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HomeMy WebLinkAboutBUSINESS PLAN .. vÇ?~' P~ MAP HMMP SITE DIAGRAM cK5 ...-~~~..,.. Business Name: FACJLlTY DIAGRAM I <;',DU DA LF f.H~t/~N Business Address: ,q-/(J/ 5í(Jt.KDAL£ ¡.¡W~ 6AK£~s¡;-ìE,-ò .f{.J. Cf33d1 / For Office Use Only First In Station: Area Map # of NORTH 0 Inspection Station: . ~'OG):: b A t..£ HIGH \JJA"I ,/'// ,/~'it/fr~~ / ;., /, 5H-~&~AD£. GAS , . f'xtT \...JsrØI1~/Z' rMJ~ . QIL- aE~ML -.¡- f1WE"L- - i ~ 'F" Ii IE H~q- 01 " Î ¡ ! ~L.EA b~j) G·AS '-...) STó~TA-N'(. ¡5'r¡pRE IYJrE G It$ ~ SW¡(/tGE íJt;1UK C A ¡( wAsH ~ RfS1' Røh\, Em;êf(GEN~Y PIJA'P5'rtIJi-o¡:-F ~ <t ~ i~ !~ Q: E ~ Q.. , !0fT~ EtJTR.ANŒ .~ .........~~~ U! \.D ~ -1J ,.j - '> . . e SITE/FACILITY DIAGRAM FORM 5 31.1 L . - !(;re;- ()~ ( 5101 ~o c...kd-...../~ i-/w ~ BUSINESS NAJ.'Œ :{bmfu-f{,ftl'i 7JP¡Vt.? j"t'jI-I,." FLO~R: I NORTH SCALE: DATE: 6 /Jb It? FACILITY NAJ.~E: C, ~ {!AI'-þJtl UNIT ~: (CHECK ONE) SITE DIAGRA~ FACILITY DIAGRAJ.~ ;~',.:;.~ ,'.:'"" ,Z,,' ,,-., , ,'. "."....... ,~¿?:?~ ¿KdïttÉ?~Í7 jJf·~:·"- , ',' G' ,-...-.,.....-.. e· \- .~ C ~,þ< ,\/"i. ; ...:..~.,¡), ., ~ .a~ ~.:~;". ~ V) ?n~ fIJ fl. fl-' ~.,::.~. ,~ ,;; l~~~' ~ '. '1 1'-. ~" .' ~.., ~ /' ,", ' 6 ';)0" ~ .,,: f';': ~~, ~\tJ ')'\ 'f'I'X . ;~ ··-f··~.tI ·-:t y :.~: :~ ". .~" - ~ ~ . ~"' ... , .,.... '!-"~, ... '. .~~ It . .' ~; ~: .. ..1 ~. ., '"...'."".." . - ~ ~ -th'.¡:';;· . , ;~:~._'~ ~,...,u,_. . ,',...:..~....;.;:::':;. ,.'..,j." .~..-... ~<"~ _...,.¡...'(....... . ". . ~'f~:"" . ;,-}. '.~' .",-' !~. .," -" ,:: ._".... " .:-"~._"< . '..";"-'.'-' . '. ,,,~~ :.N ,'.... 7 e (Inspector's Comments): -OFFICIAL USE ONLY- - 5A - 3b~ ... A, , i . , '. ,~: .' [ I - ."...'~ ..~ ,", :~;,:;, ,.,>"'<"~~ .,..,:c.~ ' >f,,~ '~ <µ ~ "-- ~ .() ! I I ' i I' I ' I I ,Jf ...:~,;:, r > "v .~ .../"~ oJ> r""'¿~~;-~; ~ e .. SITE/FACILITY D~AGRAM FORM 5 ~&:,~ Ifì~ 7 610 I ~o <:..kd~/e I-/W BUSINESS NAME :{bmf1e6~fú<t¡f/ 7J';l?#t:lf~¡JI,¡', FLO~R: I OF UNIT::: OF / NORTH . SCALE: DATE: 6 /JO It? FACILITY NAME: G. (CHECK ONE) SITE DIAGRÅ~ FACILITY DIAGRAi'vI ~ '570/~5TD c¡(d Iff fE~' ;7»1 ~ , G ,-. _. r---- r-- ~ ~ { ~ c~~\,e." ~~ ~ ~ ,,~' ~ ~ VJ f w,p,v fLfV ~ G) ,c:t. ~ < ~ ~ ~ ~ l ~"'/" íL~ Q; ~ ~ t) "'- f ,~ ~ . 6 ~ ~\v efoJ... (Inspector's Comments); -OFFICIAL USE ONLY- - 5A - b. Masonry construction e 9. Lock (key) Box 10. MSDS Storage Box 1t. Railroad Tracks 12. Fence or Barrier a. Wire b. Masonry c. Wood d. Gates 13. powerlines 14. Guard Station 15. Storage Tanks: Identify the capacity in 211l. a. Above ¡round b. Underground 16. Diking or Ber. 17. Evacuation Route ì í/. S[TE D[AGRAM (ReqUir4il' teas) 1. Address: Identity the principle buildings by the Street nUBbers. ~' . -_:.~... 2. Street!s). Alieys, DrIveways, and Parking Areas adjacent to the property. Include the street na.es. 3. Stor. DraIns, Culverts, Yard Drains 4. Drainage Canals. Ditches, Creeks, 5. Buildings a. Frase construction c. Metal construction d. Acceaa Door 6. Utility Controls a. Gas b. Electricity c. Water 7. Fire Suppression Syste.s: a. Fire Hydrants 18. Evacuation Area: Identity the location· where e.ployeea will .eet. b. Fire Sprinkler Connections 19. Outside Hazardous Waate Storage c. Plre Standpipe Connections 20. Outside Hazardous Material Storage d. Water Control Valves tor protection syste.s 21. Outside Hszardous Material Uae/Handling e. Fire Pu.p 22. Type ot Hazardoua Material/Waste Stored or U.ed (See Below) , 8. Pire Depart.ent Acce.s TYPE OF HAZARDOUS MATERIAL F · FlIulllable E · bploaive L · Liquid C · CorrosIve 0 · OKId1zer G · Gas W · Water Reactive T · Toxic S · SoUd R . Radiological P . Polson H . Cryogenic D . Waste B . Etiological Exa.ple: Fla..able Llquid· FL FACILITY DIAGRAM (RequIred ite.. in addition to the above) 1. RiBer. tor Spdnkler. 8. Pire Es'cap.s 2. Partl tlona 9. Air Conditionin¡ Unit. 3. Stairways: Indicate the 10. Windows levels .e~ved (1'0. highest to lowest. U. Inaide Hazardous Waate storage .. Escalator: Indicate the levels served troB 12. Inside Hazardous hIghest to lowest. Materiala Storage 5. Elevator 13. Inside Hazardous MaterIals Uae/Handlin," 6. Attic Access 14. Sewer Drain Inlets 7. Skylights I ,I ~..,. . -.ft>. ~ . " ~_.- ';, BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION 2130 IIGII STREET BAKERSFIELD, CA. 93301 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 LOCATION: 's~--GKbAL.£ CHG¿/¡¿(.9(\J ~ I 01 :;;~GKDALf2; ~W r BUSINESS NAME: MAILING ADDRESS: ,5SJ9~..Q..J . CITy~KE""r2:::>bG¿O STATE: t1.. ZIP: 9~g07~HONE: N / Á--' SIC CODE: f, . J C~~ÌvJ6 ~æ·1U· OWNER: ~ h, lip f\ - vJ G Lv/, ~A-r'n.JL, g3¡;vtZlF DUN & BRADSTREET NUMBER: PRIMARY ACTIVITY: MAILING ADDRESS: SECTION 2: EMERGENCY NOTIFICATION: TITLE BUS, PHONE ?MI(~fl , 8·q~if~; 11J~¡¿ Ebb£:s2I-J- 24 HR, PHONE g7d!ð1(S ~9~~~ ,1. :..BakersfieldFire Dept. . .zardouS Materials Division HAZARDOUS MATERIALS MANAGEMENT' PLAN 1;' , .. ._- ,. SECTION 3: TRAIN1NG: . I NUMBER OF EMPLOYEES: l MATERIAL SAFETY DATA SHEETS ON FILE: ~ s . BRIEF SU ;v'MAR":.O~ TRAI N I N G P R qG RAM: -fÍ< £r J¡ê'V¡ 1(" <- t..... 0 63, 6, ~ /6 lvvVL J¡-m'1 :f b V /Ó: !fA Z A(ZJ() (v /n I/l ÚJ/U I C A~(l ~ fJlk f f< t-tr'} I ¿JJ¡«J-fhv;kroD Æ7" 44-v ddtó fJ~l2mr¡ 1/'v~øll~ Iìh ~~-$" 126-C/?Gú:J J ø z¿'WZ>jJfd2-) ¿µk,#6/t; AMJ ~LUJ UIJ}-'O f,tÞú7/2mn, ¡¡q-~ Ill/IV/ ll1.un1 J A1-L <;rrv¡;;ldf¡ 6~ A72--C¿/2ß/'^'ó'!} //'vIf¡A.-Jl ï t.<, ;PIF1'- I~'€.- ;t1ID ~//U)fl--r:J /.ç /C6~'fþ ¡{}NfV/tl¡¡ äY 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 IICAl!FORNIA HEALTH & SAFETY CODEII FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TlMEEXCEEDTHE MINIMUM REPORTING QUANTITtES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, 7 ¿, /, YJ .4-- V/ ç ¿¿-i CERTlFYTHA TTHE ABOVE INFOR- MATION IS Ac!CURATE. \ UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE IICALlFORNIA HEALTH AND SAFETY CODE" ON HAZAROQUSMATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THÄT INACCURATE INFORMA TlO~S PERJURY. ~~ ~p67L. -P£3 ..~~~,¡--~ I..,,,,,.,.:.c.,.·,..,·. 2. FO!S90 , " ..... .... ..-..t" '.. .... . , ¡ ;.. ,J.~t' ... '~. Bakersfi~ld Fire Dept. _ Hazardous Materials Division HAZARDOUS MATERIALS. MANAGEMENT PLAN Facility Unit Name: 5f'tfiKDf}¿~ rYlEf//tot0· SECTION 6: NOTIFICATION AND EV ACUATION PROCEDURES: A. B. ..,..,u__;,,¥~.:"'-''::;-·'':''':_:-:._:~__ ._._ ..... '__"_'h'__ .,.. ,.'~ AGENCY NOTIFICATION PROCEDURES: ~{èJ qlt .~ repo-rf" !l1e-ihJ * eøzerc¡ene&I';r-~ð7J~~es. I' r v1tP/~'tt5 _-tv coJ( . OLuner5 ~1uJ wí(f <f/1t!J~ flofi-C¡ · Ú/ppf(j¡Jn«Jre (JfÁ9)71efl Wf¿(¡, Cht()ý(YYJ USA- L{!hef/Yt5h /Y}aJ{/r¡t:t1~ JJl5~ CU1c1 ØVY Chev~ , I :e{t'Y'/J;p/o.J. /Î7~er. - Gr-&¡ 11 ídizd ) EM~LOYEE NOTIFICATION :-ND EV~CUAnON: . _ ,,1 l C.' f.vf- +r tm¡J/Mj(j¿j (fft ¡n5tr£/cJed-h, b/f '111e ClYlerqel1&(.51, 0 './' ])raJ 1/f) ¿vaf5ua1e a/I ð.tt5~.s> tY1æ C{f¡emse/æsÞ C. PUBLIC EV ACUATION: '. I' elJtP/M.fC~ will 311tro1, '!háf#iere J6 ð-I1 Miefl{e~J ¡J/<e!i5e Leave.., c./he ~ch'J . trY} ~ (mm&ttàk~/ II tLl/d art cþ svptr'l//ö ô 0;1 i(!-<1lf#ti(!ltA" S Ø[/J1~ u;J~ '" as 4heLj ~ ve evawa:/;7z¿ c/l?e/JJSeliJ65, D. EMERGENCY MEDICAL PLAN: /Y/tlYlðYtrU IJfP! ~ ~ ~5õ1 /Î7;~ /Jv¡J - ?f:17- <;/00 V flJe~ µ~:3fJtèkJ- ;;2;;';5 /rvxJv;¡..k. ;);J.7--337 ( . . ~ -- .~.;,::"?:.h~ :l';'~~:,,:-,. . 3. . '" . ..."" ,.... . " .. Bakersfield Fire Dept. _' ~azardous Materials Division '...- ,¡ -...:;- .............. - "Q---......~~ HAZARDO'US MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS~ ,'1/J. /.. I (.1' tl'YJert¡'ffJCj'(5hulcl/ 5w;ldes are !éJ&k¿ N1 e IS/rUle( cØ flæ W L(ÞftJe 5jJtll5·J NéJ 5ý}lðf<¡:i15 alhtðd en? ~/JlI.Sf!5. .7À1ik¡ æeurds art !(e¡;+ -Iv ddee+ loSS 6-f¡Jrðdud. LWJ1t-kd fJo.rI~/1}7 n&u-. 0-e.te55 4t:> Ltcc1 evO-t!»IÞ7' . :;~j-rvajn~ o-¡:. ~/lJ<fee5 ðr)' 5p/I/¡9ævedð1J 4- eJewu¡:J -;- iJY'MJtr (J()lrfi«Vl1t97J ¿;;Ç áæHt.éJ71lheS . . B. ,RELEASE'CÓNTA1NMENT AND/OR MINIMIZATION:' ....; / ! S1ð(J s(fIJY'Ct:.- 0.(' release; {¿G P?t:L'C9Sa1<)é /vm f?VJ1.,OtJ¡;F ~a~ucte . etnvqen4l?V~ sh¡Jf- ðP(', tKltnru/sl; {}7 r'~ ~'/f;t/~b71 : 5/yvyte'!:¡ {)SIVl£j ~re Ú-!;.j%v¡.:;/;er /f f?~~e5Stf.-o/, ¿f./?5thbMl s~' -(}1a:/ena¡ 1.5 , III Wá4j t:iYl 'tV? d J - . ,- ':-j~ ,. /iJ/J-d /) [" b I MA../.A St1J/115 off ;¡Vel erør/ ïj} O.5e .þ t!iftl!KLI'l CÞy/, tUJ5fr ¡ c, CLEtAN-I!..JP PROCEDURES: . . tf1tt?/Mjees ÇLr'e II15/roe:kcl' <Ìl c/I1e u5e: ~ ab5HbØ fJ'1:tI&Iè¿j: 40 ~/etlJ1 u¡t7 ::Y:Jlf/J; zen c.th6ct/t!IIIf o-P tL I tlrr¡e ::J,P1 I( we Wðt//d tuf +he '6/J1'o/!ìen.«t S-hu-!-ðH cdl C¡~/}CVld ¿>tf}t;!dÎn, ;1- as be~ Wee ean. w/</!, abs(f-l~1 vncJe;,¿¿f 4d evnea¡e/KY¡ help ã:f"t'rj4· SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): : NATURAL GAS/PRO PANE:· AI' 1fJ1Jt. ELECTRICAL: Iñs/de Calf' ú)ásh !j~ti s--l&rtlLjé:. ¡¿80m .... L.e++ cR DðrJ1; WATER ::')jIJt'Mok IL¡ 51¿fe 0/ Lei-.- 6ell dH.uelüa.y J If¡ ~detmi k : SPECIAL: £ýJ1e17.{fJ11'-'f ¡¿I'M 5hufdf 5ûJ¡#}, 15 òn ~u/5de. 6 wll tØAi I (!.