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HomeMy WebLinkAboutBUSINESS PLAN Per:IDit to Operate Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE - , PERMIT ID# 015-021.001394 READY GO MARKET lOCATION 1600 TAN HAZARDOUS SUBSTANCE SUPER UNLEADED GASOLlN UNLEADED GASOLINE ¡ Issued by: This permit is issued for the fOllowing: ardous Materials Plan round Storage of Hazardous Materials ,gagement Program ..., . Waste , ',;~~~~;, ;,",;, J~tR Pi~~~ Pi~~~ :~~~gD '(Iii .... ;¡¡". .. .... . .... PIPING ONITOR DW F DW F PRESSURE ClM PRESSURE AlD Approved by: *~ ph Huey, Ice of ental Servi es June 30, 2000 Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 ~ ~ Expiration Date: , , , . I CA Cert. No. 00846 City of Bakersfield Office of Environmental Services 1715 Chester Ave., Suite 300 Bakersfield, California 93301 (805) 326-3979 An upgrade compliance certificate has been issued in connection with the operating permit for the facility indicated below. The certificate number on this facsimile matches the number on the certificate displayed at the facility. Instructions to the issuing agency: Use the space below to enter the following infonnation in the fonnat of your choice: name of owner; name of operator; name of facility; street address, city, and zip code of facility; facility identification number (from Fonn A); name of issuing agency; and date of issue. Other identifying information may be added as deemed necessary by the local agency. This permit is issued on this 2nd day of November, 1998 to: READY GO MARKET Permit #015-021-001394 1600 Valhalla Dr Bakersfield, California 93309 .,' .;, ?:1i"' {tt,~c:Or)formifii' with:,prôvisiôris:~ôf;;,:pèitiriënt~,órèlir:\Q"Jfes;::codes~~ón'dlØi1ieguIØfìòris':.' 'f " ~!-t£~fr,;:,:~::~;: ;:~~~~~~~f,f!;~~~~'~~~ift¡;~~#:~, .' ~}~~~t~~'~::: j .. ,:~ ~,:: '~'~Y>:~~~1~';'S~~~ ~/:',:, ~:';: :'::;> :',>:.~7:: -;~>;\; ,: ,;: ·~~.'~.~''';'~~',~~~~~~~,~~f:~r~~~f::;~X~};~~~!::~..~~~':,f~,. '. .. ~:, ': .'f~. d,ispICJY~: ~oie~. i~~~~I~~~~~~ ôpc:t~t~rsel,~:,~,r ,tîand,l: :~at~!iQI~:A?jÌ~~~~~~~<!~~~~!.~?tt(·" , , i~~ ",11) .,'J', ,<: ¿", , ' dltions deeme~', hazc;t~çIo~"ì.t~~·:hfe . Of" property:, Q~: ~ollows:, : " . ';:, :~f~;' :il;~¡;'~;~' );;,~",:f,.;'.».r'l{~:"ii 'C" '. -~ ~'tt.: ~;\,..-¡,~,{. :¡Y:. .. < ~11.tiGa'''~':{í),S _,'Cat' '....,.p:J_I..p~~-¡)ç·,··j;'"H.~,\~{' ~¡:¡.:;.. ·...Š,.>.:·.;òJ·-;::.;: " ,T_',', ~\ ,,'.' ""~'~ ¡,~ " <.> It '. -',' :;",ç~:e~:~;:,,:;,'~; . :::G\~~ ~i,~:::;E:;,;:" ~~ ".~~~ J~iio/~!P~ issued 'Permit denied . - ~,~, 7~--' ..t...eo.. eo." eo"""" ....... - -'- -.......... 'Dotè .. âf'(¡J. !O-3ð~7S jj,~" " ..¡his ~¿!f.I> !ö v Þé fðr -{Mf- 1t ~ (}J") ~ R·- 01 {J J jkfl II-:l ~95 __ POOR ORIGINAL I 1"c,~' ,..,'>. .. ;;./' ("'@dR ~Q I NORTH l' * , i ~ ';r :;:L i \i:. " + Q (jJ d:- - ~ d ~ --......,....,.-..-'0--. - , .~ SITE/FACILITY DIAGRAM FORM 5 }: - 5 rr€ t ,D.::t± 13'(4- / ù~ 'J~ r ~i' vÆ<f :=J- 0/- . / (CHECK ONE) SITE DIAGRA~ FACIL ITY DIAGRAM 1 ~ ~ ~ ..00 ri ::r.. w[j]~ Øl'b~ "("Á'~b ~" ~ '. <2 M~~~~~~~1~~~f,;:~~1' '.".>:?-',.=.'.',-' .,', ,., or..~'" /~ :6'- :-- ._-::~ .'-:~ "': .."' ~Z , f" - -....::.:. ~..: _ ;!,>y:''' --r-- ~-' ...~ ~/ ,- "; (Inspector's Comments): - 5A - I I -I CO-r LJCLsl ~ - .-- -- S! TE D! AGRAM: (Req,. items) 1, Address: Identify the principle buildings by the Street numbers, . 9, Lock (key) Box ~'''''.J, ;. ". ..=- f ,....-,...- , 10, MSDS Storage Box 2, Street(s), Alleys. Driveways, and Parking Areas adjacent to the property. Include the street names, 11, Railroad Tracks 12, Fence or Barrier a, Wire 3, Storm Drains, Culverts. Yard Drains b. Masonry c, Wood 4, Drainage Canals. Ditches, ~-Greeks, -- ~ ,_~_~¿L'.,.-G,!~es ------- 13, Power! ines 5, ßuildinffs a, Frame construction 14. Guard Station b, Masonry construction 15, Storage Tanks: Ident ify the capacity in gal. a, Above ground c, Metal construction d, Access Door 6, Utility Controls a, Gas b, Underground 16, Diking or Berm b, Electricity 17, Evacuation Route c, Water 18. Evacuation Area: Identify the location where employees will meet, 7, Fire Suppression Systems: a, Fire Hydrants b, Fire Sprinkler Connections 19. Outside Hazardous Waste Storage .- - -- -- --- -,- - c-:--FÙè Stiíndpipe ---~--- Connections ~- ~--.... ,< 20, Outside Hazardous Material Storage d, Water Control Valves for protection systems 21, Outside Hazardous Material Use/Handling e, Fire Pump 22, Type of Hazardous Material/Waste Stored or Used (See Below) 8, Fire Department Access TYPE OF HAZARDOUS MATERIAL F Flammable E Explosive L Liquid R Radiological C Corrosive 0 Oxidizer G Gas P Poison W Water Reactive T Toxic S Solid H Cryogenic D Waste B Etiological Example: Flammable Liquid = FL FACILITY DIAGRAM (Required items in addition to the above) 1. Risers for Sprinklers 8. Fire Escapes 2, Parti tions 9, Air Conditioning Units 3, Stairways: Indicate the 10, Windows levels served from highest to lowest. 11. Inside Hazardous Waste Storage 4, Escalator: Indicate the levels served from 12. Inside Hazardous highest to lowest, Materials.Storage 5. Elevator 13. Inside Hazardous Materials Use/Handling 6, Attic Access 14, Sewer Drain InJets " 1 ~ _'. ~ BUSINESS/DEAPRTIvŒNT NAME: f2eJy Gð M£~ , v 0. (LJ{&Z FO,- ~ß ADDRESS: ((ðeJ PROJECT DESCRIPTION: CO"'.\-~i'I1,",,~.ll~Ù~f:f'~ i d)(S.~~s~s (~'14- PROJECT NUMBER: DATE: NAME: ' (O(~!C4 4-w\~ !o(~/q¡. u/, >(~tf- ((121/~4- (2. (~j~q.. ,z.('?.(e:..~ i .< I?/~ (é)4- I-II-'î~ ? -(-'ÎS" ¡ z./'lÎ ('1c) 1-IO'Qð' TIME ' CHGD~ I COM1ŒNTS: I \1'/ V ~'" í2e..",J C(os:-..rr~ ~¿f"r+ - . ~':.k- So.~fle ~IY~'I /VI/<:S/"1~1 _ J j .. ·-'1 , /Ç.""/'1 ~t:-II.e CCf(p, r<t!:.: A",c-~c;'~ / Ii I '" 1 (Ç'''-' '"I c<=.Rec/ Cc.. fJr (2e 't AÞ\,,~ç..\'·~ 'j) y",:~ J . - . I - .' A f ~..¡¿ í2e.c'~~ u"'c..t.Al...cJ,"2.~ (0 S:"""!:)~ I r~<;...Jts. lo..A '\0 oft..~ .Co~ ~ø( I k-.j F"..j(y ro:..c,e"~ $c'M{ie. r~5<J(.(.$ .-f2kc.",' Je, y cP.(. r~fÑe:.A r (?.....II/', tJcV I ç ~''''../ 6 {(,oz ~1~1.f- ¿.J/ -JM ~ -1-0 JSCI..J ç s F'¥"!;,~oI we>rk.. P~t'\ (S,..,,,,- J P4.f- -Ct>^-1 Ct::¿(f,r o{(,ce. ¡JI~I+- -k, d(~vss F{'.){Jðsøl t:-...b.r~ p'et!' ~ 'h-r ~leJ ....kJrLp/""" -ð~L~( tA-loJ, . ,~ I.~ AI'". S(~ DJ~<;A-.t¿, s<""fJl,~ '~.[~ 37,;)-Of) b~~ Iff;) fJA ~.' . 'fr I Á__ ~e".«.J.ç, Å_ ¿ c: fv;;.... 6J),f p I 0/Æ () brlDD ::: !/6c2.,(X) . ( DATE: 2/2?1C(~ .f...k...J .w,.J 'PROJECT C011PLETION: ..,....-- . tÎ, RECORD OF TELEPHONE CONVERSATION ContaCt Name: l(øD JJiJ~ ~ ?o fk+ fI1v((~~te.r ID# Location: Business Name: I cc..l(? \ Business Phone: FAX: InspeCtor's Name: ~ Time of Call: Date: 1'2/ , It::, 4- Time: ') 00 # Min: 10 Type of Call: ~g ~ D4(~ v '.5. I + Outgoing [ ] Returned [ ] Content of Call: -Jvvtk. -tz.&^b;.. <to be.- ÙV\~ ), "f~r;..ers. ?J ~"",-e. Iv.. -f.o )'SC-(;~S S,,~.J'CJA. J/ r~",rJ...{:" dos.re.. ".t ~<r- ~+ /() / $e._ple.~ ¿.jN1,J ,^e.J \Ie.[, ~y p=i,,>-<I~ Goo'" '" ~J ;:",...þ/ej 2 J 3. I 4 ~ PI fê {t;.,",\ Z. c! ~tAW,f I,~ ::c cjV! seJ -{t:.l~ ~ Actions Required: -?d- woO 6Jr__;:¡-·t..r ~...,oI'~5,' i"+- r . I~£."",^J fc+ 1t.A-- '" wor~p k.