HomeMy WebLinkAboutBUSINESS PLAN 3/8/1994 VACANT
...... 4 '
~ 0°
MING AVENUE
COMMERCIAL
~LL ~RVI~ 8TARN L~END 8OA~: 1"=5o'~ DA~: 1/17/92
~.~.~.c~.u.. ~-o~ ~ "~ <~"~"*~ SITE PLAN
E~C~ICAL PANEL SHUT-~ ~ S~NT SINK
NA~RAL 6~S SHUT-OFF ~ AN~FREEZE
~.~.s.u~-o.. ~ .o.o./~..~,~,o.o,~ 2502 MING AVENUE
RRE EXTINGUISHER ~ BARRY ST~AGE
BAKERSFIELD, CALIFORNIA 95304
TANK M~IT~ING A~RM ~ ~EASE (BARREL)
..s~ *~ ~ ~ u.~..R~UCT T*.K
[~[~C~ ~S~eL~ ~REA ~ U.e. W*S~ O~L TANK SS¢ 5573
~ *.~...~UCT T*NK
HMMP AND M~S LOCA~0N
~RE H~RANT
~ ~,s~ ~ r,~.s
M~t~ING ~S ~ WASE ~FREEZE ~ R~ERT H. LEE a A~IA~8. INC.
~ ~I~C~R[ [N~N[ERING ~NtNG
OB%RVA~ON ~LLS ~ WAS~ BA~RIES -- 11~ N. U~ BL~. ~T~ ~ ~O~ · (707)
VACANT
I
T S ENCLOSURE
I:11~1
I I>11>1
I ,,
LJ
COOLANT
A
W
MING AVENUE
COMMERCIAL
HYD
FULL SERVICE STATION LEGEND SCALE: 1"=30'-0"+ DATE: 10/25/90
EMERGENCY PUMP · MONITORING WELLS
SHUT-OFF
GREASE
(BARREL)
ELECTRICAL PANEL ~
(~) U.G. WASTE OIL TANK
NATURAL
GAS
SHUT-OFF
~ U.G. PRODUCT TANK
WATER SHUT-OFF
) SOLVENT SINK
FIRST AID KIT
) BATTERY STORAGE
FIRE EXTINGUISHER AREA
STORM DRAIN MZ-k~
MOTOR/TRANSMISSION
OIL
HOIST (SERVICE BAY) ~_~ TELEPHONE
HYDRANT ~ EMERGENCY MEETING
PLACE
SITE PLAN
2502 MING AVENUE
BAKERSFIELD, CALIFORNIA
5573
ROBERT H. LEE & ASBOClATE~3, INC.
ARCHITEC31JRE ENGINEERING PLANNING
ORTH
SITE/FACILITY
FORM 8
SCALE:
UNIT
FACILITY N A~M F~ /~
SITE DIAGRk~! ~/ FACILITY DIAGR.~M
FLOOR: ' OF
DATE: / /
(CHECK ONE)
OF
Inspector's Comments):
-OFFICIAL USE ONLY-
- 5A -
SITE DIAGRA~
Items)
Address: Identify the
principle buildings
by the Street numbers.
Street(s), Alleys,
Driveways, and Parking
Areas adjacent to the
property. Include the
street names.
S. Storm Drains, Culverts,
Yard Drains
4. Drainage Canals, Ditches,
Creeks,
5, Buildings
a. Frame construction
b. Masonry construction
c. Metal construction
d. Access Door
6. Utility Controls
a. Gas
b. Electricity
c. Water
7. Fire Suppression Systems:
a. Fire Hydrants
b. Fire Sprinkler 19.
Connections
c~ Fire Standpipe 20.
Connections
d. Water Control Valves
for protection systems
e. Fire Ptuap 22.
8. Fire Department Access
9. Lock (key) Box
10. MSDS Storage Box
I1. Railroad Tracks
12. Fence or Barrier
a. Wire
b. Nasonry
c. Wood
d. Gates
13. Powerllnes
14. Guard Station
IS. Storage Tanks:
Identify the
capacity in gal.
a. Above ground
b. Underground
16. Diking or Berm
17. Evacuation Route
18. Evacuation Area:
Identify the
location where
employees will
meet.
Outside Hazardous
Waste Storage
Outside Hazardous
Material Storage
21. Outside Hazardous
Material
Use/Handling
,Type of Hazardous
Material/Waste
Stored
or Used (See
Below)
TYPE OF HAZARDOUS MATERIAr,
F - Flammable E .= Explosive L = Liquid R = Radlologlcal
C - Corrosive 0 - Oxidizer O = Gas "P = Poison
W = Water Reactive T - Toxic S = Solid H = Cryogenic
D = Waste B = Etiological
Example: Flammable Liquid - FL
FACILITY DIAGR~ (Required Items In addition to the. abo~e)
1. Risers for Sprinklers
2. Partitions
3. Stairways: Indicate the
levels served from
highest to lowest.
4. Escalator: Indicate the
levels served from
highest to lowest.
5. Elevator
6. Attic Access
7. Skylights
8. Fire Escapes
9. Air Conditioning Units
10. Windows
11. Inside Hazardous Waste
Storage
12. Inside Hazardous
Materials Storage
13. Inside Hazardous
Materials Use/Handling
14. Sewer Drain Inlets
ORTH
SCALE:
DATE:
(CHECK
/ /
ONE)
SITE/FACILITY
FORM 5
FACILITY N&ME:
SITE DIAGRAM
D I AGRAM
FLOOR: OF
FACILITY D I AGR.a~M
ALL /'q ~'77
I(Inspector's Comments):
.OFFICIAL USE
]NLY-
- 5A -
~,[TE DIAGRAM (Reql items)
1. Address: Identl£y tbs
principle buildings
by the Street numbers.
2. Street(s), Alleys,
Driveways, and Parking
Areas adjacent to the
property. Include the
street names.
3, Storm Drains, Culverts,
Yard Drains
4. Drainage Canals, Ditches,
Creeks,
5. Bolldlngs
a. Frame construction
b, Masonry construction
c. Metal construction
d. Access Door
6. Utility Controls a. Gas
b. Electricity
c, Water
7. Fire Suppression Systems:
a. Fire Hydrants
b. Fire Sprinkler
Connections
¢. Fire Standpipe
Connections
d. Water Control Valves
for protection systems
e. Plre Pump
8. Fire Department Access
g. Lock (key) Box
10. MSDS Storage Box
11. Railroad Tracks
12. Fence or Barrier
a. Wire
b. Masonry
c. Wood
d. Oates
13. Powerllnes
14. Guard Station
15. Storage Tanks:
Identify the
capacity In gal.
a. Above ground
b. Underground
16. Diking or Berm
17. Evacuation Route
18'. Evacuation Area:
Identify the
location where
employees will
meet.
19. Outside Hazardous
Waste Storage
20. Outside Hazardous
Material Storage
21. Outside Hazardous
~aterlal
Use/Handling
22. Type of Hazardous
Material/Waste
Stored
or Used (See
Below)
.TYPE OF HAZARDOUS MATERIAL
P - Flammable B = Explosive L = Liquid R = Radtologlcal
C = Corrosive 0 "Oxidizer O = Gas P = Poison
W = Water Reactive T = Toxic S = Solid H = Cryogenic
D = Waste B - Etiological
Example: Flammable Liquid = FL
PACILI3~ DIAGRAM (Required Items In addition to the abo~e)
1. Risers for Sprinklers 8. Fire Escapes
2. Partitions 9. Air Conditioning Units
3. Stairways: Indicate the 10. Windows
levels served from
highest to lowest. 11. Inside Hazardous Waste
Storage
4. Escalator: Indicate the
levels served from 12. Inside Hazardous
highest to lowest. Materials Storage
5. Elevator 13. Inside Hazardous
Materials Use/Handling
6. Attic Access
i4. Sewer Dratn Inlets
7. Skylights
I TE'/F.zkC I L I T¥
FORM
NORTH
SCALE:
DATE: / /
(CHECK ONE)
BU$I~NESS NAME
FACILITY
SITE DIAGRAM
FLOOR:
UNIT -':
FACILI.~I DIAGR.~M
OF
OF
I(
Inspector's Comments):
-OFFICIAL USE ONLY-
- SA -
ECEIVED
AUG 8 1990
A, ns'd ............
SiT E ~11
I-l}I }IP
AGRAM
F,z~I~ 1 LIT y DIAGRAM'.~
03/68/94'
UNOCAL 76 PLAZA 215-000-000545
/~-vC)~ ~ ~0verall Site with 1 Fac. Unit
General Information
Page
1
Location: 2502 MING AV Map:12~ Haz:2 Type: 1
!Community: BAKERSFIELD STATION 07 Grid: :12A F/U: 1 AOV: 0.0
Contact Name Title Business phone 24-Hour Phone-
STEVE ELSAYED DEALER (805) 833-89~5 x ( ) -
JIMMY ELSAYED DEALER (805) 832-6287 x (805) 832-6287
Administrative Data
Mail Addrs: P O BOX 2390 D~B Number: 09-944-7344
City: BREA State! CA Zip: 92622-2390
Comm Code: 215-007 BAKERSFIELD STATION 07 SIC Code: 5541
Owner: STEVE ESLAYED' Phone: (805) 833-8925
Address: 2502 MING AVENUE IState: CA
City: BAKERSFIELD Zip: 93304-
Summary
Do hereby cerfif~
(Type or print name)
reviewed the a~ached hazardous materials
men~ plan for and
(~me of Busi~)
03/68/94'
UNOCAL 76 PLAZA 215-000-000545
Hazmat Inventory List in MCP Order
Page
02 - Fixed Containers on Site
Pln-Ref Name/Hazards
Form Max Qty
MCP
02-006
SULFURIC ACID (WASTE BATTERIES)
· Fire, Reactive, Immed Hlth
Solid
10 High
GAL
02-001 UNLEADED GASOLINE
· Fire, Immed Hlth, Delay Hlth
Liquid
10000 Moderate
GAL
02-004 SUPER UNLEADED GASOLINE
· Fire, Immed Hlth, Delay Hlth
Liquid
10000 Moderate
GAL
02-002
WASTE OIL
· Fire, Delay Hlth
Liquid
20 Low
LBS
02-005 ANTIFREEZE
· Fire, Delay Hlth
Liquid
69 Low
GAL
02-003
MOTOR OIL
· Fire, Delay Hlth
Liquid
207 Minimal
GAL
o3/ 8/ 4'
UNOCAL 76 PLAZA 215-000-000545
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
Page
02-006
SULFURIC ACID (WASTE BATTERIES)
· Fire, Reactive, Immed Hlth
Solid
10 High
GAL
CAS #: 7664-93-9
Trade Secret: No
Form: Solid Type: Mixture Days: 365 Use: OTHER
Daily Max GAL10 I Daily Average40.00GAL
Annual Amount GAL
120.00
Storage
PLASTIC CONTAINER
Press -
,Ambient
. Temp Location
Ambient[SERVICE BAY
TRASH ENCLOSURE
-- Conc
I
34.0% ISulfuric Acid (EPA)
Components
MCP ---/Guide
IHigh / 39
02-001 UNLEADED 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
6,000.00
Annual Amount GAL
360,000.00
Press I Temp Location
IAmbient~AmbientlNORTH OF SVC BAY
Components
MCP ---/Guide
IModerateI 27
02-004
SUPER UNLEADED GASOLINE
· Fire, Immed Hlth, Delay Hlth
Liquid
10000 Moderate
GAL
CAS #: 8006-61-9
Trade Secret: No
Form: Liquid Type: Pure
Days: 365 Use: FUEL
Daily Max GAL
10,000 I
Daily Average GAL
6,000.00
Annual Amount GAL
360,000.00
Storage
UNDER GROUND TANK
Press I Temp Location
AmbientlAmbientlNORTH OF SVC BAY
-- Conc
100.0% IGasoline
Components
iMCP ---~uide
ModerateI 27
03/68/94'
UNOCAL 76 PLAZA 215-000-000545
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
Page
02-002 WASTE OIL
· Fire, Delay Hlth
Liquid
20 Low
LBS
CAS #: 221
Trade Secret: No
Form: Liquid Type: Waste Days: 365 Use: WASTE
Daily Max LBS20 I Daily Average200.00LBS
Annual Amount LBS
1,100.00
Storage
UNDER GROUND TANK
Press T Temp Location
IAmbient~AmbientlNORTH OF SVC BAY
-- Conc~ Components
100.0% IWaste Oil, Petroleum Based
MCP ---~uide
ILow ! 27
02-005
ANTIFREEZE
· Fire, Delay Hlth
Liquid
69 Low
GAL
CAS #: 107-21-1
Trade Secret: No
Form: Liquid Type: Pure
Days: 365 Use: COOLANT/ANTIFREEZE
-- Daily Max GAL
Daily Average GAL
35.00
Annual Amount GAL
900.00
Storage
PLASTIC CONTAINER
Press T Temp Location
IAmbientlAmbientlSTORE ROOM BAY
-- Conc
94.0% 1Ethylene Glycol
Components
MCP ---~uide
ILow ! 27
02-003
MOTOR OIL
· Fire, Delay Hlth
Liquid 207 Minimal
GAL
CAS #: 64742-26-7
Form: Liquid Type: Pure
Daily Max GAL
207
Storage
PLASTIC CONTAINER
Trade Secret: No
Days: 365 Use: LUBRICANT
i Daily Average GAL Annual Amount GAL --
195.00 I 900.00
Location
Press I Temp
Ambient~AmbientlIN SVC BAY
-- Conc~ Components
100.0% IMotor Oil, Petroleum Based
MCP ---~uide
Minimal I 27
03/68/94' UNOCAL 76 PLAZA 215-000-000545 Page
00 - Overall Site
<D> Notif./Evacuation/Medical
5
<1> Agency Notification
CALL 911. UNOCAL WILL NOTIFY THE APPROPRIATE STATE AND LOCAL AGENCIES
UNLESS THE SITUATION REQUIRES URGEN IMMEDIATE RESPONSE BY THE AGENCIES, IN
WHICH CASE THE DEALER SHOULD NOTIFY THESE AGENCIES:
LOCAL AGENCY: BAKERSFIELD FIRE PREVENTION HAZARDOUS MATERIALS DIV.
PHONE NUMBER: 805-326-3979
CALIFORNIA OFFICE OF EMERGENCY SERVICES: (800) 852-7550 (24 HOURS)
CALL FOR HELP IN CASE OF AN EMERGENCY BY DIALING 9-1-1
<2> Employee Notif./Evacuation
VERBAL TO ALL CONCERNED. PHYSICALLY LEAVE THE STATION.
<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
CALL HALL AMBULANCE - 1001 21ST ST - 327-4111
NEAREST HOSPITAL
UNOCAL 76 PLAZA 215-000-000545
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
OIL - WIPE UP THE SPILL WITH RAGS
BLOCK OFF ISLANDS UNTIL IT IS CLEANED UP
USE DRY ABSORBANT ON GASOLINE LEAKS AND SHOVEL INTO A CONTAINER
<3> Clean Up
STOP A RELEASE BY TURNING OFF THE PUMPS AND USING EITHER ABSORBENT MATERIALS
OR A FIRE EXTINGUISHER AS NECESSARY.
<4> Other Resource Activation
03/68/94~
UNOCAL 76 PLAZA 215-000-000545
00 - Overall Site
<F> Site Emergency Factors
Page
7
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - N/A
B) ELECTRICAL - SOUTHWEST CORNER OF THE METAL BUILDING
C) WATER - SOUTHWEST CORNER OF THE METAL BUILDING
D) SPECIAL - EMERGENCY PUMP SHUTOFF (OUTER SOUTHWEST WALL OF SERVICE BAY)
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - 2 FIRE EXTINGUISHERS BY SERVICE BAY DOOR
FIRE HYDRANT - CORNER OF HUGHES & MING - SOUTHEAST CORNER OF THE METAL
BUILDING
<4> Building Occupancy Level
~ ~
/08/94 UNOCAL 76 PLAZA 215-000-000545 Page
O0 - Overall Site
<G> Training
8
<1> Page 1
WE HAVE 3 EMPLOYEES AT THIS FACILITY.
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING: TELL EMPLOYEES TO BE CAREFUL AND WATCHFUL OF
WHAT GOES ON AT THIS FACILITY. EMPLOYEES KNOW WHERE THE SHUT-OFFS ARE.
EMPLOYEES KNOW HOW TO CLEAN UP SPILL.
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
Unocal Refining & :etlng Diviaion
Unocal Corporation
911 Wilshire Blvd., S 1010
LOS Angeles. California 90017
Telephone (213) 977-6399
Facsimile (213) 627-1231
UNOCAL )
April 15, 1993
Steve Eslayed
UNOCAL SS# 5573
2502 Ming Avenue
Bakersfield, CA 93304
RE: HAZARDOUS MATERIAL MANAGEMENT PLANS
Dear Steve Eslayed:
Attached is the Hazardous Materials Inventory and Business Plan Update for your station. This new
HMMP is intended to replace the current HMMP. The "DEALER" copy should be kept on the
premises, and available to all employees and agency personnel at any time.
THESE FORMS MUST BE RETURNED TO ROBERT H. LEE & ASSOCIATES, INC. AS SOON
AS POSSIBLE. FAILURE TO RETURN AND IMPLEMENT THIS PLAN MAY RESULT IN
FINES AND/OR CIVIL PENALTIES BY GOVERNMENT ENFORCEMENT AGENCIES.
Instructions for signing and returning the packet:
2.
3.
4.
Please sign all 4 copies of the HMMP where flagged and indicated with a "X".
Return the 3 copies marked "UNOCAL", "AGENCY" and "FILE" to Robert H. Lee
& Associates in the pre-stamped envelope provided.
Have your employees read and understand the contents of this package and sign the
attached training log.
Keep the "DEALER" copy at the site and available for inspection.
Copies of the HMMP will be sent to the Bakersfield Fire Department within 30 days. If you have any
questions regarding the content of the HMMP please contact Robert H. Lee & Associates, Ms. Marion
Miller, (707) 765-1660. If you have any additional questions please contact Mr. Bill Arbogast of Unocal
at (213) 977-7850.
Sincerely,
Marc Lallanilla
Environmental Compliance Coordinator
Enclosures
cc: Robert H. Lee & Assoc.
File
(~uaocal\ forms~ Dealrltr. MRG')
76 PLAZA 215-000-'00{05
Overall Site with I Fac. Ur, it
Page
Ger, eral Infc, rrnat ion
Location: 2502 MING AV Map: 123 Hazard: Lc, w
Commur~ity: BAKERSFIELD STATION 07 Grid: 12A F/U: 1 AOV: 0.0
Contact Name ; Title .............. Busines.~;-rr~e ..... F 24-Hour Phor~e-
STEVE ESLAYED ~DEALER ~ (805) 833-].~~ ~ (805) ~7-
HANNAH ESLAYED ~D~ER ~ (805) ~~ x/ ~ (805)
Administrative Data ,
Mail Addrs: 911 WILSHIRE BLVD ~~G~ D&B Number:
City: LOS ANGELES State: CA Zip: 90017-
Corem Code: 215-007 BAKERSFIELD STATION 07 SIC Code: 5541
Address:
City:
Phor~e: (805) 833.-8925
St ate: CA
Zip: ..........
