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HomeMy WebLinkAboutBUSINESS PLAN 2/12/1999 J"--:' ~~J'~ :. -- HMMP PLAN MAP ) d SITE DIAGRAMOO FACILITY DIAGRAM D Business Name: Circle K Stores Inc. (11242 v Area Map # 1 of 1 North Name of Area: Circle K Stores Inc. #1242 3232 Stine Rd., Bakersfield CA Scale 1" = 26.5' 3200 Stine Rd. One Hour Martinizing 3202 Stine Rd. Granny's Wash n Dry Self Service ' Laundry 3204 Stine Rd, Glenn Berger DDS 3206 Stine Rd, Vacant 4/95 3208 Stine Rd, MVP Sports Cards Parking 8' Chainlink Fence Curb Fire Ex!. Emergency Pump Shutoff UI ë CD É :¡¡ a. « <IÞ Parking lot ~ Store #1242 3232 Stine Rd, () o ã: OJ o x Parking /' <€9 /1 OK ~, / Gal / J I / / OK / ' - / Gal / I / / OK J - / Gal / N'-/ ® 4771 Planz Rd. - Carrows Restaurant -5- - - .. >Il......;;.f_:~ HMMP PLAN MAP SITE DIAGRAM 0 FACILITY DIAGRAM D Business Name: Circle K Corporation #1242 Ô North Area Map # ....!:.... of..!.... Name of Area: Circle K Corporation #1242 3232 Stine Rd., Bakersfield CA Scale 1- · 26.5' Plot Plan - Circle K Store #1242 3232 Stine Road, Bakersfield 3200 Stine Rd. 3204 Stine One Hour Martlnlzlng Rd. Vaoant 3208 Stine Rd. Part ya & More Glenn Berger DDS Parking 8' Chain link Fenoe Curb ~ (fþ C o I d Parking Lot A p a r t m e n t 8 Emervenoy Pump Shutoff Store #1242 3232 St Ine Rd. B o x Parking ", ~ " . , , "10K /,"'. ,'Gal.',' , : ..;,'10K /,"" ,..- 'Gal,',' , I' :,..,<~1~!~/ Gal p~al '"..-,' .... ® ; -.......... ; -!'""- . ,; .t~·"!·'; , ~- HtrMP PLAN ~ SITE DIAGRAM [XJ FACILITY DIAGRAM 0' Business Name' Circle K Corporation #1242 ~ North Name of Area: Area Map #~of 1 Circle K Corporaion #1242 3232 Stine Road, Bakersfield CA 3200 Stine Rd. One Hour Martlnl%lng 3204 Stine Rd. Glenn Berger DDS 3206 Stine Rd. Mike's Shoe Repair 3208 Stine Rd. MVP Sports Card s Parking 8' Chain link Fence Curb el C o I d Parking Lot A p a r t m e n t s Emergency Pump Shutoff ~ Store #1242 3232 Stine Rd. B o x '-... A ,,," \ vI.,¡' ,'10K ,1,'-', ,'Gal,',' \ : "";,,"10K,,,,;',,"...·\ .....u_" Gal"" \ ~( : /"10K ,I IJU '''.,' Ga!" Gas Pumpsl!t'r \....,' (ÞWl\ ® -5- n ., n ..... II) õ": + n 0 ., "S N ., III I ... 0 ::J 'II: .... Scale N ~ N 1" II 26.5' A P a r t m e n t s U1 I ..... n ..... m 3: J) J) . o ~ ...... 0:> '0 , Plot Plan - Circle K Store #1242 3232 Stine Road, Bakersfield 3200 Stine Rd. 3204 Stine One Hour Martlnlzlng Rd. ;,./ ! Vacant 3208 Stine Rd. Partys & More Glenn Berger DDS Parking 8' Chalnllnk Fence Curb - Exl Fire Ex t. ~ Parking b1 C Lot :ÞI ([š) 0 CH~ I d ~t-3 Store #1242 rI1Þ< 3232 B hJ Stine Rd. HO 0 Þ.lhJ x t"4 t=' Parking ", ,,' \ ,'10K ">". ...... Gal...',' \ : ,"......10K ;/,,1'-"', '---','Gal,,,.' \ ~(HMS : ,','10K / I.J\} FL '-",','Ga!,' Gas ::~psl \-.-,' FL ..... ŒJ e n ... 0 - ID .... t n 0 ... "8 N ... DI I ... 0 ::J 'It ... Scale N ~ N 1" II 26.5' A p a r t m e n t s 01 I ..... n .., m :E en en . o ~ ..... ( ) -0 Plot Plan - Circle K Store #1242 3232 Stine Road, Bakersfield 3200 Stine Rd. 3204 Stine One Hour Martlnlzlng Rd. Vacant Glenn Berger DDS Parking 8' Chain link Fence Curb , ,. -... " , , \ "10K ,/,'-" ," Gal............ ~ : .............10K ...'~'-\ I( HF~L~-(~';!~~~') I ' Gas pumps~( '--.-' HMH Wl\ FL ~ (fþ Store #1242 . 3232 Stine Rd. C o I d Park ing B o x .... ŒJ 3208 StIne Rd. Partys & More Parking Lot '-, -.- ¡ e- bj >' E:~ :øtoi fnÞ< b¡ HO t:l!ib¡ tot C e ~~ ' ~~?~ ~~~ ~ ~ ~~~~'" ~~\~ e -\ e -. . :-'-:.:-:-'-J.-/4oø..J ': .. '" . ........... . " .. ./ fJ >j .., r .. f\.I.W' ~\...kÞlC) . / '+J,~f"o( --I ". ··:'~~'p..:u,·· . ... .'>'.. ,1.< . . '. " ~i' ~ ",' .j t "I . ( ~.~, .;; _< t'. I; ~'-- . r-: " . '" -,~ . .'0. ~ '. '. ,- +- ., C1/1AA/dSt!T' Tt7 ¡þ 7 - -- I ". :~ I ~O c:Ã~ l'- .~ I I i i ~ .. & I·· I I Ii! ~"""L-I"'+f" J +(;~n~_ - ; 1< ., ~ , ¡qL4II'/1 - - \ f1.~rl/'. &. ~ ." ===t. . ~""'! ~.. I I i i ~ lA-ø.t::ID1! I ! ~~I~oIl JI ~1..c::J . i ~L I' , '--.r"-'---'-'''-'''-'--'-- ,-,- ..-- ; .---.-"" --_._,- .--...,....-'-'--'---'-~- ,.-,-.., -..-.-.....----...f ~~ ~Wþlo(' ~lvØWÞoV _. If, ~¡.Jz ~-þo.D ¿-~l 01JL ::1t ¡ d 4-J- , -,.c..) ,e e ,,-¡- I . . ...",. .. , ~; -!*; T R I A N G L E . EN U I RON MEN TAL, IN C . . ' . '~ .' LANZ'RD' . . --' -. ,-- ..,' 0. -.:;, ". ..,' ,:-' <', "..- ,'_ ..' , , . , , UENYS CIRCLE K 11242. ./ ...~ m [:3 [:3 -[:3 _ r:J 1:], C 000 UNL UNL+ S/UL l0X l0X l0X , ' . .',it, J~I' ~~;-'.;:- :. . ,",'i . .... i.· ,-, \. ';; : .: ; ~ i '"t j'. '~,; ¡ . ~ Site Layout For: 3232 STINE RD. , BAKERSFIELD, CA. ' '( . N , S T I N E R D I j -- NORTH ¡-l>'·'·· ..' J1J / - \) q¿ ~\.\j ¡~ ì '- " f f~ ~V) I,~ o G:AS ~Mf) "~~~tL'W'$.~a hi Y tJ R A N""- SCALE:j''=.2 ) BUSINESS NAME:c¡æCLé:.. K DATE/V.! / FACILITY NAME:3..2.3 2.... ST/ (CHECK ONE) SITE DIAGRAM ~M~AG>~NC.j cíj;A$ IIIMf S~ U,ï- vrF:. «Y',()\ ~o6 "Al FL " " , </ /<6>'~ I 000 t: A ~ . <"/,," /~ 101 doc 6Al \ / V ,,/ / \ / ..( ~11'eM"'-U ~ Pi- rTNL FACILITY DIAGRAM ~ / 995 - Irl7P' 7 --, ~ 3t¿ 'j ~ E. IZc) (Inspector's Comments): -OFFICIAL USE ONLY- SCALE: /,1 / BUS INESS NAME: £. L/ ':1"f FLOOR: I OF / =-/ Vo C I ~ C l '-" 5 Tv é r (2'1 7- DATE :/D/ I! CILITY NAME 32J 2- 57/ Nt:. '"ßKRSFL~NIT #: ) OF ) (CHECK ONE) SITE DIAGRAM ~' FACILITY DIAGRAM /NORTH - I ci ~ ,.'\......y-/, ..... ~+:'~ ~ .' , , i I p,fì I ¡ I . ¡ I . ¡ ì í Apr I ¡ I t í ¡ i i f f ! J 'tPì . ~! jV\CJß) L L HÙM.~ PI'Î~ K (Inspector's Comments): . '" ...... ". ." . . '. ..,":.....~.: :-".:,":~:': .~ ~-v ç¿ ~ ~ ~ '-1 5H()f~H-/, . C E. NTé ~ "FL ~ ()pfl , V ()Fl f>1':I.~A rh.,- i- V) ~ Ù J.... ~ ~ -:- ~ L) llJ Pt 1.'/'.. ¿, ':'( ftf/~ HY Rf1N ï PL.. ANZ ~J "' fAMùjS R E:S .,.,-, A~~ N ¡- ~HDPfrN~ C- EN 'ié I<... -OFFICIAL USE ONLY- '.~ '.:" ..~-,;:""_" ',-' .-j', .... ~'''-' ..''t""\...... ......~_--.... ....,·..f _'...,........ '.-,"',__~,'_u" .... __"._4." "~U,·_ _. _. .~ ~.- ---- ". \ ~.~~~ . CUST -Øtà NO. E~ Ô,;:)<2S MISCELLANEOUS RECEIVABLES ADJUSTMENT DATE d- \ -;¿-ct1 NEW ACCOUNT ADDRESS CHANGE CLOSE ACCT ¡ : FINANCE CHARGE I ; OTHER ADJ CUSTOMER NAME ß -rc..Å e..- K ff.-.\-o (~~~ -#0 I ~L\- ~ L\ Q.e..X\ c:, " '<\. ~ e..- pi , MAILING ADDRESS r. 0 ß \J~ 'S d-O~ t..-::; CITY _PkoV(\\ 'f. STATE -á.2 ZIP CODE 'tSD7~ SITE ADDRESS 3~3~ ~(\~ ed PARCEL NUMBER (IF APPUCABLE) ADJUSTMENT R~~KS~~~~ ~~~~~~\~:4§\\V~7erl , APPROVED BY -<:jt~-- \ / I BAKE.FIELD CITY FIRE DEPAIMENT OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVENUE, 3RD FLOO ¡~O ~ ~ ~W-~~ BAKERSFIELD, CA 933011 n I (805) 326-3979 r SEP 191997 U; . '"'-, HAZARDOUS MATERIALS INVENTORY 0) y/ "'-....~_. - FACILITY DESCRIPTION )~SS.6ð-- I 7Co~ :=stf I~I CHECK IF BUSINESS IS A FARM [] BUSINESS NAME Circle K Store #1242 FACILITY NAMEC:irde K Store #1242 '-- SITE ADDRESS 3232 Stine Road - --------- ! CITY Bakersfield STATECA ZIP 93309 NATURE OF BUSINESS Convenience Store I Gasoline Station SIC CODE 5541 DUN & BRADSTREET 06-294-4160 OWNER/OPERATOR Tosco Marketing Company PHONE (805) 831-5539 MAILING ADDRESS 3550 North Central Ave, 4th Floor CITY Phoenix STATE AZ ZIP 85012 NAME Staff EMERGENCY CONTACTS TITLE Duty CI~rk 24-HOUR PHONE.(8.05) 831-5539 BUSINESS PHONE {80S) 831·5539 NAME Ieri Nicholson TITLE Zone Manager BUSINESS PHONE (800) 697-1399 Pager 24-HOUR PHONE (800) 697-1399 Pager e e BAKERSFIELD CITY FIRE DEP AR TMENT HAZARDOUS MATERIALS INVENTORY PageL of _3_ Business Name Circle K Store #1242 Address 3232 Stine Road B.akersfield 933.0.9 CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision ~ Deletion [ ] Check if chemical is a NON TRADE SECRET ~ TRADE SECRET [ ] 2) Common Name: Gasoline Unleaded Regular 3) DOT # (optional) 1203 Chemical Name: Ga!\oline Unleaded Regular AHM [ ] CAS # 8006-61-9 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire ~ Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) ~ Delayed Health (Chronic) ~ 5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE 19 6) PHYSICAL STATE Solid [ ] Liquid ~ Gas [ ] Pure [ ] Mixture ~ Waste [ ] Radioactive [ ] ''''''''K A" ""AT ApØJ V 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 10000 Ibs [ ] gal~ ft3 [ ] a) Container: 01 Average Daily Amount: 5000 curies [ ] b) Pressure: 1 Annual Amount: 180442 c) Temperature: 4 Largest Size Countainer: 10000 # Days On Site: 365 Circle Which Months: @Year, J, F, M, A, M. J. J. A, S, O. N, D 9) MIXTURE: List COMPONENT CAS # %wr AHM the three most hazardous 1) Methyltert Butyl Ether 1614-04-4 16 [ ] chemical components or any AHM components 2) Toluene 1 08-88-3 8 [ ] 3) M-Xylene 108-38-3 7 [ ] 10) Location Underground tank approx 30 feet southwe"t of store CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision ~ Deletion [ ] Check if chemical is a NON TRADE SECRET ~ TRADE SECRET [ ] 2) Common Name: Gasoline Unleaded Plu" 3) DOT # (optional) 1203 Chemical Name: Gasoline Unleaded Plus AHM [ ] CAS # 8006-61-9 ~) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire ~ Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) ~ Delayed Health (Chronic) ~ 5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE 19 6) PHYSICAL STATE Solid [ ] Liquid ~ Gas [ ] Pure [ ] Mixture ~ Waste [ ] Radioactive [ ] "'H~CK A" ""AT APPI Y 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 10000 Ibs [ ] gal~ ft3 [ ] a) Container: 01 Average Daily Amount: 5000 curies [ ) b) Pressure: 1 Annual Amount: 66938 c) Temperature: 4 Largest Size Countainer: 10000 # Days On Site: 365 Circle Which Months: @Year, J. F. M, A, M. J. J. A. S, 0, N. D 9) MIXTURE: List COMPONENT CAS # %wr AHM the three most hazardous 1) Methyltert Butyl Fther 1614·04-4 16 [ ] chemical components or any AHM components 2) Toluene 108-88-3 _8....- [ ] 3) M-XylFme 108-38-3 7 [ ] 10) Location Underground tank approx 30 feet southwest of store / œnffy 00,", "",'/fy ,/ /OW. ~" / h,'" p""",.ny a,,,"'''' ,'" '" ~-, wIIh ~, .""',,.,, '""""" " ~" ,,'" oil '7"' / be"" ~, submitted information is true, accura:./d complete. g'13'9~ Manager tãi ¡tJ¡'(I.AdSo. f).Ø}. ~ . Print Name & Title of Authorized Company Representative Signature U Date II e e BAKERSFIELD CITY FIRE DEP AR TMENT HAZARDOUS MATERIALS INVENTORY PageL of L Business Name Circle K Store #1242 Address 3232 Stine Road B.akersfield 93309 CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision Þ<I Deletion [ ] Check if chemical is a NON TRADE SECRET Þ<I TRADE SECRET [ ] 2) Common Name: Gasoline Unleaded Premium 3) DOT # (optional) 1203 Chemical Name: Gasoline UnleadedEremium AHM [ ] CAS # B006-61-9 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire Þ<I Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) Þ<I Delayed Health (Chronic) Þ<I 5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE 19 6) PHYSICAL STATE Solid [ ] Liquid Þ<I Gas [ ] Pure [ ] Mixture Þ<I Waste [ ] Radioactive [ ] ~ue~v .. , 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE B) STORAGE CODES Maximum Daily Amount 10000 Ibs [ ] gal Þ<I ft3 [ ] a) Container: 01 Average Daily Amount: 5000 curies [ ] b) Pressure: 1 Annual Amount: 43655 c) Temperature: 4 Largest Size Countainer. 10000 # Days On Site: 365 Circle Which Months: @!;Year, J, F, M, A, M, J, J, A, S, 0, N, D 9) MIXTURE: List COMPONENT CAS # %WT AHM the three most hazardous 1) Methyltert Butyl Ether 1634-04-4 16 [ ] chemical components or any AHM components 2) Toluene 10B-88·3 8 [ ] 3) M-Xylene 108-3B·3 7 [ ] 10) Location Under~round tank approx 30 feet southwest of store CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET Þ<I TRADE SECRET [ ] 2) Common Name: Carbon Dioxide 3) DOT # (optional) Chemical Name: Carbon Dioxide Carbonic Anhydride AHM [ ] CAS # 124-3B-Q 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure Þ<I Immediate Health (Acute) Þ<I Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE 99 6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas IXI Pure Þ<I Mixture [ ] Waste [ ] Radioactive [ ] CHECK ALL T><A T APPI V 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 1044 Ibs [ ] gal [ ] ft3 Þ<I a) Container. 04 Average Daily Amount 522 curies [ ] b) Pressure: 2 Annual Amount: 5428B c) Temperature: 4 Largest Size Countainer. 174 # Days On Site: 365 Circle Which Months: §Year, J, F, M, A, M, J, J, A, S, 0, N, D 9) MIXTURE: List COMPONENT CAS # %WT AHM the three most hazardous 1) Carbon Dioxide Carbonic Anbl'dride 124-3B·9 100 [ ] chemical components or any AHM components 2) [ ] 3) [ ] 10) Location In Storeroom northeast comer of store I certify under penalty of law, that I have personally examined and am familiar with the information submitted on this and all attached cuments, I believe the submitted information ~s ~. accurate, and complete. Manager ~ 'l!hðl.5IJU j). (11. Print Name & Title of Authorized Company Representative 8"'/.5'7'1- ~I'II e e BAKERSFIELD CITY FIRE DEP AR TMENT HAZARDOUS MATERIALS INVENTORY PageL of L Business Name Circle K Store #1242 Address 3232 Stine Road Bak.ersfield 93309 CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition Þ<I Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET Þ<I TRADE SECRET [ ] 2) Common Name: Propane 3) DOT # (optional) 1978 Chemical Name: Propane AHM [ ] CAS # 74·98-6 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire Þ<I Reactive [ ] Sudden Release of Pressure Þ<I Immediate Health (Acute) Þ<I Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE 19 6) PHYSICAL STATE Solid [ ] Liquid Þ<I Gas !XI Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ] CHI'CK ALL 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 2296 Ibs [ ] gal [ ] 113 Þ<I a) Container. 04 Average Daily Amount: 1148 curies [ ] b) Pressure: 2 Annual Amount: 119392 c) Temperature: 4 Largest Size Countainer. 820 # Days On Site: 365 Circle Which Months: @þYear, J, F, M, A. M, J, J, A, S, 0, N, D 9) MIXTURE: List COMPONENT CAS # %WT AHM the three most hazardous 1) Propane 74·98-6 100 [ ] chemical components or any AHM components 2) [ ] 3) [ ] 10) Location Locked <".age in front of store CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ] r"~r'''.. 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: Ibs [ ] gal [ ] 113 [ ] a) Container. Average Daily Amount: curies [ ] b) Pressure: Annual Amount: c) Temperature: Largest Size Countainer: # Days On Site: Circle Which Months: All Year, J, F, M, A, M, J, J, A. S. 0, N, D 9) MIXTURE: List COMPONENT CAS # %WT AHM the three most hazardous 1) [ ] chemical components or any AHM components 2) [ ] 3) l 1 10) Location / œ<Iffy"""'" "",..1Iy of /'", ." / h,~ .._,1Iy ...minol ,," ,m ""',",... .. """",.,,, ~bm"d ~ .i, ~d ""'~Mts. ''''.~.. submitted information i~ true, ;ccurate, and complete. Æ 3'/39?- Manager ~ lI!tí!J,ož <)O,J I), I'7J Print Name & Title of Authorized Company Representative Signaturé Ú --- Date ~;,I,'....,·' ,,"';;' L------------~ INSTRUCTIONS: e e BAKERSFIELD CITY FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVENUE, 3RD FLOOR BAKERSFIELD, CA 93301 (805) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: C.irde K Store #1242 LOCATION:3232 Stine Road Rakersfield 93309 MAILING ADDRESS: 3550 North c.entra] Avenue, 4th Floor CITY: Phoenix STATE: ~ ZIP: 85012 PHONE: (805) 831-5539 DUN & BRADSTREET NUMBER: 06-294-4160 SIC CODE: 5541 PRIMARY ACTIVITY: C.onvenience Store / Gasoline Station OWNER: Tosco c.orporation dha Tosca Marketinr; MAILING ADDRESS: PO 52084 Phoenix AZ 85072 SECTION 2: EMERGENCY NOTIFICATION: CONTACT 24 HR. PHONE 1. Staff 2. Teri Nicholson TITLE BUS. PHONE Duty C.lerk (805) 831-5539 (805) 831-5539 Zone Manar;er (800) 697-1399 Pager (800) 697-1399 Par;er 1. e, Bakersfield Fire Dept. e Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING NUMBER OF EMPLOYEES: 3 MATERIAL SAFETY DATA SHEETS ON FILE: Yes BRIEF SUMMARY OF TRAINING PROGRAM: Special on-the-job training in the handling of hazardous material(s) is provided in the following areas: 1. Proper maintenance and use of gasoline equipment. 2. Use of absorbent for small spills. 3. Employees are instructed on proper response to police, fire department, emergency medical and Tosco Environmental Department. 4. Each Circle K gasoline store has a Company supplied gasoline manual with MSDSs for gasoline and C02. A review of the contents of the Emergency Response Plan will be made by all new employees within one month of hiring and by all employees on an annual basis. Safety and emergency equipment usage training will provide familiarization with the location and proper use of fire fighting equipment (fire extinguishers), the location of and procedures for facility shutdown (including the location of shutoffs for gas and electricity) and the proper use of equipment used in the day to day business. 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 78<.1' lilt dB /SVtJ 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 HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. -,. ,~þ 2). /YJ. SIGN TITLE DATE 2. e Bakersfield Fire Dept. e Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: Circle K Srore #1242 SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: If emergency response assistance not required, notify: Bakersfield City Hazardous Materials Division State Office of Emergency Services 326-3979 800-852-7550 AND WITHIN 24 HOURS If release poses present or potential hazard to human health & safety, property or environment, and emergency assistance is required, immediately notify: Fire Department - Bakersfield Fire Department Police Department - Bakersfield Police Department Bakersfield City Hazardous Material Division State Office of Emergency Services 911 911 911 (800) 852-7550 or (916) 262-1621 B. EMPLOYEE NOTIFICATION AND EVACUATION: Upon recognition of a release, the Duty Clerk will verbally (shouting) notify all other site personnel. The clerk will ensure the shutdown of his/her area of responsibility (if possible) before evacuating. This includes elimination of potential ignition sources in the case of the release of flammable material. Evacuation will follow the designated routes (if unobstructed) as diagrammed on the Site/Plot Plan. Employees will be notified to evacuate by verbal (shouting) method to a pre-determined evacuation staging area where all employees will be accounted for. C. PUBLIC EVACUATION: If evacuation from area deemed necessary, these neighboring properties will be notified: Carrows Restaurant One Hour Martinizing Glenn Berger, DDS MVP Sports Card Granny's Wash N Dry Fred Thompson Jr. High 4771 Planz Road 3200 Stine Road 3204 Stine Road 3208 Stine Road 3202 Stine Road 4200 Planz Road 831-0971 832-3480 833-6892 834-2065 398-9820 832-8011 D. EMERGENCY MEDICAL PLAN: Ihe primary Company medical facility to treat employees injured by a hazardous materials incident: MERCY HOSPITAL 2215 TRUXTON AVENUE 327-3371 3. e Bakersfield Fire Dept. e Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION. PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: 1. Barriers installed to prevent vehicle collision with pumps. 