-. ~,tY':j '::~-I'I,~ F.(" ~" Ie ww () vte.ec-( -{o b,,- ~.)" ",,:: #.,j Ji ".-/- , Time Required to Complete Activity # Min: 10 - .~ RECORD OF TELEPHONE CONVERSATION Contact Name: r, ðD . V4.-~~J(~ .IN\.~ .':"....ý kv.J",^ wi (2 tcJ-....,.J 10#_ Location: Business Name: Business Phone: FAX: Inspector's Name: Time of Call: Date: It /-t¡ /qa Time: {b :2-0 # Min: -¡o Type of Call: Incoming ~ Outgoing [ ] Returned [ ] Content of Cail: J«y kt-->~ cdJd ~(^ re. ':. r2e~r Go. f ' T ex f'1«~<-J --fl.,.+ -Ke.. """Ir ~fl.. 4"'''''{Y''' ~ ~,^J r¿.c,~úJ. /Je...r<- <2/ uw:lur ~Vlk g; b+ W..",t M..r/: r c-c!.) I D I c. "'" (yS':> <>vJ..r j. ç f.... ~JI./' .-J.J. ~ s...,1 So ..op...,.,¡f ~ r~~(J( Á+~.. Actions Required: f2-,c",W jc>+- """ ~~ tll.,oA"- It $;.<.,,) Mo 6\ l,.4 h..J fV¡&-,)~ 'i" "" -$ .J..ke.11 ( rd<tF,.~ ~ f...+. ~~ c ~- ">+ ). .... t;2.,c", kaT,,) 54 ,J L.~ teA) ~ fè-"''/.(.s ð."j t-JeJ J i.J .Ç. )<. .-to .~e.. Jr~~.. r Time Required to Complete Activity # Min: G(!) . . RECORD OF TELEPHONE CONVERSATION Business Name: ( 6 c9(!) VA (-.lÀl.L A f2G-DJ>c) G-ö 10#_ Location: Contact Name: \?ö-~ MVL.L.~ Business Phone: S-%4 <? .sCo4 ~ FAX: Inspector's Name: d--0 Time of Call: Date: t ~/, '::' /;4 Time: , 4 '= 4-~ # Min: 10 I , I Type of Call: Incoming [ ] Outgoing [~ Returned [ ] Content of Call: W~e.r~Sov+S J ~ s ().(,..r; R./ Cc.}(eJ p~.(- ~ ¡",{,-",re- c::tj<=tlf"\ ðt p:::~.{- ót ~/?-.....pl.t¿ 411'1~{Yr;,(S €I f(~(>"~'j o-Îct:.S, '(Y\... ~^4 Actions Required: ð SDrt"\Ð 0::: ,.~ ?~ ~ vJ t (\ 0ke.",~· e::¡e;l1ti IV\. '-J Sc.~,o ~ lêSu Il:s f ~ ( (2\cL"-rJ Time Required to Complete Activity # Min: . . FC)¡ í2 e : (060 V 4eLLIAu-A OC-. 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';.;.. .' y ~::, ~ ":, ' . - .' ..:-'.~""'~:'-~ . ,- D - -:¡, READY GO MARKET SiteID: 015-021-001394 Manager : Location: 1600 VALHALLA DR City BAKERSFIELD CommCode: BAKERSFIELD STATION 07 EPA Numb: BusPhone: Map : 123 Grid: 02C (661) 835-8518 CommHaz : Low FacUnits: 1 AOV: SIC Code:5541 DunnBrad: Emergency Contact RAN MO CHUNG Business Phone: 24-Hour Phone : ...:r -r.ðÍJ Phone : Hazmat Hazards: / Title / (661) 835-8518x (661) 664-0897x (66! ) :?, '13 - ler¡fJx Emergency Contact / Title DENNY / Business Phone: (661) 331-9043x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Contact : MailAddr: 1600 VALHALLA DR , Cî ty : BAKERSFIELD Period : Preparer: Certif'd: ParcelNo: to Phone: (661) 835-8518x State: CA Zip : 93309 Phone: (661) 664-0897x State: CA Zip : 93311 TotalASTs: = Gal TotalUSTs: = Gal RSs: No ,. Owner Address City RAN MO CHUNG : 8605 ANTIBES WAY : BAKERSFIELD Emergency Directives: ¡~, Bb.·~Tí~fl~,~fj:; -_.~. ~~ ~~ ~ ~ Mi~ tr~j~£~ 1~'Ij 'a~ðdh$Oì ~~~ w\)~\r~~ m'n~,"" Men! p!an forRp¢01~_f.?JItIJJ Nit ilor$ \i\!Í\iI S!U'iY corredions oonsitiMs a OOmpl~¡ê ~nd OOtfêet mtâ~.. agement plan for my, facility. ::' . - . - '~'.. .' '.' '''': .1', ". -, .?'. ;., ,.. , ',' -. . :l-j,~; (¡III! e 'f "-, , 'Ir'~~ 1 r-I./--ó'f -1- 03/11/2004 , to - - F READY GO MARKET SiteID: 015-021-001394 , ) STORAGE CONTAINER DATA UST FORM A Last Action Type: FACILITY/SITE INFORMATION Business Name: READY GO MARKET Cross Street : Business Type: Org Type: Total Tanks : 2 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : DENNY Phone: (661) 331-9043x Address: City : State: Zip: Type : TANK OWNER INFORMATION Name : DENNY Phone: (661) 331-9043x Address: City : State: Zip: Type : BOE UST Fee# : 037550 Financ' 1 Resp: SELF INSURED Legal Notif : Business Mailing Address Date:07/21/0200 Phone: (661) 835-8518x Name:HANMO CHUNG Ttl:Owner State UST # : 1998 Upg Cert#: 00846 -2- 03/11/2004 e e F READY GO MARKET f= Hazmat Inventory f== MCP+DailyMax Order SiteID: 015-021-001394 9 By Facility Unit 9 Fixed Containers on Site 9 speCHaZ EPA Hazards Frm I DailyMax IUnitlMCP Hazmat Cornman Name... SUPER UNLEADED GASOLINE UNLEADED GASOLINE L L 4000.00 GAL UnR 4000.00 GAL UnR -3- 03/11/2004 - e F READY GO MARKET f= Inventory Item 0001 = COMMON NAME / CHEMI CAL NAME SUPER UNLEADED GASOLINE SiteID: 015-021-001394 9 Facility Unit: Fixed Containers on Site 9 Location within this Facility Unit IN SPLIT TANK W/ UL GASOLINE Days On Site 365 Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 8000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 4000.00 GAL Daily Average 1000.00 GAL %Wt. RS CAS# 100.00 Gasoline No 8006619 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR 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 -4- 03/11/2004 e e f READY GO MARKET f= Inventory Item 0001 SiteID: 015-021-001394 ì Facility Unit: Fixed Containers on Site ì UST FORM B and AGENCY-DEFINED) Page 1 of 2 STORAGE CONTAINER DATA Last Action Type: Location In Site: IN SPLIT TANK w/ UL GASOLINE TANK DESCRIPTION Tank ID#: 1 Mfr: Modern Weld Installed: 12/1994 Capacity: 12000 Gals Additional Info: Compart Tank: Y No. Of Comparts: 2 TANK CONTENTS Tank Use: MOTOR VEHICLE FUEL Petrol Type: PREMIUM UNLEADED Matl Name:SUPER UNLEADED GASOLINE Cas #: 8006-61-9 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): STEEL CLAD W/FIBERGLASS R. P. Material(s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1994 Drop Tube : 1994 Striker Plate: 1994 Sgl Wall: PLASTIC Alarm : Ball Float : 1994 Fill Tube S/O: 0 TANK LEAK DETECTION Dbl Wall: INTERSTITIAL MONITORING Installed: Installed: Exempt: No Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -5- 03/11/2004 e e F READY GO MARKET SiteID: 015-021-001394 ì f= Inventory Item 0001 Facility Unit: Fixed Containers on Site 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION Piping Type : Const: Mfgr : Mtl : & : Corr : Prot : UnderGround PRESSURE DOUBLE WALL UNKNOWN FIBERGLASS AboveGround Piping FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 07/28/2003 Date: 07/21/2002 Name:HAN MO CHUNG Prmt Number: 1394 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR w/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE TANK/LINE TEST : CP CERT. : MANWAY INSP. :10/26/1999 UST MONIT. CERT:11/17/2003 Ttl:Owner Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: Yes Installation Inspected & Certified by Registered Engineer: Yes Installation Inspected by Unified Program Agency: Yes Manufacturer's Checklist Completed: Yes Installer Certified by Contractors' State License Board: Yes Approved Alternate methods: Date: 07/21/2002 Name:HAN MO CHUNG Ttl:Owner -6- 03/11/2004 e e F READY GO MARKET f= Inventory Item 0002 = COMMON NAME / CHEMI CAL NAME UNLEADED GASOLINE SiteID: 015-021-001394 ì Facility Unit: Fixed Containers on Site ì Location within this Facility Unit WITHIN SPLIT TANK WITH SUPREME UL Days On Site 365 Map: Grid: CAS# 8006619 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 8000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 4000.00 GAL Daily Average 2000.00 GAL %Wt. RS CAS # 100.00 Gasoline No 8006619 HAZARDOUS COMPONENTS HA D N TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR ZAR ASSESSME TS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined8: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.