HomeMy WebLinkAboutBUSINESS PLAN (3)
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SiteID: 015-021-000611 :;\
( ~UCKY 7 FOOD STORE
Manager :
Location: 2601 S CHESTER AVE
City : BAKERSFIELD
BusPhone:
Map : 124
Grid: 07C
(661) 836-1794
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 05
EPA Numb:
SIC Code:5541
DunnBrad:77-019-0797
~
Emergency Contact / Title
SALEH ALNAJAR / OWNER
I Business Phone: (661) 836-1794x
24-Hour Phone : (661) 836-8678x
I Pager Phone : ( ) - x
~
Emergency Contact
NAZEM ALNAJAR
Business Phone:
24-Hour Phone :
Pager Phone :
/ Title
/ MANAGER
(661) 836-1794x
(661) 836 - 8678x
( ) - x
Hazmat Hazards:
Fire
ImmHlth DelHlth
Period :
Preparer:
Certif'd:
Parcel No:
to
Phone: (661) 836-1794x I
State: CA
Zip : 93304 J
Phone: (661) 836-8678x
State: CA I
Zip : 93304 !
TotalASTs: = Gal I
TotalUSTs: Gal I
= :
RSs: No \
Contact :
MailAddr: 2601 S CHESTER AVE
City : BAKERSFIELD
I Owner
\ Address
I City
SALEH ALNAJAR
: 2601 S CHESTER AVE
: BAKERSFIELD
Emergency Directives:
¡-; 5ilJ t H A vi ~ J A to hereby carmy ~ha~ ~ havs
(fype or prim name)
reviewed the attached hazardous materials mai'laQ~w
ment plan 1m- _G ' V ì '9 and that i~ along with
(Name Offi'USir.GSS)
any corrections constiíuts al complete and corr~ m~i1-
agement plan for my 1acm1y.
g ~ of{¡V q / Jtlo0
SigNlture I DÐts
-1-
09/27/2004
'i'
SiteID: 015-021-000611
By Facility Unit
Fixed Containers on Site
F ßUCKY 7 FOOD STORE
f= Hazmat Inventory
p== MCP+DailyMax Order
UNLEADED PLUS
PREMIUM UNLEADED
REGULAR UNLEADED
F
F
F
DH
IH DH
IH DH
L
L
L
ì
ì
ì
DailyMax IUnitMCP
10000.00 GAL Mod
10000.00 GAL Mod
6000.00 GAL Mod
Hazmat Cornman Name...
specHazEPA Hazards Frm I
-2 -
09/27/2004
F tUCKY 7 FOOD STORE
f= Inventory Item 0002
¡::::= COMMON NAME / CHEMI CAL NAME
UNLEADED PLUS
SiteID: 015-021-000611 ì
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
UST TANK
Map:
Grid:
CAS#
8006-61-9
STATE - TYPE
Liquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
10000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
10000.00 GAL
Daily Average
8000.00 GAL·
%Wt.
I Gasoline
HAZARDOUS COMPONENTS
~
No
CAS # I
8006619
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.Defined9: Ag.Define10:
Ag.Defined8:
- Ag.Define11
-3-
09/27/2004
F ßUCKY 7 FOOD STORE SiteID: 015-021-000611 ì
f= Inventory Item 0002 Facility Unit: Fixed Containers on Site ì
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2
Last Action Type:
Location In Site: UST TANK
Tank ID#: 2
Installed: 0/
Additional Info:
TANK DESCRIPTION
Mf r: UNKNOWN
Capacity: 10000 Gals
PRIOR TO 1983
Compart Tank: N
No. Of Comparts:
Tank Use: MOTOR VEHICLE FUEL
Matl Name:UNLEADED PLUS
TANK CONTENTS
Petrol Type: UNLEADED PLUS/MIDGRADE
Cas #: 8006-61-9
TANK CONSTRUCTION
Type : SINGLE WALL W/INT LINER & C.P.
