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Home My WebLink AboutBUSINESS PLAN it t. .perate Prevention Services Unified Permit SUBJECT TO CONDITIONS OF PERMIT THIS PERMIT IS ISSUED FOR THE FOLLOWING: 'itHazardous Materials Plan éo Underground Storage of Hazardous Materia.& o California Accidental Release Program _ o Hazardous Waste Generator and/or Treatment o Above ground Storage Storage of Petroleum o Paint Spray Booth o Industrial Hood Supp e\ ression System A\j;J;IlfJt ~~ PERMIT ID #015-021-0001217 ;I,"\", ',),~, '~~",!,':':''':';::,(''~''':( '-\ & ", t ..' ~:' ,,~ \ ' , ~ VON'S FUEL CENTE~~~k§R'SF~t§)~D: ~~~ß':' '\ l' :/f'''''~~,.,.(.> .'H' ~~!{~ ! ~~ ~ :': ! .. ,'~.,,~ ".' ~'~ 'Ir""."'-" r j f~' /j -':'::';,>:.~L \.~~ ;, '~~''';.\ l ,~.~~/,~, '.... ~ . "..,...p,. ~:~~:. ~ .'~ j' ~ "R~~~> .,~..t.:.:.:~-::~. -,~ f i ~~.', _.f. \. l·j ;. ." H.' ''''?t~ ~ } i. ,'~ .;\ -:i':' ~,:: (." , . -,,{.: .' y::,:ø . i' ,! ", ,"".. . , :í'f-~ 'W:,fi)' . .. ;:.:':..~, .. "", ....""~~~',' :'~¡¡!¡¡¡,(~, f í . 1 '- \ _.~'\i. ~r"r-"'" .; \~~~;i~t;;''',:~it'i~:tC~,>':.:;;:') -'..- . "H ,,-*,. {11 "'it' r"· ~ ~". ,,- /" .)1 ~;~~~~:~:~:~,~~,",-~.~:~~,~~~:~'.,)~';' I........:~ ~, ...~~1 ''--\'~..:h.n...~J~_:\- .~-~ ;\)~?} 2050 WHITE LANE BAKERSFIELD, CA 93304 Approved by: fd1736 2006 .June 30 Expiration Date Bakersfield Fire Department OFFICE OF PREVENTION SERVICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 852-2171 ssued by: BaSP'·B·· .-¡:. "liE n·c", .r~~" ~!",!r ,~ ~~ ;::.' ~~~ J Operil.te to It Per t f Waste Unified Permit Materials/Hazardous Hazardous CONDITIONS OF PERMIT ON REVERSE SIDE iI1!I..l ~ Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment Permit 10 #: 015-000-001217 VONS #2512 LOCATION: 2100 WHITE LN . i( ~~1 Approved by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rdFloor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Issued by: Date Issue Expiration Date: Pernait to Opera.te Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: t'I,@!8rdous Materials Plan ··110 ,,,"-'i!I:: round Storage of Hazardous Materials PERMIT ID# 015-021.Q01217 !Qagement Program VONS #512 H'<;,. Waste LOCATION 2100 WHITE Approved by: o Expiration Date: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 Issued by: I X 1\'ID~f\ ~ ~áJ1 ()r/; ~ (i) 31 I; ,I . I <ì> . I ~~¥.ft~b k I - - :1!1 :!J( - (II: [ ...I - .J - - \ <~ ~ 2 ( ~ - ~ s~- . - -+- - ~ -1 I !~~rii ~ f= I~E ñf - 'I). .....-:- £ ..- c:J~~~~ - . ::: I ~ ~~ r: ~ ~ . - ...I t ;;;¡ ~ - Ii a - X~1\)~~~ í U' @- @- (!) I: ......1 - WE~ -- r. ,.4 3~ r@~ -- cl~ d* ~~\P ~ - . Nt\'1~" "I~ ;S~~ '" ..' ~\\) " " ~ /Ì\ -- X ~fDA4 ~ ..t' / ^ rY.~_ J )( I-J Y D ~A (rt -I, ~ i: " .; . - - RECEIVED APR 1 9 REC'O VL- BY: HAZARDOUS MATERIALS BUSINESS PLAN VONS FUEL STATION #2512 BAKERSFIELD, CALIFORNIA e . TABLE OF CONTENTS Business Activities Form Business Owner/Operator Identification Hazardous Materials Inventory - Chemical Description Underground Storage Tanks - Facility (Formerly SWRCB Form A) Underground Storage Tanks (Formerly SWRCB Form B) Emergency Procedures Emergency Response Plans and Procedures Prevention Mitigation Abatement Evacuation Earthquakes Hazardous Waste Contingency Unauthorized Release Response Plan Employee Training Plan Emergency Notification Employee Training Program Site Map - e HAZARDOUS MATERIALS FACILITY INFORMATION I :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: BUSINESS OWNER I OPERATOR FORM :,:11. Page 1 of - Bakersfield Fire Dept. Environmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661 )326-3979 DUN & BRADSTREET 1/1/2005 3 BUSINESS PHONE 1(1/ (661) 396-2344 103 104 ZIP 10; CA 93304 100 SIC CODE 107 (4 Digit #) 5541 1m BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) Vons Fuel Facility #2512 SITE ADDRESS 2100 White Lane CITY Bakersfield 009-13-7209 COUNTY Kern OWNER MAILING ADDRESS 618 Michillinda Avenue 113 116 CONTACT NAME GilbarcoNeeder-Root - Emily Daigneau CONTACT MAILING ADDRESS 12265 West Bayaud Avenue, Suite 300 119 122 NAME 123 NAME 129 Cheryl Frye Loss Prevention TITLE 125 TITLE 130 Facility Manager Loss Prevention Manager BUSINESS PHONE 126 BUSINESS PHONE 131 (661) 396-2344 (626) 821-7545 24-HOUR PHONE 127 24-HOUR PHONE 132 (626) 821-7545 (626) 821-7545 PAGER No 128 PAGER No 133 Certification: Based on my inquiry of those individuals responsible for obtaining the information, certify under penalty of law that I have personally examined and am familiar with the information submitted in this inventory and believe the information is true, accurate, and complete. DATE 134 NAME OF DOCUMENT PREPARER 135 4/16/2004 Emily Daigneau 136 TITLE OF OWNER/OPERATOR 137 Program Manager fd2090 · e 11 HAZARDOUS MATERIALS INVENTORY ¡i ;:c:H:e:iVi:rC:AL;:':DE'g:CRfPTÎÕÑ;;;;;;;;;;;;;;;;;;;«::«;::;::::::::::::::::«;::::;;;;«;;I! t Bakersfield Fire Dept. Environmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 (one form per material per building or area) Page1 of DNEW DADO D DELETE D REVISE 200 BUSINESS NAME (Same as FACILITY NAME or DBA - DoinQ Business As) Vons Fuel Facility #2512 CHEMICAL LOCATION 2100 White Lane, Bakersfield, CA 93304 3 201 CHEMICAL LOCATION 202 CONFIDENTIAL (EPCRA) 0 Yes rx No FACILITY 10 No. 203 GRID No. (optionary 204 CHEMICAL NAME Petroleum Hydrocarbon COMMON NAME Gasoline (Regular Unleaded) CAS No, 205 TRADE SECRET 0 Yes II No If Subject to EPCRA, refer to Instructions 206 207 EHS· o Yas x I No 208 209 8006-61-9 *If EHS is"Yes," all amounts below must be in Ibs. FIRE CODE HAZARD CLASSES (Complete W requested by loæl fire chief) 210 TYPE o P PURE 20 m MIXTURE o w WASTE 211 RADIOACTIVE 0 Yes x No 212 CURIES 213 PHYSICAL STATE o s SOLID x I LIQUID 09GAS 214 LARGEST CONTAINER 20,000 215 FED HAZARD CATEGORIES (Check ell that apply) xli FIRE o 2 REACTIVE o 3 PRESSURE RELEASE ~ 4 ACUTE HEALTH x I 5 CHRONIC HEALTH 216 ANNUAL WASTE AMOUNT 217 MAXIMUM DAILY AMOUNT 20,000 218 AVERAGE DAILY AMOUNT 10,000 219 STATE WASTE CODE 220 UNITS' x 9a GAL '!f EHS, amount must be in Ibs. o cf CU FT o Ib LBS o tn TONS 221 DAYS ON SITE 222 365 223 x b UNDERGROUND TANK o c TANK INSIDÉ BUILDING o d STEEL DRUM o e PLASTIC/NONMETALLIC DRUM Of CAN o 9 CARBOY o h SILO o i FIBER DRUM OJ BAG Ok BOX o I CYLINDER o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o P TANK WAGON o q RAILCAR o r OTHER STORAGE CONTAINER 0 e ABOVEGROUND TANK (Check alt that appty) STORAGE PRESSURE 1l.1 a AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT 224 STORAGE TEMPERATURE Xl a AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT o c CRYOGENIC 225 0-35% 226 Toluene 227 Dyes x No 228 108-88-3 229 2 0-25% 230 Xylene (mixed) 231 DYes x No 232 1330-20-7 233 3 0-20% 234 Pentane 235 Dyes x No 236 109-66-0 237 4 0-4% 238 Trimethy1benzenes, mixed isomers 239 Dyes x No 240 25551-13-7 241 5 0-5% 242 Benzene 243 Dyes x No 244 71-43-2 245 Emily Daigneau - Program Manager 4/16/2004 <0 co o N :E · Bakersfield Fire Dept. Environmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 (one form per material per building or area) Page1 of ~~ HAZARDOUS MATERIALS INVENTORY ¡¡ ~::"::~~~~"::"~:M::~::::::::::::~::::::~::::::::::::~::~~~~~~~::~~::~""~~,,:;::<~~,,~~~::~::::~~~::~~~~~~::::::::::~m~~~~~::~~~~~~~~~~~~::~~~::~::~,,~::~""~,,~¡¡ CHEMICAL DESCRIPTION ~~ H DNEW DADO D DELETE D REVISE 200 BUSINESS NAME (Same as FACILITY NAME or DBA - Doine Business As) Vons Fuel Facility #2512 CHEMICAL LOCATION 2100 White Lane, Bakersfield, CA 93304 FACILITY 10 No, 201 CHEMICAL LOCATION 202 CONFIDENTIAL (EPCRA) 0 Yes rx No 203 GRID No, (optiona~ 204 CHEMICAL NAME Petroleum Hydrocarbon COMMON NAME Gasoline (Regular Midgrade) CAS No. 205 TRADE SECRET 0 Yes iJ No 206 If Subject to EPCRA, refer to instructions 207 EHS· o Yes x I No 208 209 8006-61-9 *f EHS is~Yes.~ all amounts below must be in Ibs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE o P PURE ~ m MIXTURE o w WASTE 211 RADIOACTIVE 0 Yes x No 212 CURIES 213 PHYSICAL STATE o s SOLID x I LIQUID OgGAS 214 LARGEST CONTAINER 10,000 215 FED HAZARD CATEGORIES (Check all that apply) xl1 FIRE o 2 REACTIVE o 3 PRESSURE RELEASE ¿ 4 ACUTE HEALTH x I 5 CHRONIC HEALTH 216 ANNUAL WASTE AMOUNT 217 MAXIMUM DAILY AMOUNT 10,000 218 AVERAGE DAILY AMOUNT 5,000 219 STATE WASTE CODE 220 UNITS' x ga GAL "If EHS, amount must be in Ibs. OcfCUFT o Ib LBS o tn TONS 221 DAYS ON SITE 222 365 223 STORAGE CONTAINER 0 a ABOVEGROUND TANK (Check all that apply) x b UNDERGROUND TANK o c TANK INSIDE BUILDING o d STEEL DRUM o e PLASTICINONMETALLIC DRUM Of CAN o g CARBOY o h SILO o i FIBER DRUM OJ BAG Ok BOX o I CYLINDER o m GLASS BOTTLE o n PLASTIC BOTTLE 00 TOTE BIN o P TANK WAGON o q RAIL CAR o r OTHER STORAGE PRESSURE .lll a AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT 224 STORAGE TEMPERATURE Xl a AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT o c CRYOGENIC 225 0-35% 226 Toluene 227 o Yes x No 228 108-88-3 229 2 0-25% 230 Xylene (mixed) 231 o Yes x No 232 1330-20-7 233 3 0-20% 234 Pentane 235 o Yes x No 236 109-66-0 237 4 0-4% 238 Trimethylbenzenes, mixed isomers 239 o Yes x No 240 25551-13-7 241 0-5% 242 Benzene 243 o Yes x No 244 71-43-2 245 Emily Daigneau - Program Manager 4/16/2004 CD 00 o C'J :E e· e 11 HAZARDOUS MATERIALS INVENTORY 11 ~C:H'E:Mi'ëAL~:D:ËrŠcRI'PTIÕÑ~~~~~~~~~~~~~~m~~~~~~~~~~~~~~~~~~~~~:'~~~~:':'~~~II Bakersfield Fire Dept. Environmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 (one form per material per building or area) Page1 of DNEW DADO D DELETE D REVISE 200 BUSINESS NAME (Same as FACILITY NAME or DBA - DainQ Business As) Vons Fuel Facility #2512 CHEMICAL LOCATION 2100 White Lane, Bakersfield, CA 93304 3 201 CHEMICAL LOCATION 202 CONFIDENTIAL (EPCRA) 0 Yes rx No FACILITY ID No. 203 GRID No. (apt/anary 204 CHEMICAL NAME Petroleum Hydrocarbon 205 TRADE SECRET 0 Yes iJ No 206 If Subject to EPCRA, refer to instructions COMMON NAME Gasoline (Regular Premium) CAS No, 207 EHS· o Yes xl No 208 209 8006-61-9 *If EHS is"Yes," all amounts below must be in Ibs. FIRE CODE HAZARD CLASSES (Complete if reQuested by laæl fire chief) 210 TYPE o p PURE 2LI m MIXTURE o w WASTE 211 RADIOACTIVE 0 Yes x No 212 CURIES 213 PHYSICAL STATE o s SOLID x I LIQUID OgGAS 214 LARGEST CONTAINER 10,000 215 FED HAZARD CATEGORIES (Check all that apply) Xl1 FIRE o 2 REACTIVE o 3 PRESSURE RELEASE 20 4 ACUTE HEALTH x I 5 CHRONIC HEALTH 216 ANNUAL WASTE AMOUNT 217 MAXIMUM DAILY AMOUNT 10,000 218 AVERAGE DAILY AMOUNT 5,000 219 STATE WASTE CODE 220 UNITS' x ga GAL 1f EHS, amount must be in Ibs. OcfCUFT o Ib LBS o tn TONS 221 DAYS ON SITE 222 365 223 STORAGE CONTAINER (Check alt that apply) o a ABOVEGROUND TANK x b UNDERGROUND TANK o c TANK INSIDE BUILDING o d STEEL DRUM o e PLASTIC/NONMETALLIC DRUM Of CAN o 9 CARBOY o h SILO o I FIBER DRUM OJ BAG Ok BOX o I CYLINDER o m GLASS BOTTLE o n PLASTIC BOTTLE o a TOTE BIN o P TANK WAGON o q RAILCAR o r OTHER STORAGE PRESSURE -".1 a AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT 224 STORAGE TEMPERATURE Xl a AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT o c CRYOGENIC 225 0-35% 226 Toluene 227 DYes x No 228 108-88-3 229 0-25% 230 Xylene (mixed) 231 DYes x No 232 1330-20-7 233 0-20% 234 Pentane 235 DYes x No 236 109-66-0 237 4 0-4% 238 Trimethylbenzenes, mixed isomers 239 DYes x No 240 25551-13-7 241 5 0-5% 242 Benzene 243 DYes x No 244 71-43-2 245 Emily Daigneau - Program Manager 4/16/2004 <0 cc o N :E e, e UNDERGROUND STORAGE TANKS ::~: UST FACILITY;: ~:::~;"::~~~~~~~~~~~~~~~~~~~~~~~~~====:::::::::::::::::::::::::::::::::::::::::::::::::::"::::::::i:::::::::::::::::::::::::::::::::::::::::::::::::::::i:::::::i:::::::::::::::i::::::::::::::;"::::::::::::::::::::::::::::~~ Bakersfield Fire Dept. Environmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 TYPE OF ACTION (Check one item only) o 1. NEW SITE PERMIT 03. RENEWAL PERMIT 04, AMENDED PERMIT Ll5. CHANGE OF INFORMATION (Specify change-local use only) o 6, TEMPORARY SITE CLOSURE 07. PERMANENTLY ClOSED SITE 08. TANK REMOVED 400 BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Vons Fuel Facility #2512 NEAREST CROSS STREET 401 FACILITY OWNER TYPE X CORPORATION 02, INDIVIDUAL 03. PARTNERSHIP 403 "If owner of UST a public agency: Name of supeIVisor of division, section or office which operates the UST. 04. 05. 06. 07, LOCAL AGENCYIDISTRICT' COUNTY AGENCY· STATE AGENCY" FEDERAL AGENCY· 402 BUSINESS TYPE 1. GAS STATION[!] 3. FARM 5. COMMERCIAL 2, DISTRIBUTOR 4. PROCESSOR 6, OTHER PROPERTY OWNER NAME V ons A Safeway Company MAILING OR STREET ADDRESS 618 Michillinda Avenue CITY Arcadia 409 PROPERTY OWNER TYPE X CORPORATION 02, INDIVIDUAL 03. PARTNERSHIP STATE CA 04, LOCAL AGENCYI DISTRICT 05. COUNTY AGENCY 410 411 ZIP CODE 90017 o 6. STATE AGENCY 07. FEDERAL AGENCY 412 413 TANK ()WNFR NAMF Vons Fuel C/O GilbarcoNeeder-Root MAILING OR STREET ADDRESS 12265 West Bayaud Avenue. Suite 300 CITY Lakewood 416 417 STATF CO 418 71P C:OOF 80228 419 TANK OWNER TYPE X 1, CORPORATION 02, INDIVIDUAL 03. PARTNERSHIP 04, LOCAL AGENCYI DISTRICT 05. COUNTY AGENCY 06. STATE AGENCY 07. FEDERAL AGENCY 420 .. ..,,, "",." '''''''''' "..... """'" "" """"" .. ....................................................................................................................................-.-.....-.-...-.-..-.-..-..-..-.........'.'.'.'.'.'.'.'..'....'...............-...-.-.-.-......................'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.......-.'......................'...'.'.......-.-.-....................'...'.:....'.'... ............................... - "."......................",.""""" "'"'' --------- - - .... .. ................................................····················································1··V··S....O....A·..··R....D....·O....·F·····E····Q····U····A··..t..··I·ZA....·..·"...·I..·O..··N······U····S····".·····S····".···O···..RA....··..···G·····E······F···e....·E··········....... .......................................................... ... ... - ...... ....... ---." .. ... ....."..... )?~:~:~:~:~:~:~:~:~:~:~:~:?~:~:~:~:~:~:~:::::~:::)~:?::::::?))::::)::~:~:::::::::::::::::..::_.:.::;:::_-_.:",:"::::,::":::,":",;:,,:,,,::,,:;:::,,:::,,:,,,:::::::..,.:.::,.::::,:.,:::..,:::::.......:::-.-::--:::..-::.-::~-.-:::-.:.-:::-..:-.::...:.:;:,.::,.::,::.,::::.,::::::.,.:.,::::..:::..:::...-..::..:::.:::-::.-;.::,:::'::~:~::-:::::-::::i:.:.:.i~:~:~::::::·:·:·· Call (916) 322-9669 if questions arise 421 TY (TK) HQ ....................................................................................----.-..........................................................-...................................................-.-.-.-.-.-.-.-.-.-...-'-----.-.--....,......,.,.,...,..... ............,.......................,..."" '" "'-...-----.-------------...-.....-.........".",'""""..-....--.--.-------------- --...,......,.............. ..............................................................................................................................................................................................-................................................................................--.--......................-...,.,... V1PeTR0J1EUMOS"['ÞïNANCIÄI1RESP()..N. ..... S. .ISU...ttVU·· ........................,...""",."""..-.------_..----.-.--.--- -.-------. .......",""""."-..-------.---.---- .----.-- .-.......... ....... ............. ...............................................................................................................--......................................... . INDICATE METHOD(S) 01. SELF-INSURED 02. GUARANTEE X 3. INSURANCE 04. SURETY BOND o 5. lETTER OF CREDIT 06. EXEMPTION IJ 7, STATE FUND 08, STATE FUND & CFO LETTER 09, STATE FUND & CD 010, lOCAL GOVT MECHANISM IJ 99. OTHER: 422 UUMJlI;:SGA.4NO'tIFICA'tIONÄNPMAJUNG.A.'.·..··.D...........0....... R.·.....·..$:$s···· . ............ -- ---------- ------..... -------------------................. Check one box to indicate which address should be used for legal notifications and mailing. Legal notifications and mailings will be sent to the tank owner unless box 1 or 2 is checked. 01. FACILITY o 2, PROPERTY OWNER X 3. TANK OWNER 423 nATF 4/16/2004 'nl) 426 TITLE OF APPLICANT GilbarcoNeeder-Root - Emily Daigneau Program Manager 4'A PHONF (303) 986-8011 425 427 STATE UST FACILITY NUMBER (For 10CBI use only) 428 1998 UPGRADE CERTIFICATE NUMBER (For locel use only) 429 fd2069 e e ~~::::::::::::::::::::::::::::::::::::::::::::::::?::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::~:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::=:=:::::::::::::::::::::::::::::::::::::::::::::::::::m::::::::~: !~~ ~~ TYPE OF ACTION (Check one Item only) Ll1. NEW SITE PERMIT X 3. RENEWAL PERMIT Ll4. AMENDED PERMIT (Specify reason· for local usa only) Ll5. CHANGE OF INFORMATION (Specify reason - for local use only) Bakersfield Fire Dept. Environmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 UNDERGROUND STORAGE TANKS TANK Page1of2 LIB, TEMPORARY SITE CLOSURE Ll7, PERMANENTLY CLOSED ON SITE LIB. TANK REMOVED "" BUSINESS NAME (Same as FACILITY NAME or DBA-Ooing Business As) Vans Fuel Facility #2512 LOCATION WITHIN SITE (Opl;'m.') TANK ID No 432 TANK MANUFACTURER 433 COMPARTMENT.AJ..IZED TANK Yes D No 434 2512-1 Modem Welding If ·Yes", complete one page for each compartment. DATE INSTALLED (YEAR/Me) 435 TANK C.APACITY N GAU.ON!=> 436 NUMBER OF COMPARTMENTS 437 6/2002 20,000 ADDITIONAL DESCRIPTION (For local use only) 438 ::i¡:¡j¡j¡j¡j¡'¡j:j¡¡:¡¡¡:¡:::¡::¡::¡:j::::¡j¡j:j¡j¡j:¡:j¡¡:¡:¡¡¡:::j:j:j:j:j:j:j¡j:j:j:¡:':¡¡¡¡:¡:::::::::::::::::::::¡::::i:i:i:i:i:i:::j:j:j:j:j:j:::¡¡j¡¡¡j¡:¡¡¡:¡¡¡j¡:¡¡:j¡j¡j¡j¡¡:j¡:¡i:i:::i:i:iiì[rnlilj:lllì1êNælj:i:i:i:::i¡i¡i¡'¡i¡i¡i¡:¡¡¡¡¡¡¡¡¡¡:::::i¡:¡i:i¡i:i:i:i:i:¡¡i¡i¡i¡i¡¡¡'¡¡::¡¡:¡:¡:¡¡¡::::¡::i¡i¡i:i¡i¡i¡i¡:¡'¡:¡·:::·:::¡:¡:¡¡¡::::::¡::j:j:i:i¡i::::i¡I:¡¡¡¡¡·¡¡::¡¡:::i:¡¡:::¡:::::¡:::¡i::¡::¡:j:j ::::::::::;:::;:;:;:;:;=;:;:;:;=;=;=;=;=;=;=;=;=;=;=;=;=;=;=;=;=;=;:;=;=;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:::::::::::::::;:;:::;:;:;=;:;:;:;:;:;:;:;:;:;:;:;=;:;=;:;:;:;:;:;=;=;:;:;:;:;:;:;:;:;:;:;:;:::;:;:;:;:::::::::::::::::::::::::;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;::=;:;:;:;:;:::::;:;:;:;:;:;::::::. TðJ\K USE X 1. MOTOR VEH ICLE FUEL (If marked, complete Petroleum Type) Ll2. NON-FUEL PETROLEUM D 3. CHEMICAL PRODUCT 04. HAZARDOUS WASTE (Includes Used Oil) LI 95, UNKNOWN X la, REGULAR UNLEADED tb. PREMIUM UNLEADED 1c. MIDGRADE UNLEADED Ll2. LEADED 3, DIESEL Ll4. GASOHOL440 Ll5, JET FUEL Ll6, AVIATION FUEL Ll99. OTHER 442 439 PETROLEUM TYPE COMMON NAME (from H8zaroous Materials Inventory paqe) 441 CAS No (from Hazardous Materials Inventory page) 442 Gasoline 8006-61-9 TYÆ OF TANK (Check one item only) n 1. SINGLE WALL X 2. DOUBLE WALL LI 3. SINGLE WAU, WITH EXTERIOR MEMBRANE LINER LI 4. SINGLE WALL IN A VAULT Ll99. OTHER LI 5 SINGLE WAU, WITH INTERNAL BLADDER SYSTEM LI 95. UNKNOWN 443 LI 1, BARE STEEL TANK MATERIAl-Prima.ry tank LI 2. STAINLESS STEEL (Check one item only) LI 3, FIBERGLASS / PLASTIC LI 1. BARE STEEL TANK MATERlAl..secondary tank LI 2. STAINLESS STEEL (Check one item only) LI 3. FIBERGLASS I PLASTIC LI 1. RUBBER LINED TANK INTERIOR LINING LI 2, ALKYD LINING OR COATING (Check one item only) LI 3, EPOXY LINING OTHER CORROSION LI ,. MANUFACTURED CATHODIC PROTECTION PROTECTION IF APPLICABLE n 2. SACRIFICIAL ANOOE (Check one item only) X 3. FIBERGLASS REINFORCED PLASTIC YEAR INSTAU,ED 460 SPILL AND OVERFILL X ,. SPILL CONTAINMENT 211112 (Check a/l that apply) X 2, DROP TUBE 2002 X 3, STRIKER PLATE 211112 X 4, STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC (FRP) LI 5. CONCRETE D 8. FRP COMPATIBLE W/100% METHANOL LI 95. UNKNOWN X 4. STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC IFRP) LI 5. CONCRETE LI 6. FRP COMPATIBLE W/100% METHANOL LI 9, FRP NON-CORRODIBLE JACKET Ll99, OTHER 444 Ll1Q, COATED STEEL LI 95. UNKNOWN D 99. OTHER 445 D 4. PHENOLIC LINING n o. GLASS LINING X 6. UNLINED LI 95. UNKNOWN LI 99. OTHER 445 DATE INSTALLED (For local use only) 447 448 LI 4. IMPRESSED CURRENT LI 95. UNKNOWN LI 99. OTHER DATE INSTALLED (For local use only) 449 TYPE (Forlocal usa only) 451 OVERFIu' PROTECTION EQUIPMENT, YEAR INSTALLED LI 1, ALARM X 3. FlU, TUBE SHUT OFF VALVE LI 2. BAu' FLOAT LI 4. EXEMPT 462 IF SINGlE WAll TANK (Check a/l that 8pply): 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER (Chack on. ~.m only): 454 CJ 1. VISUAL (EXPOSED PORTION ONLY) LI 2. AUTOMATIC TANK GAUG"'G (ATG) D 3. CONTNUOUS ATG o 4. STATISTICAL INVENTORY RECONCilIATION (SIR) + BIENNIAL TANK TESTING D 5. MANUAL TANK GAUGf.lG (MTG) LI 6. VADOSE ZONE LI 7. GROUNDWATER CJ 8. TANK TESTING LI 99. OTHER D 1. VISUAL (SINGLE WALL IN VAULT ONLY) X 2. CONTINUOUS INTERSTITIAL MONITORING o 3. MANUAL MONITORING ESTIMATED DATE LAST USED (Y~OIDAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REf.AAINf.lG 456 TANK FILLED WITH INERT MATERIAL? 457 gallons LlYes DNa fd2071-(1 of 2) e UNDERGROUND STORAGE TANKS TANK Page2of2 e ~~ ~~ ~:: ~~ :;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;:;:;;;:;:;:;:;:;:;:;:;:;:;:;:;:;:;::;;:;:;::;:;;:;:;:;:;:;:;:;:;:;:;:;:;:;"{-;:;:;:;::::;;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;::=::::;::;:;:;:;:;::;;:;;;;;:;:?: :::: ~~ ::;: UNDERGROUND PIPING SYSTEM TYPE X 1 PRESSURE Ll2. SUCTION Ll3. GRAVfTY CONSTRUCTION! MANUFACTURER LI 1 SINGLE WALL LI 3. LINED TRENCH LI 99. OTHER X 2, OOUBLE WALL LI 95. UNKNOWN MANUFACTURER Western Fibemlass LI 1 BARE STEEL X 6. FRP COMPATIBLE w/100% MATERIALS AND LI 2. STAINLESS STEEL METHANOL CORROSION LI 3. PLASTIC COMPATIBLE LI 7. GALVANIZED STEEL PROTECTION WITH CONTENTS LI 8. FLEXIBLE (HOPE) LI 4. FIBERGLASS LI 9. CATHODIC PROTECTION LI 5. STEEL WI COATING LI 95. UNKNOWN ABOVEGROUND PIPING 48 LlI PRESSURE Ll2, SUCTION LI 3. GRAVfTY 459 4SO LI 1 SINGLE WALL LI 3. LINED TRENCH LI 2, DOUBLE WALL LI 95. UNKNOWN MANUFACTURER LI 99. OTHER 462 461 463 LI 99, OTHER LI 1 BARE STEEL LI 6. FRP COMPATIBLE w/100% LI 99. OTHER LI 2. STAINLESS STEEL METHANOL LI 3. PLASTIC COMPATIBLE LI 7. GALVANIZED STEEL WITH CONTENTS LI 8. FLEXIBLE (HOPE) LI 4, FIBERGLASS LI 9, CATHODIC PROTECTION 464 LI 5. STEEL WI COATING LI 95. UNKNOWN 465 UNDERGROUND PIPING SINGLE WALL PIPING PRESSURIZED PIPING (Check a/1 that apply): LI 1 ELECTRONIC LINE LEAK DETECTOR 3,0 GPH TEST ~ AUTO PUMP SHUT OFF FOR lEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBlE AND VISUAL ALARMS LI 2. MONTHLY 0.2 GPH TEST LI 3, ANNUAL INTEGRfTY TEST (0,1 GPH) CONVENTIONAL SUCTION SYSTEMS: LI 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): LI 7, SELF MONITORING GRAVITY FLOW: LI 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Chack a/1 that apply): 10. CONTINUOUS TURBINE SUMP SENSOR :liIIti AUDIBLE AND VISUAL ALARMS AND (Check one) C] 8. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS X b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION' [j c. NO AUTO PUMP SHUT OFF LI 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) ~ FLOW SHUT OFF OR RESTRICTION D 12. ANNUAlINTEGRIìY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: D 13. CONTINUOUS SUMP SENSOR + AUDIBlE AND VISUAL ALARMS J 14. J 16. J 16. J 17, EMERGENCY GENERATORS ONLY (Check all that apply) CONTINUOUS SUMP SENSOR ~ AUTO PUMP SHUT OFF + AUDIBlE AND VISUAL ALARMS AUTOMATIC LINE lEAK DETECTOR (3.0 GPH TEST) ïY!lliQIJI FLOW SHUT OFF OR RESTRICTION ANNUAlINTEGRIìY TEST (0.1 GPH) DAILY VISUAL CHECK ABOVEGROUND PIPING 466 SINGLE WALL PIPING 467 PRESSURIZED PIPING (Chack all that apply): LI 1 ELECTRONIC LINE LEAK DETECTOR 3,0 GPH TEST ~ AUTO PUMP SHUT OFF FOR lEAK, SYSTEM FAILURE. AND SYSTEM DISCONNECTION + AUDIBlE AND VISUAL AlARMS LI 2. MONTHLY 0.2 GPH TEST LI 3. ANNUAL INTEGRfTY TEST (0.1 GPH) LI 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: LI 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) LI 6. TRIENNIAL INTEGRfTY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): LI 7, SELF MONITORING GRAVITY FLOW (Check a/l that apply): D 8. DAILY VISUAL MONITORING D 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Chack all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WI.\:! AUDIBLE AND VISUAL ALARMS AND (Check on.) D a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS LI b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION ¡j c. NO AUTO PUMP SHUT OFF D 11. AUTOMATIC LINE LEAK DETECTOR Ll12. ANNUAL INTEGRfTY TEST (0.1 GPH) SUCTION/GRAVfTY SYSTEM: D 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERA TORS ONLY (Check all that apply) LI 14. CONTINUOUS SUMP SENSOR ~ AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS Ll15, AUTOMATIC LINE lEAK DETECTOR (3,0 GPH TEST) Ll16. ANNUAL INTEGRfTY TEST (0.1 GPH) C] 17. CAlLY VISUAL CHECK DATE INSTAlLED 468 LI 1 FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE LI 2. CONTINUOUS DISPENSER PAN SENSOR + AUDBLE AND VISUAL ALARMS X 3. CONTINUOUS DISPENSER PAN SENSOR ~ AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS D 4. DAILY VISUAL CHECK D 5. 'TRENCH LINER I MONITORING LI 6. NONE DISPENSER CONTAINMENT 2002 469 I certify that the information provided herein is true and accurate to the best of my kncmledge SIGNAT7URE OF O~ERlOPERATOR .4.. ~.. _ A.A --- - NAMr'0} GNNERlO~~ (print) 47, fþns Fuely<lbarco/Veeder-Root - Emily Daigneau ~rmit Number (For local use only) 473 I p"",," AppTOv.d (For local us. only) DATE 470 4/16/2004 TITLe OF OWNER/OPERATOR 4n Program Manager 474 [ Perm" Expiration Oat. (For local us. only) 475 fd2071-(2 of 2) e e UNDERGROUND STORAGE TANKS;: ::;: TAN K paga 1 of 2\~ ':::::~~::::::::::::~::::::::~::::~::::~::::~::::::::::~::mm":mm::::::~mmmm":::::~~:::::::~:;~::::::~:::mmmmm~mmll TYPE OF ACTION (Chack ana flam only) (Spacify mason - for local use only) ',~ I) 1. NEW SITE PERMIT 'X 3. RENEWAL PERMIT 1)4. AMENDED PERMIT (Specify reason - for local usa only) Bakersfield Fire Dept. Environmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 OB, TEMPORARY SITE CLOSURE 07, PERMANENTLY CLOSED ON SITE I) 8, TANK REMOVED "" BUSINESS NAME (Same as FACILITY NAME or DBA-Ooing Business Þs) Vons Fuel Facility #2512 LOCATION WITHIN SITE (Optional) -................................................................................--.....-------.........................................................................................---.-----....................................................-.......... TANK ID No 6/2002 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK X Yes DNa 434 Modem Welding If 'Yes", complete one page for each compartment. 