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Home My WebLink AboutBUSINESS PLAN/ .<I' - - ~7 ELEVEN FOOD STORE #2125-16549 SiteID: 015-021-000808 Manager : Location: 4647 WILSON RD City BAKERSFIELD CommCode: BAKERSFIELD STATION 07 EPA Numb: BusPhone: Map : 123 Grid: 11C (661) 833-0732 CommHaz : Moderate FacUnits: 1 AOV: SIC Code:5541 DunnBrad:00-734-7602 Emergency Contact / Title Emergency Contact SHUN & SHU WANG / FRANCHISEE DAVID LISUK I Business Phone: (661) 833-0732x Business Phone: 24-Hour' Phone (661) 834-5830x 24-Hour Phone : ,- Pager Phone : (661) 633-6170x Pager Phone : Hazmat Hazards: Fire / Title / FIELD CONSULT (888) 711-4876x3720 (661) 845-0031x (661) 633-6319x ImmHlth DelHlth Period : Preparer: Certif'd: ParcelNo: to Phone: (253 ) 796-7170x State: TX Zip : 75221 Phone: (253 ) 796-7170x State: TX Zip' : 75221 TotalASTs: = , Gal TotalUSTs: = Gal RSs: No Contact : RANDY MARTIN MailAddr: PO BOX 711 City : DALLAS Owner Address : City 7-ELEVEN, INC. PO BOX 711 : DALLAS Emergency Directives: ~J 3' ~ ¡ l<!nJ¿ Do hSi'sbv œrti~u ~hað n r..f31 orpnnlname) JI 'll <12.1~ U Uh;!.I"@ reviewed the attached hazardous materials manlgs-- ment plan for~L' !. é:Áv-uJ and that it alonn aJl/I'th (Nama (fBuslna:lS) ~ \"J11 any corrections constit~te a complete and correct man- agement plan for my facility. 9rA~ Signature ?,~ " o~!jy- -1- 05/10/2004 ¡ e e ~ F 7 ELEVEN FOOD STORE #2125-16549 SiteID: 015-021-000808 ì STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: 7 ELEVEN FOOD STORE #2125-16549 Cross Street' : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : DAVID LISUK Phone: (888) 711-4876x3720 Address: City : State: Zip: Type : TANK OWNER INFORMATION Name : DAVID LISUK Phone: (888) 711-4876x3720 Address: City : State: Zip: Type : BOE UST Fee# : 002251 Financ'l Resp: INSURANCE Legal Notif : Tank Owner Mailing Address Date:02/11/2000 Phone: (503) 977-7713x . Name:RANDY MARTIN Ttl:ENVIRON. MGR. State UST # : 1998 Upg Cert#: 00780 -2- 05/10/2004 i - - ~ F 7 ELEVEN FOOD STORE #2125-16549 f= Hazmat Inventory f== MCP+DailyMax Order SiteID: 015-021-000808 ì By Facility Unit ì Fixed Containers on Site ì Haza,rdsl Frm 1 DailyMax IUnitMCP IH DH L 10000.00 GAL Mod IH DH L 10000.00 GAL Mod Hazmat Common Name... 'I SpecHaz I EPA F F UNLEADED GASOLINE UNLEADED PLUS GASOLINE -3- 05/10/2004 ¡ e e .., F' 7 ELEVEN FOOD STORE #2125-16549 p= Inventory Item 0001 ¡:::::= COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE SiteID: 015-021-000808 , Facility Unit: Fixed Containers on Site, Days On Site 365 Location within this Facility Unit UNDERGROUND FRONT PARKING Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 7500.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # I 8006619 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS Ag.Defined5: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Definedl: Ag.Defined8: Ag.Defined9: Ag.Define10: I- Ag. De fine 11 -4- 05/10/2004 j e e F"7 ELEVEN FOOD STORE #2125-16549 p= Inventory Item 0001 STORAGE CONTAINER DATA Last Action Type: Location In Site: UNDERGROUND SiteID: 015-021-000808 ì Facility Unit: Fixed Containers on Site ì (UST FORM B and AGENCY-DEFINED) Page 1 of 2 FRONT PARKING TANK DESCRIPTION Tank ID#: 1 Mfr: JOOR Installed: 10/1984 Capacity: Additional Info: 10000 Gals Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL Matl Name:UNLEADED GASOLINE TANK CONTENTS Petrol Type: REGULAR UNLEADED Cas #: 8006-61-9 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): STEEL CLAD W/FIBERGLASS R. P. Material(s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1998 Drop Tube : 1984 Striker Plate: 1984 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 1998 TANK LEAK DETECTION Dbl Wall: AUTOMATIC TANK GAUGING Installed: Installed: Exempt: No Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -5- 05/10/2004 j e e F~7 ELEVEN FOOD STORE #2125-16549 p= Inventory Item 0001 STORAGE CONTAINER DATA SiteID: 015-021-000808 9 Facility Unit: Fixed Containers on Site 9 (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION Piping AboveGround Piping Type: Const: Mfgr : Mtl : & : Corr : Prot : UnderGround PRESSURE DOUBLE WALL UNKNOWN FIBERGLASS FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 02/28/2001 Date: 04/11/2000 Name:RANDY MARTIN Prmt Number: 0808 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE . Ttl:ENVIRON. MGR. Approved: No Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :02/06/2004 CP CERT. : MANWAY INSP. :07/01/1999 UST MONIT. CERT:02/06/2004 STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: No Installation Inspected & Certified by Registered Engineer: No Installation Inspected by Unified Program Agency: Yes Manufacturer's Checklist Completed: Yes Installer Certified by Contractors' State License Board: Yes Approved Alternate methods: Date: 04/11/2000 Name:RANDY MARTIN Ttl:ENVIRON. MGR. -6- 05/10/2004 ~ e e ,i'> F 7 ELEVEN FOOD STORE #2125-16549 f= Inventory Item 0002 F== COMMON NAME / CHEMICAL NAME UNLEADED PLUS GASOLINE SiteID: 015-021-000808 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Location within this Facility Unit UNDERGROUND FRONT PARKING Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 7500.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS GrJ CAS # I 8006619 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined8: I- Ag. Define11 -7- 05/10/2004 .j e e (7 ELEVEN FOOD STORE #2125-16549 p= Inventory Item 0002 STORAGE CONTAINER DATA Last Action Type: Location In Site: UNDERGROUND FRONT PARKING TANK DESCRIPTION Tank ID#: 2 Mfr: JOOR Installed: 10/1984 Capacity: Additional Info: SiteID: 015-021-000808 ì Facility Unit: Fixed Containers on Site ì UST FORM B and AGENCY-DEFINED) Page 1 of 2 10000 Gals Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL MatI Name:UNLEADED PLUS GASOLINE TANK CONSTRUCTION TANK CONTENTS Petrol Type: UNLEADED PLUS/MIDGRADE Cas #: 8006-61-9 Type : DOUBLE WALL Material(p): BARE STEEL Material(s): BARE STEEL Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1998 Drop Tube : 1984 Striker Plate: 1984 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 1990 TANK LEAK DETECTION Dbl Wall: AUTOMATIC Installed: Installed: Exempt: No TANK GAUGING Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -8- 05/10/2004 j e - (7 ELEVEN FOOD STORE #2125-16549 SiteID: 015-021-000808 ì p= Inventory Item 0002 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION, Piping Type : Const: Mfgr : Mtl : & : Corr : Prot : UnderGround PRESSURE LINED TRENCH UNKNOWN FIBERGLASS AboveGround Piping , FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 02/28/2001 Date: 04/11/2000 Name:RANDY MARTIN Prmt Number: 0808 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE TANK/LINE TEST :02/06/2004 CP CERT. MANWAY INSP. :07/01/1999 UST MONIT. CERT:02/06/2004 Ttl:ENVIRON. MGR. Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED PASSED STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: No Installation Inspected & Certified by Registered Engineer: No Installation Inspected by Unified Program Agency: Yes Manufacturer's Checklist Completed: Yes Installer Certified by Contractors' State License Board: Yes Approved Alternate methods: Date: 04/11/2000 Name:RANDY MARTIN Ttl:ENVIRON. MGR. -9- 05/10/2004 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3911 FAX (661) 852-2170 SUPPRESSION SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 852-2170 PREVENTION SERVICES fiRE SAfETY SERVICES' ENVIRONMENTAL SERVICES 900 Truxtun Ave.. Suite 210 Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 852-2171 FIRE INVESTIGATION 1715 Chester Ave.. 3rd Floor Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (6611 852-2172 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 December 10, 2004 Mr. Shun Wang 7-11 4647 Wilson Road Bakersfield, CA 93309 REMINDER NOTICE Re: Necessary Compliance Deadlines for UST Owners/Operators Dear Mr. Wang: The purpose of this letter is to remind you about three compliance deadlines for UST Owners/Operators. These are as follows: 1) January 1,2005 deadline for submitting declaration statement designating: (a) Owner/Operator understands and is in compliance with all applicable UST requirements, and (b) Owner identifies the designated UST Operator for each facility owned. (c) Owner/Operator passes and submits proof of International Code Council Test. 2) EVR upgrade requirements on spill buckets are due April 1, 2005. 3) Secondary Containment Testing on all secondary systems. Code requires re-testing 36 months from date of last test which was in 2002. Should you have questions regarding these compliance deadlines, please feel free to call me at 661 - 326-3190. Sincerely, ¡¡ -, í// r", l)LttLcilë~ Steve Underwood Fire Prevention Officer SU:db {'¿j;;PIJ¿II//lhe Yf<}~IIIII':INtt~!f QPo:j( Q i/o'Fe Q¿lu.ul· Qçy Y;?enúl/¡t~t II ,<' SENDER: COMPLETE THIS SECTION I · Complete items 1,2, and 3. Also complete item 4 if Restricted Delivery 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 mailplece, or on the front if space permits. 1. Article Addressed to: 7-11 FOOD STORE 4647 WILSON ROAD BAKERSFIELD CA 93309 ¡l I I 2. Article Number I (Transfer from service labelj I PS Form 3811. August 2001 .~. . ' ,,' ',;d, ,~"il .:o..;...,.;:d../ --::li :.~ ! 3. Service Type "'1jtt,Certified Mall 0 Express Mall o Reglstered~ 0 Return Receipt for Merchandise ' o Insured Mall 0 C,Q.D, 4, Restricted Delivery? (Extra Fee) 0 Yes 7002 3150 0004 9985~4575 Domestic Return Receipt 102595-02-M-1540 U1 I'- U1 .:r , ~ '" '"Jo '" "" ...;:.~ \~;::;"" ~ < ~ ;"'7 " l \ ~':>f ',,~,.. IF~';~ it ~~'~F ,~~ \, '* {\~;J~'.', '" ¡tJ.S. ~ostarS~!ivipè:rM',,';-" "',' ¡ , , (",(~ ' ",P.~~~g;;~ , "'1 ,,~'" ':c :;:'. e;ERT'IFIED MAILM RECEIPT (Domestié Mail Only; No Insurance Coverage Provided) . ,- , . . .. . . . I OIÞFICIAl USE I (Postage $ .~ ~ Ceitiflecl Fee " Postmark Return c~ÐcJept Fee (Endorsement Required) Here Restricted Delivery Fee (Endorsement Required) Total Postage S ì IUl II:[) Ig: .::r- Ig CJ CJ U1 r-'I /T1 !ru I CJ To CJ I'- "$irëefA'p£Wõ.¡ or PO Box No. ¡ ëitÿ,-štãië:Zi~ '~ 7-11 FOOD STORE 4647 WILSON ROAD BAKERSFIELD CA 93309 i I' ". ," I~ " , , ~ ~..