HomeMy WebLinkAboutBUSINESS PLANHazardous Materials/Hazardous WaSte Unified Permit
CONDITIONS OF PERMI'T ON REVERSE SIDE
This oermit is issued for the followina:
[] Hazardous Materials Plan - ·
· [] Underground Storage of HazardOus Materials
[] Risk Management Program
[] Hazardous Waste On-Site Treatment
PERMIT ID # 015-021-001532 '
ROSEDALE CHEVRON
LOCATION 9700 93312 . .... .
TANK .AZARbO~S sUBSTAN~g~. ~' ::,~ ~!X¥ ¢~I
015-000-001532-0001 Sup~M~[~.[EAD~ GA~~}%.' 12,000" ' ~!:~. PA}{'~SOR W~OS SHUTOFF
.... .... SOR" '~' ''~ h'~ k. -,.:.~ ~" ' '-."
015-000-001532-0002 ~GULAR~ ...... , .,.,,, ~ ,:J .' , ~ , ~ W~OS SHUTOFF
.~,o~q~se~m~':,:::.~:.,-' :. ~-'~2,0~0 ~.,:;asP. ~~ .
Issued by:
Bakersfield Fire Department · ''~': '::' ',":-'_ (' 5." ?.:).'-i::j:""" '.i'.-' ~. :
OFFICEOF ENVIRONMENT. qr s~R VTCES '':'! :? ~':[ ::: :' '-':" " ~ ~ '
1715 Chester Ave., 3rd Floor .. , "" Appr°v~by: L~IpUHu~,D~ .
Bakersfield, CA 93301 :, . ' OfficeofEv~~~c~ -
Voice (661) 326-3979
F~ (661) 326-0576 Exp~tion'Date:
"June 30:2003
Issue Date
Notice .to M__..~.~[_9~ Correction in Address
~~ Account3~llber (All numbers, dates~, -and I-'--ette'~'~
[] number on mail
[] Account number illegible
Addressee~'s Name
Old Address (Include
apartment or suite number)
City, State, and ZIP Code
New Address (Include
apartmen~ or suite number)
City, State, and ZIP Code
This card is furnished: [] For address correction, as requested (your ma#piece was fon~arded).
[] In place of Form 3579 (see reason for nondelivery below).
The address portion of your mailpiece was not readily detachable. Reason for nondelivery:
[] Moved, left no address [] No such street [] No such number
[] Refused [] Attempted, not known [] Unclaimed
PS Form 3547, June 1995
POSTAL SERVICE®
t-Class Mail
I~ll~stage & Fees Paid
t USPS
lPermit No. G-lO
Postage Due '~ *'~
933o/
~,ocation: 9700 ROSEDAL~=~v
City : BAKERSFIELD
CommCode:
EPA Numb:
gency Contact / Title
~ / OWNER
Business Phone: (661) 52~
24-Hour Phone : (661)
Pager Phone : ( )-
Hazmat Hazards:
~ SiteID:' 015-021-001532
BusPhone: (661) 589-9011
Map : 102 CommHaz : Low
Grid: 30B FacUnits: i AOV:
SIC Code:5541
DunnBrad:95-386_5706
Contact :
MailAddr: 9700 ROSEDALE HWY
'City : BAKERSFIELD
Zip : 93312
Owner RDff--~tP~gN ~C ~ ~h~Phone: (661) 399-8938x
Address :
City : BAKERSFIELD State: CA
Zip :
Period : to
Emergency Contact / Title
/
Business Phone: (661)
Eour Phone : (66~~_7~
Pager Phone : ( ) -
Fire ImmHlth DelHlth
Phone: (661) 589-9011x
State: CA
Preparer:
Certif,d:
Emergency Directives:
TotalASTs: =
TotalUSTs: = Gal
Gal
RSs: No
1-11-01 M~ SL~TON FHONED' ~0.
CI~S~Bp~'
I,/t~,~,"/,,7~ ~.//.../.-Do hereby certify that ! have
(Type or print name)
reviewed the attached hazardous mmeri~ls rnan~e..
merit plan for C,,~-u,,E-z~A/' and that it along with
(Name of auainess)
any corrections constitute a complete and correct man-
agement plan for my facility.'