435 TANK CAPACITY N GALLON5 436 NUMBER OF COMPARTMENTS 437 10,000 (20K split tank) Two (2) 438 2512-2A DATE INSTALLED lYEARlMm ADDITIONAL DESCRIPTION (For local use only) ................................................................................................................................................................................................................................................................ :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::I:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::lîmf.IÑß::lllmê.Nml::::::::::::::::::~:::::::~::::::::::::::::::::::::::::::::::II::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::~:::::::::::;I::::::::::::::::::::::::::::::::::::::::::::::: ................................................................................................................................................................................................................................................................ ------................................--..----------.................--...--................................................................................................ .........--.................................................................. :.:.:.:.:.:.:.:.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.:.:.;.;.;.;.;.;.;.:.:.:.:.:.:.:.;.;.;.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.;.;.;.;.:.:.;.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.;.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.;:.:.:.:.:.:.:.:.:.:.:.:.:.;.:.:.;.:.;.....;.;.;.:.:.;. .;.;.;.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.;.;.:.:.:.:.:.:.:.:.:.:.;.;.:.:.;.:.:...:....... n~K USE X 1. MOTOR VEHICLE FUEL (If mBrlœd, complete Petroleum Type) I) 2. NON-FUEL PETROLEUM I) 3. CHEMICAL PROOUCT D 4. HAZARDOUS WASTE (Includes Used Oil) LJ 95. UNKNOWN 18. REGULAR UNLEADED 1b, PREMIUM UNlEADED X 1c. MIDGRADE UNLEADED I) 2. LEADED 3. DIEseL I) 4. GASOHOl.440 I) 5. JET FUEL I) 6. AVIATION FUEL 099. OTHER 442 439 PETROLEUM TYPE COMMON NAME (from Hazardous Materials Inventory paqeJ 441 CAS No (from HElZsroous Materiels Inventory psqe) 442 Gasoline 8006-61-9 ............................................ . ...................................... ..... .. .... ......... .............. . ... ........... ...... . ................... . ... .. ........... . ..... .... ... ............................................................................. .......................... ....... ................................... .. .............................. ............ ... TYPE OF TAt>,lK (Check one item only) n 1. SINGLE WAll. X 2. OOUBlE WALL D 3. SINGlE WALL WITH EXTERIOR MEMBRANE LINER I) 4. SINGLE WALL IN A VAULT I) 99. OTHER I) 5 SINGLE WAll. WITH INTERNAL BLADDER SYSTEM 1:1 96. UNKNOWN 443 I) " BARE STEEL TANK MATERIAl-Primary tank 0 2, STAINLESS STEEL (Check one item only) 0 3, FIBER.GLASS I PLASTIC I) " BARE STEEL TANK MATERIAL-Secondary tank 0 2. STAINLESS STEEL (Check one item only) I) 3. FIBERGLASS i PLASTIC I) 1. RUBBER LINED TANK INTERIOR LINING I) 2. ALKYD LINING OR COATING (Check one item only) I) 3. EPOXY LINING OTHER CORROSION 0 1. MANUFACTURED CATHODIC PROTECTION PROTECTION IF APPLICABLE n 2. SACRIFICIAl ANODE (Check one item only) X 3. FIBERGLASS REINFORCED PLASTIC YEAR INSTALl.ED 450 SPILL AND OVERFILL X ,. SPILL CONTAINMENT 21102 (Check en thet apply) X 2. DROP TUBE 2002 X 3, STRIKER PLATE 211112 X 4, STEEL CLAD WiFIBERGLASS REINFORCED PLASTIC (FRP) I) 5. CONCRETE I) 6, FRP COMPATIBLE WI100% METHANOL I) 95, UNKNOWN X 4, STEEL CLAD WiFIBERGLASS REINFORCED PLASTIC (FRP) I) 5. CONCRETE D 8. FRP COMPATIBLE W/1OO% METHANOL o 9. FRP NON-CORRODIBLE JACKET I) 4, PHENOLIC LINING n 5. GLASS LINING X 6, UNLINED I) 95. UNKNOWN I) 99. OTHER 444 I) 10, COATED STEEL 1:1 95. UNKNOWN I) 99. OTHER 445 I) 99. OTHER 44ô OATE INSTALLEO (ForJocs//Jseonly) 447 44ô L] 4. IMPRESSED CURRENT I) 95, UNKNOWN C] 99. OTHER DATE INSTALLED (For local use only) 449 TYPE (For local usa only) 451 OVERFIll. PROTECTION EQUIPMENT: YEAR INSTALLED I) ,. ALARM a 3. FILL TUBE SHUT OFF VALVE X 2. BAll. FLOAT 2002 o 4. EXEMPT 452 ................... ... ...................... ..................... ..................... .............................................................. ............................... .............................. ~~¡:¡:¡:¡:¡:¡:::¡:::::¡~¡:¡:¡:¡:¡:¡::::::::::):::::::::::¡:::m:¡:::::¡:::¡:¡:¡:¡:::¡:::::¡:I¡:¡:¡:~:~:~:::::::::::::::};:::::::¡:¡:I¡:¡:¡:¡~::¡:¡:¡tt:¡,¡'::¡:ti~¡:¡:¡,TiÑKibgKIDETëê.iøit~::::::::::::::j::::::I::::::::::~:::::::::::::::f:m:'::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::I:::::::::::::::::::::~:~:~:~:::::;:::::: :~:~:~:~:~:~:~:~:~:~:~:~:}~{:rrfrr~r:}r~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:rrrrrr~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:t~:~:~:~:~:~:~:~:rrrfrrrrrr~:r~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:t~:~:~:~:;:::~:)fr~{:~:~:~:~:~:~:~:~:~:~:~:~:}rr~r:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~::~:~:~:~:~:~:~:rr~{:~:~:~:~:~:~:~:~:~r:~:~:}}~:}~:~:~:~~ IF SINGLE WALL TANK (Check ellthel apply): 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only): 454 LJ 1. VISUAL (EXPOSED PORTION ONLY) I) 2. AUTOMATIC TANK GAUGNG (ATG) LJ 3. CONTNUOUS ATG a 4. STATISTICAL INVENTORY RECOOCILlATION (SIR) + BIENNIAL TANK TESTING C] 5. MANUAL TANK GAUGt.lG (MTG) I) 6. VADOSE ZONE C] 1. GROUNDWATER C] 8. TANK TESTING (] 99. OTHER C] 1. VISUAL (SINGLE WALL IN VAULT ONLY) X 2. CONTINUOUS INTERSTITIAL MON ITORING o 3. MANUAL MONITORING ESTIMATED DATE LAST USED (YRn.10,tJAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINNG 456 TANK FILLED WlTH INERT MATERIAL? 457 gallons (]Yes C]No fd2071-(1 of 2) e e UNDERGROUND STORAGE TANKS 11 TA~K . Page2of2 ¡¡ ;~;.:.:.:.:.:.;.:.:.:.:.:.;.:.;.:.;.;.:.;.;.;.;.;.;.;.::;.;:;.;:;.;:;"{-;:;"-:;:;:;:::::::::=;:;:;:;:;:;:;:;:;:;:;"{-;-:>;«;:;;';:;;::;;;;;;:;:;;';;;;;;:::;;;;;;;;;;;;;;.;.;.;.:;;.;.:;;.;.;.;.;.;.;.;.;.;.;.;.;.::;:;:;.;.;.;.:.::=;:;.;.;.::::;.::::;.:::;::::;.;.;.~~ ~~ ~~ ~~ UNDERGROUND PIPING ABOVEGROUND PIPING SYSTEM TYPE X 1. PRESSURE o 2. SUCTION 03. GRAvITY 4is 01. PRESSURE 02. SUCTION 03. GRAVITY 459 CQNSìRUCTIONI 0 " SINGLE WALL o 3. LINED TRENCH o 99. OTHER 450 LI 1. SINGLE WALL LI 3. LINED TRENCH LI 99. OTHER 462 MANUFACTURER X 2, DOUBLE WALL L1 95. UNKNOWN LI 2, DOUBLE WALL LI 95. UNKNOWN MANUFACTURER Western Fibenllass 451 MANUFACTURER 463 LI 1. BARE STEEL LI 6. FRP COMPATIBLE w1100% LI 99. OTHER LI 1. BARE STEEL LI 6. FRP COMPATIBLE w/100% LI 99. OTHER MATERIALS AND 0 2. STAINLESS STEEL METHANOL LI 2, STAINLESS STEEL METHANOL CORROSION LI 3. PLASTIC COMPATIBLE LI 7, GALVANIZED STEEL 0 3, PLASTIC COMPATIBLE LI 7. GALVANIZED STEEL PROTECTION WITH CONTENTS X 8. FLEXIBLE (HOPE) WITH CONTENTS LI 8, FLEXIBLE (HOPE) (] 4. FIBERGLASS [] 9. CATHODIC PROTECTION LI 4, FIBERGLASS LI 9. CATHODIC PROTECTION LI 5. STEEL WI COATING LI 95. UNKNOWN 4S4 LI 5. STEEL WI COATING LI 95. UNKNOWN 465 ABOVEGROUND PIPING SINGLE WALL PIPING PRESSURIZED PIPING (Check all that apply): [] 1 ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST YillJj AUTO PUMP SHUT OFF FOR LEAK, SYSTa1 FAilURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAl. AlARMS LJ 2. MONTHLY 0.2 GPH TEST LI 3. ANNUAL INTEGRITY TEST (0.1 GPH) LI 4. DAILY VISUAL CHECK UNDERGROUND PIPING SINGLE WALL PIPING PRESSURIZED PIPING (Check a/I th8lapply): LI 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WJ AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS LI 2. MONTHLY 0,2 GPH TEST j 3. ANNUAL INTEGRrrY TEST (0.1 GPH) CONVENTIONAL SUCTION SYSTEMS: j 5. DAilY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): (] 7, SELF MONITORING GRAVITY FLOW: LI 9, BIENNIAL INTEGRITY TEST (0,1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check aff that apply): 10. CONTINUOUS 1URBINE SUMP SENSOR:liIIJ:i AUDIBLE AND VISUAL ALARMS AND (Check one) j 8. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS 1( b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION j c. NO AUTO PUMP SHUT OFF X 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) .!tLW:i FLOW SHUT OFF OR RESTRICTION LI 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL AlARMS ::J 14. ::J 15, ::J 16. J 17, EMERGENCY GENERATORS ONLY (Check all that apply) CONTINUOUS SUMP SENSOR ~ AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) ~ FLOW SHUT OFF OR RESTRICTION ANNUAl INTEGRITY TEST (0.1 GPH) DAILY VISUAL CHECK 466 467 CONVENTIONAL SUCTION SYSTEMS: LI 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + 'TRIENNIAL PIPING INTEGRITY TEST (0,1 GPH) LI 6. 'TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): j 7. SELF MONITORING GRAVITY FLOW (Check all that apply): I:] 8. DAILY VISUAL MONITORING L1 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS 1URBINE SUMP SENSOR WII.tl AUDIBLE AND VISUAl ALARMS AND (Check one) [] 8. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS LI b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION j c. NO AUTO PUMP SHUT OFF Lll1. AUTOMATIC LINE LEAK DETECTOR D 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRA VITY SYSTEM: L113. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAl ALARMS Ll14, Ll15, Ll16, (] 17, EMERGENCY GENERA TORS ONLY (Check aff that apply) CONTINUOUS SUMP SENSOR ~ AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS AUTOMATIC LINE LEAK DETECTOR (3,0 GPH TEST) ANNUAL INTEGRITY TEST (0.1 GPH) DAILY VISUAL CHECK DATE INSTALLED 468 LI 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE D 2. CONTINUOUS DISPENSER PAN SENSOR + AU08LE AND VISUAl ALARMS X 3. CONTINUOUS DISPENSER PAN SENSOR WJ AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS j 4. DAilY VISUAL CHECK LJ 5. TRENCrf LINER I MONITORING LI 6. NONE DISPENSER CONTAINMENT 2002 469 I certify that tl'1ø Jnfol11lation provided hørein is tl\.le and accurate to tl'1e best of my knowledge SIGNATURE OF O~OPERATOR 4_/' -~'.- - - ~ I N"OWNER/OPE~r:Lfnt) 471 ~ns FuelllJf>arco/Veeder-Root - Emily Daigneau 473 I P"",. Awrovad (For looal usa only) Permit Number (For local use only) DATE 470 4/16/2004 TITlE OF OWNER/OPERATOR 472 Program Manager 4741 P"",' Expiration Data (Forlooalus. only) 475 fd2071-(2 of 2) e e UNDERGROUND STORAGE TANKS" :~~ TAN K paga 1 of 2 ¡~ ~?~:.::.::.::::::.::.::.::.::.::.::.::.:?;;~::;~:?:.:~::::;:::::::;:;:;:;:::::::::::::::::::::::;:::::::;:::::::::::::::::::::::;:;:;:;::::::::::::::::::::::?::::-~:;:::::::::::::::::::::::::::::::;:::::;:::::::::::::::::::::::::::::::::::::::;:::;:::::;::::::::::::::::t~ 05. CHANGE OF INFORMATION t (Specify fBBSDn - for local use only) ~: TYPE OF ACTION (Check one item only) 01. NEW SITE PERMIT X 3. RENEWAL PERMIT 04. AMENDED PERMIT (Specify reason - for local usa only) Bakersfield Fire Dept. Environmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661 }326-3979 06. TEMPORARY SITE CLOSURE 07, PERMANENTLY CLOSED ON SITE OB. TANK REMOVED BUSINESS NAME (Same as FACILITY NAME or OBA-Doing Business As) Vons Fuel Facility #2512 LOCATION WITHIN SITE (Optional) TANK ID No 2512-2B 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK X Yes j No 434 Modem Welding If ·Ves·. complete one page for each compartment. 435 TANK C'.APACrTY N GALLONS 436 NUMBER OF COMPARTMENTS 437 10,000 (20K split tank) Two (2) 438 DATE INSTALLED fYEARlMQ) 6/2002 ADDITIONAL DESCRIPTION (For focal use only) Tð"lK USE X 1. MOTOR VEHICLE FUEL (If marked, complete Petroleum Type) o 2. NON-FUEL PETROLEUM LI 3. CHEMICAL PRODUCT (] 4. HAZARDOUS WASTE (Includes Used Oil) o 95. UNKNOWN 439 PETROLEUM TYPE 18. REGULAR UNLEADED X Ib, PREMIUM UNLEADED 1c. MIDGRADE UNLEADED D 2. LEADED 3, DIESEL 04. GASOHOL440 05. JET FUEL a 6. AVIATION FUEL 099. OTHER 442 COMMON NAME (frem Hazardous Materials Inventory paqeJ 441 CAS No (frem Hazardous Materials Inventory page) 442 Gasoline 8006-61-9 TYÆ OF TANK (Check one item only) n 1. SINGLE WALL X 2. DOUBLE WALL o 3. SINGlE WALL WITH EXTERIOR MEMBRANE LINER o 4. SINGLE WALL IN A VAULT 099. OTHER o 5 SINGLE WALL WITH INTERNAL BlADDER SYSTEM o 95. UNKNOWN 443 0 1. BARE STEEL TANK MATERLAL-Primary tank 0 2. STAINLESS STEEL (Check one item only) 0 3. FIBERGLASS I PLASTIC 0 " BARE STEEL TANK MATERIAL-Secondary tank 0 2. STAINLESS STEEL (Check one item only) 0 3, FIBERGLASS / PLASTIC 0 ,. RUBBER LINED TANK INTERIOR LINING 0 2. .6J..KYD LINING OR COATING (Check one item only) 0 3, EPOXY LINING OTHER CORROSION 0 " MANUFACTURED CATHODIC PROTECTION PROTECTION IF APPliCABLE n 2, SACRIFICIAL ANODE (Check one item only) X 3. FIBERGLASS REINFORCED PLASTIC YEAR INSTALLED 460 SPIll. AND OVERFIll. X ,. SPILL CONTAINMENT 2002 (Check ellthet epply) X 2. DROP TUBE 2002 X 3, STRIKER PLATE 2002 X 4. STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC (FRP) o 5. CONCRETE o 8. FRP COMPATIBLE WI100% METHANOL o 95. UNKNOWN X 4, STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC (FRP) o 5, CONCRETE (] 8. FRP COMPATIBLE W/100% METHANOL o 9. FRP NON-CORRODIBLE JACKET 099. OTHER 444 010. COATED STEEL o 95. UNKNOWN o 99. OTHER 445 (] 4. PHENOLIC LlN lNG n 5. GLASS LINING X 6. UNLINED o 95. UNKNOWN o 99. OTHER 446 DATE INSTALLED (Fcrloce/ use only) 447 j 4. IMPRESSED CURRENT o 95, UNKNOWN j 99. OTHER 448 DATE INSTALLED (For local use only) 449 TYPE (Forlocafuse only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR INSTALlED o ,. ALARM o 3. FILL TUBE SHUT OFF VALVE X 2. BALL FLOAT 2002 o 4. EXEMPT 452 IF SINGlE W.6J..L TANK (Check all that apply): 453 IF DOUBLE W.6J..L TANK OR TANK WITH BLADDER (Check one item only).' 454 j 1. VISUAL (EXPOSED PORTION ONLY) o 2. AUTOMATIC TANK GAUGI'IG (ATG) LJ 3. CONTNUOUS ATG o 4, STATISTICAL INVENTORY RECONCILIATION (SIR) + BIENNIAL TANK TESTING o 5, MANUAL TANK GAUGI'IG (MTG) o 8, VADOSE ZONE o 7, GROUNDWATER o 8, TANK TESTING o 99. OTHER o " VISUAL (SINGlE WALL IN VAULT ONLY) X 2, CONTINUOUS INTERSTITIAL MONITORING o 3, MANUAL MONITORING ESTIMATEO DATE LAST USEO (YRlMOIDAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINNG 456 TANK FILLED WITH INERT MATERIAL? 457 gallons LIVes LINe fd2071-(1 of 2) e UNDERGROUND STORAGE TANKS i!. t T\NK Page2of2 Ii ;:.:.;.:.:.:.;.;.;;:-:::::;:::;:::::::::::.::::::;:::;:;:;:;:;;::;;;:;;;;;;:;::::-;:;;;;;;:-{-:;:.::::;:;:::.::::::::::::::=:=:=:-:;:=:;;;;;;:;;;;::;;:;;;:;:;:;:::::;:::::;:::;:=::x:X'-:«-:::"-:::;:;;::-:;;:;;:>:>:>:;;;:;:;;::=:;:=:=;:;:::;::=:=:::=:=;:;::=:=:=\~ -:-: ~~ ~~ e UNDERGROUND PIPING SINGLE WALL PIPING PRESSURIZED PIPING (Check e/l that apply): o 1 ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST ïlJII: AUTO PJMP SHUT DFF FDR LEAK, SYSTEM FAILURE, AND SYSTEM DISCDNNECTIDN + AUDIBLE AND VISUAL ALARMS o 2. MONTHLY 0.2 GPH TEST o 3. ANNUAL INTEGRITY TEST (0.1 GPH) UNDERGROUND PIPING SYSTEM TYPE X 1. PRESSURE 02. SUCTIDN 0 3. GRAVITY CONSTRUCTIONI MANUFACTURER o ,. SINGLE WALL 0 3, LINED TRENCH 0 99. DTHER X 2. DDUBLE WALL 0 95, UNKNOWN MANUFACTURER Western Fibef!llass 0 " BARE STEEL 0 S. FRP COMPATIBLE w/100% MATERIALS AND 0 2, STAINLESS STEEL METHANOL CORROSION 0 3, PLASTIC COMPATIBLE 0 7, GALVANIZED STEEl. PROTECTION WITH CONiENTS X 8. FLEXIBLE (HDPE) 0 4, FIBERGLASS o 9, CATHODIC PROTECTION 0 5. STEel WI COATING 095. UNKNOWN o 99. OTHER CONVENTIONAL SUCTION SYSTEMS: o 5. CAlLY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRrTY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): o 7. SELF MONrTORING GRAVITY FLOW: o 9. BIENNLo\L INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check e/l that apply): 10. CONTINUOUS TURBINE SUMP SENSOR ~ AUDIBLE AND VISUAl ALARMS AND (Check ooe) a 8. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ~ b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTION LJ c. NO AUTO PUMP SHUT OFF X 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) ~ FLOW SHUT OFF OR RESTRICTION o 12. ANNUAL INTEGRITY TEST (0,1 GPH) SUCTION/GRAVITY SYSTEM: LJ 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAl AL.A.RMS Þ 14. Þ 15. b 16. 017. EMERGENCY GENERA TORS ONLY (Check all that apply) CONTINUOUS SUMP SENSOR ~ AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) ïlIII:1Q!il FLOW SHUT OFF OR RESTRICTION ANNUAL INTEGRITY TEST (0.1 GPH) DAILY VISUAL CHECK ABOVEGROUND PIPING ~ o 1. PRESSURE 0 2, SUCTION 0 3. GRAVITY 459 460 o ,. SINGLE WALL 0 3. LINED TRENCH o 2, DOUBLE WALL 0 95. UNKNOWN MANUFACTURER o 99. OTHER 462 461 463 464 o ,. BARE STEEL o 2. STAINLESS STEEL o 3, PLASTIC COMPATIBLE WrTH CONTENTS o 4. FIBERGLASS LJ 5. STEEL W/ COATING 465 l] 6. FRP COMPATIBLE w/100% METHANOL o 7. GALVANIZED STEEl. o 8. FLEXIBLE (HDPE) o 9, CATHODIC PROTECTION LJ 95. UNKNOWN o 99. OTHER ABOVEGROUND PIPING 465 SINGLE WALL PIPING PRESSURIZED PIPING (Check all that apply): l] 1. EL...E;CTRONIC LINE LEAK DETECTOR 3.0 GPH TEST Y:l.!I.!:f AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL AlARMS MONTHLY 0.2 GPH TEST ANNUAL INTEGRITY TEST (0,1 GPH) DAILY VISUAL CHECK 467 o 2. o 3. o 4, CONVENTIONAL SUCTION SYSTEMS: LJ 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) o 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): o 7. SELF MONrTORING GRAVITY FLOW (Check all that apply): D 8. CAlLY VISUAL MONITORING l] 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOIJS TURBINE SUMP SENSOR WIlli AUDIBLE AND VISUAL ALARMS AND (01ack one) o a. AUTO PJMP SHUT OFF WHEN A LEAK OCCURS o b, AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION o c. NO AUTO PJMP SHUT OFF l] 11. AUTOMATIC LINE LEAK DETECTOR 012. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: l] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL AL.A.RMS EMERGENCY GENERA TORS ONLY (Check all that apply) D 14. CONTINUOUS SUMP SENSOR :tiI.I!::I.QUI AUTO PUMP SHUT OFF + AUDIBLE. AND VISUAL ALARMS o 15, AUTOMATIC LINE LEAK DETECTOR (3,0 GPH TEST) 016. ANNUAL INTEGRITY TEST (0.1 GPH) LJ 17. DAILY VISUAL CHECK ... ......................... ............ ................ ..... .... ............ ..................... ................................. .......................... .' ...... ........ .................-.-.-.-.-.-.-.-...................... ...... ....................................................................... ..... DISPENSER CONTAINMENT o " o 2, X 3. o 4, o 5. o 6. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE CONTINUOUS DISPENSER PAN SENSOR + AUOBLE AND VISUAL ALARMS CONTINUOUS DISPENSER PAN SENSOR YillJ::i AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS DAILY VISUAL CHECK TRENCH LINER I MONrTORING NONE DATE INSTALLED 468 2002 SIGNATURE OF. OVIIN~PERATOR /~.,- -~ N?/,:EPJOPE~rl'r 471 TITLE OF OWNEPJOPERATOR p<Jns Fuel ~arco/Veeder-Root - Emily Daigneau Program Manager 473 I Pannn Approv.d (For local us. only) I certify that the information provided herein is true and accurate to the best of my knCJ'Wledge ~ Permit Number (For locsl use only) 469 DATE 470 4/16/2004 4n 4741 Pormn Exp;",üon Dat. (For local use only) 475 fd2071-(2 of 2) e e HAZARDOUS MATERIALS BUSINESS EMERGENCY PLAN EMERGENCY PROCEDURES Emergency response plans and procedures are an integral part of the HMBEP. By taking the time to develop plans and procedures for your business, you will avoid complications resulting from inaction or misguided action during an emergency, Once the plans and procedures are developed, your employees will have an informative guide to follow in the event of an emergency, You must address each of the following items, however, the amount of detail you provide will depend upon the size and nature of the business, the damage potential of the hazardous materials handled and the location of the business with respect to residential or other populated areas, 1. EMERGENCY RESPONSE PLANS AND PROCEDURES A. If you have a release or threatened release of hazardous materials, your business is required by state law to provide immediate notification to the following agencies: Immediately call: Local emergency response personnel (Fire, paramedics, police or sheriff) ......... ... ... .., ... ... ... ... 911 State Office of Emergency Services ......... ... ... ... ,.. ... ... .... (800) 852-7550 or (916) 262-1621 Immediately call the appropriate jurisdiction: Bakersfield Fire Department Environmental Services ............. ...................... (661) 326-3190 Bakersfield Fire Department ............. ...... ... .., ... ... ... ... .... (661) 326-3190 Person(s) within the facility required to respond to a hazardous materials incident: Name: Cheryl Frye Name: Assistant Manager Telephone: (661) 396-2344 Telephone: (661) 396-2344 B, Identify the local emergency medical facility that will be used by your business in the event of an injury caused by the release of a hazardous material: Name: Mercy Hospital Address: 2215 Truxtun Avenue City: Bakersfield, CA Phone: (661) 632-5000 e e 2. PREVENTION Describe the kinds of hazards associated with the materials present at your business. Provide information on the steps taken at your business, or the policies or procedures now in place, to help prevent an accidental release of a hazardous material. Issues for discussion may include safety, storage, and containment procedures, Be specific for each type of hazardous materials at your business, Employees will be informed of the health and safety hazards inyolved with handlinq of hazardous materials such as qasoline. Employees will not smoke. liqht matches or cause sparks in the dispenser area. Siqns are posted at the pumps informinq customers of the danqer of smokina in non-smokina areas and to turn off vehicle enaine while pumpina aas, Employees will be familiar with the location of the emerqency shut-off. how to stop leaks at dispensers. where the electrical panel and pump breakers are located. location of portable fire extinauishers. use of absorbent materials to contain spills, and to call 911 in the event of a major spill. leak. or explosion. In addition, employees will know the location of the nearest storm drain(s) and location of cleanup materials to be used to prevent spill from reachina the storm drain(s). 3. MITIGATION Describe the procedures to be followed to reduce the severity of a release of threatened release of a hazardous material at your business, The procedures should detail the actions to be taken by employees to stop a release, contain a release, or to reduce the problems associated with a release, What is your immediate response to a spill, fire, explosion of airborne release at your business? Do not write procedures that exceed the capabilities of employee or equipment at you business or that violate any workers safety laws, In the event of a fuel spill. employees will take the followina actions: 1, Locate the source of the spill and prevent more fuel from spillina. Use the emeraency shut off switch to stop any more fuel from leakina. 2. Call 911 if there is a threat to public health and safety or if unable to contain the spill, 3. Immediately notify the manaaer on duty. ' 4. Ensure there is no ianition source near the spilled fuel. 5. Evacuate all non-essential people from the immediate area and place safety cones around the spill area. 6. Do not allow customers to start their vehicles if located within the spill area, 7. Contain the spill or prevent fuel from spreadina into storm. sewer or other drains or bodies of water. Use protective aoaales and aloves, Use socks or absorbent material to stop miaration of the fuel and to block storm drains. 4, ABATEMENT Describe what you would do to stop and remove each hazard. How do you handle the complete process of stopping a release, cleaning up, and disposing of released materials at your business? What aspects of the response are beyond your ability and need to be handled by others? Who would you call to handle the release? In the event of a fuel spill, employees will take the followina actions: 1. Locate the source of the spill and prevent more fuel from spillina. Use the emeraency shut off switch to stop any more fuel from leakina, 2. Call 911 if there is a threat to public health and safety or if unable to contain the spill. 3. Immediately notify the manaaer on duty. 4. Ensure there is no ianition source near the spilled fuel. 5. Evacuate all non-essential people from the immediate area and place safety cones around the spill area, 6. Do not allow customers to start their vehicles if located within the spill area. e e 7. Contain the spill or prevent fuels from spreadinQ into storm. sewer or other drains or bodies of water. Use protective Qoqqles and Qloves, Use socks or absorbent material to stop miQration of the fuel and to block storm drains. 8, If spill is manaQeable. clean UP spill utilizinQ FM 186 and followinQ the "Small Spill Fuel Cleanup Procedure." 9. If yOU are able to clean UP all or part of the spill, dispose of all cleanup materials in the hazardous waste container or in the reQular trash if usinq FM 186 (unless FM 186 is not approved bv the local aQencv). If socks or booms have been used to block a spill. they must be treated as hazardous waste, 10. Document spill on Spill LOQ located in the Environmental Compliance Manual. 5. EVACUATION Describe the procedures to be followed for immediate notification and evacuation of your facility: Evacuation procedures are as follows: 1, Shut down fuel svstem, 2, Verballv instruct all emplovees and customers to evacuate, 3. Gather and instruct al persons evacuatina to assemblv area (staaina area), 4. Perform head count of emplovees and customers (if possible), 5, Verify injuries and contact local ambulance or hospital. 