2. Vapor Recovery Systems used when filling underground tanks which are of fiberglass construction. 3. Anti-lock nozzles at pumps. 4. No sales to non-authorized containers. 5. No Smoking signs posted, self-serve instructions posted. 6. Tank monitoring program implemented. B. RELEASE CONTAINMENT AND/OR MINIMIZATION: 1. Preventive diking with absorbent materials. 2. Shut off of all emergency switches to prevent further spillage. 3. Barricade area to prevent possible exposure to general public. 4. Avoid personal exposure to fumes/vapors and contact with liquid. 5. Eliminate all sources of ignition in area of spill or vapors. 6. Absorb liquids with absorbent materials and place is sealed container for disposal. C. CLEAN-UP PROCEDURES: Notify Circle K/Tosco Environmental Manager (602200-4528 for coordination with hazardous waste disposal company to remove contaminated absorbent materials if required. CARBON DIOXIDE, PROPANE A. RELEASE PREVENTION STEPS: Tanks are stored upright and firmly secured. B. RELEASE CONTAINMENT AND/OR MINIMIZATION: Close valve if safe to do so, open all doors/ventilate. C. CLEAN-UP PROCEDURES: Remove ignition sources. Ventilate area immediately. Contact supplier if leak in container/valve. SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: None ELECTRICAL: a) Inside, backroom of store (breakers), b) Fast wall of huildinr; at south end (meter) WATER: North wall of huildinr; at west end (main line r;ate valve) SPECIAL: Fmerr;ency r;as shutoff switch· a) At cashier station on c.onsole, b) Northwest c.orner of huilding, outside LOCK BOX: YES9 IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTIONIWATERAVAILABILlTY: A. PRIVATE FIRE PROTECTION: Fire extinguishers B. WATER AVAILABILITY (FIRE HYDRANT): Hydrant: Northeast corner of site 4. - e HMMP PLAN MAP SITE DIAGRAMOO FACILITY DIAGRAM D Business Name: Circle K Stores Inc. #1242 o North Area Map # 1 of 1 Name of Area: Circle K Stores Inc. #1242 3232 Stine Rd., Bakersfield CA Scale 1" = 26.5' 3200 Stine Rd. One Hour Martinizing 3202 Stine Rd. Granny's Wash n Dry Sølf Service Laundry 3204 Stine Rd, Glenn Berger DDS 3206 Stine Rd, Vacant 4/95 3208 Stine Rd. MVP Sports Cards Parking 8' Chainlink Fence Curb Emergency Pump Shutoff CD Parking Lot tI) - c: <II E - ... a:I a. c( «þ Store #1242 3232 Stine Rd. o o õ: m o X /' ~ /10K ;, ...... /Gal/ J I / /1OK /' -/Gal/ J I / /¡ OK -/Gal/ ,'_/ ® Parking 4771 Planz Rd. - Carrows Restaurant -5- , CITY OF BAKERSFIELD SYMBOL LEGEND ® GAS ..... FENCE+ALL TYPES) ® INDICA E HEIGHT ELECTRIC ~.. GATE IN FENCE ® WATER ~- STANDARD DOOR ~ SPRINKLER FIRE DEPT. CONNECTION ------, UNDERGROUND : 10K I ~º-~'=_: STORAGE ß FIRE HYDRANT - PUBLIC TANKS - LIST CAPACITY 0 FIRE HYDRANT - PRIVATE @ AUTOMATIC SPRINKLER ~ ABOVEGROUND BUILDING OR AREA GAL STORAGE TANKS @ FIRE ALARM l illl lllllll RAILROAD TRACKS MSDSI MATERIAL SAFETY PESTICIDE STORAGE DATA SHEET STORAGE AREA c::> EVACUATION AREA TYPES OF HAZARDOUS MATERIALS 0 FLAMMABLE <:;> LIQUID o CORROSIVE o SOLID <2> WATER REACTIVE o GAS o EXPLOSIVE o RADIOLOGICAL <2> WASTE EXAMPLE: FLAMMABLE 0 LIQUID }. o POISON EXPLOSIVE GAS ~ ß' -- . , e CIRCLE K STORES INC #1242 e SiteID: 215-000-000995 Manager : Location: 3232 STINE RD City BAKERSFIELD BusPhone: Map : 123 Grid: 11C (805) 831-5539 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code:5541 DunnBrad:06-294-4160 Emergency Contact / Title Em~gency Contact / Title STAFF / DUTY CLERK TE NICHOLSON / DISTRICT MNGR Business Phone: (805) 831-5539x Business Phone: t803) JJ~ 60J2.K 24-Hour Phone : ( ) - x 24-Hour Phone . ( ) - x . Pager Phone : ( ) - x Pager Phone : (~ )69'"; -):)99' x Hazmat Hazards: Fire Press ImmHlth DelHlth Agency-Defined Topic Title f= Hazmat Inventory One Unified List 9 f== MCP+DailyMax Order All Materials at Site 9 Hazmat Common Name... specHaz EPA Hazards I Frm I DailyMax IUnit MCP UNLEADED PLUS GASOLINE F IH DH L 10000 GAL Mod UNLEADED GASOLINE F IH DH L 10000 GAL Mod PREMIUM UNLEADED GASOLINE F IH DH L 10000 GAL Mod CARBON DIOXIDE F P IH G 1044 FT3 Min ~ pfJ ¡H Ql ;;ì.:l.'::; (,. Fí3 " '1ii¡ A)¡t/¡z/.!1J;J (Type or; ,~: nt."1-:) Do he:-eby certify that , have reviewed t!"',;: - .;:)~ h-"'?"" 1':'" -,._ . ,,' .. 'OJ ~c¡,: .':J'-'~ ~<1tena's manage- ment p;~n îi)T e. r4lt:. 1/ - d· . .q - r""~,e ~i~~S¡''':é:::;¡-_<:1n I tiìat It along with any co ~··a""'·~io"'·· C,. t'· I, ..,l. :;;,;, ..vns /tute a complete and correct man- agement plan fer my facility. ;t ~/3·Ç;2- 01'8 -1- e f CIRCLE K STORES INC #1242 f= Inventory Item 0001 F= COMMON NAME / CHEMICAL NAME UNLEADED PLUS GASOLINE e SiteID: 215-000-000995 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit TOWARDS SOUTHWEST CORNER OF PROPERTY CAS# 8006-61-9 STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE UNDER GROUND TANK Lrgst Cant. this Lac GAL DailyMax this Lac GAL DailyAvg this Lac GAL 10000.00 5000.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL AMOUNTS STORED AND IN USE %Wt. EHS CAS# 100.00 Gasoline No 8006619 HAZARDOUS COMPONENTS -2- e - f CIRCLE K STORES INC #1242 f= Inventory Item 0002 = COMMON NAME / CHEMI CAL NAME UNLEADED GASOLINE SiteID: 215-000-000995 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit TOWARDS SOUTHWEST CORNER OF PROPERTY CAS# 8006-61-9 STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE UNDER GROUND TANK Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 10000.00 5000.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL AMOUNTS STORED AND IN USE HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Gasoline No 8006619 -3- e e F CIRCLE K STORES INC #1242 p= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED GASOLINE SiteID: 215-000-000995 ì Facility Unit: Fixed Containers on Site ì Location within this Facility Unit TOWARDS SOUTHWEST CORNER OF PROPERTY Days On Site 365 CAS# 8006-61-9 STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE UNDER GROUND TANK Lrgst Cont.this Loc GAL DailyMax this Loe GAL DailyAvg this Loe GAL 10000.00 5000.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL AMOUNTS STORED AND IN USE 0 0 o E %Wt. EHS CAS# 100.00 Gasoline No 8006619 HAZARD US C MP N NTS -4- e e F CIRCLE K STORES INC #1242 f= Inventory Item 0004 = COMMON NAME / CHEMICAL NAME CARBON DIOXIDE SiteID: 215-000-000995 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit IN STOREROOM BACK OF STORE CAS# 124-38-9 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Lrgst Cont.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3 1044.00 522.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 AMOUNTS STORED AND IN USE AZAR ON %Wt. EHS CAS# 100.00 Carbon Dioxide No 124389 H DOUS COMP ENTS -5- e e f CIRCLE K STORES INC #1242 I f= Notif./Evacuation/Medical Agency Notification SiteID: 215-000-000995 9 Fast Format 9 Overall Site 9 05/06/1996 IF EMERGENCY RESPONSE ASSISTANCE NO REQUIRED, NOTIFY: BAKERSFIELD CITY HAZARDOUS MATERIALS DIVISION STATE OFFICE OF EMERGENCY SERVICES 326-3979 800-852-7550 WITHIN 24 HOURS IF RELEASE POSES PRESENT OR POTENTIAL HAZARD TO HUMAN HEALTH & SAFETY, PROPERTY OR ENVIRONMENT, AND EMERGENCY ASSISTANCE IS REQUIRED, IMMEDIATELY NOTIFY: FIRE DEPARTMENT - BAKERSFIELD FIRE DEPARTMENT POLICE DEPARTMENT - BAKERSFIELD POLICE DEPARTMENT BAKERSFIELD CITY HAZARDOUS MATERIALS DIVISION STATE OFFICE OF EMERGENCY SERVICES 9-1-1 9-1-1 9-1-1 800-852-7550 OR 916-262-1621 Employee Notif./Evacuation 05/06/1996 UPON RECOGNITION OF A RELEASE, THE DUTY CLERK WILL VERBALLY (SHOUTING) NOTIFY ALL OTHER SITE PERSONEL. THE CLERK WILL ENSURE THE SHUTDOWN OF HIS/HER AREA OF RESPONSIBILITY (IF POSSIBLE) BEFORE EVACUATING. THIS INCLUDES ELIMINATION OF POTENTIAL IGNITION SOURCES IN THE CASE OF THE RELEASE OF FLAMMABLE MATERIAL. EVACUATION WILL FOLLOW THE DESIGNATED ROUTES (IF UNOBSTRUCTED) AS DIAGRAMMED ON THE SITE/PLOT PLAN. EMPLOYEES WILL BE NOTIFIED TO EVACUATE BY VERBAL (SHOUTING) METHOD TO A PRE-DETERMINED EVACUATION STAGING AREA WHERE ALL EMPLOYEES WILL BE ACCOUNTED FOR. Public Notif./Evacuation 05/06/1996 IF EVACUATION FROM AREA DEEMED NECESSARY, THESE NEIGHBORING PROPERTIES WILL BE NOTIFIED i~ ffJfWt61.¿: CARROWS RESTAURANT ONE HOUR MARTINIZING GLENN BERGER, DDS MVP SPORTS CARD GRANNY'S WASH N DRY FRED THOMPSON JR. HIGH 4771 PLANZ ROAD 3200 STINE ROAD 3204 STINE ROAD 3208 STINE ROAD 3202 STINE ROAD 4200 PLANZ ROAD 831-0971 832-3480 833-6892 834-2065 398-9820 832-8011 Emergency Medical Plan 05/06/1996 MERCY HOSPITAL - 2215 TRUXTUN AV - 327-3371. -6- e F CIRCLE K STORES INC #1242 I p= Mitigation/Prevent/Abatemt Release Prevention e SiteID: 215-000-000995 ì Fast Format ì Overall Site ì 05/06/1996 1. BARRIERS INSTALLED TO PREVENT VEHICLE COLLISION WITH PUMPS. 2. VAPOR RECOVERY SYSTEMS USED WHEN FILLING UNDERGROUND TANKS WHICH ARE OF FIBERGLASS CONSTRUCTION. 3. OOAL HOSE 3'î8YEMS ON rUHPS. ANTI-LOCK NOZZLES AT PUMPS. 4. NO SALES TO NON-AUTHORIZED CONTAINERS. 5. NO SMOKING SIGNS POSTED, SELF-SERVE INSTRUCTIONS POSTED. 6. TANKS CI:ŒCKED PERIODICALLY FOR LEAKS BY COMPARINC GnT.T,()N(:;àE MEAeUR1:M1:NTS HI'f'II eALEe RECORDS. - mfmì~'''''J f'f)ðr'lno-:,titf/~~ Release Containment 05/06/1996 1. PREVENTIVE DIKING WITH ABSORBENT MATERIALS. 2. SHUT OFF OF ALL EMERGENCY SWITCHES TO PREVENT FURTHER SPILLAGE. 3. BARRICADE AREA TO PREVENT POSSIBLE EXPOSURE TO GENERAL PUBLIC. 4. AVOID PERSONAL EXPOSURE TO FUMES/VAPORS AND CONTACT WITH LIQUID. 5. ELIMINATE ALL SOURCES OF IGNITION IN AREA OF SPILL OR VAPORS. 6. ABSORB LIQUIDS WITH ABSORBENT MATERIALS AND PLACE IN SEALED CONTAINER FOR DISPOSAL. Clean Up 05/06/1996 NOTIFY CIRCLE K ENVIRONMENTAL DIRECTOR (602) 530-5089 FOR COORDINATION WITH HAZARDOUS WASTE DISPOSAL COMPANY TO REMOVE CONTAMINATED ABSORBENT MATERIALS IF REQUIRED. CARBON DIOXIDE: A. RELEASE PREVENTION STEPS: TANKS ARE STORED UPRIGHT AND FIRMLY SECURED. B. RELEASE CONTAINMENT AND/OR MINIMIZATION: CLOSE VALVE IF SAFE TO DO SO, OPEN ALL DOORS/VENTILATE. C. CLEAN-UP PROCEDURES: VENTILATE AREA IMMEDIATELY. CONTACT SUPPLIER IF LEAK IN CONTAINER/VALVE. Other Resource Activation -7- e CIRCLE K STORES INC #1242 F I p= Site Emergency Factors r== Special Hazards e SiteID: 215-000-000995 9 Fast Format 9 Overall Site 9 I . . Utility Shut-Offs 06/29/1995 A) GAS - NONE B) ELECTRICAL - INSIDE, BACK ROOM OF STORE OUTSIDE, EAST WALL OF BUILDING (SOUTH END) C) WATER - NORTH WALL OF BUILDING, OUTSIDE (MAIN LINE GATE VALVE) WEST END D) SPECIAL - EMERGENCY GAS SHUTOFF SWITCH: A) CASHIER STATION ON CONSOLE; B) NORTHWEST CORNER OF BUILDING, OUTSIDE E) LOCK BOX - NO Fire Protec./Avail. Water 06/29/1995 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - CORNER OF PLANZ AND STINE ROADS Building Occupancy Level -8- ~.... ~'. '.. e F CIRCLE K STORES INC #1242 I F Training Employee Training . SiteID: 215-000-000995 ì Fast Format ì Overall Site ì 05/06/1996 WE HAVE 3 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: SPECIAL ON-THE-JOB TRAINING IN THE HANDLING OF HAZARDOUS MATERIALS IS PROVIDED IN THE FOLLOWING AREAS: 1) PROPER M~j~~ijCE AND USE OF GASOLINE EQUIPMENT. 2) USE OF ~ER FOR SMALL SPILLS. 3) EMPLOYEES ARE INSTRUCTED ON PROPER RESPONSE TO POLICE, FIRE DEPARTMENT, EMERGENCY MEDICAL AND CIRCLE K ENVIRONMENTAL DEPARTMENT. 4) EACH CIRCLE K GASOLINE STORE HAS A COMPANY SUPPLIED GASOLINE MANUAL WITH MSDS'S FOR GASOLINE AND C02. A REVIEW OF THE CONTENTS OF THE EMERGENCY RESPONSE PLAN WILL BE MADE BY ALL NEW EMPLOYEES WITHIN ONE MONTH OF HIRING AND BY ALL EMPLOYEES ON AN ANNUAL BASIS. SAFETY AND EMERGENCY EQUIPMENT USAGE TRAINING WILL PROVIDE FAMILIARIZATION WITH THE LOCATION AND PROPER USE OF FIRE FIGHTING EQUIPMENT (FIRE EXTINGUISHERS), THE LOCATION OF AN PROCEDURES FOR FACILITY SHUTDOWN (INCLUDING THE LOCATION OF TURNOFF VALVES FOR GAS AND ELECTRICITY) AND THE Page 2 r I I Held for Future Use Held for Future Use -9- 1'~3 BAKWSFIELD CITY FIRE DEParTMENT OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVENUE, 3RD FLOOR BAKERSFIELD, CA 93301 (805) 326-3979 HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [] BUSINESS NAME Circle K Stores Tnc #1242 FACILITY NAME SITE ADDRESS 3232 Stine Road CITY Bakersfield STATECA ZIP 93309 NATURE OF BUSINESS Convenience Store / Gasoline Station SIC CODE 5541 DUN & BRADSTREET 06-294-4160 OWNER/OPERATOR Myron Smith, Compliance Manager MAILING ADDRESS 3003 N. Central Avenue, 16th Floor CITY Phoenix PHONE (805) 831-5539 STATE AZ ZIP 85012 NAME Staff EMERGENCY CONTACTS TITLE Duty Clerk 24-HOUR PHONE (805) 831-5539 BUSINESS PHONE (805) 831-5539 NAME Teri Nicholson TITLE District Manager BUSINESS PHONE (805) 335·6032 Pager 24-HOUR PHONE (805) 335-6032 Pager ., - - BAKERSFIELD CITY FIRE DEP AR TMENT HAZARDOUS MATERIALS INVENTORY PageL of L Business Name Circle K Stores Inc #1242 Address 3232 Stine Road Bakersfield 93309 CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] ReviTion t><J Deletion [ ] Check if chemical is a NON TRADE SECRET t><J TRADE SECRET [ ] 2) Common Name: Gasoline Unleaded Regular ,/ 3) DOT # (optional) 1203 Chemical Name: Gasoline Unleaded Regular AHM [ ] CAS # 8006-61-9 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire !XI Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) !XI Delayed Health (Chronic) !XI 5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE 19 6) PHYSICAL STATE Solid [ ] Liquid !XI Gas [ ] Pure [ ] Mixture t><J Waste [ ] Radioactive [ ] CHECKAUTUATAP~Y 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 10000 Ibs [ ] gal t><J ft3 [ ] a) Container: 01 Average Daily Amount: 5000 curies ( ] b) Pressure: 1 Annual Amount: 180442 c) Temperature: 4 Largest Size Countainer: 10000 # Days On Site: 365 Circle Which Months: @þYear, J, F, M, A, M, J, J, A, S, 0, N, D 9) MIXTURE: List COMPONENT CAS # %wr AHM the three most hazardous 1) Methyltert Butyl Ether 1614-04-4 16 [ ] chemical components or any AHM components 2) Toluene 108-88-3 8 [ ] 3) M-Xylene 108-38-3 7 [ ] 10) Location Underground tank approx 30 feet southwest of store CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Rev)sion t><J Deletion [ ] Check if chemical is a NON TRADE SECRET !XI TRADE SECRET [ ] 2) Common Name: r."~nlin.. Ilnl.."rl..rl Pill~ J 3) DOT # (optional) 1203 Chemical Name: Gasoline Unleaded Plus AHM [ ] CAS # 8006-61-9 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire t><J Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) t><J Delayed Health (Chronic) t><J 5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE 19 6) PHYSICAL STATE Solid [ ] Liquid !XI Gas [ ] Pure [ ] Mixture !XI Waste [ ] Radioactive [ ] CHECK ALL THA T APPLY 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 10000 Ibs [ ] gal !XI ft3 [ ] a) Container: 01 Average Daily Amount: 5000 curies [ ] b) Pressure: 1 Annual Amount: 66938 c) Temperature: 4 Largest Size Countainer: 10000 # Days On Site: 365 Circle Which Months: @þYear, J, F, M, A, M, J, J, A, S, 0, N, D 9) MIXTURE: List COMPONENT CAS # %wr AHM the three most hazardous 1) Methyltert Butyl Ether 1614-04-4 16 ( ] chemical components or any AHM components 2) Toluene 108-88-3 8 [ ] 3) M-Xylene 1 08·38-3 7 [ ] 10) Location Underground tank approx 30 feet southwest of store I certify under penalty of law, that I have personally examined and am familiar with the information submitted on this and all attached documents. I beli submitted information is true, accurate, and complete. Myron Smith Compliance Manager Print Name & Title of Authorized Company Representative ~ e e BAKERSFIELD CITY FIRE DEP AR TMENT HAZARDOUS MATERIALS INVENTORY PageL of 2..... Business Name ClrcJe K Stores Inc #1242 Address 32.32 Stine Road Bakersfield 93,309 , CHEMICAL DESCRIPTION , 1) INVENTORY STATUS: New [ ] Addition [ ) Re~¡'sion ~ Deletion [ ) Check if chemical is a NON TRADE SECRET ~ TRADE SECRET [ ] 2) Common Name: Gasoline Unleaded Premium .¡ 3) DOT # (optional) 1203 Chemical Name: Gasoline Unleaded Premium AHM [ ) CAS # 800B-61-9 4} PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire ~ Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) ~ Delayed Health (Chronic) ~ 5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE 19 6) PHYSICAL STATE Solid [ ] Liquid ~ Gas [ ] Pure [ ] Mixture ~ Waste [ ] Radioactive [ ) CH¡:CK ALL THA T APPL Y 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 10000 Ibs [ ] gal I><J 113 [ ] a) Container. 01 Average Daily Amount: 5000 curies [ ) b} Pressure: 1 Annual Amount: 43655 c) Temperature: 4 Largest Size Countainer. 10000 # Days On Site: 365 Circle Which Months: @l1Year, J, F, M, A, M, J, J, A, S, 0, N, D 9) MIXTURE: List COMPONENT CAS # %Wf AHM the three most hazardous 1) Methyltert Butyl Ether 1634-04-4 16 [ ) chemical components or any AHM components 2) Toluene 108-88-3 8 [ ] 3} M-Xylene 108-38-3 7 [ ] 10} Location Underground tank approx 30 feet southwest of store CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET I><J TRADE SECRET [ ) 2) Common Name: Carbon Dioxide 3) DOT # (optional) Chemical Name: Carbon Dioxide Carbonic Anhydride AHM [ J CAS # 124-38-9 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ J Reactive [ J Sudden Release of Pressure I><J Immediate Health (Acute) I><J Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE 99 6) PHYSICAL STATE Solid [ J Liquid [ ] Gas !XI Pure ~ Mixture [ J Waste [ J Radioactive [ J CHECK ALL THA T APP¡ Y 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 1044 Ibs [ J gal [ J 113 I><J a) Container. 04 Average Daily Amount: 522 curies [ J b) Pressure: 2 Annual Amount: 54288 c) Temperature: 4 largest Size Countainer. 174 # Days On Site: 365 CircJe Which Months: @þYear, J, F, M, A, M, J, J, A, S, 0, N, D 9) MIXTURE: list COMPONENT CAS # %Wf AHM the three most hazardous 1) Carbon Dioxide Carbonic Anhydride 124·38-9 100 [ J chemical components or any AHM components 2) [ J 3) [ J 10) location In Storeroom northeast comer of store I certify under penalty of law, that I have personally examined and am familiar with the information submitted on this and all attached documents. I submitted information is true, accurate, and complete. Myron Smith Compliance Manager Print Name & Title of Authorized Company Representative e e BAKERSFIELD CITY FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVENUE, 3RD FLOOR BAKERSFIELD, CA 93301 (805) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: Circle K Stores Tnc #1242 LOCATION:3232 Stine Road Bakersfield 93309 MAILING ADDRESS: 3003 N Central Avenue, 16th Floor CITY: Phoenix STATE: ~ ZIP: 85012 PHONE: (805) 831-5539 DUN & BRADSTREET NUMBER: 06-294-4160 SIC CODE: 5541 PRIMARY ACTIVITY: Convenience Store / Ga.