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HomeMy WebLinkAboutBUSINESS PLAN I TE/FAC I~,L I TY ,NORTH SCALE:;',~]00' BUSINESS NAME:~L~ ~ ~-~ FLOOR:I OF / ' ~/ DATE:)),/Z~/~FACILITY NAME: UNIT ~: OF - (CHECK ONE) SITE DIAGRAM ~ FACILITY DIAGRAM ~A,,/H I TE. LRt~F_. IInspector's Comments): -OFFICIAL USE ONLY- · :ddress: Identify the principle buildings by the Street numbers. 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. Bnildings 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 c. Fire Standpipe Connections d. Water Control Valves for protection systems e. Fire Pump 8. Fire Department Access 9. Lock (key~{-~Box 10. MSDS Storage Box 11. Railroad Tracks la. Fence or Barrier a. Wire b. Masonry c. Wood d, Gates 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 Material Use/Handling 22. Type of Hazardous Material/Waste Stored or Used (See Below) TYPE OF HAZARDOUS MATERIAL F = Flammable E = Explosive L = Liquid C = Corrosive 0 = Oxidizer O = Gas W = Water Reactive T = Toxic S = Solid O = Waste B = Etiological Example: Flammable Liquid = FL FACILITY DIAORAM (Required items in addition to the above) 1. Risers for Sprinklers 8. 2. Partitions 9. 3. Stairways: Indicate the 10. levels served from highest to lowest. 11. 4. Escalator: Indicate the levels served from 12. highest to lowest· 13. 5. Elevator 6. Attic Access 14. R = Radlologlcal P = Poison H = Cryogenic Fire Escapes Air Conditioning Units Windows Inside Hazardous Waste Storage Inside Hazardous Materials Storage InsideHazardous Materials Use/Handling Sewer Drain Inlets FLEET CARD FUELS Manager : Location: 7030 SCHIRRA CT City : BAKERSFIELD CommCode: BAKERSFIELD STATION 09 EPA Numb: SiteID: 015-021-001348 BusPhone: (661) 589-5772 Map : 123 CommHaz : Low Grid: 16D FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title RICK DAVIES / PRESIDENT Business Phone: (661) 321-9961x 24-Hour Phone : (661) 322 .... ~-/~ Pager Phone : ( ) - x Emergency Contact / Title GAUL LIi;GENFELDER /.A4m-~f~--T~ Business Phone: (661) 321=9961x . 24-Hour Phone : (661) ~Y Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : MailAddr: PO BOX 81685 City : BAKERSFIELD Phone: (661) 321-9961x State: CA Zip : 93380 Owner FLEET CARD FUELS Address : PO BOX 81685 City : BAKERSFIELD Phone: (661) 321-9961x State: CA Zip : 93380 Period : to TotalASTs: = Preparer: TotalUSTs: = Certif'd: RSs: No ParcelNo: Gal Gal Emergency Directives: UNMANNED SITE - ADMINISTRATIVE ADDRESS - P O BOX 81685, 93380. I, .~P_.E~, I~,(~.~-~,- ,. Do hereby certify that I have reviewed the attached hazardous materials manage- mere plan for 6~ c~,~ ~c'~,¢ {s and that it along with ~y ~ions ~n~ute a compile a~ ~rr~ man- agement plan for my facility. 1 08/~3/2003 FLEET CARD FUELS SiteID: 015-021-001348 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: FLEET CARD FUELS Cross Street : Business Type: erg Type: Total Tanks : IndnRes/Trust: No PA Contact: Name : ~AUL LiNGENPELDER ~;~¢,~ ~F~ ~ Phone: Address: City : State: Zip: : T~O~ER INFARCTION Address: City : State: Zip: BeE UST Fee~ : ~0~ Financ'l Reap: STATE F~D Legal Notif : Business Mailing Address (661) 321-9961x (661) 321-9961x Date: Phone: ( ) - x Name:JAMES P. PEEL Ttl:EMPLOYEE State UST # : 1998 Upg Cert#: 00713 -2- 08/13/2003 ~ FLEET CARD FUELS -- Hazmat Inventory -- MCP+DailyMax Order SiteID: 015-021-001348 By Facility Unit Fixed Containers on Site Hazmat Common Name... REGULAR UNLEADED PREMIUM UNLEADED DIESEL FUEL ISpecHazI EPA HazardsI Frm'l F IH DH L~ F IH DH F IH DH L DailyMax IUnitlMCP Mod Mod -3- 08/13/2003 FLEET CARD FUELS SiteID: 015-021-001348 ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~~ ~Vl~ / ~£~ ~vl~ REGULAR UNLEADED Days On Site 365 Location within this Facility Unit Map: Grid: CAS# NOTE ** BELOW GRADE VAULT NOT CONSIDERED A UST 8006-61-9 FSTATE ~ TYPE Liquid/Mixture PRESSURE -- TEMPERATURE CONTAINER TYPE I Ambient ~ Ambient I OTHER - SPECIFY Largest Container ,, t,5~0 ~>: ~.0 %Wt. 100.00 Gasoline i AMOUNTS AT THIS LOCATION Daily Average Daily Maximum HAZARDOUS COMPONENTS R~NoRS~ CAS#800661 HAZARD ASSESSMENTS I Radioactive/Amount EPA Hazards INo/ Curies F IH DH NFPA /// USDOT# I MCP Mod -4- 08/13/2003 FLEET CARD FUELS SiteID: 015-021-001348 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site PREMIUM UNLEADED Days On Site 365 Location within this Facility Unit Map: Grid: CAS# NOTE** BLEOW GRADE VAULT NOT CONSIDERED A UST 8006-61-9 F STATE ~-- TYPE PRESSURE i TEMPERATURE Liquid Mixture Ambient Ambient CONTAINER TYPE OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 100.00 Gasoline N 8006619 ITSecretI ~S BioHaz No N No HAZARD ASSESSMENTS Radioactive/Amount I EPA Hazards