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SITE/FACILITY DIAGRAM
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DATE: 7 !,rsl¿l FACILITY NAME: ¡v/A
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FACILITY DIAGRAM
SITE DIAGRAM
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TANK SIZE PRODUCT LEGEND
#1 /1 ptJo I£//.L/) F FILL T TURBINE
#2 7-J7JO d IL-/) TL TURBINE WITH LEAK DETECTOR
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#3 L.J Ó() () )')r'[SíL- .2 FO OVERSPILL CONTAINER ON FILL
#4 4 ()()ú /) J '£ Sfj- ,2 R REMOTE 0 VENT
#5 E EXTRACTOR VALVE
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#7 [ MANIFOLD SYSTEM
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CI=..... Corrosion Electrical Services
~ Paramount, California
JOB NO.
SCALE
DRWN. BY JMS
None
Texaco Food Mart
726 South Union Street
Bakersfield, California
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CI=.... Corrosion Electrical Services
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JOB NO.
DRWN. BY JMS
SCALE None
CATHODIC PROTECTION SYSTEM LAYOUT
Texaco Food Mart
726 South Union Street
Bakersfield, California
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SUN VALLEY OIL COMPANY
Wholesale Petroleum Distributors
3940 Rosedale Highway
Bakersfield, California 93308
Telephone 327-7212
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LOT 10 OF SEC. 5 T 30 S. R. 28 E.
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EXPLANATION
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ADDRESS OF VIOLATIO:N: _~_
ASSESSORS' PARC:E:L i.._.___"~.
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LUCKY 7 #3
SiteID: 015-021-001533
Manager MOHAMMED RAFIQ
Location: 726 S UNION AVE
City BAKERSFIELD
CommCode: BAKERSFIELD STATION 06
EPA Numb:
BusPhone:
Map : 124
Grid: 05A
(661) 324 - 8516
CommHaz : Moderate
FacUnits: 1 AOV:
SIC Code:5541
DunnBrad:
Emergency Contact
MOHAMMED RAFIQ
Business Phone:
24-Hour Phone :
Pager Phone
/ Title
/ OPERATOR
(661) 324-8516x .
(661) 11.1 J09>lx.?~3 IS
() x
Emergency Contact / Title
13UKE :gSlŒW fY). e~ / MARKETING R~P
Business Phone: 4661) ~21J T.IJ!l.3..{j.:?ý rS'/¡f
:lJf24-Hour Phone : (661) 3S7 "lr.12xß;2.J.j, ~/
Pager Phone (661) ~~-S38S]~
Hazmat Hazards:
Fire
ImmHlth DelHlth
Contact :ffiJIŒ BSTl'k'ToI ~y ~ Àn. O~CU'\
MailAddr: '~~40 R03EDA1.E"1'tW¥~'7l~ C;, Un,'ùY\.,
City : BAKERSFIELD
Owner
Address
City
S~AL~IL MO~ ( I) (),
3940... SED HWY 1'\ ,M-eØI ~b
RSF D ìfLc C;. U""~
Phone: (661)~.J 'lzJh
State: CA '9~ I 8.Q Ó lh
Zip : ~ßdoe 4 'S~o7 -tt)"'1
Phone: (661) J~;. HILí
State: CA 3'2.'185/6
Zip :f 93368 q~~
Period
Preparer:
Certif'd:
ParcelNo:
to
TotalASTs: =
TotalUSTs: =
RSs: No
Gal
Gal
Emergency Directives:
I, flyfJ,o./1Je ~ «at; ~o hereby certify that I have
(Type or print name)
reviewed the attached hazardous materials manage-
ment plan for {u41--tJ-3 and that it along with
(Name of Business)
any corrections constitute a complete and correct man-
agement plan for my facility.
'"
", '
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"
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1 '~'J;I
-1-
07/29/2004
e
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F LUCKY 7 #3
SiteID: 015-021-001533 ì
STORAGE CONTAINER DATA (UST FORM A)
Last Action Type:
FACILITY/SITE INFORMATION
Business Name: LUCKY 7 #3
Cross Street :
Business Type: Org Type:
Total Tanks : IndnRes/Trust: No PA Contact:
PROPERTY OWNER INFORMATION
Name : DUKE ESKEW Phone: (661) 327-7212x
Address:
City : State: Zip:
Type : CORPORATION
TANK OWNER INFORMATION
Name : DUKE ESKEW Phone: (661) 327-7212x
Address:
City : State: Zip:
Type : CORPORATION
BOE UST Fee# : 22-6347450020
Financ'l Resp: STATE FUND
Legal Notif : Tank Owner Mailing Address
Date: Phone: ( ) - x
Name: Ttl:
State UST # : 1998 Upg Cert#:
-2-
07/29/2004
e
e
SiteID: 015-021-001533 9
By Facility Unit 9
Fixed Containers at Site 9
!specHaz!EPA Hazards! Frm ! DailyMax IUnitMCP
F IH DH L 6375.00 GAL Mod
F IH DH L 6375.00 GAL Mod
F DH L 4500.00 GAL Low
F DH L 4500.00 GAL Low
F LUCKY 7 #3
f= Hazmat Inventory
f== MCP+DailyMax Order
Hazmat Common Name...
GASOLINE - REGULAR UNLEADED
GASOLINE - SUPER UNLEADED
DIESEL #2
DIESEL #2
-3-
07/29/2004
e
e
SiteID: 015-021-001533 9
Facility Unit: Fixed Containers at Site ì
F LUCKY 7 #3
f= Inventory Item 0001
== COMMON NAME / CHEMICAL NAME
GASOLINE - REGULAR UNLEADED
Days On Site
365
Location within this Facility Unit
W SIDE OF STORE, NORTHERNMOST TANK
Map:
Grid:
CAS#
8006-61-9
STATE - TYPE
Liquid Pure
PRESSURE ---- TEMPERATURE
Ambient Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
10000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
6375.00 GAL
Daily Average
1100.00 GAL
%Wt. I
100.00 GasolJ.ne
HAZARDOUS COMPONENTS
~
CAS# I
8006619
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
HAZARD ASSESSMENTS
Ag.Defined1:
MISC. LOCAL AGENCY DATA
Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined5:
Ag.Defined6: Ag.Defined7:
Ag.Defined9: Ag.Define10:
Ag.Defined8:
I- Ag .Define11
-4-
07/29/2004
e
e
F LUCKY 7 #3 SiteID: 015-021-001533 9
p= Inventory Item 0001 Facility Unit: Fixed Containers at Site 9
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2
Last Action Type:
Location In Site: W SIDE OF STORE, NORTHERNMOST TANK
TANK DESCRIPTION
Tank ID#: 4
Installed: 0/
Additional Info:
Mfr: UNK
o Capacity:
10000 Gals
Compart Tank: N
No. Of Comparts:
TANK CONTENTS
Tank Use: MOTOR VEHICLE FUEL Petrol Type:
Matl Name:GASOLINE - REGULAR UNLEADED
TANK CONSTRUCTION
W/INT LINER & C.P.
REGULAR UNLEADED
Cas #:
8006-61-9
Type : SINGLE WALL
Material(p): BARE STEEL
Material(s): BARE STEEL
Lining : EPOXY LINING
Corr Prot: CATHODIC PROTECTION
Spill Cnt : 1994
Drop Tube : 1994
Striker Plate: 1994
TANK
Sgl Wall: AUTOMATIC TANK GAUGING
Alarm :
Ball Float :
Fill Tube S/O:
LEAK DETECTION
Dbl Wall:
Installed:
Installed:
1994 Exempt:
1994
No
Last Used:
TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Qty Remaining: Was Filled: No
-5-
07/29/2004
e
e
F LUCKY 7 #3 SiteID: 015-021-001533 ì
f= Inventory Item 0001 Facility Unit: Fixed Containers at Site ì
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2
PIPING CONSTRUCTION
UnderGround Piping
PRESSURE
DOUBLE WALL
AboveGround Piping
Type:
Const:
Mfgr :
Mtl :
& :
Corr :
Prot :
FIBERGLASS
PIPING LEAK DETECTION
UnderGround Piping AboveGround Piping
AUTOMATIC LEAK DETECTORS
Installed:
DISPENSER CONTAINMENT
Type: NONE
OWNER/OPERATOR SIGNATURE
Ttl:
Approved: Yes
AGENCY DEFINED
Expiration Date: 06/30/2006
Date:
Name:
Prmt Number: 1533
TANK/LINE TEST :12/29/1994
CP CERT. :11/07/2002
MANWAY INSP. : 11/10/1999
UST MONIT. CERT:12/17/2003
STORAGE CONTAINER DATA (UST FORM C)
Installer Certified by tank/piping manufacturer: Yes
Installation Inspected & Certified by Registered Engineer: Yes
Installation Inspected by Unified Program Agency: Yes
Manufacturer's Checklist Completed: Yes
Installer Certified by Contractors' State License Board: Yes
Approved Alternate methods:
Date:
Name: Ttl:
-6- 07/29/2004
e
e
SiteID: 015-021-001533 9
Facility Unit: Fixed Containers at Site 9
F LUCKY 7 #3
f= Inventory Item 0002
F== COMMON NAME / CHEMICAL NAME
GASOLINE - SUPER UNLEADED
Days On Site
365
Location within this Facility Unit
W SIDE OF STORE, 2ND FROM N TANK
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
6375.00 GAL
Daily Average
425.00 GAL
%wt. I
100.00 Gasoline
HAZARDOUS COMPONENTS
~
CAS # I
8006619
HAZARD A E ME TS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
SS SS N
Ag.Defined1:
Ag.Defined5:
MISC. LOCAL AGENCY DATA
Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined6: Ag.Defined7:
Ag.Defined8:
Ag.Defined9: Ag.Define10:
r- Ag. Define11
-7-
07/29/2004
e
e
F LUCKY 7 #3 SiteID: 015-021-001533 9
p= Inventory Item 0002 Facility Unit: Fixed Containers at Site 9
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2
Last Action Type:
Location In Site: W SIDE OF STORE, 2ND FROM N TANK
TANK DESCRIPTION
Tank ID#: 3
Installed: 0/
Additional Info:
Mfr: UNK
o Capacity:
7500 Gals
Compart Tank: N
No. Of Comparts:
Tank Use: MOTOR VEHICLE FUEL
MatI Name:GASOLINE - SUPER UNLEADED
TANK CONSTRUCTION
W/INT LINER & C.P.
