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Home My WebLink AboutBUSINESS PLAN 5/28/2007i ~_~ ,~, 1~ ~ i v r i .~ t- _ .o~~ ~,~~Rr~[NAL .. C113 '~ \ ~ il ,. .~ ~ Cj0 ~~ = USA LIQUORS SiteID: 015-021-000409 Manager ~~ U(~ ~~.5~ Location:~~0 ~ UN~ON AVE City BAKERSFIELD BusPhone: (661) 832-0457 Map 124 CommHaz Moderate Grid: 08A FacUnits: 1 AOV: CommCode: BFD STA 05 EPA Numb: SIC Code:5541 DunnBrad: Emergency Contact / Title Emergency Contact / Title ALI MOHME D ALKORIN / OWNER / Business Phone: (661) 832-0457x Business Phone: ( ) - x 24-Hour Phone (661) 833-8919x 24-Hour Phone ( ) - x Pager Phone (661) 397-6713x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact c ~ ~~(~__ r~~~Q,~ Phone: (661) 832-0457x MailAddr: 1720 S UNION AVE State: CA City BAKERSFIELD Zip 93307 Owner ALI MOHMED ALKORIN Phone: (661) 832-0457x Address 1720 S UNION AVE State: CA City BAKERSFIELD Zip 93307 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~~ PROG C - COMM HOOD PROG U - UST ENT MAY 3 ~ ~~p~ Based on my inquiry of these individuals responsible for obtaining the information, I certify under penalty of la~~ that I have personall y examined and am familiar with the information submitted and believe the information is true occur e, and complete. , ~~ - _ Si ature ` - Date -1- 05/18/2007 F USA LIQUORS SiteID: 015-021-000409 ~ STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name:-USA LIQUORS Cross Street Business Type: Org Type: Total Tanks 3 IndnRes/Trust: No PA Contact: Dsg Own/Oper BRUCE HENSLEY ICC Nbr: 1064437-UC PROPERTY OWNER INFORMATION Name Phone: ( ) - x Address: City State: Zip: Type INDIVIDUAL TANK OWNER INFORMATION Name Phone: ( ) - x Address: City State: Zip: Type INDIVIDUAL BOE UST Fee# UNKNOWN Financ'1 Resp: STATE FUND Legal Notif Business Mailing Address Date:10/27/1999 Phone: (2 6) 657- x Name:ALI M ALKORIN Ttl:OWNER State UST ## 1998 Upg Cert#: 00733 -2- 05/18/2007 F USA LIQUORS SiteID: 015-021-000409 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP REGULAR GASOLINE ~ F IH DH L 10000.00 GAL Mod PREMIUM UNLEADED GASOLINE F IH DH L 10000.00 GAL Mod UNLEADED GASOLINE F IH DH L 10000.00 GAL Mod -3- 05/18/2007 -4- 05/18/2007 F USA LIQUORS ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME REGULAR GASOLINE Location within this Facility Unit UST STATE TYPE PRESSURE Liquid TMixtur~mbient SiteID: 015-021-000409 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8006-61-9 TEMPERATURE CONTAINER TYPE Ambient ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I - Daily Average 10000.00 GAL 10000.00 GAL 5000.00 GAL . nr~~~-~tcLUU~ ~ulnruivl;ivl~ %Wt. RS CAS# 100.00 Gasoline No 8006619 t11~GH.KL 1j,' S ~ 5 51~11;1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED GASOLINE Location within this Facility Unit UST STATE Liquid Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8006-61-9 TYPE PRESSURE TEMPERATURE CONTAINER-TYPE Mixture Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 10000.00 GAL 10000.00 GAL 5000.00 GAL tir~~rircLUUS ~vl~irvlv~iv 15 %Wt. RS CAS# 100.00 Gasoline No 8006619 t1HGHttL Y,S~L'~~1~1L'1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -5- 05/18/2007 F USA LIQUORS SiteID: 015-021-000409 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: UST CAS# 8006-61-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum .Daily Average 10000.00 GAL 10000.00 GAL 5000.00 GAL -- HAZARDOUS COMPONENTS oWt. RS CAS# 100.00 Gasoline No 8006619 t11~GE1KL H.7.7L' .7.71~1r,1V 1 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -6- 05/18/2007 F USA LIQUORS SiteID: 015-021-000409 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 03/30/2006 ~ EMERGENCY 911. CALL FIRE DEPT 326-3911. CALL CALIFORNIA SPILL REPORTING HOT LINE 800-852-7550. Employee Notif./Evacuation VERBAL. 10/25/2000 Public Notif./Evacuation VERBAL. 10/25/2000 Emergency Medical Plan 10/25/2000 CALL 911 TO TRANSPORT TO KERN MEDICAL CENTER ON FLOWER ST. -7- 05/18/2007 F USA LIQUORS SiteID: 015-021-000409 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 12/17/1991 ~ TEXACO HAS VERY MODERN EQUIPMENT FOR RELEASE PREVENTION, AS THEY INSTALLED AND OWN ALL EQUIPMENT. Release Containment 12/17/1991 EQUIPMENT IS ALL EQUIPPED TO MINIMIZE ANY TYPE OF RELEASE OR SPILL. Clean Up _ ,_ r =._ ~ 03/11/1998 A PRODUCT OF ABSORBENT MATERIAL IS KEPT ON HAND FOR EVEN THE SMALLEST OF SPILLS.. Other Resource Activation -8- 05/18/2007 P USA LIQUORS SiteID: 015-021-000409 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7NCC;1d1- tldGdlUS Utility Shut-Offs 01/19/2007 A) GAS - BACK OF BLDG B) ELECTRICAL - BACK RM INSIDE MAIN BLDG C) WATER - FRONT OF MAIN BLDG D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. PRIVATE FIRE PROTECTION Water _ _ ___~__ _,_ ____ _ __ _ __ _ -01/19/2007 - NONE. NEAREST FIRE HYDRANT - CRNR OLD YARD RD & S UNION AVE. Building Occupancy Level 03/30/2006 OWNER OPERATOR NO EMPLOYEES -9- ~ .05/18/2007. I _, a F USA LIQUORS SiteID: 015-021-000409 ~ Fast Format ~ ~ Training _ Overall Site ~ Employee Training _ 01/19/2007 MSDS SHEETS ON FILE IN OFFICE. BRIEF SUMMARY OF TRAINING PROGRAM: WE ARE BOTH FAMILIAR WITH EMERGENCY PROCEDURES. rayC ~ Held for Future Use Held for Future Use -10- 05/18/2007 ~ ~j 0 ~ ~ J = - " Prevention Services ' `UNIFIED- PROGRAM INSPECTION CHECKLIST - R 900 TruXtun Ave.; suite 210, _._ -._-~. _ .~_: R - __ ._ ~ _- ~ ~-~ _ _ ~__;- _. __.__ .> _ _ ~_~ _ _ .. _~ .:__ ,e s F , , n T - - -- - FIRE - - - Bakersfield, CA 93301 SECTION -1: Business Plan and Inventory Program - ° ARTM ~~' Tel.: (661) 326-3979 = F 661 872 2171 _ - ax: ( ) - - II FACILITY NAME ~ S~ ~INSPE TION ATE - INSPECTION TIME it - V V ~ -~ ~ I i ADDRESS PHON NO. NO OF EMPLOYEES ~ SO, ~Cn10f'f ~~ ~ $3~-O~CS -FACILITY CONTACT - ~ - USINESS ID NUMBER ~ - - 15-021- 7tJ~ ~ Section 1: Business Plan and Inventory Program ^ ROUTINE LU/COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION ~, c v (v-.,~.,,~°°~~~~) vPERATtoN V=Violation - COMMENTS - / ~ <SY ^ APPROPRIATE PERMIT ON-HAND I (~^ BUSIII2SS-PLAN CONTACT.INFORMATION ACCURATE ~ I ^ VISIBLE ADDRESS ! ~ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ,_,,, ~ I L I V ^ VERIFICATION OF QUANTITIES , ~ / L S Y ^ VERIFICATION OF LOCATION , _ , ~ L!I/ ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ~ ^ VERIFICATION OF HAZ MAT TRAINING ~ I l!~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES I f~ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^^ HOUSEKEEPING / ^ L~}' FIRE PROTECTION rr ~ ( r~ t?cl r v ~,• GCcb CU l Imo. i~ ^ SITE DIAGRAM ADEQUATE & ON HAND j ANY HAZARDOUS WASTE ON SITE? EXPLAIN: °Vt17~[~lL~ ~(,~l[kTln~ ^YES . Q~ VSC~ ! ^ NO C_1 ~1~ Yl l~~ QUESTIONS PLEASE CALL US AT (667) 326-3979 "~ .. ~~ c -~ -~_L.~,rr,_.----- Business Site / es`po',' le Party (Please Print) Inspector TPlease Print) Fire Prevention / 1~` In /Shift of Site/Station # _ ~ White -Prevention Services - Yellow -Station Copy Pink -Business Copy ~ FD 2155 (Rev. 09/05 j INSPECTIONS BUSINESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST FACILITY NAME: l,~~~UQ(fs INSPECTION DATE: =~~j~~,;` f ^ Routine ^"Combined ^ J_ointAgency ^ Multi-Agency ^ Complaint ^ Re-Inspection Type of Tank f''C.S Number of Tanks Type of Monitoring Type of Piping ,p~f~ B E R S F I L D F/IPE ARTM r Section 2: Underground Storage Tanks Program OPERATION C V COMMENTS Proper tank data on file Proper owner /operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current d APl ill ~IA(i(~ -~QIU 6Q~ Failure to correct prior UST violations Has there been an unauthorized release? ^ Yes Q.P~ Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF?) If yes, does tank have overfill /overspill protection? C =Compliance V =Violation Y =Yes N = No Inspector: Questions regarding this inspection? Please call us at (661) 326-3979 White -Prevention Services Aggregate Capacity Number of Tanks ~' Busine s Site a onsible Party Pink -Business Copy :U K8F-7335 FD 2156 (Rev. 09/05) __ ~~5~ UNIFIED PROGRAM INSPEC ON C ECKLIST ` ~~~, „~. ~ ;vim ~ .,~.~.--..: ~, , r_ . , . ._ ,~, ...- .: ...~:< - SECTION 1: Business Plan and Inventory Program ~ BASERSFIELD FIRE DEPT Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME S NSPECTION DATE ~ 13~o(g INSPECTION TIME /B~~3S- ADDRESS HONE NO. O OF EMPLOYEES l ~ ~ f ~ r l( FACILITY CONTACT USINESS ID UMBER 15-021- 1,,r~ ,~ Section 1: Business Plan and Inventory Program ^ ROUTINE MBINED ^ JOINT AGENCY ^ MULTI-AGENCY `^ COMPLAINT ^ RE-INSPECTION C V (C=Compliance OPERATION V=Violation COMMENTS ~`^ APPROPRIATE PERMIT ON HAND _ ^ BUSIf18SS PLAN CONTACT INFORMATION ACCURATE ~j ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY J~I ^ VERIFICATION OF INVENTORY MATERIALS 'p F E g 2 2 Zo~6 V `~ ^ VERIFICATION OF QUANTITIES (~ ^ VERIFICATION OF LOCATION Q1 ^ ®~~ ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY I~( ^ V ~ VERIFICATfON OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND ~ OC DURES ~ ^ EMERGENCY PROCEDURES ADEQUATE V ^ CONTAINERS PROPERLY LABELED fr~j~- v '~ -k~OUSEKEEPING G ` L ~ ~ rc~- ~/L~ ^ FIRE PROTECTION _ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ~d6 EXPLAIN: _ ODES ONS REGARDING THIS INSPECTION? PLEASE CALL US AT (881) 328-3878 ~/~> ~~~~ Inspector (Please Print) ' Fire Prevention / 1" In ! Shift of Site/Statian N White -Prevention Services Yellow -Station Copy Pink -Business Copy FD204e (Rw. 02105) :.~ ~~~w~5` ~~; ~\ CITI' OF BAKERSFIEI.U FIRE DEPARTMENT ;~ ~ ~ M; OFFICE OF ENVIROIYRiEN7'AL SERVICES y.` UNIFIED PROC:RAi~'1 INSPECTION CHECKLIST ~w ~tt~,~~'r 1715 Chester Ave., 3~~ i~ loor, Bakersfield, CA 93301 FACILITY NAME ~.>lcS~~ f~v_y_~~S 1NSPEC"LION DATE ~-~3~ Section 2: Underground Storage Tanks Program ^ Routine ~mbined ^ Joint Agency ^MultI-Agency ^ Complaint ^ Re-inspection Type of Tank ~oKbl~ ~,~~,41f Number of Tanks ~ Type of Monitoring Type of Piping ~,, tip' ZAfir.~~ OPERATION C V COMMENTS Proper tank data on the Proper ownerioperator data on the Permit tees current Certification of Financial Responsibility Monitoring record adequate and current v' Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes /v No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of~ Tanks OPERATION Y N COMMENTS SPCC available SPCC on the with OES Adequate secondary protection Proper tank placarding,~labeling Is tank used to dispense MVF? If yes, Does tank have overfilUoverspill protection'? C=Compliance V=Violation Y=Yes N-NO Inspector: Ff'r1'IBAJ ~A~~ I '~ Office of Environmental Services (661) 326-3979 ~l'hitc - Fm•. Svcs. Pink - Business Cody Business Site Responsible Party ~~ ~ ~ ,a,t/ ~'~i1~;LO~ / -/-a3 ~a~ ~s 3 SSA UNIFIED PROGRAM INSPECTION CHECKLIST : S~~CTION 1 Business Plan and Inventory Program FACILITY NA(VIE __. ADGRESS ~ -- -- - ~-~-~-----_S _--- L` 41 ~ e 4 `-----~~~'-L ---- --- ----------- -- fA;:ILITYCONTACT Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 :INSPECTION DATE i INSPECTION TIME i l ~ PHONE No. No. of Em loyees s~ness ID Number 15-021- ~(~ Section 1: Business Plan and Inventory Program O Routine ~ Combined ^ Joint Agency OMulti-Agency ^ Complaint ^ Re-inspection (C=Compliance C V \V=Violation ) OPERATION COMMENTS ~^ APPROPRIATE PERMIT ON HAND --L--~------------------------------------..-..------- - --------- ...............•------- ----------..- ---- -_ ----- --- - ---....