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KERN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
INVESTIGATION RECORD
DBA
OWNER
ADDRESS
ASSESSORS' PARCEL I
ADDRESS
CT
CHRONOLOGICAL RECORD OF INVESTIGATION
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3/11/9 (
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CORO SHELL WHITE LANE
SiteID: 015-021-000355
Manager : MARSHA HOYT
Location: 2600 WHITELN
City BAKERSFIELD
CommCode: BAKERSFIELD STATION 05
EPA Numb:
BusPhone:
Map : 123
Grid: 13C
(661) 832-4801
CommHaz : Low
FacUnits: 1 AOV:
SIC Code:7538
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
STEVE YANG / MANAGER TIM WOODSON / COMPLIANCE COOR
Business Phone: (661) 832-4801x Business Phone: (925) 766-3494x
24-Hour Phone (818) 720-1489xCELL 24-Hour Phone ( ) x
Pager Phone (661) 205-6152x Pager Phone ( ) x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Period
Preparer:
Certif'd:
ParcelNo:
to
Phone: (925) 766-3494x
State: CA
Zip 94533
Phone: (925) 766-3498x
State: CA
Zip 95350
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
Contact : TIM WOODSON
MailAddr: 2401 A WATERMAN BLVD
City FAIRFIELD
Owner
Address
City
SHELL OIL PRODUCTS US
3498 CLAREMONT AVE
MODESTO
Emergency Directives:
cIJlkisý'S ff~ l ~ ~ 61~t{)
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F CORO SHELL WHITE LANE
f= Hazmat Inventory
f== MCP+DailyMax Order
SiteID: 015-021-000355 9
By Facility Unit 9
Fixed Containers on Site 9
specHazEPA Hazards I Frm I DailyMax IUnitlMCP
E F P IH G 4550.00 FT3 Hi
F IH DH L 10000.00 GAL Mod
F IH DH L 10000.00 GAL Mod
F IH DH L 10000.00 GAL Mod
F DH L 550.00 GAL Low
P IH G 348.00 FT3 Min
Hazmat Common Name...
PROPANE
GASOLINE
GASOLINE
GASOLINE
WASTE OIL
CARBON DIOXIDE
-2-
03/11/2004
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F CORO SHELL WHITE LAN~
f= Inventory Item 0008
= COMMON NAME / CHEMICAL NAME
PROPANE
SiteID: 015-021-000355 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS#
74-98-6
STATE - TYPE
Gas Pure
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
4550.00 FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
4550.00 FT3
Daily Average
4550.00 FT3
%wt. I
lOoooo:propap.e
HAZARDOUS COMPONENTS
~
CAS #
749861
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
HAZARD ASSESSMENTS
Ag.Definedl:
Ag.Defined5:
Ag.Defined8:
MISC. LOCAL AGENCY DATA
Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined6: Ag.Defined7:
Ag.Defined9: Ag.DefinelO:
I- Ag .Definel1
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03/11/2004
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F CORO SHELL WHITE LANE
f= Inventory Item 0001
¡:::= COMMON NAME / CHEMI CAL NAME
GASOLINE
UNLEADED
Location within this Facility Unit
N SIDE OF LOT
SiteID: 015-021-000355 ì
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Map: Grid:
CAS#
8006619
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
3500.00 GAL
%Wt. I
100.00 Gasoline
HAZARDOUS COMPONENTS
~I
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-
03/11/2004
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F CORO SHELL WHITE LANE SiteID: 015-021-000355 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: N SIDE OF LOT
TANK DESCRIPTION
Tank ID#: 1 Mfr: OWENS-CORNING
Installed: 06/1991 Capacity: 10000 Gals
Additional Info:
Compart Tank: N
No. Of Comparts:
Tank Use: MOTOR VEHICLE FUEL
MatI Name:GASOLINE
TANK CONTENTS
Petrol Type: REGULAR UNLEADED
Cas #:
8006619
TANK CONSTRUCTION
Type : DOUBLE WALL
Material(p): FIBERGLASS
Material(s): FIBERGLASS
Lining : UNLINED
Corr Prot: FIBERGLASS REINFORCED
Spill Cnt : 1998
Drop Tube : 1998
Striker Plate: 1998
Sgl Wall:
PLASTIC
Alarm :
Ball Float :
Fill Tube S/O: 1998
TANK LEAK DETECTION
Dbl Wall: INTERSTITIAL MONITORING
Installed:
Installed:
Exempt: No
Last Used:
TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Qty Remaining: Was Filled: No
-5-
03/11/2004
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F CORO SHELL WHITE LANE SiteID: 015-021-000355 9
F Inventory Item 0001 Facility Unit: Fixed Containers on Site 9
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2
PIPING CONSTRUCTION
UnderGround Piping
PRESSURE
SINGLE WALL
AboveGround Piping
Type :
Const:
Mfgr :
Mtl :
& :
Corr :
Prot :
FIBERGLASS
FIBERGLASS
PIPING LEAK DETECTION
UnderGround Piping AboveGround Piping
AUTOMATIC LEAK DETECTORS
Installed: 07/15/1998
Date: 05/10/2000
Name:FERYAL SARRIFIAN
Prmt Number: 0355
DISPENSER CONTAINMENT
Type: DISP. PAN SENSOR W/ POS. SHUTOFF
OWNER/OPERATOR SIGNATURE
Ttl:H&S COORD.
Approved: Yes Expiration Date: 06/30/2006
AGENCY DEFINED
TANK/LINE TEST :01/21/1998
CP CERT. :
MANWAY INSP. :07/01/1999
UST MONIT. CERT:02/05/2004
-6-
03/11/2004
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F CORO SHELL WHITE LANE
f= Inventory Item 0004
= COMMON NAME / CHEMI CAL NAME
GASOLINE
SUPER UNLEADED
Location within this Facility Unit
N SIDE OF LOT
SiteID: 015-021-000355 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Map: Grid:
CAS#
8006619
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
2500.00 GAL
%wt. I
100.00 Gasoline
HAZARDOUS COMPONENTS
Gr]
CAS# I
B006619.
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.Defined6: Ag.Defined7:
Ag.Defined5:
Ag.Defined8:
Ag.Defined9: Ag.Define10:
- Ag.Define11
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03/11/2004
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F CORO SHELL WHITE LANE SiteID: 015-021-000355 9
f= Inventory Item 0004 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: N SIDE OF LOT
TANK DESCRIPTION
Tank ID#: 3 Mfr: OWENS-CORNING
Installed: 06/1991 Capacity: 10000 Gals
Additional Info:
Compart Tank: N
No. Of Comparts:
Tank Use: MOTOR VEHICLE FUEL
Matl Name:GASOLINE
TANK CONTENTS
Petrol Type: PREMIUM UNLEADED
Cas #:
8006619
TANK CONSTRUCTION
Type : DOUBLE WALL
Material(p): FIBERGLASS
Material(s): FIBERGLASS
Lining : UNLINED
Corr Prot: FIBERGLASS REINFORCED
Spill Cnt : 1998
Drop Tube : 1998
Striker Plate: 1998
Sgl Wall:
PLASTIC
Alarm :
Ball Float :
Fill Tube S/O: 1998
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
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03/11/2004
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F CORO SHELL WHITE LANE SiteID: 015-021-000355 9
f= Inventory Item 0004 Facility Unit: Fixed Containers on Site 9
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2
PIPING CONSTRUCTION
UnderGround Piping
PRESSURE
SINGLE WALL
AboveGround Piping
Type :
Const:
Mfgr :
Mtl :
& :
Corr :
Prot :
FIBERGLASS
FIBERGLASS
PIPING LEAK DETECTION
UnderGround Piping AboveGround Piping
AUTOMATIC LEAK DETECTORS
Installed: 07/15/1998
Date: 05/15/2000
Name:FERYAL SARRIFIAN
Prmt Number: 0355
DISPENSER CONTAINMENT
Type: DISP. PAN SENSOR W/ POS. SHUTOFF
OWNER/OPERATOR SIGNATURE
Ttl:H&S CORRD.
Approved: Yes Expiration Date: 06/30/2006
AGENCY DEFINED
TANK/LINE TEST :01/07/1997
CP CERT. :
MANWAY INSP. :07/01/1999
UST MONIT. CERT:02/05/2004
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03/11/2004
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F CORO SHELL WHITE LANE
F Inventory Item 0005
¡::::= COMMON NAME / CHEMICAL NAME
GASOLINE
UNLEADED (89 OCTANE)
Location within this Facility Unit
N SIDE OF LOT
SiteID: 015-021-000355 ì
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Map: Grid:
CAS#
8006619
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
2500.00 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.Defined1:
MISC. LOCAL AGENCY DATA
Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined5:
Ag.Defined8:
Ag.Defined6: Ag.Defined7:
Ag.Defined9: Ag.Define10:
- Ag.Define11
-10-
03/11/2004
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F CORO SHELL WHITE LANE SiteID: 015-021-000355 9
f= Inventory Item 0005 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: N SIDE OF LOT
TANK DESCRIPTION
Tank ID#: 4 Mfr: OWENS-CORNING
Installed: 06/1991 Capacity: 10000 Gals
Additional Info: .
Compart Tank: N
No. Of Comparts:
Tank Use: MOTOR VEHICLE FUEL
MatI Name:GASOLINE
TANK CONTENTS
Petrol Type: UNLEADED PLUS/MIDGRADE
Cas #: 8006619
TANK CONSTRUCTION
Type : DOUBLE WALL
Material(p): FIBERGLASS
Material(s): FIBERGLASS
Lining : UNLINED
Corr Prot: FIBERGLASS REINFORCED
Spill Cnt : 1998
Drop Tube : 1998
Striker Plate: 1998
Sgl Wall:
PLASTIC
Alarm :
Ball Float :
Fill Tube S/O: 1998
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
.
-11-
03/11/2004
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F CORO SHELL WHITE LANE SiteID: 015-021-000355 9
f= Inventory Item 0005 Facility Unit: Fixed Containers on Site 9
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2
PIPING CONSTRUCTION
UnderGround Piping
PRESSURE
SINGLE WALL
AboveGround Piping
Type :
Const:
Mfgr :
Mtl :
& :
Corr :
Prot :
FIBERGLASS
PIPING LEAK DETECTION
UnderGround Piping AboveGround Piping
AUTOMATIC LEAK DETECTORS
Installed: 07/15/1998
Date: 05/15/2000
Name:FERYAL SARRIFAIN
Prmt Number: 0355
DISPENSER CONTAINMENT
Type: DISP. PAN SENSOR W/ POS. SHUTOFF
OWNER/OPERATOR SIGNATURE
Ttl:H&S cOORD.
Approved: Yes Expiration Date: 06/30/2006
AGENCY DEFINED
TANK/LINE TEST :01/21/1998
CP CERT. :
MANWAY INSP. :07/01/1999
UST MONIT. CERT:02/05/2004
-12-
03/11/2004
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F CORO SHELL WHITE LANE
f= Inventory Item 0003
= COMMON NAME / CHEMI CAL NAME
WASTE OIL
SiteID: 015-021-000355 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
N SIDE OF SALES BLDG
Map:
Grid:
CAS #
221
STATE - TYPE
Liquid Waste
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
550.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
550.00 GAL
Daily Average
550.00 GAL
%Wt. RS CAS #
100.00 Waste Oil, Petroleum Based No 0
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
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
-13-
03/11/2004
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F CORO SHELL WHITE LANE
f= Inventory Item 0003
SiteID: 015-021-000355 9
Facility Unit: Fixed Containers on Site 9
WASTE DATA
Treated On Site CA Code US Code GAL Generated/Mo. GAL Generated/Yr.
No 550.00
Treatment UnitID: I Unit Type:
Agency-Defined Text Label
-14-
03/11/2004
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F CORO SHELL WHITE LANE SiteID: 015-021-000355 ;
f= Inventory Item 0003 Facility Unit: Fixed Containers on Site;
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2
Last Action Type:
Location. In Site: N
SIDE OF SALES BLDG
TANK DESCRIPTION
Mfr: OWENS-CORNING
Capacity: 550 Gals
Compart Tank: N
No. Of Comparts:
Tank ID#: 2
Installed: 06/1991
Additional Info:
Tank Use: OIL
MatI Name:WASTE OIL
TANK CONTENTS
Petrol Type: OTHER-DESCRIBE
Cas #:
221
TANK CONSTRUCTION
Type : DOUBLE WALL
Material(p}: FIBERGLASS
Material(s}: FIBERGLASS
, Lining : UNLINED
Corr Prot: FIBERGLASS REINFORCED
Spill Cnt : 1998
Drop Tube : 1998
Striker Plate: 1998
Sgl Wall:
PLASTIC
Alarm :
Ball Float :
Fill Tube S/O: 1998
LEAK DETECTION
Dbl Wall: INTERSTITIAL MONITORING
Installed:
Installed:
1998 Exempt: No
TANK
Last Used:
TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Qty Remaining: Was Filled: No
-15-
03/11/2004
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F CORO SHELL WHITE LANE SiteID: 015-021-000355 9
f= Inventory Item 0003 Facility Unit: Fixed Containers on Site ì
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2
PIPING CONSTRUCTION
UnderGround Piping
GRAVITY
SINGLE 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
Date: 05/10/2000
Name:FERYAL SARRIFIAN
Prmt Number: 0355
Ttl:H&S cOORD.
Approved: Yes Expiration Date: 06/30/2006
AGENCY DEFINED
TANK/LINE TEST :01/21/1998
CP CERT. :
MANWAY INSP. : 07/01/1999
UST MONIT. CERT:02/05/2004
-16-
03/11/2004
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F CORO SHELL WHITE LANE
f= Inventory Item 0007
= COMMON NAME / CHEMI CAL NAME
CARBON DIOXIDE
SiteID: 015-021-000355 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facilíty Unit
IN SALES AREA
Map:
Grid:
CAS#
124-38-09
- TYPE
Pure
PRESSURE ---- TEMPERATURE
Above Ambient Below Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
174.00 FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
348.00 FT3
Daily Average
174.00 FT3
%Wt. RS CAS #
100.00 Carbon Dioxide No 124389
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies P IH / / / Min
HAZARD ASSESSMENTS
Ag.Defined1:
MISC. LOCAL AGENCY DATA
Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined5:
Ag.Defined8:
Ag.Defined6: Ag.Defined7:
Ag.Defined9: Ag.Define10:
- Ag.Define11
-17-
03/11/2004
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SiteID: 015-021-000355 9
Fast Format 9
Overall Site ì
12/12/2000
F CORO SHELL WHITE LANE
I
f= Notif./Evacuation/Medical
Agency Notification
SHELL WILL NOTIFY THE APPROPRIATE STATE AND LOCAL AGENCIES UNLESS THE
SITUATION REQUIRES URGENT IMMEDIATE RESPONSE BY TH AGENCIES, IN WHICH CASE
THE DEALER SHOULD NOTIFY THESE AGENCIES:
1) LOCAL AGENCY: BAKERSFIELD FIRE DEPT 326-3979.
2) CALIFORNIA OFFICE OF EMERGENCY SERVICES: 800-852-7550 (24 HRS).
3) CALL FOR HELP IN CASE OF AN'EMERGENCY BY DIALING 911.
Employee Notif./Evacuation
03/22/1999
IN THE EVENT OF EMERGENCY SITUATION, FIRE OR SPILL, SITE PERSONNEL ARE
NOTIFIED VERBALLY. THE STATION MANAGER OR SENIOUR EMPLOYEE WILL AT THIS
TIME ASSESS THE SITUATION AND DETERMINE WHETHER OUTSIDE NOTIFICATION IS
REQUIRED. IN THE EVENT OF AN EMERGENCY WHICH WOULD REQUIRE TOTAL EVACUATION
OF THE FACILITY, NOTIFICATION WILL BE MADE VERBALLY BY THE SENIOR EMPLOYEE
IN THE AFFECTED AREA. THE ROUTES OF EVACUATION TO BE TAKEN ARE NOTED ON THE
FACILITY DRAWING. ONCE EVACUATED, PERSONNEL WILL ASSEMBLE AT A SAFE
DISTANCE AWAY FROM THE FACILITY, (CONDITIONS PERMITTING WIND DIRECTION,
OTHER RISKS) AND THE STATION MANAGER WILL CONDUCT A HEAD COUNT. IF IT IS
POSSIBLE, THE STATION MANAGER WILL NOTIFY THE SURROUNDING BUSINESSES BY
Public Notif./Evacuation
04/19/1996
IF THERE IS ANY IMMEDIATE DANGER, ANNOUNCE TO ALL PERSONS ON THE SITE:
"THERE IS AN EMERGENCY. PLEASE TURN OFF YOU ENGINES AND LEAVE THE STATION
ON FOOT IMMEDIATELY."
Emergency Medical Plan
12/12/2000
HALL AMBULANCE AND KERN MEDICAL CENTER, 1830 FLOWER ST, 326-2000.
-18-
03/11/2004
·
- -: )1 ~ ¿~<t
" .f3 .~
;~·~Ó~O WHITE LANE SHELL4IÞ
Manager : JVt.""~S_f!AmYT
-~--- -- ."-- . ( -
Location: 2600 WHITE-LN
City BAKERSFIELD
-~c:::<J e/f-¿!tT]. iH'4
.-
"
SiteID: 015-021-do0355
i
i
__I
BusPhone:
Map : 123
Grid: 13C
(661) 832-4801
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 05
EPA Numb:
SIC Code:7538
DunnBrad:
,Emer_qenc~Contact / '1'; t.l_e Emergency Contact / Title
,i rTe.v ~ Y4~ c; ¡; i:> e.c... e "" I TIM WOODSON / COMPLIANCE COOR
\
Business Phone: (661 r- 832=" 48 Ôlx--- Business Phone: (925) 766-3494x
24-Hour Phone : ( ø I , '7 '-0 J ':! f9_c.~( 24-Hour Phone : ( ) - X
1.- ._ _ ____ _
Pager Phone : (661) 205-6152x Pager Phone : ( ) - x
Hazmat Hazards:
Fire Press
ImmHlth DelHlth
Period :
Preparer:
Certif'd:
ParcelNo:
to
Phone: (925) 766-3494x
State: CA
Zip : 94533
Phone: (925 ) 766-3498x
State: CA
Zip : 95350
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
Contact : TIM WOODSON
MailAddr: 2401 A WATERMAN BLVD
City : FAIRFIELD
Owner
Address :
City
SHELL OIL PRODUCTS US
3498 CLAREMONT AVE
: MODESTO
Emergency Directives:
1. E'rl.(.C<:.- J4,~n..J~ h' Do hereby certify that I have
(Type or print name)
reviewed the attached hazardous materla1s manage-
ment Plan forlJi.íe. fIX-tile- SA e.1! and that it along with
(Name ol8USlnesa)
any corrections constitute a complete and correct man-
agement plan ior my facility.
:z(~ ~ ~LÞ
Signature
J/I~/tf1
Date
-1-
08/04/2003
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, "CO,Ro
+ WHITE LANE SHELL
BusPhone:
Map : 123
Grid: 13C
SiteID: 015-021-000355 +
83Z -<(!Jo'
(661) .ad1 eS61YJ,
CommHaz : Low
FacUnits: 1 AOV:
------------------------------------
------------------------------------
Manager :' ~'fl!~ ,Fr~~_a.-,.
Location: 2600 WHITE LÑ'
City BAKERSFIELD
CommCode: BAKERSFIELD STATION 05 SIC Code:7538
EPA Numb: DunnBrad:
+==============================================================================+
+=======================================+======================================+
I Emergencv C~ntact / Title Emerqency Contact / Title
- 'l>YI1~c..... Fr~ / ~Ji..LE~ MAAflt,,¡;;:j1.. Tim Woodson 925-766-3494 3INEER
Bu,s'Ùìešs' PhoíI¿: (661) 832-4801x Compliance Coordinator . 689x
24-Hour Phone: (661) 83t.--"'$x I: 2401A WatennanBI Ste4-257 528x
Pager Phone (661) 205~6152x Fairfield,ÇA94533 892x
+---------------------------------------+--------------------------------------+
I Hazmat Hazards: Fire Press ImmHlth DelHlth I
+ - - - - - - - - - - . , ._._._.-._.-.- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - +
Contact :: CTlm WI,oodson ,. 925-766-3494 Ph\:ll.1t=.~{"84.-8-) :Id.9 C\ n 7 Ax
, omp lance Coordmator
M~lIAddr: 2401A Waterman BI Ste 4-257 S4...cl,bt=-. CA
Clty Fairfield, CA 94533 Zi:p'-: :;1-15-];0 J·Q:Q.;9·,
+ - - - - - - - - - - :... - - - - - - - - - - - - - - - _.-._.-,_. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - +
Owner ~SI1en-0irProducts us , . 925-766-3498 P:r-ïone-: ('8TB) l.::so ::>ð~7''8x
Add .: Attn: Bruce T. Marubash¡ cu... t C'"
ress . , ' .;B::J:;.a. ,e.... :z-s:
. 3498 Claremont A ve ~. .
C 1 t Y :, Modesto, CA 95350 Z.!.'1J -:-~9~.l:-S-1-ð·-,~·8 6'-9-
+------------------------------------------------------------------------------+
Period to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
+------------------------------------------------------------------------------+
Emergency Directives:
+==============================================================================+
+= Hazmat Inventory ========================================= One Unified List +
+== Alphabetical Order ================================= All Materials at Site +
+--------------------------------+-------+-----------+-----+----------+----+---+
I Hazmat Common Name... SpecHazEPA Hazards Frm DailyMax IUnitIMCP
+--------------------------------+-------+-----------+-----+----------+----+---+
CARBON DIOXIDE P IH G 348.00 FT3 Min
GASOLINE F IH DH L 10000.00 GAL Mod
GASOLINE F IH DH L 10000.00 GAL Mod
GASOLINE F IH DH L 10000.00 GAL Mod
PROPANE E F P IH G 4550.00 FT3 Hi
WASTE OIL F DH L 550.00 GAL Low
I, ~TM~Y'^-tç-rh
(Type or print name)
Do hereby certify that I have
reviewed the attached hazardous materials manage-
ment plan fort)kr7·.... Le:..VI ~ SÁ~{Jand that it along with
(Name of Business)
any corrections constitute a complete and correct man-
+==============~~~~~lPl~=~!£AY=taç~i~===========================================+
~¿?//;:u
Signature
03/18/2002
v¡f~/~~
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+ WHITE LANE SHELL ==================================== SiteID: 015-021-000355 +
+= Inventory Item 0007 =============== Facility Unit: Fixed Containers on Site +
+== COMMON NAME / CHEMICAL NAME ==============================+================+
CARBON DIOXIDE I Days On Site I
365
+----------------+
I CAS# I
124-38-09
+=============================================================+================+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Gas I Pure I Above Ambient I Below Ambient I PORT. PRESS. CYLINDER I
+=========+==========+===============+===============+=========================+
+==========================+ AMOUNTS AT THIS LOCATION =========================+
I Largest Container I Daily Maximum I Daily Average I
174.00 FT3 348.00 FT3 174.00 FT3
+==========================+=========================+=========================+
+=======+============== HAZARDOUS COMPONENTS ==============+===+===============+
I %Wt. I IRS I CAS# I
100.00 Carbon Dioxide No 124389
+=======+==================================================+===+===============+
+=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
ITsecret RSIBioHaz Radioactive/Amo~nt ., EPA Hazards I NFPA I) USDOT# I M~P I
No No No No/ Curles P IH / / / Mln
+=======+===+======+====================+=============+=========+========+=====+
Location within this Facility Unit
IN SALES AREA
Map:
Grid:
0001 =============== Facility Unit: Fixed Containers on Site +
CHEMICAL NAME ==============================+================+
I Days On Site I
365
+----------------+
I CAS # I
8006619
+=============================================================+================+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Liquid I Pure I Ambient I Ambient I UNDER GROUND TANK I
+=========+==========+===============+===============+=========================+
+==========================+ AMOUNTS AT THIS LOCATION =========================+
I Largest Container I Daily Maximum I Daily Average I
10000.00 GAL 10000.00 GAL 3500.00 GAL
+==========================+=========================+=========================+
+=======+============== HAZARDOUS COMPONENTS ==============+===+===============+
I %Wt. I IRS I CAS# I
100.00 Gasoline No 8006619
+=======+==================================================+===+===============+
+=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
Tsecret RSIBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curies F IH DH / / / Mod
+=======+===+======+====================+=============+=========+========+=====+
+= Inventory Item
+== COMMON NAME /
GASOLINE
UNLEADED
Location within
N SIDE OF LOT
this Facility Unit
Map:
Grid:
-2-
03/18/2002
It
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+ WHITE LANE SHELL ==================================== SiteID: 015-021-000355 +
+= Inventory Item 0004 =============== Facility Unit: Fixed Containers on Site +
+== COMMON NAME / CHEMICAL NAME ==============================+================+
GASOLINE Days On Site I
SUPER UNLEADED 365
Location within this Facility Unit Map: Grid: +----------------+
N SIDE OF LOT I CAS# I
8006619
+=============================================================+================+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Liquid I Pure I Ambient I Ambient I UNDER GROUND TANK I
+=========+==========+===============+===============+=========================+
+==========================+ AMOUNTS AT THIS LOCATION =========================+
I Largest Container I Daily Maximum I Daily Average I
10000.00 GAL 10000.00 GAL 2500.00 GAL
+==========================+=========================+=========================+
+=======+============== HAZARDOUS COMPONENTS ==============+===+===============+
I %Wt. I IRS I CAS# I
100.00 Gasoline No 8006619
+=======+==================================================+===+===============+
+=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
I TSecret\ RSIBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I·
No No No No/ Curies F IH DH / / / Mod
+=======+===+======+====================+=============+=========+========+=====+
+= Inventory Item 0005 =============== Facility Unit: Fixed Containers on Site +
+== COMMON NAME / CHEMICAL NAME ==============================+================+
GASOLINE I Days On Site I
UNLEADED (89 OCTANE) 365
Location within this Facility Unit Map: Grid: +----------------+
N SIDE OF LOT I CAS# I
8006619
+=============================================================+================+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Liquid I Pure I Ambient I Ambient I UNDER GROUND TANK I
+=========+==========+===============+===============+=========================+
+==========================+ AMOUNTS AT THIS LOCATION =========================+
I Largest Container I Daily Maximum I Daily Average I
10000.00 GAL 10000.00 GAL 2500.00 GAL
+==========================+=========================+=========================+
+=======+============== HAZARDOUS COMPONENTS ==============+===+===============+
I %Wt. I I RS CAS# I
100.00 Gasoline No 8006619
+=======+==================================================+===+===============+
+=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
Tsecret RSBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curies F IH DH / / / Mod
+=======+===+======+====================+=============+=========+========+=====+
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03/18/2002
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+ WHITE LANE SHELL ==================================== SiteID: 015-021-000355 +
+= Inventory Item 0008 =============== Facility Unit: Fixed Containers on Site +
+== COMMON NAME / CHEMICAL NAME ==============================+================+
PROPANE I Days On Site ,
365
Location within this Facility Unit Map: Grid: +----------------+
I CAS# I
74-98-6
+=============================================================+================+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Gas I Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER I
+=========+==========+===============+===============+=========================+
+==========================+ AMOUNTS AT THIS LOCATION =========================+
I Largest Container I Daily Maximum I Daily Average I
4550.00 FT3 4550.00 FT3 4550.00 FT3
+==========================+=========================+=========================+
+=======+============== HAZARDOUS COMPONENTS ==============+===+===============+
I %Wt. I IRS I CAS# I
100.00 Propane Yes 74986
+=======+==================================================+===+===============+
+=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
Tsecret RSIBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curies F P IH / / / Hi
+=======+===+======+====================+=============+=========+========+=====+
0003 =============== Facility Unit: Fixed Containers on Site +
CHEMICAL NAME ==============================+================+
I Days On Site I
365
+----------------+
I CAS# I
221
+=============================================================+================+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Liquid I Waste I Ambient I Ambient I UNDER GROUND TANK I
+=========+==========+===============+===============+=========================+
+==========================+ AMOUNTS AT THIS LOCATION =========================+
I Largest Container I Daily Maximum I Daily Average I
550.00 GAL 550.00 GAL 550.00 GAL
+==========================+=========================+=========================+
+=======+============== HAZARDOUS COMPONENTS ==============+===+===============+
I %Wt. I IRS I CAS# I
100.00 Waste Oil, Petroleum Based No 0
+=======+==================================================+===+===============+
+=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
ITsecret/ RSIBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curies F DH / / / Low
+=======+===+======+====================+=============+=========+========+=====+
+= Inventory Item
+== COMMON NAME /
WASTE OIL
Location within this Facility Unit
N SIDE OF SALES BLDG
Map:
Grid:
-4-
03/18/2002
"
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+ WHITE LANE SHELL ==================================== SiteID: 015-021-000355 +
+================================================================= Fast Format +
+- Notl'f /Evacuatl'on/Medl'cal ------------------------------------ Overall Sl'te +
-. ------------------------------------
+== Agency Notification =========================================== 12/12/2000 +
SHELL WILL NOTIFY THE APPROPRIATE STATE AND LOCAL AGENCIES UNLESS THE
SITUATION REQUIRES URGENT IMMEDIATE RESPONSE BY TH AGENCIES, IN WHICH CASE
THE DEALER SHOULD NOTIFY THESE AGENCIES:
1) LOCAL AGENCY: BAKERSFIELD FIRE DEPT 326-3979.
2) CALIFORNIA OFFICE OF EMERGENCY SERVICES: 800-852-7550 (24 HRS) .
3) CALL FOR HELP IN CASE OF AN EMERGENCY BY DIALING 911.
+==============================================================================+
E 1 N t· ·f /E t' 03/22/1999
+=== mp oyee 0 l. vacua lon =================================== +
IN THE EVENT OF EMERGENCY SITUATION, FIRE OR SPILL, SITE PERSONNEL ARE
NOTIFIED VERBALLY. THE STATION MANAGER OR SENIOUR EMPLOYEE WILL AT THIS
TIME ASSESS THE SITUATION AND DETERMINE WHETHER OUTSIDE NOTIFICATION IS
REQUIRED. IN THE EVENT OF AN EMERGENCY WHICH WOULD REQUIRE TOTAL EVACUATION
OF THE FACILITY, NOTIFICATION WILL BE MADE VERBALLY BY THE SENIOR EMPLOYEE
IN THE AFFECTED AREA. THE ROUTES OF EVACUATION TO BE TAKEN ARE NOTED ON THE
FACILITY DRAWING. ONCE EVACUATED, PERSONNEL WILL ASSEMBLE AT A SAFE
DISTANCE AWAY FROM THE FACILITY, (CONDITIONS PERMITTING WIND DIRECTION,
OTHER RISKS) AND THE STATION MANAGER WILL CONDUCT A HEAD COUNT. IF IT IS
POSSIBLE, THE STATION MANAGER WILL NOTIFY THE SURROUNDING BUSINESSES BY
+==============================================================================+
+---- Publl'c Notl'f /Evacuatl'on ------------------------------------ 04/19/1996 +
---- . ------------------------------------
IF THERE IS ANY IMMEDIATE DANGER, ANNOUNCE TO ALL PERSONS ON THE SITE:
"THERE IS AN EMERGENCY. PLEASE TURN OFF YOU ENGINES AND LEAVE THE STATION
ON FOOT IMMEDIATELY. II
+==============================================================================+
+----- Emergency Medl'cal Plan ------------------------------------- 12/12/2000 +
----- -------------------------------------
HALL AMBULANCE AND KERN MEDICAL CENTER, 1830 FLOWER ST, 326-2000.
+==============================================================================+
-5-
03/18/2002
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+ WHITE LANE SHELL ==================================== SiteID: 015-021-000355 +
+================================================================= Fast Format +
+= Mitigation/Prevent/Abatemt =================================== Overall Site +
+== Release Prevention ============================================ 03/22/1999 +
THE PRIMARY HAZARDOUS MATERIAL IS GASOLINE. IT CONSTITUTES AN IMMEDIATE
FIRE HAZARD AND AN ENVIRONMENTAL HAZARDS. TANKS ARE EQUIPPED WITH SPILL
BOXES AND OVERFILL PROTECTION TO PREVENT RELEASE OF SPILL BY THE
DISTRIBUTION TRUCK. TANKS AND LINES ARE CONTINUOUSLY MONITORED. DISPENSERS
ARE EQUIPPED WITH SHEAR VALVES AND AUTOMATIC SHUT-OFF TO PREVENT OVERFILL BY
CUSTOMER. ALL GASOLINE IS STORED IN AN APPROVED STORAGE AND DISPENSING
SYSTEM. DISTRIBUTION TRUCK DRIVERS ARE TRAINED IN PREVENTING INADVERTENT
SPILLS WHILE OFFLOADING PRODUCT TO THE STATION STORAGE TANKS. PERSONNEL ARE
TRAINED IN THE SAFE HANDLING OF HAZARDOUS MATERIALS AND INLEAK DETECTION
WHEN INSPECTING HAZARDOUS MATERIAL STORAGE CONTAINERS, TANKS AND LOCATIONS.
STORAGE LOCATIONS ARE INSPECTED ON A ROUTINE BASIS DURING OPERATIONS FOR
+==============================================================================+
+--- Release Contal'nment ------------------------------------------ 03/22/1999 +
--- ------------------------------------------
THE SENIOR EMPLOYEE ON SITE WILL INSTITUTE IMMEDIATE SPILL CONTROL MEASURES
WITH THE SITE SPILL KIT FOR MINOR PRODUCT RELEASE. THE EMPLOYEE WILL
IMMEDIATELY STOP THE SOURCE OF THE SPILL AND PREVENT THE FLOW OF THE SPILL
MATERIALS OFF-SITE, IF THIS CAN BE DONE SAFELY. STOPPING THE SPILL MAY
INVOLVE TURNING OFF PUMPS AND CLOSING VALVES. ANY SPILL GREATER THAN 55 GAL
MAY BE TURNED OVER TO AN OUTSIDE FIRM.
EMPLOYEES WILL RESPOND TO SMALL FIRES WITH THE SITE FIRE EXTINGUISHERS AND
ATTEMPT TO CONTAIN IT BEFORE IT GETS OUT OF CONTROL.
IN THE EVENT OF A DISPENSER DRIVE OVER OR FIRE THE EMPLOYEE WILL IMMEDIATELY
SHUT DOWN THE TANK TURBINES WITH THE EMERGENCY SHUT-OFF SWITCH. THE GOAL OF
THE SITE EMPLOYEE IS TO STOP OR CONTAIN ANY IMMEDIATE THREAT AND TO SUMMON
THE APPROPRIATE CITY AGENCIES (IE. FIRE DEPT) AND EQUILON CONTRACTORS TO
FOLLOW UP WITH DAMAGE ASSESSMENT AND CLEANUP.
+==============================================================================+
-6-
03/18/2002
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+ WHITE LANE SHELL ==================================== SiteID: 015-021-000355 +
+================================================================= Fast Format +
+= Mitigation/Prevent/Abatemt =================================== Overall Site +
+==== Clean Up ==================================================== 03/22/1999 +
THANKS AND LINES ARE SUT UP TO AUTOMATICALLY SHUT DOWN WHEN A LEAK IS
DETECTED. FOR SMALL RELEASES THE SPILL CONTROL KIT ABSORBENT MATERIAL AND
ABSORBENT 11 SAUSAGES 11 FOR CONTAINMENT DAMMING. EQUILON CONTRACTS WITH A
NUMBER OF STATE LICENSED ABATEMENT CONTRACTORS TO PROPERLY CLEAN THE SITE
AND READY GENERATE WASTES FOR HAULING TO AN APPROVED LANDFILL. THE STATE
LICENSED ABATEMENT CONTRACTOR WILL MANIFEST, HAUL, AND DISPOSED OF THE
MATERIAL AT AN APPROVED LANDFILL. THE STATE LICENSED ABATEMENT CONTRACTOR
WILL MANIFEST, HAUL, AND DISPOSE OF THE MATEIRAL AT AN APPROVED LANDFILL OR
OTHER APPROVED DISPOSAL SITE. THE STATION MANAGER WILL RESUME
RESPONSIBILITY FOR DIRECTING CLEANUP ACTIVITIES. HE WIL LSUMMON TO THE
SCENE THE MANPOWER AND EQUIPMENT NEEDED TO RESPOND TO THE INCIDENT, AND WILL
DIRECT THEIR ACTIVITIES FOR THE DURATION OF TEH RESPONSE. HE WILL CONTACT
ANY SUPPORT GROUPS WHOSE ASSISTANCE IS NEEDED IN THE RESPONSE EFFORT, SUCH
AS POLICE OR FIRE DEPT. NOTIFICATION OR REGULATORY AGENCIES, SHOULD IT BE
REQUIRED WILL BE HANDLED IN ACCORDANCE WITH NOTIFICATION PROCEDURES ABOVE.
ONCE THE SPILL HAS BEEN ELIMINATED, EFFORTS WILL BE DIRECTED TOWARDS
CONTAINMENT OF THE SPILL MATERIAL TO THE SMALLEST AREA POSSIBLE. AFTER THE
BULK OF THE SPILLED MATERIALS HAS BEN REMOVED, FINAL CLEANUP OF THE AREA
WILL BE CONDUCTED. THIS WILL INCLUDE DECONTAMINATION OF THE AREA AND
+==============================================================================+
+===== Other Resource Activation ==============================================+
I I
+==============================================================================+
-7-
03/18/2002
-
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+ WHITE LANE SHELL ==================================== SiteID: 015-021-000355 +
+================================================================= Fast Format +
+= Site Emergency Factors ======================================= Overall Site +
+== Special Hazards ===========================================================+
I I
+==============================================================================+
+=== Utility Shut-Offs ============================================ 12/12/2000 +
A) GAS - NONE
B) ELECTRICAL W WALL OF SERVICE BAY
C) WATER - IN SIDEWALK ALONG EL POTRERO LN
D) SPECIAL EMERGENCY PUMP SHUTOFF S SIDE OF SALES BLDG, CASHIER
E) LOCK BOX - NO
+==============================================================================+
+---- Fl're Protec /Aval'l Water ----------------------------------- 12/12/2000 +
---- .. -----------------------------------
PRIVATE FIRE PROTECTION -
FIRE EXTINGUISHERS.
FIRE HYDRANT
SE CORNER OF LOT.
+==============================================================================+
+===== Building Occupancy Level ===============================================+
I I
+==============================================================================+
-8-
03/18/2002
.' ~
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:4} ~ ~
+ WHITE LANE SHELL ==================================== SiteID: 015-021-000355 +
+================================================================= Fast Format +
+= Training ===================================================== Overall Site +
+== Employee Training ============================================= 12/12/2000 +
WE HAVE 5 EMPLOYEES AT THIS FACILITY.
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING: WITHIN 90 DAYS OF THEIR HIRE DATE, NEW EMPLOYEES
ARE TRAINED IN THE SAFE HANDLING OF THE HAZARDOUS MATERIALS THEY WILL BE
USING. THIS TRAINING IS COMPLETED USING OSHA HAZARD COMMUNICATION
REGULATIONS. WHEN THE NEW EMPLOYEE HAS COMPLETED THE "RIGHT TO KNOW"
TRAINING, IT WILL BE DOCUMENTED IN THE EMPLOYEES FILES. THIS TRAINING COVERS
THE LABELING, MSDS AND HAZARDS ASSOCATED WITH THE MATERIALS THEY WORK WITH.
THE STATION MANAGER IS SELF TRAINED IN THE CONTENTS OF THIS BUSINESS PLAN,
WHICH OUTLINES THE PROCEDURES THAT ARE TO BE FOLLOWED IN DEALING WITH
INITIAL RESPONSE TO AN EMERGENCY A WORK SHIFT IS NOT ALLOWED TO OPERATE
WITHOUT SOMEONE TRAINED IN THE PROCEDURES TO FOLLOW DURING INITAL RESPONSE
TO EMERGENCIES. THE TRAINING CONSISTS OF THE INSTRUCTOR REVIEWING THE PLANS
LINE BY LINE, AND ANSWERING ANY QUESTIONS THE EMPLOYEE MIGHT HAVE. ONCE THE
EMPLOYEE HAS BEEN TRAINED AND VERIFIED COMPETENT IN THE CONTENTS OF THE
PLAN, A NOTATION IS MADE IN THE EMPLOYEE RECORDS THAT THEY HAVE COMPLETED
THE TRAINING REQUIRED TO HANDLE INITIAL RESPONSE. ALL EMPLOYEES ARE TRAINED
THROUGHLY WITH THE EMERGENCY RESPONSE PLANS AND PROCEDURES WITH ANNUAL
REGRESHER TRAINING. REFRESHER TRAINING IS COMPLETED AS NOTED ABOVE, AND ONCE
TRAINED, A NOTATION IS MADE IN THE EMPLOYEES RECORD. REFRESHER TRAINING
CONSISTS OF REVIEWING THE EVACUATION PROCEDURE AND SPILL NOTIFICATION
PROCEDURES AND ALL EMERGENCY CONTACT TELEPHONE NUMBERS. A RECORD OF THIS
TRAINING WILL BE NOTED IN THE EMPLOYEES RECORDS. ANY AMENDMENTS TO THE PLANS
ARE RELAYED TO THE PERSONNEL REQUIRED TO CARRY OUT THE PLANS AS SOON AS
+==============================================================================+
+=== Page 2 ===================================================================+
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+==============================================================================+
+==== Held for Future Use =====================================================+
I I
+==============================================================================+
+===== Held for Future Use ====================================================+
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-9-
03/18/2002
-
'" WHI'I'E: LANE SHELL \
Manager : ~v,,~ '-IJ, '- ~~:;:, ~\~/
Location: 2600 WHITE LN
City BAKERSFIELD
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SiteID: 015-021-000355
BusPhone:
Map : 123
Grid: 13C
(661) 831-0507
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 05
EPA Numb:
SIC Code:7538
DunnBrad: (p "1 '1 - 6 6> -000
Emergency Conta~t / Title ~Emerqencv~tact / Title
CALVIN WILL;~- ) / DEALER i Q.¿;o-D..G'I.....'A 0...." ,-....4 - \'::>. ~~'Ç> ~·Ç'~R \
:
Business·Phone: (661) 832-4801x Business Phone: 7i:r\.~ qc¡ l.-OiP6C>¡ ~
24-Hour Phone : ( 661 r-_e ~ Z:.- 4-v'"( 4- , 24-Hour Phone : X, \~) '2:> 2.. Z- - ~'L6 j
t
Pager Phone : (piP\) '2...0":s=-(,IS2..X Pager Phone : ('I\<\-) Z-\6 -(.?lY::¡Z.x
Hazmat Hazards: Fire Press ImmHlth ,DelHlth
Contact : FERYAL SARRAFIAN Phone: (818 ) 736-5078x
MailAddr: PO BOX 7869 State: CA
City : BURBANK Zip : 91510-7869
Owner EQUILON ENTERPRISES LLC Phone: (818) 736-5078x
Address : PO BOX 7869 State: CA
City : BURBANK Zip : 91510-7869
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
One Unified List ì
All Materials at Site ì
SpecHaz EPA Hazards DailyMax MCP
F IH DH L 10000.00 GAL Mod
F DH L 550.00 GAL Low
F IH DH L 10000.00 GAL Mod
F IH DH L 10000.00 GAL Mod
P IH G 348.00 FT3 Min
~o hereby &rtifylMat I hav~ 4550.00 FT3 Hi
p= Hazmat Inventory
f== As Designated Order
Hazmat Common Name. . .
GASOLINE
WASTE OIL
GASOLINE
GASOLINE
CARBON DIOXIDE
PROPANE
I, ç::.-¿R..'{IO\~ '6.o..Q~ AÇ', A~
(Type or print name)
reviewed the attached hazardous materials manage-
'-..I-J 'r\ , T.:C LA ""E
ment plan for St-+¿-Lt- and that it along with
(Name of Businass)
any corrections constitute a complete and correct man-
agement plan for my facility.
~~
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ale
10/31/2000
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F'WHITE LANE SHELL
F Inventory Item 0001
= COMMON NAME / CHEMICAL NAME
GASOLINE
UNLEADED
Location within this Facility Unit
N SIDE OF LOT
SiteID: 015-021-000355 ì
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Map: Grid:
CAS #
8006619
[ ~TA~E I TYPE -----¡:- P~ESSURE -¡ TEM~ERATURE I CONTAINER TYPE
=L1qu1d __pure ~mb1ent ---1 Amb1ent ~ UNDER GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
10000.00 GAL 10000.00 GAL 3500.00 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
F Inventory Item 0003
= COMMON NAME / CHEMI CAL NAME
WASTE OIL
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
N SIDE OF SALES BLDG
Map:
Grid:
CAS #
221
STATE - TYPE
Liquid Waste
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
550.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
550.00 GAL
Daily Average
550.00 GAL
%Wt. RS CAS #
100.00 Waste Oil, Petroleum Based No 0
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
HAZARD ASSESSMENTS
-2-
10/31/2000
" 'r
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67"
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SiteID: 015-021-000355 ì
Facility Unit: Fixed Containers on Site 9
F"WHITE LANE SHELL
p= Inventory Item 0004
= COMMON NAME / CHEMICAL NAME
GASOLINE
SUPER UNLEADED
Location within this Facility Unit
N SIDE OF LOT
Days On Site
365
Map: Grid:
CAS #
8006619
[ ~TA~E I TYPE ~ P~ESSURE --r TEM~ERATURE I CONTAINER TYPE
= L~qu~d ____pure ~mb~ent ---1 Amb~ent ~ UNDER GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
10000.00 GAL 10000.00 GAL 2500.00 GAL
%Wt. I
100.00 Gasoline
HAZARDOUS COMPONENTS
~
CAS#a006619
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
HAZARD ASSESSMENTS
p= Inventory Item 0005
F= COMMON NAME / CHEMICAL NAME
GASOLINE
UNLEADED (89 OCTANE)
Location within this Facility Unit
N SIDE OF LOT
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Map: Grid:
CAS #
8006619
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
2500.00 GAL
%Wt. I
100.00 Gasoline
HAZARDOUS COMPONENTS
GrJ
CAS#a006619
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
HAZARD ASSESSMENTS
-3-
10/31/2000
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F" WHITE LANE SHELL
p= Inventory Item 0007
= COMMON NAME / CHEMICAL NAME
CARBON DIOXIDE
SiteID: 015-021-000355 ì
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
IN SALES AREA
Map:
Grid:
CAS #
124-38-09
STATE - TYPE
Gas Pure
PRESSURE ---- TEMPERATURE
Above Ambient Below Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
174.00 FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
348.00 FT3
Daily Average
174.00 FT3
%Wt. RS CAS #
100.00 Carbon Dioxide No 124389
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies P IH / / / Min
HAZARD ASSESSMENTS
p= Inventory Item 0008
= COMMON NAME / CHEMICAL NAME
PROPANE
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS #
74-98-6
STATE - TYPE
Gas Pure
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
4550.00 FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
4550.00 FT3
Daily Average
4550.00 FT3
%Wt I
100.åo Propane
HAZARDOUS COMPONENTS
~]
CAS #
749861
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
HAZARD ASSESSMENTS
-4-
10/31/2000
~~
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--
e
F"WHITE LANE SHELL
I
f= Notif./Evacuation/Medical
Agency Notification
SiteID: 015-021-000355 ì
Fast Format ì
Overall Site ì
04/19/1996
SHELL WILL NOTIFY THE APPROPRIATE STATE AND LOCAL AGENCIES UNLESS THE
SITUATION REQUIRES URGENT IMMEDIATE RESPONSE BY TH AGENCIES, IN WHICH CASE
THE DEALER SHOULD NOTIFY THESE AGENCIES:
1) LOCAL AGENCY: BAKERSFIELD FIRE DEPT 805-326-3979.
2) CALIFORNIA OFFICE OF EMERGENCY SERVICES: 800-852-7550 (24 HRS) .
3) CALL FOR HELP IN CASE OF AN EMERGENCY BY DIALING 9-1-1.
Employee Notif./Evacuation
03/22/1999
IN THE EVENT OF EMERGENCY SITUATION, FIRE OR SPILL, SITE PERSONNEL ARE
NOTIFIED VERBALLY. THE STATION MANAGER OR SENIOUR EMPLOYEE WILL AT THIS
TIME ASSESS THE SITUATION AND DETERMINE WHETHER OUTSIDE NOTIFICATION IS
REQUIRED. IN THE EVENT OF AN EMERGENCY WHICH WOULD REQUIRE TOTAL EVACUATION
OF THE FACILITY, NOTIFICATION WILL BE MADE VERBALLY BY THE SENIOR EMPLOYEE
IN THE AFFECTED AREA. THE ROUTES OF EVACUATION TO BE TAKEN ARE NOTED ON THE
FACILITY DRAWING. ONCE EVACUATED, PERSONNEL WILL ASSEMBLE AT A SAFE
DISTANCE AWAY FROM THE FACILITY, (CONDITIONS PERMITTING WIND DIRECTION,
OTHER RISKS) AND THE STATION MANAGER WILL CONDUCT A HEAD COUNT. IF IT IS
POSSIBLE, THE STATION MANAGER WILL NOTIFY THE SURROUNDING BUSINESSES BY
Public Notif./Evacuation
04/19/1996
IF THERE IS ANY IMMEDIATE DANGER, ANNOUNCE TO ALL PERSONS ON THE SITE:
"THERE IS AN EMERGENCY. PLEASE TURN OFF YOU ENGINES AND LEAVE THE STATION
ON FOOT IMMEDIATELY."
Emergency Medical Plan
03/22/1999
HALL AMBULANCE AND KERN MEDICAL CENTER - 1830 FLOWER ST - 326-2000
-5-
10/31/2000
" 'J,
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Fi WHITE LANE SHELL
I
p= Mitigation/Prevent/Abatemt
Release Prevention
SiteID: 015-021-000355 1
Fast Format 1
Overall Site 1
03/22/1999
THE PRIMARY HAZARDOUS MATERIAL IS GASOLINE. IT CONSTITUTES AN IMMEDIATE
FIRE HAZARD AND AN ENVIRONMENTAL HAZARDS. TANKS ARE EQUIPPED WITH SPILL
BOXES AND OVERFILL PROTECTION TO PREVENT RELEASE OF SPILL BY THE
DISTRIBUTION TRUCK. TANKS AND LINES ARE CONTINUOUSLY MONITORED. DISPENSERS
ARE EQUIPPED WITH SHEAR VALVES AND AUTOMATIC SHUT-OFF TO PREVENT OVERFILL BY
CUSTOMER. ALL GASOLINE IS STORED IN AN APPROVED STORAGE AND DISPENSING
SYSTEM. DISTRIBUTION TRUCK DRIVERS ARE TRAINED IN PREVENTING INADVERTENT
SPILLS WHILE OFFLOADING PRODUCT TO THE STATION STORAGE TANKS. PERSONNEL ARE
TRAINED IN THE SAFE HANDLING OF HAZARDOUS MATERIALS AND INLEAK DETECTION
WHEN INSPECTING HAZARDOUS MATERIAL STORAGE CONTAINERS, TANKS AND LOCATIONS.
STORAGE LOCATIONS ARE INSPECTED ON A ROUTINE BASIS DURING OPERATIONS FOR
Release Containment
03/22/1999
THE SENIOR EMPLOYEE ON SITE WILL INSTITUTE IMMEDIATE SPILL CONTROL MEASURES
I
WITH THE S,ITE SPILL KIT FOR MINOR PRODUCT RELEASE. THE EMPLOYEE WILL
IMMEDIATE~Y STOP THE SOURCE OF THE SPILL AND PREVENT THE FLOW OF THE SPILL
MATERIALS ;OFF-SITE, IF THIS CAN BE DONE SAFELY. STOPPING THE SPILL MAY
INVOLVE TURNING OFF PUMPS AND CLOSING VALVES. ANY SPILL GREATER THAN 55 GAL
I
MAY BE T~ED OVER TO AN OUTSIDE FIRM.
EMPLOYEES ~ILL RESPOND TO SMALL FIRES WITH THE SITE FIRE EXTINGUISHERS AND
ATTEMPT TOi CONTAIN IT BEFORE IT GETS OUT OF CONTROL.
IN THE EVENT OF A DISPENSER DRIVE OVER OR FIRE THE EMPLOYEE WILL IMMEDIATELY
SHUT DOWN ~HE TANK TURBINES WITH THE EMERGENCY SHUT-OFF SWITCH. THE GOAL OF
THE SITE EMPLOYEE IS TO STOP OR CONTAIN ANY IMMEDIATE THREAT AND TO SUMMON
1
THE APPROPRIATE CITY AGENCIES (IE. FIRE DEPT) AND EQUILON CONTRACTORS TO
I
FOLLOW UP ~ITH DAMAGE ASSESSMENT AND CLEANUP.
I
-6-
10/31/2000
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I
p= Mitigation/Prevent/Abatemt
Clean Up
SiteID: 015-021-000355 ì
Fast Format ì
Overall Site ì
03/22/1999
THANKS .AND LINES ARE SUT UP TO AUTOMATICALLY SHUT DOWN WHEN A LEAK IS
DETECTED. FOR SMALL RELEASES THE SPILL CONTROL KIT ABSORBENT MATERIAL .AND
ABSORBENT "SAUSAGES" FOR CONTAINMENT DAMMING. EQUILON CONTRACTS WITH A
NUMBER OF STATE LICENSED ABATEMENT CONTRACTORS TO PROPERLY CLEAN THE SITE
AND READY GENERATE WASTES FOR HAULING TO AN APPROVED LANDFILL. THE STATE
LICENSED ABATEMENT CONTRACTOR WILL MANIFEST, HAUL, AND DISPOSED OF THE
MATERIAL AT AN APPROVED LANDFILL. THE STATE LICENSED ABATEMENT CONTRACTOR
WILL MANIFEST, HAUL, AND DISPOSE OF THE MATElRAL AT AN APPROVED LANDFILL OR
OTHER APPROVED DISPOSAL SITE. THE STATION MANAGER WILL RESUME
RESPONSIBILITY FOR DIRECTING CLEANUP ACTIVITIES. HE WIL LSUMMON TO THE
SCENE THE MANPOWER AND EQUIPMENT NEEDED TO RESPOND TO THE INCIDENT, AND WILL
DIRECT THEIR ACTIVITIES FOR THE DURATION OF TEH RESPONSE. HE WILL CONTACT
ANY SUPPORT GROUPS WHOSE ASSISTANCE IS NEEDED IN THE RESPONSE EFFORT, SUCH
AS POLICE OR FIRE DEPT. NOTIFICATION OR REGULATORY AGENCIES, SHOULD IT BE
REQUIRED WILL BE HANDLED IN ACCORDANCE WITH NOTIFICATION PROCEDURES ABOVE.
ONCE THE SPILL HAS BEEN ELIMINATED, EFFORTS WILL BE DIRECTED TOWARDS
CONTAINMENT OF THE SPILL MATERIAL TO THE SMALLEST AREA POSSIBLE. AFTER THE
BULK OF THE SPILLED MATERIALS HAS BEN REMOVED, FINAL CLEANUP OF THE AREA
WILL BE CONDUCTED. THIS WILL INCLUDE DECONTAMINATION OF THE AREA .AND
Other Resource Activation
-7-
10/31/2000
'.' (10' . .'
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F' WHIm LANE SHELL
I
f= Site Emergency Factors
~ Special Hazards
Utility Shut-Offs
A) GAS - NONE
B) ELECTRICAL - WEST WALL OF SERVICE BAY
C) WATER - IN SIDEWALK ALONG EL POTRERO LN
D) SPECIAL - EMERGENCY PUMP SHUT-OFF SOUTHSIDE
E) LOCK BOX - NO
SiteID: 015-021-000355 ì
Fast Format ì
Overall Site ì
I
05/09/1995
OF SALES BLDG, CASHIER
Fire Protec./Avail. Water
05/09/1995
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS
FIRE HYDRANT - SOUTHEAST CORNER OF LOT
Building Occupancy Level
-8-
10/31/2000
't' ,~.. .,. ,..,
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I
F Training
Employee Training
SiteID: 015-021-000355 ì
Fast Format ì
Overall Site ì
03/22/1999
WE HAVE 5 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING: WITHIN 90 DAYS OF THEIR HIRE DATE, NEW EMPLOYEES
ARE TRAINED IN THE SAFE HANDLING OF THE HAZARDOUS MATERIALS THEY WILL BE
USING. THIS TRAINING IS COMPLETED USING OSHA HAZARD COMMUNICATION
REGULATIONS. WHEN THE NEW EMPLOYEE HAS COMPLETED THE "RIGHT TO KNOW"
TRAINING, IT WILL BE DOCUMENTED IN THE EMPLOYEE'S FILES. THIS TRAINING
COVERS THE LABELING, MSDS AND HAZARDS ASSOCATED WITH THE MATERIALS THEY WORK
WITH. THE STATION MANAGER IS SELF TRAINED IN THE CONTENTS OF THIS BUSINESS
PLAN, WHICH OUTLINES THE PROCEDURES THAT ARE TO BE FOLLOWED IN DEALING WITH
INITIAL RESPONSE TO AN EMERGENCY. A WORK SHIFT IS NOT ALLOWED TO OPERATE
WITHOUT SOMEONE TRAINED IN THE PROCEDURES TO FOLLOW DURING INITAL RESPONSE
TO EMERGENCIES. THE TRAINING CONSISTS OF THE INSTRUCTOR REVIEWING THE PLANS
LINE BY LINE, AND ANSWERING ANY QUESTIONS THE EMPLOYEE MIGHT HAVE. ONCE THE
EMPLOYEE HAS BEEN TRAINED AND VERIFIED COMPETENT IN THE CONTENTS OF THE
PLAN, A NOTATION IS MADE IN THE EMPLOYEE RECORDS THAT THEY HAVE COMPLETED
THE TRAINING REQUIRED TO HANDLE INITIAL RESPONSE. ALL EMPLOYEES ARE TRAINED
THROUGHLY WITH THE EMERGENCY RESPONSE PLANS AND PROCEDURES WITH ANNUAL
REGRESHER TRAINING. REFRESHER TRAINING IS COMPLETED AS NOTED ABOVE, AND
ONCE TRAINED, A NOTATION IS MADE IN THE EMPLOYEES RECORD. REFRESHER
TRAINING CONSISTS OF REVIEWING THE EVACUATION PROCEDURE AND SPILL
NOTIFICATION PROCEDURES AND ALL EMERGENCY CONTACT TELEPHONE NUMBERS. A
RECORD OF THIS TRAINING WILL BE NOTED IN THE EMPLOYEES RECORDS. ANY
AMENDMENTS TO THE PLANS ARE RELAYED TO THE PERSONNEL REQUIRED TO CARRY OUT
Page 2
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Held for Future Use
Held for Future Use
-9-
10/31/2000
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AGENCY
BUSThŒSSEMERGENCYPLAN
(Hazardous Materials Management Plan and Disclosure/Inventory )
) "
f'~
, :. "'~-~'~'~.