S u f,1 r,1 a r y
r~~ th~ a~mchmd hazardous rn~ri~b
m~nt p~an for 0 ~oc Au ~ ~~d that ~t ~bng ~th
~y cgrrections ~nstitut~ ~ ~p~ and corr~
o31~,i93
P 1 ri- Re f
Name/Hazards
76 PLAZA 215-000-00~
Hazmat Inventory List irs MCP Order
~ - Fixed Corstairsers ors Site
Forr~
Quant i ty
Page
MCP
2
02-006
SULFURIC ACID (BATTERIES)
Fire, Reactive, Immed Hlth
Sol id
60 High
GAL
02- 001
UNLEADED GASOLINE
Fire, Immed Hlth, Delay Hlth
Liquid
10000 Moderate
GAL
~,~]C~re, Immed Hlth, Delay Hlth
Liquid
10000 Moderate
GAL
02-002
WASTE OIL
Fire, Delay Hlth
Liquid
5~-0 Low
GAL
02-005 ANT I FREE Z E
.~ Fire, Delay Hlth
Liquid
69 Low
GAL
02-003
MOl'OR OIL
Fi.:~e, Delay Hlth
Liquid
207 M i 'n i ma 1
GAL
03/2S'793
L 76 PLAZA 215-00(
02 - Fixed Cor, tair, ers or, Site
Hazrnat Ir~ver, tory Detail ir, MCP Order
Page 3
02-006
SULFURIC ACID (BATTERIES)
Fire, Reactive, Imrned Hlth
Sol id
60 H i gh
GAL
CAS ~$: 7664-93-9
Trade Secret: Nc,
F,z, rn~: Snlid Type: Mixture Days: ~ Use: OTHER
Daily Max GAL ~-T' Daily Average GAL r
60 ~ 40.00
Ar~r~ual Amour~t GAl_
120.00
Storage
PLASTIC CONTAINER
Press I ]'e~np , ] Locatior,
An~bier, t Arnbier~t SERVICE BAY
TRASH ENCLOSURE
--
!
34.0% ISulfuric Acid (EPA)
!
Comporserst s
--F-ilH MCP --TGuide
gh ~ 39
02-001
UNLEADED GASOLINE
Fire, In~med Hlth, Delay Hlth
Liquid
10000 Moder. ate
GAL.
CAS ~$: 8006-61-9
Trade Secret: Nc.
Forn~: Liquid Type: Pure
Days: 365 Use: FUEL
Daily Max GAL
10,000
..... i .......... Daily Average GAL6,000.00
Ar!r!ual A~our!t GAl_
360,000.00
Storage
UNDER GROUND TANK
-- F Press T Temp --1 Locatior!
]A~nbier~tlA~bier!t]NORTH OF SVC BAY
-- Cor!c ---
i00.0% IGas°lir!e
Co~por~er~t s
'F- MCF ...... FGuide
Mod~-
IM ~.ate I 27
SUPER UNLEADED GASOLINE
Fire, Irnn~ed Hlth, Delay Hlth
Liquid
10000 Moderate
GAL
CAS ~: 8006-61-9
Trade Secret: Nc,
Form: Liquid Type: Pure
Days: 365 Use: FUEL
Daily Max GAL
1
0,000
Daily Average GAL
T
6,000.00 ~
Ar, r, ual Amour, t GAL ---
360,000.00
Storage
UNDER GROUND TANK
Press ~ Te~p ~ Lc, catior,
Ambier, t~Arnbier, t I NORTH OF SVC BAY
-- Cor!m
!
100.0~- I Gaso 1 i r,e
I
Cccn por, er!t s
l-- MCP ---TGuide
Moderate I 27
76 PLAZA 215-000-00[~5
~.~ - Fixed Contairsers on Site
Hazr~at Inver~tory Detail in MCP Order
Page 4
02-002
WASTE OIL
Fire, Delay Hlth
Liquid
GAL
CAS ~: 221
Trade Secret: No
For~: Liquid Type: Waste Days: 365 Use: WASTE
Daily Max GAL ................ Daily Average GAL
."=,"~., J 200.00
Annual Ar~c, unt GAL---
1, 100.00
Storage
UNDER GROUND TANK
Press T 'l'er~p -'T .................... Loca'b ion
Ar,~bierrb/Ar~bient/NORTH OF SVC BAY I
-- Cone --f Compor~er~ts
100.0%~Waste Oil, Petroleum Based
I~-, ,MCP ---TGU i de
IL=w ~ 27
02-005 ANTIFREEZE
Fire, Delay Hlth
Liquid
69 Low
GAL
CAS ~: 107-21-1
Trade Secret: No
Form: Liquid Type: Pure
Days: 365 Use: COOLANT/ANTIFREEZE
~ Daily Max GAL
69
~'l ........ Daily Average GAL~.~ 00
Annual Armz, unt GAL
900.00
St orage
PLASTIC CONTAINER
Press T Ter~p --7 Locatior~
Ambient~AmbientI STORE ROOM BAY
-- Cone
94.0%]Ethylene Glycol
Cu, m portent s
l--, ,MCP ---TGU i d e
L:w ~ 27
MOTOR OIL
Fire, Delay Hlth
Liquid
207 M i n i ma 1
GAL
CAS $~: 64742-;~6-'7 'Trade Secret: Nc,
Forr~: Liquid Type: Pure
Days: 365 Use: LUBRICANT
Daily Max GAL
207
~~- Daily Average GAL
195.00
Ar~nual Amour, t GAL--~
900.00
Storage
PLASTIC CONTAINER
'F Press -f-'l'er~p-]-
IAmbientlAmbientllN SVC BAY
Locat i on
-- Cc, nc --7 Components
100.0%!Motor Oil, Petroleur~ Based
iMCP ---TG u i d e
nimal ~ 27
BAKEI FIELD CITY FIRE DEP RTIVIENT
Business Name
HAZARDOUS MATERIALS INVENTORY
UNOCAL SS# 5573
Address 2502 Min¢! Avenue, Bakersfield
Page 1 of 2
5573
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 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 [ ] 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 [X] Gas [ ] Pure [ ] Mixture [X] Waste IX) Radioactive [ ]
7) AMOUNT AND TIME AT FACILITY
Maximum Daily Amount: S
Average Daily Amount: 3
Annual Amount: 0
Largest Size Container:
# 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: OWNS ANITFREEZE RECYCLER
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
~;) PHYSICAL STATE Solid [ ] Liquid IX| Gas [ ] Pure [ ] Mixture [X| Waste [X] Radioactive [ ]
7) AMOUNT AND TIME AT FACILITY
Maximum Daily Amount: 20
Average Daily Amount: 10
Annual Amount: 350
Largest Size Container:
# 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 | ]
chemical component or 2) [ ]
any AHM components 3) I )
10) Location: STOREROOM
certify under penalty of/aw, that I have personally examined and am familiar with the information submitted on this and all attached documents. I beliew
the submitted information is true, accurate, and complete.
PRINT Name & Title of Authorized Company Representative Signature Date
Business Name
BAKERSFIELD CITY FIRE DEP ITMENT
HAZARDOUS MATERIALS INVENTORY
UNOCAL SS# 5573
Address 2502 Min,q Avenue, Bakersfield
Page 2 of 2
5573
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 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 [X] Radioactive [ ]
7) AMOUNT AND TIME AT FACILITY
Maximum Daily Amount: 10
Average Daily Amount: 7
Annual Amount: 1 O0
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-O 31 | |
chemical component or 2) SULFURIC ACID 7664-93-9 34 iX]
any AHM components 3) LEAD 7439-92-1 34 [ I
10) Location: N.W. CORNER OF PROPERTY
I certify under penalty of/aw, that I have personally examined and am familiar with the information submitted on this and all attached documen ts. I believe
the submitte(/ information is true, accurate, an(/complete.
T Name & Title of Authorized Company Representative Signature Date
0'3/'.P_5-/9 S
~AL 76 PLAZA 215-000-00~-~5
00 - Overall Site
<D> Notif./Evacuatior~/Medical
Page
5
<1> Ager~cy Notificatior~
CALL 911. UNOCAL WILL NOTIFY 7'HIE APPROPRIATE STATE AND LOCAL AGENCIES
UNLESS THE SITUATION REQUIRES URGEN IMMEDIATE RESPONSE BY ]'HE AGENCIES,
WHICH CASE THE DEALER SHOULD NOTIFY THESE AGENCIES:
LOCAL AGENCY: BAKERSFIELD FIRE PREVENTION HAZARDOUS MATERIALS DIV.
PHONE NUMBER: 805-326-39?9
CALIFORNIA OFFICE OF EMERGENCY SERVICES: (800) 852-7550 (24 HOURS)
CALL FOR HELP IN CASE OF AN EMERGENCY BY DIALING 9-1-1
IN
<2> E~ployee Notif. /Evacuatior~
VERBAL TO ALL CONCERNED. PHYSICALLY LEAVE THE STATION.
<3> Public Notif./Evacuatior~
IF '[HERE 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> Emerger~cy Medical Plan
CALL HALL AMBULANCE - 1001 21ST ST - 327-4111
NEAREST HOSPITAL
L~CAL 76 PLAZA 215-000-,
00 - Overall Site
<E> Mit igat ior~/PreverJt/AbaterJ~t
Page
6
<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 Cor~tair~r~er~t
OIL - WIPE UP THE SPILL WITH RAGS
BLOCK OFF ISLANDS UNTIL IT IS CLEANED UP
USE DRY ABSORBANT ON GASOLINE LEAKS AND SHOVEL INTO A CONTAINER
<3> Clear~ Up
STOP A RELEASE BY TURNING OFF THE PUMPS AND USING EITHER ABSORBENT MATERIALS
OR A FIRE EXTINGUISHER AS NECESSARY.
<4> Other Resource Activatior~
76 PLAZA 215-000-00,~
O0 - Overall Site
<F> Site Er~ergerscy Factors
Page
7
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - N/A
B) ELECTRICAL - SOUTHWEST CORNER OF THE METAL BUILDING
C) WATER - SOUTHWEST CORNER OF THE METAL BUILDING
D) SPECIAL - EMERGENCY PUMP SHUTOFF (OUTER SOUTHWEST WALL OF SERVICE BAY)
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - 2 FIRE EXTINGUISHERS BY SERVICE BAY DOOR
FIRE HYDRANT - CORNER OF HUGHES & MING - SOUTHEAST CORNER OF ]-HE METAL
BUILDING
<4> Buildirsg Occupar~cy Level
76 PLAZA 215-000-~
00- Ovepall Site
<G> TrairJir~g
Pa g e
8
<1>, ,Page ,1~
WE HAV~ ~V~EMPLOYEES AT THIS FACILITY.
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING: TELL EMPLOYEES TO BE CAREFUL AND WATCHFUL OF'
WHAT GOES ON AT THIS FACILITY. EMPLOYEES KNOW WHERE THE SHUT-OFFS ARE.
EMPLOYEES KNOW HOW TO CLEAN UP SPILL.
<2> Page 2 as r~eeded
<3> Held for Future Use
<4> Held for Future Use
76 PLAZA 215-000-00~05
00 - Overall Site
Page
9
<H> RMPP DATA
<1> Release Cor~tairsmer~t
<2> Offsite Corisequences
<3> Irt House Capabilities
<4> Plar~t Shutdowr~ Instruct ior~
76 PLAZA 215-000-00~05
00 - OYerall- Site
<I> Not Used
Page 10
<1> Not Used
<2> Not Used
<3> Not Used
<4> Not Used
76 PLAZA 215-000-00~5
00 - Overall Site
(J} Topi~ "J" r~ot defir, ed
Page
11
<I> Wir~dow J/1
<2> Window J/2
<3> Window J/3
<4> Wir~dow J/4
gL -76 PLAZA
O0 - Overall Site
<K> Topic "K" held for Picture
Page
12
<1> Wirsdow K/1
<2> Wirsdow K/2
<3> Wi~dow K/3
<4> Wi~dow K/4
EMERGENCY RESPONSE PROCEDURES
5573
MAJOR INCIDENT: FIRE, SPILL OR SUSPECTED LEAK
1. TURN OFF PUMPS using the Emergency Pump Shut-Off Switch.
2. EVACUATE: verbally ANNOUNCE to all persons on the site: "There is an emergency. Please turn off your engines
and leave the station on foot immediately. All employees meet at the emergency assembly area."
3. CALL 9-1-1 Give the following information:
"THERE IS A FIRE / GASOLINE SPILL at the Unocal service station at 2502 Ming Avenue" 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.
o
LOOK AROUND to assure that everyone has left the station, 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. REPORT to arriving emergency response personnel to provide them with any information or assistance they might
need.
6. CONTACT the station dealer if s/he is not already at the station. Use the list below for emergency contacts:
Primary Contact: Name: Steve Eslayed Title: Dealer
Address: 50400 Blanz Road, Bakersfield, 93304
Bus #/Home #: 805 833-9825 / 805-398-9657
Secondary Contact: Name: Hannah Eslayed Title: Dealer Wife
Address: 50400 Blanz Road, Bakersfield, 93304
Bus #/Home #: 805-398-9657 / 805-398-9657
NOTIFY Unocal Maintenance Dispatch by phone IMMEDIATELY 1-800-723-7600
NOTIFY vour Territory Manager IMMEDIATELY
TERRITORY MANAGER:Jim FosterPhone Number:209-237-5141
Unocal will notify the appropriate State and Local agencies within 24 hours, 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 HOURS)
3. LOCAL POLICE AND FIRE DEPARTMENTS, 911
MINOR INCIDENT:
FIRES: Extinguish with fire extinguisher. Recharge fire extinguisher, if necessary.
SPILLS: Clean up with absorbent materials on site and dispose of according to all regulations.
extinguisher ready for spills of flammable materials. Restock absorbent as necessary.
MEDICAL: Treat with on site first aid kit or take to nearest hospital.
hospital.
RECORD: Record the event in the daily monitoring log.
NOTIFY: the dealer of the event.
Have a fire
Employee training plan lists the nearest
EMPLOYEE TRAINING PLAN
5573
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. 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: Outer south wall of service bay
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: In storage area in service bay
C. WATER SHUT-OFF: The water shut-off may be necessary in some cases.
LOCATION: In sidewalk of Min.q Avenue
D. NATURAL GAS SHUT-OFF: If your station has natural gas, it may be necessary to shut-off the natural gas
flow in an emergency.
LOCATION: NONE
E. FIRST AID KIT:
LOCATION: IN OFFICE
Fo
FIRE EXTINGUISHER: Use only on small fires that you can handle.
on your own; call 9-1-1 for help.
LOCATION: 2-IN SERVICE BAY/1 IN OFFICE
Do not attempt to extinguish large fires
Go
Ho
ABSORBENT: In the form of kitty litter, absorbent can soak up small spills of gasoline, diesel fuel, or other
petroleum products. Absorbent should be used rather than 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: In storage room
EMERGENCY RESPONSE EQUIPMENT: These items shall be used by employees to prevent direct skin contact
with a hazardous material.
1. Broom: IN STOREROOM
2. Shovel: IN STOREROOM
3. Gloves: IN STOREROOM
4. Goggles: IN STOREROOM
II.
NEAREST MEDICAL FACILITY: Employees should know what facilities are available in case customers or other
employees need medical attention.
I. NAME: Mercy Hospital
ADDRESS: 2215 Truxton Ave., Bakersfield
PHONE NUMBER: 805-327-3371
NEAREST DESIGNATED TRAUMA CENTER:
2. NAME: UCLA Hospital and Clinics
III.
ADDRESS: 10833 LeConte Avenue, Los Angeles
PHONE NUMBER: 213-825-2111
All employees should review the Hazardous Material 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.
IV. FIRST AID PROCEDURES (For exposure to gasoline or diesel fuel):
A. 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 (Breathing): Remove victim to fresh air and provide oxygen if breathing is difficult. If not
breathing, give artificial respiration. Get medical attention.
D. INGESTION (Swallowing):
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 medicat
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 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.
I have reviewed, understand and have been properly drilled in the above employee training program.
Employee Signature
Date Initial Training
Refresher
Training
Employee Name (Please Print)
Document prepared by:Environmental Staff,Robert H. Lee & Assoc., 707-765-1660
TRAINING LOG
SIS #: 5573
BUSINESS NAME: UNOCAL SS# 5573
ADDRESS: 2502 Ming Avenue
EMPLOYEES MUST SIGN THIS FORM TO PROVE THEY RECEIVED THEIR INITIAL AND/OR ANNUAL SAFETY TRAINING.
DATE OF TYPE OF
EMPLOYEE NAME EMPLOYEE SIGNATURE TRAINING TRAINING
BRIAN F. ZITA
JOHN W. JOHNBON
ROBERT H. LEE & ABBC IATES, INC.
ARCHITECTURE PI. ANNING ENGINEERING
11~J' NORTH ~WE~ ;UdVARO · P;ALUMA, CAU~RNIA W~16
February 6, 1992
Steve Eslayed
UNOCAL # 5573
2502 Ming Avenue
Bakersfield, CA 93304
Dear Steve Eslayed:
Attached is the new Hazardous Materials Management Plan (HMMP)
for your facility. This new HMMP is intended to replace the
previous HMMP currently on file at your facility. The new
DEALER copy should be kept up to date on the permises.
Please sign and date all 4 copies of this new HMMP on the
flagged pages'where indicated with an "X". Make any necesssary
corrections on each copy and initial each correction. Return
the copies marked FILE, UNOCAL and AGENCY to Robert H. Lee &
Associates (RHL) in the envelope provided. Keep the DEALER
copy at the site for the training of all personnel and as a
reference source in an emergency.
Copies of the signed/certified HMMP will be sent to the local
agency and to UNOCAL by RHL upon receipt.
Please do not delay in returning these document to RHL.
you have any questions.
Call if
Sincerely,
ROBERT H. LEE & ASSOCIATES, INC.
i/ f
Environmental Specialist
enclosures
CC:
Jim Scott, UNOCAL
File
AKNOWLEDGEMENT OF RECEIPT
Signature
~.~e~- A//~/~
Title Date
l~) OInRCff~mt CARKBI=UR, CA IAt~-RAMIN'rO, CA IIILLIVUI, WA
5573
Bakersfield Fire Dept.
Hszardous Materials Division
2130 "G" Street
Bakersfield, CA 93301
RECEIVED
FEB 2 7
HAZ, MAT, DIV,
HAZARDOUS MATERIALS MANAGEMENT PLAN
INSTRUCTIONS:
2.
3.
4.
To avoid further action, return this form within 30 days of receipt.
TYPE/PRINT ANSWERS IN ENGLISH.
Answer the below for the business as a whole.
Be brief and concise as possible.
SECTION 1: BUSINESS IDENTIFICATION DATA
BUSINESS NAME: UNOCAL SS# 5573
LOCATION:
MAILING ADDRESS: 2502 Ming Avenue
CITY: B0kersfield STATE: CA ZIP: 93304
DUN & BRADSTREET NUMBER: 09-944-7344
PRIMARY ACTIVITY AUTOMOBILE REFUELING STATION
PHONE: 805-833-9825
SIC CODE 5541
OWNER: UNOCAL Corporation
MAILING ADDRESS: 911 Wilshire. Los Angeles. CA. 90051
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT
1. Steve Eslayed
TITLE
DEALER
BUS. PHONE
805-833-9825
24 HR. PHONE
805-398-9657
2. Hannah Eslaved
DEALER 805-398-9657
805-398-9657
BAKERSFIELD FIRE DEPT.