- ---. ._ LSY ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ------------------------------------------ --- --------- -I-- ----------- -._._. Q~O VISIBLE ADDRESS ~^ CORRECT OCCUPANCY I ~^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES .._ . -... ^ VERIFICATION OF LOCATION 6J' ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE ~ ~^ VERIFICATION OF HAT MAT TRAINING ~--,f ---- -------------------------------- ------------------------------------.__.___.-..._~ ...----_.-. .. __..--.-. AJ' ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ ~^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED I~ ---------- ..----t-----~------ ---------- -- -----° -- ___...-------_. ..----_-- ---_--- ^ HOUSEKEEPING ^ FIRE PROTECTION - - ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: ^ YES ~ NO EXPLAIN: i' QUESTj~ NS REGA IN THIS INSPECTION? PLEASE CALL US AT ~F)C)'I~ 3Z6-3979 ~ c t~c~ ~/ Inspector Badge No.. While -Environmental Services Yellow -Station Copy Pink • Business Copy a ,'~ / Q ~~ ~ C1 " , ,t -'~ ~ CITY OF BAKERSF{E[,D FIRE DEPARTMENT O O OFFICE OF ENVIRONti'IEN"1'A1. SERVICES UNIFIED PROGRAibI INSPECTION CI~ECKLIST 1715 Chester Ave., 3~`' Floor, Bakersfield, CA 93301 FACILITY NAME V15t'~ f'~'~(;'t"t S Section 2: Underground Storage Tanks Program INSPECTION DATE ~I - 3C C ~ ^ Routine ~ Combined ^ Joint Agency ^Minti-Agency ^ C'omplaint ^ Re-inspection Type of Tank (~(t)1=C S Number oi~-1'anks 3 Type of Monitoring t}T(n Type of Piping f,~ OPERATION C V COMMENTS Proper tank data on file Proper owneNoperator data un tilc Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior [1ST violations Has there been an unauthorized release? YeS NU ~, Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding!labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection'? C=Compliance , V=Violation Y=Yes N=NO /. Inspector: Oflice of Environmental Services (661) 32 -3979 V1'hitc -Env. Svcs. Pink - Rueincss C'nPy I r Business Site Responsi to Party F ~~ UNDERGROUND STORAGE TANK ~` APPLICATION TO PERFORM LINE TESTING /TANK TIGHTNESS TEST lSB989 SECONDARY CONTAINMENT TESTING BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun A~~e., ate z ] 0 E3~kersfield, CA 9330 i "I'el: (661)326-39'9 Fax: (661) 852-21? 1 Page I of 1 PERMIT NO. ~~ ~~ ^ TANK TIGHTNESS TEST ^ '~iNE TESTING ___ _- ~ _ SECONDARY CONTAINMENT TESTING FACILITY ~/ ~ V '. ADDRESS. OPERATORS NAME _ P~R'.11' TO OPERATE NO OWNERS NAME v - NUMBER OF TANKS TO BE TESTED ~ 'iS P~PiPJG GOI!vG TO BE TESTED ,XC(ES = NO TANK NO. ~O,.J ~ ~~ ~ VOLUME TAPJK TESTING COMPANY _ ~ _ M (LING ADDRESS C~ r~ ' ~~~~ `. NAME 8 PHON_E,NUMBER OF CONTACT PERSON ~r / ~I EST ME OG ~ ~~~G~~ -~-"-!____~ ~ C~^~_ NAME F TE ~ ER OR SPECIAL~INSPECTOr DATE & TIME TEST IS TO BE CONDUCTEC E1-l~-QS~ ~ ; C`~ ~~ SIGNATURE OF A,Pf~LICANT APPROY BY+_ CERTIFICATION NO. ______ DATE 1 r C A ` ~ y v5 FD2064 {cr•..oa,~; r _t. .. BIDING & PERMIT"`ST~4TE1111EN~ DATE s USTIAST PERMIT, TANK TESTING TENTS, LPG;.FIREWORKS; POWDER/OTHER PERMITS FOLLOW-UP INSPECTION Bakersfield Fire-Dept. PREVENTION SERVICES :Fire Safety Services ~ Environmental Services 1715-Chestei Ave Bakersfield; CA 93301 Tel:'(661)326-3979 82 ~ STATE-SURCHARGE 86 84 I COPIESIREPORTS 89 DATE TIME SPENT: CHARGES: ~-. wa CHARGES CODE: REASON and DATE FOR INSPECTION: - LOCATION OF,tNSPECTION: ~ ~ _ ~ - ! - ¢$ ~ ip~i i C BUSINESS NAME: .~ € ~~ ~++ ~ TELEPHONE NUMBER(S) - . ~ - ~ ~~~ . '.. ~~: ~ ~ - ~ ~ - BILL:TO . ~~~ . :__.,~ _ :.PAY BY:'':~ ~~ g ~. :. ~ ~ ~~f f ~ ' ~ I ~' ~~. ~~~~~ NOTES: g ~.p c l.. ...-~ CUSTOMER SIGNATURE'. { . - _ ___I INSPECTORlRECEIVERSI~ RE -~- ~ ~ r~ _ -. . _ ~,.r~-•. •~ ____.. _ . ~~~.~, FD1734 (rev.12/03) - ORIGINAL WHrrE FINANCE 'CUSTOMER PINK OFFICE YELLOW c+_"Y"' ---- rc ~~. 5'"C4~DA~~`~~Y STE~ CERTITICATION F4 1 F r~~ ~ r Y I I ;:~:: £: ,. F ACI~,ITY AD-131~ ~ ~ ~C ~~ . ~ ~ ~ I ''~ - ~~ IfUT SMa~WP` V~fi~Y ~ - .. ~' }-~ N~ ~ ~~ ~ ~ . ' "~ Wank 1 T~k ~ Ta~ak 3 ~ 'Farik 4 , ~ ~ a ~ ~. : e ~ ~i s 'Tl (~}~I ~ t ~ ~: i 5~ f~l . ~~ ,~ m ~t re ~ ~ .~i *: Inet'sal Pressure ~ ~~ • -~ ;~, ~~~ :: ~ End:'Tinae ` ,_, ~~ ~ x ~~ ~ ~ - ~~ ~a -~ ~ Final Pressure .l `n Cer~ficatiun 6 ~ ~~ ~ ~ ~~~fi~ ~ ,~~ = ~.~ si ate) (~ y ~;~ ~ . ~ L 4 ~ - - - ~~,~ ~;u ~ ~econd8ry Piping :~~a b ~ ~~ 1 ~;~.liC ~ ,~~Iig ~,~It~ ~~ ~. - p start T'u~e 0~ A n!4. T~ ~ r/< . 7 ~j . (,~l ~~~ Initial Pressure ,~ % ~ 51 ~-'~ +` f . , `~ ~~~~~, FinallPressur8 ,\J ~~ Y~. Certifacati®n ~ . i ~ ' ~ ~~1~~~ r ~~~ ; (Slgnnatrare} / ~~ ;,~~ _r 1t -. ~ .. _. . ~ qq Y~ . '~S ~}y r F:yf ~'i -'~ - - ~~ :, , _ PagelQf~ ~ , it a ~ :i _ _ _ . .. ;}"i ~'t -. ~ - #~ ' ~ Sz'4 ~~}- - - y~i f i~ _~ L,: SECOPI~?A~tY SYSTEM GIERTIFICA7E'IC3N FORM _<<~~. DATE ~ -! ~ -LAS ys FACILITY IO VC~~ j ,,, L , FACILI'~'YAIDi3R.ESS l~~C~ .~G~A~-~ ~„~~t~}~ --~C%~'~~~'E3(CI ~C'~-. "` .. Turbiaae Sumps 3r;'~~} j.~.`.t7: - - - ;~, .i..: ~: s ~; S~r~ztp,1 Suartp 2 Stamp 3 ~' ~ Sump 4 Start Time ~. ~~~~~/[ +~.' /~I~V~ ~' l ~/%1r/1 Anltiai i<Ieight oP wat~eer ;,,.~ ~ ~ o y 7; ,., R ~ ~}; ..~ 'Time ~= ~ S= - ~ ~ ~ ~~ water I~eig#at . ~~ ~%,~ ~ .. ~ ray ; ~ . ~ 5~ f,~ ~ Tune g; ~ ~ ~~= _ . ~ ~ ~ya ~I9 water height 3 . ~ ~,~~ -tom! ~ ~- r' ~ 5'pi~ Time `~' : `-(~ ~ ~ _ `'~~ e°t/I water I~eight _ S/ ~ --~~ . t~~ (o % ~ f -~~Df ~' Certificatimn (Signature) ~~S`' ~ ~ ~~' ~~ ~~~~ //- ~~IS~~e%~ ~~5 -, ,~~~n ~~~~,~~ '.~ f G~verfiil Buckets , (}vert°~1~' 1 ~ (Dver~!! 2 Orer#Ii1 ~ ~ ~vertiU 4 Start Time ~ :p~j ~=QDA~:~ ~ C10~.~! Initial ~Ieight o~ Water ~ . ~ pcj ;,,.• ~ i . ~ ~;~ I _ y ~;,,,, i Time ~ =. ~~~~ . .~1 ~-~ l~ Water ~ieight .~ ~-J ; ,' ;; .. _ p ~I `~i.~ Time ~ - ~~r~ Q _~ ~7Yater Reiglat - ~ ~;J 1 f - ~Lt 7 r~ j . ~ yt~`,,~ CertiSc~tlon ~ ?-~s7,, ~. ~A55 ~ e w'~5`~ i yr Page 2 of ,_ ,- -~ -- - i, ri'. ~~'~~~ ~ SECQN~l'9'R~ ~~~ A JF~'t1Y1 C.riR A ~l~T ACL'L 8 ~Vll ~~~91~1 - ~AT~~~__-___0 5 . ~'ACILI~'YADDkiESS~_1_~=~G._~o~~ (.C'l~ti~;Y- ~ 1 ~. oc-S~7-E'~~ ] tiG~. -, I3DC TESTING ~': ~.. ,; ~: -, `.5- . `k:;. . ~.:~. ~ . ,2~ DI~PEI~B~I~ I?iSPENSER ~ DLSPEhiSEit ]RISPENSER S'T'ART 7CIME ~ ',l yz ; _ ~~, ll~tlfii TAI, REIGI~T DF _ WATER. ~~i `'' ~ t) `%: i VYATER TIETGH'T - l 7 ~~ l-fir ~i ~ ~ WATT;Tt f GERTIFZCATTON . ~'`~ : ~ ~1a5 ' .~ DYb'NSI~ DISPENSER DISPENSED ~ I?ISPENSER START TT2~ftE II~TTAT, IIEIGI~'T Off' WATER ~ TIME WATER HEiGIIT Ti~riE WATETt ~~~~ ~ ~ - CER a 1c aCA~I'IOK (SIGNATURR} _ Page ~of F/RB ARfM December 1, 2005 RONALD J. FRAZE USA Liquors FIRE CHIEF 1720 S. Union Avenue Bakersfield, CA 93307 Gary Hutton, FINAL REMINDER NOTICE Senior Deputy Chief Administration RE: Necessary Secondary Containment Testing Requirements by 326-3650 December 31, 2005 of Underground Storage Tank (s) Located at Deputy Chief Dean Ciason the Above Stated Address Operations/Training 326-3652 Dear Valued Customer, Deputy Chief Kirk Blair Over the last six months this office has continued to send reminder notices regarding Fire Safety/Prevention Services secondary containment testing. 326-3653 Code requires that aN secendary containment systems must be tested 6 months post construction and every 36 months there after. 2101 "H" Street Senate Bilt 989 became effective January 1, 2002, section 25284.1 (Caiifomia Bakersfield, CA 93301 Health & Safety Code) of the new law mandates testing of secondary containment OFFICE: (661) 326-3941 components upon installation and every 36 months, thereafter, to insure that the FAX: (661) 852-2170 systems are capable of containing releases from the primary containment until they are detected and removed. Our records indicate that your facility is due prior to December 31, 2005. RALPH E. HLiEY, DIRECTOR PREVENTION SERVICES Those sites that have not been tested and have not pulled a permit prior to December 31, ~ 2005, will have their permit to operate revoked. FlRE SAFETY SERVICES•ENVIRONMENTALSERVICES 900 Truxtun Avenue, Suite 210 This office does not wish to take such action, which is why we will continue to send monthly Bakersfield, CA 93301 reminders. OFFICE: (661) 326-3979 FAX: (661} 852-2171 Contractors are already booked several weeks in advance. 1 urge you to schedule your ': testing date as soon as possible to avoid possible revocation of your permit to operate. David Weirather Fire Plans Examiner Should you have any questions, please feel free to call me at (661) 326-3190. 326-3706 Sincerely, Howard H. Wines, III RALPH HUEY, Director of Prevention Services Hazardous Materials Specialist 326-3649 ': ! ', _ ~~~ I~, ~~~ y! Steve Underwood Fire Prevention Officer SU:db J~ >~ra C~smu~si~ ~ ..~~ ~! r~a.~z ~~~~ Z~sl ~ •• E R S F I D F/RE A R TM T Apr-1 10, Zoos Mr. Ali Mohammed Alkorim USA Liquors 1720 S. Union Avenue Bakersfield, CA 93307 RONALD J. FRAZE REMINDER NOTICE FIRE CHIEF Re: Guidelines for Unsupervised Dispensinq Gary Hutton, Senior Deputy Chief Dear Mr. Alkorim: Administration 326-3650 It has come to our attention that many convenience stores who sell gasoline, like yourselves, are closing late at night. If you are using card readers and leaving Deputy Chief Dean Clason your fuel pumps on, this is defined in the California Fire Code as: "Unsupervised Operations/Training Dispensing." 326-3652 Deputy Chief Kirk Blair Unsupervised dispensing is allowed when the owner or operator provides, and is accountable for daily site visits, regular equipment inspection and maintenance, Fire Safety/Prevention Services including any unauthorized release or spills, posted instructions for safe operation 326-3653 of dispensing equipment, and posted telephone numbers for the owner or operator. Signs prohibiting smoking, prohibiting dispensing into unapproved 2101 "x" Street containers and requiring vehicle engines to be stopped during fueling shall be Bakersfield, CA 93301 conspicuously posted within site of each dispenser. OFFICE: (661) 326-3941 In addition, a sign shall be posted in a conspicuous location reading: FAX: (661) 852-2170 In case of spill or release: RALPH E. HUEY, DIRECTOR 1) Use Emergency Pump shut-off PREVENTION SERVICES 2) Report the accident FIRE SAFETY SERVICES • ENVIRONMENTAL SERVICES 900 Truxtun Avenue, Suite 210 3) Fire Department Telephone Bakersfield, CA 93301 4) Facility address OFFICE: (661) 326-3979 FAX: (661) 852-2171 During the hours of operation; stations having unsupervised dispensing shall be provided with a fire alarm transmitting device. A telephone not requiring a coin to David Weirather operate is acceptable. The fuel leak detection system must have a remote or Fire Plans Examiner phone modem to insure off-site monitoring during hours of unsupervised 326-3706 dispensing. During hours of darkness, sufficient lighting must be maintained so Howard H. Wines, III that all signs associated with fueling operation are conspicuous and readable. A Hazardous Materials Specialist gallon container of an absorbent material used for spills must be made available 326-3649 to the public during hours of unsupervised dispensing. -Afire extinguisher with a minimum 2A, 26, and 2C rating must be located on dispenser island during hours of unsupervised dispensing: To: Mailing List of Valued Customers "~ Reminder Notice Re: Guidance for Unsupervised Dispensing April 10, 2006 Page 2 If you are currently having hours of unsupervised dispensing, you must comply with the above-mentioned requirements. . Starting April 15, 2006, this office will conduct random checks of all fueling stations within the city limits for compliance. If you shut your station down after normal business hours and are not pumping fuel, please disregard this reminder notice. Should you have any questions, please feel free to call meat 661-326-3190. Sincerely, Ralph E. Huey, Director of Prevention Services w f ~~ ~ ~F V By: Steve Underwood, Fire Prevention Officer REH/db _ ; 1VI~~TX'I'ORING SXST~M CI~;ItT~~'ICA'I'IO~T For Use 13y All Jurisclicrirns Wlthirr rF,e $tdfe of California rturlwrir}• C+te~cl• Chupr~r G. 9, flaulth unrl Safery Corte: Chrrprer ld, Division 3, Tir1e 23, CAlefOrraiR Code ofRe~~d+lGfiun,c 'I'hts Corm must be used to document testing and servicing of monilari,lg equi)trttent. A seoarace Certification or reri01't mu„~bt; nrevared Air each monitorin>` SYStent controF nand by the tecltnicitttt who pcrform5 the work. A copy of this form must be provided to the tank .ystem owncrlopCrtttor. The owner/opcr8tor muFt soh.: it a copy of this form w the local egoncy regulating UST sysrem~ ,. ithin 30 days Of tESE date. A. C*eneral Infdrm~lion Facility Name: (..1~~ ~liOY'S _ -„ Bldg. Np.: _._.,,. Site Address: ~~ ~. ~hr019 >e,. -City: L~~~~~~Pfii~ Zip: __.