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Home My WebLink AboutBUSINESS PLAN (2)- - ~, . , _ w ., .~ E lo~~- \ 'I ~~ ') ~, ,~ ~, !, ,~ i ~} ,~ n ~~ ~~ w ~, ,~ e~ ~~ ' TEXACO SERVICE STATION ~ , 4050 GOSFORD . ~ ~ _-___ r„~~~ l ~~~~~~ ,, Rpr 02 07 02:41p p.l W GOSFORD SHEI,7, SiteID: 015-021-000670 Manager : Location: 4050 GOSFORD RD City BAIOrRSFrEIrD BusPhane: (651) 833-40D2 Map 123 CatnmHaz Extreme Grid: 7.SC FacUnits: Z AOV: CommCade: SFD STA 09 EPA Numb: SIC Code:4925 DunnBrad:7.9-408-5059 Emergency Contact / Title Emergency Contact / Title HENG CHAD i OWNER / Business Phone: (661) 833--4002x Business PhOxlte: ( ) - x 24-Hour Phone (661) 304-4D03x 24-Hour Phone { ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImttiHlth DelHlth Contact G ~ ~~'y K- G av Phone: 1667.) 833-4D02x MailAddr: 4050 GOSFORD RD State: CA City BARER$F7:BI,D Zip 93309 Owner G ~~~y f r~, G kb Phone: {5b2) 900-DSQ9x Address 4pS0 GOSFQRD RD State: CA City SARERSFIELD Zip 93309 Period to TotalASTs= = Gal Preparers TotalUSTs= = Gal Certif'd: RSs: Ro ParcelNo: ]3cnergeacy Directives YYOG A - HAZMAT A pt~7 f ~~ ~ FROG U - IIST ° ~ +~ 4! ~ ~~ ~` Based on my i^qulry ut those individu2ls rr~sponsilye tar ob!ainir+.g the inMrmation, I certify urt~i+~r penalty ~l law that I haue personally eramintsii anC am t~rrrcliar with the ~ntormation supmitted and bolieve the infgrmation is true. accurate, and t~mplefc~. r ~~ 'ev ignut Date -1- 04/02/2007 .~_ _, Rpr 02 07 02:41p p GOSPORT] SHELL SitelD: 01.5-021-ooo~~fl ~ STORAGE CONTAINER DATA (IIST FORM A) Last Actium Type: FACILITY/SITS INFORMATION Business Name: GOSFORD SHELL Cross Street : Business Type: Org Type: Total Tanks 3 IndnRee/Trust: No PA Contact: Dsg Owz~/Oper PRO TY OWNER NFORMATION Name Ne~9 t~~ ~ 4o C~kar Sfny G ~1kfj Phone: (~~1) ~~`I- 4~ Address : f I ~rS ~ 2d w~a d p i / C Ca.ty :~e NQG ~i 4 G~ ~- !~' 9r~%~ State~~ Zip:4' 3 1r6 J ~ Type TANK OWNER IN! ORMATTON lvame : ~ t HJ f ~C. G ~rra a wd 5; ~ ~ G' ~•r o Phone : t 661) ~&`~- ~ x Address: 1/'~ ~ ed trod ~ Gf Cit ~ 4 . 3~H - yaB3 6' / ~ 3 S t L ~ Zi y : j.~ o ~ r~ , p : Sta e : Type BOT IIST Fee# : 039026 Financ'1 Resp: 3BLF .INSURED Legal l+Totif Tank Owner Mailing Address Date:04/16/2006 Phone: (166) x,40-83 x .Name:HFsNG CHAO Ttl:H&s COORDINATOR State UST # 1998 Upg Cert~#: zcc Nbr: -2- 04/02J2fla7 P ~T Apr 02 07 02:42p ~.va ~...., ....... ~~.. _.... - - - -- - --__ - p.3 F aasFOHn SHELL SitelD: 015-021-000670 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers an Site ~ Hazmat Common Nattie_:. SpecHaz 8PA Hazards Frm Dailyl~4ax Unit MCP PR!aPANE B F P IH G 2520.00 FT3 Hi. REGULAR UNLE,ADID GASOLINB F IH DH L 19000.00 GAL Mod PREMIUM UNLEADED GASOLII'OE F IA DH L 9500.00 GAL Mod CAR WRSH DETII?GENT IH DH L 30.00 GAL Mod CAR LdASH DETERGEAiT IH DH L 30.00 GAL Mob CAR WASH DBTERGENT IH 1?I3 L 30.00 GAL Mad CAR WASH DETERGENT TH DH L 30.00 GAL Mod DIESEL #2 F' IH DH - L 11500.00 GAL Low -3- 04/02/2007 Rpr 02 07 02:42p 4 -4- 04/02/2007 Rpr 02 07 02:42p p.5 LVD z. ~. uv... a.... -.~ ... - .._ _ ..~.~ _. _ ~_ - _.__ F GOSFORD SHELL SitelD_ 015-021-000670 ~ ~ inventory Ttem DODS Facility Unit: Faxed Containers on Site ~ carrn~oz~ NAr+~ / ~:Ma[`AT. NAME . PROPANE Days On Site 365 Location within this Facility IInit Map: Grid: N SIDE OF STORE ~ CA.S# 74-98-6 ~~SSATE TYPE ~~ PRESSURE ~~ TEMPERATURE CONTAINER TYPE ~ TMixture 1 Above Ambient I Ambient PORT. PRESS. CYLIlQDSR I AInOUNTS AT TH2S LOCATION Largest Container Daiiy Maximum Dally Average 180.00 k'T3 2520.OU FT3 ].800.00 FT3 r~~~x~,x~us ~~mrc~v~:N•r,~ ~Wt. RS CAS# 10a.OD Propane Yes 74986 10.00 Propylene Yes 115071 5.00 n-Butane Or Butane MixCUre Yes 106978 4.50 1-Butane No 25167673 t~i~tucu t~ 5~ssr~rr5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA IISDOT# MCP No P1o Na IJo/ Curies F P IH / / / Hi ' -5- 04J02/2007 Rpr 02 07 02:43p p.6 F GOSFORD SHEI.I, SitelD: 015-023.-000670 ~ ~ 7:nventory Item 0001 Facility Unit: Fixed Contairsers on Site ~ COMMON NAME / CHEMICAL NAME REGULAR ~TLEADED GASOLINE Days On Site 365 vocation within this Facility II]1~.t Map: Grid: E SIDE OF SITE CAS# 8046-61-9 Liquid TMa,xtur~-Ambien~E ~ ATm~bpE~~E -~-ERGROEfND TANK AMOUNTS AT THIS LOCAT>OP7 Largest Container ~ Daily Maxzmut[t { Daily Average 10000.00 GAL I 3.9000.00 GAL I 11000.OD GAL t1A~e3ec.uuva uurtrulvffiv1~ cwt. Rs cAS# 99.00 Gasoline No 8006619 0.25 o-Xylene, m-Xylene, p-Xylene No 7.330207 5.00 Ethanol No 64175 25.00 Toluene No 108883 5.00 1,2,4-Trimethylbenzene No 95636 ruic~ru~cu n~ ~~,7~rwsv-r~ TSeczet RS BioHaz Radioactive/Amount EPA Hazards NFPA IISDOT# MCP No No No No/ Curies F IH DH / / / Mod -6- 04/02/2007 Rpr 02 07 02:43p CU23 Yici~.vv• ~......~....~ ... ---~--' --- --- - p.7 F GOSFORD SHELL Si.teZD: fl15-021-000670 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PREMZDP7 UNLEADED GASOLINE Days Qn. SXte 3 65 Location within this Facility Unit Map= Grid: B SIDE OF SITS CAS# 8006-61-9 Liquid ~MixtPux~Ambient~ TEMPERATURE CONTAINER TYPE Ambient UNDER GROUND TANK AMOUNTS AT THLS LOCATION -- Largest Container ~ Daily Maximum Daily Avexage 10000.00 GAL 9500.00 GAL 6000.00 GAL tix~Hecu~~~ cvrzr~avr~v~ra ~Wt. RS CAS# 100.00 Gasoline No 8006619 25.00 o-Xylene, zn-Xylene, p-X~lene No 1330207 5.00 $thanol No 64I7S 2S_04 Toluene No 108$63 5.00 1,2,4-Trimethylbenzene No 95635 -7- 0/02/2007 a Rpr 02 07 02:44p ova p.9 p GOSFORD SHELL SitelD: 015-021--QOU670 ~ ~ Inventory item 0006 Facility IInit: Fixed Containers on Site ~ cor~toN NAr~tE / CF~cAL NAME CAR WASH DETERGENT bays On Site RYKO WHIT73 FOAM 365 Location with3.n this Facility IInit Map: Grid: CAR WASFI TC3NNEL CAS# 7732-I8-5 STATE TYP}3 PRESSURE TSMPERATIIRE CONTAINER TYPE Liquid TMixtur~-Ambi.eut ~ Ambient ~ DRi7M/BARREL-RTONN~TAL~ AMOUNTS AT ~iIS LOC~'-.TION Largest Container Daily Maximum 7]ai1~r Average 30.00 GAL 30.00 GAL 15.00 GAL HAZARDOUS COMPONERITS ~Wt. RS CAS# 95.Ofl Watex No 7732185 25.00 Soap No 1.00 Salt No j~7AR7~ ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA IISnOT# MCP No No No No/ Curies IH DH / / / Mod ~ Inventory Item 0007 Facility IIr1a.t_ Fixed Containers on site ~ COMMON PIAMB / CHEMICAL NAME CAR WASH DETF3RGENT Days Oa Site RYKO RED FQAM 365 Location within this Facility Unit Map: Grid: CAR WASH TUNNEL CAS# 7732-1$-5 STATE TYPP: PRESSURE TEMPERATURE CONmA7~ TYPE ~Li~~;d ~I~4ixture~~ Ambient ~ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCPiTSON Largest Coz~tainex ~ Daily Maximum I Daily Average 3a.oo GAL 30.0o GAL 15.OO GAL - - -- n~s~xuu,~va w~nrv~vr~vy-a ~Wt . RS CA.S# 95.00 Water No 7732185 25.00 Soap No 1.00 Sa~.t No xA~aRn ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA IISDOT# MCP No ~vo No NQ/ e<sries f Ix Dx / / / A4od -$- 0/02/2007 Rpr 02 07 02:44p p GOSFORD uHELL ~ Inventory Item 0006 COMMON NAME / C~IEMICAL NAME CAR WASH DETERGENTP - RYICa YELLOW FOAM! Location within this Facility Unit CAR WASH TUNNEL STATE TYPE PRESSURE Liquid TMiXtur~ Ambient p.9 SiteID: 015-021-000670 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 36S Mag: Grid: CAS# "7732-18-5 TIIKPERATURL CONTAINER TYPE Ambient DRUM/BARREL-NONMETAL AMOt7~TTS AT THIS LDCATTON Largest Container Daily Maximum Daily Average 30.00 GAL 30.00 GAL ~ 15.00 GAL t1E1GHitEJUUS L:Ul~l.k'V1VJ51N'1".~v cwt. Rs cAS# 95.00 Water No 7732185 25.00 Soap No 1.00 Salt Na .t3#S.1r13tiU 1~L 5Sr:55NRritl"5.5." TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / J / Mod ~ Imreritory Item 0009 Facility Unit: Fixed Containers on Site ~ COP~7ASON NAME / CIiEI~lICAL NAME CAR WASH DETERGENT Days Ox~ Site RYKO BLUE FOAM 365 Location within this Facility Unit Map: Grid: CAR WASH TUNNEL CAS# 7732-].8-5 STATE TYPE PRESSURE TEMPERATURE CC7NTAINEEt TYPE Liquid TMixture Ambient ~ Ambient DRIIM/BARREL-~TONMBTAL~ ~- AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 30.00 GAL 30.00 GAL 15.00 GAL nricruc~.~vus ~vrirvr+ravl5 ~Wt. RS CAS# 95.00 Water No 7732185 25.00 soap No 1.00 Salt No HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount ] EPA Hazards NFPA USDOT# MCP No 100 No No/ Curies I IH DH / / / Mod -9- 04/02/2007 Rpr 02 07 02:44p ~.vn z,~.......... _~......._- --- -- p.10 ~ GOSFORD SHELL SitelD: 015-021-QO0S70 ~ ~ Inventory item 0004 Facility IInit: Fixed Contaiaex's On Site ~ CO~IMON DTAMS / CHEMICAL NAME DxESEL #2 Days Oa. Site 365 Location within tYxis Facility IInit Map: Grid: E-SIDE OF SITE CAS# 68476=34-6 STATE TYPE I?RESSDRE TEMPERATURE C0NTAII1'ER TYPE ~Litjuid TNlixtur~ Ambaent ~ Am~aient ~ UNDER GROLA~iD TANK A~'lOUNTS AT THIS LOCATION Largest Container Daily Maximiun Daily Average ].2000.00 GAL 11500.00 GAL 5500.00 GAL oNt- RS CAS# 100.00 Diesel Fuel No. 2 No 68476346 99.90 Middle Distillate Solvent No 68814879 59.90 Hydrotreated Middle Distillate No 64742467 0.64 Benzene No 71432 HAZARD ASSESSMEi~TTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA IISDO'T# MCP No No No No/ Curies 1 F IH D~f / / Low -ia~ 04/o2/soa7 Rpr 02 07 02:45p p.li ~.va 3.~..~..,... ~......_.-- --- ----- -- -.. ~ GOSFORD SHRLL SiteID: 015-021-OOQ6?0 9 Fast Foxmat ~ ~ Notif. /Evacuata.onJMedica]. Overall Site ~ Agency Notificatiozx 02/20/2002 STATION EMFI,OYEE RI~,L NOTIFX THE PgANAGER OR DEALER WHO WILL THHN INVESTIGAT$. THE MAINTENANCE CONTRACTOR WILL BE NOTIFIED IF DETERMINED THAT REPA.IA9 ARE NECESSARY. THE LOCAL AGENCY WILL BE NOTTF'IED IF A LEAK HAS OCCUR1tED. IF THE SPILL XS SERIOIIS, EMPLOYEE WILL CALL 911 AND TEEN THE MANAGER AND SUPERVISOR OR SIi&E COMPLIANCE COORDINATOR WHO WILL NOTIFY-THF3 OFFICE OF HMERGL2ICY SERV'SCES AT 800-852-?550_ Employee Notif./Evacuation. 04/20/2006 THE MANAGffi2, ASSISTANT MANAGER OR CLERK/ SHITsR WILL NOTIFY ALL OTAER F3MPLOYSES AND/OR CUSTOMERS; EVACUATE TO PRE-DESIGNATED MEETING AREA, SHOWN ON SITE MAP; CALF 9].t FROM NEAR1•"sST, SAFEST PHONE. Public Motif./Evacuation 04/20/2006 -, EMPLOYEES HAVE BEEN INSTRIICT'ED TO ASSIST CUSTOMERS IN VACATING PRLNtISIS TO PRE-DESIGNATED MEETING AREA; DIAL 911 FORM NEAREST, SAFEST PHONE. Emergency Medical Plan .... .__.~ 04/20/2006 =~ ONSITE FIRST AID KIT WILL BE IISSD AS NEEDED. IF INJORIES ARE SERTOQS AND ~ REQUIRE MORE THAN BASIC FIRST A.ID, THE INJURED PARTY WILL BE TRANSPORTED TO it THE NFiAREST MEDICAL FACILITY: MEMORIAL HOSPITAL, 327-4647. FIRE DEPARTMENT 311; POLICE DEPARTMENT 93.1; PARAM}3DICS 911; AND OFFICE OF EMERGENCY SERVICES 800-852-5502. -11- 04f02/2007 Rpr 02 07 02:45p w~D z. ~.......... ~~ . _... - - - -- - ___- -- p.12 F GOSFORD SHELL SiteID: alS-all-aoa67o 9 Fast Fo~nat ~ ~ Mitigation/Prev~eat/Abatemt Overall Site ~ ~ Release Prevention x3/31/2006 ~ AUTOMATIC SHUT-OFF NOZZLES P'QR FIIEL DISPENSING IMPACT SHUT-OFE' VALVES UNDERI+~ATH DISPENSERS. AUTOMATIC SHUT--OFF SWITCHES ON EXTERIOR OF BLDG FOR DISPENSERS. SHUT-OFF SWITCH AT CASHIERS CONSOLE. Release Containment 04/20/2006 EMPLOYEES ARE TRAINED TO USFs KITTY LITTER, ABSORBENT SOCKS OR SIMILAR MATERIALS TO CONTASN MINOR SPILLS. MAJOR SPILLS, CALL 911. Clean Dp D4/zD/2006 MINOR SPILLS ARE CLEANED UP WSTH KITTY I.,2TTER AND/OR ABSORBENT SOCKS. MAJOR SPILLS ARB CLEANBJ] UP BY THE CONTRACTOR, L C SER'V'ICES. THE FIRE DEPARTMENT IS NOTIFIED IF TFiE SPILL IS MAJOR. Vi-LLCL J.CCi~TV UiS.:C 13.C:G1V7,L10II -iz- o~/oz/aoo~ Rpr 02 07 02:46p p.13 I:VD z......... ... ~..... ._~ - - -- - ---- F coSFORD SAELL SitelD: 01.5-021-000670 ~ Fast Format ~ ~ Site Tmex'gency Factors Overall Site ~ special ttazaras IItility Shut-Offs 04/20/2006 A} ELECTRICAL - BACK SIDR OF BLDG B} WATER - ALONG WHITE LN C) $PECTAT. - NONE D) LOCS BOX - NO Fire Protec./Avai.l_ Water 11/30/2006 PRIVATE FIRS PROTECTION - DRY CHEMICAL PORTABLE EXTINGUISF~R ITT FOOD MART AND CANOPY COLUMN AT ISLATID. NEAREST FIRI+~ HYDRAt~7T - SIDED~A7•K S SIDE. Building Occupancy Level 03/23/2006 5 EMPLOYEES -Z3- 04/02/2007 L n ~ Hpr 02 07 02:46p 14 ~ GOSFORD SHELL SiteID: 015-021-000670 ~ Fast Format ~ ~ Traini.ng Overall Site ~ ~ Employee Tras.~aiag 06f 7.4/2006 ~ P~tSDS SHEETS ON FILE AT TF1IS FACILITY rN A 3-RING BINDER Ild CASAIER AREA. BRIEF SUMMARY OF TRAINING PROGRAM: SE1aIOR EMPLOYEE OR MANAGER IS RESPONSIBLE FOR TRAINING NSW Be+fPLOYSES. THE NEW EMPLOYEE 7:S TAKF~ ON A TOUR OF THE STATION .AND IS SHOW2~7 THE LOCATION OF AND HOW 'PO USE FIRE BXTINGIIISHERS, KITTY LITTER/ABSORBENT SOCKS, EMERGENCY SHTTT-OFD' (ON BUILDING AND ON CONSOLB) , AND THS PROTOCOL TO FOLIAW FOR ~iANDLIDIG ENfFsRGENCY NOTIFICATIONS AND CALLS . THE b'JEW EM~'LOYEFs IS INFORMED ABOUT SAFE HANDLING OF GASOLINfi AIa] PORTABLE GAS CO1dTAINERS SAFET~C . A TRAINING CHECKLIST IS iO;I?T ON FILE AND PERIODIC FOLLOSnl-IIP TRAINING I5 CODdDIICTED ON A SCHEDULED BASIS. ray c c nc~.u ~.c~r ruuuic use -14- 04/02/2007 ~, Rpr 02 07 02:46p -- -• ---- _~. __._- --- --.~~ ~....,~.. ..... .......... P. 15 F G09FO1xD S~I'I' Sitel~: 015-021-000670 ~ Fast Format ~ F` Training Qsrerall Site ~ x,eia sor ru~ure vse 'i~- 04/b2/a007 UNDERGItbUND STORAGE TANKS UNIFIED PRC?GRAM~ONSOLIDATED FORMS APPLICATION ~r~ ~ TANK - (STATE FORM B) " ~ TYPE OF ACTION (Check one item only): ^ 1. NEW SITE PERMIT ^ 4. AMENDED PERMIT ^ 2. INTERIM PERMIT (Specify reason -for local use only) ^ 3. RENEWAL PERMIT B S x 9 P I D ~rRe w~ T BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661)852-2171 Pale 1 of 4 ^ 5. CHANGE OF INFORMATION ^ 6. TEMPORARY SITE CLOSURE ^ 7. PERMANENTLY CLOSED ON SITE ^ 8. TANK REMOVED a3o BUSINESS NAME (Same as FACILITY NAME or A-Doing Business As) 3 F tIJ'f~1' ID t.~. l dos oral x~ I/ I ! ' -' ~ LOCATK)N WITHIN SITE (Options!) ^ / ~ 43; O~ 4 D S~ ~ gf o r c~ t © -- --- - _ - - L TgNK DESCRIPTION ~T ~ v~' ~, TiJ.il ID No ~ TANK MANUFACTURER - 433 COMPARTMENTALIZED TANK r Yeq~Ne~ If "Yes ,complete one page for each mm em. ~~' ~' ^ t N ~ ~ DATE INSTALLED (YEARIMO) 4S,r TANK CAPACITY IN GALLONS 4 NUMBER OF COMPARTMENTS 43 ~ , ADDITI ONAL DESCRIPTION (For local use Doty) lf. - - _- - - -- TANK CONTENTS - -- - PETROLEUMTYPE TAN USE 43 ^ gg. OTHER 2. LEADED ^ MOTOR VEHICLE FUEL REGULAR UNLEADED ~ 1e . ., / q~ 3. DIESEL . (If marked, axnpiete Pebrol9um Type) ~ ^ 4. GASOHOL440 1b. PREMIUM UNLEADED ^ 2. NONfUEL PETROLEUM ^ 5. JET FUEL ^ 3. CHEMICAL PRODUCT ^ 1c. MIDGRADE UNLEADED ^ g, AVIATION FUEL ^ 4. HAZARDOUS WASTE (Includes Used Oi/) _ ^ 5. UNKNOWN COMMON NAME (hom Harardous Materiels lnventay page) 441 CAS N0. (from HareMous Mffieriffis Imrentary page) 44 --- --, - - - -- - - Ill. TANK CONSTRU.CTJON - ~~ _ - ~~~ IIILLL""" TYPEOFTANK ~NGLE WALL (Check one item Doty) ^ 99. OTHER ^ 4. SINGLE WALL IN A VAULT ~ DOUBLE WALL ^ 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM ^ 3. SINGLE WALL WRH EXTERIOR MEMBRANE LINER ^ 95. UNKNOWN TANK MATERIAL-Primary tank ^ ~, BARE STEEL ^ 4. STEEL CIAD WIFIBERGLASS OTHER ^ 9g (Check are item Doty) ^ p_STAINLESS STEEL . RgNFORD,Epp~7~(Fgp) FIBERGLASS/PLASTIC ^5. CONCRETE ^ 8. FRP COMPATIBLE W/100% METHANOL ^ 95. UNKNOWN TANK MATERIALSecorMary tank ^ t BARE STEEL ~ (Check one item Doty) ^ 4. STEEL CLAD WIFIBERGLASS ^ 10. COATED STEEL ^ y TAINLESS STEEL RENFORCED PLPSTIC(FRP) ^ 95. UNKNOWN ~ 4Y3. FIBERGLASS I PLASTIC ^ 5. CONCRETE ^ 9g. OTHER ^ 6. FRP COMPATIBLE WI100% METHANOL ^ 9. FRP NON-CORRODIBLE JACKET TANK INTERIOR LINING ^ ~, RUBBER LINES - OR COATING - ^ 4. PHENOLIC UNING ^ 98. OTHER ^ p A~yp UNING (Check one item Doty) ^ 5. GLASS UNING ~ ^ 3. EPOXY LINING UNLINED DATE INSTALLED ~ __ _ _ _ _ _ ~_ _ -- --'=-'~--_-^ -(Far~PoCal~ose~orly') - - - 448 ~ OTHER CORROSION ^ t' MANUFACTURED CATHODIC PROTECTION ^ 4. PIMPRESSED CURRENT - PROTECTION IF APPLICABLE ^ 2 SACRIFICIAL ANODE ^ 95. UNKNOWN ATE INSTALLED . (Check one item arty) ^ 3. FFIBERGLASS REINFORCED PLASTIC ^ g9. OTHER Fa kwel use Doty) SPILL AND OVERFILL B"~~, pILL CONTAINMENT YEAR INSTALLED (Check all that apply) 450 PE (la local use Doty) 451 OVF~RFILL PROTECTION EQUIPMENT (~' ~~I t EAR INSTALLED 452 IjI/I. DROP TUBE TRIKER PLATE / " ~y~~~~.r- TUBE SHUT OFF VALVE ~ EVR UPGRADE 613 BALL FLOAT ^ 4. EXEMPT 1V TANK LEAK~DETECTION . _.. .~-n, . , .,._n -- --- -- IF SINGLE vvALL TANK lifieck ell mffi appryj: - 453 IF DOUBLE WALL TANK OR TANK W ITH BLADDER (Check are aem Dory): 454 ^ ~ VISUAL (EXPOSED PORTION ONLY) ^ 5. MANUAL TANK GAUGING (MTG) ~ VISUAL (SINGLE WALL IN VAULT ONLY) ~/ 2. AUTOMATIC TANK GAUGING (ATG) ^ 8. VADOSE ZONE 2. CONTINUOUS INTERSTRIAL MONITORING 3. CONTINUOUS ATG ^ 7. GROUNDWATER ^ 3. MANUAL MONITORING ^ 4. STATISTICAL INVENTORY RECONCILIATION (SIR)+ ^ 8. TANK TESTING BIENNIAL TANK TESTING ^ 99. -_ OTHER .~ .-~ 5r. V: TANK CLQSURE INFORMATIQN /PERMANENT CLO ~, -. . __ _ - - __ _- SURE IN PLACE .' _ ''~ ESTIMATED DATE LAST USED (YR/MO/DAY) 455 ESTIMATED QUANT ITY OF SUBSTANCE REMAINING 458 TANK FILLED WffH INERT MATERIALT ~ allons ^ Yes ^ No FD 2094 (Re~.oe/os~ ._,_...._ L. UNDERGR~QUND bTORAGE TANKS TANK -APPLICATION (CONT.D) (STATE FORM B) Page 3 of 4 VI. PIPING CONSTRUCTION Check all that appl ) ABOVEGROUND PIPING INFORMATION UNDERGROUND PIPING INFORMATION SYSTEM TYPE G 1 SUCTION G 2 PRESSURE G 3 GRAVITY 459 G 1 SUCTION G 2 PRESSURE G 3 GRAVITY 458 G 1 SINGLE WALL ~ G 95 UNKNOWN G 1 SINGLE WALL G 3 LINED TRENCH G 09 OTHER CONSTRUCTION G 2 DOUBLE WALL G 990THER 462 G 2 DOUBLE WALL G 95 UNKNOWN 480 MANUFACTURER 483 MANUFACTURER 481 MATERIALS G 1 BARE STEEL G 8 FRP COMPATIBLE W/ 100% METHANOL G 1 BARE STEEL G 8 FRP COMPATIBLE W! 100% METHANOL AND G 2 STAINLESS STEEL G 7 GALVANIZED STEEL G 2 STAINLESS STEEL G 7 GALVANIZED STEEL CORROSION G 3 PVC COMPATIBLE WITH CONTENTS G 8 FLEXIBLE G 3 PVC COMPATIBLE WITH CONTENTS G8 FLEXIBLE PROTECTION G 4 FIBERGLASS G 9 CATHODIC PROTECTION G 4 FIBERGLASS G 9 CATHODIC G 5 STEEL W/COATING G 95 UNKNOWN G 5 STEEL W/COATING G 95 UNKNOWN PROTECTION G 99 OTHER 465 G 99 OTHER ~ 484 V.IL PIPING LEAK DETECTION ,Check all that a L . ABOVEGROUND PIPING INFORMATION UNDERGROUND PIPING INFORMATION SINGLE WALL PIPING SINGLE WALL PIPING 487 488 - '(Cflack'a0 that~ePPN): -. - ILthat aPWY~ G 1 ~ G 1 ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST ~@ { AUTO PUMP SHUT OFF FOR LEAK ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WRH AUTO PUMP SHUT OFF FOR LEAK, , , SYSTEM FAILURE, AND SYSTEM DISCONNECTION +AUDIBLE AND VISUAL ALARMS SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS G y MONTHLY 0.2 GPH TEST G 2 MONTHLY 0.2 GPH TEST ANNUAL INTEGRITY TEST (0 1 GPH) G 3 ANNUAL INTEGRITY TEST (0.1 GPH) G 3 . DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: (Check all that apply): G 4 C NV NTI s c TION cvcT MC; (Check all that apply): G 4 DAILY VISUAL MONTORING OF PUMPING SYSTEM+ TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) DAILY VISUAL MONfORING OF PUMPING SYSTEM G 5 TRIENNALL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS: (Check all that apply) G 8 SELF MONITORING SALE C TION CYST MC: (Check ell that apply) G 5 SELF MONITORING GRAVITY FLOW: (Check all that apply): G 7 BIENNIAL INTEGRITY TEST (0.1 GPH) GRAVTTV FLOW : (Check all that appy): G 8 DAILY VISUAL MONITORING SECONDARILY CONTAINED PIPING G 8 BIENNIAL INTEGRITY TEST (0.1 GPH) PRESSURILD PIPING- : (Check all that apply) G 9 $ECONDARILY CONTAINED PIPING CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND G 7 G a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS PRESSURIZED PIPING; (Check all that apply) G b AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION CONTINUOUS TURBINE SUMP SENSOR YYIIti AUDIBLE AND VISUAL ALARMS AND (check one) G c NO AUTO PUMP SHUT OFF G a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST)~jjj{ FLOW SHUT OFF OR RESTRICTION G10 G b AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION G 8 ANNUAL INTEGRITY TEST (0.1 GPH) G c NO AUTO PUMP SHUT OFF G9 G11 AUTOMATIC LEAK DETECTOR ~ SUCTION/GRAVffV SYSTEM: (Check ali that apply) G12 ANNUAL INTEGRITY TEST (0.1 GPH) , CONTINUOUS SUMP SENSOR+ AUDIBLE AND VISUAL ALARMS G10 SUCTION/GRAVITY SYSTEM: (Check ell that apply) DISCONNECTION: (Check all that apply) G13 CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS NO AUTO PUMP SHUT OFF EMERGENCY GENERATORS ONLY (Check ell that apply) G11 AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) G12 ANNUAL INTEGRITY TEST (0.1 GPH) G14 CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF+AUDIBLE AND VISUAL ALARMS G13 EMERGENCY GENERATORS ONLY (Check all that apply) G15 AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) CONTINUOUS SUMP SENSOR wlTHOUr AUTO PUMP SHUT OFF+ AUDIBLE AND VISUAL ANNUAL INTEGRITY TEST (0.1 GPH) ALARMS G18 DAILY VISUAL CHECK _ _ _ _ _ _ _ _ cia '~"~ AUTOMATIC LINE LEAKDETECT,OR{3 QG?H._TEST)._ __ _ G17 ANNUAL INTEGRITY TEST (0.1 GPH) G15 DAILY VISUAL CHECK G18 c17 VIII. DISPENSER CO NTAINMENT DISPENSER 488 c i FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE c 4 DAILY VISUAL CHECK CONTAINMENT G 2 CONTINUOUS DISPENSER PAN SENSOR+gUDIBLE AND VISUAL ALARMS G 5 TRENCH LINER/MONITORING G Yes G Mo G 3 CONTINUOUS DISPENSER PAN SENSOR YYIDi AUTO SHUT OFF FOR G 8 NONE 469 DATE INSTALLED: DISPENSER+gUDIBLE AND VISUAL ALARMS IX. OWNER/OPERATOR SIGNATURE ; 1 cer8fy that the Infortna8on provided herein is true & acwrate to the beat of my knov4edge. - SIGNATUREOFOWNERIOPERATOR 470 DATE 47t b ll-i~-~ NAME OF OWNER/OPERATOR (print) 472 TITLE OF OWNERIOPERATOR 473 C.