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Home My WebLink AboutBUSINESS PLAN 11/6/2000 r- N -¢- ~ ¡¡¡ I ","CRETE """"""" ~ Former Unleaded Gasoline USTs ! oo~·· ~ ~ ¡ ~ ~~x ~T2 x x 11 x x X SAMPLE LOCATION PPI~IGROUNDWATER DDD TECHNOLOGY n...r--1 o 5 10 20 GRAPHIC SCALE CLIENT: CHEVRON U,S.A. PRODUCTS COMPANY FACILITY NO, 9-4416 "I r-:7', LOCATION: 3699 WILSON ROAD BAKERSFIELD, CALIFORNIA FILE: REV, DES, JDP '\ - í- COHCOETE """"""" PlN<ITR ~ X o EiXI ==OI=:C= D) o o 0 o o o _"0'"'' SERVICE BUl.DINC WOO IoIEN o o Former Used-Oil UST SITE MAP SM (1:30) PROJECT NO,: 022500018 11/94 o ~ ~ o o æ PM PE/RG FIGURE: 2 ... MR430IOl - CITY OF BAKERSFIELD ,tltscellaneous Receivables ~iry_ , 2913 Name: CHEVRON USA PRODUCTS CO 11/01/00 Addr: FAWZI KAYALI -- 0/00/00 3699 WILSON RD 882.00 BAKERSFIELD, CA 93309 .00 A ACTIVE ENVIRONMENTAL 882.00 .00 Open Activity 11/06/00 11:33:04 Cus'tomer ID . . Last statement . . . Last invoice Current balance Pending . . . . Previous balance Deposit balance . Type options, press Enter. l=Select Opt Code Description HM005 HAZ MAT HANDLING FEE E HM017 HAZ MAT ANNUAL INSPECTION SSOOl CA STATE SURCHARGE SS002 UST STATE SURCHARGE UTOOl UNDERGROUND TANK ANNUAL SERVICES Current .00 .00 .00 .00 .00 Overdue 220.00 50.00 20.00 64.00 528.00 Total due 220.00 50.00 20.00 64.00 528.00 F3=Exit FIO=Combined detail F14=Deposit detail F7=Pending activity F11=Invoice inquiry F21=Other tasks F8=Charge hsty F12=Cancel F9=payment hsty F13=Auto charges SITE N 2000 SCALE I o FEET I 1000 2000 SOURCE: USGS 7.5 MINUTE GOSFORD QUADRANGLE IPP~IGROUNDWATER DDD TECHNOLOGY LOCA TION INDEX 3699 WILSON ROAD BAKERSFIELD, CALIFORNIA FILE: PROJECT NO.: PM LOC. (1=1) 022500018 REV. FIGURE: DES. DATE: KLH 11/94 PE/RG CLIENT: CHEVRON U.S.A. PRODUCTS COMPANY FACILITY NO. 9-4416 LOCATION: 1 ) ". / 1 ¡--- N -¢- CONCRm: ~ ~ PINnER ~ X 0 C~~ H :¡¡ I €~ ==«=110= D) X 13,1 <0,005 <0,005 ~ 00 ~. ~ 0 0 0 o 0 o ",,,,".'IM: SDMCE BULDlNG WOtÆN WEN o o " ~ :¡¡ I Former Used-Oil UST I ~~ ___ BENZENE CONCENTRATION IN 2-FOOT SAMPLE ~ X SAMPLE LOCATION <0,005 ~ <0,005 ~BENZENE CONCENTRATION IN 6-FOOT SAMPLE BENZENE CONCENTRATION IN 8-FOOT SAMPLE NOTE NON-DETECT SAMPLES ARE NOT ANNOTATED N/S = NOT SAMPLED IC=i~~¡GROUNDWATER DDD TECHNOLOGY n....II o 5 10 20 CDNC:A£1£ """"""" o ! o o æ GRAPHIC SCAlE BENZENE IN SOIL PROJECT NO,: 022500018 CLIENT: CHEVRON U.S.A. PRODUCTS COMPANY FACILITY NO, 9-4416 FILE: SM (1:30) REV, LOCATION: DATE: 3699 WILSON ROAD BAKERSFIELD, CALIFORNIA DES, JDP 11/94 PM PE/RG FIGURE: 3 CONCRETE """"""" CONCRETE """"""" ~ P!HI'" ~ - ~ 0 ~ Former Unleaded " ::1 Gasoline USTs - I II €~ ==œ=øo= D) x I ~ " 4,760 ",I 347 <10 m 00 ~. ~ 0 0 0 '~~I / ~/ ~I ~I ~-~ . N ~ """"""'" SERVICE BUlDING o o ! o ""I4'ON * 22,2 o 0 0 (;:.: . Former Used-Oil UST 28.2 N/S o 0 ~ 9 ::1 ~ ~ ~ /" TPHG CONCENTRATION IN 2-FOOT SAMPLE 4,760 X SAMPLE LOCATION ~~ ~ :: TPHG CONCENTRATION IN 6-FOOT SAMPLE TPHG CONCENTRATION IN 8-FOOT SAMPLE NOTE NON-DETECT SAMPLES ARE NOT ANNOTATED N/S = NOT SAMPLED * TRPH RESULTS IP9~IGROUNDWATER DDD TECHNOLOGY r1....JI a 5 10 20 TPHG & TRPH IN SOil GRAPHIC SCAlE CLIENT: CHEVRON U.S,A. PRODUCTS COMPANY FACILITY NO. 9-4416 FILE: PROJECT NO,: 022500018 PE/RG PM SM (1:30) REV, LOCATION: FIGURE: 3699 WILSON ROAD BAKERSFIELD, CALIFORNIA DES, JDP 11/94 4 .. ~ ~ ~ ", . >-:;. '~t~~;:~,i'-;::~ ....\ , , , '~.\ "]6 3, I-NS? '7 SCALE.", 8fJs,¡).):.sS' NAI'1&"'--~-~-~--'~-'--' ',_ -: ' " ' ' ";, ,", SONNY'S CHEVRON 'OïJ·Tr-ï~-"'þ¡:¿-i:7i."Ty:AljlMff",-",'~-:-' -,.,. .....;' -3699:WilsõrrRoad-"'~-~ -~---,-' . " ' , ' 13ç¡kersfleld, CA. 93309 ---------....:.....-.._...__._-_..........,-~.........:....._-~,--:...----- ,,--............._~----.--~- -'..... - _.:. - ......-.... -'- (CrfJE;;''/rOAJ F.) 5.;iT"~ D! IIGl<AM . ~lC:r'-l'T'I DIAbl~AM _.... -------. -------- .----'--.-------..- .- .---...-----------.-.--------.. ... -. ~~ H I \ ,,11 ! ' ¡I, 12b It' I ¡ ! I H. ¡ I' . --~:=~-:<JC>'---~;r--::;>T-~>:~--~ II: "'-..' 'I' ¡ V.~V~ ~IC~ SH~P i· 1\ Ift-~S T t STo¡qAG,: : I ~ I! ~~ M7 I~ . i ¡ $1 , . ... .~~ ~ ~~ ___I,~-=_ I ¡ ,.p . ¡.. '. . .. ;,; bi II . ... . . .. .. \~~~--~ t~}t~~f~~ I . - , ' '. _.. ......-- ....---,--_... --.--~.... -. -- -" .,,- '---\ -~--------- " '\... ~ ' r t" " c-~~ ¡'M51~1"¡(' . . J,' 1- -_._,:.=.5f}i. ,~~.J~:~-.~-,J PUMPX:SLAJVDS . I , '- / /5h \.~ ,,' t:-." / . ; -r--=-=7'=~~\ '- '4ÞF ' II. ,/{:.~ , II , , ..; / '..:.'i..,.........:----~~.------' , ," ~ ' , . , . . ...... ' ,1 " f" 'cP/ad{;(J G~ ()U IV " (;115(.) ¿JIVE J7+.Nf( $ ~--'-""------r---"--- .J( ~ , " / ./ ' " ,':§" ",,/ ,- '(I, ~'~~"s;.liJ*· 6; IJ ~ ,;g. > . ,~ J 0òJ INSp '7 , r, /' .' 8~ I NESS N 4;:;;' ---~ - -- - '- - -.., ~ . - NDRTH 'SCAL£: SONNV'S CHEVRON n()O~ OF , rtl / FAÇ.l L:tTY 1'141'1 ¡; 3699-Wilson-Road 'DA TE / Bakersfield, CA. 93309 I)/I)J1 :r¡; (j~ ,~ (CtlËèJ< o.v E) '$lT£ D!AG~4M / FAC'lbI7 Y ().lI1GæAI/I-l ' ' , - 1 ,/ I . (. 11 VA.CAJVT ¿o'r " 'D '" ,i ! .. \ . , . , .I . . ~ l_-ì-___ tt. VI/, L. S C) /(.1 If 0 4.D F."'t~,, F:~«%=~ ~ rp'H9 j- . f¡;~-~---_. h, -~,:~- C 1:/1.1 ,.",," l.!'IAM;)J 0.'\_.0 , V; '-1...1 'I /:15'6 ' ...... o-1..IV\ , : Q:' 1 ).",,: '.I - I:{,I 1\ _~ 0 \ , 10 ISct J~~lð.~ G (, Mw\~\<.Q.."" , '3 (.,J-C!, '1;i'- -~ ..... ~T:J~.. ~G\ ,'--d;,~ ] ,-=¡ \'~b, \...: - j 1_.__! 0 ) 2.. e. l~ /tP'ß" . - l' - (1Þ5¡Jl'~f()~j> Cpn)Þ>e~(.f) _. ~... , 'CF~:J CU!I, lße QPe.. y- / - eJ / CUSTOMER TYPE & NO E.5 21 / 3 RECEIVABLES ADJUSTMENT DATE )() - /ð - ();;i NEW ACCOUNT ADDRESS CHANGE CLOSE ACCOUNT FINANCE CHARGE OTHER ADJ ~~. . CUSTOMER NAME C;d/ViLJ?L (.,(4 (Z fJ~ G I , MAlUNGADDRESS , ...->kn'l9 11-'/0 ~~ 2 .~ ~ Crrl:f1j¡¿AtJuçd./ STATE û-- ZIP CODE 9~J?09 SITE ADDRESS 0(PQQ M'ßAJðA ) 'fY~ '-- PARCEL NUMBER (IF APPUCASU!) A.DJUSTMENT CHARGE DATE I - - 0 ,;¿.., )-J - éL- J -) - j-) I-I / - /5-0 . ¿¡Too J REMARKS: k:f~ k~..{1Jhþ'4JAJ)' IO-r2::i-ð/ HTE - [Cu st~l:1er Master Maintenance - CITY OF BAKERSAEI.. D] ,. p e Odoœr 10, 3103 8:51 AM -, Home I Email New Window I r~~1 Customer Type Balance ;: ;\ .. Cu8tomerID: Customer type: ES SA PRODUCTS CO Pa}Off amount: , Bal&~ce Amount Curren t "',." L=='=____::::=J'7 9=:ÖÖ:] ,.1 l g~;~~ª-f~:f-::~~É~=~~~ Click OK for detail infonnaUon ~ II Cancel Oaobar 10, ¡¡¡038:51 AM - CustomerTw>e Balance Delal Display ~obor 10, 3)038:51 AM CU'StoÌTIer ID: ::913 CH.N USA PRODUCTS CO ENVIRONMENTAL SERVICES - ;~ t! '. Customertype: ES I Balances Current balance: 579.00 Loan baance: ,00 Tot at 579,00 Pending balance: ,00 Deposit balance: ,00 , Transact ~on Transact 10n Open Pendlng Cede Descrlpt.10n Oat e AIIDLU1 t AITOlU1 t , i.t := GE~~~1~f~~~i~~~3E~-~;~;;j!:~~~ L....,-if 1/15/02 ¡UiMOl? :[¡iAZ MAT ANNUAL IÑSPECTION i¡ ----š-3:ÕOi¡' - 53,00 i F-=-~:,--~~~j[-~~~~r~Zt}3~~~;~-'t-~=~~~~~~:~~~~~~~~·-~~--:_~¡(,=:"-~:=-==~~Œ~~~~-~'][0_"~'~~~-=I~~~:-] ~ . = Pending activity II Cancel CustomerT ..'), 1\ Balance Deta. Display Odoter 10, 21038:54 AM 'I C~to'mer ID: :æl13 CH.ON USA PRODUCTS CO - ... Customer type: ES ENVIRONMENTAL SERVICES I I Balances Current balance: 579,00 Loan balance: .00 Totat 579,00 Pending balance: ,00 :-----'-------'-'¡'-----------~'--..-----"t:---------- ',-'---~------------..----------...-'----'-Ir--.. ,--- ---~,--...,--....--' r---- ---------------' : 1¡ 1/15/02 ¡¡SS002 I¡UST STATE SURCHARGE Ii 40.00 !¡ 40.00 ! .;:-=-=:...:,:=:::~:~:==---::; -:-:-:--:::.-:~:-:::~::=::;'.:..---"" .-.- -, ..:f;::::,:"-;:-=;::-,:;=~~::::::;,~:;~::-::,,-:;:;::,;:::=-:.-:;=:;;:~:~::::::-;,, ::::'; ,:::;: :-::;:::::-:::-=::~-=-:::-! -:::;;;:- ..:;::::=:;-....;.-;: :.-::::;::::::::::=-; : ;:¡ 1/15/02 !jUTO 011!UNDERGROUND TANK ANNUAL ii , 300.00 il, 300.00 I t~-FI~~¡B~~~~~~;SjV=/S~fS-i~~J'.1 . = Pending activity II Cancel Odoœr 10, ;0039:01 AM Home I New Window Email r - 0 ',I - ['i;~¡i..i~~~~¡~~~~;:~j~~I~ .~I: . e .' . ..- ~~..>$ -¡ !~--~1¡~ ~dG1:¥~i~;~~~J:;:~;::j~==-==·lì ,.""", '." """-~ j""" I ' ~i ~~. - ~ -<",q,'H: ~ ¡r--T :1 W';%9 i I ::ë:ustomerID: Odoblr 10, 2)039:01 AM Customer Type Balance Customertype: - ES ENVIRONMENTAL SERVICES Payoff amount: I Balance Arrotmt Curren t . . . . t . : .l~~~=~--~=~~~ 00 --] i.1 '-= E~~~I~~~~·~~:~~~::~~-~:;-~-->~]f:~:~~~<~:~:0~~:'~-·~~: ,[=ii~p'~~i-~==~:~=::=;~~~~:--~==~~~~'j[:==~~------'-=~_'~_~~'~_~----! ~ Click OK for detail infonnalion II Cancel CustomerType Balance Delal Display OQolBr 1 O. 3)039:01 AM ~ustõmerID: 0069 JO. F ETIEN NE ENVIRONMENTAL SERVICES e :. Customertype: ES I I Balances Current balance: ,00 Loan balance: .00 Totat .00 Pending balance: ,00 ,00 _f~===fL?l?~~~~Jr~~~~-,~!~~~g~~=~~~~~i~~:~;~~~;;;:~~::;,.~~~~~==~~~~~~!r;~~;~~:'::~:;:~gg~~:~! i i!i 3/01/02 ¡,strom ¡¡Statements Processed :i / .OO!¡ .00 ! r::.~~~~,~:~:.l~~~~,:-,'~t~~!"()fJr:---'--¡:~;~~,~~~,~:~~~:,~:~=:~-~,=:~~:~:~~~je~:-~~=.,.:~2.~,~,Y~=~~Jt~::,~~=,:,~~,:-~,~.~~~,-,.~j. ¡ -¡I¡ 1/15/02 i HMO 05 ifHAZ MAT HANDLING FEE E Ii 116.00 Ii .00 i l~~-'.~~,____J~,~.~~~·_=;~i~{~iJ ~g~7 .,',rr~_~~!,~~~..,i~~_l'~i_~~~~~~,:](~__:=:=:=~~~i~~Q~~l[~=~_:'=.~==~~-,:~q:¡ j i:¡-1/15/02-¡HM018 ffSMQi.J!OOITYHAZWASTEGEN 'i 53,00 Ii .00 iri¡ '~__'__'_._._,___S..--~__._~_______~___--i. (':----~---____,__-__~_._---.------_____..________ '+O---~'---_.__._--'----_---'._:--o__' ----;-:00----------....... ~ II Cancel "------...- - - . = Pending actillity M. '.. ,~-(-.....- CustomerType Balance Detal Display O<Iobor 10. 3)039:01 AM ~u~tómerID: 0069 JOa F ETIEN NE ENVlRON~NTAL SERVICES ,. Customer type: ES I I Balances Current balance: ,00 Loan baance: ,00 Tot at ,00 Pending balance: ,00 Deposit balance: ,00 BlE:~J;fJf[~~.~ª-~~~~E~~Eª=~ ; ;q 12/01/01 ¡,strom listatementsprocessed 'i ,00 Ii ,00 I F===l---;~~r~~:;~~;~=;~'~-]~"~':-{~-iE:-:::_::H~ . = Pend ing activit y Cancel ~.. , \ .: ¡ , ...... ~.- '~. ,'- ." JOSEPH, Trustee ". ~Obf - · Receiver 015" Oc:;/ 06tJ5b-S February 19, 2002 City of Bakersfield Office of Environmental Services 1715 Chester Avenue Bakersfield, California 93301 ,~__~ _,A' _ ~~~ 0. _~~ _~.~___ '. _....~-~~,u.u.u..__? RE.; 3699 WIlson Road Chevron_,..:.;.:..",,' -¿~... - ,--. - .------- ..- ------- ...-.' -. -- ------~._~, - --- -- = ~ . :-'~;'" "'.."-".-.¥ ...-.-- ~.-'--~_-__'""_1--";:"__--t-""___':'_ ";.____ -.,___ ........_________~-~¡_ -+-~_,......,.~-_ .........._;.,.,..~.~ -......~_....~.__..._..i...--_.......,~____._ To Whom It Mà.y Concern: I am the Court appointed Receiver of the. business and real property commonly known as Wilson Road Chevron, 3699 Wilson Road, Bakersfield, California. The Receiver is in receipt of your Hazardous Materials Management Plan. This business was closed on October 22,2001, by the Receiver. At the time of the closure all of the gasoline tanks had been emptièd by the prior owner. The propane tank located on the property was emptied by Wholesale Fuels Inc. subsequent to the closure. '7 ./ j' In compliance with the Bakersfield Fire Department requirements, verification of the closure was done by B C Enterprises who ensured all of the valves and power to the fueling system had been properly turned off. A copy of B C Enterprises' letter of December 14, 200.1, is included for reference. ...... -. - - - - . ~ ~ . . . - , - ~ - -~~ The' Business Identification-Data -for- the"Hazardoùs~Materials' .. , ~7"'" ".. -"c..............· ~ .- +..,.. _.. "'..-- -' Management Plan has been completed and is included. The section Discovery and Notification is left blank as all the fuels have been removed and the business is closed. I, The Business Owner/Operator form and the Hazardous Materials Inventory have been completed based upon the information known to the Receiver and ,those forms are included. , . Finally, check number 1008 in the amount of $239.00 payable to the City of Bakersfield is enclosed per the January 1~, 2002, statement for your Customer Number 6069. " . ¡ 4140 Truxtun Avenue, Suite 200, Bak£rsfield, CA 93309 · Tel: 661.864. I 770 I 661.634.0937. Fax: 661.321.9016 · e-mail: kjun/aW®msn.com j::'-'. . ~ . . tit . City of Bakersfield February 19, 2002 Page Two e It is the intent of the Receiver to cooperate with the City of Bakersfield to ensure that this closed facility complies with all appropriate regulations for closed service stations. Should you need additional information please contact the Receiver or Thomas S. McIntosh, Esq. at LeBeau Thelen, LLP (661-325-8962) attorney for the Receiver. End (5) Cc, Thomas S. McIntosh, Esq. I, I . . ~ . : .. ,.... ~ ¡ ~. ~. I. ' . -_.:..--.~. .'.... .~.<.'... ~¡.':"-~---,......-.~~~.-< :....-"---O'~..,··,_!:_I. ~~.~_I , I ,~.. ... - -. . . ; . ........ 1. , ~,~. _ . "-"',1' '" - I I ¡ ...: ~. '''~ ~ e e CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: " .,--~ 1. To avoid further action, return this fonn within 30 days of receipt.. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. '4. Be as brief and concise as possible. 5. You may also attach Business Owner / Operator Fonn and Chemical Description Fonn(s) to the front of this plan instead of completing SECTION I. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA BUSINESS NAME: /L¿,L~J ß,q..¿j~~ r~ ~~~ LOCATION: dZ/~ /~_!" ~ ßAICt ,..MAILING ADDRESS: .W~. ~~..c.ð #e7<!!:f;1!tt1«~ ~~~. CITY: ~~d PRIMARY ACTIVITY: C?h::5A.<Ý STATE: t2A ZIP:.9~HONE:~~ý~~ OWNER: -~~ Æ/~~ ~Q~ PHONE: ¿¿./-i!7£,Ý-/7?ò MAILING ADDRESS: ,~~ -:ï2cv~~ ~U~ ~/~~ ,,~"~~.t,..,B'~ , ' ' ., _, "ð.5ðí EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE - .'__ _.._ - _'_"0 _. --1. ' Æ~~~~;U~ ,- - ._~~m--~6-;-~~'?i7ð- 2. 24 HR. PHONE . - - .-.-- - -- 1 Ð ,i!" ;~è' e . HAZARDOUSMATEmALSMANAGEMENTPLAN SECTION II.I: DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: - - " ,.. B. . , EMPLOYEE AND AGÈNèYNbTiFY{:~A TION:~"''';:~~''~''::'':- -~~.:. '''' :_~':::~~:= ~,:..~~.'~.:- .. ~_"'_P'" . .- . ._-.-, ~ " ~ ......'": . "--'-. ~', < . :"" ..~. .. - '. . . _..--~'.~ -.-... ....... '._~- ....-- ... -"' .....~ '..- '.- .. -. . , , , "C.", ENVIRONMENTAL RESPONSE MANAGEMENT::,---.- , .. ..- - -' . , " . --. -- '- . '-". ....... .__..' .4' ... ._., ... ... ".-..., - - ._.... , . .'jb.....· ,,~. ;,-, - -, . ~. . -' -. ~ _. .' 0 . "-''''. .' ,~ ' .- ._. ..... ,._h . . , . '. ; . ~ . . '::.~ "'h~'':' .. . ".~ ',"", D. " EMERGENCY MEDICAL PLAN:. - - -.- - - . -. -_..-- - - _..------,. -, ,,- ~ - --- '0 ~_.____..____ __ . -~ ,_. -_. - --... - --,-- ... -- - - -'-- ~_._.., . - . - ~---,- -,..- -". - ,,-- -. ,- - --.- '-~- . .,. . ". .-" ~ ",- " ,- ~ . ~ . -, -- ~.. -.. . . 2 " ::;.:-....>,:..: . .. ".;,.,.. .h <...; ..;. '_.!..:. ' .. . ~,' .. - " .:'..;,..:j. . -- ." ~. . ~ -, -'" . ." ..,.. ¡ , . ~ ._,f, ._ -- ....' .. ' -..:." ..'" . ~. '. ~ " ..,,:;,,; . CITY OF BAKERSFIEL" ' OFrrCE OF ENVIRONMENTAL S~VICES 1715 Chester Ave., CA 93301 (661) 326-3979 BUSINESS OWNER I OPERATOR IDENTIFICATION FACILITY INFORMATION Page _ Of , ' , , " ,t FACILlTYID #, !- -, ',' 'cr ¡ BUSINESS NAME (Same as FACllITYNAME or DBA- Doing Business As) i &)~/..~ ,iM,,od C'~~r~~-~--r I SITE ADDRESS ! i .r- i CITY I 100 101 . ..'~ -- - ~.. . -_.-~. ---. - 3 BUSINESS PHONE "/ -d6'¡'-/77~ ---- 102, 103 : ~~~d 104 I CA ZIP ~ 106 SIC CODE (4 Digit#) ss4/ ¿ O.::s-~I 105 i ! DUN& : BRADSTREET I I COUNTY ~ ,I OPERATOR NAME Jc~" '':: E:;oo"/~Ne-, -;ê~u~ - 107 I ; 108 i , ! OWNER MAILING ! ADDRESS 113 ¡ I i if: I CONTACT NAME Ii CONTACT MAILING : ADDRESS ~¢o 1/2.uJtCZ"UÑ/løð;IV~ ~/7'£..:U!:1c:!J ~~ 119 : 125 TITLE i 130 : i 131 ! i 132 : ¿.~(-ð'~..{.-/ ~ 126 BUSINESS PHONE ! 24-HOUR PHONE I PAGER # 127 24-HOUR PHONE TOR (print) v+ F 6/~A/e ..:2-/e:~ .../0 136 TITLE OF OWNER/OPERATOR ~~ P:;-6T:?y~~ 135 i I I 137 I ", 134 ... ..- - ,- . _.. - .~._- -,-" -- __.______ __.__. - _. - _,_~ ,_ __ ._ - - 0"' ._.. ... UPCF (7/99) S:\CUPAFORMS\OES2730.TV4.wpd ~~ tit 'CITY OF BAKERSFIEL~ OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION DNEW DADD 200 (one form per material per building or area) Page of DYes 0 No 202 . 204 ~ COMMON NAME ~ ' Ddr!:f,L/ .. ~ CAS # FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) TYPE o p PURE o m MIXTURE o w WASTE 211 RADIOACTIVE o Y~ 0 No 212 CURIES 210 213 215 216 220 222 ! i 223 PHYSICAL STATE o 5 SOLID o I LIQUID o 9 GAS 214 LARGEST CONTAINER FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE AMOUNT o 1 FIRE 02 REACTIVE o 3 PRESSURE RELEASE o 4 ACUTE HEALTH 05 CHRONIC HEALTH 217 MAXIMUM DAILY AMOUNT 218 AVERAGE DAILY AMOUNT 219 STATE WASTE CODE UNITS~, o ga GAL _.. 0 d,CU FT ,0 Ib LBS . If EHS. amount must be in Ibs. o (n TONS 221, DAYS ON SITE STORAGE CONTAINER o a ABOVEGROUND TANK De PLASTIClNONMETALLlC DRUM o i FIBER DRUM o m GLASS BOTTLE o q RAIL CAR (Check all that apply) o b UNDERGROUND TANK Of CAN OJ BAG o n PLASTIC BOTTLE o r OTHER o c TANK INSIDE BUILDING o 9 CARBOY Ok BOX o 0 TOTE BIN o d STEEL DRUM o h SILO o I CYLINDER o p TANK WAGON STORAGE PRESSURE o a AMBIENT- o aa ABOVE AMBIENT o ba BELOW AMBIENT STORAGE TEMPERATURE o a AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT o c CRYOGENIC 224 225 2 I 230 231 DYes 0 No 232 233 3 234 235 OYesONo 236 237 4 238 239 ' o Yes-O No 240 241 . -_.._~."-~ - 5 242 243 DYes 0 No 244 245 )?~o~ o:z-/ð ~ UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd · ~ ~r I:2nter~rises ....... ~ 7104 Elkhom Street Bakersfield, CA 93313 (661) 663-7052 CA Lie. #742735 Haz Cert. ~mber14,2001 Joseph F: Etìenne 4140 Truxtun Avenue, Suite 200 Bakersfiefd, CA 93309 RE: Chevron Food-Mart - Wilson Rd./Real Rd. Dear Mr. Etienne: Thìs fetter is to confirm the safe closure of the Chevron FOod Mart at the above focation. This was - aclÍieved on Monday, December 3,2001, by closing all shear valves and turning all power to the fuefing system off: This work was performed by me, BobU"nderw<>O<:L ofBC Enterprises, 7104 Elkhom Street, Bakersfield, CA 93313. A copy ofthìs letter has been sent to Steve Underwood at the Bakersfield .rIfe Department. Ifrcan be of further assistance to you, please feef free to calf upon me. Sincerely, ~ Bob Underwood, Owner BC Enterprises '£\,/( ~-'~ (2/ . ,~"" ,,>,~~ e- " J 0 S E P H"Jt¡;t;]~ßT IE N N E Trustee ·,¡(::;onservator · Receiver ,.