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Home My WebLink AboutBUSINESS PLAN I I Per it to· [ Operftt~ Hazardous Materials/Hazardous Waste Unified Permit , , . -.:. CONDITIONS OF ·PERMIT ON REVERSE SIDE Issued b¥: I Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES' 1715 Chester Ave., 3rd Floor Approved by: Bakersfield, CA 93301 Voice (661),326-3979 FAX (661) 326~0576 - ~. .~" . '. ..... ,-i -"I This Dermlt Is Issued for the followin9: It! Hazardous Materials Plan I o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment Permit ID #:: 015-000-001902 I STmCKDALE WEST TEXACO' !,\\ìJ' LOC~TION: 13004 STOCKDALE HWY ,_\\\:~ . '¡:: 015-000-001902-0001 GASOLINE 015-000-001902-0002 GASOLINE 015-000-001902-0003 GASOLINE ".' 015-QOO-O01902-0004 DIESEL Issk Date "June 30, 2003 6' MASONRY BLOCK WALL ,''1..' It. 345.ÒO t -. - _. - -, - -' - _. - -, - -, - -. - -, -1' -------------~----I - S' MASONRY BLOCK WALL I -' -ALLOW 32".8" ~~N~ <3.HANNEL _ _ _ _ _ _ _ _ _ _ _ ~.9FAL _. - _. - _. - _. - _. - _. - _. - - 0- _"_ _.__" (, '" ~ ~ I,.\ftJ\) ¡:o:,OÁ~ RI.50 8 N R2.00 -:! (, '" o o .' , 0 1/1 'i oJ: 0 ci -~8 !!cn ~o- CD <, t~~ 0-'" °0 1/)'" ~tti V 0 ",0 ~~~ 1/)'" ",0- , c( 0 l ~ '~ ~ ~ 'I¡j. .'0 ~' - ~~ ~ t'j~r'~; ,! \.: >..,-"..... , ;;~ ,'~::ri)~~ : {q~~:;rj'I; ~i~":' Q<:~ · ~~'¡,i~;~ ~ Jf~{~v.~,~.;j '~"'''-''~ 'N ""J~ ~'~ , "':Q: :t ~ :~'i ~; ',~I-\,~ ~ ~S~~¿; ..' ',< I. 75.00 75,00 -\ HC ENTRANCE SIGN SEE DETAIL 2 SHEET HC-1 ""\""0 o ~ ' f' ", , -.'.. 65.66 R5. It. ~ Iill, '. P£; 8 -- ----.--. 42.00 r ~ PLA~i l',;:;PROVE::> !<[;'.' U-::_:UìY ENVIRO¡'¡:'<:>:~A'- h "~I" :,~ 27:10 ";·1;' '~" Ie; i ßa~-«( ....::. f; . r-"., ,.;:/ I " " ". ·f· - - i' .. .~' -", STOCKDALE WEST TEXACO Manager : KHENG CHAO Location: 13004 STOCKDALE HWY City BAKERSFIELD CommCode: BAKERSFIELD STATION 11 EPA Numb: - SiteID: 015-021-001902 BusPhone: Map : 122 Grid: 02B (661) 589-8982 CommHaz : Low FacUnits: 1 AOV: SIC Code:5541 DunnBrad: Emergency Contact / Title Emergency Contact / Title KHENG CHAO / MANAGER LONNG CHAO / MANAGER Business Phone: (661) 587-8987x Business Phone: (661) 393-8828x 24-Hour Phone : (661) 1?"it~ -::;~H~~ 24-Hour Phone : (661) 589-2407x - Phone ( IP6() Pager Phone ( ) : 33P-'?5t{Dx : - X /'- ,::; 1''- Hazmat Hazards: Fire DelHlth '" Owner Address : City TAK FOUY CHAO 13004 STOCKDALE HWY : BAKERSFIELD Phone: (661) 589-5982x State: CA Zip : 93312 Phone: (661) 589-5982x State: CA Zip : 93312 Contact : MailAddr: 13004 STOCKDALE HWY Ci ty : BAKERSFIELD Period : Preparer: Certif'd: ParcelNo: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: !, j(HFN' K. c /-JAG Do hereby cSriify that ~ have¡ (Type or print nan,;) reviewed the attached hazaroous ma~srials manage¡- ment Plan iOr1>~Œ 1A'dItr µ.:::~ro1 that it atong with ~oT~ any corrections constitute Sl completG and correct manø agement plan ~or my ~acility. ~~~6 (7:S-,d-OÝ ¡gnQI\JrO Il?I -1- 03/12/2004 .. ~" '" - - F ~TOCKDALE WEST TEXACO SiteID: 015-021-001902 9 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: STOCKDALE WEST TEXACO Cross Street : Business Type: Org Type: Total Tanks : 4 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : LONNG CHAO Phone: (661) 393-8828x Address: City : State: Zip: Type : INDIVIDUAL TANK OWNER INFORMATION Name : LONNG CHAO Phone: (661) 393-8828x Address: City : State: Zip: Type : BOE UST Fee# : UNKNOWN Financ'l Resp: STATE FUND Legal Notif : Tank Owner Mailing Address Date:02/25/2000 Phone: (661) 587-8987x Name:KHENG K. CHAO Ttl:MANAGER State UST # : 1998 Upg Cert#: 00784 -2- 03/12/2004 .' e - SiteID: 015-021-001902 9 By Facility Unit 9 Fixed Containers at Site 9 specHazEPA Hazards Frm I DailyMax UnitMCP L 12000.00 GAL Mod L 12000.00 GAL Mod L 10000.00 GAL Mod L 10000.00 GAL Low F DH L 750.00 Low L 240.00 Min L 240.00 Min L 240.00 Min L 240.00 Min L 240.00 Min L 240.00 Min L 240.00 Min , -1'- F STOCKDALE WEST TEXACO f= Hazmat Inventory f== MCP+DailyMax Order Hazmat Common Name... GASOLINE GASOLINE GASOLINE DIESEL USED MOTOR OIL OIL OIL OIL OIL OIL OIL OIL -3- 03/12/2004 " e e " " F STOCKDALE WEST TEXACO f= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME GASOLINE REGULAR UNLEADED Location within this Facility Unit UST SiteID: 015-021-001902 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS # 8006619 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 12000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Daily Average 4000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # I 8006619 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined5: Ag.Defined8: ,.... Ag. Def ine11 -4- 03/12/2004 '.;' . e ~ '" F STOCKDALE WEST TEXACO SiteID: 015-021-001902 9 f= Inventory Item 0001 Facility Unit: Fixed Containers at Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: UST TANK DESCRIPTION Tank ID#: 1 Mfr: Trusco Installed: 5/1997 Capacity: 12000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL Matl Name:GASOLINE TANK CONTENTS Petrol Type: REGULAR UNLEADED Cas #: 8006619 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): STEEL CLAD W/FIBERGLASS R. P. Material(s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1997 Drop Tube : 1997 Striker Plate: 1997 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 1997 LEAK DETECTION Dbl Wall: INTERSTITIAL MONITORING Installed: Installed: 1997 Exempt: No TANK Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -5- 03/12/2004 '," . - .' F STOCKDALE WEST TEXACO SiteID: 015-021-001902 9 f= Inventory Item 0001 Facility Unit: Fixed Containers at Site 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION Piping Type : Const: Mfgr : Mtl : & : Corr : Prot : UnderGround PRESSURE DOUBLE WALL UNKNOWN FIBERGLASS FIBERGLASS AboveGround Piping PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 05/15/1997 Date: 02/25/2000 Name:KNENG K. CHAO Prmt Number: 1902 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POSe SHUTOFF OWNER/OPERATOR SIGNATURE Ttl:MANAGER Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST : CP CERT. : MANWAY INSP. : UST MONIT. CERT:03/25/2003 -6- 03/12/2004 '" . e F F STOCKDALE WEST TEXACO f= Inventory Item 0002 = COMMON NAME / CHEMI CAL NAME GASOLINE UNLEADED PLUS Location within this Facility Unit UST SiteID: 015-021-001902 9 Facility Unit: Fixed Containers at Site 9 Days On Site 365 Map: Grid: CAS# 8006619 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 12000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Daily Average 4000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # I 8006619 TSecret RS BioHaz Radioactive/Amount EPA Ha~ards NFPA USDOT# MCP No No No No/ Curies / / / Mod HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined8: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.DefinelO: I- Ag. Definel1 -7- 03/12/2004 · - ;"" F STOCKDALE WEST TEXACO SiteID: 015-021-001902 9 r= Inventory Item 0002 Facility Unit: Fixed Containers at Site 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: UST TANK DESCRIPTION Tank ID#: 2 Mfr: Trusco Installed: 5/1997 Capacity: 12000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL Matl Name:GASOLINE TANK CONTENTS Petrol Type: UNLEADED PLUS/MIDGRADE Cas #: 8006619 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): STEEL CLAD W/FIBERGLASS R. P. Material(s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1997 Drop Tube : 1997 Striker Plate: 1997 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 1997 LEAK DETECTION Dbl Wall: INTERSTITIAL MONITORING Installed: Installed: 1997 Exempt: No TANK Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -8- 03/12/2004 · e .' F STOCKDALE WEST TEXACO SiteID: 015-021-001902 9 f= Inventory Item 0002 Facility Unit: Fixed Containers at Site 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION Piping Type : Const: Mfgr : Mtl : & : Corr : Prot : UnderGround PRESSURE DOUBLE WALL UNKNOWN FIBERGLASS FIBERGLASS AboveGround Piping PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 05/15/1997 Date: 02/25/2000 Name:KNENG K. CHAO Prmt Number: 1902 TANK/LINE TEST : CP CERT. : MANWAY INSP. : UST MONIT. CERT:03/25/2003 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR w/ POSe SHUTOFF OWNER/OPERATOR SIGNATURE Ttl:MANAGER Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED -9- 03/12/2004 · e ." F STOCKDALE WEST TEXACO f= Inventory Item 0003 === COMMON NAME / CHEMICAL NAME GASOLINE UNLEADED PREMIUM Location within this Facility Unit UST SiteID: 015-021-001902 9 Facility Unit: Fixed Containers at Site 9 Days On Site 365 Map: Grid: CAS# 8006619 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 12000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 4000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~I CAS# I 8006619 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod HAZARD ASSESSMENTS Ag.Defined1: Ag.Defined5: Ag.Defined8: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: - Ag.Define11 -10- 03/12/2004 ~ . e .' F STOCKDALE WEST TEXACO SiteID: 015-021-001902 9 p= Inventory Item 0003 Facility Unit: Fixed Containers at Site 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: UST TANK DESCRIPTION Tank ID#: 3 Mfr: Trusco Installed: 5/1997 Capacity: 10000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL MatI Name:GASOLINE TANK CONTENTS Petrol Type: PREMIUM UNLEADED Cas #: 8006619 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): STEEL CLAD W/FIBERGLASS