a release of 0.2 GHP. A Hard copy of all test data will be maintained on-site in the ETM Results binder. Single wall tanks with no eletronic monitoring equipment will be tested annually using the volumetric testing guidelines specified in Section 2643, CCR. Lines [] All lines, Single wall or Double wall, are monitored by Pressure Line Leak Detection probes (PLLD). The sensor at 3 GPH every time the dispenser is used, and a 0.2 GPH leak rate once a month according to CCR, Title 23, Div 3, chapter 16 UST Regulations. Also the monitor is capable of a 0.1 GPH leak rate test once a year if mandated by the City Ordinance or Municipal code from Local Regulatory Agency. All product lines have Positive Shut Down and will stop the flow of product through the lines in the event of a leak. Some Double Wall lines are also monitored with either interstitial or sump sensors. Double wall fiberglass lines will have continuous sump monitors and line pressure monitors which are certified annually. Single wall lines: All single wall lines will be pressure tested annually according to Section 2643, CCR. And will be monitored with a line pressure device (mechanical or electronic) that is certified annually Tank / Line Testing or Certification Results: The Simplicity System Installed at this location provides continuous electronic leak detection of the product tanks pressurized product lines. The system provides audible and visual alarms along with automatic notification through the Veeder-Root system in the event that a leak is detected. Hard copies of the UST System test results are to be mailed to the station the first week of each month. These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certification results will also be sent to the local agency by certified mail as required. Tank and line testing will be conducted by a qualified contractor and results of these tests will be maintained on-site and available for inspection. 204-0462-00018 Fuel Tanks Veeder-Root TLS-350R On a daily basis the operator / manager / designee will push the RED alarm test button which will indicate that the remote sensor and the monitor control panel are working as well as the condition of the alarm and that ALL FUNCTIONS ARE NORMAL. The RED and YELLOW lights will be observed to be OFF. These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications results will also be sent to the local agency by certified mail as required. Ronan All electronic monitoring devises will be inspected for operation in accordance with section 2632, CCR. A log will be maintained on-site showing daily documentation of inspections and maintenance requirements. The monitoring will be tested daily in accordance of manufacturer instructions. Copies of the UST Testing and certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications will also be sent to the local agency Red Jacket All electronic monitoring devises will be inspected for operation in accordance with section 2632, CCR. A log will be maintained on-site showing daily documentation of inspections and maintenance requirements. The monitoring will be tested daily in accordance of manufacturer instructions. Copies of the UST Testing and certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications will also be sent to the local agency Dealer Inventory Rec. On a daily basis the dealer takes a physical inventory (stick reading) of the levels of the tank. Each day he subtracted sales from and added deliveries to the book inventory. His daily inventories are compared to the "book" inventory to give the dealer a cumulative reading. At the end of each month the dealer will compare his daily inventories to net his overage or shortage for the month-to- date and make a monthly report. These reports will be maintained on-site at the station and available for review during inspection. A copy of the report will be sent to the local agency by certified mail as required. Fuel Lines Veeder-Root TLS-350R On a daily basis the operator / manager / designee will push the RED alarm test button which will indicate that the remote sensor and the monitor control panel are working as well as the condition of the alarm and that ALL FUNCTIONS ARE NORMAL. The RED and YELLOW lights will be observed to be OFF. These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications results will also be sent to the local agency by certified mail as required. Ronan 204-0462-00018 All electronic monitoring devises will be inspected for operation in accordance with section 2632, CCR. A log will be maintained on-site showing daily documentation of inspections and maintenance requirements. The monitoring will be tested daily in accordance of manufacturer instructions. Copies of the UST Testing and certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications will also be sent to the local agency Red Jacket All electronic monitoring devises will be inspected for operation in accordance with section 2632, CCR. A log will be maintained on-site showing daily documentation of inspections and maintenance requirements. The monitoring will be tested daily in accordance of manufacturer instructions. Copies of the UST Testing and certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications will also be sent to the local agency Waste Oil Tank Veeder-Root TLS-350 On a daily basis the operator / manager / designee will push the RED alarm test button which will indicate that the remote sensor and the monitor control panel are working as well as the condition of the alarm and that ALL FUNCTIONS ARE NORMAL. The RED and YELLOW lights will be observed to be OFF. These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications results will also be sent to the local agency by certified mail as required Dealer Inventory Rec. On a daily basis the dealer takes a physical inventory (stick reading) of the levels of the tank. Each day he subtracted sales from and added deliveries to the book inventory. His daily inventories are compared to the "book" inventory to give the dealer a cumulative reading. At the end of each month the dealer will compare his daily inventories to net his overage or shortage for the month-to- date and make a monthly report. These reports will be maintained on-site at the station and available for review during inspection. A copy of the report will be sent to the local agency by certified mail as required. 204-0462-00018 UNDERGROUND STORAGE TANK LEAK RESPONSE PLAN Tank Owner: EQUILON ENTERPRISES LLC ATTN: SH & E DEPARTMENT P.O. BOX 7869 BURBANK, CA. 91510-7869 Telephone Numbers: (818) 736-5078 or (661) 326-4326 If a Leak Detection Alarm or System is Activated: 1. Determine which tank system is involved. 2. Shut offpump and discontinue operations. 3. Call the Tank Owner Immediately. 4. Persons responsible for contacting the leak response unit / company and authorizing any work necessary. SH&E Compliance Coordinator (818) 736-5078 Maintenance Coordinator (661) 326-4326 5. Notify the local agency: BAKERSFIELD FIRE DEPT PHONE#: (661) 326-3979 6. Call 911 (if necessary): The Methods and Type of Equipment Used for Removing Hazardous Substances. All unauthorized releases will be removed from the secondary containment by vacuum truck. A licensed hazardous waste contractor will be called to perform the clean up and removal of hazardous substances. The location and Availability of Cleanup Equipment: Major Spills: A local licensed hazardous waste contractor. Minor Spills: A spill kit with absorbent is to be maintained and supplied by the operator. To dispose of small generated hazardous waste, the operator / dealer will call Equilon's Contractor for proper disposal A copy of this response plan should be maintained near the electronic monitoring system. A copy is also sent to the local agency. SERVICE STATION MONITORING PROCEDURES Product Information Volume Regular Unleaded 10 Plus Unleaded 10 Premium Unleaded 10 Diesel M-85 Waste Oil Tank 550 Total Number of Tanks on Site: 4 Persons Responsible for Performing Monitoring: GLEN HENRY (Retailer/Manager) 204-0462-00018 Preventive Maintenance Schedule Daily Operator / Manager / Designee will perform equipment checks to ensure that monitors are operational. The Alarm Panel Test Log must be initialed by the person performing the daily equipment check (sample attached). Annual - (A) All monitoring equipment will be inspected and certified operational, according to manufacturer's specifications, by a licensed tank tester who is authorized and trained by the manufacturer. (B) Operational status will be reviewed on site by the Equilon SH&E Representative using the Equilon Service Station Audit Check List once a year. Records Retention All records associated with inspecting, certifying, testing, monitoring, and maintaining the UST system must be on site and available to Equilon / Agency auditors for a period of not less than three (3) years. Operating status of the monitors will be recorded DAILY on the Alarm Panel Test Log (as mentioned above.) [] Physical Inventory will be recorded daily on the Inventory log. Tank and Line Testing Guidelines: 204-0462-00018 All Simplicity monitors are continuously being monitored at a central office In Connecticut. Simplicity operators will notify each dealer and Equilon in the event that an alarm goes on at a station. They will also dispatch a service contractor to investigate those alarms and notify an Equilon Representative if any further action is required. Gas tanks are monitored by in-tank gauging probes. These probes are capable of testing at 0.1 and 0.2 leak rate. TLS-350R controller is programmed for Continuos Statistical Leak Detection CSLD which tests the tanks at 0.2 GPH leak rate. Hard copies of all test data will be maintained on-site in the ETM Results binder. In the event that an alarm is activated it will be the Operator's responsibility to investigate the cause and to notify an Equilon Representative if any further action is required. Gas tanks are monitored by in-tank gauging probes. These probes are capable of testing at a 0.1 to 0.2 GPH leak rate. Hard copies of all test data will be maintained on-site in the ETM Results binder. In the event that a Operator finds a reconciliation variance during physical inventories greater then the allowable variation, the Operator will begin the inventory discrepancy investigation procedures. The Operator will be responsible to notify an Equilon Representative if any further action is required. Inventory is taken on daily basis. Each month will have a monthly report which will be maintained on-site. Individual Training Record Employee Name Acknowledgement: By signing this form, I hereby acknowledge that I have attended the training sessions listed, and I understand the content and my responsibilities in these areas. Date Training Topic Employee's Trainers Signature Name Required HazCom (Hazard Communication) Hazwoper (Hazardous Waste Operations and Emergency Response) Lockout/Tagout (Control of hazardous energy sources) RCRA (Resource Conservation & Recovery Act) RECOMMENDED F~eon Recycling (as" applicable) Spill Containment & Control Robbery Deterrence Waste Management Safe lifting Accident Reporting Fire Prevention & Evacuation Plans Personal Protective Equipment TSCA (Toxic Substance Control Act) Safe Food Handling '(as applicable) Service Bay Safety (as applicable) Civil Disturbance response Natural Disaster Response Use of Fire ExtinguiShers Individual Training Record Date Training Topic Employee's Signature Trainer's Name 3 4 5 6 7 9 CHUCK E. CHEESE RESTAURANT .-- 550 II L / ~- / MING AVENUE 76 SERVICE STATION EN~0ENCY PU~l~ · MONITORING ~ Sh'UT--OF~ ~ ~RVA~ ~ ~C~ PAN~ NA~R~ O~ AID ~ ~T~ ORAIN ~ ~T ~NK ~WA~R ~EP~AT~ ~ U.C. WA~ ~L TANK H~R~T { DATE, .3/18/96 1'==30'-0":j: SITE PLAN MING AVENUE SHELL :.'3700 MING AVENUE BAKERSFIELD, CALIFORNIA 93309 wlC# 0482-184.7 She//0il Products Com/:)any GROUP INC. ARCHITECTURl~ · ENGINEERING · ENVIRONMENTAL SERVICES 1137 North McDowell Blvd.,Petaluma, CA 94P54-1110 Telephone: (707) 765-1660 Facsimile: (707) 765-9908 JOHN W. JOHNSON Architect Co-President BP. IAN F. ZITA Architect Co-President March 18, 1998 Livengood, Inc. Ming Avenue Shell 3700 Ming Road Bakersfield, CA 93309 Dear Livengood, Inc.: Established 1966 JOHN B. HICKS Architect Vice President CECIL P~. SPENCER. Architect Vice President Attached is the new Hazardous Materials Management Plan (HMMP) for your facility. This new HMMP is intended to replace your current HMMP. Please place this document in your Green Book. The "DEALER" copy should be maintained in your Green Book, and available to all employees and agency personnel at any time. Please sign: A. All 4 copies of the HMMP where flagged and indicated with a "X". BRUCE J. GREENFIELD Managing Architect Associate e Please Return: A. "AGENCY" copy. B. "SHELL" copy. C. "FILE" copy HOWARD G. KIMURA Architect Associate 3. File the "DEALER" copy at the station in your Green Book. This package must be returned to RHL DESIGN GROUP, Inc. within 10 days of the above date. RHL will forward the "AGENCY" copy to Bakersfield Fire Department. CHRIS LAWTON Regional Manager Associate RHL DESIGN GROUP,flNC. David Lundy J A M E S E. P R E S T E Nr~,J Lnr~:ec' Coordinator Regional Manager Associate cc: H,S & E Assistant - Shell Oil Products Company GARY M. SEMLING Managing Architect Associate BLYTHE R.WILSON Managing Architect Associate BELLEVUE, WA LA HABRA, CA SACRAMENTO, CA SCOTTSDALE, AZ California · APPENDIX A Iden~cation Page ~usiness & Owner/Operator CALENDAR YEAR BEGINNING (1 I 1/1/98 I ENDING (2) I 12/31/98I (3) PAGE1OFI 10 BUSINESS NAME (4) Ming Avenue Shell I BUSINESS PHONE:(s) I 805 831-5151 SITE ADDRESS (6) 3700 Ming Road CITY (7) Bakersfield STATE (6) I CA I ZIP (9) 93309 DUN & Ilo) 10-307-2708 SIC CODE (4 DIGIT//) (11) 5541 5411 BRADSTREET 7538 OPERATOR (12) Livengood, Inc, OPERATOR PHONE (~3) 805 831-5151 NAME OWNER INFORMATION I OWNER NAME (~4) I Livengood, Inc. OWNER MAILING ADDRESS (16) CITY (17) Bakersfield 3700 Ming Road STATE (16) OWNER PHONE (15) I 805 831-5151 ZIP (19) 93309 ENVIRONMENTAL CONTACT CONTACT NAME (2o) IShell HS&E Assistant I CONTACT PHONE (21) I 1510) 335-5014 MAILING ADDRESS (22) I P.O. Box 8080 CITY (23) Martinez STATE (24) Primary EMERGENCY CONTACTS NAME: (26) TITLE: (27) Manager BUSINESS PHONE: (26) 24-HOUR PHONE: (29) PAGER//: (3o) I I Bill Hilterbran 805 322-3122 805 588-0352 ON SITE AHM NAME: (31) TITLE: (32) BUSINESS PHONE: (33) 24-HOUR PHONE: (34) PAGER//: (35} I I ZIP (25) 94553 Secondary Frank Quercia Manager 8O5 831-5151 8O5-398-8997 ACUTELY HAZARDOUS MATERIALS (AHM) {36)I [] Yes [] No I If yes, and above Threshold Planning Quantities, attach a sheet of paper with a general description of the process and principal equipment. ADDITIONAL LOCALLY COLLECTED INFORMATION 137) Certification: I certify under penalty of law that I have personally examined and am familiar with the information submitted in this inventory and believe the information is true, accurate, and complete. Print Name of Document Preparer (38) I RH~L Design Grou , In . Signature of Owner/Operator 139) Date OES Form 2730(04/96) APPENDIX C California Hazardous Material Inventory Form/Addendum- Chemical Description Page l(fll?il~r ADD CI DELETE [-I REVISE [] NO CHANGE BUSINESS NAME (41 CHEMICAL LOCATION MAP# CHEMICAL NAME (81 COMMON NAME 19) CAS # (10) FIRE CODE HAZARD CLASSES ° I13) Ming Avenue Shell SOUTHEAST SIDE OF LOT 1 I GRID# PETROLEUM HYDROCARBONS REGULAR UNLEADED GASOLINE (87) 8006-61-9 PAGE(21 ~'--'] OF (311 TRADE SECRET {11I 'EHS 112) OY ~N []Y ~N 'IF EHS BOX IS "Y" 10 ALL AMOUNTS MUST BE IN LBS I-A: FLAMMABLE LIQUID I I TYPE PHYSICAL STATE (17) FED HAZARD CATEGORIES (18) STATE WASTE (19) CODE DAYS ON SITE (2o) LARGEST 121) CONTAINER STORAGE (2e) CONTAINER PRESSURE (271 STORAGE STORAGE (28) TEMPERATURE (29) %WT 1.< 15.0 2. <6.5 3. <4.6 4. 5. *COMPLETE BLOCK (13} IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. (14i [] PURE [] MIXTURE [] WASTE RADIOACTIVE (151! [] Y [] N J(lel [] SOLID [] LIQUID l-I GAS CURIES [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH 365 10,000 UNITS (22) [ [] GAL []CUFTI[] LBS []TONS 'if EHS, amounts must be in lb, MAX DALLY AMT AVG DALLY AMT ANNUAL WASTE AMT [] ABOVE GROUND TANK [] UNDER GROUND TANK [] TANK INSIDE BUILDING [] STEEL DRUM [] PLASTIC/NONMETALLIC DRUM [] CAN [] BOX [] CARBOY [] CYLINDER [] SILO [] GLASS BOTTLE [] FIBER DRUM [] PLASTIC BOTTLE [] BAG [] TOTE BIN [] AMBIENT [~ ABOVE AMBIENT [] BELOW AMBIENT [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC (23) 10000 (24) 3000 (25) [] ~ANK WAGON [] RAIL CAR [] [] Other.., (30) HAZARDOUS COMPONENTS (311 EHS (32) CAS# METHYL TERT BUTYLETHER [] Y [] N 1634044 TOLUENE [] Y [] N 108883 XYLENE [] Y [] N 1330-20-7 [] Y [] N [] Y [] N ~33) ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) APPENDIX C e California Hazardous Material Inventory Form/Addendum- Chemical Description Page [i1}I-IADDI-IDELETEI-IREVISEI~INOCHANGEI PAGE(2} I 3 ] OF (a}I 10 BUSINESS NAME (4} CHEMICAL LOCATION is} MAP# {el Ming Avenue Shell SOUTHEAST SIDE OF LOT CHEMICAL NAME (8) COMMON NAME (9) CAS # (lO) FIRE CODE HAZARD CLASSES' (13} PETROLEUM HYDROCARBONS SUPREME UNLEADED GASOLINE (92) 8006-61-9 TRADE SECRET (11) I-Iy []N 'EHS I12} []Y []N 'IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS I-A FLAMMABLE LIQUID TYPE PHYSICAL STATE 117} FED HAZARD CATEGORIES (18) STATE WASTE (19} CODE DAYS ON SITE (2o) LARGEST (21) CONTAINER STORAGE CONTAINER PRESSURE (27) STORAGE STORAGE (28) TEMPERATURE 129) %~r'r 1.< 15.0 2.< 14.0 3. <8.8 4. 5. *COMPLETE BLOCK (13} IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. (141 [] PURE [] MIXTURE [] WASTE { RADIOACTIVE (15}[ [] Y [] N [(lei I [] SOLID [] LIQUID [] GAS CURIES [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH 365 10,000 UNITS (22) [ [] GAL [] CU FT I [] LBS [] TONS 'If EHS, amounts must be in lb. [] ABOVE GROUND TANK [] UNDER GROUND TANK [] TANK INSIDE BUILDING [] STEEL DRUM [] PLASTIC/NONMETALLIC DRUM MAX DALLY AMT AVG DAILY AMT ANNUAL WASTE AMT [] CAN [] BOX [] CARBOY [] CYLINDER [] SILO [] GLASS BOTTLE [] FIBER DRUM [] PLASTIC BOTTLE [] BAG [] TOTE BIN [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC (23} 10000 (24} 2500 (25) [] rANK WAGON [] RAIL CAR [] Other... (30) HAZARDOUS COMPONENTS (31) EHS (32) CAS// METHYL TERT BUTYL ETHER [] Y [] N 1634044 TOLUENE [] Y [] N 108883 XYLENE [] Y [] N 1330-20-7 []Y []N CIy I~N 133) ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) F:~IAT..MAT~SHI~..L_EB~FORMS~STATEII~'.MRO APPENDIX C t California Hazardous Material Inventory Form/Addendum- Chemical Description Page BUSINESS NAME (4) CHEMICAL LOCATION (5) MAP// Ming Avenue Shell SOUTHEAST SIDE OF LOT 1 I GRID// (7)I G~ CHEMICAL NAME (8) COMMON NAME (9) CAS// (10) FIRE CODE HAZARD CLASSES' (13} PETROLEUM HYDROCARBONS PLUS UNLEADED GASOLINE (89) 8006-61-9 TRADE SECRET (11) E3Y I~N 'EHS 112) I-]y 'IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS I-A FLAMMABLE LIQUID TYPE PHYSICAL STATE (17) FED HAZARD CATEGORIES 118) STATE WASTE (19) CODE DAYS ON SITE (2o) LARGEST (211 CONTAINER STORAGE CONTAINER PRESSURE 127) STORAGE STORAGE (28) TEMPERATURE (29) %WT 1.< 15.0 2. <9.5 3. <6.3 4. 5. *COMPLETE BLOCK {131 IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. (14) r-i PURE []'MIXTURE [] WASTE I RADIOACTIVE (,5)I [] Y [] N I'" I [] SOLID [] LIQUID [] GAS CURIES [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH 365 10,000 I GAL [] CU FT UNITS (22) ~ _ LBS [] TONS 'If EHS, amounts must be in lb. [] ABOVE GROUND TANK [] UNDER GROUND TANK [] TANK INSIDE BUILDING [] STEEL DRUM [] PLASTIC/NONMETALLIC DRUM MAX DALLY AMT (23) AVG DALLY AMT (24) ANNUAL WASTE AMT (25) 10000 2500 [] CAN [] BOX [] TANK WAGON [] CARBOY [] CYLINDER [] RAIL CAR [] SILO [] GLASS BOTTLE [] [] FIBER DRUM [] PLASTIC BOTTLE [] Other... [] BAG [] TOTE BIN [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC [] AMBIENT 130) HAZARDOUS COMPONENTS 131) EHS 132) CAS// METHYL TERT BUTYL ETHER [] Y [] N 1634044 TOLUENE [] Y [] N 108883 XYLENE [] Y [] N 1330-20-7 []Y []N []Y []N (33) ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) ~..~.~tA~'.SU._~O~S'rA~.~.O APPENDIX C California Hazardous Material Inventory Form/Addendum- Chemical Description Page BUSINESS NAME CHEMICAL LOCATION MAP# Ming Avenue Shell IN SERVICE BAY I I GRID# (7)I CHEMICAL NAME (8) COMMON NAME (9) CAS # (lOl FIRE CODE HAZARD CLASSES' (13) TYPE PHYSICAL STATE (17) FED HAZARD CATEGORIES (lei STATE WASTE (19) CODE DAYS ON SITE (2o) LARG EST (21 ) CONTAINER STORAGE (26) CONTAINER PRESSURE (27) STORAGE STORAGE (28) TEMPERATURE {29) %WT 1. > 70.0 2. < 25.0 3. <5.0 4. 5. PETROLEUM HYDROCARBONS MOTOR OIL 64742-65-0 TRADE SECRET {11) []Y ~]N 'EHS (12) []Y [33N 'IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS III-B COMBUSTIBLE LIQUID *COMPLETE BLOCK 113} IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. (14) [-] PURE [] MIXTURE [] WASTE RADIOACTIVE (15) 1 [] Y [] N I (16) I I [] SOLID [] LIQUID [] GAS CURIES [] FIRE 365 QUART [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH IGAL DCUFT I~_ LBS [] TONS MAX DAILY AMT (23, 150 UNITS (22) 'If EHS, amounts must be in lb. AVG DAILY AMT (24) 100 ANNUAL WASTE AMT CI ABOVE GROUND TANK [] UNDER GROUND TANK I-I TANK INSIDE BUILDING [] STEEL DRUM [] PLASTIC/NONMETALLIC DRUM [] CAN [] BOX [] TANK WAGON [] CARBOY [] CYLINDER [] RAIL CAR [] SILO [] GLASS BOTTLE [] [] FIBER DRUM [] PLASTIC BOTTLE [] Other... I-I BAG [] TOTE BIN [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT I I [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC 1301 HAZARDOUS COMPONENTS (31) EHS 132) CAS# DISTILLATES [] Y [] N 64742547 ADDITIVES [] Y [] N MIXTURE SYNTHETIC BASE OIL [] Y [] N MIXTURE []Y IX]N I-Iy []N (33) ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) F:~IAZMAT~SHELL_I~'~FORMS~STATI~NV. MRO APPENDIX California Hazardous Material Inventory Form/Addendum- Chemical Description Page L(ll[] ADD I-I DELETE [] REVISE [] NO CHANGE I I I Ming Avenue Shell CASHIER AREA BUSINESS NAME {4) CHEMICAL LOCATION (5! MAP// CHEMICAL NAME (8I COMMON NAME (9! CAS # (lO! I I GRID# (7) TRADE SECRET Ill) 'EHS I12) []Y []N [::]Y []N 'IF EHS BOX IS "Y" FIRE CODE HAZARD CLASSES · (13! CARBON DIOXIDE CARBON DIOXIDE 124-38-9 ALL AMOUNTS MUST BE IN LBS INERT COMPRESSED GAS TYPE PHYSICAL STATE (17) FED HAZARD CATEGORIES (18) STATE WASTE (19} CODE DAYS ON SITE (20) LARGEST (21) CONTAINER STORAGE (26) CONTAINER PRESSURE (27) STORAGE STORAGE (28) TEMPERATURE (29) %~rl' 1. 100 2. 3. 4. 5. *COMPLETE BLOCK (13} IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. (14) [] PURE [] MIXTURE [] WASTE RADIOACTIVE {1511 [] Y [] N 1(16) i i [] SOLID [] LIQUID [] GAS CURIES [] FIRE HEALTH [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC IGAL []CUFT JR_ LBS [] TONS MAX DAILY AMT UNITS (22) 'If EHS, amounts must be in lb. AVG DAILY AMT ANNUAL WASTE AMT 365 174 (23) 348 (24! 174 (25) [] ABOVE GROUND TANK [] UNDER GROUND TANK [] TANK INSIDE BUILDING [-I STEEL DRUM [] PLASTIC/NONMETALLIC DRUM [] CAN [] BOX [] TANK WAGON [] CARBOY [] CYLINDER [] RAIL CAR [] SILO [] GLASS BOTTLE [] [] FIBER DRUM [] PLASTIC BOTTLE [] Other... [] BAG [] TOTE BIN [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC I (30) HAZARDOUS COMPONENTS (311 EHS (32! CAS# CARBON DIOXIDE [] Y [] N 124-38-9 []Y []N []Y []N []Y []N []Y []N (33) ADDITIONAL LOCALLY COLLECTED INFORMATION DES Form 2730(11/94) F:~IAT~SHEL[,_Eii\FORM~gTATEINV. MRO APPENDIX California Hazardous Material Inventory Form/Addendum- Chemical Description Page (1) I-IADDI-IDELETEI-IREVlSEIg]NOCHANGEI PAGE(2) ] 7 J OF (3)] 10 BUSINESS NAME (4} CHEMICAL LOCATION (5) MAP// (e) Ming Avenue Shell EAST SIDE OF SALES BLDG 1 I GRID// CHEMICAL NAME (8) COMMON NAME 19) CAS// (lO) FIRE CODE HAZARD CLASSES' (13) PETROLEUM HYDROCARBONS USED MOTOR OIL 800-20o59 TRADE SECRET (11) r"ly I~N 'EHS I12) [] y I~N 'IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS III-B COMBUSTIBLE LIQUID TYPE PHYSICAL STATE (17) FED HAZARD CATEGORIES I18} STATE WASTE (19) CODE DAYS ON SITE {20) LARG EST (21 CONTAINER STORAGE CONTAINER PRESSURE (27) STORAGE STORAGE (28) TEMPERATURE (29) %WT 1. 100.0 2. 3. 4. 5. *COMPLETE BLOCK {13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. (14) [] PURE [D MIXTURE [] WASTE RADIOACTIVEi15)I [] Y [] N I (16) c1 SOLID [] LIQUID [] GAS CURIES [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH UNITS (22) 221 365 55O I[] GAL [] CUFT [] LBS [] TONS 'If EHS, amounts must be in lb. MAX DALLY AMT (231 AVG DALLY AMT (241 ANNUAL WASTE AMT (25) [] ABOVE GROUND TANK [] UNDER GROUND TANK [] TANK INSIDE BUILDING [] STEEL DRUM [] PLASTIC/NONMETALLIC DRUM 55O 300 600 [] CAN [] BOX [] TANK WAGON [] CARBOY [] CYLINDER [] RAIL CAR [] SILO [] GLASS BOTTLE [] [] FIBER DRUM [] PLASTIC BOTTLE [] Other... [] BAG [] TOTE BIN [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC I (301 HAZARDOUS COMPONENTS 131) EHS (32} CAS// USED OIL [] Y [] N 800-20-§9 []Y []N []Y []Y []N (33) ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) ~:~,AZMAT~S~m.L_=~O~.MS~WATaNV.M~O APPENDIX C California Hazardous Material Inventory Form/Addendum- Chemical Description Page PAGE{2I I 8 { OF 13){ 10 BUSINESS NAME CHEMICAL LOCATION MAP# Ming Avenue Shell IN SERVICE BAY 1 GRID# I7} E~ CHEMICAL NAME (8) COMMON NAME (9) CAS # IlO) FIRE CODE HAZARD CLASSES' (13) ETHYLENE GLYCOL USED ANTIFREEZE 107-21-1 TRADE SECRET {11} [-Iy []N 'EHS (12l ~:]Y []N 'IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS III-B COMBUSTIBLE LIQUID TYPE (141 PHYSICAL STATE (17) FED HAZARD CATEGORIES ¢18) STATE WASTE (19) CODE DAYS ON SITE (20) LARG EST (21 ) CONTAINER STORAGE (26) CONTAINER PRESSURE' (27) STORAGE STORAGE (28) TEMPERATURE (29) %V~" 1. 100.0 2. 3. 4. 5. :OMPLETE BLOCK {13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. [] PURE [] MIXTURE [] WASTE RADIOACTIVE .5)I [] Y [] N I (lei [] SOLID [] LIQUID [] GAS CURIES [] FIRE HEALTH 343 365 55 [:::]REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH []CHRONIC IGAL []CUFT I~_ LBS []TONS MAX DAILY AMT UNITS (22) 'If EHS, amounts must be in lb. AVG DAILY AMT ANNUAL WASTE AMT (23) 55 {24} 15 (25} 50 [] ABOVE GROUND TANK [] CAN [] BOX [] TANK WAGON [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] Other... [] PLASTIC/NONMETALLIC DRUM [] BAG [] TOTE BIN [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC I (30) HAZARDOUS COMPONENTS {31) EHS (32) CAS// USED ANTIFREEZE [] Y [] N 107-21-1 []Y []N []Y []N []Y []N []Y []N (33} ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) F:~.2~iAT~HI~L_~\FORMS~TATI~NV.MRO APPENDIX C California Hazardous Material Inventoo/ Form/Addendum- Chemical Description Page (1) [] ADD [] DELETE [] REVISE j~ NO CHANGE PAGE (2) 9 OF (3) 10 lllfl?'llll! BUSINESS NAME (4) CHEMICAL LOCATION MAP// (8) CHEMICAL NAME (8) COMMON NAME {9) CAS # (10) FIRE CODE HAZARD CLASSES' (13) Ming Avenue Shell IN SERVICE BAY PETROLEUM HYDROCARBONS USED OIL FILTERS 800-20-59 TRADE SECRET (11) 'EHS (12) []Y ~N []Y I~N 'IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS Ill-B: COMBUSTIBLE LIQUID TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER PRESSURE STORAGE STORAGE TEMPERATURE (2si %VVT 1. 100.0 2. 3. 4. 5. *COMPLETE (14) (17) (18) (19) 223 (20) 365 (21) 55 (28) (27} (28) BLOCK {13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. [] PURE [] MIXTURE [] WASTE I RADIOACTIVE (15) [] SOLID [] LIQUID [] GAS CURIES [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH 'If EHS, amounts must be in lb. MAX DALLY AMT (23) AVG DALLY AMT 1241 ANNUAL WASTE AMT (25) 200 100 40O [] ABOVE GROUND TANK [] CAN [] BOX [] TANK WAGON [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE · [] Other... [] PLASTIC/NONMETALLIC DRUM [] BAG [] TOTE BIN [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC (30) HAZARDOUS COMPONENTS (31) EHS 1321 CAS// USED OIL FILTERS [] Y [] N 800-20-5g []Y []N []Y []N DY {~N DY []N (33) ADDITIONAL LOCALLY COLLECTED INFORMATION OF_,S Form 2730(11/94) ~:~.~.A~S~SU._~O~S~rA~W.~,O APPENDIX C California Hazardous Material Inventoo/ Form/Addendum- Chemical Description Page l(1~ [] ADD [] DELETE [] REVISE ~ NO CHANGE BUSINESS NAME (4} CHEMICAL LOCATION (5) MAP# ~6) CHEMICAL NAME COMMON NAME CAS # (lO) Ming Avenue Shell IN SERVICE BAY LEAD\ACID BATTERY USED BATTERIES MIXTURE PAGE(2) I 10 I OF 13)I 10I TRADE SECRET Illl "EHS (12) []Y 'IF EHS BOX IS "Y" FIRE CODE HAZARD CLASSES' (13) []N []N ALL AMOUNTS MUST BE IN LBS OXIDIZER B; CORROSIVE TYPE PHYSICAL STATE (17) FED HAZARD CATEGORIES (18) STATE WASTE (191 CODE DAYS ON SITE (20) LARG EST (21 ) CONTAINER STORAGE (26) CONTAINER PRESSURE 127) STORAGE STORAGE (281 TEMPERATURE (29) %vv'r 1. 