(jj("wæs . LOCK BOX: yE(!3' IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER A V AILABIlITY: I , I .A!Î etll I 51I1flcl¡l~T1?e. ¡. &N : PRIVATE FIRE PROTECTfON: HfIe é'K.ftnc¡v~ / {)r;¿ 'o+:k. - A. B. WATER AVAIL,ABlllTY (FIRE HYORA~T): . ~ NE Cbrner d p(ð~ 8J1 V/llÌPL¡6' JJ:::~d.dk /JK¡hør 4. ..-' e akersfield Fire Dept. azardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 " HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: (\) Y- ~: V 3. 4. To avoid further action, return this form within 30 days of receipt. TYPE/PRINT ANSWERS IN ENGLISH, Answer the questions below for the business as a whole. Be brief and concise as possible. ~ ~\flqq~: rFØ2& b" SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: Chevron USA Inc. dba APSI Station #2718/1827 LOCATION: 5109 Stockdale Hiqhway, Bakersfield, CA 93309 MAILING ADDRESS: 9382 Telstar Avenue CITY: El Monte STATE: ~ ZIP: 91731 PHONE: (805) 832-1818 DUN & BRADSTREET NUMBER: 00-914-0559 SIC CODE: 5541 PRIMARY ACTIVITY: Gasoline Service Station OWNER: Chevron USA Inc. MAILING ADDRESS: 1300 South, Beach Blvd., La habra, 90632-2833 SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR, PHONE 1 , Staff Duty Clerk (805)832-1818 (805)832-1818 Chevron Emergency 2. Information Center Duty Clerk (800)457-2022 (800)457-2022 1 , I FD15: " e Bakersfield Fire Dept. e Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYEES: 10 MATERIAL SAFETY DATA SHEETS ON FILE: MSDS's on file for all products. BRIEF SUMMARY OF TRAINING PROGRAM: Training includes, but is not limited to: Hazard Communication Program, written and an audio video program including MSDS review, Hazwoper, written and audio video program. At a minimum, all employees are trained initially (upon hire) and training is refreshed annually. 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, Jeff Copeland 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. 9~~ TiTLE 7/; 'I /~ "Z--. DATE '-~ District Manaqer 2. .- e Bakersfield Fire Dept. Hazardous Materials Division e HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: Chevron USA Inc. dba APSI Station #2718/1827 SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: a. In any incident that jeo¡:ardizes human health and safeTY: 1) ACTivaTe appropriaTe emergency ShUTOff 2) Evacuate personnel from faciliTy usinçsafe,strouTes available according to the situation 3) Go to an upwind area and maintain a safe distance. b. Co-incident with evacuaTion, notify emergency response agencies by dialing 911 if incident represents an immediaTe threat. c. Deny enTry to the area by anyone other than 911 emergency response personnel until area is declared safe. d. Stand by to assist emergency response personnel. Any incidenT involving a fire, release or threatened release of a hazardous material must also be reporTed to the APSI Station Manager. The Station Manager wil I notify Chevron USA Inc. Maintenance Dispatch immediaTely who wi I I notify Contractor assistance and Regualatory Agencies if necessary. The StaTion Man~r wi I I also notify the APSI Area SUEervisor. B, EMPLOYt:t: NOTIFICATION AND EVACUAIION: Notification will be accomplished via: Verbal (shouting). The primary evacuation/staging area is: North of Station, between driveways along Stockdale Highway C, 1) PUBLIC EVACUATION: The Staff Duty Clerk will announce "There is an emergency. Please leave the Station on foot immediately." 2) If evacuation from area is deemed necessary, these neighboring properties will be notified, if possible. Stockdale Bank 5151 Stockdale Hwy. 833-9292 D. EMERGENCY MEDICAL PLAN: MEDICAL FACILITIES Memorial Urgent Care 6501 Ming Ave, Bakersfield 397-4004 Bakersfield Memorial 420 34th St., Bakersfield 327-1792 3, FDlfi10 :- ~ . Bakersfield Fire De'. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: a. Steel posts installed to prevent vehicle ccllision with pumps. b. Vapor Recover Systems used when tilling underground tanks. c. Dual hose systems on pumps. d. Anti-lock nozzles at pumps. e. No sales to nonauthorized containers. f. No Smoking signs posted. Self-serve instructions posted. g. Tanks checked periodically tor. leaks by comparing gallonage measurements with sales records. B. RELEASE CONTAINMENT AND/OR MINIMIZATION: a. Stop source of release as necessary and safe. If gasoline, stop source of release by activating emergency pump shutoff switch. b. Evacuate all nonessential personnel from area. c. Extinguish or remove all ingnition sources. Use tire extinguisher if nécessary. d. Whi Ie using proper personal protectIve equipment. contain and absorb spill with inert , absorbent (sand or kitty litter). Avoid breathing gasoline vapors by approaching trom upwind. C. CLEAN-UP PROCEDURES: a. Keep nonessential personnel away trom area. b. Notify Chevron USA Inc. Maintenance Dispatch (310) 694-7102 tor coordInation with Hazardous Material Contractor to remove contaminated absorbent materials it required. c. Materials involved in cleanup will be disposed of in accordance with applicable Federal, State and Local regulations. SECTION 8: UTILITY SHUT-OFFS (lOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: None ELECTRICAL: Inside Carwash, NE corner J.n Electrical Room WATER: In exit driveway from carwash in the sidewalk (meter) SPECIAL: Emergency Pump Shutoff Switch is on outside East wall of Carwash/Office lOCK BOX: YES@ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: F:b.e ~ are Jœpt at the facility. Extinguishers are inspected annually/recharged after use. B. WATER AVAILABILITY (FIRE HYDRANT): Fire Hydrant is located on the NE corner of the lot at Stockdale Hwy. and Village Lane 4. FO' I 0 Farm and Agriculture 0 Standard Business CITY OF BAKERSFIELD HAZARDOUS MATERIALS INVENTORY ~ . , 1 NON - TRADE SECRET page_of~ . BUSINESS NAME I APSI StatIon 12718/1827 LOCATION: 5109 Stockdale Hlghv~ pITY, ZIP: BakersfIeld, CA 93 !PHONE ,: (805) 832-1818 I OWNER NAME: Chevron USA Inc. ADDRESS: 1300 S. Beach Blvd. CITY, ZIP: La Habra, CA 90632-2833 PHONE ,f: (10) 694-7452 NAME OF THIS FACILITY: StatIon 12718/1827 STANDARD IND. CLASS CODE: 5541 DUN AND BRADSTREET NUMBER/FEDERAL ID f -º º- 2.. '-4_ Q. ~5Y_ 1 Trane Code U INSTRUCTIONS FOR PROPKR CODKS . 9 10 11 12 Cont Cont Use Location Where Press Tem Code Stored in Faoilit UST N. of pumps 1] 14 , by ..--., Names of Mixture/Components w --- Bee Instructions GasolIne (GenerIc) Methyl tert buty I ether 16J4-04-4 Physical and Health Hazard (Check all that apply) 00 FIre Hazard 0 Budden Jlèlease of Pressure C.A.S. Number 8006-61-9 Component' I Name' C.A.S. Number o Reactivity I!1 IlIIIDediate 1!J Delayed Health Health Component' 2 Name' C.A.S. Number Toluene 108-88-3 Component , 3 Name , C.A.B. Number Xylene 108-38-3 I \ Physical and Health Hazard (Check all that apply) o Fire Hazard 0 Sudden Jlèlease 0 ot Pressure C.A.S. Number Component , 1 Name', C.A.B. Number 0 o Delayed Component I 2 Name , C.A.S. Number Reactivity Immediate Health Health Component I 3 Name , C.A.S. Number I I Physical and Health Hazard C.A.S. Number (Check all that apply) o Fire Hazard 0 sudden Jlèlease D Reactivity 0 IlIIIDediate 0 Delayed of Pressure Health Health Component , 1 Name' C.A.S. Number Component , 2 Name' C.A.S. Number Component I ] Name' C.A.S. Number I I Physical and Health Hazard \ (Chsck all that apply) \0 Fire Hazard 0 Budden Release 0 Reactivity 0 Immediate 0 Delayed of Pressure Health Health IEMERGENCY CONTACTS U Staff Duty Clerk Name Title Ce~titication (READ AND SIGN AFTER COMPLETING ALL SECTIONS) I certify under peanlty ot law that I haver personally examined and am tamiliar with the intormation submitted in this and all attached documents and that based on my inquiry ot those in~lviduals responsible tor obtaining the intormation. I believe that the submitted intormation io true, accurate; and ~,lete. _ ~eff Copeland - DIstrIct ........ ~ 7 ß'/ ¡fJ--<-- .1'"" ""'''''AL T..... OF ....N/OF...... ON """"'/OF"'''''''S ..,"""',... ...........Tm _ .,........ 'A>.. or. - , C.A.S. Number Component I 1 Name' C.A.B. Number Component . 2 Name' C.A.S. Number component . 3 Name' C.A.S. Number 805-832-1818 24 Hr. Phone . 2 Chevron Emerqency Center Name Duty Clerk Title 800-457-2022 H Hr Phone ." .. ~:- l.. .. ..'.......-.. ..". 'e~I'Emmi¡rI'II~~¡lmi~¡.ÆIAA~i~'I¡~!!!!;~~'!! ........,. .;.:.;.:-:.;.:.:.:-:-;.:-:...:-:.;.".:. ..... .,.. . ..,.... , ... .... ".:.:-:.:.:.;.:.;.:,;.:.:.::;,;.;.:.:.:.:.;.;.:-:.:-:.;.:.:-:.;.:.:-:.:..:...:.......:.:.::.:.......: :.'...::.....'..... ..,'....:::;. . ". .;:::;:::::::;::.:>.;:<,::;.;:::;:<;>::.... ..'........,...,...,..,',.... ......H...·................. · . . . . . . . . . . . . . . . . . . . . . . . . . . . . . · . . . . . . . . . . . . . . . . . . . . . . . . . . . . · . . . . . . . . . . . . . . .. . . . . . . . . .. . , . iii;;!iii;i!i;;;!:ii!!!!il;I:;I!!i:illi: ....... .., ... .. .. .,. ... N. REFERENCE TO NORTH l' . 