R. P. Material(s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1997 Drop Tube : 1997 Striker Plate: 1997 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 1997 TANK LEAK DETECTION Dbl Wall: INTERSTITIAL MONITORING Installed: Installed: 1997 Exempt: No Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -11- 03/12/2004 · e - F STOCKDALE WEST TEXACO SiteID: 015-021-001902 9 f= Inventory Item 0003 Facility Unit: Fixed Containers at Site 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping AboveGround Piping Type : Const: Mfgr : Mtl : & : Corr : Prot : PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 05/15/1997 Date: 02/25/2000 Name:KHENG K. CHAO Prmt Number: 1902 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POSe SHUTOFF OWNER/OPERATOR SIGNATURE Ttl:MANAGER Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST : CP CERT. : MANWAY INSP. : UST MONIT. CERT:03/25/2003 -12- 03/12/2004 · e F STOCKDALE WEST TEXACO f= Inventory Item 0004 = COMMON NAME / CHEMI CAL NAME DIESEL SiteID: 015-021-001902 9 Facility Unit: Fixed Containers at Site 9 Days On Site 365 Location within this Facility Unit UST SPLIT TANK Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 12000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 4000.00 GAL %Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low HAZARD ASSESSMENTS Ag.Defined8: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined1: Ag.Defined5: - Ag.Define11 -13- 03/12/2004 l' . e F STOCKDALE WEST TEXACO SiteID: 015-021-001902 , f= Inventory Item 0004 Facility Unit: Fixed Containers at Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: UST SPLIT TANK TANK DESCRIPTION Tank ID#: 4 Mfr: Trusco Installed: 5/1997 Capacity: 10000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL MatI Name:DIESEL TANK CONTENTS Petrol Type: DIESEL Cas #: TANK CONSTRUCTION Type : DOUBLE WALL Material(p): STEEL CLAD W/FIBERGLASS R. P. Material(s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1997 Drop Tube : 1997 Striker Plate: 1997 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 1997 TANK LEAK DETECTION Dbl Wall: INTERSTITIAL MONITORING Installed: Installed: 1997 Exempt: No Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -14- 03/12/2004 · e F STOCKDALE WEST TEXACO SiteID: 015-021-001902 9 f= Inventory Item 0004 Facility Unit: Fixed Containers at Site 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION Piping Type : Const: Mfgr : Mtl : & : Corr : Prot : UnderGround PRESSURE DOUBLE WALL UNKNOWN FIBERGLASS FIBERGLASS AboveGround Piping PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 05/19/1997 Date: OS/25/2000 Name: KENG CHAO Prmt Number: 1902 TANK/LINE TEST : CP CERT. : MANWAY INSP. : UST MONIT. CERT:03/25/2003 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POSe SHUTOFF OWNER/OPERATOR SIGNATURE Ttl:MANAGER Approved: Yes Expiration Date: 06/02/2003 AGENCY DEFINED -15- 03/12/2004 e e F STOCKDALE WEST TEXACO p= Inventory Item 0005 = COMMON NAME / CHEMICAL USED MOTOR OIL SiteID: 015-021-001902 ì Facility Unit: Fixed Containers at Site ì NAME \ Days On Site 365 Location within this Facility Unit SEE MAP FOR LOCATION Map: Grid: CAS# 221 STATE - TYPE Liquid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 750.00 AMOUNTS AT THIS LOCATION Daily Maximum 750.00 Daily Average 750.00 %Wt. RS CAS # 100.00 Waste Oil, Petroleum Based No 0 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -16- 03/12/2004 e e F STOCKDALE WEST TEXACO f= Inventory Item 0005 SiteID: 015-021-001902 9 Facility Unit: Fixed Containers at Site 9 WASTE DATA Treated On Site CA Code US Code Generated/Mo. Generated/Yr. No Treatment UnitID: I Unit Type: Agency-Defined Text Label -17- 03/12/2004 e e, F STOCKDALE WEST TEXACO f= Inventory Item 0006 = COMMON NAME / CHEMI CAL NAME OIL SiteID: 015-021-001902 9 Facility Unit: Fixed Containers at Site 9 Days On Site 365 Location within this Facility Unit SEE MAP Map: Grid: CAS# STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 240.00 AMOUNTS AT THIS LOCATION Daily Maximum 240.00 Daily Average 240.00 %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min HAZARD ASSESSMENTS Ag.Defined1: Ag.Defined5: Ag.Defined8: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: - Ag.Define11 -18- 03/12/2004 .