31 2. 34 3. 34 4. 5. *COMPLETE BLOCK 113} IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. (14! [] PURE [] MIXTURE [] WASTE RADIOACTIVE (15)I [] Y [] N I {16! [] SOLID [] LIQUID [] GAS CURIES [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH 162 365 BATTERY I GAL [] CU FT UNITS (221 ~ _ LBS [] TONS 'If EHS, amounts must be in lb. [] ABOVE GROUND TANK [] UNDER GROUND TANK [] TANK INSIDE BUILDING [] STEEL DRUM [] PLASTIC/NONMETALLIC DRUM MAX DAILY AMT AVG DALLY AMT ANNUAL WASTE AMT (23) 1 (24) 1 (25} 30 [] CAN [] BOX [] TANK WAGON [] CARBOY [] CYLINDER [] RAIL CAR [] SILO [] GLASS BOTTLE [] BATTERY [] FIBER DRUM [] PLASTIC BOTTLE [] Other... [] BAG [] TOTE BIN [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC [] AMBIENT (301 HAZARDOUS COMPONENTS (31) EHS (32) CAS# LEAD DIOXIDE [] Y [] N 1309-60-0 SULFURIC ACID [] Y [] N 7664-93-9 LEAD [] Y [] N 7439-92-1 []Y CIy []N (331 ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) F:~L~.MAT~'IELL_I~FO~VI~tS'rATEINVoMRO MC# 0462-18¢7 CHUCK E. CHEESE RESTAURANT ~- 550 ~ ~ ~AL ~ I~ [ ~ ~ ~co~ ~ __ ~ o I II I I ,~,,~, o11ollOl Iolloll I I I I I I ~o~ o~ I~1~ o ~11 I 6 I I I __ __ [-- 9 76 SERVICE STATION ~ EMERGENCY PUMP ~ MONITORING ~LLS SHUT-OFF ~ o~s,.v.~o. ~s SITE PLAN ~ E~C~ICAL PANEL s.u~-o.~ ~ .N,m~zE MING AVENUE SHELL ~ NA~RAL GAS s.u~-o.. ~ ..m.~s~o..~. 3700 MING AVENUE ~A TANK MONITORING ~ ALARM ~ MOTOR~ANSMISSlON O,L BAKERSFIELD, CALIFORNIA 93309 ~ RRST AID KIT ~ RRE EX~NGUISHER ~ U.G. PRODUCT TANK ~ STORM DRAIN ~ SOL.ET SINK ~C~ 0462-1847 m 0,~/w.~.~....~0. ~ ..~. w.~0,~ ~,.~ ~ Shell 0il ~EMERGENCY ,:,,.,,,,~, e ,.,o,.,., ~Products ~W=y~om---n- HMMP HMMP, AND MSDS as~s LOCA~ON ~ WAS~ O~L nL~S ~ HOIST (SER~C[ BAY) ~ WAS~ AN~EEZE ~D BY: PA~ ~EC~E * ENGINEER~G ~ aRE HmEANT · E~O~ SER~CES x x ~NCE ~ WAS~ BABIES 1137 ~ * HAZARDOUS MATERIAL MANAGEMENT PLAN DEALER: Livengood, Inc. BUSINESS NAME: Ming Avenue Shell STREET: 3700 Ming Road CITY: Bakersfield WIC No: 0462-1847 SHELL OIL PRODUCTS COMPANY P.O. BOX 8080 MARTINEZ, CA 94553 DESCRIPTION RETAIL SALES OF GASOLINE AND RELATED PETROLEUM PRODUCTS. DESCRIIrrION OF THE UNDERGROUND TANKS ARE AS FOLLOWS: FORMULA SHELL REGULAR FORMULA SHELL PREMIUM FORMULA SHELL PLUS DIESEL WASTE OIL PRODUCT LINES: MATERIAL: FG CONSTRUCTION: Single Wall No. of SIZE MATERIAL CONST. TANKS (gal) (STL/FG) (SW/DW) 1 10,000 FG DW 1 10,000 FG DW 1 10~000 FG DW 1 550 FG DW All product lines are pressurized using a submerged pumping system. All product lines have in-line leak detectors, ".Red Jacket" or ecluivalent which are capable of detecting a release equivalent to 3.0 gallons per hour defined at 10 pounds per square inch (psi) within one hour of its occurence. The leak detector will restrict or shut off the flow of product if a leak is detected. Annually a test is performed to assure the leak detectors are properly functioning. Impact valves under each dispenser are also inspected annually to assure closure. Repair and/or replacement of all leak detectors and impact valves will be done annually at the time of inspection and retested to meet the above test conditions. All gravity fed piping associated with the waste oil tank will be tested bi-annually in the odd numbered years. (1995, 1997', 1999, etc). * Th/s document is to be kept current and placed in the Environmental Health & Safety "Green Book" maintained at the site. (revision 03/18/98) MONITORING PROCEDURES FOR DOUBLE WALL TANKS TANK MONITORING: The Underground storage tanks are monitored using an approved continuous monitoring system (see below). Th/s system is able to detect the presence of a leak in the primary as well as secondary containment through the use of a Wet (liquid filled) or a Dry annular space and submerged liquid level sensor. The operator will maintain a daily log that charts the operating status of the monitoring system. If a alarm conditions occurs, the dealer will call Service Station Services at 800-887-8009 (24 hour) immediately. Response to the alarm condition will occur within 24 hours. If the alarm condition is NOT the result of an equipment failure, then Shell Oil Products will repair the tank system in accordance with all local and state requirements. If the alarm condition is the result of an equipment failure, Shell will repair the equipment as required and ensure that it is functioning properly. MONITORING SYSTEM: The following continuous monitoring system is used at this facility: API-RONAN-TRS76 The monitoring will be preformed on site by the authorized personnel below. INVENTORY RECONCILIATION: Daily product inventory reconciliation will be completed by the Shell Dealer at the facility. 1) Only approved meters for tank inputs and withdrawals will be used. 2) Inventory reconciliation which exceeds an allowable measurement error of: "1 percent (.01) the monthly thruput plus 130 gallons" at any time during a 30-day period shall require further investigations: (monthly thruput gallons x .01 + 130 gallons = maximum allowable error) (example: 50,000 gal monthly thruput x .01 = 500 gal + 130 gal -- 630 gal maximum allowable error) Should inventory reconciliation indicate a loss greater than calculated using the above method, the investigative steps outlined in California Administrative Code, Title 23 Waters, Division 3, Chapter 16, Underground Storage Tank Regulations, Section 2646(e), will be implemented. PREVENTATIVE MAINTENANCE: The monitoring equipment shall be inspected and certified annually. Maintenance will be performed annually or as needed. AIl work performed to the monitoring system will be in accordance to the manufacturers recommendations. VISUAL MONITORING of the tank monitor alarm box is performed daily by the dealer or a designated employee. Please see the attached site map for the location of all equipment at the site. The dealer is to sound the alarm daily and document each test on a log. The electronic monitoring devices are maintained according to manufacturer's recommendations. TRAINING Training will be given which includes information regarding: how to self test the electronic monitoring equipment, what the equipment monitors, how to tell when the alarm goes off, how to perform inventory reconciliation, record keeping requirements and procedures to follow in the event of alarm activation, leak, suspected leak, or other emergency. The tank operators are trained on the proper operations of the monitoring equipment per the manufacturer's instructions. RESPONSIBLE SHELL PERSONNEL: The following personnel are responsible for performing monitoring or maintaining the equipment. NAME Bill Hilterbran Alex Perez Brett Hovland Dan T. Kirk See also "Shell Leak Response Plan" TITLE Manager Environmental Engineer District Engineer Project Engineer PHONE Day 805 322-3122 24hr 805 588-0352 Work 510-335-5027 Home Work 510-33S-5032 Home 510-756-7022 Work 510-335-3035 Home 510-228-6787 2 MONITORING PROCEDURES LUBE BAY SUMPS/CAR WASH SUMPS LUBE BAY SUMP Lube bay sumps to be visually inspected by the dealer to determine whether the sump is to be cleaned. If the sump requires cleaning, the dealer is to contact a hazardous waste contractor to arrange to have it cleaned. All hazardous wastes will be handled in compliance with all applicable federal, state, and local ordinances. The floor drains in the lube bay, drain into the sump. The sump drains into the sanitary sewer. The dealer will record all visual inspections in his monitoring log. CAR WASH SUMPS The car wash sump will be visually inspected by the dealer who will determine if the sump needs to be cleaned. If the sump requires cleaning, the dealer will contact a contractor will clean it. Ail wastes will be properly disposed of. The car wash sumps drain into the sanitary sewer. The dealer will record all visual inspections in his monitoring log. BATTERY STORAGE (NEW OR USED) All new automotive batteries, when stored at the service stations, will be stored on a open rack to easily detect a leak. Ail used and/or damaged batteries will be stored with a plastic (polyethylene), watertight pan underneath. The pan or pans must have a 1' lip on all four sides of the pan to contain any battery acid that may leak from the batteries stored. Used batteries will be returned to the battery supplier, who will recycle them with a battery reclaimer. If a battery is dropped, treat it as if were cracked until it is determined that it is not leaking. DISPOSAL PROCEDURE FOR ANTI-FREEZE Used anti-freeze should be put in a 55 gallon drum or similar container and the container labeled "Waste Anti-freeze / Hazardous Material'. The container must be placed on a metal or plastic pan with a 2' to 3' lip all the way around the pan to contain any spills or leaks from the container. When the container is full, call an 'Anti-freeze Recycling Contractor' to remove the container of used anti-freeze. Do not, under any circumstances, pour used or new anti-freeze or a mixture thereof on the floor or on the ground and hose it down to floor drains or storm drains. Do not pour anti-freeze into your waste oil tank. DISPOSAL PROCEDURE FOR USED OIL FILTERS The dealer will put Used oil filters in a 55 gallon drum or similar container and the container labeled 'Waste Oil Filters / Hazardous Material'. The container will be placed on a metal or plastic pan with a 2' to 3' lip all the way around the pan to contain any spills or leaks from the container. When the container is full, the dealer will call a 'Waste Oil Recycling Contractor' to remove the container of used oil filters. The dealer will drain all used oil filters of free-flowing oil prior to .placement into the above noted container. Free flowing oil is defined as a continuous stream of oil exiting the filter when the 'filter is inverted. Oil exiting drop by drop is not considered free flowing. If oil exiting the filter is restricted in any way, the filter shall be manipulated to allow used oil to exit the filter freely. Used oil filters will not be placed in a refuse disposal container. 4 DAILY VISUAL MONITORING PROCEDURES FOR ABOVEGROUND HAZARDOUS MATERIALS Hazardous Materials stored aboveground include: [X] Motor Oil [X] Transmission Oil [ ] Antifreeze [ ] Grease [ ] Gear Lubricant (80W/90) [ ] Solvent (including parts cleaners) [ ] Propane [ ] Battery Acid * [ ] Car Wash Products [ ] Kerosene tx] co2 [X] Waste Oil (prior to dumping in underground tank) IX] Spent Anti-freeze * [X] Used Oil Filters The storage areas for these hazardous materials must be visually inspected every day for signs of leakage. Items designated with a (*) require secondary containment with the contents of each container clearly labeled. If there is a leak or spill of any of the hazardous materials, whether stored above- or underground, Dealer must follow the '~Emergency 'Response Procedures, ~ attached. 5 EMERGENCY RESPONSE PROCEDURE~~ 0462-1847 In the event of a fire, spill, or a leak or suspected leak in the tanks and/or piping, the following steps are to be taken as applicable: 1. TURN OFF PUMPS using the Emergency Pump Shut-Off Switch. 2. EVACUATION: If there is any immediate danger, ANNOUNCE to all persons on the site: ~There is an emergency. Please turn off your engines and leave the station on foot immediately. * 3. CALL FOR HELP in case of an emergency by dialing 9-1-1 and giving the following information: 'THERE IS A FIRE / GASOLINE SPILL at the SHELL station at 3700 Ming Road. * If anyone is trapped or needs medical attention, tell the answering dispatcher. Stay on the phone and be prepared to answer any questions concerning the situation. 4. LOOK AROUND to assure that all others have left the station if necessary, particularly those in vehicles who may need assistance or may not have heard the emergency announcement. Assist, or direct assistance to, anyone having difficulty leaving the station area, and anyone who may be injured. 5. ATFEMPT TO EXTINGUISH any small or incipient fire if you can do so safely. Have the fire extinguisher ready to use in the event of any spill. Try to contain any large spill, or use absorbent on smaller spills. 6. REPORT to arriving emergency response personnel to provide them with any information or assistance they might need. 7. CONTACT the station dealer if s/he is not already at the station. Use the list below for emergency contacts: 1. Name/Bus Phone/Home Phone: Bill Hilterbran /805 322-3122 /805 588-0352 2. Name/Bus Phone/Home Phone: Frank Quercia /805 831-5151 /805-398-8997 8. NOTIFY your Shell District Engineer by phone WITHIN 24 HOURS A. Shell District Engineer: Brett Hovland PHONE NUMBER: (510) 335-5032 (days) You must mail a completed Unauthorized Release Report to Shell within 24 hours. Shell will notify the appropriate State and Local agencies unless the situation requires urgent immediate response by the agencies, in which case the DEALER should notify these agencies: B. LOCAL AGENCY: Bakersfield Fire Department PHONE NUMBER: 805 326-3979 C. CALIFORNIA OFFICE OF EMERGENCY SERVICES, (800) 852-7550 (24 HOURS) D. Submit a follow-up Spill Notification to the State Office of Emergency Services. These agencies must be notified within 24 hours of release detection. 9. Dealer should attempt to isolate leak location by inspection. 10. Shell will coordinate whatever corrective actions need to be taken beyond the Dealer's capabilities. Shell will file whatever reports need to be filed with local and state agencies, and send a copy to the station for the Dealer's files. 11. RE-ENTRY: If evacuation has occurred and emergency responders have been called, re-entering this facility should take place with extreme caution and only under the direction of the senior emergency responder on site and Shell engineers. THESE EMERGENCY RESPONSE PROCEDURES MUST BE FILLED OUT AND POSTED CONSPICUOUSLY ON SITE ALONG WITH THE ATTACHED SITE PLAN EMPLOYEE TRAINING PLAN Employees must be given this training before starting work, and refresher courses must be provided annually. Records .must be kept to show when each station employee has been given his/her safety training. Use the following outline and make copies as needed. Have employee date and sign this document upon completion of training on the following page. Retain these records for a minimum of three years. I. FIRST THINGS TO KNOW: A. EMERGENCY PUMP SHUT-OFF: This tums off the turbine pumps that provide flow to the dispensers from the underground tanks. In case of a leak, shutting off the pumps will help to prevent spills. LOCATION: 1-FRONT BLDG WALL, 1-CASHIER AREA B. ELECTRICAL PANEL: The panel allows you to selectively cut off power to lights, signs, pumps, etc. The main switch kills all power at the site. LOCATION: WEST INTR SERVICE BAY WALL C. WATER SHUT-OFF: The water shut-off may be necessary in some cases. LOCATION: IN SIDEWALK ALONG REAL ROAD D. FIRST AID KIT: LOCATION: I-CASHIER AREA, 1-UTILITY ROOM E. FIRE EXTINGUISHER: Use only on small fires that you can handle. Do not attempt to extinguish large fires on your own; call 9-1-1 for help. LOCATION: 3-SERVICE BAY, 1-UTILITY ROOM F. ABSORBENT: In the form of crystals or cloth, absorbent can soak up small spills of gasoline, diesel fuel, or other petroleum products. Absorbent should be used rather that washing spills down a drain. In case of large spill, merely try to contain it; a vacuum truck should be used to clean up any large spill. LOCATION: UTILITY ROOM G. NEAREST MEDICAL FACILITY: employees need medical attention. 1. NAME: MERCY HOSPITAL Employees should know what facilities are available in case customers or other ADDRESS: 2215 TRUXTON AVENUE, BAKERSFIELD PHONE NUMBER: 805 328-5275 DESIGNATED TRAUMA CENTER: 2. NAME: UCLA HOSITAL AND CLINICS ADDRESS: 10833 LECONTE AVENUE, LOS ANGELES PHONE NUMBER: 310-825-2111 All employees should review the Service Station Monitoring Plan, of which this training plan is a part. Specifically, each employee should understand the procedures to be used in responding to various kinds of emergencies, and know how to monitor for leaks of hazardous materials. As a supplement to this package, employees should also review the Emergency Response Plan filed by your business to the appropriate local agency. Thirdly, employees should review and have access to the Materials Safety Data Sheets you have on file for each of the hazardous materials stored at the station and must be drilled in all emergency response procedures contained herein. III, FIRST AID PROCEDURES (For exposure to gasoline or diesel fuel): EYE CONTACT: Flush with water for 15 minutes while holding eyelids open. Get medical attention. B. SKIN CONTACT: Flush with water while removing contaminated clothing and shoes. Follow by washing with soap and water. Do not reuse clothing or shoes until cleaned. If irritation persists, get medical attention. C. INHALATION (Breathinek Remove victim to fresh air and provide oxygen if breathing is difficult. If not breathing, give artificial respiration. Get medical attention. D. INGESTION (Swallowinek DO NOT INDUCE VOMITING BECAUSE GASOLINE CAN ENTER LUNGS AND CAUSE SEVERE LUNG DAMAGE! If vomiting occurs spontaneously keep head below hips to prevent aspiration of liquid into lungs. Get medical attention. NOTE TO PHYSICIAN: If more than 2.0 mi per kg has been ingested and vomiting has not occurred, emesis should be induced with medical supervision. Keep victim's head below hips to prevent aspiration. If symptoms such as loss of gag reflex, convulsions or unconsciousness occur before emesis, gastric lavage using a cuffed endotraeheal tube should be considered. F. For further information, consult the Materials Safety Data Sheets for these products and for other hazardous materials. FIRST AID FOR EXPOSURE TO OTHER MATERIALS: Consult the warning advice on container labels or refer to the MSDS for that product. Use the attached Training Log to document that each employee has received his/her training, and the type of training given. BUSINESS NAME: Mini; Avenue Shell ADDRESS: 3700 Min;I Road, Bakersfield EMPLOYEES MUST SIGN THIS FORM TO PROVE THEY RECEIVED THEIR INITIAL AND/OR ANNUAL ;AFETY TRAINING. DATE OF TYPE OF EMPLOYEE NAME EMPLOYEE SIGNATURE TRAINING TRAINING (updated: March 18, 1998) SPILL RESPONSE PLAN To clean up after a discharge or at the end of each week, use the following proc~ures_w_h_enev_er_.p_os_s_ibl_e.___U_se a damp mop for routine cleanup, and wet-mop the floor only in the areas that neeo it. NEVER HO~E DOWN AREAS OR ALLOW HAZARDOUS MATERIALS TO DRAIN INTO A SANITARY SEWER OR STORM DRAIN INLET. As regular practice, avoid cleaning up spills and splatters by wet mopping the whole floor. This could make your mop water a hazardous waste. All employees are to be trained in the following best management practices in an effort to minimize waste, and control-pollutants. 1. Collect us. ed motor oil~ coolant and _other fluids in designated containers where there are no connections to storm ~lrains or sanitary sewer. {2ontact you local recycler for proper disposal. 2. When working on a vehicle: A) P.reform repairs only in designated areas. Do not conduct repairs outside of the shop where drains may be present. B) Wipe up. si~ills and drips immediately with a rag. C) Collect }lea'king or driliping fluids in a drip pan or other container. D) Promptly transfer us~l fluids into the designated drum or tank. Do not leave pans or other open containers unattended. 3. Make sure employees do not pour hazardous materials into floor drains, sinks, outdoor storm drain inlets, or other connections. 4. Du.ring the winter months .the lot is dry swept once per week, and during the spring/summer months it is ary swept once per month. DATE TIME EMPLOYEE NAME SPILLED MATERIAL CLEAN-UP PROCEDURES 10 SHELL LEAK RESPONSE PLAN INTRODUCTION .IT IS THE PURPOSE OF THIS SECTION TO ESTABLISH BASIC GUIDELINES AND PROCEDURES FOR USE BY THE SHELL ENTERPRISES, LLC. FOR THE HANDLING OF PRODUCT SPILLS/LEAKS WHICH MAY OCCUR AT SHELL FACILITIES. DESIGN AND INSTALLATION IMPROVEMENTS ARE CONTINUOUSLY BEING EVALUATED AND IMPLEMENTED IN ORDER TO REDUCE, AND ELIMINATE, THE POTENTIAL FOR PRODUCT LEAKAGE. RESPONSIBLE SHELL PERSONNEL NAME TITLE PHONE Bill Hilterbran Manager Day 805 322-3122 24hr 805 588-0352 Alex Perez Environmental Engineer Work 510-335-5027 Home Brett Hovland District Engineer Work 510-335-5032 Home 510-756-7022 Dan T. Kirk Project Engineer Work 510-335-5035 Home 510-228-6787 RESPONSIBLE CONTRACTOR SERVICE STATION SYSTEMS, INC 1236 NORTH 5TH STREET SAN JOSE, CA 95112 800-887-8009 24 HOURS LEAK VERIFICATION 'WHEN A SERVICE STATION PRODUCT LOSS IS SUSPECTED OR REPORTED, THE FOLLOWING LEAK VERIFICATION PROCEDURES WILL APPLY: THE SHELL ENGINEER WILL ARRANGE FOR THE SHELL TERRITORY MANAGER TO IMMEDIATELY CrHE SAME DAY) VISIT THE STATION TO REVIEW THE DEALER'S PHYSICAL CONTROL OF PRODUCTS AND INVENTORY RECORDS. o AT THE SAME TIME, THE ENGINEER WILL ORDER A PUMP/DISPENSER CALIBRATION, ASSURE METERS ARE SEALED, INSPECT ACCESSIBLE POTENTIAL LEAK SOURCES, AND CHECK LEAK DETECTOR OPERATION (ON REMOTE SYSTEMS). ALSO, THE ENGINEER SHALL START MAINTAINING A PRODUCT LOSS LO(] AS WELL AS A RECORD OF SIGNIFICANT DAILY LEAK RELATED ACTIVITIES. IF THE ABOVE INVESTIGATIONS PROVE INCONCLUSIVE, THE TERRITORY MANAGER SHOULD IMMEDIATELY BEGIN A DAILY INVENTORY LOG (EXHIBIT B), WHICH WOULD BE MAINTAINED FOR A MINIMUM PERIOD OF 48 HOURS AND A MAXIMUM OF 7 DAYS, FOR SUBSTANTIATION OF A SUSPECTED LEAK. DEPENDING ON THE CIRCUMSTANCES (POTENTIAL HAZARDOUS CONDITION, ETC.), IT MAY BE NECESSARY TO TAKE ADDITIONAL LEAK RESPONSE ACTION DURING THE PERIOD OF INVENTORY. IF PRODUCT LOSSES ARE VERIFIED, PRODUCT LINES AND/OR TANKS MAY REQUIRE TESTING TO DETERMINE THE LEAK SOURCE. 11 AG PRODUCT LINES MAY BE TESTED USING AIR PRESSURE (APPROXIMATELY $0 PSI) OR A SHELL APPROVED LINE TESTING SYSTEM (E.G., KENT-MOORE). SHOULD THE LINE TESTS INDICATE LEAKING LINES, THEY SHALL BE REPAIRED OR REPLACED AND RETESTED TO ASSURE THE LEAK HAS BEEN STOPPED. IN ADDITION, A PRODUCT LOG INVENTORY CHECK SHOULD BE MAINTAINED FOR A PERIOD OF 7 DAYS AFTER THE LINE REPAIRS TO ASSURE THERE ARE NO OTHER LEAKS IN THE SYSTEM. SHOULD THE TEST INDICATE THE LINES ARE NOT LEAKING OR IF A SHORTAGE CONTINUES AFTER THE LINES HAVE BEEN REPAIRED, THE UNDERGROUND TANK(S) SHALL BE TESTED BY A PRECISION OR OTHER APPROVED PROCEDURE. (SEE N.F.P.A. 329). NOTE: LOCAL FIRE CODES AND ORDINANCES MAY DICTATE THE APPROPRIATE TESTING PROCEDURES FOR USE ON UNDERGROUND TANKS. AIR TESTS OF UNDERGROUND TANKS ARE NOT RECOGNIZED AS CONCLUSIVE, ARE DEEMED UNSAFE BY MANY FIRE PREVENTION AGENCIES, AND SHOULD NOT BE USED. IF THE TANK TEST INDICATES ONE OR MORE TANK LEAKS, REPAIR OR REPLACEMENT WILL BE COMPLETED. CORRECTIVE ACTION THE SHELL ENGINEERING STAFF SHALL TAKE IMMEDIATE ACTION TO STOP, CONTAIN, AND SHALL TAKE IMMEDIATE DECISIVE ACTION TO RELIEVE THE THREAT OF PUBLIC HEALTH AND SAFETY HAZARDS, OR PROPERTY DAMAGE. IT MAY BE APPROPRIATE TO OBTAIN SAMPLES OF THE RELEASED PRODUCT FOR TESTING AND IDENTIFICATION BY SHELL LABORATORY. OBSERVATION WELLS WILL ONLY BE INSTALLED WITH HEAD OFFICE, MARKETING ENGINEERING, ENVIRONMENTAL GUIDANCE.' IF LOCAL AUTHORITIES AND/OR CONDITIONS DEMAND IMMEDIATE INSTALLATION, THEN INSTALL THE TEST WELLS IN ACCORDANCE WITH STANDARDS SHOWN FOR MINIMUM FOUR INCH PVC PIPE WITH INSTALLATION. IF FORCED, BY SITUATION, TO INSTALL OBSERVATION WELLS OFF SITE ON PUBLIC PROPERTY, ACQUIRE LOCAL AUTHORITY APPROVAL OR WRITTEN ORDER TO PERFORM THE WORK. 4. OBSERVATION WELL INSTALLATION STANDARDS (SEE OBSERVATION WELL DETAIL A'FFACHED). INSTALL OBSERVATION WELLS IN LOCATIONS SPECIFIED AND/OR APPROVED BY HEAD OFFICE, MARKETING ENGINEERING, ENVIRONMENTAL. DRILL (AUGER) A MINIMUM 12-INCH DIAMETER HOLE TO A DEPTH OF AT LEAST 5 FEET BELOW THE MINIMUM WATER TABLE. Co INTO THE HOLE, INSTALL 4-INCH OR 6-INCH DIAMETER SCHEDULE 40 SLOTTED AND BLANK PVC PIPE, WITH PIPE SIZE DEPENDENT UPON THE SITE'S GEOLOGY AND LOCAL REGULATIONS. SLOTTED PIPE SHALL HAVE FACTORY CUT TWENTY THOUSANDTHS (.020) INCH SLOTS. USE SLOTFED PIPE FROM THE BOTTOM OF THE WELL HOLE TO APPROXIMATELY 3 FEET ABOVE THE MAXIMUM GROUNDWATER TABLE, CONSIDERING WATER TABLE FLUCTUATION. THE SLOITED PIPE SHALL BE CAPPED AT THE BOITOM. THE BLANK PIPE SECTION ATrACHED TO THE TOP OF THE SLOTTED PIPE AND EXTENDS UPWARD TO JUST BELOW GRADE ELEVATION. AVOID USING GLUE TO COUPLE THE PIPE SECTIONS; RATHER, USE THREADED PVC PIPE OR OTHER COUPLING METHODS WHENEVER POSSIBLE. A LOCKABLE CAP SHALL BE INSTALLED ON TOP OF THE BLANK PIPE. 12 Fo ONCE THE SLOTTED AND BLANK PIPE HAS BEEN SET IN THE HOLE, BACKFILL WITH A FILTER PACK OF POROUS MATERIAL SUCH AS PEA GRAVEL. THE FILTER PACK SHOULD BE FILLED AROUND THE PIPE TO AT LEAST 2 FEET ABOVE THE TOP OF THE SLOTTED SECTION. DO NOT BACKFILL AROUND THE SLOTTED PIPE WITH CLAY OR OTHER MATERIAL WHICH WOULD IMPEDE GROUNDWATER FLOW INTO THE OBSERVATION VffELL. ABOVE THE FILTER PACK, BACKFILL WITH CLEAN, DRILLED SOIL MATERIAL TO APPROXIMATELY 2 TO 3 FEET BELOW GRADE, AND TOP THE BACKFILL WITH A SURFACE SEAL OF CEMENT GROUT OR PACKED CLAY TO PREVENT SURFACE CONTAMINATION FROM INFILTRATING THE FILTER PACK AND ENTERING THE WELL. 'DEVELOP' THE OBSERVATION WELL BY FLOODING IT WYrH WATER AND THEN PUMP IT OUT. THIS ACTION WILL DRAW DRILLING MUD AND FINE PARTICLES OUT OF THE FILTER PACK, IMPROVING THE PERFORMANCE OF THE WELL. I. AUGURED HOLE SOIL CHARACTERISTICS WILL BE RECORDED. OBSERVATION WELLS SHALL BE PROTECTED FROM DAMAGE DUE TO TRAFFIC OR OTHER HAZARDS AND REMAIN ACCESSIBLE FOR FUTURE USE AND OBSERVATION. WHERE LOCATED IN TRAFFIC AREAS, DRIVEWAY MANHOLES AND COVERS SHALL BE INSTALLED. 5. OBSERVATION WELL MONITORING AND DATA Ao ESTABLISH A BENCHMARK AND DETERMINE THE RELATIVE ELEVATIONS AT THE TOP OF EACH TEST WELL PIPE. B. MONITOR THE WATER AND DEPTHS IN EACH PIPE. NOTE: IT IS IMPORTANT THAT ALL MEASUREMENTS BE FROM THE TOP OF EACH PIPE TO THE WATER AND/OR PRODUCT LEVELS IN EACH PIPE. RECORD MEASUREMENTS TO THE NEAREST EIGHTH INCH. Co PRODUCT SHOULD BE PUMPED OUT OF THE OBSERVATION WELLS ONLY WHEN DIRECTED BY HEAD OFFICE. PREMATURE REMOVAL OF SAID PRODUCT COULD CAUSE INCORRECT WELL "READINGS". WELL EQUIPMENT/MATERIALS 1. OBSERVATION WELL PIPE Ao SCHEDULE 40 PVC PIPE (4.5" OD-.237 WALL THICKNESS) AVAILABLE IN BOTH FACTORY SLOTTED AND STANDARD PIPE WITH FITrINGS AND CAPS AVAILABLE. Bo SIX, EIGHT, TEN AND TWELVE INCH SCHEDULE 40 PVC PIPE ALSO AVAILABLE WITH FACTORY MACHINE SLOTS AT TWENTY THOUSANDTHS OF AN INCH. C. FACTORY SLO'ITED PIPE AVAILABLE FROM THE FOLLOWING MANUFACTURERS: 2" TO 14" AVAILABLE GATOR PLASTICS, INC. BOX 15020 BROADVIEW STATION BATON ROUGE, LOUISIANA 70815 TELEPHONE: 504/926-0100 MR. TOM HAYES 2" TO 14" AVAILABLE HYDROPHILIC INDUSTRIES 5815 A NORTH AMERICAN PUYALLUP, WASHINGTON 98371 TELEPHONE: 206/927-4321 MR. PHIL GALLAGER 13 2' TO 12' AV3ffLABLE DIVERSIFIED WELL PRODUCTS, INC. P.O.BOX 3495 FULLERTON, CALIFORNIA 92634 TELEPHONE: 714/632-9334 MR. KURT GOSS 2' TO 12' AVAILABLE HANDEX 703 GENESI DRIVE MORGANVILLE, NEW JERSEY 07751 TELEPHONE: 201/536-8500 MR. GREG REUTER 2" TO 8" AVAILABLE JET STREAM PLASTICS SI'LOAM SPRINGS, ARKANSAS 72761 TELEPHONE: 501/524-5151 NOTE: 1N ORDERING PIPE, REMEMBER TO ORDER POLYVINYL CHLORIDE (PVC) PIPE. BE CAREFUL THAT A SUPPLIER DOES NOT SUBSTITUTE ACRYLONITRILE-BUTADIENE-STYRENE (ABS), WHICH TENDS TO BECOME BRITTLE WITH WEATHERING. SELECTION OF THE CORRECT WELL CASING AND RELATED PRODUCTS IS OF PARAMOUNT IMPORTANCE. MISAPPLICATION AND IMPROPER SELECTION CAN BE THE SOURCE OF POTENTIAL WELL FAILURE. IT IS RECOMMENDED THAT ALL PVC PIPE ORDERS BE SCHEDULE 40 PVC. 2. SUBMERGED PUMP AND MISCELLANEOUS PRODUCT RECOVERY EQUIPMENT. THE EQUIPMENT SELECTED FOR A PRODUCT RECOVERY OPERATION WILL DEPEND UPON SPECIFIC CONDITIONS AT THE JOB SITE. THE HEAD OFFICE HYDROGEOLOGIST WILL SPECIFY THE EQUIPMENT TO BE USED FOR EACH SITUATION. PRODUCT RECOVERY SYSTEMS SHOULD A PRODUCT RECOVERY BE NEEDED THE DESIGN WILL VARY DEPENDING UPON THE SPECIFIC SITE CONDITIONS. IN SOME CASES, WHERE PRODUCT MOVEMENT IS CONFINED AND THE WATER TABLE IS RELATIVELY SHALLOW, A TRENCH MIGHT BE USED TO INTERCEPT AND COLLECT THE PRODUCT. IN OTHER SITUATIONS, WHERE PRODUCT MIGRATION IS WIDESPREAD AND/OR THE WATER TABLE IS RELATIVELY DEEP, THE 'CONE OF DEPRESSION' RECOVERY WELL APPROACH MAY BE MOST EFFECTIVE. (SEE RECOVERY WELL DETAIL ATI?ACHED.) EXACT METHOD OF RECOVERY WILL BE APPROVED BY SHELL OIL PRODUCTS COMPANY, HEAD OFFICE MARKETING ENGINEERING, ENVIRONMENTAL. IN A LIMITED NUMBER OF SITUATIONS, THE OBSERVATION WELL MAY BE USED EFFECTIVELY AS A PRODUCT.RECOVERY WELL. THE FOLLOWING CONDITIONSMUST EXIST: A. PRODUCT DEPTH IS NOT BEYOND THE LIFTING CAPABILITY OF AN APPROPRIATE PUMP. PRODUCT LOST IS MINIMAL, CONCENTRATED IN THE AREA OF THE OBSERVATION WELLS, AND OF THICKNESS WHICH CAN BE SKIMMED OFF OF THE WATER TABLE. PRODUCT IS CONTAINED IN AREA BY SOIL CHARACTERISTICS (CLAY, ROCK, ETC.) AND HAS MINIMAL MIGRATION. HAZARDOUS MATERIAL REMOVAL THE WATER/GASOLINE MIXTURE WILL BE REMOVED BY A LICENSED INDUSTRIAL WASTE HAULER (SUCH AS I.T. CORPORATION OR ACE INDUSTRIAL CLEANING INC.) AND RETURNED TO SHELL OIL PRODUCTS COMPANY, MARTINEZ MANUFACTURING COMPLEX, MARTINEZ, CA 94553 FOR REPROCESSING. 