(fJ o"~ i LJ &c t·,' 0'7 '" ¡.;~ January 27, 2002 City of Bakersfield P.O. Box 2057 Bakersfield, California 93303-2057 Re: Customer Number 6069 1 1--------- '-- '~', To,WhomJtM.~:Y-~9I1C~;_ - ,. - ' .~..c_~___,.,__'......__,,',. ~____",,~~.___ I am the court appointed Receiver for the Chevron station located at 3699 Wilson Road, Bakersfield, California. This station was closed, the fuel tanks emptied and the property secured in November 2001. I would like a clarification of your January 15, 2002, statement, a copy of which is enclosed. Since this station is out of business and will remain so until sold, what of the charges assessed are applicable to such a business? Your anticipated assistance is appreciated. Encl (1) I 1-----..· -~---- --,', -__ - -.--...........-.1.-- ~...- .-'---...-.-- ------......'~;;...,....r....-:: ........ - ~ - - --- - -- ... r .-,'"-'"-- -.....-........... . - - - ^ -"'- . . . ~-~ -_--.>-~ >---- 4140 Truxtun Avenue, Suite 200, Bakersfield, CA 93309 · Tel: 661.864.1770 / 661.634.0937 · Fax: 661.321.9016 . e-mail: kjunlaW®msn.com im , ~,-- LV I I , ~.f;. - .,jO"J~ h:r 'Ç'--\-, -e_A\)"'~ e-f I L/ 0 -q{Jf -0'^- ~ Dj I ~. } ~<~) ~ 'I, ¡If ~ ~l . ¡\.-- --' , ,'- - - .- - -. . . +CWiLSÕN- CHEVRON SERV~CE ============================== SiteID: 015-021-000363 + Manager ~:_,- ----- - -.,- ,- LocatioI!Í :__3699 - WTLSON RD City BAKERSFIELD BusPhone: Map : 123 Grid: 11D (661 ) 83 1 - 6075 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 SIC Code:5541 EPA Numb: DunnBrad: +==============================================================================+ +=======================================+======================================+ Emergency Contact / Title Emergency Contact / Title FAWZI KAYALI / DEALER JERIES AYOUB / Business Phone: (661) 831-6075x Business Phone: (661) 831-6075x 24-Hour Phone : (661) 827-9611x 24-Hour Phone : (661) 399-7011x Pager Phone : () x Pager Phone : () x +----------------------------~----------+~-------------------------------------+ I Hazmat Hazards: Fire ImmHlth DelHlth I +------------------------------------------------------------------------------+ Contact : JOSEPH F. ETIENNE Phone: (661) 831-6075x MailAddr: 4140 TRUXTUN AVENUE AVE State: CA City : BAKERSFIELD Zip : 93309 +------------------------------------------------------------------------------+ Owner FAWZI KAYALI Phone: (661) 831-6075x Address : 4450 CALIFORNIA AVE K State: CA City : BAKERSFIELD Zip : 93309 +------------------------------------------------------------------------------+ Period to TotalASTs: Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No +------------------------------------------------------------------------------+ Emergency Directives: NOTE** Facility went into receivership on 10-22-01 All bills and correspondance go to Joseph F. Etienne 4140 Truxtun Ave. Bkfd. Ca 93309 Phone # 864-8664 Fax. 321-9016 +==============================================================================+ WJdæZG, oL ~µ2- -/, ' ,6ÞJ -1- 03/20/2002 .. + WILSON CHEVRON SERVICE ============================== SiteID: 015-021-000363 + +==================== STORAGE CONTAINER DATA (UST FORM A) =====================+ I Last Action Type: I +------------------------- FACILITY/SITE INFORMATION --------------------------+ Business Name: WILSON CHEVRON SERVICE Cross Street : Business Type: Total Tanks 4 IndnRes/Trust: No +------------------------- PROPERTY OWNER Name JERIES AYOUB Address: City Type +--------------------------- TANK OWNER INFORMATION ---------------------------+ Name JERIES AYOUB Phone: (661) 831-6075x Address: City Type +------------------------------------------------------------------------------+ BOE UST Fee# : UNKNOWN Financ'l Resp: SELF INSURED Legal Notif : Tank Owner Mailing Address +------------------------------------------------------------------------------+ Date: 11/03/2000 Phone: (661) 831-6075x Name:FAWZI-KAYALI Ttl:OWNER State UST # 1998 Upg Cert#: 00730 +==============================================================================+ Org Type: PA Contact: INFORMATION -------------------------+ Phone: (661) 831-6075x \. State: Zip: State: Zip: += Hazmat Inventory ========================================= One Unified List + +== Alphabetical Order ================================= All Materials at Site + +--------------------------------+-------+-----------+-----+----------+----+---+ I Hazmat Common Name... SpecHazlEPA Hazards Frm I DailyMax IUnitMCP +--------------------------------+-------+-----------+-----+----------+----+---+ MOTOR OIL F DH L 55.00 GAL Min SUPREME UNLEADED GASOLINE F IH DH L 12000.00 GAL Mod UNLEADED GASOLINE F IH DH L 12000.00 GAL Mod UNLEADED PLUS GASOLINE F IH DH L 12000.00 GAL Mod WASTE MOTOR OIL F DH L 1000.00 GAL Low WASTE OIL FILTERS F DH S 200.00 GAL UnR +==============================================================================+ -2- 03/20/2002 · e + WILSON CHEVRON SERVICE ============================== SiteID: ,015-021-000363 + += Inventory Item 0004 =============== Facility Unit: Fixed Containers on Site + +-- COMMON NAME / CHEMICAL NAME -----------------------------~+------.----------+ -- ------------------------------ ---------------- MOTOR OIL I Days On Site I ' 365 +----------------+ I CAS# I Location within this Facility Unit STORAGE ROOM Map: Grid: +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Liquid I Pure I Ambient I Ambient I ABOVE GROUND TANK I +=========+==========+===============+===============+=========================+ +==========================+ AMOUNTS AT THIS LOCATION =========================+ I Largest Container I Daily Maximum I Daily Average I GAL 55.00 GAL 55.00 GAL +==========================+=========================+=========================+ +=======+============== HAZARDOUS COMPONENTS ==============+===+===============+ I %Wt. I IRS I CAS# I 100.00 Motor Oil, Petroleum Based No 8020835 +=======+==================================================+===+===============+ +=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ I TSecretI RSIBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I No No No No/ Curies F DH / / / Min +=======+===+======+====================+=============+=========+========+=====+ += Inventory Item 0001 =============== Facility Unit: Fixed Containers on Site + +-- COMMON NAME / CHEMICAL NAME ------------------------------+----------------+ -- ------------------------------ ---------------- SUPREME UNLEADED GASOLINE 'I Days On Site ¡ 365 +----------------+ I CAS # I 8006-61-9 Location within this Facility Unit IN MIDDLE OF LOT, UNDERGROUND Map: Grid: +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Liquid I Pure I Ambient I Ambient I UNDER GROUND TANK I +=========+==========+===============+===============+=========================+ +==========================+ AMOUNTS AT THIS LOCATION =========================+ I Largest Container I Daily Maximum I Daily Average I 12000.00 GAL 12000.00 GAL 7000.00 GAL . +==========================+=========================+=========================+ +=======+============== HAZARDOUS COMPONENTS ==============+===+===============+ I %Wt. I I RSI CAS# I 100.00 Gasoline No 8006619 +=======+==================================================+===+===============+ +=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ I TSecret IRS I BioHaz I Radioactive/Amount I EPA Hazards 'I NFPA I USDOT# I MCP I I No No No No/ Curies F IH DH / / / Mod +=======+===+======+====================+=============+=========+========+=====+ -3- 03/20/2002 · . + WILSON CHEVRON SERVICE ============================== SiteID: 015-021-000363 + += Inventory Item 0006 =============== Facility Unit: Fixed Containers on Site + +-- COMMON NAME / CHEMICAL NAME ------------------------------+----------------+ -- ------------------------------ ---------------- UNLEADED GASOLINE I Days On Site I 365 +----------------+ I CAS# I 8006-61-9 Location within this Facility Unit UNDERGROUND TANK Map: Grid: +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Liquid I Pure I Ambient I Ambient I UNDER GROUND TANK I +=========+==========+===============+===============+=========================+ +==========================+ AMOUNTS AT THIS LOCATION =========================+ I Largest Container I Daily Maximum I Daily Average I 12000.00 GAL 12000.00 GAL 7000.00 GAL +=====~====================+=========================+=========================+ +=======+============== HAZARDOUS COMPONENTS ==============+===+===============+ I %Wt. I I RSI CAS# I 100.00 Gasoline No 8006619 +=======+==================================================+===+===============+ +=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ Tsecretl RSIBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I No No No No/ Curies F IH DH / / / Mod +=======+===+======+====================+=============+=========+====~===+=====+ += Inventory Item 0005 ===============Facility Unit: Fixed Containers on Site + +-- COMMON NAME / CHEMICAL NAME ------------------------------+----------------+ -- ------------------------------ ---------------- UNLEADED PLUS GASOLINE I Days On Site I 3'65 +----------------+ I CAS# I 8006-61-9 Location within this Facility Unit UNDERGROUND TANK-OUT OF SERVICE Map: Grid: +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Liquid I Pure I Ambient I Ambient I UNDER GROUND TANK I +=========+==========+===============+===============+9========================+ +==========================+ AMGUNTS AT THIS LOCATION =========================+ I Largest Container I Daily Maximum I Daily Average I 12000.00 GAL 12000.00 GAL 7000.00 GAL +==========================+=========================+=========================+ +=======+============== HAZARDOUS COMPONENTS ==============+===+===============+ I %Wt. I IRS I CAS# I 100.00 Gasoline No 8006619 +=======+==================================================+===+===============+ +=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ ITsecret/ RSBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I No No No No/ Curies F IH DH / / / Mod +=======+===+======+====================+=============+=========+========+=====+ -4- 03/20/2002 · . + WILSON CHEVRON SERVICE ============================== SiteID: 015-021-000363 + += Inventory Item 0002 =============== Facility Unit: Fixed Containers on Site + +==COMMON NAME / CHEMICAL NAME ==============================+================+ WASTE MOTOR OIL I Days On Site I 365 +----------------+ I CAS# I 221 +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Liquid I Waste I Ambient I Ambient I ABOVE GROUND TANK I +=========+==========+===============+===============+=========================+ +==========================+ AMOUNTS AT THIS LOCATION ================~========+ I Largest Container I Daily Maximum I Daily Average I ' 1000.00 GAL 1000.00 GAL 200.00 GAL +==========================+=========================+=========================+ +=======+============== HAZARDOUS COMPONENTS ==============+===+===============+ I %Wt. I IRS I CAS# I 100.00 Waste Oil, Petroleum Based No 0 +=======+==================================================+===+===============+ +=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ I TSecretI RSIBioHaz Radioactive/Amo~nt I EPA Hazards I NFPA I USDOT# I MCP I No No No No/ Curles F DH / / / Low +=======+===+======+====================+=============+=========+========+=====+ Location within this Facility Unit MIDDLE BLDG STORE ROOM Map:, Grid: += Inventory Item 0008 =============== Facility Unit: Fixed Containers on Site + +== COMMON NAME / CHEMICAL NAME ==============================+================+ WASTE OIL FILTERS I Days On Site I 365 +----------------+ I CAS# I 221 +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Solid I Waste I Ambient I Ambient I DRUM/BARREL-METALLIC I +=========+==========+===============+===============+=========================+ +==========================+ AMOUNTS AT THIS LOCATION =========================+ I Largest Container I Daily Maximum I Daily Average 200.00 GAL 200.00 GAL 100.00 GAL +==========================+=========================+=========================+ +=======+============== HAZARDOUS COMPONENTS ==============+===+===============+ %Wt . I I RS I CAS# I +=======+==================================================+===+===============+ +=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ I TSecretI RSIBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I No No No No/ Curies F DH / / / UnR +=======+===+======+====================+=============+=========+========+=====+ Location within this Facility Unit STORAGE AREA BEHIND SHOP Map: Grid: -5- 03/20/2002 + WILSON CHEVRON SERVICE ============================== SiteID: 015-021-000363 + +================================================================= Fast Format + += Notif./Evacuation/Medical ==================================== Overall Site + +== Agency Notification =========================================== 11/06/2000 + . . CALL 911. +==============================================================================+ +--- Employee Notl'f /Evacuatl'on ----------------------------------- 11/06/2000 + --- . ----------------------------------- . IN CASE OF LARGE SPILL OR FIRE EMPLOYEES ARE INSTRUCTED TO SHUTOFF ELECTRICAL POWER AND LEAVE PREMISES IMMEDIATELY AND THEN CALL FIRE DEPT 911. +==============================================================================+ +---- Publl'C Notl'f /Evacuatl'on ------------------------------------ 11/06/2000 + ---- . ------------------------~----------- IN CASE OF LARGE HAZARDOUS SPILL EMPLOYEES ARE INSTRUCTED TO SHUT OFF ALL EMERGENCY SWITCHES, CALL FIRE DEPT, 911" AND TELL ALL PERSONS ON PREMISES TO LEAVE AREA. +=============================================~================================+ +----- Emergency Medl'cal Plan ------------------------------------- 11/06/2000 + ----- ------------------------------------- WHITE LANE MEDICAL CENTER, 5401 WHITE LN, 832-2000. +==============================================================================+ -6- 03/20/2002 · . + WILSON CHEVRON SERVICE ============================== SiteID: 015-021-000363 + +================================================================= Fast Format + += Mitigation/Prevent/Abatemt =================================== Overall Site + +== Release Prevention ============================================ 11/06/2000 + EMPLOYEES ARE INSTRUCTED TO BE CAREFUL WHEN PUMPING GAS IN AUTOMOBILES AND TO REPORT ANY SMALL SPILLS OR LEAKS TO MANAGER. IF EMPLOYEES SHOULD SEE A SPILL OR LEAK THAT IS SMALL IT SHOULD BE CLEANED UP IMMEDIATELY. IF THERE IS A LARGE LEAK OR SPILL EMPLOYEES ARE INSTRUCTED TO SHUTOFF EMERGENCY ELECTRICAL SWITCHES AND CALL FIRE DEPT 911. +==============================================================================+ +=== Release Containment ======================================================+ I I +==============================================================================+ +==== Clean Up ================================================================+ I I +=========================================h====================================+ +===== Other Resource Activation I ==============================================+ I +==============================================================================+ -7- 03/20/2002 · ' e, + WILSON CHEVRON SERVICE ============================== SlteID: 015-021-000363 + +================================================================= Fast Format + += Site Emergency Factors ======================================= Overall Site + +== Special Hazards ===========================================================+ I I +==============================================================================+ +--- Utl'll'ty Shut-Offs --------------------------,------------------ 11/06/2000 + --- -------------------------------------------- A) GAS - AT PUMP¡ 10FT FROM TANK¡ AND AT MAIN BOX B) ELECTRICAL - MAIN BOX IN BLDG¡ ON FRONT WALL OF BLDG¡ AND IN STORE C) WATER - SW CORNER OF LOT D) SPECIAL - NONE E) LOCK BOX - YES, IN FRONT OF BLDG +==============================================================================+ +---- Fl're Protec /Aval'l Water ----------------------------------- 11/06/2000 + ---- .. ----------------------------------- PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS LOCATED IN FRONT OFFICE, IN LUBE ROOM, IN STORE IN FRONT OF BLDG AND AT PROPANE TANK. FIRE HYDRANT - ON SORANNO DR. +==============================================================================+ +===== Building Occupancy Level ===============================================+ I I +==============================================================================+ -8- 03/20/2002 · \ . + WILSON CHEVRON SERVICE ~============================ SiteID: 015-021-000363 + +=================================================================Fast Format + += Training ===================================================== Overall Site + +== Employee Training ============================================= 11/06/2000 + WE HAVE 11-12 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: OUR COMPANY SENDS US HAZARDOUS MATERIAL BULLETINS AND ALL EMPLOYEES ARE REQUIRED TO READ AND UNDERSTAND WHAT THE HAZARDOUS WASTE MATERIALS THAT THEY WORK WITH AND COME IN CONTACT WITH ON THE JOB. EMPLOYEES ARE