~ e e " F STOCKDALE WEST TEXACO f= Inventory Item 0007 === COMMON NAME / CHEMICAL NAME OIL SiteID: 015-021-001902 9 Facility Unit: Fixed Containers at Site 9 Days On Site 365 Location within this Facility Unit Map: Grid: CAS # SEE MAP STATE Liquid TYPE Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 240.00 AMOUNTS AT THIS LOCATION Daily Maximum 240.00 Daily Average 240.00 HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.DefinelO: - Ag.Define11 -19- 03/12/2004 e e F STOCKDALE WEST TEXACO f= Inventory Item 0008 F= COMMON NAME / CHEMI CAL NAME OIL SiteID: 015-021-001902 ï Facility Unit: Fixed Containers at Site ï Days On Site 365 Location within this Facility Unit Map: Grid: CAS # SEE MAP STATE Liquid TYPE Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 240.00 AMOUNTS AT THIS LOCATION Daily Maximum 240.00 Daily Average 240.00 %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min HAZARD ASSESSMENTS Ag.Defined8: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined1: Ag.DefinedS: ~ Ag .Define11 -20- 03/12/2004 e e F STOCKDALE WEST TEXACO f= Inventory Item 0009 = COMMON NAME / CHEMI CAL NAME OIL SiteID: 015-021-001902 9 Facility Unit: Fixed Containers at Site 9 Days On Site 365 Location within this Facility Unit Map: Grid: CAS # SEE MAP STATE Liquid TYPE Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 240.00 AMOUNTS AT THIS LOCATION Daily Maximum 240.00 Daily Average 240.00 HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min HAZARD ASSESSMENTS Ag.Defined1: Ag.Defined5: Ag.Defined8: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: r- Ag .Define11 -21- 03/12/2004 · - '0 F STOCKDALE WEST TEXACO f= Inventory Item 0010 = COMMON NAME / CHEMI CAL NAME OIL SiteID: 015-021-001902 9 Facility Unit: Fixed Containers at Site 9 Days On Site 365 Location within this Facility Unit Map: Grid: CAS # SEE MAP STATE Liquid TYPE Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 240.00 AMOUNTS AT THIS LOCATION Daily Maximum 240.00 Daily Average 240.00 %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min HAZARD ASSESSMENTS Ag.Defined5: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined1: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -22- 03/12/2004 ¡, e - ~ F STOCKDALE WEST TEXACO f= Inventory Item 0011 = COMMON NAME / CHEMI CAL NAME OIL SiteID: 015-021-001902 9 Facility Unit: Fixed Containers at Site 9 Days On Site 365 Location within this Facility Unit Map: Grid: CAS # SEE MAP STATE Liquid TYPE Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 240.00 AMOUNTS AT THIS LOCATION Daily Maximum 240.00 Daily Average 240.00 %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min HAZARD ASSESSMENTS Ag.Defined1: Ag.Defined5: Ag.Defined8: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: t- Ag.Define11 -23- 03/12/2004 ;. -J' e - '. F STOCKDALE WEST TEXACO f= Inventory Item 0012 = COMMON NAME / CHEMI CAL NAME OIL SiteID: 015-021-001902 ì Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit Map: Grid: CAS# SEE MAP STATE Liquid TYPE Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 240.00 AMOUNTS AT THIS LOCATION Daily Maximum 240.00 Daily Average 240.00 %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min HAZARD ASSESSMENTS Ag.Defined1: Ag.Defined5: Ag.Defined8: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: - Ag.Define11 -24- 03/12/2004 :~ e - ¡ SiteID: 015-021-001902 9 Fast Format 9 Overall Site 9 12/04/1998 F STOCKDALE WEST TEXACO I f= Notif./Evacuation/Medical Agency Notification Employee Notif./Evacuation 01/04/2001 CALL BAKERSFIELD FIRE DEPT 326-3979 OR OES 911. YES. (BUT, HOW IS THIS GOING TO HAPPEN??????????) Public Notif./Evacuation 12/04/1998 ] 12/04/1998 1 PER BULLETIN. Emergency Medical Plan MERCY SOUTHWEST. -25- 03/12/2004 "...--~ - - . ,,' STOCKDALE WEST TEXACO SiteID: 215-000-001902 Manager : KHENG CHAO Location: 13004 STOCKDALE HWY City BAKERSFIELD BusPhone: Map : 122 Grid: 02B (805) 589-8982 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 11 EPA Numb: SIC Code:SS41 DunnBrad: Emergency Contact / Title Emergency Contact / Title KHENG CHAO / MANAGER LONNG CHAO / MANAGER Business Phone: (805) 587-8987x Business Phone: (805) 393-8828x 24-Hour Phone : (805) 589-5982x 24-Hour Phone : (805) 589-2407x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Period : Preparer: Certif'd: to Phone: (805) 589-5982x State: CA Zip : 93312 Phone: (805) 589-5982x State: CA Zip : 93312 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : MailAddr: 13004 STOCKDALE HWY City : BAKERSFIELD ,.. IVCA_ "- Owner TAK .