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~1E;/'!J99
~'-ë.~
EQUIL0N" ENTERPRISES LLC
, White Lane Shell
2600 White Lane
Bakersfield, CA. 93304
204-0461-0005
(805) 832-4801
Rev 12/21/98
¡-t-l:
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TABLE OF CONTENTS
1. Owner Operator Agreement---------------------------------Section 1
California Health and Safety Code, Section 25299
2. Business Emergency Plan------------------------------------ Section 2
3. Hazardous Material Disclosure----------------------------- Section 3
4. Monitoring Procedures---------------------------------------- Section 4
Leak Response Plan
Emergency Response Procedures
Training Log 7-1
5. Site Map
Site Map Symbols
Reviews and Revisions
This plan was created to comply with section 25503.5 of the California Health and Safety
Cods. It is required to be revised within 30 days of any significant change in quantities of
hazardous chemicals or operations at the facility. In addition plans are reviewed every
two years and Inventory Disclosure is submitted annually to the local administering
agency. A revision is also required if there is a change in Business Owner, operator, or
address.
Certification
This plan must be reviewed by the Business owner to ensure that it is complete and
accurate. After signing this plan, a copy must be kept on-site and available for review
(the best place is in the back ofthe SH & E Red Book). In addition a copy is maintained
by the tank owner, and a copy is sent to the local administering agency in your name.
e
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. 204-0461-0005
,£
BUSINESS PLANS
AS A SERVICE TO YOU, THIS BUSINESS PLAN WAS PREPARED BY SERVICE STATION
SERVICES, INC. IN ORDER TO COMPLY WITH THE CALIFORNIA HEALTH AND SAFETY CODE
(CHAPTER 6.95, ARTICLE I, SECTION 25503.5). BY ACCEPTING THIS PLAN, YOU ARE
ACKNOLEDGING THAT THERE ARE NO REPRESENTATIONS OR WARRANTIES THAT THE
INFORMATION CONTAINED IN THIS BUSINESS PLAN WILL PRODUCE ANY PARTICULAR
RESUL T WITH REGARD TO THE SUBJECT MATTER.
OWNER/OPERATOR AGREEMENT
OPERATOR:
As operator of the underground storage tanks, I hereby certify that I understand the monitoring and reporting
requirements contáined in Title 23, of the California Code òf Regulations and I have received a copy of
Section 25299, chapter 6.7, California Health and Safety Code.
SIGNATURE:
ð~~ tJø( DATE:
~- /:J -77
. .---:-.-:-.-:-:-. -.~::: ~ :
.. oo. ..... ...........
.. .. .. ". .. .. .. ..
<:i¡¡:::-:-:-:-:-
..~>{<
.. .. .. .. ..
.. .. .. .... .........
.. .. .. .. ..
AD-
i__
CI,-
~-
OPERATOR NAME:
Calvin Wills
BUSINESS NAME:
White Lane Shell
LOCA nON #:
204-0461-00005
OWNER:
As the owner of the underground storage tanks, EQUILON ENTERPRISES LLC certifies that we have
provided the operator a copy of the monitoring and reporting requirements contained in Title 23, of the
California Code of Regulations. Equilon certifies that we have provided the operator with a copy of the
penalties of noncompliance as specified in Section 25299, chapter 6.7 of the California Health and Safety
Code.
.. - .. - .. - .. - .. - .. .'.. - .. . .. ~
.. .. .. .. .. .. .. .. .. ..
.. .. .. .. . . .. .. .
. . . . .. .. .. .. .. .
.. . . . . . . . .
:~:i:i:i:i:::
.. .., ........
.. ., ......
.. .. . .. . .. . . .. .
. .. .. .. . .. . . .
.. .. . .. .. . .. . . ..
.. . . . . .. . . ..
. .. . .. .. . . .. . ..
. . . .. . . . .. .
DATE J?--?r ý¡7
.
Equilon Enterprises LLC
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EQUILON
- ENTERPRISES LLC
Slit" II Tu&Co WortlD& TOlftlltl
If
Dear Equilon Marketer:
The underground storage tanks located at your facility must be monitored in accordance with the penn it to
operate issued by the local agency and article 6.3 of the Motor Fuel Station Lease.
The following excerpt tTom California Health and Safety Code. Division 20, Chapter 6.7 deflOes the
penalties for violating the Permit to Operate or other applicable regulations.
Section 25299, Violations: Civil and criminal penalties: operative date.
(a) Any operator of an underground tank system shall be liable for civil penalty of not less than five
hundred dollars ($500) or more than five thousand (S5.000) for each underground tafik for each day the
violation for any of the following violations:
(I) Operating an underground tank which has not been issued a permit, in violation of this chapter.
(2) Violation of any of the applicable requirements of the permit issued for the operation of the
underground storage tank system,
(3) Failure to maintain records. as required by this chapter.
(4) Faílure to report an unauthorized release. as required by Section 25294 and 25295
(5) Failure to properly close an underground tank system. as required by section 25295
(6) Violation of any applicable requirement of this chapter or any requirement of this chapter or any
regulation adopted by the board pursuant to Section 25299.33
(7) Failure to penn it inspection or to perform any monitoring. testing, or reporting required pursuant to
Section 25288 or 25289
(8) Making any false statement, representation, or certitication in any application, record. report, or other
document submitted or required to be maintained pursuant to this chapter.
(b) Any person who falsities any monitoring records required by this chapter, or knowingly fails to report
An unauthorized release. shall upon conviction. be punished by a tine of not less than tive thousand
dollars (55.000) or more than ten thousand (10,000), by imprisonment in the county jail for not to
exceed one year, or both that tine and imprisonment.
Please contact your Equilon Representative if you have any questions regarding this section of the
California Health and Safety Code or Article 6.3 of the MOlor Fuel Station Lease Agreement.
Equilon Enterþrises LLC
.~
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Bakersfield Fire Department
2130 G Street
Bakersfield, CA. 933001
(805) 326-3979
Business Name White Lane Shell
Owner/Operator Name Calvin Wills
BusiI~ess Address 2600 White Lane
Phone: (805) 832·;4801
City Bakersfeild
State CA.
Zip 93304
Environmental Contact: Feryal Sarrafian SH & E Compliance Coordinator
Phone: (818)736-5078
Mailing Address P.O. Box 7869
Zip 91510-7869
City Burbank
State CA.
Biennial Review and Recertification
D
I certify that the Business Plan has been reviewed and the information contained in it is accurate and complete as of
date below.
181
I certify that I have reviewed the previously submitted Business plan and have updated the following items on the
attached pages.
181 Emergency contacts names and phone numbers
D Site/facility map
D Other Updates
Annual Inventory Update
Inventory Forms are correct for the upcoming reporting year. No changes Necessary.
Inventory Forms required updating. Replace previous inventory with attached inventory.
. . . . .............
. . .. ......
. . . .. .....
. . . .. .....
I certify under penalty of law, that [ have personnally examined and I am familiar with the information submitted in this and f~.~)~j :~i: : :: "'~;:~--
documents, and based on my inquiry of those individuals responsible for obtaining the information, I beleive that the submitt .'. . . . . . i ==-
:~::~=v7::~;:et,.~ iJ&f{ Signature _~ {;L0«)~
T~D~ ~ Þ-»-if
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. Bakersfield Fire Department
Hazardous Materials Division
2130 "G" Street
Bakersfield, CA. 93301
(805) 326-3979
Your business is required by State Law to provide immediate notification of any release or threatened
release of hazardous material to 1) local fire emergency response personnel, 2) the office of Emergency
Services (OES) and 3) this administering agency. If you have a release or threatened release of
hazardous materials, immediately call:
Fire/Paramedics/Police/Sheriff
Phone: 9-1-1
Individual responsible for calling 9-1-10 I M S· E I
ea er, anager, emor mp oyee
After the local emergency response personnel are notified, you shall then notify the administering agency
(HMDO) and the office of Emergency Services (24 hours a day)
State Office of Emergency Services:
(800) 852-7550
OR
(916) 427-4341
AND:
Local Administering Agency
(805) 326-3979
Individual responsible for calling this Administering Agency and State OES:
Dealer or SH & E Compliance Coordinator
2. List the local emergency medical facility that will by used by your business in the event of an accident
or injury caused by release or threatened release of hazardous materials.
Hospital I Clinic K M d· I C
ern e lca enter
Address:
1830 Flower St. Bakersfield CA. 93305
Phone: (805) 326-2000
3. Does your business have a private on-site emergency response team?
If yes describe what policies and procedures your business will follow to notify your on-site emergency
response team in the event of a release or threatened release of hazardous materials? (attach additional
pages if necessary)
EMERGENCY RESPONSE4t>NTINGENCY PROCEDUR.ND PLAN
':)
~~
1. PREVENTION- Describe the types of hazards associated with the materials present at your facility
What actions are taken to prevent these hazards from occurring?
The primary hazardous material is gasoline. It constitutes an immediate fire hazard and an environmental hazards. Tanks are
equipped with spill boxes and overfill protection to prevent release of spill by the distribution truck. Tanks and lines are
continuously monitored. Dispensers are equipped with shear valves and automatic shut-off to prevent overfill by customer. All
gasoline is stored in an approved storage and dispensing system. Distribution truck drivers are trained in preventing inadvertent
spills while offloading product to the station storage tanks. Personnel are trained in the safe handling of hazardous materials and in
leak detection when inspecting hazardous material storage containers, tanks and locations. Storage locations are inspected on a
routine basis during operations for signs of leaks and deterioration.
2. MITIGA TION- What actions will your business take to lessen the harm or damage to persons, property,
or the environment, and prevent what has occurred from getting worse?
The senior employee on site will institute immediate spill control measures with the site spill kit for minor product release. The
employee will immediately stop the source of the spill and prevent the flow of the spill material off-site, if this can be done safely.
Stopping the spill may involve turning off pumps and closing valves. Any spill greater then 55 gallons may be turned over to an
outside firm.
Employees will respond to small fires with the site fire extinguishers and attempt to contain it before it gets out of control.
In the event of a dispenser drive over or fire the employee will immediately shut down the tank turbines with the emergency shut-off
switch. The goal of the site employee is to stop or contain any immediate threat and to summon the appropriate City Agencies (i.e,
Fire Department) and Equilon contractors to follow up with damage assessment and cleanup.
3, ABATEMENT - What will your business do to stop the hazard?
Tanks and lines are set up to automatically shut down when a leak is detected. For small releases the spill control kit absorbent
material and absorbent "sausages" for containment damming, Equilon contracts with a number of State Licensed Abatement
Contractors to properly clean the site and ready generate wastes for hauling to an approved landfill. The State Licensed Abatement
Contractor will manifest, haul, and dispose of the material at an approved landfill or other approved disposal site. The station
manager will resume responsibility for directing cleanup activities. He will summon to the scene the manpower and equipment
needed to respond to incident, and will direct their activities for the duration of the response. He will contact any support groups
whose assistance is needed in the response effort, such as Police or Fire Department. Notification of regulatory agencies, should it be
required will be handled in accordance with notification procedures above. Once the spill has been eliminated, efforts will be
directed towards containment of the spill material to the smallest area possible. After the bulk of the spilled material has been
removed, final cleanup of the area will be conducted. This will include decontamination of the area and equipment used for the
cleanup.
e
e
4, EVACUA TJON- How wiJJ your business handle evacuation?
In the event of emergency situation, fire or spill, site personnel are notified verbally. The station manager or senior employee will at this
time assess the situation and determine whether outside notification is required. In the event of an emergency which would require total
evacuation of the facility, notification will be made verbally by the senior employee in the affected area. The routes of evacuation to be
taken are noted on the facility drawing. Once evacuated, personnel will assemble at a safe distance away from the facility, (conditions
permitting wind direction, other risks) and the station manager will conduct a head count. If it is possible, the station manager will
notify the surrounding businesses by phone or by a door to door means,
,5. Your business is required by required by law to keep a copy of Business Plan, including the chemical inventory and site
map. Describe where the copies will be kept in your business, Where will other copies be maintained?
The business plan is located in the cashier area. Equilon Enterprises also Maintains a copy at their Office.
Equilon Enterprises LLC
SH&E Compliance Coordinator
PO BOX 7869
Burbank, CA. 91510-7869
6, Describe where you keep other records required by this plan, such as employee training records, (including drills)
release records, persons responsible for maintenance/safety and their records, and emergency phone numbers.
Other record required by this plan, such as employee training records, release report records, persons responsible for
maintenance/safety and their records, and emergency phone lists are located in the green SH & E book located in the cashier area.
EMPLOYEE TRAINING
1) Describe the training new employees receive in handling and using hazardous materials and waste that are part of your
operation.
Within 90 days of their hire date, new employees are trained in the safe handling of the hazardous materials they will be using. This
training is completed using OSHA hazard communication regulations. When the new employee has completed the "Right to Know"
training, it will be documented in the employee's files. This training covers the labeling, MSDS and hazards associated with the
materials they work with. The station manager is self trained in the contents of this business plan, which outlines the procedures that
are to be followed in dealing with initial response to an emergency. A work shift is not allowed to operate without someone trained
in the procedures to follow during initial response to emergencies. The training consists of the instructor reviewing the plans line by
line, and answering any questions the employee might have. Once the employee has been trained and verified competent in the
contents of the plan, a notation is made in the employee records that they have completed the training required to handle initial
response. All employees are trained thoroughly with the emergency response plans and procedures with annual refresher training.
, Refresher training is completed as noted above, and once trained, a notation is made in the employees record. Refresher training
consists of reviewing the evacuation procedure and spill notification procedures and all emergency contact telephone numbers. A
record of this training will be noted in the employee's records. Any amendments to the plans are relayed to the personnel required to
carry out the plans as soon as those amendments are knówn.
-
e
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2) How are employees trained to react to emergency situations?
. All employees are instructed to call 9-1-1 if warranted, Call Equilon's Maintenance center and personnel, and initiate mitigation
procedures
3) Describe how new employees are trained in the use of safety equipment and supplies needed to stop leaks or fires.
All employees are instructed in the use of safety equipment and review procedures for proper use of safety and spill control
equipment. A Refresher training is conducted every six months.
CERTIFICATION
We have demonstrat~d,reasonable care in preparing our Business Emergency Plan. This statement certifies that our
Emergency Business Plan has been implemented and should be adaquate in the event of an emergency involving our
hazardous materials.
Signature
Date 12/17/98
Busines
Calvin Wills
Signature .--------
"....---
Date
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, ','
- :.-: ,-... .-
APPENDIX A
California Business &. Owner/Operator Identification Page
,CALENDAR YEAR BEGINNING (1 I 1/1/91 I ENDING 12\ I 12/31/9fl I (:1) PAGE 1 OF I ~ "
,
8USINESS NAME (4) White Lane Shell I BUSINESS PHONE:(s) rUW5) -832-:'4801
SITE ADDRESS (6) 2600 White Lane
CITY (7\ Bakersfield STATE (8\ I CA J ZIP (9) 93304
DUN & (10) 36-467-0372 SIC CODE 14 DtGIT#) (111 5541 7542
BAADSTREET
OPERAtOR (12) Calvin Wills I OPERA TOR PHONE 1131 (805) 832-480
NAME
OWNER NAME
(14)
OWNER 'NFORMA T10N
OWNER PHONE (15)( 818) 736-5078
OWNER MAILING ADDRESS
Box 7869
CITY
(17)
STATE (1S)
ZIP 09} 1 10 7869
CONTACT NAME
MAILING ADDRESS
(20)
ENVIRONMENTAL CONTACT
CONTACT PHONE (21) (818) 736-,5078
CITY
(231 Burbank
STATE Il41
ZIP Izs\9151 0-7869
Primary
EMERGENCY CONTACTS
Secondary
NAME: (261 (";:¡1u;n W; 11 c:: NAME: (31) Fred Long
TITLE: (27) Dealer TITLE: (32) Maintenance Coordinator
BUSINESS PHONE: (28) (805) 832-4801 BUSINESS PHONE: (33) (805) 326-4326
f--
24·HOUR PHONE: (29) (805) 837-1389 24-HOUR PHONE: (34) (815,) 333:,,;2123
PAGER #: (301 PAGER #: (35)
ACUTELY HAZARDOUS MATERIALS (AHM)
¡ 0 IQ\ Ilf yes. and above ThresnoldJ!tánning Quantities. attach 11 sheet ot peper with /I general
ON SITE AHM (38)1 Yes IÃÍ No , description ot~e proce99 end prinoip>!ll equipment.
137\
ADDITIONAL LOCALLY COLLECTED INFORMATION
Certification: 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,
Prin, Name o'Document P,epa'e, "" E,z- ~~,e. ice S~ tion SErvices
Signature of Owner/Operator (391 _ .=.-:--- Date (40)
OES FQrm 273011 1/941
. . . . . .
. . . . . . . .
. . . . . .
1;2. -;j~.: -: . :- :. .."'=-~'=
/" . .. 0, ''':'''' '.:.:
.... .............--
. .. ......
. . . . . . .
. . . . . . . . . .
. . . . . . . . . .
. . . . . . . . .
. . . . . . .
. . . . . . . .
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¡:
APPENDIX C
. California Hazardous Material Inventory Form/Addendum- Chemical Description~
111 c ADD 0 DELETE C REVISE ~ NO CHANGE PAGE 121 D OF (31 ~
MAP" (8/
Whi~e Lane Shell
NORTH SIDE OF LOT "
1 I GAION (71 I D~
BUSINESS NAME (41
CHeMICAL LOCATION 151
CHEMICAL NAME 181
COMMON NAME (91
CAS 1/ {101
FIRE CODE
HAZARD CLASSES' 1131
PETROLEUM HYDROCARBONS TRADE SECRET 1111 Oy OON
UNLEADED GASOLINE 'EHS (12) :::¡y iXlN
8006-61 -9 "IF EHS BOX IS ·Y·
ALL AMOUNTS MUST BE IN LBS
I-A: FLAMMABLE LIQUID
.
PRESSURE 1271
STORAGE
STORAGE (281
TEMPERATURE
COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. I
o PURe ~ MIXTURE 0 WASTE RADIOACTIVE (151 L 0 Y ŒJ N 11161
o SaUD :XI LIQUID [] GAS CURIES
ar¡ FIRE C REACTIVE 0 PRESSURE RELEASE aa ACUTE HEALTH IX! CHRONIC HEALTH
UNITS (221 I X GAL 0 CU FT I MAX CAlLY AMT IZ31 10000
o LBS 0 TONS
365 "If EHS, amounts mus~ be in lb. A VG OAIL Y AMT (24' 3500
10,000 ANNUAL WASTE AMT 1251
o ABOVE GROUND TANK o CAN o BOX o TANK WAGON
ím UNDER GROUND TANK Q CARBOY o CYLINDER o RAIL CAR
o TANK INSIDE BUILDING o SILO o GLASS BOTTLE 0
o STEEl. DRUM o FIBER DRUM o PLASTIC BOTTLE o Other...
o PLASTIC/NONMETALLIC DRUM o BAG o TOTE BIN
Qt¡ AMBIENT o ABOVE AMBIENT o BELOW AMBIENT I
IX! AMBIENT o ABOVE AMBIENT C BELOW AMBIENT û CRYOGENIC I
TYPE I1~I
PHYSICAL STATE (1'1
FED HAZARD
CATEGORIES 1181
STATE WASTE It91
CODE
OA YS ON sITe IlQ
LARGEST 1211
CONTAINER
STORAGE 1261
CONTAINER
(291 %WT
(301 HAZARDOUS COMPONENTS
1311 EHS
1321 CAS"
1. < 15.0
2. < 6.5
3. < 4,6
4,
5.
METHYL TERT BUTYL ETHER wY ~N 1634044
TOLUENE OV Œ/N 108883
XYLENE OY Œ!N , 330-20·7
Oy OIIN
Oy IX!N
1331 ADDITIONAL LOCALLY COLLECTED INFORMATION
OES Form 2730(1194)
r:: \.1 tA1...M.A T\..o:::IolP.l.J.... D\FO~S\ST ^TEIr-'V .Mll:
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7' ~ ¡: ¡~ ".-,
APPENDIX C
. California Hazardous Material Inventory Form/Addendum- Chemical Description Page
\ 111 = ADD 0 DELeTE C REVISE tg.NO CHANGE I .. PAGE (2) D OF (3) [U
r..,,.¡~ ..~~ fJ
MAP# IElI
White Lane Shell
NORTH SIDE OF LOT
1 I GRID# 17! I D\t
BUSINESS NAME (4)
CHEMICAL LOCATION (51
CHEMICAL NAME 18)
COMMON NAME ¡91
CAS # (101
FIRE CODE
HAZARD CLASSES" (131
PETROLEUM HYDROCARBONS TRAD'S'CRET "" ~
SUPER UNLEADED GASOLINE "EHS (12) OY C51N
8006-61-9 'IF ËHS BOX IS øy.
ALL AMOUNTS MUST BE IN LaS
I-A FLAMMABLE UQUID
.
PRESSURE (27)
STORAGE
STORAGE 1281
TEMPERATURE
COMPLETE BLOCK 113\ IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. ]
o PURE iXJ MIXTURE _.. WASTE RADIOACTIve 1151 I 0 y 00 N I (16)
o SOLID ~ LIQUID c:: GAS CURIËS
IX! FIRE o REACTIVE = PRESSURE RELEASE IX! ACUTe H£AL TH IiJ CHRONIC HeALTH
UNITS (2211 ~ GAL ~ CU FT 1 MAX OAIL Y AMT 1.231 10000
o LBS TONS
385 "If EHS, amounts must be in lb. A VG DAilY AMT 1241 2.500
10.000 ANNUAL WASTE AMT {251
o ABOVE GROUND TANK o CAN o BOX o TANK WAGON
aa UNDER GROUND TANK CJ CARBOY o CYLINDER o RAIL CAR
o TANK INSIDE BUilDING o SilO o GLASS BOTTLE 0
o STEEL DRUM o FIBER DRUM o PLASTIC BOTTLE o Other...
o PLASTICINONMET ALUC DRUM o BAG o TOTE BIN
!XI AMBIENT o ABOVE AMBIENT :: BELOW AMBIENT I
IX! AMBIENT CJ ABOVe AMBIENT C BELOW AMBIENT C CRYOGeNIC I
Type 1141
PHYSICAL STATE '171
FED ~AZARD
CATEGORIES It 61
STATE WASTE (191
CODE
DAYS ON SITE (201
LARG¡:;ST (21)
CONTAINËR
STORAGE 1261
CONTAINER
1291 %VIIT
(301 HAZARDOUS COMPONENTS
(31) EHS
1321 CAS'
1, < 15.0
2,< 14,0
3, < a.a
4,
s.
METHYL TERT BUTYL ETHER OV IXIN 1634044
TOLUENË OV IXIN 108883
XYLENE Oy IXIN 1330-20-7
OY ŒJN
CJY ŒJN
133) ADDITIONAL LOCALLY COLLECTED INFORMATION
J
OES Form 273001/94)
F,' H.>ZMA T\5)(EU. .a·,FORMS\Sf.'';'i!:I/V,).!]t(;
e e
'Î? " i: ~ ~
APPENDIX C
. California Hazardous Material Inventory Form/Addendum- Chemical Description Page
\ PI LJ ADD 0 DELETE = REVISE }!( NO CHANGE PAGE 121 D OF 13\ ~
MAP' (61
White Lane Shell
NORTH SIDE OF LOT
1 I GRID# r7J I D~
BUSINESS NAME (41
CHEMICAl. LOCA T10N (5\
CHEMI~AL NAME (el PETROLEUM HYDROCARBONS TRAD£ SECRET (111 Ov ~N
COMMON NAME (91 UNLEADED GASOLINE (89 OCTANE) 'EHS (12) OY ~N
CAS II (101 8006-6'-9 'IF EH$ BOX IS ·V·
ALL AMOUNTS MU~T BE IN LBS
FIRE CODE I-A FLAMMABLE LIQUID
HAZARD CLASSES' . (131
.
COMPLETE BLOCK '131 IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO IN N.
o PURE 1m MIXTURE 0 WASTE RADIOACTIVE (151 I OV ~N 1(161 I
C SOLID tXI LIQUID o GAS CURIES
tXI FIRE o REACTIVE 0 PRESSURE RELEASE ~ ACUTE HEAL TH ~ CHRONIC HEALTH
UNITS (221 ¡IX! GAL 0 CU FT I MAX DAILY AMT 1231 10000
o LBS 0 TONS
365 -If EHS. amounts muSt be in lb. A VG DAILY AMT 1241 2500
10.000 ANNUAL WASTE AMT 1251
C ABOVE GROUND TANK o CAN o BOX o TANK WAGON
IJI UNDER GROUND TANK o CARBOY o CVUNDER o RAIL CAR
c::: TANK INSIDE BUILDING o SILO CJ GLASS BOTTLE W
o STEEL DRUM o FIBER DRUM o PLASTIC BOTTLE o Other...
C PlASTIC/NONMET ALLlC ORUM o BAG o TOTe BIN
IX AMBIENT o ABOVE AMBIENT o BELOW AMBIENT I
QC AMBIENT o ABOVE AMBIENT o BELOW AMBIENT o CRYOGENIC I
STRUCTIO S
TYPE '141
PHYSICAL STATE (171
FED HA.ZARD
CATEGORIES (18)
STATE WASTE '191
CODe
DA YS ON SITE 1201
LARGEST (;21)
CONTAINER
STORAGE (261
CONTAINER
PRESSURE 1271
STORAGE
STORAGE 1281
TEMPERATURE
1291 %Wf
1301 HAZARDOUS COMPONENTS
13\1 EHS
132\ CAS#
, . < , 5.0
2. < 9.5
3. <:: 6.3
4,
5,
METHYL TERT BUTYL ETHER oy ŒJN 1634044
TOLUENE Oy ŒJN 108883
XYLENE OY ~N 1330·20-7
OY ŒJN
oy ¡gJN
(331 ADDmONAL LOCALLY COLLECTED INFOR1\tlA TION
OES Form 273001/94)
F: \H~"IA NiKGU.. ¡,a\~S\ST" '"'""',...<.
e e
;,' ~ c ;;. ~ r--.
APPENDIX C
. California Hazardous Material Inventory Form/Addendum-
(11 = ADD 0 DELETE C REVIS! ü NO CHANGE
Chemical Description~
PAGE (21 ~ OF 131 ~
BUSINESS NAME (4)
White Lane Shell
IN SALES AREA
1 I GRID# ml Ett
CHEMIC~ LOCATION IS)
MAP' (6)
CHEMICAL NAME lei
COMMON NAME (9)
CAS II (101
FIRE CODE
HAZARD CLASSES' 1131
TYPE (14)
PHYSICAL STATE (171
FëD HAZARD
CATEGORIES 1181
STATE WASTE (191
CODE.
DAYS ON SITE 1201
LARGEST 12tl
CO NT AINER
STORAGE 12S1
CONTAINER
CARBON DIOXIDE TAAD~ S~CRET t 111 CY IXIN
CARBON DIOXIDE ·EHS t121 GY iXlN
124-38-9 ·,F EHS BOx IS ·Y·
ALL AMOUNTS MUST BE IN LBS
COMPFlESSEO GAS
PRESSURE (27)
STORAGE
STORAGE 12S
TEMPERATURE
COMPLETE BLOCK '1311F REQUESTED 8Y THE LOCAL FIRe CHIEF - REFER TO INSTRUCTIONS. ¡
~ PURE 0 MIXTURE 0 WASTE RADIOACTIVE (151 1 0 Y !Xl N J 1181
:J SOLID 0 LIQUID ~ GAS CURIES
.FIRE o REACTIVE IX! PRESSURE RELEASE 0 ACUTE HEALTH 0 CHRONIC HEALTH
UNITS (~~ 18 GAL !XI CU FT I MAX DAILY AMT (231 3~a
LBS û TONS
365 "If EHS, amounts must be in lb. A VG DAilY AMT (~4) 174
174 ANNUAL WASTe AMT (251
::J ABOVE GROUND TANK, o CAN ~ BOX ::; TANK WAGON
o UNDER GROUND TANK o CARBOY X CYLINDER :J RAIL CAR
o TANK INSloe BUILDING CJ SILO c: GLASS BOTTLE ::J
C! STEEL DRUM o FIBER ORUM = PLASTIC BOTTLE :: Other...
o PLASTICINONMETALUC DRUM o BAG ¡:: TOTE BIN
::J AMBIENT XI ABOVE; AMBIENT o BELOW AMBIENT I
IX! AMBIENT o ABOVE AMBIENT o BELOW AMBIENT C CRVOGENIC f
(29) %WT
(301 HAZARDOUS COMPONENTS
(31) EHS
t3~1 CAS"
, . 100
2.
3.
4.
5.
CARBON DIOXIDE OY IXIN 1 24-38-9
OY (giN
OY ~N
OY IXIN
OY ~N
1331 ADDmONAL LOCALLY COLLECTED INFOR,¡\fA TION
OES Fonn ~730( llf94)
~:\ ÞU.ZMA r SMa:.. D\FORMS\.o"T^'TES\', "'I><
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e
.r; ?-lr (~~
~
~~...
APPENDIX C
. California Hazardous Material Inventory Form/Addendum· Chemical Description Page
('1:; ADD" DElETE 0 REVISE C NO CHANGE PAGE IZI ~ OF (31 CD
BUSINESS NAME (4)
White Lane Shell
NORTH SIDE OF SALES SLOG
, I GRID' (,) I E"\
CHEMICAL L.OCA TION 151
MAP# leI
CHEMICAL NAME t81
COMMON NAME t91
CAS /I 1101
~tAE CODE
HAZARD CLASSES" (131
TYPE (141
PHYSICAL STATE It 71
FED HAZARD
CA TEGOAIES 1181
STATE WASTE (al
CODE
DAYS ON SITE 1201
LARGEST (21)
CO NT AINER
STORAGE (261
CONTAINER
PETROLEUM HVOAOCARBONS TRACe SECRET 1111 CY ~N
USED MOTOR OIL. "EHS 1121 OY IXIN
800-20·59 "IF EHS BOX IS -V'
ALL AMOUNTS MUST BE IN LBS
111-8 COMBUSTIBLE lIOUID \
.
COMPLETE BLOCK 113) IF REQUESTED BY THE lOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. ¡
C! PURE C MIXTURE ~ WASTE RADIOACTIVE 1151 I :J v ~ N I (161
o SOLID XI UQUID n GAS CURIES
o FIRE C REACTIVE 0 PRESSURE RELEASE o ACUTE HEAL TM i1iQ CHRONIC HEALTH
221 UNITS 1221 \ ~ GAL Çj CU FT T MAX DAIL. Y AMT 1231 550
I LBS TONS
365 'If EHS. amounts must be in lb. AVG DAILY AMT (241 0
550 ANNUAL WASTE AMT (251 0
o ABOVE GROUND TANK DCAN o BOX o TANK WAGON
œI UNDER GROUND TANK o CARBOY o CYLINDER o RAIL CAR
o TANK INSIDE BUILDING o SilO o GLASS BOTTLE 0
o STEfl DRUM o FIBER DRUM o PLASTIC BOTTLE o Other...
o PLASTICINONMETAlLIC DRUM o BAG o TOTE BIN
!XI AMBIENT :J ABOVE AMBIENT o BELOW AMBIENT I
œJ AMBIENT ::J ABOVE AMBIENT CJ BELOW AMBIENT C' CRYOGENIC I
PRESSURE (271
STORAGE
STORAGE 1281
TEMPERATURE
f29J %WT
(301 HAZARDOUS COMPONENTS
131 I EHS
(32) CAS#
,. 100.0
2.
3.
4.
5.
USEO OIL OV ¡X¡N 800-20-59
CJY IXIN
OY IXIN
c:;v IX!N
Ov IXIN
(33) ADDITIONAL LOCALLY COLLE:CTED INFORMA nON
OES FQrm 273001/94)
J::'\~1'\$Nsu......ga\ø~~"\g'f A*rEJNV.NR<
·
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SEI; VICES
-
December 23,1998
Bakersfield Fire Department
Hazardous Materials Division
2130 "G" Street
Bakersfield, CA. 93301
RE: HAZARDOUS MATERIALS MANAGEMENT PLAN
White Lane Shell
2600 White Lane
Bakersfield, CA. 93304
204-0461-0005
Enclosed Please find the original of the Hazardous Materials Management Plan for the above
referenced Shell Station. This update was generated to comply with the Agency
Requirements.
Should you have any questions regarding the enclosed materials, please fee free to contact me
at (714) 546-1227.
.---.----
'\
~. 17
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BUSThŒSSEMERGENCYPLAN
(Hazardous Materials Management Plan and Disclosure/Inventory )
EQUILON ENTERPRISES LLC
White Lane Shell
2600 White Lane
Bakersfield, CA. 93304
204-0461-0005
(805) 832-4801
Rev 12/21/98
:i'
e
f
BUSINESS PLANS
e
204-0461-0005
AS A SERVICE TO YOU, THIS BUSINESS PLAN WAS PREPARED BY SERVICE STATION
SERVICES, INC. IN ORDER TO COMPLY WITH THE CALIFORNIA HEALTH AND SAFETY CODE
(CHAPTER 6.95, ARTICLE I, SECTION 25503.5). BY ACCEPTING THIS PLAN, YOU ARE
ACKNOLEDGING THAT THERE ARE NO REPRESENTATIONS OR WARRANTIES THAT THE
INFORMATION CONTAINED IN THIS BUSINESS PLAN WILL PRODUCE ANY PARTICULAR
RESULT WITH REGARD TO THE SUBJECT MATTER.
OPERATOR:
OWNER/OPERATOR AGREEMENT
As operator of the underground storage tanks, I hereby certify that I understand the monitoring and reporting
requirements contained in Title 23, of the California Code òfRegulations and I have received a copy of
Section 25299, chapter 6.7, California Health and Safety Code.
SIGNATURE:
{J~~ V~
DATE:
OPERATOR NAME:
Calvin Wills
BUSINESS NAME:
White Lane Shell
LOCATION #:
204-0461-00005
OWNER:
. . . .. . .
.. . .. .. .. .. .. . .. .
· . . .. .. . . .. . ,
.. .. .. . .. . .. .. . ..
'. . . .. . .. . . . .
.. . .. . .. . .. .. . ..
· . .. . . . . .. .. .
/J, ;)7-7f~:::::>:~:
· .. .. . .. .. .. . .. .
.. . . .. . . . . .. .
· . .. . . . .. . .. .
. . . .. .. .. . .. . ..
· .. .. . .. . . .. . ,
.. . . .'. . . . . .
As the owner ofthe underground storage tanks, EQUILON ENTERPRISES LLC certifies that we have
provided the operator a copy of the monitoring and reporting requirements contained in Title 23, of the
California Code of Regulations. Equilon certifies that we have provided the operator with a copy of the
penalties of noncompliance as specified in Section 25299, chapter 6.7 of the California Health and Safety
Code.
DATE J?-?r ýy
.
Equilon Enterprises LLC
· . - - - -
AD
o
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~,
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e
EQUILON
_ ENTEF=lpF=lISeS LLC
Slull &r Te ueo WOItllll TOlttllcr
f
Dear Equilon Marketer:
The underground storage tanks located at your facility must be monitored in accordance with the permit to
operate issued by the local agency and article 6.3 of the Motor Fuel Station lease.
The following excerpt from California Health and Safety Code, Division 20, Chapter 6.7 defrnes the
penalties for violating the Permit to Operate or other applicable regulations.
Section 25299, Violations; Civil and criminal penalties; operative date.
(a) Any operator of an underground tank system shall be liable for civil penalty of not less than five
hundred dollars ($500) or more than five thousand ($5,000) for each underground tank for each day the
violation for any of the following violations:
(I) Operating an underground tank which has not been issued a permit, in violation of this chapter.
(2) Violation of any of the applicable requirements of the permit issued for the operation of the
underground storage tank system.
(3) Failure to maintain records, as required by this chapter.
(4) Failure to report an unauthorized release, as required by Section 25294 and 25295
(5) Failure to properly close an underground tank system, as required by section 25295
(6) Violation of any applicable requirement of this chapter or any requirement of this chapter or any
regulation adopted by the board pursuant to Section 25299.33
(7) Failure to permit inspection or to perform any monitoring, testing, or reporting required pursuant to
Section 25288 or 25289
(8) Making any false statement. representation, or certification in any application, record, report, or othp.r
document submitted or required to be m¡:¡intained pursuant to this chapter.
(b) Any person who falsifies any monitoring records required by this chapter. or knowingly fails to report
An unauthorized release. shall upon conviction. be punished by a tine of not less than tive thousand
dollars (55.000) or more than ten thousand (10,000), by imprisonment in the county jail for not to
exceed one year, or both that tine and imprisonment.
Please contact your Equilon Representative if you have any questions regarding this section of the·
California Hcallh and Safely Code or Article 6,) of the Motor Fuel Station Lease Agreement.
Equilon Enterprises LlC
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- Bakersfield Fire Department e
2130 G Street
Bakersfield, CA. 933001
(805) 326-3979
Business Name White Lane Shell
Owner/Operator Name Calvin Wills
Phone: (805) 832-4801
Business Address 2600 White Lane
City Bakersfeild
State CA.
Zip 93304
Environmental Contact: Feryal Sarrafian SH & E Compliance Coordinator
Phone: (818) 736-5078
Mailing Address P.O. Box 7869
City Burbank
State CA.
Zip 91510-7869
Biennial Review and Recertification
o
I certify that the Business Plan has been reviewed and the information tontained in it is accurate and complete as of
date below.
181
I certify that I have reviewed the previously submitted Business plan and have updated the following items on the
attached pages,
181 Emergency contacts names and phone numbers
o Site/facility map
o Other Updates
Annual Inventory Update
Inventory Forms are correct for the upcoming reporting year. No changes Necessary.
Inventory Forms required updating. Replace previous inventory with attached inventory.
I certify under penalty of law, that I have personnally examined and I am familiar with the information submitted in this and all attached
documents, and based on my inquiry of those individuals responsible for obtaining the information, I beleive that the submitted information is
true accurate and complete. _~.'~. ¡:~'
N Calvin Wills
ame Signature
Title Dealer Date ,/ ,;) -- ;)J - ,. T
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Bakersfield Fire Department
Hazardous Materials Division
2130 "G" Street
Bakersfield, CA. 93301
(805) 326-3979
Your business is required by State Law to provide immediate notification of any release or threatened
release of hazardous material to 1) local fire emergency response personnel, 2) the office of Emergency
Services (OES) and 3) this administering agency. If you have a release or threatened release of
hazardous materials, immediately call:
. Fire/Paramedics/Police/Sheriff
Phone: 9-1-1
Individual responsible for calling 9-1-10 I M· S· E I
ea er, anager, emor mp oyee
After the local emergency response personnel are notified, you shall then notify the administering agency
(HMDO) and the office of Emergency Services (24 hours a day)
State Office of Emergency Services:
(800) 852-7550
OR
(916) 427-4341
AND:
Local Administering Agency
(805) 326-3979
Individual responsible for calling this Administering Agency and State DES:
Dealer or SH & E Compliance Coordinator
2. List the local emergency medical facility that will by used by your business in the event of an accident
or injury caused by release or threatened release of hazardous materials.
Hospital I Clinic K M d· I C
em e Ica enter
Address:
1830 Flower St. Bakersfield CA. 93305
Phone: (805) 326-2000
3. Does your business have a private on-site emergency response team?
If yes describe what policies and procedures your business will follow to notify your on-site emergency
response team in the event of a release or threatened release of hazardous materials? (attach additional
pages if necessary)
EMERGENCY RESPONSE (þNTINGENCY PROCEDURE.ND PLAN
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1. PREVENTION- Describe the types of hazards associated with the materials present at your facility
What actions are taken to prevent these hazards from occurring?
The primary hazardous material is gasoline. It constitutes an immediate fIre hazard and an environmental hazards. Tanks are
equipped with spill boxes and overfill protection to prevent release of spill by the distribution truck. Tanks and lines are
continuously monitored. Dispensers are equipped with shear valves and automatic shut-off to prevent overfill by customer. All
gasoline is stored in an approved storage and dispensing system. Distribution truck drivers are trained in preventing inadvertent
spills while offloading product to the station storage tanks. Personnel are trained in the safe handling of hazardous materials and in
leak detection when inspecting hazardous material storage containers, tanks and locations. Storage locations are inspected on a
routine basis during operations for signs of leaks and deterioration.
2. MITIGA TION- What actions will your business take to lessen the harm or damage to persons, property,
or the environment, and prevent what has occurred from getting worse?
The senior employee on site will institute immediate spill control measures with the site spill kit for minor product release. The
employee will immediately stop the source of the spill and prevent the flow of the spill material off-site, if this can be done safely.
Stopping the spill may involve turning off pumps and closing valves. Any spill greater then 55 gallons may be turned over to an
outside finn.
Employees will respond to small fIres with the site fIre extinguishers and attempt to contain it before it gets out of control.
In the event of a dispenser drive over or fIre the employee will immediately shut down the tank turbines with the emergency shut-off
switch. The goal of the site employee is to stop or contain any immediate threat and to summon the appropriate City Agencies (i.e.
Fire Department) and Equilon contractors to follow up with damage assessment and cleanup.
3, ABATEMENT - What will your business do to stop the hazard?
Tanks and lines are set up to automatically shut down when a leak is detected. For small releases the spill control kit absorbent
material and absorbent Itsausages~' for containment damming, Equilon contracts with a number of State Licensed Abatement
Contractors to properly clean the site and ready generate wastes for hauling to an approved landfill. The State Licensed Abatement
Contractor will manifest, haul, and dispose of the material at an approved landfill or other approved disposal site. 'The station
manager will resume responsibility for directing cleanup activities. He will summon to the scene the manpower and equipment
needed to respond to incident, and will direct their activities for the duration of the response. He will contact any support groups
whose assistance is needed in the response effort, such as Police or Fire Department. Notification of regulatory agencies, should it be
required will be handled in accordance with notifIcation procedures above. Once the spill has been eliminated, efforts will be
directed towards containment of the spill material to the smallest area possible. After the bulk of the spilled material has been
removed, final cleanup of the area will be conducted. This will include decontamination of the area and equipment used for the
cleanup.
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4. EVACUATION· How will your business handle evacuation?
In the event of emergency situation, fIre or spill, site personnel are notifIed verbally. The station manager or senior employee will at this
time assess the situation and determine whether outside notifIcation is required. In the event of an emergency which would require total
evacuation of the facility, notification will be made verbally by the senior employee in the affected area. The routes of evacuation to be
taken are noted on the facility drawing. Once evacuated, personnel will assemble at a safe distance away from the facility, (conditions
permitting wind direction, other risks) and the station manager will conduct a head count. If it is possible, the station manager will
notify the surrounding businesses by phone or by a door to door means,
5, Your business is required by required by law to keep a copy of Business Plan, including the chemical inventory and site
map, Describe where the copies will be kept in your business. Where will other copies be maintained?
The business plan is located in the cashier area. Equilon Enterprises also Maintains a copy at their OffIce.
Equilon Enterprises LLC
SH&E Compliance Coordinator
PO BOX 7869
Burbank, CA. 91510-7869
6. Describe where you keep other records required by this plan, such as employee training records, (including drills)
release records, persons responsible for maintenance/safety and their records, and emergency phone numbers.
Other record required by this plan, such as employee training records, release report records, persons responsible for
maintenance/safety and their records, and emergency phone lists are located in the green SH & E book located in the cashier area.
EMPLOYEE TRAINING
1) Describe the training new employees receive in handling and using hazardous materials and waste that are part of your
operation.
Within 90 days of their hire date, new employees are trained in the safe handling of the hazardous materials they will be using. This
training is completed using OSHA hazard communication regulations. When the new employee has completed the "Right to Know"
training, it will be documented in the employee's files. This training covers the labeling, MSDS and hazards associated with the
materials they work with. The station manager is self trained in the contents of this business plan, which outlines the procedures that
are to be followed in dealing with initial response to an emergency. A work shift is not allowed to operate without someone trained
in the procedures to follow during initial response to emergencies. The training consists of the instructor reviewing the plans line by
line, and answering any questions the employee might have. Once the employee has been trained and verifIed competent in the
contents of the plan, a notation is made in the employee records that they have completed the training required to handle initial
response. All employees are trained thoroughly with the emergency response plans and procedures with annual refresher training.
Refresher training is completed as noted above, and once trained, a notation is made in the employees record. Refresher training
consists of reviewing the evacuation procedure and spill notifIcation procedures and all emergency contact telephone numbers. A
record of this training will be noted in the employee's records. Any amendments to the plans are relayed to the personnel required to
carry out the plans as soon as those amendments are known.
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2) How are employees trained to react to emergency situations?
All employees are instructed to call 9-1-1 if warranted, Call Equilon's Maintenance center and personnel, and initiate mitigation
procedures
3) Describe how new employees are trained in the use of safety equipment and supplies needed to stop leaks or fires,
All employees are instructed in the use of safety equipment and review procedures for proper use of safety and spill control
equipment. A Refresher training is conducted every six months.
CERTIFICATION
We have demonstrated reasonable care in preparing our Business Emergency Plan, This statement certifies that our
Emergency Business Plan has been implemented and should be adaquate in the event of an emergency involving our
hazardous materials.
Date 12/l7/98
Signature
Busines
Calvin Wills
Signature
~ ú~ZI
.----
Date
/;1 -;}?-7rr
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· . . . . .. ~ . . . . . . . . . . . . .
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APPENDIX A
California Business & Owner/Operator Identification Page
,"-""
/-
~
CALENOAR yeAR BEGINNING (1
ENDING (2\
BUSINESS NAME
SITE ADDRESS
CITY
DUN &
BRADSTREET
OPERATOR
NAME
(4) White Lane Shell
(6) 2600 White Lane
(7) Bakersfield STATE (8) ZIP (9) 93304
(tOI 36-467-0372 SIC CODE (4 DIGIT#) (111 5541 7542
(\ 21 Calvin Wills OPERA TOR PHONE (131 (805) 832-480
OWNER NAME
(14)
OWNER INFORMATION
OWNER PHONE (15)( 818) 73.6-5078
OWNER MAILING ADDRESS
CITY (n)
Box 7869
STATE (18)
Z.IP (\9)
5-10-7869
CONTACT NAME
MAILING ADDRESS
(20)
ENVIRONMENTAL CONTACT
CONTACT PHONE (21) (818) 736~5078
7869
CITY
(23) Burbank.
STATE 1241
91510-7869
Primary
EMERGENCY CONTACTS
Secondélry
NAME: (26) ~ . WiJl!'> NAME: (31) Fred Lonq
';:>Iu' n
TITLE: (2.7) Dealer TITLE: (32) Maintenance Coordinator
BUSINESS PHONE: (28) (805) 832-4801 BUSINESS PHONE: (331 (805) 326-4326
~
24·HQUR PHONE: (291 (805) 837-1389 24-HOUFI PHONE; (34~ (815) 333,,=,2123
PAGER #: (301 PAGER #: (351 I
ON SITE AHM
ACUTEL Y HAZARDOUS MATERIALS (AHM)
I 0 Y IQ\ N Ilf y~U¡. and above Threshold .Plénning Quantities. attach ¡ sheet of peper with b general
(38) es lAI 0 description o''11\e ptOCe99 end p,inQ;pal equipment.
(37)
ADDITIONAL lOCALLY COLLECTED INFORMATION
Certification: 1 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,
P,in, Name of Document P'epa'e' "" t_.z- S.e ~ce, S~ tion SErvices
Signature of Owner/Operator (39) Date (401 /;;2, - ;;J.;j tL--
oes F<>rm 2730( t 1/941
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APPENDIX C
. California Hazardous Material Inventory Fonn/Addendum- Chemica' DescriPtio~~.
01 c: ADD 0 DELETE C REVISE 0 NO CHANGE PAGE 121 D OF 1;3) ~
MAP" IB'
White Lane Shell
NORTH SIDE OF LOT
1 I GRIDN (71 I DLi
BUSINESS NAME 141
CHEMICAL LOCATION 151
CHEMICAL NAME 181
COMMON NAME 191'
CAS II 1101
FIRE CODE
HAZARD CLASSeS 0 1131
PETROLEUM HYDROCARBONS TRADE SECRET 1111 OV OON
UNLEADED GASOLINE oBiS 1121 Cy iXlN
8006-61 -9 "IF EHS BOX IS ·V·
ALL AMOUNTS MUST BE IN LBS
. I-A: FLAMMABLE LlaUID
PRESSURE 127
STORAGE
STORAGE 128
TEMPERATURE
·COMPLETE BLOCK (13) IF REQUESTED BV THE LOCAl. FIRE CHIEF - REFER TO INSTRUCTIONS. I
o PURe JD MIXTURE 0 WASTE RADIOACTIVE 1151 I 0 Y ŒI N 1116)
o SOUD :XI LIQUID o GAS CURIES
~ FIRE C REACTIVE 0 PRESSURE RELEASE ~ ACUTE HEALTH LtI CHRONIC HEALTH
UNITS 1221 I :x GAL 0 CU FT I MAX DAILY AMT 1231 10000
o LBS 0 TONS
365 "If EHS, amounts muSt be in lb. A VG DAILY AMT (24' 3500
, 0.000 ANNUAL WASTE AMT 1251
o ABOVE GROUND TANK o CAN o BOX o TANK WAGON
Ja UNDER GROUND TANK o CARBOY o CYLINDER o RAIL CAR
o TANK INSIDE BUILDING o SILO o GLASS BOTTLE 0
o STEEL DRUM o FIBER DRUM o PLASTIC BOTTLE o Other...
o PLASTlCINONMETALLlC DRUM o BAG o TOTE BIN
ŒI AMBIENT o ABOVE AMBIENT o BELOW AMBIENT I
I OC AMBIENT o ABOVE AMBIENT C BELOW AMBIENT U CRYOGENIC
TYPE f1 .,
PHYSICAL STATE (111
FED HAZARD
CATEGORIES 1181
STATE WASTE 1191
COOE
OA VS ON SITe 1201
\.ARGEST 121 I
CONTAINER
STORAGE ':leI
CONTAINER
(291 %WT
1301 HAZARDOUS COMPONENTS
13'1eHS
1321 CAS/I
1, < '15.0
2. < 6.5'
3. < 4,6
4,
5,
METHYL TERT BUTYL eTHER wY OON 1634044
TOLUENE OV ~N 108883
XYLENE OY OON , 330-20-7
OY ŒJN
OY ŒlN
1331 ADDITIONAL LOCALLY COLLECTED INFORMA nON
OES Form 273001/94)
ro, \lIAT.Jo(.¡o. n_<tIF.!.L._ E1IIFOIt/o<SlSTATWo'V,MIW
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APPENDIX C
. California Hazardous Material Inventory Form/Addendum- Chemical Description Page
L~1 ~. ADD 0 OELETE C REVISE C NO CHANGE I PAGE (21 0 OF 1:11 [U
BUSINESS NAME 141
White lane Shell
NORTH SIDE OF LOT
, I GRID# t7I I O~
CHEMICAL LOCATION (61
MAP# leI
CHEMICAL NAME (81
COMMON NAME t91
CAS # 1101
FIRE CODE
HAZARD CLASSES- (131
Type (14'
PHYSICAL STATE 1111
FED I-4AZARD
CATEGORIES (Tel
STATE WASTe (19)
CODE
DA VS ON SITE (20)
LARGEST (211
CONTAINER
STORAGE t261
CONTAINER
PETROLEUM HYDROCARBONS TRADE SECRET "" ~
SUPER UNLEADED GASOLINE 'EHS 1121 OY Œ1N
8006-61-9 'IF EHS BOX IS ·V·
ALL AMOUNTS MUST BE IN Las
I-A FLAMMABLE LIQUID
.
PRESSURE [27)
STORAGE
STORAGE (291
TEMPERA TURf
COMPLETE BLOCK 1131 IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. I
o PURE ~ MIXTURE = WASTE RADIOACTive (15) I 0 Y œ¡ N 11'61
o SOLID ~ LIQUID :::: GAS CURIES
IZ FIRE o REACTIVE = PRESSURE REL&ASE IZ ACUTE H£AL TH ~ CHRONIC HEALTH
UNITS 1221 I ~ GAL ~ CU FT I MAX DAILY AMT 1~31 10000
!:.I LBS TONS
385 "f EHS. amounts must be in lb. A VG DAILY AMT 1241 2500
, 0.000 ANNUAL WASTE AMT 1251
o ABOVE GROUND TANK o CAN o BOX o TANK WAGON
III UNDER GROUND TANK :J CARBOY o CYLINDER o RAIL CAR
DTANK INSIDE BUILDING w SILO o GLASS BOTTLE 0
o STEEL DRUM :J FIBER ORUM C PLASTIC BOTTLE a Other...
o PLASTICJNONMETALUC DRUM :J BAG o TOTE BIN
~ AMBIeNT o ABOVE AMBIENT _ BELOW AMBIENT T
~ AMBIENT o ABOVe AMBIENT = BELOW AMBIENT C CRYOGENIC I
1251 %WT
1301 HAZARDOUS COMPONENTS
1311 EHS
(3~1 CAS'
1, < 15.0
2, < 14.0
3, < a,8
4,
S.
METHYl TERT BUTYL ETHER OV ~N 1634044
TOLUENE o Y ~ N 108883
XYLENE OY ~N 1330-20-7
OY IXIN
QY ŒlN
1331 ADDITIONAL LOCALLY COLLECTED INFORMATION
f
OES Form 2730Cll/94)
F,' HAZMA T\5'(£:.1. _ EJ' FO;u.\S\Sf^TEI!IV,Io1IG
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. APPENDIX C
, California Hazardous Material Inventory Form/Addendum- Chemical Description Page
t1' C ADO Q OELETE = REVISE = NO CHANGE PAGE 121 ~ OF (3) ~
White Lane Shell
NORTH SIDE OF LOT
t 1 GRID# 171 I D~
CHEMICAL NAME (el PETROLEUM HYDROCARBONS TRADESOCRET "" ~
COMMON NAME 191 UNLEADED GASOLINE 189 OCTANE) 'EHS \12\ OY ~N
CAS # '101 8006-61-9 'IF EHS BOX IS ·V·
ALL AMOUNTS MUST BE IN LBS
FIRE CODE I-A FLAMMABLE LIQUID
HAZARO CLASSES' (131
BUSINESS NAME (oLl
CHEMICA~ I.OCA T10N (51
MAP' (61
.
COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE I - R OIN
o PURE IlC MIXTURE 0 WASTE RADIOACTiVe 1161 I OY ~N 1(161 I
C SOLID lXI LIQUID o GAS CURIES
O!C FIRE o REACTIVE 0 PRESSURE RELEASE iX! ACUTE HEAL TH ~ CHRONIC HEAl. TH
UNITS 1221 I œJ GAL 0 CU FT I MAX DAIL V AMT 1231 10000
o LBS CJ TONS
365 "lr EHS. amountS must be in Ib, A VG OAll Y AMT 1241 2500
10,000 ANNUAL WASTE AMT 1251
C ABOVE GROUND TANK o CAN o BOX o TANK WAGON
QQ UNDER GROUND TANK o CARBOY o CYLINDER o RAIL CAR
OT ANK INSIDE BUILDING o SILO c:¡ GlASS BOTTLE 0
o STEEL DRUM o FIBER DRUM o PlASTIC BOTTLE o Other...
CJ PlASTICINONMETALLIC DRUM o BAG o TOTE BIN
~ AMBIENT o ABOVE AMBIENT o BELOW AMBIENT I
(II AMBIENT o ABOVE AMBIENT o BELOW AMBIENT o CRYOGENIC I
CH ~ EFER T
STRUCTtONS
TYPE (141
PHYSICAL ST A Të 07)
FED HAZARD
CATEGORIES !l6J
STATE WASTE <191
CODe
DA YS ON SITE (201
LARGEST (21)
CONTAINER
STORAGE 126\
CONTAINER
PRESSURE 1271
STORAGE
STORAGE (2SI
TEMPERATURE
(291 %WT
1301 HAZARDOUS COMPONENTS
1311 EHS
(321 CAS#
1. < 15.0
2. < 9.5
3. < 6.3
4.
5,
METHVl TERT BUTYL ETHER OY IXIN 1634044
TOLUENE Oy IXIN 106883
XYLENE OY ~N 1330-20-7
Ov Œ!N
OV ®N
(331 ADDmONAL LOCALLY COLLECTED INFORMATION
OES Form :730(1194)
F:ò.HIIZ..-v.N¡IC~_¡¡a\P~$\ST A~...It(.
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APP&'IDIX C
. California Hazardous Material Inventory Form/Addendum- Chemical Description~
(11 = ADO 0 DELETE c: REVIS!!! w NO CHANGE PAGE (~ ~. OF (31 ~
BUSINESS NAME (41
White Lane Shell
IN SALES AREA
1 I GRID' (7)1 E\f
CHEMICAl. LOCATION (51
MAP" (61
CHEMICAl. NAME 181
COMMON NAME 19)
CAS II 1'01
FIRE CODE
HAZARD CLASSES" 1131
TYPE 1141
PHYSICAL STATE IHI
Fm HAZARD
CATEGORIES (181
STATE WASTE (191
CODE
DA YS ON SITE (201
LARGEST (211
CONTAINER
STORAGE (261
CONTAINER
CARBON DIOXIDE TRADE SECRET It" Cy IJ!N
CARBON DIOXIDE °EHS 1121 ::JY ŒïN
, 24"38-9 "IF EHS BOX IS ·Y·
All AMOUNTS MUST BE IN LBS
COMPFleSSED GAS
F>RESSURE (27'
STORAGE
STORAGE 1261
TEMPERA TURf
COMPLETE BLOCK '1311F REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. I
~ PURE 0 MIXTURE 0 WASTE RADIOACTIVE (15) I 0 Y ~ N (HI)
CJ SOLID 0 LIQUID ~ GAS CURIES
o FIRE o REACTIVE IX! PRESSURE RELEASE 0 ACUTE HEALTH 0 CHRONIC HEALTH
UNITS (:l~ 18 GAL IX! CU FT I MAX DAILY AMT 1231 34.8 ;
I Las U TONS
365 "If EHS. amounts must be in lb. A VG DAILY AMT (~4 174
174 ANNUAL WASTE AMT 1251
:J ABOVE GROUND TANK o CAN c: BOX ~ TANK WAGON
o UNDER GROUND TANK o CARBOY X CYLINDER :J RAIL CAR
o TANK INSIDE BUILDING CJ SILO '= GLASS BOTTLE ::J
o STEEL DRUM o FIBER DRUM = PLASTIC BOTTLE :: Other...
o PLAST'CINONMETALUC DRUM o BAG C TOTE BIN
:J AMBIENT JC ABOVE AMBIENT C BELOW AMBIENT I
~ AMBIeNT o ABOVE AMBIeNT o BELOW AMBIENT ~ CRVOGENIC ¡
(291 %WT
(301 HAZARDOUS COMPONENTS
1311 EHS
1321 CAS#
1. 100
2.
