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HomeMy WebLinkAboutBUSINESS PLAN (2) .. -,-,; _ . ~ :-(, .' COMMERCIAL - - \ ~@@~ð> ~rolrol~r;] a:: ;£;J, V) ðllillillðl¡!1 \ 8 WW\8\ 8 l-=.J ~ I~I \ LJU \ u.i .--J > \ /~ « .--J « U « ( \\ 0::: u 0 W 0::: a: \ \ 2 w W 2 2 0 2 a: @> \ ~) U 0 ..... U 0 \ V/ a.. \ r-=---:J ~ ~ I I I I I I ~ ~ L___:J - - <) ® WHITE LANE COMMERCIAL NORTH CD SELF SERVICE STATION LEGEND SCALE: 1"=40'-O"± DATE: 1/16/92 <:P.âQ> EMERGENCY PUMP ^ TANK MONITORING TMA SHUT -OFF L--.:::. ALARM «@> ELECTRICAL PANEL . MONITORING WELLS SITE PLAN SHUT-OFF <@> NA TURAL GAS 6 OBSERVA TION WELLS SHUT -OFF (£; ANTIFREEZE 2518 WHITE LANE @Ø WATER SHUT-OFF CD TELEPHONE ® MOTOR/TRANSMISSION BAKERSFIELD, CALIFORNIA 93304 OIL c{þ FIRST AIO KIT ® A,G, PRODUCT TANK IK ® U,G, PRODUCT TANK SS# 7048 .. FIRE EXTINGUISHER ". ~ STORM DRAIN U ® EMERGENCY m SANITATION SEWER ASSEMBLY AREA HMMP HMMP, AND MSDS 0 ABSORBENT MSDS LOCA TION IW ROBERT H. LEE & ASSOCIATES. INC. Ò ' ARCHITECTURE ENGINEERING PLANNING FIRE HYDRANT 11.57 N. 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'\I 'i ! : , I TO MULTIPLE OFFICE SQUARE FOOTAGE I certify that I have measured the structure at square footage shown above are true and correct to the best of my knowledge and ability. and that the drawing and Signed Firm / '- _ l ((5!)V - ! IV II I ^" c. __",CO- -to (. (j , ,þ-x-) Hs; DS·,~. . " No"T~ \ ~ ~ ~-, ~ - . f~/ :3-' #,~< ,.-. ,.... .....r . -.} ~-)', 2· 9. ~, _.-..~,----_. ~ ~~ -." _...... ~ \ G3~- ~ ¡ " 'j \ ¡ . " -, -, j¡¿ . '. CD SJ --. . \;; . G:J" Gó3 ,. ......:.. .- "'",,"# I +.. .' - -.- ~.-- .(~ \. ....." \' , . , ! " ¡ I ". .--- ; ~ ,:¡'" ". ~ 04/14/92 . . ij~CG~~W~~ WHITE LANE UNION 76 215-000-001180 ~ MAY 18 1992 ~ e Overall Site with 1 Fac. Unit 1 . General Information By Location: 2518 WHITE LN Map: 123 Hazard: Low Community: BAKERSFIELD STATION 05 Grid: 13C FlU: 1 AOV: 0.0 r-- Contact Name Title Business Phone - 24-Hour Phone MICHAEL MING DEALER (805) 327-5251 x (805) 392-8823 THARRELL MING DEALER (805) 325-8655 x (805) 325-0655 Administr~tive Data Mail Addrs: 2518 WHITE LN D&B Number: 09-944-7344 City: BAKERSFIELD State: CA Zip: 93304- Comm Code: 215-005 BAKERSFIELD STATION 05 SIC Code: 5541 . Owner: UNOCAL CORPORATION Phone: (805) 832-3402 Address: 911 WILSHIRE BLVD State: CA City: LOS ANGELES Zip: 90051- Summary o G~ 10 ~ [)Ij) hsreb¡f oo~fy ~hat ~ h~® reViewe~~he ~~~ched hazardouS ma~efial$ manage- oot rR\~&l\l1) ~@~~~u..I\~d U'ðe.t it along with m Ii'" (Nt:mo <1iIliBuOOlooo) íNtY corrrootioO$ ©onstå~~~~ ~ oompi~i® ~md correct mSlfio agement pmn for my ~. ç: ,. ~víf~ t,; ,,', ,. . rO .~.í.J.i o(U ¡: . /' i' .. \' e . 04/14/92 WHITE LANE UNION 76 215-000-001180 02 - Fixed Containers on Site Page 2 Hazmat Inventory Detail in Reference Number Order 02-001 UNLEADED GASOLINE ~ Fire, Irnrned Hlth, Delay Hlth Liquid 22000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ~ 22,000 I Daily Average GAL 4,500.00 T Annual Amount GAL -- 600,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Location Ambient Ambie~tlN END OF PROPERTY - Conc -I 100.0% Gasoline Components MCP ~List [;oderate I Notes 02-002 DIESEL #2 ~ Fire, Irnrned Hlth Liquid 12000 Low GAL CAS #: 68476-34-6 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL 12,000 ----r Daily Average GAL 2,000.00 T Annual Amount GAL -- 60,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Location Ambient AmbientlN END OF PROPERTY - Cone l 100.0% Diesel Fuel No.2 Components ~. MCP -rList Low I 02-003 MOTOR OIL ~ Fire, Delay Hlth Liquid 600 Minimal GAL CAS #: 64742-65-6 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 600 I 350.00 I 1,100.00 Storage PLASTIC CONTAINER r Press T Temp ~ Ambient Ambient I IN BLDG Location - Cone -, Components 100.0% Motor Oil, Petroleum Based 1-; MCP :¡List Minimal I " '. e e 04/14/92 WHITE LANE UNION 76 215-000-001180 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in Reference Number Order 02-005 SUPER UNLEADED GASOLINE . Fire, Immed Hlth, Delay Hlth Liquid 15000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- 15,000 Daily Average GAL ~ 4,000.00 I Annual Amount GAL -- 120,000.00 Storage UNDER GROUND TANK r Press T Temp -:-, Location Ambient AmbientlN END OR PROPERTY - Conc l 100.0% Gasoline Components r; MCP -:-¡List Moderate 02-006 GEAR OIL . Fire, Delay Hltb Liquid 180 Minimal LBS CAS #: 64742-18-3 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max LBS ----r-- Daily Average LBS ~ Annual Amount LBS -- 180 I 480.00 I 480.00 Storage DRUM/BARREL-NONMETAL r Press T Temp -:-1 Ambient Ambient IN SVC BAY Lócation - Conc l Components 100.0% Motor Oil, Petroleum Based r; MCP :-TList Minimal I '. e e ~ 04/14/92 WHITE LANE UNION 76 215-000-001180 00 - Overall Site Page 4 <D> Notif./Evacuation/Medical <1> Agency Notification UNOCAL WILL NOTIFY THE APPROPRIATE STATE AND LOCAL AGENCIES UNLESS THE SITUATION REQUIRES URGENT IMMEDIATE RESPONSE BY THE AGENCIES, IN WHICH CASE THE DEALER SHOULD NOTIFY THESE AGENCIES: LOCAL AGENCY - O.E.S. - (800) 852-7550 CALL FOR HELP IN CASE OF AN EMERGENCY BY DIALING 9-1-1. <2> Employee Notlf./Evacuation NOTICE WILL BE VERBAL. EMPLOYEES WILL EVACUATE BLDG AND MEET AT EMERGENCY ASSEMBLY AREA. EVACUATION WILL BE THROUGH FRONT DOOR AND OUT ONTO THE LOT. NOTIFICATION OF INHERENT DANGER TO FIRE DEPARTMENT WILL COME FROM PAY PHONE ON SOUTH EAST CORNER OF LOT <3> Public Notif./Evacuation IF THERE IS ANY IMMEDIATE DANGER, ANNOUNCE TO ALL PERSONS ON THE SITE: "THERE IS AN EMERGENCY. PLEASE TURN OFF YOUR ENGINES AND LEAVE THAT STATION ON FOOT IMMEDIATELY." CALL 911 AND GET PUBLIC OFF SITE AND EVACUATE TO SAFE LOCATION. <4> Emergency Medical Plan FIRST AID KIT INSIDE BOOTH SAN JOAQUIN COMMUNITY HOSPITAL 2615 EYE STREET (805) 395-3000 - e e 04/14/92 WHITE LANE UNION 76 215-000-001180 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt <1> Release Prevention ABOVEGROUND AUTOMOTIVE PRODUCT ARE STORED IN UNBREAKABLE CONTAINERS AND IN MINIMUM QUANTITIES. THE UNDERGOUND STORAGE TANKS ARE MONITORED USING AN APPROVED MONITORING METHOD TO DETECT LEAKS. ALL EMPLOYEES ARE TRAINED IN SAFE HANDLING OF HAZARDOUS MATERIALS. BY DAILY CHECKING OF ALL FLUID LEVELS IN STORAGE TANKS, WE WILL BE IN CONTROL OF ANY POSSIBLE PROBLEMS. ALL PRESSURE CAPS ON TANKS ARE CHECKED DAILY <2> Release Containment STOP A RELEASE BY TURNING OFF THE PUMPS AND USING EITHER ABSORBENT MATERIAL OR A FIRE EXTINGUISHER AS NECESSARY. INSPECTION TO BE CONDUCTED BY DEALER, PRODUCT TANK GAUGING PROCEDURES, RECORD KEEPING FOR FUEL TANKS, WASTE OIL TANK GAUGING PROCEDURE. <3> Clean Up CLEAN UP WITH DRY ABSORBENT MATERIAL, BROOM, AND SHOVEL OR BY VACUUM TRUCK IF NECESSARY. <4> Other Resoúrce Activation ~ e e I 04/14/92 WHITE LANE UNION 76 215-000-001180 00 - Overall Site Page 6 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - OUTSIDE OF BLDG ON NE CORNER B) ELECTRICAL - IN OFFICE C) WATER - WEST SIDE OF LOT ON SIDEWALK OF POTRERO AVE. D) SPECIAL - EMERGENCY PUMP SHUT OFF LOCATED AT CASHIERS COUNTER E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS INSIDE BOOTH FIRE HYDRANT - DOWN BLOCK <4> Building Occupancy Level ·'1' ~ ..;r .~~ '. e e I 04/14/92 WHITE LANE UNION 76 215-000-001180 00 - Overall Site Page 7 <G> Training <1> Page 1 WE HAVE 6 EMPLOYEES AT THIS LOCATION. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: EMPLOYEES MUST BE GIVEN THIS TRAINING BEFIRE STARTING WORK, AND REFRESHER COURSES MUST BE PROVIDED ANNUALLY. RECORDS MUST BE KEPT TO SHOW WHEN EACH EMPLOYEE HAS BEEN GIVEN HIS/HER SAFETY TRAINING. <2> Page 2 as needed <3> Held for Future Use -~-- -- --------- -- --- -~- - - -~- -- <4> Held for Future Use e - ================================================================================ Page: 1 Account Billing/Collection Activity Inquiry SUTL108 =~~~=G~:=;~;~~~=====~;~=;~==~~===;~~~=;~7=;~===~;~7=~===;~:=~====;:~7=========== SSN Parcel: Svc CIs :e Name WHITE LANE UNION 76 Svc Add: 2518 WHITE LN -------------------------------------------------------------------------------- Type Desc Current Period postings Date Amount Receipt :f/: Amt due: Lst Pmt: Pmt Dte: Prior Date 01/01/93 250.00 Bills -- Balance 250.00 30\~ ================================================================================ Enter '/' For Bill History,'P' To Print Report, '/C' For Credit and Deposit· History or 'XX' To Exit ALT-F10 HELP I ADDS VP I FDX I 9600 E71 I LOG CLOSED I PRT OFF I CR CR ) , .iJ1 ) , 1 ~ /¡ 01 ? ~ft ,~ L),l. . í': \i . . June 4, 1992 TO: FROM: DREW SHARPLE, FINANCE VALERIE PENDERGRASS, HAZ MAT SUBJECT: ACCOUNT # 458201, WHITE LANE UNION 76 Drew, a note was received from Nina asking me to generate a hand typed billing for this account. This was not done, therefore we need to reverse the finance charges for the 60 days they wquld not have normally received any finance charges. The billing should have gone out arol,.lnd April 1 1992. Any future finance charges are ok. Thanks, Valerie ~ '00\ e e .~-_._---------------------------------------------._----------------------------------------------------------.------.-.-------_. -------------------------~-----------------------------------------------------------------------------------------------.-------- I.IT I LITI ES 04/03/92 BILLING HISTORY FOR AN ACCOUNT 'RUTL10ï PAGE 1 -------------------------~-------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------.------------..---- WATER BILL BALANCE CHARGE/ DATE FORWARD CONS ACCOUNT NUMBER: 458201 SERVI~E NriME: Wh:TE LANE UNION 76 SERVICE ADDRESS: 2518 WHITE LN CITY STATE lIP: BAKERSFIELD. CA 93304 SEWER CHARGE/ --------------------- PERIOD POSTINGS ----------.------------ BILL CONS DATE AMOUNT TYPE DESCRIPTION IDENTIFIER AMOUN- ACCT CYCLE STATUS: CL BILL STATUS: NO -------- ------~-- --------- --------- -------- ---------------------------------------------------- --------- 01/01/91 75.00 03/3.192 250.00 DE - OTHEr. CHARGE tHí*C83ï*Pt " ~ ", ~ i.:' oj. w'~ \ 02114/92 94.00CR 99 - PAYMENT MM*8816*3*6 \ 01/01/92 94.00 FOS - HAl MAT HANDLING F MM*8768*7*737 94.)0 \ 01/25/91 87.00CR 99 - PAYMENT Mr1*8430*6*36 ) 01/01191 87.00 F05 - HAl MAT HANDLING F NM~8405*1*673 87. j(1 03/12/90 7S.00CR 99 - ?AYMENT M~I*81 09*3*34 02115/90 75.00 HE . tiM*8088*2* 717 75.:C CURRENT 94.00 01/01192 87.00 02/15/90 0.00 llnd erðroltnd -¡o.Y\ l'(, ~ X S Uol~ _ ~ ~ ~"-^-Y ,v}- IMJ ~; avo ~ W~ Lj~~ 11~~þ'-~ ~ ~ CUlL ~ /rß~ Dc ~, ~~/ ()/Wr ~ ~ ~ þ?--" 'f~ ~~~- ~ (J..)- ~~. ~ , \ ~ ~~ .- - 8M 458201 e e - - Account Number ACCOUNTS RECEIVABLE ADJUSTMENT March7_26:;>1992 ":,. è" Date' Valerie PenderRrass From: Fire Department - Haz Mat Division OepartmentJOivision New Account I New Address Close Account Service Change I Other Adj. vi White Lane Union 76 Billin g Name 2518 white Lane, Bakersfield, Ca. -93304 Billing Address SAME Site Address Parcel # (If Applicable) Landlord Name & Address if Applicable ADJUSTMENT ILast - I !Silled' $94 .00 I I I \ í I ! Correct I Billin g ¡ $344,00 I I I I ¡ \Adjustment _ ¡To Billing - I, ! i Effective Date !Of Change I I 3/26/92 I I Approved By: Remarks: This business was bill for ~hp n~7. M~~ Føø'but Ret fer tHe Underground StoraRe fee. - Thev have 5 tanks for a ~n~~l difference of $250.00. tK"~ 7048 e e Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakersfield, CA 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: ,. To avoid further action. return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the below for the business as 8 whole. 4. Be brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: White Lane Union LOCATION: MAILING ADDRESS: 2518 White Lane PHONE: 805-832-3402 CITY: Bakersfield STATE: CA ZIP: 93304 DUN & BRADSTREET NUMBER: 09-944-7344 SIC CODE 5541 PRIMARY ACTIVITY AUTOMOBILE REFUELING STATION OWNER: UNOCAL Corporation MAILING ADDRESS: 911 Wilshire. Los Angeles. CA. 90051 SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE 1. Michael Ming DEALER 805-327-5251 805-392-8823 2. Thaerell Ming DEALER 805-325-8655 805-325-0655 1. --.. e e BAKERSFIELD FIRE DEPT. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYEES: 6 MATERIAL SAFETY DATA SHEETS ON FILE: YES (SEE SITE PLAN FOR LOCATION) BRIEF SUMMARY OF TRAINING PROGRAM: Employees must be given this training before starting work, and refresher courses must be provided annually. Records must be kept to show when each station employee has been given his/her safety training. SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIME EXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, Mike (S. Ming , CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH & SAFETY CODE" ON HAZARDOUS MATERIALS ( DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE J~F~~~TIO~~STITU~ PERJURY. ~ Dealer SIGNATURE TITLE DATE 2. I--~ e e BAKERSFIELD FIRE DEPT. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN FACILITY UNIT NAME: SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION AND EVACUATION PROCEDURES: UNOCAL will notify the appropriate state and Local agencies unless the situation requires urgent immediate response by the agencies, in which case the DEALER should notify these agencies: 1. LOCAL AGENCY: Kings Co. Division of Environmental Health Services PHONE NUMBER: 209-584-1411 2. CALIFORNIA OFFICE OF EMERGENCY SERVICES: (800)852-7550 (24 HRS.) 3. CALL FOR HELP in case of an emergency by dialing 9-1-1 B. EMPLOYEE NOTIFICATION AND EVACUATION: NOTICE WILL BE VERBAL. EMPLOYEES WILL EVACUATE BUILDING AND MEET AT EMERGENCY ASSEMBLY AREA. (SEE SITE PLAN FOR LOCATION) C. PUBLIC EVACUATION: IF THERE IS ANY IMMEDIATE DANGER, ANNOUNCE TO ALL PERSONS ON THE SITE: " THERE IS AN EMERGENCY. PLEASE TURN OFF YOUR ENGINES AND LEAVE THE STATION ON FOOT IMMEDIATELY." D. EMERGENCY MEDICAL PLAN: PLEASE SEE EMERGENCY RESPONSE PLAN ATTACHED 3. ,.,. e e BAKERSFIELD FIRE DEPT. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION. PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: ABOVEGROUND AUTOMOTIVE PRODUCT ARE STORED IN UNBREAKABLE CONTAINERS AND IN MINIMUM QUANTITIES. THE UNDERGROUND STORAGE TANKS ARE MONITORED USING AN APPROVED MONITORING METHOD TO DETECT LEAKS. ALL EMPLOYEES ARE TRAINED IN SAFE HANDLING OF HAZARDOUS MATERIALS B. RELEASE CONTAINMENT AND/OR MINIMIZATION: STOP A RELEASE- BY TURNING OFF THE PUMPS AND USING EITHER ABSORBENT MATERIAL OR A FIRE EXTINGUISHER AS NECESSARY C. CLEAN-UP PROCEDURES: CLEAN UP WITH ABSORBENT MATERIAL, BROOM AND SHOVEL,OR BY VACUUM TRUCK IF NECESSARY SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: Outside of building on Northeast Corner ELECTRICAL: IN OFFICE WATER: In sidewalk of Potrero Ave. SPECIAL: EMERGENCY PUMP SHUTOFF LOCATION: CASHIERS COUNTER LOCK BOX: NO SECTION 9: PRIVATE FIRE PROTECTIONIWATER AVAILABLE: A. PRIVATE FIRE PROTECTION: NONE B. WATER AVAILABILITY (FIRE HYDRANT) PLEASE SEE SITE PLAN FOR LOCATION OF NEAREST FIRE HYDRANT LOCATION 4. 7048 Farm and Agriculture D Standard Businass IX! BUSINESS NAME: White Lane Union LOCATION: 2518 White Lane CITY, ZIP: Bakersfield 93304 PHONE ,: 805-832-3402 CITY of BAKERSFIELD HAZARDOUS MATERIALS INVENTORY NON-TRADE SECRETS - Page --1- of --1- OWNER NAME: UNOCAL Corporation ADDRESS: 911 Wilshire Blvd. CITY, ZIP: Los Anaeles. CA 90051 PHONE I: 213-977-6252 REFER TO INSTRUCTIONS FOR PROPER CODES NAME OF THIS FACILITY: STANDARD IND. CLASS CODE: 5541 DUN AND BRADSTREET NUMBER 09-944-7344 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Trans Typa Max Average Annual Measure IDys Cant Cant Cant Use Location Where %by Names of MixturelComponents / Code Code Amt Est Est Units on Site Type Press Temp Code Stored in Facility Wt See Instructions U I M I 22,000 I 4,500 I 600,000 I GAL I 365 I 01 I 1 T 4 T 19 T NORTH END OF SITE UNLEADED GASOLlNE....../ Physical and Health Hazard C.A.S. Number 8006-61-9 Component '1 Name 81 C.A.S. Number < 15.0 METHYL TERT BUTYL ETHER (Check all that apply) 1634044 .- IX! D IX! Delayed D IX! Component '2 Name 81 C.A.S. Number < 6.5 TOLUENE Fire Hazard Reactivity Sudden Release Immediate 108883 Health of Pressure Health < 4.6 XYLENE Component '3 Name 81 C.A.S. Number 108383 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Trans Type Max Average Annual Measure IDys Cant Cant Cant Use Location Where %by Names of Mixture/Components Code Còde Amt Est Est Units on Site Type Press Temp Code Stored in Facilitv Wt See Instructions U I M I 15,000 I 4,000 I 120,000 I GAL I 365 I 01 I 1 I 4 I 19 I NORTH END OF SITE SUPER UNLEADED GASOLINIl, /' Ph'£llical and Health Hazard C.A.S. Number 8006-61-9 Component '1 Name 81 C.A.S. Number < 15.0 METHYL TERT BUTYL ETHER (Check all that apply) 1 634044 IX! D IX! Delayed D IX! Component 12 Name 81 C.A.S. Number < 14.0 TOLUENE Fire Hazard Reactivity Sudden Release Immediate Health of Pressure Health 108883 Component 13 Name 81 C.A.S. Number < 8.8 XYLENE 108383 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Trans Type Max Average Annual Measure 1 Dys Cant Cant Cant Use Location Where %by Names of Mixture/Components Code Còde Amt Est Est Units on Site Type Press Temp Code Stored in Facility Wt See Instructions ,- U I P I 1 2,000 I 2,000 I 60,000 I GAL I 365 r 01 T 1 T 4 I 19 I NORTH END OF SITE DIESEL FUEL '2 l/ Physical and Heelth Hazard C.A.S. Number 68476-34-6 Component 11 Name 81 C.A.S. Number 100.0 UNOCAL DIESEL FUEL 12 (Check all that apply) 68476-34-6 IX! D IX! Delayed D IX! Component '2 Name 81 C.A.S. Number + Fire Hazard Reactivity Sudden Release Immediate Health of Pressure Health Component 13 Name 81 C.A.S. Number EMERGENCY CONTACTS '1 Michael Mina Dealer 805-392-8823 12 Thaerell Mina Manaaer 805-325-8655 Name Title 24 Hr "'hone Name 11tle 24 Hr. "'hone .;ertlTlcallon rHøøCl anCl sign 8ftØT complørømg 811 søcrlqnsl " I certify under penalty of law that I have personally examined and am familiar with the information submitted In this and all attached documents, and that based on my inquiry of those individuals responsible for obtaining the information. I believe that the submitted information is true, accurate, and complete , I / v AN'ðcAL SIIhVICE STATION. HAZARDOUS MATERIALS MANAGEMENT MONITORING PLAN DEALER: UNOCAL SERVICE STATION: ADDRESS: CITY, STATE, ZIP: TELEPHONE: 24-HR. TELEPHONE NUMBER: Mike fie Ming 7048 2518 White Lane Bakersfield. CA 93304 805-832-3402 805-392-8823 UNOCAL BUSINESS MANAGER: TELEPHONE: UNOCAL EMERGENCY PHONE: (800) 723-7600 (24 HOURS) LOCAL AGENCY: ADDRESS: TELEPHONE: Bakersfield Fire Department 2130 G Street 805-326-3979 CALIFORNIA OFFICE OF EMERGENCY SERVICES TELEPHONE: (800) 852-7550 UNDERGROUND STORAGE TANKS: 87 OCTANE: 89 OCTANE: 92 OCTANE: DIESEL: WASTE OIL: CONST. SW/DW 1-10,12K GAL SW BLENDING VALVE 15,000 GAL SW 6 , 000 GAL SW GAL PIPING CONTAINMENT: singleWall MONITORING METHODS: Inventory Reconciliation J '..~ 1i\ " .. r TABLE OF CON'1'EN'1'Se e EMERGENCY RESPONSE PROCEDURE......................................Page 3 A copy of this page must be filled out and posted conspicuously on site. BOW TO OSE HIS BOOKLET........................................... Page 4 DAILY VISUAL KONI'1'ORING. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 4 MONITORING FOR SINGLE WALL TANKS..................................Page 5 Inspections To Be Conducted By Dealer Product Tank Gauging Procedures Record Keeping For Fuel Tanks Waste Oil Tank Gauging Procedure What To Do If You Exceed The Allowable variation MONITORING DOUBLE WALL '1'ANKS......................................Page 6 Inspections To Be Conducted By Dealer Secondary containment Monitoring Procedure Record Keeping For Secondary containment Electronic Monitoring Systems OVERFILL/SPILL PROTECTION AND CLEAN-OP............................Page 7 Deliveries/Gauging Ball Vent Line Float System Waste Oil Tank Clean-up/Records INSPECTIONS '1'0 BE COORDINATED BY UNOCAL...........................Page 8 Yearly Inspections and Testing Vadose/Groundwater Monitoring Wells EMPLOYEE TRAINING PLAN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pages 9 -1 0 Outline for Mandatory Safety Training for All Employees FORMS '1'0 BE COMPLETED (Copy these forms for your own use) Quarterly Report................................................ Form A Daily Visual Monitoring Log.....................................Form B Inventory Reconciliation Sheet..................................Form C Waste Oil Tank Gauging Sheet....................................Form D' Release Evaluation Checklist....................................Form E Unauthorized Release Report...........................~.........Form F Equipment Test I..og.............................................. Form G Safety Training I..og............................................. Form H NOT ALL INFORMATION IN THIS BOOKLET WILL BE APPLICABLE. REFER TO THE COVER SHEET TO CONFIRM WHAT EQUIPMENT IS ON SITE. Page 2 of 10 y ~ER:~;~Y :E:PONSE PROCEAE e In the event of a fire, spill, leak or suspected leak in the tanks and/or piping, the following steps are to be taken as applicable: 1. TURN OPF PUMPS using the Emergency Pump Shut-off Switch. 2. If there is an immediate danger, ANNOUNCE to all persons on the site: "THERE IS AN EMERGENCY. Please turn off your engines and leave the station on foot immediately." 3. For more SEVERE emergencies CALL FOR HELP by dialing 9-1-1 and giving the following information: "THERE IS A FIRE/DANGEROUS GASOLINE SPILL at the UNOCAL station at (give address.)" Report to the answering dispatcher, whether anyone is trapped or requires immediate medical attention. Stay on the phone and be prepared to answer any questions concerning the situation. 4. If EVACUATION is necessary direct everyone to meet at the emergency assembly area and account for everyone at that location. LOOK AROUND to assure that all have left, particularly those in vehicles who may not have heard the emergency announcement. Assist, or direct assistance to anyone having difficulty leaving the service station area, and anyone who may be injured. 5. ATTEMPT TO EXTINGUISH any fire if you can do so safely. Have the fire extinguisher ready to use in the event of any dangerous spill. Try to contain any large spill, or use absorbent on smaller spills. 6. REPORT to arriving emergency response personnel to provide them with any information or assistance they might need. 7. CONTACT the station dealer if s/he is not already at the station. Use the emergency contacts listed below: 1. Name/Bus/Home: Michael Minq 2. Name/Bus/Home: Thaerell Minq 805-327-5251/805-392-8823 805-325-8655/805-325-0655 8. NOTIPY UNOCAL and your Business Manager by phone WITHIN 24 HOURS. 1. UNOCAL EMERGENCY PHONE: (800) 723-7600 (24 HOURS) 2. UNOCAL BUS. MANAGER/PHONE NUMBER: Matt Fischer (510)277-2465 You must mail a completed Unauthorized Release Report to the Business Manager within 24 hours. UNOCAL will notify the appropriate State and Local agencies unless the situation requires urgent immediate response by the agencies, in which case the DEALER should notify these agencies: 1. LOCAL AGENCY: Bakersfield Fire Department PHONE NUMBER: 805-326-3979 2. CALIFORNIA OFFICE OF EMERGENCY SERVICES: (800) 852-7550 (24 HOURS) 9. Dealer should attempt to isolate leak location by inspection. 10. UNOCAL Business Manager will coordinate with UNOCAL Environmental Compliance Dept. (UECD) whatever corrective actions need to be taken beyond the dealer's capabilities. UECD will file whatever reports need to be filed with local and state agencies, and send a copy to the station for the Dealer's file. A COPY OP THIS PAGE MUST BE FILLED OUT AND POSTED CONSPICUOUSLY ON SITE. Page 3 of 10 I j' ~. -' ;'BÓW lò 6SE THIS BOOYa'1' __ The cover sheet of~is booklet contains use~ information about the underqround facilities at your station. Dependinq on the information qiven, you must use different forms in this booklet: 1. If your station has any sinqle wall product tanks, use Form C. 2. If your station has any double wall product tanks, use Form B. 3. If your station has a sinqle wall waste oil tank, use Form D. 4. If your station has a double wall waste oil tank, use Form B. s. If your station has any double wall pipinq, use Form B. 6. If your station has a pipinq trench liner, use Form B. 7. If your station has an electronic monitorinq system for any double wall pipinq or trench liner, you need not use Form B for any double wall tanks or pipinq. . 8. If your station has vadose or qroundwater monitorinq wells, you still need to use Forms C and/or D as applicable. 9. If your station has other hazardous materials (see Daily visual Monitorinq, below), you are responsible also for that portion of Form B. . .. .. . Also. all stations must comD1ete Form A and send it in every 3 months to the local aaencv shown on the cover sheet. In case of a leak or spill,·· you must complete Form E to attach to Form A, and you must send a copy of Form F to your UNOCAL Representative within 24 hours. You-must also notify your representative by phone (and/or call the UNOCAL Emerqency Phone after hours). You must post a copy of paqe 3 at a conspicuous location in your cashiers area. You must keep a copy of Form H to document the traininq received by your employees. KEEP COPIES OF ALL FORMS YOU MAIL OUT! DAILY VISUAL MONITORING Hazardous Materials stored underqround include: Gasoline Diesel Fuel Waste oil These products are monitored for leaks in the underqround tanks and pipinq. Hazardous Materials stored aboveqround include: Propane Waste oil (prior to dumpinq in underqround tanks) Motor oil Transmission oil Gear Lubricant (80W/90) Grease Solvent (includinq parts cleaners) Battery Acid Antifreeze If your station stores any of these materials, the storaqe areas must be visually inspected every day for siqns of leakaqe. If there is a leak or spill of any of the hazardous materials, whether stored above or underqround, you must follow the Emerqency Response Procedures outlined on paqe 3, as applicable. paqe 4 of 10 3", "J., ~'M;NI;O~NG FOR SINGeWALL' TANKSe INSPECTIONS TO BE CONDUCTED BY DEALER 1. Daily reconciliation shall be made of the inventory control records. 2. Daily visual inspection for leaks shall be made in the areas of: - Submerged pump - Tank fill (also inspected after each delivery) 3. Dealer MUST be aware that a reduction in product flow to 3 gallons per minute ~qpm) indicates a potential piping leak. PRODUCT TANK GAUGING PROCEDURE 1. Use a gauge stick (dipstick) to measure the level of gasoline in each tank. Lower the stick slowly until it hits the bottom of the tank. The use of fuel-finding paste is recommended. 2. Slowly pull the stick back out, and observe the point where the stick begins to be discolored by the liquid. 3. write this number down, and repeat the same procedure. If the two number are not close, repeat the procedure until the numbers agree. 4. Enter the final number in your dealer books. If it is raining, wate~ can spo~l th~.~~a~ings, and should D2t be allowed to enter the tank. If it does not stop raining, care must be taken to ensure the stick readings are accurate. RECORD ~EEPING FOR SINGLE-WALL TANKS 1. Use your dealer books to keep track of your daily dipstick r~ading. 2. Record daily all dispenser, meter readings in your dealer books. 3. Reco~d 'all deliveries in your dealer books. 4. The dipstick, dispenser meter, and delivery recordings are to be used daily in filling out the "Inventory Reconciliation Sheet" (attached). WASTE OIL TANK GAUGING PROCEDURE 1. To monitor the inventory level in the waste oil tank¡ have the tank locked for at least 12 hours or longer your local agency. This shall be done weeklv. WITHDRAWALS SHALL OCCUR DURING THESE PERIODS. 2. stick gauge the tank immediately before closing access to the waste oil tank, and immediately after reopening the tank, and enter those numbers in columns C and D of the "Waste Oil Tank Gauging Sheet" (attached) in both inches and gallons. 