~ CHAO Address : 13004 STOCKDALE HWY City : BAKERSFIELD Emergency Directives: I, KH¡;#./ b k (HllO Do hereby carmy that i hav0 , (Type or'print name) reviewed the attached hazardous ma~srials manags- ment plan for~1iátha~ it al~ng with {Name of Buflf,SSS) any correctioll1s constitute a oomplete ~n«J1 corrsci man- agement plan foU' my facility. ..' --:z- /~--'.z-:~ J'- 0 :3 - 0 I V'" ~(!I18\Uro DolO -1- 02/17/2000 .' e e F STOCKDALE WEST TEXACO f= Hazmat Inventory p== Alphabetical Order SiteID: 215-000-001902 ì By Facility Unit ì Fixed Containers at Site ì specHazEPA HazardS Frm I DailyMax UnitMCP Hazmat Common Name... DIESEL GASOLINE GASOLINE GASOLINE L L L L 10000.00 GAL 10000.00 GAL 10000.00 GAL 10000.00 GAL Low Mod Mod Mod -2- 02/17/2000 e e F STOCKDALE WEST TEXACO p= Inventory Item 0004 = COMMON NAME / CHEMICAL NAME DIESEL SiteID: 215-000-001902 ì Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit UST Map: Grid: CAS # STATE - TYPE ~iquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 12000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 4000.00 GAL %Wt. RS CAS # 100.00 Diesel Fuel No. 2 No 68476302 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low HAZARD ASSESSMENTS p= Inventory Item 0001 = COMMON NAME / CHEMI CAL NAME GASOLINE REGULAR UNLEADED Location within this Facility Unit UST Facility Unit: Fixed Containers at Site ì Days On Site 365 Map: Grid: CAS # 8006619 [ ~TA~E I TYPE ~ P~ESSURE ---r TEM~ERATURE I CONTAINER TYPE =LlqUld __pure ~mblent ---1 Amblent ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 10000.00 GAL 4000.00 GAL %Wt. RS CAS # 100.00 Gasoline No 8006619 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod HAZARD ASSESSMENTS -3- 02/17/2000 e e F STOCKDALE WEST TEXACO p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME GASOLINE UNLEADED PLUS Location within this Facility Unit UST SiteID: 215-000-001902 l Facility Unit: Fixed Containers at Site l Days On Site 365 Map: Grid: CAS # 8006619 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 12000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 4000.00 GAL HAZARDOUS COMPONENTS CAS # I 8006619 %wt. I 100.00 Gasoline ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod HAZARD ASSESSMENTS p= Inventory Item 0003 = COMMON NAME / CHEMI CAL NAME GASOLINE UNLEADED PREMIUM Location within this Facility Unit UST Facility Unit: Fixed Containers at Site l Days On Site 365 Map: Grid: CAS # 8006619 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 12000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 4000.00 GAL %Wt. RS CAS # 100.00 Gasoline No 8006619 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod HAZARD ASSESSMENTS -4- 02/17/2000 e e SiteID: 215-000-001902 1 Fast Format 9 Overall Site 9 12/04/1998 F STOCKDALE WEST TEXACO I p= Notif./Evacuation/Medical Agency Notification CALL BAKERSFIELD FIRE DEPT 326-3979 OR OES 911. ¡=::SEffiPloyee Notif./Evacuation I Public Notif./Evacuation : PER BULLETIN. I Emergency Medical Plan MERCY SOUTHWEST. 12/04/1998 12/04/19981 ] 12/04/19981 -5- 02/17/2000 Þ' e e SiteID: 215-000-001902 ì Fast Format ì Overall Site ì 12/04/1998 F STOCKDALE WEST TEXACO I f= Mitigation/Prevent/Abatemt Release Prevention LITTER AS ABSORBENT. IF A LARGE RELEASE CALL 911. Release Containment 12/04/1998 USE KITTY LITTER. IF A LARGE RELEASE CALL 911. Clean Up 12/04/1998 ] I KITTY LITTER AND PROPERLY DISPOSE OF. Other Resource Activation -6- 02/17/2000 / ;;.. .. ,e e SiteID: 215-000-001902 ì Fast Format =¡ Overall Site =¡ I F STOCKDALE WEST TEXACO I p= Site Emergency Factors r== Special Hazards Utility Shut-Offs 12/04/1998 A) GAS - SOUTHERN CAL GAS B) ELECTRICAL - PG&E C) WATER - STOCKDALE MUTUAL WATER CO D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 12/04/1998 PRIVATE FIRE PROTECTION - NO. NEAREST FIRE HYDRANT - MUNICIPAL WATER. Building Occupancy Level -7- 02/17/2000 :;, ,~ e e F STOCKDALE WEST TEXACO I F Training Employee Training SiteID: 215-000-001902 ì Fast Format l Overall Site l 12/04/1998 WE HAVE 20 EMPLOYEES AT THIS FACILITY. WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: NEW EMPLOYEES BRIEFED ON STORE POLICY AND PROCEDURES. Page 2 [ I I Held for Future Use Held for Future Use -8- 02/17/2000 '- r . STOCKDALE WEST TEXACO e JR~.rEIVED L:JAN 2 2001 e SiteID: 015-021-001902 = Manager : KHENG CHAO Location: 13004 STOCKDALE City BAKERSFIELD BusPhone: Map : 122 Grid: 02B (805) 589-8982 CommHaz : Low FacUnits: 1 AOV: CommCode:' BAKERSFIELD STATION 11 EPA Numb: SIC Code:5541 DunnBrad: Emergency Contact / Title Emergency Contact / Title KHENG CHAO / MANAGER LONNG CHAO / MANAGER Business Phone: (805) 587-8987x Business Phone: (805) 393-8828x 24-Hour Phone : (805) 589-5982x 24-Hour Phone : (805) 589-2407x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Contact : .' Phone: (805) 589-5982x MailAddr: 13004 STOCKDALE HWY State: CA City : BAKERSFIELD Zip : 93312 Owner TAK FONY CHAO Phone: (805) 589-5982x Address : 13004 STOCKDALE HWY State: CA City : BAKERSFIELD Zip : 93312 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: One Unified List l All Materials at Site l f= Hazmat Inventory f== As Designated Order Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP GASOLINE GASOLINE GASOLINE DIESEL L L L L 12000.00 GAL 12000.00 GAL 10000.00 GAL 10000.00 GAL Mod