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BUSINESS PLAN 3/10/2004 (2)
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LUCKY 7 STORE #11 -; SiteID: 015-021-000083 Manager : Location: 2501 WHITE LN A City BAKERSFIELD BusPhone: Map : 123 Grid: 13C (661) 397-3722 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 05 EPA Numb: SIC Code:5541 DunnBrad:06-294-4160 Emergency Contact GINA HAM Business Phone: 24-Hour Phone : Pager Phone : / Title / OWNER (661) 397-3722x (661) 665-9370x ( ) - x Emergency Contact / Title EDWARD HAM / Business Phone: (510) 847-4581x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Period : Preparer: Certif'd: ParcelNo: to Phone: (661) 397-3722x State: CA Zip : 93304 Phone: (661) 397-3722x State: CA Zip : 93304 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : GINA HAM MailAddr: 2501 WHITE LN A City : BAKERSFIELD Owner Address City GINA HAM : 2501 WHITE LN A : BAKERSFIELD Emergency Directives: I, 9",1,~~ Hú\r~_ Do hereby certify that 1 haM~ \. ;r-.t'·;x {\;'1rtt në:m~\ reVi8\;',¡ed the attached hazardous materials manage-- ment plan for Luc]/..y 7 and ihai ii along wiih (Name of Business) any corrections constitute a complste and rorr8d man- agement plan for my faciliiy. x,ÁJ~~ Signature 3 -i t)-~i Da!D -1- 03/08/2004 (r, --'. . LEGEND PROTm1ION STAGING AR£A - - - - - - '* PUBUC ....TER \lAlNS (INDICATE DlA. mE) _______ ....1L PRlYA1E ....TER \lAlNS (INDICATE SI.ZE) _____________ 10" VILVE ~G KEY -------------- ==J= ORDINARY O"'TE VALVE ------------------- =þ INII1C...TOR VALVE ---------------- ==4== POST INDICATOR YALVE------------------- =='== CHECK VALVE ---------------------- -+- ALARM VILVE ----------------- .==*== YALVE PIT ------------------i'8I7'--- ~ !IPRINICI.ER fIRE DEPT. CONNEClION --------- x:5I'o SPRINKLER FIRE DEPT. CONNEC11ON - - - - - - - - - - - - - - ~ ~~ 1. INDIC...TE W-WET, D-DRY 2. INDICATE fLOORS WITH 0I/1I.E1S. (2-~) PUBUC HYDRANTS--------------- ,. IlA.Y COI.OR CODE FOR ClASS (RED-IIREtH-ORAHOE) 2. INDICATE NUIIB£R AND SI.ZE OF 0U1I..E11I. EVACUAl10N ROU'TES --- _ _ _ ... FIRE 'TRUCK EN1RANCE ---- ... . . .. . þ> NORTH---------- riJ fIRE EXT1NCUISH£JI --- ~ 1$:1 ( 2 1/2" - ..) ( 4· -~ ) OR LARCIER ~ --------- 't:P FIRST AID IGT-------- ~ PRI~~I~~n:O ~--------------- Ir- HOUSE HOSE BOXES OR HOUSED HYDRANT INDlCA1E SI.ZE AND LENGTH OF HOSE ------------ \D fIRE ALARM ----------------- @ AllTOIoIA11C SPRINI<L£RED BIßLDINO - - - - - - - - - - - - - @ PAR11A1. INSTAlLA'1ION OF SPRINI<LDS -------- ~ Har SPRlNKLERED RISK SECIION --------------~ HAZARDOUS 1lA.1ERIAL SIOIIS WASTE OIL ------- ~ $ NON A.AMIIAIIl£ OAS - -- 11000 OR S1UCCO W/WOOD FRAME _ _ _ _ _ _ _ _ _ lID CONcæ:Æ OR CONaæŒ BLDac - - - - - - - - - - ~ BRlac OR IlA.SONRY ----------------___ IŒTIL OR IŒTAL FRAIIE ____________ .....!!1!:- ~ ~ ...JmL.. .!!!!::i!.. FI.AIIIWILE UCIJID -- - - ~ ~ -------- ~ CONSTRU01ICII OF WAU! AND fRAMlNO 1lA.1ERIAL BIßLDINO SECnCIIs. FlN.IIIAIILE OAS ----- ~ ATTIC FIRE STOPS ... 1. INDICATE DOORS IN FIRE!rTOPS ________ _~___.... STOP STANDARD DOOR ---------------------- f---.. fIRE WAU. AND FIRE DOOR ------------.~= ENCLOSED STAlRWAy---------------r-=--,------ íTTTfTI OPEN STMlWAY ---'------------- L.~..J ...-'" ~ SKYUGHT ---------------------- 1)< I ...rne SCUntE ------__________ k_:.I COOLER OR REFRlllERAnCII UNIT ------------------- "C.71 ::~:;. ~~~------------ ~8' ~-~ 1 INDICATE HEIGHT ------------- II II It It f'ORCEABLE EN1RY POI1I1 ----------------- IIRAINADE (ARROW IN DlRECnCII OF' DRAIN...GE) _ _ _ _ ~ IlETERED SER\1CES ------------------- ~ JlC1RIC "-..../ FE ~11=5TO Environmental Services, Inc. P,O. Box 80427 Bakersfield, CA 93380 þ 805/393-2212 CA 800/237-0067 US 800/426·2113 FAX 805/393-7854 Beverly Long Director " e lOll SHEl Vf:S I F1 z ~ SHEl Vf:S I MSDS SHEl VES I CDDlER AUTQMA TIC SPRINKlERED BUILDING C[]UNTER lAIC I DRINK BAR STORAGE CLCSf:T ... - CIRCLE K STORE #5007 2501A WHITE LANE BAKERSFIELDJ CALIFORNIA 93309 FACILITY PLOT ~ AES ENVIRONMENTAL SERVICES, INC SCALEI I IN, = 10 FT. .-r- ~--- e e ~ WHITE LANE ~ SIDEWALK DRIVE"" A Y SIDE"" ALK PLANTER DRIVEWAY PLANTER SI~ PARKING CIRCLE K STORE #5007 2501A WHITE LANE BAKERSFIELD, CALIFORNIA SITE PLOT 93309 I I I I I I DRtVEVAt I I I HUGHES ¡ I I I ~ OX PARKING LANTE PARKING II~I t THRU TRAFFIC 1 PARKING FAST FDDD RESTAURANT rfJ GAS MAIN / EMERGENCY EXIT ¿ BRICK SIDEWALK ~ OVERHANG TRASH ~ THRU TRAFFIC o WATER MAIN AES ENVIRONMENTAL SERVICES, INC. DRAWN BY CAG DRAWING ND. 5013 ~ r .H~lMP SIT E DIAGRAM gj PLA~ M~~P . F A~LI TY DIAGRAM o 3'.:.s:':less ~ame: Circle K Corporation #5007 Î'\ l . -- Nc:-"':~ ~ame 0: A:-ea: Circle K Corporation #5007 Parking ddHI Idl ¡dj A:ea ~ap # 1 1 of 2517 White Lane Frosty King Drive-In 6' Wood On l' Concrete Block Wall ...,.::¡¡¡m¡¡¡¡¡¡mmmm¡¡¡¡¡¡¡¡¡¡¡¡mm¡¡mmmmmmm¡¡¡mm~mm~~¡¡~m~¡;: I ~ ~ CO~ï':;",' 'iiii Store SD . ~m #5007 ~ 2501-A· Pump :g¡ Shutoff ¡¡¡¡ Cold Box ~ Parking 2501-D Charley's Burgers 2501-B Double Deal Pizza 2501-C Vacant 6' Concrete Block Wall ,..-....., ," I " 10K ,t-, [' Gal_-" " '- ___ 10K ;--. --r -Gal ~~' \ ~ ,-- 10K " "\7'---' ' ;,,~~v~ <Ô> On p,mp. '" White Lane Businesses ~@~ R @@ #118 #117 #116 4401 Hughes Lane - Smoketree Mobile Home Estates #115 ~ SIT E .HlVIÑIP DIJfGRAM 8j PLA~ M~~P . F AOII'LI T Y DI AG RAM o 3u.s:"::.ess ~ame: Circle K Corporation *5007 A:ea :-\ap # 1 of 1 ,^, / ' ~ame 0: A=~a: Circle K Corporation #5007 - - ~ic:---:~ Parking ,..~. -\ ....'" 1 " 10K ,'-, ,. Gal ,/ " :, /-10K /~-. --f Gal «' '\ <0>, ". 10K -' F L --7' Gal," , , '.' \t <6> 2517 Whi te Lane Frosty King Drive-I n 1>1 I )(1 ¡pi G.. P,mp' ~ ~ Parking White Lane Businesses Dr Iveway 2501-D ., ~~~m¡¡¡j¡¡¡¡¡¡¡¡¡¡¡¡¡j¡¡¡¡jjjj~jj~jj~~¡j¡¡¡jjjjj¡¡¡¡jjjjjjjjj¡jjjjjjjjjj¡mm¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡m¡¡mm¡¡¡¡¡¡¡¡¡¡~;: i ~ ID\ Counter FIRE :~m \01 ~T.:::: Store IUD P ¡m 2501-C 2501-B #5007 ¡m 2 5 0 1- A P u m p ¡¡;¡ Vacant Dg~~:e Shutoff ¡¡¡¡ Pizza Cold Box Ch ar ley's Bu rge rs 6' Wood On l' Concrete Block Wall S' Concrete Block Wall 4401 Hughes Lane - Smoketree Mobile Home Estates #118 #117 #116 #115 - 5 - t< ~" i'~.....:" ~ Hl\tMP PLMt MAP SITE DIAGRAM cA:J FACILITY DIAGRAM I Business Name: lli~ '7 'FoDds~-re ~ ~'1 Business Address: ~ c...7J I '-- 'Ä \ t) k \fp / JA For Office Use Only First In Station: Inspection Station: Area Map # of NORTH 1) l;J t-t._L 1 E LA: Y\J ç Þ\~ Clq u;1 ~ S 'Pý"VV'-lL te.. rs ' .-/ ~. ./ -- .,./ ./ \ \ (, ¡- --=-1- ( \ ----./ G.6-$' s.w-.¡.b-* ------.- -- 5 ..... ~ """ I-.\) 6 ~ ~ 0! c:J '..u ~ ,\0 ' , ... "~i :tl I . X; Q..¡( \)(Y e - F LUCKY 7 STORE #11 SiteID: 015-021-000083 9 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: LUCKY 7 STORE #11 Cross Street : Business Type: Org Type: Total Tanks : IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : -EDUARD m:tM Ct>tÞ (AJA ~vtø Qov¡D Phone: (-510) . 047 458Hc' A~dress: ~~ð)< ~ I _ (bbr) ",crt, -4~>?-. Cl ty : \ \£....6.1:::. ¡;;;;( ~ State GA Zlp: t:J'5'Pf34- ..... G'Ðoi Type : PARTNERSHIP TANK OWNER INFORMATION Name : "ïi:mVUlD W'Þ4-r Phone: ( 5 :kG )94 7 4S81:>u Address: City : State: Zip: Type : BOE UST Fee# : UNKNOWN Financ' 1 Resp: STATE FUND Legal Notif : Property Owner Mailing Address Date: Phone: ( ) - x Name: Ttl: State UST # : 1998 Upg Cert#: -2- 03/08/2004 '. e e F LUCKY 7 STORE #11 SiteID: 015-021-000083 ì f= Hazmat Inventory By Facility Unit ì r= MCP+DailyMax Order Fixed Containers on Site ì Hazmat Common Name.. . specHaz EPA Hazards Frm I DailyMax IUnit MCP REGULAR GASOLINE F IH DH L 10000.00 GAL Mod UNLEADED GASOLINE F IH DH L 10000.00 GAL Mod PREMIUM UNLEADED GASOLINE F IH DH L 10000.00 GAL Mod CARBON DIOXIDE F P IH G 1044.00 FT3 Min -3- 03/08/2004 e e F LUCKY 7 STORE #11 f= Inventory Item 0001 = COMMON NAME, / CHEMICAL NAME REGULAR GASOLINE SiteID: 015-021-000083 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit UNDERGROUND STORAGE TANKS Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 5500.00 GAL 'I %Wt. 100.00 Gasoline HAZARDOUS COMPONENTS Gr] CAS# I 8006619 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -4- 03/08/2004 " e e .' F LUCKY 7 STORE #11 SiteID: 015-021-000083 9 f= Inventory Item 0001 Facility Unit: Fixed Containers on Site 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: UNDERGROUND STORAGE TANKS TANK DESCRIPTION Tank ID#: 1 Mfr: XERXES Installed: 06/1988 Capacity: 10000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL MatI Name:REGULAR GASOLINE TANK CONTENTS Petrol Type: REGULAR UNLEADED Cas #: 8006-61-9 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): FIBERGLASS Material(s): FIBERGLASS Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1988 Drop Tube : 1988 Striker Plate: 1988 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: LEAK DETECTION Dbl Wall: INTERSTITIAL MONITORING Installed: Installed: 1988 Exempt: 1988 o No TANK Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -5- 03/08/2004 e e F LUCKY 7 STORE #11 SiteID: 015-021-000083 9 f= Inventory Item 0001 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION Piping Type : Const: Mfgr : Mtl : & : Corr : Prot : UnderGround PRESSURE DOUBLE WALL A.O. SMITH FIBERGLASS AboveGround Piping FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: DISPENSER CONTAINMENT Type: NONE OWNER/OPERATOR SIGNATURE Date: 03/24/2003 Name:GENA HAM Prmt Number: 0083 Ttl:OWENER Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST : CP CERT. : MANWAY INSP. :07/01/1999 UST MONIT. CERT:10/09/2003 -6- 03/08/2004 '. e e SiteID: 015-021-000083 9 Facility Unit: Fixed Containers on Site 9 F LUCKY 7 STORE #11 p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit UNDERGROUND STORAGE TANKS Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 6000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # I 8006619 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS Ag.Defined5: Ag.Defined8: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined1: - Ag.Define11 -7- 03/08/2004 · " e e F LUCKY 7 STORE #11 SiteID: 015-021-000083 ì f= Inventory Item 0002 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: UNDERGROUND STORAGE TANKS TANK DESCRIPTION Tank ID#: 2 Mfr: XERXES Installed: 06/1988 Capacity: 10000 Gals Additional Info: Compart Tank: N No, Of Comparts: Tank Use: MOTOR VEHICLE FUEL MatI Name:UNLEADED GASOLINE TANK CONTENTS Petrol Type: REGULAR UNLEADED Cas #: 8006-61-9 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): FIBERGLASS Material(s): FIBERGLASS Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1988 Drop Tube : 1988 Striker Plate: 1988 Sgl Wall: PLASTIC Alarm : Ball Float : 1988 Fill Tube S/O: 0 LEAK DETECTION Dbl Wall: INTERSTITIAL MONITORING Installed: Installed: Exempt: No TANK Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -8- 03/08/2004 '. e e F LUCKY 7 STORE #11 SiteID: 015-021-000083 ì f= Inventory Item 0002 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping PRESSURE DOUBLE WALL AboveGround Piping Type : Const: Mfgr : Mtl : & : Corr : Prot : FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: DISPENSER CONTAINMENT Type: NONE OWNER/OPERATOR SIGNATURE Ttl:OWNER Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED Date: 03/24/2003 Name:GENA HAM Prmt Number: 083 TANK/LINE TEST : CP CERT. : MANWAY INSP. :07/01/1999 UST MONIT. CERT:10/09/2003 -9- 03/08/2004 ~ e e SiteID: 015-021-000083 ì Facility Unit: Fixed Containers on Site ì F LUCKY 7 STORE #11 f= Inventory Item 0003 === COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit UNDERGROUND STORAGE TANKS Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container ' Daily Maximum Daily Average, 10000.00 GAL 10000.00 GAL 5000.00 GAL AMOUNTS AT THIS LOCATION HAZARDOUS COMPONENTS ~ CAS#S006619 I l~~~åoIGaSOline HAZARD ASSES MENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod S Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined8: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined5: f- Ag. Define11 -10- 03/08/2004 -. e e F LUCKY 7 STORE #11 SiteID: 015-021-000083 9 f= Inventory Item 0003 Facility Unit: Fixed Containers on Site 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: UNDERGROUND STORAGE TANKS TANK DESCRIPTION Tank ID#: 3 Mfr: XERXES Installed: 06/1988 Capacity: 10000 Gals Additional Info: Compart Tank: N No. Of Comparts: TANK CONTENTS Tank Use: MOTOR VEHICLE FUEL Petrol Type: PREMIUM UNLEADED Matl Name:PREMIUM UNLEADED GASOLINE Cas #: 8006-61-9 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): FIBERGLASS Material(s): FIBERGLASS Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1988 Drop Tube : 1988 Striker Plate: 1988 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: LEAK DETECTION Dbl Wall: INTERSTITIAL MONITORING Installed: "Installed: 1988 Exempt: 1988 o No TANK Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -11- 03/08/2004 '. -- . F LUCKY 7 STORE #11 SiteID: 015-021-000083 9 f= Inventory Item 0003 Facility Unit: Fixed Containers on Site 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION Piping Type: Canst: Mfgr : Mtl : & : Carr : Prot : UnderGround PRESSURE DOUBLE WALL A.O. SMITH FIBERGLASS FIBERGLASS AboveGround Piping PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: Date: 03/24/2003 Name:GENA HAM Prmt Number: 083 TANK/LINE TEST : CP CERT. : MANWAY INSP. :07/01/1999 UST MONIT. CERT:10/09/2003 DISPENSER CONTAINMENT Type: NONE OWNER/OPERATOR SIGNATURE Ttl:OWNER Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED -12- 03/08/2004 e e SiteID: 015-021-000083 9 Facility Unit: Fixed Containers on Site 9 F LUCKY 7 STORE #11 f= Inventory Item 0004 F== COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Days On Site 365 Location within this Facility Unit STOREROOM SW & SE PART OF STORE Map: Grid: CAS# 124-38-9 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 522.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 1044.00 FT3 Daily Average 522.00 FT3 . HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Carbon Dioxide No 124389 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined8: - Ag.Define11 -13- 03/08/2004 e e F LUCKY 7 STORE #11 I f= Notif./Evacuation/Medical r=: Agency Notification CALL 911. SiteID: 015-021-000083 ì Fast Format 9 Overall Site 9 03/19/19981 03/19/1998 Employee Notif./Evacuation ALL EMPLOYEES ARE AWARE OF APPROPRIATE HANDLING PROCEDURES FOR HAZARDOUS MATERIALS. STEPS TO FOLLOW IN CASE OF AN EMERGENCY ARE CLEARLY POSTED IN THE WORK AREAS. Public Notif./Evacuation 03/19/1998 NOTIFY NEIGHBORING BUSINESSES OF ANY PROBLEMS. Emergency Medical Plan 11/07/2000 MEMORIAL URGENT CARE, 6501 MING AVE, 397-4004 OR CALL 911. -14- 03/08/2004 e e SiteID: 015-021-000083 9 Fast Format 9 Overall Site 9 03/19/1998 F LUCKY 7 STORE #11 I f= Mitigation/Prevent/Abatemt Release Prevention FUEL PRODUCTS ARE SEPARATED BY USE OF INDIVIDUAL UNDERGROUND TANKS. COMMODITY AND CAPACITY OF EACH TANK ARE DESIGNATED ON THE FILL PIPE AND COVER. 1. COMPRESSED GAS FOR SOFT DRINK DISPENSER IS APPROPRIATELY CHAINED. 2. MONITORING PROGRAM, DAILY OF INVENTORY. 3. STEEL POSTS INSTALLED TO PREVENT VEHICLE COLLISION WITH PUMPS. 4. VAPOR RECOVERY SYSTEMS USED WHEN FILLING UNDERGROUND TANKS WHICH ARE OF FIBERGLASS CONSTRUCTION. 5. DUEL HOSE SYSTEMS ON PUMPS. 6. ANTI-LOCK NOZZLES AT PUMPS. 7. NO SALES TO NON-AUTHORIZED CONTAINERS. 8. NO SMOKING SIGNS POSTED, SELF SERVE INSTRUCTIONS POSTED. 9. TANKS CHECKED PERIODICALLY FOR LEAKS BY COMPARING GALLONAGE MEASUREMENTS Release Containment 03/19/1998 1. PREVENTATIVE DIKING WITH ABSORBENT MATERIALS. 2. SHUT OFF ALL EMERGENCY SWITCHES TO PREVENT FURTHER SPILLAGE. 3. BARRICADE AREA TO PREVENT POSSIBLE EXPOSURE TO GENERAL PUBLIC. 4. AVOID PERSONAL EXPOSURE TO FUMES/VAPORS AND CONTACT WITH LIQUID. 5. ELIMINATE ALL SOURCES OF IGNITION IN AREA OF SPILL OR VAPORS. 6. ABSORB LIQUIDS WITH ABSORBENT MATERIALS AND REMOVE TO SAFE AREA FOR EVAPORATION. Clean Up 11/07/2000 ABSORBENT IS READILY ACCESSIBLE TO CLEAN UP ANY SPILL, KITTY LITTER. Other Resource Activation -15- 03/08/2004 ~ e e SiteID: 015-021-000083 9 Fast Format 9 Overall Site 9 I F LUCKY 7 STORE #11 I f= Site Emergency Factors r== Special Hazards Utility Shut-Offs 03/19/1998 A) GAS - S WALL, REAR OF STORE B) ELECTRICAL - E PART OF STOREROOM, E WALL, NEAR SE CORNER OF BLDG C) WATER - IN PLANTER LOCATED IN SE CORNER OF COMPLEX D) SPECIAL - EMERGENCY GAS SHUTOFF SWITCH - AT CASHIER STATION OF CONSOLE, OUTSIDE NEAR SE CORNER OF BLDG, ALONG E WALL E) LOCK BOX - NO Fire Protec./Avail. Water 03/19/1998 PRIVATE FIRE PROTECTION - AUTOMATIC SPRINKLERED BLDG & FIRE EXTINGUISHERS. FIRE HYDRANT - E ACROSS ST ON CORNER OF HUGHES AND WHITE LN. Building Occupancy Level -16- 03/08/2004 '" . e SiteID: 015-021-000083 ì Fast Format ì Overall Site ì 11/07/2000 F LUCKY 7 STORE #11 I F Training Employee Training WE HAVE 3 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROCEDURE: SPECIAL ON THE JOB TRAINING IN THE HANDLING OF HAZARDOUS MATERIALS IS PROVIDED IN THE FOLLING AREAS: 1. PROPER MAINTENANCE AND USE OF GASOLINE EQUIPMENT. 2. USE OF KITTY LITTER FOR SMALL SPILLS. 3. A REVIEW OF THE CONTENTS OF THE EMERGENCY RESPONSE PLAN WILL BE MADE BY ALL NEW EMPLOYEES WITHIN ON MONTH OF HIRING AND BY ALL EMPLOYEES O~ AN ANNUAL BASIS. 4. SAFETY AND EMERGENCY EQUIPMENT USAGE TRAINING WILL PROVIDE. 5. FAMILIARIZATION WITH THE LOCATION AND PROPER USE OF FIRE FIGHTING EQUIP (FIRE EXTINGUISHERS) I AND THE LOCATION OF AND PROCEDURES FOR FACILITY SHUTDOWN (INCLUDING THE LOCATION OF TURNOFF VALVES FOR GAS AND ELECTRICITY) AND THE PROPER USE OF EQUIPMENT USED IN THE DAY TO DAY BUSINESS. Page 2 ¡= I I Held for Future Use Held for Future Use -17- 03/08/2004 · .J LUCKY 7 STORE #11 SiteID: 015-021-000083 Manager : Location: 2501 WHITE LN A City BAKERSFIELD CommCode: BAKERSFIELD STATION 05 EPA Numb: BusPhone: Map : 123 Grid: 13C (661) 397-3722 CommHaz : Low FacUnits: 1 AOV: SIC Code:5541 DunnBrad:06-294-4160 Emergency Contact £URJIT OINCII Business Phone: 24-Hour Phone : Pager Phone : / / (661) (661) ( ) Title, .Emergency Contact / Title OWNER 911'\C\. H4YY1 . P.7\,UL 8IW3II FJI.Ùt\rd ~~ ~~.;":I~JT 397-3722x Business Phone: (661) 322 8684x 6G~ 18CGx¿'¿S-?3~Þ 24 -Hour Phone : (§tD) 81f1 J..fS-8'{ x - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact: C:;,Ø';A r/~'(:. MailAddr: 2501 WHITE LN A City : BAKERSFIELD Owner Address City SWRJI'I' SHIeHr c!?~ A : 2501 WHITE LN A : BAKERSFIELD // ~Fc...e, Phone: (661) 397-3722x State: CA Zip : 93304 Phone: (661) 397-3722x State: CA Zip : 93304 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Period : Preparer: Certif'd: parcelNo: to Emergency Directives: I ~&~,< #4.-m , ~'T ""'~.... f\( Po II'" nrnma) nf'l ~Nebv cSiiiiy ~hB!ft ~ hBN~ re../ìf]~\;~j(' me at(acn~(: hazardous maísrials manage-- ment plan ~oU'~~ 7 ~&1d ~hS1~ ift ®ß@Ii1~ w¡~ru ( efSwmoo) any OOBTSdU©IT1!$ OOV1siitu~® ® oom~~®it® ~1ñJ(Q (OOfiij'm MtffiliìJo ~®m®~ ~~~ ~©~ MY ~ooj~~o ¥--iJ,.,,~ ... "r~£,,~ ~11.IfO -1- 03/24/2003 . . F LUCKY 7 STORE #11 SiteID: 015-021-000083 9 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: LUCKY 7 STORE #11 Cross Street .' Business Type: Org Type: Total Tanks : IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : FATT ~ .l.NQi ~ø(l.. LI~ Phone: (661) 322-8684x Address: .::2..Ç¿:J / ¿O,?À-te. LPne J:I A 9?~O 1" _ City : IB kr=; State: ¿?A Zip: Type : PARTNERSHIP TANK OWNER INFORMATION Name : F::'YL ~nJç;M I>tuÞ¿1< //tn7dtP 9.r,,~é~' eko/~': (661) 322-8684x Address: L/SDo úJ;¿¿¿t,G . i6lJ City : /.:3 A:. ¡c State :C?4 Zip: Type : BOE UST Fee# : UNKNOWN Financ'l Resp: STATE FUND Legal Notif : Property Owner Mailing Address Date: d- ~¿;.¿ 0,9 Phone: C6//J 397 - 31.:2~ Name: C?#¡1~ ij ß/// Ttl: State UST # : 1998 Upg Cert#: f= Hazmat Inventory One Unified List 9 p== Alphabetical Order All Materials at Site 9 'Hazma t Common Name.. . SpecHaz EPA Hazards DailyMax MCP CARBON DIOXIDE F P IH G 1044.00 FT3 Min PREMIUM UNLEADED GASOLINE F IH DH L 10000.00 GAL Mod REGULAR GASOLINE F IH DH L 10000.00 GAL Mod UNLEADED GASOLINE F IH DH L 10000.00 GAL Mod -2- 03/24/2003 · . SiteID: 015-021-000083 ì Facility Unit: Fixed Containers on Site ì F LUCKY 7 STORE #11 f= Inventory Item 0001 F== COMMON NAME / CHEMICAL NAME REGULAR GASOLINE Days On Site 365 Location within this Facility Unit UNDERGROUND STORAGE TANKS Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 5500.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~I CAS # I 8006619 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod f= Inventory Item 0002 == COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UNDERGROUND STORAGE TANKS Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 6000.00 GAL HAZARDOUS COMPONENTS ~ CAS # I 8006619 I %Wt. I 100.00 Gasoline HAZARD ASSE MENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod SS -4- 03/24/2003 . . SiteID: 015-021-000083 ì Facility Unit: Fixed Containers on Site ì F LUCKY 7 STORE #11 f= Inventory Item 0004 === COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Days On Site 365 Location within this Facility Unit STOREROOM SW & SE PART OF STORE Map: Grid: CAS# 124-38-9 - TYPE Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 522.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum . 1044.00 FT3 Daily Average 522.00 FT3 HAZARD US ENT %Wt. RS CAS# 100.00 Carbon Dioxide No 124389 o COMPON S TSecret RS BioHaz Radioaçtive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min HAZARD ASSESSMENTS f= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED GASOLINE Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UNDERGROUND STORAGE TANKS Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 5000.00 GAL %wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # I 8006619 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -3- 03/24/2003 . . F LUCKY 7 STORE #11 I f= Notif./Evacuation/Medical r=: Agency Notification CALL 911. Employee Notif./Evacuation SiteID: 015-021-000083 9 Fast Format 9 Overall Site 9 03/19/1998 I 03/19/1998 ALL EMPLOYEES ARE AWARE OF APPROPRIATE HANDLING PROCEDURES FOR HAZARDOUS MATERIALS. STEPS TO FOLLOW IN CASE OF AN EMERGENCY ARE CLEARLY POSTED IN THE WORK AREAS. Public Notif./Evacuation 03/19/1998 NOTIFY NEIGHBORING BUSINESSES OF ANY PROBLEMS. Emergency Medical Plan 11/07/2000 MEMORIAL URGENT CARE, 6501 MING AVE, 397-4004 OR CALL 911. -5- 03/24/2003 . . SiteID: 015-021-000083 ì Fast Format ì Overall Site ì 03/19/1998 F LUCKY 7 STORE #11 I f= Mitigation/Prevent/Abatemt Release Prevention FUEL PRODUCTS ARE SEPARATED BY USE OF INDIVIDUAL UNDERGROUND TANKS. COMMODITY AND CAPACITY OF EACH TANK ARE DESIGNATED ON THE FILL PIPE AND COVER. 1. COMPRESSED GAS FOR SOFT DRINK DISPENSER IS APPROPRIATELY CHAINED. 2. MONITORING PROGRAM, DAILY OF INVENTORY. 3. STEEL POSTS INSTALLED TO PREVENT VEHICLE COLLISION WITH PUMPS. 4. VAPOR RECOVERY SYSTEMS USED WHEN FILLING UNDERGROUND TANKS WHICH ARE OF FIBERGLASS CONSTRUCTION. 5. DUEL HOSE SYSTEMS ON PUMPS. 6. ANTI-LOCK NOZZLES AT PUMPS. 7. NO SALES TO NON-AUTHORIZED CONTAINERS. 8. NO SMOKING SIGNS POSTED, SELF SERVE INSTRUCTIONS POSTED. 9. TANKS CHECKED PERIODICALLY FOR LEAKS BY COMPARING GALLONAGE MEASUREMENTS Release Containment 03/19/1998 1. PREVENTATIVE DIKING WITH ABSORBENT MATERIALS. 2. SHUT OFF ALL EMERGENCY SWITCHES TO PREVENT FURTHER SPILLAGE. 3. BARRICADE AREA TO PREVENT POSSIBLE EXPOSURE TO GENERAL PUBLIC. 4. AVOID PERSONAL EXPOSURE TO FUMES/VAPORS AND CONTACT WITH LIQUID. 5. ELIMINATE ALL SOURCES OF IGNITION IN AREA OF SPILL OR VAPORS. 6. ABSORB LIQUIDS WITH ABSORBENT MATERIALS AND REMOVE TO SAFE AREA FOR EVAPORATION. Clean Up 11/07/2000 ABSORBENT IS READILY ACCESSIBLE TO CLEAN UP ANY SPILL, KITTY LITTER. Other Resource Activation -6- 03/24/2003 . . F LUCKY 7 STORE #11 I f= Site Emergency Factors r== Special Hazards Utility Shut-Offs SiteID: 015-021-000083 9 Fast Format 9 Overall Site ì I 03/19/1998 A) GAS - S WALL, REAR OF STORE B) ELECTRICAL - E PART OF STOREROOM, E WALL, NEAR SE CORNER OF BLDG C) WATER - IN PLANTER LOCATED IN SE CORNER OF COMPLEX D) SPECIAL - EMERGENCY GAS SHUTOFF SWITCH - AT CASHIER STATION OF CONSOLE, OUTSIDE NEAR SE CORNER OF BLDG, ALONG E WALL E) LOCK BOX - NO Fire Protec./Avail. Water 03/19/1998 PRIVATE FIRE PROTECTION - AUTOMATIC SPRINKLERED BLDG & FIRE EXTINGUISHERS. FIRE HYDRANT - E ACROSS ST ON CORNER OF HUGHES AND WHITE LN. Buiiding Occupancy Level -7- 03/24/2003 . . SiteID: 015-021-000083 9 Fast Format 9 Overall Site 9 11/07/2000 F LUCKY 7 STORE #11 I F Training Employee Training WE HAVE 3 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROCEDURE: SPECIAL ON THE JOB TRAINING IN THE HANDLING OF HAZARDOUS MATERIALS IS PROVIDED IN THE FOLLING AREAS: 1. PROPER MAINTENANCE AND USE OF GASOLINE EQUIPMENT. 2. USE OF KITTY LITTER FOR SMALL SPILLS. 3. A REVIEW OF THE CONTENTS OF THE EMERGENCY RESPONSE PLAN WILL BE MADE BY ALL NEW EMPLOYEES WITHIN ON MONTH OF HIRING AND BY ALL EMPLOYEES ON AN ANNUAL BASIS. 4. SAFETY AND EMERGENCY EQUIPMENT USAGE TRAINING WILL PROVIDE. 5. FAMILIARIZATION WITH THE LOCATION AND PROPER USE OF FIRE FIGHTING EQUIP (FIRE EXTINGUISHERS), AND THE LOCATION OF AND PROCEDURES FOR FACILITY SHUTDOWN (INCLUDING THE LOCATION OF TURNOFF VALVES FOR GAS AND ELECTRICITY) AND THE PROPER USE OF EQUIPMENT USED IN THE DAY TO DAY BUSINESS. Page 2 [ I I Held for Future Use Held for Future Use -8- 03/24/2003 . CITY OF BAKERSFIELD OF~E OF ENVIRONMENTAL S"ICES 1715 Chester Ave., CA 93301 (661) 326-3979 . i I BUSINESS OWNER I OPERATOR IDENTIFICATION FACILITY INFORMATION Page _ Of _ ,I. FACILITY IDENTIFICATION : FACILITY ID # i; i I I 1 Year Beginning II i I I BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) I L,.,--L â'c4- 7' I SITE ADDRESS f-- 2.¿;-ð/ Æ)?~ L~ i CITY /Ø~ !-- I DUN& i BRADSTREET I COUNTY 100 i Year Ending i 3 ! BUSINESS PHONE i /6'> 3 j1 ?" 101 102 3f/ 22... 103 104 I' CA ! ZIP /:7..2-:> ; 7 ~:::>C> C/- 106 I SIC CODE I (4 Digit #) 105 107 108 I' l- i OWNER NAME I I I OWNER MAILING LADDRESS ! CITY I I :~~;ý:::)î:·,;ªVf~E~:INFORMÁ. Tì~~:\. B~~ 112 /r-_ , ./_,.," /J/J. -Ô¡.j.;.(, ¿. 4)00 "(/~ 113 A 114 i STATE ¿Z,ð 115 I ZIP ?3-:3 0 j7{i1f~~~¥!~~~M~~f~~;'92'~t~ªÎi,~¡!Wftjt~;f'~\~~)::::~f:.~;.';":; ..' '; : 117 ¡ CONTACT PHONE 0 ~ '''·'1 ''j.'' /ß~ CONTACT NAME I CONTACT MAILING I ADDRESS I I CITY 119 ¿Y~4-~J b- 120 I STATE ZIP ~.3;;J// " '·,':~~~qgH~y;:~g~;r~Éî~;;':iI:~·¡i1i£..f:~~1¡~.;¡·;·:· '..~.~9q~,DARY-. 122 NAME (;) TITLE 123 NAME £d C0t:lr-~ Hc\h'"\ 129 PAGER # 133 125 TITLE 126 BUSINESS PHONE ~6 f - ~{l'} - S/) 2 2... 127 24-HOUR PHONE S-I 0 - 84- -Lfçg-f 128 PAGER # 130 131 24-HOUR PHONE 132 ." ::-~0,·'~':--;.'.~?··" \'!'~'f:; :-~-:>",,;: " ~ ì "~?~,ýrj¿~RTIFICJ\110N - I "<'.'~!,', '~ .,'. .j'4""')"~:~.· .< ,',:,_ . . Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted in this inventory and believe the information is true, accurate, and complete, SIGNATURE OF OWNER/OPERATOR DATE 134 NAME OF DOCUMENT PREPARER 135 NAMES OF OWNER/OPERATOR (print) I 136 TITLE OF OWNER/OPERATOR 137 : UPCF (7/99) S:\CUPAFORMS\OES2730.TV4.wpd .. CITY OF BAKERSFIELD OFFI~ OF ENVIRONMENTAL SE.ICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN Section 11.1 - DISCOVERY AND NOTIFICATIONS e I. FACILITY IDENTIFICATION L {Á c-fL 3 BUSINESS NAME (Same as FACILITY NAME or DBA . DoIng BuaJness As) ADDRESS (For local US8 ~ FACILITY 10. 1, Whì1:-e 478. LA- CI'3~O c.¡ . DISCOVERY A. LEAK DETECTION AND MONITORING PROCEDURES: l\AúH~(¡l.(..¡(.. t\ l(,\L h. a..t ¿ c.i-aie, I . i '_t, :' . ,.\:'~~:.:;NOtIFÎèAfioNS":"· B. EMERGENCY AN£;> AGENCY NOTIFICATION PROCEDURES: bll( q It 't- ßF (J ,. . ',' ';,+::?Ç'~.-.,¡ :,-::-." :,:~.;.-. ....-..~...,'.- ':;:.,' :. '-;~.','.", '. ' :<;.~?)¡. EÑVIRONMENTAL MANAGEMÊNT . ,. ,'." ,':." \,- ._ '.. ,·4. J' . -,. '.' ,'.j', . "-. ". . -, ·."'....~"i<'..i~, C. SPECIFIC RESPONSIBILITIES OF EMPLOYEES: To s--\-op h e.tLk t +- .. ~ '. '-. . , .' , . ~5sd¡)IL (t NO..\- ¿tl.d q(( 1- ß F() ", ;',. ~.:.~',:. ~;..~. I.~, , ,".' , ,.. . - ' ¡ ,EMERGENCY MEDICAL pLAN -, '....~,'". . ; ~ ",' '... . ; ",'}::,,,··X;f , ' .:"., . D. CLOSEST LOCAL MEDICAL FACILITY: ,Î'\U( '( ~ ()J-\~uJt~\ UPCF (7199) S:\PROCEDURE MANUALINew HMMP form,wpd HAZA.OUS MATERIALS MANAGEME~LAN Section 11.2 - RELEASE RESPONSE PLAt!!' I PRELIMINARY ASSESSMENT A. HAZARD ASSESSMENT AND PREVENTION MEASURES: ~ I J '( "\.'\'(\ US (¡ lA.S tth tJJ)~OfÓ(lçr(- .' .. -. .. .,.. . . ..,.. RË$PÔ~SE~crlþNs , ",. , B. RELEASE CONTAINMENT AND MITIGATION: t-l{\.'( kA·(f USc! t1~ t\:~ fJ-'SMf:xtJ- ,",',!;¡. f ' .' ~...~. ~~..; : ?~.." '.. ,. .~'..' I ..... . -'^..: .. . ".:'; . ~ .' .~.I; . -:.