100' - SCALE OF MAP r¡::~¡~~:~~~~:¡:~~~:~:~:~~~~~¡Î='i~[~~~Î~]~>~~~~~ ~ ^BSORPTlVE MATERI^L ð ^l^RM !íI1I DRAIN -I 'r- DRIVE~Y ~ - DOORS It EVACUATION ROUTE ~ EVACUATION/STAGING AREA <{þ EYE W\SH + FIRST ^ID ® FIRE HOSE ŒI FIRE EXTINGUISHER ¿J FIRE DOOR = FIRE WALL LA( GAS PUMPS & GUARD STATION ŒJ KNOX BOX LOCATION I Þ=f LADDER IMSDS MATERIAL SAFETY DATA SHEET & ERP EMERGENCY RESPONSE PLAN 8 PERSONAL PROTECTIVE EQUIPMENT Irn PUBLIC TELEPHONE RR - REST ROOM ~ IIIIIIIß1IIII S TAl R S -;.;;.;.;.;. ::;:;:;:;: ::::::: :::::::::::::; ::;: :~.:.::; ....... ...... ..... .... . .-... . .................. ..,..".-....."....,...,... .,.......,. ...".,.,.......... ........... ..........,.... ......-................. .... . .................... ... ..-.--...-. . ... @ AIR CONDITIONING ŒJ ELECTRIC METER ® ELECTRIC SIWTOFF @) GAS METER ® GAS SHUTOFF ® PUMP SHUTOFF ~ \WITER METER W\TER MAIN LINE GATE VALVE :)::f{¡:ij£/šü~p'~¥.~·~..(§F..·.·~y~TÊMSii .. :::::::::::::::::=:=:;;:;::::::::::::::;::::;;;:::;:::;::.:.:;.......:... .. ............'.................:.;-:,..;.;.:....-:. .............................-......... V FIRE DEPT. SPRINKLER CONNECTION Y FIRE DEPT. STAN DPIP E CON N ECT ION .-. FIRE HYDRANT :i1 ATTIC SCUTTLE þ' COOLER OR ~ -; REF RIG E R AT ION UNIT **"* FENCE/BARRIERS œ IIEATlNG UNIT Pt=t=ÞH RAILROAD TRACKS @) SEWER '" - - ~ ., : Sl: SKYLlGIIT '- - - -... . STORM DRAIN ..... .......... ........ . . . . . . .. ............ lillt../.$lÓRAGë/tANKS::/::::J IDENTIFY TilE TYPE OF CONT^,NER USING TilE FOLLOWING SYMBOLS, SPECIFY TANK CAPACITY IN GALS.. LBS.. OR CU.F 1. e ABOVE GROUND TANKS 200 @ _ OAl eoo HM, "Me OAL Fl r l BELOW GROUND TANKS ~...... (10K \ \G A Ll f -10K- - \ '- GAL I '----"" ..../ 81NSULATED TANKS 8PRESSURIZED TANKS CORR - CORROSIVE C - COM BUSTlBLE E - EXPLOSIVE F - FLAMMABLE G - GAS L - LIQUID OXY - OXIDIZER R - RADIOACTIVE S - SOLID T - TOXIC WR - W\TER REACTIVE e ..,... - ,.".,. .., ',.- ... -.-.... -... -.' -.'-.' ..tlÁ'FKRDO.Ù.šJÂ.ÄfifRfÁ(s) ~I-~~~?~Ë4~l$N.~..~'(~Ø):'; HAZARDOUS MATE RIAL STORAGE AREA...HMS IIAZARDOUS MATERIAL "ANDLlNG AREA...HMII HAZARDOUS WASTE STORAGE AREA...HWS .. , - . . .. ....... ..... ·..··..·······,0·::;1 :::::;;:::;:::::;:::;:;;:\2lliJ .... ..................... .... ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . · e CITY of BAKERSFIELD --- ~- - -- ---- «WE CARE" FIRE DEPARTMENT S, D, JOHNSON FIRE CHIEF June 19, 1992 2101 H STREET BAKERSFIELD,93301 326-3911 Mr. Mark Means; Office Building Superintendent Chevron U.S.A., Inc. P.O: Box 1392 Bakersfield Ca. 93302~ 1392 Dear Mr. Means: You have indicated in your Risk Management and Prevention Program that if a chemical release occurs at your facility your employees are trained to initiate an \ emergency response to that incident. Please forward the names of the employees who have been trained for this activity, a brief description, by the individual, of his or her training level, hours of training and response capability, and a copy of the documentation or certification of that training. ,. .~;. This information will of course, be essential in the unlikely event of an incident at your facility. Please forward that information to our office by July 27, 1992. If you have any questions or need assistance please do not hesitate to call. Sincerely Yours, Ralph E. Huey Hazardous Materials Coordinator REH:vp .., ~:! cc: Safety Coordinator ~ I I I. 04/03/'31 -- Cf ~ CH.RON' USA I NC #ê:718 215-00.>01046. 6./;;;;;l..; Ovet~all Si te wi th 1 Fac. Urli t General Information Page 1 ¡Location. 5101 STOCKDALE HWY 'Map. 123 Hazard. LO~ I Iderlt Nutllbet~: ;215-000-001046 Gt~id_~.~~~B_ At~e.:\ ':I~_VU~ [§ CCIY'ltact Name :! Title =m Business Ph<:me ~ 24 Hou,' ~!1 «ÒYLi 3: l.A'Ii: 'i 5~>J1bN (805) 832-1818 " l(/~05) 832-~ ~r~~~~~~~~~ _ç£ ~~ ~~ . »~ ~;~) 9~;1_ 'IE~ Admirlistt~at ive Data - ~ Mail Addrs: 5101 STOCKDALE HWY D&B Number: City: BAKERSFIELD State: CA Zip: '3330'3- Comm Code: 215-011 BAKERSFIELD STATION 11 SIC Code: Ow~er: CHEVRON USA INC Address: 2 ANNABEL LN SU 200 City: SAN RAMON Phorle: ( State: CA Zip: '34583- Summat~y ---~'ECEIVED JUl 16 1991 . HAl. MAT. DIV. 1 II II r , I t I ,.- ,\ I r /7f I J.<!J. \ ~Vif) ~,J [)@ hereby cerilly illal Ih_ (Ty~ '"t nerne) U"s"i~w~d ~hs attachsd l1a!2~r'(.iGUS ma~erial$ manage- 'meni'pl~U'ü for tüe'{~?Ø.,Ji~_2,nrJ ~hªt i~ (§l!Oi1~ wô~Û'U (Na!'T':¿' ::: b..:J¡Ot):1.d) ~ny roU'D"~©~ion~ oon$ftiîut~ a complete @)rra©1 oorrŒJ©ft ffi~i'1Ja agsm®li'b~ ¡gi~fi'1 ~()r M}f ~®dli~y. ~ I1JÞ 1b~/ I , I I I I I I I I --------------.----------------------- 0'+/03/91 CHEVRON USA INC #2718 215-000-001046 Hazrnat IYweYltot"Y List iYI 1'r1CP Ot"det" 02 - Fixed Containers on Site Pin-Ref Name/Hazards F Clt"rl1 02-001 REGULAR GASOLINE ? 02-002 SUPREME UNLEADED GASOLINE ?, 02-003 UNLEADED GASOLINE ? ..-------- e e Quantity 10,000 GAL 10,000 . GAL 10,000 GAL PaHe ;2 MCP Mc.det"ate MClderate Me.derate ----- - - ""- - - ~ - "~- ~I - - -- -------- 04/03/91 CH'RON USt-~ INC #2718 21S-ÒOtt ()1046 00 - Overall Site Page '3 <D> Natif./Evacuatio~/Medical <1> Agency Notification c¡ /1 Cl/6 V ()~A EJn~e?1&'t ¡11fllY r ~ ðG'lJìÞ"/ ~?ft- S'Þf"" <I'$'þ(998 <2> Empl.:.yee Ne.t if. /Evacuat ìe.n I-~O.. Y2:>-¿~~B ,1:-61 {- '1/(: 177 ....Ovyy ,pf-#1f!- IN CASE OF AN EMERGENCY EVERYONE AT THE STATION WILL MOVE TO A SAFE PLACE AND NOTIFY THE FIRE DEPARTMENT S'~ /f1f4c~~ 2C <3> Public Notif./Evacuation 5 p17 /f7rAC/hneqT'- J L- <4> Emerge~cy Medical Pla~ NEAREST HOSPITAL CALL 911 ".--;- J er- 14- rt,4C If)n t>->,1" JJ- I I I I I \ , I "--- ~ - ---" ~ - - -"- - ~'- - -- - - "-"- - -"- - - - - - - - - - - -" - -" ~ - - - - - -'-'- - - - - -"" -- -" - - - - - -"- - "- 04/03/':31 CHEVRON USA INC .#2718 215-000-001046 00 - Overall Site Page 4 <E> Mitigation/Prevent/Abatemt --- i I <1> Release Prevention THE ONLY RESPONSE IS TO CONTRO~E RELEASE OF FUEL BY TURNING THE POWER OFF AN~ CALLING THE FIRE DEPARTMEN IN SOME CASES IT MIGHT BE NECESSARY TO BLOCKADE A SPILL SITE . ~(C, 11M (5 Jt /!) po ml?7è'fl-t(I7~!leltJtrínnJ -Ptf/J...Y I <2> Release Containment YlrJ~8?1a¡ i?qf)¡..bÛ-)' A¡/p fvm¡;> IH2tf oFP vlr¿v'P -flÞr p¡:¡: Vlrâl?~ A121f' f..¡fR-¡¿"1) E tfa) ,IPITP ' IV IrH 5 If vr- <3> Clean Up ¡)5b lIð~e~r rp/l f/IJRU-71/lLS ) C¡H..c-~t;>"1tý~~ PlI+/Þ'17 I Y t..Mq!' 5prvl/ I 1 I <4> Othe~ Resource Activation e e . - - - - . -- - - -~.----''-- - ----- -- - - -- --- - - - - -- ---- 04/03/r:31 CH'RON I USA INC #2718 2ì5-00tt}01046 00 - Overall Site Page "". ~. I' <F> Site EMe~gency Factors (1) Special Hazards <2> Utility Shut-Offs A) GAS - ~ (PAC-ItS' 'þg of? ~. w~ ~ . II /~vr;IÞlT' 1>#, B) ELECTRICAL - 8UTCIDE Þ¡C()~ C()R U()CH- 1!I$lpe CA1twl91 ~ ßû ð(J~'Vtf' C) WATER - OUTSIDE AT STOCKDALE HWY I D) SPECIAL - NONE E) ,LOCK BOX - NO I ,( <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGU!SHER ON SITE FIRE HYDRANT - IN~A S1V'f,¡(I)Ii't-~ ¡./..¡y ¡ P/¡l..ÞA-tf/Í ~ <4> Held for Future use I I , I I I I ----------~~--------------------~---~ 04/03/91 CHEVRON USA INC #2718 215-000-001046 00 - Overall Site Page 6 <G> Tt~a i yÜ rIg <1> Page 1 WE HAVE ø EMPLOYEES AT THIS FACILITY DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? Y/Ç.$ BREIF SUMMARY OF TRAINING: 9« ~7!MIbnh1T f <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use . e e Bakersfield Fire Deptþ Hazardous Materials Division 2130 "G" Street Bakersfield, CA. ~3301 #92718 HAZARDOUS MATERIALS MANA~EMENT 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: Chevron USA., Inc. LOCATION: 5101 Stockdale Hwy, Bakersfield MAILING ADDRESS: 5101 Stockdale Highway CITY: Bakersfield STATE: ~ ZIP: 93309 PHONE: 805-832-1818 DUN & BRADSTREET NUMBER: SIC CODE: 5541 PRIMARY ACTIVITY: Gas Station OWNER: Chevron USA., Inc. MAILING ADDRESS: Same -....--- .- SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE .35"B 800-423~8 or 415-877-0244 1. Chevron Maintenance Dispatch 2. Larry Benton Manager~ ~ 805-832-1818 805-832-5998, 1. FOIS90 .. e Bakersfield Fire Dept. e Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN #92718 SECTION 3: TRAINING: NUMBER OF EMPlOYESS: seven MATERIAL SAFETY DATA SHEETS ON FILE: Yes: . ( Yellow book in drawer ) BRIEF SUMMARY OF TRAINING PROGRAM: Every employee will have training in the first week of their employment. 