HomeMy WebLinkAboutBUSINESS PLAN
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·BROTHERS MINI MART
SiteID: 015-021-002468
Manager : RAWEL SINGH
Location: 801 E CALIFORNIA AVE
City BAKERSFIELD
BusPhone:
Map :
Grid:
(661) 861-1614
CommHa z :
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 02
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact
RAWEL SINGH
Business Phone:
24-Hour Phone :
Pager Phone :
/ Title
/ OWNER
(661) 861-1614x
(661) €J1 ô2~5x
(/,{, I ) ~3Ç - f(.f6l?x
Emergency Contact / Title
/
Business Phone: ( ) - x
24-Hour Phone : ( ) - x
Pager Phone : ( ) - x
Fire ImmHlth DelHlth
Hazmat Hazards:
Contact : RAWEL SINGH
MailAddr: 212 C <X3WELL ST %<ì50S- l-lMA S1-,
City : 'Bi\.KER~;H;¡"IEL& J3~.kdS I:::' t2L j)
Owner RAWEL SINGH
Address :-212 ß ubWELL b~
City :-BA~RSFIELB
Phone: (661) c·631 02 B5x
State: CA
Zip :·9~"H17 <;''33\3
Phone: (661) ·631 0285;<:
State: CA
Zip : 93307
Period :
Preparer:
Certif'd:
ParcelNo:
to
TotalASTs: =
TotalUSTs: =
RSs: No
Gal
Gal
Emergency Directives:
-d? Do hereby certify that \ have
, k'~IA¡2 k'uLV'/d-=--
, (rype or print name) t . \s manage-
. d the attached hazardous ma ena
rev!ewe I1M~..+-'
-¡e MiAJi and that it along wIth
ment p\an forBR~;f.t:¡'~ßUSineS&)
any corrections constitute a complete and correct man-
agement plan 10r my taci\\ty. _. ^ ..
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SignatUre
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10/01/2004
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F'BROTHERS MINI MART SiteID: 015-021-002468 ì
STORAGE CONTAINER DATA (UST FORM A)
Last Action Type:
FACILITY/SITE INFORMATION
Business Name: BROTHERS MINI MART
Cross Street :
Business Type: GAS STATION Org Type: INDIVIDUAL
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# :
Financ'l Resp: SELF INSURED
Legal Notif : Property Owner Mailing Address
Date:03/03/2003 Phone: (661) 631-0285x
Name:RAWEL SINGH Ttl:OWNER
State UST # : 2468 1998 Upg Cert#:
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10/01/2004
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F 'BROTHERS MINI MART
f= Hazmat Inventory
f== MCP+DailyMax Order
SiteID: 015-021-002468 ì
By Facility Unit ì
Fixed Containers at Site ì
specHaz EPA Hazards Frm DailyMax Unit MCP
F IH DH L 12000.00 Mod
F IH DH L 12000.00 Mod
F IH DH L 12000.00 Mod
Hazmat Common Name...
UNLEADED GASOLINE
PREMIUM UNLEADED
PLUS UNLEADED GASOLINE
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10/01/2004
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SiteID: 015-021-002468 9
Facility Unit: Fixed Containers at Site 9
F 'BROTHERS MINI MART
f= Inventory Item 0001
= COMMON NAME / CHEMICAL NAME
UNLEADED GASOLINE
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS#
8006-61-9
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
12000.00
AMOUNTS AT THIS LOCATION
Daily Maximum
12000.00
Daily Average
12000.00
%Wt. I
100.00 Gasoline
HAZARDOUS COMPONENTS
CAS# I
8006619
~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
HAZARD ASSESSMENTS
Ag.Defined1:
MISC. LOCAL AGENCY DATA
Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined5:
Ag.Defined6: Ag.Defined?:
Ag.Defined8:
Ag.Defined9: Ag.Define10:
- Ag.Define11
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10/01/2004
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F'BROTHERS MINI MART SiteID: 015-021-002468 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:
TANK DESCRIPTION
Tank ID#: 1 Mfr: JOOR
Installed: 12/1988 Capacity: 12000 Gals
Additional Info:
Compart Tank: N
No. Of Comparts: 1
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): BARE STEEL
Material(s): STEEL CLAD W/FIBERGLASS R. P.
Lining : UNLINED
Corr Prot: FIBERGLASS REINFORCED
Spill Cnt : 1988
Drop Tube : 1988
Striker Plate: 1988
Sgl Wall:
PLASTIC
Alarm :
Ball Float : 1988
Fill Tube S/O:
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
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10/01/2004
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F BROTHERS MINI MART SiteID: 015-021-002468 9
f= Inventory Item 0001 Facility Unit: Fixed Containers at 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
SINGLE WALL
UNKNOWN
FIBERGLASS
FIBERGLASS
AboveGround Piping
PIPING LEAK DETECTION
UnderGround Piping AboveGround Piping
AUTOMATIC LEAK DETECTORS
Installed: 01/30/2004
Date: 03/03/2003
Name:RAWEL SINGH
Prmt Number: 2468
TANK/LINE TEST :
CP CERT. :
MANWAY INSP. :
UST MONIT. CERT:01/30/2004
DISPENSER CONTAINMENT
Type: FLOAT MECH. SHUTS OFF SHEAR VAL.