6, Contact local authorities for Police. Fire and local utility companies if necessary, 7, Contact Vons representatives, 6. EARTHQUAKES Identify the areas and equipment in your business, which would require immediate inspection or isolation due to their vulnerability to earthquake related ground motion. Check for equipment such as gas cylinders, piping, drums, etc., that may need to be secured or spillage that may require mitigation or abatement. Due to the nature and size of the project no separate isolations are required. In the event of an earthquake or severe Qround motion. the fuelinQ equipment will be checked and secured (if safety permits), DependinQ on the severity of the natural disaster. the on-site manaqer will assess whether or not the entire site should be secured and shut down, 7. HAZARDOUS WASTE CONTINGENCY Specific procedures for prevention, mitigation and abatement of a release of hazardous waste generated at your business. This section only applies to hazardous waste generators, All hazardous waste (clean up materials/fuel filters) are stored in a sealed and properly labeled container, 8. UNAUTHORIZED RELEASE RESPONSE PLAN Specific procedures for mitigation, abatement and reporting of an unauthorized release from an underground storage tank (UST). The plan must address a release from a single wall or a double wall tank system as applicable. This plan should cover the entire UST system, This section only applies to UST owner/operators, Please refer to the "Underqround Storace Tank Monitorinq Plan" for Vons Fuel Station #2512. e e Employee Training Plan Businesses that handle hazardous materials are required to have a program which provides employees with initial and refresher training. The HMBEP shall include a training program which is reasonable and appropriate for the size of the business and the nature of the hazardous materials handled, The training program shall take into consideration the responsibilities of the employees to be trained, The training program shall, at a minimum, include: A. Methods for safe handling of hazardous materials stored at your business, including familiarity with the characteristics and hazards of each material and measures employees can take to protect themselves from chemical hazards; B. Procedures for coordination with local emergency response organizations; C. Proper use of personal protective equipment; D. The prevention, abatement and mitigation procedures you have developed for your business and explained in the HMBEP, including proper use of emergency equipment and supplies; E. The emergency evacuation plans you have developed, the notification procedure used to alert people to evacuate, and the closest location to obtain appropriate emergency medical care; F, Procedures to coordinate with and assist the local emergency personnel that may respond to your business; G, Who and how to call for immediate assistance in the event of an accident involving hazardous materials; H. Procedures for ensuring that appropriate personnel receive initial and refresher training. All employee training shall be documented and updated annually 1. Personnel A. Are there any specially trained hazardous materials emergency response personnel at your business? Yes No X Number Trained B. Do you have decontamination capabilities for victims of exposure to hazardous materials at your business? Yes No -L Type of Dee on C. Do you have personnel that will provide site security at your business during and after a hazardous materials incident? Yes X No If security is required, the Facility Operator will provide security at the site during and after a hazardous materials incident. 2, Equipment A. List the type and location of equipment that can or will be used for response to hazardous materials incidents at your facility, First Aid Kit, Fire Extinguishers, Absorbent booms and pads, Underground Tank Leak Detection Monitors (See Site Map) ,; e e POST FOR EMPLOYEES HAZARDOUS MATERIALS BUSINESS EMERGENCY PLAN: EMERGENCY NOTIFICATION During an emergency involving a release or a threatened release of a hazardous material you must notify appropriate agencies, Information you should be prepared to supply includes: 1, Name and telephone number of the reporting party; 2, Name and address of business; 3, Time and type of release (e,g" damaged containers, malfunctioning equipment, etc.); 4, Name and quantity ofmaterial(s) involved; 5, Extent and number of injuries; 6. Actions taken or being taken to mitigate or reduce emergency; 7, Potential hazards to human health or the environment surrounding the business, AGENCY NOTIFICATION: Fire Department AmbulancelParamedic Police/Sheriff 911 911 911 Hospital Mercy Hospital Phone # (661) 632-5000 Primary Facility Emergency Contact Person Name Cheryl Frye Phone # (661) 396-2344 Bakersfield Environmental Services Bakersfield Fire Department (661) 326-3190 (661) 326-3190 California Office of Emergency Services National Response Center Poison Control Center Hazardous Materials Cleanup Contractor (Emergency Response) (800) 852-7550 (800) 42478802 (800) 876-4766 (800) 337-7455 Name of Contractor (if applicable): NRC Environmental Services Other Contacts Important Phone Numbers: Vons Food Safety & Environmental Affairs: 626-821-5608 Dresser Wayne Help Desk (repairs on fueling equipment): 800-289-2963 Veeder Root Spill Hotline: 800-997-7725 ;; .. A. General The facility manager or designee will train all new employees of this facility about the following procedures for the safe handling of hazardous materials/waste, procedures for emergency response coordination, and use of emergency response equipment and supplies, B. Employee Training Subjects - New employees will be trained on the following items: 1) location of main electrical panel 2) locations of emergency shut off pump outside and inside the store 3) location of emergency shut off of dispenser at the cashier register (START/STOP) button on the cashier register 4) location of emergency exit doors 5) method of announcement of evacuation and assembly area 6) hazard communication 7) what is the Emergency Response Plan (E.R.P,) 8) what is MSDS and where is located 9) what to do in the event of drive off/top off 10) what to do in the event of earthquake & earthquake checklist 11) where is the location of fire extinguisher in the store, how to use it and when to use it 12) what to do in the event of a spill 13) posting of emergency contact phone numbers and how to notify maintenance 14) Spill cleanup materials and proper handling and disposal 15) danger of carbon dioxide (C02) gas cylinder 16) dangers of flammable liquid such as gasoline, NO SMOKING RULES, sparks or smoking may cause fire or explosion C REFRESHER TRAINING Station manager or designee, will conduct rerresher training on an annual basis, The topics will be the same as the initial training D, WHO WILL BE TRAINED Persons trained as follows: 1) Fuel Station staff and any employees working in the station 2) Station manager 3) Station assistant manager 4) Store manager J .-~.-; . -' VONS FUEL CTR BAKERSFIELD ~IOD Manager : SITE MANAGER Location: ~ WHITE LN City BAKERSFIELD #2512 SiteID: 015-021-001217 BusPhone: Map : 124 Grid: 18C (661) 396-2344 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 05 EPA Numb: SIC Code:5541 DunnBrad:009137209 C,.= I t('. ~Y'\~"':Y' +:'r'-l~ Emergency Contact EMIL-£ DAIGNIJAB Business Phone: 24-Hour Phone : Pager Phone : Hazmat Hazards: / Title / 'PROGRAM MMQAG:GR" ~) 986-eôll.h. (800) 997-7725x (303) 884-7986x , l (..Co \ J '3Q ~-? a'-' \....{ Emergency Contact / Title GILBARCO/VEEDERROOT / CMS HOTLINE Business Phone: (800) 997-7725x 24 - Hour Phone : ( 800 ) 997 - 772 5x Pager Phone : ( ) - x Fire Press React ImmHlth DelHlth Period : Preparer: Certif'd: ParcelNo: to Phone: (303) 986-8011x State: CO Zip : 80228 Phone: (303) 986-8011x State: CO Zip : 80228 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : SAFEWAY STORES, INC. MailAddr: 12265 W BAYAUD AVE 300 City : LAKEWOOD Owner Address City SAFEWAY STORES, INC. : 12265 W BAYAUD AVE 300 : LAKEWOOD Emergency Directives: '. J(: \\\ .~ ~ , ;/ - ... , ,/ \'" ,,' <. I, Do hereby certify that I have ~, ~ , v (/ \\ - 1'; \ 'I "',\ \...., ":- "'\. , ' çry¡x! or print name\ reviewed ths attached hazardous materials manage- and ~ha~ i~ along wiil1 ment plan for , (Name of Bustneoo) any corredior1l~ oonstitu~~ (ð'¡ oompls~s ~n©1 ~~!i'r~ Maln- agement plan rof my 1Ø\cm~)f. :,' ~ \ ; '" '; \:,/ r;. ~'-" "" '''1 \í(,,\ 7\ -, j,/ . '''¡'' , ~ Signature ~ -1- 04/12/2004 --..;;;;------- í ì . -- F VONS FUEL CTR BAKERSFIELD #2512 SiteID: 015-021-001217 9 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: VONS FUEL CTR BAKERSFIELD #2512 Cross Street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : GILBARCO/VEEDERROOT Phone: (800) 997-7725x Address: City : State: Zip: Type : TANK OWNER INFORMATION Name : GILBARCO/VEEDERROOT Phone: (800) 997-7725x Address: City : State: Zip: Type : BOE UST Fee# : Financ'l Resp: SELF INSURED Legal Notif : Business Mailing Address Date:09/02/2002 Phone: (626) 821-7781x Name: TANK OWNER Ttl:AUTHORIZED AGENT State UST # : 1998 Upg Cert#: -2- 04/12/2004 7 e e F VONS FUEL CTR BAKERSFIELD #2512 SiteID: 015-021-001217 ì f= Hazmat Inventory By Facility Unit ì p== MCP+DailyMax Order Fixed Containers on Site ì Hazmat Common Name... specHazEPA Hazards Frm I DailyMax UnitMCP LAWN CARE/FERTILIZERS IH DH S 15.00 LBS Ext BLEACH R IH L 700.00 GAL Hi AEROSOLS F P L 250.00 GAL Hi AQUA CHEM R IH L 166.00 GAL Hi STRIPPER IH L 50.00 GAL Hi BREAK UP F IH L 40.00 GAL Hi POOL CHLORINE (HYPOCHLORITE) R IH L 20.00 GAL Hi POOL ACID F R IH DH L 15.00 GAL Hi REGULAR UNLEADED F IH DH L 20000.00 Mod MIDGRADE UNLEADED GASOLINE F IH DH L 20000.00 GAL Mod PREMIUM UNLEADED F IH DH L 10000.00 Mod INSTANT LITE BRIQUETTES/LOGS F S 2000.00 LBS Mod POWDER BLEACH F IH DH S 1500.00 LBS Mod DRY CHLORINE R IH DH S 250.00 LBS Mod ALL PURPOSE CLEANERS F IH DH L 150.00 GAL Mod LYSOL IH DH L 100.00 GAL Mod CHARCOAL LIGHTER FLUID F IH DH L 70.00 GAL Mod SCANNER CLEANER F DH L 25.00 GAL Mod ALGACIDE F R IH DH L 20.00 GAL Mod FREON R22 P IH 3000.00 Low ANTIFREEZE DH L 60.00 GAL Low MAINTEX WAX IH DH L 50.00 GAL Low INSECTICIDE (SOLID) F IH S 35.00 LBS Low SODA ASH F IH S 10.00 LBS Low CARBON DIOXIDE F P IH G 500.00 FT3 Min HELIUM P IH G 500.00 FT3 Min MOTOR OIL F DH L 75.00 GAL Min CHARCOAL BRIQUETTES F S 4600.00 LBS UnR INSECTICIDES F IH DH L 55.00 GAL UnR -3- 04/12/2004 1 i e e F VONS FUEL CTR BAKERSFIELD #2512 f= Inventory Item 0012 == COMMON NAME / CHEMICAL NAME LAWN CARE/FERTILIZERS SiteID: 015-021-001217 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit AISLE Map: Grid: CAS# [ ST~TE I ~YPE ~ P~ESSURE ---r TEM~ERATURE ~ CONTAINER TYPE =SOlld __Mlxtur~mblent ---1 Amblent ~ BOX AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 15.00 LBS 7.00 LBS %Wt. RS CAS# 11. 00 Dichlorophenoxyacetic Acid No 94757 12.00 Dimethylamine Yes 124403 8.00 Nitrogen No 7727379 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Ext HAZARD ASSESSMENTS Ag.Definedl: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Definel0: - Ag. Definell -4- 04/12/2004 7' 'i e e F VONS FUEL CTR BAKERSFIELD #2512 f= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME BLEACH SiteID: 015-021-001217 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit AISLE 6/BACKROOM Map: Grid: CAS# 7681-52-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 700.00 GAL Daily Average 240.00 GAL HAZARDOUS COMPONENTS ~ CAS # I 7681529 I 1~~~òoIB1eaCh TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi 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: - Ag.Define11 -5- 04/12/2004 l' 'T e e F VONS FUEL CTR BAKERSFIELD #2512 f= Inventory Item 0013 == COMMON NAME / CHEMICAL NAME AEROSOLS SiteID: 015-021-001217 ì Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit THROUGHOUT BUILDING Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 250.00 GAL Daily Average 200.00 GAL %Wt. RS CAS# 70.00 Isobutane Yes 75285 20.00 n-Butane Or Butane Mixture Yes 106978 10.00 Propane Yes 74986 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P / / .../ Hi HAZARD ASSESSMENTS Ag.Defined1: Ag.Defined5: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -6- 04/12/2004 í - e F VONS FUEL CTR BAKERSFIELD #2512 f= Inventory Item 0003 === COMMON NAME / CHEMICAL NAME AQUA CHEM SiteID: 015-021-001217 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 166.00 GAL Daily Average 100.00 GAL %Wt. RS CAS # 100.00 Muriatic Acid Yes 7647010 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined8: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: f- Ag .Define11 -7- 04/12/2004 'T 7 4Þ e F VONS FUEL CTR BAKERSFIELD #2512 f= Inventory Item 0020 === COMMON NAME / CHEMICAL NAME STRIPPER SiteID: 015-021-001217 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit BACKROOM CENTER Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 50.00 GAL Daily Average 20.00 GAL %Wt. RS CAS# Ethoxylated Nonylphenol No 0 2-Butoxyethanol No 111762 Ethanolamines (family name) No 141435 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Hi HAZARD ASSESSMENTS Ag.Defined1: Ag.Defined5: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: r- Ag. Define11 -8- 04/12/2004 '1' .. - e F VONS FUEL CTR BAKERSFIELD #2512 f= Inventory Item 0023 == COMMON NAME / CHEMICAL NAME BREAK UP SiteID: 015-021-001217 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit BACKROOM CENTER Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 40.00 GAL Daily Average 10.00 GAL %Wt. RS CAS# 2.00 Potassium No 7440097 2.00 Ethylene Glycol Monobutyl Ether No 111762 7.00 Tetrapotassium Pyrophosphate No 7320345 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi 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: - Ag .Define11 -9- 04/12/2004 i' " - e F VONS FUEL CTR BAKERSFIELD #2512 f= Inventory Item 0014 F= COMMON NAME / CHEMICAL NAME POOL CHLORINE (HYPOCHLORITE) SiteID: 015-021-001217 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit AISLE 16/HABA BACKROOM Map: Grid: CAS# 7681529 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 20.00 GAL Daily Average 12.00 GAL %Wt. RS CAS # 11.00 Sodium Hypochlorite No 7681529 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi HAZARD ASSESSMENTS Ag.Definedl: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Definel0: Ag.Defined8: - Ag.Definell -10- 04/12/2004 -> e -- F VONS FUEL CTR BAKERSFIELD #2512 p= Inventory Item 0016 F= COMMON NAME / CHEMICAL NAME POOL ACID SiteID: 015-021-001217 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit AISLE 6/HABA BACKROOM Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 15.00 GAL Daily Average 10.00 GAL %Wt. RS CAS# 34.00 Phosphoric Acid No 7664382 32.00 Hydrochloric Acid Yes 7647010 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH DH / / / Hi 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 -11- 04/12/2004 ~ e e F VONS FUEL CTR BAKERSFIELD #2512 f= Inventory Item 0027 === COMMON NAME / CHEMICAL NAME REGULAR UNLEADED SiteID: 015-021-001217 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 20000.00 AMOUNTS AT THIS LOCATION Daily Maximum 20000.00 Daily Average 20000.00 HAZARDOUS COMPONENTS Gr] CAS # I 8006619: %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 Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: r- Ag. Define11 -12- 04/12/2004 .. e e F VONS FUEL CTR BAKERSFIELD #2512 SiteID: 015-021-001217 ì f= Inventory Item 0027 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: TANK DESCRIPTION Tank ID#: 1 Mfr: MODERN WELD Installed: 07/2002 Capacity: 20000 Gals Additional Info: Compart Tank: N No. Of Comparts: 1 Tank Use: MOTOR VEHICLE FUEL Matl Name:REGULAR UNLEADED TANK CONTENTS Petrol Type: REGULAR UNLEADED Cas #: 8006-61-9 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): BARE STEEL Material(s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 2002 Drop Tube : 2002 Striker Plate: 2002 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 2002 TANK LEAK DETECTION Dbl Wall: INTERSTITIAL MONITORING Installed: Installed: 2002 Exempt: No Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -13- 04/12/2004 e e F VaNS FUEL CTR BAKERSFIELD #2512 SiteID: 015-021-001217 ì f= Inventory Item 0027 Facility Unit: Fixed Containers on Site ì 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 A.O. SMITH FIBERGLASS FIBERGLASS AboveGround Piping PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 07/12/2002 Date: 09/09/2002 Name:KARL HUY Prmt Number: 1217 TANK/LINE TEST :08/11/2002 CP CERT. : MANWAY INSP. : UST MONIT. CERT:09/25/2003 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR w/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Ttl:AUTHORIZED AGENT Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED PASS -14- 04/12/2004 e e F VONS FUEL CTR BAKERSFIELD #2512 f= Inventory Item 0029 == COMMON NAME / CHEMICAL NAME MIDGRADE UNLEADED GASOLINE SiteID: 015-021-001217 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 20000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 20000.00 GAL Daily Average 20000.00 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.Defined9: Ag.Define10: Ag.Defined8: - Ag.Define11 -15- 04/12/2004 e e F VONS FUEL CTR BAKERSFIELD #2512 SiteID: 015-021-001217 ì f= Inventory Item 0029 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: TANK DESCRIPTION Tank ID#: 3 Mfr: MODERN WELD Installed: 07/2002 Capacity: 20000 Gals Additional Info: SPLIT TANK 10K/10K TANK CONTENTS Tank Use: MOTOR VEHICLE FUEL Petrol Type: Matl Name:MIDGRADE UNLEADED GASOLINE TANK CONSTRUCTION Compart Tank: Y No. Of Comparts: 2 UNLEADED PLUS/MIDGRADE Cas #: 8006-61-9 Type : DOUBLE WALL Material(p): BARE STEEL Material(s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 2002 Drop Tube : 2002 Striker Plate: 2002 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 2002 TANK LEAK DETECTION Dbl Wall: INTERSTITIAL MONITORING Installed: Installed: 2002 Exempt: No Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -16- 04/12/2004 -. e e F VONS FUEL CTR BAKERSFIELD #2512 SiteID: 015-021-001217 ì f= Inventory Item 0029 Facility Unit: Fixed Containers on Site ì 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 A.O. SMITH FIBERGLASS FIBERGLASS AboveGround Piping PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 07/12/2002 Date: 09/09/2002 Name: KARL HUY prmt Number: 1217 TANK/LINE TEST :08/11/2002 CP CERT. : MANWAY INSP. : UST MONIT. CERT:09/25/2003 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Ttl:AUTHORIZED AGENT Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED -17- 04/12/2004 e e F VONS FUEL CTR BAKERSFIELD #2512 p= Inventory Item 0028 === COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED SiteID: 015-021-001217 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 Daily Average 10000.00 %Wt. I 100.00 GasolJ.ne 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.Defined8: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: - Ag .Definel1 -18- 04/12/2004 ~ e e F VONS FUEL CTR BAKERSFIELD #2512 SiteID: 015-021-001217 ì f= Inventory Item 0028 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: TANK DESCRIPTION Tank ID#: 2 Mfr: MODERN WELD Installed: 07/2002 Capacity: 20000 Gals Additional Info: SLPIT TANK 10K/10K TANK CONTENTS Tank Use: MOTOR VEHICLE FUEL Petrol Type: Matl Name:PREMIUM UNLEADED Compart Tank: Y No. Of Comparts: 2 PREMIUM UNLEADED Cas #: 8006-61-9 TANK CONSTRUCTION - Type : DOUBLE WALL Material(p): BARE STEEL Material(s): STEEL CLAD W/FIBERGLASS Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 2002 Drop Tube : 2002 Striker Plate: 2002 R. P. Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 2002 TANK LEAK DETECTION Dbl Wall: INTERSTITIAL MONITORING Installed: Installed: 2002 Exempt: No Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -19- 04/12/2004 e e F VONS FUEL CTR BAKERSFIELD #2512 SiteID: 015-021-001217 9 f= Inventory Item 0028 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 A.O.SMITH FIBERGLASS FIBERGLASS AboveGround Piping PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 07/12/2002 Date: 09/09/2002 Name: KARL HUY Prmt Number: 1217 TANK/LINE TEST :08/11/2002 CP CERT. : MANWAY INSP. : UST MONIT. CERT:09/25/2003 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Ttl:AUTHORIZED AGENT Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED -20- 04/12/2004 .. . e F VONS FUEL CTR BAKERSFIELD #2512 f= Inventory Item 0007 = COMMON NAME / CHEMICAL NAME INSTANT LITE BRIQUETTES/LOGS SiteID: 015-021-001217 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit AISLE 16/BACKROOM Map: Grid: CAS# [ ST~TE I ~YPE ~ P~ESSURE ~ TEM~ERATURE ~ =SOlld __Mlxtur~mblent ---1 Amblent ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum LBS 2000.00 LBS CONTAINER TYPE BAG Daily Average 1000.00 LBS %Wt. RS CAS# 25.00 Mineral Spirits No 8030306 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Mod HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined8: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined5: - Ag.Define11 -21- 04/12/2004 .. . e F VONS FUEL CTR BAKERSFIELD #2512 f= Inventory Item 0009 = COMMON NAME / CHEMICAL NAME POWDER BLEACH SiteID: 015-021-001217 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit AISLE 6/BACKROOM Map: Grid: CAS# 497198 [ ST~TE I TYPE ~ P~ESSURE ---r TEM~ERATURE ~ =SOlld __pure ~mblent ---1 Amblent ~ AMOUNTS AT THIS LOCATION Daily Maximum 1500.00 LBS CONTAINER TYPE BOX Largest Container LBS Daily Average 700.00 LBS %Wt. RS CAS # Sodium Carbonate No 497198 Sodium Perborate No 7632044 HAZARDOUS COMPONENTS 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: f- Ag. Define11 -22- 04/12/2004 " . e F VONS FUEL CTR BAKERSFIELD #2512 f= Inventory Item 0015 F= COMMON NAME / CHEMICAL NAME DRY CHLORINE SiteID: 015-021-001217 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit AISLE 16/HABA BACKROOM Map: Grid: CAS# STATE - TYPE Solid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container LBS AMOUNTS AT THIS LOCATION Daily Maximum 250.00 LBS Daily Average 200.00 LBS %Wt. RS CAS# Sodium Dichloro-s-triazinetrione No 2893789 Calcium Hypochlorite No 7778543 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R 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: f- Ag. Define11 -23- 04/12/2004 Co . e F VONS FUEL CTR BAKERSFIELD #2512 f= Inventory Item 0010 === COMMON NAME / CHEMICAL NAME ALL PURPOSE CLEANERS SiteID: 015-021-001217 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Location within this Facility Unit AISLE 5 Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 150.00 GAL Daily Average 90.00 GAL %Wt. RS CAS# 7.00 2-Butoxyethanol No 111762 HAZARDOUS COMPONENTS 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 -24- 04/12/2004 ... e e F VONS FUEL CTR BAKERSFIELD #2512 f= Inventory Item 0006 == COMMON NAME / CHEMICAL NAME LYSOL SiteID: 015-021-001217 1 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit AISLE 7 Map: Grid: CAS# 7757-82-6 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 100.00 GAL Daily Average 85.00 GAL %Wt. RS CAS# 79.00 Ethyl Alcohol No 64175 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Mod HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined5: Ag.Defined8: - Ag.Define11 -25- 04/12/2004 '. e e F VONS FUEL CTR BAKERSFIELD #2512 p= Inventory Item 0024 = COMMON NAME / CHEMICAL NAME CHARCOAL LIGHTER FLUID SiteID: 015-021-001217 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit AISLE 16/BACKROOM Map: Grid: CAS# 800-66-42 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 70.00 GAL Daily Average 30.00 GAL I l~~\oINaPhtha HAZARDOUS COMPONENTS I~ CAS # I 8030306 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: - Ag.Define11 -26- 04/12/2004 ~ e e F VONS FUEL CTR BAKERSFIELD #2512 f= Inventory Item 0022 === COMMON NAME / CHEMICAL NAME SCANNER CLEANER SiteID: 015-021-001217 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit BACKROOM CENTER Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 25.00 GAL Daily Average 18.00 GAL HAZARD US COMP NENT %Wt. RS CAS# Isopropanol No 67630 Ethylene Glycol Diethyl Ether No 629141 o o S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F 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 -27- 04/12/2004 e e F VONS FUEL CTR BAKERSFIELD #2512 p= Inventory Item 0017 == COMMON NAME / CHEMICAL NAME ALGACIDE SiteID: 015-021-001217 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit AISLE 16 Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 20.00 GAL Daily Average 12.00 GAL %Wt. RS CAS# 10.00 Alkyl Dimethylbenzylammonium Chloride No 8001545 2.00 Ethanol No 64175 6.00 Polyoxyethylene No 25322683 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH DH / / / Mod HAZARD ASSESSMENTS Ag.Defined1: Ag.Defined5: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag. Define11 -28- 04/12/2004 e e F VONS FUEL CTR BAKERSFIELD #2512 p= Inventory Item 0026 === COMMON NAME / CHEMICAL NAME FREON R22 SiteID: 015-021-001217 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 75-45-6 r= STATE =r= TYPE ~ PRESSURE ===r TEMPERATURE ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum 3000.00 CONTAINER TYPE Daily Average %Wt. RS CAS# 100.00 Chlorodifluoromethane No 75456 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P IH / / / Low HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined8: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: - Ag.Define11 -29- 04/12/2004 e e F VONS FUEL CTR BAKERSFIELD #2512 f= Inventory Item 0004 = COMMON NAME / CHEMICAL NAME ANTIFREEZE SiteID: 015-021-001217 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit AISLE 8 Map: Grid: CAS# 107-21-1 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 60.00 GAL Daily Average 30.00 GAL %Wt. RS CAS# 100.00 Ethylene Glycol No 107211 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Low HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: I- Ag. Define11 -30- 04/12/2004 e e F VONS FUEL CTR BAKERSFIELD #2512 f= Inventory Item 0019 === COMMON NAME / CHEMICAL NAME MAINTEX WAX SiteID: 015-021-001217 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit BACKROOM CENTER Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 50.00 GAL Daily Average 30.00 GAL %Wt. RS CAS# Ethylene Glycol Diethyl Ether No 629141 Ethylene Glycol No 107211 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Low HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag. Define11 -31- 04/12/2004 e e F VONS FUEL CTR BAKERSFIELD #2512 f= Inventory Item 0011 F== COMMON NAME / CHEMICAL NAME INSECTICIDE (SOLID) SiteID: 015-021-001217 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Location within this Facility Unit AISLE 5 Map: Grid: CAS# 67-63-0 STATE - TYPE Solid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container LBS AMOUNTS AT THIS LOCATION Daily Maximum 35.00 LBS Daily Average 25.00 LBS %Wt. RS CAS# 4.00 Metaldehyde No 9002919 95.00 Boric Acid No 10043353 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Low HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -32- 04/12/2004 e e F VONS FUEL CTR BAKERSFIELD #2512 f= Inventory Item 0018 ¡:::::= COMMON NAME / CHEMICAL NAME SODA ASH SiteID: 015-021-001217 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit AISLE 16 Map: Grid: CAS# 497-19-8 [ ST~TE I TYPE ~ P~ESSURE ~ TEM~ERATURE ~ =SOlld __pure ~mblent ---1 Amblent ~ AMOUNTS AT THIS LOCATION Daily Maximum 10.00 LBS CONTAINER TYPE BAG Largest Container LBS Daily Average 6.00 LBS %Wt. RS CAS# 100.00 Sodium Carbonate No 497198 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Low HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined8: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: - Ag.Define11 -33- 04/12/2004 e e F VONS FUEL CTR BAKERSFIELD #2512 p= Inventory Item 0021 == COMMON NAME / CHEMICAL NAME CARBON DIOXIDE SiteID: 015-021-001217 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Location within this Facility Unit SERVICE DELI Map: Grid: CAS# 124-38-9 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 500.00 FT3 Daily Average 250.00 FT3 %Wt. RS CAS# 100.00 Carbon Dioxide No 124389 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined5: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -34- 04/12/2004 e e F VONS FUEL CTR BAKERSFIELD #2512 p= Inventory Item 0025 ¡::::= COMMON NAME / CHEMICAL NAME HELIUM SiteID: 015-021-001217 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit FLORAL DEPT Map: Grid: CAS# 7440-59-7 - TYPE Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 500.00 FT3 Daily Average 500.00 FT3 HAZARDOUS COMPONENTS ~ I %Wt. I 100.00 Helium CAS # I 7440597 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P IH / / / Min HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined8: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: I- Ag .Define11 -35- 04/12/2004 e e F VONS FUEL CTR BAKERSFIELD #2512 f= Inventory Item 0002 == COMMON NAME / CHEMICAL NAME MOTOR OIL SiteID: 015-021-001217 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit AISLE 5 Map: Grid: CAS# 64742-54-7 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 75.00 GAL Daily Average 20.