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 "CALlFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. x WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, Larrv Benton 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 CaDE" ON HAZARDOUS MATERIALS (DIV. 20 C8APTER 6.95 SEC. 25500 ET AL.) AND THAT IN~€:?;;¡¿;ONSTlTurE~n;;;;:Y' Î /;6ßLrE 2. FD1590 Bakersfield r'ire Uept. e Hazardous Materials Divisione 192718 HAZARDOUS MATERIALS MANAGEMENT PLAN Faci!!ty Unit Name: Chevron Gas Station SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: There will be calls for: - 911¡ - Chevron USA Emergency Maintanence¡ - Larry Benton See Attachment II also. B. EMPLOYEE NOTIFICATION AND EVACUATION: Employees will know whom to notify. They will also use "Attachment II" for proper procedure in case of emergency. C. PUBLIC EVACUATION: - See Attachment II. D. EMERGENCY MEDICAL PLAN: - See Attachment II. 3. FOl~ e Bakerstield ,r'ire Dept. Hazardous Materials Divisioe B2718 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: Check the tanks and do meter recalculation on a. daily basis. B. RELEASE CONTAINMENT ANDIOR MINIMIZATION: Emergency shut off valves are checked regularly and pumps are equipped with shut off valves. . C. CLEAN-UP PROCEDURES: Use absorbent in case of small spills. Call Emergency Maintenance, if spill is large. SECTION 8: UTilITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: Backside of cær-wash ELECTRICAL: Inside car-wash/outside on wall by office WATER: Stockdale Hwy SPECIAL: None LOCK BÖX: YES/G IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: None B. WA TER A V A/LAB/LlTY (FIRE HYDRANT): One fire hydrant in the corner of Stockdale Highway and Village Lane. 4. FOI590 e e ATTACHMENT II Chevron USA Emergency Response and Evacuation Plan 1. EMERGENCY RESPONSE PLAN Service station emergency plans include the following: -Mitigation: Fire - If small and early stage, use on site fIre extinguisher in conjunction with calling 911. Medical - Injured employees and people on site render fIrst aid as appropriate within level of training. Also call 911. Spill - If small, contain and absorb by using absorbent material such as Johnney Cat Litter. If large, call 911. -Notification - In emergencies mentioned above notify: - Call 911 and request the appropriate response (i.e., Fire, Police, Ambulance). - Call Owner. - Call Chevron dispatch: (800) 772-2415, 3301 (Weekdays) and (415) 877-0244 (Weekends, Nights). - Call OffIce of Emergency Services at (800)852-7560 -Alarm and Evacuation - Activate the emergency shutdown switch (See location on plot plan). - Notify on site people to evacuate premises by direct voice contact. - All employees are to stand a safe distance close by. II. EMERGENCY EOUIPMENT The service station is provided with: - A few fIre extinguishers which are inspected montWy and aré tested and/or serviced annually by a state licensed fIre extinguishing company - Absorbent Material Maintained on site. - Emergency pump shut-off switch. III. EMERGENCY RESPONSE TRAINING PLAN Attendants are trained to know Ù1e location and how to: - Activate the emergency shutdown switch in the event of a sudden release of hydrocarbon. - Use the fIre equipment. - Handle gasoline and solvents and other materials as appropriate. - Notify the emergency (911) and Chevron dispatch. CITY of BAKERSFIELD "- #92718 ~HAZARDOUS MATERIA. LS INVENTORY Stlndlrd 8~¡ness ðJ T R ^ DES E eRE ~r s . Pagl ____.. 0' _ \USIIIfSS /lAHE: Chey'ron Service Station OWNER flAHE: Chevron USA flAHE OF' TillS FACILITY' Ch~vr~<?D Gas St.~!=.!~I]__ ..._ ?C¢TIOZ','þ' 5101 Stockdale Hwy Al>UnESS'1 5l1lLStor-krl;¡lp Hwy ÕT^"O~IIO rlllßšT~~~TSfl5ÒRfh.._S5.u.. ,- - . ....... --- :'IIl,II~ ,,: : Ba)wrDfi-è-1d-r-GA-93399 .-=== ~l,b~Ë ~. P: -Ba-*e~~ C1\ 93~- UU At l> 0 M ~I -troS-':"832-1818 REFER 7'O-TNSTRUCTIDNS-FDR-PROPER CODES - - - - f,r. Ind Agticulture [J îJ ~ I 2 ) C 5 6 J 8 9 10 II ,12 I J IC Ir ~ns 1,~e III hrage Annual HeHure o~ ~ne Conl Conl Cont US~ lOC~llon Vhe\e , b)' "I~es of li'lure{CCr~o~ents Co e Co t ht III Est Un Il s Iype Press hIp Co e Slore In fael Ily Vl S!! Instru: Icns ~ U I, M hoooo I N/A rN/A I~ ~--I I I I - - , 365 1 4 19 100 Chevron Regular Gasoline - hitierl fnd ~efllh Haj'rd C.A,S. "ullber 8006619 Conponenl II Hale I C.A.S. HUlber ( Ie I I t I Ipply - o Reactivity [] Suddf" hlelSe kJ COllponent 12 Hili I C.A.S. HUllber ~e Huard E oehred Iludiale " Hea th o Pr essure Health - COllponenl 13 Hal8 I C.A.S. HUllber I N/A I ~ I I I I I - U M 10000 N/A 365 1 1 4 19 100 Chevron Unleaded Gasoline - hltic~1 ,~d ~ellth H'j'rd C.A.S. HUlber 8006619 COllponent II Nalle I C.A.S. NUlber I tC I t It l~plJ o Reactivity [] SUddrn Re lease 0 COlponent 12 Hafte I C.A.S. NUlber ¡a Fire HUlrd kJ oellred IIIIed ia le Hea th o Pressure II ea Ilh - - COllponent 13 Hal8 I C.A.S. Humber I , LJ10000 I N/A I ~ I I l I I - U N/A 365 1 1 4 19 100 Chevron Unleaded Gasoline - rhlSiCI1 ,nd ~eI1\h Hlj'rd C.A.S. HUlber 8006619 COllponent .1 Hale I C.A.S. HUllber , I heck a , t It Ipp1y - - o Reactjyity kJ Dellred [] suddf" Re IelSe kJ COllponent 12 Hale I C.A.S. NUlber ~ fire Haurd IlIIed ia le Hea lh o Pressure Ilea Ilh ~ COlponent 13 Hale I C.A.S. Humber I I D I I I I I - , - Phltic~1 ,nd ~ellth ~aj'rd C.A.S. I/ulber COrlponent .1 Hlroe I C.A.S; NUlber I ec I I t at IpP J - - COlponent 12 Nlfte I C.A.S. NUllber . 0 Fire Hlzard o Reactivity o Dellred o Suddrn Release 0 IlIlIediale Ilea th o Pressure Ilea Ith - COlponent .3 Hale I C.A.S. Huftber , I p !~ EHERGEtlCY COUT ACTS 111 Larry Benton ,Manager 805- 832-5998 M2Chevron Dispatch Rille fit Ie 2fl1rì'Mñr- Riiie ~flifiCllioq (Reî.d Bnd sign {tf~ßr c()mpleting {111. sectiol1s} . , ~er~11J under penllll 0 11_ th't I have persona III fllllln~O ,qd 'm fallilllr Yllb the inlor~lllon $ubllltted In this ,nd 111 ltlçhed dOcUlents, Inq t It blsed on "' Inquiry 0 hose Ind)vldua s responsible for obtaIning the Inforrolllon. I belIeve that lhe ~Þ"llte~ Inlorlllllon IS true, Iccurlte, Ind cOlpJete. . Tille 800-423-3528 1( llft~ðñr . . :-~ ~-~~,,~'rr'r7-r ~. ".....~ ,A%rT'T'%"":"-nn-:":"'i%%1'7XT'I':"=F"':':t..-;:;;,.nJ't'1:2.J;¡;n:::I';' t~ ,. t J: = I' ;:~ ..-. nl.,"~r:.:...-'" e e STATE OF CAUFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM A COMPLETE THIS FORM FOR EACH FACILlTYISITE MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT Qg 3 RENEWAl. PERMIT tJ 4 AMENDED PERMIT o 5 CHANGE OF INFORMATION 0 7 PERMANENTLY CLOSED SITE o 6 TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS· (MUST BE COMPLETED) DBA OR FACILliY NAME NAME OF OPERATOR e.-v" 0 V\ lÀ S La-v V" ße.,^- -\-0", ADDRESS NEAREST CROSS TREET SID \ Sb>,-kd.:;:l~ H-w" w S"' CliY NAME .:~\Lev~ {L-\J ../ BOX TO INDiCATE PAACEl, (OFTIONAl) STATE CA ZIP CODE <1330"; SITE PHONE /I WIn; AREA CODE oS" - 83:l - I g I 'i3 CORPORATION o INDIVIDUAL o PARTNERSHIP o lOCAL·AGENCY DISTRICTS O ../ IF INDIAN /I OF TANKS AT SITE RESERVATION 3 OR TRUST LANDS o COUNTY-AGENCY o STATE·AGENCY D FEDEAAl-AGENCY iYPE OF BUSINESS D 1 GAS STATION D 2 DISTRIBUTOR o 3 FARM 0 4 PROCESSOR 0 5 OTHER E. P. A. I. D. /I (optiol1a1i PHONE /I WITH AREA CODE '30 r; - <a'~:7- - I e. B PHONE /I WITH AREA CODE SO') - <Ò'~). - C; 7'7 '6 EMERGENCY CONTACT PERSON (SECONDARY)· optional DAYS; NAME (LAST, FIRST) PHONE /I WITH AREA CODE . eJ'o'o.... µcV^"tt~~(Æ... cO - íÎ.;L - "3~,::,J I NIGHTS: NAME (LAST, FIRST) PHONE /I WITH AREA CODE ". e.:J '0'0 v\, W\ÀA:-t ~¿ ~c c - '112 - .2..* I '::> II. PROPERTY OWNER INFORMATION - (MUST BE COMPLETED) NAME CARE OF ADDRESS INFORMATION c..,\\Q.VýOV\. U5A L"'-.c. . MAILING OR STREET ADDRESS ../ box Þ indica'. o INDIVIDUAL o lOCAl,AGENCY o STATE,AGENCY 'P.' 0 . ~)C C:;oof ça CORPORATION o PARTNERSHIP o COUNTY·AGENCY o FEDEAAl,AGENCY CITY NAME STATE I ZIP CODE T PH,ONE II WITH AREA CODE s.cw-. íZc... ~ "" CA C¡'f5iJ3 if(5-~)..- 7500 III. TANK OWNER INFORMATION· (MUST BE COMPLETED) NAME OF OWNER e:';{'Q~ \,\sA MAILING OR STREET ADDRESS "D.o. Øo CITY NAME CARE OF ADDRESS INFORMATION ../ boxÞindicale 0 INDIVIDUAL 0 LOCAL·AGENCY 0 STATE,AGENCY CORPORATION 0 PARTNERSHIP 0 COUNTY-AGENCY 0 FEDEAAL,AGENCY ZIP CODE PHONE. WITH AREA CODE <;Û"'- R~~,,\.. G.4 Qt./s-t83 t./(5'-l¡j'l:>...- Y"'~o IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER· Call (916) 739-2582 if questions arise. TY(TK} HQ @E]-ITITIIJ V. LEGAL NOTIFICATION AND BILLING ADDRESS 50'olf Legal notification and billing will be sent to the tank owner unless box I or II is checked. APPLICANT'S NAME (PRINTED & SIGNATURE) ÞA" I Ç> (y. .:T"oµiV>v¡J ( LOCAL AGENCY USE ONLY I.D II·D 111.0 THiS FORM HAS BEEN URY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT DATE MONTHlOAYIYEAR As~t. 4- - ;)..tf - 1/ COUNTY , rn JURISDICTION # [II] FACILITY " ITITIIJ LOCA TION CODE . OPTIONAL CENSUS TRACT II . OPTIONAL SUPVISOR . DISTRICT CODE . OPTIONAL THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR MORE PERMIT APPLICATION· FORM B, UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY. FORM A (9,90) FOROOJJA·R2 e e ::#='1 ~ l \?; STATE OF CAUFORNlA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT ~ 3 RENEWAL PERMIT o 4 AMENDED PERMIT o 5 CHANGE OF INFORMATION o 6 TEMPORARY TANK CLOSURE o 7 PERMANENTLY CLOSED ON SITE o 8 TANK REMOVED A, OWNER'S TANK I. D.' GKe- / DBA OR FACILITY NAME WHERE TANK IS INSTALLED: I. TANK DESCRIPTION B, MANUFACTURED BY: L~ C, DATE INSTALLED (MO/DAYIYEAR) D. TANK CAPACITY IN GALLONS: II TANK CONTENTS IF A 11SMARKED COMPLETE ITEM C ~1 MOTOR VEHICLE FUEL 0 4 OIL B. C. D 1a REGULAR 8 3 DIESEL o 6 AVIATION GAS A. UNLEADED 02 0 ~1 PRODUCT .