~ ,þ ,- .- Facility Address 7-11 1701 Pacheco Road, Bakersfield, Ca 93304 7-11 4647 Wilson Road, Bakersfield, Ca 93309 7-11 3601 Stockdale Hwy, Bakersfield, Ca 93309 7-11 960 Brimhall Road, Bakersfield, Ca 93312 7-11 525 West Columbus, Bakersfield, Ca 93301 7-11 4101 Calloway, Bakersfield, Ca 93312 ::- ~ #1' II'Tanknology 8501 N. MoPac Expressway, Suite 400 Austin, Texas 78759 Phone: (512) 451-6334 Fax: (512) 459-1459 Date Printed and Mailed: 11/16/2004 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR STEVE UNDERWOOD 900 TRUXTUN AVE., STE. 210 BAKERSFIELD, CA. 93301 Test Date: 10/19/2004 Order Number: 3136913 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: 7 -ELEVEN #16549 MARKET #2133 4647 WILSON ROAD BAKERSFIELD, CA. 93309 Testing performed: Liquid Removal tests Secondary Containment-Spill Container Sincerely, -=:D~ K~ ' Dawn Kohlmeyer Manager, Field Reporting ,£" ] 58-989 SECONDARY CONTAINMENT SUMMARY RESULTS 1- fIÞ Tanknology KENT RANDY MARTIN 253-796-H70 WA 98032 WORK ORDER NO.: 3136913 SITE: 7-ELEVEN #16549 MARKET #2133 4647 WILSON ROAD BAKERSFIELD CA 93309 TEST DATE:10/19/2004 CLIENT: 7-ELEVEN, INC. 20819 72ND AVE. SOUTH SUITE 206 Tank Interstital Tests Piping Interstital Tests REG UNLEAD PREMIUM 1 87FILL 291 FILL OPW OPW Pass Pass Tanknology representative: JERRY BELLOLl //-.., /~ ,(' ·"·t· ') -' )-",<, /,\ ,) \ (--_.-!L:~ :.J:':'5 :) ,J,. Services conducted by: MARCO GODOY ~ 4 ""ìJ1Rô JIZ ~~ 7::In1cnology Test Date: 10/19/2004 Work Order: 3136913 SECONDARY CONTAINMENT TEST RESULTS SUMP TESTS Type Tank or Disp Manufacturer Model or Diam,/WidthlLength Depth Test Method Start Initial Level Finish Final Pass/ # Material (") (") Time Level Change Time Result Fail Spill Container 1 87FILL OPW Plastic 12 10 1245 5 1315 5 Pass Spill Container 291 FILL OPW Plastic 12 10 1245 6 1315 6 Pass Comments: all buckets passed. Í' ., 1'" ~ z-~ DJnlmology 8501 N MOPAC EXPRESSWAY. SUITE 400 AUSTIN, TEXAS 78759 (512) 451-6334 FAX (512) 459-1459 TEST DATE:10/19/04 CLIENT: 7 - ELEVEN, INC. WORK ORDER NUMBER3136913 SITE:7 -ELEVEN #16549 COMMENTS 60-Day Startup Testing. Conf.#04-2861. All tests passed, replaced (4) 8' GY hoses and (1) hour labor. PARTS REPLACED HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) Printed 11/16/200409:33 KOHLMEYER :Ã" ....., TEST DATE: 10/19/04 CLIENT: 7 - ELEVEN, INC. o I C/) -; o ;:0 m (XX) VENTS SITE DIAGRAM 1-., Dlnknology 8501 N MOPAC EXPRESSWAY, SUITE 400 AUSTIN, TEXAS 78759 (512) 451-6334 FAX (512) 459-1459 WORK ORDER NUMBER31369J.3 SITE: 7-ELEVEN #J.6549 stine rd. ~ MID O 0 OrsTP1 10K ~ REGUL o 0 oEJ 10K ~ his tank is out of sevic out of s stem Printed 11/16/200409:33 KOHLMEYER ~ (J) o :::J a w a. ·.... -§ Work Order: 3136913 9. SPILLI(W}:JU1LL CONTAINM' T KUXES Test MClhud DeveJopcdDv: d spiu Buck t ~1 f:., I . . . . c anu aclurer I lnd IrYs ..J II J'e'" M· \..... - !:' Other (SjI",,!,,(,j ...... US, . mnuar.U I.., n . r. I ¡ .>, CI'fOdU.~cs: -----;;-~ ,",rrOje~~I· f, .. . ~ ~ ....1 Þre~sul1: - _ _ ____ .,..... .. .. on~ r.n~cecrl , M¡:a$uril1,g L·qr¡ip.tne lú:- - ~ _ OOt1r('J' (.VJI:C{fj') L.! \/aCfI1Ur;- - - - - J "'-_. I~ II sud û)r'res!ìll"''?"" - --_ -.: _ Œ1HY'¡"O~t;:¡r¡; - - -_ -I h __ ¡ " -l Page ( Df:-L ~ BI~e! Dj¡¡'netcr: ~ 7 spm Ðox fI. ',I"£.( f-!IICkct D~pt];;- - - - - i /~ Spill Uo~ tI f/( (. . ¡Wait time ben.- - _ -/,l\ I";r. SpJJ) UO~ ff P]>.::,~s ' . 'een applying - £..f¿ ,..,., r l' . un:H·aCUIJJn.'l....atl,:]' ¡¡lid I - - -!.. u í - - -- 'r~gest: . I ------ __ ----J ~~t~---l-~_ ___ I T -----i ~IIjtja]~): --_¡I1.;r ___ I /ê}.:<ls.~---~---__ I ,r,nE,"rlm' ---bP -+ 0;-------'+--- j .~ e, ,/3';")-- ---:-- -L. -'-~., fmaIReading(Rr): -- ¡..~ --_ /3.'/S-- " ----=:\ T'estDur¡¡i¡OIl: ~ -m -~(, ¥ ~- =t=- - - , 60 JIV 1ð/l'J1 - -'- . . '. , . '/V !~i~~~;~;'~J~i;D;;,; ;~~¡J:;\Li¡§¡~~~'f11l;¡:;'Ai";'/;~:Yi:;'"':''t:,;; '>,-;>;;,.4 COl1]lDents ~(in~{ude. inlor:mafi0J10nrepairsma,:~(! prior '0. (¡;sling) PJ.lit. -rJ1"£. ~ ¡(JDLL(,i5~£'S;,r:d~ - ,~. 4, --.. TanknOlogy :27576 c.;(..'JmnRI'(;& Ce.r::,',. [Niljp Tol! n'P.iI: iBOOj 666-M 75 LfJc.:!l: ~) 3ti~·12JIJ r¡¡x: (908) ~()8~J23!) Ðcccmb<\r :!OfJl .$t,ir;¡ ros 1H.'PI1ctila. CaHf:J(il.'i./ fj2~90 Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 f/"'~ . . APR.16.2Ø04 l2:32PM AWI ENG / SALES NO. 955 P.l EFS Tank & Power Equipment . 3030 M Street. Bakerøfielå. Ca. 93301 Tel: 661. 322. 3490 Fax: 661.322.3491 . Apri116, 2004 Mr. Steve Underwood Bakersfield Fire Department 1715 Chester Avenue Bakersfield, Ca. 93301 Reference: Areo Am Pm! Flower Street Dear Steve: -r----........-- F1 LG ~,..,~ ~~~ ç~ S~ ) ------------ ~aFax:661.8S2.2172 Per our telephone conversatiQn this morning, regarding Warranty issues with the UST that was install~ on 3/16/04, which was later involved in a traffic accident. at the AReO AMlPM located at 928 Flower Street, Bakersfield, Ca. 93305. As a result of the accident. EFS at the request of the contractor, McNabb Construction, conducted a field inspection of the tank As part of the inspection of the 20,000 gallon PJasteel ElutronUST tank (UL # P250 1 0), we conducted a 35,000 voh Holiday Test along the top and down 3' on each side of the t~ pinged the taDk for any potential dents in the primaly tank and vacuumed tested the tank. During the course of the in~ we identified and repaired are&$ where the fiberglass had been scraped, and repaired and water tested for leaks the 43" containment collar on the east end of the taDk that had been damaged. As aresu1t, BPS is satisfied with the integrity of the tank. TheEFS manufacture Wattanty on the tank wm remain in full force. Should you have any questions, or need further infonnation, please feel iTee to contact me at anytime. We look forward to working with you onfuture projects. Best regards. -Æf¡(~uJL~~ Charles Hinson Vtee President Marketing & Sales Cc: B. McNabb , . .. ~~ 4J~~ed ~ . cltu7~ i {)W/W[ . /~ ¡.&ifj J)li/JCM 0 £)04J:/j i .-5~ ¿J~ . 7Ç03 ~.c7 , ,: éJCf f;-~Ç ~ Cf! 6ò, ' - ", , ~. o I 00 IÍ , '¡-(ll) ~;- " C~J . rq þA" S~-" "d (pc{, ~Ùp)~', \ð G0 ' " j'D - " " ~--------~- ~,~"~~ W:'..- ., '--.. ,-Ç., (' .........., c~'~ ~G~ .. .'f~\ r _<e' ~ '7þ>::'" " _U'J ' ,.,'~'~ '*", ". ,~. .. "!~;":EVEN FOOD STORE #211-16549 -- Manager Location: 4647 WILSON RD City. BAKERSFIELD \. 't~~~us Phone: ~~~~ Map: 123 Grid: 11C /J SiteID: 015-02~-000808 (661) 833-0732 CommHaz: Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code:5541 DunnBrad:00-734-7602 Emergency Contact SHUN & SHU WANG Business Phone: 24-Hour Phone : Pager Phone / Title / FRANCHISEE (661) 833-0732x (661) 834-5830x (661) 633-6170x Emergency Contact DAVID LISUK Business Phone: 24-Hour Phone Pager Phone Hazmat Hazards: Contact : -ßOH DEMINNQ ( Randy Mar:tJ_n______J MailAddr: PO BOX 711 ~--- City DALLAS Phone: State: Zip Owner Address City THE COUTIILl'..:ND CORPORATT.oN 'J~7)JÀ1.~. PO BOX 711 DALLAS Phone: State: Zip Period Preparer: Certif'd: parcelNo: TotalASTs: TotalUSTs: RSs: No to Emergency Directives: I, "¡ __~andyMartin (Type 01' print name) , Do hereby certify that I have / Title / FIELD CONSULT (888) 711-4876x3720 (661) 845-0031x (>661) 633-6319x ImmHlth DelHlth t>..3 ' 7~ - 71'7 c::> (208) 1. 0-466x TX 75221 Gal Gal reviewed the attached hazardous materials manage- ment pJan 1or/-~ 'Í~5"1'?and that it along with (Name of Businass) any corrections constitute a complete and corrsct man- . /, agement plan f~~. '7 ¿;¡{3> Signature -1- 06/16/2003 .i' ,i ;<f? ',; ; 7 ELEVEN FOOD STORE #21_-16549 STORAGE CONTAINER 4It SiteID: 015-021-000808 9 DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: 7 ELEVEN FOOD STORE #~25~16549 Cross Street : Business Type: Total Tanks: 3 IndnRes/Trust: No , PROPERTY OWNER Name :-~I: ':If 7-Eleven, Inc. \ A~dress: i 7"'" Gasoline Acctg. Clty: : P.O.Box711 I Type: L Dallas, TX 75221-0711 \ -- - TANK OWNER Name :~D}\:¥IBII 7-Eleven, Inc. Address: I V Gasoline Acctg. C it y: Y'¡ P.O. Box 711 Type : pallas, TX L5221:-Qljj_ BOE UST Fee# : 002251 Financ'l Resp: INSURANCE Legal Notif : Tank Owner Mailing Address Org Type: PA Contact: INFORMATION Phone: (~88) 711-407Gx3720 c9?3- 79~-7/7Ò State: Zip: INFORMATION Phone: (8-88) 711 4076x3720 óJ.6..3- 79'.6- 7/72:) State: Zip: Date:02/11/2000, . Name: DOD DENINN6- tCvr~ c1r rr7tiA-~ State UST # : Phone: (503) 977 -7713x Ttl:ENVIRON. MGR. 1998 Upg Cert#: 00780 -2- 06/16/2003 · -;w~ . F ?/ELEVEN FOOD STORE #21~16549 ' F Inventory Item 0001 STORAGE CONTAINER 4IÞ SiteID: 015-021-000808 ì Facility Unit: Fixed Containers on Site ì DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION Piping Type : Const: Mfgr Mtl & Corr Prot UnderGround PRESSURE DOUBLE WALL UNKNOWN FIBERGLASS AboveGround Piping FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS R CONTAINMENT Type: DISP. PAN SENSOR w/ POS. SHUTOFF ER/OPERATOR SIGNATURE Installed: 02/28/2001 Date: 04/11/2000 Name:BGD DENINNO Prmt Number: 0808 Ttl:ENVIRON. MGR. Approved: No Expiration Date: 06/30/2003 AGENCY DEFINED TANK/LINE TEST :03/06/2001' CP CERT. MANWAY INSP. :07/01/1999 UST MONIT. CERT:09/17/2002 STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: No Installation Inspected & Certified by Registered Engineer: No Installation Inspected by Unified Program Agency: Yes Manufacturer's Checklist Completed: Yes Installer Certified by Contractors' State License Board: Yes Approved Alternate methods: Date: 04/11/2000 Name:BOB DENINNO Ttl:ENVIRON. MGR. -6- 06/16)2003 .. _ :-.,:" ,.ø ,.,' F ?