Material(p): BARE STEEL
Material(s): BARE STEEL
Lining : EPOXY LINING
Corr Prot: CATHODIC PROTECTION
Spill Cnt : 1997
Drop Tube : 1997
Striker Plate: 1997
TANK LEAK
Sgl Wall: AUTOMATIC TANK GAUGING
Alarm :
Ball Float :
Fill Tube S/O:
DETECTION
Dbl Wall:
Installed:
Installed:
Exempt: No
1997
Last Used:
TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Qty Remaining: Was Filled: No
-4-
09/27/2004
F DUCKY 7 FOOD STORE SiteID: 015-021-000611 ì
f= Inventory Item 0002 Facility Unit: Fixed Containers on Site ì
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2
PIPING CONSTRUCTION
UnderGround Piping
PRESSURE
DOUBLE WALL
AboveGround Piping
Type :
Const:
Mfgr :
Mtl :
& :
Corr :
Prot :
"FLEX"
PIPING LEAK DETECTION
UnderGround Piping AboveGround Piping
AUTOMATIC LEAK DETECTORS
Installed: 05/07/1997
Date: 04/20/2000
Name:GARY CHAPMAN
Prmt Number: 0611
DISPENSER CONTAINMENT
Type: DISP. PAN SENSOR w/ pas. SHUTOFF
OWNER/OPERATOR SIGNATURE
TANK/LINE TEST :11/14/1996
CP CERT. :09/03/2003
MANWAY INSP. : 12/22/1998
UST MaNIT. CERT:10/21/1999
Ttl:GASOLINE SUPPLIER
Approved: Yes Expiration Date: 06/30/2003
AGENCY DEFINED
PASS
-5-
09/27/2004
'.
SiteID: 015-021-000611 ì
Facility Unit: Fixed Containers on Site ì
F LUCKY 7 FOOD STORE
f= Inventory Item 0003
F== COMMON NAME / CHEMICAL NAME
PREMIUM UNLEADED
Days On Site
365
Location within this Facility Unit
UST TANK
Map:
Grid:
CAS #
8006-61-9
STATE - TYPE
Liquid Pure
PRESSURE ---- TEMPERATURE
Ambient Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
10000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
10000.00 GAL
Daily Average
8000.00 GAL
%wt. I
100.00 Gasollne
HAZARDOUS COMPONENTS
[æ]
CAS # ]
8006619
HAZARD SSE M
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
A SS ENTS
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
-6-
09/27/2004
F tUCKY 7 FOOD STORE SiteID: 015-021-000611 ì
f= Inventory Item 0003 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: UST TANK
Tank Use: MOTOR VEHICLE FUEL
MatI Name:PREMIUM UNLEADED
TANK DESCRIPTION
Mfr: UNKNOWN
o Capacity: 10000 Gals
TANK LINED IN 1997
TANK CONTENTS
Petrol Type:
Compart Tank: N
No. Of Comparts:
Tank ID#: 3
Installed: 0/
Additional Info:
PREMIUM UNLEADED
Cas #: 8006-61-9
TANK CONSTRUCTION
Type : SINGLE WALL W/INT LINER & C.P.