OWNER/OPERATOR SIGNATURE
Ttl:OWNER
Approved: Yes Expiration Date: 06/30/2006
AGENCY DEFINED
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10/01/2004
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SiteID: 015-021-002468 ì
Facility Unit: Fixed Containers at Site ì
F BROTHERS MINI MART
f= Inventory Item 0002
== COMMON NAME / CHEMICAL NAME
PREMIUM UNLEADED
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS#
8006-61-9
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
12000.00
AMOUNTS AT THIS LOCATION
Daily Maximum
12000.00
Daily Average
12000.00
%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.Defined9: Ag.Define10:
Ag.Defined8:
- Ag .Define11
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10/01/2004
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F'BROTHERS MINI MART SiteID: 015-021-002468 9
f= Inventory Item 0002 Facility Unit: Fixed Containers at Site 1
STORAGE CONTAINER DATA (UST FORM Band AGENCY-DEFINED) Page 1 of 2
Last Action Type:
Location In Site:
TANK DESCRIPTION
Tank ID#: 2 Mfr: JOOR
Installed: 12/1988 Capacity: 12000 Gals
Additional Info:
Compart Tank: N
No. Of Comparts: 1
Tank Use: MOTOR VEHICLE FUEL
MatI Name:PREMIUM UNLEADED
TANK CONTENTS
Petrol Type: PREMIUM UNLEADED
Cas #: 8006-61-9
TANK CONSTRUCTION
. Type : DOUBLE WALL
Material(p): BARE STEEL
Material(s): STEEL CLAD W/FIBERGLASS R. P.
Lining : UNLINED Installed:
Corr Prot: FIBERGLASS REINFORCED PLASTIC Installed:
Spill Cnt : 1988 Alarm: 1988 Exempt: No
Drop Tube : 1988 Ball Float : 1988
Striker Plate: 1988 Fill Tube S/O:
TANK LEAK DETECTION
Sgl Wall: Dbl Wall: INTERSTITIAL MONITORING
Last Used:
TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Qty Remaining: Was Filled: No
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FoBROTHERS MINI MART SiteID: 015-021-002468 9
f= Inventory Item 0002 Facility Unit: Fixed Containers at 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
SINGLE WALL
UNKNOWN
FIBERGLASS
AboveGround Piping
FIBERGLASS
PIPING LEAK DETECTION
UnderGround Piping AboveGround Piping
AUTOMATIC LEAK DETECTORS
Installed: 01/30/2004
Date: 03/03/2003
Name:RAWEL SINGH
Prmt Number: 2468
DISPENSER CONTAINMENT
Type: FLOAT MECH. SHUTS OFF SHEAR VAL.
OWNER/OPERATOR SIGNATURE
Ttl:OWENER
Approved: Yes Expiration Date: 06/30/2006
AGENCY DEFINED
TANK/LINE TEST :
CP CERT. :
MANWAY INSP. :
UST MONIT. CERT:01/30/2004
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10/01/2004
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SiteID: 015-021-002468 ì
Facility Unit: Fixed Containers a~ Site ì
F BROTHERS MINI MART
f= Inventory Item 0003
F== COMMON NAME / CHEMICAL NAME
PLUS UNLEADED GASOLINE
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS#
8006-61-9
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
12000.00
AMOUNTS AT THIS LOCATION
Daily Maximum
12000.00
Daily Average
12000.00
%wt.
I Gasoline
HAZARDOUS COMPONENTS
~
CAS # I
8006619
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
HAZARD ASSESSMENTS
Ag.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
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10/01/2004
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F BROTHERS MINI MART SiteID: 015-021-002468 9
f= Inventory Item 0003 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#: 3 Mfr: JOOR
Installed: 12/1988 Capacity: 12000 Gals
Additional Info:
Compart Tank: N
No. Of Comparts: 1
Tank Use: MOTOR VEHICLE FUEL
MatI Name:PLUS UNLEADED GASOLINE
TANK CONSTRUCTION
TANK CONTENTS
Petrol Type: UNLEADED PLUS/MIDGRADE
Cas #: 8006-61-9
Type : DOUBLE WALL
Material(p): BARE STEEL
Material{s): STEEL CLAD W/FIBERGLASS R. P.
Lining : UNLINED Installed:
Corr Prot: FIBERGLASS REINFORCED PLASTIC Installed:
Spill Cnt : 1988 Alarm: 1988 Exempt: No
Drop Tube : 1988 Ball Float : 1988
Striker Plate: 1988 Fill Tube S/O:
TANK LEAK DETECTION
Sgl Wall: Dbl Wall: INTERSTITIAL MONITORING
Last Used:
TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Qty Remaining: Was Filled: No
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10/01/2004
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F ~ROTHERS MINI MART SiteID: 015-021-002468 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
Piping
Type :
Const:
Mfgr :
Mtl :
& :
Corr :
Prot :
UnderGround
PRESSURE
SINGLE WALL
UNKNOWN
FIBERGLASS
AboveGround Piping
FIBERGLASS
PIPING LEAK DETECTION
UnderGround Piping AboveGround Piping
AUTOMATIC LEAK DETECTORS
Installed: 01/30/2004
Date: 03/03/2003
Name:RAWEL SINGH
Prmt Number: 2468
DISPENSER CONTAINMENT
Type: FLOAT MECH. SHUTS OFF SHEAR VAL.
OWNER/OPERATOR SIGNATURE
Ttl:OWNER
Approved: Yes Expiration Date: 06/30/2006
AGENCY DEFINED
TANK/LINE TEST :
CP CERT. :
MANWAY INSP. :
UST MONIT. CERT:01/30/2004
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10/01/2004