~.j N GF Permit Number (For local uae only) 474 Permk Approved 475 Permit Expiration Date 478 FD 2094 (Rev. 09/05) ~_ ~.:,. GOSFORD SHELL Manager HENG K CHAO Location: 4050 GOSFORD RD City BAKERSFIELD SiteID: 015-021-000670 BusPhone: (661) 833-4002 Map 123 CommHaz Extreme Grid: 16C FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code:4925 DunnBrad:l9-408-5059 Emergency Contact / Title Emergency Contact / Title HENG K CHAO / OWNER / Business Phone: (661) 833-4002x Business Phone: ( ) - x 24-Hour Phone (661) 304-4003x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact HENG K CHAD Phone: (661) 833-4002x MailAddr: 4050 GOSFORD RD State: CA City BAKERSFIELD Zip 93309 Owner HENG K & SING CHAO Phone: (562) 900-0809x Address 4050 GOSFORD RD State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives : 9 ~NT~® J~~- ~ ~ ~"~ YYOG A - HAZMAT PROG U - UST Based on my inquiry of ttto~o indi~:;t~xt~als ~;rs~<~tior', I certify i n responsible for obtr:,nines they f lavr that ~ i~av~e persanallY under penalty o e t l ~ 'I ru , s ~nformation ena~~ the belie e Pd a d sub Iete. and comp rate , accu 2y-~ 7 i~~~~ 7 _ -~--~°-"'"- Date ignatur~. -1- 07/11/2007 i; l F GOSFORD SHELL SiteID: 015-021-000670 ~ STORAGE CONTAINER DATA (UST FORM A) Last Action Type: - FACILITY/SITE INFORMATION Business Name: GOSFORD SHELL Cross Street Business Type: Org Type: Total Tanks 3 IndnRes/Trust: No PA Contact: Dsg Own/Oper ICC Nbr: PROPERTY OWNER INFORMATION Name Phone: ( ) - x Address: City State: Zip: Type INDIVIDUAL TANK OWNER INFORMATION Name Phone: ( ) - x Address: City State: Zip: Type INDIVIDUAL BOE UST Fee# 039026 Financ'1 Resp: SELF INSURED Legal Notif Business Mailing Address Date:04/16/2006 Phone: (316) 683- x Name:HENG CHAO Ttl:H&S COORDINATOR State UST # 1998 Upg Cert#: -2- 07/11/2007 ., s F GOSFORD SHELL ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-000670 ~ By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE E F P IH G 2520.00 FT3 Hi REGULAR. UNLEADED GASOLINE F IH DH L 19000.00 GAL Mod PREMIUM UNLEADED GASOLINE F IH DH L 9500.00 GAL Mod CAR WASH DETERGENT IH DH L 30.00 GAL Mod CAR WASH DETERGENT IH DH L 30.00 GAL Mod CAR WASH DETERGENT IH DH L 30.00 GAL Mod CAR WASH DETERGENT IH DH L 30.00 GAL Mod DIESEL #2 F IH DH L 11500.00 GAL Low -3- 07/11/2007 -4- 07/11/2007 F GOSFORD SHELL SiteID: 015-021-000670 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: N SIDE OF STORE CAS# 74-98-6 STATE TYPE ~ PRESSURE TEMPERATURE ~ CONTAINER TYPE ~ Gas TMixture I Above Ambient Ambient I PORT. PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 180.00 FT3 2520.00 FT3 1800.00 FT3 HAZARDOUS COMPONENTS ~Wt. RS CAS# 100.00 Propane Yes 74986 10.00 Propylene Yes 115071 5.00 n-Butane Or Butane Mixture Yes 106978 0.50 1-Butene No 25167673 I1tiL~tiiCL HA JP~J.71"1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -5- 07/11/2007 F GOSFORD SHELL SiteID: 015-021-000670 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME REGULAR UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: E SIDE OF SITE CAS# 8006-61-9 Liquid TMixtur~-AmbRent~E ~ AmbientT~E ~ UNDER GROIINDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 19000.00 GAL 11000.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 99.00 Gasoline No 8006619 0.25 o-Xylene, m-Xylene, p-Xylene No 1330207 5.00 Ethanol No 64175 25.00 Toluene No 108883 5.00 1,2,4-Trimethylbenzene No 95636 tiL~GHxL H.7 ~J L" .7 a1~1L" 1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -6- 07/11/2007 F GOSFORD SHELL ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED GASOLINE Location within this Facility Unit E SIDE OF SITE STATE TYPE PRESSURE Liquid TMixture i Ambient SiteID: 015-021-000670 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# $006-61-9 TEMPERATURE CONTAINER TYPE Ambient ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 9500.00 GAL 6000.00 GAL ru~~HtcLVUS ~~inrui~~ly 15 °sWt. RS CAS# 100.00 Gasoline No 8006619 25.00 o-Xylene, m-Xylene, p-Xylene No 1330207 5.00 Ethanol No 64175 25.00 Toluene No 108883 5.00 1,2,4-Trimethylbenzene No 95636 t1HGKtCL L~JJL'.`~~1~1L'1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -7- 07/11/2007 ~ GOSFORD SHELL SitelD: 015-021-000670 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CAR WASH DETERGENT Days On Site RYKO WHITE FOAM 365 Location within this Facility Unit Map: Grid: CAR WASH TUNNEL CAS# 7732-18-5 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 30.00 GAL 30.00 GAL 15.00 GAL ru~~tircLVUa uuinrvivr~lyl~ %Wt. RS CAS# 95.00 Water No 7732185 25.00 Soap No 1.00 Salt No tiLjGL~KL HJ~L' ~a1~1~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH j / / Mod ~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CAR WASH DETERGENT Days On Site RYKO RED FOAM 365 Location within this Facility Unit Map: Grid: CAR WASH TUNNEL CAS# 7732-18-5 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid TMixture ~ Ambient ~ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 30.00 GAL 30.00 GAL 15.00 GAL nxc~Htclivu~ ~.~iYirvivn,iv l %Wt. RS CAS# 95.00 Water No 7732185 25.00 Soap No 1.00 Salt No riE~G1iKL HJ AL" Ja1~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Mod -8- 07/11/2007 F GOSFORD SHELL SiteID: 015-021-000670 ~ ~ Inventory Item 0008 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CAR WASH DETERGENT Days On Site RYKO YELLOW FOAM 365 Location within this Facility Unit Map: Grid: CAR WASH TUNNEL CAS# 7732-18-5 Liquid TMixture ~ AmbRent~E ~ AmbientT~E DRUM/BNARRELENONMETAL~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 30.00 GAL 30.00 GAL 15.00 GAL riHGKKLVUS 1.:V1~lYV1V~1V1a ~Wt. RS CAS# 95.00 Water No 7732185 25.00 Soap No 1.00 Salt No t1E~GKttL ASJI;.7a1~1L'1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Mod ~ Inventory Item 0009 COMMON NAME / CHEMICAL NAME CAR WASH DETERGENT RYKO BLUE FOAM Location within this Facility Unit CAR WASH TUNNEL STATE TYPE PRESSURE Liquid TMixture Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7732-18-5 TEMPERATURE CONTAINER TYPE _ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Con30100rGAL Daily M30100m GAL I Daily A15r00e GAL t1t~Gt~lCLV U ~7 l.. V1~lY V1V ~1V 1.7 ~Wt. RS CAS# 95.00 Water No 7732185 25.00 Soap No 1.00 Salt No riHGEitCL L~~51:,.7~1~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Mod -9- 07/11/2007 F GOSFORD SHELL ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME DIESEL #2 Location within this Facility Unit E SIDE OF SITE STATE TYPE PRESSURE Liquid TMixture ~ Ambient SiteID: 015-021-000670 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 68476-34-6 TEMPERATURE CONTAINER TYPE Ambient ~ER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 11500.00 GAL 5500.00 GAL t1t~GijttUVUJ <:Vl~ir~lvL'1v15 oWt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476346 99.90 Middle Distillate Solvent No 68814879 99.90 Hydrotreated Middle Distillate No 64742467 0.64 Benzene No 71432 tiHGE~KL A~~t55J1~1L;1V 1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -10- 07/11/2007 F GOSFORD SHELL SiteID: 015-021-000670 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 02/20/2002 STATION EMPLOYEE WILL NOTIFY THE MANAGER OR DEALER WHO WILL THEN INVESTIGATE. THE MAINTENANCE CONTRACTOR WILL BE NOTIFIED IF DETERMINED THAT REPAIRS ARE NECESSARY. THE LOCAL AGENCY WILL BE NOTIFIED IF A LEAK HAS OCCURRED. IF THE SPILL IS SERIOUS, EMPLOYEE WILL CALL 911 AND THEN THE MANAGER AND SUPERVISOR OR SH&E COMPLIANCE COORDINATOR WHO WILL NOTIFY THE OFFICE OF EMERGENCY SERVICES AT 800-852-7550. 9 Employee Notif./Evacuation 04/20/2006 THE MANAGER, ASSISTANT MANAGER OR CLERK/CASHIER WILL NOTIFY ALL OTHER EMPLOYEES AND/OR CUSTOMERS; EVACUATE TO PRE-DESIGNATED MEETING AREA, SHOWN ON SITE MAP; CALL 911 FROM NEAREST, SAFEST PHONE. Public Notif./Evacuation 04/20/2006 EMPLOYEES HAVE BEEN INSTRUCTED TO ASSIST CUSTOMERS IN VACATING PREMISIS TO PRE-DESIGNATED MEETING AREA; DIAL 911 FORM NEAREST, SAFEST PHONE. Emergency Medical Plan 04/20/2006 ONSITE FIRST AID KIT WILL BE USED AS NEEDED. IF INJURIES ARE SERIOUS AND REQUIRE MORE THAN BASIC FIRST AID, THE INJURED PARTY WILL BE TRANSPORTED TO THE NEAREST MEDICAL FACILITY: MEMORIAL HOSPITAL, 327-4647. FIRE DEPARTMENT 911; POLICE DEPARTMENT 911; PARAMEDICS 911; AND OFFICE OF EMERGENCY SERVICES 800-852-5502. -11- 07/11/2007 F GOSFORD SHELL SiteID: 015-021-000670 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/31/2006 ~ AUTOMATIC SHUT-OFF NOZZLES FOR FUEL DISPENSING IMPACT SHUT-OFF VALVES UNDERNEATH DISPENSERS. AUTOMATIC SHUT-OFF SWITCHES ON EXTERIOR OF BLDG FOR DISPENSERS. SHUT-OFF SWITCH AT CASHIERS CONSOLE. Release Containment 04/20/2006 EMPLOYEES ARE TRAINED TO USE KITTY LITTER, ABSORBENT SOCKS OR SIMILAR MATERIALS TO CONTAIN MINOR SPILLS. MAJOR SPILLS, CALL 911. Clean Up 04/20/2006 MINOR SPILLS ARE CLEANED UP WITH KITTY LITTER AND/OR ABSORBENT SOCKS. MAJOR SPILLS ARE CLEANED UP BY THE CONTRACTOR, L C SERVICES. THE FIRE DEPARTMENT IS NOTIFIED IF THE SPILL IS MAJOR. V1.11C1 ncsVULLC til.:VlVClL1V11 -12- 07/11/2007 F GOSFORD SHELL SiteID: 015-021-000670 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ JYCl:1dl 17dGd1l.l~ Utility Shut-Offs ELECTRICAL - BACK SIDE OF BLDG WATER - ALONG WHITE LN 04/04/2007 Fire Protec./Avail. Water 11/30/2006 PRIVATE FIRE PROTECTION - DRY CHEMICAL PORTABLE EXTINGUISHER IN FOOD MART AND CANOPY COLUMN AT ISLAND. NEAREST FIRE HYDRANT - SIDEWALK S SIDE. Building Occupancy Level 5 EMPLOYEES 03/23/2006 -13- 07/11/2007 F GOSFORD SHELL SiteID: 015-021-000670 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 06/14/2006 ~ MSDS SHEETS ON FILE AT THIS FACILITY IN A 3-RING BINDER IN CASHIER AREA. BRIEF SUMMARY OF TRAINING PROGRAM: SENIOR EMPLOYEE OR MANAGER IS RESPONSIBLE FOR TRAINING NEW EMPLOYEES. THE NEW EMPLOYEE IS TAKEN ON A TOUR OF THE STATION AND IS SHOWN THE LOCATION OF AND HOW TO USE FIRE EXTINGUISHERS, KITTY LITTER/ABSORBENT SOCKS, EMERGENCY SHUT-OFF (ON BUILDING AND ON CONSOLE), AND THE PROTOCOL TO FOLLOW FOR HANDLING EMERGENCY NOTIFICATIONS AND CALLS. THE NEW EMPLOYEE IS INFORMED ABOUT SAFE HANDLING OF GASOLINE AND PORTABLE GAS CONTAINERS SAFETY. A TRAINING CHECKLIST IS KEPT ON FILE AND PERIODIC FOLLOW-UP TRAINING IS CONDUCTED ON A SCHEDULED BASIS. rayC ~ nciu ivl. ru~uiC ~5C -14- 07/11/2007 .: , ~~~ F GOSFORD SHELL SiteID: 015-021-000670 Fast Format ~ Training Overall Site RC1lA 1V,L ruI. UIC V5C -15- 07/11/2007 -.~ Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST B ,;,: 5 F t D 9o0Truxtun Ave., suite 210 _ ~._ . __ __ _ _ _ __ .__ ___ FARE .. _ _ Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program "~'M r Tel.: (661) 326-3979 Fax: (661) 872-2171 F ILITY N INSPECTION DATE ~ INSPECTIO TIME ~,~ t ~ ~~ , ~ o~ ~o A ESS N'0 So ~ 2~ S ~ P ONE NO. ~33 _~~Z, O OF E YEES o Ca2 ~ FAClL{TY CONTACT BUSINESS ID NUMBER 15-021- ~~Q Section 1: Business Plan and Inventory Program ^ ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (c=compliance OPERATION V=Violation MMENTS APPROPRIATE PERMIT ON HAND ~,G~~ /~,,, ~N v„~~ ^ BUSIn2SS PLAN CONTACT INFORMATION ACCURATE .~$ ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ~ ^ VERIFICATION OF INVENTORY MATERIALS ` MI5' ^ VERIFICATION OF QUANTITIES /~ ^ VERIFICATION OF LOCATION ~~ ^ PROPER SEGREGATION OF MATERIAL ~ ~~' ~ ^ VERIFICATION OF MSDS AVAILABILITY ~ ^ VERIFICATION OF HAZ MAT TRAINING ~ n~' lVJ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~~ JoC-COIL /LOa~ 9'1 V ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ ~ FIRE PROTECTION ^ ~ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ~ NO EXPLAIN: b~aC QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (667) 326-3979 ~ ~ ~~ Inspector (Please Print) Fire Prevention / 1~' In /Shift of Site/Station # `'Business Site /Responsible arty (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ~'"- . .. INSPECTIONS BUSINESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST FACILITY NAME: SMELL B I E R S F I L D F/IirE A/PTM T BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 INSPECTION DATE: ~1 14 b 6 Section 2: Underground Storage Tanks Program ^ Routine ~ Combined ^ Joint Agency ^ Multi-Agenc ~ C mplaint ^ Re-Inspection Type of Tank ~ ~' ~~' ~"1 ~i S Number of Tanks _ Type of Monitoring Type of Piping jaaeas~ Rc Do~.,~~ Wal~l^ OPERATION C V COMMENTS Proper tank data on file Proper owner /operator data on file ~ .r Ns~ d„` (~ ,,, '- Permit fees current Certification of Financial Responsibility ~-a-v~,or N o Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? ^ Yes ~ No Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank Aggregate Capacity Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF?) If yes, does tank have overfill I overspill protection? C =Compliance V =Violation Y =Yes N = No Inspector: G~G~'~--r"" ~ ~'~ Questions regarding this inspection? Please call us at (661) 326-3979 White -Prevention Services /~ Business Site Responsible arty Pink -Business Copy id z~ KBF-7335 FD 2156 (Rev. 09/05) 1 '~?C?~O i . 1 it ~lUSU Gt ~ ~.: n '. ?US3443963U5UUl ~ ~ ~, T' 1 : kEGULHk- -1 '~:?~--~LCIh'lE = 556? Gr~LE ' ULLFiGE = 6Ur,U GrL - ~~t7~=~t:~LLr"ii;E= 48y? ~r;LS WEIGHT' ~` .-:= 4 ~ . ~?, - [ IV~'HES , h1F=;TER ti,~'L = ~-'0 GHLS I.~HTEk = U . UU I I'Ji~ HES TEf°i F' = 69.6 LiF.Cd F T '~ : kE~:aULti~ -? +:;t~LUI°lE = 5676 Gr~L=; iJL~tF~GE = 4U52 GtiL'ti ~ g0:~, ULLriaE= 3LI?`~ i;FiL.'c3 HEIGHT = 5'~ . U5 I Ni~HE~J WrTEk L?~?L. = f U i;r~;i.;; WF~TF'k' = 0 . C1U I fVC'HE: - TEI`91'' •- 64.'~ L?Ei~ F ,~y fr ;~ : k'I,'~t~P! I Uf~l St~LUP1t" = 383' iaHL.:' ~I~.L,;~ rE', = 589E ;hL - irJJ I ~1__L.r?~.:I=- ~1`jc3 i;hL.:; . I-lEl~~.:;!il' _ ~J.3u IPJ~'HEE ' 6~IFfiTR '. = i I . Ui_I I NC'HE5 'LE~I° ~ E~6.9 UEG F ~ '~ -~~ T ';~~ : L~ l I~ ~T1_ VJLUI'1F. 2365 CarL~ ULLHGE _ ?363 ia~LS 9U`;; I_ILLr;GE= 6390 GtiL:~ HEIGHT = '~6.8? I f1GHE~ IJHTER = 0 . il0 l Pd~='tll: ; ~- -TEf°1F' ~ = 6i i ~~C~E:~=; F I ~ ~ L_ - 1"1hfV 1 FC'+L.l)Eli Tr-tPJly~~~ ' 1 NVF.PlT.>R'~,' TU"Tr~L=:~~ T 1:kEGULtiR-1 \:~ T - : kEGIJLr;k-'~' ~ ~ ~ ~ ..~ 121224 /`' UNIFIED PROGRAM CONSOLIDATED FOR '7U FACILITY INFORMATION BUSINESS ACTIVITIES ~x~ Pase ~ of ~ ~ I. FACILITY IDENTIFICATION FACILITY ID# 1 EPA ID# (Hazardous Waste Only) 2 BUSINESS NAME (Same as FACILITY NAME or DBA-Doing Business AS) 3 Shell Oil #121224 dba: Yan 's Oil Cor oration '7b~~ JG 1. ACTIVITIES DECLARATION N E: I you chec E to any part o this ist, please s ubmit the Business Owner/Operator Identification page (OES .Form 2730). Does your facility:,. If Yes, please'complete these pages of the UPCF:.. A. HAZARDOUS MATERIALS Have on site (for any purpose) hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for compressed gases (include liquids in ASTs and USTs); or the l ld f l d ©YES ~ NO 4 ~ HAZARDOUS MATERIALS INVENTORY - applicab e Federal thresho quantity or an extreme y hazar ous CHEMICAL DESCRIPTION(OES 2731) substance specified in 40 CFR Part 355, Aappendix A or B; or handle radiological materials in quantities for which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or 70? B. UNDERGROUND STORAGE TANKS (USTs) ©YES ^ NO 5 ~ UST FACILITY (Formerly SWRCB Form A) 1. Own or operate underground storage tanks? UST TANK (One page per tank) (Formerly Form B) 2. Intend to upgrade existing or install new USTs? ~ YES ©NO 6 ~ UST FACILITY UST TANK (One per tank UST INSTALLATION -CERTIFICATE OF COMPLIANCE(one page per tank)(Formerly Form C) 3. Need to report closing a UST? ~ YES ©NO 7 ~ UST TANK (closure portionone page per tank) C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs) Own or operate ASTs above these thresholds: ---any tank capacity is greater than 660 gallons, or ~ YES ©NO 8 ~ NO FORM REQUIRED TO CUPAS ---the total capacity for the facility is greater than 1,320 gallons? D. HAZARDOUS WASTE 1. Generate hazardous waste? ©YES ^ NO g ~ EPA ID NUMBEF~-provide at the top of this page 2. Recycle more than 100 kg/month of excluded or exempted ~ YES ©N015 ~ RECYCLABLE MATERIALS REPORT recyclable materials (per HSC ~ 25143.2)? (one per recycler) 3. Treat hazardous waste on site? ~ YES ©N011 J ONSITE HAZARDOUS WASTE TREATMENT -FACILITY (Formerly DTSC Form 1772) ONSITE HAZARDOUS WASTE TREATMENT-UNIT(one page per unit) (Formerly DTSC Form 1772A,B,C,D, and L) 4. Treatment subject to financial assurance requirements (for Permit ~ YES ©N012 ~ CERTIFICATION OF FINANCIAL by Rule and Conditional authorizaton)? ASSURANCE(Formerty DTSC Form 1232) 5. Consolidate hazardous waste generated at a remote site? ~ YES ©N013 ~ REMOTE WASTE/CONSOLIDATION SIT ANNUAL NOTIFICATION (Formerly DTSC Form 1232) 6. Need to report the closure/removal of a tank that was classified as ~ YES ©N014 ~ HAZARDOUS WASTE TANK CLOSURE hazardous waste and cleaned onsite? CERTIFICATION (Formerly DTSC Form 1249) E. LOCAL REQUIREMENTS 15 (You ma also be re uir d to dditi ide l i f ti b CUPA l l ~~~~~ ~ ~' ` ~ ~ ~0~6 y q prov e a ona n orma on y your or oca agency.) UPCF (1/99) 121224 UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATI ON BUSINESS OWNER/OPERATOR IDENTIFICATION Page Z of / 0 I. IDENTIFICATION 1 BEGINNING DATE 100 ENDING DATE FACR,TTY ID# 101 ~ 1 /1 /2006 12/31 /2006 (BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BUSINESS PHONE 102 Shell Oil #121224 dba: Yang's Oil Corporation 661-833-4002 BUSINESS SITE ADDRESS 103 4050 Gosford Road CI7'y 104 CA ZIP CODE 105 Bakersfield 93309-7692 DUN BRADSTREET 106 SIC CODE (4 digit #) 107 00-429-4737 5541 COUNTY 108 Kern BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 William Yang 562-900-0809 II. BUSINESS OWNER 111 OWNER. NAME OWNER PHONE 112 Yan 's Oil Cor oration g p 562-900-0809 OWNER MAILING ADDRESS 113 4050 Gosford Road CITY 114 STATE 115 ZIP CODE 116 Bakersfield CA 93309 III. ENVIItONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE 118 Tim Woodson 925-766-3494 CONTACT MAILING ADDRESS 119 2401A Waterman Blvd #4-257 CITY 120 STATE 121 ZIP CODE 122 Fairfield CA 94533 PRIMARY IV. EMERGENCY CONTACTS SECONDARY NAME 123 NAME 128 William Yang Susan Yang TTfLE 124 TITLE 129 Dealer Dealer BUSINESS PHONE 125 BUSINESS PHONE 130 562-900-0809 818-425-1003 24-HOUR PHONE 126 24-HOUR PHONE 131 818-363-5120 818-363-5120 PAGER# 127 PAGER# 132 ADDITIONAL LOCALLY COLLECTED INFORMATION: Certification: Based on-my`inquiry of th e'indi. 