Loading...
HomeMy WebLinkAboutBUSINESS PLAN ____ _-..,,-:o-w"'______ .._....__ y-,,__ ~ .htr ). .. ... -~~~--------_.... ---~ ~~ ------- ---------........ ~~~ ~c.o OJ¿ Þ ~ ð-~ 7 . tJ=:oo&ì ~ ~ ~~ ~90/ C\ o .::;>. ~ ~. (J:e - ((3 ~ ~ð7 702 & L5" . ! . (' (, .,- j I' ( .-- ·/ì / / <" ~..~ -------- 1/// ':1-~::---~ 1" r ~J; . .~- - ':~~¿~~~~-__~~~~_____-=:,~~-=- ,f;~~~O-¿~~::~:~n_n_ ! ,. ?' .".'" __ '9_~~'-:-,~;"n"....':¡:"";\>':... , . . ---- . ",. .: ....1' ~c.." !:' / ~"-. ~! -,.. ~ l '31 . : on:: - ;-- .------:..:- .eê.o" - tJH~"'" 10.'-''-' ! . .' '~:::: _~E'-'''_ - n~;~':::,_ F --~'!- . \ . '-'-',-- '0: ' ¡ ~. f:J'Dtt:L,":.,~ ~''''''''''~:''''_~"'' ~! ,,_I 0'1" ,_. --\---- lha:,.1I...oa ...oca.. I ':IoN...t.i.D~':2."~ . I ~.:ï:!!i¥'~"'':..F'''_ I \ ,/ '1ÎJ ... - ':-'~::~1/ r 1 -' - ·1 J ---"--Þ-- '-I 3 C@) © © ~ o ~ ..... ~ .,... ~ ~ 'f..~'':.':'i:';;:'" - :: ~ -., - &¡\\{~Ü, ::'¡ ~_..s~,¡'- VO .: ~ ".' !.:J .~-~~~. -;..... -.- ;-:- "":::..::.~ , ......2-,..;C'"-:"'.. ..~-=..::- -- --- --: , ; c. '" ~ -¿..~ ------ -:..s -'- .~ -, ï .~. .. ,- ~; ~~' -p."J.,¡ ~:E.;/J _ ---¡;------- , '¡;;:4g_C.;:~""'-\Ão:9!J...~ Cm"J.::.&Œ . ewe. E~~~"'f ClaJ"'\'4'7ION ~'S CD.1ïA1K'Et: N--:' CAuf', Atr.::NsrI;:A.T¡'I<.ca>6TITUó 2!1 ¡;¡V"2!) A;;T¡ú'l. Z. !iA¡¡6 £WJ ~t!> ~'/ Me;. ¡>a- -Su:.N, <I SEC.",;" T £0 ,w.;1(~)I: :E-~~- c'Ð-.';¡F'y n¡..-;- iÌlli:e. 1'UN~.-t C11IE.J~&z;¡>, £'}<;::'':'J:>-:¿,O~..~~~~Ué, [i~~"':-~ (JPb~G~ I'I~ ';:~·f,'.. l -i.- . ~ -R. 1:., DCOL~~_ ) - I I ) , ON~ I-j ¡;'ÞULE~ N. bLe.VA;fOl-! :~!X (1""\_ , U__.;' ~ ~.j~E :::'~. ""n / on''" . ¡ r' c,,__ o . .1. ~If: _ ~I " . ~ 4"i1~ -- '1 ~ -~~:;. .! . ~~ _ - r. "rT _ ~11T:'--'-' -, ..1 ~ - , i :', 12'9 , -...... T(".IKASIi 'E~c DETL- 5ï.;>1~O" n___.____ _..:-~5·~20· l,"¡T _ OLE; (f:¡ E;..¿ÖN _ -, J.lP box , ~'i' ' ",,' ,-A~~ ' - ". r2"~>^,,:;:U .... ~ ~' ....--;. ~ ¡ <;' -- ~.\ ,.9 c.uo,1'... : ¡() I r,f ¡ µ) --. IY'P, GuARD !bs, QE7L -34"T~ , ::! --l-- 241.' ---, , , Tvp L ¡ Sir. 57V I'FrL ~EE:a j:' --., ~åÑ~ R>{ LoU",,"'¡ (.1. P.E.':' D) ·Þë.R· CAST C;r)C.. . 1òCMP!õ1t BLÚC.K Wlz."3 Se7 iN A?Ç~i~ MASTIC (]\ . Àt. P,J.VIH<Õ> fI~ '. ;- " II _i/»' ---::'r'~"-" , . '/Z'oþ X IS" Lcw:. I ¡: , ST£~L (&/I. 2/11.Y.) """ìŸP. ~UMI'ER' ~LK 3.'1" -\'-0"_ (I'i- REQ'O)_ _"t.'o.__,.~'f_ :5Jb:I:- ~:'~'':''- V.!",___ =~,~..' .,~-~- , , i ';" Ì<) ,¡ = r ~ S), -, c'! ..¡¡ :..:.-¡ Te..rrt'!... r-=' -- :"'1'0' :~-~~~ / ~ . .--. , , ; ! ~ ~ ; I I I J I i ~11' I: ~)' I ' W.")t.S,Q. ' ,..... ¡ .' I i' Q' :::¡ ~: ~. Ii" .,.,. ''''0 ¡. i .. t ,I 'i "'- ~ I ~V' ~I . ~~:~. . ~:"1 - 'J ¿ < . r l ',\.~. -_..- i-\ Ì"'cb:o... -:-_ ....') ; .... 'u ""'.o,t'::"..1 'j , ~ . G-AS- f v.-wj5: ¡-ì ! I IJ 1.., ~;: ,~~~. .~ Í1 n~, Ii', -r. , , I ¡ , - --- ~ J-;.¿, ® -- ]2~~;.~ ::::: r/~ "__ _ _"' __ _ ___.-L._ . _ ;'~"or.~::¡:;r---- :..,. ~.c-n øv.,..1o' ! -i-___-.2::..~_~ ¡- , oj ~! ! -~- -:',!'-;J~_. .- ~~ , , ' 1-P-~R'"i<.-thi"::-"--;\" ~""'~"õ:; LLLL 1 . L -t"1IO:'R'C':!.=''' p;r :.xC:. _ -==-~'b1-0~_. T AQ., PAY tNG -- --- -._-~- //"/ --- "~........-=- ,/ ./ r, =-= .'St.:..... '.1 ~\ tr.¡ ¡ t ~ iIÎ -!! l' " ~ £:\ ~ - ... r - L i~- ;.- - t. :. I --~ 1. )-Ç" , ^ ,-.:t-:." ""0 ~J- ¿ _____.t. =-' ~ ~.\/C_:.....- L.~ t---.l at r' ~!, -.22.:. --=-'I:.~ ,--, '" _l.-;S·d , ''-' \'.r-) - ,..,\'~) .. ,) ~'''\-: OJ {hi. L: ~,": " r' '\ W '~ .':,... " .-.. --~--------- - -- ~ .~- .' . ..>__ _____.n....._-_=_ . /; '..=: , " ,"f& / fr.C( ¡, 1ÿ a~ rd". . /: J-' /'""'1 þ'p1 tl5 . , /J " rÆ7iy4 Pi ,.,5?lY,,4¡7' Sd61/cM 'I9fJ I ~ ¿p,,;"'" /Iv--<- 725 -In ~f !5 J¿/ I I I, x. ~Ú>~ t ~D~)\~~ " ~f~~,,~ I I~f':f I ~ ~ ~ i vi --_.~ ~ .--..-. -..-------- -5 . '<::;0,- (jV\~ It\,)-<- ¡J --------- .._- --- , J- (' I IJO 111)S~ ~ (1Q " s-(ú(v ~1 (ìie-l/ Co sl,.f i ! I I! '.l,. - -- Fj\STRIP 775 SiteID: 015-021-000725 Manager BERNIE JAMIESON Location: 4901 S UNION AVE City BAKERSFIELD CommCode: BAKERSFIELD STATION 05 EPA Numb: BusPhone: Map : 124 Grid: 19B (661) 397-9387 CommHaz : Low FacUnits: 1 AOV: SIC Code:5541 DunnBrad:18-951-4284 Emergency Contact BERNIE JAMIESON Business Phone: 24-Hour Phone : Pager Phone / Title / OWNER (661) 397-9387x (661) 873-0852x () x Emergency Contact DAVID PALMER Business Phone: 24-Hour Phone : Pager Phone / Title / OPERATIONS (661) 393-7000x (661) 393-7000x () x MNGR Period Preparer: Certif'd: ParcelNo: to Fire ImmHlth DelHlth Phone: (661) 393-7000x State: CA Zip 93303 Phone: (661) 393-7000x State: CA Zip : 93308 TotalASTs: Gal TotalUSTs: Gal RSs: No Hazmat Hazards: Contact : DAVID PALMER MailAddr: PO BOX 1807 City BAKERSFIELD Owner Address City JAMIESON HILL 700 3101 STATE RD BAKERSFIELD Emergency Directives: I, F11~~ L\rbc1::~ hereby certify that ~ hays (Type or prlnt~ reviewed the attached hazardous materials manage- and thai it along with ment plan for ( any corrections consUtute a complete and corredman- agement plan ¡or my iacUity. -1- 07/13/2004 .õ' -- e F FASTRIP 775 SiteID: 015-021-000725 9 ) STORAGE CONTAINER DATA UST FORM A Last Action Type: FACILITY/SITE INFORMATION Business Name: FASTRIP 775 Cross Street : Business Type: Org Type: Total Tanks : 4 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : DAVID PALMER Phone: (661) 393-7000x Address: City : State: Zip: Type : PARTNERSHIP TANK OWNER INFORMATION Name : DAVID PALMER Phone: (661) 393-7000x Address: City : State: Zip: Type : PARTNERSHIP BOE UST Fee# : 003279 Financ'l Resp: Legal Notif : Property Owner Mailing Address Date:04/17/1995 Phone: ( ) - x Name:LAWRENCE HENSON Ttl:SUPV. RETAIL OP. State UST # : 19,98 Upg Cert#: 00775 -2- 07/13/2004 e e F FASTRIP 775 f= Hazmat Inventory f== MCP+DailyMax Order SiteID: 015-021-000725 ì By Facility Unit ì Fixed Containers on Site ì Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP 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 IH DH L 12000.00 GAL Mod F IH DH L 12000.00 GAL Mod F IH DH L 12000.00 GAL Low L 12000.00 GAL Low UNLEADED PLUS UNLEADED PREMIUM UNLEADED UNLEADED GASOLINE PREMIUM UNLEADED DIESEL DIESEL -3- 07/13/2004 - e F FASTRIP 775 f= Inventory Item 0001 ¡::::::= COMMON NAME / CHEMI CAL NAME UNLEADED PLUS SiteID: 015-021-000725 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit SE CORNER 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 4190.00 GAL %wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # 8006619· HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod Ag.Defined1: , MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: I- Ag.Define11 -4- 07/13/2004 - e F FASTRIP 775 SiteID: 015-021-000725 , f=. Inventory Item 0001 Facility Unit: Fixed Containers on Site, STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: SE CORNER TANK DESCRIPTION Tank ID#: 1 Mfr: MODERN WELD Installed: 01/1996 Capacity: 12000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL Matl Name:UNLEADED PLUS TANK CONTENTS Petrol Type: UNLEADED PLUS/MIDGRADE Cas #: 8006-61-9 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): STEEL CLAD W/FIBERGLASS R. P. Material(s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1996 Drop Tube : 1996 Striker Plate: 1996 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 1996 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- 07/13/2004 e e F FASTRIP 775 SiteID:015-021-0007259 f= Inventory Item 0001 Facility Unit: Fixed Containers on Site 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping PRESSURE DOUBLE WALL Type : Const: Mfgr : Mtl : & : Corr : Prot : AboveGround Piping FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 01/22/1996 Date: 04/25/2000 Name:JOHN KERLEY Prmt Number: 0725 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR wi POS. SHUTOFF OWNER/OPERATOR SIGNATURE Ttl:V.P. Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED PASS TANK/LINE TEST :10/30/2002 CP CERT. : MANWAY INSP. :03/25/1996 UST MONIT. CERT:Oa/12/2003 -6- 07/13/2004 e e F FASTRIP 775 F Inventory Item 0002 F== COMMON NAME / CHEMI CAL NAME UNLEADED SiteID: 015-021-000725 ì Facility Unit: Fixed Containers on Site ì Location within this Facility Unit SE CORNER Days On Site 365 Map: Grid: CAS# . 