~. -. :.. :,:FOLLOW~U.PAC110NS C. CLEAN-UP AND RECOVERY PROCEDURES: k,{ #'( 'L +CV +0 We.. ptQpn(, dC.bp€>SC! t){ . UPCF (7,w1 S:\PROCEDURE MANUAl\New HMMP form.wpd · . HAZARDOUS MATERIALS MANAGEMEm-"PLAN Section 1/1.1 - FACILITY AND LOCALITY INFORMATION UTILITY SHUT .()FFS LOCATION OF SHUT-OFFS AT YOUR FACILITY: NATURAL GAS I PROPANE: C;Ol~ ~(JL ELECTRICAL: {,h (IAi -' WATER: ~'A\L.. SPECIAL: ð{(ir LOCK BOX: YES ~ IF YES, LOCATION: '.. . , , PRIVATE'FI,REPROTECTION I WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: tl{rA B. WATER AVAILABILITY (FIRE HYDRANT): yt S ¿,{).(3 '. . '..:' , TRAINING , . A. NUMBER OF EMPLOYEES: '"2 B. MATERIALS DATA SHEETS ON FILE: ~ {5 \(:i'\O W S'ho. ( ( Lù k. \tL {=: C/l., e. ( 9 ( Il.~ t;,p d (S 1- (1 rop(\-l\..{ A L¿, ti1/DW :hù+ - (g ff J>eo~~ (Jf ,,"ow 40 (A..ctJ.! th ~Ù.5 1- (l,fL. f- ,^-ow -(0 é..lc.OÞ <.Ip C. BRIEF SUMMARY OF TRAINING PROGRAM: CERTIFICATION Based on my Inquiry of those Individuals responsible for obtaining the Information, I certify under penalty of law that I have personnaly examined and am familiar with \he Information submitted and believe the Information Is true. accurate, and complete, SIGNATURE OF OWNER I OPERATOR OR DESIGNATED REPRESENTATIVE DATE 471, /WI'~ 3- ~éf- 03 NAME OF SIGNER (prinl) 478. TITLE OF SIGNER 479, e 11t\.C\. H·~ VY\ OiJ /'\-ey . UPCF (7199) S;\PROCEDURE MANUAI.\Hfi HMMP form.wpcI . CITY OF BAKERSFIELD- OFFOCE OF ENVIRONMENTAL S&ICES 1715 Chester Aveo, CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ,~EW i DADO D DELETE D REVISE 200 (one form per malerial per building or area) Page of 3 I I ~, : ;/.., ,\.' ;;,~, '~<~^;' , I. FACILI1)'INFORMATION ., BUSINESS NAME (S~me as FACILITY NAME or DBA - Doing Business As) lwd'l ì I CHEMICAL LOCATION lJ ' 1J..c..:: (( FACILITY 10 # ! , 201i CHEMICAL LOCATION : CONFIDENTIAL (EPCRA) GRID # (opäonal) I TRADE SECRET 0 Yes ~~6 I If Subject to EPCRA, refer to instructions .:, ,,'>,,<""-'< :~::;.___:';" >' , ,.._V' II, CHE"I\III£~LINFOR~~IION, 205 j I I 207 ! I [, 209 I i I , . EHS' ~CONO 208 CHEMICAL NAME Cxt (' ~Ð l '\L COMMON NAME (' ll... o Yes 0 No 202 204 °If. EHS. is'V es,' all 2IIlOÚIIts below .1III1SI be in Ibs. 210 , CAS# : FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) TYPE ~ MIXTURE 211 RADIOACTIVE o Yes ~- o w WASTE o p PURE 212 CURIES 213 o g GAS 214 LARGEST CONTAINER ~t 215 PHYSICAL STATE ~UID ~EACTIVE o 3 PRESSURE RELEASE ~TE HEALTH ~NIC HEALTH o s SOLID FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE AMOUNT ~IRE 217 MAXIMUM " DAILY AMOUNT ~ V_ ~a GAL 0 cf CUFT . If EHS, amount must be in Ibs, 218 AVERAGE ., I" DAILY AMOUNT ""'" 0 L o Ib LBS D In TONS UNITS' 216 219 STATE WASTE CODE 220 221 DAYS ON SITE 222 223 STORAGE CONTAINER (Check all that apply) o m GLASS BOTTLE o n PLASTIC BOTTLE 00 TOTE BIN D P TANK WAGON o a ABOVEGROUND TANK ~ UNDERGROUND TANK o c TANK INSIDE BUILDING D d STEEL DRUM De PLASTIC/NONMETALLIC DRUM Of CAN o g CARBOY D h SILO D i FIBER DRUM OJ BAG Ok BOX D I CYLINDER D q RAIL CAR Or OTHER STORAGE PRESSURE )g. a AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT 224 STORAGE TEMPERATURE D ba BELOW AMBIENT o aa ABOVE AMBIENT (co.&! 2 230 ON {{Ai. ¡ 231 o Yes D No 232 3 234 N( lß.JLJ 235 o Yes 0 No 236 238 239 Dyes 0 No 240 242 243 o Yes D No 244 lit I V\ll\ t-Ití\ h'\ . D c CRYOGENIC 225 :.GAS #: 229 233 237 241 245 3 -.?-if .-05 UPGF (7/99) S:\GUPAFORMS\OES2731.TV4.wpd '. , t N .. SITE DIAGRAM r 1 Business Name: Business Address: ;c FACILITY"GRAM r ¡ , PAClLlTY DIAGRAM r 1 8m DIAGRAM f ] B'...... Name: :... Buainesa AdcSreø: :¡i ~ o ~ . , . . '. ,< It - LUCKY 7 STORE #11 SiteID: 015-021-000083 Manager Location: 2501 WHITE LN A City BAKERSFIELD CommCode: BAKERSFIELD STATION 05 EPA Numb: // BusPhone: Map : 123 Grid: 13C (805) 397-3722 CommHaz : Low FacUnits: 1 AOV: SIC Code:5541 DunnBrad:06-294-4160 Emergency Contact / Title Emergency Contact / ritle SURJIT SINGH / OWNER .['qi,ve (;;,rêÞH ~U S/~(þ r-I Business Phone: (805) 397-3722x Bus ines s Phone: (E€) ,) 322. ?tb gt¡ x 24-Hour Phone : (805) 665-1866x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: ( ) - x MailAddr: 2501 WHITE LN A State: CA City : BAKERSFIELD Zip : 93304 Owner SURJIT SINGH Phone: (805) 397-3722x Address : 2501 WHITE LN A State: CA City : BAKERSFIELD Zip : 93304 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: I S¿r ¡,.Jí f::.- 5 í YJ(; H Do hereby certify that i h~wø (Type or print namo) reviewed the attached hazardous materials manageo ment plan for Lv el<'I ;:¡- and that it along with (Name of Busin3SS) any corrections constitute a complete and correct manØ agement plan for my facility. ;;¿;~. " '~, II' 7 ;' ÔÒ Dete t.;, ~ .: ,. -1- 10/31/2000 · - F LUCKY 7 STORE #11 T F RM A Last Action Type: FACILITY/SITE INFORMATION Business Name: LUCKY 7 STORE #11 Cross Street : Business Type: Org Type: Total Tanks : IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : phone: ( ) - x Address: City : State: Zip: Type : PARTNERSHIP TANK OWNER INFORMATION Name : phone: ( ) - x Address: City : State: Zip: Type : BOE UST Fee# : UNKNOWN Financ'l Resp: STATE FUND Legal Notif : Property Owner Mailing Address Date: Phone: ( ) - x Name: Ttl: State UST # : 1998 Upg Cert#: STORAGE CONTAINER DATA (US o SiteID: 015-021-000083 ì ) F Hazmat Inventory One Unified List ì p== As Designated Order All Materials at Site ì Hazmat Common Name.. . specHaz EPA Hazards Frm I DailyMax IUnitlMCP REGULAR GASOLINE F IH DH L 10000.00 GAL Mod UNLEADED GASOLINE F IH DH L 10000.00 GAL Mod PREMIUM UNLEADED GASOLINE F IH DH L 10000.00 GAL Mod CARBON DIOXIDE F P IH G 1044.00 FT3 Min -2- 10/31/2000 e e SiteID: 015-021-000083 ì Facility Unit: Fixed Containers on Site ì F LUCKY 7 STORE #11 p= Inventory Item 0001 F= COMMON NAME / CHEMI CAL NAME REGULAR GASOLINE Days On Site 365 Location within this Facility Unit UNDERGROUND STORAGE TANKS Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 5500.00 GAL HAZARD US PONE T %Wt. RS CAS # 100.00 Gasoline No 8006619 o COM N S HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UNDERGROUND STORAGE TANKS Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 6000.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Gasoline No 8006619 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -3- 10/31/2000 e e SiteID: 015-021-000083 ì Facility Unit: Fixed Containers on Site ì F LUCKY 7 STORE #11 f= Inventory Item 0003 F= COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit UNDERGROUND STORAGE TANKS Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 5000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS#a006619 D A ESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZAR SS f= Inventory Item 0004 Facility Unit: Fixed Containers on Site ì = COMMON NAME / CHEMI CAL NAME CARBON DIOXIDE Days On Site 365 Location within this Facility Unit STOREROOM SW & SE PART OF STORE Map: Grid: CAS # 124-38-9 STATE - TYPE Gas Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 522.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 1044.00 FT3 Daily Average 522.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Carbon Dioxide No 124389 D A SSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min HAZAR SSE -4- 10/31/2000 e . Employee Notif./Evacuation SiteID: 015-021-000083 1 Fast Format 1 Overall Site 1 03/19/19981 03/19/1998 F LUCKY 7 STORE #11 I f= Notif./Evacuation/Medical r=: Agency Notification LCALL 911. ALL EMPLOYEES ARE AWARE OF APPROPRIATE HANDLING PROCEDURES FOR HAZARDOUS MATERIALS. STEPS TO FOLLOW IN CASE OF AN EMERGENCY ARE CLEARLY POSTED IN THE WORK AREAS. Public Notif./Evacuation 03/19/1998 NOTIFY NEIGHBORING BUSINESSES OF ANY PROBLEMS. Emergency Medical Plan 03/19/1998 MEMORIAL URGENT CARE - 6501 MING AVE - 397-4004 OR CALL 911. -5- 10/31/2000 e e SiteID: 015-021-000083 ì Fast Format ì Overall Site ì 03/19/1998 F LUCKY 7 STORE #11 I f= Mitigation/Prevent/Abatemt Release Prevention FUEL PRODUCTS ARE SEPARATED BY USE OF INDIVIDUAL UNDERGROUND TANKS. COMMODITY AND CAPACITY OF EACH TANK ARE DESIGNATED ON THE FILL PIPE AND COVER. 1. COMPRESSED GAS FOR SOFT DRINK DISPENSER IS APPROPRIATELY CHAINED. 2. MONITORING PROGRAM, DAILY OF INVENTORY. 3. STEEL POSTS INSTALLED TO PREVENT VEHICLE COLLISION WITH PUMPS. 4. VAPOR RECOVERY SYSTEMS USED WHEN FILLING UNDERGROUND TANKS WHICH ARE OF FIBERGLASS CONSTRUCTION. 5. DUEL HOSE SYSTEMS ON PUMPS. 6. ANTI-LOCK NOZZLES AT PUMPS. 7. NO SALES TO NON-AUTHORIZED CONTAINERS. 8. NO SMOKING SIGNS POSTED, SELF SERVE INSTRUCTIONS POSTED. 9. TANKS CHECKED PERIODICALLY FOR LEAKS BY COMPARING GALLONAGE MEASUREMENTS Release Containment 03/19/1998 1. PREVENTATIVE DIKING WITH ABSORBENT MATERIALS. 2. SHUT OFF ALL EMERGENCY SWITCHES TO PREVENT FURTHER SPILLAGE. 3. BARRICADE AREA TO PREVENT POSSIBLE EXPOSURE TO GENERAL PUBLIC. 4. AVOID PERSONAL EXPOSURE TO FUMES/VAPORS AND CONTACT WITH LIQUID. 5. ELIMINATE ALL SOURCES OF IGNITION IN AREA OF SPILL OR VAPORS. 6. ABSORB LIQUIDS WITH ABSORBENT MATERIALS AND REMOVE TO SAFE AREA FOR EVAPORATION. Clean Up 03/19/1998 ABSORBENT IS READILY ACCESSIBLE TO CLEAN UP ANY SPILL. KITTY LITTER. Other Resource Activation -6- 10/31/2000 , 'J , ',", e e SiteID: 015-021-000083 ì Fast Format ì Overall Site ì I f LUCKY 7 STORE #11 I p= Site Emergency Factors r== Special Hazards Utility Shut-Offs 03/19/1998 A) GAS - S WALL, REAR OF STORE B) ELECTRICAL - E PART OF STOREROOM, E WALL, NEAR SE CORNER OF BLDG C) WATER - IN PLANTER LOCATED IN SE CORNER OF COMPLEX D) SPECIAL - EMERGENCY GAS SHUTOFF SWITCH - AT CASHIER STATION OF CONSOLE, OUTSIDE NEAR SE CORNER OF BLDG, ALONG E WALL E) LOCK BOX - NO Fire Protec./Avail. Water 03/19/1998 PRIVATE FIRE PROTECTION - AUTOMATIC SPRINKLERED BLDG & FIRE EXTINGUISHERS. FIRE HYDRANT - E ACROSS ST ON CORNER OF HUGHES AND WHITE LN. Building Occupancy Level -7- 10/31/2000 =.. '. ~ . . e F LUCKY 7 STORE #11 I F Training Employee Training SiteID: 015-021-000083 ì Fast Format ì Overall Site ì 03/19/1998 WE HAVE 3 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROCEDURE: SPECIAL ON THE JOB TRAINING IN THE HANDLING OF HAZARDOUS MATERIALS IS PROVIDED IN THE FOLLING AREAS: 1. PROPER MAINTENANCE AND USE OF GASOLINE EQUIPMENT. 2. USE OF KITTY LITTER FOR SMALL SPILLS. 3. A REVIEW OF THE CONTENTS OF THE EMERGENCY RESPONSE PLAN WILL BE MADE BY ALL NEW EMPLOYEES WITHIN ON MONTH OF HIRING AND BY ALL EMPLOYEES ON AN ANNUAL BAS IS . 4. SAFETY AND EMERGENCY EQUIPMENT USAGE TRAINING WILL PROVIDE. 5. FAMILIARIZATION WITH THE LOCATION AND PROPER USE OF FIRE FIGHTING EQUIP (FIRE EXTINGUISHERS), AND THE LOCATION OF AND PROCEDURES FOR FACILITY SHUTDOWN (INCLUDING THE LOCATION OF TURNOFF VALVES FOR GAS AND ELECTRICITY) AND THE PROPER USE OF EQUIPMENT USED IN THE DAY TO DAY BUSINESS. Page 2 [ I I Held for Future Use Held for Future Use -8- 10/31/2000 ., ' -, "-: -- \ ". <. "." "'., ." . .. . -.. . ....._.,..~_."........,.... '.- ,'.. I cusr'-e & NO. ES -~::;).::¿ I - MISCELLANEOUS RECEIVABLES ADJUSTMENT DATE3-/~ -:tf NEW ACCOUNT ! ADDRESS CHANGE CLose ACCT I : FINANCE CHARGE . OTHER ADJ J CUSTOMER NAME k-vGly. 7 {YìCl[~d- MAILING ADDRESS dSO\ u)Y\:1-~ LA S1-~ A CITY ~e-(",:>~ìeJJ STATE CÀ ZIP CODE Q33W SITE ADDRESS \ PAACElNUMBER (IF APPUCABLE) ADJUSTMENT I R~\;S~ b~ ~ð ~ùrck~~ ~toJd-'v~ . APPROVED BY' =if ~------- ~ It STATEMENT Of' ACCOUNT e CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD. CA 93301-5201 (805), 326-,3979,' , DATE: 9/01/98 TO: LUCKY 7 MARKET ,'.' 2501 WHITE LNSJE A BAKERSf'IELD ~A93304 " ' , >- " . ',', -, -----------------~-~~~~~~--~-------,--~--~--------------------~-------------- " -" - , ' CUSTOMER NO: ., :'2822 CUSTOMER .TYPE: ES/ 2822 CHARGE DATE DESCRIPTION.. REF-NUMBER DUE .DATE. TOTAL AMOUNT ------ -------- -~--------------~--~--~-- ~--------- -------- -------------- 8/01/98 BEG.INNING BALANCE· 7/24/98 PAYMENT . REFND 8/19/98 MR I,NT REFUND VCHRS .50 400. 50- 400.00 FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. -------------- -------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- -------------- -------------- -------------- DUE DATE: 10/01/98 PAYMENT DUE: TOTAL DUE: 400. 00-- $400. 00-- 2a¢~ $400.00- ~-" ~ e e CITY OF BAKERSFIELD CLAIM VOUCHER I Vendor No. I certify that this claim is correct and valid, and is a proper charge against the City Agency and account indicated, CLAIMANT'S NAME AND ADDRESS: Lucky 7 Market 2501 White Ln Bakersfield, CA 93304 (AUTHORIZED SIGNATURE OF CITY AGENCY) Date: 08-12-98 Initials of Preparer : CITY DEPARTMENT: FINANCE PLEASE PROVIDE SHORT EXPLANATION OF PAYME (Including Contract Number if Applicable) This business overpaid their Hazardous Materials bill by $400.00. For that reason they now have a credit of $400.00 which we will be refunding. Fund Dept. Base Ell Objt Project # Invoice # Amount Date of Invoice 011 0000 123 7900 $400.00 I ì Ii I ! ! i i! " ¡ VOUCHER TOTAL $400.00 SECTION 72, PENAL CODE FINANCE DEPT. USE ONLY Section 72, Presenting False Claims, Every person who with intent to defraud, presents for allowance or for payment to any state board or officer, or any county, town, city district, ward or village board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, Examined &Approved for Payment Amount or writing, is guilty of a felony. /i ~ r """" ~ -. ~ BAKERSFIELD FIRE DEPARTMENT . e ~ MEMORANDUM DATE: August 5, 1998 TO: Susan Chichester FROM: Esther Duran SUBJECT: Claim Voucher Please issue a Claim Voucher to refund over payment of$400.00 paid by Lucky 7 Market. They made a payment on 7/01/98 of $400.00 and on 7/24/98 they paid $400.50. The second payment created the credit of $400.00. Please send a refund of $400.00 to: Lucky 7 Market 2501 White Ln Bakersfield, CA 93304 Thank you, led 'Y~ de W~ ~p ~0Pb.9Æuz, .A W~ " ....7. '. -ii> ¡ ,.~ e STATEMEN"r OF ACCOUN"T' e CITY OF BAKERSFIELD i 50 i TRi..iX Ïi.)Î\i AVE BA~ERSFIELD, CA 9330i-520i (805; 326-3979 DATE: 8/01/98 TO: LUC~Y 7 MARKET 2501 WHITE LN STE A DA~ERSFIELD, CA 93304 CUSTOMER NO: 2822 CUSTOMER TYPE: ES/ 2822 ----------------------------------------------------------------------------- CHARGE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT ------ -------- ------------------------- ---------- -------- -------------- 6/30/98 BEGINNING BALANCE 7/01./98 PAYMENT 7/24/98 PAYMENT 400. 50 400. 00-- 400. 50-- FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT, -------------- -------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- --------------- -------------- -------------- DUE DATE: 8/31/98 PAYMENT DUE: TOT AL DUE: 400, 00-- $400. 00-- DATE: 8/01/98' DUE DATE: 8/31/98 PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE REMIT AND MAKE CHECK PAYABLE TO: CITY Or BAKERSrIELD PO BOX 2057 BAKERSrIELD CA 93303-2057 CUSTOMER NO: 2822 CUSTOMER TYPE: ES/ TOTAL DUE: 2822 $400. 00- ~. - SiteID: 215-000-000083 LUCKY 7 STORE #11 lVED MAR 1 6 1998 // BusPh / BY: Map (805) 397-3722 CommHaz : Low FacUnits: 1 AOV: Manager Location: 2501 WHITE LN A City BAKERSFIELD CommCode: BAKERSFIELD STATION 05 EPA Numb: SIC Code:5541 DunnBrad:06-294-4160 Emergency Contact / Title Emergency Contact / Title SURJIT SINGH / OWNER / Business Phone: (805) 397-3722x Business Phone: ( ) - x 24-Hour Phone : (805) 'J~5 71iOx 24-Hour Phone : ( ) - x Pager Phone : ( ), '.r:: It66x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth . Emergency Directives: p= Hazmat Inventory p== MCP+DailyMax Order ... All specHaz EPA Hazards Frm I F IH DH L F IH DH L F IH DH L F P IH G One Unified List 1 Materials at Site 1 DailyMax IUnitlMCP 10000 GAL Mod 10000 GAL Mod 10000 GAL Mod 1044 FT3 Min Hazmat Common Name... REGULAR GASOLINE UNLEADED GASOLINE PREMIUM UNLEADED GASOLINE CARBON DIOXIDE ~ ~A K .s IN'-'J1 ~I . t\J DCÞ ~sU'sb1P iCsrti4tn iha~ ß ~~V~ ~€r~~) 'J/ 'Q W®Vß~ ~ ij® ~~~b1Sd h~ªroJOY~ m~~®lf'i~~~ mai .agso ffl®Ii1)ß~!iiJ ~íì' L~~~~) ®mJ ~hti!~ ð~ a'm~ wi~h &}1i1)1f OOrrrr®©ìô©!i'i)~ ro~smu~~ ~ oom~~® ~U'b©1 ©©o-reJ©t'mara. ~®m®&"B\t ~~fii) g©w ~1P ~©úßúft¡J. "~':~. <~& --;;; 'iIii' j ) -1- 03/16/1998 .. e e SiteID: 215-000-000083 ì Facility Unit: Fixed Containers on Site ì F LUCKY 7 STORE #11 p= Inventory Item 0001 F== COMMON NAME / CHEMICAL NAME REGULAR GASOLINE Days On Site 365 Location within this Facility Unit UNDERGROUND STORAGE TANKS Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 5500.00 GAL HAZARDOUS COMPONENTS ~ CAS# I 8006619 I tWt. I 100.00 Gasoline TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS p= Inventory Item 0002 = COMMON NAME / CHEMI CAL NAME UNLEADED GASOLINE Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UNDERGROUND STORAGE TANKS Map: Grid: CAS # 8006-61-9 [ ~TA~E I TYPE ~ P~ESSURE ---r TEM~ERATURE "I =Llquld __pure ~mblent ---1 Amblent ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum GAL 10000.00 GAL CONTAINER TYPE UNDER GROUND TANK Daily Average 6000.00 GAL HAZARDOUS COMPONENTS ~ No CAS # I 8006619 I twt. I 100.00 Gasoline HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -2- 03/16/1998 ': e e SiteID: 215-000-000083 1 Facility Unit: Fixed Containers on Site 1 F LUCKY 7 STORE #11 p= Inventory Item 0003 F= COMMON NAME / CHEMI CAL NAME PREMIUM UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit UNDERGROUND STORAGE TANKS Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 5000.00 GAL HAZARDOUS COMPONENTS ~ CAS # I 8006619 I l~~~ÔO[GaSOline HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod p= Inventory Item 0004 F= COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit STOREROOM SW & SE PART OF STORE Map: Grid: CAS # 124-38-9 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 1044.00 FT3 Daily Average 522.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Carbon Dioxide No 124389 HA D TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ZAR ASSESSMENTS -3- 03/16/1998 õ e e F LUCKY 7 STORE #11 I p= Notif./Evacuation/Medical r=: Agency Notification LCALL 911 Employee Notif./Evacuation SiteID: 215-000-000083 ì Fast Format ì Overall Site ì 09/17/19921 09/17/1992 ALL EMPLOYEES ARE AWARE OF APPROPRIATE HANDLING PROCEDURES FOR HAZARDOUS MATERIALS. STEPS TO FOLLOW IN CASE OF AN EMERGENCY ARE CLEARLY POSTED IN THE WORK AREAS. Public Notif./Evacuation 09/17/1992 NOTIFY NEIGHBORING BUSINSSES OF ANY PROBLEMS Emergency Medical Plan 09/17/1992 MEMROIAL URGENT CARE - 6501 MING AVE - BAKERSFIELD, CA. - (805) 397-4004. CALL 911 -4- 03/16/1998 e e SiteID: 215-000-000083 ì Fast Format ì Overall Site ì 09/17/1992 F LUCKY 7 STORE #11 I f= Mitigation/Prevent/Abatemt Release Prevention FUEL PRODUCTS ARE SEPARATED BY USE OF INDIVIDUAL UNDERGROUND TANKS. COMMODITY AND CAPACITY OF EACH TANK ARE DESIGNATED ON THE FILL PIPE AND COVER. COMPRESSED GAS FOR SOFT DRINK DISPENSER IS APPROPRIATELY CHAINED. MONITORING PROGRAM DAILY OF INVENTORY STEEL POSTS INSTALLED TO PREVENT BEHICLE COLLISION WITH PUMPS VAPOR RECOVERY SYSTEMS USED WHEN FILLING UNDERGROUND TANKS WHICH ARE OF FIBERGLASS CONSTRUCTION. DUE HOSE SYSTEMS ON PUMPS. ANTI-LOCK NOZZLES AT PUMPS NO SALES TO NON-AUTHORIZED CONTAINERS NO SMOKING SIGNS POSTED, SELF SERVE INSTRUCTIONS POSTED TANKS CHECKED PERIODICALLY FOR LEAKS BY COMPARING GALLONAGE MEASUREMENTS WITH SALES RECORDS. Release Containment 09/17/1992 PREVENTATIVE DIKING WITH ABSORBENT MATERIALS SHUT OFF ALL EMERGENCY SWITCHES TO PREVENT FURTHER SPILLAGE BARRICADE AREA TO PREVENT POSSIBLE EXPOSURE TO GENERAL PUBLIC AVOID PERSONAL EXPOSURE TO FUMES/VAPRS AND CONTACT WITH LIQUID ELIMINATE ALL SOURCES OF IGNITION IN AREA OF SPILL OR VAPORS ABSORB LIQUIDS WITH ABSORBENT MATERIALS AND REMOVE TO SAFE AREA FOR Clean Up 09/17/1992 ABSORBENT IS READILY ACCESSIBLE TO CLEAN UP ANY SPILL. KITTY LITTER. Other Resource Activation -5- 03/16/1998 e e SiteID: 215-000-000083 ì Fast Format l Overall Site ì I F LUCKY 7 STORE #11 I p= Site Emergency Factors r== Special Házards Utility Shut-Offs 05/04/1990 A) GAS - SOUTH WALL, REAR OF STORE B) ELECTRICAL - EAST PART OF STOREROOM, EAST WALL, NEAR SOUTHEAST CORNER OF BUILDING C) WATER - IN PLANTER LOCATED IN SOUTHEAST CORNER OF COMPLEX D) SPECIAL - EMERGENCY GAS SHUTOFF SWITCH - AT CASHIER STATION OF CONSOLE, OUTSIDE NEAR SOUTHEAST CORNER OF BUILDING, ALONG EAST WALL E) LOCK BOX - NO Fire Protec./Avail. Water 05/04/1990 PRIVATE FIRE PROTECTION - AUTOMATIC SPRINKLERED BUILDING - FIRE EXTINGUISHERS FIRE HYDRANT - EAST ACROSS STREET - CORNER OF HUGHES AND WHITE LANE. Building Occupancy Level -6- 03/16/1998 i e e SiteID: 215-000-000083 l Fast Format l Overall Site l 09/17/1992 F LUCKY 7 STORE #11 I F Training Employee Training WE HAVE 3 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING PROCEDURE: SPECIAL ON THE JOB TRAINING IN THE HANDLING OF HAZARDOUS MATERIALS IS PROVIDED IN THE FOLLING AREAS: PROPER MAINTENANCE AND USE OF GASOLINE EQUIPMENT USE OF KITTY LITTER FOR SMALL SPILLS A REVIEW OF THE CONTENTS OF THE EMERGENCY RESPONSE PLAN WILL BE MADE BY ALL NEW EMPLOYEES WITHIN ON MONTH OF HIRING AND BY ALL EMPLOYEES ON AN ANNUAL BASIS. SAFETY AND EMERGENCY EQUIPMENT USAGE TRAINING WILL PROVIDE FAMILIARIZATION WITH THE LOCATION AND PROPER USE OF FIRE FIGHTING EQUIPMENT (FIRE EXTINGUISHERS), AND THE LOCATION OF AND PROCEDURES FOR FACILITY SHUTDOWN (INCLUDING THE LOCATION OF TURNOFF VALVES FOR GAS AND ELECTRICITY) AND THE Page 2 [ I I Held for Future Use Held for Future Use -7- 03/16/1998 ."'- ",.,-' ...,- ~-~.~.~~--" . ¡,=-,,:" ", ~~ ..:;....:;.,:: .~... - ~ -,,:'~.f., . ~""",,-. - J '''~'''''- , ....~ ;; ~~---~ ---:~ -~-- ~.~ ~';';-- -- ::.----., - - - - .""":~- ~--=--- ~'~ //~ r~. .:¿\ 3/ù ¡ ~e- \ 3'?)t9[) -)( 'S ~ l{ 00 0ð~:2.. ø ,: ------- __3~""'~d-. r-' I '. . ~ 08/27/93 LUCKY 7 STORE 215-000-000083 Overall Site w~th 1 Fac. Unit Page 1 General Information Location: 2501 WHITE LN A Map: 123 Hazard: Low Community: BAKERSFIELD STATION 05 Grid: 13C FlU: 1 AOV: 0.0 ,-- Contact Name Title Business Phone -- 24-Hour Phone SURJIT SINGH OWNER (805) 397-3722 x (805) 325-7140 ( ) - x ( ) - Administrative Data Mail Addrs: 2501 WHITE LN A D&B Number: 06-294-4160 City: BAKERSFIELD State.: CA Zip: 93304- Comm Code: 215-005 BAKERSFIELD STATION 05 SIC Code: 5541 Owner: LUCKY 7 STORE Phone: (805) 397-3722 Address: 2501 WHITE LN A State: CA City: BAKERSFIELD Zip: 93304- .... Summary e e 08/27/93 LUCKY 7 STORE 215-000-000083 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site I PIn-Ref Name/Hazards Form Max Qty MCP 02-003 PREMIUM UNLEADED GASOLINE Liquid 10000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-001 REGULAR GASOLINE Liquid 10000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-002 UNLEADED GASOLINE Liquid 10000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-.004 CARBON DIOXIDE Gas 1044 Minimal ~ Fire, Pressure, Immed Hlth FT3 e e 08/27/93 LUCKY 7 STORE 215-000-000083 02 - ,Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-003 PREMIUM UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 10,000 I 5,000.00 23,960.00 Storage UNDER GROUND TANK r Press" T Temp -:ì Location Ambient Ambient UNDERGROUND STORAGE TANKS '- Conc l 100.0% Gasoline Components r; MCP -¡Guide Moderate 27 02-001 REGULAR GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 10,000 I 5,500.00 I 47,800.00 Storage UNDER GROUND TANK r PresS T Temp -:ì . Location Ambient AmbientlUNDERGROUND STORAGE TANKS - Conc l 100.0% Gasoline Components r; MCP -¡Guide Moderate 27 02-002 UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 10,000 I . 6,000.00 I 176,900.00 Storage UNDER GROUND TANK r Press T Temp -:ì Location Ambient Ambient I UNDERGROUND STORAGE TANKS - Conc l 100.0% Gasoline Components r; MCP -¡Guide Moderate 27 e e 08/27/93 LUCKY 7 STORE 215-000-000083 02 - Fixed Containers on Site Page 4 Hazmat Inventory,cDetail in MCP Order 02-004 CARBON DIOXIDE ~ Fire, Pressure, Immed Hlth Gas 1044 Minimal FT3 CAS #: 124-38-9 Trade Secre4: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 1,044 I 522.00 I· 54,288.00 Storage r Press T Temp -:I Location PORT. PRESS. CYLINDER Above Ambient STOREROOM SW & SE PART OF STORE - Conc l 100.0% Carbon Dioxide Components r;. MCP --,-Guide Minimal I 21 e e 08/27/93 LUCKY 7 STORE 215-000-000083 00 - Overall Site Page 5 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation ALL EMPLOYEES ARE AWARE OF APPROPRI~TE HANDLING PROCEDURES FOR HAZARDOUS MATERIALS. STEPS TO FOLLOW IN CASE OF AN EMERGENCY ARE CLEARLY POSTED IN THE WORK AREAS. <3> Public Notif./Evacuation NOTIFY NEIGHBORING BUSINSSES OF ANY PROBLEMS <4> Emergency Medical Plan MEMROIAL URGENT CARE - 6501 MING AVE - BAKERSFIELD, CA. - (805) 397-4004. CALL 911 e e \ 08/27/93 LUCKY 7 STORE 215-000-000083 00 - Overall Site Page 6 <E> Mitigation/Prevent/Abatemt <1> Release Prevention FUEL PRODUCTS ARE SEPARATED BY USE OF INDIVIDUAL UNDERGROUND TANKS. COMMODITY AND CAPACITY OF EACH TANK ARE DESIGNATED ON THE FILL PIPE AND COVER. COMPRESSED GAS FOR SOFT DRINK DISPENSER IS APPROPRIATELY CHAINED. MONITORING PROGRAM DAILY OF INVENTORY STEEL POSTS INSTALLED TO PREVENT BEHICLE COLLISION WITH PUMPS VAPOR RECOVERY SYSTEMS USED WHEN FILLING UNDERGROUND TANKS WHICH ARE OF FIBERGLASS CONSTRUCTION. DUE HOSE SYSTEMS ON PUMPS. ANTI-LOCK NOZZLES AT PUMPS NO SALES TO NON-AUTHORIZED CONTAINERS NO ~GNS POSTED, SÉLF SERVE INSTRUCTIONS POSTED TANKS CHECKED PERIODICALLY FOR LEAKS BY COMPARING GALLONAGE WITH SALES RECORDS. r <2> Release Containment PREVENTATIVE DIKING WITH ABSORBENT MATERIALS SHUT OFF ALL EMERGENCY SWITCHES TO PREVENT FURTHER SPILLAGE BARRICADE AREA TO PREVENT POSSIBLE EXPOSURE TO GENERAL PUBLIC AVOID PERSONAL EXPOSURE TO FUMES/VA~RS AND CONTACT WITH LIQUID ELIMINATE ALL SOURCES OF IGNITION IN AREA OF SPILL OR VAPORS ABSORB LIQUIDS WITH ABSORBENT MATERIALS AND REMOVE TO SAFE AREA FOR EVAPORATION <3> Clean Up ABSORBENT IS READILY ACCESSIBLE TO CLEAN UP ANY SPILL. KITTY LITTER. · e 08/27/93 r LUCKY 7 STORE 215-000-000083 00 - Overall Site Page 7 <E> Mitigation/Prevent/Abatemt <4> Other Resource Activation (Continued) .' e e ;;. 08/27/93 LUCKY 7 STORE 215-000-000083 00 - Overall Site Page 8 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - SOUTH WALL, REAR OF STORE B) ELECTRICAL - EAST PART OF STOREROOM, EAST WALL, NEAR SOUTHEAST CORNER OF BUILDING C) WATER - IN PLANTER LOCATED IN SOUTHEAST CORNER OF COMPLEX D) SPECIAL - EMERGENCY GAS SHUTOFF SWITCH - AT CASHIER STATION OF CONSOLE, OUTSIDE NEAR SOUTHEAST CORNER OF BUILDING, ALONG EAST WALL E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - AUTOMATIC SPRINKLERED BUILDING - FIRE EXTINGUISHERS FIRE HYDRANT - EAST ACROSS STREET - CORNER OF HUGHES AND WHITE LANE. <4> Building Occupancy Level ~~ e e ~ -¡~ 08/27/93 / LUCKY 7 STORE 215-000-000083 00 - Overall Site Page 9 <G>Training ,,'" <1> Page 1 WE HAVE 3 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE ...-- BRIEF SUMMARY OF TRAINING PROCEDURE: SPECIAL ON THE JOB TRAINING IN THE HANDLING OF HAZARDOUS MATERIALS IS PROVIDED IN THE FOLLING AREAS: PROPER MAINTENANCE AND USE OF GASOLINE EQUIPMENT USE OF KITTY LITTER FOR SMALL SPILLS A REVIEW OF THE CONTENTS OF THE EMERGENCY RESPONSE PLAN WILL BE MADE BY ALL NEW EMPLOYEES WITHIN ON MONTH OF HIRING AND BY ALL EMPLOYEES ON AN ANNUAL BASIS. SAFETY AND EMERGENCY EQUIPMENT USAGE-TRAINING WILL PROVIDE FAMILIARIZATION WITH THE LOCATION AND PROPER USE OF FIRE FIGHTING EQUIPMENT (FIRE EXTINGUISHERS), AND THE LOCATION OF AND PROCEDURES FOR FACILITY SHUTDOWN (INCLUDING THE LOCATION OF TURNOFF VALVES FOR GAS AND ELECTRICITY) AND THE PROPER USE OF EQUIPMENT USED IN THE DAY TO DAY BUSINESS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use e e No - ¡1~ 08 J , .-' . ¡b- '0~ / fÝ(9 () r f &Mid- , -' JI~ ~ .Tj¡~ ~ . NèJ j~ ¥ G>1r ' No J;rw. ~~ '';' .. J . i I . ! e e I <4> Other Resource Activation ,.. \ . HM384402 . Account Number .e e ACCOUNTSRECENABLEADJUSTMENT March 8, 1993 Date Esther Duran From New Address Close Account Service Chan e Other Ad ustments X Fire Department - Hazardous Materials Division Department/Division LUCKY 7 MARKET Billing Name 2501 WHITE LN A Billing Address 2501 WHITE LN A Site Address Parcel # (if Applicable) Landlord Name & Address (If Applicable) ADJUSTMENT Last Billed Correct Billing Adjustment to Effective Date' of Billing Change <5.60> 01/01/93 ~~~~ APfove By: . Remarks: ADJUST OFF FINANCE CHARGES. '" !.,\, e e ================================================================================ Page: 1 Account Billing/Collection Activity Inquiry SUTL108 ================================================================================ Acct SSN Name Svc Add: 384402 Cyc St: CL Parcel: LUCKY 7 MARKET 2501 WHITE LN - STE A Bill St: NO Cyc: 5 Rt: Svc CIs :e Seq: _._------------------------------------------------------------------------------ Amt due: 5.60 Current Period Postings Lst Pmt: -99.97 Type Desc Date Amount Receipt # Pmt Dte: 01/20/93 99 PAYMENT 01/20/93 -99.97 63959 Prior Bills -- B91 PENALTY 03/01/93 0.50 Date Balance B92 FINANCE CHARGE 03/01/93 0.10 01/01/93 5.00 01/01/92 0.00 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Enter ',I' For Billing History, 'pi To Print Report, 'D' For Detail Page, or tIC' For Credit and Deposit History or 'XX' To Exit ALT-F10 HELP ADDS VP I FDX I 9600 E71 I LOG CLOSED I PRT OFF I CR CR ~ \ p~. ~ 08/11/92 , r -t . LUCKY 7 STORE 215-000-000083 Overall Site with 1 Fac. Unit Page 1 General Information Location: 2501 WHITE LN A Community: BAKERSFIELD STATION 05 Administrative Data Mail Addrs: 2501 WHITE LN A City: BAKERSFIELD Comm Code: 215-005 BAKERSFIELD STATION 05 Map: 123 Hazard: Low Grid: 13C FlU: 1 AOV: 0.0 Contact Name MIKE KAftv~Lu'lr 24-Hour Phone ( 6"'19) 2 4 7 19 lA (80-51 J21 8522 ~o') i,;;?