~oline Station OWNER: Circle K Stores Tnc MAILING ADDRESS: POBox 52084 Phoenix AZ 85072 SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE 1. Staff Duty Clerk (805) 831-5539 (805) 831-5539 2. T eri Nicholson District Manar;er (805) 335-6032 Par;er (805) 335-6032 Pager 1. e Bakersfield Fire Dept. e Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING NUMBER OF EMPLOYEES: 3 MATERIAL SAFETY DATA SHEETS ON FILE: Yes BRIEF SUMMARY OF TRAINING PROGRAM: Special on-the-job training in the handling of hazardous material(s) is provided in the following areas: 1. Proper maintenance and use of gasoline equipment. 2. Use of kitty litter for small spills. 3. Employees are instructed on proper response to police, fire department, emergency medical and Circle K Environmental Department. 4. Each Circle K gasoline store has a Company supplied gasoline manual with MSDSs for gasoline and C02. A review of the contents of the Emergency Response Plan will be made by all new employees within one month of hiring and by all employees on an annual basis. Safety and emergency equipment usage training will provide familiarization with the location and proper use of fire fighting equipment (fire extinguishers), the location of and procedures for facility shutdown (including the location of turnoff valves for gas and electricity) and the proper use of equipment used in the day to day business. 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 Myron Smith CERTIFY THAT THE ABOVE INFOR- MA TION 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.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. TITLE 2. tit Bakersfield Fire Dept. __ Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: If emergency response assistance not required, notify: Bakersfield City Hazardous Materials Division State Office of Emergency Services 326-3979 800-852-7550 AND WITHIN 24 HOURS If release poses present or potential hazard to human health & safety, property or environment, and emergency assistance is required, immediately notify: Fire D~artment - Bakersfield Fire Department Police Department - Bakersfield Police Department Bakersfield City Hazardous Material Division State Office of Emergency Services 911 911 911 (800) 852-7550 or (916) 262-1621 B. EMPLOYEE NOTIFICATION AND EVACUATION: Upon recognition of a release, the Duty Clerk will verbally (shouting) notify all other site personnel. The clerk will ensure the shutdown of his/her area of responsibility (if possible) before evacuating. This includes elimination of potential ignition sources in the case of the release of flammable material. Evacuation will follow the designated routes (if unobstructed) as diagrammed on the Site/Plot Plan. Employees will be notified to evacuate by verbal (shouting) method to a pre-determined evacuation staging area where all employees will be accounted for. C. PUBLIC EVACUATION: If evacuation from area deemed necessary, these neighboring properties will be notified: Carrows Restaurant One Hour Martinizing Glenn Berger, DDS MVP Sports Card Granny's Wash N Dry Fred Thompson Jr. High 4771 Planz Road 3200 Stine Road 3204 Stine Road 3208 Stine Road 3202 Stine Road 4200 Planz Road 831-0971 832-3480 833-6892 834-2065 398-9820 832-8011 D. EMERGENCY MEDICAL PLAN: The primary Company medical facility to treat employees injured by a hazardous materials incident: MERCY HOSPITAL 2215 TRUXTON AVENUE 327-3371 3. tit Bakersfield Fire Dept. e Hazardous Materials Division . HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION. PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: 1. Barriers installed to prevent vehicle collision with pumps. 2. Vapor Recovery Systems used when filling underground tanks which are of fiberglass construction. 3. Dual hose systems on pumps. Anti-lock nozzles at pumps. 4. No sales to non-authorized containers. 5. No Smoking signs posted, self-serve instructions posted. 6. Tanks checked periodically for leaks by comparing gallonage measurements with sales records. B. RELEASE CONTAINMENT AND/OR MINIMIZATION: 1. Preventive diking with absorbent materials. 2. Shut off of all emergency switches to prevent further spillage. 3. Barricade area to prevent possible exposure to general public. 4. Avoid personal exposure to fumes/vapors and contact with liquid. 5. Eliminate all sources of ignition in area of spill or vapors. 6. Absorb liquids with absorbent materials and place is sealed container for disposal. C. CLEAN-UP PROCEDURES: Notify Circle K Environmental Director (602) 530-5089 for coordination with hazardous waste disposal company to remove contaminated absorbent materials if required. CARBON DIOXIDE A. RELEASE PREVENTION STEPS: Tanks are stored upright and firmly secured. B. RELEASE CONTAINMENT AND/OR MINIMIZATION: Close valve if safe to do so, open all doors/ventilate. C. CLEAN-UP PROCEDURES: Ventilate area immediately. Contact supplier if leak in container/valve. SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: None ELECTRICAL: a) Inside, back room of store (breakers), b) East wall of buildine at south end (meter) WATER: North wall of buildinr; at west end (main line gate valve) SPECIAL: Emergency r;a.~ shutoff switch· a) At ca.~hier station on console, b) Northwest corner of buildinr;, outside LOCK BOX: YES9 IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTIONIWA TER AVAILABILITY: A. PRIVATE FIRE PROTECTION: Fire extinguishers B. WATER AVAILABILITY (FIRE HYDRANT): Hydrant: Northeast corner of site 4. Hl\!MP PL AP SITE DIAGRAMOO FACILITY DIAGRAM D Business Name: Circle K Stores Inc. #1242 <) North Area Map # 1 of 1 Name of Area: Circle K Stores Inc. #1242 3232 Stine Rd., Bakersfield CA Scale 1a = 26.5' 3200 Stine Rd. One Hour Martinizing 3202 Stine Rd. Granny's Wash n Dry . Self Service Laundry 3204 Stine Rd. Glenn Berger DDS 3206 Stine Rd. Vacant 4/95 3208 Stine Rd, MVP Sports Cards Parking 8' Chainlink Fence Curb Fire Ex!. Emergency Pump Shutoff III ë CD § ... III Q. < ~ Parking Lot ~ Store #1242 3232 Stine Rd. (') o ë: tD o )( Parking /..... ~ /10K ; ..... / Gal / / I / /i OK / ..... -/Gal/ ) "( I //10K LA) - / Gal / I / G: Pumps [f( - ,~ ® 4771 Planz Rd. - Carrow5 Restaurant -5- ·. .. ~. .. SYMBOLS - @GAS ® ELECTRIC ® WATER e fMSDSj . . . . f-V' . ~- ~ SPRINKLER FIRE DEPT. ~"o CONNECTION MSDS STORAGE FENCE (ALL TYPES) INDICATE HEIGHT GATE IN FENCE STANDARD DOOR ,- - - - -., UNDERGROUND , 10,000 I STORAGE Gal ,TANKS - LIST L - - - - - CAPABILITY ~ FIRE HYDRANT - PUBLIC o FIRE HYDRANT - PRIVATE n:t:t:n:t 10,000 Gal ~,A~® AUTOMATIC SPRINKLERED BUILDING OR AREA c:> @ FIRE ALARM PESTICIDE STORAGE RAILROAD TRACKS ABOVEGROUND TANKS EVACUATION AREA PESTICIDE STORAGE AREA TYPES OF HAZARDOUS MATERIALS ~ FLAMMABLE <6> LIQUID ~ SOLID <@> GAS <9 CORROSIVE ~ WATER REACTIVE <§> EXPLOSIVE <é> RADIOLOGICAL r <ê> WASTE ~ ,POISON ~ ~ ~ EXAMPLE: FLAMMABLE LIQUID EXPLOSIVE GAS ~ " ¡ :;;; ~i '" '..'! j ~ ~ I~- 'j I I ! /6/05/95 ,. . ~-:X/JlC!. . ~~CG~aW'~ n CIRCLE K €6RP #1242 215-000-000995 JUN 2 f 1995 e Overall Site with 1 Fac. Unit ' . B General Information By ~ 1 Location: 3232 STINE RD City : BAKERSFIELD Map:123 Haz:2 Type: 3 Grid: 11C FlU: 1 AOV: 0.0 Owner: Address: City: Title IcontactS~me / COMPLIANCE MANA CHUCK TOMKOVICH (602) 437-0600x Business Phone: (602) 530-5089x 24-Hour Phone () x Pager hon~ Administrative Data POBOX 5604?ØtJ3JV.~alf}JI('JII/hFlppr PHOENIX 215-007 BAKERSFIELD STATION 07 CIRCLE K B~~ii~12 POBOX 5604 PHOENIX Contact Name MYRON SMITH Business Phone: 24-Hour Phone Pager Phone Mail Addrs: City: Comm Code: D&B Number: 06-294-4160 State: AZ Zip: 85013- SIC Code: 5541 {3w,;)UÞ ¡tJ!lcm. ~ (805) 831-5539 AZ 85013- Phone: State: Zip: Summary I >1l~Jl'(Ul 5011 th [){') ~Ð~D~> G~;;:'~V ~~~t ~ t1~\?ð · - - - ";/' f; Y;J3 tIT pJÌ7!! T:'.:.'~<:} ..c;.,j'~".j\'-.~: "n:C't "*,"=,.', '.-" " :" .,' "'.HI:' "",......¡.~:'!~~ Ìf~~¡¡.¡r"ç>1[~.. Ivt .v.._.......ç. il'v :C:!.ll.' , . -.. ~". . ,'>" ~ -;) d.x;......~'JV-.i~v ment plan fur C¡'rcl"k -A 1~CJ.2_al~\' t;k',: :r;km~ with (Nêffi(' 01 Busb~~s; any corrediö[ffi~ constitute a complete and correct man- agemeiil plan !lor my facility. . ç. ~ LJ.~ SiQnqture ~ It e 06/05/95 . CIRCLE K CORP #1242 215-000-000995 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-003 PREMIUM UNLEADED GASOLINE Liquid 10000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-001 UNLEADED PLUS GASOLINE Liquid 10000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-002 UNLEADED GASOLINE Liquid 10000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-004 CARBON DIOXIDE ~~ Gas 1044 Minimal ~ Fire, Pressure, Hlth FT3 :¡ e e 06/0"5/95 . CIRCLE K CORP #1242 215-000-000995 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-003 PREMIUM UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No rn f.x.~ Form: Liquid Type: Pu~e Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 10,000 I 5,000.00 I 36,527.00 lf5;JJ ~ ,9f) r Press T Temp -:ï Location Ambient Ambient TOWARDS SOUTHWEST CORNER OF PROP Storage UNDER GROUND TANK - Conc l 100.0% Gasoline Components r; MCP ~uide Moderate 27 - Notes 02-001 UNLEADED PLUS GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No rl};x~ Form: Liquid Type:..J!I.\H:e-- Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 10,000 I 5,000.00 I -56,008.e-e 6~) j?;O. ~ r Press T Temp ":ì Location Ambient AmbientlTOWARDS SOUTHWEST CORNER OF PROP Storage UNDER GROUND TANK - Conc l 100.0% Gasoline Components r; MCP ~uide Moderate 27 - Notes " e e 06/Ó5/95' CIRCLE K CORP #1242 215-000-000995 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in MCP Order 02-002 UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No r1Jixk Form: Liquid Type: Páie Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 10,000 I 5,000.00 I ~9,979.0G ~) tic¡ '/ r Press T Temp ~ Location Ambient Ambient TOWARDS SOUTHWEST CORNER OF PROP Storage UNDER GROUND TANK - Conc l 100.0% Gasoline Components r; MCP ---p;uide Moderate 27 - Notes 02-004 CARBON DIOXIDE ~ Fire, Pressure, Delay Hlth Gas 1044 Minimal FT3 CAS #: 124-38-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 1,044 I 522.00 I 54,288.00 Storage r Press T Temp ~I Location PORT. PRESS. CYLINDER Above Ambient IN STOREROOM BACK OF STORE - Conc l 100.0% Carbon Dioxide Components fi: MCP ---p;uide Low I 21 '. e e 06/0.5/95 . CIRCLE K CORP #1242 215-000-000995 00 - Overall Site Page 5 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation OUR TRAINING PROGRAM INCLUDES THE FOLLOWING: 1. HOW TO TURN OFF ALL POWER TO PUMPS 2. PROPER INSTRUCTION TO EVACUATE ALL PEOPLE FROM THE SITE 3. MAKE SURE THAT ALL FIVE EXTINGUISHERS HAVE PROPER SERVICE AND MAINTENANCE 4. EMERGENCY LIST OF TELEPHONE NUMBERS FOR FIRE DEPARTMENT, HOSPITAL AND REGULATORY AGENCY FOR TIMELY NOTIFICATION <3> Public Notif./Evacuation IF EVACUATION FROM AREA DEEMED NECESSARY THESE NEIGHBORING PROPERTIES WILL BE NOTIFIED: ONE HOUR MARTINIZING 832-3840, GLENN BERGER DDS 833-6892, ~5 ~~~A~K H31-184~, MVP SPORTS CARDS 834-2065, CARROWS 831-0971, FRED THOMPSON JR. HIGH 832-8011 G--~s ~h 1111;;('( 3'lß..1ß:W <4> Emergency Medical Plan MERCY HOSPITAL 2215 TRUXTUN AV 327-3371 " e e 06/Ó5/95~ CIRCLE K CORP #1242 215-000-000995 00 - Overall Site Page 6 <E> Mitigation/Prevent/Abatemt <1> Release Prevention GASOLINE - STEEL POSTS INSTALLED TO PREVENT VEHICLE COLLISION WITH PUMPS. VAPOR RECOVERY SYSTEMS USED WHEN FILLING UNDERGROUND TANKS WHICH ARE OF FIBERGLASS CONSTRUCTION. DUAL HOSE SYSTEMS ON PUMPS. ANTI-LOCK NOZZLES AT PUMPS. NO SALES TO NON-AUTHORIZED CONTAINERS. NO SMOKING SIGNS POSTED, SELF SERVE INSTRUCTIONS POSTED. TANKS CHECKED PERIODICALLY FOR LEAKS BY COMPARING GALLONAGE MEASUREMENTS WITH SALES RECORDS. CARBON DIOXIDE - TANKS ARE STORED UPRIGHT AND FIRMLY SECURED. <2> Release Containment GASOLINE - PREVENTATIVE DIKING WITH ABSORBENT MATERIALS. SHUT OFF ALL EMERGENCY SWITCHES TO PREVENT FURTHER SPILLAGE. BARRICADE AREA TO PREVENT POSSIBLE EXPOSURE TO GENERAL PUBLIC. ABOID PERSONAL EXPOSURE TO FUMES/VAPORS AND CONTACT WITH LIQUID. ELIMINATE ALL SOURCES OF IGNITION IN AREA OF SPILL OR VAPORS. ABSORB LIQUIDS WITH ABSORBENT MATERIALS AND REMOVE TO SAFE AREA FOR EVAPORATION. CARBON DIOXIDE - CLOSE VALVE IF SAFE TO DO SO, OPEN ALL DOORS TO VENTILATE. <3> Clean Up (þ O~) 53 ~ -57J~1 GASOLINE - NOTIFY CIRCLE K ENVIRONMENTAL DIRECTOR (711) 823 0691 FOR COORDINATION WITH HAZARDOUS WASTE DISPOSAL COMPANY TO REMOVE CONTAMINATED ABSORBENT MATERIALS IF REQUIRED. CARBON DIXOIDE - VENTILATE AREA IMMEDIATELY. CONTACT SUPPLIER IF LEAK IN CONTAINER/VALVE. I <4> Other Resource Activation r, e e 06/Ö5795~ CIRCLE K CORP #1242 215-000-000995 Page 7 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - INSIDE, BACK ROOM OF STORE OUTSIDE, EAST WALL OF BUILDING (SOUTH END) C) WATER - NORTH WALL OF BUILDING, OUTSIDE (MAIN LINE GATE VALVE) WEST END D) SPECIAL - EMERGENCY GAS SHUTOFF SWITCH: A) CASHIER STATION ON CONSOLE; B) NORTHWEST CORNER OF BUILDING, OUTSIDE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - CORNER OF PLANZ AND STINE ROADS <4> Building Occupancy Level ,,- 'i e e 06/Ò5ì95" CIRCLE K CORP #1242 215-000-000995 00 - Overall Site Page 8 <G> Training <1> Employee Training WE HAVE 7 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: SPECIAL ON-THE-JOB TRAINING IN THE HANDLING OF HAZARDOUS MATERIALS IS PROVIDED IN THE FOLLOWING AREAS: 1) PROPER MAINTENANCE AND USE OF GASOLINE EQUIPMENT. 2) USE OF KITTY LITTER FOR SMALL SPILLS. 3) EMPLOYEES ARE INSTRUCTED ON PROPER RESPONSE TO POLICE, FIRE DEPARTMENT, EMERGENCY MEDICAL AND CIRCLE K ENVIRONMENTAL DEPARTMENT. 4) EACH CIRCLE K GASOLINE STORE HAS A COMPANY SUPPLIED GASOLINE MANUAL WITH MSDS'S FOR GASOLINE AND C02. A REVIEW OF THE CONTENTS OF THE EMERGENCY RESPONSE PLAN WILL BE MADE BY ALL NEW EMPLOYEES WITHIN ONE MONTH OF HIRING AND BY ALL EMPLOYEES ON AN ANNUAL BASIS. SAFETY AND EMERGENCY EQUIPMENT USAGE TRAINING WILL PROVIDE FAMILIARIZATION WITH THE LOCATION AND PROPER USE OF FIRE FIGHTING EQUIPMENT (FIRE EXTINGUISHERS), THE LOCATION OF AN PROCEDURES FOR FACILITY SHUTDOWN (INCLUDING THE LOCATION OF TURNOFF VALVES FOR GAS AND ELECTRICITY) AND THE PROPER USE OF EQUIPMENT USED IN THE DAY TO DAY BUSINESS. <2> Page 2 <3> Held for Future Use <4> Held for Future Use I '- ~ - ui - e 1/ ; 04/18/94 ';"" CIRCLE K CORP #1242 215-000-000995 Overall Site with 1 Fac. Unit Page 1 General Information Contact Name MYRON SMITH Title COMPLIANCE MANAGER ZONE MANAGER Haz:2 Type: 3 AOV: 0.0 Location: 3232 STINE RD Community: BAKERSFIELD STATION 07 24-Hour Phone ( 6tb1) 53? - S1)[!Cf Administrative Data Mail Addrs: P.O. BOX 56Q-4g[ì()aIl.~Ave!)Jr¿11I F!oÞr D&B Number: 06-294-4160 Ci ty: SANTA MARIA fJhoe/J);< State: ~.1Z.zip: 9 3456 ~5tJ/3 Comm Code: 215-007 BAKERSFIELD STATION 07 SIC Code: 5541 Owner: CIRCLE K CORP #1242 Address: POBOX 52084 City: PHOENIX Phone: (805) 831-5539 State: AZ Zip: 85072- Summary RECEIVED ¡MAY 1 2 1994 HAZ.M I my fO" Sm ì+h Do hereby certify that I have , (TYpe or print name) . reviewed the attached hazardouS matenals manage- f fì,rcJ-e k Ii Jd~::). and that ~ along with ment plan OfJ,.d (Name of Bu8In&I8) . any corrections constitute a complete and correct man- agement p\an for my facility. r - e 04/18/94 CIRCLE K CORP #1242 215-000-000995 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-003 PREMIUM UNLEADED GASOLINE Liquid 10000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-001 UNLEADED PLUS GASOLINE Liquid 10000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-002 UNLEADED GASOLINE Liquid 10000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-004 CARBON DIOXIDE Gas 1044 Minimal ~ Fire, Pressure, Delay Hlth FT3 e e 04/18/94 CIRCLE K CORP #1242 215-000-000995 02 - Fixed Containers on Site . Page 3 Hazmat Inventory Detail in MCP Order 02-003 PREMIUM 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 ----r-- Daily Average GAL --r-- Annual Amount GAL -- 10,000 I 5,000.00 I 36,527.00 Storage UNDER GROUND TANK r Press T Temp ~I Location Ambient Ambient TOWARDS SOUTHWEST CORNER OF PROP - Conc l 100.0% Gasoline Components r; MCP ---p;uide Moderate 27 - Notes 02-001 UNLEADED PLUS GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 10,000 I 5,000.00 I 56,008.00 Storage UNDER GROUND TANK r Press T Temp ~I Location Ambient AmbientlTOWARDS SOUTHWEST CORNER OF PROP - Conc l 100.0% Gasoline Components r; MCP ---p;uide Moderate I 27 - Notes e e 04/18/94 CIRCLE K CORP #1242 215-000-000995 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in MCP Order 02-002 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 ----r-- Daily Average GAL --r-- Annual Amount GAL -- 10,000 . 5,000.00 I 150,979.00 Storage UNDER GROUND TANK r Press T Temp ~ Location· Ambient Ambient TOWARDS SOUTHWEST CORNER OF PROP - Conc -I 100.0% Gasoline Components 1-; MCP -,-Guide Moderate 27 ~ Notes 02-004 CARBON DIOXIDE ~ Fire, Pressure, Delay Hlth Gas 1044 Minimal FT3 CAS #: 124-38-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 1,044 522.00 54,288.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Above AmbientlIN STOREROOM BACK OF STORE - Conc l 100.0% Carbon Dioxide Components 1-; MCP -,-Guide Minimal I 21 ~ e e 04/18/94 CIRCLE K CORP #1242 215-000-000995 00 - Overall Site Page 5 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation OUR TRAINING PROGRAM INCLUDES THE FOLLOWING: 1. HOW TO TURN OFF ALL POWER TO PUMPS 2. PROPER INSTRUCTION TO EVACUATE ALL PEOPLE FROM THE SITE 3. MAKE SURE THAT ALL FIVE EXTINGUISHERS HAVE PROPER SERVICE AND MAINTENANCE 4. EMERGENCY LIST OF TELEPHONE NUMBERS FOR FIRE DEPARTMENT, HOSPITAL AND REGULATORY AGENCY FOR TIMELY NOTIFICATION <3> Public Notif./Evacuation IF EVACUATION FROM AREA DEEMED NECESSARY THESE NEIGHBORING PROPERTIES WILL BE NOTIFIED: ONE HOUR MARTINIZING 832-3840, GLENN BERGER DDS 833-6892, MIKES SHOE REPAIR 831-7844, MVP SPORTS CARDS 834-2065, CARROWS 831-0971, FRED THOMPSON JR. HIGH 832-8011 <4> Emergency Medical Plan MERCY HOSPITAL 2215 TRUXTUN AV 327-3371 e e 04/18/94 CIRCLE K CORP #1242 215-000-000995 00 - Overall Site Page 6 <E> Mitigation/Prevent/Abatemt <1> Release Prevention GASOLINE - STEEL POSTS INSTALLED TO PREVENT VEHICLE COLLISION WITH PUMPS. VAPOR RECOVERY SYSTEMS USED WHEN FILLING UNDERGROUND TANKS WHICH ARE OF FIBERGLASS CONSTRUCTION. DUAL HOSE SYSTEMS ON PUMPS. ANTI-LOCK NOZZLES AT PUMPS. NO SALES TO NON-AUTHORIZED CONTAINERS. NO SMOKING SIGNS POSTED, SELF SERVE INSTRUCTIONS POSTED. TANKS CHECKED PERIODICALLY FOR LEAKS BY COMPARING GALLONAGE MEASUREMENTS WITH SALES RECORDS. CARBON DIOXIDE - TANKS ARE STORED UPRIGHT AND FIRMLY SECURED. <2> Release Containment GASOLINE - PREVENTATIVE DIKING WITH ABSORBENT MATERIALS. SHUT OFF ALL EMERGENCY SWITCHES TO PREVENT FURTHER SPILLAGE. BARRICADE AREA TO PREVENT POSSIBLE EXPOSURE TO GENERAL PUBLIC. ABOID PERSONAL EXPOSURE TO FUMES/VAPORS AND CONTACT WITH LIQUID. ELIMINATE ALL SOURCES OF IGNITION IN AREA OF SPILL OR VAPORS. ABSORB LIQUIDS WITH ABSORBENT MATERIALS AND REMOVE TO SAFE AREA FOR EVAPORATION. CARBON DIOXIDE - CLOSE VALVE IF SAFE TO DO SO, OPEN ALL DOORS TO VENTILATE. i <3> Clean Up GASOLINE - NOTIFY CIRCLE K ENVIRONMENTAL DIRECTOR (714) 823-0691 FOR COORDINATION WITH HAZARDOUS WASTE DISPOSAL COMPANY TO REMOVE CONTAMINATED ABSORBENT MATERIALS IF REQUIRED. CARBON DIXOIDE - VENTILATE AREA IMMEDIATELY. CONTACT SUPPLIER IF 'LEAK IN CONTAINER/VALVE. <4> Other Resource Activation e e 04/18/94 CIRCLE K CORP #1242 215-000-000995 00 - Overall Site Page 7 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs / A) GAS - NONE / B) ELECTRICAL - INSIDE, BACK ROOM OF STORE 1_ OUTSIDE, EAST WALL OF BUILDING (SOUT~ND) \Q~J C) WATER - NORTH WALL OF BUILDING, OUTSIDE (MAIN LINE GATE VALVE) WES~ I D) SPECIAL - EMERGENCY GAS SHUTOFF SWITCH: A) CASHIER STATION ON CONSOLE; B) NORTHWEST CORNER OF BUILDING, OUTSIDE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - CORNER OF PLANZ AND STINE ROADS <4> Building Occupancy Level ~ e e 04/18/94 Q CIRCLE K CORP #1242 215-000-000995 00 - Overall Site Page 8 <G> Training <1> Page 1 WE HAVE 7 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: SPECIAL ON-THE-JOB TRAINING IN THE HANDLING OF HAZARDOUS MATERIALS IS PROVIDED IN THE FOLLOWING AREAS: 1) PROPER MAINTENANCE AND USE OF GASOLINE EQUIPMENT. 