8006-61~91 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 5697.00 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.Defined8: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: f- Ag. Define11 -7- 07/13/2004 ... e e F FASTRIP 775 SiteID: 015-021-000725 9 f= Inventory Item 0002 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: SE CORNER TANK DESCRIPTION Tank ID#: 2 Mfr: MODERN WELDING Installed: 01/1996 Capacity: 12000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL MatI Name:UNLEADED TANK CONTENTS Petrol Type: REGULAR UNLEADED Cas #: 8006-61-91 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): STEEL CLAD W/FIBERGLASS R. P. Material(s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED ' Corr Prot: FIBERGLASS REINFORCED PLASTIC Spill Cnt : 1996 Alarm: Drop Tube : 1996 Ball Float : Striker Plate: 1996 Fill Tube S/O: 1996 TANK LEAK DETECTION Dbl Wall: INTERSTITIAL MONITORING Installed: Installed: Exempt: No Sgl Wall: Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No I- -8- 07/13/2004 1-- I: e e F F~STRIP 775 SiteID: 015-021-000725 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 DOUBLE WALL Type : Const: Mfgr : Mtl : & : Corr : Prot : AboveGround Piping FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 01/22/1996 Date: 04/24/2095 Name:JOHN KERLEY Prmt Number: 0725 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE TANK/LINE TEST :10/30/2002 CP CERT. : MANWAY INSP. : 03/25/1996 UST MONIT. CERT:Oa/12/2003 Ttl:VP Approved: Yes AGENCY DEFINED PASS Expiration Date: 06/30/2006 -9- 07/13/2004 e . F FASTRIP 775 F Inventory Item 0003 === COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED SiteID: 015-021-D00725 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit SE CORNER Map: Grid: CAS# 8006-61-91 STAT? - 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 2169.00 GAL %wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # I 8006619 HAZARD A E MENT TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP 'No No No No/ Curies F IH DH / / / Mod SS SS 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. De fine 11 -10- 07/1'3/2004 e e F F~STRIP 775 f= !nventory Item 0003 STORAGE CONTAINER DATA Last Action Type: Location In Site: SE CORNER SiteID: 015-021-000725 9 Facility Unit: Fixed Containers on Site 9 USTFORM B and AGENCY-DEFINED) Page 1 of 2 TANK DESCRIPTION Tank ID#: 3 Mfr: MODERN WELDING Installed: 01/1996 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 cás #: 8006-61-91 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): STEEL CLAD W/FIBERGLASS R. P. Material(s): STEEL CLAD W/FIBERGLASSR. P. Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1996 Drop Tube : 1996 Striker Plate: 1996 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 1996 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- 07/13/2004 e e F FASTRIP 775 f= Inventory Item 0003 SiteID: 015-021-000725 ì Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION Piping Type : Const: Mfgr : Mtl : & : Corr : Prot : UnderGround PRESSURE DOUBLE WALL AboveGround Piping FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 01/22/1996 Date: 04/24/2000 Name:JOHN KERLEY Prmt Number: 0725 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Ttl:VP Approved: Yes . AGENCY DEFINED PASS Expiration Date: 06/30/2006 TANK/LINE TEST :10/30/2002 CP CERT. : MANWAY INSP. : 03/25/1996 UST MONIT. CERT:Oa/12/2003 -12- 07/13/2004 e e F FASTRIP 775 f= Inventory Item 0005 ~ COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE SiteID: 015-021-000725 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SE SIDE OF UNION AVE 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 12000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # I 8006619: HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod . Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined8: I- Ag. Define11 -13- 07/13/2004 e It F FASTRIP 775 SiteID: 015-021-000725 ì f= Inventory Item 0005 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: SE SIDE OF UNION AVE TANK DESCRIPTION Tank ID#: 5 Mfr: Modern Weld Installed: 8/1999 Capacity: 12000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL Matl Name:UNLEADED GASOLINE TANK CONTENTS Petrol Type: REGULAR UNLEADED Cas #: 8006-61-9 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): STEEL CLAD W/FIBERGLASS R. P. Material(s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1999 Drop Tube : 1999 Striker Plate: 1999 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 19~9 TANK LEAK DETECTION Dbl Wall: AUTOMATIC TANK GAUGING Installed: Installed: Exempt: No Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -14- 07/13/2004 e . F FASTRIP 775 SiteID: 015-021-000725 ì f= Inventory Item 0005 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION . .. UnderGround Piping AboveGround Piping Type .: Const: Mfgr : Mtl : & : Corr : Prot : PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 09/14/1999 Date: 04/24/2000 Name:JOHN KERLEY Prmt Number: 0725 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR w/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE TANK/LINE TEST : CP CERT. : MANWAY INSP. : UST MONIT. CERT:Oa/12/2003 Ttl:VP Approved: Yes AGENCY DEFINED Expiration Date: 06/30/2006 STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: No 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: 04/24/2000 Name:JOHN KERLEY Ttl:VP -15- 07/13/2004 e It SiteID: 015-021-000725 9 Facility Unit: Fixed Containers on Site 9 F FASTRIP 775 f= Inventory Item 0006 === COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED Days On Site 365 Location within this Facility Unit SE SIDE OF UNION AVE Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Mixture 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 12000.00 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.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined5: Ag.Defined8: f- Ag.Define11 -16- 07/13/2004 e e F F~STRIP 775 SiteID: 015-021-000725 ï f= ÌnventoryItem 0006 Facility Unit: Fixed Containers on Site ï STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: SE SIDE OF UNION AVE TANK DESCRIPTION Tank ID#: 6 Mfr: Modern Weld Installed: 8/1999 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 : DOUBLE WALL Material(p): STEEL CLAD W/FIBERGLASS R. P. Material(s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1999 Drop Tube : 1999 Striker Plate: 1999 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 1999 TANK LEAK DETECTION Dbl Wall: AUTOMATIC Installed: Installed: Exempt: No TANK GAUGING Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No .-17- 07/13/2004 e - I F FASTRIP 775 SiteID: 015-021-000725 ì f= Inventory Item 0006 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION Piping Type : Const :. Mfgr : Mtl : & : Corr : Prot : UnderGround PRESSURE DOUBLE WALL UNKNOWN FIBERGLASS AboveGround Piping FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 09/14/1999 Date: 04/24/2000 Name:JOHN KERLEY Prmt Number: 0725 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Ttl:VP Approved: Yes AGENCY DEFINED Expiration Date: 06/30/2006 TANK/LINE TEST : CP CERT. : MANWAY INSP. : UST MONIT. CERT:08/12/2003 -18- 07/13/2004 e e F FASTRIP 775 p= Inventory Item 0004 F== COMMON NAME / CHEMICAL NAME DIESEL SiteID: 015-021-000725 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit SE CORNER Map: Grid: CAS # 64741-44-2 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 6450.00 GAL , %Wt. RS CAS # 100.00 Diesel Fuel No. 2 No 68476302 HAZARDOUS COMPONENTS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F. IH DH / / / Low Ag.Defined1: MISC. LOCAL AGENCY DATA Ag . Defined2 : Ag .Defined3: Ag .Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag~Defined9: Ag.DefinelO: Ag.Defined8: >- Ag.Define11 -19- 07/13/2004 e e F FASTRIP 775 SiteID: 015-021-000725 9 f= Inventory Item 0004 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: SE CORNER TANK DESCRIPTION Tank ID#: 4 Mfr: MODERN WELDING Installed: 01/1996 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 #: 64741-44-2 TANK CONSTRUCTIO~ Type : DOUBLE WALL Material(p): STEEL CLAD W/FIBERGLASS R. P. Material(s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1996 Drop Tube : 1996 Striker Plate: 1996 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 1996 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 -20- 07/13/2004 '" e e F F~STRIP 775 SiteID: 015-021-000725 ì f= Inventory Item 0004 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping PRESSURE DOUBLE WALL Type : Const: Mfgr : Mtl : & : Corr : Prot : AboveGround Piping FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 01/22/1996 Date: 04/24/2000 Name:JOHN KERLEY Prmt Number: 0725 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE TANK/LINE TEST :10/30/2002 CP CERT. : MANWAY INSP. :03/25/1996 UST MONIT. CERT:Oa/12/2003 Ttl:VP Approved: Yes AGENCY DEFINED PASS Expiration Date: 06/30/2006 -21- '07/13/2004 e e ;; . F FASTRIP 775 p= Inventory Item 0007 === COMMON NAME / CHEMICAL NAME DIESEL SiteID: 015-021-000725 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit SE SIDE OF UNION AVE Map: Grid: CAS # 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 12000.00 GAL ZARDOU MP N %Wt. RS CAS# 100.00 Fuel Oil No. 1 No 70892103 HA S CO 0 ENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low 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 -22- 07/13/2004 e e F F~STRIP 775 SiteID: 015-021-000725 9 f= Inventory Item 0007 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: SE SIDE OF UNION AVE TANK DESCRIPTION Tank ID#: 7 Mfr: Modern weld Installed: 8/1999 Capacity: 12000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL Matl Name:DIESEL TANK CONTENTS Petrol Type: DIESEL Cas #: TANK CONSTRUCTION Type : DOUBLE WALL Material(p): STEEL CLAD W/FIBERGLASS R. P. Material(s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1999 Drop Tube : 1999 Striker Plate: 1999 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 1999 TANK LEAK DETECTION Dbl Wall: AUTOMATIC Installed: Installed: Exempt: No TANK GAUGING Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -23- 07/13/2004 e e F FASTRIP 775 SiteID: 015-021-000725 ì f= Inventory Item 0007 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION Piping i Type: Const: Mfgr : Mtl : & : Corr : Prot : UnderGround PRESSURE DOUBLE WALL UNKNOWN FIBERGLASS AboveGround Piping FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 09/14/1999 Date: 04/24/2000 Name:JOHN KERLEY· Prmt Number: 0725 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR w/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Ttl:VP Approved: Yes AGENCY DEFINED Expiration Date: 06/30/2006 TANK/LINE TEST : CP CERT. : MANWAY INSP. : UST MONIT. CERT:Oa/12/2003 -24- 07/13/2004 FASTRIP FOOD STORE #~ Manager ~~µ/e --JO<Yvl/e~ Location: 4901 S UNION AVE City BAKERSFIELD CommCode: BAKERSFIELD STATION 05 EPA Numb: ~" y . ~, ~ d -- SiteID: 015~~/~-000725 .