3. The difference between those two columns is the actual variation (column E). 4. For allowable variation (column F), use 2.8 gallons if you have a 280 gallon capacity, or 5.0 gallons if you have a 520 or 550 gallon tank. be prepared to if required by NO INPUTS OR WHAT '1'0 DO II' YOU EXCEED THE ALLOWABLE VARIATION If you EVER exceed the allowable variation as indicated on the Inventory Reconciliation Sheet C, column 13, or on the Waste oil Tank Gauging Sheet 0, column 7, follow the RESPONSE PROCEDURE shown on Page 3. Notify your UNOCAL representative within 24 hours of discovery of a suspected leak. UNOCAL will be responsible for coordinating one or more of the following: - Performing a metered vs. measured inventory reconciliation. - contacting the appropriate State and Local agencies. - Visually inspecting for leaks. - Calibrating the dispenser meters. - Hiring a tank tester to determine if there is a leak. - Having the tank(s) and/or piping repaired or replaced if necessary. The "Unauthorized Release Report" must be sent to UNOCAL within 24 hours. The "Release Evaluation Checklist" must be attached to the "Inventory Reconciliation Sheet", or the "Waste oil Tank Gauging Sheet" where the allowable variation was exceeded. Page 5 of 10 ..¡ 'J:.~ I ~ @: 1\ ~Ja'rOU.G lOR nALB-nLL ftDSe INSPECTIONS TO BB CONDUCTED BY DEALBR 1. Daily reconciliation shall be made of the Inventory Control Records. 2. Daily visual inspection for leaks shall be made in the areas of: - Submerged pump - Tank fill (also inspected after each delivery) 3. Dealer MUST be aware that a reduction in product flow to 3 gallons per minute (qpm) indicates a potential leak. 8ECONDARY COIITAIDBNT MONITORING PROCBDURE Tank or Piping Secondary containment (annular space or Piping Trench Liner) shall be monitored daily by the dealer, unless a less frequent period is allowed. This is done to determine if product is leaking from the primary container or if water is entering from an outside source. This Drocedure is not necessarv if an electronic monitorina svstem is installed to monitor these items. . Contact your UNOCAL representative f~r monitoring port locations. 1. Use a gauge stick (dipstick) to detect any liquid in the tank annular space, double wall piping monitoring ports, or piping trench liner monitoring wells. Lower the stick slowly until it hits the bottom of the tank annular space. 2. Slowly pull the stick back out and observe whether the stick has been discolored by liquid. If product and/or water is detected, immediately contact your representative. 3. write this number down, and repeat the same procedure. If the two numbers are not close, repeat the procedure until the numbers agree. 4. Enter the final number in the "Secondary containment Recording Sheet (attached). NOTE: Piping trench monitoring wells consist of slotted PVC pipe which allows liquid intrusion and a manhole for access. Wells are located at the lowest point of the fiberglass trench liner. RECORD KEBPING POR DOUBLE-WALL TANKS , PIPING 1. Keep track daily of the liquid level on the "Secondary containment Recording Sheet". 2. If ANY fuel and/or water is discovered in the trench liner, call your representative IMMEDIATELY, and explain the situation. 3. If the representative has been notified, but after 8 hours it has not been possible to remove all the liquid from the secondary containment, dealer must contact the local agency shown on the cover sheet. BLECTRONIC MONITORING SYSTBMS If this station is equipped with an electronic monitoring system for underground tanks and piping, in the event of a leak in the primary containment, product will be contained in the annular .pace. The sensors for the electronic monitoring system are located at the low end of each tank, and at the low end of the piping where the product will drain back into the tank. There may be .ensors at additional locations. Sensors will signal the presence of a leak. If a leak is discovered, the "Unauthorized Release Report" aust be sent to UNOCAL within 24 hours. The "Release Evaluation Checklist" must be attached to the "Quarterly Report". Page 6 of 10 - '):ø V· O~RF~L~/SPILL PRO~TION 1. DELIVERIBS/GAUGING Dealer is responsible to ensure that the delivery he or she requests is not in excess of the tank capacity, taking into consideration the amount currently in tank. Driver is to gauge tank to assure capacity is available for the entire load and must remain in attendance during the entire delivery to monitor the operation. , CLEANUP e 2 . BALL VBN'1' LINE !'LOAT SYSTEM (Only for double-wall tanks installed after July 1986.) The ball float valve system installed with the tank substantially prevents the possibility of overfill occurring. If the tank is filled to the ball float level, the petroleum product delivery will be cut to 3 gallons per minute alerting the driver of a potential overfill condition. In the event that this occurs, the 'following actions will be taken: 1. The delivery truck driver shall turn off the petroleum product supply at the truck, leaving the hose fully connected to the tank fill pipe line and the truck. 2. The small amount of petroleum product remaining in the hose shall be slowly drained into the tank. Since the ball float valve is 2 to 3 inches below the top of the tank, there remains a 100 + gallon capacity within the tank at the moment when the ball float closes off delivery. The bleed hole in the ball float valve allows the remaining petroleum product in the hose to completely drain through the fill pipe into the tank. 3. The hose shall be disconnected from the fill pipe only when it has fully drained. In the event that spillage occurs upon hose disconnection, the remaining small amount of petroleum product will be properly contained. 3. WASTE OIL TANK 1. Station is equipped with waste oil buckets which hold a maximum capacity of 3 gallons (about 3 to 4 cars' worth of waste oil). 2. Prior to dumping any waste oil, dealer is to gauge the tank to assure that holding capacity is greater than that which will be put into the tank. 3. Waste oil is poured directly through fill/pump out pipe, using a funnel. Should any waste oil spill during this operation, it will be properly contained using absorbent material. Page 7 of 10 I -1 (.'~ ~ ¡¡. 4. cbÌN-OP/RE CORD eA a 1. Small spills ~ess than 1 gallon and onl~equiring 15 minutes to clean up) shall be cleaned up using absorbent materials. 2. Larger spill$ occurring during product delivery shall be reported to the terminal by the dealer and/or by delivery truck driver. The terminal supervisor will notify a local petroleum maintenance contractor who is equipped with a N.F.P.A. approved type hand pump, vacuum and transport container. Large spills not caused by delivery shall be reported immediatelv to your rep. 3. Spills shall be cleaned up within 8 hours of detection, returned to local terminal and/or disposed of in a lawful manner. 4. Dealer shall record all spills whether or not it is due to delivery overfill or accidental spillage, which exceeds approximately one gallon, and action taken on the WUnauthorized Release Report" (attached), and send it to UNOCAL within 24 hours. 5. Large spills (more than 1 gallon) must be reported to the local ~gency indicated on the cover sheet within 24 hours. If the spill is large enough to pose a significant hazard, it must also be reported to the California Office of Emergency Services at 800-852- 7550. IN CASE OF EMERGENCY CALL 9-1-1 INSPECTIONS TO BE COORDINATED YEARLY INSPECTIONS AND TESTING BY t7NOCAL Yearly testing shall be made of the following: 1. Pressurized piping systems shall be monitored using in-line leak detectors. Leak detectors shall be tested annually for proper operation. Dealer MUST be aware that a reduction in product flow to 3 gallons per minute (gpm) indicates a potential piping leak. 2. Tanks and piping shall be. tested annually for tightness, using a State-certified test system. (For non-secondarily contained tanks and piping only.) 3. Electronic monitoring systems shall be tested annually for proper operation. (For secondarily contained tanks and piping only.) 4. Dispenser core holes, shear valves, and blending valves shall be annually inspected by UNOCAL for signs of leakage. 5. Dispenser meters (recording total sales in gallons) shall be calibrated once annually by UNOCAL. Anv additional calibration will be the resDonsibilitv of the dealer. Use the wDispenser Meter Calibration Form". VAÐOSB/GROmmnTBR MONITORING nLLS This section is not applicable unless wMonitoring MethodsW line on cover sheet shows wVadose Wells" or wGroundwater Wellsw.) The monitoring of vadose wells and groundwater monitoring wells is contracted out to Applied Geo systems. Monitoring is performed monthly for vapor analysis of the vadose wells and subjective analysis for traces of product in the groundwater monitoring wells. Monitoring is performed quarterly for laboratory analysis of groundwater samples. Moni toring records are maintained on-site in the dealer's office, and are available ~or inspection. Page 8 of 10 ..J ~piOYBÈ Tn"iNING PLAN e e New Employees m11st be given this training before staring work, and refresher courses must be provided annually. Records must be kept to show when each station employee has been give his/her safety training. Use the following outline: I. FIRST THINGS TO KNOW A. BKBRGBNCY PUMP SBUT-OFF: This turns off the turbine pumps that provide flow to the dispensers from the underground tanks. In case of a leak, shutting off the pumps will help to prevent spills. LOCATION: CASHIERS COUNTER B. BLECTRICAL SBUT-OFF: The panel allows you to selectively cut off power to lights, signs, pumps, etc. The mai.n switch kills all power at the site. LOCATION: IN OFFICE C. WATER SHUT-OFF: The water shut-off may be necessary in some cases. LOCATION: In sidewalk of Potrero Ave. D. FIRST AID KIT: LOCATION: CASHIERS AREA E. FIRE EXTINGUISHERS: Use only on small fires that you can handle. Do not attempt to extinguish large fires on your own; call 9-1-1 for help. LOCATION: 3-in CASHIERS AREA F. ABSORBENT: In the form of crystals or cloth, absorbent can soak up small spills of gasoline, diesel fuel, or other petroleum products. Absorbent should be used rather than washing spills down a drain. In case of large spills merely try to contain it; a vacuum truck should be used to clean up any large spills. LOCATION: CASHIERS AREA G. NEAREST MEDICAL FACILITY: Employees should know what facilities are available in case customers or other employees need medical attention: NAME: San Joaauin Communitv ADDRESS: 2615 Eve Street CITY:Bakersfield PHONE NUMBER: 805-395-3000 NEAREST DESIGNATED TRAUMA CENTER: NAME: UCLA Hospital and Clinics ADDRESS: 10833 LeConte Avenue CITY: Los Anaeles PHONE NUMBER: 213-825-2111 Page 9 of 10 .; ;':"\\ ~, ... II. ~, \11 employee~hould review the Service~ation Monitoring Plan, of which this~raining plan is a part. S~ifically, each employee should understand the procedures to be used in responding to various kinds of emergencies, and know how to monitor for leaks of hazardous materials. As a supplement to this package, employees should also review the Emergency Response Plan filed by your business to the appropriate local agency. Thirdly, employees should review and have access to the Materials Safety Data Sheets you have on file for each of the hazardous materials stored at the station. III. FIRST AID PROCEDURES (For exposure to gasoline or diesel fuel): A. EYE CONTACT: For direct contact, flush the affected eye(s) with clean water. If irritation or redness develops, seek medical attention. B. SKIN CONTACT: wipe product from skin and remove soaked clothing. Cleanse affected area(s) thoroughly by washing with soap and water. If irritation develops and persists, seek medical attention. Do not use solvents or thinners to remove product from skin. C. INHALATION (Breathinq): If symptoms of exposure develop, move victim away from source of exposure and into fresh air. If symptoms persist, seek medical attention. Symptoms include: flushing, blurred vision, dizziness, nausea, headache, drowsiness, loss of coordination, and fatigue. If victim is not breathing or if breathing difficulties develop, artificial respiration or oxygen should be administered by qualified personnel. Seek immediate medical attention. D. INGESTION (Swallowina): DO NOT INDUCE VOMITING BECAUSE GASOLINE CAN ENTER LUNGS AND CAUSE SEVERE LUNG DAMAGE! If victim is conscious and alert, give 2 to 3 cups of milk or water to drink. Seek medical attention. E. For further information, consult the Materials safety Data Sheets for these products and for other hazardous materials. FIRST AID FOR EXPOSURE TO OTHER MATERIALS: Consult the warning advice on container labels or refer to the MSDS for that product. Page 10 of 10 ~- :0,,, ~ -ÚIlÕì:ALf) e QUARTERLY REPORT e A Fill out this form quarteriy and send in with 011 other forms, os applicable. KEEP COPIES OF ALL FORMS YOU MAIL OUT. S/S #: BUSINESS NAME: Address: Tonk # Capacity (gal) Product . Quarter # Start Dote: End Dote: ..., Year: CHECK ONE BOX BELOW AS APPLICABLE: D I hereby certify under the penalty of perjury that 011 product level variations for this facility were within allowable limits for this quarter. ("NO" in cloumn 12, Inventory Reconciliation Sheet; "NO" in column 7, Tank Gouging Sheet; "OK" in all applicable columns of the Daily Visual Monitoring Log). D Inventory variation at this facility exceeded the allowable limits for this quarter. I hereby certify under penalty of perjury that the source for the variation(s) was not due to an unauthori:zed (leak) release. ("YES" to any of the above). D There was an unauthori:zed (leak) release at this facility during this quar1.er. I hereby certify under penalty of perjury that all necessary corrective ac1.ioi\s have been or ore being taken. I DEALER'S SIGt~A TURE/DA TE: LIST DATE, TANK # AND AMOUNT FOR ALL VARIATIONS THAT EXCEEDED THE ALLOWABLE LIMITS: DATE TANK # AMOUNT THIS QUARTERLY REPORT SHALL BE SUBMlillD TO THE REGULATING LOCAL AGENCY WITHIN 15 DAYS OF THE END OF EACH QUARTER: QUARTER 1 JANUARY-MARCH Submit by April 15 QUARTER 2 APRIL-JUNE Submit by Ju I Y 1 5 QUARTER 3 JUL Y-SEPTEMBER Submit by October 15 QUARTER 4 OCTOBER-DECEMBER Submit by January 15 Ii ',. ~~~·~:A~ MONITORING L~G B Fill out this form daily and send it in with the Quarterly Report. Unocal 5/5#: Address: Business Name: Month of: .::£ o ~ SID!