3.
4.
5.
CARBON DIOXIDE OY ŒlN 124-38-9
Oy ~N
Oy IXIN
OV OON ¡
OY ®N I
133) ADDmONAL LOCALLY COLLECTED INFORMATION
!
I
I
OES Fonn ~730( 1lI94)
F:\I'''ZMArS1ol~, EE\FOJlMS\S1'^,T~',MR<
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APPENDIX C
. California Hazardous Material Inventory Form/Addendum· Chemical Description Page
(1) ::: ADD . DELETE 0 REVISE C NO CHANGE PAGE (ZI ~ OF {31 [D
MAP/'! tel
White Lane Shell
NORTH SIDE OF SALES SLOG
, ! GAID, ('71 I E"\
BUSINESS NAME (4)
CHEMICAL L.OCA TION 15)
CHEMICAL NAME \91
COMMON NAME t91
CAS 1/ 1101
FIRE CODE
HAZARD CLASSES' \\31
PETROLEUM HYDROCARBONS TRAO'SECRET "" ~
USED MOTOR OIL. EHS 1121 OY IXIN
800-20-59 'IF EHS BOX IS ·v·
ALL AMOUNTS MUST BE IN I.BS
111-8 COMBUSTIBLE LIQUID ,-
.
COMPLETE BLOCK /13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTI NS. l
o PURE C MIXTURE i)b WASTE RADIOACTIVE (15) ¡ :J Y IX! N rl161
o SOLID œI UQUID n GAS CURIES
o FIRE 0 REACTIVE 0 PRESSURE RELEASE 0 ACUTE HEAL TH ~ CHRONIC HEALTH
221 UNITS 1221 I ~ GAL b CU FT I MAX OAIL Y AMT (231 550
\ LBS TONS
365 If EHS. amounts must be in lb. A VG OAIL V AMT t241 0
550 ANNUAL WASTe AMT 1251 0
o ABOVE GROUND TANK o CAN o BOX o TANK WAGON
i1! UNDER GROUND TANK o CARBOY o CYLINDER o RAIL CAR
o TANK INSIDE BUILDING o SILO o GLASS BOTTLE 0
o STEEL DRUM o FIBER DRUM o PLASTIC BOTTLE o Other...
o PLASTICINONMET ALLIC DRUM o BAG o TOTE BIN
!XI AMBIENT :J ABOVE AMBIENT o BELOW AMBIENT I
00 AMBIENT ::J ABOVe AMBIENT o BELOW AMBIENT Ci CRYOGENIC I
o
TYPE (141
PHYSICAL STATE (171
FED HAZARD
CATEGORIES 1181
STATE WASTE (191
CODE
DA VS ON SITE 1201
LARGEST (21)
CONTAINER
STORAGE 1261
CONTAINER
PRESSURE (271
STORAGE
STORAGE 1281
TEMPERATURE
(291 %WT
(301 HAZARDOUS COMPONENTS
(311 EHS
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As Operator, I am responsible for monitoring the underground storage tank system in accordance with
Title 23, CCR. The following pages outline the specific monitoring procedures as required in Section 2632
or 2641. My signature below confirms that I have read and understand my responsibilities as they pertain to
tank monitoring, reporting, and records retention, . - . . . . . . '. .
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SERVICE STATION
MONITORING PROCEDURE
Title 23 of the California Code of Regulations (CCR) requires that a written monitoring procedure be
established for all underground storage tanks. This fonn is used to satisfy the infonnation required in
Section 2632 & 2641, Title 23, CCR. A Copy of this fonn wíll be maintained on-site (located inside the
Equilon's Marketing Service Station Health, Safety and Environmental Manual also known as the Red
Book) and a copy wíll be submitted to the local administering agency (inside of the Business Plan and
inventory disclosure).
Facility Name:
White Lane Shell
Facility Address:
2600 White Lane, Bakersfield, CA. 93304
Facility Telephone Number: (805) 832-4801
Tank Owner:
EQUILON ENTERPRISES LLC
ATTN: SH&E DEPARTMENT
P.O. BOX 7869
BURBANK, CA. 91510-7869
Telephone Numbers:
(818) 736-5078 or (805) 326-4326
Owner Signature
Tank Type: Double Wall
Tank Material: Fiberglass
Monitoring Type: TLS-350R
Monitor Manufacturer: Veeder Root
Line Type: Double Wall
Line Material: Fiberglass
Monitoring Type: TLS-350R
Line Leak Detector: PLLD
Monitor Manufacturer: Veeder Root
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REPORTING REOUIREMENT
Any monitor that is discovered in Alarm (RED Lights On) or audible alarm is sounding or any monitoring
that cannot pass the daily inspection test must be reported immediately to:
1. Equilon Enterprises LCC
SH&E Compliance Coordinator (818) 736-5078
Maintenance Coordinator (805) 326-4326
Trainine: bv Company Personnel
Per manufacturer guidelines, the training necessary to operate the tank and line monitoring system is
performed by the authorized installation contractor, The location is also responsible for daily inspections of
the monitoring panel, alarm Panel Test Log and corrective actions.
Operator/Manager
I, Each Individual alarm system is determined and located at the service station premises.
2. Each Individual alarm system is activated by visually inspecting the alarm panel lights and pushing
the appropriate audible alarm button.
3. No impromptu repairs, changes, adjustments, etc. will be made to the monitoring equipment at the
station.
Designee
·
. It shall be the responsibility of the operator/manager to train the designee to perform alarm panel
tests.
o
It shall be the responsibility of the operator/manager to train the designee to perform physical
inventories.
Additional Releases Safety Features at the Service Station
Inventory reconciliation as defmed by Article 6.3 of the Equilon Motor Fuel Lease and Title 23, CCR.
Equilon must be notified if a single daily variation exceeds plus or minus 300 gallons, or exceeds +/-
150gallons of daily variations for three (3) consecutive days, or the month end cumulative variation exceeds
+/-0.005 x monthly throughput, or the month end cumulative variation exceeds +/- 130 + 0.01 x monthly
throughput.
· Electronic Monitoring systems described above
o Annual Tightness Testing of Single Wall Lines (If required by the Local Implementing Agency)
o Physical Inventory
· Annual UST Equipment Certifications
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. Double wall tanks are monitored by in tank gauging probes and there is a continuous electronic
monitoring of the annular interstice space in each tank. A monthly status report of the annular
space condition in each tank is submitted to the station at the end of each month. Hard copies of all
test data will be maintained on-site in the ETM Results binder.
o Single wall tanks with Electronic Tank Monitors (ETM) will at a minimum comply with Section
2643, CCR: Electronically test each tank at least once per month after product delivery or when
tank is filled to within 10% of highest operating level during previous month. The system is
capable of detecting a release of 0.2 GHP. A Hard copy of all test data will be maintained on-site
in the ETM Results binder.
o Single wall tanks with no eletronic monitoring equipment will be tested annually using the
volumetric testing guidelines specified in Section 2643, CCR.
Lines
. All lines, Single wall or Double wall, are monitored by Pressure Line Leak Detection probes
(PLLD). The sensor at 3 GPH every time the dispenser is used, and a 0.2 GPH leak rate once a
month according to CCR, Title 23, Div 3, chapter 16 UST Regulations. Also the monitor is capable
ofa 0.1 GPH leak rate test once a year if mandated by the City Ordinance or Municipal code from
Local Regulatory Agency. All product lines have Positive Shut Down and will stop the flow of
product through the lines in the event of a leak.
Some Double Wall lines are also monitored with either interstitial or sump sensors.
o
Double wall fiberglass lines will have continuous sump monitors and line pressure monitors which
are certified annually.
o
Single wall lines: All single wall lines will be'pressure tested annually according to Section 2643,
CCR. And will be monitored with a line pressure device (mechanical or electronic) that is certified
annually
Tank / Line Testing or Certification Results:
. The Simplicity System Installed at this location provides continuous electronic leak detection of the
product tanks pressurized product lines. The system provides audible and visual alarms along with
automatic notification through the Veeder-Root system in the event that a leak is detected. Hard
copies of the UST System test results are to be mailed to the station the first week of each month.
These copies of the UST Testing and Certifications will be maintained on-site at the station and
available for inspection. UST Test/Certification results will also be sent to the local agency by
certified mail as required.
o Tank and line testing will be conducted by a qualified contractor and results of these tests will be
maintained on-site and available for inspection.
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.
Veeder-Root TLS-350R
On a daily basis the operator / manager / designee will push the RED alarm test button which will
indicate that the remote sensor and the monitor control panel are working as well as the condition
of the alarm and that ALL FUNCTIONS ARE NORMAL. The RED and YELLOW lights will be
observed to be OFF. These copies of the UST Testing and Certifications will be maintained on-site
at the station and available for inspection. UST Test/Certifications results will also be sent to the
local agency by certified mail as required.
o
Ronan
All electronic monitoring devises will be inspected for operation in accordance with section 2632,
CCR. A log will be maintained on-site showing daily documentation of inspections and
maintenance requirements. The monitoring will be tested daily in accordance of manufacturer
instructions. Copies of the UST Testing and certifications will be maintained on-site at the station
and available for inspection. UST Test/Certifications will also be sent to the local agency
Red Jacket
All electronic monitoring devises will be inspected for operation in accordance with section 2632,
CCR. A log will be maintained on-site showing daily documentation of inspections and
maintenance requirements. The monitoring will be tested daily in accordance of manufacturer
instructions. Copies of the UST Testing and certifications will be maintained on-site at the station
and available for inspection. UST Test/Certifications will also be sent to the local agency
o
Dealer Inventory Rec.
On a daily basis the dealer takes a physical inventory (stick reading) of the levels of the tank. Each
day he subtracted sales from and added deliveries to the book inventory. His daily inventories are
compared to the "book" inventory to give the dealer a cumulative reading. At the end of each
month the dealer will compare his daily inventories to net his overage or shortage for the month-to-
date and make a monthly report. These reports will be maintained on-site at the station and
available for review during inspection. A copy of the report will be sent to the local agency by
certified mail as required.
Fuel Lines
.
Veeder-Root TLS-350R
On a daily basis the operator / manager / designee will push the RED alarm test button which will
indicate that the remote sensor and the monitor control panel are working as well as the condition
of the alarm and that ALL FUNCTIONS ARE NORMAL. The RED and YELLOW lights will be
observed to be OFF. These copies of the UST Testing and Certifications will be maintained on-site
at the station and available for inspection. UST Test/Certifications results will also be sent tothe
local agency by certified mail as required.
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UNDERGROUND STORAGE TANK
LEAK RESPONSE PLAN
Tank Owner:
EQUILON ENTERPRISES LLC
ATTN: SH & E DEPARTMENT
P.O. BOX 7869
BURBANK, CA. 91510-7869
Telephone Numbers:
(818) 736-5078 or (805) 326-4326
If a Leak Detection Alarm or System is Activated:
1. Determine which tank system is involved.
2. Shut offpump and discontinue operations.
3. Call the Tank Owner [mmediately.
4. Persons responsible for contacting the leak response unit / company and authorizing any work
necessary,
SH&E Compliance Coordinator (818) 736-5078
Maintenance Coordinator (805) 326-4326
5. Notify the local agency:
BAKERSFIELD FIRE DEPT
PHONE#: (805) 326-3979
6. Call 911 (if necessary):
The Methods and Type of Equipment Used for Removing Hazardous Substances.
All unauthorized releases will be removed from the secondary containment by vacuum truck.
A licensed hazardous waste contractor will be called to perfonn the clean up and removal of hazardous
substances.
The location and Availability of Cleanup Equipment:
Major Spills: A local licensed hazardous waste contractor.
Minor Spills:
A spill kit with absorbent is to be maintained and supplied by the operator. To dispose of
small generated hazardous waste, the operator / dealer will call Equilon's Contractor for
proper disposal
A copy of this response plan should be maintained near the electronic monitoring system.
A copy is also sent to the local agency.
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.{) 'i,;,,- f!, Tank and Line Testing Guidelines:
.
All Simplicity monitors are continuously being monitored at a central office
In Connecticut. Simplicity operators will notify each dealer and Equilon in the event that
an alarm goes on at a station. They will also dispatch a service contractor to investigate
those alanns and notify an Equilon Representative if any further action is required. Gas
tanks are monitored by in-tank gauging probes. These probes are capable of testing at 0..1
and 0.2 leak rate. TLS-350R controller is programmed for Continuos Statistical Leak
Detection CSLD which tests the tanks at 0.2 GPH leak rate. Hard copies of all test data
will be maintained on-site in the ETM Results binder.
o
In the event that an alarm is activated it will be the Operator's responsibility to investigate
the cause and to notify an Equilon Representative if any further action is required. Gas
tanks are monitored by in-tank gauging probes. These probes are capable oftesting at a
0.1 to 0.2 GPH leak rate. Hard copies of all test data will be maintained on-site in the
ETM Results binder.
o
In the event that a Operator finds a reconciliation variance during physical inventories
greater then the allowable variation, the Operator will begin the inventory discrepancy
investigation procedures. The Operator will be responsible to notify an Equilon
Representative if any further action is required.
Inventory is taken on daily basis. Each month will have a monthly report which will be
maintained on-site.
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BAKERSFIELD, CALIFORNIA 93304
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P_OS
-
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BUSINESS EMERGENCY PLAN
(Hazardous Materials Management Plan and Disclosure/Inventory)
EQUILON ENTERPRISES LLC
White Lane Shell
2600 White Lane
Bakersfield, CA. 93304
204-0461-0005
(805) 832-4801
Rev 12/2) /98
Dec-21-98 02:41P SERV~E STATION SERVICES
714 546 0812
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P.06
204..0461-0005
BUSINESS PLANS
AS A SERVICE TO YOU. THIS BUSINESS PLAN WAS PREPARED BY SERVICE STATION
SER.VICES, INC. IN ORDER TO COMPLY WITH THE CALIFORNIA HEALTH AND SAFETY CODE
(CHAPTER 6.95, AlnlCLE I, SECTION 25503.5), BY ACCF.PTrNCr THIS PLAN, YOU ARE
ACKNOLRDCìING THAT TIIERE ARE NO REPRESENTATIONS OR WARRANTJRS THAT THE
INFORMA TION CONTAINED IN THIS BUSINESS PLAN WILL PRODUCE ANY PARTICULAR
RESULT WITH REGARD TO THE SUBJECT MATfER.
OWNER/OPERA TOR AGREEMENT
OPERATOR:
As operator of the underground storage tanks, I hereby certify that I understand the monitoring and I'eporting
requirements contained in Title 23. of the California Code òf Regulations and I have received a copy of
Section 25299, chapter 6.7, CalifornÎa Health and Safety Code.
STGNA TURE:
DATE:
OPERATOR NAME:
Cah'in Wills
BUSINESS NAME:
White Lnne Shell
LOCATION #:
204-0461-00005
OWNER:
As the owner ofth~ underground storage tanks. EQUILON ENTERPRISES LLC certifies that we have
provided the operator a coPY ofthe monitoring and reporting requirement~ contained in Title 23, orthc
California Code of Regulations, Equilon certifies that we h"ve provided (he operator wilh a copy of the
penalties of noncompliance as specified in Section 25299. chapter 6.7 of rhe California Health and Safety
Code.
OWNER SIGNATURE
DATE //-/~ f"Y'
ElJuilolt t:"lerp,ise.f H.C
Dec-21-98 02:41P SERVQíþ STATION SERVICES
714546 0812
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Bakersfield Fire Department
2130 G Street .
Bakersfield. CA. 933001
(805) 326-3979
Business Name White Lane Shell
Owner/Operlltor Name Calvin Wills
Phone: (805) 832-4801
Business Address 2600 White Lane
City Bakerst~iJd State CA.
Zip 93304
Environmental Contact: Feryal Sarrafian $11 & E CompJiance Coordinator
Phone: (~18) 736-5078
Mailing Address P.O. Box 7869
City Burhank
State CA.
Zip 91510-7869
Biennial Review and Recertification
o
I certify that the ßusincg$ Plan has been reviewed and the information contained in it is accurate i.md complete as of
date below.
~
I certifY that I have reviewed the previou~ly submitted Business plan and have updated the following items on the
attached pages.
g Emergency contacts names amI phone numbers
o Sitdfacility map
o Other Updates
Annual Inventory Update
Inventory Forms are correct for the upcoming reporting year. No changes Necessary.
Inventory Forms re<Juired updating. Replace previous inventory with attached inventory.
I certify \In del' penalty of law, that I have per!'onnally examined and I am familiar with the information suhmitted in thi!' a.nd all attached
documents, and based on my inquiry of those individuals responsible for obtaining the information, I beleive that the submitted information is
::::~:~d:~;:ete. :::Iure _~ / ~
Dec-21-98 02:42P SERV4íÞ STATION SERVICES 71~46 0812
P_OS
Bakersfield Fire Department
Hazardous 'Materials Division
2130 "G" Street
Bakersfield, CA. 93301
(805) 326-3979
Your business is required by State Law to provide immediate notification of any release or threatened
release of hazardous material to 1) local fire emergency response personnel, 2) the office of Emergency
Services (OES) and 3) this administering agency. If you have a release or threatened release of
hazardous materials, immediately call:
Fire/Paramedics/Police/Sheriff
Phone: 9-1-1
Individual responsible for calling 9-1-1D 1 M S' E 1
ea cr, Imager, cOlor mp uyt.:t.:
After the local emergency response personnel are notified, you shall then notify the administering agency
(HMDO) and the office of Emergency Services (24 hours a day)
State Office of Emergency Services:
(800) 852-7550
OR
(916) 427-4341
AND:
Local Administering Agency
(805) 326-3979
Individual responsible for calling this Administering Agency and State OES:
Dèalcr or SH & Ii Compliance Coordinator
2. List the local emergency medical facility that will by used by your business in the event of an accident
or injury caused by release or threatened release of hazardous materials.
Hospital I Clinic K M d- 1 C
ern e lea .enter
Address: 1830 Flower St. Bakersfield CA, 93305
Phone: (805) 326-2000
3. Does your business have a prÎvate on-site emergency response team?
If yes describe what policies and procedures your business will follow to notify your on-site emergency
response team in the event of a release or threatened release of hazardous materials? (attach additional
pages if necessary)
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P.09
1, PREVENTION- Describe the types of hazards associated with the materials present at your facility
What actions are taken to prevent these hazards from occurring?
The primary haL.ardous material is gasoline. It tonstitutes an immediate fire hazard and an environmental hazards. Tanks are
equipped with spill boxes and overfill protection to prevent release of spill by the distribution truck, Tanks and lines are
tontinuously monitored. Dispensers are equipped with shear valves and automatic shm-offto prevent overfill by customer. All
gasoline Îs ston::d in an approved storage and dispensing system, Distribution truck driver,s are trained in preveming inadvertent
spills while offioading product to the station storage tanks. Personnel arc trd.ined in the safe handling ofha7.ardous materials and in
leak detettiol1 when inspetting hazardous material storage containers, tanks and locations. Storage locations are inspeCll':d on a
routine basis during operations for signs of leaks and deterioration,
2. MITIGA TION- What actions will your business take to lessen the harm or damage to persons, property,
or the environment, and prevent what has occurred from getting worse?
The senior clTlþloyee on site wìl1 institute immediate spill wntrul measures with the site spill kit for minor product release. The
employee will immediately stop the source oftht: spill and prevent the flow of the spill material off-site, ¡fthis can be done safeJy,
Stopping the spill may involve turning off pumps and closing valves. Any spill greater then 55 gallons may be tumed over to an
outside finn.
Employees will respond to small fires with the site fire extinguishers and attempt to cnntain it bet()rc it gets out of control.
In the event of a di~pt:nscr drive over or fire the employee will immcdiately shut down the tank turbines with the emergency shut-off
switch, The goal of the site employee is to stop or contain any immediate threat and to summon the approp'jare City Agenties (i.e.
Firc Department) and Equilon contractors to follow up with damage assessment and cleanup.
3. ABA TEMENT - What will your business do to stop the hazard?
Tanks and lines are set up to automatically shut down when a leak is detected. For small releases the spill control kit absorbent
material and absorbent "sa\lsage~" f()r containment damming, fquilon contracts with .) number of State Licensed Abatement
Contrattors to properly clean the site and ready generate wastes for hauling to an approved landfill. The State Licensed Abatement
Contractor wíllmanifest, haul, and dispose of the material at an approved landfill or other approved disposal sileo The station
manager will resume responsibility for directing cleanup activities, He will summon to the scene the manp()wer and equipment
needed to respond to incident, and will direct their activities lor the duration ofthe response. He will contact any support groups
whose a."sistancc is needed in the rcsp<.>nse effon, such as Police or Fire Depal11nent. Nntification of regulatory agencies, should it be
required will be handled in accMdance with notification procedures above. Once the spill has been eliminated, el1i.,rts will be
directed towards containment of the spill materÎal to the smallest area possible. After the hulk or the spilled material ha." bcen
removed, fimll c.:Ieanup of the arca will be conducted. This will include decontamination of the are.., and equipment used for the
cleanup.
Dec-21-98 02:42P SERV~E STATION SERVICES
71V46 0812
P_IO
4. EVACUATION· How will your business handle evacuation?
In the event of emergency situat.ion, fire or spill, !:ite personnel arc noli1ìed verbally. .The station manager or senior emplo)'ce will at lhis
time assess the situation and determine whether outside notification i!: required. In the event oran emergency which would require total
evacuation ofthe tàcilily, notification will be made verbally by the senior employee in the affected area. The routes of evacuation to be
taken are noted on the facility drawing, Once eVlicualed, personnel wiU assemble at a safe distance away ft'om the f.lcilíty, (conditions
pennitting wind direction, other risks) and the station manage\' will conduct a ht:ad cuun!. I r it is possible, lhe station manager will
notify the surrounding businesses by phone or hy Ii door to door rnC8ns, .
5. Your business is required by required by law to keep a copy of Business Plan, including the chemical inventory and site
map, Describe where the copies will be kept in your business. Where will other copies be maintained?
The business plan is located in the ca.shier area. £quilon Enterprises also Maintains a copy at their officc,
Equilon Enterprises 1.LC
SH&E Cumpliance Coordinator
PO BOX 7869
Burbank, CA. 915 10.7869
s. Describe where you keep other records required by this plan, such as employee training records, (including drills)
release records, persons responsible for maintenance/safety and their records, and emergency phone numbers,
Other record required by this plan. such as employee training records, release report records" persons responsible for
maintenance/safety and their records, and emergency phone 1ísts are located in the green SH & E book lot:utcd in the cashier area.
EMPLOYEE TRAINING
1) Describe the training new employees receive in handling and using hazardous materials and waste that are part of your
operation.
Within 90 days uf their hire date, new employets are trained ill the safe handling or the ha:t:ardous materials they will be using_ This
training is completed using O$IIA ha7.ard communication regulations. When the new employce has completed the "{jght to Know"
tminÎng, it will be documentEd in the employee's file!:, This lrdining covers the labeling, MSDS and huards associated with the
materials they work with. l11e station managcr is selftrailled in the contents of this business plan, which outlines thl~ procedures that
are to be followed in dealing with initial response lo an emergency. A work shill is nol allowed to operate without !:0111eone truined
in the procedures to follow during initial response to emergencies. The training consists (Jfthe instructor reviewing the plans line by
line, and answering any queslions the employee might have. Once the employee hlis been trained and verified competent in the
contents of the plan, a notation is made in the employee record.. that thc>, have completed thc lraining required to handle initial
response. All employees are trained thoroughly with the emergency response plans and procedures with annual refresher training.
Refresher training is completed as noted above, and once trained, a nutalion is made in the cmployees record. Refre!:hcr training
consists of reviewing the evacuation procedure and spill notitìcation procedures and all emergency contact tclc.:phone numbers. A
record of this training will be noted in the enlployee's records, Any amendment<; to the plans me relayed to the personnel required to
carry out the plans as soon as those amendnlents are known,
Dec-21-98 02:42P SERV4íÞ STATION SERVICES
71~46 0812
P _ 11
2) How are employees trained to react to emergency situations?
All employees are instructed to clIlI 9-) -1 if warranted, Call Equilon's Maintenance Center and personnel, and initiate mitigation
procedures
3) Describe how new employees are trained in the use of safety equipment and supplies needed to stop 1eaks or fires,
All employees are instructed in the use of safety equípment and review procedures for proper lIse of"sati.:ty and spill control
equipment. ^ Refresher training is conducted every six months,
CERTIFICATION
We have demonstrated reasonable care in preparing our Business Emergency Plan, This statement certifies that our
Emergency Business Plan has been implemented and should be adaquate in the event of an emergency involving our
hazardous materials,
Date 12/17/98
Signature
Busines
Calvin Wills
Signature
,.--
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Date
Dec-21-98 02:42P SERVICE STATION SERVICES
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714 546 0812
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APPENDIX A
California Business & Owner/Operator Identification Page
/--
,,-
CALENDA.~ "EAFt BEGINNING (1
BUSINESS NAME
SITE AOORESS
CITY
DUN &
~ADSTREET
OPERA TOR
AME
f;ND!NC (2\
,
(4) White Lane Shell
(6) 2600 White lilne
17) Baker&field STATE 181 liP (!II 93304
(\01 36-467-0372 SIC CODE (4 DIGIT#) 11 H ~~4 1 7542
(12) Calvin Wills OPERA TOR PMON£ 1131 (ROS) 832-480
OWNER NAME
l10iJ
OWNER INFORMATION
OWNER PHONE (151 (318) 736-5078
OWNER MAILING ADDRESS
CITY
I' ?)
Box 7869
STATE nil
CONTACT NAME
MAILING ADDRESS
(201
ENVIRONMENTAL CONTACT
CONTACT PHONE (211 (818) 736-5078
Box 7869
CITY
enl Burbank
STATE (2..
91510-7869
NAME: 1181 l"';:¡l vi n Wi 11 ~ NAME: (311 Fred Long
TITLE: 12'1 Dealer TITLE: I'UI 1-'lainten.:mce Coordinator
aUSINESS PHONE: (281 (805) 832-4801 BUSINESS PHONE: (331 (805) 326-4326
-
24-HOUA PHONE: t291 (80S) 837-1389 24-HOUR PhONE; (34) (81 5) 333-2123
PAGER #: (301 PAGER II: (35\
Primary
EMERGENCY CONTACTS
Secondary
ACUTEL Y HAZARDOUS MATERIALS (AHM)
r 0 Y 10\ N If V.~. aPld abovo T"regtoold ,Plê"ning OUIt"""... ~t~c~ II sÞ'leet of pep., with.. e.rI..'.'
ON SITE AHM (36~ es LðI a , clen,rIøtlo" 01 t"e p,ocess 8'1d 1I'¡ftnilul equip"'.M_
ì
1371
ADDITIONAL LOCALLY COLLECTED INFORMATION
C."ifieat;ðn: I certify onde, øen.lty of law that I "av. Derscna/ly uamlned and am familiar with Ifte
information submitted In this inv8f'1tQry .nd ~.Ii.ve the inform"ion is true. accura1e. and I;omolete,
Pri"t Name of Document Prepare, (381
. tion SEt'Vices
Signature of Owner/Operator (39:
OES F01fl\ 27301111941
..-..:.--~
Date (401 !;). - -?-/ _1L,_
Dec-21-9B 02:43P SERV4íf STATION SERVICES 714IÞ46 0812
P.13
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,
_.
, .
APPENDIX C
. California Hazardous Material Inventory Form/Addendum- Chemieal Oeaçriptlon~
UJ ~ ADD 0 DELETE 0 ~EVI&E 0 NO CHANGE' PAGE 121 D Of (3) ~
IUSINESS NAME 1"
CHEMICAL LOCATION ¡II
MAPM Ie,
Whi~e LAn. Shell
NORTH SIDE OF LOT
1 I GRID., 171 U~
CHEMICAL NAMF; ¡e.
COMMON NAME leI
CAS. "01
filAi CODE
HA2AAÞ CLASSES' 113,
TYPE 1'"
PHYSICAL STATE 11)1
FeR-rA~RD
CA GRIES 1'8'
STATE WASTE 1181
CODE
OAYS ON SITE' 1201
lAA~EST 121'
CON AINEJõI
STORAGE I~.I
CONT AI'\I~R
PAESSUAE
STOA~Gf
STORAGE
TeMP~AA~URe
(211) %wT
1.< 15.0
2. < 6.5
--.-'
3, < 4.6
&,
S.
PETROLEUM HVOROCARBONS TRAOI SECRET (111 0"1 IXIN
UNLEAOED GASOLINE 'EHS n 21 cy ~N
8006-6' -9 'IF EHS BOX IS ."1.
Al..l AMOUNTS MUiT 8£ IN L.aS
I-A: fLAMMABLE LIQUID
.
1271
COMP\.nE 81..0(:1( n 31 " "'C)U!STeD .V Tt4i l.OCAL ~IRE CHll= - REFER TO tNG~UCT'ONS.
o PURE a MtJrTlIAI! 0 WASTr RADIOACTIVE 1'51 0 V r&I N 1181
a souo ~ LIQU10 o GAS CURIES
all 'IRe c REACTIVE 0 PR&sS\JAe RELEASE aD ACUTE HEAL Ttf œJ CHRONIC HEAL TtoI
UNITS 122' I ~ ftt g ~~:I f MAX DAIL V AMT la"l 10000
365 "11 ii::HS, amounTs muSt be In IÞ~ A VG CAlLY AMT 1.261 3500
10.000 ANNUAL WASTE AMT 1251
o ABOVE GROUND TANK o CAN o BOX OTANI( WAGON
~ UNOER GROUNO T ..Nt( Q CARBOY o CYLINDER CJ RAIL. CAR
o TAIIII( INSIÞ' aUILÞING o SILO CJ GLASS BOTTLE 0
o STEEL DRUM o fiBER DRUM o PLASTIC BOTTLE o Oetl.,...
o PLASTICJNONMETALLJC DRUM o SÁO o TOTE IIN
. AMBIENT o ABOVE AMalENT o ..LOW AMallNT I
IX! AMBIØlT o AIOVE AMIIENT C BELOW AMBIENT [J CRYOGENIC I
1281
(301 HAZARDOUS COMPONENTS
13\1 EHS
(321 C:AS,
MeTHYL TERT BUTYL ~HER :Jy DeN 1634044
TOLU£Nf DY ŒiN 108883
XYLENE OV QgN 1330·.20·7
Ov ŒlN
OV aDN
--.....'*..-.-
1331 ADDITIONAL LOCALLY COLLECTED INFORMATION
06$ F'OI'm ::!7Jo(l1!~£)
",'I..z......~.1U..L_e!l__A'EÞ''',loIItõ
Dec-21-9B 02:43P SERV4íÞ STATION SERVICES 714tJ46 OB12
P.14
,-
,;-..
APPENDIX C
, California Hazardous M·atørial Inventory Form/Addendum- Chemical Descrløtion~
t~1 ~. ADD 0 DelETE C REVISE C ~o CHANGE ] PAGE 121 ~ OF I~I...-- LL-I
MAP" 18,
White Lene Shell
NORnt SIDE OF LOT
, I G~IO. 171 I DI.t
BUSINESS NAME 141
CHI:MICAL LOCATION (iiI
CHEMICAL NAoMi:: 181 PETROLEUM HVDROCAR80NS T""ÞE UCIIn "" ~
COMMO~ NAME 181 SUpeR UNL.fADED GASOLINE 'EMS (12' 0" II1N
CAS· POI 8008-81-9 'IF EHS BOX IS ·Y"
All. AMOUNTS MUST Ie IN '-8S
F'~E CODe I-A FLAMMABLE UQUID
HAZAFlD C1.ASSI!S· tT3/
.
'r'fPE u,
PHYSICAL STATE 11 'I
FEO MAZARO
CA TEGCRIES 4181
STATE WAST! /1.,
CODE
DÞoYS ON SITE (201
LAJ!G~ST 1211
CONTAINER
STORAGE 1281
CONTAJNEM
COMPi-en IJLO~K U 31 I~ REOUESTED 8" THI LOCAL FIRE CHI~Þ . MEFER TO ~rT~;CTt:S. j
o ,ua! ~ MIXTu.e :: WAST! RADIOACTiVe 1"1 I 0 Y IJJ N (181
a SOUD III LIQUIÞ ::: GAS CURIES
œ F.tII... 0 RiACTlVi = PRiSSURi RiLiAS£ tJ ACUTI Neal,. TM ~ CHI\ONIC HEAL TW
--
UNITS (221 I ~ GAL ~ CU FT I MAX OAIL y AMT 1231 10000
CJ Las TON$
365 'If EHS. amounts m\,lst De if'! lb. A VG CAlL V AMT 1241 2500
, 0.000 ANNUAL WASTE AMT 1251
o ABOVE GROUNþ TANK [J CAN o lOX o TANK WAGOH
aD UNDER GROUND TANK !J CARBOY CJ CYLINDER o RAIL CAR
Q T AN~ ,"SIÞt 'UI\.DING o $ll0 o GLASS 8CTT\.E 0
o STEEL DRUM o '18ER DRUM c¡ PLASTIC BOTTLE o Other.,.
a PtÃST'CINONMETALUC DRUM iJ BAG o TOTE BIN
III AMIIENT o AIOVi AMBIENT :: BELOW AMBIENT I
IX! AMII!NT CJ AlaO"1! AMBIeNT :: aflOW AMBIENT c: C;:RYOGI!NIC I
PRESSURE 1:l71
STOPAG E
STORAGE 1291
TEMPERA TURt'
IZ5' "'VVT
1301 HAZAAOOU$ COMPONENTS
I~' EttS
3~1 CAS'
" <: '5.0
2. < 14.0
3, < 8.8
4.
!.
METHYL TERT BUTYL ETtotER 0'( ŒlN 1634044
TOLOENE QV œlN 108883
XYLENE QY IXIN 1330-20-7
OY IIIN
av tIIN
1331 ADDITIONAL LOCALLY COLLECTm INFORMATION
~
01:5 Fonn ~7:ì0<1l/94)
"'ICAZ~T\þ(IJ..L..II·,~cr"tlllN,M1I<I
Dec-21-98 02:4SP SERV~ STATION SERVICES 714tf46 0812
P.01
,-
"..-.,
APPENDIX C
. California Ha%ardous Msterial Inventory Form/Addendum- Chemical Description ~
II) C ADD c:J D&lET! = Ri.VISi :: NO C:WANCi! PAG! (21 D OF 131 ~
White ~ii~ Shell
NOfitT", sloe OF lOT
1 J GRIO' r?) I 1>14
.....
CHEMICAL NAME (81 PET~OlEVM HYOROCA~aONS TOAD> S£CtO£T "" ~
........
COMMON NAME ISI UNL.£AOED GASOLINE 1M OC:TANE) ·EHS 1121 DY IIlN
CAS ft 1'01 8006·151·9 .'f' eHS sox IS ·V·
ALL AMOUNTS MUST BE IN LIS
FIRE CODE I-A FLAMMABLE L.IQUID
HAZARO CLASSES· (J31
BUSINESS NAME (~1
CHE:MICAL L.OCA TION (5\
MAP. 181
TYPe
PHVSICAl STATE
fEO HAZARD
CATEGORIES
STATEwAsn
ÇOD~
DAYS ON SIT£
l.Þ.RGEST
CONtAINER
S'TOAAGE
CONI AlNER
PAESSU~II!
STORAGE
STORAGE
TEMPERA TURf
1291%~
1, < 15.0
2, < 9,5
3, < 6-3
4.
5,
\1"'1
· COMPLETE BLOCK n 31 IF "~QV¡STEO BY TH! LOCAL FIR. CHIEJ= - REFER TO ,NSTRUC1"IONS
o "VRE IIÞ MIJtTU__E 0 WASTE RADIOACTiVE ("'1 0 Y ŒI N J ('61
G SOLID œ¡ LIQUID t:j GAS CURlt!
tII FI"E I:] REACTIVE 0 PRESSURE RELEASE all ACUTE HEAL TÞ4 ~ CHRONIC HEAL TIo4
(171
1181
1191
UNITS 122) III GAL 0 CU FT I
o LIS Q TONS
.,( EH$. imO~t'I\$ 1'1'1\1$\ be in lb.
MAX DAll V AMT 1231 10000
1201
12' I
366
10,000
AVG DAilY AMT i241 2500
~NNU~L WA$TE ,GoMT 12'51
1'6, C ABOVE GROUND 'TANK DCAN o BOX
~ UNDER G"OUND TANK o CARIOY D cnwoER
I:] TANK "SIDE IUIL.DINQ o SILO o GLASS aaTTlE
o STEE\. D"U~ o FIBER DRUM o PLASTIC 'IOTIL.t¡
c: PLAST'CINONMETAL1.IC DRUM I:) lAG o TOTE 8tN
12"11 œ AMBIENT CJ ABOV! AM.Ie.,. CJ &aDW AMBIENT I
1281 III AMBIENT o A&OVF AtojtllENT c.; Il!.lOW AMBIeNT o CRYOGa.u:
1301 HAZARDOUS COMPONENTS 1311 E...s
o TANk WACON
o _ß. CA"
o
o OU\tt...
- 1
1321 CAS.f
MET"'VL TERT BUTYL ETHER 0'" OCN 1634044
TOLUENE oy ~N 108883
XYLENE ov ~N 1330·20-7
QV IZN
DV ~N
.--
(3'" ADDmONAL LOCALLY COLLECTED INFORMA nON
OES Fann ::130(1 J/94)
".,,~1'·&IiU._"'I~M.r~...~(:
Dec-21-9S 02:47P SERV1íj STATION SERVICES 714__46 OS12
PoOl
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APPENDIX C
. California Hazardous Material Inventory Form/Addendum- Chemical De.criptio~
!II :: ADO 0 ÞELETE c: R&,,.SI C NO CHANGE PAGE 4.1 D OF ISI L.U
8USINESS I'IIAME
141 White Lane SP'lell
CHeMICAL. I.OCA TION
MAPIII leI
I~I IN SALES AREA
GFIJDI rn
C)oIEr.1ICAI. NAME Ie,
COMMON NAME nil
CAS' not
FIRE CODe
HAZARD ClASSeS· 1131
n'PE "6'
PHYSICAL ST Â TE I' "
"10 P~ARg
CATE(¡ RIE 118'
~tf WASTE 1191
DAYS ON SITE l.aol
LARGESi (2"
CONTAINER
5TOAAGE (ze,
CONTAINER
~~ð\~UcreE
STORAGE
TfMPE~TUAE
1291 %wr
, . 100
2.
3,
4.
s.
CAAØON DIOXIDe TRADE steRn t 1'1 Oy œN
CARBON DIOXIOE "EHS \21 :¡y agt.l
, 24-38-9 'IF EtotS BOX IS ·Y-
ALL AMOUNTS MUST BE IN LBS
COMP,.eSSED GAS
...........--
Il71
COMPUTE 8LOCI( 113) IF REOUESTED BY TM! LOCAL FIRE CHIE' - REFER TO ~r";CTIONS. ¡
~ PUR' 0 ""Tun 0 WASTE. RAOIOACTlve (151 t o'V aa N 1'01
::J $01.10 a LIQU&D CIIIGA$ CURIES
.,
W JlAE 0 R&ACTIVE III PRUSUa¡ R¡...EASE 0 ACUTE HfAl TH 0 CHRONIC HEALTH
UNITS IllI /8 ~í œ ,U 'T I MA)t OAIL'" AMT IZ31 3"8
l W ONS
J86 'If EHS, amounts mus't De in lb. A \,IG DAlt'Y AMT (.141 174
'76 ANNUAl. WASTe AMT 12111
:J ABOVe GROUND TANK o CAN c: BOX :J TANK WAGON
o UNO!ft OROU"'O TA~( o CARBOY Z CYLlND!R :J RAIL CAlli
OTANI( ...saOE aUU.DINQ a SILO :: GLAaa aOTTLE :1
o STEEL DRUM o FilER O"U", = PLASTIC BOTTl! :: Ot".,..,
I:J P'I.ASTICIIWOMMETAUJC DRUM o BAG ¡:: TOTE _IN
:J AMBIENT XI ABOV~ AMllliN1' C 8ELOW AMB&ENT I
~ AM81ENT o A80VE AMBIENT o BELOW AMB'ENT r: CRYOGENIC I
128'
(301 HAZAFlOOUS COMPONENl"S
1311 EMS
C:J;¡I CAS.
CARBON DIOXIC! c:lY ŒlN 124·38·9
OV IXN
C)Y ŒlN
C)Y ŒlN
Oy ~N
(33\ ADDmONAL LOCALLY COLLECTED INFORMATION
I
I
OES Fotln :730( 11194)
.'\~""'T Þ\IIW.,p~^1EIJoI\',k&~
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WICII 0461-0558
51 T£ PLAN
WHITE LANE SHELL
2600 WHITE LANE
8AKERSF1ELD. CALIFORNIA 93304
~I¡:¡$'f ...0 (I~
;IRt UTING:..,Sl1tJ~
C;02 c"~eoo. OrOXlQ(
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~ Products company)
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j 0 H N W, ] 0 H N SON
Architect
Co-President
BRIAN F, ZITA
Architect
Co-President
JOHN B, HICKS
Architect
Vice President
CECIL R, SPENCER
Architect 1.
Vice President
BRUCE j, GREENFIELD
Managing Architect
Associate
HOWARD G, KIMURA
Architect
Associate
. ,C H RJ,S .L A W TO N
Regional Manager
Associate
JAMES E, PRESTEN
Regional Manager
Associate
GARY M, SEMLING
Managing Architect
Associate
BLYTHE R, WILSON
Managing Architect
Associate
It
if~~4
/'
E N GIN E E R I N G jE N V I RON MEN TAL S E R V ICE S
ARCHITECTURE
1137 North McDowell Blvd" Petaluma, CA 94954-1110 Telephone: (707) 765-1660 Facsimile: (707) 765-9908
March 18, 1998
Established 1966
Livengood, Inc.
White Lane Shell
2600 White Lane
Bakersfield, CA 93304
AGENCY
Dear Livengood, Inc.:
Attached is the new Hazardous Materials Management Plan (HMMP) for your facility. This new
HMMP is intended to· replace your current HMMP. Please place this document in your Green
Book.
The "DEALER" copy should be maintained in your Green Book, and
available to all employees and agency personnel at any time.
Please sign:
A. All 4 copies of the HMMP where flagged and indicated with
a "X".
2.
Please Return:
A. "AGENCY" copy.
B. "SHELL" copy.
C. "FILE" copy
3.
File the "DEALER" copy at the station in your Green Book.
This package must be returned to RHL DESIGN GROUP, Inc. within
10 days of the above date. RHL will forward the "AGENCY" copy to
Bakersfield Fire Department.
RHL DESIGN GROUP, INC.
T7aud1 / JMp
D~{Lundi'''1
Project Coordinator
cc: H,S & E Assistant - Shell Oil Products Company
BELLEVUE. WA
SACRAMENTO. CA
SCOTTSDALE. AZ
LA HABRA, CA
,.
c,
. APPENDIX A 1-
California ðUsiness & Owner/Operator Iden Ilcation Page
;;
6
CALENDAR YEAR BEGINNING (1 ENDING (2)
BUSINESS NAME (4) White Lane Shell
SITE ADDRESS (6) 2600 White Lane
CITY (7) Bakersfield
DUN & (10) 36-467-0372
BRADSTREET
OPERATOR (12) Livengood, Inc.
NAME
STATE (8)
ZIP (9) 93304
SIC CODE (4 DIGIT#) (11) 5541 7542
OPERATOR PHONE (13) 805 831-0502
OWNER NAME
(14) Livengood, Inc.
OWNER INFORMATION
OWNER PHONE (15)
805 831-0502
CITY
(17) Bakersfield
STATE (18)
93304
OWNER MAILING ADDRESS (16)
ENVIRONMENTAL CONTACT
CONTACT NAME
(20) Shell HS&E Assistant
CONTACT PHONE (21) (510) 335-5014
MAILING ADDRESS
CITY (23) Martinez
(22)
STATE (24)
94553
Primary
EMERGENCY CONTACTS
Secondary
NAME: (26) Bill Hilterbran NAME: (31) Frank Quercia
TITLE: (27) Manager TITLE: (32) Manager
BUSINESS PHONE: (28) 805 322-3122 BUSINESS PHONE: (33) 805 831-51 51
24-HOUR PHONE: (29) 805 588-0352 24-HOUR PHONE: (34) 805-398-8997
PAGER #: (30) PAGER #: (35)
ACUTELY HAZARDOUS MATERIALS (AHM)
ON SITE AHM I 0 Y IUI N Ilf yes, and above Threshold Planning Quantities, attach a sheet of paper with a general
(36) es LðI 0 . description of the process and principal equipment.
37\
ADDITIONAL LOCALLY COLLECTED INFORMATION
Certification: 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.
Print Name of Document Preparer (38)
Signature of Owner/Operator (39)
OES Form 2730(04/96)
!,
e
e
APPENDIX C
:0 California Hazardous Material Inventory Form/Addendum- Chemical Description Page
(110 ADD 0 DELETE 0 REVISE 81 NO CHANGE PAGE (21 D OF (31 ~
BUSINESS NAME (41
CHEMICAL LOCATION (51
MAP# 161
White Lane Shell ,
NORTH SIDE OF lOT
1 I GRID# 171 I c.~
CHEMICAL NAME 181
COMMON NAME 191
CAS # 1101
FIRE CODE
HAZARD CLASSES· 1131
TYPE 1141
PHYSICAL STATE 1171
FED HAZARD
CATEGORIES (181
STATE WASTE (191
CODE
DAYS ON SITE (20)
LARGEST 1211
CONTAINER
STORAGE (26)
CONTAINER
PRESSURE 1271
STORAGE
STORAGE (28)
TEMPERATURE
(29) %WT
1.< 15.0
2. < 6.5
3. < 4.6
4.
5.
PETROLEUM HYDROCARBONS TRADE SECRET (11) ~
REGULAR UNLEADED GASOLINE (87) ·EHS (12) OY!XIN
8006-61-9 ·/F EHS BOX IS "Y"
ALL AMOUNTS MUST BE IN LBS
I-A: FLAMMABLE LIQUID
.
COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. I
o PURE !XI MIXTURE 0 WASTE RADIOACTIVE (15) I OY !XIN I (161
o SOLID !XI LIQUID o GAS CURIES
00 FIRE 0 REACTIVE 0 PRESSURE RELEASE 00 ACUTE HEALTH 00 CHRONIC HEALTH
UNITS (22) 100 GAL 0 CU FT I MAX DAILY AMT 1231 10000
o LBS 0 TONS
365 ·If EHS, amounts must be in lb. A VG DAilY AMT (24) 3500
10,000 ANNUAL WASTE AMT (25)
o ABOVE GROUND TANK o CAN o BOX o TANK WAGON
00 UNDER GROUND TANK o CARBOY o CYLINDER o RAIL CAR
o TANK INSIDE BUILDING o SILO o GLASS BOTTLE 0
o STEEL DRUM o FIBER DRUM o PLASTIC BOTTLE o Other...
o PLASTICINONMET ALLlC DRUM o BAG o TOTE BIN
00 AMBIENT o ABOVE AMBIENT o BELOW AMBIENT I
00 AMBIENT o ABOVE AMBIENT o BELOW AMBIENT o CRYOGENIC I
(301 HAZARDOUS COMPONENTS
(31) EHS
1321 CASH
METHYL TERT BUTYL ETHER OY !XIN 1634044
TOLUENE OY !XIN 108883
XYLENE OY !XIN 1330-20-7
OY !XIN
OY !XIN
. (33) ADDITIONAL WCALLY COLLECTED INFORMATION
OES Form 2730(11/94)
F:lHAZMATlSHELL_EBIFORMSlSTATElNV,MllO
~
e
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APPENDIX C
::; California Hazardous Material Inventory Form/Addendum- Chemical Description Page
(11 0 ADD 0 DELETE 0 REVISE ¡g NO CHANGE PAGE 121 D OF (3) ~
BUSINESS NAME (4)
CHEMICAL LOCATION 151
MAP# 161
White Lane Shell
NORTH SIDE OF LOT
1 I GRID# 171 I 1) \.\
CHEMICAL NAME (8)
COMMON NAME 191
CAS # 1101
FIRE CODE
HAZARD CLASSES' 1131
TYPE 1141
PHYSICAL STATE (17)
FED HAZARD
CATEGORIES (18)
STATE WASTE 1191
CODE
DAYS ON SITE (20)
LARGEST 1211
CONTAINER
STORAGE (261
CONTAINER
PRESSURE 1271
STORAGE
STORAGE 1281
TEMPERATURE
(291 %WT
1. < 15'.0
2. < 14.0
3. < 8.8
4.
5.
PETROLEUM HYDROCARBONS TRADE SECRET (111 ~
SUPREME UNLEADED GASOLINE (92) ·EHS 1121 OY IX!N
8006-61-9 'IF EHS BOX IS ·Y·
ALL AMOUNTS MUST BE IN LBS
I-A FLAMMABLE LIQUID
.
COMPLETE BLOCK 1131 IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS.
o PURE IX! MIXTURE 0 WASTE RADIOACTIVE 1151 I OY IX!N I 1161 I
o SOLID IX! LIQUID o GAS CURIES
IX! FIRE 0 REACTIVE 0 PRESSURE RELEASE IX! ACUTE HEALTH IX! CHRONIC HEALTH
UNITS (22) 1 !XI GAL 0 CU FT I MAX DAILY AMT (231 10000
o LBS 0 TONS
365 'If EHS, amounts must be in lb. A VG DAILY AMT 1241 2500
10,000 ANNUAL WASTE AMT (251
o ABOVE GROUND TANK o CAN o BOX o TANK WAGON
IX! UNDER GROUND TANK o CARBOY o CYLINDER o RAIL CAR
o TANK INSIDE BUILDING o SILO o GLASS BOTTLE 0
o STEEL DRUM o FIBER DRUM o PLASTIC BOTTLE o Other...
o PLASTIC/NONMET ALLlC DRUM o BAG o TOTE BIN
IX! AMBIENT o ABOVE AMBIENT o BELOW AMBIENT I
IX! AMBIENT o ABOVE AMBIENT o BELOW AMBIENT o CRYOGENIC I
1301 HAZARDOUS COMPONENTS
1311 EHS
1321 CASH
METHYL TERT BUTYL ETHER OY1XlN 1634044
TOLUENE OY IX!N 108883
XYLENE OY IX!N 1330-20-7
OY IX!N
OY IX!N
(331 ADDITIONAL LOCALLY COLLECTED INFORMATION
OES Fonn 2730(11/94)
F:lHAZMATlSIIEU. _ EBIFORMS\ST ATElNV.MRO
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APPENDIX C
California Hazardous Material Inventory Form/Addendum- Chemical Description Page
(11 0 ADD 0 DELETE 0 REVISE I5n NO CHANGE PAGE (21 ~ OF (31 ~
BUSINESS NAME (41
CHEMICAL LOCATION 151
MAP# (61
White Lane Shell
NORTH SIDE OF LOT
1 I GRID# (71 I C.4
CHEMICAL NAME (81
COMMON NAME (9)
CAS # (10)
FIRE CODE
HAZARD CLASSES" (13)
TYPE (141
PHYSICAL STATE (17)
FED HAZARD
CATEGORIES 1181
STATE WASTE (191
CODE
DAYS ON SITE (20)
LARGEST (211
CONTAINER
STORAGE (261
CONTAINER
PRESSURE (27)
STORAGE
STORAGE (28)
TEMPERATURE
(291 %WT
1. < 15.0
2. < 9.5
3. < 6.3
4.
5.
PETROLEUM HYDROCARBONS TRADE SECRET 1111 ~
PLUS UNLEADED GASOLINE (89) "EHS 1121 OY IX!N
8006-61-9 "IF EHS BOX IS wyw
ALL AMOUNTS MUST BE IN LBS
I-A FLAMMABLE LIQUID
.
COMPLETE BLOCK (131 IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS.
o PURE IX! MIXTURE 0 WASTE RADIOACTIVE (1511 OY IX!N 1(161 I
o SOLID IX! LIQUID o GAS CURIES
IX! FIRE 0 REACTIVE 0 PRESSURE RELEASE 00 ACUTE HEALTH 00 CHRONIC HEALTH
UNITS (221100 GAL 0 CU FT 1 MAX DAILY AMT (231 10000
O·LBS 0 TONS
365 "If EHS, amounts must be in lb. A VG DAILY AMT (24) 2500
10,000 ANNUAL WASTE AMT (25)
o ABOVE GROUND TANK o CAN o BOX o TANK WAGON
00 UNDER GROUND TANK o CARBOY o CYLINDER o RAIL CAR
o TANK INSIDE BUILDING o SILO o GLASS BOTTLE 0
o STEEL DRUM o FIBER DRUM o PLASTIC BOTTLE o Other...
o PLASTIC/NONMETALLlC DRUM o BAG o TOTE BIN
00 AMBIENT o ABOVE AMBIENT o BELOW AMBIENT I
00 AMBIENT o ABOVE AMBIENT o BELOW AMBIENT o CRYOGENIC I
(301 HAZARDOUS COMPONENTS
(311 EHS
(321 CASt
METHYL TERT BUTYL ETHER OY IX!N 1634044
TOLUENE OY IXIN 108883
XYLENE OY IXIN 1330-20-7
OY IX!N
OY IX!N
(33) ADDITIONAL WCALLY COLLECTED INFORMATION
OES Fonn 2730(11/94)
F:lIlAZMATlSHELI. _ EBIFORMSIST ATElNV,MRO
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APPENDIX C
, California Hazardous Material Inventory Form/Addendum- Chemical Description Page
111 0 ADD 0 DELETE 0 REVISE ~ NO CHANGE PAGE (2) ~ OF (3) ~
BUSINESS NAME (4)
CHEMICAL LOCATION (5)
MAP# (6)
White Lane Shell
IN SALES AREA
1 I GRIDU (7) 1 Eq
CHEMICAL NAME (8)
COMMON NAME (9)
CAS U (10)
FIRE CODE
HAZARD CLASSES' (13)
TYPE (14)
PHVSICAL STATE (17)
FED HAZARD
CATEGORIES (18)
STATE WASTE (19)
CODE
DA VS ON SITE (20)
LARGEST (21)
CONTAINER
STORAGE (26)
CONTAINER
PRESSURE (27)
STORAGE
STORAGE (28)
TEMPERATURE
(29) %WT
1. 100
2.
3.
4.
5.
CARBON DIOXIDE TRADE SECRET (111 ~
CARBON DIOXIDE 'EHS (12) OY OON
124-38-9 'IF EHS BOX IS ·V·
ALL AMOUNTS MUST BE IN LBS
INERT COMPRESSED GAS
.
COMPLETE BLOCK 1131 IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. 1
IX! PURE 0 MIXTURE 0 WASTE RADIOACTIVE (15) 1 OV IX!N 1(16)
o SOLID 0 LIQUID IX! GAS CURIES
o FIRE 0 REACTIVE IX! PRESSURE RELEASE 0 ACUTE HEALTH 0 CHRONIC HEALTH
UNITS 1221 I 0 GAL IX! CU FT I MAX DAIL V AMT (23) 348
o LBS 0 TONS
365 'If EHS, amounts must be in lb. A VG DAIL V AMT (24) 174
174 ANNUAL WASTE AMT (25)
o ABOVE GROUND TANK o CAN o BOX o TANK WAGON
o UNDER GROUND TANK o CARBOY IX! CYLINDER o RAIL CAR
o TANK INSIDE BUILDING o SILO o GLASS BOTTLE 0
o STEEL DRUM o FIBER DRUM o PLASTIC BOTTLE o Other...
o PLASTIC/NONMETALLIC DRUM o BAG o TOTE BIN
o AMBIENT IX! ABOVE AMBIENT o BELOW AMBIENT 1
IX! AMBIENT o ABOVE AMBIENT o BELOW AMBIENT o CRYOGENIC I
1301 HAZARDOUS COMPONENTS
(31) EHS
(321 CASU
CARBON DIOXIDE OV IXIN 124-38-9
OV IX!N
OV IX!N
OV IXIN
OV IX!N
(331 ADDITIONAL LOCALLY COLLECTED INFORMATION
OBS Fonn 2730(11/94)
F:lIlAZMATISIIELL _ EBIFORMS\STATBlNV.MRG
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e
APPENDIX C
California Hazardous Material Inventory Form/Addendum- Chemical Description Page
(1) 0 ADD 0 DELETE 0 REVISE ~ NO CHANGE PAGE (2) ~ OF (3) ~
BUSINESS NAME (4)
CHEMICAL lOCATION (51
MAP# (61
White lane Shell
NORTH SIDE (CLOSED)
1 T GRID# 171 I E.3
CHEMICAL NAME (8)
COMMON NAME (9)
CAS # (10)
FIRE CODE
HAZARD CLASSES· 1131
TYPE (14)
PHYSICAL STATE (17)
FED HAZARD
CATEGORIES (18)
STATE WASTE (19)
CODE
DAYS ON SITE (20)
LARGEST (21)
CO NT AINER
STORAGE (281
CONTAINER
PRESSURE (27)
STORAGE
STORAGE (28)
TEMPERATURE
(291 %WT
1. 100.0
2.
3.
4.
5.
PETROLEUM HYDROCARBONS TRADE SEC.~ 1111 ~
USED MOTOR OIL EHS (12) OY IX!N
800-20-59 ·IF EHS BOX IS "V"
ALL AMOUNTS MUST BE IN LBS
III-B COMBUSTIBLE LIQUID
.
.