~ -" BusPhone: ,Map : 124 ~'6\\)t;rid: 19B ~'k ~~ SIC Code:5541 DunnBrad:18-951-4284 (661) 397-9387 CommHaz : Low FacUnits: 1 AOV: Emergency Contact BERNIE JAMIESON Business Phone: 24-Hour Phone : Pager Phone : / Title / OWNER (661) 397-9387x (661) 873-0852x ( ) - x Emergency Contact n /,/ Title Jem~ KEItLEYDw,ö ~l1f~PERATIONS Business Phone: (661) 393-7000x 24-Hour Phone : (661) 393-7000x Pager Phone : ( ) - x MNGR Hazmat Hazards: Fire ImmHlth DelHlth Phone: ( 661) 'j§{- §f~ State: CA Zip : 93303 '-'. Contact ;Dov./ ,(j f7 c;u!f'/?;?e/ MailAddr: PO BOX 1807 City : BAKERSFIELD Owner Address : City JAMIESON HILL 700 3101 STATE RD : BAKERSFIELD Phone: (661) 393-7000x State: CA Zip : 93308 Period : Preparer: Certif'd: parcelNo: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: f,~(\uv/;' ~ø;."""ev-- Do hereby œrti<l;u *&.."'* I hð - (Typeorprlntneme) 'T &I!@!, tave reviewed thÐ attached hazaroJous materials manage-- ment plan forh/~~ ~c/'~nd that it aJ^ng ·fn ( of uslne8i) ~ WI any cmrtedions constitute a complete emd correct man- agement plaln for my facility. ~~ . cej:ç,;b3 I -1- 08/05/2003 .~ ,It ~ /~ \,r-' - FASTRIP FOOD STORE #19 SiteID: 015-021-000725 Manager Location: 4901 S UNION AVE City BAKERSFIELD BusPhone: Map : 124 Grid: 19B (661) 397-9387 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 05 EPA Numb: SIC Code:5541 DunnBrad:18-951-4284 Emergency Contact / Title Emergency Contact / Title BERNIE JAMIESON / OWNER JOHN KERLEY / OPERATIONS MNGR Business Phone: (661) 397-9387x Business Phone: (661) 393-7000x 24-Hour Phone : (661) 873-0852x 24-Hour Phone : (661) 393-7000x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : Phone: (661) 397-9387x MailAddr: PO BOX 1807 State: CA City : BAKERSFIELD Zip : 93303 Owner JAMIESON HILL 700 Phone: (661) 393-7000x Address : 3101 STATE RD State: CA City : BAKERSFIELD Zip : 93308 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: I,JoÁrl(rY(~.t;j Do hereby certify that I have reviewed the attached hazardous mateiials manage- ment plan for r:;., fll '6 .µ.-¡ , and that it along with (Name I Business) any corrections constitute a complete and correct man- agement plan for my facility. f,'" ;"'~ ....-.~..¡., 11_ ~() :-cxJ Ie -1- 10/31/2000 T - e F FASTRIP FOOD STORE #19 S 0 G SiteID: 015-021-000725 ì ) T RA E CONTAINER DATA UST FORM A Last Action Type: FACILITY/SITE INFORMATION Business Name: FASTRIP FOOD STORE #19 Cross Street : Business Type: Org Type: Total Tanks : 4 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : JOHN KERLEY Phone: (661) 393-7000x Address: City : State: Zip: Type : PARTNERSHIP TANK OWNER INFORMATION Name : JOHN KERLEY Phone: (661) 393-7000x Address: City : State: Zip: Type : PARTNERSHIP BOE UST Fee# : 003279 Financ'l Resp: Legal Notif : Property Owner Mailing Address Date:04/17/1995 Phone: ( ) - x Name:LAWRENCE HENSON Ttl:SUPV. RETAIL OP. State UST # : 1998 Upg Cert#: 00775 f= Hazmat Inventory One Unified List ì ~ As Designated Order All Materials at Site ì Hazmat Common Name. . . SpecHaz EPA Hazards DailyMax MCP UNLEADED PLUS F IH DH L 12000.00 GAL Mod UNLEADED F IH DH L 12000.00 GAL Mod PREMIUM UNLEADED F IH DH L 12000.00 GAL Mod DIESEL F IH DH L 12000.00 GAL Low UNLEADED GASOLINE F IH DH L 12000.00 GAL Mod PREMIUM UNLEADED F IH DH L 12000.00 GAL Mod DIESEL L 12000.00 GAL Low -2- 10/31/2000 - e F FASTRIP FOOD STORE #19 p= Inventory Item 0001 ;::::= COMMON NAME / CHEMICAL NAME UNLEADED PLUS SiteID: 015-021-000725 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SE CORNER 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 4190.00 GAL I %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS CAS#a006619 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME UNLEADED Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SE CORNER Map: Grid: CAS # 8006-61-91 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 5697.00 GAL I %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 FASTRIP FOOD STORE #19 p= Inventory Item 0003 F= COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED SiteID: 015-021-000725 ì Facility Unit: Fixed Containers on Site ì Location within this Facility Unit SE CORNER Days On Site 365 Map: Grid: CAS # 8006-61-91 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 2169.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Gasoline No 8006619 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS p= Inventory Item 0004 F= COMMON NAME / CHEMI CAL NAME DIESEL Facility Unit: Fixed Containers on Site ì Location within this Facility Unit SE CORNER Days On Site 365 Map: Grid: CAS # 64741-44-2 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Daily Average 6450.00 GAL %Wt. RS CAS # 100.00 Diesel Fuel No. 2 No 68476302 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low HAZARD ASSESSMENTS -4- 10/31/2000 e e F FASTRIP FOOD STORE #19 p= Inventory Item 0005 ¡:::::= COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE SiteID: 015-021-000725 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SE SIDE OF UNION AVE 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 12000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # I 8006619 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod p= Inventory Item 0006 = COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SE SIDE OF UNION AVE 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 12000.00 GAL %wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # I 8006619 A N TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD SSESSME TS -5- 10/31/2000 e e F FASTRIP FOOD STORE #19 f=. Inventory Item 0007 = COMMON NAME / CHEMICAL NAME DIESEL SiteID: 015-021-000725 1 Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SE SIDE OF UNION AVE Map: Grid: CAS # STATE - TYPE Liquid Mixture 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 12000.00 GAL %Wt. RS CAS # 100.00 Fuel Oil No. 1 No 70892103 HAZARDOUS COMPONENTS N TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low HAZARD ASSESSME TS -6- 10/31/2000 ., e e F FASTRIP FOOD STORE #19 I p= Notif./Evacuation/Medical Agency Notification SiteID: 015-021-000725 ì Fast Format ì Overall Site ì 10/04/1999 CALL 911 AND IF NEED, CALL STATE EMERGENCY OFFICE: 1-800-852-7550 OR 1-619-262-1621. Employee Notif./Evacuation 10/04/1999 A. SHUT OFF (IF POSSIBLE) MAIN POWER BREAKER. B. EVACUATE BUILDING AND ANYBODY ELSE IN OR AROUND THE PREMISES. C. DIAL 9-1-l. D. NOTIFY NEIGHBOR(S) AND BUSINESS(S) TO EVACUATE IF NECESSARY. Public Notif./Evacuation 12/06/19941 10/04/1999 ] NOTIFY SURROUNDING FACILITIES. Emergency Medical Plan MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371. -7- 10/31/2000 -, e e F FASTRIP FOOD STORE #19 I p= Mitigation/Prevent/Abatemt Release Prevention SiteID: 015-021-000725 ì Fast Format ì Overall Site ì 10/04/1999 ALL AREAS ARE KEPT CLEAR OF COMBUSTIBLE PRODUCT. PUMPS HAVE EMERGENCY SHUT-OFFS. ABSORBENT MATERIALS ARE STORED ON SITE. Release Containment 10/04/1999 SMALL SPILLAGE, SHUT DOWN MAIN SWITCH, HOSE DOWN AREA MAJOR SPILLAGE, NOTIFY FIRE DEPT FOR ASSISTANCE. Clean Up 10/04/1999 VEHICLE OVERFILLS, SMALL SPILLAGE: HOSE AREA. DRIVE OFF WITH NOZZLE, SUBSTANTIAL SPILLAGE: SHUT DOWN ENTIRE SYSTEM. VEHICLE DAMAGE TO PUMP RESULTING IN LEAK: SHUT DOWN POWER TO DAMAGED PUMP(S), HOSE AREA, CALL DISTRICT OPERATIONS MANAGER. ADJACENT BUILDING(S) FIRE: SHUT DOWN ENTIRE ISLAND(S) EMERGENCY CONTROL SHUT-OFF. FIRE DEPT WILL ADVISE WHEN TO RESUME OPERATIONS. Other Resource Activation 10/04/1999 NOTIFY DISTRICT (OPERATIONS) MGR TO CALL OUT EMERGENCY RESPONSE PERSONNEL 393-7000. -8- 10/31/2000 i . ~ t¡ e e F FASTRIP FOOD STORE #19 I f= Site Emergency Factors [:: Special Hazards Utility Shut-Offs SiteID: 015-021-000725 ì Fast Format ì Overall Site ì I 10/04/1999 A) GAS - NW CORNER EXTERIOR BLDG B) ELECTRICAL - SE CORNER INTERIOR OF C) WATER - SE CORNER EXTERIOR OF BLDG D) SPECIAL - NONE E) LOCK BOX - YES STORE BEHIND DOOR OF STORAGE AREA Fire Protec./Avail. Water 10/04/1999 PRIVATE FIRE PROTECTION - ????????????? FIRE HYDRANT - SE CORNER OF BLDG. Building Occupancy Level -9- 10/31/2000 p '.' "-'~ e e í FASTRIP FOOD STORE #19 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000725 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast F onnat i íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/04/1999 j o 0 o WE HAVE 14 EMPLOYEES AT THIS FACILITY. o o o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. o o o GIVE A BRIEF SUMMARY OF YOUR TRAINING PROGRAM: o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë ¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë j o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf o o '>1 "i1\."~'::-::":..~' - e FASTRIP FOOD STORE #19 Manager OCT t t9'9 Location: 4901 S UNION AVE City BAKERSFIELD /",,/BY~ \\ ~/_'-' ...-.