2) USE OF KITTY LITTER FOR SMALL SPILLS. 3) EMPLOYEES ARE INSTRUCTED ON PROPER RESPONSE TO POLICE, FIRE DEPARTMENT, EMERGENCY MEDICAL AND CIRCLE K ENVIRONMENTAL DEPARTMENT. 4) EACH CIRCLE K GASOLINE STORE HAS A COMPANY SUPPLIED GASOLINE MANUAL WITH MSDS'S FOR GASOLINE AND C02. A REVIEW OF THE CONTENTS OF THE EMERGENCY RESPONSE PLAN WILL BE MADE BY ALL NEW EMPLOYEES WITHIN ONE MONTH OF HIRING AND BY ALL EMPLOYEES ON AN ANNUAL BASIS. SAFETY AND EMERGENCY EQUIPMENT USAGE TRAINING WILL PROVIDE FAMILIARIZATION WITH THE LOCATION AND PROPER USE OF FIRE FIGHTING EQUIPMENT (FIRE EXTINGUISHERS), THE LOCATION OF AN PROCEDURES FOR FACILITY SHUTDOWN (INCLUDING THE LOCATION OF TURNOFF VALVES FOR GAS AND ELECTRICITY) AND THE PROPER USE OF EQUIPMENT USED IN THE DAY TO DAY BUSINESS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use .. ':.J '. c;;. e e " f' .. e . 04/18/94 " CIRCLE K CORP #1242 215-000-000995 00 - Overall Site Page 9 <G> Training <4> Held for Future Use (Continued) .'..... '''''-~~',II e e ~.4/01193 CIRCLE K CORP #1242 215-000-000995 Overall Site with 1 Fac. Unit Paç¡e 1 General Information r-------..-=.==--==:---·-.-~-==::=----~:==:==~-===:=-========:==--=-·-¡1 I Locatioy,!: 3232 STINE RD J'!1ap: 123 Hazsr··d: LO\o'1 ~ 'I I Cortlrlll.mity: BAKERS~D STATION 07 , Gr"id: l1C F/U: 1 AD',): 0.0 L~YY7Jlf-fj1'J'T1+h-_·-- ~. I ·--~-~o-;iT6J~~·~.' ...-...-..--...- ê- r'::~:;;d:; act Name . ntf I·Fflre 'l!l!:.L_-r:=- -Et..lsi j" ess Ph~::;:;e -'-, 2L~-Hol.\'r~ Phc'j",el MII(C HAR\:EU:rr - ¡ I (-71-'1) BC~6 OC'Jl ){ (61'.) i::>+';' 1'314- JOHN HART ZONE MANAGER 1(805) 321 0:;.=.2 x , (805) -,.-~ '1;;.-.-.- --.-. .-....---...-.-.-..- ...-GU-2.:::$.~.W-..¿._-....L- G;..Þ.-'L: ------.----..------ AdfJl i'"" i st r··at i ve Dat a .------~----_.-..-.-:-.~--.-:-.:.~ I Mail Addrs: P.O. BOX 5604 D&B Number: u6-~9q-q16u City: SANTA MARIA State: CA Zip: 93456- ! Comm Code: 215-007 BAKERSFIELD STATION 07 SIC Code: 5541 --.- ..--....-. ----..---......--------------..---- Owner: CIRCLE K CORP #1242 Address: POBOX 52084 City: PHOENIX I ~ Summ.ry ~~- I ----..---.... ~_..__.._--_.. __._J I ____J Phone: (805) 831-5539 St:ate: AZ Zip: 85072- ......--..-..--.. -------..----------......--..-..-.. __......__________H__ I, _m ýrr~: o~1J';,!mt} Do hereby certify that I have reviewed the attached hazardous materials manage.. ment plan for C.'rdl!k.tt J~and that it slong with (Name of Businesa) any corrections oonstitute a complete and.correct man- agement plan ~II' my ~acility. ~. . e e 94/01-193 CIRCLE K CORP #1242 215-000-000995 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site PIn-Ref Name/Hazards FOÌ'~m ........---...... .--....---..--------....-----...... 02-003 PREMIUM UNLEADED GASOLINE Fire, Immed Hlth, Delay Hlth Liquid ..-..--........--.. 02-001 UNLEADED PLUS GASOLINE F ir-'e, I mmed HIt h , De 1 a y HIt h Liquid -..-- Page 2 Quarlt i ty I~'¡CP --......-..-- 10000 Mecderate GAL .. ..---..- 10000 J'1kldeÌ'~ate GAL 02-002 UNLEADED GASOLINE Fire, Immed Hlth, Delay Hlth Liquid ----------- 10000 JYI':ldeÌ'~ate G~jL 02-004 CARBON DIOXIDE Fire, Pressure, Delay Hlth Gas -..-----..------..--------..-----....-....-------- 1044 MiY-.imal FT:~ ..-----..-----..-..--..--..-..--....---..-..----------..- ¡;, ~ e e (,V¡./01t,93 CIRCLE K CORP #1242 215-000-000995 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-003 PREMIUM UNLEADED GASOLINE Fi...~e, Immed Hlth, Delay Hlth Liquid 10000 Mode...~ate GAL CAS #: 8006-61-9 r.....·ade Secret: Nc. F o...~m: L i qui d Type: Pur~e Days: 365 Use: FUEL - Dai ly Max GAL . Dai ly Ave.....·age GAL -,~- Aymuë\d ~Imount GAL - 10,000 I 5,000.00 20,552.00 / 'ôt ,5()' ~ t/ -- Sto.....·age --~- P...~ess ~ Temp ~--_._- LocatioY" -.------ UNDER GROUND-TANK Ambient Ambient TOWARDS SOUTHWEST CORNER OF PROP - COY'IC -.-, 100. O~~ Gasccl i Y'le --- Compc'Y'leY',t s - C IYICP :-¡-Guide I Moder-'ate I 27 Ncctes ..--..----.--.. 02-001 UNLEADED PLUS GASOLINE Fire, Immed Hlth, Delay Hlth Liquid 1 0000 IYIc.de...~at e GAL --..---..- CAS :tt: 8006-61-9 T...-·ade Sec"'-'et: No F or~m : L i qui d Type: Pur~e Days: 365 Use: FUEL Dai ly Max GAL -¡ Dai ly ç:¡ve.....·age GAL -T- AY'¡'(lual Amotmt GAL - 10,000 I 5,000.00 . ~6/~~. ü./" Stc:....-·age --. 1 P¡-~ess T Temp -1------ Lcccat lCcY'1 -.--- UNDER GROUND TANK Ambient Ambient/TOWARDS SOUTHWEST CORNER OF PROP --I~~;~'~ï' l Gasc~~~-;;----------- CompoY'leYlts ----~c.:;~:a;~íu~~e - Not e5. ..----.. e e Ç)4/01./93 CIRCLE K CORP #1242 215-000-000995 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in MCP Order ------------..-----..--....--- 02-002 UNLEADED GASOLINE Fire, Immed Hlth, Delay Hlth Liquid 10000 Mccdet-'ate GAL. ..--..-....---..-....---.. --..- CAS #: 8006-61--9 Tt~ade Sec'r~et: No F Cct~m: L i qui d Type: Put~e Days: 365 Use: FUEL -- Da i 1 Y J'r1ax GAL --, Da i 1 Y Aver~age GAL -, A!'w'lua 1 Amclu!"lt GAL - 10.000 5.000.00 '~"I,'Jll-T-;-'OO / . . J50Cf'1JC:¡ vi -- Stc1rage ------r Pt~ess ·1- Temp :1----------- Locat iCI'(1 ------ UNDER GROUND TANK ¡Ambient Ambient I TOWARDS SOUTHWEST CORNER OF PROP - CCI!",C --r:------ 100.01- Gasc,li!",e CompCI!",e!"lts -···---·----------r- MCP --¡-Guide J'r1oder~ate I 27 - Nc:ct es ..-........---..--....-..........-------.. ------..........- 04/01/93 CIRCLE K CORPORATION #1270 215-000-000484 Overall Site with 1 Fac. Unit Page 1 General Information --- STINE RD SFIELD STATION 13 \'1iap: 123 Gt~id: 23A Haz é'¡' ·-·d: LO:---Ij FlU: 1 AOV: o. 0 ------- CO!",tact Nam~. MIKE KARVELOT ENV JOHN HART ZONE Owner: CIRCLE K CORPORAT Addt~ess: POBOX City: PHOENIX =n- Busi!",ess Ph ] 24-HouY" Phcl!"'!? (714) 823-0'n x (609) 247-1914 (805) 32 522 x (805) 321-8522 ......- --.. -----_.- Admi!"lÌstr -tive D- ..:\ D&B Number': 06-;:;:94-4160 I State: CA Zip: 93456- SIC Code: 5~i41 Mail Addrs: P.O. BOX 5604 City: SANTA MARIA Comm Code: 215-013 BAKERSFIELD --- (805) 834-8E.25 AZ 85072- Summat·,y -- __00- ---..-- '. ) e _ CIRCLE K CORPOR~nION #12¥$ ;:;:15-000-000484 00 - Overall Site Page C' iJ Ç>4/01v93 CD> Notif./Evacuation/Medical ----..--..---......--..-....--....--..-..-..--......-....----..-.. C1> Agency Notification IF EMERGENCY RESPONSE ASSISTANCE NOT REQUIRED, NOTIFY: BAKERSFIELD CITY HAZARDOUS MATERIALS DIVISION 326-3979 AND STATE OFFICE OF EMERGENCY SERVICES (800) 852-7550 WITHIN 24 HOURS. IF RELEASE POSES PRESENT OR POTENTIAL HAZARD TO HUMAN HEALTH AND SAFETY, PROPERTY OR ENVIRONMENT, AND EMERGENCY ASSISTANCE IS REQUIRED, IMMEDIATELY NOTIFY: BAKERSFIELD FIRE DEPT - 911 BAKERSFIELD POLICE DEPT - 911 BAKERSFIELD HAZARDOUS MATERIALS DIVISION - 911 STATE OFFICE OF EMERGENCY SERVICES (BOO) 852-7550 OR (916) 427-4341. C2> Employee Notif./Evacuation UPON RECOGNITION OF A RELEASE, THE DUTY CLERK WILL VERBALLY (SHOUTING) NOTIFY ALL OTHER SITE PERSONNEL. THE CLERK WILL ENSURE THE SHUTDOWN OF HIS/HER AREA OF RESPONSIBILITY (IF POSSIBLE) BEFORE EVACUATING. THIS INCLUDES ELIMINATION OF POTENTIAL IGNITION SOURCES IN THE CASE OF THE RELEASE OF FLAMMABLE MATERIAL. EVACUATION WILL FOLLOW THE DESIGNATED ROUTES (IF UNOBSTRUCTED) AS DIAGRAMMED ON THE SITE/PLOT PLAN. EMPLOYEES WILL BE NOTIFIED TO EVACUATE BY VERBAL (SHOUTING) METHOD TO A PRE-DETERMINED EVACUATION STAGING AREA WHERE ALL EMPLOYEES WILL BE ACCOUNTED FOR. C3~~bliC Notif./Evacuation IF EVACUATION FROM AREA DEEMED NECESSARY THESE NEIGHBORING PROPERTIES WILL BE NOTIFIED: <t<HmCf~ HOI·1E COOl.(IN' 833 160t,;, TC· 9 'v'IDCO 3']7 4r'¡75, Arm E-XECU'FI-'VE LUur.:lGE 83'='-'=''::'1'''=''. one hlJtt-f" méJf'+mrz,'Y W3;;J.-3&''O (}'loÛ1Y1ß~.oD5 <Ô'33Ø~;) fhl~S 5}¡()fl ~'<J-ìr ÝJ~ J.-??j'lc.¡) m,/¡J 5¡;p-r+-5 ~5 8'3'1 "J.o6LJ) Cw~ws 8'3l-0t:¡? I ) Ff1ui1h~t?1I Jf' I-h ß'3~- 801/ C4> Emergency Medical Plan MERCY HOSPITAL - 2215 TRUXTUN - (805) 327-3371 '. . e - CORPORAT I ON : : : 12¥?' 215-000-·000":.8":. 00 - Overall Site Page 6 04/01·/'33 CIRCLE 1-\ (E) Mitigation/Prevent/Abatemt (1) Release Prevention ---.. GASOLINE - STEEL POSTS INSTALLED TO PREVENT VEHICLE COLLISION WITH PUMPS. VAPOR RECOVERY SYSTEMS USED WHEN FILLING UNDERGROUND TANKS WHICH ARE OF FIBERGLASS CONSTRUCTION. DUAL HOSE SYSTEMS ON PUMPS, ANTI-LOCK NOZZLES AT PUMPS. NO SALES TO NON-AUTHORIZED CONTAINERS. NO SMOKING SIGNS POSTED, SELF SERVE INSTRUCTIONS POSTED. TANKS CHECKED PERIODICALLY FOR LEAKS BY COMPARING GALLONAGE MEASUREMENTS WITH SALES RECORDS, CARBON DIOXIDE - TANKS ARE STORED UPRIGHT AND FIRMLY SECURED. (2) Release Containment GASOLINE - PREVENTATIVE DIKING WITH ABSORBENT MATERIALS. SHUT OFF ALL EMERGENCY SWITCHES TO PREVENT FURTHER SPILLAGE. BARRICADE AREA TO PREVENT POSSIBLE EXPOSURE TO GENERAL PUBLIC. AVOID PERSONAL EXPOSURE TO FUMES/VAPORS AND CONTACT WITH LIQUID. ELIMINATE ALL SOURCES OF IGNITION IN AREA OF SPILL OR VAPORS. ABSORB LIQUIDS WITH ABSORBENT MATERIALS AND REMOVE TO SAFE AREA FOR EVAPORATION. CARBON DIOXIDE - CLOSE VALVE IF SAFE TO DO SO, OPEN ALL DOORS TO VENTILATE. (3) CI ea''''1 Up GASOLINE - NOTIFY CIRCLE K ENVIRONMENTAL DIRECTOR (714) 823-0691 FOR COORDINATION WITH HAZARDOUS WASTE DISPOSAL COMPANY TO REMOVE CONTAMINATED ABSORBENT MATERIALS IF REQUIRED. CARBON DIOXIDE - VENTILATE AREA IMMEDIATELY. CONTACT SUPPLIER IF LEAK IN CONTAINER/VALVE. (4) Other Resource Activation ------ ;; ~ e - (:>4/01·/93 \. J- CIRCLE K CORPORATION #12;rt1 215-000-000484 00 - Overall Site Page -, l CF> Site Emergency Factors ......--------..--..---..--..---....-....--..-..........-....--....--....-....--------..-..-------.. C1) Special Hazards C~ility Shut-Offs ~~) GAS - NONE B) ELECTRICAL - INSIDE, BACK ROOtr1 OF STORE 'Ij , ./) OUTSIDE EAST WALL OF BUILDING CS&arn~ í C) Wt:nER - NORTH WALL OF BUILDING, OUTSIDE (MAIN LINE GATE Vf:IL.VE) (VeGl-~) SQUTII :JIDE OF SITE IN PLI~rJTE:R D) SPECIAL - EMERGENCY GAS SHUTOFF SWITH: A) CASHIER STATION ON CONSOLE; B) -BIRCUIT DRE~HCRC #<10, -<¡iš: IN :BnCF. ~:mOM NtJr+frñ/(e$-r&J1/Wt'16k1~)PU/-SìJe... E) LOCK BOX - NO (j C3) Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - SOUTHWEST CORNER OF SITE (METER) C4} Building Occupancy Level ~;';; ¿ "t;¡ .j e CI RCLE t< e CORPDRAT I ON # 12j.? 215-000--000481.. 00 - Overall Site Page 8 94/0:/;/93 <G> Tt~ë:d r'li'rlg ¡ J Page : WE HAVE ~ EMPLOYEES .. -..----.-......- ------- AT THIS FACILITY. WE DO HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: SPECIAL ON-TH-JOB TRAINING IN THE HANDLING OF HAZARDOUS MATERIALCS) IS PROVIDED IN THE FOLLOWING AREAS: PROPER MAINTENANCE AND USE OF GASOLINE EQUIPMENT. USE OF KITTY LITTER FOR SMALL SPILLS. EMPLOYEES ARE INSTRUCTED ON PROPER RESPONSE TO POLICE, FIRE DEPT., EMERGENCY MEDICAL AND CIRCLE K ENVIRONMENTAL DEPT. EACH CIRCLE K GASOLINE STORE HAS A COMPANY SUPPLIED GASOLINE MANUAL WITH MSDS'S FOR GASOLINE AND C02. A REVIEW OF THE CONTENTS OF THE EMERGENCY RESPONSE PLAN WILL BE MADE BY ALL NEW EMPLOYEES WITHIN ONE MONTH OF HIRING AND BY ALL EMPLOYEES ON AN ANNUAL BASIS. SAFETY AND EMERGENCY EQUIPMENT USAGE TRAINING WILL PROVIDE FAMILIARIZARTION WITH THE LOCATION AND PROPER USE OF FIRE FIGHTING EQUIPMENT (FIRE EXTINGUISHERS), THE LOCATION OF AND PROCEDURES FOR FACILITY SHUTDOWN (INCLUDING THE LOCATION OF TURNOFF VALVES FOR GAS AND ELECTRICITY) AND THE PROPER USE OF EQUIPMENT USED IN THE DAY TO DAY BUSINESS. <2> Page 2 as ~eeded <3> Held for Future Use (4) Held for Future Use "'-ð, I;(.ì ,; e L/~. CIRCLE K CORPORATION #12;KJ 215-000-000484 00 - Overall Site Page '3 .04/0z /93 <G) Tr~a i "(I irlg ----, --..--..----....-......---..----....--..------..-..-....-..-..-..-..----- <4) Held for Future Use (Continued) ..J~ ~ " ';-. ....;, ¡< 1)4/-01/93 CIRCLE K ..----..- <1} Release Containment (2) Offsite Consequences -----..----- <3} In House Capabilities ..---- <4} Plant Shutdown Instruction e e CORPORAT I ON # 12~ 215-000-000·484 00 - Overall Site 10 Page <H} RJ'I'IPP DATA ..-..----..--..----------..--------..---- .) ,¡-: ( .'-C';'. .. e SYMBOLS '- 'f''''''~ '-:' ® GAS ® ELECTRIC @ WATER MSDSI . . . . ~. ~ SPRINKLER FIRE DEPT. ~"() CONNECTION --/' - e MSDS STORAGE FENCE (ALL TYPES) INDICATE HEIGHT GATE IN FENCE STANDARD DOOR 6. FIRE HYDRANT - PUBLIC - - - - -., UNDERGROUND : 10,000 I STORAGE Gal I TANKS - LIST L - - - - - CAPABILITY o FIRE HYDRANT - PRIVATE ¡¡:¡¡¡¡:f 10,000 Gal ~AS AUTOMATIC SPRINKLERED ~ BUILDING OR AREA c=:> @ FIRE ALARM ¡... PESTICIDE ¡.... ~ STORAGE ¡.... RAILROAD TRACKS ABOVEGROUND TANKS EVACUAT)ON AREA PESTICIDE STORAGE AREA TYPES OF HAZARDOUS MATERIALS i> FLAMMABLE <b> LIQUID <ê> CORROSIVE <§> SOLID <i);> WATER REACTIVE <@> GAS <t> EXPLOSIVE <5> RADIOLOGICAL <ê> WASTE EXAMPLE: FLAMMABLE <€9 LIQUID <Ê>POISON EXPLOSIVE GAS ~ - e r~ ííJ...~ ...... ...... ...... E.M.S.S., Inc. An Environmental Regulatory Compliance Service Company ~ ~~.K Bakersfield City Fire Department Hazardous Materials Division 2101 "H"'Street Bakersfield, CA 93301 April 10, 1992 Gentlemen: Circle K Corporation has contracted Environmental Management Software Systems, Inc. (EMSS) to provide the required changes to the Business Plan for the 1992 reporting period. Enclosed are the updated Business Plans for the gasoline stores on the Bakersfield City update forms your office. Changes are highlighted. Circle K Corporation has been instructed by EMSS to ensure that every store keeps the Business Plan resident at the store and that all store employees be trained in the contents of the hazardous material inventory and emergency response sections of the Plan. 5 Circle K provided by If you have any questions regarding this submittal, EMSS at (805) 925-6285. please call Sincerely, ~ Ma~ger RDB:slc Enclosures E.M.S.S., Inc. /P.O. BOX 5604/SANTA MARIA/CA 93456/(805) 925-6285/FAX: (805) 349-2753 1'- - .. '\ e e ~ 03/26/92 CIRCLE K CORP #1242 215-000-000995 Overall Site with 1 Fac. Unit Page 1 General Information Location: 3232 STINE RD Community: BAKERSFIELD STATION 07 Map: 123 Hazard: Low Grid: 11C F/U: 1 AOV: 0.0 Contact Name MIKE KARVELOT MIKE gPINUZZ-l- Title ENVIRON DIR ZONE MANAGER Business Phone (714) 823-0691 x (805) 321-8522 x 24-Hour Phone (619) 247-1914 (805) 321-8522 Administrative Data Mail Addrs: P.O. BOX 5604 City: SANTA MARIA Comm Code: 215-007 BAKERSFIELD STATION 07 D&B Number: 06-294-4160 State: CA Zip: 93456- SIC Code: 5541 Owner: CIRCLE K CORP #1242 Address: POBOX 52084 City: PHOENIX Phone: (805) 831-5539 State: AZ Zip: 85072- Summary RECE.\VE.D "PR , 7 \992 HAZ. MAT. ON. (ý~ I, /'iff~¡/i?ldf- Do hereby certify that 1 have or nt naI'IIø) revfewed the attached hazardous materials manage- ment plan for (}f¿;/f., I¿ C~ and that it along with (Name oi Buslne any èorrections constitute a complete and correct man- agement ptan for my facility.. -øf;t/,1I- Signalure ' ¥ //t.fA~ / Dót ¡:. e e 03/26/92 CIRCLE K CORP #1242 215-000-000995 02 - Fixed Container~ on Site Page 2 Hazmat Inventory Detail in Reference Number Order 02-001 . REGULAR GASOLINE UNL~HOED PLUS ~ 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 ~ Daily Average GAL --r-- Annual Amount GAL -- 10,000 I 5jOOO.00 I 75,046.00 3.h57 3 r Press T Temp ~ Location Ambient AmbientlTOWARDS SOUTHWEST CORNER OF PROP Storage UNDER GROUND TANK - Conc l 100.0% Gasoline Components r; MC~a~)J-,st MOder\:./- - Notes 02-002 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 ~ Daily Average GAL --r-- Annual Amount GAL -- 10,000 I 5,000~00 I 202,299.00 ß4) 91ft¡ r Press T Temp -:-, Location Ambient AmbientlTOWARDS SOUTHWEST CORNER OF PROP Storage UNDER GROUND TANK - Conc l 100.0% Gasoline Components r; MCP ~List Moderate I .. , /' .......... - Notes e e 03/26/92 CIRCLE K CORP #1242 215-000-000995 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in Reference Number Order 02-003 PREMIUM UNLEADED GASOLINE ~ Fire, Immed H1th, Delay H1th Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Storage UNDER GROUND TANK Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 10,000 I 5,000.00 I 48,943.00 61,OJ5"s;? r Press T Temp -:ì Location Ambient AmbientlTOWARDS SOUTHWEST CORNER O~ PROP' e: MCP ~t IMode~"""'''' - Conc -, 100.0% Gasoline Components - Notes 02-004 CARBON DIOXIDE ~ Fire, Pressure, Delay H1th Q Gas 1044 Minimal FT3 CAS #: 124-38-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3 ----r-- Daily Average FT3 ~ Annual Amount FT3 -- 1,044 I 522.00 I 54,288.00 Storage r Press T Temp -:ì Location PORT. PRESS. CYLINDER Above Ambient I IN STOREROOM BACK OF STORE - Conc l 100.0% Carbon Dioxide Components r; MCP :-rList Minimal I e e 03/26/92 CIRCLE K CORP #1242 215-000-000995 00 - Overall Site <D> Notif./Evacuation/Medical Page 4 <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation OUR TRAINING PROGRAM INCLUDES THE FOLLOWING: 1. HOW TO TURN OFF ALL POWER TO PUMPS 2. PROPER INSTRUCTION TO EVACUATE ALL PEOPLE FROM THE SITE 3. MAKE SURE THAT ALL FIVE EXTINGUISHERS HAVE PROPER SERVICE AND MAINTENANCE 4. EMERGENCY LIST OF TELEPHONE NUMBERS FOR FIRE DEPARTMENT, HOSPITAL AND REGULATORY AGENCY FOR TIMELY NOTIFICATION <3> Public Notif./Evacuation NONE LISTED Carrow's Restaurant One Hour Martinizing Glenn Berger, DDS partys and More 4771 P1anz Rd. 3200 Stine Rd. 3204 Stine Rd. 3208 Stine Rd. <4> Emergency Medical Plan MERCY HOSPITAL 2215 TRUXTUN AV 327-3371 831-0971 832-3480 833-6892 831-3876 vi e e 03/26/92 CIRCLE K CORP #1242 215-000-000995 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt I <1> Release Prevention , ¡ ¡ 1 I i t I GASOLINE - STEEL POSTS INSTALLED TO PREVENT VEHICLE COLLISION WITH PUMPS. VAPOR RECOVERY SYSTEMS USED WHEN FILLING UNDERGROUND TANKS WHICH ARE OF FIBERGLASS CONSTRUCTION. DUAL HOSE SYSTEMS ON PUMPS. ANTI-LOCK NOZZLES AT PUMPS. NO SALES TO NON-AUTHORIZED CONTAINERS. NO SMOKING SIGNS POSTED, SELF SERVE INSTRUCTIONS POSTED. TANKS CHECKED PERIODICALLY FOR LEAKS BY COMPARING GALLONAGE MEASUREMENTS WITH SALES RECORDS. IV/ CARBON DIOXIDE - TANKS ARE STORED UPRIGHT AND FIRMLY SECURED. <2> Release Containment GASOLINE - PREVENTATIVE DIKING WITH ABSORBENT MATERIALS. SHUT OFF ALL EMERGENCY SWITCHES TO PREVENT FURTHER SPILLAGE. BARRICADE AREA TO PREVENT POSSIBLE EXPOSURE TO GENERAL PUBLIC. AVOID PERSONAL EXPOSURE TO FUMES/VAPORS AND CONTACT WITH LIQUID. ELIMINATE ALL SOURCES OF IGNITION IN AREA OF SPILL OR VAPORS. ABSORB LIQUIDS WITH ABSORBENT MATERIALS AND REMOVE TO SAFE AREA FOR EVAPORATION. CARBON DIOXIDE - CLOSE VALVE IF SAFE TO DO SO, OPEN ALL DOORS TO / ~TE' <3> Clean Up GASOLINE - NOTIFY CIRCLE K ENVIRONMENTAL DIRECTOR (714) 823-0691 FOR COORDINATION WITH HAZARDOUS WASTE DISPOSAL COMPANY TO REMOVE CONTAMINATED ABSORBENT MATERIALS IF REQUIRED. CARBON DIOXIDE - VENTILATE AREA IMMEDIATELY. CONTAINER/VALVE. CONTACT SUPPLIER IF LEAK ~N V/ <4> Other Resource Activation ----- , . ¡. e e Ii' 03/26/92 CIRCLE K CORP #1242 215-000-000995 Page 6 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - ON OUTSIDE SOUTHEAST CORNER REAR WALL C) WATER - LOCATED IN PARKING LOT BORDERING STINE ROAD D) SPECIAL - PUMP TURN OFF UNDERNEATH CHECK OUT COUNTER E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - NONE LISTED FI~E SJ<TIN~t5HE~S FIRE HYDRANT - CORNER OF PLANZ AND STINE ROADS v <4> Building Occupancy Level :; . ~ ~ e e 03/26/92 CIRCLE K CORP #1242 215-000-000995 00 - Overall Site Page 7 <G> Training <1> Page 1 WE HAVE 3 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: SPECIAL ON-THE-JOB TRAINING IN THE HANDLING OF HAZARDOUS MATERIAL(S) IS PROVIDED IN THE FOLLOWING AREAS: 1) PROPER MAINTENANCE AND USE OF GASOLINE EQUIPMENT. 