- F»rility Contact PcrSnn: _ ~,;,..~ Contact Phone No.: (~-}~ ;vlakelModel of Manitrn•ing System: ~/~~~-ILio~` ~~ ~~__ Dau: 4f Testing/Servicing: ~i l.?sr`a-5' ~. inventory of ~qui~rnent Tt~stedlCeria~ecl .. 'tack ID: _ _ Tanlt 14: '~ ~f ~I In-'tank Gt+u~ling ProbC. Model: _,_~ ®ln-Tank GaUgin~¢ Probe. M1'lDdcl: ~ .nnnulur 5p:+cc or ~`::uh Sensor. Model: /_~'l~9+X~~G~L ~ Annular 5pa[:e or vttutr $cncrr. Model: ~.. ' 6d Nip,n~ Sump /Trcnch $cnsor{s). Modal: St.+~.p~.~~ev~ _ ~ Piping S+,mp /Trench Sensor(s). !s~SF.J{SOY' Model: S ~l Fill St+mp Scnstx(e). Model: ^ FiII Sump Sensor(s). Model; „_._.- ~^ Mechanical Linc I,cak fJetcctnr. Model: ^ Mechanical Lirte Leak Detector, Model: ^ E1ectronlc Linc Leak Detecror, Mndcl: O Electronic Line l.~Cnk Dctr~eror. Model: ,_ .._ ^ T:ink Overfill / Higlt-Level $cnsnr. Model: ^ Tank Overfill !High-Level Sensor, 'A•lodcl: U Other (s,ccif c ni mrnt t • e and model in $ccrion E on Pa ~c 2). Q..-(7ther (s cif a ui nt t c sod model in 5ectipn E nn Pa~,c 21. Tank [1 ]: r~ Tnnk ID: . _ (~ I+o= f':mk [iae+~!in!, Prultz. _ Model: _ CI In-Tank Gauging Probe. MGdcl: _ _._ Anru+lur Space pr V:,ult Sensor. Mode[; ~ ^ Annular Space or vault Sensor. Model: .. ._~- Pip+n~ Sump/ Trench 5ensr,r(sl. Modal: -$Ww~ 5etefar ^ Pipine Sump !Trcnch Sensor(s). Model: , _„ V Fill Sump 5cnsor(sl. Model, ---_-..._ _..- ^ Fill Sump Sensor(s). Mudcl: ,,._-- ^ Mechanical Line Leak Drrcctor. Model: ^ Mccltanic•11 Linc Leak Detector. Mndcl:,_„ ^ Efectthnic Linc l..cak Detector. Modc1: _._ ~ ^ Electronic Line Leak 1)enccurr_ Model: .___.. ^ Tank Qvcrlill 1 Mligh-Level ScnSOr. Mocfcl: ^ Tank Ovcrftll l Hiph-Level Sensor, Model: iJ Ollter (specif a ui mcnt t • artd modal in 5ecti0n E on Pa•,e 2). ~ -.._- ^ Other (s ecif a ui ment t and model in Section E on Pn~e 2). _ _ Uispcnscr ID: birrpen4er I)Q: _ _ IJ I]ispcnr-cr Comaintnen+ 5cntor(cl Mtxlui: Y U Dispenser Containment Sensor(s), Mndcl: y"~ Shear Valve(c1, ©S1,cnr Valves}_ - uis acnscr Containment ~loat(cj find Chain(s). ¢ O .L)is nscr tronrainment Float(s) and Chains . Dispenser ID: "'~ r, Dispenser ID: __- CI Di>pen5cr Containment Sensor(s). Model: ^ Dispenser Gontainmcnt $cnsoY(R). (vjodel: ___ f5a Shear Valve(sl. O 5liear Vt+lvc(s). ' ~. Qis nscr Contninmcns Flttat(s} and Chain(s). ^ pis cnser Containment Floats} and Chain s). 1)ispenscrlD: _...,,- pislsenscrID:, ---- ^ I)ispcnscr Comainmem Sensnr(sl. Model: Q Dispenser Comsinment Sensor(s). MudeL• .,. 1.] Shear Valve(sl, ^ Shear Valve(s), ^C)+s,enser Containment Floai(sl ~+~ Chains . ^ Dis enscr Containment Floats} and Chains . 'li'the I'a4ility contains mnrC tanks or dispensers, ropy tills frxm, include inlnrmahon t'Or ev¢ry tantc ana aspenscr s[:nc nnn+y. C. CQt`t1~CatlUn - I terrify that the e~uiptttent identified in this dnetunent wtts in5pectecUserviced In s+ccnrdnnce with the ntanur:,cwrcrs' gnidelines. Att~chcd to [his CertiC~tien is infarnntion (e.g_ mstnufscturers' cJeeckHsts) necessary to verify that this inform;eti++n is correct and a Plot 1}1an showing the layout a[ ntpnitOring equipment. k'or any equipment capable of gcrtcrntin~ sorb repnrta, 1 have nlsrt ~tl:tched a espy or the re ; (check all:lest apply : ^ System set-up ^ lat'ttt ItiBMry report T4chnieian Name (priori: ~'' Signnturc: ~*.~-~~ i~'i'+~' -- -.~.- Ccrtificutinn No.; ~~'~O$=~,._ _.-_ 1.icCnse. No.. ~~~,7a ~ Tcs(ittgCompanyName: C~I~~~~y~t,~+~hh~.~M'~ _-- PltOneNo.:~__.__+~.-~ ~~~~-~~~~-~...•- Sitc Addrrss: ~„~~d? 5• fJL.;afr ~?~~Y`~-~1~~~~ ~~--.r Date of Testing/Servi4ing: ~~ _p~. Pngc I of ~ n3/t11 h7nnitnring System CertiCcatinn ~ U. It~ults of '~"esl.iugl~ervicing Software Versitsu lnstallccl: ~izyda ~, Ycc ^ No* Is the audible alarm o entional? - ka Ycs ^ No`" Is the visual Alarm o eratianal? C7 Yes ~ No" Werc a1) sensors visual) ins tcd, FunCtignali tested, and conftrmed o erational? ^ Yes j~ No" Wcre all sensors installed at lowest point of secondary Containment and positioned so that other cquiprnen[ will opt interfere with their ro er o ration? ^ Yes ^ NO* Ii' alarms arc relayed to a remote monitoring 5kation, is all Communications equipment (e.~. mtydcm) ~ NJA operational? ~iC Yes ~ Nn* For pressuriud pipin4 systems, dots the rurhine automatically shut down if the piping secondary containment ^ NIA monitoring system detects a leak, fails t0 operate; or is clcc[rieally disconnected? IF yes: which sensors initiate pasitivc shut-down? (C-trrk a!) tltot n. p~1y) ~ SumpfTrcnch SCngors; ^ I7ispenscr Containment Sensors. Did ou confirm sitive shut-down due to leaks..and sensor failureldisconnection? ~YC+; ^ Nu. ^ Ycs ^ No'° For tank systemc that utiliac the monitoring system as lht prirnary tank overfill ~varnin~~ clcvirc (i.c. no ~ NIA mcchzlnical pvcrfill prevention vt~IvC is instal[ed): is the ovcriFEl warning alarm visible a,xt audible :tt the tank till oin[ s) and n cretin ro crl ? if so, at what rcent of [ank ca aci does the alarm tri ter'? '%r. Cl Yes°~° No Was any monitoring equipmcn[ rcplACed? tf yes, identify specific sensors. probes, or other equipment replaced and [i5t the manufacturer name and model for a11...ne lacCrnent efts in Section E, below. 1~ YGc°'° }'$~ No Wac liquid found inside any secondary Conkainment systems designed as dry systems? (Cl~gt-k al! rhea erppJt•J ^ Product:"Water. If s, describe Causes in Section E, bclaw• Ycs ^ No* Was moni[orin, s stem set-u rcvicwCd tq ensure ro er SCttin s? Attach set u re rts. ii' a licable ~ Ycs No* is elf monitorin ui ment o CrEtionel er manufacturer's s ecifications? - * In S¢Ction @, below, describe now and tivnen tn¢s¢ p¢t"~C~Crtcics were ar wm oe evrrecieu. E. Comments: -~ _.Gy?Mrtii Se-~e~5 W Q ~ =' ~+' ~ ~~ ~Jgr~l~Y ~~!8.><Al' ~ab/~ iS~'' ~S~iOY"]". ~ 9t Se~otr' rwi~! DoT cflr~r~ ®~-~ ~~ d~~l'd?~,,,_~~~ ~~ ~~~ .~k~~'f~.~P~~"1 ana~r,~~e~re~„~'s t~o~~~tz'.~e~.~t~9 t>'~-c cf~,.~~rer• ~rl, ~f..._ P:+~e Z of 3 U31u 1 r ~'. in-Tank Gauging / SIB Equipment: f~-Ch~Ck this bnx if•tank gauging is used only for inventory control. CJ Chteck this box if no tank gauging or SlR equiNrnuu. is installed. This section must' Eae completed if in-tank gauging equipmt~n# is used to perform leak detection monitol-ing• ~.om tet ^ Yes e u>;e roun L1 No* wrn cnecrursr. FYas al! input wiring been inspected For proper entry and terttlinErtion, including t4gting For ground fauns? ^ Yes ^ No* WcrC 111 tank gauging probes visually inspected fr5r damage and residue buildup? ^ Yes La Ncr* Was accuracy of system product Icycl readinlts tested? ^ Yes ^ Nq'~ Was accuracy of tiystern water level readings testCCi? ^ Yc. ^ No* WcrC all probes rt:inStallCd properly? ^ Ycs ^ No* Were al! items on the equipmcnl manufacturer's maintenance checklist completed? "' In the Section H, below, de5crtbe now anp wnen u~ese uenciencres M•cre m- wtu ve correc~eo. G. Line l;,t:ak De#eclt-r5 (i,Llb): ~+ +Check this box if LLDs are not installed. ^ Ycs L7 No# For equiprnent start-up or arnural equipment ccrtfi~ation, was a Icak SimulatEd to vCril'y LLD performance',' ^ N!A ({7:rrrk ull llaat apply) Simulated Icak rate: ^ 3 g.p.h.; ^ (1.1 g"p.h ; ^ 4.2 g.p.h. ^ Yeti ^ No'" Were all LLDs confirmed operational and accarai:~ within regulatory requirements? ^ Ycs V No* Was the testing apparatus properly calibrated? O Ycs ^ No* For mechanical LLDs. doeh the LLD restrict product Flow if it detects a Icak? ^ N/A ^ yes ^ Nc,* Ft?r electronic LLps, does the turt,ine automatically shut oFf if the LLD def~cta a leak? O N/A ^ Ye: Q No"' Far electronic LLDs, dots the turbine automatically shut off if any portion oY the monit4rin; systcrn is disabled ^ NIA or clisconnectCd? ^ Yet ^ No" For elECnbnic Ll_Ds. does the turbine automatically shut nff if any portion of tha monitoring cyctem mtrtfunctions ^ N!A or fails a test? ^ Ycs U Nun. For electronic I,.L.Ds, have all accessible wiring ct7ttiltiCCtipns been visually inspected? O NIA, ^ Yes d No* Were all items on the equip~r+ent rnanufacnircr'S maintenance chctlclist completed? '" In the Sectir-n F•1, belp~v, aegerrae np~v nnu wnen these agtrcrencres ,rerE ar rv~u crc nrrr~~~ca~. H. Comments: ~~ ~'l~~(~r~~L~•1 I '1a~_ Gae/ ~ ~ ~~P.~ Page 3 oC3 nirrtt Monitoring System Certifcation S~tC AttctreSS: j ~ 1<JST~onito//r±>< S~e 1}laln ~~ _ ~~~ _ _, Dace map was drawn: ~/ ~' / ~~ . instructitilns if you already have a diagram that shows ail requlrcd infomtaton, you may include it, rather than this page, with your Monitoring System Certification. On your si[c plan., slow tltc general layout of tanks and piping- Clearly identify locarians of the following equipment, if installed: monitoring system control panels; sensors monitoring- tank annular spaces, sumps, dispenser pans, spill containers, or other seeondaey containment areas; mechanical or electronic lint teak detectors; and io-tank liquid level probes (if used for leak detection). In the space provided, note tlae .date this Site Plan was prepared. Page ~ af~, Demo SWRCB, Jarn~ary 2006 ~' Spiil Bucket 'Vesting ~e~ort Form This form is intended far usF vy contractors perfonrzing ar:rtual testfrtg of IJSTspill Cpntainment structures. The eompJetn_rl forth and pTr~siours fmm tests (if applicable), sltortld be provided to the faCility~ pwnct/operator fdr st1bmittal tv the local regul[rror1~ agency. ~.. FA~X~~TY INFOI;~MATION __ __ ~acality Namc: (,! ~ • Date of Testa Facility Address: 172,p_ __=~hrr?Lt d~/ ' Facility Contact: Phone: i.7ate Lbcai Agency Wyss Notified of Testing Name a4' Local Agency inspcclbr (ff present during testing): _~~ - 2: TES'z';<NG CONTRACT~~ ~jVF01tN1<A~'ION Company Name: iYtBh Technician Conducting Test: ~,~.