INSTRUCTED HOW TO HANDLE ALL HAZARDOUS MATERIAL. +==============================================================================+ +=== Page 2 ===================================================================+ I I +==============================================================================+ +==== Held for Future Use =====================================================+ I I +==============================================================================+ +===== Held £or Future Use ====================================================+ I I +==============================================================================+ -9- 03/20/2002 ,,"'~' .;;.9/3" , n _____ _ . ' . +\WILSOÑ-CHEVRON SERvrCÈ ============================== SiteID: 015-021-000363 + '" - ~. - - Manager: ___n___'n_'u ___ Location: 3699 WILSON RD Ci ty ~- BAKERSFI-ELD-- ~- BusPhone: Map : 123 Grid: 11D (661) 831-6075 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 SIC Code:5541 EPA Numb: DunnBrad: +==============================================================================+ +=======================================+======================================+ Emergency Contact / Title Emergency Contact / Title FAWZI KAYALI / DEALER JERIES AYOUB / Business Phone: (661) 831-6075x Business Phone: (661) 831-6075x 24-Hour Phone : (661) 827-9611x 24-Hour Phone : (661) 399-7011x Pager Phone : () x Pager Phone : () x +---------------------------------------+--------------------------------------+ I Hazmat Hazards: Fire Press ' ImmHlth DelHlth I +------------------------------------------------------------------------------+ Contact: JOSEPH F. ETIENNE Phone: (661) 831-6075x MailAddr: 4140 TRUXTUN AVENUE AVE State: CA City : BAKERSFIELD Zip : 93309 +------------------------------------------------------------------------------+ Owner FAWZI KAYALI Phone: (661) 831-6075x Address : 4450 CALIFORNIA AVE K State: CA City : BAKERSFIELD Zip : 93309 +------------------------------------------------------------------------------+ Period to TotalASTs: = Gal Preparer: TotalUSTs: Gal Certif'd: RSs: No +------------------------------------------------------------------------------+ Emergency Directives: NOTE** Facility went into receivership on 10-22-01 All bills and correspondance go to Joseph-F. Etienne 4140 Truxtun Ave. Bkfd. Ca 93309 Phone # 864-8664 Fax. 321-9016 ' +==============================================================================+ I, ~~jfpft:~u.,6 Do hereby certify that I have rev1f"/iBd the attached hazardous materials manage- ment plan for KJI/~~a.rJß)~nd that it along with (Name OÍ BusÎl1eS!!) any corrections constitute a complete and correct man- agement plan for my facility. o?-026 ~o<.... ~ -1- 02/15/2002 ì , . '. + WILSON CHEVRON SERVICE ============================== SiteID: 015-021-000363 + +==================== STORAGE CONTAINER DATA (UST FORM A) =====================+ I Last Action Type: I +------------------------- FACILITY/SITE INFORMATION -------------------------_+ Business 'Name: WILSON CHEVRON SERVICE Cross Street : Business Type: Total Tanks 4 IndnRes/Trust: No +------------------------- PROPERTY OWNER Name JERIES AYOUB Address: City Type +--------------------------- TANK OWNER INFORMATION -------------------------__+ Name JERIES AYOUB Phone: (661) 831-6075x Address: City Type +------------------------------------------------------------------------------+ BOE UST Fee# : UNKNOWN Financ'l Resp: SELF INSURED Legal Notif : Tank Owner Mailing Address +------------------------------------------------------------------------------+ Date:11/03/2000 Phone: (661) 831-6075x Name:FAWZI-KAYALI Ttl:OWNER State UST # 1998 Upg Cert#: 00730 +==============================================================================+ Org Type: PA Contact: INFORMATION -------------------------+ Phone: (661) 831-6075x State: Zip: State: Zip: += Hazmat Inventory ========================================= One Unified List + +== Alphabetical Order ================================= All Materials at Site + +--------------------------------+-------+-----------+-----+----------+----+---+ I Hazmat Common Name... I SpecHazIEPA Hazards I Frm I DailyMax UnitMCP +---------------------------7----+-------+-----------+-----+----------+----+---+ MOTOR OIL F DH L 55.00 GAL Min PROPANE F P IH L 1000.00 FT3 Hi SUPREME UNLEADED GASOLINE F IH DH L 12000.00 GAL Mod UNLEADED GASOLINE F IH DH L 12000.00 GAL Mod UNLEADED PLUS GASOLINE F IH DH L 12000.00 GAL Mod WASTE ANTIFREEZE F DH L 55.00 GAL Low WASTE MOTOR OIL F DH L 1000.00 GAL Low WASTE OIL FILTERS F DH S 200.00 GAL UnR +==============================================================================+ -2- 02/15/2002 · . + WILSON CHEVRON SERVICE ============================== SiteID: 015-021-000363 + += Inventory Item 0004 =============== Facility Unit: Fixed Containers on Site + +-- COMMON NAME / CHEMICAL NAME ------------------------------+---------------~+ -- ------------------------------ ---------------- MOTOR OIL I Days On Site I 365 +----------------+ I CAS# I Location within this Facility Unit STORAGE ROOM Map: Grid: +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Liquid I Pure I Ambient I Ambient I ABOVE GROUND TANK I +=========+==========+===============+===============+=========================+ +==========================+ AMOUNTS AT THIS LOCATION =========================+ I Largest Container I Daily Maximum I Daily Average I GAL 55.00 GAL 55.00 GAL +==========================+=========================+=========================+ +=======+============== HAZARDOUS COMPONENTS ==============+===+===============+ I %Wt. I ' I RSI CAS# I 100.00 Motor Oil, Petroleum Based No 8020835 +=======+==================================================+===+===============+ +=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ I TSecretI RSIBioHazl Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I No No No No/ Curies F DH / / / Min +=======+===+======+====================+=============+=========+========+=====+ 0003 =============== Facility Unit: Fixed Containers on Site + CHEMICAL NAME ==============================+================+ I Days On Site I 365 +----------------+ I CAS # I 74-98-6 +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Liquid I Pure I Above Ambient I Ambient I FIXED PRESS. CYLINDER I +=========+==========+===============+===============+=========================+ +==========================+ AMOUNTS AT THIS LOCATION =========================+ I Largest Container I ~ ~ Daily Maximum I ~ _ Daily Average I 1000.00 FT3 ~ - 0- :1.06ð.0'0- FT3 ~ --(>- :;00.00 FT3 +==========================+=========================+=========================+ +=======+==============, HAZARDOUS COMPONENTS ==============+===+===============+ I %Wt. I IRS I CAS# I 100.00 Propane ,Yes 74986 +=======+==================================================+===+===============+ +=======+===+======+===========HAZARD ASSESSMENTS ===+=========+========+=====+ ITsecret RS I BioHaz Radioactive/Amo~nt I EPA Hazards I NFPA I USDOT# I M~P I No No No No/ Curles F P IH / / / Hl +=======+===+======+====================+=============+=========+========+=====+ += Inventory Item +== COMMON NAME / PROPANE Location within this Facility Unit NE SIDE OF LOT Map: Grid: -3- 02/15/2002 · . + WILSON CHEVRON SERVICE ============================== SiteID: 015-021-000363 + += Inventory Item 0001 =============== Facility Unit: Fixed Containers on Site + +-- COMMON NAME / CHEMICAL NAME ------------------------------+----------------+ -- ------------------------------ ---------------- SUPREME UNLEADED GASOLINE I Days On Site I 365 +----------------+ I CAS# I 8006-61-9 Location within this Facility Unit IN MIDDLE OF LOT, UNDERGROUND Map: Grid: +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Liquid I Pure I Ambient I Ambient I UNDER GROUND TANK I +=========+==========+===============+===============+=========================+ +==========================+ AMOUNTS AT THIS LOCATION =========================+ I Largest Container I ~~Daily Maximum I ~ Daily Average I 12000.00 GAL v -0'" -12000. Oe- GAL l? -0 - .:f000. 00 GAL +==========================+=========================+=========================+ +=======+============== HAZARDOUS COMPONENTS ==============+===+===============+ I %Wt. I I RSI CAS# I 100.00 Gasoline No, 8006619 +=======+==================================================+===+===============+ +=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ Tsecretl RSBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I No No No No/ Curies F IH DH / / / Mod +=======+===+======+====================+=============+=========+========+=====+ +='Inventory Item 0006 =============== Facility Unit: Fixed Containers on Site + +-- COMMON NAME / CHEMICAL NAME -~----------------------------+-------~--------+ -- ------------------------------ ---------------- UNLEADED GASOLINE I Days On Site I 365 +----------------+ I CAS # I 8006-61-9 Location within this Facility Unit UNDERGROUND TANK Map: Grid: +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Liquid I Pure I Ambient I Ambient I UNDER GROUND TANK I +=========+==========+===============+===============+=========================+ +==========================+ AMOUNTS AT THIS LOCATION =========================+ I Largest Container cr Daily Maximum Daily Average 12000.00 GAL -ð - 12000.00 GAL ~ -0- 7000.00 GAL +==========================+=========================+=========================+ +=======+============== HAZARDOUS COMPONENTS ==============+===+===============+ I %Wt. I IRS I CAS# I 100.00 Gasoline No 8006619 +=======+==================================================+===+===============+ +=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ Tsecret RSIBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I No No No No/ Curies F IH DH / / / Mod +=======+===+======+====================+=============+=========+========+=====+ -4- 02/15/2002 .. . . + WILSON CHEVRON SERVICE ============================== SiteID: 015-021-000363 + += Inventory Item 0005 =============== Facility Unit: Fixed Containers on Site + +-- COMMON NAM' E / CHEMICAL NAME ------------------------------+----------------+ -- ------------------------------ ---------------- UNLEADED PLUS GASOLINE I Days On Site I 365 +-------,--------+ I CAS# I 8006-61-9 Location within this Facility Unit UNDERGROUND TANK-OUT OF SERVICE Map: Grid: +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Liquid I Pure I Ambient I Ambient I UNDER GROUND TANK I +=========+==========+===============+===============+=========================+ +==========================+ AMOUNTS AT THIS LOCATION =========================+ I Largest Container I ~ Daily Maximum I ~Daily Average I 12000.00 GAL LJ -(>- 12000;-00 GAL -0" -+000.00 GAL +==========================+=========================+=========================+ +=======+============== HAZARDOUS COMPONENTS ==============+===+===============+ I %Wt. I I RSI CAS# I 100.00 Gasoline No 8006619 +=======+==================================================+===+===============+ +=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ Tsecret RSBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I No No No No/ Curies F IH QH / / / Mod +=======+===+======+====================+========¡r?===+=========+========+=====+ += Inventory Item 0007 =============== Facili y Unit: Fixed Containers on Site + +== COMMON NAME / CHEMICAL NAME =========== ==================+================+ WASTE ANTIFREEZE I Days On Site I 365 +----------------+ I CAS# I 107-21-1 +=============================== -============================+================+ E ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Liquid I Waste I Ambie I Ambient I PLASTIC CONTAINER I +=========+==========+===== =========+===============+=========================+ +========================= + AMOUNTS AT THIS LOCATION =========================+ I Largest Container I Daily Maximum I Daily Average /' 55.00 L (j:- -0- :::;:::;. 00 GAL , (Y- -o--~O. 00 GAL +==================== =====+=========================+=========================+ +=======+==========--== HAZARDOUS COMPONENTS ==============+===+===============+ I %Wt. I I RSI CAS # I 30.00 Ethylen Glycol No 107211 +=======+====== ===========================================+===+===============+ +=======+===+= ====+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ I TSecretI RS iOHa~1 Radioactive/Amo~nt I EPA Hazards I NFPA I USDOT# I MCP I No No No 'No/ Curles F DH / / / Low +=======+= =+======+====================+=============+=========+========+=====+ /fr~ øa¿:g::¡ A.5 pC; í' /4 jJ~06?'ë~.rH/ ! /..5 "':;7/// Cd4 7/2& / /&<1 -,6; .MÆ:: ¡G,qC(/rl , Map: Grid: Location within this STORAGE BEHIND SHOP -5- , 02/15/2002 ) '. . ., + WILSON CHEVRON SERVICE ============================== SiteID: 015-021-000363 + += Inventory Item 0002=============== Facility Unit: Fixed Containers on Site + +== COMMON NAME / CHEMICAL NAME ==============================+================+ WASTE MOTOR OIL I Days On Site I 365 +----------------+ I CAS# I 221 Location within this Facility Unit MIDDLE BLDG STORE ROOM Map: +==================================================== -=======+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE =+==== CONTAINER TYPE =====+ I Liquid I Waste I Ambient I Ambient I ABOVE GROUND TANK I +=========+==========+===============+=========- ====+=========================+ +==========================+ AMOUNTS AT THIS CATION =========================+ I Largest Container I Daily Maxi m I Daily Average I 1000.00 GAL 100 .00 GAL 200.00 GAL +==========================+============= ===========+=========================+ +=======+============== HAZARDOUS COMPO NTS ==============+===+===============+ I %Wt. I I RSI CAS # I 100.00 Waste Oil, Petroleum Based No 0 +=======+========================== =======================+===+===============+ +=======+===+======+=========== HA ARD ASSESSMENTS ===+=========+========+=====+ I TSecret IRS I BioHaz I Radioactive/. mount I EPA Hazards ., NFPA I USDOT# I MCP I No No No No/ Curies F DH / / / Low +=======+===+======+========== =========+=============+=========+========+=====+ += Inventory Item 0008 ===--========== Facility Unit: Fixed Containers on Site + +== COMMON NAME / CHEMICA NAME ==============================+================+ WASTE OIL FILTERS I Days On Site ! 365 +----------------+ I CAS# I 221 +================== ==========================================+================+ += STATE =+= TYPE ==+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Solid I Waste I Ambient I Ambient I DRUM/BARREL-METALLIC I +=========+===== ====+===============+===============+=========================+ +=============- ===========+ AMOUNTS AT THIS LOCATION ===========~=============+ I Largest ntainer I Daily Maximum I Daily Average I 200.00 GAL 200.00 GAL 100.00 GAL +=========== ==============+=========================+=========================+ +=======+== =========== HAZARDOUS COMPONENTS ==============+===+===============+ I %Wt . I I RS I CAS# I +=======+ =================================================+===+===============+ +======= ===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ Tsecret RSBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I No No No No/ Curies F DH / / / UnR +=======+===+======+====================+=============+=========+========+=====+ Location within th's Facility Unit STORAGE AREA BEHIND SHOP Map: Grid: /j:f-e-~ ~ ~ "d1J '"7 /P /2CC!.éff¿;~::5/~ ~ ~ ~//1 ~)'/7/2ß;//&ê/ Þ7 ,A4,e /¿/lyð/ . ~ -6- 02/15/2002 '. . e + WILSON CHEVRON SERVICE ============================== SiteID: 015-021-000363 + +================================================================= Fast Format + +- Notl.'f /Evacuatl.'on/Medl.'cal ------------------------------------ Overall Sl.'te + -. ------------------------------------ +== Agency Notification =========================================== 11/06/2000 + CALL 911. +==============================================================================+ E I N 'f / ' , / / +=== mp oyee otl. ., Evacuatl.on =================================== 11 06 2000 + ~ IN CASE OF LARGE SPILL OR FIRE EMPLOYEES ARE INSTRUCTED TO SHUTOFF ELECTRICAL POWER AND LEAVE PREMISES IMMEDIATELY AND THEN CALL FIRE DEPT 911. +==============================================================================+ +---- Public Notif /Evacuation ------------------------------------ 11/06/2000 + ---- . -T---------------------------------- IN CASE OF LARGE HAZARDOUS SPILL EMPLOYEES ARE INSTRUCTED TO SHUT OFF ALL EMERGENCY SWITCHES, CALL FIRE DEPT, 911, AND TELL ALL PERSONS ON PREMISES TO LEAVE AREA. +==============================================================================+ +----- Emergency Medl.