~)/)- /-/£- ~oo /
Signmure Date
-1-
01/18/2001
~- INC SiteID: 015-021-001532
STORAGE CONTAINER DATA (UST FORM A)
Last Action Type:
FACILITY/SITE INFORMATION
Business Name: ~ SL~TON CHEI~ON INC ~5~tc ~~
Cross Street :
Business T~e: Org T~e:
Total Tanks : 3 IndnRes/Trust: No PA Contact:
PROPERTY O~BR INFO~TION
Name : ~Z ~ ~,]~ ~C Phone:
Address:
~y State: ~ Zip:
City : hk¢~
T~e :
T~K O~ER INFO~TION
Name : EZ ~c
Address: ~00 R~~
city :
T~o :
~[7~(_ Phone: (~561) ~A4-~--~-7~x ~-~ ~
State: ~ Zip: ~ 3~%
BOE UST Fee# : ~
Financ'l Resp: SELF INSURED
Legal Notif : Tank Owner Mailing Address
Date:04/12/2000
Name:HAL OREAR
State UST # :
Phone: (805) ~986-5527x
Ttl:ESH SPECIALIST
1998 Upg Cert#: 00860
~ Hazmat Inventory
--As Designated Order
Hazmat Common Name...
SUPREME UNLEADED GASOLINE
REGULAR UNLEADED GASOLINE
UNLEADED PLUS GASOLINE
ISpecHazI
One Unified List
All Materials at Site
EPA HazardsI Frm [ DailyMax IUnitlMCP
F IH DH L 11600.00 GAL Mod
F IH DH L 11600.00 GAL Mod
F IH DH L 11600.00 GAL Mod
-2- 01/18/2001
R3~f Sb-iON c~EVRON iNC
= Inventory Item 0001
m COMMON NAME / CHEMICAL NAME
SUPREME UNLEADED GASOLINE
Location within this Facility Unit
NE CRNR UNDERGROUND
SiteID: 015-021-001532
Facility Unit: Fixed Containers at Site
Map: Grid:
Days On'Site
365
CAS#
8006619
STATE I TYPE PRESSURE
Ambient
Pure
Liquid
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
12000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
11600.00 GAL
Daily Average
5000.00 GAL
%Wt.
100.00 Gasoline
HAZARDOUS COMPONENTS
SI CAS#
N 8006619
ITSecret ~S BioHaz
No N No
HAZARD ASSESSMENTS
Radioactive/Amount EPA Hazards
No/ Curies F IH DH
NFPA/// I USDOT#
MCP
Mod
Inventory Item 0002 Facility Unit: Fixed Containers at Site
~[v~vl~ ~v~ / ~v]l ~Z-~I.~ ~v~
REGULAR UNLEADED GASOLINE Days On Site
365
Location within this Facility Unit Map: Grid:
NE CRNRUNDERGROUND CAS#
8006619
FSTATE ~ TYPE
Liquid /Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
12000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
11600.00 GAL
Daily Average
5000.00 GAL
%Wt.
100.00 Gasoline
HAZARDOUS COMPONENTS
SI CAS#
N 8006619
TSecretINo NoRs BioHazNo
HAZARD ASSESSMENTS
Radioactive/Amount EPA Hazards
No/ Curies F IH DH
NFPA
USDOT#
MCP
Mod
-3- 01/18/2001
SiteID: 015-021-001532
~ SUTTON CR~',VRON INC
_-- Inventory Item 0003 ~ Facility Unit: Fixed Containers at Site
--~. COMMON NAME / CHEMICAL NAME Days On Site
UNLEADED PLUS GASOLINE 365
Location within this Facility Unit Map: Grid:
NE CRNR UNDERGROUND
CAS#
8006619
~ STATE. ~ TYPE -- I ~-[ient I Ambient I UNDER
Liquid Pure ~,,~
AMOUNTS AT THIS LOCATION~ ~
Daily Maximum
HAZARD ASSESSMENTS
Radioactive/Amount I EPA Hazards
-4-
01/18/200
F ~-~TTT~VRON INC
SiteID: 015-021-001532
Fast Format
= Notif./Evacuation/Medical
--Agency Notification
IN CASE OF EMERGENCY DIAL 9-1-1.
Overall Site
02/13/1995
--Employee Notif./Evacuation
02/13/1995
IN THE EVENT OF IMMEDIATE NOTIFICATION, ALL EMPLOYEES HAVE BEEN INSTRUCTED
TO CALL, DEPENDING UPON EMERGENCY, 911 OR CHEVRON EMERGENCY PHONE NUMBER. IF
THE SPILL WARRANTS EVACUATION, ALL EMPLOYEES & CUSTOMERS WILL BE INSTRUCTED
'TO LEAVE THE PREMISES, IN THE SAFEST POSSIBLE WAY.