COMPLETE BLOCK (131 IF REQUESTED BY THE lOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. 1
o PURE 0 MIXTURE IX! WASTE RADIOACTIVE 11511 OY IX!N I (16)
o SOLID IX! LIQUID o GAS CURIES
o FIRE 0 REACTIVE 0 PRESSURE RELEASE 0 ACUTE HEALTH IX! CHRONIC HEALTH
221 UNITS (22) 1 IX! GAL 0 CU FT T MAX DAILY AMT (23) 550
o LBS 0 TONS
365 ·If EHS, amounts must be in lb. A VG DAILY AMT (24) 0
550 ANNUAL WASTE AMT (25) 0
o ABOVE GROUND TANK o CAN o BOX o TANK WAGON
IX! UNDER GROUND TANK o CARBOY o CYLINDER o RAil CAR
o TANK INSIDE BUILDING o SILO o GLASS BOTTLE 0
o STEEL DRUM o FIBER DRUM o PLASTIC BOTTLE o Other...
o PLASTIC/NONMETALLlC DRUM o BAG o TOTE BIN
IX! AMBIENT o ABOVE AMBIENT o BELOW AMBIENT I
IX! AMBIENT o ABOVE AMBIENT o BELOW AMBIENT o CRYOGENIC I
(301 HAZARDOUS COMPONENTS
(32) CAS#
(31) EHS
USED OIL OY IX!N 800-20-59
OY IX!N
OY IXIN
OY IXIN
OY IX!N
(33) ADDITIONAL LOCALLY COLLECTED INFORMATION
OBS Fonn 2730(11/94)
F:\HAZMAT\SHEU. _ EBIFORMSlST ATElNV,MRO
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WlC# 0461-0568
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WHITE LANE
NORTH
(J)
TEXACO SERVICE STATION
J
SELF SERVICE ST AT10N LEGEND
EMERGENCY PUMP Å MONITORING WELLS
SHUT-OFF ð OBSERVATION WELLS
ELECTRICAL PANEL I7\A
SHUT-OFF \!2./ ANTIFREEZE
NATURAL GAS ®
SHUT-OFF MOTOR/TRANSMISSION
OIL
® A.G. PRODUCT TANK
® U.G. PRODUCT TANK
® USED OIL TANK
~ ABSORBENT
SITE PLAN
WHITE LANE SHELL
2600 WHITE LANE
WATER SHUT-OFF
TANK t.40NITORING
ALARM
TELEPHONE
BAKERSFIELD, CALIFORNIA 93304
FIRST AID KIT
WlCH 0461-0568
FIRE EXTINGUISHER
STORM DRAIN
OJL/WA TER SEP ARA TOR
EMERGENCY
ASSEMBLY AREA
HMMP, AND MSDS
LOCA T10N
FIRE HYDRANT
FENCE
CO2 CARBON OIOXIDE
CWP CAR WASH PRODUCTS
~ Shell Oil
W Products Company
PREPARED BY: PAGE f:
~ ARCHITECTURE . ENGINEERING
· ENVIRONMENTAL SERVICES
OIOUP IMC. 1137 Ii. NcOOMU. II.W. PETALUNA, CA (707) 765-15ðO
JOHN w. .AJtiNSQ, A¡Qf1lECT JAJ/fS H. RA~, ow. DlQNEER
';
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* HAZARDOUS MATERIAL MANAGEMENT PLAN
DEALER: LiveDlwod. Inc.
SHELL OIL PRODUCTS COMPANY
BUSINESS NAME: White Lane Shell
P.O. BOX 8080
STREET: 2600 White Lane
MARTINEZ, CA 94553
CITY: Bakersfield
WIC No: 0461-0568
DESCRIPTION
RETAIL SALES OF GASOLINE AND RELATED PETROLEUM PRODUCTS.
DESCRIPrION OF TIlE UNDERGROUND TANKS ARE AS FOLLOWS:
No. of SIZE MATERIAL
TANKS (gal) (STLIFG)
CONST.
(SW IDW)
FORMULA SHELL REGULAR
1 10.000 FG
1 10.000 FG
1 10.000 FG
DW
FORMULA SHELL PREMIUM
DW
FORMULA SHELL PLUS
DW
DIESEL
WASTE OIL
1
550
FG
DW
PRODUCT LINES:
MATERIAL: FG
CONSTRUCTION: Single Wall
All product lines are pressurized using a submerged pumping system.
All product lines have in-line leak detectors, "Red Jacket" or equivalent which are capable of , detecting a.release .equivalent to
3.0 gallons per hour defined at 10 pounds per square inch (psi) within one hour of its occurence. The leak detector will
restrict or shut off the flow of product if a leak is detected. Annually a test is performed to assure the leak detectors are
properly functioning.
Impact valves under each dispenser are also inspected annually to assure closure.
Repair and/or replacement of all leak detectors and impact valves will be done annually at the time of inspection and retested
to meet the above test conditions.
All gravity fed piping associated with the waste oil tank will be tested bi-annually in the odd numbered years. (1995, 1997,
1999, etc).
* This document is to be kepfcurrent and placed in the Environmental Health & Safety "Green Book" maintained at the site.
(revision 03/18/98)
1
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MONITORING PROCEDURES FOR DOUBLE WALL TANKS
TANK MONITORING: The Underground storage tanks are monitored using an approved continuous monitoring
system (see below). This system is able to detect the presence of a leak in the primary as well as secondary containment
through the use of a Wet (liquid filled) or a Dry annular space and submerged liquid level sensor. The operator will maintain
a daily log that charts the operating status of the monitoring system. If a alarm conditions occurs, the dealer will call Service
Station Services at 800-887-8009 (24 hour) immediately. Response to the alarm condition will occur within 24 hours.
If the alarm condition is NOT the result of an equipment failure, then Shell Oil Products will repair the tank system in
accordance with all local and state requirements. If the alarm condition is the result of an equipment failure, Shell will repair
the equipment as required and ensure that it is functioning properly.
MONITORING SYSTEM: The following continuous monitoring system is used at this facility:
RONAN TRS76
The monitoring will be preformed on site by the authorized personnel below.
INVENTORY RECONCILIATION:
Daily product inventory reconciliation will be completed by the Shell Dealer at the facility.
1) Only approved meters for tank inputs and withdrawals will be used.
2) Inventory reconciliation which exceeds an allowable measurement error of: "1 percent (.01) the monthly
thruput plus 130 gallons" at any time during a 30-day period shall require further investigations:
(monthly thruput gallons x .01 + 130 gallons = maximwn allowable error)
(example: 50,000 gal monthly thruput x .01 = 500 gal + 130 gal = 630 gal maximum allowable error)
Should inventory reconciliation indicate a loss greater than calculated using the above method, the investigative steps
outlined in California Administrative Code, Title 23 Waters, Division 3, Chapter 16, Underground Storage Tank
Regulations, Section 2646(e), will be implemented.
PREVENTATIVE MAINTENANCE: The monitoring equipment shall be inspected and certified annually. Maintenance
will be performed annually or as needed. All work performed to the monitoring system will be in accordance to the
manufacturers recommendations.
VISUAL MONITORING of the tank monitor alarm box is performed daily by the dealer or a designated employee. Please
see the attached site map for the location of all equipment at the site. The dealer is to sound the alann daily and docwnent
each test on a log.
The electronic monitoring devices are maintained according to manufacturer's recommendations.
TRAINING Training will be given which includes information regarding: how to self test the electronic monitoring
equipment, what the equipment monitors, how to tell when the alarm goes off, how to perform inventory reconciliation,
record keeping requirements and procedures to follow in the event of alarm activation, leak, suspected leak, or other
emergency. The tank operators are trained on the proper operations of the monitoring equipment per the manufacturer's
instructions.
RESPONSIBLE SHELL PERSONNEL: The following personnel are responsible for performing monitoring or maintaining
the equipment.
NAME
Bill Hilterbran
TITLE
Manager
Alex Perez
Environmental Engineer
PHONE
Day 805322-3122
24hr 805 588-0352
Work 510-335-5027
Home
Work 510-335-5032
Home 510-756-7022
Work 510-335-3035
Home 510-228-6787
Brett Hovland
District Engineer
Dan T. Kirk
Project Engineer
See also "Shell Leak Response Plan"
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MONITORING PROCEDURES
LUBE BAY SUMPS/ CAR WASH SUMPS
LUBE BAY SUMP
Lube bay sumps to be visually inspected by the dealer to determine whether the sump is to be cleaned. If the sump
requires cleaning, the dealer is to contact a hazardous waste contractor to arrange to have it cleaned. All hazardous
wastes will be handled in compliance with all applicable federal, state, and local ordinances.
The floor drains in the lube bay, drain into the sump. The sump drains into the sanitary sewer.
The dealer will record all visual inspections in his monitoring log.
CAR WASH SUMPS
The car wash sump will be visually inspected by the dealer who will determine if the sump needs to be cleaned, If the
sump requires cleaning, the dealer will contact a contractor will clean it. All wastes will be properly disposed of. The
car wash sumps drain into the sanitary sewer.
The dealer will record all visual inspections in his monitoring log.
3
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BATTERY STORAGE (NEW OR USED)
All new automotive batteries, when stored at the service stations, will be stored on a open rack to easily detect a leak.
All used and/or damaged batteries will be stored with a plastic (polyethylene), watertight pan underneath. The pan or
pans must have a 1" lip on all four sides of the pan to contain any battery acid that may leak from the batteries stored.
Used batteries will be returned to the battery supplier, who will recycle them with a battery reclaimer.
If a battery is dropped, treat it as if were cracked until it is determined that it is not leaking.
DISPOSAL PROCEDURE FOR ANTI-FREEZE
Used anti-freeze should be put in a 55 gallon drum or similar container and the container labeled "Waste Anti-freeze /
Hazardous Material". The container must be placed on a metal or plastic pan with a 2" to 3" lip all the way around the pan
to contain any spills or leaks from the container. When the container is full, call an "Anti-freeze Recycling Contractor" to
remove the container of used anti-freeze. Do not, under any circumstances, pour used or new anti-freeze or a mixture thereof
on the floor or on the ground and hose it down to floor drains or storm drains. Do not pour anti~rreeze into your waste oil
tank. -
DISPOSAL PROCEDURE FOR USED OIL FILTERS
The dealer will put Used oil filters in a 55 gallon drum or similar container and the container labeled "Waste Oil Filters /
Hazardous Material". The container will be placed on a metal or plastic pan with a 2" to 3" lip all the way around the pan
to contain any spills or leaks from the container. When the container is full, the dealer will call a "Waste Oil Recycling
Contractor" to remove the container of used oil filters.
The dealer will drain all used oil filters offree-flowing oil prior to placement into theabovenoted.container. ,Free,flow~g
oil is defined as a continuous stream of oil exiting the filter when the filter is inverted. Oil exiting drop by drop is not
considered free flowing. If oil exiting the filter is restricted in any way, the filter shall be manipulated to allow used oil to
exit the filter freely.
Used oil filters will not be placed in a refuse disposal container.
4
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DAILY VISUAL MONITORING PROCEDURES
FOR ABOVEGROUND HAZARDOUS MATERIALS
Hazardous Materials stored aboveground include:
[ ] Motor Oil
[ ] Transmission Oil
[ ] Antifreeze
[ ] Grease
[ ] Gear Lubricant (SOW /90)
c_[ ] Solvent (including parts cleaners)
[ ] Propane
[ ] Battery Acid *
[ 1 Car Wash Products
[ ] Kerosene
[X] CO2
[X] Waste Oil (prior to dumping in underground tank)
[ ] Spent Anti-freeze *
[ ] Used Oil Filters
The storage areas for these hazardous materials must be visually inspected every day for signs of leakage. Items
designated with a (*) require secondary containment with the contents of each container clearly labeled.
If there is a leak orspill of any of the hazardous.materials, whether stored above- or underground, Dealer must follow
the "Emergency Response Procedures," attached.
5
,
- EMERGENCY RESPONSE PROCEDURE.
0461-0568
In the event of a fire, spill, or a leak or suspected leak in the tanks and/or piping, the following steps are to be taken as applicable:
1. TURN OFF PUMPS using the Emergency Pump Shut-Off Switch.
2. EVACUATION: If there is any immediate danger, ANNOUNCE to all persons on the site: "There is an emergency. Please
turn off your engines and leave the station on foot immediately. "
3. CALL FOR HELP in case of an emergency by dialing 9-1-1 and giving the following information:
"THERE IS A FIRE / GASOLINE SPILL at the SHELL station at 2600 White Lane." If anyone is trapped or needs medical
attention, tell the answering dispatcher. Stay on the phone and be prepared to answer any questions concerning the situation.
4. LOOK AROUND to assure that all others have left the station if necessary, particularly those in vehicles who may need
assistance or may not have heard the emergency announcement. Assist, or direct assistance to, anyone having difficulty
leaving the station area, and anyone who may be injured.
s. ATTEMPT TO EXTINGUISH any small or incipient fire if you can do so safely. Have the fire extinguisher ready to use
in the event of any spill. Try to contain any large spill, or use absorbent on smaller spills.
6. REPORT to arriving emergency response personnel to provide them with any information or assistance they might need.
7. CONTACT the station dealer if slbe is not already at the station. Use the list below for emergency contacts:
1. Name/Bus Phone/Home Phone: Bill Hilterbran /805322-3122 /805588-0352
2. Name/Bus Phone/Home Phone: Frank Ouercia /805831-5151 /805-398-8997
8. NOTIFY your Shell District Engineer by phone WITHIN 24 HOURS
A. Shell District Engineer: Brett Hovland
PHONE NUMBER: (510) 335-5032 (days)
You must mail a completed Unauthorized Release Report to Shell within 24 hours.
Shell will notify the appropriate State and Local agencies unless the situation requires urgent immediate response by the
agencies, in which case the DEALER should notify these agencies:
B. LOCAL AGENCY: Bakersfield Fire Department
PHONE NUMBER: 805 326-3979
C. CALIFORNIA OFFICE OF EMERGENCY SERVICES, (800) 852-7550 (24 HOURS)
D. Submit a follow-up Spill Notification to the State Office of Emergency Services.
These agencies must be notified within 24 hours of release detection.
9. Dealer should attempt to isolate leak location by inspection.
10. Shell will coordinate whatever corrective actions need to be taken beyond the Dealer's capabilities. Shell will file whatever
reports need to be filed with local and state agencies, and send a copy to the station for the Dealer's files.
11. RE-ENTRY: If evacuation has occurred and emergency responders have been called, re-entering this facility should take
place with extreme caution and only under the direction of the senior emergency responder on site and Shell engineers.
THESE EMERGENCY RESPONSE PROCEDURES MUST BE FILLED OUT AND POSTED CONSPICUOUSLY ON SITE
ALONG WITH THE ATTACHED SITE PLAN
6
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EMPLOYEE TRAINING PLAN
-
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Employees must be given this training before starting work, and refresher courses must be provided annually. Records must be kept
to show when each station employee has been given his/her safety training. Use the following outline and make copies as needed.
Have employee date and sign this document upon completion of training on the following page. Retain these records for a minimum
of three years. '
1. FIRST THINGS TO KNOW:
A. EMERGENCY PUMP SHUT-OFF: This turns off the turbine pumps that provide flow to the dispensers from the
underground tanks. In case of a leak, shutting off the pumps will help to prevent spills.
LOCATION: I-FRONT BLDG WALL. I-CASHIER
B. ELECTRICAL PANEL: The panel allows you to selectively cut off power to lights, signs, pumps, etc. The main
switch kills all power at the site.
LOCATION: 2-WEST INTR SERVICE BAY WALL
C. WATER SHUT-OFF: The water shut-offmay be necessary in some cases.
LOCATION: IN SIDEWALK ALONG EL POTRERO LANE
D. FIRST AID KIT:
LOCATION: I-CASHIER. I-UTILITY ROOM
E. FIRE EXTINGUISHER: Use only on small fires that you can handle. Do not attempt to extinguish large fires on
your own; call 9-1-1 for help.
LOCATION: I-CASHIER. I-UTILITY ROOM. I-SERVICE BAY
F. ABSORBENT: In the form of crystals or cloth, absorbent can soak up small spills of gasoline, diesel fuel, or other
petroleum products. Absorbent should be used rather that washing spills down a drain. In case of large spill, merely
try to contain it; a vacuum truck should be used to clean up any large spill.
LOCATION: SERVICE BAY
G. NEAREST MEDICAL FACILITY: Employees should know what facilities are available in case customers or other
employees need medical attention.
1. NAME: MERCY HOSPITAL
ADDRESS: 2215 TRUXTON AVENUE. BAKERSFIELD
PHONE NUMBER: 805 328-5275
DESIGNATED TRAUMA CENTER:
2. NAME: UCLA HOSIT AL AND CLINICS
ADDRESS: 10833 LECONTE AVENUE. LOS ANGELES
PHONE NUMBER: 310-825-2111
II. All employees should review the Service Station Monitoring Plan, of which this training plan is a part. Specifically, each
employee should understand the procedures to be used in responding to various kinds of emergencies, and know how to
monitor for leaks of hazardous materials. As a supplement to this package, employees should also review the Emergency
Response Plan filed by your business to the appropriate local agency. Thirdly, employees should review and have access
to the Materials Safety Data Sheets you have on file for each of the hazardous materials stored at the station and must be
drilled in all emergency response procedures contained herein.
7
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III. FIRST AID PROCEDURES (For exposure to gasoline or diesel fuel):
A. EYE CONTACT: Flush with water for 15 minutes while holding eyelids open. Get medical attention.
B. SKIN CONTACT: Flush with water while removing contaminated clothing and shoes. Follow by washing with soap
and water. Do not reuse clothing or shoes until cleaned. If irritation persists, get medical attention.
C, INHALATION (Breathing): Remove victim to fresh air and provide oxygen if breathing is difficult. !fnot breathing,
give artificial respiration. Get medical attention.
D. INGESTION (Swallowin~):
DO NOT INDUCE VOMmNG BECAUSE GASOLINE CAN ENTER LUNGS AND CAUSE SEVERE LUNG
DAMAGE! If vomiting occurs spontaneously keep head below hips to prevent aspiration of liquid into lungs. Get
medical attention.
E. NOTE TO PHYSICIAN: If more than 2.0 ml per kg has been ingested and vomiting has not occurred, emesis should
be induced with medical supervision. Keep victim's head below hips to prevent aspiration. If symptoms such as loss
of gag reflex, convulsions or unconsciousness occur before emesis, gastric lavage using a cuffed endotracheal tube
should be considered.
F. For further information, consult the Materials Safety Data Sheets for these products and for other hazardous materials.
FIRST AID FOR EXPOSURE TO OTHER MATERIALS: Consult the warning advice on container labels or refer to the
MSDS for that product.
Use the attached Training Log to document that each employee has received his/her training, and the type of training given.
8
TRA~ING LOG FOR ~MP
BUSINESS NAME: White Lane Shell
ADDRESS: 2600 White Lane. Bakersfield
EMPLOYEES MUST SIGN THIS FORM TO PROVE THEY RECEIVED THEIR INITIAL AND/OR ANNUAL SAFETY TRAINING.
DATE OF TYPE OF
: EMPLOYEE NAME EMPLOYEE SIGNATURE TRAINING TRAINING
,
'updated: March 18, 19981
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SPILL RESPONSE PLAN
To clean up after a discharge or at the end of each week, use the following procedures whenever possible. Use
a damp mop for routine cleanup, and wet-mop the floor on!yin j:he areas that need it. NEVER HOSE DOWN
AREAS OR ALLOW HAZARDOUS MATERIALS TO DRAIN INTO A SANITARY SEWER OR STORM
DIµIN INLET. As regular practice, avoid cleaning up spills and splatters by wet mopping the whole floor.
ThIs could make your mop water a hazardous waste.
All employees are to be trained in the following best management practices in an effort to minimize waste, and
controf pollutants.
1. Collect used motor oil.. coolant and other fluids in designated containers where there are no connections
to storm drains or sanItary sewer. Contact you local recycler for proper disposal.
2. When working on a vehicle:
A) Preform repairs only in designated areas. Do not conduct repairs outside of the shop where drains
may_ be present.
ffi Wipe up spills and drips immediately with a rag.
Collect leãking or dripping fluids in a drip pan or other container.
D P~omptly transfer used fluids into the designated drum or tank. Do not leave pans or other open
contamers unattended.
3. Make sure employees do not pour hazardous materials into floor drains, sinks, outdoor storm drain inlets,
or other connections.
4. puring the winter months the lot is dry swept once per week, and during the spring/summer months it
IS dry swept once per month.
DATE TIME EMPLOYEE NAME
CLEAN-UP PROCEDURES
SPILLED MATERIAL
f:\hazmat\ahcU _ cb\forma\apill.pln
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SHELL LEAK RESPONSE PLAN
e
INTRODUCTION
IT IS THE PURPOSE OF THIS SECTION TO ESTABLISH BASIC GUIDELINES AND PROCEDURES FOR USE BY THE SHELL
ENTERPRISES, LLC. FOR THE HANDLING OF PRODUCT SPILLS/LEAKS WHICH MAY OCCUR AT SHELL FACILITIES.
DESIGN AND INSTALLATION IMPROVEMENTS ARE CONTINUOUSLY BEING EVALUATED AND IMPLEMENTED IN ORDER
TO REDUCE, AND ELIMINATE, THE POTENTIAL FOR PRODUCT LEAKAGE.
,RESPONsmLE SHELL PERSONNEL
,NAME
TITLE
PHONE
,Bill Hilterbran
Manager
Day 805 322-3122
24hr 805 588-0352
,Alex Perez
Environmental Engineer
Work 510-335-5027
Home
Brett Hovland
District Engineer
Work 510-335-5032
Home 510-756-7022
Dan T. Kirk
Project Engineer
Work 510-335-5035
Home 510-228-6787
RESPONsmLE CONTRACTOR
'SERVICE STATION SYSTEMS, INC
1236 NORTH 5TH STREET
:SAN JOSE, CA 95112
800-887-800924 HOURS
,LEAK VERIFICATION
'WHEN A SERVICE STATION PRODUCT LOSS IS SUSPECTED OR REPORTED, THE FOLLOWING LEAK VERIFICATION
,PROCEDURES WILL APPLY:
1. THE SHELL ENGINEER WILL ARRANGE FOR THE SHELL TERRITORY MANAGER TO IMMEDIATELY (THE
SAME DAY) VISIT THE STATION TO REVIEW THE DEALER'S PHYSICAL CONTROL OF PRODUCTS AND
INVENTORY RECORDS.
2. AT THE SAME TIME, THE ENGINEER WILL ORDER A PUMP/DISPENSER CALIBRATION, ASSURE METERS
ARE SEALED, INSPECT ACCESSIBLE POTENTIAL LEAK SOURCES, AND CHECK LEAK DETECTOR
OPERATION (ON REMOTE SYSTEMS).
3. ALSO, THE ENGINEER SHALL START MAINTAINING A PRODUCT LOSS LOG AS WELL AS A RECORD OF
SIGNIFICANT DAILY LEAK RELATED ACTIVITIES.
4. IF THE ABOVE INVESTIGATIONS PROVE INCONCLUSIVE, THE TERRITORY MANAGER SHOULD
IMMEDIATELY BEGIN A DAILY INVENTORY LOG (EXHIBIT B), WHICH WOULD BE MAINTAINED FOR A
MINIMUM PERIOD OF 48 HOURS AND A MAXIMUM OF 7 DAYS, FOR SUBSTANTIATION OF A SUSPECTED
LEAK. DEPENDING ON THE CIRCUMSTANCES (POTENTIAL HAZARDOUS CONDITION, ETC.), IT MAY BE
NECESSARY TO TAKE ADDITIONAL LEAK RESPONSE ACTION DURING THE PERIOD OF INVENTORY.
5. IF PRODUCT LOSSES ARE VERIFIED, PRODUCT LINES AND/OR TANKS MAY REQUIRE TESTING TO
DETERMINE THE LEAK SOURCE.
11
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e
A. PRODUCT LINES MAY BE TESTED USING AIR PRESSURE (APPROXIMATELY 50 PSI) OR A SHELL
APPROVED LINE TESTING SYSTEM (E.G., KENT-MOORE). SHOULD THE LINE TESTS INDICATE
LEAKING LINES, THEY SHALL BE REPAIRED OR REPLACED AND RETESTED TO ASSURE THE LEAK
HAS BEEN STOPPED. IN ADDITION, A PRODUCT LOG INVENTORY CHECK SHOULD BE MAINTAINED
FOR A PERIOD OF 7 DAYS AFTER THE LINE REPAIRS TO ASSURE THERE ARE NO OTHER LEAKS IN
THE SYSTEM.
B. SHOULD THE TEST INDICATE THE LINES ARE NOT LEAKING OR IF A SHORTAGE CONTINUES AFTER
THE LINES HAVE BEEN REPAIRED, THE UNDERGROUND TANK(S) SHALL BE TESTED BY A
PRECISION OR OTHER APPROVED PROCEDURE. (SEE N.F.P.A.329).
NOTE: LOCAL FIRE CODES AND ORDINANCES MAY DICTATE THE APPROPRIATE TESTING PROCEDURES FOR USE
ON UNDERGROUND TANKS. AIR TESTS OF UNDERGROUND TANKS ARE NOT RECOGNIZED AS
CONCLUSIVE, ARE DEEMED UNSAFE BY MANY FIRE PREVENTION AGENCIES, AND SHOULD NOT BE USED.
IF THE TANK TEST INDICATES ONE OR MORE TANK LEAKS; REPAIR OR REPLACEMENT WILL BE
COMPLETED.
CORRECTIVE ACTION
1. THE SHELL ENGINEERING STAFF SHALL TAKE IMMEDIATE ACTION TO STOP, CONTAIN, AND SHALL
TAKE IMMEDIATE DECISIVE ACTION TO RELIEVE THE THREAT OF PUBLIC HEALTH AND SAFETY
HAZARDS, OR PROPERTY DAMAGE.
2. IT MAY BE APPROPRIATE TO OBTAIN SAMPLES OF THE RELEASED PRODUCT FOR TESTING AND
IDENTIFICATION BY SHELL LABORATORY.
3. OBSERVATION WELLS WILL ONLY BE INSTALLED WITH HEAD OFFICE, MARKETING ENGINEERING,
ENVIRONMENTAL GUIDANCE. IF LOCAL AUTHORITIES AND/OR CONDITIONS DEMAND IMMEDIATE
INSTALLATION, THEN INSTALL THE TEST WELLS IN ACCORDANCE WITH STANDARDS SHOWN FOR
MINIMUM FOUR INCH PVC PIPE WITH INSTALLATION.
IF FORCED, BY SITUATION, TO INSTALL OBSERVATION WELLS OFF SITE ON PUBLIC PROPERTY,
ACQUIRE LOCAL AUTHORITY APPROVAL OR WRITTEN ORDER TO PERFORM THE WORK.
4. OBSERVATION WELL INSTALLATION STANDARDS (SEE OBSERVATION WELL DETAIL ATTACHED).
A. INSTALL OBSERVATION WELLS IN LOCATIONS SPECIFIED AND/OR APPROVED BY HEAD OFFICE,
MARKETING ENGINEERING, ENVIRONMENTAL.
B. DRILL (AUGER) A MINIMUM 12-INCH DIAMETER HOLE TO A DEPTH OF AT LEAST 5 FEET BELOW
THE MINIMUM WATER TABLE.
C. INTO THE HOLE, INSTALL 4-INCH OR 6-INCH DIAMETER SCHEDULE 40 SLOTTED AND BLANK PVC
PIPE, WITH PIPE SIZE DEPENDENT UPON THE SITE'S GEOLOGY AND LOCAL REGULATIONS.
SLOTTED PIPE SHALL HAVE FACTORY CUT TWENTY THOUSANDTHS (.020) INCH SLOTS.
D. USE SLOTTED PIPE FROM THE BOTTOM OF THE WELL HOLE TO APPROXIMATELY 3 FEET ABOVE
THE MAXIMUM GROUNDWATER TABLE, CONSIDERING WATER TABLE FLUCTUATION. THE
SLOTTED PIPE SHALL BE CAPPED AT THE BOTTOM.
E. THE BLANK PIPE SECTION ATTACHED TO THE TOP OF THE SLOTTED PIPE AND EXTENDS UPWARD
TO JUST BELOW GRADE ELEVATION. AVOID USING GLUE TO COUPLE THE PIPE SECTIONS;
RATHER, USE THREADED PVC PIPE OR OTHER COUPLING METHODS WHENEVER POSSIBLE. A
LOCKABLE CAP SHALL BE INSTALLED ON TOP OF THE BLANK PIPE.
12
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e
"'
F.
ONCE THE SLOTTED AND BLANK PIPE HAS BEEN SET IN THE HOLE, BACKFILL WITH A FILTER
PACK OF POROUS MATERIAL SUCH AS PEA GRAVEL. THE FILTER PACK SHOULD BE FILLED
AROUND THE PIPE TO AT LEAST 2 FEET ABOVE THE TOP OF THE SLOTTED SECTION. DO NOT
BACKFILL AROUND THE SLOTTED PIPE WITH CLAY OR OTHER MATERIAL WHICH WOULD IMPEDE
GROUNDWATER FLOW INTO THE OBSERVATION WELL.
G. ABOVE THE FILTER PACK, BACKFILL WITH CLEAN, DRILLED SOIL MATERIAL TO APPROXIMATELY
2 TO 3 FEET BELOW GRADE, AND TOP THE BACKFILL WITH A SURFACE SEAL OF CEMENT GROUT
ORPACIŒD CLA YTO PREVENT SURFACE CONTAMINATION FROM INFILTRATING THE FILTER PACK
AND ENTERING THE WELL.
H. "DEVELOP" THE OBSERVATION WELL BY FLOODING IT WITH WATER AND THEN PUMP IT OUT.
THIS ACTION WILL DRAW DRILLING MUD AND FINE PARTICLES OUT OF THE FILTER PACK,
IMPROVING THE PERFORMANCE OF THE WELL.
I. AUGURED HOLE SOIL CHARACTERISTICS WILL BE RECORDED.
J. OBSERVATION WELLS SHALL BE PROTECTED FROM DAMAGE DUE TO TRAFFIC OR OTHER
HAZARDS AND REMAIN ACCESSIBLE FOR FUTURE USE AND OBSERVATION. WHERE LOCATED IN
TRAFFIC AREAS, DRIVEWAY MANHOLES AND COVERS SHALL BE INSTALLED.
5. OBSERVATION WELL MONITORING AND DATA
A. ESTABLISH A BENCHMARK AND DETERMINE THE RELATIVE ELEVATIONS AT THE TOP OF EACH
TEST WELL PIPE.
B. MONITOR THE WATER AND DEPTHS IN EACH PIPE.
NOTE: IT IS IMPORTANT THAT ALL MEASUREMENTS BE FROM THE TOP OF EACH PIPE TO THE WATER AND/OR
PRODUCT LEVELS IN EACH PIPE. RECORD MEASUREMENTS TO THE NEAREST EIGHTH INCH.
C. PRODUCT SHOULD BE PUMPED OUT OF THE OBSERVATION WELLS ONLY WHEN DIRECTED BY
HEAD OFFICE. PREMATURE REMOVAL OF SAID PRODUCT COULD CAUSE INCORRECT WELL
"READINGS".
WELL EOUIPMENT/MATERIALS
1. OBSERVATION WELL PIPE
A. SCHEDULE 40 PVC PIPE (4.5" OD-.237 WALL THICKNESS) AVAILABLE IN BOTH FACTORY SLOTTED
AND STANDARD PIPE WITH FITTINGS AND CAPS AVAILABLE.
B. SIX, EIGHT, TEN AND TWELVE INCH SCHEDULE 40 PVC PIPE ALSO AVAILABLE WITH FACTORY
MACHINE SLOTS AT TWENTY THOUSANDTHS OF AN INCH.
C. FACTORY SLOTTED PIPE AVAILABLE FROM THE FOLLOWING MANUFÀCTURERS:
1. 2" TO 14" AVAILABLE
GATOR PLASTICS, INC.
BOX 15020 BROADVIEW STATION
BATON ROUGE, LOUISIANA 70815
TELEPHONE: 504/926-0100 MR. TOM HAYES
2. 2" TO 14" AVAILABLE
HYDROPIDLIC INDUSTRIES
5815 A NORTH AMERICAN
PUY ALLUP, WASHINGTON 98371
TELEPHONE: 206/927-4321 MR. PIDL GALLAGER
13
*
3. 2"T012"AV~ABLE
DIVERSIFIED WELL PRODUCTS, INC.
P.O.BOX 3495
FULLERTON, CALIFORNIA 92634
TELEPHONE: 714/632-9334 MR. KURT GOSS
e
4. 2" TO 12" AVAILABLE
HANDEX
703 GENESI DRIVE
MORGANVILLE, NEW JERSEY 07751
TELEPHONE: 201/536-8500 MR. GREG REUTER
5. 2" TO 8" AVAILABLE
JET STREAM PLASTICS
SILOAM SPRINGS, ARKANSAS 72761
TELEPHONE: 501/524-5151
NOTE:
IN ORDERING PIPE, REMEMBER TO ORDER POLYVINYL CHLORIDE (pVC) PIPE. BE CAREFUL THAT
A SUPPLIER DOES NOT SUBSTITUTE ACRYLONITRILE-BUTADIENE-STYRENE (ABS), WHICH TENDS
TO BECOME BRITTLE WITH WEATHERING. SELECTION OF THE CORRECT WELL CASING AND
RELATED PRODUCTS IS OF PARAMOUNT IMPORTANCE. MISAPPLICATION AND IMPROPER
SELECTION CAN BE THE SOURCE OF POTENTIAL WELL FAILURE.
IT IS RECOMMENDED THAT ALL PVC PIPE ORDERS BE SCHEDULE 40 PVC.
2. SUBMERGED PUMP AND MISCELLANEOUS PRODUCT RECOVERY EQUIPMENT.
A. THE EQUIPMENT SELECTED FOR A PRODUCT RECOVERY OPERATION WILL DEPEND UPON SPECIFIC
CONDITIONS AT THE JOB SITE. THE HEAD OFFICE HYDROGEOLOGlST WILL SPECIFY THE
EQUIPMENT TO BE USED FOR EACH SITUATION.
PRODUCT RECOVERY SYSTEMS
1.
SHOULD A PRODUCT RECOVERY BE NEEDED THE DESIGN WILL VARY DEPENDING UPON THE SPECIFIC
,
SITE CONDITIONS. IN SOME CASES, WHERE PRODUCT MOVEMENT IS CONFINED AND THE WATER TABLE
IS RELATIVELY SHALLOW, A TRENCH MIGHT BE USED TO INTERCEPT AND COLLECT THE PRODUCT. IN
OTHER SITUATIONS, WHERE. PRODUCT MIGRATION IS WIDESPREAD AND/OR THE WATER TABLE IS
RELATIVELY DEEP, THE "CONE OF DEPRESSION" RECOVERY WELL APPROACH MAY BE MOST EFFECTIVE.
(SEE RECOVERY WELL DETAIL A'ITACHED.) EXACT METHOD OF RECOVERY WILL BE APPROVED BY
SHELL OIL PRODUCTS COMPANY, HEAD OFFICE MARKETING ENGINEERING, ENVIRONMENTAL.
2.
IN A LIMITED NUMBER OF SITUATIONS, THE OBSERVATION WELL MAY BE USED EFFECTIVELY AS A
_,PRODUCT ,RECOVERY WELL. THE FOLLOWING CONDITIONS MUST EXIST:
A. PRODUCT DEPTH IS NOT BEYOND THE LIFTING CAPABILITY OF AN APPROPRIATE PUMP.
B. PRODUCT LOST IS MINIMAL, CONCENTRATED IN THE AREA OF THE OBSERVATION WELLS, AND
OF THICKNESS WHICH CAN BE SKIMMED OFF OF THE WATER TABLE.
C. PRODUCT IS CONTAINED IN AREA BY SOIL CHARACTERISTICS (CLAY, ROCK, ETC.) AND HAS
MINIMAL MIGRATION.
HAZARDOUS MATERIAL REMOVAL
THE WATER/GASOLINE MIXTURE WILL BE REMOVED BY A LICENSED INDUSTRIAL WASTE HAULER (SUCH AS LT.
CORPORATION OR ACE INDUSTRIAL CLEANING INC.) AND RETURNED TO SHELL OIL PRODUCTS COMPANY, MARTINEZ
MANUFACTURING COMPLEX, MARTINEZ, CA 94553 FOR REPROCESSING.
14
· LOCATION EQUIPMENT LIST e
1:',
ADDRESS: 2600 White Lane
CITY: Bakersfield
MONITORING INFORMATION:
TANK TYPE: ( ) STEEL
( ) SINGLE WALL FIBERGLASS
( ) STEEL AND FmERGLASS TANKS
(X) DOUBLE WALLED FffiERGLASS TANKS
OWENS CORNING - (X)YES ()NO
CONTINUOUS ELECTRONIC MONITORING OF ANNULAR SPACE (X)YES ()NO ()N/A
INVENTORY CONTROL: ()MANUAL RECONCILIATION (X)TLS-250/350 ()RONAN X76ETM
VADOSE MONITORING: ()INSTALLED (X)NOT INSTALLED
GROUNDWATER MONITORING WELLS: ()YES (X)NO
MAINTENANCE CONTRACTORS:
RONAN: VAPOR MONITORING AND INLINE CHECK
CONTRACTOR:
SERVICE STATION SERVICES
1236 North 5th Street, San Jose, CA 95112
PHONE NUMBER: 800-887-8009
EMERGENCY RESPONSE CONTRACTOR:
MAINTENANCE CONTRACTOR: SERVICE STATION SERVICES
1236 North 5th Street, San Jose, CA 95112
PHONE NUMBER: 800-887-8009
ENVIRONMENTAL CONTRACTOR:
SERVICE STATION SERVICES
1236 North 5th Street, San Jose, CA 95112
PHONE NUMBER: 800-887-8009
FOR EMERGENCY CALL:
Week Davs: SHELL DISTRICT OFFICE: (510) 335-5000
After Working Hours Call:
ENVIRONMENTAL ENGINEER: Alex Perez:
DISTRICT.ENGINEER: Brett,Hovland:
PROJECT ENGINEER: Dan Kirk:
Service Station Services
510-335-5027
510-335-5032
510-335-5035
800-887-8009
FIRE DEPARTMENT:
911
POLICE DEPARTMENT:
911
EMERGENCY MEDICAL AID:
911
15
£,
. INVENTORYVARIATIONWO~
õ
TO:
SHELL REPRESENTATIVE
FROM:
STATION OPERATOR
DATE:
RE: INVENTORY VARIATION EXCEEDING MAXIMUM ALLOWABLE LIMITS
On (date), the station at (address)
had an inventory variation that exceeded the allowable limits as indicated below:
FormulaShell Regular
FormulaShell Plus
FormulaShell Premium
Auto Diesel
I have begun inventory discrepancy procedures and (check one)
I have stopped dispensing product
I have not stopped dispensing product
This notification is in addition to the phone call I previòusly placed.
(Dealer or Station Manager's signature)
Remember to write the Area Representative's name and number on the bottom left hand comer of the envelope.
16
,~
r..;.
L
J 0 H N W. J 0 H N SON
ArchiteCl
Co-President
BRIAN F. Z ITA
Architect
Co-President
JOHN B. HICKS
Architect
Vice President
CECIL R, SPENCER
Architect
Vice President
BRUCE J, GREENFIELD
Managing Architect
Associate
HOWARD G, KIMURA
Architect
Associate
CHRIS LAWTON
Regional Manager
Associate
JAMES E, PRESTEN
Regional Manager
Associate
GARY M, SEMLING
.\fanaging Architect
Associate
BLYTHE R. WILSON
Afanaging ArchiteCl
Associate
/'
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ARCHITECTURE
ENGINEERING
ENVIRONMENTAL SERVICES
1137 N .n' M ,D..", BI,d, P'''''"'' CA 94954- 1110 T" .p"'" (707) '" - ", ÄGËN' ~'t08
March 31, 1997
rr;::",\- rF~,'~l:¿nr~\Vl\~-g'
¡In, ,.I;; \:::::';~::J lJ \.:, U;; n
Ii I' ,
1=1
,Ii" APR 2 9 1997 U
\u "
t B}____~~.__. "",' ,,',_'"''
Established 1966
Livengood, Inc.
White Lane Shell
<f~ Whitê'LaÏîe ' J
Bakërsfleld,' CA 93304
Dear Livengood, Inc.:
Attached is the Hazardous Materials Management Plan (HMMP) Certification for your facility.
This certification is, an addendum to your current HMMP. Please place this document in your
Green Book WITH your current HMMP.
11}î>ðiÑÔT"11IROW'" YÓuR·êûRREN1"HMM2;\.WÂVJuull
The "DEALER" copy should be maintained in your Green Book, and available to all employees
and agency personnel at any time.
1.
Please sign:
A. All 4 copies of the HMMP where flagged and indicated with a "X".
Please Return to RHL Design Group, Inc.:
A. "AGENCY" copy.
B. "SHELL" copy.
C. "FILE" copy.
2.
3. File the "DEALER" copy at the station in your Green Book.
This package must be returned to RHL Design Group, Inc. within 10 days of the above date. We
have provided a self addressed stamped envelope for your convenience. RHL will forward the
"AGENCY" copy to Bakersfield Fire Department.
Very Truly,
RIlL DESIGN GROUP, INC.
-Þ0~
Steven A. Skanderson
Environmental Project Manager
Enclosures
cc:
H,S & E Assistant - Shell Oil Products Company
File
F:lHAZMA TISHELL ßBIFORMSIDLRCERT.MRG
BELLEVUE, WA
SACRAMENTO. CA
SCOTTSDALE, AZ
LA HABRA. CA
~
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Bakersfield Fire Department
2130 G Street, Bakersfield, Ca 93301
805 326-3979
AGENCY USE ONLY
Filè #:
Date:
HAZARDOUS MATERIALS BUSINESS PLAN ¡INVENTORY
1997 CERTIFICATION FORM
Business Name: White Lane Shell
Owner/Operator Name: Livenaood. Inc.
Business Address: 2600 White Lane
City: Bakersfield
Phone: 805 831-0502
State: CA
Zip: 93304
Environmental Contact: H.S. & E. Assistant
Mailing Address: P.O. Box 4023
City: Concord
Phone: 510-675-6114
State: CA
Zip: 94524
BIENNIAL REVIEW AND RECERTIFICATION:
'\f... I certify that the Business Plan has been reviewed and the information contained in it is accurate
and complete as of the date below.
I certify that I have review the previously submitted Business Plan and have updated the following
items on the attached pages.
Emergency contacts names and/or phone numbers.
Site/Facility map.
Other Updates:
ANNUAL INVENTORY UPDATE:
~ Inventory Forms are correct for the upcoming reporting year. NO changes are necessary.
Inventory Forms required updating. Replace previous inventory with attached inventory.
~ame: ¡}é¿". L/ YÑ ¿Þ-Ò¿;? d
(TYP~
Title:
I certify under penalty of law, that I have personally examined and I am familiar with the information submitted
in this and all attached documents, and based on my inquiry of those individuals responsible for Obtaining the
information, I believe that the submitted information is true, accurate and complete.
~'"
Signature: ~..eV .
.ç- /ò. 7 7
Date:
F:IHAZMA TISHELL_ EBIFORMSI97 CERT ,MRG
1;
APPENDIX A
California Business & Owner/Operator Identification Page
e'
.
CALENDAR YEAR -BEGINNING (1 11/1/97 I ENDING (2) 112/31/97 I (3) PAGE 1 OF I ~
BUSINESS NAME (4) White Lane Shell I BUSINESS PHONE:(5) I 805 831-0502
SITE ADDRESS (6) 2600 White Lane
CITY (7) Bakersfield STATE (8) CA I ZIP (9) 93304
DUN & (10) 36-467-0372 SIC CODE (4 DIGIT#) (11 ) 5541 7542
BRADSTREET
OPERA TOR (12) Livengood, Inc. OPERA TOR PHONE (13) 805 831-0502
NAME
OWNER INFORMATION
OWNER NAME
(14) Livengood, Inc.
OWNER PHONE (15)
805 831-0502
CITY
(17) Bakersfield
STATE (18)
ZIP (19) 93304
OWNER MAILING ADDRESS (16)
ENVIRONMENTAL CONTACT
,
CONTACT NAME
MAILING ADDRESS
(20) Shell HS&E Assistant
CONTACT PHONE (21) (510) 675-6114
(22)
STATE (24)
ZIP (25) 94524
CITY
(23) Concord
Primary
EMERGENCY CONTACTS
Secondary
NAME: (26) Bill Hilterbran NAME: (311 Frank Quercia
TITLE: (27) Manager . TITLE: (32) Manager
BUSINESS PHONE: (28) 805 322-3122 BUSINESS PHONE: (33) 805 831-5151
24·HOUR PHONE: (29) 805 588-0352 24-HOUR PHONE: (34) 805-398-8997
PAGER #: (30) PAGER #: (35)
ACUTELY HAZARDOUS MATERIALS (AHM)
I 0 Y I'\7l N Ilf yes, and above Threshold Planning Quantities, attach a sheet of paper with a general
ON SITE AHM (36) eS!ðI 0 , description of the process and principal equipment.
ADDITIONAL lOCALLY COLLECTED INFORMATION
37)
Certification: 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.
Print Name of Document Preparei \3al I ~~
Signature of Owner/Operator (39) P( _ _ ____
OES Form 2730( 11/94)
Date (40) I
Lj.
9) I
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APPENDIX C
California Hazardous Material Inventory Form/Addendum- Chemical Description Page
(1) 0 ADD [J DELETE 0 REVISE 0 NO CHANGE PAGE (21 U OF (31 ~
BUSINESS NAME 14)
CHEMICAL LOCATION (51
MAP# (61
White Lane Shell
NORTH SIDE OF LOT
1 I GRID# (7) I D4
CHEMICAL NAME (81
COMMON NAME (9)
CAS # (101
FIRE CODE
HAZARD CLASSES" (131
TYPE (14)
PHYSICAL STATE (17)
FED HAZARD
CATEGORIES (181
STATE WASTE (19)
CODE
DAYS ON SITE (20)
LARGEST 121)
CONTAINER
STORAGE (26)
CO NT AINER
PRESSURE (271
STORAGE
STORAGE (281
TEMPERATURE
(291 %WT
1. < 15.0
2. < 6.5
3. < 4.6
4,
5.
PETROLEUM HYDROCARBONS TRADE SECRET (111 rn
UNLEADED GASOLINE "EHS (12) DY IX!N
8006-61-9 "IF EHS BOX IS "V"
ALL AMOUNTS MUST BE IN LBS
I-A: FLAMMABLE LIQUID
+
COMPLETE BLOCK 113) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. I
o PURE IXI MIXTURE 0 WASTE RADIOACTIVE (1511 DY IX!N 11161
o SOLID IXI LIQUID 0. GAS CURIES
IXI FIRE 0 REACTIVE 0 PRESSURE RELEASE IXI ACUTE HEALTH IXI CHRONIC HEALTH
UNITS (22) 100 GAL 0 CU FT I MAX DAILY AMT (23) 10000
o LBS 0 TONS
365 'If EHS, amounts must be in lb. A VG DAILY AMT (24) 3500
10,000 ANNUAL WASTE AMT 1251
o ABOVE GROUND TANK o CAN o BOX o TANK WAGON
IXI UNDER GROUND TANK o CARBOY o CYLINDER o RAIL CAR
o TANK INSIDE BUILDING o SILO o GLASS BOTTLE 0
o STEEL DRUM o FIBER DRUM o PLASTIC BOTTLE o Other...
o PLASTIC/NONMETALLIC DRUM o BAG o TOTE BIN
IXI AMBIENT o ABOVE AMBIENT o BELOW AMBIENT I
IXI AMBIENT o ABOVE AMBIENT o BELOW AMBIENT o CRYOGENIC I
(301 HAZARDOUS COMPONENTS
(32} CASH
(311 EHS
METHYL TERT BUTYL ETHER DY IX!N 1634044
TOLUENE DY IX!N 108883
XYLENE ¡ DY IX!N 1330-20-7
OY IXIN
OY IXIN
(33) ADDITIONAL LOCALLY COLLECTED INFORMATION
OES Fonn 2730(11/94)
F, lHAZMA TISHELL _ EBIFORMS\sr ATElNV ,MRG
'~
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APPENDIX C
California Hazardous Material Inventory Form/Addendum- Chemical Description Page
(1) 0 ADD 0 DELETE 0 REVISE 0 NO CHANGE . PAGE (2) ~ OF (31 ' [L]
BUSINESS NAME (4)
CHEMICAL LOCATION (5)
MAP# (6)
White Lane Shell
NORTH SIDE OF LOT
1 1 GRID# (7) 1 04
CHEMICAL NAME (81
COMMON NAME (9)
CAS # (10)
FIRE CODE
HAZARD CLASSES' (13)
TYPE (141
PHYSICAL STATE (17)
FED HAZARD
CATEGORIES (18)
STATE WASTE (19)
CODE
DAYS ON SITE (20)
LARGEST (21)
CONTAINER
STORAGE (26)
CONTAINER
PRESSURE (27)
STORAGE
STORAGE (28)
TEMPERATURE
129) %WT
1, < 15.0
2, < 14.0
3. < 8,8
4,
5.
PETROLEUM HYDROCARBONS TRADE SECRET (111 ~
SUPER UNLEADED GASOLINE 'EHS (12) DY IX!N
8006-61-9 iF EHS BOX IS "Y"
ALL AMOUNTS MUST BE IN LBS
I-A FLAMMABLE LIQUID
+
COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. I
o PURE IX! MIXTURE 0 WASTE RADIOACTIVE (15) I 0 Y IX! N I (16)
o SOLID IX! LIQUID o GAS CURIES
!XI FIRE 0 REACTIVE 0 PRESSURE RELEASE !XI ACUTE HEALTH IX! CHRONIC HEALTH
UNITS (22) 1 !XI GAL 0 CU FT I MAX DAILY AMT (23) 10000
o LBS 0 TONS
365 'If EHS, amounts must be in lb. A VG DAILY AMT (241 2500
10,000 ANNUAL WASTE AMT (251
o ABOVE GROUND TANK o CAN o BOX o TANK WAGON
/XI UNDER GROUND TANK o CARBOY o CYLINDER o RAIL CAR
o TANK INSIDE BUILDING o SILO o GLASS BOTTLE 0
o STEEL DRUM o FIBER DRUM o PLASTIC BOTTLE o Other...
o PLASTIC/NONMET ALLlC DRUM o BAG o TOTE BIN
IX! AMBIENT 0 ABOVE AMBIENT o BELOW AMBIENT I
!XI AMBIENT o ABOVE AMBIENT o BELOW AMBIENT o CRYOGENIC I
(30) HAZARDOUS COMPONENTS
(32) CAS#
131) EHS
METHYL TERT BUTYL ETHER OY /XJN 1634044
TOLUENE OY /XJN 108883
XYLENE OY /XJN 1330-20-7
OY /XJN
DY IXIN
(33) ADDITIONAL LOCALLY COLLECTED INFORMATION
OES Form 2730(11/94)
F, \HAZMAT\SHELL _ EB\FORMS\STATElNV,MRG
,~
.~
e
.
APPENDIX C
California Hazardous Material Inventory Form/Addendum- Chemical Description Page
(1) 0 ADD 0 DELETE 0 REVISE C NO CHANGE PAGE (2) ~ OF (3) [i::=:J
BUSINESS NAME (4}
CHEMICAL LOCATION (5)
. MAP# (6}
White Lane Shell
NORTH SIDE OF LOT
1 I GRID# (7) I D4
CHEMICAL NAME (8)
COMMON NAME (9)
CAS # (10)
FIRE CODE
HAZARD CLASSES' (13}
TVPE (14)
PHVSICAL STATE (17)
FED HAZARD
CATEGORIES (18}
STATE WASTE (19}
CODE
DA VS ON SITE (20)
LARGEST (21)
CONTAINER
STORAGE (26)
CONTAINER
PRESSURE (2~
STORAGE
STORAGE (28)
TEMPERATURE
(29) %WT
1. < 15.0
2. < 9.5
3. < 6.3
4.
5.
PETROLEUM HVDROCARBONS TRADE SECRET 111) ~
UNLEADED GASOLINE (89 OCTANE) 'EHS (12) DY!XIN
8006-61-9 . "iF EHS BOX IS "V'
ALL AMOUNTS MUST BE IN LBS
I-A FLAMMABLE LIQUID
..
COMPLETE BLOCK 113) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. I
o PURE !XI MIXTURE 0 WASTE RADIOACTIVE (15) I 0 V :xi N I (16}
o SOLID !XI LIQUID o GAS CURIES
IXI FIRE 0 REACTIVE 0 PRESSURE RELEASE iXI ACUTE HEALTH IXI CHRONIC HEALTH
UNITS (22) 1 !XI GAL 0 CU FT I MAX DAILY AMT (2~} 10000
o LaS 0 TONS
365 'If EHS, amounts must be in lb. A VG DAIL V AMT (24) 2500
10,000 ANNUAL WASTE AMT (25)
o ABOVE GROUND TANK o CAN o BOX o TANK WAGON
!XI UNDER GROUND TANK o CARBOY o CYLINDER o RAIL CAR
o TANK INSIDE BUILDING o SILO o GLASS BOTTLE 0
o STEEL DRUM o FIBER DRUM o PLASTIC BOTTLE o Other...
o PLASTIC/NONMETALLIC DRUM o BAG o TOTE BIN
IXI AMBIENT o ABOVE AMBIENT o BELOW AMBIENT I
!XI AMBIENT o ABOVE AMBIENT o BELOW AMBIENT o CRYOGENIC I
(30) HAZARDOUS COMPONENTS
(31) EHS
(32) CASU
METHYL TERT BUTYL ETHER DY rxiN 1634044
TOLUENE DV IXIN 108883
XVLENE DY IXIN 1330-20-7
OY iXN
DV IXIN
(33) ADDITIONAL LOCALLY COLLECTED INFORMATION
OES Fonn 2730(11/94)
F:lHAZMATISHEU_EBIFORMSlSTATEINV,MRG
-
e
APPENDIX C
California Hazardous Material Inventory Form/Addendum- Chemical Description Page
(1) 0 ADD 0 DELETE 0 REVISE 0 NO CHANGE PAGE (2) ~ OF (3) u=.=J
BUSINESS NAME
CHEMICAL LOCATION
MAP# (6)
(4) White Lane Shell
(5) IN SALES AREA
GRID# (7)
CHEMICAL NAME 181
COMMON NAME (9)
CAS # (10)
FIRE CODE
HAZARD CLASSES' (13)
TYPE (14)
PHYSICAL STATE (17)
FED HAZARD
CATEGORIES (181
STATE WASTE 1191
CODE
DA YS ON SITE (20)
I..ARG EST (21)
CONTAINER
STORAGE (26)
CONTAINER
PRESSURE ~~
STORAGE
STORAGE (28)
TEMPERATURE
(291 % \NT
1 . 100
2.
3.
4.
5.
CARBON DIOXIDE TRADE SECR~ 1111 ËE
CARBON DIOXIDE EHS (12) DY IXIN
124-38-9 'IF EHS BOX IS "Y"
ALL AMOUNTS MUST BE IN I..BS
COMPRESSED GAS
+
COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. I
!XI PURE 0 MIXTURE 0 WASTE RADIOACTIVE (15) I DY IX!N 1(16)
o SOLID 0 LIQUID !XI GAS CURIES
o FIRE 0 REACTIVE IX! PRESSURE RELEASE 0 ACUTE HEALTH 0 CHRONIC HEALTH
UNITS (22) I 0 GAL !XI CU FT I MAX DAILY AMT (23) 348
o LBS 0 TONS
365 'If EHS, amounts must be in lb. A VG DAILY AMT (24) 174
174 ANNUAL WASTE AMT (25)
o ABOVE GROUND TANK o CAN o BOX o TANK WAGON
o UNDER GROUND TANK o CARBOY IX! CYLINDER o RAIL CAR
o TANK INSIDE BUILDING o SILO o GLASS BOTTLE 0
o STEEL DRUM o FIBER DRUM o PLASTIC BOTTLE o Other...
o PLASTIC/NONMETALLIC DRUM o BAG o TOTE BIN
o AMBIENT !XI ABOVE AMBIENT o BELOW AMBIENT I
!XI AMBIENT o ABOVE AMBIENT o BELOW AMBIENT o CRYOGENIC I
(30\ HAZARDOUS COMPONENTS
(311 EHS
(32) CASH
CARBON DIOXIDE DY IXIN 124-38-9
DY IX!N
DY IXIN
DY IX!N
DY IX!N
(33) ADDITIONAL LOCALLY COLLECTED INFORMATION
OES Fonn 2730(11/94)
F:lHAZMATISHELL _EBIFORMSlSTATEINV,MRG
5
..
.e
e
APPENDIX C
California Hazardous Material Inventory Form/Addendum- Chemical Description Page
(1) [J ADD 0 DELETE 0 REVISE 0 NO CHANGE PAGE (2) ~ OF (3) ~
BUSINESS NAME
(4) White Lane Shell
CHEMICAL I..OCA TION
MAP# (61
(5) NORTH SIDE OF SALES BLDG
GRID# (7)
CHEMICAL NAME (8)
COMMON NAME (9)
CAS # (10)
FIRE CODE
HAZARD CLASSES" (13)
TYPE (14)
PHYSICAL STATE (17)
FED HAZARD
CATEGORIES (18)
STATE WASTE (19)
CODE
DA YS ON SITE (20)
I..ARGEST (21 )
CONTAINER
STORAGE (26)
CONTAINER
PRESSURE (27)
STORAGE
STORAGE (28)
TEMPERA TURE
129) %WT
1 , 100.0
2,
3.
4,
5.
PETROLEUM HYDROCARBONS TRADE SECR~ 1111 ~
USED MOTOR OIL EHS (12) DY IXIN .
800-20-59 "IF EHS BOX IS "Y"
ALL AMOUNTS MUST BE IN LBS
III-B COMBUSTIBLE LIQUID
+
COMPLETE BLOCK 113) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. I
D PURE C MIXTURE 00 WASTE RADIOACTIVE (15) I DY IXIN I (16)
o SOLID 00 LIQUID DGAS CURIES
D FIRE D REACTIVE D PRESSURE RELEASE 0 ACUTE HEALTH IX] CHRONIC HEALTH
221 UNITS (22) 100 GAL D CU FT I MAX DAILY AMT (23) 550
o LBS 0 TONS
365 "If EHS, amounts must be in lb. A VG DAIL Y AMT (24) 0
550 ANNUAL WASTE AMT (251 0
o ABOVE GROUND TANK D CAN o BOX D TANK WAGON
00 UNDER GROUND TANK D CARBOY D CYLINDER o RAIL CAR
o TANK INSIDE BUILDING D SILO D GLASS BOTTLE D
D STEEL DRUM D FIBER DRUM o PLASTIC BOTTLE D Other...