- CommCode: BAKERSFIELD STATION 05 EPA Numb: SiteID: 215-000-000725 '" Bus Phone: Map : 124 Grid: 19B (805) 397-9387 CommHaz : Low FacUnits: 1 AOV: " SIC Code:5541 DunnBrad:18-951-4284 Emergency Contact / Title Emergency Contact / Title BERNIE JAMIESON / OWNER JOHN KERLEY / OPERATIONS MNGR Business Phone: (805) 397-9387x Business Phone: (805) 393-7000x 24-Hour Phone : (805) 873-0852x 24-Hour Phone : (805) 393-7000x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : Phone: ( ) - x MailAddr: PO BOX 1807 State: CA City : BAKERSFIELD Zip : 93303 Owner JAMIESON HILL 700 Phone: (805) 393-7000x Address : 3101 STATE RD State: CA City : BAKERSFIELD Zip : 93308 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: Hazmat Common Name... One Unified List 9 All Materials at Site 9 f= Hazmat Inventory p== Alphabetical Order EPA Hazards DailyMax MCP DIESEL PREMIUM UNLEADED UNLEADED UNLEADED PLUS Q\{S (:.1 QQ~' 90-5 UV\ \aJllÍ 10- J F , IH DH L F IH DH L F IH DH L F IH DH L I, ~~\-~ ~~~o hereby certify that I have ~Ofprint~) rs,,¡swsd U~6 atl~hs~ hazardous materials manags- men~ plari ior ~ ... \ A . ^ and thai it along with (~IM$8) any corrections OOU'Bstiiu~s a complete and correct mÇRn- agsment plan 10rr my facility. 12000 GAL 12000 GAL 12000 GAL 12000 GAL Low Mod Mod Mod \J. \( t1..K IlL 08/10/1999 e e F FASTRIP FOOD STORE #19 p= Inventory Item 0004 1= COMMON NAME / CHEMICAL NAME DIESEL SiteID: 215-000-000725 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 I ! Location within this Facility Unit SE CORNER Map: Grid: CAS # 64741-44-2 [ ~TA~E I TYPE ~ P~ESSURE ~ TEM~ERATURE I CONTAINER TYPE =Llquld ____Pure ~mblent ---1 Amblent ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 12000.00 GAL 6450.00 GAL U %Wt. RS CAS # 100.00 Diesel Fuel No. 2 No 68476302 HAZARDO S COMPONENTS HAZ T TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low ARD ASSESSMEN S p= Inventory Item 0003 1= COMMON NAME / CHEMI CAL NAME PREMIUM UNLEADED Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SE CORNER Map: Grid: CAS # 8006-61-91 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 12000.00 GAL 2169.00 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 -2- 08/10/1999 e e F FASTRIP FOOD STORE #19 p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME UNLEADED SiteID: 215-000-000725 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SE CORNER Map: Grid: CAS # 8006-61-91 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 5697.00 GAL' HAZARDOUS COMPONENTS ~. CAS#a006619 I tWt. I 100.00 Gasoline HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod p= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME UNLEADED PLUS Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SE CORNER 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 4190.00 GAL HAZARDOUS COMPONENTS ~ CAS#a006619 I l~~~òoIGaSOline HAZARD ESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ASS -3- 08/10/1999 e e F FASTRIP FOOD STORE #19 I f= Notif./Evacuation/Medical Agency Notification SiteID: 215-000-000725 ì Fast Format ì Overall Site ì 12/06/1994 CALL 911 IF NEED, CALL STATE EMERGENCY OFFICE: 1-800-852-7550 1-619-262-1621 Employee Notif./Evacuation 12/06/1994 A. SHUT OFF (IF POSSIBLE) MAIN POWER BREAKER B. EVACUATE BUILDING AND ANYBODY ELSE IN OR AROUND THE PREMISES. C. DIALL 9-1-1 D. NOTIFY NEIGHBOR(S) AND BUSINESS(S) TO EVACUATE IF NECESSARY. Public Notif./Evacuation 12/06/1994 NOTIFY SURROUNDING FACILITIES. Emergency Medical Plan 12/06/1994 MERCY HOSPITAL 2215 TRUXTUN AVENUE 805-327-3371 -4- 08/10/1999 - e F FASTRIP FOOD STORE #19 I p= Mitigation/Prevent/Abatemt Release Prevention SiteID: 215-000-000725 ì Fast Format ì Overall Site ì 12/06/1994 ALL AREAS ARE KEPT CLEAR OF COMBUSTIBLE PRODUCT. PUMPS HAVE EMERGENCY SHUT-OFF'S,. ABSORBENT MATERIALS ARE STORED ON SITE. Release Containment 12/06/1994 SMALL SPILLAGE, SHUT DOWN MAIN SWITCH, HOSE DOWN AREA MAJOR SPILLAGE, NOTIFY FIRE DEPARTMENT FOR ASSISTANCE. Clean Up 12/06/1994 VEHICLE OVERFILLS, SMALL SPILLAGE: HOSE AREA. DRIVE OFF WITH NOZZLE, SUBSTANTIAL SPILLAGE: SHUT DOWN ENTIRE SYSTEM. VEHICLE DAMAGE TO PUMP RESULTING IN LEAK: SHUT DOWN POWER TO DAMAGED PUMP(S), HOSE AREEA, CALL DISTRICT OPERATIONS MANAGER. ADJACENT BUILDING(S) FIRE: SHUT DOWN ENTIRE ISLAND(S) EMERGENCY CONTROL SHUT-OFF. FIRE DEPARTMENT WILL ADVISE WHEN TO RESUME OPERATIONS. Other Resource Activation 12/06/1994 NOTIFY DISTRICT (OERATIONS) MANAGER TO CALL OUT EMERGENCY RESPONSE PERSONNEL. 805-393-7000. I ' I -5- 08/10/1999 '. e e SiteID: 215-000-000725 ì Fast Format ì Overall Site ì I F FASTRIP FOOD STORE #19 I p= Site Emergency Factors ~ Special Hazards Utility Shut-Offs 12/06/1994 A) GAS - NORTHWEST CORNER EXTERIOR BUILDING B) ELECTRICAL - SOUTHEAST CORNER INTERIOR OF STORE BEHIND DOOR OF STORAGE AREA C) WATER - SOUTHEAST CORNER EXTERIOR OF BUILDING D) SPECIAL - NONE E) LOCK BOX - YES Fire Protec./Avail. Water 12/06/1994 PRIVATE FIRE PROTECTION - ????????????? FIRE HYDRANT - SOUTH EAST CORNER OF BUILDING. Building Occupancy Level -6- 08/10/1999 ~ t\.... r~ e e í FASTRIP FOOD STORE #19 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000725 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/30/1991¡ o 0 o WE HAVE 14 EMPLOYEES AT THIS FACILITY o o o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE o o o o o BRIEF SUMMARY OF TRAINING: o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëêëëëëëëëëëëëëëëëëë¡ 0 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj FASTRIP UNION-PACHECO BAKEF:SF I ELD 805--397-9387 ~, I , f>,,~ ~"'. 'qi r"1AR. 3.. 1997 10: 18 Al'l - - - - "- ,- S'/STH'1 :::rr,WUB F:£FORl ----- ALL FUNCTIONS NORMAL INVENTORY REPORT T 1: UNLEADED VO L Ur"1E ULLAGE 90% ULLAGE= TC VO L UI"1E HEIGHT klATER \lOL l"IATER TEt"1P T 2 :PLLJS VOLUME ULLAGE 9 œ~ ULLAGE = TC VOL Ut"1E HEIGHT klATER \lOL l,JATER TEMP T 3: PREt"l I Ut"1 VOLUr1E _ ULLAGE =, 9m'ó ULLAGE= TC VOLUME HEIGHT WATER VOL L~A TER TH'lP T 4:DIESEL II' \lOLUt"1E ULLAGE 9œ~ ULLAGE= TC VOLUME HEIGHT l,~ATER \/0 L l~IA TER TEt"1P ,¡yw ~ 8122 G{iLS 3910 GALS 2706 GALE; 8114 GALS - 61.37 INCHES o GALS 0.00 INCHES 62.1 DEG F 3611 GALS 8421 GALS 7217 C~ALS 3597 GALS 32.67 INCHES o GALS 0.00 INCHES 68,6 DEG F §1I~ g.I' " 8715 G.' . 2084 GALS 22.25 INCHES o GALS 0.00 INCHES 90.3 DEG F 3311 GALS 8721 GALS 7517 GALS ;]279 GALS ;~~O. 66 INCHES o GALS 0.00 INCHES 73.4- DEG F' , '''I Ii '" END Ii ¥ ¥ '" "".:; \ "" '" '" ," . ~/ I 10/l8194~ . J FASTRIP FOOD STORE #19 215-000-000725 Overall Site with 1 Fac. Unit Page 1 General Information Location: 4901 S UNION AV City : ß~tc-e«sPLe.LD Of} 13307 ,....-- Contact Na~e BERNIE JAMIESON Business Phone: 24-Hour Phone : Pager Phone : Title / OWNER (805) 397-9387x (805) 873-0852x ( ) - x 1DJ4i!0~q~ Busir'fess Phone: 24-Hour Phone : Pager Phone : _ .Title - -- -- .A _ / rk:DA.Tl Œ"¿ M\J Or:.~~ _º" ,If_': _ ,_. . . (805) ~~-YØÀ<:~ - (805 )a~~-;Z9Cf!,}I/)'Sr ... ( )' . . ...: - -~ X _. _. Administrative Data Mail Addrs: P·O~-j.~-f~D?_~~-". City: BAKERSFIELD Comm Code: 215-005 BAKERSFIELD STATION 05 Owner: jt~nf(· ëS(:rf'{~-~t':' ~µ 700 Address :5yct\--: -~~.J~:è?;A·~:> City: BÁKERSFIELD .-. - Summary Map: 124 Haz:2 Type: 3 Grid: 19B FlU: I AOV: 0.0 D&B Number: 18-951-4284 State: CA Zip: ,P3~;Ó~ SIC Code: '5-541 Phone: (805 ~393"70qCJ State: CA Zip: 93-~ó6 F¡~c M ~/V~D 'Oy (> !Y4> 8 1994 '. 114. :.<J)" . DIll: '~:JOH1.( ~., ' E Y Do hereby œrtt4\~ that t hø\1Ðl (Typeorpnntname) . "~. ,""'''!'OJ reviewed the ~ttached hazardous matenafs manag. ment plan for .fASt\2.{ P4t= l'1 and that it .'onn with (Name of bins..) . any OOSTedions ronSiitute a complete and GamtQt man- agemeni plan 1011' my facility. . " u/æfL '* . . I 10/ ¡8/94: FASTRIP FOOD STORE #19 215-000-000725 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-001 . UNLEADED PLUS Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-002 UNLEADED Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-003 PREMIUM UNLEADED Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-004 DIESEL Liquid 12000 Low ~ Fire, Immed Hlth, Delay Hlth GAL ~" '\" ,- . . 10/18/94. FASTRIP FOOD STORE #19 215-000-000725 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-001 UNLEADED PLUS ~ Fire, Immed Hlth, Delày Hlth Liquid 12000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: FUEL Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 12,000 I 4,190.00 I 410,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Ambient Ambient SE CORNER Location - Conc l 100.0% Gasoline Components r; MCP ---¡Guide Moderate 27 02-002 UNLEADED ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS #: 8006-61-91 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: FUEL Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 12,000 . I 5,697.00 I 223,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Ambient Ambient SE CORNER Location - Conc l 100.0% Gasoline Components r; MCP ---¡Guide Moderate 27 02-003 PREMIUM UNLEADED ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS #: 8006-61-91 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: FUEL Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 12,000 , I 2,169.00 I 129,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Ambient Ambient SE CORNER Location - Conc l 100.0% Gasoline Components r; MCP ---¡Guide Moderate 27 . . 10/18/94, FASTRIP FOOD STORE #19 215-000-000725 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in MCP Order 02-004 DIESEL~· ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Low GAL CAS #: 64741-44-2 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL - Daily Max GAL ----r-- Daily Average GAL .