~ fir, ~~ C.:redentials~: CSLB Contracto iCC Service Tech. SWRCB Tank Tester Other i.,icense Number{ s): 7~f yl~ ~ _ z c1Dii T RiT~`KFT TFCTtNt< iIVFl11tMATTt71~1 CF,R'CIFICATiOIY lJF TEC~iNICIAN 1<tF,SPONSIBLE P'QR CONDVCTTNG Tl~l<S TESTING I lrerehy certrf9 that aU thc~ itefarmation torttaincd in tl-is report is true. accurate, and i-r fuli eutrtplianec with legal requirements. Technician's Signaritre: re~._ . \ L7ate: ~ 2S-a_6 _. ~ 5tate laws and regulations do not Currently rtq~iire testing to be perfbrmcd by a qualifted contractor. However, local tequiremcnts may bt rtlt~re stringent, (,'()ttlltlBtatR - (include infnrrntrtiv-r on repairs made prior to tesrin,~, and recommended follntr-up for failed tests) J r W~ ~~~ ~ ~ ~ ~ ~ 1 ~ ~ ~ ~~ ~ ~~ ~ ~~~ t 3~~ _! ~3 a ~R ~6 ,~ ~i~ ~~~(~~~I F/RE wRrM T March 31, 2006 RONALD J. FRAZE FIRE CHIEF Mr. Ali Mohamed Alkosin USA Liquors - Gary Hutton, 1720 S. Union Avenue Senior Deputy Chief Administration Re: Failure to Perform /Submit Annual Fuel Monitor Certification 326-3650 Deputy Chief Dean Clason NO`T'ICE OF VIOLATION & Operations/Training SCII~IIULE FOR COMPLIANCE 326-3652 Dear Ali Mohamed Alkosin; Deputy Chief Kirk Blair Fire Safety/Prevention Services Our records indicate that your fuel monitor certifications is due/past due on 326-3653 04-07-06. You are or will be in violation of Section 2638(a) California Code of Regulations, 2101 "H" Street Title 23, Division 3, Chapter 16. Bakersfield, CA 93301 OFFICE: (661) 326-3941 "All monitoring equipment shall be installed, calibrated, operated FAX: (661)852-2170 and maintained in accordance with manufacturers instructions, and certified every 12 months for operability, proper operating condition, and proper calibration." RALPH E. HL1EY, DIRECTOR PREVENTION SERVICES Therefore you have 30 days (Apri127, 2006) to comply. Failure to comply may FlRE SAFETY SERVICES • ENVIRONMENTAL SERVICES result lri revocation of your P'etmit to Operate. 900 Truxtun Avenue, Suite 210 Bakersfield, CA 93301 OFFICE: (661) 326-3979 Should you have any questions, please feel free to contact me at 661- 326-3190. FAX: (661) 852-2171 Sincerely yours, . David Weirather Fire Plans Examiner Ralph E. Huey, 326-3706 Director of Prevet'ltion Services ~1 Howard H. Wines, III Hazardous Materials Specialist By: Steve Underwood 326-3649 Fire Prevention Officer REH/SU/db "SerFving the Community ~'or~l~lore ~ianA Century" Per it to Operil.te Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS O'F -PERMIT ON REVERSE SIDE. This pennit is issued for the following: .',' ~ ItJ Hazardous Materials Plan I till} / //",.--'/ / ' ,-'./ ' o Underground Storage of Hazardous Materials ".~ ~ Permit ID #:: 015-000-000409 A§"" , HE:' o Risk Management Program "~~ f1l'" :' "t, o Hazardous Waste On-Site Treatment ,;,'1' '~'~ _: ,"""'...:.. .15.,,',' .'; USA LIQUOR . : ~i ¡! . '. ~ ,~~.:: ~iJ'J'"".......< ~Jt .1.\ ¡< ~~.t:,. ~ -(.~ j"<I,1I'~ ¡',,,f',,1r' iì P' ''; j:¿ ,<:,,, ~ ¡ i ~ . Ji' ...I' f,lOr ~ , "," 'lì"~J''' LOCATION: 1720 S UNION AVE I:..\~ '''BA-KË'RSf "'-'!": . j;..... \0.-.(" ) , (;CA', l'Ii." H '.:J- ~\¡~...ç '" Ii " ';'. . "¡<A. "', p" "; l~ 'I /".; .\\'l.' ,,",:"/~j , '<!:." J. ~ .tc_ * ~ TANK HAZARDOU$:,'S(¡ß~ANŒ """,,,,,,ÇAf 015-000-000409-0001 REGULAR GASOl:1N6' :.Jfi"".... _.J~-, 015-000-000409-0002 PREMIUM UNLEAþE$ GASPLlNE~.~ ~~ 015-000-000409-0003 UNLEADED GASOLINE ~~ , " ,...:' / f.~ '! , .J ' '···)'Y ¡. \ ¡~~u~~ ~ý~ it" >" ,- 'Q~ ,,';; y, ii" \b~~ ----..,~ \' ~~~,~~,) . J~, ~1*'":"'~.,.~ ,":',.: ¡,t! .\~ ~ø '",( ,.' ,:' ,.:''''' ,{.';' : . Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., 3rd Floor Approved by: _ Bakersfield, CA 93301 Issue Date Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: -,,- Hl\tMp ,",' SITE DIAGRAM Business Name: Business Address: PLA14. MAP. FACILITY DIAGRAM For Office Use Only First In Station: Area Map # of NORTH -0 Inspection Station: I J i 0 · ~C( -11 Hþ ~~ I b « +-:c. -fr;; c: r. 3 'f L"' \?" ð~ ~~-- # J?~ Vt1-~~'p~d f&Ð fl'? ~ cY ~J I 1- , - --- -- ~----- ----- - }oJvJ -~{)~:- ~. tV ~ ________- ------- /"0 1)1. ii: aØ NiJÞC- 'T ' J ~ ~ -rai-f# otl{1øcf ~ --- ;C:-' -- tt_ ~, "' CWHILEVOU WEREAWA v) FOR DATE A.M. P.M. M OF? SIGNED ~ i1 v.f (70 ~ ~0'tQ.J -- 1 uJ~~ cjo vJ (701 Df.r\oJJ ( ~~~ - - '1~ I ~; - -- - .. '- . ...------- " -- ... USA LIQUOR - SiteID: 015-021-000409 Manager : Location: 1720 S UNION AVE City BAKERSFIELD CommCode: BAKERSFIELD STATION 05 EPA Numb: BusPhone: Map : 124 Grid: 08A (661) 832-0457 CommHaz : Low FacUnits: 1 AOV: SIC Code:5541 DunnBrad: Emergency Contact / Title Emergency Contact / Title ALl MOHMED ALKORIN / OWNER / Business Phone: (661) 832-0457x Business Phone: ( ) - x 24-Hour Phone : (661) 833-8919x 24-Hour Phone : ( ) - x Pager Phone : (661) 397-6713x Pager Phone : ( ) - x Hazmat Hazards: Contact : MailAddr: 1720 S UNION AVE City : BAKERSFIELD Owner Address City ALl MOHMED AL KORBIN : 1720 S UNION AVE : BAKERSFIELD Period : Preparer: Certif'd: parcelNo: to Emergency Directives: Fire ImmHlth DelHlth Phone: (661) 832-0457x State: CA Zip : 93307 Phone: (661) 832-0457x State: CA Zip : 93307 TotalASTs: = Gal TotalUSTs: = Gal RSs: No I, ¡4t. ì . 1'1' A J.. /~lt>~rebY certify that, have (Type or print name) reviewed the attached hazardous materials manage- ment plan for USA ,¿,. ,~I(and that it along with (Name 01 Business) any corrections constitute a complete and correct man- agement plan for my facility. {)L Signature \, -1- - ~ - . . ' .tþ;", , -, ~., ..,....'" :3- '31- &4 Date 03/30/2004 e e . F USA LIQUOR SiteID: 015-021-000409 ì STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: USA LIQUOR Cross Street : Business Type: Org Type: Total Tanks : IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : Phone: ( ) - x Address: City : State: Zip: Type : TANK OWNER INFORMATION Name : Phone: ( ) - x Address: City : State: Zip: Type : BOE UST Fee# : UNKN'OWN Financ'l Resp: STATE FUND Legal Notif : Date:10/27/1999 Phone: (661) 832-0457x Name:ALI M. ALKORIN Ttl:OWNER State UST # : 1998 Upg Cert#: 00733 -2- 03/30/2004 e e SiteID: 015-021-000409 =¡ By Facility Unit =¡ Fixed Containers on Site =¡ specHazEPA Hazards Frm I DailyMax IUnitMCP F IH DH L 10000.00 GAL Mod F IH DH L 10000.00 GAL Mod F IH DH L 10000.00 GAL Mod F USA LIQUOR f= Hazmat Inventory p== MCP+DailyMax Order Hazmat Common Name. . . REGULAR GASOLINE PREMIUM UNLEADED GASOLINE UNLEADED GASOLINE -3- 03/30/2004 e e SiteID: 015-021-000409 9 Facility Unit: Fixed Containers on Site 9 F USA LIQUOR f= Inventory Item 0001 === COMMON NAME / CHEMICAL NAME REGULAR GASOLINE Days On Site 365 Location within this Facility Unit UNDERGROUND Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 5000.00 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 F IH DH / / / Mod 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 -4- 03/30/2004 e e F USA LIQUOR SiteID: 015-021-000409 ì f= Inventory Item 0001 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: UNDERGROUND TANK DESCRIPTION Tank ID#: 1 Mfr: A.O. Smith Installed: 5/1988 Capacity: 10000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL Matl Name:REGULAR GASOLINE TANK CONTENTS Petrol Type: REGULAR UNLEADED Cas #: 8006-61-9 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 : 1999 Drop Tube : 1998 Striker Plate: 1998 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 1999 LEAK DETECTION Dbl Wall: INTERSTITIAL MONITORING Installed: Installed: Exempt: No TANK Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -5- 03/30/2004 e e F USA LIQUOR SiteID: 015-021-000409 9 f= Inventory Item 0001 Facility Unit: Fixed Containers on 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 AMERON FIBERGLASS AboveGround Piping FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: DISPENSER CONTAINMENT Type: NONE OWNER/OPERATOR SIGNATURE Date: 10/27/1999 Name:ALI M. ALKORIN Prmt Number: 0409 Ttl:OWNER Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :04/29/1994 CP CERT. : MANWAY INSP. : 07/01/1999 UST MONIT. CERT:11/25/2003 -6- 03/30/2004 e e SiteID: 015-021-000409 ì Facility Unit: Fixed Containers on Site ì F USA LIQUOR f= Inventory Item 0002 === COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit UNDERGROUND Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 5000.00 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 F IH DH / / / Mod 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 -7- 03/30/2004 e e F USA LIQUOR SiteID: 015-021-000409 ì p= Inventory Item 0002 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: - Location In Site: UNDERGROUND TANK DESCRIPTION Tank ID#: 2 Mfr: A.O. Smith Installed: 5/1988 Capacity: 10000 Gals Additional Info: Compart Tank: N No. Of Comparts: TANK CONTENTS Tank Use: MOTOR VEHICLE FUEL Petrol Type: PREMIUM UNLEADED MatI Name:PREMIUM UNLEADED GASOLINE Cas #: 8006-61-9 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 : 1999 Drop Tube : 1998 Striker Plate: 1998 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 1999 LEAK DETECTION Dbl Wall: INTERSTITIAL MONITORING Installed: Installed: Exempt: No TANK Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -8- 03/30/2004 e e F USA LIQUOR SiteID: 015-021-000409 9 f= Inventory Item 0002 Facility Unit: Fixed Containers on 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 AMERON FIBERGLASS AboveGround Piping FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 11/25/2003 Date: 10/27/1999 Name:ALI ALKORIN Prmt Number: 0409 DISPENSER CONTAINMENT Type: DISP. PAN LIQUID SENSOR & ALARM OWNER/OPERATOR SIGNATURE TANK/LINE TEST :04/29/1994 CP CERT. : MANWAY INSP. :07/01/1999 UST MONIT. CERT:11/25/2003 Ttl:OWNER Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED PASS -9- 03/30/2004 e e SiteID: 015-021-000409 9 Facility Unit: Fixed Containers on Site 9 F USA LIQUOR p= Inventory Item 0003 == COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit UNDERGROUND Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 5000.00 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 F IH DH / / / Mod HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined8: I-- Ag. Define11 -10- 03/30/2004 e e F USA LIQUOR SiteID: 015-021-000409 9 f= Inventory Item 0003 Facility Unit: Fixed Containers on Site 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: UNDERGROUND TANK DESCRIPTION Tank ID#: 3 Mfr: A.O. Smith Installed: 5/1988 Capacity: 10000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL MatI Name:UNLEADED GASOLINE TANK CONTENTS Petrol Type: REGULAR UNLEADED Cas #: 8006-61-9 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 : 1999 Drop Tube : 1998 Striker Plate: 1998 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 1999 TANK LEAK DETECTION Dbl Wall: AUTOMATIC Installed: Installed: Exempt: No TANK GAUGING Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -11- 03/30/2004 -- e F USA LIQUOR SiteID: 015-021-000409 9 f= Inventory Item 0003 Facility Unit: Fixed Containers on 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 AMERON FIBERGLASS AboveGround Piping FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 11/25/2003 Date: 10/27/1999 Name:ALI M. ALKORIN Prmt Number: 0409 DISPENSER CONTAINMENT Type: DISP. PAN LIQUID SENSOR & ALARM OWNER/OPERATOR SIGNATURE TANK/LINE TEST :04/29/1994 CP CERT. : MANWAY INSP. : 07/01/1999 UST MONIT. CERT:11/25/2003 Ttl:OWNER Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED PASS -12- 03/30/2004 .. ..,'t: -- - Manager : Location: 1720 S UNION AVE City BAKERSFIELD BusPhone: Map : 124 Grid: 08A SiteID: 015-021-000409 $J>3é}-o451- (661) 03'7 lS1'T CommHaz : Low FacUnits: 1 AOV: USA LIQUOR CommCode: BAKERSFIELD STATION 05 EPA Numb: SIC Code:5541 DunnBrad: Emergency Contact / Title Emergency Contact / Title ALl MOHMED ALKORIN / OWNER / Business Phone: (661) 832-0457x Business Phone: ( ) - x 24-Hour Phone : ($61) ß 3.5- B'1 \ c,x 24-Hour Phone : ( ) - x Pager Phone : (~b\)'3q-:rb1\3x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth , Contact : Phone: (661) 837-1511x MailAddr: 1720 S UNION AVE State: CA City : BAKERSFIELD Zip : 93307 Owner ALl MOHMED AL KORBIN Phone: (661) 837-1511x Address : 1720 S UNION AVE State: CA City : BAKERSFIELD Zip : 93307 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: I, ~~ Do hereby certify thai I have reviewed the attached hazardous materials manage- ment plan for l1. ..5.A , ~ U ð£~nd that it along with (N~ insssÎ any corrections constitute a complete and correct man- agement plan for rAY facility. 