D PLASTIC/NONMETALLIC DRUM D BAG D TOTE BIN
00 AMBIENT D ABOVE AMBIENT D BELOW AMBIENT I
\XI AMBIENT D ABOVE AMBIENT D BELOW AMBIENT D CRYOGENIC I
(30) HAZARDOUS COMPONENTS
(32) CASH
(31) EHS
USED OIL DY IXJN 800-20-59
DY IXJN
DY IXIN
DY IXIN
DY \XIN
133) ADDITIONAL LOCALLY COLLECTED INFORMATION
OES Ponn 2730(11/94)
F: \HAZMA TISHELL _ EBIFORMSlSI' A TEINV. MRG
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\V¡C# 0461-0568
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WHITE LANE
NORTH
CD
TEXACO SERVICE STATION
J
SELF SERVICE ST A 1100 LEGEND
EMERGENCY PUMP A MONITORING WELLS
SHUT-OFF 6 OBSERVA TlON WELLS
ELECTRICAL PANEL r:\A
SHUT -OFF \:J ANTIFREEZE
NA ruRAL GAS 0
SHUT-OFF M MOTOR/TRANSMISSION
Oil
® A,G, PRODUCT TANK
o U,G, PRODUCT TANK
o USED Oil TANK
o ABSORBENT
SITE PLAN
WHITE LANE SHEll
2600 WHITE LANE
WATER SHUT-OFF
TANK MONITORING
ALARM
TELEPHONE
BAKERSFIELD, CALIFORNIA 93304
FIRST AID KIT
'NIG# 0461-0568
FIRE EXTINGUISHER
STORM DRAIN
OILjWA"fER SEPARATOR
EMERGENCY
ASSEMBLY AREA
HMMP. AND MSDS
lOCA TlON
FIRE HYDRANT
FENCE
CO2 CARBON DIOXIDE
CWP CAR WASH PRODUCTS
~ Shell Oil
W Products Company
PREPARED BY: PAGE"
~ ARCHITECTURE · ENGINEERING
. ENVIRONMENTAL SERVICES
, OaotlP ¡..e. 1137 N, NcOOWEl.1. 11.'011, PETAlUNA, CA (707) 765-1660
JOHN w, ..o~. AROillECT JAI(S H. RAt. ow. ENGINEER
~
POST AT FACILITY
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EMERGENCY RESPONSE PROCEDURES
In the event of a fire, spill, or a leak or suspected leak in the tanks and/or piping, the following steps are to be taken as
applicable:
1. TURN OFF PUMPS using the Emergency Pump Shut-Off Switch.
2. EV ACU A TION: If there is any immediate danger, ANNOUNCE to all persons on the site: "There is an
emergency. Please turn off your engines and leave the station on foot immediately."
3. CALL FOR HELP in case of an emergency by dialing 9-1-1 and giving the following information:
"THERE IS A FIRE / GASOLINE SPILL at the SHELL station at 2600 White Lane." If anyone is trapped or
needs medical attention, tell the answering dispatcher. Stay on the phone and be prepared to answer any
questions concerning the situation.
4. LOOK AROUND to assure that all others have left the station if necessary, particularly those in vehicles who
may neoo assistance or may not have heard the emergency announcement. Assist, or direct assistance to, anyone
having difficulty leaving the station area, and anyone who may be injured.
5. ATTEMPT TO EXTINGUISH any small or incipient fire if you can do so safely. Have the fire extinguisher
ready to use in the event of any spill. Try to contain any large spill, or use absorbent on smaller spills.
6. REPORT to arriving emergency response personnel to provide them with any information or assistance they might
need.
7 . CONTACT the station dealer if s/he is not already at the station. Use the list below for emergency contacts:
1. Name/Bus Phone/Home Phone: Bí1l Hilterbran /805 322-3122 /805 588-0352
2. Name/Bus Phone/Home Phone: Frank Ouercia /805831-5151 /805-398-8997
8. NOTIFY your SHELL OIL District Engineer by phone WITHIN 24 HOURS
A. SHELL OIL District Engineer:Brett HovlandPHONE NUMBER:(51O) 675-6149(days) (510)756-7022 (home)
You must mail a completed Unauthorized Release Report to SHELL within 24 hours..
SHELL will notify the appropriate State and Local agencies unless the situation requires urgent immediate
res~onse by the agencies, in which case the DEALER should notify these agencies:
B. LOCAL AGENCY: Bakersfield Fire Department
PHONE NUMBER: 805 326-3979
C. CALIFORNIA OFFICE OF EMERGENCY SERVICES, (800) 852-7550 (24 HOURS)
D. Submit a follow-up Spill Notification to the State Office of Emergency Services.
These agencies must be notified within 24 hours of release detection.
9. Dealer should attempt to isolate leak location by inspection.
10. SHELL will coordinate whatever corrective actions need to be taken beyond the Dealer's capabilities. SHELL
will file whatever reports need to be filed with local and state agencies, and send a copy to the station for the
Dealer's files.
11. RE-ENTRY: If evacuation has occurred and emergency responders have been called, re-entering this facility
should take place with extreme caution and only under the direction of the senior emergency responder on site
and Shell engineers.
THESE EMERGENCY RESPONSE PROCEDURES MUST BE FILLED OUT AND POSTED CONSPICUOUSLY
ON SITE ALONG WITH THE A'IT ACHED SITE PLAN
~
.
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3/31/97
1997 HMMP SUPPLEMENT
----------------------------------------------------------------------------------------------------------------------------------
WIC#: 0461-0568
Livengood, Inc.
White Lane Shell
2600 White Lane
SITE PHONE:805 831-0502
, Bakersfield
, CA 93304
------------------------------'----------------------------------------------------------------------------------------------------
EMERGENCY CONTACT PERSONNEL
FIRST CONTACT: Bill Hilterbran Manager SECOND CONTACT: Frank Quercia Manager
9401 Southwick Drive, 'Bakersfield 93312 I 25 Williams Ave #0, Bakersfield 93309
DAY PHONE:805 322-3122 24-HOUR PHONE:805 588-0352 I DAY PHONE: 805 831-5151 24-HOUR PHONE: 805-398-8997
----------------------------------------------------------------------------------------------------------------------------------
PUMP SHUT-OFF:
ELEC. SHUT -OFF:
WATER SHUT-OFF:
GAS SHUT-OFF:
FIRE EXTINGUISHER:
FIRST AID KIT:
ABSORBENT MATERIAL:
EMERGENCY EQUIPMENT LOCATIONS
1-FRONT BLDG WALL, 1-CASHIER
·2-WEST INTR SERVICE BAY WALL
IN SIDEWALK ALONG EL POTRERO LANE
NONE
1-CASHIER, 1-UTILITY ROOM, 1-SERVICE BAY
1-CASHIER, 1-UTILITY ROOM
SERVICE BAY
----------------------------------------------------------------------------------------------------------------------------------
TANK INFORMATION
SIZE #TNKS MATERIAL SPLL OVFL TYPE MANUFACTURER YR
REGULAR 10,000 1 FG Y Y D\I OWENS CORNING '86
PREMIUM 10,000 1 FG Y Y DW OWENS CORNING '86
PLUS 10,000 1 FG Y Y DW OWENS CORNING '86
WASTE OIL 550 1 FG Y Y DW '85
PIPING CONTAINMENT: Single Wall
TANK MONITOR RONAN TRS76, TLS-250
PIPING MATERIAL:FG
SPLL = OVER SPILL PROTECTION OVFL = OVER FILL PROTECTION
DW = DOUBLE WALL SW = SINGLE WALL
FG = FIBERGLASS STL = STEEL
----------------------------------------------------------------------------------------------------------------------------------
REGULAR
PREMIUM
PLUS
C02
CHEMICAL INVENTORY
MAXIMUM AVERAGE LOCATION
10000 3500 NORTH SIDE OF LOT
10000 2500 NORTH SIDE OF LOT
10000 2500 NORTH SIDE OF LOT
348 174 I N SALES AREA
----------------------------------------------------------------------------------------------------------------------------------
USED 01 L
WASTE INVENTORY (if any)
MAXIMUM AVERAGE THRUPUT LOCATION
550 0 0 NORTH SIDE OF SALES SLDG
----------------------------------------------------------------------------------------------------------------------------------
LOCAL REPORTING AGENCY: Bakersfield Fire Department
2130 "G" Street, Bakersfield, Ca 93301
805 326-3979
AN ESOP COMPANY . AGENCY
e . -,,-~ -_. .______' ,_,. u.
[U ROBERT H. LEE & ASSOCIATES, INC.
~ ARCHITECTURE PLANNING ENVIRONMENTAL SERVICES
1137 NORTH McDoWELL BLVD., PSTALUMA, CA 94954-1110 MAn.IN'o ADDRESS: P.O. Box 750908 PSTALUMA, CA 94975
, PHONE 707-765-1660 FAX 707-765-9908 VOICE MAIL 707-765-2344
y. "'i
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JOHN W. JOHNSON
Architect
Co-President
BRIAN F. ZITA
Architect
Co·President
JOHN B, HICKS
Architect
Vice President
CECIL R. SPENCER
Architect
Vice President
JAMES H. RAY
Civil Engineer
BRUCEJ.GREENFŒLD
Architect
Associate
HOWARD G. KIMURA
AssOciate
CHRIS LAWTON
Associate
JAMES E. PRESTEN
Associate
GARY M. SEMLING
Architect
Associate
BLYTHE R. WILSON
Architect
Associate
/
March 15. 1996
Livengood. Inc.
White Lane Shell
2600 White Lane
Bakersfield. CA 93304
Dear Livengood. Inc.:
Attached is the Hazardous Materials Management Plan (HMMP) Certification for your facility.
This certification is an addendum to your current HMMP. Please place this document in your
Green Book WITH your current HMMP.
.....................................................-...................,......,.......................-.....-......--...................-.........................
......................................................................................................................................-............................,...
..................................................................-............... "',' ................... ..........................................................
....................................................................................................................................................'...................................................................................................................................................................................
:1iQNQ'i)~Q}'V¥QVf(ç~~~KwA¥~W
The "DEALER" copy should be maintained in your Green Book. and available to all employees
and agency personnel at any time.
1.
Please sign:
A. All 3 copies of the HMMP where flagged and indicated with a "X".
B. Acknowledgement of Receipt at the bottom of this page.
2. Please Return:
A. "AGENCY" copy.
B. "SHELL" copy.
C. Acknowledgement of Receipt
3. File the "DEALER" copy at the station in your Green Book.
This package must be returned to the East Bay District's HS&E Analyst at Shell Oil Products
Company within 30 days of the above date. Shell will forward the "AGENCY" copy to
Bakersfield Fire Department
Very Truly,
ROBERT H. LEE & ASSOCIATES, INC.
~ 2J-..o¿"4.b-¡ R~
Steven A. Skanderson
Project Manager
Enclosures
ACKNOWLED
xUd/
SIGNATURE
cc:
H,S & E Analyst - Shell Oil Products Company
File .
(lShcU _ e&llormaldlr-cert.mrgj
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--
LA HABRA. CA
MARœTrA. GA
ScOTrSDALE. AZ
SACRAMENTO. CA
BELLEVUE, W A
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· . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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........--..-......---.......-......-..
........................................
...................................~.....
· . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .
............................... .
................................................
.................
HAZARDOUS MATERIALS INVENTORY I BUSINESS RESPONSE PLAN
1996 CERTIFICATION FORM
FACILITY NAME: White Lane Shell
FACILITY ADDRESS: CITY: STATE: ZIP:
2600 White Lane Bakersfield CA 93304
BUSINESS OWNER/OPERATOR: Livengood, Inc. PHONE: 805 831-0502
SHELL MAILING ADDRESS: CITY: STATE: ZIP:
P.O. Box 4023 Concord CA 94524
SHELL CONTACT: H.S&E Administrative Support PHONE: 510-675-6114
REVIEW OF INVENTORY FORMS, EMERGENCY CONTACTS, AND SITE MAP HAS BEEN COMPLETED.
INDICATE BELOW ALL THAT APPLY.
)( Inventory forms are correct for the upcoming reporting year. NO changes are necessary.
X Emergency contacts and phone numbers are correct for the upcoming reporting year. NO changes are necessary.
Site map is correct for the upcoming year. NO changes are necessary.
Inventory Fòrms required updating. Attached are new inventory forms.
Emergency contacts and phone numbers require updating. Changes are attached.
X Site map required updating. A new site map is attached.
BIENNIAL REVIEW OF THE COMPLETE BUSINESS PLAN HAS BEEN COMPLETED. INDICATE BELOW ALL
THAT APPLY.
X Businèss Resporise Plan has been reviewed .and, is correct. NO changes are necessary.
Business Response Plan has been reviewed and reqUires updating. Changes are indicated and are submitted.
I hereby certify, under penalty of law that I have personally examined and am familiar with the information submitted in this
and all attached docWnents and that based on inquiry of those individuals responsible for obtaining the information, I believe
that the submitted information is true, accurate and complete. I understand that I may be required to show proof of
complian~, during any facility inspection conducted b~ local, Co~ty, State~eral auth~Oriti. }
Name: LlvenlloOO. Inc: . . . S~~: X ~_
, (Type or Print) ,,,~,,::';":::~: :, .0'.:-:',.,· ,,:.'." ,'; ",",> , ~.:' ;" "'. ~' . , , .' :.'., , '~ ,~"". '"~,,
Date:~ ,3 .2- r 9"~
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Title: Déa1er
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F:\HAZMA'NHEU._EBIFORMS\9SCERT.M1lG
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03/04/96
WHITE LANE SHELL 215-000-000355
Overall Site with 1 Fac. Unit
Page
1
General Information
Location: 2600 WHITE LN Map:123 Haz:2 Type: 3
City . BAKERSFIELD Grid: 13C FlU: 1 AOV: 0.0
.
- Contact Name Title - Contact Name Title
BILL HILTERBRAN I MANAGER FRANK QUERCIA / MANAGER
Business Phone: (805) 322-3122x Business Phone: (805) 831-5151x
24-Hour Phone · (805) 588-0352x 24-Hour Phone · (805 ) 398-8997x
· ·
Pager Phone · ( ) - x Pager Phone · ( ) - x
· ·
Administrative Data
Mail Addrs: PO BOX 4023 D&B Number:
City: CONCORD State: CA Zip: 94524-
Comm Code: 215-005 BAKERSFIELD STATION 05 SIC Code: 7538
Owner: DEL LIVENGOOD Phone: (805) 322-3122
Address: 12117 APRIL ANN State: CA
City: BAKERSFIELD Zip: 93312-
Summary
~Æ¿ L/ c./6t,bÞJ ' Do hereby certify \that I have
(Type 01' print name)
revtewed the attached· hazardous materials manage-
ment Plan for~$g¿ ~É/énd that 'it along with
. (Named .)
any corrections constitute a complete and correct man-
agement plan for I11Y facility.
~~
IUI'8
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Dat&
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03/04/96 WHITE LANE SHELL 215-000-000355 Page 2
Hazmat Inventory List in MCP Order
02 - Fixed Containers on Site
PIn-Ref Name/Hazards Form Max Qty MCP
02-004 PREMIUM GASOLINE Liquid 10000 Moderate
· Fire, Immed Hlth, Delay Hlth GAL
02-005 PLUS GASOLINE Liquid 10000 Moderate
· Fire, Immed Hlth, Delay Hlth GAL
02-001 REGULAR GASOLINE Liquid 10000 Moderate
· Fire, Immed Hlth, Delay Hlth GAL
02-003 WASTE OIL Liquid 550 Low
· Fire, Delay Hlth GAL
02-007 CARBON DIOXIDE Gas 348 Minimal
· Pressure, Immed Hlth FT3
e
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03/04/96
WHITE LANE SHELL 215-000-000355
02 - Fixed Containers on Site
Page
3
Hazmat Inventory Detail in MCP Order
02-004 PREMIUM 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 2,500.00 I 180,000.00
Storage
UNDER GROUND TANK
r Press T Temp ~ Location
Ambient AmbientlNORTHWEST CORNER OF LOT
- Conc l
100.0% Gasoline
Components
r; MCP --rGuide
Moderate 27
02-005 PLUS 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 2,500.00 I' 180,000.00
storage
UNDER GROUND TANK
r Press T Temp ~I Location
Ambient AmbientlNORTHWEST CORNER OF LOT
- Conc -,
100.0% Gasoline
Components
r; MCP --rGuide
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 3,500.00 I 550,000.00
Storage
UNDER GROUND TANK
r Press T Temp ~I Location
Ambient AmbientlNORTH END OF LOT
- Conc -/
100.0% Gasoline
Components
r; MCP ----rGuide
Moderate I 27
'.
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03/04/96
WHITE LANE SHELL 215-000-000355
02 - Fixed Containers on Site
Page
4
Hazmat Inventory Detail in MCP Order
02-003 WASTE OIL Liquid 550 Low
~ Fire, Delay Hlth GAL
CAS #: 221 Trade Secret: No
Form: Liquid Type: Waste Days: 365 Use: WASTE
Daily Max GAL
550
----r-- Daily Average GAL --r-- Annual
I 559. ae I
o. tJO
r Press T Temp ~ Location
Ambient AmbientNORTH LOT
Amount GAL -
..§§Q.99
ð.oCJ
Storage
UNDER GROUND TANK
- Cone -, Components
100.0% Waste Oil, Petroleum Based
C' MCP ---,-Guide
I Low I 27
02-007 CARBON DIOXIDE
~ Pressure, Immed Hlth
Gas
348 Minimal
FT3
CAS #: 124-38-09
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: OTHER
Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -
348 I. 174.00 I 3,132.00
Storage r Press T Temp l Location
PORT. PRESS. CYLINDER Above Below IN SALES AREA
- Cone l
0.0% Carbon Dioxide
Components
C' MCP -¡Guide
Low I 21
e
-
03/04/96
WHITE LANE SHELL 215-000-000355
00 - Overall Site
Page
5
<D> Notif./Evacuation/Medical
<1> Agency Notification
SHELL WILL NOTIFY THE APPROPRIATE STATE AND LOCAL AGENCIES UNLESS THE
SITUATION REQUIRES URGENT IMMEDIATE RESPONSE BY TH AGENCIES, IN WHICH CASE
THE DEALER SHOULD NOTIFY THESE AGENCIES:
1) LOCAL AGENCY: BAKERSFIELD FIRE DEPT 805-326-3979.
2) CALIFORNIA OFFICE OF EMERGENCY SERVICES: 800-852-7550 (24 HRS).
3) CALL FOR HELP IN CASE OF AN EMERGENCY BY DIALING 9-1-1.
<2> Employee Notif./Evacuation
NOTICE WILL BE VERBAL. EMPLOYEES WILL EVACUATE BUILDING AND MEET AT
EMERGENCY ASSEMBLY AREA. (SEE SITE PLAN FOR LOCATION)
<3> Public Notif./Evacuation
IF THERE IS ANY IMMEDIATE DANGER, ANNOUNCE TO ALL PERSONS ON THE SITE:
"THERE IS AN EMERGENCY. PLEASE TURN OFF YOU ENGINES AND LEAVE THE STATION
ON FOOT IMMEDIATELY."
<4> Emergency Medical Plan
HALL AMBULANCE AND MERCY HOSPITAL - 2215 lÞ~~ß« AVE - 328-5275
MEMÐRIAL IffiSPPfAL 4iÐ 34TH STREET 32'1 1'192
Uð. L A- I-/ð.s p,'V1tL. .... (!..¿.IN/(!s lð8a 3 L..E(!¿)fI/TE. .,4-JlE I..ð s ,4n/(Ç.E L6 s
3/0 - /T,;zS-:J.1f1
(l ~
e
-
03/04/96
WHITE LANE SHELL 215-000-000355
00 - Overall Site
Page
6
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
ABOVEGROUND AUTOMOTIVE PRODUCT ARE STORED IN
MINIMUM QUANTITIES. THE UNDERGROUND STORAGE
APPROVED MONITORING METHOD TO DETECT LEAKS.
SAFE HANDLING OF HAZARDOUS MATERIALS.
UNBREAKABLE CONTAINERS AND IN
TANKS ARE MONITORED USING AN
ALL EMPLOYEES ARE TRAINED IN
<2> Release Containment
STOP A RELEASE BY TURNING OFF THE PUMPS AND USING EITHER ABSORBENT MATERIAL
OR A FIRE EXTINGUISHER AS NECESSARY.
<3> Clean Up
CLEAN UP WITH ABSORBENT MATERIAL, BROOM AND SHOVEL, OR BY VACUUM TRUCK IF
NECESSARY.
<4> Other Resource Activation
~
.
b ~
e
03/04/96
WHITE LANE SHELL 215-000-000355
00 - Overall Site
<F> Site Emergency Factors
Page
7
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - NONE
B) ELECTRICAL - WEST WALL OF SERVICE BAY
C) WATER - IN SIDEWALK ALONG EL POTRERO LN
D) SPECIAL - EMERGENCY PUMP SHUT-OFF SOUTHS IDE OF SALES BLDG, CASHIER
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS
FIRE HYDRANT - SOUTHEAST CORNER OF LOT
<4> Building Occupancy Level
~.~
~ ."" ~ ~¡ ;-
e
e
03/04/96
WHITE LANE SHELL 215-000-000355
00 - Overall Site
Page
8
<G> Training
<1> Employee Training
WE HAVE 5 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING: EMPLOYEES MUST BE GIVEN THIS TRAINING BEFORE
STARTING WORK, AND REFRESHER COURSES MUST BE PROVIDED ANNUALLY. RECORDS
MUST BE KEPT TO SHOW WHEN EACH STATION EMPLOYEE HAS BEEN GIVEN HIS/HER
SAFETY TRAINING.
<2> Page 2
<3> Held for Future Use
<4> Held for Future Use
.~;/ ,
-,0)
~., (i
, POST AT FACILITY ,
EMERGENCY RESPONSE PROCEDURES
0461~
In the event of a fIre, spill, or a leak or suspected leak in the tanks andlor piping, the following steps are to be taken as
applicable:
1. TURN OFF PUMPS using the Emergency Pump Shut-Off Switch.
2. EVACUATION: If there is any immediate danger, ANNOUNCE to all persons on the site: "There is an
emergency. Please turn off your engines and leave the station on foot immediately."
3. CALL FOR HELP in case of an emergency by dialing 9-1-1 and giving the following information:
"THERE IS A FIRE 1 GASOLINE SPILL at the SHELL station at 2600 White Lane." If anyone is trapped or
needs medical attention, tell the answering dispatcher. Stay on the phone and be prepared to answer any
questions concerning the situation. -
4. LOOK AROUND to assure that all others have left the station if necessary, particularly those in vehicles who
may need assistance or may not have heard the emergency announcement. Assist, or direct assistance to, anyone
having difficulty leaving the station area, and anyone who may be injured.
5. AITEMPT TO EXTINGUISH any small or incipient tire if you can do so safely. Have the fIre extinguisher
ready to use in the event of any spill. Try toèontain any large spill, or use absorbent on smaller spills.
6. REPORT to arriving emergency response personnel to provide them with any information or assistance they might
~ed. '
7. CONTACT the station dealer if slbe is not already at the station. Use the list below for emergency contacts:
1. NamelBus PhonelHome Phone: Bill Hilterbran /805322-3122 /805588-0352
2. NamelBus PhonelHome Phone: FrankOuercia /805831-5151 1805-398-8997
8:' NOTIFY your SHELL OIL District Engineer by phone WITHIN 24 HOURS
A. SHELL OIL District Engineer: Jeff Byram PHONE NUMBER:(51Q) 675-6146(days) (510)674-9413 (borne)
You must mail a completed Unauthorized Release Report to SHELL within 24 hours.
SHELL will notify the appropriate State and Local agencies unless the situation requires urgent immediate
response by the agencies, in which case the DEALER should notify these agencies:
B. LOCAL AGENCY: BakersfIeld Fire Department
PHONE NUMBER: 805 326-3979
C. CALIFORNIA OFFICE OF EMERGENCY SERVICES, (800) 852-7550 (24 HOURS)
D. Submit a follow-up Spill Notification to the State Office of Emergency Services.
These agencies must be notified within 24 hours of release detection.
9. Dealer should attempt to isolate leak: location by inspection.
10. SHELL will coordinate whatever corrective,actions need to be taken beyond the Dealer's capabilities. SHELL
will file whatever reports need to be filed with local and state agencies, and send a copy to the station for the
Dealer's files. -,
11. RE-ENTRY: If evacuation hasoccurred and emergency responders have been called, re~ntering this facility
should take place with extreme caution and only under the direction of the senior emergency responder on site
, Jmd. SheIl engineers.,~i , , , þ,:. '0" ... ,,;, "" ., ',,_ '_', ',:,;:::.~..__,. .,,::: '.,
. . - .
, ,
THESE EMERGENCY RESPONSE PROCEDURES MuST BEFIT.I,ED OUT AND POSTED CONSPICUOUSLY
ON SITE ALONG WITH THE ATfACHED SITE PLAN' ,
. ,
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1996 HMMP SUPPLEMENT
e
3/15/96
.---.--------------------------.--------------------------------------------------------------------------------------------------
WIC#: 0461-0568
Livengood, Inc.
White Lane Shell
2600 White Lane
SITE PHONE:805 831-0502
, Bakersfield
, CA 93304
-----------------------------------------------------------------------------------------------.----------------------------------
EMERGENCY CONTACT PERSONNEL
FIRST CONTACT: Bill Hilterbran Manager SECOND CONTACT: Frank Quercia Manager
9401 Southwick Drive, Bakersfield 93312 25 Williams Ave #0, Bakersfield 93309
DAY PHONE:805 322-3122 24-HOUR PHONE:805 588-0352 I DAY PHONE: 805 831-5151 24-HOUR PHONE: 805-398-8997
----------------------------------------------------------------------------------------------------------------------------------
PUMP SHUT-OFF:
ELEC. SHUT-OFF:
WATER SHUT-OFF:
GAS SHUT-OFF:
FIRE EXTINGUISHER:
FIRST AID KIT:
ABSORBENT MATERIAL:
EMERGENCY EQUIPMENT LOCATIONS
1-FRONT BLDG WALL, 1-CASHIER
2-WEST INTR SERVICE BAY WALL
IN SIDEWALK ALONG EL POTRERO LANE
NONE
1-CASHIER, 1-UTILITY ROOM, 1-SERVICE BAY
1-CASHIER, 1-UTILITY ROOM
SERVICE BAY
----------------------------------------------------------------------------------------------------------------------------------
TANK INFORMATION
SIZE #TNKS MATERIAL SPLL OVFL TYPE MANUFACTURER YR
REGULAR 10,000 1 FG Y N DW O\IENS CORNING '86
PREMIUM 10,000 1 FG Y N DW O\IENS CORNING '86
PLUS 10,000 1 FG Y N DW O\IENS CORNING '86
WASTE OIL 550 1 FG Y N DW '85
PIPING CONTAINMENT: Single Wall PIPING MATERIAL:FG
TANK MONITOR ALARM: RONAN TRS76
SPLL = OVER SPILL PROTECTION OVFL = OVER FILL PROTECTION
DW = DOUBLE WALL SW = SINGLE WALL
FG = FIBERGLASS STL = STEEL
-----.---------.-----...........--------------------------------------------------------------------------------------------------
REGULAR
PREMIUM
PLUS
C02
CHEMICAL INVENTORY
MAXIMUM AVERAGE LOCATION
10000 3500 NORTH SIDE OF LOT
10000 2500 NORTH SIDE OF LOT
10000 2500 NORTH SIDE OF LOT
348 174 IN SALES AREA
----------------------------------------------------------------------------------------------------------------------------------
USED OIL
WASTE INVENTORY (if any)
MAXIMUM AVERAGE THRUPUT LOCATION
550 0 0 NORTH SIDE OF SALES BLDG
----------------------------------------------------------------------------------------------------------------------------------
LOCAL REPORTING AGENCY: Bakersfield Fire Department
2130 "G" Street, Bakersfield, Ca 93301
805 326-3979
......
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WHITE LANE SHELL 215-000-000355 . e 1
Overall Site with 1 Fac. Unit . MAY 9 1995
General Information
~
03/09/95
Location: 2600 WHITE LN
City : BAKERSFIELD
Map:123 Haz:2 Type: 3
Grid: 13C F/U: 1 AOV: 0.0
Contact Name
BILL HILTERBRA~
Business Phone:
24-Hour Phone
Pager Phone
Title
/ MANAGER
(805) 322-3122x
(805) 588-0352x
() x
Contact Name
FRANK QUERCIA
Business Phone:
24-Hour Phone
Pager Phone
Title
/ MANAGER
(805) 831-5151x
(805) )~'t;- 8997
( ) - x
Administrative Data
Mail Addrs: PO BOX 4023
City: CONCORD
Comm Code: 215-005 BAKERSFIELD STATION 05
D&B Number:
State: CA Zip: 94524-
SIC Code: 7538
Owner: DEL LIVENGOOD
Address: 12117 APRIL ANN
City: BAKERSFIELD
Phone: (805) 322-3122
State: CA
Zip: 93312-
Summary
, X,¿?~' ¿/t/,,y#t7~Do hereby certify that' have
, ~.... or priot nam.:t)
reviewed the attachGd hazardous materi8,ts maiiage-
ment Plan forWHITG L~tJE: Shell and that it ~Iong with
-(Rirr.. of B\IaIn~J)
any corrections constitute a complete and correct man-
agement plao for my facility.
\(...
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03/09/95
WHITE LANE SHELL 215-000-000355
Hazmat Inventory List in MCP Order
p.ef
02 - Fixed Containers on Site
Name/Hazards
Form
02-004 PREMIUM GASOLINE
· Fire, Immed Hlth, Delay Hlth
Liquid
02-005 PLUS GASOLINE
· Fire, Immed Hlth, Delay Hlth
Liquid
02-001 REGULAR GASOLINE
· Fire, Immed Hlth, Delay Hlth
Liquid
02-003 WASTE OIL
· Fire, Delay Hlth
02-007; CÄRBON DIOXIDE
· Pressure, Immed Hlth
Liquid
Gas
02-008 WASTE OIL FILTERS ~e
· Fire, Delay Hlth
Liquid
02-009 WASTE ANTIFREEZE ~CNe
· Immed Hlth, Delay Hlth
Liquid
.10
reMo'te.
Liquid
W¿"¡STE DATTERIES
· Immed Hlth
Page
2
Max Qty
MCP
10000 Moderate
GAL
10000 Moderate
GAL
10000 Moderate
GAL
550 Low
GAL
150 Minimal
FT3
200 Unrated
GAL
55 Unrated
GAL
1
GAL
Unrated
.
"
-
.
03/09/95
WHITE LANE SHELL 215-000-000355
02 - Fixed Containers on Site
Page
3
-'04
Hazmat Inventory Detail in MCP Order
PREMIUM 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 'Þ, t?oo 3,500.00 I T~ C?C7O \ 250,287.00
,7 .
Storage
UNDER GROUND TANK
r Press T Temp -:I Location
Ambient AmbientlNORTHWEST CORNER OF LOT
- Conc l
100.0% Gasoline
Components
r; MCP --,-Guide
Moderate 27
02-005 PLUS 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 'Z,I?OO 3,500.00 I I~CQC> 217,547.00
Storage
UNDER GROUND TANK
r Press T Temp -:I Location
Ambient Ambient/NORTHWEST CORNER OF LOT
- Conc l
100.0% Gasoline
Components
r; MCP --,-Guide
Moderate I 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
10,000
Storage
UNDER GROUND TANK
----r-- Daily Average GAL --r-- Annual Amount GAL --
I ~I '500 5, eoo. 00- I 6'50,~ -.645,371. 00·
r Press T Temp ~I Location
Ambient AmbientlNORTH END OF LOT
.
- Conc -/
100.0% Gasoline
Components
r; MCP --,-Guide
Moderate I 27
'.
-
.
03/09/95
WHITE LANE SHELL 215-000-000355
02 - Fixed Containers on Site
Page
4
--'03
Hazmat Inventory Detail in MCP Order
WASTE OIL
~ Fire, Delay Hlth
Liquid
550
GAL
Low.
CAS #: 221
Trade Secret: No
Form: Liquid
Type: Waste
Days: 365 Use: WASTE
Daily Max GAL
550
--¡
Daily Average GAL
o 209.00
I
Annual Amount GAL --
C> -550.00-
Storage
UNDER GROUND TANK
r Press T Temp -:ì
Ambient AmbientNORTH LOT
Location
- Conc l Components
100.0% Waste Oil, Petroleum Based
r=- MCP --r. Guide
I Low . I 27
02-007 CARBON DIOXIDE
~ Pressure, Immed Hlth
Gas
150 Minimal
FT3
CAS #: 124-38-09
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: OTHER
.
Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 --
~~~ 1S0 I 114 -1':J. 00 I '?¡I'?Z- 900.00
Storage r Press T Temp l Location
PORT. PRESS. CYLINDER Above Below IN SALES AREA
- Conc l
0.0% Carbon Dioxide
Components
r=- MCP ---¡Guide
I Low I 21
02-008 ·WAGTE OIL FILTERS ~~e:
~ Fire, Delay Hlth
Liquid
200 Unrated
GAL
CAS #: 800-20-59
Trade Secret: No
Form: Liquid
Type: Mixture Days: 365 Use: WASTE
Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL --
200 I 50.00 I 100.00
Storage r Press T Temp ~I Location
DRUM/BARREL-METALLIC Ambient AmbientIN SERVICE BAY
- Conc
Components
MCP ---rGuide
.
,.
~
e
.
03/09/95
WHITE LANE SHELL 215-000-000355
02 - Fixed Containers on Site
Page
5
~ Hazmat Inventory Detail in MCP Order
~09 -UAS'fE ANTIFREEZE ~MCS>'lE.. Liquid
~ Immed Hlth, Delay Hlth
55 Unrated
GAL
CAS =It: 107-21-1
Trade Secret: No
Form: Liquid
Type: Mixture Days: 365 Use: WASTE
---- Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL --
~5 5 - I 10 . 00 - I """25 . 0 9-
Storage
DRUM/BARREL-METALLIC
r Press T Temp ~ Location
Ambient Ambient/IN SERVICE BAY
- Cone
Components
MCP --p;uide
02-010 WAGTE DA'f'fERIES R~~o'l~.
~ Immed Hlth
. Liquid
1 Unrated
GAL
CAS =It:
Trade Secret: No
Form: Liquid
Type: Mixture Days: 365 Use: WASTE
.
Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL --
-±- LOa-. I 10.Q.()
Storage
PLASTIC CONTAINER
r Press T Temp ~ Location
Ambient AmbientIN SERVICE BAY
- Cone
Components
MCP --p;uide
.
<"
'Õ
, D
e
.
03/09/95
WHITE LANE SHELL 215-000-000355
00 - Overall Site
Page
6
--
<D> Notif./Evacuation/Medical
<1> Agency Notification
SHELL WILL NOTIFY THE APPROPRIATE STATE AND LOCAL AGENCIES UNLESS THE
SITUATION REQUIRES URGENT IMMEDIATE RESPONSE BÝ TH AGENCIES, IN WHICH CASE
THE DEALER SHOULD NOTIFY THESE AGENCIES:
1) LOCAL AGENCY: BAKERSFIELD FIRE DEPT 805-326-3979.
2) CALIFORNIA OFFICE OF EMERGENCY SERVICES: 800-852-7550 (24 HRS).
3) CALL FOR HELP IN CASE OF AN EMERGENCY BY DIALING 9-1-1.
<2> Employee Notif./Evacuation
NOTICE WILL BE VERBAL. EMPLOYEES WILL EVACUATE BUILDING AND MEET AT
EMERGENCY ASSEMBLY AREA. (SEE SITE PLAN FOR LOCATION)
.
<3> Public Notif./Evacuation
IF THERE IS ANY IMMEDIATE DANGER, ANNOUNCE TO ALL PERSONS ON THE SITE:
"THERE IS AN EMERGENCY. PLEASE TURN OFF YOU ENGINES AND LEAVE THE STATION
ON FOOT IMMEDIATELY."
<4> Emergency Medical Plan
HALL AMBULANCE AND MERCY HOSPITAL - 2215 TRUXTUN AVE - 328-5275
MEMORIAL HOSPITAL 420 34TH STREET 327-1792
.
L¡'
..
"i 4 iI
-
.
03/09/95
WHITE LANE SHELL 215-000-000355
00 - Overall Site
Page
7
-e
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
ABOVEGROUND AUTOMOTIVE PRODUCT ARE STORED IN UNBREAKABLE CONTAINERS AND IN
MINIMUM QUANTITIES. THE UNDERGROUND STORAGE TANKS ARE MONITORED USING AN
APPROVED MONITORING METHOD TO DETECT LEAKS. ALL EMPLOYEES ARE TRAINED IN
SAFE HANDLING OF HAZARDOUS MATERIALS.
<2> Release Containment
STOP A RELEASE BY TURNING OFF THE PUMPS AND USING EITHER ABSORBENT MATERIAL
OR A FIRE EXTINGUISHER AS NECESSARY.
.
<3> Clean Up
CLEAN UP WITH ABSORBENT MATERIAL, BROOM AND SHOVEL, OR BY VACUUM TRUCK IF
NECESSARY.
<4> Other Resource Activation
.
¿¡
. '.
,,~, ~
e
.
03/09/95
WHITE LANE SHELL 215-000-000355
00 - Overall Site
Page
8
-e
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - NONE
B) ELECTRICAL - WEST WALL OF SERVICE BAY
C) WATER - IN SIDEWALK ALONG EL POTRERO LN
D) SPECIAL - EMERGENCY PUMP SHUT-OFF SOUTHSIDE
E) LOCK BOX - NO
OF SALES BLDG' ~6HIßF-
I
.
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS
FIRE HYDRANT - SOUTHEAST CORNER OF LOT
<4> Building Occupancy Level
.
Li
i ,
G '~-'" ~.
e
.
03/09/95
WHITE LANE SHELL 215-000-000355
00 - Overall Site
Page
9
-e
<G> Training
<1> Employee Training
WE HAVE 7. EMPLOYEES AT THIS FACILITY
tP
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING: EMPLOYEES MUST BE GIVEN THIS TRAINING BEFORE
STARTING WORK, AND REFRESHER COURSES MUST BE PROVIDED ANNUALLY. RECORDS
MUST BE KEPT TO SHOW WHEN EACH STATION EMPLOYEE HAS BEEN GIVEN HIS/HER
SAFETY TRAINING.
<2> Page 2
.
<3> Held for Future Use
<4> Held for Future Use
.
?
~ ------t:
,.
I
II
aRIAN F, ZITA
Architect
.JOHN W, .JOHNSON
Architect
.JOHN a, HICKS
Architect
STEVEN .J, KATTNER
Architect
CECIL R, SPENCER
Architect
.JAMES H, RAY
Civil Engineer
(JP
e
."
AN ESOP COMPANY
ROBERT H. LEE & ASSOCIATES, INC.
ARCHITECTURE · ENGINEERING
ENVIRONMENTAL SERVICES
1137 NORTH McOO\VELL BOULEVARD. PETALUMA. CALIFORNIA 94954-1469 (707) 7:::5-1660
Mailing Address: P,O, Box 750908. Petaluma, CA 94975-0908 Fax (707) 7:::5-9908
March 21, 1994
AGENCY
Livengood, Inc.
White Lane Shell,
2600 White Lane
Bakersfield, CA 93304
Dear Livengood, Inc.:
Attached is the new Hazardous Materials Management Plan (HMMP) for your facility. This new
HMMP is intended to replace the current HMMP. The HMMP should be placed in your Green
Book and kept up-to-date on the premises.
1. Please sign all 3 copies of the HMMP where flagged and indicated with a "X" and the
Acknowledgement of Receipt at the bottom of this page.
2. Return the 2 copies marked "AGENCY" and "SHELL" and the Acknowledgement of
Receipt to your Territory Manager.
3. Keep the "DEALER" copy at the station in your Green Book.
Copies of the HMMP will be sent to Bakersfield Fire Department within 30 days and Ms. Lisa
Waters of Shell Oil Company.
Very Truly,
ROBERT H. LEE & ASSOCIATES, INC.
~.a~/
Steven A. Skanderson
Project Manager
Enclosures
cc: Ms. Lisa Waters, Shell Oil Company
File
(WbeD _ cb\9999\dc:alcr.ltr)
x ~
TITLÉ
/Lf"
cp~
o
---
MARIETTA. GA
SACRAMENTO. CA
SELLEVUE. WA
LA HABRA. CA
lj't~I'~ ~ ,.i
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;/
~ "
03/.08/94/
WHITE LANE SHELL 215-000-000355
Overall Site with 1 Fac. Unit
Page
1
General Information
Location: 2600 WHITE LN Map: 123 Haz:2 Type: 1
Community: BAKERSFIELD STATION 05 Grid: 13C FlU: 1 AOV: 0.0
I
- Contact Name Title Business Phon~ - 24-Hour Phone
BILL HILTERBRAND MANAGER ( 805) : 3~~ -31 éI.~ J (805) \ 5Sß-03Sd.', ~
FRANK QUERCIA MANAGER (805) ''6:''\::-~,\SI ' (805) f634-d.13IJ
Administrative Data
Mail Addrs: PO BOX 4023 D&B Number:
City: CONCORD State: CA Zip: 94524-
Comm Code: 215-005 BAKERSFIELD STATION 05 SIC Code: 7538
Owner: DEL LIVENGOOD Phone: (805) 322-3122
Address: 12117 APRIL ANN State: CA
City: BAKERSFIELD Zip: 93312-
Summary
I, X/%¡- i...{4?wþ,lDo hereby certify that' hðUe
vpe or pnnt name) Q1J'
reviewea the attached hazardous materials manage-
ment plan for W HrrE ,~~ SIk:.LL and that it 810nf'l w'th
(Name alBus/nasa) ~ I
any COl19ctions constitute a complete and oorred man-
agement plan for my facility.
;x 7L /j/tý/
DIIJÐ
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"I <i
03,{08/94' WHITE LANE SHELL 215-000-000355 Page 2
Hazmat Inventory List in MCP Order
02 - Fixed Containers on Site
PIn-Ref Name/Hazards Form Max Qty MCP
02-004 PREMIUM GASOLINE Liquid 10000 Moderate
~ Fire, Immed Hlth, Delay Hlth GAL
02-005 PLUS 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 'PRANSMISSION FLTTID 'KeMOV€. \) Liquid 1'§00 Low
~ Fire, Delay Hlth GAL
02-003 WASTE OIL Liquid' 550 Low
~ Fire, Delay Hlth GAL,
02-006 SHELL UOTO:R GI:B- ~-e'(V"lO\J~ J Liquid -6Ge Minimal
~ Fire, Delay Hlth GAL
Add CQ r bON v; oX-,d e. GG\S ISO
Þ 'PfZ.fi3æoUU', Hr<lED ~L.T" CvR
VJq s+~. 0: \ 'Ç: )+-411"$ L'Iu;J .;tOO
Add L"ß~
. ~(2.e;, DELA--( I+LTH
AdJ WqS~e.. A t-.\+~ .Q{"€e."2.~ L:1u:J ~5
Þ- ¡meo t+LT~1 'D£LA'-( 14 Lit.! Go.l
Ao\cl \Jqrt-~ "ßq%er\€~ L:1~u'ld I
Gql
þ> R'e.AC.ï/vE,I II'<'UY\E.D \.\.L L H
"
BAKE_FIELD CITY FIRE DE.RTMENT
HAZARDOUS MATERIALS INVENTORY
Page-Lof..1-
6023.20
Business Name White Lane Shell
Address 2600 White Lane Bakersfield
.
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [] AdditiorVb6 Revision [: .. Deletion [ ] Check if chemical is a NON TRADE SECRET [XI TRADE SECRET [ I
2) Common Name: CARBON DIOXIDE J 3) DOT # (optional) 1013
v
Chemical Name: CARBON DIOXIDE AHM [I CAS # 124-38-9
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ I Reactive [ I Sudden Release of Pressure [XI Immediate Health (Acute) [XI Delayed Health (Chronic) [ I
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 99 - For drink disDensers
6) PHYSICAL STATE Solid [I Liquid [ I Gas [XI Pure [XI Mixture [ I Waste [ I Radioactive [ I
7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES
- 150 Ibs [I gal [I ft3 [XI
Maximum Daily Amount: -. a) Container: 04
Average Daily Amount: , ¡IS curies [ I b) Pressure: 2
Annual Amount: 900cuft c) Temperature: 6
Largest Size Container: 75cuft
# Days On Site: 365 Circle Which Months: ~rJ, F, M, A, M, J, J, A, S, 0, N, D
9) MIXTURE: List COMPONENT CAS # %WT AHM
the three most hazardous 1) CARBON DIOXIDE 124-38-9 100 [ I
chemical component or 2) [ I
any AHM components 3) [ I
10) Location: IN SALES AREA
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [I Addition 00 Reyision [ J Deletion [ I Check if chemical is a NON TRADE SECRET [XI TRADE SECRET [ I
2) Common Name: WASTE OIL FILTERS \/ 3) DOT # (optional) 9189
Chemical Name: PETROLEUM HYDROCARBONS AHM [I CAS # 800-20-59
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire ~ Reactive [ I Sudden Release of Pressure [ I Immediate Health (Acute) [I Delayed Health (Chronic) [XI
5) WASTE CLASSIFICATION 223 (3-digit code from DHS Form 8022) USE CODE 40
6) PHYSICAL STATE Solid [I Liquid [XI Gas [I Pure [ I Mixture [XI Waste [XI Radioactive [ I
7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES
Maximum Daily Amount: 200 Ibs [I gal [XI ft3 [ I a) Container: 06
Average Daily Amount: 50 curies [ I b) Pressure: 1
Annual Amount: 100 c) Temperature: 4
Largest Size Container: 55 Qal
# Days On Site: 365 Circle Which Months: ~,F, M,A, M,J,J, A,S, O,N, D
--
9) MIXTURE: List COMPONENT CAS # %WT AHM
the three most hazardous 1) WASTE OIL FILTERS 800-20-59 100.0 [I
chemical component or 2) [ I
any AHM components 3) [ I
10) Location: IN SERVICE BAY
certify under penalty of law, that I have personally examined and am familiar With theJnformatlon sZ~ted on this ancfãlf attached aocuments. IlJelleve
the submitted information is true, accurate, and complete. C "'""".. r
X. ()¿~ //I¡/~ø'tØ-Øß?d y 7)¡p/ _ADO -(¡' /'/ c?~.
PRINT Name & Title of Authorized Company Representative Signature <': ¿::7 Date
BAKE~FIELD CITY FIRE DE.eRTMENT
HAZARDOUS MATERIALS INVENTORY
Pa 9 e..2.. 0 f..2..
6023.20
Business Name White Lane Shell
Address 2600 White Lane Bakersfield
,
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [] Addition ~ / - Check if chemical is a NON TRADE SECRET [X) TRADE SECRET [ )
Re)'ision l'~~Oeletion [ )
2) Common Name: WASTE ANTIFREEZE / 3) DOT # (optional) 9189
Chemical Name: ETHYLENE GLYCOL V AHM [ ] CAS # 107-21-1
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ) Sudden Release of Pressure [ ] Immediate Health (Acute) [X] Delayed Health (Chronic) [X)
5) WASTE CLASSIFICATION 343 (3-digit code from DHS Form 8022) USE CODE 40
6) PHYSICAL STATE Solid [] Liquid [X] Gas [ ] Pure [ ) Mixture [X) Waste [X) Radioactive [ )
7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES
Maximum Daily Amount: 55 Ibs [] gal [X) ft3 [ ) a) Container: 06
Average Daily Amount: 10 curies [ ) b) Pressure: 1
Annual Amount: 25 c) Temperature: 4
Largest Size Container: 55 Dal
# Days On Site: 365 Circle Which Months: ~J, F,M,A,M,J,J,A,S,O,N,D
9) MIXTURE: List COMPONENT CAS # %WT AHM
the three most hazardous 1) WASTE ANTIFREEZE 107-21-1 100.0 [ ]
chemical component or 2) [)
any AHM components 3) [ )
10) Location: IN SERVICE BAY
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [] Addition bd ,Revision ['",j Deletion [ ] Check if chemical is a NON TRADE SECRET [X] TRADE SECRET ( ]
2) Common Name: WASTE BATTERIES I 3) DOT # (optional) 2794
Chemical Name: LEAD\ACID BATTERY AHM [ ] CAS # MIXTURE
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ) Reactive [ ) Sudden Release of Pressure [ ) Immediate Health (Acute) [X) Delayed Haalth (Chronic) [ )
5) WASTE CLASSIFICATION 162 (3-digit code from DHS Form 8022) USE CODE 40
6) PHYSICAL STATE Solid [) Liquid [X] Gas [) Pure [ ] Mixture [X) Waste [X) Radioactive [ )
7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES
Maximum Daily Amount: 1 Ibs [] gal [X] ft3 [ ) a) Container: 10
Average Daily Amount: 1 curies [ ] b) Pressure: 1
Annual Amount: 10 c) Temperature: 4
Largest Size Container: BATTERY
# Days On Site: 365 Circle Which Months: ~ J, F, M, A, M, J, J, A, S, 0, N, D
~
9) MIXTURE: List COMPONENT CAS # %WT AHM
the three most hazardous 1) LEAD DIOXIDE 1309-60-0 31 [ )
chemical component or 2) SULFURIC ACID 7664-93-9 34 [X)
any AHM components 3) LEAD 7439-92·' 34 [ )
10) Location: IN SERVICE BAY
certify unaer penalty Of law, that I have personally examined and am familiar with the information si.i[jmlttiiif on tFits aiiilii/f attacnea aocuments. I believe
the submitted information is true, accurate, and complete.
X r(Jø¿ £-/¿/~6-0dcl
PRINT Name & Title of Authorized Company Representative
~~.r
X LdJZ).
Signature .
r /9"" <Ý.//
Date
e
03/08/94
e
WHITE LANE SHELL 215-000-000355
02 - Fixed Containers on Site
Page
3
Hazmat Inventory Detail in MCP Order
02-004 PREMIUM 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
10,000
Storage
UNDER GROUND TANK
----r-- Daily Average GAy-r-
I 3,000-.-0
3, 5DD
[Press T Temp -:ì
.Ambient AmbientlNORTHWEST
Annual Amount GAL~
-540,000.00
2.50 2.'81
Location ;
CORNER OF LOT
- Conc l
100.0% Gasoline
Components
r; MCP -rGuide
Moderate 27
02-005 PLUS 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
10,000
Storage
UNDER GROUND TANK
----r-- Daily Average GAL ;-r-- Annual Amount GA~'
. 2 , 800 ..00 / -540 , 000 . eo
~, s 00 / 2.17, S" If 7
r Press T Temp -:I Location
. Ambient AmbientNORTHWEST CORNER OF LOT
- Conc l
100.0% Gasoline
Components
r; MCP -rGuide
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
10,000
Storage
UNDER GROUND TANK
----r-- Daily Average GAL --r--
4, 500...00 / I
5,DoO, v'
r Press T Temp -:I
Ambient AmbientlNORTH END OF
Annual Amount GAL --
~~~: g~~ ~¡o
Location
LOT
- Conc l
100.0% Gasoline
Components
r; MCP -rGuide
Moderate 27
;¡'
e
e
03/08/94
WHITE LANE SHELL 215-000-000355
02 - Fixed Containers on Site
Page
4
Hazmat
in MCP Order
02-002 . TRANSMIS319N-FLUID_
~ Fire, Delay Hlth
Liquid
lSgg T.n~
GAL
CAS =It:
No
Form: Liquid
Type: Pure
Days: 365 Use: LUBRICANT
Daily Max GAL
1,50.0
'-1.0
----r-- Daily Average GAL --r--
I 799.00 , I
30
r Press T Temp -:ì
Ambient AmbientSTORE ROOM
Annual Amount GAL --
~ ,~OO.CO
4-00
Storage
PLASTIC CONTAINER
Location
- Conc l Components
100.0% Transmission Fluid (Petroleum-Based)
I~ MCP ---rGuide
Low I 27
02-003 WASTE OIL
~ Fire, Delay Hlth
Liquid
550 Low
GAL
CAS =It: 221
Trade Secret: No
Form: Liquid
Type: Waste
Days: 365 Use: WASTE
Daily Max GAL
550
-¡
Daily Average GAL
200.00
T
Annual Amount GAL --
550.00
Storage
UNDER GROUND TANK
r Press T Temp -:ì
Ambient AmbientNORTH LOT
Location
Form: Liquid
Components
ased
~ MCP ---rGuide
Low I 27
- Conc l
100.0% Waste Oil,
02-006 Sl1ELL Þ4Ð'l'OR OIL
~ Fire, Delay Hlth
Liquid
õðð Mluimal
GAL
CAS =It:
Type:
Days: 365 Use: LUBRICANT
Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL --
~5D I ~O 1 600.00
'3D
r Press T Temp ~ Location
Ambient Ambient I STORAGE ROOM OFF OF LUBE BAY
Storage
PLASTIC CONTAINER
- Conc l Components
100.0% Motor Oil, Petroleum Based
1-; MCP ---rGuide
Minimal I 27
· ;-
; Ci
-
e
03/08/94
WHITE LANE SHELL 215-000-000355
00 - Overall Site
Page
5
<D> Notif./Evacuation/Medical
<1> Agency Notification
SHELL WILL NOTIFY THE APPROPRIATE STATE AND LOCAL AGENCIES UNLESS THE
SITUATION REQUIRES URGENT IMMEDIATE RESPONSE BY TH AGENCIES, IN WHICH CASE
THE DEALER SHOULD NOTIFY THESE AGENCIES:
1) LOCAL AGENCY: BAKERSFIELD FIRE DEPT 805-326-3979.
2) CALIFORNIA OFFICE OF EMERGENCY SERVICES: 800-852-7550 (24 HRS).
3) CALL FOR HELP IN CASE OF AN EMERGENCY BY DIALING 9-1-1.
<2> Employee Notif./Evacuation
NOTICE WILL BE VERBAL. EMPLOYEES WILL EVACUATE BUILDING AND MEET AT
EMERGENCY ASSEMBLY AREA. (SEE SITE PLAN FOR LOCATION)
<3> Public Notif./Evacuation
IF THERE IS ANY IMMEDIATE DANGER, ANNOUNCE TO ALL PERSONS ON THE SITE:
"THERE IS AN EMERGENCY. PLEASE TURN OFF YOU ENGINES AND LEA~&A'Vo/ THE STATION
ON FOOT IMMEDIATELY." Leave .¡
<4> Emergency Medical Plan
HALL AMBULANCE AND MERCY HOSPITAL - 2215 TRUXTUN AVE - 327 3371.~
tJ\et"'\or',o,\ \l..o~?·:tq \ 4;¿C '34~ ~t"ei\. 3~f-1l9~/ "3~~- '9.15
.. .'
e
e
03/08/94
WHITE LANE SHELL 215-000-000355
00 - Overall Site
Page
6
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
ABOVEGROUND AUTOMOTIVE PRODUCT ARE STORED IN
MINIMUM QUANTITIES. THE UNDERGROUND STORAGE
APPROVED MONITORING METHOD TO DETECT LEAKS.
SAFE HANDLING OF HAZARDOUS MATERIALS.
UNBREAKABLE CONTAINERS AND IN
TANKS ARE MONITORED USING AN
ALL EMPLOYEES ARE TRAINED IN
<2> Release Containment ~ \ I'
,"It. ~q~e.
STOP A~ELAE3E~TURNING OFF THE PUMPS AND USING EITHER ABSORBENT MATERIAL
OR A FIRE EXTINGUISHER AS NECESSARY.
<3> Clean Up
CLEAN UP WITH ABSORBENT MATERIAL, BROOM AND SHOVEL, OR BY VACUUM TRUCK IF
NECESSARY.
<4> Other Resource Activation
i ~.). t ¡i
e
e
03/08/94
WHITE LANE SHELL 215-000-000355
00 - Overall Site
Page
7
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - NONE
B) ELECTRICAL - WEST WALL OF SERVICE BAY
C) WATER - IN SIDEWALK ALONG EL POTRERO LN
D) SPECIAL - EMERGENCY PUMP SHUT-OFF SOUTHSIDE OF SALES BLDG
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS
FIRE HYDRANT - SOUTHEAST CORNER OF LOT
<4> Building Occupancy Level
'.~~ , -~J ':~ ;, ~
-2' -!
03/08/9'4
WE HAVE
/
/
i1EMPLOYEES
<1> Page 1
e
e
WHITE LANE SHELL 215-000-000355
00 - Overall Site
<G> Training
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
AT THIS FACILITY
Page
8
BRIEF SUMMARY OF TRAINING: EMPLOYEES MUST BE GIVEN THIS TRAINING BEFORE
STARTING WORK, AND REFRESHER COURSES MUST BE PROVIDED ANNUALLY. RECORDS
MUST BE KEPT TO SHOW WHEN EACH STATION EMPLOYEE HAS BEEN GIVEN HIS/HER
SAFETY TRAINING.
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
/
~~~
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.
rtY
Shell Oil Company
EAST BAY B 3
MARKETING DISTRICT· P. O. ox 402
Concord, CA 94524
(510) 675-6100
March 21
, 1994
Ralph Huey
Bakersfi~ld Fire Dept
2130 G St
Bakersfield CA 93301
, .
RE: 1994 EARLY TESTING AND SUBMITTAL OF RESULTS TO AGENCIES FOR
SHELL STATION(S)
Please find enclosed the 1èst results for the Shell service statio~(s)
listed below that are within your jurisdiction.
.
Shell Station '
2 6 0 0 White L n
Bakersfield CA93304
Please note that 1994 anniversary testing dates of stations should
have been later this year, b~t due to Shell~s station inspection·
program all stations will be inspected and tested during ones1te.
visit by Shell IS testing contractor.'
Testing for 1995 will be performed twelve months from 1994 testing date.
If you have any questions, please contact our office.
