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Home My WebLink AboutBUSINESS PLAN , / ~I~ C1C ; \ ).: ~ (~J 'I , i III ,I 'I \ . .C: ~~ . h ~;; ~ (") iIi-::: d~\_ ~ ~ _.~ w;Z r> r ';~ ~>~::::: -.~: ~' . ~! ~'.) I. -, " r . ! ", \ @ -- .- :r-c~-"""",,"r-"""~~-~-"---- -J \~~~,~ -, .- ,- I 1- FOOD STOllE I r2 i FASTRIP ~ ~ U_.L_8Q.<?~_~ITE __LN " '1'- _-.J 04q . {gq-rZ;ol I!I U,:->pf 7~801~ IIiI I I 11 \, I Per -r " it Operil.te to Hazardous Materials/Hazardous W aste Unified Permit CONDITIONS OF PERMIT ON REVERSE SID.E Permit 10 #:: 015-000-000649 FASTRIP #640 LOCATION: 8001 WHITE LN , ! ' I Issued by: i~ ,c:"e,;,"'''''''''' Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES· 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Approved by: Issue Date ~une 30, 2003 "Expirätion Date: .~. ~./~i~~~~~~~~t~~il~f11~~~H~~:~~·;f~:,:;~~.:> , . I, . .. .. ~, . / ," ........" -- .~....._~..,_.._---- I I.... r:,'~ I I ., . , PerDlit .-;<.~ to Operate Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: , ,azardous Materials Plan "~t~round Storage of Hazardous Materials "",,,agement Program " Waste 8001 PERMIT ID# 015-021.000649 ,)/ FASTRIP #640 LOCATION WHITE TAN HAZARDOUS SUBSTANCE 'i; K PIPING PIPING PIPING PIPIN ITOR TYPE TYPE METHOD ONIT LPT F PRESSURE ALD "~iG LPT F PRESSURE ALD ,,:ÂTG LPT F PRESSURE ALD ATG LPT F PRESSURE ALD ATG LPT F PRESSURE ALD ATG LPT F PRESSURE ALD ATG LPT F ALD , , 0001 REGULAR GASOLINE 0002 UNLEADED GASOLINE 0003 PREMIUM UNLEADED GASO 0004 DIESEL #2 0005 REGULAR GASOLINE 0006 UNLEADED GASOLINE 0007 PREMIUM UNLEADED GASO 12,00t}:0() 12,000'jQO 12,OOO.ÔQ 12,000.00 12,000.00 12,000.00 12,000.00 - , Issued by: Bakersfield Fire Department OffiCE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 4f~ ph Huey, ffice of ental Servi es , June 30, 2000 Approved by: Expiration Date: " , ;i to Operate tJí1derground Hazardous Materials Storage Facility Permit G "II' ,.. ....... . ," y ...... . , T . T "k" .. p' . ~t~,~~'t;';!/'.....~riS~af1jjp>w-; M¿ri~~~~~\êi~! ~~~: .., .. .." 1.. ( ..··..m..~ A1t, 6- .. .. 'L f'1 .'. " '(Jt?Q' .... ' , ,', ' '....,'...... " , ,', " '.' ".. ' . . " ',".' .,.."" .. ." ,.. \;'2;", ,..:."",){""::"">,,,, '. ))}' :;. '; ';' ',.,;; \;.... .::;:::" ""': ',". ,,' '..,'.'....,.. ',',...,.,.. ..., ,". ....' ' .., ... ' '. . , .. · . . . , . ' , , .:", ".:' :-;':'. .', ':, ", :'. ' . . , ,., . ., . . , · " ., . .. .... ..., , ,'. · .' . , . . . , , . . . , - , . . " . . ............ (:'>;:r : ;'j ....:....... Jt ,:::::::.:~~! ("".' ',. ,. ".'" . .. .., . . ". ~,~ . , h ~ ~ . . , . .. ", ".-:'. . :'.-'. ",.':' . - . , . ... . ., . .. , .. '. '.', . .... '. ..,. ::;, 'S~:~. /;::> , /:i::::.,¡,f . ',' '. ','.' , '" .... .., - .. . .. , ". .,,':':1 .:' ',':::: ':.Y I :"', '...,':,;: .., ... . ,.,/,...,' ì ",i'':.,'.,.'::)/ " \' ...' ',., -. ": .'.. ,'. ". . . .. . :·.:(::::C;:.·· .:. ;,; ¿ 1-/9 No. .D. No. I State Piping Monitoring Â(.D Piping Method 'p rC. <:<;:c../?- ~ ~ mk 'pe ; Issued To: c:.... ({ p r;.IVJ S '(C) r goo ! (,oj" .Jot.. "\ ß (, tí>~I s ,Ce ~l L(, jc. C6 F;~A r ( I :~. j¡:' :. ;'.':'",;...:...'. , Hazardous Substance , , \ /, fe~ ~ ,~·I "/ l. VI '" (-ec..cß<c/ fl." ') prCþ,.... I (A ""1 d.1 e-~c { re.ji.Å /..,,¡- \111- ~...., (<:e:JeJ pi",> Tank Number , , 2- 3 4 ~ ~ 7 .. p r£''V''~1 .... ... .. Bakersfield Fire Dept. HAZARDOUS MATERIALS DIVISION 1715 Chester Ave" 3rd Floor Bakersfield, CA 93301 (805) 326-3979 Issued By: Valid Coordinator Materials Ralph E. Huey, Hazardous Approved by: ~ ~" --, ~ 1. UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 SECTION 1: Business Plan and Inventory Program ADDRESS FACILITY CONTACT Jt?& ~~ INSPECTION TIME o JOINT AGENCY o MULTI-AGENCY . C V { C-ComPlianCe} V=Violation c/o ApPROPRIATE PERMIT ON HAND ~O Business PLAN CONTACT INFORMATION ACCURATE OPERA TION COMMENTS VISIBLE ADDRESS CORRECT OCCUPANCY VERIFICATION OF INVENTORY MATERIALS VERIFICATION OF QUANTITIES VERIFICATION OF LOCATION PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY VERIFICATION OF HAZ MAT TRAINING VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES- EMERGENCY PROCEDURES ADEQUATE ra-- 0 CONTAINERS PROPERLY LABELED o HOUSEKEEPING o FIRE PROTECTION .5Y" D SITE DIAGRAM ADEQUATE & ON HAND DYES D NO ANY HAZARDOUS WASTE ON SITE? EXPLAIN: INSPECTION? PLEASE CALL US AT (661) 326-3979 White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09105 j. .r.. .. ~ INSPECTIONS BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 BUSINESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST Page 1 of 1 FACILITY NAME: Mfh Section 2: Underground Storage Tanks Program o Routine ~ombined 0 J~int Agency 0 Multi-Agency Type ofTank ClUF't ~ Number ofTanks Type of Monitoring l. _U/A.. Type of Piping INSPECTION DATE: ..tl,ftJ7 o Complaint fi If)luF ORe-Inspection OPERA TION C Y COMMENTS Proper tank data on file v ~ Proper owner / operator data on file ,.., ~ Permit fees current / Certification of Financial Responsibility ,.,. Monitoring record adequate and current ./ Maintenance records adequate and current / Failure to correct prior UST violations / /" Has there been an unauthorized release? DYes ~ / Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank Aggregate Capacity Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF?) If yes, does tank have overfill/ overspill protection? C = Compliance V = Violation Y = Yes N = No Inspector: J- cAt~ Questions regarding this inspection? Please call us at (661) 326-3979 White - Prevention Services Pink - Business Copy KBF-7335 FD 2156 (Rev. 09/05) -'- ~, f'1' ): FASTRIP 366 SiteID: 015-021-000649 Manager : MIKE STEVENS Location: 8001 WHITE LN City BAKERSFIELD BusPhone: Map : 123 Grid: 16A (661) 835-1490 CommHaz : Extreme Facunits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code:5541 DunnBrad:17-364-9625 Emergency Contact / Title Emergency Contact / Title MIKE STEVENS / STORE MANAGER R CRAIG LINCOLN / AREA SUPERVISOR Business Phone: (661) 835-1490x Business Phone: (661) 393-7000x 24-Hour Phone : (661) 393-7000x 24-Hour phone : ( ) - x Pager Phone : (661) 428-5443x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Owner Address City JACO HILL : PO BOX 82515 : BAKERSFIELD Phone: (661) 393-7000x State: CA Zip : 93380-2515 Phone: (661) 393-7000x State: CA Zip : 93380-2515 Contact : R CRAIG LINCOLN MailAddr: PO BOX 82515 City : BAKERSFIELD Period : Preparer: Certif'd: ParcelNo: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: PROG A - HAZMAT PROG U - UST Based .on my inquiry of those individ ~ ~~sg~;~~I~;?t~ o;:ai~~~gt~~~ irf~rmation, ! c~r~;; examined and am familiar with ~~e 'p;r..,on~lIy submitted and believe th . f e m,ormatlon accurate, and complete. e In ormation IS true, -'~ ~~~L S;gnature 1-r :. Daf'-V9 ENilO AUG 09 t001 -1- 07/11/2007 .' / '\ F FASTRIP 366 SiteID: 015-021-000649 ~ S 0 G CONTAINER DATA (UST FORM A) TRAE Last Action Type: FACILITY/SITE INFORMATION Business Name: FASTRIP 366 Cross Street : Business Type: Org Type: Total Tanks : 8 IndnRes/Trust: No PA Contact: Dsg Own/Oper : DOUGLAS M YOUNG III ICC Nbr: 0878646-UC PROPERTY OWNER INFORMATION Name : R CRAIG LINCOLN Phone: (661) 393-7000x Address: City : State: Zip: Type : CORPORATION TANK OWNER INFORMATION Name : R CRAIG LINCOLN Phone: (661) 393-7000x Address: City : State: Zip: Type : CORPORATION BOE UST Fee# : Financ'l Resp: Legal Notif : Date: Phone: ( ) - x Name: Tt1: State UST # : 1998 Upg Cert#: -2- 07/11/2007 -, F FASTRIP 366 p= Hazmat Inventory p== MCP+DailyMax Order ~ SiteID: 015-021-000649 By Facility Unit Fixed Containers on Site ~ "I "I DailyMax lunitlMCP 2184.00 FT3 Hi -,~.OOO. 00 GAL Mod 12000.00 GAL Mod 12000.00 GAL Mod 12000.00 GAL Mod 12000.00 GAL Mod 12000.00 GAL Low 12000.00 GAL Low ,~OOO' 00 (lAI- HOD Hazmat Common Name... PROPANE REGULAR UNLEADED GASOLINE REGULAR UNLEADED GASOLINE REGULAR UNLEADED GASOLINE SUPREME UNLEADED GASOLINE REGULAR UNLEADED GASOLINE DIESEL #2 DIESEL #2 Prtarn; um UNleaded ~Cl~oll^,e. IspeCHaz!EPA Hazards! Frm ! E F P F F F F F F F F IH IH DH IH DH IH DH IH DH IH DH IH DH IH DH .:z./IJ>H G L L L L L L L L. -3- 07/11/2007 ~. -4- 07/11/2007 SiteID: 015-021-000649 9 Facility Unit: Fixed Containers on site 1 F FASTRIP 366 f= Inventory Item 0008 = COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit BLDG STORE FRONT Map: Grid: CAS# 74-98-6 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 182.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 2184.00 FT3 Daily Average 1092.00 FT3 ~Wt I 100.00 Propane HAZARDOUS COMPONENTS ~ CAS # 749861 HAZARD ASSE SMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi S f= Inventory Item 0006 F== COMMON NAME / CHEMICAL NAME REGULAR UNLEADED GASOLINE Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit SE CRNR Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 15000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 15000.00 GAL Daily Average 6000.00 GAL HAZARD US COMPONENTS %Wt. RS CAS# 100.00 Gasoline No 8006619 o HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -5- 07/11/2007 SiteID: 015-021-000649 9 Facility Unit: Fixed Containers on site 9 F FASTRIP 366 f= Inventory Item 0001 F= COMMON NAME / CHEMICAL NAME REGULAR UNLEADED GASOLINE Days On site 365 Location within this Facility Unit SW CRNR 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 6000.00 GAL HAZARD NE %Wt. RS CAS # 100.00 Gasoline No 8006619 OUS COMPO NTS HAZ D AS ME TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod AR SESS NTS f= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME REGULAR UNLEADED GASOLINE Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit SW CRNR 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 6000.00 GAL %wt. I 100.00 Gasoline HAZARDOUS COMPONENTS I~ CAS#S006619I TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS -6- 07/11/2007 SiteID: 015-021-000649 , Facility Unit: Fixed Containers on Site 9 F FASTRIP 366 p= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME SUPREME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit SW CRNR Map: Grid: CAS # 8006-61-9 [ ~TA~E I ~YPE ~ P~ESSURE -----r TEM~ERATURE I CONTAINER TYPE =Llquld ___ Mlxtur~ Amblent ---1 Amblent ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 6000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # I 8006619 ARD ASSES N TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZ SME TS p= Inventory Item 0005 ~ COMMON NAME / CHEMICAL NAME REGULAR UNLEADED GASOLINE Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit SE CRNR 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 6000.00 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 -7- 07/11/2007 SiteID: 015-021-000649 1 Facility Unit: Fixed Containers on Site 9 f FASTRIP 366 p= Inventory Item 0004 = COMMON NAME / CHEMICAL NAME DIESEL #2 Days On Site 365 Location within this Facility Unit SW CRNR Map: Grid: CAS # 68476-34-6 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 6000.00 GAL HAZARDOUS P N N %wt. RS CAS # 100.00 Diesel Fuel No. 2 No 68476302 COM 0 E TS HAZARD A SES MENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low S S p= Inventory Item 0007 = COMMON NAME / CHEMICAL NAME DIESEL #2 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit SE CRNR Map: Grid: CAS # 68476-34-6 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 6000.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Diesel Fuel No. 2 No 68476302 Z E MENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low HA ARD ASS SS -8- 07/11/2007 · '"') -, SiteID~ 015-021-000649 , Facility Unit: Fixed Containers on Site 9 F FASTRIP 366 f= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME pr;-':;','qm UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit SW CRNR Map: Grid: CAS # 8006-61-9 [ ~TA~E I ~YPE :--r-: P~ESSURE --r TEM~ERATURE I =L1qu1d __M1xtur~ Amb1ent ---1 Amb1ent ~ AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL CONTAINER TYPE UNDER GROUND TANK Largest Container 12000.00 GAL Daily Average 6000.00 GAL twt. I 100.00 Gasoline HAZARDOUS COMPONENTS I~ CAS#S0066191 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ CUries F IH DH / / / Mod HAZARD ASSESSMENTS . , ~) , SiteID: 015-021-000649 1 Fast Format 1 Overall Site 1 07/26/2006 F FASTRIP 366 I p= Notif./Evacuation/Medical Agency Notification CALL 911 OR, IF NEED, CALL STATE EMERGENCY OFFICE 800-852-7550 OR 619-262-1621. Employee Notif./Evacuation 07/26/2006 EMPLOYEES ARE TO CALMLY NOTIFY ANYONE AROUND THEM OF AN EMERGENCY AND EVACUATE THE PREMISES IN AN ORDERLY MANNER. EMPLOYEES ARE TO MEET AT A PREDETERMINED PLACE, THE STORE MANAGER (PERSON IN CHARGE OF THE SHIFT) WILL COUNT TO ENSURE ALL EMPLOYEES ARE EVACUATED. Public Notif./Evacuation 07/26/2006 STORE MANAGER (PERSON IN CHARGE OF THE SHIFT) WILL CONSULT WITH THE RESPONDING EMERGENCY AGENCY AS TO THE BEST WAY TO DO PUBLIC EVACUATION, IF NECESSARY. Emergency Medical Plan 07/26/2006 IN CASE OF A MEDICAL EMERGENCY, A CALL TO 911 FOR THE PROPERLY TRAINED MEDICAL PERSONNEL TO RESPOND: MEMORIAL MEDI-CENTER, 5201 WHITE LN, 398-1800 OR MERCY HOSPITAL, 2215 TRUXTUN AVE, 327-3371. -9- 07/11/2007 e.'1 , SiteID: 015-021-000649 , Fast Format , Overall Site 9 07/26/2006 F FASTRIP 366 I p= Mitigation/Prevent/Abatemt Release Prevention ALL EQUIPMENT IS MAINTAINED AND KEPT IN GOOD WORKING ORDER. REGULAR INSPECTIONS ARE DONE TO ENSURE THAT ALL EQUIPMENT IS IN GOOD WORKING ORDER. Release Containment 03/31/2006 GAS PUMPS HAVE EMERGENCY SHUT-OFF BUTTONS, ABSORBENT MATERIAL IS STORED NEAR GAS ISLANDS FOR EASY ACCESS IN CASE OF A SMALL SPILL. Clean Up 07/26/2006 SMALL SPILLS - USE AN APPROVED ABSORBENT MATERIAL SPREAD OVER THE SPILL, SWEEP AND PUT IN COVERED, APPROVED CONTAINER. LARGE SPILLS - SHUT DOWN ENTIRE SYSTEM AND CALL 911. Other Resource Activation 12/06/1994 NOTIFY DISTRICT (OPERATIONS) MANAGER TO CALL OUT AN EMERGENCY RESPONSE TEAM. -10- 07/11/2007 '.. I' , SiteID: 015-021-000649 9 Fast Format =t Overall Site =t F FASTRIP 366 I p= Site Emergency Factors Special Hazards Utility Shut-Offs 04/11/2007 GAS - SW CRNR OF BLDG OUTSIDE ELECTRICAL - SW CRNR OF BLDG OUTSIDE WATER - SW CRNR OF BLDG INSIDE SPECIAL - EMER SHUT-OFF FOR GASOLINE ISLANDS AT CHECKOUT COUNTER Fire Protec./Avail. Water 04/11/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS ARE NEAR ALL GASOLINE ISLANDS AND INSIDE STORE. FIRE HYDRANT - SW CRNR OF SITE GOSFORD RD ENTR. Building Occupancy Level 03/31/2006 14 EMPLOYEES -11- 07/11/2007 -"!' ....~ 'l - ~,....~ , .~ SiteID: 015-021-000649 ; Fast Format ; Overall Site ; 01/31/2007 F FASTRIP 366 I F Training Employee Training MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES ARE TRAINED AND AWARE THAT IN THE EVENT OF AN EMERGENCY THEY ARE TO: SHUT OFF IF POSSIBLE MAIN POWER BREAKER; EVACUATE THEMSELVES AND ANYONE IN OR AROUND THE PREMISES; DIAL 911; NOTIFY CLOSE NEIGHBORS TO EVACUATE, IF NECESSARY; AND NOTIFY EMERGENCY RESPONSE TEAM. Page 2 Held for Future Use Held for Future Use -12- 07/11/2007 .'" .. f\\u v? Owner Statements of Designated Underground Storage Tank (UST) Operator and Understanding of and Compliance with UST Requirements Facility Name: Fastrip #640 (Chevron) Facility ID #: 3523/3725 Facility Address: 8001 White Lane, Bakersfield, CA 93309 Reason for Submitting this Form (Check One) (City) X Addition of Designated Operator Facility Phone #: 661-835-1490 D Update Certificate Expiration Date Desitroated UST Operator(s) for this Facilitv AL TERNA TE 3 (Optional) Designated Operator's Name: Jessica L. Meyers Relation to UST Facility (Check One) Business Name (If different from above): Corifidence UST Services, Inc. D Owner D Operator D Employee Designated Operator's Phone #: 800-339-9930 D Service Technician x Third-Party International Code Council Certification #: 5313857-UC Expiration Date: June 30, 2009 ALTERNATE 4 (Qvuonm) Designated Operator's Name: Relation to UST Facility (Check One) Business Name (If differentfrom above): D Owner D Operator D Employee Designated Operator's Phone #: D Service Technician 0 Third-Party International Code Council Certification #: Expiration Date: ALTERNATE 5 (Optionm) Designated Operator's Name: Relation to UST Facility (Check One) Business Name (If different from above): DOwner D Operator D Employee Designated Operator's Phone #: D Service Technician x Third-Party International Code Council Certification #: Expiration Date: I certify that, for the facility indicated at the top of this page, the individual(s) listed above will serve as Designated UST Operator(s). The individual(s) will conduct and document monthly facility inspections and annual facility employee training, in accordance with California Code of . Regulations, title 23,. section 2715(c) - (t). Furthermore, I understand and am in compliance with the requirements (statutes, regulations, and local ordinances) applicable to underground storage tanks. NAME OF TANK OWNER (please Print): Jaco Hill Co. SIGNATURE OF TANK OWNER: DATE: Aue:ust 9. 