Material(p): BARE STEEL
Material(s): BARE STEEL
Lining : EPOXY LINING
Corr Prot: CATHODIC PROTECTION
Spill Cnt : 1997
Drop Tube : 1997
Striker Plate: 1997
TANK LEAK
Sgl Wall: AUTOMATIC TANK GAUGING
Alarm :
Ball Float :
Fill Tube S/O:
DETECTION
Dbl Wall:
Installed:
Installed:
Exempt: No
1997
Last Used:
TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Qty Remaining: Was Filled: No
-7-
09/27/2004
F ßUCKY 7 FOOD STORE SiteID: 015-021-000611 ì
f= Inventory Item 0003 Facility Unit: Fixed Containers on Site ì
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2
PIPING CONSTRUCTION
UnderGround Piping
PRESSURE
DOUBLE WALL
AboveGround Piping
Type:
Const:
Mfgr :
Mtl :
& :
Corr :
Prot :
FIBERGLASS
PIPING LEAK DETECTION
UnderGround Piping AboveGround Piping
AUTOMATIC LEAK DETECTORS
TANK/LINE TEST :11/14/1996
CP CERT. :09/03/2003
MANWAY INSP. : 12/22/1998
UST MONIT. CERT:10/21/1999
DISPENSER CONTAINMENT
Type: DISP. PAN SENSOR W/ POS. SHUTOFF
OWNER/OPERATOR SIGNATURE
Ttl:GASOLINE SUPPLIER
Approved: Yes Expiration Date: 06/30/2003
AGENCY DEFINED
PASS
Installed: 05/06/1997
Date: 04/26/2000
Name:GARY CHAPMAN
Prmt Number: 0611
-8-
09/27/2004
SiteID: 015-021-000611 ì
Facility Unit: Fixed Containers on Site ì
F LUCKY 7 FOOD STORE
-p= Inventory Item 0001
=== COMMON NAME / CHEMICAL NAME
REGULAR UNLEADED
Days On Site
365
Location within this Facility Unit
UST TANK
Map:
Grid:
CAS#
8006-61-9
STATE - TYPE
Liquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
10000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
6000.00 GAL
Daily Average
5000.00 GAL
%Wt. I
100.00 Gasoline
HAZARDOUS COMPONENTS
~
CAS # I
8006619
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DR / / / 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
-9-
09/27/2004
F LUCKY 7 FOOD STORE SiteID: 015-021-000611 9
f= Inventory Item 0001 Facility Unit: Fixed Containers on Site 9
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2
Last Action Type:
Location In Site: UST TANK
Tank Use: MOTOR VEHICLE FUEL
MatI Name:REGULAR UNLEADED
TANK DESCRIPTION
Mf r: UNKNOWN
Capacity: 6000 Gals
INSTALLED PRIOR TO 1985
TANK CONTENTS
Petrol Type:
Compart Tank: N
No. Of Comparts:
Tank ID#: 3
Installed: 00/
Additional Info:
REGULAR UNLEADED
Cas #: 8006-61-9
TANK CONSTRUCTION
Type : SINGLE WALL W/INT LINER & C.P.
Material(p): BARE STEEL
Material(s): BARE STEEL
Lining : EPOXY LINING
Corr Prot: CATHODIC PROTECTION
Spill Cnt : 1997
Drop Tube : 1997
Striker Plate: 1997
TANK LEAK
Sgl Wall: AUTOMATIC TANK GAUGING
Alarm :
Ball Float :
Fill Tube S/O:
DETECTION
Dbl Wall:
Installed:
Installed:
1997 Exempt: No
1997
Last Used:
TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Qty Remaining: Was Filled: No
-10-
09/27/2004
F LUCKY 7 FOOD STORE SiteID: 015-021-000611 ì
f= Inventory Item 0001 Facility Unit: Fixed Containers on Site ì
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2
PIPING CONSTRUCTION
UnderGround Piping
PRESSURE
DOUBLE WALL
AboveGround Piping
Type :
Const:
Mfgr :
Mtl :
& :
Corr :
Prot :
"FLEX"
PIPING LEAK DETECTION
UnderGround Piping AboveGround Piping
AUTOMATIC LEAK DETECTORS
TANK/LINE TEST :11/14/1996
CP CERT. :09/03/2003
MANWAY INSP. : 12/22/1998
UST MONIT. CERT:I0/21/1999
DISPENSER CONTAINMENT
Type: DISP. PAN SENSOR W/ POS. SHUTOFF
OWNER/OPERATOR SIGNATURE
Ttl:OWNER
Approved: Yes Expiration Date: 06/30/2003
AGENCY DEFINED
PASS
Installed: 05/06/1997
Date: 08/18/1999
Name:SALEH ALNAJAR
Prmt Number: 0611
-11-
09/27/2004