~ 1b PREMIUM 4 GASAHOL o 7 METHANOL PETROLEUM 80 EMPTY 0 UNLEADED 5 JET FUEL 03 CHEMICAL PRODUCT 0 95 UNKNOWN 02 WASTE D 2 LEADED o 99 OTHER (DESCRIBE IN ITEM D, BELOW) D, IF (A.1) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED C.A.S.': "[00 (c,(" \~ III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND ALL THAT APPLIES IN BOX D A. TYPE OF 0 , DOUBLE WALL D 3 SINGLE WALL WITH EXTERIOR LINER 0 95 UNKNOWN SYSTEM ~2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER 0 1 BARE STEEL t:8J.. 2 STAINLESS STEEL 0 3 FIBERGLASS 0 4 STEEL CLAD W/ FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL 0 5 CONCRETE o 6 POLYVINYL CHLORIDE 0 7 ALUMINUM 0 8 100"!. METHANOL COMPATIBLE W/FRP (Primary Tank) 0 9 BRONZE o 10 GALVANIZED STEE~ D 95 UNKNOWN 0 99 OTHER 01 RUBBER LINED o 2 ALKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C. INTERIOR 0 5 GLASS LINING t8:J. 6 UNLINED 0 95 UNKNOWN 0 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 1000/. METHANOL? YES_ NO_ D. CORROSION o 1 POLYETHYLENE WRAP o 2 èOATING o 3 VINYL WRAP 0 4 FIBERGLASS REINFORCED PLASTIC PROTECTION t8l. 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN 0 99 OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVEGROUND OR U IFUNDERGROUND,BOTHIFAPPlICABLE A. SYSTEM TYPE A U 1 SUCTION AQij 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A@)1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH Å U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A@) 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A U 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100"!. METHANOL COMPATIBLE WIFRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. lEAK DETECTION o 1 AUTOMATIC LINE LEAK DETECTOR J8J. 2 LINE TIGHTNESS TESTING o 3 INTERSTITIAL o 99 OTHER MONITORING V. TANK LEAK DETECTION o 1 VISUAL CHECK ~ 2 INVENTORY RECONCILIATION 0 3 VAPOR MONITORING 0 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING i& 6 TANK TESTING 0 7 INTERSTITIAL MONITORING 0 91 NONE 0 95 UNKNOWN 0 99 OTHER VI. TANK CLOSURE INFORMATION STATE 1.0.# 2. ESTIMATED QUANTITY OF SUBSTANCE REMAINING 3. WAS TANK FILLED WITH GALLONS INERT MATERIAL? YES 0 NO 0 1. ESTIMATED DATE LAST USED (MO/DAYIYR) THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF P APPlICANrS NAME (PRINTED & SIGNATURE) -;--., vAV!1 ·-DHt-.J$o,.,J Y KNOWLEDGE, IS TRUE AND CORRECT DATE (./-;).'i- 7/ LOCAL AGENCY USE ONLY COUNTY # CD JURISDICTION # ITIJ TANK # ITITIIJ PERMIT NUMBER PERMIT APPROVED BY/DATE PERMIT EXPIRATION DATE FORM B (9-90) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FORM A, UNLESS A CURRENT FORM A HAS BEEN FilED. FOROC134 8,R4 e - "*cr~ìl"t STATE OF CAUFORNlA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM o ' NEW PERMIT o 2 IN.TERIM PERMIT §: RENEWAL PERMIT AMENDED PERMIT o 5 CHANGE OF INFORMATION o 6 TEMPORARY TANK CLOSURE o o 7 PERMANENTLY CLOSED ON SITE 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: eh I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN ~ B, MANUFACTURED BY: Ls A. OWNER'S TANK I. D. # C, DATE INSTALLED (MO/DAYIYEAR) D. TANK CAPACITY IN GALLONS: II. TANK CONTENTS IF A·' IS MARKED. COMPLETE ITEM C. (;811 MOTOR VEHICLE FUEL 0 4 OIL B. C. ~ 1aREGULAR B 3 DIESEL o 6 AVIATION GAS A, UNLEADED 02 0 18l' PRODUCT o 1b PREMIUM 4 GASAHOL o 7 METHANOL PETROLEUM SO EMPTY UNLEADED 0 5 JET FUEL 03 CHEMICAL PRODUCT 0 95 UNKNOWN 02 WASTE o 2 LEADED o 99 OTHER (DESCRIBE IN ITEM O. BELOW) 0, iF (A,1) is NOT MARKED, ENTER NAME OF SUBSTANCE STORED C.A.S.#: ãDO 0 ft7 I '1 III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C, AND ALL THAT APPLIES IN BOX D A, TYPE OF 0 1 DOUBLE WALL 0 3 SINGLE WALL WITH EXTERIOR LINER 0 95 UNKNOWN SYSTEM ,~ 2 SINGLE WALL 0 4 SECONDARY CONTAiNMENT (VAULTED TANK) 0 99 OTHER 0 1 BARE STEEL i:8t 2 STAINLESS STEEL 0 3 FIBERGLASS 0 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK MATERiAl 0 5 CONCRETE o 6 POLYVINYL CHLORIDE 0 7 ALUMINUM 0 8 100"10 METHANOL 'COMPATIBLE W/FRP (Primary Tank) 0 9 BRONZE o '0 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER 01 RUBBER LINED o 2 ALKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C. INTERIOR 0 5 GLASS LINING ~ 6 UNLINED 0 95 UNKNOWN 0 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH '00"10 METHANOL? YES_ NO_ D. CORROSION 01 POLYETHYLENE WRAP 0 2 COATING o 3 VINYL WRAP 0 4 FIBERGLASS REINFORCED PLASTIC PROTECTION C8l5 CATHODIC PROTECTiON 0 91 NONE o 95 UNKNOWN 0 99 OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A(I£) 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A(U) 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A(:!) 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A U 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100"10 METHANOL COMPATIBLE W/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION o 1 AUTOM'A TIC LINE LEAK DETECTOR C8:l2 LINE TIGHTNESS TESTING o 3 INTERSTITIAL o 99 OTHER MONITORING V. TANK LEAK DETECTION o 1 VISUAL CHECK ~ 2 'e8J. 6 TANK TESTING 0 7 INVENTORY RECONCILIATION 0 3 VAPOR MONITORING 0 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING INTERSTITIAL MONITORING 0 9' NONE 0 95 UNKNOWN 0 99 OTHER VI. TANK CLOSURE INFORMATION AIJID ~. J'O¡"¡,,,.J<;v;.J 3. WAS TANK FILLED WITH INERT MATERIAL? YES 0 N0D 1. ESTIMATED DATE LAST USED (MO/DAYIYR) THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PE ~UR , APPLICANTS NAME (PRINTED & SIGNATURE) KNOWLEDGE, IS TRUE AND CORRECT DATE '-1--;;.'1- f¡ LOCAL AGENCY USE ONLY STATE 1.0.# COUNTY # OJ JURISDICTION # [II] TANK # ITIIIIJ PERMIT NUMBER PERMIT APPROVED BY/DATE PERMIT EXPIRATION DATE FORM B (9-90) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPUCATION· FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FOR0034S-R4 · . e e -9f=CJa 1 \<6 STATE OF CAUFORNlA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT I:8J.. 3 RENEWAL PERMIT o 4 AMENDED PERMIT o 5 CHANGE OF INFORMATION o 6 TEMPORARY TANK CLOSURE o 7 PERMANENTLY CLOSED ON SITE o 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN C. DATE INSTALLED (MOIDAYIYEAR) (.., B. MANUFACTURED BY~ tVlA 10 Ù()O L~ A, OWNER'S TANK I. D. II D. TANK CAPACITY IN GALLONS: II. TANK CONTENTS IFA'IISMARKED.COMPLETEITEMC. 1&1.1 MOTOR VEHICLE FUEL 0 4 OIL B. C. o 1a REGULAR B 3 DIESEL o 6 AVIATION GAS A. UNLEADED 02 0 ~1 PRODUCT o 1b PREMIUM 4 GASAHOL o 7 METHANOL PETROLEUM 80 EMPTY UNLEADED 0 5 JET FUEL 03 CHEMICAL PRODUCT 0 95 UNKNOWN 02 WASTE & 2 LEADED 0 99 OTHER (DESCRIBE IN ITEM D. BELOW) D. IF (A,1) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED C.A.S.II : ~O OGG.,\ 1 III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND ALL THAT APPLIES IN BOX 0 A. TYPE OF 0 1 DOUBLE WALL 0 3 SINGLE WALL WITH EXTERIOR LINER 0 95 UNKNOWN SYSTEM ~2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER 0 1 BARE STEEL ~ 2 STAINLESS STEEL 0 3 FIBERGLASS 0 4 STEEL CLAD W/ FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAl 0 5 CONCRETE o 6 POLYVINYL CHLORIDE 0 7 ALUMINUM 0 8 100"10 METHANOL COMPATIBLE W/FRP (Primary Tank) 0 9 BRONZE o 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER 01 RUBBER LINED o 2 ALKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C. INTERIOR 0 5 GLASS LINING ~ 6 UNLINED 0 95 UNKNOWN 0 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH IQO' '. METHANOL? YES_ NO_ D. CORROSION o 1 POLYETHYLENE WRAP o 2 COATING o 3 VINYL WRAP 0 4 FIBERGLASS REINFORCED PLASTIC PROTECTION ø...5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN 0 99 OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A7û} 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A@1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A® 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A U 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING A U 8 IQO' '. METHANOL COMPATIBLE W/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION D 1 AUTOMATIC LINE LEAK DETECTOR 1:ßl2 LINE TIGHTNESS TESTING o 3 INTERSTITIAL D 99 OTHER MONITORING V. TANK LEAK DETECTION o 1 VISUAL CHECK ~ ® 6 TANK TESTING 0 2 INVENTORY RECONCILIATION 0 3 VAPOR MONITORING 0 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING 7 INTERSTITIAL MONITORING 0 91 NONE 0 95 UNKNOWN 0 99 OTHER VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE LAST USED (MOIDAYIYR) \)ø.\J' \ 0 Ú" ';¡-OH,vSvN 2. ESTIMATED QUANTITY OF SUBSTANCE REMAINING 3. WAS TANK FILLED WITH INERT MATERIAL? YES 0 NO 0 THIS FORM HAS BEEN COMPLETED UNDER PENAL TY 0 APPLICANT'S NAME (PRINTED & SIGNATURE) DATE ¥-:2V-7¡ LOCAL AGENCY USE ONLY STATE 1.0.# COUNTY # CD JURISDICTION # ITD TANK # ITITJITJ PERMIT NUMBER I PERMIT APPROVED BY/DATE THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FORM B (9'90) FORD034B-R4 ~ o~ e Bakersfield Fire Dep. Hazardous Materials Division 2130 "G" Street Bakersfield, CA ~3301 *92718 4: '-l & 0-0 J HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. 