2) USE OF KITTY LITTER FOR SMALL SPILLS. 3) EMPLOYEES ARE INSTRUCTED ON PROPER RESPONSE TO POLICE, FIRE DEPARTMENT, EMERGENCY MEDICAL AND CIRCLE K ENVIRONMENTAL DEPARTMENT. 4) EACH CIRCLE K GASOLINE STORE HAS A COMPANY SUPPLIED GASOLINE MANUAL WITH MSDS'S FOR GASOLINE AND C02. A REVIEW OF THE CONTENTS OF THE EMERGENCY RESPONSE PLAN WILL BE MADE BY ALL NEW EMPLOYEES WITHIN ONE MONTH OF HIRING AND BY ALL EMPLOYEES ON AN ANNUAL / BASIS. . / SAFETY AND EMERGENCY EQUIPMENT USAGE TRAINING WILL PROVIDE FAMILIARIZATION~ WITH THE LOCATION AND PROPER USE OF FIRE FIGHTING EQUIPMENT (FIRE EXTINGUISHERS), THE LOCATION OF AND PROCEDURES FOR FACILITY SHUTDOWN (INCLUDING THE LOCATION OF TURNOFF VALVES FOR GAS AND ELECTRICITY) AND THE PROPER USE OF EQUIPMENT USED IN THE DAY TO DAY BUSINESS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use &f-- . -Bakersfield Fire De!t. Hazardous Materials Division 2130 "G" Street Ba..lcersñeld, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: RECEIVED 1. To avoid further action. return this form within 30 days of r;ceipt. MAR 1 2 1991 2. 1Y?E/PRINT ANSWERS IN ENGLISH. 3. Answer the auestions beiow for the business as a whole. H~1 "~AT. OtV. 4. Be orIef and conc:.se ::::s possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: Circle K Corporation *1242 LOCATION: 3232 Stine Road Circle K Corporate MAILING ADDRESS: P. O. Box 52084, Phoenix, AZ 85072 CITY: Bakersfield STATE: CA ZI?: 93309 PHONE: (805) 831-5539 DUN & BRADSTREET NUMSER: 06-294-4160 :=;541 SIC CODE: ..; PRIMARY ACTIVITY: Convenience Store/Gas Station OWNER: Circle K Corporation (602)229-8706 MAILING ADDRESS: P. O. Box 52084, Phoenix, AZ 85072 SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE Beeper f Beeper i 1. Mike S'Dinuzzi - Zone Manaqer (805)321-8522 (805)321-8522 - 2. Mike Karve10t - Environ. Dir. (714)823-0691 (619)247-1914 1. FOIS90 , ¡ f - Bakersfield Fire Dept. e Hazardous Materials Division e HAZARDOUS MATERIALS MANAGEMENT PLAN ~,~ SECTION 3: TRAINING: NUMBER OF EMPLOYESS: 3 MATERIAL SAFETY DATA SHEETS ON FILE: Yes BRIEF SUMMARY OF TRAINING PROGRAM: Special on-the-job training in the handling of hazardous material(s) is provided in the following areas: 1. Prop~i maintenance and use of gasoline equipment. 2. Use of kitty litter for small spills. 3. Employees are instructed on proper response to police, fire department, emergency medical and Circle K Environmental Department. 4. Each Circle K gasoline store has a Company supplied gasoline manual with MSDSs for gasoline and C02. A review of the contents of the Emergency Response Plan will be made by all new employees within one month of hiring and by all employees on an annual basis. Safety and emergency equipment usage training will provide 'familiarization with the location and proper use of fire fighting equipment (fire extinguishers), the location of and procedures for facility shutdown (including the location of turnoff valves for gas and electricity) and the proper use of equipment used in the day to day business. 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, Mike Schumacher 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 HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET Al.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. þ,~~ SIGNATURE TITLE 2;1t,/t7/ DATE Division Manager 2. FOl690 ,;¡>~~ ~ .. .,~...,.~....i~~~[ml~.'1~111"í1ÎI¡'~¡!'~i~'~ismÊM;S@ri§:!'%%% .. . . .. .. ..... :'. :::}::::::::::::::;:r;:::;~:~:::r::::::::::::~;r ../:::-...... ::-.- . .::::::...-::::. :::::-..'....:::- '";:;'; :~:>::.:.:.:::::>::.:::;;):..<... :;:;:;:::::;:;:/::;:::.;::.:..-;::.;.;.:-::;:...;..-......::::;:::;....... .::;:.'..;:;:.........,.-::... ....:::::-...:-:::::::-:::::::::::::::::;:}}:: ..;.:.;.;.:.:.:.:-:.:.;.:-:.:-:.;.:.:.:.:.;.:.:.... .. ", ..................,................ m .... ." .~ ..................-q.,. ..........- ........ ,. ....,.........,............. ... ........ 'd... .. .....................................,..'..-.-.. .............,.........-... ..................... . .......................-. · . . . . . . . .. ............. ........................ ................-....... ........................ ........................ ................................................. ....-.............-.-,.. ........................ ............. ............ _......... ..-.......... .......................... .......... ............ · . . . . . . . . . . . . . . . . . . .. .. · . . . . . . . . - . . . . . . . . . . . . . . ...................,..............:,: ............... ....... ....,...................,. ... .................... ...........'........... ,....................... ...,..................... ......-................. ...........,.........,.. ..................,......................:-. , ... ... ...... - N. REFERENCE TO NORTH l' . 100' - SCALE OF MAP 1;¡:~Â,~:~:2~::~~~::~:è~~8~~Í,:~Î:~:~~!~i:~ì-: Ej ABSORPTIVE MATERIAL t::, ALARM mI DRAIN -I '-.- DRIVEWAY -.J - DOORS iii EVACUATION ROUTE ·'·,,:·.·'·,,:·.·,'.1 HAM~ i. @ AIR CONDITIONING œ ELECTRIC METER ® ELECTRIC SHUTOFF [§ GAS METER @ GAS SHUTOFF ® PUMP SHUTOFF ~ ~ EVACUATION I STAG I N G AREA cJþ EYE WASH I + FIRST AID Ø'\ I Œ) FIRE HOSE ŒJ FIRE EXTINGUISHER ¿? FIRE DOOR = FIRE WALL Y FIRE DEPT. SPRINKLER CONNECTION Y FIRE DEPT. STANDPIPE CONNECTION .... FIRE HYDRANT :Xl ATTIC SCUTTLE þ' COOLE R OR ~,; REF RIG E R ATI 0 NUN I T **X FENCE/BARRIERS œ HEATING UNIT I=Þt=t=H RAILROAD TRACKS @ SEWER m GAS PUMPS £ GUARD STATION ŒJ KNOX BOX LOCATION It=I LADDER IMSDS MATERIAL SAFETY DATA SHEET & ERP EMERGENCY RESPONSE PLAN (ij]) PERSONAL PROTECTIVE EQUIPMENT Ië] PUBLIC TELEPHONE RR - REST ROOM ~ IIIIIUIIIIIU S TA IRS .- -··-1 : Sl : SKYLIGHT 14. _ _ J . STORM DRAIN -)::;:)): . ................... ........... ....... . . . ' . . . , . . . . . . . . . . . . . . . . , . . ."....,..,.............,.,.. .............,......................'.'.............. ...... .............-.. ;.;.;.;.;.:::::;:::;;;:::;:;;;:;;;::;:;:;::::::::::;::::;:;:;:;;;:;;::::::;:::.;:::;::;:;.::.:.:. ....,...... ....... ...... .................... ::;:.;:::::::;:::.:;:;:;:;:;:::;::::-:-;............ I :i$1()8AGETANKS/J IDENTIFY THE TYPE OF CONTAINER USING THE FOLLOWING SYMBOLS, SPECIFY TANK CAPACITY IN GALS., LBS., OR CU.FT. ABOVE GROUND TANKS e 200 @ _ OAl eoo HMO HIoII OAL fL fL BELOW GROUND TANKS ~" 110K \ \GALI í --10K-' \ \. GAL _' --- - 8,NSULATED TANKS 8PRESSURIZED TANKS CORR - CORROSIVE C - COMBUSTIBLE E - EXPLOSIVE F - FLAMMABLE G - GAS L - LIQUID OX Y - OX I D I Z E R R - RADIOACTIVE S - SOLID T - TOXIC WR - 'N\TER REACTIVE e HAŽÁRBÔÛs..'UÀf.ÊÃ.iAi..š...:.. <,::STÖR:ÂGE/HÂN.Pi.INQ:·'·'::· .. ·::rNF(~A$»:: HAZARDOUS MATERIAL STORAGE AREA...HMS HAZARDOUS MATE RIAL HANDLING AREA...HMH HAZARDOUS WASTE STORAGE AREA...HWS . ,.....,',....,',.,"",'.....,..'"',','"".:.:,,,:,"")'';:.;"":::::::,:1 CITY 'of UAKEI{~F ll:LIJ ~"l::. ....-" , ." O'-IAZARDOUS MATERIALS INVENTOnV I.ra Ind Agtlculture [J Slindard Business NON-TRADE SECRETS Paqe I of ~ t1US¢U£SS UAHE: Circle K Corporation # 1242 OWIIER tI^,~E: Circle K Corporation IIAt~F. 0u HilS F^CIL1TYò' Circle K Corporation ·lOC T IOU' 3232 Stine Road ^lIUUES,' - P.O. Box 520E4 Sl AliDA mIND CLASS (: DE:--'--- 5541 - .' -.---,....-- :CJI lIP:----aãkerSfield.CA 93309 ----- CJIV Ip!---pfjÕenix AZ85072 DUll All OltAUSWHI HUtlBfR-'" '-"'__00' ...-....., --- PIIO ~ ~: _ -\805'ï1t31=5'53r-.------- P[IOUt '-\õU2r~706 0 6 - 2 9 4 - 4 1 6 0 - /lE.FET? l'O-JNS1RÜërJl:JNS-FOlrp/lOPER CODES - - - - - - - - - . I 2 ) . 5 a ~ 8 , 10 II 12 I J .. Jr.ns IYDe ~II herlge Annual Measure . Is Cont Cont Conl Use loc.llon When 'b, /II illS of Ii_ture{C~'~onenls ~ (ode ht Alt Est Units on ,te Irpe Press lellp Code Stored n f.clllt, Vt See Instru~ Ions -IL-I M J 3000LJ 15000 I 194763 I GAL) 365 r~--l--;-=:c~-r;~e~gt¥~~g~fag~ ~~g~~x, 100 Gasol ine PhYSiUI 'nd "ulth "alard C.A.S. HUllber 8006-61-9 COllponent" lIalle I C.A.S. HUllber 25 Toluene 108-88-3 (Check a I that apply, U lire !lIZard o Reactlvlt, RILl 1044 I Physic,1 fPd IItllth "'Jlrd (Check I I th.t .ppl, o fin lIamd {] Reatllvlly =r=I I PhY5Ic.' 'nd lIealth "IJard (Check I I th.t Ipplr o lire "aurd o Reactivity =r=l I . Phlsic,1 tnd lIesHh "'lard . (heck I I that .pply 522 hi Delayed (j Suddfn Release J~alth 0 Pressure 54288 r..llLI 365 t.A.S. HUllber 124-38-9 6i 0rhyed 51 Suddrn Release lulth 0 Pressure 1~ C.A.S. Ilullber [J Dflayed 0 Suddfn Release lealth 0 Pressure r D C.A.S. HUllber U fhe "liard o Rnclhlly .[) Dfhyed [) SUddr" hlease I ealth 0 Pressure ] COllponenl 12 HI1I8 I C.A.S. HUllber [ IlIlIIedlat.e lIealth Co~ponent'3 Hallo I t.A.S. Hu~ber 20 Xylene 1330-20- 04 I 2 10 Methyltert Butyl Ether 1634-04-4 I 4 I 99 I In storeroom, back of store I.Q.Q Conponent'l Halle I C.A.S. Nunber Carhon Dioxide. Carbonic Anhydride [} I COllponent 12 Hille 1 C.A.S. HUllber IlI!IIed slo - lIealth Conponent IJ Halle 1 C.A.S. HUllber 1 COllponent II Hille I C.A.S. HUllber Conponent'2 Nalle I C.A.S. HUllber IJ IlIlIedisle lIealth COllponent 11 NI1I8 t C.A.S. HUllber ] COllponent.1 H811e 1 C.A.S. HUllber [] dl COllponent 12 Nllle I C.A.S. HUllber hllle a It Ilea ILh COllponent I) Hille I C.A.S. HUllber EHEnGErlCY CQUTACTS 111 Mike Spinuzzi - Zone fIIgr. - Beeper# (805)321-8522 112 Mike Karvelot - Environ.Dir. - (714)823-0691 or (619)247-1914 RI~e "!!!. , n-nrPMfil- RUI TH1f. n'Rf'fMñt- :CutilitJtlOI\ '(Reed DII{1 !~jïlJ lI(~ßr cpmplet;ug /Ill rcc.¿t·;OfJS) . II cerlll, un~er penal\t 0 lay th, I hay pe{sona I'l ela'lntO 'I\d '" '1IIIIIIt 11t the In{oflllt,pn ,ubll(tlt~ In this ,nd II' ~lt'thed docUllenls,.n t It blsed on I' nQUlry 0 hose ndlVldul s responslb e or obtaIning the Informl Ion. I believe thlt th~ ~UbftlttedlnrOrftlt on s true, .ccurlte, Ind cohplete. - I Mike Schumacher - Division Manager , ~ Iwr~r~ ~õr IEn n Iflror'õvñnlððHHðrOlloVñHlðpHHõf'nUtfiõ¡ I HiJrlpfnëñtH In SI ~ñA (ûf1 PH '"11 (r.U- ()fL e . e Bakersfield Fixe Dept. Hazardous Materials Division 2130 "G" Street Bakersñeld, CA. 93301 "ill ~i1 i' /" O O(~ HAZARDOUS MATERIALS MANAGEMENT PLAN INSTIWCTIONS: t. To avoid further action. return this form within 30 days of re-=~ipt. . 2 TYPE/PRINT ANSWERS IN ENGLISH. 3. Answ~r the Qu~stions below for the business as c whole. 4. Be crlef end concise os possible. SECTION 1: BUSINESS IDENTIFICATION DATA RECEIVED MAY 1 1 1990 HAZ. MAT. OlV. BUSINESS NAME: Circle K Corporation 11242 LOCATION: 3232 Stine Road Circle K Corporate MAILING ADDRESS: P. O. Box 52084, Phoenix, AZ 85072 CITY: Bakersfield STATE: CA ZIP: 93309 PHONE: (805) 831-5539 DUN & BRADSTREET NUMBER: 06-294-4160 SIC CODE: 5541 PRIMARY ACTIVITY: Convenience Store/Gas Station OVVNER: Circle K Corporation (602)229-8706 MAIlING ADDRESS: P. O. Box 52084, Phoenix, AZ 85072 SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE 1. Mike Scinuzzi - Zone Manager (209)298-3036 (B05) 833-8881 . 2. Don Lewis - District Manager (209)298-3036 (209) 291-5910 1. JDI~ '-I ,.,. , ,~ Bakersfield -Fire Dept.--- e Hazardous Materials Divisi0r.e HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYESS: 3 MATERIAL SAFETY DATA SHEETS ON FILE: Yes BRIEF SUMMARY OF TRAINING PROGRAM: Special on-the-job training in the handling of hazardous material(s) is provided in the following areas: 1. Prop~í maintenance and use of gasoline equipment. 2. Use of kitty litter for small spills. 3. Employees are instructed on proper response to police, fire department, emergency medical and Circle K Environmental Department. . 4. Each Circle K gasoline store has a Company supplied gasoline manual with MSDSs for gasoline and COZ. A review of the contents of the Emergency Response Plan will be made by all new employees within one month of hiring and by all employees on an annual basis. Safety and emergency equipment usage training will provide familiarization with the location and proper use of fire fighting equipment (fire extinguishers), the location of and procedures for facility shutdown (including the location of turnoff valves for gas and electricity) and the proper use of equipment used in the day to day business. 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, Mike Schumacher 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 CODEII ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INF RMATION CONSTITUTES PERJURY. '--rn Division Manager S-/I 'I SIG TITLE 2. FOI&90 ',-. ~ .. '" '~akersñeld Fire De'Dt:- . ~aTdDus Materials Di~siDn e HAZARDOUS MAT:RIALS MANAG:MENT PLAN Fc:::i1iiy Unit Name: Cir=l~ K CorDoration ª1242 SECTION 6= NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTiFICATION ?ROC=DUR:S: If e~rgency response assistance not required, notify: Bakersfield City Hazardous Materials Division Stat~ Office of Em~ro~ncY Services 326-3979 AND (800) 852-7550 WITHIN 24 HOURS If release poses present or potential hazard to human health & safety, property or environment, and emergency assistance is required, i~ediately notify: Fir~ Department - Bakersfield Fire Depar~ment 911 Police Decartment - Bakersfield Police Department 911 Bakersfield Citv Hazardous Materials Division 911 S¡ate UTTlce aT ~rneroencY ~erVlces (800) 852-7550 or (916) 427-4341 B. EMPLOYE: NOTiFICATION AND i:VACUAIJDN: Upon recognition of a release.' the Duty clerk will verbally (shouting) notify all other site personnel. The Clerk will ensure the shutdown of his/her area of responsibility (if possible) before evacuating. This includes elimination of potential ignition sources in the case of the release of flammable material. Evacuation will follow the designated routes (if unobstructed) as diagrammed on the Site/Plot Plan. Employees will be notified to evacuate by verbal (shouting) method to a pre-determined evacuation staging,area where all employees will be accounted for. c. PUBLIC EVACUATION: If evacuation from area deemed necessary, these neighboring properties will be notified: llAME. ADDRESS PHONE Carrow's Restaurant 4771 Planz Road 831-0971 One Hour Martinizing 3200 Stine Road 832-3480 Glenn Berger DDS 3204 Stine Road 833-6892 Partys and More 3208 Stine Road 831-3876 D. EMERGENCY MEDICAL PLAN: The pri~ry Company medical facility to treat employees injured by a hazardous materials incident: Mercy Hospital - 2215 Truxton Avenue. Bakersfield - (805)327-3371 -- Addftional Clinics and Hospitals: -- -- 3. JDleQ e Bakersfield Fire Dept. Hazardous Materials Divisi. ;;; ....... ,,: .. HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: GASOLINE A. RELEASE PREVENTION STEPS: 1. Steel posts installèd to prevent vehicle collision with pumps 2. Vapor Recovery Systems used when filling underground tanks which are of fiberglass construction 3. Dual hose systems on pumps. Anti-lock nozzles at pumps 4. No sales to non-authorized containers 5. No smoking signs posted. self serve instructions posted 6. Tanks checked periodically for leaks by comparing gallonage measurements with sales records B. RELEASE CONTAINMENT AND/OR MINIMIZATION: 1. Preventative diking with absorbent materials 2. Shut off all emergency switches to prevent further spillage 3. Barricade area to prevent possible exposure to general public 4. Avoid personal exposure to fumes/vapors and contact with liquid 5. Eliminate all sources of ignition in area of spill or vapors 6. Absorb liquids with absorbent materials and remove to safe area for evaporation C. CLEAN-UP PROCEDURES: 1. Notify Circle K Environmental Director (714) 823-0691 for co-ordination with hazardous waste disposal company to remove contaminated absorbent materials if required CARBON DIOXIDE A. RELEASE PREVENTION STEPS: Tanks are stored upright and firmly secured B. RELEASE CONTAINMENT AND/OR MINIMIZATION: Close valve if safe to do so, open all doors to ventilat C. CLEAN-UP PROCEDURES: Ventilate area immediately. Contact supplier if leak in container/valve SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: None a. Inside, backroom of store (breakers) ELECTRICAL: b. Outside, east wall of bldg. on south end (meter) VVATER: North wall on west end, outside (gate valve) Emergency gas shutoff switch: a. At the cashier station on console SPECIAL: h Nnrt:hwe¡::;t corner of huilòi nc;¡. nl1r~i ÒF> LOCK BOX: YES@ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: Fire extinguishers B. WATER AVAILABILITY (FIRE HYDRANT): Southwest corner of site 4. FOI! :1 CITY of UAI\EI{BI~ll::LU ,., ~ c-_~ ¡ II: Fan and AgUcultun D Stindard Business ÐHAZARDOUS MATERIALS INVENTORY , '~!' L NON-TRADE SECRETS Pa~e ~i'- orL i [\U5IHj55 NAHE: Circle K Corporation # 1242 OWNER NAHE: Circle K Corporation NAI1E 0ß THIS FACIlITYò" Circle K Corporation ~ ¡ ,l9CçT Off" 323, ::>tlne Koad AOUnES~' P. O. Box 52084 ST^NO^ to INO CL S5 C OE'---55.41·----;:.:-- ¡"Cí,b ~ 'IP! Bakersfield. CLlli09 CJbY~ alp!