1 !J.'q!â£W, -1- 07/15/2002 " - e F USA LIQUOR SiteID; 015-021-000409 9 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: USA LIQUOR Cross Street : Business Type: Org Type: Total Tanks : IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : Phone: ( ) - x Address: City : , State: Zip: Type : TANK OWNER INFORMATION Name : Phone: ( ) - x Address: City : State: Zip: Type : BOE UST Fee# : UNKNOWN Financ' I Resp: STATE FUND Legal Notif : Date:l0/27/1999 Phone: (661) 832-0457x Name:ALI M. ALKORIN Ttl:OWNER State UST # : 1998 Upg Cert#: 00733 f= Hazmat Inventory One Unified List 9 f== Alphabetical Order All Materials at Site 9 Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP PREMIUM UNLEADED GASOLINE F IH DH L 10000.00 GAL Mod REGULAR GASOLINE F IH DH L 10000.00 GAL Mod UNLEADED GASOLINE F IH DH L 10000.00 GAL Mod -2 - 07/15/2002 e e SiteID: 015-021-000409 9 Facility Unit: Fixed Containers on Site 9 F USA LIQUOR f= Inventory Item 0002 === COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit UNDERGROUND Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 5000'.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ;r] CAS#8006619 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS f= Inventory Item 0001 === COMMON NAME / CHEMICAL NAME REGULAR GASOLINE Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit UNDERGROUND Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 5000.00 GAL %wt. I 100.00 Gasoline HAZARDOUS COMPONENTS GrJ CAS # 8006619 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS -3- 07/15/2002 e e SiteID: 015-021-000409 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 F USA LIQUOR f= Inventory Item 0003 === COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Location within this facility Unit UNDERGROUND Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 5000.00 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 F IH DH / / / Mod HAZARD ASSESSMENTS -4- 07/15/2002 e e SiteID: 015-021-000409 ì Fast Format ì Overall Site ì 10/25/2000 F USA LIQUOR I f= Notif./Evacuation/Medical Agency Notification EMERGENCY 911., CALL FIRE DEPT 326-3911. CALL CALIFORNIA SPILL REPORTING HOT LINE 1-800-852-7550. ¡: Employee VERBAL. Public Notif./Evacuation 10/25/2000 ] 10/25/2000 ] 10/25/2000 Notif./Evacuation VERBAL. Emergency Medical Plan CALL 911 TO TRANSPORT TO KERN MEDICAL CENTER ON FLOWER ST. -5- 07/15/2002 e e SiteID: 015-021-000409 9 Fast Format 9 Overall Site 9 12/17/1991 F USA LIQUOR I f= Mitigation/Prevent/Abatemt Release Prevention TEXACO HAS VERY MODERN EQUIPMENT FOR RELEASE PREVENTION, AS THEY INSTALLED AND OWN ALL EQUIPMENT. Release Containment 12/17/1991 EQUIPMENT IS ALL EQUIPPED TO MINIMIZE ANY TYPE OF RELEASE OR SPILL. Clean Up 03/11/1998 A PRODUCT OF ABSORBENT MATERIAL IS KEPT ON HAND FOR EVEN THE SMALLEST OF SPILLS. Other Resource Activation -6- 07/15/2002 · " e e SiteID: 015-021-000409 9 Fast Format 9 Overall Site 9 I F USA LIQUOR I f= Site Emergency Factors ~ Special Hazards Utility Shut-Offs 03/11/1998 A) GAS - BACK OF BLDG B) ELECTRICAL - BACK RM INSIDE MAIN C) WATER - IN FRONT OF MAIN BLDG D) SPECIAL - NONE E) LOCK BOX - NO BLDG Fire Protec./Avail. Water 10/25/2000 PRIVATE FIRE PROTECTION - NONE. NEAREST FIRE HYDRANT - CORNER OF OLD YARD RD AND S UNION AVE. Building Occupancy Level -7- 07/15/2002 · e e SiteID: 015-021-000409 9 Fast Format 9 Overall Site 9 03/11/1998 F USA LIQUOR I F Training Employee Training THE ONLY EMPLOYEES AT THIS FACILITY ARE THE OWNERS. WE HAVE MSDS SHEETS ON FILE IN THE OFFICE. GIVE A BRIEF SUMMARY OF YOUR TRAINING PROGRAM: WE ARE BOTH VERY WELL FAMILIARIZED WITH EMERGENCY PROCEDURES. Page 2 [ I I Held for Future Use Held for Future Use o -8- 07/15/2002 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 MHo Slreet 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 Chester Ave, Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester 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 . .; May 3,2001 Mr. A1i Mohamed Ackorin USA Liquor 1720 South Union Avenue Bakersfield, CA 93307 Dear Mr. Ackorin: Enclosed, please find the Site and Facility Diagram Instructions packet. When your Hazardous Materials Management Plan and Inventory were submitted it was lacking the diagram portion. Please draw and submit the diagram( s) of your facility by June 8, 2001. The diagram should include the following: 1) 2) 3) 4) 5) 6) 7) 8) name of your business; business address; indicate which direction is North; the cross streets neighboring business addresses (within 300 feet) entrances and exits location of utility shut-offs; location of the nearest fire hydrant; portions of the building protected by automatic sprinkler system; and most importantly the location of the hazardous material(s), 9) If you have any questions, please feel free to call me at (661) 326-3658, Thank you for your assistance, Sincerely, RALPH E. HUEY, DIRECTOR OFFICE OF ENVIRONMENTAL SERVICES (2cl Esther Duran, Accounting Clerk II Office of Environmental Services ED\db Enclosures ~"c"'/-' . 1/) (f;." . (')"'"' /.:///' r:J7"Þ), // cz;.'> " .]e/"ou~?, ÚUÞ (.J(}//l/.rUUU/~ .Y:ò/~ ____/p(:}o/"e .!Y/U7/b ../(;J LJ£Yl&//'r ~ i It - USA LIQUOR SiteID: 015-021-000409 Manager : Location: 1720 S UNION AVE City BAKERSFIELD BusPhone: Map : 124 Grid: 08A (805) 837-1511 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 05 EPA Numb: SIC Code:5541 DunnBrad: Emergency Contact / Title Emergency Contact / Title ALl MOHMED ALKORIN / OWNER / Business Phone: (805) 832-0457x Business Phone: ( ) - x 24-Hour Phone : (805) -#-3-S - 1/ 0 l~ 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : Phone: ( ) - x MailAddr: 1720 S UNION AVE State: CA City : BAKERSFIELD Zip : 93307 Owner ALl MOHMED AL KORBIN Phone: (805) 837-1511x Address : 1720 S UNION AVE State: CA City : BAKERSFIELD Zip : 93307 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: 1 ~ J+et:.., A LKJ4if)Do hereby certify ~hat \ have , (Type or print name) , reviewed the attached hazardous materials manage- I ment Plan for U' 5 t;2, L I <:land that it along with (Name 0 BUSiness) any corrections constitute a complete and correct man- agement plan for my facility. ~d1~ <> Signature (0 -~4. --.;)...~ Date -1- 10/24/2000 e e F USA LIQUOR E CONTAINER DATA UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: USA LIQUOR Cross Street : Business Type: Org Type: Total Tanks : IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : Phone: ( ) - x Address: City : State: Zip: Type : TANK OWNER INFORMATION Name : Phone: ( ) - x Address: City : State: Zip: Type : BOE UST Fee# : UNKNOWN Financ'l Resp: STATE FUND Legal Notif : Date:10/27/1999 Phone: (661) 832-0457x Name:ALI M. ALKORIN Ttl:OWNER State UST # : 1998 Upg Cert#: 00733 STORAG SiteID: 015-021-000409 ~ One Unified List 1 All Materials at Site 1 SpecHaz EPA Hazards DailyMax MCP F IH DH L 10000.00 GAL Mod F IH DH L 10000.00 GAL Mod F IH DH L 10000.00 GAL Mod p= Hazmat Inventory p== As Designated Order Hazmat Common Name... REGULAR GASOLINE PREMIUM UNLEADED GASOLINE UNLEADED GASOLINE -2- 10/24/2000 e e F USA LIQUOR p= Inventory Item 0001 F= COMMON NAME / CHEMI CAL NAME REGULAR GASOLINE SiteID: 015-021-000409 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UNDERGROUND Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 5000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # I 8006619 TSecret RS BioHaz Radioactive/Amount EPA Ha,zards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS p= Inventory Item 0002 F= COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED GASOLINE Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UNDERGROUND Map: Grid: CAS # 8006-61-9 [ ~TA~E I TYPE ---r: P~ESSURE --r TEM~ERATURE I =L~qu~d __pure ~Amb~ent ---1 Amb~ent ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum 10000.00 GAL 10000.00 GAL CONTAINER TYPE UNDER GROUND TANK Daily Average 5000.00 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 F IH DH / / / Mod HAZARD ASSESSMENTS -3- 10/24/2000 e e F USA LIQUOR p= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE SiteID: 015-021-000409 1 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit UNDERGROUND Map: Grid: CAS # 8006-61-9 [ ~TA~E I TYPE ~ P~ESSURE -¡ TEM~ERATURE I CONTAINER TYPE =L1qu1d __pure ~mb1ent ---1 Amb1ent ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 5000.00 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 F IH DH / / / Mod HAZARD ASSESSMENTS -4- 10/24/2000 e e í USA LIQUOR ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000409 ¡ íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëFastForrnat j íë Notif.lEvacuationlMedical ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Agency N otification ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 12/17/1991 j o 0 o EMERGENCY 911 o CALL FIRE DEPARTMENT 326-3911 o CALL CALIFORNIA SPILL REPORTING HOT LINE 1-800-852-7550 o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Employee Notif.lEvacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 12/17/1991 j o 0 o VERBAL o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Public Notif.lEvacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 12/17/1991 i o 0 o VERBAL o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Emergency Medical Plan ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 12/17/1991 j o 0 o CALL 911 TO TRANSPORT TO KERN MEDICAL CENTER ON FLOWER STREET. o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf o o -5- e e 10/24/2000 e e í USA LIQUOR ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000409 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j íë Mitigation/Prevent! Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 12/17/1991 j o 0 o TEXACO HAS VERY MODERN EQUIPMENT FOR RELEASE PREVENTION, AS THEY INSTALLED 0 o AND OWN ALL EQUIPMENT. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 12/17/1991 ¡ o 0 o EQUIPMENT IS ALL EQUIPPED TO MINIMIZE ANY TYPE OF RELEASE OR SPILL. o 0 o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/11/1998 i o 0 o A PRODUCT OF ABSORBENT MATERIAL IS KEPT ON HAND FOR EVEN THE SMALLEST OF o SPILLS. 0 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -6- 10/24/2000 e e í USA LIQUOR ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000409 i íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëFastForrnat j íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Special lIazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/11/1998 i o 0 o A) GAS - BACK OF BLDG o B) ELECTRICAL - BACK RM INSIDE MAIN BLDG o C) WATER - IN FRONT OF MAIN BLDG o D) SPECIAL - NONE o E) LOCK BOX - NO o 0 o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Fire Protec./Avail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/11/1998 i o 0 o PRIVATE FIRE PROTECTION - NONE o o o o o o o o NEAREST FIRE IIYDRANT - CORNER OF OLD YARD RD AND S UNION AVE. o 0 o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -7- 10/24/2000 e e í USA LIQUOR ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000409 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Fornnat j íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/11/1998 j o 0 o THE ONLY EMPLOYEES AT THIS FACILITY ARE THE OWNERS. o o o o WE HAVE MSDS SHEETS ON FILE IN THE OFFICE. o o o o GIVE A BRIEF SUMMARY OF YOUR TRAINING PROGRAM: WE ARE BOTH VERY WELL o FAMILIARIZED WITH EMERGENCY PROCEDURES. 