TANK CONTENTS
Petrol Type: REGULAR UNLEADED
Cas #: 8006-61-9
Type : SINGLE WALL
Material(p): BARE STEEL
Material(s) :
Lining : EPOXY LINING
Corr Prot: CATHODIC PROTECTION
Spill Cnt : 1994
Drop Tube :
Striker Plate:
TANK LEAK
Sgl Wall: AUTOMATIC TANK GAUGING
Alarm :
Ball Float :
Fill Tube S/O:
DETECTION
Dbl Wall:
Installed:
Installed:
Exempt: No
1994
Last Used:
TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Qty Remaining: Was Filled: No
-8-
07/29/2004
e
e
F LUCKY 7 #3 SiteID: 015-021-001533 ì
f= Inventory Item 0002 Facility Unit: Fixed Containers at Site ì
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2
PIPING CONSTRUCTION
UnderGround Piping
PRESSURE
DOUBLE WALL
AboveGround Piping
Type :
Const:
Mfgr :
Mtl :
& :
Corr :
Prot :
FIBERGLASS
PIPING LEAK DETECTION
UnderGround Piping AboveGround Piping
AUTOMATIC LEAK DETECTORS
Installed:
DISPENSER CONTAINMENT
Type: NONE
OWNER/OPERATOR SIGNATURE
Ttl:
Approved: Yes
AGENCY DEFINED
Expiration Date: 06/30/2006
Date:
Name:
Prmt Number: 1533
TANK/LINE TEST :12/29/1994
CP CERT. :11/07/2002
MANWAY INSP. : 11/10/1999
UST MONIT. CERT:12/17/2003
STORAGE CONTAINER DATA (UST FORM C)
Installer Certified by tank/piping manufacturer: Yes
Installation Inspected & Certified by Registered Engineer: Yes
Installation Inspected by Unified Program Agency: Yes
Manufacturer's Checklist Completed: Yes
Installer Certified by Contractors' State License Board: Yes
Approved Alternate methods:
Date:
Name: Ttl:
-9- 07/29/2004
e
e
, ;
SiteID: 015-021-001533 ì
Facility Unit: Fixed Containers at Site ì
Days On Site
365
F LUCKY 7 #3
p= Inventory Item 0003
=== COMMON NAME / CHEMICAL NAME
DIESEL #2
Location within this Facility Unit
W SIDE OF STORE, 3RD TANK FROM N
Map:
Grid:
CAS#
68476-34-6
STATE - TYPE
Liquid Pure
PRESSURE ---- TEMPERATURE
Ambient Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
4500.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
4500.00 GAL
Daily Average
996.00 GAL
%Wt. RS CAS#
100.00 Diesel Fuel No. 2 No 68476302
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
HAZARD ASSESSMENTS
Ag.Defined1:
MISC. LOCAL AGENCY DATA
Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined5:
Ag.Defined8:
Ag.Defined6: Ag.Defined7:
Ag.Defined9: Ag.Define10:
- Ag. Define11
-10-
07/29/2004
- I
, ;
e
e
F LUCKY 7 #3 SiteID: 015-021-001533 ì
f= Inventory Item 0003 Facility Unit: Fixed Containers at Site ì
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2
Last Action Type:
Location In Site: W SIDE OF STORE, 3RD TANK FROM N
TANK DESCRIPTION
Tank ID#: 2
Installed: 0/
Additional Info:
Mfr: UNK
o Capacity:
4500 Gals
Compart Tank: N
No. Of Comparts:
Tank Use: MOTOR VEHICLE FUEL
Matl Name:DIESEL #2
TANK CONTENTS
Petrol Type: REGULAR UNLEADED
Cas #: 68476-34-6
TANK CONSTRUCTION
Type : SINGLE WALL W/INT LINER & C.P.
Material(p): BARE STEEL
Material(s) :
Lining : EPOXY LINING
Corr Prot: CATHODIC PROTECTION
Spill Cnt : 1994
Drop Tube :
Striker Plate:
TANK LEAK
Sgl Wall: AUTOMATIC TANK GAUGING
Alarm :
Ball Float :
Fill Tube S/O:
DETECTION
Dbl Wall:
Installed:
Installed:
Exempt: No
1994
Last Used:
TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Qty Remaining: Was Filled: No
-11-
07/29/2004
e
e
F LUCKY 7 #3 SiteID: 015-021-001533 ì
p= Inventory Item 0003 Facility Unit: Fixed Containers at Site ì
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2
PIPING CONSTRUCTION
UnderGround Piping
PRESSURE
DOUBLE WALL
AboveGround Piping
Type :
Const:
Mfgr :
Mtl :
& :
Corr :
Prot :
FIBERGLASS
PIPING LEAK DETECTION
UnderGround Piping AboveGround Piping
AUTOMATIC LEAK DETECTORS
Installed:
DISPENSER CONTAINMENT
Type: NONE
OWNER/OPERATOR SIGNATURE
Ttl:
Approved: Yes
AGENCY DEFINED
Expiration Date: 06/30/2006
Date:
Name:
Prmt Number: 1533
TANK/LINE TEST :12/29/1994
CP CERT. :11/07/2002
MANWAY INSP. :11/10/1999
UST MONIT. CERT:12/17/2003
STORAGE CONTAINER DATA (UST FORM C)
Installer Certified by tank/piping manufacturer: Yes
Installation Inspected & Certified by Registered Engineer: Yes
Installation Inspected by Unified Program Agency: Yes
Manufacturer's Checklist Completed: Yes
Installer Certified by Contractors' State License Board: Yes
Approved Alternate methods:
Date:
Name: Ttl:
-12- 07/29/2004
:¡ -;
e
e
F LUCKY 7 #3
f= Inventory Item
r== COMMON NAME /
DIESEL #2
0004
CHEMICAL NAME
SiteID: 015-021-001533 9
Facility Unit: Fixed Containers at Site 9
Days On Site
365
Location within this Facility Unit
W SIDE OF STORE, SOUTHERNMOST TANK
Map:
Grid:
CAS#
68476-34-6
STATE - TYPE
Liquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
4500.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
4500.00 GAL
Daily Average
906.00 GAL
%Wt. RS CAS#
100.00 Diesel Fuel No. 2 No 68476302
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
HAZARD ASSESSMENTS
Ag.Defined5:
MISC. LOCAL AGENCY DATA
Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined6: Ag.Defined7:
Ag.Defined1:
Ag.Defined8:
Ag.Defined9: Ag.Define10:
I- Ag. Define11
-13-
07/29/2004
e
e
F LUCKY 7 #3 SiteID: 015-021-001533 ì
f= Inventory Item 0004 Facility Unit: Fixed Containers at Site ì
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2
L~st Action Type:
Location In Site: W SIDE OF STORE, SOUTHERNMOST TANK
TANK DESCRIPTION
Tank ID#: 1
Installed: 0/
Additional Info:
Mfr: UNK
o Capacity:
4500 Gals
Compart Tank: N
No. Of Comparts:
Tank Use: MOTOR VEHICLE FUEL
Matl Name:DIESEL #2
TANK CONTENTS
Petrol Type: REGULAR UNLEADED
Cas #: 68476-34-6
TANK CONSTRUCTION
Type : SINGLE WALL W/INT LINER & C.P.
Material(p): BARE STEEL
Material(s) :
Lining : EPOXY LINING
Corr Prot: CATHODIC PROTECTION
Spill Cnt : 1994
Drop Tube :
Striker Plate:
TANK LEAK
Sgl Wall: AUTOMATIC TANK GAUGING
Alarm :
Ball Float :
Fill Tube S/O:
DETECTION
Dbl Wall:
Installed:
Installed:
Exempt: No
1994
Last Used:
TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Qty Remaining: Was Filled: No
-14-
07/29/2004
___L_
e
e
F LUCKY 7 #3 SiteID: 015-021-001533 9
f= Inventory Item 0004 Facility Unit: Fixed Containers at Site ì
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2
PIPING CONSTRUCTION
UnderGround Piping
PRESSURE
DOUBLE WALL
AboveGround Piping
Type :
Const:
Mfgr :
Mtl :
& :
Corr :
Prot :
FIBERGLASS
PIPING LEAK DETECTION
UnderGround Piping AboveGround Piping
AUTOMATIC LEAK DETECTORS
Installed:
DISPENSER CONTAINMENT
Type: NONE
OWNER/OPERATOR SIGNATURE
Ttl:
Approved: Yes
AGENCY DEFINED
Expiration Date: 06/30/2006
Date:
Name:
Prmt Number: 1533
TANK/LINE TEST :12/29/1994
CP CERT. :11/07/2002
MANWAY INSP. : 11/10/1999
UST MONIT. CERT:12/17/2003
STORAGE CONTAINER DATA (UST FORM C)
Installer Certified by tank/piping manufacturer: Yes
Installation Inspected & Certified by Registered Engineer: Yes
Installation Inspected by Unified Program Agency: Yes
Manufacturer's Checklist Completed: Yes
Installer Certified by Contractors' State License Board: Yes
Approved Alternate methods:
Date:
Name: Ttl:
-15- 07/29/2004
LUCKY 7 #3
.
.
SiteID: 015-021-001533
. ,
CommCode: BAKERSFIELD STATION
EPA Numb:
~~~
~ \.~
~~
06
BusPhone:
Map : 124
Grid: 05A
(661) 324 - 8516
CommHaz : Low
FacUnits: 1 AOV:
Manager MOHAMMED RAFIQ
Location: 726 S UNION AVE
City BAKERSFIELD
SIC Code:5541
DunnBrad:
Emergency Contact
MOHAMMED RAFIQ
Business Phone:
24-Hour Phone :
Pager Phone
/ Title
/ OPERATOR
(661) 324-8516x
(661) 834 - 9924x
() x
Emergency Contact
DUKE ESKEW
Business Phone:
24-Hour Phone
Pager Phone
/ Title
/ MARKETING REP
(661) 327-7212x
(661) 327-7212x
(661) 635-5385x
Period
Preparer:
Certif'd:
ParcelNo:
to
Fire ImmHlth DelHlth
Phone: (661) 327-7212x
State: CA
Zip 93308
Phone: (661) 327-7212x
State: CA
Zip 93308
TotalASTs: Gal
TotalUSTs: = Gal
RSs: No
Hazmat Hazards:
Contact : DUKE ESKEW
MailAddr: 3940 ROSEDALE HWY
City BAKERSFIELD
Owner
Address
City
SUN VALLEY OIL CO
3940 ROSEDALE HWY
BAKERSFIELD
Emergency Directives:
I ~~ hereby certify that I have
, ype print name) .
reviewed the attached hazardous materia's manage-
t I o,~ ]~ and that it along with
men p an (Name f BusineSS)
any corrections constitute a complete and correct man-
agement pian for facility.