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 T TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMEN S Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined8: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: - Ag.Define11 -36- 04/12/2004 e e F VONS FUEL CTR BAKERSFIELD #2512 f= Inventory Item 0008 = COMMON NAME / CHEMICAL NAME CHARCOAL BRIQUETTES SiteID: 015-021-001217 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit AISLE 16/BACKROOM Map: Grid: CAS# [ ST~TE I ~YPE ~ P~ESSURE ~ TEM~ERATURE ---I CONTAINER TYPE =SOlld ____Mlxtur~mblent ---1 Amblent ~ BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 4600.00 LBS 2000.00 LBS %Wt. I HAZARDOUS COMPONENTS ~ CAS# ZAR TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / UnR HA D ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined5: Ag.Defined8: -- Ag .Define11 -37- 04/12/2004 e e F VONS FUEL CTR BAKERSFIELD #2512 p= Inventory Item 0005 == COMMON NAME / CHEMICAL NAME INSECTICIDES SiteID: 015-021-001217 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit AISLE 5 Map: Grid: CAS# 67-63-0 STATE - TYPE Liquid Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 40.00 GAL HAZARDOUS COMPONENTS ~ CAS# 01 I l~~~óollnsecticides HAZARD A E M TS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / UnR SS SS EN Ag.Def.ined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined8: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: - Ag.Define11 -38- 04/12/2004 < ~ e e F VONS FUEL CTR BAKERSFIELD #2512 I f= Notif./Evacuation/Medical Agency Notification SiteID: 015-021-001217 ì Fast Format ì Overall Site ì 09/13/2002 IN THE EVENT OF A SPILL THE ATTENDANT AND THE SITE MANAGER ARE INSTRUCTED TI IMMEDIATELY NOTIFY ALL POLICE, FIRE, HAZARDOUS MATERIALS, UTILITY AND VONS ENVIRONMENTAL PERSONNEL. IN THE EVENT OF A SPILL, THE KIOSK AREA WILL BE SECURED AND ALL AGENCIES WILL BE CONTACTE FROM THE EXISTING VONS MARKET BUILDING. FOR NON-EMERGENCY SPILLS, THE BAKERSFIELD FIRE DEPARTMENT (661-326-3979) WILL BE CONTACTED ALONG WITH ALL FUEL AND ENVIRONMENTAL PERSONNEL FROM VONS. A PRE-APPROVED CLEAN UP CONTRACTOR WILL ALSO BE CONTACTED FOR CLEAN UP PURPOSES. IN THE EVENT OF AN EMERGENCY SPILL, THE OFFICE OF EMERGENCY SERVICES AND 911 WILL BE CONTACTED. MR SCOTT MILLER (VON FUEL PROGRAMS MANAGER - 626-821-7781) IS TO BE CONTACTED AT ONCE. GAS, WATER AND ELECTRICAL UTILITY COMPANIES WILL ALSO BE CONTACTED. A PRE-APPROVED HAZARDOUS MATERIALS MAINTENANCE CLEAN COMPANY WILL ALSO BE Employee Notif./Evacuation 09/13/2002 THE INITIAL RESPONSIBILITY TO CONTACT THE APPROPRIATE AGENCIES LIES WITH THE KIOSK ATTENDANT AND THE SITE MANAGER. IT WILL BE THEIR RESPONSIBLITY TO NOTIFY VONS CORPORATE AND TO CONTACT THE CLEAN UP CONTRACTOR AND EQUIPMENT MAINTENANCE CONTRACTOR. ONCE THE INITIAL CONTACTS ARE MADE AND SCOTT MILLER HAS HAD AN OPPORTUNITY TO ARRIVE AT THE SITE, HE WILL ASSUME ALL RESPONSIBLITIES TO CARRY THROUGH WITH THE CLEAN UP AND RESTART PROGRAM. THE FUEL PROGRAMS MANAGER WILL VERIFY AND APPROVE ALL CLEAN UP ACTIVITY, EQUIPMENT REPLACEMENT AND SYSTEM RESTART PROCEDURES. ALL NECESSARY PAPER WORK AND FORMS REPORTING THE SPILL AND VERIFY THE CONATINMENT AND CLEAN UP WILL BE PRODUCED AND SUPERVISED BY THE VONS FUEL PROGRAM MANAGER. Public Notif./Evacuation 04/27/1999 MANAGER ON DUTY WfLL HANDLE PUBLIC EVACUATION IN THE SAME WAY AS EMPLOYEES. Emergency Medical Plan 09/13/2002 IN THE EVENT OF A SPILL, THE FUEL CENTER FACILITY WILL BE SECURED AND ALL REMAINING PERSONS EVACUATED. A PREDETERMINED MEETING LOCATION WILL BE ESTABLISHED AND ALL PERSONS WILL GATHER AT THIS LOCATION. IN THE EVENT A MEDICAL INCIDENT HAS OCCURRED, THE FIRST PHASE OF MEDICAL ATTENTION WILL COME FROM THE LOCAL FIRE DEPARTMENT PARAMEDICS AND AMBULANCE CORE. ALL PERSONS INVOLVED IN THE MEDICAL EMERGENCY WILL BE MOVED TO A SAFE LOCATION IF POSSIBLE. THE AREA NEAR AND ADJACENT TO THE MEDICAL EMERGENCY WILL BE SECURED AND PROTECTED IF THE PERSON CAN NOT BE MOVED. BASED ON EMERGENCY ROOM ACTIVITY, THE PARAMEDICS WILL PRESCRIBE THE CLOSEST AND FASTEST ROUTE TO A FOLLOW UP MEDICAL FACILITY. -39- 04/12/2004 ~ D ~ ~~~ t5'/ e4- .;; e \.\ V' L/~e~ Dr' ./ _I .. . (~ GILBARCO . ~. VEEDER-ROOT . .~ 12265 West Bayaud Ave., Suite 300 · Lakewood, CO 80228 · (303) 986-8011 · www.veeder.com July 9, 2003 Bakersfield Fire Department Environmental Services 1715 Chester Avenue Bakersfield, CA 93301 ~~~~ ~ ro<J RE: Safeway Fuel Facility #2512 2100 White Lane Bakersfield, CA 93304 Dear Ms, Crawford: Safeway Stores, Inc. has retained Gilbarco/Veeder-Root CMS to manage compliance activities at all Safeway owned fuel-dispensing facilities. As Safeway's authorized Compliance Service Provider, Gilbarco/Veeder-Root CMS is responsible for coordinating and tracking the resolution of non-compli?:nce issues and renewing and maintaining registrations, licenses and/or certificates associated with the operation of the underground storage tank systems (i.e. UST, Stage I/II, Weights and Measures, etc.). In order to facilitate streamlined communications, Safeway would like to change the owner address on the UST registrations/notification forms, for all Safeway Stores, Inc. owned facilities within your jurisdiction. I have attached a listing of these facilities for your reference. Please make the following changes to the existing UST system permits/registrations: NEW ADDRESS Safeway Stores, Inc. C/o GilbarcoNeeder-Root CMS 12265 West Bayaud Avenue, Floor 300 Lakewood, CO 80228 Attn: Emily JoAnn Daigneau Upon receipt of this correspondence please update you database and being sending all correspondence to the new address indicated above. Should you have any questions or require further information please do not hesitate to contact me at (800) 253-8054 Sincerely, E~~~ A1!:u~~ Mana~;neau Authorized Representative . -lI!lIIItr- e S ~...., Cþ REDJACKET" /"\1 EMS ~. ~ b \\ '.5 \ U;c.-' ?/ð I? ~ ð-dd r- ~.J3 'S /..:s . .,.¿ I () () w h;' :h::.. ~ ~ HAZARDOUS MATERIALS FlUTY INFORMATION BUSINESS OWNER I OPERATOR FORM ~~ S(;.~ ~ V -2ð5ö ¿uh;f~4/Îe., Page 1 of CD rrt:..Cf a.ddr~5 s. -f8 r -r/-1¿/ Ce...íJ I ¿ r í'0 " Bakersfield Fire Dept. Environmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 1œ SITE ADDRESS 1m 101 ZIP 1(6 CA '~:o'i DUN & BRADSTREET 103 SIC CODE (4 Digit #) 107 oocra· I COUNTY - , 103 Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted in this inventory and believe the information is true, accurate, and complete. DATE 134 NAME OF DOCUMENT PREPARER 135 -=t ~"" '2.06 ~ " """" '-'"'CO IÞo. , ~ ~~ 136 TITLE OF OWNER/OPERATOR 137 Co *"'" k ~ ~E-1'2.. fd2090 UNDERGROUND STOaE TANKS UST FACILITY Bakersfield Fire Dept. Environmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 Page 1 of 1 TYPE OF ACTION (Check one item only) o 1. NEW SITE PERMIT o 3. RENEWAL PERMIT 04. AMENDED PERMIT ~HANGE OF INFORMATION (Specify change-local use only) M.,&...I'Ñ'Cot ADØt.G::~~ o 6. TEMPORARY SITE CLOSURE o 7. PERMANENTlY CLOSED SITE o 8. TANK REMOVED 400 ,'<:,,';:', I. FACIL..ITY1SiTE"iNFORMATION 3 FACILITY ID No 5. COMMERCIAL 6, OTHER FACILITY OWNER TYPE ~ CORPORATION 02, INDIVIDUAL o 3, PARTNERSHIP 403 'If owner of UST a public agency: Name of supervisor of division, section or office which operates the UST. 04, LOCAl AGENCY/DISTRICT' o 5. COUNTY AGENCY' 06. STATE AGENCY' 07. FEDERAL AGENCY' 402 TOTAL NUMBER OF TANKS REMAINING AT SITE 405 408 (This is the contact person for the tank records.) 406 II.P~ØÞE.· ..RT.itr.:.ln,o,.::VVNE:~'INFORM.··.~¡¡;I().... ·..N . ...,',',',,,. """"" m·'· , PROPERTY OWNER NAME 409 \ 1.2..\0'5 ~5t\ CITY L~ "'~ I".:)() ÞO PROPERTY OWNER TYPE 410 STATE 411 ZIP CODE 412 02. INDIVIDUAL 03, PARTNERSHIP CoO 04, LOCAL AGENCY/ DISTRICT 05, COUNTY AGENCY u.~ ~ORPORATION 06, STATE AGENCY o 7. FEDERAL AGENCY 413 . ""m,,,.'.'·',--' 1l1..TANKi5.'WN... ER. ;··.IN.FORMAT.ION.'.'··' . .. , l..~ "- TANK OWNER TYPE ¡;;¡.or.- CORPORATION 02, INDIVIDUAL 03. PARTNERSHIP 04, 05, 06. STATE AGENCY 07. FEDERAL AGENCY 415 ()U 416 419 420 421 TANK OWNER NAME 417 TY (TK) HQ -"'.' ::':.,h :'.,' "":"":'::"-',""'" , _ __ __ ____: '_______,.,..'_., ' ":", _ <_ '. ,_:,_,,_ _ _ : :' "',,,' ,;;). 'IV,BOARQQF. EQjAu'IZA"FIONUS.I~TORAGE'FEE· Call (916) 322-9669 if questions arise INDICATE METHOD(S) o 1. SELF-INSURED o 2. GUARANTEE ~NSURANCE o 4. SURETY BOND o 5, LETTER OF CREDIT o 6, EXEMPTION 07. STATE FUND 08, STATE FUND & CFO LETTER o g, STATE FUND & CD 010, LOCAL GOVT MECHANISM o 99. OTHER: .... " . '" , __"- --co' _ .",' -'" .- _ _ _,_, , "_,..,,.. V.. ·PE'I'ROu'ElJMUST'FINANèIALRESP:ØNSISH:ITY 422 .. VI:,'L-EG:«J¡::NØ'l'IFièÄTION>AND' MAIUINGADDRESS·· <. - ¡,~ '.; -.,. "" ... -, .", " - - ---- -- - -. " - <. :,.",:~; ,:~' Check one box to indicate which address should be used for legal notifications and mailing. Legal notifications and mailings will be sent to the tank owner unless box 1 or 2 is checked. 01. FACILITY 02, PROPERTY OWNER ~ANK OWNER 423 VII: AÞPEIÒANT SIGNATURE: Certification: I certify that the information provided herein is true and accurate to the best of my knowledge. 425 427 Q..~ N.~"" STATE UST FACILITY NUMBER (For local use only) 428 1998 UPGRADE CERTIFICATE NUMBER (For local use only) 429 fd2069 TYPE OF ACTION (Check one item only) 01. NEW SITE PERMIT 03, RENEWAL PERMIT 04. AMENDED PERMIT (Specify reason - for local use only) ~HANGE OF INFORMATION (Specify reason - for local use only) ""'''\UNGo. ~QO 06, TEMPORARY SITE CLOSURE o 7, PERMANENTLY CLOSED ON SITE 08, TANK REMOVED 430 Bakersfield Fire Dept. Environmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 UNDERGROUND STO.E TANKS TAN K Page 1 of 2 BUSINESS NAME (Same as FACILITY NAME or DBA-Doing Business As) LOCATION WITHIN SITE (Optional) TANK 10 No 432 TANK MANUFACTURER 433 COMPARTMENTAlIZED TANK DYes~ 434 2.':)' 2.. - ( DATE INSTALLED (YEARiMO) ~OC>f:c.N ~~,'N~ 435 TANK CAPACITY IN GALLONS If "Yes", complete one page for each compartment. 436 NUMBER OF COMPARTMENTS 437 l..(2.00'Z.. OO~ - ADDITIONAL DESCRIPTION (For focal use only) 436 TANK USE ~OTOR VEHICLE FUEL (If marked, complete Petroleum Type) o 2. NON,FUEL PETROLEUM o 3, CHEMICAL PRODUCT 04. HAZARDOUS WASTE (Includes Used Oil) o 95. UNKNOWN _REGULAR UNLEADED o 1 b. PREMIUM UNLEADED o 1 c. MIDGRADE UNLEADED o 2. LEADED o 3. DIESEL 04, GASOHOL440 o 5, JET FUEL o 6. AVIATION FUEL o 99, OTHER 442 439 PETROLEUM TYPE 442 TYPE OF TANK (Check one item only) o 1, SINGLE WALL 1iIo"2. DOUBLE WALL o 3, SINGLE WAlL WITH EXTERIOR MEMBRANE LINER o 4. SINGLE WAlL IN A VAULT 099, OTHER o 5 SINGLE WALL WITH INTERNAL BlADDER SYSTEM o 95. UNKNOWN 443 0 1. BARE STEEL TANK MATERIAL-Primary tank 0 2, STAINLESS STEEL (Check one item only) 0 3. FIBERGLASS I PLASTIC 0 1. BARE STEEL TANK MATERIAL-Secondary tank 0 2. STAINLESS STEEL (Check one item only) 0 3. FIBERGLASS I PLASTIC 0 1. RUBBER LINED TANK INTERIOR LINING 0 2. ALKYD LINING OR COATING (Check one item only) 0 3. EPOXY LINING ~ STEEL ClAD W!FIBERGLASS REINFORCED PLASTIC (FRP) o 5. CONCRETE LJ 8. FRP COMPATIBLE W/100% METHANOL o 95. UNKNOWN I!I""'f" STEEL ClAD W/FIBERGLASS REINFORCED PLASTIC (FRP) o 5. CONCRETE o B. FRP COMPATIBLE W/100% METHANOL o 9, FRP NON-CORRODIBLE JACKET o 99, OTHER 444 o 10. COATED STEEL o 95, UNKNOWN o 99. OTHER 445 o 4. PHENOLIC LINING o 5, GLASS LINING I!I""'[ UNLINED o 95, UNKNOWN o 99. OTHER 446 DATE INSTALLED (For focal use only) 447 OTHER CORROSION PROTECTION IF APPLICABLE (Check one item only) 448 o 1. MANUFACTURED CATHODIC PROTECTION o 2, SACRIFICiAl ANODE ~, FIBERGLASS REINFORCED PLASTIC o 4. IMPRESSED CURRENT o 95. UNKNOWN o 99, OTHER DATE INSTAlLED (For/ocaf use only) 449 450 TYPE (For focal use only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED o 1. AlARM o 3, FILL TUBE SHUT OFF VALVE IiI"'2. BALL FLOAT 7 ~ o 4. EXEMPT 452 SPILL AND OVERFILL (Check all that apply) ¡;¡..or" SPILL CONTAINMENT ~. DROP TUBE œ.- 3. STRIKER PLATE IF SINGLE WALL TANK (Check al/ that apply): 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only): 454 o 1. VISUAL (EXPOSED PORTION ONLY) o 2, AUTOMATIC TANK GAUGING (ATG) o 3. CONTINUOUS A TG o 4. STATISTICAL INVENTORY RECONCILIATION (SIR) + BIENNIAL TANK TESTING o 5. MANUAl TANK GAUGING (MTG) o 6. VADOSE ZONE LJ 7. GROUNDWATER o B. TANK TESTING o 99. OTHER o 1. VISUAl (SINGLE WAlL IN VAULT ONLY) ~CONTINUOUS INTERSTITIAl MONITORING C] 3. MAf\lUAl MONITORING fd2071-(1 of 2) UNDERGROUND STO&E TANKS TANK Page2of2 . SYSTEM TYPE ~ESSURE o 2, SUCllON o 3. GRAVITY o 1. PRESSURE 02. SUCllON o 3, GRAVITY 459 CONSTRUCTION! 0 1, SINGLE WALL 0 3. LINED TRENCH 099. OTHER 460 0 1, SINGLE WALL 0 3. LINED TRENCH o 99. OTHER 462 MANUFACTURER ~OUBLE WALL 095. UNKNOWN 0 2. DOUBLE WALL 095. UNKNOWN MANUFACTURER 461 MANUFACTURER 463 0 1. BARE STEEL 0 6. FRP COMPATIBLEwf100% 099, OTHER 0 1. BARE STEEL 0 6. FRP COMPATIBLE w/100% o 99. OTHER MATERIALS AND 0 2. STAINLESS STEEL METHANOL 0 2. STAINLESS STEEL METHANOL CORROSION 0 3. PLASTIC COMPATIBLE 0 7. GALVANIZED STEEL 0 3. PLASTIC COMPATIBLE 0 7. GALVANIZED STEEL PROTECTION WITH CONTENTS IV'ã:' FLEXIBLE (HOPE) WITH CONTENTS 0 8, FLEXIBLE (HOPE) 0 4. FIBERGLASS 0 9. CATHODIC PROTECTION 0 4. FIBERGLASS 0 9. CATHODIC PROTECTION 0 5. STEEL WI COATING o 95. UNKNOWN 464 0 5, STEEL WI COATING 095. UNKNOWN 465 UNDERGROUND PIPING SINGLE WALL PIPING PRESSURIZED PIPING (Check all that apply): o 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST :£illJj AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION. AUDIBLE AND VISUAl AlARMS o 2. MONTHLY 0.2 GPH TEST o 3, ANNUAL INTEGRITY TEST (0.1 GPH) ABOVEGROUND PIPING 466 SINGLE WALL PIPING 467 PRESSURIZED PIPING (Check all that apply): o 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST :£illJj AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECllON . AUDIBLE AND VISUAl AlARMS o 2. MONTHLY 0,2 GPH TEST o 3. ANNUAl INTEGRITY TEST (0.1 GPH) o 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: o 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM. TRIENNiAl PIPING INTEGRITY TEST (0.1 GPH) CONVENTIONAL SUCTION SYSTEMS: o 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM. TRIENNIAL PIPING INTEGRITY TEST (0,1 GPH) o 6. TRIENNiAl INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): o 7. SELF MONITORING GRAVITY FLOW: o 9, BIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): o 7. SELF MONITORING SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR ~ AUDIBLE AND VISUAL ALARMS AND (Check one) o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ~ AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECllON o c. NO AUTO PUMP SHUT OFF W'I'i, AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST):£illJj flOW SHUT OFF OR RESTRICTION o 12. ANNUAl INTEGRITY TEST (0,1 GPH) GRAVITY flOW (Check all that apply): o 8. DAILY VISUAL MONITORING o 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTlNUOUS TURBINE SUMP SENSOR :£illJj AUDIBLE AND VISUAl ALARMS AND (Check one) o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF 011. AUTOMATIC LINE LEAK DETECTOR o 12. ANNUAl INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: o 13, CONTINUOUS SUMP SENSOR. AUDIBLE AND VISUAl AlARMS SUCTION/GRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR. AUDIBLE AND VISUAl AlARMS EMERGENCY GENERATORS ONLY (Check all that apply) CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF. AUDIBLE AND VlSUAl AlARMS AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST):£illJ::IQ!.!I FLOW SHUT OFF OR RESTRICTION ANNUAl INTEGRITY TEST (0.1 GPH) DAILY VISUAL CHECK EMERGENCY GENERATORS ONLY (Check all that apply) CONTlNUOUS SUMP SENSOR :£illJ::IQ!.!I AUTO PUMP SHUT OFF. AUDIBLE AND VISUAl AlARMS AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) ANNUAl INTEGRITY TEST (0,1 GPH) DAilY VISUAl CHECK "':f- M ('2.ðð~ 471 TITLE OF OWNER/OPERATOR 472 Permit Approved (For local use only) 475 fd2071-(2 of 2) TYPE OF ACTION (Check one item only) o 1. NEW SITE PERMIT 03, RENEWAL PERMIT 04. AMENDED PERMIT (Specify reason - for local use only) ~ CHANGE OF INFORMATION (Specify reason - for local use only) ........U,...lWc.. I/IrOQ . 06, TEMPORARY SITE CLOSURE o 7, PERMANENTLY CLOSED ON SITE 08, TANK REMOVED 430 Bakersfield Fire Dept. Environmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 UNDERGROUND STO.E TANKS TAN K Page 1 of 2 BUSINESS NAME (Same as FACILITY NAME or DBA-Ooing Business As) 437 438 TANK USE g,..r.""MOTOR VEHICLE FUEL (If marked, complete Petroleum Type) 02. NON-FUEL PETROLEUM 03. CHEMICAL PRODUCT 04. HAZARDOUS WASTE (Includes Used Oil) o 95. UNKNOWN o 1a. REGULAR UNLEADED o 1b, PREMIUM UNLEADED IŸo!!!: MIDGRADE UNLEADED 02. 03. 04. GASOHOL440 o 5. JET FUEL 06. AVIATION FUEL COMMON NAME (from Hazardous Materials Inventory page) 442 TYPE OF TANK (Check one item only) o 1. SINGLE WALL 01.-2. DOUBLE WALL o 3, SINGLE WALL WITH EXTERIOR MEMBRANE LINER o 4. SINGLE WALL IN A VAULT 099, OTHER o 5 SINGLE WALL WITH INTERNAL BLADDER SYSTEM o 95. UNKNOWN 443 0 1. BARE STEEL TANK MATERIAL-Primary tank 0 2, STAINLESS STEEL (Check one item Dilly) 0 3. FIBERGLASS I PLASTIC 0 1. BARE STEEL TANK MATERIAL-Secondary tank 0 2. STAINLESS STEEL (Check one item only) 0 3. FIBERGLASS I PLASTIC []..+:-'STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC (FRP) o 5, CONCRETE o 6. FRP COMPATIBLE W/100% METHANOL o 95. UNKNOWN g...!'. STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC (FRP) o 5. CONCRETE o 8, FRP COMPATIBLE W/1tJO% METHANOL o 9. FRP NON,CORRODIBLE JACKET o 99, OTHER 444 o 10. COATED STEEL o 95. UNKNOWN o 99. OTHER 445 TANK INTERIOR LINING OR COATING (Check one item only) o 1. RUBBER LINED o 2. ALKYD LINING o 3. EPOXY LINING o 4. PHENOLIC LINING o 5. GLASS LINING ~UNLlNED o 95. UNKNOWN o 99. OTHER 446 DATE INSTALLED (For/acaf use only) 447 OTHER CORROSION PROTECTION IF APPLICABLE (Check one item only) o 1. MANUFACTURED CATHODIC PROTECTION o 2. SACRIFICIAL ANODE ~ FIBERGLASS REINFORCED PLASTIC 448 o 4, IMPRESSED CURRENT o 95. UNKNOWN o 99. OTHER DATE INSTALLED (For/ocal use only) 449 SPILL AND OVERFILL (Check all that apply) ~ SPILL CONTAINMENT n DROP TUBE ~ STRIKER PLATE YEAR INSTALLED 450 '&.Ø07 '2.oCQ. ~~ TYPE (For focal use only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR INSTAllED o 1. AlARM o 3. FILL TUBE SHUT OFF VALVE ~ BALL FLOAT ~-z.. o 4, EXEMPT 452 IF SINGLE WALL TANK (Check aIJ that apply): 453 IF DOUBLE WALL TANK OR TANK WITH BlADDER (Check one item only): 454 o 1. VISUAL (EXPOSED PORTION ONLY) o 2. AUTOMATIC TANK GAUGING (ATG) o 3. CONTINUOUS ATG o 4. STATISTICAL INVENTORY RECONCILIATION (SIR) + BIENNIAL TANK TESTING o 5, MANUAL TANK GAUGING (MTG) o 6. VADOSE ZONE o 7, GROUNDWATER o 8, TANK TESTING o 99, OTHER o 1. VISUAL (SINGLE WAlliN VAULT ONLY) ~ CONTINUOUS INTERSTITIAL MONITORING o 3. MANUAL MONITORING fd2071-(1 of 2) UNDERGROUND STO&E TANKS TANK Page20f2 . SYSTEM TYPE M' PRESSURE o 2. SUCTION o 3. GRAVITY o ,. PRESSURE 02. SUCTION o 3. GRAVITY 459 CONSTRUCTIONI 0 ,. SINGLE WALL 0 3, LINED TRENCH 099. OTHER 460 0 ,. SINGLE WALL 0 3. LINED TRENCH o 99, OTHER 462 MANUFACTURER ~. DOUBLE WALL 095, UNKNOWN 0 2. DOUBLE WALL 095. UNKNOWN MANUFACTURER 1'01 L 461 MANUFACTURER 463 0 ,. BARE STEEL 0 6, FRP COMPATIBLE w1100% o 99, OTHER 0 ,. BARE STEEL 0 6. FRP COMPATIBLE w/100% o 99. OTHER MATERIALS AND 0 2, STAINLESS STEEL METHANOL 0 2. STAINLESS STEEL METHANOL CORROSION 0 3, PLASTIC COMPATIBLE 0 7, GALVANIZED STEEL 0 3. PLASTIC COMPATIBLE 0 7, GALVANIZED STEEL PROTECTION ¡¡v("~~~Rg~;iNTS 0 8. FLEXIBLE (HDPE) WITH CONTENTS 0 8, FLEXIBLE (HDPE) 0 9, CATHODIC PROTECTION 0 4, FIBERGLASS 0 9. CATHODIC PROTECTION 0 5. STEEL WI COATING 095, UNKNOWN 464 0 5. STEEL WI COATING 095. UNKNOWN 465 UNDERGROUND PIPING SINGLE WALL PIPING PRESSURIZED PIPING (Check all that apply): o 1, ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST !Y!lli AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS o 2, MONTHLY 0.2 GPH TEST o 3. ANNUAL INTEGRITY TEST (0.1 GPH) CONVENTIONAL SUCTION SYSTEMS: o 5, DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): o 7, SELF MONITORING GRAVITY FLOW: o 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR !Y!lli AUDIBLE ANO VISUAL ALARMS AND (Check one) o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS 1ij,.o!5. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION o c, NO AUTO PUMP SHUT OFF ~, AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) !Y!lli FLOW SHUT OFF OR RESTRICTION o 12, ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all thet epply) CONTINUOUS SUMP SENSOR 'liIII::IQ!lI AUTO PUMP SHUT OFF + AUDIBLE AND V1SUAL ALARMS AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) 'liIII::IQ!lI FLOW SHUT OFF OR RESTRICTION ANNUAL INTEGRITY TEST (0.1 GPH) DAILY VISUAL CHECK Permit Approved (For local use only) ABOVEGROUND PIPING 466 SINGLE WALL PIPING 467 PRESSURIZED PIPING (Check all that apply): o " ELECTRONIC LINE LEAK DETECTOR 3,0 GPH TEST !Y!lli AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL AlARMS o 2, MONTHLY 0.2 GPH TEST o 3. ANNUAL INTEGRITY TEST (0,1 GPH) o 4, DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: o 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0,1 GPH) o 6. TRIENNIAL INTEGRITY TEST (0,1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): o 7. SELF MONITORING GRAVITY FLOW (Check alf that apply): o 8. DAILY VISUAL MONITORING o 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check ell that apply): 10. CONTlNUOUS TURBINE SUMP SENSOR!Y!lli AUDIBLE AND VISUAL ALARMS AND (Check one) o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION D c. NO AUTO PUMP SHUT OFF o 11. AUTOMATIC LINE LEAK DETECTOR o 12. ANNUAL INTEGRITY TEST (0,1 GPH) SUCTION/GRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) CONTINUOUS SUMP SENSOR 'liIII::IQ!lI AUTO PUMP SHUT OFF + AUDIBLE AND V1SUAL AlARMS AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) ANNUAL INTEGRITY TEST (0.1 GPH) DAILY VISUAL CHECK 471 475 472 fd2071-(2 of 2) TYPE OF ACTION (Check one item only) o 1. NEW SITE PERMIT 03. RENEWAL PERMIT 04, AMENDED PERMIT (Specify reason - for local use only) ~ CHANGE OF INFORMATION (Specify reason - for local use only) u....... ...... nJ '" "" OQ o 6, TEMPORARY SITE CLOSURE 07, PERMANENTLY CLOSED ON SITE 08, TANK REMOVED 43" Bakersfield Fire Dept. Environmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 ;J' UNDERGROUND SToAE TANKS TANK Page 1 of2 BUSINESS NAME (Same as FACILITY NAME or DBA-Doing Business As) ~~, ~'c"1' LOCATION WITHIN SITE (Optional) "'f'"(' ... \L OIÑ'" If "Ves·, complete one page for each oompartment. 436 NUMBER OF COMPARTMENTS 437 20 C>t:>O "'T c..::o 438 439 PETROLEUM TYPE 02, LEADED o 3, DIESEL 04. GASOHOL440 o 5. JET FUEL 06. AW\TION FUEL o 99. OTHER 442 TANK USE ~OTOR VEHICLE FUEL (If marked, complete Petroleum Type) 02, NON-FUEL PETROLEUM o 3. CHEMICAL PRODUCT 04. HAZARDOUS WASTE (Includes Used Oil) 095. UNKNOWN ~=~~~;: ~Z~~~~ ~ 1c. MIDGRADE UNLEADED COMMON NAME (from Hazardous Materials Inventory page) 442 TYPE OF TANK (Check one item only) o 1, SINGLE WALL ;;¡-.,. DOUBLE WAll o 3. SINGLE WALL WITH EXTERIOR MEMBRANE LINER o 4. SINGLE WAlliN A VAULT 099. OTHER o 5 SINGLE WALL WITH INTERNAL BLADDER SYSTEM o 95. UNKNOWN 443 0 1. BARE STEEL TANK MATERIAL~Prímary tank 0 2. STAINLESS STEEL (Check one item only) 0 3. FIBERGLASS f PLASTIC 0 1. BARE STEEL TANK MATERIAL-Secondary tank 0 2, STAINLESS STEEL (Check one item only) 0 3. FIBERGLASS I PLASTIC 0 1. RUBBER LINEO TANK INTERIOR LINING 0 2, ALKYD LINING OR COATING (Check one item only) 0 3. EPOXY LINING OTHER CORROSION 0 1. MANUFACTURED CATHOOIC PROTECTION PROTECTION IF APPLICABLE 0 2. SACRIFICIAL ANODE (Check one item only) ~IBERGLASS REINFORCEO PLASTIC _ STEEL ClAD WfFIBERGLASS REINFORCEO PLASTIC (FRP) o 5, CONCRETE L1 8. FRP COMPATIBLE W/100% METHANOL o 95. UNKNOWN ~ STEEL ClAD WfFIBERGLASS REINFORCED PLASTIC (FRP) o 5. CONCRETE o 8. FRP COMPATIBLE Wf100% METHANOL o 9. FRP NON-CORRODIBLE JACKET o 99. OTHER 444 o 10. COATED STEEL o 95. UNKNOWN o 99, OTHER 445 o 4. PHENOLIC LINING o 5. GLASS LINING Q..ð:' UNLINED o 95, UNKNOWN o 99. OTHER 446 DATE INSTALLED (For/ocaf use only) 447 o 4. IMPRESSED CURRENT o 95, UNKNOWN o 99. OTHER 448 DATE INSTALLEO (For/ocal use only) 449 SPILL AND OVERFILL (Check all that apply) g..oo(' SPILL CONTAINMENT œ..-r-' DROP TUBE ~ STRIKER PLATE YEAR INSTALLED 450 20tl2. 1:=~ lYPE (For local use only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED o 1. ALARM o 3, FILL TUBE SHUT OFF VALVE ¡¡,..r. BALL FLOAT ~ l:;O 7 o 4. EXEMPT 452 IF SINGLE WALL TANK (Check all that apply): 453 IF DOUBLE WALL TANK OR TANK Wln-t BlADDER (Check one item only): 454 o 1. VISUAL (EXPOSED PORTION ONLY) o 2. AUTOMATIC TANK GAUGING (ATG) o 3. CONTINUOUS ATG o 4. STATISTICAL INVENTORY RECONCILIATION (SIR) + BIENNIAL TANK TESTING o 5. MANUAL TANK GAUGING (MTG) o 6. VADOSE ZONE o 7. GROUNDWATER o 8, TANK TESTING o 99. OTHER o 1, VISUAL (SINGLE WALL IN VAULT ONLY) ~ CONTINUOUS INTERSTITIAL MONITORING o 3, MANUAL MONITORING fd2071-(1 of 2) .3 .. UNDERGROUND STO.GE TANKS TANK Page2of2 . SYSTEM TYPE ~PRESSURE CJ 2. SUCTION CJ 3. GRAVITY CONSTRUCTlONI MANUFACTURER CJ 1, SINGLE WALL CJ 3. LINED TRENCH 1ij,A, DOUBLE WALL CJ 95. UNKNOWN MANUFACTURER CJ 99. OTHER CJ ,. PRESSURE CJ 2. SUCTION CJ 3. GRAVITY 459 460 CJ 99, OTHER 462 CJ 1, SINGLE WALL CJ 3. LINED TRENCH CJ 2. DOUBLE WALL CJ 95. UNKNOWN MANUFACTURER 463 461 CJ " BARE STEEL CJ 6. FRP COMPATIBLE w/100% CJ 99. OTHER CJ ,. BARE STEEL CJ 6. FRP COMPATIBLE w/100% CJ 99. OTHER MATERIALS AND CJ 2, STAINLESS STEEL METHANOL CJ 2. STAINLESS STEEL METHANOL CORROSION CJ 3, PLASTIC COMPATIBLE ~LVANIZED STEEL CJ 3, PLASTIC COMPATIBLE CJ 7. GALVANIZED STEEL PROTECTION WITH CONTENTS . FLEXIBLE (HDPE) W1TH CONTENTS CJ 6. FLEXIBLE (HDPE) CJ 4. FIBERGLASS CJ 9. CATHODIC PROTECTION CJ 4. FIBERGLASS CJ 9. CATHODIC PROTECTION CJ 5, STEEL WI COATING CJ 95. UNKNOWN 464 CJ 5. STEEL WI COATING CJ 95. UNKNOWN 465 UNDERGROUND PIPING SINGLE WALL PIPING PRESSURIZED PIPING (Check all that apply): CJ ,. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST YillI:i AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS CJ 2. MONTHLY 0,2 GPH TEST CJ 3. ANNUAL INTEGRITY TEST (0.1 GPH) CONVENTIONAL SUCTION SYSTEMS: CJ 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): CJ 7, SELF MONITORING GRAVITY FLOW: CJ 9, BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR YillI:i AUDIBLE AND VISUAL AlARMS AND (Check one) o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ~ AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION CJ c. NO AUTO PUMP SHUT OFF g..f\. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) YillI:i FLOW SHUT OFF OR RESTRICTION CJ 12. ANNUAL INTEGRITY TEST (0.1 GPHI SUCTION/GRAVITY SYSTEM: CJ 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) CONTINUOUS SUMP SENSOR Y!ill!:!Q!,[[ AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS AUTOMATIC LINE LEAK DETECTOR (3,0 GPH TEST) I<YIII:!Q!.!I FLOW SHUT OFF OR RESTRICTION ANNUAL INTEGRITY TEST (0,1 GPH) DAILY VISUAL CHECK ~ Permit Number (For local use only) Permit Approved (For local use only) ABOVEGROUND PIPING 466 SINGLE WALL PIPING 467 PRESSURIZED PIPING (Check all that apply): CJ ,. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST :t/IIt:I AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS CJ 2. MONTHLY 0,2 GPH TEST CJ 3. ANNUAL INTEGRITY TEST (0.1 GPH) CJ 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: CJ 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0,1 GPH) CJ 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): CJ 7. SELF MONITORING GRAVITY FLOW (Check al/ that apply): o 6. DAILY VISUAL MONITORING o 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR :t/IIt:I AUDIBLE AND VISUAL ALARMS AND (Check one) o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF o 11. AUTOMATIC LINE LEAK DETECTOR o 12, ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) CONTINUOUS SUMP SENSOR Y!ill!:!Q!,[[ AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) ANNUAL INTEGRITY TEST (0.1 GPH) DAILY VISUAL CHECK 471 TITLE OF OWNER/OPERATOR 472 G.~ 475 fd2071-(2 of 2) , B' t-\.,: 1'~9 . The Vans Companies, Inc. cia Sateway, Inc. MIS 6516 RO. Box 29096 Phoenix, AZ a5038~9096 Va STATEMENT OF ACCOUNtÐi 1 o?'LJß ~ I '1..-? I '2/ 3<\ql$6 CITY Of BAKERSfIELD POBOX 2057 BAKERSfIELD, CA 93303-2057 t ; J6,~1) i 326~3979 I' DATE: 6/01/00 / '- ' VONS SïCjRES #2,512-2100 WHITE \i . - - 11233,., POBOX 29097' a. qOq ~ 171.5. , . . PHOEN I X, AZ \ '8~038-9097 , i , " " , 't!~35 CU8TDM~~E: ESI 19-940- CHARGE G!.Æ-ro!!i~R-NC1 : REf-NUMBER DUE DATE ---------------~~~~~--~~--------~---~--~----------~-----~------------------- ------ HM005 HM017 S8001 ,---, - , DATE ¡IU3SCRIPtTION TOTAL AMOUNT -------- I·';"'"~'----;~---.;.~---~-_......_-;.....------- ---------- -------- -------------- , ~, ." - , ;_ ''<: ',,-: ',_ '" , r ~'Æ _ _ _', < 5/0i/OOBEGINNING BÄLANCE 6/01/00 ,HAZ MAT HANDLING FEE E biOi 100 HAZ. MATANr-lUALINSPECTlOi".J blOilOO CÄ8TATE8URCHARGE, 8. 50- i 10. 00 50.00 10.00 0/ / FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. -------------- -------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- -------------- -------------- -------------- 170.00 8. 50 DUE DATE: 7/03/00 PAYMENT DUE: TOT AL DUE: 161. 50 $161. 50 . CITY OF BAKERSFIELD ~ OFPrtE OF ENVIRONMENTAL S.VICES 1715 Chester Ave., CA 93301 (661) 326-3979 BUSINESS OWNER I OPERATOR IDENTIFICATION FACILITY INFORMATION Page Of I. FACILITY IDENTIFICATION FACILl1Y ID # I : ! I . ! i : 1 Year ~~nil];l i i : I ' I :! 5éP/. :?OOz. __~~~N~~ NF~~ ~amê£;Jr€~AMØA~€~FBgW)S ~ Z5f 7- SITE ADDRESS __~o50 wlf/r£ LAAltE CITY !J,4,¿æsfilf[t-jJ 100 ; Year Ending 5éPJ: 2(;)03 3 ¡ BUSINESS PHONE 4....:1. . CPb/, ?ß~.P73 -, 101 102 --- ----- 103 --- ----- 104 I CA 'ZIP ,,? 'jO/ i L- I 106 I SIC CODE I (4 Digit #) $4"; 105 DUN& . BRADSTREET COUNTY K£,e/ll OPERATOR NAME Vð¡J5- A 5,4f~W4'1 Co/VJf/ttJ ý 107 108 109 I OPERATOR PHONE 6(P (.3'10.;;1344 110 .< ,. " ,',;" .,~,": ...... ·..h:'QWNER INFORMATION OWNER NAME VONS. A 5AFf..wPr'/ COMPANÝ 111 i OWNER PHONE (026. Blf.778/ ~¿;V~:ERS~ILlNG GIS MIC!1/LL/¡JO'; Ittlt£lltJé: i , [ , 112 113 ' 114 I STATE c..4 115 I ZIP C/lðò7 116 CITY AeCA(}/f) . . >,;'><,2:\ :.·;';:,i;:ht*:;i,}:::;:X:;o~":, ìÎI~ENVI~()NM~NI~L CONTACT' ,f .'\", " " ' . ~ ,'" CONTACT NAME 7co'ff/1/I-I-£.R. (C/o ¡/()N5- /l-5fiÞeWItÝ Co.) 117 ! CONTACT PHONE {;zt. 821. 778/ CONTACT MAILING ADDRESS tÐ/~ ¡VJ /C/!¡LL/;t!P/t /TVENdG CITY /TI2.C-IIPJA , \ I ! 118 119 ; '. "-,'. " .', u .,' J,' _; ,·.·PRìIlllARY~:<'..:" . '. ,'<,', '({if':>, ",,: 5rí~ MANA 6f:l2_ 120 I STATE ell 121 I ZIP 9'/ðd 7 ';~~:lV;;~EMERc;ENéY'CONTAÇTS' '. ···-SECONDARY.. , ,~,$·.'~}^'C'/':-':",~-·-~' .," ',' .. ,.', . .' / ' 122 . , i i I ~bl. ~16. 2-;;44 scoTr I1/LL£/Z Nt:. L ?.eo(;.tftlV1 MI1¡JAG612 126 BUSINESS PHONE ÝJU, gZ! 778/ (,2(, .27'5. 6844 129 . NAME 123 NAME , : TITLE : BUSINESS PHONE 24-HOUR PHONE 125 TITLE 130 131 PAGER # 127 24-HOUR PHONE 128 I PAGER # 132 133 ,., .; . , , " . v; CERTIFI~ATION -1_' ' Certification: Based on my inquiry of hose individuals responsible for obtaining the information. I certify under penalty of law that I have personally examined ! and am familiar with th ' formatio submitted in this inventory and believe the information is true. accurate, and complete, SIGNATURE 0 NER/OR TOR DATE 134 NAME OF DOCUMENT PREPARER 135 ! 9. '1. Z ;::/1£ L- J¡(¡ý 136 TITLE OF OWNER/OPERATOR 137 AvrllðR.1 z(;P A6étJr L- UPCF (7/99) S:\CUPAFORMS\OES273Q,TV4.wpd . CITY OF BAKERSFIEL~ OFF~ OF ENVIRONMENTAL SEftltrICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN Section 11.1 - DISCOVERY AND NOTIFICATIONS I. FACILITY IDENTIFICATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 'lioNs PJ€.L. e~Air£¡¿ - BA.J(£I25Hél..J) #.;;;1;2. ADDRESS (For local USÐ only) ao5o wH/re. LAN€ /ßflKEIZ.5A€L/) / GA FACILITY/D' IIIIIllifITI 1 3 i i 476, i I i I I DISCOVERY A. LEAK DETECTION AND MONITORING PROCEDURES: The design and construction of the project included the installation of numerous safety and monitoring devices to detect any release or threatened release. The entire system is controlled and monitored by a Veederroot TLS 350R monitoring device (Model No, VR848290-122). In addition, the fuel system is equipped with double wall underground storage tanks and fuel piping, interstitial modules and sensors, multiple leak detection probes, sump sensors, interstitial space sensors, emergency shut off switches, pressurized line leak detectors, automatic tank gauging, automatic inventory control and manway sensors with positive shut off, Please see the attached equipment specifications plan sheet. . NOTIFICA rlÒNS B. EMERGENCY AND AGENCY NOTIFICATION PROCEDURES: In the event of a spill the attendant and the site manager are instructed to immediately notify all police, fire, hazardous materials, utility and Vons environmental personnel. In the event of a spill, the kiosk area will be secured and all agencies will be contacted from the existing Vons market building. For non-emergency spills, the Bakersfield Fire Department (661,326,3979) will be contacted along with all Fuel and Environmental personnel from Vons, A pre-approved clean up contractor will also be contacted for clean up purposes, In the event of an emergency spill, the Office of Emergency Services and 911 will be contacted, Mr. S~ott Miller (Vons Fuel Programs Manager - 626,821,7781) is to be contacted at once, Gas, water and electrical utility companies will also be contacted. A pre-approved hazardous materials maintenance clean company will also be summoned to the spill, c' ENVIRONMENTA~ MANAGEMENT. . " ~'~~.~,;~~~i·j ~. . o,~.~~,~!\· ',. ", . ',' ,.,.'.,." '.~. ^. C. SPECIFIC RESPONSIBILITIES OF EMPLOYEES: The initial responsibility to contact the appropriate agencies lies with the kiosk attendant and the site manager, It will be their responsibility to notify Vons Corporate and to contact the clean up contractor and equipment maintenance contractor. Once the initial contacts are made and Scott Miller has had an opportunity to arrive at the site, he will assume all responsibilities to carry through with the clean up and restart program, The Fuel Programs Manager will verify and approve all clean up activity, equipment replacement and system restart procedures. All necessary paper work and forms reporting the spill and verify the containment and clean up will be produced and supervised by the Vons Fuel Program Manager, EMERGENCY MEDICAL PLAN ". ! I D. I ¡ I CLOSEST LOCAL MEDICAL FACILITY: In the event of a spill, the fuel center facility will be secured and all remaining persons evacuated, A predetermined meeting location will be established and all persons will gather at this location, In the event a medical incident has occurred, the first phase of medical attention will come from the local fire department paramedics and ambulance core. All persons involved in the medical emergency will be moved to a safe location if possible, The area near and adjacent to the medical emergency will be secured and protected if the person can not be moved, Based on emergency room activity, the paramedics will prescribe the closest and fastest route to a follow up medical facility, UPCF (7199) S:\PROCEOURE MANUALIN_ HMMP fonn,wpd H~DOUS MATERIALS MANAGEMa PLAN Section 11.2 - RELEASE RESPONSE PLAN - .....,... '.. PRELIMINARY ASSESSMENT A. HAZARD ASSESSMENT AND PREVENTION MEASURES: The design and construction of the fuel center was completed to include all of the latest state-of-the-art safety measures and devices. All tanks and product piping are doublewall and are provided with secondary containment. All tanks and dispensers are provided with emergency shut off valves and sensors to immediately shut down the system in the event of an emergency or spill. Emergency shut off switches are provided in the store and near the dispensers. All necessary safety equipment has been provided for the safe transfer and dispensing of fuel. Breakaway nozzles have also been incorporated into the construction of the project. RESPONSE ACTIONS B. RELEASE CONTAINMENT AND MITIGATION: ·In the event of a spill the first action taken is to secure the fuel center and prohibit any further fueling activity. The entire fuel system and utilities are shut off and all persons on the site are escorted to the evacuation meeting point. Once all persons have been accounted for the site manager or attendant will utilize the onsite hazardous materials clean up kit to maintain the spill in as small an area as possible. Approved materials will be used to control the spill area and to protect against any further exposure. The attendant will contact the pre-approved hazardous waste clean up or maintenance contractor who will be responsible for the majority of the clean up and the disposal of all spill and clean up materials. At the conclusion of the clean up the attendant will prepare a narrative report of the incident. FOLLOW-UP ACTIONS C. . CLEAN-UP AND RECOVERY PROCEDURES: In the case of a small spill the entire fuel system will be shut off and the attendant will utilize a spill containment and clean up kit to contain and secure the spill. All clean up activity will utilize "Di~Y" materials that will be properly cared for after use until they are properly disposed of by the hazardous waste disposal contractor. In the event of a major spill the fuel system is immediately shut off as are all utilities. The attendant will secure the property and fueling areas and will then contact a local pre- approved hazardous materials clean up and maintenance contractor. This contractor will be responsible for the complete clean up of the spill. I UPCF (71911) S:\PROCEDURE MANUAL\NeW HMMP form.wpd ~ . e e HAZARDOUS MATERIALS MANAGEMENT PLAN Section 111.1 - FACILITY AND LOCALITY INFORMATION ~! UTILITY SHUT -oFFS LOCATION OF SHUT-OFFS AT YOUR FACILITY: NATURAL GAS I PROPANE: ;Ýc; J7R.O/'A-Ne. æ ;.!/lí"t/IZI/-L GA ~ aJ 5/Té ELECTRICAL: 5e¿lIlct:. I'ANeL ON /2/EAR. of fjù/LOIN~ (¡Jð£rlt WAt..L) WATER: f/JA-1"e.R. VAL.¡/~ ON wé.51 ~/¡;Jé or I3J/Lj}/N6r IN M£r€¿ !3Ò)<. SPECIAL: NÓ;J~ lOCK BOX: YES I @) IF YES. LOCATION: PRIVATE FIRE PROTECTION I WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: ~ ~/Z.é:. t!E.K7iAiG,(./15#é£5 D0 SITE Ac.AIlMf çò/L S-éNSbíl~ ArJO PÒSIJ\ vç; 5t+ùí oFF otJ ~ 1"1""6- I } B. WATER AVAILABILITY (FIRE HYDRANT): . \¿ L OCATIO,J #" J - 5'5 ~ c/' f..frS1 or c.£tJíEe.Lll'Jc LocAí/ o~ :#: 2 -~Dò ~ 0" vJ~T e>F CÆNJGØ-/tJe of MÞr \J V 12. \ ~'E uJA.'1 of IVAI rJ DR.I V'fi~y TRAINING A. NUMBER OF EMPLOYEES: I £MP,-ôÝéé Pé£ 5H/¡::.r B. MATERIALS DATA SHEETS ON FILE: N\51/S KEPT ,tJ B,NPEe. f,.JS 'D~ of<. fll£ CAßltJEí. C. BRIEF SUMMARY OF TRAINING PROGRAM: I K I () sr< e ~£ft¡¿ 5Heif · Attendant is annually familiarized with all inventory and environmental forms and the upkeep and maintenance requirements for all forms and data, · Attendant is annually trained and instructed as to the correct locations and methods to shut off fuel system in case of spill or emergency, · Attendant is annually trained in the use of all fuel system equipment. · Attendant is provided with a phone list manual containing phone numbers of all necessary spill and emergency contraC'!ors and agencies, CERTIFICATION Based on my inquiry of those individuals responsible for obtaining the InformaUon. I certify under penalty of taw that I have personnaly examJned and am famJllar with the InformalJon submitted end believe the InformaUon Is true, accurate, a complete R DESIGNATED REPRESENTATIVE DATE q·r·z. 477, I I 478, TITLE OF SIGNER 479, IìtJdlð/Z/'Z.GP /16é/JT UPCF (7199) S:\PROCEDURE MANUALINew HMMP form,wpd .; I, e ,e 11BI ._ CEIICIPI10H 1 arv.I~I~'D McCe.. ....... T .....1 ..... TA*B , 1QØ:O CIoItlØlII.~'TEEl II T. 0 1CIIJ't~:U:H"'I1-TCI1111g - Œ , 2O.ØDGoIUØI..»TŒl.II,,.lSI\rr'O/'Ø , 0 ~'M'ltN"'I"'TCIlI.NIS - Œ , '..QIIot.9..WWI"'Cf'OH , 0 'll£SrtJllfQJllV.$So $Io,....Jl:17G - Œ '70.0....... 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E E E · · -~:;: ~s ~ ß~~~ ~!~~ !z ~i~ W~8¡¡: ~!:;¡I ~~ j :WI~;~ hhw -~:;: i,!!:.~:t 111 itlU;I'1 il,,!h.!~r1! r.!h"'J' ;H:~in~] -~~: .~ i V» ¡ . -~ ~ c::t; ~ >' . ~ ! -¡¡~ ~ = , i "¡ ¡ :&I~ ; r~- i ~iÊ~ ! t a ~!! .:: ¡¡ . LI --¡¡~ ~1~1:1~1~1~11 .....~.;.~ jl ¡ ~~~~ qi> ~ "n! .- .-1.- jjl:1J ~,fÈ"~ 21-1-1+1-1 I -~;¡: . CITY OF BAKERSFIELa OF1'iCE OF ENVIRONMENTAL S"1rRVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION )(NEW DADD D REVISE 200 D DELETE (one lorm per matenal per building or area) Page of '"BusïiïfE:sSNAME (Same as FACILITY NAME or DBA - Doing Business As) VotJ.5 ¡(;€.¿. c€AJré12 13f1K.6Il5AEL-f) -------~-,------------~----_. 3 CHEMICAL LOCATION (/NiJé/!..G£LJ c)¡J/) FACILITY ID # I I. FACILITY INFORMATION #: 2. rf'1?... 5TéIl.Æ6€ 'PrtJKS 2011 CHEMICAL LOCATION ! CONFIDENTIAL (EPCRA) 203 GRID # (optional) 1 MAP # (opüonal) ·11; CHEMICAL INFORMATION o Yes ~NO 202 204 205 TRADE SECRET If Subject 10 EPCRA, refer to instructions CHEMICAL NAME tJAlt.£A[J€O PeíJ2.Dl£.U/!1 DYes ~No 206 207 COMMON NAME Vt!;-IICL€ MOrO/Z.. FtJ€L BO~~fol-q EHS· , CAS# 209 ·If EHS is'Y os. . all amounts below must be in lb., 210 o Yes }5J No 208 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) TYPE Ji p PURE 213 PHYSICAL STATE o s SOLID o m MIXTURE o w WASTE 211 RADIOACTIVE DYes ~o 212 CURIES .D(¡ LIQUID o 9 GAS 214 LARGEST CONTAINER ~ 0, 000 GALLOAJS o 2 REACTIVE o 3 PRESSURE RELEASE o 4 ACUTE HEALTH o 5 CHRONIC HEALTH FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE AMOUNT )Ç1 FIRE IV/A 217 ~~~~UNT 40, CO 0 ]if. ga GAL 0 cf CU FT . If EHS, amount must be in Ibs, 218 I ~X~L~:~UNT ~ðÐ() TO :?O¡ðOO o Ib LBS 0 In TONS UNITS· 215 216 219 STATEÑJAECODE 220 DAYS ON SITE 222 70.4Y~ A wéEI.( 221 223 STORAGE CONTAINER (Check all that apply) o a ABOVEGROUND TANK ~b UNDERGROUND TANK DC TANK INSIDE BUILDING o d STEEL DRUM o e PLASTIC/NONMETALLIC DRUM Of CAN o 9 CARBOY o h SILO o i FIBER DRUM OJ BAG o k BOX o I CYLINDER o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o P TANK WAGON o Q RAIL CAR o r OTHER STORAGE PRESSURE o ba BELOW AMBIENT 224 ø a AMBIENT o aa ABOVE AMBIENT STORAGE TEMPERATURE o aa ABOVE AMBIENT )š ba BELOW AMBIENT o a AMBIENT o c CRYOGENIC O"<.:r~-{';>"<>"':»:J·~:/\ (,' " -..:~_v'f~~>',_-~", y , ,,;~ '~?~,..../ ,/" ;·>,..·~fHAZARDO(JS'COMPONÈNT·. ... '-"_J.: ',,~" ~ "" - ,- ' , ~,'"', . ': ',: c:~ ,,'.".' >,' é. M~D5 227 o Yes 0 No 228 231 o Yes 0 No 232 235 OYesONo 236 239 o Yes 0 No 240 243 o Yes 0 No 244 230 3 J 234 238 241 237 242 245 225 CAS # 229 233 DATE 246 éf.fZ UPCF (7/99) S:\CUPAFORMS\OES2731,TV4,wpd MRY - 20-' 2002 14: 33 c,¿b ö¿ 1 ·~/·:;;=;4 ~ONS GM HBC DEPRRTMENT e 626 821 7984 P.01/16 MATERIAL SAFETY DATA SHEET SECTION 1· PRODUCT .AND COMPANY IDENTIFICATION PRODUCT NAME: GASOLINE, UNLEADED GENERAL USE: Motor fuel PRODUCT DESCRIPTION: Blend of petroleum distillates, highly flammable. This MSDS covers multiple grades of lead-free and unleaded fuels: regular, premium, extra and oxygenated, .. . \. ,Î"; , '.: (.. '.... . -, / TESORO MANUFACTURER'S NAME Tesoro Petroleum Companies, Inc, ADDRESS (NUMBER, STREET. P,Q- BOX) 300 Concord Plaza Drive (CITY. STATE AND ZIP COOE) San Antonio TX 78216-6999 DISTRIBUTOR'S NAME Same ADDRESS (NUMBER. STREET. P,Q, BOX) COUNTRY USA DATE PREPARED: February 1, 2002 SUPERSEDES: November 8, 2001 TELEPHONE NUMBER FOR INFORMATION Tesoro Call Center 877 783-7676 EMERGENCY TELEPHONE NUMBER Chemtrec 800 424-9300 Page 1 of6 TELEPHONE NUMBER FOR INFORMATION (CITY, STATE AND ZIP CODE) EMERGENCY TELEPHONE NUMBER HAZARDOUS COMPONENTS CAS # RQ LBS Gasoline 8006-61-9 300 900 300 ,--~_._..~-.-..._---_. . -....~ ....-...----.. .4.". ,_..... "''''.''''''' .".."..,...... -.,-...........-- ............-....-.........-...-....-.. ".".'."-'.".'."'-' -... o - 35 200 50 0-25 100 435 100 -.....--.,.... ,,~-,~,-,,--,--- 109-66-0 0 - 20 1000 2950 600 ... ...,.."_..__...,,.~_,,_._____ .___.._._......_......_..._..._____.___..__._.. ....__~... ... ..'.......,., ,. 'w.*,.,*··..·· .... ........_.__._....._....~.._._.__._,_..._.___..._ 25551-13-7 0 - 4 25 Yes ...þ--_...__._.....,.,..~...- 71-43-2 0 - 5 0,5 . ._......" .....n......~__ ___.._......__ _.~_ ...__. ._... _.__ .._.~. ,_.....n ~._. ....._............. ...... _m.'._'" ._........._ .--. 106-97-8 0 - 12 800 1900 800 _____._._.____.__._....__.......~... .... .._. ,_. ...n"...... ....".~.. ........_._.__________~.~_._._.......,______._.._...__.___._....~._...h__.__.____....._......._..._n......_..... ....~-.......~. 100-41-4 0 - 4 100 435 125 545 Yes 1000 -------_.............~ ._..._..._~...- .__,__.~ep~~e.__,___,________.,_._,____,____._,___.._-.....-......_-,.,..,..,~::.~:.~----~~~----.-,-- 50?___,__.~?o.~____....,~?.~-"",.".._______,___.____.._ _._._,_....~,:'?,~_~_~~~.:,,_~~:~,,:L--...----,._..---,..,..._...._,__--._,____,____,_._,...___",__._210-S.~:! __,_~.,::~_.,..,_..,_,_~_~~____!~_~~____~~?_,_ __...__..,...____".,.....,~~~ ,..__..._.1 O_~ n-Hexane 110-54·3 0 - 5 SOO 1800 50 176 n.Octan8 111·65-9 0 - 1 500 2350 300 14Q0 ________.._______......_...._._........_......'...'..'...'..,.."......,.....................________._._._4.~...._..._.__..._......~........_._.~___._._._._._.__..___...._.._...._..._..-............... Ethanol 64-17-5 0 - 20 1000 1900 1000 ........__..._..._....__...þ._.....___._.__._._._._.._._............._.._. ......... ..__....~._.....__.............~~..__... _...,..._................__.._.._-.---.--.--._~.--...__.._----..-..._"___''''''''''b "."",' ._.._... .. ..______......_.__._..__._..__ Naphthalene (a,b,c,g) 91-20-3 0-1_1 10 50 10 .._.....~....._-.... --- ___!..~'.!,1~~,~~,~:!,I,:::~:..~,,:~~~..( a>-_________,n_"._____"__________,,_~~~~~_,._,, __9_:2___.,___,_~~__"~~~.._____...__.,...,, Isopentane 78·76-4 0 - 20 not eGtablished Styrene (a.c,d,e,g) 100-42-5 0" 4 100 20 .......-...-----. ...' ...",.,..".~~.t.~Y..~_~~,,~~_.~_':o/!!t~~!.._~~?_,__,___.,___'''_".....___..,,,..._.__._...,_...,.~~_~~~~,__~,:_~~__.__,________.____.~~......_.."_....!,~_,,_,_,,..,'!~~_....,._..-- Ethyl tert - butyl ether 637·92,,3 0 - 21 not established ._...~_.....-...........-....-....- Tertiary _ Amyl rnethyl ether 994-05-8 0 - 20 not established -----_._".-_........~.- Alkanes. Cyc1oalkanes, Alkenes. Aromatic hydrocarbons (a,c) See Section 15 (b) Indicates t/'Iatthe ResõUrce"CõñSêÑãiiõñ'âñéí"iië<:Q;;erÿÄCt (RCRA) has deterrniñëd'ttie'wa;;ïetòr thIs ctÏé¡¡.iicãïišï¡~iëd-äš·h~Zãrdõ~s·ã'ñd'·mùsÙ;ëhãñdiëd ac:oorolng 10 reguation~ in 40 CFR 260-281. (dfiñd'iêàîé;SU"bs18nce appears on National Toxicology program (NTP) list ot C8rç¡no;en~, International Agency tôrR:9$earcn on Cancer (IARC) li~t of carcinogen$ or i$ regulated by the Occupational Sa.fely a.nd Health Administtatíon (OSHA) as a possibte ca.rcino;en_ -(ë)ïñdiCðte5-i~ifñ9·-iñ"Tãblë-z:·:-¿9'CF~·191·lr1ÕOõ.Oñë·õf 25 chëñ-iicãï~ witti~bs¡ãiiëé-~ sp;C¡;¡C;'':;éiúirëîñëñïs;'''Vãiüe stiowiïis-s:¡:¡õu¡:"f,rríê··Wë¡g¡:¡ïé"d'-··-----· Average. See \able for aooeptable ceiling concentration limit$ and acceptable maximum peak above the acceptable cei6ng conoentrstion, .-- <h..···ëaiifÕ;r;iä-p;o¡;- 65: 'säiiDtiñi(iñg· wãi'éi-ãod'·rõx¡c Enförœ;;:,eñt"AëtõT19š6~ëhëñ,ì¡Cãïs-kñÕWõ-iõtiïe $!aië-tõëáUšaœñcetö; ·të¡;rödudïvêiõXicitÿ:·-Äp~ñ- in the course of doing busine$S must w~rn others who may consume, come into COntact with, or otherwise be exposed to this chemical. (9) Product is listed or defined ä;-il"iñärTn;-pol1utant In IMDG Code or 49 GFR 172:ï-ö'-À·¡;pëndix 6, Li$t of Marine Pollutants and iTiu$i"tjë"ëìasBified as an Envil'Cl'lmentóllly Hazardous Substance, Glass 9. in addition to any other defined hazards for this product, Contains or may contain; -_.__._-_..._.._..._...-....-_._._....__.._~..... .....-... Toluene (a.b,c.e,f,g) Xylene (mixed) (a,b,c) Pentane on ...............__......... ... _.._.__._._._.__.__._-_....__._._~_...._-,..,...,........-_~.,...-......~-...----_._--_.._._.__.__.. --.-......-.. ~.._...........,..,.,..._-_.,',~,..~......__._.__.__. Yes 1000 1000 _..h.__........~·,'... - 108-88-3 133Q.20-7 Yes ---.-...-.....-.-....... .-.......-.- ---...--... Trimethylben;¡:;enes. mixed isomers (a) Benzene (a.b,c,d,e.t) .. ....._._..._..._.....h...~._._._.· ....... '._... _..._......... . Butane Yes 10 .. _.-.~~. ."'~.~,....-- Ethylbenzene (a.c) Yes 100 Yes ",.,.,..,...~.~......_-_......._.._._- -.............~.~- Yes 1000 balance M~Y-20-2002 14:33 ~)OtiS L~r"l riÐ':'- UtJ-'Hr(¡I'ìt:.li i e ,=,2b ö¿l ',':'84 ¡:"'. LJ~> lb e MATERIAL SAFETY DATA SHEET PRODUCT NAME: GASOLINE. UNLEADED I Page 2 of 6 Februarv 1. 2002 SECTION 3 - HAZARDS IDENTIFICATION EMERGENCY OVERVIEW Bronze to amber colored liquid. extremely flammable, potentially hazardous vapors, Can cause eye and skin ìrritation~ upon contact. Inhalation of vapOrs can cause anesthetic effect leading to death in poorly ventilated araas, Danger Poison! Harmful jf swallowed andlor aspirated into the lungs. Hazard symbols for this product - F, XI. XN Risk Phrases - R11 20 36 38. POTENTIAL HEALTH EFFECTS INHALATION; High concentrations are irritating to the respiratory tract; may cause headache, diz:zine$$, nat.lsea, vomiting and malaise. Xylene caU5es central nervous system effects. anemia, liver and kidney effects, and eye damage after repeated or prolonged exposure to high conœntratíons~ SKIN: Brief contact may cause sljght irritation; prolonged contact may caU$Ø moderate irritation or dermatitis. Xylene causes central nervous system effects, anemia, liver and kidney effects, and eye dalTl3g9 after repeated or prolonged exposure to high conc:eÍ1trations. EYES: High vapor concentration or contact may cause irritation and discomfort. INGESTION: May result in vomiting; aspiration of vomitus into the lungs must be avoided; DO NOT induce vomiting. Minute amounts aspirated into the lungs can produce $Øvere tung injury, chemical pneumonitis, pulmonary edema or death. CARCINOGENICITY NTP? Yes IA~C MONOGRAPHS? Yes 0S11A fl.eeVI.ATED? Yes Gasoline has been classified as a Group 2B carcinogen (possibly carcinogenic to humans) by the International Agency for Research on Cancer (IARC). Contains chamical(s) Known to the State of Califomia to cause cancer. Contains benzene, which has been classified as a carcinogen by the National Toxicology Program (NTP). and a Group 1 carcinogen (carcinogenic to humans) by the International Agency fur Research on Cancer (IARC). Contains ethylbenzene which has been classified as a Group 28 carcinogen (possibly carcinogenic to humans) by the International Agency for ReS€arch on Cancer (IARC). SECTION 4 - FIRST AID MEASURES -c- INHALATION: Remove affected per$on to fresh air; provide oxygen if breathing is diffICUlt: if affected person is not breathing, administer CPR and seek immediate emergency medical attention. SKIN: Remove contaminated clothing; wash affected area with soap and water; launder contaminated clothing before reuse; if irritation persists. seek medical attention. EYES: Remove contact lenses, F1ush eyes with c1ear running water for 15 minutes while holding eyelids open: if irritation persists, seek medical attention. INGESTION: DO NOT induce vomiting: if vomiting occurs spontaneously. keep head below hips to prevent aspiration of liquid into lungs; seek immediate medical attention. Vomiting may be induced only under the supervision of a physician. SECTION 5: - FIRE FIGHTING MEASURES ,.. . ., ,.., , FLASH POINT (METHOD USED) I FLAMMABLE LIMITS LEL: 1.3% UEL: 7.6% -45° F (.42.7" C) TCC I AUTOIGNITION TEMPERATURE: 495D F (257D C) I NFPA CLASS: :rA GENERAL HAZARDS: This product presents an extreme fire hazard. liquid evaporates very quickly, even at low temperatures. and forms vapor (fumes) which can catch fire and burn with explosive violence. Invisible vapor spreads easily and can be set on fire by many sources such as pilot lights. welding equipmenl and electrical motors and switches. EXTINGUISHING MEDIA Carbon dioxide, water fog, dry chemical. chemical foam FIRE FIGHTING PROCEDURES Firefighters must wear full faœpiece $$If - contained breathing apparatus in positive pressure mode. Do not use solid stream of water since stream will scatter and soread fire, Fine water scray can be used to keeo fire - excosed containers cool. UNUSUAL FIRE AND EXPLOSION HAZARDS Closed containers can explode due to buildup of pressure when exposed to extreme heat. Do not use direct stream of water on pool fires as oroduct may reionite on water surface, Caution· Material is extremelv flammable! HAZARDOUS COMBUSTION PRODUCTS Smoke. fumes, oxides of carbon MAY-20-2002 14:34 .ONS Gr1 HBC DEPARTMENT e 626 821 7984 P.03/16 MATERIAL SAFETY DATA SHEET PRODUCT NAME: GASOLINE. UNLEADED I Page 3 of 6 Februarv 1, 2002 SECTION 6 - ENVIRONMENTAL RELEASE MEASURES . ,',.. .' STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED: CAUTION· EXTREMEL YFLAMMABLE - Evacuate and ventilate area; confine and absorb into absorbent; place material into approved containers for disposal; for spills În excesS of allowable limits (RQ) notify the National Response Center (800) 424·8802: refer to CERCLA 40 CFR 302 and SARA Title III, SeClÎon 31340 CFR 372 for detailed instructions COl"lœrning reporting requirements. SECTION 7..:HANDLING" AND dS,rORAGE· .. ,. . '.. ...... '-'. . .