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HomeMy WebLinkAboutBUSINESS PLAN (2) I ~- ..-. 15' .' ¡Jaò&-ú4l1 ~~el/l-0f1 ~ Facility Manager. ,. SITE MAP ( \ WHITE L#,. ( ~ ® @ , cfJ r-\-.~ t.. r~ - -~ - .- .- - - J , t ( , , I , r , I f I I I , ~ t t ( ( I ! ( . \rl - - - - ~ - -- WrtJ~ E1 @@@ ( A TANK MONITORING fJiJù. ALARM o TELEPHONE o FIRST AID KIT .£ FIRE EXTINGUISHER ËJ STORM DRAIN ~ SANITATION ~ SewER a\ EMERGENCY ~ ASSEMBLY AREA mID MSDS LOCATION ^ MONITORING ~ WEllS . OBSERVATION ... WEllS ® A.G, PRDDUCTTANK o U.G. PRODUCTTANK ® U.G. WASTE OIL TANK o ABSORBENT Date Prepared: THE COMPLETED sm MAP MUST BE POSTED CONSPICUOUSLY ON-SffE. ALONG WITH THE EMERGENCY RESPONSE PROCEDURES. ,. ~. 'i ~ . .... ~ - . - ~/ ,/'-'- ~iteID: 015-021-000437 ..' ;\f NAJDAWI CHEVRON Manager : Location: 2525 WHITE LN City BAKERSFIELD ~~~3 ,~~'l..~ BusPhone: Map : 123 Grid: 13C (661) 832-9781 ComrnHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 05 EPA Numb: SIC Code:5541 DunnBrad:02-787-5673 Emergency Contact RAGHDA NAJDAWI Business Phone: 24-Hour Phone : Pager Phone : / Title / OWNER (661) 588-7445x (661) 703-9673x ( ) - x Emergency Contact / BASHAAJ( NAJDAWI / Business Phone: (661) 24-Hour Phone : (661) Pager Phone : ( ) Title 832-9781x 706-9676x - x Hazmat Hazards: Fire React ImrnHlth DelHlth Contact : 'De-ni~ ~ MailAddr: 2525 WHITE LN City : BAKERSFIELD Owner Address City NAJDAWI RAŒIBLA tA 6-WDA : 15830 BLACK HAWK : BAKERSFIELD Phone: ( 661) 832 - 97 81x State: CA ~'t#e- -B&o-øtfzs- Zip : 93304 '&~D Phone: (661) 832-9781x State: CA Zip : 93312 Period : Preparer: Certif'd: Parcel No: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: \ I. .R()..Ç~ ÜÛ\&&WI Do hereby csrtiiy ~hat I hBNe ~ (TyP3 or print nama) . reviewed ths attached ha2ardous materials mali1~@I9- ment plan foU' ¡J~&.J.cJ; ~,^--elJIV~nd ~~~ ii ~!on~ wi~h (Nsma of BucÍtlØso) any COrrSdi©i1s c©~mitu~® ~ romp!~t~ ~nd OOfU'@c(( men- agemem plan ff©f my ~~cmty. 4~~~ stgnatun¡¡ 9' ,- :2 .Jtr- ;J.¿)O 0 Dimtg¡ -1- 09/12/2003 ~ / Last Action Type: . FACILITY/SITE INFORMATION Business Name: NAJDAWI CHEVRON Cross Street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : BASHAA/( NAJDAWI Phone: (661) 832-9781x Address: City : State: Zip: Type : TANK OWNER INFORMATION Name : BASHAA :t NAJDAWI Phone: (661) 832-9781x Address: City : State: Zip: Type : BOE UST Fee# : Financ'l Resp: SELF INSURED Legal Notif : Tank Owner Mailing Address Date:07/02/2001 Phone: (661) 832-4551x Name:BASHAAR NAJDAWI Ttl:OWNER State UST # : 1998 Upg Cert#: 28503 . .SiteID: 015-021-000437 9 STORAGE CONTAINER DATA (UST FORM A) ~ ... ..- F NAJDAWI CHEVRON -2- 09/12/2003 ,- N~~\ Q... ""-~ \) ~erV} - ;- -DOD IIALEYB CHEVRON ¡- Manager : ,(Oct 5 2000 Location: 2525 WHITE LN ¡ / City BAKERSFIELD BY:/ CommCode: BAKERSFIELD STATION 05 EPA Numb: .' '" \ \ , SiteID: 015-021-0004~7 ) ,., BusPhone: Map : 123 Grid: 13C (805) 832-9781 CommHaz : Low FacUnits: 1 AOV: I ~ ( I SIC Code:5541 DunnBrad:02-787-5673 Emergency Contact µr,...