--r-- Annual Amount GAL -- 12,000 6,450.00 150,000.00 . StOrage UNDER GROUND TANK r Press T Temp ~ Ambient Ambient SE CORNER Location - Conc l 100.0% Diesel Fuel No. 2 Components r; MCP ---rGuide Moderate 27 '>i. 10/18/94. . . FASTRIP FOOD STORE #19 215-000-000725 00 - Overall Site <D> Notif./Evacuation/Medical Page 5 I, <1> Agency Notification CALL 911 IF-NeElJ CIft¿. S7fr7E ~1J1£126t&iVÚ/ OFe. /-8CO-048G;;;J-'1SS0 I 0/2-- l-bl'1-~~;J. -/6¿;2/ ... <2> Employee Notif. IEvacuation If. J./l-tlr OFF CI F ~óss 113 í-E ) m¡:J ¡--rv PðW(E1Z. Bó2-/!5#~¡¿' B. €tlACA..LItTE /3t(IW/I1IG E'IjNYBðDt4I£¿SE /¡vo¡¿¡t:H2Øl{¡vi) 71Ir3 p~/.sE >' ~ I ~. ..:ÞI f'r.L '9- /- / :l). t-/ðT7F,/ N ~ IG ¡.fßðR '> (7311 SIN ~S5 / .') ìtJ ~MCu FJ,¡:¡- IF /JEU:-SSh¡ZY I, <3> Public Notif. IEvacuation N077':'! .$t.I ~IA. Ai DI N G FA-U (,,171 E" ? <4> Emergency Medical Plan ðALL c; - / - I k~æC<j HOSPI774 J- ¿J~/s' ~¥{tt1V ,+vE 8()!:J-- 3(;2'1-.33'1/ . . 10/18/94, FASTRIP FOOD STORE #19 215-000-000725 00 - Overall Site Page 6 <E> Mitigation/Prevent/Abatemt <1> Release Prevention <2> Release Containment $JH/flt. S¡;/Ug6~ Sl+UT ÞtJaJlV hJ¡:.}11V ~()JITU-(1 /lcJS$ ÛOW ~ MffJ7J1l- áf>IU/t6C.l tJOTlf=y FtIZE J)é3Ph' cFi:J12- A-S~/S/7911let <3> Clean Up V&ff/aE ()Yi3l<Ffl{,$ SPJ~ SPIt..-t.A 6¡5' - /It).5E )J~19 p!ZIUé ðFF &JìTH I /t)():ç-~~ ~8~T}91tfi7t1t-L. SPILU+6~ SI-J-¿iìÞdWA./ /? I/d~~:: 7V p¡;¡IIYlP ¡2e.StlCé1NG /tJ i-FlJ..~,SIl-UTlJa(J/II.I:t1~ Vt¥f~ée:D pumP{s) ~ MEIJ) C#t¿ d;){.5T¡2./c:( ¿;~~. IhM/l m .(1 ) ~7 j;()WN GNTl~ /..sLA-tv1J ($) IfDJ1JCØN-J BtA ¡WING- S F/~I n DI?-P/. WIG<- I4DJ/1 St= W/-fif5:'N f3fY1Gre6. CONT!2òJ- ~-r -0 Pr:; F/f'wt= - yt) (2E~E OPf£~ftØNS. ' <4> Other Resource Activation NõTlFtI J:2/S7lZ-fcr"{lJt~o/IJs) ¡41ItNft6<í5t? 7Z> CA-LL 0'-<.-7 ~aG.(2E=~p() 'f\J~E fEt2S0N tv Et- &JS-- 393-7000 , . . ~ 10/18/9~ FASTRIP FOOD STORE #19 215-000-000725 00 - Overall Site Page 7 <E> Mitigation/Prevent/Abatemt <4> Other Resource Activation (Continued) ! I ~ " . . 10/ 18/~4., FASTRIP FOOD STORE #19 215-000-000725 00 - Overall Site Page 8 <F> Site Emergency Factors <1> Special Hazards "":',,- <2> Utility Shut-Offs A) GAS - NORTHWEST CORNER EXTERIOR BUILDING B) ELECTRICAL - SOUTHEAST CORNER INTERIOR OF STORE BEHIND DOOR OF STORAGE AREA C) WATER - SOUTHEAST CORNER EXTERIOR OF BUILDING D) SPECIAL - NONE E) LOCK BOX - YES <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - --- , , - ." -- ,"-;.:----- . o~ FIRE HYDRANT ," ~ E CðIUV G r2- 0 ¡:::-gut LA:> I tV G- ". ."':.;. :.~;: ..:. : . <4> Building Occupancy Level ~ . . (j' 10/18194; FASTRIP FOOD STORE #19 215-000-000725 00 - Overall Site Page 9 <G> Training / "', <1> Employee Training WE HAVE 14 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: <2> Page 2 <3> Held for Future Use "4:-1'_ <4> Held for Future Use ." . . /P~(ê¡eü¥'~ I FAST~;:r~~~D S~~R;i:~9 1 ;~~~O~~~~007251 By OCT 13 199:Þa~1 General Information 1 .' ~ 09/03/93 Location: 4901 S UNION AV Community: BAKERSFIELD STATION 05 Map: 124 Hazard: Low· Grid: 19B FlU: 1 AOV: 0.0 Contact Name BERNIE JAMIESON Title Business Phone (805) 397-9387 x (805) 397 9387 x o w,,-- o-n:~ Ivl Mail Addrs: City: Comm Code: Administrative Data 4901 S UNION AV BAKERSFIELD 215-005 BAKERSFIELD STATION 05 D&B Number: 18-951-4284 State~ CA Zip: 93307- SIC Code: 5541 Owner: BERNIE JAMIESON Address: ,6"021 MEDIA LUNA AV s,Ro5K.hð6 ~P10r-, City: BAKERSFIELD Phone.: (J'ð~) ;f73-ðR$ State: CA Zip: 93306- Summary I ~~ f" ELQ.J~ Do hereby certify that I have · ~YP& or print name) . reviewed the attached hazardous materials manage- ment Plan for1ßc;tý;£ ~J S40r:rici that it along with (Na 0 IMSS) . any corrections constitute a complete and correct man- . agement plan for my facility. ~t{ &((~A) SIgnature If) 4 4'3 -. D8ID · e e 09/03/93 FASTRIP FOOD STORE #19: 215-000-000725 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-001 UNLEADED PLUS Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-002 UNLEADED Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-003 PREMIUM UNLEADED Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-004 DIESEL Liquid 12000 Low ~ Fire, Immed Hlth, Delay Hlth GAL .' e e 09/03/93 , f FASTRIP FOOD STORE #19 215-000-000725 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-001 UNLEADED,PLUS ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: FUEL ) Daily Max GAL ---r- Daily Average GAL -¡ Annual Amount GAL - 12,000 I. 4,190.00 1 410,000.00 Storage UNDER GROUND TANK r Press T Temp ~I Ambient Ambient SE CORNER Location -' Conc l 100.0% Gasoline Components r; MCP ~uide Moderate 27 02-002 UNLEADED ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS #: 8006-61-91 Trade Secret: No Form: Liquid· Type: Mixture Days: 365 Use: FUEL Daily Max GAL ---r- D~~ly Average GAL -¡ Annual Amount GAL - 12,000 . 1 5,697.00 I 223,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Ambient Ambient SE CORNER Location - Conc -I . 100.0% Gasoline Components 1-; MCP ~uide Moderate 27 02-003 PREMIUM UNLEADED ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS #: 8006-61-91 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: FUEL Daily Max GAL ---r- Daily Average GAL -¡ Annual Amount GAL - 12,000 I 2,169.00 I 129,000.00 Storage UNDER GROUND TANK r Press T Temp ~ . Ambient Ambient SE CORNER Location - Conc l . 100.0% Gasoline Components r; MCP ~uide Moderate 27 e e 09/03/93 FASTRIP FOOD STORE #19 215-000-000725 02, - Fixed Containers on Site Page 4 Hazmat Inventory Detail in MCP Order 02-004 DIESEL . Fire, Immed Hlth, Delay Hlth Liquid 12000 Low GAL CAS #: 64741-44-2 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 12,000 1 6,450.00 I 150,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Ambient Ambient SE CORNER Location - Conc l 100.0% Diesel Fuel No.2 Components r; MCP ~uide Moderate 27 I, ¡, Ii' I: J I e e 09/03/93 FASTRIP FOOD STORE #19 215-000-000725 00 - Overall Site Page 5 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation I <3> Public Notif./Evacuation <4> Emergency Medical Plan e e 09/03/93 FASTRIP FOOD STORE #19 215-000-000725 00 - Overall Site Page 6 <E> Mitigation/Prevent/Abatemt <1> Release Prevention ALL EMPLOYEES SHOULD BE 'AWARE OF LOCATION OF EMERGENCY SHUT DOWN CONTROLS FOR GASOLINE EQUIPMENT. PROCEDURES TO FOLLOW IN THE EVENT OF AN EMERGENCY ON THE GAS ISLAND ARE AS FOLLOWS: ~ A) IF A CUSTOMER OVERFILLS A VEHICLE TANK RESULTING IN A SMALL SPILL -·HOSE DOWN 'fIllS AREA WI'fIl WATER. B) IF A CUSTOMER DRIVES OFF WITH GAS NOZZLE IN CAR FILL TANK, RESULTING IN A SUBSTANTIAL FLOW OF GASOLINE - SHUT DOWN ENTIRE SYSTEM, CALL FIRE DEPT., CALL DISTRICT MGR, CLEAR THE GAS ISLAND. . ~) IF VEHICLE DAMAGE TO ONE PUMP RESULTS IN A LEAK - SHUT DOWN POWER TO THIS PUMP ONLY~O~E DOWN AREA AND CALL YOUR DISTRICT MGR. D) IF AN ADJACENT BUSINESS/BLDG IS ON FIRE, SHUT DOWN THE ENTIRE GAS ISLAND EMERGENCY CONTROL SHUT-QFF; FIRE DEPT WILL ADVISE WHEN TO RESUME NORMAL GASOLINE OPERATIONS. A~~~~~~J (CC{.~ \;tt-ey') t) ~¡( ~ ~ ~ . ~~CVr-~ ~ <2> Release Containment )-. '- \ (, t CtfCPJ ~ ~,,' ~ ~ Cl<). '? ~> <3> Clean Up <4> Other Resource Activation ~ .¡ e e 09/03/93 FASTRIP FOOD STORE #19 215-000-000725 00 - Overall Site Page 7 <E> Mitigation/Prevent/Abatemt <4> Other Resource Activation (Continued) I I' I I ~ e . ;1 09/03/93 FASTRIP FOOD STORE #19 215-000-000725 00 - Overall Site Page 8 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NORTHWEST CORNER EXTERIOR BUILDING B) ELECTRICAL - SOUTHEAST CORNER INTERIOR OF STORE BEHIND DOOR OF STORAGE AREA C) WATER - SOUTHEAST CORNER EXTERIOR OF BUILDING D) SPECIAL - NONE E) LOCK BOX - YES 1<3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - ????????????? FIRE HYDRANT - ????????????? <4> Building Occupancy Level .; - '.. e 09/03/93 e FASTRIP FOOD STORE #19 215-000-000725 00 - Overall Site Page 9 <G> Training <1> Page 1 WE HAVE 14 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: I_~_= ___-_ <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use ) CITY OF' BAKER.SFIELD / RECEIVED O ,-,/ HAZARDOUS MA~.RIALS INVENTORY¥"(ò'-7 nr" () 3 1992 Page 'ofl' Farm and Agriculture~ standard Business ~~-L- NON - TRADE SECRET ' # Ie¡ OWNER NAME~- ~. NAME ~:';;.~AIA~lrì""'§~ () 7 ~IDT~,SSZ:IP:' ". . f . 03 s~::C= ~~s;;:~; ~:~b/FE~pRAL ID # PHONE .f: . I' 18.... - ~$1 - cfcR K. '=I I . 4 6 I 14 Names of M~ure/camponents See Inst . ctions , I ~ 1 I Physical and REfl1th Hazard (Check all that apply) ,\rf Fire RazLd 0 Sudden ReleaseD ~ I of Pressure component It 2 Name &.C.A.S. Number ,. . I, . ~ Physical and Health Hazard ~eck all that apply) !~Fire RazLd' 0 Sudden Release I of Pressure EMERGENCY CONTACTS I I C~A.S. Number ~ Reactivity 0 Immediate ~elaYed Health ~ealth component It 1 Name &, C.A. 3 Name & C.A.S. Number I I I I I I I I· I Certification I (READ AND SIGN AFTER COMPLETING ALL SECTIONS) 1 I certify under pean1ty of law that I haver personal.ly øxamined and am familiar with the information submitted in this and all attached documents and that :!ased on my inquiry of those iDdividuals responsible .for obtaining the 1nformation~ I believe that the submitted information is true, accurat:-, and complete. . . . I GYY\\Cdll,. 