--' . ., " " PRECAUTIONS TO BE TAKEN IN HANDLING AND STORAGE; Keep container closed when not in use; protect containers from abuse; protect from extreme temperatures, CAUTION - EXTREMELY FLAMMABLE - keep away from all sources of ignition. "Empty" containers may contain residue which may form explosive vapors. Do not weld or cut near empty container that has not been professionally reconditioned. Use non-sparning tools when opening and closing containers, Maintain well ventilated worn areas to minimize exposure when handling thi$ material. Review all operations which have the potential of generating an accumulation of electrostatic charge anellor a flammable atmosphere (including tank and container flllìng, splash filling. tank cleaning, sampling, gauging, switch loading, filtering, mixing, agitation, and vacuum truck openttions) and use appropñate mitigating procedures. Improper filling of pol'Ulble gasoline containers creates danger of fire. Only dispense gasoline into approved and properly labeled gCl$oline containers. Always place portable containers on the ground. Be sure pump noule is in contact with the container while filling. Do not use a nozzle's lock-open device. Do not fill portable oontainers that are inside a vehicle or truc:k/trailer bed. SECTION 8 - EXPOSURECONTROLSJPERSQNAD PROTECTION'. : .:,.: ENGINEERING CONTROLS The use of local exhaust ventilation is recommended to control emissions near the sourœ. Provide mechanical ventilation of confined spaces, Use explosion-proof ventilation equipment. See Section 2 for Component Exposure Guidelines, PERSONAL PROTECTION: RESPIRATORY PROTECTION (SPECIFY TYPE); None required while threshold limits (Section 2) arB kept below maximum allowable concentrations: if TWA exceeds limits, NIOSH approved respirator must be worn. Refer to 29 CFR 1910.134 or European Standard EN 149 for complete regu~tions. PROTECTIVE GLOVES: Neoprene or nitrile rubber gloves with cuffs. EYE PROTECTION: safety goggles with side shields OTHER PROTECTiVe CLOTHING OR EQUIPMENT: Safety eyewash nearby WORK I HYGIENIC PRACTICES: Practice safe workplace habits. Minimi.te body contact with this, as. well as all chemicals in general. SECTIQN'9-PHYSICAL:AND . CHEMICAL/PROPERTIES· .'''.: ': " . '. .' " . ........ VAPOR PRESSURE (MM Hg) VAPOR DENSITY (AIR = 1) 5· 15 PSI @ 100· F 3,0·4.0 SPECIFIC GRAVITY (WATER = 1) EVAPORATION RATE (n-Butyl Acetate'" 1) 0,700 - 0.800 <1 SOLUBILITY IN WATER FREEZING POINT Neqliaible Not determined pH APPEARANCE AND ODOR Not aoolicable Bronze to amber liQuid, characteristic aasoline odor BOILING POINT PHYSICAL STATE 80 . 430·F (26.6 - 221· C\ Liauid VISCOSITY VOLATILE ORGANIC COMPOUNDS (Total VOC's) Not soecified 6.25 Ibs I callon SECT/ON 10:';·$TA61/;,ITY:ANC1::REACTIJII:"fY ',' ...;... ......,. .' ., STABILITY UNSTABLE: CONDITIONS TO AVOID: Extr~me ttlml'eratures. open flames, sparks STABLE: XXX INCOMPATIBILITY (MATERIALS TO AVOID): May react with strong oxidizing agents. such as chlOrates, nitrates, peroxides, etc. HAZARDOUS DECOMPOSITION OR BYPRODUCTS: Decomposition will not occur if handled and stored properly. In case of a fire, oxides of carbon hydrocarbons. fumes. and smoke mav be oroduced, HAZARDOUS POL YMERIZA TION MAY OCCUR: CONDITIONS TO AVOID: NOM WILL NOT OCCUR: xxx {'18'¡-20-2002 14: 34 UONS GM HBC DEP8RTMENT e 525 821 7'384 P.04/15 e - MATERIAL SAFETY DATA SHEET PRODUCT NAME: GASOLINE, UNLEADED I Page 4 of 6 FabnJarv 1 2002 SECTION 11- TOXICOLOGICAL INFORMA.TION·.··. Hazardous Ingredients % CAS # LD50 of Ingredient l.CSO of IngredIent (Species and Route) (Species) Gasoline 100 8006-61-9 18.8 mil kg 20,7 mill Oral - rat Inhalation - rat Contains or may contain: Toluene (a,b,c,a,f,g) 0-35 10S-SS-3 5000 mg I kg 7525 ppm I 4H Oral - rat Xylene (mixed) (a,b,c) 0-25 1330-20-7 4300 mg I kg 5000 ppm 14H Oral - rat Inhalation· rat Pentane 0- 20 109-66-0 Not established 364 gm I m3 I 4H Inhalation-rat Trimethyibenzenes, mixed isomers (a) 0-4 25551-13-7 Not established Not estab~shed Benzene (a,b,c,d,e,f) 0-5 71-43-2 930 mg , kg 10000 ppm I 7H Oral. rat Inhalation - rat Butane 0-12 106-97-8 Not established 658 mg I LI 4H Inhalation - rat Ethylbenzene (a,c) 0·4 100-41-4 3500 mg I kg 4000 ppm/4H(LCLO) Oral - rat Inhalation - rat Heptane 0·4 142-82-5 Not established 75 gm I m3 I 2H Inhalation - mouse Cyclohexane (a.b,c) 0-5 110-82·7 813 mg I kg Not established Oral - mouse n-Hexane 0-5 110-54-3 28710 mg I kg 48000 ppm I 4H Oral - rat Inhalation-rat n-Octane 0-1 111-65-9 Not established 118 gm Im3/4H Inhalation - rat Ethanol 0- 20 64-17-5 3450 mg I kg 20,000 ppm 110H Oral - mouse Inhalation - rat Naphthalene (a,b,c,g) 0-1-1 91-20-3 1780 mgl kg Not established Oral - rat Trimethylbenzene 1,2,4' (a) 0-7 95-63-6 5 gm I kg 18 gm I m3 14H Oral - rat Inhalation - rat lsopentane 0-20 78-78-4 1600·3200 mg I kg Not established Oral - rat Styrene (a,c,d,e,g) 0-4 100-42-5 5000 mg I kg 24000 mg/m312H Oral - rat Inhalation - rat Methyl tert - butyl ether (a) 0·18 1634.Q4-4 4gm/kg 23576 ppm I 4H Oral - rat Inhalation· rat Ethyl tert - butyl ether 0- 21 637-92-3 Not established 123 gm I m3/15M Inhalation - mouse Tertiary - Amyl methyl ether 0-20 994-05-8 Not established Not established SECTION 12 - ECOLOGICAL/NFORMATION.. , , ' -. .... . No data are available on the adverse effects of this material on the environment. Neither COD nor BOD data are available. Based on the chemícal composition of this product it is assumed that the mixture can be treated in an acclimatized biological waste treatment plant system in limited quantities, However, such treatment shOtJld be evaluated and approved for each specifiC biOlogical system. None of the ingredients in this mixture are classified as a Marine Pollutant. In genem!, non-oxygenated gasoline exhibits some short·term toxicity to freshwater and marine organisms, especially under closed vessel or flow-through exposure conditions in the laboratory_ The components which are the most prominent in the water $oluble fractioo and cause aquatic toxicity, are also highly volatile and can be readily biodegraded by microorganisms. .. .. .. $ECTlON13-DISPOSA·4 :,CØH$ICt£Il/(,TIQ.N$ . : . ..... ......:,,:::: . . ., WASTE DISPOSAL METHOD: Dispose of in accordance with Local. State, and Federal Regulations, This product may produce concentrated hazardous vapors or fumes in a disposal container creating a dangerous environment. Refer to "40 CFR Protection of Environment Pa1't$ 260- 299ft for complete waste dÏ$posal regulations for ignitable materials. Consult your local, state. or Fedeml Environmental Protection Agency befors disposing of any chemicals. Do not flush to sanitary sewer or waterway. r1H(-20-20C12 1.4; ::':' 'v'UI'<:=> Gr ' I riD'.- Vt:."rit-<:i 1'It:.I'j I e t::·¿o 8¿ 1 '(:'¡d4 ,'. LJ~'/ 10 e MATERIAL SAFETY DATA SHEET PRODUCT NAME: GASOLINE. UNLEADED Februarv 1, 2002 I Page 5 of 6 SECTION 14 w TRANSPORT 'iNFORMATION PROPER SHIPPING NAME: Gasoline HAZARD CLASS 1 Pack Group: 3/11 REFERENCE: 49 CFR 173.150. .202. .242 IDENTIFICATION NUMBER: UN 1203 LABEL: FLAMMABLE LIQUID HAZARD SYMBOLS: F Nõtê:Träiispor1ãtioiï1ñfõriTiãÜon prõv¡dëëi·iŠ-fõr-rëfe¡:ë;;ceõñiÿ~-ëi¡ëñiis'ï:irg8dtDCõOšûÏt-CFR·.i9··P-šrts1()Õ':-:¡77;!M'DG;JATÄ-ëC:-Canädian-· TOG. and United Nations TDG information manuals for detailed regulations and exceptions covering specific container S~BS. packaging materials and methods of shipping. lATA HAZARD CLASS 1 Pack Group: 3/11 IMDG HAZARD CLASS: 3.1/11 RID/ADR Dangerous Goods Code: 3 Canadian TOG Class I Division: 3.2 SECTION 15 . REGULATORY ··INFORMATION TSCA (Toxic Substance Control Act) Motor gasoline is considered a mixture by EPA under the Toxic Substances Control Act (TSCA). The refinery streams used to blend motor gasoline are all on the TSCA Chemical Substances Inventory. This product may contain methyl tertiary-butyl ether (CAS #1634-04-4) or tert- amyl methyl ether (CAS #994-05-8), both of which are currently undergoing review and testing under TSCA Section 4. Notification to the U.s. EPA Office of Toxic Substances is required prior to export of this material from the United States. , -:c . SARA TITLE III (Superfund Amendments and Reauthorization Act) 311/312 Hazard Categorie$ Immediate (Acute) Health Effects Delayed (Chronic) Health Effects Fire Hazard 313 Reportable Ingredients: (a) Indicates a toxic chemical subject to annual reporting requirements of Section 313 of the Emergency Planning and Community Right- T~ Know Act of 1986 and of 40 CFR 372. . CERCLA (Comprehensive Response CompenSation ilnd Liability Act) (c) The Compl'8hensive Environmental Response, Compensation, and Liability Act (CERCLA) has notification requirements for releases or spillS to the environment of the Reportable Quantity or greater amounts. according to 40 CFR 302, CPR (Canadian Controlled Products RegulatJons) This product has been classified in accordance with the hazard ¢riteria of the Controlled Products Regulation$ and the MSDS contains an the information required by the Controlled Products Regulations IDl (Canadian Ingredient Disclosure List) Components of this product listed on the Canadian Ingredient Disclosure List aJ'Q shown in Section 2, EC Risk Phrases R11 Highly flammable R20 Harmful by inhalation R36 Irritating to eyes R38 Irritating to skin. EC Safety phrases S16 Keep away from sources of ignitìon S23 Do not breathe vapor S25 Avoid contact with eyes 528 After contact with skin, wash immediately with plenty of soap and water. S29 00 not empty into drains MRY-20-2002 14:35 elJONS Gr'1 HBC DEPRRTMENT e 626 821 7984 P.06/16 MATERIAL SAFETY DATA SHEE1' PRODUCT NAME: GASOLINE, UNLEADED Februarv 1, 2002 I Page 6 of 6 SECTION 16 - OTHER INFORMATION Values stated in "0/0" column in Section 2 and Section 11 do not reflect absolute minimums and maximums: these values are typical which may vary from time to time, NFPA HAZARD RATINGS HEAL TI-I FLAMMABILI'fY REACTIVITY 1 3 o 0; INSIGNIFICANI 1 = SLIGHT 2 = MODERATE 3 = HIGH 4 '" EXTREME PERSONAL PROTECTIVE EOUIPMENT B Safety Glasses. GlOves REVISION SUMMARY; This MSDS has been revised in the following sections: Section 2 - Toluene information MSDS Prepared by: Chern-lei, Inc. 1305 N. Florida Ave. Tampa, Floñda USA 33602 (800) 255·3924 Outside USA (813) 248-0573 DISCuUMeR:· The Infcinnationllupplíed In this data shNt Is obtained from cUfrentlyavailablèllOUrces. whIch."... bellewd,to be,",lIable~ . THEtNFORMATlONJS PROVIDED WlTHOUTANYWARRANlY,EXPRESSEDOR IMPLlEÓ.RèGÞ.RDINGTHE~CURACV:OFTHeINFORMAi1oNOR THE RESULTS TO BE OBTAINED FROM rrs USE. ' .. ,.. ., .,- Handling, swrage; use or dlsposalot the above-røfvrenced product ¡sbeyoÍ1döurCðnü:Ol and inayoceur under:çondltlons·wlthwhlch we are unfamiliar, FOR THESE AND OTHER REASONS, WE DO NOT ASSUME RESPONSIBIUTYAND EXP'RESSLYDISCLAlM, AJfY'UABILIi'YFOR DAMAGE INJURY AND COST ARISING FROM OR RELATED TO THEUSEOFTHSPRODUCT;- Product Number(s) : 05 20 73 133 06 21 74 281 OS 25 75 326 09 26 76 327 10 51 77 328 11 61 84 344 12 62 85 345 13 63 95 346 14 64 112 348 15 67 131 349 16 68 132 340 17 69 1106 19 f'lH\'-20-2002 14: 3::, U[ll~'; Gr'l HBC Dër'HRTr1Er'H 525 821 7'384 F'. 07/15 . e Ee Diesel (Low Sulfur) MATERIAL SAFETY DATA SHEE;A_DISLodOC TESORO Tesoro West Coast Company PO Box 700 Anacortes, Washington 98221 293-1412 2. COlVIPOSITIONfINFORì\IA TION INGREDIENTS ¡Yi~ib~~~I~ir~~~~~~ëf"L;_ - Diesel Fuel No. 2 68476-34-6 NE1 1002 100 1 NE ;;; Not Established 2 On 1999 Notice of Intended Changes 3. HAZARDS IDENTIFICATION ~-~: ~i~:: ,; j--:-:-; ~~~~~~~iIiI~l~,J]E~..:.~',~t:~: ~_:; -'-,,:', -ç .,::.-:;~ ,,;~..<=:~:':-~~~~~ -=-=; Diesel fuel is a complex mixture of hydrocarbons appearing as a clear to pale yellow liquid with petroleum odor. Composition varies but includes C9 to C20 hydrocarbons with a boiling range of 325-675°F. Diesel fuel is a combustible liquid and vapor. It can be harmful or fatal jf swallowed with aspiration of vapor into the lungs capable of roducin chemical neumonitis. Diesel fuel causes skin irritation. ROUTES OF ENTRY: Primaril inhalation with in estion ossible. HUMAN EFFECTS AND SYMPTOMS OF OVEREXPOSURE: INHALATION: Irritation of the respiratory tract from mists or vapors. Excessive exposure may cause central nervous system effects including headache, dizziness, nausea, loss of coordination, blurred vision or ringing in the ears. Extremely high ex osures ma roduce convulsions res irato arrest coma or death. SKIN CONTAcr: Moderate irritation and burning sensation from liquid or mist contact. Prolonged or repeated contact can produce defatting and drying resulting in severe irritation and dermatitis. Absorption through skin not likely. Mild skin sensitization ossible. EYE CONTACT: May cause temporary irritation with burning sensation, redness, and swellin of e elids. February 22, 2002 PCAV# 2 SAP-27, 294 ·Page 1 of 7 !'lHl-¿lJ-Ò.JL-'"'- 1"< ."::,:c, !...)UI··'¡=I uiï r1Üi,-" vcr'rlï, i IICI ~ j D~D o~l i~Q4 r.Ub/1D e E4IÞDiesel (Low Sulfur) wcEPA DISL.doc 3. HAZARDS IDENTIFICATION cOIlI'd. INGESTION: May result in vomiting. Vapors can directly enter the lungs or be aspirated into the lungs during vomiting (see inhalation). Vapors in the lungs can result in a chemical pneumonitits which can be fatal. Delayed liver and kidney dama e can result from in estion with neumonitis. CHRONIC EXPOSURE: Repeated skin contact may cause a persistent irritation or dermatitis. NIOSH recommends that diesel exhaust be regarded as a potential occu ational carcino en. CARCINOGENICITY: #t~Diesel Fuel: ACGIH: No NTP: No IARC: No OSHA: No Animal bioassays on middle distillate fuels indicate that prolonged contact produces skin tumors and skin cancers. IARC has placed whole diesel engine exhaust in Group 2A Probabl Carcino enic to Humans. MEDICAL CONDITIONS GENERALLY AGGRAVATED BY EXPOSURE: Pre- existin skin and res irato conditions ma be a ravated b ex osure. 4. FIRST AID l\,)EASURES INHALATION: If inhaled, remove to fresh air. If not breathing, clear person/s airway and give artificial respiration. If breathing is difficult, qualified medical Dersonnel may administer oxygen. Get medical attention immediatelv. SKIN: Immediately remove contaminated clothing and shoes. Under safety showerl flush skin thoroughly with large amounts of running water for at least 15 minutes. Get medical attention immediately. Discard or decontaminate clothing and shoes before reuse. EYE: Immediately flush eyes with plenty of water for at least 15 minutes. Hold eyelids apart while flushing to rinse entire surface of eye and lids with water. Get medical attention. INGESTION: If person is conscious and can swallow1 give two glasses of water (16 oz.) but do not induce vomiting. If vomiting occurs, give fluids again. Have medical personnel determine if evacuation of stomach or induction of vomiting is necessary. Do not give anything by mouth to an unconscious or convulsing person. NOTE TO PHYSICIAN: Aspiration of this product during emesis may result in severe lung injury. If evacuation of stomach is necessary, use method least likely to çause aspiration, such as gastric lavage after endotracheal intubation. Contact a Poison Center for additional treatment information. 125°F (P.M.) 500°F 0.50/0 4.7% February 22, 2002 PCAV# 2 SAP-27, 294 page 2 of 7 r'1HY-20-20D2 14: 36 I.)Or~S GI'i rlBC, LJEF:"HRT l'ii:Hi e 626 d¿l ~3d4 ~.8~/16 E4IÞDìesel (Low Sulfur) wcEPA_DISL.doc 5. FIRE FIGHTING ]\,IEASlJRE.S ('0111 'd. HAZARDOUS COMBUSTION PRODUCTS: Normal combustion forms carbon dioxide and water vapor; incomplete combustion can produce carbon monoxide, nitro en oxides and unburned h drocarbons. FIRE AND EXPLOSION HAZARD: Containers exposed to intense heat from fires should be cooled with water to prevent vapor pressure buildup which could result in container rupture. Container areas exposed to direct flame contact should be cooled with large quantities of water as needed to prevent weakening of container structure. EXTINGUISHING MEDIA: Use water fog, foam, dry chemical, or carbon dioxide. Do not use direct stream of water. Product will float and can be reignited on surface of water. SPECIAL FIRE FIGHTING PROCEDURES: Caution. Combustible. Do not enter confined fire space without full bunker gear (helmet with face shield, bunker coats, gloves and rubber boots), including a positive pressure NIOSH approved self- contained breathing apparatus. Cool fire exposed containers with water. In the case oflar e fires also cool surroundin e ui ment and structures with water. 6. ACCIDENTAL RELEASE l\'IEASlTRES: SPILL OR LEAK PROCEDURES: Eliminate all sources of ignition in the vicinity of the spill or released vapor. Ventilate the area. Stop the source of the leak or release. Prevent entry into sewers and waterways. Wear appropriate personal protective equipment, including respiratory protection during cleanup, (see Section 8 Exposure Controls/Personal Protection). Cleanup small spills using appropriate techniques such as sorbent materials or pumping. Where feasible and appropriate, remove contaminated soil. Follow prescribed procedures for reporting and responding to larger releases. Place contaminated materials in disposable containers and dispose of in a manner consistent with applicable regulations. Contact state or local a encies for a roved dïs osal. February 22, 2002 ?CAV# 2 SAP-27, 294 ?age 3 of 7 ¡'1HY- 20- 2C1C;~ 14: :::.;'(' ".lO[~~, ,::J¡'¡ "jj,_ Vc.r-'Hr-; -I i' ¡c.I"-1 b2S 821 7984 P.10/iS E4IÞDiesel (Low Sulfur) wcEPA DISL.doc e I ~ 7. HANDLING AND STORAGE: HANDLING AND STORAGE PRECAUTIONS: Liquid evaporates to vapor that can ignite and burn, producing explosive forces. Keep away from heat, sparks, flame, and surfaces sufficiently hot to ignite the vapors. Control or eliminate all sources of ignition. Vapors may accumulate and travel to ignition sources distant from the handling site resulting in flash back. Electrostatic charge may accumulate and create a hazardous condition when handling this material. Use appropriate protection against static, lightning, and stray currents. Use or store only in a well- ventilated area away from ignition sources. Keep container closed when material is not in use. Container is not designed to contain pressure. Do not use pressure to empty container or it may rupture with explosive force. Empty containers retain product residue (solid, liquid, and/or vapor). Do not pressurize or expose such containers to heat, flame, sparks, static electricity, or other sources of ignition. Empty containers should be completely drained, properly closed, and promptly returned to a drum reconditioner, or properly disposed. WARNING! Do not use as portable heater or appliance fuel. Toxic fumes may accumulate and cause death. Do not taste or swallow. Do not get in eyes, on skin, or on clothing. Wash with soap and water thoroughly after handling product and before eating, drinking, smoking, or using toilet fadlities. Launder contaminated clothing before reuse. Keep out of reach of children. 8. EXPOSURE CONTROLS/PERSONAL PROTECTION: EYE PROTECTION: Safety glasses, chemical type goggles, Or face shield recommended. SKIN PROTECTION: Select gloves and protective clothing based on splash or continuous contact potential. Large quantity handling may require impervious suits¡ gloves, and boots. Glove materials suggested include nitrile, viton, and Dolyurethane. RESPIRATORY PROTECTION: If vapor exposures exceed up to 10 times the TLV, wear a NIOSH approved half face respirator with organic vapor cartridges or higher level protection. Above 50 times the TLV, either a full face respirator with organic vapor cartridges or higher level protection is required. Supplied air respirators or self contained breathing apparatus are recommended as higher level Drotection. ENGINEERING CONTROLS: If user operation generate airborne material, use process enclosures, local exhaust ventilation, or other engineering controls to control eXPosure. February 221 2002 PCAV# 2 SAP-27 I 294 Page 4 of 7 f"IRY-20-2002 14: 37 IJONS GI'l HBC DEF'RRTi'lENT Aww ~''*'\. 525 821 7984 P.ll/i5 E4IÞDieSel (Low Sulfur) wcEPA DISL.doc ]0. REACTIVITY/STABILITY: STABILITY: Stable CONDITIONS OF REACTIVITY: Reacts violently with strong oxidizers and hi h tern eratures. HAZARDOUS POLYMERIZATION: Not known to 01 merize INCOMPATIBILmES: Avoid contact with strong oxidizers such as chlorine, h ochlorites erchlorates or concentrated 0 en. DECOMPOSmON PRODUCTS: Incomplete combustion will produce carbon monoxide aldeh des ketones sulfur oxides and unburned h drocarbons. February 22, 2002 PCAV# 2 SAP-27, 294 Page 5 of 7 M~Y-20-2002 14:37 e\)OI~S Gr'1 HBC DEP~RTf"lEt~T b2b 821 7984 P.12/16 E~Diesel (Low Sulfur) ...,. .. II. TOXICOLOCICAL INFORl\'IA TION: This product is a distillate fraction that partially includes kerosene. The following data for kerosene is provided as information for this product. Long Term Inhalation: Guinea pigs exposed to 20.4 to 34mg/L kerosene aerosols for 15 minutes/day for 21 days developed cardiovascular changes resembling early athersclerosis. ~on9 Term Dermal: Repeated application has produced significant reductions in body weight and body weight gains, reversible blood changes, and reversible decreases in the weight of some glands. Severe skin effects such as redness, swelling, scaling, cracking, tissue death, and hair loss have also been observed. LDso: Oral: >5g/Kg rat (similar product) Dermal: >2g/Kg rabbit (similar product) Inhalation: Not determined Irritation Index, Estimation of Irritation (Species): S~ Application of O.5mL to the intact or abraded skin caused severe irritation. Application ofO.5mL undiluted kerosene produced moderate irritation in male guinea pigs and was not irritating to rabbits. Eyes: Application of O.lmL of undiluted kerosene was practically non-irritating. Sensitization: No effects were noted in standard sensitization studies. Carcinogenicity: Studies of Kerosene Repeated application of kerosene in a high dose (2,000 mg/Kg) has resulted in an increased incidence of skin tumors in male rats. The ACGIH lists diesel fuel/kerosene as an A3 category, confirmed animal carcinogen with unknown relevance to humans. Teratoqenicity I Embrvotoxicity I Muta9-enicitv I Reprod uctiverEffects: No evidence of teratogenicity was found in rats exposed by inhalation to 100 or 365 ppm kerosene 6/hours/day from day 6-15 of gestation. Kerosene was not mutagenic in two in vivo mutagenrcty tests using rats and mice. Kerosene was mutagenic in an Ames test modified to increase sensitivity for petroleum distillate fractions but was neQative in standard Ames testina. No information available. . 13. DISPOSAL CONSIDERATIONS: WASTE DISPOSAL METHOD: Shipment, storage, disposal, and cleanup actions of waste falls under federal, state, and local regulations. Contact the appropriate agencies regarding applicable rules. RCRA hazardous waste number DOO! applies. Consult 40 CFR 262 for federal EPA dis osal re uirements. February 22, 2002 PCAV# 2 SAP-27, 294 Page 6 of 7 i'1¡::¡'{-20-2002 14: 38 \)Ot"'¡S GI'1 HBC DEF-'HRi f'íE.r>¡ e o¿o 821 7'384 P.1S/lb e MATERIAL SAFETY DATA SHEET page Revised Replaces Printed 2 of 6/14/99 6/14/99 11/21/00 3 LEVER MED H-56 MSDS ID: 2024-00 VI. ACCIDENTAL RELEASE MEASURES (Cont.) WATER. VII. HANDLING AND STORAGE HANDLING AND STORAGE PRECAUTIONS: KEEP AWAY FROM OPEN FLAME;STORE AWAY FROM OXIDIZERS;STORE IN COOL l.OCATION.DO NOT PRESSURE CONTAINER TO EMPTY. VIII. EXPOSURE CONTROLS/PERSONAL PROTECTION EYE/FACE PROTECTION: NONE USUALLY REQUIRED PROTECTIVE GLOVES: NONE REQUIRED RESPIRATORY PROTECTION: NONE OTHER PROTECTIVE CLOTH~NG/EQUIPMENT: NONE EXPOSURE GUIDELINES: SEE SECTION II FOR DETAILED INFORMATION. IX. PHYSICAL AND CHEMICAL PROPERTIES BOILIING POINT (F): VOLATILE BY VOLUME: VAPOR PRESSURE (MMHG): APPEARANCE AND ODOR; 180 SPECIFIC GRAVITY: .894 98.5-99.5 SOLUBILITY IN WATER: lOO NOT KNOWN AT N/A Clear liquid characteristic odor. X. STABILITY AND REACTIVITY CHEMICAL STABILITY: INCOMPhTIaILITY WITH OTHER MATERIALS: HAZARDOUS DECOMPOSITION PRODUCTS: HAZARDOUS pOLYMERIZATION: STABLE STRONG OXIDIZERS; AVOID OPEN FLAME OXIDES OF CARBON, NITROGEN NONE XI. TOXICOLOGICAL INFORMATION NO Qata available. TOXICITY TEST DATA: No data available. XII. ECOLOGICAL INFORMATION ECOTOXICITY TRST DATA: No data availa~le- XIII. DISPOSAL CONSIDERATIONS WASTE D~SPOSAL METHOD; EXTINGUISH ALL SOURCES OF IGNITION. USE EXHAUSE FANS TO ~ROVIDB GOOD VENTILATION TO A~EA. PROVIDE PROTECTIVE CLOTHING AND SUPPLIED AIR RESPIRATORS TO CLEANUP PERSO~EL. DIKE AREA TO CONTAIN SPILL. PUMP LIQUID TO SUITABLE CONTAINER. FLUSH RESIDUE TO SANITARY SEWER SYSTEM WITH WATER- r1HY - 20- 2002 14: 38 .ONS Gr'l HBC DEPHRTMENT S2S 821 7984 P.13/1S E~DieSel (Low Sulfur) weEP}.\. DISL.doe -; 14. TRANSPORT AT ION INFORl\'IA TION: DOT CLASSIFICATION: Combustible Uauid DOT SHIPPING NAME: Combustible Liauid, N.O.5. IDENTIFICATION NUMBER: NA 1993 PACKING GROUP: III LABEL: None reauired . OSHA: Hazard Communication standard (29 CFR 1910.1200) applies to this roduct. TSCA: Listed on the EPA SCA invento of chemical substances. SARA TITLE III: Section 302 Extremel Hazardous Substance: None Section 311/312 Hazard Categories: Acute; Yes; Chronic: Yes; Fire: es Section 313 Toxic Chemicals: None identified under 40 CFR Part 372 RCRA: Waste product and contaminated materials with a flash point below 140°F are considered ignitable hazardous wastes. DOT hazardous waste number DDD! a lies. 16. OTHER INFORl\'IA TION: MSDS STATUS: CURRENT REVISION NUMBER: Version 1.0 PREPARED BY: Paul carlson Associates, Inc. Milwaukie¡ Oregon (503) 652-6040 DISCLAIMER: The information supplied in this data sheet is obtained from currently available sources which are believed to be reliable. HOWEVER, THE INFORMATION IS PROVIDED WITHOUT ANY WARRANTY" EXPRESSED OR IMPLIED, REGARDING THE ACCURACY OF THE INFORMATION OR THE RESULTS TO BE OBTAINED FROM ITS USE. Handling, storage, use or disposal of the above-referenced product is beyond our control and may occur under conditions with which we are unfamiliar. FOR THESE AND OTHER REASONS, WE DO NOT ASSUME RESPONSIBIUTY AND EXPRESSLY DISCLAIM ANY LIABIUTY FOR DAMAGE, INJURY AND COST ARISING FROM OR RELATED TO THE USE OF THE PRODUCT. February 22, 2002 PCAV# 2 SAP-27, 294 Page 7 of 7 MHY-20-2002 14:38 .m-6 Gt1 HBC DEPHRnlEr~T . 