Mod Mod Low I, K/I- FIV (; I~. cfL4r9o hereby certify that I have (Type or print name) reviewed the attached hazardous materials manage- _ 7E>'Ik--D ment plan for.sr-~04u: Wff6T and that it along with (Name of Business) any corrections constitute a complete and correct man- agement plan for my facility. _~:;2::~ /¿;2-ao-oO #'. Ignature Date 10/31/2000 e ~ ç> IcQ.5 e.. u pk k I 511 «t\ '\1- rc: {~11'~ tö~ d2ø ~q .60 '~---~ e ì~ e e F STOCKDALE WEST TEXACO p= Inventory Item 0001 F= COMMON NAME / CHEMICAL NAME GASOLINE REGULAR UNLEADED Location within this Facility Unit UST SiteID: 015-021-001902 ì Facility Unit: Fixed Containers at Site ì Days On Site 365 Map: Grid: CAS # 8006619 [ ~TA~E I TYPE -----r-; P~ESSURE -¡ TEM~ERATURE I CONTAINER TYPE =Llquld __pure ~mblent ---1 Amblent ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 4000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # I 8006619: TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod HAZARD ASSESSMENTS p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME GASOLINE UNLEADED PLUS Location within this Facility Unit UST Facility Unit: Fixed Containers at Site ì Days On Site 365 Map: Grid: CAS # 8006619 [ ~TA~E I TYPE -----r-; P~ESSURE -¡ TEM~ERATURE I CONTAINER TYPE =Llquld __pure ~mblent ---1 Amblent ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 4000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS CAS#8006619 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod HAZARD ASSESSMENTS -2- 10/31/2000 l' e e F STOCKDALE WEST TEXACO p= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME GASOLINE UNLEADED PREMIUM Location within this Facility Unit UST SiteID: 015-021-001902 ì Facility Unit: Fixed Containers at Site ì Days On Site 365 Map: Grid: CAS # 8006619 [ ~TA~E I TYPE --r-; P~ESSURE ---r TEM~ERATURE I CONTAINER TYPE =Llquld ___pure ~mblent ---1 Amblent ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 10000.00 GAL 4000.00 GAL %wt. I 100.00 Gasoline HAZARDOUS COMPONENTS I~ CAS # I 8006619 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod HAZARD ASSESSMENTS p= Inventory Item 0004 = COMMON NAME / CHEMICAL NAME DIESEL Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit UST SPLIT TANK Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 12000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 4000.00 GAL %Wt. RS CAS # 100.00 Diesel Fuel No. 2 No 68476302 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low HAZARD ASSESSMENTS -3- 10/31/2000 .' e e F STOCKDALE WEST TEXACO I p= Notif./Evacuation/Medical Agency Notification SiteID: 015-021-001902 ì Fast Format ì Overall Site ì 12/04/1998 CALL BAKERSFIELD FIRE DEPT 326-3979 OR OES 911. ~SEmp10Yee Notif./Evacuation I Public Notif./Evacuation , PER BULLETIN. I Emergency Medical Plan , MERCY SOUTHWEST. 12/04/1998 12/04/1998 ] ] 12/04/1998] -4- 10/31/2000 .' e e SiteID: 015-021-001902 ~ Fast Format ì Overall Site ì 12/04/1998 F STOCKDALE WEST TEXACO I p= Mitigation/Prevent/Abatemt Release Prevention USE KITTY LITTER AS ABSORBENT. IF A LARGE RELEASE CALL 911. 12/04/1998 12/04/19981 1 I r=::USERelease Containment ~ KITTY LITTER. IF A LARGE RELEASE CALL 911. I Clean Up KITTY LITTER AND PROPERLY DISPOSE OF. I Other Resource Activation -5- 10/31/2000 · . e e F STOCKDALE WEST TEXACO I p= Site Emergency Factors ~ Special Hazards Utility Shut-Offs SiteID: 015-021-001902 ì Fast Format 9 Overall Site 9 I 12/04/1998 A) GAS - SOUTHERN CAL GAS B) ELECTRICAL - PG&E C) WATER - STOCKDALE MUTUAL WATER CO D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 12/04/1998 PRIVATE FIRE PROTECTION - NO. NEAREST FIRE HYDRANT - MUNICIPAL WATER. Building Occupancy Level -6- 10/31/2000 .;. .. ;1';,. '. e e F STOCKDALE WEST TEXACO I F Training Employee Training SiteID: 015-021-001902 ì Fast Format 9 Overall Site 9 12/04/1998 WE HAVE 20 EMPLOYEES AT THIS FACILITY. WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: NEW EMPLOYEES BRIEFED ON STORE POLICY AND PROCEDURES. Page 2 [ I I Held for Future Use Held for Future Use -7- 10/31/2000 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 MHo Slreel Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395·1349 SUPPRESSION SERVICES 2101 MHo Street Bakersfield, CA 93301 VOICE (661) 326·3941 FAX (661) 395·1349. PREVENTION SERVICES 1715 Chesler Ave. Bakersfield, CA 93301 VOICE (661) 326·3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chesler Ave. Bakersfield, CA 93301 VOICE (661) 326·3979 FAX (661) 326·0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399·5763 .,- - ./."''' ! - .,;. ~ June 6, 2000 Joe Canas, Program Manager Kern County Environmental Health Department 2700 "M" Street Bakersfield, Ca 93301 RE: De-annexation Palm/Olive Area Dear Joe: I have recently received official confmnation of De-annexation from the City of Bakersfield back to Kern County. Two UST sites are now back into Kern County regulatory oversight. These sites are as follows: Fastrip #642, 12851 Rosedale Hwy Texaco Star Mart, 13004 Stockdale Hwy Please make arrangements to check these files as soon as possible. Should you have any questions, please feel free to contact me at 326-3091. Sincerely, ~~ Steve Underwood, Inspector Office of Environmental Services "Y~ de W~ ~ ~0/'6 §"'~ A W~" ,i·~· - -- CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 HAZARDOUSMATEWALS~NTORY F ACll..ITY DESCRIPTIO t q Od.