HomeMy WebLinkAboutBUSINESS PLAN (3)
f
ROSEDALE CHEVRON
SiteID: 015-021-001532
Manager : TINA FLOYD
Location: 9700 ROSEDALE HWY
City BAKERSFIELD
BusPhone:
Map : 102
Grid: 30B
( 661 ) 58 9 9 011 6"c:¡r~ ,...
CommHaz : Low J...¡LfÇ<
FacUnits: 1 AOV:
CommCode: COUNTY STATION 66
EPA Numb:
SIC Code:5541
DunnBrad:
Emergency Contact
NIRMAL GILL
Business Phone:
24-Hour Phone :
Pager Phone :
/ Title
/ OWNER
(661) 589-9011x
(661) 837-4455x
( ) - x
Emergency Contact / Title
TINA FLOYD / MANAGER
Business Phone: (661) 589-9011x
24-Hour Phone : ( ) - x
Pager Phone : ( ) - x
Hazmat Hazards:
Fire
ImmHlth DelHlth
Period :
Preparer:
Certif'd:
ParcelNo:
to
Phone: (661) 589-9011x
State: CA
Zip : 93312
Phone: (661) 589-9011x
State: CA
Zip : 93312
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
Contact :
MailAddr: 9700 ROSEDALE HWY
City : BAKERSFIELD
Owner
Address
City
THREE GILL INC
: 9700 ROSEDALE HWY. RD
: BAKERSFIELD
Emergency Directives:
NEW OWNER CAME IN AND FILLED OUT PAPERWORK ON 01-18-01
1c5.A.~[(llJ2f-DO hF::t)þ1/ certify that i have
(Typø (,r ;.¡f¡q1 ¡~3ìIi(;\
YCi;isi;vcd the atla~~~;zardOUS matsri~IS manag.so
ment plan for 'KlF-b:J:lIr:cj1evrcrand ~hat I~ along with
(Name of Bus¡nøss)
any corrections constitute a complets and coV'red man-
agement plan for my facility.
_~~ lojlf!<I
-1-
08/25/2004
F ROSEDALE CHEVRON
SiteID: 015-021-001532 9
STORAGE CONTAINER DATA (UST FORM A)
Last Action Type:
FACILITY/SITE INFORMATION
Business Name: ROSEDALE CHEVRON
Cross Street :
Business Type: Org Type:
Total Tanks 3 IndnRes/Trust: No PA Contact:
PROPERTY OWNER INFORMATION
Name TINA FLOYD Phone: (661)
Address:
City State: Zip:
Type
Name TINA FLOYD
Address:
City
Type
TANK OWNER INFORMATION
Phone:
(661)
State: Zip:
BOE UST Fee#
Financ'l Resp: SELF INSURED
Legal Notif Tank Owner Mailing Address
Date:01/18/2001
Name:NIRMAL GILL
State UST #
ç~
Phone: (661) 589-9011x
Ttl:OWNER
1998 Upg Cert#: 00860
-2-
08/25/2004
F ROSEDALE CHEVRON
f= Hazmat Inventory
f== MCP+DailyMax Order
SiteID: 015-021-001532
By Facility Unit
Fixed Containers at Site
SUPREME UNLEADED GASOLINE
REGULAR UNLEADED GASOLINE
~L~ßDED PLUS ~¿80LINB
l)\FS E'L..
IH DH
IH DH
IH DH
L
L
L
9
9
9
DailyMax IUnitlMCP
11600.00 GAL Mod
11600.00 GAL Mod
11600.00 GAL Mod
Hazmat Common Name...