~!UI S Jopadsu . , VI CI1.::t.-- C lH VI oE~ ... ~ :0;:..00 11 trI: .!: ~ .£-0 VI o't'~ 15 VlU.::£ C en U I- O't' CI1 ~ 0 :;; ~ ~ U ... E .- I- > ~ c.. -0 .- .... c~~ -0 :J () C C o r:::r >..!: 0 CI1 ~ .Q CI1 ë....z L.. 1-.....::£ CI1 o U 0 0.... VI VI If) u«~ __ 0._ :::> 0 JSL.1W S9[JSnC8 If) azaaJm U'v' :J VI :¡ ue^ 10S 0- 't' .2 eSDeJO I- I- I- ~ 0 CI1 I!O JDSD .!:N- .... 0 0 OJ:~ silo JO:¡O~ 9# >juDl .!: ç# ) UDl () CJ'I t# c: c: >juDl ~ .- I- I- r.# ~ 0 ) UDl ~:t: VI ,,# ) UDl c..C:= ._ 0 ~ ~# o..~~ ) UDl t# >juDl 0. VI r.# ) UDl . E CI1 r.# >juDl ..0 x :J:JO ~I >juDl If)o..cn ç# > uol t'# >juDl II r# ) UOl .::t. &I ,,# >juol c _ ~ o=cn ~f >juol I-L¡", ç# >juol '- 11\ t# > uol Ell r.# > uOl .::£ :J U z# c: c 0 >jUDl o c a. ¡-<If) II >jUD 1 atOa tD 0 ... N I") .q- LI') to ,..... eX) en 0 .... N I") 'd' 10 to""" a;) 0\ 0 ;;; ... N I") 'd' 10 ,..... ro 0\ ... .... ...... ... .... ... ... .... .... ..... N N N N N N NN N N I") I I i o .... o c: .Q .... o U 't' c: VI ~ I- CI1 .!: .... >. .!: ~ t: o a. x ~ I- o 4! ..0 o .~ c.. 0- o 11\ o & :x; o & x o .0 .!: U o CI1 .... - o .::t. U CI1 .!: U 1 2 3 4 5 6 7 8 9 10 11 12 13 Op..I'''1I lot....... a-." Accumulated .. i.'fo:,. Aetuol In_tory OeIlvwfee SoI_ Total In_tory ....wed ...I....ed Throu9hput ............""...1 All........,. Vorlcrtlon Varlallon Sol.. Sol... " ,0015 .. E..... [",or VdI'Iollon "rem Column 4115 - YMtwdoy. CaIunwI ~Ic~'- From Accumulal. Column 5ubtræt Ie C81umn . Column 4 1+2-3 "eadInv Column 3 Column 6 ( .0015 - 9., 10 ""oil.. , ~..rr,';.. õ rn.m l~ C] gallons gallons galJon. gallon. Inch.. gollon, 901l0n, 901l0n5 )I .0015 - gollon5 gallons gallon. +/- 90"on. yeiiJno 1 " .0015 - +/- ... 2 )I .0015 - +/- J Ie .0015 .. +/- 4 )I .0015 - +/- 5 Ie .0015 - +/- 6 )I .0015 - +/- 7 K .0015 - +/- 8 )I .0015 - +/- 9 " .0015 - +1- 10 )I .0015 - 1+/- 11 ( .0015 - +/- 12 )I .0015 - +/- 13 ( .0015 - +/- 14 ( .0015 - +/- 15 Ie .0015 - + - 16 )I .0015 - + - 17 Ie .0015 - + - 18 )I .0015 - +1- 19 I" .0015 - +1· 20 ( .0015 - +/- 21 " .0015 - +1- 22 )I .0015 - +/- 'J."5 Ie .0015 - +/- 24 .' )I .0015 - +/- 25 +1- - ( .0015 - 26 )I .0015 - +/- 27 Ie .0015 - +/- 28 )I .0015 - +/- 29 Ie .0015 - +/- JO )I .0015 - +/- 31 Ie ,0015 - +/- .Openlng dIpstick readIng "'ea.urem.,,\ MTOr I. based on tonk .Ize: TANK SIZE MEASUREMENT ERROR 1_ than 4.000 gal. 25 9cJI. 4.000 to 7.500 gal. 50 gal. 8.000 or 10.000 gal. 75 901. 12.000 901. 100 gal. ... If Column 4 I. Ie., than 5 (+) I' column 5 I, I." than 4 (-) ... If )IOU an.wer.d yea In Column 13 ,..fer to Relea.. (leak Evaluation Action Chart ¡.. j¡ ~ V -<0 (I) Z.J: <tic 'ù> 00 <.' :'1;::.. ~ <II me , zn --f . 0 r- ::D ~ -< tD c ff (/) S' Cb (/) () (/) (") Z 0 0 0 :J 3 .... <tI ~ Z :J - (/) 0 - r - » -t - 0 ~ :0 0 ~ 0 -" Cb C ;:+:Jg= "U 0 :T0.3 0"'" 0 ....,...........UI c: ¡+- <tI :T <tI 0._ ::!.. Cb ::J 0 '< 0.=.... ,<:1" ;:¡: (/) o I .. :..(~. ~ ., .~"1?.. ".OCALœ e e WASTE OIL TANK GAUGING SHEET I I D IS/S #: Address: I Qu art er: Year: Business Name: Fill out this form weekly and send it with the Quarterl y R ep ort. II Tank *: Capacity: GAUGING PERIOD INVENTORY VARIA TIONS 1 2 3 4 5 6 7 Opening Closing Actual Allowable Allowable FROM TO Dipst.ick Dipst.ick Variation Variation Variation Reading Reading (4- 3) . . Date/Time Dat.e/Time Inches Gal. Inches Gal. Gallons Gallons Yes/No .Allowable variation is based Tonk Size 280 g<;1l1ons 520 gallons 550 gallons on tank size: Allowable Variation 2.8 gallons 5.0 gallons 5.0 gallons .-If you answered "Yes" in' column 7 (Col. 6 > Col. 5), then an unauthorized release (leak) sholl be assumed to have occurred. Follow the Release Evaluation checklist and attach to this form. ~II::. '~' ---U.O C ALW----------------------·------------- "h~ e e RELEASE EVALUATION CHECKLIST E IS/S #: : Address: Business Nome: III out this form henever the lIowoble voriotio Is exceeded and send in with the Quorterl}' Report. Tonk #: Capacity. Product: Dote & Time Allowable Variation was E}{ceeded: CHECK OFF EACH STEP AS IT IS COMPLETED. STEP 1 D RECORDS REVIEWED Dote/Time: Performed by: Should be done within 2 hours. STEP 2 D NEW RECONCILIATION PERFORMED Dote/Time: Performed by. Should be done within 24 hours. STEP 3 D CALL UNOCAL. REP. AND Dote/Time: SEND UNAUTHORIZED Performed by: RELEASE REPORT TO REP. STEP 4 D RECORDS· REVIEWED FROM Dote/Time: LAST STATIC STATION Performed by. (BY DEALER OR REP.) STEP 5 D PHYSICALLY INSPECT Dote/Time: FACILITY FOR EVIDENCE Performed by; OF LEAKS STEP 611 I DISPENSER METER Dote/Time: CALlBRA~ON CHECKED Performed by. (COMPLETE TEST REPORT) STEP 7 D HYDROSTATIC PRESSURE Date/Time: TEST PERFORMED ON PIPING Performed by. Should be done within 24 hours. Should be done within 24 hours. Should be done within 2 days. Should be done within 3 days. Should be done within 4 days. STEP 8 D PRECISION TANK TEST PERFORMED . Datejlime: Performed by. Should be done within 5 days. STEP 9 D ADDI110NAL INVESTIGATION Date/Time: PERFORMED AS REQUIRED Performed by. Should be done within 5 days. Briefly describe the reason the allowable variation was exceeded: I hereby certify this is to be a true and accurate report. Dealer's Signature: Dote: ¡o 1.~;" -~ UIIO t:AL e e e IS/S #: Address: I Tonk #: ' Product: UNAUTHORIZED RELEASE REPORT I I F Business Name: omple1.e this form In the even1. of Q onfirmed leak' or III and serld to )lOur Unocol rep, ¡thin 24 hours. Capacity. TO BE COMPLETED BY THE DEALER Date leak was~ discovered: Approximate dote leak be9an: Describe fully the couse of the leak: How was the leak discovered? TO BE COII.PLETED BY THE UNOCAL RETAIL REPRESENTATIVE Has the leak bee!') stopped? Date: How was the leak stopped? . List resources affected: Yes !:iQ Threatened ;; of wells Soil - - Creek or Storm drains - - Buildings or Utility Vautts - - Groundwater - - Public Drinking Water - - Private Drinking Water - - Agricultural - - Oth er - - Instructions to Unocal Retail Reoresentotives: This form must be forwarded to Unocol Maintenance &: Construction Deportment IMMEDIA TEL Y so they con submit to the appropriate local agency within 5 days of discovery of any leak. ·~.;;.._~ UIIDI:ALf) e . EQUIPMENT TEST LOG G S/S #: Business Name: Address: Contractor: Nome of person completing testes): , Signature: Dealer's Signature: ill out this orm for each nnual Inspection nd keep on He. Check off each test when performed: ¡,. D Sheaf'Valve Inspections - Date: 12. D Blending Valve Inspections - Date: 3.D Leak Detector Product Model Leak Full Line Pressure (PSI) Simulated Line Leak Test . Inspection Detector Open Max. 12 Close Min. 26 Pass Foil Date Super Unleaded Unleaded Diesel Oth er f4. D Dispenser Meter Calibration Procedure: 1. Before starting calibration runs, wet the calibration can with product and return product to storage. 2. Run 5 gallons with nozzle wide open into the can. Note gallons and cubic inches drown, and return product to storage. 3. Run 5 gallons with nozzle one-half open into the con. Note gallons and cubic inches drown, and return product to storage. 4. If the volume measured in a 5-gallon calibration con is more than 6 cubic inches above or below the 5-gallon mark, the meter requires calibration by Q registered device repairman. Fast Flow Slow Flow Vol. Returned Calibration Dote/time Nozzle # Product 5-Gal. Draft 5-Gal. Draft to storage Required? Gal. Cu.ln. Gal. Cu.ln. Gallons YES. /N 0 .Note dote of Calibration & Device(s) used: ~~~·~~UIIOE.LG e SAFETY TRAINING LOG e H IS/S #: Address: Business Name: J E~PLOYEES ~UST SIGN THIS FORM TO PROVE 1HEY RECEIVED THEIR ANNUAL SAFETY TRAINING. Dote of Initial Employee Nome Training Dotes of Annual Refresher Training . ~.. .,. e Bakersfield Fire Dep~ Hazardous Materials Divisi~ 2130 ",G" Street Bakersfield, CA. 93301 ~ECE\Veo JAM 'l 5 '9~' HAZ.n MAT. ON. HAZARDOUS MATERIALS MANAGEMENT PLAN ,~ II <¿Ò INSTRUCTIONS: 1, To avoid further action, return !his form within 30 days of receipt. 2, fiPE/PRINT ANSWERS IN ENGLISH, 3, Answer the questions below for the business as a whole. 4 Se brief and concise os possible, SECTION 1: BUSINESS IDENTIFICATION DATA 3USINESS NAME: WHI-rc::. LANt:=- ON (oN ,ép ~ 7043\ . LOCATION: d5/ß Wfil-rc= LANE '0~ MAILING ADDRESS: ;:¿515 WHrre. LA.NE / C ¡TY: 7:AKERSPIELD STATE:t!A ZIP:933D+ PHONE:BD5-ß3~- 3402 DUN & BRADSTREET NUMBER: gg -9t4-734--f SIC CODE: 554-1 . ?RiMARY ACTIVITY: A/.:J1t)~/LE Re.FUC:L/N6i ft E£,JZV(CE:: OWNER: iHAERêLL- MIN~ MAILING ADDRESS: 25/13 ltvHnE LANt:=- SECTION 2: EMERGENCY NOTIFICATION: CONTACT 1. UICHAt:: L- H rNG;¡ 2. ~Ef<E:LLH~ TiTlE BUS. PHONE 24 HR. PHONE HGK'. 805- 832".5402.. 8Q5-~'1Z-ð~2~ DeAæ~ B05-3..z5- BtP5S B05-3Z5-o(p5S 1 , ~c ~ ~~ ----- Hazardous ~laterials Division HAZA.OUS MATERIALS MANAGEMWT PLAN SECTION 3: TRAINING: SEE UNOCAL MONITORING PLAN FOLLOWING FOR DETAILED EXPLANATION NUMBER C::F EMPLOYESS: 5 MATERIAL SAFETY DATA SHEETS ON FILE: Y BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEE TRAINING PLAN Employees must be given this training before starting work, and refresher courses must be provided annually. Records must be kept to show when each station employee has been given his/her safety training. SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS, WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I. ~f<.RE:.L-- MlrJt!:¡ CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET Al.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. SIGNATURE ~ TITLE DATE 2. FO! ~90 - . ¡ Bakersfield Fire Dept. e Hazardous :'laterials Division e HAZARDOUS MATERIALS MANAGEMENT PLAN '. Facility Unit Name: WHrn:::: L-ANE.. UN feN 7(P -=It 704ð SECTION 6: NOTIFICATION AND EV ACUATlON PROCEDURES: SEE UNOCAL MONITORING PLAN FOLLOWING FOR DETAILED EXPLANATION A. AGENCY NOTIFICATION PROCEDURES: UNOCAL will notify the appropriate state and Local agencies unless the situation requires urgent immediate response by the agencies, in which case the DEALER should notify these agencies: 1. LOCAL AGENCY: Kings Co. Div. of Envir. Health Services PHONE NUMBER: 209-584-1411 2. CALIFORNIA OFFICE OF EMERGENCY SERVICES: (800)852-7550 (24 HOURS) a. EMPLOYEE NOTIFICATION AND EVACUATION: CONTACT the station dealer if s/he is not already at the station. Use the list below for emergency contacts: 1. Name/Bus./Home: Michael Ming 805-832-3402/805-392-8823 2. Name/Bus./Home: Thaerell Ming 805-325-8655/805-325-0655 C. PUBLIC EVACUATION: 2. If there is any immediate danger, ANNOUNCE to all persons on the site: "There is an emergency. Please turn off your engines and leave the station on foot immediately." D. EMERGENCY MEDICAL PLAN: NEAREST MEDICAL FACILITY: Employees available in case customers or other attention: NAME: ADDRESS: PHONE NUMBER: should know what facilities are employees need medical San Joaquin Community 2615 Eye Street, Bakersfield 805-395-3000 NEAREST DESIGNATED TRAUMA CENTER: NAME: UCLA Hospital and Clinics ADDRESS: 10833 LeConte Avenue, Los Angeles PHONE NUMBER: 213-825-2111 3. 't)'~ . -.. DaAt:1 ~llt=la r lre ueIJL. Hazardous ~raterjals Division e . e HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: SEE UNOCAL MONITORING PLAN FOLLOWING FOR DETAILED EXPLANATION A. RELEASE PREVENTION STEPS: : OVERFILL/SPILL PROTECTION AND CLEAN-UP. Deliveries/Gauging Ball Vent Line Float System Waste oil Tank Clean-up/Records 3. RElEASE CONTAINMENT AND/OR MINIMIZATION: )NITORING FOR SINGLE WALL TANKS Inspections To Be Conducted By Dealer In ·ons·To Product Tank Gauging Procedures Secondary Record Keeping For Fuel Tanks Record Ke i Waste oil Tank Gauging Procedure ronic What To Do If You Exceed The Allowable VariatIon . C. CLEAN-UP PROCEDURES: Be Conducted . m n1toring Procedure or ary containment Monitoring Systems Small spills: Absobent material Larger spills: Report to terminal by dealer or delivery driver spills shall be cleaned up within 8 hours. Dealer shall record a1J spills over 1 gallon - any spill over 1 gallon shall be reported to local agency or Calif.Office of Emerg. Svcs. SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: ~t-I 51 De: oP BUII.-PtNq ELECTRICAL: t:::A8í CORNelZ.. c::.F" BUI/...D/NG4 LIN$rc:::;e:) IN 61De::~AL~ o~ 'FbrRef20 Ave. WATER: SPECIAL: r::::MEJ<.GeNc.y 'PUMP SHUí~P IN Cfí=='1c..E?: lOCK BOX:@NO IF YES, lOCATION: SECTION 9:' PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: rl ~E: e::.Xíl NC2JUI-GHef2.-S B. WATER AVAILABILITY (FIRE HYDRANT): ~oVTHwe5í COf2.t-JefZ-.. N ~ PPoFE4èr 4. F01~.o if 704-B CITY of BAKERSFIELD ~HAZARDOUS MATERIALS INVENTORY Farn and Agticulture (] Standard BUSIness . N T SECRETS Page -1.--., of .i. NO - RADE INe UNiON 7(P OWNE~ NAME: iiAS.~ M We, NAM~ O~ 1M I S F ACI l!TV' ~~ LÁNE -3.if{ION 1~ ~~ ~~~~ S~!P: ~'Be= ~5N. ßM ~~DDBÁ~B~~~~StJ8îR~~~~~~L_.__,._.._,----- REFE~ to-rN5TRUCITONS ¡-UN ¡JROPER CODES Q 4: _.3 4+ . 