- ~5' rJfl )lL/ ~~ø I ~5ø?- CHECK IF BUSINESS IS A FARM [ ] BUSINESS NAME C;TI7/ .t.LJA/ F w} ~ <-'/ /~>CA-c::? FACILITY NAME ~rý) ¿ k: .tJ 14 L-£ U¿'7~\ ¡-~ ,5C:/YI-c 0 SITE ADDRESS /30 0 l/ tf?T.o L Æ-LJ A ¿ c= 7 CITY 8 A-I'CFk' < :FT-P'=z/? STATE C A ZIP qgg / :) NATURE OF BUSINESS L t? rl U eM r" ~E ~/D¿tE SIC CODE DUN & BRADSTREET NUMBER OWNER/OPERATOR 771~~ ~.o~ v (II A () PHONE .5?? c¡ - ¿::-CJ <;?;;;2. / MAILING ADDRESS /,~ 000/ ~ro?1c 0.4 L/= J-I/ CITY B,f-·kr,p~r=:-T~/. L? STATE LA ZIP C}.3;;? / ~ I ! I ¡ I i EMERGENCY CONTACTS ~q:, ~7, BUSINESS PHONE 5Ç7- ~ TITLE IØ¡ a "'"\ e.:3 -é"~ 24 HOUR PHONE 5 5"(0 - ç 9 ~ ;;;J. NAME k/..ehS f'1IA-o NAME L I) 1/1 Yl5 elf A 0 TITLE /rLtJt-1/l Ct j e r BUSINESS PHONE ~' ~9<:"-x-~~~ 24HOURPHONE 5"R-C¡-CJ-Jjð/ 1 ,~ WARDOUS MATERIALS INVEN.Y BusinessName 570 ( ICLJA¿E Wæ#- ~yÆ'oAddress J300tf ~"W(jc/JA¿ê CHEMICAL DESCRIPTION I) INVENTORY STATIJS: New~ Addition { J Revision { J Deletion ( Check if chemical is a NON Trade Secret [ J Trade Secret l J 2) Common Name: 12 E- (;, tt. t. 645 3) OOT # (optional) Chemical Name: ç; A ú1 P ARM [ ] CAS # 4) Physical & Health Hazard Categories Fire [j-J. Reactive [ 5) WASTE CLASSIFICATION PageLof~ /flAY PHYSICAL HEALTH ] Sudden Release ofPres~'] Immediate Health (Acute~layed Health (Chronic) JX1 (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Liquid)<:1 Gas [ ] Solid [ Pure [ 7) AMOUNT AND TIME AT F ACn.ITY Maximum Daily Amount J (), (70 0 Average Daily Amount 'f;;(J 00 Annual Amount ..:+...-?~ 00<:) Largest Size Container /.:J- 0 t::> 0 # Days on Site '=? í:7 ç UNITS OF MEASURE Lbs [ ] Gal~] ft3 [ Curies [ J Circle Which Months: 9)~: Li~ the three most hazardous chemical components or any AHM components COMPONENT 1) A¡:./V £iz TAl e 2) ,0 l.>t. I E,/J IE Æ) E 3) E,If ¡;: L- ~ ~A I I:E "2:7- AlE 10)LOCATION .:;; A- /h. £ A¿; A .(¿,t91/E Mixture}(T Waste [ ] Radioactive [ 8) STORAGE CODES a) Container: IJ I b) Pressure: I c) Temperatme l' All Year, J, F, M. A. M, J, J, A. S, 0, N, D CAS# %Wf AHM [ ] [ ] [ ] I) INVENTORY STATUS: New txr Addition [ ] Revision [ ] Deletion { Check ifchemical is a NON Trade Secret [ ] Trade Secret ( ] 2) Common Name: íA L -j-' Chemical Name: ~A-/Ÿ1E 4) Physical & Health Hazard Categories Fire peactive ( 5) WASTE CLASSIFICATION 3) OOT # (optional) ARM [ ] CAS # PHYSICAL HEALTII ] Sudden Release ofPressure)é1 Immediate Health (Acute) [ ] Delayed Health (Chronic) [ (3-digit code fÌ'Om DHS Form 8022) USE CODE 6) PHYSICAL STATE Liquid (?<P Gas [ ] Pure [ Solid [ 7) AMOUNT AND TIME AT F ACn.ITY Maximum Daily Amount J{). I:' 0 0 Average Daily Amount . z¡j 0 0 0 Annual Amount ~ 00 0 Largest Size Container J :;)) 0 0 0 # Days on Site 3 ~~ UNITS OF MEASURE Lbs [ ] Gal P4 ft3 [ ] Curies [ ] Circle Which Months: 9) MIXTIJRE: List the three most hazardous chemical components or any AHM components COMPONENT 1) e P'.N p.:? -¡-II.) ¡=. 2) /,,,, fA ¡ E AJ N ¡:::: 3) FT'tI ::,I g po AJ ¡::;.? T AJ FE 10 )LOCA TION ~ Waste [ ] Radioactive [ 8) STORAGE CODES a) Container: ð i b) Pressure: I ' c) Temperature l./ , All Year, J, F, M. A. M. J, J, A. S, 0, N, D CAS# II %Wf AHM [ ] [ ] [ ] I certifY under penalty of law, that I have personally examined and am familiar with the intònnation on this and all attached documents. I believe the submitted information is true, accurate and complete. PRINT Name & Title of Authorized Company Representative Signature Date TRDOUS MATERIALS INVENTe.y '7 1f-/11 £- Address ¡ ) INVENTOR Y ST A 111S: New po Addition { J Revision { ] Deletion { ] Check if chemical is a NON Trade Secret { ] Trade Secret ( ] 2) Common Name: I)iL ~~ 7' /A ~ 3) DOT # (optional) Chemical Name: .::;; A r1--z E.. AHM [ ] CAS # 4) Physical & Health PHYSICAL HEALTH Hazard Categories Fire r¡q Reactive [ J Sudden Release ofPressw'e [ ] Immediate Health (Acute) ,V4Delayed Health (Chronic) ~ 5) WASTE CLASSIFICATION (3~git code from DHS Form 8022) USE CODE ,~...... Business Name CHEMUCALDESC~ON 6) PHYSICAL STATE Solid [ Liquid ~ 7) AMOUNT AND TIME AT FACn.ITY Maximum Daily Amount /(J () 0 0 Average Daily Amount 'I) 0 00 Annual Amount $ ~ ,<)<00 Largest Size Container J;:;I. . J 0 '0 0 # Days on Site '3 ' ¡Ç. '?" Gas [ ] Pure [ UNITS OF MEASURE Lbs [ J Gal~ [ J Curies [ J Circle Which Months: 9)~: Li~ the three most hazardous chemical components or any AHM components COMPONENT 1) '8 /E; N E s? -r/l.l ¡;; 2) T-rJILI L- ¡;; Ai G- N Jé 3) & 7-# J'E/.', A.P3 /II g? r AI I; 10)LOCATION :;AIn & Page -.::b of ;;;;;2 Mixture þéP Waste [ J Radioactive,[ 8) STORAGE CODES a) Container: .