<;"'- Ù D&B Number: 06-294-4160 State: CA Zip: 93304- SIC Code: 5541 Owner: LUCKY 7 STORE Address: 2501 WHITE LN A City: BAKERSFIELD Phone: (805) 397-3722 - State: CA Zip: 93304- Summary S£P 1 4 '\992, HAZ. MAT. 01V. I I ~ o ~t ~ ~~+- ~ ~ Do hereby ©~i16û¡J ~h~~ ~ h~~~ or print ' 8'l9viøw~©1 ~hs attachec; ~, ,,~,,> '.,S material$ m~r!ª@~ m~Jn~ ~i@rr¡ 10f'~Lu(~~:;~~1tA¿ that ¡ft ai~r!@ wifth any rofw~d¡on$ ~t)nst¡ba a com~let~ and COJITsct mar!g ®@~M®ú1~ p¡~n 1@w my ~ªdiiil? k ~!~":-¡ .~' '1~:'r~.Ji~)~ ·"'a::"'*ti¡'i;4~- ~¡'1'jf~~~~'''' ~ e e 08/11/92 LUCKY 7 STORE 215-000-000083 02 - Fixed Containers on Site 'Page 2 Hazmat Inventory Detail in Reference Number Order 02-001 REGULAR GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL 10,000 I 5,500.00 I 47,800.00 Storage UNDER GROUND TANK r Press T Temp ~ . Location Ambient AmbientlUNDERGROUND STORAGE TANKS - Cone l 100.0% Gasoline Components MCP -:--rList f;oderate I 02-002 UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 10,000 6,000.00 I 176,900:00 Storage UNDER GROUND TANK r Press T Temp -:-1 Location Ambient AmbientlUNDERGROUND STORAGE TANKS - Cone l 100.0% Gasoline Components MCP -:--rList f;oderate I 02-003 PREMIUM UNLEADED GASOLINE ~ Fi,re, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ~ Daily Average GAL ~'Annual Amount GAL -- 10,000 I 5,000.00 I 23,960.00 Storage UNDER GROUND TANK r Press T Temp ~ Location Ambient Ambient UNDERGROUND STORAGE TANKS - Cone l 100.0% Gasoline Components MCP -:--rList I~oderate I ~ ~. 08/11/92 e e LUCKY 7 STORE 215-000-000083 02 - Fixed Containers on Site 3 Page Hazmat Inventory Detail in Reference Number Order Gas 1044 Minimal FT3 02-004 CARBON DIOXIDE . Fire, Pressure, Immed Hlth CAS #: 124-38-9 Trade Secret: No Form: Gas Days: 365 Use: OTHER Type: Pure Daily Max FT3 ~ Daily Average FT3 ~ Annual Amount FT3 -- 1,044 I 522.00 I 54,288.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Above Ambient STOREROOM SW & SE PART OF STORE - Conc l 100.0% Carbon Dioxide Components r; MCP :-rList Minimal I .~. e e 08/11/92 LUCKY 7 STORE 215-000-000083 00 - Overall Site Page 4 <D> Notif./Evacuation/Medical I <1> Agency Notification CALL 911 ¡ <2> Employee Notif./Evacuation ALL EMPLOYEES ARE AWARE OF APPROPRIATE HANDLING PROCEDURES FOR HAZARDOUS MATERIALS. STEPS TO FOLLOW IN CASE OF AN EMERGENCY ARE CLEARLY POSTED IN THE WORK AREAS. <3> Public Notif./Evacuation NOTIFY NEIGHBORING BUSINSSES OF ANY PROBLEMS <4> Emergency Medical Plan . C-V\ LL q If MEMROIAL URGENT CARE - 6501 MING A BAKERSFIELD, CA. - (805) 397-4004. · ~" e e 08/11/92 LUCKY 7 STORE 215-000-000083 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt <1> Release Prevention FUEL PRODUCTS ARE SEPARATED BY USE OF INDIVIDUAL UNDERGROUND TANKS. COMMODITY AND CAPACITY OF EACH TANK ARE DESIGNATED ON THE FILL PIPE AND COVER. COMPRESSED GAS FOR SOFT DRINK DISPENSER IS APPROPRIATELY CHAINED. MONITORING PROGRAM DAILY OF INVENTORY STEEL POSTS INSTALLED TO PREVENT BEHICLE COLLISION WITH PUMPS VAPOR RECOVERY SYSTEMS USED WHEN FILLING UNDERGROUND TANKS WHICH ARE OF FIBERGLASS CONSTRUCTION. DUE HOSE SYSTEMS ON PUMPS. ANTI-LOCK NOZZLES AT PUMPS NO SALES TO NON-AUTHORIZED CONTAINERS NO SMOKING SIGNS POSTED, SELF SERVE INSTRUCTIONS POSTED TANKS CHECKED PERIODICALLY FOR LEAKS BY COMPARING GALLONAGE MEASUREMENTS WITH SALES RECORDS. , <2> Release Containment PREVENTATIVE DIKING WITH ~ESOR~ENT-MATERI~L§ SHUT OFF ALL EMERGENCY SWITCHES TO PREVENT FURTHER SPILLAGE BARRICADE AREA TO PREVENT POSSIBLE EXPOSURE TO GENERAL PUBLIC AVOID PERSONAL EXPOSURE TO FUMES/VAPRS AND CONTACT WITH LIQUID ELIMINATE ALL SOURCES OF IGNITION IN AREA OF SPILL OR VAPORS ABSORB LIQUIDS WITH ABSORBENT MATERIALS AND REMOVE TO SAFE AREA FOR EVAPORATION <3> Clean Up ABSORBENT IS READILY ACCESSIBLE TO CLEAN UP C DISPOSAL CO 1-71:-4-82J 0691 NVIRN SPILL. JL;).f L; tt e..-y-- HAZARDOUS WASTE IF REQ En: ,< '- e e '~ ~ 08/11/92 LUCKY 7 STORE 215-000-000083 Page 7 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - SOUTH WALL, REAR OF STORE B) ELECTRICAL - EAST PART OF STOREROOM, EAST WALL, NEAR SOUTHEAST CORNER OF BUILDING C) WATER - IN PLANTER LOCATED IN SOUTHEAST CORNER OF COMPLEX D) SPECIAL - EMERGENCY GAS SHUTOFF SWITCH - AT CASHIER STATION OF CONSOLE, OUTSIDE NEAR SOUTHEAST CORNER OF BUILDING, ALONG EAST WALL E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - AUTOMATIC SPRINKLERED BUILDING - FIRE EXTINGUISHERS FIRE HYDRANT - EAST ACROSS STREET - CORNER OF HUGHES AND WHITE LANE. <4> Building Occupancy Level · r.· "'-"';"Í;;. ;:¡-y". i' e e 08/11/92 LUCKY 7 STORE 215-000-000083 00 - Overall Site Page 8 <G> Training <1> Page 1 WE HAVE 3 EMPLOYEES AT THIS FACILITY WE_HAVE-MATERIAL_SAEET-Y-DATA_SHEET-S-ON--E.ILE___==) BRIEF SUMMARY OF TRAINING PROCEDURE: SPECIAL ON THE JOB TRAINING IN THE HANDLING OF HAZARDOUS MATERIALS IS PROVIDED IN THE FOLLING AREAS: . PROPER MAINTENANCE AND USE OF GASOLINE EQUIPMENT , Y~ USE OF KITTY LITTER FOR SMALL SPILLS " MSDS FOR GASOLINE àNO C02 ~'PPH A REVIEW OF THE CONTENTS OF THE EMERGENCY RESPONSE PLAN WILL BE MADE BY ALL NEW EMPLOYEES WITHIN ON MONTH OF HIRING AND BY ALL EMPLOYEES ON AN ANNUAL BASIS. SAFETY AND EMERGENCY EQUIPMENT USAGE TRAINING WILL PROVIDE FAMILIARIZATION WITH THE LOCATION AND PROPER USE OF FIRE FIGHTING EQUIPMENT (FIRE EXTINGUISHERS), AND THE LOCATION OF AND PROCEDURES FOR FACILITY SHUTDOWN (INCLUDING THE LOCATION OF TURNOFF VALVES FOR GAS AND ELECTRICITY) AND THE PROPER USE OF EQUIPMENT USED IN THE DAY TO DAY BUSINESS. <2> Page 2 as needed <3> Held for Future Use · il;. ( ~ :.. ....~ 08/11/92 e - LUCKY 7 STORE 215-000-000083 00 - Overall Site Page 9 <G> Training <3> Held for Future Use (Continued) <4> Held for Future Use CITY OF BAKERSFIELD HAZARDOUS MATERIALS INVENTORY , tJ Farm and Agriculture)ZDstandard Business NON - TRADE SECRET .5i)..1( J l <t .s \A. ¡'hA- o .. .' " I I Page_of NAME OF THIS'FACILITY: Luc.L, 7 H)fIIlsiof'€..... STANDARD IND. CLASS CODE: ~f r:::; ~M ~ DUN AND BRADSTREET NUMBER FEDERAL ID I b.C¡_ - él1Y_ - !f L &"Q.. , '~,:i~~~, NJ\MEs:, 0~:[4s-fo r" ~I' CITY, ZIP: ~rS~~ "e~} 330~ PHONE I: ...~q7 - '37 ;L~ OWNER NAME: ~DRESS : CITY, ZIP: PHONE ,I: ,j ¡ 13 14 " by Names of Mixture/Components wt See Instructions Component 1# 2 Name & C.A.S. NÌ1Inber Component II 1 Name & C.A.S. Number II}{) Physical and Health Hazard (Check all that apply) o Fire Hazard 0 Sudden Release of Pressure C.A.S. Number .. <:> ö tø - to 1- o Reactivity 0 Immediate 0 Delayed Health Health Component II 3 Name & C.A.S. Number ~~ : ;~ ',{ Physical and Health Hazard C.A.S. Number to J -q (Check all that apply) o Fire Hazard 0 Sudden ReleaseD Reactivity 0 Inunediate 0 Delayed of Pressure Health Health Component 1# 3 Name & C~A.S. Number Component 1# 1 Name & C.A.S. Number Component 1# 2 Name & C.A.S. Number Component B 1 Name & C.A.S. Number Physical and Health Hazard (Check all that apply) DFire Hazard 0 Sudden Release 0 Reactivity 0 Inunediate 0 Delayed of Pressure Health Health Component II 2 Name & C.A.S. Number Component 1# 3 Name & C.A.S. Number C.A.S. Number Component H 1 Name & C.A.S. Number Component H 2 Name & C.A.S. Number Component B 3 Name & C.A.S. Number Physical and Health Hazard (Check all that apply) , D Fire Hazard 0 Sudden Release 0 Reactivity 0 Inunediate 0 Delayed of Pressure Health Health EMERGENCY CONTACTS 11 . V" .).1-1' ~'M"- Name -U 3d7 - 7 f t¡{) 24 Hr. Phone Certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) I certify under peanlty of law that I haver personally examined and am familiar with the information submitted in this and all attached documents and that based on my inquiry of those individuals sponsible f r obtai~ing the information. I believe that the submitted information is true, accurate, and complete. SIGNATURE DATE SIGNED City of Bakersfield _ . TRANSMln AL SLIP Îl" .d~te......,...~-=..~..~...??....................- TO.,f.Á.,f,g:4.t€:..:?€?~.~.~?!.~.~§_¡....:::/::M2...,.._.~.C._. From..~2g.f;;.~.,.~H~~.E.~IP.:~..:::.....Y.Jp.::;þ?f..~f.(..~'::'..,-_.-.- For Your:- ~~ o Signature 0 Action ~formatioh 0 File Please :- o Return 0 See Me 0 Follow Up 0 Prepare Answer Copy to: .......................,...............-..............,...................,......,.-...-......--......... Memo: .............................-.................................-.....................-.............-........- .......uu.........................._...._................_............h........_....._....._..·..·..···....·.._..__..··_.._·..··..·..... ......... ........~......................._..................._......... ...._...... ....._............................... .............n................ .................................................................................................-................-...-....-..............- .-..............................-....................-.....-..........-.....-..............-..................-.............-..-.................. ......................... ................ .....................................................u.........................._....._.._........................._.. ......................................................................................................................................-.............. ..........................-...............-.................-...................................-............-...-........................... ...........-................................................-...................................................-.................................. e . .;fi .~ BULK TRANSFER (Business) BUSINESS NAME SITE LOCATION OLD OWNER NAME NEW' OWNER NAME NEW OWNER ADD. '-lA. c...J< '( 7 /Yl A 12.1< e-T" (ç OO""D ~101C!..<=~ ') Z~O I (~I-II ït: L Ai . ~ rt:= ~ fY7"., ~ S O(,..(]) ß7i3 ~~.5 / S tA 2...:r I .,- S. I AI r. 1-1 ì:2. '-l tJ,éJ I< ~ ,.. :d / / í3 ,4 M. l:.-7t.,s ¡; d;- ~ 1). c,., 9"1? ð "-I- , ACCOUNT NUMBERS INVOLVED fI fr7 ·3. &' 4 L.j 0 2 .:s. h 7 09~O I ~ It.. 2993~ I :PRO~;¿~i' 199z THIS INFORMATIO~ IS TAKEN FROM THE DAILY REPORT AND SHOULD BE VERIFIED PRIOR TO ANY CHANGES. DISTRIBUTION: Sanitation V..IIUaU)!' Business Licenses Hazaråous Materials -' / ~ ~~.--- It Bakersfield Fire Dept. e HAZARDOUS MATERIALS DIVISION Business Name: Location: 2? ð Business Identification No. 215-000 coots 53> (Top of Business Plan) Station No. 5 Shift 6 Inspector l jJ{q l< \ÑS / I Verification of Inventory Materials Verification of Quantities Verification of Location Proper Segregation of Material Comments: Date Completed Adequate ~ IX] ~ ~ v . -.--......--- -,., -"'-t<_ Inadequate o o o o Verification of MSDS Availablity Number of Employees Verification of Haz Mat Training Comments: \ J., Verification of Abatement Supplies & Procedures n~mments: bI Emergency Procedures Posted Containers Properly Labeled o o o Jðr ~ ~ Comments: o .~ ~ D D Verification of Facility Diagram Special Hazards Associated with this Facility: ~ Violations: ~w ~D(o"~ --- r::1,Al) tV\) \ctGÅ Abo~ ¡--/Az- NJJ IN tò '1 All Items O.K. D Correction Needed R ifušìn~",anager FD 1652 (Rev. 1-90) White·Haz Mat Div. Yellow-Station Copy Pink·Business Copy ., e . ~~ (C lc~ ~ \\7 ~~ DL£~~Li~ n . AUG 1 2 1992 U MASOUD ABBASI DBA LUC KY 7 FO ODST 0 RE #11 2501-A WHITE LANE BAKERSFIELD, CA 93304 By AUGUST 10, 1992 TO: r-:J~:~:Hr 2 ~ t;~JT Y &~ttþ ,ß~tJ - A~Ct-~ >r~~ THIS LETTER IS TO INFORIvI YOU THAT AS OF AUGUST 16, 1992 MASOUD ABBASI WILL NO LONGER BE THE OWNER OF LUCKY 7 FOODSTORE #11 AT 2501-A WHITE LANE IN BAKERSFIELD. THE N~W OWNER IS SURJI'I' SINGH. PLEASE INCLUDE THIS INFORMATION iN ALL YOUR FILES. SINCERELY, ~~ .::.;..<--- MASOUD ABBASI '" e . d- Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakersñeld, CA. 93301 RECEIVED MAR 1 2 1991 HA7 M,AT. DIV. HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To ovoid further action. return this torm within 30 Ooys of receipt. 2. iYP:/PRINT ANSW:RS IN :NGUSH. 3. Answer the ouestions below tor fhe business os 0 wf"lote. 4. ae brief onO conc:se os ;':jossiele. SECTION 1: BUSINESS IDENTIFICATION DATA LOCAiION: 2501-A White Lane Lv-~ 7 ~ ~ 3US¡NESS NAME: ,-C':'.télé PC Cð"!'pord: L':'on ':' 5.Q..Q.2. ~~Fa-t.e. MA I L!N GAD 0 RES S: ...:;.-P-.-G-:=3'~8'"!.-;-P11'ö"ë..~~~-ö:3 e-=rz.. CiTY: Bakersfielà SiAi:: ~ ZIP: 93304 9Q,- "37;(";)- PHONE:(80S) ~ ' DUN &. ôRADSTR==i NUMBER: 06-294-4160 C:;-J' SIC CODE: oJ:) '.- PRIMARY ACTIVITY: Convenience Store/Gas Ivu~6 ,(ch 4 . 8'5~~--f:O ,f:xJx J./5()øl ~flK 0¡-¿30'/ I I ??~tP ~?'1 ! OWN:::< : 13 i 1 C 1:: 1(· ê-e-!'~~-c-i~r- MAILING ADDRESS: '~~wx-·5'Z~0=8-4Î~Pho-enL\., AZ SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE Beeper # 1. Mike Spinuzzi - Zone Manager (805) 321-8522 24 HR. PHONE Beeper # (805)321-8522 2. Mike Karvelot - Environ. Director 714-823-0ñ91 ñlq-?d7-1qld 1. 'OI5~ - <' - _ HBakders~~11d Fire ÐDept. azar ous JoY aterials ivis HAZARDOUS MATERIALS MANAGEMENT PLAN 'I SECTION 3: TRAINING: NUMBER OF EMPlOY:SS: 3 MATERIAL SAF¡:iY DATA SHEETS ON FILE: Yes BRIEF SUMMARY OF TRAINING PROGRAM: Special on-the-job training in the handling of hazardous material(s) is provided in the following areas: l.Propt:i maintenance and use of gaso 1 i ne equipment. 2. Use of kitty litter for small spills. 3. Employees are instructed on proper response to police, fire department, emergency medical and Circle K Environmental Department. 4. Each Circle K gasoline store has a Company supplied gasoline manual with MSOSs for gasoline and C02' A review of the contents of the Emergency Response Plan will be made by all new employees within one month of hiring and by all employees on an annual basis. Safety and emergency equipment usage training will provide familiarization with the location and proper use of fire fighting equipment (fire extinguishers), the location of and procedures for facility shutdown (including the location of turnoff valves for gas and electricity) and the proper use of equipment used in the day to day business. 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 TJMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: \, Mike Schumacher CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION Will BE USED TO FULFill MY FIRM'S OBUGA TlONS 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, )?-) Division Manager zp&'/91 DATE , TITLE SIGNATURE 2. FOI5QO ~"'.o;¡;..~ ¡-~;;,~ ., .'.-....'.,............ · . . . . ' . . . . . . . . . .. .. ................ .. ............ ......... ............ ...... ........-.......... .......'............ ......-............. .................... .................." .......... ......... · . . . . . . . . . . . . . . . . . .. .................... ..................... ........ ........... ................... ........--.......... ................. .. .............. ..... ..................... ........ -.......... ...............,.... ...................... ........... ........ ........-......,.... .................... ..................'.. .............,...... . ................. .................... ......,............ · . . . . . . . . . . . . . . . . . . . ..................... · . . . . . . . . . . . . . . . . . . . ......... ..- ..-.... ."..-......... ...... .,......,............ ................-......................... ... "E~~I~~~..~.~..~~~;T~SfAI·~~~SE~EN·N[)··~·.·R. SD~RS~.WM·.· ~B~~.SS¡~~B~.~·i!~~};<,: f>}~{:)}~:))j:j;~::~~Û:~):;;:)~:))Ó~: r/~rt{r)r~~ ?(tUr~~I}:::.6:M:\t~~//.:.:::...;:...:~~jj,~.i:i]:¢:r:~::.:·.'..:t~.~.:-tj,. ..:::....::..,.::.:.l1l. .;::'..:....:::.../U:..:·. ..::::l:~:; ......-. "':"':':_" ::Y:.µ;:...:_.. ;~[t?:[t~fri~rJ[\()ff)rif??~\::::::::;:;;':';"""" ............¡ ....-.. - N. REFERENCE TO NORTH 1" . 100' - SCALE OF MAP I····.··::··, .'..'.....".'.<.....<'.,........«..'.....'................'...<'.«..'....'.'...................... ........<.................'.' ···································..····1 .1~8Ç49g.~BÇ~PlÄ2.~..~f.· $täg~ff~ ...~Xi~ðM~· @ ABSORPTIVE MATERIAL ¡;., ALARM !íJj DRAIN -I ""-- DR I V E WAY ~ - DOORS ~ <{þ I + m I ® ŒJ ¿j> = L1( ~ ŒJ IÞ=I IMSDS ERP 8 rr:J _.~ EVACUATION ROUTE EVACUATION/STAGING AREA EYE MS H FIRST AID FIRE HOSE FIRE EXTINGUISHER FIRE DOOR FIRE WALL GAS PUMPS GUARD STATION KNOX BOX LOCATION LADDER MATERIAL SAFETY DATA SHEET & EMERGENCY RESPONSE PLAN PERSONAL PROTECTIVE EQUIPMENT PUBLIC TELEPHONE RR - REST ROOM ~ IIIIIllIIlIID STAIRS ~::>... Ii I @ AIR CONDITIONING ffiJ ELECTRIC METER ® ELECTRIC SHUTOFF @] GAS METER ® GAS SHUTOFF ® PUMP SHUTOFF ~ Y FIRE DEPT. SPRINKLER CONNECTION Y FIRE DEPT. S TA N D PIP E CON N E C TI 0 N .-. FIRE HYDRANT :5(': ATTIC SCUTTLE þ" COOLE R OR :.-; REFRIGERATION UNIT *-x-* FENCE/BARRIERS ü:8 HEATING UNIT Fffft=1 RAILROAD TRACKS @J SEWER :--;~.: SKYLIGHT 1- ~ _ _ .. . STORM DRAIN ..........-- .. .." ..,.. . . . J )).si'ÒÄAG·Ë\tA/ij·i< Š< i:....:... IDENTIFY THE TYPE OF CONTAINER USING THE FOLLOWING SYMBOLS, SPECIFY TANK CAPACITY IN GALS., LBS., OR CU.FT. e ABOVE GROUND TANKS 200 @ _GAL 800 "Ma "Ma GAL fl f l BELOW GROUND TANKS ~-" (10K' \GALl (--10K-' \ \. GAL " -- - 8 INSULATED TANKS 8PRESSURIZED TANKS CORR - CORROSIVE C - COMBUSTIBLE E - EXPLOSIVE F - FLAMMABLE G - GAS L - LIQUID OXY - OXIDIZER R - RADIOACTIVE S - SOLID T - TOXIC WR - W>.TER REACTIVE -- ,/ e . .................................................................. ................................-.. ............................. HAZÁRDþW$MAi~RI"4~ ··~IB~~&ÈJ~1š~~W~9 ........ .........-...-....... .......... . ..... ............ -.. . HAZARDOUS MATERIAL STORAGE AREA...HMS HAZARDOUS MATERIAL HANDLING AREA...HMH HAZARDOUS WASTE STORAGE AREA...HWS ... ......... ······························,·:..·'·1 (¡:2?'. .""" CITY of l .KEHSF ll:LU HAZAnoous MATEHIALS INVEHTOHV (ara and Agtlculture [J Slandard Business (~ NON-TnADE SECHETS Paq~ 01 1 ~us¢u£ss tlAHE: Cfrcle K Corporation '5007 OWIlf:R tI^HE: Cfrcle K CorporaLfon tlM-IF:¡ 0ú l11IS r~G¡LITX; C,f_~~.1e K çg~pora!!0r:!..~~Q.o.!____, l~f TIOU·251J1--A-Wtrtte-t'ilm: _ ______ AtJunts,. __1'.._,o_,-Bº~3Z(t6j SI^,O^ \0 !Nn. (.1,~SS L,JI)E.... .5~~J ... ,. _. ,.._.._ ____H C '¡Þ]jl akersfield r \11fl(j;r- - Ct IV IP~_-~'hOfP.ffM_AL,_ß5nzz-__ _. ,_______ DUll ^II OIl^IJSIIIEF.1 UUUnEn ) .. -tr'R'':J'~'fJ----.ll..J.'l_..-----,-,----- I' loUt; 6UZ/_ ~706 Q fL - 2._ 9. !t - !t L 6. Q I 101h: ... 1:JU5r~ u'ol. --'---------------nI:FEll 10-1 S1I1 TlUNS-FVfl-P/?OPEfl CODES ___ ___ Ir:ns I:øe II:. ht:'9t AÞ~uII _n~_~;~~_;;n. --.lrs' - -- C~n~- '~~~-~'l~t-~::----lOC'll'H Yhere "~1 IIm5 Or lh:~rt(c:!'conenlS Code (odl AlIl hl hl Unlls on ~ le Irpe Press lellp Code Slored n Flcllll, Vt S!t Inslru~ Ions -'--1--'---'---- r---,- ., - -R- --H- 30000 . 15000 112759 _~L 365 -- - -;1 --T~--G----I--l~ .J_Hallii~~ïñg~riñ~r lot rhl~ (rl ,nd ~erlth "'I'rd C.A.S. IIullber --ªº.Q.§-61-9 COllponent " ","' I C.A.S. lIullber I !C a I t I Ipplr M J In IInard 11 React Iv It, n Ofhr'd (] Suddf" ReI..5e COllponent 11 N,", I C.A.S. IIullb,r 11 hlllle d I A t.e - lie. th o Pressure Ilea ILh COllponent U Nane I C.A.S. NUllber R I p I 1044 I 522 1 54288 J FT3 I 365 I 04 I 2 I~I_::.-.I ~~E~tgàHo8~~ö~è and rhl~lcrl I~d ~e.llh lIal'rd C.A.S. NUllber 124-38-9 COllponenl '1 N.1I8 I C.A.S. IIullber I ec . l It .pplr [J r in II.zud (] Ructhlty kJ 0r"r'd Bt Suddf" RthlSe COllponønt 12 Nane I C.A.S. NUllber [I 11I1IIP.dhle I II lh o rressure - lIullh COllponenl U Nln. I C.A.S. HUllber =,-} 1 I J.=I--I 1 l=-=r~ Phl~lcrl ,nd ~fllth "'Jlrd C.A.S. !lullber COllponent II Nllle I C.A.S. Nunber I ee . I l Il Ipply [J Fire Huard II Ructhll, U 0fhrPd (J SUddl" Rt I.ese COllponent 12 Nane I C.A.S. "ullber II Inn.dllle I u lh o Pressure - lIeaHh COllponenl 11 N,ne I C.A.S. Nunber -1=1 r I . I~I 'I I~_J_I Phl~icrl ,nd ~el1th ~a,'rd C.A.S. NUllber COllponenl II Nine I C.A.S. NUllber I ec ,I l ,l .pp r U r Ire Hnard [J Reacthltr "[I 0r""ð U suddf" PI hlSe II I COllponent 12 Nane I C.A.S. "ullber 11I1tP.d Ale I II lh o Pressure -- lIullh COllpontnt U N,", I C.A.S. NUllber -- -------...------ 100 Gasol ine 25 Toluene 108-88- 3 20 Xylene 1330-20-7 10 Methyltert Butyl Ether 1634-04-4 100 Carbon Dioxide, Carbon Anhydride EltEnGEUCY COIH^CTS Iff Mike Spinuzzi - Zone Mgr. - Beeper# 805-321-8522 M2Mike Karvelot - Environ. R.!~I fI!!~_, 2r~~!.!~~~~- RUe ~eU: (I¡:t ~:~er renal~tn:rr!~ f~W I ·1a~V/~@{ :1f, ç r.lt~I{íPn~rf~l t,/ f~r" r.l :Il~ fh7'i tl~(m {pn ,uhlll fd In Ih Is ,nd ," Illlthtd dqcVllen 'I In ,tat blsed on I, Inqulrr 01 hos. IÒdlY dUI S responsible for oblalning lha Inforøa Ion. believe lhlt lh. çubaltled InlOrftll Oft ,truI. acturale. Ind (ohplele. Mike Schumacher - Division Manager 111;'-"" 'ñrrrrrr-I\ r J ~r '~iiñH '~1\1i IfIWmn¡ijñJi '~ñJi Ifñi', 1m ~ñi" p~ HliiH p¡¡r Hlli'-' Dir. - (714)B23-0691 or (619) 247-1914 TIt II 1I'ßrrMñl- ----- ----- Ct~ñl'íi;I-·--------------· h...·.'.!'w.---- ~. ~- ,. ~Ce0k' ¿ ~.ø2-- Gi ê- HAZARDOUS MATERIALS MANAGEMENT PLAN . e Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 9330 1 .' ;, I ; 1. 2. 3. 4. To avoid further action. return this form within 30 days of receipt. TYPE/PRINT ANSWERS IN ENGLISH. Answer the questions below for the business as a whole. Be brief and concise as possible. RECEIVED APR 2 1 1990 INSTRUCTIONS: H.AZ. MAT. DIV. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: Circle K Corporation #5007 LOCATION: 2501-A White Lane. . --,', Circle K Corporate MAILING ADDRESS: P. O. Box 52084, Phoenix, AZ 85072 CITY: Bakersfield STATE: ~ ZIP: 93304 PHONE: (805) 836-3833 DUN & BRADSTREET NUMBER: 06-294-4160 SIC CODE: 5541 PRIMARY ACTIVITY: Convenience Store/Gas Station OWNER: Circle K Corporation MAILING ADDRESS: P. O. Rox 52084, Phoenix, AZ 85072 '. SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE l. Mike Spinuzzi - Zone Manager (209)298-3036 (805) 833-8881 2. Don Lewis - District Manager (209)298-3036 (209) 291-5910 1. F015 . , Bakersfield Fire Dept.e Hazardous Materials Divisioñ HAZARDOUS MATERIALS MANAGEMENT PLAN . ,. .' SECTION 3: TRAINING: NUMBER OF EMPLOYESS: 3 MATERIAL SAFETY DATA SHEETS ON FILE: Yes BRIEF SUMMARY OF TRAINING PROGRAM: Special on-the-job training in the handling of hazardous material(s) is provided in the following areas: 1. Prop~i maintenance and use of gasol ine equipment. 2. Use of kitty litter for small spills. 3. Employees are instructed on proper response to police, fire department, emergency medical and Circle K Environmental Department. . 4. Each Circle K gasoline store has a Company supplied gasoline manual ,with MSDSs for gasoline and C02. A review of the contents of the Emergency Response Plan will be made by all new employees within one month of hiring and by all employees on an annual basis. Safety and emergency equipment usage training will provide familiarization with the location and proper use of fire fighting equipment (fire extinguishers), the location of and procedures for facility shutdown (including the location of turnoff valves for gas and electricity) and the proper use of equipment used in the day to day business. 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, Mike Séhumacher 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. 7?7.~ SIGNATURE· TITLE Ihð/9ð DATE Division Manager 2. FOI&90 . Bakers~eld Fire Dept. , Hazardous Materials Divisio . . Ie' ,. ~i' HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: Circle K Corporation #5007 SECTION 6: NOTIFICATION AND EV ACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: If emergency response assistance not required, Bakersfield City Hazardous Materials Division State Office of Emergency Services notify: 326-3979 AND -- (800) 852-7550 WITHIN 24 HOURS If release poses present or potential hazard to human health & safety, property or environment, and emergency assistance is required, immediately notify: Fire Department - Bakersfield Fire Department 911 Police Department - Bakersfield Police Department 911 Bakersfield City Hazardous Materials Division 911 State Offlce of Emergency SerVlces (800) 852-7550 or (916) 427-4341 B. EMPLOYEE NOTIFICATION AND EVACUAIION: In case of a hazardous materials emergency, a11 other site personnel will be notified by the Staff-Duty Clerk verbally (shouting). Evacuation will pròceedouLmain'entrance'~:.tuÝ'ñ-~right toward sidewàlk~east.'ofstore. ... Here all will be accounted for. C, PUBLIC EVACUATION: If evacuation from area deemed necessary, these neighboring properties will be notified: NAME Smoketree Mobile Home Estates Smoketree Mobile Home Estates Smoketree Mobile Home Estates Smoketree Mobile Home Estates Double Deal Pizza Vacant Charley's Burgers Frosty King Drive-In ADDRESS 4401 Hughes Lane #115 4401 Hughes Lane #116 4401 Hughes Lane #117 4401 Hughes Lane #118 2501-B White Lane 2501-C White Lane 2501-0 White Lane 2517 Whi te Lane PHONE -- -- -- -- 836-0433 -- -- 835-0292 -- 833-0131 D. EMERGENCY MEDICAL PLAN: The primary Company medical facility to treat employees injured by a hazardous materials incident: Mercy Hospital 2215 Truxton Ave. 327-3371 . Additional Clinics and Hospitals: Greater Bakersfield Memorial Hospital Kern Medical Center 420 34th Street 327-1792 -- 1830 Flower Street 326-2000 -- 3. FOIer¡Q e .&.I~"'~ ",,~~~ç-;&Jçp".--_- Hazardous Materials Divise 1 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: GASOLINE A. RELEASE PREVENTION STEPS: l. Steel posts installed to prevent vehicle collision with pumps 2. Vapor Recovery Systems used when filling underground tanks which are of fiberglass construction 3. Dual hose systems on pumps. Anti-lock nozzles at pumps 4. No sales to non-authorized containers 5. No smoking signs posted, self serve instructions posted 6. Tanks checked periodically for leaks by comparing gallonage measurements with sales records. B. RELEASE CONTAINMENT AND/OR MINIMIZATION: 1. Preventative diking with absorbent materials 2. Shut off all emergency switches to prevent further spillage 3. Barricade area to prevent possible exposure to general public 4. Avoid personal exposure to fumes/vapors and contact with liquid 5. Eliminate all sources of ignition in area of spill or vapors 6. Absorb liquids with absorbent materials and remove to safe area for evaporation C. CLEAN-UP PROCEDURES: 1. Notify Circle K Environmental Director (714) 823-0691 for co-ordination with hazardous waste disposal company to remove contaminated absorbent materials if required CARBON DIOXIDE A. REI..EASE PREVENTION STEPS: Tanks are stored upright and firmly secured B. RELEASE CONTAINMENT AND/OR MINIMIZATION: Close valve if safe to do so, open all doors to ventilate C. CI..EAN-UP PROCEDURES: Ventilate area immediately. Contact supplier if leak in container/valve SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: (Meter and Main) South wall, rear of store (Shutoff) In east part of storeroom ELECTRICAL: (Meter) East wall, near southeast corner of building WATER: In planter located in southeast corner of complex Emergency gas shutoff switch: a. At cashier station on console SPECIAL: b. outside, near southeast corner of building,along east wall LOCK BOX: YES@ IF YES, LOCA nON: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAilABilITY: A. PRIVATE FIRE PROTECTION: Fire extinguishers B. WATER AVAILABILITY (FIRE HYDRANT): Southwest corner of White Lane and Hughes Lane intersection 4. FD! !90 CITY of I:3AKEHSrlELU _;v; ......~.... ---'¡ I i I mHAZARDOUS MATERIALS INVENTORY Far. and Agticultur. [] Standard Business t] NON-TRADE SECRETS Pa~e __~__ of ..!.-. US¢NESS NAME: Circle K .corporation #5007 O~NER NAME' .Circle K corP.oration NAME OF THIS FACILITY' Circle K Corporation #5007 9C TlON' '251Jl-A WI. Ile Ldlle A OnES' . STANDARD IND CLASS CÓDP-'-551Jl - .. ----...