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Home My WebLink AboutBUSINESS PLAN 9/27/2004 (2) ..~ C:" JOHNNYS FOOD MART SiteID: 015-021-000308 Manager Location: 2612 BUCK OWENS BLVD City BAKERSFIELD BusPhone: Map : 102 Grid: 23D (661) 326-1309 CommHaz : Low FacUnits: 1 AOV: CommCode: COUNTY STATION 66 EPA Numb: SIC Code:5541 DunnBrad: Emergency Contact / Title Emergency Contact / Title HAING YAM / OWNER / Business Phone: (661) 326-1309x Business Phone: ( ) - x 24-Hour Phone : (661) 663-8988x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Owner Address : City HAING YAM 1505 MC PHERSON LN : BAKERSFIELD Phone: (661) 326-1309x State: CA Zip : 93308 Phone: (661) 663 -8988x State: CA Zip : 9331193308 Contact : MailAddr: 2612 BUCK OWENS BLVD City : BAKERSFIELD Period : Preparer: Certif'd: ParcelNo: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: I, .¡þçl-hev R'P\!V1.l'Ilrl'\' Do hereby certify that I have rrype m print nåme) reviewed the attached hazardous materials manage-- ment plan for-ß~Cb and that it along with (NaITlw of Hu¡;ìr:nss) any corrections constitute a complete and correct man- agement plan for my facility. ~\'1\~~~~~ Signature C¡~2 7~~ D(I.~" -1- 09/27/2004 " F JOHNNYS FOOD MART SiteID: 015-021-000308 ì STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: JOHNNYS FOOD MART Cross Street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : Phone: ( ) - x Address: City : State: Zip: Type : TANK OWNER INFORMATION Name : Phone: ( ) - x Address: City : State: Zip: Type : BOE UST Fee# : 036116 Financ'l Resp: STATE FUND Legal Notif : Tank Owner Mailing Address Date:12/27/2001 Phone: (661) 326-1309x Name:HAING YAM Ttl:OWNER State UST # : 1998 Upg Cert#: 00721 -2- 09/27/2004 ~ SiteID: 015-021-000308 ì By Facility Unit ì Fixed Containers on Site ì specHazEPA Hazards Frm I DailyMax IUnitlMCP F IH DH L 10000.00 GAL Mod F IH DH L 10000.00 GAL Mod F IH DH L 10000.00 GAL Mod F JOHNNYS FOOD MART f= Hazmat Inventory f== MCP+DailyMax Order Hazmat Common Name... PREMIUM UNLEADED UNLEADED PLUS GASOLINE UNLEADED GASOLINE -3- 09/27/2004 " to- F JOHNNYS FOOD MART f= Inventory Item 0001 === COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED SiteID: 015-021-000308 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit NE CORNER UNDERGOUND 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 5000.00 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 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.Defined8: Ag.Defined9: Ag.Definel0: - Ag.Define11 -4- 09/27/2004 " F JOHNNYS FOOD MART SiteID: 015-021-000308 ì f= Inventory Item 0001 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: NE CORNER UNDERGOUND TANK DESCRIPTION Tank ID#: 1 Mfr: OWENS CORNING Installed: 08/1989 Capacity: 12000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL Matl Name:PREMIUM UNLEADED TANK CONTENTS Petrol Type: PREMIUM UNLEADED Cas #: 8006-61-9 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): FIBERGLASS Material(s): FIBERGLASS Lining : GLASS LINING Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1999 Drop Tube : 1999 Striker Plate: 1999 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 1999 TANK LEAK DETECTION Dbl Wall: INTERSTITIAL MONITORING Installed: Installed: Exempt: No Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -5- 09/27/2004 F JOHNNYS FOOD MART SiteID: 015-021-000308 ì f= Inventory Item 0001 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 DOUBLE WALL TOTAL CONATINMENT "FLEX" AboveGround Piping "FLEX" PIPING LEAK DETECTION UnderGround Piping AboveGround Piping INTERSTITIAL MONITORING Installed: 12/02/1999 Date: 04/13/2000 Name:MAKEHESH PATEL Prmt Number: 0308 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR w/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Ttl:OWNER Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST : CP CERT. : MANWAY INSP. :07/01/1999 UST MONIT. CERT:10/23/2003 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: 04/13/2000 Name:MAKEHESH PATEL Ttl:OWNER -6- 09/27/2004 .,.. SiteID: 015-021-000308 9 Facility Unit: Fixed Containers on Site 9 F JOHNNYS FOOD MART f= Inventory Item 0002 = COMMON NAME / CHEMI CAL NAME UNLEADED PLUS GASOLINE Days On Site 365 Location within this Facility Unit NE CORNER UNDERGROUND 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 10000.00 GAL Daily Average 5000.00 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 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.