\¢4-wi Title ) Emergency Contact / Title . ~ H~I.JI!:Y R~"'-&k. / OWNER Cc, {" I ROBUT SC'OTT .8o.!bhtJ4-'^ N A..-Ò cto--(¡} I Business Phone: (805) 832-9781x 58%-744 ;- Business Phone: (805) 832-9781x 24-Hour Phone : ("805 ) 5 e ~ 010 IJc 24-Hour Phone : "( e 8:) 3~~ 4!511A. Pager Phone : ( b(" I ) 703 - '1 h 1 3c Pager Phone : ( ) - ¡,,_Lx '703 - qc..- Hazmat Hazards: Fire React ImmHlth DelHlth Contact : Phone: ( ) - x MailAddr: 2525 WHITE LN State: CA City : BAKERSFIELD Zip : 93304 Owner BO:Q IDU.EY- }JCA- ð &..c.... \J ì J i~ CA.\, \..cß.k Phone: (805) 832-9781x Address : î:0016 ENGER. B"f I$~~ù ~ \...c.-c.. k \-\úw \.e- State: CA City : BAKERSFIELD Zip : 93312 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: I, ¡Type or print name) Do hereby certify that I have reviewed the attached hazardous materials manage- ment plan for (Nalml of Businoss) and that it along with any corrections constitute a complete and correct man- agement plan for my facility. Signature Date -1- 10/05/2000 It e F BOB HALEYS CHEVRON U T FORM A Last Action Type: FACILITY/SITE INFORMATION Business Name: ~OB H.'\LEYS CHEVRON N~~Î' Q.;~~v Ì^-b11 Cross Street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : W5BIN SCOTT Phone: (805) 832-9781x Address: City : State: Zip: Type : TANK OWNER INFORMATION Name : -ROBIN SCOTT Phone: (805) 832-9781x Address: City : State: Zip: Type : BOE UST Fee# : 031913 Finane '1 Resp: SELF INSURED Legal Notif : Tank Owner Mailing Address Date:04/12/2000 Phone: (805) 986-5527x Name:HAL OREAR Ttl:RETAIL ESR SPECIALIST State UST # : 1998 Upg Cert#: 00738 STORAGE CONTAINER DATA ( S SiteID: 015-021-000437 ì ) p= Hazmat Inventory One Unified List ì p== As Designated Order All Materials at Site ì Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP UNLEADED PLUS GASOLINE F R IH DH L 12000.00 GAL Mod UNLEADED GASOLINE F R IH DH L 12000.00 GAL Mod SUPREME UNLEADED F R IH DH L 12000.00 GAL Mod MOTOR OIL F DR L 150.00 GAL Min COOLANT - ANTI FREEZE R L 10.00 GAL Low -2- 10/05/2000 e e F BOB HALEYS CHEVRON p= Inventory Item 0001 ¡::::= COMMON NAME / CHEMI CAL NAME UNLEADED PLUS GASOLINE SiteID: 015-021-000437 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UNDERGROUND SW CORNER Map: Grid: CAS # 8006-61-9 [ ~TA~E I TYPE ~ P~ESSURE ----¡ TEM~ERATURE I =Llquld __pure ~mblent ---1 Amblent ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum 12000.00 GAL 12000.00 GAL CONTAINER TYPE UNDER GROUND TANK Daily Average 500000.00 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 F R IH DH / / / Mod HAZARD ASSESSMENTS p= Inventory Item 0002 = COMMON NAME / CHEMI CAL NAME UNLEADED GASOLINE Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UNDERGROUND SW CORNER Map: Grid: CAS # 8006-61-9 CONTAINER TYPE UNDER GROUND TANK [ ~TA~E I TYPE ~ P~ESSURE ----¡ TEM~ERATURE I =Llquld __pure ~mblent ---1 Amblent ~ AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Largest Container 12000.00 GAL Daily Average 600000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ No CAS#a006619 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH DH / / / Mod HAZARD ASSESSMENTS -3- 10/05/2000 e e SiteID: 015-021-000437 ì Facility Unit: Fixed Containers on Site ì F BOB HALEYS CHEVRON p= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME SUPREME UNLEADED Days On Site 365 Location within this Facility Unit UNDERGROUND SW CORNER Map: Grid: CAS # 8006-61-9 CONTAINER TYPE UNDER GROUND TANK [ ~TA~EI TYPE ~ PI,<ESSURE -¡ TEM~ERATURE I =Llquld __pure ~mblent ---1 Amblent ~ AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Largest Container 12000.00 GAL Daily Average 500000.00 GAL %Wt. RS CAS # 100.00 Gasoline No 8006619 HAZARDOUS COMPONENTS HAZAR SSE ME TS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH DH / / / Mod D A SS N p= Inventory Item 0005 F= COMMON NAME / CHEMICAL NAME MOTOR OIL Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit NW CORNER OF BLDG OUTSIDE SW WALL INSIDE Map: Grid: CAS # 8020835 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1. 00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 150.00 GAL Daily Average 50.00 GAL HAZARD US COMP NENTS %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 o 0 T TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMEN S -4- 10/05/2000 e e F BOB HALEYS CHEVRON f= Inventory Item 0006 = COMMON NAME / CHEMICAL NAME COOLANT - ANTI FREEZE SiteID: 015-021-000437 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SW WALL INSIDE STORE Map: Grid: CAS # 107-21-1 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1. 00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10.00 GAL Daily Average 10.00 GAL %Wt. RS CAS # 75.00 Ethylene Glycol No 107211 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Low HAZARD ASSESSMENTS -5- 10/05/2000 e e F BOB HALEYS CHEVRON I p= Notif./Evacuation/Medical Agency Notification SiteID: 015-021-000437 ì Fast Format ì Overall Site ì 03/10/1998 IN THE EVENT OF SPILL THE FOLLOWING AGENCIES ARE NOTIFIED: BAKERSFIELD FIRE DEPARTMENT - HAZARDOUS MATERIALS DIVISION 326-3979; STATE OFFICE OF EMERGENCY SERVICES 1-800-852-7550; CHEVRON USA, INC. - THESE AGENCIES ARE CONTACTED BY PHONE; AND CALL 911. Employee Notif./Evacuation 03/10/1998 IN CASE OF A SPILL OF HAZARDOUS MATERIALS OR A FIRE ALL EMPLOYEES ARE INSTRUCTED TO TURN OFF PUMPS WITH EMERGENCY SWITCH AND CALL THE CITY FIRE DEPARTMENT OR 911. ALL CUSTOMERS WILL BE EVACUATED FROM THE STATION AND DRIVE WAYS CLOSED EXCEPT FOR THE FIRE DEPARTMENT AND EMERGENCY VEHICLES. EMPLOYEES ARE NOTIFIED IN PERSON IF THEY ARE ON DUTY AND A HAZARDOUS MATERIAL EMERGENCY ARISES. EMPLOYEES NOT NO DUTY ARE NOTIFED BY PHONE. Public Notif./Evacuation 03/10/1998 IN CASE OF EMERGENCY, LARGE GAS SPILL, FIRE OR EXPLOSION MYSELF AND THE MEN ON THE EMERGENCY CONTACT SHEET WILL BE CALLED IMMEDIATELY AS WELL AS 911 