2007 OWNER'S PHONE #: 661-393-7000 NOTE: 1) SUBMIT TillS COMPLETED FORM TO THE LOCAL AGENCY (NOT THE STATE WATER RESOURCES CONTROL BOARD) BY JANUARY 1,2005. THE LOCAL AGENCY LIST IS AVAILABLE AT: www.waterboards.ca.gov/ust/contacts/cupa agys.html. 2) NOTIFY THE LOCAL AGENCY OF ANY CHANGES TO TillS INFORMA nON WITHIN 30 DAYS OF THE CHANGE. November 2004 ...--- - -- ---:.---- ,;;- 3(,~/.3~1 r? Owner Statements of Designated Underground Storage Tank (UST) Operator and Understanding of and Compliance with UST Requirements Facility Name: Fastrip #640 (Chevron) Facility ID #: 3523/3725 Facility Address: 8001 White Lane, Bakersfield, CA 933~ Reason for Submitting this Form (Check One) (City) 0 Change of Designated Operator Facility Phone #: 661-835-1490 X Update Certificate Expiration Date Desimated UST Ooerator(s) for this Facilitv PRIMARY Designated Operator's Name: Douglas M. YOWlg III Relation to UST Facility (Check One) Business Name (If dijfi!rent from above): Confidence UST Services, Inc. DOwner o Operator o Employee Designated Operator's Phone #: 800-339-9930 o Service Technician x Third-Party International. Code COWlcil Certification #: 0878646-UC Expiration Date: September 22, 2008 ALTERN A TE 1 . Designated Operator's Name: Jennifer Davis Relation to UST Facility (Check One) Business Name (If different from above): Confidence UST Services, Inc_ DOwner o Operator o Employee Designated Operator's Phone #: 800-339-9930 o Service Technician x Third-Party International. Code COWlciI Certification #: 5252886-UC Expiration Date: March 15,2009 AL TERNA TE 2 (Optional) Designated Operator's Name: Edward Mitchell Relation to UST Facility (Check One) Business Name (If dijfi!rent from above): Confidence UST Services, Inc. DOwner o Operator o Employee Designated Operator's Phone #: 800-339-9930 o Service Technician x Third-Party International Code Council Certification #: 5258S45-UC Expiration Date: May 15, 2008 I certify that, for the facility indicated at the top of this page, the individual(s).listed above will serve as Designated UST Operator(s). The individual(s) will conduct and document monthly facility inspections and annual facility employee training, in accordance with California Code of Regulations, title 23, section 2715(c) - (t). Furthermore, [ understand and am in compliance with the requirements (statutes, regulations, and local ordinances) applicable to underground storage tanks. NAMEOFTANKOWNER(PIeue~ ~~ SIGNATURE OF TANK OWNER: t.J em DATE: March 23. 2007 OWNER'S PHONE #: 661-393-7000 NOTE: 1) SUBMIT THIS COMPLETED FORM TO THE WCAL AGENCY (NOT THE STATE WATER RESOURCES CONTROL BOARD) BY JANUARY 1,2005. THE LOCAL AGENCY LIST IS AVAILABLE AT: www.waterboards.ca.gov/ust/contacts/cupa agys.html. 2) NOTIFY THE WCAL AGENCY OF ANY CHANGES 10 THIS INFORMATION WITHIN 30 DAYS OF THE CHANGE. November 2004 :): FASTRIP 366 Manager KEn BLADO M,"eS+a~S Location: 8001 WHITE LN City BAKERSFIELD ?{) 'f t5 SiteID: 015-021-000649 " 1.....- ~.' BusPhone: Map : 123 Grid: 16A (661) 835-1490 CommHaz : Extreme FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code:5541 DunnBrad:17-364-9625 Emergency Contact KEN BLADO Business Phone: 24-Hour Phone Pager Phone / Title / STORE MANAGER (661) 835-1490x (661) 393 -7000x (661) 'IJl4:5W~. Emergency Contact R CRAIG LINCOLN Business Phone: 24-Hour Phone Pager Phone / Title / AREA SUPERVISOR (661) 393-7000x () x () x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : R CRAIG LINCOLN MailAddr: PO BOX 82515 City BAKERSFIELD Phone: (661) 393-7000x State: CA Zip 93380-2515 Owner Address City JACO HILL PO BOX 82515 BAKERSFIELD Phone: (661) 393-7000x State: CA Zip 93380-2515 Period Preparer: Certif'd: ParcelNo: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: PROG A HAZMAT PROG U - UST Ol~ ~ Based on my inquiry of those individuals responsible for obtaining the information, I certify unde~ penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate. and complete. ENilJ APR 6 2007 -1- 03/22/2007 <;- ..- ,-0' T A NER DATA U T FO Last Action Type: FACILITY/SITE INFORMATION Business Name: FASTRIP 366 Cross Street : Business Type: Org Type: Total Tanks : 7 IndnRes/Trust: No PA Contact: Dsg Own/Oper : DOUGLAS M YOUNG III ICC Nbr: 0878646-UC PROPERTY OWNER INFORMATION Name : R CRAIG LINCOLN Phone: (661) 393-7000x Address: City : State: zip: Type : CORPORATION TANK OWNER INFORMATION Name : R CRAIG LINCOLN Phone: (661) 393-7000x Address: City : State: Zip: Type : CORPORATION BOE UST Fee# : Financ'l Resp: Legal Notif : Date: Phone: ( ) - x Name: Ttl: State UST # : 1998 Upg Cert#: S ORAGE CONT I ( S SiteID: 015-021-000649 9 RM A) F FASTRIP 366 -2- 03/22/2007 , -{i F FASTRIP 366 SiteID: 015-021-000649 , F Hazmat Inventory By Facility Unit , f== MCP+DailyMax Order Fixed Containers on Site , Hazmat Common Name. . . IspecHazlEPA Hazards I Frm I DailyMax IUnitlMCP PROPANE E F P IH G 2184.00 FT3 Hi REGULAR UNLEADED GASOLINE F IH DH L 12000.00 GAL Mod Rjiu,iij-- ..INJI ~ ~.~f-alC:lSol;lJe F IH DH L 12000.00 GAL Mod Supreme UNLEADED GASOLINE F IH DH L 12000.00 GAL Mod REGULAR UNLEADED GASOLINE F IH DH L 12000.00 GAL Mod /'Pte9 aieL"- U~ lefi(fca.~:- -~asoJt ue 15000.00 GAL Mod I F IH DH L I PREMIUM UNLEADED GASOLINE F IH DH L 12000.00 GAL Mod , DIESEL #2 F IH DH L 12000.00 GAL Low I p:esel $.;J, F ;rJ/ D If I- ,,aDOO.. 00 GAi... L./.?>'wV I -. -- -3- 03/22/2007 ~ -4- 03/22/2007 CO' . SiteID: 015-021-000649 9 Facility Unit: Fixed Containers on Site 9 F FASTRIP 366 p= Inventory Item 0008 = COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit BLDG STORE FRONT Map: Grid: CAS # 74-98-6 STATE - TYPE Gas Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 182.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 2184.00 FT3 Daily Average 1092.00 FT3 %Wt. I 100.00 Propane HAZARDOUS COMPONENTS ~ CAS # 749861 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi p= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME REGULAR UNLEADEp GASOLINE Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit SW CRNR 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 6000.00 GAL %Wt. RS CAS # 100.00 Gasoline No 8006619 HAZARDOUS COMPONENTS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -5- 03/22/2007 SiteID: 015-021-000649 1 Facility Unit: Fixed Containers on Site 1 F FASTRIP 366 p= Inventory Item 0002 F= COMMON NAME / CHEMICAL NAME ~-~9ular u,vleo.decr-&o.so,ilVe Location within this Facility Unit SW CRNR Days On Site 365 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 6000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS#a006619I HAZARD A ES ME TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod SS S NTS p= Inventory Item 0003 F= COMMON NAME / CHEMICAL NAME S~f~me UNLEADED GASOLINE Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit SW CRNR 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 6000.00 GAL D U OMPONENTS %Wt. RS CAS# 100.00 Gasoline No 8006619 HAZAR 0 S C HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -6- 03/22/2007 r.", SiteID: 015-021-000649 9 Facility Unit: Fixed Containers on Site 9 F FASTRIP 366 p= Inventory Item 0005 = COMMON NAME / CHEMICAL NAME REGULAR UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit SE CRNR 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 6000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # I 8006619 ASSESSMENT TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD S p= Inventory Item 0006 Facility Unit: Fixed Containers on Site 9 F== COMMON NAME / CHEMICAL NAME -?ae9iiliLr--Ulvlei:i.iteit~h'lJe Days On Site 365 Location within this Facility Unit SE CRNR Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 15000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 15000.00 GAL Daily Average 6000.00 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 IR DR / / / Mod -7- 03/22/2007 !O ii, SiteID: 015-021-000649 1 Facility Unit: Fixed Containers on Site 1 F FASTRIP 366 p= Inventory Item 0007 = COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit SE CRNR Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDERGROUND TANK Largest Container 12000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Daily Average 6000.00 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 p= Inventory Item 0004 = COMMON NAME / CHEMICAL NAME DIESEL #2 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit SW CRNR Map: Grid: CAS# 68476-34-6 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 6000.00 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 -8- 03/22/2007 F FASTRIP 366 p= Inventory Item = COMMON NAME / --- - - -,- - ~ --,-~-"'-- DieSe ~ SiteID: 015-021-000649 9 Facility Unit: Fixed Containers on Site 9 0007 CHEMICAL NAME Location within this Facility Unit SE CRNR Days On Site 365 Map: Grid: . CAS # 8006-61-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDERGROUND TANK Largest Container 12000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Daily Average 6000.00 GAL N %Wt. .-D le8e:/~ ,/de/' p~~ ;;2 RS CAS # 100.00 No tb8-V~:!Jf)~.. HAZARDOUS COMPONE TS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS ~ ~ SiteID: 015-021-000649 , Fast Format 9 Overall Site 9 07/26/2006 F FASTRIP 366 I p= Notif./Evacuation/Medical Agency Notification CALL 911 OR, IF NEED, CALL STATE EMERGENCY OFFICE 800-852-7550 OR 619-262-1621. Employee Notif./Evacuation 07/26/2006 EMPLOYEES ARE TO CALMLY NOTIFY ANYONE AROUND THEM OF AN EMERGENCY AND EVACUATE THE PREMISES IN AN ORDERLY MANNER. EMPLOYEES ARE TO MEET AT A PREDETERMINED PLACE, THE STORE MANAGER (PERSON IN CHARGE OF THE SHIFT) WILL COUNT TO ENSURE ALL EMPLOYEES ARE EVACUATED. Public Notif./Evacuation 07/26/2006 STORE MANAGER (PERSON IN CHARGE OF THE SHIFT) WILL CONSULT WITH THE RESPONDING EMERGENCY AGENCY AS TO THE BEST WAY TO DO PUBLIC EVACUATION, IF NECESSARY. Emergency Medical Plan 07/26/2006 IN CASE OF A MEDICAL EMERGENCY, A CALL TO 911 FOR THE PROPERLY TRAINED MEDICAL PERSONNEL TO RESPOND: MEMORIAL MEDI-CENTER, 5201 WHITE LN, 398-1800 OR MERCY HOSPITAL, 2215 TRUXTUN AVE, 327-3371. -9- 03/22/2007 'i" l(jl >! .. .. F FASTRIP 366 I p= Mitigation/Prevent/Abatemt Release Prevention SiteID: 015-021-000649 "I Fast Format "I Overall Site "I 07/26/2006 ALL EQUIPMENT IS MAINTAINED AND KEPT IN GOOD WORKING ORDER. REGULAR INSPECTIONS ARE DONE TO ENSURE THAT ALL EQUIPMENT IS IN GOOD WORKING ORDER. Release Containment 03/31/2006 GAS PUMPS HAVE EMERGENCY SHUT-OFF BUTTONS, ABSORBENT MATERIAL IS STORED NEAR GAS ISLANDS FOR EASY ACCESS IN CASE OF A SMALL SPILL. Clean Up 07/26/2006 SMALL SPILLS - USE AN APPROVED ABSORBENT MATERIAL SPREAD OVER THE SPILL, SWEEP AND PUT IN COVERED, APPROVED CONTAINER. LARGE SPILLS - SHUT DOWN ENTIRE SYSTEM AND CALL 911. Other Resource Activation 12/06/1994 NOTIFY DISTRICT (OPERATIONS) MANAGER TO CALL OUT AN EMERGENCY RESPONSE TEAM. -10- 03/22/2007 11 ,-,' ,~ I SiteID: 015-021-000649 9 . I Fast Format 1 Overall Site 1 F FASTRIP 366 I f= Site Emergency Factors Special Hazards Utility Shut-Offs 07/26/2006 A) GAS - SW CRNR OF BLDG OUTSIDE B} ELECTRICAL - SW CRNR OF BLDG OUTSIDE C) WATER - SW CRNR OF BLDG INSIDE D) SPECIAL - EMER SHUT-OFF FOR GASOLINE ISLANDS AT CHECKOUT COUNTER E) LOCK BOX - NO Fire Protec./Avail. Water 01/31/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS ARE NEAR ALL GASOLINE ISLANDS AND INSIDE STORE. FIRE HYDRANT - SW CRNR OF PROP GOSFORD RD ENTR. Building Occupancy Level 03/31/2006 14 EMPLOYEES -11- 03/22/2007 ~' " I.! e:j, .!" .~ t 'i. SiteID: 015-021-000649 9 Fast Format 9 Overall Site 9 01/31/2007 F FASTRIP 366 I F Training Employee Training MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES ARE TRAINED AND AWARE THAT IN THE EVENT OF AN EMERGENCY THEY ARE TO: SHUT OFF IF POSSIBLE MAIN POWER BREAKER; EVACUATE THEMSELVES AND ANYONE IN OR AROUND THE PREMISES; DIAL 911; NOTIFY CLOSE NEIGHBORS TO EVACUATE, IF NECESSARY; AND NOTIFY EMERGENCY RESPONSE TEAM. Page 2 Held for Future Use Held for Future Use -12- 03/22/2007 c3 6~l3(:' 7 Owner Statements of Designated Underground Storage Tank (UST) Operator and Understanding of and Compliance with UST Requirements Facility Name: Fastrip #640 (Chevron) Facility ID #: .3.5,;(3 /37t?l.5' Facility Address: 8001 White Lane, Bakersfield, CA 93309 Reason for Submitting thiS Form (Check One) (City) o Change of Designated Operator Facility Phone #: 661-835-1490 o Update Certificate Expiration Date D~i2Da\ted UST Ooerator(s) for \this lFacilitv PRIMARY Designated Operator's Name: Douglas M. Young ill Relation to UST Facility (Check One) Business Name (If different from above): Confidence US'/' Services, Inc. o Owner o Operator o Employee Designated Operator's Phone #: 800-339-9930 o Service Technician oa Third-Party International Code Council Certification #: 0878646-UC Expiration Date: October 14, 2006 ALTERNATE 1 Designated Operators Name: -:s Business Name (if different from above): Designated Operator's Phone #: International Code Council Certification #: Relation to UST Facility (Check One) o Owner 0 Operator 0 Employee o Service Technician . -Party Expiration Date: J I .2./ z> -r Relation to UST Facility (Check One) Expiration Date: I certify ~ for the facility indicated at the top of this page, the individual( s) listed above will serve as Designated UST Opemtor(s). The individual(s) will conduct and document monthly facility inspections and annual facility employee training, in accordance with California Code of Regulations, title 23, section 2715(c) - (t). JFMrtll1ermore, J[ undlersttand and. am in eompDi2D~e with tllne re4lIWrements (statutes, Jreg1llKations, mad loeaD ordiJn2Mlces) appll!cabne to 8IlD.G!eft'ground storage tanks. NAME OF TANK OWNER (please Print): Ro L( .5 hi j) tJ D E/2S / J i-l (~() ;.1-1 L.L {i (i . SIGNA TIJRE OIF TANK OWNER: i1. '3:- -f ! '0- LL... DATE: I L (2.-I!l)! OWNER'S PHQNE #: 661-393-7000 NOTE: 1) SUBMIT THIS COMPLETED lFORM TO THE LOCAL AGENCY (NOT TIlE STATE WATER RESOURCES CONTROL BOARlI)) BY JANUARY 1,2005. 