---, (IT ~ ,IP! Bakersfieldd CA ~ --- C T~ ,1P:~' i~oX 5208~1i07? DUN ANO BRAOSTHEE' NÚHBEI~-'-· --. ...-.' - ..----,.. ---- IOU : _ (8051 836-3_33 -. ,r 'PM~ ;o~'ÏMhÜC;J~S-FOR-PROPER CODES (l. 6.. - l.. 2. !t - !t 1 6. Q. . I 2 ] . 5 ~ 8 9 10 II .12 13 . It tr~ns tYAe II.. Average Aonual I rs Cont Cont Cont USq loc~tlon Vhere 'by lIalles of IInture{torconents Code Code Allt AIIt Est on He type Press temp Code Stored n Facility Vt See Instruc Ions A M 10000 5000 9521 GAl.. 365 01 4 19 ~~ er ound ta k 100 Gasoline - Regular C.A.S. HUllber 8006-61-9 COllponent" Nalle I C.A.S. NUllber Physic,1 fnd Heelth Halard (theck a I that apply, 25 Toluene 108-88-3 , [I I I I II 108-88-3 ,I (j fire Haurd (] Reactivitr rn Dehred (] Sudd;n Release [] ,Component 12 Halle I C.A.S. Number IlIlIIedlate Hea th o Pressure Health Component 13 A 4 Phl~icfl ,~d ~ealth ~allrd Component II I ec a t at app r i [] ,Component 12 Haae I e.A.S. HUllber ID Fire Huard o Reactivltr m De Jared o suddf" Release lIulled IIle I Hea th o Pressure Health Component 13 Nall8 I C.A.S. Number A Phl~ical ,nd ~ealth H8¡ard C.A.S. Humber 8006-61-9 Component .1 ( eck a I t at apply o d' Component 12 Name I C.A.S. NUllber ! ~ Fire Haurd o Reactivltr m OJ Jared o Suddf" Re I ease IlIme late ea th o Pressure Health Component .3 Nall8 I C.A.S. HUllber 20 Xylene 130-20-7 Ether 1634-04-4 Gasoline - Unleaded 25 Toluene 20 Xylene 130-20-7 10 Methyltert Butyl Ether 1634-04-4 100 Gasoline - Super Unleaded 25 Toluene 108-88-3 20 Xylene 130-20-7 10 Methyltert Butyl Ether 1634-04-4 o ReactiYltr 'm Delayed m Sudð;n Release . Health 0 Pressure O Component 12 NU8 I e.A.S. HUllber IlImed ate Hea Ith Component 13 Halle I e.A,S. HUllber EHERGENCY CONTACTS 111 Mike Spinuzzi Zone Manager (805) 833-8881 112 Don Lewis R&lie Itt1e. n-Rrpfiõñl- Rãfie íea~f i~:t~~~er enaIÇR~PFa f~Jr I ~a~frJe(rora~~~x;¡fnnrl ~ t/ n~iI ra "it~fh~~j(~a~l n ubaiU d in his ,nd all attac~ed dOCUllen~$1 anI tLat ~ase~ on Ir InQulr. 01 [hose In~lvI~ua's respons~b1e for obtaIning t~8 fnforlla[lon. 1 believe that the sub.,tted Inforlat on ls true, accurate, and co~plet8. Mike. Schumacher - Division Manager IlJiië..¡;õõrrcnrnt Jê 01 ollner IOD'rHõf1JlfõWñëflõPërUõftnüUiõf11UrëpfêšëñtHlve Slgñiture District Manager (209) 291-5910 I It II - 2I'Rftfiðñf ¡ .1 DIU-S¡qiiU Tier Two EI\.1ERGENCY AND HAZARDOUS CHEMICAL INVENTORY Srrcific '"In'nla//oll by CII,m/ca/ Facility Idontlllcatlon pao.l 01 ~ ""0'" ',,'rn ~ppro,.., O'-'ß 110 :lO~O·OC7Z Ownor/Operotor Name rJ.~mA Clææ K CORPORATtœ Phon. ,602 I 253-9600 P.O. BOX 52084, PHOENIX, AZ. 85006 tJam. Str.., Addr... Clly CIOCLE K <XI'NENIEN::E SIDRE # ,007 2501 WHITE T I~NE ßJlJ<J!:Rð~1;'T T'I S,.I. ~ 7.11' 9330<1 M..II Add"·" e Chemical Description SIC Code ~ FOR I OFFICIAL 10 # USE I ONLY Oat. Rec.lved Emergency Contllct STORE MANAGER Name ( tlU::' )tlJb-JtlJJ rho"... S'roRE MANAGER I SAME Till. 24 Hr. Phon. Dun /I. Brad f()T6l-~-~0 NlJ"'b~r~ ~ ~~ --'-'J I MIKE SPINUZZI 805 I 833-8881 Till. DISTRICT MANAGER 24 Hr. Phone' I ~ ~ ..  Nil"'. Phone Reporting PerIod 'rom Jnnu.ry 1 10 O..cem¡;.r 31, tll f{ ~ ~ ¡~ ~ ~ f; I' E ,~ In/por/ant: RMd all instructions b~fore com"/~tin form CAS o=IãIõJDI6J [6]iJ [9] Trad. D Secr.t Chern, Name (',A" C:;()T. TNF. I I Ch,,1c 01/ 0 [X] 0 [X] 0 ,110/ apply: Pure MI. Solid liquid On. ! CAS o:=r=cr=o CD 0 Trade 0 Secret Chern. Name _Icnlf 0 0 D D D /hol opply: Pur. MI. Solid LIquid 0". I CAS o:=r=cr=o [I] 0 Trade 0 I, Secret Chern. Name ChNIc olf Ih,,1 nflf'ly: o o '¡ jill' o Physical and Health Hazards Inventory Avg. No. of Dally Days Amount On-silo (codc) (dop) Storagé, CodØsand:Locatlons . . .(Noh~Confldèr1tlal) ".... ,.p '... ., o o MI. tl'll.III 0". ........... , , MiI (, Dillly Amount (cod c) .. Storage Code g¡orage).ocat i~'¡s " ,¡."., (chl>Ck all Ihal apply! ~Flr. Sudden Rt'leas. of P,Gllur. r:--r-::l Reactivity ~ Imm&dlat. (.cult!1 Delay.d (chronic) B 1 4 l.JNDERGiROOND TANKS p, ., --"'- [õ]î CiliJ5J J ,[ -, . " i' '''. --1- '; " - ~Flre Sudden Release of P,es,urø r----rl IT] Roactlvlty L...L-J Immediate (acute) Oel.yt'd (chronic) -,- ceo " i~ ~ 'jt ~Flre Sudden Rel..se of P,es!oure r---r-l ~ Reftc Ilvl' y L...L-J L..J---1 Immedlale (acute) Delayed (chronic) j' 1 ceo '" Optional Attachments (Chec ¡ one) Cerllllclltlon (Rtod Dnd s/~n al'" compltt1,,~ 011 Hc/lolls) 1 c"""y unde, ponally 01 law that I have por,onally e..mlned and am I"mllla, wllh tlo" Informaflon suh'nltlrd In Itlls .nd .11 attachPd documt!nts, IInd thaI based on mY~:lry~:;: v=;;:;;:I.~;;¡;;~mallon, I believe Ihat 111ft ~d ;¡:/: ~~ue~ ::7; · d C01l1PI~ER, r IMP(" anti nll·cla' tlffp -:-' owncr/operatOt on owner"t.i~CI ato,', authorized (ep"es~ntal ye Slg,.,AIU';' / Date sIgned EJ ' I"ave ."ach&d a ,lie pl.n I "av. att.ch&d a liS' 01111. coordlna'. .bbrevlatlonl ·1 I 1989 ~- --~ e e " ;/ CITY OF / BAKERS~IELD .'. f HAZARPÖUS/MATERIALS ;/;/##. ,~AGEMENT PLANS ) /} 'F,' // /": </ ;. /- ;/ , /1/ ~ubmi tted Pursuant to '>-1' /' /-CA~¥FORNIA HEALTH AND SAFETY CODE //CHAPTER 6.95 (AB 2185/87/89) AND/GHAPTER 6.5 (Hazardous Waste Control Law) /---:<.,;;:.... <.-:. FOR Circle K Corporation #830 2601 South Chester Avenue Bakersfield CA 93304 ~ JV çfß Ó \~ - 1- Circle K Corporation #830 (C) E.M.S.S.-10/88 î: j e e CITY OF BAKERSFIELD I declare that to the best and information provided understand that additional before plan approval from: Bakersfield city Fire Dept., Hazardous Materials Division of my knowledge and belief, the statements in this document are correct and true. I information to that provided may be required I also understand Administrating Agency changes: 1. The addition of one or more previously undisclosed material(s) in quantities equal to or greater than 55 gallons, 500 pounds, or 200 cubic feet at STP. that I am required by law to notify the within thirty days of anyone of the following 2. A 100 percent or more increase in the quantity of a previously disclosed material. 3. A change in the business address. 4. A change in the business ownership. 5. A change in the business name. Failure to notify the appropriate Administrative Agency: Bakersfield city Fire Dept.. Hazardous Materials Division may result in the imposition of civil penalties. /77 .d-~~ Signature Name: Mike Schumacher Division Manaqer Title Dated: 1//2/179 Telephone Number: (916) 331-2540 FOR OFFICE USE: Approved/Denied by Date: - 2- Circle K Corporation #830 (C) E.M.S.S.-10/88 ~ i e e CITY OF BAKERSFIELD BUSINESS PLAN ANNUAL CHEMICAL INVENTORY 1. BUSINESS NAME: Circle K Corporation #830 2. FACILITY ADDR: 2601 South Chester Avenue CITY: Bakersfield STATE CA ZIP: 93304 3. MAILING ADDR: 3437 Mvrtle Avenue. suite 440 CITY: North Highlands 4. BUSINESS PHONE NUMBER: (805) 834-3350 STATE CA ZIP: 95660 5. BUSINESS HOURS: 12:00 AM 11:59 PM SUN-SAT · · -- TO TO TO TO . --- · --- -- · · --- --- 6. TOTAL NUMBER OF EMPLOYEES: 3 NUMBER OF SHIFTS PER DAY: 2 7. NATURE OF BUSINESS: Convenience store/Gas station 8. SIC CODE (Standard Industrial Classification): 5541 9. CONTACT PERSONS ABLE TO ASSIST EMERGENCY PERSONNEL: IAST NAME FIRST NAME TITlE PHONE NUMBERS BUSINESS AFTER HRS llitv Clerk Zone Manaqer District Office Division Manaqer Erwiron. Director (805) (209) (209 ) (916) (916) 834-3350 298-3036 298-3036 331-2540 331-2540 (805) (805) (209) (-) (916) 834-3350 833-8881 291-5910 Staff 8Pinuzzi Lewis Schumacher wricmt Mike Don Mike Pat -- 966-9139 10. FARM OR AGRICULTURE X STANDARD BUSINESS 11. ASSESSOR's PARCEL NUMBER: 12. REASON FOR FILING: INITIAL FILING ANNUAL REPORT CHANGE IN REPORTING STATUS X REPLACEMENT OF AN EXISTING PLAN #. 13. NUMBER OF UNDERGROUND TANKS: 2- TOTAL CAPACITY: 26000 - 3- Circle K Corporation #830 (C) E.M.S.S.-10/88 ~ '1 e e FACILITY DESCRIPTION The followin9 information is used to orient new employees to the major aspects of thlS facility. BUSINESS NAME: Circle K Corporation #830 FACILITY ADDR: 2601 South Chester Avenue CITY: Bakersfield STATE: CA ZIP: 93304 FACILITY CONSTRUCTION: Brick. Wood and Drvwall NUMBER OF FLOORS: 1-- THE TYPE OF FACILITY IS FACILITY SIZE: 2720 (sq. ft.jfloor) Convenience Store/Gas station THE PRODUCTS OR SERVICES THAT ARE PRODUCED OR MARKETED BY THIS FACILITY ARE: a. Gasoline THIS FACILITY IS 20+ YEARS OLD. IT HAS BEEN USED IN ITS PRESENT CAPACITY FOR 20+ YEARS HAZARDOUS MATERIALS ARE USED IN THE OPERATION OF THIS BUSINESS IN THE FOLLOWING MANNER: - a. Gas sold to public NAME OF OWNER: circle K Corporation PHONE #: (916) 331-2540 ADDRESS: 3437 Mvrtle Avenue. suite 440 CITY: North Hiqhlands STATE: CA ZIP: 95660 - 4- Circle K Corporation #830 (C) E.M.S.S.-10/88 n ., o /1) '" n o ., "8 ., Q .... o :J ;t: 0> c..I o ,... n ..... m ;¡¡: (I) (I) o ~ ...... 00 -0 ~ Residence ~ Residence U1 I ~ Residence ~ Residence ¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡§¡i~~wã1i¡~¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡m ............................;;;~.~~.~...~.~.~:~~ 4' Brlck_ Walls /" /" HMS 110K"10K' FL I Galli Ga l \ 1\ I \./ \./ y, ,6K I ,Gal, '-./ c o I d ~ m¡¡¡ Parking B Counter o + x E3u ~ R _Fire X Ext Pump . I'í1\ Shut ~ off Store #830 2601 S. Chester Ave. ...... x X m~ X X X X X X X X X : 2~::I Dirt Lot ~ 6' Chain link r'm. Driveway Gas i Pumps HMH I( FL Driveway X Xt X X X 3' Brlok Wall Alex T.W. Restaurant 2625 S. Chester Ave. Scale t 1- · 26.5' N I ~ Resldenoe ~ Residence ~ Residence .. e t:Ø :ÞI ~n ;IJH ~~ en .( bj HO ;IJbj t'I Ö e . .... ........... ... ·····················.·.·.·.···.·.·.·.·.·.·.;iF?I.L<:).ŒXS.IWI;·þ*t\tN]J:)~B·º.......~.~..tv1.ªÇ?ÿ§,)..·.·))H..i.iH.·..·...·..>...>........i.·...·.·.·.·.·.·········· ~ EVACUATION/STAGING AREA c{þ EYE W\SH I + FIRST AID 0\ I ® FIRE HOSE 00 FIRE EXTINGUISHER ~ FIRE DOOR = FIRE WoUL LA( GAS PUMPS ~ GUARD STATION ŒJ KNOX BOX LOCATION IÞ=:f LADDER IMSDSI MATERIAL SAFETY DATA SHEET & ERP EMERGENCY RESPONSE PLAN o PERSONAL PROTECTIVE EQUIPMENT ~ PUBLIC TELEPHONE RR - REST ROOM ~ IIIIIIIIIIIllI STAIRS -....................'."..'..'.."... , - N. REFERENCE TO NORTH 1· . 100' - SCALE OF MAP I'···.···.··,.··.. .......,.'......,.,.,...,...'.,.,'..,',.."...",.,'...."...'.',.......',."......'..,.,....'",.... .'.'.,....',.....'.'"",.....,.",....'.'...,......,.,..'...,.....,... ·.······,··.····1 . Üi¡9E4p~~çt~ºJgç~~J ~..t~~.~T.~F~rŒ~M.~. . ð ABSORPTIVE MATERIAL b. ALARM ~ DRAIN -I '-.- DRIVEw\Y --.I - DOORS Þ EVACUATION ROUTE @ AIR CONDITIONING ŒJ ELECTIRC METER ® ELECTRIC SHUT-OFF ~ GAS METER ® GAS SHUT-OFF @J W\T E R \........".... .-......,.:,-.'......-..........'...-...,...,.....,-...._.....'.........-.......'...'.'. ............. .'...........-,.,'..., :.:.:.;.:.:.;.:.:.:.;.:-:.:-:.:.:;::.:-:.:.:.:::.;.:.:.:.;.;.:.:.:.;.:.:,.";.:.:.:;:.:.:.;.;.>:-> .;,:.:-:,:-:.:,.,:.:-.,:,;.:.:,:.:,::->:,: f)~¢~ijreR"~ت!<ŒªY~]gM~ ·"1 . . V FIRE DEPT. SPRINKLER CONNECTION Y FIRE DEPT. STANDPIPE CONNECTION ... FIRE HYDRANT . ~ - I :X4 ATTIC SCUTTLE ò--~ COOL E R OR "~ REF RIGERATION UN IT *** FENCE/BARRIERS Œ HEATING UNIT F#ÞÞI RAILROAD TRACKS @ SEWER :._~~-: SKYLIGHT 1____... . STORM DRAIN . .. '. ··""··"·····.··:··.···.......··"C.'.·.·.,,.····,··..····"'.."...........'. ...."'.. '.""..""....', ".., I» //STÒRAG ETAN KS/ ... , IDENTIFY THE TYPE OF CONTAINER USING THE FOLLOWING SYMBOLS. SPECIFY TANK CAPACITY IN GALS.. LBS.. OR CU.FT. ABOVE GROUND TANKS 200 @ . GAL 100 HWI HWI GAL fL fL e BELOW GROUND TANKS --....... 110K' f--10K-', \GALJ "GAL I .......-' , ......-- 8 INSULATED TANKS 8PRESSURIZED TANKS CORR - CORROSIVE C - COMBUSTIBLE E - EXPLOSIVE F - flAMMABLE G - GAS L - LIQUID OXY - OXIDIZER R - RADIOACTIVE S - SOLID T - TOXIC WR - Y#tTER REACTIVE e .".... ... ...-..' .-. .- ......... "...,..... '" . ..·/H.¡li~·A[)ÔÜ$}ijXfÊR'Ã($i <SJORAG EIHA NDl;1 NG< ..)~~~"ª<..< HAZARDOUS MATERIAL STORAGE ARE......HMS HAZARDOUS MATERIAL HANDLING AREA...HMH HAZARDOUS W\STE STORAGE ARE......HWS . ..,.........'..'......'.................:.............········....<>·.····1 CITY OF H A Z A R D 0 U SMA T E R I A L SIN V E N TOR Y FARM OR AGRICULTURE: STANDARD BUSINESS: ~ ADMIN AGENCY ACCT. #: REASON FOR FILING: BUSINESS NAME: Circle K Corporation #830 FACILITY ADDRESS: 2601 South Chester Avenue PAGE L OF L i INITIAL ANNUAL REVIEY _ CHANGE IN STATUS SIC CODE: 5541 EPA#: , Bakersfield REPORTING PERIOD: JANUARY 1 TO DECEMBER 31, 1989 K REPLACE EXISTING PLAN ASSESSOR's PARCEL #: DUN & BRADSTREET #: 06-294-4160 T TYPE MAX AVG ANNUAL DAYS CONT CONT CONT USE DOT !CICODEI AMT I AMT I AMOUNT IUNITI o/slcODE!PRESS!TEMP ICODElcLASS IAIM 1 10000 I 5000 1400000 I GALl 3651 01 I 1 I 4 I 19 IFL CHEMICAL NAME: Gasoline COMMON NAME: Gasoline, Regular LOCATION: Underground tanks, approx. 20 ft. north of store ~ FIRE _ SUDDEN RELEASE OF PRESSURE ACUTE I _ REACTIVITY ~ CHRONIC I T TYPE MAX AVG ANNUAL DAYS CONT CONT ICONT USE DOT IclcODEI AMT I AMT I AMOUNT IUNITI O/SICODElpRESsITEMP ICODEICLASS IAIM 110000 I 5000 1150000 I GALl 3651 01 I 1 I 4 119 IFL CHEMICAL NAME: Gasoline I COMMON NAME: Gasoline, Unleaded I LOCATION: Underground tanks. approx. 20 ft. north of store I K FIRE _ SUDDEN RELEASE OF PRESSURE ACUTE I _ REACTIVITY ~ CHRONIC I T TYPE MAX AVG ANNUAL DAYS CONT CONT ¡CONT I USE DOT IclcODEI AMT I AMT I AMOUNT IUNITI o/slcODElpRESslTEMP ICODElcLASS IAIM I 6000 I 3000 140000 I GALl 3651 01 I 1 1 4, I 19 IFL I CHEMICAL NAME: Gasoline I COMMON NAME: Gasoline. Super Unleaded I LOCATION: Underground tanks, approx. 20 ft. north of store ~ FIRE _ SUDDEN RELEASE OF PRESSURE ACUTE I _ REACTIVITY ~ CHRONIC I EMERGENCY CONTACT: FIRST NAME RANGE %YT 100 25 20 10 I I COMPONENTS 1 1111111111111111111111111111111111111111111111111 IToluene IXylene Methyltert Butyl Ether RANGE %YT 100 25 20 10 COMPONENTS 111111111111111111111111111111111111111111111111 IToluene IXylene IMethyltert Butyl Ether I I I I COMPONENTS 1111111111111111111111111111111111111111111111111 IToluene IXylene IMethyltert Butyl Ether I 1 I RANGE %YT 100 25 20 10 IDOTI CAS # IGD# 8006-61-91 - 108-88-3127 130-20-7127 1634-04-4126 1 I 1 DOT CAS # IGD# 8006-61-91 - 108-88-3127 103-20-7127 1634-04-4126 1 1 I DOT CAS # IGD# 8006-61-91 - 108-88-3127 103-20-7127 1634-04-4126 1 I I el e LAST NAME TITLE Dutv Clerk Zone Manaqer BUSINESS PHONE/AFTER HRS PHONE 834-3350 834-3350 298-3036 833-8881 Staff Spinuzzi Mike Circle K Corporation #830 - 7- (C) E.M.S.S. - 01/89 -- CITY OF BAKERSFIELD MAT E R I A L S H A Z A R D 0 U S BUSINESS NAME: Circle K Corporation #830 IT/TYPE MAX I AVG I ANNUAL DAYS CONT CONT CONT IclcODEI AMT I AMT I AMOUNT !UNITI O/SICODEIPRESS!TEMP IAip i 80 i 40 11600 I LBSI 3651 04 I 2 I 4 CHEMICAL NAME: Carbon Dioxide, Carbonic Anhydride COMMON NAME: Carbon Dioxide LOCATION: In Storeroom, back of store I _ FIRE ~ SUDDEN RELEASE OF PRESSURE I _ REACTIVITY ~ CHRONIC I ITITYPEI MAX I AVG IC:CODE: AMT I AMT I. _ i I CHEMICAL NAME: I COMMON NAME: I LOCATION: I _ FIRE _ SUDDEN RELEASE OF PRESSURE I _ REACTIVITY CHRONIC I T TYPE MAX AVG :CICODE: AMT I AMT _ I, i CHEMICAL NAME: I COMMON NAME: I LOCATION: _ FIRE _ SUDDEN RELEASE OF PRESSURE _ REACTIVITY , CHRONIC I ITITYPE MAX I AVG :CICODEI AMT I AMT . Iii I CHEMICAL NAME: I COMMON NAME: I LOCATION: I _ FIRE _ SUDDEN RELEASE OF PRESSURE I _ REACTIVITY CHRONIC I IT TYPE MAX I AVG :C:CODE: AMT : AMT CHEMICAL NAME: I COMMON NAME: I LOCATION: I _ FIRE _ SUDDEN RELEASE OF PRESSURE I _ REACTIVITY CHRONIC I USE DOT ICODElcLASS I 99 INFG ACUTE , I ANNUAL I DAYSICONTICONT ICONT USE I DOT I AMOUNT IUNIT! O/SICODElpREssITEMP ICODElcLASS ¡¡I I I I I I ACUTE ANNUAL I DAYS CONT CONT ICONT I USEI DOT ! AMOUNT IUNIT! O/S!CODE!PRESSITEMP ICODElcLASS i ¡¡I I I I I ACUTE I ANNUAL I DAYS CONT CONT ICONT I USEI DOT I AMOUNT IUNITI O/SICODElpRESSITEMP ICODElcLASS i I I I I I I I ACUTE I ANNUAL I DAYS CONTICONT CONT USEI DOT I AMOUNT IUNITI O/SICODElpRESS\TEMP ICODElcLASS ¡¡I ! I I I I ACUTE Circle K Corporation #830 RANGE I %\.IT 1100 I I I I I I RANGE %\.IT OF L. I N V E N TOR Y PAGE L REPORTING PERIOD: JANUARY 1 TO DECEMBER 31, 1989 I IDOTI I COMPONENTS I CAS # IGD#I 1//////////1//1111111111/1///111//11//11///////111 124-38-9121 I 99 = Used for soda fountain J I I I I I lOOT CAS # GD# COMPONENTS 111111111111111111111111111111111111111111111111 e RANGE %\.IT IDOTI GD# COMPONENTS /1//11111/11/1//11111/111/1//11/1111111111111111 CAS # I RANGE I %\.IT I I I I I I I RANGE - 8- COMPONENTS /111111//1///1//11/1/111///11111111/111/11111111 CAS # IDOT IGD# I I I I I I I IDOTI IGD#\ e , I I I %\.IT I COMPONENTS I 1//1/////1//1111//111//1////11111111/11111/1/11111 I I I I I I CAS # (C) E.M.S.S. - 01/89 i I. I .. INVENTORY FORM CODES TC - TRANSACTION CODE (Column 1) A = Add this new material to the business' inventory. D = Delete this material from the business' inventory. R = Revise the information about this material. .. TYPE CODE (Column 2) P = pure or largely pure substances M = mixtures of pure substances W = waste (also append the three digit E.P.A. waste code). CONT CODE - CONTAINMENT CODE (Column 8) CONT PRESS - CONTAINER PRESSURE (Column 9) 01 Underground Tank 10 Plastic Container(s) 02 Aboveground Tank 11 Box(es) 03 Fixed Pressurized Tank 12 Bag(s) 04 Portable Pressurized Cylinder(s) 13 Metal Container (not drums) 05 Insulated Tank (includes cryogenics) 14 In Machinery or processing 06 Drums or Barrels Metallic equipment 07 Drums or Barrels - non-Metallic 15 Bin(s) 08 Carboy(s) 16 Unl ined Sump 09 Glass Container(s) 99 OTHERS 1 Ambient Pressure 2 Greater than Ambient Pressure 3 = Less than Ambient Pressure CONT TEMP - CONTAINER TEMPERATURE (Column 10) e 4 = Ambient Temperature 5 = Greater than Ambient Temperature 6 = Less than Ambient Temperature but not cryogenic 7 = Cryogenic Conditions USE CODE (Column 11) 01 Additive 13 Emulsifier 25 I nstruc,t ion 37 Storage 46 Aircraft Sys. 02 Adhesive 14 Etching 26 Lubricant 38 Stripper 47 Electrolyte EXP A Explosive A PYRO = Pyrophoric or sponta- FS = Flammable Solid 03 Aerosol 15 Experimental 27 Medical Aid 39 Washing 48 Breathing Air EX¡:- B Explosive B. neously Combustible W = Water 04 Anesthetic 16 Fabrication 28 Neutralizer 40 Waste 49 Drafting Aids EXP C = Explosive C POlS A = Poison Gas RAD = Radioactive 05 Bactericide 17 Fertil izer 29 Painting 41 Water 50 End Product BA Blasting Agent POlS B Poison Liquid/Solid OXY = Oxidizer 06 Blasting 18 Formulation 30 Pesticide Treatment 51 Fire Protect FG = Flammable Gas FL Flammable Liquid OP = Organic Peroxide 07 Catalyst 19 Fuel 31 Plating 42 Weld;'ng 52 Hydrau. Equip NFG = Nonflammable Gas CL = Combustible Liquid ETI = Etiologic Agent 08 Cleaning 20 Fungicide 32 Preservative 43 Well 53 Road/Hwy COR Corrosive ORME = Hazardous Waste ORMA = Anesthetic, 09 Coolant 21 Grinding 33 Refining Injection Maintenance CR Cryogenics ORMS Other Regulated Materials Irritant 10 Cooling 22 Heating 34 Sealer 44 Oil 54 Testing Chem. (materials B, C, and D) 11 Drilling 23 Herbicides 35 Spraying Treatment 55 Wholesale e 12 Dryer 24 Insecticides 36 Sterilizer 45 Resale 99 OTHER DOT CLASS - DEPARTMENT OF TRANSPORTATION (DOT) HAZARD CLASS CODES (Column 12) ESTIMATED VOLUME OR WEIGHT RANGE IN POUNDS (Col 3,4,5) Range Code f!:2!!J To 1 0 99 2 100 999 3 1,000 9,999 4 10,000 99,999 5 100,000 999,999 6 1,000,000 9,999,999 UNITS - MEASUREMENT UNITS (Column 6) LBS = Pounds GAL = Gallons FT3 Cubic Feet TON Tons (2000 lbs) BBL = Barrels (42 gals) - 9- Circle K Corporation #830 (C) E.M.S.S. - 06/89 >' .. e e REPORTING PERIOD: JANUARY 1 TO DECEMBER 31, 1989 HAZARDOUS WASTES INVENTORY GENERAL CHEMICAL AND MINERAL COMPOSITION FACILITY NAME: Circle K Corporation #830 FACILITY ADDRESS: 2601 South Chester Avenue WASTE NAME/ MIN MAX MAX CATE DESCRIPTION CONC CONC AMOUNT UNIT ~ ~ 0 0 None - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -10- Circle K Corporation #830 (C) E.M.S.S.-10/88 ~ i' e e CITY OF BAKERSFIELD HAZARDOUS MATERIALS EMERGENCY RESPONSE PLANS AND PROCEDURES Submitted Pursuant to CALIFORNIA HEALTH AND SAFETY CODE CHAPTER 6.95 (AB 2185/87/89) AND CHAPTER 6.5 (Hazardous Waste Control Law) FOR Circle K Corporation #830 2601 South Chester Avenue Bakersfield CA 93304 -11- Circle K Corporation #830 (C) E.M.S.S.-10/88 " e e EMERGENCY RESPONSE PLAN 1. EMERGENCY RESPONSE PERSONNEL The following persons have been designated to coordinate and assist in the event of a hazardous incident at this facility. a. EMERGENCY COORDINATOR: The Emergency Coordinator is responsible for managing hazardous materials emergencies, and coordinating all emergency measures. The Coordinator shall be thoroughly familiar with the facility emergency response plan, the facility's operations, hazardous materials, and facility la¥out. Other tasks of the emergency coordinator include: wr1ting the emergency response plan, updating it when necessary, and overseeing the training of personnel in its use. LAST NAME FIRST NAME TITLE Staff Dutv Clerk AFTER HRS. PHONE: (805) 834-3350 BUSINESS PHONE: (805) 834-3350 b. ALTERNATE EMERGENCY COORDINATOR: The Alternate Emergency Coordinator shall be familiar with the duties and responsibilities of the primary Emergency Coordinator and shall perform those duties when the Coordinator is not available. The Alternate Coordinator may also assist the Coordinator in writing, updating the ERP, and to oversee the training of employees and on-site emergency response personnel. LAST NAME FIRST NAME TITLE Spinuzzi Mike' Zone Manaqer BUSINESS PHONE: (209 ) 298-3036 AFTER HRS. PHONE: (805) 833-8881 c. EMERGENCY RESPONSE TEAM: The Emer~ency Response Team are those individuals who have been trained to respond and handle emergencies dealing with the mitigation, abatement or prevention of releases or threatened releases of hazardous materials. lAST NAME FIRST NAME mONE TITIE BUSINESS AFTER !IRS. District Office (209) 298-3036 (209) 291-5910 Division Manaqer (916) 331-2540 (-) -- Environ. Director (916) 331-2540 (916) 966-9139 (-) -- (-) -- (-) -- (-) -- (-) -- (-) -- (-) -- (-) -- (-) -- (-) -- -12- Lewis Schurna.cher Wright Don Mike Pat Circle K Corporation #830 (C) E.M.S.S.-10/88 e e HAZARDS ASSESSMENT AND NOTIFICATION PROCEDURE 2. HAZARDS ASSESSMENT In the event there is a reported release or threatened release of toxic or hazardous material, the Coordinator or Alternate Coordinator will be advised. If, in their assessment, there is a need to call the Emergency Response Team, this will be done before notification to any requ1red agencies is done. 3. REPORTING REQUIREMENTS Section 25504 or threatened required even assistance. of the Health and Safety code requires that the release release of hazardous materials be reported. This is if the situation does not warrant emergency response A. REQUIRED TIME OF NOTIFICATION: 1. Immediate notification is required as soon as the release or threatened release is acknowledged and as long as notification can be provided: (a) without impeding immediate control of the release/threatened release, AND (b) without impeding emergency medical measures. 2. Immediate notification is not required if: (a) there is reasonable belief that the release or threatened release poses no significant present or potential hazard to human health and safety, property, or the environment, AND (b) the situation does not require emergency assistance. B. NOTIFICATION PROCEDURES: 1. When the incident DOES NOT require immediate notification as described above, contact your administrating agencies within 24 hours of the incident: Bakersfield City Fire Dept., Hazardous Materials Division Phone: 326-3979 and State Office of Emerqencv Services Phone: (800) 852-7550 When a hazardous materials release or threatened release occurs which DOES require immediate notification as described above, refer to the Emergency Notification Roster on the next page and following directions described in the reporting requirements. -13- Circle K Corporation #830 (C) E.M.S.S.-10/88 e e EMERGENCY NOTIFICATION TELEPHONE ROSTER 4. EMERGENCY NOTIFICATION Of the five agencies listed below, all (execpt Paramedics) must be contacted in the event of a hazardous materials release or threatened release. Reporting information required by these agencies is listed in the box below. A. LOCAL EMERGENCY RESPONSE PERSONNEL C ALL 911 PARAMEDICS : PHONE : (___) ___-____ (Non-emergency Number) FIRE AGENCY: Bakersfield City Fire Department PHONE :~(805) 324-4542 (Non-emergency Number) LAW ENFORCEMENT: Bakersfield city Police Department PHONE : (805) 327-7111 (Non-emergency Number) B. ADMINISTRATING AGENCY AGENCY: Bakersfield City Fire Dept., Hazardous Materials Division PHONE: (___) 911-____ (24-hour Emergency Number) C. STATE OFFICE OF EMERGENCY SERVICES (OES) PHONE: (800) 852-7550 OR (916) 427-4341 ************************************************************************** * REPORTING REQUIREMENTS * * * * The following information should be known when reporting an emergency * * so that response personnel will know what to expect and how to react. * * * * 1. Time and type of incident (fire, chemical release, etc.) * * * * 2. The exact location of the release or threatened release. * * * * 3. Name and quantity of material(s) involved, if known. * * * * 4. The extent of injuries. * * * * 5. Name of person reporting the incident. * * * * 6. The potential hazards presented by the material(s). * * * ************************************************************************** -14- Circle K Corporation #830 (C) E.M.S.S.-10/88 .. e e 5. NEIGHBORING PROPERTIES The followin9 (by name, address, and phone number, if available) list the neighborlng businesses, residences, schools, hospitals, etc. which could be affected by a hazardous materials incident from this facility. These phone numbers are to be used in the event of an emergency to provide notification if evacuation from the area is deemed necessary. NAME ADDRESS PHONE 832-0711 831-0281 Sno-White Restaurant Alex T.W. Restaurant 2525 S. Chester Avenue 2625 S. Chester Avenue -- -- -- -- -- -- -- -- 6. COMPANY EMERGENCY MEDICAL ASSISTANCE This section includes the names, addresses, and phone numbers of primary company medical facility and doctor, who would be available treat employees injured by a hazardous materials incident at business. Use this information in the event of an emergency. the to this DOCTOR ADDRESS CITY PHONE FACILITY: ADDRESS CITY PHONE None (-) -- Mercv Hospital 2215 Truxton Avenue Bakersfield (805) 327-3371 7. ADDITIONAL CLINICS AND HOSPITALS FACILITY: ADDRESS CITY PHONE FACILITY: ADDRESS CITY PHONE (-) -- (-) -- (Medical facilities continued on the next page.) Circle K Corporation #830 -15- (C) E.M.S.S.-10/88 . . e e 7. MEDICAL FACILITIES (Cont) FACILITY: ADDRESS CITY PHONE (-) -- FACILITY: ADDRESS CITY PHONE (-) -- 8. UTILITIES SHUT OFF LOCATIONS GAS/PROPANE: West wall of buildinq. outside (meter) FIRE HYDRANT: a. Inside back room of store on bathroom wall (breakers) b. West wall of buildinq. outside (meter) a. West wall of building. outside (mainline qate valve) b. North side of site near driveway and sidewalk (meter) Northeast corner o£ site at Dorian Drive ELECTRICAL: WATER: LOCK BOX: None EMERGENCY RESPONSE PLAN: At the cashier station SPECIAL (IDENTIFY)-: Emerqencv qas shutoff switch: At cashier station on console 9. UTILITIES INFORMATION DO NOT NOTIFY these companies information is for reference emergency response personnel emergency at this facility. in the event of an emergency. This only and may be helpful in assisting in responding to a hazardous materials UTILITY _ NAME PHONE --------------------+----------------------------------------+-------------- Electric Company: Pacific Gas & Electric Company Gas Company: Pacific Gas & Electric Company Sanitation District:Citv of Bakersfield Public Works Water District: city of Bakersfield Water Dept. (805) 324-3981 (805) 324-3981 (805) 327-7111 (805) 327-7111 Number of underground tanks on site: 1- Total Capacity: 26000 -16- CircLe K Corporation #830 (C) E.M.S.S.