14 LOCATION EQUIPMENT LIST ADDRESS: 3700 Ming Road CITY: Bakersfield MONITORING INFORMATION: TANK TYPE: ( ) STEEL ( ) SINGLE WALL FIBERGLASS ( ) STEEL AND FIBERGLASS TANKS (X) DOUBLE WALLED FIBERGLASS TANKS OWENS CORNING - (X)YES ( )NO CONTINUOUS ELECTRONIC MONITORING OF ANNULAR SPACE (X)YES ( )NO ( )N/A INVENTORY CONTROL: (X)MANUAL RECONCILIATION ( )TLS-250/350 ( )RONAN X76ETM VADOSE MONITORING: ( )INSTALLED (X)NOT INSTALLED GROUNDWATER MONITORING WELLS: ( )YES (X)NO MAINTENANCE CONTRACTORS: RONAN: VAPOR MONITORING AND INLINE CHECK CONTRACTOR: SERVICE STATION SERVICES 1236 North 5th Street, San Jose, CA 95112 PHONE NUMBER: 800-887-8009 EMERGENCY RESPONSE CONTRACTOR: MAINTENANCE CONTRACTOR: SERVICE STATION SERVICES 1236 North 5th Street, San Jose, CA 95112 PHONE NUMBER: 800-887-8009 ENVIRONMENTAL CONTRACTOR: SERVICE STATION SERVICES 1236 North 5th Street, San Jose, CA 95112 PHONE NUMBER: 800-887-8009 FOR EMERGENCY CALL: Week Days: SHELL DISTRICT OFFICE: (510) 335-5000 After Working Hours Call: ENVIRONMENTAL ENGINEER: Alex Perez: 510-335-5027 DISTRICT ENGINEER: Brett Hovland: 510-335-5032 PROJECT ENGINEER: Dan Kirk: 510-335-5035 Service Station Services 800-887-8009 FIRE DEPARTMENT: 911 POLICE DEPARTMENT: 911 EMERGENCY MEDICAL AID: 911 15 INVENTORY VARIATION WORKSI~ SHELL REPRESENTATIVE STATION OPERATOR TO: FROM: DATE: RE: INVENTORY VARIATION EXCEEDING MAXIMUM ALLOWABLE LIMITS On (date), the station at (address) had an inventory variation that exceeded the allowable limits as indicated below: FormulaShell Regular FormulaShell Plus FormulaShell Premium Auto Diesel I have begun inventory discrepancy procedures and (check one) I have stopped dispensing product I have not stopped dispensing product This notification is in addition to the phone call I previously placed. (Dealer or Station Manager's signature) Remember to write the Area Representative's name and number on the bottom left hand comer of the envelope. 16 L GROUP INC. ARCHITECTURE *' ENGINEERING · ENVIRONMENTAL SERVICES 1137 North McDowell Blvd.,Petaluma, CA 94954-1110 Telephone: (707) 765-1660 Facsimile: (707) 765-9908 JOHN W. JOHNSON Architect Co-President BRIAN F. ZITA Architect Co-President JOHN B. HICKS Architect Vice President CECIL P~. SPENCER Architect Vice President BRUCE J. GREENFIELD Managing Architect Associate HOWARD G. K IMUR. A Architect Associate C H1KIS LAWTON Regional Manager Associate March 27, 1998 Ralph Huey Bakersfield Fire Department 1715 Chester Avenue, 3rd Floor Bakersfield, CA 93301 Established 1966 Dear Ralph Huey; Enclosed please find the Hazardous Materials Management Plans, HMMP(s), for the SHELL controlled station(s) as listed on the attached. These inventories and HMMP(s) are being submitted for your review and approval. If there are any fees associated with these submissions, direct notices or invoices of such fees along with any future related correspondence to: Ms. Aura Mattis at Shell Oil Products Company, P.O. Box 8080, Martinez, CA 94553. If there are any questions, please feel free to contact me. Sincerely, RHL DESIGN GROUP, INC. Steven A. Skanderson, Project Manager Enclosures cc: Shell Oil Company File JAMES E. PRESTEN Regional Manager Associate GARY M. SEML1NG · Managing Architect Associate BLYTHE 12.. WILSON Managing Architect Associate BELLEVUE, WA LA HABRA, CA SACRAMENTO, CA SCOTTSDALE, AZ 0461-0568 Livengood, Inc. ghite Lane Shell 2600 ghite Lane Bakersfield, CA 93304 0462-1847 Livengood, Inc. Ming Avenue Shell 3700 Ming Road Bakersfield, CA 93309 0462-2191 Adrian Macias Macias She[[ 101S. Union Avenue Bakersfield, CA 93307 0462-2399 Livengood, Inc. California She[[ 3623 California Avenue Bakersfield, CA 93309 L GROUP INC. ARCHITECTURE · ENGINEERING ' ENVIRONMENTAL SERVICES 1137NorthMcDowelIBlvd.,Petalurna, CA 94954-1110 Telephone: (707) 765-1660 Facsimile:(707) 765-9908 JOHN W..JOHNSON Architect Co-President BRIAN F. ZITA Architect Co. President March 31, 1997 Livengood, Inc. Ming Avenue Shell 3700 Ming Road Bakersfield, CA 93309 Dear Livengood, Inc.: Established 196'6 JOHN B. HICKS Architect Vice President Attached is the Hazardous Materials Management Plan (HMMP) Certification for your facility. This certification is an addendum to your current HMMP. Please place this document in your Green Book WITH your current HMMP. II CECIL R.. SPENCER Architect Vice President BRUCE J. GREENFIELD Managing Architect Associate The "DEALER" copy should be maintained in your Green Book, and available to all employees and agency personnel at any time. Please sign: A. Ail 4 copies of the HMMP where flagged and indicated with a "X". Please Return to RHL Design Group, Inc.: A. "AGENCY" copy. B. "SHELL" copy. C. "FILE" copy. HOWARD G. KIMURA Architect Associate 3. File the "DEALER" copy at the station in your Green Book. This package must be returned to RHL Design Group, Inc. within 10 days of the above date. We have provided a self addressed stamped envelope for your convenience. RHL will forward the "AGENCY" copy to Bakersfield Fire Department. CHRIS LAWTON Very Truly, Regional Manager Associate RHL DESIGN GROUP, INC.. ~,ex~o,,~ Manager Steven A S anderson Associate ' Environmental Project Manager GARY M. SEMLING Managing Architect Associate Enclosures cc: H,S & E Assistant - Shell Oil Products Company File F:\HAZMAT~SHELL_EB\FORMS\DLRCERT.MRG BLYTHE 1:/.. WILSON !¥lanag~,g Architect Associate BELLEVUE, WA LA HABRA, CA SACRAMENTO, CA SCOTTSDALE, AZ BakersfielRire Department 2130 G Street, Bakersfield, Ca 93301 805 326-3979 AGENCY USE ONLY' File #: :' HAZARDOUS MATERIALS BUSINESS PLAN / INVENTORY 1997 CERTIFICATION FORM Business Name: Min.q Avenue Shell Owner/Operator Name: Livenflood, Inc. Business Address: 3700 Min.q Road City:. Bakersfield Phone: 805 831-5151 State: CA Zip: 93309 Environmental Contact: H.S. & E. Assistant Mailing Address: P.O. Box 4023 Phone: 510o675-6114 City: Concord State: CA Zip: 94524 BIENNIAL REVIEW AND RECERTIFICATION: I certify that the Business Plan has been reviewed and the information contained in it is accurate and complete as of the date below. __ I certify that I have review the previously submitted Business Plan and have updated the following items on the attached pages. __ Emergency contacts names and/or phone numbers. __ Site/Facility map. __ Other Updates: ANNUAL INVENTORY UPDATE: '~ Inventory Forms are correct for the upcoming reporting year. NO changes are necessary. __ Inventory Forms required updating. Replace previous inventory with attached inventory. I certify under penalty of law, that I have personally examined and I am familiar with the information submitted in this and all attached documents, and based on my inquiry of those individuals responsible for obtaining the information, I believe that the submitted information is true, accurate and complete. Title: (Type or Pri~,~ Date: Z./Z y~ w ~.. '~ F:\HAZMAT\SH ELL_EB\FORMS\97CERT.MRG APPENDIX A California Business & Owner/Operator Identification Page CALENDAR YEAR BEGINNING (1 [1/1/97 IENDiNGI21 112/31/97 I (31PAGE1OFt I0 BUSINESS NAME (4) Ming Avenue Shell t BUSINESSPHONE:(5) I 805 831-5151 SITE ADDRESS (6) 3700 Ming Road CITY (7) Bakersfield STATE (8) t CA I ZiP (9) 93309 DUN & (lO) 10-307-2708 SIC CODE (4 DIGIT#) (11) 5541 5411 BRADSTREET 7538 OPERATOR (12) Livengood, Inc. OPERATOR PHONE (13) 805 831-5151 NAME OWNER INFORMATION OWNER NAME (14) I Livengood, Inc. I OWNER PHONE (15) OWNER MAILING ADDRESS (161 I 3700 Ming Road CITY (17) Bakersfield STATE (15) ZIP (19) CONTACT NAME (2o) MAILING ADDRESS CITY (23) Concord I 805 831-5151 93309 ENVIRONMENTAL CONTACT IShell HS&E Assistant I CONTACT PHONE (21) (22) I P.O. Box 4023 STATE (24) ZIP (25) 94524 (510) 675-6114 Primary NAME: (26) Bill Hilterbran TITLE: (27) Manager BUSINESS PHONE: (28) 24-HOUR PHONE: PAGER #: (30) I ON SITE AHM EMERGENCY CONTACTS 805 322-3122 805 588-0352 NAME: (31) TITLE: (32) Manager BUSINESS PHONE: (33) 24-HOUR PHONE: (34) PAGER #: (35) ACUTELY HAZARDOUS MATERIALS (AHM) Secondary Frank Quercia 8O5 831-5151 805-398-8997 (36)11 ~[~l Yes ,~,~1 No II If ves, and above Threshold Planning Quantities, attach a sheet of paper withe general description of the process and principal equipment. :37) ADDITIONAL LOCALLY COLLECTED INFORMATION Certification: I certify under penalty of law that I have personally examined and am familiar With the information submitted in this inventory and believe the information is true, accurate, and complete. Print Name of Document Preparer (38) LR_H_~L Design Gro/u~, Inc., Signature of Owner/Operator (39) ~'~~~/,~~ I Date(40) [ /-TZ OES Form 2730(11/94) APPENDIX C California Hazardous Material Inventory Form/Addendum- Chemical Description Page I(1) © ADD [] DELETE [] REVISE [~ NO CHANGE I I I BUSINESS NAME (4) Ming Avenue Shell CHEMICAL .LOCATION (5) SOUTHEAST SIDE OF LOT MAP# (m 1 CHEMICAL NAME COMMON NAME CAS # (lO) PETROLEUM HYDROCARBONS UNLEADED GASOLINE 8006-61-9 GRID# TRADE SECRET (111 [3Y []N 'EHS (12) ElY []N 'IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS FIRE CODE HAZARD CLASSES' (13) I-A: FLAMMABLE LIQUID TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARG EST CONTAINER STORAGE CONTAINER PRESSURE STORAGE STORAGE TEMPERATURE (29) %VVT 1.< 15.0 2. <6.5 3. <4.6 4. 5. *COMPLETE (14} (17) {19) (20) (21) (26) (27} (28) BLOCK f13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. [] PURE [] MIXTURE [] WASTE I RADIOACTIVE (15)I [] Y [] N 1(161 [] SOLID [] LIQUID [] GAS CURIES []FIRE F-]REACTIVE F-] PRESSURE RELEASE IX] ACUTE HEALTH PX]CHRONIC IGAL []CUFTI~_ LBS [] TONS MAXDAILY AMT UNITS (22) 365 'if EHS, amounts must be in lb. AVG DAILY AMT 10,000 ANNUAL WASTE AMT [] ABOVE GROUND TANK [] UNDER GROUND TANK [] TANK INSIDE BUILDING [] STEEL DRUM [] PLASTIC/NONMETALLIC DRUM [] CAN [] BOX [] CARBOY [] CYLINDER [] SILO [] GLASS BOTTLE [] FIBER DRUM [] PLASTIC BOTTLE [] BAG [] TOTE BIN HEALTH (23) 10000 (24) 3000 (25) [] 'ANK WAGON [] RAIL CAR [] Other... [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC I (30) HAZARDOUS COMPONENTS (31) EHS (32) CAS# METHYL TERT BUTYL ETHER [] Y [] N 1634044 TOLUENE [] Y [] N 108883 XYLENE [] Y [] N 1330-20-7 []Y []N []Y []'N (331 ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) F=\F~T\SHELL_EB\FOPN~SI'^TE]h'V.~RO APPENDIX C California Hazardous Material Inventory Form/Addendum- Chemical Description Page J(lj[]ADDr-IDELETEr-IREVISEEJ NOCHANGE J PAGE(2, OF(3, J tO J BUSINESS NAME (4) CHEMICAL LOCATION (5) MAP# Ming Avenue Shell SOUTHEAST SIDE OF LOT 1 J GRID# CHEMICAL NAME (8) COMMON NAME (9! CAS # IlOl FIRE CODE HAZARD CLASSES' (13) PETROLEUM HYDROCARBONS SUPER UNLEADED GASOLINE 8006-61-9 TP~,DE SECRET {11) []y rX]N 'EHS (12) []Y []N "IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS I-A FLAMMABLE LIQUID TYPE PHYSICAL STATE (17) FED HAZARD CATEGORIES (18) STATE WASTE (19) CODE DAYS ON SITE (2o) LARGEST (21) CONTAINER STORAGE (26) CONTAINER PRESSURE (27) STORAGE STORAGE (28) TEMPERATURE (29) %VVT 1.< 15.0 2.< 14.0 3.<8.8 4. 5. *COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAI~ FIRE CHIEF - REFER TO INSTRUCTIONS. (14) [] PURE [] MIXTURE [] WASTE RADIOACTIVE (15) J [] Y [] N J(16) [] SOLID [] LIQUID [] GAS CURIES [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH 365 10,000 I GAL [] CU FT UNITS {22) [] LBS [] TONS 'If EHS, amounts must be in lb. MAX DALLY AMT AVG DAILY AMT ANNUAL WASTE AMT [] ABOVE GROUND TANK [] UNDER GROUND TANK [] TANK INSIDE BUILDING [] STEEL DRUM [] PLASTIC/NONMETALLIC DRUM (23) 10000 (24) 2500 (25) [] CAN [] BOX [] TANK WAGON [] CARBOY [] CYLINDER [] RAIL CAR [] SILO [] GLASS BOTTLE [] [] FIBER DRUM [] PLASTIC BOTTLE [] Other... [] BAG [] TOTE BIN [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC J 130) HAZARDOUS COMPONENTS (31) EHS (321 CAS# METHYL TERT BUTYL ETHER [] Y [] N 1634044 TOLUENE [] Y [] N 108883 XYLENE [] Y [] N 1330-20-7 I~y []N []Y []N (33) ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) APPENDIX C California Hazardous Material Inventory Form/Addendum- Chemical Description Page (1)~_ADD[] DELETEr~ REVISE J~ NO CHANGEI PAGE(2) OF (3)I ID BUSINESS NAME CHEMICAL LOCATION MAP// CHEMICAL NAME (8) COMMON NAME (9) CAS # (lO) FIRE CODE HAZARD CLASSES' I13) Ming Avenue Shell SOUTHEAST SIDE OF LOT GRID# PETROLEUM HYDROCARBONS UNLEADED GASOLINE (89 OCTANE) 8006-61-9 TRADE SECRET (11} 'EHS {12l I-A FLAMMABLE LIQUID []Y ~N []Y []N 'IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS TYPE PHYSICAL STATE (17) FED HAZARD CATEGORIES (181 STATE WASTE (19) CODE DAYS ON SITE (20) LARG EST (21) CONTAINER STORAGE (26) CONTAINER PRESSURE 127) STORAGE STORAGE (28) TEMPERATURE (29) %WT 1.< 15.0 2. < 9.5 3. <6.3 4. 5. *COMPLETE BLOCK {13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. {14) [] PURE [] MIXTURE [] WASTE RADIOACTIVE (15)I [] Y [] N 1(16) [] SOLID [] LIQUID [] GAS CURIES [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH 365 10,000 UNITSI22) I[]GAL []CUFTI[] LBS [] TONS 'If EHS, amounts must be in lb. [] ABOVE GROUND TANK [] UNDER GROUND TANK [] TANK INSIDE BUILDING [] STEEL DRUM [] PLASTIC/NONMETALLIC DRUM MAX DALLY AMT [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT AVG DALLY AMT ANNUAL WASTE AMT (23) 10000 (24) 2500 (25) [] CAN [] BOX [] TANK WAGON [] CARBOY [] CYLINDER [] RAIL CAR [] SILO [] GLASS BOTTLE [] [] FIBER DRUM [] PLASTIC BOTTLE [] Other... [] BAG [] TOTE BIN [] CRYOGENIC (30) HAZARDOUS COMPONENTS (31) EHS (32) CAS// METHYL TERT BUTYL ETHER [] Y [] N 1634044 TOLUENE []. Y [] N 108883 XYLENE [] Y [] N 1330-20-7 r~y [~N []Y []N ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) F:\~AZMAT~SH£LL_I:S~FOI~AST^T£INV. MR(~ APPENDIX C California Hazardous Material Inventory Form/Addendum- Chemical Description Page l(1) ~ ADD F-I DELETE E} REVISE F-I NO CHANGEI PAGE (2) oF, ,I lo '~fi?-lfl4~ BUSINESS NAME (4) Ming Avenue Shell CHEMICAL LOCATION 15! IN SERVICE BAY MAP// CHEMICAL NAME COMMON NAME CAS # (lO) FIRE CODE HAZARD CLASSES' (13) 1 J GRID// PETROLEUM HYDROCARBONS MOTOR OIL 64742-65-0 TRADE SECRET ~11) 'EHS (12) []Y []N []Y []N 'IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS III-B COMBUSTIBLE LIQUID TYPE PHYSICAL STATE {17) FED HAZARD CATEGORIES (181 STATE W~ASTE (191 CODE DAYS ON SITE (201 LARGEST (21) CONTAINER STORAGE (26) CONTAINER PRESSURE (27) STORAGE STORAGE (28) TEMPERATURE (29) %WT 1. > 70.0 2. < 25.0 3. <5.0 4. 5. *COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. (14) [] PURE [] MIXTURE [] WASTE RADIOACTIVE (15)I [] Y [] N 1116) [] SOLID [] LIQUID [] GAS CURIES [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH 365 quart GAL [] CU FT UNITS {22) ~ _ LBS [] TONS 'If EHS, amounts must be in lb. [] ABOVE GROUND TANK [] UNDER GROUND TANK [] TANK INSIDE BUILDING [] STEEL DRUM [] PLASTIC/NONMETALLIC DRUM MAX DAILY AMT AVG DAILY AMT ANNUAL WASTE AMT (23) 1 50 (24) 100 (251 [] CAN [] BOX [] TANK WAGON [] CARBOY [] CYLINDER [] RAIL CAR [] SILO [] GLASS BOTTLE [] [] FIBER DRUM [] PLASTIC BOTTLE ~ Other... [] BAG [] TOTE BIN [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC [] AMBIENT (301 HAZARDOUS COMPONENTS (31) EHS (321 CAS# DISTILLATES [] Y [] N 64742547 ADDITIVES [] y I~ N MIXTURE SYNTHETIC BASE OIL [] Y [] N MIXTURE []Y [~N []Y []N (33) ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) F:\HAZMAT\SHELL_I~B~FOI~MS~STATEINV. MRO APPENDIX C California Hazardous Material InYentor¥ Form/Addendum- Chemical Description Page BUSINESS NAME (4) CHEMICAL LOCATION (5) MAP# (6) Ming Avenue Shell CASHIER AREA GRID# CHEMICAL NAME (8) COMMON NAME (9) CAS # (lO! FIRE CODE HAZARD CLASSES · (13) CARBON DIOXIDE CARBON DIOXIDE 124-38-9 TRADE SECRET (11) []Y ~]N 'EHS (12) []Y 'IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS COMPRESSED GAS TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER PRESSURE STORAGE STORAGE TEMPERATURE (29) %VVT 1. 100 2, 3. 4. 5. *COMPLETE (14) {17) (18) (19) (20) 365 (21) 174 (26) (27) (28l BLOCK {13)IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. [] PURE [] MIXTURE ~ WASTE I RADIOACTIVE (15)I [] Y [Z] N 1(161 [] SOLID [] LIQUID [] GAS CURIES [] FIRE [] REACTIVE ~] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH I GAL [] CU FT UNITS (22) R _ LBS [] TONS 'If EHS~ ~moums must be in lb. [] ABOVE GROUND TANK [] UNDER GROUND TANK [] TANK INSIDE BUILDING [] STEEL DRUM [] PLASTIC/NONMETALLIC DRUM MAX DAILY AMT AVG DAILY AMT ANNUAL WASTE AMT [] CAN [] BOX [] CARBOY [] CYLINDER [] SILO [] GLASS BOTTLE [] FIBER DRUM [] PLASTIC BOTTLE [] BAG [] TOTE BIN [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT (23) 348 [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC (24) 174 {25) [] rANK WAGON [] ~AIL CAR [] Other... (30) HAZARDOUS COMPONENTS (31) EHS (32) CAS# CARBON DIOXIDE [] Y [] N 124-38-9 []Y []N []Y []N F~y []Y ~N (33) ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) r:x~zuA~suurr_usxuo~ams'r^'rulsv. Mu~ APPENDIX C California Hazardous Material Inventory Form/Addendum- Chemical Description Page BUSINESS NAME CHEMICAL LOCATION MAP# Ming Avenue Shell EAST SIDE OF SALES BLDG 1 GRID# CHEMICAL NAME COMMON NAME (9) CAS # (lO) FIRE CODE HAZARD CLASSES' (13) PETROLEUM HYDROCARBONS USED MOTOR OIL 800-20-59 TRADE SECRET (11) r-ly []N 'EHS (121 CIy []N 'IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS III-B COMBUSTIBLE LIQUID TYPE PHYSICAL STATE (17) FED HAZARD CATEGORIES (181 STATE WASTE (19l CODE DAYS ON SITE (2ol LARGEST (21) CONTAINER STORAGE (2el CONTAINER PRESSURE (27) STORAGE STORAGE (28) TEMPERATURE (29) %VVT 1. 100.0 2. 3. 4. 5. *COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. (14) [] PURE [] MIXTURE [] WASTE RADIOACTIVE {15)I [] Y [] N ](161 [] SOLID [] LIQUID [] GAS CURIES [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH 221 365 55O UNITS (22~1 [] GAL [] CU FTI[] LBS [] TONS 'If EHS, amounts must be in lb. [] ABOVE GROUND TANK [] UNDER GROUND TANK [] TANK INSIDE BUILDING [] STEEL DRUM [] PLASTIC/NONMETALLIC DRUM MAX DAILY AMT AVG DAILY AMT ANNUAL WASTE AMT [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT (23) 550 (24) 300 (25) 600 [] CAN [] BOX [] TANK WAGON [] CARBOY ~ CYLINDER [] RAIL CAR [] SILO [] GLASS BOTTLE [] [] FIBER DRUM [] PLASTIC BOTTLE ~] Other... [] BAG [] TOTE BIN I [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC (30) HAZARDOUS COMPONENTS (31) EHS (32) CAS# USED OIL [] Y [] N 800-20-59 []Y []N []Y IZ]N ~Y []N r-]Y (331 ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) F:\HAZMATXSH£LL EB\FORMS~STATEINV.MRG APPENDIX C California Hazardous Material Inventory Form/Addendum- Chemical Description Page (i) I~ADDI-] DELETEr-] REVlSE [] NO CHANGE1 PAGE{2) I 8 I OF (3, I '0 BUSINESS NAME CHEMICAL LOCATION MAP# Ming Avenue Shell IN SERVICE BAY 1 GRID# CHEMICAL NAME COMMON NAME CAS # (101 FIRE CODE HAZARD CLASSES' (13) ETHYLENE GLYCOL USED ANTIFREEZE 107-21-1 TRADE SECRET (11) r~y [~N 'EHS (12) r-ly I~N 'IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS N/A TYPE PHYSICAL STATE (17) FED HAZARD CATEGORIES (18l STATE WASTE I191 CODE DaYS ON SITE 12ol LARGEST (21) CONTAINER STORAGE CONTAINER PRESSURE (27) STORAGE STORAGE (28) TEMPERATURE (29) %WT 1. 100.0 2. 3. 4. 5, *COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. (14) [] PURE [] MIXTURE [] WASTE I RADIOACTIVE {15)I [] Y [] N 1(16) I [] SOLID [] LIQUID [] GAS CURIES [] FIRE ~ REACTIVE [] PRESSURE RELEASE Z~ ACUTE HEALTH [] CHRONIC HEALTH 343 I[] GAL [] CU FT UNITS (22) [] LBS [] TONS 'If EHS, amounts must be in lb. 365 55 MAX DAILY AMT AVG DAILY AMT ANNUAL WASTE AMT (23) 55 {24) 1 5 (25) 50 [] ABOVE GROUND TANK [] CAN [] BOX [] TANK WAGON [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] Other... [] PLASTIC/NONMETALLIC DRUM [] BAG [] TOTE BIN [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC (301 HAZARDOUS COMPONENTS (31l EHS (32) CAS# USED ANTIFREEZE [] Y [] N 107-21-1 []Y []N []Y []N []Y []N F-1y []N (33) ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) F:\HAZMAT\SHELL_EB\FORMS~STATEINV.MRG APPENDIX C California Hazardous Material Inventory Form/Addendum- Chemical Description Page BUSINESS NAME (4) Ming Avenue Shell CHEMICAL LOCATION (5) IN SERVICE BAY MAP# CHEMICAL NAME (8! COMMON NAME (91 CAS # (10) FIRE CODE HAZARD CLASSES' (13) PETROLEUM HYDROCARBONS USED OIL FILTERS 800-20-59 Ill-B: COMBUSTIBLE LIQUID TRADE SECRET (11) []y 'EHS (12) I-]y 'IF EHS BOX IS "Y" []N [~N ALL AMOUNTS MUST BE IN LBS TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARG EST CONTAINER STORAGE CONTAINER PRESSURE STORAGE STORAGE TEMPERATURE (29) %WT 1. 100.0 2. 3. 4. 5. *COMPLETE (14) (17) (18) (19) (20) (21) (26) (27) (28) BLOCK (13) IF REQUESTED [] PURE [] MIXTURE [] WASTE [] SOLID [] LIQUID [] GAS BY THE LOCAL FIRE CHIEF- REFER TO INSTRUCTIONS. RADIOACTIVE (15)I [] Y [] N l(16) CURIES [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH {~ CHRONIC HEALTH 223 UNITS (22) I [] GAL [] CU FT MAX DALLY AMT (23) 200 I ~ LBS [] TONS 365 'If EHS, amounts must be in lb. AVG DAILY AMT (24) 100 55 ANNUAL WASTE AMT (25) 400 [] ABOVE GROUND TANK [] CAN [] BOX [] TANK WAGON [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] Other... [] PLASTIC/NONMETALLIC DRUM [] BAG [] TOTE BIN [] AMBIENT ~, ABOVE AMBIENT [] BELOW AMBIENT [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC I (30) HAZARDOUS COMPONENTS (31) EHS (32) CAS# USED OIL FILTERS [] Y [] N 800-20-59 []Y []N []Y [Z]N []Y []N F~Y []N (33) ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) F:~T~S~X_EBX~OaMS~S~^Ta~V.MRO APPENDIX C California Hazardous Material Inventory Form/Addendum- Chemical Description Page ,i)[-~ADDr- DELETEr-IREVlSE[] NOCHANGEI PAGE(2) OF (3)J [0 BUSINESS NAME CHEMICAL LOCATION MAP# (5) CHEMICAL NAME COMMON NAME ~8) CAS # FIRE CODE HAZARD CLASSES' Ming Avenue Shell IN SERVICE BAY 1 I GRID# ~7)I F~ LEAD\ACID BATTERY TRADE SECRET Ill) []Y []N 'EHS (12) CIY r~N 'IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS (9) USED BATTERIES (lO) (13) MIXTURE CORROSIVE TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER PRESSURE STORAGE STORAGE TEMPERATURE (29) %WT 1. 31 2. 34 3. 34 4. 5. *COMPLETE (14) (17) (18) (19) (20) (21) (26) (27) (28) BLOCK (13)IF REQUESTED [] PURE [] MIXTURE [] WASTE [] SOLID [] LIQUID [] GAS BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. RADIOACTIVE (15)I [] Y [] N (16) CURIES [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH r- CHRONIC I[] GAL [] CU FT MAX DAILYAMT 162 UNITS (22) [] LBS [] TONS 365 'If EHS, amounts must be in lb. AVG DAILY AMT BATTERY ANNUAL WASTE AMT HEALTH (23) 1 {24) 1 (25) 30 [] ABOVE GROUND TANK [] UNDER GROUND TANK [] TANK INSIDE BUILDING [] STEEL DRUM [] PLASTIC/NONMETALLIC DRUM [] CAN [] BOX [] TANK WAGON [] CARBOY [] CYLINDER [] RAIL CAR [] SILO [] GLASS BOTTLE [] BATTERY [] FIBER DRUM [] PLASTIC BOTTLE [] Other... [] BAG [] TOTE BIN [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC (30) HAZARDOUS COMPONENTS (31) EHS (32) CAS// LEAD DIOXIDE [] Y [] N 1309-60-0 SULFURIC ACID [] Y E] N 7664-93-9 LEAD [] Y [] N 7439-92-1 []Y []Y []N (331 ADDITIONAL LOCALLY COLLECTED INFORMATION OES Form 2730(11/94) F:\H-AZMAI~SH]~LL_EB\FORM~STATEZhWv'.MRG 0462--11547 CHUCK E. CHEESE RESTAURANT ~. 550 ~ L\ "\ GAL i I i ! < I~ ~ ~1 "~ w o ~c0~ ~ ~ o i I~ ~1 I (~,~,,~ II ~ ~ I~II~,,~I I~11~11Ol I I ~o~o~o~ ~ ~ ~ I~II~"~I I I I i L J NORTH MING AVENUE ~A~ 1"=30'-0"~ ~ DA~= 4/1/97 FU~ SE~ STA~ L~ND EMERGENCY PUMP ~ MONITORING ~LLS SHUT-OFF ~ ~.s~v,~o, w~s SiTE PLAN ELECTRICAL PANEL S,UT-O~ ~ ~EEZ~ MI~O AVENUE SHELL NATURAL GAS S,UT-O~ ~ ~STO.~C~ 3700 MING AVENUE WA~R SHUT-OFF ~ GREASE (BARREL) TANK "ONITORIN~ ALAR~ ~ ~OTO~/T~ANS~ISSION o~L BAK~S~I~Lg, CALIfOrNIA g~og ~LEPHONE ~ A.G. PRODUCT TANK RRST AID KIT RRE EX~NGUISHER ~ U.G. PRODUCT TANK WlC~ 0462--1847 STO~U oRAmN ~ SOL~NT S~NK mW, T,, ~,,,,,~o, ~ ,.~. w,,~ o.. ~.~~ Shell Oil EMERGENCY .~..~... ~ ,.~o,~, ~ Products ~ p y~om-an- HMMP, ANO MSDS LOCATION ~ WAS~ OIL FILERS HOIST (SER~CE BAY) ~ WAS~ AN~FREEZE PREPARED BY: PA~ ~CHITEC~R~ · ENGINEERING nRE H~RANT ,E~RONMENT~ SER~CES ~NCE ~ WAS~ BA~RIES X~EFS POST AT FACILITY EMERGENCY RESPONSE PROCEDURES 0462-1847 In the event of a fire, spill, or a leak or suspected leak in the tanks and/or piping, the following steps are to be taken as applicable: 1. TURN OFF PUMPS using the Emergency Pump Shut-Off Switch. EVACUATION: If there is any immediate danger, ANNOUNCE to all persons on the site: "There is an emergency. Please turn off your engines and leave the station on foot immediately." 3. CALL FOR HELP in case of an emergency by dialing 9-1-1 and giving the following information: "THERE IS A FIRE / GASOLINE SPILL at the SHELL station at 3700 Ming Road." If anyone is trapped or needs medical attention, tell the answering dispatcher. Stay on the phone and be prepared to answer any questions concerning the situation. LOOK AROUND to assure that all others have left the station if necessary, particularly those in vehicles who may need assistance or may not have heard the emergency announcement. Assist, or direct assistance to, anyone having difficulty leaving the station area, and anyone who may be injured. ATTEMPT TO EXTINGUISH any small or incipient fire if you can do so safely. Have the fire extinguisher ready to use in the event of any spill. Try to contain any large spill, or use absorbent on smaller spills. REPORT to arriving emergency response personnel to provide them with any information or assistance they might need. CONTACT the station dealer if s/he is not already at the station. Use the list below for emergency contacts: 1. Name/Bus Phone/Home Phone: Bill Hilterbran /805 322-3122 /805 588-0352 2. Name/Bus Phone/Home Phone: Frank Quercia /805 831-5151 /805-398-8997 8. NOTIFY your SHELL OIL District Engineer by phone WITHIN 24 HOURS SHELL OIL District Engineer:Brett HovlandPHONE NUMBER:(510) 675-6149(days) (510)756-7022 (home) You must mail a completed Unauthorized Release Report to SHELL within 24 hours. SHELL will notify the appropriate State and Local agencies unless the situation requires urgent immediate response by the agencies, in which case the DEALER should notify these agencies: B. LOCAL AGENCY: Bakersfield Fire Department PHONE NUMBER: 805 326-3979 C. CALIFORNIA OFFICE OF EMERGENCY SERVICES, (800) 852-7550 (24 HOURS) D. Submit a follow-up Spill Notification to the State Office of Emergency Services. These agencies must be notified within 24 hours of release detection. 9. Dealer should attempt to isolate leak location by inspection. 10. SHELL will coordinate whatever corrective actions need to be taken beyond the Dealer's capabilities. SHELL will file whatever reports need to be filed with local and state agencies, and send a copy to the station for the Dealer's files. 