~*~~~072 DUN All BßAUSTHEEJ HUHBEI1-"" --, -..---.... ~ t I II : (BDSl 831-55j9 -- ¡J~ÞMR 1;a~N5TñlJf:ftÏONS-FOR-PROPER CODES Q..6_ - z.!L ä. - 4. 1 .ß a. i !i I J . ~ 8 9 10 II 12 13 . \I ¡ Ir.ns ~u H~l$ure 'n Cont Cont Cont Use loc.tlon When 'br /lues or IIHturr(t:Jrconenu . Code ht Units on It! Irpe Press lel1p Code Stored n facllltr Wt See Instrur: Ions R M 10000 3 ~d~bßt ~n~ tank 100 Gasoline - Regular Phrsic,1 Ind Ht(lth "'iard HUI. 1 C.A.S. NUl1ber 25 Toluene Itheck I I lhl .pplJ 00 Fire "uard o Reactlvltr m Dr"[!d [] Sudd¡n Release Old I COllponent 12 N.I1. . C.A.S. NUl1ber lI,e 8 te lea th o Pressure lea Ilh Component U Hall8 1 C.A.S. NUllber R 10000 U,nderground Tank PÞl~iCfl rid ~e.lth ~'llrd N'l1e 1 C.A.S. HUllber I et . l It 'PP J ~ F in Huard o Ructhltr o Dr"[ed [] Sudd¡n Pehase [] I COllponent'2 Hall' . C.A.S. HUllber IlIlIIed ale I u th o Pressure lIeallh Component 13 HIlle I C.A.S. NUllber ~ Fire Hlllrd i ¡ ì R P i Phl5 ie,I 'nd "eflth allard r I heck. I lhl appl, 1 i [] I COl1ponent IZ Hille I C.AoS. HUllber IlIlIed ale lIealth COllponent 11 Halle I C.A.S. NUllber 181 Df"¡ed [] Sudden Release lea th of Pr essura 4 99 In storeroom back of store COllponent 'I H.lla' C,A.S. NUllber U fire Hlurd o Ructlvltr . ~ Drh['d (g] Sudden Release ea th of Pressure [] I dl Component'2 H..I18' C,A,S. HUllber IIIIIP. ale lleallh Component 13 H.18 I C.A.S. Humber ; EHEnGEflCY corHACTS ø 1 Mike Spinuzzi Zone Manager (805)833-8881 "2 Don Lewis ( Rllie Tltll n-nrPfiðfil~ RUG ~ttruriçltlo~ (ReCr 8IJd $i~n l1fjßr C~nh1et;il1g /111 "~Ct. iOIJ~J ! I eertl', un~er øenlllt 0 I~ thet I hav peesana "[ eraa n~ ,qd '1 I.alllac tit the nfO(lIatlPR lubnltted In ihls ,nd all ¡ .It.çhed dQCUllents In t I baSed on IIr nqulr, 0 hose nd YldUI S responslb 8 or obtaining lhe nformatlon. believe that lhe ! sub.,tted Inlorlat OR s truI. accurlte. and cobplete. . .; ¡, MIKE SCHUMACHER - DIVISION MANAGER ' ¡ ~~H";;~ ñf fi't1 rr1nnrñ~ñHmlf1f1lrmrõWñlnr¡fi~f~fõf'nrr{fiõfnëarelifgeñn nv~ ~ qii5 [ur ê 108-88-3 20 Xylene 10 Methyltert Butyl Ether 100 Gasoline - Unleaded 25 Toluene 20 Xylene 130-2_ _ I 1634-04-4 I 108-88-3 130-20-7 10 Methyltert Butyl Ether 1634-04-4 100 Gasoline - Super Unleaded ¡ 25 Toluene 108-88-3 20 Xylene 130-20-7 10 Methyltert Butyl Ether 1634- 100 Carbon Dioxide, Carbonic Anhydride , .: I ,/ District Manager l209)291-5910 , tUII H'Rf1fiõnë I OA{'-S14r.!ð..._,~..~)' 11:- e CITY OF BAKERSFIELD HAZARDOUS MATERIALS MANAGEMENT PLANS Submitted Pursuant to e ~f\c; RECEIVED \NOV 2 1 19K9 HÞZ. MAT. DIV. CALIFORNIA HEALTH AND SAFETY CODE CHAPTER 6.95 (AB 2185/87/89) AND CHAPTER 6.5 (Hazardous Waste Control Law) FOR Circle K Corporation # 1242 3232 stine Road Bakersfield Circle K Corporation # 1242 - 1- CA 93309 (C) E.M.S.S.-10/88 -. e e CITY OF BAKERSFIELD I declare that to the best and information provided understand that additional before plan approval from: Bakersfield city Fire Department of mr knowledge and belief, the statements in thlS document are correct and true. I information to that provided may be required I also understand Administrating Agency changes: 1. The addition of one or more previously undisclosed material(s) in quantities equal to or greater than 55 gallons, 500 pounds, or 200 cubic feet at STP. that I am required by law to notify the within thirty days of anyone of the following 2. A 100 percent or more increase in the quantity of a previously disclosed material. 3. A change in the business address. 4. A change in the business ownership. 5. A change in the business name. Failure to notify the appropriate Administrative Agency: Bakersfield city Fire Department may result in the imposition of civil penalties. 7n~ Signature Name: Mike Schumacher Division Manaqer Title ///Í//n Dated: Telephone Number: (916) 331-2540 FOR OFFICE USE: Approved/Denied by Date: - 2- Circle K Corporation # 1242 (C) E.M.S.S.-10/BB I e e CITY OF BAKERSFIELD BUSINESS PLAN ANNUAL CHEMICAL INVENTORY 1. BUSINESS NAME: Circle K Corporation # 1242 2. FACILITY ADDR: 3232 stine Road CITY: Bakersfield 3. MAILING ADDR: 3437 Myrtle Avenue. suite 440 CITY: North Hiqhlands 4. BUSINESS PHONE NUMBER: (805) 831-5539 STATE CA ZIP: 93309 STATE CA ZIP: 95660 5. BUSINESS HOURS: 12:00 AM TO TO TO TO 11:59 PM SUN-SAT · · --- · · · · --- · · --- · · --- · · --- --- 6. TOTAL NUMBER OF EMPLOYEES: 3 NUMBER OF SHIFTS PER DAY: d 7. NATURE OF BUSINESS: Convenience Store/Gas station 8. SIC CODE (Standard Industrial Classification): 5541 9. CONTACT PERSONS ABLE TO ASSIST EMERGENCY PERSONNEL: FIRST NAME TITIE PHONE ~ BUSINESS AFTER HRS IAST NAME Staff 8Pinuzzi Lewis Schumacher Wriqht IXltv Clerk Zone Manaqer District Office Division Manaqer Environ. Director (805) 831-5539 (209) 298-3036 (209) 298-3036 (916) 331-2540 (916) 331-2540 Mike IX>n Mike Pat 10. FARM OR AGRICULTURE X STANDARD BUSINESS 11. ASSESSOR's PARCEL NUMBER: 12. REASON FOR FILING: INITIAL FILING ANNUAL REPORT CHANGE IN REPORTING STATUS X REPLACEMENT OF AN EXISTING PLAN # 13. NUMBER OF UNDERGROUND TANKS: ~ TOTAL CAPACITY: 30000 - 3- Circle K Corporation # 1242 (805) (805) (209) (-) (916) 831-5539 833-8881 291-5910 -- 966-9139 (C) E.M.S.S.-10/BB · e e FACILITY DESCRIPTION The followin9 information is used to orient new employees to the major aspects of th1S facility. BUSINESS NAME: Circle K corporation # 1242 FACILITY ADDR: 3232 stine Road CITY: Bakersfield STATE: CA ZIP: 93309 FACILITY CONSTRUCTION: stucco. wood. and drywall NUMBER OF FLOORS: 1-- THE TYPE OF FACILITY IS FACILITY SIZE: 2720 (sq. ft.jfloor) Convenience Store/Gas station THE PRODUCTS OR SERVICES THAT ARE PRODUCED OR MARKETED BY THIS FACILITY ARE: a. Gasoline THIS FACILITY IS ~ YEARS OLD. IT HAS BEEN USED IN ITS PRESENT CAPACITY FOR ~ YEARS HAZARDOUS MATERIALS ARE USED IN THE OPERATION OF THIS BUSINESS IN THE FOLLOWING MANNER: a. Gas sold to public NAME OF OWNER: Circle K Corporation ADDRESS: 3437 Mvrtle Avenue. Suite 440 CITY: North Hiqhlands PHONE #: (916) 331-2540 STATE: CA ZIP: 95660 - 4- Circle K Corporation # 1242 (C) E.M.S.S.-10/88 ~. ~-' >'»>f?:J"'Ç»mtSI>ìSSì~I)I[)~BRS~Mß,Qt..S»»' - N" REFERENCE TO NORTH 1· . 100' - SCALE OF MAP I..,.,·:... ~NQ~~þ~>~6t~9J~ç~~T,>~i~~~f~~*>~~M~ I , ..... B ABSORPTIVE MATERIAL ð ALARM ~ DRAIN -( '.-- DRIVEw\Y ---! - DOORS Þ EVACUATION ROUTE ~ EVACUATION/STAGING AREA <{þ EYE W\SH I + FIRST AID ~ I ® FIRE HOSE ŒI FIRE EXTINGUISHER ~ FIRE DOOR = FIRE W\LL LA( GAS PUMPS & GUARD STATION ŒJ KNOX BOX LOCATION I Þ=I LADDER MAT E R I A L SA F E T Y DATA SHE E T & EMERGENCY RESPONSE PLAN PERSONAL PROTECTIVE EQUIPMENT I~\~SI ~ ~ PUBLIC TELEPHONE RR - REST ROOM § U1IIIIIIII1IJ S TA IRS .><»..,.... . @ AIR CONDITIONING ŒJ ELECTlRC METER ® ELECTRIC SHUT-OFF [Q] GAS METER @ GAS SHUT-OFF @J W\TER I> qq I .. . ..,...,......... ..,... .......,.. .. ,. ,...,. ,. .. ......,..,...., ..,...............,........ ...., .. ...... , ..' ., . ......... .... ,.,. . ......." ...., .,... .... . ' .. ... ... ....... .."......., ,........... ....... .... . '" .......... .., ....."...... ".... ......"..", ,,,.... .. ""... '. fl~E~lJ.Î;lfR¥Ø~JºH ~xßJ'gM~ V FIRE DEPT. SPRINKLER CONNECTION Y FIRE DEPT. STANDPIPE CONNECTION .... FIRE HYDRANT :5~~ ATTIC SCUTTLE --, COOLER OR ~j REFRIGERATION UN IT *** FENCE/BARRIERS 08 HEATING UNIT :f :j::H RAILROAD TRACKS @ SEWER :"~~: SKYLIGHT 1__...... . STORM DRAIN !<$T(jR,t,QETA Nt< 8\,>1 IDENTIFY THE TYPE OF CON TAIN E RUSIN G THE FOLLOWING SYMBOLS, SPECIF Y TAN K CAPACIT Y IN GALS" LBS., OR CU.FT. ABOVE GROUND TANKS e 100 ê _GAL 100 HM8 HM8 GAL FL FL BELOW GROUND TANKS ,.., (10K \ \.GALI '- ..-' (--10K- - \ '- GAL " ......-- 8 INSULATED TANKS 8PRESSURIZED TANKS CORR - CORROSIVE C - COM BUSTlBLE E - EXPLOSIVE F - FLAMMABLE G - GAS L - LIQUID OXY - OXIDIZER R - RADIOACTIVE S - SOLID T - TOXIC WR - W\TER REACTIVE e ..... -. -...,..... ..."......".............. .... ..... ... ..................".... ...................... ..... ..... >#~i...R[)ØQ~......f¢ijIÁ~~, ,:»:,J3JORAGEIH A NDLI~G::::::. >AAEAŠ>" ........ -.-- --". ..-... HAZARDOUS MATERIAL STORAGE AREA...HMS HAZARDOUS MATERIAL HANDLING AREA...HMH HAZARDOUS WASTE STORAGE AREA...HWS .. .. ...:,.: .:.', .,.' :::.::»:':::>':"':::"':::"::.::>::>:::::::":":::":':':::'::.;:::::'::::':::::>:'::/::':'»>':.<::::::::;<>.'>J CITY OF BAKERSFIELD H A Z A R D 0 US· MAT E R I A L SIN V E N TOR Y FARM OR AGRICULTURE: STANDARD BUSINESS: ~ ADMIN AGENCY ACCT. #: REASON FOR FILING: BUSINESS NAME: Circle K Corporation # 1242 FACILITY ADDRESS: 3232 Stine Road INITIAL ANNUAL REVIE~ _ CHANGE IN STATUS SIC CODE: ill! EPA#: I Bakersfield REPORTING PERIOD: JANUARY 1 TO DECEMBER 31, 1989 K REPLACE EXISTING PLAN ASSESSOR's PARCEL #: DUN & BRADSTREET #: 06-~-4160 - 1\ PAGE L OF L ITITYPE MAX I AVG I ANNUAL I IDAYS CONTICONT ICONT I USEI DOT CICODE AMT I AMT r AMOUNT IUNITI O/S CODElpRESS TEMP 'CODE CLASS AIM I 10000 I 5000 150000 I GALl 3651 01 I 1 I 4 I 19 tFL I CHEMICAL NAME: GasoLine I COMMON NAME: Gasoline. Regular I LOCATION: Underground tanks. approx. 30 ft. southwest of store I ~ FIRE _ SUDDEN RELEASE OF PRESSURE ACUTE I _ REACTIVITY ~ CHRONIC 1 ITITYPE MAX I AVG I ANNUAL I IDAYSICONTICONT ICONT I USEI DOT IclcODEI AMT I AMT I AMOUNT IUNITI O/S CODE PRESSITEMP CODE CLASS IAIM I 10000 I 5000 1170000 I GALl 3651 01 I 1 1 4 1 19 IFL I CHEMICAL NAME: Gasoline I COMMON NAME: Gasoline. Unleaded I LOCATION: Underground tanks. approx. 30 ft. southwest of store I ~ FIRE _ SUDDEN RELEASE OF PRESSURE ACUTE I _ REACTIVITY ~ CHRONIC I IT/TYPE MAX I AVG I ANNUAL I DAYS/CONT/CONT ICONT I USE DOT CICODEI AMT I AMT I AMOUNT IUNITI o/slcODElpRESslTEMP ICODElcLASS IAIM 1 10000 I 5000 160000 I GALl 3651 01 I 1 I 4 I 19 IFL I CHEMICAL NAME: Gasoline I COMMON NAME: GasoLine. Super Unleaded I LOCATION: Underground tanks. approx. 30 ft. southwest of store I ~ FIRE _ SUDDEN RELEASE OF PRESSURE ACUTE I _ REACTIVITY ~ CHRONIC 1 EMERGENCY CONTACT: FIRST NAME LAST NAME Staff Mike Spinuzzi IRANGE I %\.IT 1100 I 25 I 20 I 10 I I I I RANGE 1 %WT 1100 I 25 I 20 I 10 I 1 I RANGE I %WT 1100 I 25 I 20 I 10 I I 1 I I COMPONENTS , I1111111111111111111111111111111111111111111111111 IToluene I XYlene I Methyltert Butyl Ether 1 , I J I COMPONENTS I 1111111111111111111111111111111111111111111111111 IToluene I IXYlene I IMethyltert Butyl Ether 1 1 1 I I 1 I I I COMPONENTS I I111111111111111111111111111111111111111111111111 IToLuene IXylene /Methyltert Butyl Ether 1 I 1 lOOT I CAS # IGD# 8006-61-91 - I 108-88-3127 I 130-20-7127 I 1634-04-4126 I , I 1 I I I lOOT I CAS # IGD# 8006-61-91 - I 108-88-3127 I 103-20-7127 I 1634-04-4126 I I I I I I I lOOT I CAS fI 1 GDfI 8006-61-91 - I 108-88-3127 103-20-7127 I 1634-04-4126 I I 1 I I I I e e TITLE Dutv Clerk Zone Manaqer BUSINESS PHONE/AFTER HRS PHONE 831-5539 831-5539 298-3036 833-8881 Circle K Corporation # 1242 - 7- (C) E.M.S.S. - 01/89 H A Z A R D 0 U S BUSINESS NAME: Circle K Corporation # 1242 IT TYPE MAX I AVG I ANNUAL I DAYS CONT CONT ICONT IclcODEI AMT I AMT I AMOUNT IUNITI O/S CODElpREssITEMP IAlp I 100 I 50 12400 I LBSI 3651 04 I 2 I 4 I CHEMICAL NAME: Carbon Dioxide. Carbonic Anhydride I COMMON NAME: Carbon Dioxide I LOCATION: In Storeroom. back of store I _ FIRE K SUDDEN RELEASE OF PRESSURE I _ REACTIVITY ! CHRONIC I ITITYPE MAX I AVG IclcODEI AMT I AMT I I I I I CHEMICAL NAME: I COMMON NAME: I LOCATION: I _ FIRE _ SUDDEN RELEASE OF PRESSURE I _ REACTIVITY CHRONIC TITYPEI MAX I AVG IclcODEI AMT I AMT 1 I I I CHEMICAL NAME: I COMMON NAME: I LOCATION: I _ FIRE _ SUDDEN RELEASE OF PRESSURE I _ REACTIVITY CHRONIC I IT/TYPE I MAX I AVG IclcODEI AMT I AMT I I I I I CHEMICAL NAME: I COMMON NAME: I LOCATION: I _ FIRE _ SUDDEN RELEASE OF PRESSURE I _ REACTIVITY CHRONIC I IT TYPE MAX I AVG IC CODE AMT I AMT I I I I I CHEMICAL NAME: I COMMON NAME: I LOCATION: ,_ FIRE _ SUDDEN RELEASE OF PRESSURE I _ REACTIVITY CHRONIC I CITY OF BAKERSFIELD MAT E R I A L S RANGE I %\IT 1100 I , I 1 ,I I I USE I DOT IRANGE ICODElcLASS I %\IT 1 I I I I I 1 I I RANGE I %\IT I I I I I 1 RANGE %\IT USE DOT ICODE CLASS I 99 INFG ACUTE I ANNUAL I DAYSICONTICONT ICONT I AMOUNT IUNITI o/slcODElpRESS TEMP I I I I I I ACUTE I ANNUAL I DAYS CONTICONT ICONT I USE DOT I AMOUNT IUNITI o/slcODE PREssITEMP ICOOElcLASS I I I I I I I I ACUTE I ANNUAL I DAYS CONTICONT ICONT I USE I DOT I AMOUNT IUNITI o/slcODElpRESS TEMP ICOOElcLASS I I I I I I I I ACUTE I ANNUAL DAYSICONTICONT ICONT I USE DOT I AMOUNT IUNITI o/sIcODElpREsslTEMP CODElcLASS I I I I I I I I ACUTE Circle K Corporation # 1242 IRANGE I %\IT I I I I I I I - 8- I N V E N TOR Y PAGE ~ REPORTING PERIOD: JANUARY 1 TO DECEMBER 31. 1989 I IDOTI I COMPONENTS I CAS # IGD#I 1111111111111111111111111111111111111111111111111 124-38-9121 99 = Used for soda fountain I 1 I , I 1 IDOT CAS # IGD#I I I 1 I I I I I I I I 1 I I IDOTI I COMPONENTS CAS # IGD#I I111111111111111111111111111111111111111111111111 I I I I I I I I I I , I I I ' I I IDOTI CAS # GD#I I I I I I I I lOOT I CAS # IGD#I I I I I I I I I I I I I I I COMPONENTS I111111111111111111111111111111111111111111111111 I I COMPONENTS I111111111111111111111111111111111111111111111111 I I 1 I COMPONENTS I I1111111111111111111111111111111111111111111111111 I I I I I I I I I I I I OF 2 !' e e (C) E.M.S.S. - 01/89 INVENTORY FORM CODES TC - TRANSACTION CODE (Column 1) A = Add this new material to the business' inventory. D = Delete this material from the business' inventory. R = Revise the information about this material. ! CONT CODE - CONTAINMENT CODE (Column 8) l' 01 Underground Tank 02 Aboveground Tank 03 Fixed Pressurized Tank 04 Portable Pressurized Cylinder(s) 05 Insulated Tank (includes cryogenics) 06 Drums or Barrels - Metallic 07 Drums or Barrels - non-Metallic 08 Carboy(s) 09 Glass Container(s) I I 10 Plastic Container(s) 11 Box(es) 12 Sages) 13 Metal Container (not drums) 14 In Machinery or processing equipment 15 Sines) 16 Unl ined S~ 99 OTHERS USE CODE (Column 11) 01 Additive 13 Errulsifier 25 Instruction 37 Storage 46 Aircraft Sys. 02 Adhesive 14 Etching 26 Lubricant 38 Stripper 47 Electrolyte 03 Aerosol 15 Experimental 27 Medical Aid 39 Washing 48 Breathing Air 04 Anesthetic 16 Fabrication 28 Neutralizer 40 Waste 49 Draft ing A ids 11 05 Bactericide 17 Fert il her 29 Painting 41 Water 50 End Product I' 06 Blasting 18 Forrrulation 30 Pesticide Treatment 51 Fire Protect I' 07 Catalyst 19 Fuel 31 Plating 42 Welding 52 Hydrau. Equip 08 Cleaning 20 Fungicide 32 Preservative 43 Well 53 Road/Hwy 09 Coolant 21 Grinding 33 Refining Injection Maintenance 10 Cooling 22 Heating 34 Sealer 44 Oi l 54 Testing Chem. 11 Drilling 23 Herbicides 35 Spraying Treatment 55 Wholesale 12 Dryer 24 Insecticides 36 Sterilizer 45 ResaLe 99 OTHER IN POUNDS (Col 3,4,5) 12 ESTIMATED VOLUME OR WEIGHT RANGE Range Code From 1 2 3 4 5 6 Circle K Corporation # 1242 o 100 1,000 10,000 100,000 1,000,000 99 999 9,999 99,999 999,999 9,999,999 .. !' TYPE CODE (Column 2) P = pure or largely pure substances M = mixtures of pure substances W = waste (also append the three digit E.P.A. waste code). CONT PRESS - CONTAINER PRESSURE (Column 9) 1 = Ambient Pressure 2 = Greater than Ambient Pressure 3 = Less than Ambient Pressure CONT TEMP - CONTAINER TEMPERATURE (Column 10) e 4 = Ambient Temperature 5 = Greater than Ambient Temperature 6 = Less than Ambient Temperature but not cryogenic 7 = Cryogenic Conditions DOT CLASS - DEPARTMENT OF TRANSPORTATION (DOT) HAZARD CLASS CODES (Column 12) EXP A = ExpLosive A EXP B = Explosive B EXP C = Explosive C BA = Blasting Agent FG = flammable Gas NFG = Nonflammable Gas COR = Corrosive CR = Cryogenics PYRO = Pyrophoric or sponta- neously Combustible POlS A = Poison Gas POlS B = Poison Liquid/Solid fl = flammable liquid CL = Combustible Liquid ORME = Hazardous Waste ORMS = Other Regulated Materials (materials B, C, and D) UNITS - MEASUREMENT UNITS (CoLumn 6) LBS = Pounds GAL = Gallons FT3 = Cubic Feet TON = Tons (2000 lbs) BBL = Barrels (42 gals) - 9- FS = flammable Solid W = Water RAD = Radioactive OXY = Oxidizer OP = Organic Peroxide ETI = Etiologic Agent ORMA = Anesthetic, Irritant e (C) E.M.S.S. - 06/89 'i ,¡., e e REPORTING PERIOD: JANUARY 1 TO DECEMBER 31, 1989 HAZARDOUS WASTES iNVENTORY GENERAL CHEMICAL AND MINERAL COMPOSITION FACILITY NAME: Circle K Corporation # 1242 FACILITY ADDRESS: 3232 stine Road WASTE NAME/ MIN MAX MAX CATE DESCRIPTION CONC CONC AMOUNT UNIT ~ ~ 0 0 None - - - - - - - - - - - - - - - - - - - - - - - -10- Circle K Corporation # 1242 (C) E.M.S.S.-10/88 '-1- I i¡'" e e CITY OF BAKERSFIELD HAZARDOUS MATERIALS EMERGENCY RESPONSE PLANS AND PROCEDURES Submitted Pursuant to CALIFORNIA HEALTH AND SAFETY CODE CHAPTER 6.95 (AB 2185/87/89) AND CHAPTER 6.5 (Hazardous Waste Control Law) FOR Circle K Corporation # 1242 3232 stine Road Bakersfield 93309 CA -11- Circle K Corporation # 1242 (C) E.M.S.S.-10¡88 '..¡ . ,.¡;~ e e EMERGENCY RESPONSE PLAN 1. EMERGENCY RESPONSE PERSONNEL The following persons have been designated to coordinate and assist in the event of a hazardous incident at this facility. a. EMERGENCY COORDINATOR: The Emergency Coordinator is responsible for managing hazardous materials emergencies, and coordinating all emergency measures. The Coordinator shall be thoroughly familiar with the facility emergency response plan, the facility's operations, hazardous materials, and facility larout. Other tasks of the emergency coordinator include: wrlting the emergency response plan, updating it when necessary, and overseeing the training of personnel in its use. LAST NAME FIRST NAME TITLE Staff Dutv Clerk BUSINESS PHONE: (805) 831-5539 AFTER HRS. PHONE: (805) 831-5539 b. ALTERNATE EMERGENCY COORDINATOR: The Alternate Emergency Coordinator shall be familiar with the duties and responsibilities of the primary Emergency Coordinator and shall perform those duties when the Coordinator is not available. The Alternate Coordinator may also assist the Coordinator in writing, updatin9 the ERP, and to oversee the training of employees and on-slte emergency response personnel. LAST NAME FIRST NAME TITLE Spinuzzi Mike Zone Manaqer BUSINESS PHONE: (209) 298-3036 AFTER HRS. PHONE: (805) 833-8881 c. EMERGENCY RESPONSE TEAM: The Emergency Response Team are those individuals who have been trained to respond and handle emergencies dealing with the mitigation, abatement or prevention of releases or threatened releases of hazardous materials. IAST NAME mONE FIRST NAME TITIE BUSINESS AFTER HRS. I)Jn District Office (209) 298-3036 (209) 291-5910 Mike Division Manaqer (916) 331-2540 (-) -- Pat Environ. Director (916) 331-2540 (916) 966-9139 (-) -- (-) -- (-) -- (-) -- (-) -- (-) -- (-) - (-) -- -- (-) -- (-) -- -12- (C) E.M.S.S.