626 821 7984 P.14/16 Q MATERIAL SAFETY DATA SHEET page Revised Replaces Frint:ed l-of 6/J.4./99 6/14/99 11/21/00 3 LEVER MED H-56 MSDS ID: 2024-00 I. CHEMXCAL PRODUCT AND COMPANY IDENTIFICATION PRODUCT NAME: LEVER MED H-56 PRODUCT DESCRIPTOR: HAND SANITIZING AND CLEANING COMPOUND MANUFACTURER: DIVERSEY LEVER INC- 3240 BENCHMARK DRIVE LADSON. SC 29456-3861 EMERGENCY PHONE NUMBERS: CUSTOMER SERVICE; (800) 827-5427 MEDICAL (COLLECT): (303) 592-1024 CHEMTREC.: (800) 424-9300 II. COMPOSITION/INFORMATION ON INGREDIENTS INGREDIENT NAME CAS NUMBER \ EXPOSURE LIMITS UNITS --------------------------- ----------- ---------- ---------------- ------- ETHYL ALCOHOL 64-17-5 >30 lOOO-J.600 MG/M3 III. HAZARDS !DENTIFICATION ROU'I"ES OF ENTRY; INHAL.a.'TION: NO SKIN: . NO INGESTION: YES SIGNS AND SYMPTOMS OF EXPOSURE: ACUTE: MAY CAUSE EYE IRRITATION. CHRONIC: SAME AS ACUTE MEDICAL CONDITIONS GENERALLY AGGRAVATED BY EXPOSURE: NONE KNOWN IV. FIRST AID MEASURES SKIN: IN01::STION: INHALATION: FLUSH THOROUGHLY WITH FRESH WATER FOR AT LEAST 15 MINUTES. GET MEDICAL ATTENTION. RINSE OFF WITH FRESH WATER. GIVE WATER. DO NOT INDUCE VOMITING. GET MEDICAL ATTENTION. N/A IN NORMAL OPERATION. EYES: V. FIRE FIGHTING MEASURES FLASH POIß~; 68 DEG F FLAMMABLE LIMITS IN ~IR BY VOLUME: UNUSUAL FIRE OR EXPLOSION HAZARDS: EXTINGUISHING MEDIA: FIRE FIGHTING INSTRUCTIONS: FLAME EXTENSION: N/A IN. LEL: NONE UEL: UNKNOWN NONE KNOWN C02. FOAM. DRY CHEMICAL. WATER WEAR SELF CONTAINED BREATHING APPARATUS AND PROTECTIVE GEAR IN FIRE AREA. VI. ACCIDENTAL RELEASE MEASURES IF MATERIAL IS RELEASED OR SPILLED: EXTINGUISH ALL SOURC£S OF IGNITION. USE EXHAUST FANS TO PROVIDE GOOD VENTILATION TO AREA. PROVIDE SUPPLIED AIR RESPIRATORS TO CLEANUP PERSONNEL. DIKE AREA TO CONTAIN SPILL; PUMP LIQUID TO SUITABLE CONTAINER. FLUSH RESIDUE TO SANITARY SEWER SYSTEM WITH PLENTY OF MRY-20-2002 14:38 tþU6 Gr'l HBC DEPRRTI'lENT . 626 821 7984 P.16/16 'í MATERIAL SAFETY DATA SHEET Page Revised Replaces Printed 3 of 6/14/99 6/14/99 11/21/00 3 LEVER MED H-56 MSDS ID= 2024-00 XIV. TRANSPORT INFORMATION HAZARDOUS MATERIALS DESCRIPTION/PROPER SHIPPING NAME: DOT CLASS = CONSUMER COMMODITY, ORM-D XV. REGULATORY INFORMATION U.S. FEDERAL REGULATIONS: CERCLA/EPCRA; SECTION 313 TOXIC CHEMICALS = None LISTED CARCINOGEN: NONE NTP: NO rARC: NO HMIS RATINGS: HEALTH: 1 FIRE: PERSONAL PROTECTIVE STATE RIGHT-TO-KNOW INFORMATION; ETHYL ALCOHOL - CAS #64-l7-S WATER - CAS #7732-18-5 FRAGRANCE-PROPRIETARY TRIETHANOLAMINE-CAS#102-71-6 ~CRYLIC POLYMER-PROPRIETARY M1XTURE OSHA: NO 3 REACTIVITY: 0 EQUIPMENT: A XVI. OTHER INFORMATION DISCLAIMER; THE INFORMATION IN THIS MATERIAL SAFETY DATA SHEET (MSDS) RELATES TO THIS SPECIFIC PRODUCT AND CURRENT NATIONAL LEGISLATION. IT APPLIES TO THE PRODUCT AS SOLD, DILUTED VERSIONS WILL LIKELY BE LESS HAZARDOUS. IT MAY NOT BE VALID FOR THIS MATERIAL IF USED OTHER THAN AS RECOMMENDED BY DIVERSEY LEVER INC. OR IN COMBINATION WITH OTHER MATERIALS OR IN A PROCESS. IT IS THE USER'S RESPONSIBILITY TO EVALUATE THE APPLICABILITY OF THIS INFORMATION FOR THEIR PARTICULAR CONDITIONS OF STORAGE, HANDLING AND USE. TOTAL P.16 -- - SITE DIAGRAM ~ FACILITY DIAGRAM r Business Name: VðtJS fù€:L cetJí'e:¡z 8Aktes-fIt:L.D #;<51;1 Business Address: d0'50 WHITE. LAtJt- /0AKé/2sFIELP / '" ~~NI~LET -b--- -~ eJ I I I ~L£(::r"el c.. ~""~-r or¡::=' I DI I~-- ---~II I ~ I' ~ I I I ,r:: ~, I L - - -, I \7 I I ~ ~ ~ I L~___~~___~--1 HA2.AgD avoS MA-íe=JZ./ALS ,---------1 Þ8 01 ________J ï - - - -1- - - - l G 01 1_ _ _ _ _1_ _ _ _ J r'ì ð~ I ~-~ - - - I~ WHITE LANE ffee HýDgAtJr: SITE PLAN SCALE: 1" = 20' t N / I o NORTH ---- - fACILITY DIAGRAM r i sm: DIAGRAM J I Bu.... Name: ~ BUIånea Adclrea: ~i ~ o ~ . e · Travis Engineetng ~_~ A Division of Travis Companies, Inc, September 10,2002 . , " Mr. Steve Underwood Fire Department City of Bakersfield 1715 Chester Avenue, 3rd Floor Bakersfield, California 93301 RE: VONS FUEL CENTER HAZARDOUS MATERIALS MANAGEMENT PLAN, 2050 WHITE LANE, BAKERSFIELD, CALIFORNIA. Dear Steve: Pursuant to your request please find attached the materials you requested as part of the HMMP that has been prepared for the above referenced V ons fuel center project. Per your instructions please find attached the following materials. 1. Hazardous Materials Management Plan (3 Pages) 2. Business Owner/Operator Identification (1 Page) 3. Hazardous Materials Inventory Chemical Description (17 Pages) 4. Site Diagram (1 Page) 5. Underground Storage Tanks - UST Facility Form (1 Page) 6. Underground Storage Tank Page (6 Pages) 7. Emergency Response Plan UST Monitoring Program (8 Pages) 8. Written Monitoring Procedures UST Monitoring Program (1 Page) 9. Certification of Financial Responsibility (5 Pages) Please accept and process these materials as required. Please do not hesitate to contact me should you have any questions regarding the attached materials, require changes to the HMMP or simply have questions. A copy of this document has been sent to Mr. Scott Miller (V ons Fuel Program Manager) and the project site. Please notify us when the HMMP has been approved or when you have completed your review of the plan. Thank you in advance for your assistance and cooperation in this matter. ~urs Karl Huy President KH:cß BakcrsficldI6-lcllcr.doc 12453 Lewis Street.. Suite 201 . Garden Grove. California 92840 . 714/750-0991 . (Fax) 714/750-0990 ...., ."~ . - - , ,..,.J 4~S I'd- VONS #~ - for<.. ~nager : fhì I 0vr kS Location: 2100 WHITE LN City BAKERSFIELD SiteID: 215-000-001217 pv· ~J¡¡.:"D " ",," '.. ~----- BµsPhone: M¥p : 124 =etid: 18C (805) 835-0477 CommHaz : Low FacUnits: 1 ~)V: CommCode: BAKERSFIELD STATION 05 EPA Numb: SIC Code:5411 DunnBrad:001325034 Emergency Contact / Title Emergency Contact / Title LOSS PREVENTION _L EMERGENCY CONTACT Ph.i.L0ur ks I srùí~rTJ8(" Business Phone: ((1,1,1) 3'tb-Dlb-¡x Business Phone: ( {¡;, '" 1)_'3_9'" - 0 I '" I 24-Hour Phone : (<C;i:2./q ) ~ I -75'15 x :24-Hour Phone : ((;,~J <iš~1-5'+S" ; Pager Phone : (~,~ ) 49O¡ -I.\"3'tOx Pag'er Phone : (81~ ) ~C:¡9 -4390 x Hazmat Hazards: Fire Press React ImmHlth DelHlth MARCELLA GELMAN, FOOD Contact : SAFETY & ENV, AFFAIRS Phone: (f&,2.íÞ ) sa J - SG:.oI x MailAddr: P,O, BOX 513338 State: CA City : LOS ANGELES, CA 90051- Zip : 90051-1~3& 1338 -- - Owner VONS COMPJ-ù'JIES INC Phone: '1 G:,2.b) 1$-;).} -s {ç.D I Address : P.O, BOX 513338 State: CA City : LOS ANGELES, CA 90051- Zip : 90051 1338 Period : to TotalASTs: = Gal Pre parer: íe ci P-e~ bec't- I oðm~ol~+i\f(. "gs\s~nt- TotalUSTs: = Gal Certif'd: ~~ (~í1iQ)<{a\-~\ RSs: No Emergency Directives: - p= Hazmat Inventory ¡== As Designated Order Hazmat Common Name... ~cHaz EPA Hazards One Unified List 1 All Materials at Site 1 Hi I BLEACH R IH L 700 GAL lviOTOR OIL F DH L 75 GAf... Min AQUA CHEM R IH L 166 GAL Hi ANTIFREEZE DH I, 60 Gl\.L Low INSECTICIDES F IE DR L 55 GAL UnR LYSOL IH DR L 100 GÞ.L IVIod INS'I'Þ':i\1T LITE BRI QUET'fES / LOGS F S 2000 LBS Mod CHARCOAl... BRIQUETTES F S 4600 LBS UnR POWDER BLEACH F IH DR S 1500 LBS Mod ALL PURPOSE CLEANERS F IH DH L 150 GAL Mod INSECTICIDE (SOLID) F IH S 35 LBS Low LAWN CARE/FERTILIZERS IH DB S 15 LBS Ext AERO,'::;OLS F P L 250 GA:':J Hi PO(}L, CHLORINE (HYPOCHLORITE) R IH L 20 GAj:., Hi DRY CHLORINE R IH DR S 250 U:'.S Mod -1- ~3/01/1999 ~c., .i e e SiteID: 215-000-001217 "I One Unified List "I All Materials a.~:: Site "I I SpecHaz §A HazardsJ Frm DailyMax ~~it lVICP F R IH DH L 15 GA:':., Hi F R IH DH L 20 GA,::J Mod F IH S 10 IÆS Low IH DH L 50 GAL Low IH L 50 GAL Hi F P IH G 500 FT3 lll.lin F DH L 25 GAL IVIod F IH L 40 GAL Hi :g¡ IH DH L 70 GAL Mod P IH G 500 FT3 Min p IH 3000 Low .. ~~ F \TONS #~2 f= Hazmat :tnventory p== As Designated Order Hazmat Common Name.. . POOL ACID Þ..LGACIDE SODA ASH MAINTEX WAX S'I'RIPl?ER CARBON DIOXIDE SCANNER CLEANER BREAK UP CHARCOAL LIGHTER FLUID HELIUM FREON R:22 I \ \ :------1 -2- 03/01/1999 805 3961631 APR 20 1999 16:09 FR V04iÞ2512 805 3961631 TO 41168213636 P.01/03 FE:f?f'I:: ;·j{.I]\¡ç,nr:: I::~;,:; :J>' ¡"I ¡:~ß*; a ,] ':)_·,ø ø:l. bL¡,f:, 7 0 TO ~ANAG~R512 5ENT~ 04/20/99 04t00 Ph ~3UB~r:: :,:; 1 é-.?:; Hi~Z('::F\DOUS I1',¡r';C¡'iTCro' ¡::Of~IU;:~:rTY~ 1 .~ ~ -.. .-. -.... ...'.'."" ..'."",.......... ....... ~ ,... ....... - (.. ~.- -- ---- -- - --- -- -- ..-.,.. --..- -- -."" .'.... ".' -. .... ..-.............. .... ,.......... -, -.. -, ,J -.. -..-. n_ --- -- - - -- - - - - - ---. - -- ATT= T~RI DEIBERT. THE INVENTORY i,IST SEFMS TO BE ACCURATE TO THE BEST OF MY I<HutJU:::OGE:: . Erne ~F.~5:lP " , . I ; '"' (I·~ : '\ . . APR 20 1999 16:10 FR VONS 2512 805 3961631 TO 16268213636 P.02/03 e e :#.~s I&. ._~J V?~~~#~ , , ~na.ger: fhd (?vr \(5 Location: 2100 WHITE LN City BAKERSFIELD . -- SiteID: 215-000-001217 BusPhone: Map ; 124 Grid: 1BC (905) 835-0477 CommHaz : Low FacUnite: 1 l\.OV~ CommCode: BAKERSFIELD STATION 05 EPA Numb: SIC Code:S411 DunnBrad:00132S034 .r- -.- Emergency Conta.ct / Title Emergency Contact / Tit.le LOSS PRE:VE:NTION , EMF.RGENCY CONTACT Ph,' L(?).;r KS -;,ro('6"rosf"'· I Busit'lesa Phone: (~Iì, 31:tb- c 1 b Ix Business Phone: ({ø"))3't"~OJf." , 2-4-Hour Phone : (e;,~ ì ~f' -'1S9'5 x 24-Hour Phbn.e : (~.~) i~ l·ï?4~_ 1?a.ger Phone : (~I~ ) lt9CJ -"t3,Ox '?ag'sr Phone : {glt ) '1~~ -lf3'io x _.' __ -.4.. Hazmat Hazards': . Fire PrasB React ImmHlth Dr;: lIn th MARCELLA GELMAN, FOOD .. r ,-- , ~ (. J . , 'J Contact : SAPETY & ENV. AF'FAIRS ,. ; p}-)'bne: (G:,2.~ ) 8D\. I - SbOJ x MailAddr: P,Q. BOX51~338 Sta.te: CA LOS ANGÉLES, CA 90051- _. '... .... Zip City . : 90051-¡';3f , 1339 ~- - - . -~, ............. ,.. -. -..."'... fio,2 ~t~.fI.) -s ~~ _ Owner VONS COMPANIES INC , Phóne :, . - . '-., , Address : P.O. BOX 513338 ., St;at.e: ":-C'A' LOS ANGELES, CA 90051- ..... . .-...." , .. zip" -"""'...~ City : : 90051 , 1338 r ---.......---.....---...."..-- -~ --- -....-. .--..-..,.... .. .Pa~iod : to 'rotalAS'I's: "" Gal prepare),": Ie ri'p.e ~ wi-, oørrlnr~ ;"\1'( "s~~s~nt' TotalUSTs: =. Gal ;., . , Cert.if I d: RSs: No " " , ,"~ ø ." -- -- - - I Emergency ¡jirect.ives; ."- - ,. c. '- . l , . '. ...L . .- ~ ----...-. -,- - - - - - .,. All One Unified List ì Materìals at Site ; pI F Hazmat Inventory, ---,-- ~- A~ Designated Order _,_':-==-~-=-¢ - Ha.zma.t commo::.~.:.~,~_EcHaz j E?A }lazard:;, BL~ACH R lH llliOTOR 0 I L fo\ AOTJ.~ CHEM AN':'H'R!!:EZE rNSECTICID~S LYSOL_ TNS'r~.'NT Ll'l'E BRIQUET'rES/LOGS CHA.'RCOAlJ BRI QUE'!'TES POWDER BLEACH, ALL PURPOSE CLEANERS INSECTICIDE (SO~ID) LA~ CARE/FERTILIZERS A..E:RO:SO:LS f'OOJ~, CHLORLNE (HY~OCHLOF<.1'!'E) DRY CHLORINE R IH ~'L ' L L L ,.,!.¡, '1 s s 1M DH S .. I H _ DH , .. T.J IH .':: S IH DE S L DH HI DH IH DH ,,r""-.,, R~ ~: 700 Hi 75 Min 166 Hi 60 Low ::; 5 c;i~J., UnR '100 Q,'\I, Mod 2000 LBS Mod 4600 LBS UnR 1500 T.l'BS Mod 150 GAL Mod 35 .LB8 Low 1~) LBS Ext 2S0 GA:,:. Hi 20 OAJ:, Hi :.'~,~'~50 J¡HS Mod DH , , " I;' Eo' to' F ..., . F P , F P R IH '.. R :¡ R D¥'Í 1 L 'j r I I.'..... -1- b(\' ~. , , ~<"\ II"./' , \'1\( 1'I:{kJ{f ð ... ,. ¡,. APR 20 1999 15;Øl '~~, C~ C C·H "l~'o;o~ ~""'~P'!! t"!&~ APR 20 1999 16:10 FR VONS 2512 ~..,. ......... .,,'" . --- - 805 3961631 TO 16268213636 e e ~'). f VONR '1t~2 ---- r-~ Ha~mat:tnventory . ~ As Designated Order --- j P.03/03 SiteID¡ 215-000~001217 ì - One Unifi~d List :¡ All Materi~ls ~~ Site 9 -...,--- .I spec~a_:I:PA Haz'mat Common Name. . . POOL ACID ALGACrDE SODA ASH MAIN'TEX WAX oS'r:RIPÞER C.A:K8üN DIOXID~ SCANNER CLEANER ßREAI< UI,> CHARCOA! LIGHTER HELIUM F'R.I~Ol,f R:¿ 2 FLuID .' . . .. 'j;) . ¡ ... ~ ... .. -" ,.. '"" . <~,,_. -\".1, - ':f ~;- ! '.... :, -2- APR 20 1999 15:01 ... .', f' 'P Ha:¡¡:,~:r;da R IH DH L lc:, ai R !H DH L " 2 () r~~..::, Mod :'::Fi S . J.e j' t:;:~$ Low IH DH L ,so <JAl.. Low IIi. L 'S(1 11~\JJ Hi If!: G SOü L"'1'3 ìll{in I DH L 25 lJ;ü'.J Mod! IH L 40 l:1AL Hi IH DR L 70 GAl.. Mod IH G soc 1~''J':3 Min In 300.) Low ".......... "¢ì/ ,. " . F J? P F ';1 p - , ~~t,.,:·· ~ t~'o£.o .. ,-- j 03/01/1999 818 821 ~636 PAGE.ØJ ** TOTAL PAGE.03 ** e e F VONS #512 f= Inventory Item 0001 F== COMMON NAME / CHEMICAL NAME BLEACH SiteID: 215-000-001217 1 Facility Unit: Fixed Containers on Site =¡ Days On Site 365 Location within this Facility Unit AISLE 6/BACKROOM Map: Grid: CAS # 7681-52-9 [,~TA~E I TYPE ~ P~ESSURE ~ TEM~ERATURE ] =LlqUld __pure I Amblent I Amblent . AMOUNTS AT THIS LOCATION Daily Maximum 700.00 GAL CONTAINER TYPE PLASTIC CONTAINER Largest Container I 00 GAL Daily Average====¡ 240.UO~ HAZARDOUS COMPONENTS CAS# ~ - ';~ G~~tooIBleaCh ~ No ....t) , -- TSecret RSBioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# MCP I No No No No/ Curies I R IH / / / Hi -. HAZARD ASSES~MENTS p= Inventory Item 0002 ,= COMMON NAME / CHEMICAL NAME MOTOR OIL Facility Unit: Fixed Containers on Site 1 Location within this Facility Unit:. AISLE 5 1'lJap : Grid: Days On Site I I 64742=~_U CONTAINER TYPE = PLASTIC CONTAI~:~=~ j 6.5 r ~TA~E I TYPE ~ P~ESSURE L TEM~ERATURE ] LlqUld Pure I Amblent Amblent__ L---- ---- AMOUNTS AT THIS LOCATION L:'" argest Container I Daily Maximum _,_ _ I __-=~ _GAL I _ 7.5. OO~ - HAZARDOUS C0fI1PONENTS -,- Da:_ly Avera<Je II 2 (¡ . 0 0 GAl, I ~ --- ~ ---¡ CAS#""",,~~I ~~ USDOT:;:Þ --r;~. MCP -~ %Wt. 100.00 Motor Oil, Petroleum Based -----r- HAZARD ASSESSlVIENTS I TSecret I' RS i BioHaz rRadioactive/Amount I EPA Hazards i No -1. No I No I No/ _ curie~~_ DH NFPA / / / -~.__._-- -3-- 03/01/i999 e e SiteID: 215-000-001217 ~ Facility Unit: Fixed Containers on Site l F VONS #512 '" f= Inventory Item 0003 F= CmJIMON NAME / CHEMICAL NAME AQUA CHEM Days On Site 365 Location within this Facility Unit Map: Grid: CAS # ~A~E T TYPE LlqUld Pure I -~ P~ESSURE .Jl TEMPERATURE ] Amblent Ambient_ '" AMOUNTS AT THIS LOCATION Daily Maximum I 166.00 GAL .. CONTAINER TYPE =====¡ PLASTIC CONTAINE~______~ Daily Ave~a;~~ ~ 100.00 GAL I Largest Container )~(P GAL HAZARDOUS COMPONENTS [:1 == T::T:", r-. ,HAZARD A~SESSI'¡ŒNTS : TSecret IRS ' BloHaz' Radloactl ve/Amount I K?A Hazards No No No No/ Curies I R IH I ' NFPA / / / I USDOT'.~,: - ì - I '";;] CAS # .. :~:647010 M~ Hi I , %Wt. 100.00 Muriatic Acid --. - f= Inventory Item 0004 ~i.~~~~z~E / CHEMICAL NAME Locatlon within this Facility Uni~ AISLE 8 , I [STATE --- TYPE PRESSURE ~ TEMPERATURE Liquid LPure ~mbient I Ambient I ~- AMOUNTS AT THIS LOCATION Larges'C Container ,[ Dai}.,v... \I1a}~~mum II L____;:======~ _ ~~l\L _ ,ç~_~~ 0 I) GAL . ¡==--r-' ,_: HAZARDOUS COMPONENTS =:=0 I %Wt. II I 100.00 Ethylene Glycol Facility Unit: Fixed Cont:ainers on Site =¡ I Days ~-n - Site ~:., I ....~r>.,_) ,'I' 107 - 21 - ~~_ IVlap : Grid: CONTAINER TYP].~ ======¡ PLASTIC CONTAINER ~ Daily Ave:t':i9~' J 30. (1) GAL ----- -. ------- ~RC'r==' c,'~===--==¡ o Ao~ I No 107211 - .::_ i TSecret RS BioHaz No i No j No HAZARD ASSESSIVIENTS Radioactive/Amount EPA Hazards I No/ Curies i DR _ __ ---1- NFPA / / / USDO'I';~ ¡-;CP ! Low ___.,._ J -4·- 03/01/1999 e e F VONS #512 p= Inventory Item 0005 F== COMMON Nl\ME / CHEIVlI CAL NAME INSECTICIDES SiteID: 215-000-001217 1 Facility Unit: Fixed Containers on si·te l Days On Site 365 Location within this Facility Ulllt AISLE 5 Map: Grid: ---.-- CAS,f 67-63-0 r . ~TA~~ L TYPE LlqUld Pure CONTAINER TYPE METAL CONTAINR-NONDRŒv1 I Largest PRESSURE ~ TEMPERATURE ] Above Ambient I Ambient ~ AMOUNTS AT THIS LOCATION Container 1',1 Daily Maximum I ~O GAL 55 . 00 GAL .. Daily AV:~~~~~~~ I HAZARDOUS COMPONENTS ~l No -' CAS# :J o -_:..._------ %Wt. 100.00 Insecticides -- -~ I ,--" HAZARD ASSESSMENTS : TSecret RSIBioHazi Radioactive/Amount i EPA Hazards No No: No 'No/ Cur:~es i F IH DH ._-- NFPA / / / --"'--.--- USDOT:!f j MCP , UnR Location within this Facility Unit:. AISLE '7 lVIap : Grid: Containers on Site 1 I DayS: ?~ Site I ~ .50:> ...-..------; I CAS# i , 'J'757 8~ . I I - ¿-~) ¡ I ==:==~ p= Inventory Item 0006 = COMMON NAIVIE / CHEMICAL NAME LYSOL Facility Unit: Fixed ¡= T ~:ATE - TYPE PRESSURE ==-;:: TEMPERATURE CONTAINER TYPE = ~~uid I Mixtur~mbient l Ambient -I PLASTIC CONTAI~~~~~~====:d ~ .. ,. AMOUNTS . ~r THI:~ LOCATION, I Largest ContaJ.ner r Dal,J.y Max 1 mum L' Lion GAL J 10C. 00 GAL -------_:..===~-~---------------------=:: D I . . HAZ1Œ.DOUS cm1PONENTS %Wt. 7 9 . ?~tb.yl Alcoho~ - .. , I . HAZlili.D AS3ESSIVfENTS . I TSecret ì RS I BloHaz i Radioactive(Amount I EPA Hazards J No ¡NO I No l NO/. cur~~~ ,_ IH DH . Da~_ly Averaq"f~ as.oc GAL .M____ .._--- ~T .----- I CAJS~L;. :=: 641751 ?íA( TUSD¿'~~'~ I ~~~ I I __, ___1 ..---- -5- 03/01/1999 e e F VONS #512 = f= Inventory Item 0007 COMMON NAME / CHEJl.lI CAL NAME INSTANT LITE BRIQUETTES/LOGS ----:=----.-.-~----.--- SiteID: 215-000"·001217 1 - Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit AISLE 16/BACKROOM Map: Grid: CAS#- .__.. [ STATE - TYPE Solid T Mixture__ PRESSURE ---r- TEMPERATURE Ambient ~ Ambient --I AMOUNTS AT THIS LOCATION Dai.ly Maximum I 200C.00 LBS .. BAG CONTAINER T~:)::==::J Da:_ly Avera~~'(:~ I 1000.1,,;(1 LEoS ' Largest Container acoo LBS HAZARDOUS COMPONENTS ~; No - ---;] CAS:.:/: ß030306 - .. ---- --- ._--~---- %"Wt. 25.00 Mineral Spirits ------- ,---.-.. 4 T. -r= . ,HAZARD ASSESSI"iENTS :-¡ TSecret RSIBloHazl Radloactlve/Amount I EPA Hazards I No No I No I No/ Curies i F I I -'-- NFPA / / / - - 1 USDn'T'::: . \lIrtp ',. -- .. 11'-- I Mod ._ ___J......:..:. --------- f= Inventory Item 0008 ~ COMMON NAME / CHEMICAL NAME CHA...'R.COlH.J BRIQUETTES Locat:ion within this Facility Unit:. AISLE 16/BACKROOlvI I I ...___ r STATE I- TYPE =--r- PRESSURE ----r TEMPERATURE ~ soli~ Mixture I Ambient I Ambi,:":nt _...L~ -r AII/IOUNTS AT THIS LOCATION I Da.i::.y IVIaximum I i 460:; . 00 LBS 1_ FJacility Unit: Fixed COIlt:ainers ()rl. Site 1 IVIap: Grid: ~ Days OJ'-'~'- Site I 36~ ~_______.._u I ('-' .:;0 ,w. ._A,--, 'n' - ..--- CONTAINER T~:~ c:~s~. ~R(,I '~ _.,---;] ,. ":) ..... .-~ A J'er.:,.tJ',:. 2000.00 LBS -_..._----- .- ._---'--- - ,. :=:==~:==¡ C7\ ;:-'.L: I L'"1.I~).-~~:=====:J Conca.iner ..!:i ~ L~S Da:i..ly .- - ~-w- .- I % l.... I ..: HAZARDOUS COMPONENTS , I HAZARD ASSr::SSlvíEN'l'S TSecret I RS I BioHaZ-¡-::1 Radioactive/Amount ! g,¡:;A Hazards No I No II No No/ Curies I F __ I ' NFPA, / / / I USDOT~:---I MCP I I UnR -L _____1 ------..---. . -6··, 03/01/1999 e e í VONS #512 Ê~ëëëëëëëëèëëëëëëëëëëëëëëëëëèÊ~ëëëëëëëëëëëëëë SiteID: 215-000-001217 i íë Inventory Item 0009 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NM1E .I CHEMICAL NAME ëëëëëëëëëëëèëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o POWDER BLEACH 0 Days On Site 0 o ° 365 ° ° :Location wi thin this Facility Gili t Map: Grid: -ûáááááááá¿"ÚááááááÇ o AISLE 6/BACKROOM ° CAS # ° o ° 497198 ° åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj i.ë STATE ëîë TYPE ëëëiëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Solid 0 Pure:; Ambient J Ar:ÚJ:Lent 0 BOX ° åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëë.Ë!ëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëS~ AMOUNTS AT THIoS LOCATION ëëëëëëëëÊ~ëëëëëëëèèëëëëëëë i ° Largest COJ1tainer 0 Daily Maximum 0 Daily Average ° ° l ,,:>00 LBS 0 1500.00 LBS 0 700,00 IÆS 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëêëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëèëëëëëë¡ o %T^lt. ° 0 RSo CJ.\.S±l 0 ° °Sodium Carbonat.e °No ° 4971980 o DSodium Perborate °No 0 76320440 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëêëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëë~êëëëëëëj íëëëf-!ëëë'U§'ëëS.ëëëëëë~:ëëf~ëëëëf:'ët~ë HAZJ.\R.D .ASSE,::)SrVlENTS ëëëiëëëëëëëëëîëëëë~~:p'lg~'l:ëë~ëë i 0T:3ecre·c.D RSoBioHazo Radioactive/Amount 0 EPA Hazards ° NFPA 0 USDO'l':~: G MCP 0 o No DNo ° No 0 No/ Curies 0 F IH DH 0 / / / 0 0 Mod 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëë~ëëëëëüëëêëëëëëëëëëëüëëëëëëëëëüëëëëëëë0üëëëëëj e e íë Inventory Item 0010 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers (>TL Site i íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o ALL PURPOSE CLEANERS 0 Days On Site 0 o o 35:; o o Location within this Facility Un,it:: o AISLE 5 fllap : Grid: fiããáããããããáããããããÇ o CAS# 0 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëë¡ íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Mixture 0 Ambient 0 Ambient 0 PLASTIC CONTAINER 0 åëëëëëëëëëüëëëëëëëëëë0ëëëëëëëëëëëëëëëüëëëëëëëëêëëëëëëüëëëëëëëëëëëëëëëëëèêëëëëëë¡ íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Avera<]e 0 o i :> 0 GAL 0 15 I) . 0 0 GAL 0 9 (J ,()(I GAL 0 äëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëêèèëëëëë¡ íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 0 RSO CAS # 0 o '7. 0002-Butox:yet',hanol °No 0 11J.762° äëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëÊ~ëëëëëëf íëëë¡?;ëëëîëëëîëëëëëëî.ëëëëëëf~ëëëë f{l\.'7,7J,J?D ASSESSMENTS ëëëîëëëëëëëëëiëëëëË-~ëèË!iëëëëë ¡ 0TSecret" REoBioHazo Rn.c'iioactive/Þ.mount 0 EPJ\ Iiazards 0 NFPA 0 USDOT1:l " I\K~P 0 o NooNo 0 J:-Jo t) No/ Curies 0 F IH DH 0 / / / 0 :1 IVIod 0 äëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëêë&ëüëëëëë¡ --7-- Ü~¡/Ol/1999 e e í VaNS #512 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001217 ¡ íë Inventory Item 0011 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ ° INSECTICIDE (SOLID) ° Days On Site ° ° ° 36!5 ° ° Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ ° AISLE 5 0 CAS# ° ° ° 67-63--0 ° åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ ° Solid ° Pure 0 Ambient 0 Am,bient ° PLASTIC CONTAINER ° åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëûëëêëëêëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ ° Largest: Container ° Daily Maximum ° Daily Averaqe ° ~ëëëëëëëëëëëëë~~ëëëë~~~ëë~ëëëëëëëëëëëëëë~~~~~ë~~~ëë~ëëëëëëëëëëëëëë~~~~~ë~:~ëë; íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëèëëëëëë¡ ° %Wt, ° ° RS ° CAS:/:!: ° ° 4.0001VIetaldehyde °No ° 9002919° ° 95. OOoBoric Acid °Na ° J0043353° åëëëëëëëüëëëëëëëëëëëëëëëëë~ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëî,'~ëëiëëëëëëîëëf_~ëëëëëëë(~ HAZ.P,.RD A::;SE:~~Sr.VIENTS ëëëîëèëëëëëëëîëëëë~','''!''~ëîëëëëë i 0TSecretO RSoBioHazo Radioactive/Amount () EPA Hazards ° NFPA ° USDO'I':fi: 0 TVICP ° ° No °No ° No 0 No/ Curles 0 F IH ° / /;' 0 ° Low ° åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëaëëëëëëëëëëëëëüëëëëëëëëëüëëëëëë~êüëëëëëj íë Inventory Item 0012 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëè,§ëëëëëëëëëëëëëëëëëîëëëëëëëëÖèëèëëëë ¡ o lAWN CARE/:?ERTIJ.JIZERS ° Days ():~-l Site ° o o :? () I~, ° ° Location within this Facility Üni~ ° AISLE lVIa p : G:cid: üããáááá¿á~ããáãáááÇ o Cl-\;:: # ° ° ° ° åëëëëë&êëêëëëëëëëëëëëëêëëëëëëëëëëëëêêëë0ëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëë~~ëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPSRATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ ° Solid ° Mixture 0 Ambient 0 Ambient ° BOX ° åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëÖëëëëi AMOUNTS AT THI:; LOCATION ëëëëëëëëëëëëëëëéëèè¡¿~ëëëëë ¡ ° Li3_rgest Conta:l!',e:c <c. D;'l·,;.1y )'vIaxirrl'~m ° Da.ily Ave:t.'a~=fe ° o '5' T BS Q L ¡:; 00 I BS ° ~. ,', ,- THe ° o .. II .. II .. II .. .. .. II II .. " II .J .. .. .. II '::',n II I. .. .. II .. II .. ',' .. .. .. .. " .. .. .. .. ".. :: .: ..~ .. .. .: II II .. .. II .. t. .. .. .. II II .. .. .. .. .. .. .. I" :. I. . :;; <. -:~.;. ~ II .. r aeeeeeeeeeeeeeeeeeeeeeeeeeeueeeeeeeeeeeeeeeeeeeeeeeeeueeeeeeeeeeeeeeeeeeeeeeeeey íëëëëëëëîèëëëëëëëëëëëë,§ HAZARDOUS COf\1P()NENTS ëëëëëëëëëëëëëëîëëëîëëëëëèê,~:ëëëëëëë ¡ ° %Wt. 0 ° RoS° CAS:" ° ° 11.00oDichloraphenaxyace'tic Acid °Na 0 94757° ° 12.üOoDirnethylamine 0Na 0 124403° ° 8.000Nitragen °Na ° 7727379° åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë0ëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëë~:ëëëëëëîëf2ëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëë¡';~ëîëëeëë ¡ 0TSecret. 0 RS 0BiaHaz C H.adioacti ve/Alrluu:nt 0 1i:::)}1." :i{azards 0 NFPA 0 ïJSDO'l'I:,: 0 MCP 0 ° No 0No (} No 0 alJ! C\~.rÜ,~s 0 Iii DH () / / / 0 0 ¡:xt ° åëëëëëéêüëëëüëëëëëëüëëëëëëëëëëëëëëëëëêêêüëëëëëëëëëëëëëüëëëëëëëëëüëëëëê~,~êüëëëëëj --8- ~.', Inl /,. 999 u.). l. ~_ J_ e e í VONS :/:j:S12 ëëëëëëëëëëëëëë¡~ëëëëëëëëëëèë(3ëëE~ëëëëëëëëëëëë SiteID: 215-000-'001217 ¡ íë Inven'tory Item 0013 ëëëëëëëëëëëëëëè Facility Unit: Fixed Containers OIè Si'i::e ¡ íëë COMlVlON NAME / CHEJl.UCAL NAME ëëëëë!~~ëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëë:é¿~~ë!~~ëêëëë ¡ o AEROSOLS ° Days On Sit'2 0 o 0 365 0 o Location within this Facility Unit, o THROUGHOUT BUILDING o Map: Grid: ûáááááá,-';.,'i;§)lááááááÇ ° CA.'3# 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëÜëëëëëëëëëëëëëëëë¡ íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid. 0 M:Lxtun:~ 0 Ambient C Amb:'Jmt ° METAL CONTAINR-NONDRï.TM 0 åëëëëëëëëëüëëëëëëëëëëÜëëëëëëëëëëëëëëëüë~ëëëëëëëëëëëëëüëëëëëëëëëëëëëëëë~~ê~ëë4ëë¡ íëëëëëëëëëëèëëëëëëÉ~ëëëëëëëëi AlVlOUN'I'S AT THIS LOCATION ëëëëëëëëëëëëëëëëëèëëëëëëë i o Largest Container 0 Daily Maximum 0 Daily Ave:;:',::,iqe 0 o :ì -r-o (",1: I 0 ? h I''', 0 {) ("AL 0 2 0 ,., ,.-, t (''1\ "L 0 ~.:> ~:r..:\. J ~._I ¥' ~ 1 . ..." '_ .,:r.'~_ J åëëëëëëëëëëëëëëëëëëëëëëëëëëÜëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëèëèê0ëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëèëëëëëë¡ o %Wt. 0 0 RS 0 CAS 4 0 o 70. 000 Isobutane °No 0 752850 o 20. 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Y·.:':)/., :da:;:;é~:n:ls I) J:ifFPl\ r. USD()"~':': )','ic.~p 0 o No "(fo ,) )\ic ):Jo/ \::i~,~'_~.(?;8 () F IE DB 0 / / j 0 , jVlod 0 åëêëëêééü¿êëü~~êëëê~ééêêëêêêêêêëè¿ë0ê¿¿êüêè~¿ëëëëëêêëêüëêëëëëêêêuëêëè~:ê~êüëêêëëf .., .' .l. ~ . . O.~,.'·í}1/1999 e e í VONS #512 ëëëëëëëëëëëëëëÈ~eëëëëëëêëëéëêéëëëëëëëëëëëëëë SiteID: 215-00Ü--,)01.¿'17 i íë Invent.ory :;:tem 0025 ëëË~c~~c~ëëëëêët:::,?f.:;,'~ FdCi1:Lty Unit,: Fìxed Ce,ntainers on Sit:e i íëë COJI'IMON NJ:J\fIE .I CHEI,¡UCAL N-j\JVIE Ë\ÖE\(?i::~c~'ë(:~èè,:~~'éE?ëëË~,~ëëëë~;ëëëëëëëî'2ëëëëëË:ë(~~Ë~éË~Ë!ëëë i o HELF}]'I! 0 Days ():Jl ~:,.::,r:.e 0 o. 0 3 6 ~) 0 ~ Location within this Facility {~ll~ Map: Grid: fiãáãããáf{~,áãáááããÇ ° FLORAL DEPT 0 CA:::;:1t 0 o 0 7440-59-7 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëêêëëëëëëf íë STATE ëîë TYPE ëëëiëë PP.KSSTJRE éëëî: T:,;::M:::)RRATURJ2~ ëëîëëëë CO:r:;rTAINER ',Y;:1E ëëëëë j o Gas C Pure 0 Ambient_ ° Ambient ° PORT. .PRESS. 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TEMPEP';'::;"TURE ëëîëc§ëë CONTAE\fER 'I'~.T'I~ '2¡~éëë i o 0 0 ,') 0 0 ãëëëêêëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëßëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëé&~0ëëëëëëëf íëèëëëëëët~!ëèëëéëëëëëëëëëëëèî AMOUNTS A1' Tï,[U3 LOCATION ëëëëëëèëëéëëëëëèë'é~è':~f~,:;,';ëëi o I.r_;,:n~rtc~:l,t Cr)n'::ai:',~,e·,: D"'L'>/ )·1.],:<i.nr.;,m 0 [I,:::,:,_1y ,::"\Í(=:.(J.~,~":~ 0 ° ''"). ()t:O ", ., " ,,-, '~() 0 0 äëëëë (~ë I~ ë ë '2 ¡~ Ë.\f:~ëë'~,~'i:!¿;,:=~ ë f""~ ëëèéÜ,ë ë ëë ,":. ë ë ë I·!, Ôéè,~ ê,~."~ 13 ~,~, ëë ,:'ëèëüëë ë ë ëë ë ë ¿~ e \~ è é&.,:' ,~" "":~'2~,'::ë,~ é ëë Í íëëëëëëëî¿=:ëëëëëëëëëëëëÖ Hl-\ZlffiDOUS (:~ŒI¡;"(}N:r~Nr..:'~; ëëëë(~ëëëëÔëëëëîëèëîëË~ëëë';;~':0:';~(:;I,::é'2Ë~ëë i o %tl\lt~ 0 0 F~,SO (~;\i.:::~: 0 o 100. 000C'hlorodifluorOlllethane °No ° F-j456° âëëëëëêëüëëëëëëêëëêëëëêëëêèêëëëèêëëêëëëëêëëèèêëëèëëëëëëëëëëüëëëüëëëëëëéé¿êéëëëëf íëëëëëëëiëëË:îèi~ëëëë.îë,'~ëË~,2~èÖÖèÈ~¡~ E;l'~Z,Yl~.n ASSm:;Sl'JI8NTS ëëëîëëëëëëëèë],ë'2ëë;:~Ë~':~E:~iëëëëë i 0T,Secrr,::,i::0 RS"'RioHaz:'ë :¡:::'adi,oact,ive/i\mO"1.)