0( ( I ~! cJ3
o.te
. .
-1-
09/09/2003
\
- ,
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.
LWCKY.;7J #3
", ;:
SiteID: 015-021-001533
Manager MOHAMMED RAFIQ
Location: 726 S UNION AVE
City BAKERSFIELD
BusPhone:
Map : 124
Grid: 05A
(805) 324-8516
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 06
EPA Numb:
SIC Code:5541
DunnBrad:
\
Emergency Contact / Title Emergency Contact / Title
MOHAMMED RAFIQ / OPERATOR DUKE ESKEW / MARKETING REP.
Business Phone: (805) 324-8516x Business Phone: (805) 327-7212x
24-Hour Phone : (805) 834-9924x 24-Hour Phone : (805) 327-7212x
Pager Phone : ( ) - x Pager Phone : (805) 635-5385x
Hazmat Hazards: Fire ImmHlth DelHlth
Contact : DUKE ESKEW Phone: (805) 327-7212x
MailAddr: 3940 ROSEDALE HWY State: CA
City : BAKERSFIELD Zip : 93308
Owner SUN VALLEY OIL CO Phone: (805) 327-7212x
Address : 3940 ROSEDALE HWY State: CA
City : BAKERSFIELD Zip : 93308
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
I, ~ .l)1A Jl¿ e-s)læ~ Do hereby cermy that! have
(Type or print name)
reviewed the attached hazardous materials manage-
ment plan for~n Vi4J}¡ltJll fa and that it along with
(Name of usiness)
any corrections constitute a complete and correct man-
agement p'aãa"R
Signature
11-- r-OO
Date
-1-
10/31/2000
;~'
-
.
NER DATA U T FORM A
Last Action Type:
FACILITY/SITE INFORMATION
Business Name: LUCKY 7 #3
Cross Street :
Business Type: 011ý;Úf\t, Ie -S+Ci Ie.. Org Type:
Total Tanks : IndnRes/Trust: No PA Contact:
PROPERTY OWNER INFORMATION
Name : DUK:! F.3 ICFM '5u n l/ ¡q II~ If OIL (' 0 Phone: (805) 327-7212x
Address: ~4U RlXd'A1e hWv{
City : t4lltvsne¿C! State: CIf- Zip: QJ3o'F
Type : CORPORATION
TANK OWNER INFORMATION
Name : rn;.t\.J::!i ~::;kEWd 'S£.,f~l1lle1 (7l L {lO Phone: (805) 327-7212x
Address: ~40 (2W3¡q~ .. '1
City : ;-A-\ú"6Acid t' State: (I ¡r Zip: Q'53or!
Type : CORPORATION
BOE UST Fee# : 22-6347450020
Financ'l Resp: STATE FUND
Legal Notif : Tank Owner Mailing Address
Date: Phone: ( ) - x
Name: Ttl:
State UST # : 1998 Upg Cert#:
STORAGE CONTAI
( S
SiteID: 015-021-001533 ì
)
F LUCKY ':; #3
, D
One Unified List ì
All Materials at Site ì
SpecHaz EPA Hazards DailyMax MCP
F IH DH L 6375.00 GAL Mod
F IH DH . L 6375.00 GAL Mod
F DH L 4500.00 GAL Low
F DH L 4500.00 GAL Low
F Hazmat Inventory
p== As Designated Order
Hazmat Common Name...
GASOLINE - REGULAR UNLEADED
GASOLINE - SUPER UNLEADED
DIESEL #2
DIESEL #2
-2-
10/31/2000
e
e
SiteID: 015-021-001533 ì
Facility Unit: Fixed Containers at Site ì
f LµCKY ..,. #3
F Inventory Item 0001
F= COMMON NAME / CHEMICAL NAME
GASOLINE - REGULAR UNLEADED
Days On Site
365
Location within this Facility Unit
W SIDE OF STORE, NORTHERNMOST TANK
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
6375.00 GAL
Daily Average
1100.00 GAL
%Wt. RS CAS #
100.00 Gasoline No 8006619
HAZARDOUS COMPONENTS
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
F Inventory Item 0002
¡:= COMMON NAME / CHEMICAL NAME
GASOLINE - SUPER UNLEADED
Facility Unit: Fixed Containers at Site ì
Days On Site
365
Location within this Facility Unit
W SIDE OF STORE, 2ND FROM N TANK
Map:
Grid:
CAS #
8006-61-9
STATE - TYPE
Liquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
6375.00 GAL
Daily Average
425.00 GAL
HAZARD US P NENTS
%Wt. RS CAS #
100.00 Gasoline No 8006619
o COM 0
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
e
e
F ~;oCKY>.7 #3
f= Inventory Item 0003
= COMMON NAME / CHEMICAL NAME
DIESEL #2
SiteID: 015-021-001533 ì
Facility Unit: Fixed Containers at Site ì
Days On Site
365
Location within this Facility Unit
W SIDE OF STORE, 3RD TANK FROM NORTH
Map:
Grid:
CAS#
68476-34-6
[ ~TA~E I TYPE ----¡: P~ESSURE ~ TEM~ERATURE I
==Llquld ____pure ~rnblent ---1 Arnblent ~
AMOUNTS AT THIS LOCATION
Daily Maximum
4500.00 GAL
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
4500.00 GAL
Daily Average
996.00 GAL
%Wt. RS CAS #
100.00 Diesel Fuel No. 2 No 68476302
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
HAZARD ASSESSMENTS
f= Inventory Item 0004
= COMMON NAME / CHEMICAL NAME
DIESEL #2
Facility Unit: Fixed Containers at Site ì
Days On Site
365
Location within this Facility Unit
W SIDE OF STORE, SOUTHERNMOST TANK
Map:
Grid:
CAS #
68476-34-6
CONTAINER TYPE
UNDER GROUND TANK
[ ~TA~E I TYPE ----¡: P~ESSURE ~ TEM~ERATURE I
==Llquld ___pure ~rnblent ---1 Arnblent ~
AMOUNTS AT THIS LOCATION
Daily Maximum
4500.00 GAL
Largest Container
4500.00 GAL
Daily Average
906.00 GAL
%Wt. RS CAS #
100.00 Diesel Fuel No. 2 No 68476302
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
HAZARD ASSESSMENTS
-4-
10/31/2000
e
e
SiteID: 015-021-001533 ì
Fast Format ì
Overall Site ì
03/05/1997
F :YUCKY ì "7 #3
I
p= Notif./Evacuation/Medical
Agency Notification
9-1-1
324-6551
HAZARDOUS WASTE: 1-800-258-5942
IN CASE OF MONITOR ALARM, NOTIFY SUN VALLEY OIL AT 327-7212. SUN'VALLEY OIL
WILL DETERMINE ALARM STATUS AND CONTACT PROPER AGENCIES.
Employee Notif./Evacuation 04/20/1995
CALL 9-1-1
SHUT OFF EMERGENCY SWITCH LOCATED IN STORE.
LEAVE THROUGH FRONT DOOR TO THE NORTH TO EMPTY PARKING LOT.
Public Notif./Evacuation
Emergency Medical Plan
04/20/1995
KERN MEDICAL CENTER
1830 FLOWER STREET
BAKERSFIELD, CA
(805)326-2667
GOLDEN EMPIRE AMBULANCE
801 18TH STREET
BAKERSFIELD, CA
(805)327-9000 OR (805)325-9011
MEMORIAL HOSPITAL
420 34TH STREET
BAKERSFIELD, CA
(805)327-1792
CALL 9-1-1 FOR THE FIRE DEPARTMENT; ASK FOR AN AMBULANCE SERVCIE FOR OUR
AREA. IF ANYONE WAS HURT. THE AMBULANCE WOULD THEN TAKE HURT PERSON TO
-5-
10/31/2000
e
e
SiteID: 015-021-001533 9
Fast Format 9
Overall Site 9
03/05/1997
F LµCKY? #3
I
f= Mitigation/Prevent/Abatemt
Release Prevention
THE TANKS ARE MEASURED EVERYNIGHT AND ENTERED ON THE INVENTORY RECORD
SHEETS.
TANKS ARE INTERNALLY LINED AND CATHODIC PROTECTION IS PROVIDED. INTERNAL
TANK AND SUMP MONITORY ARE ALSO INSTALLED. MONITOR IS LOCATED BEHIND SALES
COUNTER. CATHODIC MONITOR IS LOCATED IN ROOM BEHIND SALES COUNTER. OVER
FILL FLOATS ARE INSTALLED IN DROP TUBES.
Release Containment
03/05/1997
THE BOOT ON THE HOSE WILL NOT ALLOW GAS TO BE PUMPED UNLESS IT IS INSERTED
PROPERLY. IF THERE IS A SPILL, COVER WITH SAND OR DIRT. IF THERE IS A
DEFECT IN THE HOSE, IMMEDIATELY SHUT OFF HOSE AND PUT OUT OF ORDER, AND CALL
SERVCIEMAN TO COME AND CORRECT THE DEFECT. ALSO HAVE SERVICE MAN TO COME
OUT ONCE A WEEK TO MAINTAIN ALL HOSES AND PUMPS.
TURBINE CONTAINMENT SUMPS WILL CONTAIN ANY PIPING LEAKS AND FLOW TO SUMPS.
LEAK DETECTORS WILL SOUND ALARM IN STORE. OVERSPILL BOXES ARE INSTALLED
AROUND FILL PIPES.
Clean Up
03/05/1997
WE USE LITTER AND PUT IN SMALL CONTAINER IN DUMPSTER.
IF ALARM SOUNDS IN SUMPS, CALL SUN VALLEY OIL COMPANY 805-327-7212, WHO WILL
THEN DETERMINE WHICH QUALIFIED CONTRACTOR WILL REMOVE LIQUID.
Other Resource Activation
03/05/1997
SUN VALLEY OIL WILL CONTACT QUALIFIED CONTRACTOR TO PERFORM ANNUAL
MAINTENANCE CHECKS AND/OR REPAIRS ON MONITORING EQUIPMENT. 805-327-7212.
-6-
10/31/2000
" ~ ;..
e
e
SiteID: 015-021-001533 ì
Fast Format ì
Overall Site ì
I
F LT)CKY ? #3
I
p= Site Emergency Factors
~ Special Hazards
Utility Shut-Offs
04/20/1995
A) GAS/PROPANE - SOUTHS IDE OF STORE OUTSIDE.