Public Notif./EvacUation 07/30/1999
BUSINESSES AROUND THE STATION MAY NEED TO BE NOTIFIED OR EVACUATED IF THE
SITUATION WARRANTS.
-- Emergency Medical Plan 07/30/1999
FIRE DEPT LOCATED 2 BLOCKS EAST OF BUSINESS. NEAREST HOSPITAL IS LOCATED
ABOUT 6 MILES EAST OF BUSINESS. TWO TELEPHONES ARE LOCATED INSIDE THE
BUSINESS & TWO PAY PHONES ARE LOCATED ON THE LOT. EMPLOYEES HAVE BEEN
INSTRUCTED TO CALL 911 IF THEY CAN NOT HANDLE THE EMERGENCY PROPERLY.
-5- 01/18/2001
:~A~N CHEVRON
Mitigation/Prevent/Abatemt
SiteID: 015-021-001532
Fast Format
Overall Site
~ Release Prevention
PHASE II NOZZLES HAVE BEEN INSTALLED.
OVERFILLING THE GAS TANK.
THESE ARE DESIGNED
02/13/1995'
TO PREVENT .
02/13/1995
----~.Release Containment --
TO PREVENT RELEASE OF SPILLS OF GAJOLINE LEAK DETECTORS HAVE BEEN INSTALLED
AROUND GAS TANKS. EMERGENCY SHUT-OFF SWITCH IS LOCATED ON OUTSIDE OF BLDG
ON BRACE BY FRONT WINDOW. ALL GASOLINE PUMPS HAVE PHASE II NOZZLES.
GASOLINE STORAGE TANKS ARE CHECKED BY DAILY READINGS. ALL OUTSIDE LIDS ARE
LOCKED IN THE EVENT OF A SPILL OR LEAK. CHEVRON USA HAS PROVIDED STATION
WITH GUIDLINES. THIS INFORMATION IS,FOUND IN THE SERVICE STATION GUIDE.
02/13/1995
------ Clean Up
IF IT IS A SMALL SPILL WE CLEAN UP DIRECTED IN OUR GUIDE BOOK. IN THE EVENT
OF A LARGER SPILL WE WILL NOTIFY THE PROPER AUTHORITES TO TAKE CARE OF THE
SITUATION.
Other Resource Activation
-6- 01/18/2001
SUTTON CHE-'~O~ INC
SiteID: 015-021-001532
Fast Format
Site Emergency Factors
Special Hazards
Overall Site
--Utility Shut-Offs
02/13/1995
A) GAS - IN CURB (W SIDE OF ENTRANCE ON ROSEDALE HWY)
B) ELECTRICAL - OUTSIDE (N END OF BLDG, E OF BACK DOOR)
C) WATER - IN CURB (W SIDE OF ENTRANCE ON ROSEDALE HWY)
D) SPECIAL - EMERGENCY SHUT OFF SWITCH FOR PUMPS INSIDE BLG BETWEEN
REGISTERS. ALSO ONE LOCATED ON E SIDE OF BLDG.
E) LOCK BOX - NO
-- Fire Protec./Avail. Water 02/13/1995
PRIVATE FIRE PROTECTION - FACILITY IS EQUIPPED WITH TWO FIRE EXTINGUISHERS &
WATER HOSES.
NEAREST FIRE HYDRANT - TWO FIRE HYDRANTS LOCATED BY FACILITY.
SIDE OF ROSEDALE HWY.
BOTH ARE ON S
Building Occupancy Level
-7- 01/18/2001
F~PJ~N CHEVRON
--------- SiteID: 015-021-001532
= Training Fast Format
---- Employee Training
02/13/1995
WE HAVE 8 EMPLOYEES AT THIS FACILITY.
WE DO HAVE MSDS SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE SHOWN HAZ MAT & EMERGENCY
VIDEOS & READ ALL MATERIALS PERTAINING TO THIS. THEY HAVE BEEN INSTRUCTED
AS TO HOW TO HANDLE AN EMERGENCY. a LIST OF WHAT TO DO & WHO TO CALL IS
AVAILABLE ATALL TIMES.
Page 2
Held for Future Use
Held for Future Use
-8-
01/'18/2001