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 3: TRAINING:
NUMBER OF EMPLOYEES: 4
MATERIAL SAFETY DATA SHEETS ON FILE: YES (SEE SITE PLAN FOR LOCATION)
BRIEF SUMMARY OF TRAINING PROGRAM:
Employees must be given this training before
refresher courses must be provided annually.
starting work, and
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, Steve Eslaved , 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
INFORMATION CONSTITUTES PERJURY.
~ ~ Do01er ,,~'/.,c'- ~'J..
SIGNATURE TITLE DATE
BAKERSFIELD FIRE DEPT.
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
FACILITY UNIT NAME: UNOCAL S.S.# 5573
SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES:
A. AGENCY NOTIFICATION AND EVACUATION PROCEDURES:
UNOCAL 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: ~akersfield Fire Prevention Hazardous Materials Div.
PHONE NUMBER:%~F~-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 OSTNG ~.ITHER ABSORS~.NT
MATERIAL OR A FIRE EXTINGUISHER AS NECESSARY
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: In storage area in service bay
WATER: In sidewalk of Ming Avenue
SPECIAL: EMERGENCY PUMP SHUTOFF
LOCATION: Outer southwest wall of service bav
LOCK BOX: NO
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABLE:
A. PRIVATE FIRE PROTECTION:
NONE
B. WATER AVAILABILITY (FIRE HYDRANT)
PLEASE SEE SITE PLAN FOR LOCATION OF NEAREST FIRE HYDRANT LOCATION
4.
5573
Farm and Agriculture [--'1 Standard Business r~]
CITY of BAKERSFIELD
HAZARDOUS MATERIALS INVENTORY
NON-TRADE SECRETS
BUSINESS NAME: UNOCAL SS# 5573 OWNER NAME: UNOCAL Corporation NAME OF THIS FACILITY:
LOCATION: ,,2,502 Ming Avenue ADDRESS: 911 Wilshire Blvd. STANDARD IND. CLASS CODE: 5541
CITY, ZIP: Bakersfield 93304 CITY, ZIP: Los Angeles, CA 90051 DUN AND BRADSTREET NUMBER
PHONE #: 805-833-9825 PHONE #: 213-977-6252 09-944-7344
REFER TO INSTRUCTIONS FOR PROPER CODES
I
Page I of ~
I 2 3 4 5 6 7 8 9 10 11 12 13 14
Trane Type Max Average Annual Measure #Dys Cent Cent Cent Use Location Where % by Names of Mixture/Components
Code Code Amt Est Est Units on Site Type Press Tamp Code Stored in Facility Wt See Instructions
Physical and Health Hazard C.A.S. Number 8006-61-9 Component #1 Name & C.A.S. Number / < 1S.O METHYL TERT BUTYL ETHER
(Check all that apply) t/ < 6.5 TOLUENE1634044i
Component #2 Name & C.A.S. NumberV' ~
IX] Fire Hazard [] Reactivity IX] Delayed I~1 Sudden Release [X] Immediate 108883
Health of Pressure Health < 4.6 XYLENE
Component #3 Name & C.A.S. Number 108383
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Trans Type Max Average Annual Measure #Dys Cent Cent Cent Use Location Where % by Names of Mixture/Components
Code Code Amt Est Est Units on S~te Type Press Tamp Code Stored in Facility Wt See Instructions
U I M I 10,000 I 5,000 I360'000 I GAL I 365 I 01 I 1 I 4 I 19 I NORTH OF STATION SUPER UNLEADEDGASOLINE
Physical and Health Hazard C.A.S. Number 8006-61-9 Component 81 Name & C.A.S. Numberi < 15.0 METHYL TERT BUTYL ETHER
1634O44
(Check all that apply) Component #2 Name & C.A.S. Number
~3 Fire Hazard O Reactivity [~] Delayed r-] Sudden Release [] Immediate < 14.0 TOLUENE
108883
Health of Pressure Health Component #3 Name & C.A.S. NumberTM < 8.8 XYLENE
108383
I 2 3 4 5 6 7 8 9 10 11 12 13 14
Trane Type Max Average Annual Measure # Dye Cont Cont Cont Use Location Where % by Names of Mixture/Components
Code Code Amt Est Est Units on S~te Type Press Tamp Code Stored in Facility Wt See Instructions
U I M I 207 I 195 I 900 I GAL I 365 I 10I I I 4 I 26 I STOREROOM/BAY // MOTOR OIL
Physical and Health Hazard C.A.S. Number 64742-65-0 Component 81 Name & C.A.S. Number / > 70.0 DISTILLATES
94742547
(Check all that apply) Component #2 Name & C.A.S. Number
O Fire Hazard D Reactivity [] Delayed O Sudden Release O Immediate < 25.O ADDITIVES
MIXTURE I
Health of Pressure Health Component #3 Name & C.A.S. Number ( 5.0 SYNTHETIC BASE OIL
MIXTURE
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Trans Type Max Average Annual .Measure # Dye Cont Cont Cont Use Location Where % by Names of Mixture/Components
Code Code Amt Eat Est Units on S~te Type Press Tamp Code Stored in Facility Wt / See Instructions
U I M I 69 I 35 I 900 I GAL I 365 ! 10 I I I 4 I 09 I STOREROOM/BAY / ANTIFREEZE
Health Hazard C.A.S. Number 107-21-1 Component #1 Name & C.A.S. Number /94.0 ETHYLENE GLYCOL
Physical
and
(Check all that apply)/ 107-21-1
Component #2 Name & C.A.S. Number V
I'--1 Fire Hazard D Reactivity D Delayed O Sudden Release [] Immediate
Health of Pressure Health
Component #3 Name & C.A.S. Number
EMERGENCY CONTACTS #1 Steve l~slayed Dealer 805-398-9657 82 Hannah Eslayed Manager 805-398-9657
Name Title 24 Hr Phone Name Title 24 Hr. Phone
;ertitication flfeacl and sign after completelng all sectrons~ ..............
I certify under penalty of.. that I h. ave personally e.xa.mined and am familiar with the information submitted in this and all
attached documents, and that based on my. inquiry ot those individuals responsible for obtaining the information. I believe that the
submitted information is true, accurate, and complete
Steve I~elayed pealer
Name and official title of owner/operator OR owner/operator's authorized representitive Signature ~
Date Signed
5573
CITY of BAKERSFIELD
HAZARDOUS MATERIALS INVENTORY
Farm end Agriculture [--] Standard Business []
NON-TRADE SECRETS
BUSINESS NAME: UNOCAL SS# 5573 OWNER NAME: UNOCAL Corporation NAME OF THIS FACILITY:
LOCATION:_2502 Mini; Avenue ADDRESS: 911 Wilshire Blvd. STANDARD IND. CLASS CODE: 5541
CITY, ZIP: Bakersfield 93304 CITY, ZIP: Los Angeles, CA 90051 DUN AND BRADSTREET NUMBER
PHONE//: 805-833-9825 PHONE //: 213-977-6252 09-944-7344
REFER TO INSTRUCTIONS FOR PROPER CODES
Page 2 of "2
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Trane Type Max Average Annual Measure //Dys Cont Cont Cont Use Location Where % by Names of Mixture/Components
Code Code Amt Eat Est Units on Site Type Press Tamp Code Stored in Facility Wt See Instructions
end Health Hazard C.A.S. Number 800-20-59 Component //1 Name & C.A.S. Number / 100.0 WASTE OIL
Physical
800-20-59
(Check all that apply) ,~
O Fire Hazard I~1 Reactivity I~ Delayed 0 Sudden Release I-"] Immediate Component //2 Name & C.A.S. Number
Health of Pressure Health
Component //3 Name & C.A.S. Number
I 2 3 4 5 6 7 8 9 10 11 12 13 14
Trane Type Max Average Annual Measure //Dye Cont Cont Cont Use Location Where % by Names of Mixture/_Cemb~nents
Code Code Amt Est Est Units on S~te Type Press Tamp Code Stored in Facility Wt See Instru~fl~
u I w=2, I 8 I 4 I I GAL I 365 I 061 I I 4 I ISTOREROOM USED ' iLTERS
Physical and Health Hazard C.A.S. Number 800-20-59 Component //1 Name & C.A.S. Number 100.0 /~800-20-59 K' f~
(Check all that apply) Component //2 Name & C.A.S. Number
O FireHezard r-] Reactivity [] Delayed [~ Sudden Release ~] Immediate /J F~0,~
Health of Pressure Health Component //3 Name & C.A,S. Number
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Trane Type Max Average Annual Measure #Dys Cont Cont Cont Use Location Where % by Names of Mixture/Components
Code Code Amt Est Est Units on Site Type Press Tamp Code Stored in Facility Wt See Instructions
U IM I 30 I 20 I 60 I EACH I 365 I 10 I 1 I 4 I 07 I SERVICE BAY BATTERIES
Physical and Health Hazard C.A.S. Number MIXTURE Component //1 Name & C.A.S. Number ~' 71 LEAD DIOXIDE
(Check ell that apply) Component//2 Name & C.A.S. Numb7/t/ 27p SULFURIC ACID ~
O Fire Hazard r-'] Reactivity O Delayed D Sudden Release [] Immediate
Health of Pressure Health Component //3 Name & C.A.S. Numl~r ~A39D'
Trane Type Max Average Annual Measure //Dys Cont Cont Cont Use L/Location Whe e
Mixture/Coml~Snenta
Code Code Amt Est Est Units on S,te Type Press Tamp Code Star, ed in Fac~li,ty /Wt See Instructions
Phvsice' and Health Hazard C.A.S. Number 7664-93-9 Componeht-~T1['Nal~&~'~{~. NuhnberI 34.0 LEAD
7439-92-1
(Check ell that apply) Component //2~ ~Name & C.A,S, Number\t
D Fire Hazard r-'] Reactivity ~] Delayed D Sudden Release [] Immediate\ ~ ~
Health of Pressure Health Component //3 Name & C.A.S. Number ~( 34.0 SULFURIC ACID
7664-93-9
EMERGENCY CONTACTS //1 Steve Eslayed Dealer 805-398-9657 //2 Hannah Eslayed --'"-'-805-398-9657
Name Title 24 Hr I~hone Name M e'l~"~g~ 2~ Hr. I~hone
;ertiticetion fffead an~l sign after completelng .eft sectlqnsl. ................
certify under pens ty or... that I have personally axe.mined and am familiar with the information submitted in this and all
attached documents, and that based on my inquiry of those individuals responsible for obtaining the information. I believe that the
submitted information ia true, accurate, and complete
Steve Eslayed Dealer
Name and official title ot owner/operator OR owner/operator's authorized repreaentltive 5ignature
ate 5ignnd
UNOCAL sLERVICE STATION
HAZARDOUS MATERIALS MANAGEMENT
MONITORING PLAN
DEALER:
UNOCAL SERVICE STATION:
ADDRESS:
CITY, STATE, ZIP:
TELEPHONE:
24-HR. TELEPHONE NUMBER:
Steve Eslayed
5573
2502 Ming Avenue
Bakersfield, CA 93304
805-833-9825
805-398-9657
UNOCAL BUSINESS MANAGER:
TELEPHONE:
UNOCAL EMERGENCY PHONE: (800) 723-7600 (24 HOURS)
LOCAL AGENCY: Bakersfield Fire Department
ADDRESS: 2130 G Street
TELEPHONE: 805-326-3979
CALIFORNIA OFFICE OF EMERGENCY SERVICES
TELEPHONE: (800) 852-7550
UNDERGROUND STORAGE TANKS: CONST.
SW/DW
87 OCTANE: 10,000 GAL SW
89 OCTANE: BLENDING VALVE
92 OCTANE: 10,000 GAL SW
DIESEL: GAL
WASTE OIL: 550 GAL SW
PIPING CONTAINMENT: Single Wall
MONITORING METHODS: Inventory Reconciliation
T&BLE OF CO~E~TS
BMERGENC¥ RESPONSE PROCEDURE ...................................... Page
A copy of this page must be filled out and posted
conspicuously on site.
HOW TO USE THIS BOOKLET ........................................... Page 4
DAILY VISUAL MONITORING ........................................... Page 4
MONITORING FOR SINGLE NALL TANKS .................................. Page 5
Inspections To Be Conducted By Dealer
Product Tank Gauging Procedures
Record Keeping For Fuel Tanks
Waste Oil Tank Gauging Procedure
What To Do If You Exceed The Allowable Variation
MONITORING DOUBLE WALL TANKS .... ' .................................. Page
Inspections To Be Conducted By Dealer
Secondary Containment Monitoring Procedure
Record Keeping For Secondary Containment
Electronic Monitoring Systems
OVERFILL/SPILL PROTECTION AND CLEAN-UP ............................ Page
Deliveries/Gauging
Ball Vent Line Float System
Waste Oil Tank
Clean-up/Records
INSPECTIONS TO BE COORDINATED BY UNOCAL ........................... Page 8
Yearly Inspections and Testing
Vadose/Groundwater Monitoring Wells
EMPLOYEE TRAINING PLaN ......................................... Pages 9-10
Outline for Mandatory Safety Training for Ail Employees
FORMS TO BE COMPLETED (Copy these forms for your own use) .
Quarterly Report ................................................ Form A
Daily Visual Monitoring Log ..................................... Form B
Inventory Reconciliation Sheet .................................. Form C
Waste Oil Tank Gauging Sheet .................................... Form D
Release Evaluation Checklist .................................... Form E
Unauthorized Release Report ..................................... Form F
Equipment Test Log .............................................. Form G
Safety Training Log ............................................. Form H
NOT ALL INFORMATION IN THIS BOOKLET WILL BE APPLICABLE. REFER TO THE
COVER SHEET TO CONFIRM WHAT EQUIPMENT IS ON SITE.
Page 2 of 10
In the event of a fire, spill, 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.
If there is an 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."
For more SEVERE emergencies CALL FOR HELP by dialing 9-1-1 and giving the
following information:
"THERE IS A FIRE/DANGEROUS GASOLINE SPILL at the UNOCAL Station at (give
address.)" Report to the answering dispatcher, whether anyone is trapped
or requires immediate medical attention. Stay on the phone and be
prepared to answer any questions concerning the situation.
e
If EVACUATION is necessary direct everyone to meet at the emergency
assembly area and account for everyone at that location. LOOK AROUND to
assure that all have left, particularly those in vehicles who may not have
heard the emergency announcement. Assist, or direct assistance to anyone
having difficulty leaving the service station area, and anyone who may be
injured.
ATTEMPT TO EXTINGUISH any fire if you can do so safely. Have the fire
extinguisher ready to use in the event of any dangerous 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.
emergency contacts listed below:
Use the
1. Name/Bus/Home: Steve Eslayed
2. Name/Bus/Home: Hannah Eslayed
805-833-9825/805-398-9657
805-398-9657/805-398-9657
NOTIFY UNOCAL and your Business Manager by phone WITHIN Z4 HOURS.
1. UNOCAL EMERGENCY PHONE: (800) 723-7600 (24 HOURS)
2. UNOCAL BUS. MANAGER/PHONE NUMBER: Matt Fischer (510)277-2465
You must mail a completed Unauthorized Release Report to the Business
Manager within 24 hours. UNOCAL 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:
LOCAL AGENCY: Bakersfield Fire Department
PHONE NUMBER: 805-326-3979
CALIFORNIA OFFICE OF EMERGENCY SERVICES: (800) 852-7550 (24 HOURS)
9. Dealer should attempt to isolate leak location by inspection.
10.
UNOCAL Business Manager will coordinate with UNOCAL Environmental
Compliance Dept. (UECD) whatever corrective actions need to be taken
beyond the dealer's capabilities. UECD will file whatever reports need to
be filed with local and state agencies, and send a copy to the station for
the Dealer's file.
A COPY OF THIS PAGE MUST BE FILLED OUT AND POSTED CONSPICUOUSLY ON SITE.
Page 3 of 10
''HOW TO USE THIS BOOST fu~
The cover sheet of this booklet contains use information about the
underground facilities at your station. Depending on the information
given, you must use different forms in this booklet:
1. If your station has any single wall product tanks, use Form C.
2. If your station has any double wall product tanks, use Form B.
3. If your station has a single wall waste oil tank, use Form D.
4. If your station has a double wall waste oil tank, use Form B.
5. If your station has any double wall piping, use Form B.
6. If your station has a piping trench liner, use Form B.
7. If your station has an electronic monitoring system for any double
wall piping or trench liner, you need not use Form B for any double
wall tanks or piping.
8. If your station has vadose or groundwater monitoring wells, you
still need to use Forms C and/or D as applicable.
9. If your station has other hazardous materials (see Daily Visual
MOnitoring, below), you are responsible also for that portion of
Form B.
Also. all stations must complete Form A and send it in every 3 months to
the local a~enc¥ shown on the cover sheet.
In case of a leak or spill,"you must complete Form E to attach to Form A,
and you must send a'copy of Form F to your UNOCALRepresentative within 24
hours. You.must also notify your representative by phone (and/or call the
UNOCAL Emergency Phone after hours).
You must post a copy of Page 3 at a conspicuous location in your cashiers
area.
You must keep a copy of Form H to document the training received by your
employees.
KEEP COPIES OF ALL FORMS YOU MAIL OUT!
D~ILY ~ISU~L MONITORING
Hazardous Materials stored underground include:
Gasoline
Diesel Fuel
Waste Oil
These products are monitored for leaks in the underground tanks and
piping.
Hazardous Materials stored aboYeground include:
Propane
Waste Oil (prior to dumping in underground tanks)
Motor 0il
Transmission Oil
Gear Lubricant (80W/90)
Grease
Solvent (including parts cleaners)
Battery Acid
Antifreeze
If your station stores any of these materials, the storage areas must be
visually inspectea every day for signs of leakage.
If there is a leak or spill of any of the hazardous materials, whether
stored above or underground, you must follow the Emergency Response
Procedures outlined on Page 3, as applicable.
Page 4 of 10
HONZTORZNG FOR SZNG~-W~L T~NKS
INSPECTIONS TO BE CONDUCTED BY DF.J~ER
1. Daily reconciliation shall be made of the inventory control records.
2. Daily visual inspection for leaks shall be made in the areas of:
- Submerged pump
- Tank fill (also inspected after each delivery)
3. Dealer MUST be aware that a reduction in product flow to 3 gallons per
minute (gpm) indicates a potential piping leak.
PRODUCT TANK GAUGING PROCEDURE
1. Use a gauge stick (dipstick) to measure the level of gasoline in each
tank. Lower the stick slowly until it hits the bottom of the tank.
The use of fuel-finding paste is recommended.
2. Slowly pull the stick back out, and'observe the point where the stick
begins to be discolored by the liquid.
3. Write this number down, and repeat the same procedure. If the two
number are not close, repeat the procedure until the numbers agree.
4. Enter the final number in your dealer books.
If it is raining, water can spo~l th~.F~adings, and should not be allowed
to enter the tank. If' it does not stop raining, care must be taken to'
ensure the stick readings are accurate.
RECORD KEEPING FOR SINGLE-WALL TANKS
1. Use your dealer books to keep track of your daily dipstick reading.
2. Record daily all dispenser, meter readings in your dealer books.
3. Reco~d 'all deliveries in your dealer books.
4. The dipstick, dispenser meter, and delivery recordings are to be used
daily in filling out the "Inventory Reconciliation Sheet" (attached).
WASTE OIL TANK GAUGING PROCEDURE
1. To monitor the inventory level in the waste oil tank~ be prepared to
have the tank locked for at least 12 hours or longer if required by
your local agency. This shall be done w~eklv. NO INPUTS OR
WITHDRAWALS SHALL OCCUR DURING THESE PERIODS.