'JrHE LOCAIL AGENCY LIST IS AVAILABLE AT: www.waterboards.ca.gov/ustlcontacts/cupaagYs.html. 2) NOTHFY THlE lLOCAlL AGJENCY OF ANY CHANGES TO THIS IN1FOlRMATION WITHIN 30 DAYS OF THE CHANGE. November 2004 3(,~/.3 G,7 Owner Statements of Designated Underground Storage Tank (UST) Operator and Understanding of and Compliance with UST Requirements Facility Name: Fastrip #640 (Chevron) Facility ID #: 3523/3725 Facility Address: 8001 White Lane, Bakersfield, CA 93309 Reason for Submitting this Form (Check One) (City) D Change of Designated Operator Facility Phone #: 661-835-1490 X Update Certificate Expiration Date Desi2nated UST ODerator(s) for this Facilitv PRIMARY Designated Operator's Name: Douglas M. Young III Relation to UST Facility (Check One) Business Name (If different from above): Confidence UST Services, Inc. DOwner D Operator D Employee Designated Operator's Phone #: 800-339-9930 D Service Technician x Third-Party International Code Council Certification #: 0878646-UC Expiration Date: September 22, 2008 ALTERNATEl(Ov"on~) Designated Operator's Name: Jennifer Davis Relation to UST Facility (Check One) Business Name (If different from above): Confidence UST Services, Inc. DOwner D Operator D Employee Designated Operator's Phone #: 800-339-9930 D Service Technician x Third-Party International Code Council Certification #: 5252886-UC Expiration Date: March 15,2009 ALTERNATE 2 (Option~) Designated Operator's Name: Edward Mitchell Relation to UST Facility (Check One) Business Name (If different from above): Confidence UST Services, Inc. DOwner o Operator D Employee Designated Operator's Phone #: 800-339-9930 D Service Technician x Third-Party International Code Council Certification #: 5258845-UC Expiration Date: May 15,2008 I certify that, for the facility indicated at the top of this page, the individual(s) listed above will serve as Designated UST Operator(s). The individual(s) will conduct and document monthly facility inspections and annual facility employee training, in accordance with California Code of Regulations, title 23, section 2715(c) - (t). Furthermore, I understand and am in compliance with the requirements (statutes, regulations, and local ordinances) applicable to underground storage tanks. NAME OF TANK OWNER (PI.... ~ -2' Jato Hill Co. SIGNATURE OF TANK OWNER: U U~ --...... DATE: March 23. 2007 OWNER'S PHONE #: 661-393-7000 NOTE: 1) SUBMIT THIS COMPLETED FORM TO THE LOCAL AGENCY (NOT THE STATE WATER RESOURCES CONTROL BOARD) BY JANUARY 1,2005. THE LOCAL AGENCY LIST IS AVAILABLE AT: www.waterboards.ca.gov/ust!contacts/cupaagys.html. 2) NOTIFY THE LOCAL AGENCY OF ANY CHANGES TO THIS INFORMATION WITHIN 30 DAYS OF THE CHANGE. November 2004 \ UNIFIED PROGRAM INSPECTiON CHECKLIST ,; BAKERSFIELD FIRE DEPI' Prevention Services 900 Truxtun Ave.. Suite 210 Bakersfield. CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 t:;.....J i>t~":,~''''':.:.\'~'~~~.''!.~....m~;t\1':'1'~hr.",i.-.~",,,::Zj;':'''')(;.t!;::}i',j;,i.;'.,"-;" .'-, - .';;':'f(~.t~~:":":~')"f.,,;;-.~:j:..:;:..::':;o ~." ~.r.'.':'''';~':',I--'''.-'.~'.. ;":'''~'':''l'''.. ,:~':~.-;':' ".'. :-,j.'.<;.,~,' ir ~:..," r";;; SECTION 1: Business Plan and Inventory Program FACILITY CONTACT NSPECTlON TIME FACILITY N~ f. t hSn\ ADDRESS '6€)() D ROUTINE Section 1: Business Plan and Inventory Program OMBINED 0 JOINT-AGENCY--o MUL TI-AiiiENCy-O-COMPLAINT ~5!J1~5- D RE-INSPECTION C V (c-cOmPliance) V=Violation OPERATION COMMENTS ApPROPRIATE PERMIT ON HAND Business PLAN CONTACT INFORMATION ACCURATE CORRECT OCCUPANCY VISIBLE ADDRESS VERIFICATION OF INVENTORY MATERIALS VERIFICATION OF QUANTITIES VERIFICATION OF LOCATION PROP'ER SEGREGATION OF MATERIAL ANY HAZARDOUS WASTE ON SITE? EXPLAIN: DYES EMERGENCY PROCEDURES ADEQUATE CONTAINERS PROPERLY LABELED HOUSEKEEPING FIRE PROTECTION SITE DIAGRAM ADEQUATE & ON HAND PLEASE CALL US AT (861) 321-3979 ~~~ Ins revention /1"ln / Shift of Site/Station # White - Prevention Services Yellow - Station Copy Pink - Business Copy FD2049 (Rev. 02105) '\ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave.. 3rd Floor, Bakersfield. CA 93301 FACILITY NAME f&~,p INSPECTION DATE ~!!IJ06 Section 2: Underground Storage Tanks Program o Routine artombined 0 Joint Agency 0 Multi-Agency 0 Complaint Type of Tank t1JwR ~ Number of Tanks Type of Monitoring C l.~ Type of Piping ()WF ORe-inspection OPERA TI0N C V COMMENTS Proper tank data on file \,... ,,/ Proper owna/operator data 011 file ,/" / Pennit fees current /" " Certification of Financial Responsibility t" ./ Monitoring record adequate and current ~ Maintenance records adequate and current ./' / Failure to correct prior UST violations ./ Has there been an unauthorized release? Yes No C./' Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERA TION Y N COMMENTS SPCC available SPCC on tile with OES . Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance Y=Yes N=NO White - Fnv_ Svcs. Pink - Business Copy Inspector: Office of Environ me mal Services (661) 3 ~ ""! ,-:'i:' ..(I.... -.,. + FASTRIP 366 ========================================= SiteID: 015-021-000649 + Manager Location: 8001 WHITE' LN City BAKERSFIELD BusPhone: Map : 123 Grid: 16C (661) 393-7000 CommHaz : High FacUnits: 1 AOV: CommCode: BFD STA 09 SIC Code:5541 EPA Numb: DunnBrad:17-364-9625 +==============================================================================+ +=======================================+==============================~=======+ Emergency Contact / Title Emergency Conta~'n~~ Title KEN BLADO / STORE MANAGER L},Jm.EIll~E W:i:Nf:9NL~@;~AR.EA SUPERVISOR Business Phone: (661) 835-1490x Business Phone: (661) 393-7000x 24-Hour Phone : (661) 393-7000x 24-Hour Phone : () x Pager Phone (661) 332-1286x Pager Phone () x +---------------------------------------+--------------------------------------+ I Hazmat Hazards: Fire Press ImmHlth DelHlth I +--------------------f-----------A)----~---------------------------------------+ Contact :~. ~('ev~<::) /.-I~ ~I Phone: (661) 393-7000x MailAddr: PO BOX 82515 State: CA City : BAKERSFIELD Zip : 93380 +------------------------------------------------------------------------------+ Owner JACO HILL Phone: (661) 393-7000x Address : PO BOX 82515 State: CA City : BAKERSFIELD Zip : 93380 +------------------------------------------------------------------------------+ Period to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: +-------------------------------~----------------------------------------------+ Emergency Directives: lp r' '2006 PROG A - HAZMAT ~ 1.> 1\ 00'1) JUl 26 PROG U - UST ) ~ :1 i)r~ ~~O\\ ~'5?OD\ '1-1 S~:P')'J" l ,!-1 t>v{OO Based on my inquiry of those i.ndividU8:'S responsible for obtaining the information, I certify under penalty of law that I have person~\IY examined and am familiar ~ith the !nfo~mat1on submitted and believe the mformatlon IS true, accurate, and complete. ~jLcL' Date +==============================================================================+ -1- 03/31/2006 'I , I ;-/ ~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave.. 3rd Floor. Bakersfield. CA 93301 FACILITY NAME_rtLb+tl f INSPECTION DA TE-1J{ g!ffi Section 2: Underground Storage Tanks Program o Routine ~bined 0 Joint Agency Type ofTank_OuJ~~ Type of Monitoring ~ 0W\. o Multi-Agency 7 0 Complaint Number of Tanks Type of Piping (lJw P ORe-inspection OPERA TION C V COMMENTS Proper tank data on file L / Proper owner/operator data on file L V Permit fees current V" V Certification of Financial Responsibility V ./ Monitoring record adequate and current ~ V ./ Maintenance records adequate and current Ie/V Failure to correct prior UST violations I~ V Has there been an unauthorized release? Yes No J ./ Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERA TION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MYF? lfyes, Does tank have overfiIl/overspiIl protection? " C=Compliance Y=Yes N=NO Inspector: Office of Environmental Services (805) 326-3979 White - Env. Svcs. Pink - Business Copy - .~ , e e ..' FASTRIP #640 SiteID: 015-021-000649 Manager Location: 8001 WHITE LN City BAKERSFIELD CommCode: BAKERSFIELD STATION 09 EPA Numb: BusPhone: Map : 123 Grid: 16C (661) 393-7000 ComrnHaz : Low FacUnits: 1 AOV: SIC Code:5541 DunnBrad:17-364-9625 Emergency Contact / Title Emergency Contact / Title KEN BLADO / STORE MANAGER LAWRENCE HENSON / AREA SUPERVISOR Business Phone: (661) 835-1490x Business Phone: (661) 393-7000x 24-Hour Phone : (661) 393-7000x 24-Hour Phone : (661) 393-7000x Pager Phone : (661) 332-1286x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImrnHlth DelHlth Contact : Phone: (661) 393-7000x MailAddr: PO BOX 82515 State: CA City : BAKERSFIELD Zip : 93380-2515 Owner JACO-HILL 300 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 ParcelNo: Emergency Directives: One Unified List 9 All Materials at Site 9 f= Hazmat Inventory f== Alphabetical Order Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP DIESEL #2 F IH DH L 12000.00 GAL Low PREMIUM UNLEADED GASOLINE F IH DH L 12000.00 GAL Mod PREMIUM UNLEADED GASOLINE F IH DH L 12000.00 GAL Mod PROPANE E F P IH G 2184.00 FT3 Hi REGULAR UNLEADED GASOLINE F IH DH L 12000.00 GAL Mod REGULAR UNLEADED GASOLINE F IH DH L 12000.00 GAL Mod UNLEAD~9A~L~l-J,Jf F IH DH L 12000.00 GAL Mod UNLEÄ,DE <B~ L . Do hereby certify that I ~ave IH DH L 12000.00 GAL Mod (Type or print narn'.!) reviewed the attached hazardous materials manage- ment plan forx ~~·I f and that it along with . (Name 01 Business) any corrections constitute a complete and correct man- agement p an for my facility. -1- 03/08/2004 1<~ 13 ~ t 1-1 ~ - ;l 0> L-f SignarurG> Dato , ", e e ~ F FASTRIP #640 f= Inventory Item 0004 = COMMON NAME / CHEMICAL NAME DIESEL #2 SiteID: 015-021-000649 ì Facility Unit: Fixed Containers on Site ì Days On Stte 365 Location within this Facility Unit SW CORNER Map: Grid: CAS # 68476-34-6 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 6000.00 GAL %Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 HAZARDOUS COMPONENTS ZA EN TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low HA RD ASSESSM TS f= Inventory Item 0003 === COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED GASOLINE Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SW CORNER Map: Grid: CAS# 8006-61-9 STATE Liquid TYPE 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 6000.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Gasoline No 8006619 A A MEN TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZ RD SSESS TS -2- 03/08/2004 ., e e F FASTRIP #640 f= Inventory Item 0007 === COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED GASOLINE SiteID: 015-021-000649 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 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 6000.00 GAL HAZARDOUS COMPONENTS CAS # I 8006619 %Wt. I 100.00 Gasoline ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS f= Inventory Item 0008 F== COMMON NAME / CHEMICAL NAME PROPANE Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit BLDG STORE FRONT Map: Grid: CAS# 74-98-6 STATE - TYPE Gas Pure PRESSURE . TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 182.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 2184.00 FT3 Daily Average 1092.00 FT3 %Wt I 100.åo Propane HAZARDOUS COMPONENTS ~ CAS# 749861 ARD AS ESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi HAZ S -3- 03/08/2004 " e e SiteID: 015-021-000649 ì Facility Unit: Fixed Containers on Site ì F FASTRIP #640 f= Inventory Item 0001 F== COMMON NAME / CHEMICAL NAME REGULAR UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit SW CORNER Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 12000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Daily Average 6000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS· ~ CAS # I 8006619 HAZARD ASSE ME TS TSecret RS BioHaz Radioaètive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod SS N f= Inventory Item 0005 = COMMON NAME / CHEMI CAL NAME REGULAR UNLEADED GASOLINE 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 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 6000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # I 8006619 HAZARD ASSE MENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod SS -4- 03/08/2004 - e e SiteID: 015-021-000649 '9 Facility Unit: Fixed Containers on Site 9 F FASTRIP #640 f= Inventory Item 0002 F== COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit SW CORNER Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPE~TURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 12000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Daily Average 6000.00 GAL %wt. I 100.00 Gasollne HAZARDOUS COMPONENTS ~ No CAS # I 8006619. HAZARD ASSE MENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod SS f= Inventory Item 0006 == COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE 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 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 6000.00 GAL %wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # I 8006619 HAZARD AS E MENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod S SS -5- 03/08/2004 ~ e e . F FASTRIP #640 I f= Notif./Evacuation/Medical Agency Notification SiteID: 015-021-000649 ì Fast Format ì Overall Site ì 09/21/2000 CALL 911 OR IF NEED, CALL STATE EMERGENCY OFFICE 1-800-852-7550 OR 1-619-262-1621. Employee Notif./Evacuation 09/21/2000 EMPLOYEES ARE TO CALMLY NOTIFY ANYONE AROUND THEM OF AN EMERGENCY AND EVACUATE THE PREMISES IN AN ORDERLY MANNER. EMPLOYEES ARE TO MEET AT A PREDETERMINED PLACE, THE STORE MANAGER (PERSON IN CHARGE OF THE SHIFT) WILL COUNT TO INSURE ALL EMPLOYEES ARE EVACUATED. Public Notif./Evacuation 09/30/1997 STORE MANAGER (PERSON IN CHARGE OF THE SHIFT) WILL CONSULT WITH THE RESPONDING EMERGENCY AGENCY AS TO THE BEST WAY TO DO PUBLIC EVACUATION IF Emergency Medical Plan 09/21/2000 IN CASE OF A MEDICAL EMERGENCY A CALL TO 911 FOR THE PROPERLY TRAINED MEDICAL PERSONNEL TO RESPOND: MEMORIAL MEDI-CENTER - 5201 WHITE LN - 398-1800 OR MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371. -6- 03/08/2004 o e e ~ F FASTRIP #640 I f= Mitigation/Prevent/Abatemt Release Prevention SiteID: 015-021-000649 ~ Fast Format ~ Overall Site ~ 12/06/1994 ALL EQUIPMENT IS MAINTAINED AND KEPT IN GOOD WORKING ORDER. REGULAR INSPECTIONS ARE DONE TO INSURE THAT ALL EQUIPMENT IS IN GOOD WORKING ORDER. Release Containment 09/21/2000 GAS PUMPS HAVE EMERGENCY SHUT OFF BUTTONS, ABSORBENT MATERIAL IS STORED NEAR GAS ISLANDS FOR EASY ACCESS IN CASE OF A SMALL SPILL. Clean Up 09/21/2000 SMALL SPILLS - USE AN APPROVED ABSORBENT MATERIAL - SPREAD OVER THE SPILL, SWEEP. AND PUT IN COVERED APPROVED CONTAINER. LARGE SPILLS - SHUT DOWN ENTIRE SYSTEM - CALL 911. Other Resource Activation 12/06/1994 NOTIFY DISTRICT (OPERATIONS) MANAGER TO CALL OUT AN EMERGENCY RESPONSE TEAM. -7.- 03/08/2004 e:J e e ~ F FASTRIP #640 I f= Site Emergency Factors ~ Special Hazards Utility Shut-Offs A) GAS - SW CORNER OF BLDG ON THE OUTSIDE B) ELECTRICAL - SW CORNER OF BLDG ON THE OUTSIDE C) WATER - SW CORNER OF BLDG ON THE INSIDE D) SPECIAL - EMERGENCY SHUT OFF FOR GASOLINE ISLANDS COUNTER E) LOCK BOX - NO SiteID: 015-021-000649 ì Fast Format ì Overall Site ì I 09/21/2000 IS AT THE CHECKOUT Fire Protec./Avail. Water 09/21/2000 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS ARE NEAR ALL GASOLINE ISLANDS AND THROUGHOUT THE INSIDE OF THE STORE FOR EASY ACCESS. FIRE HYDRANT - SW CORNER OF PROPERTY, GOSFORD RD ENTRANCE. Building Occupancy Level -8- 03/08/2004 .::; e e ~' F FASTRIP #640 I F Training Employee Training SiteID: 015-021-000649 9 Fast Format 9 Overall Site 9 09/21/2000 WE HAVE 14 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: ALL EMPLOYEES ARE TRAINED AND AWARE THAT IN THE EVENT OF AN EMERGENCY THEY ARE TO: 1) SHUT OFF (IF POSSIBLE) THE MAIN POWER BREAKER. 2) EVACUATE THEMSELVES AND ANYBODY IN OR AROUND THE PREMISES. 3) DIAL 91l. 4) NOTIFY CLOSE NEIGHBORS TO EVACUATE IF NECESSARY. 