() I b) Pressure: ¿ c) Temperature Ý All Year, J, F, M, A., M. J, J, A., S, 0, N, D CAS# %wr AHM [ J [ ] [ ] I) 1NVENTOR Y ST A 111S: New [ J Addition [ ] Revision [ J Deletion [ J Check if chemical is a NON Trade Secret [ J Trade Secret [ J 3) DOT # (optional) 4) Physical & Health PHYSICAL HEALTH Hazard Categories Fire ~ Reactive [ J Sudden Release of Pressure [ J Immediate Health (Acute) ~ Delayed Health (Chronic}fCF 5) WASTE CLASSIFICATION (3~git code ftom DHS Form 8022) USE CODE 2) Common Name: () L. F ~ ¡::; L Chemical Name: .e7 #m r.= 6) PHYSICAL STATE Solid [ Liquid [J6ì Gas [ J Pure [ 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE Maximum Daily Amount I~ ~ 0 0 Lbs [ ]~] ft3 [ ] Average Daily Amount _.:. _ 0 0 Curies [ J Annual Amount ~ ~ ç 0 () 0 Largest Size Container I -;)..)" n D 0 # Days on Site OS i6.os Circle Which Months: 9)~: Li~ the three most hazardous chemical components or any AHM components COMPONENT I) S¡:;IA.Jc:::z.rAIF 2) p )e Y I F "fj r 3) I O)LOCA TION ARM [ J CAS # j j , i¡ , ~ :Ii : , , i : r : , '! Mixture f<1 Waste [ J Radioactive [ 8) STORAGE CODES a) Container: L) I b) Pressure: / c) Temperatw'e i All Year, J, F, M, A., M, J, J, A., S, 0, N, D : Ii,' :rl CAS# %wr AHM [ J [ J [ J i I certify under penalty of law, that I have personally examined and am tàmiliar with the intòrmation on this and all attached documents. I ,believe the submitted information is true, accurate and complete. 1\11 EA I b (" itA () /J1 A N Jr./; Ú/P PRINT Name & Title of Authorized Company Representative ~~~ f/.~-q<;/ " ,.--" -1:. e e CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 INSTRUCTIONS: 1. To avoid further action, return this form within 30 days of receipt. 2. TYPEIPRINT 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 BUSINESS NAME: STOCt¡J/I¿E UJ¡::=~/ 7":EKJf-L (/ LOCATION: I ~()Oi <TOCKLJA-LE ¡{úVr MAILING ADDRESS: 'SAME CITY: ßA 1"C.,;=-.i2 SF.7Æ.ð STATE: LA ZIP: <ß3~PHONE: C~.o~ 5'8-7-'~ <?ì DUN & BRADSTREET NUMBER: SIC CODE: - -- . PRIMARY ACTMTY: Con u eÞ(tÒrYl--~_r& ~To.e.E OWNER: T II-K (' ¡:=ð '^ y (' /lAC? MAILING ADDRESS: SA-~¡;; SECTION 2: EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR.. PHONE 'if '1 "87 t!- ~O~) 5-X7-1ßýì ((ffl1þ.:L- 5"98' ð. C ~~) 393~¥ ( !ff'1'I) S~-.;x¡rO? 1. kfl-eNb CI4Ao 2. L f}Vl ~ (III AIJ I1tANÁI?FÆ Ih A- Ii)/{ 6 Þ;/¿ 1 e ....-..~:,' e HAZARDOUSMATE~SMANAGEMENTPLAN SECTION 3: TRAINING NUMBER OF ElWPLOYEES: d- 0 MATERIAL SAFETY DATA SHEETS ON FILE: Y e.~ BRIEF SUMMARY OF TRAINING PROGRAM: IV e. W E frl ¡::J L 0'1 EE 5 (ß /43£F'Et) ()/V ~T()R.E POL-Icý ANO P/2.oCEEf)lAe.e5. SECTION 4: EXElWPTION REOUEST 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. K OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION I, t If £. /IJ b (' ¡-I- /10 CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT TIllS 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. ~~ J11A IV/{ 6e /ê TITLE If-6-7~ DATE 2 i ..,o?-' ~~" ,:, -"""'>n e . HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES A. AGENCY NOTIFICATION PROCEDURES: CALI- BA-k8æ~FJÞ¿O F$ R.ø 1) E ¡P A- R I frl E/UI "3;;;-:-6 -- 3 () "7 9 0.£5 O¡/( B. EMPLOYEE NOTIFICATION AND EVACUATION: Y .G .5 C. PUBLIC EVACUATION: f' J3.£. b l/t LL- E. 10 tJ D. EMERGENCY MEDICAL PLAN: f'YI E¡ec.. Ý ~ Olr\ THW ~ ST 3 .- 13-----. #-~~, - HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION. PREVENTION AND ABATEMENT PLAN A. RELEASE PREVENTION STEPS: fA ~E ~:rrrr ¿.::r,re/C AS EJ-1315 OÆ~lENT I F A LA /l. 6 ¿; Re I-E /I $ ¡E C 1-'- ~ ri:ffJ I q I r B. ~:XI' I( ~'+I ev A l-1I12G.¡: £~Le,c¡SE c/f£.t... q/( CLEAN-UP PROCEDURES: K~-Hy L:+t-<?tr frofJ~/y Jf),'?,f0-GE 0-/ RELEASE CONTAINMENT AND/OR MINIMIZATION: £..t $ IE ~F C. SECTION 8: UTILITY SHUT -OFFS (LOCATION OF SHUT -OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: ELECTRICAL: .p 6 '0/- E Yes .s 0 v-- -(-Áµ-I"\. I' A L bA¿; WATER: 9rIJ ¿ It /JA:Ll::: #/f b.._I-,..IL.:I I /Á/ At~ '1-- C:o~LJ~ )/ , SPECIAL: IV 0 LOCK BOX: YE@9J IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/W ATER AVAILABILITY A. PRIVATE FIRE PROTECTION: 11/ 0 B. WATER AVAILABILITY (FIRE HYDRANT): fr\ t-1.Y\ " G; ¡J A L Ivâ~ 4