·cal Plan ------------------------------------- 11/06/2000 + ----- ------------------------------------- WHITE LANE MEDICAL CENTER, 5401 WHITE LN, 832-2090. +==============================================================================+ -7- 02/15/2002 ~ . .0 + WILSON CHEVRON SERVICE ============================== SlteID: 015-021-000363 + +================================================================= Fast Format + += Mitigation/Prevent/Abatemt =================================== Overall Site + +== Release Prevention ============================================ 11/06/2000 + EMPLOYEES ARE INSTRUCTED TO BE CAREFUL WHEN PUMPING GAS IN AUTOMOBILES AND TO REPORT ANY SMALL SPILLS OR LEAKS TO MANAGER. IF EMPLOYEES SHOULD SEE A SPILL OR LEAK THAT IS SMALL IT SHOULD BE CLEANED UP IMMEDIATELY. IF THERE IS A LARGE LEAK OR SPILL EMPLOYEES ARE INSTRUCTED TO SHUTOFF EMERGENCY ELECTRICAL SWITCHES AND CALL FIRE DEPT 911. +==============================='===============================================+ +=== Release Containment ======================================================+ I I +==============================================================================+ +==== Clean Up ================================================================+ I I +==============================================================================+ +===== Other Resource Activation ==============================================+ I I +==============================================================================+ r' -8- 02/15/2002 p ~ '" . . + WILSON CHEVRON SERVICE ============================== SiteID: 015-021-000363 + +==~============================================================== Fast Format + += Site Emergency Factors ======================================= Overall Site + +== Special Hazards ===========================================================+ I I +==============================================================================+ +--- Utl'll'ty Shut~Offs -------------------------------------------- 11/06/2000 + --- -------------------------------------------- A) GAS - AT PUMP¡ 10FT FROM TANK¡ AND AT MAIN BOX B) ELECTRICAL - MAIN BOX IN BLDG¡ ON FRONT WALL OF BLDG¡ AND IN STORE C) WATER - SW CORNER OF LOT D) SPECIAL - NONE E) LOCK BOX - YES, IN FRONT OF BLDG +==============================================================================+ +---- Fl're Protec /Aval'l Water ----------------------------------- 11/06/2000 + ---- .. ----------------------------------- PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS LOCATED IN FRONT OFFICE, IN LUBE' ROOM, IN STORE IN FRONT OF BLDG AND AT PROPANE TANK. FIRE HYDRANT - ON SORANNO DR. +==============================================================================+ +===== Building Occupancy Level ===============================================+ I I +==============================================================================+ -9- 02/15/2002 :.t f· l"" I~ - , 4IÞ + WILSON CHEVRON SERVICE~============================ SiteID: 015-021-000363 + +================================================================= Fast Format + += Training ===================================================== Overall Site + +== Employee Trainingz~===================~======================== 11/06/2000 + WE HAVEÇ12 },)""PLOYEES AT THIS FACILITY. - 7~6 ~6 -0- 6;hrp,b~ ~!.! /17 7/.1-6 ~/<:!e> s.:747/t::)~~ WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. M/Z ¡¿'~/.5.:7I'//C7p(::J?"ZA-e-e::s /ù P::;:-/.H?.I h ?"-J BRIEF SUMMARY OF TRAINING PROGRAM: OUR COMPANY SENDS U& HAZARDOUS MATERIAL BULLETINS AND ALL EMPLOYEES ARE REQUIRED TO READ AND UNDERSTAND WHAT THE HAZARDOUS WASTE MATERIALS THAT THEY WORK WITH AND COME IN CONTACT WITH ON THE JOB. EMPLOYEES ARE INSTRUCTED HOW TO HANDLE ALL HAZARDOUS MATERIAL. +==============================================================================+ +=== Page 2 ===================================================================+ I I +==============================================================================+ +==== Held for Future Use =====================================================+ I I +==============================================================================+ +===== Held for Future Use ====================================================+ I I +==============================================================================+ -10- 02/15/2002 SENDER: COMPLETE THIS SECTION · ~Iete items 1, 2, ,and 3. Also co~plete it. if RestrictedDelivery is desired. · Print your name and address on the reverse so that we can return the card to you. · Attach this card to the back of the mailpiece, or on -the front if space permits. 1. Article Addressed to: 7'! Wilson 'Chevron Service Station Wilson Chevron Automotive Fawzi K:ayali 3699 Wilson Road Bakersfield CA 93309 3. Service Type ~ Certified Mail o Registered o Insured Mail o Express Mail o Return Receipt for Merchandise o C,O.D, 4. Restricted Delivery? (Extra Fee) DYes 2, Article Number (Copy from service Jabelj 000 0520 0021 9625 3811, July 1999 Domestic Return Receipt 102595-99-M-1789 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersßeld. CA 93301 VOICE (661) 326-3941 FAX (661) 395·1349 SUPPRESSION SERVICES 2101 "H" Street Bakersßeld. CA 93301 VOICE (661) 326-3941 FAX (661) 395·1349 PREVENTION SERVICES 1715 Chester Ave. Bakersßeld. CA 93301 VOICE (661) 326-3951 FAX (661) 326-0578 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersßeld, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5842 Victor Ave. Bakersßeld. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 ~- - iÄ\, N... ~ August 1,2001 Wilson Chevron Service Station and Wilson Chevron Automotive Fawzi Kayali 3699 Wilson Rd. Bakersfield, CA 93309 VIA CERTIFIED MAIL Subject: Revocation of Wilson Chevron Service Station and Wilson Chevron Automotive: Pennit{s) to Operate Dear Mr. Kayali: Your "Permit to Operate" at 3699 Wilson Rd., known as Wilson Chevron Service Station and Wilson Chevron Automotive are being revoked effective Monday, August 13,2001, at 5:00 p.m. This "Permit to Operate" is being revoked due to failure to pay cuuent as well as past due fees. This action càn be avoided by bringing your account current prior to that time. If you have any questions, please call me at (661) 326-3979. Sincerely, Ralph E. Huey, Director Office of Environmental Services RH\db cc: WaIter Porr, Jr., City Attorneys Office Steve Underwood, Environmental Services Esther Duran, Environmental Services Drew Sharples, Treasury "" CY' . oiL? QI'? -nU.l2.l~', ñ2" 44 r1"nJ /} ~ _ "-___ .,., .7~ UUJ- r::;JeY;I/)~c.c.c;y ..7'"eve J~øoPe .:://UUz, JD øer~? I?; ¡ '-'It /) tI_ WILSON CHEVRON SERVICE S't ID 015 021 000363 1 e : - - ¿/ Manager : BusPhone: (805) 831-6075 Location: 3699 WILSON RD Map : 123 CommHaz : Low City : BAKERSFIELD Grid: lID FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 SIC Code:5541 EPA Numb: DunnBrad: '~i'\"'..s H'10V\h , Emergency Contact / Title Emergency Contact / Title FAWZI KAYALI / DEALER GAROL S1EBE~TA / Business Phone: (805) 831-6075x Business Phone: (805) 831-6075x""'- 24-Hour Phone : (805) 3~6 1668A 24-Hour Phone : (8ga) 231 9S31x Pager Phone : ( ) lb'l..l-Cbl\x Pager Phone : (fbJ ) 3qq -Io\\~""'- Hazmat Hazards: Fire Press ImmHlth DelHlth , Contact : Phone: ( ) - x MailAddr: 3699 WILSON RD State: CA City : BAKERSFIELD Zip : 93309 Owner FAWZI KAYALI Phone: (805) 831-6075x Address : 3699 WILSON RD State: CA City : BAKERSFIELD Zip : 93309 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: I, )e..r\l~S: 'A1 b\l\b Do hereby certify that I have (Type or print name) reviewed the attached hazardous materials manage- ment plan for ~1'tJØY\. c..kevl''á~d that it along with (Name of Business) any corrections constitute a complete and correct man- agement plan for my IJ-2.-2..bOO Date -1- 10/31/2000 e e F WILSON CHEVRON SERVICE SiteID: 015-021-000363 ì STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: WILSON CHEVRON SERVICE Cross Street : Business Type: Org Type: Total Tanks : 4 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : CAROL SEBESTA Phone: (805) 831-6075x Address: City : State: ' Zip: Type : TANK OWNER INFORMATION Name : CAROL SEBESTA Phone: (805) 831-6075x Address: City : State: Zip: Type : BOE UST Fee# : 031913 . Financ'l Resp: SELF INSURED Legal Notif : Tank Owner Mailing Address Date:03/07/2000 Phone: (925) 842-9002x Name:BRUCE CARPENTER Ttl:RESH SPECIALIST State UST # : 1998 Upg Cert#: 00730 p= Hazmat Inventory One Unified List ì f== As Designated Order All Materials at Site ì Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP SUPREME UNLEADED GASOLINE F IH DH L 12000.00 GAL Mod WASTE MOTOR OIL F DH L 1000.00 GAL Low PROPANE F P IH L 1000.00 FT3 Hi MOTOR OIL F DH L 55.00 GAL Min UNLEADED PLUS GASOLINE F IH DH L 12000.00 GAL Mod UNLEADED GASOLINE F IH DH L 12000.00 GAL Mod WASTE ANTIFREEZE F DH L 55.00 GAL Low WASTE OIL FILTERS F DH S 200.00 GAL UnR -2- 10/31/2000 " e e F WILSON CHEVRON SERVICE F Inventory Item 0001 = COMMON NAME / CHEMICAL NAME SUPREME UNLEADED GASOLINE SiteID: 015-021-000363 ì Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit IN MIDDLE OF LOT, UNDERGROUND Map: Grid: CAS # 8006-61-9 [ ~TA~E I TYPE ~ P~ESSURE ---¡ TEM~ERATURE I CONTAINER TYPE =L1qu1d __pure ~mb1ent ---1 Amb1ent ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 7000.00 GAL %Wto¡ 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 0002 = COMMON NAME / CHEMICAL NAME WASTE MOTOR OIL Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit MIDDLE BLDG STORE ROOM Map: Grid: CAS # 221 STATE - TYPE Liquid Waste PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 1000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 1000.00 GAL Daily Average 200.00 GAL T %Wt. RS CAS # 100.00 Waste Oil, Petroleum Based No 0 HAZARDOUS COMPONEN S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS -3- 10/31/2000 .. e e F WILSON CHEVRON SERVICE p= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME PROPANE SiteID: 015-021-000363 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit NE SIDE OF LOT Map: Grid: CAS # 74-98-6 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE FIXED PRESS. CYLINDER Largest Container 1000.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 1000.00 FT3 Daily Average 500.00 FT3 %Wt I 100.åo Propane HAZARDOUS COMPONENTS r~ 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 0004 = COMMON NAME / CHEMICAL NAME MOTOR OIL Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit STORAGE ROOM Map: Grid: CAS # [ ~TA~E I TYPE ~ P~ESSURE ~ TEM~ERATURE I =L1qu1d __pure ~mb1ent ---1 Amb1ent ~ AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL CONTAINER TYPE ABOVE GROUND TANK Largest Container GAL Daily Average 55.00 GAL , HAZARD US COMPONENTS %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 o HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -4- 10/31/2000 ., e e F WILSON CHEVRON SERVICE f= Inventory Item 0005 = COMMON NAME / CHEMICAL NAME UNLEADED PLUS GASOLINE SiteID: 015-021-000363 1 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit UNDERGROUND TANK-OUT OF SERVICE Map: Grid: CAS # 8006-61-9 [ ~TA~E I TYPE ~ P~ESSURE ~ TEMPERATURE I CONTAINER TYPE =L1qu1d __pure ~mb1ent ---1 Ambient ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 7000.00 GAL HAZARDOUS COMPONENTS ~ CAS # 80066191 %wt. I 100.00 Gasoline Z D ASSESSMENT TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAAR S f= Inventory Item 0006 Facility Unit: Fixed Containers on Site 1 F= COMMON NAME / CHEMI CAL NAME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit UNDERGROUND TANK Map: Grid: CAS # 8006-61-9 [, ~TA~E I TYPE ~ P~ESSURE ~ TEM~ERATURE -I =L1qu1d __pure ~mb1ent ---1 Amb1ent ~ AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL CONTAINER TYPE UNDER GROUND TANK Largest Container 12000.00 GAL Daily Average 7000.00 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- 10/31/2000 .. e e F WILSON CHEVRON SERVICE p= Inventory Item 0007 ¡:::::= COMMON NAME / CHEMICAL NAME WASTE ANTIFREEZE SiteID: 015-021-000363 1 Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit STORAGE BEHIND SHOP Map: Grid: CAS # 107-21-1 STATE - TYPE Liquid Waste PRESSURE Ambient TEMPERATURE ' Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 30.00 GAL %Wt. RS CAS # 30.00 Ethylene Glycol No 107211 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS " p= Inventory Item 0008 F= COMMON NAME / CHEMICAL NAME WASTE OIL FILTERS Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit STORAGE AREA BEHIND SHOP Map: Grid: CAS # 221 STATE - TYPE Solid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 200.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 200.00 GAL Daily Average 100.00 GAL %Wt. I HAZARDOUS COMPONENTS ~ CAS # HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR -6- 10/31/2000 .. e e SiteID: 015-021-000363 ì Fast Format ì Overall Site ì 08/14/19951 08/14/1995 F WILSON CHEVRON SERVICE I p= Notif./Evacuation/Medical ~ Agency Notification LL 911 Employee Notif./Evacuation IN CASE OF LARGE SPILL OR FIRE EMPLOYEES ARE INSTRUCTED TO SHUT-OFF , ELECTRICAL POWER AND LEAVE PREMISES IMMEDIATELY AND THEN CALL FIRE DEPT 911 Public Notif./Evacuation 08/14/1995 IN CASE OF LARGE HAZARDOUS SPILL EMPLOYEES ARE INSTRUCTED TO SHUT OFF ALL EMERGENCY SWITCHS, CALL FIRE DEPARTMENT, 911, AND TELL ALL PERSONS ON PREMISES TO LEAVE AREA. Emergency Medical Plan 08/14/1995 WHITE LANE MEDICAL CENTER - 5401 WHITE LN - 832-2000. -7- 10/31/2000 · e e SiteID: 015-021-000363 ì Fast Format ì Overall Site ì 01/18/1990 F WILSON CHEVRON SERVICE I p= Mitigation/Prevent/Abatemt Release Prevention EMPLOYEES ARE INSTRUCTED TO BE CAREFUL WHEN PUMPING GAS IN AUTOMOBILES AND TO REPORT ANY SMALL SPILLS OR LEAKS TO MANAGER. IF EMPLOYEES SHOULD SEE A SPILL OR LEAK THAT IS SMALL IT SHOULD BE CLEANED UP IMMEDIATELY. IF THERE IS A LARGE LEAK OR SPILL EMPLOYEES ARE INSTRUCTED TO SHUT-OFF EMERGENCY ELECTRICAL SWITCHES AND CALL FIRE DEPT 911. Release Containment I I I Clean Up Other Resource Activation -8- 10/31/2000 _, ., r.. e e SiteID: 015-021-000363 ì Fast Format ì Overall Site ì I F WILSON CHEVRON SERVICE I p= Site Emergency Factors r== Special Hazards Utility Shut-Offs 08/14/1995 A) GAS - AT PUMP; 10FT FROM TANK; AND AT MAIN BOX B) ELECTRICAL - MAIN BOX IN BUILDING; ON FRONT WALL OF BUILDING; AND IN STORE C) WATER - SW CORNER OF LOT D) SPECIAL - NONE Fire Protec./Avail. Water 08/14/1995 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS LOCATED IN FRONT OFFICE, IN LUBE ROOM, IN STORE IN FRONT OF BUILDING AND AT PROPANE TANK FIRE HYDRANT - ON SORANNO DR. Building Occupancy Level -9- 10/31/2000 r", ". e e F WILSON CHEVRON SERVICE I F Training Employee Training SiteID: 015-021-000363 ~ Fast Format ::¡ Overall Site ::¡ 07/15/1991 WE HAVE 11-12 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE OUR COMPANY SENDS US HAZARDOUS MATERIAL BULLETINS AND ALL EMPLOYEES ARE REQUIRED TO READ AND UNDERSTAND WHAT THE HAZARDOUS WASTE MATERIALS THAT THEY WORK WITH AND COME IN CONTACT WITH ON THE JOB. EMPLOYEES ARE INSTRUCTED HOW TO HANDLE ALL HAZARDOUS MATERIAL ON THE JOB. Page 2 L I I Held for Future Use Held for Future Use -10- 10/31/2000 - . - '. CU~T!E & NO. es-'~~~q ',' MISCELLANEOUS RECEIVABLES ADJUSTMENT DATE3- /~ -:t1 NEW ACCOUNT 1 ADDRESS CHANGE CLOSE ACCT J : FINANCE CHARGE . OTHER ADJ I CUSTOMER NAME .tJJ~\SD(\ C~~(ð(\ ~+Omo+\¡-e MAILlNGADDRESs3GQQ 'L0\ \SOíì eJ, CITY, ßa.-le-('s~\~\J STATE rA ' ZIP CODe qs~c; SITE ADDRESS PARCEL NUMBER (IF APPUCASLE) , ADJUSTMENT I R~~;S: b~ 1tfö ~QCck~~ slojJ'v~ APPROVED BY o.ç;f (df~. - -, \ ,~~ ' CUST.e & NO. E5 -~ l3 MISCELLANEOUS RECEIVABLES ADJUSTMENT DATE3- /~ -:rr NEW ACCOUNT 1 ADDRESS CHANGE CLOSE ACCT I : FINANCE CHARGE , OTHER ADJ I CUSTOMER NAME (~e.ÅIVDA- usA 0óoðùG+~ Crì MAILING ADDRESS 3bq q 0.) ~ l so' (\ er-^ CllY Mt'.{""':>t c: \ J STATE f A ZIP CODE qS~i SITE ADDRESS PAACElNUMBER (IF APPUCABLE) ADJUSTMENT - I I R~~S:b~ ~Ó ~ùrc.haC!j~ sloJ\GÅ'v~ APPROVED BY -<lø--~ -' " /' ~,' , ~ ',~ ~ " :J[., BAKERŠFIELD CITY FIRE DEP" TMENT HAZARDOUS MATERIALS DIVISION 2130 IIG" STREET BAKERSFIELD, CA. 93301 (805) 326-3979 HAZARDOUS MATERIALS INVENTORY 94416 FACILITY DESCRIPTION , RECEIVED 'SfP 2 /' 1996 HAZ MAT. D¡v. CHECK IF BUSINESS ,IS A FARM [ BUSINESS NAME Chevron #9-4416 FACILITY NAME SITE ADDRESS 3699 Wilson Rd. CITY Bakersfield STATE CA ZI P 93309 NATURE OF BUSINESS GASOLINE SERVICE STATION SIC CODE 5541 7538 DUN & BRADSTREET NUMBER 00-914-0559 OWNER/OPERATOR Chevron ,Products Co. PHONE 510-842-9002 .1 I MAILING ADDRESS P.O. Box 5004 CITY San Ramon ST A¡E CA ZIP 94583 EMERGENCY CONTACTS NAME Fawzi Kavali ~ BUSINESS PHONE 805-831-6075 TITLE Dealer 24-HOUR PHONE 805-326-1668 NAME Carol Saebesta TITLE Manager BUSINESS PHONE 805-831-6075 24-HOUR PHONE 805-831-9431 September 30, 1992 REGION V LEPC STANDARD FORM " ,~ BAKE+IELD CITY FIRE DEP.TMENT HAZARDOUS MATERIALS INVENTORY Page...Lofi .94416 c'"Business Name Chevron #9-441 6 Address 3699 Wilson Rd., Bakersfield CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [I Addition [ I Revision [XI Deletion [ I Check if chemical is a NON TRADE SECRET [XI TRADE SECRET [ I 2) Common Nama: REGULAR GASOLINE 3) DOT # (optional) 1203 Chemical Name: PETROLEUM HYDROCARBONS AHM [I CAS # 8006-61-9 4) PHYSICAL & HEALTH ' PHYSICAL HEALTH HAZARD CATEGORIES Fi re [XI Reactive [I Sudden Release of Pressure [ I Immediate Health (Acute) [XI Delayed Health (Chronic) [XI 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 19 6) PHYSICAL STATE Solid [I Liquid [XI Ges [I Pure [ I Mixture [XI Waste [ I Radioactive [ I 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 12000 Ibs [I gal [XI ft3 [ I a) Container: 01 Average Daily Amount: 7000 curies [ I b) Pressure: 1 Annual Amount: c) Temperature: 4 Largest Size Container: 12000 # Days On Site: 365 Circle Which Months: All Year J, F, M. A, M, J, J. A, S, 0, N. D 9) MIXTURE: List COMPONENT CAS # %WT AHM the three most hazardous 1) METHYL TERT BUTYL ETHER 1 634044 < 15.0 [ I chemical component or 2) TOLUENE 108883 < 6.5 [ I any AHM components 3) XYLENE 1330-20-7 < 4.6 [ I 10) Location: SOUTHEAST CORNER OF SITE , CHEMICAL DESCRIPTION 1) INVENTÒRY STATUS: New [ I Addition [ I Revision [XI Deletion.! I Check if chemical is a NON TRADE SECRET [XI TRADE SECRET [ I 2) Common Name: PREMIUM GASOLINE 3) DOT # (optional) 1203 Chemical Name: PETROLEUM HYDROCARBONS AHM [I CAS # 8006-61-9 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [XI Reactive [I Sudden Release of Pressure [ I Immediate Health (Acute) [XI Delayed Health (Chronic) [XI 51 WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 19 6) PHYSICAL STATE Solid [ I Liquid [XI Gas [I Pure [ ] Mixture [X] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 1 2000 Ibs [] gal [XI ft3 [ I a) Container: 01 Average Daily Amount: 7000 curies [ I b) Pressure: 1 Annual Amount: c) Temperature: 4 Largest Size Container: 1 2000 . # Days On Site: 365 Circle Which Months: All Year J, F, M. A. M, J, J, A, S. O. N, D 9) MIXTURE: List COMPONENT CAS # %WT AHM the three most hazardous 1) METHYL TERT BUTYL ETHER 1634044 < 15.0 [ I chemical component or 2) TOLUENE 108883 < 14.0 [ I any AHM components 3) XYLENE 1330-20-7 < 8.8 [ I 10) Location: SOUTHEAST CORNER OF SITE certify under penalty of law, that I have personally examined and am familiar with the information SUbm}ted on this and all attact/ed documents. I believe the submitted information is true" accurate, and complete. .