HomeMy WebLinkAboutUST (2)
"
ÊZ STOP MOBILE
SiteID: 015-021-001856
Manager BOliN CHI LY
Location: 101 19TH ST
City BAKERSFIELD
BusPhone:
Map : 103
Grid: 30B
(661) 631-1049
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 01
EPA Numb:
SIC Code:5541
DunnBrad:
Emergency Contact
BOliN CHI LY
Business Phone:
24-Hour Phone
Pager Phone
/ Title
/ OWNER
(661) 631-1049x
() x
() x
Emergency Contact
VANGYAMM
Business Phone:
24-Hour Phone
Pager Phone
/ Title
/ MGR
(661) 631-1049x
() x
() x
Hazmat Hazards:
Contact : BOliN CHI LY Phone: (661) 631-1049x
MailAddr: 101 19TH ST State: CA
City BAKERSFIELD Zip 93301
Owner BOliN CHI LY Phone: (661) 631-1049x
Address 101 19TH ST State: CA
City BAKERSFIELD Zip 93301
Period to TotalASTs: = Gal
Preparer: TotalUSTs: Gal
Certif'd: RSs: No
parcelNo:
Emergency Directives:
I,
Do hereby certify that i have
reviewed the a ched hazardous materials manage-
ment plan for E 2 <:;J miand that it ~ong with
(Name Df~SS)
any corrections constitute a compls¡e and rorroot man-
agement plan 10r my iaciHty.
1-!-g() /i/,//
I 0s1JJ / /
-1-
09/28/2004
"i'
F EZ STOP MOBILE
SiteID: 015-021-001856 9
STORAGE CONTAINER DATA (UST FORM A)
Last Action Type:
FACILITY/SITE INFORMATION
Business Name: EZ STOP MOBILE
Cross Street :
Business Type: Org Type:
Total Tanks : 3 IndnRes/Trust: No PA Contact:
PROPERTY OWNER INFORMATION
Name : VANG YAMM Phone: (661) 631-1049x
Address:
City : State: Zip:
Type :
TANK OWNER INFORMATION
Name : VANGYAMM Phone: (661) 631-1049x
Address:
City : State: Zip:
Type :
BOE UST Fee# :
Financ'l Resp: SELF INSURED
Legal Notif :
Date:02/12/2002 Phone: (661) 631-1049x
Name:BOUN CHI LY Ttl:OWNER
State UST # : 1998 Upg Cert#: 00869
-2-
09/28/2004
'v
F ~Z STOP MOBILE
p= Hazmat Inventory
p== MCP+DailyMax Order
SiteID: 015-021-001856
By Facility Unit
Fixed Containers at Site
Hazmat Common Name...
\ SpecHazI EPA Hazards I Frm I
L
L
L
GASOLINE
GASOLINE
GASOLINE
9
9
9
DailyMax unitlMCP
6000.00 GAL Mod
6000.00 GAL Mod
4000.00 GAL Mod
-3-
09/28/2004
"
F EZ STOP MOBILE
f= Inventory Item 0001
F= COMMON NAME / CHEMI CAL NAME
GASOLINE
SiteID: 015-021-001856 9
Facility Unit: Fixed Containers at Site 9
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS#
8006619
STATE - TYPE
Liquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
6000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
6000.00 GAL
Daily Average
6000.00 GAL
%Wt. I
100.00 Gasoline
HAZARDOUS COMPONENTS
~
CAS # I
8006619
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Mod
HAZARD ASSESSMENTS
Ag.Defined1:
MISC. LOCAL AGENCY DATA
Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined5:
Ag.Defined6: Ag.Defined7:
Ag.Defined8:
Ag.Defined9: Ag.Define10:
- Ag.Define11
-4 -
09/28/2004
i'
F EZ STOP MOBILE SiteID: 015-021-001856 9
f= 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:
TANK DESCRIPTION
Tank ID#: 1 Mfr: Unknown
Installed: 10/1965 Capacity: 6000 Gals
Additional Info:
Compart Tank: N
No. Of Comparts:
Tank Use: MOTOR VEHICLE FUEL
MatI Name:GASOLINE
TANK CONTENTS
Petrol Type: REGULAR UNLEADED
Cas #:
8006619
TANK CONSTRUCTION
Type : SINGLE WALL W/INT LINER & C.'P.
Material(p): BARE STEEL
Material(s): BARE STEEL
Lining : EPOXY LINING
Corr Prot: CATHODIC PROTECTION
Spill Cnt : 1994
Drop Tube : 1998
Striker Plate: 1994
TANK
Sgl Wall: AUTOMATIC TANK GAUGING
Alarm :
Ball Float :
Fi11 Tube S/O:
LEAK DE'rECTION
Dbl Wall:
Installed:
Installed:
Exempt: No
1998
Last Used:
TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Qty Remaining: Was Filled: No
-5-
09/28/2004
F EZ STOP MOBILE SiteID: 015-021-001856 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 :
"FLEX"
PIPING LEAK DETECTION
UnderGround Piping AboveGround Piping
AUTOMATIC LEAK DETECTORS
Installed: 11/23/1997
Date: 04/20/2000
Name:STUARTS PETROLEUM
Prmt Number: 1856
DISPENSER CONTAINMENT
Type: DISP. PAN SENSOR w/ POS. SHUTOFF
OWNER/OPERATOR SIGNATURE
Ttl:PRES.