'duals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and belie the inform n is true, accurate, and complete. SIGNATURE OF O ER/_OPE R DAT 1 NAME OF DOCUMENT PREPARER 135 _~ ` ; RHL DESIGN GROUP, INC. -ENVIRONMENTAL DEP T, NAi1dE~QF-SIGNER'(n 1 ! /' 136 1'i' , . F SiGNFR 137 i COT: CORO UPCF (7/00 revised) 167 OES FORM 2730 (1/9 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION One page per material per building or area) ADD DELETE X REVISE - 200 Page 3 of ~ p I. FACILITY INFORMATION BUSINESS NAME Shell Oil #121224 dba: Yang's Oil Corporation 121224 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 East side of the site EPCRA X YES O 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID# 1 F5 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET Yes X o 206 PETROLEUM HYDROCARBON If Subject to EPCRA, refer to instructions COMMON NAME 207 AR UNLEADED GASOLIN REG EHS ^Yes ^X No 208 UL E CAS# 209 g006-61-9 If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 I-B FLAMMABLE LIQUID HA7_.ARD MATERIAL 211 PURE ^X b MDCTURE ^ c WASTE ^ a TYPE C'h k i 212 RADIOACTNE ^Yes X^No CURIES 213 . . . ~ ec one tem PHYSICAL STATE 214 ^ a. SOLID ^X b. LIQUID ^ c. GAS LARGEST CONTAINER 1 ~ ~~~ 215 (Check one item only) FED HAZARD CATEGORIES a a. FIRE ^ b. REACTNE ^ c.PRESSURE RELEASE ~ d. ACUTE HEALTH ~ e.CHRONIC HEALTH 216 (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 11000 19000 UNITS* X a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 221 DAYS ON SITE: 222 (Check one item only) 365 STORAGE a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM m. GLASS BOTTLE o. RAIL CAR CONTAINER X b. UNDERGROUND TANK f. CAN '. BAG n. PLASTIC BOTTLE p. OTHER c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO 1. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ^X a• AMBIENT ^b. ABOVE AMBIENT ^c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a• AMBIENT ^b. ABOVE AMBIENT ^c. BELOW AMBIENT ^d• CRYOGENIC 225 °/nWT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# I 100 226 GASOLINE 227 ^Yes ^X No 228 8006-61-9 229 2 0_25 230 XYLENE, MIXED ISOMERS 231 ^1'es ^X I~Io 232 1330-20-7 233 3 5-9.99 234 ETHANOL 235 ^Yes ^X No 236 64-17-5 237 4 0-25 238 TOLUENE 239 ^Yes ^X I•Io 240 108_88_3 241 5 0-5 242 1, 2, 4-TRIMETHYL BENZENE 243 ^Yes ^X No 244 95-63-6 245 If more hazardous components are present at greater than I % by weight if non-cazcinogenic, or 0.1 % by weight if cazcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (I/99) 169 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION One page per material per building or area) ADD DELETE X REVISE 200 Page ~ of / CJ I. FACILITY INFORMATION BUST?`'ESS NAME Shell Oil #121224 dba: Yang's Oil Corporation 121224 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 East side of the site EPCRA X YES O 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID# 1 F5 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE S ECRET Yes X o 206 PETROLEUM HYDROCARBON If Subject to EPCRA, refer to instructions (COMMON NAME 207 EHS ~YeS ~X No 208 PREMIUM UNLEADED GASOLINE CAS# 209 8006-61-9 If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requ'ned by CUPA) 210 I-B FLAMMABLE LIQUID HAZARD MATERIAL 211 PURE ^X b MDCTURE ~ c ~ a WASTE TYPE Ch it k RADIOACTNE ^ Yes 212 ~X No CURIES 213 . . . ( one em ec PHYSICAL STATE ~ a. SOLID a b. LIQUID ~ c. GAS 214 LARGEST CONTAINER 1 Q QQQ 215 (Check one item only) FED HAZARD CATEGORIES X^ a. FIRE ~ b. REACTNE ~ c.PRESSURE RELEASE ~X d. ACUTE HEALTH ~X e.CHRONIC HEALTH ll 216 (Check a that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 6000 9500 UNTTS* ^X a. GALLONS ~ b. CUBIC FEET ~ c. POUNDS ~ d. TONS 221 DAYS ON SITE: 222 (Check one item only) 365 STORAGE a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM m. GLASS BOTTLE o. RAIL CAR CONTAINER X b. UNDERGROUND TANK f. CAN ', BAG n. PLASTIC BOTTLE Bp. OTHER c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO I. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ^X a• AMBIENT ~b. ABOVE AMBIENT ~c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a• AMBIENT ~b. ABOVE AMBIENT ~c. BELOW AMBIENT ^d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# 1 100 226 GASOLINE 227 Wes ^X I~lo _ u 228 8006-61-9 229 2 0-25 230 XYLENE, MIXED ISOMERS 231 ^y es X~Io 232 1330-20-7 233 3 5-9.99 234 ETHANOL 235 ^yes X^I.lo l'" 236 64-17-5 237 4 0-25 238 TOLUENE 239 ^1'es~X N o 240 108-88-3 241 5 0-5 242 1, 2, 4-TRIMETHYL BENZENE 243 ^Yes ^X No 2~ 95-63-6 245 If more hazardous components are presrnt a[ greater than I % by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION One page per material per building or area) ADD DELETE X REVISE 200 Page ~ of p I. FACILITY INFORMATION BUSINESS NAME Shell Oil #121224 dba: Yang's Oil Corporation 121224 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 East side of the site EPCRA X YES O 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID# 1 G5 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET Yes X o 206 PETROLEUM HYDROCARBON [f Subject to EPCRA, refer to instructions COMMON NAME 207 EHS Yes ^X t~1o 208 DIESEL FUEL #2 CAS# 209 68476-34-6 If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requ'ved by CUPA) 210 II-COMBUSTIBLE LIQ HAZARD MATERIAL 211 MDCTURE ~ c WASTE PURE ^X b ~ a TYPE Ch k i 212 RADIOACTNE ^ Yes ~X No CURIES 213 . . . ( ec one tem PHYSICAL STATE 214 ~ a. SOLID ^X b. LIQUID ~ c. GAS LARGEST CONTAINER 12 ~~~ 215 (Check one item only) , FED HAZARD CATEGORIES a a. FIRE ~ b. REACTNE ~ c.PRESSURE RELEASE ^X d. ACUTE HEALTH ^X e.CHRONIC HEALTH 216 (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 5500 11500 UNITS* ^X a. GALLONS ~ b. CUBIC FEET ~ c. POUNDS ~ d. TONS 221 DAYS ON SITE: 222 (Check one item only) 365 STORAGE a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM m.GLASS BOTTLE o. RAIL CAR CONTAINER X b. UNDERGROUND TANK f. CAN '. BAG n. PLASTIC BOTTLE p. OTHER c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO 1. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ^X a• AMBIENT ~b. ABOVE AMBIENT ~c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a• AMBIENT ~b. ABOVE AMBIENT ~c. BELOW AMBIENT ^d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# I 100 226 #2 Diesel 227 ^1'es ^X No 228 68476-34-6 229 2 0-99.9 230 Middle Distillate 231 ~'es ^X I~Io 232 68814-87-9 233 3 0-99.9 234 Hydrotreated Middle Distillate 235 ^Yes ~X No 236 64742-46-7 237 4 0-40 238 Lt. Catalytic Cracked Distill. 239 ^Yes ^X No 240 64741-59-9 241 5 <0.64 242 Benzene 243 ^Yes ^X No 2~ 71-43-2 245 If more hazardous components aze present at greater than 1 % by weight if non-carcinogenic, or 0, I % by weight if carcinogenic, attach additional sheets of paper capturing the requ'ved information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCP (1/99) 169 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION One page per material per building or area) ADD DELETE X REVISE 200 Page of p I. FACILITY INFORMATION BUSINESS NAME Shell Oil #121224 dba: Yang's Oil Corporation 121zza 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 North side of the store EPCRA X YES O 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID# 1 E3 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET Yes X o 206 Liquified Petroleum Gas If Subject to EPCRA, refer to insttvctions COMMON NAME 207 EHS ^Yes ^X No 208 PROPANE CAS# 209 74-98-6 If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requned by CUPA) 210 I-A FLAMMABLE LIQUID HAZARD ~ RATERIAL 211 PURE ^X b MIXTURE ^ c WASTE ^ a it TYPE Ch k RAD[OACTNE ^Yes 212 ^X No CURIES 213 . . . one em ( ec PHYSICAL STATE ^ a. SOLID ^X b. LIQUID ^ c. GAS 214 LARGEST CONTAINER 5 215 (Check one item only) FED HAZARD CATEGORIES ~ a. FIRE ^ b. REACTNE ^X c.PRESSURE RELEASE ^X d. ACUTE HEALTH ^ e.CHRONIC HEALTH 216 (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 50 70 UNTTS* ^X a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 221 DAYS ON SITE: 222 (Check one item only) 365 R1Q STORAGE a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM m. GLASS BOTTLE o. RAIL CAR CONTAINER b. UNDERGROUND TANK £ CAN '. BAG n. PLASTIC BOTTLE ^p. OTHER c. TANK INSIDE BUII.DING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SIIA X I. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ^ a. AMBIENT ^X b. ABOVE AMBIENT ^c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a• AMBIENT ^b. ABOVE AMBIENT ^c. BELOW AMBIENT ^d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# I 95-100 226 PROPANE 227 ^Yes ^X No u _ 228 74-98-6 229 2 0-10 230 Propylene 231 ^Y es ^X IVo 232 115-07-1 233 3 0-5 234 BUTANE 235 eyes ^X No 236 106-97-8 237 4 0-0.5 238 Butene 239 ^Yes ^X No 240 25167-67-3 241 5 242 243 ^Yes ^X No 244 245 If more hazazdous components are present at greater than 1 % by weight ifnon-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the requved information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (1199) 169 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION - One page per material per building or azea) ADD DELETE X REVISE 200 Page -~of /p I. FACILITY INFORMATION BUSINESS NAME Shell Oil #121224 dba: Yang's Oil Corporation 121224 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 Car Wash Tunnel EPCRA X YES O 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID# ~ 1 B4 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET Yes X o 206 RYKO WHITE FOAM CAR WASH DETERGENT If Subject to EPCRA, refer [o instructions COMMON NAME 207 Exs Yes ^X I~lo 208 CAR WASH DETERGENT CAS# 209 7732-18-5 If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARD MATERIAL 211 PURE ^X b MDCTURE ~ c WASTE ~ a PE Ch i k 212 RAD[OACTNE ^ Yes ~X No CURIES 213 . . . ( one TY ec tem PHYSICAL STATE 214 ~ a. SOLID a b. LIQUID ~ c. GAS LARGEST CONTAINER 30 215 (Check one item only) FED HAZARD CATEGORIES ^ a. FIRE ~ b. REACTNE ~ c.PRESSURE RELEASE ~ d. ACUTE HEALTH ^X e.CHRONIC HEALTH 216 (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 _ __ 15 30 UNITS* ^X a. GALLONS ~ b. CUBIC FEET ~ c. POUNDS ~ d. TONS 221 DAYS ON SITE: 222 (Check one item only) 365 STORAGE a. ABOVE GROUND TANK X e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM o. RAIL CAR m.GLASS BOTTLE CONTAINER b. UNDERGROUND TANK f. CAN '. BAG e n. PLASTIC BOTTLE p. OTHER c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO 1. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ^X a• AMBIENT ~b. ABOVE AMBIENT ~c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a• AMBIENT ~b. ABOVE AMBIENT ~c. BEIAW AMBIENT ^d. CRYOGENIC 225 °/nWT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# 1 75-95 226 WATER 227 ~l'es ~X No 228 7732-18-5 229 2 10-25 230 SOAP 231 Yes ~X No 232 TRADESECRET 233 3 <1 234 PRESERVATIVE 235 yes ^X No 236 TRADESECRET 237 4 <1 238 SALT 239 Wes ~X No 240 TRADE SECRET 241 5 <1 242 DYE 243 ^Yes ~X 110 244 MIXTURE 245 If mme hazardous components are present at greater than 1 % by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION One page per material per building or area) ADD DELETE X REVISE 200 Page ~ of ~O I. FACILITY INFORMATION BUSINESS NAME Shell Oil #121224 dba: Yang's Oil Corporation 121224 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 Car Wash Tunnel EPCRA YES X O 1 MAP# (optional) 203 GRID# (optionaQ 204 FACILITY ID# ~ 1 B4 - - IL CHEMICAL INFORMATION _ CHEMICAL NAME 205 TRADE SECRET Yes X o 206 RYKO RED FOAM CAR WASH DETERGENT If Subject to EPCRA, refer to instructions COMMON NAME 207 A ETE NT EHS ~ves X^No 208 CAR W SH D RGE CAS# 209 7732-18-5 If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARD MATERIAL 211 PURE ~X b MDTURE ~ c WASTE ~ a Ch T E k i 212 RADIOACTNE ^ Yes ~X No CURIES 213 . . . YP ( ec one tem PHYSICAL STATE 214 ^ a. SOLID ~ b. LIQUID ~ c. GAS LARGEST CONTAINER 30 215 (Check one item only) FED HAZARD CATEGORIES ^ a. FIRE ~ b. REACTNE ~ c.PRESSURE RELEASE ~ d. ACUTE HEALTH ^X e.CHRONIC HEALTH 216 (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 15 30 UNITS* ~X a. GALLONS ~ b. CUBIC FEET ~ c. POUNDS ~ d. TONS 221 DAYS ON SITE; 222 (Check one item only) 365 STORAGE a. ABOVE GROUND TANK X e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM o. RAIL CAR m.GLASS BOTTLE CONTAINER e b. UNDERGROUND TANK f. CAN '. BAG n. PLASTIC BOTTLE p. OTHER c. TANK INSIDE BUH.DING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO 1. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ^X a• AMBIENT ~b. ABOVE AMBIENT ~c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a. AMBIENT ~b. ABOVE AMBIENT ^c. BELOW AMBIENT ^d. CRYOGENIC 225 °/nWT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# 1 75-95 226 WATER 227 ~~ nV ,,,0 228 ' LLJJ '~~ 7732-18-5 229 2 10-25 230 SOAP 231 o 232 ^1'es ^X Id TRADESECRET 233 3 <1 234 PRESERVATIVE 235 Wes ^X No 236 TRADESECRET 237 4 <1 238 SALT 239 Yes ^X No 240 TRADE SECRET 241 5 <1 242 DYE 243 Yes ^X I~lo 244 MIXTURE 245 If more hazardous compoornts are presrnt at greater than I % by weight ifnon-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the requved information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 li If EPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION One page per material per building or area) ADD DELETE X REVISE 200 Page ~ of Iv I. FACILITY INFORMATION BUSINESS NAME Shell Oil #121224 dba: Yang's Oil Corporation 121224 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 Car Wash Tunnel EPCRA YES X O _ _ 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID# ~ 1 B4 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET Yes X o 206 RYKO YELLOW FOAM CAR WASH DETERGENT If Subject to EPCRA, refer to instructions COMMON NAME 207 EHS Yes ~X No 208 CAR WASH DETERGENT CAS# 209 7732-18-5 If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARD MATERIAL 211 PURE X^ b MIXTURE ~ c WASTE ~ a TYPE Ch k it RADIOACTNE ^ Yes 212 X^No CURIES 213 . . . ec em ( one PHYSICAL STATE ~ a. SOLID X~ b. LIQUID ~ c. GAS 214 LARGEST CONTAINER 30 215 (Check one item only) FED HAZARD CATEGORIES ~ a. FIRE ~ b. REACTNE ~ c.PRESSURE RELEASE ~ d. ACUTE HEALTH ~ e.CHRONIC HEALTH 216 (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 15 30 UNITS* ~X a. GALLONS ~ b. CUBIC FEET ~ c. POUNDS ~ d. TONS 221 DAYS ON SITE: 222 (Check one item only) 365 STORAGE a. ABOVE GROUND TANK X e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM m.GLASS BOTTLE 0. RAIL CAR CONTAINER 8 b. UNDERGROUND TANK f. CAN '. BAG n. PLASTIC BOTTLE p. OTHER c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO 1. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ^X a• AMBIENT ~b. ABOVE AMBIENT ~c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a• AMBIENT ^b. ABOVE AMBIENT ~c. BELOW AMBIENT ^d. CRYOGENIC 225 ",4,WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# 1 75-95 226 WATER 227 ^1'es ~X I.lo LJ " 228 7732-18-5 229 2 10-25 230 SOAP 231 (~,, 0 ~'es J"' L 232 TRADESECRET 233 3 <1 234 PRESERVATIVE 235 ^X I~1 Wes o 236 TRADESECRET 237 4 <1 238 SALT 239 ^Yes ~X No 240 TRADE SECRET 241 5 <1 242 DYE 243 ^Yes ^X No 244 MIXTURE 245 If more hazardous components are present at greater than I % by weight ifnon-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEM ICAL DESCRIPTION One page per material per building or area) ADD DELETE X REVISE 200 Page , O of / D I. FACILITY INFORMATION BUSINESS NAME Shell Oil #121224 dba: Yang's Oil Corporation 12122a 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 Car Wash Tunnel EPCRA YES X O 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID# ~ 1 64 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET Yes X o 206 RYKO BLUE FOAM CAR WASH DETERGENT If Subject to EPCRA, refer to instructions COMMON NAME 207 EHS Yes ^X No 206 CAR WASH DETERGENT CAS# 209 7732-18-5 If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requ'ved by CUPA) 210 HAZARD MATERIAL 211 MD{TURE ~ c PURE ^X b WASTE ~ a TYPE Ch k i RADIOACTNE ^ Yes 212 ~X No CURIES 213 . . . ( ec one tem PHYSICAL STATE 214 ^ a. SOLID ~ b. LIQUID ~ c. GAS LARGEST CONTAINER 30 215 (Check one item only) FED HAZARD CATEGORIES ^ a. FIIZE ~ b. REACTNE ~ c.PRESSURE RELEASE ~ d. ACUTE HEALTH ~X e.CHRONIC HEALTH 216 (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 15 30 UNITS* ^X a. GALLONS ~ b. CUBIC FEET ~ c. POUNDS ~ d. TONS 221 DAYS ON STI'E: 222 (Check one item only) 365 STORAGE a. ABOVE GROUND TANK X e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM o. RAIL CAR m.GLASS BOTTLE CONTAINER e b. UNDERGROUND TANK f CAN •. BAG n. PLASTIC BOTTLE p. OTHER c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO I. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ~X a• AMBIENT ~b. ABOVE AMBIENT ~c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a• AMBIENT ~b. ABOVE AMBIENT ~c. BELOW AMBIENT ^d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# I 75-95 226 WATER 227 ~~ nY ,,,0 ' ~ LL''JJ '~ 228 7732-18-5 229 2 10-25 230 SOAP 231 Wes ^X I~ ] 0 232 TRADESECRET 233 3 <1 234 PRESERVATIVE 235 ~'es ^X No 236 TRADESECRET 237 4 <1 238 SALT z39 (~,~ L^_J'"o J I L J'" 240 TRADE SECRET 241 5 <1 242 DYE 243 ^ ^X N Yes o 244 MIXTURE 245 If mme hazardous componrnts are presrnt at greater than I % by weight if non-cazcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the requved information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 ~Y~~?f~ ~ "SummerG~r~e~Fick ~-~ ~ ~ tlkanagan Gt ~ i ,~ _.. __. ~._ ~~0'4, Pagosa Ct Fridlewogd ~>y ! k:elwona UJay ~ ~~ ysr5~a ^ L~,7v A, " ~ ~; _ ~ ,. pfd fi'."