5) NOTIFY EMERGENCY RESPONSE TEAM. Page 2 r I I Held for Future Use Held for Future Use -9- 03/08/2004 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 ·H·Streel Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 ·H· Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326~0576 ENVIRONMENTAL SERVfCES 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave, Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 -e e May 3,2001 Fastrip #640 8001 White Lane Bakersfield, CA 93309 Dear Business Owner: Enclosed, please find the Site and Facility Diagram Instructions packet. When your Hazardous Materials Management Plan and Inventory were submitted it was lacking the diagram portion. Please draw and submit the diagram( s) of your facility by June 8, 2001. The diagram should include the following: 1) 2) 3) 4) 5) 6) 7) 8) name of your business; business address; indicate which direction is North; the cross streets neighboring business addresses (within 300 feet) entrances and exits location of utility shut-otIs; location of the nearest fire hydrant; portions of the building protected by automatic sprinkler system; and most importantly the location of the hazardous material(s). 9) If you have any questions, please feel tree to call me at (661) 326-3658, Thank you for your assistance, Sincerely, RALPH E. HUEY, DIRECTOR OFFICE OF ENVIRONMENT AL SERVICES ¡:~ Esther Duran, Accounting Clerk II Office of Environmental Services ED\db Enclosures ~~ .7~1Iú-~?, d~, YS¿,nl//lN/U(?, ~p v#6(!/~e :YÆt'Ub ./6 ?S~/lÚI'/r" . CITY OF BAKERSFIELD - OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION 200 Ct.., ,,' ',' - _.' - "'i'~~ "'. '~"f';;;<Y'~~"-~ ,-,~"-- .',~~» 201 CHEMICAL LOCATION CONFIDENTIAL (EPCRA) 203 GRID # (optional) '¡;~f/A#~ ¡P¡t,,) I' A-NE if ____ 'j f,," FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) CHEMICAL NAME 207 COMMON NAME EHS' ~~;.;~: cç.:>,;- -,,"\.. ',~. '",:;: ';'" . 209 '!If ÈHSis'Y~. :'ál1 . ';. '~~>\---A-,: é' >T,\:~: CAS # (one form per material per building or area) Page -I of I . t- : '.\~"''' " ,'f': c-;; {}.-.-<.- o Yes-Ø'NO 202 204 If Subject to EPCRA, refer to instructions OY~ 208 -;'j I ! TYPE ~ MIXTURE t42 2.lC&L\ t()q :L o w WASTE DYes ~ I CURIES 211 RADIOACTIVE 212 i ~GAS 214 LARGEST CONTAINER l4!J ., o P PURE PHYSICAL STATE o s SOLID o I LIQUID FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE AMOUNT ØFIRE o 2 REACTIVE o 3 PRESSURE RELEASE o 4 ACUTE HEALTH o 5 CHRONIC HEALTH ~/A- MAXIMUM DAILY AMOUNT o ga GAL 0 cf CUFT . If EHS, amount must be in Ibs, AVERAGE DAILY AMOUNT o tn TONS UNITS' STORAGE CONTAINER (Check all that apply) o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o p TANK WAGON o a ABOVEGROUND TANK o b UNDERGROUND TANK DC TANK INSIDE BUILDING o d STEEL DRUM De PLASTIC/NONMETALLIC DRUM Of CAN o g CARBOY o h SILO o i FIBER DRUM OJ BAG o k BOX ~LlNDER STORAGE PRESSURE a AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT STORAGE TEMPERATURE 210 213 215 216 219 222 220 221 o q RAIL CAR o r OTHER 223 224 '7 'f,,~r'" 231 o Yes ~o 232 7l(,8f.,o 233 235 o Yes ~o 236 11.)"---07-/ 237 239 DYes ~ 240 AJ/,.. 241 243 7s---- D1-1 245 UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd · CITY OF BAKERSFIELD '_ OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 BUSINESS OWNER I OPERATOR IDENTIFICATION FACILITY INFORMATION Page I Of I : !:':.>,', )':;;;-,',~< n:,.,'~ L~'·, > f<'~ j'-':, ':.\<7i'Y't. .', ",--;' -~ ,f/.(·~:'><i,:""":'t'Y'~::>::>_~·~'i':-·_<i::.> }!.,:: ?'(-:'~-'~\:;-::/k/;U~:_:::;',' ",': ' I.FACIl.I1'tJOENTIFlèATION.;,,¡?; , ~__ >'--"<',""'., {-~' /,_:~-';c_~-___L' ,y ", ~<___. "<"-;' ,-,.::_{,-;-}~~__.- ':t>:<':;_:j",~",,(> ., ",:~. 1 Year Beginning ~ 101 - 3 PHONE 102 i".:3.s-,/ ~9ð 103 104 CA I ZIP 9.i>j// 105 I 106 SIC CODE SSo// 107 (4 Digit #) OWNER NAME 112 OWNER MAILING ADDRESS 113 ~ONTACT NAME CONTACT MAILING ¡ ADDRESS I CITY «( 123 NAME TITLE 125 TITLE BUSINESS PHONE 24-HOUR PHONE 126 127 24·HOUR PHONE 128 PAGER # ;::':":'::::;-7f~ft~::'''::~:':::',:::,::::, 'CERTIFlê~:F1 ' ~'-;,- ,../.,:::.:.:...-.:'-::,'::. ";, ';:, ':', .:: ';<O_:';>J;,j/-?f"- Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and miliar with the information submitted in this inventory and believe the information is true accurate, and complete, RE OF OWNER! PERATOR D TE NAME OF DOCUME~'lREP~R:R J L.~ 135 137 L· UPCF (7/99) S:\CUPAFORMS\OES2730.TV4.wpd - /~ // e éf1 to- ....-:-.~ FASTRIP #640 ~y SiteID: 015-021-000649 Manager Location: 8001 WHITE LN City BAKERSFIELD BusPhone: Map : 123 Grid: 16C (805) 393-7000 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 09 EPA Numb: SIC Code:5541 DunnBrad:17-364-9625 Emergency Contact / Title KEN BLADO ", / STORE MANAGER Business Phone: ~r~) 835-1490x 24-Hour Phone (~393-7000x Pager Phone ~) Emergency Contact / Title ~1tl!;B FAULIíEUER... '" ( / AREA SUPERVISOR Business Phone: (8-tr5i 393 -7000x 24-Hour Phone ~) 393-7000x Pager Phone : (. ) x Period Preparer: Certif'd: to Fire ImmHlth DelHlth Phone: ( x State: CA Zip ;"';J.£/S' Phone: (805) 393-7000x State: CA Zip 93308 TotalASTs: Gal TotalUSTs: = Gal RSs: No Hazmat Hazards: Contact : MailAddr: PO BOX raôr8Z.Slr City BAKERSFIELD Owner Address City JACO-HILL 300 3101 STATE RD BAKERSFIELD Emergency Directives: One Unified List ì All Materials at Site ì f= Hazmat Inventory ~ As Designated Order Name.. . SpecHaz EPA Hazards DailyMax MCP '" REGULAR^GASOLINE F IH DH L 12000.00 UNLEADED GASOLINE F IH DH L 12000.00 PREMIUM UNLEADED GASOLINE F IH DH L 12000.00 DIESEL #~clÞJ~~ F . IH DH L 12000.00 REGULAR~'GASOLINE F IH DH L 12000.00 UNLEADED GASOLINE F IH DH L 12000.00 PREMIUM UNLEADED GASOL1NE t.. ø I . _ I F IH DH L 12000.00 , ~ Do hereby carmy that ¡ have (rypa or print name) reviewed the attached hazardous materials manage- ment plan 10r ~nefl/ ~'Oand that it along with (Name of Business) any corrections constitute a complete and correct man- GAL GAL GAL GAL GAL GAL GAL Mod Mod Mod Low Mod Mod Mod ~~ Øµ'1! IÞ 08/22/2000 Signature Date · e e F FASTRIP #640 p= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME REGULAR ~A30LIN~ "Ñ~tO b~("'(JJU- SiteID: 015-021-000649 ì Facility Unit: Fixed Containers on Site ì Days On Site. , 365 . Location within this Facility Unit SW CORNER Map: Grid: CAS # 8006.,-61-9 [ ~TA~E I TYPE ~ P~ESSURE ----¡ TEMPERATURE ] CONTAINER TYPE =Llquld __pure ~mblent ---1 Ambient __ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 6000.00 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 p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Facility Unit: Fixed Containers on Site ~ Days On Site 365 Location within this Facility Unit SW CORNER Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 12000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Daily Average 6000.00 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- 08/22/2000 .i e e F FASTRIP #640 p= Inventory Item 0003 F= COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED GASOLINE SiteID: 015-021-000649 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SW CORNER Map: Grid: CAS # 8006-61-9 C- ~TA~E I- TYPE ---r: P~ESSURE --¡ TEM~ERATURE I =L~qu~d __pure ~mb~ent ---1 Amb~ent ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum 12000.00 GAL 12000.00 GAL CONTAINER TYPE UNDER GROUND TANK Daily Average 6000.00 GAt HAZ D US COMP NENT %Wt. RS CAS # 100.00 Gasoline No 8006619 ARO o S 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 = COMMON NAME / CHEMICAL NAME DIESEL #2 Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SW CORNER Map: Grid: CAS # 68476-34-6 CONTAINER TYPE UNDER GROUND TANK C ~TA~E I TYPE ---r: P~ESSURE --¡ TEM~ERATURE I =L~qu~d __pure ~mb~ent ---1 Amb~ent ~ AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Largest Container 12000.00 GAL Daily Average 6000.00 GAL HA US COMP NENT %Wt. RS CAS # 100.00 Diesel Fuel No. 2 No 68476302 ZARDO o S HAZARD AS E MENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low S SS -3- 08/22/2000 e - SiteID: 015-021-000649 ì Facility Unit: Fixed Containers on Site ì F FASTRIP #640 p= Inventory Item 0005 F= COMMON NAME / CHEMICAL NAME REGULAR GASôLIlŒ UN~,;&) (ø.t'tSiJ 441 E Location within this Facility Unit SE CORNER Map: Grid: Days On Site 365 'CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 12000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Daily Average 6000.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Gasoline No 8006619 TSecret RS BioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS p= Inventory Item 0006 = COMMON NAME / CHEMI CAL NAME UNLEADED GASOLINE 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 Liqu{d 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 6000.00 GAL %wt. 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # I 8006619 T TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / I Mod HAZARD ASSESSMEN S -4- 08/22/2000 e e SiteID: 015-021-000649 1 Facility Unit: Fixed Containers on Site ì F FASTRIP #640 p= Inventory Item 0007 = COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit SE CORNER Map: Grid: CAS # 8006-61-9 [ ~TA~EI TYPE ~ PI.<ESSURE ---r TEM~ERATURE I =Llquld ____pure ~mblent ---1 Amblent ~ AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL CONTAINER TYPE UNDER GROUND TANK Largest Container 12000.00 GAL Daily Average .6000.00 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 -5- 08/22/2000 e e F FASTRIP #640 I p= Notif./Evacuation/Medical Agency Notification SiteID: 015-021-000649 ì Fast Format ì Overall Site ì 09/30/1997 CALL 911 IF NEED, CALL STATE EMERGENCY OFFICE. 1-800-852-7550 OR 1-619-262-1621 Employee Notif./Evacuation 09/30/1997 EMPLOYEES ARE TO CALMLY NOTIFY ANYONE AROUND THEM OF AN EMERGENCY AND EVACUATE THE PREMISES IN AN ORDERLY MANNER. EMPLOYEES ARE TO MEET AT A PREDETERMINED PLACE, THE STORE MANAGER (PERSON IN .CHARGE OF THE SHIFT) WILL COUNT TO INSURE ALL EMPLOYEES ARE EVACUATED. Public Notif./Evacuation 09/30/1997 STORE MANAGER (PERSON IN CHARGE OF THE SHIFT) WILL CONSULT WITH THE RESPONDING EMERGENCY AGENCY AS TO THE BEST WAY TO DO PUBLIC EVACUATION IF Emergency Medical Plan 09/30/1997 IN CASE OF A MEDICAL EMERGENCY A CALL TO 911 FOR THE PROPERLY TRAINED MEDICAL PERSONNEL TO RESPOND: ,~I MEMORIAL MEDI-CENTER - 5201 WHITE LN - ~-398-1800 MERCY HOSPITAL - 2215 TRUXTUN AVE - ~-327-3371 ~~l -6- 08/22/2000 e e í F AS TRIP #640 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë S iteID: 015-021-000649 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast F onnat j íë Mitigation/Prevent/ Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 12/06/1994 j o 0 o ALL EQUIPMENT IS MAINTAINED AND KEPT IN GOOD WORKING ORDER. REGULAR 0 o INSPECTIONS ARE DONE TO INSURE THAT ALL EQUIPMENT IS IN GOOD WORKING ORDER. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 12/06/1994 j o 0 o GAS PUMPS HAVE EMERGENCY SHUT OFF BUTTONS, ABSORBENT MATERIAL IS STORED NEAR 0 o GAS ISLANDS FOR EASY ACCESS IN CASE OF A SMALL SPILL 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 12/06/1994 j o 0 o SMALL SPILLS - USE AN APPROVED ABSORBENT MATERIAL - SPREAD OVER THE SPILL" 0 o SWEEP AND PUT IN COVERED APPROVED CONTAINER. 0 o o o LARGE SPILLS - SHUT DOWN ENTIRE SYSTEM - CALL 911 o o o âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 12/06/1994 i , 0 0 o NOTIFY DISTRICT (OPERATIONS) MANAGER TO CALL OUT AN EMERGENCY RESPONSE TEAM. 0 o 0 âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf e e -7- 08/22/2000 -. . ' e e í FASTRIP #640 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000649 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast F onnat j íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Special Hazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë ¡ o 0 o o äëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/30/1997 j 0' 0 o A) GAS - SW CORNER OF BLDG ON THE OUTSIDE o B) ELECTRICAL - SW CORNER OF BLDG ON THE OUTSIDE o C) WATER - SW CORNER OF }3LDG ON THE INSIDE 0 o D) SPECIAL - EMERGENCY SHUT OFF FOR GASOLINE ISLANDS IS AT THE CHECKOUT o COUNTER 0 o E) LOCK BOX - NO o o o o o o äëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf' íëëëë Fire Protec.lAvail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 0~~/1997 j o 0 ,.,tItf'- , o PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS ARE~ ALL GASOLINE ISLAND¥UIY" o THROUGHOUT THE INSIDE OF THE STORE FOR EASY ACCESS. 0 o o o o o o o FIRE HYDRANT - SW CORNER OF PROPERTY, GOSFORD RD ENTRANCE. o 0 o äëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o äëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -8- 08/22/2000 o BRIEF SUMMARY OF TRAINING: ALL EMPLOYEES ARE TRAINED AND AWARE THAT IN THE 0 o EVENT OF AN EMERGENCY THEY ARE TO: 0 o 1) SHUT OFF (IF POSSIBLE) THE MAIN POWER BREÂKER 0 o 2) EV ACUA TE THEMSELVES AND ANYBODY IN OR AROUND THE PREMISES o 3) DIAL 911 0 04) NOTIFY CLOSE NEIGHBORS TO EVACUATE IF NECESSARY o 5) NOTIFY EMERGENCY RESPONSE TEAM o 'Õ . , e e í FASTRIP #640 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000649 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast F annat ¡ íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/30/1997 j o ~ 0 o WE HA VE..ðEMPLOYEES AT THIS FACILITY. 0 o o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. o o o o âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëë~ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ 0 0 o o âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë j o 0 o o âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -9- 08/22/2000 o o o _ ST ATEMENT OF ACCOUNT e CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD, CA 93301-5201 (805) 326-3979 DATE: 9/01/98 TO: FASTRIP FOOD STORE 640 8001 WHITE LN BAKERSFIELD. CA 93311 CUSTOMER NO: 3523 CUSTOMER TYPE: ESI 3523 ---------------------------------------------------------------------------- CHARGE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT ------ -------- ------------------------- ---------- -------- -------------- REFND 8/01/98 BEGINNING BALANCE 7/20/98 PAYMENT 8/19/98 MR INT REFUND VCHRS .00 178. 50-- 178.50 FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. -------------- -------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- -------------- -------------- -------------- DUE DATE: 10/01/98 PAYMENT DUE: TOTAL DUE: 178. 50-- $178. 50-- ~¥..;';"';'f~..~~~~"::.~~'f'!""'y::~:~~~"""'--">""~"':'"'''-:~~~''';''''"'":~-.¡>'-",':-'':;.~"->.'-"'-'-..-:;.~'~'_:'"-~~"...,..'---""'"<-.~'i'"-:;.;.:,;.;~^'-~-.¡r"':-,.'~"~,"Ñ-,,;,-::~'{""'"""7-'--~O~:_.~~._:~--".¡"''''-~-"N-'^~-~_:~~~~.;.;...,~H-;¡.^~;.¿.;.C.:,;,.:;:.;.~~~:;,:.,.-~,,_.;.:____'>'~,~,_"_W_~_..;..~_'_..:._:...___~._~___"":__:...__ ,9/01/9S DU1; DATE: 10/<;)1/98 PLI!ASE DETACH AND S!:NnTHIS COpy MlTHREMITTANtE REMITANDt"'!AKE: CHECK PAVABLIE TO: CITY OF BAKERSFIELD PO BOX 2057 BAKERSF1:ELD CA 93303-2057 CUSTOMER NO: 3523 CUSTOMER TYPE: ESI TOT AL DUE: 3523 $178. 50- ~-!:'~ ~ e e CITY OF BAKERSFIELD CLAIM VOUCHER I Vendor No. CLAIMANT'S NAME AND ADDRESS: I certify that this claim is correct and valid, and is a proper charge against the City Agency and account indicated. Fastrip Food Store #640 8001 White Ln Bakersfield, CA 93311 (AUTHORIZED SIGNATURE OF CITY AGENCY) Date: 08-12-98 Initials of Preparer : CITY DEPARTMENT: FINANCE PLEASE PROVIDE SHORT EXPLANATION OF PAYME (Including Contract Number if Applicable) This business double paid their Hazardous Materials bill. For that reason they now have a credit of $178.50 which we will be refunding. Fund Dept. Base Ell Objt Project # Invoice # Amount Date of Invoice 011 0000 123 7900 $178.50 'I I VOUCHER TOTAL $178.50 SECTION 72, PENAL CODE FINANCE DEPT. USE ONLY Section 72, Presenting False Claims, Every person who with intent to defraud, presents for allowance or for payment to any state board or officer, or any county, town, city district. ward or village board or officer, authorized to allow or pay the same if genuine. any false or fraudulent claim, bill, account, voucher, Examined &, Approved for Payment Amount or writing, is guilty of a felony, I i I ..r "" --~ -- ,,~ .