2. Stick gauge the tank immediately before closing access to the waste
oil tank, and immediately after reopening the tank, and enter those
numbers in columns C and D of the "Waste Oil Tank Gauging Sheet"
(attached) in both inches and gallons.
3. The difference between those two columns is the actual variation
(column E).
4. For allowable variation (column F), use 2.8 gallons if you have a 280
gallon capacity, or 5.0 gallons if you have a 520 or 550 gallon tank.
WHAT TO DO IF YOU EXCEED THE ALLOWABLE VARIATION
If you EVER exceed the allowable variation as indicated on the Inventory
Reconciliation Sheet C, column 13, or on the Waste Oil Tank Gauging Sheet
D, column 7, follow the RESPONSE PROCEDURE shown on Page 3. Notify your
UNOCAL representative within 24 hours of discovery of a suspected leak.
UNOCAL will be responsible for coordinating one or more of the following:
- Performing a metered vs. measured inventory reconciliation.
- Contacting the appropriate State and Local agencies.
- Visually inspecting for leaks.
- Calibrating the dispenser meters.
- Hiring a tank tester to determine if there is a leak.
- Having the tank(s) and/or piping repaired or replaced if necessary.
The "Unauthorized Release Report" must be sent to UNOCALwithin 24 hours.
The "Release Evaluation Checklist" must be attached to the "Inventory
Reconciliation Sheet", or the "Waste Oil Tank Gauging Sheet" where the
allowable variation was exceeded.
Page 5 of 10
ZNBPECTZONB TO BE CONDUCTED BY DEALER
1. Daily reconciliation shall be made of the Inventory Control Records.
2. Daily visual inspection for leaks shall be made in the areas cio
- Submerged pump
- Tank fill (also inspected after each delivery)
3. Dealer MUST be aware that a reduction in product flow to 3 gallons per
minute (gpm) indicates a potential leak.
SECOND~RY CONTAINMENT MONITORING PROCEDURE
Tank or Piping Secondary Containment (annular space or Piping Trench
Liner) shall be monitored da~lv by the dealer, unless a less frequent
period is allowed. This is done to determine if product is leaking from
the primary container or if water is entering from an outside source.
This procedure is not nec,ss&tv if an electronic monitorina system is
installed to monitor these items. Contact your UNOCAL representative fo=
monitoring port locations.
1. Use a qauge stick (diPstick) to detect any liquid in the tank annular
space, double wall piping monitoring ports, or piping trench liner
monitoring wells. Lower the stick slowly until it hits the bottom of
the tank annular space.
2. Slowly pull the stick back out and observe whether the stick has been
discolored by liquid. If product and/or water is detected,
immediately contact your representative.
3. Write this number down, and repeat the same procedurel If the two
numbers are not close, repeat the procedure until the numbers agree.
4. Enter the final number in the "Secondary Containment Recording Sheet
(attached).
NOTE: Piping trench monitoring wells consist of slotted PVC pipe which
allows liquid intrusion and a manhole for access. Wells are located at
the lowest point of the fiberglass trench liner.
I~ECORD KEEPING FOR DOUBLE-W~LL T~NKS & PIPING
1. Keep track daily of the liquid level on the "Secondary Containment
Recording Sheet".
2. If ANY fuel and/or water is discovered in the trench liner, call your'
representative IMMEDIATELY, and explain the situation.
3. If the representative has been notified, but after 8 hours it has not
been possible to remove all the liquid from the secondary containment,
dealer must contact the local agency shown on the cover sheet.
BLECTRONIC MONITORING SYSTEMS
If this station is equipped with an electronic monitoring system for
underground tanks and piping, in the event of a leak in the primary
containment, product will be contained in the annular space. The sensors
for the electronic monitoring system are located at the low end of each
tank, and at the low end of the piping where the product will drain back
into the tank. There may be sensors at &dditional locations. Sensors
will siqnal the presence of a leak.
If · leak is discovered, the "Unauthorized Release Report" must be sent
to UNOCAL within 24 hours. The "Release Evaluation Checklist" must be
attached to the "Quarterly Report".
Page 6 of 10
1.
CLEANUP
Dealer is responsible to ensure that the deliver~ he or she requests
is not in excess of the tank capacity, taking into consideration the
amount currently in tank. Dr~ver is to gauge tank to assure capacity
is available for the entire load and ~ust rema~2 in attendance during
the entire delivery to monitor the operation.
BALL VENT LINE FLO~T SYBTEM
(Only for double-wall tanks installed after July 1986.}
The ball float valve system installed with the tank substantially
prevents the possibility of overfill occurring. If the tank is filled
to the ball float level, the petroleum product delivery will be cut
to 3 gallons per minute alerting the dr~ver of a potential overfill
condition. In the event that this occurs, the'following actions will
be taken:
1. The delivery truck dr~ver shall turn off %he petroleum product
supply at the truck, leaving the hose fully connected to the tank
fill pipe line and the truck.
2. The small amount of petroleum product remaining in the hose shall
be slowly drained into the tank. Since the ball float valve is 2
to 3 inches below the top of the tank, there remains a 100 + gallon
capacity within the tank at the moment when the ball float closes
off delivery. The bleed hole in the ball float valve allows the
remaining petroleum product in the hose to completely drain through
the fill pipe into the tank.
3. The hose shall be disconnected from the fill pipe only when it has
fully drained. In the event that spillage occurs upon hose
disconnection, the remaining small amount of petroleum product will
be properly contained.
WASTE OIL TANK
1. Station is equipped with waste oil buckets which hold a maximum
capacity of 3 gallons (about 3 to 4 cars~ worth of waste oil).
2. Prior to dumping any waste oil, dealer is to gauge the tank to
assure that holding capacity is greater than that which will be put
into the tank.
3. Waste oil is poured directly through fill/pump out pipe, using a
funnel. Should any waste oil spill during this operation, it will
be properly contained using absorbent material.
Page 7 of 10
1. Small spills~'less than i gallon and Chili'requiring 15 minutes to
clean up) shall be cleaned up using absorbent materials.
2. Larger spills occurring during product delivery shall be reported
to the terminal by the dealer and/or by delivery truck driver. The
terminal supervisor will notify a local petroleum maintenance
contractor who is equipped with a N.F.P.A. approved type hand pump,
vacuum and transport container. Large spills not caused by
delivery shall be reported Immediately to your rep.
3. Spills shall be cleaned up within 8 hours of detection, returned
to local terminal and/or disposed of in a lawful manner.
4. ~ shall record all spills whether or not it is due to delivery
overfill or accidental spillage, which exceeds &pproximately one
gallon, and action taken on the "Unauthorized Release Report"
(attached), and send it to UNOCAL within 24 hours.
5. Large spills (more than I gallon) must be reported to the local
agency indicated on the cover sheet within 24 hours. If the spill
is large enough to pose a significant hazard,, it must also be
reported to the California Office of Emergency Services at 800-852-
7550.
IN CASE OF EMERGENCY CALL 9-1-1
INSPECTIONS TO BE COORDINATED
YE~tRLY INSPECTIONS ;LND TESTING
BY ~NOCAL
Yearly testing
shall be made of the following:
Pressurized piping systems shall be monitored using tn-line leak
detectors· Leak detectors shall be tested annually for proper
operation. Dealer MUST be aware that a reduction in product flow to
3 gallons per minute (gpm) indicates a potential piping leak.
Tanks and piping shall be.tested annually for tightness, using a
State-Certified test system. (For non-secondarily contained tanks and
piping only.)
Electronic monitoring systems shall be tested annually for proper
operation. (For secondarily contained tanks and piping only.)
Dispenser core holes, shear valves, and blending valves shall be
annually inspected by UNOCAL for signs of leakage.
Dispenser meters (recording total sales in gallons) shall be
calibrated once annually by UNOCAL. Any additional calibration will
be the responsibility of the dealer. Use the "Dispenser Meter
Calibration Form".
· ~DOSE/GROUNDFATER MONITORING NELLS
This section is not applicable unless "Monitoring Methc~s" line
sheet shows "Vadose Wells" or "Groundwater Wells".)
on cover
The monitoring of vadose wells and groundwater monitoring wells is
contracted out to Applied Sec Systems· Monitoring is performed monthly
for vapor analysis of the vadose wells and subjective analysis for traces
of product in the groundwater monitoring wells. Monitoring is performed
quarterly for laboratory analysis of groundwater samples. Monitoring
records are maintained on-site in the dealer's office, and are available
for inspection. Page 8 of 10
· .EHPL~YEE TI~'rN'rNG PLaN
New Employees must be given this training before staring work, and refresher
courses must be provided annually. Records must be kept to show when each
station employee has been give his/her safety training. Use the following
outline:
I. FIRST THINGS TO KNOW
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: Outer southwest wall of service bay
Be
ELECTRICAL SHUT-OFF: The panel allows you to selectively cut off
power to lights, signs, pumps, etc. The main switch kills all
power at the site.
LOCATION: In storage area in service bay
Ce
WATER SHUT-OFF: The water shut-off may be necessary in some cases.
LOCATION: In sidewalk of Ming Avenue
De
FIRST AID KIT:
LOCATION: In office
FIRE EXTINGUISHERS: 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: 2-in service bay
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 than washing spills down a drain.
In case of large spills merely try to contain it; a vacuum truck
should be used to clean up any large spills.
LOCATION: In storage room and in service bay
Ge
NEAREST MEDICAL FACILITY: Employees should know what facilities
are available in case customers or other employees need medical
attention:
NAME: Mercy Hospital
ADDRESS: 2215 Truxton Ave.
CITY:Bakersfield
PHONE NUMBER: 805-327-3371
NEAREST DESIGNATED TRAUMA CENTER:
NAME: UCLA Hospital and Clinics
ADDRESS: 10833 LeConte Avenue
CITY: Los Angeles
PHONE NUMBER: 213-825-2111
Page 9 of 10
III ·
All e~ploye~should review the Servic~tation Monitoring Plan,
of which thigh%raining plan is a part. S~'cifically, 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.
FIRST AID PROCEDURES (For exposure to gasoline or diesel fuel):
Be
EYE CONTACT: For direct contact, flush the affected eye(s)
with clean water. If irritation or redness develops, seek
medical attention.
SKIN CONTACT: Wipe 'Product from skin and remove soaked
clothing. Cleanse affected area(s) thoroughly by washing with
soap and water. If irritation develops and persists, seek
medical attention. Do not use solvents or thinners to remove
product from skin.
INHALATION CBreathina): If symptoms of exposure develop, move
victim away from source of exposure and into fresh air. If
symptoms persist, seek medical attention. Symptoms include:
flushing, blurred vision, dizziness, nausea, headache,
drowsiness, loss of coordination, and fatigue.
If victim is not breathing or if breathing difficulties
develop, artificial respiration or oxygen should be
administered by qualified personnel. Seek immediate medical
attention.
~NGESTION ¢Swallowin~):
DO'NOT INDUCE VOMITING BECAUSE GASOLINE CAN ENTER LUNGS AND
CAUSE SEVERE LUNG DAMAGE!
If victim is conscious and alert, give 2 to 3 cups of milk or
water to drink. Seek medical attention.
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.
Page 10 of 10
QUARTERLY REPORT
s/s
Address:
Quarter #
Start Date:
End Date:
Year:
A
Fill out this form quarterly
BUSINESS NAME: and send in with oil other
forms, os applicable.
KEEP COPIES OF ALL FORMS
YOU MAIL OUT.
Tank tf Capacity (gal) Product
CHECK ONE BOX BELOW AS APPLICABLE:
I hereby certify under the penalty of perjury that all product level variations for
this facility were within allowable limits for this quarter. ("NO" in cloumn 12,
Inventory Reconciliation Sheet; "NO" in column 7, Tank Gauging Sheet; "OK" in
applicable columns of the Daily Visual Monitoring Log).
Inventory vor'iotion at this facility exceeded the allowable limits for this quarter.
I hereby certify under penalty of perjury that the source for the variation(s) was
not due to on unauthorized (leak) release. ("YES" to any of the above).
[ f There was on unauthorized (leak)release at this facility during this quarter.
I hereby certify under penalty of perjury that all necessary corrective octlons
hove been or ore being taken.
DEALER'S SIGNATURE/DATE:
LIST DATE, TANK # AND AMOUNT FOR ALL VARIATIONS THAT EXCEEDED THE ALLOWABLE
LIMI'I'S:
DATE TANK # AMOUNT
THIS QUARTERLY REPORT SHALL BE SUBMITTED TO THE REGULATING LOCAL AGENCY WITHIN
15 DAYS OF THE END OF EACH QUARTER:
QUARTER 1
QUARTER 2
QUARTER 3
QUARTER 4
JANUARY-MARCH
APRIL-JUNE
JULY- SEPTEMBER
OCTOBER-DECEMBER
Submit by April 1.5
Submit by July 15
Submit by October 15
Submit by Jonuory 15
0
o
DAILY VISUAL MONITORING LOG
Iunocol S/S#: Business Name:
Address: Month of:
B
/
Fill out this form
Idoily and send it in
[with the Quarterly
Report.
INVENTORY ¢I~ECONCILIATIO~
Is/s //:
Business Nome:
IOu art er:
Yeor:
Tonk ,:
Copocit y/Contents:.
Fill out this
form doily
Iond send it
with the
I Ouorterly
Report.
"' ~'" UNOCAL(~)
WASTE OIL TANK GAUGING SHEET
D
Is/s #:
Address;
Business Name:.
IQuarter: I ITank *:
Year: Capacity:
Fill out this
form weekly
and send it
with the
Quarterly
Report.
GAUGING PERIOD INVENTORY VARIATIONS
1 2 3 4 5 6 7
Opening Closing Actual Allowable Allowable
FROM TO Dipstick Dipstick Variation Variation Variation
Reading Reading (4-3) * *
Date/Time Date/Time Inches Gal. Inches Gal. Gallons Gallons Yes/No
,Allowable variation is based on tank size:
Tank Size AIIowQble Variation
280 gallons 2.8 gallons
520 gallons 5.0 gallons
550 gallons 5.0 gallons
**If you answered "Yes" in column 7 (Col. 6 > Col. 5), then on unauthorized release
(leak) shell be assumed to hove occurred. Follow the Release Evaluation checklist and
attach to this form.
UNOCAL )
RELEASE EVALUATION CHECKLIST
s/s #:
Address:
Business Name:
Tank #: Capacity.
Product:
Dote & Time Allowable Variation was Exceeded:
"ill out this form
#henever the
=llowoble voHotior
is exceeded and
send in with the
Quaffed, y Report.
CHECK OFF EACH STEP AS IT IS COMPLETED.
STEP 1 J--] RECORDS REVIEWED
Date/Time:
Performed by.
Should be' done
within 2 hours.
STEP 2 ~NEW RECONCILIATION
PERFORMED
Date/Time:
Performed by.
Shou!d be done
within 24 hours.
STEP 3
--'-)CALL UNOCAL, REP. AND
SEND UNAUTHORIZED
RELEASE REPORT TO REP.
Date/Time:
Performed by:
Should be done
within 24 hours.
STEP 4
RECORDS. REVIEWED FROM
LAST STATIC STATION
(BY DEALER OR REP.)
Date/Time:
Performed by.
Should be done
within 24 hours.
STEP 5
~"--'~ PHYSICALLY INSPECT
FACILITY FOR EVIDENCE
OF LEAKS
Dab. e/Time:
Performed by:
Should be done
within 2 days.
STEP 6
~--~ DISPENSER METER
CALIBRATION CHECKED
(COMPLETE TES'r REPORT)
Dote/Time:
Performed by.
Should be done
within 3 days.
STEP 7 J~JHYDROSTATIC PRESSURE Date/Time:
TEST PERFORMED ON PIPING Performed b~.
I
Should be done J
within 4 days.
I
STEP 8 ~ PRECISION TANK TEST
PERFORMED
Date/Time:
Performed by.
I
Should be done J
within 5 days.
I
STEP 9 r--] ADDITIONAL INVESTIGATION Date/Time:
PERFORMED AS REQUIRED Performed by:.
I
Should be done
i
within 5 days.
I
Briefly describe the reason the allowable variation was exceeded:
I hereby certify this is to be a true and accurate report.
Dealer's Signature: Dote:
UNAUTHORIZED RELEASE REPORT
Is/s #:
Address:
Business Name:
ITonk #:
Product:
Capacity
F
2omple'[e this form
in the event of o
confirmed leak or
~plll and se~d to
your Unocal rep.
within 24 hours.
TO BE COMPLETED BY THE DEALER
Dote leak Wo~' discovered:
Approximate dote leak began'
Describe fully the cause of the leak:
How was the leak discovered?
TO BE COMPLETED BY THE UNOCAL RETAIL REPRESENTATIVE
Has the leak bee~ stopped?
How was the leak stopped?
Date:
kist resources affected:
Soil
Creek or Storm drains
Buildings or Utility Vaults
Groundwater
'Public Drinking Water
Private Drinking Water
Agr$culturol
Other
Ye~ No Threatened
# of well~;
Instructions to Ung{:~l Retail Representatives:
IThis form must be forwarded to Unocal Maintenance & Construction Deportment
IMMEDIATELY so they con submit to the appropriate local agency within 5 days
~ ~'~ any leak.
of
EQUIPMENT TEST LOG
s/s #:
Address:
Business Nome:
Contractor:
Name of person completing test(s):
Signature:
I Dealer's Signature:
Check off each test when performed:
G
Fill out this
forrn for each
annual
nspection
3nd keep on
Ilia.
I1. F-~ Sheo~"¥alve Inspections - Dote:
2. r-'-] Blending Valve Inspections - Date:
r---I Leak Detector
3.
Product Model Leak Full Line Pressure (PSI) Simulated Line Leak Test Inspection
Detec~.or Open Max. 12 Close Min. 26 Pass Fail Dote
Super
Unleaded
Unleaded
Diesel
Other
4. ~ Dispenser Meter Calibration Procedure:
1. Before starting calibration runs, wet the calibration con with product and return
product to storage.
2. Run 5 gallons with nozzle wide open into the can. Note gallons end cubic inches
drawn, and return product to storage.
3. Run 5 gallons with nozzle one-half open into the con. Note gallons and cubic
inches drawn, and return product to storage.
4. If the volume measured in a 5-gallon calibration can. is more than 6 cubic inches
above or below the 5-gallon mark, the meter requires calibration b,v a registered
device repairman.
Fast Flow Slow Flow Vol. Returned Calibration
Dote/time Nozzle i~ Product 5-Gal. Draft 5-Gal, Draft to storage Required?
Gallons '
Gal. Cu.ln. Gal. Cu.ln. YES,/N O
· Note dote of Calibration & Device(s) used:
UNO C AL ~
SAFETY TRAINING LOG
H
ls/s #:
Address:
,Business Name:
-'MPLOYEES MUST SIGN THIS FORM TO PROVE THEY RECEIVED THEIR ANNUAL SAFETY TRAINING.
Date of Initial
Employee Name Training Dates of Annual Refresher Training
04/01/91
F~ZA UNION SERVICE 215-000-~00545 · Overall Site with 1 Fac. Unit
Page
General Informatic, n
ILocatic, n: 2502 MING AVE Map: 123 Hazard: Unrated
Ident Number: 215-000-000545 Grid: 12A Area nf Vul: 0.