-10/88 .' e e EMERGENCY RESPONSE PROCEDURES 1. EMERGENCY ASSESSMENT Upon recognition of a release or threatened release, the Facility Emergency Coordinator or the Alternate Emergency Coordinator should be alerted (see Sec. la&b in the Emergency Response Plan of this HMMP). In the event that neither of the above persons can be contacted, then the next person on the Response Team roster should be called. This roster is to be used until a member of the Facility Response Team is contacted. It is then that Response Team member's responsibility to contact and assemble the remainder of the Response Team. 2. NOTIFICATION a. (Local Agencies) The Coordinator or Alternate will determine whether immediate notification of local emergency response agencies is necessary. In the absence of either of these persons, any member of the facility response team or any designated representative may make that decision. The individual making this final decision should make use of the Reporting Requirements outlined in Section 4 of the Emergency Response Plan to gather the appropriate information and then utilize the Emergency Notification Telephone Roster also on the same page. b . (On-site) If the situation so warrants, other employees of the facility will be notified using one or more of the following step(s): X INFORM THE EMERGENCY COORDINATOR X ACTIVATE THE RESPONSE TEAM X NOTIFY ALL OTHER SITE PERSONNEL AUDIBLE ALARM SYSTEM VISUAL ALARM TELEPHONE USING: PUBLIC ADDRESS (LOUDSPEAKER) X VERBAL (SHOUTING) 3. EVACUATION a. Evacuation of the facility, if required, will follow the designated routes (if unobstructed) as diagrammed on the site Plot Plan. These are posted in highly visible areas through the facility. Employees will be notified to evacuate by the following signal: AUDIBLE ALARM SYSTEM VISUAL ALARM TELEPHONE PUBLIC ADDRESS (LOUDSPEAKER) X VERBAL (SHOUTING) -17- Circle K Corporation #830 (C) E.M.S.S.-10/88 · e e 4. SHUTDOWN All operation clerks or designated operators are responsible to ensure the shutdown of their area of responsibility (if possible) before evacuating. This includes elimination of potential ignition sources in the case of the release of flammable material. 5. PREVENTION A prevention/maintenance program has been implemented for the review of methods leading to the potential reduction of a hazardous material release. One or more of the following methods has been used: X PERIODIC INSPECTIONS CORROSION MAINTENANCE X PERIODIC EQUIPMENT MAINTENANCE X APPROVED CONTAINERS X MARKED EMERGENCY EXIT(S) X FIRE EXTINGUISHER(S) SERVICED CHEMICAL HANDLING TRAINING X SAFETY TRAINING CORROSION MONITORING PROGRAM X DAMAGED CONTAINER INSPECTIONS X PROPER WARNING LABELS ON CONTAINERS X APPROVED FLAMMABLE STORAGE AREA X PROPER SEPARATION OF CHEMICALS X GENERAL HOUSEKEEPING X PROPER VENTILATION X OTHER a. Steel posts installed to prevent vehicle collision with pumps. b. Vapor Recovery Systems used when fillinq underqround tanks. c. Dual hose systems on pumps. d. Anti-lock nozzles at pumps. e. No sales to non-authorized containers. f. No smokinq signs posted. q. Self-serve instructions posted. h. Tanks checked periodically for leaks by comparinq qallonaqe measure- ments with sales records. i. Underqround tanks are of steel construction. See next page(s) for applicable Emergency Response Steps! -18- Circle K Corporation #830 (C) E.M.S.S.-10/88 .. .. e e EMERGENCY RESPONSE STEPS MITIGATION AND ABATEMENT A. FOR THE FOLLOWING SUBSTANCE(S): Gasoline - All Grades MITIGATION: 1. Follow emerqency notification procedures as indicated in plan. 2. In case of spill take protective measures to control spread of fluid such as preventative dikinq with absorbent materials. 3. Shut off all emerqencv switches to prevent further spillaqe. 4. Barricade area to prevent possible ex?osure to qeneral public. 5. Avoid personal exposure to fumes/vapors and contact with liquid 6. Eliminate all sources of iqnition in area of spill or vapors. 7. Absorb liauids with absorbent materials and remove to safe 3r~~. for c,.raporatiQn o..Nd ?Ic..c.o... iN C!...lo.$Q{J <Y:>NtI.eINee ABATEMENT: 1. Notify Circle K Environmental Director for co-ordination with hazardous waste disposal company to remove contaminated absorbent materials if required. B. FOR THE FOLLOW~NG SUBSTANCE(S): Carbon Dioxide MITIGATION: 1. Evacuate all nonessential personnel from affected area. 2. Close valve if possible. 3. Open all doors to ventilate affected area. ABATEMENT: Contact supplier of material release. -19- Circle K Corporation #830 (C) E.M.S.S. - 01/89 · "" e e TRAINING OUTLINE A. HANDLING HAZARDOUS MATERIAL Special on-the-job training (OJT) in the handling of hazardous material(s) is provided in the following area(s): 1. Proper maintenance and use of qasoline equipment. 2. Use of kittv litter for small spills. 3. Emplovees are instructed on proper response to police, fire department, emerqency medical and Circle K Environmental Department. 4. Each Circle K qasoline store has a Company supplied qasoline manual. The MSDS for each appropriate hazardous substance is used to provide: Recognition of the physical and chemical properties of each substance. Knowledge of the toxicity involved in usage of the substance. Knowledge of the potential health hazards from use of the chemicals. Understanding the first aid steps to counteract any effects of improper exposure to the chemical. Knowledge of any precautions or protective equipment which must be used or worn when handling the chemical. The information learned from the study of the MSDS for each appropriate hazardous material will be reinforced through one or more of the following methods: X 1- X 2. X 3. X 4. X 5. X 1- 2. 3 . 4. 5. X 6. Reading each appropriate MSDS. Worksheets. . Classroom instruction. Use of videos/films where available. Training Labs. OJT. B. EMERGENCY RESPONSE PLAN A review of the contents of the Emergency Response Plan will be made by all new employees within one mo~th(s) of hiring and by all employees on an annual basis. During this review, one or more of the following objectives will be accomplished: Familiarization with the ERP in general. Familiarization with the procedures for notifying the on- site emergency response team Familiarization with the procedures for notification and coordination with local emergency response organization. Familiarization with the use of the Emergency Telephone Roster. Familiarization with the evacuation procedures and routes involved in the case of an emergency. Escape routes are posted in highly visible sections of the facility and exit doors are clearly marked. X 1- X 2. X 3 . X 4. X 5. -20- Circle K Corporation #830 (C) E.M.S.S.-10/88 9. ~ . e TRAINING OUTLINE (con't) ERP training may be reinforced by: X 6. X 7. Practice emergency drills and exercises. Repeated instructional tours of the facility. C. SAFETY AND EMERGENCY EQUIPMENT USAGE Formalized training will provide familiarization with one or more of the following: The location and proper use of fire fi9hting equipment. The location of and procedures for fac1lity shutdown. This includes the location of the turnoff valves for gas and electricity. The proper use and wearing of protective gear and clothing. The location and use of emergency communication equipment. The proper use of equipment used in the day to day business. The training will be accomplished through one or more of the following methods: X 1. Reading of material. X 2. Classroom environment. 3. Instructional Labs. X 4 . OJT D. RECORD KEEPING X 1. X 2. 3. 4. X 5. Training records are kept on each employee as to: Overall Training. Dates Training Received. E. TRAINING COORDINATOR The following person has been designated as the training coordinator: Barbara Myatt - Corporate Trainer He or she may be reached at (209) 298-3036. -21- Circle K Corporation #830 (C) E.M.S.S.-10/88 e e RErL~\lr.n NOv 9 1989 Ans' û............ October 27, 1989 Bakersfield City Fire Department Hazardous Materials Division 2130 G street Bakersfield, CA 93301 Gentlemen: circle K Corporation has contracted Environmental Management Software Systems, Inc. to prepare a Hazardous Materials Management Plan in accordance with the requirements of Chapter 6.95, Division 20, Section 25550 et seq. of the state Health and Safety Code and Title III of SARA. In most cases, this submittal is a replacement of an existing plan. Circle K corporation's intention is to provide each store with a standard format so that training of personnel can be accomplished uniformly throughout the State. If you have any question concerning these submittals, contact EMSS at (805) 925-6285. please Sincerely yours, I:::::v~'±::~ President JVR:sb Enclosure ~O. BOX 5604 I SANTA MARIA I CA 93456 I (805) 925-6285 e e Bakersfield City Fire Dept. Hazardous Materials Division 2101 H Street Bakersfield, CA 93301 M.v cY )1cJ IE \ s. ~ February 12, 1991 r Gentlemen: vv"- Circle K Corporation has contracted nmental Management Software Systems, Inc. (EMSS) to provide th required changes to the Business Plan for the 1991 reporting perio . ~ 5 tor c # 9 Z 4--- 1 A? I) E:l 0 t --ea-:l:'i"'f"ö"rnTa A veftu e COO IJT) l{ ~i Store #1270 - 5634 Stine Road ~~Store #5007 2501-A White Lane ,~q~Store #8605 5600 Auburn Street )~~Store #8606 1030 Oak Street cf1~Store #:8825 2222 F Street ~Store #1242 3232 Stine Road -q<1ç circle K corporation has been instructed by EMSS to ensure that every store keep the Business Plan resident at the store and that all store employees be trained in the contents of the hazardous material inventory and emergency response sections of the Plan. If you have any questions regarding this submittal, EMSS at (805) 925-6285. please call Sincerely, oseph V. Rivera EMSS President JVR:sb Enclosures E.M.S.S. / P.O. BOX 5604 SANTA MARIA / CA 93456/ (805) 925-6285/ FAX: (805) 349-2753 '~ . . EMERGENCY RESPONSE AND EVACUATION PLAN (To be posted in a conspic:uous place.) In the event of a fire or dangerous release of a hazardous material - FOLLOW THESE STEPS IMMEDIATELY~ 1. TURN OFF ALL MAIN UTILITY SWITCHES. side of the building. Switc:hes on the South 2. ANNOUNCE to all present- "THERE IS A (FIRE) (DANGEROUS RELEASE OF A HAZARDOUS MATERI AL) . PLEASE LEAVE THE AREA ON FOOT I MfvlED I ATEL Y ~ " All employees are to cross Hughes Street and White Lane and meet on the North-East c:orner of Hughes Street and White Lane. '7 .J. CALL FOR HELP by information: dialing 9-1-1 and --- giving the fo110l.-Jing "THERE IS A (FIRE) (DANGEROUS RELEASE OF A HAZARDOUS fvIATERIAL) AT THE CIRCLE K STORE LOCATED AT 2501 WHITE LANE." If anyone is trapped or needs medic:al attention, tell the answering dispatcher. Stay on the phone and be prepared to answer any questions concerning the situation. 4. LOOK AROUND to assure that a 11 others have 1 ef t the si te particularly those who may need assistance or may not have heard the emergency announc:ement. Assist or direc:t assistanc:e to anyone having difficulty in leaving the site area. 5. ATTEND ANY INJURED persons and direc:t incoming assistanc:e to them. 6. ATTEMPT TO EXTINGUISH any fire if you can do so safely. Have the extinguisher ready to use in the event of any dangerous release of a hazardous material. 7. REPORT to arriving emergenc:y response personnel to provide them any information or assistance they may need. IN THE EVENT OF A MEDICAL OR POLICE EMERGENCY - DIAL 9-1-1 e e . HAZARDOUS MATERIALS MANAGEMENT PLAN FOR THE CIRCLE K CORPORATION #5007 2501 WHITE LANE BAKERSFIELD, CALIFORNIA 93307 DATED: JULY 31, 1989 . . . . . e e HAZARDOUS MATERIALS MANAGEMENT PLAN FOR THE CIRCLE K CORPORATION #5007 2501 LoJHITE LANE BAKERSFIELD, CALIFORNIA 93307 This Hazardous Materials Management Plan and all related doc:uments have been prepared by AES ENV I RONI'1ENTAL SERV ICES, I NC., form materials and information supplied by the management of The Circ:le K Corporation. It has been prepared to c:omply with all loc:al, state and federal requirements relative to the "handling" of hazardous materials. Only those Material Safety Data Sheets (MSDS) of hazardous materials maintained in sufficient quantities to warrant reporting have been included in the body of this "Plan"; however, other MSDS documents are retained on site. Upon written information "Plan." AES will attempt any pet-tinent to suppl y questions any addi tional regarding this request, or answer CIRK5013-07/31/89 . . . e e HAZARDOUS MATERIALS MANAGEMENT PLAN (HMMP) A. FACILITY DESCRIPTION 1- Business Name: 2. Facility Address: 3. Mailing Address: lJ. Business Activity: 5. SIC Code: 6. Earthquake Faults: 7. Surrounding General Land Uses: THE CIRCLE K CORPORATION ~5007 2501 White Lane Bakersfield, California 93307 17781 Cowan Street Irvine, CA 9271lJ Convenience Store/Gasoline 55lJ1 None North,East - Street; West - Business; South - Business B. CONTINGENCY PLAN See enclosed section »Emergency Response Plan». C. HAZARDOUS MATERIALS INVENTORY STATEMENT See enclosed section »Hazardous Materials ìnventory Statement». D. GENERAL FACILITY/SITE PLAN See enclosed section »General Facili ty/Si te Plan». F. EMERGENCY EQUIPMENT 1. Class AB fire extinguisher(s) are kept in various locations on the premIses at all times and are inspected routinely. 2. Location of emergency equipment, exits, etc. are shown on attached facility site/floor plans. 3. Additional emergency equipment will be obtained on an »as-needed» basis. HMMP5013 07/31/89 e e · E MER G E N C Y RES P 0 N S E P LAN FOR · THE CIRCLE K CORPORATION #5007 2501 WHITE LANE BAKERSFIELD, CALIFORNIA 93307 DATED: JULY 31, 1989 · . . . e e EMERGENCY RESPONSE PLAN Introduc:tion This P I an is designed to min imi ze hazards to emp I oyees, publ i c: health or the environment from fires, explosions, or any unplanned sudden or non-sLldden re I ease of hazardous ma ter ia Is, hazardous waste or hazardous consti tuents to air, soi I, surfac:e water or groundwater. The Plan is designed to set proc:edure for reporting all releases or threatened releases of hazardous materials whic:h pose a potential hazard to public health and/or to the environment. The I oc:a I regu I atory agen cy wi 11 be noti f ied wi thin thi rty (30) days after a c:hange to this Plan or c:hange of inventory. This Plan will be rec:ertified every two years from initial date of submission. The agenc:y will be notified immediately on all reportable releases or threatened releases of hazardous materials. . . . e e EMERGENCY RESPONSE PLAN Notific:ation P~oc:edu~es When a RELEASE of a haza~dous mate~ial is obse~ved o~ th~eatened, that poses a potential haza~d to public health and/o~ the envi~onment, the following steps will be taken: 1. THE FIRST STEP lS to dete~mine the existenc:e, o~ potential existenc:e of haza~dous mate~ial. Whe~e unidentified substanc:es o~ vapo~s a~e involved in these inc:idents, it is always p~udent to assume they a~e toxic: o~ haza~dous until dete~mined othe~wise. 2. IMMEDIATELY afte~ asc:e~taining the location of any inc:ident involving haza~dous mate~ials, c:ontac:t Ca~men Spe~duto, the Safety Coo~dinato~, who wi 11 dete~mine app~op~iate pe~sonnel/equipment to be dispatc:hed to the sc:ene. 3. The SAFETY COORDINATOR, o~ his/he~ designee, will c:ontac:t 911 and the local ~egulato~y agency will initiate the eme~genc:y ~esponse plan. When the~e is a potential fo~ haza~dous mate~ial of any type to ente~ d~ains o~ wate~ways, call 911 and give full pa~ticula~s.. .they will make notific:ation. 4. SCENE MANAGEfvlENT sha 11 be the ~esponsi bi 1 i ty of the P~ima~y Contac:t/Safety Coo~dinato~ until the a~~ival of public: safety ~esponse pe~sonnel. 5. PROTECTION OF SCENE It is imperative to protect ~esponders and by-stande~s f~om inju~y o~ contamination. Pe~sonnel first on the sc:ene shou I dimmed ia te I y take steps to sec:u~e the area and establish perimete~ c:ont~ol at a safe distance until such time that an agenc:y, e.g. Polic:e o~ Fire Pe~sonnel, a~~ives and assumes this responsibility. This would inc:lude, when applic:able, attempt to c:ontain any haza~dous mate~ial spill, utilizing spill c:ontainment mate~ial available at the site. 6. EVACUATION - The Safety Coo~dinato~ must determine if there is any potential danger to individuals in the a~ea and take approp~iate steps to notify and evac:uate. Assistanc:e will no~mally be fu~nished by law enfo~c:ement agenc:ies. In majo~ incidents, County and/o~ City Disaste~ Offic:ials will be involved. In majo~ inc:idents evac:uation, ~eception and ca~e will be followed as desc:ribed in the County's Majo~ Disaste~ Plan. e e . 7. CLEAN-UP RESPONSIBILITY is determined by the c:ause of the inc:ident. If c:aused by this Company, this Company has the responsi bi I i ty to clean-up (ei ther by Company personnel or approved c:ontrac:tor). If it is determined to NOT be this Company' s responsi bi I i ty, responsi bl e party will be liable for c:lean-up. 8. DECONTAI'1INATION Appropriate steps must be taken to dec:ontaminate all vic:tims and response personnel. Local hospitals have fac:ilities to assist in this proc:edure. Care must be taken to avoid spread of c:ontamination by response vehicles leaving the sc:ene. 9. EI"IERGENCY !'1EDICAL RESPONSE When needed, the Safety Coordinator or his designee should c:ontac:t the nearest emergenc:y hospital fac:ility, ambulance servic:e, and/or other medic:al services. If 911 is c:alled, County Communications will be responsible for dispatc:hing all necessary ambulances and coordinating reception of vic:tims at appropriate hospitals. They will follow norma I presc:r i bed proc:edures and supp I emen t wi th spec:i f i c: exchange of information if c:ontamination is involved. . 10. IDENTIF-ICATION - As requested, County Communications will relay information between the response units at the scene and c:ertain other agenc:ies. Releases to be Reported a. Upon discovery of any release or threatened release of a hazardous material that poses a hazard to public: health and/or the environment, we will immediately report to the local agency, and to the Offic:e of Emergency Servic:es. We will provide all State, City, County, Fire or Public: Health or Safety Personnel and Emergency Resc:ue Personnel with ac:cess to the fac:ility. b. Release is defined as spilling, leaking, pumping, pouring, emitting, emptying, disc:harging, injec:ting, escaping, leaching, dumping, or disposing of any material which poses a potential hazard to public: health and/or the environment, unless permitted or authorized by a regulatory agency. c:. "Threatened Release" means a condition c:reating a substan tia I probabi I i ty of harm, when the probabi I i ty and potential extent of harm make it reasonably nec:essary to take immediate ac:tion to prevent, reduc:e, or mitigate damages to persons, property or the environment. . · · · e e EMERGENCY RESPONSE AND EVACUATION PLAN (To be posted in a conspicuous place.) In the event of a fire or dangerous release of a hazardous material - FOLLOW THESE STEPS IMMEDIATELY~ 1. TURN OFF ALL MAIN UTILITY SWITCHES. side of the building. Switches on the South 2. ANNOUNCE to all present- "THERE IS A (FIRE) (DANGEROUS RELEASE OF A HAZARDOUS I"IATER I AL). PLEASE LEAVE THE AREA ON FOOT I MI"IED I ATEL Y ~ II All employees are to cross Hughes Street and White Lane and meet on the ~,Jorth-East c:orner of Hughes Street and Whi te Lane. 3. CALL FOR HELP by dialing 9-1-1 and giving the follo\¡oJing information: "THERE I S A (F I RE) (DANGEROUS RELEASE OF A HAZARDOUS I"IATER I AL) AT THE CIRCLE K STORE LOCATED AT 2501 WHITE LANE." If anyone is trapped or needs medic:al attention, tell the answering dispatcher. Stay on the phone and be prepared to answer any questions c:oncerning the situation. 4. LOOK AROUND to assure tha tall others have I ef t the si te particularly those who may need assistance or may not have heard the emergency announcement. Assist or direc:t assistanc:e to anyone having difficulty in leaving the site area. 5. ATTEND ANY INJURED persons and direc:t incoming assistanc:e to them. 6. ATTEMPT TO EXTINGUISH any fire it you c:an do so safely. Have the extinguisher ready to use in the event of any dangerous release of a hazardous material. 7. REPORT to arriving emergenc:y response personnel to provide them any information or assistance they may need. IN THE EVENT OF A MEDICAL OR POLICE EMERGENCY - DIAL 9-1-1 . . . e e EMERGENCY COORDINATORS AND RESPONSE PERSONNEL Name Business Telephone Home Telephone EMERGENCY COORDINATORS* Primary Contac:t: Safety Coordinator - Carmen Sperduto 805/836-3833 805/872-7972 Alternate Contact: Zone Manager - ¡VIi ke Spinuz z i 805/834-8422 805/833-8881 OTHER RESPONSE CONTACTS (BUSINESS) Hospital: Charter Hospital of Bakersfield 5201 White Lane Bakersfield, CA 93309 805/398-1800 Business Physic:ian: None Ambulance: 9-1-1 Kern County Fire Department Hazardous Materials Bureau 805/861-2761 State Offic:e of Emerqenc:y Services: 800/852-7550 Chemtrec: - Emerqenc:y Response Information Service: 800/424-9300 Toxic Information Hotline: 800/233-3360 . . . e e EMERGENCY RESPONSE PERSONNEL Responsibilities 1. PRIMARY CONTACT/SAFETY COORDINATOR The manage~ lS the designated P~ima~y Contac:t/Safety Coo~dinato~. It is the manage~'s ~esponsibility to ~espond to a 11 Haza~dous r<late~ i a 1 s I nciden ts; make the nec:essa~y notifications to eme~gency ~esponse agenc:ies; and manage the sc:ene unti I ~el ieved by agenc:ies and/o~ othe~ ~esponsible pe~sonne 1 who have j u~ i sd i c:tiona I ~esponsi bi I i ty fo~ c:oo~dination of the scene. The Safety Coo~dinato~~ o~ his designee, is ~esponsible fo~ inspecting each site fo~ safety c:omplianc:e (i.e. ensu~ing that all safety equipment is on site and in good ~epai~, inst~ucting employees in thei~ ~esponsibilities with ~ega~d to safety, handling of haza~dous mate~ials, etc:.) In addition, it is his ~esponsibility to make all notific:ations to app~op~iate pe~sonnel, so that a dete~mination can be made as to what equipment is necessa~y to ~espond to the eme~genc:y. At this time~ a determination will also be made as to whethe~ dispatc:hing a cont~ac:to~ lS nec:essa~y o~ whethe~ it can be hand 1 ed II in-house ". Any necessa~y ~epo~ts of the inc:ident will be c:ompleted by the Safety Coo~dinator, o~ his designee~ and he will ac:t as liaison with any and all agenc:ies. 2. ALTERNATE CONTACT The Al te~nate Contact' s ~esponsi bi 1 i ties a~e the same as the P~ima~y Contac:t's; howeve~, he will be ac:ting only in the absenc:e of the P~ima~y Contac:t o~ as the Prima~y Contact's designee. 3. PERSONNEL It is the ~esponsi~ility of all employees to conduc:t his/he~ job in a safe manne~ and in ac:c:o~dance with safety ~ules designated to p~otec:t employees, public: health and/o~ the envi~onment. Wheneve~ the~e lS an actual eme~gency situation, it is the ~esponsi bi I i ty of eac:h employee to (1) immed ia te I y noti fy his/he~ supe~viso~ o~ Safety Coo~dinato~ of the existenc:e of suc:h eme~genc:y; (2)obtain data c:onc:e~ning the natu~e and extent of the eme~gency; (3)assist in c:ontaining o~ imp I ementing c:on t~o 1 measur'es to ~educe o~ eliminate the ~elease, fi~e o~ e)(plosion if it can be done safely; and (4)assist in eme~genc:y shut-down p~oc:edu~es and evacuation of the a~ea. . . . e e EMPLOYEE INFORMATION AND TRAINING PROGRAM Training procedures with regard to safety established for all employees inc:lude, but are not limited to: a. Familiarization with Emergency Response Plan; b. Knowledge materials, and use of of procedures for safe handling of hazardous procedures for emergenc:y response c:oordination emergenc:y response equipment and materials. c:. Awareness and c:omprehension of Material Safety Data Sheets (MSDS). All employees are required to sign a c:ertific:ation that they have read and understand the Emergenc:y Response Plan and that all questions have been answered satisfac:torily. This is required of new employees at time of hire, as well as by tenured employees annually. . . . e e EMPLOYEE TRAINING RECORD All NEW employees f"IUST read and understand the Emergency Response Plan and indic:ate suc:h below. ALL employees must re-read and sign every year. I CERTIFY THAT I, HAVE READ AND UNDERSTAND THE EMERGENCY RESPONSE PLAN. ALL QUESTIONS HAVE BEEN ANSWERED TO MY SATISFACTION. EMPLOYEE SIGNATURE DATE EMPLOYEE SIGNATURE DATE . . . e e HAZARD COMMUNICATION EMPLOYEE TRAINING PROGRAM EMPLOYER: THE CIRCLE K CORPORATION # 5007 DATE: 7\31\89 Our employee training program has been developed on the basis of groups (types) of hazardous substanc:e(s) used and the c:ommon hazards associated with them. For spec:i f i c: haz ard in forma tion on eac:h brand of ma ter ia I the MATERIAL SAFETY DATA SHEETS (MSDS) must be reviewed. We have a written program that outlines how we will provide information and control your exposure to hazardous substanc:es. This plan is available for your review during our training and at the front c:ounter for review during your workshift. HAZARDOUS SUBSTANCE INVENTORY LIST Some of the products on the premises c:ontain one or more hazardous substanc:es. Let's review the HAZARDOUS SUBSTANCE INVENTORY LIST. LABELS A prodLIc:t label on both the original and sec:ondary should be reviewed prior to working with the material. will have two important piec:es of information you familiar with: c:ontainers Each label should be 1. The Identity of the Hazardous Substanc:e 2. Hazard Warnings The label on the original container will also state the name and address of the manufac:turer. The label should ac:t as a visual have presented in this training found in more detail on the MSDS. reminder of session and the information we of the information It is essential for your safety that you read the Hazard Warning and on I y use the Hazardous Substance (s) wi thin the guide I ines presc:ribed on the label. Questions c:oncerning the label should be direc:ted to the store manager Carmen Sperduto. MATERIAL SAFETY DATA SHEETS (MSDS): The MSDS is the primary means we will use to c:onvey the nec:essary information about the hazards of the substanc:es we use. The manufacturers and importers are responsible for providing us with the MSDS. The Manufac:turer must provide us with adequate information to use the substanc:e safely. HAZT5013 7/31/89 · · · . e HAZARDOUS SUBSTANCE TRAINING FOR GASOLINE Fire or Explosion Gasoline presents an extreme fire hazard. Liquid very quic:kly evaporates, even at low temperatures, and forms vapor (fumes) whic:h can c:atc:h fire and burn with explosive violenc:e. Invisible vapor spreads easily and c:an be set on fire by many sourc:es such as pilot lights and elec:trical motors and switc:hes. Health Hazards of gasoline vapor at ppm may c:ause signs and depression suc:h as weakness and loss of irritation. Vapor may cause loss of Ingestion of gasol ine or inha 1 ation airborne concentrations exceeding 1000 symptoms of c:entral nervous system headac:he, dizziness, loss of appetite, c:oordination. Also, eye and skin c:onc:entrations in excess of 5000 ppm consciousness, c:oma and death. EMERGENCY ACTION Keep away from eyes and skin. Wear protective c:lothing and safety goggles. Stay upwind; keep out of low areas. Wear self-contained (positive pressure if available) breathing apparatus and full protec:tive clothing. SPECIAL FIRE FIGHTING PROCEDURES: Water may be ineffec:tive to extinguish, but water should be used to keep fire-exposed containers c:ool. If a leak or spill has not ignited, use water spray to disperse the vapor and to protec:t personnel attempting to stop a leak. Water spray may be used to flush spills away from exposure. UNUSUAL FIRE AND EXPLOSION HAZARDS: Highly flammable. Produc:ts of combustion may c:ontain c:arbon monoxide, carbon dioxide, and other toxic: materials. Do not enter en closed or con fined space wi thout proper protec:ti ve equipment inc:luding respiratory protec:tion. FIRST AID Move vic:tim to fresh air; c:all emergenc:y medic:al c:are. If not breathing, give artific:ial respiration. If breathing is diffic:ult, give oxygen. HAZT5013 7/31/89 . . . . e THE CIRCLE K CORPORATION HAZARD COMMUNICATION PROGRAM The Circle K Corporation, has developed a Hazard Communic:ation Program to enhance our employees' health and safety. As a c:ompany we intend to provide information about chemic:al hazards and other hazardous substanc:es, and thec:ontrol of hazards via our c:omprehensive Hazard Communication Program which inc:ludes c:ontainer labeling, Material Safety Data Sheets (MSDS) and training. The following program outlines how we will ac:c:omplish this objec:tive. 1. CONTAINER LABELING It is the polic:y of this company that no hazardous substanc:es wi 11 be released for following label information is verified: c:ontainer use until of the * Containers are clearly labeled as to the c:ontents. * Appropriate hazard warnings are noted. * The name and address of the manufac:turer are listed. This responsibility has been assigned to Carmen Sperduto. To further ensure that employees are aware of the hazards of materials used in their work areas, it is our polic:y to label all sec:ondary containers. 