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HomeMy WebLinkAboutBUSINESS PLAN (4) " ( LUCKY 7 FOOD STORE Manager : Location: 2601 S CHESTER AVE City : BAKERSFIELD BusPhone: Map : 124 Grid: 07C SiteID: 015-021-000611 1\ (661) 836-1794 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 05 EPA Numb: ~ SIC Code:5541 DunnBrad:77-019-0797 c1 Emergency Contact IJ SALEH ALNAJAR II' Business Phone: 24-Hour Phone : Pager Phone : / Title / OWNER (661) 836-1794x (661) 836-8678x ( ) - x Emergency Contact NAZEM ALNAJAR Business Phone: 24-Hour Phone : Pager Phone : / Title / MANAGER (661) 836-1794x (661) 836-8678x ( ) - x Owner \ Address I City SALEH ALNAJAR : 2601 S CHESTER AVE : BAKERSFIELD . Fire ImmHlth DelHlth Phone: (661) 836-1794x State: CA I Zip : 93304 J Phone: (661) 836-8678x State: CA I Zip : 93304 I TotalASTs: = Gal TotalUSTs: Gal i = RSs: No \ Hazmat Hazards: Contact : MailAddr: 2601 S CHESTER AVE City : BAKERSFIELD Period : Preparer: Certif'd: ParcelNo: to Emergency Directives: I; 5..dJ t H Â þl1 J A to hereby certify that I have (Type or print name) reviewed the attached hazardous materials manage- ment plan forJ, '. V ì '9 and that it along with (Name offf'usineSS) any corrections constitute a complete and correct man- agement þlan for my facility. g ¿.~vv q / ¿{IOt-j -1- 09/27/2004 't;~ SiteID: 015-021-000611 By Facility Unit Fixed Containers on Site F bUCKY 7 FOOD STORE f= Hazmat Inventory p== MCP+DailyMax Order UNLEADED PLUS PREMIUM UNLEADED REGULAR UNLEADED F F F DH IH DH IH DH L L L 9 9 9 DailyMax unitlMCP 10000.00 GAL Mod 10000.00 GAL Mod 6000.00 GAL Mod Hazmat Common Name... I SpecHaz EPA Hazards I Frm I -2- 09/27/2004 F tUCKY 7 FOOD STORE f= Inventory Item 0002 == COMMON NAME / CHEMICAL NAME UNLEADED PLUS SiteID: 015-021-000611 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UST 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 10000.00 GAL Daily Average 8000.00 GAL· %Wt. ¡GaSOline HAZARDOUS COMPONENTS ~ No CAS # I 8006619 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F 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 -3- 09/27/2004 F LUCKY 7 FOOD STORE SiteID: 015-021'-000611 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: UST TANK Tank ID#: 2 Installed: 0/ Additional Info: TANK DESCRIPTION Mf r: UNKNOWN Capacity: 10000 Gals PRIOR TO 1983 Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL MatI Name:UNLEADED PLUS TANK CONTENTS Petrol Type: UNLEADED PLUS/MIDGRADE Cas #: 8006-61-9 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 : 1997 Drop Tube : 1997 Striker Plate: 1997 TANK LEAK Sgl Wall: AUTOMATIC TANK GAUGING Alarm : Ball Float : Fill Tube S/O: DETECTION Dbl Wall: Installed: Installed: Exempt: No 1997 Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -4- 09/27/2004 F ßUCKY 7 FOOD STORE SiteID: 015-021-000611 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 UnderGround Piping PRESSURE DOUBLE WALL AboveGround Piping Type : Const: Mfgr : Mtl : & : Corr : Prot : II FLEX II PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 05/07/1997 Date: 04/20/2000 Name:GARY CHAPMAN Prmt Number: 0611 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR w/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE TANK/LINE TEST :11/14/1996 CP CERT. :09/03/2003 MANWAY INSP. : 12/22/1998 UST MONIT. CERT:10/21/1999 Ttl:GASOLINE SUPPLIER Approved: Yes Expiration Date: 06/30/2003 AGENCY DEFINED PASS -5- 