~' ..~ ~ BAKERSFIELD FIRE DEPARTMENT . e -- M E M 0 R A N'D U M DATE: August 5, 1998 TO: Susan Chichester FROM: Esther Duran SUBJECT: Claim Voucher Please issue a Claim Voucher to refund over payment of $178.50 paid by Fastrip Food Store #640. They made a payment on 6/29/98 of$178.50 and again on 7120/98. The second payment created the credit of$178.50. Please send a refund of$178.50 to: Fastrip Food Store #640 8001 Whie Ln Bakersfield, CA 93311 Thank you, led 'Y~~W~~~OPe,~A W~ H -.J' , ~ - ~ :.---~ .~ e STATEMENT OF ACCOUNT e CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD, CA 93301-5201 (805) 326-3979 DATE: 8/01/98 TO: FASTRIP FOOD STORE 640 800 i t.JH I TE LN BAKERSFIELD, CA 93311 CUSTOi"tER NO: 3523 CUSTOMER TYPE: ESI 3523 ----------------------------------------------------------------------------- CHARGE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT ------ -------- ------------------------- ---------- -------- -------------- 6/30i98 BEGINNING BALANCE 6/29i98 PAVMENT ïi20i98 PAYMENT 178.50 i 78. 50-- 178. 50-- FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. -------------- -------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- -------------- -------------- -------------- DUE DATE: 8/31/98 PAYMENT DUE: TOTAL DUE: 178. 50-- $178. 50-- DATE: 8/01/98 DUE DATE: 8/31/98 , . PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE REMIT AND MAKE CHECK PAYABLE TO: CITY OF BAKERSFIELD PO BOX 2057 BAKERSFIELD CA 93303-2057 CUSTOMER NO: 3523 CUSTOMER TYPE: ES/ TOTAL DUE: 3523 $178.50- i" 'Î FASTRIP #640 ,~~~O'¥~ e SiteID: 215-000-000649 Manager Location: 8001 WHITE LN City BAKERSFIELD l .$EP 30 1997 BusPhone: Map : 123 Grid: 16C (805) 393-7000 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 09 EPA Numb: SIC Code:5541 DunnBrad:17-364-9625 ~ .-.. J ar ,1\ ,.../~" (""'-1-- v / Title Emergency Contact I ~Title Emergency Contact J/Œ.RETT J.M'lIECON- / STORE MANAGER BON PAU¡, F/Z4=O t¡qJU~-fJAREA SUPERVISOR Business Phone: (805) 835-1490x, Business Phone: (805) 393-7000x 24-Hour Phone : (805) 393-7000x ' 24-Hour Phone : (805) 393-7000x Pager Phone : (ób5 )~) .sr&~' Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Emergency Directives: F Hazmat Inventory One Unified List ì p== MCP+DailyMax Order All Materials at Site ì Hazmat Common Name.. . 'SpecHaz EPA Hazards DailyMax MCP REGULAR GASOLINE F IH DH L 12000 GAL Mod UNLEADED GASOLINE F IH DH L 12000 GAL Mod PREMIUM UNLEADED GASOLINE F IH DH L 12000 GAL Mod REGULAR GASOLINE F IH DH L 12000 GAL Mod UNLEADED GASOLINE F IH DH L 12000 GAL Mod PREMIUM UNLEADED GASOLINE F IH DH L 12000 GAL Mod DIESEL #2 F IH DH L 12000 GAL Low I, -¥ etv ~G4-J.-ÇJ D© ~~r®~y ©®iÎi~ ~~~ ~ ~~~® (Ty~ Of print MIm)) reviewed ths ~~~hsd hæta\r~ou$ m~~19~als m~r 8.@IâJ- ment Plan~or_f~S+ ¿,p aoo ~Îî~~ ¡~ along W9UìI 4N2ms of &iG1i;¡¡¡¡s) a,ny corrsdions oorùs~i~uîs fa oompls~s aoo eOITsd mál~o ag~mení plæ!n ~([jrr ffiY ~~mRy. (~ ee/30 [~( Oate -1- 09/30/1997 e e F FASTRIP #640 p= Inventory Item 0001 = COMMON NAME / CREMI CAL NAME REGULAR GASOLINE SiteID: 215-000-000649 1 Facility Unit: Overall Site ~ Days On Site 365 Location within this Facility Unit SW CORNER Map: Grid: CAS # 8006-61-9 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 6000.00 GAL %Wt. ERS CAS # 100.00 Gasoline No 8006619 HAZARDOUS COMPONENTS TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS p= Inventory Item 0002 F= COMMON NAME / CREMI CAL NAME UNLEADED GASOLINE Facility Unit: Overall Site 1 Days On Site 365 Location within this Facility Unit SW CORNER Map: Grid: CAS # 8006-61-9 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 6000.00 GAL %Wt. EHS CAS # 100.00 Gasoline No 8006619 HAZARDOUS COMPONENTS TSecret ERS BioRaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DR / / / Mod HAZARD ASSESSMENTS -2- 09/30/1997 e e SiteID: 215-000-000649 l Facility Unit: Overall Site l F FASTRIP #640 p= Inventory Item 0003 = COMMON NAME / CHEMI CAL NAME PREMIUM UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit SW CORNER Map: Grid: CAS # 8006-61-9 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 6000.00 GAL HAZARDOUS COMPONENTS %Wt. EHS CAS # 100.00 Gasoline No 8006619 TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS p= Inventory Item 0005 = COMMON NAME / CHEMICAL NAME REGULAR GASOLINE Facility Unit: Overall Site l Days On Site 365 Location within this Facility Unit SE CORNER Map: Grid: CAS # 8006-61-9 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 6000.00 GAL HAZARDOUS COMPONENTS %Wt. EHS CAS # 100.00 Gasoline No 8006619 HAZ E TS TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ARD ASS SSMEN -3- 09/30/1997 e e SiteID: 215-000-000649 ì Facility Unit: Overall Site ì F FASTRIP #640 f= Inventory Item 0006 F= COMMON NAME / CHEMI CAL NAME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit SE CORNER Map: Grid: CAS # 8006-61-9 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 6000.00 GAL HAZARDOUS COMPONENTS %Wt. EHS CAS # 100.00 Gasoline No 8006619 HAZARD ASSESSMENTS TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod f= Inventory Item 0007 = COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED GASOLINE Facility Unit: Overall Site ì Days On Site 365 Location within this Facility Unit SE CORNER Map: Grid: CAS # 8006-61-9 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 6000.00 GAL %Wt. EHS CAS # 100.00 Gasoline No 8006619 HAZARDOUS COMPONENTS HAZARD ASSESSMENTS TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -4- 09/30/1997 e e SiteID: 215-000-000649 l Facility Unit: Overall Site l F FASTRIP #640 p= Inventory Item 0004 = COMMON NAME / CHEMI CAL NAME DIESEL #2 Days On Site 365 Location within this Facility Unit SW CORNER Map: Grid: CAS # 68476-34-6 [ ~TA~E I TYPE ~ P~ESSURE --r TEM~ERATURE I CONTAINER TYPE =Llquld __pure ~mblent ~ Amblent ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 12000.00 GAL 6000.00 GAL HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Diesel Fuel No. 2 No 68476302 TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low HAZARD ASSESSMENTS -5- 09/30/1997 e e SiteID: 215-000-000649 ì Fast Format ì Overall Site ì 12/06/1994 F FASTRIP #640 I p= Notif./Evacuation/Medical Agency Notification CALL 911 IF NEED, CALL STATE EMERGENCY OFFICE. 1-800-852-7550 1-619-262-1621 Employee Notif./Evacuation 12/06/1994 EMPLOYEES ARE TO CALMLY NOTIFY ANYONE AROUND THEM OF AN EMERGENCY AND EVACUATE THE PREMISES IN AN ORDERLY MANNER. EMPLOYEES ARE TO MEET AT A PREDETERMINED PLACE, THE STORE MANAGER (PERSON IN CHARGE OF THE SHIFT) WILL COUNT TO INSURE ALL EMPLOYEES ARE EVACUATED. Public Notif./Evacuation 12/06/1994 STORE MANAGER (PERSON IN CHARGE OF THE SHITF) WILL CONSULT WITH THE RESPONDING EMERGENCY AGENCY AS TO THE BEST WAY TO DO PUBLIC EVACUATION IF Emergency Medical Plan 12/06/1994 IN CASE OF A MEDICAL EMERGENCY A CALL TO 911 FOR THE PROPERLY TRAINED MEDICAL PERSONNEL TO RESPOND MEMORIAL MEDI-CENTER 5201 WHITE LANE 805-398-1800 MERCY HOSPITAL 2215 TRUXTUN AVENUE 805-327-3371 -6- 09/30/1997 e e í FASTRIP #640 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000649 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Mitigation/Prevent/Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 12/06/1994 i o 0 o ALL EQUIPMENT IS MAINTAINED AND KEPT IN GOOD WORKING ORDER. REGULAR 0 o INSPECTIONS ARE DONE TO INSURE THAT ALL EQUIPMENT IS IN GOOD WORKING ORDER. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 12/06/1994 i o 0 o GAS PUMPS HAVE EMERGENCY SHUT OFF BUTTONS, ABSORBENT MATERIAL IS STORED NEAR 0 o GAS ISLANDS FOR EASY ACCESS IN CASE OF A SMALL SPILL 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 12/06/1994 j o 0 o SMALL SPILLS - USE AN APPROVED ABSORBENT MATERIAL - SPREAD OVER THE SPILL, o SWEEP AND PUT IN COVERED APPROVED CONTAINER. o o o o o LARGE SPILLS - SHUT DOWN ENTIRE SYSTEM - CALL 911 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 12/06/1994 j o 0 o NOTIFY DISTRICT (OPERATIONS) MANAGER TO CALL OUT AN EMERGENCY RESPONSE TEAM. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj e e -7- 09/30/1997 e e í FASTRIP #640 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000649 ¡ íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format ¡ íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site ¡ íëë Special Hazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 07/30/1991 ¡ o 0 o A) o B) o C) o D) GAS - SOUTHWEST CORNER OF BUILDING ON THE OUTSIDE ELECTRICAL - SOUTHWEST CORNER OF BUILDING ON THE OUTSIDE WATER - SOUTHWEST CORNER OF BUILDING ON THE INSIDE SPECIAL - EMERGENCY SHUT OFF FOR GASOLINE ISLANDS IS AT THE CHECKOUT COUNTER LOCK BOX - NO o o o o o o o E) o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Fire Protec./Avail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 07/30/1991 ¡ o 0 o PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS ARE ON ALL GASOLINE ISLANDS AND 0 o THROUGHOUT THE INSIDE OF THE STORE FOR EASY ACCESS. 0 o o o o o o o o o o o FIRE HYDRANT - SOUTHWEST CORNER OF PROPERTY, THE GOSFORD ROAD ENTRANCE o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -8- 09/30/1997 - e e í FASTRIP #640 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000649 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 07/30/1991 ¡ o 0 o WE HAVE 17 EMPLOYEES AT THIS FACILITY o o o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE o o o o o o BRIEF SUMMARY OF TRAINING: ALL EMPLOYEES ARE TRAINED AND AWARE THAT IN THE o EVENT OF AN EMERGENCY THEY ARE TO: o 1) SHUT OFF (IF POSSIBLE) THE MAIN POWER BREAKER o 2) EVACUATE THEMSELVES AND ANYBODY IN OR AROUND THE PREMISES o 3) DIAL 911 o 4) NOTIFY CLOSE NEIGHBORS TO EVACUATE IF NECESSARY o 5) NOTIFY EMERGENCY RESPONSE TEAM o o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ 0 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -9- 09/30/1997 \U , ~ __ A 10í18/94 e ·'LtO .. FASTRIP ~OD 5TðR~15-000-000649 Overall Site with 1 Fac. Unit - - ........ General Information Location: 8001 WHITE LN City : lÞ~ 933/3 J Contact Name JARRETT JAMIESON Business Phone: 24-Hour Phone Pager Phone Title / STORE MANAGER (805) 835-1490x (805) 393-7000x () x r--- Contact Name '_ rjÐ1-\'N t.F.AÇI~ Business Phòñe~ 24-Hour Phone Pager Phone Administrative Data Mail Addrs: C'.() -~otc·J go 7 L// City: åAKERSFIELÒ Comm Code: 215-009 BAKERSFIELD STATION 09 Owner: JACO-HILL ~OO ;/ Address: "51 D \' :5~ ~1\-Þ ~ City: BAKERSFIELD Summary vi- Page 1 Map:123 Haz:2 Type: 3 Grid: 16C FlU: 1 AOV: 0.0 Ti.tle /~~ìlOI'$· ~~_ (805) 39:1"':7000x (805) 393-7000x~~f~ () x D&B Number:/7-3b¥"9~ State: CA Zip: 93303 /,- SIC Code: 5541 -.rOO Phone: (805) 393-7000 State: CA Zip: 9330BV" 4:Cft:'" M "11l~D 'Oy 2 1t.4;> 8 /994 ", 1144.,. 'D/~ ~, ~ ~ ~ Do hersby certify that ~ have (Typa or print nam ) mviewed the attached hazardous materials manage- ~¡n~ plan jor~'t1<.-\ t>:tht.t~fthæ 'Ii æong with (Name of BUøIrIseo) ~rruS1 oo~ã©ffi)@oorru~~lUIft({) 61 OOIfìíi)lQ)~® ~ ~ mM- ~~Iiiñ)®ffl ~~fii) fÌ©{i' IiiruV ,~~mìW 0 /(/34 It e 10"/18/94 FASTRIP FOOD STORE 215-000-000649 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-001 REGULAR GASOLINE Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-002 UNLEADED GASOLINE Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-003 PREMIUM UNLEADED GASOLINE Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-005 REGULAR GASOLINE Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-006 UNLEADED GASOLINE Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-007 PREMIUM UNLEADED GASOLINE Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-004 DIESEL #2 Liquid 12000 Low ~ Fire, Immed Hlth, Delay Hlth GAL . e 10"/18/94 FASTRIP FOOD STORE 215-000-000649 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-001 REGULAR GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 12,000 I 6,000.00 I 300,000.00 Storage UNDER GROUND TANK r Press T Temp -:-1 Ambient AmbientSW CORNER Location - Conc l 100.0% Gasoline Components r; MCP -¡Guide Moderate 27 02-002 UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 12,000 I 6,000.00 I 300,000.00 Storage UNDER GROUND TANK r Press T Temp ~ . Ambient Ambient SW CORNER Location - Conc -I 100.0% Gasoline Components ,-; MCP -¡Guide Moderate I 27 02-003 PREMIUM UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 12,000 I 6,000.00 I 300,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Ambient Ambient SW CORNER Location - Conc -, 100.0% Gasoline Components 1-; MCP -¡Guide Moderate 27 e e 10/18/94 FASTRIP FOOD STORE 215-000-000649 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in MCP Order 02-005 REGULAR GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 12,000 I 6,000.00 I 200,000.00 Storage UNDER GROUND TANK r Press T Temp -:ì Ambient AmbientSE CORNER Location - Conc l 100.0% Gasoline Components r; MCP ~uide Moderate 27 02-006 UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL ---- Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 12,000 I 6,000.00 I 200,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Ambient Ambient SE CORNER Location - Conc l 100.0% Gasoline Components 1-; MCP ~uide Moderate 27 02-007 PREMIUM UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 12,000 I 6,000.00 I 200,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Ambient Ambient SE CORNER Location - Conc l 100.0% Gasoline Components 1-; MCP ~uide Moderate 27 . . . 10/18/94 FASTRIP FOOD STORE 215-000-000649 02 - Fixed Containers on Site Page 5 Hazmat Inventory Detail in MCP Order 02-004 DIESEL #2 ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Low GAL CAS #: 68476-34-6 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 12,000 6,000.00 I 150,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Ambient AmbientSW CORNER Location - Conc l 100.0% Diesel Fuel No.2 Components r; MCP ---¡Guide Moderate 27 " . . 10/18/94 FASTRIP FOOD STORE 215-000-000649 00 - Overall Site Page 6 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 .J)/~ ¿?æÆ ~~~~ tl¡'é 7 - / /-R¿:;¿:/oo4r5;(-'l5~D t?t 1-~/9- ;<.?:<-/?e2/ <2> Employee Notif./Evacuation EMPLOYEES ARE TO CALMLY NOTIFY ANYONE AROUND THEM OF AN EMERGENCY AND EVACUATE THE PREMISES IN AN ORDERLY MANNER. EMPLOYEES ARE TO MEET AT A PREDETERMINED PLACE, THE STORE MANAGER (PERSON IN CHARGE OF THE SHIFT) WILL COUNT TO INSURE ALL EMPLOYEES ARE EVACUATED. >. <3> Public Notif./Evacuation STORE MANAGER (PERSON IN CHARGE OF THE SHITF) WILL CONSULT WITH THE RESPONDING EMERGENCY AGENCY AS TO THE BEST WAY TO DO PUBLIC EVACUATION IF NECESSARY. <4> Emergency Medical Plan IN CASE OF A MEDICAL EMERGENCY A CALL TO 911 FOR THE PROPERLY TRAINED MEDICAL PERSONNEL TO RESPOND ~d~¿'~ ~:20/ ~ïá?~ ~~- Bf~-/?íJ¿:;. ~.-" ~ ~fI ns-- 3:2.1- 3371 . . - . 16/18/94 FASTRIP FOOD STORE 215-000-000649 00 - Overall Site Page 7 <E> Mitigation/Prevent/Abatemt <1> Release Prevention ALL EQUIPMENT IS MAINTAINED AND KEPT IN GOOD WORKING ORDER. REGULAR INSPECTIONS ARE DONE TO INSURE THAT ALL EQUIPMENT IS IN GOOD WORKING ORDER. " <2> Release Containment GAS PUMPS HAVE EMERGENCY SHUT OFF BUTTONS, ABSORBENT MATERIAL IS STORED NEAR GAS ISLANDS FOR EASY ACCESS IN CASE OF A SMALL SPILL <3> Clean Up SMALL SPILLS - USE AN APPROVED ABSORBENT MATERIAL - SPREAD OVER THE SPILL, SWEEP AND PUT IN COVERED APPROVED CONTAINER. LARGE SPILLS - SHUT DOWN ENTIRE SYSTEM - CALL 911 ... <4> Other Resource Activation 511; f)~Ú- ~7 )W/æ#~~~~ ~~ ~~ - e . 