11. RE-ENTRY: If evacuation has occurred and emergency responders have been called, re-entering this facility should take place with extreme caution and only under the direction of the senior emergency responder on site and Shell engineers. THESE EMERGENCY RESPONSE PROCEDURES MUST BE FILLED OUT AND POSTED CONSPICUOUSLY ON SITE ALONG WITH THE ATTACHED SITE PLAN 3/31/97 1997 HMMP SUPPLEMENT WIC#: 0462-1847 Livengood, Inc. Ming Avenue Shell 3700 Ming Road , Bakersfield , CA 93309 SITE PHONE:805 831-5151 EMERGENCY CONTACT PERSONNEL FIRST CONTACT: Bill HiLterbran Manager ISECONO CONTACT: Frank Quercia Manager 9401Southwick Drive, Bakerfield 93312 I 25 Wi[lams Ave #0, Bakersfield 93309 DAY PHONE:805 322-3122 24-HOUR PHONE:805 588-0352 I DAY PHONE: 805 831-5151 24-HOUR PHONE: 805-398-8997 EMERGENCY EQUIPMENT LOCATIONS PUMP SHUT-OFF: ELEC. SHUT-OFF: WATER SHUT-OFF: GAS SHUT-OFF: FIRE EXTINGUISHER: FIRST AID KIT: 1:FRONT BLDG WALL, 1-CASHIER AREA WEST INTR SERVICE BAY WALL IN SIDEWALK ALONG REAL ROAD NONE 3-SERVICE BAY, 1-UTILITY RCX~4 1-CASHIER AREA, 1-UTILITY ROOM ABSORBENT MATERIAL: UTILITY ROOM TANK INFORMATION SIZE #TNKS MATERIAL SPLL OVFL TYPE MANUFACTURER YR REGULAR 10,000 1 FG Y Y DW OWENS CORNING ~86 PREMIUM 10,000 1 FG Y Y DW OWENS CORNING '86 PLUS 10,000 1 FG Y Y DW OWENS CORNING '86 WASTE OIL 550 1 FG Y Y DW OWENS CORNING '86 PIPING CONTAINMENT: Single Wall TANK MONITOR : API-RONAN-TRS?6 PIPING MATERIAL:FG REGULAR PREMIUM PLUS MOTOR OIL C02 SPLL = OVER SPILL PROTECTION OVFL = OVER FILL PROTECTION DW = DOUBLE WALL SW = SINGLE WALL FG = FIBERGLASS STL = STEEL CHEMICAL INVENTORY MAXIMUM AVERAGE LOCATION 10000 3000 SOUTHEAST SIDE OF LOT 10000 2500 SOUTHEAST SIDE OF LOT 10000 2500 SOUTHEAST SIDE OF LOT 150 100 IN SERVICE BAY 348 174 CASHIER AREA WASTE INVENTORY (if any) AVERAGE THRUPUT LOCATION 300 600 EAST SIDE OF SALES BLDG 15 50 IN SERVICE BAY 100 400 IN SERVICE BAY I 30 IN SERVICE BAY LOCAL REPORTING AGENCY: Bakersfield Fire Department 2130 "G" Street, Bakersfield, Ca 93301 805 326-3979 MAXIMUM USED OIL 550 ANTIFREEZE 55 OIL FILTERS 200 BATTERY 1 JOHN W. JOHNSON Architect Co-President A~ ESOP Corn, Ami ' ROBERT H. LEE & ASSOCIATES, INC. ARCHITECTURE PLANNING ENVIRONMENTAL SERVICES 1137 NoR~ McDow~a. BLvd., P~'r~o~A, CA 94954-1110 MAn.ma A~Dgm~: P.O. Box 750908 PV-TALU~gA, CA 94975 P~o~ra 70%765-1660 Fax 70%765-9908 Voxc~ MAn. 707-765-2344 March 15, 1996 BRIAN F. ZITA Architect Co-President JOHN B. HICKS Architect Vice President Livengood, Inc. Ming Avenue Shell 3700 Ming Road Bakersfield, CA 93309 CECIL R. SPENCER Archit~:t Vice President Dear Livengood, Inc.: JAMES H. RAY Civil Engineer BRUCE J. GREEN,'it.D Architect Associate HOWARD G. KIMURA Associate Associate JAMES E. PRESTEN Associate Attached is the Hazardous Materials Management Plan (HMMP) Certification for your facility. This certification is an addendum to your current HMMP. Please place this document in your Green Book WITH your current HMMP. The "DEALER" copy should be maintained in your Green Book, and available to all employees and agency personnel at any time. GARY M. SEMLING A~chitect Associate BLYFHE R. WILSON Architect Asso~ate Please sign: A. All 3 copies of the HMMP where flagged and indicated with a "X". B. Acknowledgement of Receipt at the bottom of this page. Please Return: A. "AGENCY" copy. B. "SHELL" copy. C. Acknowledgement of Receipt 3. File the "DEALER" copy at the station in your Green Book. This package must be returned, to the East Bay District's HS&E Analyst at Shell Oil Products Company within 30 days of the above date. Shell will forward the "AGENCY" copy to Bakersfield Fire Department. Very Truly, ROBERT H. LEE & ASSOCIATES, INC. Steven A. Skanderson Project Manager Enclosures cc: H,S & E Analyst - Shell Oil Products Company File ACKNOWLEDGEMENT OF RECEIPT ~,~ MARIETTA, GA SAChS, mN?O, CA BELLEVUE, WA LA HA~.A, CA SCO~rSt)AL£, AZ ~'~ ~. ' '~, ,'~ '~' ~'? ~' ~- , 3':~ -? . · · ~,~,.,~.'].,/:i'~ ~ :.~,'.~:~. ~--c~. ·. .'-.,-:,..,.. .' :~.'..,- ~.-. ...... ,5}-'HAZARDOUs MATERIALS INVENTORY / BUSINESS RESPONSE PLAN ,..~ ..,.....,:' :: : 1996 CERTIFICATION FORM FACR'ITY NAME: Ming Avenue Shell FACILITY ADDREss: CITY: STATE: ZIP: 3700 Ming Road Bakersfield CA 93309 BUSINESS oWNER/OPERATOR: Livengood, Inc. PHONE: 805 831-5151 SHELL MAILING ADDRESS: CITY: STATE: ZIP: P.O. Box 4023 Concord CA 94524 SHELL CONTACT: H.S&E Administrative Support PHONE: 510-675-6114 REVIEW OF INVENTORY FORMS, EMERGENCY CONTACTS, AND SITE MAP HAS BEEN COMPLETED. INDICATE BELOW ALL THAT APPLY. .. Inventory forms ~rc correct for the upcoming reporting year. NO changes are necessary. .. Emergency contacts and phone numbers are correct for the upcoming reporting year. NO changes are necessary. .. Site map is correct for the upcoming year. NO changes are necessary. ~ Inventory Forms required updating. Attached are new inventory forms. __ Emergency contacts and phone numbers require updating. Changes are attached. · . Site map required updating. A new site map is attached. BIENNIAL REVIEW OF THE COMPLETE BUSINESS PLAN HAS BEEN COMPLETED. INDICATE BELOW ALL THAT APPLY. X Business Response Plan has been reviewed and is correct. NO changes are necessary. ~ Business Response Plan has been reviewed and requires updating. Changes are indicated and are submitted. I hereby certify, under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents and that based on inquiry of those individuals responsible for obtaining the information, I believe that the submitted information is true, accurate and complete. I understand that I may be required to show proof of compliance during any facility inspection conducted by local, County, State,~ autho/ri~'es: Name: Livengood~ Inc. Siguature:.2~ (Type or Print) F:~IAZM AT~ HELL_EB~FO RM~95CERT.M RG MING AVE SHELL 215-000-000243 Overall Site with 1 Fac. Unit General Information Page ! Location: 3700 MING Aq~D Map:123 Haz:2 Type: 3 I City : BAKERSFIELD Grid: llB F/U: 1 AOV: 0.0 Contact Name IFRANK QUERCIA Business Phone: 24-Hour Phone : Pager Phone : Title / MANAGER (805) 831-5151x (805) 398-8997x ( ) - x Contact Name Title BILL HILTERBRAN / MANAGER Business Phone: (805) 322-3122x 24-Hour Phone : (805) 588-0352x Pager Phone : ( ) - x Administrative Data Mail Addrs: PO BOX 4023 City: CONCORD Comm Code: 215-007 BAKERSFIELD STATION 07 D&B Number: 10-307-2708 State: CA Zip: 94524- SIC Code: 5541 Owner: DEL LIVENG00D Phone: (805) 831-5151 Address: 12117 APRIL ANN State: CA City: BAKERSFIELD Zip: 93312- Summary ~vie~?®d ~h~ a~ached hazardou~ ma~®~a~ o$/o4/'9 Pln-Ref Name/Hazards MING AVE SHELL 215-000-000243 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Form Max Qty Page MCP 2 02-001 REGULAR GASOLINE · Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL 02-002 PREMIUM GASOLINE · Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL 02-003 PLUS GASOLINE · Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL 02-004 WASTE OIL · Fire, Delay Hlth Liquid 550 Low GAL 02-005 MOTOR OIL · Fire, Delay Hlth Liquid 150 Minimal GAL 02-008 CARBON DIOXIDE · Pressure, Immed Hlth Gas 348 Minimal FT3 02-009 WASTE ANTIFREEZE · Immed Hlth, Delay Hlth Liquid 55 Unrated GAL 02-010 WASTE OIL FILTERS · Delay Hlth Liquid 200 Unrated LBS 02-011 WASTE BATTERIES · Reactive, Immed Hlth Liquid 1 Unrated GAL 03/04/96 MING AVE SHELL 215-000-000243 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 02-001 REGULAR 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 I Daily Average GAL 3,000.00 Annual Amount GAL 500,000.00 Storage UNDER GROUND TANK Press T Temp Location Ambient/AmbientlSE PORTION OF SITE -- Conc 100.0% IGasoline Components MCP ---TGuide IModerateI 27 02-002 PREMIUM GASOLINE · Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Form: Liquid Type: Pure Daily Max GAL 10,000 I Storage UNDER GROUND TANK -- Conc 100.0% IGasoline Trade Secret: No Days: 365 Use: FUEL Daily Average GAL 2,500.00 Annual Amount GAL 168,000.00 Press T Temp Location AmbientlAmbientlSE PORTION OF SITE Components MCP ---TGuide ModerateI 27 02-003 PLUS 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 I Daily Average GAL 2,500.00 Annual Amount GAL -- 168,000.00 Storage UNDER GROUND TANK Press T Temp Location AmbientlAmbientlSE PORTION OF SITE -- Conc 100.0% IGasoline Components MCP Guide IModerate I 27 03/04/96 MING AVE SHELL 215-000-000243 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 4 02-004 WASTE OIL · Fire, Delay Hlth Liquid 550 Low GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL550 I Daily Average300.00GAL Annual Amount GAL -- 600.00 Storage UNDER GROUND TANK Press T Temp Location IAmbientlAmbientlE SIDE OF SALES BLDG -- Conc~ Components 100.0% IWaste Oil, Petroleum Based MCP ---~uide ILow ! 27 02-005 MOTOR OIL · Fire, Delay Hlth Liquid 150 Minimal GAL CAS #: 8020835 Form: Liquid Daily Max GAL 150 Storage PLASTIC CONTAINER Type: Pure -- Conc[ Components 100.0% IMotor Oil, Petroleum Based Trade Secret: No Days: 365 Use: LUBRICANT Daily Average GAL I Annual Amount GAL I 100.00 600.00 Press T Temp Location IAmbientlAmbientlNORTH STORAGE ROOM MCP ---~uide IMinimal I 27 02-008 CARBON DIOXIDE · Pressure, Immed Hlth Gas 348 Minimal FT3 CAS #: 124-38-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3 348 Daily Average FT3 174.00 Annual Amount FT3 3,132.00 Storage PORT. PRESS. CYLINDER Press T Temp IAbove /Below Location liN SALES AREA -- Conc 100.0% ICarbon Dioxide Components MCP --TGuide ILow ~ 21 MING AVE SHELL 215-000-000243 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 02-009 WASTE ANTIFREEZE ~ Immed Hlth, Delay Hlth Liquid 55 Unrated GAL CAS #: 107-21-1 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Daily Max GAL Storage DRUM/BARREL-METALLIC -- Conc ~ Use: WASTE Daily Average GAL 15.00 Annual Amount GAL 50.00 Press 7 Temp Location Ambient~AmbientlIN SERVICE BAY. Components , MCP ~uide 02-010 WASTE OIL FILTERS ~ Delay Hlth Liquid 200 Unrated LBS CAS #: 800-20-59 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: WASTE Daily Max LBS200 I Daily Averagel00.00LBS Annual Amount LBS -- 400.00 Storage DRUM/BARREL-METALLIC Press 7 Temp Location Ambient~AmbientlIN SERVICE BAY - Conc ~ Components MCP ~uide 02-011 WASTE BATTERIES ~ Reactive, Immed Hlth Liquid 1 GAL Unrated CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: WASTE Daily Max GAL1 I Daily Averagel.00GAL Annual Amount GAL -- 30.00 Storage PLASTIC CONTAINER Press T Temp Location IAmbientlAmbientlIN SERVICE BAY -- Conc 0.0% 0.0% 0.0% ILead Dioxide Sulfuric Acid (EPA) Lead Components MCP 7vide High 42 High 39 Low 53 03/04/96 MING AVE SHELL 215-000-000243 Page 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification SHELL WILL NOTIFY THE APPROPRIATE STATE AND LOCAL AGENCIES UNLESS THE SITUATION REQUIRES URGENT IMMEDIATE RESPONSE BY THE AGENCIES, IN WHICH CASE THE DELAER SHOULD NOTIFY THESE AGENCIES: 1) LOCAL AGENCY: BAKERSFIELD FIRE DEPT 805-326-3979. 2) CALIFORNIA OFFICE OF EMERGENCY SERVICES: 800-852-7550 (24 HRS). 3) CALL FOR HELP IN CASE OF AN EMERGENCY BY DIALING 9-1-1. <2> Employee Notif./Evacuation NOTICE WILL BE VERBAL. EMPLOYEES WILL EVACUATE BUILDING AND MEET AT EMERGENCY ASSEMBLY AREA. <3> Public Notif./Evacuation IF THERE IS ANY IMMEDIATE DANGER, ANNOUNCE TO ALL PERSONS ON THE SITE: "THERE IS AN EMERGENCY. PLEASE TURN OFF YOUR ENGINES AND LEAVE THE STATION ON FOOT IMMEDIATELY." <4> Emergency Medical Plan FIRE DEPARTMENT POLICE DEPARTMENT PARAMEDICS OFFICE OF EMERGENCY SERVICES v~,, ~DICAL ..... ~n 911 911 911 (800) 852-5502 03/04/96 MING AVE SHELL 215-000-000243 Page 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention ABOVEGROUND AUTOMOTIVE PRODUCT ARE STORED IN UNBREAKABLE CONTAINERS AND IN MINIMUM QUANTITIES. THE UNDERGROUND STORAGE TANKS ARE MONITORED USING AN APPROVED MONITORING METHOD TO DETECT LEAKS. ALL EMPLOYEES ARE TRAINED IN SAFE HANDLING OF HAZARDOUS MATERIALS. <2> Release Containment STOP A RELEASE BY TURNING OFF THE PUMPS AND USING EITHER ABSORBENT MATERIALS OR A FIRE EXTINGUISHER AS NECESSARY. <3> Clean Up CLEAN UP WITH ABSORBENT MATERIAL, BROOM AND SHOVEL OR BY VACUUM TRUCK IF NECESSARY. <4> Other Resource Activation 03/04/96 MING AVE SHELL 215-000-000243 Page 00 - Overall Site <F> Site Emergency Factors 8 <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - ON WEST WALL OF SERVICE BAY C) WATER - SIDEWALK FRONTING REAL RD., ADJACENT TO EAST DISPENSER ISLAND D) SPECIAL - EMERGENCY PUMP SHUT-OFF LOCATED ON EXTERIOR WALL BETWEEN SERVICE BAY AND CASHIERS BOOTH, AT CASHIER, W SERVICE BAY WALL E) LOCK BOX - NO (BINDER IN CASHIER'S BOOTH) <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER FIRE HYDRANT - LOCATED ON NORTHEAST CORNER OF MING AVE AND REAL RD AND DIRECTLY ACROSS MING FROM CENTER OF SITE. <4> Building Occupancy Level 03/04/96 MING AVE SHELL 215-000-000243 Page 00 - Overall Site <G> Training 9 <1> Employee Training WE HAVE 8 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: EMPLOYEES MUST BE GIVEN THIS TRAINING BEFORE STARTING WORK, AND REFRESHER COURSES MUST BE PROVIDED ANNUALLY. RECORDS MUST BE KEPT TO SHOW WHEN EACH STATION EMPLOYEE HAS BEEN GIVEN HIS/HER SAFETY TRAINING. <2> Page 2 <3> Held for Future Use <4> Held for Future Use '. :: .:,¢:.>:>,:i.:' '~..:: .:......:. ,..,:.'.:,...: .::....";..:,: ~,~ :...,...~. :~._':/, ,.~,..:.'.',,: "'... .: . . :' '"":".':'-' ":!'":-i! '"' .. 0~2-1~7 .-. . , · ..... : - ' EMERGENCY RF~PQNSE PROI~EDURES ¥: In the'event of a fire; spill, or a leak or Suspected leak 'in the tanks and/or piping, the following steps are to be taken as applicable: · .~ ~ '. : '..: · -'- .' 1.': TuRN QFF .puMPs using the Emergency Pump Shut-Off Switch. EVACUATION: If there is any immediate danger, ANNOUNCE to all persons on the site: "There is an emergency. Please turn off your engines and leave the station on foot immediately.' 3. CALL FOR HELP in case of an emergency by dialing 9-1-1 and giving the following information: ';THERE IS A FIRE / GASOLINE SPILL at the SHELL station at 3700 Ming Road." If anyone is trapped or needs medical attention, tell the answering dispatcher. Stay on the phone and be prepared to answer any questions concerning the situation. LOOK AROUND to assure that all others have left the station if necessary, particularly those in vehicles who may need assistance or may not have heard the emergency announcement. Assist, or direct assistance to, anyone having difficulty leaving the station area, and anyone who may be injured. ATTEMPT TO EXTINGUISH any small or incipient fire if you can do so safely. Have the fire extinguisher ready to use in the event of any spill. Try to contain any large spill, or use absorbent on smaller spills. REPORT to arriving emergency response personnel to provide them with any information or assistance they might ne4~cl. CONTACT the station dealer if s/he is not already at the station. Use the list below for emergency contacts: 1. Nme/Bus Phone/Home Phone: Bill Hilterbran /805 322-3122 /805 588-0352 2. Name/Bus Phone/Home Phone:.Frank Ouercia /805 831-5151 /805-398-8997 8. NOTIFY your SHELL OIL District Engineer by phone WITHIN 24 HOURS Ao SHELL OIL District Engineer:/eft Byram PHONE NUMBER:(510) 675-6146(days) (510)674-9413 (home) You must mail a completed Unauthorized Release Report to SHELL within 24 hours. SHELL will notify the appropriate State and Local agencies unless the situation requires urgent immediate response by the agencies, in which case the DEALER should notify these agencies: B. LOCAL AGENCY: Bakersfield Fire Department PHONE NUMBER: 805 326-3979 C. CALIFORNIA OFFICE OF EMERGENCY SERVICES, (800) 852-7550 (24 HOURS) D. Submit a follow-up Spill Notification to the State Office of Emergency Services. These agencies must be notified within 24 hours of release detection. 9. Dealer should attempt to isolate leak location by inspection. 10. SHELL will coordinate whatever corrective actions need to be taken beyond the Dealer's capabilities. SHELL will file whatever reports need to be fried with local and state agencies, and send a copy to the station for the Dealer's files. 11. RE-ENTRY: If evacuation has occurred and emergency responders have been called, re-entering this facility should take place with extreme caution and only under the direction of the senior emergency responder on site and Shell engineers. THESE EMERGENCY ~NSE PROCEDURES MUST BE FILLED OUT AND POSTED CONSPICUOUSLY ON SITE ALONG WITH THE ATTACHED SITE PLAN 3/15[96 ~ .. .... ' _* '. 1996 HNHP SUPPLEMENT. ......... '.*.~..~*o .... ~...- .... ~o~ ........ ~ ..... ~,~.~ .... ~.~,~ ............. .' .......... ~ ................................................. glC#: 0462-i847- · ' Livengood, Inc. ' ... .. ' . · Mini Avenue shelt,~-. , ,,...'~ . ,., 3?00 Ming Rond : ':'i"-":/i ?i ~ ;:'::!'i ~., Bekersfietd,:..,.. _. .,';". -;:.,:,.--.:, ....-"'" ~, CA.,... 93509 ..... ~-:-~'"-L .... 'i · · .'- ,. v -- - SITE PHONE:805 8~1-5151 .. , ...L , '...' ........... Z ..... ~ .... L-.Z...'.o.'..L ......... ~..°-. ..... ' ............... :- ........................................................... " ' "' ' 'i "" ' EMERGENCY'CONTACT PERSONNEL FIRST CONTACT: BJL~ '. Ni[terbran #anager ISECOND CONTACT: Frank Querc~a Manager 9/,01 South~ck Drive,' Bakerfietd 93~12 ~ 25 gittams Ave #D, BakersfieLd DAY PHONE:805 322-3122 2~-HOUR PHONE:805 588-0~57 I DAY PHONE: 805 8~1-5151 24-HOUR PHONE: EMERGENCY EQUIPMENT LOCATIONS PUMP SHUT-OFF: 1-FRONT BLDG gALL~ 1-CASHIER AREA ELEC. SHUT-OFF: NEST INTR.SERV]CE BAY t~ALL ~ATER SHUT-OFF:' IN SIDEMALK ALONG REAL ROAD GAS SHUT-OFF: NONE · :: FIRE EXTINGUISHER: ~-SERVICE BAY,, 1-UTILITY FIRST AID KIT: 1'CASHIER AREA,, 1'UTILITY RO0~ ABSORBENT MATERIAL: UTILITY ROOH · TANK INFORMATION .SIZE #TNKS MATERIAL SPLL OVFL TYPE MANUFACTURER YR REGULAR 10,000 1 ' FG Y N D~ OklENS CORNING '86 PREMIUM 10,000 1 FG Y N DW OVENS CORNING '86 PLUS . lO,OOO 1 FG .Y N D~ OVENS CORNING '86 ~ASTE OIL 550 -1 · FG Y N D~ OVENS CORNING '86 PIPING CONTAINMENT: Sing[e'~aLL -. TANK MONITOR ALARM: API-'RONAN:TRS76 PIPING MATERIAL:FG SPLL = OVER SPILL PROTECTION OVFL = OVER FILL PROTECTION D~ = DOUBLE ~ALL S~ = SINGLE ~ALL FG = FIBERGLASS STL = STEEL CHEMICAL INVENTORY I~XI~UH AVERAGE LOCATION REGULAR 10000 3000 SOUTHEAST SIDE OF LOT PREMIUM 10000 2500 SOUTHEAST SIDE OF LOT PLUS 10000 2500 SOUTHEAST SIDE OF LOT MOTOR OIL 150 100 IN SERVICE BAY C02 ~48 174 CASHIER AREA ~ASTE INVENTORY (if any) MAXIHUH AVERAGE THRUPUT LOCATION USED OIL 5~0 ~00 600 EAST SIDE OF SALES BLDG ANTIFREEZE 55 15 50 IN SERVICE BAY OIL FILTERS 200 100 &O0 IN SERVICE BAY BATTERY 1 1 30 IN SERVICE BAY LOCAL REPORTING AGENCY: Bakersfield F~re Department 2130 "G' Street, Bakersfield, Ca 93301 805 326-3979 03/09/95 MING AVE SHELL 215-000-000243 Overall Site with 1 Fac. Unit General Information 1995 ge 1 Location: 3700 MING AV City : BAKERSFIELD Map:123 Haz:2 Type: 3 Grid: liB F/U: 1 AOV: 0.0 Contact Name Title FRANK QUERCIA / MANAGER Business Phone: (805) 831-5151x 24-Hour Phone : (805) ~-~Tx Pager Phone : ( ) - x Contact Name Title BILL HILTERBRAN~ / MANAGER Business Phone: (805) 322-3122x 24-Hour Phone : (805) 588-0352x Pager Phone : ( ) - x Administrative Data Mail Addrs: PO BOX 4023 City: CONCORD Comm Code: 215-007 BAKERSFIELD STATION 07 D&B Number: 10-307-2708 State: CA Zip: 94524- SIC Code: 5541 Owner: DEL LIVENGOOD Phone: (805) 831-5151 Address: 12117 APRIL ANN State: CA City: BAKERSFIELD Zip: 93312- Summary / reviewed the attached hazardous materials manage- ment plan for~61~,~2),._ ~. __and th~ it aion~ with any con'ections constitute a complete and con'ect man- agement plan for my facility. 03/09/95 Name/Hazards MING AVE SHELL 215-000-000243 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Form Max Qty Page MCP 2 02-001 REGULAR GASOLINE · Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL 02-002 PREMIUM GASOLINE · Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL 02-003 PLUS GASOLINE · Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL 02-004 WASTE OIL · Fire, Delay Hlth Liquid 550 Low GAL 02-005 MOTOR OIL · Fire, Delay Hlth Liquid 150 Minimal GAL 02-008 CARBON DIOXIDE · Pressure, Immed Hlth Gas ~9~ ~ Minimal FT3 02-009 WASTE ANTIFREEZE · Immed Hlth, Delay Hlth Liquid 55 Unrated GAL 10 WASTE OIL FILTERS · Delay Hlth Liquid 200 Unrated 02-011 WASTE BATTERIES · Reactive, Immed Hlth Liquid 1 Unrated GAL 03~09~95 MING AVE SHELL 215-000-000243 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page REGULAR 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 I Daily Average GAL Annual Amount GAL Storage UNDER GROUND TANK Press T Temp Location IAmbientlAmbientlSE PORTION OF SITE -- Conc 100.0% IGasoline Components MCP ---7Guide IModerateI 27 02-002 PREMIUM 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 I Daily Average GAL 2,500.00 Annual Amount GAL Storage UNDER GROUND TANK Press T Temp Location IAmbientlAmbientlSE PORTION OF SITE -- Conc 100.0% IGasoline Components MCP ---/Guide IModerateI 27 02-003 PLUS 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 I Daily Average GAL 2,500.00 Annual Amount GAL Storage UNDER GROUND TANK Press T Temp Location IAmbientlAmbientlSE PORTION OF SITE -- Conc 100.0% IGasoline Components iMCP ---~uide ModerateI 27 03/09/95 MING AVE SHELL 215-000-000243 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 4 04 WASTE OIL · Fire, Delay Hlth Liquid 550 Low GAL CAS #: 221 Trade Secret: No. Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL550 I Daily Average300.00GAL Annual Amount GAL Storage UNDER GROUND TANK Press T Temp Location IAmbient/AmbientlE SIDE OF SALES BLDG -- Conc~ Components 100.0% IWaste Oil, Petroleum Based MCP ----~uide ILow ! 27 02-005 MOTOR OIL · Fire, Delay Hlth Liquid 150 Minimal GAL CAS #: 8020835 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL 150 I Daily Average GAL 100.00 Annual Amount GAL Storage PLASTIC CONTAINER Press T Temp Location Iambient/ambientlNOmTH STORAGE ROOM -- Conc~ Components 100.0% IMotor Oil, Petroleum Based MCP ---~uide IMinimal I 27 02-008 CARBON DIOXIDE · Pressure, Immed Hlth Gas 150 Minimal FT3 CAS #: 124-38-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3 i Daily Average FT3 Annual Amount FT3 Storage PORT. PRESS. CYLINDER Press T Temp IAbove /Below Location liN SALES AREA -- Conc 100.0% ICarbon Dioxide Components MCP ----~Guide ILow | 21 03/09/95 MING AVE SHELL 215-000-000243 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 5 WASTE ANTIFREEZE · Immed Hlth, Delay Hlth Liquid 55 Unrated GAL CAS #: 107-21-1 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: WASTE Daily Max GAL55 I Daily Average15.00GAL Annual Amount GAL 50.00 Storage DRUM/BARREL-METALLIC Press T Temp Location IAmbientlAmbientlXN SERVICE BAY. - Conc ~ Components ~ MCP --~Guide 02-010 WASTE OIL FILTERS · Delay Hlth Liquid 200 Unrated GAL CAS %: 800-20-59 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: WASTE Daily Max ~ ~ Daily Average ~%~ ! Annual Amount ~ 200 I 100.00I 400.00 Storage DRUM/BARREL-METALLIC Press T Temp Location IAmbient IAmbient I IN SERVICE BAY -- Conc ~ Components MCP ~uide 02-011 WASTE BATTERIES · Reactive, Immed Hlth Liquid 1 Unrated GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: WASTE Daily Max GAL1 I Daily Average1.00GAL Annual Amount GAL -- 30.00 Storage PLASTIC CONTAINER Press T Temp Location Ambient~AmbientlIN SERVICE BAY -- Conc 0.0% ILead Dioxide 0.0% Sulfuric Acid 0.0% Lead (EPA) Components MCP ~Guide High 42 High 39 Low 53 03/09/95 MING AVE SHELL 215-000-000243 Page 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification SHELL WILL NOTIFY THE APPROPRIATE STATE AND LOCAL AGENCIES UNLESS THE SITUATION REQUIRES URGENT IMMEDIATE RESPONSE BY THE AGENCIES, IN WHICH CASE THE DELAER SHOULD NOTIFY THESE AGENCIES: 1) LOCAL AGENCY: BAKERSFIELD FIRE DEPT 805-326-3979. 2) CALIFORNIA OFFICE OF EMERGENCY SERVICES: 800-852-7550 (24 HRS). 3) CALL FOR HELP IN CASE OF AN EMERGENCY BY DIALING 9-1-1. <2> Employee Notif./Evacuation NOTICE WILL BE VERBAL. EMPLOYEES WILL EVACUATE BUILDING AND MEET AT EMERGENCY ASSEMBLY AREA. <3> Public Notif./Evacuation IF THERE IS ANY IMMEDIATE DANGER, ANNOUNCE TO ALL PERSONS ON THE SITE: "THERE IS AN EMERGENCY. PLEASE TURN OFF YOUR ENGINES AND LEAVE THE STATION ON FOOT IMMEDIATELY." <4> Emergency Medical Plan BAKERSFIELD MEMORIAL HOSPITAL FIRE DEPARTMENT POLICE DEPARTMENT PARAMEDICS OFFICE OF EMERGENCY SERVICES KERN MEDICAL CENTER (805) 327-1792 911 911 911 (800) 852-5502 (805)326-2667 03/09/95 MING AVE SHELL 215-000-000243 Page 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention ABOVEGROUND AUTOMOTIVE PRODUCT ARE STORED IN UNBREAKABLE CONTAINERS AND IN MINIMUM QUANTITIES. THE UNDERGROUND STORAGE TANKS ARE MONITORED USING AN APPROVED MONITORING METHOD TO DETECT LEAKS. ALL EMPLOYEES ARE TRAINED IN SAFE HANDLING OF HAZARDOUS MATERIALS. <2> Release Containment STOP A RELEASE BY TURNING OFF THE PUMPS AND USING EITHER ABSORBENT MATERIALS OR A FIRE EXTINGUISHER AS NECESSARY. <3> Clean Up CLEAN UP WITH ABSORBENT MATERIAL, BROOM AND SHOVEL OR BY VACUUM TRUCK IF NECESSARY. <4> Other Resource Activation 03/09/95 MING AVE SHELL 215-000-000243 Page 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - ON WEST WALL OF SERVICE BAY C) WATER - SIDEWALK FRONTING REAL RD., ADJACENT TO EAST DISPENSER ISLAND D) SPECIAL - EMERGENCY PUMP SHUT-OFF LOCATED:ON EXTERIOR WALL BETWEEN SERVICE BAY AND CASHIERS BOOTHj~ ~~-~ ~I ~.~5~~_~ E) LOCK BOX - NO (BINDER IN CASHIER'S BOOTH) <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER FIRE HYDRANT - LOCATED ON NORTHEAST CORNER OF MING AVE AND REAL RD AND DIRECTLY ACROSS MING FROM CENTER OF SITE. <4> Building Occupancy Level 03/09/95 MING AVE SHELL 215-000-000243 00 - Overall Site <G> Training Page 9 <1> Employee Training WE HAVE 8 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: EMPLOYEES MUST BE GIVEN THIS TRAINING BEFORE STARTING WORK, AND REFRESHER COURSES MUST BE PROVIDED ANNUALLY. RECORDS MUST BE KEPT TO SHOW WHEN EACH STATION EMPLOYEE HAS BEEN GIVEN HIS/HER SAFETY TRAINING. <2> Page 2 <3> Held for Future Use <4> Held for Future Use BRIAN F. ZITA Architect JOHN W. JOHNSON Architect JOHN B. HICKS Architect STEVEN J. KA~TNER Architect CECIL R. SPENCER Architect JAMES H. RAY Civil Engineer ROBERT ARCHITECTURE 1137 NORTH McO0X%~ELL BOULEVARO - PETALUMA. CALIFORNIA 94954-1469 Mailing Address: P.0. Box 750908, Petaluma, CA 94975-0908 AN ESOP COMPANY H. LEE & ASSOCIATES, INC. · ENGINEERING o ENVIRONMENTAL SERVICES (707) 7~5-1660 Fax (707) 7~5-9908 March 21, 1994 Livengood, Inc. Ming Ave Shell 3700 Ming Road Bakersfield, CA 93309 Dear Livengood, Inc.: Attached is the new Hazardous Materials Management Plan (HMMP) for your facility. This new HMMP is intended to replace the current HMMP. The HMMP should be placed in your Green Book and kept up-to-date on the premises. I. Please sign all 3 copies of the HMMP where flagged and indicated with a "X" and the Acknowledgement of Receipt at the bottom of this page. 2. Return the 2 copies marked "AGENCY" and "SHELL" and the Acknowledgement of Receipt to your Territory Manager. 3. Keep the "DF_.~" copy at the station in your Green Book. Copies of the HMMP will be sent to Bakersfield Fire Department within 30 days and Ms. Lisa Waters of Shell Oil Company. Very Truly, ROBERT H. LEE & ASSOCIATES, INC. Steven A. Skanderson Project Manager Enclosures cc: Ms. Lisa Waters, Shell Oil Company File LA HABRA, CA MARIETTA, GA BACRAMENTO, CA BELLEVUE, WA o3/68i ;4' ',. MING AVE SHELL 215-000-000243 Overall Site with 1 Fac. Unit General Information Page 1 I Location: 3700 MING AV Map:123 Haz:2 Type: 1 Community: BAKERSFIELD STATION 07 Grid: llB F/U: 1 AOV: 0.0 Contact Name FRANK QUERCIA IBILL HILTERBRAND Title MANAGER MANAGER Business Phone ---r 24-Hour Phone- (805) 831-5151 x / 1(805) 834-2131 (805) / (805) 588-0352 Administrative Data Mail Addrs: PO BOX 4023 City: CONCORD Comm Code: 215-007 BAKERSFIELD STATION 07 D&B Number: 10-307-2708 State: CA Zip: 94524- SIC Code: 5541 Owner: DEL LIVENGOOD Phone: (805) 831-5151 Address: 12117 APRIL ANN State: CA City: BAKERSFIELD Zip: 93312- Summary 03'/081~4 Pln-Ref Name/Hazards MING AVE SHELL 215-000-000243 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Form Max Qty Page MCP 2 02-001 REGULAR GASOLINE · Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL 02-002 PREMIUM GASOLINE · Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL / 02-003 PLUS GASOLINE / · Fire, Immed Hlth, Delay H1 02-007 --/~:TIFRE~.~4~ ~o~ ~ / · Fire, Delay Hlth / / 02-006 ~ Re~0~ V · Fire, Delay Hlth Liquid 10000 Moderate GAL Liquid ~ Low GAL Liquid GAL 02-004 WASTE OIL · Fire, Delay Hlth Liquid 550 Low GAL 02-005 MOTOR OIL · Fire, Delay Hlth Liquid %50 ~8~ Minimal GAL 02-008 CARBON DIOXIDE · Pressure, Immed Hlth Gas 150 Minimal FT3 Business Name BAKEI FIELD CITY FIRE DEP RTMENT HAZARDOUS MATERIALS INVENTORY Min~l Ave Shell Address 3700 MinR Road, Bakersfield Page I of 2 6023.20 CHEMICAL DESCRIPTION / 1 ) INVENTORY STATUS: New [ ] Addition [X] ~Re/'vision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [X] 2) Common Name: WASTE ANTIFREEZE ~' 3) DOT # {optional) 9189 TRADE SECRET [ ] Chemical Name: ETHYLENE GLYCOL AHM [ ] CAS # 107-21-1 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) IX] Delayed Health (Chronic) IX] 5) WASTE CLASSIFICATION 343 (3-digit code from DHS Form 8022) USE CODE 40 6) PHYSICAL STATE Solid [ ] Liquid IX] Gas [ ] Pure [ ] Mixture [X] Waste [X] Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount: 55 Average Daily Amount: 15 Annual Amount: 50 Largest Size Container: 55 gal # Days On Site: 365 UNITS OF MEASURE 8) STORAGE CODES lbs [ ] gal IX] ft3 [ ] a) Container: 06 curies [ ] b) Pressure: 1 c) Temperature: 4 Circle Which Months: All Year J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazardous 1 ) WASTE ANTIFREEZE 107-21 -1 100.0 [ ] chemical component or 2) [ ] any AHM components 3). [ ] 10) Location: IN SERVICE BAY CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision IX] Deletion [ ] Check if chemical is a NON TRADE SECRET IX] TRADE SECRET [ ] 2) Common Name: WASTE OIL FILTERS Chemical Name: PETROLEUM HYDROCARBONS 3) DOT # (optional) 9189 AHM [ ! CAS # 800-20-59 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [X] 5) WASTE CLASSIFICATION 223 .