specHazEPA
F
F
F
Hazards Frm I
-3-
08/25/2004
SiteID: 015-021-001532 9
Facility Unit: Fixed Containers at Site 9
F ROSEDALE CHEVRON
f= Inventory Item 0001
=== COMMON NAME / CHEMICAL NAME
SUPREME UNLEADED GASOLINE
Days On Site
365
Location within this Facility Unit
NE CRNR UNDERGROUND
Map:
Grid:
CAS #
8006619
STATE - TYPE
Liquid Pure
PRESSURE ---- TEMPERATURE
Ambient Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
12000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
11600.00 GAL
Daily Average
5000.00 GAL
%Wt. I
100.00 Gasoline
HAZARDOUS COMPONENTS
~
CAS # I
8006619
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
HAZARD ASSESSMENTS
Ag.Defined1:
MISC. LOCAL AGENCY DATA
Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined5:
Ag.Defined6: Ag.Defined7:
Ag.Defined8:
Ag.Defined9: Ag.Define10:
- Ag.Define11
-4-
08/25/2004
F ROSEDALE CHEVRON SiteID: 015-021-001532 9
f= Inventory Item 0001 Facility Unit: Fixed Containers at Site 9
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2
Last Action Type:
Location In Site: NE CRNR UNDERGROUND
TANK DESCRIPTION
Tank ID#: 1 Mfr: OWENS CORNING
Installed: 05/1991 Capacity: 12000 Gals
Additional Info:
Compart Tank: N
No. Of Comparts:
Tank Use: MOTOR VEHICLE FUEL
MatI Name:SUPREME UNLEADED GASOLINE
TANK CONSTRUCTION
TANK CONTENTS
Petrol Type: PREMIUM UNLEADED
Cas #: 8006619
Type : DOUBLE WALL
Material(p): FIBERGLASS
Material(s): FIBERGLASS
Lining : UNLINED
Corr Prot: FIBERGLASS REINFORCED
Spill Cnt : 1991
Drop Tube : 1998
Striker Plate: 1998
Sgl Wall:
PLASTIC
Alarm :
Ball Float :
Fill Tube S/O: 1998
TANK LEAK DETECTION
Dbl Wall: INTERSTITIAL MONITORING
Installed:
Installed:
Exempt: No
Last Used:
TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Qty Remaining: Was Filled: No
-5-
08/25/2004
F ROSEDALE CHEVRON SiteID: 015-021-001532 9
f= Inventory Item 0001 Facility Unit: Fixed Containers at Site 9
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2
PIPING CONSTRUCTION
Piping
Type :
Const:
Mfgr :
Mtl :
& :
Corr :
Prot :
UnderGround
PRESSURE
DOUBLE WALL
AO SMITH
FIBERGLASS
AboveGround Piping
FIBERGLASS
PIPING LEAK DETECTION
UnderGround Piping AboveGround Piping
AUTOMATIC LEAK DETECTORS
Installed: 03/06/1998
Date: 01/18/2001
Name:NIRMAL GILL
Prmt Number: 1532
DIS·PENSER CONTAINMENT
Type: DISP. PAN SENSOR W/ POS. SHUTOFF
OWNER/OPERATOR SIGNATURE
Ttl:OWNER
Approved: Yes Expiration Date: 06/30/2006
AGENCY DEFINED
TANK/LINE TEST :
CP CERT. :
MANWAY INSP. : 11/10/1999
UST MONIT. CERT:04/07/2003
STORAGE CONTAINER DATA (UST FORM C)
Installer Certified by tank/piping manufacturer: Yes
Installation Inspected & Certified by Registered Engineer: No
Installation Inspected by Unified Program Agency: Yes
Manufacturer's Checklist Completed: Yes
Installer Certified by Contractors' State License Board: Yes
Approved Alternate methods:
Date: 01/18/2001
Name:NIRMAL GILL Ttl:OWNER
-6- 08/25/2004
SiteID: 015-021-001532 ì
Facility Unit: Fixed Containers at Site ì
F ROSEDALE CHEVRON
p= Inventory Item 0002
= COMMON NAME / CHEMICAL NAME
REGULAR UNLEADED GASOLINE
Days On Site
365
Location within this Facility Unit
NE CRNR UNDERGROUND
Map:
Grid:
CAS#
8006619
STATE - TYPE
Liquid Pure
PRESSURE ---- TEMPERATURE
Ambient Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
12000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
11600.00 GAL
Daily Average
5000.00 GAL
%wt. I
100.00 Gasoline
HAZARDOUS COMPONENTS
GrJ
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.Defined6: Ag.Defined7:
Ag.Defined5:
Ag.Defined8:
Ag.Defined9: Ag.Define10:
- Ag.Define11
-7-
08/25/2004
F ROSEDALE CHEVRON SiteID: 015-021-001532 9
f= Inventory Item 0002 Facility Unit: Fixed Containers at Site 9
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2
Last Action Type:
Location In Site: NE CRNR UNDERGROUND
TANK DESCRIPTION
Tank ID#: 2 Mfr: OWENS CORNING
Installed: 05/1991 Capacity: 12000 Gals
Additional Info:
Compart Tank: N
No. Of Comparts:
Tank Use: MOTOR VEHICLE FUEL
MatI Name:REGULAR UNLEADED GASOLINE
TANK CONSTRUCTION
TANK CONTENTS
Petrol Type: UNLEADED PLUS/MIDGRADE
Cas #: 8006619
Type : DOUBLE WALL
Material(p): FIBERGLASS
Material(s): FIBERGLASS
Lining : UNLINED
Corr Prot: FIBERGLASS REINFORCED
Spill Cnt : 1991