1 2 J 4 5 6 1 8 9 10 11 .12 h 13 U Tr~ns Ty~e Max AVf'age Annual Hea$ure , ~yS Cont ~ont Cont uSå loc~tlon V e~e , by "a~es of ~ixture{Co~ponents Co e Co e Allt lit Est UnIts on I te Type ress Tellp Co e Store In FacI Ity Vt See Instruc Ions JIJ.K] 22p()o 1/~~o I,·· 'pøø I~ 3't5 101 I J 14- lJ.:L1 N=>o"I-# eND of FYbP6a ;;1 r?DL.EUM. ~r-J5 Ph~~ictl ,~d ~ealth HaIard C.A,S. NUØlber &:x::> (¡;(p ( c¡ Conponent'l Nane I C,A.S. Nunber ~ TANKS- ( ee a t at apply { - /ð <XC R. UNt..EAD&D - ÄN (] Reactivity.Ae1ared o suddf" Re lease I2i ,Conponent'2 Mane I C,A.S. Nunber V- I- 14 (7(J?J £. UNL..eA. IØlØledute Hea th o Pressure Health - COMponent'3 Nane I C.A.S. NUMber - NOr:rfl fEND OP ~j" ~ ø::n.lE?UN I7tD~NS Nane I C.A.S. NUllber v '5j 000 <::?AL,PREIVl - ,.R: Fire Hazard (] Reactivity -lJ De 1 ared (] SUddfn Re I ease ~ . Conponent'2 Nane I C.A,S. NUMber IIImed1ate Hea th o Pressure Health - - Component'3 Nane I C,A.S. Nunber - - 1'1 IJœ:rH é:Nr> OF PiÞPEL-Tf 100 ~L.Cl)M ~~ _ COMponent II Nane I C.A.S. Number - GOaD <4AL.~L.---n..JKS \ -- ~ Fire Hazard (] Reactivity ß De1ared (] Suddf" Re I ease ~ COMponent 12 Nalle I C.A.S. NUllber . Inmediate Hea th o Pressure Health COMponent 13 Nane I C,A.S. Nunber IN ~/æ- BA.y ~l.EVM /:fYDfi!) COMponent II Nalle I C.A.S, Nunber Q~ L.VßG ~Fire Hazard (] Reactivity ADe1ared o suddf" Re lease o d' COMponent 12 Nalle I C.A.S. Nunber Inme ute Hes th o Pressure Health - COMponent 13 Nalle I C.A.S. Nunber EMERGENCY CONTACTS tt 1 m lœA~,- M INGf . ^, ~~ee... eÞS-3' 2-882..3 1t2R7Fr=LL ~ ~-do5-S- Raile tIe ~r Phone 2f1!f171i~ Íertifi~atio~ çReCfl and ~jrn af1~r C(Jnr'~tjng. (1".seci1jons) . eertl y un er enal 0 a th t I av persona exan\n 0 II famlllac It the Infoc~atlon 'U ~Itte~ in his ond all a(taçhed dQc~~en~sl an~ t at ~ase~ on ny In~uir~ ~ lhose Inålvl~ua's responslb'e ~or obtaining the Inrornatlon. i believe that subm\tted In ornat on IS true. accurate, an co pete. memom UHnfqm- UNOCAL SERVICE STAT~N MONITORING PLAN e DEALER: UNOCAL SERVICE STATION: ADDRESS: CITY: PHONE: 24-HR. STATION NUMBER Thaerrell D. Ming 7048 2518 White Lane Bakersfield 805-832-3402 805-392-8823 UNOCAL REPRESENTATIVE: PHONE: Jim Foster (209) 237-5141 . UNOCAL EMERGENCY PHONE: (415)867-0760 (24 HOURS) LOCAL AGENCY:Bakersfield Fire Department ADDRESS: 2130 "G" Street PHONE: 805-326-3979 CALIFORNIA OFFICE OF EMERGENCY SERVICES PHONE: (800)852-7550 (24 HOURS) UNDERGROUND TANKS 87 OCTANE: 89 OCTANE: 92 OCTANE: DIESEL: WASTE OIL: 1-10,000 Single Wall f BLENDING VALVE 15,000 Single Wall 2x 6,000 Single Wall I - 12)000 t51N.I!III..E WAU- PIPING CONTAINMENT:Single Wall MONITORING METHODS:Inventory Reconciliation (Rev. 11-90) Prepared by Robert H. Lee and Associates e e TABLE OF CONTENTS EMERGENCY RESPONSE PROCEDURE......................................Page 3 A copy of this page must be filled out and posted conspicuously on site. HOW TO USE THIS BOOKLET........................................... Page 4 DAILY VISUAL MONITORING........................................... Page 4 MONITORING FOR SINGLE WALL TANKS..................................Page 5 Inspections To Be Conducted By Dealer Product Tank Gauging Procedures Record Keeping For Fuel Tanks Waste oil Tank Gauging Procedure What To Do If You Exceed The Allowable Variation MONITORING DOUBLE WALL TANKS......................................Page 6 Inspections To Be Conducted By Dealer Secondary containment Monitoring Procedure Record Keeping For Secondary containment Electronic Monitoring Systems OVERFILL/SPILL PROTECTION AND CLEAN-UP............................Page 7 Deliveries/Gauging Ball Vent Line Float System Waste oil Tank Clean-up/Records INSPECTIONS TO BE COORDINATED BY UNOCAL...........................Page 8 Yearly Inspections and Testing Vadose/Groundwater Monitoring Wells EMPLOYEE TRAINING PLAN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pages 9-10 Outline for Mandatory Safety Training for All Employees FORMS TO BE COMPLETED (Copy these forms for your own use) Quarterly Report................................................ Form A Daily Visual Monitoring Log.....................................Form B Inventory Reconcil iation Sheet............................ '. . . . . . Form C Waste oil Tank Gauging Sheet....................................Form D Release Evaluation Checklist....................................Form E Unauthorized Release Report.....................................Form F Equipment Test Log.............................................. Form G Safety Training Log............................................. Form H NOT ALL INFORMATION IN THIS BOOKLET WILL BE APPLICABLE. REFER TO THE COVER SHEET TO CONFIRM WHAT EQUIPMENT IS ON SITE. Page 2 of 10 EMERGENCY RESPONSE ~OC~DURE e In the event of a fire, spill, or a leak or suspected leak in the tanks and/or piping, the following steps are to be taken as applicab1e: 1. TURN OFF PUMPS using the Emergency Pump Shut-Off Switch. 2. If there is any immediate danger, ANNOUNCE to all persons on the site: "There is an emergency. Please turn off your engines and leave the station on foot immediately." 3. CALL FOR HELP in case of an emergency by dialing 9-1-1 and giving the following information: "THERE IS A FIRE / DANGEROUS GASOLINE SPILL at the UNOCAL Station at (give address)." If anyone is trapped or needs medical attention, tell the answering dispatcher. Stay on the phone and be prepared to answer any questions concerning the situation. 5. ATTEMPT TO EXTINGUISH any fire if you can do so safely. Have the fire extinguisher ready to use in the event of any dangerous spill. Try to contain any large spill, or use absorbent on smaller spills. 6. REPORT to arriving emergency response personnel to provide them with any information or assistance they might need. 7. CONTACT the station dealer is s/he is not already at the station. Use the list below for emergency contacts: 1. Name/Bus./Home: Michael Ming 805-832-3402/805-392-8823 2. Name/Bus./Home: Thaerell Ming 805-325-8655/805-325-0655 8. NOTIFY your UNOCAL Retail Representative by phone WITHIN 24 HOURS (also use the UNOCAL Emergency Phone, after hours): 1. UNOCAL REPRESENTATIVE/PHONE NUMBER: Jim Foster/(209)237-5141 2. UNOCAL EMERGENCY PHONE: (415) 867-0760 (24 HOURS) You must mail a completed Unauthorized Release Report to the Rep within 24 hours. UNOCAL will notify the appropriate State and Local agencies unless the situation requires urgent immediate response by the agencies, in which case the DEALER should notify these agencies: 1. LOCAL AGENCY: Bakersfield Fire Department PHONE NUMBER: 805-326-3979 2. CALIFORNIA OFFICE OF EMERGENCY SERVICES: (800)852-7550 (24 HOURS) 9. Dealer should attempt to isolate leak location by inspection. 10. UNOCAL Retail Representative will coordinate with UNOCAL Maintenance and Construction whatever corrective actions need to be taken beyond the Dealer'capabilities. UNOCAL Maintenance and Construction will file whatever reports need to be filed with local and state agencies, and send a copy to the station for the Dealer's file. A COPY OF PAGE MUST BE FILLED OUT AND POSTED CONSPICUOUSLY ON SITE. Page 3 of 10 HOW TO USE THIS BOOKLET The cover sheet Of4lhis booklet contains use~ information about the underground facilitl.es at your station. Depe~ing on the information given, you must use different forms in this booklet: 1. If your station has any single wall product tanks, use Form C. 2. If your station has any double wall product tanks, use Form B. 3., If your station has a single wall waste oil tank, use Form D. 4. If your station has a double wall waste oil tank, 'use Form B. 5. If your station has any double wall piping, use Form B. 6. If your station has a piping trench liner, use Form B. 7. If your station has an electronic monitoring system for any double wall piping or trench liner, you need not use Form B for any double wall tanks or piping. 8. If your station has vadose or groundwater monitoring wells, you still need to use Forms C and/or D as applicable. 9. If your station has other hazardous materials (see Daily Visual Monitoring, below), you are responsible also for that portion of Form B. Also. all stations must comDlete Form A and send it in every 3 months to the local aaencv shown on the cover sheet. In case of a leak or spill, you must complete Form E to attach to Form A, and you must send a copy of Form F to your UNOCAL Representative within 24 hours. You must also notify your representative by phone (and/or call the UNOCAL Emergency Phone after hours). Your must post a copy of Page 3 at a conspicuous location in your cashiers area. Your must keep a copy of Form H to document the training received by your employees. KEEP COPIES OF ALL FORMS YOU MAIL OUT! DAILY VISUAL MONITORING Hazardous Materials stored underground include: Gasoline Diesel Fuel Waste Oil These products are monitored for leaks in the underground tanks and piping. Hazardous Materials stored aboveground include: Propane Waste oil (prior to dumping in underground tanks) Motor Oil Transmission oil Gear Lubricant (80W/90) Grease Solvent (including parts cleaners) Battery Acid Antifreeze If your station stores any of these materials, the storage areas must be visually inspected every day for signs of leakage. If there is a leak or spill of any of the hazardous materials, whether stored above or underground, you must follow the Emergency Response Procedures outlined on Page 3, as applicable. Page 4 of 10 MONITORING FOR SINGLE-WALL TANKS INSPECTIONS TO BE ~UCTED BY DEALER . 1. Daily reconcili~ion shall be made of the entory control records. 2. Daily visual inspection for leaks shall be made in the areas of: - Submerged pump - Tank fill (also inspected after each delivery) 3. Dealer MUST be aware that a reduction in product flow to 3 gallons per minute (gpm) indicates a potential piping leak. PRODUCT TANK GAUGING PROCEDURE 1. Use a gauge stick (dipstick) to measure the level of gasoline in each tank. Lower the stick slowly until it hits the bottom of the tank. The use of fuel-finding paste is recommended. 2. Slowly pull the stick back out, and observe the point where the stick begins to be discolored by the liquid. 3. write this number down, and repeat the same procedure. If the two number are not close, repeat the procedure until the numbers agree. 4. Enter the final number in your dealer books. If it is raining, water can spoil the readings, and should not be allowed to enter the tank. If it does not stop raining, care must be taken to ensure the stick readings are accurate. RECORD KEEPING FOR SINGLE-WALL TANKS 1. Use your dealer books to keep track of your daily dipstick reading. 2. Record dailY all dispenser meter readings in your dealer books. 3. Record all deliveries in your dealer books. 4. The dipstick, dispenser meter, and delivery recordings are to be used daily in filling out the "Inventory Reconciliation Sheet" (attached). WASTE OIL TANK GAUGING PROCEDURE 1. To monitor the inventory level in the waste oil tank, be prepared to have the tank locked for at least 12 hours or longer if required by your local agency. This shall be done weekl v. NO INPUTS OR WITHDRAWALS SHALL OCCUR DURING THESE PERIODS. 2. stick gauge the tank immediately before closing access to the waste oil tank, and immediately after reopening the tank, and enter those numbers in columns C and D of the "Waste oil Tank Gauging Sheet" (attached) in both inches and gallons. 3. The difference between those two columns is the actual variation (column E). 4. For allowable variation (column F), use 2.8 gallons if you have a 280 gallon capacity, or 5.0 gallons if you have a 520 or 550 gallon tank. WHAT TO DO IF YOU EXCEED THE ALLOWABLE VARIATION If you EVER exceed the allowable variation (Inventory Reconciliation Sheet, column 13, or Waste oil Tank Gauging Sheet, column G), follow the RESPONSE PROCEDURE shown on Page 3. Notify your UNOCAL representative within 24 hours of discovery of a suspected leak. UNOCAL will be responsible for coordinating one or more of the following: - Performing a metered vs. measured inventory reconciliation. Contacting the appropriate State and Local agencies. - Visually inspecting for leaks. - Calibrating the dispenser meters. Hiring a tank tester to determine if there is a leak. - Having the tank{s) and/or piping repaired or replaced if necessary. The "Unauthorized Release Report" must be sent to UNOCAL within 24 hours. The "Release Evaluation Checklist" must be attached to the "Inventory Reconciliation Sheet", or the "Waste oil Tank Gauging Sheet" where the allowable variation was exceeded. Page 5 of 10 IIOBITOlURG FOR DOUBLE-WALL -¡'ARKS XNSPECTXONS TO BE C~UCTED BY DEALER . 1. Daily reconcili~on shall be made of the I entory Control Records. 2. Daily visual inspection for leaks shall be made in the areas of: - Submerged pump - Tank fill (also inspected after each delivery) 3. Dealer MUST be aware that a reduction in product flow to 3 gallons per minute (gpm) indicates a potential leak. SECONDARY CONTAXNMENT MONXTORXNG PROCEDURE Tank or Piping Secondary Containment (annular space or Piping Trench Liner) shall be monitored dailv by the dealer, unless a less frequent period is allowed. This is done to determine if product is leaking from the primary container or if water is entering from an outside source. This procedure is not necessarv if an electronic monitorinq svstem is installed to monitor these items. Contact your UNOCAL representative for monitoring port locations. 1. Use a gauge stick (dipstick) to detect any liquid in the tank annular space, double wall piping monitoring ports, or piping trench liner monitoring wells. Lower the stick slowly until it hits the bottom of the tank annular space. 2. Slowly pull the stick back out and observe whether the stick has been discolored by liquid. If product and/or water is detected, immediately contact your representative. 3. write this number down, and repeat the same p~ocedure. If the two numbers are not close, repeat the procedure until the numbers agree. 4. Enter the final number in the "Secondary containment Recording Sheet (attached). NOTE: Piping trench monitoring wells consist of slotted PVC pipe which allows liquid intrusion and a manhole for access. Wells are located at the lowest point of the fiberglass trench liner. RECORD KEEPXNG FOR DOUBLE-WALL TANKS , PXPXNG 1. Keep track daily of the liquid level on the "Secondary containment Recording Sheet". 