(3-digit code from DHS Form 8022) USE CODE 40 6) PHYSICAL STATE Solid [ ] Liquid [X] Gas [ ] Pure [ ] Mixture [X] Waste [X] Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount: 200 Average Daily Amount: 100 Annual Amount: 400 Largest Size Container: 55 ~lal # Days On Site: 365 UNITS OF MEASURE 8) STORAGE CODES lbs [ ] gal IX] ft3 [ ] a) Container: 06 curies [ ] b) Pressure: 1 c) Temperature: 4 Circle Which Months: All Year J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazardous 1). WASTE OIL FILTERS 800-20-59 100.O [ ] chemical component or 2). [ ! any AHM components 3). [ ] 10} Location: IN SERVICE BAY certify under penalty of law, that I have personally examined and am familiar wit~ submitted. Rn this and ail attached documents. I beliew the submitted_information is true, accurate, and complete.~-~ -" Z. ~ 'Signature * ~ ' Date PRINT Name & Title of Authorized Company Representative Business Name BAKEI =IELD CITY FIRE DEPJ RTMENT HAZARDOUS MATERIALS INVENTORY Min~l Ave Shell Address 3700 Min~l Road, Bakersfield Page_~.2 of 2 6023.20 CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [X] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET IX! TRADE SECRET [ ! 2) Common Name: WASTE BATTERIES 3) DOT # (optional) 2794 Chemical Name: LEAD\ACID BATTERY AHM [ ] CAS # MIXTURE 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive IX! Sudden Release of Pressure [ ] Immediate Health (Acute) [Xl Delayed Health (Chronic) 5) WASTE CLASSIFICATION 162 .(3-digit code from DHS Form 8022) USE CODE 40 6) PHYSICAL STATE Solid [ } Liquid |X] Gas [ } Pure [ l Mixture IX! Waste IX] Radioactive 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount: 1 Average Daily Amount: 1 Annual Amount: 30 Largest Size Container: BATTERY # Days On Site: 365 UNITS OF MEASURE 8) STORAGE CODES lbs [ ] gal IX] ft3 [ ] a) Container: 10 curies [ ] b) Pressure: 1 c) Temperature: 4 Circle Which Months: All Year J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazardous 1) LEAD DIOXIDE 1309-60-0 31 [ ] chemical component or 2).SULFURIC ACID 7664-93-9 34 IX] any AHM components 3). LEAD 7439-92-1 34 [ ! 10) Location: IN SERVICE BAY certify under penalty of/aw, that I have personally examined and am familiar with ~tion submitte~n this and a/I attached documents. I be/iev~ FfRI~NT N'~ & Title of Authorized Company ~epresentative ' 'Signature-- -~"~ - .~'~ Date o /o87 4 MING AVE SHELL 215-000-000243 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 3 02-001 REGULAR GASOLINE · Fire, Immed Hlth, Delay Hlth Liquid 10000 GAL Moderate CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL 10,000 Storage UNDER GROUND TANK Daily Average GAL Annual Amount GAL --/ 4,000 00 I ~.n nnn nn / Press T Temp Location Ambient[AmbientlSE PORTION OF SITE -- Conc 100.0% IGasoline Components MCP ---lGuide ModerateI 27 02-002 PREMIUM GASOLINE · Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Daily Max GAL 10,000 Storage UNDER GROUND TANK Type: Pure Days: 365 Use: FUEL Daily Average GAL AnnualS%mount GAL I . oo.oo I o.ooo Press T Temp Location Ambient[AmbientlSE PORTION OF SITE -- Conc 100.0% IGasoline Components MCP ---lGuide IModerateI 27 02-003 PLUS 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 Storage UNDER GROUND TANK Daily Average GAL Annual/Amount GAL -- 2 500 00 Press T Temp Location IAmbient[AmbientlSE PORTION OF SITE -- Conc 100.0% IGasoline Components MCP ---~uide IModerate~ 27 o§/os?b MING AVE SHELL 215-000-000243 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 4 02-007 ~ · Fire, Delay Hlth Liquid 250 Low GAL CAS #: 107-21-1 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max GAL Storage PLASTIC CONTAINER Daily Average GAL Annual Amount GAL -- ~0 I 250.00 Press T Temp Location IAmbientlAmbientlNORTH STORAGE & LUBE ROOM - Conc 100.0% IEthylene Glycol Components MCP ---[Guide ILow ! 27 02-006 ~ · Fire, Delay Hlth Liquid 200 Low GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL ~2~%~ Storage PLASTIC CONTAINER Daily Average GAL I Annual Amount GAL -- ~0 200.00 Press T Temp Location Ambient~AmbientlNORTH STORAGE ROOM -- Conc~ Components 100.0% ITransmission Fluid (Petroleum-Based) MCP ---TGuide ILow ! 27 02-004 WASTE OIL · Fire, Delay Hlth Liquid 550 Low GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL 550 Storage UNDER GROUND TANK Daily Average GAL Annual Amount GAL Press T Temp Location IAmbientlAmbientlE SIDE OF SALES BLDG -- Conci Components 100.0% IWaste Oil, Petroleum Based MCP ---TGuide Low ~ 27 0§/087~4" 02-005 MOTOR OIL MING AVE SHELL 215-000-000243 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Liquid Page Minimal 5 · Fire, Delay Hlth GAL CAS #: 8020835 Trade Secret: No Form: Liquid --Daily MaX/GAL Storage PLASTIC CONTAINER Type: Pure Days: 365 Use: LUBRICANT Daily Average GAL 100.00 Annual Amount GAL 1,400.00 Press T Temp Location IAmbient IAmbient INORTH STORAGE ROOM -- Conc~ Components 100.0% [Motor Oil, Petroleum Based MCP ---TGuide Minimal [ 27 02-008 CARBON DIOXIDE · Pressure, Immed Hlth Gas 150 Minimal FT3 CAS #: 124-38-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3 150 Daily Average FT3 75.00 Annual Amount FT3 450.00 Storage PORT. PRESS. CYLINDER Press T Temp Above [Below Location liN SALES AREA -- Conc 100.0% ICarbon Dioxide Components MCP -~Guide Minimal [ 21 0~/087~{ ~' MING AVE SHELL 215-000-000243 Page 00 - Overall Site <D> Notif./Evacuation/Medical 6 <1> Agency Notification SHELL WILL NOTIFY THE APPROPRIATE STATE AND LOCAL AGENCIES UNLESS THE SITUATION REQUIRES URGENT IMMEDIATE RESPONSE BY THE AGENCIES, IN WHICH CASE THE DELAER SHOULD NOTIFY THESE AGENCIES: 1) LOCAL AGENCY: BAKERSFIELD FIRE DEPT 805-326-3979. 2) CALIFORNIA OFFICE OF EMERGENCY SERVICES: 800-852-7550 (24 HRS). 3) CALL FOR HELP IN CASE OF AN EMERGENCY BY DIALING 9-1-1. <2> Employee Notif./Evacuation NOTICE WILL BE VERBAL. EMPLOYEES WILL EVACUATE BUILDING AND MEET AT EMERGENCY ASSEMBLY AREA. <3> Public Notif./Evacuation IF THERE IS ANY IMMEDIATE DANGER, ANNOUNCE TO ALL PERSONS ON THE SITE: "THERE IS AN EMERGENCY. PLEASE TURN OFF YOUR ENGINES AND LEAVE THE STATION ON FOOT IMMEDIATELY." <4> Emergency Medical Plan BAKERSFIELD MEMORIAL HOSPITAL (805) 327-1792 FIRE DEPARTMENT 911 POLICE DEPARTMENT 911 PARAMEDICS 911 OFFICE OF EMER ENC SERVICES (800) 852-5502 / MING AVE SHELL 215-000-000243 00 - Overall Site <E> Mitigation/Prevent/Abatemt Page <1> Release Prevention ABOVEGROUND AUTOMOTIVE PRODUCT ARE STORED IN UNBREAKABLE CONTAINERS AND IN MINIMUM QUANTITIES. THE UNDERGROUND STORAGE TANKS ARE MONITORED USING AN APPROVED MONITORING METHOD TO DETECT LEAKS. ALL EMPLOYEES ARE TRAINED IN SAFE HANDLING OF HAZARDOUS MATERIALS. <2> Release Containment STOP A RELEASE BY TURNING OFF THE PUMPS AND USING EITHER ABSORBENT MATERIALS OR A FIRE EXTINGUISHER AS NECESSARY. <3> Clean Up CLEAN UP WITH ABSORBENT MATERIAL, BROOM AND SHOVEL OR BY VACUUM TRUCK IF NECESSARY. <4> Other Resource Activation 03/08/94'"- :~ - MING AVE SHELL 215-000-000243 Page 00 - Overall Site <F> Site Emergency Factors 8 <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - ON WEST WALL OF SERVICE BAY C) WATER - SIDEWALK FRONTING REAL RD., ADJACENT TO EAST DISPENSER ISLAND D) SPECIAL - EMERGENCY PUMP SHUT-OFF LOCATED ON EXTERIOR WALL BETWEEN SERVICE BAY AND CASHIERS BOOTH E) LOCK BOX - NO (BINDER IN CASHIER'S BOOTH) <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER FIRE HYDRANT - LOCATED ON NORTHEAST CORNER OF MING AVE AND REAL RD AND DIRECTLY ACROSS MING FROM CENTER OF SITE. <4> Building Occupancy Level 03/08'~9~', MING AVE SHELL 215-000-000243 00 - Overall Site <G> Training Page 9 <1> Page 1 WE HAVE ~ ~MPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: EMPLOYEES MUST BE GIVEN THIS TRAINING BEFORE STARTING WORK, AND REFRESHER COURSES MUST BE PROVIDED ANNUALLY. RECORDS MUST BE KEPT TO SHOW WHEN EACH STATION EMPLOYEE HAS BEEN GIVEN HIS/HER SAFETY TRAINING. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use 0462-1847 Bakersfield Fire D pt. Hazardous Materials Division 2130 "G" Street Bakersfield, CA 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the below for the business as a whole. 4. Be brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: Ming Ave Shell LOCATION: 3700 Ming Avenue MAILING ADDRESS: CITY: Bakersfield STATE: CA ZIP: 93309' DUN & BRADSTREET NUMBER: 10-307-2708 PRIMARY ACTIVITY AUTOMOBILE REFUELING STATION OWNER: Shell Oil Company MAILING ADDRESS: P.O. Box 4023, Concord, CA 94524 P.O. Box 4023, Concord, CA 94524, Attn: Lisa Waters PHONE: 805 831-5151 SIC CODE 5541 SECTION 2: EMERGENCY NOTIFICATION: CONTACT 1. Bill Hilterbrand TITLE Manager 2. Frank Quercia Manager BUS. PHONE 8O5 322-3122 24 HR. PHONE 8O5 588-O352 805 831-5151 8O5 834-2131 BAKERSFIELD FIRE DEPT. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYEES: 10 MATERIAL SAFETY DATA SHEETS ON FILE: YES (SEE SITE PLAN FOR LOCATION) BRIEF SUMMARY OF TRAINING PROGRAM: Employees must be given this training before starting work, and refresher courses must be provided annually. Records must be kept to show when each station employee has been given his/her safety training. 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: I, ~ , CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH & SAFETY CODE" ON HAZARDOUS MATERIALS ( DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE ~TION C/ON)S TI T U T E S/.~ E R J U RY. Dealer TITLE DATE BAKERSFIELD FIRE DEPT. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN FACILITY UNIT NAME: Ming Ave Shell SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION AND EVACUATION PROCEDURES: Shell will notify the appropriate State and Local agencies unless the situation requires urgent immediate response by the agencies, in which, case the DEALER should notify these agencies: 1. LOCAL AGENCY: Bakersfield Fire Department PHONE NUMBER: 805-326-3979 2. CALIFORNIA OFFICE OF EMERGENCY SERVICES: (800)852-7550 (24 HRS.) 3. CALL FOR HELP in case of an emergency by dialing 9-1-1 B. EMPLOYEE NOTIFICATION AND EVACUATION: NOTICE WILL BE VERBAL. EMPLOYEES WILL EVACUATE BUILDING AND MEET AT EMERGENCY ASSEMBLY AREA. (SEE SITE PLAN FOR LOCATION) C. PUBLIC EVACUATION: IF THERE IS ANY IMMEDIATE DANGER, ANNOUNCE TO ALL PERSONS ON THE SITE: " THERE IS AN EMERGENCY. PLEASE TURN OFF YOUR ENGINES AND LEAVE THE STATION ON FOOT IMMEDIATELY." D. EMERGENCY MEDICAL PLAN' PLEASE SEE EMERGENCY RESPONSE PLAN ATTACHED BAKERSFIELD FIRE DEPT. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: ABOVEGROUND AUTOMOTIVE PRODUCT ARE STORED IN UNBREAKABLE CONTAINERS AND IN MINIMUM QUANTITIES. THE UNDERGROUND STORAGE TANKS ARE MONITORED USING AN APPROVED MONITORING METHOD TO DETECT LEAKS. ALL EMPLOYEES ARE TRAINED IN SAFE HANDLING OF HAZARDOUS MATERIALS B. RELEASE CONTAINMENT AND/OR MINIMIZATION: STOP A RELEASE- BY TURNING OFF THE PUMPS AND USING MATERIAL OR A FIRE EXTINGUISHER AS NECESSARY EITHER ABSORBENT Co CLEAN-UP PROCEDURES: CLEAN UP WITH ABSORBENT MATERIAL, TRUCK IF NECESSARY BROOM AND SHOVEL,OR BY VACUUM SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: NONE ELECTRICAL: WEST WALL OF SERVICE BAY WATER: IN SIDEWALK ALONG REAL ROAD SPECIAL: EMERGENCY PUMP SHUTOFF LOCATION: l-SOUTH WALL OF SALES BUILDING LOCK BOX: NO SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABLE: A. PRIVATE FIRE PROTECTION: Fire Extinguishers B. WATER AVAILABILITY (FIRE HYDRANT) PLEASE SEE SITE PLAN FOR LOCATION OF NEAREST FIRE HYDRANT LOCATION 4. Business Name BAKE #FIELD CITY FIRE DEP RTMENT H/~FZARDOUS MATERIALS INVEII~ORY Min,q Ave Shell Address 3700 MinR Avenue, Bakersfield Page 1 of 5 0462-1847 CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New ( ] Addition { ] Revision {XJ Deletion [ ] Check if chemical is a NON TRADE SECRET ]XJ TRADE SECRET 2) Common Name: FORMULASHELL REGULAR GASOLINE Chemical Name: PETROLEUM HYDROCARBONS 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) IX| Delayed Health (Chronic) (XJ 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 19 6) PHYSICAL STATE Solid I ] Liquid IX| Gas [ ] Pure [ ] Mixture IX| Waste [ ] Radioactive I ] 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount: 10,000 Average Daily Amount: 4,000 Annual Amount: 320~000 Largest Size Container: 10,000 # Days On Site: 365 UNITS OF MEASURE 8) STORAGE CODES lbs [ ] gal IX| ft3 [ ] a) Container: 01 curies [ ] b) Pressure: 1 c) Temperature: 4 Circle Which Months: All Year J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # %WT AHM the three most hazardous 1 ) METHYL TERT BUTYL ETHER 1634044 < 15.0 I I chemical component or 2) TOLUENE 108883 < 6.5 I ] any AHM components 3) XYLENE 1330-20-7 < 4.6 [ ] 10) Location: SOUTHEAST SIDE OF LOT CHEMICAL DESCRIPTION 1} ~NVENTORY STATUS: New [ [ Addition [ [ RevisionlX[ Deletion([ Check if chemical isaNON TRADE SECRETIXJ TRADE SECRET 2) Common Name: FORMULASHELL PREMIUM GASOLINE Chemical Name: PETROLEUM HYDROCARBONS 3) DOT # (optional) 1203 AHM [ ] CAS # 8006-61-9 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire IX1 Reactive I ] Sudden Release of Pressurel I Immediate Health (Acute) IX| Delayed Health (Chronic) 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 19 6) PHYSICAL STATE Solid I ] Liquid IX| Gas [ ] Pure [ ] Mixture IX| Waste I ] Radioactive I ] 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount: 10~000 Average Daily Amount: 2~500 Annual Amount: 320,000 Largest Size Container: 10,000 # Days On Site: 365 UNITS OF MEASURE 8) STORAGE CODES lbs [ ] gal IX| ft3 [ ] a) Container: 01 curies [ ] b) Pressure: 1 c) Temperature: 4 Circle Which Months: All Year J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # %WT AHM the three most hazardous 1) METHYLTERT BUTYL ETHER 1634044 < 15.0 I I chemical component or 2) TOLUENE 108883 < 14.0 I I any AHM components 3) XYLENE 1330-20-7 < 8.8 [ 1 10) Location: SOUTHEAST SIDE OF LOT certify under penalty of law, that I have personally examined and am familiar wit~submitte~j~ thisand all attached documents. I believe the submitted information is true, accurate, and complete. PRINTII~ame & Title of AuthorizeJd Company Representative Signature ~ ' ~ Date ~usiness Name BAKE i FIELD CITY FIRE DEP, .RTMENT H [I ARDOUS MATERIALS INVEIII ORY Min.q Ave Shell Address 3700 Ming Avenue, Bakersfield Page 2 of 5 0462-1847 CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New | ] Addition I ] Revision [X] Deletion|} Check if chemical is aNON TRADE SECRET[X! TRADE SECRETI] 2) Common Name: FORMULASHELL PLUS GASOLINE Chemical Name: PETROLEUM HYDROCARBONS 3) DOT # (optional) 1203 AHM[] CAS # 8006-61-9 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire IX| Reactive [ ] Sudden Release of Pressure [ ] tmmediate Health (Acute) IX! Delayed Health (Chronicl [Xl 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 19 6) PHYSICAL STATE Solid [ ] Liquid IX] Gas [ ] Pure [ ] Mixture IX| Waste [ ] Radioactive AMOUNT AND TIME AT FACILITY Maximum Daily Amount: 10,000 Average Daily Amount: 2~5OO Annual Amount: 320~000 Largest Size Container: 10~000 # Days On Site: 365 UNITS OF MEASURE 8) STORAGE CODES lbs [ ] gal IX| ft3 [ ] a) Container: 01 curies [ ] b) Pressure: 1 c) Temperature: 4 Circle Which Months: All Year J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # %WT AHM the three most hazardous 1) METHYL TERT BUTYL ETHER 1634044 < 15.0 [I chemical component or 2) TOLUENE 108883 < 9.5 I ] any AHM components 3) XYLENE 1330-20-7 < 6.3 I ] 0) Location: SOUTHEAST SIDE OF LOT CHEMICAL DESCRIPTION INVENTORY STATUS: New I 1 Addition I ] Revision IX| Deletion I ] Check if chemical is a NON TRADE SECRET IXl TRADE SECRET 2) Common Name: MOTOR OIL Chemical Name: PETROLEUM HYDROCARBONS 3) DOT # (optional) 1270 AHM[] CAS # 64742-65-0 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Firel ] Reactive|| Sudden Release of Pressure|| Immediate Health (Acute) [] Delayed Health(Chronicl 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 26 6) PHYSICAL STATE Solid I ] Liquid IX) Gas [ ] Pure | ] Mixture IX! Waste I ! Radioactive I ] 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount: 300 Average Daily Amount: 100 Annual Amount: 1,400 Largest Size Container: quart # Days On Site: 365 UNITS OF MEASURE 8) STORAGE CODES lbs ( ] gal IX| ft3 ( ! a) Container: 10 curies [ ] b) Pressure: 1 c) Temperature: 4 Circle Which Months: All Year J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List ' COMPONENT CAS # %WT AHM the three most hazardous 1) DISTILLATES 94742547 > 70.0 I ) chemical component or 2) ADDITIVES MIXTURE < 25.0 [ I any AHM components 3) SYNTHETIC BASE OIL MIXTURE < 5.0 [ I 10) Location: IN SERVICE BAY STOR RM certify under penalty of law, that I have personally examined and am familiar w<~ths~J..~mat~on submitt/ed',,~n this and all attached documents, t belie, PRINT Na~ne & Title of Au'rigor|zed ~:ompany Representative S' - ~ Date Business Name BAKE/FIELD CITY FIRE DEP i RTMENT HT ARDOUS MATERIALS INVEI ORY Ming Ave Shell Address 3700 Min,q Avenue, Bakersfield Page 3.,of5 0462-1847 CHEMICAL DESCRIPTION INVENTORY STATUS: New (] Addition [] Revision[X) Deletion I] Check if chemical is a NON TRADE SECRET[XI TRADE SECRET 2) Common Name: CARBON DIOXIDE Chemical Name: CARBON DIOXIDE 3} DOT # (optional) 1013 AHMI] CAS# 124-38-9 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure[X) Immediate Health (Acute) [Xl Delayed Health (Chronic) 5} WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 99- For drink dispensers 6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas IX) Pure |X] Mixture [ ] Waste ! ] Radioactive 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount: 150 Cu,Ft. Average Daily Amount: 75 Cu.Ft. Annual Amount: 450 Cu.Ft. Largest Size Container: 75 Cu. Ft. # Days On Site: 365 UNITS OF MEASURE 8) STORAGE CODES lbs [ ] gal [ ] ft3 IX) a) Container: 04 curies { ] b) Pressure: 2 c) Temperature: 6 Circle Which Months: All Year J, F, M, A,'M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # %WT AHM the three most hazardous 1) CARBON DIOXIDE 124-38-9 1OO ( ] chemical component or 2) ~ 1 any AHM components 3) I ] 10) Location: IN SALES AREA CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New I ] Addition [ ] Revision IX) Deletion [ ] Check if chemical is a NON TRADE SECRET IX) TRADE SECRET 2) Common Name: WASTE OIL Chemical Name: PETROLEUM HYDROCARBONS 3) DOT # (optional) 9189 AHM[] CAS # 800-20-59 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire Il Reactive [ ] Sudden Release of Pressure[) Immediate Health (Acute) [] Delayed Health (Chronic) [Xl 5) WASTE CLASSIFICATION 221 (3-digit code from DHS Form 8022) USE CODE 40 6) PHYSICAL STATE Solid I I Liquid IXJ Gas [ ] Pure [ ] Mixture [X) Waste IX) Radioactive AMOUNT AND TIME AT FACILITY Maximum Daily Amount: 550 Average Daily Amount: 300 Annual Amount: 1 ~200 Largest Size Container: 550,qal # Days On Site: 365 UNITS OF MEASURE B) STORAGE CODES lbs I ] gal IXl ft3 [ I a) Container: 01 curies [ ] b) Pressure: 1 c) Temperature: 4 Circle Which Months: All Year J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # %WT AHM the three most hazardous 1) WASTE OIL 800-20-59 100.0 I I chemical component or 2) I 1 any AHM components 3). I I 10) Location: EAST SIDE OF SALES BLDG certify under penalty of law, thatlhave personally examined and am familiarw~rmationsubmit.~ on this and all attached documents. Ibeliev, ~the submitted~..~informationL \~ ~'J~,~-~'~:)is true, accurate, and complete. PRINT Name & Title of AuthoriZed Company Representative S-igna~ure ~ ~'/)~" ' Date Business Name :ARDOUS MATERIALS INVE Ming Ave Shell Address 3700 M n,q Avenue, Bakersfield Page 4 of._.~5 0462-1847 CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [] Addition l| Revision(X| Deletion [] Check if chemical isa NON TRADE SECRETIX] TRADE SECRETI] 2) Common Name: WASTE ANTIFREEZE Chemical Name: ETHYLENE GLYCOL 3) DOT # (optional) 9189 AHM[] CAS # 107-21-1 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ) Sudden Release of Pressure I ] Immediate Health (Acute) iX| Delayed Health (Chronic) iX) 5) WASTE CLASSIFICATION 343 (3-digit code from DHS Form 8022) USE CODE 40 6) PHYSICAL STATE Solid [ ] Liquid iX| Gas [ ] Pure [ ] Mixture iX| Waste iX| Radioactive 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount: 55 Average Daily Amount: 15 Annual Amount: 50 Largest Size Container: 55 ,qel # Days On Site: 365 UNITS OF MEASURE 8) STORAGE CODES lbs | | gal IX| ft3 I ] a) Container: 06 curies [ ] b) Pressure: 1 c) Temperature: 4 Circle Which Months: All Year J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazardous 1) WASTE ANTIFREEZE 107-21-1 100.0 I ] chemical component or 2) [ } any AHM components 3) I ] 0) Location: IN SERVICE BAY CHEMICAL DESCRIPTION INVENTORY STATUS: New [ ] Addition I] RevisionlXJ Deletion [] Check if chemical is a NON TRADE SECRET(X| TRADE SECRET 2) Common Name: WASTE OIL FILTERS Chemical Name: PETROLEUM HYDROCARBONS 3) DOT # (optional) 9189 AHM(] CAS # 800-20-59 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [] Sudden Release of Pressure(| Immediate Health (Acute)(| Delayed Health (Chronic) ~X] 5) WASTE CLASSIFICATION 223 (3-digit code from DHS Form 8022) USE CODE 40 6) PHYSICAL STATE Solid I ] Liquid lXJ Gas [ ] Pure [ ] Mixture iX| Waste iX| Radioactive 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount: 200 Average Daily Amount: 100 Annual Amount: 400 Largest Size Container: 55 ,qal # Days On Site: 365 UNITS OF MEASURE 8) STORAGE CODES lbs [ ] gal iX| ft3 [ | a) Container: 06 curies [ ] b) Pressure: 1 c) Temperature: 4 Circle Which Months: All Year J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazardous 1 ) WASTE OIL FILTERS 800-20-59 100.0 I ] chemical component or 2) I t any AHM components 3) I ] 10) Location: IN SERVICE BAY familiar with ~nfor ion submitted 's and~all attached documents. I beliew the submitted information is true, accurate, and complete. PRINT N~me & Title of Authori~d Company Representative Signa'-~ure J ' ~'J Date ]usiness Name BAKERSFIELD CITY FIRE DEPARTMENT HI~IARDOUS MATERIALS INVI~ORY Min.q Ave Shell Address 3700 Ming Avenue, Bakersfield Page 5 of~ 0462-184, CHEMICAL DESCRIPTION INVENTORY STATUS: New [ ] Addition [ ] Revision [X] Deletion [ ] Check if chemical is a NON TRADE SECRET IX] TRADE SECRET 2) Common Name: WASTE BATTERIES Chemical Name: LEAD\ACID BATTERY 3) DOT # (optional) 2794 AHM [ ] CAS # MIXTURE 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive ! ] Sudden Release of Pressure [ ] Immediate Health (Acute) [X] Delayed Health (Chronic) 5) WASTE CLASSIFICATION 162 (3-digit code from DHS Form 8022) USE CODE 40 6) PHYSICAL STATE Solid [ ] Liquid IX] Gas [ ] Pure [ ] Mixture IX] Waste IX} Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount: 1 Average Daily Amount: 1 Annual Amount: 30 Largest Size Container: BATTERY # Days On Site: 365 UNITS OF MEASURE 8) STORAGE CODES lbs [ ] gal IX] ft3 [ ] a) Container: 10 curies [ ] b) Pressure: 1 c) Temperature: 4 Circle Which Months: All Year J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # %WT AHM the three most hazardous 1 ). LEAD DIOXIDE 1309-60-0 31 [ ] chemical component or 2). SULFURIC ACID 7664-93-9 34 [X] any AHM components 3). LEAD 7439-92-1 34 [ ] 10) Location: IN SERVICE BAY certify under penalty of law, that I have personally examined and am familiar with the~itted on t~nd all,~attached documents. I believe the submitted information ~ true, accurate, and complete. PRINT Name & Title of Authorized Company Representative /gnature ' ~ ' fi Date wIc# 0462-1847 CHUCK E. CHEESE RESTAURANT .'/ g MING AVENUE EXXON SERVICE STATION NORTH FULL SERVICE STATION LEGEND EMERGENCY PUMP SHUT-OFF ELECTRICAL PANEL SHU T- OFF ~ NATURAL OAS SHUT-OFF WATER SHUT-OFF /,,, TMA TANk'. MONITORING ~ ALARM ~_.) TELEPHONE c:~ F~RST AID KiT FiRE EXTINGUISHER [] STORM DRAIN [] OIL/WATER SEPARATOR ?" EMERGENC I' ":~ ASSEMELY AREA HMMP HMMF', AND MSDS MSDS LOCATION (H? HOIST (SERVICE BAY) :(~ FIRE Hh DRANT ;, .~ FENCE · MONITORING WELLS '/~ OBSERVATION WELLS (~ ANTIFREEZE k~/-~) BATTERY STORAGE GREASE (BARREL) MOTOR/TRANSMISSION OIL A.O. PRODUCT TANK U.O. PRODUCT TANK SOLVENT SINK U.G WASTE OIL TANk; ABSORBENT WASTE (])IL FILTERS, WASTE ANTIFREEZE WASTE BATTERIES SCALE: 1"=30'-0"+ DATE: 3/04/93 SI TE PLAN MING AVENUE SHELL 3700 MING AVENUE BAKERSFIELD, CALIFORNIA WIG# 0462-1847 SHELL OIL COMPANY 93509 I--~ROBERT H. LEE &: ASSOCIATES, INC. ARCHITECTURE ENGINEERING FNVIRONMEN ~. * HAZARDOUS MATERIAL MANAGEMENT PLAN DEALER: Livengood, Inc. BUSINESS NAME: Mine Ave Shell STREET: 3700 Mine Road CITY: Bakersfield WIC No: 0462-1847 DESCRIPTION RETAIL SALES OF GASOLINE AND RELATED PETROLEUM PRODUCTS. EXISTING UNDERGROUND TANKS ARE AS FOLLOWS: SHELL SUPER UNLEADED SHELL REGULAR UNLEADED SUPER REGULAR UNLEADED DIESEL WASTE OIL PRODUCT LINES: MATERIAL: FG CONSTRUCTION: Single Wall OWNER: No. of SIZE MATERIAL CONST. TANKS (gal) (STL/FG) (SW/DW) I 10,000 FG DW I 10,000 FG DW I I 0,000 FG DW 0 I 550 FG DW SHELL OIL COMPANY P.O. BOX 4023 CONCORD, CA 94524 All product lines are pressurized using a submerged pumping system. All product lines have in-line Red Jacket leak detectors which restrict product flow rates by more than 50%. Annually all product lines are pressure tested and a test performed to assure the leak detectors are functional. Impact valves are also inspected annually to assure closure. Repair and/or replacement of all leak detectors and impact valves will be done annually at the time of inspection and retested to meet the above test conditions. * This document is to be kept current and placed at the site as part of the "Green Book" in the manager's office. (revision 12/92) MONITORING PROCEDURES FOR DOUBLE WALL TANKS TANK MONITORING The Underground storage tanks are monitored using an approved continuous monitoring system (see below). This system is able to detect the presence of a leak in the primary as well as secondary containment through the use of a liquid filled annular space and submerged liquid level sensor. MONITORING SYSTEM The following continuous monitoring system is used at this facility: API-RONAN- RESPONSIBLE SHELL PERSONNEL NAME TITLE PHONE Bill Hilterbrand Manager Day 805 322-3122 24hr 805 588-0352 .left Granberrv Project Engineer Work 510-675-6145 Home 510-825-1538 Dan T. Kirk Environmental Engineer Work 510-676-6168 Home 510-945-8573 See also "Shell Leak Response Plan" MONITORING PROCEDURES LUBE BAY SUMPS/CAR WASH SUMPS LUBE BAY SUMP Lube bay sumps to be visually monitored monthly by a licensed Hazardous Material Contractor who will determine whether the sump is to be cleaned. If the sump requires cleaning, the contractor will arrange to have it cleaned. All hazardous wastes will be handled in compliance with all applicable federal, state, and local ordinances. The dealer, or his designate, will accompany the Hazardous Material Contractor during his inspection and actions taken will be recorded in the "Visual Monitoring Log." The floor drains in the lube bay drain into the sump. The sump drains into the sanitary sewer. CAR WASH SUMPS The car wash sump will be visually monitored monthly by a contractor who will determine if the sump needs to be cleaned. If the sump requires cleaning, the contractor will clean it. All wastes will be properly disposed of. The car wash sumps drain into the sanitary sewer. The dealer will record visual inspections in his monitoring log. BATTERY STORAGE (NEW OR USED) All automotive batteries, when stored at the service stations, must have a plastic (polyethylene) pan underneath. The pan or pans must have a 1" lip on all I'bur sides of the pan to contain any battery acid that may leak from the batteries stored. DISPOSAL PROCEDURE FOR ANTI-FREEZE Used anti-freeze should be put in a 55 gallon drum or similar container and the container labeled "Waste Anti-freeze / Hazardous Material". The container must be placed on a metal or plastic pan with a 2" to 3" lip all the way around the pan to contain any spills or leaks from the container. When the container is fifll, call an "Anti-freeze Recycling Contractor" to remove the container of used anti-freeze. Do not, under any circumstances, pour used or new anti-freeze or a mixture thereof on the floor or on the ground and hose it down to floor drains or storm drains. Do not pour anti-freeze into your waste oil tank. DISPOSAL PROCEDURE FOR USED OIL FILTERS The dealer will put Used oil filters in a 55 gallon drum or similar container and the container labeled "Waste Oil Filters / Hazardous Material". The container will be placed on a metal or plastic pan with a 2" to 3" lip ali the way around the pan to contain any spills or leaks from the container. When the container is tull, the dealer will call a "Waste Oil Recycling Contractor" to remove the container of used oil filters. The dealer will drain all used oil filters of free-flowing oil prior to placement into the above noted container. Free flowing oil is defined as a continuous stream of oil exiting the filter when the filter is inverted. Oil exiting drop by drop is not considered free flowing. If oil exiting the filter is restricted in any way, the filter shall be manipulated to allow used oil to exit the filter freely. Used oil filters will not b~ placed in a refuse disposal container. DALLY VISUAL MONITORING PROCEDURES FOR ABOVEGROUND HAZARDOUS MATERIALS Hazardous Materials stored aboveground include: [X] Motor Oil IX] Transmission Oil [ ] Antifreeze [ ] Grease [ ] Gear Lubricant (80W/90) [ ] Solvent (including parts cleaners) [ ] Propane [ ] Battery Acid * [ ] Car Wash Products [ ] Kerosene Ix] co. IX] Waste Oil (prior to dumping in underground tank) IX] Spent Anti-fi'eeze * IX] Used Oil Filters The storage areas tbr these hazardous materials must he visually inspected every day for signs of leakage. Items designated with a (*) require secondary containment with the contents of each container clearly labeled. If there is a leak or spill of any of the hazardous materials, whether stored above- or underground, Dealer must follow the "Emergency Response Procedures," attached. ~ EMERGENCY RESPONSE 0462-1847 In the event of a fire, spill, or a leak or suspected leak in the tanks and/or piping, the following steps are to be taken as applicable: 1. TURN OFF PUMPS using the Emergency Pump Shut-Off Switch. 