0 o o o âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ 0 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf .1 ~i - ECEIVED MAR 1 0 1998 BÝ: - USA LIQUOR SiteID: 215-000-000409 ::; Manager : Location: 1720 S UNION AVE City BAKERSFIELD CommCode: BAKERSFIELD STATION 05 EPA Numb: = BusPhone: Map : 124 Grid: 08A (805) 837-1511 CommHaz : Low FacUnits: 1 AOV: SIC Code:5541 DunnBrad: Emergency Contact / Title Emergency Contact / Title ALl MOHMED ALKO~IN / OWNER ~3~ 0 &..J.5 1- / Business Phone: (805) 837 1 álhc Business Phone: ( ) - x 24-Hour Phone : (805) -ßJ~ 1201xB3~ 24-Hour Phone : ( ) - x Pager Phone : ( ) - x 6''15 f- Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Emergency Directives: One Unified List ì All Materials at Site ì f= Hazmat Inventory f== MCP+DailyMax Order Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP REGULAR GASOLINE PREMIUM UNLEADED GASOLINE UNLEADED GASOLINE F F F IH DH IH DH IH DH L L L 10000 GAL 10000 GAL 10000 GAL Mod Mod Mod I, hereby certify that I have we or 19lint ) reviewsd t~~ a~tactìad hazardous materials m~: ,age· m@n~ ~ian i©f" C 11 f ~ Vet R~ aoo that ¡~ along with ~o OIllÐI!8) any corú'~óOi1S ronstitute a complete and corred man· ag~m~~t pian for iì1Y ~cmt)? ~M oljlo (0t8 -1- 03/10/1998 .. e e F USA LIQUOR F Inventory Item 0001 = COMMON NAME / CHEMI CAL NAME REGULAR GASOLINE SiteID: 215-000-000409 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UNDERGROUND Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 5000.00 GAL HAZARDOUS COMPONENTS ~ CAS # I 8006619 I %Wt. I 100.00 Gasoline TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS F Inventory Item 0002 F= COMMON NAME / CHEMI CAL NAME PREMIUM UNLEADED GASOLINE Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UNDERGROUND Map: Grid: CAS # 8006-61-9 [ ~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 GAL 10000.00 GAL 5000.00 GAL HAZARDOUS COMPONENTS ~ CAS # I 8006619 I %Wt. I : 100.00 Gaso1ine TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS -2- 03/10/1998 e e SiteID: 215-000-000409 , Facility Unit: Fixed Containers on Site, F USA LIQUOR f= Inventory Item 0003 = COMMON NAME / CHEMI CAL NAME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit UNDERGROUND Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 5000.00 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 F IH DH / / / Mod HAZARD ASSESSMENTS -3- 03/10/1998 '. e e SiteID: 215-000-000409 ì Fast Format ì Overall Site ì 12/17/1991 F USA LIQUOR I p= Notif./Evacuation/Medical Agency Notification EMERGENCY 911 CALL FIRE DEPARTMENT 326-3911 CALL CALIFORNIA SPILL REPORTING HOT LINE 1-800-852-7550' Notif./Evacuation 12/17/1991 12/17/1991 ] ] r: Employee VERBAL I Public VERBAL Notif./Evacuation Emergency Medical Plan 12/17/1991 CALL 911 TO TRANSPORT TO KERN MEDICAL CENTER ON FLOWER STREET. -4- 03/10/1998 · . e e F USA LIQUOR I p= Mitigation/Prevent/Abatemt Release Prevention SiteID: 215-000-000409 1 Fast Format ì Overall Site ì 12/17/1991 TEXACO HAS VERY MODERN EQUIPMENT FOR RELEASE PREVENTION, AS THEY INSTALLED AND OWN ALL EQUIPMENT. Release Containment 12/17/1991 EQUIPMENT IS ALL EQUIPPED TO MINIMIZE ANY TYPE OF RELEASE OR SPILL. Clean Up 12/17/1991 A PRODUCT OF ABSORBENT MATERIAL IS DEPT ON HAND FOR EVEN THE SMALLEST OF SPILLS. Other Resource Activation -5- 03/10/1998 e e SiteID: 215-000-000409 ì Fast Format ì Overall Site ì I F USA LIQUOR I f= Site Emergency Factors ~ Special Hazards Utility Shut-Offs 12/17/1991 A) GAS - BACK OF BUILDING B) ELECTRICAL - BACK ROOM INSIDE C) WATER - IN FRONT OF MAIN BLDG D) SPECIAL - NONE E) LOCK BOX - NO MAIN BUILDING Fire Protec./Avail. Water 12/17/1991 PRIVATE FIRE PROTECTION - NONE NEAREST FIRE HYDRANT - CORNER OF OLD YARD RD. AND S. UNION AVE. Building Occupancy Level -6- 03/10/1998 · ~ e e SiteID: 215-000-000409 1 Fast Format ì Overall Site ì 11/22/1991 F USA LIQUOR I F Training Employee Training THE ONLY EMPLOYEES ARE THE OWNERS. WE HAVE MSDS SHEETS ON FILE IN THE OFFICE. BRIEF SUMMARY: WE ARE BOTH VERY WELL FAMILIARIZED WITH EMERGENCY Page 2 [ I I Held for Future Use Held for Future Use -7- 03/10/1998 -= ()6A - LAsA j-JqlÁOr -WD ~~(¿O~VliC;1 LUCKY 7 - #6 215-t000-000409" 0' tS/¡ ge Overall Site with 1 F~C. Unit 1 NOv 131995 M! General }nformat~on' By , .~ -... ".:..;; t 11/01/95 Location: 1720 S UNION AV City : BAKERSFIELD 1 - Map: 124 Haz:2 Type: 3 Grid: 08A FlU: 1 AOV: 0.0 Contact Name Title I OWNER (805) 837-1511x (805) 835-1201x () x Contact Name _ __L Business Phone: 24-Hour Phone Pager Phone Title 11 I uwNER (805) 837-1511x (805) 835-1201x () x Business Phone: 24-Hour Phone Pager Phone Administrative Data Mail Addrs: 1720 S UNION AV City: BAKERSFIELD Comm Code: 215-005 BAKERSFIELD STATION 05 Owner: ALl MOHMED _ JJ A L.. r.¿ D ~ I .,¡ Address: 1720 S UNION AV City: BAKERSFIELD D&B Number: State: CA Zip: 93307- SIC Code: 5541 Phone: (805) 837-1511 State: CA Zip: 93307- Summary ðWJV£lt ¡iJ-( Ml)í"¡~ME l-N AP--J AS é:-HfHV ( 'lv ALL M ð ( Ft JIv~ P 111. v ¡¿ b R ï tV S. J' ~ D/ i>YfY ~ ~ f.,. Z, 5 I{. 7 D 1> 11 t-J h..! ß e- E tI e 1-1 " IV ~ Ji j) -(b U .{ Pi 1-'( f9v 0 I~ /7'J-t> Jo.uw¡otvAV g ¡41te-/?,..5 FI ~)... ¡) I eft f( j 3 ô '7 Ii fI Y ft'1(¡ú tVS, e.f\LL 16 MßL{q ~fC.M A. 'Jfi'f-> N { A ec /: :5 G' !< ' [-oS t 3 1- 7 J=- ~ 7 fl L- ¡¿'ö Ie. t tI I. 81.: l ~ t>H/JM6Þ Do hereby certify that I have ype or print name) reviewed the attached hazardous materials manage- ment plan for ' and that it along with (Name 01 Bu8ines8) any corrections constitute a complete and correct man- agement plan for my facility. J~ ~//~ ~ ðL-~~1:j¡ f~. \ , .. e e 11/01/95 LUCKY 7 - #6 215-000-000409 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-001 REGULAR GASOLINE Liquid 10000 Moderate ~ Fire, Immed H1th, Delay H1th GAL 02-002 PREMIUM UNLEADED GASOLINE Liquid 10000 Moderate ~ Fire, Immed H1th, Delay H1th GAL 02-003 UNLEADED GASOLINE Liquid 10000 Moderate ~ Fire, Immed H1th, Delay H1th GAL ,:... .... e e 11/01/95 LUCKY 7 - #6 215-000-000409 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-001 REGULAR GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure "c Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 10,000 I 5,000.00 I 120,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Ambient Ambient UNDERGROUND Location - Conc -, 100.0% Gasoline Components r; MCP ~uide Moderate 27 02-002 PREMIUM UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure , Days: 365 Use: FUEL Daily Max GAL ----r-- D~ily Average GAL --r-- Annual Amount GAL -- 10,000 I 5,000.00 I 120,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Ambient Ambient UNDERGROUND Location - Conc -I 100.0% Gasoline Components 1-; MCP ~uide Moderate 27 02-003 UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth , Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 10,000 I 5,000.00 I 120,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Ambient Ambient UNDERGROUND Location - Conc -I 100.0% Gasoline Components r; MCP ~uide Moderate I 27 e e 11/01/95 LUCKY 7 - #6 215-000-000409 00 - Overall Site Page 4 <D> Notif./Evacuation/Medical <1> Agency Notification EMERGENCY 911 CALL FIRE DEPARTMENT 326-3911 CALL CALIFORNIA SPILL REPORTING HOT LINE 1-800-852-7550 <2> Employee Notif./Evacuation VERBAL <3> Public Notif./Evacuation VERBAL <4> Emergency Medical Plan CALL 911 TO TRANSPORT TO KERN MEDIC~L CENTER ON FLOWER STREET. ~ e e 11/01/95 LUCKY 7 - #6 215-000-000409 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt <1> Release Prevention TEXACO HAS VERY MODERN EQUIPMENT FOR RELEASE PREVENTION, AS THEY INSTALLED AND OWN ALL EQUIPMENT. .::.. <2> Release Containment EQUIPMENT IS ALL EQUIPPED TO MINIMIZE ANY TYPE OF RELEASE OR SPILL. <3> Clean Up A PRODUCT OF ABSORBENT MATERIAL IS DEPT ON HAND FOR EVEN THE SMALLEST OF SPILLS. <4> Other Resource Activation .. e e 11/01/95 LUCKY 7 - #6 215-000-000409 00 - Overall Site Page 6 <F> Site Emergency Factors ." <1> Special Hazards <2> Utility Shut-Offs A) GAS - BACK OF BUILDING B) ELECTRICAL - BACK ROOM INSIDE MAIN BUILDING C) WATER - IN FRONT OF MAIN BLDG D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - NONE, NEAREST FIRE HYDRANT - CORNER OF OLD YARD RD. AND S. UNION AVE. <4> Building Occupancy Level oj ?, '. ,., 111/01/95 e e LUCKY 7 - #6 215-000-000409 00 - Overall Site Page 7 <G> Training <1> Employee Training THE ONLY EMPLOYEES ARE THE OWNERS. WE HAVE MSDS SHEETS ON FILE IN THE OFFICE. BRIEF SUMMARY: WE ARE BOTH VERY WELL FAMILIARIZED WITH EMERGENCY PROCEDURES. <2> Page 2 ,:... <3> Held for Future Use <4> Held for Future Use ,';:.,. ·< e - ~. I 09/10/93 LUCKY 7 215-000-000409 Overall Site with 1 Fac. Unit Page 1 General Information , Location: 1720 S UNION AV ( Map: 124 Hazard: Low Community: BAKERSFIELD STATION 05, Grid: 08A FlU: 1 AOV: 0.0 - Contact Name Title Business Phone - 24-Hour Phone CINDY KORIN OWNER (805) 837-1511 x (805) 835-1201 ABDO KORIN . OWNER (805) 837-1511 x (805) 835-1201 Administrative Data Mail Addrs: 1720 S UNION AV D&B Number: City: BAKERSFIELD State: CA Zip: 93307- Comm Code: 215-005 BAKERSFIELD STATION 05 SIC Code: 5541 Owner: ABuu-!'1l I\LI nõlUN {.J~I· MoHf"1f5D r9LNGA~ Phone: (805) 837-1511 Address: 1720 S UNION AV ' ÆLkAPfl5J=fE$ State: CA City: BAKERSFIELD 11tH Þt\ M Zip: 93307- Summary It{ì9HÆ~ M A~AlJMJ#Mo hl3reh\! ~,:r'':i~~ that have (Type or print name) . reviewed the attached h~a.rdous materials maf'.age- ment plan f()r ,ßod th7'~ it along with (Name of Busine~-$) any corrections constitute a complete and correct man- agement plan for my facility. ~ljl eture ~ Date e - 09/10/93 LUCKY 7 215-000-000409 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site P1n-Ref Name/Hazards Form Max Qty MCP 02-001 REGULAR GASOLINE Liquid 10000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-002 PREMIUM UNLEADED GASOLINE Liquid 10000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-003 UNLEADED GASOLINE Liquid 10000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL r e e 09/10/93 LUCKY 7 215-000-000409 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-001 REGULAR GASOLINE ' ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS ::: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 10,000 I 5,000.00 I 120,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Ambient Ambient UNDERGROUND Location - Conc l 100.0% Gasoline Components r; MCP -¡Guide Moderate 27 02-002 PREMIUM UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS ::: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 10,000 I 5,000.00 I 120,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Ambient Ambient UNDERGROUND Location - Conc l 100.0% Gasoline Components 1-; MCP -¡Guide Moderate 27 02-003 UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate , GAL CAS ::: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 10,000 I 5,000.00 I 120,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Ambient Ambient UNDERGROUND Location - Conc -/ 100.0% Gasoline Components 1-; MCP -¡Guide Moderate! 27 e e 09/10/93 LUCKY 7 215-000-000409 00 - Overall Site Page 4 <D> Notif./Evacuation/Medical <1> Agency Notification EMERGENCY 911 CALL FIRE DEPARTMENT 326-3911 CALL CALIFORNIA SPILL REPORTING HOT LINE 1-800-852-7550 <2> Employee Notif./Evacuation VERBAL <3> Public Notif./Evacuation VERBAL <4> Emergency Medical Plan CALL 911 TO TRANSPORT TO KERN MEDICAL CENTER ON FLOWER STREET. . 