No/ CuriesI F IH DH NFPA I USDOT# I ~c~ / / / Mod -5- 08/13/2003 FLEET CARD FUELS SiteID: 015-021-001348 ~ Invent'ory Item 0001 Facility Unit: Fixed Containers on Site ~U~ ~vl~ / ~~ ~vl~ DIESEL FUEL Days On Site 365 Location within this Facility Unit Map: Grid: CAS# NOTE*** BELOW GRADE VAULT!!! NOT CONSIDERD UST 68476-34-6 FSTATE Liquid TYPE pRESSURE TEMPERATURE CONTAINER TYPE Mixture Ambient Ambient OTHER - SPECIFY Largest Container 15000;-0.0 AMOUNTS AT THIS LOCATION Daily Maximum HAZARDOUS COMPONENTS I%Wt. I 100.00 Diesel Fuel No. 1 Dallying,Average 70892103 ITSecretI RS[BioHaz No No No HAZARD ASSESSMENTS Radioactive/Amount I EPA Hazards No/ CuriesI F IH DH NFPA /// USDOT# MCP Low 6 08/13/2003 FLEET CARD FUELS SiteID: 015-021-001348 Fast Format ~ Mitigation/Prevent/Abatemt --Release Prevention Overall Site 11/27/2000 EACH FILL PIPE IS FITTED WITH AN OVERFILL CONTAINMENT DEVICE. EACH DISPENSER IS FITTED WITH A COMBINATION THERMAL/SHEAR VALVE. SHUT OFF FUEL IN CASE OF IMPACT OR FIRE. THERE IS AN EMERGENCY SHUT OFF ON BLDG WHICH SHUTS OFF ALL FUEL PUMPS AND TURNS OFF POWER TO DISPENSERS. THE DIESEL HOSES HAVE BREAK-A-WAY DEVICES WHICH CONTAIN THE FUEL IN THE EVENT OF A DRIVE-OFF. ALL CARDLOCK USERS ARE INSTRUCTED IN EMERGENCY PROCEDURES. ~ Release Containment UNDERGROUND STORAGE TANKS. 11/27/2000 -- Clean Up SMALL SPILLS WILL BE ASSORBED AND DISPOSED OF. LARGE LOAD OF SAND FOR CONTAINMENT AND ABSORBTION. 11/27/2000 SPILLS WILL REQUIRE A Other Resource Activation PREVENTION All dispenser pumps are equipped with automatic fill shut-off nozzles. All dispensers are equipped with impact shear valves in the event of earthquake or if dispenser is accidentally hit. All dispenser hoses are equipped with breakaway fittings which will stop flow in the event customer forget to remove nozzle from fuel tank before driving away All dispenser sumps are equipped w/positive shut down sensors, Each vault is equipped w/both vapor and liquid sensors to ensure positive shut down in the event of a leak. SITE FAX REMOTE ALERT WILL PAGE AUTHOR/ZED PERSONNEL IN CAS.E_ OF ALARM. -8- 08/13/2003 FLEET CARD FUELS Manager : Location: 7030 SCHIRRA CT City : BAKERSFIELD CommCode: BAKERSFIELD STATION-09 EPA Numb: SiteID: 015-021-001348 BusPhone: (661) 589-5772 Map : 123 CommHaz : Low Grid: 16D FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title RICK DAVIES / PRESIDENT Business Phone: (661) 321-9961x 24-Hour Phone : (661) 323-0233x Pager Phone : ( ) - x E ~~ ~H.I~J mergency uon~ac~ / Title ~~'~D~R-- / VP OF TECH Business Phone: (661) 321-9961x 24-Hour Phone : (661) 832-9472x Pager Phone : ( ) - x Hazmat Hazards: Contact : MailAddr: PO BOX 81685 'City : BAKERSFIELD Phone: (661) 321-9961x State: CA Zip : 93380 Owner FLEET CARD FUELS· Address : PO BOX 81685 City : BAKERSFIELD Phone: (661) 321-9961x State: CA Zip : 93380 Period : to TotalASTs: = Preparer: TotalUSTs: = Certif'd: RSs: No ParcelNo: Gal Gal Emergency Directives: UNMANNED SITE - ADMINISTRATIVE ADDRESS - P O BOX 81685, 93380. I,--..3 o I-].~. ~ D ~ £~.~]-(f6e-here~y certify ~hat i have mvie~ea the attached hazardous materieJs manage- rnent p~an for 7030 5c/-Jt~,~ and that it along with _ 4, (Name o! Busl~e~) any corrections constitute a complete and correct man- agemen~ p~m for my.faci~. 1 04/21/2003 FLEET CARD FUELS STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: FLEET CARD FUELS Cross Street : Business Type: Org Type: Total Tanks : IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : PAUL LINGENFELDER Address: City : Type : CORPORATION Name : PAUL LINGENFELDER Addre s s: City : Type : Phone: State: zip: TANK OWNER INFORMATION Phone: State: Zip: SiteID: 015-021-001348 (661) 321-9961x (661) 321-9961x BOE UST Fee# : UNKNOWN Financ'l Resp: STATE FUND Legal Notif : Business Mailing Address Date: Phone: ( ) - x Name:JAMES P. PEEL ~ Ttl:EMPLOYEE State UST # : 1998 Upg Cert#: 00713 ~ Hazmat Inventory --Alphabetical Order One Unified List Ail Materials at Site Hazmat Common Name... ISpecHazlEPA HazardsI Frm DailyMax IUnitlMCP 2 04/21/2003 FLEET CARD FUELS SiteID: 015-021-001348 Fast Format ~ Notif./Evacuation/Medical --Agency Notification CALL 911, BAKERSFIELD CITY FIRE DEPT. Overall Site 11/27/2000 -- Employee Notif./Evacuation 11/27/2000 ALL CARDLOCK USERS ARE INSTRUCTED IN EMERGENCY PROCEDURES. THE PROCEDURE IS TO TURN THE EMERGENCY SWITCH OFF AND GO TO THE PAY TELEPHONE AND DIAL 911 AND ADVISE EMERGENCY PERSONNEL OF THE SITUATION. THERE ARE THREE EXITS FOR EASY EVACUATIONi -- Public Notif./Evacuation UNMANNED SITE. 11/27/2000 Emergency Medical Plan 'LOCAL URGENT CARE AND EMERGENCY FACILITIES. 