2. EVACUATION: If there is any immediate danger, ANNOUNCE to all persons on the site: "There is an emergency. Please turn off your engines and leave the station on foot immediately." 3. CALL FOR HELP in case of an emergency by dialing 9-1-1 and giving the following information: "THERE IS A FIRE / GASOLINE SPILL at the SHELL station at 3700 Ming Road." If anyone is trapped or needs medical attention, tell the answering dispatcher. Stay on the phone and be prepared to answer any questions concerning the situation. 4. LOOK AROUND to assure that all others have left the station if necessary, particularly those in vehicles who may need assistance or may not have heard the emergency announcement. Assist, or direct assistance to, anyone having difficulty leaving the station area, and anyone who may be injured. 5. ATTEMPT TO EXTINGUISH any small or incipient fire if you can do so safely. Have the fire extinguisher ready to use in the event of any spill. Try to contain any large spill, or use absorbent on smaller spills. 6. REPORT to arriving emergency response personnel to provide them with any inforlnation or assistance they might need. 7. CONTACT the station dealer if s/he is not already at the station. Use the list below for emergency contacts: 1. Name/Bns Phone/Home Phone: Bill Hilterbrand /805 322-3122 /805 588-0352 2. Name/Bus Phone/Home Phone: Frank Quercia /805 831-5151 /805 834-2131 Ao NOTIFY your SHELL OIL District Engineer by phone WITHIN 24 HOURS SHELL OIL District Engineer: Jeff Granberrv PHONE NUMBER: (510) 675-6145(days) (510) 825-1538(home) You must mail a completed Unauthorized Release Report to SHELL within 24 hours. SHELL will notify the appropriate State and Local agencies unless the situation requires ureent immediate response by the aeencies, in which case the DEALER should notify these agencies: B. LOCAL AGENCY: Bakersfield Fire Department PHONE NUMBER: 805 326-3979 C. CALIFORNIA OFFICE OF EMERGENCY SERVICES, (800) 852-7550 (24 HOURS) These agencies must be notified within 24 hours ot' release detection. 9. 10. 11. Dealer should attempt to isolate leak location by inspection. SHELL will coordinate whatever corrective actions need to be taken beyond the Dealer's capabilities. SHELL will file whatever reports need to be filed with local and state agencies, and send a copy to the station for the Dealer's files. RE-ENTRY: If evacuation has occurred and emergency responders have been called, re-entering this facility should take place with extreme caution and only under the direction of the senior emergency responder on site and Shell engineers. THESE EMERGENCY RESPONSE PROCEDURES MUST BE FILLED OUT AND POSTED CONSPICUOUSLY ON SITE ALONG WITH THE ATTACHED SITE PLAN EMPLOYEE TRAINING PLAN Employees must be given this training bet'ore starting work, and refresher courses must be provided annually. Records must be kept to show when each station employee has been given his/her safety training. Use the tbllowing outline and make copies as needed. Have employee date and sign this document upon completion of training on the following page. Retain these records for a minimum of three years. I. FIRST THINGS TO KNOW: A. EMERGENCY PUMP SHUT-OFF: This turns off the turbine pumps that provide flow to the dispensers from the underground tanks. In case of a leak, shutting off the pumps will help to prevent spills. LOCATION: I-SOUTH WALL OF SALES BUILD1NG B. ELECTRICAL PANEL: The panel allows you to selectively cut off power to lights, signs, pumps, etc. The main switch kills all power at the site. LOCATION: WEST WALL OF SERVICE BAY C. WATER SHUT-OFF: The ~vater shnt-off may be necessary in some cases. LOCATION: IN SIDEWALK ALONG REAL ROAD D. FIRST AID KIT: LOCATION: l-IN SALES AREA l-IN SERV BAY STOR RM FIRE EXTINGUISHER: Use only on small fires that you can handle. your own; call 9-1-1 for help. LOCATION: 3-1N SERVICE BAY Do not attempt to extinguish large fires on ABSORBENT: In thc form of crystals or cloth, absorbent can soak up small spills of gasoline, diesel fuel, or other petroleum products. Absorbent should be used rather that washing spills down a drain. In case of large spill, merely try to contain it; a vacuum truck should he used to clean up any large spill. LOCATION: IN SERVICE BAY STORAGE ROOM G. NEAREST MEDICAL FACILITY: employees need medical attention. I. NAME: Kern Medical Center Employees should know what facilities are available in case customers or other II. ADDRESS: 1830 Flower Street, Bakersfield PHONE NUMBER: 805 326-2667 DESIGNATED TRAUMA CENTER: 2. NAME: Bakersfield Memorial Hospital ADDRESS: 420 34th Street, Bakersfield PHONE NUMBER: 805 327-1792 All employees should review the Service Station Monitoring Plan, of which this training plan is a part. Specifically, each employee should understand the procedures to be used in responding to various kinds of emergencies, and know how to monitor for leaks of hazardous materials. As a supplement to this package, employees should also review the Emergency Response Plan filed by your business to the appropriate local agency. Thirdly, employees should review and have access to the Materials Safety Data Sheets you have on file for each of the hazardous materials stored at the station and must be drilled in all emergency response procedm'es contained herein. III. A. FIRST AID PROCEDURES (For exposure to gasoline or diesel fl~el): EYE CONTACT: Flush with water for 15 minutes while holding, eyelids open. Get medical attention. B. SKIN CONTACT: Flush with water while removing contaminated clothing and shoes. Follow by washing with soap and water. Do not reuse clothing or shoes until cleaned. If irritation persists, get medical attention. C. INHALATION (Breathin.e): Remove victim to fresh air and provide oxygen if breathing is difficult. If not breathing, give artificial respiration. Get medical attention. D. INGESTION (Swallowine): DO NOT INDUCE VOMITING BECAUSE GASOLINE CAN ENTER LUNGS AND CAUSE SEVERE LUNG DAMAGE! If vomiting occurs spontaneously keep head below hips to prevent aspiration of liquid into lungs. Get medical attention. Eo NOTE TO PHYSICIAN: If more than 2.0 mi per kg has been ingested and vomiting has not occurred, emesis should be induced with medical supervision. Keep victim's head below hips to prevent aspiration. If symptoms such as loss of gag reflex, convulsions or unconsciousness occur before emesis, gastric lavage using a cuffed endotracheal tube should be considered. F. For fl~rther information, consult the Materials Safety Data Sheets for these products and for other hazardous materials. FIRST AID FOR EXPOSURE TO OTHER MATERIALS: Consult the warning advice on container labels or refer to the MSDS for that product. I have reviewed, understand and have been properly drilled in the above employee training program. EMPLOYEE SIGNATURE EMPLOYEE NAME (PRINT) DATE INITIAL ANNUAL TRAINING REFRESHER (CHECK AS APPLICABLE) 10 SHELL LEAK INTRODUCTION RESPONgPLAN IT IS THE PURPOSE OF THIS SECTION TO ESTABLISH BASIC GUIDELINES AND PROCEDURES FOR USE BY THE SHELL OIL COMPANY FOR THE HANDLING OF PRODUCT SPILLS/LEAKS WHICH MAY OCCUR AT SHELL FACILITIES. DESIGN AND INSTALLATION IMPROVEMENTS ARE CONTINUOUSLY BEING EVALUATED AND IMPLEMENTED IN ORDER TO REDUCE, AND ELIMINATE, THE POTENTIAL FOR PRODUCT LEAKAGE. RESPONSIBLE SHELL PERSONrNEL NAME Bill Hilterbrand TITLE 54 anager Prqject Engineer Jeff G ranberry PHONE Day 805 322-3122 24hr 805 588-0352 Work 510-675-6145 Home 510-825-1538 Dan T. Kirk Environnlental Engineer Work 510-676-6168 Home 510-945-8573 RESPONSIBLE CONTRACTOR GETTLER - RYAN, INC. 2150 WEST WINTON HAYWARD, CA 94545 510/783-7500 24 HOURS LEAK VERIFICATION WHEN A SERVICE STATION PRODUCT LOSS IS SUSPECTED OR REPORTED, THE FOLLOWING LEAK VERIFICATION PROCEDURES WILL APPLY: THE SHELL ENGINEER WILL ARRANGE FOR THE SHELL TERRITORY MANAGER TO IMMEDIATELY (THE SAME DAY) VISIT THE STATION TO REVIEW THE DEALER'S PHYSICAL CONTROL OF PRODUCTS AND INVENTORY RECORDS. AT THE SAME TIME, THE ENGINEER WILL ORDER A PUMP/DISPENSER CALIBRATION, ASSURE METERS ARE SEALED, INSPECT ACCESSIBLE POTENTIAL LEAK SOURCES, AND CHECK LEAK DETECTOR OPERATION (ON REMOTE SYSTEMS). ALSO, THE ENGINEER SHALL START MAINTAINING A PRODUCT LOSS LOG AS WELL AS A RECORD OF SIGNIFICANT DALLY LEAK RELATED ACTIVITIES. IF THE ABOVE INVESTIGATIONS PROVE INCONCLUSIVE, THE TERRITORY MANAGER SHOULD IMMEDIATELY BEGIN A DALLY INVENTORY LOG (EXHIBIT B), WH1CH WOULD BE MAINTAINED FOR A MINIMUM PERIOD OF 48 HOURS AND A MAXIMUM OF 7 DAYS, FOR SUBSTANTIATION OF A SUSPECTED LEAK. DEPENDING ON THE CIRCUMSTANCES (POTENTIAL HAZARDOUS CONDITION, ETC.), 1T MAY BE NECESSARY TO TAKE ADDITIONAL LEAK RESPONSE ACTION DURING THE PER1OD OF INVENTORY. IF PRODUCT LOSSES ARE VERIFIED, PRODUCT LINES AND/OR TANKS MAY REQUIRE TESTING TO DETERMINE THE LEAK SOURCE. 11 PRODUCT LINES MAY BE TESTED USING AIR PRESSURE (APPROXIMATELY 50 PSI) OR A SHELL APPROVED LINE TESTING SYSTEM (E.G., KENT-MOORE). SHOULD THE LINE TESTS INDICATE LEAKING LINES, THEY SHALL BE REPAIRED OR REPLACED AND RETESTED TO ASSURE THE LEAK HAS BEEN STOPPED. IN ADDITION, A PRODUCT LOG INVENTORY CHECK SHOULD BE MAINTAINED FOR A PERIOD OF 7 DAYS AFTER THE LINE REPAIRS TO ASSURE THERE ARE NO OTHER LEAKS IN THE SYSTEM. SHOULD THE TEST INDICATE THE LINES ARE NOT LEAKING OR IF A SHORTAGE CONTINUES AFTER THE LINES HAVE BEEN REPAIRED, THE UNDERGROUND TANK(S) SHALL BE TESTED BY A PRECISION OR OTHER APPROVED PROCEDURE. (SEE N.F.P.A.329). NOTE: LOCAL FIRE CODES AND ORDINANCES MAY DICTATE THE APPROPRIATE TESTING PROCEDURES FOR USE ON UNDERGROUND TANKS. AIR TESTS OF UNDERGROUND TANKS. ARE NOT RECOGNIZED AS CONCLUSIVE, ARE DEEMED UNSAFE BY MANY FIRE PREVENTION AGENCIES, AND SHOULD NOT BE USED. IF THE TANK TEST INDICATES ONE OR MORE TANK LEAKS, REPAIR OR REPLACEMENT WILL BE COMPLETED. CORRECTIVE ACTION THE SHELL ENGINEERING STAFF SHALL TAKE IMMEDIATE ACTION TO STOP, CONTAIN, AND SHALL TAKE IMMEDIATE DECISIVE ACTION TO RELIEVE THE THREAT OF PUBLIC HEALTH AND SAFETY HAZARDS, OR PROPERTY DAMAGE. IT MAY BE APPROPRIATE TO OBTAIN SAMPLES OF THE RELEASED PRODUCT FOR TESTING AND IDENTIFICATION BY SHELL LABORATORY. OBSERVATION WELLS WILL ONLY BE INSTALLED WITH HEAD OFFICE, MARKETING ENGINEERING, ENVIRONMENTAL GUIDANCE. IF LOCAL AUTHORITIES AND/OR CONDITIONS DEMAND IMMEDIATE INSTALLATION, THEN INSTALL THE TEST WELLS 1N ACCORDANCE WITH STANDARDS SHOWN FOR MINIMUM FOUR INCH PVC PIPE WITH INSTALLATION. IF FORCED, BY SITUATION, TO INSTALL OBSERVATION WELLS OFF SITE ON PUBLIC PROPERTY, ACQUIRE LOCAL AUTHORITY APPROVAL OR WRITTEN ORDER TO PERFORM THE WORK. 4. OBSERVATION WELL INSTALLATION STANDARDS (SEE OBSERVATION WELL DETAIL ATTACHED). INSTALL OBSERVATION WELLS 1N LOCATIONS SPECIFIED AND/OR APPROVED BY HEAD OFFICE, MARKETING ENGINEERING, ENVIRONMENTAL. DRILL (AUGER) A MINIMUM 12-1NCH DIAMETER HOLE TO A DEPTH OF AT LEAST :5 FEET BELOW THE MINIMUM WATER TABLE. Co INTO THE HOLE, INSTALL 4-INCH OR 6-1NCH DIAMETER SCHEDULE 40 SLOTTED AND BLANK PVC PIPE, WITH PIPE SIZE DEPENDENT UPON THE SITE'S GEOLOGY AND LOCAL REGULATIONS. SLOTTED PIPE SHALL HAVE FACTORY CUT TWENTY THOUSANDTHS (.020) INCH SLOTS. Do Eo USE SLOTTED PIPE FROM THE BOTTOM OF THE WELL HOLE TO APPROXIMATELY 3 FEET ABOVE THE MAXIMUM GROUNDWATER TABLE, CONSIDERING WATER TABLE FLUCTUATION. THE SLOTTED PIPE SHALL BE CAPPED AT THE BOTTOM. THE BLANK PIPE SECTION ATTACHED TO THE TOP OF THE SLOTTED PIPE AND EXTENDS UPWARD TO .lUST BELOW GRADE ELEVATION. AVOID USING GLUE TO COUPLE THE PIPE SECTIONS; RATHER, USE THREADED PVC PIPE OR OTHER COUPLING METHODS WHENEVER POSSIBLE. A LOCKABLE CAP SHALL BE INSTALLED ON TOP OF THE BLANK PIPE. 12 ONCE THE SLOTTED AND BLANK PIPE HAS BEEN SET IN THE HOLE, BACKFILL WITH A FILTER PACK OF POROUS MATERIAL SUCH AS PEA GRAVEL. THE FILTER PACK SHOULD BE FILLED AROUND THE PIPE TO AT LEAST 2 FEET ABOVE THE TOP OF THE SLOTTED SECTION. DO NOT BACKFILL AROUND THE SLOTTED PIPE WITH CLAY OR OTHER MATERIAL WHICH WOULD IMPEDE GROUNDWATER FLOW INTO THE OBSERVATION WELL. Go ABOVE THE FILTER PACK, BACKFILL WITH CLEAN, DRILLED SOIL MATERIAL TO APPROXIMATELY 2 TO 3 FEET BELOW GRADE, AND TOP THE BACKFILL WITH A SURFACE SEAL OF CEMENT GROUT OR PACKED CLAY TO PREVENT SURFACE CONTAMINATION FROM INFILTRATING THE FILTER PACK AND ENTERING THE WELL. "DEVELOP" THE OBSERVATION WELL BY FLOODING IT WITH WATER AND THEN PUMP IT OUT. THIS ACTION WILL DRAW DRILLING MUD AND FINE PARTICLES OUT OF THE FILTER PACK, IMPROVING THE PERFORMANCE OF THE WELL. I. AUGURED HOLE SOIL CHARACTERISTICS WILL BE RECORDED. OBSERVATION WELLS SHALL BE PROTECTED FROM DAMAGE DUE TO TRAFFIC OR OTHER HAZARDS AND REMAIN ACCESSIBLE FOR FUTURE USE AND OBSERVATION. WHERE LOCATED IN TRAFFIC AREAS, DRIVEWAY MANHOLES AND COVERS SHALL BE INSTALLED. 5. OBSERVATION WELL MONITORING AND DATA ESTABLISH A BENCHMARK AND DETERMINE THE RELATIVE ELEVATIONS AT THE TOP OF EACH TEST WELL PIPE. B. MONITOR THE WATER AND DEPTHS IN EACH PIPE. NOTE: IT IS IMPORTANT THAT ALL MEASUREMENTS BE FROM THE TOP OF EACH PIPE TO THE WATER AND/OR PRODUCT LEVELS IN EACH PIPE. RECORD MEASUREMENTS TO THE NEAREST EIGHTH INCH. PRODUCT SHOULD BE PUMPED OUT OF THE OBSERVATION WELLS ONLY WHEN DIRECTED BY HEAD OFFICE. PREMATURE REMOVAL OF SAID PRODUCT COULD CAUSE INCORRECT WELL "READINGS". ~VELL EQUIPMENT/MATERIALS 1. OBSERVATION WELL PIPE SCHEDULE 40 PVC PIPE (4.5" OD-.237 WALL THICKNESS) AVAILABLE IN BOTH FACTORY SLOTTED AND STANDARD PIPE WITH FITTINGS AND CAPS AVAILABLE. SIX, EIGHT, TEN AND TWELVE INCH SCHEDULE 40 PVC PIPE ALSO AVAILABLE WITH FACTORY MACHINE SLOTS AT TWENTY THOUSANDTHS OF AN INCH. C. FACTORY SLOTTED PIPE AVAILABLE FROM THE FOLLOWING MANUFACTURERS: 2" TO 14" AVAILABLE GATOR PLASTICS. 1NC. BOX 15020 BROADVIEW STATION BATON ROUGE, LOUISIANA 70815 TELEPHONE: 504/926-0100 MR. TOM HAYES 2" TO 14" AVAILABLE HYDROPHYLLIC IN DUSTRIES 5815 A NORTH AMERICAN PUYALLUP, WASHINGTON 98371 TELEPHONE: 206/927-4321 MR. PHILGALLAGER 13 2" TO 12" AV'4~LABLE DIVERSIFIED WELL PRODUCTS, INC. P.O.BOX 3495 FULLERTON, CALIFORNIA 92634 TELEPHONE: 714/632-9334 MR. KURTGOSS 2" TO 12" AVAILABLE HANDEX 703 GENESI DRIVE MORGANVILLE, NEW JERSEY 07751 TELEPHONE: 201/536-8500 MR. GREG REUTER 2" TO 8" AVAILABLE JET STREAM PLASTICS SILOAM SPRINGS, ARKANSAS 72761 TELEPHONE: 501/524-5151 NOTE: IN ORDERING PIPE, REMEMBER TO ORDER POLYVINYL CHLORIDE (PVC) PIPE. BE CAREFUL THAT A SUPPLIER DOES NOT SUBSTITUTE ACRYLONITRILE-BUTADIENE-STYRENE (ABS), WHICH TENDS TO BECOME BRITTLE WITH WEATHERING. SELECTION OF THE CORRECT WELL CASING AND RELATED PRODUCTS IS OF PARAMOUNT IMPORTANCE. MISAPPLICATION AND IMPROPER SELECTION CAN BE THE SOURCE OF POTENTIAL WELL FAILURE. IT IS RECOMMENDED THAT ALL PVC PIPE ORDERS BE SCHEDULE 40 PVC. 2. SUBMERGED PUMP AND MISCELLANEOUS PRODUCT RECOVERY EQUIPMENT. THE EQUI PM ENT SELECTED FOR A PRODUCT RECOVERY OPERATION WILL DEPEND UPON SPECIFIC CONDITIONS AT THE JOB SITE. THE HEAD OFFICE HYDROGEOLOGIST WILL SPECIFY THE EQUIPMENT TO BE USED FOR EACH SITUATION. PRODUCT RECOVERY SYSTEMS SHOULD A PRODUCT RECOVERY BE NEEDED THE DESIGN WILL VARY DEPENDING UPON THE SPECIFIC SITE CONDITIONS. IN SOME CASES, WHERE PRODUCT MOVEMENT IS CONFINED AND THE WATER TABLE IS RELATIVELY SHALLOW, A TRENCH MIGHT BE USED TO INTERCEPT AND COLLECT THE PRODUCT. IN OTHER SITUATIONS. WHERE PRODUCT MIGRATION IS WIDESPREAD AND/OR THE WATER TABLE IS RELATIVELY DEEP, THE "CONE OF DEPRESSION" RECOVERY WELL APPROACH MAY BE MOST EFFECTIVE. (SEE RECOVERY WELL DETAIL ATTACHED.) EXACT METHOD OF RECOVERY WILL BE APPROVED BY SHELL OIL COMPANY, HEAD OFFICE MARKETING ENGINEERING, ENVIRONMENTAL. IN A LIMITED NUMBER OF SITUATIONS, THE OBSERVATION WELL MAY BE USED EFFECTIVELY AS A PRODUCT RECOVERY WELL. THE FOLLOWING CONDITIONS MUST EXIST: A. PRODUCT DEPTH IS NOT BEYOND THE LIFTING CAPABILITY OF AN APPROPRIATE PUMP. PRODUCT LOST IS MINIMAL, CONCENTRATED 1N THE AREA OF THE OBSERVATION WELLS, AND OF THICKNESS WHICH CAN BE SKIMMED OFF OF THE WATER TABLE. PRODUCT IS CONTAINED 1N AREA BY SOIL CHARACTERISTICS (CLAY, ROCK, ETC.) AND HAS MINIMAL MIGRATION. HAZARDOUS MATERIAL REMOVAL THE WATER/GASOLINE MIXTURE WILL BE REMOVED BY A LICENSED INDUSTRIAL WASTE HAULER (SUCH AS I.T. CORPORATION OR ACE IN'DUSTRIAL CLEAN1NG INC.) AND RETURNED TO SHELL OIL COMPANY, MARTINEZ MANUFACTURING COMPLEX, MARTINEZ. CA 94553 FOR REPROCESSING. 14 LOCATION EQUIPM'ENT LIST ADDRESS: 3700 Mine Road CITY: Bakerstield MONITORING INFORMATION: TANK TYPE: ( ) STEEL ( ) SINGLE WALL FIBERGLASS ( ) STEEL AND FIBERGLASS TANKS (X) DOUBLE WALLED FIBERGLASS TANKS OWENS CORNING - (X) YES ( ) NO CONTINUOUS ELECTRONIC MONITORING OF ANNULAR SPACE (X) YES ( ) NO INVENTORY CONTROL: (X) OPTION 5 ( ) TLS-250 VADOSE MONITORING: ( ) INSTALLED (X) NOT INSTALLED GROUNDWATER MONITORING WELLS: ( ) YES (X) NO MAINTENANCE CONTRACTORS: RONAN: VAPOR MONITORING AND INL1NE CHECK CONTRACTOR: GETTLER - RYAN 2150 WEST WINTON HAYWARD. CALIFORNIA PHONE NUMBER: 510/783-7500 EMERGENCY RESPONSE CONTRACTOR: MAINTENANCE CONTRACTOR: GETTLER - RYAN 2150 WEST WINTON HAYWARD, CALIFORNIA PHONE NUMBER: 510/783-7500 ENVIRONMENTAL CONTRACTOR: GETTLER - RYAN 2150 WEST WINTON HAYWARD, CALIFORNIA PHONE NUMBER: 510/783-7500 FOR EMERGENCY CALL: SHELL DISTRICT OFFICE: 510/676-1414 WEEK DAYS AFTER WORKING HOURS: DISTRIC_T ENGINEER: DAN KIRK: 510/945-8573 FIRE DEPARTMENT: 911 POLICE DEPARTMENT: 911 EMERGENCY MEDICAL AID: 911 15 INVENTORY VARIATION WORKS~T TO: TERRITORY MANAGER FROM: STATION OPERATOR DATE: RE: INVENTORY VARIATION EXCEEDING MAXIMUM ALLOWABLE LIMITS On , the station at (date)(address) had an inventory variation that exceeded the allowable limits as indicated below: SU2000 RU2000 SHELL SR AUTO DIESEL I have begun inventory discrepancy procedures and (check one) 1 have stopped dispensing product I have not stopped dispensing product This notification is in addition to the phone call I previously placed. (Dealer or Station Manager's signature) Remember to write the Territo,'y Manager's name and numl'~er on the bottom left hand comer of the envelope. 16 STATION ADDRESS WlC# MONTH PRODUCT INSPECTED BY MAXIMUM ALLOWABLE VARIATIONS EXIST FOR: -COLUMN G DAILY OVER (+) OR SHORT (-) ,~'~'~ -ACCUMULATED WEEKLY VARIATION -TOTAL MONTHLY VARIATION i DAllY INVENTORY LOC. PAGE 1 OF 2 COMPARE THESE VALUES AGAINST THE ALLOWABLE COVERAGE CHART FOR YOUR STATION. A B C D E -- G COMMENTS: RECONCILED DATE DAY OPENING GROSS DAILY METERED CLOSING CLOSING DAILY BY: OF PHYSICAL GALLONS METERED NON- BOOK PHYSICAL OVER THE INVENTORY LOADED SALES SALES INVENTORY INVENTORY OR SHORT WEEK (A+B-C+D) (-)(E-F) 1 2 4 , 5 6 7 8 9 10 11 12 13 14 DALLY INVENTORY PAGE 2 OF 2 A B C D E F G COMMENTS: RECONCILED DATE DAY OPENING GROSS DAILY METERED CLOSING CLOSING DAILY BY: OF PHYSICAL GALLONS METERED NON- BOOK PHYSICAL OVER (+) THE INVENTORY LOADED SALES SALES INVENTORY INVENTORY OR SHORT WEEK (A+B-C+D) (-)(E-F) IIi 15 16 17 18 20 21 22 23 24 25 27 3O TOTAl. ~ I~NTI-LY VAFIA'II~ ,GASOLINE THAT HAS BEEN PUIdPED THROUGH DISPENSERS AND RETURNED T© THE UNDERGROUND GASOLINE TANK (TYPICALLY CALIBRATIONS~). VISUAL MONITORING (FOR ABOVE GROUND STORAGE OF HAZARDOUS MATERIALS) STORAGE DATE OF DATE & CORRECTIVE DEALER'S FACILITY INSPECTION COMMENTS ACTIONS TAKEN SIGNATURE ,,,.. MONITORING SYSTEMS DEALER/MAINTENANCE CONTRACTOR TO INITIAL WHEN TEST V,'AS FERFORMED TERRITORY MANAGER./SALES REPR. TO DATE. INITIAL AND CHECK OFF FOLLOWUP CATEGCRY ON REGULAR SCHEDULED BUSINESS VISIT. DATE INITIAL SYSTEM CHK..OK REQUIRED MAINTENANCE, REMARKS I -. ' THE PANEL SHOULD BE CHECKED BY THE SHELL DE. ALERJEMPLOYEE EVERY 3 HOURS. GAUGING PERIOD A B FROM TO DATE/TIME DATE/TIME INVENTORY C D OPENING CLOSING DIPSTICK DIPSTICK READING READING INCHES GAI'LONS INCHES GALLONS WASTE OILl GAUGING SHEET W1C NO.: TANK SIZE: YEAR: VARIATIONS E F G * EXCEED ACTUAL ALLOWABLE ALLOWABLE VARIATION VARIATION VARIATION (C-D) IS E>F GALLONS ~/-GALLONE YES/NO +/- +/- +/- +/- +/- +/- +/- +/- +/- +/- +/- +/- +/- +/- +/- +/- +/- +/- +/- +/- *ALLOWABLE VARIATION X.01= If TOTAL IS 0-) 5 ENTER EXACT AMOUNT TANK SIZE TOTAL OVER 5-ENTER5 **IF YOU ANSWERED YES IN COLUMN G> AN UNAUTHORIZED RELEASE (LEAK) SHALL BE ASSUMED TO HAVE OCCURRED. ALL LEAKS SHALL BE REPORTED WITHIN 24 HOURS TO: * HAZARDOUS MATERIAL MANAGEMENT PLAN DEALER: Liven~ood, Inc. BUSINESS NAME: Ming Avenue Shell STREET: 3700 Min~ Avenue CITY: Bakersfield WIC No: 0462-1847 OWNER: SHELL OIL COMPANY P.O. BOX 4023 CONCORD, CA 94524 DESCRIPTION RETAIL SALES OF GASOLINE AND RELATED PETROLEUM PRODUCTS. EXISTING UNDERGROUND TANKS ARE AS FOLLOWS: No. of SIZE TANKS (gal) SHELL SUPER UNLEADED 1 10,000 SHELL REGULAR UNLEADED 1 10,000 SUPER REGULAR UNLEADED 1 10,000 DIESEL 0 WASTE OIL 1 550 PRODUCT LINES: MATERIAL: FG CONSTRUCTION: Single Wall MATERIAL CONST. (STL/FG) (SW/DW) FG DW FG DW FG DW FG DW All product lines are pressurized using a submerged pumping system. All product lines have in-line Red Jacket leak detectors which restrict product flow rates by more than 50 %. Annually all product lines are pressure tested and a test performed to assure the leak detectors are functional. Impact valves are also inspected annually to assure closure. Repair and/or replacement of all leak detectors and impact valves will be done annually at the time of inspection and retested to meet the above test conditions. * This document is to be kept current and placed at the site as part of the "Green Book" in the manager's office. (revision 12/92) MONITORING PROCEDURES FOR DOUBLE WALL TANKS TANK MONITORING The Underground storage tanks are monitored using an approved continuous monitoring system (see below). This system is able to detect the presence of a leak in the primary as well as secondary containment through the use of a liquid filled annular space and submerged liquid level sensor. MONITORING SYSTEM The following continuous monitoring system is used at this facility: API-RONAN- RESPONSIBLE SHELL PERSONNEL NAME TITLE PHONE Bill Hilterbrand Manager Day 805 322-3122 24hr 805 588-0352 Jeff Granberr¥ Project Engineer Work 510-675-6145 Home 510-825-1538 Dan T. Kirk Environmental Engineer Work 510-676-6168 Home 510-945-8573 See also "Shell Leak Response Plan" ]2/20/92 MING AVE SHELL 215-000-0002'4: · ~ Page Overall Site with 1 Fac. Unit NAR 1 9 1993 General Information By. Location: 3700 MING AV Map: 123 Hazard: Low Community: BAKERSFIELD STATION 07 Grid: llB F/U: 1 AOV: 0.0 Contact Name Title Business Phone 24-Hour Phone- FFu%NK QUERCIA MANAGER (805) 831-5151 x (805)' 834-2131 B:LL HILTERBPu%ND MANAGER (805) 831-5151 x (805) 588-0352 · Administrative Data Mail Addrs: P O BOX. 4023 D&B Number: 10-307-2708 City :-CONCORD State: CA Zip: 9~5~4',i.- Comm Code: 215-007 BAKERSFIELD STATION 07 SIC Code: 5541 Owner: DEL LIVENGOOD_. .,~ Phone: (805) 831-5151 i Address: 3613 FELTON ST /~//W ~l~n~. State: CA City: BAKERSFIELD~ q~;,~. Zip: 93308- i' Summary 02/20/92 MING AVE SHELL 215-000-000243 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 02-001 SR 2000 GASOLINE · Fire, Immed Hlth, Delay Hlth Liquid 9310 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL 9,310 Daily Average GAL 4,655.00 Annual Amount GAL 320,000.00 Storage UNDER GROUND TANK Press T Temp Location IAmbient~AmbientlSE PORTION OF SITE , Conc Gasol 100.0% ine Components MCP List IModerate I 02-002 RU 2000 · Fire, Immed Hlth, Delay Hlth Liquid 9310 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL 9,310 Daily Average GAL 4,655.00 Annual Amount GAL 320,000.00 Storage UNDER GROUND TANK Press T Temp Location IAmbientlAmbientlSE PORTION OF SITE -- Conc 100.0% IGasoline Components MCP List IModerate I 02-003 SU 2000 · Fire, Immed Hlth, Delay Hlth Liquid 9310 Moderate GAL CAS #: 800'6-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL 9,310 Daily Average GAL 4,655.00 Annual Amount GAL 320,000.00 Storage UNDER GROUND TANK Press I Temp ~ Location IAmbient~AmbientlSE PORTION OF SITE -- Conc 100.0% IGasoline Components MCP iList Moderate 02/20/92 MING AVE SHELL 215-000-000243 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 02-004 WASTE OIL · Fire, Delay Hlth Liquid 550 Low GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL550 I Daily Average300.00GAL Annual Amount GAL 1,200.00 Storage PLASTIC CONTAINER Press T Temp Location IAmbientlAmbientlN END OF SITE E OF BLDG -- Conc~ Components 100.0% IWaste Oil, Petroleum Based MCP --~List ILow 02-005 MOTOR OIL · Fire, Delay Hlth Liquid 500 Minimal GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL 500 I Dail.y Average GAL 300.00 Annual Amount GAL -- 1,200.00 Storage PLASTIC CONTAINER Press T Temp Location Ambient[AmbientlNORTH STORAGE ROOM -- Conc~ Components 100.0% IMotor Oil, Petroleum Based MCP ---~List IMinimal I 02-006 TRANSMISSION FLUID · Fire, Delay Hlth Liquid 200 Low GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL 200 I Daily Average GAL 100.00 Annual Amount GAL 200.00 Storage PLASTIC CONTAINER Press T Temp Location IAmbient]Ambient INORTH STORAGE ROOM -- Conci Components 100.0% ITransmission Fluid (Petroleum-Based) MCP iList 02/20/92 MING AVE SHELL 215-000-000243 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 02-007 ANTIFREEZE · Fir~, Delay Hlth Liquid 250 Low 'GAL CAS #: 107-21-1 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max GAL 250 .