09/10/93 e LUCKY 7 215-000-000409 00 - Overall Site <E> MitigatiQn/prevent/Abatemt e p~e , 5 <1> Release Prevention TEXACO HAS VERY MODERN EQUIPMENT FOR RELEASE PREVENTION, AS THEY INSTALLED AND OWN ALL EQUIPMENT. <2> Release Containment EQUIPMENT IS ALL EQUIPPED TO MINIMIZE ANY TYPE OF RELEASE OR SPILL. <3> Clean Up . A PRODUCT OF ABSORBENT MATERIAL IS DEPT ON HAND FOR EVEN THE SMALLEST OF SPILLS. <4> Other Resource Activation .:'!,. ¡ .5 e e 09/10/93 LUCKY 7 215-000-000409 00 - Overall Site Page 6 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - BACK OF BUILDING B) ELECTRICAL - BACK ROOM INSIDE MAIN BUILDING C) WATER - IN FRONT OF MAIN BLDG D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - NONE NEAREST FIRE HYDRANT - CORNER OF OLD YARD RD. AND S. UNION AVE. <4> Building Occupancy Level ,. à "I ~ e e 09/10/93 LUCKY 7 215-000-000409 00 - Overall Site Page 7 <G> Training I I <1> Page 1 THE ONLY EMPLOYEES ARE THE OWNERS. WE HAVE MSDS SHEETS ON FILE IN THE OFFICE. BRIEF SUMMARY: WE ARE BOTH VERY WELL FAMILIARIZED WITH EMERGENCY PROCEDURES. <2> Page 2 as needed ! <3> Held for Future Use <4> Held for Future Use e ~'~A Bakersfield Fire Dept.. HAZARDOUS MATERIALS DIVISION "'"I / Location: k7 17Zò ~ ~ Business Identification No. 215-000 tJ1JlJllo 7 (Top of Business Plan) 5 Shift G. Inspector ~ ~ Date Completed ¿ - cJ- q 3 ' Business Name: Station No. Adequate Inadequate ~ D RECEIVED Verification of Inventory Materials Verification of Quantities --Er D :JUH 1 B .1993., Verification of Location er D HAZ. MAT. DIV. Proper Segregation of Material ~ D Comments: Verification of MSDS Availablity ,td' D Number of Employees Verification of Haz Mat Training ~ D Comments: nil}- Verification of Abatement Supplies & Procedures Comments: G---- D Emergency Procedures Posted Containers Properly Labeled D D D D Comments: Verification of Facility Diagram Special Hazards Associated with this Facility: D D Violations: n j fr -11~&Wne~ j;¡.h¿lf-!11 /J-It.ðlJl1slÌæ. >(oL(/;1~F Business Owner/Manager FD 1652 (Rev. 1-90) All Items O.K. RL Correction Needed D White·Haz Mat Div. Yellow-Station Copy Pink-Business Copy ~~ .. 'i e e t 06/24/93 LUCKY 7 215-000-000409 Overall Site with 1 Fac. Unit Page 1 General Information Location: 1720 S UNION AV Map: 124 Hazard: Low Community: BAKERSFIELD STATION 05 Grid: 08A FlU: 1 AOV: 0.0 r--- Contact Name Title Business Phone - 24-Hour Phone CINDY KORIN OWNER (805) 837-1511 x (805) 835-1201 ABDO KORIN OWNER (805) 837-1511 x (805) 835-1201 Administrative Data Mail Addrs: 1720 S UNION AV D&B Number: City: BAKERSFIELD State: CA Zip: 93307- Comm Code: 215-005 BAKERSFIELD STATION 05 SIC Code: 5541 Owner: ABDO M ALl KORlN Phone: (805) 837-1511 Address: 1720 S UNION AV State: CA City: BAKERSFIELD Zip: 93307- Summary ·' . e e 06/24/93 LUCKY 7 215-000-000409 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Contai,ners on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-001 REGULAR GASOLINE Liquid 10000 Moderate ~ Fire, Immed Hlth, Delay Hlth, GAL 02-002 PREMIUM UNLEADED GASOLINE Liquid 10000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-003 UNLEADED GASOLINE Liquid 10000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL e e 06/24/93 LUCKY 7 215-000-000409 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-001 REGULAR GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 10~000 I 5,000.00 I 120,000.00 Storage UNDER GROUND TANK r Press T Temp ;,-¡ Ambient Ambient UNDERGROUND Location - Conc l 100.0% Gasoline Components r; MCP --,-Guide Moderate 27 02-002 PREMIUM UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --y-- Annual Amount GAL -- 10,000 I 5,000.00 I 120,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Ambient Ambient UNDERGROUND Location - Conc l 100.0% Gasoline Components 1-; MCP ----rGuide Moderate 27 02-003 UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 10,000 I 5,000.00 I 120,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Ambient Ambient UNDERGROUND Location - Conc l 100.0% Gasoline Components r; MCP --,-Guide Moderate \ 27 e e 06/24/93 LUCKY 7 215-000-000409 00 - Overall Site Page 4 <D> Notif./Evacuation/Medical <1> Agency Notification EMERGENCY 911 CALL FIRE DEPARTMENT 326-3911 CALL CALIFORNIA SPILL REPORTING HOT LINE 1-800-852-7550 <2> Employee Notif./Evacuation VERBAL <3> Public Notif./Evacuation ~ VERBAL <4> Emergency Medical Plan CALL 911 TO TRANSPORT TO KERN MEDICAL CENTER ON FLOWER STREET. e e ; 06/24/93 LUCKY 7 215-000-000409 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt <1> Release Prevention TEXACO HAS VERY MODERN EQUIPMENT FOR RELEASE PREVENTION, AS THEY INSTALLED AND OWN ALL EQUIPMENT. <2> Release Containment EQUIPMENT IS ALL EQUIPPED TO MINIMIZE ANY TYPE OF RELEASE OR SPILL. <3> Clean Up A PRODUCT OF ABSORBENT MATERIAL IS DEPT ON HAND FOR EVEN THE SMALLEST OF SPILLS. <4> Other Resource Activation e e I 06/24/93 LUCKY 7 215-000-000409 00 - Overall Site Page 6 <F> Site Emergency Factors <1> Special Hazards i <2> Utility Shut-Offs A) GAS - BACK OF BUILDING B) ELECTRICAL - BACK ROOM INSIDE MAIN BUILDING C) WATER - IN FRONT OF MAIN BLDG D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - NONE NEAREST FIRE HYDRANT - CORNER OF OLD YARD RD. AND S. UNION AVE. , <4> Building Occupancy Level ~, f ". '~ e e 06/24/93 LUCKY 7 215-000-000409 00 - Overall Site Page 7 <G> Training <1> Page 1 THE ONLY EMPLOYEES ARE THE OWNERS. WE HAVE MSDS SHEETS ON FILE IN THE OFFICE. BRIEF SUMMARY: WE ARE BOTH VERY WELL FAMILIARIZED WITH EMERGENCY PROCEDURES. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use '" T , HM723601 Account Number e . ACCOUNTSRECENABLEADJUSTMENT April 9, 1993 Date Esther Duran From New Address Close Account Service Chan e Other Ad ustments X Fire Department - Hazardous Materials Division DepartmentlDivislon Lucky-7 Mobile #6 Billing Name 1720 S. Union Ave. Billing Address 1720 S. Union Ave. Site Address Parcel # (if Applicable) Landlord Name & Address (If Applicable) ADJUSTMENT Last BIII~d Correct Billing Adjustment to Effective Date of Billing Change <1.11> 1-1-93 ~ Ap . Remarks: PAYMENT ON THIS ACCOUNT WAS POSTED ON THE SAME DAYTHE FINANCE CHARGE WAS ADDED. · ~ e e ==========================================================~===================== Page: 1 Account Billing/Collection Activity Inquiry SUTL108 ================================================================================ Acct SSN Name Svc Add: 723601 Cyc St Parcel: LUCKY-7 MOBIL #6 1720 S UNION AVE CL Bill St: NO Cyc: 5 Rt: 1 Svc CIs :e Seq: , -------------------------------------------------------------------------------- Amt due: 1.11 Current Period Postings Lst Pmt: -110.89 Type Desc Date Amount Pmt Dte: 04/01/93 B91 PENALTY 03/01/93 9.90 Prior Bills -- B92 FINANCE CHARGE 03/01/93 1. 99 Date Balance B92 FINANCE CHARGE 04/01/93 1.11 01/01/93 0.00 99 PAYMENT 04/01/93 -110.89 01/01/92 0.00 Receipt # 68588 ================================================================================ Enter 'I' For Billing History, 'P' To Print Report, 'D' For Detail Page, or '/C' For Credit and Deposit History or 'XX' To Exit ALT-F10 HELP I ADDS VP I FDX I ·9600 E71 I LOG CLOSED I PRT OFF I CR CR ~ '~ e e CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT S, D, JOHNSON FIRE CHIEF f'¡)· -~ ' 1;. . - '-/- 7~ "(;Ø;.¡"-cf" ~M'~ 2101 H STREET BAKERSFIELD, 93301 326·3911 March 10, 1993 Dear Mr. Taher M Alkadashee¡ NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE ----------------------------------------------- ----------------------------------------------- In the inspection of your business Lucky 7, located at 1720 S. Union Ave., Bakersfield, Ca.93305 on March 10, the following Hazardous Materials regulation violations were identified: 1) Hazardous materials were present above the reporting requirements, however no current business plan or inventory on file. VIOLATION OF CH. 6.95 CALIFORNIA HEALTH AND SAFETY CODE SEC.25503.5 (a) Any business, except as provided in subdivision (b), which handles a hazardous material or mixture containing a hazardous material which has a quantity at anyone time during the reporting year equal to, or greater than, a total weight of 500 pounds, or a total volume of 55 gallons, or 200 cubic feet at standard temperature and pressure for a compressed gas, shall establish and implement a business plan for emergency response to a release or threatened release of a hazardous material in accordance with the standards in the regulations adopted pursuant to Section 25503. VIOLATION OF CH. 6.96 CALIFORNIA HEALTH & SAFETY CODE 25509(a)(1-4) (a)The annual inventory form shall include, but shall not be limited to, information on all of the following which are handled in quantities equal tO,or greater than the quantities specified in subdivision (a) of Section 25503.5: ,. ~. 'ç'; e e (1) A listing of the chemical name and common names of every hazardous substance or chemical product handled by the business. (2) The category of waste, including the general chemical and mineral composition of the waste listed by probable maximum and minimum concentrations, of every hazardous waste handled by the business. (3) A listing of the chemical name and common names of every other hazardous material or mixture containing a hazardous material handled by the business which is not otherwise listed pursuant to paragraph (1) or (2). (4) The maximum amount of each hazardous material or mixture containing a hazardous material disclosed in paragraphs (1), (2), and (3) which is handled at anyone time by the business over the course of the year. 2) Underground fuel storage tank in operation however no permit to operate on underground storage tank VIOLATION OF CH. 6.7 CALIFORNIA HEALTH AND SAFETY CODE SECT.25284. (a) except as provided in subdivision (c) and (d), no person shall own or operate an underground storage tank unless a permit for its operation has been issued by the local agency to the owner. In order to avoid regulatory action, the above violations must be corrected by March 31, 1993 The department will schedule a re-inspection of your facility to verify compliance. If you have any questions regarding this notice, please contact Ralph Huey at 326-3979. 4~~ . . ~lPh E.HUey~ Hazardous Materials Coordinator ( City of Bokenfielcl J' -~ . TRANSMITTAL SLIP Date..........._..............................,...............- T C),." ," _",.....' '.,...., ,.....,..........,.......,........_.........._..................,..._....,........... .......,............ From..........._.......,..................,...................................................................__......... For Your:- o Signature 0 Action 0 Information 0 File Please:- o Return 0 See Me 0 Follow Up 0 Prepare Answer Copy to: ......................,.......,................,..........,......................,._............._........... Memo : ....................................................,..................................................._.....__ ...................~...t~._...=............._...._......................_...._.................... ...,..&..~.......~..~..&................ ......I!:d!:::...d~.._...··.~.þ,.(A·.J:·.,...,·..·.._.........