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Home My WebLink AboutBUSINESS PLAN l-~~ :~~~LE: I ~ '2 ' ~ N4-/'J)e.:, mA~Ke-T GKP&Iì-- ~Þ.rTG: 7/71 B 7 fW Ty t..rI\M /;;: '5'ftME 5tT6 'DIA6eAN\ V . ~ "" ~ ~ & -t. , ,." ~ ... -" 4:' " I. <. ) .;: '-' ',~ ~ r" \~ , I , I F D - hl2E 9e-Píf n' Î' -.. - - \"~a..~AJ :~ - ¡::e IVCÆ; j A - G,.,rrt.t . @) - vJ .4TE'R- ; I j@ - G-AS I ~" - &L6c('I-I G I 1 b - WJ\-í~ ¡ H7D~~ " ''\'Y\'''WI~ 2 600 WI 6L6- (LO §3\Q6"Cø I F I S"03 7 ",. '" ,_...". '.. - '" J' W£~'f FAtfL \,....()\A.I\GG . ~~T FAìfL ~ i ' ", L-IQù¿)fL I I I I , . i I I I ¡ ! Ie}. Ill! 'oj I-.. f :,.' .- (~ n--. I Ù' ')--.. f ; "3 I~: :t ...11 leal - t2 / - n Z + .... -~ - I I L if I I ¡ :1 ¡ !, i I I ~_I i~ . ~$\ ~ j.rv:Jolii 0 \'4) - - I '. 11 ,1\1 f"\ '1 '2 ~.:1 tlVW (ñ)\\J ( COI\I\~WT'G ') - 60\fð'R-f'J~~^J'T tA.~e ÓN"L.Y _ , .. .. . llJ "< ~ ....l )1 vm - , ,.I , ' /I' . 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MARKET EXPRESS-WIBLE SiteID: 015-021-000503 Manager : .~ Location: 2500 WIBLE RD City BAKERSFIELD BusPhone: Map : 123 Grid: 11D (661) 831-9561 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code:5541 DunnBrad: Emergency Contact ABDUL·AZIZ Business Pþone: 24-Hour Phone : Pager Phone : / Title Emergency Contact . / OWNER AMIN AHMAD (661) 831-9561x Business Phone: (661) 827-9411x 24-Hour Phone : (66i.) -264 4800:x: ~O'4~~ Pager Phone : Hazmat Hazards: Fire / Title / OWNER (661) 831- 9561x (661) - x - -- ~r-nn r6 tJJ. J tk5, ..:. L£ (.; 1? .3 ImmHlth DelHlth Contact : ABDUL AZIZ MailAddr: 5004 GREENVILLE CT City : BAKERSFIELD Owner ABDUL AZIZ Address : 5004 GREENVILLE CT City : BAKERSFIELD Period : Preparer: Certif'd: ParcelNo: to Phone: (661) 827-9411x State: CA Zip : 93313 Phone: (661) 827-9411x State: CA Zip : 93313 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Emergency Directives: . .-,p tft (kA Do hereby certify that I have 1, (TypoOtprlntnam8)~~~!dOUS materials manage- reviewed the attac e ~R~ M~~ and that it along with ment plan for_ (Name of Business) . ftute a complete and correct man- any corrections cons I . agement plan for my facility. fiÞJD - - ogja1'/!!t- Date Signawre . -1- 08/27/2004 .~ e e " ... F MARKET EXPRESS-WIBLE SiteID: 015-021-000503 9 STORAGE CONTAINER DATA (S FORM A) U T Last Action Type: FACILITY/SITE INFORMATION Business Name: MARKET EXPRESS-WIBLE Cross Street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : AMIN AHMAD Phone: (661) 831-9561x Address: City : State: Zip: Type : CORPORATION TANK OWNER INFORMATION Name : AMIN AHMAD Phone: (661) 831-9561x Address: City : State: Zip: Type : BOE UST Fee# : 032884 Financ'l Resp: SELF INSURED Legal Notif : Property Owner Mailing Address Date:10/16/2001 Phone: (661) 827-9411x Name:ABDUL AZIZ Ttl:OWNER State UST # : 1998 Upg Cert#: 00742 -2- 08/27/2004 " F MARKET EXPRESS-WIBLE f= Hazmat Inventory p== MCP+DailyMax Order e e SiteID: 015-021-000503 9 By Facility Unit 9 Fixed Containers on Site 9 Hazmat Common Name... 1 SpecHaz EPA Hazards F F F IH DH IH DH IH DH REGULAR UNLEADED PREMIUM UNLEADED DIESEL DailyMax MCP L 12000.00 GAL Mod L 12000.00 GAL Mod 12000.00 GAL Low ...---- ?~ ~\ J.~ f' e./ '^^ ' ù yv'V (ì {2'EJ L)V\ \ecJeòl P (&E£) ~ -3- 08/27/2004 " e e \, " F MARKET EXPRESS-WIBLE f= Inventory Item 0001 === COMMON NAME / CHEMICAL NAME REGULAR UNLEADED SiteID: 015-021-000503 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit UNDERGROUND TANK Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 12000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Daily Average 5000.00 GAL ! I I %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.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -4- 08/27/2004 .. e e 'Ï; ,. F MARKET EXPRESS-WIBLE SiteID: 015-021-000503 ì f= Inventory Item 0001 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: UNDERGROUND TANK TANK DESCRIPTION Tank ID#: 1 Mfr: MODERN WELD Installed: 04/1987 Capacity: 12000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL Matl Name:REGULAR UNLEADED TANK CONTENTS Petrol Type: REGULAR UNLEADED Cas #: 8006-61-9 TANK CONSTRUCTION Type : SINGLE WALL W/EXTERIOR LINER Material(p): STEEL CLAD W/FIBERGLASS R. P. Material(s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Cerr Pret: FIBERGLASS REINFORCED Spill Cnt : 1987 Drop Tube : 1987 Striker Plate: 1987 PLASTIC Alarm : Ball Float : Fill Tube S/O: TANK LEAK DETECTION Sgl Wall: AUTOMATIC TANK GAUGING Dbl Wall: Installed: Installed: Exempt: No 1987 o Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -5- 08/27/2004 e e F MARKET EXPRESS-WIBLE SiteID: 015-021-000503 ì f= Inventory Item 0001 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B ~nd AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping PRESSURE LINED TRENCH Type : Const: Mfgr : Mtl : & : Corr : Prot : AboveGround Piping FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 05/11/2004 Date: 04/26/2000 Name:GARY CHARMAN Prmt Number: 0503 DISPENSER CONTAINMENT Type: DISP. PAN LIQUID SENSOR & ALARM OWNER/OPERATOR SIGNATURE Ttl:VP Approved: Yes AGENCY DEFINED Expiration Date: 06/30/2006 TANK/LINE TEST : CP CERT. : MANWAY INSP. : 07/01/1999 UST MONIT. CERT:05/11/2004 -6- 08/27/2004 ,;,; e e i, ,> F MARKET EXPRESS-WIBLE f= Inventory Item 0002 F== COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED SiteID: 015-021-000503 9 Facility Unit: Fixed Containers on Site 9 Location within this Facility Unit UNDERGROUND TANK Days On Site 365 Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 12000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Daily Average 5000.00 GAL %Wt. RS CAS# 100.00 Gasoline No 8006619 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies 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.DefinelO: - Ag.Define11 -7- 08/27/2004 l' e e ¡, F MARKET EXPRESS-WIBLE SiteID: 015-021-000503 ì f= Inventory Item 0002 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: UNDERGROUND TANK TANK DESCRIPTION Tank ID#: 2 Mfr: MODERN WELD Installed: 04/1987 Capacity: 12000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL MatI Name:PREMIUM UNLEADED TANK CONTENTS Petrol Type: PREMIUM UNLEADED Cas #: 8006-61-9 TANK CONSTRUCTION Type : SINGLE WALL W/EXTERIOR LINER Material(p): STEEL CLAD W/FIBERGLASS R. P. Material(s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1987 Drop Tube : 1987 Striker Plate: 1987 PLASTIC Alarm : Ball Float : Fill Tube S/O: TANK LEAK DETECTION Sgl Wall: AUTOMATIC TANK GAUGING Dbl Wall: Installed: Installed: Exempt: No 1987 o Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -8- 08/27/2004 ", 0> e e F MARKET EXPRESS-WIBLE SiteID: 015-021-000503 9 f= Inventory Item 0002 Facility Unit: Fixed Containers on Site 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping PRESSURE LINED TRENCH Type : Const: Mfgr : Mtl : & : Corr : Prot : AboveGround Piping FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 05/11/2004 Date: 04/26/2000 Name:GARY CHARMAN Prmt Number: 0503 DISPENSER CONTAINMENT Type: DISP. PAN LIQUID SENSOR & ALARM OWNER/OPERATOR SIGNATURE Ttl:VP Approved: Yes AGENCY DEFINED Expiration Date: 06/30/2006 TANK/LINE TEST : CP CERT. : MANWAY INSP. : 07/01/1999 UST MONIT. CERT:05/11/2004 -9- 08/27/2004 '. e e (7" " F MARKET EXPRESS-WIBLE f= Inventory Item 0003 === COMMON NAME / CHEMICAL NAME DIESEL SiteID: 015-021-000503 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit UNDERGROUND TANK Map: Grid: CAS# r= STATE =r=MI~~~r~ PRESSURE ===r TEMPERATURE ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum 12000.00 GAL 12000.00 GAL CONTAINER TYPE UNDER GROUND TANK Daily Average 5000.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Fuel Oil No. 1 No 70892103 ZAR E T TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low HA D ASS SSMEN S 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- 08/27/2004 ,. . e e ~ . " -; F MARKET EXPRESS-WIBLE SiteID: 015-021-000503 9 f= Inventory Item 0003 Facility Unit: Fixed Containers on Site 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: UNDERGROUND TANK TANK DESCRIPTION Tank ID#: 3 Mfr: MODERN WELD Installed: 04/1987 Capacity: 12000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL MatI Name:DIESEL TANK CONTENTS Petrol Type: DIESEL Cas #: TANK CONSTRUCTION Type : SINGLE WALL W/EXTERIOR LINER Material(p): STEEL CLAD W/FIBERGLASS R. P. Material(s) : Lining : UNLINED Corr Prot: COATING Spill Cnt : 0 Drop Tube : Striker Plate: TANK LEAK Sgl Wall: AUTOMATIC TANK GAUGING Alarm : Ball Float : Fill Tube S/O: DETECTION Dbl Wall: Installed: Installed: Exempt: No o Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -11- 08/27/2004 ,j: ,; e . F MARKET EXPRESS-WIBLE SiteID: 015-021-000503 ì 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 PRESSURE LINED TRENCH AboveGround Piping Type: Const: Mfgr : Mtl : & : Corr : Prot : FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 05/11/2004 Date: 04/26/2000 Name: GARY CHARMAN Prmt Number: 0503 DISPENSER CONTAINMENT Type: DISP. PAN LIQUID SENSOR & ALARM OWNER/OPERATOR SIGNATURE Ttl:VP Approved: Yes AGENCY DEFINED Expiration Date: 06/30/2006 TANK/LINE TEST : CP CERT. : MANWAY INSP. : 07/01/1999 UST MONIT. CERT:05/11/2004 -12- 08/27/2004 -~ :y MARKET EXPRESS-WIBLE . . ,.r--~.-'- - 'l' ~~._- .--.. '- SiteID: 015-021-000503 _.Î : ----- '" Manager : Location: 2500 WIBLE RD City BAKERSFIELD CommCode: BAKERSFIELD STATION 07 EPA Numb: - ~ '\.~~') ~~"\ BusPhone: Map : 123 Grid: lID (661) 831-9561 CommHaz : Low FacUnits: 1 AOV: SIC Code:5541 DunnBrad: Emergency Contact ABDUL AZIZ Business Phone: 24-Hour Phone : Pager Phone : / Title / OWNER (661) 831-9561x (661) 827-9411x (661) 204-4800x Emergency Contact AMIN AHMAD Business Phone: 24-Hour Phone : Pager Phone : / Title / OWNER (661) 831- 9561x (661) - x (661) 204-2580x Hazmat Hazards: Fire ImmHlth DelHlth Period : Preparer: Certif'd: ParcelNo: to Phone: (661) 827-9411x State: CA Zip : 93313 Phone: (661) 827-9411x State: CA Zip : 93313 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : ABDUL AZIZ MailAddr: 5004 GREENVILLE CT City : BAKERSFIELD Owner ABDUL AZIZ Address : 5004 GREENVILLE CT City : BAKERSFIELD Emergency Directives: I, -{\ ßiJól, Ç\ "7,:J 2- Do hereby certify that ; hd\l0' (Typ$ or print name) reviewed the attached hazardous matørials manage- ment p~n f«»r ~RYC(-1 G~~R~.s and that it along with (Nfmø Gf 8uaInesS) any corredions consiitute a complete and correct man- agemeffl plan for my facility. ~ Signa1vre () qJ:: I()~ -1- 09/09/2003 i' .i' - - Manager : Location: 2500 WIBLE RD City BAKERSFIELD ~- /l ~----.. ..---- - .j \ /------ SiteID: 015-021-000503 MARKET EXPRESS-WIBLE BusPhone: Map : 123 Grid: lID (661) 831-9561 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code:5541 DunnBrad: Emergency Contact / Title Emergency Contact 1 \:) Title JIN B1Œ Aß,~uL, A Z:r.2/ OWNER GARY.. CHAPMAN Ç'\(Y\-:l.\\.) ,(\1-\ Ç\ OWNER 2, 1\ q S 6 I Business Phone: (661) 831-9561x Business Phone: (661) 327 7212x 24-Hour Phone : (661) 665 0252xlS-:r:¡q~'1 24'"Hour Phone : (661) ~x 0101.\.15 Pager Phone lC.c-tl : ( 661 ) Jö\\ - \,\g 111) x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : Ç\Q.~v L . p.., 7... '3.. '2. Phone: (661) 831-9561x MailAddr: 3940 ROSEBALE H~rY ';;¿S 0 0 W :s...ß LC:- ~D State: CA City : BAKERSFIELD Zip : 9-3-3-0 8 O¡ ~:10 \..\. Owner JIN C BAE Ç\Q,.~vL Ç\ -z. -::L ""2- Phone: (661) 831-9561x Address : 321 WINDSOR PARK DR '50 0 1.\ CF-R.C:fC\J \lI-W-C1 State: CA City : BAKERSFIELD Zip : -9-3-3-1: 1 0¡1.~\1 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: &0 I, {\ ß{Jv l- 1\ 7... 'J:.-2- Do hereby œmfv that I have (rypa crprint næm3) reviewed the attached hazardous materials manag9c ment plan ior ~I\~r~ 1 G~f(u:~ ~ and thai it along with (Name of BusiMaa) any corrections constitute a complete and corrøct man~ agement plan for my facility. ~ Signature \ 0 - \ J... 0 \ ßÞ1. ~. -1- 10/12/2001 ¡, e e F MARKET EXPRESS-WIBLE SiteID: 015-021-000503 9 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: MARKET EXPRESS-WIBLE Cross Street : Business Type: Org Type: Total Tanks : IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : GARY CH1.