·!':~ "'G:~)i\ :¡':¡aza:cds 0 NFPA :> TJSI)()"-'::: ., MC? ° o No ::):-[0" No v j'\fO/ C'u.r::es ,0 P IE 0 / / / () :' Low 0 åëëëëêëêüèëëüëé&ëèëüéëèëëëëéêëëëëêëêè~eëuêeëëëëëëëëëëëüëëëëëëê0ëüëêée0~òèüëëëëëf ···..,.5·· 'ij /01/1999 e e í VŒ\fS ,~512 Ë~Ë:ëëË:ë,§,:3Ë:è0.ëëëË:ë(3ë,3ëëë.é(,?Iª~f:\·:~èi~~ë(~~èÖëëëëëë~~ëëë Site ID: 215·- 'J C;) ·,0 () 1217 íëëëëëëëë'2:ëëëëëëëëëëëëèëëëëëëëëëëë,§ëël,~,~ë/iE~ë(~(2:ëëëëf~~ëëëëëëëëëëëëëëëë F as t f'()rma t, íë Notif. /Evacuatiol:,/Medic¡:Ü ëëëëëË:¡';:(::,é;i:é(i:èe,,~'éÖ:3ëëëëëëëëèëëëëëëël§ë Ove:¡-a"l.::. Site íëë Agenc'y Not i f iC.3,t ion ëëE.~ëëëëëëëëë(~)§ëè(~èëèëêëëëëëëëëëëëëëëëëëëëëë 0 J.,I 1 0 í 19 96 i o 0 o MANAGER ON DUTY WILL CALL 911. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëêëëëëëëf íëëë Employee Notif./Evacuation ëëëèëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/10/1996 i o 0 o MANAGER ()N nrJTY \^JTL:L IIvOvIEIHA'I'EL'y' J'!U¡',ÜT{ ;\.:,1, PERSON1\fEL BY PUBLIC AD0F_E::J~:~ o SYSTEM. Þ"F'I'E;R NO'I'IFICATION STOR::~ VL\:iJJ:I.GE:¡jiE~N'T' WL!:JL ESCORT ALL PERSOÌ\!1,r=<:L o THROUGH EMERGENCY EXITS LOCATED 'T'l-1ROUGhOiJT THE BUILDING. o o o o o åëëëëëëëëëëëëëëëëêêèëëêëëëêëêëëêëëëêª&ëêëëëêëëêêëëëëëëëëëêëëëëëëëëëêêêë~~éëëëëëf íëëëë Public Notif./Evacua~ion ëëëëëêëëëêëëëëëëëëëëëëëëëëëëëëëëëëëë 01/10/1996 i o 0 o lVIANAGER ON DUTY Wn,lL IiNiLlh':E PURL 1:(~ JNACUATION IN THE SMilE WAY AS ElvIPI,OY:i{8S. o o o åëëëëëë0ëëëëëëëëëëëëëëëëëë0êëëëëë0ð~~~~~0ë0~0ëëë~ëëëëëëëëëëëëëëëëëëëëë~~&~ëëëëëf íëëëèë '8mcrqency rvl(O~d.LCê.1 .elan ëëë(;~è('~t~';~"~(~¡j"~ë(~~é(:~ëëè~~ëëëëèëëëëëë(~ëëëëë I} J /1 Ci /19 Q 6 i o 0 o IVIAj\T.A..CrS:R ()~( Dl:JrI'·~( WIIJ.-L CÞ~IJI.J 911.. 'TF(F: .:~/)(;J·~~~-_I P/(J:~.·()IC~/\.:L FA(~I:SITY rT:~L::\.1' T;1TOT.*-ID j~i?ìNDLB 0 o ANY EMERGENCY PROBIJEl\II THAT 1iVE WOÜ'LD HAVE IS: 0 o 'ilALJLEY' :LNDUS'I'ii.IA.:G l'/[j~D I CAL GROGP ... :25(1.1. G STREET - 327 - 2 2:1. 5 0 o o åëëëëëëëëëëêëëëëëëë~ëëëëëë~ëëëëëëëëëëëëëëëë~ëëëëëëëëëëëëëëëëëëëëëëëëëëêë0ë~ëëëëf ,-16 - 03/01í1999 e e í VONS #512 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-"000-001217 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëêëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Mitigation/Prevent/Abatemt ëëëëëË~èëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site ~ .... R 1 P ... ., .. .. .. .. .. .. .. .. .. .. .. ", ., '.... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. /., . I - q C . lee e ease reventlon eeeeeeeeeeeeeceeeeeee~eeeeeeeeeeeeeeeeeeeeeee 01 ~0/~J96 ¡ o 0 o RETAIL GROCERY ITEMS PACKAGED FOR :t<':r'~'I'~-\IL SA.LES IN SMALL QUANTITIES SHIPPED o TRUCK TO SHELF. MINIMÞ,:L BACKSTOC:< D3 MJ.\.D"ITJUNED. Er1PLOYEE TRAINING o MANm\TORY FOR NEW HIRES, PROGRAM JY~;VE!j};?ED BY THE FOOD MARKETING INSTITUTE o SPECIFICALLY FOR USE IN THE GROCERY INDUSTRY. MATERIAL SAFETY DATA SHEETS o ARE LOCATED IN THE MANAGER'S OFFICE IN THE SAFETY CALIMS GUIDE. o o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëèëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Release Containment". ëëëëëëëëëëëèëëp.f~ëëëëëëëëëëëf}ëëëëëëëëëëëëëë 01/10/1996 ¡ o 0 o ABSO:RBAN'I' AVAILABLE AS PAI<.T OF SP:::LI, Cl,EÞJ\I-'UP KIT, FOUND IN MANAGER'S o o o åëëëëëêëëëëëëëëëëëëëëëëëëëëëëëêëëëëëëëëëëëéêëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë C~Leél.n Up ëëëëf~ëëèëëëëéëëëëëëË:ëëéëëf~éëëëëëëëëëëëëëëëëëëëëëëëëë 01/:1. 0 / 19 9 6 ¡ o 0 o (;ONTACT 911 TO HA.i.'JDL8 URGENT SPILLS. WASTE REMOVAL WILL BE COORDIN.l\TED BY o )=i~I\JVIROl'-1]\'ŒNT AND SÞ..F;:~TY (8'1. 8) 821- I:; 6:;: h, OR ,::\FTER HOURS CONTACT IDSS o PREVENTION (818) 8:21-7545 iD\f .ACT('¡ SPILL KIT IS ON SITE TO NElTTRALIZE: A o POOL CA¡:æ :?RODUCT SPILL, o o o o o o åëêëêê~~êêêêêêêêêêêêê&êêêê0êêêêêëêêê00ê,~0êê00êêêêêêêêêêêëëëëêêêêêêêêêêêêêêëëëëëj íëêêëê O~her Re80ur~p Activation êê~~~~è~0AêA~~ê~êëêêêèêêêAêêêêëê~ëëê~êêèêêêëëë¡ o 0 o o åêêëêëëëêêêêêëêêëêëêëêêêêêêêêëëêëêêêêëêêëêêêêêëêêëêëëêêêëëëëêëêêêëêëëëêëêëëêëëëj -17- 03/01/1999 ~, . e e í VONS #512 ëëëëëëëëëëëëëëf:!ëëëëëëë(?èëéèëëëëëëëëëëëëëëëë SiteID: 215-000-,001217 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site ¡ íëë Special Hazards ëëëëëëëëëëëëëëëëëëË~ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëéëëëëëëëëëëëëëëëëëëëëëëë 01/10/1996 i o 0 o A) GAS ,.. BY BACK DOOR o B) EI.ECTRICAL - NE CORNER OF BLDG 1. INSIDE) o C) WATER - NW CORliJ'ER OF BLDG o D) SPECIAL - NONE o E) IDCK BOX - NO o o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj , .. .. .... ",,' P /' '] - T .. .. .. .. .., .. .. '" .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... 0 -- / '1 0 / 19 9 6 leeee 1· J..re rotec. Ava.l... ',I,ater eeeet"opp.¡':eeeeeeeeeeeeeeeeeeeeeeeeeee .1, '.. ¡ o 0 o PRIVATE FIRE PROTECTION -. FIRE EXTINGUISHERS THROUGHOUT INSIDE OF STORE, o CEILING SPRINKLER:?, THROUGHOUT INS ~':)E I)ï;' STORE. o o o o o o o o o FIRE HYDRANT - LOCATED AT EACH CORNER OF BLDG Al'ifD MImvAY IN FRONT OF BIJDG o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë00~?0~~ë~0ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Buj"lding Occupancy J:"evel ëëééÖ(~:~Ö'~:~'2ë'2~~ëëëëëëëëÈ~ëëëëëëëëëëëëëëëëëêf~(~~èëëëëë ¡ o 0 o o åëëëëëëêêêêêêêêêêêêêëêëêêêêëëëëëëêêê~ê~êêëëêëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj -,18 - 03/01/1999 .;; '~ !" e . " í VONS #512 ëëëëëëëëëëëëëëëëëëëëëË~èèÔ{?ééëë,~V;'ëëëëëË~ëëëëë SiteID: 215-000..001217 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site ¡ íëë Employee Training ëëëëëëëëëëëëéèÔèëÖÖëÖèëëëëëëëëëëëëëëëëëëëëëëë 01/10/1996 ¡ o 0 o WE HAVE 75 EMPLOYEES AT THIS FACILITY o o o o WE HAVE f'J1ATERIAL SAFETY DATA SHEETS ON FILE IN THE MANAGERS OFFICE. o o o o BRIEF' SUMIIIlARY OF o OF' ORIENTATION. o ARE l~INTAINED. o AS NECESSARY. 'T'HAINING: NEW :¡:;:J\tlPLOYEE TRAINING IS CONDUCTED AT THE: TIME REF'RESmŒ TRAn'JJJ.'iGS 1:.u<:E CONDUC'I'ED AS REQUIRED AND RECORDS EMERGENCY PROCEDURES ARE REVIEWED PERIODICAIJIJY AND UPDATED o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Held for Fu~ure Use 0~ëëëëëë000ê&0~0ëêèëëëëëëëëëëëëëëëëëëëëëëëë~~ëë~ëëëëë¡ 0 0 o o åëëëëëëE~ëëëëè.ëëëëëëëëëëëëëëëëëëëëëëëëpëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Held for Futllre Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëêëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë~&ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj ..1 (¡... 03;'01/1999 " ,¡~ / -- II " the VONS. January 2, 1996 ~-«(::'* 0' F~, v?~~ ~,,;: t; õl- Î \ r'f-J Á\ C I 'h(<'\~ ,().-" , " - 1 ...../1 I ~ "'--- / \ ~."" J-" Q-i.00 ~ \ ~() ~ J ¡v.;v- 4=F i-/ I « l- b I DO \ c....J. ~. '"f I c¡ ~~ Companies, Inc. Bakersfield City Fire Department Environmental Affairs 1715 Chester Avenue, 3rd Floor Bakersfield, CA 93301 Environmental Affairs Department: Please replace the Hazardous Materials Plan on file for our store #512, 1505 White Lane, Bakersfield (closed) with the attached plan for store #512, 2100 White Lane. Thank you very much. Please contact the Environment & safety Department, June Morrison, should you have any questions 818-821-7114. f'ncerel~ ' ¡j~ une Morrison The Vans Companies, Inc. 0 P,O, Box 3338, Los Angeles, CA 90051-1338 618 Michillinda Avenue, Arcadia, CA 91007-63000 Telephone: (818) 821-7000 ,ô " .' ., BAKERSFIELD CITY FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES I 1715 CHESTER AVENUE, 3RD FLOOR I BAKERSFIELD, CA 93301 ' (805) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. ia avoid further action. return this form within 30 days of receipt. 2. iYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: THE VONS COMPANIES, INC. #512 LOCATION: 2100 WHITE LANE, BAKERSFIELD MAILING ADDRESS: P.O. BOX 3338 CiTY: LOS ANGELES CA 90051-1338 818-821-5626 STATE: _ ZIP: PHONE: DUN & BRADSTREET NUMBER: 00-132-5034 SIC CODE: 5411 PRIMARY ACTIVITY: RETAIL GROCERY OWNER: THE VONS COMPANIES, INC. MAILING ADDRESS: P.O. BOX 3338, LOS ANGELES, CA 90051-1338 SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS, PHONE 24 HR. PHONE 1. VONS LOSS PREVENTION 818-821-7545 2. 1 , · ':. . ... . Bakersfield Fire Dept. Itrazardous Materials Division e HAZARDOUS MATERIALS MANAGEMENT PLAN =, SECTION 3: TRAINING: NUMBER OF EMPLOYEES: '75 MATERIAL SAFETY DATA SHEETS ON FILE,: MANAGER'S OFFICE BRIEF SUMMARY OF TRAINING PROGRAM: New employee training is conducted at the time of orie~tat~on. trainings are conducted as required and records are ma~nta~ned. Emergency procedures are reviewed periodically and updated as necessary. Refresher SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THATMY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALlFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE 00 NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TiMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPEClFY REASON) SECTION 5: CERTIFICATION: I, Jennie McCarthy CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY F!RM'S OBLIGATIONS UNDER THE "CALlFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV, 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THÄT INACCURATE INFORMATION CONSTITUTES PERJURY. ~11~ m~ - SIGNATURE Administrator Environment &,Safety TITLE 12/29/95 DATE. ..-. .."":1:.-. ? · ~ . --.... Bakersfi~ld Fire Dept. .dazardous Materials Division _ ~ . \ ~ ,=-,- HAZARDOUS. MATERIALS MANAGEMENT PLAN Facility Unit Name: THE VONS COMPANIES, INC. STORE #512 SECTION 6: NOTIFICATION AND EV ACUAT/ON PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: MANAGER ON DUTY WILL CALL 911. ß, EMPLOYEE NOTIFICATION AND EVACUATION: MANAGER ON DUTY WILL IMMEDIATELY NOI'IFY ALL PERSONNEL BY PUBLIC'ADDRESS SYSTEM. AFTER NarIFICATION STORE MANAGEMENT WILL ESCORT ALL PERSONNEL THROUGH EMERGENCY EXITS LOCATED THROUGHOUT THE BUILDING. C, PUBLIC EVACUATION: MANAGER ON DUTY WILL HANDLE PUBLIC EVACUATION IN THE SAME WAY M EMPLOYEES. D. EMERGENCY MEOlCAL PLAN: MANAGER ON DUTY WILL CALL 911. THE LOCAL MEDICAL FICILITY THAT WOULD HANDLE ANY EMERGENCY PROBLEM THAT WE WOULD HAVE IS: VALLEY INDUSTRIAL MEDICAL GROUP 2501 G STREET,. BAKERsFIELD 805-327-2225 ~ ~1c.- " ,- Bakersfield Fire Dept.e Hazardous Materials Division .., .... .~. . . . /' HAZARDO'US MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: RETAIL GROCERY ITEMS PACKAGED FOR RETAIL SALES IN SMALL QUANTITIES SHIPPED TRUCK TO SHELF. MINIMAL BACKSTOCK IS MAINTAINED. EMPLOYEE TRAINING MANDATORY FOR NEW HIRES, PROGRAM DEVELOPED BY THE FOOD MARKETING INSTITUTE SPECIFICALLY FOR USE IN THE GROCERY-INDUSTRY. MSDS SHE~TS ARE LOCATED IN THE MANAGER'S OFFICE IN THE SAFETY CLAIMS GUIDE. B. RELEASE'CONTAINMENT AND/OR MINIMIZATION: ABSORBENT AVAILABLE AS PART OF SPILL CLEAN UP KIT FOUND IN MANAGER'S OFFICE. C. CLEAN-UP PROCEDURES: CONTACT 911 TO HANDLE URGENT SPILLS. WASTE REMOVAL WILL BE COCRDlNATED BY ENVIRONMENT AND SAFETY (818) 821-5626, OR AFTER HOURS CCNTACT LOSS PREVENTION (818) 821-7545. AN ACID SPILL KIT IS ON SITE TO NEUTRALIZE A POOL CARE PRODUCT SPILL. SECTION 8: UTIUTY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: ELECTRICAL: NORTH EAST CORNER OF BUILDING (INSIDE) '- W A ï E R : 1\lQ'RTHWEsæ CORb1E~ OF BUILDING SPECIAL: LOCK BOX: YES@ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER A V AlLABlllTY: A. PRIVATE FIRE PROTECTION: FIRE EXTINGUISHERS THRODGHOUT INSIDE OF STORE, CEILING SPRINKLERS THROUGHOUT INSIDE OF STORE. B. WATER AVAILABILlTY (FIRE HYDRANT): : . LOCATED AT EACH CORNER OF BUILDING. AND MIDWAY IN FRONT OF BUILDING. (5) <"'" · . BAKEAjFIELD CITY FIRE DEVR1·,MENT OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVENUE, 3RD FLOOR BAKERSFIELD, CA 93301 (805) 326·3979 I· HAZARDOUS MATERIALS INVENTORY .., .~._.~. -.' h. .~. Oh' ~_ I FACILITY DESCRIPTION I CHECK IF BUSINESS IS A FARM [ ] BUSINESS NAME THE VONS COMPANIES, INC. FACILlïY NAME STORE #512 2100 WHITE LANE SITE ADDRESS STATE CA ZIP 93304· CITY BAKERSFIELD NA ïURE OF BUSINESS RETAIL GROCERY SiC CODE 5411 DUN & BRADSTREET NUMBER 00-132-5034 OWNER/OPE?A TOR THE VONS COMPANIES, INC. PHONE 818-821"':'5626 MAILING ADDRESS P.O. BOX :8338 CiTY OOS ANGELES STATE CA ZIP 90051-1338 EMERGENCY CONTACTS NAME VONS LOSS PREVENTION TITLE BUSiNESS PHONE 24-HOUR PHONE 818-821-7545 NAME TITLE BUSINESS PHONE 2.4-HOUR PHONE -,'. ~~SIIIZ A!CIIQNV IJ!PC STNIC)AAO F; I CHEMICAL DESCRIPTION ,?¡¡}; ". "'.' ~ - ,-- . ~ " .', 1) INVENTORY STATUS: N_ ( 1 Addition ( 1 Revision [ 1 Deletion ( 1 Check if chemical is . NON TRADE SECRET - 00 ' TRADE SECRET [ ) 2) Common Neme: FREON R22 3) DOT # (opCioMl) I Chemical Name: AHM ( 1 CAS # 75-45-6 ~) PHYSICAL & HEALTH PHYSICAL HEALiH I HAZARD CATEGORIES Fire ( 1 Reactive [ ) Sudden Release of Pressure [}¡: Immediate Health (Acute) ~] Delayed Health (Chronic) ( ] 5) WASTE CLASSIFlCATlON (3-digit code from DHS Form 8022) USE CODE I ô) PHYSICAL STATE Solid I] uquid !XI Gas I ] Pure I ] Mixture I ] Waste I ] ! Radioactive [ ] 04Eauu. THAT APPt..Y 7) AMOUNT AND TlME AT FAC1UTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 3,000 Ibs 1C] gal I 1 ft3 [ ] a) Container: Average Daily Amount: curies [ J b) Pressure: Annual Amount: c) Temperature: Largest SizeContainer: ::Sb~ ~,F. # Days On Site Circle Which Months: M. A. M. J. J. A. S, O. N. D 9) MIXTURE: ust COMPONENT CAS # %wr AHM the three most hazardous 1) [ ] chemical components or METH!\.NE, CHLORODIFLOURO 75-45-6 any AHM components 2} 100% I] 3) [ 1 10) LOca%lon / CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New I 1 Addition \r 1 Revision [ ] Deletion [ Check if chemical is a NON TRADE SECRET I ] TRADE SECRET I ] 2) Common Name: HELIUM 3) DOT # (optioMl) Chemical Name: HELIUM AHM I] CAS # 7440-59-7 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive ( I Sudden Release of Pressure [Xl Immediate Health (Acute) I 1 Delayed Health (Chronic) 11 5) WASTE CLASSIFICATlON (3-digit code from DHS Form 8022) USE CODE 99-RETAIL STORE 5) PHYSICAL STATE Solid I] Uquid [ ] Gas IX] Pure (}4 Mixture [ J Waste ( J Radioactiw I ] ~EQ( AU. T'l-fAr APPlY 7) AMOUNT AND TlME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: C)OO Ibs [ ] gal [ I ft3 [)( a) Container: 04 Average Daily Amount: 1)00 curies I ] b} Pressure: 01 Annual Amount: c) Tempermure: 04 LMgest Size Container. 29~ -=::;- ,; Days On Site 36 Circle Which Months: (/lJ1 YearJJ. F, M. A. M. J. J. A. S. O. N. D 9) MIXTURE: ust COMPONENT CAS # %wr AHM the three most hazardous 1) HELIUM 7440_I'\Q_7 100% I] chemical components or .- any AHM components 2) I] 3) t 1 1 0) LocaÞon FLORAL DEPT. , =erfJty unoe, pentUty of law. mat I have pelSOnaJly e1UU7ltneQ ana am Tamlllar Wlm me rnTOmaDOn suÞmlttea on ttus ant1 øl ocument& I believe me -.Jbmitted information is true, accurate, and compJ_". . - (Y)c¥7 - '_..~~. JENNIE MCCARTHY ADMINISTRATOR ENVïRONMENT & SAFETY ..uL 1 ? I?q/q RINT NlU7'7e & Title of Authorized Company Repres8ntJItive Sig DIIte BAKERSISiELD CITY FIRE CEPA&TMENT HAZA~OUS MATERIALS INVENft5RY ~ Clsiness Name THE VONS COMPANIES, INC. #512 Address 2100 WHITE LANE ~ PageLof_ ;H"~ c,'_' -~.:. ' I) ___ ..ae_-.....ø1alM e e 10/26/95 VONS 215-000-001217 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Coptainers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-012 LAWN CARE/FERTILIZERS Solid 15 Extreme ~ Immed HIth, Delay Hlth LBS 02-003 AQUA CHEM Liquid 166 High · Reactive, Immed Hlth GAL 02-001 BLEACH Liquid 700 High · Reactive, Immed Hlth GAL 02-013 AEROSOLS Liquid 250 High · Fire, Pressure GAL 02-014 POOL CHLORINE (HYPOCHLORITE) Liquid 20 High ~ Reactive, Immed Hlth GAL 02-016 POOL ACID Liquid 15 High ~ Fire, Reactive, Immed Hlth; Delay Hlth GAL 02-020 STRIPPER Liquid 50 High ~ Immed Hlth GAL 02-023 BREAK UP Liquid 40 High ~ Fire, Immed Hlth GAL 02-006 LYSOL Liquid 100 Moderate ~ Immed Hlth, Delay Hlth GAL 02-007 INSTANT LITE BRIQUETTES/LOGS Solid 2000 Moderate ~ Fire LBS 02-009 POWDER BLEACH Solid 1500 Moderate ~ Fire, Immed Hlth, Delay Hlth LBS 02-010 ALL PURPOSE CLEANERS Liquid 150 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-015 DRY CHLORINE Solid 250 Moderate ~ Reactive, Immed Hlth, Delay Hlth LBS 02-017 ALGACIDE Liquid 20 Moderate ~-Fire, Reactive, Immed Hlth~ Delay Hlth GAL 02-022 SCANNER CLEANER Liquid 25 Moderate ~ Fire, Delay Hlth GAL 02-024 CHARCOAL LIGHTER FLUID Liquid 70 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-004 ANTIFREEZE Liquid 60 Low ~ Delay Hlth GAL .. _. : _....;':' e . 10/26/95 VONS 215-000-001217 Page 3 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-011 INSECTICIDE (SOLID) Solid 35 Low ~ Fire, Immed Hlth LBS 02-018 SODA ASH Solid 10 Low ~ Fire, Immed Hlth LBS 02-019 MAINTEX WAX Liquid 50 Low ~ Immed Hlth, Delay Hlth GAL 02-002 MOTOR OIL Liquid 75 Minimal ~ Fire, Delay Hlth GAL 02-021 CARBON DIOXIDE Gas 500 Minimal ~ Fire, Pressure, Immed Hlth FT3 02-005 INSECTICIDES Liquid 55 Unrated ~ Fire, Immed Hlth, Delay Hlth GAL 02-008 CHARCOAL BRIQUETTES Solid 4600 Unrated ~ Fire LBS ~ -". ~ - -,~",;~,r.-;....:: 0ò'o .. :;.wÆ~:" . . 10/26/95 VONS 215-000-001217 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in MCP Order 02-012 LAWN CARE/FERTILIZERS ~ Immed Hlth, Delay Hlth Solid 15 Extreme LBS CAS it: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 15 I 7.00 I 15.00 Storage r Press T Temp ~ Ambient Ambient AISLE Location BOX - Conc 11.0% 12.0% 8.0% Components Dichlorophenoxyacetic Acid Dimethyl amine Nitrogen ~ MCP ~uide Minimal 55 Extreme 19 Low 12 02-003 AQUA CHEM ~ Reactive, Immed Hlth Liquid 166 High GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: WATER TREATMENT ---- Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 166 100.00 I 1,450.00 Storage PLASTIC CONTAINER r Press T Temp ~ Ambient Ambient Location - Conc _I 100.0% Muriatic Acid Components r; MCP --rGuide High I 15 ,~ 02-001 BLEACH ~ Reactive, Immed Hlth Liquid 700 High GAL CAS #: 7681-52-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING ---- Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 700 I' 240.00 I 700.00 Storage PLASTIC CONTAINER r Press T Temp -:ì Location Ambient AmbientAISLE 6/BACKROOM - Conc l 100.0% Bleach Compo~ents r; MCP -,Guide High I 45 . .:... . 10/26/95 VONS 215-000-001217 02 - Fixed Containers on Site Page 5 Hazmat Inventory Detail in MCP Order 02-013 AEROSOLS ~ Fire, Pressure Liquid 250 High GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 250 I· 200.00 I 250.00 Storage r Press T Temp ~I Location METAL CONTAINR-NONDRUM Ambient AmbientTHROUGHOUT BUILDING - Cone 70.0% 20.0% 10.0% Components I~ MCP JUide High 22 High 22 Extreme 22 Isobutane n-Butane Or Butane Mixture Propane 02-014 POOL CHLORINE (HYPOCHLORITE) ~ Reactive, Immed Hlth Liquid 20 High GAL CAS #: 7681529 Trade secret: No Form: Liquid Type: Pure Days: 365 Use: OTHER ---- Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 20 I 12.00 I 20.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient AmbientlAISLE 16/HABA BACKROOM - Cone l 11.0% Sodium Hypochlorite Components \-; MCP --¡-Guide High I 45 02-016 POOL ACID Liquid ~ Fire, Reactive, Immed H1th, Delay H1th 15 High GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture' Days: 365 Use: OTHER ---- Daily Max GAL ----r-- Daily Average GAL ---,- Annual Amount GAL -- 15 I 10.00 I 15.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient AmbientlAISLE 6/HABA BACKROOM - Cone 34.0% 32.0% Compor1ents r: MCP ~uide Moderate 60 High 15 Phosphoric Acid Hydrochloric Acid 'ò'- e e I 10/26/95 VONS 215-000-001217 02 - Fixed Containers on Site Page 6 Hazmat Inventory Detail in MCP Order 02-020 STRIPPER ~ Immed Hlth Liquid 50 High GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: STRIPPER Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 50 I 20.00 I 220.00 Storage PLASTIC CONTAINER r press'T Temp ~ Location Ambient AmbientlBACKROOM CENTER - Cone 0.0% 0.0% 0.0% Components Ethoxylated Nonylphenol 2-Butoxyethanol Ethanolamines (family name) ffi MCP ~uide Minimal 1 Moderate 26 High 60 02-023 BREAK UP ~ Fire, Immed Hlth Liquid 40 High GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 40 I 10.00 I 80.00 Storage PLASTIC CONTAINER r Press T Temp -:-1 Location Ambient AmbientBACKROOM CENTER - Cone 2.0% 2.0% 7.0% Components ~ MCP ~uide Extreme 40 Moderate 26 Minimal 5 Potassium Ethylene Glycol Monobutyl Ether Tetrapotassium Pyrophosphate ,,,.. e e 10/26/95 VONS 215-000-001217 02 - Fixed Containers on Site Page 7 Hazmat Inventor~Detai1 in MCP Order 02-006 LYSOL ~ Immed Hlth, Delay Hlth Liquid 100 Moderate GAL CAS #: 7757-82-6 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 100 I. 85.00 I 1,400.00 storage PLASTIC CONTAINER r Press T Temp -:ì Ambient AmbientlAISLE 7 Location - Cone l 79.0% Ethyl Alcohol Components 1-; MCP ---ïGuide Moderate 26 02-007 INSTANT LITE BRIQUETTES/LOGS. ~ Fire Solid 2000 Moderate LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER ---- Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 2,000 I 1,000.00 I 2,000.00 Storage r Press T Temp -:ì Location Ambient AmbientlAISLE 16/BACKROOM BAG - Cone l 25.0% Mineral Spirits Components 1-; MCP ---,-Guide Moderate 27 02-009 POWDER BLEACH ~ -Fire, Immed Hlth, Delay Hlth Solid 1500 Moderate LBS CAS #: 497198 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: OTHER ---- Daily Max LBS ----r-- D~ily Average LBS --r-- Annual Amount LBS -- 1,500 I 700.00 I 1,500.00 Storage r Press T Temp ~ Location Ambient AmbientlAISLE 6/BACKROOM BOX - Cone 0.0% Sodium Carbonate 0.0% Sodium Perborate Components ~ MCP :rUide Low 60 Moderate 35 e e 10/26/9-5 VaNS 215-000-001217 02 - Fixed Containers on Site Page 8 Hazmat Inventory Detail in MCP Order 02-010 ALL PURPOSE CLEANERS ~ Fire, Immed Hlth, Delay Hlth Liquid 150 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture' Days: 365 Use: OTHER ---- Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 150 I 90.00 I 150.00 Storage PLASTIC CONTAINER r Press T Temp -:-1 Ambient AmbientAISLE 5 Location - Cone -, 7.0% 2-Butoxyethanol Components r; MCP --¡Guide Moderate I 26 02-015 DRY CHLORINE ~ Reactive, Immed Hlth, Delay Hlth Solid 250 Moderate LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OIL TREATMENT ---- Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 250 200.00 I 250.00 Storage PLASTIC CONTAINER r Press T Temp -:ì Location Ambient AmbientlAISLE 16/RABA BACKROOM - Cone 0.0% 0.0% Components Sodium Dichloro-s-triazinetrione Calcium Hypochlorite I: MCP :ruide Moderate 45 Moderate 45 02-017 ALGACIDE Liquid ~ Fire, Reactive, Immed Hlth, Delay Hlth 20 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER ---- Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 20 I 12.00 20.00 Storage PLASTIC CONTAINER r pres~~T TemP-:ì Ambient ÁmbientAISLE 16 Location - Conc 10.0% 2.0% 6.0% Components Alkyl Dimethylbenzylammonium Chloride Ethanol ' Po lyoxyethylene Œ MCP ;:ruide Low 1 Moderate 26 Minimal 27 e e 10/26/95 VONS 215-000-001217 02 - Fixed Containers on Site Page 9 Hazmat Inventory Detail in MCP Order 02-022 SCANNER CLEANER ~ Fire, Delay Hlth Liquid 25 Moderate GAL CAS =It: Form: Liquid Trade Se~ret: No Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 25 I 18.00 I 110.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient AmbientBACKROOM CENTER Cone 0.0% 0.0% Components ~ MCP ~uide Moderate 26 Low 26 Isopropanol Ethylene Glycol Diethyl Ether 02-024 CHARCOAL LIGHTER FLUID ~ Fire, Immed Hlth, Delay Hlth Liquid 70 Moderate GAL CAS =It: 800-66-42 Trade Secret: No Form: Liquid Type: Pure . Days: 365 Use: OTHER - Daily Max GAL ----r-- Daily Average GAL ---r- Annual Amount GAL -- 70 I 30.00 I 70.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient AmbientlAISLE 16/BACKROOM - Cone -I 100.0% Naphtha Components r; MCP --,.Guide Moderate 27 '1'- 02-004 ANTIFREEZE ~ Delay Hlth CAS =It: 107-21-1 Liquid 60 Low GAL Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: ADDITIVE - Daily Max GAL ----r-- Daily Average GAL -.-- Annual Amount GAL -- 60 I. 30.00 I 320.00 storage PLASTIC CONTAINER r Press T Temp -:-, Ambient AmbientlAISLE 8 Location - Cone l 100.0% Ethylene Glycol Components ~:CP ~~~~e ."':" ....:. e e 10/26/95 VaNS 215-000-001217 02 - Fixed Containers on Site Page 10 Hazmat Inventory Detail in MCP Order 02-011 INSECTICIDE (SOLID) ~ Fire, Immed Hlth Solid 35 Low LBS CAS #: 67-63-0 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: OTHER ---- Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 35 I· 25.00 I 35.00 Storage PLASTIC CONTAINER r Press T Temp ~I Ambient AmbientlAISLE 5 Location - Cone l 4.0% Metaldehyde 95.0% Boric Acid Components ~ MCP iUide Low 32 Low 53 02-018 SODA ASH ~ Fire, Immed Hlth Solid 10 Low LBS CAS #: 497-19-8 Trade Secret: No .¡.:.. Form: Solid Type: Pure Days: 365 Use: WATER TREATMENT ---- Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 10 I 6.00 I 10.00 Storage r Press T Temp ~I Ambient AmbientlAISLE 16 Location BAG - Cone l 100.0% Sodium Carbonate Components I~ MCP -¡-Guide Low I 60 02-019 MAINTEX WAX ~ Immed Hlth, Delay Hlth Liquid 50 Low GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER ---- Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 50 I 30.00 I 450.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient Ambient BACKROOM CENTER - Conc 0.0% 0.0% Components Ethylene Glycol Diethyl Ethe~ Ethylene Glycol Œ MCP iUide Low .-> 26 Low ., 27 ·70 " e . -; I 10/26/95 VONS 215-000-001217 02 - Fixed Containers on Site Page 11 Hazmat Inventory Detail in MCP Order 02-002 MOTOR OIL ~ Fire, Delay H1th Liquid 75 Minimal GAL CAS #: 64742-54-7 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT ----- Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 75 I 20.00 I 75.00 Storage PLASTIC CONTAINER r presS~T'Temp ~ Ambient AmbientlAISLE 5 Location - Cone l Components 100.0% Motor Oil, Petroleum Based r; MCP --¡Guide Minimal I 27 02-021 CARBON DIOXIDE ~ Fire, Pressure, Immed Hlth Gas 500 Minimal FT3 CAS #: 124-38-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER ----- Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 500 I 250.00 I 5,000.00 Storage " Press T Temp ~ PORT. PRESS. CYLINDER Above Ambient I SERVICE DELI Location - Cone l 100.0% Carbon Dioxide Components î MCP --¡Guide Low I 21 02-005 INSECTICIDES ~ Fire, Immed Hlth, Delay Hlth Liquid 55 Unrated GAL CAS #: 67-63-0 Trade Secret: No Form: Liquid - Daily Max Type: Pure ... D~YS: 365 Use: INSECTICIDE GAL ----r-- Daily Average GAL --,- Annual Amount GAL -- 55 I 40.00 I 55.00 Storage r Press T Temp ~ METAL CONTAINR-NONDRUM Above AmbientlAISLE 5 Location - Cone l 100.0t Insecticides Components It; MCP --¡Guide . Unrated I 0 .~ .J- _ .,~~. . :> e e . 10/26/95 VONS 215-000-001217 02 - Fixed Containers on Site Page 12 Hazmat Inventory-Detail in MCP Order 02-008 CHARCOAL BRIQUETTES ~ Fire Solid 4600 Unrated LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER ---- Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 4,600 I ' 2,000.00 I 4,600.00 Storage r Press T Temp -:ì Location Ambient AmbientlAISLE 16/BACKROOM BAG - Cone Components MCP --¡Guide ,"" - ,. .. . oW~" .- . ~... - .., ,·.r··;.........._ .~. :- :.'.:-'.. -".;. ~- _:- ~:: .Q~~:,. . .: ".:" ~ :..."'. . ". :. ~:".;~:'¡~¡~~}~'.-::" .