// /J / ^ ¡::--/Îvv "Z /'-~ fi )' At / ' ~ L/,/ - / ,$Lf-t). /¿;-?¿ PRINT Name & Title of Authorized éompany Representative ¿;Jfïgnatur'/ , ,. . Date ... ,~ ,- BAKE.IELD CITY FIRE DEP.TMENT HAZARDOUS MATERIALS INVENTORY <94418 '-Business Name Chevron #9-441 6 Address 3699 Wilson Rd.. Bakersfield Page..1....ofí CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [] Addition [ ] Revision [X] Deletion [ ] Check if chemical is a NON TRADE SECRET [X] TRADE SECRET [ ] 2) Common Name: PLUS GASOLINE 3) DOT # (optional) 1203 Chemical Name: PETROLEUM HYDROCARBONS AHM [] CAS # 8006-61-9 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [X] Reactive [] Sudden Release of Pressure [ ] Immediate Health' (Acute) [X] Delayed Health (Chronic) [X] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 19 61 PHYSICAL STATE Solid [] Liquid [X] Gas [] Pure [ ] Mixture [X] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 1 2000 Ibs [] gal [X] ft3 [ ] a) Container: 01 Average Daily Amount: 7000 curies [ ] b) Pressure: 1 Annual Amount: c) Temperature: 4 Largest Size Container: 12000 # Days On Site: 365 Circle Which Months: All Year J, F, M, A, M, J, J, A, S, 0, N, D 9) MIXTURE: List COMPONENT CAS # %WT AHM the three most hazardous 1) METHYL TERT BUTYL ETHER 1634044 < 15.0 [ ] chemical component or 2) TOLUENE 108883 < 9.5 [ ] any AHM components 3) XYLENE 1330-20-7 < 6.3 [ ] 10) Location: SOUTHEAST CORNER OF SITE CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New[] Addition [ ] Revision [X] Deletion [ ] Check if chemical is a NON TRADE SECRET [X] TRADE SECRET [ ] 21 Common Name: MOTOR OIL 3) DOT # (optional) 1270 ,Chemical Name: PETROLEUM HYDROCARBONS AHM [] CAS' # 64742-65-0 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [] Reactive [ ] Sudden Release of Prèssure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [X] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 26 6) PHYSICAL STATE Solid [] Liquid [X] Gas [] Pure [] Mixture [X] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 55 Ibs [] gal [X] ft3 [ ] a) Container: 10 Average Daily Amount: 55 curies [ ] b) Pressure: 1 Annual Amount: c) Temperature: 4 Largest Size Container: QUART # Days On Site: 365 Circle Which Months: All Year J, F, M, A. M, J, J. A, S, 0, N, D 91 MIXTURE: List COMPONENT CAS # %WT AHM the three most hazardous 1) DISTILLATES 94742547 > 70.0 [ ] chemical component or 2) ADDITIVES MIXTURE < 25.0 [ ] any AHM components 3) SYNTHETIC BASE OIL MIXTURE < 5.0 [ ] 10) Location: SERVICE BAY certify under penalty of law, that I have personally examined ana am familIar wIth the informatIon SUDml tea on this ana a/l attached documents. I believe the submitted information is true, accurate, and complete. ß"Avv'Z/'- K/:/ YA¿/ PRINT Name & Title of Authórized Cómpany Representative /fn; ^ ;é/-;~ >Pr-IJ'-;?6 Date ~ BAKE.IELD CITY FIRE DEP.TMENT HAZARDOUS MATERIALS INVENTORY Page.Â...ofí " .0.94416 Business Name Chevron #9-441 6 Address 3699 Wilson Rd.. Bakersfield CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [I Addition [ I Revision [XI Deletion [ I Check if chemical is a NON TRADE SECRET [XI TRADE SECRET [ I 2) Common Name: LlQUIFIED PETROLEUM GAS 3) DOT # (optional) 1075 Chemical Name: PETROLEUM HYDROCARBONS AHM[I CAS # 74-98-6 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [XI Reactive [ I Sudden Release of Pressure [XI Immediate Health (Acute) [XI Delayed Health (Chronic) [XI 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 19 6) PHYSICAL STATE Solid [ I Liquid [ I Gas [XI Pure [XI Mixture [ ) Waste [ I Radioactive [ ) 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 1000 Ibs [) gal [X) ft3 [ ) a) Container: 02 Average Daily Amount: 500 curies [ I b) Pressure: 2 Annual Amount: 10000 c) Temperature: 6 Largest Size Container: 1000 # Days On Site: 365 Circle Which Months: All Year J, F, M, A, M, J, J, A, S, 0, N, D 9) MIXTURE: List COMPONENT CAS # %WT AHM the three most hazardous 1) PROPANE 74-98-6 100.0 [ I chemical component or 2) [I any AHM components 3) [ I , 10) Location: EAST SIDE OF LOT CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [I Addition [ I Revision [X] Deletion [ ] Check if chemical is a NON TRADE SECRET [X] TRADE SECRET [ ] 2) Common Name: CARBON DIOXIDE 3) DOT # (optional) 1013 Chemical Name: CARBON DIOXIDE AHM [] CAS # 124-38-9 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ I Reactive [ ] Sudden Release of Pressure [X] Immediate Health (Acute) [X] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 99 - For drink disDensers 6) PHYSICAL STATE Solid [I Liquid [ I Gas [XI Pure [X] Mixture [ ] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 174 Ibs [] gal [I ft3 [XI a) Container: 04 Average Daily Amount: 174 curies [ I b) Pressure: 2 Annual Amount: c) Temperature: 6 Largest Size Container: 174 # Days On Site: 365 Circle Which Months: All Year J, F, M, A, M, J, J, A, S, 0, N, D 9) MIXTURE: List COMPONENT CAS # %WT AHM the three most hazardous 1) CARBON DIOXIDE 124-38-9 100 [ ] chemical component or 2) [] any AHM components 3) [ I 10) Location: SALES AREA I certify under penalty of law, that I have personally examined and am familiar with the information submitted on this and all attached documents. I believe the submitted information is true, accurate, and complete. ..c::~ Vv -:? I' - /c /:3 Y. A/./ PRINT Name & Title of A6thorized Company Representative ;L/~/\- fPjl, /'/'f'¿' Date I, I BAKE.IELD CITY FIRE DEP~TMENT HAZARDOUS MATERIALS INVEN'fORY Page.±.ofí 94416 l3usiness Name Chevron #9-441 6 ., CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [] Addition [ ] Revision [X] Deletion [ ] Check if chemical is a NON TRADE SECRET [X] TRADE SECRET [ ] 2) Common Name: WASTE OIL 3) DOT # (optional) 9189 Chemical Name: PETROLEUM HYDROCARBONS AHM [] CAS # 800-20-59 4) PHYSICAL & HEALTH PHYSICAL HEALTH , HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [] Delayed Health (Chronic) [X] 5) WASTE CLASSIFICATION 221 (3-digit code from DHS Form 8022) USE CODE 40 61 PHYSICAL STATE Solid [) Liquid [X] Gas [] Pure [ ] Mixture [Xl Waste [X] Radioactive [ ] 71 AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 1000 Ibs [] gal [X] ft3 [ ] a) Container: 01 Average Daily Amount: 200 curies [ ] b) Pressure: 1 Annual Amount: 600 . c) Temperature: 4 Largest Size Container: 1000 # Days On Site: 365 Circle Which Months: All Year J, F, M, A, M, J, J, A, S, 0, N, D' 9) MIXTURE: List COMPONENT CAS # %WT AHM the three most hazardous 1) WASTE OIL 800-20-59 100.0 [ ] chemical component or 2) [ ] any AHM components 3) [ ] 10) Location: WEST SIDE OF SERVICE BAY CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [X] Deletion [ ] Check if chemical is a NON TRADE SECRET [X] TRADE SECRET [ ] 2) Common Name: WASTE ANTIFREEZE 3) DOT # (optional) 9189 Chemical Name: ETHYLENE GLYCOL AHM[] CAS # 107-21-1 . 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [X] Delayed Health (Chronic) [X] 5) WASTE CLASSIFICATION 343 (3-digit code from DHS Form 8022) USE CODE 40 6) PHYSICAL STATE Solid [) Liquid [X] Gas [I Pure [ I Mixture [XI Waste [XI Radioactive [ I 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 55 Ibs [I gal [X] ft3 [ ) a) Container: 06 Average Daily Amount: 30 curies [ ] b) Pressure: 1 Annual Amount: 100 c) Temperature: 4 Largest Size Container: 55 # Days On Site: 365 Circle Which Months: All Year J, F, M, A, M, J, J, A, S, 0, N, D 9) MIXTURE: List COMPONENT CAS # %WT AHM the three most hazardous 1) WASTE ANTIFREEZE 107-21-1 100.0 [ ] chemical component or 2) [ ] any AHM components 3) [ ] 10) Location: STORAGE BEHIND SHOP certify under penalty at law, that I have personally exammed and am familiar with the mformatlon submitted on this and all attached documents. I tJel1eve Address 3699 Wilson Rd Bakersfield the submitted information is true, accurate, and complete. ~. , Jv',?/--kAYß1¿/ PRINT ame & Title of Authorized éompany Representative ¿::v( ~^- ~ignatur ' 7~-1! "/' 6 Date -; BAKEfA:IELD CITY FIRE DEP.TMENT HAZARDOUS MATERIALS INVENTORY Pageíofí 94416 Business Name Chevron #9-441 6 Address 3699 Wilson Rd Bakersfield "' CHEMICAL DESCRIPTION - 1) INVENTORY STATUS: New [I Addition [ I Revision [XI Deletion [ I Check if chemical is a NON TRADE SECRET [XI TRADE SECRET [ I 2) Common Name: WASTE OIL FILTERS 3) DOT # (optional) 9189 Chemical Name: PETROLEUM HYDROCARBONS AHM [ I CAS # 800-20-59 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ I Reactive [ I Sudden Release of Pressure [ I Immediate Health (Acute) [I Delayed Health (Chronic) [XI 5) WASTE CLASSIFICATION 223 (3-digit code from DHS Form 8022) USE CODE 40 , 6) PHYSICAL STATE Solid [ I Liquid [XI Gas [I Pure [I Mixture [XI Waste [XI Radioactive [ I 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 200 Ibs [] gal [X] ft3 [ ] a) Container: 06 Average Daily Amount: 100 curies [ I b) Pressure: 1 Annual Amount: 400 c) Temperature: 4 Largest Size Container: 200 # Days On Site: 365 Circle Which Months: All Year J, F, M, A, M, J, J, A, S, 0, N, D 9) MIXTURE: List COMPONENT CAS # %WT AHM the three most hazardous 1) WASTE OIL FILTERS 800-20-59 100.0 [ I chemical component or 2) [ I any AHM components 3) [ I , 10) Location: STORAGE BEHIND SHOP .. I certify under penalty of law, that I have personally examined and am familiar with the information submitted on this and all attached documents. I believe the sub";Uod ;nfo~#on ~ <rue, ere",e'e, ~d romplete, ~ / ~ . ~ ~Rv-Z' - k ý,A¿/ . . ;k., ~/ PRINT Name & Title of Autho~ize~mpany Representative r:Jf6nature IT f¿'-p1· 11'-1'6 Date it: Date: August 19~ 1~ -- '!!- WRITTEN MONITORING PROCEDURES UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitoring program must be kept at the UST location at all times. The information on this monitoring program are conditions of the operating permit. The permit holder must notify Bakersfield Fire Department within 30 days of any changes to the monitoring procedures, unless required to obtain approval before making the change. Required by Sections 2632(d) and 2641(h) CCR. Facility Name Chevron #9-4416 Facility Address 3699 Wilson Rd.. Bakersfield A. Describe the frequency of performing the monitoring: Tank Continuous Electronic Monitoring of the annular space Piping Continuous Electronic Line Leak Detector and Sump monitor B. What methods and equipment, identified by name and model, will be used for performing the monitoring: Tank VEEDER ROOT TLS-350 Annular space monitor and tank level gauge Piping VEEDER ROOT TLS-350 electronic line leak detector with positive shut down. probes at each turbine sump and under each dispenser. C. Describe the location(s) where the monitoring will be performed (facility plot plan should be attached): , The monitor is located at the cashier D. List the name(s) and title(s) of the people responsible for performing the monitoring and/or maintaining the equipment. Fawzi Kayali / Dealer Carol Saebesta / Manager E. Reporting Format.for monitoring: Tank: A written monitoring log. Piping: Annual certification F. Describe the preventative maintenance schedule for the monitoring equipment. Note: Maintenance must be in accordance with the manufacturers' maintenance schedule but not less than every 12 months. The monitoring systems shall be certified annually in accordance with manufacturers recommendations G. Describe the training necessary for the operation of UST system, including piping, and the monitoring equipment: The operators are træned in accordance to the manufacturers recommendations. ,~ Date August 30.'1996 ~ e . EMERGENCY RESPONSE PLAN UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitoring program must be kept at theUST location at all times. The information on this monitoring program are conditions of the operating permit. The permit holder must notify Bakersfield Fire Department within 30 days of any changes to the monitoring procedur~s. unless required to obtain approval before making the change. Required by Sections 2632(d) and 2641(h) CCR. Facility Name Chevron #9-4416 Facility Address 3699 Wilson Rd... Bakersfield 1. If an unauthorized release occurst how will the hazardous substance be cleaned up? Note: If released hazardous substances reach the environment, increase the fIre or explosion hazard, are not cleaned up from the secondary containment within 8 hours, or deteriorate the secondary containment, then Bakersfield Fire Department must be notified within 24 hours. For small spills the on site personnel will use absorbent material to clean up the released material. In the event of a larger spill. the dealer will call 9-1-1 (if necessary) and his/her Chevron Representative to assist in the emergency. Also see the attached Leak Response Plan. 2. Describe the proposed methods and equipment to be used for removing and properly disposing of any hazardous substances. . Spent absorbent will be placed into an approved container and disposed of in accordance with all Local. State. and Federal laws and regulations. Any additional equipment will be provided be the responding contractor. 3. Describe the location and availability of the required cleanup equipment in item 2 above. . Absorbent is maintained on site and restocked as needed. Any additional equipment is maintained by the contractor. and available on an as needed basis. 4. Describe the maintenance schedule for the cleanup equipment. Absorbent is inspected weekly and reordered as needed. 5. List the name(s) and title(s) of the person(s) responsible for authorizing any work necessary under the response plan: Fawzi Kayali / Dealer Chevron Maintenance Dispatch 1-800-423-6911 .. " e 55# 9-4416 AP ARTMENTS e ® I I I I I ®' " ,D 1,000 "D GAL "0 PROP AN~, ' I ' I I I 0 « 0 w N a: W w 0::: l.J... ...J « 0::: w I- W U1 0 a: l.J... cr.) 8 - -' -'- - - - - - NORTH 9 WILSON ,ROAD CD 'MOBIL STATION A E F J ~ EMERGENCY PUMP ... MONITORING WEllS SHUT-OFF ~ OBSERVATION WELLS SITE PLAN @ ELECTRICAL PANEL @ SHUT-OFF ANTIFREEZE @ NATURAL GAS ® 3699 WI lSON ROAD SHUT-OFF BATTERY STORAGE ~ WATER SHUT-OFF ® GREASE (BARREL) ~ TANK MONiTORING (0 MOTOR/TRANSMISSION ALARM BAKERSFIELD, CALIFORNIA 93309 CD OIL TELEPHONE ® A.G, PRODUCT TANK .:¡¡. FIRST AID KIT ® Jr U,G, PRODUCT TANK FIRE EXTINGUISHER 0 55# 9-4416 ~ STORM DRAIN SOLVENT SINK m OIL/WATER SEPARATOR @ USED OIL TANK === ® EMERGENCY CD ABSORBENT Chevron U.S.A. Inc. ASSEMBLY AREA HMMP HMMP, AND MSDS @ t.!SDS LOCATION USED OIL FILTERS ® HOIST (SERVICE BAY) @ USED ANTIFREEZE ~ ROBERT H. LEE" ASSOCIATES. INC. Ö FIRE HYDRANT @ IJICHIITC1\JRE Ð;CINŒRlNC Ð;VlRONWÐ;TAl SERVICES *-* FENCE WASTE BATTERIES 1137 K. Mc:OO'MlJ.. B..W. P(TALU"~ CA MI04 . (707) ~'MO 1 2 3 Jr tfS.' : [g] [g] 4 5 I (f) :« 3: œ :« ü tfS.~ HMMP f.r\T ' MSDS ~ ("'\ . :_.:1,000 I..::.JGAL ® ----- 6 I ' I :C uaJ .) I I I I IttÈ .) I" , , 'I CIi3õiiÞ em). 1 I I I ] C Eæ!!