/ÉLEVEN FOOD STORE #21~16549 ~ SiteID: 015-021-000808 ì IT Inventory Item 0002 Facility Unit: Fixed Containers on Site ì / STORAGE CONTAINER DATA (UST FORM B,and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping AboveGround Piping Type : PRESSURE Const: LINED TRENCH Mfgr UNKNOWN Mtl FIBERGLASS & Corr FIBERGLASS Prot PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 02/28/2001 Date: 04/11/2000 Name :-BOB DEUUJNO Prmt Number: 0808 DIS ENSER CONTAINMENT Type: DISP. PAN SENSOR w/ POS. SHUTOFF ER/OPERATOR SIGNATURE Ttl:ENVIRON, MGR. Approved: Yes Expiration Date: 06/30/2003 AGENCY DEFINED PASSED TANK/LINE TEST :03/01/2001 CP CERT. MANWAY INSP. : 07/01/1999 UST MONIT. CERT:09/17/2002 STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: No Installation Inspected & Certified by Registered Engineer: No Install~tion Inspected by Unified Program Agency: Yes Manufacturer's Checklist Completed: Yes Installer Certified by Contractors' State License Board: Yes Approved Alternate methods: Date: 04/11/2000 Name:BgB DENIl~qO Ttl:ENVIRON. MGR. , , -9- 06/16/2003 FIRE CHIEF ,,0,'1 FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (66"1) 326-3941 FAX (661) 395-1349 ~ PREVENTiON SERVICES FIRE SAFETY SERVICES' ENVIRONMENTAl SERVICES 171~"Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 , , " ''-. "" , - -- September 26, 2003 CERTIFIED' MAIL 7-11 Food Store 4647 Wilson Road Bakersfield, CA 93309 NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE Dear Sir or Madam: Our records indicate that your annual maintenance certification on your leak detection system was past due 09-17-03. You are currently in violation of Section 2641(J) of the California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have thirty (30) days, September 8, 2003, to either perfonn or submit your annual certification to this office. Failure to comply will result in revocation of your pennit to operate your underground storage system. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely yours, Ralph E. Huey Director of Prevention Services BY:~ddv Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services SBU/db "- " ~~ ~oÚlp de W?o"~I/nU~ .%fl ,-~0/"6 y~ A ?£,~" " ,"'" · ~~:- ' ;," -z ;-'~. ;-\ . e e 7 ELEVEN FOOD STORE #2125-16549 SiteID: 015-021-000808 Manager : Location: 4647 WILSON RD City BAKERSFIELD BusPhone: Map : 123 Grid: 11C (661) 833-0732 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code:5541 DunnBrad:00-734-7602 Emergency Contact / Title Emergency Contact / Title SHUN & SHU WANG / FRANCHISEE DAVID LISUK / FIELD CONSULTAN Business Phone: (661) 833-0732x Business Phone: (888) 711-4876x3720 24-Hour Phone : (661) 834-5830x 24-Hour Phone : (661) 845-0031x Pager Phone : (661) 633-6170x Pager Phone : (661) 633-6319x Hazmat Hazards: Fire ImmHlth DelHlth Contact : Phone: (214) 841-6718x MailAddr: PO BOX 711 State: TX City : DALLAS Zip : 75221 Owner THE SOUTHLAND CORPORATION Phone: (214 ) 841-6718x Address : PO BOX 711 State: TX City : DALLAS Zip : 75221 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ( , I I I : Environmental Manager..)1 h b rt"ty th t I h " ,', _ _ c 0 ere y ce I a ave (Type orpnn: name) reviewed the attached hazardous materials manage- ment plan for 'ì-~ I ~)-zJ~ and that it along with (Name of Business) Bob DeNinno any corrections constitute a complete and correct man- 1}~vlov Signature Date -1- 10/31/2000 '¡ . '\ - e e ~ TAl ER DATA UST FORM A Last Action Type: FACILITY/SITE INFORMATION Business Name: 7 ELEVEN FOOD STORE #2125-16549 Cross Street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name . ( \ Phone: (-&&8 ) 'B.l 4816x37-20 7-Eleven, Inc. I ~~ YM- g- -Yú- V Address: I City : Gasoline Acctg. i State: Dallas, TX 75221-0711 : Type : P. O. Box 711 ; I -- -- - , - "'-- .--- ",--- ~---, -' -- -,.' - ..'/ TANK OWNER INFORMATION Name :r 7-Eleven, Inc. ì Phone: (-&&8 ) '111 407GxJ729 Address: i Ö!o$1' ¥~- HtR ct' Gasoline Acctg. , City . , State: I Dallas, TX 75221-0711 P. O. Box 711 , Type : -- -- -.-' .~.---- - í \.. ,.' - I BOE UST Fee# : 002251 Financ'l Resp: INSURANCE Legal Notif : Tank Owner Mailing Address Date:02/11/2000 Phone: (--&03) 977 7713-x Name:BOB DENINNO Ttl:ENVIRON. MGR. é2Ø ß" ~5lf1- rY (p (p State UST # : 1998 Upg Cert#: 00780 N SiteID: 015-021-000808 1 ) F 7 ELEVEN FOOD STORE #2125-16549 STORAGE CON p= Hazmat Inventory One Unified List ì p== As Designated Order All Materials at Site ì Hazmat Common Name... specHazEPA Hazards Frm I DailyMax IUnitMCP UNLEADED GASOLINE F IH DH L 10000.00 GAL Mod UNLEADED PLUS GASOLINE F IH DH L 10000.00 GAL Mod SUPER UNLEADED GASOLINE F IH DH L 10000.00 GAL Mod -2- 10/31/2000 · e e .' F 7 ELEVEN FOOD STORE #2125-16549 p= Inventory Item 0001 = COMMON NAME / CHEMI CAL NAME UNLEADED GASOLINE SiteID: 015-021-000808 ì Facility Unit: Fixed Containers on Site ~ Days On Site 365 Location within this Facility Unit UNDERGROUND FRONT PARKING Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 7500.00 GAL %WL I 100.00 Gasoline, HAZARDOUS COMPONENTS [;r] CAS # 80066191 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME UNLEADED PLUS GASOLINE Facility Unit: Fixed Containers on Site ~ Days On Site 365 Location within this Facility Unit UNDERGROUND FRONT PARKING Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 7500.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Gasoline No 8006619 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -3- 10/31/2000 , I r,._ I '. - - .. F 7 ELEVEN FOOD STORE #2125-16549 p= Inventory Item 0003 = COMMON NAME / CHEMI CAL NAME SUPER UNLEADED GASOLINE SiteID: 015-021-000808 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UNDERGROUND FRONT PARKING Map: Grid: CAS#. 8006-61-9 [ ~TA~EI TYPE. ~ P~ESSURE ---r TEM~ERATURE I =L~qu~d __pure ~mb~ent ---1 Amb~ent ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum 10000.00 GAL 10000.00 GAL CONTAINER TYPE UNDER GROUND TANK Daily Average 7500.00 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 -4- 10/31/2000 ~, f e e .' í 7 ELEVEN FOOD STORE #2125-16549 ëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000808 i íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Forrnat i íë Notif./EvacuationlMedical ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Agency Notification ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05120/1999 j o 0 o CALL 911. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Employee Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05120/1999 i o 0 o VERBAL AND CALL 911. 0 o BUSINESS EMERGENCY PLAN FILED UNDER 7-11. 0 o FOR RELEASE OF HAZ MAT NOTIFY BAKERSFIELD FIRE DEPT AND STATE O.E.S. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Public Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05120/1999 i o 0 o VERBAL AND DIAL 911. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Emergency Medical Plan ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05120/1999 i o 0 o NEAREST ER TO THE LOCATION IS TO BE USED IN THE EVENT OF INJURY OR CALL 911. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf _. f' e e '¡;' I", Ô' í 7 ELEVEN FOOD STORE #2125-16549 ëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000808 i íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format i íë Mitigation/Prevent/ Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë OS/20/1999 i o 0 o STANDARD GASOLINE STATION SAFETY FEATURES FOR GAS PUMPS AUTOMATIC SHUT OFFS, 0 o VAPOR SHIELDS, SHUTOFF VALVE-- COMPRESSED GASSES PROPERLY STORED IN SMALL 0 o SAFETY CONTAINERS AND WITH PROPER FITTINGS. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë OS/20/1999 i o 0 o STANDARD GASOLINE STATION SAFETY FEATURES FOR GAS PUMPS/AUTO SHUT OFFS. 0 o VAPOR SHIELDS. SHEER OFF VALVE - COMPRESSED GASSES PROPERLY STORED IN SMALL 0 o SAFETY CONTAINERS AND WITH PROPER FITTINGS. BUSINESS EMERGENCY PLAN ON FILE 0 o AT EACH STORE. 0 o o o DAILY INVENTORY RECONCILIATION TO INDICATE LEAKAGE ABOVEGROUND. FIRE DEPT 0 o AND IT CORPORATION CONTACTED FOR BELOW GROUND LEAKS HEALTH DEPT CALLED ALSO 0 o BOTH INSTANCES EQUIPMENT WILL BE SHUT DOWN FOR REPAIRS. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/25/1996 j o 0 o USE ABSORBENT MATERIALS, ABSORBENT PAD (KITTY LITTER). o 0 o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -6- , 10/31/2000 _ii J, '.' e e ..; n (... ~ ;< í 7 ELEVEN FOOD STORE #2125-16549 ëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000808 i íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast F annat i íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site ¡ íëë Special flazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë OS/20/1999 i o 0 o A) GAS - NONE o B) ELECTRICAL - BACKROOM lIALLWAY o C) WATER - STORE FRONT o D) SPECIAL - NONE o E) LOCK BOX - NO o o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Fire Protec./Avail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë OS/20/1999 i o 0 o PRIVATE FIRE PROTECTION - FIRE EXTINGUISflERS LOCATED IN STORE PER FIRE CODE. Ò o 0 o o o o o FIRE flYDRANT - ????????? o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -7- 10/31/2000 !!" ,. .;... " :;ó.. '".-. : ~' e e . . . , i' í 7 ELEVEN FOOD STORE #2125-16549 ëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000808 ¡ íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast F onnat ¡ íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë OS/20/1999 j o 0 o WE HAVE 6 TO 7 EMPLOYEES AT THIS FACILITY. o o o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. o o o o BRIEF SUMMARY OF TRAINING PROGRAM: IN CASE OF LARGE FUEL SPILL, CALL THE 0 o FIRE DEPT. IN CASE OF SMALL FUEL SPILL, DETERMINE POTENTIAL HAZARD. USE 0 o ABSORBENT MATERIALS, ABSORBENT PAD, OR FOR VERY SMALL SPILLS LET EVAPORATE. 0 o 0 o KNOW WHERE THE FIRE EXTINGUISHER IS AND HOW AND WHEN TO USE IT. KNOW WHEN o AND HOW TO SHUT OFF POWER TO GASOLINE EQUIPMENT. 0 o 0 o âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë i o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -8- 10/31/2000 l' i·.~ . ~~-:;-. --!1.: - ~ e ---- ;~;;;;;:~F:::7S::::0:2::5-16549::/ City BAKERSFIELD ~ ~ \ \. CommCode: BAKERSFIELD STATION 07 EPA Numb: SiteID: 015-021-090808 BusPhone: Map : 123 Grid: 11C (661) 833-0732 CommHaz : Low FacUnits: 1 AOV: SIC Code:5541 DunnBrad:00-734-7602 Emergency Contact SHUN & SHU WANG Business Phone: 24-Hour Phone : Pager Phone : / Title / FRANCHISEE (661) 833-0732x (661) 834-5830x (661) 633-6170x EmeraencY__CQn~~~t / Title · Ù /ð;{)Q-k..-\-) r: "~ /~cµ..~-, ~ . Business Phone :';6ðð- <;5'9- «5- C>ì/: I ' '~ 24 -Hour Phone : ~ 2?oo .- ,??ð-. D ,.. 07 I { , ' Pager Phone : J : Hazmat Hazards: Fire ImmHlth DelHlth r Contact: Bob OeNinno MailAddr: PO BOX 711 City : DALLAS ì , , ~«,<> ð..~V~ ,,~~ ,.~ '(.. ~. ~,\Jv ,,~ ~~ \,;-. e.,.~.. ., ~ " .....