\PMZ\N Ç\ß\JuL. (42.:¡'-z. 'I1-AfI\1..~,\\I1~~\J Phone: (661) 327-7212x Address: d..s,0l) w 3.-ß\...( - ~ \J ~3\ q Sb I City : (\.í\\t(..R\f J..F-Ln State: cJ+- Zip: q1 ~ D4 Type : CORPOR.1\.TION r \XRl !'S(.R¡,I-\-¡f' TANK OWNER INFORMATION Name : GARY CHAPMAN Ç\~~QL Ç\ 2'3-- "Z... ~ f\ ffi.J. C\) , Î-\ \\ ff\{\ ~ Phone: (661) 3-27 7212x Address: ~1 \ ot s 6 J City : State: Zip: Type : BOE UST Fee# : 032884 Finane I I Resp: SELF INSURED Legal Notif : Property Owner Mailing Address Date: Phone: ( ) - x Name:MARGE Ttl: State UST # : 1998 Upg Cert#: 00742 f= Hazmat Inventory One Unified List 9 f== Alphabetical Order All Materials at Site 9 Hazmat Common Name. . . specHaZEPA Hazards Frm I DailyMax UnitMCP DIESEL F IH DH 12000.00 GAL Low PREMIUM UNLEADED F IH DH L 12000.00 GAL Mod REGULAR UNLEADED F IH DH L 12000.00 GAL Mod -2- 10/12/2001 " e e F MARKET EXPRESS-WIBLE f= Inventory Item 0003 === COMMON NAME / CHEMICAL NAME DIESEL SiteID: 015-021-000503 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UNDERGROUND TANK Map: Grid: CAS# r= STATE =r=MI~~~r~ PRESSURE ===r TEMPERATURE ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum 12000.00 GAL 12000.00 GAL CONTAINER TYPE UNDER GROUND TANK Daily Average 5000.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Fuel Oil No. 1 No 70892103 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low f= Inventory Item 0002 F= COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UNDERGROUND TANK Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 5000.00 GAL AMOUNTS AT THIS LOCATION HAZARDOUS COMPONENTS Gr] CAS # I 8006619 I 1~~~ooIGa801ine TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod . HAZARD ASSESSMENTS -3- 10/12/2001 .' '. e e F MARKET EXPRESS-WIBLE p= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME REGULAR UNLEADED SiteID: 015-021-000503 ì Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit UNDERGROUND TANK Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 12000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Daily Average 5000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # I 8006619 HAZARD A E MEN TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod SS SS TS -4- 10/12/2001 ,. r, e e F MARKET EXPRESS-WIBLE I p= Notif./Evacuation/Medical r=: Agency Notification CALL 911. Employee Notif./Evacuation SiteID: 015-021-000503 ì Fast Format ì Overall Site ì 03/19/19981 11/21/2000 Public Notif./Evacuation 11/21/2000 VERBAL COMMANDS, EVACUATE OR REMAIN AS SITUATION DEEMS NECESSARY THEN CALL CALL 911. THEN EVACUATE EMPLOYEES AND CUSTOMERS IF DEEMED NECESSARY TO CLOSEST SAFETY AND NOTIFY EMERGENCY HAZARDOUS MATERIALS TEAM. Emergency Medical Plan 03/19/1998 1 CLOSEST EMERGENCY FACILITIES. -5- 10/12/2001 " '. e e F MARKE~ EXPRESS-WIBLE I p= Mitigation/Prevent/Abatemt Release Prevention SiteID: 015-021-000503 9 Fast Format 9 Overall Site ì 11/21/2000 CALL 911 FOR FIRE DEPT OR APPROPRIATE AGENCY. EVACUATE EMPLOYEES AND CUSTOMERS IF NECESSARY. ALL HAZARDOUS MATERIAL IS PROPERLY STORED. r=:: Release Containment I FUEL KEPT IN UNDERGROUND STORAGE TANKS. Clean Up 03/19/19981 06/26/1992 SMALL SPILLS CLEAN UP WITH DRY ABSORBENT MATERIAL, LARGE SPILLS WOULD CALL AND ENVIRONMENTAL CLEAN UP COMPANY. Other Resource Activation -6- 10/12/2001 ~I. - !t; e e SiteID: 015-021-000503 ì Fast Format ì Overall Site ì I F MARKET EXPRESS-WIBLE I f= Site Emergency Factors ~ Special Hazards Utility Shut-Offs 03/19/1998 A) GAS - W SIDE OF BLDG B) ELECTRICAL - SE CORNER C) WATER - SE LARSON LN D) SPECIAL - NONE E) LOCK BOX - NO INSIDE BLDG Fire Protec./Avail. Water 11/21/2000 PRIVATE FIRE PROTECTION - FEDERATED INSURANCE/SUN VALLEY OIL ROGER SALTON INSURANCE AGENCY. FIRE EXTINGUISHERS. FIRE HYDRANT - NE CORNER OF WILSON & WIBLE RDS. Building Occupancy Level -7- 10/12/2001 l~ ., e F MARKET EXPRESS-WIBLE I F Training Employee Training WE HAVE 10 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. e SiteID: 015-021-000503 ì Fast Format ì Overall Site ì 11/21/2000 BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES TRAINED AND FAMILAR WITH EMERGENCY PROCEDURES. 1) READ AND FAMILARIZE YOURSELF WITH HAZARDOUS MATERIALS/AND LOCATION, LISTED ON ATTACHED SHEET. 2) ALWAYS WASH HANDS WHEN YOU COME IN CONTACT WITH ANY OF LISTED MATERIALS. 3) NO SMOKING AROUND OPEN CONTAINERS, OR ON GASOLINE ISLANDS. 4) IN THE EVENT OF AN EMERGENCY THAT WOULD REQUIRE ADDITIONAL HELP, CALL 911 TO REPORT. 5) CALL STORE EMERGENCY CONTACT TO REPORT ANY ACCIDENTS OR EMERGENCIES. Page 2 [ I I Held for Future Use Held for Future Use -8- 10/12/2001 "" . , .¡ '- " ,e MARKET EXPRESS-WIBLE ~ ð . SiteID: 015-021-000503 Manager : Location: 2500 WIBLE RD City BAKERSFIELD BusPhone: Map : 123 Grid: lID (805) 831-9561 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code:5541 DunnBrad: JI Emergency Contact / Title Emergency Contact / Title ''''" X~ ~:<'P.i If) BAE / OWNER GARY CHAPMAN ~ OWNER Business Phone~(~ 831-9561x Business Phone: 327-7212x 24-Hour Phone i1J¡C &&s+ ~ $) 18-'Cx 24-Hour Phone :It;, s::ë5") 393-7918x Pager Phone : ( ) 6 = ØZ$~ Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : Phone: ( ) - x MailAddr: 3940 ROSEDALE HWY State: CA City : BAKERSFIELD Zip : 93308 Owner XðYVlR TO Tr :BA~ ::rIAl ..s ß4E Phone: (805) 831-9561x Address : 7.m1 t; AVF.NTDA n..:m:r.CHO JV WIN.o..SéS!f p~kState: CA City : ~5FI:l*rD /i4/ä~¡¿ ~ñ??/d " Zip : ~""în9 9<331 J Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: I, Do hereby certify that I have 'I (Type or print name) reviewed the attached hazardous materials manage.. and that it along with ment plan for (Name of Businsss) any corrections constitute a complete and correct man.. agement plan for rAY facility. ~A~' Signature 7, //,-)1-ð 0 Date -1- 10/31/2000 ~.- - e F MARKET EXPRESS-WIBLE SiteID: 015-021-000503 1 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: MARKET EXPRESS-WIBLE Cross Street : Business Type: Org Type: Total Tanks : IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : GARY CHAPMAN Phone: (805) 327-7212x Address: City : State: . Zip: Type : CORPORATION TANK OWNER INFORMATION Name : GARY CHAPMAN Phone: (805) 327-7212x Address: City : State: Zip: Type : BOE UST Fee# : 032884 Financ'l Resp: SELF INSURED Legal Notif : Property Owner Mailing Address Date: Phone: ( ) - x Name:MARGE Ttl: State UST # : 1998 Upg Cert#: 00742 One Unified List 1 All Materials at Site 1 specHazEPA Hazards Frm I DailyMax UnitMCP F IH DH L 12000.00 GAL Mod F IH DH L 12000.00 GAL Mod F IH DH L 12000.00 GAL Mod f= Hazmat Inventory ~ As Designated Order Hazmat Common Name... GASOLINE GASOLINE GASOLINE -2- 10/31/2000 ~ e . F MARKET EXPRESS-WIBLE f= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME GASOLINE SiteID: 015-021-000503 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UNDERGROUND TANK Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 12000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Daily Average 5000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # 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 0002 F= COMMON NAME / CHEMI CAL NAME GASOLINE Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UNDERGROUND TANK Map: Grid: CAS # 8006-61-9 [ ~TA~E I TYPE -¡: P~ESSURE ~ 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 12000.00 GAL 12000.00 GAL 5000.00 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 -3- 10/31/2000 e e F MARKET EXPRESS-WIBLE p= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME GASOLINE SiteID: 015-021-000503 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UNDERGROUND TANK Map: Grid: CAS # 8006-61-9 [ ~TA~E I TYPE ~ P~ESSURE ~ 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 12000.00 GAL 12000.00 GAL 5000.00 GAL HAZARDOUS COMPONENTS ~ CAS#a006619 %wt. I 100.00 Gasoline HAZARD E MEN TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ASS SS TS -4- 10/31/2000 - e í MARKET EXPRESS-WIBLE ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000503 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j íë Notif.lEvacuationlMedical ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Agency Notification ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/19/1998 j o 0 o CALL 911. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Employee Notif.lEvacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/19/1998 i o 0 o VERBAL COMMANDS, EVACUATE OR REMAIN AS SITUATION DEEMS NECESSARY THEN o CALL 911. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Public Notif.lEvacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/19/1998 i o 0 o CALL 911. THEN EVACUATE EMPLOYEES AND CUSTOMERS IF DEEMED NECESSARY TO o CLOSEST SAFETY AND NOTIFY EMERGENCY HAZARDOUS MATERIALS TEAM. o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Emergency Medical Plan ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/19/1998 j o 0 o CLOSEST EMERGENCY FACILITIES. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf o o o -5- - e 10/31/2000 , i e e í MARKET EXPRESS-WIBLE ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000503 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast F onnat j íë Mitigation/Prevent/ Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/19/1998 j o 0 o CALL 911 FOR FIRE DEPT OR APPROPRIATE AGENCY. EVACUATE EMPLOYEES AND o CUSTOMERS IF NECESSARY. ALL HAZARDOUS MATERIAL IS PROPERLY STORED. o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/19/1998 j o 0 o FUEL KEPT IN UNDERGROUND STORAGE TANKS. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 06/26/1992 i o 0 o SMALL SPILLS CLEAN UP WITH DRY ABSORBENT MATERIAL, LARGE SPILLS WOULD CALL 0 o AND ENVIRONMENTAL CLEAN UP COMPANY. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -6- 10/31/2000 ...' " e e í MARKET EXPRESS-WIBLE ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000503 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format i íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i íëë Special lIazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 ·0 o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/19/1998 j o 0 o A) GAS - W SIDE OF BLDG o B) ELECTRICAL - SE CORNER INSIDE BLDG o C) WATER - SE LARSON LN o D) SPECIAL - NONE o E) LOCK BOX - NO o o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Fire Protec./Avail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/19/1998 ¡ o 0 o PRIVATE FIRE PROTECTION - FEDERATED INSURANCE/SUN VALLEY OIL ROGER SALTON o INSURANCE AGENCY. FIRE EXTINGUISIIERS. 0 o o o o o o o o FIRE IIYDRANT - NE CORNER OF WILSON & WIBLE RDS. o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ '0 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -7- 10/31/2000 ... .- ~ -~ -- e í MARKET EXPRESS-WIBLE ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000503 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/19/1998 j o 0 o WE HAVE 10 EMPLOYEES AT THIS FACILITY. o o o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. o o o o BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES TRAINED AND FAMILAR WITH 0 o EMERGENCY PROCEDURES. 0 o 1) READ AND FAMILARIZE YOURSELF WITH HAZARDOUS MATERIALS/AND LOCATION, o LISTED ON ATTACHED SHEET. 0 02) ALWAYS WASH HANDS WHEN YOU COME IN CONTACT WITH ANY OF LISTED MATERIALS. 0 o 3) NO SMOKING AROUND OPEN CONTAINERS, OR ON GASOLINE ISLANDS. 0 o 4) IN THE EVENT OF AN EMERGENCY THAT WOULD REQUIRE ADDITIONAL HELP - CALL 0 o 911 TO REPORT. 0 o 5) CALL STORE EMERGENCY CONTACT TO REPORT ANY ACCIDENTS OR EMERGENCIES. o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë j o 0 o o âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë j o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -8- 10/31/2000 ....