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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