~()~" ~~ Phone :~ Phone - (503) 977-7713' State: TX Zip : 75221 Phone: '(5D3) q -77 -77 13 ,~ State: TX Zip : 75221 , I Owner Address City , 7-Eleven, Inc. : PO BOX 711 : DALLAS Period : Preparer: Certif'd: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: I, ~>5 ~J;.. Do hereby certify that I have (Type or print name) reviewed the attached hazardcjus materials manage- ment plan for 1-£ L£v l-J and that it along with (Name of Business) any corrections constitute a complete and correct man- 1'--::-'-- If ," " (ª (;;~ ~~--- I !G LS ~ L5 ! i \ \..r- -, . J V r--~~__~.:.._~; . ¡ I '¡I. I' [Ii / ~ I 62001 {,, ,\: 11..' , .. ---- i -- ' '''''_... ~_________ ----. I . -------. -. .. 0;/:/ -1- 10/31/2000 ~ , .a'l - e " F 7 ELEVEN FOOD STORE #2125-16549 SiteID: 015-021-000808 ì STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: 7 ELEVEN FOOD STORE #2125-16549 Cross Street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name ~ .s rI t<....-..lA' «> .5. h ~ ~ ~ ~ W~~ Phone: ~ ., : , ~_'âo&.j ~ Qa.<r\~ Q.;l-. ¿ Address: I l - City : ß~pc\.. State:QfI- Zip: 9:33d1 Type : TANK OWNER INFORMATION Name : 5- ~ 7 -Eleven, Inc. Phone: C 563) 9'17-77/3 , Address: ~ Gasoline Acctg. City: P. O. Box 711 State: Zip: Type : Dallas, TX 75.221-0711 , i BOE UST Fee# : 002251 Financ'l Resp: INSURANCE Legal Notif : Tank Owner Mailing Address Date:02/11/2000 Phone: (503) 977-7713x Name:BOB DENINNO Ttl:ENVIRON. MGR. State UST # : 1998 Upg Cert#: 00780 f= Hazmat Inventory One Unified List ì ~ As Designated Order All Materials at Site ~ Hazmat Common Name.. . specHazEPA Hazards Frm I DailyMax IUnitMCP UNLEADED GASOLINE F IH DH L 10000.00 GAL Mod UNLEADED PLUS GASOLINE F IH DH L 10000.00 GAL Mod SUPER UNLEADED GASOLINE F IH DH L 10000.00 GAL Mod -2- 10/31/2000 ·,. e - . i ¡. .~ F 7 ELEVEN FOOD STORE #2125-16549 p= Inventory Item 0001 F= COMMON NAME / CHEMI CAL NAME UNLEADED GASOLINE SiteID: 015-021-000808 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UNDERGROUND FRONT PARKING Map: Grid: CAS # 8006-61-9 [ ~TA~E I TYPE ~ P~ESSURE ----r TEM~ERATURE -I CONTAINER TYPE =Llquld __pure ~mblent ---1 Amblent ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 7500.00 GAL HAZARDOUS COMPONENTS ~ CAS#a006619 ~WL I 100.00 Gasoline TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS p= Inventory Item 0002 F= COMMON NAME / CHEMICAL NAME UNLEADED PLUS GASOLINE Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UNDERGROUND FRONT PARKING Map: Grid: CAS # 8006-61-9 [ ~TA~E I TYPE ~ P~ESSURE ----r TEM~ERATURE I =Llquld __pure ~mblent ---1 Amblent ~ AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL Daily Average 7500.00 GAL %WL I 100,00 Gasoline HAZARDOUS COMPONENTS ~ No CAS#a006619 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS / -3- 10/31/2000 e e F 7 ELEVEN FOOD STORE #2125-16549 p= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME SUPER UNLEADED GASOLINE SiteID: 015-021-000808 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Location within this Facility Unit UNDERGROUND FRONT PARKING Map: Grid: CAS # 8006-61-9 [ ~TA~E· I TYPE ~ P~ESSURE ---r TEM~ERATURE I =Llquld __pure ~mblent ---1 Amblent ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum 10000.00 GAL 10000.00 GAL CONTAINER TYPE UNDER GROUND TANK Daily Average 7500.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # I 8006619 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F , IH DH / / / Mod HAZARD ASSESSMENTS -4- 10/31/2000 . ., . , e e í 7 ELEVEN FOOD STORE #2125-16549 ëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000808 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j íë Notif./EvacuationlMedical ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Agency Notification ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë OS/20/1999 j o 0 o CALL 911. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Employee Notif.lEvacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë OS/20/1999 j o 0 o VERBAL AND CALL 911. 0 o BUSINESS EMERGENCY PLAN FILED UNDER 7-11. 0 o FOR RELEASE OF HAZ MAT NOTIFY BAKERSFIELD FIRE DEPT AND STATE O.E,S. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Public Notif.lEvacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë OS/20/1999 i o 0 o VERBAL AND DIAL 911. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Emergency Medical Plan ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë OS/20/1999 j o 0 o NEAREST ER TO THE LOCATION IS TO BE USED IN THE EVENT OF INJURY OR CALL 911. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf :; . . ~ ," - e í 7 ELEVEN FOOD STORE #2125-16549 ëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000808 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast F onnat j íë Mitigation/Prevent/ Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë OS/20/1999 j o 0 o STANDARD GASOLINE STATION SAFETY FEATURES FOR GAS PUMPS AUTOMATIC SHUT OFFS, 0 o VAPOR SHIELDS, SHUTOFF VALVE-- COMPRESSED GASSES PROPERLY STORED IN SMALL 0 o SAFETY CONTAINERS AND WITH PROPER FITTINGS. 0 o 0 âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë OS/20/1999 j o 0 o STANDARD GASOLINE STATION SAFETY FEATURES FOR GAS PUMPS/AUTO SHUT OFFS. 0 o VAPOR SHIELDS. SHEER OFF VALVE - COMPRESSED GASSES PROPERLY STORED IN SMALL 0 o SAFETY CONTAINERS AND WITH PROPER FITTINGS. BUSINESS EMERGENCY PLAN ON FILE 0 o AT EACH STORE. 0 o o o DAILY INVENTORY RECONCILIATION TO INDICATE LEAKAGE ABOVEGROUND. FIRE DEPT 0 o AND IT CORPORATION CONTACTED FOR BELOW GROUND LEAKS HEALTH DEPT CALLED ALSO 0 o BOTH INSTANCES EQUIPMENT WILL BE SHUT DOWN FOR REPAIRS. 0 o 0 âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/25/1996 j o 0 o USE ABSORBENT MATERIALS, ABSORBENT PAD (KITTY LITTER). o 0 o âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -6- 10/31/2000 ~ .;i.. ~ " ,... e e í 7 ELEVEN FOOD STORE #2125-16549 ëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000808 ¡ íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Special lIazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë OS/20/1999 i o 0 o A) GAS - NONE o B) ELECTRICAL - BACKROOM lIALLWAY o C) WATER - STORE FRONT o D) SPECIAL - NONE o E) LOCK BOX - NO o o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Fire Protec'!Avail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë OS/20/1999 j o 0 o PRIVATE FIRE PROTECTION - FIRE EXTINGUISIIERS LOCATED IN STORE PER FIRE CODE. 0 0 0 0 0 0 0 o FIRE IIYDRANT - ????????? 0 0 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -7- 10/31/2000 ~ . L ; , (.. . , . e e í 7 ELEVEN FOOD STORE #2125-16549 ëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000808 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Fornnat j íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05120/1999 j o 0 o WE HAVE 6 TO 7 EMPLOYEES AT THIS FACILITY. o o o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. o o o o BRIEF SUMMARY OF TRAINING PROGRAM: IN CASE OF LARGE FUEL SPILL, CALL THE 0 o FIRE DEPT. IN CASE OF SMALL FUEL SPILL, DETERMINE POTENTIAL HAZARD. USE 0 o ABSORBENT MATERIALS, ABSORBENT PAD, OR FOR VERY SMALL SPILLS LET EVAPORATE. 0 o 0 o KNOW WHERE THE FIRE EXTINGUISHER IS AND HOW AND WHEN TO USE IT. KNOW WHEN o AND HOW TO SHUT OFF POWER TO GASOLINE EQUIPMENT. 0 o 0 o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2,ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for FUÓ1re Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ 0 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for FUÓ1re U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë j o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -8- 10/3112000 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 °H' Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 °H' Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 . VOICE (661) 326-3951 FAX (661) 326.0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326.0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 - . February 16,2000 Shelby Lathrop IT Corporation 4005 Port Chicago Hwy Concord CA 94520-1120 Re: Pennanent Abandonment of Premium Unleaded Underground Storage Tank, 7-Eleven Store 16549,4647 Wilson Rd. Bakersfield, CA 93309 Dear Ms. Lathrop: Your request for abandonment in place of your premium unleaded underground storage tank, which was taken out of service in late 1999, in hereby approved, with the following conditions: 1) Pennanent closure will follow guidelines set forth in Section 2672, California Code of Regulations, Title 23, Division 3, Chapter 16. 2) Should the facility be pennanently closed, the abandoned tank must be removed along with the two remaining tanks and associated piping. Should you have any questions, please feel fre~ to call me at (661) 326-3979. Sincerely, J£~ Steve Underwood Inspector SU/mv cc: Bob DeNinno S:\FEB OO\IT COll'oration "'7~ ~ W~ .97~.AORÞ §"~ .A W~" :-r~,;'-Ä FIRE CHIEF RON FRAZE ADMINISTRA11VE SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (805) 32&-3941 FAX (805) 395-1349 PREVEHTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3951 FAX (805) 326-0578 \ ENVIRONMENTAL SERVICES 1715 Chester Ave. , Bakersfield. CA 93301 VOICE (805) 32&-3979 FAX (805) 326-0578 TRAINING DMSION 5642 VIctor Ave. Bakersfield. CA 93308 VOICE (805) 399-4697 FAX (805) 399-5783 ;e . April 4, 2000 7-11 Mr. Bob Deninno 10220 SW Greenberg Rd #470 Portland OR 97223 Dear Mr. Deninno: You have been identified as the compliance coordinator for the facility/facilities referenced in the attachment. The pennits to operate this facility/facilities will expire on June 30, 2000. However, in order for this office to renew your pennit, updated fonns A, B, & C must be filled out and returned prior to the issuance of a new pennit. Please make sure that you are sending the updated fonns which are indicated by the date 7/99 in the lower left hand corner. Please complete and return to this office by May 15,2000. Failure to comply, will result in a delay of issuance of your new pennit to operate. Should you have any questions, please feel free to call me at 661-326-3979. Sincerely, ~~. Steve Underwood, Inspector Offi<;e of Environmental Services SU/dam attachment ~~y~ ~ ~~ ~'~evre 37"~ A ~~?" , .. ''1' . .