Cc'ntact Nanle ~ ~ Title 1 Business Phc, ne [ 24 Hc, ur Phc, ne]
ELSAYED M. 'ELSAYED ~OWNER (805) 833-8925 x (805) 398-9657~
MEDHAT ELHARTY ~MANAGER (805) 833-8925 x (805) 397-1315~
Administrative Data ~
Mail Addrs: ~.~ MING AV D&B Number: ~~~
City: BAKERSFIELD State: CA Zip: 93304-
Corem Code: 215-007 BAKERSFIELD STATION 07 SIC Code: 5541
Owner: £:[JRT ......... ~,,~,,~,~*~,~:~ ~'Z.~.~,~,~/~D /t4. ~f-.~A~/~O Phc, ne: (805) 82~-~
Address:~U~'-'~"-' MING AV' State: CA
City: BAKERSFIELD Zip: 93304-
Summary
RECEIVED
'4PR 1 1991
HAZ, MAT.
I, ~_E~LYgI~ ,~. ~,~i~'~ Do hereby certify that ~ have
(Type c~ p iht name)
reviewed !he ~,~ached h~:,~hj~,,,.~.~ ~'~aterials manags-
ment plan fo~~_~4. ~ ~d that it along with
any corrections co~stitute a cor,~piete and ~r~e~ man-
agement plan for my f~cility,
04/01/91
P 1 rs- Ref
Nar~e/Hazards
PLAZA UNION SERVICE 21
Hazn~at Irsverstory List irs MCP Order
02 - Fixed Containers on~ Site
Forrfl
Quant i ty
Page 2
MCP
02- 001
REGULAR GASOLINE
Fire, In~n~ed Hl~h, Delay .Hlth
Liquid
i O~ 000
GAL
Moderate ·
02-004
PREMIUM UNLEADED GASOLINE
Fire, In~n~ed'Hlth, Delay Hlth
Liquid
10,000
GAL.
Moderate
02-002
WASTE OIL
Fire, Delay Hlth
Liquid
GAL
Low
02-C)03 MOTOR 01L
Fire, Delay Hlth
Liquid
300
GAL
M i r~ i r~ a 1
04/01/91
A UNION SERVICE 215-000-~0545
00 - Overall Site
<D> Not if. /Evacuat ior~/Medical
Page
.<1> Agency Notification
CALL 911
<2> Ernployee Notif. /Evacuatior~
VERBAL TO ALL CONCERNED. PHYSICALLY LEAVE THE STATION.
<3> Public Notif. /Evacuatior~
ALL PUBLIC LEAVE SERVICE STATION IMMEDIATELY
<4> E~erger~cy Medical Plan
CALL HALL AMBULANCE~ 1001 21S]' sT - 327-41il
NEAREST HOSPITAL
04/01/91
PLAZA UNION SERVICE 21~ .... ~' ~
, , ,-,-- C) C~ (.)- 0 C) (.~,_,4 ,_,
00 - Overall Site
<E> Mit igat ion/Prever, t/Abatemt
Page
4
< 1> Release ,Prevent ic, r,
MAKE SURE WE DON'T HAVE A FIRE. SHEAR OFF VALVE AT PUMP-.
-AT PUMP. WASTE OIL IN CLOSED CONTAINERS.
NO SMOKING SIGNS
<2> Release Cor, tairJmer, t
OIL - WIPE UP THE SPILL WITH RAGS
BLOCK OFF ISLANDS UNTIL IT IS CLEANED UP
USE DRY ABSORBANT ON GASOLINE LEAKS AND SHOVEL INTO A CONTAINER
<3> Clear, Up
<4> Other Resource Activation
04101/91
~'~ZA ~UNION 'SERVICE 215-000e)0545
00 - Overall Site
Site Eraergerfcy Factors
Page
5
<1> Special Hazards
<2> Utili'ty Shut-Offs
A) GAS - N/A
B) ELECTRICAL - SOUTHWEST CORNER OF THE METAL BUILDING
C) WATER - SOUTHWEST CORNER OF THE METAL BUILDING
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec. /Avail. Water
PRIVATE FIRE PROTECTION - 2 FI. RE EXTINGUISHERS BY SERVICE BAY DOOR
FIRE HYDRANT - CORNER .OF HUGHES & MING - SOUTHEAST CORNER OF ]'HE METAL
BUILDING
<4> Held for Future use
04/01/91
PLAZA UNION SERVICE 215-000-000545
00 = Overall Site
<G) Trair, ir, g
Page
6
<1> Page 1
WE HAVE 3 EMPLOYEES AT THIS FACILITY.
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING: . TELL EMPLOYEES TO BE CAREFUL AND WATCHFUL OF
WHAT GOES ON AT THIS FACILITY. EMPLOYEES KNOW WHERE THE SHUT-OFFS ARE.
EMPLOYEES KNOW HOW TO CLEAN UP SPILL.
<2> Page 2 as 'needed
<3> Held for Future Use
<4> Held for Future Use
M^,~. TO C,TY ~'~EASURER .'?'CITY OP BAKERSFIELD .... .:.i ~:' ' ~er.; .i'i' '.i'-: pREMIsEs'MUST*CONFORM T° ZONING,'
P.O. BOX2057 ".'::.*~*:.'. ~ ' · ' : .... "' BUILDING, FIRE AND HEALTH CODES.
'CALl·.PPUC.NT SHOULD ALLOW TWO WEEKS
'~ BAKERSFIELD, CA 93303 '.'.:;"; .. FORNIA .... PERMIT ..... ~o~ NECESSARY. INSPECTiONS... · - ..
PURSUANT TO ORDINANCES OF THE CITY OF BAKERSF ELD .' ' ;.~:.' CHANG[OF'~ , . · ' ~ ' .. -
PARTNERSHIP ~' CORPORATION ~' FEDERAL EMPLOYER IDENTiFICATION NUMBER ~ ~.'~~'"
'FORMER owNER '" " ' · :
: ,'':'"' · · License Code Sect. Stmt Frq Prm I Class Tax Rate
~OTICE: · . . : .. · · .
SALES OR USE TAX MAY APPLY TO YOUR BUSINESS'ACTiVITIES. YOU MAY SEEK WRITTEN _ ": .... '" '
ADVICE,REGARDING THE APPLICATION OF T~X TO YOUR PARTICULAR BUSINESS.BY:' i' · :. ~. .' '.
WRITING TO THE NEAREST STATE BOARD OF EQUALIZATION OFFICE. - . ~ ,,. .... ; . ' ·:
' · . . ....... . . . Owner, Partner, Agent or Officer If Corporation . · '. ' - ".~
License Code Sect. Strut Frq Prm Class Tax Rate
'// ":','-sS
' ~, DO NOT WRITE BELOW THIS LINE · . '. ' .'*
· :". '" ' · PLANNING DEPT.:[] "' " FIRE DEPT.: F-].' :i , .:':, BUILDINGDEPT~ [] ' '.':
· ·. ', ::.-.: i.::.,.' ..
REQuiREMENTS .: .," ' :" i:' '*: ./'~-/ /~'- :/':. i' "-'. '.'"' :. '~,:' .J",. '-":J'.'..- '
.OR CONDITIONS: ' ':' ', ' ' '' ' '. ': -' - ~- (Z) {~.7 /. . 'i'. · ,": ""-:. ".': ' ."-'. ' .' '
' '.--.:-: .:' ".~'....:',,...'~.;.;:.." ' .... ~-'.." ",..... '-' -.:-"*' "~::.~.~16'1:.':":..:~"': .... ' .,..'675.1=b.'o08.~.:..~.<]~,.'""' '~ ' ' '" ' ..'~;..'" .".'," '.".' ':.: ',.,' ' '
~SIGNATURE.; "~~ :. ":':.-'DEPT. ~...- '"' ':' DATE" ..... ' :'"" - '
Bakersfield Fire Dept.
Hazardous Materials Division
2130 "G" S~reet
"Bakersfield, C~ 9330~1--~
RECEIVED
............... HAZARDOUS MATERIALS-MANAGEMENT
INSTRUCTIONS: '-[ .. --~ ~
1. TO ovoict further action, return this ,o,m wi~in 30 aoys at r~eipt. ~'
2. WPE/PRINT ANSWERS IN ENGLISH.
3. Answer ~e questions Delow for the busine~ os o w~ole.
4. Be Drier OhO concSe os pomible.
SECTION 1: BUSINESS IDENTIFICATION.DATA
BUSINESS NAME:
LOCATION: ~g-°~ /-,//~,,~.
MAILING ADDRESS:
DUN · BRADSTREET NUMBER:
SIC CODE:
PRIMARY ACTIVITY:
OWNER: '
MAILING'ADDRESS:
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT TITLE
BUS. PHONE
24 HR. PHONE
Bakersfield l~ire Dept.
Hazardous Materials Division
· HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 3: TRAINING:
NUMBER OF EMPLOYESS:
MATERIAL SAFETY DATA SHEETS ON FILE:
BRIEF SUMMARY OF TRAINING PROGRAM'
SECTION 4: EXEMPTION REQUEST:
I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE
REPORTING RI~QUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH &
SAFETY COOE" FOR THE FOLLOWING REASONS:
.,. WE 'DO NOT HANDLE HAZARDOUS MATERIALS.
-~' WE DO HANDLE HAzARDoUs MATERIALS, BUT THE QUANTITIES AT NO
TIMEEXCEED THE MINIMUM REPORTING QUANTITIES.
OTHER (SPECIFY REASON)
SECTION 5: CERTIFICATION:
I, ~LSAVE4} ,~' E/~A VEX) CERTIFY THAT THE ABOVE INFO R-
· MATION IS ACCURATE. I UNDERSTAND· THAT THIS INFORMATION WILL BE USED TO
FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE"
'ON- HAZARDOUS .MATERIALS' (DIV.. 20 CHAPTER 6.95 SEC. 25500 ET AL.) ANO THAT
INACCURATE INFORMATION CONSTITUTES PERJURY.
SIGNATURE TITLE
DATE
.0 2. FO1"
Bakersfield Fire Dept
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PI-AN
Facility Unit Name:
SECTION 6:
NOTIFICATION AND EVACUATION PROCEDURES:
AGENCY NOTIFICATION PROCEDURES:
o~LL ~\ \ -
Bo
EMPLOYEE NOTIFICATION AND EVACUATION:
/~/~ .
PUBLIC EVACUATION:
EMERGENCY MEDICAL PLAN:
csLL AH ~,'l_,o,uce ~c.eV/ce
C~LL
B'~kersfield Fire Dept.
Hazardous Materials Divisim
i'
· HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 7: MITIGATION; PREVENTiON:AND'ABATEMENT PLAN:
......... A. ":RELEASE PREVENTION STEPS: .....
I~L ~u~ ~es /~¢--i~.~.,
Bo
RELEASE CONTAINMENT AND/OR MINIMIZATION:
CLEAN-UP PROCEDURES:
SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY):
NATURAL GAS/PROPANE:
SPECIAL:
LOCK BOX: /~NO IF YES, LOCATION:
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY:
A. PRIVATE FiRE PROTECTION: -7'~ F~EE ~X'~T'L/~.~,~'/-/~8..~ /3 Y ~'g,g~ ~D4v Z),~,£,
B. WATER AVAILABILITY (FIRE HYDRANT):,
4. FO15':
CITY of BAKERSFIELD
farm and Agticulture t1 Standard'Business I~],.I-'tAZARDOUS MATERTALS TNVENTORY
NON--TRADE SECRETS
BUSINESS NAME: ~Jo~L '7/~ /~,g}~/t OWNER NAME: ,E~/~'E'/) .,~/, z:-/_¢'~w'z~ NAME OF THIS FACILITY: ~JmOt~~~ ~ '
LOCATION: ,~'o2 /¥/2V~ ~4~,~' ADDRESS; _2~_m.~_ ,~_/~/m- .,¢~/~ o STANDARD IND. CLASS CODE~ "-~-~-~t_ .... . ............ _~-_~
~.I.[.Y.~ .~IP:~~/_~.___~z, ~$~,,?' · - ' ' DUN AND BRADSTREE! NUMBER ......................
1 2 3 4 5 6 I 8 9 10 II 12 13 14
Trans !y~e Nax Average Annual Neasure I ~y~ Cent Cent Cent Use Location. Nhete. ~w~¥ ~lares of ~ixturelC:~onents
Code cooe Amt Amt Est Units on 51ce Type Press TemD Code Stored in Pacl/1Cy ' See Instru;t~cns __ __
Physical and Health Hazard C.A.S. Number ~-"o~/(~ Component II Name ~ C,A.S, Number
(Check al1 that apply) - ~[A~ ~A~B~
; · Component 12 Hame & C.A.S. Number
~FireH,zmrd ~ Re,ctJvity ~ Delayed U Sudden Release ~im~ediate
~ Health of Pressure Health
Component 13 Name ~ C.A.S. Number
Physical 80d Health Hazard C.k.S. Number ~oo~[~ Component II Name &'C.A.S. Number
(Check all that apply) ~~ ~L~b~
Component t2 Name & C.A.S. Humber
Health ' of Pressure
Component 13 Name I C.A.S. Humber
Physical and Health Hazard C,A.S. Number Component I1 Name & C.A,S, Number
(Check 8/1 that apply) ~A~
Component 12 Name & C,A,S. Number
~Fire Hazard 0 Reactivity ~Oe]ayed 0 Sudden Release O
Health of Pressure
Component 13 Name ~ C.A.S. Number
PhysicA'l 8hd HeAlth ~a[ard C.A.S. Number ~q ~- I~-% Component I1 Hame & C,A,S. Number
~FireH,zard 0 Reactivity ~Oelayed 0 Sudden Release O
Health of Pressure
Component t3 Name & C.A,S. Humber
EHERGENCY CONTACTS ~I~L~A~E~~m~ ,~, ELsA~E~ TTCle'-~~e ~me Title ......
erti[i~atioq ,(Repd a..n.d.~ign after complctif]g,all secti,ons.)
cer~t~y unoer Dena~ ol'!a~ that l navepe{sonal~y, examlnqo~qo{m tami~]ar,~it~ the intorma~lon Submitted in this ~nd all
t~ached.d~cgmentp, anO t~ac oasea on.my inquiry ¢.cnose ~nalv,ouams reSponsio/e for obtaining the lntormat~on. ! believe that the
uomltted information is true, accurate, ano complete.
~.~.-:T~-~c"~ll-lFitle of o~ner/oo~ratOr uH owner/operator's auCh-O'fiz-~if~7~r-~tive
Bakersfield Fire Dep
Hazardous Materials Division
2130 "G" Street
Bakersfield, CA. 93301
HAZARDOUS MATERIALS MANAGEMENT PLAN
INSTRUCTIONS:
To avoid furlher action, return this form within 30 days of receipt.
~PE/PRINT ANSWERS IN ENGLISH.
Answer the questions beJow for me business os a whoJe.
Be Dr~ef cna concise as possible.
SECTION 1' BUSINESS IDENTIFICATION DATA
LOCATION:
MAILING ADDRESS' 2. ~-0 ")____
CITY :':~A
DUN A BRADSTREETNUMBER:
PRIMARY ACTIVITY:
OWNER' '~~
· STATE' C.~
SIC CODE:
MAILING ADDRESS:
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT TITLE
BUS. PHONE 24 HR. PHONE
i
Hazardous Materials D{vision
· HAZAI~. US MATERIALS MANAGEMI~' PLAN
SECTION 3: TRAINING:
SEE UNOCAL MONITORING PLAN FOLLOWING FOR DETAILED EXPLANATION
NUMBER OF EMPLOYES& ',~'
MATERIAL SAFETY DATA SHEETS ON FILE:
BRIEF SUMMARY OF TRAINING PROGRAM:
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.
SECTION 4: EXEMPTION REQUEST:
I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE
REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH &
SAFETY CODE" FOR THE FOLLOWING REASONS:
WE DO NOT HANDLE HAZARDOUS MATERIALS.
WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO
TIMEEXCEED THE MINIMUM REPORTING QUANTITIES.
OTHER (SPECIFY REASON)
SECTION 5: CERTIFICATION:
I, ':b ES I;:~'-F ~~L--IhJd~:] CERTIFY THAT THE ABOVE INFOR-
MATION IS ACCURATE. IUNDERSTAND THAT THIS INFORMATION WILL BE USED TO
FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE"
ON HAZARDOUS MATERIALS (D'IV. 20 CHAPTER 6.95 'SEC. 25500 ET AL.) AND THAT
INACCURATE INFORMATION CONSTITUTES PERJURY.
SIGNATURE TITLE
DATE
I~D15~0
Bakersfield Fire Dept.
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
Facility Unit Name:
SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES:
SE1~. UNOCAl', MONITOR'rNG PI',]~T FOI',I',OWTN(~ FOR DRTATI',I~.D I~.XpT,]~TATTON
A;. AGENCY NOTIFICATION PROCEDURES:
UNOCAL 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: Kings Co. Div. of Envir. Health Services
PHONE NUMBER: 209-584-1411
2. CALIFORNIA OFFICE OF EMERGENCY SERVICES: (800)852-7550 (24 HOURS)
B. EMPLOYEE NOTIFICATION AND EVACUATION:
CONTACT the station-dealer if s/he is not already at the station.
the list below for emergency contacts:
1. Name/Bus./Home: Bert Schorling 805-831-4739/805-832-1377
2. Name/Bus./Home: Rod Brake 805-831-4739/No home phone
Use
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:
NEAREST MEDICAL FACILITy: Employees should know what facilities are
available in case customers or other employees need medical
attention:
NAME: Mercy Hospital
ADDRESS: 2215 Truxton Ave., Bakersfield
PHONE NUMBER: 805-327-3371
NEAREST DESIGNATED TRAUMA CENTER:
NAME: UCLA Hospital and Clinics
ADDRESS: 10833 LeConte Avenue, Los Angeles
PHONE NUMBER: 213-825-2111
3.
D-~ersnel~ ~'~e Mept,
Hazardous .%~ateria]s D[v~si0n
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 7: MITIGATION, PREVENTION ANDABATEMENTPLAN:
SEE UNOCAL MONITORING PLAN FOLLOWING FOR DETAILED EXPLANATION
A. RELEASE PREVENTION STEPS:
i OVERFILL/SPILL PROTECTION AND CLEAN-UR
Deliveries/Gauging
Ball Vent Line Float System
Waste Oil Tank
Clean-up/Records
B. RELEASE CONTAINMENT AND/OR MINIMIZATION:
)NITORING FOR SINGLE WALL TANKS ............. ~ .... ~
· - ................... TfALL T~2:EE
Inspections To Be Conducted By Deale~ ~%o pe Conducted ~
Product Tank Gauging Procedures Secondary _ ' e ' oring Procedure
Record Keeping For Fuel Tanks Record ' ontainment
Waste Oil Tank Gauging Procedure
What To Do If You Exceed The Allowable Vari'~'~°n -C. CLEAN-UP PROCEDURES:
Small spills: Absobent material
Larger spills: Report to terminal by dealer or delivery driver
Spills shall be cleaned up within 8 hours. Dealer shall record all
spills over 1 gallon - any spill over 1 gallon shall be reported to
local agency or Calif.office of Emerg. Svcs.
SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY):
NATURAL GAS/PROPANE'
ELECTRICAL:
WATER: IN
SPECIAL'
LOCK BOX: YES~ IF
YES,
LOCATION:
SECTION 9:' PRIVATEFIRE PROTECTION/WATER AVAILABILITY:
PRIVATE FiRE PROTECTION:
WATER AVAILABILITY (FIRE HYDRANT):
~ C4:~tCff.~c:s~'N~ ,A,V~.ruu~
4. ;D~5~O
I
Bakersfield Fire Dept.