2. 3. 4. To avoid further action. return this form within 30 days of receipt. TYPE/PRINT ANSWERS IN ENGLISH. Answer the questions below for the business as a whole. Be brief and concise as possible. ,. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: Chevron USA., Inc. LOCATION: 5101 Stockdale Hwy, Bakersfield MAILING ADDRESS: 5101 Stockdale Highway CITY: Bakersfield STATE: ~ ZIP: 93309 PHONE: 805-832-1818 DUN& BRADSTREET NUMBER: SIC CODE: 5541 PRIMARY ACTIVITY: Gas Station OWNER: Chevron USA., Inc. MAiLING ADDRESS: Same -.----- . SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE 1. Chevron Maintenance Dispatch 800-423-3]28 or 415-877-0244 2. Larry Benton Manager~' 805-832-1818 805-832-5998_ 1. F01590 e Bakersfield Fire Dept. .. Hazardous Materials Division .. HAZARDOUS MATERIALS MANAGEMENT PLAN *92718 SECTION 3: TRAINING: NUMBER OF EMPLOYESS: seven MATERIAL SAFETY DATA SHEETS ON FILE: Yes: ( Yellow-book in drawer) BRIEF SUMMARY OF TRAINING PROGRAM: Every employee will have training in the first week of their employment. 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. x WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TlMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, Larrv Benton· . ,- CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. J 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 C~APTER 6.95 SEC. 25500 ET Al.) AND THAT INACCURA INFORMATION CONSTITUTES PERJURY. . Manager DATE TITLE 2. FO 1590 Bakersfield Fire Dept. e Hazardous Materials Division e HAZARDOUS MATERIALS MANAGEMENT PLAN Facm~ Unit Name: Chevron Gas Station SECTION 6: NOT1F1CATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: There will be calls for: - 911; - Chevron USA Emergency Maintanence; - 'Larry Benton See Attachment II also. B. EMPLOYEE NOTIFICATION AND EVACUATION: Employees will know whom to notify. They will also use "Attachment II" for proper procedure in case of emergency. C. PUBLIC EVACUATION: - See Attachment II. D. EMERGENCY MEDICAL PLAN: - See Attachment II. 3. #92718 R>I!11O Bakersfield Fire Dept. e Hazardous Materials Divisione #92718 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: Check the tanks and do meter recalculation on ~ daily basis. B. RELEASE CONTAINMENT AND/OR MINIMIZATION: Emergency shut off valves are checked regularly and pumps are equipped with shut off valves. C. CLEAN-UP PROCEDURES: Use absorbent in case of small spills. Call Emergency Maintenance, if spill is large. SECTION 8: UTILITY SHUT·OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: Backside of car-wash ELECTRICAL: Inside car-wash/outside on wall by office VVATER: Stockdale Hwy SPECIAL: None LOCK BOX: YES¡G IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: None B. VVATER AVAILABILITY (FIRE HYDRANT): One fire hydrant in the corner of Stockdale Highway and Village Lane. 4. FDIf>90 e e ATTACHMENT II Chevron USA Emergency Response and Evacuation Plan 1. EMERGENCY RESPONSE PLAN Setvice stàtion emergency plans include the following: -Mitigation: Fire - If small and early stage, use on site fIre extinguisher in conjunction with calling 911. Medical - Injured employees and people on site render fIrst aid as appropriate within level of training. Also call 911. Spill - If small, contain and absorb by using absorbent material such as J ohnney Cat Litter. If large, call 911. -Notification - In emergencies mentioned above notify: - Call 911 and request the appropriate response (i.e., Fire, Police, Ambulance). - Call Owner. - Call Chevron dispatch: (800) 772-2415, 3301 (Weekdays) and (415) 877-0244 (Weekends, Nights). - Call OffIce of Emergency Services at (800)852-7560 -Alarm and Evacuation - Activate the emergency shutdown switch (See location on plot plan). . - Notify on site people to evacuate premises by direct voice contact. - All employees are to stand a safe distance close by. II. EMERGENCY EOUIPMENT The service s~tion is provided with: - A few fIre extinguishers which are inspected monthly and are tested and/or serviced annually by a state licensed fIre extinguishing company - Absorbent Material Maintained on site. - Emergency pump shut -off switch. III. EMERGENCY RESPONSE TRAINING PLAN Attendants are trained to know the location and how to: - Activate the emergency shutdown switch in the event of a sudden release of hydrocarbon. - Use the fIre equipment. - Handle gasoline and solvents and other materials as appropriate. - Notify the emergency (911) and Chevron dispatch. ~HAZARDOUS MATERIA. LS INVENTORY Standard 8U!iness ~ T R ^ DES E eRE ..r s . Pa9l __'n.. of _ nUSlIIfSS /lAHE: Chey'ron Service Station OWNER /lAHE: Chevron USA /lAME OF TIllS FACILITY' Chevron Gas Station I t.0CATlOU;.; 5101 Stockdale Hwy , .__ ADUHESS'I' _5..1.Q.L~r()~;¡lp Hwy STAlJDAIW IUD. CLASS r.ÒDE:~S·§-4.1..._ _ .-.--.----...- f,l,MË ~ ~ t'. B:tJtOrefi-e-}4r-GA-·93309 ---- ~,lfÓ~~ ~. P: -Ba*e~ÐfiolGr CA 93~- DUN ArIU OHAUSTnEE' tlU~IOER . -"lro5':'·83;¿-18lB REFER 7'O-TNSTRUCTIDNS-FOR-PROPER CODES - - - - I 2 3 ~ 5 6 1 8 9 10 II 12 Iqns I,Qe ~IX Averlge Annual Heasure I 0Is Conl Conl Conl Us~ loc~l ion Where Code Code Ant hl Esl Units on S te type Press 'ellp Code Slored In facIlity ~u 1. M hoooo I N/A fN/A I~ 365 ~--I 1 4 I 19 {).S1 Fhl$iCJI fnd ~e.lth "Ijard C.A.S. HUllber 8006619 COl\ponenl II Hille' C.I..S. HUllber I heck a I that .pply T,rft ,nd Agticulture (J :kI fire HalUd o Reaclivity ß fire Hazard 0 Relctivity I I i 1~~10000 I N/A 'hysic.1 'nd He.lth Hlllrd Ithe~k a \ lhat applYI g fire Hazard 0 Reaclivity I I =c=J I PhYSic.1 Ind Health H,llard \theck all lhat app YI o Fire Hazard o Reactivity Iù De hred 0 Sudd¡n Re luse Hea th 0 Pressure " N/A ~ C.I..S. HUl\ber 365 1 8006619 CITY of BAKERSFIELD " ø Dehyed 0 Suddrn Release Health 0 Pressure N/A ~ C.I..S. HUllber 365 1 8006619 #92718 13 , by vt II "a~es of ~i~ture{Ccr~o~enls See lnslru: Icns £] De hred 0 Suddfn Re lease Hea th 0 ·Pressure o I C.A.S. lIul\ber o De Jayed 0 Suddfn Re lease Health 0 Pressure 100 Chevron Requla'r Gjr'Soline' V COl\ponent 12 HI1I8 & C.I.,S. HUllber t{J ll\lllediale Ilea Ith COllponent 13 Hille & C.A.S. HUllber 1 4 I 19 fÅ2>J COllponent 'I Halle' C.A.S. NUllber COllponent 12 Halle I C.A.S. HUllber Iù llllIediale Hea Ilh Component 13 H11I8' C.A.S. HUllber 1 4 I 19 I LJ 51 COllponent II Hal\e & C.I..S. HUllber 100 Chevron £J COllponent 12 Halle & C.I..S. HUl\ber llll\!diale Hea Ith COllponenl 13 Halle & C,I.,S. HUllber i - I COrlponent II Nllle & C.A.S. 'Nullber 0 Component 12 HI1I8 & C.A.S. HUl\ber IlImediate Health COllponent 13 Hille I C.A.S. HUl\ber EMERGEIICY COIIT ACTS II 1 Larry Benton Manager 805- 832-5998 112Chevron Dispatch Rhe rHn Hìlf-P~ðñr- Rãiie (Hlilitalioq (Reed and $ign £lfjßr c()mp1etillg, /111. sections) . . 1 ~ertll, under penally 0 II~ th'l 1 have persona III e~allln~o ,"d '11 fallllllr Vllh lhe inlorlllllon $Ubl\ltte~ In ihis end 111 ~ltaçhed dQcVllents, ano t It blsed on I\J InQuiry 0 hose Indlvldua 5 responsible for obtllning th8 Inforr.allon. believe that lhe s~bllllled Inlorllallon IS true, accurlte, Ind cOllplele. . I ,..':'': :'-:'':'r~rt"':''TT-'' TllTe 800-423-3528 2(llrt~ðñr .., ::: .~:;::-. , na'I-.,.r:.a,I-'" -x-. ...... I À:rT"I',;-:-n~~7'2.':'X.-:""';' ...-:::,.nTt'1 :;2.1;;;a ;:::;'.1 t;:--r- ~I. . 7~':'<.~-.~~ ... ,,~.\ .,~~'~;,"~ · (J¡L'i .. Arr J' e e OFFICIAL USE ONLY, RECEIVED OCT 1 1987 I ;)3~ 36 Ans'd............ 11 ~ , 3SbD-- 001046 BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 ID# USINESS NAME HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A ~z rYe;¿ Gr E- 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. BUS INESS NAME: ~ HtV g O~ IA. "j . f\ !.Jt 1 ~íA' (t OrJ ~ Ï) , ~ 11 ~ 1)1 D I ST()C~ì>A/...f: t-+0 y, ~I<E?-<;tl~U) ZIP:j5~o1 BUS.PHONE: (~alS) ~~ -¡[fiR- B. LOCATION / STREET ADDRESS: CITY: ~t<t-Ç..l:,.f\l~ 1...0 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 y~ur local fire department and the State Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE A. çy t..." ( f1. SA-tJ<ll-t-é-S' gltuò,Jrtt &fù B . JfJv'Sff Jr\ ,rye h11 ~, ~ . ~A-~t2tf dbRING BUS. HRS. ~ER B~S. HRS. Ph# [;-i3/).. -I g¡ R Ph# -S - 03;;(, - ~/ P ~ Ph# qOR "').J!, to 5 g 3 Ph# J/ðP .-)4! - 4 S-J-V SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOL ~~ <;If%; f A. NAT. GAS/PROPANE: 1)n'Y)Q/ . B. ELECTRICAL: _0(*;;", () ~ ,ttuv WCCQ. C. WATER: () {J~ -Gt:t- Sd::oc..l('cl4.J:e~ lkùu D. SPECIAL: --r E. LOCK BOX: YES / NO IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? c' FLOOR PLANS? / " ~;~ MSDSS? KEYS? ~~~ - 2A - e _ vi: ?~ / L .j .~~, '~, _ f,. ...;, , ' : ' , , ~-,-, .>~;; '':'.,:' , , " , .. J '.il .,¡. " . - ¡. SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE -rJ..H3 'f(Uf~ SE- l"S lD l!..ô)jTI2-ø L "1l+€- 'P-blEA-sG ¿:)f- -fiA.:ésL- ft>j Tl.t-~rJ¡~ &- (~?cÞw€:fZ.. ð"f-"F- Aoi) e.-A-LLlÚG- ~6 fi\2-G D~ENT f~t..Q lJH1DJ St>",,-~ d-As~ IT tv1t &"t\" 'ß~ tJF5'C£<;SAe..y ïb ~LÐC.