-r ?~ chbrtCt ~ La~tC'r C"T' Pullman 4Nay °'#A Landover k,.n 5e " _s .~___ ~/~,~ hB~~ ~_.; ~~ d~~: ~.=an7e~ 5 Laurelglen~lvd' _ ~~ o~,~ n,~r~ ...r `S',~r " ,9P~" /~a ~a<, ipuvlch Way , ndaiian'~gY ~'.a. HanOV'pr Crt ~ v0 f K~ d o+ ~ _-C3 1 O q ,~ °~a f~ lndran Ctaver Ct ~ i r O <~ Fr ~ ~ a- ~ak4up pr ~y ti vj ~- c ~'a ~o~ Qo ~ ..: 4~~f Y~,~e~o ter ~2y ~ v ~ ~ "~. ,, m~~ ~ ~" ~~ ~ _ q u~~~ ' ~ `, ~ ~. Of 3 c°.rf ~ RuskonLn - e~ ..~: °'~ o~ o'U~~ ar, ~ ~ Q yrg h Pnisimmon Or ~hal6y Loop S ~ ~~r` ~~ ~ ~; carc Bfack. Knat Ct ~ h,~ ~, ~ fjp c~ f dot Iberia Ct OrleansLn ,lc'r ~~p~fCrabAppleCt ~~ ~ NatehltocheslNay ~ ~5r7~ ~ ~ _ ~!'J~ftCe ~fI ~ s, ~~- nine;hYe4df7r Laborough Dr cww L0 H e l l ows Ave ~~ x ¢ ~enyY Ct IulcNair Ln Schirra Ct s - . .__. .. ~A~tieG~~ ~1 m ~akrnsDr ~ ~ _ c~o~r'~' ~ ~faas.~m Dr c - rn " ~ °D'nR l,.a ~t'~ ; .,tU~rt Gt v aNsti+r ~ ~~ `"i,~ S8r -= <y~ iolcDivitt Dr ~a,~ tJistricf B)t:d C~ t~ ~ br U c ~a~ ~ ~flbile~.. ~'~ o ~ ~ J ._ .. .. ,. ,. .. ,. ~ ~ X7 .' ~ VJoireli C7' a. ~ ~ '` °` Southern Pacific - ~-1 X00 fll 'Pacheco Rd Gosfard r- ~ 1 000 ft ,Hidden ~ridg4 U~ 0 2©i~a Yah o c? f n c _ I r, ©2005 NXIUTEQ AP# 1 CALIFORNIA ANNOTATED SITE MAP PREPARED BY: BUSINESS NAME SHELL OIL PRODUCTS 121224, DBA~ YANG'S OIL CORPORATION # DATE 1 /31 /2006 i6N Gxour dxc BUSINESS ADDRESS 4050 GOSFORD ROAD BAKERSFIELD ZIP CODE 93309 DRAWING SCALE NOT TO SCALE A B C D E F G H MAP SYMBOLS - BANK /SHOPPING CENTER O ELECTRICAL PANEL E NORTH SHUT-OFF 1 I PLANTER O NATURAL GAS SHUT-OFF I I ^W WATER SHUT-OFF I EMERGENCY PUMP O PARKING LOT SHUT-OFF TMA TANK MONITORING `~ ALARM ~ TELEPHONE ,~ \i ~ _ _ _ ~ FIRST AID KIT 2 \ - - - - - - ~ FIRE EXTINGUISHER \ ~ r ~ I ~ \ \ ~ r____________ ______ I f~1 ~l ~ ___, I ® STORM DRAIN SANITARY SEWER ® ~ ` I Lr-._J L-~J ~ I STORAGE I Z I ERE ~ STAGING AREA EVACUATION/ I ~ I I ~ I I HMMP HMMP, AND MSDS I I~ ~ I a i MSDS LOCATION 3 ` OP I I ~ I TRASH ~I ENCLOSURE ~, FIRE HYDRANT 1500 GAL C_LA_RIFIER I OP FOODMART BUILDING ^ °p ~ ->~x- FENCE J Q r ~ I I ^^^ ~ I F a I O I PLANTER EMERGENCY RESPONSE ERE O EQUIPMENT/ABSORBENTS S ® I I TMA ~ ~ I CW L _ _ _ _ J I HMMP c I I I ^ ABOVEGROUND ~ ~ I I MSDS _ ~ ~ STORAGE TANK ~-~ 4 W ~ CAR WASH I O ~ I ,~ I i I I ~~ ~ I I UNDERGROUND - ~ STORAGE TANK ~ ~ i ~\ O I / P~ , , ~ I ~~ OG ~~~~ / _ / O GASOLINE (n I I ~~ 000 ~~~~ Gp~ ~~~ ~I I ~ ~ (FLAMMABLE LIQUIDS) I I _~ i i r ~ 0 ~ ~~I `~ I DIESEL FUEL COMBUST BLE I O /R V i _/% 00 i~ GQY ~i I ~` ) ( I L QUIDS) I I t_ i~~ O ~i i ~ r ~ / i 00 i ~ ~ ~ C~ Z O MOTOR OILS & LUBRICANTS (COMBUSTIBLE LIQUIDS) I I ~ ~ 0 ~ ~ P , ~ L____~ 1 ~ i~ G~~ OO ~ ~ ~ _ Y CARBON DIOXIDE CD 5 I I L--------~---------- ~i O I / ~ ----a - ti• ~ (COMPRESSED GAS) II ~ ~ ~~ ~ PROPANE OP (FLAMMABLE LIQUID - - - - - - J ______ _ ~ ) CANOPY ~_ / ~ ~ Oq ANTIFREEZE/COOLANTS I m O WASTE OIL (FLAMMABLE LIQUID) O I CW CAR WASH PRODUCTS 6 ® I ELECTRONIC MONITORING POINTS ~ ®N ANNULAR SPACE SENSOR \ PLANTER O ©SUMP LIQUID SENSOR ` ~ - - - - - - - - - - - - - ® ©PRESSURIZED LINE LEAK DETECTOR DI SPENSER PAN SENSOR © 7 ® WH{TE LANE SERVICE STATION HAZARDOUS MATERIALS BUSINESS PLAN ADDENDUM BUSINESS NAME: Shell Oil #121224 dba: Yang's Oil Corporation BUSINESS ADDRESS: 4050 Gosford Road, Bakersfield This addendum contains specific elements pertaining to the hazardous materials business plan, the hazardous waste contingency plan, storm water pollution prevention and unauthorized release response requirements. SPILL PREVENTION PLAN 1. Describe how hazardous materials/wastes are handled, stored and monitored. to prevent releases from occurring. All aboveground hazardous materials and hazardous wastes are visually inspected daily to ensure that a leak or spill has not occurred and that containers are in good condition. All hazardous materials are stored in their original containers or in containers that are compatible with the hazardous material. Also, see the attached Emer ency Response and Training Plan. 2. Describe operations, activities and/or storage locations where a release is most likely to occur. A release is most likely to occur durin tg he dispensing of fuel bythe general public. These releases are eg nerally in very small quantities. A release may also occur inside the car wash tunnel when exchanging drums. The car wash drains into a clarifier prior to discharging into the sanitary sewer. 3. Describe the Best Management Practices (BMPs) you use to reduce or eliminate illicit discharges to the storm sewer system. The fuel dispensing area is paved with concrete. The surrounding area is paved with asphalt and graded to drain away from the concrete dispensing area. The station uses the following_procedures to minimize contamination of runoff to the storm sewer. Discharges of hazardous materials are cleaned up with rags, absorbent and/or maps, as appropriate. Employees are never to hose spills or allow drainage of hazardous materials into the storm drain inlets or into the street. Employees will sweep the lot and mop any, areas of contamination routinely and before lot wash down. Water used for lot wash down will be captured and disposed of appropriately EMERGENCY RESPONSE PLAN 1. Provide a list of all on-site emergency response equipment designated for a hazardous material and/or waste or UST emergency response. Examples of equipment include fire extinguishers, fire suppression systems, spill control equipment, UST pump shut-off switches, personal protective equipment and communication and alarm systems. EQUIPMENT TYPE fire extinguishers absorbent UST pump shut-off tank monitor alarm panel first aid kit broom/shoveU~loves LOCATION 2 inside the food mart Store room outside North side of store, cashier Store room Inside the food mart STORAGE AREA 2. Identify local emergency medical providers to be used during a hazardous material and/or waste emergency. BAKERSFIELD MEMORIAL HOPS. 4_20 34th ST., BAKERSFIELD 661-327-4647 The definition of a release or threatened release includes incidents that pose a present or potential hazard to human health and safety, property or the environment. In the event of a hazardous material andlor waste release or threatened release, state law requires immediate verbal notification to the agencies listed below once any necessary emergency response procedure are initiated. a. Local Fire Department b. County Environmental Health c. State Office of Emergency Services Provide phone numbers other than 9-1-1 for the following Bakersfield Fire Bakersfield Police 661-398-1268 or 9-1-1 661-327-7111 or 9-1-1 Nearest Hospital County Environmental Health State Office of Emergency Services -327-4647 661-862-871 (800) 852-7550 or (916) 845-8911 4. Describe notification procedures for on-site emergency response personnel and agencies (e.g., Fire, Health, Police, State (OES) during emergency incidents requiring outside assistance If the incident requires immediate notification, the dealer will call 9-1-1. For non-immediate situations the dealer will call his/her SH&E representative. All suspected leaks from the UST's__will be investi atg ed by Shell Oil Products US. Shell Oil will noti the appropriate auencies within required time frames. 5. Describe procedures for notification and evacuation of visitors and employees on-site during an emergency involving a hazardous material and/or waste. Evacuation routes and assembly areas must be clearly identified on the site map. The station personnel will verbally announce to all persons on the site: "There is an emergency. Please turn off amour engines and leave the station on foot immediately". All employees are to meet at the designated emer ency assembly area identified on the site map. The lead employee will ensure that all customers have safely left the facility and assist those in need. 6. Describe mitigation procedures to be implemented by on-site personnel in the event of a release, threatened release, fire or explosion involving a hazardous material and/or waste. Indicate if the business has an on-site emergency response team (ERT) and if so, describe how this ERT would interact with the County's ERT if outside assistance is required. Small incidents: For leaks and spills contain with absorbent material. For fires, turn off Pumps, use fire extinguisher. For lamer incidents: Turn off pumps using emer ency Pump shut-off, call 9-1-1, evacuate to emer ency assembly area, wait for emergencypersonnel to respond, call dealer, SH&E r_presentative and fixed fee contractor. This site does not have an ERT. 7. Describe procedures for immediate inspection, isolation and shutdown of mechanical or other systems that are involved in a release or threatened release. If a release from the product tanks occurs, or the tank-monitoring_panel is in alarm, the Pumps will be turned off using the pump shut-off switch and the release investigated. A release of a hazardous material stored aboveground will be isolated and contained with absorbent and cleaned up immediately. 8. Earthquake Vulnerability: [19 CCR §2731(e)] Identify any areas of the facility and mechanical or other systems that require immediate inspection or isolation because of their vulnerability to earthquake-related ground motion: Tank Monitor Alarm; Pump Islands and Dispensers; Above Ground Storage containment and Hazardous Materials on site. EMPLOYEE TRAINING PLAN All Employees must receive training in how to respond to a hazardous material and/or waste emergency. Training may be tailored to each job classification since certain employees may not work with or around chemical products. New hires must receive initial training and existing employees must receive annual "refresher" training. 1. Describe employee training as it pertains to the following: a. Safe handling of a hazardous material and/or waste b. Notification and evacuation of on site personnel c. Notification of local emergency responders and other agencies d. Use of emergency response equipment e. Implementation of emergency response procedures f. UST monitoring and release response procedures All employees that handle hazardous materials will be trained on the following documents• Material Safety Data Sheets, Safety manual, Hazard Communication, Hazardous Waste Mana eg ment Emergency Response and Training Plans Injury Illness Prevention Program and business plan In addition, employees handling hazardous waste will review the Hazardous Waste Contingency plan and Hazardous Waste Training Plan. Each of these plans are maintained in the stations environmental health and safety binder "Blue Book" located: Cashier area The operator(s) of the UST system receive initial and annual refresher training in accordance to the manufacturer recommendations. 2. Describe procedures for documenting employee-training activities. Employees are given initial training~before starting work and refresher courses must be provided annually. Records are kept to show when each station employee has been given his/her training, Employees will date and sign the training logs upon completion of each type of training These records are maintained for the mandated period of time. BUSINESS PLANS AS A SERVICE TO YOU, THIS OWNER/OPERATOR AGREEMENT WAS PREPARED BY SHELL OIL PRODUCTS US. IN ORDER TO COMPLY WITH THE CALIFORNIA HEALTH AND SAFETY CODE (CHAPTER 6.95, ARTICLE I, SECTION 25503.5). OWNER /OPERATOR AGREEMENT OPERATOR As operator ~of the--underground storage tanks, I hereby certify that I understand the monitoring and reporting requirements cont ma ed~u-.,Title 23, of the California Code of Regulations and I have received a copy of Section 25299, Chapter 6.7, California Health and Safety Code. SIGNA P..r: DBA NAME: Shell Oil #121224 dba: Yang's Oil Corporation OPERATOR NAME: Yang's Oil Corporation LOCATION: 4050 Gosford Road Bakersfield, CA 93309-7692 SITE ID#: 121224 OWNER: As the owner of the underground storage tanks, Shell Oil Products US certifies that we have provided the operator a copy of the monitoring and reporting requirements contained in Title 23, of the California Code of Regulations. Shell Oil Products US certifies that we have provided the operator with a copy of the penalties of noncompliance as specified in Section 25299, chapter 6.7, of the California Health and Safety Code. Shell Oil Products US ~- UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enir®nmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NA E ~ INS CT ON DATE INSPECTION TIME G ~w A DRESS PH NE o. No. o oyees --_~ spy - - - ~~-------------~------~ ---------- ---~-----~----------- ~_33_~~2-___.~ _.------- -- FACILITYCONTACT Business ID Number 15-021- Section 1: Business Plan and Inventory Program ^ Routine ombined ^ Joint Agency ^ Mutti-Agency ^ Complaint ^ Re-inspection C V l V=volatioinnce ~ OPER/911TION ~® APPROPRIATE PERMIT ON HAND COMMENTS D ,~ --,~- ------------ ----------------------------- _- ----------...--- _--------- _-------. ..--. j-~ .--- - L~ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ~~ r t~^ VISIBLE ADDRESS LU/ ^ CORRECT OCCUPANCY I ^ VERIFICATION OF INVENTORY MATERIALS lSY ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE ~/^ VERIFICATION OF HAT MAT TRAINING LQ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ~^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE Si ON HAND ANY HAZARDOUS WASTE ON SITE: ^ YES ^ NO EXPLAIN: QUESTIONS RDING TH INS CTION~ PLEASE CALL US AT ~G6'I ~ 3ZB-3979 p ~/~ Inspector Badge No., Business Site Responsible Party White • Environmental Services Veltow - Stettin Copy Pink -Business Copy ~~ ~Itlw4~s ~ d ;6 ~ ~ b1 ~~ y~~ ~. • , ~ ;•~ =~' i' i ui// FACILITY NAME S~C<< CITY OF BAKERSFIEI.D FIRE DEPARTMENT OFFICE OF ENVIRON1~~lENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 17[5 Chester Ave., 3r`' Floor, Bakersfield, CA 93301 INSPECTION DATE a a Section 2: Underground Storage 'T'anks Program ^ Routine ~ombined ^ Joint Agency ^Minti-Agency Complaint ^ Re-inspection Type of Tank 1^1aIF~5 Number of "Canks Type of Monitoring ~ ~ Type of Piping ,Q(~}~ OPERATION C V COMMENTS Proper tank data on file r ^ ! -0 Proper owner/operator data on the ~c U Permit tees cun-ent C~ N Certification of Financial Responsibility t~ ~I Monitoring record adequate and current f < </ Maintenance records adequate and current I/ to tl Failure to correct prior UST violations Has there been an unauthorized release? YeS NO Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY. Number ol~Tanks _____ OPERATION Y N COMMENTS SPCC available SPCC on the with OF,S Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overtillloverspill protection'? C=Compliance ~ =Violatio Y=Yes Inspector Office of Environmental Services (661) 326-3979 wh~r~ N=NO ~~~~~ ~C~n-v~v~-~ Business Site Responsible Party t?nv. Svcs. Pink - F3usiness Copy January 31, 2006 Yang's Oil Corporation Shell Oil #121224 dba: Yang's Oil Corporation 4050 Gosford Road Bakersfield, CA 93309-7692 Dear Yang's Oil Corporation: The underground storage tanks located of your facility must be monitored in accordance with the Permit to Operate issued by the local agency and Article 6.3 of the Shell Oil Products US Motor Fuel Station Lease. The following excerpt from the California Health and Safety Code, Division 20, Chapter 6.7 defines the penalties for violating the Permit to Operate or other applicable regulations. Section 25299. Violations; Civil and criminal penalties; operative date. (a) Any operator of an underground tank system shall be liable for a civil penalty of not less than five hundred dollars ($500) or more than five thousand dollars ($5,000) for each underground tank for each day of violation for any of the following violations: (1) Operating a underground tank which has not been issued a permit, in violation of this chapter. (2) Violation of any of the applicable requirements of the permit issued for the operation of the underground tank system. (3) Failure to maintain records, as required by this chapter. (4) Failure to report an unauthorized release, as required by Sections 25294 and 25295. (5) Failure to properly close an underground tank system, as required by section 25295. (6) Violation of any applicable requirement of this chapter or any requirement of this chapter or any regulation adopted by the board pursuant to Section 25299.3. (7) Failure to pemut inspection or to perform any monitoring, testing, or reporting required pursuant to Section 25288 or 25289. (8) Making any false statement, representation, or certification in any application, record, report, or other document submitted or required to be maintained pursuant to this chapter. (d) Any person who falsifies any monitoring records required by this chapter, or knowingly fails to report an unauthorized release, shall upon conviction, be punished by a fine of not less than five thousand dollars ($5,000) or more than ten thousand dollars ($10,000), by imprisonment in the county jail for a period not to exceed one year, or by both that fine and imprisonment. Please Contact your Shell Oil Products US Sales Representative if you have any questions regarding this Section of the California Health and Safety Code or Article 6.3 of the She110i1 Products US Motor Fuel Station Lease agreement. Shell Oil Products US UNDERGROUND STORAGE TANK MONITORING PLAN FACILITY NAME: Shell Oil #121224 dba: Yana's Oil Corporation ADDRESS: 4050 Gosford Road Bakersfield CA 93309-7692 PHONE #: 661-83 SITE ID#: Tank Owner: Shell Oil Products US 20945 S. Wilmington Ave., Carson CA 90810 Owner Phone: (310) 816-2207 FACILITY DESCRIPTION Retail sales of gasoline and related petroleum products. DESCRIPTION OF TIIE UNDERGROUND TANKS ARE AS FOLLOWS: Size Construction Material Year (gal) (SW/DW) (STL/FG) Installed 1. Regular (1) 10000 D/W Fiberglass 1991 2. Premium 10000 D/W Fiberglass 1991 3. Regular (2) 10000 D/W Fiberglass 1991 4. Diesel 12000 D/W Fiberglass 2001 5. PRODUCT LINES: MATERIAL: Fiberglass CONSTRUCTION: Double Wall UNDER DISPENSER CONTAINMENT MONITORING: Float Shear Valve • All product lines are pressurized using a submerged pumping system. • Impact valves under each dispenser are also inspected annually to assure closure. • Repair and/or replacement of all leak detectors and impact valves will be done annually at the time of inspection and re-tested to meet the above test conditions. This document is to be kept current and placed in the Operations, Maintenance and Testing (OMT) binder maintained at the site. (revision 01/31/06) UNDERGROUND STORAGE TANK MONITORING PLAN -PAGE 1 TYPE OF ACTION ^ 1. NEW PLAN ®2. CHANGE OF INFORMATION Mol' PLAN TYPE ®MONI'I'ORING IS IDENTICAL FOR ALL USTs AT THIS FACILTI'Y. Moz. (Check one item only) ^ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID # (Agency Use Only) I BUSINESS NAME (Same as FACILITY NAME) Shell Oil #121224 dba: Yang's Oil Corporation M03. BvslNESS srrE ADDRESS 4050 Gosford Road M04' CITY Bakersfield M05' II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE State law requires that testing, preventive maintenance and calibration of monitoring equipment (e. g., sensors, probes, line leak detectors, etc.) be performed at the frequency specified by the equipment manufacturers' instructions, or annually, whichever is more frequent, and that such work must be performed by qualified personnel. MONITORING EQUIPMENT IS SERVICED ®1. ANNUALLY Mob. ^ 99. OTHER (Specify): Moz. III. MONITORING LOCATIONS This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed (i.e., location oY' each sensor, line leak detector, monitoring system control panel, etc.). If you already have a diagram (e.g., current UST Monitoring Site Plan from a Monitoring System Certification form, Hazardous Materials Business Plan ma ,etc.) which shows al] re wired information, include it with this lan. IV: TANK 1VIONITORING , __ MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): (Check all that apply) Mlo' ® 1. CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS: ^ a. DRY ®b. LIQUID FILLED ^ c. PRESSURIZED ^ d. VACUUM M"' PANEL MANUFACTURER: Veeder Root Mlz' MODEL#: TLS-350 M13. LEAK SENSOR MANUFACTURER: Veeder Root Mla. MODEL #(S): 794380-420 Mls. ^ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(S) PANEL MANUFACTURER: MI6' MODEL#: Mlz IN-TANK PROBE MANUFACTURER: Mls. MODEL #(S): M19. LEAK TEST FREQUENCY: ^ a. CONTINUOUS ^ b. DAILY/NIGHTLY ^ c. WEEKLY Mzo. ^ d. MONTHLY ^ e. OTHER (Specify): Mzl' PROGRAMMED TESTS: ^ a. 0.1 h. ^ b. 0.2 h. c. OTHER S eci g•P• g•P• ^ ( P fY)~ M22. M23 ^ 3. INVENTORY RECONCILIATION ^ a. MANUAL PER 23 CCR §2646 ^ b. STATISTICAL PER 23 CCR §2646.1 Mza' ^ 4. WEEKLY MANUAL TANK GAUGING (MTG) PER 23 CCR §2645 TESTING PERIOD: ^ a. 36 HOURS ^ b. 60 HOURS Mzs. ^ 5. INTEGRITY TESTING PER 23 CCR §2643.1 TEST FREQUENCY: ^ a. ANNUALLY ^ b. BIENNIALLY ^ c. OTHER (Specify): Mzb. Mz7 ^ 6.VISUALMONITORINGDONE: ^ a.DAILY ^ b. WEEKLY(Rcquiresagencyapprovaq ^ 99. OTHER (Specify): Mts. V. PIPE 1VIONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) Mao. ® 1. CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/I'RENCH(ES) AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: ®a. DRY ^ b. LIQUID FILLED ^ c. PRESSURIZED ^ d. VACUUM M31. PANEL MANUFACTURER: Veeder Root M32 MODEL #: TLS-350 M33 LEAK SENSOR MANUFACTURER: Veeder Root M3a. MODEL #(S~: 794380-208 M35. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN? ®a. YES ^ b. NO M36. WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ®a. YES ^ b. NO M37. ^ 2. MECHANICAL LINE LEAK DETECTOR (MELD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED MELD MANUFACTURER(s): M3s. MODEL #(S): M39. ® 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS ELLD MANUFACTURER: Veeder Root Mao' MODEL #: PLED Mal. PROGRAMMED IN LINE TESTING: ®a. MINIMUM MONTHLY 0.2 g.p.h. ^ b. MINIMUM ANNUAL 0.] g,p.h. Maz. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ®a. YES ^ b. NO M43. WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ®a. YES ^ b. NO Maa' ^ 4. INTEGRITY TESTING TEST FREQUENCY: ^ a. ANNUALLY ^ b. EVERY 3 YEARS ^ c. OTHER (Specify) M45. M46. ^ 5. VISUAL MONITORING DONE: ^ a. DAILY ^ b. WEEKLY* ^ c. MIN. MONTHLY & EACH T[ME SYSTEM OPERATED"* Mal. • Requires agency approval •• Allowcd for monitoring of unburied cmergrncy generator fuel piping only per HSC §25281.5(6)(3) ^ 6. SUCTION PIPING MEETS EXEMPTION CRITERIA PER 23 CCR §2636(a)(3) ^ 7. NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) ^ :'9. OTHER (Specify) Mas. hwfwrc-d (9/24/04) - I/4 UNDERGROUND STORAGE TANK MONITORING PLAN -PAGE 2 VI. DISPENSER MONITORING MONITORING OF AREAS BENEATH DISPENSER(S) IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) MsO. ^ 1. CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT (UDC) PANEL MANUFACTURER: Mss' MODEL #: Msz. LEAK SENSOR MANUFACTURER: M53' MODEL #(S~: Msa. WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? ^ a. YES ^ b. NO M55. WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? ^ a. YES ^ b. NO M56, WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ^ a. YES ^ b. NO Msz ® 2. MECHANICAL CONTINUOUS MONITORING (e.g., FLOAT AND CHAIN ASSEMBLY) IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK MANUFACTURER: Float & Chain mss' MODEL #(S): Msv. ^ 3.VISUAL MONITORING DONE: ^ a. DAILY ^ b. WEEKLY M60. ^ 4. NO DISPENSERS M61. ^ 99. OTHER (Specify) VIL 'ENHANCED' LEAK DETECTION ^ 1. WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST PERFORM ENHANCED LEAK Mao. DETECTION (ELD) FOR THE UST(S) COVERED BY THIS PLAN. PER 23 CCR §2644.1, ELD [S PERFORMED EVERY 36 MONTHS AS REQUIRED VIIL TRAINING `' , _. REFERENCE DOCUMENTS MAINTAINED AT FAC1LITy (Check all that apply) Mso. 1. ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN (Required) 2. ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT (Required) 3. ® THE FACILITY'S BEST MANAGEMENT PRACTICES (Required as of January 1, 2005) 4. ^ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 5. ^ CALIFORNIA UNDERGROUND STORAGE TANK LAW 6. ^ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS -MANUAL AND STATISTICAL INVENTORY RECONCILIATION" 7. ^ SWRCB PUBLICATION: "WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" 99. ^ OTHER (Specify): Msi. Personnel with UST monitoring responsibilities are familiar with all of the above documents relevant to their job duties and can access those documents when needed. By January 1, 200s, this facility will have a "Designated UST Operator" who has passed the California UST System Operator Exam administered by the International Code Council (ICC). By July 1, 2005, and annually thereafter, the "Designated UST Operator" will [rain facility employees in the proper operation and maintenance of the UST systems. This training will include, but is not limited to, the following: - Operation of the UST systems in a manner consistent with the facility's best management practices. - The facility employee's role with regard to the leak detection equipment. - The facility employee's role with regard to spills and overfills. - Whom to contact for emergencies and leak detection alarms. For facility employees hired on or after July 1, 2005, the initial training will be conducted within 30 days of the date of hire. _.. IX: COMMENTS/ADDITIONAL INFORMATION ' Please use this section to include any additional UST system monitoring-related information (e.g., additional information required by your local agency): Mss. X. -PERSONNEL RESPONSIBILITLES AS OF JANUARY 1, 2005, THE "DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION III OF THE CURRENT UST OPERATING PERMIT APPLICATION - FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION EQUIPMENT COVERED`BY-THIS.PLAN TITLE 23 CCR § 2715(c), AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S UST SYSTEMS IN ACCORDANCE WITH 23 CCR § 2715(c). ~XI. OWNER/OPERATOR SIGNATURE. CERTIFICATION: I certify that.t information p vided herein is true and accurate to the best of my knowledge. OWNER/OPERATOR SIGNATU ~ REPRESENTING DATE: Mvi. .- ^ Owner M90. i Z ` / _i ®Operator ~ January 31, 2006 OWNER/OPERA E rin[): M92' OWNER/OPERATOR TITLE: Mv3. /i/~N ~ ~ (Agency Use Ortly) This plan has been reviewed and: ^ Approved ^ Approved With Conditions ^ Disapproved Local Agency Signature: Date: Comments/Special Conditions: hwiwrc-d (9/24/04) - 2/4 UNDERGROUND STORAGE TANK RESPONSE PLAN -PAGE 1 (One form per facility) :''YPE OF ACTION ^ 1. NEW PLAN ®2. CHANGE OF INFORMATION Rol. L 'FACILITY INFORMATION FACILITY ID # (Agency Use Only) - BUSINESS NAME (Same as FACILITY NAME) Roz. Shell Oil #121224 dba: Yang's Oil Corporation 121224 BUSINESS SITE ADDRESS R03. CITY Roo. 4050 Gosford Road Bakersfield II SPILL:: CONTROL AND CLEANUP METHODS This plan addresses unauthorized releases from UST systems and supplements the emergency response plans and procedures in the facility's Hazardous Materials Business Plan. - If safe to do so, facility personnel will take immediate measures to control or stop any release (e.g., activate pump shut-off, etc.) and, if necessary, safely remove remaining hazardous material from the UST system. - Any release to secondary containment will be pumped or otherwise removed within a time consistent with the ability of the secondary containment system to contain the hazardous material, but not greater than 30 calendar days, or sooner if required by the local agency. Recovered hazardous materials, unless still suitable for their intended use, will be managed as hazardous waste. - Absorbent material will be used to contain and clean up manageable spills of hazardous materials. Absorbent material may be reused until it becomes too saturated to be effective. It will then be managed properly. Used absorbent material, reusable or waste, will be stored in a properly labeled and sealed container. - Facility personnel will determine whether or not any water removed from secondary containment systems, or from clean-up activity, has been in contact with any hazardous material. If the water is contaminated, it will be managed as hazardous waste. If the water has a petroleum sheen (i.e., rainbow colors), it is contaminated. A thick floating petroleum layer may not necessarily display rainbow colors. Water (hazazdous or non-hazardous) from sumps, spill containers, etc. will not be disposed to storm water systems. - We will review secondary containment systems for possible deterioration if any of the following conditions occur: 1. Hazardous material in contact with secondary containment is not compatible with the material used for secondary containment; 2. Secondary containment is prone to damage from any equipment used to remove or clean up hazardous material collected in secondary containment; 3. Hazardous material, other than the producUwaste stored in the primary containment system, is placed inside secondary containment to treat or neutralize released product/waste, and the added material or resulting material from such a combination is not compatible with secondary containment. -III. SPILL CONTROL AND CLEAN-UP EQJIPMENT': PERIODIC MAINTENANCE: Spill control and clean-up equipment kept permanently on-site is listed in the facility's Hazardous Materials Business Plan. This equipment is inspected at least monthly, and after each use, and supplies are replenished as needed. Defective equipment is repaired or replaced as necessary. EQUIPMENT NOT PERMANENTLY ON-SITE, BUT AVAILABLE FOR USE IF NEEDED: (Com lete only if a licable) EQUIPMENT LOCATION AVAILABILITY Absorbent pads /granular R10' Store room outside ~0' Available at all times ~0' Additional equipment provided by the RI I• ~I• R31. res ondin contractor. R12. R22. R32. R13. R23. R33. R 14. R24. R34. R15. RZS. R35, IV:' RESPONSIBLEPERSONS ; THE FOLLOWING PERSON(S) IS/ARE RESPONSIBLE FOR AUTHORIZING ANY WORK NECESSARY UNDER THIS RESPONSE PLAN: NAME Roo. TITLE ~o• William Yang Dealer NAME R41• TITLE ~~• Susan Yang Dealer NAME Roz• TITLE Rsz. Tim Woodson Shell S,H&E Coordinator NAME R43~ TITLE Rss. V: INDIRECT HAZARD DETERMINATION This information is required only when the presence of the hazazdous substance can not be verified directly by the monitoring method used (e.g., where liquid level measurements in a tank annular space or secondary piping are used as the basis for leak determination). THE FOLLOWING STEPS WILL BE TAKEN TO DETERMINE THE PRESENCE OR ABSENCE OF HAZARDOUS SUBSTANCE IN THE SECONDARY CONTAINMENT 1F MONITORING INDICATES A POSSIBLE UNAUTHORIZED RELEASE: R60. hwfwrc-e (9/24/04) -1/4 ` UNDERGROUND STORAGE TANK RESPONSE PLAN -PAGE 2 VI. LEAK INTERCEPTION AND DETECTION- SYSTEM This information is required only for motor vehicle fuel UST systems constructed per the Alternate Construction Requirements of 23 CCR §2633, and only if the Leak Interception and Detection System (LIDS) does not meet the volumetric requirements of 23 CCR §2631(d)(1) through (5) (i.e., when accounting for rainfall and backfill material, the secondary containment volume is less than 100% of primary tank volume for a single UST; or in the case of multiple USTs in shared secondary containment, 150% of the largest primary tank volume or 10% of aggregate primary tank volume, whichever is greater). ATTACH AN ADDITIONAL PAGE TO THIS PLAN CONTAINING THE FOLLOWING INFORMATION: - The volume of the LIDS in relation to the volume of the primary container; - The amount of time the LIDS shall provide containment related to the time between detection of an unauthorized release and cleanup of the leaked substance; - The depth from the bottom of the LIDS to the highest anticipated level of groundwater; := The nature of the unsaturated soils under the LIDS and their ability to absorb contaminants or to allow movement of contaminants; - The methods and scheduling for removal of all hazardous substances which may have been discharged from primary containment and are located in the unsaturated soils between the rimary containment and groundwater, including the LIDS sum . VIL` REPORTING AND RECORD .KEEPING - Wewill report record any overfill, spill, or unauthorized release from a UST system as indicated in this plan. Recordable Releases: Any unauthorized release from primary containment which the UST operator is able to clean up within eight (8) hours after the release was detected or should reasonably have been detected, and which does not escape from secondary containment, does not increase the hazard of fire or explosion, and does not cause any deterioration of secondary containment, must be recorded in the facility's monitoring records. Monitoring records must include: - The UST opemtor's name and telephone number; - A list of the types, quantities, and concentrations of hazazdous substances released; - A description of the actions taken to control and clean up the release; - The method and location of disposal of the released hazardous substances, and whether a hazardous waste manifest was or will be used; - A description of actions taken to repair the UST and to prevent future releases; - A description of the method used to reactivate interstitial monitoring after replacement or repair of primary containment. Reportable Releases: Any overfill, spill, or unauthorized release which escapes from secondary containment (or primary containment if no secondary containment exists), increases the hazard of fire or explosion, or causes any deterioration of secondary containment, is a reportable release. Reportable releases are also recordable. Within 24 hours after a reportable release has been detected, or should have been detected, we will notify the local agency administering the UST program of the release, investigate the release, and take immediate measures to stop the release. If necessary, or if required by the local agency, remaining stored producUwaste will be removed from the UST to prevent further releases or facilitate corrective action. If an emergency exists, we will notify the State Office of Emergency Services. Within five (5) working days of a reportable release, we will submit to the local agency a full written report containing all of the following information to the extent that the information is known at the time of filing the report: - The UST owner's or operator's name and telephone number; - A list of the types, quantities, and concentrations of hazazdous materials released; - The approximate date of the release; - The date on which the release was discovered; - The date on which the release was stopped; - A description of actions taken to control and/or stop the release; - A description of corrective and remedial actions, including investigations which were undertaken and will be conducted to determine the nature and extent of soil, ground water or surface water contamination due to the release; - The method(s) of cleanup implemented to date, proposed cleanup actions, and a schedule for implementing the proposed actions; - The method(s) and location(s) of disposal of released hazardous materials and any contaminated soils, groundwater, or surface water. - Copies of any hazardous waste manifests used for off-site transport of hazazdous wastes associated with clean-up activity; - A description of proposed methods for any repair or replacement of UST system primary/secondary containment systems; - A description of additional actions taken to prevent future releases. We will follow the reporting procedures described above if any of the following conditions occur: - A recordable unauthorized release can not be cleaned up or is still under investigation within eight (8) hours of detection; - Released hazardous substances are discovered at the UST site or in the surrounding azea; - Unusual operating conditions are observed, including erratic behavior of product dispensing equipment, sudden loss of product, or the unexplained presence of water in the tank, unless system equipment is found to be defective and is immediately repaired or replaced, and no leak has occurred; - Monitoring results from UST system monitoring equipmendmethods indicate that a release may have occurred, unless the monitoring equipment is found to be defective and is immediately repaired, recalibrated, or replaced, and additional monitoring does not confirm the initial results. Record Retention: Monitoring records and written reports of unauthorized releases must be maintained on-site (or off-site at a readily available location, if approved by the local agency)"for'at•least3_years. Hazardous waste shipping/disposal records (e.g., manifests) must be maintained for at least 3 years from the date of shipment. ~'`~yIII. OWNER/OPERATOR SLGNATURE y CERTIFICATION: I certify that the info ation pr0 'ded herein is true and accurate to the best of my knowledge. OWNER/OPERATOR SIGNATURE a/ DATE Rio. ^_`~'""' ._.! ~._- -.