Þ u.u 11 I 7 -~--_. . . . . . . . ,~ - e HAZARDOUS MATERIAL MANAGEMENT PLAN & UST MONITORING PLAN ,. TANK OWNER: CHEVRON U.S.A. PRODUCTS COMPANY P.O.BOX 5004 SAN RAMON, CA 94583-0804 BUSINESS NAME: Chevron #9-4416 STREET: 3699 Wilson Rd. CITY: Bakersfield , CA ZIP: 93309 SITE PHONE # 805-831-6075 DUNN & BRADSTREET # 00-914-0559 SIC CODE: 5541 7538 NATURE OF BUSINESS: GASOLINE SALES-L AUTO REPAIRlL CAR WASH_ FOOD MART_ UNDERGROUND STORAGE TANKS ARE AS FOllOWS: No. of SIZE MATERIAL CONST. SPILL OVERFILL TANKS (gal) (STLlFG) (SW IDW) (Y/N) (Y/N) REGULAR 1 12000 FG DW Y Y UNLEADED SUPREME 1 12000 FG DW Y Y UNLEADED PLUS 1 12000 FG DW Y Y UNLEADED DIESEL WASTE OIL 1 1000 FG DW Y Y PRODUCT LINES: MATERIAL:--BL CONSTRUCTION: Double Wall LINE LEAK DETECTION METHOD:lL ELECTRONIC MECHANICAL All product lines have line leak detectors capable of detecting a leak of 3 gallons or more per hour at 10 Ibs. per square inch line pressure within 1 hour. All product lines are pressurized using a submerged pumping system inside the tank. Line pressure sensors and impact valves are inspected annually to assure that they are functioning properly. Repair and/or replacement of all leak detectors and impact valves will be done annually at the time of inspection and retested to meet the above test conditions. * This document is to be kept current and at the site. Revision August 14, 1996 1 ;:. ,e' - MONITORING PROCEDURES FOR DOUBLE WAtTANKS . TANK MONITORING The Underground storage tanks are monitored using an approved continuous electronic monitoring system (see below). This system is able to detect the presence of a leak in the primary as well as secondary containment through the use of an annular space and submerged sensor. If a alarm or failure conditions occurs, the dealer will call Chevron Maintenance Dispatch at 800-423-3528 (24 hour) immediately. The dealer will then record the alarm condition on a log along with the investigative/corrective action steps followed to resolve the situation. Response to the alarm condition will occur within 24 hours. If the alarm condition is NOT the result of an equipment failure, then Chevron will repair the tank system in accordance with all local and state requirements. If the alarm condition is the result of an equipment failure, Chevron will repair the equipment as required and ensure that it is functioning properly. MONITORING SYSTEM INTERSTITIAL MONITOR _VAPOR -X-LlQUID _NONE EQUIPMENT AT THIS FACILlTY:VEEDER ROOT TLS-350 MAINTENANCE CONTRACTOR: Chevron Central Maintenance Dispatch Visual monitoring of the tank monitor alarm box is performed daily by the dealer or a designated employee. Please see the attached site map for 'the location of all equipment and forms for keèping monitoring records at the site. The electronic monitoring devices are maintained according to manufacturer's recommendations. The dealer will also perform inventory reconciliation according to the procedure outlined in the Inventory reconciliation section of this plan. Training will be given which includes information regarding: how to self test the electronic monitoring equipment, what the equipment monitors, how to tell when the alarm goes off , how to perform inventory reconciliation, record keeping requirements and procedures to follow in the event of alarm activation, leak, suspected leak, or other emergency. All training is in accordance with the equipment manufacturers recommendations. Chevron Central Maintenance Dispatch 1-800-423-6911: 24 hour emergency number See also "Chevron Leak Response Plan" 2 ~ . - MONITORING PROCEDURES DOUBLE CONTAINED PIPING-CONTINUOUS ELECTRONIC MONITORING SUMPS . DOUBLE CONTAINED PIPING INTERSTITIAL SPACE MONITOR: VAPOR ...2LLlQUID _NONE SUMP MONITOR: _VAPOR ...2LLlQUID NONE EQUIPMENT AT THIS FACILITY IS: VEEDER ROOT TLS-350 All double contained piping is continuously monitored electronically by a system that can sense a leak at more than one location. Pressurized pipes are also monitored by a line leak monitor capable of sensing a pressure loss in the system and activating a valve to disable the flow of product through the lines. The product lines are sloped down towards the tank, and if the pressure sensor is activated any liquid in the annular space will flow backwards 'toward the sump area. There is a sensor in the sump area which detects any liquid present there. The system has both visible and audible alarms that are activated when there is liquid in the sump or detected in the secondary containment. RESPONSE PLAN If the system goes into the alarm mode, the dealer or his designate will check the alarm panel to verify that there is a leak condition and then silence the audible alarm. The dealer or his designee will immediately contact Chevron dispatch and advise them of the situation so that they can contact the appropriate .personnel who will follow the instructions outlined in the "Leak Response Plan", which is part of your Hazardous Material Management Plan. All follow up will be completed within the month the problem occurred. The tank monitor ala~,m will be visually monitored daily. The dealer or an employee appointed by the dealer will follow the same procedures as outlined for monitoring the double contained product tanks. PREVENTATIVE MAINTENANCE The monitoring equipment shall be inspected and certified annually. Maintenance will be performed annually or as needed. All work performed to the monitoring system will be in accordance to the manufacturers recommendations. TRAINING Tank operators are trained on the proper operations of the monitoring equipment per the manufacturer's instructions. Chevron Central Maintenance Dispatch 1-800-423-6911: 24 hour emergency number 3 fI' . ...1" INVENTORY RECONCILIATION .. INVENTORY MEASUREMENT METHOD MANUAL -1L- ELECTRONIC ELECTRONIC INVENTORY EQUIPMENT AT THIS FACILITY IS: VEEDER ROOT TLS-350 Daily product inventory reconciliation will be completed by the Chevron Dealer at the facility. 1) Approved meters for tank inputs and withdrawals in accordance with CCR Title 4, Chapter 9, Subchapter 1 Tolerance and Specifications for Commercial weighing and measuring devices. 2) Inventory reconciliation "exceeding a variation of 1.0 percent of the monthly metered sales plus 130 gallons must be investigated in accordance with this section." 3) The inventory will be reconciled monthly by the dealer, and: Should inventory reconciliation indicate a loss greater than specified, the investigative steps outlined in California Code of Regulations, Title 23 Waters, Subchapter 16 Underground Tank Regulations, Article 4, Section 2646(k), will be implemented. 4) Annually the dealer will submit the attached inventory certification form to the local agency. 4 - r; - I 1 -- - CHEVRON LEAK RESPONSE PLAN -- All calls for Maintenance to Chevron U.S.A., Inc. service stations (both Company owned/operated and Company owned/leased to Dealer) come into Central Maintenànce Dispatch in San Ramon, California via (800) 423-6911. This includes calls to report spills, leaks, dispensers damaged by cars or alarms triggered by leak detection equipment. 7 days a week, 24 hours a day the maintenance dispatch is operated by trained personnel. Contractors, mechanics and/or equipment can be dispatched to the site by one of the Maintenance Dispatchers. This location works from a Computerized Maintenance Management system which has a matrix within it that lists the Proprietary mechanic and the contractors (by specialty) available to respond to an emergency in a specific zone. Hard copy binders of Contractor/Mechanic lists are kept at this locations for backup in case the computer system is down. Upon report of product in the annular space/secondary containment, Maintenance Dispatch will do the following: If the caller is a dealer, immediate inquiry will be made regarding any losses during recent inventory reconciliation, If the records are not available to the caller, the Territory Manager will be contacted to review records at the site. Dispatch will immediately contact à maintenance mechanic or contractor to: 1) Verify there is liquid in the annular space; 2) determine if the liquid is hydrocarbon or wateL a) If investigation verifies that there is product in the annular space, Dispatch will immediately make arrangements to pump the annular space dry. Pumping of product or water will only be handled by a Maintenance Mechanic or Chevron Approved contractor, product or water removed will be appropriately manifested, transported by a licensed hauler, and disposed of at a Chevron approved site licensed to accept the material. b) The Mechanic or Contractor will attempt to determine if the product has come from the primary tank or some other soLÌrce. ',I c) If it is obvious (without doing a precision test) that the product has come from the primary tank, Dispatch will immediately arrange for a tank pumpout and repair/replace activities will begin. In the case of repair, the Tank Test coordinator will handle repair arrangements and precision testing. If replacement is required, the project will be handled by the appropriate zone Engineer. d) If the product in the annular space is water entering the tank from the outer shell, repair/replacement activities will take place as noted in "c" above. e) It it is determined that the liquid in the annular space is water and there are no product losses from the primary tank and no indication of additional water entering the tank, the Tank Test Coordinator will arrange for a precision test of the of the annular space, Based on the results, repair/replacement activities will take place as noted in "C". f) If the Maintenance Mechanic or Contractor is unable to determine how the liquid entered the secondary containment the Tank Test Coordinator will immediately have the appropriate precision tests conducted. g) If it is determined at any time during the process that there has been a release (defined as product leaking from the primary tank to the annular space or water entering the annular space from the backfill), a leak report will be prepared and forwarded to the Marketing Assistant - Compliance. The MA '- compliance is responsible for reporting to all regulatory agencies required. In addition, the Tank Test Coordinator will prepare and forward a Fiberglass failure report to headquarters. 5 ~ -- - ,I!' DISPOSAL PROCEDURE FOR ANTI-FREEZE ~. Used anti-freeze should be put into a 55 gallon drum or similar container and the container labeled "Waste Antifreeze / Hazardous Material". The container must be placed on a metal or plastic pan with a 2" to 3" lip all the way around the pan to contain any spills or leaks from the container. When the container is full, call an "Anti-freeze Recycling Contractor" to remove the container of used anti-freeze. Do not, under any circumstances, pour used or new anti-freeze or a mixture thereof on the floor or on the ground and hose it down to floor drains or storm drains. Do not pour anti-freeze into your waste oil tank. DISPOSAL PROCEDURE FOR USED OIL FILTERS Used oil filters should be placed in a 55 gallon drum or similar container and the container labeled "Drained Used Oil Filters and Show Initial Date of Accumulation on Each Container"". When the container is full, call a "Waste Oil Recycling Contractor" to remove the container of used oil filters. All used oil filters shall be drained of free-flowing oil prior to placement into the above noted container. Free flowing oil is defined as a continuous stream of oil exiting the filter when the filter is inverted. Oil exiting drop by drop is not considered free flowing. If oil exiting the filter is restricted in any way, the filter shall be manipulated to allow used oil to exit the filter freely. Used oil filters shall not be placed in a refuse disposal container. 6 ,- . '" ! DAILY VISUAL MONITORING PROCEDURES FOR ABOVEGROUND HAZARDOUS MATERIALS Hazardous Materials stored aboveground include: [X] Motor Oil [X] Transmission Oil [ ] Antifreeze [ ] Grease [ ] Gear Lubricant (80W /90) [ ] Solvent (including parts cleaners) [X] Propane [ ] Battery Acid * [ ] Car Wash Products [ ] Kerosene , [X] CO2 [X] Waste Oil (prior to dumping in underground tank) [X] Spent Anti-freeze * [X] Used Oil Filters The storage areas for these hazardous materials must be visually inspected every day for signs of leakage. Items designated with a (*) require secondary containment with the contents of each container clearly labeled. If there is a leak or spill of any of the hazardous materials, whether stored above- or underground, Dealer must follow the "Emergency Response Procedures," attached. 7 .. - - "" EMERGENCY RESPONSE PROCEDURES , '~'. in the event of a fire, spill, or a leak or suspected leak in the tanks and/or piping, the following steps are to be taken as applicable: 1. TURN OFF PUMPS using the Emergency Pump Shut-Off Switch. 2. EVACUATION: If there is any immediate danger, ANNOUNCE to all persons on the site: "There is an emergency. Please turn off your engines and leave the station on foot immediately. n 3. CALL FOR HELP in case of an emergency by dialing 9-1-1 and giving the following information: "THERE IS A FIRE I GASOLINE SPILL at the station at (give address)." If anyone is trapped or needs medical attention, tell the answering dispatcher. Stay on the phone and be prepared to answer any questions concerning the situation. 4. LOOK AROUND to assure that all others have left the station if necessary, particularly those in vehicles who may need assistance or may not have heard the emergency announcement, Assist, or direct assistance to, anyone having difficulty leaving the station area, and anyone who may be injured. 5. ATTEMPT TO EXTINGUISH any small or incipient fire if you can do so safely. Have the fire extinguisher ready to use in the event of ~my spill. Try to contain any large spill, or use absorbent on smaller spills. 6. REPORT to arriving emergency response personnel to provide them with any information or assistance they might need. 7 . CONTACT the station dealer if s/he is not already at the station. Use the list below for emergency contacts: Name!Title/Bus #/Home #: Fawzi Kavali Dealer 805-831-60751 805-326-1668 8. NOTIFY Chevron dispatch by phone WITHIN 24 HOURS Chevron will notify the appropriate State and Local agencies unless the situation reauires uraent immediate resoonse bv the aaencies. in which case the DEALER should notify these agencies: 1. LOCAL AGENCY: Bakersfield Fire Deoartment PHONE NUMBER: 805-326-3979 2. CALIFORNIA OFFICE OF EMERGENCY SERVICES, (800) 852-7550 (24 HOURS) .. 3. NATIONAL RESPONSE CENTER: (800) 424-8802 (24 hours) 9. Dealer should attempt to isolate leak location by inspection. 10. Chevron will coordinate whatever corrective actions need to be taken beyond the Dealer's capabilities. Chevron will file whatever reports need to be filed with local and state agencies, and send a copy to the station for the Dealer's files. 11. EVACUATION: In the event evacuation is necessary, the attendant will announce for all customers and personnel to evacuate the building using the nearest exit door. All persons should go to the emergency meeting area as designated on the site map . 12. RE-ENTRY: If evacuation has occurred and emergency responders have been called, re-entering this facility should take place with extreme caution and only under the direction of the senior emergency responder on site and Chevron personnel. THESE EMERGENCY RESPONSE PROCEDURES MUST BE FILLED OUT AND POSTED CONSPICUOUSLY ON SITE ALONG WITH THE ATTACHED SITE PLAN 8 " EMERGE. RESPONSE PROCEDURES FOR C&ON DIOXIDE 94416 i.: ¿:, ; . ~ FIRE OR EXPLOSION DATA Carbon dioxide is not flammable. CAUTION: Compressed Gas Cylinder may explode in heat of fire. HEALTH HAZARD CAUTION: 1. Vapors may cause dizziness or suffocation. 2. Contact with liquid carbon dioxide may cause frostbite. EMERGENCY RESPONSE PROCEDURES In the event of a fire, spill, or a leak or suspected leak in the Carbon Dioxide Cylinders: the following steps are to be taken as applicable: 1. EVACUATION: If there is any immediate danger, ANNOUNCE to all persons on the site: "There is an emergency. Please turn off your engines and leave the station on foot immediately. " 2. CALL FOR HELP in case of an emergency by dialing 9-1-1 and giving the following information: "THERE IS A CARBON DIOXIDE LEAK at the station at (give address)." If anyone is trapped or needs medical attention, tell the answering dispatcher. Stay on the phone and be prepared , to answer any questions concerning the situation. 3. . LOOK AROUND to assure that all others have left the station if necessary,' particularly those in vehicles who may need assistance or may not have heard the emergency announcement. Assist, or direct assistance to, anyone having difficulty leaving the station area, and anyone who may be injured. 4. ATTEMPT TO EXTINGUISH any small or incipient fire if you can do so safely. Have the fire extinguisher ready to use in the event of any spill. Try to contain any large spill, or use absorbent on smaller spills. Attempt to stop leak if you can do it with out risk. 5. STAY UPWIND, out of low areas, where the Carbon Dioxide has leaked or spilled. Do not touch or walk through spilled material. 6. REPORT to arriving emergency response personnel to provide them with any information or assistance they might need. 7 . CONTACT the station dealer if she/he is not already at the station. Use the list below for emergency contacts: NamefTitle/Bus #/Home #: Fawzi Kavali Dealer 805-831-6075 / 805-326-1668 8. NOTIFY CHEVRON dispatch by phone WITHIN 24 HOURS (1-800-423-6911) 9. RE-ENTRY: If evacuation has occurred and emergency responders have been called, re- entering this facility should take place with extreme caution and only under the direction of the senior emergency responder on site and CHEVRON personnel. THESE EMERGENCY RESPONSE PROCEDURES MUST BE FILLED OUT AND POSTED CONSPICUOUSLY ON SITE ALONG WITH THE ATTACHED SITE PLAN 9 ~ e EMPLOYEE TRAINING PLAN . - ~ ¡;: . 'Employees must be given this training before starting work, and refresher courses must be provided annually. Records must be kept to show when each station employee has been given his/her safety training. Use the following outline and make copies as needed. Have employee date and sign this document upon completion of training (page 8). Retain these records for a minimum of three years. I' J. FIRST THINGS TO KNOW: A. EMERGENCY PUMP SHUT-OFF: This turns off the turbine pumps that provide flow to the dispensers from the underground tanks. In case of a leak, shutting off the pumps will help to prevent spills. LOCATION: 1-0UTSIDE BUILDING. 1-CASHIER AREA , B. ELECTRICAL PANEL: The panel allows you to selectively cut off power to lights, signs, pumps, etc. The main switch kills all power at the site. LOCATION: BACK STORAGE C. WATER SHUT-OFF: The water shut-off may be necessary in some cases. , LOCATION: ALONG REAL ROAD D. NATURAL GAS SHUT-OFF: If your station has natural gas, it may be necessary to shut-off the natural gas flow in an emergency. LOCATION: NONE -E. FIRST AID KIT: LOCATION: SERVICE BAY WALL F. FIRE EXTINGUISHER: Use only on small fires that you can handle. Do not attempt to extinguish large fires on your own; call 9-1-1 for help. LOCATION: 3-SERVICE BAY. 1-CASHIER. 