·_...... ..............................................u...................................._....n........~..........................._.............._. ................... ...........' ......n..................._......................... ....................................-...........................".-_ t ..................,.......................................-..................................................................................... "ì I ~.~ CENTURY TITLE & GUARANTY COMPANY ESCROW TRUST ACCOUNT _ !Mes STOCKDALE HWY,. NO, 103 805-831-7017 BAKERSFIELD, CA 93309 ESCROW NO. - - - -- - --- 1669 STOCKDALE OFFICE WELLS FARGO BANK 5401 CALIFORNIA AVENUE, BAKERSFIELD, CA 93309 66951-vgd March 31, 93 19_ 16-24/1220(7) 160 , PAY ONE HUNDRED NINETY AND 89/100 r ..................190 89 DOLLARS fMnnn . -, "·00 ¡I; I; q"·:·I: ¡ 2 2000 2 .. '¡II:" ¡ 1;0 TO City of Bakersfield THE P. O. Box 2057 OR~ERBakersfieid, California 93303 o , Attn: Drew Sharples -,-- ----------- .,--"------ _._--,~- ----- -------_. - -- --.._--~.. ----,-------_._- - ..----------------------------- -- --- --- CENTURY TITLE & GUARANTY COMPANY DETACH AND RETAIN THIS STATEMENT T....E ATTACHED CHECK IS IN PAYMENT OF ITEMS DESCRIBED BEL-OW, IF NOT CORRECT PLEASE NOT1FY US PF!OMPTL.V. NO RECEIPT DESIRED. DELUXE FORM WVC-3 V-2 DATE DESCRIPTION AMOUNT , 03-31-93 Escrow # 66951-vgd Abdo M. A. Korin to Masoud Abbasi and Taher M. Alkadashee 1720 So. Union Avenue, Bakersfield, California 93307 For: Payment for Account Nós. CB00927 & HM723601 ******190.89 V·2 . ' 1//117;2 3 ~() / OljðQ 92 7 /'ðrf9 å¿J·!)O - / 7~. f~ City of Bakersfield · Treasury Division · P.O.' Box 2057 Bakersfield · California · 93303 tROt;) 1?h_17t;7 FIRE DEPARTMENT S, D, JOHNSON FIRE CHIEF . e CITY of BAKERSFIELD "WE CARE" November 21, 1991 Lucky 7 1720 S. Union Ave. Bakersfield, CA 93307 Dear Mr. Korin: _ 2101 H STREET BAKERSFIELD, 93301 326-3911 Enclosed please find the Hazardous Materials Management Plan filed for the Lucky 1 at Union and Old Yard Road. This plan is being rejected because it is incomplete. Please complete sections 6A, 6B, 6C, 7A, 7B and 7C as well as a complete site diaqra~ for your facility (new forms enclosed). You must also report your three types of fuel as separate line items on the inventory. Please make the necessary corrections and return to this office by Dec 1, 1991. ;ZiJ~- Hazardous Materials Coordinator REH/ed ~ o if r ¿øØ- · jJ .-"'~ - . ,.,.,. Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 RECEIVED NOV 6 1991 Ans'd...........· lJ~(Po , FEE '5 INSTRUCTIONS: HAZARDOUS MATERIALS MANAGEMENT PLAN 1? ~oý , /tfP< \ if \>.; ( P/~ 8'y--Oys 7 "-- -------~ 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: L Uc j(y 7 .# 6 LOCATION: ' (!. Oí/Jef- 0 f ó/?/~/J pL cJ// Yo /d /'/ MAILING ADDRESS: //,2 () s: {//J/c;/} , /lVe-. CITY: 8d~/,_ç-f¡'e-/c/ STATE:ÛZIP:X13ð'?PHONE: 5. 0'[ I!?//;Y j737- 1.5// DUN & BRADSTREET NUMBER: SIC CODE: PRIMARY ACTIVITY: 1 ¿//Jde./,Q/O¿)/k7/ U///.s. Ærlve./ ß¿/¡'Yjß.5· oJ . / , OWNER: /?¿fdo /l #~. ~//;L MAILING ADDRESS: / 7 ~() S. 1/4/'0/1 #¿/C". .lfj/.ff/ C/f .?...?yo? SECTION 2: EMERGENCY NOTIFICATION: CONTACT . 1. ~//l/t/ /fÓr'',z 2. /1bla J(oCìf\ TITLE BUS. PHONE 24 HR. PHONE OLd/? e, 137-5// '-?7-IS/f . £?5 -/~cJ/ f3& -/d. Õ) Ow(lt:.r 1. FD1590 i e Bakersfield Fire Dept. . Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN c.~,'. ,¡', ..~ SECTION 3: TRAINING: NUMBER OF EMPLOYEES: O¡P/1 dS, !l)da,ý- Ci/lcly ¡(or/tI- off/c,f:..· MATERIAL SAFETY DATA SHEETS ON FILE: Y (., 5 I J f) BRIEF SUMMARY OF TRAINING PROGRAM: W e" â r ~ ,b (J IÁ very wäl !étrv¡;/¡,¿u¡':z.e:'j) tJ/fh EPJefj Oicy frod (."dvre.5 , 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, db ~ 11· /0 Î In ' CERTIFY THAT THE ABOVE INFOR- . MATlON IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL- MY FIRM1S 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. dkJ/J TITLE //- - DATE 2. FD1590 ~,'.' . Bakersfield Fire Dept.. Hazardous Materials Division .." .. HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: B. EMPLOYEE NOTIFICATION AND EVACUATION: C. PUBLIC EVACUATION: D. EMERGENCY MEDICAL PLAN: 3. R:>l£OO ' · Bakersfield Fire Dept. _ Hazardous Materials Division .......~ .:;,,- .. ;..... HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: B. RELEASE CONTAINMENT AND/OR MINIMIZATION: C. CLEAN-UP PROCEDURES: SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: ELECTRICAL: J fl. EK- R6 () t.¡1 WATER: 'Í tI F I1D IV 1 ! tI J / 0 &-' fv¡ Ii I N B ¡) ¿ [tJ ¿ tl( 0 o F /I1A (tv "ß vi L-O I (Vf: / SPECIAL: LOCK BOX: YES/~ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: -= ¿'o 81Vt! 12- e 1..-» t¡' PI t<-- {) t Dr- y/' Jbuftf V/Vlb( (L i3 A tC I æ 11 B. WATER AVAILABILITY (FIRE HYDRANT): ~ 4. FD1590 I HAKEH~J-IELU S ''', \'. ~': \ Page -!5/4 2,:~¿~'___ of NAME O~ THIS FACIlITYò' ST NDA D ND CLASS C Oc:-- DU~ AN BÄADSTREET NUHBER- ffoNS-p¡o~ROPER --~--- u xture{CCfDonents true Ions tv~- 3 , by Vt CODES 12 on Where n Facility II loc~t Stored OWNER NAME ADDRESS' ~~J~~t ¡! P:- RÊFER tOj ness Standard Bus o lure cu BUSINESS NAp.E LOCATION' CITY lIP PHON~ M: and Agl Farll II Use Code 10 Cont Temp o~ ~ne 6 Mea$ure Units 5 Annua Est 4 Average Allt 3 Max Allt 2 lYRe Code I Trans Code ~({ðVNL v /Ú D liíZ 3-þY }b b /)(;) 0 ¡ç..Pi> 30,DVot~, '1 } NUllber NUllber NUllber C.A.S C.A.S C.A.S Halle Nue HUle t2 U COl\ponent Il\mediate COl\ponent Health Component o SUddfn Release o Pressure Humber o De tared Hea th C.A.S o PhysiCJI 'nd Health Halard ¡Check a I that apply, Reactivity o Hazard re o i. ,. \.i " Í; HUllber NUllber C.A.S C.A.S Hille Nue t2 U COllponent COl\ponent IIlIedlate Hea Ith COllponent o Sudden Release of Pressure NUllber o De rayed Hea I th C.A.S o th Hafard apply React iv t ty o a nd l~:t re Hazard p~H~a F o ¡' I I, , NUllber C.A.S Nue Number HUllber C.A.S C.A.S I I Hue Halle COl\ponent d. COllponent'2 Il\lIIe late Health COl\ponent t3 o SUddfn Re I ease o Pressure Number o Dellred Hea th C.A.S o ¡ React !vlt') th Halard app Iy I o tnd Hea a I that Hazard pn~~~~ F o HUllber C.A.S Nalle re NUllber NUllber C.A.S C.A.S Hue Hue Co~pa~ent " di Component' .2 IlIme ate Health Component t3 o HUllber o C.A.S th Ulfard apply a Hd t~:f P~l~~~~ b"'-- g--.i7...-tSl ~. 'lIf1Jiõn2 o8{f-s~ir.ër- NUllber C.A.S Nllle f°'b~ ~3 (~/S'{ I 2f11r pnone CITY of n~AZARDOUS MATERIAL INVENTORY V NON-TRADE SECRETS /1~ ,t:J Z R Suddfn Release o Pressure De tared Hea th f<r;~ o Reacttvlt~ o Hazard re II D 0 1116''[2-, nt \-oR-IIV Ihis be 1t2 (!/ Rã1i fubllitteð in Information ð P I: {~ Jríó f<.- nt' ing ~11 sections) fallilla( wltb the Inforllatlon responsIble far obtaining the I Certifjçatioq fReed and $ign af1ßr cÇ)mplet I cer Ify under enalt 0 la th t I have persona I~ exallln q 0 d II attaç~ed dOCYllen~$1 an~ t at ~Ise~ on lIy InQuiry 0 lhose In~lvI~ua's submItted Inforllat on~s true, accurate, and co~plete. !(ø(':¿ I ¡y D P tRfrt()/~ m f iñëfTðP DD 1 , RI It EMERGENCY CONTAcTS øresentlt Ive "~e ða ~Rc () ,,- ...-' ,~~ , . Bakersfield Fire Dept.. Hazardous Materials Division! HAZARDOUS MATERIALS MANAGEMENT PLAN RECE\\JEO Dt~ 2 1991 A 'd ' 08 ............ Facility Unit Name: d ~ 7"¿-/ SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: f flit f r~ Q ~ vc-7 9 I I ' 3 1 / / {!. AL 1- [=-I R {Ç' D e-v" l~ rt~ çþ/ 1 / 3:2 b- ,.- -L)J~1- l!, AL t P .J_pIJ.L /< E[Jð (~,íiNþ fþ í )..t IV c- I... 'ðYJt> .f.Q_ l.s-~-ò - ---~.~- B, EMPLOYEE NOTIFICATION AND EVACUATION: ' V t f< !3ÞJL. C. PUBLIC EVACUATION: VERB1~L- D. EMERGENCY MEDICAL PLAN: e fV., L 9 (( . ío 1f< (1IVS P6¡.¿ í -/ð , .... if ~ ( tV 111 EDt t!tiL , æ t=lVíEIL o rv FLo wE R S-7 3. FDI&;o ~~ l~ ~ . Bakersfield Fire Dept.. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: ' , ~ l' ¡;~ A C () J-/ À S !/!?R 'f /0 () f) ~R V E@ ¿; L 071 t-N 1 ..- ' ..,- :: :::- D F l{... Ie E)...EA£ fÇ P A fY E?lfl b ß{ A ~ / fI/Ç Y _ ;j- /V 1/ ì-IL E.t:. A ~p ö h) tV' At. L êf) (/ I P jUl:tlli", ,# B. RELEASE CONTAINMENT AND/OR MINIMIZATION: , F GJú l P.M é tv 1" f-$ A')'" L ---Ë:-@ u if -q;; f) 'r /J ' /'1/ Iv 1M J 't- E:f J.i tilt' { I( f (Ç 6 /-:;. A(;,~L I::~ FtJ Eð, rz cJ µ I L ( - C. CLEAN-UP PROCEDURES: r A p ~o f)Ut!- í 0 1- /ì ß SDRB tN'"/ )1 Æ ;-6/V 17 L , .:t c:J l'¿ ¿ r:;- 'P t> IV /-1 14 CV ¿) F'tJ 12- E (/ E IV 1/1 ¿--- - .t M /4 LL ~~ / D F J" PILi S, ~ SECTION 8: UTILITY SHUT-OFFS (lOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: .RA t:. Ie. '6 /: ßU tl" VI (J t ELECTRICAL: ~ It tl<. - R& !) ¡vI WATER: "Í tI I:: KD ¡\/1 / tI,s ì f) /:=-" M 11 I N B ¡) ¿ [J l ¿f t; , D r /'vtA ((Vi ~ III L-D I (Vt: / SPECIAL: lOCK BOX: YES/~ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAilABILITY: A. PRIVATE FIRE PROTECTION: --- to K ,Ve/2- 0 LJ) 1(1) t'- D ~, À- V JöUíH /JIV /ò(V Ii J A IC I r! N B. WATER AVAILABILITY (FIRE HYDRANT): 4. FQI590 . . - - ,- -------- MAP INSTRUCTIONS FOR HAZARDOUS MATERIALS MANAGEMENT PLANS ~~~ I ,", \ These instructions explain the use of the'site diagram and the facility diagram. Norma~ly, small and medium size . businesses will only have tõ submit a site diagram. If you have subdivided your business into smaller areas because of the complexity or size" then you will be completing an additional detail map, facility diagram, for each of these areas.' InDlude instructions that show the route to your busineSs if it is in a remote location. SITE DIAGRAM INSTRUCTIONS ( See Sample Diagrams, Attached) The site diagram is used to show your business and to indicate the businesses that immediately surround your property, usually with in 300 feet. If you will be showing specific area detail on facility diagrams, use the site diagram to show an overall layout of the plant. If you will not be submitting facility diagrams, the site map must include all of the following information. 1. Check the box on the top left corner of the form provided that indicates "Site Diagram". 2. Print the name of your business, as shown in your HMMP, on the top of the diagram. 3. Label the location of the hazardous materials and identify them by name and type of hazard ( i.e. flammable liquid, corrosive solid ). 4. Label the location of utility shutoff points for gas, electric and water services. 5. Label the location of fire hydrants. 6. Label portions of the building protected by automatic sprinkler systems. 7. Label the direction representing north on the diagram. ( The diagram form provided includes a north arrow.) Map labeling must be legible and easily understandable. Try to avoid the use of abbreviations or symbols. If you must use them, provide a legend explaining your system. . I Maps may be returned for correction if you fail to follow these instructions. i It . FACILITY DIAGRAM INSTRUCTIONS Facility diagrams are supplements to the site diagram. Use them to show the subdivision details òf a large business. 1. Check the box in the upper right hand corner of the form provided that indicates "Facility Diagram". 2. Print the name of your business as shown on your HMMP. Print the name of the area that this map représents. This name should be the same name that you used on this arèa's inventory report. ! 3. Indicate which area the diagram represents and the total number of facility diagrams that you are including. If a map represented the first of four areas, it would be labeled #1 of 4. l 4. Follow instructions ( 3 - 7 ) for site diagrams regarding the specific details to be included on each facility diagram.