Very truly'yours,
ê~ 1) (!1¡d:
aren D. Clark
HS&E/Administrative Support
Enclosures
OlKC9999.· . ..
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Associated Environmental Systems, Inc.
Mar c h.2 1, 1 9 9 4
Shell Dealer
2600 White Ln
Bakersfield CA 93304
'. WIC 20404610568
~(Q)~V
RE: TEST· RESLLTS
Dear Shell Dealer:
Enclosed is a copy of .the test result s for test i ng recent I y
conducted at your st~tion. California state law requires that you
keep a copy of these results at your location. Insert this in your
"HS&E" green book. under the section entitled "TANK TESTING".
. I f you' have' any quest i onsregard i ng these result s, pI ease call your
Territory Representative.
Sincerely,
'. ASSOCI RTED ENVIRONMENTAL SYSTEMS, INC.
!kJu. ~cud
Cathi Dillard
Operations Coordinato~
Enclosure
cc: Karen Clark
. HS&E Clerk, Shell Oil Co.
.cd\shldlr
. .
Headquarters · P.O. Box 80427, Bakersfield, CA 93380 · (805) 393·2212 . (800) 237.Q067 -','
,.'3651 Pegasus Drive, Suite 102 · Bakersfield, CA 93308 . U.S. (SOO) 426.2113 .'
'. .
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-
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Associated Environmental Systems, Inc.
r
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Dear Customer:
In the enclosed package you will find your Billing Order (invoice),
Precision Tank & Line Test Results Sheet, Site Plan and Test
Graphs.
Copies of this entire package, except the Billing Order,
have ,been submitted by Associated Environmental Systems, Inc. (AES)
to the governing agency in the specified county or city.
~6þofJ-Ûy :;)pt
Each county {n California, as well as some cities, have their ow~
tank testing programs.
Regulations vary from county to cou~ty and
c i t yt oc i t y. . , If you have an Ý que 5 t ion 5, . P 1 e a. s e call us. We a. re
always gla.d to help our customers' in a.ny way we ca.n.
Tha.nk, you for letting us serve your ta.nk testing needs.
Please
keep in mindAES offers other services in the environmental field.
Thank you,
Operations Department
Associated Environmental Systems, Inc.
,-_."
. "
~. ."
. '
:;Headquaners. ph Box 80427, Bakersfield, CA 93380. (805)3'93-2212. (SÓO) 237~~67
. ... .. - ' , '.. . 3651 Pegasus Drive,Suil6102. Bakersfield, CA93308 ... ... .,
.. .
. '
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.
BAKERSFIELD FIRE DEPARTMENT
F.l~ARDOUS MATERIAL DIVISION
. . .'2~30 G St.reet, Bakersfield, CA 93301 ..
·(805) 326-3979
,APPLICATION TO PERFORM. A TIGRTNtss TEST
'.
FACILITY . .!J¡!E.¿L.
, ADDRESS ".J,/~OO· IÁ)H/TE[·n
PERMIT TO OPERATE ~
OPERATORS N&'Œ 3f1ELL OW1:ŒRS NA1"Œ " ~H F?.(, nil . (I()
_ER OF TANKS 'I'OBE TESTED-Ø--IS PIPING GOING TO' BE TESTED it:::.:J
. .. .' ...... .'.. ' . ··.4 (3)
T.AN:<# .. VOLUME . CONTENTS
\ .-./.. ... r·
~ . .. \)~d\d h(c~;v('~~r
. .
TANK TESTING COMPANY Be ~
TEST METHODPt... r-/ooA
NAME-OF TESTER 8AllC'.F /-/;nLJ(I::'¡tF.RTIFICATION * .
'STATE REGISTRATION:if PI-/OfÞ q
ADDRESS . 'P() f50k mL/d 7
t3f1Xt::715f'1t:-W QA me
'BBI'i'~
DA~ & TIME TEST IS TO BE CONDUCTED '- ~/; -9191 ¡( 100
, .
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.Hssociated Environmental Sys'tems, Inc.
. Ç-I. O. Box 8121427
. Bakersf~eld" CA 93380
(805) 2:;93"":2212
----------~-------------
SI1E RESULTS COVER SHEET.
------------------------
TEST LOCATIONs
SHELL OIL COMPANY
'2600 WHITE LN
BAKERSFIELD CA 93304 .
1. D. .. .
·D I ST / REG
EN8./CONTACT
·20404610568
£AST .BAY
KAREN CLARK
TEST DATE 1,03/17/94
TEST TIME .13:00
W/O
18790
COUNTY
I KE
TECH
..
BWH
88142
-----------
~
CERTIFICATE
-----------
ASSOCIATED ENVIRONMENTAL SYSTEMS, INC. HAS TESTED AND CERTIFIES.
THE FOLLOWING:
Certification" 9418790
------------~----------------------~-----------------------------------
. ~. - ,
Tank
PRODUCT' TANK·
ç.'RODUCT
LINE
IMPACT
VALVES
LEAK
DETECTOR .
. .
, .,
-------------------~--------------~------------------------------------
1 REGULAR N/T ·PASS PASS PASS
;2 PLUS N/T PASS. PASS· PASS
3 PREMIUM N/T PASS PASS PASS
4- W/O N/T N/FI NIA N/A
5
"
TANK MONITOR (INCLUDESW/O): . ~ÖWENS CORNING- -OPERATIONAL~
PRODUCT LINE MONITOR: ~ITT pRESSURE SWITCH- -OPERATIONAL-
87UL PIL = -.019 LID =: DLD SERIAL #40282-121836
89ULP/L ~ -.01218 LID = XLD SERIAL #10294-7371
92UL Þ/L = -.12128 LID = SLD SERIAL #10294-7372
--------------------------------------~------------------------~-------.
ANY FAiLURE LISTED MAY REQ~IRE NOTIFICATION OF AGENCY.
Recertification Daté Recommended:
'03/95
, ,
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Site Layout For: SHELL BAKERSFIELD, CA. '
~:"
Co
Associa~ed E~vironmental Sy~tems,
p~ O. Box 80.' . . '" .
Bakersfield,WA '33380 . .,". '.
(805) -3'93-2212
IYlc.
BILLING ORDER
. "
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Invoice N~mber_!Q~~~___~___
. . . .'
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--------------~-------------------------------------~-----------------------~-
INVOICE ADDRESS: I TANK LOCATION: I Taken by:
1 I
.~ <i'he 1/ ðl'l . ,(0. I 5hf/1 lA/f'C Z,OCjO'!0'/OSG 8 ,-õ-;"t;-"t-;¡;;,_;-----------·
I . 1__________________-----
I I Salesman: 'Terr:
1 I
f 0, (3(/;1 ,9023 I '26 otJ h/h¡'t£Lh. I-::¡:;~h;,i~i:;;,_;-~:---:------~
I I_______~____~~~:ðt__~
CO¡1CO{/c!/ Ca, 'lfi"2Y: ,0. ak..···~.rJ_h'e/~ Ca. .:_~:'~I='~~~_k£_______~~_
1 ¿~ I Co. Notifièd:
.1 1_______________________
1 I P. o. #:
------------~--~---~______I______--------------______I_____________________~~
Ce,y,tact: f-. C/& ICe,y,tact: ..,. 1 Test Date: ~.
_________l~~{J~fb___~t___ 1 --____~__~f11/)£---------- I -,-___________3::J2._(£_.;._·
Phor,e: (~. . . . I PhQy,e: /, . I Test Time:
-------.J:§~9)J2?~-E!i.-----~ 1 __~~-~--(..~€~Z3.L~q~£~--- I -----c------.:--I3~qQ------
EMERGENCYCONTACTJ
PHUNE:
--------------~------------------------------------------~------~--_&
HYDROSTATIC PRODUCT LINE TEST RESULT SHEET
AES PLT.,..100R
---------------------------------------------------------------------
I I START 1 END 1 TEST I VOLUME· I I
1 ÞRODUCT I VOLU~E I VOLUME I PRESSURE I DIFF. CGPH) I, PASS/FAILI
I________.;.I___________I_~_______I___________I______-~-___I_________~I
I I ·1, I . I I I
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I I,· I, I 'I' ' II
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I J . I I ,I ·'1 1
J_~_______I___________I_...._______I~__________I_____~______I~_..;_______I
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I I
I CONFIRMATION,TEST IF FIRST FAILED ' 1
1______-----------------------------------------------______________1
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--------- ----------- >---------.----------- ------------ ----------
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1 . 1 I 1 I II
1_________1___________1_________1___________1____________J__________I
TEST PRESSURE IS 50 PSI WITH LEAK DETECTOR REMOVED & lMPACT
CLOSED.
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Associated Environmental Systems, Inc.
P.O. Box 80427
Bakersfield, CR 93380
(805) -393-¡:::212
Date~l~ff~__~_
I I'we, ice N um be'(- _L.<;{7.f..f!..________
RES PLT-100R
HYDROSTATIC PRobuCT LINE TEST WORK SHEET
~ '
o 0
-----------------------------------------------------------------------------
I TEST I PRODUCT I START END. I START lEND I TEST VUL. I
,I NO. 0 I I TItr1ET IIYJE I VOL. (J'rIL) I 0 VOL. (YJL) I D I FF. (I)1U 0 I
I______I_________I~_______I__~_____I__________I____~_-____I_~____~_________I
I I 0 I 0 7- 0.01 0 ,10 I 0" I' I" 0 I
001 ______ I__~_~~~::.. I _¿J!.f!3=_ I ,_J!i.~ºg~ I __ift2_o____ I __-!-_?.Q_____ 1 ___L,~___~___~_"___ 1
I '0 "I I I ¡ 0 01 "
I _~___ I ___}.!_~__ l.1t,~~___ 1 _1.7:.=-1:£_ I __L2r)_---- I __:..l?...L__:-_I_..J.fi______~_____
I I I 1 I 0 01
______1______--- _,_------0'-----,---,----------1------------1------0----______
I " 0 1"0 0 0' "I I," "'
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o ··0 I 0 ,. I' I " ." 1 0 I 0 0 I 0
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I I I 1 1 .
_____~I_________I________I________I~____,-____I______--___ ________________
o 10 12 /I- 1 I·· I 0 0 - I 0 0
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'2 I ··1 I I. 1 0
______I___J'.!.____1_15-;j-2-_1_1-2~2.£__I.:.~2.5_._____I___Z____~_
I 0 I I 0., 1
______1_________1________1________1__________1______--___ ________________
1 1 1 1 1
______I_________I________I_______..;I~________,_I--------___ ----------______1
1 1 01 I I J 1
1______1_________1________1________1__________1______-____ ________________1
10 I I. I 1 0'"1 1
1______1_________1________1________1__________1______-____ ________________1
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I 'II I "I"· I I
1______1_________1________1________1__________1______-____ ________________1
-~~----~------~
029" ": 0 '
--~----------~--
Divide the volume differential by the test time ( 15 minutes) and
multiply by 0.0158311, which will convert the volume differential
ft~elm milliliters per rniY'lute te, galleIYÜ:~per heIL\t~.
The celY',versi C'Y'I ,ce'Y'lst aY'lt i sfc,uY',d by:
(60 min/hr)/(3790 ml/gal)= 0.0158311 (min/hr) (gal/ml)
The conversion constant causes the mi}liliters and minutes tp
caY'lcel c1ut.
Ex..I f thè levelo dt~clpped 3ml i Y'I 15 mi Y'lutes then:
3/15 ml. /rniY',. .'X 0~015B311(miy.,i'hr)' (gal/ml) = O.()03 gal/hr.
RESULTS OF THIS WORK SHEET TO BE COMPILED ON RESULTS,SHEET.
AES
~
3101 SILLECT AVE~ SU ~105, BAKERSFIELD CA 80
2&-0173
LEAK DETECTOR RESULTS
Location
Testing Co.pany
, '
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'/i~ ("!() .. /vI1/Tél/1..
I:: a-/..:e ¡/'r ~ ì e / d¡ C¿Z,
WI C or I D # Zo '10 'f0./o,)Ç.'..J..
Associated Environmental' Systems
PO Box 80427
Bakersfield CA 93380
'Date ~/LZ-/~'
=============================================================================
Type of L~ak Detector(s) Tested' (mark how many of each type tested) :
,_XLD PIN I1b03b-5 -L-..XLP PIN Ilb035-5 _BFLD (XL Model) PIN 11&039-5
~ ~LD PIN I1b017-5 ____PLD PIN 11&030-5 ____BFLD PIN Ilb012~5
_OTHER: Type
============~======~========================================================
TEST" INFORMATION
Product
Serial,
Number
Resil-
iency
Opening
Time
Test
Leak Rate
'ML/Min
Funct. Met er-
Element in9
Hold.PSI PSI,
PASS
or
FAIL
1
'Y02g2-t7f']¡
2
',.e-
,'þ-
2
3
z..ð~'irt¡~~L¡í
4
5
&
7
8
9
Failure Replacement: # 2- Type Y t-[J , Serial # 1f7'L91f-7-~71
-
,Failure Replacement: # -.-l- Type ' ~¿r} Serial #/Ozq't-7372..
'-...;
Failure Replacement: # Type Serial #
-
COMMENTS: '/Y-tiv L-/IJ J P¿-dÎ ,'=3 ç..ph. Lt.A.-k Té. )1:
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IMPACT VALVE ~~RRTION CHECK
DATE____:l_i7_:fZ'___~___ WORK ORDER_1.~]£Q__ TECH. :_':Z1i~-2.::l___~____________..
ST REET ADD. 2:£Jz.º-_j1:/J1J~t{j....J:J:-~__~__~__~...______________~_______________'__________
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NO
-------------------------------------
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EXPLAIN ANY
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---------~----------------~---------~------------~-----------------------------
C1ÞREDJAC:U~:8 ~~~4i~Cl~
. .
. NOTICE
Installer: This form must be completed and returned to Red Jacket to qualify for future
, warranty consideration. A Copy of this form should be kept for your own record keeping of
product location. . . .'.
INSTALLING ORGANIZATION
Company A E ,<Ç'
Address I? D· /It>)'' 5J c~2 '7
City A~k~.YS-f-~'f./d . State Ce{., Zip '1.J "J8t>
Installer's Name
LOCATION OF LEAK DETECTOR INSTALLATION
Company .she 1/'
Add~ess 2Go() wh/kLÞ1.
City -z:?~!.i(--f. VS (:,' e /á . State CÞt-. Zip
, NOTICE
Red Jacket requires testing upon installation and at least annually thereafter. A test
procedure for Red Jacket mechanical leak detectors is detailed in Manuals 5191, 041978 and
RJ-20.- . - '
Record each .leakdetecto~serial.. number installed .' at this location and indicate the type of fuel in the' tank.. Space
is also provided tò record verification that initial testing was completed on each leak detector. ' ,
~' LD~ IJ2!a
Date Codes and 3- - t¡ . 3-1<¡' '1'
Serial #'S for eachloc. ) () 2..'1"1-7371 1(J2.9'i-7?72
'. Indicate fuel type: . .g 9-v/L CJ2-u/L
Ex: reg., unl., etc.
Indicate additives if
known: Ex: methanol, U t1 K. vhk
ethanol, MTBE, etc.
Age of Tank , (/i1k'·· l./Þ1K.
Tank Material
Testing Completed . fj-e.J £14
'Upon InstaUation
NOTICE .'
APPLICATION PARAMETERS
. Red Jacket Mechanical Leak Detectors and their performance can be adversely affected by
certain operating conditions. Operating conditions/factors that wiU affect the leak detector's
perfoqnance Oeak. detecting capability and life) include:
· Position ofleak. detector
· Fluid Media
· Piping System Valves
· ,Above Ground Tanks
· Marina Applications
· Multiple Pumps on Same Discharge LiDe
For moreinformation regarding these applications, please see Leak. Detector Manual #5191,
#041978,RJ-20 or call the petroleum division at 1-800-HOT-PUMP (468-7867).
RETURN TOP .COPY OF THIS FORM TO:
The Marley Pump Company
ATTN: .WARRANTY DEPARTMENT
500 E. 59th St.
Davenport,- IA 52808
YElLOW - INSTALLER
(iARL~
THEMAR.EY ~ COIFANV - ' ,
. a_.._-.__
£, - f
WHITE - RETURN COPY
PINK - CUSTOMER
'#091381 Rev. Be 3191 <; ~ '.
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09/08/93 '13:30
'õ'80.26 057~ _ ,
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BAKERSFIELD FIRE DEPARTMENT
HA2ARDOUS MATER~L DIVISION
2130 G Street, Bakersfield, CA 93301
(805) 326-3979
)\PFLICATION TO PERFORM A TIGHTNESS TEST
FACILITY ,!J¡I£ ¿L·
,
ADDRESS ~~OO ¿JHITe:' Li?
PERMIT TO OPERATE *
OPERATORS NAME ~fI&LL OWNERS NA..\Œ '... ~¡/ F? l, nIt (>(ì
NUMBER OF TANKS TO BE TESTED~ IS PIPING GOING TO' BE TESTED)lé~~
" · (3)
VOLUME . CONTENTS
~ )\&~ ~~d- bÂ~J;-' &&y
TAN"¡(:I:
3:..
TANK TESTING COMPANY AE~
, TEST METHOD P L. r-/ooA .
NAME OF TESTER BAI1C-E f/;n~u:'l::.ERTIFICA'J:ION #
STATE REGISTRATION *C)/·/()(o q
ADDRESS ?of3ok, fLJL/d 7
ß¡:¡J<l:,n5f'1EL-J) (}A 9.3380
88/¡~
DATE & TIME TEST IS TO BE CONDUCTED <-..3/;8/9!
/ I
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',~~Y: .. , ,.. ,'. .' DATE , SIGNATURE OF APPLICANT
/300
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.Bake)'~sfield ,:CA ,93380
(805) ·39 ¢":'2212 .' .' .' ,
Associa~~d Erivironmeri~~l Systems, Inc.
. ,
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SITE RESULTS COVER SHEET
, ,
. ------------------------
TEST LOCATION:
, ,î...
SHELL OIL' COMPANY
2600 WHITE LN
BAKERSFIELD CA 93304
1. D. 4+
DIST/REG
ENG./CONTACT
20404610568·
,EAST BAY
KAREN CLARK.
TEST DATEr 06/01/93
TEST TIME: 09:00
W/O 18286
TECH - : JDF
'4+ : 91211
, COUNTY : KE
.,
----------- .
CERTIFICATE
. -----------
. ASSOCIATED ENVIRONMENTAL SYSTEMS, INC. HAS TESTED AND CERT1FIES
THE FOLLOWING:
, ' .
. , ,
Certification#~3182B&:~~
-----------------------------------------------------------------------
, " . "
Tank
. PRODUCT
TANK .'
. PRODUCT
LINE
IMPACT
VALVES
. LEAK
DETECTOR'
,..
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-----------------------------------------------------------------------
'1 87UL N/T' PASS PASS . PASS
æ 89UL N/T PASS PASS· PASS
:3 9é:UL N/T' PASS PASS . PASS'
4 W/O NIT
5
6
INTERSTITIAL 'MONITOR: .
PRODUCT LINE MONITOR:
WASTE OIL MONITOR:
81UL Þ/L=-0.014
TECHNICIAN: JOHN:D. FOX
--AP I, RONAN-
--AP I, RONAN- .
-API RONAN-
, ,
89UL P/L = -0.014'
O.T.T.L. 94-1484
.. -OPERATIONAL-
-OPERATIONAL-
-OPERATIONAL:':" .
92UL P/L = -0.014
----~-----~--~-~----------------------------------------~-----~-------~
. .'-
, .'. ' .
ANY F~ILURE LISTED MAY REQÙIRE NOTIFICATION ,OF AGENCY.
Recertification Date Recommended:.,
.' "
. "'06/94
. .
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·,.HAZARDOUS MATERIAL DIVISION
:2130 G Street~ Bakersfield, CA 93301 '
~ (805) 326-3979
'. '
. . APPLICATION TO PERFORM A TIGHTNESS TEST ., '
. ".:
. FACILITY dIlELL.
ADDRESS d&OQ ¿)¡-J/re: Lt7
PERMIT .TO OPERATE #
OPERATORS NAME011ELL 'OIL' OWNERS NAME ól1m£,
NUMBER OF TANKS TO BE TESTED~IS PIPING GOING Tb'BE TESTEDYC6.-
TANK #
VOLUME
. CONTENTS .
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. . NAME'bFTË:STERJolln JJ. Fox. CERTIFicATION #
: STA;E REGIS~RATION' # ql-/18t/
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DATE & TIME TEST IS TO BE CONDUCTED
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PRODUCT lINE TEST
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HYDROSTATIC PRODUCT LINE TEST RESULT SHEET
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BAKERSFIELD FIRE DEPARTMENT
HAZARDOUS MATERIAL DIVISION
2130 G Street, Bakersfield, CA 93301
(805) 326-3979 .
APPLICATION TO PERFORM A TIGHTNESS TEST
FACILITY ~I!ELL,
tu~ k 0rl fÌk~l
ADDRESS dt.PDQ ¿Jr/¡TE L.ít.
PERMIT TO OPERATE *
OPERATORS NAME 011ELL OIL OWNERS NAME éJf7/Y)£'
NUMBER OF TANKS TO BE TESTED~ IS PIPING GOING TO BE TESTEDJC-~
TANK *
VOLUME
CONTENTS
.3 PPoDUC.>T LlnE6 Onci'
TANK TESTING COMPANY flE6
TEST METHOD /1éS- ¡J¿T-/Oof<¡
NAME OF TESTER JOl!íl :D. Fox. CERTÌFICATION * 9/;2//
STATE REGISTRATION * ql-/L/8!
DATE & TIME TEST IS TO'BE CONDUCTED ('3~);3 (~90o
ADDRESS 90.ðoy 8007
cð1XEJ16PJ t:7-/J 9338û
'«!l#u~
. (AP'~VED--BY:
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DATE
(}CJi:/u ':LXÒcmd
SIGNATURE OF APPLICANT
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Bakersfield Fire Dept.
Hazardous Materials Division
2130 "G" Street
Bakersfield, CA 93301
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0461-0568
~
(0\--
HAZARDOUS MATERIALS MANAGEMENT PLAN
INSTRUCTIONS:
1. To avoid further action. return this form within 30 days of receipt.
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer the below for the business as a whole.
4. Be brief and concise as possible.
SECTION 1: BUSINESS IDENTIFICATION DATA
BUSINESS NAME: White Lane Shell
LOCATION: 2600 White Lane
MAILING ADDRESS: P.O. Box 4023, Concord, CA 94524, Attn: Lisa Waters
CITY: Bakersfield
STATE: CA ZIP: 93304
PHONE: 805 831-0502
DUN & BRADSTREET NUMBER: 36-467-0372
SIC CODE 5541 7538
PRIMARY ACTIVITY AUTOMOBILE REFUELING STATION
OWNER: Shell Oil Company
MAILING ADDRESS: P.O. Box 4023. Concord. CA 94524
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT TITLE BUS. PHONE 24 HR. PHONE
1. Bill Hilterbrand Manager 805 322-3122 805 588-0352
'"
2. Frank Quercia Manager 805 831-0502 805 834-2131
1.
~
e e
BAKERSFIELD FIRE DEPT.
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
-;:;
'~
SECTION 3: TRAINING:
NUMBER OF EMPLOYEES: 8
MATERIAL SAFETY DATA SHEETS ON FILE: YES (SEE SITE PLAN FOR LOCATION)
BRIEF SUMMARY OF TRAINING PROGRAM:
Employees must be given this training before starting work, and
refresher courses must be provided annually. Records must be kept to
show when each station employee has been given his/her safety training.
SECTION 4: EXEMPTION REQUEST:
I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE
REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY
CODE" FOR THE FOLLOWING REASONS:
WE DO NOT HANDLE HAZARDOUS MA TERJALS.
WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIME
EXCEED THE MINIMUM REPORTING QUANTITIES.
OTHER (SPECIFY REASON)
SECTION 5: CERTIFICATION:
I, I GERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I
UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S
OBLIGATIONS UNDER THE "CALIFORNIA HEALTH & SAFETY CODE" ON HAZARDOUS
MATERIALS ( DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE
INFORMATION CONSTITUTES PERJURY.
:Q g l ~/;J~=ù1Jù I)
SIGNA TURE
Dealer
TITLE
fl£2~
. DATE
;<
2.
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.
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BAKERSFIELD FIRE DEPT.
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
FACILITY UNIT NAME: White Lane Shell
SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES:
A. AGENCY NOTIFICATION AND EVACUATION PROCEDURES:
Shell will notify the appropriate State and Local agencies unless the
situation requires urgent immediate response by the agencies, in which
case the DEALER should notify these agencies:
1. LOCAL AGENCY: Bakersfield Fire Department
PHONE NUMBER: 805-326-3979
2. CALIFORNIA OFFICE OF EMERGENCY SERVICES: (800)852-7550 (24 HRS.)
3. CALL FOR HELP in case of an emergency by dialing 9-1-1
B. EMPLOYEE NOTIFICATION AND EVACUATION:
NOTICE WILL BE VERBAL. EMPLOYEES WILL EVACUATE BUILDING AND MEET AT
EMERGENCY ASSEMBLY AREA. (SEE SITE PLAN FOR LOCATION)
C. PUBLIC EVACUATION:
IF THERE IS ANY IMMEDIATE DANGER, ANNOUNCE TO ALL PERSONS ON THE SITE:
" THERE IS AN EMERGENCY. PLEASE TURN OFF YOUR ENGINES AND LEAVE THE
STATION ON FOOT IMMEDIATELY."
D. EMERGENCY MEDICAL PLAN:
PLEASE SEE EMERGENCY RESPONSE PLAN ATTACHED
3.
.
.
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BAKERSFIELD FIRE DEPT.
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
"
SECTION 7: MITIGATION. PREVENTION AND ABATEMENT PLAN:
A. RELEASE PREVENTION STEPS:
ABOVEGROUND AUTOMOTIVE PRODUCT ARE STORED IN UNBREAKABLE CONTAINERS
AND IN MINIMUM QUANTITIES. THE UNDERGROUND STORAGE TANKS ARE
MONITORED USING AN APPROVED MONITORING METHOD TO DETECT LEAKS. ALL
EMPLOYEES ARE TRAINED IN SAFE HANDLING OF HAZARDOUS MATERIALS
B. RELEASE CONTAINMENT AND/OR MINIMIZATION:
STOP A RELEASE- BY TURNING OFF THE PUMPS AND USING EITHER ABSORBENT
MATERIAL OR A FIRE EXTINGUISHER AS NECESSARY
C. CLEAN-UP PROCEDURES:
CLEAN UP WITH ABSORBENT MATERIAL, BROOM AND SHOVEL,OR BY VACUUM
TRUCK IF NECESSARY
SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY):
NATURAL GAS/PROPANE: NONE
ELECTRICAL: 2-WEST WALL OF SERVICE BAY
WATER: IN SIDEWALK ALONG EL POTRERO LANE
SPECIAL: EMERGENCY PUMP SHUTOFF
LOCATION: 1-S0UTH SIDE OF SALES BUILDING
LOCK BOX: NO
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABLE:
A. PRIVATE FIRE PROTECTION:
Fire Extinguishers
B, WATER AVAILABILITY (FIRE HYDRANT)
PLEASE SEE SITE PLAN FOR LOCATION OF NEAREST FIRE HYDRANT LOCATION
4.
BAK.FIELD CITY FIRE DEI·· RTMENT
HAZARDOUS MATERIALS INV TORY
Page-Lof~
0461-0568
,-
Business Name White Lane Shell
Address 2600 White Lane Bakersfield
,
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New I ] Addition [ I Revision IX] Deletion I ] Check if chemical is a NON TRADE SECRET IX] TRADE SECRET I ]
2) Common Name: FORMULASHELL REGULAR GASOLINE 3) DOT # (optional) 1203
Chemical Name: PETROLEUM HYDROCARBONS AHM I] CAS # 8006·61-9
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire IX] Reactive [I Sudden Release of Pressure [ ) Immediate Health (Acute) [X) Delayed Health (Chronic) [X)
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 19
6) PHYSICAL STATE Solid [] Liquid IX] Gas ( ] Pure I) Mixture [X) Waste [ ] Radioactive [ ]
7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES
Maximum Daily Amount: 10,000 Ibs [I gal [XI ft3 [ ] a) Container: 01
Average Daily Amount: 4.500 curies [ ) b} Pressure: 1
Annual Amount: 540.000 c) Temperature: 4
Largest Size Container: 10.000
# Days On $ite: 365 Circle Which Months: All Year J, F. M. A. M, J, J, A. S, O. N, D
9) MIXTURE: list COMPONENT CAS # %WT AHM
the three most hazardous 1) METHYL TERT BUTYL ETHER 1634044 < 15.0 [ I
chemical component or 2) TOLUENE 108883 < 6,5 II
any AHM components 3) XYLENE 1330·20-7 < 4,6 ( ]
10) Location: NORTH SIDE OF LOT
CHEMICAL DESCRIPTION
11 INVENTORY STATUS: New ( I Addition [ I Revision [XI Deletion [ J Check if chemical is a NON TRADE SECRET IX) TRADE SECRET II
2) Common Name: FORMULAS HELL PREMIUM GASOLINE :31 DOT # (optional) 1203
Chemical Name: PETROLEUM HYDROCARBONS AHM! ] CAS # 8006-61-9
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire IX] Reactive I ] Sudden Release of Pressure ( ] Immediate Health (Acute) IX] Delayed Health (Chronic) IX)
51 WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 19
61 PHYSICAL STATE Solid I ) Liquid IX] Gas I ] Pure [ ] Mixture [XI Waste [ I Radioactive ( J
7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES
Maximum Daily Amount: 10,000 Ibs (I gal (X] It3!] a) Container: 01
Average Daily Amount: 3,000 curies I ] b} Pressure: 1
Annual Amount: 540,000 c) Temperature: 4
Largest Size Container: 10,000
# Days On Site: 365 Circle Which Months:, All Year J, F, M. A. M, J, J, A, S, 0, N, D
9) MIXTURE: List COMPONENT CAS # %WT AHM
the three most hazardous 1) METHYL TERT BUTYL ETHER 1634044 < 15,0 ! I
chemical component or 2) TOLUENE 108883 < 14.0 I]
any AHM components 31 XYLENE 1330-20-7 < 8,8 ! I
10) Location: NORTH SIDE OF LOT
I certify under penalty of law, that I have personally examined and am familiar with the cJ;Z2:¡J'.d doournorn< I b.lim
the submitted information is true, accurate, and complete.
_DtL, \ \J~~~ "K
PRINT Name & Title of Autho{lz Company Representative Signature v'"7 ç Date
.~
BAKEASFIELD CITY FIRE DEI" RTMENT
~ZARDOUS MATERIALS INV TORY
Page.2....of-±
0461-0568
.-
Business Name White Lane Shell
Address 2600 White lane, Bakersfield
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New (] Addition I J Revision [X] Deletion []
Check if chemical is a NON TRADE SECRET [X] TRADE SECRET ( ]
21 Common Name: FORMULASHELL PLUS GASOLINE
Chemical Name: PETROLEUM HYDROCARBONS
3) DOT # (optional) 1203
AHM[ ]
CAS # 8006-61-9
4) PHYSICAL & HEALTH
HAZARD CATEGORIES
PHYSICAL
Fire [XI Reactive [] Sudden Release of Pressure [ ]
HEALTH
Immediate Health (Acute) [X] Delayed Health (Chronic) (X]
5) WASTE CLASSIFICATION
(3-digit code from DHS Form 8022)
USE CODE 19
6) PHYSICAL STATE Solid (] Liquid [X] Gas [ ]
7) AMOUNT AND TIME AT FACILITY
Pure [] Mixture [X] Waste [ ]
Radioactive [ ]
# Days On Site:
10,000
2,800
540,000
10,000
365
UNITS OF MEASURE
Ibs [) gal [X] ft3 [ )
curies [ ]
8) STORAGE CODES
a) Container: 01
b) Pressure: 1
c) Temperature: 4
Maximum Daily Amount:
Average Daily Amount:
Annual Amount:
Largest Size Container:
Circle Which Months:
All Year J, F, M, A, M, J, J, A, S, 0, N, D
9) MIXTURE: List
chemical component or
COMPONENT CAS # %WT AHM
1) METHYL TERT BUTYL ETHER 1634044 < 15,0 I]
2) TOLUENE 108883 < 9,5 ( ]
3) XYLENE 1330-20-7 < 6,3 I]
the three most hazardous
any AHM components
10) Location: NORTH SIDE OF LOT
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New (] Addition [] Revision (XI Deletion I]
Check if chemical is a NON TRADE SECRET [XI TRADE SECRET ( I
2) Common Name: WASTE'OIL
Chemical Name: PETROLEUM HYDROCARBONS
31 DOT # (optional) 9189
AHM (J
CAS # 800-20-59
4) PHYSICAL & HEALTH
HAZARD CATEGORIES
PHYSICAL
Fire I] Reactive f J Sudden Release of Pressure [ I
HEALTH
Immediate Health (Acute) [] Delayed Health (Chronic) IX]
5) WASTE CLASSIFICATION
221
(3-digit code from DHS Form 8022)
USE CODE 40
6) PHYSICAL STATE Solid!] Liquid IX] Gas I]
Pure I ] Mixture [X] Waste [XI
Radioactive { I
7) AMOUNT AND TIME AT FACILITY
Maximum Daily Amount: 550
Average Daily Amount: 200
Annual Amount: 400
Largest Size Container: 550Qal
UNITS OF MEASURE
Ibs (] gal [X] ft3 I ]
curies I ]
8) STORAGE CODES
a) Container: 01
b) Pressure: 1
c) Temperature: 4
# Days On Site:
365
Circle Which Months: All Year J, F. M, A. M, J, J, A, S, 0, N, D
9) MIXTURE: List
COMPONENT
CAS #
800-20-59
%WT
AHM
II
I J
II
any AHM components
1) WASTE OIL
2)
3)
100,0
the three most hazardous
chemical component or
10) Location: NORTH SIDE OF SALES BLDG
BAI<Ea5FIELD CITY FIRE DEP~RTMENT
t-WzARDOUS MATERIALS INV~ORY
Paged..of..1
0461-0568
--
Business Name White Lane Shell
Address 2600 White Lane Bakersfield
,
CHEMICAL DESCRIPTION
11 INVENTORY STATUS: New [ ] Addition [ ] Revision [XI Deletion [ ] Check if chemical is a NON TRADE SECRET [XI TRADE SECRET [ ]
2) Common Name: WASTE ANTIFREEZE 3) DOT # (optional) 9189
Chemical Name: ETHYLENE GLYCOL AHM[ ) CAS # 107-21-1
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ I Reactive [ I Sudden Release of Pressure [ ) Immediate Health (Acute) [X) Delayed Health (Chronicl (XI
5) WASTE CLASSIFICATION 343 (3-digit .code from DHS Form 8022) USE CODE 40
6) PHYSICAL STATE Solid ( ) Liquid [XI Gas [I Pure [) Mixture [X) Waste [XI Radioactive [ )
71 AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 81 STORAGE CODES
Maximum Daily Amount: 55 Ibs [] gal [XI ft3 [ ) a) Container: 06
Average Daily Amount: 10 curies ( ] b) Pressure: 1
Annual Amount: 25 c) Temperature: 4
Largest Size Container: 55 Qal
# Days On Site: 365 Circle Which Months: All Year J. F. M. A, M, J, J, A. S, 0, N. D
91 MIXTURE: List COMPONENT CAS # %WT AHM
the three most hazardous 1 WASTE ANTIFREEZE 107-21-1 100,0 II
chemical component or 2) I]
any AHM components 3) [ I
10) Location: IN SERVICE BAY
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New I ] Addition [ ] Revision I XI Deletion [ ] Check if chemical is a NON TRADE SECRET (XI TRADE SECRET [ I
21 Common Name: WASTE OIL FILTERS 3) DOT # (optional) 9189
Chemical Name: PETROLEUM HYDROCARBONS AHM I] CAS # 800-20-59
41 PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire I] Reactive [ ] Sudden Release of Pressure I ] Immediate Health (Acute) (] Delayed Health (Chronic) IXI
5) WASTE CLASSIFICATION 223 (3-digit code from DHS Form 8022) USE CODE 40
6) PHYSICAL STATE Solid I ] Liquid ¡XI Gas II Pure I ] Mixture [X] Waste IX] Radioactive I I
7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 81 STORAGE CODES
Maximum Daily Amount: 200 Ibs [I gal [XI ft3 [ ) a) Container: 06
Average Daily Amount: 50 curies [ ] b) Pressure: 1
Annual Amount: 100 c) Temperature: 4
Largest Size Container: 55 Qal
# Days On Site: 365 Circle Which Months: All Year J. F, M, A, M, J, J, A, S, 0, N, D
9) MIXTURE: List COMPONENT CAS # %WT AHM
the three most hazardous 1) WASTE OIL FILTERS 800-20-59 100,0 I]
chemical component or 2) [ J
any AHM components 3) - II
10) Location: IN SERVICE SA Y
oe"", """, ,,,,u,", low, '"" I h,,,,.,,",",,, ",mm,d ood ,m "m;li" wuh ,h. m.",_.""~ 'M '" ""'",, d""m.M'. I b"""
the submitted information is true, accurate, ~nd complete,' <" (1- \ ~~þ-
D -' 1\ \ -Á .J O"1é A"'I> ~ ..; _ "J" -"'\-.
PRINT Name & Title of AuthorizedFompany Representative " Signature :/1 V Date
~
BAK~. FIELD CITY FIRE DEBARTMENT
~ARDOUS MATERIALS INV.TORY
Page..±.of.,A
0461-056ó
;;
Business Name White Lane Shell
Address 2600 White Lane, Bakersfield
"
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [) Addition [I Revision [XI Deletion ( J
Check if chemical is a NON TRADE SECRET IX) TRADE SECRET I )
2) Common Name: WASTE BATTERIES
3) DOT # (optional) 2794
Chemical Name: LEADIACID BATTERY
AHM (J
CAS # MIXTURE
4) PHYSICAL & HEALTH
HAZARD CATEGORIES
PHYSICAL
Fire I I Reactive I I Sudden Release of Pressure [ J
HEALTH
Immediate Health (Acute) [XI Delayed Health (Chronic) I )
5) WASTE CLASSIFICATION 162
(3-digit code from DHS Form 8022)
USE CODE 40
6) PHYSICAL STATE Solid [] Liquid (XI Gas [ ]
Pure [) Mixture IX) Waste [XI
Radioactive I )
7) AMOUNT AND TIME AT FACILITY
Maximum Daily Amount: 1
Average Daily Amount: 1
Annual Amount: 10
Largest Size Container: BA TTERY
UNITS OF MEASURE
Ibs I I gal [XI ft3 I )
curies [ )
8) STORAGE CODES
a) Container: 10
b) Pressure: 1
c) Temperature: 4
# Days On Site:
365
Circle Which Months: All Year J. F. M, A. M, J, J. A, S, O. N, D
9) MIXTURE: List
COMPONENT
CAS # %WT AHM
1309-60-0 31 I]
7664-93-9 34 (XI
7439-92-1 34 [ )
the three most hazardous
1) LEAD DIOXIDE·
2) SULFURIC ACID
3) LEAD
chemical component or
any AHM components
10) Location: IN SERVICE BAY
I certi y under penalty of law, that I have personally examined and am familiar with the info
the submitted information is true, accurate, and complete,
~L
Date
f
WIC# 0461-0568
...J
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10
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- - /1
- -
WHITE LANE
TEXACO SERVICE STATION
FULL SERVICE STATION LEGEND
@ EMERGENCY PUMP Å MONITORING WELLS
SHUT-OFF ð OBSERVA TION WELLS
c®> ELECTRICAL PANEL 0
SHUT-OFF ANTIFREEZE
<®> NATURAL GAS ®
SHUT-OFF BA TTERY STORAGE
@> WATER SHUT-OFF <:D GREASE (BARREL)
TeA TANI\ MONITORING ® MOTOR/TRANSMISSION
~ ALARM
0 OIL
TELEPHONE ® A.G, PRODUCT TANK
40 FIRST AID KIT ®
U.G. PRODUCT TAN<,
is FIRE EXTINGUISHER
" ( \, SOL VENT SINe,
~ STORM DRAIr·1 \~/
m ŒL/WATER SEPARATOR (w\ U.G. WASTE OIL TAN.
',-/
® EMERl~EtJCY ~; ABSORBENT
ASSEMBLi ARE A
HMMP HMMP, AND MSDS @,
MSDS LOCA TIOII WASTE OIL FILTERS
(~) HOIST (SERVICE BAY) @ WAS TE ANTIFREEZE
Ò FIRE HyDRANT (wE)
~ FENCE ,-I WASTE BATTERIES
~
~
~
~
""0 L
~~
~~
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%
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NORTH
m
SCALE: 1"=30'-0"±
DATE: 3/04/93
SI TE PLAN
WHI TE LANE SHELL
2600 WHITE LANE
BAf<ERSFIELD, CALIFORNIA 93304
WIC# 0461-0568
~
SHELL OIL COMPANY
W' ROBERT H, LEE & ASSOCIATES. INC,
¡ ARCHITECTURE ENGINEERING ENVIRONMENTAl SER\.1CES
__ ____ 1137 N. r.lcOOWEll BOOLEV"RO PETAlUMA, ÇA 949~4. (707) 76~-Hj60
e
e
* HAZARDOUS MATERIAL MANAGEMENT PLAN
DEALER: Livenl!ood. Inc.
OWNER: SHELL OIL COMPANY
BUSINESS NAME: White Lane Shell
P.O. BOX 4023
STREET: 2600 White Lane
CONCORD, CA 94524
CITY: Bakersfield
WIC No: 0461-0568
DESCRIPTION
RETAIL SALES OF GASOLINE AND RELATED PETROLEUM PRODUCTS.
EXISTING UNDERGROUND TANKS ARE AS FOLLOWS:
No. of SIZE
TANKS (gal)
SHELL SUPER UNLEADED
1
10.000
MATERIAL CONST.
(STL/FG) (SW/DW)
FG DW
FG DW
FG DW
SHELL REGULAR UNLEADED
1
10.000
SUPER REGULAR UNLEADED
1
10.000
DIESEL
o
WASTE OIL
1
550
FG
DW
PRODUCT LINES:
MATERIAL: FG
CONSTRUCTION: Single Wall
All product lines are pressurized using a submerged pumping system.
All product lines have in-line Red Jacket leak detectors which restrict product flow rates by more than 50%. Annually all
product lines are pressure tested and a test performed to assure the leak detectors are functional.
Impact valves are also inspected annually to assure closure.
Repair and/or replacement of all leak detectors and impact valves will be done annually at the time of inspection and
retested to meet the above test conditions.
* This document is to be kept current and placed at the site as part of the "Green Book" in the manager's office.
(revision 12/92)
1
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MONITORING PROCEDURES FOR DOUBLE WALL TANKS
TANK MONITORING
The Underground storage tanks are monitored using an approved continuous monitoring system (see below). This
system is able to detect the presence of a leak in the primary as well as secondary containment through the use of a
liquid filled annular space and submerged liquid level sensor.
MONITORING SYSTEM
The following continuous monitoring system is used at this facility:
API-RONAN
RESPONSIBLE SHELL PERSONNEL
NAME
TITLE
PHONE
Bill Hilterbrand
Manager
Day 805 322-3122
24hr 805 588-0352
Jeff Granberry
Project Engineer
Work 510-675-6145
Home 510-825-1538
Dan T. Kirk
Environmental Engineer
Work 510-676-6168
Home 510-945-8573
See also "Shell Leak Response Plan"
2
·
-
MONITORING PROCEDURES
LUBE BAY SUMPS/ CAR WASH SUMPS
LUBE BAY SUMp·
Lube bay sumps to be visually monitored monthly by a liCensed Hazardous Material Contractor who will determine
whether the sump is to be cleaned. If the sump requires cleaning, the contractor will arrange to have it cleaned. All
hazardous wastes will be handled in compliance with all applicable federal, state, and local ordinances.
The dealer, or his designate, will accompany the Hazardous Material Contractor during his inspection and actions taken
will be recorded in the "Visual Monitoring Log. "
The floor drains in the lube bay drain into the sump. The sump drains into the sanitary sewer.
CAR WASH SUMPS
The car wash sump will be visually monitored monthly by a contractor who will determine if the sump needs to be
cleaned. If the sump requires cleaning, the contractor will clean it. All wastes will be properly disposed of. The car
wash sumps drain into the sanitary sewer.
The dealer will record visual inspections in his monitoring log.
3
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BATTERY STORAGE (NEW OR USED)
All automotive batteries, when stored at the service stations, must have a plastic (polyethylene) pan underneath. The pan
or pans must have a 1" lip on all four sides of the pan to contain any battery acid that may leak from the batteries stored.
4
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DISPOSAL PROCEDURE FOR ANTI-FREEZE
~
Used anti-freeze should be put in a 55 gallon drum or similar container and the container labeled "Waste Anti-freeze /
Hazardous Material". The container must be placed on a metal or plastic pan with a 2" to 3" lip all the way around the pan
to contain any spills or leaks from the container. When the container is full, call an "Anti-freeze Recycling Contractor" to
remove the container of used anti-freeze. Do not, under any circumstances, pour used or new anti-freeze or a mixture thereof
on the floor or on the ground and hose it down to floor drains or storm drains. Do not pour anti-freeze into your waste oil
tank.
5
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DISPOSAL PROCEDURE FOR USED OIL FILTERS
..
The dealer will put Used oil filters in a 55 gallon drum or similar container and the container labeled "Waste Oil Filters I
Hazardous Material". The container will be placed on a metal or plastic pan with a 2" to 3" lip all the way around the pan
to contain any spills or leaks from the container. When the container is full, the dealer will call a "Waste Oil Recycling
Contractor" to remove the container of used oil filters.
The dealer will drain all used oil filters of free-flowing oil prior to placement into the above noted container. Free flowing
oil is defined as a continuous stream of oil exiting the filter when the filter is inverted. Oil exiting drop by drop is not
considered free flowing. If oil exiting the filter is restricted in any way, the filter shall be manipulated to allow used oil to
exit the filter freely.
Used oil filters will not be placed in a refuse disposal container.
6
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DAILY VISUAL MONITORING PROCEDURES
FOR ABOVEGROUND HAZARDOUS MATERIALS
Hazardous Materials stored aboveground include:
[ ] Motor Oil
[ ] Transmission Oil
[ ] Antifreeze
[ ] Grease
[ ] Gear Lubricant (80W /90)
[ ] Solvent (including parts cleaners)
[ ] Propane
[ ] Battery Acid *
[ ] Car Wash Products
[ ] Kerosene
[X] CO2
[X] Waste Oil (prior to dumping in underground tank)
[X] Spent Anti-freeze *
[X] Used Oil Filters
The storage areas for these hazardous materials must be visually inspected every day for signs of leakage. Items
designated with a (*) require secondary containment with the contents of each container clearly labeled.
If there is a leak or spíll of any of the hazardous materials, whether stored above- or underground, Dealer must follow
the "Emergency Response Procedures," attached.
7
e EMERGENCY RESPONSE PROCEDUe
0461-0568
..
In the event of a fire, spill, or a leak or suspected leak in the tanks andlor piping, the following steps are to be taken as applicable:
.
1.
TURN OFF PUMPS using the Emergency Pump Shut-Off Switch.
2. EVACUATION: If there is any immediate danger, ANNOUNCE to all persons on the site: "There is an emergency. Please
turn off your engines and leave the station on foot immediately. "
3. CALL FOR HELP in case of an emergency by dialing 9-1-1 and giving the following information:
"THERE IS A FIRE I GASOLINE SPILL at the SHELL station at 2600 White Lane." If anyone is trapped or needs medical
attention, tell the answering dispatcher. Stay on the phone and be prepared to answer any questions concerning the situation.
4. LOOK AROUND to assure that all others have left the station if necessary, particularly those in vehicles who may need
assistance or may not have heard the emergency announcement. Assist, or direct assistance to, anyone having difficulty
leaving the station area, and anyone who may be Ù1jured.
5. ATTEMPT TO EXTINGUISH any small or incipient fire if you can do so safely. Have the fire extinguisher ready to use
in the event of any spill. Try to contain any large spill, or use absorbent on smaller spills.
6. REPORT to arriving emergency response personnel to provide them with any information or assistance they might need.
7. CONTACT the station dealer if slhe is not already at the station. Use the list below for emergency contacts:
1. NameIBus PhonelHome Phone: Bill Hi1terbrand /805322-3122 1805588-0352
2. NameIBus PhonelHome Phone: Frank Ouercia /805 831-0502 /805834-2131
8. NOTIFY your SHELL OIL District Engineer by phone WITHIN 24 HOURS
A. SHELL OIL District Engineer: Jeff Granberrv PHONE NUMBER: (510) 675-6145(davs) (510) 825-1538(home)
You must mail a comoleted Unauthorized Release Report to SHELL within 24 hours.
SHELL will notify the appropriate State and Local agencies unless the situation requires urgent immediate response by the
agencies, in which case the DEALER should notify these agencies:
B. LOCAL AGENCY: Bakersfield Fire Department
PHONE NUMBER: 805 326-3979
C. CALIFORNIA OFFICE OF EMERGENCY SERVICES, (800) 852-7550 (24 HOURS)
These agencies must be notified within 24 hours of release detection.
9. Dealer should attempt to isolate leak location by inspection.
10. SHELL will coordinate whatever corrective actions need to be taken beyond the Dealer's capabilities. SHELL will file
whatever reports need to be filed with local and state agencies, and send a copy to the station for the Dealer's files.
11. RE-ENTRY: If evacuation has occurred and emergency responders have been called, re-entering this facility should take
place with extreme caution and only under the direction of the senior emergency responder on site and Shell engineers.
THESE EMERGENCY RESPONSE PROCEDURES MUST BE FILLED OUT AND POSTED CONSPICUOUSLY ON SITE
ALONG WITH THE ATTACHED SITE PLAN
8
It EMPLOYEE TRAINING PLAN e
<'
Employees must be given this training before starting work, and refresher courses must be provided annually. Records must be kept
to show when each station employee has been given hislher safety training. Use the following outline and make copies as needed.
Have employee date and sign this document upon completion of training on the following page. Retain these records for a minimum
of three years.
I. FIRST THINGS TO KNOW:
A. EMERGENCY PUMP SHUT-OFF: This turns off the turbine pumps that provide flow to the dispensers from the
underground tanks. In case of a leak, shutting off the pumps will help to prevent spills.
LOCATION: I-SOUTH SIDE OF SALES BUILDING
B. ELECTRICAL PANEL: The panel allows you to selectively cut off power to lights, signs, pumps, etc. The main
switch kills all power at the site.
LOCATION: 2-WEST WALL OF SERVICE BAY
C. WATER SHUT -OFF: The water shut-off may be necessary in some cases.
LOCATION: IN SIDEWALK ALONG EL POTRERO LANE
D. FIRST AID KIT:
LOCATION: I-IN CASHIERS AREA I-IN SERVICE BAY
E. FIRE EXTINGUISHER: Use only on small fires that you can handle. Do not attempt to extinguish large fires on
your own; call 9-1-1 for help.
LOCATION: I-IN SALES AREA 2-IN SERVICE BAY
F. ABSORBENT: In the form of crystals or cloth, absorbent can soak up small spills of gasoline, diesel fuel, or other
petroleum products. Absorbent should be used rather that washing spills down a drain. In case of large spill, merely
try to contain it; a vacuum truck should be used to clean up any large spill.
LOCATION: IN SERVICE BAY
G. NEAREST MEDICAL FACILITY: Employees should know what facilities are available in case customers or other
employees need medical attention.
1. NAME: Mercy Hospital
ADDRESS: 2215 Truxtun Avenue, Bakersfield
PHONE NUMBER: 805 328-5275
DESIGNATED TRAUMA CENTER:
2. NAME: Bakersfield Memorial Hospital
ADDRESS: 420 34th Street. Bakersfield
PHONE NUMBER: 805327-1792
II. All employees should review the Service Station Monitoring Plan, of which this training plan is a part. Specifically, each
employee should understand the procedures to be used in responding to various kinds of emergencies, and know how to
monitor for leaks of hazardous materials. As a supplement to this package, employees should also review the Emergency
Response Plan filed by your business to the appropriate local agency. Thirdly, employees should review and have access
to the Materials Safety Data Sheets you have on file for each of the hazardous materials stored at the station and must be
drilled in all emergency response procedures contained herein.
9
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4 A.
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FIRST AID PROCEDURES (For exposure to gasoline or diesel fuel):
EYE CONTACT: Flush with water for 15 ~utes while holding eyelids open. Get medical attention.
B. SKIN CONTACT: Flush with water whilè removing contaminated clothing and shoes. Follow by washing with soap
and water. Do not reuse clothing or shoes until cleaned. If irritation persists, get medical attention.
"
,
C. INHALA nON (Breathing): Remove ;victim to fresh air and provide oxygen if breathing is difficult. If not breathing,
give artificial respiration. Get medicai attention.
D. INGESTION (Swallowing):
DO NOT INDUCE VOMITING BECAUSE GASOLINE CAN ENTER LUNGS AND CAUSE SEVERE LUNG
DAMAGE! If vomiting occurs spontaneously keep head below hips to prevent aspiration of liquid into lungs. Get
medical attention.
E. NOTE TO PHYSICIAN: If more than 2.9 ml per kg has been ingested and vomiting has not occurred, emesis should
be induced with medical supervision. Keep victim's head below hips to prevent aspiration. If symptoms such as loss
of gag reflex, convulsions or unconsciou~ness occur before emesis, gastric lavage using a cuffed endotracheal tube
should be considered.
F. For further information, consult the Materials Safety Data Sheets for these products and for other hazardous materials.
FIRST AID FOR EXPOSURE TO OTHER MATERIALS: Consult the warning advice on container labels or refer to the
MSDS for that product.
I have reviewed, understand and have been properly drilled in the above employee training program.
EMPLOYEE SIGNATURE
DATE
INITIAL ANNUAL
TRAINING REFRESHER
(CHECK AS APPLICABLE)
EMPLOYEE NAME (PRINT)
10
SHELL LEAK RESPOa PLAN
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INTRODUCTION
IT IS THE PURPOSE OF THIS SECTION TO ESTABLISH BASIC GUIDELINES AND PROCEDURES FOR USE BY THE SHELL
OIL COMPANY FOR THE HANDLING OF PRODUCT SPILLS/LEAKS WHICH MAY OCCUR AT SHELL FACILITIES. DESIGN
AND INSTALLATION IMPROVEMENTS ARE CONTINUOUSLY BEING EVALUATED AND IMPLEMENTED IN ORDER TO
REDUCE, AND ELIMINATE, THE POTENTIAL FOR P~ODUCT LEAKAGE.
RESPONsmLE SHELL PERSONNEL
NAME
TITLE
PHONE
Bill Hilterbrand
Manager
Day 805322-3122
24hr 805 588-0352
Jeff Granberrv
Project Engineer
Work 510-675-6145
Home 510-825-1538
Dan T. Kirk
Environmental Engineer
Work 510-676-6168
Home 510-945-8573
RESPONsmLE CONTRACTOR
GETTLER - RYAN, INC.
2150 WEST WINTON
HAYWARD, CA 94545
510/783-7500 24 HOURS
LEAK VERTFICA TION
WHEN A SERVICE STATION PRODUCT LOSS IS SUSPECTED OR REPORTED, THE FOLLOWING LEAK VERIFICATION
PROCEDURES WILL APPLY:
1. THE SHELL ENGINEER WILL ARRANGE FOR THE SHELL TERRITORY MANAGER TO IMMEDIATELY (THE
SAME DAY) VISIT THE STATION TO REVIEW THE DEALER'S PHYSICAL CONTROL OF PRODUCTS AND
INVENTORY RECORDS.
2. AT THE SAME TIME, THE ENGINEER WILL ORDER A PUMP/DISPENSER CALIBRATION, ASSURE METERS
ARE SEALED, INSPECT ACCESSIBLE POTENTIAL LEAK SOURCES, AND CHECK LEAK DETECTOR
OPERATION (ON REMOTE SYSTEMS).
3. ALSO, THE ENGINEER SHALL START MAINTAINING A PRODUCT LOSS LOG AS WELL AS A RECORD OF
SIGNIFICANT DAILY LEAK RELATED ACTIVITIES.
4. IF THE ABOVE INVESTIGATIONS PROVE INCONCLUSIVE, THE TERRITORY MANAGER SHOULD
IMMEDIATELY BEGIN A DAILY INVENTORY LOG (EXHIBIT B), WHICH WOULD BE MAINTAINED FOR A
MINIMUM PERIOD OF 48 HOURS AND A MAXIMUM OF 7 DAYS, FOR SUBSTANTIATION OF A SUSPECTED
LEAK. DEPENDING ON THE CIRCUMSTANCES (POTENTIAL HAZARDOUS CONDITION; ETC.), IT MAY BE
NECESSARY TO TAKE ADDITIONAL LEAK RESPONSE ACTION DURING THE PERIOD OF INVENTORY.
5. IF PRODUCT LOSSES ARE VERIFIED,PRODUCT LINES AND/OR TANKS MAY REQUIRE TESTING TO
DETERMINE THE LEAK SOURCE.
11
--
e
~
A.
PRODUCT LINES MAY BE TESTED USING AIR PRESSURE (APPROXIMATELY 50 PSI) OR A SHELL
APPROVED LINE TESTING SYSTEM (E.G., KENT-MOORE). SHOULD THE LINE TESTS INDICATE
LEAKING LINES, THEY SHALL BE REPAIRED OR REPLACED AND RETESTED TO ASSURE THE LEAK
HAS BEEN STOPPED. IN ADDITION, A PRODUCT LOG INVENTORY CHECK SHOULD BE MAINTAINED
FOR A PERIOD OF 7 DAYS AFTER THE LINE REPAIRS TO ASSURE THERE ARE NO OTHER LEAKS IN
THE SYSTEM.
e'
B. SHOULD THE TEST INDICATE THE LINES ARE NOT LEAKING OR IF A SHORTAGE CONTINUES AFTER
THE LINES HAVE BEEN REPAIRED, THE UNDERGROUND T ANK(S) SHALL BE TESTED BY A
PRECISION OR OTHER APPROVED PROCEDURE. (SEE N.F.P.A.329).