ÐefinelO: I- Ag. Define11 -7- 03/11/2004 " e e F READY GO MARKET f= Inventory Item 0002 STORAGE CONTAINER DATA Last Action Type: Location In Site: WITHIN SPLIT TANK WITH SUPREME TANK DESCRIPTION Tank ID#: 2 Mfr: Modern weld Installed: 12/1994 Capacity: 8000 Gals Additional Info: SiteID: 015-021-001394 9 Facility Unit: Fixed Containers on Site ì UST FORM B and AGENCY-DEFINED) Page 1 of 2 UL Compart Tank: Y No. Of Comparts: 2 Tank Use: MOTOR VEHICLE FUEL MatI Name:UNLEADED GASOLINE TANK CONTENTS Petrol Type: REGULAR UNLEADED Cas #: 8006619 Type : DOUBLE WALL Material(p): STEEL CLAD W/FIBERGLASS R. P. Material(s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1994 Drop Tube : 1994 Striker Plate: 1994 TANK CONSTRUCTION Sgl Wall: PLASTIC Alarm : Ball Float : 1994 Fill Tube S/O: 0 TANK LEAK DETECTION Dbl Wall: INTERSTITIAL MONITORING Installed: Installed: Exempt: No Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -8- 03/11/2004 " e e F READY GO MARKET SiteID: 015-021-001394 9 f= Inventory Item 0002 Facility Unit: Fixed Containers on Site 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION Piping Type: Const: Mfgr : Mtl : & : Corr : Prot : UnderGround PRESSURE DOUBLE WALL UNKNOWN FIBERGLASS AboveGround Piping FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 07/28/2003 Date: 07/21/2002 Name:HAN MO CHUNG Prmt Number: 1394 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR w/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE TANK/LINE TEST : CP CERT. : MANWAY INSP. : 10/26/1999 UST MONIT. CERT:11/17/2003 Ttl:Owner Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: Yes Installation Inspected & Certified by Registered Engineer: Yes Installation Inspected by Unified Program Agency: Yes Manufacturer's Checklist Completed: Yes Installer Certified by Contractors' State License Board: Yes Approved Alternate methods: Date: 07/21/2002 Name:HAN MO CHUNG Ttl:Owner -9- 03/11/2004 o e F READY GO MARKET I f= Notif./Evacuation/Medical Agency Notification SiteID: 015-021-001394 9 Fast Format 9 Overall Site 9 05/30/1995 TELEPHONE AT COUNTER OR IN OFFICE WOULD BE USED TO DIAL 9-1-1 IN THE EVENT OF AN EMERGENCY. FOR NON-EMERGENCY SITUATIONS THE HAZ MAT OFFICE OF THE BAKERSFIELD FIRE DEPT IS CALLED AT 326-3979. Employee Notif./Evacuation 05/30/1995 WORD OF MOUTH WILL BE USED WITHIN STORE TO NOTIFY THE PUBLIC AND EMPLOYEES OF EVACUATION SITUATION. A PUBLIC ADDRESS SYSTEM IS LOCATED AT THE COUNTER TO NOTIFY CUSTOMERS AT THE PUMPS. Public Notif./Evacuation 05/30/1995 YELL TO CUSTOMERS TO VACATE AREA AND NOT TO START CARS IF SPILLAGE IS ON THE GROUND. Emergency Medical Plan 05/30/1995 ] CALL WHITE LANE MEDICAL CENTER. -10- 03/11/2004 e e SiteID: 015-021-001394 9 Fast Format 9 Overall Site 9 01/18/2001 F READY GO MARKET I f= Mitigation/Prevent/Abatemt Release Prevention AUTOMATIC SHUTOFF ON PUMPS. THE UNDERGROUND TANK SYSTEM IS ELECTRONICALLY CONTROLLED TO SHUT OFF THE PUMPS WHEN A LEAK IS DETECTED IN THE TANK OR PRODUCT LINES. Release Containment 01/18/2001 GREASE SWEEP TO CONTAIN SPILLS. THE UNDERGROUND TANKS HAVE SECONDARY CONTAINMENT AS DOUBLE WALL FIBERGLASS TANKS. Clean Up 01/18/2001 SUN VALLEY OIL COMPANY WILL BE NOTIFIED TO ASSIST IN THE REMOVAL OF GASOLINE FROM THE TANKS AND/OR SECONDARY CONTAINMENT. ABSORBANT USED TO SOAK UP SMALL SPILLS WILL BE TRANSFERRED INTO A METAL CONTAINER OR OTHER SUITABLE CONTAINER USING NON METALIC TOOLS UNTIL PROPER DISPOSAL CAN BE ARRANGED EITHER THROUGH SUN VALLEY OIL CO OR A LICENCED HAZARDOUS WASTE HAULER.. Other Resource Activation -11- 03/11/2004 e e F READY GO MARKET I f= Site Emergency Factors r== Special Hazards Utility Shut-Offs A) GAS - SE CORNER OF THE BLDG B) ELECTRICAL - PANEL BOX IN BATHROOM C) WATER - NW CORNER OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO SiteID: 015-021-001394 9 Fast Format 9 Overall Site 9 I . 03/13/1998 Fire Protec./Avail. Water 03/13/1998 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS IN OFFICE AND BEHIND COUNTER. FIRE HYDRANT - LOCATED ON NW CORNER OF LOT ACROSS THE ST. Building Occupancy Level -12- 03/11/2004 e . SiteID: 015-021-001394 ì Fast Format ì Overall Site ì 01/18/2001 F READY GO MARKET I F Training Employee Training WE HAVE 3 EMPLOYEES AT THIS FACILITY. WE HAVE MSDS SHEETS ON FILE FOR EACH HAZARDOUS MATERIAL WE HANDLE. BRIEF SUMMARY OF TRAINING PROGRAM: IF THERE IS A SPILL CLEAN IT UP. IF GAS GETS IN EYE OR ON SKIN WASH WITH WATER. IF LARGE SPILL CALL FIRE DEPT. IF LEAKAGE SHUTOFF PUMPS. Page 2 [ I I Held for Future Use Held for Future Use -13- 03/11/2004 ;- '<, - ',> - READY GO MARKET /,,// = SlteID: 015-021-001394 = / / Manager : / // BusPhone: (805) 835-8518 Location: 1600 VALHALLA DR , Map : 123 CommHaz : Low City : BAKERSFIELD Grid: 02C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 SIC Code:5541 EPA Numb: " DunnBrad: PLJA/ J.Ai..~/UIIA/b Emergency Co~tact / "Title Emergency Contact / Title ...;g~0l>TO HROH PAI{ fi~> De-?1~ / " _90 tf3x Business Phone: 835-8518x Business Phone: (661 )~! 24-Hour Phone : (-no"r-:) Á~ã lé3 ~xðl>l-6¿4- ÞR'i14 - Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Contact . Phone: ( ) - x MailAddr: 1600 VALHALLA DR State: CA City : BAKERSFIELD Zip : 93309 Owner f:ES?NG U:E:ON PKKI-IA-N ~o CHUNG, Phone: ( 'ß"t) 5 ) CC:; 16~8x Address : 8605 ANTIBES WAY State: CA6b/-66t.!-O 891 City . BAKERSFIELD éA 93 ? I! Zip : 93311 Period : to Tota:LASTs: = Gal Pre parer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: I, _S1éo~ f " p,4~ Do hereby carmy that' have YP8 or pnnt name) reviewed the attached hazardous materials manage- ment plan for "f.(ëAPY Go f'l ~nd that it along wlh (Narfie of Business) any corrections constitute a complete and correct man- agement plan for my facility. ~.~~ ~ Df/OJ/Of Dåte -1- 01/08/2001 " - - F READY GO MARKET T RAGE CONTAINER DATA UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: READY GO MARKET Cross Street : Business Type: Org Type: Total Tanks : 2 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : Phone: ( ) - x Address: City : State: Zip: Type : TANK OWNER INFORMATION Name : Phone: ( ) - x Address: City : State: Zip: Type : BOE UST Fee# : 037550 Financ' I Resp: SELF INSURED Legal Notif : Business Mailing Address Date:04/13/2000 Phone: (661) 835-8518x Name:Seong Weon Pak Ttl:Owner State UST # : 1998 Upg Cert#: 00846 S 0 SiteID: 015-021-001394 ì p= Hazmat Inventory ~ As Designated Order One Unified List ì All Materials at Site ì Hazmat Common Name. . . SpecHaz EPA Hazards DailyMax MCP SUPER UNLEADED GASOLINE UNLEADED GASOLINE L L 4000.00 GAL UnR 4000.00 GAL UnR -2- 01/08/2001 e e F READY GO MARKET p= Inventory Item 0001 F= COMMON NAME / CHEMICAL NAME SUPER UNLEADED GASOLINE SiteID: 015-021-001394 ì Facility Unit: Fixed Containers on Site ì Location within this