B) ELECTRICAL - INSIDE BEHIND SODA FOUNTAIN IN STORE EASTSIDE.
C) WATER - OUTSIDE SOUTHS IDE OF STORE.
D) SPECIAL - GAS PUMPS - INSIDE NORTHWEST SIDE OF STORE.
E) LOCK BOX - NONE
Fire Protec./Avail. Water
04/20/1995
FIRE EXTINGUISHER LOCATED INSIDE FACILITY. FIRE HYDRANT LOCATED NORTHWEST
FROM STATION ON UNION AVENUE ON OPPOSITE SIDE OF STREET. LOCATED IN FRONT
OF SCHOOL SERVICE CENTER DRIVE WAY.
Building Occupancy Level
-7-
10/31/2000
·~ .~ "}
e
.
SiteID: 015-021-001533 ì
Fast Format ì
Overall Site ì
03/05/1997
F LVÇKY",1 #3
I
F Training
Employee Training
SUN VALLEY OIL PROVIDES TRAINING AND COMMUNICATION WITH LOCATION. ALL
EMPLOYEES, MANAGER AND OWNER HAVE BEEN GIVEN THIS PLAN. ANY QUESTIONS, CALL
SUN VALLEY OIL COMPANY AT 805-327-7212.
Page 2
r
I
I
Held for Future Use
Held for Future Use
-8-
10/31/2000
'i'
'..,
e
-e
LUCKY 7 #3
SiteID: 015-021-001533
Manager : MOHAMMED RAFIQ
Location: 726 S UNION AVE
City BAKERSFIELD
CommCode: BAKERSFIELD STATION 06
EPA Numb:
BusPhone:
Map : 124
Grid: 05A
(805) 324-8516
CommHaz : Low
FacUnits: 1 AOV:
SIC Code:5541
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
MOHAMMED RAFIQ / OPERATOR DUKE ESKEW / MARKETING REP.
Business Phone: (805) 324-8516x Business Phone: (805) 327-7212x
24-Hour Phone : (805) 834-9924x 24-Hour Phone : (805) 327-7212x
Pager Phone : ( ) - x Pager Phone : (805) 635-5385x
Hazmat Hazards: Fire ImmHlth DelHlth
Contact : DUKE ESKEW Phone: (805) 327-7212x
MailAddr: 3940 ROSEDALE HWY State: CA
City : BAKERSFIELD Zip : 93308
Owner SUN VALLEY OIL CO Phone: (805) 327-7212x
Address : 3940 ROSEDALE HWY State: CA
City : BAKERSFIELD , Zip : 93308
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
I, fv\D ÀtJ-l?1t1! ~t{(,~Do hereby certify that I have
(Typs or pnnt Mme)
reviewed the attached hazardous materials manage·
ment plan for L ~f7 L. and that it along with
( ams of Busin~
any corrections constitute a complete and correct man-
agement plan for my facility.
¡~
/f ! b_~(J
Date
-1-
11/16/2000
..
e
e
f LUCKY 7 #3
SiteID: 015-021-001533 ì
STORAGE CONTAINER DATA UST FORM A)
Last Action Type:
FACILITY/SITE INFORMATION,
Business Name: LUCKY 7 #3
Cross Street :
Business Type: Org Type:
Total Tanks : IndnRes/Trust: No PA Contact:
PROPERTY OWNER INFORMATION
Name : DUKE ESKEW Phone: (805) 327-7212x
Address:
City : State: Zip:
Type : CORPORATION
TANK OWNER INFORMATION
Name : DUKE ESKEW Phone: (805) 327-7212x
Address:
City : State: Zip:
Type : CORPORATION
BOE UST Fee# : 22-6347450020
Financ'l Resp: STATE FUND
Legal Notif : Tank Owner Mailing Address
Date: Phone: ( ) - x
Name: Ttl:
State UST # : 1998 Upg Cert#:
One Unified List ì
All Materials at Site ì
SpecHaz EPA Hazards DailyMax MCP
F IH DH L 6375.00 GAL Mod
F IH DH L 6375.00 GAL Mod
F DH L 4500.00 GAL Low
F DH L 4500.00 GAL Low
F Hazmat Inventory
f== As Designated Order
Hazmat Common Name...
GASOLINE - REGULAR UNLEADED
GASOLINE - SUPER UNLEADED
DIESEL #2
DIESEL #2
-2-
11/16/2000
"
e
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F LUCKY 7 #3
p= Inventory Item 0001
F= COMMON NAME / CHEMI CAL NAME
GASOLINE - REGULAR UNLEADED
SiteID: 015-021-001533 ì
Facility Unit: Fixed Containers at Site ì
Days On Site
365
Location within this Facility Unit
W SIDE OF STORE, NORTHERNMOST TANK
Map:
Grid:
CAS #
8006-61-9
[ ~TA~E I TYPE ~ P~ESSURE ~ TEM~ERATURE I CONTAINER TYPE
=L1qu1d __pure ~Amb1ent ---1 Amb1ent ~ UNDER GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
10000.00 GAL 6375.00 GAL 1100.00 GAL
HAZARDOUS COMPONENTS
~
CAS#a006619
%Wt. I
100.00 Gasoline .
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
HAZARD ASSESSMENTS
p= Inventory Item 0002
= COMMON NAME / CHEMICAL NAME
GASOLINE - SUPER UNLEADED
Facility Unit: Fixed Containers at Site ì
Days On Site
365
Location within this Facility Unit
W SIDE OF STORE, 2ND FROM N TANK
Map:
Grid:
CAS #
8006-61-9
r ~TA~E
L1qu1d
I TYPE ~ P~ESSURE ~ TEM~ERATURE I
__pure ~mb1ent ---1 Amb1ent ~
AMOUNTS AT THIS LOCATION
Daily Maximum
6375.00 GAL
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
GAL
Daily Average
425.00 GAL
HAZARDOUS COMPONENTS
I~
CAS#a006619
I %Wt. I
100.00 Gasoline
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
HAZARD ASSESSMENTS
-3-
11/16/2000
;,
e
e
0003
CHEMICAL NAME
SiteID: 015-021-001533 ,
Facility Unit: Fixed Containers at Site,
f LUCKY 7 #3
F Inventory Item
= COMMON NAME /
DIESEL #2
Days On Site
365
Location within this Facility Unit
W SIDE OF STORE, 3RD TANK FROM NORTH
Map:
Grid:
CAS #
68476-34-6
STATE - TYPE
Liquid Pure
PRESSURE ---- TEMPERATURE
Ambient Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
4500.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
4500.00 GAL
Daily Average
996.00 GAL
%Wt. RS CAS #
100.00 Diesel Fuel No. 2 No 68476302
HAZARDOUS COMPONENTS
HA ARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
Z
F Inventory Item 0004
= COMMON NAME / CHEMICAL NAME
DIESEL #2
Facility Unit: Fixed Containers at Site ì
Days On Site
365
Location within this Facility Unit
W SIDE OF STORE, SOUTHERNMOST TANK
Map:
Grid:
CAS #
68476-34-6
STATE - TYPE
Liquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
4500.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
4500.00 GAL
Daily Average
906.00 GAL
HAZARD US OMP NEN S
%Wt. RS CAS #
100.00 Diesel Fuel No. 2 No 68476302
o
C
o
T
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
HAZARD ASSESSMENTS
-4-
11/16/2000
"
e
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f LUCKY 7 #3
I
p= Notif./Evacuation/Medical
Agency Notification
SiteID: 015-021-001533 ì
Fast Format ì
Overall Site ì
03/05/1997
9-1-i
324-6551
HAZARDOUS WASTE: 1-800-258-5942
IN CASE OF MONITOR ALARM, NOTIFY SUN VALLEY OIL AT 327-7212. SUN VALLEY OIL
WILL DETERMINE ALARM STATUS AND CONTACT PROPER AGENCIES.
Employee Notif./Evacuation 04/20/1995
CALL 9-1-1
SHUT OFF EMERGENCY SWITCH LOCATED IN STORE.
LEAVE THROUGH FRONT DOOR TO THE NORTH TO EMPTY PARKING LOT.
Public Notif./Evacuation
Emergency Medical Plan
04/20/1995
KERN MEDICAL CENTER
1830 FLOWER STREET
BAKERSFIELD, CA
(805)326-2667
GOLDEN EMPIRE AMBULANCE
801 18TH STREET
BAKERSFIELD, CA
(805)327-9000 OR (805)325-9011
MEMORIAL HOSPITAL
420 34TH STREET
BAKERSFIELD, CA
(805)327-1792
CALL 9-1-1 FOR THE FIRE DEPARTMENT; ASK FOR AN AMBULANCE SERVCIE FOR OUR
AREA. IF ANYONE WAS HURT. THE AMBULANCE WOULD THEN TAKE HURT PERSON TO
-5-
11/16/2000
.,
e
e
SiteID: 015-021-001533 ì
Fast Format ì
Overall Site ì
03/05/1997
f LUCKY 7 #3
I
f= Mitigation/Prevent/Abatemt
Release Prevention
THE TANKS ARE MEASURED EVERYNIGHT AND ENTERED ON THE INVENTORY RECORD
SHEETS.
TANKS ARE INTERNALLY LINED AND CATHODIC PROTECTION IS PROVIDED. INTERNAL
TANK AND SUMP MONITORY ARE ALSO INSTALLED. MONITOR IS LOCATED BEHIND SALES
COUNTER. CATHODIC MONITOR IS LOCATED IN ROOM BEHIND SALES COUNTER. OVER
FILL FLOATS ARE INSTALLED IN DROP TUBES.
Release Containment
03/05/1997
THE BOOT ON THE HOSE WILL NOT ALLOW GAS TO BE PUMPED UNLESS IT IS INSERTED
PROPERLY. IF THERE IS A SPILL, COVER WITH SAND OR DIRT. IF THERE IS A
DEFECT IN THE HOSE, IMMEDIATELY SHUT OFF HOSE AND PUT OUT OF ORDER, AND CALL
SERVCIEMAN TO COME AND CORRECT THE DEFECT. ALSO HAVE SERVICE MAN TO COME
OUT ONCE A WEEK TO MAINTAIN ALL HOSES AND PUMPS.
TURBINE CONTAINMENT SUMPS WILL CONTAIN ANY PIPING LEAKS AND FLOW TO SUMPS.