1()/18/94 FASTRIP FOOD STORE 215-000-000649 00 - Overall Site Page 8 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - SOUTHWEST CORNER OF BUILDING ON THE OUTSIDE B) ELECTRICAL - SOUTHWEST CORNER OF BUILDING ON THE OUTSIDE C) WATER - SOUTHWEST CORNER OF BUILDING ON THE INSIDE D) SPECIAL - EMERGENCY SHUT OFF FOR GASOLINE ISLANDS IS AT THE CHECKOUT COUNTER E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS ARE ON ALL GASOLINE ISLANDS AND THROUGHOUT THE INSIDE OF THE STORE FOR EASY ACCESS. FIRE HYDRANT - SOUTHWEST CORNER OF PROPERTY, THE GOSFORD ROAD ENTRANCE <4> Building Occupancy Level - è_ . ..:; I I .. 10/18/94 FASTRIP FOOD STORE 215-000-000649 00 - Overall Site Page 9 <G> Training <1> Employee Training WE HAVE 17 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: ALL EMPLOYEES ARE TRAINED AND AWARE THAT IN THE EVENT OF AN EMERGENCY THEY ARE TO: 1) SHUT OFF (IF POSSIBLE) THE MAIN POWER BREAKER 2) EVACUATE THEMSELVES AND ANYBODY IN OR AROUND THE PREMISES 3) DIAL 911 4) NOTIFY CLOSE NEIGHBORS TO EVACUATE IF NECESSARY 5) NOTIFY EMERGENCY RESPONSE TEAM <2> Page 2 ", I <3> Held for Future Use I <4> Held for Future Use '- .. --¡ - - / $ 09/03/93 FASTRIP FOOD STORE 215-000-000649 Overall Site with 1 Fac. Unit Page 1 General Information 09 Map: 123 Hazard: Low Grid: 16C FlU: 1 AOV: 0.0 t:- Title DÌ~ICT MANAGER AREA SUPERVISOR Business Phone ~~-Hour Phone (805) 393 7eeø x~-I ?~05) 393-7000 (805) 393-7000 x (805) 393-7000 Administrative Data Mail Addrs: 8001 WHITE LN City: BAKERSFIELD Comm Code: 215-009 BAKERSFIELD STATION 09 D&B Number: State: CA Zip: 93308- SIC Code: 5541 Owner: JACO-HILL Address: POBOX 1807 City: BAKERSFIELD Phone: (805) 393-7000 State: CA Zip: 93303-1807 S'ummary '. ~k~~tÃ- 19erll .RECEIV'f:D ,'.DEiC . J199j HAZ. MAT. D¡V o~- I, RoN ~Ò(.. (Type or print name) Do hereby certify that I have reviewed the attached hazardous materials manage- ment plan for ÇÞrSTR(¡>#-G,~O and that it along with (Name öf BusineSll) any corrections constitute a complete and correct man- agement plan for my facility. QýJ PJ ,.' . .¡'~ ·C\-(S~ Signa1Ur8 Date .. e - " 09/03/93 FASTRIP FOOD STORE 215-000-000649 Page 2 Hazmat Inventory List in MCP Qrder 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-001 REGULAR GASOLINE Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-002 UNLEADED GASOLINE Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-003 PREMIUM UNLEADED GASOLINE Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-005 REGULAR GASOLINE Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-006; UNLEADED GASOLINE Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-007 PREMIUM UNLEADED ,GASOLINE Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-004 DIESEL #2 Liquid 12000 Low ~ Fire, Immed Hlth, Delay Hlth GAL e¡ - 09/03/93 FASTRIP FOOD STORE 215-000-000649 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-001 REGULAR GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS 4t: 8006-61-9 Trade Secret: No Form: Liquid . Type: Pure Days: 365 Use: FUEL Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 12,000 I . . 6,000.00 I 300,000.00 Storage UNDER GROUND TANK r Press T Temp -:-1 Ambient AmbientSW CORNER Location - Conc l 100.0% Gasoline Components r; MCP ~uide Moderate 27 02-002 UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS 4t: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 12,000 I 6,000.00 I 300,000.00 Storage UNDER GROUND TANK r Press T Temp -:-, Ambient AmbientlSW CORNER Location '- Conc l . 100.0% Gasoline Components r; MCP ~uide Moderate 27 02-003 PREMIUM UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS 4t: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 3~5 Use: FUEL Daily Max GAL ~ Da~ly Average GAL --r-- Annual Amount GAL -- 12 , 000 I ,. 6 , 000 . 00 I 300 , 000 . 00 Storage UNDER GROUND TANK r Press T Temp -:I Ambient AmbientlSW CORNER Location - Conc l 100.0% Gasoline Components r; MCP ~uide Moderate I 27 - e 09/03/93 FASTRIP FOOD STORE 215-000-000649 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in MCP Order 02-005 REGULAR GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL . CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 12,000 I 6,000.00 I 200,000.00 ,I Storage UNDER GROUND TANK . r Press T Temp ~ Ambient Ambient SE CORNER Location - Cone l . 100.0% Gasoline Components r; MCP ---p;uide Moderate ·27 02-006 UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 12,000 6,000.00 I 200,000.00 Storage UNDER GROUND TANK r Press T Temp -:ì Ambient AmbientSE CORNER . Location - Cone l 100.0% Gasoline Components 1-; MCP ---p;uide Moderate 27 02-007 PREMIUM UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 12,000 I 6,000.00 I 200,000.00 Storage UNDER GROUND TANK r Press T Temp -:ì Ambient AmbientSE CORNER Location - Cone l 100.0% Gasoline Components r; MCP ---p;uide Moderate 27 e e 09/03/93 . FASTRIP FOOD STORE 215-000-000649 02 - Fixed Containers on Site Page 5 Hazmat Inventory Detail in MCP Order 02-004 DIESEL *2 ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Low GAL CAS *: 68476-34-6 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ~ Daily Averag.e GAL --r-- Annual Amount GAL -- 12,000 6,000.00 I 150,000.00 Storage UNDER GROUND TANK r Press T Temp ~I Ambient AmbientSW CORNER Location - Cone l 100.0% Diesel Fuel No.2 Components r; MCP ----re;uide Moderate 27 e e 09/03/93 FASTRIP FOOD STORE 215-000-000649 00 - Overall Site Page 6 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation EMPLOYEES ARE TO CALMLY NOTIFY ANYONE AROUND THEM OF AN EMERGENCY AND EVACUATE THE PREMISES IN AN ORDERLY MANNER. EMPLOYEES ARE TO MEET AT A PREDETERMINED PLACE, THE STORE MANAGER (PERSON IN CHARGE OF THE SHIFT) WILL COUNT TO INSURE ALL EMPLOYEES ARE EVACUATED. <3> Public Notif./Evacuation STORE MANAGER (PERSON IN CHARGE OF THE SHITF) WILL CONSULT WITH THE RESPONDING EMERGENCY AGENCY AS TO THE BEST WAY TO DO PUBLIC EVACUATION IF NECESSARY. <4> Emergency Medical Plan IN CASE OF A MEDICAL EMERGENCY A CALL TO 911 FOR THE PROPERLY TRAINED MEDICAL PERSONNEL TO RESPOND e e 09/03/93 FASTRIP FOOD STORE 215-000-000649 00 - Overall Site Page 7 <E> Mitigation/Prevent/Abatemt <1> Release Prevention ALL EQUIPMENT IS MAINTAINED AND KEPT IN GOOD WORKING ORDER. REGULAR INSPECTIONS ARE DONE TO INSURE THAT ALL EQUIPMENT IS IN GOOD WORKING ORDER. <2> Release Containment GAS PUMPS HAVE EMERGENCY SHUT OFF BUTTONS, ABSORBENT MATERIAL IS STORED NEAR GAS ISLANDS FOR EASY ACCESS IN CASE OF A SMALL SPILL <3> Clean Up SMALL SPILLS - USE AN APPROVED ABSORBENT MATERIAL - SPREAD OVER THE SPILL, SWEEP AND PUT IN COVERED APPROVED CONTAINER. LARGE SPILLS - SHUT DOWN ENTIRE SYSTEM - CALL 911 <4> Other Resource Activation '- ~r;. e e ¡ 09/03/93 FASTRIP FOOD STORE 215-000-000649 00 - Overall Site Page 8 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - SOUTHWEST CORNER OF BUILDING ON THE OUTSIDE B) ELECTRICAL - SOUTHWEST CORNER OF BUILDING ON THE OUTSIDE C) WATER - SOUTHWEST CORNER OF BUILDING ON THE INSIDE D) SPECIAL - EMERGENCY SHUT OFF FOR GASOLINE ISLANDS IS AT THE CHECKOUT COUNTER E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS ARE ON ALL GASOLINE ISLANDS AND THROUGHOUT THE INSIDE OF THE STORE FOR EASY ACCESS. FIRE HYDRANT - SOUTHWEST CORNER OF PROPERTY, THE GOSFORD ROAD ENTRANCE <4> Building Occupancy Level " ... , , f~, e e 09/03/93 FASTRIP FOOD STORE 215-000-000649 00 - Overall Site Page 9 <G> Training <1> Page 1 WE HAVE 17 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: ALL EMPLOYEES ARE TRAINED AND AWARE THAT IN THE EVENT OF AN EMERGENCY THEY ARE TO: 1) SHUT OFF (IF POSSIBLE) THE MAIN POWER BREAKER 2) EVACUATE THEMSELVES AND ANYBODY IN OR AROUND THE PREMISES 3) DIAL 911 4) NOTIFY CLOSE NEIGHBORS TO EVACUATE IF NECESSARY 5) NOTIFY EMERGENCY RESPONSE TEAM <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use Business Name: Location: ~p~ / It Bakersfield Fire Dept. e HAZARDOUS MATERIALS DIVISION Q-:2--Of( F~?tv;f FooJ \fJh:+~ Date Completed 5 ·h" L h"1 C600\ Business Identification No. 215-000 - ("JOO 6't' . (Top of ~ Station No. f Shift ~. Inspector ~ / Adequate Inadequate Verification of Inventory Materials ur D Verification of Quantities ~ D Verification of Location (k( D Proper Segregation of Material Œr D Verification of MSDS Availablity c¡ o tM' Number of Employees Comments: Verification of Haz Mat Training ~ o RECEIVED AIIG 5 1991 Ans'd. ........... rn-- D Verification of Abatement Supplies & Procedures Comments: Comments: Emergency Procedures Posted Containers Properly Labeled o ~ Q/ o ~ o Verification of Facility Diagram Special Hazards Associated with this Facility: Violations: ~~ 6. \A'&hts Business Owner/Manager . FD 1652 (Rev. 1-90) All Items O.K. o ~ Correction Needed White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy .. . .-. e e RECEIVED APR 4 1991 Ans'd.. ............ Page 1 03/08/'31 -; FASTRIP FOOD STORE 215-000-000649 Overall Site with 1 Fac. Unit General Information LClcat iorl: 8001 WHITE LN Map: 123 Hazat'd: Lc,w Iderlt Nt.lmber: 215-000-000649 Grid: 16C At~ea clf Vul: 0.0 r-- CClrlt act Name Title Business Phl;:.r,e - 24 HClur Phc,r,e JOHN KERLEY OPÈRATIONS MANAGER (805) 3'33-7000 x (805) 393-7000 ROY F SAUNDERS GENERAL MANAGER (805) 393-7000 x (805) 393-7000 Admir,istt'at ive Data - Mai 1 Addt's: 8001 WHITE LN D&B Number: 17-a~4- 9(gó)S City: BAKERSFIELD State: CA Zip: 93308- Comm CCld e : 215-00'3 BAKERSFIELD STATION 0'3 SIC CClde: 5541 Owrler : JACO-HILL Phl:lr,e: (805) 3'33-7000 Addt'ess: P 0 BOX 1807 State: CA City: BAKERSFIELD Zip: '33303-1807 SI.lmmat'y ij, ìl'll1 n JL pylLtA__ Do hereby csrtify ihat ~ fnBlVS -----r~r reviewed the attached lìa,;:ardmls ma.terials managea men~ plan for tá.~~~ ~lf~,!;,;!f:; .and that it nJong with ~ny corrections constitute a complete and correct mana agemen~ plan 10r my facility. t(~3-C¡( Date e e 03/08/91 FASTRIP FOOD STORE 215-000-000649 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site PIn-Ref Name/Hazards FC'I'~m 02-001 REGULAR GASOLINE Fire, Immed Hlth, Delay Hlth _ Liquid 02-002 UNLEADED GASOLINE Fit~e, Immed Hlth, Delay Hlth Liquid 02-003 PREMIUM UNLEADED GASOLINE Fire, Immed Hlth, Delay Hlth Liquid 02-005 REGULAR GASOLINE Fire, Immed Hlth, Delay Hlth Liqllid 02-006 UNLEADED GASOLINE Fire, Immed Hlth, Delay Hlth Liquid 02-007 PREMIUM UNLEADED GASOLINE Fire, Immed Hlth, Delay Hlth Liquid 02-004 DIESEL #2 Fire, Immed Hlth, Delay Hlth Liquid Page 2 Quarlt it Y MCP 12,000 Mc.derate GAL 12,000 Mc,del'~ate GAL 12,000 MCldel'~ate GAL 12,000 MI:.del'~ate GAL 12,000 Mc.del'~ate GAL 12,000 MCldel'~ate GAL 12,000 Lc,w GAL e e 03/08/~1 FASTRIP FOOD STORE 215-000-000649 00 - Overall Site Page ~ <D> Notif./Evacuation/Medical <1> Agency Notification 7 <2> Employee Notif./Evacuation <3> Public Notif./Evacuation <4> Emergency Medical Plan ·. O' e (gQ7g0 I e Bãkersfiel<i.Fite-.Dept-; - Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 tÞ Co t/-~ ott . HAZA-RDOUS RECEIVED INSTRUCTIONS: . /:2 '3 _ /& ~ JUt 0 f 1991 HAZ. MAT. DIV. . . MATERIALS MANAGEMENT"PLAN q- q~ 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: FASTRIP FOOD STORE LOCATION: 8001 ~~nite La,1e MAILING ADDRESS: Salit2 2..:2 aDove CITY: ¿aKer sf ie1d STATE: Ca. ZIP: 9331.2 PHONE: (BOS) 835-1490 DUN & BRADSTREET NUMBER: 17-364-9625 SIC CODE: 5:"41 PRIMARY ACTIVITY: t-'iin i ú.ar ket Vl i th q asol ine ¿nÖ di p ";p¡ L)'H1i)'-' OWNER: JACO-HILL COMPANY MAILING ADDRESS: P. O. 30x 1807, Bakersfiel<i, CaL,furnia S3303 SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE 1.Fred Faulkner Dis~rict Manager j93-7000 30J-7ûüü Doris Quinnel1y Area Supervisor 393-7000 2, 393-7UQC \ ..,," .. 1 . FD159C - Bakersfield Fire Dept. 4ft Hazardous. Materials. Division.. -_.. - HAZARDOUS' MATERIj\LS MANAGEMENT PLAN sêëtidN'~3:' TRAINING: " NU'MS'ER ö'F'EMPLOYEES: 17 ----------.. -\;1'"(;- ·~··;l~-,.t-·_·~:;"·Þu.-.L ..-----.. -- .-.-----.. MATERIAL SAFETY DATA SHEETS ON FILE: Yes BRIEF SUMMARY OF TRAINING PROGRAM: All employees are trained and aware that in the event of an emergency they are to: }. Shót off (if possible) the main power breaker 2. Evacuate themselves and anybody in or around the premisies 3. Dial 911· 4. Notify close neighbors to evacuate if necessary 5. Notify Emerency fesponse team SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALlFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALlFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL,) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY, ~1P# t1 SIGNATURE -- --~ ()fY-~-Z;~fk4 TITLE /0 h ç;/cU DATE 2. FDI590 -ct· e Bakersfield Fire Dept. e Hazardous Materials Division - .- HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: --~--' _ _ -.,.. _..~~" . _.- A. - -------"- "~ .- RELEASE PREVENTION STEPS: All equipmen t is ma. in ta ined and kept in good ~orking order. Regular inspections are done to insure that all equipment is in good working order. B. RELEASE CONTAINMENT AND/OR MINIMIZATION: Gas pumps have emergency shut off buttons, absorbent material is stored near gas islands for easy access in case of a small spill. C. CLEAN-UP PROCEDURES: Small Spills - Use an approved absorbent material - apread over the spill, sweep and put in covered approved container. Large Spills - Shut down entire system- call 911 SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: Southwest corner of buildinq on the outside ELECTRICAL: Southwest corner of building on the outside WATER: Southwest corner of buildinq on the inside SPECIAL: Emergency shut off for gasoline islands is at the . t coun er LOCK BOX: YES/NO IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: Fire extinguishers are on all gasoline· islands and through out the inside of the store for easy access. B. WAT¡:R .AVA1lARIITY [FIRI= HYDRANT): At the ~topercy, ~h~GÒsforðroadentrance. southwest corner of 4. FD1SÇ .. Bakersfield Fire Dept. . tit Hazardous.Materials Division -. HAZARDOUS MATERIALS. MANAGEMENT PLAN Facility Unit Name: FASTRIP FOOD STORE . SECTION 6: NOTIFICATION AND EV ACUATfON PROCEDURES: AGENCY NOTIFICATION PROCEDURES: A, DIAL 911 B. EMPLOYEE NOTIFICATION AND EVACUATION: Enrployees are to caimly notify anyone around them of an emergency an~ evacuate the premises in an orderly manner. Employees are to liìeet at a predetermined place, the store manager (person i~ charg~ of the shift) will count to insure all employees are evacuated. ... ...-:"~... C. PUBLIC EVACUATION: Store Manager (person in charge of the shift) will consult with the responding emergency agency as to the best way to do public evacuation if necessary. D. EMERGENCY MEDICAL PLAN: In case of a medical emergency a call to 911 for the properly trained medical personnel to respond. 3. f{)1~· ----,~- : i . OHAZARDOUS M~TERIALS INVENTORY . ' NON-TRADE SECRETS . Page _L_. of~. ~~N~~sN~ME: JQ(~- H-i~1;!4{(J~ ~~M~D~~DtH~~ FêtlLP~¿o ¡----- --.:-----..-- . ~v' þP:_ PÆ.a2~\L lon79'~1¡j,3 DUn ANB .B~ADSTREET Nut,mfrc--- ------- --..----- j F~h to--¡N~t#üaTÎBNs t-UH PROPER CODES;' -.,.- - - - - - - - - 'I 6 . ~ 8 9 10 \I ,12 ì '3 U Mea$ure 1 VS Cant Cant Cant Use locatIon Where Ii 'by "alles of ~ixture/ÇclIDonents Units on He Type Press Temp Code Stored In Facility Wt See Instructions ? ¿ I l-I I 9 /00 gg(p(o I C ~O~\ar~d [] Co~ponent 12 Name I C.A,S. Number \ [] Suddrn Release IMmediate ea th o Pressure Health . Component 13 Name I C,A.S. Number lao un / mded 9aso¿ Þ7 <- '4D~ \aled . o Suddrn Re hase [j Component 12 Name I C,A.S, Number hlllled I ate ea th o Pressure Hea I th Component 13 Name I C.A.S. NUlber EMERGENCY CONTACTS .1 "2 RIlle Tttle ZrtIrP1iõñr- Rãme íertifjçatloq: (Reed and $ign .af~f3r cÇ)mp7eting. ç¡11 sections), : certify under' penall. 