1-0UTSIDE BUILDING G. ABSORBENT: In the form of crystals or cloth, absorbent can soak up small spills of gasoline, diesel fuel, or other petroleum products. Absorbent should be used rather that washing spills down a drain. In case of large spill, merely try to contain it; a vacuum truck should be used to clean up any large spill. LOCATION: BACK STORAGE H. NEAREST MEDICAL FACILITY: Employees should know what facilities are available in case customers or other employees need medical attention. I. NAME: MERCY HOSPITAL ADDRESS: TUXTUN ROAD. BAKERSFIELD PHONE NUMBER: 805-327-3371 NEAREST TRAUMA CENTER: 2. NAME: VALLEY MEDICAL CENTER ADDRESS: 445 SOUTH CEDER AVE. FRESNO PHONE NUMBER: 209-453-4000 10 ~ . -- :11. All employees should review the Service Station Monitoring Plan, Of.iCh this training plan is a part. Specifically, each employee should understand the procedures to be used in responding to ~i various kinds of emergencies, and know how to monitor for leaks of hazardous materials. As a supplement to this package, employees should also review the Emergency Response Plan filed by your business to the appropriate local agency. Thirdly, employees should review and have access to the Materials Safety Data Sheets you have on file for each of the hazardous materials stored at the station and must be drilled in all emergency response procedures contained herein. III. FIRST AID PROCEDURES (For exposure to gasoline or diesel fuel): A. EYE CONTACT: Flush with water for 15 minutes while holding eyelids open. Get medical attention. B. SKIN CONTACT: Flush w¡th water while removing contaminated clothing and shoes. Follow by washing with soap and water. Do not reuse clothing or shoes until cleaned. If irritation persists, get medical attention. C. INHALATION (8reathina): Remove victim to fresh air and provide oxygen if breathing is difficult. If not breathing, give artificial respiration. Get medical attention. D. INGESTION (Swallowina): DO NOT INDUCE VOMITING BECAUSE GASOLINE CAN ENTER LUNGS AND CAUSE SEVERE . LUNG DAMAGE!lf vomiting occurs spontaneously keep head below hips to prevent aspiration of liquid into lungs. Get medical attention. E. NOTE TO PHYSICIAN: If more than 2.0 ml per kg has be ingested and vomiting has not occurred, emesis should be induced with medical supervision. Keep victim's head below hips to prevent aspiration. If symptoms such as loss of gag reflex, convulsions or unconsciousness occur before emesis, gastric lavage using a cuffed endotracheal tube should be considered. F. For further information, consult the Materials Safety Data Sheets for these products and for other hazardous materials; FIRST AID FOR EXPOSURE TO OTHER MATERIALS: Consult the warning advice on container labels or refer to the MSDS for that product. Document prepared by: Environmental Staff, Robert H. Lee & Assoc., 707-765-1660 (lAST UPDATED: August 14, 1996) 11 ~ 4IÞ "~ TRAINING LOG FOR HMMP/EMERGEICY RESPONSE . . ~ SIS #: 9441 6 BUSINESS NAME: Chevron #9-4416 ADDRESS: 3699 Wilson Rd. EMPLOYEES MUST SIGN THIS FORM TO PROVE THEY RECEIVED THEIR INITIAL ANDIOR ANNUAL SAFETY TRAINING. DATE OF TYPE OF TRAINING EMPLOYEE NAME EMPLOYEE SIGNATURE TRAINING Inital/Annual Refresher , (Updated: August 14, 1996/ ~ ~' -- -'-'ST EQUIPMENT MONITORING PLAN .::j ~ Facility No.: 94416 Equipment: VEEDER ROOT TlS-350 MonthlYear: Equipment Date Operational? Alarm Status O.K.? Comments Initials 01 Yes 0 No 0 Yes n No n 02 Yes 0 Nn n YP!~ n No n 0::1 Yes n No 0 Yes 0 No n 04 Yes n No n Yes 0 No 0 05 YP!~ n No n Yes n No 0 n~ Yp!s n No n Yes n No 0 07 Yes n No n Yes 0 No 0 OR Yes D No n YP!~ n No n 09 Yes n No D Yes 0 No 0 10 Yes n No 0 Yes n No n 11 Yes 0 No 0 Yes 0 No 0 12 Yes 0 No n YP!~ n No n 13 Yes n No 0 Yes 0 No 0 14 VP!~ n Nn n V p!~ n No n 15 Yes n No n Yp!s n No n 1~ VP!~ n No n Yes n No n 17 Yp!~ n No n Yes n No n 1R Vp!s n No n Yes n No n 19 y P!S n No n Yes n No n 70 VP!~ n No n Yes n No n 21 Yes n No n Yes D No 0 22 Yes n No n Yes n No n 2::1 Yes n No n Yes n No n 24 Yes n No 0 Yes 0 No 0 2!i Yes n No n Yp-s n No n 26 Yes n No n Yes n No n 27 Yes n No n Yes n No n 2R Yes n No n Yes n No n 29 Yes n No n Yes n No n ::10 Yes n No n Y P!S n No n 31 Yes 0 No 0 Yes 0 No 0 . In the case of aIanns (e.g., buzzer sounds, red lights on, etc.), or if you have other reasons to suspect a leak (e.g., unusual system occurrences, etc.), you must investigate and track your activities using the "Suspected Leak Activity Log". . If the equipment malfunctions (e.g., green lights not on, lost power, etc.), or for cathodic protection systems that are not operational or show abnonnal stats, contact Chevron Maintenance Dispatch. I Ch.....n Review (Nam.1S;gnat....) Date: ~ ~s r;. . TAt GAUGING AND INVENTORY RECONCt TION ANNUAL SUMMARY REPORT -¡;. "":¡ Facility No. 94416 Facility Operator: Fawzi Kavali Year: Facility Address: 3699 Wilson Rd. Bakersfield. CA 93309 Check tV) which method report is for: o Inventory Reconciliation (Motor Vehicle Fuel) o Manual Tank Gauging (Used Oil Tanks) Check tV) the appropriate statement if state requirements were met: o I hereby certify under penalty of perjury that all of the inventory variations each month, for the above mentioned facility and year, were within the allowable state limit. OR, IF FACILITY IS ON SIR: o I hereby certify under penalty of perjury that all of the Statistical Inventory Reconciliation Reports, for the above mentioned facility and year, meet the requirements under law. Check tV) the appropriate statement(s) if state requirements were not met: o Inventory variation(s) exceeded the allowable state limit as noted below. OR, IF FACILITY IS ON SIR: o Statistical Inventory Reconciliation Report(s) did not meet the requirements under state law as noted below. AND, IF APPROPRIATE: o I hereby certify under penalty of perjury that the source for the variation(s), of Statistical Inventory Reconciliation Report(s) which did not meet the requirements under the state law, was not due to an unauthorized release. List month, tank number, and amount of variation for each month that the variation exceeded the allowable limit, or the Statistical Inventory Reconciliation Report did not meet the requirements under the state law. Month 1. 2. 3. 4. 5. 6. Tank No. Amount of Variation . Additional months shall be continued on a separate sheet of paper and attached. Note: If the source of the variation which exceeds California allowable limits was due to a leak, the incident shall be reported to the local underground storage tank agency within twenty-four (24) hours. An unauthorized Release Report shall be submitted within five (5) days. For stations utilizing Inventory Reconciliation or Manual Tank Gauging, this report must be submitted to the local Underground Storage Tank Regulation Agency on an annual basis. I F.ciIity 0........ ,(Sign.";"'¡ Date: ~. . ~':" ..",....¡;:-. ~/.so'" e.h~"r4"/ S<f",<-A~~«;~aw~~ 03/04/96 SONNYS CHEVRON 215-000-000363 . APR 9 age 1 Overall Site with 1 Fac. Unit· 1996 General Information ,~ Location: 3699 WILSON RD Map:123 Haz:2 Type: 3 City . BAKERSFIELD Grid: lID FlU: 1 AOV: 0.0 . ~ Contact Name Title c --- Contact Name Title JIM WEEKS I ·CAROL SEBESr:eetJ'tII- 1 Business Phone: (805) 831-6075x Business Phone: (805) 831-6075x 24-Hour Phone · (805) 871-7586x 24-Hour Phone · (805) 83l-953lx · · Pager Phone · ( ) - x Pager Phone · ( ) - x · · Administrative Data I Mail Addrs: 3699 WILSON RD - ---- D&B Number:' - City: BAKERSFIELD State: CA Zip: 93309- Comm Code: 215-007 BAKERSFIELD STATION 07 SIC Code: 5541 ~ý(;'-/' . , Owner: SQNN¥ SWl.YFAR ro....w I.. ( Phone: (805) 831-6075 - Address: i-Ø{T;t Cêtïm"HJ{'ffi State: CA City: BAKERSFIELD Zip: 93301- Summary NEW OPERATOR PICKED UP FORMS TO UPDATE BUSINESS PLAN. 1-4-96 WILL BE TAKING OVER IN FEBRUARY - PLANS DUE BY MARCH. ED ~ '1. h W;z. I /~ø..' 4>- /, · Do hereby certify that I have (Type or print name reviewed the attached hazardous materials mal.age- ment plan for 0dso"¡ ehevlt.rand that it along with (Name of BusIness) any corrections constitute a complete and correct man- agement plan for my facility. ~~^- ';/ ~ J/¡,- f" b' Dare . e e 03/04/96 SONNYS CHEVRON 215-000-000363 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-003 PROPANE Liquid 39600 High ~ Fire, Pressure, Immed Hlth FT3 02-001 SUPREME UNLEADED GASOLINE Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-005 UNLEADED PLUS GASOLINE Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-006 UNLEADED GASOLINE Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-002 WASTE MOTOR OIL Liquid 1000 Low ~ Fire, Delay Hlth GAL 02-004 MOTOR OIL Liquid 900 Minimal ~ Fire, Delay Hlth GAL Chevron ~ Chevron r "- U Phone 805-831-6075 ¡::-}:;ÞV7- / "- A- ;:l Y /l?/ . Ó W IV ¿rIC· Wilson Road Chevron Service 3699 Wilson Road Bakersfield. CA 93309 -- ,- "- - -- --~---- e e 03/04/96 SONNYS CHEVRON 215-000-000363 02- Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-003 PROPANE ~ Fire, Pressure, Immed Hlth Liquid 39600 High FT3 CAS :It: 74-98-6 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL ---- Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 39,600 I 18,000.00 I 1,080,000.00 Storage r Press T Temp -:ì Location FIXED PRESS. CYLINDER Above AmbientNE SIDE OF LOT - Cone l 100.0% Propane Components r; MCP -¡Guide Extreme I 22 02-001 SUPREME UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS :It: 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 75,000.00 Storage UNDER GROUND TANK r Press T Temp -:ì Location Ambient AmbientIN MIDDLE OF LOT, UNDERGROUND - Cone l 100.0% Gasoline Components r; ,MCP -¡Guide Moderate 27 02-005 UNLEADED PLUS GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS :It: 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 3,000.00 0.00 Storage UNDER GROUND TANK r Press T Temp ~I Location Ambient AmbientUNDERGROUND TANK-OUT OF SERVICE - Cone l 100.0% Gasoline Components r; MCP -¡Guide Moderate 27 - Notes FAILED 1994 TIGHTNESS TEST-OUT OF SERVICE " e e 03/04/96 SONNYS CHEVRON 215-000-000363 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in MCPOrder 02-006 UNLEADED GASOLINE ~ Fire, Irnmed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS =It: 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 8,000.00 100,000.00 Storage UNDER GROUND TANK r Press T Temp -:ì Location Ambient AmbientlUNDERGROUND TANK - Cone l 100.0% Gasoline Components r; MCP -¡Guide Moderate 27 02-002 WASTE MOTOR OIL ~ Fire, Delay Hlth Liquid 1000 Low GAL CAS =It: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: LUBRICANT Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 1,000 I 500.00 2,400.00 Storage UNDER GROUND TANK r Press T Temp -:ì Location Ambient AmbientMIDDLE BLDG STORE ROOM - Cone l Components 100.0% Waste Oil, Petroleum Based r:- MCP -¡Guide I Low I 27 02-004 MOTOR OIL ~ Fire, Delay Hlth Liquid 900 Minimal GAL CAS =It: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 900 I 400.00 2,400.00 Storage ABOVE GROUND TANK r Press T Temp -:ì Ambient AmbientSTORAGE ROOM Location - Cone l Components 100.0% Motor Oil, Petroleum Based \-; MCP -rGuide Minimal I 27 ~ e e 03/04/96 SONNYS CHEVRON 215-000-000363 00 - Overall Site Page 5 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation IN CASE OF LARGE SPILL OR FIRE EMPLOYEES ARE INSTRUCTED TO SHUT-OFF ELECTRICAL POWER AND LEAVE PREMISES IMMEDIATELY AND THEN CALL FIRE DEPT 911 <3> Public Notif./Evacuation IN CASE OF LARGE HAZARDOUS SPILL EMPLOYEES ARE INSTRUCTED TO SHUT OFF ALL EMERGENCY SWITCHS, CALL FIRE DEPARTMENT, 911, AND TELL ALL PERSONS ON PREMISES TO LEAVE AREA. <4> Emergency Medical Plan WHITE LANE MEDICAL CENTER - 5401 WHITE LN - 832-2000. · rw e e 03/04/96 SONNYS CHEVRON 215-000-000363 00 - Overall Site Page 6 <E> Mitigation/Prevent/Abatemt <1> Release Prevention EMPLOYEES ARE INSTRUCTED TO BE CAREFUL WHEN PUMPING GAS IN AUTOMOBILES AND TO REPORT ANY SMALL SPILLS OR LEAKS TO MANAGER. IF EMPLOYEES SHOULD SEE A SPILL OR LEAK THAT IS SMALL IT SHOULD BE CLEANED UP IMMEDIATELY. IF THERE IS A LARGE LEAK OR SPILL EMPLOYEES ARE INSTRUCTED TO SHUT-OFF EMERGENCY ELECTRICAL SWITCHES AND CALL FIRE DEPT 911. <2> Release Containment <3> Clean Up <4> Other Resource Activation <::I' ,(.,,__~ e e 03/04/96 SONNYS CHEVRON 215-000-000363 00 - Overall Site Page 7 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - AT PUMP; 10FT FROM TANK; AND AT MAIN BOX B) ELECTRICAL - MAIN BOX IN BUILDING; ON FRONT WALL OF BUILDING; AND IN STORE C) WATER - SW CORNER OF LOT D) SPECIAL - NONE E) LOCK BOX - YES, IN FRONT OF BUILDING. <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS LOCATED IN FRONT OFFICE, IN LUBE ROOM, IN STORE IN FRONT OF BUILDING AND AT PROPANE TANK FIRE HYDRANT - ON SORANNO DR. <4> Building Occupancy Level d '''õj :-.--"'Ç Jo.-~ I I e e 03/04/96 SONNYS,CHEVRON 215-000-000363 00 - Overall Site Page 8 <G> Training <1> Employee Training WE HAVE 11-12 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE OUR COMPANY SENDS US HAZARDOUS MATERIAL BULLETINS AND ALL EMPLOYEES ARE REQUIRED TO READ AND UNDERSTAND WHAT THE HAZARDOUS WASTE MATERIALS THAT THEY WORK WITH AND COME IN CONTACT WITH ON THE JOB. EMPLOYEES ARE INSTRUCTED HOW TO HANDLE ALL HAZARDOUS MATERIAL ON THE JOB. <2> Page 2 <3> Held for Future Use <4> Held for Future Use . ,'" ___ -,-----"."0'_ ~... . ~ - 03/1'4795'" e age L ,,-f; '., SONNYS CHEVRON 215-000-000363 Overall Site with 1 Fac. Unit General Information By Location: 3699 WILSON RD City : Bakersfield Map: 123 Haz:2 Type: 3 Grid: 11D FlU: 1 AOV: 0.0 Contact Name JIM WEEKS Business Phone: 24-Hour Phone Pager Phone Title Contact Name KEVIN S Business Phone· 24-Hour e Pa one Title Se.e. 831-607 5x ~J"" þt!J X 7 I (805) (805) ( ) 831-6075x 871-7586x x Administrative Data Mail Addrs: 3699 WILSON RD City: BAKERSFIELD Comm Code: 215-007 BAKERSFIELD STATION '07 D&B Number: State: CA Zip: 93309- SIC Code: 5541 Owner: SONNY SWAFFAR Address: 600 W COLOMBUS City: BAKERSFIELD Phone: (805) 831-6075 State: CA Zip: 93301- Summary ;) IV oL ~N 7'ct c..7 /1/0..11'1 e (!o-r-dl Se. b es7~ 13 ¡) S ot/~ S. S p;,.,'I/ e.. ('¡'d.5) ~.3 /- ~ d7.s- ;). 4./~h'6¡)~ p),()¡1It,. t. f('oOS-) g'3/~ 9'~31 1,50N;.It... S"wt:.t..f-{a../f.. 0 t b (Type or print name) 0 lere y certify that I have reviewed the attacrn:ìc r;E.aa.:·'JOd~, rrmterials manage- ment plan for .s-øN^'Y..L~j,e.vr"-énd that Ii along with (Nam:: of Bu:¡mess) any corrections constitute a complete and correct m _ ~, an agement plan for my facility. ~u /' /' -- . "'''''"~ ð" - P--?S Date e e 03/14/95' SONNYS CHEVRON 215-000-000363 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-003 PROPANE Liquid /;t!ÞGð 1109 High ~ Fire, Pressure, Immed Hlth GAL 02-001 SUPREME UNLEADED GASOLINE Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-005 UNLEADED PLUS GASOLINE Liquid ' 1~0(!§) Moderate ~ Fire, Immed In th , Delay Hlth GAL 02-006 UNLEADED GASOLINE Liquid l).OOO~ Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-002 WASTE MOTOR OIL Liquid 1000 Low ~ Fire, Delay Hlth GAL 02-004 MOTOR OIL Liquid 900 Minimal ~ Fire, Delay Hlth GAL e e .. 03/'14/95 SONNYS CHEVRON 215-000-000363 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-003 PROPANE ~ Fire, Pressure, Immed H1th Liquid 1100 High GAL CAS #: 74-98-6 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 1,100 500.00 I 30,000.00 Storage ABOVE GROUND TANK \ r Press T Temp ~ Location Above AmbientNE SIDE OF LOT - Conc l 100.0% Propane Components r; MCP ---¡-Guide Extreme I 22 02-001 SUPREME UNLEADED GASOLINE. ~ Fire, Immed Hlth, Delay H1th . 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 6,000.00 I 75,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Location Ambient AmbientIN MIDDLE OF LOT, UNDERGROUND - Conc l 100.0% Gasoline Components r; MCP ---¡-Guide Moderate 27 02-005 UNLEADED PLUS GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid o Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL ---- DailX Max GAL ----r-- Daily Average GAL --r-- ' j!/..ßoð 0 ' 0.00 I 3t)f)8 r Press T Temp ~ Ambient AmbientUNDERGROUND Annual Amount GAL -- 0.00 Storage UNDER GROUND TANK Location TANK-OUT OF SERVICE - Conc l ' 100.0% Gasoline Components r; MCP ---¡-Guide Moderate 27 - Notes FA,ILED 1994 TIGHTNESS TEST-OUT OF SERVICE e e' '. 03fì4/95 SONNYS CHEVRON 215-000-000363 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in MCP Order 02-006 UNLEADED GASOLINE ~ Fire, Immed H1th, Delay H1th Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL ---- Daily Max GAL ~ ~16, 000'" I I "000 Storage UNDER GROUND TANK Daily Average GAL ~ Annual Amount GAL -- 8,000.00 I 100,000.00 r Press T Temp ~I Location Ambient AmbientlUNDERGROUND TANK - Conc l 100.0% Gasoline Components r; MCP ---p;uide Moderate 27 02-002 WASTE MOTOR OIL ~ Fire, Delay Hlth Liquid 1000 Low GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: LUBRICANT Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 1,000 500.00 I. 2,400.00 Storage UNDER GROUND TANK r Press T Temp ~ Location Ambient AmbientMIDDLE BLDG STORE ROOM - Conc l Components ~ MCP ~uide 100.0% Waste Oil, Petroleum Based Low , 27 02-004 MOTOR OIL Liquid 900 Minimal ~ Fire, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 900 ' 400.00 I 2,400.00 Storage ABOVE GROUND TANK r Press T Temp ~ Ambient AmbientSTORAGE ROOM Location - Conc l Components 100.0% Motor Oil, Petroleum Based r; MCP ---p;uide Minimal I 27 e e 03/14/95 SONNYS CHEVRON 215-000-000363 00 - Overall Site Page 5 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation IN CASE OF LARGE SPILL OR FIRE EMPLOYEES ARE INSTRUCTED TO SHUT-OFF ELECTRICAL POWER AND LEAVE PREMISES IMMEDIATELY AND THEN CALL FIRE DEPT 911 <3> Public Notif./Evacuation IN CASE OF LARGE HAZARDOUS SPILL EMPLOYEES ARE INSTRUCTED TO SHUT OFF ALL EMERGENCY SWITCHS, CALL FIRE DEPARTMENT, 911, AND TELL ALL PERSONS ON PREMISES TO LEAVE AREA. <4> Emergency Medical Plan WHITE LANE MEDICAL CENTER - 5401 WHITE LN - 832-2000. e e . ~ 03f14Î95 SONNYS CHEVRON 215-000-000363 00 - Overall Site Page 6 <E> Mitigation/Prevent/Abatemt <1> Release Prevention EMPLOYEES ARE INSTRUCTED TO BE CAREFUL WHEN PUMPING GAS IN AUTOMOBILES AND TO REPORT ANY SMALL SPILLS OR LEAKS TO MANAGER. IF EMPLOYEES SHOULD SEE A SPILL OR LEAK THAT IS SMALL IT SHOULD BE CLEANED UP IMMEDIATELY. IF THERE IS A LARGE LEAK OR SPILL EMPLOYEES ARE INSTRUCTED TO SHUT-OFF EMERGENCY ELECTRICAL SWITCHES AND CALL FIRE DEPT 911. <2> Release Containment <3> Clean Up i <4> Other Resource Activation e e· 03/14/95 SONNYS CHEVRON 215-000-000363 00 - Overall Site Page 7 <F> Site Emergency Factors <1> Special Hazards ", <2> Utility Shut-Offs A) GAS - AT PUMP; 10FT FROM B) ELECTRICAL - MAIN BOX IN : êA....