LEAK DETECTORS WILL SOUND ALARM IN STORE. OVERSPILL BOXES ARE INSTALLED
AROUND FILL PIPES.
Clean Up
03/05/1997
WE USE LITTER AND PUT IN SMALL CONTAINER IN DUMPSTER.
IF ALARM SOUNDS IN SUMPS, CALL SUN VALLEY OIL COMPANY 805-327-7212, WHO WILL
THEN DETERMINE WHICH QUALIFIED CONTRACTOR WILL REMOVE LIQUID.
Other Resource Activation
03/05/1997
SUN VALLEY OIL WILL CONTACT QUALIFIED CONTRACTOR TO PERFORM ANNUAL
MAINTENANCE CHECKS AND/OR REPAIRS ON MONITORING EQUIPMENT. 805-327-7212.
-6-
11/16/2000
,- '..
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F LUCKY 7 #3
I
p= Site Emergency Factors
r== Special Hazards
Utility Shut-Offs
SiteID: 015-021-001533 ì
Fast Format =¡
Overall Site =¡
I
04/20/1995
A) GAS/PROPANE
- SOUTHS IDE OF STORE OUTSIDE.
B) ELECTRICAL - INSIDE BEHIND SODA FOUNTAIN IN STORE EASTSIDE.
C) WATER - OUTSIDE SOUTHS IDE OF STORE.
D) SPECIAL - GAS PUMPS - INSIDE NORTHWEST SIDE OF STORE.
E) LOCK BOX - NONE
Fire Protec./Avail. Water
04/20/1995
FIRE EXTINGUISHER LOCATED INSIDE FACILITY. FIRE HYDRANT LOCATED NORTHWEqT
FROM STATION ON UNION AVENUE ON OPPOSITE SIDE OF STREET. LOCATED IN FRONT
OF SCHOOL SERVICE CENTER DRIVE WAY.
Building Occupancy Level
-7-
11/16/2000
.," :-V--Jr.;
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F LUCKY 7 #3
I
F Training
Employee Training
SiteID: 015-021-001533 ì
Fast Format ì
Overall Site ì
03/05/1997
SUN VALLEY OIL PROVIDES TRAINING AND COMMUNICATION WITH LOCATION. ALL
EMPLOYEES, MANAGER AND OWNER HAVE BEEN GIVEN THIS PLAN. ANY QUESTIONS, CALL
SUN VALLEY OIL COMPANY AT 805-327-7212.
[ Page 2 I
I Held for Future Use ]
I Held for Future Use I
-8-
11/16/2000
I
·8
.
/
~ LUCKY 7~#3 ========================================== SiteID: 215-000-001533 +
¡:'
Manager : MOHAMMED RAFIQ
Location: 726 S UNION AV
City BAKERSFIELD
BusPhone:
Map : 124
Grid: 05A
(805) 324-8516
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 06 SIC Code:5541
EPA Numb: DunnBrad:
+==============================================================================+
+=======================================+======================================+
Emergency Contact / Title Emergency Contact / Title
MOHAMMED RAFIQ / OPERATOR DUKE ESKEW / ~¡11Ae~ /:!po
Business Phone: (805) 324-8516x Business Phone: (805) 327-7212x
24-Hour Phone: (805) 834-9924x 24-Hour Phone: (805) 327-7212x
Pager Phone : ( ) - x Pager Phone : (ßtð) ~ - ..ßgsx
+---------------------------------------+--------------------------------------+
I Hazmat Hazards: Fire ImmHlth DelHlth I
+------------------------------------------------------------------------------+
Agency-Defined Topic Title
!, ~85KBU Do horeby carmy ~ha~ ~ hays
(TY;'D or prlr11 íl2n12)
reviewed 'Uw; ri.nr.whod haZaí"d'Gu.3 materials managso
ment ple.n ~,~r¡~!:.~__and that it along with
(~\,arr;0 of 31'sin'3ss)
anlf OOR'ú'sctions consiiíute a complete and correct man-
200 FEET SOUTH OF THE CORNER OF UNION AND DANIELS
UNION. FUEL PUMPS AND UNDERGROUND S ARE
BUILDING AND UNION AVENUE. ~~
(' ~~
J"~b ~'(J ~
"". .¡.¡ 1.90.> :Jj
'J
MINI MART WITH GAS LOCATED
STREET ON THE EAST SIDE OF
SITUATED BETWEEN THE STORE
~g@rtïriJ®m ~~á1rù fföú' mv facilii
i.f'
fJ~~
f) -L0.tf7
On!0
- ....._~
I..
"~I
+==============================================================================+
-1-
e
-
~ LUCKY 7"#3 ========================================== SiteID: 215-000-001533 +
¡,
+================================================================= Fast Format +
+= Notif./Evacuation/Medica1 ==================================== Overall Site +
+== Agency Notification =========================================== 04/20/1995 +
9-1-1
324-6551
HAZARDOUS WASTE: 1-800-258-5942
,
J:;Y'\ (1~ of /Y10h ,-lor (f-'//t-yrt1, (10.£' Pï S~ Y) vi øJu, Ole
cJ- $ð7- 7dl~, Sun t/Mley (JlL tulU- D~.krmrYJ(. ,4-/IHyY)~
fM,;~ ðof\4.J \)lÓ~~r fJr~~a
+==============================================================================+
+=== Employee Notif./Evacuation =================================== 04/20/1995 +
CALL 9-1-1
SHUT OFF EMERGENCY SWITCH LOCATED IN STORE.
LEAVE THROUGH FRONT DOOR TO THE NORTH TO EMPTY PARKING LOT.
+==============================================================================+
-15-
......
e
e
~ LUCKY T *3 ========================================== SiteID: 215-000-001533 +
+===£============================================================= Fast Format +
+= Notif./Evacuation/Medical ==================================== Overall Site +
+==== Public Notif./Evacuation ================================================+
+==============================================================================+
+===== Emergency Medical Plan ===================================== 04/20/1995 +
KERN MEDICAL CENTER
1830 FLOWER STREET
BAKERSFIELD, CA
(805)326-2667
GOLDEN EMPIRE AMBULANCE
801 18TH STREET
BAKERSFIELD, CA
(805)327-9000 OR (805)325-9011
MEMORIAL HOSPITAL
420 34TH STREET
BAKERSFIELD, CA
(805)327-1792
CALL 9-1-1 FOR THE FIRE DEPARTMENT; ASK FOR AN AMBULANCE SERVCIE FOR OUR
AREA. IF ANYONE WAS HURT. THE AMBULANCE WOULD THEN TAKE HURT PERSON TO
KMC.
+==============================================================================+
-16-
e
e
I ~LUCKY 7" #3 ========================================== SiteID: 215-000-001533 +
+===~============================================================= Fast Format +
+= Mitigation/Prevent/Abatemt =================================== Overall Site +
+== Release Prevent10n ============================================ 04/20/1995 +
THE TANKS ARE MEASURED EVERYNIGHT AND ENTERED ON THE INVENTORY RECORD
SHEETS. .
/ Î t:\'I\ \L 50 {tiZG :ç,(\, .\e {(\&d~ lA.n. Ed A V\-d ~ )'I4:røih/!...
Pro~..ho(\ \-~ ~raU\dBD( ~(\lleX~ ~lL-- 1 'Swnvp yÝUJrvv~f\"1
All.- f¥ l~õ ~<3> ~~\gÍ) , ynOn \, 40 ¿ L <.:> /0 c A-' ~D
S¡o/\t/~ (!o<A/fV~e-. CA-~dA-e., r'Y\OY\\ \.or \. S 1 Oc:.. A-~
ß~j,\,,(v a "Z>)\' ~'€--') (!øu Y'\ ~? - <?Jue ( R Ll Flo,q- k ~ r;;-
'-V' ÓR>'() \CAßë"5 (
~~~t1
J n eoo"'V\
( IlS ~lg:í)
+==============================================================================+
+=== Release Containment ========================================== 04/20/1995 +
THE BOOT ON THE HOSE WILL NOT ALLOW GAS TO BE PUMPED UNLESS IT IS INSERTED
PROPERLY. IF THERE IS A SPILL, COVER WITH SAND OR DIRT. IF THERE IS A
DEFECT IN THE HOSE, IMMEDIATELY SHUT OFF HOSE AND PUT OUT OF ORDER, AND CALL
SERVCIEMAN TO COME AND CORRECT THE DEFECT. ALSO HAVE SERVICE MAN TO COME
OUT ONCE A WEEK TO MAINTAIN ALL HOSES AND PUMPS.
~ ttb/J1e.., Con !1hn ~ "_L)~ n 11 L l )
J . ~ ..~'" ~ vv ~Oh-f'A\ vt ~ ~/(Hf '1
Lt A-It~ A-f\-cl, Flo 1AJ..to $" W\ rt < . ,_.~ ,:I,.A I '- I
.... 'II ( .J ~ R-t"K,- (!.,lC7t'<:. C:'" ô~ W I ~'-
'Sourvd...- f} I At'l rn I ('\ 'S.J.o e~. OU5fl-$pt t( i50't B) µe;- JJn7:J~liJD
Pro<A,~ H-L-l P'Pes.
+==============================================================================+
-17-
e
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~ LUÇKY 7' #3 ========================================== SiteID: 215-000-001533 +
+================================================================= Fast Format +
+= Mitigation/Prevent/Abatemt =================================== Overall Site +
+==== Clean Up ==================================================== 04/20/1995 +
WE USE LITTER AND PUT IN SMALL CONTAINER IN DUMPSTER.
'JI:: ~ tÄ I ~, 'YY' ~vt vx:1~ i Y' 'S (..t h'\.f> S. r J'1.- l ( .. A4 ~ . J SeA Y1 (/ ¡q I It 1
ðt L· CO, <60.) '?d7-7d 13 - u..J'Vu:> wtll --h.t~ de.te~),."e..- w~t(.h
&Lt~ÇLe;Ù ~~~ -b f?eYY10Uç 0L&WO,
+==============================================================================+
+===== Other Resource Activation ==============================================+
I '$4,,,\ VII-II-e1 OIL Wli-L (1on~1- 62u.>4ll ned earr-1ylUf1oæ..
-Jo Pér fÍJít'r\ ,q Y) J1.u,~L yYlt¿Mv~ nu;; (3/u.v¡¿$ Me[ /0 ~ M 191/253
Of) rnon,Jc;(t~ 2Q~· ?/J~ ?:J7-7ifl)..