10\ I \~Ilj]}J] ,Wo..s ~-S. Ì\ ~)rl1('r: ~ /)JL1fu1f\0() 'j-/J/1t:. R»Œ'AND OPPICIÁL TITLE OP OWNBR/OPERATOR OR OWNBR/OPKRAroR'S A RIZED RBPBES SI~' DATE SIGNED r ~ :1 I Physical. and HIjII11 th Hazard (Check all that apply) . I 0 Fire Hazard Sudden Release I of Pressure J C.A.S. Number component It 1 Name & C.A.S. o Reactivity 0 Immediate~BlaYed Health Health component» 2 Name & C.A.S. Component It 3 Name & C.A.S. Number ~ ~ -~~ e e ~ '''''~~- , CITY of BAKERSFIELD "WE CARE" _>_~n9W~- ////- _ ~ - rL{-Cf'ð- ~~JJ August 24, 1992 De~. Jamieson; 2101 H STREET BAKERSFIELD, 93301 326-3911 AND SCHEDULE FOR COMPLIANCE ----------------------------------------------- ----------------------------------------------- In the inspection of your business Fastrip Store, located at 4901 S. Union avenue, Bakersfield, Ca.93307 on 8/24/92 the following Hazardous Matepials regulatio~~~: violations were identified: "':;;:;" ~..-. 1) Material Safety Data Sheets were not available. VIOLATION OF UFC 80.104 Œ (d) Material Safety Data Sheets (MSDS) shall be readily available on the premises for hazardous materials regulated by this article. 2) Emergency Plan not available. VIOLATION OF CALIFORNIA HEALTH AND SAFETY CODE CHAPTER 6.95, 25504 of-- Business plans shall include all of the following: (b)Emergency response plans and procedures in the event of a reportable or threatened release of a hazardous material, including, but not limited to, all of the following: (1) Immediate notification to the administering agency and to appropriate local emergency rescue personnel and the office. (2) Procedures for the mitigation of a release or threatened release to minimize any potential harm or damage to persons, property, or the environment. (3) Evacuation plans and procedures, including i~ediate notice, for the business site. .,~ - ,:~~- ,- // - e ~. / ~ ....,þ... . j "h.u.c2l rd ¿r JRCD 3) Chemical Inventory incomplete and needs to be revised. VIOLATION OF CH. 6.96 CALIFORNIA HEALTH & SAFETY CODE 25509(a)(1-4) (a)The annual inventory form shall include, but shall not be limited to, information on all of the following which are handled in quantities equal to or greater than the quantities specified in subdivision (a) of Section 25503.5: (1) A listing of the chemical name and common names of every hazardou$ substance or chemisãl product handled by-'the business. '" (2) The category of waste, including the ~eneral chemical and mineral composition of the waste listed by p'robable maximum and minimum ' concentrations, of every hazardous waste handled by the business. (3) A listing of the chemical name and common names of every other hazardous material or mixture containing a hazardous material handled by the business which is not otherwise listed pursuant to paragraph (1) or (2). (4) The maximum amount of each hazardous material or mixture containing a hazardous material disclosed in paragraphs (1), (2), and (3) which- is handled at anyone time by the business over the course of the year. ' New chemical inventory forms have been included for your convenience. The above violations must be corrected by September 14, 1992 The department will schedule a re-inspection of your facility to verify compliance. If you have any questions regarding this notice, please contact Ralph Huey at 326-3979. .·-r· Sincerely, 4 ·riJ·· Ralph E.Hue~· i Hazardous Materials Coordinator , i I I ; i ì , I , I , , pageLofj ID ". çz(Standard Business NAME OF THIS' FACILI=.: STANDARD IND. CLASS CODE: DUN AND BRADs-rnEZT ~ER/FE.?¡:RAL 18.. - ~S L - (,t:~ ~ '=I compcment t 1 1Iu. Ii C.A.S. NUmber c~ønt t· 2,NU. '·C.A.S. Number component t :l NU. 1<. C.A.S. Number tfw ri...P fÎVJ/t fìJ!l. It ~ .~ eompcnent , 1 NU." C.A.S. Number CampCn&nt , 2 Name " C.A.S. NwDÞer componen'C , 3 Name " C.A.S. Humber rfLlIHqJMi¡ ") { ,tTì~ Q , Cœoprt"'itftt , 1 Nu. " C.A.S. Number component t 2 NU. Ii C.A.S. Number component t 3 Name " C.A.S. Numher ~EnÆ (11Jù component j 1 Name " C.A.5. !l'umher compcment , 2 !iaIIIB." C.A.S. NUIIIber CaIIIpaI1ent I 3 Name Ii, C.A.S. !IWIIber #lS. õ7 tJ Farm and Agriculture BUSINESS NAME: {LOCATION: . CITY, ZIP~ PHONE t: CITY OF BAKERSFIELD HAZARDOUS HATElUALS INVENTORY NOH - TRADE SECRET OWNER NAME: 1(\ - ADDRESS: CITY, ZI'"'P: PHONE,i: IlI!IIIØd1ata ~ Dela.yed 1Ie.1I.lth IløaJ.th 1ca1 and ~tb Hazard C.A.S. Humber (CIIøCJt all that apply) J4.. P1rø lla%ard 0 sudden Røl.eaae- 0 Reactivity 0 of Pressure PbyS1caJ. 4mt Realth aazard C.A.S. NWllÞar (ChedC all. thAt apply) ~ Fire aa:ard 0 sud4ea RaJ.eaae 0 Reactivity 0 ~ta ~lÙ4yed K of Pressure IløaJ.th ~th C.A.S. NwDber ' . -."'- D Reactivity 0 IDaediate .9(;elAYed Health Health Phy1I1cal aJId Ileal th Hazard (CbecJC aU thAt apply) I~ !'ire aa:ard 0 Suddan Release ~ ot ¡oressure J ~ Delayed HeaJ.th Num )er ReactiVity D IlIIIII8diate Beal.th C.A.S. thai ~ ;)Ued 011 11¥ iøqu1.ry of Pbya1ca1. aDd Hea.lth Bazan ~ all '!:bAt apply) ~ Fire ItUard' D Sudden Rel_e 0 ot 1>re8aura EMERGENCY CONTACTS i \ .... Q Q "- .... Q Q ¡§I e >- ~¡ ~ " ..J! - , 0" 0\ ~'!' ...., . { II I ( :¡ ~r 00., e~ C'"j trI ~ @' ! ~:. It ~ I~ C'I C'I " (1) Q I , I , I I I I I I I , I I I . " I , I I , , I , ~ e e ,;,..., -: þ -...~...- CITY of BAKERSFIELD ( "WE CARE" - -;....: ".- . FIRE DEPARTMENT S, D, JOHNSON FIRE CHIEF August 24, 1992 Dear Mr. Jamieson; NOTICE OF VIOLATION. AND SCHEDULE FOR COMPLIANCE ----------------------------------------------- ----------------------------------------------- In the inspection of your business Fastrip Store, located at 4901 S. Union avenue, Bakersfield, Ca.93307 on , - 8'-f4/92 the following Hazardous ,Materials regulatio~t; violations were identified: 1) Material Safety Data Sheets were not available. VIOLATION OF UFC 80.104 (d) Material 'Safety Data Sheets (MSDS) shall be readily available on the premises for hazardous materials regulated by this article. 2) Emergency Plan not available. VIOLATION OF CALIFORNIA HEALTH AND SAFETY CODE CHAPTER 6.95, 25504 2101 H STREET BAKERSFIELD, 93301 326-3911 Business plans shall include all of the following: (b)Emergency response plans and procedures in the event of a reportable or threatened release of a hazardous material, including, but not limited to, all of the following: (1) Immediate notification to the administering agency and to appropriate local emergency rescue personnel and the office. (2) Procedure~ for the mitigation'of a release or threatened release to minimize any potential harm or damage to persons, proper~y, or the environment. (3) Evacuation plans and procedures, including immediate notice, for the business sitè. :'3'" ,~, e . 3) Chemical Inventory incomplete and needs to be revised. VIOLATION OF CH. 6.96 CALIFORNIA HEALTH & SAFETY CODE 25509(a)(1-4) I: {a) The annual inventory form shall include, but shall not be limited to, information on all of the following which are handled in quantities equal to or greater ,than the quantities specified in subdivision (a) of Section 25503.5: 1 I I, .~> ~~.~~... (1) A listi~g of the chemical name and common names of every) hazardous substance or chemical product handled by the business. ( 2 ) The category of waste, including the general chemical and min~ral·composition of the waste listed by probable maximum and minimum concentrations, of every hazardous waste handled by the business. ( 3) A listing of the chemical name and common names of every other hazardous material or mixture containing a hazardous material handled by the business which is not otherwise listed pursuant to paragraph (1) or (2). ( 4 ) The maximum amount of each hazardous material or mixture containing a hazardous material disclosed in paragraphs (1), (2), and (3) which is handled at anyone time by the business over the course of the year. inventory forms have been included for your New chemical convenience. The above violations must be corrected by September 14, 1992 ',- The department will schedule a re-inspection of your facility to verify compliance. If you have any questions regarding this notice, please contact Ralph Huey at 326-3979. Sincerely, . 4~~ Ralph E.HU:y - Hazardous Materials Coordinator "r / ~ BAKERSFIELD CITY FIRE DEPAR1ItNT 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 \q.../3 \ ').. L.\' @ Jf\JS r s OFFICIAL USE ONLY TD#' ;;)5 us nŒSS NN-Œ HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOL~~~ FORM 2A -,4'\('\' . INSTRUCTIONS: 1, To avoid further action, return this form by 2. TYPE/PRINT ANSWFRS IN ENGLISH. 3. Answer the questions below for the business as a whole, 4. Be as brief and concise a~ possiblè. I SECTION 1:· BUSINESS IDENTIFICATION DATA r_ . -- :# A. BUSI~ESS NAME: r/1~"T/// rd/J () 5~/?f /9 B, LOCA TI ON / STREET ADDRESS: 491) I 517 L/ Vi I ~ V1. /I u .e. , CITY: &-If'd5//EL/J ZIP: 9.33ð? BUS.PHONE: ípJ5 ) .39:-" 9';P9 I; SECTION 2: EMERGENCY NOTIFICATIONS In case 6f an emergency involving the r~lease or thteatened 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. ; I· E~PLOYEES TO NOTIFY IN CASE OF EMERGENCY: :;AME A~D TI1'~E \ ,.... A. nL:/t' NII~ ...... \ 4 ,""II ~.";;¡ñ rtl {>r....._ DURING BUS. HRS. Ph#' 39:/ - c¡'~;e? AFTER BCS. HRS. Ph#' .R7J -,:US/; Ph#' 3c2~·-Þ~';¿.5 B;·Il/h&r. ¿JAIILßN . ~ Ph#' 1<:J'.?-t£-1.P? SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE . A. NAT. GAS/PROPANE:~ ~~ - .r ~~~ B. ELECTRICAL:. 51L C#':..~ -c-Yi.:r- ,_. -. ,J.