~. -. '.. , '~ . "'1'~.1' .- ,- ~ 7 ELEVEN FOOD STORE #2125 16549 - - 1 e : - - ~-=- ,-- Manager : ~-> BusPhone: (805) 833-0732 Location: 4647 WILSON RD Map : 123 CommHaz : Low City : BAKERSFIELD -GEid: 11C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 vi L-'£V t' SIC Code:5541 EPA Numb: OoY DunnBrad: 00-734-7602 ~ / tf'&f -7//- <-(7 n .D ,~..t- Emergency Contact / Title ( Emergency contact / Ti tle 3720 SHUN & SHU WANG Ç61/ FRANCHISEE SH~ ~()þ TH,GtJ / FIELD CONSULTAN - / ~~~~~~~sp~~~~e~ ~~~ ~~i ;~~~~~J- Business Phone: (~) 833-0732x 24 - Hour Phone :h'/( ~ ) 834-5830x Pager Phone : (805) 633-6170x Pager Phone : (j7Q)") "5'3 - b5/7 x oo3f Hazmat Hazards: Fire ImmHlth DelHlth Contact : Phone: ( ) - x MailAddr: 31-4..6-G~-AM:P DR ~OO po ßoy 7// State: -et-f)( City : fU1N~MO COJ:{9ffiH\. Õoe-I(ed Zip : ~7S-¿2.J (~) ð'Lf/ - (Ó 7 (IS Owner THE SOUTHLAND CORPORATION Phone: 852 GB80x Address : .::314¡::; C-iOT.D Cl\MP DR :300 'Po ßox 7// State: .e:Þ;;:,X City RANCHO CGR~GVA. ~, '/ ( Zip ~56TO 7S-2...l../ : I.-Jc~ 1,(:< ) : Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: S't ID 215 000 000808 p= Hazmat Inventory p== Alphabetical Order One Unified List ì All Materials at Site ì Hazmat Cornman Name... SpecHaz EPA Hazards DailyMax SUPER UNLEADED GASOLINE UNLEADED GASOLINE UNLEADED PLUS GASOLINE I Dav, d &tL~ Dc h8reby cDrt!fl' that ¡ ;?"!e I (Ty¡¡e or print Nimo) reviewed the attached h2,zardous m2~erials mæiage- / S f&r-é It Jill. ., ment plan for 7-£/.L.v-.¿i- and that It along w;th , (Name :>1 öu>il1oss) any corrections constitute a complete and correct m2n- F F F IH DH IH DH IH DH L L L 10000 GAL 10000 GAL 10000 GAL Mod Mod Mod . agement plan for my faciiity. 4 í(!J~ q;,. ~ kr- -- S¡Q":d~'O ' 04/20/1999 1-01._ ,~ e . F 7 ELEVEN FOOD STORE #2125-16549 f= Inventory Item Op03 = COMMON NAME / CHEMI CAL NAME SUPER UNLEADED GASOLINE SiteID: 215-000-000808 1 Facility Unit: Fixed Containers on Site 1 Location within this Facility Unit UNDERGROUND FRONT PARKING Days On Site 365 Map: Grid: CAS# ' 8006:"'61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 7500.00 GAL , %Wt. RS CAS # 100.00 Gasoline No 8006619 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS f= Inventory Item 0001 F= COMMON NAME / CHEMI CAL NAME UNLEADED GASOLINE Facility Unit: Fixed Containers on Site 1 Location within this Facility Unit UNDERGROUND FRONT PARKING Days On Site 365 Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 7500.00 GAL HAZ DO %Wt. RS CAS # 100,00 Gasoline No 8006619 AR US COMPONENTS Z E N TSecret RS BioHaz Radioactive/Amount 'EPA Hazards NFPA USDÓT# MCP No No No No/ Curies F IH DH / / / Mod HA ARD ASS SSME TS -2- 04/20/1999 " ? e e F 7 ELEVEN FOOD.8TORE #2125-16549 'p= Inventory Item 0002 = COMMON NAME / CHEMI CAL NAME UNLEADED PLUS GASOLINE SiteID: 215-000-000808 1 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit UNDERGROUND FRONT PARKING Map: Grid: CAS # 8006-61-9 , [ ~TA~E I TYPE -----r:- P~ESSURE ----r TEM~ERATURE I = LJ.quJ.d __pure ~mbJ.ent ---1 AmbJ.ent --.J AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL Daily Average 7500.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # I 8006619 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS -3- 04/20/1999 " y' e e F 7 ELEVEN FOOD STORE #2125-16549 I ~ Notif./Evacuation/Medical ~~:e::: Notification Employee Notif./Evacuation SiteID: 215-000-000808 ì Fast Format ì' Overall Site ì 01/07/1990 1 01/07/1990 VERBAL AND CALL 911 ¡) I í I ( ./Wt + ./fA/- t. BUSINESS EMERGENCY PLAN FILED UNDER 7 -11, FOr {\--<...-(-LetS--¿, 0i¡ n;cz 2- cv í? I' Y ß FD f/ctL D/v a...~ Ç~e O.E.~. CALL _'I'OM--C-AAI-1,;r.GHAIÆ,--BE:~vTBLG-PM.EN~ MllliAGER.:...A'L...L..-O~~f)R,-.R£Mev;AJ,,-OF ~T~S. Public Notif./Evacuation 01/07/1990 1 01/07/1990 VERBAL AND DIAL 911 Emergency Medical Plan NEAREST E.R. TO THE LOCATION IS TO BE USED IN THE EVENT OF INJURY CALL 911 -4- 04/20/1999 ~ e - F 7 ELEVEN FOOD STORE #2125-16549 I p= Mitigation/Prevent/Abatemt Release Prevention SiteID: 215-000-060808 9 Fast Format 9 Overall Site 9 01/25/1996 STANDARD GASOLINE STATION SAFETY FEATURES FOR GAS PUMPS AUTOMATIC SHUT OFFS, VAPPOR SHIELDS, SHUTOFF VALVE-- COMPRESSED GASSES PROPERLY STORED IN SMALL SAFETY CONTAINERS AND WITH PROPER FITTINGS i ~ ' Release Containment 01/25/1996 ) STANDARD GASOLINE STATION SAFETY FEATURES FOR GAS PUMPS/AUTO SHUT OFFS. VAPOR SHIELDS. SHEER OFF VALVE - COMPRESSED GASSES PROPERLY STORED IN SMALL SAFETY CONTAINERS AND WITH PROPER FITTINGS. /B~SINESS EMERGENCY PLAN ON FILE AT EACH STORE. -+ I C()v-¡:;IJY'uÆ-1e7'-'.. DAILY INVENTORY REC~'~ATION TO INDICATE LEAKAGE ABOVEGROUND, FIRE DEPARTMENT AND G~~~OLOGY (800) 288-4832 *12792 CONTACTED FOR BELOW GROUND LEAKS HEALTH DEPARTMENT CALLED ALSO BOTH INSTANCES EQUIPMENT WILL BE SHUT DOWN FOR REPAIRS. Clean Up 01/25/1996 USE ABSORBENT MATERIALS, ABSORBENT PAD (KITTY LITTER) . Other Resource Aqtivation -5- 04/20/1999 1". - e e F 7 ELEVEN FOOD STORE #2125-16549 I p= Site Emergency Factors r:: Special Hazards Utility Shut-Offs SiteID: 215-000-000808 l Fast Format l Overall Site l I 01/07/1990 A) GAS - NONE B) ELECTRICAL - BACKROOM HALLWAY ·C) WATER - STORE FRONT D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/07/1990 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS LOCATED IN STORE PER FIRE CODE. FIRE HYDRANT - ? Building Occupancy Level -6- 04/20/1999 · ,. 9- e e F 7 ELEVEN FOOD STORE #2125-16549 I F Training Employee Training SiteID: 215-000-000808 9 Fast Format 9 Overall Site 9 01/25/1996 WE HAVE 6 TO 7 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING PROGRAM: FIRE DEPARTMENT. IN CASE OF SMALL VSE ABSORBENT MATERIALS, ABSORBENT EVAPORATE. IN CASE OF LARGE FUEL SPILL, CALL THE FUEL SPILL, DETERMINE POTENTIAL HAZARD, PAD, OR FOR VERY SMALL SPILLS LET KNOW WHERE THE FIRE EXTINGUISHER IS AND HOW AND WHEN TO USE IT. Page 2 r I I Held for Future Use Held for Future Use I ! -7- 04/20/1999 ,tJ - Corporation 757 Arnold Drive, Suite D Martinez, CA 94553-6526 Tel. 925.370.3990 Fax. 925.370.3991 . tlw'/Jgroup RlH'·CE'P~IED MAY 1 3 1999 ;\ Member of The IT Group BY; TO: Mr. Ralph Huey Bakersfield City Fire Department Office of Environmental Services 1715 Chester Avenue Bakersfield, California 93301 (805) 326-3979 fx (805) 326-0576 We are sending via: D AIRBORNE DATE: FROM: RE: 05/10/99 JOB NO. David Bean Southland Store-No. 16549,4647 Wilson Rd, Bakersfield Southland Store No. 16834, 525 W. Columbus, Bakersfi Southland Store No. 17721, 360rStockdale, Bakersfield Southland Store No. 16329, 1701 Pacheco, Bakersfield /KJ MAIL DFAX þRIGINALS COPIES DATE DESCRIPTION 4 05/1 0/99 Updated Hazardous Materials Management Plans Transmitted as checked: D For Approval D For Comment D For Your Use D For Resubmittal /KJ As You Requested /KJ For Your Records Remarks: Dear Mr. Huey: The following includes updated Hazardous Materials Management Plans for the four subject sites. Please call with questions. ~ou, .(.)(-1 ~,7h~ , ""'--' David Bean BCTRNS,WK4 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 PREVSNnONSERVlCES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3951 FAX(805)32~576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3979 FAX (805) 326-0576 TRAINING DMSION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (805) 399-4697 FAX(805)3~5763 - .'--',--- -- February 9, 1999 7 Eleven Food Store 4647 Wilson Road Bakersfield, CA 93309 o RE: Compliance Inspection Dear Underground Storage Tank Owner: The city will start compliance inspections on all fueling stations within the city limits. This inspection will include business plans, underground storage tanks and monitoring systems, and hazardous materials inspection. To assist you in preparing for this inspection, this office is enclosing a checklist for your convenience. Please take time to read this list, and verify that your facility has met all the necessary requirements to be in compliance. Should you have any questions, please feel tree to contact me at 805-326-3979. Sil'd4J Steve Underwood Underground Storage Tank Inspector Office of Environmental Services SBU/dm enclosure -- y~ de Wev,,~ ~eve ...$6tYe §"~ ./6 W~~'I'I ,-1 - - -:.:.- '( 'e" . _ ~~cc~~ 7 ELEVEN FOOD STORE #2125-16549 215-000-0,. 80¡8 N 2 5 P Overall Site with 1 Fac. Unit : vA · 1996 ~By >. General Information ¡ e 1 / / ~' r ~ , 11/01/95 -- ..... - ~ - _._-- Location: 4647 WILSON RD~ Ci ty : BAKERSFIELD / Map:123 Haz:2 Type: 3 Grid: 11C FlU: 1 AOV: 0.0 Contact Name.....- SHUN & SHU WANG I Business Phone: (805) 24-Hour Phone: (805) Pager Phone : (805) :::.- Ti tIE¡ "1 ~See, 833-0732x .--' 834-5830x 633-6170x Contact Name ~J~l TIM JONES ghlWDfÏ. TrowI f6è(!ß1 Business Phone: (209f~-0711X 24-Hour Phone : (~o'1) 2& I - 4/A-1x Pager Phone : () x Administrptive D~ta ' Mail Addrs: 4647 UILSON RD;;j3/4la t¡oJ.d. t!ti/wJ V)Y43ðO D&B Number: City: BAKERSFIELÐ- 1"\.a/lMD ~ót/tl State: CA Zip: Comm Code: 215-007 BAKERSFIELD STATION 07 SIC Code: OWner: THE SOUTHLAND CORPORATION 'ß¡P~ D =#= Phone: (-i-09) 261 Ð7H Address: 2'9S W CItO~ŒLL 104 .:314& L7ò{a UlfUfJ Y::ìb State: CA ' City: PREmia- ~D ~~ Zip: ~J711 qS1ç; 7ò Summary ..' 1 u£à p1)(t._ Do hereby certify that I have (fy.,e oq)!int MmrJ) reviewed the attached hazardous materials manage- ment Plan for ~fjJcL..dnd that It along with ~ ( e of Busmesa) any corrections constitute a complete and correct man- agement plan for my facility. v ---------- .' ~ e - 11/01/95 7 ELEVEN FOOD STORE #2125-16549 215-000-000808 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Mà.x,Qty MCP 02-002 UNLEADED PLUS GASOLINE Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-003 SUPER UNLEADED GASOLINE Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-001 UNLEADED GASOLINE Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlt,h GAL · .