2. MATERIAL SAFETY DATA SHEETS (MSDS) Copies of MSDS for all hazardous substanc:es to which employees of this c:ompany may be exposed are kept at the c:hec:kout c:ounter. Carmen Sperduto, the Store Manaqer will be responsible for obtaining and maintaining the data sheet system for the c:ompany. I"\s. Sperduto will review signific:ant health/safety new information is passed incoming data sheets for new information. She will see that on to the affec:ted employees. and any MSDS will be reviewed for c:ompleteness by Ms. Sperduto. If an MSDS is missing or obviously incomplete, a new MSDS will be requested from the manufacturer. Cal/OSHA will be notifi~d if a complete MSDS is not received. HAZC5013 7/31/89 . . . . . MSDS are available to all employees in their work area for review during each work shift. If MSDS are not available or new hazardous substance(s) in use do not have MSDS, please c:ontac:t Ms. Sperduto immediately. 3. EMPLOYEE INFORMATION AND TRAINING Employees are to attend a health and safety orientation, set up by Mike Spinuzzi. the Zone Manaqer, prior to starting work for information and training on the following: * An overview of the requirements contained in the Hazard Commun i c:a tion Regu I a tion, in c: I ud ing thei r rights under the, Regulation. * Inform employees of any operations in their work area where hazardous substances are present. * Loc:ation and availability c:ommunic:ation program. written hazard of the * Physical and health effects of the hazardous substances. * Methods and observation tec:hniques used to determine the presence or release of hazardous substanc:es in the work area. * How to lessen or prevent exposure to these hazardoLls substanc:es through usage of engineering c:ontrols, work practi ces, and / or the use of persona I protec:ti ve equipment. * Steps the c:ompany has taken to lessen or prevent exposure to these substances. * Emergenc:y and first aid procedures to follow if employees are exposed to hazardous substanc:e(s). * How to read labels and review MSDS to obtain appropriate hazard information. Note: It is critically important that all understand the training. If you have questions, please contact Carmen Sperduto. of our employees any additional When new hazardous substances are introduc:ed, Ms. Sperduto will review the above items as they are related to the new material in your work area safety meeting. HAZC5013 7/31/89 . . . . . 4. LIST OF HAZARDOUS SUBSTANCES The following is a 1 ist of all known hazardous presen t on the premises of the Ci rc 1 e ( #5007. information on eac:h noted hazardous substanc:e(s) obtained by reviewing the Material Safety Data Sheet. substances Specific c:an be HAZARDOUS SUBSTANCES WORK AREA Gasoline On the premises 5. INFORMING CONTRACTORS To ensure that outside c:ontractors work safely in our plant, it is the responsibility of Carmen Sperduto to provide c:ontrac:tors the following information: * Hazardous substanc:es to whic:h they may be exposed while on the job site. * Prec:autions the employees possibility of exposure protec:tive measures. may take by usage to of lessen the appropriate If anyone has questions about this Sperduto. Store Manaqer. Our plan will Spinuzzi, the Zone I"lanager to ensur c:arried out and that the plan is plan c:ontact Carmen be monitored by Mike the polic:es are HAZC5013 7/31/89 . . . HAZARDOUS MATERIALS INVENTORY STATEMENT JULY 31, 1989 NAME OF FACILITY THE CIRCLE K CORPORATION f\ 5007 OWNER/OPERATOR THE CIRCLE K CORPORATION FACILITY ADDRESS 2501 WHITE LANE ~¡AILING ADDRESS 17781 Cowan Street BAKERSFIELD, CA 93307 Irvine, CA 9271q FACILITY TELEPHONE (805) 836-383:) TELEPHONE (805) 83l!-8l!22 NATURE OF BUSINESSConvenience Store/Gasoline OPERATING HOURS 24 hours TOTAL NU~¡BER OF EMPLOYEES 6 SIC NU~IBER 55q1 NU~IBE R OF SHIFTS 3 NU~IBER OF Ef'IPLOYEES PER SHIFT 2 -------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------- .A NUMBER D.O.T. CLASS/ CODE CAS NU~IBER CHEMICAL/COMMON NAME TYPE OF STORAGE ¡'lAX. VOLU~IE A) AT Ol\IE TI I1E B)lN A YEAR UNIT OF MEASURE ------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------- 1203 FLUU ~IIXTURE (See REGULAR GASOLINE UNDERGROUND A) 10,000 GALLONS 27 MSDS) TANK B) l!7,800 GALLONS 1203 FLLQ/ ~II XTURE (See REGULAR UNLEADED UNDERGROUND A) 10,000 GALLONS 27 ~ISDS ) GASOLINE TANK B)176,900 GALLONS , 1203 FLLQ/ m XTURE (See PREI'IILWI UNLEADED UNDERGROUND A) 10,000 GALLONS 27 ~ISDS ) GASOLII\IE TANK B) 23,960 GALLONS . HMIS5013-07/31/89 ..._.-;-............;\~...;_........._._~..__. ..._ .._...-_...___..........___.~~__. ._n . eoo~©rnß\Yl~ \]) IŒR1f COUNTY PIRE DEPARTMENT (805) 861-2761 AUG 2 8 1989 2' I . K(,FD HMCU ID# DO NOT WRITE IN THIS BOX HAZARDOUS MATERIALS BUSINESS PLAN FORM 2 Porms Due By: SECTION 1: BUSINESS IDENTIFICATION DATA A. FULL LEGAL BUSINESS NAME: CIRCLE K STORE #5007 B. PHYSICAL LOCATION/STREET ADDRESS: 2501 White Lane CITY: Bakersfield ZIP: 93309 BUS. PHONE: ( 805)836-3833 C. MAILING ADDRESS: 17781 Cowan Street CITY: Irvine ZIP: 92714 ¡ e. .p. HAVE YOU FILED A.BUSINESS PLAN WI~H THE DEPARTMENT UNDER A DIFFERENT ÑAME WITHIN THE LAST TWO YEARS? YES NO X IF YES, UNDER WHAT NAME DID YOU FILE? E. THIS SUBMISSION IS A NEW X OR REVISED BUSINESS PLAN SECTION 2: EMERGENCY NOTIPICATIONS In the event of an emergency involving the release or threatened release of a hazardous material, telephone 9-1-1 and then (800) 852-7550 or (916) 427-4341. This will notify your local fire department and the State Office of Emergency Services as required by State law. Additional Federal reports may be required. PERSONS WHO SHOULD BE NOTIFIED IN CASE OF EMERGENCY AT YOUR BUSINESS THAT HAVE FULL ACCESS AND CAN PROVIDE TECHNICAL ASSISTANCE: A. Carmen Sperduto DURING BUS. HRS. Ph# 805/836-3833 Ph# 805/834-8422 AFTER BUS. HRS. Ph# 805-872-7972 Ph# 805/833-8881 NAME AND TITLE B. Mike Spinuzzi . - CONTINUED ON REVERSE - ( 1 ) . e SECTION 3: LOCATION OF THE MAIN UTILITY SHUTOFFS FOR THE ENTIRE BUSINESS . A. NAT.GAS/PROPANE: B. ELECTRICAL: C. WATER: D. SPECIAL/OTHER: E. LOCK BOX: YES/NO South Side of Buildinq East Side of Buildinq Sidewalk Southeast of Buildinq IF YES, LOCATION: I . IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDS? FLOOR PLANS? YES / NO KEYS? YES / NO YES / NO SECTION 4: PRIVATE RESPONSE TEAM DESCRIPTION Do you have a group of employees trained to handle minor accidents involving hazardous materials at your business? Yes No X If so, you must explain the level of training and equipment they possess and how they are notified to respond. . /' - -- - -~ - - - ~- --~ SECT~ON 5' IDENTIFICATION OF THE CLOSEST APPROPRIATE EMERGENCY #~ Cha~te:S:~::::~~ ::A~~~:f::l:::: =:=~=::~ Urgent Care JDDRESS: 5201 White Lane / 6501 Ming Avenue I C\ITY: PHONE: ( 805) 398-1800 I \ .' C0MMENTS/ADDITIONAL INFO: ~/ /II C {;/: - . --~- /<"~ <-.-".' r- MEDICAL Bakersfield, CA Bakersfield, CA PHONE:. ( 805) 297-4004 . - CONTINUED ON NEXT PAGE - ( 2 ) I . i. . . e SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED BY STATE LAW TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS: 1) Methods for safe handling of the hazardous materials used by your business. 2) The CAL OSHA Hazard Communication Standard. 3) Correct use of emergency response equipment and supplies available at your business. 4) The prevention, minimization, and cleanup procedures you have developed for your business and explained on the business plan forms. 5) The emergency evacuation plans you have developed, the notification procedures used to alert people to evacuate, and the closest location to obtain appropriate emergency medical care. 6) Procedures to coordinate with and assist the local emergency personnel that may respond to your business. 7) Who and how to call for immediate assistance in the event of an accident involving hazardous materials. Describe the location of the written plan and the training records which are required to be developed and maintained. State law requires your training records to be inspected. Under Cashier's Counter. STOP! Is your business divided into smaller geographic areas or units? -L- No Continue on with Sections 7 through 10 of this form. Yes Do not answer Sections 7 through 10 of this torm. Sign your name at the bottom of Page 5, then fill out a Form 3 for every area your business was subdivided into. - CONTINUED ON REVERSE - ( 3 ) . '. ? . e SECTION 7: EXPLAIN WHAT PREVENTION, MINIMIZATION, AND CLEANUP PROCEDURES YOUR EMERGENCY PLAN INCLUDES. INCLUDE A DESCRIPTION OF MONITORING METHODS AND PROCEDURES. Fuel products are separated by use of individual underground tanks. Commodity and capacity of each tank are designated on the fill pipe and cover. Should the products be mixed by accident, a more hazard- ous situation would not exist. Compressed gas (utilized for soft drink dispenser) is appropriately chained. Absorbent is readily accessible to contain any unauthorized spill. Hazardous waste drum is kept on site to contain any wastes. Fire extinguishers are kept on site at all times and inspected routinely. The monitoring program consists of daily inventory reconciliation and pipeline leak detectors on all pressurized product lines. Inventory records are maintained on site and reviewed by regional zone manager monthly. SECTION 8: EXPLAIN THE NOTIFICATION METHOD AND EVACUATION PROCEDURES YOU HAVE DEVELOPED FOR THE EMPLOYEES TO USE IN AN EMERGENCY. YOU MUST INCLUDE A MEETING POINT. All employees are cognizant of appropriate handling procedures for hazardous materials. Instructions (copy enclosed) detailing steps to follow in the event of a fire or dangerous spill are clearly posted in the work areas. The designated evacuation route and assembly point (staging area) are noted on the site plot (enclosed). - CONTINUED ON NEXT PAGE - ( 4 ) · e I, SECTION 9: EXPLAIN WHAT PRIVATE FIRE PROTECTION SYSTEMS ARE IN PLACE THAT MAY ASSIST EMERGENCY RESPONDERS. 4IÞ - AUTOMATIC SPRINKLERED BUILDING - FIRE EXTINGUISHERS SECTION 10: LIST THE LOCATION OF ANY WATER SUPPLIES THAT MAY BE USED BY EMERGENCY RESPONDERS. FIRE HYDRANT--EAST ACROSS STREET--CORNER OF HUGHES LANE AND WHITE LANE 4IÞ i I, Bob Wark, P.E. , certify that the information submitted on all the business plan forms is accurate and complete. I understand that this information will be used to fulfill my obligations under California Health and Safety Code Division 20 Chapter 6.95 .et seq. and Title 42 U.S.G.C. Section 1100 et seq. and false information may be punishable b fi e, imprisonment, or both. Senior Petroleum Environmental Director Title 7/31/89 Date 4IÞ ( 5 ) Farm a1llllriculture r-, 1..._..1 KERN coua FIRE DEPARTMENT HAZARDOUS MAT IALS INVENTORY . l 4 Standard Business r-' L.X-. ..I DUN AND BRADSTREET NliM¡)Œ 18.,..177-0405 BUSINESS NAME: LOCATION: CITY, ZIP: PHONE #: STANDARD IND. CIRCLE K STORE #5007 2501 White Lane Bakersfield, CA 93309 805/836-38~3 CLASS CODE:_---25~_ REFER TO OWNER NAME: The Circle K Corporation ADDRESS: 17781 Cowan Street CITY, ZIP: Irvine.· CÃ--9271-4----- PHONE #: 714/474-6100 NAME OF THIS FACILITY;-Sfõre~5007 INSTRUCTIONS FOR PROPER CODES ___ ··_-_·_····~-.·_·__._~4____. Page ___!,._ of ----------, 1 Trans Code 2 rype Code 3 Max Amt 4 Average Amt 5 Annu.3l Est 6 Measura Units 1 Cont 8 Cont Press 10 Use Code il % by Wt 12 Namas of Mixture/Components See Instructions tþl -- ---. -- .---.--- ..-----....------- -_." .... -. - ---------- --...--.--- --.....----- .-.- '..-.. r-, L_,J Oelayed Health C,A.S. Number --------------------------- r-, r-, L - ..I React ivity L -- -I Sudden Release of Pressure 13) " Oays on Site r '- -- , i 3651 L __......J --~-- --...-....-------------....---.--....-..---..------------------.----..---.-.-.... _~~~~~~]~~~~~~]~~~i~~~ª~-[~~[~~~.~~~~.ª~~~[~~?~~~~~~~~~~~~]~~~~]~~~]~~~]~~~~~~~~~~I~~~~~~~]~~~i~~~~ ~~~~ ~~~~p~i~;~~~~~~~~~~~~~~~~~~~~2~~~~~~~i~~~~~~~~~~~~~~~ f" -., L. - ..I 1"H:~~~~e ___I)_n ~_~_C!-º.~,(L~?_?_~_~~_~_~____ ------------------ --,.------ ------,-., -- --- _____ .~_~~_~___:~_~_~_~.~~_?__~,~_~_~_·____.n'_ __n__'____.._________,___, r -- , r - -, LX-_J Fire 1__..1 Oelayed Health r-, L. - ..I Reactivity r --, L._ _J Sudden Release of Pressure 13) # Days on Site 8006-61-9 -----------..----.--.--------- r---' i 3651 ,___.J ._--_... ------..-------.-------------------.-----------..--.-.--...----...--..-.. C.A.S. Number ~~~~~]~~~~~~]~~~i~:~º~Q-[c!~[~~~~~9~º~Q~r~~?~~~~~~~~~~~]~ç~~~]~~j;~1~~]~~~1~~~~~~I~~4~~~~]~~~ï~~~~. ~~~~~,~ç~~;~i~~~~~~~;~;~~;~~~~~;~(~G~;~;~ijl~;~~~~~~~~~~, ::: ImH:~~~~e r _, __J:.ie.lJtiiJlJl~_UDle_a.de_cl__Gas_oli(le______~___________,_,._--------- __ ___ _ _~_~~~___~~~_!_~~~_~_,_ ~?_º_~n~___'n___,__n --,.---.,--- ----,- ----- e L._J Fire L__I Delayed Health C.A.S. Number_____ª_Q.Q§_:-_~J:__~_______ r'-, L. - ..I Reactivity r --, L._ ..I Sudden Release of Pressure 13) II Days on Site r--' I 365' L __ __. .J ~ _____ ----------------------..____0____-_--.-----------·...-_..________.___ ~ UI CD o N ~ ... UI 805/872-7972 2a"B¡;-Pñöñë----------- :r; s: !: 01 -------------------------------------------------------------------------------------------------_.þ--- ----- -------------------------------------------------------------- I #1Carmen Sperduto Manager N¡~ë-----------------------'---------..--------------- T~~li--------------------------------- 112Mike Spinuzzi Zone Manager N~~i----------------------------------·-------------- T1~lë----------------------------·---- 805/833-8881 2rrr¡;- Pñõñë----------,· EMERGENCY CONTACTS .. ..... I» ---------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------- ~ d all attached documents, ~nd that based on my e, accurate, and complete. 7/31/89 --------------------------------------Oifi-Si§~ia--~·--- Certification (Read and sjgn -after comp1èting all se(;tions) I certify under penalty of law that I have personally examined .and am familiar with the informa~i inquiry of those individuals responsible for obtòining the information, I believe that the submltte Bob Wark, P.E., Senior Petroleum Environmental Director ~ãmë-ãña-õffìëì¡T-fífTi-õf-õwñiF7õpèF¡fõF-OR-õwñèF7õpiFãfõFrš-ãüffiõFìžèa-FèpFÈiiñfifíŸè SìgñãfùFi----- I NVe.rT0 R.Y Trans Code (Column 1) A = Add This Item D = Delete This Item R = Revised Information . Type Code (Column 2) P = Pure Material M = Mixture of Substances W = Waste (Must Also: Add 'Appropriate Waste Code from "Waste Code Sheet") Measure Units (Column 6) LBS = Pounds TON = Tons (2,000 lbs) GAL = Gallons BBL = Barrels (42 gals) Ft3 = Cubic Feet CUR = Curies Container Type (Column 7) Ol. . 02. 03. 04. 05. 06. 07. 08. 09. 10. ll. 12. 13, 14. 15. 16. Underground Tank Aboveground Tank Fixed Pressurized Cylinders Portable Pressured Cylinders Insulated Tank (Includes Cryogenics) Drums or Barrels - Metallic Drums or Barrels - Non- Metallic Carboy(s) Glass Container(s) Plasti¿ Container(s) Box(es) Bag ( s) , Metal Containers (Not Drums) In Machinery or Processing Equipment Bin(s) Unlined Sumps Container Pressure (Column 8) 1 = Ambient Pressure 2 = Greater Than Ambient Press 3 - Less than Ambient Press Container Temperature (Column 9) 4 = Ambient Temperature 5'= Greater than Ambient ,6 = Less than Ambient Temp but not Cryogenic 7 = Cryogenic Conditions I. CODE SHrT Use Codes (Column 10) Ol. 02. 03. 04. 05. 06. 07. 08. 09. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 3l. 32. 33. 34. 35. 36. 37. 38. 39. 40. 4l. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 99. Additive Adhesive Aerosol/Inflation Anesthetic Bactericide Blast.ing Catalyst Cleaning Coolant/Antifreeze Cooling Drilling Drying Emulsifier/Demulsifier Etching Experimental/Analytical Fabrication Fertilizer Formulation/Manufacturing Fuel Fungicide Grinding Heating Herbicide Insecticide Instructional Lubricant Medical Aid or Process Neutralizer Painting Pesticide Plating Preservation Refining Sealer Spraying Sterilizer Storage/In Storage Stripper Washing Waste Water Treatment Welding Soldering Well Injection or Service Oil Treatment Resale Aircraft Systems Battery/Electr~lyte Breathing Air . Drafting Aid ~~ Finished Product Fire Protection Hydraulic Equipment Road/Hwy Maintenance Testing Wholesale Chemicals OTHER-Specify on another page '1~T~RIAL ~AFETY DATI-! WT §8êQblt:!s DANGER! (MSDS) Pr'epat'ed e , According to the OSHA Ha~ard Communicating Standard (29 CFR 1910.1200) .' HARMFUL OR FATAL IF SWALLDWED VAPOR HARMFUL LONG-TERM EXPOSURE TO VAPOR HAS CAUSED CANCER IN LABORATORY ANIMALS EXTREMELY FLAMMABLE CONTAINS LEAD (Regular Gasoline"Only) KEEP OUT OF REACH C CHILDREN ~8I~BI8b_Iº~~IIEI~8IIº~ (Gasoline) Fe't' CIRCLE K Regular Ga$oline CIRCLE K Unleaded Gasoline CIRCLE K Premium Unleaded Gasoline Name: r".lte,me,tive Reglllar Gas,:;.li...,e ~ ~Jtomotive Regular Unleaded Gasoline Automotive Premium Unleaded Gasoline Chemica¡ Family: Mixed Petroleum Hydrocarbons CAS Reg. Number: Mixture (See Typical Composition below) Typical Composition: Blend of parafins, naphthenes, aromatics and olefins including less than the percentages indicated for the following: 25~ toluene (CAS 108-88-3), 2ø~ xylene (CAS 13121-2121-7), 1ø~ methyl tert blltyl ether (MTBE) (CAS 1E.34-ø4-4), 5~ benzena (CAS 71-43-2), 5K n-hexane (CAS 110-54-3), 5~ cyclo- heNane CC~S 11121-82-7), 5~ ethyl benzene (CAS 1121121-41-4) and 5~ naphthalene (CAS 91-20-3) Re8'·llar ¡¡ased i1",e may c':'1",tain less than 1 g/gal (as "lead al kyl) and less than 0. 1~ other additives including ethylene dibromide (CAS 1121E.--'33-4) ë\1"id ethylene dichl':"'ide (CAS 11217-05-2). ~g8bI~_I~EQB~8!IQ~ (Gasoline) Primary Route(s) of Exposure/Entry: . Inhalation, skin Exposure Standard: The American Conference of Governmental Industrial Hygienists (ACGIH) 1985-86 Threshold Limit V~lue CTVL) f.:.t' gas,:;.line is 31210 ppm fo::.r a daily 8 h':"lr exp,:'sllt'e. N.:, Federal OSHA exposure standard has been established for these materials. See ADDITIONAL HEALTH INFORMATION (GOM 212 Pages 12-13) for discussion of benzene exposure limits. Physiolog~cal and Health Effects: EYES Eye irritation may result from contact with the liquid or ex- posure to vapor concentrations ab.:.ve 5øØ ppm. SKIN Prolonged or frequently liquid contact may cause skin irrita- tion or may cause the skin to become cracked 0" dry from the defatting action of the rnate,-ial. . INHALATION Prolonged or repeated breathing of gasoline vapor may be harm- flll. Extrerlle aspiratie,n into the lungs may cause pneumonia or ~entral nervous system depr'ess i ':'1"1, i 1"IC Illd i ng weakrless, (izziness, unconsciousness, cr. c,:,nvul s ie·r,s. Emergency and First Aid Procedures: EYES Flush eyes immediately with fresh water for at least 15 minutes whiJe holding the eyelids open. If ir"itati':'1"1 persists, see a doctor. SKI \! Remove contaminated clothing as soon as possible. Wash skin thoroughly with soap and water. See a doctor if any symptoms :described in this MSDS develop or if any skin irritation occurs. Launder contaminated cle.thi1"lg. INHALATION If there are symptoms as described in this MSDS d~e to breathing this material, move the pers,:m t,:;.· fresh air. If breathing has stopped, apply artificial respiration. Call doctor immediately. r - .----~ ~. . i I" . . _EST! DN This material is expected tü be only slightly toxic by ingest ie,}·.. Note to Physician: Gastric lavage by qualified medical personnel may be considered, depœnding on quantity of material ingested. .STIDN If swallo , ~2_C2~_m!~§ aª~§2C_~2mi~. Call a doctor immediately. If vomiting begiY"s, lc,wer vict irns head iY'1 an effort to prevent vomitus frOM entering lungs. Never give anything by mouth to an unconscious person. §~sg186_eߺIsgIl~s_1~EºB~8Ilº~ (Gasoline) Comment: If you experience any of the symptoms described in this MSDS, you may be exposed to harmful levels. Your exposure can be minimized if you follow the protective measures presented bele,w. Eye Protection: wearing chemical Contact can be avoided by Keep away from eyes. safety gogg les. Skin Protection: Keep away from skin. Contact can be minimized by wearing impervious prntective clothing including chemically resistant gloves. Launder contami~ated clothing before reuse. Extremely contaminated leather shoes should be discarded. Respiratory Protection: Avoid prolonged breathing of vaþor by using approved respiratory protection. In outdoor areas, ventilation is usually adequate to prevent prolonged breathing of high vapor concentration. See Additional Health Information (GOM 212 Pages 12-13). Ventilation: Use this material only in well ventilated areas. EIBs_8~º_s!~bº§1º~_1~EºB~8IIº~ (Gasoline) This material presents an extreme fire hazard. Liquid very quickly evaporates, even at low temperatures, and forms vapor (fumes) which can catch fire and burn with explosive violence. Invisible vapor spreads easily and can be set on fire by many sources such as pilot lights and electrical motors and switches. Handle and store in accordance with National Fire Protection Associatio~ (NFPA) procedure for Class I A Flammable Liquid. Flash Point: (Minimum) -380C / -36°F Autoignition Temperature: 45SoC / 853°F FlamMability Limits: 1. 4~ - 7. 6~ Extinguishing Media: Use dt'y cheMical, fc.am, e,r carboY'. diel)(ide. Special Fire Fighting Procedures: Water may be ineffective to extinguish, but water should be used to keep fire-exposed c,:,ntainet's coell. If a leak, or spill has Y'lo:;,t ignited, IJse water spray to disperse the vapor and to protect personnel attempting to stop a leak. Water spray may be used to flush spills away froM expe,sLlre. Unusual Fire and Explosion Hazards: Highly flammable. Products of combustion may contain c~rbo" Monoxide, carbon dioxide, and other toxic materials. Do not enter enclosed or confined space without proper protective equipment including respiratory pt'.:.t ect i ,:.n. National Fire Protection Association Classifications (Hazard Ratings) Health-Slight Fire-High Reactivity-Stable / §IºB8~s_1~EºB~8IIº~ (Gasoline) Precautions To Be Taken In Handling And Storing: Product is Class I A FlamMable Liquid per NFPA Code No. 30-1984. Store and handle accordingly. . . ..., _., '-'M" ...-_....~_........-._~ ....--...-' ~ ~ ~.~~.-......~.~._-p. ... v . , ENVI fmME::NTAl ,=-~OTECTION TN~UHMH I J.UN·· \\:>as.:'J.lr,el - __u_ '\ -,,--- ----------.- ----------------- --- Envirornental r.ct: Ce,'tëlÌr, ge'=~I'aPhical areas .e ail' pollution rest~ictions concerning the use of mate als in work situations which may rélease volatile components to the atmosphere. Air pollution regulations should be studied to determine if this material is regulated in the area it is to be used. This materi~l is considered to be a water pollutant and releases of this product should be prevented from contaminating soil and water and from entering drainage and sewer systems. ., In Case of Spill or leak: This material is flammable. Appt'c,priate p\"ecautie'r,s she,uld be taker,. Cor,tair, spill immediately in smallest area possible. Recover as much of the product itself as possible by such method5 as vacuuming, followed by soaking up of residual fluids by use of absorbent materials. Remove contaminated items including contaminated soil and place in ~ proper containers for disposal. Rvoid washing, draining or directing material to storm e~ sanitary sewers. Waste Disposal Methods: Becycle as much of the recoverable product as possible. Dispose of nonrecyclable materials in a manner consistent with applicable federal, state and local regulations as a hazardous waste. §~~ç18b_e8~ç8YIlº~§_1~EºB~8Ilº~ (Gasoline) NEVER siphon gasoline by mouth. WITHIN THIS MSDS. READ RND OBSERVE ALL PRECAUTIONS . Use only as a motor fuel. Do not use for cleaning, pressure appliance fuel, or any othe~ such use. DO NOT USE OR STORE near flame, sparks, or hot surfaces. USE AND STORE ONLY IN COOL, WELL VENTILATED AREA. Keep container cl~sed. DO NOT TRANSFER LIQUID TO AN UNLABELED CONTAINER. DO NOT weld, heat or drill container. Replace cap or bung. Emptied container still contains hazardous or explosive vapor or lipuid. E~ï§lçBb_eBºe~BIlg§ (Gasoline) Solubility: Soluble in hydr~~ar~ons¡ insolubJe in water. Appearance (Color, Odor): Bronze or yellow-red clear liquid; gasolirle ode't'. Boiling Point: 25 - 225°C / 85 - 437°F (Rar,ge) .. Specific Gr~vity: 0.7 - 0.8 (Range) Vapor Pressure: 5 - 15 psi with season and location) (Max) @ 100°F (Range - Variable Vapor Density (Air = 1): 3 - 4 (Range) Percent Volatile (Volume): 99+~ ~8~8Bºº~§_1~êBgº1~~I§_iº§~81~ (Gasoline) Hydrocarbons (Aromatic and Raraffinic hydrocarbons; e.g., toluene, hexane, etc.) Benzene (71-43-2) e~ï§lç8b_gEE~çI_eBºe~BIl~§_iº§~81~ (Gasoline) Product/Mixture: Class I A Fla~mable Liquid per NFPA Code No. 30-1'384. Bg8ÇIl~lIï_º8I8 (Gasoline) stabi I ity <Thermal, Light): Stable . Incompatibility (Materials to Avoid): May react with strong oxidizing materials. Hazardous Decomposition Products: Normal combustion forms carbon dioxide and water vapor; incomplete combustion can produce cat"'bclY'1 Ol,:IY'II:IX ide. Hazardous Polymerization: Will not occur. ~ I. 8ººlIlº~8h_tJ_tLl~EºBt18Ilº~ (Gasc:, 1 i r,e) Healt~ effect infe.t·mati,:,r, ft'Olil al"lÎr'lal C,t' hl\man .dies has beer, included on related materials, even though health experts may disagree as to the significance of this data. . Ingestion af gasoline or inhalation of gasoline vapor at airborne concentrations exceeding 1000 pprn may cause signs and symptoms of central nervous system depression such as headache, dizziness, loss of appetite, weakness and loss of coordination. Vapor concentrations in excess of 5000 ppm may cause loss of conscious- ness, cç,tna ar,d death. Interltie,r,al eXpC'Sllt'eS tel excessively high concentrations (e.g., when used as a drug of abuse) have been reported t~ result in clinical manifestations that may include convulsions, delirium, and hallucinations. Th~se manifestations are not known to occur following accidental inhalation of vapor or skin contact with gasolines during normal operations. Brief exposures to high vapor concentrations may also cause pulmonary ederlla and oi',:;¡nchitis. Note to Physician: Irlgestiç'n ç.f this product or subsequent vomiting can result in aspiration of light hydrocarbon liquid which can cause pneumonitis. This pr,:,d'.Ict may contaiY, up t,:. 4.'31- benzene. Repeated Ot' prolonged b~eathing of benzene vapors has been associated with the development of chromosomal damage in experimental animals and various blood diseases in humans ranging from aplastic anemia to leukemia ( a form of cancer). All of these diseases can be fatal. Fç,llc,wing a twçl-year cancer bi,:,assay sp.;:,y,se't'ed by the National TOHicology Program, NTP concluded that benzene is a carcinogen for rats and mice of both sexes. Note: Limiting the total hydro~arbon exposoure to 3ØØ ppm, the ACGIH TLV for gasoline, M~y not keep the benzene concentration below th~ 10 ppm Federal OSHR exposure standard and RCGIH TLV for benzene. . This procuct contains n-hexane, prolonged or repeated cont~ct with n-hexar,ce r'lay pr,:;¡dl.lce periphet'iÜ y,e'.Ir·opathy characterized by progressive weakness and numbness in,the extremities, loss of deep, tendon reflexes and reduction of motor nerve conduction velocity. Recovery ranges from no recovery to complete recovery depending upon the duration of exposure and the severity of the nerve r.Jamaqe. Thi~ product contains toluene. Toluene has been reported to decrease immunological response in test animals. Toluene has been reported to increase malformations in chicks exposed during e.t·gan i ':'g enes i s. This product contains xylene. Xylene has been reported to be embryotoxic, teratogenic and to cause developmental di.turbances in rats exposed in utero. . The Arnet"ican Petre>le'.