-~ -'-"'--:-..¡ MARKET EXPRESS #2 ED Mf\R/l\8 1998 / - /j.~. ßY: =- - SiteID: 215-000-000503 Manager : Location: 2500 WIBLE RD City BAKERSFIELD / BusPhone: Map : 123 Grid: lID (805) 831-9561 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code:5541 DunnBrad: :ßmergency Contact / Title Emergency Contact / Title XAVERIO BAE / OWNER GARY CHAPMAN / OWNER Business Phone: (805)' 831-9561x Business Phone: (805) 327-7212x 24-Hour Phone : (805) 836-9406x 24-Hour Phone : (805) 393-7918x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Emergency Directives: F Hazmat Inventory ~ MCP+DailyMax Order All One Unified List ì Materials at Site ì DailyMax unitlMCP 12000 GAL Mod 12000 GAL Mod 12000 GAL Mod Hazmat Common Name... specHazEPA Hazards Frm I GASOLINE GASOLINE GASOLINE F F F IH DH IH DH IH DH L L L ~9 X A (é~ I ù It. ßAé¡õo h@r~by CIDrti~ ~hat ! have (TVp3 or ¡MInt f1Qffl:) r~ñ~ws@ ~OO a~hoo h&srdous ma~eri~l$ manage- , /11 ~(;..:r t:.< /¡¿CJ5 tJ Îð Ie- m®n~ ~Ian ~@V' âlOO ~hSl~ õ~ ~loV'l@ with (/iI!romo 04lSuclnooo) , any oorredions OOU1Sti~lUtS a oomplets ~rB«21 OOITsd man- ~smsí1t pl@\n 1@U' M1f ~iliiy. ¡;¿' ~ ~{.....,... L L..L/ S:gna!IJfÐ . ~ /-/<! -,J1-- Date ' -1- 03/18/1998 e - F MARKET EXPRESS #2 p= Inventory Item 0001 F= COMMON NAME / CHEMICAL NAME GASOLINE SiteID: 215-000-000503 ì Facility Unit: Fixed Conta~ners on Site ì Days On Site 365 Location within this Facility Unit UNDERGROUND TANK Map: Grid: CAS # 8006-61-9 STATE -·TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Daily Average 5000.00 GAL HAZARDOUS COMPONENTS .~ CAS#a006619 I %Wt. I 100.00 Gasoline HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod p= Inventory Item 0002 F= COMMON NAME / CHEMICAL NAME GASOLINE Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UNDERGROUND TANK Map: Grid: CAS # 8006-61-9 [ ~TA~E I TYPE ~ P~ESSURE ---r TEM~ERATURE I CONTAINER TYPE =L1qu1d __pure ~mb1ent ---1 Amb1ent ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum ' Daily Average GAL 12000.00 GAL 5000.00 GAL I %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 -2- 03/18/1998 e - F MARKET EXPRESS #2 f= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME GASOLINE SiteID: 215-000-000503 l Facility Unit: Fixed Containers on Site l Location within this' Facility Unit UNDERGROUND TANK Days On Site 365 Map: Grid: CAS # 8006-61-9 STATE Liquid TYPE Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Daily Average 5000.00 GAL HAZARDOU COMPONENTS %Wt. RS CAS # 100.00 Gasoline No 8006619 S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS -3- 03/18/1998 e - SiteID: 215-000-000503 ì Fast Format 1 Overall Site ì 05/07/1990 ] 05/07/1990 F MARKET EXPRESS #2 I p= Notif./Evacuation/Medical ~~:e::: Notification Employee Notif./Evacuation VERBAL COMMANDS, EVACUATE OR REMAIN AS SITUATION DEEMS NECESSARY CALL 911 Public Notif./Evacuation 05/07/1990 CALL 911 EVACUATE EMPLOYEES AND CUSTOMERS IF DEEMED NECESSARY TO CLOSEST SAFETY NOTIFY EMERGENCY HAZARDOUS MATERIALS TEAM. Emergency Medical Plan 05/07/1990 CLOSEST EMERGENCY FACILITIES ' -4- 03/18/1998 e e í MARKET EXPRESS #2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000503 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Mitigation/Prevent/Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 06/26/1992 ¡ o 0 o CALL 911 FOR FIRE DEPT. OR APPROPRIATE AGENCY. o EVACUATE EMPLOYEES AND CUSTOMERS IF NECESSARY. o ALL HAZARDOUS MATERIAL PROPERLY STORED. o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 06/26/1992 ¡ o 0 o FUEL KEPT IN UNDERGROUND STORAGE TANKS. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 06/26/1992 ¡ o 0 o SMALL SPILLS CLEAN UP WITH DRY ABSORBENT MATERIAL, LARGE SPILLS WOULD CALL o AND ENVIRONMENTAL CLEAN UP COMPANY. o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj e e -5- 03/18/1998 , e . í MARKET EXPRESS #2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000503 i íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format ¡ íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site ¡ íëë Special Hazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05/07/1990 ¡ o 0 o A) GAS - WEST SIDE OF BUILDING o B) ELECTRICAL - SOUTHEAST CORNER INSIDE BUILDING o C) WATER - SOUTHEAST LARSON LANE o D) SPECIAL - NONE o E) LOCK BOX - NO o o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Fire Protec./Avail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05/07/1990 ¡ o 0 o PRIVATE FIRE PROTECTION - FEDERATED INSURANCE/SUN VALLEY OIL ROGER SALTON 0 o INSURANCE AGENCY. FIRE EXTINGUISHERS. 0 o 0 o 0 o 0 o 0 o FIRE HYDRANT - NORTHEAST CORNER OF WILSON & WIBLE RDS. 0 o 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj -6- 03/18/1998 ~ e e í MARKET EXPRESS #2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000503 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05/07/1990 ¡ o 0 o WE HAVE 10 EMPLOYEES AT THIS FACILITY o o o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE o o o o ALL EMPLOYEES TRAINED AND FAMILAR WITH EMERGENCY PROCEDURES. o TRAINING PROGRAM: o 1) READ AND FAMILARIZE YOURSELF WITH HAZARDOUS MATERIALS/AND LOCATION, o LISTED ON ATTACHED SHEET. o 2) ALWAYS WASH HANDS WHEN YOU COME IN CONTACT WITH ANY OF LISTED MATERIALS. o 3) NO· SMOKING AROUND OPEN CONTAINERS, OR ON GASOLINE ISLANDS. o 4) IN THE EVENT OF AN EMERGENCY THAT WOULD REQUIRE ADDITIONAL HELP - CALL o 911 TO REPORT. o 5) CALL STORE EMERGENCY CONTACT TO REPORT ANY ACCIDENTS OR EMERGENCIES. o o o o o o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ 0 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -7- 03/18/1998 HAZA~DOUS MA Ti;rJàS INSPECTION -.rstield Fire Dept. Hazardous Materials Division Date Completed ¡113/J/evs Business Name: I]ìA-RI~ ¡:::-~.ßé'. :::t:t::::2.. Location: ') ~ f.) ~ hi Æ! R~L (Top of Business Plan) Business Identification No. 215-000 .l:)ð,3 Station No. ~ M.#- Shift ~ Arrival Time: Departure Time: Inspector <=- ~ /1~R J<':' Inspection Time: ~ Adequate Verification of Inventory Materials Verification of Quantities Verification of Location Proper Segregation of Material œr ~ ~ ~ Comments: r~ . .. ~erification of MSDS Ava; .. Number of Employees. Verification of Haz Mat Training ~ ~ Comments: Verification of Abatement Supplies & Procedures Comments: Inadeq~ D "'---- I:] I:] I:] I:] I:] ~ I:] Emergency Procedures Posted Containers Properly Labeled ~ W Comments: I:] I:] Verification of Facility Diagram Special Hazards Associated with this Facility: ~ I:] Violations: 1)1/ t7k ~Ke...- ~~vJ Business ONnerlManager PRINT NAME I tlÛfJ£ SIGNATURE White-Haz Mat Div Yellow-Station Copy Pink-Business Copy All Items O.K Correction Needed ~ o ¡;) S! î !!S ª a u.. " '. ..r~' .... -" ~ -.' , ö ~~~~w.[~~ MARKET EXPRESS #2 215-000-000503r AUG 3 1992 ge Overall Site with 1 Fac. Unit ¡ General Information By 1 ~ 07/28/92 ..-.--...-..-"--- Location: 2500 WIBLE RD Community: BAKERSFIELD STATION 07 Map: 123 Hazard: Low Grid: lID FlU: 1 AOV: 0.0 Contact Name XAVERIO BAE G¡a~ CY'á-(JfY\cLn Title Business Phone (805) 831-9561 x ®S) 3).Î - 7:;).)J- x 24-Hour Phone (805) 836-9406 (80S) 3q3 -71 I~ OWNER ()J)Yì-i?(' Administrative Data Mail Addrs: 3940 ROSEDALE HWY City: BAKERSFIELD Comm Code: 215-007 BAKERSFIELD STATION 07 D&B Number: State: CA Zip: 93308- SIC Code: 5541 Owner: XAVERIO K BAE Address: 7805 AVENIDA DERECHO City: BAKERSFIELD Phone: (805) 831-9561 State: CA Zip: 93309- Summary i, :ScxJCP ,V,ff,Jr ¿-ð Do hereby certify that I have . (Type CII' prim 00ffi$) reviewed the auache{~ ..." " ,.naterials manage- ment plan forfl\ad..d-~~5S/~.¡~d that it ~~ong with (Name of au ¡lieGI) any corrections c~nstituta a complete and correct man- agement plan for my facility. ~jwJ,q¡-~ . (J Signature . ~. -, 1-?:iY12- Date " - e 07/28/92 MARKET EXPRESS #2 215-000-000503 02 - Fixed Containers on Site Page 2 Hazmat Inventory Detail in Reference Number Order 02-001 GASOLINE ~ Fire, Immed H1th, Delay H1th· Liquid 36000 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 -- 36,000 I 15,000.00 1,800,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Location Ambient AmbientNE CORNER OUTSIDE - Conc l 100.0% Gasoline Components r; MCP ~List Moderate - Notes '" JacUu· .~~ dMa~~ ~ ~ M 0Jv (µ ~a:tL, cJuvyVU:Cc&J (JYv ~&0L ~~ .' - e 07/28/92 MARKET EXPRESS #2 215-000-000503 00 - Overall Site Page 3 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation VERBAL COMMANDS, EVACUATE OR REMAIN AS SITUATION DEEMS NECESSARY CALL 911 <3> Public Notif./Evacuation CALL 911 EVACUATE EMPLOYEES AND CUSTOMERS IF DEEMED NECESSARY TO CLOSEST SAFETY NOTIFY EMERGENCY HAZARDOUS MATERIALS TEAM. <4> Emergency Medical Plan CLOSEST EMERGENCY FACILITIES ) e e 07/28/92 MARKET EXPRESS #2 215-000-000503 00 - Overall Site Page 4 <E> Mitigation/Prevent/Abatemt <1> Release Prevention CALL 911 FOR FIRE 'DEPT. OR APPROPRIATE AGENCY. EVACUATE EMPLOYEES AND CUSTOMERS IF NECESSARY. ALL HAZARDOUS MATERIAL PROPERLY STORED. ~ <2> Release Containment FUEL KEPT IN UNDERGROUND STORAGE TANKS. <3> Clean Up SMALL SPILLS CLEAN UP WITH DRY ABSORBENT MATERIAL, LARGE SPILLS WOULD CALL AND ENVIRONMENTAL CLEAN UP COMPANY. ' <4> Other Resource Activation e e 07/28/92 MARKET EXPRESS #2 215-000-000503 00 - Overall Site Page 5 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - WEST SIDE OF BUILDING B) ELECTRICAL - SOUTHEAST CORNER INSIDE BUILDING C) WATER - SOUTHEAST LARSON LANE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FEDERATED INSURANCE/SUN VALLEY OIL ROGER SALTON INSURANCE AGENCY. FIRE EXTINGUISHERS. FIRE HYDRANT - NORTHEAST CORNER OF WILSON & WIBLE RDS. <4> Building Occupancy Level / .~. .-, :- ~~ Ie e 07/28/92 MARKET EXPRESS #2 215-000-000503 00 - Overall Site Page 6 <G> Training ,< 1> Page 1 WE HAVE 10 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE ALL EMPLOYEES TRAINED AND FAMILAR WITH EMERGENCY PROCEDURES. TRAINING PROGRAM: 1) READ AND FAMILARIZE YOURSELF WITH HAZARDOUS MATERIALS/AND LOCATION, LISTED ON ATTACHED SHEET,. 2) ALWAYS WASH HANDS WHEN YOU COME IN CONTACT WITH ANY OF LISTED MATERIALS. 3) NO SMOKING AROUND OPEN CONTAINERS, OR ON GASOLINE ISLANDS. 4) IN THE EVENT OF AN EMERGENCY THAT WOULD REQUIRE ADDITIONAL HELP - CALL 911 TO REPORT. 5) CALL STORE ,EMERGENCY CONTAC~ TO REPORT ANY ACCIDENTS OR EMERGENCIES. <2> Page 2 as needed ./ I I ·1 \ <3> Held for Future Use <4> Held for Future Use ! 0 Farm' and Agriculture ø standard Business CITY OF BAKERSFIELD HAZARDOUS MATERIALS INVENTORY I' ~~~~~,"r"~~ !f!teS5 #--2- CITY, ZIP: ~ f! 1;1 '1~ PHONE #: --- - - C/ 5' NON - TRADE SECRET ~:s~~k:~%~t?tC~~~o ' CITY, ZIP:J.~f?¿(. {A. 133::/1 PHONE, #: ~-=- YD r.., pageL¿r:-L '-"; ~ ~" " to NAME OF THIS FACILITY: STANDARD IND. CLASS CODE: DUN AND BRADSTREET NUMBER/FEDERAL 10 # - -- - - -- Physical and Health Hazard (Check all that apply) ~ir~ Hazard 0 Sudden Release 0 of Pressure C.A.S. Number w\, 't.tv(f 13 'Ii by wt Component ÍI 1 Name & C.A.S. :i Component II 2 Name & C.A.S. er Component II 3 Name & C.A.S. Number C. Component II 1 Name & C.A.S. ~;) Component II 2 Name '& C.A.S. N r Component II 3 Name & C.A.S. Number L Component II 1 Name & C.A.S. component II 2 Name & C.A.S. Component /I 3 Name & C.A.S. 14 Names of Mixture/Components See Instructions 1 Physical and Health Hazard (Check all that apply) "~Fi~e HazarðD Sudden Release ,of Pressure C.A.S. Number yn\ x+Vr¿ o Reactivity 0 Irmnediate ~laYed Health Health Reactivity o Irmnediate ~elaYed Health Health Physical and Health Hazard (Check all that apply) ~ire Hazard 0 Sudden Release 0 Reactivity 0 Irmnediate er<elaYed , of Pressure Health Health C.A.S. Number o m ì '(,Jl) ( ..( EMERGENCY CONTACTS #1 i'\-er Title Component II 1 Name & C.A.S. Number Component II 2 Name & C.A.S. Number Component /I 3 Name & C.A.S. Number CWj'\...e.