0 law that 1 have pe{sona I~l examlneQ ,qd 'I familiar yltb the In(ormatlpn ,ublltted in this end all attaçhed dQcUlents\ anQ t at based on.IY InQuiry 0 hose Indlvldua s responsible for obtaining the InformatIon, I belIeve that the 'tubMltted Infomt on IS true, accurate. and col\plete. . - ¡ , . ; , ~I;' '~¡-;llcl'l 1111' 'f "",/,.1,1", OR "ne,¡,.'rl[,,'S1ûth"lle' r'Drese,!I~ .. S11ñi1ur. ~ ì, i:., I, !' Farm and Agticulture 0' Standard Business t~f~ ~iã~ þ ~ÁHEj~f~:: ~I ,',~ PHON~ i: ~---' I<_-º- ì " I ' CiTY of HAKEH~I-IELU Tr~ns T~Åe Code I Code ¡ J '"ax Alt '. . Average I Alt i ú Physical "nd Health Hatard ICheck a I that/app'y) jire Haurdl d Reactivity I 'I '1 Physic.1 "Od He Ith Hatard (Check a I that apply) j \jîfi" H";', ÌJ R,.cti,ttr .1 ~ O! , ¡ , PhY5icál "nd Health Hatard ¡ (Check a I that apply) . 1 q4lreHaz,,¡ 0 Rmtivltr, , tJ)Delayed 0 Sudden Release ~ Health of Pressure 0, Component 12 Nafte I C.A,S. Nuftber Immediate Health Component I] Nale I C,A.S. NUlber _ . Ií ) Component II Name I C,A.S, Nuftber p ( ) 5 í J,. ¡ i ,~ - , PhY51C.I¡,Od Health Hatlrd (Check a I that apply) ill' , (FireHazar~ [] Reactlvlt~ I I , ! ~e \ayed 0 Sudden Re lease ~~Health of Pressure O I Component 12 Name I C.A.S. NUMber Immed ate Health Component I] Nallle I C,A.S. HUlber ntle H1IfTMñë UHnrqr.ë~- CITY of i:3AKI:KtJi-lI:LU : t " . bHAZARDOUS MATERIALS INVENTORY , NON-TRADE SECRETS Page _d__ of ~ O~NER NAME: i-Hí~ NAME O~ tHIS FACILITY' . A DRESS' . -" ï STANDA D IND. CLASS CÒDf:-----' __~--_---h_-~ C TV ¡lP: ' _ò'-L q~f(J~- DUN AN B. RADSTREET Nut·ŒER-'-d ------- ------- I PM~ fOIN - út'fftJNSrrJTrPROPER CODES: _.~ - - - - - - - - - . 6 ~ 8 9 10 11 ,12: 13 It Hea$ure . ys Cont Cont Cont Use loc~tlon Where ¡ 'by "a~es of lIixture/ÇCtDOnents UnIts on He Type Press Temp Code Stored In FacilItY' Vt See Instrudlons , wS 0 I ' l../ I ~K (f)(Q ¡e¡ EMERGENCY ~ONTACTS .1 "2 R!~e Title Z~Rr-Pfiõñ~ Rãmê íertifitÜiOIl: (Reed and $ign afjf3r cÇ)mp7eti{1g, tt7 7, sections) .' : certIfy un~er, penal\x 0 la~ th,t I have pe{sona Iy examIneQ Olld 01 famIlIar Ylth the In{ormatlpn $ublltted In this ond àtt attaçhed dQcUlentsl anq t at Þased on my InQuIry 0 those IndIvIduals responsible for obtaIning the InformatIon, I belIeve that the ~~bmltted Informat on IS true, accurate, and co~p'ete, I ' .,,~~. enillif! cI ii, I [if of 0,"'" oplrnor DR 0'." I Oo!r!tOr' S IU'lor uod reor mnUnve- . S11ñltnr' .. ' '. it ; , I., t' ." J . " ~ Far I and Agt icu Iture tJ· Stá~dard Bus i ness rU~ì~~~~. NAH~.i.: ra~~~, In. âTY ~ !P: (~¡ ~~ Á3 PHONt. ~- _,- I ' I Tr~ns Code 2 IYAe Code I 3 "ax Alt . Average; Allt i 5 Annual Est ~ .:¡ ()'¡ Physical and Heàlth Halard I Check all tha t ¡ app I y) , .ire HaZard,.;' b Reàctivity (JfJ De1aY~d 0 Sudden Release ~ ~. Health of Pressure P '\ physical Ood Health Ha¡ard (Check all tha\ apply) I ~ire H.,.r' [] Re.cti,ltJ .1 Ø)De 1ayed 0 Sudden Re lease (Health of Pressure ) Physic,t 6nd.HealthHa¡ard ' (Check all thet apply) '1 "FireHazarJ '0 Reactivity ,I ~ (rïÛDelayed 0 Sudden Release ~ Health of Pressure í Phyšic.I'aod Health "a¡ard (Check all that applYI o Fire Hazar~ 0 Reactivity I C,A.S, NUllber o Delayed 0 Sudden Release Health of Pressure O Component .2 Immediate Health Component .3 9(1 WJ I" ~ (¿ O Component.2 Nalle & C.A,S, NUllber IlImediate Health Component.3 Nalle & C.A.S. NUllber I 0, Component.2 Hale I C.A,S. NUllber Immediate Health Component.3 Name I C.A,S. NUlber Component.1 Nalle & C.A,S, NUlber O. I Component.2 Nalle I C.A,S. NUllber IlIImed ate Health COllponent.3 Nalle & C,A,S. NUllber Ttne H1!f"ffiõnë OH~)¡qr.ë~- aBakersfield Fire Dept. _ ~azardous Materials Division ., HAZARDOUS MATERIALS MANAGEMENT PLAN j SECTION 7: MITIGATION, PREVENTION AND ABAT~MENT PLAN: / All employees should be aware of location of emer down controls for gasoline equipment. Procedures to follow in the event of an emerg on the gas island are as follows: 05-04A. If a customer overfills a vehicl tank resulting in a small spill - hose down th"s area with water. 05-04B. If a customer drives off with gas nozzle in car fill tank, resulting in a substa ial flow of gasoline _ shut down entire system, c 1 fire department, call district manager, clear t e gas island. 05-04C. If vehicle damage to on pump results in a leak _ shut down power to th' pump only. Hose down area and call your distri manager. OS-04D.If an adjacent bus' ess/building is on fire, shut down the entire g s island - emergency control shut-off; fire d partment will advise when to re- sume normal gas line operations. 05-04E. Each store wi have a listing of emergency/to con- tact telepho numbers posted near the sales counter area. A, RELEASE PREVENTION STEPS; 05-04. Gasoline Emergencv Procedures Not~ficaticn p.~d z· ~c~a~io~ Proce¿ur~s At ~his Unit Onl, All employees ar Ð.n e~er3,=ncy si trained anè aw'are the,t in the event of etion taey are to follow these procedures: A. Shut off ( f possible) Main Power 3reaker. B. Evacuate hemselves and anybody in or around the .. C. D. ~eighbor8 to evacuate if necessary. - Bakersfield Fire Dept. e ""Hazardous Materials Division _ HAZARDOUS MATERIALS MANAGEMENT PLAN All employees should be aware of location 0 emergenc~,shut down controls for gasoline equipment. Procedures to follow in the event of gas island are as follows: 05-04A. If a customer overfills a v tank resulting in a small spill - hose do n area with water. 05-04B. If a customer drives off ith gas nozzle in car fill tank, resulting in a su stantial flow of gasoline _ shut down entire syste , call fire department, call district manager, cle r the gas island. 05-04C. If vehicle damage t one pump results in a leak _ shut down power to this pump only. Hose down area and call your dis rict manager. 05-04D. If an adjacent b siness/building is on fire, shut down the entire gas island - emergency control shut-off; fire department will advise when to re- sume normal g saline operations. 05-04E. Each store w 11 have a listing of emergency/to con- tact teleph ne numbers posted near the sales counter area. SECTION 7: MITIGATION, PREVENTION AND ABAT!:MENT PLAN: B. RELEASE CONTAINMENT AND/OR MINIMIZATION: 05-04. Gasoline Emer~encv Procedures Not~ficaticn ~nd v~c~2~io~ Proce¿ur~s At ~his Unit Onl, All employees a e -trained an¿ aW2re that in the event of an e~er3ency s~~uetion t~ey are to follow these procedures: if possible) Main Power 3reaker. themselves and anybody in or around the J.^& . 3. .., \.... '"' ~ . neighbor8 to evacuate if necessary. " CITY of BAKERSFIELD f,r.,nd Aqrleultur. L--I Stlndard Bus .n'55 ~ HAZARDOUS MATERXALS XNVENTORY NON-TRADE SECRETS P'9' ____ of ____ '\~ BUSINESS NAME:· S~"t'\' \ r FðO"\ St-c 'C't', LOCATION:ª,--OO ~ W"'; ;¿. l...A~.I CITY, ZIP: MK.-:...s.-f··¡d e PHONE II: f?{')..5' - 5;' -=? 5 - I </7'ó OWNER NAME: I AC 6 - H / / / ADDRESS: 7ó'R6 x: / ~67 CITY, ZIP:MAKt.!rsf';",IA 93~ð'i-¡Æ'(J7 PHONE ,,: f/¿; '1 - ,:¡ 9"3 ·7CCO RUD ro XIISrRUcrXOIlS "'It PltOPIlIl CODIlS NAME OF TitS ~~JL~TY: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER L'l-~~~-1~¿-1 1 2 3 Iran, Type III. (od. Cod. Mt . Aver.,. &lit 5 AnnulI Est . .....ure Units 1 IOys CII Sit. I TO Cant Cant Prtt. 1.. 11 12 13 Un lClClt 1C11 ...... , by Code StOl'ld In FlC1ltty 1ft c.o'('",,~, _______ @_ CoIpanent 11 .... C. A. S. ....... 11 __ of 111l1ture/eo.an.nt. SIt 'nstructf_ Rl!4~--'ld all' PhyslClI end Hlllth Her.N! , r.htc~ .11 tlllt ,pp Iy) ------------- ~~ Fir. Hmrd r:J RlICtivlty ~ OII.yed [:J SudcIIn hI.... r::J .....I.t. ....Ith of P...._ ....It" eo.ntnt 12 .... U.S. ....... ---- ,,¡-- CoIpanent 13 .... U.S. ...... S w C. 0 ~ fV of.. _____ I.t1P.. __~¡,.I <.!.. i'o A a A.so I,' kJ 'L toIIIantnt 11 .... C. A. S. ....... PI>ys ie.1 IIId ....It" H.ul'd (Check .11 thlt '1IIIIy) r-...:7" ,.-, r.:::7-' r-, ,.-, "'p".J Fir. Hn.rd 1..-.1 Rttctlvtty I..p.l OIl"'" 1..-.1 SudcIIn ..,_ 1..-.1 1....I.t. ....Ith of PI'IIIUI'I ....lth CoIpanent 12 .... U.S. ....... CoIIIantnt IJ .... C. I. S, ....... o Y \J e.. r L/2Q. CoIpanent II .... C.I.S. ...... --- r~ r-" r~' r--. r-' L(-~ Ffr, H.,.rd 1..-.1 RHctivfty I..~ Otl.yed 1..-.1 Suddtn R".... I.._.J I....f.t. Hlllth of Pi'll sure HIIlt" CoIIIantnt 12 .... C. 1.5. ...... // ~_L!!:LLl~I2~~_L~E£9.____L!~p_~:Jg_~~L_º.LL_l_L:Ll1i_1~ c. 0'" N -e.. r L& Phytie.1 IIId Hlllth HeriN! C.A,S. IIutbtr CoIpanent 11 .... C.I.S. ...... (Check .11 thlt 1"lr) ------------------- Cotponent 13 .... c.a. S. ....... --- r-~ r-, r--, '-0" ,.-., L "Fir. HIlIrd 1..-:-.1 IIIIctivlty L._.I Otl.yed I..~.I Sudden 11,1..., 1..-.1 1-.II.t. ItH I t h of Pr".urt Hili t h C......t n .... C.I.S, IIúebtr ----------------------------------- ------ CoIIIantnt n .... C.A,S. IIœbIr "f IIGfNCY CI*' ACTS II ~.b..\1l--kE:.~J~7'----mm----Q~-e.rtt1r-Ù'-al5--J:..\.&,~-&.~t..t'- *íi':.p~;.:-1.9..QC> li~-'i~QJ.f.Y~------(3i: .,vTft'I'ÌÌ--I!1.d:¡,V...&~.f..i:.-- ~~~~~¡: 70 g:¿_ Certification (Rølld IInd s;l!n lifter co.plp.tJng all s~ctJons) ! elrtlf.Y ur.~.r 111111ty of ,.. thlt I hlv, Dfrson.l1y ....intcl end .. f..ih.r .ith tilt fnfor..tiCII su.itttd In th~' end .ttlChed -*-tt, end thlt blstclCII ., inquiry of thol. Ind1vtdul" 1'II,Gn.ib'. f"r obtl1n1n9 tilt inf_tICII. I '-lilv, tlllt tilt subeitttd info....tion Is true. .eeur.t., end cc.pl t. ' ..--:r~ab. KJT·-K,~t~tll~T"----T:-º- ~~OR-<:-ß-t7.t.Q-tUt--'$L-J?J.t<'4f!¿1ifJ-!.?-r:t-t·-- S'- -------------- ------- -- ---------------------------- ''''t--ST-1:-?'':3 c:_________________ '~~.. In OTT'ICI1 I .oToòon,r,oOtrati!r owner ooera or S .U nor1Z~ riðr"en I IV' ur, . . "". 9n... :¡ Far. and Agriculture '---'-' Stlndlrd Bus ;nrS5 BUSINESS NAME: ~~-t~l~ 1=0"'''\ St-c....t'~ LOCATION: ª,-OO~ W"';:è.. LAn::--- CITY, ZIP:' M..Lr.!::-P· fA (; PHONE .: Çf{),5 ~ >1":? 5 - ¡ Y'7'ð CITY of BAKERSFIELD " ""~ ,.' ;g: HAZARDOUS MATERIALS INVENTORY NON-TRADE SECRETS '" -.. PaCJr ____ of ____ OWNER NAME: T ,4(',6 - J./,. / / ADDRESS: 7cr"'Rð)( / f!67 CITY, ZIP:'"HAK.ers-Ç¡",¡...J 93~ð'5'- /8'07 PItONE .: Sto C; - '? 91-7CðO 1UlJI7lIl ro IlISrRUcrIOIIS roB PROPIDf CODIlS NAME OF Tft1S ~~ÇJL1TY: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER L2--ª~':f-l~¿-i 1 2 J I r ans T vøe ...~ (odr Codr AIIt . Ayenge Mt 5 Annue I Est 6 ....su... Units Ph'{1iUI and HN Ith "'z.rd Ir.IlKk .11 thlt 'IIly) 7 IOys CII Site I 11 Cant Cant PrIll ,_ ~~ Fir. H.urd ~:J RNCtiYlty ~~ Del.yed ~:J Sudden hl_. ~:J 1__I.te ""Ith of p,..",... IIMlth 11 12 1J 'I Un locetlC11 IIIwrt , by ..... of "1Kt_~tl Code Stored In Facility lit Sft IMtructi_ '£ ~-e..r-_______ /()'L 'K ~~&-_(1I~::;O ta.panlnt II .... C.A.S. ...... -------------- c:a.aønent 12 .... U.S. ...... ta.panlnt 13 .... C.A.S. ...... tL SE CO\"\V~\"" ta.panlnt 11 .... C...S. ...... __ /(¿()_ -1)1D-:-l~~ do a Ii- 50 / l' rv -ÿ _ Physic.l encIlINlth Hu.rd IthKk .11 thlt .pply) r~ ~ ., r'V"" ,..-., ,.-, L ~ FI... "'rerd ,-:.. RHc:tlYity '-Þ<J Del.yed '--" Sudden hI... '--..I '__iete ""Ith of P,..svre IIMlth ------ ta.panlnt 12 .... C...S. ..... CallDaMnt 13 .... U. 5, ...... PhysiclI end ....1th ...z.rd (th.ck 111 thlt Ipply) (PI-C¡ :-ç{'~ r -. ~~ r-" ,..-., L i... Firr Huard ,-:.. Reectiyity ,-" DeI.yØ '- -.. Sudden Rrl_. '- _.J I__I.te , HN Ith of p.....ure HN Ith /'" 100 re.. i''\ \ IA..~ 'lJó J~"'- A-d ta.panlnt II .... C.A.S. ...... CGIIponent 12 1_ " C .A.S, ...... ta.panlnt IJ .... C.A.S. ...... Phys;cII end HN1th "'I.rd (thtck III thlt .,,1,) ----JL______L____________1--____________JL_____________j______l________L_______j_~JL_______L______ C.A,S. .... _____________________ to.ponent 11 .... C.A.S. ...... r-, ,..-, r--. ,..-, ,..-., L _.J FI~r Huard '- 7"'..1 RHc:tiyhy '- _.J DeI,yØ '- -.. Sudden R.ltlSr '- _.J I__i,t. Hea Ith of Prts.u~. HN Ith ------- Co.parIIIIt 12 .... C.A.S, .... --------------------------- ------ CœIIonInt IJ .... C.A.S. .....r "fRGfNCY CIMT ACTS II ¡:-\tfL.Kqd·-l~-i_----------------º~fMi.3:-\.\:)-~~-l?7.ðJlUt!(.r ~ºR~-~~;.19-Q.Q .2 h~~All,!Jjf:~----------Q-e. ~f,i-~l.L?1A..l7.l.4..;~r- ~1r-~~;~qQ.ç Certification (Rf!ad and silrn after co.pleting all sf!ctions) -',certify ur.drr "",Ity of 1.. thlt I hlvr Dtrsonll1y ..,.,ned IIId " f..ili,r with thl infar..tiCII subllittld in this and 111 . t f.\r abta1ftlnq thl ,nf_tiCII. I IIrI1.yr thlt thl! subllitttd ;nfa....tlon IS true. .ccuretr. IIId COl~I.t., of __::r.O Q. 'I' -(. 0 e. X" -t ' 0 It) '~ - a.hM--~-t-nLT'fo----T-----'L-ORCt---j7----â--mAI/J..d--q~r-----.-r--- S----r--- ---------------- ...~.. an a. 1~ 11 , r ° aw>rr,aoer.fòr QWftrr a;lf!ra or S .utfiõrUjãï'.ørrslft,..,yr HJnl.ur ....~~ --.:.. O¡£¡-si~ià:?-=-:ì~--------------------- · Bakersfield Fire Dept. . ~azardous Materials Division -- HAZARDOUS MATERIALS MANAGEMENT PLAN All employees should be aware of location down controls for gasoline equipment. Procedures to follow in the event of an e gas island are as follows: 05-04A. If a customer overfills a ve tank resulting in a small spill - hose dow area with water. 05-04B. If a customer drives off w. th gas nozzle in car fill tank, resulting in a sub antial flow of gasoline _ shut down entire system call fire depar~ment, call district manager, clea the gas island. 05-04C. If vehicle damage to ne pump results in a leak _ shut down power to is pump only. Hose down area and call your dist ct manager. 05-04D. If an adjacent bu iness/building is on fire, shut down the entire as island - emergency control shut-off; fire epartment will advise when to re- sume normal ga oline operations. 05-04E. Each store w' I have a listing of emergency/to con- tact telepho e numbers posted near the sales counter area. SECTION 7: MITIGATION, PREVENTION AND ABAT~MENT PLAN: C, CLEAN-UP PROCEDURES: 05-04. Gasoline Emergencv Procedures Not!ficaticn Bnd ~w~c~a~io~ Procerlur~s At ~his Unit Onl, All employees ar trained an¿ aware that in the event of an e~er3~ncy si uation t~ey are to follow these procedures: Shut off Evacuate if possible) Main Power 3reaker. hemselves and anybody in or around the ^ u. ;3 . C. D. neiGhbor~ to evacuate if necessary. H -'- e Bakersfield Fire Dept. . Hazardous Materials Division e HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: FASTRIP FOOD STORE, 8001 White Lane, Eakersfield SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: D. EMERGENCY MEDICAL PLAN: 05-04. Gasoline Emergencv Procedures All employees should be aware of locat'on of emergency. shut down controls for gasoline equipment. Procedures to follow in the event an emergency on the gas island are as follows: 05-04A. If a customer overfill a vehicle tank resulting in a small spill - ho e down this area with water. \ 05-04B. If a customer drive off with gas nozzle in car fill tank, resulting i a substantial flow of gasoline - shut down entire ystem, c:all fire department, call district manage, clear the gas island. 05-04C. If vehicle da ge to one pump results in a leak - shut down po er to this pump only. Hose down area and call yo r district manager. 05-04D. If an adj ent business/building is on fire, shut down the entire gas island - emergency control shut-of ; fire department will advise when to re- sume n rmal gasoline operations. 05-04E. tore will have a listing of emergency/to con- telephone numbers posted near the sales counter ~nd Zv~c~a~io~ Prcce¿ur~s At this Unit Onl, All empl yees are trained an¿ awzre thBt in the event of an e~er,ency situation t~ey ara to follow these procedures: .^.. . (if possible) Main Power 3reaker. themselves and anybody in or around the 3. ,.., \.. . neighbors to evacuate if necessary. " e Bakersfield Fire Dept. a Hazardous Materials Division ., HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: Fl',STRIP FOOD STORE, 800~ -Whi'te Lane, Bakersfield 05-04. Gasoline Emergencv Procedures SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: C. PUBLIC EVACUATION: All employees should be aware of location f emergency,shut down controls for gasoline equipment. Procedures to follow in the event of a emergency on the gas island are as follows: 05-04A. If a customer overfills a vehicle tank resulting in a small spill - hose own this area with water. 