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Home My WebLink AboutBUSINESS PLAN 10/5/2004 (COPY) e e ~FLOWER ST MINI MART SiteID: 015-021-001244 Manager : . f Location: 928 FLOWERST I \ City BAKERSFIELD I CommCode: BAKERSFIELD STATION 04 I EPA Numb: BusPhone: Map : 103 Grid: 20D (661) 328-0732 CommHaz : Low FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact ,,/ Title Emergency Contact / Title þqo:fi1'rl''if1LJ AriI !llJ..5S..¿tYj MANAGER ~ŠHUSSEIN A HUSSEIN / OWNER Business Phone: (661) ¿2~-e:G7~2-x:1.l-¡Ó Business Phone: (661) 322-1521x 24-Hour Phone (661) 328-0958x 24-Hour Phone (661) 872-6544x Pager Phone () x Pager Phone () x Hazmat Hazards: Period Preparer: Certif'd: parcelNo: to Fire ImmHlth DelHlth Phone: (661) 328-0732x State: CA Zip 93305 Phone: (661) 328-~x State: CA Obî3 Zip 93305 TotalASTs: = Gal TotalUSTs: Gal RSs: No Contact : MailAddr: 928 FLOWER ST City BAKERSFIELD Owner Address City HUSSEIN A HUSSEIN 1200 FLOWER ST BAKERSFIELD Directives: ¡,.1d~~~.~~~,_ {:"'r');; ..~!~·¡...,tfIO' Do hereby certify that I have ,~)'~!\'8,;'; ¡he attached hazardous materials manage-- ,\·.C;~ plan for_£X-ps~~.~AJand that it along with (Namo of BU~lness) a, ¡ i corrections constitute q. complete and correct man- agement plan for my facility. Signal\lre ~ ìo~S: 0 t- o. -1- 10/01/2004 e e F.FLOWER ST MINI MART SiteID: 015-021-001244 9 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: FLOWER ST MINI MART Cross Street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name . HUSSEIN A HUSSEIN Phone: (661) 322-1521x Address: City : State: Zip: Type : INDIVIDUAL TANK OWNER INFORMATION Name : HUSSEIN A HUSSEIN Phone: (661) 322-1521x Address: City : State: Zip: Type : BOE UST Fee# : UNKNOWN Financ'l Resp: STATE FUND Legal Notif : Business Mailing Address Date:10/31/2000 Phone: (661) 322-1521x Name:HUSSEIN A HUSSEIN Ttl:OWNER State UST # : 1998 Upg Cert#: 00829 -2- 10/01/2004 e F,FLOWER ST MINI MART f= Hazmat Inventory f== MCP+DailyMax Order e SiteID: 015-021-001244 ì By Facility Unit ì Fixed Containers on Site ì Hazmat Common Name... GASOLINE GASOLINE CARBON DIOXIDE V<ew\!ùVl!\ ~ eeÓÙNL. SpecHaz EPA Hazards F F IH DH IH DH L L G {j)1t--- ~1(-+ T~~ -3- DailyMax 120ß'O.00 GAL ~OO.OO GAL . 50 . 00 FT3 MCP Mod Mod Min 10/01/2004 e e SiteID: 015-021-001244 9 Facility Unit: Fixed Containers on Site 9 F'FLOWER ST MINI MART p= Inventory Item 0001 === COMMON NAME / CHEMICAL NAME GASOLINE REGULAR UNLEADED Location within this Facility Unit UNDERGROUND TANK Days On Site 365 Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 12000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Daily Average 12000.00 GAL HAZARDOUS COMPONENTS ~ CAS # I 8006619 %wt. I 100.00 Gasoline 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 -4- 10/01/2004 e e F'FLOWER ST MINI MART SiteID: 015-021-001244 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: UNDERGROUND TANK TANK DESCRIPTION Tank ID#: 1 Mfr: EFS Installed: 03/2004 Capacity: 20000 Gals Additional Info: SPLIT TANK Compart Tank: Y No. Of Comparts: 2 Tank Use: MOTOR VEHICLE FUEL MatI Name: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 : 2004 Drop Tube : 2004 Striker Plate: 2004 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 2004 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- 10/01/2004 e e F'FLOWER ST MINI MART SiteID: 015-021-001244 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 A.O. SMITH FIBERGLASS AboveGround Piping FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 06/07/2004 Date: 10/31/2000 Name:HUSSEIN A HUSSEIN Prmt Number: 1244 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE TANK/LINE TEST :07/13/2004 CP CERT. : MANWAY INSP. : 12/22/1998 UST MONIT. CERT:07/16/20Ò4 Ttl:OWNER Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED ELD PASS ,. -6- 10/01/2004 e e SiteID: 015-021-001244 ~ Facility Unit: Fixed Containers on Site ~ F FLOWER ST MINI MART p= Inventory Item 0003 F== COMMON NAME / CHEMICAL NAME GASOLINE PREMIUM UNLEADED Location within this Facility Unit UNDERGROUND Days On Site 365 Map: Grid: CAS# 8006-619 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 8000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 8000.00 GAL Daily Average 8000.00 GAL %wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ No 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 -7- 10/01/2004 e e f;FLOWER ST MINI MART SiteID: 015-021-001244 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: UNDERGROUND TANK DESCRIPTION Tank ID#: 2 Mfr: EFS Installed: 03/2004 Capacity: Additional Info: SPLIT TANK 8000 Gals Compart Tank: Y No. Of Comparts: 2 Tank Use: MOTOR VEHICLE FUEL MatI Name:GASOLINE TANK CONTENTS Petrol Type: PREMIUM UNLEADED Cas #: 8006-619 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 : 2004 Drop Tube : 2004 Striker Plate: 2004 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 2004 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- 10/01/2004 e e F;FLOWER ST MINI MART SiteID: 015-021-001244 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 A.O. SMITH FIBERGLASS AboveGround Piping FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 06/07/2004 Date: 10/31/2000 Name:HUSSEIN A HUSSEIN Prmt Number: 1244 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR w/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE TANK/LINE TEST :07/13/2004 CP CERT. : MANWAY INSP. : 12/22/1998 UST MONIT. CERT:07/16/2004 Ttl:OWNER Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED ELD PASS -9- 10/01/2004 e e SiteID: 015-021-001244 9 Facility Unit: Fixed Containers on Site 9 F FLOWER ST MINI MART f= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Days On Site 365 Location within this Facility Unit SODA FOUNTAIN Map: Grid: CAS# STATE - TYPE Gas Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 50.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 50.00 FT3 Daily Average 50.00 FT3 %Wt. RS CAS# 100.00 Carbon Dioxide No 124389 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min 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 -10- 10/01/2004