Facility Unit IN SPLIT TANK W/ UL GASOLINE Days On Site 365 Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 8000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 4000.00 GAL Daily Average 1000.00 GAL %wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS#a006619 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR HAZARD ASSESSMENTS p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit WITHIN SPLIT TANK WITH SUPREME UL Map: Grid: CAS # 8006619 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 8000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 4000.00 GAL Daily Average 2000.00 GAL HA ARDO %Wt. RS CAS # 100.00 Gasoline No 8006619 Z US COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR HAZARD ASSESSMENTS -3- 01/08/2001 - e F READY GO MARKET I p= Notif./Evacuation/Medical Agency Notification SiteID: 015-021-001394 ì Fast Format ì Overall Site ì 05/30/1995 TELEPHONE AT COUNTER OR IN OFFICE WOULD BE USED TO DIAL 9-1-1 IN THE EVENT OF AN EMERGENCY. FOR NON-EMERGENCY SITUATIONS THE HAZ MAT OFFICE OF THE BAKERSFIELD FIRE DEPT IS CALLED AT 326-3979. Employee Notif./Evacuation 05/30/1995 WORD OF MOUTH WILL BE USED WITHIN STORE TO NOTIFY THE PUBLIC AND EMPLOYEES OF EVACUATION SITUATION. A PUBLIC ADDRESS SYSTEM IS LOCATED AT THE COUNTER TO NOTIFY CUSTOMERS AT THE PUMPS. Public Notif./Evacuation 05/30/1995 YELL TO CUSTOMERS TO VACATE AREA AND NOT TO START CARS IF SPILLAGE IS ON THE GROUND. Emergency Medical Plan 05/30/1995 ' CALL WHITE LANE MEDICAL CENTER. -4- 01/08/2001 - e F READY GO MARKET I p= Mitigation/Prevent/Abatemt Release Prevention SiteID: 015-021-001394 1 Fast Format 1 Overall Site 1 03/13/1998 AUTOMATIC SHUT-OFF ON PUMPS. THE UNDERGROUND TANK SYSTEM IS ELECTRONICALLY CONTROLLED TO SHUT OFF THE PUMPS WHEN A LEAK IS DETECTED IN THE TANK OR PRODUCT LINES. Release Containment 05/30/1995 GREASE SWEEP TO CONTAIN SPILLS. THE UNDERGROUND TANKS HAVE SECONDARY CONTAINMENT AS DOUBLE-WALL FIBERGLASS TANKS. Clean Up 05/30/1995 SUN VALLEY OIL COMPANY WILL BE NOTIFIED TO ASSIST IN THE REMOVAL OF GASOLINE FROM THE TANKS AND/OR SECONDARY CONTAINMENT. ABSORBANT USED TO SOAK-UP SMALL SPILLS WILL BE TRANSFERRED INTO A METAL CONTAINER OR OTHER SUITABLE CONTAINER USING NON METALIC TOOLS UNTIL PROPER DISPOSAL CAN BE ARRANGED EITHER THROUGH SUN VALLEY OIL CO OR A LICENCED HAZARDOUS WASTE HAULER.. Other Resource Activation I -5- 01/08/2001 e e F READY GO MARKET I f= Sit~ Emergency Factors r== Special Hazards Utility Shut-Offs SiteID: 015-021-001394 ì Fast Format ì Overall Site ì I 03/13/1998 A) GAS - SE CORNER OF THE BLDG B) ELECTRICAL - PANEL BOX IN BATHROOM C) WATER - NW CORNER OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 03/13/1998 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS IN OFFICE AND BEHIND COUNTER. FIRE HYDRANT - LOCATED ON NW CORNER OF LOT ACROSS THE ST. Building Occupancy Level -6- 01/08/2001 e e F READY GO MARKET I F Training Employee Training SiteID: 015-021-001394 ì Fast Format ì Overall Site ì 05/30/1995 WE HAVE 3 EMPLOYEES AT THIS FACILITY. WE HAVE MSDS SHEETS ON FILE FOR EACH HAZARDOUS MATERIAL WE HANDLE. BRIEF SUMMARY OF TRAINING PROGRAM: IF THERE IS A SPILL CLEAN IT UP. IF GAS GETS IN EYE OR ON SKIN WASH WITH WATER. IF LARGE SPILL. CALL FIRE DEPT. IF LEAKAGE SHUT-OFF PUMPS. Page 2 r I I Held for Future Use Held for Future Use -7- 01/08/2001 -.., ¡" ---- -~¡ READY GO MARKET It RECEIVED MAR 11 1998 - SiteID: 215-000-001394 : Manager : " Location: 1600 VALHALLA DR IfY~~/ Ci ty BAKERSFIELD \-/ BusPhone: Map : 123 Grid: 02C (805), 835-8518 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code:5541 DunnBrad: Emergency Contact / Title Emergency Contact / Title SEONG WEON PAK / / Business Phone: (805) 835-8518x Business Phone: ( ) - x 24-Hour Phone : (805) 665-1638x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Emergency Directives: One Unified List ì All Materials at Site ì p= Hazmat Inventory ~ MCP+DailyMax Order Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP UNLEADED GASOLINE SUPER UNLEADED GASOLINE L L 8000 GAL UnR 4000 GAL UnR ~,~E-6~j ~Goµ PltlЩ ~\9roby OORi8*M ft~~ ~ ~aMÆJ\ O1pnnlnamQ) , "'if ""''V lei rsvi®wsd ftlro~ ~~81Ch~©1 ~~~~@Y$ m~a®rñªi$ m@ :ag@- msnft plan ioV' 6-1~*~1k-f.rMÎ1 ~~~ g~ t§Jij@i"i~ with anV oorr®dioú'1l$ ©©f'ðs~i~uie Bl OOffl~ß® t§!r¡©1 OOIT®©R ffi®fi'iJ- BJ@~m~rnft lºJJ~81! ~@U' ~V ~d~å~. ~ W~ ()RA.f.- va!( f rJ Signeturo I "!C1::Jb -1- 03/10/1998 .. e e SiteID: 215-000-001394 ì Facility Unit: Fixed Containers on Site ì F READY GO MARKET f= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit WITHIN SPLIT TANK WITH SUPREME UL Map: Grid: CAS # 8006619 [ ~TA~EI TYPE ~ P~ESSURE ---r TEM~ERATURE I =Llquld __pure ~mblent ---1 Amblent ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum GAL 8000.00 GAL CONTAINER TYPE UNDER GROUND TANK Daily Average 5000.00 GAL HAZARDOUS COMPONENTS ~I CAS#S006619 I %Wt. I 100.00 Gasoline HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR f= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME SUPER UNLEADED GASOLINE Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within thïs Facility Unit IN SPLIT TANK W/ UL GASOLINE Map: Grid: CAS # 8006-61-9 STATE ---.:..... TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 4000.00 GAL Daily Average 1000.00 GAL %Wt. RS CAS # 100.00 Gasoline No 8006619 HAZARDOUS COMPONENTS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR -2- 03/10/1998 · - e í READY GO MARKET ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001394 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Notif./Evacuation/Medical ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Agency Notification ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05/30/1995 i o 0 o TELEPHONE AT COUNTER OR IN OFFICE WOULD BE USED TO DIAL 9-1-1 IN THE EVENT 0 o OF AN EMERGENCY. FOR NON-EMERGENCY SITUATIONS THE HAZ MAT OFFICE OF THE 0 o BAKERSFIELD FIRE DEPT IS CALLED AT 326-3979. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Employee Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05/30/1995 i o 0 o WORD OF MOUTH WILL BE USED WITHIN STORE TO NOTIFY THE PUBLIC AND EMPLOYEES 0 o OF EVACUATION SITUATION. A PUBLIC ADDRESS SYSTEM IS LOCATED AT THE COUNTER 0 o TO NOTIFY CUSTOMERS AT THE PUMPS. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Public Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05/30/1995 i o 0 o YELL TO CUSTOMERS TO VACATE AREA AND NOT TO START CARS IF SPILLAGE IS ON 0 o THE GROUND. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Emergency Medical Plan ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05/30/1995 i o 0 o CALL WHITE LANE MEDICAL CENTER. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf .. e e -3- 03/10/1998 '. 41 e í READY GO MARKET ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001394 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Mitigation/Prevent/Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05/30/1995 ¡ o 0 o AUTOMATIC SHUT-OFF PUMPS. THE UNDERGROUND TANK SYSTEM IS ELECTRONICALLY 0 o CONTROLLED TO SHUT OFF THE PUMPS WHEN A LEAK IS DETECTED IN THE TANK OR 0 o PRODUCT LINES. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05/30/1995 ¡ o 0 o GREASE SWEEP TO CONTAIN SPILLS. THE UNDERGROUND TANKS HAVE SECONDARY, 0 o CONTAINMENT AS DOUBLE-WALL FIBERGLASS TANKS. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05/30/1995 ¡ o 0 o SUN VALLEY OIL COMPANY WILL BE NOTIFIED TO ASSIST IN THE REMOVAL OF GASOLINE 0 o FROM THE TANKS AND/OR SECONDARY CONTAINMENT. ABSORBANT USED TO SOAK-UP 0 o SMALL SPILLS WILL BE TRANSFERRED INTO A METAL CONTAINER OR OTHER SUITABLE 0 o CONTAINER USING NON METALIC TOOLS UNTIL PROPER DISPOSAL CAN BE ARRANGED 0 o EITHER THROUGH SUN VALLEY OIL CO OR A LICENCED HAZARDOUS WASTE HAULER. . 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -4- 03/10/1998 > ~ é e e í READY GO MARKET ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001394 ¡ íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format ¡ íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site ¡ íëë Special Hazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05/30/1995 ¡ o 0 o A) o B) o C) o D) o E) GAS - SOUTHEAST CORNER OF THE BLDG ELECTRICAL - PANEL BOX IN BATHROOM WATER - NORTHWEST CORNER OF BLDG SPECIAL - NONE LOCK BOX - NO o o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Fire Protec./Avail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05/30/1995 ¡ o 0 o PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS IN OFFICE AND BEHIND COUNTER. 0 o 0 o 0 o 0 o FIRE HYDRANT - LOCATED ON NORTHWEST CORNER OF LOT ACROSS THE STREET. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj -5- 03/10/1998 .; .... '"' e e í READY GO MARKET ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001394 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05/30/1995 j o 0 o WE HAVE 3 EMPLOYEES AT THIS FACILITY. o o o o o o WE HAVE MSDS SHEETS ON FILE FOR EACH HAZARDOUS MATERIAL WE HANDLE. o o BRIEF SUMMARY OF TRAINING PROGRAM: IF THERE IS A SPILL CLEAN IT UP. IF GAS 0 o GETS IN EYE OR ON SKIN WASH WITH WATER. IF LARGE SPILL CALL FIRE DEPT. IF 0 o LEAKAGE SHUT-OFF PUMPS. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ 0 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj -6- 03/10/1998 "'i ~"f~ ~. 03/30/95 RE! GO ~RKET. 2l5-000-00l~9~~~~26¡\~~~~lqe Overall S>te w>th 1 Fac. Un>t ~. ~ General Information By ~ 1 Location: 1600 VALHALLA DR Map:123 Haz:2 Type: 3 city . Bakersfield Grid: 02C F/U: 1 AOV: 0.0 . --- Contact Name Title .-- Contact Name Title SEONG WE ON PAK / / Business Phone: (805) 835-8518x Business Phone: ( ) - x 24-Hour Phone · (805) 665-1638x 24-Hour Phone · ( ) - x · · Pager Phone · ( ) - x Pager Phone · ( ) - x · · Administrative Data Mail Addrs: 1600 VALHALLA DR D&B Number: City: BAKERSFIELD State: CA Zip: 93309- Comm Code: 215-007 BAKERSFIELD STATION 07 SIC Code: 5541 Owner: SEONG WEON PAK Phone: (805) 665-1638 Address: 8605 ANTIBES WAY State: CA City: BAKERSFIELD Zip: 93311- Summary Ý--~~ 20. j¿J (hqy¡ poic- :c ~" çy "l:1+A-T -t*t:: {N~(G.f\AATtÐ^" (s l12-ùE ~ ACL}J rú2-~t£ n . \ e e 03/30/95 READY GO MARKET 215-000-001394 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-001 SUPER UNLEADED GASOLINE Liquid 4000 Unrated ~ GAL 02-002 UNLEADED GASOLINE Liquid 8000 Unrated ~ GAL c. e e , 03/30/95 ,... READY GO MARKET 215-000-001394 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-001 SUPER UNLEADED GASOLINE Liquid 4000 Unrated ~ GAL /CAS #: Trade Secret: No .-:;) ../" Form: Liquid Type: Unknown Days: 365 Use: Storage UNDER GROUND TANK ~ Daily Average GAL ~ Annual AmOUn~~AL -- I ! / trC1 &;;/ L 0.00 I ~ 61~o-o ,£..0.00 r Press T T~A: ~I~ SPLIT TANKL~~a~iogASOLINE , ~ ? Daily Max GAL 4,000 - Conc I l()O-t>(6' ~rx~uNé 02-002 UNLEADED GASOLINE ~ Components MCP ----p;uide Liquid 8000 Unrated GAL CAS #: Trade Secret: No Form: Liquid Type: Unknown Days: 365 Use: Storage UNDER GROUND TANK ~ Daily Average GAL ~ I ¿' .>DO ~/¿__ 0 ~ 00 I , r Press T Temp l ~ WITHIN SPLIT Components Annual Amount GAL -- /J).:2-/ ~~lc.:.::° Location " TANK WITH SUPREME U Daily Max GAL 8,000 - Conc Ð, lOO (1.9 I ,. &- Þ-c ;:.0 l.,..' rJ I:- , MCP-----p;uide '. e e '. 03/30/95 ,..- READY GO MARKET 215-000-001394 00 - Overall Site Page 4 <D> Notif./Evacuation/Medical <1> Agency Notification .rr-~~~G ~ Cð0,JTC~ o(L ,¡-j oa,e.¿ vÙc)vL.D Iþ~ t/SC:D --to ü I p< L 4 -- l ~ l (r-J 11t~ &~') ó~ k,J G:M. ~~ c..-L{ . ç::c) ~ N() tv - é!v\ ~C1' S t TV A T( d N$ I 11t-E" 1~À-'L-fV\~T OFH~ ~ ~E. ~AK.C-'-ß...S.FÆLD ç:-¡p-~ DGPT IKT" SL(ò'- ~9 7q, <2> Employee Notif./Evacuation fAJ cß D ~ 14 è)0 T~ (}..J ( LL. ß e.. usED We T7..J-;~ S W(1 ~ to N6TI c-Y 11-\-~ Po ~uc.. 4 &-P LðC(EES ðY &'4<:-UA-ÏlÐ.J S \ TV A. ,cé>t\J < A T .,.-t4- E A Ç'U3LlG. AþP(è¡:;Ç<S S'k TC-fV1 is LðCATEO (pc) ¡J Têe... TO /'b 'I ( ~ CùS TO (\0'\ 8t-s. AT ""f1..!£. fù Þ'V\ß,.. <3> Public Notif./Evacuation YELL TO CUSTOMERS TO VACATE AREA AND NOT TO START CARS IF SPILLAGE IS ON THE GROUND. <4> Emergency Medical Plan CALL WHITE LANE MEDICAL CENTER. r '. 03/30/95 -- e READY GO MARKET 215-000-001394 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt <1> Release Prevention AUTOMATIC SHUT-OFF PUMPS. '~ c.J'^!'f)(j,O¿~ (/'(liD 'IAN (<.. ? CIs r&v1 ( 7 'ELC-t- (Qò ¡J , CA. L'- Y t,0 ~0J A LC-&~ (S f."l tV t:;? CcJN -ra.ò LC6.G> íò D~e. TC--o 5t:tú r ðç:-ç: íU~ FV (111 Ps (rJ T\-\-E: TA rJ ¡¿.. (!) Q.. PM Ov'CT <2> Release Containment GREASE SWEEP TO CONTAIN SPILLS. 1l+E- UrJD~(},ND '('AiVk-S IJ.Þ,J~ S ~u>¡J () p.(?J./ C::ONTA, '" f\o'l r;:l.\.r( AS b c) Llg L£ - wALL r-t ßf:R-&L-~~S T~ l4 ~... <3> Clean Up S tJ 10 if Àl.-L. ~ C{ Ole ~Mc( ûJl.LL ßE ¡JCYr:7 FrED 1"0 p<t;c; çS { I~ ï1-(6 fZ,EM.ö.JAi- oF aÆSòLfNE: f{2.ðM. \1-(£ -rArJe:.S ÞrrJ't> (~ c;ECòNoAflsJ ú:>Ai-rA'~6-V'--, A~>c>J2.ßA-,.Jr USEP (ð So .ô.l'- - () P 5Mb-~L ç PI t.L S ¿;) ( L '- ~ ~ 'Tí2..þ..'>J $ ç:r;:(Z.6? t rJ TD A MetAc.- CðI'KA:-.t0f5fL. o.(L Ð~~ <:;() '-rA~Œ C!..ðA.J/A,^'éR... us. ING- <4> ()t-hßr ~~se1ir~e Aati "at ion NON - (V\6TAL-tc.. '\ÕOLS- ÙtJJT(L PR.òfc~ DCS.«>ðSAL- êA"-N ßé- A~A~r;.E{> £:¡ 11-(-éfL ~VG-#- <S;u,J ÝALL6V OlL- GO.. DfL A L.I cc-.uGéD l+AZ-M[)ðJS ~A.C;'íE .µ;wu::.~. > ;"-, -.. 03/30/95 o - READY GO MARKET 215-000-001394 00 - Overall Site Page 6 <F> Site Emergency Factors <1> Special Hazards <2> utility Shut-Offs A) GAS - SOUTHEAST CORNER OF THE BLDG B) ELECTRICAL - PANEL BOX IN BATHROOM C) WATER - NORTHWEST CORNER OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. ¡,..J 0 çç,c.£. ~ ~&-IWD CòJA.I~ FIRE HYDRANT - LOCATED ON NORTHWEST CORNER OF LOT ACROSS THE STREET. <4> Building Occupancy Level ~ ,r t f''''¡'' 03/30/95 o e READY GO MARKET 215-000-001394 00 - Overall Site Page 7 <G> Training <1> Employee Training WE HAVE 3 EMPLOYEES. WE HAVE MSDS SHEETS ON FILE FOR EACH HAZARDOUS MATERIAL WE HANDLE. IF THERE IS A SPILL CLEAN IT UP. IF GAS GETS IN EYE OR ON SKIN WASH WITH WATER. IF LARGE SPILL CALL FIRE DEPT. IF LEAKAGE SHUT-OFF PUMPS. <2> Page 2 <3> Held for Future Use <4> Held for Future Use '-, 7,!'