11/27/2000 3 04/21/2003 FLEET CARD FUELS SiteID: 015-021-001348 Fast Format Mitigation/Prevent/Abatemt Release Prevention Overall Site 11/27/2000 EACH FILL .PIPE IS FITTED WITH AN OVERFILL CONTAINMENT DEVICE. EACH DISPENSER IS FITTED WITH A COMBINATION THERMAL/SHEAR VALVE. SHUT OFF FUEL IN CASE OF IMPACT OR FIRE. THERE IS AN EMERGENCY SHUT OFF ON BLDG WHICH SHUTS OFF ALL FUEL PUMPS AND TURNS OFF POWER TO DISPENSERS. THE DIESEL HOSES HAVE BREAK-A-WAY DEVICES WHICH CONTAIN THE FUEL IN THE EVENT OF A DRIVE-OFF. ALL CARDLOCK USERS ARE INSTRUCTED IN EMERGENCY PROCEDURES. -- Release Containment UNDERGROUND STORAGE TANKS. 11/27/2000 -- Clean' Up 11/27/2000 SMALL SPILLS WILL BE ASSORBED AND DISPOSED OF. LARGE SPILLS WILL REQUIRE A LOAD OF SAND FOR CONTAINMENT AND ABSORBTION. Other Resource Activation 4 04/21/2003 FLEET CARD FUELS SiteID: 015-021-001348 Fast Format Site Emergency Factors Special Hazards Overall Site --Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - INSIDE BLDG C) WATER - DRIVEWAY NEAR DMV LOT D) SPECIAL - EMERGENCY POWER SHUTOFF ON BLDG NEAR DOOR E) LOCK BOX - NO 11/27/2000 -- Fire Protec./Avail. Water 11/27/2000 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER ON ISLAND AND ON BLDG. FIRE HYDRANT - ON EACH OF 2 DRIVEWAY ENTRANCES ON SCHIRRA CT. Building Occupancy Level -5- 04/21/2003 FLEET CARD FUELS SiteID: 015-021-001348 Fast Format Training -- Employee Training Overall Site 11/27/2000 NO EMPLOYEES AT THIS SITE. YES, WE DO HAVE MSDS SHEETS ON-FILE IN THE OFFICE. BRIEF SUMMARY OF TRAINING PROGRAM: -- Page 2 --Held for Future Use Held for Future Use -6- 04/21/2003 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 17 ! 5 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACIL]T'~ NAME ~ ' t INSPECTIOI~ DATE I INSPECTION TIME ~tTYCONTACT [Business ID Numar I - Section 1: Business Plan and Inventory Program outine ~ Combined t~! Joint Agency I'1 Multi-Agency ~ Complaint i'1 Re-inspection ~' c=compliance '~ OPERATION COMMENTS ~, V=Violation APPROPRIATE PERMIT ON HAND BUSINESS PLAN CONTACT INFORMATION ACCURATE VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ANY HAZARDOUS WASTE ON SITE?: i'~ YES ~ NO EXPLAIN: ~~rn;~ctor .............. B~dge N(~.- ............... Business Site Responsible Party FLEET CARD FUELS Manager : Location: 7030 SCHIRRA CT City : BAKERSFIELD MapBUSPh°ne :: 123 (805) Grid: 16D CommCode: BAKERSFIELD STATION 09 EPA Numb: SiteID: 015-021-001348 589-5772 CommHaz : Low FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact RICK DAVIES Business Phone: 24-Hour Phone : Pager Phone : / Title 321-9961x 323-0233x ( ) - x Emergency Contact / Title Business Phone: 321-9961x 24-Hour Phone : 832-9472x Pager Phone : ( ) - x Hazmat Hazards: Contact : Fire ImmHlth DelHlth Phone: (~3~ 321-9961x MailAddr: PO BOX 81685 City : BAKERSFIELD State: CA Zip : 93380 Owner FLEET CARD FUELS Address : PO BOX 81685 City : BAKERSFIELD Phone: ~) 321-9961x State: CA Zip : 93380 Period : to TotalASTs: = Preparer: TotalUSTs: = Certif'd: RSs: No Gal Gal Emergency Directives: UNMANNED SITE - ADMINISTRATIVE ADDRESS - P O BOX 81685, 93380. i, '~)'~h,.r~( ~,,.~,~- Do hereby certify thm l have (Type or print name) reviewed the attached hazardous mate~als manage- men~ plan ;or~,~ ~ ~./~ and ~hm i~ along wi~h (~e of Busine~) any corre~ions cons~i~u~s a ~mple~e and corre~ man- agement plan for my facility. 1 10/31/2000 FLEET CARD FUELS SiteID: 015-021-001348 STORAGE CONTAINER DATA (UST FOP=MA) Last Action Type: FACILITY/SITE INFORMATION Business Name: FLEET CARD FUELS Cross Street : Business Type: Org Type: Total Tanks : IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION /L/ Name : ~ __ fGE~_~ ~e¢+ ~F~'~ ..... ~i~ '' Phone: ( 321-9961x Address: ~ ~;&~g City :~)~l~ ,State: ~6 Zip ~M~F~ TANK OWNER INFORMATION AA~ Name : =~L~ ............. ~ ~'~.£ Phone: (~) 321-9961x Address: City : Type : BOE UST Fee# : UNKNOWN Financ'l Resp: STATE FUND Legal Notif : Business Mailing Address Date: Phone: ( ) - x Name:JAMES P. PEEL Ttl:EMPLOYEE State UST # : 1998 Upg Cert#: 00713 ,State: O~Zip:~u = Hazmat Inventory --As Designated Order Hazmat Common Name... UNLEADED PREMIUM UNLEADED GASOLINE DIESEL FUEL #2 One Unified List Ail Materials at Site SpecHazlEPA HazardsI Frm F IH DH L F IH DH L F IH DH L DailyMax Unit MCP 12000.00 GAL Mod 12000.00 GAL Mod 12000.00 GAL Low -2- 10/31/2000 FLEET CARD FUELS SiteID: 015-021-001348 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~lV~VlU~ ~vl~ / ~l ~ N~Vl~ UNLEADED Days On Site 365 Location within this Facility Unit Map: Grid: UNDER TANK W OF DISPENSE CAS# 8006-61-9 STATE T TYPE PRESSURE Ambient Pure Liquid TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest ContainerGAL AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Daily Average 6000.00 GAL %Wt. 100.00 Gasoline HAZARDOUS COMPONENTS 8006619 TSecret RS BioHazl HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No No NoI No/ Curies F IH DH NFPA /// USDOT# MCP Mod -- Inventory Item 0002 Facility Unit: Fixed Containers on Site ~lVUVl~ ~Vl~ / ~1 ~.1_~ ~Vl~ PREMIUM UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: UNDER TANK W OF DISPENSE CAS# 8006-61-9 STATE T TYPE PRESSURE Ambient Pure Liquid -- TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest ContainerGAL AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Daily Average 6000.00 GAL %Wt. 100.00 Gasoline HAZARDOUS COMPONENTS R~NoRS~ CAS#8006619 TSecretINO N~S BioHazNo HAZARD ASSESSMENTS Radioactive/Amount I EPA Hazards No/ Curies F IH DH NFPA /// USDOT# MCP Mod 3 10/31/2000 FLEET CARD FUELS SiteID: 015-021-001348 = Inventory Item 0003 Facility Unit: Fixed Containers on Site ~lVUVl~ ~Vl~ / ~1 ~Z--~,.J~ N~vl~ DIESEL FUEL #2 Days On Site 365 Location within this Facility Unit Map: Grid: UNDER TANK W OF DISPENSE CAS# 68476-34-6 STATE TYPE PRESSURE Ambient Pure Liquid TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest ContainerGAL AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Daily Average 6000.00 GAL %Wt. 100.00 HAZARDOUS COMPONENTS Diesel Fuel No. 2 INo S CAS# 68476302 TSecret RS BioHazl HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No No NoI No/ Curies F IH DH NFPA/// I USDOT# Low -4- 10/31/2000 FLEET CARD FUELS SiteID: 015-021-001348 Fast Format = Notif./Evacuation/Medical --Agency Notification CALL 911 - BAKERSFIELD CITY FIRE DEPARTMENT Overall Site 09/21/1992 -- Employee Notif./Evacuation 04/30/1997 ALL CARDLOCK USERS ARE INSTRUCTED IN EMERGENCY PROCEDURES. THE PROCEDURE IS TO TURN THE EMERGENCY SWITCH OFF AND GO TO THE PAY TELEPHONE AND DIAL 911 AND ADVISE EMERGENCY PERSONNEL OF THE SITUATION. THERE ARE THREE EXITS FOR EASY EVACUATION. -- Public Notif./Evacuation UNMANNED SITE 09/21/1992 Emergency Medical Plan LOCAL URGENT CARE AND EMERGENCY FACILITIES 09/21/1992 5 10/31/2000 FLEET CARD FUELS SiteID: 015-021-001348 Fast Format = Mitigation/Prevent/Abatemt --Release Prevention EACH FILL PIPE IS FITTED WITH AN OVERFILL CONTAINMENT DEVICE. EACH DISPENSER IS FITTED WITH A COMBINATION THERMAL/SHEAR VALVE SHUT OFF FUEL IN CASE OF IMPACT OR FIRE. THERE IS AN EMERGENCY SHUT OFF ON BLDG WHICH SHUTS OFF ALL FUEL PUMPS AND TURNS OFF POWER TO DISPENSERS. THE DIESEL HOSES HAVE BREAK-A-WAY DEVICES WHICH CONTAIN THE FUEL IN THE EVENT OF A DRIVE-OFF. ALL CARDLOCK USERS ARE INSTRUCTED IN EMERGENCY PROCEDURES. Overall Site 09/21/1992 uNDRelease Containment ERGROUND STORAGE TANKS 09/21/1992 -- CleanUp SMALL SPILLS WILL LARGE SPILLS WILL BE ASSORBED AND DISPOSED OF. 09/21/1992 REQUIRE A LOAD OF SAND FOR CONTAINMENT AND ABSORBTION Other Resource Activation 6 10/31/2000 FLEET CARD FUELS SiteID: 015-021-001348 Fast Format Site Emergency Factors Special Hazards Overall Site --Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - INSIDE BUILDING C) WATER - DRIVEWAY NEAR DMV LOT D) SPECIAL - EMERGENCY POWER SHUTOFF ON BUILDING NEAR DOOR E) LOCK BOX - NO 09/21/1992 Fire Protec./Avail. Water 09/21/1992 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER ON ISLAND AND ON BUILDING FIRE HYDRANT - ON EACH OF 2 DRIVEWAY ENTRANCES ON SCHIRRA CT. Building Occupancy Level 7 10/31/2000 FLEET CARD FUELS SiteID: 015-021-001348 Fast Format Training Employee Training NO EMPLOYEES AT THIS SITE. DO YOU HAVE MSDS SHEETS ON FILE???????????? y~ 'l~ ~-~ Overall Site 04/30/1997 -- Page 2 --Held for Future Use Held for Future Use -8- 10/31/2000 cus~' ~E & NO. ~-~ -'~ ~©/ MISCELLANEOUS RECEIVABLES ADJUSTMENT CUSTOMER NAME MAILING ADDRESS SITE ADDRESS NEW ACCOUNT ADDRESS CHANGE STATE CLOSE ACCT i / · FINANCE CHARGE I. ; I OTHER ADJ ZIP CODE<~'~'~'~ ~ PARCEL NUMBER ~FAPPUC~LE) ADJUSTMENT i CHG DATE CHARGE CODE ADJUSTMENT AMOUNT REMARKS: '~--~, APPROVED AREA CODE NUMBER PHONE CALL._.) :UST T~& .O. ~ %~1 LES ADJUSTMENT NEW ACCOUNT ADDRESS CHANG$ CLOSE ACCT FINANCE CHARGE J / I OTHER ADJ CUSTOMER NAME MAILING ADDRESS SITE ADDRESS ZIP CODEq~'~~ PARCEL NUMBER (IF APPLICABLE) ADJUSTMENT i CHG DATE J CHARGECODE i ADJUSTMENT AMOUNT APPROVED By~ ~ ~q%, FLEET CARD FUELS Manager : Location: 7030 SCHIRRA CT City : Bakersfield CommCode: BAKERSFIELD STATION EPA Numb: .~ L½_ ~i '~/ L-~l~sPhone. I~,~P : 123 APR ~ ~ ]~9~ IIG,~id: 16D ~.