NOTE: LOCAL FIRE CODES AND ORDINANCES MAY DICTATE THE APPROPRIATE TESTING PROCEDURES FOR USE
ON UNDERGROUND TANKS. AIR TESTS OF UNDERGROUND TANKS ARE NOT RECOGNIZED AS
CONCLUSIVE, ARE DEEMED UNSAFE BY MANY FIRE PREVENTION AGENCIES, AND SHOULD NOT BE USED.
IF THE TANK TEST INDICATES ONE OR MORE TANK LEAKS, REPAIR OR REPLACEMENT WILL BE
COMPLÈTED.
CORRECTIVE ACTION
1. THE SHELL ENGINEERING STAFF SHALL TAKE IMMEDIATE ACTION TO STOP, CONTAIN, AND SHALL
TAKE IMMEDIATE DECISIVE ACTION TO RELIEVE THE THREAT OF PUBLIC HEALTH AND SAFETY
HAZARDS, OR PROPERTY DAMAGE.
2. IT MAY BE APPROPRIATE TO OBTAIN SAMPLES OF THE RELEASED PRODUCT FOR TESTING AND
IDENTIFICATION BY SHELL LABORATORY.
3. OBSERVATION WELLS WILL ONLY BE INSTALLED WITH HEAD OFFICE, MARKETING ENGINEERING,
ENVIRONMENTAL GUIDANCE. IF LOCAL AUTHORITIES AND/OR CONDITIONS DEMAND IMMEDIATE
INSTALLATION, THEN INSTALL THE TEST WELLS IN ACCORDANCE WITH STANDARDS SHOWN FOR
MINIMUM FOUR INCH PVC PIPE WITH INSTALLATION.
IF FORCED, BY SITUATION, TO INSTALL OBSERVATION WELLS OFF SITE ON PUBLIC PROPERTY,
ACQUIRE LOCAL AUTHORITY APPROVAL OR WRITTEN ORDER TO PERFORM THE WORK.
4. OBSERVATION WELL INSTALLATION STANDARDS (SEE OBSERVATION WELL DETAIL ATTACHED).
A. INSTALL OBSERVATION WELLS IN LOCATIONS SPECIFIED AND/OR APPROVED BY HEAD OFFICE,
MARKETING ENGINEERING, ENVIRONMENTAL.
B. DRILL (AUGER) A MINIMUM 12-INCH DIAMETER HOLE TO A DEPTH OF AT LEAST 5 FEET BELOW
THE MINIMUM WATER TABLE.
C. INTO THE HOLE, INSTALL 4-INCH OR 6-INCH DIAMETER SCHEDULE 40 SLOTTED AND BLANK PVC
PIPE, WITH PIPE SIZE DEPENDENT UPON THE SITE'S GEOLOGY AND LOCAL REGULATIONS.
SLOTTED PIPE SHALL HAVE FACTORY CUT TWENTY THOUSANDTHS (.020) INCH SLOTS.
D. USE SLOTTED PIPE FROM THE BOITOM OF THE WELL HOLE TO APPROXIMATELY 3 FEET ABOVE
THE MAXIMUM GROUNDWATER TABLE, CONSIDERING WATER TABLE FLUCTUATION. THE
SLOTTED PIPE SHALL BE CAPPED AT THE BOITOM.
E. THE BLANK PIPE SECTION ATTACHED TO THE TOP OF THE SLOITED PIPE AND EXTENDS UPWARD
TO JUST BELOW GRADE ELEVATION. AVOID USING GLUE TO COUPLE THE PIPE SECTIONS;
RATHER, USE THREADED PVC PIPE OR OTHER COUPLING METHODS WHENEVER POSSIBLE. A
LOCKABLE CAP SHALL BE INSTALLED ON TOP OF THE BLANK PIPE.
12
,.
e
--
'?
F.
ONCE THE SLOTTED AND BLANK PIPE HAS BEEN SET IN THE HOLE, BACKFILL WITH A FILTER
PACK OF POROUS MATERIAL SUCH AS PEA GRAVEL. THE FILTER PACK SHOULD BE FILLED
AROUND THE PIPE TO AT LEAST 2 FEET ABOVE THE TOP OF THE SLOTTED SECTION. DO NOT
BACKFILL AROUND THE SLOTTED PIPE WITH CLAY OR OTHER MATERIAL WHICH WOULD IMPEDE
GROUNDWATER FLOW INTO THE OBSERVATION WELL.
G. ABOVE THE FILTER PACK, BACKFILL WITH CLEAN, DRILLED SOIL MATERIAL TO APPROXIMATELY
2 T03 FEET BELOW GRADE, AND TOP THE BACKFILL WITH A SURFACE SEAL OF CEMENT GROUT
OR PACKED CLAY TO PREVENT SURF ACE CONTAMINATION FROM INFILTRATING THE FILTER PACK
AND ENTERING THE WELL.
H. "DEVELOP" THE OBSERVATION WELL BY FLOODING IT WITH WATER AND THEN PUMP IT OUT.
THIS ACTION WILL DRAW DRILLING MUD AND FINE PARTICLES OUT OF THE FILTER PACK,
IMPROVING THE PERFORMANCE OF THE WELL.
I. AUGURED HOLE SOIL CHARACTERISTICS WILL BE RECORDED.
J. OBSERV ATION WELLS SHALL BE PROTECTED FROM DAMAGE DUE TO TRAFFIC OR OTHER
HAZARDS AND REMAIN ACCESSIBLE FOR FUTURE USE AND OBSERVATION. WHERE LOCATED IN
TRAFFIC AREAS, DRIVEWAY MANHOLES AND COVERS SHALL BE INSTALLED.
5. OBSERVATION WELL MONITORING AND DATA
A. ESTABLISH A BENCHMARK AND DETERMINE THE RELATIVE ELEVATIONS AT THE TOP OF EACH
TEST WELL PIPE.
B. MONITOR THE WATER AND DEPTHS IN EACH PIPE.
NOTE: IT IS IMPORTANT THAT ALL MEASUREMENTS BE FROM THE TOP OF EACH PIPE TO THE WATER AND/OR
PRODUCT LEVELS IN EACH PIPE. RECORD MEASUREMENTS TO THE NEAREST EIGHTH INCH.
C. PRODUCT SHOULD BE PUMPED OUT OF THE OBSERVATION WELLS ONLY WHEN DIRECTED BY
HEAD OFFICE. PREMATURE REMOVAL OF SAID PRODUCT COULD CAUSE INCORRECT WELL
"READINGS".
WELL EQUIPMENT /MA TERTALS'
1. OBSERVATION WELL PIPE
A. SCHEDULE 40 PVC PIPE (4.5" OD-.237 WALL THICKNESS) AVAILABLE IN BOTH FACTORY SLOTTED
AND STANDARD PIPE WITH FITTINGS AND CAPS AVAILABLE.
B. SIX, EIGHT, TEN AND TWELVE INCH SCHEDULE 40 PVC PIPE ALSO AVAILABLE WITH FACTORY
MACHINE SLOTS AT TWENTY THOUSANDTHS OF AN INCH.
C. FACTORY SLOTTED PIPE AVAILABLE FROM THE FOLLOWING MANUFACTURERS:
1. 2" TO 14" AVAILABLE
GATOR PLASTICS, INC.
BOX 15020 BROADVIEW STATION
BATON ROUGE, LOUISIANA 70815
TELEPHONE: 504/926-0100 MR. TOM HAYES
2. 2" TO 14" AVAILABLE
HYDROPHYLLIC INDUSTRIES
5815 A NORTH AMERICAN
PUYALLUP, WASHINGTON 98371
TELEPHONE: 206/927-4321 MR. PHIL GALLAGER
13
'i
3. 2" TO 12" aILABLE
DIVERSIFIED WELL PRODUCTS, INC.
P.O.BOX 3495
FULLERTON, CALIFORNIA 92634
TELEPHONE: 714/632-9334 MR. KURT GOSS
-
4. 2" TO 12" AVAILABLE
HANDEX
703 GENESI DRIVE
MORGANVILLE, NEW JERSEY 07751
TELEPHONE: 201/536-8500 MR. GREG REUTER
5. 2" TO 8" AVAILABLE
JET STREAM PLASTICS
SILOAM SPRINGS, ARKANSAS 72761
TELEPHONE: 501/524-5151
NOTE:
IN ORDERING PIPE, REMEMBER TO ORDER POLYVINYL CHLORIDE (PVC) PIPE. BE CAREFUL THAT
A SUPPLIER DOES NOT SUBSTITUTE ACRYLONITRILE-BUTADIENE-STYRENE (ABS), WHICH TENDS
TO BECOME BRITILE WITH WEATHERING. SELECTION OF THE CORRECT WELL CASING AND
RELATED PRODUCTS IS OF PARAMOUNT IMPORTANCE. MISAPPLICATION AND IMPROPER
SELECTION CAN BE THE SOURCE OF POTENTIAL WELL FAILURE.
IT IS RECOMMENDED THAT ALL PVC PIPE ORDERS BE SCHEDULE 40 PVC.
2. SUBMERGED PUMP AND MISCELLANEOUS PRODUCT RECOVERY EQUIPMENT.
A. THE EQUIPMENT SELECTED FOR A PRODUCT RECOVERY OPERATION WILL DEPEND UPON SPECIFIC
CONDITIONS AT THE JOB SITE. THE HEAD OFFICE HYDROGEOLOGIST WILL SPECIFY THE
EQUIPMENT TO BE USED FOR EACH SITUATION.
PRODUCT RECOVERY SYSTEMS
1. SHOULD A PRODUCT RECOVERY BE NEEDED THE DESIGN WILL VARY DEPENDING UPON THE SPECIFIC
SITE CONDITIONS. IN SOME CASES, WHERE PRODUCT MOVEMENT IS CONFINED AND THE WATER TABLE
IS RELATIVELY SHALLOW, A TRENCH MIGHT BE USED TO INTERCEPT AND COLLECT THE PRODUCT. IN
OTHER SITUATIONS, WHERE PRODUCT MIGRATION IS WIDESPREAD AND/OR THE WATER TABLE IS
RELA TIVEL Y DEEP, THE "CONE OF DEPRESSION" RECOVERY WELL APPROACH MAYBE MOST EFFECTIVE.
(SEE RECOVERY WELL DETAIL ATIACHED.) EXACT METHOD OF RECOVERY WILL BE APPROVED BY
SHELL OIL COMPANY, HEAD OFFICE MARKETING ENGINEERING, ENVIRONMENTAL.
2. IN A LIMITED NUMBER OF SITUATIONS, THE OBSERVATION WELL MAY BE USED EFFECTIVELY AS A
PRODUCT RECOVERY WELL. THE FOLLOWING CONDITIONS MUST EXIST:
A. PRODUCT DEPTH IS NOT BEYOND THE LIFTING CAPABILITY OF AN APPROPRIATE PUMP.
B. PRODUCT LOST IS MINIMAL, CONCENTRATED IN THE AREA OF THE OBSERVATION WELLS, AND
OF THICKNESS WHICH CAN BE SKIMMED OFF OF THE WATER TABLE.
C. PRODUCT IS CONTAINED IN AREA BY SOIL CHARACTERISTICS (CLAY, ROCK, ETC.) AND HAS
MINIMAL MIGRATION.
HAZARDOUS MATERIAL REMOVAL
THE WATER/GASOLINE MIXTURE WILL BE REMOVED BY A LICENSED INDUSTRIAL WASTE HAULER (SUCH AS LT.
CORPORATION OR ACE INDUSTRIAL CLEANING INC.) AND RETURNED TO SHELL OIL COMPANY, MARTINEZ
MANUFACTURING COMPLEX, MARTINEZ, CA 94553 FOR REPROCESSING.
14
e LOCATION EQUIPMENT LIST.
ADDRESS: 2600 White Lane
CITY: Bakersfidd
MONITORING INFORI\1A TlON:
TANK TYPE: () STEEL
( ) SINGLE WALL FIBERGLASS
( ) STEEL AND FIBERGLASS TANKS
(X) DOUBLE WALLED FlBERGLASS TANKS
OWENS CORNING - (X) YES ( ) NO
CONTINUOUS ELECTRONIC MONITORING OF ANNULAR SPACE (X) YES ( ) NO
INVENTORY CONTROL: (X) OPTION 5 ( ) TLS-250
VADOSE MONITORING: () INSTALLED (X) NOT INSTALLED
GROUNDWATER MONITORING WELLS: () YES (X) NO
MAINTENANCE CONTRACTORS:
RONAN: VAPOR MONITORING AND INLlNE CHECK
CONTRACTOR: GETTLER - RYAN
2150 WEST WINTON
HAYWARD, CAUFORNIA
PHONE NUMBER: 510/783-7500
EMERGENCY RESPONSE CONTRACTOR:
MAINTENANCE CONTRACTOR:
GETTLER - RYAN
2150 WEST WINTON
HA YW ARD, CAUFORNIA
PHONE NUMBER: 510/783-7500
ENVIRONMENTAL CONTRACTOR:
GETTLER - RY AN
2150 WEST WINTON
HA YW ARD, CAUFORNIA
PHONE NUMBER: 510/783-7500
FOR EMERGENCY CALL:
SHELL DISTRICT OFFICE:
510/676-1414 WEEK DAYS
AFTER WORKING HOURS:
DISTRICT ENGINEER:
DAN KI RK: 510/945-8573
FIRE DEPARTMENT:
911
POLICE DEPARTMENT:
911
EMERGENCY MEDICAL AID:
911
15
~
-
INVENTORY VARIATION WOdET
"
TO: TERRITORY MANAGER
FROM: STATION OPERATOR
DATE:
RE: INVENTORY VARIATION EXCEEDING MAXIMUM ALLOWABLE LIMITS
On , the station at (date) (address)
had an inventory variation that exceeded the allowable limits as indicated
below:
SU2000
RU2000
SHELL SR
AUTO DIESEL
I have begun inventory discrepancy procedures and (check one)
I have stopped dispensing product
I have not stopped dispensing product
This notification is in addition to the phone call I previously placed.
(Dealer or Station Manager's signature)
Remember to write the Territory Manager's name and number on the bottom left hand comer of the envelope.
16
.~,)
.)
STATION ADDRESS WlC# MONTH PRODUCT INSPECTED BY
MAXIMUM ALLOWABLE VARIATIONS EXIST FOR: ~
-COLUMN G DAILY OVER (+) OR SHORT (-)
-ACCUMULATED WEEKLY VARIATION
-TOTAL MONTHLY VARIATION
.
DAILY INVENTORY LO
; PAGE 1 OF 2
COMPARE THESE VALUES AGAINST THE ALLOWABLE COVERAGE CHART FOR YOUR STATION.
A B C 0 E F G COMMENTS: RECONCILED
DATE DAY OPENING GROSS DAILY METERED CLOSING CLOSING DAILY BY:
OF PHYSICAL GALLONS METERED NON- BOOK PHYSICAL OVER (+)
THE INVENTORY LOADED SALES SALES INVENTORY INVENTORY OR SHORT
WEEK (A+B-C+D) (- )(E-F)
- -- .--...
1
2
- - ]I
3
4 I
---I-.
5
6 :
c-
7
8
-
9
10
.
11
12
.-- -
13
14
-'¡) ~
~ ~
~
DAILY INVENTORY LOG
PAGE 2 OF 2
A B C 0 E F G COMMENTS: RECONCILED
DATE DAY' OPENING GROSS DAILY METERED CLOSING CLOSING DAILY BY:
OF PHYSICAL GALLONS METERED NON- BOOK PHYSICAL OVER (+)
THE INVENTORY LOADED SALES SALES INVENTORY INVENTORY OR SHORT
WEEK (A+B-C+D) (- )(E-F)
15
16
-- '------ --- ~---- -
17
18
----
19
20
-- -- ----- ---..
21
22
- -
23
24
25
26
- - --
27
28
--- --- u_
29
30
-- -- ~-- -
31
TOTAL t£T' UONTK. Y VAllATION
,
.GASOLlNE THAT HAS BEEN PUMPED THROUGH DISPENSERS AND RETURNED TO
THE UNDERGROUND GASOLINE TANK (TYPICALL Y CALI BRA TlONS).
¡) ~
~ ~
~
VISUAL MONITORING LOG
(FOR ABOVE GROUND STORAGE OF HAZARDOUS MATERIALS)
STORAGE DATE OF DA1E & CORRECTIVE DEALER'S
FACILITY INSPECTION COMMENTS ACTIONS TAKEN SIGNA TIJRE
- .----- -
.----- ----..----..------
------ -_.. ---.-..---
------ --- -- - -
----- - ....-... --
-...-..-- ------------....--...--.-------.--..
.---------.- - --
- -----
------
------ ---...----.-----------...----- -
----- .--..-------..---------- ~
fj
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A
,-
,.
,.
r
l
r···
......
j
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. .' ~ .
. '
. .
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M 0 N
s y~ T EMS
~
TORING
DEALE¡:¡/MAINTENANCE CO~TF.ACTOR 70 INITIAL WHEN 7EST WAS FERFORr.',ED
TERRITORY MANAGEPJ SALES REPR. 70 DAiE, INI71AL AND CHECK OFF
FOLLOWUP CATEGORY ON REGULAR SCHEDULED BUSINESS VISIT.
DATE INITIAL SYSTEM CH!(·OK REQUIRED MAINTENANCE, REMARKS
I
. .
I
I
I I
I I
I
I
I I
I I I
I I
I I
I
I I I
I I
I I
I I I
I
I I I
I I
I
I
I .
I
. .
THE PANEL SHOULD BE CHECKED BY THE SHELL DEALER/EMPLOYEE EVERY :3 HOURS.
J
:~
..
GAUGING PERIOD
A B
FROM TO
DA TE/TlME DA TE/TlME
,
~---
e
INVENTORY
C D
OPENING CLOSING
DIPSTICK DIPSTICK
READING READING
INCHES GALLONS INCHES GALLONS
..
--
-.:..;;:.....~- .:...---
e
.~
WASTE OIL TANK
GAUGING SHEET
WlC NO.:
TANK SIZE:
YEAR:
VARIA TIONS
E F G
* EXCEED
ACTUAL ALLOWABLE ALLOWABLE
VARIATION V ARIA TlON VARIA TlON
(C-D) IS E>F
GALLONS f+- /-GALLON~ YES/NO
+/-
+/-
+/-
+/-
+/-
+/-
+/-
+/- -
--
+/-
+/-
+/-
+/-
+/-
+/-
+/-
+/-
+/-
+/-
+/-
+/-
*ALLOWABLE VARIATION X.01= IF TOTAL IS 0-) 5 ENTER EXACT AMOUNT
. TANK SIZE TOTAL OVER 5-ENTER5
-
..IF YOU ANSWERED YES IN COLUMN G> AN UNAUTHORIZED RELEASE (LEAK) SHALL
BE ASSUMED TO HAVE OCCURRED, ALL LEAKS SHALL BE REPORTED WITHIN
24 HOURS TO:
II
BRIAN F, ZITA
Architect
.JOHN W, .JOHNSON
Architect
.J,OHN B, HICKS
Architect
STEVEN .J, KATTNER
Architect
CECIL R, SPENCER
Architect
.JAMES H, RAY
Civil Engineer
,,~
.
AN ESOP COMPANY
e
ROBERT H. LEE & ASSOCIATES, INC.
ARCHITECTURE · ENGINEERING · ENVIRONMENTAL SERVICES
1137·NORTH McDOWELL BOULEVARD. PETALUMA, CALIFORNIA 94954-14'69 (707) 765-1660
./
Mailing. Address; P,O, Box 75090B, Petaluma, CA 94975-090B Fax (707) 765-990B
March 22, 1993.
Ralph Huey
Bakersfield Fire Department
2130 'G' Street
Bakersfield, CA 93301
RECEIVED
.MAR 2 5 1993
HAZ. MAT. DIV.
Dear Mr. Huey;
, . On behalf of Shell Oil Company. Robert H. Lee & Associates, Inc., would like to confirm the
--=-~-~,----...--~.~-----, - - --...-'~- - ._---~-~--- ---
~ ~ deadline for the HMMP submissions, for the Shell service stations on the attached list, shall be
April 30, 1993.
--- -- .,. ...,,--- -.,.,.----..-
If you have any further correspondences or invoices related to these submissions, please direct
them to: Ms. Lisa Waters, Shell Oil Company, P.O. Box 4023, Concord, CA 94524. You can
reach Ms. Waters at 510-675-6143.
If you have any questions, please do not hesitate to contact me.
Sincerely,
ROBERT H. LEE & ASSOCIATES, INC.
.~
Marion K. Miller
Project Manager
cc:
Lisa Waters, Shell
~ - -Piiê
---"--- -
. , -.,.. --
------~~--..._--
- --" .:-------
ACKNOWLEDGMENT OF RECEIPT
Signature:
Date:'
(SHELL _ EB\6023\HUEY2,L TR)
o
LA HABRA. CA
Recycled Paper
MARIETTA, GA
SACRA!\IIENTO. CA
BELLEVUE, VÌlA
MAR 29 '93 11:23 R.H.Lo PETALUMA
-tþ
29-Har-93 Shell Facilities in Baker5fiold
0'61-0568
Livengood. Inc.
2600 Uhite Lane ~
Bakersfield 3 cL
Cþ. 93304 V J
.J. ':3 ~S(d\-
1.{5Cj b L( () I
~
vlt:, '-\ SO ~
0'62-1919
"onther SaMárneh LL~ I
3130 24th Street ¡r oL
Bi!lkersfietd 3:;:'""73 D /
CA 93301 /3;:A~bl
v'7614-Ò ~
0461· 0715
C.E. & C.S. ~hyne
3605 Rosedale "~y \~
Bakersfield \ ~L V
CA 93306 ~
' ~~~~~(
Â;V4ij)~
7$ J 6DI
0462-2183 . Il
Arner T. Haw8tmeh I y,-,
101 S. Union Avenue -
Bakersfield ---<11;0-"'" (
CA 93307 0/ ;1, IU
v ISY-'6D \
page.' e
0462· 1847
Livengood, Inc.
3100 Mine Road
Bakerdield
CA 93309
~q ß
~\ ~\)L lO~
~O"GD \
~b~¿ \~
01062-2399
LiveI'l900d, Inc. 7q ,
3623 CaLifornia Ave.
Bakersfield -tù(£û,-
CA 93309 ~
~so¡Õ'1
P.2/2
'~2~~;;~~~~AL~EE & ASSOC'ATES, IN~:/2
ARCHITECTURE ENGINEERING ENVIRONMENTAL SERVICES
1137 No. McDowell Blvd.
Petalurria, CA 94954
(707) 765·1660
. FAX (707) 765;.9908
Cecil R. Spencer, Architect
John W. Johnson, Architect
James H. Ray, Civil Engineer
TRANSMITT AL
DATE: March 29, 1993
TO: Ester, Bakersfield Fire Department
FROM: Marion 1<. Miller ~
JOB: 6023.20
REGARDING: SHELL LOCATIONS IN BAKERSFIELD
TRANSMITTED:
(X] AS REQUESTED
[) FOR YOUR USE
() FOR YOUR APPROVAL
[] FOR REVIEW & COMMENT
Qry.
NO.
DESCRIPTION
1
Líst of Shell Facilities
VIA FAX MACHINE: 805-326-0576
If yoU have any questions. please do not hesitate to contact me.
\
9999\MEMO\MASTER, TLM
7 ~
~ ---,~
,~ -
~
o
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~- ~ ~~ ~ '(# ~ r"\
- -
2/20/92 WHITE LANE SHELL 215-000-000355 ¡ MAR 1 9 1993 ~ ge 1
Overall Site with 1 Fac. Unit
General Information By
Location: 2600 WHITE LN Map: 123 Hazard: Low
Community: BAKERSFIELD STATION 05 Grid: 13C FlU: 1 AOV: 0.0
- Contact Name- Title Business Phone - 24-Hour Phone
BILL HILTERBRAND MANAGER (805) 589-7669 x (805) 326-1714
FRANK QUERClA MANAGER (805) 322-3122 x (805 )~~1
Administrative Data
Mail Addrs: POBOX /40233 D&B Number:
Ci ty:: CONCg.ßP ; State: CA Zip: ,94524 "'"
Comm Code: 215-005 BAKERSF'I ELD STATION 05 SIC Code: 554 I 7538
Owner: DEL LIVENGOOD Phone: (~) 322 3~--.
Address: 2600 WHITE LN State: CA ' &:3> 1-0::;;£) 0.<
City: BAKERSFIELD Zip: 93304-
Summary
,
.
\
e
I,
(ry¡>e or print nWlle)
~ _ Do hereby certify that I hàve
reviewed the attached hazardous materials manage-
ment plan ío(______:_________---:.and that it along with
(Nt:it1Jt \.;, Bu£;;tð:S&)
any corrections const;iLlta a complete and correct man-
agQment plan for my facility.
--,
SignallJre
Date
I,t
:~
-
.
~
02/20/92
WHITE LANE SHELL 215-000-000355
02 - Fixed Containers on Site
Page
1
Hazmat Inventory Detail in Reference Number Order
02-001 SU-2000 GASOLINE
~ Fire, Immed Hlth, Delay Hlth
Liquid
9310 Moderate
GAL
CAS #: 8006-61-9
Trade Secret: No
Form: Liquid
Type: Pure
Days: 365 Use: FUEL
Daily Max GAL ----r--
9,310 I
Dáily Average GAL --r--
4,655.00 I
Annual Amount GAL --
360,000.00
'Storage
UNDER GROUND TANK
r Press T Temp -:ì Location
Ambient AmbientNORTH END OF LOT
- Conc -,
100.0% Gasoline
Components
r; MCP -:--rList
Moderate
02-002 TRANSMISSION FLUID
~ Fire, Delay Hlth
Liquid
1500 Low
GAL
CAS #:
Trade Secret: No
Form: Liquid
Type: Pure
Days: 365 Use: LUBRICANT
Daily Max GAL
1,500
-¡-
Daily Average GAL
750.00
T
Annual Amount GAL
1,500.00
Storage
PLASTIC CONTAINER
r Press T Temp -:ì
Ambient AmbientSTORE ROOM
Location
- Conc -, Components
100.0% Transmission Fluid (Petroleum-Based)
~ MCP ---rList
Low I
02-003 WASTE OIL
~ Fire, Delay Hlth
Liquid
550 Low
GAL
CAS #: 221
Trade Secret: No
Form: Liquid
Type: Waste
Days: 365 Use: WASTE
Daily Max GAL ----r--,
550 I
Daily Average GAL
250.00
I
Annual Amount GAL --
550.00
Storage
UNDER GROUND TANK
r Press T Temp -:ì
Ambient AmbientlNORTH LOT
Location
- Cone -/ Components
100.0% Waste Oil, Petroleum Based
l"î MCP -¡List
Low I
_\1>Y
...
I~\'
I)
.
02/20/92
WHITE LANE SHELL 215-000-000355
02 - Fixed Containers on Site
Page
2
Hazmat Inventory Detail in Reference Number Order
02-004 RU-2000 GASOLINE
~ Fire, Imrned Hlth, Delay Hlth
Liquid
9310 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 --
9,310 4,655.00 I 360,000.00
Storage
UNDER GROUND TANK
r Press T Temp ~ Location
Ambient AmbientNORTHWEST CORNER OF LOT'
- Conc l
100.0% Gasoline
Components
r; MCP -:-TList
Moderate
02-005 SR 2000 GASOLINE
~ Fire, Imrned Hlth, Delay Hlth
Liquid
9310 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 --
9,310 4,655.00 . 360,000.00
Storage
UNDER GROUND TANK
r Press T Temp ~ Location
AmbientAmbie~tNORTHWEST CORNER OF LOT
- Conc -,
100.0% Gasoline
Components
r; MCP -:-TList
Moderate I
02-006 SHELL MOTOR OIL
~ Fire, Delay Hlth
Liquid
600 Minimal
GAL
CAS #:
Trade Secret: No
Form: Liquid
Type: Pure
Days: 365 Use: LUBRICANT
Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL --
600 300.00 I 600.00
Storage
PLASTIC CONTAINER
r Press T Temp ~ Location
Ambient AmbientSTORAGE ROOM OFF OF LUBE BAY
- Conc -/ Components
100.0% Motor Oil~ Petroleum Based
r; MCP -=---rList
Minimal I
·¡~~
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e
.
02/20/92
WHITE LANE SHELL 215-000-000355
00 - Overall Site
Page
3
<D> Notif./Evacuation/Medical
<1> Agency Notification
o
CALL 911
<2> Employee Notif./Evacuation
THE PROPERTY IS ABOUT 350FT X 200FT. EVACUATION CAN BE DONE VERBALLY IN
SECONDS AND CALL 911.
<3> Public Notif./Evacuation
DIAL 911, SHUT-OFF ELECTRICITY, EVACUATE CUSTOMERS OFF NORTH_END OF_LOT.
<4> Emergency Medical Plan
2A SEC5) HALL AMBULANCE
MERCY HOSPITAL
2215 TRUXTUN AVENUE
805 327-3371
;._} \,~T;
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e
.
.
02/20/92
WHITE LANE SHELL 215-000-000355
00 - Overall Site
Page
4
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
ALL GAS IS STORED UNDERGROUND IN APPROVED FIBERGLASS TANKS. IN THE EVENT
OF A SPILL SHELL OIL WOULD BE TOLD THEY WILL SEND A CLEAN-UP TEAM. FEATURES
SUCH AS: EMERGENCY SHUT-OFFS, VAPOR RECOVERY, LEAK DETECTION SYSTEMS, AND
APPROVED TANKS AND CONTAINERS HELP TO PREVENT OR MINIMIZE REL~ASES. REGULAR
TESTING AND CERTIFICATION OF TANKS, PRODUCT LINES AND DISPENSERS AS WELL AS
INVENTORY RECORDS ARE USED TO VERIFY THE INTEGRITY OF THE FUEL STORAGE AND
DELIVERY SYSTEMS.
<2> Release Containment
IF THE SPILL, RELEASE OR THREATENED RELEASE IS ,DETERMINED TO BE MINOR, AND
THEREFORE NON-REPORTABLE, SERVICE STATION EMPLOYEES WILL IMMEDIATELY
COMMENCE CLEAN-UP AND CONTAINMENT Of THE SPILL OR RELEASE, AND CARRY OUT
ALL NECESSARY ACTION TO MITIGATE THE RELEASE IN ACCORDANCE WITH STANDARD
SERVICE STATION MOP-UP PROCEDURES. THESE PROCEDURES INCLUDE BUT ARE NOT
LIMITED USE OF AN APPROPRIATE ABSORBANT AND/OR CLEANER ON SPILLS OF
GASOLINE, OILS, SOLVENTS, .ETC.
COINCIDENT WITH REPORTING, EMPLOYEES WITH EMERGENCY RESPONSE TRAINING WILL
TAKE WHATEVER MEASURES ARE APPROPRIATE TO ASSIST THE EMERGENCY RESPONSE
AGENCY AND OFFER THE BENEFIT OF THEIR KNOWLEDGE OF THE STATION AND ITS
CONTENTS.
<3> Clean Up
SERVICE STATION EMPLOYEES WILL IMMEDIATLEY COMMENCE CLEAN-UP AND CONTAINMENT
OF THE SPILL OR RELEASE AND CARRYOUT ALUNECESSARY ACTION~ TO MITIGATE THE RELEASE IN ACCORDANCE
. :'
WITH STANDARD SERVICE STATION MOP-UP PROCEDURE. USE OF APPROPRIATE ABSORBANT AND/OR
CLEANER ON SPILLS OF GASOLINE." OILS, SOLVENTS.
<4> Qther Resource Activation
.
r..·.s
J¡;
..'
-
.
02/20/92
WHITE LANE SHELL 215-000-000355
00 - Overall Site
Page
5
<F> Sit~ Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - NONE
B) ELECTRICAL - SERVICE PANEL LOCATED INSIDE SERVICE BAY ON WEST WALL
C) WATER - IN SIDEWALK FRONTING EL POTRERO L~NE JUST NORTHEAST OF DISPENSER
ISLAND
D) SPECIAL - EMERGENCY PUMP SHUT-OFF ON OUTSIDE SOUTH WALL BETWEEN SALES
AREA AND SERVICE BAY DOORS
E) LOCK BOX - YES - BEHIND CASHIER BOOTH - IT HAS SITE PLANS, FLOOR PLANS,
AND MATERIAL SAFETY DATA SHEETS
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - ,WE HAVE SEVERAL EXTINGUISHERS PROPERLY LOCATED
ON PROPERTY
FIRE HYDRANT - SOUTHEAST CORNER OF LOT
<4> Building Occupancy Level
C;
i A - .~'!'
,~ ;..5:
e
.
02/20/92
WHITE LANE SHELL 215-000-000355
00 - Overall Site
Page· 6
<G> Training
<1> Page 1
WE HAVE 8 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING: ALL EMPLOYEES WILL BE TRAINED IN THE CONTENTS OF
THE BUSINESS PLAN, EMERGENCY RESPONSE PLAN AND PROCEDURES (ERP&P), AND
MATERIAL SAFETY DATA SHEETS. ALL TRAINING WILL BE DOCUMENTED BY EMPLOYEES
SIGNATURE ON A TRAINING SESSION SIGN UP SHEET. THIS RECORD OF TRAINING WILL
BE MAINTAINED BY STATION MANAGER. NEW EMPLOYEES WILL BE TRAINED ON
HAZARDOUS MATERIALS EMERGENCY RESPONSE PROCEDURES PRIOR TO WORKING WITH
HAZARDOUS SUBSTANCES. EMPLOYEES WHO HANDLE HAZARDOUS MATERIALS WILL BE
TRAINED IN THE SAFE HANDLING OF HAZARDOUS MATERIAL, AND APPROPRIATE
EMERGENCY RESPONSE ACTIONS.
<2> Page 2 as needed
I
<3> Held for ~uture Use
<4> Hèld for Future Use
'J'''P, ~:,i{
.
.
02/20/92
WHITE LANE SHELL 215-000-000355
00 - Overall Site
Page
7
<G> Training
<4> Held for Future Use (Continued)
'--1-1'",
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,
Shell 011 Company;.
EAST SAY
MARKETING DISTRICT
P.O. Box 4023
Concord, CA 94524
(510) 676-1414
&(7
1z-r~'iì. ~
~ \ ~ a G- ,-r.
~lvI... ~ -B ~ . Cø- C)'~ '3 C I
,
'·~b ~.c;lÇ ~~l WI ~~. ¡
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, 'FEB 1 8 1993. U t
B~ "" I
\ . ,
1993
... _...",1'
'.', ,., ""',.'
"To' whom:i t";:-may conce'rn:-:
.'-'- \<
:,;."
-
, , ,
,""'.'.
--'"'-'
Please find attached copies of invoices fees for permits, statements
and or other information that was. mailed from your Agency to our
Shell District in Southern California.
Due to Shell's re-organization stations now are within Shell" East Bay
District. Please updated your records to show the following address:
Shell Oil Company
P. O. Box 4023
Concord, CA 94524
Attn: HS&E Admin. Support
If you have any questions, please contact me at 510 675-6114. Piease see
attached listing for stations within your jurisdicition.
Sincerely,
~
HS&E Administrative Support
Attachment
01KC1901
,P
UI '-IllY nve;;,uC' \rtU Mdl Lj
Oakland
5~0-0204 Rajinder Goyal 4IIÞ
Oak Street Shell
105 5th Street
Oakland .
5510-0410 Rick Texara
Jt.,).,) D'·Uduwäy
Oakland
5510-0303 Bi~ Askar Banapour
Shivan Shell
4255 MacArthur Boulevard
0' Oakland _,_ ' ~
5510-0600 Vanita Bindal
Pi edmont Shell
29 Yildwood Avenue
Piedmont
6001-0109 Noel & Monika Coffin
Shell Car Yash
Livermore & Los Positos
Livermore
99999999
.. .. .. .. .. .. .. .. .. .. .. .. .. .. ..
AGENCY NAME: Bakersfield Fire Dep~rtment
;
.. .. .. .. .. .. .. .. .. ..
2600 Yhi te Lane lA T7 (, tf 50 I
Bakersfield
0461-0568 Livengood, Inc.
~--
3605 Rosedale Hwy
Bakersfield
0461-0775 C.E. & C.S. Rhyne
\.AíîS¡ 5"'01
~.
29645 Stockdale
Bakersfield
0461-1012 Dennis Beagley
l h . I
Don Tompson ServIce nc.
5212 Ol ive Dr.
Bakersfield
0462-0823 Don Thompson
.-'
04-Jan-93
Shell East Bay District Service Station List by HMMP Reporting Agency
SITE LOCATION
DATE
DUE
ACTIVE
SITE LOCATION
DATE
DUE
ACTIVE
. ¡
::::=::::=::::======~~=:r=~G=;=;;====~===============::::=::::=::::::==============================================
Bakersfield Bakersfield
0462-1847 Livengood, Inc. 0462-1979 Monther Samarneh
101 S. Union
Bakersfield
0462-2183 Amer T. Hawatmeh
3623 Cal ifornia Ave. lÁ. T 7 ç 010 I
Bakersfield
0462-2399 Livengood, Inc.
t/-
.. .. .. .. .. .. .. .. .. ..
. . . . . . . . . AGENCY NAME: Berkeley·Office of Emrgncy & Toxics Mgmt
.. .. .. .. .. .. .. .. .. .. .. .. .. ..
Shell Self Service
1200 Ashby Avenue
Berkeley
0642-0602 Peter Yee
Sunny Shell
1250 University Avenue
Berkeley
0642-1204 Canh Minh Du
Shattuck Shell Servi ce
2996 Shattuck Avenue
Berkeley
0642-1709 Ken Ma & Van Ma
.. .. .. .. ..
. . . . . . AGENCY NAME: Colusa County Sherrif's Department
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..
Carbajal's Shell, Inc.
6th & E
Yilliams
8466-0301 Jerry Carbajal
.. .. .. .. .. .. .. .. .. .. .. .. ..
. ~ . . . . AGENCY NAME: Contra Costa Co. Environ. Health Divis. . . . . . . . . . . . . . . .
)
Alamo Shell
3188 Danville àoulevard
Alamo
0078-0100 Carl & Jan Cox
"A" Street Shell
1800 A Street
Antioch
0258-0102 Howard DeRouen
Lone Tree Shell
2838 Lone Tree Yay
Antioch
0258-0508 Howard DeRouen
Shell Oil Company
5545 Bridgehead Road
Antioch
0258-0706 Debbie Martin
Delta Fair Shell
r.1~v~nn V~lløv ~høll
/.:
r
- . -, ...--
350 Grand Avenue (No Mail.
~akland
5510-0204 Rajinder Goyal -
Oak Street Shell
105 5th Street
- Oaklañd
5510-0410 Rick Texara
Piedmont Shell
29 Wildwood Avenue
Piedmont
6001-0109 Noel & Monika Coffin
.,
)
..... ..._-'"'-, ...........
5755 Broadia
Oakland
5510-0303 _ n & Askar Banapour
Shivan Shell
4255 MacArthur Boulevard
. Oàklañër--
5510-0600 Vanita Bindal
Shell Car Wash
Livermore & los Positos
Livermore
99999999
AGENCY NAME: Bakersfield Fire Department
. . . . . . . . . . . . . . . . . . . . .
· . . . . . . .
. . . . . . . . . . .
2600 White lane
Bakersfield
0461-0568 Livengood, Inc.
29645 Stockdale
Bakersfield
0461-1012 Dennis Beagley
04-Jan-93
SITE LOCATION
3605 Rosedale Hwy
Bakersfield
0461-0775 C.E. & C.S. Rhyne
Don Thompson Service Inc.
5212 01 ive Dr.
Bakersfield
0462-0823 Don Thompson
-- .--.,,----
---..,-.- -...---
Shell East Bay District Service Station list by HMMP Reporting Agency
DATE
DUE
DATE
DUE
ACTI VE
ACTI VE
SITE lOCATION
----------------------------------------------------------------------------------------------------------------~=---=-----
-----------------------------------------------------------------------------------------------------------------=---==----
)
ì
I
3700 Ming Road
Bakersfield
0462-1847 livengood, Inc.
101 S. Union
Bakersfield
0462-2183 Amer T. Hawatmeh
3130 24th Street
Bakersfield
0462-1979 Monther Samarneh
3623 California Ave.
Bakersfield
0462-2399 livengood, Inc.
· . . . . . . . . .
. . . . . . . . . AGENCY NAME: Berkeley Office of Emrgncy & Toxics Mgmt
. . . . . . . . . . . . . . .
Shell Self Service
1200 Ashby Avenue
Berkeley
0642-0602 Peter Yee
Shattuck Shell Service
2996 Shattuck Avenue
Berkeley
0642-1709 Ken Ma & Van Ma
· . . . . . . . .
Carbajal's Shell, Inc.
6th & E
Will iams
8466-0301 Jerry Carbajal
· . . . . . . . . . . .
)
Alamo Shell
3188 Danville Boulevard
Alamo
0078-0100 Carl & Jan Cox
lone Tree Shell
2838 lone Tree Way
Antioch
0258-0508 Howard DeRouen
Del ta Fai r Shell
Sunny Shell
1250 University Avenue
Berkeley
0642~1204 Canh Minh Du
. . . . . . AGENCY NAME: Colusa County Sherrif's Department ... . . . . . . . . . . . . . . .
. . . . . . AGENCY NAME: Contra Costa Co. Environ. Health Divis. . . . . . . . . . . . . . . . .
"A" Street Shell
1800 A Street
Ant i och
0258-0102 Howard DeRouen
Shell Oil Company
5545 Bridgehead Road
Antioch
0258-0706 Debbie Martin
r.IAv~nn VAPV ~hpll
.
e
Shell Oil Company
.
EAST SAY
MARKETING DISTRICT
P,O. Box 4023
Concord. CA 94524
(510) 676-1414
l /;~ð
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P ~~~7
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1993
[I ~-r~ô
To whom it may concern:
Please find attached copies of invoices fees for permits, statements
and or other information that was mailed from your Agency to our
Shell District in Southern California.
Due to Shell's re-organization stations now are within Shell East Bay
District. Please updated your records to show the following address:
Shell Oil Company
P. O. Box 4023
Concord, CA 94524
Attn: HS&E Admin. Support
If you have any quest~ons, please
Support
contact me at 510 675-6114.
WG/J
. , c_
)'\ .'.,,~. .~.~ . .
i lj VVY ¡,..~ ¡ X'"
C0-Ð ú{lruJ:J /JfullJ ~
'-<t~ Ôdit.!{)VUl ~ ~ s/uIL
uj};)J ?ßWJ ~&m
Sincerely,
Attachment
KAREN D. CLARK
I
\
I
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-- .
OlKC1901
Environmenta~
East Bay District
SHELL OIL COMPANY
P,O. Box 4023
CONCORD, CA S4524
(510) 675-ô114
~.
I: FACILITY/SITE
DBA OR FACILITY NAME
ADDRESS
2600 WHITE LANE
CITY NAME
BAKERSFIELD
\ .
e Bakersfield Fire Dept" ~
HAZARDOUS MATERIALS DIV'MION
. 2130 G Street, Bakersfield, CA 93301
(805) 326-3970
UNDERGROUND TANK QUESTIONNAIRE
RECEIVED
AUG 0 1 1991
No. OF TANKS
4
NAME OF OPERATOR
NEAREST CROSS STREET
EL POTRERO
STATE ZIP CODE
CA 93304
PARCEL No,(OPTIONAL)
.I BOX TO INDICATE 0 CORPORA nON
J
o INDIVIDUAL 0 PARTNERSHIP 0 LOCAL AGENCY DISTRICTS 0 COUNTY AGENCY Q STATE AGENCY 0, FEDERAL AGENCY
TYPE OF BUSINESS 01 GAS STATION
Q3FARM
02 DISTRIBUTOR
04 PROCESSOR Q 5 OTHER
KERN COUNTY PERMIT 0\ '1 r - , c:-:-:-t'
TO OPERATE No, 3 \0 -:n5-000-00~
LIVENGOOD, DEL (805) 322-3122
HEPP, WILLIAM (714) 460-3313
NIGHTS: NAME (LAST. FIRST) PHONE No, WITH AREA CODE
NIGHTS: NAME (LAST. FIRST) PHONE No, WITH AREA CODE
HILTERBRAND; SHERI
326-1714 BOCK FRED
460-3314
NAME
II. PROPERTY OWNER INFORMATION (MUST BE COMPLETED)
CARE OF ADDRESS INFORMATION
MPANY
MAILING OR STREET ADDRESS
STATE ZIP CODE
.I BOX 0 INDIVIDUAL
TO INDICATE 0 PARTNERSH
o STATE AGENCY
V. FEDERAL AGENCY
3281 GUASTI ROAD, STE. 480
91761
(800) 457-4355
CITY NAME
ONTARIO
CA
NAME
SHELL OIL COMPANY
III. TANKOWNER INFORMATION (MUST BE COMPLETED)
CARE OF ADDRESS INFORMATION
MAILING OR STREET ADDRESS
STA TE ZIP CODE
.I BOX 0 INDIVIDUAL
TO INDICA TE 0 PARTNE IP
3281 GUASTI ROAD, STE. 480
CITY NAME
ONTARIO
(800) 457-4355
CA
91761
OWNER'S DATE VOLUME PRODUCT IN
TANK No. INSTALLED STORED SERVICE
001 , 9Rh 10.000 sn 2000 GASOLINE V/N
002 1986 10,000 RU 2000 GASOLINE
003 1986 10,000 V/N
REG GASOLINE
V/N
004 ,qRS 550 WASTE OIL V/N
V/N
V/N
DO YOU HAVE FINANCIAL RESPONSIBILITY? V/N TYPE
SF.LF-TNSTTRF.D
:i.;
~
Fill one segment~t for each tank, unless al~tanks and piping are
~~. ..~ ,constructed of t_ same materials, style anwype, then only fill
one segment out. please' identify tanks by owner ID #.
I. TANK DESCRIPTION COMPLETE ALL ITEMS -. SPECIFY IF UNKNOWN
A, OWNER'S TANK I. 0, # 001 B, MANUFACTURED BY: OWENS CORNING
C, DATE INSTALLED (MO/DAYIYEAR) 1986 D. TANK CAPACrTVIN GALLONS: 10,000
- "---....,.......-~_.- "---.-
N MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND ALL THAT APPLIES IN BOX D
A. TYPE OF 0 3 SINGLE WAll WITH EXTERIOR LINER 0 95 UNKNOWN
SYSTEM 0 2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER
0 1 BARE STEEL 0 2 STAINLESS STEEL 3 FIBERGLASS 0 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC
B~ TANK
MATERIAL 0 5 CONCRETE 0 6 POLYVINYL CHLORIDE 0 7 ALUMINUM 0 8 100% METHANOL COMPATIBLEWIFRP
(Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER
01 RUBBER LINED o 2 ALKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING
C. INTERIOR 0 5 GLASS LINING ~UNLlNED 0 95 UNKNOWN 0 99 OTHER
LINING
IS LINING MATERIAL COMPATIBLE WITH 1000/0 METHANOL? YES _ NO_.,
D. CORROSION 01 POLYETHYLENE WRAP 0 2 COATING o 3 VINYL WRAP 4 FIBERGLASS REINFORCED PlASTIC
',,-
PROTECTION 0 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN 0 99 OTHER
IV. PIPING INFORMATION CIRCLE A IFABOVEGROUNDOR U IFUNDERGROUND,BOTHIFAPPLlCABLE
A. SYSTEM TYPE A U 1 SUCTION U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER
B. CONSTRUCTION A 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN
A U 99 OTHER
C. MATERIAL AND
CORROSION
PROTECTION
D. LEAK DETECTION
A U 1 BARE STEEL A U
A U 5 ALUMINUM A U
A U GALVANIZED STEEL A U
1 AUTOMATIC LINE LEAK DETECTOR
A U 3 POLYVINYL CHLORIDE (PVC) A U 4 FIBERGLASS PIPE
A U 7 STEEL WI COATING A U 8 1000/0 METHANOL COMPATIBLEW/FRP
OTECTION A U 95 UNKNOWN A U 99 OTHER
2 LINE TIGHTNESS TESTING 0 3 ~~~~J 0 99 OTHER
V. TANK LEAK DETECTION /
o Y"ISUAL CHECK ~> INVENTORY RECONCILIATION
[J16 TANK TESTING L3 7 INTERSTITIAL MONITORING
o 3 VAPOR MONITORING 0 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING
o 91 NONE 0 95 UNKNOWN 0 99 OTHER
I. TANK DESCRIPTION
COMPLETE ALL ITEMS.. SPECIFY IF UNKNOWN
A. OWNER'S TANK I. 0, # nn? B, MANUFACTURED BY: OWENS CORNING
C, DATE INSTALLED (MO/DAYIYEAR) 1986 0, TANK CAPACITY IN GALLONS: 10,000
-"~"-
C. INTERIOR
LINING
D 2 SINGLE WALL
D 1 BARE STEEL
D 5 CONCRETE
o 9 BRONZE
D 1 RUBBER LINED 0 ~KYD LINING
D 5 GLASS LINING [J!'6 UNLINED
IS LINING MATERIAL COMPATIBLE WITH 1000/0 METHANOL?
MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND ALL THAT APPLIES IN BOX D
o 3 SINGLE WALL WITH EXTERIOR LINER 0
D 4 SECONDARY CONTAINMENT (VAULTED TANK) D
D 2 STAINLESS STEEL 0
D 6 POLYVINYL CHLORIDE D
o 10 GALVANIZED STEEL '0
D
o
95 UNKNOWN
99 OTHER
A, TYPE OF
SYSTEM
B. TANK
MATERIAL
(Primary Tank)
3 FIBERGLASS
0 7 ALUMINUM
0 95 UNKNOWN
0 3 EPOXY LINING
0 95 UNKNOWN
4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC
8 100% METHANOL COMPATIBLE W/FRP
99 OTHER
4 PHENOLIC LINING
99 OTHER
D. CORROSION
PROTECTION
D 1 POLYETHYLENE WRAP 0 2 COATING
D 5 CATHODIC PROTECTION D 91 NONE
YES_ NO_
D 3 VINYL WRAP
o 95 UNKNOWN
4 FIBERGLASS REINFORCED PLASTIC
D 99 OTHER
IV. PIPING INFORMATION CIRCLE A IF ABOVEGROUND OR U IFUNDERGROUND,BOTHIFAPPLlCABLE
A. SYSTEM TYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY
B. CONSTRUCTION A 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH
A U 99 OTHER
A U 95 UNKNOWN
A U 99 OTHER
C. MATERIAL AND
CORROSION
PROTECTION
D, LEAK DETECTION
A U 1 BARE STEEL A U
A U 5 ALUMINUM A U
A U 9 GALVANIZED STEEL A U
D 1 AUTOMATIC LINE LEAK DETECTOR
A U 3 POLYVINYL CHLORIDE (PVC) A U
A U 7 STEEL WI COATING A U
OTECTION AU 95 UNKNOWN A U
2 LINE TIGHTNESS TESTING 0 3 ~~~~¡~~ .
'FIBERGLASS PIPE
8 100"10 METHANOL COMPATIBLE W/FRP
99 OTHER
D 99 OTHER
V. TANK LEAK DETECTION /"
1-:=1 ~UAL CHECK i:!J ,y1'NVENTORY RECONCILIATION
: 0 TANK TESTING ~ 7 INTERSTITIAL MONITORING
o 3 VAPOR MONITORING 0 4 AUTOMATIC TANK GAUGING 0 5 GROUND wÄ TER MONITORING
o 91 NONE D 95 UNKNOWN 0 99 OTHER
::;0. "J" '--
Ai'
;;>
I.-~-ANK DESCRIPTION
COMPlET
EMS -- SPECIFY IF UNKNOWN
A, OWNER'S TANK I. D, #
003
1986
B, MANUFACTURED B ,
D. TANK CAPACI'TY IN GAlLONS:
C RNING
10,000
MARK ONE ITEM ONLY IN BOXES A. B.ANDC. AND ALL THAT APPLIES IN BOX D
D 3 SINGLE WALL WITH EXTERIOR LINER D 95 ,UNKNOWN
o 2 SINGLE WALL, D 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 '99 OTHER
o I BARESTEEl D 2 STAINLESS STEEL D 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC
o 5 CONCRETE 0 6 POLYVINYL CHLORIDE D 8 100% METHANOL COMPATIBLEWIFRP
o 9 BRONZE D 10 GALVANIZED STE8. D 99 OTHER
o 1 RUBBER LINED D 2 AlKYD LINING D 4 PHENOLIC LINING
o 5 GLASS LINING ~UNlINED D 99 OTHER
IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES_ NO_
IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABLE
A. SYSTEM TYPE A U 1 SUCTION U PRESSURE A U 3 GRAVI'TY A U 99 OTHER
B. CONSTRUCTION U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER '
1 BARE STEEL :".A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) 4 FIBERGLASS PIPE
AlUMINUM A. U 6 CONCRETE 'A U 7 STEEL WI COATING A U 8 100% METHANOL COMPATIBLEW/FRP
LVANIZED STEEL :A U, 10 CATHODIC OTECTION A U 95 UNKNOWN 'A U 99 OTHER
1 AUTOMATIC LINE LEAK DETECTOR 2 LINE TIGHTNESS TESTING 0 3 ~~~~~:~ 0 99 OTHER
C, DATE INSTAllED (MO/DAYiYEAR)
----,- -- -----"-~-
-~-~-----_. ------ . -~--- -------_._~-
A.' TYPE OF
SYSTEM
,a. TANK
MATERIAL
(Primary Tank)
3 FIBERGLASS
D 7 AlUMINUM
0 95 UNKNOWN
0 3 EPOXY LINING
0 95 UNKNOWN
C. INTERIOR
UNING
D. CORROSION
PROTECTION
D 1 POLYETHYLENE WRAP 0 2 COATING
o 5, CATHODIC PROTECTION 0 91 NONE :.<,
. ,0 3 VINYL WRAP
""i;'O 95 UNKNOWN
C. MATERIAL AND
CORROSION
PROTECTION
D. LEAK DETECTION
4 FIBERGLASS REINFORCED PLASTIC
o 99 OTHER
"
0./ VISUAL CHECK
Œj 6 TANK TESTING
2 INVENTORY RECONCILIATION 0 3 VAPOR MONITORING 0 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING
~ INTERSTITIAL MONITORING 0 91 NONE 0 95 UNKNOWN D 99 OTHER
I. TANK DESCRIPTION
COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN
A, OWNER'S TANK I.D,# 004 B, MANUFACTURED BY; OWENS CORNING
C, DATE INSTAllED (MO/DAYiYEAR) 1986 D, TANK CAPACI'TY IN GAlLONS: c:;c:;n
III. TANK CONSTRUCTION
MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND ALL THAT APPLIES IN BOX D
A. TYPE OF 1 DOUBLE WALL 0 3 SINGLE WALL WITH EXTERIOR LINER
SYSTEM 0 2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK)
0 1 BARE STEEL D 2 STAINLESS STEEL
a. TANK
MATERIAL 0 5 CONCRETE D 6 POLYVINYL CHLORIDE D 7 ALUMINUM
(Primary Tank) 0 9 BRONZE D 10 GALVANIZED STEEL D 95 UNKNOWN
01 RUBBER LINED D 2 ALKYD LINING D 3 EPOXY LINiNG
C. INTERIOR D 5 GLASS LINiNG ~LlNED 0 95 UNKNOWN
UNING
is LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES _ NO_
D. CORROSION 0 I POLYETHYLENE WRAP D 2 COATING o 3 VINYL WRAP
PROTECTION 0 5 CATHODIC PROTECTION D 91 NONE D 95 UNKNOWN
IV. PIPING INFORMATION
A. SYSTEM TYPE
B. CONSTRUCTION
CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE
1 SUCTION A U 2 PRESSURE A U 3 GRAVI'TY
A U 2 DOUBLE WALL
A U 3 LINED TRENCH
I SiNGLE WALL
D 95 UNKNOWN
D 99 OTHER
D 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC
D 8 100% METHANOL COMPATIBLEWIFRP
D 99 OTHER
D 4 PHENOLIC LINING
o 99 OTHER
4 FIBERGLASS REINFORCED PLASTIC
o 99 OTHER
A U 99 OTHER
A U 95 UNKNOWN
A U 99 OTHER
C. MATERIAL AND A U l' BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A U 4 FIBERGLASS PIPE
CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100% METHANOL COMPATIBLE WIFRP
PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC P OTECTION A U 95 UNKNOWN A U 99 OTHER
D. LEAK DETECTION D 1 AUTOMATIC LINE LEAK DETECTOR 2 LINE TIGHTNESS TESTING o 3 INTERSTITIAL D 99 OTHER
MONITORING
V. TANK LEAK DETECTION
D ~ISUAL CHECK
13 6 TANK TESTING
2 INVENTORY RECONCILIATION D 3 VAPOR MONITORING 0 4 AUTOMATIC TANK GAUGING D 5 GROUNDWATER MONITORING
o 7 INTERSTITIAL MONITORING D 91 NONE 0 95 UNKNOWN D 119 OTHER
-..,,+~
",,' - RECEIVED
i CITY of BAKERSFIELD
: HAZARDOUS MATERIALS INVENTORY JAN , 3 1992
Farll and Agtlculture 0 Stapdard BusIness J8J - . . ' ' _ I ,...;
I ']' R A DES E eRE T S ; HAZ. M~T. DlV. Page ____... ofc!.-oz(.
BUSINESS NAME:-LTIlE ~; ~ OWNER NAME: D~~LIVENGOOD NAME 9F THIS FACILITY' . . '"
t9¥9 TI2~Þ, 2. 600 1,\. JHT'T fu, FoRO A9DRESSl' .. 328 ASTI RD. . #4tlU . .. ðÙnNDNRDBÀ~BsT~HfSN CÒ~fÃ---55_":fL.- ... ~~.~~':.~=~.':':.) .. ..
PH6NÈ ": . JW'33RGFIE 93~01 . .~ Ò~È fi. P. OÞIT~ 91 ~~1 . . .. A 0 _ _ UM _ ,
tlU5/~31-C R~FER 'O-r~§ft rlbf.fu rUff ?ROPéR CODES .
1 2 3 I 5 6 ~ 8 9 10 II 12 ,I, ~;,\
lrans lYDe Max ge I· Annual Hea$ure . YS Cont Cont Cont Use location Vhë II ~por.ents
Code . Code Allt ¡ Est Units on Ite Type Press Temp Code Stored In Facl 1S
~ Q,i10 I: clJ IfÆh12:>USI 01 I I 41 1 Cf 1"ßp~ f )
P~Ysical OOd Health Hmrd ! C.A,S, HUDlber BOOIP lþl q COl\ponent II Halle & C.A.S. HUllber
,Check al I that apply!
