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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