~'~ ~S~C Code: ~nnBrad: SiteID: 215-000-001348 (805) 589-5772 CommHaz : Low FacUnits: 1 AOV: Emergency Contact RICK DAVIES Business Phone: 24-Hour Phone : Pager Phone : / Title / (805) 321-9961x (805) 323-0233x ( ) - x Emergency Contact PAUL LINGENFELDER Business Phone: 24-Hour Phone : Pager Phone : / Title / (805) 321-9961x ~-~ . (805) ~~ ( ) - Hazmat Hazards: Fire ImmHlth DelHlth Agency-Defined Topic Title = Hazmat Inventory --MCP+DailyMax Order Hazmat Common Name... UNLEADED PREMIUM UNLEADED GASOLINE DIESEL FUEL #2 One Unified List Ail Materials at Site F IH DH L 12000 GAL Mod F IH DH L 12000 GAL Mod F IH DH L 12000 GAL Low ], ~,u/_~,/.J,u~Do hereby certify tha~ I have rsviewed the a~ached h~a~ous mai~als manage- msn~ plan ~or~F~,~ a~ thsi ii along wi~h (~ of ~} any corrosions ~ns~itu~ a ~mpl~le and co~ ~ger~®r~ p~ ~or my ~aci~i~y. FLEET CARD FUELS SiteID: 215-000-001348 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site UNLEADED Days On Site 365 Location within this Facility Unit UNDER TANK W OF DISPENSE CAS# 8006-61-9 STATE TYPE PRESSURE Ambient Pure Liquid TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Lrgst Cont.this Loc GAL DailyMax Stored GAL AMOUNTS STORED AND IN USE DailyMax this Loc GAL 12000.00 DailyMax Open Use GAL DailyAvg this Loc GAL 6000.00 DailyMax Closed Use GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS EHS CAS# No 8006619 -2- FLEET CARD FUELS SiteID: 215-000-001348 ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site PREMIUM UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit UNDER TANK W OF DISPENSE CAS# 8006-61-9 STATE ~ TYPE Liquid /Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Lrgst Cont.this Loc GAL DailyMax Stored GAL AMOUNTS STORED AND IN USE DailyMax this Loc GAL 12000.00 DailyMax Open Use GAL DailyAvg this Loc GAL 6000.00 DailyMax Closed Use GAL %Wt. 100.00 Gasoline HAZARDOUS COMPONENTS EHS CAS# No 8006619 -3- FLEET CARD FUELS SiteID: 215-000-001348 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site DIESEL FUEL #2 Days On Site 365 Location within this Facility Unit UNDER TANK W OF DISPENSE CAS# 68476-34-6 F STATE I TYPE PRESSURE Liquid Pure Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Lrgst Cont.this Loc GAL DailyMax Stored GAL AMOUNTS STORED AND IN USE DailyMax this Loc GAL 12000.00 DailyMax Open Use GAL DailyAvg this Loc GAL 6000.00 DailyMax Closed Use GAL %Wt. 100.00 HAZARDOUS COMPONENTS Diesel Fuel No. 2 EHS CAS# No 68476302 -4- FLEET CARD FUELS SiteID: 215-000-001348 Fast Format = Notif./Evacuation/Medical --Agency Notification CALL 911 - BAKERSFIELD CITY FIRE DEPARTMENT Overall Site 09/21/1992 -- Employee Notif./Evacuation 09/21/1992 ALL CARDLOCK USERS ARE INSTRUCTED IN EMERGENCY PROCEDURES. THE PROCEDURE IS TO TURN THE EMERGENCY SWITCH OFF AND GO TO THE PAY TELEPHONE AND DIAL 911 AND ADVISE EMERGENCY PERSONNEL OF THE SITUATION. THERE ARE THREE EXITS FOR EASY EVACUATION. -- Public Notif./Evacuation UNMANNED SITE 09/21/1992 Emergency Medical Plan LOCAL URGENT CARE AND EMERGENCY FACILITIES 09/21/1992 -5- FLEET CARD FUELS SiteID: 215-000-001348 Fast Format Mitigation/Prevent/Abatemt Release Prevention EACH FILL PIPE IS FITTED WITH AN OVERFILL CONTAINMENT DEVICE. EACH DISPENSER IS FITTED WITH A COMBINATION THERMAL/SHEAR VALVE SHUT OFF FUEL IN CASE OF IMPACT OR FIRE. THERE IS AN EMERGENCY SHUT OFF ON BLDG WHICH SHUTS OFF ALL FUEL PUMPS AND TURNS OFF POWER TO DISPENSERS. THE DIESEL HOSES HAVE BREAK-A-WAY DEVICES WHICH CONTAIN THE FUEL IN THE EVENT OF A DRIVE-OFF. ALL CARDLOCK USERS ARE INSTRUCTED IN EMERGENCY PROCEDURES. Overall Site 09/21/1992 -- Release Containment UNDERGROUND STORAGE TANKS 09/21/1992 -- Clean Up 09/21/1992 SMALL SPILLS WILL BE ASSORBED AND DISPOSED OF. LARGE SPILLS WILL REQUIRE A LOAD OF SAND FOR CONTAINMENT AND ABSORBTION Other Resource Activation -6- FLEET CARD FUELS SiteID: 215-000-001348 Fast Format Site Emergency Factors Special Hazards Overall Site --Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - INSIDE BUILDING C) WATER - DRIVEWAY NEAR DMV LOT D) SPECIAL - EMERGENCY POWER SHUTOFF ON BUILDING NEAR DOOR E) LOCK BOX - NO 09/21/1992 -- Fire Protec./Avail. Water 09/21/1992 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER ON ISLAND AND ON BUILDING FIRE HYDRANT - ON EACH OF 2 DRIVEWAY ENTRANCES ON SCHIRRA CT. Building Occupancy Level -7- FLEET CARD FUELS SiteID: 215-000-001348 Fast Format Training -- Employee Training NO EMPLOYEES AT THIS SITE Overall Site 01/07/1990 Page 2 Held for Future Use Held for Future Use 8 08/18/92 FLEET CARD FUELS 215-000-001348 Overall Site with 1 Fac. Unit Page General Information Location: 7030 SCHIRRA CT Map: 123 Hazard: Low Community: BAKERSFIELD STATION 09 Grid: 16D F/U: 1 AOV: 0.0 Contact Name I Title Business Phone 24-Hour Phone] RICK DAVIES I (805) ~4~3--5-7J-2 x (805) 323-0233! PAUL LINGENFELDER (805) ~89-F~7-7-2 x (805) 832-8223/ / 1 Administrative Data Mail Addrs: P.O. BOX 81685 City: BAKERSFIELD Comm Code: 215-009 BAKERSFIELD STATION 09 Address: P.O. BOX 81685 D&B Number: State: CA Zip: 93380- SIC Code: Phone: (~)~I-~i State: CA Zip: 93380/ Owner: FLEET CARD FUELS City: BAKERSFIELD Summary RECEIVED SEP 1 7 19c)~ HA7. R~tAT. t'IIV. wo,~ri~ o here~y ce~ify that ~.. reviewed lhe at/ache~. "' mai'er/als manage... ment plan f or~~~ .a~d. ,that it along ~Y ~recti°ns constitute ~ C°mpie~e and corr~ maa ag~ment plan for my faoility. 