\m Institl\te (API) sPC:'l"lsc.red a study where laboratory animals were exposed to 67, 292 and 2056 ppm unleaded gasoline vapor six hours/day, five days/week for approximately two years. Each exposure group consisted of 20Ø rats and 200 mice. During the course of the study, male rats had an increased incidence of kidney damag~ followed by repair and enlargement of the kidney tubules. At the end of the study, a dose-related incidence of microscopic kidney turmors was detected in the male rats; two tumors were found in the low exposure group, and five wet'e f.:.und in the high exposure group. Fer'lale rats ar,d both rolale and female mice did not .how this type of lesion. It was noted in the study that the animals that were exposed to gasoline vapor lived lç,r,ge~' than the ce,r,tre,l. Thus, the significance e,f the tumor findings is difficult to evaluate at this time. Additional findings in the RPI-sponsored study, which were observed only at the highest d.:.se tested (2065 ppm), included (1) failure to gain body weight, (2) increased ir,cidence e.f hepatocellular carcir,e,mas (live" cancer') iI'" fer'lale mice, and (3) lurlg inflarnmation iYI male and female rats. Subsequent testing has shown that the six to ten carbon iDoparaffinic compounds in gasoline are apparently responsible for the early kidney damage seen in t~e male rat in the API study although the larger isoparaffins have not been individually tested. Information collected by the RPI and others indicates that the damage occurs only in the male rat, does not occur in female rats or mice and monkeys of either sex and may not occur in man. How this early kidney injury relates to the development of kidney tumors seen in the API study is currently '.lnl<,n,:;¡wr,. \ ';, r' ' . . . . . e . MSDS GLOSSARY Ac:id - Any c:hemi c:a 1 whic:h undergoes d i ssoc:ia tion in water wi th the formation of hydrogen ions. Ac:ids have a sour taste and may c:ause severe skin burns. Ac:ids turn litmus paper red and have pH values of 0 to 6. Ac:ute Effec:t Adverse effec:t on a severe symptoms deve 1 opin,g rapidl y c:risis. Also see "c:hronic: effec:t". human or animal whic:h has and c:oming quic:kly to a Ac:ute Toxic:ity - Ac:ute effec:ts resulting from a single dose of or ex posure to a substanc:e. OrdinariI y used to denote ef fec:ts in experimental animals. ACGIH - American Conference of Governmental Industrial Hygienists is an organization of professional personnel in governmental agenc:ies or educ:a tiona 1 insti tu tions who are employed in occ:upational safety and health programs. Adenoc:arcinoma - A tumor with glandular (sec:reting) elements. Adenosis - Any disease of a gland. Adhesion A union of two surfac:es that are normally separate. Aerosol A fine aerial suspension of partic:les suffic:iently small in size to c:onfer some degree of stability from sedimentation (for example: smoke of fog). Air Line Respirator A respirator that is c:onnec:ted to a c:ompressed breathing air source by a hose of small inside diameter. The air is delivered continuously or intermittently in a suffic:ient volume to meet the wearer's breathing requirements. Air Purifying Respirator - A respirator that uses c:hemic:als to remove spec:i fic: gases and vapors from the air Dr that uses a mec:hanic:al filter to remove partic:ulate matter. An air purifying respirator must only be used when there is suffic:ient oxygen to sustain life and the air c:ontaminant level is below the c:onc:entration limits of the devic:e. Alkali - Any c:hemic:al substanc:e whic:h forms soluble soaps with fatty ac:ids. Alkalis are also referred to as bases. THey may c:ause severe burns to the skin. Alkalis turn litmus paper blue and have pH values from 8 to 14. Allergic: Reac:tion c:hemic:al or physic:al An abnormal physiologic:al response stimuli by a sensitive person. to a Amenorrhea Absenc:e of menstruation. Anesthetic: sensation. A c:hemic:al that Overexposure to c:aLlses a tota 1 or anesthetic:s c:an partial c:ause loss of impaired . . . e . judgment, dizziness, drowsiness, even death. Examples inc:lude: degreasers. headac:he, alc:ohol, unc:onsc:iousness, paint remover, and and ANSI Americ:an National Standards Institute is a privately funded, voluntary membership organization that identified industrial and public: needs for national c:onsensus standards and c:oordinates development of suc:h standards. Antidote A remedy to relieve, prevent, or c:ounterac:t the affec:ts of a poison. API Americ:an Petroleum Institute is a organization of the petroleum industry. Appearanc:e A desc:ription of a substanc:e at normal room temperature and normal atmospheric: c:onditions. Appearanc:e inc:ludes the c:olor, size, and c:onsistenc:y of a material. Aquatic: Toxic:ity - THe adverse effec:ts to marine life that result from being exposed to a toxic: substanc:e. Asphyxiant A vapor of gas that c:an c:ause Llnc:onsc:iousness of death by suffocation (lack of oxygen). Most simple asphyxiantsa are harmfu I to the body on I y when they bec:ome so c:oncen tra ted that they reduc:e oxygen in the air (normally about 21 perc:ent) to dangerous levels (18 perc:ent or lower). Asphyxiation is one of the princ:ipal potential hazards of working in c:onfined and enc:losed spac:es. ASTM - Americ:an Soc:iety for Testing and Materials is the world's largest sourc:e of voluntary c:onsensus standards for materials, produc:ts, systems, and servic:es. ASTM is a resourc:e for sampling and testing methods, health and safety aspec:ts of materials, safe performance guidelines, effects of physic:al and biologic:al agents and c:hemic:als. Asymptomatic: - Showing no symptoms. Atm - Atmosphere, a unit of pressure equal to 760 mmHg at sea level. Atmosphere Supplying Respirator A respirator that provides breathing air from a sourc:e independent of the surrounding atmosphere. There are two types: Air line and self-c:ontained breathing apparatus. Auto-Ignition Temperature - The temperature to whic:h a c:losed, or nearly c:losed c:ontainer must be heated in order that the flammable liquid, when introduc:ed into the c:ontainer, will ignite spontaneously or burn. Base - See Alkali . . . e . Benign - Not rec:urrent or not tending to progress. Biodegradable Capable of being broken down into innoc:uous produc:ts by the ac:tion of living things. Biopsy - Removal and examination of tissue from the living body. Boiling Point - The temperature at whic:h a liquid c:hanges to a vapor state at a given pressure. THe boiling point usually expressed in degrees Fahrenheit at sea level pressure (760 mmHg, or one atmosphere). For mi x tures, the in i ti a 1 boi 1 ing point or the boilinq ranqe may be given. Flammable materials with low boiling points generally present spec:ial fire hazards. Some approximate boiling points: Propane Anhydrous Ammonia Butane Gasoline Allyl Chloride Ethylene Glyc:ol -440F -280F 310F 1000F 1130F 3870F BOM, or BuMines - Bureau of Mines, U.S. Department of Interior. Bonding - The interc:onnec:ting of two objec:ts by means of a c:lamp and bare wire. Its purpose is to equalize the elec:tric:al potential between the objec:ts to prevent a static: disc:harge when transferr ing a f 1 ammab 1 e 1 iquid from one c:ontainer to another. The c:onduc:tive path is provided by c:lamps whic:h make c:ontac:t with the c:harged objec:t and a low resistanc:e flexible c:able whic:h allows the c:harge to equalize. See Grounding. Bulk Density - Mass of powdered or granulated solid material per unit of volume. C - Centigrade, a unit of temperature. "C", or Cei 1 ing The max imum all owab 1 e human ex posure 1 imi t for an airborne substanc:e whic:h is not to be exc:eeded even momentarily. Also see "PEL" and "TLV". c:a - Approximately CAA - Clean Air Ac:t was enac:ted to regulate/reduc:e air pollution. CAA is administered by EPA. Carc:inDgen - A substanc:e or agent c:apable of c:ausing or produc:ing c:anc:er in mammals, inc:luding humans. A c:hemic:al is c:onsidered to be a c:arc:inogen if: (a) I t has been eva 1 uated by the In ternationa 1 Researc:h on Canc:er (IARC) and found to be a or potential c:arc:inogen; or Agenc:y for c:arc:inogen . . . e . (b) It is listed as a c:arc:inogen or potential c:arc:inogen in the Annual Report on Carc:inogens published by the National Toxic:ology Program (NTP) (latest edition); or (c:) It is regulated by OSHA as a c:arc:inogen. Carc:inogenic:ity - The ability to produc:e c:anc:er. Carc:inoma - A malignant tumpr. A form of c:anc:er. CAS Chemic:al Abstrac:ts Servic:e is an organization under the Americ:an Chemic:al Soc:iety. CAS abstrac:ts and indexes c:hemic:al literature from allover the world in "Chemical Abstrac:ts". "CAS Numbers" are used to identify spec:ific: c:hemic:als or mixtures. Caustic: - See Alkali. c:c: Cubic: c:entimeter is a volume measurement in system whic:h is equal in c:apac:itY to one milliliter quart is about 946 c:ubic: c:entimeters. the metric: ( m 1 ) . One Central Nervous System - The brain and spinal c:ord. These organs supervise and c:oordinate the activity of the entire nervous system. Sensory impulses are transmitted into the c:entral nervous system, and motor impulses are transmitted out. CERCLA - Comprehensive Environmental Response, Compensation, and Liability Ac:t of 1980. The Act requires that the Coast Guard National Response Center be notified in the event of a hazardous substanc:e release. The Ac:t also provides for a fund (the Superfund) to be used for the cleanup of abandoned hazardous waste disposal sites. Cervix - The lower end of the uterus extending into the vagina. CFR Code of Federal Regulations. A c:ollec:tion of the regulations that have been promulgated under United Sates Law. Chemic:al - Any element, c:hemic:al c:ompound or mixture of elements and/or compounds where c:hemical(s) are or distributed. Chemic:al Cartridge Respirator - A respirator that uses various c:hemi c:a 1 sLlbstan c:es to purify inha 1 ed ai r of c:ertain gases and vapors. This type of respirator is effec:tive for c:onc:entrations no more than ten times the TLV of the c:ontaminant, if the c:ontaminant has warning properties (odor or irritation) below the TLV. Chemic:al Name - The name given to a c:hemic:al in the nomenc:lature system developed by the International Union of Pure and Applied Chemistry (IUPAC) or the Chemic:al Abstrac:ts Servic:e (CAS). Chemic:al Family c:ommon genera 1 A group of single elements or c:ompounds with a name. Examp Ie: ac:etone, methy 1 ethy 1 ketone . . . (MEK), and methy 1 family; ac:rolein, "aldehyde" family. isobutyl ketone furfura 1 , and (11IBK) are of the ac:eta 1 dehyde are "ketone" of the Chemic:al Sourc:e - The arrangement wi thin the molec:ule of atoms and their c:hemic:al bonds. CHEMTREC - Chemic:al Transportation Emergenc:y Center is a national c:enter established by th~ Chemic:al Manufac:turers Assoc:iation (CMA') to relay pertinent emergenc:y information c:onc:erning spec:ific: c:hemic:als on requests from individuals. CHEMTREC has a 24-hour toll-free telephone number (800-424-9300) to help respond to c:hemic:al transportation emergenc:ies. Chronic: Effec:t - An adverse effec:t on a human or animal body, with symptoms whic:h develop slowly over a long period of time or whic:h rec:ur frequently. Also see "ac:ute". Chronic: Exposure - Long-term c:ontac:t with a substanc:e. . Chronic: Toxic:ity Adverse (c:hronic:) effec:ts resulting from repeated doses of or exposures to a substance over a relatively prolonged period of time. Ordinari 1 y used to denote ef fec:ts in experimental animals. Clean Air A¿t - See CAA. Clean Water Ac:t - Federal law enac:ted to regulate/reduc:e water pollution. CWA is administered by EPA. CMA - Chemic:al Manufac:turers Assoc:iation. See CHEMTREC. CO Carbon monoxide J.S a colorless, odorless, flammable, and very toxic: gas produc:ed by the incomplete c:ombustion of c:arbon. It is also a byproduc:t of many chemic:al processes. CO2 - Carbon dioxide is a heavy, c:olorless gas whic:h is produc:ed by the c:ombustion and dec:omposition of organic: substanc:es and as a byproduc:t of many c:hemic:al proc:esses. CO2 will not burn and is relatively nontoxic: (although high c:onc:entrations, espec:ially in c:onfined spaces, c:an c:reate hazardous oxygen-defic:ient environments) . COC - Cleveland Open Cup is a flash point test method. . Combustible - A term used by NFPA, DOT, and others to c:lassify c:ertain liquids that will burn, on the basis of flash points. Both NFPA and DOT genera 11 y def ine "c:ombLlsti bl e 1 iquids" as having a flash point of lOOoF. (37.SoC) or higher but below 2000F (93.30C). Also see "flammable". Nonliquid substanc:es suc:h as wood and paper are c:l assi f ied as "ordinary c:ombusti bl es" by NFPA. Combustible Liquid - Any liquid having a flashpoint at or above . . . . . 1000F (37.SoC), having c:omponents the total volume more of the total but below 2000F (93.30C), exc:ept with flashpoints of 2000F (93.30C) of whi c:h make up ninety-n ine (99) volume of the mixture. any mi x ture or higher, perc:ent or Common Name - Any identific:ation, suc:h as c:ode name, c:ode number, trade name, brand name, or generic name, other than its c:hemic:al name, used to identify a c:hemical. Compressed Gas: (a) A gas or mixture 01 gases having, in a c:ontainer, an absolute pressure exc:eeding 40 psi at 700F (21.10C); or ( b) A gas or mixture 01 gases absolute pressure exceeding regardless of the pressure at having, in a c:ontainer, an 104 psi at 1300F (54.40C) 700F (21.10C); or (c) A liquid having a vapor pressure exc:eeding 40 psi at 1000F (37.SoC) as determined by ASTM D-323-72. Conc: - See c:onc:entration. Conc:entration - or mi xed wi th sulfide in air, The relative amount of a substance when combined other substanc:es. Exampl es: 2 QQ!!t hydrogen or a 50 perc:ent c:austic solution. Conditions to Avoid - Conditions enc:ountered during handling or storage which c:ould c:ause a substanc:e to bec:ome unstable. Conf ined Space - Any area whi ch has 1 imi ted openings for en try and exit that would make escape diffic:ult in an emergenc:y, has a lac:k of ventilation, c:ontains known and potential hazards, and is not intended nor designated for continuous human occ:upanc:y. Conjunc:tivitis Inflammation of the c:onjunc:tiva, the delic:ate membrane that lines the eyelids and covers the eyeballs. Container - Any bag, barrel, bottle, box, c:an, c:ylinder, drum, reac:tion vessel, storage tank, or the like that c:ontains a hazardous c:hemic:al. For purposes of MSDS or HCS, pipes or piping systems are not considered to be containers. Corrosive A c:hemic:al that causes visible destruc:tion of, or irreversible alterations in, living tissue by c:hemic:al ac:tion at the site of contac:t. For example, a c:hemic:al is c:onsidered to be c:orrosive if, when tested on the intac:t skin of albino rabbits by the method desc:ribed by the U. S. Department of Transportation in Appendix A to 49 CER Par 173, it destroys or c:hanges irreversibly exposure period of 4 hours. This term shall not refer to ac:tion on inanimate surfac:es. CPSC - Consumer Produc:ts Safety Commission has responsibility for regulating hazardous materials when they appear in c:onsumer · · · . . goods. For CPSC purposes, hazards are def ined in the Hazardous Substanc:es Ac:t and the Poison Prevention Pac:kaging Ac:t of 1970. Curettage - Cleansing of a diseased surfac:e. Cutaneous Toxic:ity - See "Dermal Toxic:ity". CWA Clean Water Ac:t was enacted to regulate/reduc:e water pollution. It is administer:-ed by EPA. Cyst - A sac: c:ontaining a liquid. Most c:ysts are harmless. Cytology - The sc:ientific: study of c:ells. DASHO Designed Agenc:y Safety and Health Offic:ial is the exec:utive official of a Federal Department or Agenc:y who is responsi bl e for safety and oc:c:upationa I hea I th matters wi thin a Federal agenc:y, and is so designated or appointed by the head of the agenc:y. Decomposition - Breakdown of a material or substanc:e (by heat, c:hemic:al reac:tion, electrolysis, dec:ay, or other proc:esses) into parts or elements or simpler c:ompounds. Density - The mass (weight) per unit volume of a substance. example, lead is muc:h more dense than aluminum. For Depressant A substanc:e that reduc:es a bodily func:tional ac:tivity or an instinctive desire, suc:h as appetite. Dermal Relating to the skin. Dermal Toxic:ity - Adverse effec:ts resulting from skin exposure to a substanc:e. Ordinarii y used to denote ef fec:ts in ex per imen ta I animals. DHHS - U.S. Department of Health and Human Services (replac:ed U.S. Department of Health, Educ:ation and Welfare). NIOSH and the Public: Health Service (PHS) are part of DHHS. Dike A barrier c:onstruc:ted to c:ontrol or substanc:es and prevent them from entering streams, or other flowing waters. c:onfine hazardous sewers, ditc:hes, Dilution Ventilation - Air flow designed to dilute c:ontaminants to ac:c:eptable levels. Also see general ventilation or exhaust. DOL - U.S. Department of Labor. OSHA and MSHA are part of DOL. DOT U.S. Department of Transportation regulates transportation of c:hemic:als and other substanc:es. Dry Chemic:al A powdered fire extinguishing agent usually c:omposed of sodium bicarbonate, potassium bic:arbonate, etc:, . . . . . Dysmenorrhea - Painful menstruation. Dysplasic: - An abnormality of development. Ec:topic: pregnanc:y - The fertilized ovum bec:omes implanted outside of the uterus. Edema An abnorma I ac:c:umq.1 a tion of c: I ear watery fluid in the tissues. Endometrium - The muc:ous membrane lining the uterus. Environmental Toxic:i ty Information obtained as a resul t of c:onduc:ting environmental testing designed to study the effec:ts on aquatic: and plant life. EPA - U.S. Environmental Protec:tion Agenc:y. Epidemiology - Sc:ience conc:erned with the study of disease in a general population. Determination of the inc:idence (rate of oc:c:urrenc:e) and distribution of a partic:ular disease (as by age, sex, or oc:c:upation) whic:h may provide information about the c:ause of the disease. Epi thel ium - The covering of in terna I and ex tern a I surf aces of the body. Estrogen - Princ:ipal female sex hormone. Evaporation Rate The rate at whic:h a material will vaporize (evaporate) when c:ompared to the known rate of vaporization of a standard material. The evaporation rate c:an be useful in evaluating the health and fire hazards of a material. The designated standard material is usually normal butyl acetate (NBUAC or n-BuAc:), wi th a vapori z a tion rate designated as 1.0. Vaporization rates of other solvents or materials are then c:lassified as: FAST evaporating if greater Ethyl Ketone = 3.8, Acetone = than 3.0. Examples: 5.6, Hexane = 8.3. Methyl MEDIUI"I evaporating if 0.8 to 3.0. Examples: 190 proof (95%) Ethyl Alc:ohol = 1.4, VM&P Naphtha = 1.4, MIBK = 1.6. SLOW evaporating if less than 0.8. Examples: Xylene = 0.6, Isobutyl Alc:ohol = 0.6, Normal Butyl Alc:ohol + 0.4, Water = 0.3, Mineral Spirits = 0.1. Explosive - A chemical that causes a sudden, almost instantaneous release of pressure, gas, and heat when subjec:ted to sudden shoc:k, pressure, or high temperature. Exposure or Exposed State of being open and vulnerable to . . . e e hazardous c:hemic:al ingestion, skin includes potential in the c:ourse of employment by inhalation, c:ontac:t, absorption, or any other c:ourse; (ac:c:idental or possible) exposure. Extinguishing Media - The fire fighting substanc:e to be used to c:ontrol a material in the event of a fire. It is usually named by its generic: name, suc:h as fog, foam, water, etc:. Eye Protec:tion Rec:ommended goggles, fac:e shields, etc:. hazardous material. safety to be glasses, utilized c:hemic:al splash when handling a F Fahrenheit is a sc:ale for measuring temperature. On the Fahrenheit sc:ale, water boils at 2120F and freezes at 320F. f/c:c: - Fibers per cubic: c:entimeter of air. FACOSH Federal Advisory Counc:il for Oc:c:upational Safety and Health is a joint c:ouncil of management and labor that advises the Sec:retary of Labor on matters relating to the oc:c:upational safety and health of Federal employees. FDA - U.S. Food and Drug Administration. Fetal Pertaining to the fetus. Fetus The developing young in the uterus from the seventh week of gestation until birth. FFSHC - Field Federal Safety and Health Councils are organized throughout the c:ountry to improve Federal safety and health programs at the field level and within a geographic: loc:ation. FHCP - Federal Hazard Communic:ation program. Fibrosis - An abnormal thic:kening of fibrous c:onnec:tive tissue, usually in the lungs. FIFRA Federal Insec:tic:ide, Fungic:ide, and Rodentic:ide Ac:t requires that c:ertain useful poisons, suc:h as c:hemic:al pestic:ides, sold to the public: c:ontain labels that c:arry health hazard warnings to protec:t users. It is administered by EPA. First Aid Emergenc:y measures to suffering from overexposure to a regular medic:al help c:an be obtained. be taken hazardous when a person is material, before Flammable c:ategories: A c:hemic:al that inc:ludes one of the following (a) "Aerosol, flammable" An aerosol that when tested by the method desc:ribed in 16 CFR 1500.45, yields a flame projec:tion exceeding 18 inches at full valve opening or a flashbac:k (a flame extending bac:k to the valve) at any e e . degree of valve opening; (b) "Gas, flammable" (1) A gas that, at ambient temperature and pressure, forms a flammable mixture with air at a c:onc:entration 01 13 percent by volume or less; or (2) A gas that, at ambient temperature and pressure, forms a range of flammable mixtures with air wider that 12 percent by volume, regardless of the lower limit; (c:) "Liquid, flammable" Any liquid having a flashpoint below lOOoF (37. 8C), ex c:ept any mi x ture having c:omponents wi th flashpoints of 1000F (37.SoC) or higher, the total of whic:h make up 99 perc:ent or more of the total volume of mixture. (d) "Solid, flammable" A solid, other than a blasting agent or explosive as defined in 1910.109(a), that is liable to c:ause f ire through fric:tion, absorption of moisture, spontaneous c:hemic:al c:hange, or retained heat from manufac:turing or proc:essing, or whic:h c:an be ignited readily and when ignited burns so vigorously and persistently as to c:reate a serious hazard. A solid is flammable if, when tested by the method desc:ribed in 16 CFR 1500.44, it ignites and burns with a self-sustained flame at a rate greater that one tenth of an inc:h per sec:ond along its major axis. . Flashbac:k - Oc:c:urs when flame from a torch burns bac:k into the ti p, the torc:h, or the hose. It is of ten ac:c:ompan ied by a hissing or squealing sound with a smokey or sharp-pointed flame. Flashpoint - The minimum temperature at whic:h a liquid gives off a vapor in suffic:ient c:onc:entration to ignite when tested by the following methods: (a) Tagliabue Closed Tester (see Americ:an National Standard Method of Test for Flash Point by Tag Closed Tester, Z11.24 1979 [ASTM D56-79]). (b) Pensky-Martens Closed Tester (see Americ:an National Standard Method of Test for Flash Poin t by Pensk y-Martens Closed Tester, Zll.7-1979 [ASTM D93-79]). ( c: ) Setaflash Closed Tester (see Method of Test for Flash Point (ASTM D 3278-78]). Americ:an National Standard by Setaflash Closed Tester Foreseeable Emergenc:y - Any potential oc:c:urrenc:e suc:h as, but not limited to, equipment failure, rupture of c:ontainers, or failure of c:ontrol equipment whic:h c:ould result in an unc:ontrolled release of a hazardous c:hemic:al into the work plac:e. . Formula - The scientific: expression of the c:hemic:al c:omposition of a material (e.g., water is H20, sulfuric: ac:id is H2S04, sulfur dioxide is S02). . . . e e Fume - A solid c:ondensation partic:le of extremely small diameter, c:ommonly generated from molten metal as metal fume. g Gram is a metric: unit of weight. (avoirdupois) is about 28.4 grams. One ounc:e U.S. General exhaust A system for exhausting air c:ontaining c:ontaminants from a general work area. Also see "loc:al exhaust". Genetic: - Pertaining to or c:arried by genes. Hereditary. Gestation birth. The development of the fetus from c:onc:eption to g/kg - Grams per kilogram is an and dermal toxic:ology testing dosed per kilogram of animal (kilogram) . expression of dose used in oral to denote grams of a substanc:e body weight. Also see "kg" Grounding - The proc:edure used to c:arry an elec:tric:al c:harge to ground through a c:onductive path. A typic:al ground may be connec:ted directly to a conduc:tive water pipe or to a grounding bus and ground rod. See Bonding. Gynec:ology - The study of the reproduc:tive organs in women. Hand Protec:tion protec:tion required materials. Spec:ific: type of to prevent harmful other hand to hazardous gloves or exposure Hazard Warning - Words, pic:tures, symbols, or c:ombination thereof presented on a label or other appropriate form to inform of the presenc:e of various materials. Hazardous Chemic:al Any chemical whose presence or use is a physic:al hazard or a health hazard. HCS - Hazard Communic:ation Standard is an OSHA regulation issued under 29 CFR Part 1910.1200. Health Hazard A c:hemic:al for whic:h there is signific:ant evidence, based on at I ease one study c:onducted in ac:c:ordanc:e with established sc:ientific: princ:iples, that ac:ute or c:hronic: hea I th ef fec:ts may oc:c:ur in ex posed emp I oyees. The term II hea I th hazard" inc:ludes c:hemic:als which are c:arc:inogens, toxic: or highly toxic: agents, reproduc:tive toxins, irritants, c:orrosives, sensi ti zers, hepatotox ins, nephrotox ins, neurotox ins, agents whi c:h ac:t on the hematopoieti c: system, and agents whi c:h damage the lungs, skin, eyes, or muc:ous membranes. Hematology The study of blood. Hematoma - A blood c:lot under the surfac:e of the skin. . . . e e Hematopoietic: System - The blood fo~ming mec:hanism of the human body. Hepatotoxin A substanc:e that c:auses inju~y to the live~. Highly toxic: c:atego~ies: A chemic:al falling within any of the following (a) A c:hemic:al with a mediøn lethal dose (LDSO) of 50 millig~ams o~ less pe~ kilog~am of body weight when administe~ed o~ally to albino ~ats weighing between 200 and 300 g~ams eac:h. (b) A c:hemic:al with a median lethal dose (LDSO) of 200 millig~ams O~ less pe~ kilog~am of body weight when administe~ed by c:ontinuous c:ontac:t fo~ 24 hou~s (o~ less if death oc:c:u~s within 24 hou~s) with the ba~e skin of albino ~abbits weighing between 2 and 3 kilog~ams eac:h. (c:) A c:hemic:al that has a median lethal c:onc:ent~ation (LCSO) in ai ~ of 200 pa~ts pe~ mi 11 ion by vo 1 ume o~ 1 ess of gas o~ vapo~, o~ 2 millig~ams pe~ lite~ o~ less of mist, fume, o~ dust, when administe~ed by c:ontinuous inhalation fo~ 1 hou~ (o~ 1 ess if dea th oc:c:u~s wi thin 1 hou~) to albino ~ats weighing between 200 and 300 g~ams eac:h. HMIS Haza~dous Mate~ial Info~mation System is an MSDS file maintained by the Depa~tment of Defense and c:ontains MSDS's and t~anspo~tation data fo~ p~oduc:ts pu~c:hased by ODD and GSA. Ho~mones - Ac:t as c:hemic:al messenge~s to body o~gans. Hype~plasia - Inc:~ease in volume of a tissue o~ o~gan c:aused by the g~owth of new c:ells. IARC - Inte~national Agenc:y fo~ Resea~c:h on Canc:e~. Ignitable - Capable of being set afi~e. Impe~vious - A mate~ial that does not allow anothe~ substanc:e to pass th~ough o~ penet~ate it. Inc:ompatible - Mate~ials that c:ould c:ause dange~ous ~eac:tions by di~ec:t c:ontac:t with one anothe~. Ingestion - Taking in by the mouth. Inhal - See inhalation. Inhalation - B~eathing in of a substanc:e in the fo~m of a gas, vapo~, fume, mist, o~ dust. Inhibito~ - A c:hemic:al added to anothe~ substanc:e to p~event an unwanted c:hemic:al c:hange. . . . e e Insol - See insoluble. Insoluble - Inc:apable of being dissolved in a liquid. Intrauterine - Within the uterus. Irritant - A c:hemic:al, whic:h is not c:orrosive, but whic:h c:auses a reversible inflammatory effec:t on living tissue by c:hemic:al ac:tion at the site of c:ont~~t. A c:hemic:al is a skin irritant if, when tested on the intac:t skin of albino rabbits by the methods of 16 CFR 1500 41 for 4 hours exposure or by other appropriate tec:hn iques, it resu 1 ts in an empir i c:a 1 sc:ore of 5 or more. A c:hemic:al is an eye irritant if so determined under the proc:edure listed in 16 CFR 1500.42 or other appropriate tec:hniques. Irritating An irritating material, liquid or solid substanc:e whic:h, upon exposed to air, gives off dangerous or (not inc:luding poisonous materials). Poison, Class B. as defined by DOT, is a c:ontac:t with fire or when intensely irritating fumes See Poison, Cl ass A and kg - Kilogram is a metric unit 01 weight, about 2.2 U.S. pounds. Also see "g/kg", "g" and "mg". L - Liter is a metric unit of c:apac:ity. 9/10 of a liter. A U.S. quart is about Lac:rimation - Sec:retion and disc:harge of tears. Label Notic:e attac:hed to a c:ontainer, bearing information c:oncerning its c:ontents. Lac:tation - The sec:retion of milk by the breasts. LC - Lethal c:onc:entration is the concentration of a substance being tested that will kill. LCL - Lethal c:onc:entration, low, lowest c:onc:entration of a gas or vapor c:apabl e of kill ing a spec:i f ied spec:ies. Over a spec:i f ied time. LC50 - The c:onc:entration of a material in air that will kill 50 perc:ent of a group of test animals with a single exposure (usually 1 to 4 hours). The LCSO is expressed as parts of material per million parts of air, by volume (ppm) for gases and vapors, or as mic:rograms of material per liter of air (g/l) or milligrams of material per c:ubic: meter of air (mg/m3) for dusts and mists, as well as for gases and vapors. LD - Lethal dose is the quantity of a substanc:e being tested that will kill. LDL - Lethal dose low, lowest administered dose of a material c:apable of killing a spec:ified test spec:ies. I- . . e e LD50 - A single dose of a material expec:ted to kill 50 perc:ent of a group of test animals. The LD50 dose is usually expressed as milligrams or grams of material per kilogram of animal body weight (mg/ kg or g/ kg) . The mater ia 1 may be admin istered by mouth Dr applied to the skin. LEL, or LFL - Lower explosive limit, or lower flammable limit, of a vapor or gas; the lowest conc:entration (lowest perc:entage of the substanc:e in air) that will produc:e a flash of fire when an ignition source (heat, arc:, or flame) is present. At c:onc:entrations lower than the LEL, the mi x ture is too "1 ean" to burn. Also see "UEL". Lesion - Any damage to a tissue. Lfm - Linear feet per minute, a unit of air veloc:ity. Loc:al exhaust A system for c:apturing and exhausting c:ontaminants from the air at the point where the c:ontaminants are produc:ed (welding, grinding, sanding, other proc:esses or operations). Also see "general exhaust". M - Meter is a unit of length in the metric: system. about 39 inches. One meter is m3 Cubi c: meter 35.3 c:ubic: feet or is a metric: measure 1.3 c:ubic: yards. of volume, approximately Malaise A feeling of general uneasin~ss, an out-of-sorts feeling. disc:omfort, distress, or Malignant in death. Tend ing to bec:ome prog ressi ve 1 y worse and to resu 1 t Mammary - Pertaining to the breast. Mec:hanic:al exhaust - A powered devic:e, such as a motor-driven fan or air steam venturi tube, for exhausting c:ontaminants from a work plac:e vessel, or enc:losure. Mec:hanic:al Filter Respirator against airborne partic:ulate fume, and smoke, Mec:hanic:al protec:tion against gases, atmospheres. A respirator used to protec:t matter like dusts, mists, metal filter respirators do not provide vapors, or oxygen defic:ient Melting point The temperature at whic:h a solid substanc:e c:hanges to a liquid state. Menorrhagia - Exc:essive menstruation. Menstruation - Periodic disc:harge of blood from the vagina from a nonpregnant uterus. . . . e e, MESA - Mining enforc:ement and Safety Administration. MetaboI ism - Physi c:a I and c:hemi c:a I proc:esses tak ing p 1 ac:e among the ions, atoms, and molec:ules of the body. Metastases - The transfer of disease from one organ or part to another not direc:tly c:onnec:ted with it. mg Milligram is a metric: .unit of weight whic:h is one-thousandth of a gram. mg/kg - Milligrams of substanc:e per kilogram of body weight is an expression of toxic:ologic:al dose. 