~ j C. WATER: Sf_~(>______ "./ __ . D. SPECIAL: ~ . E. LOCK BOX: YES / ,T IF YES. LOCATION: A.,..,. ðP ~ /"ft-'v!,. ~- ~ IF YES, DOES IT CONTAIN SITE PLANS? YES / NO FLOOR PLANS? YES / ~O MSDSS? YES! NO KEYS? YES / NO - 2A - . ,;, ]'. , " , '--/--' \ Ii " " , I' I: ! . ,.4 .~;'~'!; "'i: ~f) 4"t- 'I ft1strÍj7 -fl7;)<Ç; food & L/t¡JIor ßtore Fresh Sandwiches. Dell . Check Cashing 4901 South Union Bakersfield. CA 93307 Bernie Jamieson (805) 397-9387 e . ..... \~ - :&¿ q: ~' :. .'. ' '.'!'t" . !' " .. e e '. ;, r (,' BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 : \ OFFICIAL USE ONLY ID# !BUSINESS NAME 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_pos~ible. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: B. LOCATION / STREET ADDRESS: CITY: ZIP: BUS.PHONE: ( 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 BeS. HRS. A. Ph# Ph# Ph# Ph# B. 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 / NO IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO - 2A - e e '\ .. . . .' SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE ?\A. 'b \ l~ SECTION 5: LOCAL EMERGENCY MEDICAL ASSIST~~CE FOR YOUR BUSINESS AS A WHOLE .~ IN'.o \~'L- . ..... 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 INITIAL A. METHODS FOR SAFE HANDLING OF HAZARDOUS ~TERIALS:....................................... ~ NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: . . . . . . . . . . . . . . . . . . . . . . . ... eYEs:> NO C. PROPER USE OF SAFETY EQUIPMENT:.................. ~ NO D. EMERGENCY EVACUATION PROCEDURES:..........:...... ~ NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:.....,. ES NO REFRESHER @]) NO (ýEš? ):;0 @]) NO ~NO ~NO SECTION 7: HAZARDOUS MATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A SOLID, 55 GALLONS OF A LIQUID. OR 200 CUBIC FEET OF A COMPRESSED GAS:,..... YÈS~ . . I .l?erJ'l/"'~ 6. \ o..~eÞO~ , certify that the above information is accurate.' I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et AI.) and that inaccurate information constitutes perjury. SIGNATURE~ TITLE &~ DATE .t;it'l h 7 { I - 28 - ,I' ·7> e e .' ' " ~¡,. '>' BAKERSFIELD CITY FIRE DEPART~Œ~T 2130 fiG" STREET BAKERSFIELD, CA 93301 '.OFdCIAL {T$E 01\LY ID# - - -" - - - BUSINESS NA)1E: I , BUSINESS PLAN SINGLE FACILITY UNIT FORM SA INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2, TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. . . . ~ FACILITY UNIT# /Cf FACI,~ITY UNIT NAME: /7¡~-rp,1 h~ó Sne~ 19 SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES /I-r77lJ,/~, f .r {( L:. . ,-. ¿ r?f'--5'7;(!Í/' ~~;rJ ...>7J!b.£ - G1~i¡;h''.v ~?h!,~~ ~ iHr-/lr.l.~ . Aln:! / .. SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS GNIT O~LY 3A a. .. ,'ii'i";. FORM 4A-3 page_of~ I FARM & AGRICULTURE - . HAZARDOUS MATERIALS INVENTORY ~. : ,.~ ,<!''''' ~~~~:s~~M:~:i~,,;~:¡~. FACILITY U~¿~I~¡~~ ,uj~0:e:; CITy.ZIP:~~ _5!33-Z;¿" . PHONE #: .77/- 0:</5& 1oF F ~~i ~L~~~:C~~"Il~?s,;~O.o~::: ",~1 "I D 'J BAKERSFIELD CITY FIRE DEPARTMENT .: '\0. .:1 ":;f '.' ,'" -' '- r..:'.:~~~:~~~ w:/ ~¿cSf{:~~=- $'7?J.e£ I.. . C I. TY . . ZIP: ß.Cl,¡{~~-----s~7 ¡"PHONE #: :~q:?-'?-"'81 r .' .-- ~":,,t'<': 2 _ 3 4 5 6 ~::T:'ypi; :MAX ANNUAL CONT USE r¡:C~D~': AMOUNT AMOUNT UN I T CODE CODE ~c,~e~ <1 ~fJÞ 0 q f1'¡'~O ~ 4t- c!'J \ 1 q 1$'.' .... -. .Æ~,} ¡i~~ ~, F;,::, I':"" '" f~': ?j 11," ',' ", '{';:.':' '~( ,1,: ::"i:.':<:c:+,;,~ ;t ., , ,'." I '/~X~; !l ,. . : ':~ :{;':'::~fE ' . #. ß 7 LOCATION IN THIS FACILITY UNIT 8 % BY WT. ¡C)o &J() 9 CHEMICAL OR COMMON NAME dfI4So/"/¡..Ir:;, II)?] I ~ 6€. p lc. t P J..19- JJ ., . . ,- , ..,' ._.~ ,. " !I I i I:::>' , ,< I I ,'! "-- . l¿?-,= Il '. I:NAME:' gahH...e..".... ~...\..e-S6....... tITLE :.12""'......../ SIGNATlJRE~/\L - ./ ,;EM.ER'(j"ENCY . CONTACT' ,-_.5e.':Z>...:::..~< '\a..~""'L~$~;-:"_,__,_~ TITLE; ~""'r::~-=-___,__ØrONE ;; BUS HOURS: i ' . \ \. AFTEr~ BUS HRS: I'. E. MERGENCY CONTACT ;-4~_~~~4;0- ~ ;____ TI'p,E; ___~,___ PHON~_/ BUS tI~~~S: ¡I! PR,}NCIPAL BUSINESS A,,_I·..I!Y:_,('.......,~~~£__.::~....Ju.l~....~.+.~_ ^Þ.ER HUS h'!xS: I ..' ,.- " 'e',: H'¡~~i&~ ~~~~~JrJi CODE· GUI DE-,,?. -. __ . ~ . ~ r¡:~~~~~~~;~~ , ~J.;.A 5 '':'.i' __J- ',-,,-~ ,... -:., +,~r ~-ið : ".-.>..:" ~"..I ~'-:::'~";:.>,' '''¿:{i- '~-<-:..;:~,:~.::~ p ~'~~ .,; ,":' ~';, '-', "~:;,::y:,?>< '''':>~-:': - ,,_..' :, ""' c ~" ,." ~ -~ I ~.:; , -';7:';~...: ','.,'i .,,'" ".~"'\';'.,<,:..; 7fr~;,·: ' ;..._".:,. :L ~', ~. 1 ., - ;':/ . . ":' '.. i." " ,;:---<' '. ' ~~~)I ~11 _.: '~."'K: : , - " ".¡:¡'1"-" ., ":'f. ,": 1-.:;( : ~': .~ 4~0'~~ DATE :?/g/~~~:.~;..~~..~ "::J97 '?'J ~? . ;4""-;" "~" ~ ð-"; /.:, -.;;) ':,..' ';f )?7/ ;;J-/ S¿::';::,"': '.' ~~1 ,?C?7-Q3 ~7¡';;:;'r:;' .'..~ '" '),/ ~(- ~...... ,"-. ':'~; _").-fhI - .<.....&.11,~ j ~.~.. -:.....,-.... ~.:\ · , ~ '.. ~ i-- - ~ ~ {... 10. 11. 12. 13. 14. 15. . . ~., ~ _ ,-,-' .._" .,., :... - . - .......û."A+:l"-.;.J,"'h<.:.,~: "...c.....:~_""',....I"~,,:.""'.~..'.,¡~."-." <"'_'__A~~_~;-"'~ -';; - e STORE ~¿~ Þ'I'J MANAmd:~ FASTRIP FOOD STORES GASOLINE EMERGENCY SHUT OFF I have instructed each current employee as to location of gasoline shut off controls and procedures. Each employee below so acknowledges~- 1. 2. 3. 4. 5. ( 'J . 7. ·v~ ~ //;,. . A~·'ì 7/ }.' \ /1 '--~ , ~ __~-.L~-\,{!fl- '{II ~ ' \.Çy...'-~fV (~~~ . ~ _\ Cé ¡vI _:~~~S±\: , 8. 9. c¿~~L Mager Signature .~ ~ 7h//7 Date i.~ . _~ " 'd ~~ .'-' . ....,,-i;. .~ ..-:, > ",_'.,~.,~.:"._',..;. ;.i·'.,·, . :.-:',-t,,,,,, '+ ~',;.: . .\ ~ '.. '-" :.' _:.-, ..- ': '.. .... ., '., -., '. ,.', .' " e FASlRIP ,FOOD' STORES (&ècti~n 02- Revision 7-1-87) 05-04. Gasoline Emergency Procedures All employees should be aware of location of emßrgencyshut down controls for gasoline equipment. Procedures to follow in the event of an emergency on the gas island are as follows: OS-04A. If a customer overfills a vehicle tank resulting in a small spill - hose down this area with water. OS-04B. If a customer drives' off with gas nozzle in car fill tank, resulting in a substantial flow of gasoline - shut down entire system, call fire department, call district manager, clear the gas island. 05-04C. If vehicle damage to one pump results in a leak - shut down power to this pump ·only. Hose down area and call your district manager. 05-04D. If an adjacent business/building is on fire, shut down the entire gas island - emergency control shut-o~f; fire department will advise when to re- sume normal g-asoline operations. 05-04E. Each store will have a listing of emergency/to con- tact telephone numbers posted near the sales counter area. \ ~_~:,¡:at.1~..._......._ -"'- .......__~~.....~_...._...¡¡.-._.'-'".__""'--~__,._.. J,~co-Jami(3!son DBA e e ~~-~STR'P FOOD STORES P. O. BOX 1807 BAKERSFIELD, CA 93303 (805) 393-7000 ,," ,~;;. ~ ~~. ";:" :;. \>'"t _ I / I « - DATE: July 2, 1987 TO: All Stores FROM: Larry Henson RE: Hazardous Material/Gasoline Emergencies In response to new laws governing gasoline shortage, public safety, and our employees safety, procedures for handling emergency situations within our stores need to be clearly conveyed to all employees of Fastrip Food Stores. In most instances, problems or emergency situations from our stores, concern gasoline spills on the gas island through drive o/fs, carelessness or vehicle damage to equipment - all resulting in l~aks/ spills of gasoline product. All store managers will know the location of emergency shut off controls to totally shut down gas flow to equipment. All store manager s wi 11 show each current em"ployee and any fu t ure emp 10 yees the emergency shut-off locations and discuss pro~edures if a spill occurs. Att~ched is a report to our office indicating that your employees have been shown and understand emergency shut off procedures. Com- plete and return this form to your district manager no later than July 15, 1987. If you have questions, comments, or concerns discuss with your district manager. cc: John Kerley Fred Faulkner Training Dept. ,,-;. dARDOUS MATERIALS dAGEMENT PLAN INVENTORY INSTRUCTIONS GENERAL INFORMATION: Import~nt: If you require more inventory forms than the one provided, you should make photocopies of the forms prior to entering any information on them. The additional copies must be on the same color paper as the original. Information J.Ilust be typed/printed in English. Make a copy for your records. Complete business name and address informa.tion. If they have been required, the number of separate facility units will be determined by the Bakersfield City Fire Department. G'i ve each facility, unit a common name, and a one or two digit number. NOTE: An inventory form must be made for each separate facility unit. The top of the form must be completed for each facility - s how i n g Business name and location as well as owner name and mailing address. Also include "SIC" Standard Industrial Classification Code' and if available Dun and Bradstreet Number. Non-Trade Secrets (White Form). Non-Trade Secret Materials in one facility unit. Trade Secrets (Yellow Form). Trade Secret Materials in one facility unit. 1. TRANSACTION CODE: Is this inventory sheet new, an addition, deletion or update to your hazardous 'materials business plan. A - Addition D = Deletion U = Update N = New 2. TYPE/CODE: F0r the purpose of this entry, there a~e three types of hazardous materials: P = Pure M = Mixtures of pure substances W = Wastes. (Also add appropriate waste code) 3 . MAXIMUM AMOUNT: This should represent the maximum number of units of this material present at anyone time. (Refer to the "UNIT" section of these instructions) 4 . A VBRAGE AMOUNT: This should represent the average amo~nt, usually on hand at any one time. , HAZARD04Þ MATERIALS MANAGE.T PLAN ~.... '.'