- ~ ,~ ~ January 31, 2006 OWNER/OPERA N E print) ~ Rai. i 1 `~~ OWNER/OPERATOR TITLE R72. (Agency Use Only) This plan has been reviewed and: ^ Approved ^ Approved With Conditions ^ Disapproved Local Agency Signature: Date: hwfwrc-e (9/24/04) - 2/4 dwdw AUTOMATIC TANK LEVEL MONITORING CONTINUOUS ELECTRONIC MONITORING OF TANKS AND PIPING TANKS All Underground Fuel Storage Tanks are Double Wall Fiberglass construction. FUEL LINES All Fuel Line construction is Double Wall Fiberglass. VEEDER ROOT -TLS 350 MODEL /SIMPLICITY TANK & LINE MONITOR The design of this unit and the Simplicity Service Offering is to provide 24 hour remote tank and line compliance monitoring through Veeder-Root (V-R) in Simsbury Connecticut, which would receive audible and visual alarms and provide corrective actions and tracking, in the event of leak detection. This system is interfaced to the manufacturers computer system via satellite dish or phone line. The communication status is checked monthly by V-R. The expected V-R alarm response time is 15 minutes from the time the facility goes into alarm and Simsbury starts the corrective actions. The monitor retains 12 months of alarm history. The facility receives audible and visual alarms at the TLS 350 console, which reflect (1) lost communication, "Autodial Failure" and/or (2) gross line failure "Line Leak Shutdown." The facility personnel would call V-R for these events. Autodial Failure will cause the TLS 350 to come out of the remote monitoring mode and all alarms/warnings will occur on-site and will be responded to by on-site personnel. If power is removed from the V-R monitoring panel, the facility will not be able to pump fuel. The authorized. installation service contractor (Service Station Systems 1-800-628-5510) would provide the training necessary to operate the tank and line monitoring system per the manufacturer guidelines. The facility operator is responsible for daily inspection of the monitoring panel (Alarm Panel Test Log -pending Agency requirements) and corrective actions indicated above and maintaining monthly and annual tests/reports on-site. For additional compliance items/reports, contact Shell's SH&E Compliance Coordinator. Optional facility audible and visual alarms can also be programmed, but this would take the system out of the remote monitoring mode, which leaves the facility operator responsible for calling V-R for all alarm conditions and logging all events and corrective actions manually (not reliable, not recommended). All component parts are LG-113 approved. TANK AND LINE TESTING The Veeder Root (V-R) system provides electronic Continuous Statistical Leak Detection (CSLD) monitoring of the fuel tanks, Pressurized Line Leak Detection (PLED) of the fuel lines and continuous annular interstice monitoring at double walled facilities containment. In the event that a leak is detected, the system provides automatic notification through the phone line or satellite dish to V-R. Hard copies of monthly tank and line test results are to be mailed to the facility within the first two weeks of the following month by V-R The operating facility is responsible to maintain these compliance reports on site. The TLS 350 is annually inspected, repaired and certified operational by an authorized service contractor. The certification is sent to the local regulatory agency. Tanks (Fuel): Continuous electronic monitoring of the wet or dry annular/interstice and CSLD, continuous electronic testing at 0.2 gallon per hour (gph). A malfunctioning tank will result with an alarm automatically transmitted to V-R, which would in turn contact their service contractor for investigation and repair. There would be no fuel leak to ground in the event that the primary tank failed unless the secondary, were to also fail. Clean up of the secondary containment would be performed per Local and State requirements. Pressurized Fuel Lines: Continuous electronic monitoring of the dry secondary containment within the turbine sump, positive shutdown if a leak is detected. Also PLED continuous electronic testing 3.0 gph (positive shutdown), 0.2 gph (monthly/alarm) and 0.1 gph (annually/alarm), in combination with a turbine sump liquid sensor. If a gross leak alarm occurred here, the result would be fuel line shut down with no leak to ground [(Dry) annular/interstice]. A malfunctioning fuel line will result with an alarm automatically transmitted to V-R, which would in turn contact their service contractor for investigation and repair. Clean up of the secondary containment would be performed per Local and State requirements. If equipped, remote fill lines at the tank inlet are contained and continuously monitored (alarm). Under Dispenser Containment: Mechanical float sensor, designed to shut off the product flow at the dispenser in the event of leak detection. Turbine Sump Containment: Continuous VR electronic sensors, designed to shut the turbine down in the event of leak detection. Tank Overfill Protection: Flapper valve with flow shut-off at 90%. marubashi 7/5/02 dwdw Veeder-Root in Connecticut provides the remote monitoring service. The facility operator responds to TLS- 350 messages, Auto-Dial Failure and Gross Line Leak (also VR Connecticut). Service Station Systems is the maintenance contractor. Names, Titles and phone numbers, refer to those mentioned in the Hazardous Materials Management Plans. If required, Site Plans with locations of tanks, piping, vents, dispensers, monitoring panel, probes (w/model #'s), buildings and streets should be part of the annual tank & line monitoring system certification report. Secondary Containment Testing: Performed upon a new start-up facility and then 6 months after. Otherwise the testing schedule will be performed starting in 2002 and at 3-year intervals. Testing procedures are per manufacturer's standards, industry standards or by CA licensed PE procedures. Hydrostatic testing equipment & procedures are third party certified by CA Petroleum Engineer, Ken Wilcox Associates, Inc. SB989, LG 160. Hydrostatic tests of the tank wet interstice, dispenser, sumps and tank overfill containment areas will be for a period of 12 minutes with a passing result, if the decrease in liquid level is less than 0.002 inches with a probability of 95% or greater, which meets the requirement to detect a change of 0.250 inches in the 24 hour test period. Double walled tank systems with dry annular spaces will be vacuum tested per manufacturer's specifications. Secondary piping will be pressure tested at approximately 5 PSI for 60 minutes or per manufacturer's specifications, hard pipe verses flex pipe. Test results are to be submitted to the local implementing agency and a copy is sent to the facility to be kept on site. The local agency will be notified at a minimum of 48 hours of a scheduled test date. UNAUTHORIZED RELEASE RESPONSE PLAN Non-contained unauthorized releases will be reported to the local agency and Shell's HS&E Compliance Coordinator within 24 hours. Spills to ground will be cleaned up immediately with further mitigation as determined by the Local Agency and Shell's Science and Engineering Department. The hazardous material shall be removed by applying absorbent material (maintained at the facility) and/or Shell's approved contractor would collect the Fuel material and dispose of in accordance with all Local, State and Federal laws and regulations. Dependant on circumstance, direct removal, drumming or laid upon non-absorbent material. Shell's approved contractors are responsible for maintaining their environmental equipment and materials per Local, State and Federal regulations. See the facility's Safety, Health and Environmental "Blue Book" for more detail; Hazardous Materials Management Plan (tab HMMP); emergency response plan; procedures and Shell Leak Response Plan. Emergency response is 4 hours maximum. The service contractor will notify the appropriate Shell Oil Personnel in the event of an actual tank/line failure. Alarms, which are or are not the result of an actual tank or line failure, will be repaired in accordance with the manufacturer's recommendation and all Local and State requirements. Preventive maintenance schedule: When the system alarms Veeder Root calls the facility to verify any problems and notifies their Authorized Service Organization to respond and make necessary repairs as needed. The system is tested, repaired as needed and certified operational annually with submittal of the results to the appropriate Local Agency and Facility. Miscellaneous The Facility Operator is responsible for maintaining daily and monthly inventory reconciliation records. 12 (twelve) months on site and the previous 3 (three) years, optional on site. The Facility Operator is responsible for reporting inventory reconciliation exceeding State and Shell's allowable limits and unauthorized spills to ground to Shell's regional Safety, Health and Environmental Coordinator for review and corrective actions as needed. The facility operator is responsible to adhere to all conditions of the facility permits and licenses, document accessibility, annual employee hazardous materials, leak response and other OSHA training and documentation, tank and piping VR Monthly Compliance Reports and Annual System Certifications, nozzle repair/replacement logs and facility contractor repair logs and frequently inspect and clean the tank fill and vapor overspill buckets and dispenser containment pans (maintain free of liquid and debris). Please contact Shell's H, S&E Compliance Coordinator, Aura Sibley at 916-240-1610 or Tim Woodson at 925-766-3494, if there are any questions regarding the material contained in this package. 2/23/04 sas Release Recording & Reporting: Article 5 of the California Underground Storage Tank Regulations. Recordable Releases that must be documented on a UST monitoring report, include the following: Any release from a primary containment which is cleaned up within 8 hours after the release was detected, which does not escape the secondary containment and does not increase the hazard of fire or explosion and does not cause deterioration of the secondary containment. Note: the monitoring report shall include information required by section 2651 of the California UST regulations. Reportable Releases that must be reported to the local agency within 24 hours after the release has been detected or should have been detected include the following: Any unauthorized release from the primary containment which is not cleaned up within 8 hours after the release was detected, which does not escape the secondary containment and does not increase the hazard of fire or explosion and does not cause deterioration of the secondary containment. Any unauthorized release, which escapes from the secondary containment or from the primary containment, if no secondary containment exists. Discovery of release product at the site of the UST or surrounding area including the presence of free product, vapors in soil, basements, sewer or utility lines, and nearby surface or drinking waters. Monitoring results from a release detection method that indicate a release may have occurred unless the monitoring device is immediately repaired, re-calibrated or replaced, or additional monitoring does not confirm the initial results. Any unauthorized release, spill or overfill that occurs while the fuel is being placed in the underground tank. The spill is due to the use of improper equipment, operator error, operator inattention or overfilling. 2/23/04 sas EMERGENCY PHONE NUMBERS MAINTENANCE CONTRACTOR: For Emergency Maintenance or to secure the site until a certified clean up crew can respond. LC Services 3636 N. Hazel #108 Fresno CA 93722 Phone Number: 800-552-7503 EMERGENCY RESPONSE CONTRACTORS: For hazardous spills, containment & clean up ECI (800) 788-1393 Phillips (800) 800-7472 Crosby & Overton (510) 633-0336 Ramos Oil (800) 456-7745 or (800) 45-SPILL SHELL OIL PRODUCTS US PERSONNEL: SHELL SOLUTION CENTER (SSC) SH&E COORDINATOR: FACILITY ENGINEERS: 866-Hi-Shell (1-866-447-4355) Tim Woodson: 925-766-3494 Bill Merchant: X916, 212-8052 Jim Martin: (925) 964-9086 FACILITY EMERGENCY CONTACTS: Primary: William Yang, Dealer Secondary: Susan Yang, Dealer Local Emergency Response Agency: Fire Department: Police Department: Emergency Medical Aid: Day 562-900-0809 Night 818-363-5120 Day 818-425-1003 Night 818-363-5120 Kern County Environmental Health 661-862-8719 661-398-1268 or 911 661-327-7111 or 911 BAKERSFIELD MEMORIAL HOPS. 661-327-4647 or 911 California Office of Emergency Services (800) 852-7550 or call (916) 845-8911 National Response Center 800-424-8802 EMERGENCY RESPONSE PROCEDURES 121224 In the event of a fire, earthquake, spill, or a leak or suspected leak in the tanks and/or piping, the following steps are to be taken as applicable: 1. TURN OFF PUMPS using the Emergency Pump Shut-Off Switch. 2. EVACUATION: If there is any immediate danger, ANNOUNCE to all persons on the site: "There is an emergency. Please turn off your engines and leave the station on foot immediately." 3. CALL FOR HELP in case of an emergency by dialing 9-1-1 and giving the following information: "THERE IS A FIRE /GASOLINE SPILL at the SHELL station at 4050 Gosford Road." If anyone is trapped or needs medical attention, tell the answering dispatcher. Stay on the phone and be prepared to answer any questions concerning the situation. 4. LOOK AROUND to assure that all others have left the station if necessary, particularly those in vehicles who may need assistance or may not have heard the emergency announcement. Assist, or direct assistance to, anyone having difficulty leaving the station area and assemble in the designated assembly area Along Gosford Rd. 5. ATTEMPT TO EXTINGUISH any small or incipient fire if you can do so safely. Have the fue extinguisher ready to use in the event of any spill. Try to contain any large spill, or use absorbent on smaller spills. 6. REPORT to arriving emergency response personnel to provide them with any information or assistance they might need. 7. CONTACT the station dealer if s/he is not already at the station. Use the list below for emergency contacts: 1. NameBus Phone/Home Phone: William Yang / 562-900-0809 / 818-363-5120 2. NameBus Phone/Home Phone: Susan Yang / 818-425-1003 / 818-363-5120 8. NOTIFY your Shell Oil Products US - S,H & E Coordinator or District Engineer by phone WITHIN 24 HOURS A. Shell Oil Products S H & E Coordinator: Tim Woodson Phone Number: 925-766-3494 Shell Oil Products Facility Engineers: Bill Merchant Phone Number: (916) 212-8052 Jim Martin Phone Number: (925) 964-9086 Shel] Solution Center: 1-866-Hi-Shell (866-447-4355) Emergency Maintenance and Response Contractors: See the Emergency Phone Number list preceding this page. You must mail a completed Unauthorized Release Report to Shell Oil Products US within 24 hours. Shell Oil Products US will notify the appropriate State and Local agencies unless the situation requires urgent immediate response by the a eg ncies, in which case the DEALER should notify these agencies: B. LOCAL AGENCY: Kern Countv Environmental Health PHONE NUMBER: 661-862-8719 C. CALIFORNIA OFFICE OF EMERGENCY SERVICES, (800) 852-7550 (24 HOURS) D. Submit afollow-up Spill Notification to the State Office of Emergency Services. These agencies must be notified within 24 hours of release detection. 9. Dealer should attempt to isolate leak location by inspection. 10. Shell Oil Products US will coordinate whatever corrective actions need to be taken beyond the Dealer's capabilities. Shell Oil Products US will file whatever reports need to be filed with local and state agencies, and send a copy to the station for the Dealer's files. 11. RE-ENTRY: If evacuation -has occurred and emergency responders have been called, re-entering this facility should take place with extreme caution and only under the direction of the senior emergency responder on site and Shell Oil Products US engmeers. THESE EMERGENCY RESPONSE PROCEDURES MUST BE FILLED OUT AND POSTED CONSPICUOUSLY ON SITE ALONG WITH THE ATTACHED STTE PLAN EMPLOYEE TRAINING PLAN Employees must be given this training before starting work, and refresher courses must be provided annually. Records must be kept to show when each station employee has been given his/her safety training. Use the following outline and make copies as needed. Have employee date and sign this document upon completion of training on the following page. Retain these records for a minimum of three years. I. FIRST THINGS TO KNOW: 1. EMERGENCY PUMP SHUT-OFF: This turns off the turbine pumps that provide flow to the dispensers from the underground tanks. In case of a leak, shutting off the pumps will help to prevent spills. Location: North side of store, cashier 2. ELECTRICAL PANEL: The panel allows you to selectively cut off power to lights, signs, pumps, etc. The main switch kills all power at the site. Location: Back side of the building 3. WATER SHUT-OFF: The water shut-off maybe necessary in some cases. Location: Along White Lane 4. TANK MONITORING ALARM: Monitoring panel for the Underground Storage Tanks. This panel will indicate when a leak is detected by a visual and audible alarm. 5. I`T:ATURAL GAS SHUT-OFF: If your station has natural gas, it may be necessary to shut-off the natural gas flow in an emergency. Location: none 6. PROPANE/LPG: If your station has a propane or liquefied petroleum gas tank - In the event of a release or fire, turn off the manual valves and shut off the power to the dispensing pumps. Call your supplier or dial 9-1-1 as appropriate. 