+==============================================================================+
-18-
e
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+'LUÇKY 7" #3 ========================================== SiteID: 215-000-001533 +
+================================================================= Fast Format +
+= Site Emergency Factors ======================================= Overall Site +
+== Special Hazards ===========================================================+
+==============================================================================+
+=== Utility Shut-Offs ============================================ 04/20/1995 +
A) GAS/PROPANE - SOUTHS IDE OF STORE OUTSIDE.
B) ELECTRICAL - INSIDE BEHIND SODA FOUNTAIN IN STORE EASTSIDE.
C) WATER - OUTSIDE SOUTHSIDE OF STORE.
D) SPECIAL - GAS PUMPS - INSIDE NORTHWEST SIDE OF STORE.
E) LOCK BOX - NONE
+==============================================================================+
-19-
e
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+i LUCKY'?' #3 ========================================== SiteID: 215-000-001533 +
+================================================================= Fast Format +
+= Site Emergency Factors ======================================= Overall Site +
+==== Fire Protec./Avail. Water =================================== 04/20/1995 +
FIRE EXTINGUISHER LOCATED INSIDE FACILITY. FIRE HYDRANT LOCATED NORTHWEST
FROM STATION ON UNION AVENUE ON OPPOSITE SIDE OF STREET. LOCATED IN FRONT
OF SCHOOL SERVICE CENTER DRIVE WAY.
+==============================================================================+
+===== Building Occupancy Level ===============================================+
+==============================================================================+
-20-
..
e
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~ LUCKY'? #3 ========================================== SiteID: 215-000-001533 +
+================================================================= Fast Format +
+= Training ===================================================== Overall Site +
+== Employee Training =========================================================+
/
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fJrtJu\' dB S -tr-A-I \'ì ~1 ftY\.d ~XÑntl
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+==============================================================================+
+=== Page 2 ===================================================================+
ð/ G
+==============================================================================+
-21-
~
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.~ 'I'" ¡ ;:~~~.~~r<~i:: ~~,O~;"3 r7 -':Z".t-'
~ ,- rf1
I=============================~~~~:::=~~:~:::~:~~=====~~~=~=~~:¿~=ql==!
I 1----------------------------------------------------------------------------1 I
II' , 7')(.;: ("' llN'!' "N A\· IVI 'I ') I 1/ ().... 'I I·
l...oc;<;\'tl0n: .-:.~) ..:> ...U ! ap: -:.4 t",;<;\2: Iype: I
II .., ¡"AI'!",¡" ·..1.."1·'..' I.. .. 'd O¡;;:A 1 'nv () 0 I·
I Cl1::y : j '\..:: "':~:)"'.. :::.._,) C3rl. : ,,) : A... : , I
I 1------------------------------------------------------------------------...---j !
11·_........ Con1::ac1:: Name ..·,·-·......·..,........1";1::1e ··..·-........·..·..··11··....-.... Con1::ac't Name ..··......·,....·-·-....f;1::1e ·--··..·............11
I i ,J I::: Aì\ F ..1....1.. r::: (;Oì\IZ' . 1 F ~:' / OI.I~J F f' I I ,j ¡::: . N ¡::: ..'·..'1.. ¡::: CON' I [::~:' / OWN ¡::: ~ I ¡
I I ... 1._ 1.......... A ... ... .> .. VV I. ...., . .... A.... .-.... I A........> .. .. ... I . I
II Ous;ness Phone: (80S) :324....í:ì516x II Ousiness Phone: (f:305) ::324·-8516x II
I I 24-Hour Phone: (805) 366-5117x I I 24-Hour Phone: (805) 366-5117x I j
"1" I"h () liP' P'h () ·111
I I Pager ,'one : X ager ,one x'
I I ............ .... .... ,- .... .... .... .... .... .,.. .... .-,.. .... .... .... .... .,.. .... .... .... .... .- .... .... .-... .... .... .... ... ... .... ....... ! ! -. .... .... ... .... .... ,... .... .... .... ,... ....... ....... .... .... .... '" .... .... .... .- .... .... .... .... .... .... .... .... ......, .... .... .-.... I I ¡
11--------------------------- Admin;s1::ra1::ive Da1::a ----------------------------1 I
'I lv, "1 Add ~, ,,: 9~J. ('] r'o<:;¡::: ''')A' ¡::: n&·::< ~'J br-o. ' I I I
1 I a 1 . .. r..., ..J.... . , .. '.. .... ,.. ..,... .. L hI... m ,... r , I .
II ",' ,.. ¡ 1'1"'1"""'''')'1'''11'' ," "'A Z·, 9')'30H II
I C.l'ty: dA'\:'\,.)..·..::._..J ,;>1::a1::e: C ..lp:,:: :..... I
I I Comm Code: 015-906 COUNTY/OFO-STA 6 RESPONSE SIC Code: 5541 I!
1 I ------------------------------------------------------------------------ ! I
! I Owner': ,.JEANET·"j'·E GONZA.I...[~:> Phone: (nOS) :366....0:3:32 II I
I! Address: 3940 I~O~3FDAL.E ~:>ta'te: GA II
I i C i t y: F¡ A:~ E ¡:~S I::: J F L. U 7'j p: 9 J :J 0 8 .,. ! i
I 1----------------------------------------------------------------------------1 I I
i I Summary -------------------------...-----...-----------------------·..-----------I!
II ! I
,. 11\" ·1' ;" ·1' I"IA 1:->"\" .) ·r ..,"'\..1 ,,':,' ,\ ,,:' I C")c"~A"¡" .::: ,") ,. () () ',::: c: I::: ..I" ,<:' C",' ,c:: "1"\·.1 ,0::: ,...':·'N :',' c") I::: l ,i NT ".)." . N ,,'" ... A~j .., I::: .\ ,':' c,·" I
I 'I ... "I.. ' , VI...., .. ,.., ..> ........' . 1..... ¿ . !....... ..>.. , . I.... '.. ,I ... ...... .. 1'1 A..J U P.l.........> '..> I
'I I ON '1'\')'1::: I::: ~:' ·1' ¡') I::: n I::: lJ ~I .,. ON I::: li I::: I P· lJ 'vi p~:' ANI") J t '\.. I..·,.. I.... l N I.. ·f·' ¡ 'C' I' ,... ., ·1'" ·1' \"'1" I I
.. I 1... _. ..)..,..... . ." ...., . ....... . I . ..) .. l. '" J :: ~G ·~U.J J . AI'" ,..) A·~ ::: s....\ U A' . ::: .)
! I DET\A;EFN THE ~3'ro¡:~¡::: [<LOG AND UNION AV, Ii
\ I II
II I!
! 1----------------------------------------------------------------------------j I
1===========================================================~=====~============!
...
f if'
rJfL
-
Ó
7---
\
'\ 1 /,1 5/94
~
L.~o(Y 'l IvlINI IVIAr~'T:if3 015···,01(.00593
.):'>. ..,. F"¡xød Containers at ~_e
Page
2
Hazmat Inventory Detail in Reference Number Order
...__._.___..._...___..____...._.._...._._..___ø_....___....._.......___...__.__·.·._·ø·.····____·_··__···__....__................___......._......,............................-.-.--....--...-.-..--.
L.iquid
6:)75 IVloderate
GAl.,
0~)...·001 GASOL.INE
> Fire, Oeïay 1..1j·th
~~\
(),\.:<J
~
_.,_._..._..._.............__._._.____.......___._·.·ø.__...._....__.__._._......._..__.........____.......___._.__.___.__.._......_.___._...._........._._..
CM> .j:j::
Trad.? ~:>ecret: No
o 0 0 6 6 'I 9
Form: L.iquid
Days: 365 Use: FUEL.
'lype: Pure
---- Daily Max GAL.
6 , :)7 5
., ,
I
Daily Average GAL
425,00
....... I
,
I
Annua h,
Amount GAL.
50,000.00
------ Storage -------1 Press I Temp -1----------- Location
'JNI")l::¡') .> "'nLJ hi I) ..1"Ahl\<· IA b' tlA" t'IW <:"I'nl::: nl:~ ~_:')..I..(.·)I::.I:.:.:.
,. ..I..' (,.>",.. I~.. I~' m,len. mblen.., ...)..1..1.....
........-..."......... ...........
.... Conc
'IOO,()%
.... , .... ......_ ._..m.... ._..._....
I
¡Gasoline
Components
-!- MCP --Guide
'Ivl d r- I ?"f'
I o. e. ate ...
.......-..........
................-.........
... .... .... .... .... .... .... .... .... .... .... .... . .
...........-..........".".-...----.........-.......--.---..--........------..-....-......-........................-.........................................................-...--........-.................---..---.........-....
L.iquid
6::-)'75 !vloderate
GM,
02·...002 GASOLINE
> Fire, Del¿¡y !-j1th
y':Y--
(If
........w___.__............__._...._.........__.·..._··......·_______··.._.............______.........................."................._.__.--."...---....---.--...........---.
CM> U:
Trade Secret: No
00066 '19
Form: L.iquid
Days: ::-)65 Use: FUEL
Type: Pure
---- Daily Max GAL ----1-- Daily Average GAL.
6,375 I 425,00
·.......1··
I
Amount GAL. ........
50,000.00
Annual
------ Storage -------1 Press I Temp -1...----------- Loc¿¡tion
UND:::j~ GI~OUND 'TANIo( IAmbientlAmbientW SIDE UF ~)'TOI:~¡:::
...............-................
- Conc -1----------...
100,()% IGasoline
.... .....-..... ......... .. ,. .... C om po n en t s .... ......- .............. ....... ... ... -.. I.... !v, C P ..-.- 1 G u ide
! IV!oderate! 27
_._._....................,............_...._.............._..._.....................__..M.M._................__..M.·'·.R.··_·.·.··_····_··_···_·_·········_··_·.,.···.~..............-...-...........-........-.......-..-.....-.........--........
L.iquid
6:n 5 IVloderate
GAl..
02...·()0:) GA~:>OL.JNE
> Fire, Oe'jay I·nth
'--
\./§11.
( ",t.
()
....-...-------....---.....-.-..---.--.-..-....---.-.--.--...--.............--.----.--.-.--...............-
.... .... .... .... .... .... n.. _.......
........................................
CM:> .j:j::
'frade ~:>e(;ret: No
00066" 9
Form: Liquid
Days: 365 Use: FUEL
'fype: Pure
....... I)a i 1 y IVi¿¡ x UA L.