-10/88 Iewis Schumacher WriQht Circle K Corporation # 1242 /' , .... e e HAZARDS ASSESSMENT AND NOTIFICATION PROCEDURE 2. HAZARDS ASSESSMENT In the event there is a reported release or threatened release of toxic or hazardous material, the Coordinator or Alternate Coordinator will be advised. If, in their assessment, there is a need to call the Emergency Response Team, this will be done before notification to any requ1red agencies is done. 3. REPORTING REQUIREMENTS section 25504 or threatened required even assistance. of the Health and Safety code requires that the release release of hazardous materials be reported. This is if the situation does not warrant emergency response A. REQUIRED TIME OF NOTIFICATION: 1. Immediate notification is required as soon as the release or threatened release is acknowledged and as long as notification can be provided: (a) without impeding immediate control of the release/threatened release, AND (b) without impeding emergency medical measures. 2. Immediate notification is not required if: (a) there is reasonable belief that the release or threatened release poses no significant present or potential hazard to human health and safety, property, or the environment, AND (b) the situation does not require emergency assistance. B. NOTIFICATION PROCEDURES: 1. When the incident DOES NOT require immediate notification as described above, contact your administrating agencies within 24 hours of the incident: Bakersfield City Fire Department Phone: 326-3979 and State Office of Emerqencv Services Phone: (800) 852-7550 When a hazardous materials release or threatened release occurs which DOES require immediate notification as described above, refer to the Emergency Notification Roster on the next page and following directions described in the reporting requirements. -13- Circle K Corporation # 1242 (C) E.M.S.S.-10/88 /' ..1. "t- r¡, e e EMERGENCY NOTIFICATION TELEPHONE ROSTER 4. EMERGENCY NOTIFICATION Of the five agencies listed below, all (execpt Paramedics) must be contacted in the event of a hazardous materials release or threatened release. Reporting information required by these agencies is listed in the box below. A. LOCAL EMERGENCY RESPONSE PERSONNEL C ALL 911 PARAMEDICS : PHONE (___) ___-____ (Non-emergency Number) FIRE AGENCY: Bakersfield citv Fire Department PHONE (805) 324-4542 (Non-emergency Number) LAW ENFORCEMENT: Bakersfield citv Police Department PHONE : (805) 327-7111 (Non-emergency Number) B. ADMINISTRATING AGENCY AGENCY: Bakersfield citv Fire Department PHONE : (___) 911-____ (24-hour Emergency Number) C. STATE OFFICE OF EMERGENCY SERVICES (OES) PHONE: (800) 852-7550 OR (916) 427-4341 ************************************************************************** * REPORTING REQUIREMENTS * * * * The following information should be known when reporting an emergency * * so that response personnel will know what to expect and how to react. * * * * 1. Time and type of incident (fire, chemical release, etc.) * * * * 2. The exact location of the release or threatened release. * * * * 3. Name and quantity of material(s) involved, if known. * * * * 4. The extent of injuries. * * * * 5. Name of person reporting the incident. * * * * 6. The potential hazards presented by the material(s). * * * ************************************************************************** -14- Circle K Corporation # 1242 (C) E.M.S.S.-10/88 ;/ ~.", 't.. e e 5. NEIGHBORING PROPERTIES The followin~ (by name, address, and phone number, if available) list the neighbor~ng businesses, residences, schools, hospitals, etc. which could be affected by a hazardous materials incident from this facility. These phone numbers are to be used in the event of an emergency to provide notification if evacuation from the area is deemed necessary. NAME ADDRESS PHONE Carrow's Restaurant One Hour Martinizinq Glenn Berqer DDS Partvs and More 4771 Planz Rd. 3200 Stine Rd. 3204 Stine Rd. 3208 stine Rd. 831-0971 832-3480 833-6892 831-3876 - -- - -- - -- - -- - -- - -- 6. COMPANY EMERGENCY MEDICAL ASSISTANCE This section includes the names, addresses, and phone numbers of primary company medical facility and doctor, who would be available treat employees injured by a hazardous materials incident at business. Use this information in the event of an emergency. the to this DOCTOR ADDRESS CITY PHONE FACILITY: ADDRESS CITY PHONE None · · (-) -- Mercv Hospital 2215 Truxton Ave. Bakersfield (805) 327-3371 7. ADDITIONAL CLINICS AND HOSPITALS FACILITY: ADDRESS CITY PHONE · · (-) -- FACILITY: ADDRESS CITY PHONE · · : (-) -- (Medical facilities continued on the next page.) -15- Circle K Corporation # 1242 (C) E.M.S.S.-10/88 " ~ ,/ -1'1 i.- e e 7. MEDICAL FACILITIES (Cont) FACILITY: ADDRESS CITY · · PHONE (-> -- FACILITY: ADDRESS CITY PHONE · (-) · -- UTILITIES SHUT OFF LOCATIONS 8. GAS/PROPANE: None ELECTRICAL: a. Inside. backroom of store (breakers) b. outside. east wall of bldq. on south end (meter) North wall on west end. outside (qate valve) WATER: FIRE HYDRANT: Southwest corner of site LOCK BOX: None EMERGENCY RESPONSE PLAN: At the cashier station SPECIAL (IDENTIFY) : Emerqencv gas shutoff switch: a. At cashler station on console b. Northwest corner of buildinq. outside 9. UTILITIES INFORMATION DO NOT NOTIFY these companies information is for reference emergency response personnel emergency at this facility. in the event of an emergency. This only and may be helpful in assisting in responding to a hazardous materials UTILITY NAME PHONE --------------------+----------------------------------------+-------------- Electric Company: Pacific Gas and Electric Co. Gas Com~any: None Sanitatlon District:Citv of Bakersfield Water District: city of Bakersfield (805) (-) (805 ) (805) - - - 324-3981 -- 327-7111 327-7111 Number of underground tanks on site: 1- Total Capacity: 30000 -16- Circle K Corporation # 1242 (C) E.M.S.S.-10/BB // '.~' . e e EMERGENCY RESPONSE PROCEDURES 1. EMERGENCY ASSESSMENT Upon recognition of a release or threatened release, the Facility Emergency Coordinator or the Alternate Emergency Coordinator should be alerted (see Sec. 1a&b in the Emergency Response Plan of this HMMP). In the event that neither of the above persons can be. contacted, then the next person on the Response Team roster should be called. This roster is to be used until a member of the Facility Response Team is contacted. It is then that Response Team member's responsibility to contact and assemble the remainder of the Response Team. 2. NOTIFICATION a. (Local Agencies) The Coordinator or Alternate will determine whether immediate notification of local emergency response agencies is necessary. In the absence of either of these persons, any member of the facility response team or any designated representative may make that decision. The individual making this final decision should make use of the Reporting Requirements outlined in section 4 of the Emergency Response Plan to gather the appropriate information and then utilize the Emergency Notification Telephone Roster also on the same page. b. (On-site) If the situation so warrants, other employees of the facility will be notified using one or more of the following step(s): X INFORM THE EMERGENCY COORDINATOR X ACTIVATE THE RESPONSE TEAM X NOTIFY ALL OTHER SITE PERSONNEL USING: AUDIBLE ALARM SYSTEM PUBLIC ADDRESS (LOUDSPEAKER) VISUAL ALARM X VERBAL (SHOUTING) TELEPHONE 3 . EVACUATION a. Evacuation of the facility, if required, will follow the designated routes (if unobstructed) as diagrammed on the Site Plot Plan. These are posted in highly visible areas through the facility. Employees will be notified to evacuate by the following signal: AUDIBLE ALARM SYSTEM VISUAL ALARM TELEPHONE PUBLIC ADDRESS (LOUDSPEAKER) X VERBAL (SHOUTING) -17- Circle K Corporation # 1242 (C) E.M.S.S.-10/88 ~ ~~ . e e 4. SHUTDOWN All operation clerks or designated operators are responsible to ensure the shutdown of their area of responsibility (if possible) before evacuating. This includes elimination of potential ignition sources in the case of the release of flammable material. 5. PREVENTION A prevention/maintenance program has been implemented for the review of methods leading to the potential reduction of a hazardous material release. One or more of the following methods has been used: X PERIODIC INSPECTIONS CORROSION MAINTENANCE X PERIODIC EQUIPMENT MAINTENANCE X APPROVED CONTAINERS X MARKED EMERGENCY EXIT(S) X FIRE EXTINGUISHER(S) SERVICED CHEMICAL HANDLING TRAINING X SAFETY TRAINING CORROSION MONITORING PROGRAM X DAMAGED CONTAINER INSPECTIONS X PROPER WARNING LABELS ON CONTAINERS X APPROVED FLAMMABLE STORAGE AREA X PROPER SEPARATION OF CHEMICALS X GENERAL HOUSEKEEPING X PROPER VENTILATION X OTHER a. Steel posts installed to prevent vehicle collision with pumps. b. Vapor Recoverv Systems used when fillinq underqround tanks. c. Dual hose systems on pumps. d. Anti-lock nozzles at pumps. e. No sales to non-authorized containers. f. No smokinq siqns posted. q. Self-serve instructions posted. h. Tanks checked periodicallY for leaks by comparinq qallonaqe measure- ments with sales records. i. Underqround tanks are of steel construction. See next page(s) for applicable Emergency Response steps! -18- CircLe K Corporation # 1242 (C) E.M.S.S.-10/88 ~ / e . ~. ~ EMERGENCY RESPONSE STEPS MITIGATION AND ABATEMENT A. FOR THE FOLLOWING SUBSTANCE(S): Gasoline - All Grades MITIGATION: 1. Follow emerqency notification procedures as indicated in plan. 2. In case of spill take protective measures to control spread of fluid such as preventative dikinq with absorbent materials. 3. Shut off all emerqencv switches to prevent further spillaqe. 4. Barricade area to prevent possible exposure to qeneral public. 5. Avoid personal exposure to fumes/vapors and contact with liquid 6. Eliminate all sources of iqnition in area of spill or vapors. 7. Absorb liquids with absorbent materials and remove to safe area for evaporation. ABATEMENT: 1. Notify Circle K Environmental Director for co-ordination with hazardous waste disposal company to remove contaminated absorbent materials if required. B. FOR THE FOLLOWING SUBSTANCE(S): Carbon Dioxide MITIGATION: 1. Evacuate all nonessential personnel from affected area. 2. Close valve if possible. 3. Open all doors to ventilate affected area. ABATEMENT: Contact supplier of material release. -19- Circle K Corporation # 1242 (C) E.H.S.S. - 01/89 .. '.. .. // e . TRAINING OUTLINE A. HANDLING HAZARDOUS MATERIAL special on-the-job training (OJT) in the handling of hazardous material(s) is provided in the following area(s): 1. Proper maintenance and use of qasoline equipment. 2. Use of kitty litter for small spills. 3. Emplovees are instructed on proper response to police. fire department. emerqencv medical and Circle K Environmental Department. 4. Each Circle K qasoline store has a Company supplied qasoline manual. The MSDS for each appropriate hazardous substance is used to provide: Recognition of the physical and chemical properties of each substance. Knowledge of the toxicity involved in usage of the substance. Knowledge of the potential health hazards from use of the chemicals. Understanding the first aid steps to counteract any effects of improper exposure to the chemical. Knowledge of any precautions or protective equipment which must be used or worn when handling the chemical. The information learned from the study of the MSDS for each appropriate hazardous material will be reinforced through one or more of the following methods: .ê 1. .ê 2. .ê 3. X 4. X 5. X 1. 2. 3. 4. 5. X 6. Reading each appropriate MSDS. Worksheets. Classroom instruction. Use of videos/films where available. Training Labs. OJT. B. EMERGENCY RESPONSE PLAN A review of the contents of the Emergency Response Plan will be made by all new employees within one month(s) of hiring and by all employees on an annual basis. Durin~ this review, one or more of the following objectives will be accompllshed: Familiarization with the ERP in general. Familiarization with the procedures for notifying the on- site emergency response team Familiarization with the procedures for notification and coordination with local emergency response organization. Familiarization with the use of the Emergency Telephone Roster. Familiarization with the evacuation procedures and routes involved in the case of an emergency. Escape routes are posted in highly visible sections of the facility and exit doors are clearly marked. X 1. X 2. X 3. X 4. X 5. -20- Circle K corporation # 1242 (C) E.M.S.S.-10/88 ./ . ~.-r.: e e TRAINING OUTLINE (con't) ERP training may be reinforced by: X 6. Practice emergency drills and exercises. X 7. Repeated instructional tours of the facility. C. SAFETY AND EMERGENCY EQUIPMENT USAGE Formalized training will provide familiarization with one or more of the following: The location and proper use of fire fi9hting equipment. The location of and procedures for fac1lity shutdown. This includes the location of the turnoff valves for gas and electricity. The proper use and wearing of protective gear and clothing. The location and use of emergency communication equipment. The proper use of equipment used in the day to day business. The training will be accomplished through one or more of the following methods: X 1. Reading of material. X 2. Classroom environment. 3. Instructional Labs. X 4 . OJT D. RECORD KEEPING X 1. X 2. 3. 4. X 5. Training records are kept on each employee as to: Overall Traininq. Dates Traininq Received. E. TRAINING COORDINATOR The following person has been designated as the training coordinator: Barbara Mvatt - Corporate Trainer He or she may be reached at (209) 298-3036. -21- Circle K Corporation # 1242 (C) E.M.S.S.-10/88 r~-., ' Standard Business ~ BUSINESS NAME:Q\~~e ~ s...~ \J!- \~~~ OWNER NAME:\>\.e Q.o...c.~.;._'\( Cº-~_~ð4..~~~___'., LOCATION: ?>2. ~2.. c:::.TI..,1:: rz..-M> ADDRESS: \11Q, C-o-N"'>J <:::.,.. CITY, ZIP'~'~~5-~'~, _~ o..'S3ö~ CITY, ZI~=r~~~~"-"'{i514"-'~~=-=~':",~-'~'u PHONE #:. RO S" q ~\ - SS ~'" '_''___'. ._. PHONE #. (7\4.) 4-1ðr. - <ø \4-ò STANDARD !f¡D. ~ASS CODE: ..___~tl~____~-= NAME OF' iHtsFACiL-I-T"Y'~~~~~~."\[ S~-~~j~~4-~ REFER TO INSTRUCTIONS FOR PROPER CODES Farm and Agriculture r-' L_J KERN COUNTY FIRE DEPARTMENT HAZARDOUS MATERIALS INVENTORV 4 PUN A~f) HRAf1;;IRt::: NIIM,;II; rJ /,.,. f1¿IOi' at ". _h..___..._~__..__ ..0_ ® ----..-- -.---,.-.. ----.--..----.- --_. .-----.-----..-- ._...-.- 1 1 rans Code 2 [ype Code .-..-,-.-. .._-- ..-- - -.--.-..--..-- _._-. ----..- ._-_.--- -- -.......-..--.---.-.--..-..--.....---.-.-..- ..---. .--.....-'..- 3 Max Amt 4 5 6 7 R 9 10 Avel'age AnnIJal Measure Cont Cont Cont Use Amt Est Un its lype Press lemp Code cqSO'"D'tJ \~ '"~ - ----- ----..---- 11 % by wt 17 Names of Mixture/l:ompont'l1t s See Instruct1[¡flS ::.g: Delayed Health C..A.S. Numbern.__,.1_'!~:~~):~h___'_' l - ~, i._,~, c - , ~ .~ ~ 13)0 OòV' '3 C. '<", . .. .'~'. u le".."Sv,!. . .~.., , L - J Re,~ctivitv L ,. -. Sudden Release of Pressure on Site L.., -, J '? '\Z <; ~ .;:,::;:~~~;~~~:;~;~~l::~~:I:~~~:~~~~~;:;:]:2::~:I~¡-~::: :;~ _~~_~'~~::~:__::~_~"__:o:_"____'_'_____:_.___ Hei1lth ,... -- .._,_,__._._u______,..__'m'_."umu,____'.._ ,,----- .0~\,.@.~__~__,_,~'::'\~'\o;r ~ Fire ~ Delayed Health C.A.S. Number._,___1>,!~~_',~"""_._ ------J--·,---J--------------r-----------r----------------]------]--------]-----------1-------]--------- ----- ------------------------------------------.------------.-..--- t-~~;" I~~~~-i~t':-'-~-~~-Ol-' -~'~.-,~~-?~~:~'-ð~i~'-~~'~ ~:~\,~-u- ,\~..,_,..__,.u____,...., - . ,,' ...... ,. _',u__ -----.,..------ , Health -~-., _'__..n.. _.'_m.___ -.-.-, ,', _______~__.______h....", -,. --- -, ?~~~_.\)~~ ..~.u _~~,~_"'__ h'" '~~~:!.':-'-hh,u,~~. ". r' '1 r' -.. , 13) ø Days L - ,.1 Re,¡ctivity L.., J Sudden R¡>1ease of Pressure on Site -----------------------Jf:~--------------~----------------------- -~------------------ ----- ------------- ----------ß~-_;-~o~- ~-j4 .:~-4.'"_i-"i---- --- - --- liB. ~ © t?fraR'WN, C Wi ItlNãt:.'~'~~,~·'?~~,, 'uØF~-\.~..h u_.._._"...,.. Tìtk--·-----,·..,U'..'U'hU.--'-- ~~-'PÁo~.5)-'">~·l-O-;z.,,\~ ~ APR 14 \989 ø2,,'_'R_·,~·,y..!,¥~,tu,L,~~~~>Ll_~~·-~·\'~T· l~'h"--,..,-.,......,----.'."m. ;~f~'~~'\~~~~~~·~~:;~~ : "ame .. Title ¿. lr :'Pil)ne - ,.. -.. .., L _,._ J r- .'--, L -- J React ivity r~ ~J Fire \0"6 0____..------ ,__,__ ,,__\,::-, ~~.~~~,_, _~~_':':_,~~ "_ ~~t_ ,. ,~_Eõ:Ço.U~..-~. Q~~ e r -', L ,- ,J Sudden Release of Pressure 13) # Days on Si te r- .-, -. , i3úo:>I t_ ____-I ,._ , '~~~-'d'__~'" _.. _. _ _ __ u.. ~~-"'-, ~ Delayed Health . ;;; UI 00 o '" .. ~ '" C.A,S. Number ~y;~c..\'\ .--..,- -_._.__.~---_._._. ---. - r'- ,...,., ~ ~,~-:,~ un.. ,,___ ._.._0_ .___ _ ____._ '" -----------·--~----~-~c;tt-----------------------------------------------------------------------------------------------------------------------.-------.--..---.-.....-, ~ Certit\C~Ç¡ D(H('~d and sif.1I afie/' completing all sections) '. \ 'i'y un er pen,¡lty of 10311/ that I have personally eMmined ilnd am famili.~r with the informatior submitted in h'I"~{d an attached documents, ~nd that bi\;'~lj f)n nIl inqui y 0 t ose individuals responsible for obtaining the information, I bplieve that the submitted inform' s ~ accurate, dnd complete. e.."1 ~ 'tlM.,,'7~+- '~ð';;-.:~7:t.~!-~ì"I~.~~-~-'-~à .Ñ-~~''?\~5'.- ___________,___, "I-f - ~~ - ~ .1al tifTë-of owner operator ~ owner1bperator s autnOrlze represerftatlvP 5igrlHure ----- -----,.,-'---.----.,----"hu..u.3fë':jl(jr;éu.." INVENTORY CODE SHEET Trans Code (Column 1) Use Codes (Column 10) A = Add This Item D = Delete This Item R = Revised Information Ol. 02. 03. 04. 05. 06. 07. 08. 09. 10. II. 12. 13. 14. 15. 16. 17. 18. 19. 20. 2l. 22. 23. 24. 25. 26. 27. 28. 29. 30. 3l. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 99. Type Code (Column 2) P = Pure Material M ='Mixture of Substahces W = Waste (Must Also: Add Appropriate Waste Code from "Waste Code Sheet") Measure Units (Column 6) LBS = Pounds TON = Tons (2,000 lbs) GAL = Gallons BBL = Barrels (42 gals) Ft3 = Cubic Feet CUR Curies Container Type (Column 7) 01. Underground Tank 02. Ahoveground Tank 03. Fixed Pressurized Cylinders 04. Portable Pressured Cylinders 05. Insulated Tank (Includes Cryogenics) 06. Drums or Barrels - Metallic 07. Drums or Barrels - Non- Metallic 08. Carboy(s) 09. Glass Container(s) 10. Plastic Container(s) 11. Box(es) 12. Bag(s) 13. Metal Containers (Not Drums) 14. In Machinery or Processing Equipment 15. Bin(s) 16. Unlined Sumps Container Pressure (Column 8) 1 = Ambient Pressure 2 = Greater Than Ambient Press 3 = Less than Ambient Press Container Temperature (Column 9) 4 AmbientT~mperature 5 Greater ~hanAmbient 6 Less than Ambient Te~p but not 7 C l' ~~lü9 e!"':. i c Cryogenic conditi~ Additive Adhesive Aerosol/Inflation Anesthetic Bactericide Blasting Catalyst Cleaning Coolant/Antifreeze Cooling Drilling Drying Emulsifier/Demulsifier Etching Experimental/Analytical Fabrication Fertilizer Formulation/Manufacturing Fuel Fungicide Grinding Heating Herbicide Insecticide Instructional Lubricant Medical Aid or Process Neutralizer Painting Pesticide Plating Preservation Refining Sealer Spraying Sterilizer Storage/In Storage Stripper Washing Waste Water Treatment Welding Soldering Well Injection or Service Oil Treatment Resale Aircraft Systems Battery/Electrolyte Breathing Air Drafting Aid Finished Product Fire Protection Hydraulic Equipment Road/Hwy Maintenance Testing Wholesale Chemicals OTHER-Specify on ano-ch=r page e Farm and Agriculture r -- "' L.._J KERN COUNTY FIRE DEPARTMENT HAZARDOUS MATERIALS INVENTORY ¡)lIt~~ÇI.~fllf1JJ ¡ NliM,-;¡li ~ A I) n 4!!..'i, ..~~J<A..", OWNER NAME: _l_ìt.~~~~.!=L_~_ "=-.-Q.'ß.f~'l.M-;'C. ~;';'-J.¡A/ "/j'1 ~~~~~S~~p;-4~*~~-~'~"'-~.!"¿f~-ïl'1-~=--=---:~,~' 1\.1-47: DIll. ~~~~E 0:: Tfl~4k6i¿I-:r~~=~'''~~~--'L-ç'~~)~t) '~~1. Paop INSTRUCTIONS FOR PROPER CODES att Stand~rd Business ~ BUSINESS NAMEQ\5Lc::,.~ 'LS~~ '00 ~~ðr~ LOCATION: ~~ ~'^- ~T'V~ "\2.o'M) CITY, ZIP~-:B,.,,-ea..~~_ <S:¡-O(Siõ-¡--- PHONE #:,J<io~~~\_..:::.25_3,~ '_____._ STANDARD &D. CLASS CODE: ,,__~\..1'b..._____ REFER TO .__._-_._---------_._------~._----_.._--..._._.._- .."--..--. ._-- _._- --'--'--"-'-- --.- -..----.------------.---.- .". ---------~------_._--~----_.__._.._. 1 Tr~ns Code 2 rype Code 3 Max Amt 4 Aver'dge Amt 5 AnnlJ,] 1 Est 6 Measure Units 7 Cant lype B 9 10 Cant Cant Use Press Temp Code 11 % by Wt I ( Names of Mi xtur~/I:ompont>l1ts See Instruct I ns , .--~.--~,~ -.~:f_'..--......'?~-. _~_QI,,-.)b"=.. "..-.. (\~~.~, .=.. ~.ö-:aztö_,tš.fu...,..q~-c,.-.~\l. ;X Oelayed Health C.A.S. Number ----.~~~-~-~~:".------ 1\) L),., ~r{) ~ \ ~ " \' \. V ~=~ Reactivity ~.=-~ Sudden Release of Pressure 13) ~nOS1:e ~?_~~ .- ~<~~'~h~_'__" \'~~~--. "\~-' ',~""~,"" ","" ., -------J------]--------------[---------~-[----------------]------]--------]----------r-------]--------- ----- IL~_________~__~___=_____lj¿~_~_~______________________---- :'-~~j- ,~~~~~~t~..--------T- __________,___.__.________n ------ -------- -. --. ----- n.,_m -----..--- n___ .·___,._.___________.__.'.____nm_.. ..., ___.n" "·n__". ""U""_ He;¡ lth ... .. , ,,- ·..·u -- .----.----.---.-- --. ---." ....--.- -- ..- --.... -... --- -, -- -- -,..-., -- ---- ,.. -, , L_.J ~ -....---..----..-----..- -_.._-_...._--_.._~.._..__.. .-,.-.. .._-_. - _... - ... r' ... , L - ,J Fire r --.\ l, _.J Delayed Health C..A.S. Number ------------.---..--.......---,--- r"--' r-, L -- .J Reactivity L - ,J Sudden Release of Pressure 13) # Days on Si te r' -- - , i I ,___.J . ....._ . ______..______.____....__.......... ___..__ ,,___ .__." __..__. _._ ,....u_.,. ------J--·----J--------------r-----------r----------------]------]--------]-~----------------]--------- ----- -------------------------------------------------------.------ ------ n___._ -------'--.-1--- ------- .----- ---.--........-.----..-". -.,.- -..-....-., ..., .,_.__....1.._, -- -.. ----.--......, ..... -..-..--,...,..-..-- -......"-........,. --- ..',.., ,. ,............-,...--.-..,...,-...,......... r-' L _- _J ImmE'diate Hea I th ------.---- -- .-------- _....n --.--- --- ---.. - --, ---- - --- -----------.. -...., -"- -- --, -.._~--------------_..__.._..----_.._.. .--...-...-.-....--.----..--.---...--.- r .. -, L - ,1 Fire r-' L - I De 1 ayed Heð 1 t h C.A,S. Number J! _._.. _.. O' ___ _ __ __ ___ ___ .__ __ _ _ ...._ _ __"'" .'._.. .. _.... _.__ _... _ ___ ... _ _ . __ _ _ __.. _.. _ -, (; [' -- -1 [' ,.. , 13) ø Days I I UI L _.J Re,lct ivi ty L .,..J Sudden RE' lease 1~. pres~ on Site L ... -, -1 ~ ---:íÆ-Ïi;--©;~~~-di;fID--;;;;Jt~~j(~~;~;:;:::ð;;=:::~~~::::::-:::::..::::::::::::::::::~ì:~~~~:~~~~---------- ~ MAR 2 41989 ø2,,~,':.]:'._~,~~._\.,L~..-:t..~~Ñ,~~-~,LYT~-~1·" ..~..,____..__.._..._...'.'._n'__._.' ~~Rs:.,~~~~~1o~~-.~:c+, ~ "ame ' \ 1 t'e--t' z. r, nl)n'? _ ;¡; ~ --.. _ _ -'-'--'--'.'. -----..... - -..--- .- . r - .--, ~:~~~~~::~~~F~~~~~-~f,fjJ~:~~~-~~~~-;~:-~~-~;:;:.~-;~~-~-;~--~~~~~~-~~~~--------------------------------------------,-~~------------------------------------------------ I certify under penalty of la~ that! have person~l!y examined and ~m familia~ with the informa~ion s~ 'ted. and all att~ched documents, ~nd that based on my inquiry of those indlvlduals I·e::.ponsr-\e for obtalnlng ~ 'ntormatlan, " be>l1eve that the submltted 1 for atl rtf" ccura~e, and r.ompì!!te. . \2.. --:r, 1l ¥LT-~À-S;-L-~~·W;-=-<.!~--£~:~-\.fJ:>~y'a-~m~~T\.~~5,;þ?{L.-------·--.-- ----¥.~, ----- ---.-n-n-..----n----:?---úa"!-t-e-\;Jñ~e' ---, --- ~~~~-i~a-~frr¿r~I-[ft e ot}~wner/operat~F~R-~wner/operator s aut,wrlze rep~e5entatlve 19nature w ~ ;~~ tðrm '.gr icu I ture r -- "' L _ J KERN CO~ 'l PIRE DEPARTMENT HAZARDOUS MAT~RIALS INVENTORY Stdnd~rd BusIness n tlllN ~'II 1¡~A ì;'¡¡';I: : NII"'"I;, 4 BUSINESS NAME:~'~,-~ '< s...~ ~ ~3..~~ OWNER NAME:\"1e Q'i!-C...~,_~CQ.ll.-'~~~'\~'~' ~~~~~ I~~~?~~_;~:~. _'á~---O:~3ð-.c-----' ~~~~~s~ ~ p':~1~~';~~~~ ~T~ii,£~'_='~~~_~· . ~~~:~A:~&oº ~Äs1'~¡¡~t__ :õidi-:_:-:~_~: ~~~~E 0:' 'if¡ g ~~¡~itÚt'~L;;:':;iC5\-.'';'_. J" 4-1. RIlFIlR TO INSTRUCTIONS FOR PROPER CODES aJ ¡to. f\IÙtl of ~---'-'----"-- -.----..- -'-~'--"- ..-.--.------. ..--.- 0.__- -,- - -- _.. ~ -- ----- -- -- - . - - - ----- ---- __ __..n__.___.. 1 2 3 4 5 b 1 R 9 10 \1 L' Irdns rype Mdi< Ave"dge Ann/1011 Me~sure Cont Cont Cont Use \ by Nalles ot Mi 'lu/'t?/':"'OµOf1t'f1i S Code Code Amt A.t Est Units lype Press ll'mp Code wl Se~ lf1otructl(Jf1S '" .. 1 L "J Immediðte Hea I th ~Fire h_~_"?'~__'_ \<\ \cro . - . -. -.". - . . _ .- _. _ _ ... -. -~!_':':- ,~~~ ~'""\\ -~~UUV'. ~ L.~ · .,~~-,J*-t9"> Sw Q~~~. e .. - .". . - - - - - - . - . -. \ - \ 0- o-ø-c. ... '" . - - - - - -. - - ~ Oelayed Health LA.S, Number ____.. ,~.~~~ \~, r- _4 -- , ,. -, r'" 13) . LJ~Y5 i3c.~1 L ., -' Re,if.tivitv L. ..,.1 Sudden RelE'ase of Pressure on Site ...... J <; ,-J~~~~J~~~~~]~~;;~~~~[-~~[~~~~~~~[~~~~~~~~~]~~~~]~~~~~~~]-~~~~~~~~~[~~:;~~~]~~~;-C;~~~ ~~~~ -~~-~~~~:~-~~~--~~~~~-~~~-~--.~!.~~-.-- ., () .1 I~:~;~~E' . ,~\N,\_=-.:,"_~_~~__.,~l,1cr- ,-,~~ ~~\I .. 0~,=-@..~._~ ~~'''Iø ~ r;" ~ 1Je),,,d HuHh U.S. N~~';;;;:'i'~~~~: . h~~.__ ~ ....."" L '. J Reactivity L,_.I SuddE'n Release of Pressure on Site L,_...,J ~ ~ ~f.~ I ~~~~~~]~~~~~~]~~~~~~~-~~~~~r~~~~~~~r-~~~~-~~~-~~-~l~;;~~]~-~~-~~-l-~-~)~~~-~r~~-~---]~-~-~--~ -~~,--------~~--~~~~~--~-~--~---------------------------~--'--"" L~, _..'_~____. ):-, ~~__~~':'- .._uJ~___~~___,~'~_ h'_' ?~~~_~~_~~, ,~~,~, ,~~~~,~"_,,h ~~ ,- -- 1 L ....J ImmediatE' Hed I th e ''''-'' ~I Fire r~ .It"":.." De I ayed He.,lt h C.A.S, Number <¡ 'f <.. (. \ C\ . - - . - - - ---. . - - . r 1 I '1 11) . Days L._ '1I1!,¡ctivity L.. J Sudden Rl'lease of ,Pressure on Site -----..--------------------------------------~------------------------~--------------.---- ----- "-----------------------I!;~-~-~~~·~-i~-:~·4I.1L-1(-·-----" EMffilifNCY rUN1ACTS .1N'Â:__\~~t.:I,OS~'),Q,..ç.,~ ..--.,-.,.. - T'-T' .-,.- __. .....,-.....,.,---,-,-- ~2)'11.)P 'to.s) "30"\1-0'2.'\" ame It e 0 r 01' .~ .,'R..·.1'·,'«¥-~'t ,~,~\4t4....~~,'y'\'~T· l~'· ;~r~ .1~,\~~)~~~.--:;~~ f .¡me .. Tì\le '0 lr .'ñ,)o~ r -- .-.- , ~ ~,~.;.~ ~ ,þ '" co o '" l- V> r :.: ¡. (J> --------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -, lI'rl" 1,:<,/ iOf (lil'i1l/ ill/d s iRII a/ll'/' ('(lmp/I·t ill/! ill/ SI'Ct iOllS) I Y un I'r PI'JI,l1ty ùf l~", that I have person.llly ex,¡mined aod am t.'lmlll,jr wIth the informatiol' submItted io "I' lOolvloualc I'p,ponsllolp for obtdlolng the 'nformatloo. I bel1eve that the submitted inform £ ."1- ~ ~K'l -3I...,:~1.~~~~-£fi~-"! -\~d ~'~~-Y\~S""" ,- n -- ,-..., -, . al (ifTë'cif owner/operator OR owner/bperator s aut Or1ze repre~erftatlVE' SígriHure Tier Two EMERGENCY AND HAZARDOUS CHEMICAL INVENTORY Sr,cific ¡"¡",mollon by c.:htmlcal Facility Idontlllcallon Ownor/Opcrn10r Name 1 1 Page _ 01 _ P~Q'" r""... I'pprO,Ø( O~ß rJO 20S0-0C72 J rJame SIt.e' Addre" CIOCLE K CCl'NENIEN:E sroRE # 1242 3;¿J;¿ ::'''l'INE tuAIJ BAKERSF¡ELD CA 93309 SIAle- ZI" MftlJ A.c1drf'" , JArTlA ClæLE K CORPORATICN Phon" I 602 253-9600 P.o. BOX 52084, PHOENIX, AZ. 85006 City SIC Code ~ FOR I OFFICIAL 10' USE I ONLY' Da'e Received Emergency Contact Nemo MIKE SPINUZZI I 805 I 831-5539 i ',ï S'roRE MANAGER I ) SAME Tille 2. Hr. Phone Dun & Brlld fQ161-f2T9T4l-~ Nun'~' L.!Ll..2.-J ~ ~º--.ULJ TradeD S.cr.1 [X] LIquid o Onl Phon,. - 1 I if ~ MIKE SCHUMACHER ( 916) 331-2540 DISTRICT MANAGER ( Tille 2. Hr. Phone Name Phone I ImpOr/ant: Read 01/ instructions btfore co",,,letin form <.,'.....' Chemical Description I II I, CAS~ (6JïJ [9] Chern. Name r..A..cnT.TNF. Ch,c ; all Ihot apply: o IX] o Solid Pur., MI. CASO=O:=CO CD D Chem. Name Chtd nil Ihol opply: o o MI> D Solid Pur. Chern. Name CASO=O:=CO CD 0 Check 01/ lI1nl opply: o o o Solid Trade D SOterel o LIquid o G", Reporting PerIod From Jnnu",y , '0 Df'Ceml!"r 31, 111 ..;..,. .:.' _ r I i': PIJ~e MI. Trade D Seerel o Liquid o GII' Physical and Health Hazards Inventory Avg. No. 01 Dally DAYS Amount On-sUe (code) (dnp) . . Storage: Codes· and. Locations ..." (Noh"ConflcJ~ntlal).·' ::" Max. D<llIy Amount (code) . . ," ,',' ,,' .',' ,.' ,', .', " . Storoge).ocolions.'.'. . " Storage Code (chl'Ck al/ Ihat apply) ... ~Flr. Sudden noleue of Pre'lur. ~ Reacllvll y l1L..L.jJ Immedlale laCulo) De/ayed /chro<1'C/ ~ i. IB 1 4 UNDERC:InJND TANKS ... '!~~. UiliJ CiliJ5J -- ,r.' --.J~~~" Î(' ,,(' ~Flre Sudden Relea.. of Pressure CIJ III Roacllvlly '--L.J Immedlale (acule) Delayed (chronic) CITI -- --- e ~:~ ~, ", ~Flre Sudr1en Release 01 P,enu,e r-r-I r-l--¡ neaCllvl'y L1-J L.....LJ Immndlale (acule) Delayed (chronic) cco .. Optional AHachments (Checlt one) Certlllcllllon (Rtod illld IloCII øf/tr compl,t/lloC all StetIOIlJ} I eel Illy under penallv 01 law Ihal I hay. peroonallv e..mlnt)d and em 'amlller wllh 'he Inlorrn:~~.~~'nlll~d In Ihl. and .11 allachPd docum..nll, and Ihal ba.ed i 0<1 n'~;;lr~~:lv~;;;;;~'"~~~~mallon, I believe \hel Iha ~ d ;¡:7; /~u::;;?;, a d COO1PI~ER, 1989 II."..~ anr1 ,,",clal tlllo ~I owner/operator on owner,ljµo,alor'S aulhorlled repre.r.nlallve Slg""IU,';' -7 Dale sloned B I "ave attached a sIIe plan I have attached a lI.t of III. coordl"at. ebbrevlallonl l e Environmental Management Software Systems Inc. RECEIVED NOV 2 1 1989 HAZ. MAT. DIV. November 3, 1989 Bakersfield City Fire Department Hazardous Materials Division 2130 G street Bakersfield, CA 93301 Gentlemen: Circle K Corporation has contracted Environmental Management Software Systems, Inc. to prepare a Hazardous Materials Management Plan in accordance with the requirements of Chapter 6.95, Division 20, Section 25550 et seq. of the State Health and Safety Code and Title III of SARA. In most cases, this submittal is a replacement of an existing plan. Circle K Corporation's intention is to provide each store with a standard format so that training of personnel can be accomplished uniformly throughout the State. If you have any question concerning these submittals, contact EMSS at (805) 925-6285. please Sincerely yours, ~v~·~~ President JVR:sb Enclosure ~O. BOX 5604 I SANTA MARIA I CA 93456 I (805) 925-6285 ~/~,' ~~~~ e . J £..-1 q - 'Ño\ ()'tlt \) Bakersfield Fire Dept. VJ Hazardous Materials Inspection ·r¿O!;>--?CJ' Date Completed /- / Ck~/e-.L, Cbæ~ J///vC- /ZO. Business Name: Location: ~c.2.. RECEIVED J U L 7 1989 Plan ID # 215-000 j7?5(Top right comer Business Plan) Ans'd............ Station No. ? Shift ß Inspector ß~.5 /ßW/'IlJ6" ./ Adequate Inadequate Verification of Inventory Materials ø Af ßJ ø Comments: ( I Verification of MSDS Availability W Number of Employees P Verification of Haz Mat Training Verification of Quantities Verification of Location Proper Segregation of Material D D D D o~ / D D Comments: Verification of Abatement Supplies & Procedures ß Comments: D~· ,¿:-~~~ ú',w-o;~ Ernergencyproceduresposted ~M /Vf:J-I- u)'~(J/e-' "¿=-æ'ð/'\...l D Ç/?.s ¿:;?¿)/YI//..5, J( Containers Properly Labeled .fiJ ft ß D Comments: Æ D Verification of Facility Diagram ;V Special Hazards Associated with this Facility: D Violations: FD 1652 (Rev. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office - '110".., ~:i.tJV'€ ~ I ¿t¡.2-- /J ,?/'JOðr ~ ~O· t:' \~AeBAKERSFIELD CITY FIRE DEPAR-, If' t/¿JV7 7~ Æ. ~d""') 2130 "G" STREET ~ LY RECËIVED ~ . BAKERSFIELD, CA 93301 '~. (805) 326-3979 S E P f 1987 "' ~ / ~ 3 -II J 'i JD3L\ :>- ,., " .}/ "', r OFFICIAL USE ONLY Ans'd. ............ ID# USINESS NAME HAZARDOUS MATERIALS BUS~NESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS: 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: . (1~£(I.-/1 k &~ð~OA.) # /óll/bl- .. B. LOCATION / STREET ADDRESS: ~~~~~~ \<)~~~ ~¿?~/) CITy:.6/9kFR8,c/F/.../J ZIP: 9g~O¥ BUS.PHONE: (f3C6> 88/-5539 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 NAME ...t\~D T F.hE /zf!- A. P¿;ZÓL-.k-/ A.)L)SJ!!;_ . B. /!Á/AJ.RJE}/u¡fSð OF EMERGENCY: ~ING BUS. HRS. ~TER BLS. HRS. Ph# ~-~~h ~9L/ø>-¿).ð1/g Ph~)ti':W~~.;2,,?- Phø~~9"" g03)l SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: B. ELECTRICAL: C. WATER: L D. SPECIAL: E. LOCK BOX: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO FLOOR PLANS? YES / NO MSDSS? YES' / NO KEYS? YES / NO - 2A - ~ ..-' ~ . . . ~. ([)\ IV' ~ ~~K\J . .. 5to.,e v: I :?.4 Z- ~ BAKERSFIELD CITY FIRE DEPAR~ ,., 2130 "G" STREET . BAKERSFIELD, CA 93301 (805) 326-3979 OFFICIAL USE ONLY ID# BUSINESS NAl·Œ HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A ~a£b~ . ·'!Ø2Gr·~ . i INSTRUCTIONS: 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: . (1.-/Æ'I'L~ k &~~~OA.) # /óll/bL B. LOCATION / STREET ADDRESS: ~;'~<.q~ \<)T/A.J£ RCJA/J CITY: ¿/9kFR8.1=/ÞL/) ZIP: 9ð..::Jo£j BUS.PHONE: (Bas) 8.....q/-5539 SECTION 2: E~RGENCY 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 NA'fE ,A\~D T ~T.hE /~ A. P¿~6Lk/A.)/.J..~,-- . B. /!Æ,JAJ.k'E}/uðS¿) , EMERGENCY: ~ING BUS. HRS. ~TER BGS. HRS. Ph# ~~~~h CJ:5)9¥~"';'~..:6f/g P~~?'~.;z;l.. Phø~~9-.g03/ SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: B. ELECTRICAL: C. WATER: L D. SPECIAL: E. LOCK BOX: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO FLOOR PL~~S? YES /NO MSDSS? YE~ / NO KEYS? YES / NO - 2A - '. . e e .. SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE ~5 SECTION 5: LOCAL EMERGE~CY MEDICAL ASSISTkVCE FOR YOUR BUSINESS AS A WHOLE M e. Yt-y ./ I I ( I . ( A '/:J ,/1 d-ke..y-')./,¿ ( / N- Ð S ¡J '( Î ð- / TY 1/ ;C7V V( /IV',=- ::J f:5 r I I Cl SECTION 6: EMPLOYEE TRAINING E~PLOYERS ARE REQUIRED TO HAVE A PROGRA~ WHICH PROVIDES E~PLOYEES WITH I~ITIAL A~D REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO A. METHODS FOR SAFE HANDLING OF HAZARDOUS ~ATERIALS: . . .'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B. PROCEDURES FOR COQRDINATING ACTIVITIES WITH RESPONSE AGENCIES: . . . . . . . . . . . . . . . . . . . . . . . . . . C. PROPER USE OF SAFETY EQUIPMEXT:....... ........... D. E~ERGENCY EVACUATION PROCEDURES:.... .........,... E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:....... I~nTIAL REFRESHER ~NO ~ ~O W XO @)NO ~ ,NO cffS> NO ClfSJ ~O if NO ~O NO SECTION 7: HAZARDOUS MATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL I~ QUANTITIES LESS THAN 500 POUNDS O~ SOLID. 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS:. ..... YES NO , , I....lv1 t /( .p5 (D~h.. v 'YU. d ¡-. L¿J v- . 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 AI. and that inaccurate information constitutes perjury. TITtEL )nð~ATE SIGN -. ~. - 2B - . . KERN COUNTY FIRE DEPARTMENT .642 VICTOR STREET ERSFIELD, CA 93308 . OFFICIAL USE ONLY ID# ------ BCSINESS NAHE: 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# /;¿ Lf 2- FACILITY UNIT NAME: SECTION 1: MITIGATION, PREVENTIOÑ. ABATEMENT PROCEDURES Our training program includes the following: 1. How to handle reporting and clean-up of unauthorized surface spills of motor fuels. 2. How to check the motor fuels equipment and insure its correct use to 'prevent unauthorized spills of motor fuels. 3. Unauthorized release of product due to leaking tanks and product lines is handled by the Environmental Geology Departrrent . SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT ONLY Our training program includes the following: 1. How to turn off all power to pumps. 2. Proper instruction to evacuate all people from the site. 3. Make sure that all five extinguishers have proper service . and ma.intenance. 4. EIœrgency list of telephone numbers for Fire Department I Hospital and Regulatory Agency for timely notification. .. HMCU-S . BAKERSFIELD CITY FIRE DEPARTMENT FORM 4A-l NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY Page . :.. : ,of' _,_ . _I_I D. t III ~ I N ß ~ S N A ME: C!- 'f'C.., e K ~ Y¡LJ. OWNER NAME: (2/ Y"~ ~ /-( (20 yo,::J. - FACILITY UNIT ':/:1..1·12. IDDRESS:J~2 S r'...,e J4..ði!J ADDRESS: J~IJI It//"Jy¡h 7..!?'- sf: FACILITY UNIT NAME: tt./:l.42- : I TV. ZIP: ake.rs ..,cf e Ie!, ~14 CITY. ZIP :t'kÐeH IX' 14 7_ X'.s-ðO r;, II 0 N F.: t :(9o..V ~? J C; S ~ 9 PIIONE ,: (t,;;; ð 2...) .2. 2. 9 Jl ¿ 9/ IOFFICIAL USE CFIRS COOE ONLY 2 3 4 5 6 7 8 9 10 PE MAX ANNUAJ, CONT USE LOCATION IN THIS % BY HAZARD .0.0.1' OE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE b 9 a/. 0' /9 V)1.deYfYO Vk.d ,'1-iLK..," Æe ç t/ ¡ar- (Ç. ;;J.s die.;. e.- / / ¡ )..: V>1 L (þ / () ððD . So 000 3:/..3.2 5+{1>1 e ~o~ d 100 e- ~ ?~(. VkdÆ..y- TV' 0 Vk.(1 re!- G ~.ç ¿) If ~/jf;2... I{J t"Jð{'} 170 o (")(') ð , /9 32.3 Z sf-c·VI. -E. ,(.ð.:!' I (j 0 £/rt. t..~kcf (!..M L {þ . f;J 'f6.{., "I 19 V'h c:Le.r- TY 0 v Kd '1C. k..[<. A-e.m IVH4 U'H fe~iEd r;i.2.Sc/l~ cMLQ 'c; 000 'O.oao 3z.:J 2. 5'¡"k.~ Æo;a..cf 100 ! 0 , I I e- o I I: ! ! A A E : r../~. + WY'I" 1- 17- ~,TLE : <Juðer//'lro ¡..- SIGNATURE: ~rJt;P- /,j-"'t./·Cj'JIZ- DATE: 5(-2(,.,-97 ,'RGENCY CONTACT: ( ./1 Ú Á.I ).of ,C¡ e. ~ . TITl.E:ZoYt€ MdYlafPv- PHONE t nUS IIOURS:(~I]<\)V14-~IJ.2..2. , / (7 cr . ' AFTER BUS HRS:(i oS 1 '7.0 # 8 ~ ~ RGENCV CONTACT: ¡1}1 Y1 ;tJí'1f. )'1t'J_r 0 T J TLE. "'fi"=(Ce M d¡.t<¡ 9P I-- . P fONE . BUS fOURS .~%) fi 1,1 #'1 ¿ '- . NCIP^L ßUSINF.SS ^CTIVITV:,.,_..óYlVPJ1.le,V1t"'(? )f-:.-,,~ f ^F'T'Fn nil" "T)~.Æ,,,. -'~r> ~~-'. ,