~E; À Sf' \...L So l'"Œ . SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE .Æ/&ræ- ßj ~/17/1-L /'t;më7l,c;.-&Ncy r'~IJ£ <11/ SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING A~EAS. CIRCLE YES OR NO INITIAL A, ~~~~~~L~~~.~~~~.~~~~~~~~.~~.~~:~~~~~~........... ~ NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: . . . . . . . . . . . . . . , . . . . . . . . . .. ~ NO C. PROPER USE OF SAFETY EQUIPMENT: . . . . . . . . . . . . . . . . . . f NO D. EMERGENCY EVACUATION PROCEDURES: . . . . . . . . . . . . . , . .. YE NO E, DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:...,.. . NO REFRESHER §)NO ¡NO E NO E NO NO SECTION 7: HAZARDOUS MATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: . . . . .. YES NO I, -:JI r11 't-.. ~Jtn , certify that' the ab6ve 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. SIGNATURE ~IL TITLE m1f, !lJ¡. , DATE 9-t( -17 . " - 2B - \ .- ¡. ~:\ ';.i' ". e e .' r __ BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD. CA 93301 OFFICIAL GSE ONLY ID# ------ BUSINESS NAME: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action. this form must be rettlrned 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# J7/r¡ FACILITY UNIT NAME: ß~l\ '57AuoJ SECTION 1: MITIGATION. PREVENTION, ABATEME~~ PROCEDù~ES lttC O¡Jv.! ':K~1~Sf IS TD (!,o/JTtDL TtI-C R-!'~~f ó f f«!?L Pi Tw¡¿,J{~& THf ?6tJtf(ð# 1WJ CjHM~6-lHf -~R.f ~7 . ~ <; ~ V't\ f V6t ~ (1 .V'V1 [&1-rr ßt ,lVae1,<;f/-f¿'/ (b ßLo U<AÞ 6- Þ ~ptll ;4 (T€ . SECTION 2: NOTIFICATION AND EVACUATION PROCEDL~ES AT THIS UNIT ONLY IAI (?,~~ it ~ £m.&tt.:retJCj, !iLL ç:m7íotJ íÙ¡¿[ l1t¿tI ~ 70 ~ />II- rê /¿i?-C G ,/f-IV.ð /lJq¡~y (/1£ ;7r¿é- ÌJEjJ 7 . " - 3À :.. .. . '> . .-'''\ e e "'"""" - SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Doe.s this Facility Unit contain Hazardous Materials?..... Q NO " If YES, see B. If NO. continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade secr~t~NO If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form #4A-l) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION 11 ru; . &- Û,.Jh[/;1/${f (9N s rre ' SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS f¡~ Hf~~1 l ~k Nffrrl-- ªY ALf:/t.· . SECTION 6: LOCATION OF UTILITY'SHUT-OFFS AT THIS UNIT ONLY. A. NAT. GAS/PROPANE: -4.- <¡;t;-e <Ç (TE: r~ B. ELECTRICAL: C. WATER: D. SPECIAL: E. LOCK BOX: YES ~ IF YES. LOCATION: ) ~;-~ YES' ~j~ IF YES, SITE PLANS? FLOOR PLANS? MSDSs? KEYS? ._ 0:)0 _ . D. # l D l5l1b 1 ' ,,:~~T%ü I' I i --* . , 3 ANNUAl. AMOUNT fJ/1f N!Pt tJ¡ f1 ~ -~ 4 5 6 CONT USE UNIT CODE CODE .. &1\:l.../ D;( LdM- ' 0:<' ~l O~ {q (q ,Cf BAKERSFIELD CITY FIRE DEPARTMENT FORM 4A-2 7 LOCATION IN THIS FACILITY UNIT <:;f:E çe6 Séé srre- pU\-~ St""Gr P LA-~ SlT€- péA N page of TRADE SECRETS HAZARDOUS MATERIALS INVENTORY ~USINESSNAME: ClfafeJ).J~ [.\.S.PJ rrJU,·#~7!!' OWNER NAM¡.:Ql-lt1f1l.0tJ tA '~IA-I~c..., FACILITY UNIT #¡.5:31?cP \DDRESS :J.....5L()/s¿-ð('./:ð¡:;).~ ,1/11l'j ADDRESS: rI.. .L.1.ILlf2r:;L UtJ Ç'A.lrP1--. FACILITY UNIT NAME: ITY, ZIP,:., /?lIke<.ò:"Ft.GLÒ1.330?C ITY. ZIP: <:"AtJ~Of\J, q45'~.5 (HONE #:t_ (9tJ~j'Z5~ ~(f?l.g ~~, PHONE #:Ut.I~) g.~&-~~31 ~PE M:X I mE AMOUNT ?' 14Wî ~ ' If)~ 6U1) I,'~ .." ~ " - '. - - . - . , - - ~. .- . - .. - - IOFFICIAL USE CFIRS CODE ONLY 8 % BY WT, Nlk Y2G&1-t,LJr(L ~L-(~E- 111:2.. AJ/,p;- ~~f2.emE ~1JU1Tt') ~l-I,J -t- /1 Pc2 ~ JP.r \JtJ(&'D ~L If\! E- / / ft> ~ 9 10 HAZARD D.O.T CODE GUIDE .. ; .~ -~) , - . ~._. "'-- CHE'MICAL OR COMMON NAME , .. " .. , ' - - -' . . . _..~ , ~ ~ I, , MF.;- .,.. TITL.WO::_ SIGNATURE: DATF.!, . , ERGENCY - CONTACT: ~y!.!i-~<4&{I1G&- ~..~,~~ T I TJ.E: Sllf!ib,j /}'t 6-1< . PHONE # BUS HOURS: ~S -<f3~:Sil¿Æ~,¡:--~ ' ERGENt\' ¡CONTACT: I-bVStp )¡.)&H!/?J!/fto./ TlTL E: S:+/&~ PHO:~T:\~~S R~~~~ ;!,,¡: :¡llí'~~ INCIPAJ~ BUSINESS ACTIVITY:.Re7i9IL,Ml!12ke'17ItJG-D"?~7A!P¿i?I/Þ1 ~ 'diIlE 'pp.:ØHC!šAFTER BUS HRS: t>f-24/ - "¥çJ-(/). . .. :~ Æ.... -. \.. ., ---~. e e SITE/FACILITY DIAGRAM FORM 5 -.;_.~ -~~~~ -;:. .-- ,'. ~..... ' ..' -........... ~... <5cé-/J71~ NORTH SCALE: BUSINESS NAiŸ!E: FLOOR: 0'" r DATE: .I / FACILITY NAi\1E: UNIT #: OF (CHECK ONE) SITE DIAGRA:'t V FACILITY DIAGR.~\1 (Inspector's Comments): -OFFICIAL USE ONLY- - 5A - SiTE D[AGRAM (Requ'IIIÞlteaS) 1. Address: Identity the prInciple buildings by the Street nuabers. e 9. Lock (key) Box 10. M5DS Stora¡e 80x 11. Railrond Tracks 12. Fence or Barrier a. Wire b. Masonry c. wood d. Gates 13. Powedlnes 14. Guard Station 15. Stora¡e Tanks: Identify the cspacity in ¡nl. a. Above ground b. Under¡rround 16. Dikln¡ or Berm 17. Evacuation Route 2. Street(s), Alleya, Driveways, and Parking Areas adjacent to the property. Include the street na.es. 3. Star. Drains, Culverts. Yard Dra.1na 4. Drainage Canals. Ditches. Creeks, 5. 8uildings a. Frnae construction b. Masonry construction c. Metal construction d. Access Door 6. Utility Controls a. Gaa b. Electricity c. Water 7. Fire Suppression Syste.s: a. Fire Hydrants 18. Evacuation Area: Identify the location where e.ployees w111 ..et. b. F1re Sprinkler Connections 19. Outside Hazardous Waste Stonia c. P1re StandpIpe Connections ao. Outside Hazardous "atarlal Stora¡e d. Water Control Valves tor protection syste.s a1. Outside Hazardous Material Use/Handlinl e. Fire PUllP a2. Type ot Hazardous Material/Waate Stored or Used (See &.10") 8. Fire Depart.ent Access TYPE OF HAZARDOUS NATERIA~ F .. FlllllJlable B .. Explol1 ve L .. Liquid C .. Coe-roslve 0 .. Oxidizer G .. Gas W .. Water Reactive T .. Todc S .. SaUd R .. Radiolo¡icai P .. Po bon H .. Cryo¡tlnic D .. Waste B .. Etiolo¡ical Exa_ple: Pla..able Liquid. FL FACILITY DIAGRAM (Required items in additIon to the above) I ' 1. Rhers for Spr1nklen 8. 'Ire ¡¡scopes 2. Partition. i, Air Condltlonln, Unit. 3. Stairways: Indicate the 10. WIndon leveis .e~ved (rOD hl¡hest to lowest. 11. Inaide 'Hazardolle Waste storaes 4. Escalator: lndlc8te the levels served tro. 12. Inside Hazardous hleheat to lo.est. Hsterials Stora¡e ð. Elevator 13. Inaide Hazardous Materials Use/HandlIne 8. Attic Acces. 14. Sewer Drain Inlet. 7. SkyJiehts -:;., r·. ",.~ ~'\~_:. -.......~. - ~ !(~:;, '4-~~~~ r :....,#;,-.. "',,\ " v ~. ...:~ ..1 C~¡Olr /tOt.} O-bCí{¡I~ -1\.. Cì- d7 J<1 510 I J.I:oc-t::.alQ It: Kwj. 'ßa.tðtfsHe¡d> i C~ f37>olf ,-' :; , '. -Id-~71 ð H. INVENTORV' MaxImum themlcal Name or waste DOT 1.0. Amount .' Comon Name Category and Comøosition CAS Number Number Conments IODDD. (! REGULAR 3 Flammable Liquid ,- .--- - GASOLINE M X 8 0 0 6 6 1 9 1 2 0 lOODO G REGULAR , " " UNLEADED GAOLINE " M X 8 0 0 '6 6 1 9 1 2 0 3 I DCOD r. 0 6 6 1 9 1 2 0 3 " " . UNLEADED GASOLINE M X 8 0 NII1- (! 1 2 ~ " " " wsw. "'11P.T. DIESEL 8 0, 0 8 .. 2 0 - 6 0 - . NIIt r. USED OIL USED OIL -- -- -- -- -- -- -- -- 1 2 7 0 Combustible Liquid - . . ~ '..--' (Use addItIonal sheets as requ red:r ¡ . I. , , The information contained in this form ts subject to the Trade Secret provisions of Section 25511 of the lIealth and Safety Code. Trade Secret Information should be submitted on separate yellow sheets and labeled as trade secret. * Use appropriate u~fts and specffy the unlts,used In lb., itJ or gal. " +. --~~;------- c> ~. Chevron ~ tV . Chevron U.S.A. Inc. P. O. Box 1392, Bakersfield, CA 93302 e ~~r o ~/1I~ Cl~ 0 AnsI. 0 19a1 '. '. " ., .., October 14, 1987 CHEMICAL BREAKDOWN FOR GASOLINE AND MOTOR OILS Hazardous Material Division Bakersfield Fire Department 2130 "G" Street Bakersfield, California 9330 I A ttention: Ralph E. Huey Gentlemen: In response to your letter requesting the chemical breakdown of gasoline and motor oils, the Production Department of Chevron U.S.A. Inc. does not store any gasoline or motor oil at our facilities located in the City of Bakersfield. If you should have any questions contact Mark Wade at 395-6238. Sincerely, (e,. U'^ V R. K. CONNON ~""""'- ___r--... ~-:, e e Chevron ~ Chevron U.S.A. Inc. 2 Annabel Lane, Suite 200, San Ramon, CA 94583 · Phone (415) 838,5000 Marketing Operations D. Moller Division Manager, Operations S, L Patterson Area Manager, Operations C. G, Trìmbach Manager, Engineering December 30, 1987 fHiÇ.~IV~O ,ìl.\N 0 4 1988 An~' Ù" ~..-. _" 'J"" t. to City of Bakersfield Fire Dept. A ttn: Michael R. Kelly, Asst. Chief 2101"H" Street Bakersfield, CA 93309 Re: AB 2185/87 Annual Review Dear Ladies and Gentlemen: Section 25505(c) of AB 2185/87 requires that each facility Business Emergency Plan which was submitted during 1986 be reviewed for necessary changes. The purpose of this letter is to certify that each Chevron-operated facility Business Plan that was submitted during 1986 has been reviewed. In addition, Section 25505(d) requires each business which handles hazardous materials must annually submit a completed inventory form to the administering agency in which the business is located. The attached inventory forms are being submitted to comply with this section. If you have any questions, please contact Andrina Meier at (415) 838-5222. Very truly yours, D. MOLLER By A. M. Meier Compliance Specialist AMM/crc:ZK5-114 Attachments ., e e the_II ¡¿~ ~t.rt-l·~ ~ ,y-<fk, ( ~ /-b:!. I -5 CAJ 0 t--.l (A..)