Hazardous Materiol~ Division
2130 "G" Street
Bakersfield, CA. 93301
HAZARDOUS MATERIALS. MANAGEMENT PLAN
' ~'$' '~40 o CC"'-. r~
1.To avoid further action, return tt~is form within 30 days of receipt.
~:. ,%%%%w,,% %%%~r1',,e ,:,,.,,,,-,,,,, ,:,, ,:, w,.,o,. ',, ,.,.~~'
4.,e i~rief and concise as po.iOle.
SECTION 1: BUSINESS IDENTIFICATION DATA
BUSINESS NAME: "~/-~"~'~--'~ U&/Id)/kl 2~~1~ ~ 5",~"772,
0
LOCATION:
:Z~o'2_ ~tNO
MAILING ADDRESS:
CITY :"B~
DUN & BRADSTREET NUMBER:
PRIMARY ACTIVITY:
STATE:
Ocr -c['~r"~C'-7,.~'~'- SIC CODE: ,~'t"!1
OWNER:'
MAILING ADDRESS: .~'C~ ~._ Nt IN~i ,~.V~,
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT
TITLE
BUS. PHONE 24 HR. PHONE
1
~77
t:s:a~ersne~o ~'u'e ]3ept.
~ PIazardou-~ ~{a~erial$ D~v~sion~
HAZARDOUS MATERIALS MANAGEN~E~T PLAN
SECTION 3: TRAINING:
NUMBER OF EMPLOYESS' 5"
MATERIAL SAFETY DATA SHEETS ON FILE: Y'
BRIEF SUMMARY OF TRAINING PROGRAM:
~ ~ U~ Nlot~ ~-roP-~ N.~ F'/.~.
SECTION 4: EXEMPTION REGIUEST:
1 CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE
REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH
SAFETY CODE'" FOR THE FOLLOWING REASONS:
WE DO NOT HANDLE HAZARDOUS MATERIALS.
WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO
TIMEEXCEED THE MINIMUM r~EPORTING QUANTITIES.
OTHER (SPECIFY REASON)
SECTION 5: CERTIFICATION:
I, ~_~1~ ~C,,/~/~/.-{A/~ CERTIFY THAT THE ABOVE INFOR-
MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO
FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE"
ON HA~J~DOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT
INAC,~JI"~A/J'E INFOI"f)vlATION CONSTITUTES PERJURY.
SIGNATURE TITLE DATE
Bakersfield Fire Dept.
Hazardous Materials DivisioJ
HAZARDOUS MATERIALS MANAGEMENT PLAN
Facili~ Unit Name:
SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES:
AGENCY NOTIFICATION PROCEDURES:
,.~_-. UNOC-.,~I. _ t"lo~ rT'o~'l~ 'F'~'k~.~ ~-,~ E~ ~.
EMPLOYEE NOTIFICATION AND EVACUATION'
PUBLIC EVACUATION'
Do
EMERGENCY MEDICAL PLAN:
~_-.~ UN mC.~.L--- M o/J, i-T'~! ~-/~, 'P~,"~-~ / ~~.. ~ -
B~ kers~.eld Fire Dept.
Hazardous Materials Div~sio
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN:
RELEASE PREVENTION STEPS:
~--- UNOO..~L.- I~O~ rT'OP-_I NlQ l~.-Z~l',J) ~'A,.~_
RELEASE CONTAINMENT AND/OR MINIMIZATION:
CLEAN-UP PROCEDURES:
SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)'
NATURAL GAS/PROPANE:
WATER'
SPECIAL:
LOCKBOX: Y~S~
IF YES, LOCATION'
SECTION 9: PRIVATE FIRE PROTECTION/WATER AvAILABILITYi
Ao
PRIVATE FIRE PROTECTION:
/
WATER AVAILABILITY (FIRE HYDRANT): "~
CITY of BAKERSFIELD
x_za-lAZAR DOU S MATERIALS INVENTORY
Farm and Agriculture F! Standard Busines~s~El~ ' ' NO
N--TRADE SECRETS
US..I..E.S,NAM.~I ~[~LZ,~.LINION ~V~-.. ~_~7~O~B_~AME: ~~~~~ NAME OF THIS FACILITY:
U~AIZU.: ~0~ ~1~ ~v~. AUUt{E55; ~O~ '!~ A~ STANDARD IND. CLASS ~0~
CIIY. ZIP: ~~~ ~D~ CITY. ZIP:~ ~K~~ ~~ DUN AND BR~STREEI NUHI .......
'1 2 3 4 5 6 1 8 9 I0 11 12
Trane !y~e Hex Avfrage Annual Heasure I t~e Cent Gent Cent Us tocalcion.¥heq:e
Code coon AmC AmC Est Units on ]ype Press Temp Co3eSkored ~n PaclllCy
Physical and Health Hazard C.A,S, Humber ~0~/~ Component II Name
(Check all that apply)
Component
~ Health et Pressure
Component 13 NAme I C.A.S. Number
Physical Iud Health Ualard C,A,S, Number ~~ Component
(Check al/ that app/yl ,
Component I~ Name I CA,S, Number
~FireHazard ~ Reactivity~qelayed ~ Sudden Release
Health of Pressure
Component 13 Name I C.A.S. Number
'Physical And HeAlth 6418rd CA,S. Number
ComponeflL 12 Name I C.X,S. Number
~FireHazard ~ Reactivity ~Oelayed ~ Sudden Release ~ Immediate
Health of Pressure Health
Componen:
Physi caltcheck ailand thatHe"lthapp/ylUalard C,A, S, Humber ~ ~?~-/
Component 12 Name I C.A.S. Number
~Fire Hazard ~ Reactivity ~Oelayed ~ Sudden Release
~ Health of Pressure
Component 13 Name I C,A.5, Number
ferti[iatioq .(Re~d an.d.~ign af~pr compl~tipg.all secCi.on~) ~
.certify unoer penalty ofJa~ thqt l nevepeEsonal~Y.examlnq~lqolm ~amiliac. vit~ the tnlo(maupn ~u~mitt~ in this.lnd al'l .
at'Hcned.d~c~ment~, lnl t~at uaseo on.my lflqulry 9~.cnose Inelvloua/$ responslo/e ~or obtalflln~ toe ImormatlOfl. ! believe that the.
.suom~tteo ifllormatlOn IS true, Accurate, eno complete.
~ en~ oficial dtle of o~ner/op~rator UH o~ner/operator's authorizee tepresenkatlve . Signature
Farm and Agriculture
BUSINESS NAME: .~/~/~,
LOCATION;
CITY, ZIP:
PHONE #:
CITY of BAKERSFIELD
L~HAZARDOUS MATERIALS INVENTORY
Standard 8usines ' NON--TRADE SECRETS
STANDARD IND CLASS CODE:
~NETRU~DN$ FUH PROP~ CODES - -
I 2 3 4 5 6 I 8 9 I0 Il 12 ~/~y Hames of Nixture/Components
Trans !Ylle Hex Average Annual I~easure ! IY~e Cont. ~ont Cant Us Location.¥he(e.
Code code eat Amt EsL Un,ts on Type ~ress lemp Co~eStored In ract/IEyUt See Instructions
'PhYsical(check a/la~dthatHealthapply)Hazard C.A.S. Humber ~7 ~-~ '~ Coepoflent II Name I C.A.S. Humber V
Component 12 Hame I C,A,S. Number
~Fire Hazard ~ Reactivit~'Oelayed ~ Sudden Release ~ Immediate
Health of Pressure Health
ComponenL f3 Name I C.A.S. Number
Physical I~d Health ffazard C.l.S. Number Component II Hame i C.A.S. Number
(Check all that apply)
Component 12 Name I C.X.S. Number
~ Fire Hazard ~ ReacHvity ~ Delayed ~ Sudden Release ~ Immediate
Health of Pressure Health
Component 13 N4~8 I C.A.S. Humber
Physical and Health UaTard C.A.S. Number : Component II Name I C.A.S. Number
(Check 4/I that 4pp!yJ
Componeflk 12 Name & C.A.S. Number
~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Immediate
Health of Pressure Health
Component 13 Hame I C,A.S. Number
Physical and Health Ualard C.A.S. Humber Component Il Hame t C.A.S. Number
tCheck 411 that apply)
Component 12 Hame I C.A.S. Number
~ Fire Hazard ~ Reactiyity ~ Delayed ~ Sudden Release ~ Immediate
Hearth of Pressure Health
Component 13 Name I C.X.S. Number
E~ERdEHCY COHTACTS Pl
Name ~cle Zq~r Phone Rame TI~
ferti[iatioq ,(Repd p.n,d.~ign af~pr compl~ti,ng.all secCi,ons.) ~./~f
cer~ny under penalty o~aW tnqt l navepeEsonal~Y examlnqqaqolm tamilla[¥itbthe Inlormatlon ~u~mittpd in fhi~land aH
at'~acned.dqcgment~, an~ t~at based on.my Inquiry qr.tnose ~ne~v~oua~s respons~ole ror obtaining the ~ntormaclon. ~eve that the
· sunm~tt,eo ~ntormatlon Is true, accurate, and complete.
~e ~hd oficiei titie of owner/operator UH owner/operator's authorized representatfve ulgnature
UNOCAL SERVICE STATION
MONITORING PLAN
DEALER: Bert V. Schorling
UNOCAL SERVICE STATION: 5573
ADDRESS: 2502 Ming Avenue
CITY: Bakersfield
PHONE: 805-831-4739
24-HR. STATION NUMBER 805-832-1377
UNOCAL REPRESENTATIVE: Jim Foster
PHONE: (209)237-5141
UNOCAL EMERGENCY PHONE: (415)867-0760 (24 HOURS)
LOCAL AGENCY:Bakersfield Fire Department
ADDRESS: 2130 "G" Street
PHONE: 805-326-3979
CALIFORNIA OFFICE OF EMERGENCY SERVICES
PHONE: (800)852-7550 (24 HOURS)
UNDERGROUND TANKS
87 OCTANE: 10,000 Single Wall
89 OCTANE: BLENDING VALVE
92 OCTANE: 10,000 Single Wall
DIESEL:
WASTE OIL: 550 Single Wall
PIPING CONTAINMENT:Single Wall
MONITORING METHODS:Inventory Reconciliation
(Rev. 11-90) Prepared by Robert H. Lee and Associates
TABLE OF CONTENTS
EMERGENCY RESPONSE PROCEDURE ...................................... Page
A copy of this page must be filled out and posted
conspicuously on site.
HOW TO USE THIS BOOKLET ........................................... Page 4
DAILY VISUAL MONITORING ........................................... Page 4
MONITORING FOR SINGLE WALL TANKS .................................. Page
Inspections To Be Conducted By Dealer
Product Tank Gauging Procedures
Record Keeping For Fuel Tanks
Waste Oil Tank Gauging Procedure
What To Do If You Exceed The Allowable Variation
MONITORING DOUBLE WALL TANKs. ..................................... Page 6
Inspections To Be Conducted By Dealer
Secondary Containment Monitoring Procedure
Record Keeping For Secondary Containment
Electronic Monitoring Systems
OVERFILL/SPILL PROTECTION AND CLEAN-UP ............................ Page 7
Deliveries/Gauging
Ball Vent Line Float System
Waste Oil Tank
Clean-up/Records
INSPECTIONS TO BE COORDINATED BY UNOCAL ........................... Page 8
Yearly Inspections and Testing
Vadose/Groundwater Monitoring Wells
EMPLOYEE TRAINING PLaN ......................................... Pages 9-10
Outline for Mandatory Safety Training for Ail Employees
FORMS TO BE COMPLETED (Copy these forms for your own use)
Quarterly Report ................................................ Form A
Daily Visual Monitoring Log ..................................... Form B
Inventory Reconciliation Sheet .................................. Form C
Waste Oil Tank Gauging Sheet .................................... Form D
Release Evaluation Checklist .................................... Form E
Unauthorized Release Report ..................................... Form F
Equipment Test Log .............................................. Form G
Safety Training Log ............................................. Form H
NOT ALL INFORMATION IN THIS BOOKLET WILL BE APPLICABLE. REFER TO THE
COVER SHEET TO CONFIRM WHAT EQUIPMENT IS ON SITE.
Page 2 of 10
EMERGENCY RESPONSE PROCEDURE
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.
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.,,
CALL FOR HELP in case of an emergency by dialing 9-1-1 and giving the
following information:
"THERE IS A FIRE / DANGEROUS GASOLINE SPILL at the UNOCAL Station at
(give address)." 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.
0
ATTEMPT TO EXTINGUISH any fire if you can do so safely. Have the fire
extinguisher ready to use in the event of any dangerous 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.
Vt
CONTACT the station dealer is s/he is not already at the station.
the list below for emergency contacts:
1. Name/Bus./Home: Bert Schorling 805-831-4739/805-832-1377
2. Name/Bus./Home: Rod Brake 805-831-4739/No home phone
NOTIFY your UNOCAL Retail Representative by phone WITHIN 24 HOURS
(also use the UNOCAL Emergency Phone, after hours):
1. UNOCAL REPRESENTATIVE/PHONE NUMBER: Jim Foster/(209)237-5141
2. UNOCAL EMERGENCY PHONE: (415) 867-0760 (24 HOURS)
You must mail a completed Unauthorized Release Report to the Rep
within 24 hours.
Use
UNOCAL 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 HOURS)
9. Dealer should attempt to isolate leak location by inspection.
10. UNOCAL Retail Representative will coordinate with UNOCAL Maintenance
and Construction whatever corrective actions need to be taken beyond
the Dealer'capabilities. UNOCAL Maintenance and Construction will
file whatever reports need to be filed with local and state agencies,
and send a copy to the station for the Dealer's file.
A COPY OF PAGE MUST BE FILLED OUT AND POSTED CONSPICUOUSLY ON SITE.
Page 3 of 10
HOW TO USE THIS BOOKLET
The cover sheet of~is booklet contains use~ information about the
underground facilities at your station. Depel ing on the information
given, you must use different forms in this booklet:
1. If your station has any single wall product tanks, use Form C.
2. If your station has any double wall product tanks, use Form B.
3. If your station has a single wall waste oil tank, use Form D.
4. If your station has a double wall waste oil tank, use Form B.
5. If your station has any double wall piping, use Form B.
6. If your station has a piping trench liner, use Form B.
7. If your station has an electronic monitoring system for any double
wall piping or trench liner, you need not use Form B for any double
wall tanks or piping.
8. If your station has vadose or groundwater monitoring wells, you
still need to use Forms C and/or D as applicable.
9. If your station has other hazardous materials (see Daily Visual
Monitoring, below), you are responsible also for that portion of
Form B.
Also, all stations must complete Form A and send it in every 3 months to
the local aqency shown on the cover sheet.
In case of a leak or spill, you must complete Form E to attach to Form A,
and you must send a copy of Form F to your UNOCAL Representative within
24 hours. You must also notify your representative by phone (and/or call
the UNOCAL Emergency Phone after hours).
Your must post a copy of Page 3 at a conspicuous location in your cashiers
area.
Your must keep a copy of Form H to document the training received by your
employees.
KEEP COPIES OF ALL FORMS YOU MAIL OUT!
DAILY VISUAL MONITORING
Hazardous Materials stored underground include:
Gasoline
Diesel Fuel
Waste Oil
These products are monitored for leaks in the underground tanks and
piping.
Hazardous Materials stored aboveground include:
Propane
Waste Oil (prior to dumping in underground tanks)
Motor Oil
Transmission Oil
Gear Lubricant (80W/90)
Grease
Solvent (including parts cleaners)
Battery Acid
Antifreeze
If your station stores any of these materials, the storage areas must be
visually inspected every day for signs of leakage.
If there is a leak or spill of any of the hazardous materials, whether
stored above or underground, you must follow the Emergency Response
Procedures outlined on Page 3, as applicable.
Page 4 of 10
MONITORING FOR
INSPECTIONS TO BE
1.
2.
LE-WALL TANKS
CTED BY DEALER
Daily reconciliation shall be made of the inventory control records.
Daily visual inspection for leaks shall be made in the areas of:
- Submerged pump
- Tank fill (also inspected after each delivery)
Dealer MUST be aware that a reduction in product flow to 3 gallons per
minute (gpm) indicates a potential piping leak·
PRODUCT TANK GAUGING PROCEDURE
1. Use a gauge stick (dipstick) to measure the level of gasoline in each
tank. Lower the stick slowly until it hits the bottom of the tank.
The use of fuel-finding paste is recommended.
2. Slowly pull the stick back out, and observe the point where the stick
begins to be discolored by the liquid.
3. Write this number down, and repeat the same procedure. If the two
number are not close, repeat the procedure until the numbers agree.
4. Enter the final number in your dealer books.
If it is raining, water can spoil the readings, and should not be allowed
to enter the tank. If it does not stop raining, care must be taken to
ensure the stick readings are accurate.
RECORD KEEPING FOR SINGLE-WALL TANKS
1. Use your dealer books to keep track of your daily dipstick reading.
2. Record daily all dispenser meter readings in your dealer books.
3. Record all deliveries in your dealer books.
4. The dipstick, dispenser meter, and delivery recordings are to be used
daily in filling out the "Inventory Reconciliation Sheet" (attached).
WASTE OIL TANK GAUGING PROCEDURE
1. To monitor the inventory level in the waste oil tank, be prepared to
have the tank locked for at least 12 hours or longer if required by
your local agency. This shall be done weekly. NO INPUTS OR
WITHDRAWALS SHALL OCCUR DURING THESE PERIODS.
2. Stick gauge the tank immediately before closing access to the waste
oil tank, and immediately after reopening the tank, and enter those
numbers in columns C and D of the "Waste Oil Tank Gauging Sheet"
(attached) in both inches and gallons.
3. The difference between those two columns is the actual variation
(column E).
4. For allowable variation (column F), use 2.8 gallons if you have a 280
gallon capacity, or 5.0 gallons if you have a 520 or 550 gallon tank.
WHAT TO DO IF YOU EXCEED THE ALLOWABLE VARIATION
If you EVER exceed the allowable variation (Inventory Reconciliation
Sheet, column 13, or Waste Oil Tank Gauging Sheet, column G), follow the
RESPONSE PROCEDURE shown on Page 3. Notify your UNOCAL representative
within 24 hours of discovery of a' suspected leak. UNOCAL will be
responsible for coordinating one or more of the following:
- Performing a metered vs. measured inventory reconciliation.
- Contacting the appropriate State and Local agencies.
- Visually inspecting for leaks.
- Calibrating the dispenser meters.
- Hiring a tank tester to determine if there is a leak.
- Having the tank(s) and/or piping repaired or replaced if necessary.
The "Unauthorized Release Report" must be sent to UNOCAL within 24 hours.
The "Release Evaluation Checklist" must be attached to the "Inventory
Reconciliation Sheet", or the "Waste Oil Tank Gauging Sheet" where the
allowable variation was exceeded.
Page 5 of 10
NON~TOI~NG FOR DOUBLE-~ff.,L T~NKS
INSPECTIONS TO BE ~.UCTED BY DEALER ~v
1. Daily reconcil'a=lon shall be made of the entory Control Records.
2. Daily visual inspection for leaks shall be made in the areas of:
-Submerged pump
- Tank fill (also inspected after each delivery)
3. Dealer MUST be aware that a reduction in product flow to 3 gallons per
minute (gpm) indicates a potential leak.