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -7- 09/27/2004 'õ. F JOHNNYS FOOD MART SiteID: 015-021-000308 ì f= Inventory Item 0002 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: NE CORNER UNDERGROUND TANK DESCRIPTION Tank ID#: 2 Mfr: OWENS CORNING Installed: 08/1989 Capacity: 12000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL Matl Name:UNLEADED PLUS GASOLINE TANK CONSTRUCTION TANK CONTENTS Petrol Type: UNLEADED PLUS/MIDGRADE Cas #: 8006-61-9 Type : DOUBLE WALL Material(p): FIBERGLASS Material(s): FIBERGLASS Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1999 Drop Tube : 1999 Striker Plate: 1999 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 1999 TANK LEAK DETECTION Dbl Wall: INTERSTITIAL MONITORING Installed: Installed: Exempt: No Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -8- 09/27/2004 F JOHNNYS FOOD MART SiteID: 015-021-000308 9 f= Inventory Item 0002 Facility Unit: Fixed Containers on Site 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION Piping Type: Const: Mfgr : Mtl : & : Corr : Prot : UnderGround PRESSURE DOUBLE WALL TOTAL CONTAINMENT "FLEX" AboveGround Piping "FLEX" PIPING LEAK DETECTION UnderGround Piping AboveGround Piping INTERSTITIAL MONITORING Installed: 12/03/1999 Date: 04/13/2000 Name:MAKESH PATEL Prmt Number: 0308 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Ttl:OWNER Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST : CP CERT. : MANWAY INSP. :07/01/1999 UST MONIT. CERT:10/23/2003 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: 04/13/2000 Name:MAKESH PATEL Ttl:OWNER -9- 09/27/2004 F JOHNNYS FOOD MART p= Inventory Item 0003 F== COMMON NAME / CHEMI CAL NAME UNLEADED GASOLINE SiteID: 015-021-000308 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit NE CORNER UNDERGROUND 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 5000.00 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 F IH DH / / / Mod HAZARD ASSESSMENTS Ag.Defined1: Ag.DefinedS: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Definel0: - Ag.Define11 -10- 09/27/2004 F JOHNNYS FOOD MART SiteID: 015-021-000308 ì f= Inventory Item 0003 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: NE CORNER UNDERGROUND TANK DESCRIPTION Tank ID#: 3 Mfr: OWENS CORNING Installed: 08/1989 Capacity: 12000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL MatI Name:UNLEADED GASOLINE TANK CONTENTS Petrol Type: REGULAR UNLEADED Cas #: 8006-61-9 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): FIBERGLASS Material(s): FIBERGLASS Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1999 Drop Tube : 1999 Striker Plate: 1999 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 1999 TANK LEAK DETECTION Dbl Wall: INTERSTITIAL MONITORING Installed: Installed: Exempt: No Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -11- 09/27/2004 .' .. .t F JOHNNYS FOOD MART SiteID: 015-021-000308 9 f= Inventory Item 0003 Facility Unit: Fixed Containers on Site 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION Piping Type : Const: Mfgr : Mtl : & : Corr : Prot : UnderGround PRESSURE DOUBLE WALL TOTAL CONAINMENT "FLEX" AboveGround Piping "FLEX" PIPING LEAK DETECTION UnderGround Piping AboveGround Piping INTERSTITIAL MONITORING Installed: 12/03/1999 Date: 04/13/2000 Name:MAKEHESH PATEL Prmt Number: 0308 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Ttl:OWNER Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST : CP CERT. : MANWAY INSP. : 07/01/1999 UST MONIT. CERT:10/23/2003 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: 04/13/2000 Name:MAKEHESH PATEL Ttl:OWNER -12- 09/27/2004