~ Daily Average GAL 40.00 Annual AmoUnt GAL-- 250.00 Storage PLASTIC CONTAINER Press T Temp Location AmbientlAmbientlNORTH STORAGE & LUBE ROOM -- Conc 100.0% IEthylene Glycol Components MCP iList Low 02/20/92 MING AVE SHELL 215-000-000243 Page 00 - Overall Site <D> Notif./Evacuation/Medical 3 <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation FROM EMERGENCY RESPONSE PLAN & PROCEDURES: IN THE EVENT OF A SPILL OR RELEASE OF A HAZARDOUS MATERIAL, REGARDLESS OF SIZE, THE EVENT WILL BE REPORTED IMMEDIATELY TO THE STATION'S DESIGNATED EMERGENCY RESPONSE COORDINATOR. THE COORDINATOR WILL DETERMINE IF THE SPILL OR RELEASE IS REPORTABLE TO THE APPROPRIATE EMERGENCY RESPONSE AGENCIES. THREATENED RELEASES WILL ALSO BE REPORTED IF IT IS DETERMINED THAT A SIGNIFICANT THREAT TO INDIVIDUAL SAFETY, PROPERTY OR THE ENVIRONMENT IS PRESENT. IF A RELEASE IS DETERMINED TO BE REPORTABLE, THIS PERSON WILL IMMEDIATELY CONTACT THE EMERGENCY RESPONSE AGENCIES. THE AGENCIES AND THEIR TELEPHONE NUMBER ARE: 911 FOR POLICE, FIRE AND MEDICAL; 326-3979 FOR HAZ MAT OFFICE; (800) 852-7550 FOR O.E.S. OR (916) 427-4341. SHOULD IT BECOME NECESSARY TO EVACUATE THE STATION, THE ORDER WILL BE GIVEN VERBALLY TO EVACUATE TO OFF-SITE LOCATION. <3> Public Notif./Evacuation FOUR FRONT DOORS IN SOUTH SIDE OF STATION. CASHIER WILL GIVE DIRECTIONS. <4> Emergency Medical Plan KERN.MEDICAL CENTER - 1830 FLOWER ST - 326-2000 MEMORIAL HOSPITAL - 420 34TH ST - 327-1792 02/20/92 MING AVE SHELL 215-000-000243 00 - Overall Site Page <D> Notif./Evacuation/Medical <4> Emergency Medical Plan (Continued) 02/20/92 MING AVE SHELL 215-000-000243 Page 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention FROM EMERGENCY RESPONSE PLAN & PROCEDURES: MITIGATION - IF THE SPILL, RELEASE OR THREATENED RELEASE IS DETERMINED TO BE MINOR, AND THEREFORE NON-REPORTABLE, SERVICE STATION EMPLOYEES WILL IMMEDIATELY COMMENCE CLEAN-UP AND CONTAINMENT OF THE SPILL OR RELEASE, AND CARRY OUT ALL NECESSARY ACTION TO MITIGATE THE RELEASE IN ACCORDANCE,WITH STANDARD SERVICE STATION MOP-UP PROCEDURE. THESE PROCEDURES INCLUDE BUT ARE NOT LIMITED TO USE OF AN APPROPRIATE ABSORBANT AND/OR CLEANER ON SPILLS OF GASOLINE, OILS, SOLVENTS,· ETC. PREVENT~ION - THIS STATION INCORPORATES SEVERAL FEATURES wHICH OFFER A REASONABLE LEVEL OF PROTECTION AGAINST A HAZARDOUS MATERIAL RELEASE OR SPILL. FEATURES SUCH AS: EMERGENCY SHUT-OFFS, VAPOR RECOVERY, LEAK DETECTION SYSTEMS AND APPROVED TANKS AND CONTAINERS HELP TO PREVENT OR MINIMIZE RELEASES. REGULAR TESTING AND CERTIFICATION OF TANKS, PRODUCT LINES AND DISPENSERS, AS WELL AS, INVENTORY RECORDS ARE USED TO VERIFY THE INTEGRITY OF THE FUEL STORAGE AND DELIVERY SYSTEM. <2> Release Containment ABSORBANT AND/OR CLEANERS ON SPILLS OF GASOLINE, OILS, SOLVENTS, ETC. SPILLS PICKED UP WITH NON-CHLOROPHYL KITTY LITTER TO BE MAINTAINED INCLOSED, AIRTIGHT CONTAINER FOR A PERMANENT DIASPOSAL AT KETTLEMAN HILLS HAZARDOUS ~WASTE DISPOSAL SITE. <3> Clean Up SERVICE STATION EMPLOYEEES WILL IMEDIATELY COMMENCE CLEAN-UP AND CONTAINMENT OF THE SPILL OR RELEASE, AND CARRY OUT ALL NECESSARY ACTION TO MITIGATE THE RELEASE IN ACCRODANCE WITH~TANDARD SERVICE STATION MOP-UP PROCEDURE. USE OF APPROPRIATE ABSORBANT AND/OR CLEANER ON SPILLS OF GASOLINE, OILS, SOLVENTS. <4> Other Resource Activation 02~20~92 MING AVE SHELL 215-000-000243 00 - Overall Site <E> Mitigation/Prevent/Abatemt Page 6 <4> Other Resource Activation (Continued) 02/20/92 MING AVE SHELL 215-000-000243 Page 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - ON WEST WALL OF SERVICE BAY C) WATER - SIDEWALK FRONTING REAL RD., ADJACENT TO EAST DISPENSER ISLAND' D) SPECIAL - EMERGENCY PUMP SHUT-OFF LOCATED ON EXTERIOR WALL BETWEEN SERVICE BAY AND CASHIERS BOOTH E) LOCK BOX - NO (BINDER IN CASHIER'S BOOTH) <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER INSIDE SOUTH WALL OF SERVICE BAY NEXT TO CASHIERS BOOTH FIRE HYDRANT - LOCATED ON NORTHEAST CORNER OF MING AVE AND REAL RD AND DIRECTLY ACROSS MING FROM CENTER'OF SITE. <4> Building Occupancy Level 02/20/92 MING AVE SHELL 215-000-000243 Page 00 - Overall Site <G> Training <1> Page 1 WE HAVE 6 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: EMPLOYEES ARE TRAINED HOW TO USE MSDS SHEETS, THEY ALSO KNOW WHERE EMERGENCY SHUT OFF VALVES ARE. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use Sh'ell Oil Company ~ EAST BAY MARKETING DISTRICT P.O. BOX 4023 Concord, CA 94524 (510) 676-1414 1993 To whom it may concern: Please find attached copies of invoices fees for permits, statements and or other information that was mailed from your Agency to our Shell District in Southern California. Due to Shell's re-organization stations now are within Shell East Bay District. Please updated your records to show the following address: Shell Oil Company P. O. Box 4023 Concord, CA 94524 Attn: HS&E Admin. Support HS&E Administrative Support Attachment If you have any questions, please contact me at 510 675-6114. Sincerely, }"'~q,'l~. ~ ~~ KAREN D. CLARK 01KC1901 Environ ment al--~L~j~, East Bay District SHELL OIL COMPANY P.O. 8ox 4023 CONCORD, CA 94524 (510) 675-6114 CITY of BAKERSFIELD RECEIVED HAZARDOUS HATERTALS INVENTORY J4N ! $' 1992 Farm and Agriculture ri Stapdard Business BUSrNESS NAME' r"/q~q ~Jv~c~z~ ~.~l LOCATION: ~Tn'n M~T~ 9~/~AT' CITY. ZIP' ~~b%~ ' ' Page J of ' ~ q. 7 R A D E S E c R E T S,. ; HAZ MAT. DIV. WNER NAME: DON WRIGGLE NAME OF THIS FACILITY: .CITY.DDRESS: Z I P:-n~mA~Yn I 2 3 4 '; 7 ' " Ha~es of )~ixturelCo~ponents , H,e. asure I Cont Cont Gont ~le loc~tion. Wh~(e. Code ~ooe Amt Amt ,~ Est units on IIe Type Press /e~!o Stored in ra¢lllty , See instructions , / Phvsic~l and Health Hazard ' i. C,A,S, Humber g~O~pl~ Component II Hame t C,A,S. Humbe~ ,' (Check al/ that apply) ~ ~ ~ ~J~ I~ o~ Pressure Component 13 Haee I C.A.S. Number ~_~ ~~ ~_ =Physical and Health ~a~srd C.A.~, Number ~E~(~I~ Co~ponent II Na~e ~ C,A.S, Nuabe~ e Hazard B Reactivity ~ B Sudden Release Component 12 Name& c,A,s, Nuaber ~X~J~ ~ of Pressure -- ~ - ~ Component 13 Name IC,.A,S, Nuaber '; ~)~> ~~ ~[_~.%~ _ Physical and Health ~azard ~ C.A.S, Number ComponenL tl Hale I C,A,~. H'umbe~ (Check ail that apply) , .. ~ ~2 ~Ol~~ D Fire Hazard ~ Reactivity~ '. ~ Delayed Health ~ SuddenofPressureRelease ~ Im~?~C°mp°nent 12 Name I C,A,S, Humber '~5- ,~E[~ l~~-~ I I I , I '1 I I I I I, , l Phvsica'i'ihd Health ~alard ~1 '~ C,A,S, Humber Co~ponent Il Ha~e I C,A,S, Humber (Check all that app/y/ ~ Co=ponent ~2 Ha~e i C,A,S. Humber ~ Fire Hazard ~ Reactivity~ ~ Oelayed ~ Sud.den Release ~ l~i~ Hea Ith of Pressure - ~ Component 13 Ha~e t C,A,S, Humber EMERGENCY CONTACTS P lRi~e~N ~TC~',~- T~ Z4 Hr Phone ~2R~T,T, ~P, ~I~RY ~~ 71 4/460-33 :ertifi atio Re and f n af r cpm 1 ti g ¢~11 s ctions) cer ,fy unter enal~ o ~ th t !~av~7persona ~ examln ~, ~ m ~milia~' it ~e tnfo~m,t,n ,ntorma,,on, , bel,eve that the ;uplifted inlorm8tt~ lS true, 8ccorate, and co~pmete, CITY of BAKERSFIELD Farm andAgticulture Fl Standard Business :~:;HAZARDOUS.. MATERTALS 'r NVENTORY TRADE S Ec RETS ; . Page ~USINESS NAME: I~i~'ld;I ( 'V'F..F]C~,.~_. ~J OWNER NAME: DON WRT~,W, NAME OF THIS FACILITY; 'SHEIJ~ OIL CQ OCATION; 37ad MTI~C l~h_ T~.AT. ADDRESS; ~9R1 ~'~IA~mT 1~1~ Z~A~n STANDARD IND. CLASS CODE,~ ...... k-~-~ CITY. ZIP: RAT~F~.qPTI~'~- ~q~ CITY, ZIP."-a~-p-p~tr"~'a~b'"~T ..... DUN AND BRADSTREEI NUHBER ...... ~'~' ...................... PHONE ~: an~/~q~_a151 ' PHONE ~: o~'i79~; ; .... ........ REFER TO~M~O~NS PON HROPER CODES -- '- - ~ I 2 3 4 ~ '5 6 , 8 9 I0 11 .12 .... " Trane !y~e ~ax Avfrage~ Annual Heasure I ty[e Cont Cont Cont ~le LocaLIon?e(,e Code cooe Amt Amt i. Est Units on Type Press Teap Stored In eacl~ty See: ]nstructtcns V/ Physical and Health Hazard ~ C,X,S, Number Component II Hame A C,X,S, Humber (Check al/ that apply) i -99 USED, LUBRICATING OIL I Component Hame, Humber INERT FImTmS ~ Fire Hazard ~ Reactivity ~ Delayed I-] Sudden Release ~ Immediate Health of Pressure Health -- Component 13 Name I C.A.S. Number )-1 WA~ER 7732-18-5 IIII II IIIII Physical ~od Health ~azard C,A.S. Number Component II Name I C.A,S, Number (Check all that app/yl i Component 12 Hame I C.A,S, Number ~ Fire Hazard ~ Reactivityl ? ~layed I-I Sudden Release [] lm~i~ ',:. _ , Health of Pressure Component 13 Name I C.A,S, Humber Physical and Health UaNrd [ ~C.A,S. Number Component I1 Hame I C,A,S. Humber (Check all that app/yl i ' i Component 12 Hame I C,A,S, Number ', Fl Fire Hazard ~ Reactivity:' ~, OelayedHealth Fl Sudden of Pressure Release [] Immediate Health t ~ Component 13 Hame & C,A,S, Humber Physic¢l"ehd Health UaNrd ! I C.k,$, Number Component II Name & C,k,S, Number (Check allthat apP/yl ! , ~ Component 12 Name I C,A,S, Number , ~ Fire Hazard [] Reactivity; FI ~layed Fl Sudden Release [] Im~i~ ' I Health of Pressure Component 13 Name I C.A,S. Number EME~QEHCY CONTACTS #1DO~!T~TC-Cr~. ~T~ #2 RTT~, T~ ~ER.R3:~¥~~ 714/460-331' Name f " Title 2q Hr Phone Name Tltle at' C ~ ts ~ . Y Y P 9., Intormac~on, ~eve that the subm,tted Information Is true, accurate:, ant complete. : ; ~qT.~.~rlZTT1--rIHe of o~ner/op!rator OH o~nerloperator's authorized representative ST~ure Los Angeles East Retail Shell Oil Company P O Box 51-481 3281 £. Guasti Road Ste 480 Ontario, CA 91761 FEBRUARY 25, 1992 RALPH HUEY BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 )~ECEIVED FEB 2 ~ 1.~92 ~Ins'd ............ Dear Mr. Huey: Reference is made to the recent change in ownership at a Shell service station located within your jurisdiction. Please find enclosed a revised Hazardous Materials Business Plan for the Shell service station located at: 3700 MING ROAD, BAKERSFIELD CA 93309 If there are any fees applicable to this submission of the Business Plan, please direct said invoice to the station mailing address: ** 3281Guasti Road Suite 480, Ontario CA 91761 ** Should you have any questions or need further information about the subject location, please contact me at (714) 460-3347. Ver~rul y ~, ~ Dis/t/Pict HS&E Representative Enclosure LIVENGOOD INC. HAZARDOUS MATERIALS BUSINESS PLAN 3700 MING ROAD BAKERSFIELD, CA 93309 BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION 2130 "G" STREET BAKERSFIELD, CA 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 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 as brief and concise as possible. SECTION 1: BUSINESS NAME: LOCATION: MAILING ADDRESS: CITY: ONTARIQ FEDERAL TAX ID #: BUSINESS IDENTIFICATION DATA LIVENGOOD INC..} 3700 MING ROAD, BAKERSFIELD CA 93309 3281GUASTI ROAD, SUITE 480 STATE: C__A ZIP: 91761 PHONE: DUN & BRADSTREET NUMBER: PRIMARY ACTIVITY: OWNER: MAILING ADDRESS: (714) 460-3300 SIC CODE: 5541 GASOLINE STATION WITH SERVICE BAY AND FOOD. MART LIVENGOOD INC. 3700 MING ROAD, BAKERSFIELD CA 93309 SECTION 2: EMERGENCY NOTIFICATION: CONTACT DEL LIVENGOOD BILL HEPP TITLE BUS. PHONE OWNER (805) 831-5151 TERR. MGR. (714) 460-3313 24 HR. PHONE (805) 831-5151 (714) 460-3313 BAKERSFIELD FIRE DEPARTMENT Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYEES: MATERIAL SAFETY DATA SHEETS ON FILE: Yes, located in the HS&E Manual in the Cashier booth. BRIEF SUMMARY OF TRAINING PROGRAM: All new employees are trained within 90 days of their hire date in the safe handling of the hazardous materials they will be suing. This training is completed using the training required by OSHA Hazard Communication regulations. When the new employee has completed the right-to-know training, it will be documented in the employee file and on the Employee Training Log kept in the Health, Safety and Environment manual. The training covers the labeling, MSDS and hazards associated with the hazardous materials they are working with. In addition to the right-to-know training, the new employees not responsible for the implementation of the Emergency Response Plan are trained in the evacuation and spill response procedures outlined in the Contingency Plan. All employees will receive refresher training of the business plan on an annual basis. The training consists of going over the evacuation procedures and spill notification procedures. A record of this refresher training is noted in the employee records and in the Health, Safety and Environment manual. Note: Any amendments to the Business Plan noted above are relayed to the personnel required to carry out the plan as soon as those amendments are known. 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 TIME EXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON). SECTION 5: CERTIFICATION I, ~'~Od~~~-~ CERTIFY THAT THE ABOVE INFORMATION IS ACCURAC..~ 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 ~E INFORMATION CONSTITUTES PERJURY. DATE AIGNATURE ~ ' TITLE BAKERSFIELD FIRE DEPARTMENT' Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN FACILITY UNIT NAME: LIVENGOOD INC. SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: If an emergency warrants an outside notificati6n, the emergency coordinator will notify the following agencies: Local Authorities and response personnel: 911 Hazardous Materials Control Unit: 326-3979 The above agencies will be notified in the event of a situation that requires an immediate response such as : fire, explosion, or if someone needs immediate attention. The following agencies will be notified within 24 hours if a spill or release occurs which exceeds the reportable quantity, (CERCLA, RCRA or DOT), of a hazardous material or waste: State Office of Emergency Services: (800) 852-7550 National Response Center: (800) 424-8802 B. EMPLOYEE NOTIFICATION AND EVACUATION: In the event of an emergency which would require total evacuation of the facility, notification will be made verbally by the senior person in the affected areas. The routes of evacuation to be taken are noted on the facility drawing. Once evacuated, personnel will assemble at a safe distance away from the facility,'-(conditions permitting - wind direction, other risks, etc.). The station manager will conduct a head count at the assembly areas. Personnel not able to report to the evacuation area are instructed to contact the station manager on an individual basis as soon as possible. C. PUBLIC EVACUATION: If an emergency warrants notification and/or evacuation of the public living or working around the facility, such notification would be made by phone or door-to-door means. AGENCY NOTIFICATION (cont'd.) D. EMERGENCY MEDICAL PLAN: Bakersfield Memorial Hospital Fire Department Police Department Paramedics Office of Emergency Services (209) 327-1792 911 911 911 (800) 852-5502 SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN A. RELEASE PREVENTION STEPS: Because of the great degree of containment and the generally conventional nature of material handled at this facility, it is not anticipated that a spill response of any great magnitude or complexity will ever be required. However, as protection against such an occurrence, an outside firm has been contracted with to provide backup spill response in the event it is needed. This company is on call 24 hours per day, 365 days per year. The company is: Crosby and Overton. To prevent a hazardous material from being released, this facility has taken the following measures: Facility personnel are trained in the safe handling of hazardous materials and in leak detection when inspecting the hazardous materials storage containers, tanks and locations. Storage locations are inspected on a weekly basis for signs of deterioration and leaks. Tanks and containers are inspected on a routine basis during operations for signs of leaks and deterioration. B. RELEASE CONTAINMENT AND/OR MINIMIZATION: The person detecting the spill will immediately stop the source of the spill and prevent flow to the outside, if this can be done safely. Stopping tile spill may involve turning off the pumps, closing valves, or other appropriate action. It should be noted that any spill greater than that which can be contained in a 55 gallon drum might be turned over to the outside firm referred to above. C. CLEAN-UP PROCEDURES: The station manager will assume responsibility for directing cleanup activities. He will summon to the scene that manpower and equipment which is needed to respond to the incident, and will direct their activities for the duration of the response. He will contact any support groups whose assistance is needed in the response effort, such as the police or fire department. Notification of regulatory agencies, should it be required, will be handled in accordance with notification procedures previously noted. CLEAN-UP (cont'd.) Once the spill has been isolated from possible sources of outside discharge, and the source of the spill has been eliminated, efforts will be directed towards containment of the spilled material within the smallest area possible. This should help minimize the amount of area which must be cleaned up and decontaminated, making the response effort as efficient as possible. After the bulk of the spilled material has been removed, final cleanup of the area will be conducted. This will include decontamination of the area and equipment used for the cleanup, in a manner which will return the affected area to its previous level of usefulness and safety. Wherever possible cleanup will be conducted in a manner which will permit reuse of the material, either in processing operations directly or for some related purpose. Where this is not possible, disposal of material resulting from the cleanup will be in accordance with all applicable regulations. SECTION 8: NATURAL GAS/PROPANE: ELECTRICAL: WATER: SPECIAL: LOCK BOX: YES/NO UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NOT APPLICABLE WEST WALL OF SERVICE BAYS WEST WALL OF SERVICE BAYS N~A IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: FIRE EXTINGUISHERS B. WATER AVAILABILITY (FIRE HYDRANT): OPPOSITE CORNER OF STATION BULK TRANSFER (Business~ vJg- BUSINESS NAME SITE LOCATION OLD OWNER NAME NEW'OWNER NAME NEW OWNER .ADD. ACCOUNT NUMBERS INVOLVED THIS INFO~tATION IS TAKEN FROM THE DAILY REPORT AND SHOULD BE VERIFIED PRIOR TO ANY CHANGES. DISTRIBUTION: Sanitation Wastewater Hazardous Materials BUSINESS PLAN CERTIFICATION OF REVIEW This form is addressed to: BAKERSFIELD CITY FIRE DEPARTMENT ENVIRONMENTAL HEALTH DIVISION 2130 "G" STREET BAKERSFIELD, CA 93301 BUSINESS NAME: Minq Avenue Shell ADDRESS: 3700 Minq Road CITY: Bakersfield STATE: C~A ZIP: 93309 BUSINESS MAILING ADDRESS: P.O. Box 4848/ Attn: LAE District CITY: Anaheim STATE: C~A ZIP: 92803 I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe that revisions are not necessary to the Hazardous Material Business Plan at this time. Name of Operator: Don R. Wriqqle Name of Document Preparer: Julie A. McQueen Signature of Opera~ ~ ~)~.(~i~_ ~ Date: ~/~-~/<~])! , CITY o~f BAKERSFIELD name) Do herebT/ certify that I have revie~,-ed the ¢I~CEIVED attached Hazardous Haterials business Dian ~A~.MAT.~, ~'or name o£ Uusiness/ and that it along with the attached additions RECEIVED 'JUN I 9 1989 Ha~. MAT. OIV. or corrections constitute a comDlete and correct Business Plan for mF ffacilitF. /-$ date BUSINESS NAME MING AVE SHELL LOCATION 3700 MING AV ID NUMBER 215-000-000243 HIGH HAZARD RATING 2 1 o OVE ]F~V T]E l,g LAST CHANGE 08/04/88 BY ESTER JURIS CODE 215-007 JURIS BAKERSFIELD STATION 07 MAP PAGE 123 GRID liB FACILITY UNITS 1 HAZARD RATING 2 RESPONSE SUMMARY 2A SEC 4) NO PRIVATE RESPONSE TEAM. EMERGENCY CONTACTS 2A SEC 2) DON WRIGGLE - 831-5151 OR 399-3874 -~+FCORDONIER - 831-5151 OR 393-1687 UTILITY SHUTOFFS 2A SEC 3) A) GAS - NONE B) ELECTRICAL - ON WEST WALL OF SERVICE BAY C) WATER - SIDEWALK FRONTING REAL RD., ADJACENT TO EAST DISPENSER ISLAND D) SPECIAL - EMERGENCY PUMP SHUT-OFF LOCATED ON EXTERIOR WALL BETWEEN SERVICE BAY AND CASHIERS BOOTH E) LOCK BOX - NO (BINDER IN CASHIER'S BOOTH) NOT I F I CAT ION / PURL lC EVACUATION LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > PAGE 1 12/15/88 10:18 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME MING AVE SHELL LOCATION 3700 MING AV ID NUMBER 215-000-000243 HIGH HAZARD RATING 2 HAZ MAT TRAINING SUMMARY ~ DS ~' LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > 4 . LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE 08/04/88 BY ESTER 2A SEC 5) KERN MEDICAL CENTER - 1830 FLOWER ST - 326-2000 MEMORIAL HOSPITAL - 420 34TH ST - 327-1792 PAGE 2 12/15/88 10:18 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME MING AVE SHELL LOCATION 3700 MING AV FACILITY UNIT 01 ID NUMBER 215-000-000243 HIGH HAZARD RATING 2 OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 08/04/88 BY ESTER ID TYPE NAME LOCATION CONTAINMENT MAX AMT UNIT HAZARD USE PURE REGULAR GASOLINE SE PORTION OF SITE ID PERCENT COMPONENTS 1182.00 100 0 GASOLINE UNDERGROUND TANKS 10000 GAL HIGH FUEL HAZARD LISTS HIGH PURE REGULAR UNLEADED 2000 SE PORTION OF SITE UNDERGROUND TANKS ID PERCENT COMPONENTS 1182.00 100 0 GASOLINE 10000 GAL HIGH FUEL HAZARD LISTS HIGH PURE SUPER UNLEADED 2000 SE PORTION OF SITE UNDERGROUND TANKS ID PERCENT COMPONENTS 1182.00 100 0 GASOLINE 10000 GAL HIGH FUEL HAZARD LISTS HIGH WASTE WASTE OIL N END OF SITE E OF BLDG ID PERCENT COMPONENTS 1598.00 100 0 WASTE OIL UNDERGROUND TANKS WASTE 550 GAL UNKNOWN HAZARD LISTS UNKNOWN PURE MOTOR OIL CENTER OF BLDG ID PERCENT COMPONENTS 2808.00 100 0 MOTOR OIL PLASTIC CONTAINER[S] 500 GAL LUBRICANT UNKNOWN HAZARD LISTS UNKNOWN PURE TRANSMISSION FLUID 100 GAL CENTER BLDG PLASTIC CONTAINER[S] LUBRICANT ID PERCENT COMPONENTS 2813.00 100 0 TRANSMISSION FLUID (PETROLEUM-BASED) UNKNOWN HAZARD LISTS UNKNOWN PURE ANTIFREEZE CENTER OF BLDG PLASTIC CONTAINER[S] ID PERCENT COMPONENTS 2802.00 100.0 ETHYLENE GLYCOL 100 GAL UNKNOWN COOLANT HAZARD LISTS UNKNOWN PAGE 3 12/15/88 10:18 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME MING AVE SHELL LOCATION 3700 MING AV B o F I I~]E ]~I~OT]E C T i ON ID NUMBER 215-000-000243 HIGH HAZARD RATING 2 / WATER SUPPL lES LAST CHANGE 08/04/88 BY ESTER 3A SEC 4) FIRE EXTINGUISHER INSIDE SOUTH WALL OF SERVICE BAY NEXT TO CASHIERS BOOTH FOR FIRE PROTECTION. 3A SEC 5) FIRE HYDRANT LOCATED'ON NORTHEAST CORNER OF MING AVE AND REAL RD AND DIRECTLY ACROSS MING FROM CENTER OF SITE. n o ]EMPLOYEE NOT I F ICAT ION / E$~ACUAT ION LAST CHANGE 08/05/88 BY ESTER FROM EMERGENCY RESPONSE PLAN & PROCEDURES: IN THE EVENT OF A SPILL OR RELEASE OF A HAZARDOUS MATERIAL, REGARDLESS OF SIZE, THE EVENT WILL BE REPORTED IMMEDIATELY TO THE STATION'S DESIGNATED EMERGENCY RESPONSE COORDINATOR. THE COORDINATOR WILL DETERMINE IF THE SPILL OR RELEASE IS REPORTABLE TO THE APPROPRIATE EMERGENCY RESPONSE AGENCIES. THREATENED RELEASES WILL ALSO BE REPORTED IF IT IS DETERMINED THAT A SIGNIFICANT THREAT TO INDIVIDUAL SAFETY, PROPERTY OR THE ENVIRONMENT IS PRESENT. IF A RELEASE IS DETERMINED TO BE REPORTABLE, THIS PERSON WILL IMMEDIATELY CONTACT THE EMERGENCY RESPONSE AGENCIES. THE AGENCIES AND THEIR TELEPHONE NUMBER ARE: 911 FOR POLICE, FIRE AND MEDICAL; 326-3979 FOR HAZ MAT OFFICE; (800) 852-7550 FOR O.E.S. OR (916) 427-4341. SHOULD IT BECOME NECESSARY TO EVACUATE THE STATION, THE ORDER WILL BE GIVEN VERBALLY TO EVACUATE TO OFF-SITE LOCATION INDICATED ON SITE DIAGRAM. PAGE 4 12/15/88 10:18 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME MING AVE SHELL LOCATION 3700 MING AV E . MITIGATION / ID NUMBER 215-000-000243 HIGH HAZARD RATING 2 PREVENTION / ABATEMENT LAST CHANGE 08/04/88 BY ESTER FROM EMERGENCY RESPONSE PLAN & PROCEDURES: MITIGATION - IF THE SPILL, RELEASE OR THREATENED RELEASE IS DETERMINED TO BE MINOR, AND THEREFORE NON-REPORTABLE, SERVICE STATION EMPLOYEES WILL IMMEDIATELY COMMENCE CLEAN-UP AND CONTAINMENT OF THE SPILL OR RELEASE, AND CARRY OUT ALL NECESSARY ACTION TO MITIGATE THE RELEASE IN ACCORDANCE WITH STANDARD SERVICE STATION MOP-UP PROCEDURE. THESE PROCEDURES INCLUDE BUT ARE NOT LIMITED TO USE OF AN APPROPRIATE ABSORBANT AND/OR CLEANER ON SPILLS OF GASOLINE, OILS, SOLVENTS, ETC. PREVENTION - THIS STATION INCORPORATES SEVERAL FEATURES WHICH OFFER A REASONABLE LEVEL OF PROTECTION AGAINST A HAZARDOUS MATERIAL RELEASE OR SPILL. FEATURES SUCH AS: EMERGENCY SHUT-OFFS, VAPOR RECOVERY, LEAK DETECTION SYSTEMS AND APPROVED TANKS AND CONTAINERS HELP TO PREVENT OR MINIMIZE RELEASES. REGULAR TESTING AND CERTIFICATION OF TANKS, PRODUCT LINES AND DISPENSERS, AS WELL AS, INVENTORY RECORDS ARE USED TO VERIFY THE INTEGRITY OF THE FUEL STORAGE AND DELIVERY SYSTEM. PAGE 5 12/15/88 10:18 MATERIAL SAFETY DATA SYSTEMS, INC. {805) 648-6800 CITY of BAKERSFIELD ~.~HAZARDOUS MATERI ALS INVENTORY' NON--'I?RADE SECRETS ¢IT¥, ZIP: I'~A--IK%~.--P-_.'~-.I~__.L..~'~ g~.~0~ CITY. ZIP:-~~~ q~0~ DUN AND BRADSTREET (~e C~e Mt Mt Est ~i~s m Site 1~ ~ l~ ~ St~ in FKillty~' ~ m~t~tt~ '/~.'._[ .... 1 ..... :_ ..... 1 ........ ~ ..... 1 .......... 1 ..... 1 ..... ,1 ..... ! _~J.. I ........... ~ P~icil ~ blth H.zl~ C.A.S. ~ ~t II ~ & C.A.S. ~ (C~k ~11 t~t a~ly) ~lth of ~m ~lth ' ' ~t 13 ~&C.l.S. ~ _21___t k .......... ] I I I I I 1. [.. ' ....... ............ ' ............... P~icll ~ ~lth ~zi~ C.A.S. i ~t II h & C.l.S. i (C~k ~il t~t e~ly) ~-~ r--~ -- -- r--~ ~t ~ ~&C.A.S. ~ ~lth of P~ MIth , Wt 13 M&C.A.S.i ~~,~ ............ (~k iii t~t ~ly) ..................... .... r--- C~t I) ~&~.A.S. ~ Hfllth of Prfl~re ~lth , ........... ~t I~ ~&C.A.S. (:ertlfication (Read and siRn after co=pletln£ all secttonsJ I1' certtf.y. ~der ~tty of 1~ t~t I ~ve ~rsmelty exgein~ ~ ~ fNiliar vtth t~ tnf~mti~ su~itt~ in this ~ ell IttK~ ~StS. K tMt Msff m i~tW of t~e tMlviMTs m~sible For cbt a~iflg ~ti'Sl~;~ .......................... CITY of BAKERSFIELD ' P~ge .... of BUSINESS NAME: {*~ {~(~ ~0~ ~[[~ OWNER NAME: ~0~ ~/~~ NAME OF T~S FACILITY: P~icol ~ ~lth - ] ~lth of ~lth of P~ ~lth ~tl~ ~ & C.A.S. ~ (C~k ~)1 t~t mJy) ] Fire Xoz~rd ~lth of Pr~sure ~lth ~t 13 ~&C.A.S. I ce~Jttfy ruder ~lty of lp t~t J ~ve ~rsmllTy exomn~ ~ N fNiliar with t~ tnforMtim suMitt~ tn this ~ oll IttKM ~ts. ~ t~t ~s~ m W i~tW of t~e iMivtMll m~sible for ebtoining t~ inf~tt~. I Mlieve TMC t~ su~itt~ info~ti~ is t~. KcurItl, ~d cMoletg~. ~ . n ~ n~aa-~F~-~a'~T-~~a~-on-~'Ta~Ta- ~-aG~-~~ sq~ ..................... ~ ........................ ~-5~ ......................... ~Geotechnical Spec 'alists HAZARDOUS MATERIALS BUSINESS PLAN Presented by: Ming Avenue Shell 3700 Ming Avenue Bakersfield, California 93309 BH BH 157A 136 102 ~H. [~1 BH BH ~ 103 104.105 106 B~ BH BH BH J~ BH BH He IH t33 ~03 177 - 135-590 ,,>, ~ 440 ..... 1.06~.O00E !.066 o iooo 2000 1.068,000E 1,070,000E 1,072,00i __ 460 ! 1,074 I~00 1,076,000E 1,078,000E 1,080,O00E ,Krazan ~ associates, inc. I I I I I I I I '1 I I I I I I I I i I HAZAI~DOUS MATER. IALS BUSINESS PLAN Presented to: City of Bakersfield Fire Department by: Ming Avenue Shell 3700 Ming Avenue Bakersfield, Calfornia 93309 Prepared by: Krazan & Associates, Inc. 3860 North Winery Avenue Fresno, California 93726 (209) 291-7337 I I I I I I i I I I I I I I I I I I CONTENTS BUSINESS PLAN Emergency Response Plan and Procedure Hazardous Materials Training for Employees APPENDICES Summary of Business Plan Requirements General Information and Employee Training Program Introduction to Material Safety Data Sheets (MSDS) I I BAKERSFIELD CITY FIRE DEPA ENT 2130 "G" STREET BAKERSFIELD. CA 93301 (805) 326-39'79 [NESS NAME OFFICIAL USE ONLY ID~ HAZARDOUS lw~3kT E R I ALS BUSINESS PLAN AS A WHOLE FORM 2A 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 A. BUSLNrESS NAME: Ming Ave Sh'ell B. LOCATION / STREET ADDRESS: 3700 Ming Ave CITY: Bakersfi el d ZIP: 93309 BUS.PHONE: (805) 831 -51 51 SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE A. Don Wriqqle, (Owner) Ph~ DURING BUS. HRS. 831-5151 AFTER BUS. HRS. Ph~ 39q-3R74 B. Dough Cordonier (Mana§er) Phm 831-5151 Ph~. 393-1 687 SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: B. ELECTRICAL: See page 3B C. WATER: I I D. SPECIAL: E. LOCK BOX: YES /~ IF YES, LOCATION: IF YES. DOES IT CONTAIN SITE PLANS? FLOOR PLANS? YES / NO YES / NO MSDSS? YES / NO KEYS? YES / NO - 2A - ?~r_..~ ..... ~ ..... -~ ?OR BUS1]}:ESS AS A WHO[Z SEE ATTACHED EMERGENCY RESPONSE PLAN & PROCEDURES S~C, _O.! 5: LOCAL EMERGE>iCY MEDICAL ASSISTANCE FOR vol~qt BUSINESS AS A WHOLE Kern Medical Center 1830 Flower St Bakersfield 326-2000 Bakersfield Memorial Hospital 420 34th St Bakersfield 327-1729 SECTION S: EMPLOYEE TRAINING :>,IT ~.~L AND E.MPLCYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES Z:.!PLOYEES WITH -' '' REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO IXITIAL A. METHODS FOR SAFE HANDLING OF HAZARDOUS )LATERIALS: ....................................... ~ .Y0 Q NO WITH RESPONSE AGENCIES: .......................... C. PROPER USE OF SAFETY EQUIPME.NT: .................. ~ .YO~ NO D. E:'!ERGE:':C',' ~" ; .... E,~C~T~O,, PROCEDURES: ................. ' XO E. OD YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... NO NO REFRESHER SECTION 7: RAZARDOUS .MATERIAL CIRCLE YES - NO - NONE DOES YOUR BUSINESS HANDLE HAZARDOUS >~TERIAL IN QUANTITIES LESS THAN 500 POU::DS OF A SOLID, ~ GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES I, D~A~ ~, (/,~/~/~_~_~ , certify that the above information is accurnte. [ understood that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Haznrdous Materials (Div. 20 Chapter Sec. 25S00 Et Al.) and that inaccurate information constitutes perjury. · S [G~';ATURE I I I I I I I I I I I I t I I I I BAKERSFIELD CITY FiRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFiCiAL USE OXLY BUS x,- [;~~SS NAME: ID# I I I I I I I I I BUSINESS PLAN SINGLE FACILITY UNIT FORM SA INSTRUCT IONS 1. To avoid further action, this form must be returned by: 2. 