Ý Title Physical and Health Hazard (Check all that apply) o Fire Hazard D Sudden Release 0 Reactivity 0 Irmnediate 0 Delayed of Pressure Health Health C.A.S. Number Name I certHication (READ AND SIGN AFTER COMPLETING ALL SECTIONS) I certify under peanlty of law that I haver personally examined and am' familiar with the information submitted in this and all attached documents and that based on my inquiry of those iud'vid..1. r..po..ib1. for ob'.ioi., '~. i:~orm:'i::. 1 b.1'", ,.., <he .....,""' '.fo...'i.. .. ,ro., ...or.'., ond0JPlete. -::JfiHt~ Vj[-\-í-eR'-, ·tkz -:t1iíi+ [) n 11, C1lrPJ ~ :1 ~ é)..... NAME' AND FFICIAL TITLE OF OWNER/OPERATOR' OR' C1fiNER/OPERA'!'OR (;-;:;t;ORIZED REPRESENTATIVE . ~ '-"- . . i PAYMENTS,TO:, TY OF BðK~SFIELD . ~ '\ ... 0, BhX ~05'7 t' KER::>FIELD, CA 93303-2057 " \.I ,vI A'~'J- ~I"'\'. f<'~; .J ': '\ ~~;ð T ~ 'f r ' I .-:; f ._" f'¡,~.. [)IVl'51CN e PLEASE MAKE CHECKS PAYABLE TO: . ACCOUNT NO. ;;HN404é~Ol" > "" ."-' . .~~.. . . '. '. ~...:~~~' ..f'~;»" ":" . r,.Î:,)us Ì"Iðtèri at s Han:1liry;¡fë~$. for. 011:"11111 ;::,~q,,~. ,- , '.' '." _;~~'. 13 r );' ~Il Û U .5 3 a tð n' é e ' ~A~~ r,z~,~i50'O';'~:~1 t:lE'RD: ' ',.. ... ,,{'¿~~~~~<>;'~~f:;;i~\,?:!~\.: ' . ~"."'" ¡, ',- . ..::H......·'ÄfTER·"-1'Zl'ä).J'9l" NOr·t1K~~ft'i~::\:;i51~t/,:1_.:'; ·,0:1 22/91. P <3)' ::Ien t ) C:1!:;';Y~~lt"~;7>:.:,2f;i:¡,;ff::!f~~"~!,:'i>;,,~t\~\ ,",' ,'. -' ':',' .ii", ' -,-,,-~' --, '~..:::,;:.... '''~''''".,;,',,,,,, "Ð""'~"" ,<:urf~nt Cn<tf'.ges "<'1£."'.0' r....... ~t-~.t ·Ti!J·~·'· ". J ~.' .. :,~'-'". . ...:"~~~.W~ -.:..;;:~" ,'" ;L1.:~ ~.~;~~ ,. _ é~F~"fr~~"''''~~ .~::""'~i'ìíK~~';. . , .. _ . Y -t v ,,,,··~<~~:(;..<,Q1J.O:l1':9".'" ,,__~..._..,..r ",;:,......'. ",;r¡. ''''''-~'7"~., ,,:' .,-",..,.'" : t· ,--......----- - ("":,.::: ',:::/i=<. 1:"': &'... '}:~;~:i.~~,.:t-~i':'~'J_.-fr;;O"..j~'; ::"..:¡:- ,_. -, ,) , 'TJr~t---g'At:,HK€ DUE, <) , .' ". ',~ ,.....':~\> \::~"~ (r~;~. : ¡':~' "l)~)~/ ;;;~h~¿7' ,'/ é,--;,-- ~~~' 1.- 4.00 \L '~EE"' -1"\, '(",',.','" . ... ~--:. ""'.'L. '", ~t-...-:~ -t'_.",..-~, -" r :' .; "_'__- :~:';;~':':"Þ:;'!:,>;S~~\;;Î;;::;;:,--,~c,,;'1 " - ~~ ,----" ~7-, , /'~::''';'!I';'''''',.J'<':'::' ' ' ,". ,/', '-, DIU.... lS,·OUE..UPCN REC¡:'IM'" '.,'::". " ~~~~~r..:'..~ ~-. ~~=-'-::.~. .-:--==:-~..;~~:;:-_ '';,-~'~''f~':: . .. -.; ,.._~;':.:.,.~.._...~. '_.~~J"";"~'~ ·...":.~~-~-.7..:--- "-~~~-",-;-';.-'"r,"'~; -7 _H_ .....~r.....-~ . . CITY OF BAKERSFIELD j~ 87.(J1) -87.00 'I , . --' .-..--- -_.- , ", ".. ONCERNING THIS BILL, PLEASE PHONE' . ......... . ~ . 32~79 /~'" ' ~.~- }, E NUMBER :): MARKEt fXPRfSS .2 250 {) ',.;iI alE' :i D! ~A~ERSfl~LD, CA;933D4 . ,-' . :,.. j,~ ~"~ . ¡ ,'.;; '~.'~ '=¿~~:~~.:[ :--\~~~~~~<, ..'·,,_.,.'5i..r -- "{'._, 1. Hf14048(}-1 .... ' ~ .' ,;T " " . ,.-_. LO)(g)@~cm"ÇB~~~!l._ .._.n ~:~ALLEy-O~L~~: :y. ,. -' ~~~~:.~~~~:~.~~~~,., ~"k;", lli"~-'~12~:--"- ~" -~ ·1- ·"1 3:~~~;~~~::ÁG~~ __~akerSf~~~: CA 9~3~~_-=_~'r" ~=~~~~E8K NO. 00 5120 l / ,. i I j ,..-......::¡ f""""-' C::-:J Ç-? -:--;¡ ~\ ï::.""" -,:J ~-;::1 c:--;--.. r'\ ;; t,"í"'7J "\ ' Üt: r.{ I(""':J'''., r' l' \ \ ' \ if .{1 \ f ,¡ "~.1 L1 ,,\.. ' \ ".1' PAý"~",,,,,,.....~,~.~~\.'~.~~f~H ,~~~f····~*]· ~'!~~,~:~ð"s'~..~;'ìr-~~11Y "f~UR ,~OLLARS, NO Ç.ç:NJ~,...~: . \ -,.,/ z.:::::;;./~..J J . ;..,.-' L.,~1",,-,,-,~,_L~ï-E "" G.:..:,,£! ...,,/<7- AMOUNT ijf b~~~~OF .. '.: :--...~~-,-~<"ç===---::==:--"~:::,,:=-':'/ -."0.. '.~<.. 9Ji 1 0/92 "'''-~'''''' -""'-", '. 1.(........,.1 /r'~~"".. /,.^--~,' ¡-_ 't.J!: ¡ '" ,..~/ ¡ ¡", rTU ¡' ((',W.' .. ,,//." '. ~~,.{ ¡ \ ..';77 0 "'~~..-/ " "---. ,-^, CA 93380 .. HAZ' " .,. '...,. í?~\ C::-?t..(~..) , .: -~~:'~HåiÃRõous 'MÃTERIÁ~ê)J"t 1j /~!] J:. ..~KERN COUNTY....FIRE;.DI;~T .....:.."""" r.,... ....£....0 ,..l,BQX .81 Z9..6 . ....... J3AKERSEJELD, ,,'" _,,,.~::,~,,_ !4I¡¡U'i;fl,~,*$94......00 ~~. ____.~__~hA.._ __._...~_'_~R,~_~~___'___'_________ -~----~._~-. - ~-'~ _._J \ 11100 5 . 2 0 III I:. 2 20 0 0 2.... 7 I:.... ¡. bOO . 2 ~ 9 9 III ~ '7f~~ It Sun Valley Oil Company 3940 Rosedale Highway Bakersfield, Ca. 93308 . January 17, 1992 RE: Market Express #2's Hazardous Materials Handling Fee Thank you for your timely manner in making payment on the amount due, however the check should be made payable to the City of Bakersfield and sent to P.O. Box 2057 Bakersfield, Ca. 93303-2057. Could you please correct this situation and return the check to us at your earliest convenience. Thank You, Valerie Pendergrass Hazardous Materials Division General ~~~~~%7æ:~ . . #2 215-000-0005~· n Page with 1 Fac. Unit ; APR 23 1992 U· Information " 1 "i' ...~ e - 't 04/14/92 MARKET EXPRESS Overall Si'te ..---."- "-'. .- ". Location: 2500 WIBLE RD Community: BAKERSFIELD STATION 07 Map: 123 Hazard: Low Grid: 11D F/U: 1 AOV: 0.0 Contact Name ~~ 'ÎItVffio flJlfé ~~pm . Title oW 7Ier Business Phone (805) ~ x (805) 831-9561 x Administrative Data Mail Addrs: 2500 WIBLE RD City: BAKERSFIELD Comm Code: 215-007 BAKERSFIELD STATION 07 Owner:~..â~ XA-Vf;-f..f 0 (~ ßA E- Addr7ss: ~JJØJI.M...A,m; ~.fP..~ %W~~ .-P~EdlÐ Clty: ~"",j"f)- lo.-fcU-J~;;¡d C(A. 110 D&B Number: State: CA Zip: 93304- SIC Code: 5541 Phone: (805) ·~.J.:;...(}ø' State: CA ð'~ 1- i!J"{; I Zip: 933~ Summary I. 'IAII€;((.fO r-. flJADo hereby c$rtify that I have (TyPG01 pMt~ reviewed th~ attached hazardous materiaìs managsa G-tt S 9féA.{( 8?1. mant plan ~or. ~ and ihai i~ along with .Y1I J~~ °r~~S8k çs $1U1yoorrectlons conåììfute ~ complete and correct mana sgement plan foU' my f~cility. 0¥-- ~~:,"i', fiIij..,,^,^C' . f»JP~t- ~fL t/I.N /7:J--- Dare . ;:; '.J . t- -, e e 04/14/92 MARKET EXPRESS #2 215-000~000503 02 - Fixed Containers on Site Page 2 Hazmat Inventory Detail in Reference Number Order 02-001 GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 36000 Moderate GAL I CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daîly Max GAL ~ Daily Average GAL --r-- Annual Amount GAL ~ 36,000 I 15,000.00 I 1,800,000.00 Storage UNDER GROUND TANK r Press T Temp -:ì Location Ambient AmbientNE CORNER OUTSIDE - Cone l 100.0% Gasoline Components r; MCP -:-rList Moderate - Notes MOTOR OIL ~ Fire, Delay Hlth Liquid Minimal Trade Secret: No Daily Max --r-- Annual Amount GAL -- I 5,000.00 Storage PLASTIC CONTA Press T Te Ambient Ambient Location ROOM 1 Components Based MCP :-rList Minimal I - Notes , . - e 04/14/92 MARKET EXPRESS #2 215-000-000503 00 - Overall Site Page 3 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation VERBAL COMMANDS, EVACUATE OR REMAIN AS SITUATION DEEMS NECESSARY CALL 911 <3> Public Notif./Evacuation CALL 911 EVACUATE EMPLOYEES AND CUSTOMERS IF DEEMED NECESSARY TO CLOSEST SAFETY NOTIFY EMERGENCY HAZARDOUS MATERIALS TEAM. <4> Emergen~y Medical Plan CLOSEST EMERGENCY FACILITIES '" e e ~' 04/14/92 MARKET EXPRESS #2 215-000-000503 00 - Overall Site Page 4 <E> Mitigation/Prevent/Abatemt <1> Release Prevention CALL 911 FOR FIRE DEPT. OR APPROPRIATE AGENCY. EVACUATE EMPLOYEES AND CUSTOMERS IF NECESSARY. ALL HAZARDOUS MATERIAL PROPERLY STORED. ~I ::::.....- r~ ¥ vVl ~ <2> Release Containment , . . ~ /1, ~~ ~<-<¡J . _ A _, ._p;:--;-c-;-~ D. _----... .a¿",,~o. - '" ,,- 00; ~ . ~/Y)/~ - / ~'cr- ~ ~.~~Lþ~' <4> Other Resource Activation · ,. e e 04/14/92 MARKET EXPRESS #2 215-000-000503 00 - Overall Site <F> Site Emergency Factors Page 5 <1> Special Hazards <2> Utility Shut-Offs A) GAS - WEST SIDE OF BUILDING B) ELECTRICAL - SOUTHEAST CORNER INSIDE BUILDING , ,C) WATER - SOUTHEAST LARSON LANE D) SPECIAL - NON~ E) LOCK BOX'- NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FEDERATED INSURANCE/SUN VALLEY OIL ROGER SALTON INSURANCE AGENCY. FIRE EXTINGUISHERS. FIRE HYDRANT - NORTHEAST CORNER OF WILSON & WIBLE RDS. /' <4> B~ilding Occupancy Level ~\ ~ ,¡- r-. tt' It 04/14/92 MARKET EXPRESS #2 215-000-000503 00 - Overall Site Page 6 <G> Training I I <1> Page 1 WE HAVE 10 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE ALL EMPLOYEES TRAINED AND FAMILAR WITH EMERGENCY PROCEDURES. TRAINING PROGRAM: 1) READ AND FAMILARIZE YOURSELF WITH HAZARDOUS MATERIALS/AND LOCATION, LISTED ON ATTACHED SHEET. 2) ALWAYS WASH HANDS WHEN YOU COME IN CONTACT WITH'ANY OF LISTED MATERIALS. 3) NO SMOKING AROUND OPEN CONTAINERS, OR ON GASOLINE ISLANDS. 4) IN THE EVENT OF AN EMERGENCY THAT WOULD REQUIRE ADDITIONAL HELP - CALL 911 TO REPORT. 5) CALL STORE EMERGENCY CONTACT TO REPORT ANY ACCIDENTS OR EMERGENCIES. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Us~ ..'-. "-'.~-,--~--'---'--"'~'--'_." '-- ". ~." " .-....~.-:--- ID# :llirn©mo'WælQ) APR 2 1992 KCFD HMC~ I I I I 2: i'. f;' (~\ -- e ...:? ~ ..r;" 't IŒRB COORTY FIRE DEPARTMENT (805) 861-2761 DO NOT WRITE IN THIS BOX s:O~ ... HAZARDOUS MATER~ALS BUS~NESS PLAN PORM :2 Forms Due By: SECTION 1: BOSINESS IDENTIFICATION DATA ~ A. FULL LEGAL BUS INESS N~E: Y1JarJ.G-r b(/re~.J W I h / ~ B. PHYSICAL LOCATION/STREET ADDRESS: ~JO() Wible CITY: ß{}...-~U'ÇrI.ej d C~ ZIP;. 9";J;lóf . BUS. PHONE: C. MAILING. ADDRESS,: ,d roo uJ I /; I~ :. r¿d " CI~Y:, /ÎJajeerSrlel d a",- ZIP.: éf J 3 0 ~ «ol (for-) 13/,...9j6/ D. HAVE YOU FILED A BUSINESS PLAN WI~H THE DEPARTMENT UN~~R A NAME WITHIN THE LAST TWO YEARS? YES ____ . NO ~ IF YES, UNDER WHAT NAME DID YOU FILE? DIFFERENT E. THIS SUBMISSION IS A NEW OR REVISED BUSINESS PLAN - , SECTION 2: EMERGENCY NOTIFICATIONS In the event of an emergency involving the release or threatened release of a hazardous material, telephone 9-1-1 and then (800) 852-7550 or (916) 427-4341. This will notify your local fire department and the State Office of Emergency Services as required by State law. Additional Federal reports may be required. PERSONS WHO SHOULD BE NOTIFIED IN CASE OF EMERGENCY AT YOUR BUSINESS THAT HAVE FULL ACCESS AND CAN PROVIDE TECHNICAL ASSISTANCE: NAME AND TITLE DURING BUS. HRS. AFTER BUS. HRS. Ph# ( cfl{).f) <:P-3 ¡ ,...9~o6 A. X/l-rJGf../O Ie. ~1Je- (')lÛ))e!-- Ph#t.~rJJJ~/.-r¡-.r6/ B. ~r~ Ph# ~I 0/ fJ t.J A.te, Ii ~¿ 1?1f€ CJ) øamey - CONTINUED ON REVERSE - Ph# '" ( 1 ) ".- ,...'--".... -. ._...~ ..~;:.,""-~~.~::.. ..-.--..:. .":,-,,," _:....;.'- .. - . ..._...~.., ""'-..-' .~.._),-'. L.... "'.'h~_-' ...;.... _ _ ,.~~' '_ "'" ~~ . .Þ',.~. ..__~,~_...... ;.... _~~"~n" ~.'", .'.,. _ ........-:....."....~. --' - . ~..... .--'.- ~._--~'- J- e e ~:. ,- í SECTION 3: LOCATION OF THE MAIN UTILITY SHUTOFFS FOR THE ENTIRE BUSnmSS A~.G~PROPANE: /))~5ßttlJ5tl,l/hv . . 7ð '7 - .- B. ELECTRICAL:' ~ S'tt'/tC.-) re,.- ÝJ7a~-?:1 -¡;ãre...AtHt' /,-/rhe" C. WATER: P7A.çf cìj¿ ¡;U-I/J~ --¡;:::;;.¿. (UJPt.-IP_1- þ) ;,~ . r D. SPECIAL/OTHER: E. LOCK BOX: YES~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDS? YES / NO ': FLOOR PLANS? YES / NO KEYS? YES / NO Ii ' 1 " ~ : SECTION 4: PRIVATE RESPONSE TEAM DESCRIPTION Do you have a group of employees trained to handle minor accidents involving hazardous materials at your business? Yes ~ No____ If so, you must explain the level of training and equipment they possess ,and how t~~Y~-.,~:e notified to respond. __ I A/ I ;_R1,;;~2"i~F!¡;f'f:- "Yì<z-~, ,'Zq{lf/!ð Ie e-, /', 17 ¡--çi,(?7~/" b 7;/' jÆ.(f'b1íVV(D lJ/?e% -~i)f¿ry _ 'n7 {ïn f1-ç ,ð r, Y;ë~;ik¡ /,' '%-1/<'"11 ' J3~;.~ ~ ;?(J¡Jt~I;': .Z:C / ;fF"? j (Y>::; ¡j,/2- ar/.'lJ )TJaj,.: ~ .J -4 e.-,r <- ;"&..1,,1;' , ÍIi>:' , ól~/lJtrj ); RR'~ ¡,71 ~ [~/o ye v .Yl e;~J. ~ c-f, C / tAl,".. ¿d Ò'rt'~ ./!.rt:::-<\. /--J vitI ¡ tr ð?a.f >Äf~ tJ¿.cA i/~e- a'L-~ch';n1e/' 7:.' c¡;ref)~ r aé!C-rcl~~10 cI~t(->?/C; 5'71"~/(~~_ j /3dI~ rei, rfk¿),rJ/~ -¡;:-Û ¡-1,e) fh ~J '1; !/f¿ rr.e- tX'¡r1Jü s.'/ç/r~; ,Ø,~J '-z:; ¿ß'?? tJde. "7 , Ctlt,!J//?¿,;-- 71 I It'" q¿¡.>/ deJ ~ð > h t!>-/'7j tf?-'.R-rC7,e"'''ê~J ŒÞ,S' fu-rvJI'-.;~ t.iJ ~e/"R ,k RGr' ¡- SECTION 5: IDENTIFICATION OF THE CLOSEST APPROPRIATE EMERGENC~~~ /' 73~~~~f,~!i-J~~#f~I-A~#¥J TO YOUR BU~IHESS #1 ~::-. ~~'~~:~;,. ~ ,~~-' ~- ~ < - #2 !lclll ,4,?/} /;Æ¡1411êJ!/ ADDRES~: 403D 5ö,rä¡Vi) 14v-<.