. -'~ - . February 15, 1995 Seong Weon Pak 1600 Valhalla Dr Bakersfield, CA 93309 City of Bakersfield Fire Department 1715 Chester Ave. Bakersfield, CA 93301 To Whom It May Concern, Regarding the CERTIFICATION OF FINANCIAL RESPONSIBILITY REQUIRMENT, I would like to provide my Assets information as follows. Value of owned real property Value of Business Owned Less: Liability $ 350,000, 200,000, -310,000. ---------------- Net Worth $240,000. , Location of property: 1600 Valhalla Dr., Bakersfield, CA 93309 If you have any question, Please call my accountant at 805-322-1852. Thank you. Sincerely, Seong Weon Pak ~ W.ßðn1 f 4- / .-/ OßÁrUCÙoa.oa~ne) -State of California _ , State Water Resources <Wrrol Board CERTIFICATION OF FINANCIAL RESPONSIBiliTY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM A. I am required to cIe~ F'UWICiaI RelpOllÚbility ia &be required am_au AI apecified ia SeCÙoa 7~r 18, Div. 3. Tide 23. CCR: L..J!: 5OO,OOO dollars per OCCUI1"eaco 1 miBioa dollars aDDuaI agrepte . ~ MD ~ ~ ~ 1 miBioa doUan per occlUreac:e 02 miDioa dollars aDDul agrepte . I B. hereby certifies that it is in compliance with the requirements of Section 2807, (NlUlJeølTd tl'aro,itn1æ) Article 3, Chapter 18, Division 3, Title 23, California Code of Regulations. Thè mechanisms used to demonstrate financial responsibility as required by Section 2807 are as follows: ,:t::':::,,~~;häri~:5;¡i¡!::~: ~i:¡¡!~~I¡!¡=r:0:;~::-A:g~f~~:: ~,!}~~,r-" ,::' ,"',': '::·;:,:'·:'<¡:!¡!'!::::~~Wig~å<\::¡¡::·',~61~¡¡!,':':~þ~\rg§):{!¡Ä~~~~:~ggM4rt; M -pßf)~ 6 ,W. Q Cl ß -- ----f, f}'.-Bex f-,!?;(-~!:b- --~ - £~ lr1.~fiJ -rO, ..04 '-- 4J --- - - 'GD#"[fJJ!4" - tI ~- -7~-- lÇ5- 1fcrJ,.()()' , 'Ð (¡t¡,Ç, " I ~ <" , . , I ~ -'I ~ . ..£ ~ ItJ. ()OO {j;Pf/N'rJ. j;f-? .~,1,..,~ OÚç I Note: If you are using the State Fund as any part of your demonstration of financial responsibility, your execution and submission - ,,(this êertifkiiijion also certifies that 'Ou are in com liåhce~with-aliêonaïtiòhs for . rticl cion in the Fund: - - - - . Facility NIDI! Facility Addr_ .J3,4K6IZ..5f'"GLD C4 933'0 R~4-D ;601) IJ-LHIfUIt f) Facility NIDI. Facility Address " Faålity N..... FacilityAddr_ Facility Name FacilityAddr_ Facility Name Pacility Addr_ Date FILE: Origillel - ..i·' .>- ... .-' : «;. <, , - e e "..-.I ,<_<;:.: t , I ..' INSTRUCTIONS ,--- í - ,czæ:IFI~IOH OF FIHAHCIAL RESPOHSIBILIn FORM , - > . - , . Please type or print clearly all information on Certification of Financial Responsibility foná. ' All UST facilities and/or sites, owned or operated may be listed on one fonm¡ therefore a separate certificate is not required for each site. DOCUMENT INFORMATION A. '-MøIm Required - Check the appropriate boxes.' B. ~ of Tank owner - Full name of either the tank owner or the operator. or Operator C. . ~isa Type - ~ of Issuer - MechMisa II~ - Co¥eI age Mautt - Indicate which State approved mechanism(s) are being used to show financial responsibility either as contained in the federal regulations, 40 CFR, Part 280, Subpart H, Sections 280.90 through 280.103 (See Financial Rponsibility Guide, for more information), or Section 2802.1, Chapter 18, Division 3, Ti~le 23, CCR. List all names anc~ addresses of (:ompanies and/or individuals issuing coverage. List identify;fng nuiÐer for each mechanism used. or fi le m..IIÐer as indicated on bond or docunent. (State Fund) leave blank.) Example: insurance policy number (If using State Cleanup Fund Indicate amount of coverage for each type of mechanism(s). If more than one mechanism is indicated, total must equal 100% of financial responsibility for each facil ity. Indicate the effective date(s) of all financial mechanism(s). (State Fund coverage would be continuous as long as you maintain compliance and remain eligible to continue participation in the Fund.) Corrective Action - Indicate yes or no. Does the specified financial mechanism provide coverage for corrective action? (If using State Fund, indicate "yes".) Coverage Period - Thi rd Party - CCIIIpenS8ti on D. Facility- Info..-tion E. Si.,ature Block - Indicate yes or no. Does the specified financial mechanism provide coverage for third party c~ation? (If using State Fund, indicate "yes".) Provide all facility and/or site names and addresses. Provide signature and date signed by tank owner or operator¡ printed or typed name and title of tank owner or operator; signature of witness or notary and date signed¡ and printed or typed name of witness or notary (if notary signs as witness, please place notary seal next to notary's signature). IIære to Mail Certification: _ -,". ~rlea&e "ø£ï.d cri·¡.i,..~t-· to you:- ~"~·nl-e~~cy .(..gg~y who· .ir.sueg~your- tJ~T~ .permits)". Keep ,8. copy_of th.e -certification at each facility or site listed on the fonm. ClueStions: If you have questions on financial responsibility requirements or on the Certification of Financial Responsibil ity Fonm, please contact the State UST Cleanup Fund at (916) 739-2475. Note: Penalties for Failure to CalÐlv with Financial Resoonsibil itv Reœi~ts: Failure to comply may result in: (1) jeopardizing claimant eligibility for the State UST Cleanup Fund, and (2)"liability for civil penalties of up to $10,000 dollars per day, per underground storage tank, for each day of violation as stated in Article 7, Section 25299.76(a) of the California Health and Safety Code. . .~:;-c ....:,~::;.:.\:i,.;,:~~.Q("~-....::::-..'t.--;:~..,. .._ '~'-'-_~"'''' ~I"" ,~:.- ~~~...-_.,_^.; Þ- ..--.-......-- ... .. ~,- --.....--....... ..... ~......... - .......... ---..............::'.+ ._-'-.._..~ . . ." ~ _ ..., .'. . :1:-, ," ...., -- , , fiFI L e. "====--= .~ í2- e :. {bÖO if ÂcLLlAu.... A Qa... 1\;' ~ (éi4 ~O'fE 1<> ç,<£) 1 ~ I 1~'"'* ------- ~v V~~ R~f'!t\"\ l~..C.. eAL.Lé~ ~e:~ IN T 't.... (f2(CH4'l.Ö ô~{')r8j~) IN , t,AJ C ~ "f t:: ê:. --- MA ~ jM/k: rJN~lìeU(j~A~ -- I "\ ~ E:~ -tlq S, 1l-(AF¡-~ ': 1¿6n..tJ\J'b~f; W~ n_______,-_~L<;.O -p WE;; fEe" - f "5, . ~{~ _e(èò~::~ ___~~~A.!('¿~ r~ (2-1 C 1.£ /.I,;e.O IN ~ Ié ö0 "f' "1:4 Ñ (¿~ S, :,,Aj ð~,VI- ~ ~~~t'A iJ=__f,ft-'.1ft\___J d} vE~\(~__ºr __~~'!r;. _ _______1 'rN>(~UA\IC9~_~_L___ ________ TA,~ , I'J& .------ -. ._- ----- t' - fNPf '~ _~~f ~__ t-,..je:;~l_( e~_f___~4.fJ..~~-v"Ç~/_ Ji?_IS(.(Pt~º-___ ~<..RK¿it'l1.~ ~flfE ~,"(\.1Pl'P\J6- ff'tL jM k. . ___L~___ __ ____ ______ - -~--------------- --- --- -- - ---'I !2-L\Äò~J,~ ~ IV¡ K7~ 71-11$ fS _.-:.n{(__JéJ_~__~!~_?¿£:~____ __________+-L~ , ! .5 u ß \'V\. \ \'f~ I') __________ ___________--- ~_..L.__________________ _______ ~ ¡ 1<We)1~ , II .j~K --- -------~- ! ð SO-æ"-Jð fE X A:.. y.<, f:;-ve..[; æ,,-JI i:Jç__~ Pf -t,(~ _t~_-=r:-~~_ ___~~'-! ____ __, v..H..t~ ~$_~ C<:c,,J f'L-v('t't-<\ I(l"? ~~ -¡~e}!!§~____ -~--_. ------- I: Åt ---~---~-+-+----- fi'- Q"}- "Tl-( C :r;~PtE- ~.