¡ "i " e e 11/01/95 7 ELEVEN FOOD STORE'#2125-16549 215-000-000808 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-002 UNLEADED PLUS GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 '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-- 10,000 I 7,500.00 I 200,939.00 Storage UNDER GROUND TANK r Press 'T Temp ~ Location Ambient AmbientlUNDERGROUND FRONT PARKING - Conc l 100.0% Gasoline Components r; MCP ----p;uide Moderate 27 02-003 SUPER UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 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 ~ 10,000' I 7,500.00 I 37,116.00 Storage UNDER GROUND TANK r presscT Temp ~ Location Ambient AmbientlUNDERGROUND FRONT PARKING - Conc -, 100.0% Gasoline Components r; MCP ----p;uide Moderate 27 02-001 UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 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 -- 10,000 I 7,500.00 I. 82,231.00 Storage UNDER GROUND TANK r Press T Temp -:I Location Ambient AmbientUNDERGROUND FRONT PARKING - Conc -:'"/ 100.0% Gasoline Components r; MCP ----p;uide Moderate 27 .. .. _ r ¡ .. e e 11/01/95 7 ELEVEN FOOD STORE #2125-16549 215-000-000808 00 - Overall Site Page 4 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif.IEvacuation VERBAL AND CALL 911 BUSINESS EMERGENCY PLAN FILED UNDER 7-11 CALL TOM CARMICHALE, DEVELOPMENT MANAGER AT 1-800-541-1334 FOR REMOVAL OF CLEANUP MATERIALS. <3> Public Notif./Evacuation VERBAL AND DIAL 911 <4> Emergency Medical Plan NEAREST E.R. TO THE LOCATION IS TO BE USED IN THE EVENT OF INJURY CALL 911 ~ - (.; " ~ e e ", 1'1/01/95 7 ELEVEN FOOD STORE #2125-16549 215-000-000808 00 - Overall Site Page 5 <E> Mitigation/prevent/Abatemt <1> Release Prevention STANDARD GASOLINE STATION SAFETY FEATURES FOR GAS PUMPS AUTOMATIC SHUT OFFS VAPPOR SHIELDS" SHUTOFF VALVE--, COMPRESSED GASSES PROPERLY STORED IN SMALL SAFETY CONTAINERS AND WITH PROPER FITTINGS <2> Relèase Containment STANDARD GASOLINE STATION SAFETY FEATURES FOR GAS: PUMPS/AUTO SHUT OFFS. VAPOR SHIELDS. SHEER OFF VALVE - COMPRESSED GASSES PROPERLY STORED IN SMALL SAFETY CONTAINERS AND WITH PROPER FITTINGS. BUSINESS EMERGENCY PLAN ON FILE AT EACH STORE. DAILY INVENTORY RECONCILIATION TO INDICATE LEAKAGE ABOVEGROUND. FIRE DEPARTMENT ~RBBR Iii;) I.~ Q~98 CONTACTED FOR BELOW GROUND LEAKS HEALTH DEPART T CALLED ALSO BOTH INSTANCES EQUIPMENT WILL BE SHUT DOWN FOR '_ R~PA~=RS. ' (PR()uN1u)aferTWvtolDCJ~ <3> Clean Up~ . '" Cßo'O) ~d& -4ð'-3d* 1~-tt1~ ~". . ILs e. ~abSD~ ~(~rd {h ~Li~. ~~--..-. . ._ f.. .. - --------- -- - --~-_. ----.------- ------- ..-.------- <4> Other Resource Activation G '> (.._ r: II' e .:.... e , 11/01/95 7 ELEVEN FOOD STORE #2125-16549 215-000-000808 00 - Overall Site Page 6 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - BACKROOM HALLWAY C) WATER -STORE FRONT D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS LOCATED IN STORE PER FIRE CODE. FIRE HYDRANT - ? <4> Building Occupancy Level I ~ '" ~~':::+ ~ . ~ ~ . e e 7 ELEVEN FOOD STORE #2125-16549 215-000-000808 00 - Overall Site Page 7 /" /11/01/95 <G> Training <1> Employee Training WE HAVE 6 TO 7 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE IN CASE OF LARGE FUEL SPILL, CALL THE FIRE DEPARTMENT. . IN CASE OF SMALL FUEL SPILL, DETERMINE POTENTIAL HAZARD. USE ABSORBENT MATERIALS, ABSORBENT PAD, OR FOR VER.Y SMALL'SPILLS LET EVAPORATE. KNOW WHERE THE FIRE EXTINGUISHER IS 'AND HOW AND WHEN TO USE IT. KNOW WHEN AND HOW TO SHUT OFF POWER TO GASOLINE EQUIPMENT. <2> Page 2 <3> Held for Future Use <4> Held for Future Use y - . OD~ GROUNDWATER ODD TECHNOLOGY ® January 19, 1996 Groundwater Technology, Inc, 1100 East University Drive, Suite 116, Tempe, AZ 85281 USA Tel: (602) 966-0808 Fax: (602) 894-0955 Ralph Huey , Hazardous Materials Coordinator City of Bakersfield Fire Dept. 1715 Chester Avenue Bakersfield, CA 93301 v' £(>1 es 'Adm/\--- RE: Hazardous Materials Business Plans (HMMP) Revisions. Dear Mr. Huey: Attached please find revisions to information for the HMMPs for the following Southland 7-Eleven facilities: (1'ßMQj. ct.6"8~~ -.:::1-7-7-2k 20317 =-2.;.ntlß c22:t:50::7 4647 Wilson Road, Bakersfield 525 w: Columbus St, Bakersfield 3601 Stockdale Hwy, Bakersfield 23618. Ur:lieR-Aver.lUp., Rakersfield fir'" ß>µra-Jy 1700 Brundage Lane, Bakersfield 4012 White Lane, Bakersfield If you should have any questions, please contact mè at (602) 966-0808. cc: Bob Vasquez, Environmental Coordinator, The Southland Corporation, wlo enclosure David Wheeler Market Manager, The Southland Corporation, wlo enclosure Shun & Shu Wang, Frànchisee, wI enclosure Jerry & Karen McGil, Franchisee, wI enclosure James Lyendecker, Franchisee, wI enclosure Ranjit Grewal, Franchisee, wI enclosure Shashi & Veena Kamboj, wI enclosure hmmprnwllbakerfld,ltr (sthl corresp) , Offices throughout tlie U.S., Canada and Overseas --, -, ~ 06/25/93 . . ¡ 7 ELEVEN FOOD STORE #2125-16549 215~000-000808 Overall Site with 1 Fac. Unit Page 1 General Information Location: 4647 WILSON RD Map: 123 Hazard: Low Community: BAKERSFIELD STATION 07 Grid: 11C FlU: 1 AOV: 0.0 ~ Contact Name Title Business Phone - 24-Hour Phone RANI< & :BETT'! DEMARIO Shun ~ 5hv Wa.-n~ (805) 833-0732 x ( ) - STEVE JONEß Tì~ 00t'U 5 (-&6"5) !Z1 27} 7 x ( ) - ~o q . 0 I Administrative Data Mail Addrs: 4647 WILSON RD D&B Number: 00-734-7602 City: BAKERSFIELD State: CA Zip: 93399- Comm Code: 215-007 BAKERSFIELD STATION 07 SIC Code: 5541 Owner: THE SOUTHLAND CORPORATION Phone: (..;I-ðC:; ) :rb I - 0 7(/ Address: 31:28 WILLmi AT'; au JOl .).95W Ct'Om~' 1f¡ðC¡ State: CA City: FRESNG m$YlO Zip: 9J61:2 ?37/1 Summary , !-o-<J /l.QA/Uvtr ð-z-, (h~ ;;¿/ q / '69 , 1 I I :Tea' S I' mo ()~ Do hereby certify that 1 have · (Type or print name) , , reviewed the attache~hazardous materials manage.. ment plan for~.:evU' #/¿'Ç"</' and that it along with , (Name 01 Bucin9S8) I any corrections constitute a complete and correct man- agement plan for my facility. RECEIVED iJUl , 9 '993 HAZ. MAT. OIV. '. ~- !:fib ~gnatufe , - ?~.!> -73 D8I8 .. .. . . 06/25/93 7 ELEVEN FOOD STORE #2125-16549 215-000-000808 Hazmaf Inventory List in MCP Order Page 2 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-002 UNLEADED PLUS GASOLINE Liquid 10000 ,Moderate · Fire, Immed Hlth, Delay H1th GAL 02-003 SUPER UNLEADED GASOLINE Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-001 UNLEADED GASOLINE Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL . . 06/25/93 7 ELEVEN FOOD STORE #2125-16549 215-000-000808 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-002 UNLEADED PLUS GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 10,000 I 7,500.00 I 200,939.00 Storage UNDER GROUND TANK r Press T Temp ~I ' Location , Ambient AmbientlUNDERGROUND FRONT PARKING - Conc l 100.0% Gasoline Components r; MCP --¡Guide Moderate 27 02-003 SUPER UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 10,000 I 7,500.00 I 37,116.00 Storage UNDER GROUND TANK r Press T Temp ~ Location Ambient AmbientlUNDERGROUND FRONT PARKING - Conc l 100.0% Gasoline Components r; MCP -.---rGuide Moderate 27 02-001 UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-:-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 10,0001 7,500.00 I 82,231.00 Storage UNDER GROUND TANK r Press T Temp ~ Location Ambient AmbientlUNDERGROUND FRONT PARKING - Conc l 100.0% Gasoline Components r; MCP --¡Guide Moderate 27 . . 06/25/93 7 ELEVEN FOOD STORE #2125-16549 215-000-000808 00 - Overall Site Page 4 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation VERBAL AND CALL 911 BUSINESS EMERGENCY PLAN FILED UNDER 7-11 CALL TOM CARMICHALEì DEVELOPMENT MANAGER AT 1-800-541-1334 FOR REMOVAL OF CLEANUP MATERIALS. ~3> Public Notif./Evacuation VERBAL AND DIAL 911 <4> Emergency Me~ical Plan ") NEAREST E.R. TO THE LOCATION IS TO BE USED IN THE EVENT OF INJURY CALL 911 i' 06/25/93 . . 7 ELEVEN FOOD STORE #2125-1654Q 215-000-000808 00 - Overall Site <E> Mitigation/Prevent/Abatemt Page 5' <1> Release Prevention STANDARD GASOLINE STATION SAFETY FEATURES FOR GAS PUMPS AUTOMATIC SHUT OFFS, VAPPOR SHIELDS, SHUTOFF VALVE-- COMPRESSED GASSES PROPERLY STORED IN SMALL SAFETY CONTAINERS AND WITH PROPER FITTINGS <2> Release Containment <3> Clean Up <4> Other Resource Activation ;,; .t.. ¿t ~ . . 06/25/93 7 ELEVEN FOOD STORE #2125-16549 215-000-000808 00 - Overall Site Page 6 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Of~s A) GAS - NONE B) ELECTRICAL - BACKROOM HALLWAY C) WATER - STORE FRONT D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS LOCATED IN STORE PER FIRE CODE. FIRE HYDRANT - ? I <4> Building Occupancy Level 3 "a ~ . . 06/25/93 7 ELEVEN FOOD STORE'2125-16549 215-000-000808 00- Overall Site Page 7 <G> Training <1> Page 1 WE HAVE 6 TO 7 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE IN CASE OF LARGE FUEL SPILL, CALL THE FIRE DEPARTMENT. IN CASE OF SMALL FUEL SPILL, DETERMINE POTENTIAL HAZARD. USE ABSORBENT MATERIALS, ABSORBENT PAD, OR FOR VERY SMALL SPILLS LET EVAPORATE. KNOW WHERE THE FIRE EXTINGUISHER IS AND HOW AND WHEN TO USE IT. KNOW WHEN AND HOW TO SHUT OFF POWER Tq GASOLINE EQUIPMENT. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use -I . CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT S, D, JOHNSON FIRE CHIEF February 25, 1993 Mr. Frank DeMario 7-11 Food Store 4647 Wilson Rd. Bakersfield, CA, 93309 Mr. DeMario: 2101 H STREET BAKERSFIELD, 93301 326-3911 The hazardous materials management plan for your 7-11 has not been revised since 1989. GCalifornia law requires these plans to be updated at leaSt every two years. Please review the enclosed copy of your plan. Write any revisions directly on the printout and sign the certification of the front page. Use the enclosed inventory form for any additions to the hazardous materials inventory. A facility diagram must also be completed for your store. Please follow the enclosed instruètions for preparation of the map. Submit the revised hazardous materials managel(l1ent plan and facility diagram by March 25, '1992. Please call me at 326-3979 if you have any questions or if I can be of any assistance. Sincerely, q. k. r<-- ~re-"-N.,,/ Barbara Brenner Hazardous Materials Planning Technician cc: Ralph Huey ..-~.,' ".,.<~ ,,'·O<i"::-·..<:.R.s...;,'\ _,J. ,"*,' ~"\ , ,~. '. (". \ Ie !__':~~, ~,)i i\' --,~,' :.¡ " ' .... -, . , ' ',',('''l~:' - \~"/ "~~ . . '''mn> \\\\1,,01 Illffrh- ,;;:,\,.,. :·.~---.~f/ff ";;;'.'."..,.,- ,;~.,:~ d,",;-' .~ 1., ,", ~ ~i- .\ 1),' -~~ ~ \ ..: '0.. ~: ".