'õ" mg/m.J Milligrams per c:onc:entrations of dusts, c:ubic: gases, meter is a uni t or mists in air. for expressing Micron - Mic:rometer is a unit of length equal to one-millionth of a meter. A mic:ron is approximately 1/23,000 of an inc:h. MId - Mild. Mist - Suspended liquid droplets generated by c:ondensation the gaseous to the liquid state, or by breaking up a liquid a dispersed state, suc:h as splashing, foaming or atomizing. is formed when a finely divided liquid is suspended in air. from into Mist Mixture c:ombination reac:tion. Any is c:ombination of not, in whole or more c:hemic:als the resul t of a if the c:hemic:al two or part, ml - Milliliter is a metric: unit 01 c:apac:ity, equal in volume to 1 c:ubic c:entimeter (c:c:) , or approximately one-sixteenth of a c:ubic: inch. One-thousandth 01 a liter. mmHg - Millimeters (mm) of merc:ury (Hg) is a unit 01 measurement for low pressures or partial vac:uums. Molec:ular Weight - Weight (mass) of a molec:ule based on the sum 01 the atomic: weights of the atoms that make up the molec:ule. mppc:f - Million partic:les per c:ubic: foot is a c:onc:entration 01 partic:les 01 a substanc:e Exposure limits for mineral dusts (silic:a, c:ement, nuisanc:e dusts, and others), formerly are now more c:ommonly expressed in mg/m3. unit for expressing suspended in air. graphite, Portland expressed as mppc:f, MSHA - Mine Safety and Health Administration, U.S. Department of Labor. Mutagen - A substanc:e or agent c:apab 1 e of alter ing the geneti c: material in a living c:ell. MW - See molec:ular weight. . . . e e N2 - Nitr-ogen is a c:olor-less, odor-less, and tasteless gas that wi 11 not bur-n and wi 11 not suppor-t c:ombustion. The ear-th' s atmospher-e (air-) is about 78 per-c:ent nitr-ogen. At higher- c:onc:entr-ations, nitrogen c:an displac:e oxygen and bec:ome a lethal asphyxiant. See "Asphyxiant". Nar-c:osis A state of ac:tivity pr-oduc:ed by c:hemic:als. stupor-, unc:onsc:iousness, or- the influenc:e of nar-c:otic:s ar-r-ested or- other- Nausea - Tendenc:y to vomit, feeling of sic:kness at the stomac:h. NCI National Canc:er- Insti tute is that par-t of the National Institutes of Health which studies cancer- causes and pr-evention as well as diagnosis, tr-eatment, and r-ehabi I i tation of c:anc:er- patients. NFPA - National Fire Pr-otection Assoc:iation is an inter-national member-shi p or-gani za tion whi ch pr-omotes/ improves f i r-e pr-otec:tion and prevention and establ ishes safeguards against loss of 1 i fe and property by fire. Best known on the industrial sc:ene for the Nationa 1 F i r-e Codes 16 vo 1 umes of c:odes, standards, rec:ommended prac:tic:es and manuals developed (and periodic:ally updated) by NFPA technical c:ommittees. Among these is NFPA 704, the c:ode for showing hazards of materials as they might be enc:ountered under fir-e or related emergenc:y c:onditions, using the familiar diamond-shaped label or plac:ard with appropriate numbers or symbols. Neo - See neoplasia Neonatal - The first 4 weeks after birth. Neoplasia A c:ondi tion c:harac:terized by the pr-esence of new growths (tumor-s). Nephrotoxln - A substanc:e that c:auses injury to the kidneys. Neurotoxin A material that affects the nerve c:ells and may produc:e emotional or behavioral abnor-malities. Neutralize To eliminate potential hazards by inac:tivating strong ac:ids, c:austic:s, and oxidizers. For example, ac:ids c:an be neutralized by adding an appropriate amount of c:austic: substanc:e to the spill. ng - nanogram, one-billionth of a gram. NIOSH - National Institute for Oc:c:upational Safety and Health, U.S. Public: Health Servic:e, U.S. Department of Health and Human Servic:es (DHHS), among other ac:tivities, tests and c:ertifies respi ratory protec:ti ve devi c:es and ai r sampl ing detec:tor tubes, rec:ommends oc:c:upational exposure limits for various substanc:es, . . . e e and assists OSHA and MSHA in oc:c:upational safety and health investigations and research. Nonflammable rapidly. Not easi I y ign i ted, or if igni ted, not burn ing NonSparking Tools - Tools made from beryllium-c:opper or aluminum- bronze greatly reduc:e the possibility of igniting dusts, gases, or flammable vapors. Although these tools may emit some sparks when striking metal, the sparks have a low heat content and are not likely to ignite most flammable liquids. NP IRS Na tiona 1 Pesti c:ide Information Retr ieva I System is an automated data base operated by Purdue University c:ontaining information on EPA registered pestic:ides, inc:luding referenc:e file MSDS's. NRC National Response Center must be c:alled when signific:ant environment related ac:c:idents number is 1-800--424-8802. notific:ation c:enter whic:h c:hemic:al spills or other The toll-free telephone is a oil or occ:ur. NOx Oxides of nitrogen whic:h are Llndesirable air pollutants. NO emissions are regulated by EPA under the Clean Air Ac:t. NTP - National Toxic:ology Program. Report on Carc:inogens. The NTP publishes an Annual Odor A desc:ription of the smell of the substanc:e. Odor Threshold - The lowest c:onc:entration of a substanc:e's vapor, in air, that c:an be smelled. Olfac:tory - Relating to the sense of smell. Oral Used in or taken into the body through the mouth. OFAP Offic:e of Federal Agenc:y Programs is the organizational uni t of OSHA whi c:h provides Federa 1 agen c:ies wi th guidanc:e to develop and implement oc:cupational safety and health programs for Federal employees. Oral Toxic:ity - Adverse effec:ts resulting from taking a substanc:e in to the body by mouth. Ordinar i 1 y used to denote ef fec:ts in experimental animals. Organic: Peroxide - An organic: c:ompound that c:ontains the bivalent -0-0 struc:ture and may be considered a struc:tural derivative of hydrogen peroxide where one or both of the hydrogen atoms has been replac:ed by an organic: radic:al. Organogenesis - The sec:retion of tissues into different organs in embryonic: development. · · · e e OSHA Oc:c:upational Safety and Health Administration, Department of Labor. u.S. Ovary - The female sex gland in whic:h ova are formed. Overexposure Exposure to a hazardous material beyond the allowable exposure levels. Ovulation - The proc:ess iI"), whic:h an ovum is discharged from an ovary. Ovum - Egg. Oxidation - In a literal sense, oxidation is a reaction in whic:h a substanc:e c:ombines with oxygen provided by an oxidizer or oxidizing agent. Oxidizer - A c:hemic:al other than a blasting. Oxidizing Agent - A c:hemical or substanc:e that brings about an oxidation reac:tion. The agent may (1) provide the oxygen to the substanc:e being oxidized (in whic:h c:ase the agent has to be oxygen or c:ontain oxygen), or (2) it may rec:eive elec:trons being transferred from the substance undergoing oxidation (chlorine is a good oxidizing agent for elec:tron-transfer purposes, even though it c:ontains no oxygen). Papanic:olaou smear - Test most c:ommonly used to detec:t c:anc:er of the uterus and c:ervix. Pathologic: - Pertaining to or c:aused by disease. Pathology - Sc:ientific: study of alterations produc:ed by disease. PEL - Permissible exposure limit is an exposure limit established by OSHA's regulatory authority. It may be a time weighted average (TWA) limit or a maximum conc:entration exposure limit. Perc:ent Volatile - Perc:ent volatile by volume is the perc:entage of a liquid or solid (by volume) that will evaporate at an ambient temperature of 700F (unless some other temperature is spec:ified). Examples: butane, gasoline, and paint thinner (mineral spirits) are 100 perc:ent volatile; their individual evaporation rates vary, but, in time, eac:h will evaporate c:ompletely. pH - The symbo 1 re I a ting the hydrogen ion (H ) c:onc:en tra tion to that of a given standard solution. A pH of 7 is neutral. Numbers inc:reasing from 7 to 14 indic:ate greater alkalinity. Numbers dec:reasing from 7 to 0 indic:ate greater ac:idity. Physi c:a 1 Haz ard Means a chemi c:a 1 sc:ientific:ally valid evidenc:e that it is a c:ompressed gas, explosive, flammable, an for whic:h there is c:ombustible liquid, a organic: peroxide, an e e . oxidizer, pyrophoric, unstable (reac:tive) or water-reac:tive. Plac:enta A struc:ture that grows on the wall of the uterus during pregnanc:y, through whic:h the fetus is nourished. PMCC - Pensky-Martens Closed Cup. See flashpoint. Pneumoc:oniosis A c:ondition of the lung in whic:h there is permanent deposition of ~artic:ulate matter and the tissue reac:tion to its presenc:e. It may range from relatively harmless forms of iron oxide-deposition to destructive forms of silic:osis. Poison, Class A - A DOT term for extremely dangerous poisons poisonous gases or liquids that, in very small amounts, either as gas or as vapor of the liquid, mixed with air, are dangerous to life. Examples: phosgene, c:yanogen, hydroc:yanic: ac:id, nitrogen peroxide. Poison, Class B A semisolid substanc:es materials -- that are tests) to be so toxic during transportation. . Polymerization ~ A chemic:al reaction in whic:h one or more small molec:ules c:ombine to form larger molec:ules. A hazardous polymerization is suc:h a reac:tion that takes plac:e at a rate that releases large amounts of energy. If hazardous polymerization c:an oc:c:ur with a given material, the MSDS usually will list c:onditions that c:ould start the reac:tion and sinc:e the material usually c:ontains a polymerization inhibitor the length of time during which the inhibitor will be effec:tive. DOT term for liquid, solid, paste or other than Class A poisons or irritating known (or presumed on the basis of animal to humans that they are a hazard to health air -- parts (by volume) of the gas of air; also the c:onc:entration of solid. or vapor in a parti c:u 1 ar gas or vapor in a mi 11 ion parts in a I iquid or ppm - Parts per million is the c:onc:entration of a ppb - Parts per billion is the conc:entration of a gas or vapor in air -- parts (by volume) of the gas or vapor in a billion parts of air. Usually used to express extremely low c:onc:entrations of unusually toxic: gases or vapors; also the conc:entration of a partic:ular substanc:e in a liquid or solid. Prenatal - Prec:eding birth. . psi - Pounds per square inc:h (for MSDS purposes) is the pressure a material exerts on the walls of a c:onfining vessel or enc:losure. For tec:hnic:al ac:c:urac:y, pressure must be expressed as psig (poLtnds per square inc:h gauge) or psia (pounds per square inc:h absolute; that is, gauge pressure plus sea level atmospheric: pressure, or psig plus approximately 14.7 pounds per square inc:h). Also see "mmHg". · - ~ e e Pul - See pulmonary. Pulmonary - Relating to, or assoc:iated with, the lungs. Pulmonary Edema - Fluid in the lungs. Pyrophoric: - A c:hemic:al that will ignite spontaneously in air at a temperature of 130F (54.40C) or below. Reac:tion - A c:hemic:al transformation or c:hange. The interac:tion of two or more substanc:es to form new substanc:es. Reac:tive - See Unstable. Reac:tivity Chemic:al reac:tion with the release of energy. Undesirable effects suc:h as pressure buildup, temperature inc:rease, formation of noxious, toxic: or c:orrosive byproduc:ts - may oc:c:ur bec:ause of the reac:ti vi ty of a substan c:e to hea ting, burning, direc:t c:ontac:t with other materials, or other c:onditions in use or in storage. Reduc:ing agent In a reduc:tion simultaneously with an oxidation the c:hemic:al or substance whic:h loses elec:trons to the reac:tion. reac:tion (whi c:h a 1 ways oc:curs reaction) the reduc:ing agent is (1) c:ombines with oxygen or (2) See "ox ida tion" . Reproduc:tive toxin - Substanc:es that affec:t either male or female reproduc:tive systems and may impair the ability to have c:hildren. Respiratory protec:tion - Devic:es that will protec:t the wearer's respiratory system from overexposure by inhalation to airborne c:ontaminants. Respiratory protec:tion is used when a worker must work in an area where he/she might be exposed to c:onc:entration in exc:ess of the allowable exposure limit. Respiratory system - The breathing system that and the air passages (trachea or "windpipe", nose) to the air oLltside the body, plus the and c:irc:ulatory supply. inc:ludes the lungs larynx, mouth, and assoc:iated nervous Routes of Entry - The means by whic:h material may gain ac:c:ess to the body, for example, inhalation, ingestion, and skin c:ontac:t. RCRA - Resourc:e Conservation and Rec:overy Ac:t is environmental legislation aimed at c:ontrolling the generation, treating, storage, transportation and disposal of hazardous wastes. It is administered by EPA. Sarc:oma - A tumor whic:h is often malignant. Self-Contained Breathing Apparatus A respiratory protec:tion devic:e that consists of a supply or a means of respirable air, oxygen, or oxygen-generating material, c:arried by the wearer. . , . e e Sensitizer - A c:hemic:al that c:auses a substantial proportion of exposed people or animals to develop an allergic: reac:tion in normal tissue after repeated exposure to the c:hemic:al. SETA - Setaflash Closed Tester. See flashpoint. Silic:osis - A disease of the lungs c:aused by the inhalation of silic:a dust. Skn - Skin. "Skin" A notation (sometimes used with PEL or TLV exposure data) whic:h indic:ates that the stated substanc:e may be absorbed by the skin, mucous membranes, and eyes -- either airborne or by direct contac:t and that this additional exposure must by c:onsidered part of the total exposure to avoid exc:eeding the PEL or TLV for that substanc:e. Sk in Absorption Abi I i ty of some haz ardous c:hemi c:a I s to pass direc:tly through the skin and enter the bloodstream. Skin Sensitizer - See "Sensitizer". Skin Toxic:ity - See "Dermal Toxic:ity". SOx - Oxides of sulfur. Solubility in material (by temperature. spill c:leanup a material. wa ter A term ex pressing the per-c:en tage of a weight) that wi 11 dissol ve in water at ambient Solubility infor-mation c:an be useful in determining methods and re-extinguishing agents and methods for Solvent A substanc:e, substanc:es ar-e dissolved. usually a liquid, in whic:h other The most c:ommon solvent is water. Spec:ies - On the MSDS's, spec:ies r-efers to the test animals usua 11 y rats, mi c:e, or rabbi ts used to obtain the tox i c:i ty test data repor-ted. Spec:ific: Chemic:al Identity Abstrac:ts Ser-vic:e (CAS) Registry designation of a substanc:e. The c:hemic:al name, Chemic:al Number, or any prec:ise c:hemic:al Spec:i f i c: Gravity The weight of a materia I c:ompar-ed to the weight of an equal volume of water is an expression of the density (or heaviness) of a mater-ial. Insoluble mater-ials with spec:ific: gr-avity of less than 1.0 will float in (or on) water. Insoluble materials with spec:ific gravity greater- than 1.0 will sink in water. Most (but not all) flammable liquids have spec:ific: gr-avity less than 1.0 and, if not soluble, will float on water an important c:onsideration for fire suppression. Spill Leak Pr-oc:edur-es The methods, equipment, and or . . . e e prec:autions that should be used to c:ontrol or c:lean up a leak or spill. Spl ash Proof Gogg les Eye protec:tion material that fits snugly against the ventilation ports. made fac:e, of a and nonc:orrosive has ind i rec:t Spontaneously Combustible - A material that ignites as a result of retained heat from p~oc:essing, or whic:h will oxidize to generate heat and ignite, or which absorbs moisture to generate heat and ignite. Squamous - Scaly or plate like. Stability - The ability of a material to remain unc:hanged. MSDS purposes, a material is stable if it remains in the form under expec:ted and reasonable c:onditions of storage or Condi tions whi c:h may c:ause instabi 1 i ty (dangerous c:hange) stated; for exampl e, temperatures above 1500F; shoc:k dropping. For same use. are from STEL - Short Term Exposure Limit (ACGIH terminology). See TLV. Stenosis Narrowing of a body passage or opening. Steroids A c:omplex molec:ule among whic:h are the male and female sex hormones. Subc:utaneous Beneath the layers of the skin. Supplied Air Respirators breathing apparatus. Air line respirators of self-c:ontained Sys - System or systemic:. Systemic: Poison A poison which spreads throughout the body, affec:ting all body systems and organs. Its adverse effec:t is not loc:alized in one spot or area. Systemic: Toxic:ity - Adverse effec:ts c:aused by a substanc:e whic:h affec:ts the body in a general rather than loc:al manner. Synonym Another name or names by Methyl alc:ohol, for example, is a 1 c:oho 1. whic:h known material methanol is known. or wood a as Target Organ Effec:ts The following is a target organ c:ategorization of effec:ts which may oc:c:ur, inc:luding examples of signs and symptoms and c:hemic:als whic:h have been found to c:ause suc:h ef fec:ts. These examp 1 es are presented to ill us trate the range and diversity of effec:ts and hazards found in the work plac:e, and the broad sc:ope'employers must c:onsider in this area, but are not intended to be all inc:lusive. e . a. Hepatoxins . Signs and Symptoms . Chemic:als. b. Nephrotoxins . ~. . Signs and Symptoms . Chemic:als. c:. Neurotoxins. Signs and Symptoms . . Chemic:als. d. Agents whic:h ac:t on. blood hematopoietic: system Signs and Symptoms . Chemic:als. e. Agents whic:h damage. the lung . Signs and Symptoms Chemic:als. f . Reproduc:tive toxins. . Signs and Symptoms . Chemic:als. g. Cutaneous hazards. e Chemic:als whic:h produc:e liver damage. Jaundic:e; liver enlargement. Carbon tetrac:hloride; nitrosamines. Chemic:als whic:h produc:e kidney damage. Edema; proteinuria. Halogenated uranium. ~ydroc:arbons; Chemic:als whic:h produc:e their primary toxic: effec:ts on the nervous system. Narc:osis; behavioral c:hanges; dec:rease in motor func:tions. Merc:ury, c:arbon disulfide. Decrease hemoglobin func:tion; deprive the body tissues of oxygen. Cyanosis; c:onsc:iousness. o f 1 0 s s Carbon monoxide; c:yanides. Chemicals whic:h irritate or damage the pulmonary tissue. Cough, tightness in shortness of breath. c:hest~ Silic:a; asbestos. Chemic:als whic:h affec:t the reproduc:tive c:apabilities inc:luding c:hromosomal damage (mutations) and effec:t on fetuses (teratogenesis). Birth defec:ts; sterility. Lead; DECP. Chemic:als whic:h affec:t dermal layer of the body. the . . . e e Signs and Symptoms. Defatting of the skin; ~ashes; i~~itation. Chemic:als. Ketones; c:ompounds. c:hlo~inated h. Eye haza~ds. Chemic:als whic:h affec:t the eye o~ visual c:apac:ity. Signs and Symptoms . Conjunc:tivitis; damage. c:o~neal Chemic:als. O~ganic: solvents; ac:ids. Ta~get O~gan Toxin - A toxic: substanc:e that attac:ks o~gan of the body. Fo~ example, ove~exposu~e tet~ac:hlo~ide c:an c:ause live damage. a spec:ific: to c:a~bon TCC Tag (Tagliabue) Closed Cup. See flashpoint. TCL - Toxin conc:ent~ation low, the lowest c:onc:ent~ation of o~ vapo~ capable of p~oduc:ing a defined toxic: effec:t specified test spec:ies ove~ a spec:ified time. a gas in a TDL Toxic: dose low, lowest administe~ed c:apable of p~oduc:ing a defined toxic: effec:t spec:ies. dose of a mate~ial in a spec:i f ied test Temp - Tempe~atu~e. Te~ - See Te~atogen. Te~atogen - A substanc:e o~ agent, exposure to whic:h by a p~egnant female c:an ~esult in malfo~mations in the fetus. Tfx Toxin effec:t(s). TLV Th~eshold Limit Value is a te~m used by ACGIH to exp~ess the airbo~ne c:onc:ent~ation of mate~ial to whic:h nea~ly all pe~sons can be ex posed day af te~ day wi thou t adve~se ef fec:ts. ACGIH expresses TLVs in th~ee ways: TLV-TWA: The allowable Time Weighted Average c:onc:ent~ation for a no~mal 8-hour wo~kday o~ 80-hou~ workweek. TLV-STEL: The Sho~t-Te~m Exposure Limit, or maximum c:onc:ent~ation fo~ a c:ontinuous 15-minute exposu~e period (maximum of fou~ suc:h pe~iods pe~ day, with at least 60 minutes between exposu~e pe~iods, and p~ovided the dai I y TLV-TWA is not exc:eeded). TLV-C: The c:eiling exposu~e limit -- the c:onc:ent~ation that should not be exc:eeded even instantaneously. . . '. e e TOC - TAG Open Cup. See flashpoint. Torr - A unit of pressure, equal to 1/760 atmosphere. Toxic: A c:ategories: c:hemic:al falling within of following any the (a) A c:hemic:al with a median lethal dose (LDSO) or more than 50 milligrams per kilogram but not more than 500 milligrams per kilogram of body weight when administered orally to albino rats weighing between 200 and 300 grams eac:h. (b) A c:hemic:al that has a median lethal dose (LDSO) or more than 200 milligrams per kilogram but not more than 1,000 milligrams per kilogram of body weight when administered by c:ontinuous c:ontac:t for 24 hours (Dr less if death oc:c:urs within 24 hours) with the bare skin of albino rabbits weighing between two and three kilograms eac:h. (c) A c:hemical that has a median lethal conc:entration (LCSO) in air Dr more than 200 parts per mi 11 ion but not more than 2,000 parts per million by volume of gas Dr vapor, or more than two milligrams per liter but not more than 20 milligrams per liter of mist, fume, or dust, when administered by c:ontinuous inhalation for one hour (or less if death oc:c:urs wi thin 1 hour) to a I bino rats weighing between 200 and 300 grams each. Toxic: Substanc:e - Any substanc:e whic:h c:an c:ause acute Dr c:hronic: injury to the human body, or whic:h is suspec:ted of being able to c:ause diseases or injury under some c:onditions. Toxic:ity - The sum of adverse effec:ts resulting from exposure to a material, generally by the mouth, skin, or respiratory tract. Trade Name - The trademark name or c:ommerc:ial trade name for a material or produc:t. Transpl ac:en ta I An agent that c:auses physi c:a 1 defec:ts in the developing embryo. TSCA Toxic: Substanc:es Control Ac:t (Federal Environmental Legislation administered by EPA) regulates the manufac:ture, handling, and use of materials c:lassified as "toxic: substanc:es". TWA Time-Weighted Average c:onc:entration of a material to averaged over the tota I ex posure workday (8 to 12 hours). Also see is the person is generally airborne exposed, the tota I exposure whic:h a time "TLV". UEL,or UFL - Upper explosive limit or upper flammable limit of a vapor or gas; the highest c:onc:entration (highest perc:entage of the substanc:e in air) that will produc:e a flash of fire when an . . . igni tion sourc:e c:onc:entrations, "LEL". (heat, arc:, the mi x ture or is flame) is too "ric:h" present. to burn. At higher Al so see ug - Mic:rogram, one-millionth of a gram. Unstable Tending toward dec:omposition or other unwanted c:hemic:al c:hange during normal handling or storage. Unstable Reac:tive - A c:hemic:al that, in produc:ed or transported, wi 11 vigorous 1 y c:ondense, or bec:ome se 1 f -reac:ti ve under pressure, or temperature. the pure state, or as polymerize, dec:ompose, c:ondi tions of shoc:ks, USDA - U.S. Department of Agric:ulture. Uterus - A musc:ular organ whic:h holds and nourishes the growing fetus. Vapor - The gaseous form of a sol id or 1 iquid substanc:e as it evaporates. . Vapor densi ty The weight of a vapor or gas c:ompared to the weight of an equal volume of air is an expression of the density of the vapor or gas. ¡VIa ter ia 1 slighter than ai r have vapor densities less than 1.0 (examples: ac:etylene, methane, hydrogen). Materials heavier than air (examples: propane, hydrogen, sulfide, ethane, butane, c:hl or ine, suI fur d iox ide) have vapor densi ties greater than 1.0. A 11 vapors and gases wi 11 mi x wi th ai r, but the lighter materials will tend to rise and dissipate (unless c:onfined). Heavier vapors and gases are likely to c:onc:entrate in low plac:es along or under floors, in swamps, sewers, and manholes, in trenc:hes and ditc:hes -- where they may c:reate fire or health hazards. Vapor pressure - The pressure exerted by a saturated vapor above its own liquid in a closed container. When quality c:ontrol tests are performed on produc:ts, the test temperature is usually 1000F, and the vapor pressure is expressed as pounds per square inc:h (psig or psia), but vapor pressures reported on MSDS' s are in millimeters of merc:ury (mmHg) at 6SoF (200C), unless stated otherwise. Three fac:ts are important to remember: 1- 2. . 3. Vapor pressure of a substanc:e at 1000F will always be higher than the vapor pressure of the substanc:e at 6SoF (200C). Vapor pressures low pressures; square inc:h. reported on MSDS's in mmHg are usually very 760 mmHg is equivalent to 14.7 pounds per The lower the boiling point of a substanc:e, the higher its vapor pressure. ~ Ventilation See "General Ex haust" , "Loc:al Exhaust" and . . . e . "Mec:hanic:al Exhaust". Vermic:ulite - An expanded mic:a (hydrated magnesium-aluminum-iron silic:ate) used as sorbent for spill c:ontrol and c:leanup. Volatility - A measure of how quic:kly a substanc:e forms a vapor at ordinary temperatures. Visc:osity The tendenc:y ,Df a fluid to resist internal flow without regard to its density. Water Disposal Methods - Proper disposal methods for c:ontaminated material, rec:overed liquids or solids, and their c:ontainers. Water-Reac:tive - A c:hemic:al that reacts with water to release a gas that is either flammable or presents a health hazard. Work Area A room or def ined space hazardous c:hemic:als are produc:ed or used, present. in a work plac:e where and where employees are Work plac:e An establishment at one geographic:al c:ontaining one or more work areas. loc:ation