7. FIRST AID KIT: Location: Inside the food mart 8. FIRE EXTINGUISHER: Use only on small fires that you can handle. Do not attempt to extinguish large fires on your own; ca119-1-1 for help. Location: 2 inside the food mart 9. ABSORBENT: In the form of crystals or cloth, absorbent can soak up small spills of gasoline, diesel fuel, or other petroleum products. Absorbent should be used rather that washing spills down a drain. In case of large spill, merely try to contain it; a vacuum truck should be used to cleanup any large spill. Location: Store room outside 10. EMERGENCY ASSEMBLY AREA: Location where all employees are to meet in the event of an emergency. Location: Along Gosford Rd 11. HAZARDOUS MATERIAL MANAGEMENT PLAN (HMMP) & MATERIAL SAFETY DATA SHEET (MSDS): Location: Cashier area 12. NEAREST MEDICAL FACILITY: Employees should know what facilities are available in case customers or other employees need medical attention. A. NAME: BAKERSFIELD MEMORIAL HOPS. ADDRESS: 420 34th ST., BAKERSFIELD PHONE NUMBER: 661-327-4647 B. DESIGNATED TRAUMA CENTER: NAME: BAKERSFIELD MEMORIAL HOPS. ADDRESS: 420 34th ST. BAKERSFIELD PHONE NUMBER: 661-327-4647 II. All employees should review the Service Station Monitoring Plan, of which this training plan is a part. Specifically, each employee should understand the procedures to be used in responding to various kinds of emergencies, and know how to monitor for leaks of hazardous materials. As a supplement to this package, employees should also review the Emergency Response Plan filed by your business to the appropriate local agency. Thirdly, employees should review and have access to the Materials Safety Data Sheets you have on file for each of the hazardous materials stored at the station and must be drilled in all emergency response procedures contained herein. III. FIRST AID PROCEDURES (For exposure to gasoline or diesel fuel): A. EYE CONTACT: Flush with water for 15 minutes while holding eyelids open. Get medical attention. B. SKIN CONTACT: Flush with water while removing contaminated clothing and shoes. Follow by washing with soap and water. Do not reuse clothing or shoes until cleaned. If irritation persists, get medical attention. C. INHALATION (Breathing): Remove victim to fresh air and provide oxygen if breathing is difficult. If not breathing, give artificial respiration. Get medical attention. D. INGESTION (Swallowing): E. DO NOT INDUCE VOMITING BECAUSE GASOLINE CAN ENTER LUNGS AND CAUSE SEVERE LUNG DAMAGE! If vomiting occurs spontaneously keep head below hips to prevent aspiration of liquid into lungs. Get medical attention. F. NOTE TO PHYSICIAN: If more than 2.0 ml per kg has been ingested and vomiting has not occurred, emesis should be induced with medical supervision. Keep victim's head below hips to prevent aspiration. If symptoms such as loss of gag reflex, convulsions or unconsciousness occur before emesis, gastric lavage using a cuffed endotracheal tube should be considered. For further information consults the Materials Safety Data Sheets for these products and for other hazardous materials. FIRST AID FOR EXPOSURE TO OTHER MATERIALS: Consult the warning advice on container labels or refer to the MSDS for that product. INDIVIDUAL TRAINING RECORD Employee Name: Acknowledgment: By signing this form, I hereby acknowledge that I have attended the training sessions listed, and I understand the content and my responsibility in these areas. Date Training Topic Employee Signature Trainer's Name Required HAZCOM (Hazard Communication) HAZWOPER (Hazardous Waste Operations and Emergency Response) THESE ISSUES ARE COVERED BY THE UST DESIGNATED OPERATOR TRAINING PROGRAM Lockout/Tagout (control of hazardous energy sources) TSCA (Toxic Substance Control Act) Recommended Freon Recycling (as applicable) Spill Containment & Control Robbery Deterrence Waste Management Safe Lifting Accident Reporting Fire Prevention & Evacuation Plans Personal Protective Equipment Safe Food Handling (as applicable) Service Bay safety (as applicable) Civil Disturbance Response Natural Disaster Response (earthquake, flood, hurricane, tornado, etc.) Use of Fire Extinguishers MARKETING SH&E - MAY 1993 Version 1 fI~DIVIDUAL TRAINING RECORD (cont.) Date Training Topic Employee Signature Trainer's Name MARKETING SH&E - MAY 1993 Version 1 L ARC H I T E C T U R E • E N G I N E E R I N G • E N V I R O N M E N T A L S E R V I C E S ~ GROUr Iric. 1137 North McDowell Boulevard, Petaluma, CA 94954-1 1 1 0 Telephone: (707) 765-1660 Facsimile: (707) 765-9908 June 6, 2006 John W. Johnson Prevention Services Co-President Bakersfield Fire Department Architect 900 Truxtun Avenue, Suite 210 Bakersfield, CA 93301 Brian F. Zita Co-President RE: Shell Station Closure/Sale Architect Dear Prevention Services: John B. Hicks This letter is to inform you that the Shell Station located at 4050 Gosford Road in Vice President Bakersfield has been sold to the operator effective 02/28/2006. Shell Oil Products no longer operates this business. All future correspondences regarding this facility, the hazardous Regional Managers materials permit and the underground storage tanks should be directed to: Brad A. Gubser Yang's Oil Corporation Jesse E. Macias Shell Oil #121224 dba: Yang's Oil Corporation Roy W. Pedro 4050 Gosford Road Alan K Shimabukuro Bakersfield, CA 93309-7692 661-833-4002 John W. Strobel If you have any questions, please feel to contact me at the number above. Respectfully, RHL DESIGN GROUP, INC. I Steve Skanderson Project Manager Offices Cc: Shell Oil Products US ANAHEIM, CA BELLEVUE, WA CAMAS, WA DENVER, CO MARTINEZ, CA PETALUMA, CA ROSEVILLE, CA SCOTTSDALE, AZ \Uhl-haz\hazma[\HAZMA71Shell~zFORMS\Agency SOLD HMMP Letter Merge.doc www.rhldesign.com 01i28i2005 11:02 ABLE MAIF ryr , ., .. I tom, ~ j r:- ~' State Of Ca~1ori ~``-' ~t,AT+1TRACTOIiS S'T'ATE LR A~C11YE LtCE1~C • ~ ~ ' ~,.,~. 312844 ~..,~.. ABLE MAINTENANCE . ~.m B A C1~ NAZ '• ~~m 04130!2006 ITENANCE INC ~ 19166311317 •~ ETJSE BOART! ~ CORP" NC ~ • ..~ N0.145 D02 f I ~., t~1i28i?005 11:02 ABLE MAINTENANCE INC -~ 19166311317 N0.145 D03 ~ .. • . ' •' "' ~ ~ ~ • • ~ ~ ' • POL• ICYWOL•DER COPY ~~~~~ P.O. 80~C, .$0,~; SAKI • FRANCISCD;CA~.94142~'~•08.0~ ' • • , tOM~I?EteSAT10N 7y i. ~ ~; •:F • • ~' '' ;y.•;,~,1 :~>,..Y ~~f~ ~ CERTIFICATE ~ '•"~. •:: , ~~~~~' • ..• •.. •• ~ •~>: :' .... ... .., • ~OF'•WQR,K~R$:~~~iMP•EIVSAT~~QI~..I~SI~RANCE `. ••. ISSUE OATS • t0-01-20Q4 'y ' §' .,~,_' Gt~bC1R:'•'•••Y~`'•. 000641 ~ ' ' ' ' ,i: . -•~`.:,~.;i • , • POLI1;'1~ `N1,J11ABER:. 0001119-'1004 ,; • ,• ~ •. • . 's,:,..:..;. ; ::s•:~• ' •'. ' . ; • . CEFiI l~ltrr4TE..ID: ~ 11 ~ - - • • " <:• •wr.. ', ;,';.•..: , '. GEA~3F~`,,,4~..T;.~-,'EXPIRES: 10-01-2006 "'•~ ; ~•' .•to=o~~ooaito-at-Zoos ' ' .:a• • ~~ -> G:OIVTRACTORS' STai'E • L I • EIS E'•~BOARO ' • N~~'• ~ . • •,x~'•;R.r' ;~•'• 2; ' - •.~:•IICENSE~ ~YIJ~IBBR: LICENSE ,312844 `:..~~+ "• .> WORIEI:RS-~+C~[QHnPE~[SAT~ION'UNIT•' '• •rt,•'=;, ,?-, '"<••..•I;NC~PTION DA'~E:' 14-01-2004 ~ • to ~ 0• BQX' GvuYO, ""'"`'""'.r' -.. ~' 1, p•4• -O.• ' ~> SACRAMlENTO CA•:g~82~w •G•.,....,,. ~. ~~.; ';: ,~~' ,•;•~•. :t 'NC.• a• This. is Lo certify that we have issued a `valid' 11Yo'rkers''.~ompe~saxian `ij~sura~c®• policy in a form approved dY the California Insurance Commissioner tti ~' e' employer, named•'tlelopir. for the;~patlGX~.period indicated. . This policy is no'i subject to cancellati n by the Fund. except'^upon ~p'd~~ s': adviatiela`.written notice is the employer. • ~!. . . We will also• give you,.~.days' ~advan notice'shq,ld''~lii's•pOlicy •6e rc&ical~ed''•;pr~or to••as,..norm~l"e~Cpiration. . This c~ir4rfi~eate.~of `'in~ur8,nce is not ;gin insc9rance;•policy' and ••does;•riot ~tneed exaand'or a~tgr the .overage. •efforded a r ti Y i l.! .~ 1 ..~• by the ••potjcies lusted h@@re~n...Notwiths s difig;;any• requir~e~nen't; • term, ol';.•„ pti'Qition:.P.f.' any,; cotttract•o„F•' other document • witfi respect ~oxw,hich ttris ••~rtiffcate, f,lnsurance•~rr.+,ayn ..issued or.•rr1 'ftal `tl-e• i s'iiF®nre afforded by thi~•`•:•••~. •• •••a. . ~+ ~x„• n POltcies desc~ib®d herein is subject t ~ell¢the tlargp+s; ~~x~y~l~i ~iesns ~arid'.con 'tit~r~s„of•~..such~ policies: •t ~' • ' • 1.~..a i Y ~Yk. .~•" . ~ '~~J/ ~~ ~ ~ • ~ _. /~'_ fir. ww...vr ~y .. . „ '',,r. '.' .. , AUTHORIZED,RePRE15EilI'Tr4TIVE • ` PR~SII~.E,A1T;.~'°"''• •• ~ . :~_ 'EMPLgYER'~~ LIABi~.1TY j<.J~I2T INC .UOING•.O~FENS~,w~t~S~S:•=• : ~,•1~,~lQ0,~100':00• PE&~:OCC~IRREIVC£. , • •• `', f;ImORSEMEMI't•.42065 ENT~T~EO DER •I•fICATE t~i0L0EQ5:<;~NOT•CEy:EFP~~I:'~•1tE~10'=01-200'4 IS••ATTACNEp TO AtrD •? •,FORb1S A ?'ART OF THIS P042~Y.: ., .•• :~ ~ •a;• 't. • R ~ t<K•••••'• ` ' . ~'. .. ' • ' ~. .. .. • • • .::y.: • . \^ ,. ' ~.. '1. y:. ,~.. ... :~ fy . . •.• . Y•• , •c ,Y•• " • , • ~ . •. ' '` • is ~L Aryaw .. >• t ' •YI ,. •.~, ~ .. ... s . <'• I... g • 3 ~~• 4 ..>.v....... ~ • .w<YY•M S,y.•w N Y t ' ~ r \ /•• .~ R \ .•. . i . < :' ...w' k. xi ~ . N f• .E d • /,. EMPLOYER .. '" .>• ' . •. • LEGAL NAME "'~ • w.t,,... .. .... • ..wr • •' ':Z'' ~~ ~ ~ ,`~ ABA>E.`.:.~C~1 f~1T~ENA~IC~ I.N.C. ~-.• ~ ~. ~•~~ ~ • , ,.. a d .. - • r '32zb REG I ONkL~ .P*WY ' :w ••>..~e.. " ` • ?h~ • • . ~~„~•4'~`'fdAiNT~ N'(W@E~ .INC.ti. ~ w ~• . ~ a y 0 A .) Y . r ... f• SANTA ROSA• CA~•9~403 ~ ~. w~ ~", . ~ s ~: ,1. x ~; ..a ~ ~ • ~ Y' . . ~ % 01/28/_2005 11:02 1 ~.~ _ .~ ' ~VERIYvFUYHENTIt:RYOFTFI1S000U~ >w.° ~: . ;•;,,~«~,-Yom...; ~~rii ~,tT . '~'eK:rD: ~.~.': 0....el! • Promissor ID: ABLE MAINTENANCE INC ~ 19166311317 "' . .. \: _ • r I ... . ationlR~trofittin • Y ,a. @' ~ .ate, • . ,,.,,N.~ame: F ~w,a ,~ - ~4ddress~J g a Rf\ab s~.•~~~.. \•... ~Y~.• Xf.'.S .::.. ~:n •.:..Y:.: •::.A ~:~.1:,,. (?y ~• ~ ~... M, ~yyyz l::i4Lib: ~ : ...S.t:.•. rr;~ e;;c;±; ;~ut:%y~;:p'.~~ ~~'ia ulationsl You h' wilt be forwarded to you Is current for two years. `~ l~ extremely important tha f 9 ~.:. i e!~ 7Z 7 ±t .:~•~•"'~ "~s`!r((pDi ofynurcerdficate ~``... :.` ~,..~~ 877-78926 with ch8 e ~y'~:~ ~ •~~, •~ R,~~~~i~due to a misspe . ~~M1 ,~-r:.y xx.,, :~• ~ . 9..;., w r.,c:... . `' . a~,..~.' • ,~.:~ r .w.h •ndAC •.... i.. .. r!:. x '• ' fix:;, •.•. y ^. axS, p •e~ 1•,• ~~ . . ~. • ~'~Y1.y .• n~, •. i~~ :. ~iS.w ~~.•N :•lw 4A ww~ ~1 ~ ~~ NAVE +, ••• ;; • ~f • ~,~ k = +"• i ~+l/,v.~ • . Y .. 4 ..•.• .. ~; • ,• CA • •; 9511 ~! •: ~ •,•• . N0.145 D04 M •w~+~Ct~~'T ~' ~ ;€ r ,~,.. „'~~ ' ~.~ 03/10/1964 ~~~;,~,~ '~ _• ; +µ `+'~~ I ~,,~ . ~ • •.._ . ,EXAMINATIOIV.RESUL• ' r ~ ,~ • • ~ ~ ~ 1 • . ~ • • IY: 1 t i yy~~ QQ '' t ;:•;ti; 'y ~ y • yYa 'PY 11 ,l•• ar 1 ~ .x'~e 'fi ~...~ ~. .rrf.r•~i ,'r. ~• uat(oNReOrofittipg. n~urwalletcar~and'certifi 1 • ~ in•the last dayaithemontti;iri wfilch'You tested. This cer',y :,s~'~°`" ••~ •'. • ~.. r Void, Ih`~ •arid ICC o(,any~than~es.• •~ . ~.: • add ess to a ~'~~• "~~~~' :•.~ • ~ Please contsct•F?romi. ~ '~ • . • Wand ICC at •;.;~~ I ~: ress. • Tneri~' may; ti ~ddltjonal:fee' •( ertificatiori ~ ,, ~ 'j ddress. ~ '"~ ~ ~`~ ~ ' .•% 1 w ` ~~ ~ . • ,~ •~ i, 9k .~r4Y . Y R .. L T ~'.A' ' ~~' ~ . i' ~ •~ . • ~~ r } 72!+• \. y, r•' ~*; .. ~~~ INTERNATIONAL CODE COUNCIL ...~ ...- ASA L HEINTZ UST INSTALLATION/RETROFITTING 8iven this day of Januavy 13, 2005 ~, ~:« ~~ ~ 5252032-U1 Certificate Number Frank P. Hodge Jr. President, ICC Board of Directors / A/~ ~~ Vv James L. Witt ICC Chief Executive Officer INTERNATIONAL CODE COLINCIL° rt. ~. , _„ ,.. T • i ~ Attestation No. E 01030 Asa Heintz ~ e nta c x, Y Santa osa_ CA ~ e Allende`~d~?InstaltatTo"r"~'sTraf~iing for EVR PHASE 1 By OPW Date 1/21/2004 Dist. Mgr.: Tim Hughes Exp Date: 1/21/2005 GILBARCO ~~~ r;, '~` VEEDER-ROOT Certi f icate o f Completion Asa Hientz xas com~[etea tl~e ~eve~ 4 course o f instruction in tl~e insta~~ation anc~ service o f VEEDER-ROOT UST 1Vlonitorin~ Sv~stems. ~ G~ Ren Mi~~e Tec~jnica~ vaininq Manager Date April 3, 2004 ~` ~ *~_, V E E D E R Certifccate of R O O T Completion Asa Heintz has compCeted t6ie LeveC3 course of instruction in tie installation of ~e~~cfer-foot 215 ' JVfonitorir~ Systems ~~ Jaz,u~y s, zoos Patrick W. Schoen u ~~. i ~` 4J 1~ ~ I HUSKY ~ BALANCE SYSTEM VAPOR RECOVERY NOZZLE • ACCESSORIES °' • REPLACEMENT PARTS • FEATURES • DIMENSIONS i i -sia- ~~ong) 5800-01 Complete Assembly Kit- Unleaded' 5800-02 Complete Assembly Kit- Leaded' 5801 Bellows 5802-01 Spout-Unleaded 5802-02 Spout-Leaded 5803 Bellows Spring Assembly "Includes short spout, bellows, spring and clamp. 1/2" ort) ;~~ 5900-01 Complete Assembly Kit- ng) Unleaded' 5900-02 Complete Assembly Kit- Leaded' 5901 Bellows 5902-01 Spout-Unleaded 5902-02 Spout-Leaded 5903 Bellows Spring Assembly "Includes long spout, bellows, spring and clamp. 2879 Bellows Clamp 3364 Bellows Clamp Tool 3360VR Reconnectable Safe-T- Break® (with vapor valve) 2715 10" Coaxial Hose 3990 Scuff Guard for 3360VR ,~~~} 5950 Full Grip Guard ~'`~'' 4190 Full Grip ReGuard rWyh r~a~. s~r~ win. 2325 Husky Way • Pacific, MO 63069.636-257-3073 • FAX 636-257-4962 • www.husky.com • safes~husky.com 2300 E. Vistoso Commerce Loop, Oro Valley, AZ 85737.520-742-3994 • FAX 520-297-8891 t HUSKY ~ ~, j~. a~ BALANCE SYSTEM VAPOR RECOVERY NOZZLE ~:, ~,; r. -; ~` i_I ~, r_~ - HuskyQis avapor ^ Vapor valve in body, SPECIFYING INFORMATION - recovery nozzle not in spout. designed for new Stage Model Fuel Hold-open Weight Spout II installations that is the ^ Easy and inexpensive same physical size as a to maintain due to the Number Clip Lbs. (kg.) conventional, non-vapor one-piece bellows, the recovery nozzle. uncluttered spout, and 5010 Unleaded yes 3.3 (1.49) Short the simple, single bel- 5020 Unleaded no 3.:3 (1.49) Short ^ The Huslry3Lwill fit lows clamp. most existing dis- 5110 Leaded yes 3.3 (1.49) Short pensers. Conversions ^ Another version of the to Stage II can be nozzle-with longer 5120 Leaded no 3.3 (1.49) Short faster, easier and less spout and bellows - 5210 Unleaded yes 3.4 (1.54) Long costly. is available for replac- ing vapor recovery 5220 Unleaded no 3.4 (1.54) Long ^ The bellows-made of nozzles already high moleculaz weight installed. 5310 Leaded yes 3.4 (1.54) Long polyurethane-is 65% more flexible than pre- ^ Aluminum casting and 5320 Leaded no 3.4 (1.54) Long vious bellows, and pro- design provides a vides 55% greater resis- lightweight, easier to CONSTRUCTION tance to cuts, scuffing handle nozzle. and t: lights Body Aluminum bello Disc VitonW (Fluorocarbon) ^ Nozz Packing Fiber reinforced Teflon with Lever One piece contoured steel that , it fall Inlet 1-7/8" x 12 PATENTS AND LISTINGS Patent Nos. 5,085,258 5,127,451 Listings U.L. C.A.R.B. Viton®is a registered trademark of DuPont Dow Elastomers. 'S LPM GPM WIDE OPEN FLOW r 1' ., ~'a j~ f ;; 3 ~. #.(! .~ J 'i U` ~,`09°°~'~ 4U1 o ~ w 20 LL 10 0~ m 8 6 4 2 KPa 0 20 40 60 80 INLET PRESSURE (SpG = .78) t W VAPOR FLOW vs PRESSURE DROP ~ 60 O LL 40 a 20 0 0 .02 .04 .06 .08 .10 .12 .14 VAPOR PRESSURE DROP (in. H20) Rev. 11-99 ~ _ Goodyear Industrial Hose Products Business Visisan U~her~ t€~ Etuy keep INe Infcrrra .. n s .s ~ ' ~ y`Wy ..x a- ~~~._. ~o~« s-' ~ . .~ ~~ ~- .~c ~ ~ (~ t ,~ Application(s) Petroleum Dispensing Maxxim. Premier Plus incorporates a Venturi pump in the protected confines of the inner fuel hose coupling to keep the vapor path open in the outer hose. As gasoline flows through the Venturi pump, gasoline accumulating in the bottom loop of the vapor hose is collected and returned to the fuel hose. C.A.R.B. and UL 330 approved. Properties ~~ Construction Tube Nitrite synthetic rubber (ORS) Reinforcement Braided (1) steel wire Cover Chemivic. synthetic rubber (ORS): Thermoplastic outer w/ textile reinforcement and wire helix. Temperature -40 to 140 ° F (-40 to 60 ° C) Packaging Coupled lengths only, 6 pieces per box Branding Nonbranded Couplings Available only as factory coupled assembly. Order Codes 532-365-441 Please refer to s#~.eci_al_prod.u.ctit~.n...ru.n...mi.rt.im.um.._requrem.ents referencing the first three digits of the above order code. Page 1 of 2 http ://www.goodyearindustrialproducts.com/cgi-bin/industrialhose/view_product_detail.pl?product_ID=3... 8/22/2005 Goodyear Industrial Hose Products „ :, N©rn. ilk in. mm. 5/8 15.9 Nam. ©L? weight in. mm. Ib.lft. kg./m 0.85 21.6 0.22 0.33 Add checked items_to My.P,arts List No other warranty of any kind whatsoever, either oral or written, including implied warranty of merchantability, fitness for a particular purpose, or other warranty of quality is either expressed or implied for the performance of this product. Goodyear shall not be liable for special, incidental and/or consequential damages, even if goodyear has been notified of the potential of such a loss or claim. Click here to read the comnlete Limited Warranty. View nevus or reso.ucces related to Petroleum Dispensing applications. Privacy Policy ~ Copyright ~ Contact tJs Page 2 of 2 http://www.goodyearindustrialproducfs.com/cgi-bin/industrialhose/view_product_detail.pl?product_ID=3... 8/22/2005 Goodyear Industrial- Hose Products Page 1 of 2 '. ~ ~ ie ' a • - s ~~ ~, .R.n,,,~ ~~` i '- -.. - ,y ~+w- ~ : ~. ~, r Application(s) Petroleum Dispensing Flexsteel. Vapor Assist is for Stage II Vacuum Assist Systems where a pump in the dispenser pulls the gasoline vapors away from the vehicle fill pipe during fueling. The wire braid construction for the fuel hose provides excellent kink resistance, low computer creep, and long service life. Flexsteel Vapor Assist is C.A.R.B. and UL 330 approved. Properties ~~ Construction Tube Nitrite synthetic rubber (ORS) Reinforcement Braided (1) steel wire Cover Chemivic. synthetic rubber (ORS) Temperature -40 to 140 ° F (-40 to 60 ° C) Packaging Coupled lengths only, 6 pieces per box Branding Continuous brand z Goodyear UL Listed Flexsteel Vapor Assist II.- Couplings Available only as factory coupled assembly. Order Codes 532-362 Please refer to special...p.rode.coon_run...minimum...requirements referencing the first three digits of the above order code. http://www. goodyearindustrialproducts.com/cgi-bin/industrialhose/view_product_detail.pl?product_ID=3... 8/22/2005 Goodyear Industrial Hose Products Natn. iD in. mm. 3/4 19.0 7/8 22.2 Notts. OD weight in. mm. Ib./ft. kg.lm 1.13 28.7 0.47 0.70 1.25 31.8 0.51 0.76 Add checked items o,My.Parts List No other warranty of any kind whatsoever, either oral or written, including implied warranty of merchantability, fitness for a particular purpose, or other warranty of quality is either expressed or implied for the performance of this product. Goodyear shall not be liable for special, incidental and/or consequential damages, even if goodyear has been notified of the potential of such a loss or claim. Click here to read_th~comnlete Limited Warranty. View news or resources related to Petroleum Dispensing applications. P~~ivacy Policy (Ct~pyright ~ C{antact lJs Page 2 of 2 http://www. goodyearindustrialproducts. com/cgi-bin/industrialhose/view_product_detail.pl?product_ID=3... 8/22/2005 New Page 1 Page 1 of 1 Coaxial Breakaw~y2~v~t~}`Dual Check Valve; Avoid potentially disastrous situations with Catlow's C200CV Breakaway with dual check valves. The C2000V is designed to be used with stage II vapor recovery coaxial hoses to interrupt the flow of fluid and vapors in the event of a break. The factory set 300 lb. pull-force helps minimize nuisance breaks and eliminates the risk of dispenser damage due to driveaways. Completely compatible with all major hose manufacturers, the C2000V offers minimal flow restriction, easy reconnection in the field and countless hours of safe, reliable service. F EA"I'UI2ES ^ C.A.R.B. certified G-70-52-AM ^ ETL Listed to UL Standard 567 Rev. 7 ^ Spring loaded poppets -stop the flow of ^ fluid at both ends of the break ^ Seals the flow of vapors to the dispenser ^ Meets NFPA codes -federal and state regulations ^ 3001bs. maximum pull force ^ Free repair kit with each breakaway ^ Black foam cover provided ^ One year warranty -factory repairable at no ^ charge for one year from date of manufacture ^ Reconnects on site in minutes using repair kit ^ Field repairable -maintains ETL listing ^ Minimum flow restriction 1~1ATERI ~L~; Body is cast aluminum O rings and seals are Viton __ _:~~ tt,~ .-.~ ACCESSORIES Repair kit ETL Listed (C200R) 10" whip hose (VO10) Protective plastic cover (C200B-1) CATLOW products should be used in compliance with all applicable federal, state, city, county and local laws and regulations. CATLOW makes no warranty as to fitness or application for a particular use. All illustrations and specifications in this literature are based on the latest product design at the time of publication. CATLOW reserves the right to make changes in specifications, material, product design and price without notice or further obligation. Catlow, Inc. 1999 o Sales Desk (800)222-8569 <> Sales FAX (937)898-8631 <> Phone (937)898-3236 2750 US Route 4Q Tipp City, OH 45371 0 1999 CATLOW, [nc .