AND THE FIRE DEPT. EVACUATE ALL CUSTOMERS FROM STATION LOT AND CLOSE ALL ENTRANCES TO STATION, EXCEPT FOR EMERGENCY VEHICLES. IN THE EVENT OF A HAZARDOUS MATERIAL EMERGENCY ALL DRIVEWAYS ARE TO BE BLOCKED AND ALL PEOPLE ON THE PREMISES ARE TO BE EVACUATED WITH THE HELP OF LOCAL POLICE DEPT. Emergency Medical Plan 07/23/1998 IN THE EVENT OF AN ACCIDENT REQUIRING MEDICAL ATTENTION: CALL HALL AMBULANCE CO 327-4111, CALL CITY POLICE 327-7111, TRANSPORT INJURED PERSON(S) TO SAN JOAQUIN HOSPITAL - 2615 EYE ST - 395-3000 OR MERCY HOSPITAL - 2215 TRUXTUN AV - 327-3371. -6- 10/05/2000 e e SiteID: 015-021-000437 1 Fast Format ì Overall Site ì 03/10/1998 F BOB HALEYS CHEVRON I p= Mitigation/Prevent/Abatemt Release Prevention ALL EMPLOYEES ARE INSTRUCTED IN THE PROPER USE OF GASOLINE PUMPS, USE OF GASOLINE PUMPS, ALL HOSES AND NOZZLES ARE INSPECTED REGULARLY FOR ANY SIGNS OF LEAKING OR MALFUNCTION OF NOZZLES AND AUTOMATIC SHUT OFF DEVICES. ALL EMPLOYEES ARE INSTRUCTED NOT TO SMOKE OR ALLOW CUSTOMERS TO SMOKE IN RESTRICTED AREAS. GASOLINE IS NOT TO BE USED FOR CLEANING. ALL PUMPS, HOSES AND NOZZLES ARE CHECKED PERIODICALLY FOR LEAKS. NOZZLES ARE CHECKED DAILY TO BE SURE SHUT OFF MECHANISM IS WORKING PROPERLY. Release Containment 03/10/1998 IN THE EVENT OF A SPILL OF GASOLINE OR OTHER MATERIALS, ALL EMPLOYEES ARE FAMILIAR WITH THE DANGER OF FIRE OR CONTAMINATION OF THE GROUND OR WATER AND HAVE BEEN INSTRUCTED ON THE IMPORTANCE OF IMMEDIATE CLEAN-UP. Clean Up 07/23/1998 IN CASE OF SMALL SPILL, WIPE UP AND LET EVAPORATE. IN CASE OF LARGE SPILLS WHICH CONTAMINATE GROUND PLACE CONTAMINATED MATERIAL IN DISPOSABLE CARTONS AND CONTACT LOCAL HEALTH DEPT FOR PROPER DISPOSAL OF MATERIAL. IN CASE OF A GASOLINE SPILL, SHUT OFF ALL POWER AT STATION AND CALL THE LOCAL FIRE DEPT. Other Resource Activation -7- 10/05/2000 e e SiteID: 015-021-000437 ì Fast Format ì Overall Site ì I F BOB HALEYS CHEVRON I p= Site Emergency Factors r== Special Hazards Utility Shut-Offs 07/23/1998 A) GAS - NONE B) ELECTRICAL - ELECTRICAL PANEL S END OF C) WATER - ON WHITE LN N OF PUMPS BY POLE D) SPECIAL - NONE E) LOCK BOX - NO STORE ON SIDEWALK Fire protec./Avail. Water 07/23/1998 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS ARE KEPT IN THE CASHIER AREA AND IN STORE ROOM BEHIND DOOR. FIRE HYDRANT - NW CORNER OF WHITE LN AND EL POTERO BY SHELL STATION, S SIDE OF WHITE LN BETWEEN TEXACO STATION AND MCDONALDS N SIDE OF WHITE LN IN FRONT OF COMFORT INN MOTEL. Building Occupancy Level -8- 10/05/2000 '¡, e e F BOB HALEYS CHEVRON I F Training Employee Training SiteID: 015-021-000437 ì Fast Format ì Overall Site ì 07/23/1998 WE HAVE 6 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES ARE REQUIRED TO READ MSDS SHEETS; READ WARNING LABELS ON PRODUCTS; BE AWARE OF ANY LEAKS OR SPILLS OR GASOLINE OR OTHER CHEMICALS; AND TO USE PROTECTIVE EQUIPMENT IF A JOB REQUIRES IT. Page 2 r I I Held for Future Use Held for Future Use -9- 10/05/2000