6, :)'( 5
-I'" Daily Average GAL --!-- Annual Amount GAL -...
425.00 50,000,00
.... ............ .... .... ~:>torage .......... .... -.. .... ,-.! Press I "iemp .... I ........... -.. .... .... .... ,... .... ." Loeat ion
UNDlR GROUND TANK iAmbientlAmbientlW SIDE OF STORE
...................". ...............
Cone -1-----------...---------- Components
100.0% I Gasol ine
"--1- MCP --¡Guide
! IVloderate I 27
...................... ..............
' '1/'15/94
I... UC:~Y 'I !viI i\J I iVlA.I·rf 1;;) 0'15···0'1 ~ 0059:)
_2 ¡:::ixed Containers at ~..e
Page
:)
Hazmat Inventory Detail in Reference Number Order
~ .... .~).; ':::. .~; .~).; ...~;¡ ..:;: ~.; ;~:.... .... ..,. ~ ..··..D (Eš £~= ... .... ..., .... .,.. .... .... .... .... ... .... ....,. ..,. ... .... ';::.'~ ;; ~',~'~ d .... ........ ........ .... .... .... .~ '::;,~'~ .... ····I~i~;d ~'¡~ ~';' ~._.
Fire, Delay Hlth GAL
1
d~
G
._..mM..........___..............._....______......__....................._.__._._......._.__.................__......__........................._____......_..N.....______.··__······...-....----.-....
C M> ~~:
8006619
'frade ~:>ecret: No
Form: Liquid
Type: Pu r.'-'"
Days: :)65 Use: FUEL
---- Daily Max GAL
6, ::.) '7 5
.......,..., ·...1······..
I
Daily Average GAL --1-- Annual Amount GAL --
425.00 I 50,000,00
------ Storage -------1 Press I Temp -1------------ location
UNDER GROUND TANK IAmbientlAmbientlW SIDE OF STORE
........................................
- Cone -1---------------------- Components
'100,0% I~
De~~
-------------1- MCP --I Guide
Ilvlodeï'ate I 2'1
'11/15/94
LUCKY 7 MINI MART #3
e 00 .... Overall
o ' 5.. 0 1 0·..· 0 0 0 5 9 :)
c,·'... A
..:>1"e ..
p-
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4
<0> Notif./Evacuat1on/Medical
..___..__.............___..........__........_......__.._...·..·_·............·....·............··..·..··_......_·...·.___.._ø____.___..___....._.........._...._........__.
"..- .... .... .... .... .... P.....· .... ............ ... .... .... ........ ,.,.._
<1> Agency Notification
.-.-..--......................-............-..-...................-_........
9'11
:) ? 4. .... 6 :5 5 "
HAZARDOUS WASTE - 1-800-258-5942
<2> Employee Notif./Evacuation
.--.........-.............----.-.-.............--........--....-.....---....-
'I, CALL 9'11
2, SHUT OFF EMERGENCY SWITCH LOCATED IN STORE.
:), LFA\lf: T'H~OUGH FI:{ONT OOO¡:{T'O Tl!E N TO flv!PfV PM{KING LOT',
<:» Public Notif,/Evacuation
----.....................--..-.---............--..-........--.-.-......-
<4> Emergency Medical Plan
-........--......--.............................".-,.--.---...--.-.---
KERN MEDICAL CENTER
1 fnO FLOWF¡:{ ~) T
o A I'\T I~ ~:) FIE L D, C A
GOLDEN EMPIRE AMOULANCE
80 '\ '\ 8fH ~:)'r
UA!~EI~~:)FIELD, CA
(g05):;¡26..<>.667
(80:5)327-9000 OR (805)325-9011
!VIEIVIOI{ I AL HO~:;P I 'TAL
420 34TH ST
UAi~[i~~:)fIELD, CA
( 805 ) ::J 2 '7 u. ' '19 ;:>
CALL 91' FOR THE FIRE DEPT; ASK FOR AN AMBULANCE SERVICE FOR OUR AREA, IF
ANYONE WAS HURT, THE AMOULANCE WOULS THEN TAKE HURT PERSON TO KMC,
'\ '1/'\ 5/94
UW·'I<.:Y 7 !\lIINT 1\lIART tt.::¡ 015....010.. )()059:J
.. .... ì" ('\'
00 ,... Uvero:, I ,:>1 te
Page
1:;'
,j
<D> Not1f./Evacuat1on/Medical
._._._....__.__..__.___._._M......._._._.____·..·.·___·..__.__....__._....._..__............_...........__....----..-.-..--....-.--.......-.-........--......-.....--.-..........-.........--..........--.---.-
<4> Emergency Medical Plan (Continued)
--............-.-.--..-......-.-.-.---.-.---..---.-.---.....-.--.......-..---.......---.--..
(ìOLUE:N EI\I!PJI:~E HM.) UEEN N(YTJFJED. IF ¡::U¡::(THE¡:~ MEDICAL. M.)~:)I~YTANCE WM.) NEi::DED,
THEY WOUL.D TRANSPORT TO KMC,
,¡ 'I /'j 5/94
L~Y'" IvlINI IvIAr~'T 43 01S····01(a0059:)
~ 00 - Overall Site ~
Page
6
<E> Prev./Minimization/Cleanup
_..__.__.M.__._..___............_.____.___...__.__......____......._._..........._...._._____..__......_.__......___._.....M..__...._..~__··......_....__·__··_··_·_·__·
....................... .-.........
<1> Release Prevention
.-............--......--.....-..--.....------........
THE TANKS ARE MEASURED EVERYNIGHT AND ENTER ON THE INVENTORY RECORD SHEETS.
<2> Release Containment
...........-.--......--.--.....---.........----.........
THE 800T ON THE HOSE WILL NOT ALLOW GAS TO BE PUMPED UNLESS IT IS INSERTED
PROPERLY. IF THERE IS A SPILL, COVER WITH SAND OR DIRT. IF THERE IS A
DEFEGT IN THE HOSE, IMMEDIATELY SHUT OFF HOSE AND PUT OUT OF ORDER, AND
CALL SERVICEMAN TO COME AND CORRECT THE DEFECT, ALSO HAVE SERVICE MAN TO
COME OUT ONCE A WEEK TO MAINTAIN ALL HOSES AND PUMPS.
<3> C"lean Up
........................".....
WE USE CAT LITTER AND PUT IN SMALL CONTAINER IN DUMPSTER,
<4> Other Resource Activation
........-..--..----.........---.........".-....--........--.....................
'\1/'\5/94
LleJCI~Y 'l IVIINI IvIA¡:~'r :j:I::) 015...010.... )0059:)
..... ... <:..'.....
0(, ,.,. Uveral I ".)'1 '.e
Page
'l 1
<F> Site Emergency Factors
.... .... .... .... .... .... "." .... .... .... .... .... .... .... .... .... ... .... .... .... .... u.. .... n.. .... ... .... r_O .... .... .... _.. .... .... om .... .... .... .... u.. .... .... .... .... .... .... .... _0' .... .... .... .... .... .... .... .... .... ... .., .... .... ~.. .... .... ... .... .... .... .n .... ...
....................................
<1> Special Hazards
....-..........-.......................-........--......-.-
<2> Utility Shut-Offs
........................--......-.....--......................-......-
A) GAS/PROPANE - S SIDE OF STORE OUTSIDE
8) ELECTRICAL - INSIDE BEHIND SODA FOUNTAIN IN STORE E SIDE
C) WATI::r~
- OUTSIDE S SIDE OF STORE
D) SPECIAL
- GAS PUMPS - INSIDE NW SIDE OF STORE
E) I,..OC!~ HO)(
... NON E
<3> Fire Protec,jAvail, Water
...._w..__....·__··.....··_...··__··..·...·...······__····_·..._...·...··...........
FIRE EXTINGUISHER LOCATED INSIDE FACILITY. FIRE HYDRANT LOCATED NW FROM
STATION ON UNION AV ON OPPOSI1E SIDE OF ST, LOCATED IN FRONT OF SCHOOL
SERVICE CNTR DRIVE WAY,
<4> Earthquake Vulnerability
_._.._..__._._.__._.._.__.._._.._._._...__..__..__._._'__"M'
1'1/15/94
L.UC!'(Y'"1 ivlINI IVIArrT ::::) 015··,·0·10~0059:J
_ 00 ,... Overaïï ~:)ite .
<(;> 'Training
Page
n I
.-..--.--..----.-..---.-.-...........-......----..---...--..--.........--...--....---..---.--............---. ..-.......--....--..............-..-.........-......--......-.....-----...--.-....,.. I
<1> Training Record location
.-.-.-.--.....---..-.-..---......-.-.....-.-....--------.-.-....-
IF THERE IS AN EMERGENCY, USE FIRE EXTINGUISHER AND CALL 911, THERE IS ONLY
ONE PERSON AT A TIME WORKING EACH SHIFT. ONLY THREE EMPLOYEES (ALL.
QUAL.IFIED FOR EMERGENCIES,
<2> Describe Training Program
....---.--.-.........--.-.--.-..---.--.--.-....------
<3> Emer. Agency Coordination
-----.-.-..-...-.--.--.--.-.---...--.-....-.---...-
<4> Emer. Response Equipment
------.......--..--..-----.-.----....-..-.......--.--
'11/1~i/94
LUCKY 7 MINI MART #3
e 00 .... Overall
.
015....010..·,00059:)
~:;ite e
Page
9
<H> SCHOOLS WITHIN 1/2 MILE
_.............__.___.._..__.__________.'...M.·M. ,....___................._....._.__......___._._.__.........._.._...._____................._...._...__...._........__..................--..-..-....--.....--
<1> High Schools
...............................................................
<2> Jr. High Schools
--....-.......----.-.....--........-................
<3> Elementary Schools
............----..................-.....--......----.--.-
BLAIR ELEMENTARY
900 BELL TERRACE WAY
(305··· :;! 9 7 ..,. '"I :3 9 'l
<4> Private & Pre Schools
...._._.~R_._..__...._.__.·_·_·_··_.__...··...·__·__·_·
e e
CITY of BAKERSFIELD
"WE CARE"
FIRE DEPARTMENT
M. R. KELLY
FIRE CHIEF
January 11, 1995
1715 CHESTER AVENUE
BAKERSFIELD. 93301
326-3911
Lucky 7 Mini Mart #3
726 South Union Avenue
Bakersfield, CA 93307
Dear Business Owner:
Because of the annexation of the location of your business on November 10, 1994, the Hazardous
Materials Business Plan and Inventory reporting requirements of both Federal and State "Community
Right to Know" regulations, as well as the underground storage tank regulations, will now be
administered by the Bakersfield Fire Department Hazardous Materials Division. We have made
arrangements to transfer the plans that you have previously filed with Kern County, to our office.