09/27/2004 SiteID: 015-021-000611 ~ Facility Unit: Fixed Containers on Site 9 F LUCKY 7 FOOD STORE f= Inventory Item 0003 === COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED Days On Site 365 Location within this Facility Unit UST 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 10000.00 GAL Daily Average 8000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # I 8006619 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined8: r-- Ag .Definel1 -6- 09/27/2004 F LUCKY 7 FOOD STORE SiteID: 015-021-000611 9 f= Inventory Item 0003 Facility Unit: Fixed Containers on Site 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: UST TANK Tank Use: MOTOR VEHICLE FUEL MatI Name:PREMIUM UNLEADED TANK DESCRIPTION Mfr: UNKNOWN o Capacity: 10000 Gals TANK LINED IN 1997 TANK CONTENTS Petrol Type: Compart Tank: N No. Of Comparts: Tank ID#: 3 Installed: 0/ Additional Info: PREMIUM UNLEADED Cas #: 8006-61-9 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 : 1997 Drop Tube : 1997 Striker Plate: 1997 TANK LEAK Sgl Wall: AUTOMATIC TANK GAUGING Alarm : Ball Float : Fill Tube S/O: DETECTION Dbl Wall: Installed: Installed: Exempt: No 1997 Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -7- 09/27/2004 F LUCKY 7 FOOD STORE SiteID: 015-021-000611 9 p= 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 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: 05/06/1997 Date: 04/26/2000 Name:GARY CHAPMAN Prmt Number: 0611 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE TANK/LINE TEST :11/14/1996 CP CERT. :09/03/2003 MANWAY INSP. : 12/22/1998 UST MONIT. CERT:10/21/1999 Ttl:GASOLINE SUPPLIER Approved: Yes Expiration Date: 06/30/2003 AGENCY DEFINED PASS -8- 09/27/2004 SiteID: 015-021-000611 ì Facility Unit: Fixed Containers on Site ì F LUCKY 7 FOOD STORE -f= Inventory Item 0001 == COMMON NAME / CHEMICAL NAME REGULAR UNLEADED Days On Site 365 Location within this Facility Unit UST 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 6000.00 GAL Daily Average 5000.00 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 F IH DH / / / Mod HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined5: Ag.Defined8: Ag.Defined9: Ag.Define10: ~ Ag.Define11 -9- 09/27/2004 F LUCKY 7 FOOD STORE SiteID: 015-021-000611 9 f= Inventory Item 0001 Facility Unit: Fixed Containers on Site 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: UST TANK Tank Use: MOTOR VEHICLE FUEL Matl Name:REGULAR UNLEADED TANK DESCRIPTION Mf r: UNKNOWN Capacity: 6000 Gals INSTALLED PRIOR TO 1985 TANK CONTENTS Petrol Type: Compart Tank: N No. Of Comparts: Tank ID#: 3 Installed: 00/ Additional Info: REGULAR UNLEADED Cas #: 8006-61-9 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 : 1997 Drop Tube : 1997 Striker Plate: 1997 TANK LEAK Sgl Wall: AUTOMATIC TANK GAUGING Alarm : Ball Float : Fill Tube S/O: DETECTION Dbl Wall: Installed: Installed: 1997 Exempt: No 1997 Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -10- 09/27/2004 :~ F LUCKY 7 FOOD STORE SiteID: 015-021-000611 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 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: 05/06/1997 Date: 08/18/1999 Name:SALEH ALNAJAR Prmt Number: 0611 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE TANK/LINE TEST :11/14/1996 CP CERT. :09/03/2003 MANWAY INSP. :12/22/1998 UST MONIT. CERT:10/21/1999 Ttl:OWNER Approved: Yes Expiration Date: 06/30/2003 AGENCY DEFINED PASS -11- 09/27/2004