_/ . _£ _ /'. COl1ponent 12 HUle & C.A,S. HUllber
ff Fire Hazard 0 ReactivIty ff D"layed 0 Sudd~n Release Lrlm~edlate
Health Of Pressure Health
Component.3 Halle I C.A.S. HUDlber
R
Physical ood Health "alard . ~
(Check all that applY¡ -....::..::;
I
/ I ,_/ ~ ~. C0l1ponent'2 Hue & c.A.s, HUMber
19' fire Hazard 0 Reactivity' 11 D.~lared 0 Sudd~n Release LrÎI!I~~dllate --=I-
Hea th Of Pressure Hea th .
¡ Component'3 Halle & C.A.S. HUllber ~(__~
)
-3 _
. Component'2 Name & C.A.S. HUllber
o Fire Hazard 0 Delared 0 Sudd~n Release 0 Immedllate . . 3êO-c;;JO--:t
Hea th of Pressure Hea th
COlllponent'3 H8IIe & C.A,S. HUllber '4{ -4 _
PhYßIcil·.',' òd Health Hatard ~ C.A.S, NUllber COl\ponent'l Nue' C.A.S. NUllber
(Check a I that apply!
, Component'2 NaDle & C.A,S. HUllber
o Fire Hazard 0 Reactivity, 0 Delayed 0 Sud.d~n Release 0 Immedl,ate
, Health of Pressure Hea th
COl!lponent'3 Halle & C.A.S. HUllber
EMERGENCY CONTACTS H 1 ~lf' LIVENGooD OWNERT1 I Ph H2R-1 iRY 1A/4~60-3313
R ., t e 24 Hr one 8111 TIt - Hl!rPñõñe"-
Certifiçatio~ (Rerad and $ign aflfJr cÇ)mpleting, Ç111, se.ctions) "
1 cer If unðer enall 0 la th t I nave pe(sona 1\ exallln Q 0 d II faDlI'la( It the Info(Dlatl n $U IIltted In
a(taç~edYdQCUllen~sl an! t at ~ase~:on I\Y InquIry 0 lhose In~Ivl~ua's responslb'e ~or obtaIning t~e In~orllatlon
subllltted Inforl\at on IS true. accurate, and co~plete
~~~fë" Iiõffm' idlm~
INVENTORY
CITY of BAKERSFIELD
~HAZARDOUS MATERI~LS
'J,'RADE SE
DEL LIVENGOOD
o
Pag~
00.
,¡.~ ~~.
, Farm and Agtlculture 0 Stardard Business
B9S ~Y!r NAME: LlVENGOOO! INC.
b b N¡, 26
PH N~ f
s
NAME OF THIS FACILITY' SHEIL OIL
STANDARD IND, CLASS r;60E:-----
DUN AND BRADSTREET NUMBER-5541--
- -
T
OWNER NAME
ADDRESS!'
qóóY i P:
rfËFMk to-7f#¥~èTHÝNS-roTrPROPER
CRE
--
1 3 12 "" ,'" 13 Il
Tr~ns Max loc~tion Whe~'e ' , by Ha~es of ~ilture{çc~pon~nts
Co e Allt Store In FacI Ity wt See Instru: Icns
4 40 BENEATH PAVEMENT 00 WASTE OIL
COl\ponent II Halle & C,A,S. Hunber -9 usËD LUBRICATJNG OIL
o Fire Hazard o ReactivIty f) Delared o sudd(" Re 1 ease . COl\ponent.2 Halle I C,A.S, Hunber -9 INERT FILTERS I
R1 IMediate
Hea th o Pressure Health
Component 13 Nane I C.A.S, Nunber -1 WATER 7732-18-5
Ph~~icfl ,~d ~ealth ~afard C,A.S, NUllber Component .1 Halle' C,A,S. HUllþer
I ec a t at app y
i 0' COl\ponent'2 Hue' C.A,S, HUllber
,
o Fire Hazard o ReactivitYI o DJ Jared o SUddf" Release hilled ¡ate
ea th o Pressure Health
! Component'3 Halle' C.A,S, HUllber
Phl~ic~1 ,nd ~ealth ~afard C.A,S, Number Component '1 Halle & C,A,S, Humber
I ec a 1 t at app y i
i Component'2 Halle & C,A,S, Nunber
o Fire Hazard o Reactivity o Delared o SUddf" Re I ease o Immediate -
Hea th o Pressure Hea llh
I Component"3 Halle' C,A.S, Hunber
i
Ph~~ic(1 'itd ~etlth ~afard C.A.S, »ul\ber COØ\ponent '1 Halle & C.A.S, Hunber
( ec a t a app y
o ,Fire Hazard o Reactivity o OJ Jared o SUd~f" Re I ease o ,Component'2 HUle & C, A,S. HUl\ber
IlImedlate
ea th ° Pressure Health
COØ\ponent'3 HIlle' C,A,S. HUllber
EMERGENCY CONTACTS " 1 æ' T ,TVRNr.('£)T) ~ 112 BIIJ., HEPP TERRITORY MANAGER 714/460-3313
24 Hr Phone Rue THle 2l1!fl'fíõñe
CODES
mëd
om-s
cerlifiratio~ \Rec~ and firn af1~r cçmf7fting {i7 7, sf¡ctiionsl
[ cer I y un ef enal 0 I th t I av pe{sona eXIIIn . I familll It he In(o{mat n $U nitted in his end all
a~taç~ed dQC'lIen~sl an~ t at tase~:on ny In~ulr~ i [hose In~IYI~ua's responsible 'or obtaInIng t~e In~ornatlon, f belIeve that the
submItted In ornat on IS true, acc~rate, an co pete
, STgñãtüre
mrnõõ
e
e
BUSINESS PLAN CERTIFICATION OF REVIEW
This form is addressed to:
BAKERSFIELD CITY FIRE DEPARTMENT
HAZARDOUS MATERIALS DIVISION
2130 "G" STREET
BAKERSFIELD. CA 93301
/(j
S6':J
A. BUSINESS NAME: White Lane Shell
ADDRESS: 2600 White Lane
CITY: Bakersfield STATE: CA ZIP: 93304
B. BUSINESS MAILING ADDRESS: P.O. Box 4848/ Attn: LAE D i s t r ic t
STATE: CA ZIP: 92803
CITY: Anaheim
I certify under penalty of law that I have personally examined and am
familiar with the information submitted and believe that revisions are
not necessary to the Hazardous Material Business Plan at this time.
Name of Operator: Livenqood. Inc.
Name of Document Preparer: Julie A. McQueen
Signature of ope~~~ Li.e.ra0m) ::r:ñcDate: -:{-/::Ff!C¡O
7 !:,.~.~>f. ~-;.
-- -:..
e
e
A."
~
\
BAKERSFIELD CITY FIRE DEPARTMENT
2130 "G" STREET
BAKERSFIELD, CA 93301
II" I
¡..¡.
OFFICIAL USE ONLY
ID# _ _ _ _ _ _
BUSINESS NAME:
,"
....'.;.
BUSINESS PLAN
S!,NG_LE.~ EAC·-I-LI-TY-- -UNIT
FORM 3A
,---",,..,,~
·f'·
INSTRUCTIONS
1. To avoid further action. this form must be returned by:
2. TYPE/PRINT YOUR ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACILITY UNIT LISTED BELOW
4. Be as BRIEF and CONCISE as possib¡e.
FACILITY UNIT NA'iE: /'#11/ re- t. ~/1/e S.IIe ¿ L
FACILITY 'UNIT#
SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES
t19¿¿ (]/Jç /5" S"T¿?/I&¿J vwee/J., 6/(t?v/l/CJ //1/ ;9/AP/féJp/e£l r/ð6.fótJ1..F5
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_ ._ ~~~¿;__~ _~¿~~~~~ Te:1~_/__~ _ G=bt..1 ~ ~--
~ ~~ ~'7I ~d¿~ .
SECTION 2: NOTIFICATION AND EVACUATION PROCEDu~ES AT THIS ù~IT ONLY
/,#c //I.t:Y¡Øe/?r- y /5 IlßtØtlT :z. 50 F T." Y ZC7(J" ç:T.
,---
,f;t/4c!v¡lj l/ - .
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.SECTION 3: HAZARDOUSMATERI'ALS FOR THIS UNIT ONLY
A. Does this.Facility UrÜt conta.in Hazardous Mâ'terials?:..., & NO
If YES, see B.
If NO, continue with SECTION 4.
/::;;;
B. Are any of the hazar~ous materials a bona fide Trade Secret YES~
If No, complete a separate hazardous materials inventory
form marked: NON-TRADE SECRETS ONLY (white form #4A-1)
If Yes, complete a hazardous materials inventory form marked:
TRADE SECRETS ONLY (yelJow form #L.!A-2) in addition to the non-trade
secret form, List only the trade secrets on 'form 4A-2.
SECTION 4: PRIVATE FIRE PROTECTION
/..¡/E #~þ~ ..>eÞe/f,4L ~xr//vG (..//5'Jle/(5 t7I!C/¡;,e/fl / t~(j11 r't! I:J
ttJ/t/ ~p7(C/~e;? ry ¿?/( 9/)
SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS
~ s..E,Ct!//(I!/~/( 0/;; ¿¿?T
~-'---~
~-----._~-
~
--- .-------
SECTION 6: LOCATJON OF UTILITY SHUT-OFFS AT THIS UNIT ONLY,
A, NAT. GAS!PROPAN~~
B. ELECTRICAL:
I,IV S /I t:7,.o Á/ e 5" T tv .11 (., l-
C, WATER: ~ /IS T S' J¿¡e 0/:: £:, P T
__-_-""""'=_~_. __._~~ -4 _-
D. SPECIAL:
E, LOCK BOX: YES ,e IF YES, LOCATION:
IF YES. SITE PLANS? YES / NO
FLOOR PLANS? YES / NO
MSDSs? YES' NO
KEYS? YES! ~O
o
~-
..
- 38 -
-
.......... c)!
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Page
.J
FACILITY UNIT #
UNIT NAME
'j~t¡.t;;'r...J/--r c;:;o..-....,- -:7...7./&;;' -/ ."
5??/¿?.5"'C77- . ..~..~ ""/ .5?9 3&7 0/ 0 rOFFICIAL USE CFIRS CODE
1 ONLY
1 2 3 4 5 6 7:1 8 9 / 10
TYPE MAX ANNUAJ, CONT USE LOCATION IN THIIS % BY HAZARD D.O.T
,CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT!/ WT. CHEMICAL OR COMMON NAME CODE GUIDE
~~ 7qp~e-' d (/ / /0/ /V¿?/lt"'# ð'þt'priP"t" ~ /f S J) ç à rLGS
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~. .fro 'hi lflJ ¡V~/I-rµ ¿.¿7T :.·.r'. tv/l/S'T t?/C- -{:;-'f)\'" Ft.? Cl
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NAME: ~AÆ/l' ?ve/!c/)9 TITLE: .P1ßk#6e/'f I SIGNATURE:~~~=;>~.&'·L '.-. DATE: /j-z.-'7-f?1
_ __ _A .. Jj _ A _ --
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BAKERSFIELD C1TY FIRE
'I
F'ORM 4A-l
,.
NON-TRADE SECRETS
11
HAZARDOUS MATERIALS INVENTORY
:\
OWNER. NAME ¿. ¿/,ý~A/¡;'t?t?¡;t7
ADDRESS :'I ~ F AC I L ITY
CITY. Z I pF
DEPARTMENT
#
D
I
BUSINESS
ADDRESS:
CITY, ZIP
3
PHONE # BUS HOURS
AFTER BUS HRS:
PHONE # BUS HOURS
AFTER BUS HRS:
/fo,
.. ....;.-~
""'~
I{
TITLE
EMERGENCY CONTACT: ~~~~t1
PRINCIPAL BUSINESS ACTIVITY: .f"é"/?¿'~
CONTACT
EMERGENCY
P.o.,-l 01 -L P'O'"
FOt'" "'p>toved OMII No. 2OS0-0012
Name
'Owner/Operlltor
Name
M.II ...dd'M,
Facility Identfllcltlon
N.....
St,.., ...dd'M.
elly
Tier Two
EMEAOENCY
AND
HAZARDOUS
CHEMICAL
INVENTORY
Ten; tOl"'
I -'0>' I "6 :\.~
Till.
Phone
N.....
Phone
LA, lor'i330toi
CD·a I I-I I I LJ
Oun a e"d
Nurtlt>et
I~I;L""W
10'
SIC Code
FOR
OFFICIAL
USE
ONLY
Sl'ttilic
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by Chlmicol
Hr
Hr.
24
24
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Phone
O.t. ~acalved
e
J."u.ry , to 0..,.",1>tr 3
Storage Codes and Locations
(Non-Confidential)
Storage '.Locations
F,om
Reporllng PerIod
Inventory
Avg. No. 01
Dally DIlYs
'Amount On-slle
(code) (day')
Mllx.
Dilly,
Amount
(code)
Physical
and Health
Hazards,
Ict>ee~ .11 ,,,., .",,'YI
R,ad all inslructiollS b,
Description
¡m{Jor/aM
Chemica
eM ¡¡AJ r
'PAV
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Code
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Stornge
[01'>1 ~ 131~1~1
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Sud<IetI R.,....
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R..ctMty
¡( Immtdl". "C\l1t
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TroM 0
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CAS
Chem, Name
r
v.
iQŒ) ~ 13161.-1 I
[rJD:J I1II
~FI"
:~r:::lu~:I"'.
R...u.lty
~ Immedl.1t (,cult),
~ o...yed (chronlc
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Ihol OPpl1: P",. MI. Solid liquid e..
o rn 0 sT::,~D
e.. \ \ ~\eo.cLed
O~.^e..
Name
CAS
Chern
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§FI"
Sudd.n ~.'....
Of P'...ur.
n"cUvlty
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Oll.yed /chronl.,
o æl 0
Solid liquid 0..
- --
CD 0 Trld. 0
SK'lt
~
MI.
o
Pure
CAS
Chern. Name
ChIC. 01/
Ihol opply:
(Çl!eek one)
EJ "... .".chad I ,II. pl.n
I h.., .".ched 11111 01 ,II.
coordinate .bbt.Y¡ltlonl
Opllonal Attachments
1"'Chad docu....ntl, .nd Ih.1 baled
,~u, ,t.,t1anð C()I'r.pl.,..
3- 2 -,-:f9
c.te "9"""
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Cerllllclllon (Rlod o~d Ii!" ollt' compl"ift! 0/1 II(lion
I _Illy under pen.lty 01 I.w Ih.11 h... _,,,,,.lIy ..."'Ined .nd .'" I.mlller with the Inlorm.llon
øn Inqurry 01 thote Indlvldu.r. '"ØOftllbll¡/Ot 001.,,,,"0' Ih. In'OfmIlIOf't, 'bill..,.. Ihll 'he
e (, éi J e N ~() ex.-
Name aNJ oll,eJ,. tltll oj ow".,/,) ..,;tn- C'tI t1'N"'Pt'Oe>erJ.IO'
,v.
,,,p,,,,,"'11II1
Aulho,llf'd
o
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SOlid
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M..
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Pure
Chicle 011
rhol OPpl1:
e
e
.
. Jø( S~ell 011 Company
. ~~~.
H~,j/V
~~ ~
~
p,o, Box 4848
511 N, Brookhurst Street
Anaheim, California 92803
FEBRUARY 9, 1990
~ ~f2://
~~//
'"
/
RALPH HUEY
CITY OF BAKERSFIELD FIRE DEPARTMENT
2130 "G" STREET
BAKERSFIELD, CA 93301
-.- -~ ---
-- -'----.. .-
- .-..-- ----
Dear Mr. Huey:
Please find enclosed a listing of the service stations, under your
department's jurisdiction, which are within the Los Angeles East
District of Shell Oil Company. I would like to request that the mailing
address (for purposes related to the Business Emergency Plan) at these
stations be changed to reflect the following location:
SHELL OIL COMPANY /~-~
511 North Brookhurst Street ~()-CL~
Anaheim, CA 92803 éY~cr
ATTN: LAE District
Please contact me at (800) 447-4355, ext. 3347 if you have any questions
or are in need of further information regarding these sites.
Very Truly Yours,
enclosure
;:0/
//
.
/p
Rage No.
/02/09/90
/
1
-
ADDRESS
SHELL STATIONS IN CITY OF BAKERSFIELD
~OO ~ITE LN/EL POTRERO
y5L1ò3605 ...,ROSEDALE/HWY 99
.-5-2-12a~10LIVE DR/HWY 99
¿;?Lf33700 ' \.M)iNG RD/REAL
¡..fd,l3130 ~ENTYFOURTH/OAK
j!f-fl 1.01 S _ -"gæ.oN/BRUNDAGE
~-7q t 3623 -e-ALIFORNIA/REAL
1 Q'-ìsq 1130 IJL\eù:_GAK ST/CALIFORNIA
~--
-"1- -''''_._-~~~~-~
CITY
BAKERSFIELD
BAKERSFI.ELD
BAKERSFIELD
BAKERSFIELD
BAKERSFIELD
BAKERSFIELD
BAKERSFIELD
BAKERSFIELD
~ ----
ST ZIP
CA 93304 CIFD BAKERSF
CA 93308 CIFD BAKERSF
CA 93308 CIFD BAKERSF
CA 93309 CIFD BAKERSF
CA 93301 CIFD BAKERSF
CA 93307 CIFD BAKERSF
CA 93309 CIFD BAKERSF
CA 93304 CIFD BAKERSF
~ _ ~. ;";~' 4:~
Please see EXA. on page C of the folder for instructions prior t¡Ampletion of this form,
This form shalJWTYPED or LEGIBLY PRINTED IN INK. Return t~mpleted original.
FACILITY UNIT
¡
HAZARDOUS MATERIAL INVENTORY
D TRADE 8ECRET D SITE MAP AnACHED
Page
of c:Q
REPORTING PERIOD
1/1 to 12/31 19-9..0.-
ZIP CODE
24-HOUR TElEPHONE ~
SAME
24·HOUR TELEPHONE ~
SAME
5541
TYPE DAYS ON SITE STORAGE CODE
o Gas o Pure ~ Mixture o Waste 365 B
ANNUAL AMOUNT (WASTE ONLY) USE CODE
OFT' o LB o GAL OFT' 22
PAVEMENT
1. TOLUENE
2 XYLENE
3. B
% Wt 0.,..25
% WI 0.,..25
% WI 0.,..5
CAS. # 108.,..88-3
CAS. # 1330.,.20-7
CAS. # 7j ,..43-2
COMMON NAME
STATE WASTE
CODE ~
SU 2000
PHYSICAL HAZARDS
PHYSICAL STATE TYPE DAYS ON SITE STORAGE CODE
o Gas o Pure [2g Mixture o Waste 365 B
UNIT ANNUAL AMOUNT (WASTE ONLY) USE CODE
o GAL OFT' OLB o GAL OFT' 22
1.
2.
3.
% Wt 0.,.25
% Wt 0..,.25
% Wt 0-::5
CAS, # 108-88-3
CAS. # 1330-20-7
CAS # 71-43,..2
STATE WASTE
CODE #
COMMON NAME
RU 2000
PHYSICAL HAZARDS
PHYSICAL STATE TYPE DAYS ON SITE STORAGE CODE
OGas o Pure rn Mixture o Waste 365 B
UNIT ANNUAL AMOUNT (WASTE ONLY) USE CODE
OFT' OLB OGAL OFT' 22
PAVEMENT
1. TOLUENE % Wt 0.,..25 CAS, # 108 -88 - 3
2. XYLENE % Wt 0.,.25 CAS, # 1330-20-7
3, % Wt 0 -:: CAS, # 1 .,. 4 ~ .,. 2
CERTIFICATION: I certify under penalty of law that I have personally examined and am familiar with the information
submitted and believe the submitted information is true, accurate, and complete.
," PRINT NAME OF DOCUMENT PREPARER PRINT NAME OF OWNER/OPERATOR IGNATURE 0 OWNER/OPERATOR DATE
~ULJE A. McQUEEN
OFFICIAL DIV
USE ONLY
BN
3/1/90
ISSUED
REC'D
INSP II
TOTAL QUANTITY
FEE GROUP
Do 01
DATE
Os OP
BY
OA-
LD.#
,576 (Rev. 12/69)
.~-!- - -:;. ~,~
Pleas: see EXAa on page C of the folder for instructions prior &mpletion of this form,
ThIs form shall be TYPED or LEGISL Y PRINTED IN INK. Return Wc;omPleted original.
LOS ANGELES COUNTY FIRE DEPARTMENT
HAZARDOUS MATERIAL INVENTORY
SUPPLEMENTAL
o TRADE SECRET o SITE MAP ATTACHED
Page -.L__ of --.1__
F A.CILlTY UNIT
REPORTIIIG PERIOD
1 / 1 to 1 2/31 1 S .9-º--
i TELEP"OI,)!: . -.--
i( ~e:Ærl~Th.(¡ß
ZIP CODE
BUSINESS NAME
STATE
CA
UNIT
I CAS. ~
! MIXTURE
J TYPE I DAYS 011 SITE
n Pure ~ Mixture 0 Waste I 365
ANNUAL A MOJrJT ¡WASTE ONL Yi ulm
S~;'ì=: V''¡~ST=
CeDE II
COMMON NAME
PHYSICAL STATE
j S"'!'tJR':'GE CúDE
,
o Gas
B
! USE CODE
o LB 0 GAL 0 FT'
LOCATION OF CHEMICAL
o LB ! 0 GA.L 0 FT' , 45
1. USED LUBR I,'CAT J.'NG OIL
2. I.NERT F IL TERS
3. WATER
% Wt 1-:99
% Wt 1-::99
% WI O~1
CAS # MIXTURE
CAS. # MIXTURE
CAS # 77 32- 1 8 - 5
COMMON NAME
I CAS. #
ì
¡ ¿;;;J :J.l.S;::
,
o Gas
i TYPE
¡ 0 Pure 0 Mixture 0 Waste
¡ ANNJ!\L AMOUNT ¡WASTE ONLY; UNIT
I .
o LB ! 0 GAL
DAYS ON SITE
! STOR;'SE CODf.:
PHYSICAL HAZARDS
PHYSICAl. STA.TE
UNIT
¡ USE" CODE
i
WASTE CLASS
o LB I 0 GAL 0 FP
LOCATION OF CHEMICÞ c
OFT'
2.
3.
% WI CAS. #
% Wt CAS #
% WI CAS. #
CAS, ~
COMMON NAME
o Gas
TYPE I DAYS ON SITE
o Pure 0 Mixture 0 Waste
ANNUAL AMOUNT ¡WASTE ONLY) UNIT
; 5T,toTE VVASTE
i CODE.
i
\ STORAGE CODE
i
¡
PHYSICAL HAZARDS
PHYSICAL STATE
WASTE CLASS
o LB I 0 GAL 0 FP
LOCATION OF CHEMICAL
OLB
o GAL
I USE CODE
OFT'
UNIT
1.
2
3.
% Wt
% Wt
% WI
CAS, I!
CAS. I!
CAS. #
PHYSICAL HAZARDS
PHYSICAL STATE
TYPE
o Pure 0 Mixture 0 Waste
ANNUAL AMOUNT (WASTE ONLY) UNIT
STATE WASTE
CODE #
COMMON NAME
o Gas
, STORAGE CODE
I
USE CODE
,WASTE CLASS
o LB 0 GAL 0 FT'
LOCATION OF CHEMICAL
o LB 0 GAL
1. % Wt CAS. #
2, % Wt CAS #
3 % Wt CAS. #
579 (Rev 12/89)
;.- . ~:
.
.
-
INVENTORY CODES
24. STORAGE CODES
A - Aboveground Tank
B - Underground Tank
C - Tank Inside Building
D - Steel Drum
E - Plastic/Non-Metallic Drum
F - Can
G - Carboy
H - Silo
I - Fiber Drum
01. Additive
02. Adhesive
03. Aerosol
04. Anesthetic
05. Bactericide
06. Blasting
07. Carrier/Processing Solvent
08. Catalyst
09. Cleaning
10. Coolant
11. Cooling
12. Distillation
13. Drilling
14. Drying
15. Emulsifier
16. Etching
17. Experimental
J - Bag
K - Box
L - Cylinder
M - Glass Bottles/Jugs
N - Plastic Bottles/ Jugs
o - Tote Bin
P - Tank Wagon.
Q - Rail Car
R - Other
28. USE CODES
18. Fabrication
19. Fertilizer
20. Finished Product
21. Formulation
22. Fuel
23. Fungicide
24. Grinding
25. Heating
26. Herbicide
27. Insecticide
28. Instuctional
29. Lubricant
30. Medical Aid or Process
31. Neutralizer
32. Painting
33. Pesticide
34. Plating
35. Preservative
36. Intermediate Process
37. Raw Material
38. Refining
39. Sealer
40. Spraying
41. Sterilizer
42. Storage
43. Stripper
44. Washing
45. Waste
46. Water Treatment
47. Welding/Soldering
48. Well Injection
99. Other-Specify on
Separate Sheet
29. WASTE CLASSIFICATION
For each chemical that is a waste, enter the three letter code that best describes the waste.
TOX - Toxic
IGN - Ignitible
COR - Corrosive
REA - Reactive
EHM - Extremely Hazardous Materials
30. STORAGE PRESSURE/TEMPERATURE CODES
STORAGE PRESSURE CODE
TEMPERATURE CODE
1 Ambient Pressure
2 Greater than Ambient Pressure
3 Less than Ambient Pressure
4 Ambient Temperature
5 Greater than Ambient Temperature
6 Less than Ambient Temperature
7 Cryogenic Conditions
¡, ~
-
e
SHELL OIL COMPANY
EAST BAY DISTRICT
P. O. Box 4023 g6 ~ - s.J-(. _ () ~?!
Concor~ CA 94524
Date: 2:/5/'1 J
To: ~~ - tn.L ~ .~ 5 X ~ :3'171
\Am-¥~
From: ~iU,J ~ ~ (5\lJj bì~-~\\Y
No. of pages4-<including this page)
(510) 6ï5-6100
This Fax telephone num ber
SSN676-6100
If you do not receive all pages, please call immediately to:
(510) 675 -" G J I 'f
or
SSN 676 - (;) /"-/
~
Å¡s
gy¿
ZOO/100 IêI AG ~VN ZVH a: 0 J +-H 110 113HS
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BAKERSFIELD, CA 93303-2057
Pl£ASE MA(E CHECKS PAYABLE TO:
HALA~DO~S ~RI~LS,OtVISrON
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CITY OF BAKERSFIELD
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BAJeErtSFI,ELC. CA 93303.2057 ACCOUNT NO. HII 4 2 ~ 60 1
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CITY OF BAKERSFIELD
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pLEASE MAKe CHeC(S PAYABLE TO,
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CITY Of: BAKERSFIELD
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--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
SUTL108
Page: 1
Account Billing/Collection Activity Inquiry
================================================================================
Seq:
Acct
SSN
Name
Svc Add:
399801 Cyc St CL
Parcel:
SHELL SERVICE STATION
3130 24TH ST
Bill St: NO
Cyc: 5 Rt:
Svc CIs :e
--------------------------------------------------------------------------------
Amt due:
Lst Pmt:
Pmt Dte:
Prior
Date
01/01/93
01/01/92
01/01/91
02/15/90
5.00
-94.00
01/25/93
Bills --
Balance
5.00
0.00
0.00
0.00
Current PeriodPostings
Date
01/25/93
Amount
-94.00
Receipt #
65104
Type Desc
99 PAYMENT
===================:============================================================
Enter 'I' For Billing History, 'P' To Print Report, 'D' For Detail Page, or
'/C' For Credit and Deposit History or 'XX' To Exit .
ALT-F10 HELP I ADDS VP I FDX I 9600 E71 I LOG CLOSED I PRT OFF I CR CR
/
,,~.~" -I- O?¡;;~ "
-~., . !
,¡
/
.
..
., /-
BAKERSFIELD CITY FIRE DEPARTMENT &
2130 "G" STREET
BAKERSFIELD, CA 93301
(805) 326-3979 Jd3 ~ \ ~.
'5
.,
¡,.' -'!'
.
OFFICIAL USE ONLY
RECE\VED
AUG 5 1987
Ans'd............
JJJPS-
ID#
USINESS NAME
5~
~.
./
~>___~- ;-. - ,c
HAZARDOUS MATERIALS
BUSINESS PLAN AS A WHOLE
FORM 2A
INSTRUCTIONS:
1. To avoid further action, return this form by
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be as brief and concise as possible.
~
SECTION 1: BUSINESS IDENTIFICATION DATA J'
C!5Á /-. "D íJ
_,_ _ ~.,~:'- B,U~INESS,NAME: It'./#//'t: ¿/1/Vt:. ,')/I~¿ C- (LW(A1(Jåð1XJ{ ~.
~--=-=~-~-~~:;o,..,'~~_~-~-",-=- ~ ~_~ U
B. LOCATION / STREET ADDRESS: -Z-~(:7ð -W;#;;T~.:Z:/z/;-'--· .---, :~- - . '~--~'- "","--.
CITY: /3/JA'cAçj:::-/e¿.!) ZIP: 91']C/t( BUS.PHONE: (ý~5J'. ??3/t:7 r'C1L
SECTION 2: EMERGENCY NOTIFICATIONS
In case of an emergency involving the release or threatened release of a
hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify
your local fire department and the State Office of Emergency Services as required by
law.
EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY:
NAME AND TITLE
A. /~,J:?/V /( tPl/.¿/({!/ /J
DURING BUS. HRS.
Ph# R.7/ 176-17 L
AFTER BUS. HRS.
Ph# ?-:J vvt YR
B . ¡/f / e-/( /llYN ¡t//{ IJ
Ph# "3? Z "3J Z "Z- Ph# 9' '3/ "J pi f?'?
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
.,~ ~"
A, NAT. GAS/PROPANE: ,
B. ELECTRICAL: /71/LJ¿;¿e ¿7r: ij e5' ì Á./gt.. (,... //V 5".#¿7~
C. WATER: £;;s T .I ¿~.L7 é7~ ¿ c> T
D. SPECIAL:
E. LOCK BOX: YES / ~ IF YES, LOCATION:
IF YES, DOES IT CONTAIN SITE PLANS? YES / NO
FLOOR PLANS? YES / NO
.-
'"
MSDSS? YES / NO
KEYS? YES / .NO
2A -
- r .- -
.
.
'- ~ ~~- '. > -~
~.. ~~".,~\
~ -- "';~!Ì _ / \
,
fi·
i'
, ~,
,-
~~
- ::î { ,. .
SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE
SECTION 5: LOCAL EMERGENCY MEDICAL ASSIST~~CE FOR YOUR BUSINESS AS A WHOLE
.
~:. -
-.,.
SECTION 6: EMPLOYEE TRAINING
EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND
REFRESHER TRAINING IN THE FOLLOWING AREAS.
CIRCLE YES OR NO
A. METHODS FOR SAFE HANDLING OF HAZARDOUS
MATERIALS: . . . -. . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . .
B. PROCEDURES FOR COORDINATING ACTIVITIES
WITH RESPONSE AGENCIES:..........................
C. PROPER USE OF SAFETY EQUIPMENT: . . . . . . . . . . . . . . . , . .
D. EMERGENCY EVACUATION PROCEDURES: . . . . . . . . . . . . . . . . .
E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:.......
INITIAL
REFRESHER
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
-YES NO
YES NO
SECTION 7: HAZARDOUS MATERIAL
",
CIRCLE YES OR NO
DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A
SOLID. 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ,.. ... YES NO
~:<'~~~~~~'-- --
.___-.~ . . ___~-~~~. , certifY that the above information is accurate..
I understand that this information will be used to fulfill my firm's obligations under
the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95
Sec. 25500 Et AI.) and that inaccurate information constitutes perjury.
SIGNATURE
TITLE
DATE
- 2B -
ót- . "iJl-/~+~¿';-&71~Shetl CITY of BAKERSFIELD
, - ... - ,~AZARDOUS MATERIALS INVENTORY
Farm and Agtlculture [] Standard BusIness ~
,. . NON-TRADE SECRETS Page ___ of _
BUSINíSS NAMe tL¡ve:IJ/;tfô d. ' .:t:/Jc., OWNER NAME: De ( L.ì ve tJ'7DO,^ NAME OF THIS FACILITY: idA it.. ÚtJle SÁ.ell - ...;p
L~CAT ON' ¿bDD 1~Y\ife LA¡.Jt!. ADDRESS' ~1 íl'l-PIWI'I,/IIO STANDARD IND. CLASS CODE:
ßHM~ ~~P: (3~;~:(/%;~ 9:3304- ~Rò~~ ~~P: ^5;~:~'.%~g DUN AND BRADSTREET NUMBER--m----------
REFER TOJ:7ilSmUCTIONS rUH fJROPER CODES - - - -
1 2 3 5 7 8 9 10 12 U
Tr~ns Ty~e Max Annual·' . Dys Cont Cont Cont loc~t¡'on Whe~e Na~es of foIixture{çol!ln.onents
Co e - Co e S S ·
on Ite Type Press Temp tore In FacI Ity See Instruc Ions
36 01 JJ. c.ð{'µer 0 $ cJ... 2600 6ctsolJrJ-e.
1'1¡f.fvæ Component., Name & C.A,S. Number
o Reactivity ~elayed 0 Suddi!n Release
Health of Pressure
!\~
O Component.2 Name & C,A.S, Number
Immediate
Health
Component.3 Name & C,A,S. Number
Ú ID DO Õ
Physical 80d Health Halard
(Check all that apply,
~re Hazard [] Reactivity
fJDe Jayed 0 SUddfn Re I ease
Health 0 Pressure
o Reactivity
..Qrõ.;layed 0 SUddf" Release
Health 0 Pressure
.w. c.o(Ñfl,( 0
Component.1 Name & C,A,S, Number
D. Component 12 Name & C,A,S, Number
Immediate
Health
Component 13 Name & C,A.S, Number
N~ /;J c.ð-rAJU 0 f If> 1-
Name & C,A,S, Number
d(,>6 (,'µe
1°0 Sk!!
O Component.2 Name & C,A.S, Number
Immediate .
Health
Component.3 Name & C,A.S. Number
5Aell ~o-f(),... 0,'/
O ,Component'2 Name & C,A,S. Number
ImmedIate
Health
Component.3 Name & C.A,S, Number
EMERGENCY CONTACTS # 1 eìll 1'1t:7/1Q/)ev 3l6../7( tf #2
flãme ntl e Z41fr phone me
Íertififatjo~ fReed and $ign Bfier cçmp7eting {:l7 7 sections]
certl y under penalty. 0 la~ th~t I have persona Iy exam¡nâQ O~d 8m familIar with the informatIon $ubmitte~ in this ond all
attaçhed .dQCU.llents, anij t at based O.n alY Inquiry Q those In lVlduals responsible for obtaining the InformatIon, I belIeVe ;ha7 the .
submltt,~d l,nfOrllatlo~IS true, accurate, and cOllplete. uJ~
~W:/!I~/,~¡ tIt Ie I~~~~tro¿:!stor UH o\lner~~~~q ;u~r1Zed representat 1Ve S1gñãture
'-
o Fire Hazard
o De !ayed 0 suddfn Re I ease
Health 0 Pressure
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Component' 1 Name & C,A,S, Number
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Hazardous Materials Inspection ,
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Plan ID # 215-000
(Top right comer Business Plan)
Station No.
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Shift
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Irispector vJ A+-k ,I\) S . 1-\<.0 f.-
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Number of Employees ~
Verification of Haz Mat Training
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Verification of Abatement Supplies & Procedures
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Comments:
oK Em"\"g""~ Procedures Pœted
Containers Properly Labeled
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. Verificatio~ of Facility ~agrarn
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SpeCial Hazards Associated with this Facility:
,
Violations:
FD 1652 (Rev, 3-89)
White-Haz Mat Div, Yellow-Station Copy Pink·Business Office
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Geotechnical
Specialists
HAZARDOUS MATERIALS
BUSINESS PLAN
Presented by:
White Lane Shell
(Li vingood, Inc.)
2600 White Lane
Bakersfield, California 93304
r~ BHI57A BH BH BH
590rl~BH 1IH BH BH BH BH BH I ¡to tit ~1
00 Jt=:jH'" '00 '0; '" 'œ '" '" ,,,. tlr:-J
::: ~ --(I U 11 /'FJ~é~-:~~,H~ll -. - b ~<ff' ,'/~ '-'~~'~'l-----~~I_~,
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1.064,OOOE !,066,CIOOÊ 1,068,OOOE 1.070,000E ~ J,072,00 ~ I \074000 1,076,OOOE 1,078,000E
BH
--~ ìJS-S90
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560
540
-- - 520
460
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1.080.000E
o 1000
.:>'::AlE IN FEt:
2000
--- --............
Krazan & associates, inc.
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HAZARDOUS MATERIALS
BUSINESS PLAN
Presented to:
Bakersfield City Fire Department
by:
White Lane Shell
(Livingood, Inc.)
2600 White Lane
Bakersfield, Calfornia 93304
Prepared by:
Krazan « Associates, Inc.
3860 North Winery Avenue
Fresno, California 93726
(209) 291-7337
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CONTENTS
BUSINESS PLAN .
Emergency Response Plan and Procedure
Hazardous Materials Training for Employees
APPENDICES
Summary of Business Plan Requirements
General Information and Employee Training Program
Introduction to Material Safety Data Sheets (MSDS) ,
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BAKERSFIELD err! FIRE DEP^R~ENT
2130 "G" STREET
BAKERSFIELD. CA 93301
(305) 326-3979
OFFICIAL USE ONLY
ID:t
Bl.:S IXESS ~A.'1E
HAZARDOUS MATERIALS
BUSINESS PLAN AS A WHOLE
FORM 2A
INSTRUCTIONS:
1. To avoid further action. return this fo~m by
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Ans~er the questions below for the business as a whole.
4. Be as brier and concise as possible.
SECTION 1: BUSINESS IDENTIFICATION DATA
A. BUS INESS NAME: W hit e Lan e She 11 (L i vi n q 0 0 dIn c . )
B. LOCATION I STREET ADDRESS: 2600 White Lane
CITY: Bakersfield
ZIP: 93304
BUS. PHONE: (8 0 5 ) 8 3 1 - 0 5 0 2
SECTION 2: . EMERGENCY NOTIFICATIONS
In case dfan emergency involving the release or threatened release of a
hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify
your local fire department and the State Office of Emergency Services as required by
law.
E~PLOYEES TO NOTIFY IN CASE OF E~ERGENCY:
NAME AND TITLE I L~.-r/~7hr:;,. DUR~'lG BUS. HRS. A3TJE_BY~ ,HJ?$.
A.. .lim Kel'1llt:LÌ'Y 8,/ /J,I+efiLbk.a.Nd . Ph;;~9' Ph;/: ~~87& 'Y.
B. Rick Howard
Ph#32?-31??
Ph#: 1,;1 S EI ¡;¡ lit ,;,¡.
3q~- fb237.
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WROLE
A. ~AT. GAS/PROPANE: See page 3B
B. ELECTRICAL:
C. WATER:
D. SPECIAL:
E. LOCK BOX: YES / NO IF YES, LOCATION:
IF YES. DOES IT CONTAIX SITE PLANS? YES / ~O
FLOOR PLA~S? YES / ~O
~SDSS? YES / NO
KEYS? YES / NO
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E~PLCYE~S ARE REQCIRED TO HAVE A ?ROGRA~ WHICH PROVIDES ~~PLOYEES WITH ¡~ITIAL A~D
REFRESHER TRAIXI~G I~ THE FOLLOWr~G AREAS.
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CIRCLZ YES - ~o - NONE ,,' -, I
DOES 'iovÏi "3ès r:;ESS HAXDLE HAZARDOr;S :,!ATERIAL I.:'-iQ!jAXTI7ES LESS '1::.4:: .'500 pocms OF A
SOLID~ 55, 9f},~ONS OF .\ LIQUID. OR 200 CGBIC FEET OF A CO~PRESSé:D GAS:...... YES ® I
t: '>'D"ø~ . certify that the above info,..tio" is accurate.
r under'sta:ad that his infor'mation will be used to fulfill my firm's obligations under'
the new California Health and Safety code on Hazardous ~aterials (Div. 20 Chapter 6.951
Sec. 25500 Et AI.) and that inaccur'ate information constitutes perjury. '
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Sí:T7TO:-ll: p~ [vyr:: :<Espn:ISE 1'E.\;.1 r:OR Br;SI::ESS AS A ~mOL:::
SEE ATTACHED EMERGENCY RESPONSE PLAN & PROCEDURES
SEClIO:! :):
LOC.~L E:·ŒRGEXCY ~EDIC.-\L\SS rSTA~C~ 5'OR vmm 3USI:'iESS AS .\ ~iHOLE
./
Bakersfield
420 34th St
Bakersfield
327-1729
Memorial Hospital
Kern Medical Center
1830 Flower St
Bakersfield
326-2000
SECTION 6:
EMPLOYEE TRAINING
CIRCLE YES OR :10
A. ~ETHODS FOR SAFE HA~DLI~G OF HAZARDOCS
~lATER L\LS: . . . . . . . . . . . , . . . . , . . . . , . . . . . . . . . . . . . . . ., (fÐ :;0
ß. PROCEDCRES cOR COORDINATI:1G ACTIVITIES
\HTH RESPO~SE AGE::¡CIES: . . . . . . . , . .. . . , . . . . . . . , . . , 'IE :\0
C. PROPER USE OF SAFETY EQUIP~EXT:............,..... E NO
D, E~ERGE~CY EVAC~ATIO~ PROCZDC~ES:",.",..,...".,' .E~ ::0
E. DO 'roc ~IAClT.,'d:1 E)IPLOYEE TRAI~ING RECORDS:,...... S ~O
IXITIAL
REFRESHER
~ ~jQ
:\0
~O
::0
NO
SECTION 7:
HAZARDOUS ~TERIAL
'·S[G:;.\TLRE~ ~
TITLE
;;;¡;:Yì\.)v.~ATE 7 2 7 ff~
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BAKERSFIELD CITY F:RE D~PART~Œ~T
2130 "G" STREET
BAKERSFIELD, C^ 93301
Or-FICIAL ~SE OXLY
ID#
------
BUS I~:ESS ~:A\IF.::
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM SA
INSTRUCTIONS
1. To avoid further action. this form must be returned by:
2, TYPE.'?RPiT YOUR A~S\\iERS IN ENGLISH.
3. An$\~er the question$ below for THE ~ACILITY ~XIT LISTED EELOW
4. Be as ßRr~F and CO~CISE as possible.
FACILITY U?-1IT:
FACILITY {JNIT NAME:' White Lane Shell
SECTION 1: MITIGATION, PREVE~lION, ABATEMENT PROCEDURES
SEE ATTACHED EMERGENCY RESPONSE PLAN & PROCEDURES
SECTION 2: NOTIFICATION AND EVACUATIO~ PROCEDT;RES AT THIS L~IT O~:LY
SEE ATTACHED EMERGENCY RESPONSE PLAN & PROCEDURES
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IF Y~S. SI~E ?l~XS?
FLOOR PL..\~:S?
~,' >:0
Qs;I / ~O
~(SDSs?
KEYS?
([fj).' .. C
: J... .\ J
YES /@
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SECTIO~ 3: HAZARDOUS ~fATERrALS pOR THIS r;NIT ONLY
A. Does this Facility Unit contain Hazardous Materia!:>?..... (ii;> NO
If YES, see B.
If ~O, continue with SECTION 4.
B. Are any of the hazardous materials a bona fide Trade Secret YES ~
If No, complete a separate hazardous materials inventory
form marked: NON-TRADE SECRETS ONLY (white form ~4A-l)
If Yes, complete a hazardous materials inventory form marked:
TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade
~ecret form. List only the trade secrets on form 4:\-2.
SECTION 4: PRIVATE FIRE PROTECTIO~
Fire extinguishers:
1. Located in office (center of building)
2. Located in service bay
SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY E~ERGENCY RESPONDERS
Hydrant located on northwest corner of White Lane &
E1 Potrero Lane (southeast corner of site)
SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS ~IT O~LY,
A. XAT. GASiPROP^~E~
N/A
ß, ELECTRIC.-\L:
Service panel located inside service bay on west wall
C. \'lATER:
In sidewalk fronting El Potrero Lane just noitheast of
dispenser. island
0, SPECI.-\L:
Emergency pump shut-off on outside south wall between
sales area and service bay doors
E. LOCK BOX: YES / ~o IF YES, LOCATION:
Binder in cashiers booth.
-:- :33 -
- - - ~ER"'Er.~T·Y~E øARøT - - -
FORM 4A-l
NON-TRADE SECRETS
HAZARDOUS MATERIALS INVENTORY
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Page _ ,,{
DUSINESS NAME: W~ite Lðne Shell
ADDRESS: 2600 White Lane
CITY, ZIP: Bakersfield, CA 93304
OWNER NAME:npl I ;v;ngnnrl FACILITY UNIT ~:
ADDRESS: 3623 California Ave FACILITY UNIT NAME:204046105
CITY,ZIP:Bakersfield, CA 93309
PHONE #: (805) 831-0502 PHONE #: (805) 589-3990 (OFFICIAL USE CFIRS r.nn¡::
ONLY
1 2 3 4 5 6 7 8 9 10 .
TYPE M!\X ANNUAL CONT USE LOCATION IN THIS % BY HAZARD ' . Ii r
~ODE AMOUNT A ~fO U N T UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE I~~l!!j~
Northwest corner of
M 1 n n n n, ?'innnn r, A I nl 1 q c:: ; t p h ph; n d h II ; 1 d; n a 100 Shell Reau1ar Gasoline FLLO
R. U. 2000 -- - -
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M 10.000 500.000 GAL 01 1 9 II II 100 Reqular Unleaded FLLQ
,So U. 2000
M 10.000 250,000 GAL 01 1 9 II II 100 Super. Unleaded FLLQ
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North end of site
W221 550 1,000 GAL 01 40 behind buildinq 100 Waste Oil ORME
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Storeroom ; n east
M 500 2,000 GAL 10 26 side of building 100 Motor Oil CMLQ
M 100 500 GAL 1 0 26 II II 100 Transmission Fluid CMLQ
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M 100 750 GAL 1 0 09 II II 100 Anti-freeze CMLQ
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NAME: c)d)~-2/>~z.~ TITLE: ðÞ.d -y- 0pAfl~ SIGNATÚRE: Dß!./. ./~ -e; .J DATE: '7 2..-7 8'17
UIERG ENCY CON T Rr: T : Jim Kennedy v TITLE: Manager PHONE?' BUS HOURS: 831-0502
AFTER BUS HRS: 835-8749
PHONE # BUS HOURS: 322-3122
AF T E R.. BUS H R s: 3 2 5 - 9 5 9 5
E~IERGENCY ,CONTACT: Ri ck Howard T·ITLE: Manager
t"RJNCIP^L BUSINESS ACTIVITY: 'Auto Service &Gãs Sales
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KRAZAN
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ASSOCIAtES
,
IN C.
Construction Testing and Inspection
Geotechnical Investigations
Environmental Engineering
Laboratory Soils Testing
Monitoring Wells
EMERGENCY RESPONSE PLAN & PROCEDURES
1. Prevention:
This station incorporates several features which offer a reasonable
level of protection against a hazardous material release or spill. Features
such as: emergency shut-offs, vapor recovery, leak detection systems, and
approved tanks and. containers help to prevent or minimize releases. Regular
testing and certification of tanks, product lines and dispensers as well as
inventory records are used to verify tne integrity of the fuel storage and
deli very systems.
2. Reporting and Notification:
In the event of a spill or release of a hazardous material, regardless of
SIze, the event will be reported immediately to the station's designated
emergency response coordinator.
The coordinator will determine if the spill or release is reportable to
the appropriate emergency response agencies. Threatened releases will also
be reported if it is determined that a significant threat to individual safety,
property or the environment is present. If a release is determined to be
reportable, this person will immediately contact the emergency response
agencies. The agencies and their telephone numbers are:
911 for
326-3979 for
Police, Fire Department & Medical
City of Bakersfield Fire Department Hazardous
Materials Control Unit
California Office of Emergency Service,
warning center, or (916) 427-4341
(800) 852-7550 for
Main Office: Fresno/Clovis · 3860 N, Winery · Fresno, California 93726 . (209) 291·7337
Bakersfield (805) 393-2343 0 Visalia (209) 625-8251 0 Merced (209) 383-3993
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The immediate reporting shall include, as a minimum:
1. the exact location of the release or threatened release
2. the name of the person reporting the release
3. the hazardous materials involved in the release
4. an estimate of the quantity of hazardous material involved; and
5. if known, the potential hazards presented by the hazardo¡;.;,:i
materiai involved in the release. .
3. Mitigation:
If the spill, release or threatened release is determined to be minor,
and therefore non-reportable, service station employees will immediately
commence clean-up and containment of the spill or release, and carry out all
necessary action to mitigate the release in accordance with standard service
station mop-up procedure. These procedures include but are not limited to
use of an appropriate absorbant and/or cleaner on spills of gasoline, oils,
sol vents, etc.
Coincident with reporting, employees with emergency response training
will take whatever measures are appropriate to assist the emergency
response agency and offer the bene~it of their knowledge of the station and
its contents.
4. Evacuation:
Should it become necessary to evacuate the station, the order will be
given verbally to evacuate to off-site location indicated on site diagram.
5. Medical Assistance:
All employees in need of medical assistance should be transported to
Mercy Hospital or Bakersfield Memorial Hospital. If the injury involves
exposure to a hazardous material, a copy of the appropriate Material Safety
Data Sheét (MSDS) shall accompany the effected person to the hospital.
6. Additional Information:
Telephone numbers for Emergency Response agencies and applicable
MSDS's are located in the cashier's station.
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KRAZAN
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AS S 0 C I A' E S ,
I N C.
Construction Testing and Inspection
Geotechnical Investigations
Environmental Engineering
Laboratory Soils Testing
Monitoring Wells
HAZARDOUS MATERIAL TRAINING FOR EMPLOYEES
1) All employees will be trained in the contents of the Business Plan,
Emergency Response Plan and Procedures (ERP&P), and Material Safety Data
Sheets (MSDS).
2) All trai~ing will be documented by employee's signature on a training session
sIgn up sheet. This record of training will be maintained by Station Manager.
3) New employees will be trained on Hazardous Materials Emergency Response
Procedures prior to working with hazardous substances.
4) Employees who handle hazardous materials will be trained in the safe
handling of hazardous material, and appropriate emergency response actions.
5) Employees will receive training on the location and proper use of on-site
emergency response equipment.
6) Personnel responsible for incident reporting will receive special training with
regard to the reporting of releases or threatened releases of hazardous
materials as described in the ERP&P.
7) Refresher training will be done on an annual basis and will encompass all
aspects of the Business Plan, ERP&P, MSDS, and all facets of training listed
above.
Main Office: Fresno/Clovis · 3860 N. Winery · Fresno, California 93726 · (209) 291-7337.
Bakersfield (805) 393-2343 0 Visalia (209) 625-8251 0 Merced (209) 383-3993
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I APPENDICES
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BUSINESS PLAN REQUIREMENTS
SHELL OIL SERVICE STATIONS
(City of Bakersfield Fire Jurisdiction)
Serviée station businesses are required by law to provide hazardous material
information (Business Plans) to local health and safety agencies. Following is a brief
outline of City of Bakersfield Fire Department requirements.
The Complete business Plan Includes the Following Forms
· Hazardous Materials Business Plan (Forms 2A and 3A)
· Hazardous Materials Inventory (Form 4A-1)
· Site Map and Facility Diagram (Form 5)
Hazardous Materiàls to be Registered Include:
· Gasoline, solvents, and waste oil, in quantities at or above 55 gallons
Business Requirements - Initial Compliance
· File Plan within 30 days of notification from City of Bakersfield Fire Dept.
- File one copy with Fire Department
- Fees: Sliding scale, billed after submittal
· Copy of Plan to be kept at business
· Copy of Material Safety and Data Sheet to be kept at business
· Conduct and document Employee Safety Training
-New employee hazardous material handling
-New employee emergency response training
-Annual refresher
Business requirements - Continued Compliance
· Bi-annual Business Plan review
· Annual Hazardous Material Inventory Form update
· 30-day notification of major changes iñ business activity
- 100% increase in volume of regulated material
- Storing a new regulated material
- Change of business name, address, ownership or emergency
contact person, or business closure
- Other business operation changes
Release Reporting Procedures
· Must report significant releases immediately to
- City of Bakersfield Fire Department
- California Office of Emergency Services 800-852-7550
- Local fire department
· Must provide access for emergency response personnel
Please Note: This business plan requirement summary was derived from City of Bakersfield Fire
Department Guidelines and business plan forms distributed June, 1988 and is not meant as a substitute for
these guidelines. For more detailed information, please refer to the specified guidelines, and forms.
IKRAZAN
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ASSOCIA'ES,
IN C.
Construction Testing and Inspection
Geotechnical Investigations
Environmental Engineering
Laboratory Soils Testing
Monitoring Wells
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INTRODUCTION
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In 1985, the California Legislature enacted Assembly Bill 2185, the
Hazardous Materials Release Response Plans and Inventory Law. It became
effective immediately when Governor Deukmejian signed the bill on September
28, 1985.
In January of 1986, the California Office of Emergency Services (OES)
issued. emergency regulations that, in conjunction with AB 2185, requires
handlers of hazardous materials to report releases or threatened releases to the
local administrative agency and the OES. Provisions of AB 2185 require every
county to designate an administrative agency to implement· a hazardous
materials program. In some counties, certain cities have assumed authority for
their own programs.
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BUSINESS PLANS
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In addition to the reporting of a release or threatened release of a
hazardous material, businesses that handle hazardous materials are required to
submit, a business plan. The business plan consists of:
1) Specific details of the business, including
description of business, and 24-hour emergency contact
ownership, address,
information for the
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business.
2) An inventory of the hazardous materials on site.
3) A site plan of the business
4) Emergency response procedures In the event of a release or
threatened release of a hazardous material
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Main Office: Fresno/Clovis · 3860 N. Winery · Fresno, California 93726 · (209) 291-7337
Bakersfield (805) 393-2343 0 Visalia (209) 625-8251 0 Merced (209) 383·3993
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5) Procedures for immediate notification of releases to the
administrative agency and QES
6) Procedures for the mitigation, minimization, prevention, and
abatement of a hazard resulting from a release
7) E vacua tion plans and procedures for the business site
8) Training for employees who handle hazardous materials to include the
safe handling of such materials and proper emergency response procedures in
the event of a release or threatened release
Who must file
Any business which handles a quantity of a hazardous material at anyone
time during the reporting year equal to at least a total weight of 500 pounds or
a total volume of 55 gallons, or 200 cubic feeet of a compressed gas at
standard temperature and pressure (STP).
HAZARDOUS MATERIALS
According to the definition given in AB 2185,
" 'Hazardous material' means any material that, because of its.
quantity, concentration, or physical or chemical characteristics,
poses a significant present or potential hazard to human health
and safety or to the environment if released into the workplace
or the environment..."
EMPLOYEE TRAINING
Businesses that handle hazardous materials, and are not exempt from filing
a Business Plan, must provide and document employee training in safety
prodecures in handling hazardous materials and in the event of a release or
threatened release of a hazardous material. Training should be undertaken a
soon as possible for existing employees and before any new employees handle
any hazardous material.
Employee training must be documented and signed by the employee. This
documentation should be maintained by the station manager and should be made
available in the event the administering agency conducts an inspection.
(2)
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Training must include, but need not be limited to:
1. Methods of safe handling of hazar.dous materials. Several sections of the
Material Safety Data Sheets (MSDS) pertain to the safe handling of hazardous
materials. It is recommended that the employee reads a representative sample of
,
MSDS's (i.e., those corresponding to the products on site). The appropriate
OSHA Hazard Communication Program also will satisfy training requirements of
the business plan.
2. Procedures for coordination with local emergency agencies. The station
manager or a designated emergency response coordinator (ERC) should be on
duty during all business hours. If it is likely that only one person is on duty at
any time, that person should be a designated ERC and should undergo the
appropriate training.
It is the responsibility of the ERC to determine if the release or
threatened release is reportable.
Please note that, according to California Administrative Code, Title 19,
Section 2703:
"Immediate reporting shall not be required if 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."
This definition of a reportable release is fairly broad and the ERC should
exercise caution in his/her determination as to whether a release is reportable.
3. Use of on-site emergency response equipment and supplies. If, in the event
there is a release of a hazardous material, and the ERC has determined the
release to be minor and therefore does not warrant reporting, the ERC will
direct employees to commence cleanup and containment. Proper equipment and
supplies for this action are outlined in the correct MSDS. Emergency equipment
and supplies for a gasoline station include, but are not limited to: fire
extinguishèrs, absorbants, neutralizers, sand, and underground tank leak
detection monitors. Also included should be personnel protective and safety
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equipment such as gloves, safety ,glasses, face shield, and first aid kits/first aid
station.
4. The business Emergency Response Plan and Procedures. All employees
should be familiar with the contents of the Business Plan. The employee should
read and understand the Emergency Response Plan and Procedures, MSDS, and
all other aspects of the Business Plan.
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KRAZAN
, ASS 0 C I A fE S ,
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Construction Testing and Inspection
Geotechnical 'Investigations
Environmental Engineering
Laboratory Soils Testing
Monitoring Wells
MATERIAL SAFETY OAT A SHEETS (MSDS)
Material Safety Data Sheets (MSDS) are a valuable tool in hazardous
material handling.
A considerable amount of information is· contained In the MSDS. Of
particular importance to the service station employee are:
Section III
Section V
Section VIII
Section X
Section XI
Section XII
Health Information
Emergency & First Aid Procedure
Fire & Explosion Hazard
Employee Protection
Environmental Protection
Special Precautions
It is recommended that all employees who handle hazardous materials (e.g.,
gasoline, oil, waste oil) become familiar with the Business Plan, Emergency
Response Plan & Procedures, and MSDS. A copy of these items should be placed
in a conspicuous location, accompanied by the names and telephone numbers of
the appropriate emergency response agencies.
Main Office: Fresno/Clovis · 3860 N. Winery · Fresno, California 93726 . (209) 291-7337
Bakersfield (805) 393-2343 D Visalia (209) 625-8251 D Merced (209) 383-3993