08/18/92 FLEET CARD FUELS 215-000-001348 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 2 02-001 UNLEADED ~ Fire, Immed Hlth, Delay Hlth Liquid 12000' Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL 12,000 Daily Average GAL 6,000.00 Annual Amount GAL -- 200,000.00 Storage UNDER GROUND TANK Press T Temp Location AmbientlAmbientlUNDER TANK W OF DISPENSE -- Conc 100.0% IGasoline Components . MCP iList Moderate 02-002 PREMIUM UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No /Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL 12,000 Daily Average GAL 6,000.00 Annual Amount GAL -- 200,000.00 Storage UNDER GROUND TANK Press T Temp Location IAmbient~AmbientlUNDER TANK W OF DISPENSE -- Conc 100.0% IGasoline Components MCP ~List IModerateI 02-003 DIESEL FUEL #2 ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Low GAL CAS #: 68476-34-6 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL 12,000 Daily Average GAL 6,000.00 Annual Amount GAL 200,000.00 Storage UNDER GROUND TANK Press T Temp Location IAmbient~AmbientlUNDER TANK W OF DISPENSE -- Conc 100.0% IDiesel Fuel No.2 Components iMCP ~List ModerateI 08/18/92 FLEET CARD FUELS 215-000-001348 00 - Overall Site <D> Notif./Evacuation/MedicaI Page 3 <1> Agency Notification <2> Employee Notif./Evacuation ALL CARDLOCK USERS ARE INSTRUCTED IN EMERGENCY PROCEDURES. THE PROCEDURE IS TO TURN THE EMERGENCY SWITCH OFF AND GO TO THE PAY TELEPHONE AND DIAL 911 AND ADVISE EMERGENCY PERSONNEL OF THE SITUATION. THERE ARE THREE EXITS FOR EASY EVACUATION. <3> Public Notif./Evacuation <4> Emergency Medical Plan LOCAL URGENT CARE AND EMERGENCY FACILITIES 08118/92 FLEET CARD FUELS 215-000-001348 00 - Overall Site <E> Mitigation/Prevent/Abatemt Page 4 <1> Release Prevention EACH FILL PIPE IS FITTED WITH AN OVERFILL CONTAINMENT DEVICE. EACH DISPENSER IS FITTED WITH A COMBINATION THERMAL/SHEAR VALVE SHUT OFF FUEL IN'CASE OF IMPACT OR FIRE. THERE IS AN EMERGENCY SHUT OFF ON BLDG WHICH SHUTS OFF ALL FUEL PUMPS AND TURNS OFF POWER TO DISPENSERS. THE DIESEL HOSES HAVE BREAK-A-WAY DEVICES WHICH CONTAIN THE FUEL IN THE EVENT OF A DRIVE-OFF. ALL CARDLOCK USERS ARE INSTRUCTED IN EMERGENCY PROCEDURES. <2> Release Containment <3> Clean Up SMALL SPILLS WILL BE ASSORBED AND DISPOSED OF. LARGE SPILLS WILL REQUIRE A. LOAD OF SAND FOR CONTAINMENT AND ABSORBTION <4> Other Resource Activation 08/18/92 FLEET CARD FUELS 215-000-001348 00 - Overall Site <F> Site Emergency Factors Page 5 <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - INSIDE BUILDING C) WATER - DRIVEWAY NEAR DMV LOT D) SPECIAL - EMERGENCY POWER SHUTOFF oN BUILDING NEAR DOOR E) LOCK BOX - NO <3> Fire Protec./Avail. Water 3A SEC 4) 3A SEC THERE IS NO PRIVATE FIRE PROTECTION 5) FIRE HYDRANT ? <4> Building Occupancy Level 08/18/92 FLEET CARD FUELS 215-000-001348 00 - Overall Site Page <G> Training <1> Page 1 NO EMPLOYEES AT THIS SITE <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use attached ( t~me or prin% name ) RECEIVED Do ,,~.=b..,. cert~fy that I have reviewea the 101989 Hazardous for name o f business) and that it along with the attached additions corrections consti~u~e a complete_ and correct Business Plan for my facilitw. date BUSINESS NAME FLEET CARD FUELS LOCATION 7030 SCHIRRA CT ID NUMBER 215-000-001348 HIGH HAZARD RATING 2 1 . OVERVIEW LAST CHANGE 01/05/89 BY ESTER JURIS CODE 215-009 JURIS BAKERSFIELD STATION 09 MAP PAGE 123 GRID 16D FACILITY UNITS 1 HAZARD RATING 2 RESPONSE SUMMARY 2A SEC 4) NO PRIVATE RESPONSE TEAM EMERGENCY CONTACTS 2A SEC 2) RICK DAVIES - 589-5772 OR 323-0233 PAUL LINGENFELDER - 589-5772 OR 832-8223 UTILITY SHUTOFFS 2A SEC 3) A) GAS - NONE B) ELECTRICAL - INSIDE BLDG C) WATER - DRIVEWAY NEAR DMV LOT D) SPECIAL - EMERGENCY POWER SHUT OFF ON BLDG NEAR DOOR E) LOCK BOX - NO NOTI FI CATION / PUBLIC EVACUATION LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > PAGE 1 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 01/05/89 17:20 B~SINESS NAME FLEET CARD FUELS LOCATION 7030 SCHIRRA CT 3 . HAg MAT TRAINING ID NUMBER 215-000-001348 HIGH HAZARD RATING 2 S UMFIARY LAST CHANGE / / BY < NO INFORMATION 'RECORDED FOR THIS SECTION > 4 . LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE 01/05/89 BY ESTER 2A SEC 5) LOCAL URGENT CARE AND EMERGENCY FACILITIES PAGE 2 01/05/89 17:20 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME FLEET CARD FUELS LOCATION 7030 SCHIRRA CT FACILITY UNIT 01 ID NUMBER 215-000-001348 HIGH HAZARD RATING 2 a e OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 01/05/89 BY ESTER ID TYPE NAME LOCATION CONTAINMENT MAX AMT UNIT HAZARD USE PURE UNLEADED UNDER TANK W OF DISPENSE UNDERGROUND TANKS ID PERCENT COMPONENTS 1182.00 100.0 GASOLINE 12000 GAL HIGH FUEL HAZARD LISTS HIGH 2 PURE PREMIUM UNLEADED GASOLINE UNDER TANK W OF DISPENSE UNDERGROUND TANKS ID PERCENT COMPONENTS 1182.00 100.0 GASOLINE 12000 GAL HIGH FUEL HAZARD LISTS HIGH PURE DIESEL FUEL #2 UNDER TANK W OF DISPENSE UNDERGROUND TANKS ID PERCENT COMPONENTS 1179.01 100.0 DIESEL FUEL NO.2 12000 GAL MODERATE FUEL HAZARD LISTS MODERATE PROTE CT I ON / WATER SUPPLIES LAST CHANGE 12/05/88 BY VAL 3A SEC 4) THERE IS NO PRIVATE FIRE PROTECTION 3A SEC 5) FIRE HYDRANT - ? PAGE 3 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 01/05/89 17:20 BOSINESS NAME FLEET CARD FUELS LOCATION 7030 SCHIRRA CT ID NUMBER 215-000-001348 HIGH HAZARD RATING 2 n e EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 01/05/89 BY ESTER 3A SEC 2) ALL CARDLOCK USERS ARE INSTRUCTED IN EMERGENCY PROCEDURES. THE PROCEDURE IS TO TURN THE EMERGENCY SWITCH OFF AND GO TO THE PAY TELEPHONE AND DIAL 911 AND ADVISE EMERGENCY PERSONNEL OF THE SITUATION. THERE ARE THREE EXITS FOR EASY EVACUATION. MITIGATION / PREVENTION / ABATEMENT LAST CHANGE 01/05/89 BY ESTER 3A SEC 1) EACH FILL PIPE IS FITTED WITH AN OVERFILL CONTAINMENT DEVICE. EACH DISPENSER IS FITTED WITH A COMBINATION THERMAL/SHEAR VALVE TO SHUT OFF FUEL IN CASE OF IMPACT OR FIRE. THERE IS AN EMERGENCY SHUT OFF ON BLDG WHICH SHUTS OFF ALL FUEL PUMPS AND TURNS OFF POWER TO DISPENSERS. THE DIESEL HOSES HAVE BREAK-A-WAY DEVICES WHICH CONTAIN THE FUEL IN THE EVENT OF A DRIVE-OFF. ALL CARDLOCK USERS ARE INSTRUCTED IN EMERGENCY PROCEDURES. SMALL SPILLS WILL BE ABSORBED AND DISPOSED OF. LARGE SPILLS WILL REQUIRE A LOAD OF SAND FOR CONTAINMENT AND ABSORBTION. PAGE 4 01/05/89 17:20 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 CITY of BAKERSFIELD NON--'FRADE SECRETS ' '.9, .J_ of J.. BUSINESS NAME:FL~T ~ ~,~ OWNER NAME: S~ NAME OF T[~$ FACILITY: ,~/~/~ ~ ~ ~ t. OCATTON: ,,~ ,OO- L'"~r.~f'TF"- ~,t, .ADDRESS: S?&HDARD IND. Ct-ASS CODE CITY, ZiP: l;~d~r~..-~_.~,~ll~L~ ~ ~.~ d:}3~~ CITY, ZIP: DUN AND BRADSTREET NUMBER PHONE #: ~0~-_~'~"9-~'~7~.~ PHONE ~: __ - _- -- - ~ ]'o ZIrS~UCT.TO~ Z~OR PROPa3~ COD~ .Tvnns Type I~x AY~'MTe ~nm141 N~leure I 0yI Cone Co/It CcIit Us1 Locitton ~ I~ by ~ of A~x~u~e/CellonMIt! Co~e Code Mt Mt Est Units on Site ly~ ~e Imqm Code .. Storml in FKlltty Wt See In~trKtims Physical ired #Hlth Hazard C.&.S. NuoMe Cmqmene~t II 11imm i C.l.S. {C~k all that apply) r~ liezerd ~---a R~ctivtty ~--a Delew~ ~--~ Sudden lisle~e ~--a Imldtltl I~lth o~ Pressure blth ........... Gomqmenmt 13 I~m & C.A.S'. Iludm' .~]_._¢__]_~.3..~P_~_l...b__~_l_.z~_:po~]~l.a._~r_lo} I ~ ! u !~/ lu~- or.. ~s?~A._~ u~t.o.~~ ~~. c.~-,S.~,~ ',,, Pf~/sical md I~lth HeZled C.A.S. ~ C~{mommt II Ikme & C.A.$. Iloadm~r (Check all that apply) ..... c,,,o,~t, ~ & c.A.s. Mlth o~ ~ M[th ......... {P~icll ~ Mlth ~zl~ C.4.S. i ~t I1 h & C.A.S. (C~k ell t~t -- -- .r-- r--~ r--~ ~t 12 Nm&C.A.S. ~lth of P~su~ With ", ........... ~ ____ [ t .,._-__,_,_..,._,_._, ...... l J ~ t J.~ ..... - ............ P~ic~l ~ H~lth ~ze~ C.A.S. ~ ~t Il ~ & C.A.S. (~k ill t~t rely) - ~--~ ~--~ -- ~--~ C~t 12 ~ &C.A.S. HHICh of Pr~sure H~lth ~ .................................... ~[qG ....................... ,erttiicati(~ (Read and sign after coipJetJng ali sectJons) certtf~ under N~mlty of lev that.l ~ve ~rs~illyex~mn~ ~d Ia f~iliar .tth t~ tnfor~ti~ suMitt~ tn this ~ I11 IttKM ~ts. ~ tMt ~s~ ~ ~ i~t~ of t~e IMtvt~ls m~sibll or obtaining t~ inf~Mti~, m Mlieve t~t BAKERSFIELD CITY FIRE DEPARTMENT R F. C ~ { V ~_ U 2230 "o" STREET BAKERSFIELD CA 9330 · NOV 29 {988 (805) 326-3979 A ' . ,sd ........... INESS NAME OFFICIAL USE ONLY ID# HAZARDOUS I~TERIALS BUSINESS PLAN AS A wHoLE FORM 2A INSTRUCTIONS: To avoid further action, return this form by l, 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: FLEET CARD FUELS B. LOCATION / STREET ADDRESS: CITY: Bakersfield 7030 Schirra Court ZIP: 93313 BUS.PHONE: (805) 589-5772 SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7850 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE A, Rick Davies Ph# DURING BUS. HRS. 589-5772 Ph# AFTER BUS. HRS. 323-0233 B. Paul Linqenfelder Ph# 589-5772 Ph# 832-8223 SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A {{BOLE A. NAT. GAS/PROPANE: NONE ( NO SERVICE) B. ELECTRICAL: Main shut off inside buildinq C. WATER: At the street in driveway near D M V' lot D, SPECIAL: Emerqenc¥ power shut off on buildinq near door E. LOCK BOX: YES /(~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? FLOOR PLANS? YES / NO YES / NO MSDSS? YES ,.," NO KEYS? YES / NO SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE NONE SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE Local urgent care and emergency facilities. SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROORAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS, CIRCLE YES OR NO INITIAL A. METHODS FOR SAFE HANDLING OF HAZARDOUS ~ATERIALS: ....................................... (YESO NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... N~YE~ C. PROPER USE OF SAFETY EQUIPMENT: .................. ~~NO D. EMERGENCY EVACUATION PROCEDURES: ................. E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... REFRESHER No NO YES SECTION 7: HAZARDOUS MATERIAL CIRCLE YES OR NO OR NONE DOES YOUR BUSINESS HANDLE HAZARDOUS ~TERIAL IN QUANTITIES LESS THAN $00 POUNDS OF A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... ~ NO I, Paul G. Lin~enfelder , certify that the above information is accurate. I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et Al.) and that inaccurate information constitutes perjury. - 2B - BAKERSFIELD CITY FIRE DEPARTNENT 2130 "G' STREET BAKERSFIELD, CA 93301 BUSINESS NAME: 0FF[CrAL USE ONLY ID# BUSINESS PLAN SINGLE FACILITY UNIT FORM SA 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# 48 FACILITY UNIT NA~E: White Lane Cardlock SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES Each fill pipe is fitted with an overfill containment device. Each dispenser is fitted with a combination Thermal/Shear Valve to shut off fuel in case of impact or fire. There is an emergency shut off on building which shuts off all fuel pumps and turns off power to dispensers. The diesel hoses have break-a-way devices which contain the fuel in the event of a drive-off. All cardlock users are instructed in emergency procedures. Small spills, will be absorbed and disposed of. Large spills will require a load of sand for containment and absorbtion. SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT ONLY Ail cardlock users are instructed in emergency procedures. The procedure is to turn the emergency switch off and go to the pay telephone and dial 911 and advise emergency personnel of the situation. There are three exits for easy evacuation. - 3A - SECTION 3: HAZ~d~J)OUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials? ...... ~ NO If YES, see B. If NO. continue with SECTION 4. ~. Are any of the hazardous materials a bona fide Trade Secret YES ~ If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form ~4A-1) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION There is no private fire protection. SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY E?~EROENCY RESPONDER,~,, SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT. GAS/PROPANe': NONE ( NO Service) B. 'ELECTRICAL: Facility power shut off is inside building. C. WATER: Facility water service valve is at the street in the driveway near the Department of Motor Vehicles. D. SPECIAL: There is an emergency shut off switch on the building which turns off the power to all fueling equipment. E. LOCK BOX: YES /~ IF YES, LOCATION: IF YES, SITE PLANS? FLOOR PLANS? YES / NO MSDSs? YES / NO YES / NO KEYS? YES / NO - 3B - BAKERSFIELD CITY FIRE DEPARTMENT I.D. ~ FORM 4A-1 Page ~ of NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY BUSINESS NAME: FLEET CARD FUELS OWNER NAME: SAME FACILITY UNIT #: 48 ADDRESS: P.O. Box 81685 ADDRESS: FACILITY UNIT NAME: WHITE LN CARDLOCK CITY, ZIP: Bakersfield, CA 93380 CITY,ZIP: , PHONE ~: (805) 589-5772 PHONE *: {OFFICIAL u'S~ CFIR~ CODE ! ONLY , , ~ 2 3 4 5 6 ? 8 9 10 ]'¥PE "AX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMIqAL OR COMMON NAME CODE GUIDE f_ Under Tank Pad 100 Unleaded Gasoline il{~k FLLO _ ~ 12000 GAL 1 19 W~st of D~sDensers - Under Tank ~ad GAL 1 19 West of Dispensers 100 Premium Unleaded Gasoline l I~ FLLQ  Under Tank Pad [ 12000 GAL 1 19 West of Dispensers 100 #2 Diesel Fuel I {7~.0 CMT,Q 12000 .......... :.__ r-. ~, ..,, C~ .... ,, .~ ~..x~.,- NAME;' Paul Linqenfelder TITLE: Operations Mgr.. SIONATURE: DATE: ])-L~ EMERGEN~,Y CONTACT: Paul Linqenfelder TITLE: Oper.atiQns Mgr. PH( HOURS: 589-5772 % AFTER BUS HRS: 832-8223 EMERgENCy CONTACT: Rick Davies TITLE: General Manaqer PHONE # 8US HOURS: 589-5772 PRINCIPAL BUSINESS ACTIVITY: AFTER BUS HRS: 4A-1 -