2. If ANY fuel and/or water is discovered in the trench liner, call your representative IMMEDIATELY, and explain the situation. 3. If the representative has been notified, but after 8 hours it has not been possible to remove all the liquid from the secondary containment, dealer must contact the local agency shown on the cover sheet. ELECTRONIC MONITORING SYSTEMS If this station is equipped with an electronic monitoring system for underground tanks and piping, in the event of a leak in the primary containment, product will be contained in the annular space. The sensors for the electronic monitoring system are located at the low end of each tank, and at the low end of the piping where the product will drain back into the tank. There may be sensors at additional locations. Sensors will signal the presence of a leak. If a leak is discovered, the "Unauthorized Release Report" must be sent to UNOCAL within 24 hours. The "Release Evaluation Checklist" must be attached to the "Quarterly Report". Page 6 of 10 OVERFILL/SPILL PROTECTION 'CLEANUP 1. DELIVERIES/GAUG~ . Dealer is responsible to ensure that the de~very he or she requests is not in excess of the tank capacity, taking into consideration the amount currently in tank. Driver is to gauge tank to assure capacity is available for the entire load and must remain in attendance during the entire delivery to monitor the operation. 2 . BALL VENT LINE FLOAT SYSTEM (Only for double-wall tanks installed after July 1986.) The ball float valve system installed with the tank sUbstantially prevents the possibility of overfill occurring. If the tank is filled to the ball float level, the petroleum product delivery will be cut to 3 gallons per minute alerting the driver of a potential overfill condition. In the event that this occurs, the following actions will be taken: 1. The delivery truck driver shall turn off the petroleum product supply at the truck, leaving the hose fully connected to the tank fill pipe line and the truck. 2. The small amount of petroleum product remaining in the hose shall be slowly drained into the tank. Since the ball float valve is 2 to 3 inches below the top of the tank, there remains a 100 + gallon capacity within the tank at the moment when the ball float closes off delivery. The bleed hole in the ball float valve allows the remaining petroleum product in the hose to completely drain through the fill pipe into the tank. 3. The hose shall be disconnected from the fill pipe only when it has fully drained. In the event that spillage occurs upon hose disconnection, the remaining small amount of petroleum product will be properly contained. 3. WASTE OIL TANK 1. Station is equipped with waste oil buckets which hold a maximum capacity of 3 gallons (about 3 to 4 cars' worth of waste oil). 2. Prior to dumping any waste oil, dealer is to gauge the tank to assure that holding capacity is greater than that which will be put into the tank. 3. Waste oil is poured directly through fill/pump out pipe, using a funnel. Should any waste oil spill during this operation, it will be properly contained using absorbent material. Page 7 of 10 4. CLEAN-UP/RECORDS 1. Small spills.ess than 1 gallon and on_requiring 15 minutes to clean up) sh be cleaned up using abs ent materials. 2. Larger spills occurring during product delivery shall be reported to the terminal by the dealer and/or by delivery truck driver. The terminal supervisor will notify a local petroleum maintenance contractor who is equipped with a N.F.P.A. approved type hand pump, vacuum and transport container. Large spills not caused by delivery shall be reported immediately to your rep. 3. Spills shall be cleaned up within 8 hours of detection, returned to local terminal and/or disposed of in a lawful manner. 4. Dealer shall record all spills whether or not it is due to delivery overfill or accidental spillage, which exceeds approximately one gallon, and action taken on the "Unauthorized Release Report" (attached), and send it to UNOCAL within 24 hours. 5. Large spills (more than 1 gallon) must be reported to the local agency indicated on the cover sheet within 24 hours. If the spill is large enough to pose a significant hazard, it must also be reported to the California Office of Emergency Services at 800-852- 7550. IN CASE OF EMERGENCY CALL 9-1-1 INSPECTIONS TO BE COORDINATED YEARLY INSPECTIONS AND TESTING BY UNOCAL Yearly testing shall be made of the following: 1. Pressurized piping systems shall be monitored using in-line leak detectors. Leak detectors shall be tested annually for proper operation. Dealer MUST be aware that a reduction in product flow to 3 gallons per minute (gpm) indicates a potential piping leak. 2. Tanks and piping shall be tested annually for tightness, using a state-Certified test system. (For non-secondarily contained tanks and piping only.) 3. Electronic monitoring systems shall be tested annually for proper operation. (For secondarily contained tanks and piping only.) 4. Dispenser core holes, shear valves, and blending valves shall be annually inspected by UNOCAL for signs of leakage. 5. Dispenser meters (recording total sales in gallons) shall be calibrated once annually by UNOCAL. Anv additional calibration will be the responsibility of the dealer. Use the "Dispenser Meter Calibration Form". VADOSE/GROUNDWATER MONITORING WELLS This section is not applicable unless "Monitoring Methods" line on cover sheet shows "Vadose Wells" or "Groundwater Wells".) The monitoring of vadose wells and groundwater monitoring wells is contracted out to Applied Geo Systems. Monitoring is performed monthly for vapor analysis of the vadose wells and subjective analysis for traces of product in the groundwater monitoring wells. Monitoring is performed quarterly for laboratory analysis of groundwater samples . Monitoring records are maintained on-site in the dealer's office, and are available for inspection. Page 8 of 10 e EMPLOYEE TRAINING PLAN e Employees must be given this training before starting work, and refresher courses must be provided annually. Records must be kept to show when each station employee has been given his/her safety training. Use the following outline: I. FIRST THINGS TO KNOW A. EMERGENCY PUMP SHUT-OFF: This turns off the turbine pumps that provide flow to the dispensers from the underground tanks. In case of a leak, shutting off the pumps will help to prevent spills. LOCATION: In office B. ELECTRICAL PANEL: The panel allows you to selectively cut off power to lights, signs, pumps, etc. The main switch kills all power at the site. LOCATION: In office C. WATER SHUT-OFF: The water shut-off may be necessary in some cases. LOCATION: In sidewalk of Potrero Ave. D. FIRST AID KIT: LOCATION: In office E. FIRE EXTINGUISHERS: Use only on small fires that you can handle. Do not attempt to extinguish large fires on your own; call 9-1-1 for help. LOCATION: 2-in office F. ABSORBENT: In the form of crystals or cloth, absorbent can soak up small spills of gasoline, diesel fuel, or other petroleum products. Absorbent should be used rather than washing spills down a drain. In case of large spills merely try to contain it; a vacuum truck should be used to clean up any large spills. LOCATION: In office G. NEAREST MEDICAL FACILITY: Employees should know what facilities are available in case customers or other employees need medical attention: NAME: ADDRESS: PHONE NUMBER: San Joaquin Community 2615 Eye Street, Bakersfield 805-395-3000 NEAREST DESIGNATED TRAUMA CENTER: NAME: UCLA Hospital and Clinics ADDRESS: 10833 LeConte Avenue, Los Angeles PHONE NUMBER: 213-825-2111 Page 9 of 10 II. All emPIOyee!tshould review the service~tation Monitoring Plan, of which this training plan is a part. Specifically, each employee should understand the procedures to be used in responding to various kinds of emergencies, and know how to monitor for leaks of hazardous materials. As a supplement to this package, employees should also review the Emergency Response Plan filed by your business to the appropriate local agency. Thirdly, employees should review and have access to the Materials Safety Data Sheets you have on file for each of the hazardous materials stored at the station. III. FIRST AID PROCEDURES (For exposure to gasoline or diesel fuel): A. EYE CONTACT: For direct contact, flush the affected eye(s) with clean water. If irritation or redness develops, seek medical attention. B. SKIN CONTACT: Wipe product from skin and remove soaked clothing. Cleanse affected area(s) thoroughly by washing with soap and water. If irritation develops and persists, seek medical attention. Do not use solvents or thinners to remove product from skin. C. INHALATION (Breathinq): If symptoms of exposure develop, move victim away from source of exposure and into fresh air. If symptoms persist, seek medical attention. Symptoms include: flushing, blurred vision, dizziness, nausea, headache, drowsiness, loss of coordination, and fatigue. If victim is not breathing or if breathing difficulties develop, artificial respiration or oxygen should be administered by qualified personnel. Seek immediate medical attention. D. INGESTION (Swallowing): DO NOT INDUCE VOMITING BECAUSE GASOLINE CAN ENTER LUNGS AND CAUSE SEVERE LUNG DAMAGE! If victim is conscious and alert, give 2 to 3 cups of milk or water to drink. Seek medical attention. E. For further information, consult the Materials Safety Data Sheets for these products and for other hazardous materials. FIRST AID FOR EXPOSURE TO OTHER MATERIALS: Consult the warning advice on container labels or refer to the MSDS for that product. Page 10 of 10 e U.OCALG ~UARTERLY REPORT e A Fill out this form quarterly and send in with all other forms. as applicable. KEEP COPIES OF ALL FORMS YOU MAIL OUT. S/S #: BUSINESS NAME: Address: Quarter # Start Date: Tank # Capacity (gal) Product End Date: Year: CHECK ONE BOX BELOW AS APPUCABL~ D I hereby certify under the penalty of perjury that all product level variations for this facility were within allowable limits for this quarter. ("NO" in cloumn 12. Inventory Reconciliation Sheet; "NO" in column 7, Tank Gauging Sheet; "OK" in all applicable columns of the Daily Visual Monitoring Log). D Inventory variation at this facility exceeded the allowable limits for this quarter. I hereby certify under penalty of perjury that the source for the variation(s) was not due to an unauthorized (leak) release. ("YES" to any of the above). D There was an unauthorized (leak) release at this facility during this quarter. I hereby certify under penalty of perjury that all necessary corrective actions have been or are being taken. I DEAI_ER'S SIGNA TURE/DA TE: UST DATE. TANK # AND AMOUNT FOR ALL VARIATIONS THAT EXCEEDED THE ALLOWABLE LIMITS: DATE TANK # AMOUNT - THIS QUARTERLY REPORT SHALL BE SUBMITTED TO THE REGULATING LOCAL AGENCY WITHIN 15 DAYS OF THE END OF EACH QUARTER: QUARTER 1 JANUARY-MARCH Subm it by April 15 QUARTER 2 APRIL-JUNE Submit by July 15 QUARTER 3 JUL Y-SEPTEMBER Submit by October 15 QUARTER 4 OCTOBER-DECEMBER Submit by January 15 e e U.OCALe DAILY VISUAL MONITORING LOG B Fill out this form daily and send it in with the Quarterly Report. Unocal S/S#: Address: Business Name: Month of: ..:.:: c 4) S D!i!U s,..Jopadsu I/) 4)":'::- c: u, (I 0.2~ - 4) :o=.Do 4) ~ 0" (I >.c: ... .- "0 C "0 4) C I/)U":':: c: I/) U ... 0"0 4) 4) C :;:; 4) 4) U ... E .- ... > 4) a.. 'U .- :;:; c4)1- "C ~ U C C C 0" >.~ 0 4) e .Q 4) ë-z ... ..........:.:: 4) o U 0 a-I/) (I en U<I- '-'" 0 ._ ::> 0 Ja4~O 5d!JanC8 azaaJJJ+u'V I/) :J (I ~ua^los 0- "'C .2 asoaJ~ ... ... ... ill C ill HO JoaÐ ..eN- _ C 0 OJ:~ 51]0 JOi0r-¡ 9# >juDl ~ ç# >fuDl U 0\ C c: t# >1UDl 4) ._ ... ... r.# I- 0 >fuDl 4) ~ (I c,# >fuol a..c= ._ 0 4) L# >fUD 1 a..~~ t# >juDl 0.1/) r.# >fucl . E 4) c,# >1uDl ~ x ::s ~ 0 LI >fuDl cna..C1l ç# >fUDl tl >1uDl I/) £# ')fuDl ~ 4) c,# c x > uDl C = 0 1-LL..C1l L# >lUC 1 ç# > uDl ... tl >fUDl C (/) £# >1uDl ~3 4J U z# c c 0 > uDl cco. I- <.CfI L# >1UD 1 a"DQ 0 .- N t") ~ It) to ,.... IX) en 0 .- N t") ~ It) to " CXJ en 0 .- .- C\t )f") ~ It) ~ " (X) en .- .- .- .... .... .... .... .... .- .- N N N N N N N N N N 1"") n C - o c: o ..... C U "0 C U1 4) ... ill ~ - >. ~ 3: .f: C a.. x 4) ... o ~ ~ C .~ 0. a. C I/) C ~ ~ o , x o ~ ..c U C 4) ,- - o ~ () 4) ..c U 1 2 3 4 5 6 7 8 9 10 11 12 13 Cperm" ...terM aCdlng Ac:tumulol.d .. ~~=I. In_~ 0..1..... SaI_ Total In__t"'}' ...I...d 101.1..0<1 Th......ghput ........r........1 Ac:tual Allowable Varlallon Varta lion Sol.. SaI.. K ,0015 .. Error En.... Variation Fnm Column ~ - Yuterda~ CoIIIInII ·Olpstlck" from Accumulale Column Subtrac:t .. Column . CoIIIINI 4 1+2-3 Readln" Column J Column 6 Ie .0015 .. 9 It 10 Smaller , ~Ji~~" ... from l"'9W D 0 golTon. gallon. gallon. gallon. Inch.. gollons gollons gollonl Ie .0015 .. gallon 1 gallons gallons +/- gallons )'as/no 1 K ,0015 .. +T- ... 2 Ie .0015 .. +/- J K ,0015 = +/- 4 Ie .0015 .. +/- S K ,0015 .. +/- 6 )( ,0015 .. +/- 7 K ,0015 .. +/- 8 )C .0015 .. +/- 9 K ,0015 .. + 1- to )C ,0015 .. .+/- 11 K .0015 .. '+/- 12 Ie .0015 .. +¡:.. 13 Ie ,0015 .. +/- 14 )C .0015 .. +/- 1S K .0015 .. +/- 16 Ie .0015 .. +/- 17 K .0015 .. +/- 18 )( .0015 .. +/- 19 Ie ,0015 .. +/- 120 )C .0015 .. +/- 2t K ,0015 .. +/- 22 )C .0015 .. +/- ?" K ,0015 .. +/- 24 )C .0015 .. +/, ~'- +/- ':J K ,0015 .. 26 Ie ,0015 .. +/- 27 ( ,0015 .. +/- 28 Ie .0015 .. +/- 29 ( ,0015 .. +/- 30 Ie .0015 .. +/- 31 )( ,0015 .. +/- eOpenlng dlpstlclc reodlng -Measurement error Is TANK SIZE less than 4,000 gal. 4,000 to 7,500 901. 