~SC) t 1~ ~\, f t' Nt-v{:-f'<L ------------- ----" ------- - --- -- -.---- -- -------~¡...............----' ----- ------_._---~----- ----------- - _._------ --------, - - - - - ----.---- ~ -- ----- -- --------- ---- _u _ _ __ --~-r---~- \_~~~~ _____P§~~_y.:__G_ct'~_ _~__~("Yi~~C.,__ítçPè~¿'( __ ~-?~.~~~_!~_ V0!0_t?'t. - - , ._ n _____ ___ ___~:~~fJ~~. ___<=e_'T~(t~{-t~_~t;;) -1_ _ _:C~J}E- _ç~Il~_(¿·'f)___eA~t__f~~~~·~f·~'-~,- --- _____ ________ :~u'c¿ ¡>.,!ò_~ ðN 'i.'r!A.J;: Wµ'c-R..t:jjJJ¡Ð¡)('(~ ôf' "n!l' f,::)cç~~r ----,---l '::......-- - -- ---- - ______..Lt_~______ _n ------------ ---- --- ------ - -- ------ - --- nn_ I : :~y;;:..- -q-ì{-L ~Pu:: À&-..Jt\ ty~ I ~ R>f! ~)'4 ¿!\,\'f- fC:Iì-'('JVAL.,.. , -- --------------------- -------- --·-------------------------1 : (}'Jt:t,L)LE-:£}~>, '1ð £Â~.d f~=r I.~ fL/();,- ~(A..p.{})~j A~c.>W't' ~nA t~, --------------~-------------------~------ -----------~ ------- .----------- -.--- --- --------- _______________________ __ _________ __ --------______1 '1 'I i ' :L'M (\t()8r :t1AtJ?<I W,tr\..~ 1'H I.'" en,-uti2..~ T t¡)cw '~~~J~e(-'e~~__ ___ ';:11fe ê~'\.ltJ ö~' CCJs.'\t')~yJ IS Ij'AtlID Ä"''(' ~IS. PðIN'T!t_ A ~í-L_ ,/'\__ : AÇ$L~V~~'\J_~ MAV ~t .AfP.~ðrx~N_rc' IN__¡1.~t: -.hr~s..":"j$t~_~f~___1 \ __~ ;<é:~~c.:.~~ ~~11~~ (:... ___-1..-fA-t C¡JS_'~ !._____ ________ ______ ___ _ _____ -----. .~..-, .. R·-ti'\~7~ t 07/15/93 e e v/' READY GO MARKET 215-000-001394 Overall Site with 1 Fac. Unit Page 1 General Information Location: 1600 VALHALLA DR Community: BAKERSFIELD STATION 07 Map: 123 Hazard: Low Grid: 02C FlU: 1 AOV: 0.0 Contact Name Title g'E oPq- oN Qt>P4M;JI. P-!.Ll.EGGS I+~ 0 W N -e-te. 24-Hour Phone 805) 6.61 ð775 ( ) 6óÞ/63 Mail Addrs: City: Comm Code: Owner: Address: City: Summary Administrative Data 1600 VALHALLA DR BAKERSFIELD 215-007 BAKERSFIELD STATION 07 RICK EUElffl 5~OfV9- WeON pA K . fl]::e1 CAHINO þ(¡:9Ili #187 Sbo-s- ANTI ~~.s BAKERSFIELD ECEIVED JU~99t Q-\ HAZ. MAT. DIV. ~ ~ D&B Number: State: CA Zip: 93309- SIC Code: 5541 f,l)one: ( ßoS) ¿ br -163 B Lù~a te : CA Zip: 9-33ð~ 93:;11, I, SE()~£r W ~1J \~ Do hereby certify that I have ype or pnnt name) ,\ \ reviewed the attach~\~azardous materials manage- ment plan for R~A-J)Ÿ:"{;ð;tJ}~1hat it along with ! (Nam6of'Bu¡¡ine . any corrections âOl1stitutè'a complete and correct man. agement plan for my facility. 5:~ ~t?~ 0;/"=//3 -------------------- e e 07/15/93 READY GO MARKET 215-000-001394 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-001 GASOLINE Liquid 10000 Moderate Þ> Fire, Immed Hlth, Delay Hlth GAL 02-002 GASOLINE Liquid 10000 Unrated Þ> Fire, Immed Hlth, Delay Hlth GAL 02-003 GASOLINE Liquid ~gg&g Unrated Þ> Fire, Immed Hlth, Delay Hlth GAL - e e 07/15/93 READY GO MARKET 215-000-001394 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order "\ 02-001 GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS#: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL ~Annual Amount GAL -- 10,000 I 10,000.00 I 250,000.00 Storage UNDER GROUND TANK r Press T Temp l Location Ambient Below SOUTHWEST CORNER OF LOT ' - Conc l 100.0% Gasoline Components r; MCP ---p;uide Moderate 27 '. 02-002 GASOLINE ~ Fire, Immed Hlth, Delay.Hlth Liquid 10000 Unrated GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 10,000 I 5,000.00 I 250,000.00 Storage UNDER GROUND TANK r Press T Temp -:ì Location Ambient Ambient I SOUTHWEST CORNER OF LOT - Conc l 100.0% Gasoline Components r; MCP ~Guide Moderate 27 02-003 GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Unrated GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 10,000 I 5,000.00 I 250,000.00 Storage UNDER GROUND TANK r Press T Temp -:ì . Location Ambient Ambient I SOUTHWEST CORNER OF LOT - Conc l 100.0% Gasoline Components \-; MCP ---p;uide Moderate I 27 e e 07/15/93 READY GO MARKET 215-000-001394 00 - Overall Site Page 4 <D> Notif./Evacuation/Medica1 <1> Agency Notification <2> Employee Notif./Evacuation <3> Public Notif./Evacuation YELL TO CUSTOMERS TO VACATE AREA AND NOT TO START CARS IF SPILLAGE IS ON THE GROUND. <4> Emergency Medical Plan \ CALL WHITE LANE MEDICAL CENTER. v " e e 07/15/93 READY GO MARKET 215-000-001394 00 - Ov~ra11 Site Page 5 <E> Mitigation/Pr~v~nt/Abat~mt I <1> Release Prevention AUTOMATIC SHUT-OFF PUMPS. <2> Releas~ Containment GREASE SWEEP TO CONTAIN SPILLS. <3> Clean Up <4> Oth~r Resource Activation e e 07/15/93 READY GO MARKET 215-000-001394 00 - Overall Site Page 6 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - SOUTHEAST CORNER OF THE BLDG B) ELECTRICAL - PANEL BOX IN BATHROOM C) WATER - NORTHWEST CORNER OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - LOCATED ON NORTHWEST CORNER OF LOT ACROSS THE STREET. <4> Building Occupancy Level ~ r.. 4· e e 07/15/93 READY GO MARKET 215-000-001394 00 - Overall Site Page 7 <G> Training < 1> Page 1 3 j WE HAVE7=- EMPLOYEES. WE HAVE MSDS SHEETS ON FILE FOR EACH HAZARDOUS MATERIAL WE HANDLE. IF THERE IS A SPILL CLEAN IT UP. IF GAS GETS IN EYE OR ON SKIN WASH WITH WATER. IF LARGE SPILL CALL FIRE DEPT. IF LEAKAGE SHUT-OFF PUMPS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use ~----- , , - ~'·;~j~~f¡,:, .~. ~-c5f2J2aA;ð~~f~~,~¡[4{: ' . _r,':; ..Bakersfield Fire D~~t~- . 0: HAZARDOUS MATERIALS DiVisION , . . 1 ~.j .~ . \. ., r\~~;i .;. /1···.</;{i" . , ,r, r . "\"'p.-' ,:~~ ),:r:' , Date.Completed/] 2. ):--9 - f / ~. :,1"~ :' ~'.:. " "<'J Business Name: ~,h /1J#I-;JJ /6Ä /);/4///1 Business Identification No. 215-000 001391 Shift /1 Location: Station No. '7 (fop of Business Plan) ðóÞJyY1~ Inspector . 'L~' . ~ j . . RECEIVED JUl 3 0 1991 Ans'd............ " .- r ,. , , Verification of Inventory Materials Verification of Quantities Adequate ~ Q--' @- GY' Verification of Location Proper Segregation of Material Inadequate D D o D Comments: vr<-- Verification of MSDS Availablity 3 o ~ Verification of Haz Mat Training () tv f; fJ- ¿) ().dl 'ùr' j) 1/« Y P T u '^~ 51/h1 cI wh/J't f1s [) ç ~ Number of Employees D Comments: Verification of Abatement Supplies & Procedures o éflL.ê , D Comments: Emergency Procedures Posted Containers Properly Labeled D D Comments: ~/ o ~ D Verification of Facility Diagram Special Hazards Associated with this Facility: ~ ßI¡¿ wÅA- h ~of ~J¿ OtÞ~ /0 P-J~4'1 Violations: IJ i ~ f f/; "if; /ÆJ/ti. ¿J¡;¿>t4 - If &:'7 jf~ / i My' ¿/e-r7 ~«{. Ii, u ¡¿re'!!'>t ~ ~ ,uð7G /n-fo. All Items O.K. ~ Correction Needed F.D 1652 (Rev: 1-90) White-Haz Mat Div. Yellow-Station Copy Pink· Business Copy /a5-f%W, . 1~P 1A 001394 "-- ~' ," \.- .I - BAKERt)t-H:LD CITY FIRE DEPARTMéNT _ 2130 eG· STREET _ BAKERSFIELD, CA. 93301 (805) 326-3979 ...:, '. :t{ co'f~ ~ OFFICIAL USE ONLY ~~~ ~ GrE- I D # BUSINESS NAME .-- - -. -~. -- - ----- --," --' -. --- --' .~- HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS: RECEIVED MAlO 4 \989 HA~7,o MAT, ON. 1. To avoid further action, return this from within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. __~_,~~~T::: I:~SS B~:;:~~~~~~:;;/ .;~br lB. LOCATION / STREET ADDRESS: /~lft) - -r)¿jÂ~/t=-- . CITY: /bI:.ersG¿JJ ZIP: q 3:)6 r BUS. PHONE: SECTION 2: EMERGENCY NOTIFICATIONS (!lJ5) tJ3ksee? In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. . EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME ~. TITLE A. 4:JJ. 6~m B. 'k~lV1~ ¿~rJ~ SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NA TURAL GAS~P _ OPANE: ~ ¡;; ~r ~ rL.e-. IPdd,.<. B. ELECTRICAL: .f't\~ ~ :"f.... 1:1'\... _ __~--v-v / C. WATER: AJ Cðf-j O__~ ~ ~~ D. SPECIAL: . E. LOCK BOX: YES / NO IF YES, LOCATION: DURING BUS. HRS. PHI B~~S"æ7 t:J'j( - t)V6( PHI AFTER BUS. HRS. PHI h t C(-ÒÎ6 PHI ~ -- IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES / NO KEYS? YES I NO , -- ---- --- - ,4' ,~ . e ¡ " ~,,: SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE S~t $p't1( t<-)E:..- LvtK åf~ SW~ ,.,.~ \. ,ct. \J t.« ~~ ,¡ !,.,.f'. , JJ. ~'. ~ \'\ ,lr SECTION 5: LOCAL EMERGENCY MEDI~AL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE C~ttì;;;fr~:'","M;Àt+-e- ~D-v\úL- :-Mecl\c.~ CeA-l-êrr- "', Df,~>1f " " ~'^ ' \\J':, ~, U ¡ ¡'.r,? \lì(~ ';.'.1,1\" ".. 4H SECTION 6: EMPLOYEE TRAINING I ¡ EMPLOYERS ARE REQUIRED TO HAVE A TRAINING PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE SAFE HANDLING OF HAZARDOUS MATERIALS. A. NUMBER OF EMPLOYEES AT THIS FACILITY B. DO YOU HAVE MSDS (MATERIAL SAFETY DATA MATERIAL YOU HANDLE ? ¥~S C. GIVE A BRIEF SUMMARY OF YOUR HAZARDOUS MATERIALS TRAINING PROGRAM: 1.' ç +4r~ ~. ~, ~p"lr ~ it- op ì ~ f.x,.g 6~ ( ^ ~ ~ ÓV' DYv c;; K.(;", ríf ~ ~fl ~ ~~rd~~ þft- !2¡;t-: (.f ~ ~rr íll"'Y~ SECTION 7: EXEMPTION REQUEST ( SHEETS) FOR EACH HAZARDOUS ~/~ Lr..H ft w-~ I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE CALIFORNIA HEALTH AND SAFETY CODE FOR THE FOLLOWING REASONS: ANGLE HAZARDOUS MATERIALS. MAT CS:B~G¡UANTITIES AT NO REPORTING QUANTITIES. OTHER (SPECIFY_.REASON) SECTION ~ CERTIF~T~ I, ~.I:... f:'l:!~r , certify that the above information is accurate. I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et Al.) and that inaccurate informa 'on constitutes perjury. SIGNATURE TITLE ~ DATEdß? I " ¡-.- .. .,. -" .r"'_l" ~ , . " 1; . , Î BAIRSFIELD CITY FIRE DEtRTMENT 2130 -G- STREET BAKERSFIELD. CA. 93301 (805) 326-3979 " Co I BUSINESS NAMë 10# II ~ II I: ~ !! II OFFICIAL USE ONLY HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the Questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible ~ FACILÌTY UNIT. I FACILITY UNIT NAME: J1>~dì I", ¿-1at::ft,~rdklk SECTION 1: MITIGATION. PREVENTION. ABATEMENT PROCEDURES [)tf-J-öJ~4-t~ ç;;Lsi-ó(F pv M{/J ¿ bf-~ ~ ~ Cßt>-~.s Sjl'/-Þ SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THE UNIT ONLY -~.- -.~ ~~1e.-tf ~J tu*- ?J~. . t6-----c~"{þ~· Jo ~+- 'f6- ~. --- --'--~-- ,if, . ---- . ¿ ð-~Ct- rf :Sj?l II ð2-tJú2- t:r--- c.d2r-8 . e ¡ -;:-. 11- - '~. }. I 1'- _\& ,01.- ~' ¿ " >I . ',:; ~ '1 ßECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials? ..... ~ NO If Yes, see B. If NO, continue with SECTION 4 - ---. ~ .".-.---.~--:- --- -"""- .-- -, B. Are any of the hazardous materials a bona fide Trade Secret? YES c@:> If NO, complete a separate Hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form #4A-1) If YES, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (Yellow form #4a-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION r:1c- J2cfrfr"Fi~ SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS (Fi re Hydrant) ¡J W Lðrl\.eJr-- o-Ç Lt- ~S1 ~ Ç;,,{r--ea€-- --.-' ---~-~,_.- _ --~----------- ---- SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NATURAL GAS/PROPANE: S E. (þ r (If¿(¡--- ðf IDQ L bÞ ( ~ j B. ELECTRICAL: ßð--~ ~ p!U\.eJv 0ð-~ C. WATER: tJLJ (prf\.~ If ~. bb-1.W lí D. SPECIAL: jJ~ E. LOCK BOX: YES / NO IF YES, LOCATION: IF YES, SITE PLANS? YES / NO FLOOR PLANS? YES / NO MSDSs? KEYS? YES / NO YES / NO - 3B - . CIT}T of BAKERSFIELD . . ~HA'ZARDOUS MATERIALS INVENTORY .¡. Far.. and Aqriculture - Standard Business 'µ/ H~ . BUSINESS NAME: ~~ ~rI.e#-- OWNER .AHEN 0 p:r ~.;:,,: SEe R E.:ESOF Tn. ~A£IL1.TY, ,." -___ ,f --- LOCATION :~··4 ' ADDRESS: ~/f'~Ik..<""" ,/f--(¿¿c./rC4 -I!:/67 STANDARD IND. CLASS CODE CITY, ZIP: J. -/"_8_ _~ CITY, ZIP:~"P/-éf~e-.'-_ Cf1'09 DUN AND BRADSTREET NUMBER PHONE #: At;· PHONE': ~ e~ï:;:rS"BiJi7 RDD :ro INSrRUCTIONS rOR PROPIlR CODIlS t 2 Trans Type Code Code ] Max AIIt . Averag. AIIt 5 Annual Est 6 lleasure Units 7 8 I Oys Clllt III Sit. TyPl 9 10 Cant Cant PrlSl T.p 11 Use Cod. 12 Locat1111 llhere Stored in F.ci l1ty I] 'by lit If 11._ of IIhlture/Cœoonenu See Instruct illls Ph~iC.1 and H..lth H.z.rd C.A.S. IIuIIber _____________ COII XIIIII\t II ,.... C.A.S. IIueber ICheck .11 that apply) r--., r-~ r--., r--., ~ eo.QOIIent 12 Nul. C.A.S. NuIIber L. _.I R..ctivity L. _.I !l@l.yed L. _.I Sudden R.I.... L. ~Medi.t. He. I th of Pressure H..I th __==~6_~=-~=~=___ ______ \.'- .... ---- ------ .. ------- CcIJIpcNnt 13 ,.... C.A.5. IIuMer lL f(" Phys ical and H..lth Hazard (Check al1 that apply) ------------ ---- ----------- ------- ---- C.A.S, ,..,.. ------ Coapontnt II 11_' C.A.5. NuIIber -- ----- ---------- r-, ~-, r---, ,.._., ..._, '- _.I Fir. Haz.rd L._-' Re.ctivity L._.J Del.yed L._-' Sudden R.l.... 1.._-' IMedln. H..lth of Pressure H..lth Coapontnt 12 11_' C.A.S. IIuIIber -- ----- eo.-t 13 ,.... C. A. 5. IIu8ber Physical IIId Health Huard (Check al1 that .pply) --- --- .. -------- ----- U.S. IIUIIber Coapontnt II line. C .A.S. ...,. --- r-, ,..-., r--., ,.._., L _.I Fire Huard ,1.._.1 Reactivity '-_.I !l@layed 1.._-' Sudden Release Heal th of PrlSsure r--., 1.._.1 l-.diate H..lth CoII&IonInt 12 11_' C.A.S. IMber ------.--------------------- ---- CoII IOIIWIt I] 11_' C,A.S. Nullber ---L----------L-----------_l___________J_____.l___l__J_----1____1____-1___ Physical MId Health Haz.rd ' (Check all that .pply) C.A,S. Hu.ber _______________________ ------------- Co.ponent II 11_' C. A. S. NIIIIber r-, ,..-, ,..-, r--., '-_.I Fire Hazard 1.._-' Reactivity 1.._.1 Delaved 1.._.1 Sudden Release Heal th of Pressure ------------------------------- ------ r--., I.. _.I l-.diate Health Co. JOIIIIIt 12 11_' C.A.S, Nù.ber -------------------------------------------- ------- 14ERGfHCY CONTACTS " eo.ponent I] 11_' C.A,S. Hu.ber --~~~-------------- 11{~~~e::----------- ~~~~-~~ 12 IIi. - ~~~~~. T/j~-(g!%~------------ ~:J4~~LJL- Certification (Read and sign after co.pleting all sections) I certif der penalty of l.w that I have ø.rsonally exalllined and a. f..i];ar with the inforllNltilll subllit ;or"ob i mg. the in~or tion. ( believe t'2)the subttitted inforlllltion is true, accurate. and co.plete, R- -- 1~-1-- '1-- 'etJ. \'--------,,11---41 /tt/?.t;:_.____"~---~~---------,-,.-- S.--- . _ e "nâ ou 1Cla t 1l e 0 owner1õDerator v owner7õoera<or 5 aU<nor1Zeu reoresen,allve lqn ure is ~ al~Ched doculllllts, and that based III IIY inquiry of those individuals responsible ---~-------------------- O¡t~It-¡~~------------------ -'