=: ~ \; '" ::/i:; ~... . ~ '.:::5i' ;;:--. :,7-:"\.,' /-...J âJ;¡ííj~ CITY of B.riKERSFIELD "HE C.-IRE" Steven S. Jones (~YDe or prin~ name) -® ~ ~~ .... 00 hereby cer~ify that I ha-,-e rev i eh"ed the RECEIVED attached Hazardous ~1aterials business planfE61 41989 HAZ. MAT. OIV. for 7-Eleven Fo~Store Ipame of business) and that it along ~ith the attached additions or correc~ions constitute a complete and correct Business Plan for my facility. ~5~ i,~na ,dire ' 2J. 9.1. 8;J dat.e ðr orgy f) 'i r/f¡ o ,I I' , l Ó". ---~-, BUSINESS NAME 7 E.N FOOD STORE #2125-16549 LOCATION 464 LSON RD ID~BER Z15-000-000808 '~IGH HAZARD RATING Z 1. OVERVIEW LAST CHANGE 0Z/18/88 BY EVAMC JURIS CODE Z tS..cØ07 JURIS BAKERSFIELD STATION 07 MAP PAGE 123 GRID í IC FACILITY UNITS t ' HAZARD RATING Z RESPONSE SUMMARY 2A SEC 4} EMERGENCY COORDINATOR (PREDETERMINED> SHALL NOTIFY ALL AGENCIES AND INTER-COMPANY PERSONS IN THE EVENT OF INCIDENT. EMERGENCY COORDINATOR SHALL IMPLEMENT All NECESSARY MEASURES IN REGARD TO EMPLOYEE AND ENVIRONMENTAl. SAFETY AS INSTRUCTED BY TRAINING RECEIVED. EMERGENCY CONTACTS 2A SEe z> RANK ~ BETTY DEMARIO. 833-0732 X¢&Q~~ 834'--'Z711 Steve Jones UTILITY SHUTOFFS· ZA SEe ~> A) GAS - NONE B) ELECTRI.CAl. - BACK ROOM HALLWAY C )lJATER .- STORE FRONT D> SPECIAL .- NONE E) LOCK BOX -, NO Z. NOTIFICATION / PUBLIC EVACUATION LAST CHANGE I / BY Verbal and dial 911. < NO INFORMATION RECORDED FOR Tl-fIS SECTION> PAGE I , I Z/ 14/88 17: 24 MATERIAL SAFETY DATA SYSTEMS. INC. (805) 648-6800 ·-- . BUSINESS NAME 7 E.N FOOD STORE #21Z5-16549 LOCATION '464 .LSON Ro Io.8ER Z 15-000-Ø0Ø808 . HIGH HAZARD RATING Z 3. HAZ MAT TRAINING SUMMARY LAST CHANGE / / BY See Hazardous Materials Handling Procedures Posting and Employee Awareness form (attached). < NO INFORMATION RECORDED FOR THIS SECTION) 4. LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE 02/18/88 BY EVANC ZA SEe 5) NEAREST E.R. TO THE LOCATION IS TO BE USED IN THE EVENT OF INJURY CALL 911 PAGE Z lZ1t4/88 17:24 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6B00 BUSINESS NAME 7 ElAN FOOD STORE #2125-16549 LOCATION 464711fLSON RD FACILITY UNIT 01 IO .8ER Z 15-000-000808 'HIGH HAZARD RATING Z A. OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE .0Z/18/88 BY EVAMC 10 TYPE NAME LOCATION CONTAINMENT MAX AMT UNIT HAZARD USE PURE UNLEADED GASOLINE STORE FORNT/WILSON RO UNDERGROUND TANKS 10 PERCENT COMPONENTS t 182.00 100.0 GASOLINE lØ00Ø GAL HIGH FUEL HAZARD Ll ST HIGH 2 PURE REGULAR GASOLINE STORE FRONT/WILSONRD UNDERGROUND TANKS 10 PERCENT COMPONENTS 1182.00·100.0 GASOLINE 10000 GAL HIGH FUEL HAZARD LIST ,HIGH 3 PURE SUPER UNLEADED GASOLINE lØØ0Ø GAL HIGH STORE FRONT/WILSON RD UNDERGROUND TANKS FUEL 10 PERCENT COMPONENTS HAZARD LIST 1182.00 100.0 GASOLINE HIGH -4- rUI1[CI"t~BON DIOXIDE 212:::; I"T3 LOW NEAR SOLeS COUNTER ,PORTABLE: PRE~::;. Cì'L. OTlIER' 10 PERCENT Car1~ONËNT5 HAUIRO, L I ~T .1 ZS 1.00 100.0 cormoN DIOXIDE 4::a:W- B. FIRE PROTECTION / WATER SUPPLIES LAST CHANGE / / BY Fire extinguishers located in store per fire code; < NO INFQRMATION RECORDED FOR THIS SECTION> PAGE 3 12114/88 17:Z4 MATERIAL SAFETY DATA SYSTEMS. INC. (80S) 648-6800 BUSINESS NAME? EL.,. ',FOOD STORE #2125-16549 LOCATION 4647' SON RO I D ~ER 'l. 15-000-000808 ""611 HAZARD RATING Z D. EMPLOYEE NOTIFICATION 1 EVACUATION LAST CHANGE 02/18/88 BY EVAMC 3A SEC Z} VERBAL AND CALL 911 BUSINESS EMERGENCY PLAN FILED UNDER 7-..:11 Call Tom~Carmichael, Development Manager at 1-800-541-1334 for removal of cleanup materials. E. MITIGATION 1 PREVENTION / ABATEMENT LAST CHANGE 0Z118/88 BY EVAMC 3A SEC 1) STANDARD GASOLINE, STATION SAFETY FEATURES FOR GAS PUMPS AUTOMATIC SHUT OFFS, VAPPO~~HIELDS, SHUTOFF VALVE-- COMPRESSED GASSES PROPERL.Y STORED IN SMALL SÀFETY CONTAINERS AND WITH PROPER FITTINGS See Hazardous.Materials Handling Procedures Posting and Employee Awareness form (attached). PAGE 4 12/14/88 17: 24 MATERIAL SAFETY DATA SYSTEMS, INC. (80S) 648-6800 CITY of BAKERSFIELD :1 " r,r. .oð A7riev1tvr~ '--' St ,nð.,d Bus 'ntH ~ HAZARDOUS MATERXbLS INVEN?ORY NON-TRADE SECRETS h9~ .L 01 .L BUSINESS NAME: I.OCATIOW: CITY. ZIP: PHONE 6: 7-Eleven Store 2720-16549 4647 Wils.on RO::l c1 Bakersfield ~_______ 805/833-0732 OWNER NAME: 7-Eleven Market 2720 ADDRESS: 4008 White Lane CTTY. ZIP:~3er~fie11 -93309 PHONE L': (803) 834-2llL JUr:FE:R TO INST1WCTIO¡¡;; ro;¡ nWPJrn CODfJrS NAME OF Tt!1Š r!<.,Ç.+tlT.1: 7-Eleven still:e..-L6 49 STJI.I'ID¡;\=tD INti, CLASS CODE 54 11 55 1 DUN AMO BRADSTREET N~MBER 00 734_7602 - - - - '1 ) . S , 1 . , 1Ø 11 n I) lrent 1vIK1 "'"',: Ivvr~,: ~1 lI!ouvr-~ . Oy¡ CCllt tan~ tant 1m; leutl\>, '#>0<""; \ by (od. Cod\' ~t f.œt ' £It Units cr, Site t~ '"~: t""" ~ Str.n<! In fccllltJ '" ,!-!. __~- .J.Q...oOQ.l.L-5..QO__L.J..lliº-O!ilcal! 365l=.JJ;nd'~~ld/Fr9E!.._Pkg 100'- p~Y';c.1 ~ H~1th .¡w,.,J C,U. Ib.e,.bç?__ 8006...§.l2...._ CøW"¢'\t 11 ~i \ (.1.5, ~... a(t'fCk .11 t"-'t eøçl,) " r-" r-" r-" r-" ~~t I, k<: t (,A,S, ~$I' , Uu F'ro Ma:ad 1._.1 R&Ktf.H¡' I.._J 0e1i)~ I.._J s....&»ò Jw1......., . _J 1-.1I1H ...,Ith 01 PI'"ti$ò.>ri) IIoi It II 11 ~~" "I l1i.t_~""'t~ Sc'4 IM,rvc\!!:>'>ß ------- R~..8ul~E.._~as.oline 80066-1.2.-_______ · Unleaded Casoline800661 <L-_ ~,t V] II.¡,¡,." ~ (.&,$. ~:' .--I. Super Unleaded Gasoline ~OO~j~_ ~_._.._.__._.J..__.__.____~___ __ ___J____.].__ .~~~~ ---.- -=-- '"",,,iea1 ~ 1?w1t~, MiI,F'-d (Ct.c-:k. ,n t,"-,t ,~1y) c ' 1 . S, 1Io.P'õ,,- --- ~t ". ~; ~ '-A,S, ~ ,.._., r--' ,.-, ,.-, r-'" ~ _.J FI~ ~urd \. _.I rnct"lty \. - J ,o.:1~..,' 1 I. _.J ~~, !;;)1"""" \. _.I ! ¿Ieta 11M It II of pr-¡¡:¡ f'ß'J ' !loG hi, ~~t 11 b.' 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IIvoOef õ-¡;G[-CY c,,"I1CTS 'IR¡;,¡_!-r_?nk--1?gM?Xi,.9-------------- nm_:E'xsU1.ç.Q.i¡3.e.e..... nQ1-fä,il-=-.D232 I1I1¡,¡S.tgyg....J-º.n~-ª-_..._.._.-.- tlm~a rke t ..Margl.&.e_L 811°_~I-~i--..l2...Lfi ,:,rtlfieHI(1t1 (1~~(d Dnd si¡:n ø(fC'r co..pJr!!ne 811 sections) I """, ~,,, ...", ,f ,~ ,>" 1 >"f w.~.l1, ....."" ..... .. ',,1"" .", ". "I,,~,,~ "bo'"'' ~ '~ "'K'" "'-". ..... "., ..,,., ~ .. '''"''~ " ,.... ,"'",.." ,.."". ".. lor uÒUlnln9 tho Inb......t1on. I t>.1i,.r tt-.&t tl>t 1vboolttl'ð 'n!o~tlcr> It trvt. "eur.a, I^d CQOoh,~. C' ¡.. __.. .,.. , 1,- '~lt_ e¡ ~¡ l~?.t-~:'--~ ~~~,~-'-Mt:1~!".~7~.!=.--~!l=!nª'z¡~ 1="-"0'-' ......- ¡ 'r'" S'---¡"'''''----'''' .. ~d_~1Ly(u-- ft:.·,·s,;;:,:r--1::: ~ (6._-:2.-7------- .... ,no 0 'Cl. 1 '0 Qod",tr/o~rHor v' a.«rr Q:)frHor I .v ,..,rll'" rtp."Ut" a, I.. '9M V" U ..., ".."" " ') OI'm pplOV .. FacUltyldeotJflcatlon " ," ., Owner/Operator Name ,,' , , Tier Two : Nt' . 7 - E LEV E N- STORE "' Name The Southland Corporation Phone c 214) 522-4790 Slreet "J NO: 16549 ¡--- 2828 N. Haskell Dallas. Texas 75204 EMERGENCY , 4647 WILSON @ STINE 1- M.ìl Addre$5 ~ AND 1 BAKERSFIELD CA 93309 " HAZARDOUS I COUNTY: KERN I Emergency Contact ( " CHEMICAL . ... STORE NO: 16549 INVENTORY SIC: 5541 Store Manager Name NMîE: Specific SIC Code I. ,CD Phone ( I I TITLE: STORE MANAGER Informalion " PHONE: <80S) 833-0732 by Chtmical ..',',,' FOR I~ ~~~ Linda I 24-HOUR: (805) 833~O732 OFFICIAL I , Gathricrht 'WJ&?I Date AllC4llved I Name (214 ) 522 4790 I Phone ~ " j ---~ Paoe -l 01 -L paoes F A ed OMB No 2050-0072 . letinR form Reporting Period From January t to December 31, ISI , ' . ... (check all that a))ly) Stòroge LoCOlions .,' .-.---.-..... .-'-,'. .".-'.' ........ . ._.>.'::-~(:_:-:<:':-.':-:- "..-'.:"'-::',:',:-- ': "':'::':-:".:':';':<':«:;"": . - ... - .. . ChemicJifD~~~l'ipti~n\:"'" , ".' Physical""" and Health· Hazards Inventory Max. ..Avg. No. 0' Dally "Dally Days Amount Amount" On-site (code) ,,(code) (days) '...'..' Storage C()des" and locations ,.".' , ' , " '.. ',' ,d "",,(Non-Confidential),> ," '" CASCIIIII] CCJ 0 Trade 0 ~". Seerel CD Chem. Name Sudden Release I 01 Pressure t,::) UnlPrlcìpò C'-.n~o 1 i np Reactivity In1n18dlale (acute 0 X Delayed Ictvonlc ChICle all [!] 0 [!] 0 thaI appty: Pure Mi" Solid liquid Gas CASCIIIII] CCJ 0 Trade 0 ~'" . Secret Chem, Name Sudden Release 01 Pressure PremÜnn Unleaded Gasoline =~~:: (acute) [QUI Œl] lliillJ ... z .- 0 X Delayed (chronic) ,..", ChICle all [XJ D [i] D Ihal apply: ... Pute MÌII Solid liquid Gas ~ > CASCIIIII] CD D ,... Trade 0 ~ ",. "" Seer.1 m III Chem. Name Sudden Release 0 o. Pre$5U1'8 []U] UIiliJ c ReQular C'-.nso1 i ne Reacllvily [][)] ~ m Immediale (acule) 0 m Delayed (chronic) Z ;;; Check all 0 ŒJ 0 ŒJ 0 Q thaI apply: Pute Mix Solid liquid Gas Parkinçr lot near m.mJ} islands. 1 4 Parking lot near PtlITlp islands. Prlrkinq lot- nprlr pumn i~la.ncìs_ Certification (Rtad 411d sigll afttr compl"ing all stC/iolls) I certify unci.... penalty 01 law lhal I have personally ....mlned and am lamillar with the In'OI'malion submllled In Ihis and all allacnecl documenls, and Ihal based on my inquiry 01 those lncIIv!dualS r.sponslble lor oblainlng Ih. In'OI'malion, I believe Ihal "" submilled InfOI'm ion is !rue. -:,ccurale, and complele, Optional Attachments (Check one) Linda Gathriqht - Code Corrpliance Admin. " Name aM offlci;lll tlU. of ownerJ()DP.f'ator OR owr.er/oP8'ator'l au:hcWi,ed ,eptes."t.atÎ'''. 01-30-89 Da." ~:Qne<J B I have altached a slla plan I ha.e, all ached a .li51 01 ,ile COOf'dlna.e abCreYlallona '), .. Facility , Identification Tier Two EMERGENCY AND HAZARDOUS CHEMICAL INVENTORY Specific Information by Chemical See page 1 Name Slr..1 Addre.. City' Owner/Operator Name Name The Southland Corooration Phone (214) 522-4790 2828 N. Haskell Dallas, Texas 75204 ~ M..il Address Slale _ Zip Emergency Contact , , Name Till. 24 Hr. Phone Dun & Brad ITJ-~_r-rTII Number Li.-L..J L-L-L-L..J SIC Code ~ ..',.. FOR ,·,,1 OFFICIAL 10' "·USE ·'1 >,ONLY'. Dale R_ived . Phone Code Compliance Name Linda Gathriqht (214) 522-4790 Tille 24 Hr. Phone Phone 1m orlant: CASITTIII] o=J 0 Trade 0 Sectet to Chern. Name , No ? n;psel Fuel to.:) Check all D ~ D ~ 0 that apply: Pure Mix Soll<l Liquid Ga. CASITTIII] ITJ D , TradeD Sectet Chern. Name . < iã 0 Check. all 0 0 0 0 0 z :!: that apply: ... P..... Mix Solid Liquid Ciao ~ > CASCIII:II] [I] 0 r- Trade 0 '" Secrel ... <II Chern. Name 0 c: ~ ... 