èJ'· c; '7 Á.~ be L, CttI c; 3d «3' 9- ?io /10 H. INVENTORY' Max1mum t;hem1cal Nam~_or waste uur J.U. Amount * Convnon Name CategorY'lnd Composition CAS Number Number Conments REGULAR Flammable Liquid' I DODO r. f!A c::nT,TW'Il GASOLINE M X 8 0 0 6 6 1 9 1 2 0 3 '0000 G REGULAR , " " UNLEADED GAOLINE " M X 8 0 0 6 6 1 9 1 2 0 3 \ ) " " \ --.-/ 6'000 r. UNLEADED GASOLINE M X 8 0 0 6 6 1 9 1 2 0 3 rJ/¡} G 1 2 :3 " " 1I'f11r.T , DIESEL 8 0. 0 8 - 2 0 - 6 0 '000 G USED OIL USED OIL -- -- -- -- -- -- -- -- l' 2 7 0 Combustible Liquid - . - . - , (USe add1t tona1 sheets as requ ree.) j .-/' , The Information contained In this form Is subject to the Trade Secret provisions of Section 25511 of the Health and Safety Code. Trade Secret Information should be submitted on separate yellow sheets and labeled as trade secret. * Use appropriate u~tts and specify the unlts,used tn lb., ft] or gal. . 't .} , '. I I I I, I I. I: r II 11 ~ :1 :1 J e ¡ ¡ i I e ¡ I I I I ! I I I ¡ I I \ ,\ \ 1\ - l' \1 . ) " ------------- - Lhe,H:O~ SJ..cd::;/lM. ~q-3 ';Lt.{ 9 D .r."), 'ßox «Ç; 3> i3ùi'60Ñ W\I\ðW J C-I'i4' 03düC:::> -' , P'3';>L{ c¡ H. INVENTORV' Max 1 mum «;nemlcal Nam~ or waste DUf 1.0. Amount .' Coman Name Category and Composttfon CAS Number Number Convnents REGULAR Flammable Liquid' 1000 o. r. -.-.- - GASOLINE M X 8 0 0 6 6 1 9 1 2 0 3 10 COD G REGULAR I " " UNLEADED GAOLINE II M X 8 0 '0 6 6 1 9 1 2 0 3 IDOCiJc . . 8 0 0 6 6 1 9 1 2 0 3 " " 0 UNLEADED GASOLINE M X N# r. . 1 2 0 3 " " 1I'ttF.T. DIESEL 8 G- O 8 .. 2 0 - 6 , 1'5'00 G USED OIL USED OIL -- -- -- -- -- -- -- -- 1 2 7 0 Combustible Liquid . . (Use add1ttona1 sheets as requtred.) I ¡. )\ , The informatton contained tn this form ts subject to the Trade Secret provtstons of Section 25511 of the lIealth and Safety Code. Trade Secret tnformation should be submitted on separate yellow sheets and labeled as trade secret. * Use appropriate u~fts and specffy the untts,used tn 1b., ft3 or gal. j ~. Ii Chevron ~'" ~1.~ IIIìjII ') ~ Chevron U.S.Aec. e 2 Annabel Lane, Suite 200, San Ramon, CA 94583· Phone 14151 838·5000 Marketing Opèrations D. Moller Division Manager, Operations S, L. Patterson Area Manager, Operations C, G. Trimbach Manager, Engineering qecember 30, 1987 RECE\\JEO jl\N 0 7 1988 ~ns'd.... ..... ... City of Bakersfield Fire Dept. Attn: Michael R. Kelly, Asst. Chief 2101 "H" Street Bakersfield, CA 93309 ~- ~------ ~ --- - Rè: - AB 2185/87'- Annual Review . - -- þ --- ~---" _~ ,._.___' __,_,,1 Dear Ladies and Gentlemen: Section 25505(c) of AB 2185/87 requires that each facility Business Emergency Plan which was submitted during 1986 be reviewed for necessary changes. The purpose of this letter is to certify that each Chevron-operated facility Business Plan that was submitted during 1986 has been reviewed. In addition, Section 25505(d) requires each business which handles hazardous materials must annually submit· a completed inventory form to the administering agency in which the business is located. The attached inventory forms are being submitted to comply with this section. If you f)ave any questions, please contact Andrina Meier at (415) 838-5222. Very truly yours, D. MOLLER . - ~- _. -- -- - - - -~ 'B~¿;¡'.7n~ ml~;-.;Cd4 A. M. Meier f Compliance Specialist AMM/crc:ZK5-114 Attachments '. ;"--. .;'<- -,.~-: -.':-.... ...: ,-,- ,. -'~ .- ._~._-- _....~._~.,..--~_..--, ,- " . . ,,: g k ~ ;: I . l ~. -w- ~ÎIß _I r':, ,:; I .,. I 'II ': i : I , .~ I :.- r 1 ».:.'.'! H. INVENTORY' RECEIVED JAN 07 1988 Ans·d............ , I . I .-j MaxImum themlcal Name or Waste UU I I. LI. I Amount * Common Name CateQory and Composition CAS Number Number CORments REGULAR' Flammable Liquid 10000. r. ., rH. ~nT, TflT1P. GASOLINE M X 8 0 0 6 6 1 9 1 2 0 3 L 0 000 G REGULÅR r " " UNLEADED GAOLlNE " M X 8 0 0 '6 6 1 9 1 2 0 3 ..~ lotvD G GASOLINE 8 0 0 6 6 1 9 1 2 0 3 " SUPREME UNLEADED M X /VI ¡} r. 1 2 0 ~ " " 1I'fTRL DIESEL 8 0- 0 8 - 2 0 - 6 rJllf G USED OIL USED OIL -- -- -- -- -- -- -- -- 1 2 7 0 Combustible Liquid . i . - ., ~I ~' " . . I i I (USe add1tlonal sheets as requIred.) , The Information contained In this form Is subject to the Trade Secret provisions of Section 25511 of the lIealth and Safety Code. Trade Secret Information should be submitted on separate yellow sheets and labeled as trade secret. 1\' 3 Use appropriate u~lts and specify the units. used in lb.. ft or gal. 'e e Chevron ~ t5J Chevron U.S.A. Inc. P. O. Box 1392, Bakersfield, CA 93302 ./ R E r. F. ''IF: 0 SEP 2 6 1988 Ans 'd... ~,:.:.:."". R, K, Connon Division Manager Northern California Division Production Department September 19, 1988 SARA SECTION 311 CHEMICAL LIST City of Bakersfield Fire Dept. Hazardous Materials Unit 2130 "G" Street Bakersfield, CA 93301 Gentlemen: In accordance with Title III of the Superfund Amendments, and Reauthorization Act of 1986, attached is Chevron's Section 311 list of chemicals that are stored, handled or used in quantities equal to or greater than 10,000 pounds in our oil and gas production operations in City of Bakersfield. If you should have any questions, please contact Mark Wade at (80.5) 39.5-6413. Sincerely, ~!d~ Attachment ~~-- " / / .,-' 1;. ,; ;;- PAGE ¡'" 1:' CHEVRON U.S.A. INC. EPWN - BAKER CITY SARA 311 Emergency and Hazardous Chemical Inventory For SARA Hazard: FIRE For Report Year: 1988 Reporting limit: 10000 Ibs. Report Date: 09/20/88 Report 211 (CISYU272) SUBSTANCE Substance Name ID Work Location ------------------------------ ---------- -------------------- CRUDE OIL-SJVH CPS296000 SEC 7 T29/R29 CITY SEC 8 T29/R28 CITY SEC 9 T29/R28 CITY *** MAX AMT. 1079500 I, 1 e e 18 .~ PAGE CHEVRON U.S.A. INC. EPWN - BAKER CITY ~ SARA 311 Emergency and Hazardous Chemical Inventory For SARA Hazard: ACUTE For Report Year: 1988 Reporting limit: 10000 Ibs. Report Date: 09/20/88 Report 211 (CISYU272) Substance Name Work Location ------------------------------ -------------------- CRUDE OIL-SJVH SEC 7 T29/R29 CITY SEC 8 T29/R28 CITY SEC 9 T29/R28 CITY *** MAX AMT. 1079500 1 e e 19 ~ : PAGE CHEVRON U.S.A. INC. EPWN - BAKER CITY f SARA 311 Emergency and Hazardous Chemical Inventory For SARA Hazard: CHRONIC For Report Year: 1988 Reporting limit: 10000 Ibs. Report Date: 09/20/88 Report 211 (CISYU272) Substance Name Work Location ------------------------------ -------------------- CRUDE OIL-SJVH SEC 7 T29/R29 CITY SEC 8 T29/R28 CITY SEC 9 T29/R28 CITY *** MAX AMT. 1079500 1 e e 20 'e I'· ,Funnv Id.nllffullon .... ". '., ..' '.; :,i:;'" "N'':':: _~([~J- ~~j~~'9' City. ~~_ St'I.~ 1.:2.fjo9 . P'O.,.L .1' --L l10"· ro"" IoOOlO,od OIAO I.... 2OSl)oOO7a ·Owner/Operaror Nllm. ' ., . NI_ th~u rDV\ usA..J:Nt 'p~ ,t¡ì~ 'fi./()..ciSbo Ma"Addt... =~</I/) CAtÑ\',~O 1t.cí.W\.D""'J 5C11."'- -e.o.lM.D~ C(;<..,QyS1r3 , ::':r.6'"~·",;, ~; "'-- -. ,,. l)/sl¡JfM;4:¿;Ge. Phon. ,1.(15'1 l/b3-'lJ~7'2.¡ 2HIr,Phono "'~, '131./- D8h7 ðhe(//ð7I 1191'):Þl!. - lff'Sr TIer Two EMEROENCY AND HAZARDOUS CHEMICAL 'NV¡;NTO/1'c' SpIt/fit IlIfo",,,"o/l ., CA'III/c.' SIC Code ßßIIlI1] FOR· 10 ,OFFICIAL ' USE I ONLY 0.1. RtcOlv-.I Dun IOr.d CIJ.CJTI-r-r-r1'ï ~1..",IJo' ~ I I '. . ~~n fræ.0Au¿. . ,lIl ) 8' - e¡h~6 TIll. 2' Hr, Phono - ,w"5í 8' Î? ()(j. C/ E/ N._ Phone Storage Codes and Locatlo!1s:'I":'~,.~ :,:";J: (Non-Confidential) .' .;:.,':';.":.>:, ~';:,: . .. 0' ': . f. ,:'.¡.J :" ~.. ':'\ SioTa;t Loéal(ons'·:..:,. .;':">' ';' ;;,:~'..," . Reporllng PerIod "tom J,,,,,,ry , ". Doc:,_ 3', 1t.lJ!.. 1m oTltlnl: Rtød all (nslTllclions /It/Ort ((1m 11I;n . " " .. Physical ',:", ;':':.,'" ,Inventory and Health, . M.IC, ..: Avg, , ~, N%' 'Hazards . .:D.nV., DalrV,"':': :: D.y. ' .' 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DIVe ¿;;~ Subject Date 7- /1 1911 - V ~/E: 7 /ÞrtJð' et?¡')774-~ t}t/tf C/)¡f7'¿ ¡f;rr-s- ()rPJ(!,Ei'" T/2' 3G;U¡;> -,--/H? -rrffEJ2 ¿f?7Te1L you tP~V55~ /~ - t) V PL ...r' I ¿II) ¿) ~ ~'1 G?Z- /lSSò{!f~ WITH /J_ç hT -rflE CIlev'K¡)~ bJf~ S¡rT-77D , ~~SI7Áb~ /J"'T _~l)/ 571>Ck1!.~ fllJy A-/ Z3/fA1?7(SPle7.7;:>, tJ¿¡/T/L T1h9-r 'IS' 1?¡=:TJ..¡;:7V~ ~ 77-/Pl) 9 JP7 It) z) Iftt1 Jfr ¡()¡:pþ TIffS Fò ß. Y r) ¡/jl- A~/ Signed An immediate reply will help finalize this matter. Reply ,Date 19 ¡ I I I I Chevron I I Chevron U.S.A. Inc. I Company Operated Station No" 2718 ~I !" 5101 Stockdale Highway T \ Bakersfield, CA 93309 ¡ ; ".... f I Phone 1805\ 832,1818 ~tf9 FXí ~709~ I t1 I SPð >~~ 'f I I ~igned _ ~':r.:"~d in U.S.A. ~ ~~ ~ _ { Larry Benton, Manager Originator, Retain yellow copy, Forward white and pink ~. +.. . . . . . . L GO-144-C (05-7-75) --~---=-----~~~"'"--..;.~ ."'--~""""",,-.~ -- , Addressee· Please return white copy with your reply. . . . . . . . . . ,