-, 7IléJFlJ, //ÚI//} CO. CC;. CITY: ']~j'FO. Cec· 327- ~II , PHONE: ('Sos) 39 s,- 02J'ìS PHONE: (1Bð 5) 5J 1- 'tIll COMMENTS/ADDITIONAL INFO: ,- , - CONTINUED ON NEXT PAGE - ( 2 ) ~ :1 e e 3 ~ ~ SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED BY STATE LAW TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS: 1) Methods for sa'fe handling of the hazardous materials used by your business. 2) The CAL OSHA Hazard Communication Standard. 3) Correct. use of emergency response equipment and supplies available at your business. 4)~ The prevention, minimization, and cleanup procedures you have developed for your business and explained on the business plan forms. 5) The" emergency evacuation plans you have developed, the notification procedures used to alert people to evacuate, and the closest location to obtain appropriate emergency medical care. 6) Procedures to coordinate with and assist the local emergency personnel that may respond to your business. 7) Who and how to call for immediate assistance in the event of an accident involving hazardous materials. Describe the location of the written plan and are required to be developed and maintained. training records to be inspected. tùr~lën 1'1cu. / 7/-t1~ !e.CL)"j, the training records which State law requires your 'fil.-f h- -!)e.- 0/1:"', STOP! Is your business divided into smaller geographic areas or units? No Continue on with Sections 7 through 10 of this form. Yes Do not answer Sections 7 through 10 of this form. Sign your name at the bottom of Page 5, then fill out a Form 3 for every area your business was subdivided into. - CONTINUED ON REVERSE - ( 3 ) -_.- -~---"-'. '~'~~':"-""~".;.---- _r-,~__. ::,::",_~~__~._.__.,..-t~......._·..._w..;';"..o-,_·__-;._...;"~.:~.,,..~~...._.,............-'......_,.,;,.__;.___... ._~,....._..;_.u._"....~..,:".,~..~_~__~_ .__-._~ ';:;_,,__"'",--,~ ...... __'__.'_. _..... __""".__~.___..~:-__ __.~~_,_... __... .. _. _ u~,._... _" ..__. ....~..' ~~ ~._. _~__... tf e e { , SECTION 7: EXPLAIN WHAT PREVENTION, MINIMIZATION, AND £~~~ PROCEDURES YOUR EMERGENCY PLAN INCLUDES. INCLUDE A DESCRIPTION OF MONITORING METHODS AND PROCEDURES. ~ Jo I: tV cvf¿h {} ¡,( ç þ77?Vý' >~I717 ð t-~~ vJ /, , 'Iv f~r ~rJ e"tL~, '. &J 4.,., 9 f' / t iJ¡ ~.s, 0/ ¿''''''~ x: gl¡ r a,,.J¡ CÙ' 17 , \, ç 1'vv1 J¡ 4 . /.' I cI ¡;:; ,f'e, h'/'?J,7U £6,,.'/< 7~t'~ M .~ tÍ e,~ p 10 it ~- tV ,e l ~ I I) ð t"- ¿.' . U / . e '>'>'"I e r (j ~?1 C 7' .s' A" fq:¡1 ß' ¿,J 1'1;1-), / fþ cJer >cJ/lcI; / ,0 /# ~~ ' /J., ¿J¿J,'d ,1;; ,çeJI L/¡u,-o/ ft);r /l/~o4~tiC; \ ' ¿f/4 e-~ yY? of l' !n /' a 1°7 j,.s 1/ at t;Je-t Y fJ"') j/ /11,. r") in . /; ~ /lJI~A-- Z:p ,-/- À7VJ-,¿a.. f·/o ¿. r. hI" 13aí~+- . L Ae e¡> (/ e,...{lì(?'J .?'V "''- ..... if / C / v' ¡J ~I . '~(,!,.Iß-'·II&-I>. SECTION 8: EXPLAIN THE NOTIFICATION METHOD AND EVACUATION PROCEDURES YOU HAVE DEVELOPED FOR THE EMPLOYEES -TO""USEIN AN EMERGENCY. YOU MUST INCLUDE A MEETING POINT. . ÚJ h e'ô? Vl ee.) z ¡/oc.CU <Lf ¡:-. ~ ¿ b t ¿.,...., I )c'f" '-/>J' n 1;, t? t1- S;' .¡- ('; if ¿, ftA r It ~-:)" I 'ð r. , ~tt"" Mt ç"., 1 jt)', ~ (;Ù {<,'7' 'YJ", de.el ,z.¡/ /):<J" ,,-l/~ - CONTINUED ON NEXT PAGE - ( 4 ) ~ ;. . . J- I ! i" SECTION 9: EXPLAIN WHAT PRIVATE FIRE PROTECTION SYSTEMS ARE IN PLACE I ~ . THAT MAY ASSIST EMERGENCY RESPONDERS. ' - ' -I- I y< e )f.-I-¡ n;¡U IJ h.er ¡¿+c,~¡~, ~m<7.-tnc~( 7Q/) 1 C h (¡!eI µ)o,r~ ð I") 'F(-Ü¡'I,"¡" -<: V"I.Lra rI"" , l ; '/1 '1'-'<../ C<è. ðr--Þ JétJ+ )711 J c:r ^-- d·ù ,) r:. de or \ " SECTION 10: LIST THE LOCATION OF ANY WATER SUPPJ¡IES-THAT MAY BE USED BY EMERGENCY RESPONDERS. ---- fjyé. I-/yclró:/?+ - /lOI'-+h £ê..~ to,rW- , tJ/bk .þ tJdfðY'-' iVlá/tL VtdV-L +0 Ivqf:;.<r' iJ¥p l ý' GÎ''- l:Jr< 1111 j'l-J. . S ð. £i;ï 3; )/cLe... ./ 1'_,' V ¡-- 1=((110 I~ I" I I I. ~ /f{/¿--£ 10 f- f2, A E-- . certify that the information submi~ ed on all the business plan forms is accurate and complete. I understand that this information will be used to fulfill my obligations under California Health and Safety Code Division 20 Chapter 6.95 et seq, and Title 42 U.S.G.C. Section 1100 et seq. and false information may be punishable by fine, imprisonment, or both. ~r '(~ / S' gnature fL (2)~ tJ e1J nC/Ý ¿~~ /7'2- Title ( 5 ) . - .' t.. '1 " i. I, I' I: I I 1 I I' . . 7 3" KERB COtnfTY :rIRE DEPARTMENT (805) 861-2761 DO NOT WRITE IN THIS BOX ID# BUS::I:NESS PLAN ADD::I:T::I:ONAL AR.EA FORM 3 This form is used as a supplement to Form 2 is required when directed by the administering agency and/ the business consists of several buildings or a large geographic rea. This is Area # Name of this area or subdivision of a total of areas or buildings SECTION 1: EXPLAIN WHAT PREVENT ON, MINIMIZATION, AND CLEANUP PROCEDURES YOUR GENCY PLAN INCLUDES :rOR THIS AREA OR BUILDING. INC E A DESCRIPTION OF MONITORING EQUIPMENT AND PR EDURES. SECTION 2: EXPLAIN THE NOTIFICATION METHOD AND EVACUATION PROCEDURES YOU HAVE DEVELOPED FOR THE EMPLOYEES THAT WORIC IN THIS AREA OR BUILDING. - CONTINUED ON REVERSE - ( 1 ) ....n._~.·.:.;_~_-_·___~_··~-_··-·_,.~'-···~_...--:......'-_...._.._,,·__·;"-...-".;.~~..---<-.-. ~.~-",,-,- ..' --'-.--,.. -.-------~....... - ..- --.-- ,"'-- "..- ~ . e .;; . ~ ~ iI '~ SECTION 3: EXPLAIN WHAT PRIVATE FIRE PROTECTION SYSTEMS ARE IN PLACE IN THIS AREA OR BUILDING THAT MAY ASSIST EMERGENCY RESPONDERS. " ~ 2' 'y)7 þtï, (['1~.-T"1 C v¡ 6!¿t f' # ~ d! I ß1 /0 eeL f;:;¿;/ .' LAt m J er /A'731 S V!1¿lC!v"" e ? . " ' .' Ó<. fl r~ ZXT"1j ...r1er /)e<f r3?'1r4"'L"-; j::, I"J,~ V ð7Jti,rh f" t.Ûvr- ¿ii-I St-..) I fc·L,· ?~1' J /, rf', ,\ j. ' ¡, . ~ I ' #1; ') IlfÓ"'/..." l~(5 ~/C/OO¡;ft?f- I rq"-ß ç ,...> ,/71; /" c.,'h./ tùtZ~ $nI.. c.JdI ' , / SECTION 4: LIST THE LOCATION OF ANY WATER SUPPLIES IN THIS AREA OR BUILDING THAT MAY BE USED BY EMERGENCY RESPONDERS. ;¡¿~:: /, ,J ,'. ' , ... (,,' ,. . -- ~ ~/'., _..::.:.; i:.... ..,:': ¡J ¿ ,/ ;, (. - ! -< II' ;: ~, l. :: ··7 ~-.....i ¥ .- ...:....- ;;> .::' l / -0 vJ~h, FA~Ur ç;dL? 13,(lldr-j ¡(, Ie 11.e...--.. Cv-v- cI /1 ç.. tI, ;2.~ 6 It'€- f> ¡-s·" t44 / SECTION 5: LIST THE UTILITY SHUTOFF LOCATIONS THAT CONTROL THIS PARTICULAR AREA OR BUILDING. A. NATURAL GAS/PROPAIIE: tß f f <I 'j ~. r!JalLP (0 t< f ,,'j e ) B. ELECTRICAL: ~. S·.",,!,/¡ (b'H,f ¿.Oð {",r &,1 r :TJ~¡J.f- /'r>'" :n1d<-J:.>r: C: WATER: p.-d-..J'f r>.J~.~7'¡- :¡:;¡-/'?'7 ¡Ç/r/~ /;a¡/Lj'i D. SPECIAL/OTHER: E. LOCK BOX IN AREA? YES NO (CIRCLE ONE) LOCATION: CONTENTS: ( 2 ) I' ~ "~A' ~ '7' ..,~. r.,J'm and Agriculture L _ J KERN COUNTY FIRE DEPARTMENT HAZARDOUS MATERIALS INVENTORY ~- ~ <. ._~- ._~.-7~_1 ~ IJIIN ~~() tJ~AfJ:ìIRttr NIIM,:I.Ii >- ~~'/ --.-/ r -, Stand~rd Business L_, .J l BUSINESS NAME~~õO'·/(~~Þ ~dC'f ___~_~hle., OWNER NAME:_X'fldé.~~ì C>____f~____I$/1_~ LOCATION:__ _ ~.~ _ _-.-: _ _ _ ADDRESS: 4. 6.IJS- jJ..J~---JC1'(I '7'I~~f/" C ITV, ZIP, ~ 1JTR'br; ~.5 ~;¡, p' C ITV. Z I ¡;~~~ /¿. C4- --!J/é-'1~__~¿~":":'žirR'" PHONE #: ,___~ _ ____ ____~ ___L___.p__________ PHONE #: -______mJ!l.H_£:{l~tÆ-to_---p--- ____ _ STANDARD IND. CLASS CODE: _____pu___________ NAME OF THIS FACILITY: _____,__________ ____ RBFBR TO INSTRUCTIONS FOR PROPBR CODBS f'aop I 01 - -.------ --- - ------..- --- ----._.-.- --- - - -- "_..--,- .'. --.-.- ".- ~-- ..- ,. .."__ - ..___ ._____ -----,_.__'_0 ._._. _ _..__.___.__._...__..__.______..____._.____..._ , . -.. ..------..-...-- .. ---." ..- .. .-~-.. 1 2 Trans rype Code Code 3 Max Amt 4 Aver'age Amt 5 AnnlJdl Est & Með$ure Units R 9 10 Cont Cont Use Press lemp Code ·11 % by 17 Names of Mixturt!/Componp.l1ts See InstructIons =~7C~~~~~II~..- --- _.. _ _. . .__ _.. _ u ... CA.S, Number_J~~L~_C~,______ l~ ;:;:;:~~~i~1~:::::~::::[-~~~:~::-[:-----:-~----~~-]-:----]-::-~:--]-~----:---[:--::--]::-:-:--: ::::: -~~;;;~:~~--::---:::::-:--:-:--:--~::-:---:-::---- . - -.- . .. - - -.. .... - .. -. - - - - - - - - ..__..~u____~_._. . - '~ Oelayed Health eo.ponent I C.A.S. r ..... " L -- -. Sudden Re lE'ase of Pressure 13) A DdY5 on Site -- - -.-- -- - ... ._- -- - n _ _ ._un _ _. __ r-' L_.' React i v ity Cu.ponent I C.A.S. - .-- .-+--- ------._---_... --. ._-~....__._---_.'.- --.. r- ..- , L - ,j Fire r --'"1 L -- J Delayed Hea It h (,A,S, Number Co.ponent I C.A.S. _0-.·_----·--···---- ..-... ~._____ r .- , r -- , L -.. J ReacUvHy L -- _J Sudden Release of Pressure 13) A Days on Site ¡- -- -- , i I -.----..--------...--.....-..- ------.. ...-- --. --.. L ____...J Co.ponent I C.A.S. ;:;:;:~~~~~:::::--~::[:~~~::~-::I-:-::-:-----:--:l~:::--]--:---:~l-:--::::-:I----~--]-:--:---: ---:- -~~:~~~~~--:----------------------::-:::--------- Health ----..--.., .- ,-----._-.. -------------- -- n'________________ ---- --. ----------------- .--.'. - --.-.. - .-.-..-... ---.---.. -... '.- .-_.. ---- r _. ·1 L _ _J Fire r-' L -, I Delayed Health C.A.S, Number co.ponent I C.A.S. e< J! . ..--- ----- .-- - ----.- -.. ct UI ~~/"" 9j61 fRay ~ --------------------------------------------------------------------------------------------------.---- ----- -----------------------------------------------------~------ . :.Jß ¡g © rnEUE&Nrœ rWCTS ·II'N--- __X,I/(lé;tf_'(þ.., _ .l<- - ___ß1f:____ T.., ,,~_?J~____,___ ___m____ <.R'OH__s-p:~_t~l__~-'þ~b (II ; ame. 1t e (0 r ~öe ~ APR 2 '99~ 11 ,fjþv"~:;l it',JûIì:. Hnqïi!~;.¿l!o~'t7;!u "'::':;;¡CAÞ.~ : _____________________________________________~--------___________________________________________________________________________5l________________________________----~- ~ Certif~Ç1~R (J1..MPMni s ip'1I M{f>/, camp let in/: ill J st.'d ions) --- -- ...~.. --. ~_._---- - -. ----. - r' ..-., L - _J Re~ct ivitý f" .., L.. J Sudden Rrlease of Pressure 13) A Days on Site r .- '..-, I I - ------ ----- ~-- ._---- ......-. -_..- L _ ___ ..J CØIpOßent I C.A.S. I cert ify under pen.llty of l~", that I have personally eMmined ~nd am fami'l i~r with the informat ion submi tted in this -3nd a 11 ~ttdched doc1Jments. ~nd th~t b~>erl on my inquiry of those individ.lIal~ l'E'sponsiblE' for obtaining the information. .' believe that the SUbmit~in rmatio~is tru.e. accura>eAnd comph!te, ') j v A- V ~ { 0 (<- ß f/ 12- ()LV ß G-f{. . M~ ~L { '? e>--^--- I.~ "/ /? 2..- Nañië-ãñð-õfflë'ráf-fífTë- of :owñë¡;7õpë¡;afõ¡;-OR -õwñë¡; 7õpë¡;ãfõ¡;'š-ãiitfiõ¡;ížëa-¡;èp¡;èšèñt.1fiÿë 5ícjñãfii¡;· -- - - -.- -- ---- - m -- ---- -.. - - - - - ,-- - - - - - - -- -- - - -- m -Oãfè -:j í¡j'ñëa -- - - I NVtlTORY Trans Code (Column 1) A = Add This Item D = Delete This Item R = Revised Information Type Code (Column 2) P = Pure Material M = Mixture of Substances W = Waste (Must Also: Add Appropriate Waste Code from "Waste Code Sheet") Measure Units (Column 6) LBS = Pounds TON = Tons (2,00D Ibs) GAL = Gallons BBL Barrels (-42 gals) Ft3 = Cubic' Feet CUR = Curies 01. 02. ·03. ,04. 05. Còntainer Type (Column 7) 06. 07. Underg'round Tank Ahoveground Tank Fixed Pressurized Cylinders Portable Pressured Cylinders Insulated Tank (Includes Cryogenic:s) Drums or Barrels - Metallic Drums or Barrels - Non- Metallic Carboy(s) Glass Container(s) Plastic: Container(s) Box(es) Bag(s) Metal Containers (Not Drums) In Machinery or Processing Equipment Bin(s} Unlined Sumps 08. 09. 10. ll. 12. 13. 14. 15. 16. . Container Pressure (Column 8) 1 = Ambient Pressure 2 = Greater Than Ambient Press 3 = Less than 'Ambient Press Container Temperature (Column 9) 4 = Ambient Temperature 5 = Greater than Ambient 6 = Less than Ambient Temp but not Cryogenic 7 = Cryogenic Conditions CODE --... Wr SHEET " ,- ¡ .~ ~Codes (Column 10) . Ol. 02. 03. 04. 05. 06. 07. 08. 09. 10. ll. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30: 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 5l. 52. 53, 54. 55. 