8.000 or 10,000 gal. 12,000 gal. If Column 4 Is less than 5 (+) It column 5 Is less than 4 (-) ... If }'Ou answered )"Is In Column 1 J reter to Releose (leak Evoluatlon Action Chart based on tank size: MEASUREMEN TERROR 25 gal. 50 gal. 75 gal. 100 gal. ... -<0 (/) ZC: <be )) 00 :-1 .., <. ,.... ~ ( ) me :1 zn -I- Or- :DÐ -< [D ::De c en S' m ( ) en en 0 () z 0 0 0 :3 3 r+ ( ) ~ Z :3 r+ en 0 - r - » --f - 0 ze ::u 0 ~ 0 -"'T ( ) c ;:+;:) Q ::: "0 0 ::r 0..3 0'" 0 ., ...........cn c ~ ~ ::r( ) a....... -( ):30 '< o..=r+ ,<::r ;+ (jj' o e e U.OCAL& IS/S N: Address; I Quarter: Year: WASTE OIL TANK GAUGING SHEET I I D Business Name: Fill out this form weekl y and send it with the Quarterl y R ep ort. II Tank -: Capacity: GAUGING PERIOD INVENTORY VARIA T10NS 1 2 3 4 5 6 7 Opening Closing Actual Allowable Allowable FROM TO Dipstick Dipstick Variation Variation Variation Reading Readin 9 ( 4-3) - - Date/Time Date/Time Inches Gal. Inches Gal. Gallons Gallons Yes/No . -Allowable variation Tank Size 280 gallons 520 gallons 550 gallons is based on tank size: Allowable Variation 2.8 gallons 5.0 gallons 5.0 gallons --If you answered "Yes" in column 7 (Col. 6 > Col. 5), then an unauthorized release (leak) shall be assumed to have occurred. Follow the Release Evaluation checklist and attach to this form. U.OCALÐe e RELEASE EVALUATION CHECKLIST E ISiS #: Address: Business Name: III out this form henever the lIowoble voriotio is exceeded ond Tank #: Capacity: Product: Date & Time Allowable Variation was Exceeded: CHECK OFF EACH STEP AS IT IS COMPLETED. STEP 1 D RECORDS REVIEWED Date/Time: Performed by: Should be done within 2 hours. STEP 2 D NEW RECONCILIATION PERFORMED Date/Time: Performed by: Should be done within 24 hours. STEP 3 D CALL UNOCAL, REP. AND Date/Time: SEND UNAUTHORIZED . Perform ed by: RELEASE REPORT TO REP. STEP 4 D RECORDS REVIEWED FROM Date/Time: LAST STATIC STATION Perform ed by: (BY DEALER OR REP.) STEP 5 D PHYSICALLY INSPECT Date/Time: FACILITY FOR EVIDENCE Perform ed by: OF LEAKS STEP 6 D DISPENSER METER Date/Time: CALIBRATION CHECKED Performed by: (COMPLETE TEST REPORT) STEP 7 D HYDROSTA TIC PRESSURE Date/Time: TEST PERFORMED ON PIPING Performed by: STEP 8 D PRECISION TANK TEST Date/Time: PERFORMED Performed by: Should be donè within 24 hours. Should be done within 24 hours. Should be done with in 2 days. Should be done within .3 days. Should be done within 4 days. Should be done within 5 days. STEP 9 0 ADDITIONAL INVESTIGATION Date/Time: PERFORMED AS REQUIRED Performed by: Should be done within 5 days. Briefly describe the reason the allowable variation was exceeded: I hereby certify this is to be a true and accurate report. Dealer's Signature: Date: UDlOCALe e e IS/S #: Address: I Tank #: Product: UNAUTHORIZED RELEASE REPORT I I F Business Name: ~omplete this form in the event of Q confirmed leak or spill and send to your Unocal rep. within 24 hours. Capacity. TO BE COMPLETED BY THE DEALER Date leak was discovered: Approximate date leak began: Describe fully the cause of the leak: How was the leak discovered? TO BE COMPLETED BY THE UNOCAL RETAIL REPRESENTATIVE Has the leak been stopped? Date: How was the leak stopped? List resources affected: ill tiQ Threaten ed # of wells Soil - - Creek or Storm drains - - Buildings or Utility Vaults - - Groundwater Public Drinking - - Water - - Private Drinking Water - - Agricultural - - Oth er - - Instructions to Unocal Retail Representatives: This form must be forwarded to Unocal Maintenance &c Construction Department IMMEDIA TEL Y so they can submit to the appropriate local agency within 5 days of discovery of any leak. U.OCALe e e EQUIPMENT TEST LOG G S/S #: Business Name: Address: Con tractor: Name of person completing teste s): Signature: Dealer's Signature: ill out this form for each nnual inspection nd keep on file. Check off each test when performed: 11. 0 Shear Valve Inspections - Date: 12.0 Blending Valve Inspections - Date: 3.0 leak Detector Product Model leak Full line Pressure (PSI) Simulated line leak Test Inspection Detector Ooen Max. 12 Close Min. 26 Pa~s Fail Date Super Unleaded Unleaded Diesel Other f4. D Dispenser Meter Calibration Procedure: 1. Before starting calibration runs, wet the calibration can with product and return product to storage. 2. Run 5 gallons with nozzle wide open into the can. Note gallons and cubic inches drawn, and return product to storage. 3. Run 5 gallons with nozzle one-half open into the can. Note gallons and cubic inches drawn, and return product to storage. 4. If the volume measured in a 5-gallon calibration can is more than 6 cubic inches above or below the 5-gallon mark, the meter requires calibration by a registered device repairman. Fast Flow Slow Flow Vol. Returned Calibration Date/time Nozzle # Product 5-Gal. Draft 5-Gal. Draft to storage Required? Gal. Cu.ln. Gal. Cu.ln. Gallons YES./NO . .Note date of Calibration & Device(s) used: UIIOCALG) e e SAFETY TRAINING LOG H IS/S # Address: Business Name: EMPLOYEES MUST SIGN THIS FORM TO PROVE THEY RECEIVED THEIR ANNUAL SAFETY TRAINING. Date of Initial Employee Name Training Dates of Annual Refresher Training ~ e e CITY of BAKERSFIELD "rVE CARE" "'<~ /o~~:;,,-"";R<S'Ä)\ ,i,.J., _.,. ~"\ .' ,....... ("\ ·0 :::.j,..A~ .",) \ .~, '-~ ~:~~". ~ ¡: '. " ~- -"\... , '\C".: ~" ,j" ·.<I[t-,·;;:i\'?-,· , :..,.·..ë.'OJ~·~~j .~ IIfSO @ \\Ú\~ \\\\ ,,~~';,~;~::!!1T!f. J:.';):':')!)~'»"~,-: ~i; /). & :\~ =~,o'~ ..:,~' -::::.: \. ~ {. ,I ~..... ......., I :¡;'~-_:,,'·.c . "c'; ". ~ "~t'iíÍ~ I fv\ ,<.kJ ~ (...."!"c -"'r; -t- - " . L ~ D ~ 0 )J k ~ n L n a.m e J R€:CEIVEO JAN 1 6 1989 AosíJ. ..... ....... ·0. Do hereb~- c e r t i f y t hat I h a "\- ere vie h" e d the attached Hazardous Materials business plan for \.0~ \ k L£.vv\ -e.. {Nt" I b".. / 1.P (name of business) and that it along with the attached additions or corrections constitute a complete and correct Business Plan for my facility. ~ . tfI (I Nt) !ft;P;/ .~ J ð / x:;/1 /;ßJÞr ~ I-It/¿ -ff date ,. o ¥ \/~ Dr\ Ii, ·' . BUSINESS NAME WHITE "'E UNION 76 LOCATION 2518 W~E LN ·10 NtAR 215-000-001180 HMt HAZARD RATING 2 1. OVERVIEW LAST CHANGE. 1 lIza/a? BY EVHMC JURIS CODE 215-005 JURIS BAKERSFIELD STATION 05 MAP PAGE 1 Z3 GRID 13C FACILITY UNHS'f HAZARD RATING Z RESPONSE SUMMARY ZA SEC 4) FIRE EXTINGUISHERS INSIDE BOOTH EMERGENCY CONTACTS 7A SEC 2) MICHAEL tUNG on 81£16 OR 8-72 awc 3'l.-S'2-.cDlQ ov 3-¿"'l-~1~¡ THARRELl MING 325-8655 OR 392-0655 UTIUTY SHUTOFFS ZA SEC 3) fI) GAS .. NONE B) ELECTRICAL - EAST WALL OF BACIC BAY C) W¡-HER -, WEST 5H1E OF LOT ON ~nDEWAL { Q) SPECIAL .~ NONE E) LOÇK BOX -- NO z. NOTIFICATION I PUBLIC EVACUATION LAST CHANGE I / BY ~ ~ u.v. q II w...ß ~ rJrk 1f ~. ~ ~~. ~ ( NO INFORMATION RECORDED FOR THIS SECTION) PAGE 1 tZIZØ/'BH'T z: ZZ MATER! AL SAHTiDFlTA 'S)'STEMS.' TNt. r8'05) '648..:.:BBVj0 BUSINESS NAME WHITE LA: UNION 7b LOCATION 25t8 IJ~ LN 10 NU~ 215-000-001180 H~HAlflRO RATING Z 3. HAZ MAT TRAINING SUMMARY ~~ ~ ~ST::ßE~~ ~, W\~DS' ~ tvuL ~ d ~ ~ 1Cd ~" <: NO INFORMATIONREtORDEO"FORTHIS SECTInN > 4. lOCAL EMERGENCY MEDICAL ASSISTHNCE - LAST 'CHANSE 1Z12a/B? BY [VAMC ZA SEC 5> FIRST AID KIT INSIDE BOOTH ~~~~~ PAGE 2 12/Z0/88 1Z:ZZ MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME WHITE ~ UNION 76 LOCATION 2518 W~ LN FACILITY UNIT 01 10 NU~ 215--000'·001180 H~ HAZARD RHTI NG Z A. OVERALL HAZARDOUS'MATERIAI;:'STNVENTORY LRST CHANG'!: rz lZ8'/87 BY [VAtiC PAt:$E 3 10 TYPE NAME LOCAn ON CONTAINMENT PURE UNLEADED GAS NW LOT UNDERGROUND TANKS·- III PERCENT COt1PONENTS 1182.00 100.0 GASOLINE 'l PURE SUPER UNLEADED GAS NW LOT UNOERGROUNP TANKS 10 PERCENT COMPONENTS 118Z.00 100.0 GASOLINE 3 PURE UNLEADED GAS NW LOT UNDERGROUND TANI<S 10 PEACENT COMPONËNTS 1181.00 100.0 GASOLINE 4 PURE DIESEL #Z NW LOT UNDERGROUND TANKS 10 PERCENT COMPONENTS 1178.00 100.0 FUEL OIL NO. 1 5 PURE DIESEL #2 NY LOT UNDERGROUND' TANKSu ID PERCENT COMPONENTS t 171:L00 100.0 FUEL on:. NO. r MAX AMT UNIT HAZARD USE 100ØØ GAL Hlm- FUEl,.. HAZARD LIST HIGH 15000 GAL HIGH FUEL HAZARD LIST HIGH 12000 GAL HIGH FUEL HAZARD LI 5T HIGH 6000 GAL MODEHfìTE. FUEL HAZARD 1_I51' MODERATE 6000 GAL MODERATE FUEL HAZARD LIST MODERATE MATERIAL" S"liFETV DATA 5YSTEMS-, II'ìlC. ("805T 648-6800 ¡ 2/ Z0/ 88 12'=22 BUSINESS NAME WHITE LA UNION 76 lOCATION 2518 WH~E LN 10 NtJ.{ 215-000-'001180 H HAZARD RATING Z 8. FIRE PROTECTION / WRTER SUPPLIES LfTSr'CHflNGE 12/28/87 BY EVAMC 3A SEX 4} n HE E )(ïI NGUI SHERS I NS IDE BOOTH 3A SEC S) DOWN BLOCK D. EMPLOYEE NOTIFICATION 1 EVACUATION LAST CHANGE 1Z1Z8/87 BY EVANC 3A SEt l) EVACUATION WILL BE THROUGH FRONT DOOR AND OUT ONTO HIE LOT. NOTJ,nCATION OF INHERENT" DANGER' TO' FI"RE IJEPR'RTMENT-I;J'H.L COME FROM PAY PHONE ON SOUTH EAST CORNER"TIFLOT PAGE 4 121Z0/88 12 ~ 2.Z MATERI flLSf\FETY UATA'SY51'EMS. ·lNC.· '{ 80~)'648-68Ø0 v BUSINESS NAME WHITE "'E UNION 76 LQCATION 2518 W~E LN E. MrnGf\TION / PREVENTION / ABATEt1ENT 10 NlAR 2 i 5-000'-0011 aø 1-1_ HAZARD RAn NG 1 LA51 CHANGE 1 Zlza/B,? BY EVAMC 3A SEe I) BY DAILY CHECKING -OFflt:lFrurrrU::VELS 'IN' STORAGE TANKS, l,JE WILL BE IN CONTROL OF ANY POSSfBLE PROBlE\"I5. ALL 'PHFS5URE CAPS ON TANKS ARE CHECKED DAILY ~~W- ~ ~-rA ~~ ~ 6A-L ,. PAGE 5 þ~~ - Kf· ~ ~~ ~ A.A- MATERIAL SAFETY DATA SYSTEMS. INC. (805) 648-6800 12/10/88 12=22 CITY of BAKERSFIELD ., Fer. end Aqr icu 1 ture '-" Standard Bus ;n"55 ~ HAZARDOUS MATERIALS INVENTORY NON-TRADE SECRETS OWNER NAM~'æWi~~ VV\U'\4. ADDRESS:. ßO 1Jl 0 CITY. ZI C-. \~~..~ 'H3"e PHONE .:_ .;1-Ö~"__ RIlnDl ro IlISrRUC'l'IOIIS roB PlfOPIDl CODD Pig" _L of b: BUSINESS ~E'~ rr.. ll"\~ lto LOCATION: ~ )~" ~ CITY. ZIP: J\:. ~-t' ' D4 PHONE II: - 01.- NAME OF Tft1Š FACILITY: STANDARD IND. -CLÄSS CODE :s-. DUN AND BRA~S~R:E~ ~U:B:R _ ,AI:::'1 _ 1 2 Irens Tvøe (od. Cod. 3 IIIx AIIt . .~. AIIt 5 Annua I Est , IIHsu... Units 7 IIIyI (II Sit. II Un Code 12 lOClt 1(11 ...... StOl'ld In Fac:lI ity 13 ,by 1ft 1& __ of .ixtUN/ea.an.nu See IMtructi_ PhysiClI IlMlllellth Hu.rd (Check .11 tlllt ".pp Iy) ~ Fir. Hazard ~ = ~ AHctivity ~ = ~ hlav" ~ = ~ Suddl!n A.I.... ~: ~ l-.di.t. HHlth of P....sure ""Ith XV\ Bu¡ IcLV\. tc.ponent 11 .... e...s. ...... ~ Ph~;cll end IINlth HI"rd Chtck ,11 thet 'IIP Iy) f:'"1:, Fir. lIa,zard ~=J Aøctivity ~=J DlTav" r:J SudcNn 1111_ ò(: l-.di.t. \..!< HH Ith of Pressure ....Ith ~~d..lt"J.~__ J.9o Callpanlnt II .... e...s. ...... -~ ~_UNkHclu ~ÆL__ to.aønInt 12 .... U.S. ...... eo.panent 13 .... e.A.S. ....... o~ of B~,u~!~_ /2...~ ___ ~~ CclepaMnt II .... u.s. ....... _ _ jJ /_ 'l£S'E L ÆÞ ¿ CclepaMnt 12 .... U.S. ....... ea.an.nt 13 .... e.A.S. ....... M ;' itJ ~ u..J /Y¡J ~ ea.an.nt 12 11_' e...s. ...... Callpanlnt 13 .... U.S. ....... ____JL______t___________1-.____________JL_____________J______l_______l____J.------1---_JL____---L____ Phys ical IIMI IIN Ith Hlr.rd (Chtck all thet .",,1,) e.A.S. IIIMIr ________________________ CœIIanInt 11 .... e.'.s. ...... ,...-, ,--., ,..-, ,..-, ,..-, L _.J Fire Hazard '--j IIHct;v;ty '-__.J hlav" '-_oJ Sudden A"I.... '-_.J l-.diat. IIHlth of Prllsur. H.alth C..,onent 12 .... C.,.!, ..... -------------------------------------------------------- ------ to.ponent 13 .... C.',S. ....r IIERGENCY CIJIT.CTS 11 A¡~~~~\--~~~----------~----------------- ~;~1~___ 12~_-~~~~------- T~~------~---- ~:-~S~--- C.",tilic.tion (Read IInd sign lifter co.pleting all sections) I c'"tHy undtr llMlty of 1a. that I hev, Pfrsonally ,"a.1ntd and a. fH;!iar .ith the infor..t;(II su.itted1n this I!Id alllttechICI doc_u. and tlllt blsed (II ., inquiry of those indiv1duels responsibl. 10",obt.1n1nq the infor..ti(ll. I bthtlv, thet the su.itted Into,...tlO11 1S true, accurat.. and co.øl.ttl. ) -110 - f 114~"ã~~~ëõ~mrøërãtõ;:~~Š-ãü£liõ;:mn¡Õ;:išiñ£mÿ¡ S na£u;:¡ - ----------------------- IlitëSiijñïa------------'L-------------- :f'~'~ I' · "··~t ~ :ftK 4IÞ B~~ERSFIELD CITY FIRE DEPAR~NT 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 R E r. ~ , V E.-O t'f f'. 1 ~ 1987 ARb Ù.........··· , OFF,ICIAL USE ONLY , ID# 00118'0. US INESS NA.\fE 17. BUS~A:E~SD._Op~S.AN~:SE~.1 A:-:õÚi- .c;J...&J-.~ ~ . , - FC?~M ~ A : . : . \f~(J.,.. - C- -=- .."..--...,,-----.-- -.- --- -- ;:.-.....- INSTRUCTIONS: 1. To avoid further action, return this form by /~-~)~~í7 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. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: b)A,Ie..- ~"e UY1fO,^- 71ø B. LOCATION / STREET ADDRESS ::2s1g ~ )h(+~ Lwrt€-. CITY: M~{-et» ZIP:3330«.\. . BUS, PHONE: (~6~) <)(3;2.- 340'"2.- SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving ,the release or threatened release of a __ hazar-dous'-material ;'-cal-l-91-1- and-1-800-852-7-550-oI' -1~9-16,.,421--.4341. T-hJs_ .will no,tify your loc'äl fire depãrtment and the State Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: N~~~.AND TITLE DURING BUS. HRS. A. ~ \ c:..t-h\ E. L W\ I tùh IJ/I f::>(l , Ph# ~ -i I IPld B. -rho..cz.tt.é.-U- 'M. Þ\Jb oLi»JGL Ph# 3d-~ ~l..çç- AFTER BGS, HRS. Ph# ~lól-8' (~lA Ph#'~'~ <¡ do- - ÓleS-Ç SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: ,A.)6 tv'::. ' ~: ;~;~~~I~)~~+ ~ ~~D( !-~~~l~~ b~ d.t~j~ D. SPEC rAL :. ~ . E. LOCK BOX: YES /~IF YES, LOCATION: IF YES. DOES IT CONTAIN SITE PLANS? YES / NO FLOOR PLANS? YES I NO 1. MSDSS? KEYS? YES ,I YES / ,,-' - 2A - /' e e -~~ , ;~,-,"-,. I', .-. I -, ,""'" .. , , 4 . SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE Ç¡rt- ~~~ \~ bK . \..' ..:.. ~~~ ~...~ ~:J SECTION 5: LOCAL EMERGENCY ~EDICAL ASSISTM~CE FOR YOL~ BUSINESS AS A WHOLE (I (\, , .....'\A: n ~ i1 ('~ *' ~OL IU:t- ~~ \AU..; SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A 'PROGRAM WHÎCH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRADHNG IN THE FOLLOWING AREAS..' , . CIRCLE ,YES OR NO A. METHODS FOR SAFE HANDLING OF HAZARDOUS ~TERIALS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: . . . . . . . . . . . . . . . . . . . . . . . . . . C. PROPER USE OF SAFETY EQUIPMENT:........ ......... . D. EMERGENCY EVACUATION PROCEDURES:.. ........... .... E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:.....,. IXITIAL cfii) NO ¡NO NO YE NO YES@ REFRESHER YES NO YES NO YES NO YES XO YES~ SECTION 7: HAZARDOUS MATERIAL CIRCLE YES OR NO DOES .~OUR BUSfNESS HANDLE HAZARDOU~ MATERIAL IN QVANTITIES LESS THAN 500 POrNDS O~ SOLID, 55 GALLONS OF A LIQUID. OR 200 CUBIC FEET OF A COMPRESSED GAS:,:,." YES ~ I, ~ \e~ Ml~ ' . " certify that the abOve information is accurate. I understand that this' formation 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 AI.) and that inaccurate information constitutes perjury. LlI]f. DATE 1'1-.- II -8] - 2B - þ/;'~ -~, ,;~-.. ~ ' e e BAKERSFIELD CITY FIRE DEPART~IE);T 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL [SE O~LY ID# ------ BUS I~ESS X.·\~n::: - --; ---- BUSINESS PLAN SINGLE FACILITY UNIT -- -~~~--- -~FO-RM-3A----~__ INSTRUCTIONS 1. To avoid further action, this form must be returned hy: 2. TYPE/PRIXT YOUR AXSWERS IN ENGLISH. 3. Answer the questions bAlo~ for THE FACII,ITY UXIT LISTED BELOW 4. Be as 3RIEf and C8~CISE as possible.- FACILITY UNIT~ 7ö4Y; FACILITY UNIT NA.'Œ: vJh(k~'€- ,{jnloY\. 7~ . . . ' . t SECTION 1: ~ITIGATTO~, PREVENTION, ABATEME~~ PROCEDu~ES e ~ t4-l t 1 ~\ 1 cSf cl\ ft lA.~ cR ( e<rels , "'- $fu~ ~\::.s I ~ \p'tL\ ~ I"" ~( ó.f ~ fð~S I bl'i'... ~-(bbl~~.. /HI pre5S~ ~\ ~ ~! .~ ~ ~(1 ~ ~ -- - - -- - - --- - - ~. -- ----- ---- SECTION 2: NOTIFICATION AND EVAC~ATION PROCEDl~ES AT THIS t~IT OXLY !Ÿ~-- ,.,¡/( hê- ffv.¿f-h,.;f ~r ~ ~ ~ Jtv- µ» ¡J)bh-!t~ of J~ ~ J.:, tí(<L Ikt~ ~{ ~~. P"1 (~ 0"- 5~ ~.f- ~ tt lo-/- ~ /" - .3A - /' . e e ~ ' ........~ '.. - ..... ¡ ',- ~---. .' .'. '; SECTIO~ 3: HAZARDOUS !1'ATERIALS FOR THIS ú~IT OXLY A 0 th' F 1'.. I~' t t U "I ..,..' 1 " ~s "0 . oes 1 s élC i 1 ~ Y I..ml con.8. i n ,1élZ:l.rdollS . a ~e_ HLS .. .. .. , ~ ;, If YES, see B. If NO, continue with SECTIO~ 4. B. Are any of the hazardous materials a bona fide Trade Secret YES ~ If No, complete a separate hazardous materials inventory form marked: ~O~-TRADE SECRETS OXLY (white form =4A-l) If Yes. complete a hazardous materi~ls inventory form marked: TRADE SECRETS O~LY (yellow form :it4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTTO~ -fl~ 0t-h~Jle.rJ ~,k ~.. SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY E~RGENCY RESPO~~ERS .~ bll)~ SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS eXIT OXLY. A. XAT. GAS¡PRO?~NE~ ;1/)fn~ B. ::LECTRICAL: $~ tn- ~ lffJ C: WATER: . . . ~f St~ A ¡of ó'- ~b D. SPECIAL: E, LOCK BOY:: YES ,'~~ YES, LOCATIOX: IF YES, SITE PLANS? YES / NO FLOOR PLAXS? YES XO ~SOSs? YES XO ~EYS? YES! NO - 3B - ¡ :1\ 11 S I ,\I) () n I J Tì " " () r ~()~"~ "AKI;IWFlI;I.O Eln l' !III; 01;1',,1111011;10 .n. f . ~{:~\\\~ ~' FORM 4A-l I0SP- J ~\~~1 NON-TRI-'\DE SECRETS U- ~ .~~~'?>.. !IAZARDOUS MATERIALS' INVENTORY ~ - .... P 11 g e \ . 0 r ~' , " . \' - ~.. . I ,I' F I) ) E NESS NA"E <tv ~.t:.,,,-tA.-'O~):~ OWNER NAME: Thö.rr~,t\ VV\ ~ V\.~ FACIt.ITY UNIT ,': '7D'-fgr AUDRESS: ~~ IAJh.-~k L,^ ,~C I I, I TV UNIT NAME :Jl'V\L)~_ .~S~;p~~\ ~~. ù' C 1 TV, ZIP: 12...;. ",." ~ .1A q~~~ JJ~ J: ~3 :>- - ~ L\:-c.::n- PIIONE , : ¥3;+.-3,,-\(::)""L... [OFFICIAl, USE CFIRS conE - ONLY 2 :1 4 1) 6 7 8 9 10 ~I ^ X ANNUM, CO NT IISF. [,OCA T 1 ON IN TillS % nv II A Z ^ IW n,(},T AMOUNT AMOUNT UNIT COUE COUE FACILITY UNIT WT. CIIEM I Ç{,L OR COMMON NAME COOE GUIDE - -~_._- - I i \1\ \p M ~O" 1) -- . \D,óöù _ CA-L 0\ '" Hw. L\+ bCA.. ~ I Ø) FU-Q J5i: ó15b blrL 0\ Jí NW. \0+ >:. { 1 00/ t1J~L. ~ ,l} (~ ~~ Ft,w -- ~-U~ þlK D/ )4 NW ló+ -~ Jl'd-. ¡:;LL(J.. II- I· Co) IS15t> bt+L 61 .-li Lt0w { ~+- Ù ,e.-~eJ ~"2- ç:./,.~ lP J C5\"5Þ f¡ðrL 01 I~ t\J~ \ø{- u\~fd ~7-- 1/18 FLLQ... , () t...r..Y "".. ~- orsC> \.1Þ01 I~~~ ", -- 1,..0,. if -. - --- " '" /J /l ~1 \ ,. \^ ^ .. 't 'l\1\\ '^- '- TITLE: \I\A if. . -",,,- S IONATURE :--JfI/I L( f7r J/l DATE: II-jj-Yl v - ENCY CONTM:T: W\ ' ~~ ~ .ð ~ 'M. ,"'-C. TIT1:£: ~ -v PHONE , Ð(J~~: 3a'-J-\;).\/, ~l~'6.'t.. ð AFTER nu IIRS: lsJ;;>..-i' Co~ ENCV CONTACT: Ý \ç. - S'.erve- TITLE: PIIONE , BUS IIOURS: IJ'^" JIJSINF.SS ACTIVITY: ~ ~~ AFTER BUS,IIRS: - -11\-1 - y~ .~~ ~fvt ~f1I1 :~ '; MI r:'~ I r, E H (ì . . !-11,nn :'rl N(; ,-of'.'- -, -- ....) ~i' " 00° I \~o 0) ~ ;1''';;--- ---~------~ ----=--~ --- ~ - .- -- - ~-----=- --- - ,. .t~ t.,:.. - _ __-o..-_~ '" ~- ,Pri o- ~ ~' .::~ ~""'....¡.. ","" ~ -- ---------,------~---- _._-~----"------ e e 4 ~., ." r .0 e e NOVEMBER 21. 1988 DEAR t-1R. MING; NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE ----------------------------------------------- ----------------------------------------------- IN THE INSPECTION OF YOUR BUSINESS "WHITE LANE UNION 76", LOCATED AT 2518 WHITE LANE, BAKERSFIELD, CA 93304 ON NOVE~BER 21st THE FOLLOWING HAZARDOUS MATERIALS REGULATION VIOLATIONS WERE IDENTIFIED: 1) ADDITIONAL HAZARDOUS MATERIALS PRESENT WHICH WERE NOT INCLUDED IN YOUR INVENTORY (MOTOR OIL AND TRANSMISSION FLUID) . VIOLATION OF CH. 6.96 CALIFORNIA HEALTH & SAFETY CODE 25509(A)(1-4) The annual inventory form shall include, but shall not be limited to, information on all of the following which are handl~d in quantities equal ~o or greater than the quantities specified in subdivision (a) of Section 25503.5: (1) A listing of the chemical name and common names of every hazardous substance or chemical product handled by the business. (2) The category of waste, including the general chemical and mineral composition of the waste listed by probable maximum and minimum concentrations, of every hazardous waste handled by the business. (3) A listing of the chemical name and common names of every other hazardous materia~ or mixture containing a hazardous material handle~ by the business which is not otherwise listed pursuant to paragraph (1) or (2). (4) The maximum amount of each hazardous material or mixture containing a hazardous material disclosed in paragraphs (1), (2), and (3) ¡.,¡hich is handled at anyone time by the business over the course of the year. ~ >. , j . e 2) NO EVIDE~CE OF HAZARDOUS MATERIALS SAFETY TRAI~I~G. VIOLATION OF OSHA 1910.1200(H) (2) Training. Employee training shall include at least: (i)Methods and observations that may be used to detect the presence or release of a hazardous chemical in the work area (such as monitoring conducted by the employer, continuous monitoring devices, visual appearance or odor of hazardous chemicals when being released,etc.); " (ii)The physical and health hazards of the chemicals in the work area; (iii)The measures employees can take to protect themselves from these hazards, including specific procedures the employer has implemented to protect employees from exposure to hazardous chemicals, such as appropriate work practices, emergency procedures, and personal protective equipment to be used; and, (iv)The details of the hazard communication program developed by the employer, including an explanation of the labeling system and the material safety data sheet, and how employees can obtain and use the appropriate hazard information. 3) MATERIAL SAFETY DATA SHEETS NOT AVAILABLE. VIOLATION OF OSHA 1910.1200 (g) The employer shall maintain copies of the required material safety data sheets for each hazardous chemical in the workplace, and shall ensure that they are readily accessible during each work shift to employees when they are in their work area(s) (h)(l) INFORMATION. Employees shall be informed of: (i)The requirements of this section (ii)Any operations in their work area where hazardous chemicals are present; and, (iii)The location and availability of the wri tten hazard communi,ca'tion program, including the required'list(s) of hazardous chemicals, and material safety data sheets required by this section. ~., 1 ~ e e 4) E~ERGE~CY PROCEDCRES NOT AVAILABLE. VIOLATION OF CALIFORNIA HEALTH AND SAFETY CODE CHAPTER 6.95, 25504(B) Business plans shall include all of the following: Emergency response plans and procedures in the event of a reportable or threatened release of a hazardous material, including, but not limited to, all of the following: ~ (1) Immediate notification to the administering agency and to appropriate local emergency rescue personnel and the office. (2) Procedures for the mitigation of a release or threatened release to minimize any potential harm or damage to persons, property, or the environment. (3) Evacuation plans and procedures, including immediate notice, for the business site. The above violations must be corrected by DEC. 19 1988 The department will schedule a re-inspection of your facility to verify compliance. If you have any questions regarding this notice, please contact Ralph Huey at 326-3979. Sincerely, Ralph E.Huey Hazardous Materials Coordinator .. , · ~éP~ HAZARDOUS fv1A TERIALS INSPEC"fION ~o \ ~ S P~~ErVEO NOV 1 1988 BUSINESS NAME: \~J \(\ ,\"E:::: \-N \ ) f\J \ Ö ¡\J 1 (D . LOCATION: Z 5 ¡ I(j ,,~J\e-\ r,\~ \_t---} Ans'd. ............ InSPECTION DATE: 10 - ž-7 - B,.èj INSPECTOR: ""/A'n< \ N'S ~: J VERIFICATION OF INVENTORY MATERIALS G VERIFICATION OF QUANTITIES [e:( 1\/1 cø VERIFICATION OF LOCATION FnOPER SEGREGATXOR OF MATElUAL CX1t!tŒHTS: ~,~ ~. ,_V~ U'u;.¡~ ... ~ . N\~) -:IRA (N l A.I I ~ ù I ( IhS ]:>5: No All (Vu I\. Î ( VERIFICATION OF BAZ MAT TRAIHING VlmU'ICATION OF MSDS AVAIlJ\.BLB VERIFICATION OF ABATEMBNT SUPPLIES & PROCEDURES æ( COMMEN1'S : Ole.· E!1ERGEBCY PROCEDURES POSTED D ~)O OZr CONTAINERS PROPERLY LABELED c..'DttMElfl'S : /ì/~ ((1\( ~1 ( p@ect VElUFICA'l'XOII or FAcrLITY DIAGR1\tt oz{- SPECDU. IIAZARDS ASSOCIATED WITH THIS FACILITY: 01 (- r~o1- 4sR \ t.\Û"\ 0 \i,A ì~ S µ ~ \ c:l ' VIOLATIONS: 4JJ \oü iA1 5Þ\ -~ #, , 'õ; e - NOVEMBER 21, 1988 DEAR MR. MING; NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE ----------------------------------------------- ----------------------------------------------- IN THE INSPECTION OF YOUR BUSINESS "WHITE LANE UNION 76", LOCATED AT 2518 WHITE LANE , BAKERSFIELD, CA 93304 ON NOVEMBER 21st THE FOLLOWING HAZARDOUS MATERIALS REGULATION VIOLATIONS WERE IDENTIFIED: 1) ADDITIONAL HAZARDOUS MATERIALS PRESENT WHICH WERE NOT INCLUDED IN YOUR INVENTORY (MOTOR OIL AND TRANSMISSION FLUID) . VIOLATION OF CH. 6.96 CALIFORNIA HEALTH & SAFETY CODE 25509(A)(1-4) The annual inventory form shall include, but shall not be limited to, information on all of the following which are handled in quantities equal to or greater than the quantities specified in subdivision (a) of Section 25503.5: (1) A listing of the chemical name and common names of every hazardous substance or chemical product handled by the business. (2) The category of waste, including the general chemical and mineral composition of the waste listed by probable maximum and minimum concentrations, of every hazardous waste handled by the business. (3) A listing of the chemical name and common names of every other hazardous material or mixture containing a hazardous material handled by the business which is not otherwise listed pursuant to paragraph (1) or (2). (4) The maximum amount of each hazà~dous material or mixture containing a hazardous material disclosed in paragraphs (1), (2), and (3) which is handled at anyone time by the business over the course of the year. ,¡.~ 'i e e 2) NO EVIDE~CE OF HAZARDOUS ~ATERIALS SAFETY TRAI~I~G. VIOLATION OF OSHA 1910.1200(HI (21 Training. Employee training shall include at least: (i)Methods and observations that may be used to detect the presence or release of a hazardous chemical in the ~ork area (such as monitoring conducted by the employer, continuous monitoring devices, visual appearance or odor of hazardous chemicals when being released, etc.); ,- " (ii)The physical and health hazards of the chemicals in the work area; (iii)The measures employees can take to protect themselves from these hazards, including specific procedures the employer has implemented to protect employees from exposure to hazardous chemicals, such as appropriate work practices, emergency procedures, and personal protective equipment to be used; and, (iv)The details of the hazard communication program developed by the employer, including an explanation of the labeling system and the material safety data sheet, and how employees can obtain and use the appropriate hazard information. 3) MATERIAL SAFETY DATA SHEETS NOT AVAILABLE. VIOLATION OF OSHA 1910.1200 (g) The employer shall maintain copies of the required mRterial safe tv data sheets for each hazardous chemical in the workplace, and shall ensure that they are readily accessible during each work shift to employees when they are in their work area(s) (h)(1) INFORMATION. Employees shall be informed of: (i)The requirements of this section (ii)Any operations in their work area where hazardous chemicals are present; and, (iii)The location and availability of the wri tten hazard communi.ca'tion program, including the required'list(s) of hazardous chemicals, and material safety data sheets required by this section. .."" "e ..~ e . 41 E~ERGENCY PROCEDURES NOT AVAILABLE. VIOLATION OF CALIFORNIA HEALTH AND SAFETY CODE CHAPTER 6.95, 25504(B) Business plans shall include all of the following: Emergency response plans and procedures in the event of a reportable or threatened release of a hazardous material, including, but not limited to, all of the following: '. (1) Immediate notification to the administering agency and to appropriate local emergency rescue personnel and the office. (2) Procedures for the mitigation of a release or threatened release to minimize any potential harm or damage to persons, property, or the environment. (3) Evacuation plans and procedures, including immediate notice, for the business site. The above violations must be corrected by DEC. 19 1988 The department will schedule a re-inspection of your facility to verify compliance. If you have any Questions regarding this notice, please contact Ralph Huey at 326-3979. Sincerely, Ralph E.Huey Hazardous Materials Coordinator , ·