0 ... z Check all [J 0 0 D 0 ;; '" thaI apply: Pur. MiJI Solid Llquiå Cia. Reporting Period From January 1 to December 31, 18 Physical , and Health Hazàrds Inventor¡ Avg. No. 01 Dally Days ,'Amount On-site (code) (days) "'Storage Codes and Locations,.",. . '(Non:Confidential) " , ' , StorageC()deStorage Locations ~Flre Sudden Release ot Pre....... Reactivity Immedlat. (acut. Delayed (chronic) B 1 4 Parkinq lot near pump islands. [Q[3] "[Jß[lliJ5J ~Flte Sudden Release 01 Pressur. Reactivity ITJ ITJ Immediate (acule) , , , Delayed (c:lvonlc) LCD ~Fire , Sudden Release 01 Pressure Reactlvily ", o=J Immediate (acule) Delayed (clvonic) o=J LCD Optional Atlachmllints(Check one) Certillcatlon (Read 4nd$ign ajter compltling all StClio;rs) I certify under penalty o' law thai I hay. personal~y ..amlned and am familiar with tl'\8 infOfmation sut.fTutted In this and all attached documents. and that based on mV inqUiry of those Individuals responsible tor obtaining the infOlmation, I believe that tÞe submitted InfOf'matlon is ~rue. accurate. and complete. ~ SEE FRONT PAGE Name and off'cl~1 title 0' OwnerlOOf!rator OR ~er/operator's au:hOtiled representatî·". SIQna:I,,;"~ Da tft , :qf'\ecj 0, I hay~ attached a site plan D I II... aHaClle<! A list 01 lit. coordinate aber.vlatlon. I ) ~.~}ç - ~~ =~'!,.') '. . . ~~ZARDOUS ~~TERIALS HA~DLING PROCEDURES FUEL SPILLAGE EMERGENCIES 1) In case of large fuel spill. (50 square feet or larger or any- thing that looks pot~ntially hazardous) CALL THE FIRE DEPARTMENT. 2) In case of small fuel spill 50 square f~et or smallerl determine potential hazard. Use absorbent material (kitty litter or sand), absorbent pad, or for very small spills, let evaporate. USDER SO CIRCl~ISTAXCES HOSE OFF WITH WATER. THIS WOULD CAUSE U~DER- GROl'~D COXTA.'!I:\ATION A."iD WE COULD BE FACED WITH A VERY LARGE CLEA~-UP BILL. Keep used clean-up material in a metal container with m~tal 1 id. 3) For removal of clean-up material for Ul or #2, call Tom Carmichael at 1-800-541-0334. 4) Know where the fire extinguisher is and how and when to use it. If you have to use a fire extinguisher, ALWAYS CALL THE FIRE DEPARTME~T FIRST. In our store the fire extinguishers are located: 5) Know where and how to shut off power to gasoline equipment. Every store is different; have someone show you. In ou~ store the gaso- line power shut-off is located: C02 TAXK HA~DLl~a 1) All C02 tanks are to be stored with metal cap in place (except when in use). Replace metal cap on, tank after use (empty). 2) All C02 tanks are to be chained up tightly 3/4 way up at all times. PLEASE POST ,IN STORE :".--:~~' _,~~' ~~~.~~.' L";: . . '" HAZARDOUS MATERIALS HANDLING PROCEDURES FUEL SPILLAGE EMERGENCIES 1) In case of large fuel spill, (50 square feet or larger or any- thing that looks potentially hazardous) CALL THE FIRE DEPARTMENT. 2) In case of small fuel s~~ll 50 square feet or smaller, determine potential hazard. Use absorbent,material (kitty litter or sand), absorbent pad, or for very small spills, let evaporate. UNDER NO CIRCilllSTANCES HOSE OFF WITH WATER. THIS WOULD CAUSE UNDER- GROUND CONTAHINATION AND WE COULD BE FACED WITH A VERY LARGE CLEAN-UP BILL. Keep used clean-up material in a metal container with metal lid. 3) For removal of clean-up material for HI or H2. call Tom Carmichael at 1-800-541-0334. 4) Know where the fire extinguisher is and how and when to use it. If you have to use a fire extinguisher, ALWAYS CALL THE FIRE DEPARTMENT~. In our store the fire extinguishers are located: 5) Know wher.e and how to shut off power to gasoline equipment. Every store is different; have someone show you. In our store the gaso- line power shut-off is located: C02 TANK HANDLING 1) All C02 tanks are to be stored with metal cap in place (except when in use). Replace metal cap on tank after use (empty). 2) All C02 tanks are to be chained up tightly 3/4 way up at all times. Signed: Employee Witness: Franchisee/Store Nanager Complete and file in each employee file. ¡ ~,~,\:'" ,,$" ,,;()f: . ' ·í. ~ ,"~(;> 7¡ it. -' . ..~ -~ BAIŒRSFIELD CITY FIRE DEPARTMENT R' E r E , V 2130 "G" STREET ~ ..' ED BAKERSFIELD. CA 93301 J U I 1 3 1987 (805) 326-3979 t ;)..'3" , ,- , c.......A n s 'd. J "J1JSp·..·....·.. OFFICIAL USE ,ONLY ID_ 000808 USINESS SAME HAZARDOUS MATERIALS BUSINESS PLANAS A WHOLE FORM 2A , " INSTRUCTIONS: 1. To avoid further action. return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIPICATION DATA A. BUSINESS NAME: 7-Eleven Food Store ~~2125-16549 B. LOCATION / STREET ADDRESS: 4647 Wilson Road ZIP: 93309 BUS. PHONE: (80S) 833-0732 CITY: Bakersfield SECTION 2: EMERGENCY NOTIPICATIONS In case ot~an e.er¡ency involving the release or threatened release of a hazardous .aterial. call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire depart.ent and the State Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE 0' EMERGENCY: NAME AND TITLE A. Frank and Betty De~''lario:;. Franchisees Pht DURING BUS. HRS. (80S) 833-0732 AFTER BeS. HRS. Pht same B. Kathv ?'leiia. District ~Ianager 2125 Pht (805)834-2711 Pht same SECTION 3: LOCATIOR 0' UTILITY SBOT-ollS FOR BUSI1ŒSS AS A WROLE A. NAT. GAS/PROPANE: None B. ELECTRICAL: back room hallway C. WATER: store tr.ont/s~de D. SPECIAL: E. LOCK BOX: YES /(i!oJ ~P YES, LOCATION: IF YES. DOES IT CONTAIN SITE PLANS? ((YES) / NO FLOOR PLANS? -YES / NO L... MSDSS? (~É~)/ NO KEYS? YES I NO - 2A - .~'. '-, . ..~ l """.'. .. . .q -~ ''"~.-....,~t.} , - r.. , '", \. , ~ " SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE (~ [è t ~~ ;~~ {~ ~) t; \) "..} ....; ~,.' ,'~~ Emergency Coordinator(pre-determined) shall notify all agencies and inter-co~pany persons in the event of incident. Emergency Coordinator shall implement all necessary measures in regard to employee and environmental safety as instructed by training received. SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE Fire/Pólice Deapartment: 911 Nearest E.rr; to the location is to be used in the event of injury. SECTION 8: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROG~~ WHICH PROVIDES EMPLOYEES WITH I~ITIAL A~D REFRESHER TRAINING IS THE FOLLOWING 'AREAS. CIRCLE YES OR NO ". I~ITIAL A. :¡~:~~:L~~~.~~~~.~~~~~~.~~,~~~~~~~~........... ~ ~å 8, PROCEDURES FOR COORDINATING ACTIVITIES ,~__~ WITH RESPONSE AGENCIES:.................,........ Î//~O ~ ~-~ ì C. PROPER USE OF SAFETY EQUIPMENT:.... .'. ... .... . .. . . ' ~ro ' D. EMERGENCY EVACUATION PROCEDL~ES:.... ........'. .... '~¡ E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:....... YES~) SECTION 7: HAZARDOUS MATERIAL REFRESHER YES ~O YES (~O_ ' YES NO,) YES NO: YES, NO) "!: - , '" CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL I~ QUANTITIES 'LESS THAN 500 POt~OF A SOLID. 55 GALLONS OF A LIQUID:, OR 200 Ct¿BIC FEET OF. ~ ~OMPRESS~D GAS: . . . . . , ð:." :;0 ) I, Frank D~~ario~ . certify that the above information is accurate. I understand that this intor.ation will be used to 'fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et AI.) and that inaccurate information constitutes perjury. ., ·S¡G¡¡ATUR~~~./ jJllI~ . TITLE Franchisee' . , DATE 7-1·-1// - 2B - .. . . . .. ~. BAKERSFIELD CITY FIRE DEPARTMEXT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFiCIAL CSE ONLY ID# - - -' - - - BUS INESS NAi'Œ: BUSINESS PLAN SINGLE FACILITY UNIT, FORM 3A INSTRUCTIONS 1. To avoid further action. this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH, 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible . ,~, ,------ ----.----,.-.. . -~.-... -: .,.~ . ,.-! . FACILITY UNIT# FACILITY UNIT N~~: SECTION 1: MITIGATION. ,PREVENTIO~. ABATEME~-r_ PROCEDURES '" '. " / ;." " " " " ~ ða.8~ ~~~;c!~c><J ~ /~. ~~~'-f;;:;-~~-~7f ~-~c~~~. ~~~ =t;U~~ SECTION 2: NOTIFICATION .~~ EVACGATIO~ PROCED~KES AT THIS ù~IT O~~Y v~ rj 'Œaf2.Q 9 if .þ æP of ~ lid-- ,¡4J ~ ~ ð¿S - SQ.e. ~. ?3~ ~ ~ ~ ~ 7/;¡ 13 r D - ;do¡; H o.:J- - :),; - I. D ° f _-:- ...1' ';"'~ (. RAKERSFIELD CITY FIRE DEPARTMENT FORM 4A-1 NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY 1 1:. . ¡,..~.. t'"' Of'~ Page - BUS I NESS NAME: 7-Eleven Store 112125-16549 ADDRESS: 4647 Wilson Rd. @ Stine CITY, ZIP: Bakersfield, CA 93309 PHONE f: (80S) 833-0732 1 TYPE CODE IL~'_ ~-}1 ~, J - M- _ - -, -. ,lþvr .. _ OWNER NAME: The Southland Corporation ADDRESS :1240 S. State College Bl. FAC IL ITY CITY, ZIP: Anaheim, CA 92806 PHONE #: (714)635-7711' ' FACILITY UNIT #: UNIT NAME: Ste. 100 2 MAX AMOUNT 10,000 .. _,.,. _ u_ IOFFICIAL USE ONLY CFIRS CODE 10 HAZARD D.O.T CODE GUIDE FLLQ 1203 ..-.;; FLLQ 1203 FLLQ 1203 NFLG 1013 3 Est ANNUAJ. AMOUNT 4 5 CONT UNIT CODE 6 USE CODE '"Co:- .19':'· ! Store 7 LOCATION IN THIS FACILITY UNIT 8 % BY WT. 100 9 CHEMICAL OR COMMON NAME Gasoline/Unleaded ¡I~~~ '//171 Gasoline/Regular // ¿r~ Gasoline/Super Unleaded // f c:::z. C02/Carbon Dioxide / ~ .s- / .- - -- . . _ .~~,:?31. GAL OJ u front/Wilson Rd. 10,000 ~200,-939-GAL Dr- 19 " 100 ,. -. . ---. .- 1 0, 000 37, 11 6 . 'ê.J-~ 02.:5""Q""l:iO' ¿¡:::. .,.. ~- -- + - - -" --- . GAL 01 19 , " 100 Ft3 04. ,_ .9.9. Nr. Sales Counter 100 . . NAME: JaCK Dool~ttle EMERGENCY CONTACT: Frank DeMario TITLE:Gaso.L~ne Manager SIGNATURE: [ TIT I. E: Franchisee // ¿ //l-/ .-. ~ _________ / G PHONE # BUS HOURS: AFTER BUS HRS: PHONE' BUS HOURS: AFTER BUS HRS: DATE: 6/8/87 (805)833-0732 (805)833-0732 (805)834-2711 (805)834-2711 I EMERGENCY CONTACT: Kathy Mejia TITLE: District Manager, 2125 I PRINCIPAL BUSINESS ACTIVITY: Convenience store with self-serve gasoline LJ - 4A-l - ';' . ,.....y;~~~. « _' ,,: " Irtféônformityj:with;<provisiOnS¡'ofpertirient:oRtinan" , .'.. :'~:~,:;:,:~:i >:;~ff~nl~~~~;:~,rz~~;~¡~;:;~?~'~'~,:;>~:>;'~{<;:}(';:~ ".:~:, ',: .,;:;,,' .::~:'i;~:::;l:~~ s'6i1thíàrid,' COrp':';'';', t240~g~ S·tatë:: College';',AnA , ,__.,~~.,;.:'~:'::'~:", ',' NQ~;:of.~ny, ' . :</ff:'Y.:.' to disP1âý/store, inståll, uSe"Öperate, sell,or handlè,:mât . ~ 'It'," dìt'ons:.!deemed hazardOus, to life or" property as' foll~ . ,.LA . ~"". ,''''., . " . - ,~ M x perm~........(.!?[L?t....................... Date Authorized Repres8ntative :.:; .' , B i". 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