99.. Additive Adhesive Aerosol/Inflation Anesthetic Bactericide Blasting Catalyst Cleaning Coolant/Antifreeze. Cooling Drilling Drying Emulsifier/Demulsifier Etching Experimental/Analytical Fabrication Fertilizer Formulation/Manuf~cturing Fuel ' Fungicide Grinding Heating Herbicide Insecticide Instructional Lubricant Medical Aid or Process Neutralizer Painting Pesticide Plating Preservation Refining Sealer Spraying Sterilizer Storage/In Storage Stripper Washing Waste Water Treatment Welding Soldering Well Injection or Service Oil Treatment Resale Aircraft Systems Battery/Electrolyte Breathing Air Drafting Aid Finished Product Fire Protection Hydraulic Equipment Road/Hwy Maintenance Testing Wholesale Chemicals OT~ER-Specify on anoth~r page " <, ;:~ ì~-- A,~ / ',~. \,-~'( J ,./ ....-~'.~¡', :-/::tr e ' - BAKERSFIELD CITY FIRE DEPARTME~ 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 OFFICIAL USE ONLY ID# USINESS NAME ,Z3-1/J:) s '7'/9.(j) JNSP 7 J 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 MARKET EXPRESS 112 .".-", A. BUSINESS NAME: B. LOCATION / STREET ADDRESS: 2500 Wible Road 000503 I :. CITY: Bakersfield 93304 BUS.PHONE: (805 ) 831-9561 ZIP.: 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 DURING BUS. HRS. AFTER BUS. HRS. A. Ron Ragsdale Ph# 831-9561 Ph# 399-1046 B. Sun Valley oil Co./Gary Chapman 327-7212 Ph# SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: B. ELECTRICAL: C. WATER: D. SPECIAL: E. LOCK BOX: YES ;@ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO FLOOR PLANS? YES / NO Ph# 393-7918 - 2A - MSDSS? YES / NO KEYS? YES / NO e e ~ (:J~ ,,::,~-I'" SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE 1Jfs~ SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE ciDses-t ~r'1' -Pttc.{ I i+ì 0 ~ '~/~ <~ ~~: ;~.j 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 @ NO i NO NO NO NO REFRESHER ¡fiiJ NO -®? NO ~NO "~NO ~NO SECTION 7: HAZARDOUS MATERIAL CIRCLE YES OR~ 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 ~ I. G~ C;Gf::ð£M~ . . certify that the above information is accurate. I understan 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. TITLE t JréÐ- ßS'(O~ DATE7-'1-1? 7 5:~ r/ /t-L~'1 &7 - 2B - .. -~ .--........ ~........,............"....-.".. ";'" ~ '. .-;.".1 ,. :~; ~~~~- e - "-'''' "., ...~.. MARKET EXPRESS HAZARDOUS MATERIAL TRAINING PROGRAM I. READ AND FAMILERIZE YOURSELF WITH HAZARDOUS MATERIALS/ AND LOCATION, - LISTED ON ATTACHED SHEET. 2. ALWAYS WASH HANDS WHEN YOU COME IN CONTACT WITH ANY OF LISTED MATERIALS. 3. NO SMOKING AROUNG OPEN CONTAINERS, OR ON GASOLINE ISLANDS. 4. IN THE· EVENT OF AN EMERGANCY THAT WOULD REQUIRE ADDITIONAL· HELP--CALL 911 TO REPORT. S. CALL STORE EMERGANCY CONTACT TO REPORT ANY ACCIDENTS, OR EMERGANCIES. ." / ,~ ~¡~: ".';'.t'~H~~·1~ :";'1....... -( ~ ;;,'. ;""~, ~~. ~ í·- e e BAKERSFIELD CITY FIRE DEPARniENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# ------ BUS INESS NA~1E: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid f.urther action, this form must be re'turned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3, Answer the questions belO\v {or THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT# 2- FACILITY UNIT NM.fE: fY\p..{LKs-ê é:-'{:.P~S #-~ SECTION J: MITIGATION, PREVENTION, ABATEMEÌ'i"T PROCEDURES _ [. Œ ALL Cll I . - Fo1<.- fët2.& DG,t)í c> {Z. APfRù'~ A-Te 1Jr~e-1Ù c,/ '"2. t.uA-Cu. AT6 E..vvtPLOieE-S IAN 0 Cu::/\DIVl ~S I ç: N GcE~ f+fù.( ~ ¿,vv~TE-fL{ A:-L =3 . AL-L. bh4- 2; D.IL DtôCLj f (Lo r F /2. Lvr S TO (2E:{). SECTION 2: NOTIFICATION fu\~ EVACUATION PROCEDL~ES AT THIS UNIT ONLY [. \.JêR.. ¥ò AL-J L()MM r(AJ 0'5 . 2, E'v AC'L{ ATE:? III &CÇ;;~Sp,Q1 - . o r;¿ ~&M A-(A.) f+si 5vTUA--r/olo'Ò Ðt'~s Co..l/ \ q 1/. - 3A - · e SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials?,.." ~ NO If YES, see B. If NO, continue with SECTION 4. B.Are any of the hazardous materials a bona fide Trade Secret YES ~ 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 secret form. List only the trade secrets on form 4A-2, SECTION 4: PRIVATE FIRE PROTECTION f&De-RfrIT{) ¡(}:JC;o (LA~é-E.. /<5LJN UkLC( O~L --- ' 'F-» <) () (LA P\ÌCé !+ {; "f?J C{ - Rð t:sB2 S"A--t-- ~IÙ SECTION 5: LOCATION OF WATER I. N {f L D 12- ~ ffl.. è5F Z. F(I2-t' -Ç.?-~lcv0Gd tt~ SUPPLY FOR USE BY EMERGENCY RESPONDERS lÙ (L- ~ (J 1\1 + (¡J (gU:? (2.O.lfJ IÂ- ( cs1è.- "' . ~ .-- (¡\JS ì De; fVI A-tlÚ t)tJ ef?.. AGACN ~ I SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY, A. NAT. GAS/PROPANE: Wt~í ?IOt Cìr fJúlLQ \Ñ& / W [e,LG- fU), ð-Or<. tùE úL (I ~ () /-D f?) Jf\-Ac. tf- [10 E or 5{DG $DUTHIf:A'sT f\) 'bAIL X:c'G- B. ELECTRICAL: M ~(r\) 50'>\ ßùl¡UÒ/f0 &, I C. WATER: £A:>'í 5'1De- CLAf2-ûOAJ oP' ßu (LD{I'0 6- þJ .e-PrfL ,~(OG) '1' eeL Ç> H{J,v-:c LAtJE; D. SPECIAL: E, LOCK BOX: YES /@ IF YES, LOCATION: IF YES, SITE PLANS? YES / NO FLOOR PLANS? YES / NO MSDSs? YES / NO KEYS? YES / ~O - 3B - .- \ \\0., ' f. ~ \ ~\;~ ~ é"¿¡~/ I\: ~ . \,- R;R.. F( rLir-. ~r ð (L{ H vffkL., ß L-t? 1. D, # I, BAKERSFIELD CITY FIRE DEPARTMENT FORM 4A-l NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY NAME'~R~ç:~ :f=J;2- OWNER NAME,~t\) 1lM:5D~ Page L<o( 1L.. - . -~ ~~.~ BUSINESS FACILITY UNIT #: 2- ! ,;' - J).., ç oö W< P-D tvi'VIII11IJ ¡JH <I ADDRESS: ADDRESS: (¡,?I F AC IL I TY UN I T NAME: MAt..Kð1 G>'fRe>~ , CITY, ZIP: '0A~€Ç £..Sf'-{ ~ 33CYf CITY, ZIP: f) .4-($i!5F(GLI) ¿;¡ 3308" PHONE #: c;? :.J I £1'::; <.0 ( PHONE #: êR'1104 ~ IOFFICIAL USE CFIRS CODE ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY - HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE P ~ :~tro° 1.'6 "" Ç¡4L ð\ 19 _ ~& (o<2.NGfL ðOTSfO& \OÒ <$ A-=SOCI tv q;- t(,f:2., E )( PL FLL ~. 'p 3oc> 18öO' 6-I+L fO ~ 5J()fHtr~ttQ ~wt ( öZ) (rLòTò (L 0 l c ~ t ô'F FLL~ . (Ý\ 2 2-0 6kL \3 \.q l0'E:S ( wALL R.M t ¡DO L\ 6 HTe IL I-CU ( G FL.LQ {f\ -, 3 7...0 óA-L \D õ~ 'Soo:rw- vJ ALL. ~ \ ~l~u[\o f? rJ~IIIJII",~ CleM.\" \D 0 fÝ\ ,5 126 GA'L to ö<6 \' , Il' II lC ð 1'JLn~0Jlj PsNß , rf\ ~ 2-0 óPrL \0 D't; n '\\ \1 \()Ó (}2.AND Ps"fD vV\ 3 z..ò G-~ \(9 68 vI It 1\ lOd A- M v'n é) f\J l A- PSt{B r¡V\ :s ¿u G-Pr£, 10 0'6 1\ L , ' t~ LOD Lv Sø> ( t/~ Ø\ ypr {JsN~ II . M 8 2-ð GPr-L.. \; 3 \q t\ n 1\ '11)0 C ~1M((CIL L l (; 1+ ft1l. yClQ (V1 .3 20 ~ \3 OJ l\ II II (00 H Ekt- f\.(-~~A¿Ü1<1¿' ^() t>.. ~ FLLQ. -,'" i~'J " d'A ~) (j r-t ~ \¡Jó\ \ \ ~L- , I -lO Q!L 10 38 \ú{) () /l CE OJ S-R. vie 'îTt¿; P C ( fJõr 1\ .p ",Q RlVlí , jV\ \ 10 5~1-, ID oíf L l \.00 D~<; í u fÉCT A-AJ~ PSÑ'ß f\ \ lo 6ft.. lD O't W~~~'itJf-hklß~ '3 L(!) 40Q f5Ñß ;Vi \00 '- LI6tt1fR , fu...& \ to CÞrL ,LO I~ F(tðiJ\ {OJ J\C--!L. L (f:, ~T£12.. ') KtAID, M ~ ~ ~<.. /3 ,~ . (0 01.0 T &-rL 1<J() 5 A11~ltt" e-S / S"oL io-jacl D ') tW\S'L NAM.E: Gf+fl-i-, et-tA'f'~ TITLE: VtCLC- rf2GSI(J~NATURE: /L-, 0 £/L ........ DATE: 7-7--117 EMERGENCY CO TACT: ·IÙ f<.A-GS'k)/}tÕ. T I TI.E : r;;w It.../ i/ PHONEo # BUS HOURS: Y'!š/ 1[;<0 ( I; EMERGENCY CONTACT: Gl9(Zfi ~/;-fJ'1f>m~ TITLE: h,ÞvDI..6A.O . PRINCIPAL BUSINESS ACTIV TY: CøttJVt8JG£. S'TO/lE. /6Æ5' ßÆ6?- / - 4A-l - AFTER BUS HRS:· ~C>¡ lOt{ (¿, PHONE , BUS HOURS: 3:J.??~1 J.- AFTER BUS HRS: 39? í) 91 ¡J> .- .. ,'c .../~' //'òAK2ìt /O'i·· . ~,", . -5', / ..... '. ~\, :.,~ ..,'. <f'\\ ,r- . . (" ,0 :=-,-.i~ "i\ V\' -=i.~,"// "\:>:~~J e e ;' 0 ?;; CITY of BAKERSFIELD ~ ~Io\ . '6 3\)1':) "r~E C-iRE" '\\Ú\~ \\'i' ,,'~'~;:-:!!Tl!l ~,',,:Ll) ..,,--~~ d?i': :.~'" j '-~-:~~~ =,'.:- \ \ &/l .,;~.~ _..... .1 ,'J. --,_.. ~\; " .~. :1/; -;::., -... 'E¡' ~- ;~"-:-~ \;.'. /~ . "~j~Îíí~ T JOYCE VERTREES @ (tYDe or print name) REceIVED FEe 6 1989 HAl. MAT. DIV. Do here by cert i fy tha t I ha -\-e revi eh-ed the attached Hazardous Materials business plan for MARKET EXPRESS #2 (name of business) and that it along with the attached additions or corrections constitute a complete and correct . Business Plan for my facility. 1Y~dJ~ Feb. 2,1989 date o¡¿ ·4r .---- ~._-----_..- --,-,_. .,i~ ~~~. ¿ ,.. -·~~·-·-·~1::-:-;~--': -:.'.. ,: I e e MARKET EXPRESS HAZARDOUS MATERIAL TRAINING PROGRAM I. READ AND FAMILERIZE YOURSELF WITH HAZARDOUS MATERIALS/ AND LOCATION, LISTED ON ATTACHED SHEET. Z. ALWAYS WASH HANDS WHEN YOU COME IN CONTACT WITH ANY OF LISTED MATERIALS. 3. NO SMOKING AROUNG OPEN CONTAINERS, OR ON GASOLINE ISLANDS. 4. IN THE EVENT OF AN EMERGANCY THAT WOULD REQUIRE ADDITIONAL HELP--CAI,L 9 11 TO REPORT. 5. CALL STORE EMERGANCY CONTACT TO REPORT ANY ACCIDENTS, OR EMERGANCIES. ... / f :,4 CIT}T of BAKERSFIELD f,r. tnd Aqricu Itur. '--' Stlndlrd Busin.ss ~ HAZARDOUS MATERXALS XNVENTORY NON-TRADE SECRETS OWNER NAME :~. L, ê-;~' , ~? _þ h" ~ _ NAME OF TIn:Š ~_Ç,~L1.TY: ADDRESS: 3:1_ ,~ _~-j STANDARD IND. CLASS CODE CITY. ZIP: S-:ç::;r- q ~Dg DUN AND BRADSTREET NUMBER PHONE .: ~ì -/~)~ IfDD 2'0 IlISrIfUcrIOItS "JI' PlfOPIlIt CODD P-.e ____ of ____ BUSINESS NAME: J1J@che.--+ r;;t<..'þre<vs -.#=2- ;:'OCATION: /~co ~'Ib)~ f2d. :; ITY. ZIP: k>.h c:. C>¡?)~ 4- "HONE.: <i?~-qS&1 1'52>0 O¡,."iul IIId ....lth !IIurd I :Wk ,II tlllt 1l1li Iy) r-., - Fir. Mlllrd '- -.. lluct;ytty 1 2 1 rtn' ¡yøe loðt Cod. 3 III. Mt . .-. Mt 13 ,by lit 11 __ of llillt....1t I 4II.ts SIt 'nttructi_ ------ ~-, ,.-, ~ '- -.. De I.yed '- -.. Sudden ..,_ ~ .....t.te .... t th of Pl'tl1UI't ....1 th ~t II ..., C.'.S. ..... .--., r-., ,..-, r-., ,..-, - -.. Flre!llz.rd '--" IINctiytty '--" Deleyed '--" Sudden ..,_ '--" .....t.t. ....1 th of Presurt ....lth c-t 12 ..., U.S. ...... ~t 13 .... C.'.S, ....... Phyt tC411 IIICI ....Ith lillll'ii Itheck .11 tlllt ."Iy) u.s. ..... ......t 11 .... C.'.S. ...... ,..-.., r-., ,..-., r-., ,..-., L -.. Ftl'1! M.z.rd '--" lluctiyity '--" Del~ '--" 5uIIdtrt ..I.... '--" ¡....t,t. ItH 1 th of Preslll'" ....1 th ......t 12 .... C.'.S, ...... ~t 13 .... C.'.S. ..... -_l__-L-___l_______l 1---1_----1--1 Phyt ieel IIICI tIN Ith "'IIN (theck .11 tlllt ",I,) C.A.S. ......_______ ......t II .... C.'.S. ..... ,..-, r-, r-.., ~-., r--., L -.. FII'1! Mlllrd '- -.. IINc:t;yity '- -.. Del.yed '- -.. Sudden ..I.... '- -.. ¡....t.t. ItH Ith of Pressure ItHlth ec..ø.nt 12 .... C.A.S, ...,. --- --- ~t 13 .... C.A.S. ..... . . IIf RGEIICY comCTS " 12 .¡¡¡-~-------------------------------- nn¡-------------------- n-¡¡¡:-pMiii---- u¡¡--- --------- T1t1.------- tr1I1'"I'NII\I----- ,.rtl!iC.tiOl\ (Read and sil!1l after co.plp-ring all sf!ctions' c.rtify unftr .-nelty of 1.. tlllt I hly. Dtrson.Hy ....ined end .. f..¡J;.r .ith t" tnf_tion su"itted tn this IIICI .11 .nlChed aœ-u, IIICI thlt bned 01\ ~ inqutry of thol. tlldtYi"". reslOllSibl. '0' ob"tð1nln9 t" Inf_t101\. I IIth.ve thlt the su"itt~ intorutiOl\ It tMlf. .ccurltt. end COItPI.tI, ,..;',;. iña- õmë i¡l-t H1nr-õWñ¡r7õiii¡:¡m-lJR-õWñir 7õP;r¡tõr~š-¡ü£liõriiiär¡örii¡¡;£ m;¡ Siijiiitü¡:¡---------------------------------------- 1II't¡-Siijñiè!' T .________________________ (0 I 1;;;'j"\\'"U Ihll... INDUSTeL HYGIENE, TOXICOLOGY, AND .ERIAL SAFETY DATA SHEET w ~ NOTE: NO REPRESENTATION IS MADE AS TO THE ACCURACY OF THE INFORMATION HEREIN. SEE PAGE 7 FOR CONDITIONS UNDER WHICH DATA ARE FURNISHED. ~ Trade Name and Synonyms - 00342 TEXACO REGULAR Manufacturer's Name Emergency Telephone No, Texaco Inc . (9 1 4) 83 1-3400 ex t . 204 Address P . 0 . Box 509 Beac on. NY 1 2508 Chemical Name and/or Family or Description Au t omo t i ve Leaded Gas 0 1 ine THIS PRODUCT IS CLASSIFIED AS: NOT HAZARDOUS: X HAZARDOUS BY DEFINITION NO.