05-04B. If a customer drives 0 f with gas nozzle in car fill tank, resulting in a substantial flow of gasoline - shut down entire sy tem, call fire department, call district manager, lear the gas island. 05-04C. If vehicle damag to one pump results in a leak - shut down power to this pump only. Hose down area and call your istrict manager. 05-04D. If an adjace t business/building is on fire, shut down the e ire gas island - emergency control shut-off; ire department will advise when to re- sume nor 1 gasoline operations. OS-04E. Each st re will have a listing of emergency/to con- tact t 1ephone numbers posted near the sales counter area. Zv~c~e~io~ Proce¿ur~s At ~his Unit Onl, All employes are trained an¿ aware that in the event of an situation t~ey are to follow these procedures: A. (if possible) Main Power 3reaker. themselves and anybody in or around the 3. ,., 0. D. neighbore to evacuate if necessary. .. e Bakersfield Fire Dept. e Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN / / cømplete SECTION 3: TRAINING: NUMBER OF EMPLOYESS: \vill be approximately E3 MATERIAL SAFETY DATA SHEETS ON FILE: will be when BRIEF SUMMARY OF TRAINING PROGRAM: 05-04. Gasoline Emergencv Procedures ~ All employees should be aware of locat'on o~~ergenC7,shut down controls for gasoline equipment. / Procedures to follow in the event 0 an ~mergency on the gas island are as follows: ~/ 05-04A. If a c:ustomer overfills a vehicle tank resulting in a small spill - hos do~6 this area with water. OS-04B. If a custome: dr~ves Off~th.gaS nozzle in car fill tank, result~ng ~n s~ëstant~al flow of gasoline _ shut down entire s stem, call fire department, call district manager, cl~r the gas island. OS-04C. If vehicle dama e vt one pump results in a leak _ shut down powe to/ this pump only. Hose down area and call your âi/trict manager. / OS-04D. If an adjace t/business/building is on fire, shut down the en iFe gas island - emergency control shut-off; iF~ department will advise when to re- sume norm 'l/gasoline operations. OS-04E. Each e/will have a listing of emergency/to con- tact t e~hone numbers posted near the sales counter area. - d Zvac~a~io~ Proce¿urss At ~his Unit Onl, B.n are trained an¿ aware that in the event of situation t~ey are to follow these procedures: .^& . (if possible) Main Power 3reaker. themselves and anybody in or around the 3. ,..., 0. ..... !.J . neiGhbor~ to evacuate if necessary. .. e Bakersfield Fire. Dept. e Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN FA'S-T" RIP FOOD STÖRE.800l White Lane, Bakersfield Facility Unit Name: -- SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: All employees should be aware of location f emergenc~,shut down controls for gasoline equipment. Procedures to follow in the event of a emergency on the gas island are as follows: 05-04A. If a customer overfills a tank resulting in a small spill - hose area with water. \05-04B. If a customer drives of with gas nozzle in car fill tank, resulting in a bstantial flow of gasoline _ shut down entire sys em, call fire department, call district manager, c ear the gas island. 05-04C. If vehicle damage 0 one pump results in a leak - shut down power 0 this pump only. Hose down area and call your d~strict manager. 05-04D. If an adjacent business/building is on fire, shut down the ent'e gas island - emergency control shut-off; f' e department will advise when to re- sume norma gasoline operations. 05-04E. Each stor will have a listing of emergency/to con- phone numbers posted near the sales counter 05-04. Gasoline Emergencv Procedures All employe s are trained and aW'are the, t in the event of an situetion t~ey are to follow these procedures: ?rocedur~s At this Unit Onl, A. (if possible) Main Power Breaker. 3. themselves and anybody in or around the c. ial 911 t. Notify close neighborE to evacuate if necessary. " e Bakersfield Fire-Dept. e Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN FASTRIP FOOD ST~RE, 8001 Hhite Lane, Bakersfield Facility Unit Name: SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: All employees should be aware of location of emergency,shut down controls for gasoline equipment. Procedures to follow in the event of gas island are as follows: Os-04A. If a customer overfills a v tank resulting in a small spill - hose do n area with water. Os-04B. If a customer drives off ith gas nozzle in car fill tank, resulting in a su stantial flow of gasoline - shut down entire syste , call fire department, call district manager, cl r the gas island. 05-04C. If vehicle damage one pump results in a leak - shut down power t this pump only. Hose down area and call your di trict manager. Os-04D. If an adjacent uSiness/building is on fire, shut down the enti e gas island - emergency control shut-off; fi e department will advise when to re- sume normal gasoline operations. Os-04E. Each stor will have a listing of emergency/to con- phone numbers posted near the sales counter B. EMPLOYEE NOTIFICATION AND EVACUATION: 05-04. Gasoline Emergencv Procedures Not:'ficaticn ?roceè.ur~s At ~his Unit Onl' All employe s are trained an¿ awzre th8t in the event of an situetion t~ey are to follow these procedures: .^a . (if possible) Main Power 3reaker. themselves and anybody in or around the 3. ,., 0. neighbore to evacuate if necessary. .. e BakersfieldFire~Dept~ _ Hazardous Materials Division ' HAZARD'OUS MATERIALS MANAGEMENT PLAN Facility Unit Name: SEcnON 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: 05-04. Gasoline Emergencv Procedures 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: 05-04A. 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. OS-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. OS-04D. If an adjacent business/building is on fire, shut down the entire gas island - emergency c~ntrol shut-off; fire department will advise when to re- sume normal gasoline operations. 05-04E. Each store will have a listing of emergency/to con- tact telephone numbers posted near the sales counter area. Not~ficaticn Pond Zv~c~a~io~ ?roceè.ur~s At ~his Unit Only All employee s are trained anè aw'are thé'. t in the event of an e~er3~ncy situation t~ey ar~ to follow these procedures: A. Shut off (if possible) Main Power 3reak~r. 3. Evacuate themselves and anybody in or around the precises. c. Dial 911 D. Notify close neighbor~ to evacuate if necessary. " e Bakersfield Fire. Dept. e Hazardous Materials Division . HAZARC·OUS MATERIALS MANAGEMENT PLAN Facility Unit Name: SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: B. EMPLOYEE NOTIFICATION AND EVACUATION: 05-04. Gasoline Emer2encv Procedures All employees should be aware of location of emergenc~,shut down controls for gasoline equipment. Procedures to follow in the event of an emergency on the gas island are as follows: 05-04A. 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 depar~men~, call district manager, clear the gas island. OS-04C. If vehicle damage to one pump results in a leak - shut down power to this pump only. Hose down area and c:all your district manager. OS-04D. If an adjacent business/building is on fire, shut down the entire gas island - emergency control shut-off; fire department will advise when to re- sume normal gasoline operations. OS-04E. Each store will have a listing of emergency/to con- tact telephone numbers posted near the sales counter area. Not~f~ceticn ~nd Zvac~a~io~ PrDce¿ur~s At ~his Unit Only All employees are trained an¿ aware that in the event of an e~erß~ncy situetion t~ey are to follow these procedures: A. Shut off (if possible) Main Power 3reaker. 3. Evacuate themselves and anybody in or around the pre!:lises. C. Dial 911 D. Notify close neiGhbor~ to evacuate if necessary. .. e Bakersfield Fire~Dept. e Hazardous Materials Division HAZARD'OOS MATERIALS MANAGEMENT PLAN Facility Unit Name: SEcnON 6: NOTIFICATION AND EVACUATION PROCEDURES: C. PUBLIC EVACUATION: 05-04. Gasoline Emergencv Procedures All employees should be aware of location of emergen~.shut down controls for gasoline equipment. ' Procedures to follow in the event of an emergency on the gas island are as follows: 05-04A. If a customer overfills a vehicle tank resulting in a small spill - hose down this area with water. 05-04B. 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 depar~ment, 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-off; fire department will advise when to re- sume normal gasoline operations. 05-04E. Each store will have a listing of emergency/to con- tact telephone numbers posted near the sales counter area. Not~ficaticn ?~d 3v~c~a:io~ ?roc2èur~s At :his Unit Only All employees are trained an¿ aware that in the event of an e~er3~ncy situetion t~ey arz to follow these procedures: A. Shut off (if possible) Main Powzr 3reaker. 3. Evacuate themselves and anybody in or around the pre!:lises. c. Dial 911 D. Notify close neighbors to eva~uate if necessary. .. e Bakersfield Fire. Dept. e Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: D. EMERGENCY MEDICAL PLAN: 05-04. Gasoline Emer~encv Procedures 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: 05-04A. 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. OS-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. OS-04D. If an adjacent business/building is on fire, shut down the entire gas island - emergency control shut-off; fire department will advise when to re- sume normal gasoline operations. OS-04E. Each store will have a listing of emergency/to con- tact telephone numbers posted near the sales counter area. Not~f~caticn ~nd 3v~c~a=io~ Proce¿ur~s At ~his Unit Only All employees are trained an¿ aware that in the event of an e~er3~ncy situation t~ey are to follow these procedures: A. Shut off (if possible) Main Power 3reaker. 3. Svacuate themselves and anybody in or around the pre!:lises. c. Dial 911 D. Notify close neighbor~ to eva~uate if necessary. '. e e 03/08/91 FASTRIP FOOD STORE 215-000-000649 00 - Overall Site Page 4 <E> Mitigation/Prevent/Abatemt <1> Release Prevention I I <2> Release Containment <3> Clearl Up <4> Other Resource Activation , '. e Bakersfield Fire Dept. e Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MmGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: 05-04. Gasoline Emer~encv Procedures 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: 05-04A. If a customer overfills a vehicle tank resulting in a small spill - hose down this area with water. 05-04B. 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 deparLment, 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-off; fire department will advise when to re- sume normal gasoline operations. 05-04E. Each store will have a listing of emergency/to con- tact telephone numbers posted near the sales counter area. Not~f~caticn ~nd Zvac~a~io~ Proce¿ur~s At ~his Unit Only All employees are trained an¿ awzre that in the event of 8n e~er8~ncy situetion t~ey ara to follow these procedures: h. Shut off (if possible) Main Power 3reak~r. 3. Evacuate themselves and anybody in or around the pre!:1ises. c. Dial 911 C. Notify close neiahbor~ to eva~uate if necessary. " e Bakersfield Fire Dept. e . Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION. PREVENTION AND ABAT~MENT PLAN: 8. RELEASE CONTAINMENT AND/OR MINIMIZATION: 05-04. Gasoline Emereencv Procedures All employees should be aware of location of emergenc7,shut down controls for gasoline equipment. Procedures to follow in the event of an emergency on the gas island are as follows: 05-04A. If a customer overfills a vehicle tank resulting in a small spill - hose down this area with water. 05-04B. 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 deparLmenL, call district manager, clear the gas island. OS-04C. If vehicle damage La one pump results in a leak _ shut down power to this pump only. Hose down area and call your districL manager. OS-04D. If an adjacent business/building is on fire, shut down the entire gas island - emergency control shut-off; fire department will advise when to re- sume normal gasoline operations. OS-04E. Each store will have a listing of emergency/to con- tact telephone numbers posted near the sales counter area. Not~f~caticn p.~d ~v~c~a~io~ ?roceèur~s At ~his Unit Only All employees are trained an¿,awzre that in the event of an e~er3~ncy situetion t~ey are to follow these procedures: A. Shut off (if possible) Main Power 3reak~r. 3. Evacuate themselves and anybod~r in or around the pre!:lises. c. Dial 911 ~. Notify close neiGhbor~ to eva~uate if necessary. .. - -_._----~~ e Bakersfield Fire Dept. _ - Hazardous Materials Division . HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MmGATION, PREVENTION AND ABATEMENT PLAN: C. CLEAN-UP PROCEDURES: 05-04. Gasoline Emergenc:v Procedures. All employees should be aware of location of emergenc7,shut down controls for gasoline equipment. Procedures to follow in the event of an emergency on the gas island are as follows: 05-04A. If a customer overfills a vehicle tank resulting in a small spill - hose down this area with water. 05-04B. 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 depar~men~, 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-off; fire department will advise when to re- sume normal gasoline operations. 05-04E. Each store will have a listing of emergency/to con- tact telephone numbers posted near the sales counter area. Not~f~c:aticn ~nd Zv~c~a~io~ ?roce¿ur~s At ~his Unit Only All employees are trained an¿ awzre that in the event of an e~er3~ncy situetion t~ey are to follow these procedures: A. Shut off (if possible) Main Power 3reaker. 3. Evacuate themselves and anybody in or around the pre!:lises. c. Dial 911 D. Notify close neighbors to eva~uate if necessary. .. ~ , G>3/Ö8/'31 .TRIP FOOD STORE 215-000'-0649 00 - Overall Site ~ Page 5 - (F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs. , A) GAS - ????????? tß.cIL rOom ~ ~olu1n B) ELECTRICA~ -, ????????? b1d(. rC>úY)'\ ~-.h. ~':aD,..,r. __ C) W"TER - ?,??,??,?? OovH-t-.'d O-b ~~~ M . . . . . . . , .. . -LI\AI' ":) C- D) SPECIAL - ?????????? . E) LOCK BOX - ??????? <Ð.t~ <3> Fire Protec./Avail. Water "I PRIVATE FIRE PROTECTION - ???????????? ~ FIRE HYDRANT - ?????????? CQVlQ)L ~ wrù;(Q Ln ~ qos-förcl (4) .Held for Future use 03/08/'31 _TRIP FOOD STORE 215-000~064'3 00 - Overall Site ~ Page 6! ,j (G) Tt--a iY-.i Y'lg <1> Pagel WE HAVE APPROXIMATELY 8 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use -;:;.. ....;: " ~akersfield Fire Dept. . Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYESS: \.¡ill be approximately 8 MATERIAL SAFETY DATA SHEETS ON FILE: \vill be when facility complete BRIEF SUMMARY OF TRAINING PROGRAM: 05-04. Gasoline Emer~encv Procedures All employees should be aware of location of emergenc~.shut down controls for gasoline equipment. Procedures to follow in the event of an emergency on the gas island are as follows: 05-04A. If a customer overfills a vehicle tank resulting in a small spill - hose down this area with water. D5-04B. 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-off; fire department will advise when to re- sume normal gasoline operations. 05-04E. Each store will have a listing of emergency/to con- tact telephone numbers posted near the sales counter area. Not~f~c:aticn ~nd Zvac~a~io~ Prcce¿ur~s At ~his Unit Only All employees are trained an~ aW2re that in the event of an e~erBgncy situetion t~ey are to follow these procedures: A. Shut off (if possible) Main Power 3reaker. 3. Evacuate themselves and anybody in or around the pre!:lises. c. Dial 911 ~. Notify close neighbors to evacuate if necessary. ..