SECONDARY CONTAINMENT MONITORING PROCEDURE
Tank or Piping Secondary Containment (annular space or Piping Trench
Liner) shall be monitored daily by the dealer, unless a less frequent
period is allowed. This is done to determine if product is leaking from
the primary container or if water is entering from an outside source.
This procedure is not necessary if an electronic monitorinq system is
installed to monitor these items. Contact your UNOCAL representative for
monitoring port locations.
1. Use a gauge stick (dipstick) to detect any liquid in the tank annular
space, double wall piping monitoring ports, or piping trench liner
monitoring wells. Lower the stick slowly until it hits the bottom of
the tank annular space.
2. Slowly pull the stick back out and observe whether the stick has been
discolored by liquid. If product and/or water is detected,
immediately contact your representative.
3. Write this number down, and repeat the same procedure. If the two
numbers are not close, repeat the procedure until the numbers agree.
4. Enter the final number in the "Secondary Containment Recording Sheet
(attached).
NOTE: Piping trench monitoring wells consist of slotted PVC pipe which
allows liquid intrusion and a manhole for access. Wells are located at
the lowest point of the fiberglass trench liner.
RECORD KEEPING FOR DOUBLE-WALL TANKS & PIPING
1. Keep track daily of the liquid level on the "Secondary Containment
Recording Sheet".
2. If ANY fuel and/or water is discovered in the trench liner, call your
representative IMMEDIATELY, and explain the situation.
3. If the representative has been notified, but after 8 hours it has not
been possible to remove all the liquid from the secondary containment,
dealer must contact the local agency shown on the cover sheet.
ELECTRONIC MONITORING SYSTEMS
If this station is equipped with an electronic monitoring system for
underground tanks and piping, in the event of a leak in the primary
containment, product will be contained in the annular space. The sensors
for the electronic monitoring system are located at the iow end of each
tank, and at the iow end of the piping where the product will drain back
into the tank. There may be sensors at additional locations. Sensors
will signal the presence of a leak.
If a leak is discovered, the "Unauthorized Release Report" must be sent
to UNOCAL within 24 hours. The "Release Evaluation Checklist" must be
attached to the "Quarterly Report".
Page 6 of 10
OVERFILL/SPILL PRO~CTION & CLEANUP
1. DELIVERIES/GAU(~G
Dealer is responsible to ensure that the delivery he or she requests
is not in excess of the tank capacity, taking into consideration the
amount currently in tank· Driver is to gauge tank to assure capacity
is available for the entire load and must remain in attendance during
the entire delivery to monitor the operation.
BALL VENT LINE FLOAT SYSTEM
(Only for double-wall tanks installed after July 1986·)
The ball float valve system installed with the tank substantially
prevents the possibility of overfill occurring· If the tank is filled
to the ball float level, the petroleum product delivery will be cut
to 3 gallons per minute alerting the driver of a potential overfill
condition· In the event that this occurs, the following actions will
be taken:
1. The delivery truck driver shall turn off the petroleum product
supply at the truck, leaving the hose fully connected to the tank
fill pipe line and the truck.
2. The small amount of petroleum product remaining in the hose shall
be slowly drained into the tank. Since the ball float valve is 2
to 3 inches below the top of the tank, there remains a 100 + gallon
capacity within the tank at the moment when the ball float closes
off delivery. The bleed hole in the ball float valve allows the
remaining petroleum product in the hose to completely drain through
the fill pipe into the tank.
3. The hose shall be disconnected from the fill pipe only when it has
fully drained. In the event that spillage occurs upon hose
disconnection, the remaining small amount of petroleum product will
be properly contained.
WASTE OIL TANK
1. Station is equipped with waste oil buckets which hold a maximum
capacity of 3 gallons (about 3 to 4 cars' worth of waste oil).
2. Prior to dumping any waste oil, dealer is to gauge the tank to
assure that holding capacity is greater than that which will be put
into the tank.
3. Waste oil is poured directly through fill/pump out pipe, using a
funnel. Should any waste oil spill during this operation, it will
be properly contained using absorbent material.
Page 7 of 10
C -U / U CORDm
1. Small spill,ess than i gallon and onilrequiring 15 minutes to
clean up) shall be cleaned up using abs~r~ent materials.
2. Larger spills occurring during product delivery shall be reported
to the terminal by the dealer and/or by delivery truck driver. The
terminal supervisor will notify a local petroleum maintenance
contractor who is equipped with a N.F.P.A. approved type hand pump,
vacuum and transport container. Large spills not caused by
delivery shall be reported immediately to your rep.
3. Spills shall be cleaned up within 8 hours of detection, returned
to local terminal and/or disposed of in a lawful manner.
4. Dealer shall record all spills whether or not it is due to delive~
overfill or accidental spillage, which exceeds approximately one
gallon, and action taken on the "Unauthorized Release Report"
(attached), and send it to UNOCAL within 24 hours·
5. Large spills (more than 1 gallon) must be reported to the local
agency indicated on the cover sheet within 24 hours. If the spill
is large enough to pose a significant hazard, it must also be
reported to the California Office of Emergency Services at 800-852-
7550.
IN CASE OF EMERGENCY CALL 9-1-1
INSPECTIONS TO BE COORDINATED
YEARLY INSPECTIONS AND TESTING
BY UNOCAL
Yearly testing shall be made of the following:
Pressurized piping systems shall be monitored using in-line leak
detectors. Leak detectors shall be tested annually for proper
operation. Dealer MUST be aware that a reduction in product flow to
3 gallons per minute (gpm) indicates a potential piping leak.
Tanks and piping shall be tested annually for tightness, using a
State-Certified test system. (For non-secondarily contained tanks and
piping only.)
Electronic monitoring systems shall be tested annually for proper
operation. (For secondarily contained tanks and piping only.)
Se
Dispenser core holes, shear valves, and blending valves shall be
annually inspected by UNOCAL for signs of leakage.
Dispenser meters (recording total sales in gallons) shall be
calibrated once annually by UNOCAL. Any additional calibration will
be the responsibility of the dealer. Use the "Dispenser Meter
Calibration Form".
VADOSE/GROUNDWATER MONITORING WELLS
This section is not applicable unless "Monitoring Methods" line on cover
sheet shows "Vadose Wells" or "Groundwater Wells".)
The monitoring of vadose wells and groundwater monitoring wells is
contracted out to Applied Geo Systems. Monitoring is performed monthly
for vapor analysis of the vadose wells and subjective analysis for traces
of product in the groundwater monitoring wells. Monitoring is performed
quarterly for laboratory analysis of groundwater samples. Monitoring
records are maintained on-site in the dealer's office, and are available
for inspection. Page 8 of 10
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:
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: Outside front of service bay
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: In storage room
C. WATER SHUT-OFF: The water shut-off may be necessary in some cases.
LOCATION: In sidewalk of Ming Avenue
D. FIRST AID KIT:
LOCATION: In office
E. FIRE EXTINGUISHERS: 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: 2-in service bay, 1-in office
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 than washing spills down a drain.
In case of large spills merely try to contain it; a vacuum truck
should be used to clean up any large spills.
LOCATION: In storage room
G. NEAREST MEDICAL FACILITY: Employees should know what facilities are
available in case customers or other employees need medical
attention:
NAME: Mercy Hospital
ADDRESS: 2215 Truxton Ave., Bakersfield
PHONE NUMBER: 805-327-3371
NEAREST DESIGNATED TRAUMA CENTER:
NAME: UCLA Hospital and Clinics
ADDRESS: 10833 LeConte Avenue, Los Angeles
PHONE NUMBER: 213-825-2111
Page 9 of 10
II.
III.
All employee~should review the Service~tation 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.
FIRST AID PROCEDURES (For exposure to gasoline or diesel fuel):
ae
EYE CONTACT: For direct contact, flush the affected eye(s)
with clean water. If irritation or redness develops, seek
medical attention.
Be
SKIN CONTACT: Wipe product from skin and remove soaked
clothing. Cleanse affected area(s) thoroughly by washing with
soap and water. If irritation develops and persists, seek
medical attention. Do not use solvents or thinners to remove
product from skin.
Co
INHALATION (Breathing): If symptoms of exposure develop, move
victim away from source of exposure and into fresh air. If
symptoms persist, seek medical attention. Symptoms include:
flushing, blurred vision, dizziness, nausea, headache,
drowsiness, loss of coordination, and fatigue.
If victim is not breathing or if breathing difficulties
develop, artificial respiration or oxygen should be
administered by qualified personnel. Seek immediate medical
attention.
D. INGESTION (Swallowing):
DO NOT INDUCE VOMITING BECAUSE GASOLINE CAN ENTER LUNGS AND
CAUSE SEVERE LUNG DAMAGE!
If victim is conscious and alert, give 2 to 3 cups of milk or
water to drink. Seek medical attention.
me
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.
Page 10 of 10
UNOCAL®
QUARTERLY REPORT
s/s #:
Address:
A
Fill out this form quarterly
BUSINESS NAME: and send in with oll other
forms, os applicable.
KEEP COPIES OF ALL FORMS
YOU MAIL OUT.
Quarter #
Start Date:
End Date:
Year:
Tank # Capacity (gal) Product
CHECK ONE BOX BELOW AS APPLICABLE:
I hereby certify under the penalty of perjury that all product evel variations for
this facility were within allowable limits for this quarter. ("NO" in cloumn 12,
Inventory Reconciliation Sheet; "NO" in column 7, Tank Gauging Sheet; "OK" in all
applicable columns of the Daily Visual Monitoring Log).
J ---J Inventory variation at this facility exceeded the allowable limits for this quarter.
I hereby certify under penalty of perjury that the source for the variation(s) was
not due to an unauthorized (leak) release. ("YES" to any of the above).
There was on unauthorized (leak) release at this facility during this quarter.
I hereby certify under penalty of perjury that oll necessary aorrective actions
have been or ore being taken.
[ DEALER'S SIGNATURE/DATE:
LIST DATE, TANK # AND AMOUNT FOR ALL VARIATIONS THAT EXCEEDED THE ALLOWABLE
LIMITS:
DATE TANK # AMOUNT
THIS QUARTERLY REPORT SHALL BE SUBMITTED TO THE REGULATING LOCAL AGENCY WITHIN
15 DAYS OF THE END OF EACH QUAR'rER:
I QUARTER I JANUARY-MARCH
QUARTER 2
QUARTER 3
QUARTER 4.
Submit by April 15
APRIL-JUNE
JULY-SEPTEMBER
OCTOBER-DECEMBER
Submit by July 15
Submit by October 15
Submit by January 15
UIIOCAL(~)
Junocal S/S#: Business Name:
Address: Month oP.
B
daily and send it in
with the Quarterly
Report.
O.
Q.
0
0
0
INVENTORY RECONCILIATION
IS/S #: Business Name:
IQuarter- Tank ,: I
Year: Copaci~ y/Con ten ts:
C
Fill out this
for,m dail. y
on(3 send it
with the
Quarterly
Report.
c c
t-. ~
UNOCAL
WASTE OIL TANK GAUGING SHEET
D
s/s #:
Address:
Business Name:
Year'
Fill out this
form weekly
and send it
with the
Quarterly
Report.
GAUGING PERIOD INVENTORY VARIATIONS
1 2 3 4 $ 6 7
Opening Closing Actual AIIowoble Allowable
FROM TO Dipstick Dipstick Voriation Variation Variation
Reading Reading (4-3) * *
Date/Time Date/Time Inches Gal. InchesI Gal. Gallons Gallons Yes/No
,Allowable variation is based on tank size:
Tank Size AII9wable Variation
280 gallons 2.8 gallons
520 gallons 5.0 gallons
550 gallons 5.0 gallons
**If you answered "Yes" in column 7 (Col. 6 > Col. 5), then an unauthorized release
(leak) shall be assumed to have occurred. Follow the Release Evaluation checklist and
attach to this form.
UNOCAL( )I
RELEASE EVALUATION CHECKLIST
S/S #: Business Name:
Address:
Tank #: Capacity:
Product:
Date & Time Allowable Variation was Exceeded:
Fill out this form
whenever the
ollowoble variotior
is exceeded and
send in with the
OuorteMy Report.
CHECK OFF EACH STEP AS IT IS COMPLETED.
STEP 1
RECORDS REVIEWED
Date/Time:
Performed by:
Should be done
within 2 hours.
STEP 21J---]NEWpERFORMEDRECONCILIATION
Date/Time:
Performed by:.
Should be done
within 24 hours.
CALL UNOCAL, REP. AND
SEND UNAUTHORIZED
RELEASE REPORT TO REP.
Date/Time:
Performed by:
Should be done
within 24- hours.
Date/time:
STEP
RECORDS REVIEWED FROM
LAST STATIC STATION
(BY DEALER OR REP.)
Performed by:
Should be done
within 24 hours.
PHYSICALLY INSPECT
FACILITY FOR EVIDENCE
OF LEAKS
Date/Time:
Performed by:
Should be done
within 2 days.
STEP 61 _
DISPENSER METER
CALIBRATION CHECKED
(COMPLETE TEST REPORT)
Date/Time:
Performed by.
Should be done
within 3 days.
STEP .7 E~HYDROSTATIC PRESSURE
Date/Time:
Should be done
TEST PERFORMED ON PIPING Performed by:
within 4 days.
!
STEP 81[---1PRECISION TANK TEST
PERFORMED
Date/Time:
Performed by:.
Should be done
within 5 days.
STEP 9I~ ADDITIONAL INVESTIGATION Date/time:
PERFORMED AS REQUIRED Performed by:
I
I
Should be done
I
within 5 days.
I
Briefly describe the reason the allowable variation was exceeded:
'1 hereby certify this is to be a true and accurate report.
Dealer's Signature: Date:
UnOCAL
UNAUTHORIZED RELEASE REPORT
F
s/s #:.
Address:
Product:
Business Name:
CapocitF
;omple~e this form
in the event of a
=onfirmed leak or
spill and send to
your Unocal rep.
within 24 hours.
TO BE COMPLETED BY THE DEALER
Dote leak was discovered:
Approximate date leak began:
Describe fully the cause of the leak:
How was the leak discovered?
TO BE COMPLETED BY THE UNOCAL RETAIL REPRESENTATIVE
Has the leak been stopped?
How was the leak stopped?
Dote:
List resources affected:
Soil
Creek or Storm drains
Buildings or Utility Vaults
Groundwater
Public Drinking Water
Private Drinking Water
Agricultural
Other
Y¢~ N~o Threatened
~ of well~
Instructions to Unocal Ret;qil Reoresentotives:
This form must be forwarded to Unocal Maintenance & Construction Department
IMMEDIATELY so they con submit to the appropriate local agency within 5 days of
discovery of ~ny leak.
UNOCAL( )
EQUIPMENT TEST LOG
s/s #:
AddFess:
Business Nome:
Contractor:
Name of person completing test(s):
Signature:
Dealer's Signature:
G
Fill out this
form for each
annual
inspection
and keep on
file.
Check off each test when performed:
(1. ["'--j Shear Valve Inspections - Date:
L2.~ Blending Valve Inspections - Date:
3. [--'-J Leak Detector
Product Model Leak Full Line Pressure /PSI/ Simulated Line Leak Test Inspection
Detector Open Max. 12 Close Min. 26 Pass Fail Date
Super
Unleaded
Unleaded
Diesel
Other
4. J--"J Dispenser Meter Calibration Procedure:
1. Before starting calibration runs, wet the calibration can with product and return
product to storage.
2. Run 5 gallons with nozzle wide open into the can. Note gallons and cubic inches
drawn, and return product to storage.
3. Run 5 gallons with nozzle one-half open into the can. Note gallons and cubic
inches drawn, and return product to storage.
4. 'If the volume measured in a 5-gallon calibration can is more than 6 cubic inches
above or below the 5-gallon mark, the meter requires calibration by a registered
device repairman.
Fast Flow Slow Flow Vol. Returned Calibration
Date/time Nozzle # Product 5-Gal. Draft 5-Gal. Draft to storage Required?
Gal. Cu.ln. Gal. Cu.ln. Gallons YES,/NO
*Note date of Calibration & Device(s) used:
SAFETY TRAINING LOG
Business Nome:
H
s/s #:
Address:
EMPLOYEES MUST SION THIS FORM TO PROVE THEY RECEIVED THEIR ANNUAL- SAFETY TRAINING.
Dote of Initi(]l
Employee Nome Training Dotes of Annuol Refresher Troining
FIRE DEPARTMENT
D. S. NEEDHAM
FIRE CHIEF
CITY of BAKERSFIELD
"WE CARE"
2101H STREET
BAKERSFIELD, 93301
326-3911 '
September 4, 1990
Mr. Bert Schoriing
Plaza Union Service
2502 Ming Ave.
Bakersfield, Ca. 93304
Dear Mr. Schorling:
Enclosed you will find a computer printout of the Hazardous
Materials Management Plan that is currently in our computer, we
have highlighted the areas that need to be revised. Also due to a
change in the law that went into effect January, 1989, we need to
have a new inventory form (enclosed) filled out. These forms must
he fi&led out and returned to our office by September 28, &990.
If you have any questions please don't hesitate to contact us
at (805) 326-3979.
Sincerely Yours,
REH:vp
Enclosures
Ralph E. Huey
Hazardous Materials Coordinator
08/24/9[)
PLAZA UNION SERVICE 215-000-000545
Overall Site with 1 Fac. Unit
Ger, eral Informat ion
RECEIVED
3EP 2 7 19 )0
Page
Location: 25[)2 MING AV
Ident Number: 215-00[)-0[)(.]545
H~Z. MAT. O!V.
Map: 123 Hazard: Low
Grid: 12A Area of Vul:
0.0
Contact Name
IBERT V. SCHORLING
Title
Business Phone
) 831-4739 x
) - x
Administrative Data
Mail Addrs: 25(.]2 MING AV
City: BAKERSFIELD
Comm Code: 215-007 BAKERSFIELD STATION 07
Hour Phone]
(
D&B Number:
St ate: CA Zip: 933[)4-
SIC Code:
Owner: BERT SCHORLING Phone: (~) ~I-~/~.P
Address: 2502 MING AV State: CA
City: BAKERSFIELD Zip: 93304-
Summary
reviewed ~h¢~ m~ch~d h.~.. :.:~;,:-..:'~.:~ mated~s menage-
~ ',:.:~.,. ~':;'j~" : ~;'. .....
y co r~.~u,3$ co,~.l.t.,~.., a and correct man-
ag~rnent pian for m~faci;ity.
08124190
P 1 n-Ref
PLAZA UNION SERVICE 215-000-000545
Hazr~at Irsventory List irs Refererlce Nut, bet Order
02 - Fixed Containers o~, Site
Na~e/Hazards
Forr~ Quant i t y
Page
MCP
2
02-001 GASOLINE
? 20, 0(:)0 Moderate
GAL
02-002 WASTE OIL
? 500 Low
GAL
02-003 MOTOR OIL
? 300
GAL
Minimal
08/24/90
PLA~UNION SERVICE 215-000-00~5
O0 - Overall Site
<D> Notif. /Evacuation/Medical
Page
3
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
VERGAL TO ALL CONCERNED. PHYSICALLY LEAVE THE S'TATION.