(S) 1 , 2 , 5 , 1 0 , 1 2 ON ATTACHED EXPLANATION SHEETS WARNING STATEMENT: DANGER I EXTREMELY FLAMMABLE . HARMFUL OR FATAL IF SWALLOWED MAY BE HARMFUL IF INHALED; MAY CAUSE IRR ITATION MAY BE HARMFUL IF ABSORBED THROUGH SKIN Protective Equipment (Tÿpe) Eyes: Chemi ca 1 type gogg 1 es or fac e shi e 1 d op t i ona 1 . Skin: Pro t ec t ive c 1 oth i ng s uch as un i forms , covera 1 1 s or 1 ab coat s shoul d be worn . Launder or dry c 1 ean when s 0 i 1 ed . Gl oves res i s- tant t 0 chemi ca 1 s and pe t ro 1 eum di s t i 1 1 at es requi red . Inhalation: SCBA or supp 1 i ed a i r res p i rat ory prot ec t i on requi red for ent ry i nt 0 t anks , ves s e 1 s , or 0 ther conf i ned s paces cont aining gas 0 1 ine . Ventilation: Adequa t e to mee t permi s s i b 1 e concent rat i ons . Permissible Concentrations: Air: The ACGIH ( 1984-85) TWA for gas 0 1 ine i s 300ppm . Texaco recommends , a TWA 0 f 100ppm . First Aid F1 ush wi th water for f i f t minut Eyes: een es . Skin: Wash expos ed areas wi th s oap and wat er . Ingestion: Do NOT induce vomi t 1 ng . May caus e chemi ca 1 pneumon i t i s . Ca 1 1 a phys 1 c 1 an . . - - Inhalation: Shoul d symp t oms not ed under phys i 0 1 ogi cal ef fec t s occur , remove t 0 f resh ai r . I f not breathing , appl y art i f i c 1 al resp i ra t i on . Other Instructions: Remove gas 0 1 ine-s oaked c 1 oth i ng . N.D. - Not Determined < - Less Than N.A, - Not Applicable > - Greater Than 1 e e ß~ -1.~ ã_ ... Effects of Exposure Acute: Eyes: Caus es s 1 ight-moderat e eye i r r i t at i on . Skin: Mode ra t e 1 y i rr i t a t i ng . caus e s r ednes s edema or drying 0 f the s k in · Respiratory System: May caus e di ZZlne s s i rr i ta t i on of eye s nos e and throa t vomi t- ing b 1 U1 sh co 1 or 0 f the sk i n and CNS e f feet s . See A . C . p . 6 . Chronic: Recent s tud i es wi th 1 aborat ory anima 1 s have shown tha t gas 0 1 i ne - --- --- - ~ -va p or"s-- caus'e d-k-i·dn ey damage - and k i-dney-canc er- .in _rat,s~and~l-iv e r cancer in mi c e . Other: - Sensitization Properties: Skin: Yes No lL Unknown - Respiratory: Yes No 1L Unknown - - - - Median Lethal Dose (LD 50 LC 50 ,)(Species) Oral LD50 = 18 . 75 m1 /kR (ra t ) Inhalation N . D · Dermal >5 m1 /kR (rabb i t) Other N . D . Irritation Index. Estimation of Irritation (Species) Skin 0 .98/8.0 (rabbit) Eyes 0/ 1 1 0 (rabb i t) Svmntoms of Exnosure See above . 'Ignition Temp,oF. 850 F .- - Flash Point of. (Method) -40F-.. (cac) Flammable Limits (%) Lower 1 . 4% Upper 7 . 6% Products Evolved When Subjected to Heat or Combustion: Carbon monox 1 de and carbon di ox i de may be formed on burn ing in 1 imi t ed a 1 r s upp 1y . Recommended Fire Extinguishing Agents Añd Special, Procedures: Ace C?rding t 0 the Na t 1 ona 1 F 1 re Prot èc t i on As s oc i a t i on Gu i de 325M us e dry chemi ca 1 f oam or carbon di ox 1 de . Wat er may be ine f fee- t ive on the f 1 ames but wat er shou1 d be us ed t 0 keep f i re-expos ed conta iners coo 1 . I f a 1 eak or sp i 1 1 has no t i gn i t ed , us e wat er s pray t 0 di s pers e the vapors and t 0 provi de pro t ec t i on for the pers ons a t t empt ing t 0 s t op the 1 eak . Unusual or Explosive Hazards: F1 owing gas 0 1 ine can be igni t ed by s e 1 f-generat ed s t at 1 c e 1 ec t r i - c i ty · us e adeqtJat e grounding , . ,I I N,D, - Not Determined < - Less Than N.A. - Not Applicàble > - Greater Than 2 " e e . .. ~.-. Co, ,¡. p Waste Disposal Method: Re-evaluat10n of the product may be required by the user at the time of disposal, since the product uses, transformations, m1xtures and processes may change classification to non-hazardous or hazardous for reasons other than, or in addition to ignitability. (See Remarks for Waste Classification.) . Procedures in Case of Breakage or Leakage: (Transportation Spills Call CHEMTREC (8001 424-9300) Eliminate all Ignition sources including internal combustion eng- ines and power tools. Ventilate area. Avoid breathing vapor. Use SCBA or supplied-air mask for large spills in confined areas. Contain spill if possible. Remove with inert absorbent. Remarks: Waste Class1flcat1on: Product (as presently constituted) has the RCRA characteristiC of ignitability and lead toxicity and 1f dis- carded in its purch'àsed form would have the hazardous waste numbers DOOl and D008. .- DANGER! EXTREMELY FLAMMABLE HARMFUL OR FATAL IF SWALLOWED MAY BE HARMFUL IF INHALED; MAY CAUSE IRRITATION MAY BE HARMFUL IF ABSORBED THROUGH SKIN Long term exposure to vapors has caused cancer in laboratory animals, Keep away from heat, sparks and flame. Avoid breathing vapor,Use only in well-ventilated locations, Avoid contact with èyes and prolonged contact with skin, Keep container closed, Wash thoroughly after handling. FOR USE AS MOTOR FUEL ONL Y;CDNTAINS LEAD-ANTIKNOCK COMPOUNDS Requirements for Transportation, Handling and Storage: Transport, handle and store in accordance with OSHA Regulation 1910.106, and app11cab1e D.O.T regulations. DOT Proper Shipping Name: Gasoline DOT Hazard Class (if applicable): Flammable l1quid, UN 1203 Boiling Point (OF) >90 Vapor Pressure >-350 (mmHg) Specific Gravity O. 7-. 77 (H20= 1) Vapor Density 3-4.0 (Air= 1) Appearance and Odor LiStht straw to liStht red liquid . pH of undiluted product N. A. Solubility s 1 i Sth t Percent Volatile by Volume 100 Evaporation N.D. ( )= 1 Viscosity <1.4 cSt @ 100F Other - Hazardous Polymerizations Occur The Material Reacts Violently With: (If others is Air Water Heat X --.L- Do not occur checked below. see additional comments Strong Oxidizers Others X on page 6 for futher details) None of These N.D, - Not Determined < - Less Than N.A. - Not Applicable > - Greater Than 3 e e ß~ ~.~ ~ ... Chemical/Common Name CAS No. Exposure Limi t Range ln % .. *Gasoline conslsts malnly of straight chain and branched paraffinic hydrocarbons,ole- fins, cycloparaffins and aromatics. The ben- zene content normally varies from 0.2-3 5% wlth a typlca1 value of 1.4. The lead content may vary in comp11ance wlth EPA and state regulations. 100 ppm TWA - Texaco 100.00 *Hazardous according to OSHA (1910.1200) or one or more state Right-To-Know lists. . -~- - - ... .þ.,. -..... - - -- - - - ¡¡i:¡iSMø:¡¡¡=iMlmt$:¡¡¡lnj:¡¡ffi:ffff::::j:i/¡¡¡¡:::¡¡¡::¡¡¡¡¡::i¡¡:¡:¡¡¡:¡¡¡:¡¡¡¡::i:::j:j:¡:::::::j::::¡:¡:¡:¡¡:fj:¡:¡¡¡::::::::mf}¡:fI¡:¡¡¡}fiI}:}:¡/:::¡:/:m}j:'j¡::I::::::::::j/:¡::/:}mm¡:}}II//::::::/I}:'II://'I:/:::I}/':::':I}}"}::::,:}}}I'}}::':::://:"':::}I:'::¡:'::::j:mmi:m'i?:,I?::m:m I. Title III Section 302/304 Extremely Hazardous Substance Component . CAS No, Tetraethyllead 78002 % RQ (Lbs) 10 TPQ (Lbs) 100 <0.01 II. CERCLA Section 102(a) Hazardous Substance Component -- Tetraethyllead CAS No, 78002 % RQ (Lbs) 10 <0.01 - III, Title III Section 3 11 Hazard Categorization Acute Chronic Fire Pressure Reactive Not Applicable IV. Titl: III Section 313 Toxic 'themicals Component Benzene Toluene Ethy1benzene Xylene Pseudocumene Methyl tert-butyl ether x CAS No, % 71432 108883 100414 1330207 95636 1634044 1. 00-3 99 4-10.99 1-3.99 4-10.99 1-3.99 0-10 (vo1%) II ,- e e ... ~.~ '" ... 00342 TEXACO REGULAR DANGER I EXTREMELY FLAMMABLE HARMFUL OR FATAL IF SWALLOWED MAY BE HARMFUL IF INHALED; MAY CAUSE IRRITATION MAY BE HARMFUL IF ABSORBED THROUGH SKIN Long term exposure to vapors has caused cancer in laboratory animals. Keep away from heat, sparks and flame. Avoid breathing vapor. Use only in well-ventilated locations. Avoid contact with eyes and prolonged contact with skin. Keep container closed. Wash thoroughly after handling. FOR USE AS MOTOR FUEL ONLY;CONTAINS LEAD-ANTIKNOCK COMPOUNDS If swallowed, DO NOT induce vomiting. Call a physician immediately. In case of contact, immediately flush eyes with plenty of water for at least 15 minutes. Wash skin with soap and plenty of water. Gasoline-soaked clothing should be removed and laundered before reuse. In c~se of fire use water spray, foam, dry chemical or C02. Chemical/Common Name CAS No. Range in % *Gasoline consists mainly of straight chain and branched paraffinic hydrocarbons,ole- fins, cycloparaffins and aromatics. .The ben- zene content normally varies from 0.2-3.5% with a typical value of 1.4. The lead content may vary in compliance with EPA and state regulations. 100.00 *Hazardous according to OSHA (1910.1200) or one or more st~te Right-To-Know lists. HMIS Health 2 Reactivity Flammability: 4 Special o . - . DOT Proper Shipping Name: Gasoline DOT Hazardous Class Flammable liquid, UN 1203 CAUTION: Misuse of empty containers can be hazardous. Emp!y containers can be hazardous if used to store toxic, flammable, or reactive materials. Cutting or welding of empty containers might cause fire, ~xplosion or toxic fumes from residues. Do not pressurize or expos~ to open flame or. heat. Keep container closed and drum bungs in place. HEALTH EMERGENCY TELEPHONE:' . (914) 831-3400 (EXT. 2041 5 e e ~~ ~.- .;;: ... STATE OF MICHIGAN CRITICAL MATERIALS ACT (REVISED 1988) 1.4% benzene, 0.1% lead; conversion factor 6.7 pounds per gallon Other effects of inhalation include central nervous system effects such as contracted pupils, loss of reflexes, convulsions, seizures, sudden loss of consciousness, coma and sudden death. Other lndications of overexposure are headaches, flushing of the face, nausea, mental confusion and depression, loss of appetite, blurred speech and difficulty in swallowing. This product is intended fo.r motor fuel only. - - - - .. - - .. - - - / ,. . To determine applicability or effect of any law or regulation with respect to the product, users should consult his legal advisor or the appropriate government agency. Texaco does not undertake to furnish advice on such matters. By Date R. T. Richards 05-13-88 o New Title Mgr. Env. Conservation & Toxicology Fg Revised, Supersedes 04-19-88 N.D. - Not Determined < - Less Than N.A. - Not Applicable > - Greater Than 6 .~ e e ¡~, ï:' _6- THE INFORMATION CONTAINED HEREIN IS BELIEVED TO BE ACCURATE. IT IS PROVIDED INDEPENDENTLY OF ANY SALE OF THE PRODUCT AS PART OF TEXACO'S PRODUCT SAFETY PROGRAM. IT IS NOT INTENDED TO CONSTITUTE PERFORMANCE INFORMATION CONCERNING THE PRODUCT. NO EXPRESS WARRANTY, OR IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE IS MADE WITH RESPECT TO THE PRODUCT OR THE INFORM A TION CONTAINED HEREIN. DA T A SHEETS ARE A V AILABLE FOR ALL TEXACO PRODUCTS. YOU ARE URGED TO OBTAIN DATA SHEETS FOR ALL TEXACO PRODUCTS YOU BUY, PROCESS, USE OR DISTRIBUTE AND YOU ARE ENCOURAGED AND REQUESTED TO ADVISE THOSE WHO MAY COME IN CONTACT WITH SUCH PRODUCTS OF THE INFORMATION CONTAINED HEREIN, EXPLANATION OF THE INDUSTRIAL HYGIENE, TOXICOLOGY, AND MATERIAL SAFETY DATA SHEET PRODUCT INFORMATION Permissible Concentrations Trade Name and Synonyms Indicates worker exposure limits. such as the Threshold Limit Value (TL V) as established by the American Conference of Governmental Industrial Hygienists or standards. promulgated by the Occupational Safety and Health Administration (e,g,. PEL). Refer to the code number and name under which the product is marketed and the common commercial name of the product. Manufacturer's Name and Address Self explana- tory, TLV-Time Weighted Average (TWA) is the concentration in air averaged over an 8 hour daily exposure, TLV-Ceiling (C) is the ceiling limit on concentration that should not be exceeded during any part of the working day. Chemical Name and/or Family or Description Refer to chemical, generic. or descriptive name of single elements and compounds, For purposes of this form, a product is defined as hazardous if it possesses one or more of the following characteristics: (1) has a flash-point below 200 degrees Fahrenheit, closed cup or sub- ject to spontaneous heating; (2) has a thrëshold limit value as established by the American Conferencè of Governmental Industrial Hygenists and/or the Occupational Safety and Health Administration (with exception to petroleum oil mist), (3) a single dose oral LD50 below 500 mg/kg; (4) causes burns to the skin in the short-term exposure or is systemically toxic by skin contact; (5) has been demonstrated to be a skin or eye irritant or causes respiratory irritation; (6) may cause sk in or respiratory sensitization; (7) has teratogenic, mutagenic or other toxic effects; (8) ma9 cause asphyxia or pneumoconiosis; (9) in the course of normal operations may produce dusts. gases. fumes. vapor. mist. or smoke which have one or more of the above characteristics; ( 1 Q) con- tains a component which may be carcinogenic according