Approved: Yes Expiration Date: 06/30/2006
AGENCY DEFINED
TANK/LINE TEST :08/08/2003
CP CERT. :08/21/2002
MANWAY INSP. :
UST MONIT. CERT:12/29/2003
-6-
09/28/2004
SiteID: 015-021-001856 ì
Facility Unit: Fixed Containers at Site ì
F EZ STOP MOBILE
p= Inventory Item 0002
== COMMON NAME / CHEMICAL NAME
GASOLINE
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS#
8006619
STATE - TYPE
Liquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
6000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
6000.00 GAL
Daily Average
6000.00 GAL
%wt. I
100.00 Gasoline
HAZARDOUS COMPONENTS
~
CAS # I
8006619
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Mod
HAZARD ASSESSMENTS
Ag.Defined1:
MISC. LOCAL AGENCY DATA
Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined5:
Ag.Defined8:
Ag.Defined6: Ag.Defined7:
Ag.Defined9: Ag.Define10:
.- Ag.Define11
-7-
09/28/2004
F ~Z STOP MOBILE SiteID: 015-021-001856 9
f= Inventory Item 0002 Facility Unit: Fixed Containers at Site 9
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page lof 2
Last Action Type:
Location In Site:
TANK DESCRIPTION
Tank ID#: 2 Mfr: Unknown
Installed: 10/1965 Capacity: 6000 Gals
Additional Info:
Compart Tank: N
No. Of Comparts:
Tank Use: MOTOR VEHICLE FUEL
Matl Name:GASOLINE
TANK CONTENTS
Petrol Type: PREMIUM UNLEADED
Cas #:
8006619
TANK CONSTRUCTION
Type : SINGLE WALL W/INT LINER & C.P.
Material(p): FIBERGLASS
Material(s): FIBERGLASS
Lining : EPOXY LINING
Corr Prot: CATHODIC PROTECTION
Spill Cnt : 1994
Drop Tube : 1998
Striker Plate: 1994
TANK
Sgl Wall: AUTOMATIC TANK GAUGING
Alarm :
Ball Float :
Fill Tube S/O:
LEAK DETECTION
Dbl Wall:
Installed:
Installed:
Exempt: No
1998
Last Used:
TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Qty Remaining: Was Filled: No
-8-
09/28/2004
F EZ STOP MOBILE SiteIÐ: 015-021-001856 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 :
"FLEX"
PIPING LEAK DETECTION
UnderGround Piping AboveGround Piping
AUTOMATIC LEAK DETECTORS
Installed: 11/23/1997
Date: 04/20/2000
Name:STUARTS PETROLEUM
Prmt Number: 1856
DISPENSER CONTAINMENT
Type: DISP. PAN SENSOR W/ POS. SHUTOFF
OWNER/OPERATOR SIGNATURE
Ttl:PRES.
Approved: Yes Expiration Date: 06/30/2006
AGENCY DEFINED
TANK/LINE TEST :08/08/2003
CP CERT. :08/21/2002
MANWAY INSP. :
UST MONIT. CERT:12/29/2003
-9-
09/28/2004
SiteID: 015-021-001856 ì
Facility Unit: Fixed Containers at Site ì
F EZ STOP MOBILE
f= Inventory Item 0003
= COMMON NAME / CHEMI CAL NAME
GASOLINE
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS#
8006619
STATE - TYPE
Liquid Pure
PRESSURE ---- TEMPERATURE
Ambient Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
4000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
4000.00 GAL
Daily Average
4000.00 GAL
%wt. I
100.00 Gasollne
HAZARDOUS COMPONENTS
~
CAS # I
8006619
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Mod
HAZARD ASSESSMENTS
Ag.Defined1:
MISC. LOCAL AGENCY DATA
Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined5:
Ag.Defined8:
Ag.Defined6: Ag.Defined7:
Ag.Defined9: Ag.Define10:
- Ag .Define11
-10-
09/28/2004
F £Z STOP MOBILE SiteID: 015-021-001856 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:
TANK DESCRIPTION
Tank ID#: 3 Mfr: Unknown
Installed: 10/1965 Capacity: 4000 Gals
Additional Info:
Compart Tank: N
No. Of Comparts:
Tank Use: MOTOR VEHICLE FUEL
Matl Name:GASOLINE
TANK CONTENTS
Petrol Type:
Cas #:
8006619
TANK CONSTRUCTION
Type : SINGLE WALL W/INT LINER & C.P.
Material(p): BARE STEEL
Material(s): BARE STEEL
Lining : EPOXY LINING
Corr Prot: CATHODIC PROTECTION
Spill Cnt : 1994
Drop Tube : 1998
Striker Plate: 1994
TANK LEAK
Sgl Wall: AUTOMATIC TANK GAUGING
Alarm :
Ball Float :
Fill Tube S/O:
DETECTION
Dbl Wall:
Installed:
Installed:
Exempt: No
1998
Last Used:
TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Qty Remaining: Was Filled: No
-11-
09/28/2004
..
F EZ STOP MOBILE SiteID: 015-021-001856 9
f= 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: 11/23/1997
Date: 04/20/2000
Name:STUARTS PETROLEUM
Prmt Number: 1856
DISPENSER CONTAINMENT
Type: DISP. PAN SENSOR w/ POS. SHUTOFF
OWNER/OPERATOR SIGNATURE
Ttl:PRES.
Approved: Yes Expiration Date: 06/30/2006
AGENCY DEFINED
TANK/LINE TEST :08/08/2003
CP CERT. :08/21/2002
MANWAY INSP. :
UST MONIT. CERT:12/29/2003
-12-
09/28/2004