<3> Public Notif. /Evacuation
<4> Emergency Medical Plan
CALL HALL AMBULANCE - 1001 21ST ST - 327-4111
08/24/90 Page 4
PLAZA UNION SERVICE 21~5-000-000545
O0 - Overall Site
<E> Mit igat ion/Prevent/Abatemt
<1> ~Release Prevention
MAKE SURE WE DON'T HAVE A FIRE. SHEAR OFF VALVE AT PUMP.
AT PUMP. WASTE OIL IN CLOSED CONTAINERS.
NO SMOKING SIGNS
<2> Release ContainrNent
<3> Clean Up
<4> Other Resource Activation
08/24/90
PLA~UNION SERVICE 215-000-00~5
O0 - Overall Site
<F> Site Emergency Factors
Page
5
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - N/A
B) ELECTRICAL - FRONT OF BUILDING (WEST END)
C) WATER - SIDEWALK ON MING AVE
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - .o,.~.o~.o.o.o.o.~.o~o.o
FIRE HYDRANT - CORNER OF HUGHES & MING
<4> Held for Future use
08/24/90 PLAZA UNION SERVICE 215-000-000545 Page 6
O0 - Overall Site
<G> Trairsing
<1> Page i
WE HAVE
EMPLOYEES AT THIS FACI L I TY
DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE?
<2> Page 2 as r~eeded
<3> Held for Future Use
<4> Held for Future Use
RE.C,~tqED
CITY of BAKERSFiELI]
HAZARDOUS HATERTALS TNVENTORY AU(~ ~. 4 I~)0
Farm and Agriculture [] Standard I~usiness FI NON.--T~DE SECRETS ~AZ MAT. Di~]~ ~
0f
PHONE ~: -Oa~ ~1'~0~-- ~ "- PHONE ¢: ---~[~5-~'~;73'~ ~ - -
OO ~ - ~ , o '"t REFER TO~S~C~O~S~R~ROP~ CODES
I 2 3 4 5 6 I 8 9 10 ll 12 %l~y Names of ~ixturelComoonents
Trans tyre Max Ay?age Annual Measure !.Oy.s Cont Cont Cont Us Location.Whece.
Code cooe AmL Ami EsL Un~ts on ~ce Type Press Temp Co~eStored In ~ac]mlcyWt See Instruct}cna
; (Check'PhysiCalallandthatHeal'tha~ly)Hazard C,A,S. Number 9006~6i "~ Component II Name t C.A.S~ Number
Component 12 Name ~ C.A.S. Number
ire Hazard ~ Reactivity ~elayed ~ Sudden Release ~ immediate ~[ ~~.
~ealth
of
Pressure
Health
Component 13 Name t C,A.S. Number
U I I ob Ip%o I ooo IQ,ti I ¢11 I 14
(Check al/ that ap~ly)
'~Fire Hazard U Reactivity-- ~Oelayed U Sudden Release U Im~,digA"c°mp°nent
Names
C.A.a.
Number
~Hea Ith of Pressure
Health
Component 13 Name I C.A.S. Number
Physical Bnd Health Hazard C,A.S. Number ~7¢¢-~~ o Component l1 Name I C,A.S. Number
(Check all that apDl~) .....
Component 12 Name S C.A.S, Number
~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Immediate
Health of Pressure Health
Component 13 Name ~ C.A.S. Number
Physical 8nd Health Hazard C,A,S. Number ComponenL II Name t C,A,S, Number
{Check a/1 that apply)
Component 12 Name & C,A,S. Number
~ Fire Hazard ~ EeacLivity ~ Delayed ~ Sudden Release ~
Health of Pressure
Coaponent 13 H8ae & C,A,S. Nu~ber
EMERGENCY CONTACTS fll,a ~')' ¢m~~ ~/~72
I ';'}
:ertifi atio Re and i n af r corn 1 ting all sections) this ~ndall /'// ~.~
tL~ached.docgeent$, anO tba[ casco on.my inquiry 9r.[nose }natvtaua~s responsio~e for obtaining the ~ntormac~on,
;uom]tLeo ~nformaclon ~s [rue, accurate, aha complete.
~'~f~fiT-'[tf'~ df owner/oo~rj~~e-~r~tor's a~thorite-d repres~ntativ~
JUNE 27~ i990
OEAR MR, SCHORLING,
NOTICE OF UIOLATION ANO SCHEOULE FOR COMPLIANCE
IN THE INSPECTION OF YOUR BUSINESS PLAZE UNION STATION
LOCATEO AT 2SOZ MING AVE., BAKERSFIELD, OA B5~0¢ ON
JUNE 27. 1~0, THE FOLLOWIN6 HAZARDOUS MATERIALS REAUL~TION
VIOLATIONS WERE IDENTIFIEO:
HAZAROOUS MATERIALS MANA6EMENT PLANS MUST BE REVIEWED
ANO UPBATEO EVERY TWO YEARS.
VIOLATION OF OH. 6.95 CALIFORNIA HEALTH ~NO
SAFETY COOE SEO.2SSOS
(b) In addition to the requirements of Section
25510, whenever a substantial change in the handler's
operation~ occurs which requires a modification of its
business plan, the handler shall submit a copy of the
plan revision to the administering agency within 50 days
of the operational change,
(c) The handler shall, in any case, review the
business plan, submitted pursuant to subdivisions
and (b), on or before January l, 1988, and at least once
every two years thereafter, to determine if a revision
is needed and ~hall certify to the administering agency
~hat the review was Made and that any necessary changes
were Made to the plan,,6 copy of the~e changes shall be
submitted to the administering agency as part of this
certification.
(d) Unless exempted from the business plan
requirements under this chapter, any business which
handles a hazardous material shall annually submit a
completed inventory form to the administering agency
the county or city in which the business is located.
Notwithstanding any other provisions of the'law, an
inventory form shall be filed on or before January 1,
1~88, for the 1988 calendar year, and annually
thereafter. This inventory shall be filed annually,
notwithstanding the review requirements of subdivision
(c).
HAZARDOUS MATERI~LS INVENTORY MUST BE COMPLETE AND
~CCUR~TE.
VIOLATION OF CH. S.g6 CALiFORNIR HE<H
~ SAFETY CODE 2SS09(6)(1-4)
The annual inventory Corm shall include, but shall
not be limited to, in¢ormation on ail o¢ the ¢oilowing
which are handled in quantities equal to or greater than
the quantities speci¢ied in subdivision (a> o? Section
25505.5:
(1) 6 listing of the chemical name and common
names of every hazardous substance or chemical
:product handled by the business.
~-.'.' (2) The category of waste, including the
igeneral chemical and mineral composition of the
~waste listed by probable maximum and minimum
iconcentrations, o¢ every hazardous waste handled by
'~he business.
(~> A listing o~ the chemical name and common
names of every other hazardous material or mixture
· containing a hazardous material handled by the
business which is not otherwise listed pursuant to
iparagraph (1) or (2).
(4> The maximum amount of each hazardous
material or mixture containing a hazardous material
disclosed in paragraphs (1), (2), and (J> which is
handled at. any one time by the business over the
course of the year.
COPIES OF MATERIAL SAFETY DATA SHEETS SHALL 8E MAINTaiNED
FOR EACH HAZARDOUS MATERIAL AND SHALL BE ACCESSIBLE TO
EMPLOYEES.
VIOLATION OF UFC 80.103(G)
Satisfactory provisions shall be made for
containing or neutralizing spills or leakage o¢
hazardous materials which may occur during storage,
handling, transportation or use,
OiLY RAGS MUST BE STORED IN METAL CONTAINERS WITH SECURE
LIDS.
VIOLATION OF UFO 79.1311 & 11.20t
Disposal of waste. Combustible waste material and
residues in a building or unit opera~ing area shall be
kept to a minimum, stored in covered metal receptacles
and disposed of daily.
6ccumulation of waste material.
(a) Accumulations of wastepaper, hay, grass, straw,
weeds, litter, or combustible or ?lammable waste
material, waste petroleum products or rubbish of any
kind shall not be permitted to remain upon any roof or
in any court, yard, vacant lot or open space. All weeds
grass, vines, or other growth, when same endangers
property or is liable to be fired, shall be cut down and
removed by the owner or occupant of the property. When
total removal of growth from a piece of property is
impractical due to size or to environmental factors,
approved fuel breaks may be established between the land
and the endangered proper%y. The width of the fuel
break shall be determinad by height, type and amount of
growth, wind conditions, geographical conditions and
type of exposures threatened.
(b) All combustible rubbish, oily rags or waste
material, when kept within a building or adjacent to a
building, shall be securely stored in metal or metal-
lined receptacles equipped with tight-fitting covers or
in rooms or vaults constructed of noncombustible
materials.
(c> It shall be unlawful to accumulate or store
combustible waste ma~ter beneath trailers or at any
other place within an auto and trailer camp.
(d) Commercial dumpsters and containers with an
individual capacity of 1.S cubic yards or greater shall
not be stored or placed within S feet of combustible
walls~ openings or combustible roof eave lines.
The above violations must be corrected by JULY 27, 19~0.
The department will schedule a re-inspection of your facility
to verify compliance. I? you have any questions regarding
this notice, please contact Ralph Huey at 32B-~979.
\
Sincerely,
Barbara Brenner
Hazardous Materials Planning Technician
JUNE
DEAR HR. SCHORLIN6,
NOTICE OF UIOLATION AND SOHEDULE FOR COMPLIANCE
IN THE INSPECTION OF YOUR BUSINESS PLAZA UNION STATION
LOOATEO AT ~' ~SOa MIN6 ~VE., BAKERSFIELD, O~ 93304 ON
JUNE 27, 1990, THE FOLLOWIN6 HAZARDOUS M~TERIALS REGULATION
VIOLATIONS WERE IDENTIFIED:
HAZARDOUS MATERI~LS MANAGEMENT PLANS MUST BE REVIEWED
AND UPDATED EVERY TWO YE,~RS.
VIOLATION OF CH. 6.95 C~LIFORNI~ HEALTH AND
S~FETY COOE SEC.2SS05
(b) In addition to the requirements of Section
25510, whenever' a substantial change .tn the handler'~
operations occurs ~hich requires a modification of its
business plan. the handler- shall submit a copy of the
plan revision to the administering agency i, ithin ~0 days
of the operational change.
(c) The handler shall, in any case. review the
business plan. submitted pursuant to subdivisions (a)
and (b), on cc before January I, 1988, and at least once
every two years thereafter, to determine if a revision
is needed and shall certify to the administering agency
'~hat the review was made and that any necessary changes
were made to the plan. h copy of these changes shall be
submitted to the administering agency as part of 'this
certification.
(d). Unless exempted from the business plan
requirements under' this chapter, any business which
handles a hazardous material shall annually submit a
completed inventory ~orm to the administering agency
the county or city in which the business is located.
Notwithstanding any other provisions of the la~ an
inventory form shall be filed on or before January 1 .
1988. for the 1988 calendar year. and annually
thereafter. This inventory shall be filed annually.
notwithstanding the review requirements of subdivisio~
(c).
HAZARDOUS MATERIALS INVENTORY MUST BE COMPLETE AND
ACCURATE,
VIOLATION OF OH. 6.96 CALIFORNIA HEALTH
& SAFETY CODE 2SSOB(A)(I-4)
The annual inventory form shall include, but shall
not be limited to~ information on ail of 'the following
which are handled in quantities equal, to or greater than
the quantities apecified in subdivision (a) of Section
25505,5:
(t) A listing of the chemical name and common
names of every hazardous substance or' chemical
product handled by the business,
(2) The category of waste, including the
general chamical and mineral composition of the
waste listed by probable maximum and minimum
conoentrations, of every hazardous waste handled by
the business.
(3) A listing of the chemical name and common
names of every other' hazardous material or' mixture
containing a hazardous material handled by the
tlusine~s which is not otherwise listed pursuant to
paragraph (1) or (2).
(4) The maximum amount of each hazardous
material or mixture containing a hazardous material
disclosed in paragraphs <! ), (2), and (~) which is
handlmd at any one time by the business over the
course of the yaar.
OOPiES OF MATERIAL SAFETY DATA SHEETS SHALL BE MAINTAINEO
FOR ~EAOH HAZARDOUS MATERIAL AND SHALL BE ACCESSIBLE TO
EMPLOYEES.
VIOLATION OF UFO 80.103(G)
Satimfactory provisions shall be made for
containing or neutralizing spills or leakage of
hazardous materials which may occur during storage~
handling, transportation or use~
OILY RAGS MUST BE STORED IN METAL CONTAINERS WITH SECURE
LIOS.
VIOLATION OF UFO 79.1~1t ~ 11,201
Disposal of waste. Combustible waste material, and
residues in a building or unit operating area shall be
kept to a minimum, stored in covered metal receptacles
and disposed of daily.
Accumulation of waste material,
(a) Accumulations of wastepaper, hay, grass, straw,
weeds, litter, or combustible or flammable waste
material, ulaste petroleum products or rubbish of any
kind shall not be permitted to remain upon any roof or
in any court, yard, vacant lot or open space. All weeds
grass, vines, or' other growth, when saFte endangers
property or is liable 'to be fired, shall be cut down and
removed by the owner or occupant of the property. When
total removal of growth from a piece of property is
impractical due to size or to environmental factors,
approved fuel breaks may be established between the land
and the endangered proper%y. The width of the fuel
break shall be determined by height, type and amount of
growth, wind conditions, geographical conditions and
type of exposures threatened.
<b) Al1 combustible rubbish, oily rags or waste
material, when kept within a building or ad~jacent to a
building, shall be securely stored in metal or metal-
lined receptacles equipped with tight-fitting covers or
in rooms or' vaults constructed of noncombustible
materials.
(c> It shall be unlawful to accumulate or store
combustible waste matter beneath trailers or' at any
other place within an auto and trailer camp.
(d) Commercial dumpsters and containers with an
individual capacity of 1,.5 cubic yards or greater shall
not be stored or placed within 5 fee( of combustible
walls, openings or combustible roof eave lines.
The above violations must be corrected by JULY 27, 1990.
The department will schedule a re-inspection of your facility
'tO verify comp],iaoc~. If you have any question5 regarding
this notice, please contact Ralph Huey at 326-3979.
Barbara Brenner
Hazardous Materials Planning Technician
Business Name:
Location:
Bakersfield Fire l t.
Hazardous Materials Inspection/ $£P ? 1989
Date Completed ,~/._,~/~' ~fi~'d ............
Plan ID # 215-000~_~'~_-~(Top right comer Business Plan)
Station No. ~ Shift C., Inspector
Adequate Inadequate
Verification of Inventory Materials
Verification of Quantities
Verification of Location
Proper Segregation of Material
Comments:
Verification of MSDS Availability
Number of Employees
Verification of Haz Mat Training
Comments:
Verification of Abatement Supplies & Procedures
Comments:
Emergency Procedures Posted
Containers Properly Labeled
Comments:
Verification of Facility Diagram
Special Hazards Associated with this Facility:
Violations:
FO 1652 (Rev. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office
BAKERSFIELD CITY FIRE DEPARTMENT
2130 "O" STREET
BAKERSFIELD, CA 93301
(805) 326-3979
BUSINESS NAME
OFFICIAL USE ONLY
INSTRUCTIONS:
HAZARDOUS MATERIALS
BUSINESS PLAN AS A WHOLE
FORM 2A
000545
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: P~Z~ 0~/0~.~ ~.~V'e,-~-'
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 ~kND ?ITLE ¢'-'~ DURING BUS. ~HRS. AF~3~ By~.~.
B, Ph~ Ph~
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A I~IOLE
A. NAT. GAS/PROPANE:
B. ELECTRICAL:
C. WATER: 0~;
D. SPECIAL: ..----.~
E. LOCK BOX: g~ NO IF YES, LOCATION: f%~f;- ~,g' gT~--f,~o
IF YES, DOES IT CONTAIN SITE PLANS?FLOOR PLANS? YEsYES ~
MSDSS? YES
KEYS? YES /
- 2A -
SECTION 4: PRIVATE RESPONSE TEA~ 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 REFRESHER
A. METHODS FOR SAFE HANDLING OF HAZARDOUS
MATERIALS:...- .................................... YES (N~.) YES NO
B. PROCEDURES FOR COORDINATING ACTIVITIES
WITH RESPONSE A~ENCIES: .......................... ..~-Z'S.__~b~ YES-NO
C. PROPER USE OF SAFETY EQUIPMENT: ....... · ........... ~ NO YES NO
D. EMERGENCY EVACUATION PROCEDURES: ................. ~ ,.~ YES NO
E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES~ YES NO
SECTION 7: HAZARDOUS MATERIAL
CIRCLE YES OR NO
DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POU~OF A
SOLID,_55 GALLONS OF A,LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... ~_~ NO
I, ~ -~'~/~ , certlfy 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. 2§500 Et Al.) and that inaccurate information constitutes perjury.
SIGNATURE · TITLE DATE
- 2B -
BAKERSFIELD CITY FIRE DEPARTMENT
2130 "G" STREET
BAKERSFIELD, CA 93301
RECEIVED
JUN 1 2 1987
/~,s'd ............
BUSINESS NAME:
OFFICIAL USE ONLY
ID#
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A
INSTRUCTIONS 1. To avoid further action, this form must be returned by:
2. TYPE/PRINT YOUR ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACILITY UNIT LISTED BELOW
4. Be as BRIEF and CONCISE as possible.
FACILITY UNIT# FACILITY UNIT NAME: P[~Z-~ P~)0}O ~f~'~C~
SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES
SECTION 2: NOTIEICATION ~ND EVACUATION PROCEDb~ES AT THIS L~IT 0MLY
- 3A -
SECTION' 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY
~i~':~¢~n~;~,I "'~ A. Does this Facility Unit contain Hazardous Materials? ..... 0
", If YES, see B.
\,
If NO, continue with SECTION 4.
B. Are any of the hazardous materials a'bona fide Trade Secret YE
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 addition 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 ~: LOCATION OF UTILITY SHUT-OI~F$ AT THIS b~IT O~LY.
A. NAT. GAS./PROPAN~} '.~ ..
B. ELECTRICAL:
C. WATER:
~ D. SPECIAL:
-E. LOCK BOX: YES / NO IF YES, LOCATION:
IF YES, SITE PLANS?
FLOOR PLANS?
YES / NO MSDSs? YES /' NO
YES / NO KEYS? YES / SO
BAKERSFIELD CITY FIRE DEPARTMENT '
I.D. # FORM 4A-1 Page of
NON--TRADE SECRETS
I~IATE R I ALS ~ NVENTORY ~.. ~
~J' be i~'~ ' FACILITY UNIT #:
BUSINESS NA E: C.kK {ovO OWNS. o
ADDRESS: Q~Z~,~ ~ ADDRESS: ~i ]h,~ ~ {] FACI~ITy UNIT NAME:
CITY, zIP: [~U~/~al+G~,~ CITY,ZIP:~~',~ '
! 2 3 4 5 6 7 8 9 10
TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T
,CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT . WT. CHEMICAL OR COMMON NAME ,CODE GUIDE
: TITLE: C~ SIGNATURE:. y / DATE:
EMERGENCY CONTACT: ~'T-~¢~OP--~i~- TITLE: Oc~a~ ~6~~-- PHO~# BUS HOURS: ~/- ~J~
'~ AFTER BUS HRS: ~$a-/dTZ
EMERGENCY CONTACT: TITLE: PHONE # BUS HOURS:
'PRINCIPAL BUSINESS ACTIVITY: AFTER BUS HRS:
- 4A-1 -