to NTP (National Toxicology Program), IARC (International Agency for Research on Cancer), OSHA (Occupational Safety and Health Administration). EPA (Environmental Protection Agency) and/or NCI (National Cancer Institute.!; (1 1) has a median LC50 (RATS) in air of 200 ppm or less by volume of gas or vapor or 2,0 mg/I or less of mist. fume or dust when administered by continuous inhalation for one hour; (12) is a hazard as identified in the Product Shipping Label on page 5, "Skin" Notation (ACGIH) indicates that dermal absorption can contribute to overall exposure fol- lowing direct contact or exposure to airborne material, Permissible Exposure Level (PEL) is the time weighted concentration in air averaged over an 8 hour daily exposure, EMERGENCY AND FIRST AID PROCEDURES Administer first aid and emergency procedures in case of eye and/or skin contact, ingestion and inhalation, PHYSIOLOGICAL EFFECTS Acute Exposures (Eye. Skin. Respiratory System) Refers to the most common effects that would be expected to occur from direct contact with the product. Chronic Refers to the effects that are most likely to oc- cur from repeated or prolonged exposure, " Sensitizer Means a substance which will cause on or in normal living tissue, through an allergic or photodynamic process, a hypersensitivity which becomes evident on reapplication of, or expos- ure to, the same substance, OCCUPATIONAL CONTROL PROCEDUR~S (Cons~lt. your Industrial Hygienist or Occupational Health Specialist.! Median Lethal Dose or Concentration (LD50,LC501 Refe'rs to that dose or concentration of the ma- terial which will produce death in 50 per cent of the animals, For inhalation, exposure time is in- dicated, Protective Equipment Type of protective equiment that is necessary for the safe handling and use of this product. Irritation Index Ventilation Refers to an empirical score (Draize Method) for eye and skin irritation when tested by the meth- od described, If numbers are not available, an estimated score indicates whether or not the material is an irritànt. Normal means adequate to maintain permissible concentrations. Ventilation: type, ¡,e, local exhaust. mechanical, etc, e e ~~ -~~, ~ .., FIRE PROTECTION INFORMATION Vapor Pressure Ignition Temperature Pressure exerted when a solid or liquid is in equilibrium with its own vapor, Refers to the temperature in degrees Fahrenheit, at which a liquid will give off enough flammable vapor to ignite and burn continuously for S sec- onds, Specific Gravity Flash Point (Method used) The ratio of the density of the product to the density of water, Vapor Density Refers to the temperature in degrees Fahrenheit, at which a liquid will give off enough flammable vapor to ignite, Flammable Limits The ratio of the density tion concentration (20 degrees Fahrenheit) to mmHg, of the vapor at satura- degrees Celsius or 68 the density of air at 760 Refers to the range of gas or vapor concentration (percent by volume in air) which will burn or ex- pode if an ignition source is present. Lower means the lower flammable limit and upper means the upper flammable limit given in per- cent. Appearance and Odor Refers to the general characterization of the mat- erial, e,g, powder. colorless liquid. aromatic odor, etc, pH Products Evolved When Sub jected to Heat or Combustion, Refers to the degree of acidity or basicity of the material in a specific concentration, The products evolved when this material is sub- jected to heat or combustion, Includes temper- ature at which oxidation or other forms of degra- dation occurs, pH1-5 pHS - 7 pH7-9 pH9-14 - STRONGLY ACIDIC WEAKL Y ACIDIC WEAKL Y BA~IC STRONGLY BASIC Recommended Fire Extinguishing Agents and Special Procedures Solubility Specifies the fire fighting agents that should be used to extinguish fires, If unusual fire hazards are involved or special procedures indicated. this is specified, Refers to the solubility of a material by weight in water at room temperature, The term negli- gible, less than 0.1 %; slight. 0,1 to 1 %; moder- ate, 1 to 10%; appreciable. 10% or greater, Gives solubility in organic solvents where appropriate, Unsusual Fire or Explosive Hazards Percent Volatile By Volume Specifies hazards to personnel in case of fire. ex- posive danger, Refers to the amount volatilized at 20 degrees Celsius or 68 degrees Fahrenheit when allowed to evaporate, ENVIRONMENT AL PROTECTION Specifies how this product may be disposed, Evaporation Indicates precautions necessary in the event that leakage or breakage occurs, Included are (a) clean-up procedures, (b) personal protective equipment if necessary, (e) hazards that may be created, i.e. fire. explosion. etc, Gives the rate of evaporation compared to a standard PRECAUTIONS Viscosity Measure of flow characteristics in Kinematic vis- cosity in Centistokes, Label that is required or recommended, Hazardous Polymerization Requirements for Transportation. Handling and Storage Specifies handling and storage procedures, Gives ICC, DOT, or other regulations related to safety and health for transportation. Hazardous polymerization is that reaction which takes place at a rate which produces large amounts of energy. Indicates whether it mayor may not occur and under what storage conditions, Does the Matèrial React Violently CHEMICAL ÀND PHYSICAL PROPERTIES. Indicates whether the material will react violently, releasing large amounts of energy when exposed under conditions listed. Boiling Point (or Range) In degrees Fahrenheit or Celsius Boiling Point at 760 mmHg, Composition Components of the product as required by OSHA (1910,1 200) and one or more state Right to Know laws, Texaco Inc. 2000 Westchest¡.'f Avenue White. Plains, New Yark 10650 Phnnro (~141 R~1-' 'no IRp::I,.nnl .. L- e BUSINESS NAME MARKET EXPRESS #2 LOCATION ZSøø WIBLE RD 10 NU~R ZI5-0ØØ-0Ø0S03 HIGH HAZARD RATING Z .., 1. OVEtWIEW LAST CHANGE 0Z/18/88 BY EVAMC JURIS CODE 215-007 JURIS BAKERSFIEl.D STATION 07 MAP PAGE 123 GRID 11 D FACILITY UNITS 1 HAZARD RATING Z RESPONSE SUMMARY ZA SEC 4) NO PRIVATE RESPONSE TEAM EMERGENCY CONTACTS ZA SEC Z) 11_, /. /3<10 '54-55 ,RON RflO::>DAL[ fßl 9561 351~j 1046 ~ ~€..4îd'l ifU'jJpêC g3J -c¡s'tpl . - CD GARY CHAPMAN 3Z7-7Z 12 393-7918 UTILITY SHUTOFFS ZA SEC 3) A) GAS ,- WEST SIDE OF BLDG. B) ELECTRICAL - SE CORNER ,INSIDE BLDG. e> WATER -. SF LARSON LANE D> SPECIAL - NONE E> LOCK BO>( -- NO Z. NOTIFICATION / PUBLIC EVACUATION LAST CHANGE / / BY I· Cái!JL q // , :<'~~~~'VJ4 ~IN~~'U~HlI~ £)aJ . 3, ~ t;~lLjJá/fLôl M£L"J' ~~ Ú1æ~. PAGE ¡ lZ/Z3/88 16:51 MATERIAL SAFETY DATA SYSTEMS, INC. (80S) 648-6800 ::5 .,... //-- BUSINESS NAME MARKET EXPRESS #Z LOCATION Z500 WIBLE RD ID NW18ER Z 1S-ØØØ-000S03 HIGH HAZARD RATING 2. 3. HAZ MAT TRAINING SUMMARY LAST CHANGE 1 1 BY /0 JUYLfJl~~ L}¿L aftßLLiv¿J- ~ ~~ < NO INFORMATION RECORDED FOR THIS SECTION> fhSD5 þ0- ~~ ~ #:CL , _ M- ~~ ~eL tvvLcL i~ UY0d-. &4..Ú'(YVk£1 p~~ ' 4. LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE 02118/98 BY EVANC - .-.- ZA SEC 5) CLOSEST EMERGENCY FACILITIES PAGE Z 12/23/88 16=51 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 ~ . . · .! ,;; '_ BUSINESS NAME MARKET EXPRESS #Z LOCATION ZS00 WIBLE RD FACILITY UNIT 01 10 NU~R Z1S-000-000503 HIGH HAZARD RATING Z -, A. OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 02/18/88 BY EVAMC 10 TYPE NAME LOCATI ON CONTAINMENT MAX AMT UNIT HAZARD USE PURE GASOLINE NE CORNER OUTSIDE UNDERGROUND TANKS 10 PERCENT COMPONENTS 118Z.00 100.0 GASOLINE 3Eì000 GAL HIGH FUEl. HAZARD LIST HIGH Z PURE MOTOR OIL 300 GAL UNKNOWN SOUTH WALl. ROOM 1 PLASTIC CONTAINER[ SJ LUBRICANT 10 PERCENT COMPONENTS HAZARD LIST 2808.00 100.0 MOTOR OIL UNKNOWN B. FIRE PROTECTION / WATER SUPPLIES LAST CHANGE 02/18/88 BY EVAMC 3A SEC 4} FEDERATED INSURANCE/SUN VALLEY OIL. ROGER SALTON INSURANCE AGENCY 3A SEe 5) NE CORNER OF WILSON & WIBL.E RDS. WATER FOR FIRE. FIRE EXTINGUISHER INSIDE MAIN DOOR AGAINST NORTH WALL. PAGE 3 12/23/88 16:51 MATERIAL SAFETY DATA SYSTEMS. INC. (80S) 648-6800 BUSINESS NAME MARKET EXPRESS #2 L.OCATION 2500 WIBLE RD IO NUMBER 215-000-000503 HIGH HAZARD RATING 2 D. EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 0Z/18/88 BY EVANC 3ASEC Z> VERBAL COMMANDS, EVACUATE OR REMAIN AS SITUATION DEEMS NECESSARY CALL 911 -_.-.- -- --" .-.-.- -----"" -"-- -, . E. MITIGATION / PREVENTION I ABATEMENT LAST CHANGE 02/18/88 8Y EVANC 3A SEC 1> CAL.L 911 FOR FIRE DEPT. OR APPROPRIATE AGENCY. EVACUATE EMPLOYEES AND CUSTOMERS IF NECESSARY. ALL HAZARDOUS MATERIAL PROPERLY STORED. PAGE 4 lZ/23/88 16:51 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 " ~: . . ·~ . c:f~ Uf. HAZARDOUS ~1A TERIALS INSPECTION '-- > :"'-./. - ~7" ~ BUSINESS -, ¡lWkr. ~#5 LOCATION: :z~()O tJd?re RJ, ï, INSPECTION DATE: :3 --I")"'" ~6" INSPECTOR: ~ ::Š-t'==-'\ VERIFICATION OF INVEN"l'ORY MATERIALS ~ PROPER SEGREGATION OF MATERIAL / ŒJ· ŒJ ~ VERIFICATION OF QUANTITIES VERIFICATION OF LOCATION /lðrf- oi/! ~;veP1 0;;>- IV"'+-- /, slt'(jj e r rY~j/ / t7C~;Y} (. VERIFICATION OF MSDS AVAILABLE IItyl ¡v" ,p';('urd5 i ~ ./ VERIFICATION OF BAZ MAT TRAINING COMMENTS: ¡J 0 ((-e.COf cL S VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES G2r' CJ [<-. <DMMEHTS: me. L EMERGENCY PROCEDURES POSTED NTAINERS PROPERLY ~~-;;:Y.1ID ITé.s1 Œa ()¿<:: IFICATION OF FACILITY DIAGRAM e S ECIAL HAZARDS ASSOCIATED VI'l'B THIS FACILITY: [)/L ~ / J ;~ 32-& 3q/~ m}S'INESS NAME MARKET ExtlESS #2 ~OC~TION 2500 WIBLE RD 'i 7 ID~MBER 215-000-000503 HIGH HAZARD RATING 2 1. OVERVIEW LAST CHANGE 02/18/88 BY EVAMC JURIS CODE 215-007 JURIS MAP PAGE 123 GRID 11D FACILITY UNITS 1 HAZARD RATING 2 RESPONSE SUMMARY 2A SEC 4) NO PRIVATE RESPONSE TEAM EMERGENCY CONTACTS 2A SEC 2) RON RAGSDALE 831-9561 399-1046 GARY CHAPMAN 327-7212 393-7918 UTILITY SHUTOFFS 2A SEC 3) A) GAS - WEST SIDE OF BLDG. B) ELECTRICAL - SE CORNER INSIDE BLDG. C) WATER - SE LARSON LANE D) SPECIAL - NONE E) LOCK BOX - NO 2. NOTIFICATION / PUBLIC EVACUATION LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > PAGE 1 02/18/88 12:24 MATERIAL-SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME MARKET EXPRESS #2 LOCATION 2500 WIBLE RD ID NUMBER 215-000-000503 HIGH HAZARD RATING 2 4. LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE 02/18/88 BY EVAMC 2A SEC 5) CLOSEST EMERGENCY FACILITIES A. OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 02/18/88 BY EVAMC ID TYPE NAME LOCATION CONTAINMENT MAX AMT UNIT HAZARD USE 1 PURE GASOLINE NE CORNER OUTSIDE UNDERGROUND TANKS ID PERCENT COMPONENTS 1182.00 100.0 GASOLINE 36000 GAL HIGH FUEL HAZARD GUIDE HIGH 27 2 PURE MOTOR OIL / ~SOUTH WALL ROOM 1 /V'41/j ID PERCENT COMPONENTS 2808.00 100.0 MOTOR OIL PLASTIC CONTAINER[S] 300 GAL UNKNOWN LUBRICANT HAZARD GUIDE UNKNOWN NL PAGE 2 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 02/18/88 12:24 , ~ . e r~- BUSINESS NAME MARKET E~SS #2 ~OCAXION 2500 WIBLE RD FACILITY' UNIT 01 ID~MBER 215-000-000503 HIGH HAZARD RATING 2 B. FIRE PROTECTION / WATER SUPPLIES LAST CHANGE 02/18/88 BY EVAMC 3A SEC 4) FEDERATED INSURANCE/SUN VALLEY OIL ROGER SALTON INSURANCE AGENCY 3A SEC 5) NE CORNER OF WILSON & WIBLE RDS. WATER FOR FIRE. FIRE EXTINGUISHER INSIDE MAIN DOOR AGAINST NORTH WALL. D. EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 02/18/88 BY EVAMC 3A SEC 2) VERBAL COMMANDS, EVACUATE OR REMAIN AS SITUATION DEEMS NECESSARY CALL 911 PAGE 3 02/18/88 12:24 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME MARKET EXPRESS #2 LOCATION 2500 WIBLE RD FACILITY UNIT 01 ID NUMBER 215-000-000503 HIGH HAZARD RATING 2 E. MITIGATION / PREVENTION / ABATEMENT LAST CHANGE 02/18/88 BY EVAMC 3A SEC 1) CALL 911 FOR FIRE DEPT. OR APPROPRIATE AGENCY. EVACUATE EMPLOYEES AND CUSTOMERS IF NECESSARY. ALL HAZARDOUS MATERIAL PROPERLY STORED. PAGE 4 02/18/88 12:24 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 , . ~ ~-~ . . ~