.....; INVENTORY INSTRUCTIONS . 5 . ANNUAL AMOUNT: This should represent the anticipated annual (thru put) number of uni~s of the material. 6. MEASURE UNITS: LBS = Pounds, for materials stored as solids GAL = Gallons, for materials stored as liquids FT3 = Cubic· Feet at S.T.P., for materials stored as gases CUR = Curies, for radioactive materials 7. DAYS ON SITE: Days anticipated that this material will be at this si te, for the calendar year reporting. 8. CONTAINER TYPE: (Use appropriate code) 01. Underground Tank 02. Aboveground Tank 03. Fixed Pressurized Tank 04. Portable Pressurized Cylinders 05. Insulated Tank (includes cryogenics) 06. Drums or Barrels Metallic 07. Drums or Barrels - Non-Metallic 08. Corboy(s) 9. CONTAINER PRESSURE (Use appropriatè code) 1 = Ambient Pressure O'7"Atmosphere) 2 = Greater than"Ambient Pressure 3 = Less than Ambient Pressure 09. Glass Container(s) 10. Plastic Container(s) 11. Box(es) 12. Bag(s) 13. Metal Containers (not drums) 14. In Machinery or processing equipment 15. Bin(s) 99. Other - specify 10. CONTAINER TEMPERATURE (Use appropriate code) 4 = Ambient Temperature 5 = Greater than ,Ambient Temperature 6 = Less than Ambient Temperature 7 = Cryogenic Conditions 11. USE CODES: (Use appropriate code) 01. Additive 11. 02. Adhesive 12. 03. Aerosol 13. 04. Anesthetic 14. 05. Bactericide 15. 06. Blasting 16. 07. Catalyst 17. 08. Cleaning ~ 18. 09. Coolant 19. 10. Cooling 20. 2 Drilling Drying Emulsifier/Demulsifier Etching Experimental Fabrication Fertilizer Formulation Fuel Fungicide «- - e ~.. '" 11. USE CODES: (Continued) 21. Grinding 22. Heating 23. Herbicide 24. Insecticide 25. Instructional 26. Lubricant 27. Medical Aid or Process 28. Neutralizer 29. Painting 30. Pesticide 31. Plating 32. Preservative 33. Refining 34. Sealer 35. Spraying 36. Sterilizer 37. Storage 38. Stripping 39. Washing 40. Waste 41. Water Treatment 42. Welding Soldering 43. Well Injection 44. Oil Treatment 99. Other - Specify 12. LOCATION WHERE STORED IN THIS FACILITY Briefly indicate the location of the material within the building/facility unit using compass points and obvious landmarks. 13. PERCENT BY WEIGHT Indicate the concentration of each pure substance as a percentage of total weight. In the case of mixtures and wastes enter the maximum expected concentration of the three most Hazardous Components. Round off %. 14. NAMES OF MIXTURE/COMPONENTS EMERGENCY CONTACTS: Enter the name, title and phone numbers of two persons who are knowledgeable about this facility. PLEASE BE CERTAIN THAT FORMS ARE PROPERLY SIGNED AND DATED AT THE BOTTOM 3 CITY OF BAKERSFIELD HAZARDOUS MATERIALS INVENTORY page_o~_ o Farm and Agriculture 0 standard Business NON - TRADE SECRET· . BUSINESS NAME: LOCATION: CITY, ZIP: I PHONE- #: OWNER NAME: ADDRESS: CITY, ZIP: PHONE ,I: NAME OF THIS' FACILITY: t:" STANDARD IND. CLASS CODE: DUN AND BRADSTREET NUMBER/FEDERAL ID t - -- - - -- 1 Trans Code INSTRUCTIONS FOR PROPER CODES' 9 10 11 12 Cont Cont Location Where Press Temp Stored in Facility 13 'Ii by wt 14 Names of Mixture/Components See Instructions Physical and Health Hazard C.A.S. Number Component , 1 Name & C.A.S. Number (Check a1], that apply) 0 0 o Reactivity 0 0 Component " 2 Name & C.A.S. NUmber Fire Hazard Sudden Release Itm1Iediate Delayed of Pressure Health Health component " 3 Name & C.A.S. Number Physical and Health Hazard C.A.S. Number Component , 1 Name & C.A.S. Number (Check all that apply) 0 ------ 0 0 0 0 Component , 2 Name & C.A.S. Number Fire Hazard Sudden Release Reactivity Itm1Iediate Delayed of Pressure Health Health component , 3 Name & C.A.S. Number Physical and Health Hazard C.A.S. Number Component " 1 Name & C.A.S. Number (Check all that apply) 0 0 0 0 0 component 1/ 2 Name & C.A.S. Number Fire Hazard Sudden Release Reactivity Itm1Iediate Delayed of Pressure Health Health Component 1/ 3 Name & C.A.S. Number Name Title Component 1/ 1 Name & C.A.S. Number Component , 2 Name & C.A.S. Number Component 1/ 3 Name & C.A.S. Number 12 24 Hr. Phone Name Title 24 Hr Phone Physical and Health Hazard C.A.S. Number (Check all that apply) o Fire Hazard D Sudden Release 0 .Reactivity 0 Itm1Iediate 0 Delayed of Pressure Health Health EMERGENCY CONTACTS 11 Certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) I certify under peanlty of law that I haver personally examined and am familiar with the information submitted in this and all attached documents and that based on my inquiry of those individuals responsible for obtaining the information. I believe that the submitted information is true, accurate, and complete. NAME·AND OFFICIAL TITLE OF a./NER/OPERATQR OR a./NER!OPERATQR'S AUTHORIZED REPRESENTATIVE SIGNATURE DATE SIGNED -- ~ '~Mt.. BaJiersfield fue D~" . HAZARDOUS MATERIALS DIVISION \,.' Business Name: Location: 4C¡ 0 I ~ J_~pa~e Completed *-\q j \ 7 -'7 Z8,~12 Busine'ss Identification No. 215-000 ',' . ~.' 600 '12-5 " ,-, ~oPOf' Busin~~~ Plaò) ß Inspector wAT ¡¿ 'tN.s -' ( Station Nct 5 Shift , - ~ ,,~,.'" "'..-.,.. , , ., ....- ~'....... ",' '\... - ~"~-,. ø· Verification of Inventory Materials Verification of Quantities Verification of Location /,/' Proper Segregation of Material Comments: . ._~,....- - Adequate ' In~dequate ' ,- '~ 0 i 0 0 0 Verification of MSDS Availablity l3 Number of Employees -- Verification of Haz Mat Training Comments: o ~ ~ D o Verification of Abatement Supplies & Procedures Comments: l~ Emergency Procedures Posted Containers Properly Labeled Comments: Verification of Facility Diagram Special Hazards Associated with this Facility: D R ,t( .~ o o Violations: {.. tJO (v\SDS S~S NO l3MF;{I..þ&.Jcy FC&d I.)(Œ,S ~-' p'skd- ~ --.~....... A' All Items O.K. 0 Correction Needed ~ FD 1652 (Rev. 1-90) White-Haz Mat Div, Yellow-Station Copy Pink-Business Copy \ ' . ö: ;'f 'i :~'7~_: "y' (j'.'" ;.! .::. '~f ", ! , ¡ R._-.,._.,._.._~....._. ~_ .....,~ '" -'-'.. 3) v ·õ.f' '-.. h1ÆI \.~ q ,.....,.... ~"""-'"'''' I, . ~ ú- :: : ;f .,.J.. ~,~ ':';',' - - -/-, _:( 'to '>-~' tI ~ ~ ,. " ) ': '~, .'~¡. ~ , ' ; -, ,.'; .' , .. >,Ai. '.,~'-:, 6~. ".. 0 IY (). ,~(,. ·..>,;..~"'U.~-..Þ ~ -:-~~" ..:'~ -..~:~' q:~-:::~ ~ : -'. . ,. M'Ç D s '..:: '-, < ' ---.. ~ -\ . H~' _ .: ¡ " '-, ì . _.~.~ "~i '~i T-; ".; Jt£}-f-~ , .' ., . j,' 'J" " '.' >-','1 :! \ , .' , , \ I:'"~ ,:,." . ...1". . ¡", , , .' . '. ¡.' , '«1. . _, i¡ ; ~ ' :j.'.' ,'. ¡. . f..' ~ " - , -.¡.. '" . . i. " . , .... .', . J ¡ "1 , < " , " .~---_.~- , IY Inspector ~ATt<lI'.JS / N ùrJ5-'Z- I Adequate Inadequate l-,~'~ - ~,p~ eakersfield Fire Dep4 Hazardous Materials Inspection 4' Date Completed Business Name: FÃ~fZ,1 P ~ 1 q Location: 4lìð ( S, LJr-JtON Plan ID # 215-000 Î z..ß (Top right comer Business Plan) Station No. . 5 PJ Shift Verification of Inventory Materials Verification of Quantities Verification of Location Proper Segregation of Material Comments: '- -'\::- ~, I / 10 - 4- q {J RECEIVED ocr 0 ß 1290 HAZ. MAT. D IV. ~ ~ GY ~ o D D D o ~ Verification ofMSDS Availability Number of Employees ~ 4 Verification of Haz Mat Training Comments: æ1 o Verification of Abatement Supplies & Procedures Comments: ~ o Emergency Procedures Posted Containers Properly Labeled Comments: ~D c:Y"D Verification of Facility Diagram Special Hazards Associated with this Facility: GY D Violations: FD 1652 (Rev, 3-89) White-Haz Mat Div.. Yellow-Station Copy Pink-Business Office _::::---~ - "- . e EXPLANATION OF SITE FACILITY/BUSINESS/OWNERS At this particular location the actual owners oj the business are shown on Form 2A Section 1 Part A. Please be advised that the owners of the business do not own the gasoline facility portion of their business. The gasoline tanks and equipment are owned by: JAMIESON HILL CO. P. O. BOX 1807, Bakersfield, Ca. 93303-1807 (mailing) 3101 State Road, Bakersfield, Ca. 93308 (location address) ,John Kerley, Operations Manager, (805) 393-7000 office The business owners completed the total package with the exception of items 1 through 10 on form 4A-l (being the description of the Hazardous Materials Inventory sheet). The store owners operate the gasoline facilities for JAMIESON HILL CO. on a commission basis and they (store owners) provide the employees who have control over the gasoline pumps. JAMIESON HILL CO. makes the arrangements to. have the gasoline deliv~red to the location and also provides maintenance on the gasoline equipment for major repairs. Normal routine maintenance of the gasoline equipment is the responsibility of the store I,()~ ~~0 '\ ~ ~V) owner. . .. Fastrip Food Store 3701 Ming Ave., Bakersfield, Ca. .,' ..., " '~', t::-.,:·_: S~':'":~~:::'~', -;:~":,:.:::"'~'.' '. ·'·'·:-::-;;'~:"'-5::--::-'~:".;;''<:::'':.~·<~.~'-¿'':-:'::':'·';:::~'' ::(;:rf~·;-·~:.\~··':x::·('r..·'''~<;~~,", ,,: [;r.:, . Y~·''."::>'':-·';~ :". -¡:", :"''''.:' ,,-" ',>'1.,' ~.:' -.. '::~·;~3'':.'· ~':~;~¡!r-~-::'" ',';~_ '. -':" . "-""-. ;,,",,.¡.-.. ':;'Y;}¡:-f"~ .' :..-" ' . '. "~' ~ .: . .