Loading...
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 1 c5.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... specHaz EPA 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