Úl1SW tH:Jl1iII - C) WATER - SW CORNER OF LOT D) SPECIAL - NONE E) LOCK BOX - YES, IN FRONT TANK; AND AT MAIN BOX BUILDING; ON FRONT WALL OF BUILDING; AND IN SToÇ'(~ OF BUILDING. <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS LOCATED IN FRONT OFFICE, IN LUBE ROOM, ~ ~QQ~ IN FRONT OF BUILDING AND AT PROPANE TANK 'IN 5'fó r<.€- FIRE HYDRANT - ON SORANNO DR. <4> Building Occupancy Level e e ~ ~ . ~ 03/14/95 SONNYS CHEVRON 215-000-000363 00 - Overall Site Page 8 <G>Training <1> Employee Training WE HAVE 11-12 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE OUR COMPANY SENDS US HAZARDOUS MATERIAL BULLETINS AND ALL EMPLOYEES ARE REQUIRED TO READ AND UNDERSTAND WHAT THE HAZARDOUS WASTE MATERIALS THAT THEY WORK WITH AND COME IN CONTACT WITH ON THE JOB. EMPLOYEES ARE INSTRUCTED HOW TO HANDLE ALL HAZARDOUS MATERIAL ON THE JOB. <2> Page 2 <3> Held for Future Use <4> Held for Future Use . B~fi~ire-D't. y{?S (§J Hazardous Materials Inspection Date Completed {p - ;;;. () - ~ '1 ~ o'^ ~ ~ 'S C', "'^ ~ "-J "à \.A.;. ~.\o ~ O¡ '--'--.)',,, $ <:. ~ ~ ~ , .~'.' '," '... ,. . . . " ~. .. .;} - ' .I:'> ~~ . Business Nari1e: Location: '~-;---. RECEIVED JUN 2 2 1989 HAZ. MAT. DrV. 'ùEfuQ.ù Plan 10 # 215-000 ODoJ'-JeTop right comer Business Plan) Station No. 7 i3 Inspector Shift Adequate Inadequate Verification of Inventory Materials ~ fi Æ )tf Verification of Quantities Verification of Location Proper Segregation of Material Comments: D D D D Verification ofMSDS Availability NumberofEmploy~es /6 " D Verification of Haz Mat Tiaining o Comments: /U¿JN~ Verification of Abatement Supplies & Procedures ß Comments: % ~. o Emergency Procedures Posted ø )J 'Containers Properly Labeled Comments: D D Verification of Facility Diagram ~ Special Hazards Associated With this Facility: Violations: S~øé:::&- ~7~ ~~/lJD¿/å4'¿:-~ é ~.4'N6 D . . 1'.7 FD 1652 (Rev. 3-89) White-Haz Mat Div. ,Yellow-Station Copy Pink-Business Office "' .. .~~ ~. ~ . ._.~~_.... -S"' e /~~, ..~<é)t ""~:;.c,~/i>~~, it·, ~\ \ "_.'_ .~' t""') '.l.; - ...", i' -=-'""'.'-., ' \.\-..........,,~}.."'.; ,\ ~. ~," .\:::~~/.. e ~./- ? ' r: 'H~ "' , /' ,/Ll! (1~;::~l%;:~f:~ CITY of BAKERSFIELD tI?-.\,(¡/J ;;;_~,:,\{';~,), æ'~",~,:,:~ ., IVE CARE" D''/ ~\ .'~ . >$1 :¡;;..·",c ," ,e" ,,' ~ _ , áJììíÍÍ11~ ' I ç 0 )V AI ~' g w ó.. .ç.ç ~ y- (tYDe or prin~ name) R frr:- nr~,., JAN' 1 J 1989 Ans'å .... ........ Do hereby certify that I have , , r e \' i e h- e d th'e for Hazardous Mateiials SONNY'S CHEVRON 3699 Wilson Road Bakersfield. CA. 93309 business plan @ attached (name of business) and that it along with the attached additions or .,' correCl...lons constitute a complete and correct Business Plan for my facility. ~g~Y- /- '1 - ~ f date -,'-'-- ", .. <) ~~·'.à ' ~1?~\ , e"i'\. ~------ l -------..-. ---v- BUSINESS NAME SONNYS CHEVRON LOCATION 3699 WILSON Ro FACILITY UNIT 01 10 NUMBER 215-000-000363 HIGH HAZARD RATING Z A. OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 10/07/88 BY ESTER ID TYPE NAME LOCATION CONTAINMENT PURE GASOLINE NW CORNER OF LOT UNDERGROUND TANKS ID PERCENT COMPONENTS 11BZ.0Ø 100.0 GASOLINE 2 PURE WASTE MOTOR OIL MIDDLE BLDG STORE ROOM PLASTIC CONTAINER£ S1 10 PERCENT COMPONENTS 1598.00 100.0 WASTE OIL 3 PURE PROPANE SW OF LOT ABOVE GROUND TANKS 10 PERCENT COMPONENTS 1155.02 1Ø0.0 PROPANE 4 PURE MOTOR OIL STORAGE ROOM PLASTIC CONTAINER£SJ 10 PERCENT COMPONENTS 2808.00 1Ø0.0 MOTOR OIL B. FIRE PROTECTION / WATER SUPPLIES MAX AMT UNIT HAZARD USE" zøøøø GAL HIGH FUEL Hf\ZARD LIST HIGH , ' too0 GAL UNKNOWN LUBRICANT HAZARD LIST UNKNOWN 1100 GAL EXTREME: FUEL HAZARD LI ST EXTREME 150 GAL UNKNOWN LUBRICHNT HAZARD LIST UNK NOlJN LAST CHANGE 10/07/88 BY ESTER 3A SEC 4) FIRE EXTINGUISHERS LOCATED IN FRONT OFFICE, IN LUBE ROOM, IN BOOTH IN FRONT OF BLOG AND AT PROPANE TANI< FOR FIRE PROTECTION. 3A SEC 5) FIRE HYDRANT ON SORANNO DR. I ! PAGE 3 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 12123/88,13: IZ - e - ~~ ~ BUSINESS NAME SONNYS C~RON LOCATION 3699 WILSON RO 10 NUMB' Z 15-000-000363 HIGH HAZARD RATING Z ;.. D. EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 10/07/88 BY ESTER 3£1 SEe Z) IN CASE OF LARGE SPILL OR FIRE EMPLOYEES ARE INSTRUCTED TO SHUT-OFF ELECTRICAL POWER AND LEAVE PREMISES IMMEDIATELY AND THEN CALL FIRE DEPT 911. - E. MITIGATION / PREVENTION / ABATEMENT LAST CHANGE 10/07/88 BY ESTER 3A SEe 1) EMPLOYEES ARE INSTRUCTED TO BE CAREFUL WHEN PUMPING GAS IN AUTOMOBILES AND TO REPORT ANY SMALL SPILLS OR lEAKS TO MANAGER. IF EMPLOYEES SHOULD SEE A SPILL OR LEAK THAT IS SMALL IT SHOULD BE CLEANED UP IMMEOIATEL Y. IF THERE IS A LARGE LEAK OR SPILL EMPLOYEES ARE INSTRUCTED TO SHUT-OFF EMERGENCY ELECTRICAL SWITCH~S AND CALL FIRE -DEPT' 911.- ! \ PAGE 4 1Z123/88 13: 11. MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME SONNYS CHEVRON LOCATION 3699 WILSON RD ID NUMBER Z 15-000-'000363 HIGH HAZARD RATING Z 1. OVERVIEW LAST CHANGE 10/07/88 BY ESTER JURIS CODE 215-007 JURIS BAKERSFIELD STATION 07 MAP PAGE 123 GRID 110 FACILITY UNITS 1 HAZARD RATING Z RESPONSE SUMMARY ZA SEC 4) GIVE FIRST AID IF NEEDED THEN SEE THAT PERSON GETS TO WHITE LANE MEDICAL CENTER - 5401 WHITE LN .- 832-2000 AND IS CHECKED BY A DR. EMERGENCY CONTACTS 2A SEC 2) JIM WEEKS - 831-6075 OR 871-7586 -i ,. I<EVIN_SCAREO ,-:' 831-ß075 OR8:11-41Z0 UTILITY SHUTOFFS ZA SEC 3) A) GAS - AT PUMP; 10FT FROM .TANK; AND AT MAIN BOX B) ELECTRICAL - MAIN BOX IN BLOG; ON FRONT WALL OF BLOG; AND IN CASHIER BOOTH C} WATER -' SW CORNER OF LOT Q) SPECIAL - NONE E) LOCK BOX - YES, IN FRONT OF BLDG. , , Z. NOTIFICATION / PUBLIC EVACUATION l.AST CHANGE I / BY < NO INFORMATIDN RECORDED FOR THIS SECTION > I ~,l f.\t- ~ c \It S -'<. ð ~ " \Ä ~ M LA ¡: A ~,O( OQ S 5" if / ( L e \J[¡\. ~~ -t< ~ S' A{J..~ l(\lst~ \ (:) 5"~L\1- 0 ~ -\- i-tLL <2\^^J';?Î/'~ SLÛ('1<i ~3, C \A.Lh F\~v.R. ..t)~ q) \ J AN ~ I ~ L L At.. h P.Q..\'"' SoN 5 o N p..(.<.. ~ V\t1 ~ S-e :;> ~ 6 k Q lA:-u ~ A \f'-~ ~ . PAGE 1 " MATERIAL SAFETY DATA SYSTEMS, INC. (80S> 648-6800 Î ZIZ3/88 13: Î Z ~ ... e - ~f ~ BUSINESS NAME SONNYS C~RON LOCATION 3699 WILSON RD 10 NUMB~ZtS-ØØØ-Ø00363 HIGH HAZARD RATING Z ~ ...;;. ~ 3. HAZ MAT TRAINING SUMMARY LAST CHANGE I I BY < NO INFORMATION RECORDED FOR THIS SECTION > ð u. R C0",^,~ \A J\.'~ .s <2 N J '3 uS HIA:2..t=l q. &. o~ ~ v'\1GJ~ ~ \ Y\.ct3 u.ll.Q \'(\ 1\,> A/)Ià, v-¡.\...L eWV«(\D~~~5 ftfJ...-'<.. ¡;:¿Qq¡,<,<)~~~ T~ cRG'~~ d.: u.I\\J"'l'¥'si--f\.)~ (,v~ëL~ ,~-€- tAu\~AiráotA'5 culA-5f< vV\cutelr-lV\-L \~\A..1 ìke'J lVOv<k t.u(Th __~pt~~ ~,~-'~~:-~ Q... \ N LO)',", V\,~t- ~ (A) ~ (-h. () AI '( k ~ ~9 \? ,_.... ___ r:::-1M~\DLSR-<2-> ¡q~~ 1>t-.(5l\-.(.t<::'\""~ rt"CW '\6 \-t~l\,d~ f{~l /-{F\:cA-f\JOt\'9- ~ ~'\~\t- (. ~L t>!'\t 'ì~ e ::1 d\o ' 4. LOCAL EMERGENCY MEDICAL ASSISTANCE lAST CHANGE 10/07/88 BY ESTER ZA SEC 5) WHITE LANE MEDICAL CENTER - 5401 WHITE IN - 832-2000. .J;' -.-,.......; "'-- ~-7;:" --- --:-,,-=.~~_.> =- - ~ - -,:"'..: -. .---- ..,. ~ -..:. _ ~"];- -I PAGE Z t Z/Z3/H8l3': IT MATERIAL SAFETY DATA SYSTEMS, INC. (80S) 648-6800 .-:e--- CIT}T of BAKERSFIELD Far. and Aqdcultur, ~ Standard Busin,ss L-..: HAZARDOUS MATERXALS XNVENTORY NON-TRADE SECRETS Pl9' ____ of ____ '--' BUSINESS NAME: LOCATION: CITY, ZIP: PHONE #: SONNYS CHEVRON 3699 Wilson t10ad %' ~B~~~fl6'~ ~A. 9330B OWNER NAME: S '" \\1 f.,( '1 5 w e. ~ <:. ') )- ADDRESS: (..,('1. ...¡.J,~J. çì .CITY. ZIP: ~I\¥h~ ~~., \J" C v.+- Gt ~ '3 ö \ PHONE #: . -:z, ).. y , Î 1..\ 3"'7 RUD ro IlISrflucrIOIIS roB PROPIlR CODD 1 2 , ran, T Vile Cod, Cod, 3 1Ia. Mt 11 12 13 Un lacet10n ....... , by' Code Stored In Feclllty lit _ 't "I. V\;t ~,orá \ L#_k:t..__ __ u ~~q~ ' ta.panelit 11 ... fIIt.I.S. ..... . A".,..~ Physical end HH1th !IIZlreI C.I.S, ......______ ff.h«k .11 tllet IlIPly) :.A ..._, ..._-. r-, r--. -Fir, Hu.rd L_..I IIHc:tiYity L_..I o.llyed L_..I Sudden "1_ L_..I I-.lilte HH I th of P....IIII'I ....1 th Cœaøntnt 12 .... C.I.S. ...... to.panInt IJ .... C. I .5. ...... 1, to.panInt II .... C.I.S. ...... --- ,..-., ...-, ...--. ,.-, ,.-, L~.J Flr:e lIIurd L_..I RHctiyity L_..I o.llyed L_..I Suddtn ..1_ L_.I I-.lilte ....Ith of PI'IIIIII'I ....Ith ec.oon.t 12 .... C.I.S. ...... U. S. ...... ec.oon.t 11 .... U.S. ...... r-, ...-., r-' L _..I o.llyed L _..I Suddøl R,lNSe' L _.I 1-.llltl H..lth of PI'IIIUI'I ....Ith ec.oon.t 12 1_' C.I,5. ...... to.panInt 13 .... U.S. ...... ____L____________JL.___________"JL___________J______l_______L_____J_~_JL____---L_____~ I -i P"'vI ic.1 end HH 1t" !IIZlreI (Check .11 thlt ....1') C.I.S. ...... _~__________________ CœIIontnt II .... C.I.S. ...... ,..-., r-, r--., ,..-.., .r-., L _.J Fir, H".rd ,L _..I IIHc:tiyhy L _..I Del.yed L _..I Sudden RelNSe L _..I I-.li.te H..lth of Pr"lur. Hlllth C.....t 12 .... C.I.S. IMbtr CœIIontnt 13 .... C. 1.5. ......,. o 1\/ S'ì ~ +11 /lit\.. NAME OF Tft1S ~~JL~TY: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER 1. __ of lIixt_/ec..on.ntl SIt InltructiOlll , ~'5..~Ì-.DLL -------------- __~'\OY' 0 i.L M.o,," 0 ~ 0 ~---- , tþ "of 1A.1\t (J PV'O~~N~ -- ----- - -- ----- ------------------------------------------- ------ "ERGENCY CIJlTACTS 111i¡~QJXj~~---S-~-~£.j~:c------ '~1~-~L'?.ß-----~----- ~ {.:~-;~~!2--12U~~.ù~--CJ~1~---,.------- ~1i1-.1lUí1~------- ~-hlÑ;~$~- Certification (Rftad .nd sign after -co.pl~tinl! all s~ctJonsJ ,), . '.' . . ;,certify under 11N1lty of 1.. tllet I lleve øerson.lly ~...ined end .. fHi,1i.r .ith the infor..tion subllitted in this 1IIcI~11 Itt c10c I. IIIcI tll.t based on -V inquiry of those IndiYic1ulll I'llpoIIlible fo~ obUini2!Phe infOl'Mtion. I br1i.y~ tllet the subllitted inforution is true, .ccur.t" .nd cœ~l~t., ' R--:~~a,--¡fu~t}1-~~t'1J:i~--SU¿~~C.R:2--k~7-----t'O--~tt=~t9:~--t-t·-- S'-- -- -~-------- ---..:--------- - ~--------- ..':t--s!.:;;,~-î-:-f:..Î---------------- ,.~an 0 'c" . I ~ óVownrrToDèrator ~I ownrr O:ll!ra or 5 au ""r1Z~ r'lr!!S1II . IV' '9 ur~ , ua ~ '9nllU ~- .tJ\ .'"3...... . ~ : ~ (¡;,; :, ~_ . -i '~-,:o-~. '~. '\, , --~~' \- --~ ~~~~ ¡-po' ~~~ 1. 'I'; .~ -;~ .... /' . @~ AIr . e BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 \ :26- I , f0 Q) .:IJ)5 P 7 OFFICIAL USE ONLY ID# (')'(j-\ C\ D '3ú3 BUSINESS NAME HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A ()O:0363 INSTRUCTIONS: 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a who.le. 4, Be as brief and concise as possible. , SECTION 1: BUSINESS IDENTIFICATION DATA B. LOCATION / STREET ADDRESS: SONNY'S CHEVRON 3699 WiltiU11 RUdU Bakersfield, CA. 93309 A. BUSINESS NAME: CITY: ZIP: BUS.PHONE: (~oS) ~3 \.... boïS- SECTION 2: EMERGENCY NOTIFICATIONS " In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1~800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law, EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE \ / DURING BUS. HRS. A. ~\ Vv\ (.J e..<2..-~ c; Ph# 'fr.';} 1- b o7Ç B. \<-'<..l-' "1-\ S C-\,A- '" ~ Ö PhI ~ 3 1- (,. C> 7 ç' AFTER BUS. HRS. PhI 'Y 7/-7 SO G- L PhI '6' '3 I ~ Y t ;t 0 SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/P~PANE: B. ELECTRICALiJJ' ì ( C. WATER: SOI.\.""'t"'- Wee:.."," CC:>\--I\'f?)- D. SPECIAL: E. LOCK BOX: ~I NO IF YES, LOCATION: ðH F}-oNI 0 ~ ~u...t' tel 1'1\\<] ß~t'" IF YES, DOES IT CONTAIN SITE PLANS? YES / NO FLOOR PLANS? YES / NO MSDSS? YES / NO KEYS? YES / NO - 2A - . . '. ~.,~ '-;¿~~ ~f-~ -,,~ ':""'C " r. a: .... "\, . ~. ~', '. ", </' JSECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE ~;. \ tJ::.~'" .... J Gt'\JL.!.. \2'''5\ ,t~t\'q l~ tIIQe~C2cl \\."..<G~ S'ë'-e ¡-kat- p.r¿~soty G-,<~~ \,0 W ~ ~ t <.... k ð N p V'v\eJ.. \'"" 1A \ ("I -IL. f '- '-'- It'. ,-..Q ~( LL\ A-I\/ cj f '5 ð~ e.. c\.L.e (\ ( 'u. /)J ~ -\... CJ< '() -...> y "CJò) ß e.. \ ~ y.. SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE .~; ~...~ Ir~ .~'.. Ø'\ '- ¡, ...'/ 'J -- ~ ~4 WIrt ,t ~ "--1'-\ /' -Q.. M ~c\ ~ c. ~ h 5 Ý 0' w k ìT~ L L4- \~\ ~ if7(.(L~s~~Q~ ('(4 ar'3oC SECTION 6: EMPLOYEE TRAINING c €..I\\t' ~ r \--\ :- ?? 3 ). - ¢-o 0 6 . , " EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS: . . . '. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: . . . . . . . . . . . , . . , . , . . . . , . . . , C. PROPER USE OF SAFETY EQUIPMENT: . . . . . . . . . . . . . . . , . . D. EMERGENCY EVACUATION PROCEDURES: . , . . . . . . . . . . , . . . , E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:. ... . .. INITIAL REFRESHER YES NO @ NO YES NO ¡NO YES NO ' NO YES NO Y N YES NO YE \~~ I SECTION 7: HAZARDOUS MATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS~~TERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS:...,.. YES~' I. ~ ~~ . certify that the above information is accurate, I understan that thi information will be use~ to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et AI.) and that inaccurate information constitutes perjury. SIGNATURE ~ 4. TITLE ~ DATE C, .- - 2B - , ~ -: ç ;,~''''þ~;..~-:-~~ ~; . e / /, "r;' ¿ BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD. CA 93301 OFFICIAL USE ONLY ID# ------ BUSINESS NAME: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid fuither action, this form must be returned by: 2, JYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions ¡below for THE ,FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as ~ossible. FACILITY L"TNIT#~ FACILITY UNIT NA..'Œ: So I\,I!\, lj '> Ch.ev V<. 01">\ SECTION 1: 'MITIGATION, PREVENTION, ABATEMEì\.¡'r PROCEDURES b::""'~o,y<.r<.s P,'('€- "!\'-\<;\t'\....('\"""<~ \'c. 'Ð¿, C'A-"J\",,," \.Ù~€-t-\ ~ "1"5 G'A-S 1'/'\ A~o 1h\",\o~ìQs ~ A..e~o~-t FHI\I,:\ o;'Ma..\\ 5'\,¡'\\s- O'r h.~v..\<."> ~t> I'II.AI'I~J~r 1:-~~ p.VV\,~\C>~.Q.€.$ sh","-.\c\ :,-e...e A- 7'< ill Or ke.V\-~ "t\-..;a.."i;;:: ,''5 51/Ì.1,-¡¡.(.,l {";. 5~\)~\d, \p..e... c..\"<.)4.,Nec\ \..L-~ T-,^,,""'~4Ó.~~,"l~, 1=~- \\-..~.....-<e.... \'5 r.¡...l"c...\-5"'ê:. le~k C!>rSYf,'L~ Þ~1-t~\~~~~s' ~I't"€. ,-1'Nç-'hN~<õ?<"~ \,0 5\..-\.\' o~~ \5~Y\e'l--d-.Q.'\\c.3 0/ec.iï:.ì.C:-I4-L .s~{\~-h.....& J.. C\4..~CPHq-\\ t= ~ '<' ~ t\ <¿14~. SECTION 2: NOTIFICATION ~~ EVACUATION PROCEDù~ES AT THIS ù~IT ONLY TN CiA- S'-z ð *- ld...... 5 -R- 5~ ¡Il C> ~ ~ \I..~ T Ò 5 h 4. 't D ~ g.. ,¡z' ( -«c... -\: '\.. ~ c.. tll. 1? O\N ... r 'tkM LeA-\'- ""' t=' I.'~ Üe~'-\. f¡i:-9 l t bf;\t, fIe I..jJLe $ R-.~' r''-l'S'1't,vcT:''~ J:. l<2-v-\Þ~ r~ ¡:ii1Q~" I' r- - 3A - ·r " . '. "'-T-f.. "" ~ / 'i~;~~~"~" b.'" ' ÎJ_. " SECTION 3: HAZARDOUS MATERIALS FOR THIS ú~IT ONLY A.Does this Facility Unit contain Hazardous Materials?..... ~ NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materi.als a bona fide Trade Secret YES @) If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form #4A-l) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION ® r\ ~ 6'(' i-Æ\",'r \X..\>5~er,> Loc\4--\~" b-.\ I VI ð5oo-t'~ \\", ç\-o~,""\ Ð~ 8~t't--\.1 J \=HN.~ 6~~,'<:.~ [r.j , ) A-'t f't-C;>?v\-")~ l\dc(\.\K ~-~~ e \RoO\M, SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS t:..\" 3 Q S' é> r~ U N c> I/J 'r - c. t '\ '-) SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT. GAS/PROPANE: ~\ fr-o~ <A "'~, \:'"\A~ \<. / T ~~ \=:t,. 50\.\ -ç-"- 0 11/>'r-c ~ \'} 1\) ~ 1" V't t\ \< r\\' Vv\. f\ ~ ~ 6\-.ec..\t"<:c...-<t Be> '{ B. ELECTRICAL: f\:~ M'A-,'''' ¥\~y ) b~~ ~v.. ç \ tl t-~ c¡- &~ r:-'t-t::.<\("\ 0 ~ ß lJ./(J ,'\'.\ ~) .II\( "co \\ fA rP-c.c> "\1 C. WATER: Se>t.(,"-~ to..e.s. + c" y-. t--.\ e- r 0' ~ l c 1-. D. SPECIAL: I I E. LOCK BOX:~/ NO IF YES, LOCATION: 6N F'r-ó N\ ð ~ '8u.. ~ \dl\"\7 IF YES, SITE PLANS? YES / NO MSDSs? YES / NO FLOOR PLANS? YES ! NO KEYS? YES / NO - 38 - 1. D. # BAKERSFIELD CITY FIRE DEPARTMENT FORM 4A-l NON-TRADE SECRETS, HAZARDOUS MATERIALS INVENTORY Page" ,of , - .-::-r- ; ¡.. '.þ ::.:J ,"":. BUSINESS NAME: SONNY'S CHEVRON OWNER NAME: S 10 tV 1\.l ~ ç \.)J a.. Ç-.ç a.. \r £, ; FACILITY UNIT #:qyLJífo' i ADDRESS: 3699 Wilson Road ADDRESS: C:.~r!) W~C;,;\ <2c;;(e"",In'·9 FACILITY UNIT NAME:St:J/'IIV':1S' Ck.'ê0IfoH CITY, ZIP: Bakersfield, CA. 93309 CITY,ZIP: Rn',. "'s'Ç.,'.a\d CIA.. Q'1').~r PHONE #: <?'.3I-(.OÎS PHONE #: '3J...Y.-74~ì rOFFICIAL USE CFIRS CODE , ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. ' CHEMICAL OR COMMON NAME CODE GUIDE ,1 1~ cø:e. ~ 11<i ::J ~cooO ~ ¡DOo} lì ðl ,q N . IV, c..O\"-NE'v 0 ~ l 0 i jðO G \4s c l "N Q... FL-G5 /" ~ 'ª-Þl ~N v¡,cid,l-(, o~ OIM..~ fJ1,.v'(V\ t) \: t) 'r /5-q~ 1f)f-9 ! ,~ (000 ~ 3--~ 00 ~ \0 /00- C) ,l . 01 ~t ~\,,,,¥,~, ~"CIIU , , -./ ! 0Jf>: \ \01:> ~ ape) G V't- L (~ '" P~OIO/A.NP / ! 5s-:.,Ò~ If:LG 5' ,,>0 ð;;l 5 e..¡'\ ~ \1 \..L.t .J. L' ß 1"- toð - w) , I c915 Ó <is ~ f1, t1:) Am ;J 000- QQL /0' U S -tö Rñ D 0 fooM' 100 H n to Il.. ("), I ./ J u I I I - /7 //' ~ ... NAME: SaNA! t.( SW~~ ~.L' '" .. TITLE: 'C> tv 11/ e ¡:¿ SIGNATURE: ~ ~ ./7 ~ ~j7 _ DATE: ~- EMERGENCY CONTACT: SOIVN Swa S-Ré\'r TITLE: ð t.c/Ne~ '-" ~ONE # Bifs HOURS: ~3 1-C.075 ~ EMERÇlENCY~ CONTACT: U,' \v.... l.J~ PRINCIPAL BUSINESS ACTIVITY: TITLE: MI4-N\A9<2Y AFTER BUS HRS: ~ ~ L.-7t.f 37 PHONE # BUS HOURS: H-'.3 1- , ö 7 S AFTER BUS. HRS: 8'7 I - 7 5 ~, - 4A-l -