Drop Tube : 1998
Striker Plate: 1998
Sgl Wall:
PLASTIC
Alarm :
Ball Float :
Fill Tube S/O: 1998
TANK LEAK DETECTION
Dbl Wall: INTERSTITIAL MONITORING
Installed:
Installed:
Exempt: No
Last Used:
TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Qty Remaining: Was Filled: No
-8-
08/25/2004
F ROSEDALE CHEVRON SiteID: 015-021-001532 9
f= Inventory Item 0002 Facility Unit: Fixed Containers at Site 9
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2
PIPING CONSTRUCTION
Piping
Type :
Const:
Mfgr :
Mtl :
& :
Corr :
Prot :
UnderGround
PRESSURE
DOUBLE WALL
AO SMITH
FIBERGLASS
AboveGround Piping
FIBERGLASS
PIPING LEAK DETECTION
UnderGround Piping AboveGround Piping
AUTOMATIC LEAK DETECTORS
Installed: 03/06/1998
Date: 01/18/2001
Name:NIRMAL GILL
Prmt Number: 1532
DISPENSER CONTAINMENT
Type: DISP. PAN SENSOR w/ POS. SHUTOFF
OWNER/OPERATOR SIGNATURE
Ttl:OWNER
Approved: Yes Expiration Date: 06/30/2006
AGENCY DEFINED
TANK/LINE TEST :
CP CERT. :
MANWAY INSP. : 11/10/1999
UST MONIT. CERT:04/07/2003
STORAGE CONTAINER DATA (UST FORM C)
Installer Certified by tank/piping manufacturer: Yes
Installation Inspected & Certified by Registered Engineer: No
Installation Inspected by Unified Program Agency: Yes
Manufacturer's Checklist Completed: Yes
Installer Certified by Contractors' State License Board: Yes
Approved Alternate methods:
Date: 01/18/2001
Name:NIRMAL GILL Ttl:OWNER
-9- 08/25/2004
SiteID: 015-021-001532 9
Facility Unit: Fixed Containers at Site 9
F ROSEDALE CHEVRON
f= Inventory Item 0003
= COMMON NAME / CHEMICAL NAME
UNLEADED PLUS GASOLINE
Days On Site
365
Location within this Facility Unit
NE CRNR UNDERGROUND
Map:
Grid:
CAS#
8006619
STATE - TYPE
Liquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
12000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
11600.00 GAL
Daily Average
5000.00 GAL
%Wt. I
100.00 Gasoline
HAZARDOUS COMPONENTS
~
CAS # I
8006619
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
HAZARD ASSESSMENTS
Ag.Defined1:
MISC. LOCAL AGENCY DATA
Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined5:
Ag.Defined8:
Ag.Defined6: Ag.Defined7:
Ag.Defined9: Ag.Define10:
- Ag.Define11
-10-
08/25/2004
F ROSEDALE CHEVRON SiteID: 015-021-001532 9
f= Inventory Item 0003 Facility Unit: Fixed Containers at Site 9
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2
Last Action Type:
Location In Site: NE CRNR UNDERGROUND
TANK DESCRIPTION
Tank ID#: 3 Mfr: OWENS CORNING
Installed: 05/1991 Capacity: 12000 Gals
Additional Info:
Compart Tank: N
No. Of Comparts:
Tank Use: MOTOR VEHICLE FUEL
MatI Name:UNLEADED PLUS GASOLINE
TANK CONSTRUCTION
TANK CONTENTS
Petrol Type: REGULAR UNLEADED
Cas #: 8006619
Type : DOUBLE WALL
Material(p): FIBERGLASS
Material(s): FIBERGLASS
Lining : UNLINED
Corr Prot: FIBERGLASS REINFORCED
Spill Cnt : 1991
Drop Tube : 1998
Striker Plate: 1998
Sgl Wall:
PLASTIC
Alarm :
Ball Float :
Fill Tube S/O: 1998
TANK LEAK DETECTION
Dbl Wall: INTERSTITIAL MONITORING
Installed:
Installed:
Exempt: No
Last Used:
TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Qty Remaining: Was Filled: No
-11-
08/25/2004
F ROSEDALE CHEVRON SiteID: 015-021-001532 9
f= Inventory Item 0003 Facility Unit: Fixed Containers at Site 9
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2
PIPING CONSTRUCTION
Piping
Type:
Const:
Mfgr :
Mtl :
& :
Corr :
Prot :
UnderGround
PRESSURE
DOUBLE WALL
AO SMITH
FIBERGLASS
AboveGround Piping
FIBERGLASS
PIPING LEAK DETECTION
UnderGround Piping AboveGround Piping
AUTOMATIC LEAK DETECTORS
Installed: 03/06/1998
Date: 01/18/2001
Name:NIRMAL GILL
Prmt Number: 1532
DISPENSER CONTAINMENT
Type: DISP. PAN SENSOR W/ POS. SHUTOFF
OWNER/OPERATOR SIGNATURE
Ttl:OWNER
Approved: Yes Expiration Date: 06/30/2006
AGENCY DEFINED
TANK/LINE TEST :
CP CERT. :
MANWAY INSP. : 11/10/1999
UST MONIT. CERT:04/07/2003
STORAGE CONTAINER DATA (UST FORM C)
Installer Certified by tank/piping manufacturer: Yes
Installation Inspected & Certified by Registered Engineer: No
Installation Inspected by Unified Program Agency: Yes
Manufacturer's Checklist Completed: Yes
Installer Certified by Contractors' State License Board: Yes
Approved Alternate methods:
Date: 01/18/2001
Name:NIRMAL GILL Ttl:OWNER
-12- 08/25/2004