'T\'PE.,'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 NAME:' Ming Ave Shel 1 SECTION 1: MITIGATION~..~REVEN~ION, ABATEMEN~ PROCEDURES SEE ATTACHED EMERGENCY RESPONSE PLAN & PROCEDURES SECTION 2: NOTIFICATION AND EVACUATION PROCEDL~RES AT THIS L~.'iT O:~LY SEE ATTACHED EMERGENCY RESPONSE PLAN & PROCEDURES - 3A - SECTION 3: HAZARDOUS MATERIALS FOR TIIIS I~iT ONLY A. Does this Facility Unit contain Hazardous Materials? ...... ~ NO If YES, see B. If NO, continue with SECTION 4. Are any of the hazardous materials a bona f'ide Trade Secret YES ~ B. 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 secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION Fire extinguisher inside south wall of service bay next to cashier's booth SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS Hydrant located northeast corner across Ming from center of site Ming/Real'and directly SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT. GAS,PROPANEi N/A B. ELECTRICAL: Located on west wall of service bay C. WATER: Located ~n sidewalk fronting Rea], adjacent to east dispenser island D. SPECIAL: Emergency pump shut-off located on exterior wall between service bay and cashier's booth E. LOCK BOX: YES ." IF YES, LOCATION: Binder in cashier's booth ..... P L:\.Y S~ ~,' :,:O SI,,: ; FLOOR PLANS? (~ / NO KE¥S2 YES ./(~ - 32 - I I t I I I I I I I I I I I I I i [IAKERSFIEI, D CITY FIRE DEPARTMENT FORM 4A-1 Page . ,,l______ NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY BUSINESS NAME: Ming Ave Shell OWNER NAME:Don Wri§qle FACILITY UNIT ADDRESS: 3700 Minq Ave ADDRESS: 3613 Felton St FACILITY UNIT NAME:204046218 CITY, ZlP:~akersfield, CA 93309 CITY,ZIP:Bakersfield: CA 93308 Ak .... PHONE ~: (805) 831-5~51 PHONE #: (805),399'-3874 .' ~OFFICI 'USE CFIRS ONLY 1 2 3 4 5 6 7 8 9 10 t'YPE MAX ANNUAL CONT USE I, OCATION IN THIS % BY HAZARD CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE__ -~ " Southeast portion /l M lO,O00 200,000 GAL O1 19 of site 100 Shell Regular gasoline ~c'~ FLLQ M 10,000 500,000 GAL 01 19 ' " 100 Regular Unleaded //ga FLLQ -S.U. 2000 M lO,O00 300,000 GAL 01 19 ,, ,, 100 Super Unleaded //~ F...LLQ North end of site ~221 550 1,000 GAL 01 40 East of buildin~ 100 Waste Oil /~<~7 0RME Center of building ~ M 500 2,000 GAL 10 26 behind cashier 100 Motor 0il cQ~0~ CMLQ ~.M 100 500 GAL 10 26 " " 100 Transmission Fluid ~<~ CMLQ _.'~ffM 100 750 GAL 10 09 " " 100 Anti-freeze oQ~O~. CMLQ i~MERGEN'CY CONTACT: Don Wriggle TITLE: Owner PHONE # ~3////HOURS:(805)831-5151 AFTER ~S HRS: (805)399-3874 EMERGENCY CONTACT: Dou9 Cordonier TITLE: Manager . PHONE # BUS HOURS:/805)831-5151 i'RINCIPAL BUSINESS ACTIVITY: Gasoline &.Service Station AFTER BUS HRS: (805)393-1687 I I Date: ~ N JUu~ ~ [ KRAZAN & ASSOCIATES, h C. Approved by: t ~ ~o~. I~ Fresno Visalia Bakersfield I of~~ ~ I KRAZAN~ & ASSOCIATES, IN ¢. Construction Testln¢ mtion ~.-e°technical Investigations ~_-n, vironmental Engineering Labora!ory Soils Test!rig qonitodn~ Wetts EMERGENCY RESPONSE PLAN & PROCEDURES I I I I I I Prevention: This station incorporates several features which offer a reasonable' level of protection against a hazardous material release or spill. Features such as: emergency shut-of[s, vapor, recovery, leak detection systems, and approved tanks and containers help to prevent or minimize releases. Regular testing and certification of tanks, product lines and dispensers as well as inventory records are used to verify the integrity of the fuel storage and delivery systems. 2. Reporting and Notification: ,I I I I '1 I I I In tile event of a spill or release of a hazardous material, regardless of size, tile event will be reported immediately to the station's designated emergency response coordinator. The coordinator will determine if the spill or release is reportable to the appropriate emergency response agencies. Threatened ~eleases will also be reported if it is determined that a significant threat to individual safety, property or the environment is present. If a release is determined to be reportable, this person will immediately contact the emergency response agencies. The agencies and their telephone numbers are: 911 for 326-3979 for (go0) g52-7550 for Police, Fire Department & Medical City of Bakersfield Fire Department Hazardous Materials Control Unit California Office of Emergency Service, warning center, or (916) 927-~391 Main Office: Fresno/Clovis · 3860 N. Winery · Fresno, California 93726 · (209) 291-7337 Bakersfield (805) 393.2343 [] Visalia (209) 625-8251 E3 Merced (209) 383-3993 I I I I I I I I I I I I I I I I I I The immediate reporting shall include, as a minimum: I. the exact location of the release or threatened release 2. the name of the person reporting the release 3. the hazardous materials involved in the release an estimate of the quantity of hazardous material involved; and 5. if known, the potential hazards presented by the hazardous material involved in' the release. 3. Mitigation: If the spill, release or threatened release is determined to be minor, and therefore non-reportable, service station employees will immediately commence clean-up and containment oi the spill or release, and carry out all necessary action to mitigate the release in accordance with standard service station mop-up procedure. These procedures include but are not limited to use of an appropriate absorbant and/or cleaner on spills of gasoline, oils, solvents, etc. Coincident with reporting, employees with emergency response training Will take whatever measures are appropriate to assist the emergency response agency and offer the benefit of their knowledge of the station and its contents. Evacuation: Should it become necessary to evacuate the station, the order will be given verbally to evacuate to off-site location indicated on site diagram. 5. Medical Assistance: All employees in need of medical assistance should be transported to Mercy Hospital or Bakersfield Memorial Hospital. If the injury involves exposure .to a hazardous material, a copy of the appropriate Material Safety Data Sheet (MSDS) shall accompany the affected person to the hospital. 6. Additional Information: Telephone numbers for Emergency Response agencies and applicable MSDS's are located in the cashier's station. KRAZAN~& ASSOCIATES, I INC. Construction Testin and ~,ction Geotechnical Investigations Environmental Engineering Laboratory.Soils Testing Monitoring Wells HAZARDOUS MATERIAL TRAINING FOR EMPLOYEES 1) All employees will be trained in the contents of the business plan, emergency response plan & procedures, and Material Safety Data Sheets. I I I 2) All training will be documented by employee's signature on a training session sign up sheet. This record of training will be maintained by Station Manager. 3) New employees will be trained on Hazardous Materials Emergency Response Procedures prior to working with hazardous substances. 4) Employees who handle hazardous materials will be trained in the sale handling of hazardous material, and appropriate emergency response actions. I I I 5) Employees will receive training on the location and proper use of on-site emergency response equipment. 6) Personnel responsible for incident reporting will receive special training with regard to the reporting of releases or' threatened releases of hazardous materials as described in the ERP&P. I I 7) Refresher training will be done on an annual basis and will encompass all aspects of the business plan, emergency response plan & procedures, MSDS, and all facets of training listed above. I I Main Office: Fresno/Clovis o 3860 N. Winery · Fresno, California 93726 · (209) 291-7337 Bakersfield (805) 393-2343 [] Visa/ia (209) 625-8251 [] Merced (209) 383-3993 I I I I I I I I I I I I I I I I I I i APPENDICES BUSINESS PLAN REQUIREMENTS SHELL OIL SERVICE STATIONS (City of Bakersfield Fire Jurisdiction) Service station businesses are required by law to provide hazardous material information (Business Plans) to local health and safety agencies. Following is a brief outline of City of Bakersfield Fire Department requirements. The Complete business Plan Includes the Following Forms · Hazardous Materials Business Plan (Forms 2A and 3A) · Hazardous Materials Inventory (Form 4A-1) · Site Map and Facility Diagram (Form 5) Hazardous Materials to be Registered Include~ · Gasoline, solvents, and waste oil, in quantities at or above 55 gallons Business Requirements - Initial Compliance · File Plan within 30 days of notification from City of Bakersfield Fi're Dept. - File one copy with Fire Department - Fees: Sliding scale, billed after submittal · Copy of Plan to be kept at business · Copy of Material Safety and Data Sheet to be kept at business · Conduct and document Employee Safety Training -New employee hazardous material handling -New employee emergency response training -Annual refresher~ Business requirements - Continued Compliance · Bi-annual Business Plan review · Annual Hazardous Material Inventory Form update · 30-day notification of major changes in business activity 100% increase in volume of regulated material Storing a new regulated material Change of business name, address, ownership or emergency contact person, or business closure - Other business operation changes Release Reporting Procedures · Must report significant releases immediately to - City of Bakersfield Fire Department - California Office of Emergency Services 800-852-7550 - Local fire department · Must provide access for emergency response personnel Please Note: This business plan requirement summary was derived from City of Bakersfield Fire Department Guidelines and business plan forms distributed June, 1988 and is not meant as a substitute for these guidelines. For more detailed information, please refer to the specified guidelines, and forms. [ KRAZAN~& ASSOCIATES, INC. Geotechnical Investigations Environmental Engineering Laboratory Soils Testing Monitoring Wells INTRODUCTION i I I I I I In 1985, the California Legislature enacted Assembly Bill 2185, the Hazardous Materials Release Response Plans and Inventory Law. It became effective immediately when Governor Deukmejian signed the bill on September 28, 1985. In 3anuary of 1986, the California Office of Emergency Services (OES) issued emergency regulations that, in conjunction with AB 2185, requires handlers of hazardous materials to report releases or threatened releases to the local administrative agency and the OES. Provisions of AB 2185 require every county to designate an administrative agency to implement a hazardous materials program. In some counties, certain cities have assumed authority for their own programs. BUSINESS PLANS I I I I I In addition to the reporting of a release or threatened release of ~ hazardous material, businesses that handle hazardous materials are required to submit a business plan. The business plan consists of: 1) Specific details of the business, including ownership, address, description of business, and 2#-hour emergency contact information for the business. 2) 3) An inventory of the hazardous materials on site. A site plan of the business Emergency response procedures in the event of a release or threatened release of a hazardous material I I Main Office: Fresno/Clovis * 3860 N. Winery · Fresno, California 93726 · (209) 291-7337 Bakersfield (805) 393-2343 [] Visalia (209) 625-8251 [] Merced (209) 383-3993 5) Procedures for immediate notification of releases to the administrative agency and 6) Procedures for the mitigation, minimization, prevention, and abatement of a hazard resulting from a release 7) Evacuation plans and procedures for the business site 8) Training for employees who handle hazardous materials to include the safe handling of such materials and proper emergency response procedures in the event of a release or threatened release Who must file Any business which handles a quantity of a hazardous material at any one time during the reporting year equal to at least a total weight of 500 pounds or a total volume of 55 gallons, or 200 cubic feeet of a compressed gas at standard temperature and pressure (STP). HAZARDOUS MATERIALS According to the definition given in AB 2195, "'Hazardous material' means any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the environment if released into the workplace or the environment..." EMPLOYEE TRAINING · Businesses that handle hazardous materials, and are not exempt from filing a Business Plan, must provide and document employee training in safety prodecures in handling hazardous materials and in the event of a release or threatened release of a hazardous material. Training should be undertaken a soon as possible for existing employees and before any new employees handle any hazardous material. Employee training must be documented and signed by the employee. This documentation should be maintained by the station manager and should be made available in the event the administering agency conducts an inspection. (2) Training must include, but need not be limited to: I. Methods of safe handling of hazardous materials. Several sections of the Material Safety Data Sheets (MSDS) pertain to the safe handling of hazardous materials. It is recommended that the employee reads a representative sample of MSDS's (i.e., those corresponding to the products on site). The appropriate OSHA }lazard Communication Program also will satisfy training requirements of the business plan. 2. Procedures for coordination with local emergency agencies. The station manager or a designated emergency response coordinator (ERC) should be on duty during all business hours. If it is likely that only one person is on duty at any time, that person should be a designated ERC and should undergo the appropriate training. It is the responsibility of the ERC to determine if the release or threatened release is reportable. Please note that, according to California Administrative Code, Title 19, Section 2703: "Immediate reporting shall not be required if there is reasonable belief that the release or threatened release poses no significant present or potential hazard to human health and safety, property, or the environment." This definition of. a reportable release is fairly broad and the ERC should exercise caution in his/her determination as to whether a release is reportable. 3. .Use of on-site emergency response equipment and supplies. If, in the event there is a release of a hazardous material, and the ERC has determined the release to be minor and therefore does not warrant reporting, the ERC will direct employees to commence cleanup and containment. Proper equipment and supplies for this action are outlined in the correct MSDS. Emergency equipment and supplies for a gasoline station include, but are not limited to: fire extinguishers, absorbants, neutralizers, sand, and underground tank leak detection monitors. Also included should be personnel protective and safety (3) equipment such as gloves~ safety glasses~ face shield~ and first aid kits/first aid station. ~. The business Emergency Response Plan and Procedures. All employees should be familiar with the contents of the Business Plan. The employee should read and understand the Emergency Response Plan and Procedures~ MSDS~ and all other aspects of the Business Plan. KRAZAN~& ASSOCIATES , I INC. Construction Testin and In. ~tion Geotechnical Investigations Environmental Engineering Laboratory Soils Testing Monitoring Wells MATERIAL SAFETY DATA SHEETS (MSDS) I I I I I I Material Safety Data Sheets (MSDS) are a valuable tool in material handling. A considerable amount of information is contained in the particular importance to the service station employee are: Section III Health Information Section V Emergency & First Aid Procedure Section VIII Fire & Explosion Hazard Section X' Employee Protection Section Xl Environmental Protection Section xiI Special Precautions hazardous MSDS. Of I I I It is recommended that all employees who handle hazardous materials (e.g., gasoline, oil, waste oil) become familiar with the Business Plan, Emergency Response Plan & Procedures, and MSDS. A copy of these items should be placed in a conspicuous location, accompanied by the names and telephone numbers of the appropriate emergency response a§encies. I I Main Office: Fresno/Clovis · 3860 N. Winery · Fresno, California 93726 · (209) 291-7337 Bakersfield (805) 393-2343 [] Visalia (209) 625-8251 [] Merced (209) 383-3993 BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 RECEIVED JUI t I 1987 ............ 3USINESS NAME OFFICIAL USE ONLY ID# HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A 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 A. BUSINESS NAME: B. LOCATION / STREET ADDRESS: ~7OO ~f~k~ ~/~ CITY: ~II~P/~-~ ZIP: ~3307 BUS.P,ONE: (~) SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involvidg the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE DURING BUS. HRS. g3t AFTER BUS. HRS. Ph# .... 319 ~gVq SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: S. ELECTRICAL: ~OS~ ~LOOM~ [3~Li- kl~T C. WATER: ~lO~_ l/3~1~ O~f ~L ~-.~ D. SPECIAL: E. LOCK BOX: YES ~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? FLOOR PLANS? YES / NO YES / NO MSDSS? YES / NO KEYS? YES / NO - 2A - SECTION 4: PRIVATE 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 REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS:...~ .................................... ~ES~ NO YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: NO YES NO C. PROPER USE OF SAFETY EQUIPMENT: .................. NO YES NO D. EMERGENCY EVACUATION PROCEDURES: ................. ~ .NO YES NO E. DO YOU ~INTAIN EMPLOYEE TRAINING RECORDS: ....... YES ~ YES NO REFRESHER SECTION ?: HAZARDOUS MATERIAL CIRCL YE~~R NO DOES YOUR BUSINESS HANDLE HAZARDOUS ,MATERIAL IN QUANTITIES LESS THAN 500 POUN~D_S_,OF A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... ~ NO I, ~Ot~[ ~,~./~'.~L~-~ , certify that the above information is accurate. I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et Al.) and that inaccurate information constitutes perjury. TITLE 0(.~O/~ DATE ~-- 7--~' BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 BUSINESS NAME: O[F!CiAL USE ONLY ID# BUSI NESS 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# A FACILITY 'INIT NAME: ~k/~l~,~ a~/~ %~L~ SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES SECTION 2: NOTIFICATION ,%ND EVACUATION PROCEDL~ES AT THIS UNIT ONLY SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials? ...... ~ NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES ~ If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form #4A-l) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) in addifiion to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT. GAS,/PROPAN~} B. ELECTRICAL: C. WATER: D. SPECIAL: L L_ /,,.I F' 7 Pu P,S E. LOCK BOX: 'YES IF YES, LOCATION: IF YES, SITE PLANS? FLOOR PLANS? YES / NO MSDSs? YES / NO YES / NO KEYS? YES / NO - 3B - BAKERSFIELD CITY FIRE DEPARTMENT I.D. # FORM 4A-1 Page , ~of NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY BUSINESS NAME: ~\}P~(~ g~ ~H-~-~/_.~ O.NER NAME: ~O~ ~{~L~ FACILITY UNIT ADDRESS: ~700 ~{~G ~-~ ADDRESS: ~(o{5 F~CTO~ ~ FACILITY UNIT NAME: CITY, ZIP: ~A.~ftF~'&~ ~B~ ClTY,ZIP:~I~'~3~/~.~ P8ONE.~:_~O~ ~g/--,~/~/ PHONE ~: ffO~-- ~-5FTq [OFFICIAL USE CFIRS CODE I ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS ~6 BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE Er~ERG~NCY CONTACT: bOIq ~~(o~ TITLE: O~/~ PHONE · BU~URS:, ~ ~J~-~ EMERGENCY CONTACT: ~O13~ ~o~¢~M~ TITLE: [~gA'~f~ . PHONE ~ BUS HOURS:,, ~%~ ~=t~ P~INC~IpAL BUSINESS ACTIVITY:~.~P~tAt~> .~? ~tC~ ~-~/O~ AFTER BUS HRS: ~B [¢~Q - 4A-1 - Feclflty Identtltealton 'Owner/Operator Name TierTwo ..~ .AA.N~. 4,~ $¼~1~,. .,,.., ~o~ ~r~ ~ HAZARDOUS . Emergency Contact CHEMICAL ' ' /~/o,~o. .... ONLY .... Je .~ .... /mDort~,nr: l~taa,.atl t~$~ruc~son$ aa/ore comp/erin ~orm , ,, Hepornng rerloa ~.om aanu.~y ~ m o~em~ 3t, ~g ~, ~ Physical Invento~ Storage Codes and Locations Chemlcal Descrlptlon and Health M.x. Avg. No. ~ ' Hazards. o.,v. D.,y O.y~ (Non-Confidential) Amount Amount On-tile t~ alt qhlll~) (code) (code) (days) Storage Code . Storage..~cations :. . . __ . ( ~ ~) ~ ~,,,.,,~,. --_ ~ Oelly~ {chemic} OIlly~ (chr~lcl that eppty: ~e M,. So.d L,nu~d Gat Cetllllcatlon (Read and si&. after comple~in~ ell Jrctiont) Optional Attachmentl (Ch~c~ one) i ~tl~ ~ ~llly of iiw Ihll I hl~ ~l~lllv e~lmln~ I~ em fl~llll~ wllh t~ Inf~mlll~ lu~lll~ I~ Ihll I~ III IlIIC~ d~u~nll. I~ Ihll . . I have altac~ I fill of ~.~..~ *,.c~.~ ~, · ~ ~ .,o~.. ,. o. ~.,,o~,~,o,' . .~o,,z~ ,.o,.,e.~,,~. ~7~,~ - _~/ . .9.~ ~l°"~ .... ~d,..~. Please see EXAMIIE on page C of the folder for instructions prior to completion of this form. ~/ This form shall~r~PED or LEGIBLY PRINTED IN INK. Return tl~mpleted original. HAZARDOUS MATERIAL INVENTORY Page 1 of ~ TRADE SECRET SITE MAP ATTACHED ~/~ to 12/31 19 90 BUSINESS NAME TELEPHONE # SlTE~~ Cl~ STATE ZIP COD~ MAILING ADDRESS O CITY STATE ZIP CODE DUN & BRADSTREET ~ll N. BROOKHURST~ LAE ANAHE['M CA 92803 NAME OF EMERGENCY COORDINATOR TIT~ TELEPHONE ~ 24-HOUR TELEPHONE NAM~ALTERNATE EM~OR TITLE T~LEPHONE. 24-HOUR TELEPHONE PRINCIPAL BUSINESS AOTIVI~ E.P.A WASTE GE~TOR I.D, ~ SliDE PURPOSE OF DISCLOSURE ~ Annua' ~ Previously Undisclosed Materials RETAIL GAS0~INE STATI'0N 55h] ~l~%Chg inOuanti~ ~Chg. ofBus. Name/Address/Owner SHELL REGULAR PETROL MIXTURE CODE ; STORAGE CODE PHYSICAL HAZARDS ~ ~e~c~ivl~ HEALTH HAZARDS J PHYSICAL STATE ~PE DAYS ON SITE ~,~e ~ Su~en m~ssur,~e~ease ~Acme ~ ChronicJ ~ So,id ~Liquid ~ Gas ~ Pure ~ M,~ure ~ Waste 365 B MAXIMUM AMOUNT UNIT j ~ AVERAGE DAILY AMOUNT UNIT ANNUAL AMOUNT [WASTE ONL~ UNIT USE CODE CODE 1 4 UNDERNEATH PAVEMENT T~EE MOST ~Z*~gOUS CO~ON~NT C~M~C~L N~M~S. ,~ M,XTU~ O~ WASTe: ~. TOLUENE ~ w~ 0~25 C.A.S.* 108-88-3 2 XYLENE ~ w, 0~25 C.A.S.~ 1330-20-7 3. BENZENE CHEM,C*LN~M~ ~ W~ 0~5 C.A.S., 7]'43-2 COMMON NAME UN I.D. ~ O.A.S. ~ CODESTATE ~WASTE SU 2000 PETROL MIXTURE PHYSICAL HAZARDS ~ Reactivi~ HEALTH HAZARDS J PHYSICAL S~ATE ~PE DAYS ON SITE STORAGE CODE ~ Fire ~ Sudden Pressure Release ~ Acute ~ Chronic] ~ Solid ~ Liquid ~ Gas ~ Pure ~ M~xture ~ Waste MAXIMUM AMOUNT / UNIT ~~ AVERAGE DAILY AMOUNT UNIT ANNUAL AMOUNT (WASTE ONL~ UNIT USE CODE WASTE C~SS STORAGE TEMPERATURE LOCATION OF CHEMICAL PRESSURE CODE CODE 1 h UNDERNEATH PAVEHENT THREE MOST HAZARDOUS COMPONENT CHEMICAL NAMES, IF MIXTURE OR WASTE: ~. TOLUENE ~ w, 0~25 C.A.S~ 108-88-3 2. XYLENE ~ w, 0~25 C.A.S, 1330-20-7 3. BENZENE ~ w~ 0~5 C.A.S.* 71-h3-2 COMMON NAME J UN LD ~ CHEMICAL NAME J C.A.S. ~ ~ STATE WASTE RU 2000j PETROLj HIXTURE COD~ PHYSICAL HAZARDS ~ReactJv,~ HEALTH HAZARDS [ PHYSICAL STATE ~PE I DAYS ON SITE STORAGE CODE ~Fi~e ~ Sudden Pressure Re~ease ~ Acute ~ Chronic ~ So~id ~iquid ~ Gas ~ Pure ~ M~x~ure ~ Waste 3~5 B MAXIMUM AMOUNT UNIT~ AVERAGE DAILY AMOUNT UNIT ANNUAL AMOUNT (WASTE ONL~ UNIT USE CODE WASTE C~SS J STORAGE I TEMPERATURE LOCATION OF CHEMICAL PRESSURE~ CODE CODE 1 4 UNDERNEATH PAVEMENT THREE MOST H~ARDOUS COMPONENT CHEMICAL NAMES, IF MIXTURE OR WASTE: 1. TOLUENE ~ wt 0~25 C.A.S.~ 108-88-3 2. XYLENE ~ w, 0~25 C.A.S., 1330-20-7 3. ~[~[~[ ~ wt 0~ C.A.S.~ 71~4~2 CERTIFICATION: I certify under penalty of law that I have personally examined and am familiar with the information submi~ed and believe the submi~ed information is true, accurate, and complete. OFFICIAL mY aN eTA ~ ~D~ ~ USE ONLY gO g~ gS gP I I 578 (Rev. 12/89) Please see EXA/ on page C of the folder for instructions prior t~i~mpletion of this form. This form shaT!I~ TYPED or LEGIBLY PRINTED IN INK, Return I~l~ompleted original. LOS ANGELES COUNTY FIRE DEPARTMENT HAZARDOUS MATERIAL INVENTORY SUPPLEMENTAL L["-] TRADE SECRET r'-I SITE MAP ATTACHED CITY STATE Page 2 of_. 2 IREPORTING PER~OD 1/1 to 12/31 19 TELEPHONE . ZIP CODE '-~OMMO% N.t, ME '.;~AID" CHEMICAL NAME tC.AS Ct USED LUBRICATING ~OlL !MIXTURE i MIXTURE ST,t-'~ E WASTE CODE . D~YSIC~ HAZ=RC~ r'-' I i ]~¢PE I DAYS ON SIIE ' ~ ~ r Reacqv~ty HEALTH HAZARDS ( PHYSICAL STATE STORAGE CODE ~: P re [-~ Sudoe¢ PresSure Re'easEGAcute ~ Chropic } ~ Sohd ~ Liquid ~ Gas ~ ~ Pure ~ M,~u,~ ~ Wa~I 365 M~).P/j? A%~3J',~ U~;'T ~~ AVERAGE DALLY AMOUNT UNIT ANNUAL AMOJNT IWASTE ONLY] UNIT ' USE ~ LB~GAL ~"T' ~ ~LB I~GAL ~FT' ~ ~LB ! ~GAL ~FT' ~ ~SS SIORAGE , TE~¢PE~%~JRE j LOCATION OF CHEMIOAL PR~%SORE ICODE IGN ,CODE 1 i ~ I UNDERNEATH PAVEMENT T'~REE MOST HAZ~.RDOJS COMPONEN'[ CHEMICAL NAMES IF MIXTURE OR WASTE ~. USED LUBRbCATI'NG OI'L ~ w~ 1-~ 3. ~ATER ~ wl 0~1 COMMOn. ~ME i UN I.D. ~ J CHEMICAL N~ME ' I C,A.s.#MIXTURE C,A.S.#HIXTURE C,AS., 7732-]8-~ C A.S. ~ ; CoDESTATE ~,WASTE sHYS"JA..~A.Z'~=.DS ~ React!v,~ i HEALTH HAZARDS j PHYSICA. STATE ~ TYPE DAYS ON SITE STORAGE CODE ~ F,,e 5 S.eae-, P,essu,e Re,ease ~ Acute 5 Cmon,c i ~ SOHO ~ Liquid ~ Gas ~ ~ Pure g M,xture ~ Waste j MA.~:M J'.4 ~MOUNT UN;T I AVERAGE DAILY AMOUNT UNIT ANNUAL AMOUNT IWASTE ONLY) UNIT I USE CODE ¢,~STE C~SS i STORAGE ! TEMPERATURE j LOCATION OF CHEMICAL ~ PRESSURE ~ CODE i . CCDE [ T~REE MOST H;Z~kDOUS COMPONENT CNEMICA~ NAME~ IF MIXTURE OR WASTE COMMD'. NAME ~ % Wt C.A.S. # 2 % Wt C.A.S. # 3. % wt C,A.S. # i UN I D # ] CHEMICAL NAME CAS. # I STATE WASTE i CODE, P,AYStCA. HAZA;~DS [] React,vlty ! HEALTH HAZARDS PHYSICAL STATE J--'] F,re [] Sudden Pressure Release I J--J Acute [] Chronic [] Sold [] Liquid MAX MUM ~MOUNT UNIT j AVERAGE DALLY AMOUNT UNIT [] LB '; []GAL []FT: ! []LB I E~DGAL WASTE CLASS CoDEPRESSuRESTORAGE ~J CoDETEMPERATURE LOCATION OF CHEMICAL THREE MOST HAZ,~RDOUS COMPONENT CHEMICAL NAMES, IF MIXTURE OR WASTE: COMMON NAME UN I.D # j CHEMICAL NAME I PHYSICAL HAZARDS [] Reactw~ty ! HEALTH HAZARDS PHYSICAL STATE [] Fire [] Sudden Pressure Release IE] Acute [] Chronic [] Solid [] Liquid MAXIMUM AMOUNT UNIT AVERAGE DALLYAMOUNT UNIT [] LB I [] GAL [] FT3 [] LB j l~ GAL WASTE C~SS STORAGE TEMPERATURE JLOCATION OF CHEMICAL ~PRESSURE CODE JCODE THREE MOST HAZARDOUS CQMPONENT CHEMICAL NAMES, IF MIXTURE OR WASTE 1, 2, 3. [] Gas [] FT~ [] Gas [] FT3 TYPE IDAYS ON SITE ! STORAGE CODE [] Pure [] Mixture [] Waste ] ANNUAL AMOUNT (~/ASTE ONLY) UNIT USE CODE [] LB J [] GAL [] FT3 I % Wt C.A.S. # % Wt C.A.S. # % Wt C.A.S. # C.A.Sct, CoDESTATE ~WASTE STORAGE CODE TYPE IDAYS ON SITE I [] Pure [] Mixture [] Waste ANNUAL /~/IOUNT (WASTE ONLY} UNIT F1LeIDGAL •FT' USE CODE % Wt C.A.S. # % Wt C.A.S. # % Wt C.A.S. # 579 (Rev 12189; INVENTORY CODES 24. STORAGE CODES A - Aboveground Tank J - Bag B - Underground Tank K - Box C - Tank Inside Building L - Cylinder D - Steel Drum M - Glass Bottles/Jugs E - Plastic/Non-Metallic Drum N - Plastic Bottles/Jugs F - Can O - Tote Bin G - Carboy P - Tank Wagon H - Silo Q - Rail Car I - Fiber Drum R - Other 28. USE CODES 01. Additive 18. Fabrication 35. Preservative 02. Adhesive 19. Fertilizer 36. Intermediate Process 03. Aerosol 20. Finished Product 37. Raw Material 04. Anesthetic 21. Formulation 38. Refining 05. Bactericide 22. Fuel 39. Sealer 06. Blasting 23. Fungicide 40. Spraying 07. Carrier/Processing Solvent 24. Grinding 41. Sterilizer 08. Catalyst 25. Heating 42. Storage 09. Cleaning 26. Herbicide 43. Stripper 10. Coolant 27. insecticide 44. Washing 11. Cooling 28. Instuctional 45. Waste 12. Distillation 29. Lubricant 46. Water Treatment 13. Drilling 30. Medical Aid or Process 47, Welding/Soldering 14. Drying 31. Neutralizer 48. Well Injection 15. Emulsifier 32. Painting 99, Other-Specify on 16. Etching 33. Pesticide Separate Sheet 17. Experimental 34. Plating 29. WASTE CLASSIFICATION For each chemical that is a waste, enter the three letter code that best describes the waste. TOX -- Toxic REA - Reactive IGN -- Ignitible EHM - Extremely Hazardous Materials COR -- Corrosive :~0. STORAGE PRESSURE/TEMPERATURE CODES STORAGE PRESSURE CODE TEMPERATURE CODE I Ambient Pressure 2 Greater than Ambient Pressure 3 Less than Ambient Pressure 4 Ambient Temperature 5 Greater than Ambient Temperature 6 Less than Ambient Temperature 7 Cryogenic Conditions