Therefore, we will not need a new business plan and inventory from you at this time.
California law does require all inventories to be updated annually and your business plans to be
amended within 30 days of anyone of the following events.
1) A 100% or more increase in the quantity of a previously disclosed hazardous material
subject to the inventory requirements.
,
2) Any handling of a previously undisclosed hazardous material subject to the inventory
requirements.
3) Change of business address.
4) Change of business ownership.
5) Change of business name.
You should also report any significant changes to your business plan such as contact information,
telephone numbers etc., as well as your annual tank maintenance and monitoring reports to this office.
We will be issuing you a new Underground Storage Tank Operating Permit as soon as we verify fees
and compliance with existing regulations.
For any of these changes or any questions regarding the handling or storage of hazardous materials
on your site please contact us at 1715 Chester Ave., Bakersfield, CA 93301, or call 326-3979.
Sincerely y,ours,
~~
Hazardous Materials Coordinator
\:2/1 2/9 1
TEXtIJ LUCKY 7 MINI MART 015-0~-000593 D
Overall Site with 1 ... Jj k L-.
~ Genera 1 I nformat i on f
1==============================================================================1
I I-----~---------------------------------------------------------------------- I
II Location: 726 S UNION AV Map: 124 Hazard: Unrated I
I I Community: "BFD" RESPONSE AREA" Grid: 05A 1 AOV: 0.0 I
1 1---------------------------------------------------------------------------- I
11--- Contact Name ---1------ Title ------1-- Business Phone --I 24-Hour Phone I
I IJEANETTE GONZALES ¡OWNER 1(805) 324-8516 x 1(805) 366-5117 I
I IDIANE LEACH ¡MANAGER 1(805) 324-8516 x 1(805) 327-7212 I
I 1--------------------1-------------------1--------------------1-------------- I
11--------------------------- Administrative Data ---------------------------- I
I Mail Addrs: 726 S UNION D&B Number: I
I City: BAKERSFIELD State: CA Zip: 93307- I
I Comm Code: 015-901 "BFD" RESPONSE AREA" SIC Code: 5989 I
I -------------------------------------------------------------------------- I
I Owner: JEANETTE GONZALES Phone: (805) 366-5117 I
I Address: 1022 VINEYARD RD State: CA I
I City: BAKERSFIELD Zip: 93309- I I
1 ----------------------------------------------------------------------------1 I
I Summary -------------------------------------------------------------------1 I
I II
1 MINI MART WITH GAS LOCATED 200 FEET S OF THE CRNR OF UNION AND DANIELS ST I I
I ON THE E SIDE OF UNION. FUEL PUMPS AND UNDERGROUND TANKS ARE SITUATED I I
I BETWEEN THE STORE BLDG AND UNION AV. I I
I II
I II
I ----------------------------------------------------------------------------1 I
1==============================================================================\
Page
1,2/12/91
TEX. LUCKY 7 MINI MART 015-0~-000593
Hazmat . entory List in Reference ~ber Order
Page
2
~
02 - Fixed Containers at Site
Pln-Ref Name/Hazards
Form
Quantity
MCP
--------------------------------------------------------------------------------
02-001
GASOLINE
> Fire, Delay Hlth
Liquid
25,500
GAL
Moderate
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
\2/12/91
Page
3
TEX~ LUCKY 7 MINI MART 015-0~-000593
~2 - Fixed Containers at S~
; ~ Hazmat Inventory Detail in Reference Number Order
---------- ---------------------------------------------------------------------
02-001 ASOLINE Liquid 25500 Moderate
> Fire, Delay Hlth GAL
-----------------------------------------------------------------------
CAS ~:
8006619
Trade Secret: No
Form: Liquid
Type: Pure
Days: 365 Use: FUEL
---- Daily Max GAL ----1-- Daily Average GAL --1-- Annual Amount GAL --
25,500 I 13,000.00 1 200,000.00
------ Storage -------1 Press 1 Temp -1------------ Location ----------
UNDER GROUND TANK IAmbientlAmbientl3 UNDERGROUND TANK W LOT
- Cone -1---------------------- Components --------------1- MCP --I List
100.0% IGasoline IModeratel
12/12/91
,
TE~O LUCKY 7 MINI MART 015-.~D-000593
., 00 - Overall Site
Page
4
<D> Notif./Evacuation/Medical
--------------------------------------------------------------------------------
<1> Agency Notification
-----------------------
911
HAZARDOUS WASTE - 1-800-258-5942
324-6551
<2> Employee Notif./Evacuation
------------------------------
1. CALL 911
2. SHUT OFF EMERGENCY SWITCH LOCATED IN STORE.
3. LEAVE THROUGH FRONT DOOR TO THE N TO EMPTY PARKING LOT.
<3> Public Notif./Evacuation
----------------------------
<4> Emergecny Medical Plan
--------------------------
KERN MEDICAL CENTER
1830 FLOWER ST
BAKERSFIELD, CA
(805) 326-2667
GOLDEN EMPIRE AMBULANCE
801 18TH S T
BAKERSFIELD, CA
(805) 327-9000 OFFICE - (805) 325-9011
MEMORIAL HOSPITAL
420 34TH ST
BAKERSFIELD, CA
(805) 327-1792
CALL 911 FOR FIRE DEPT; ASK FOR AN AMBULANCE SERVICE FOR OUR AREA, IF
ANYONE WAS HURT. THE AMUBULANCE WOULD THEN TAKE HURT PERSON TO KMC.
12/12/91
TEX~ LUCKY 7 MINI MART 015-0~-000593
., 00 - Overall Site ..,
<D> Notif./Evacuation/Medical
Page
5
------------------------------~---------------------------------------~---------
<4> Emergecny Medical Plan (Continued)
-------------------------------------~
GOLDEN EMPIRE HAS BEEN NOTIFIED. IF FURTHER MEDICAL ASSISTANCE WAS
NEEDED, THEY WOULD TRANSPORT TO KMC.
12/12/91
TE~ LUCKY 7 MINI MART 015-.0-000593
., 00 - Overall Site
Page
6
<E> Prev./Minimization/Cleanup
--------------------------------------------------------------------------------
<1> Release Prevention
----------------------
THE TANKS ARE MEASURED EVERYNIGHT AND ENTER ON THE INVENTORY RECORD SHEETS.
<2> Release Containment
-----------------------
THE BOOT ON THE HOSE WILL NOT ALLOW GAS TO BE PUMPED UNLESS IT IS INSERTED
PROPERLY. IF THERE IS A SPILL, COVER WITH SAND OR DIRT. IF THERE IS A
DEFECT IN THE HOSE, IMMEDIATELY SHUT OFF HOSE AND PUT OUT OF ORDER, AND
CALL SERVICEMAN TO COME AND CORRECT THE DEFECT. ALSO HAVE SERVICE MAN TO
COME OUT ONCE A WEEK TO MAINTAIN ALL HOSES AND PUMPS.
<3> Clean Up
------------
WE USE CAT LITTER AND PUT IN SMALL CONTAINER IN DUMPSTER.
<4> Other Resource Activation
-----------------------------
J2/12/91
TEX~) LUCKY 7 MINI MART 015-0.- -000593
~ 00 - Overall Site
Page
7
<F> Site Emergency Factors
--------------------------------------------------------------------------------
<1> Special Hazards
-------------------
<2> Utility Shut-Offs
---------------------
A) GAS/PROPANE - S SIDE OF STORE OUTSIDE
B) ELECTRléAL - INSIDE BEHIND SODA FOUNTAIN IN STORE E SIDE
C) WATER - OUTSIDE S SIDE OF STORE
D) SPECIAL - GAS PUMPS - INSIDE NW SIDE OF STORE
E) LOCK BOX - NONE
<3> Fire Protec./Avail. Water
-----------------------------
FIRE EXTINGUISHER LOCATED INSIDE FACILITY. FIRE HYDRANT LOCATED NW FROM
STATION ON UNION AV ON OPPOSITE SIDE OF ST. LOCATED IN FRONT OF SCHOOL
SERVICE CNTR DRIVE WAY.
<4> Held for Future use
-----------------------
)2/12/91
TEX~. LUCKY 7 MINI MART 015-0.· -000593
,., 00 - Overall Site
Page
8
<G> Training
--------------------------------------------------------------------------------
<1> Page 1
----------
IF THERE IS AN EMERGENCY, USE FIRE EXTINGUISHER AND CALL 911. THERE IS ONLY
ONE PERSON AT A TIME WORKING EACH SHIFT. ONLY THREE EMPLOYEES (ALL
QUALIFIED FOR EMERGENCIES).
<2> Page 2 as needed
--------------------
<3> Held for Future Use
-----------------------
<4> Held for Future Use
-----------------------
)2/12/91
TEX~. LUCKY 7 MINI MART 015-0.-000593
,., 00 - Overall Site
Page
9
<M> Events Ledger "M"
-------------------------------------------------------------------------------~
--------------------------------------------------------------------------------
03/21/89 RE-INSPECTION/OK
--------------------------------------------------------------------------------
01/17/89 ANNUAL/VIOLATION
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
~2/12/91
- TEX~ LUCKY 7 MINI MART 015-~-000593
~. 00 - Overall Site ..,
Page 10
<M> Inspections List
--------------------------------------------------------------------------------
-------------------------------------------------------------------------------.-
03/21/89 RE-INSPECTION/OK
--------------------------------------------------------------------------------
01/17/89 ANNUAL/VIOLATION
G2,H2,J2,02)
PLEASE LOCATE OR OTHERWISE OBTAIN "MATERIAL SAFETY DATA SHEETS" FOR ALL
GRADES OF GASOLINE. THESE MAY BE REQUESTED THROUGH THE FUEL SUPPLIER.
ALSO:
PLEASE LOCATE AND DISPLAY THE ENVIRONMENTAL HEALTH DEPARTMENTS UNDERGROUND
STORAGE TANK PERMIT. THIS MAY BE REQUESTED BY PHONE AT 861-3636. ALSO:
PLEASE RECHARGE AND RE-TAG THE FIRE EXTINGUISHER VIOLATIONS:
UFC 80.103H - NO MSDS AVAILABLE
UFC 25.111 - FIRE EXTINGUISHER OUT OF ORDER
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------