<> All Rights Reserved. http://www.catlow.com/prod_info/vapor recovery/pages/C2000V.htm 8/22/2005 Safe 6 reaks® STANDARD 3/4" A2119 Shear "Pin Safe Break® A2219 Reconnectable Safe Break® The Emco Wheaton A2119 Standard Safe Break® has an economical shear pin design with 3/4" connection for standard hose applications. The double poppets seal both hoses upon separation. The Emco Wheaton A2219 Standard Safe Break® allows for immediate return to service after adrive-away, with no repair kit required. This is made possible by a unique; reconnectable design. The double poppets seal both hoses upon separation. ^ UL listed Model No. ~ Description ~ A ~ B ~ Weight A2119-002 '%„' Shear Pin NPT 1.8" 4.0" 0.4 lbs. A2119-003 '%a," Straight Thread BSPP 1.8" 4.0" 0.4 lbs. A2219-002 "/,;' Reconnectable NPT 2.6" 4.3" 0.7 lbs. A2219-004 "/„" Reconnectable BSPP 2.6" 4.3" 0.7 lbs. Material Body: Aluminum O-rings & Seals: Buna-N &Viton® Protective Cover: Plastic ' » A3019 Shear Pin Safe Break® A3219 Reconnectable Safe Break® The Emco Wheaton A3019 Standard Safe Break® incorporates all of the features of the A2119 shear pin design with a I" standard hose connection. The Emco Wheaton A3219 Standard Safe Break® with a I " hose connection, includes the'features of the A2219 Standard Safe Break®. Model No. ~ Description ~ A ~ B ~ Weighs A3019-001 I" Shear Pin NPT 2.0" 6.3" I.0 lbs. A3019-003 I" Shear Pin BSPP 2.0" 6.3" I.0 lbs. A3019-101 I" Shear Pin BSPT 2.0" 6.3" I.0 lbs. A3219-001 I" Reconnectable NPT 2.0" 6.0" 1.2 lbs. A3219-003 I" Reconnectable BSPP 2.0" 6.0" 1.2 lbs. A3219-101 I" Reconnectable BSPT 2.0" 6.0" 1.2 lbs. Material Body: Aluminum O-rings & Seals: Buna-N &Viton® Protective Cover: Plastic Viton® is a registered trademark of DuPont Dow Elastomers u =..1 ~' , `~~.'... ~~ ~ "~ ~~" ~ "~~t= ~, ~~.. ~; _ .` 16 Emco Wheaton Retail ^ 2300 Industrial Park Drive ^ Wilson, NC 27893 ^ 252-243-0150 show/ rev F changes d 3 N/A 0g/tyD2 2 NIA 03/2aA2 AS PEH CLIENT cliem's reeueat ~'~ Valance Note: Wayne's valance does not comply with Shell RUI spec size requirement Therefore they are to be supplied by Shell's approved valance vendor, I--1 can, n.a e.edrf ..,' - a.,d,a ~~ :~~ a.,,.w. ~d ~. 1~ ssaeza-glom BCK6 4VHI7E IYV71 IIXFAND GRAPHICS 6:ACK IJ211 FONr: FDTl1RA BDID ~~ 88186Z-002 A s.~z~ runty m 1 ,., sews O .•, Trem~txr CAII BUTiDN l6ptional-, 888555-00110D3 3.31' Sole 5 ..._~..` a.r GnBaans .. _.,w.. SALES & VOL 887460-GD3/Dp2 Push to Start Panel-1+3Praduct I ~ Shwmo25Y Scale i Fenl Uaek Fl,vmMW•7r height isi9' .~ Acmamrneolr. As shown I Gackgmmd Color. Whhe IW1) ~ Ldors Spxi(ad: Preduetl0 ienl l Badrprowd I 8erder Premium Wanl YegowIY51PMS 116C Green lG6li PMS218C ~ Nam Diced YedmuD'51PMG11BC I GmxnIG6l1PM53gaL Nme Repdar Red pnalPM51eSC rillowlYn PMSIteC Nom Plus eWe IB21PM5201C I~ YeBew IYSIPMS116C Nme Premhrm fileck lJ211PMSBIaek YellawlrSIPMSIIM: None Price pet Glaek IJ211 PMS Glatk I acme ushroud I >.ul MDDEL: B2314Z2_~595~.._._-_ SPEC: SHELL RVI YELLOW ' Lrug uua LIUY I~ L164 ..; 886459.00TNOZ DURE/P[!PR 8g8460~A011a20 D! ' ® BB6+159.ODl/~ PRDIIRfJPtlPR f I® 86B460.Op111a2 PRDI If 738' ~ 738' ~ 1738" ~ 738' BBA90 ODVODI DU6fJPpPR I ® 888.51D-0BOIBOB : PRDURFIPUPR Ad panels 1~3 Producm ~~ GDlors Speared: Product ID Text Background ' Premium Diesel Yellow lYSI PMS 116C Green IG67) PMS 34BC Diesel YellowlY5) PMS 116C Green IG67) PMS 34BC flegular Aed IR14} PMS 48SC Yellow IY5) PMS 11fiC Plus Glue IGa) PMS 301C YeIIDwIY5) PMS 116C Premium AlackIJ21) PMS Black YellowlY51 PMS 116C 13. a d .a _ / _ " •~ i t -~::~. - ~. ~~~- - - _ - ,.~W _ Amy °~. 888353-D011D02-Door details ~*~ Shown at 10%Scale ,i fiadground Vinyl Coble While IW71 Colors Specilled: ' Shell Knape bed IRt11PMS1e6C ~I Shell image Yegaw D'sl PMS tI6C Door hack ground YJhhe DNIL. .. ~' G DIESEL OCTANE DECAL ~.. Dispenser Pad ~escrip6Dns Hydraulic Cabinet Skin: 868163-ODIIDIM Column Cover. 888291-D02101N7 Column Back Cover; 888150-001JOW7 Column Screws: 6DOD803 Vapor Barrier. 8B@479.OOlJOWJ Elec. ERClosure Skin: BB8162.001JOW7 Bezel Frame: 888262•DOiJOW7 Display Panel: 887811-001JOW7 left Panel: 881878.OD5JOWl Printer Doar. 887897-001JOIM Card Reader Panel; 887613.001JDW7 Upper Right Panel: 887716-DO1JDIhl1 Keypad: 887869-002 SalesNDl. glass assby: 88146D-OD11D02 Card Reader Plate: 888695-001JDW1 Actuator Button: 881893-001 Receipt Decal: 862864-002 See last pages for CA, AZ and Unhranded parts. ®please choose one PIN , Approved apprauedhyclientBS/13/82 Graphics Oepartmentretamsariginal signed decumetR Wayne r~,,.wbaw .o~na Gcuv Wayne x~e"91p`~atlP' Dwc, Inc wm,,"cnn,".a• ~dww,m,m,w,„",, n,nnn, tz 78728 vx ~.~ ~w w.,•.., TmB ;~„~„°„~~ „~ „ DVATIDN SPECIFICATIDN SHEEP SHELLmn YELLaw~7yg2. I,nril wn mpym i.we.r. a Grrn [MV ,,,,~, w•w raw Put W o-.am .i (.arm wu BBgI%-aa' m,e~~wsm, ~ wv ... _ _.. ,_a yl I 0 , B 7 6 5 4 3 ~ 2 1 I, REVISIONS 43.46 LTR N0. ~ DESCRIPTION REV BY DATE RCD BY ~ RFI_EASED FOR PROs PFR EcD 15208 CCH I9JUL02 43.21 INSIDE ~ CONDUIT OPENINGS WHEN NOT 17.00 17.00 DING OPTIONAL JUNCTION BOX NOTES: UNLESS OTHERWISE SPECIFIED ~ 10.50 i . ALL PIPING ANO ELECTR 1 CAL I NSTALLAT l ONS MUST 10.50 CONFORM TO ALL APPLICABLE REGULATIONS INCLUDING ~ NFPA30, FLAMwIABLE d COMBUSTIBLE LIOU1~ CODE; D NFPA30A, AUiOMDT I VE d MAA I NE SERV 1 CE STAT I DN CODE; NFPA70 NATIONAL ELECTRICAL CODE. DO NOT "DAISY CHAIN" IPMENT ~ 15.13 13 - -1--0- -I- 17 - ~ 42 - ~ '19 . THE DI PENSEA POWER CIRCUIT TO ANY OTTER EQU . I;~IDE - 14 4.67 ~ r 6 . 2 PIPING FROM TANK TO DISPEA~ER SHOULD SLOE - . 7.57 - --~- . L37 UPWARDS TO AUOID AlR OR LIQUID TRAPS. 3. USE UNIVERSAL JOINTS AT DISPENSER TO ALLOW FOR GF~UND I~VEMEM. 11.67 WHEN USING OPTIONAL JUNCTION BOX, 5/8 X 2 SLOTS FOR ANCF~R 21.50 BOLTS, 6 PLACES. SEE NOTE 5 I INCH VAPOR RECOVERY ~~' ~P~ l~E INDICATED CONDUIT TAPS SFpWN TO MAKE 6.17 ELECTRICAL CONNECTIOAS TO DISPENSER. LOCATION OF FIELD INSTALLED 5 6ER TD TFE ISLAND U51NG THE FIRMLY DISPEI O NT T 4•~ CONDUIT WITH JUNCTION BOX OPTION . ~ M U HE ANCHOR BOLT LOCATIONS SHOWN. 13.03 6. EMERGENCY SHUTOFF VALVES AND BREAKAWAY DEVICES COLUIRJ BASE DIMENSIONS ARE EXAMPLES OF REQUIREMENTS STATED IN THE I~Ph30A AUTOMOTIVE d MARINE SERVICE STATION CODE. TFESE AS WELL AS ANY OTHER SAFETY JUICES REQUIRED BY NFPA~ 8 30A, MUST BE OPTIONAL UALANCE .-..-..-..-..-..-_ INISTALLED AND MAINTAINED PEA TFE MANUFACTURER'S 1NSTRUCTI~. I , 7. THE FEEp STOCKS MUST BE PLUMBED A5 SHOWN -°-°-°- - FOR THE DISPEN6FA TO WORK PROPERLY. 6. CONNECT OPTIONAL INTERCOM CIRCUIT TO A LISTED C CLA55 2 POWERED INTERCOM OILY WITH IB GAUGE MINIMUM, AT LEAST 90 DEGREE C, 600 V GhS d OIL RES]STANT UL L! STED WIRE. WIRES BACK TO 1 NTERCOM POWER MUST BE RUN 1N SEPARATE DEDICATED LISTED METALLIC CONDUIT. 12.0 MIN n -~- 3/4 NPT CONDUIT TAP 2 PLACES L__11_.J B A LOW FEED STOCK --~ SEE NOTE Z HIGH FEED STOCK SINGLE PRODUCT OPTIONAL JUNCTION BOX I INCH NPT VAPOR DRAIN TAP FRONT SIDE NCH MINIMUM NCE FROM THE TOP OF ISER IS RECOMMENDED OW REMOVAL OF THE IAL VALANCE. 688499.002 REV B TOLERANCES ! V4 INCH UNLESS OTHERWISE SPECIF]ED 4 P ~~ 4 i i- ~~ 4 1 I I 1 } P I I, ~, n i) fill ``~ it w' C B l 0o rmT SCALE DRAWING oA,~n, ~~ ~ z4JnNaz DRESSER WAYNE lfSE4 DTHAIISE ~ECIFIED 0E51~p ~ m~ ~ DIYENSIDNS NE IN INpfS ,CEO o,~ ' ~ x SN IEf Il FgD~ F EF SET a~ ~ . ANp.ES ,~- :7 IX ~- .oz .,oa ~~- .DID _ _________~._._________ TITLE I NSTALLAT 1 ON 1 NSTR, BOUNDARY LIME FOR SERVICE MANUAL COPY aARr eE aF eua~s -----------~~-------"'- 623 OVATION ~ ----------JIllTIALS.--------- ~ , • 1ff15 ~r mlgll6 f~Poflitt MO ~ nls~r~~a~~ar NC rm ~' "R°~ff°a~ma°pr~arr~ ~~ff ~~~~ff~m THIRD ANGLE ~°~CT1~' slzE oRAwI . 886499-002 B ' ,emsimxnus~ffswo~mlcrosimertnwu[ °~ n ~~ 1 ~i~ ~ ism ~i e~m~rff c ff mw®m ~ a»c ua tmsr xom ua mn¢rmi ', SCALE .07/ I SHT 1 OF 1 ff ~rwMian~inrm. ., g .: _..~:.. _.....p ~ 6 5 4 3 ~ 2 1 3.03 WITHOUT PEDESTAL 9.13 WITH PEDESTAL -EMERGENCY VALVES, 3 PLACES UNIVERSAL .MINT, 3 PLACES SEE NOTE 3 A , ~, ~, g __--- ~ b S 4 3 ~~ 2 1 46 ~ 3 ~~ REVISIONS 4 . LTR ND. I DESCRIPTION REV BY DhTE RCD BY DhTE 43.21 INSIDE A f;fLEASED FOR PROD PER ECO 15206 CCH 19JUL02 fL B REDRAWN PER ECO 17726 CCH I7FE804 NOTES: UNLE55 OTHERWISE SPECIFIED 17.00 17.00 S WHEN NDT ~ CONDUIT OPEN ING 10.5 1. ALL PIPING AND ELECTRICAL f1~TALLAT10N5 MUST U51NG OPTIONAL JUNCTION 80X ~ CONFORM TD ALL APPLICABLE I~GULATION.S INCLUDING ~ ~ ~~ D NFPA30, FLAMMA~E d COMBU5718LE LIQUIDS CODE; NFPA3 D 0A, AUTOMOTIVE d MARINE SERVICE STATION CODE; I 4.63 15.13 ~ THEADI~PENSERNPOWERECIRCUIT TODAM' ~TH~ETR EOUISPMYEN~TAIN" ~ ~i _ _F_®_ ~_ - 17, I3 ~ 19.42 I ~ ] DE 4 67 C . 7.57 6.14 2. PIPING FROM TANK TO D I CENSER MOULD SLOPE _ ~ 1.37 UPWARDS TO AVOID AlR OR UOUID TRAPS, 3. USE UNIVERSAL JOINTS AT DISPENSER TO ALLOW FOR ' d cROU~D ~ovE~NT, I I.s7 y 5/6 X 2 SL0T5 FOR ANCHOR 21.5D l I NCH VAPOR RECOVERY ^4 WHEN U51NG OPT10NhL JUNCTION BOX , BOLTS, 6 PLACES, SEE NOTE 5 OUTLET, OPTIONAL USE INDICATED COPIDUIT TAPS SHOWN TO MAKE 6.17 ELECTRICAL CONI~CT10N5 TO DISPENSER, LOCATION OF FIELD INSTALLED 33 CONDUIT WITH JUNCTION BOX OPTION 4 IR . 5. F MLY M~JT THE DISPENSER TO THE ISLAND USING THE ANCHOR BOLT LOCATIONS SHOWN. 13.03 6. EI~RGENCY SHUTOFF VALVES AND BREAKANAY DEVICES ARE EXAMPLES OF REQUIREMENTS STATED IN THE COLUMJ BASE D ] MENS 1 ONS • NFPA30A AUTOI,IOT I VE d MAR I NE SERVICE STATION CODE. THESE, AS WELL A5 ANY OTHER SAFETY - OPTIONAL VALANCE DEVICES REQUIRED BY PFPA3O d 30A, MUST BE „--,--,-„----- --- - -- „ - INSTALLED AND MAINTAII~D PER THE MANUFACTURER'S INSTRUCTION. ~ ~ ~ ~ ; ~ ; 7, THE FEED STOCKS MUST BE PLUMBED A5 SHOWN -•-----•-- ~ L..J_. -1._J AID INCH MINIMUM FOR THE DISPENSER TO WORT( PROPERLY, ~~ CLEARANCE FROM THE TOP GF i DISPENER IS RECOMMENDED ~ C II 6. CaMECT OPTIONAL INTERCOM CIRCUIT TO A LISTED TO ALLOW REMOVAL ~ THE O , r l+ ;; OPTIONAL VALANCE. CLA55 2 PoWEREO INTERCOM ONLY NITH 16 GAUGE MINIMUMy`,~ ~ 1N , 1 AT LEAST 90 AGREE C, 600 V GAS d OIL RESISTANT UL - II LISTED WIRE. W1RE5 BACK TO INTERCOM POWER MUST BE AUN IN SEPARATE DEDICATED LISTED METALLIC CONDUIT.., ~~ 9 p ~ n ® ~ ~~ ~~ i , - 93.8 • - -- ~ - ~ ~ OPTIONAL ' __ _ • JUNCTION BOX 3/4 NIPT CONDUIT ,TAP = ° E ~ I 2 PLACES 4 ' 1 I I~H NPT VAPOR DRAIN TAP ~---- ~ , r L J B ~ B ~~ ~ 3.03 NITHDLIT PEDESTAL 9.13 WITH PEDESTAL EMERGENCY VALVES, I LOW FEED STOCK 2 PLACES SEE NOTE 2 H[GH FEED STOCH ! UNIVERSAL .~ I M, 2 PLACES ~E NOTE 3 FRONT SIDE 666499-003 REV B ~ TOLERANCES ` ~ ! 1/4 INCH , UNLESS OTHERWISE SPECIFIED ,I~ ~ i~ ~' DD IqT SCALE DARNI NG aural „„,~ 2a.1nNO2 R ULE4 OTHAlISE 5°ECIFItD ' ~rl~ i~ ESSER WAYNE D ' ID< Df lsll 4 D11ObID S Alf 1N IN6E5 , O ~~ Dihm b % SH IE'f uF OLD N EF SEf Austi4 TX BOUNDhRY LINE FOR SERVICE MANUAL COPY nrti6 H- . c • .az loot a DID _ ___ ____ ~~y _____ TITLE INSTALLATION I NSTR PART 91ALL BE fIEE DF BLIdiS DPE1H swlP ~ ---------(DATE°--°-°' ----------.INITIALS..-------- 9 OVRT I ON, B 12 .~~~~~~~ I ' rtLS,nrmFwDO~nn~DU xa~MOS>~~rff~wic ~ rff e, ® a ke ~n anE . TRIAD hNGLE SIZE DAAWIIAi ND. AEV t rtrrrw m awe nr n ~rt~~°ff°~~"°~~ff°'~m gems wr ~xros ~ ff Dni Dimmrt maistert mi n[ n,~ffn~,ax. rtusrwrff~rmKnnx~ana nwirmnE®artffD~u~ nns®,oDism ~:~10N ~ 'y~il~- D 888499-003 B . _ . 6 ~nxm m ~ ~ ua ~r xuw ua mxFT~w j SCALE . O7/ I SHT 1 OF 1 8~ .._ .~4• . _. ~_~ ~ b 5 4 3 2 1 a « ~ ~' 8 7 6 5 4 43.46 43.21 INSIDE I~TESI UNLESS OTHERWISE SPECIFIED ' 17.00 17.00 ~ ~ CONDUIT OPEN I IBS WHEN NOT I, ALL PIPING AND ELECTRICAL INSTALLAT10n15 MUST USING OPTIONAL JUNCTION BOX CONFORM TO ALL APPLICABLE REGULATIONS INCLUDING D DFPA30, FLAMMABLE d COMBUSTIBLE LIQUIDS CODE; ~: NFPA30 T h, hU OMOTIUE d MARINE SERVICE STATION CODE; AIN" A N D I THE DI~PENSER POWER CIRCUIT O AN1' OT~R EDUIPMENT 17 13 15,13 ~ 2 PIPI ~_®_ ® ~_ IN~1DE 7 57 6- - ~ r - CL 19,42 . NG FROM TANK TO DISPENISER 5HOl1LD SLOPE _ . ~" UPWARD TD AVOID AIR OR LIQUID TRAPS. 1.37 3. USE UNIVERSAL JOINTS AT DISPENSER TO ALLOW FDR ' GROUND MOVEMENT. 1 I , 67 WHEN USING OPTIONAL JUNCTI~J BOX 5/B X 2 SLOTS FOR ANCHOR 21.50 I INCH VAPOR RECOVERY , USE INDICATED CONDUIT TAPS 9~OWN TO MAKE BOLTS, 6 PLACES. 5EE NOTE 5 OUTLET, OPTIONAL ELECTRICAL CONI~CTIONS TO DISPENSER. 6,17 F f LOCATION DF FIELD INSTALLED 5. 1 i1~Y MOUNT THE DISPENSER TO THE ]BEANO U51NG THE q,~ CONDUIT WITH JUNCTION BDX OPTION ANCHOR BOLT LSAT I O1~ 9i0WN. 6. EMERGENCY SHUT~F VALVES AND BREAKAWAY DEVICES 13.03 ARE EXhEPLES DF REQUIREMENTS STATED IN THE COLUMN BASE DIMENSIONS NFPh3oh AUTOMOTI VE d MAR I NE SERVICE STAT I DN CODE. TFESE A5 WELL A5 ANY OTHER SAFETY DEUICES REQUIRED BY NFPA30 8 3DA MUST BE ~TION AL VALANCE , INSTALLED AND MAIMAINED PER THE ~ --..-..-..-..-..-. MANUFACTURER'S INSTRUCTIONIS. 7. THE FEED STOCKS MU57 BE PLUTABED AS SHOWN -••-••-•-- FOR THE DISPENSER TO WORK PROPERLY. C 8. COMJECT OPTIONAL INTERCOM CIRCUIT TO A LISTED 12 0 CLASS 2 POWERED INTERCOM ONLY WITH IB GAUGE MINIMl161, '. . AT LEAST 90 DEGREE C, 600 V GAS d OIL RESISTANIT UL MIN L15TED WIRE. WIRES BACK TO INTERCOM POWER MUST BE RUN IN SEPARATE DEDICATED LISTED METALLIC CONDUIT. 3/4 N1PT CONDUIT TAP 2 PLACES B FEED SEE NOTE 2 • u O FRONT SIDE q BOUNDARY LINE FOR SERVICE MANUAL COPY 8 _..' 7 6 OPTIONAL JUNCTION BDX LJ 1 ]NCH NPT ~VAPOA DRAIN TAP 3.03 WITHOUT PEDESTAL 9.13 W17H PEDESTAL -EMERGENCY VALVES -UNIVERSAL JOINIT ~E NOTE 3 5 4 3 NCH MIN]MUM NCE FROM THE TOP OF 5ER 1S RECOMMENDED OW AEMOUAL OF THE UL VALANCE. C 2 B 888499-004 REV B TOLERANCES 1/4 ]NCH ' UNLESS OTHERW]SE SPECIFIED 1 ~~ 0o Nor sCUF oRAWI NC oru~, . „~ teJUNOZ TVfRII PE IFIm DRESSER WAYNE ULES O ff S C hx DRWU OlIEM101b NiE IN 1197f5 ~~ ulnd~ , •X +~- sN YEi tts a.o R FF sEr Ausfq TX ""`~ "" :~ ~= :~o _ _________~.___________ r1rLE INSTALLATION I NSTR PAtiI 9Wl BE FIEF OF BIA6 -----------Oj TE._.-------- 9 __________.INIT~ALS._________ OVAT I ON, R 11 • 1HISOC1BIf mllAil6 HONEf/M RO ,. li B I-M®F01 Ldn®fllf~ W7 xalawesncrww+'ffa~+vAtE ~.. R W IW E ~®q bE d dl P ~R II~OR 11E rHilminNCLE s1zE DAAw1NC No. ssEv . NffIB1m~R6R®IO01FAO Y6i IOf EO~W ~emslmx~rps~ffsao~[ms~arn>xn¢ P~o~crloN ~ ~ 888499-004 B >~ff ®slru~~'iAnc ~~am~ '~ ff~nnmmu®+u»r:uw~ixawuamA~na ff-E lff wan SCALE ,07/1 ~ I OF 3 2 1 A -~''E u P" C~ 'UNDERGROUND STORAGE TANKS tiNIFIED PROGRAM CONSOLIDATED FORMS APPLICATION UST FACILITY - (STATE FORM A) TYPE OF ACTION: (Check one item only) C71. NEW SITE PERMIT ^ 2. INTERIM PERMR BAKERSFIELD FIRE DEPT. Prevention Services $ ~ x s F' n Ste. 210 900 Truxtun Ave P/RQ ., Bakersfield, CA 93301 ARTM r Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 2 D , 3. RENEWAL PERMIT ^ 5. CHANGE OF INFORMATION jSpecify change- D 7. PERMANENTLY CLOSED SITE ^ 4. AMENDED PERMR Mcal use Doty) ^ 8. TANK REMOVED 400 rl R TEMPARARV SITE CLnStIRE I. FACILITY/SI TE INFORMATION USINESS NAME (Same as FACILITY AME or DBA -Doing Business As) 3 AGILITY ID No ~ (moo Ford ~ e! EAREST CROSS STREET aot AGILITY OWNER TYPE ^ 1. CORPORATION ^ 4. LOCAL AGENCY/DISTRICT' INDIVIDUAL ^ 5. COUNTY AGENCY` /'~w .O ~ ~~~ " ^ 3. PARTNERSHIP ^ 6. STATE AGENCY" ` W ~l ! ~•- ^ 7. FEDERAL AGENCY ao2 USINESS TYPE 1. GAS STATION ^ 3. FARM ^ 5. COMMERCIAL ^ 2. DISTRIBUTOR ^ 4. PROCESSOR ^ 6. OTHER OTAL NUMBER OF TANKS Is facility on Indian Reservation or If owner of UST a.public aged: Give the _ EMAlRIRG-AT SfTE aoa rust lands? YD- es - '~S- - a05 ame of supervisor of division, section or office ich operates the UST. (This is the contact 3 arson for the tank records.) (Please print Contact person's name) IL PROPERTY OWNER INFORMATION ER NAME I 4m ROPERTY O / a NE P ~ ((( N ~~u _ ~Og ~ ~~/ % ~ ILIN G OR ST T ADDRES / B $~O ~Od~ mYd ITY 410 STAT att ZIP ODE at ROPERTY OWNER TYPE ^ 1. CORPORATION ~2. INDIVIDUAL ^ 4. LOCAL AGENCY/ DISTRICT ^ 6. STATE AGENCY ^ 3 .PARTNERSHIP ^ 5. COUNTY AGENCY ^ 7. FEDERAL AGENCY a13 IIL TANK O NER I FO MATION ANK WNER NAME ata PHONE at e-~ ILING OR ST EET ADDRESS ass ~ R~ o so os ~Y ITY 417 k ` ld STATE a~a G~ ZIP CODE at e r 93~ ANK OWNER TYP ^ 1. CORPORATION ~ 2.INDIVIDUAL ^ 4. LOCAL AGENCY/ DISTRICT ^ 6. STATE AGENCY ^ 3. PARTNERSHIP ^ 5. COUNTY AGENCY ^ 7. FEDERAL AGENCY ago (TK) HO 4 4 Call (916) 322-9669 if questions arise alt ~-;=o~Li=-.r:3v..C0 -Q-.,-LiT f€ i-GF-vr.EBIT -9~-ST.A-.~•r~,..,~.f-o.~ NDICATE METHOD(S) ^ 2. GUARANTEE ^ 6. EXEMPTION ^ 10. LOCAL GOVT MECHANISM ^ 3. INSURANCE ^ 7. STATE FUND 99. OTHER: ^ 4. SURETY BOND ^ 8. STATE FUND 8 CFO LETTER • a VI. LEGAL NOTIFICATION AND MAILING ADDRESS heck one box to indicate which address should be used for legal notifications and mailing. l tifi ti d ili h l 1 L ill k 2 i h FA I P T W ^ ~ ^ no ega ons an ma ngs w owner un ca be sent to t e tan or s c LITY NER ess box ecked. 1. C 2. ROPERTY O 3. ANK OWNER 42 - VII. APPLICANT SIGNATURE Certlflcatlon: I cent that the Infomwtlon roYlded horefn is true and accurato to the best of knowled ®. A URE OF APPLI a24 ATE az5 PH N a2 - -off ~~ ~ 30 - 6 ~ 3 A E OF AP ICAN (print) a2~ TITLE OF APPLICANT a2 rlQ ~~ TATE UST AGILITY NUMBER (For local use only) a2s 1998 UPGRADE CERTIFICATE NUMBER (For local use only) a FD 2093 (R.v. oo/ost 1J.E"i!'k~F1~1 1~1~.{..Y ~~ .~I~~ ~!, .~ ~' o S ~'a r-d 2 d ,. rr33Q 9}-,. 4 . .. .. .._ s= ~ -: ,.. .. ~~~.~ Fem. ~r ~~ ~~ ;~ T`.~.~o ~ .ry ~~~~.~;.-~:~,~:, ~~ ~ Il,i,,,,II,,,li,li,.,,~~,-i,{,.il~,~i;,,ii,.,,i1J{'..1i„:,,i,l~ ~rnope~li~.~ CY~~~e~t / /-a3 ~~ UI~,~IED PROGRAM INSPECTION CHECKLIST SECTgION 1 Business Plan and Inventory Program // l~ n // Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 La~U / aGU (gyp /v/~O ~i/ LCI. tpp1JJGV-Jy/~ FACILITY NAME -~ INSPECTION DATE INSPECTION TIME ~-s3~1~ a -- "Tc.xa~~---__._-__. _.-. -------- --- ----_ _._ _..---_ ._..--- - -- - - _ ~--- - _ _ _ r ~___C3___---~----- ----- -- - AGGRESS PONE No. No. of Employees - -- ~f~--_ __--~~-~-c~---------__ _ _--- --. -- - -- _ -- --- ----------- ~ -- -~~~~_ I. _ _. FAI.ILITYCONTACT Business ID Number 15-021- Section 1: Business Plan and Inventory Program ^ Routine '~ Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection C V \V=Voadonncel OPERATION COMMENTS ~^ APPROPRIATE JPERMIT ON HAND lJ" Ll` BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY I ,~ ^ VERIFICATION OF INVENTORY MATERIALS ~^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL L!' LJ VERIFICATION OF MSDS AVAILABILITYE LYE ^ VERIFICATION OF HAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING (~^ FIRE PROTECTION ------ --------- - -- ----- - -`----- ---• -- _. ^ SITE DIAGRAM /ADEQUATE ~ ON HAND ANY HAZARDOUS WASTE ON SITE: ^ YES LY NO EXPLAIN: QUESTIO EGARDIN HI NSPECTION? PLEASE CALL US AT ~66'I~ 326-3979 Inspector Badge No., White -Environmental Services Yellow - Setbn Copy G' ,~ j, -- - -~ ~~ ~~p ---- Business Site Responsible Party Pink -Business COPY .-~`~r ~~~ii. ~~~_ s ~/ GELD Fj ~~~~~4 ~'F ~\ CITY OF BAKERSFIELD FIRE DEPAR"I'MEN"i' `~ ~ ~ ro1 OFFICE OF F.NVIRONNIENTAL SERVICES O ~`° y~` UNIFIED PROGRAM INSPECTION CI{ECK S =_w ~R~,~~'~~ 1715 Chester Ave„ 3"' Floor, Bakersfield, CA 93 ~.~~i FACILITY NAME cY.ncO INSPECTION DATE ~ I -C Section 2: Underground Storage Tanks Program ^ Routine ~ Combined ^ Joint Agency ^Multi-Agency ~ ^ Complaint ^ Re-inspection Type of Tank Number of Tanks Type of Monitoring Ct.~h~ Type of Piping ~Q(1>I'~ OPERATION C V COMMENTS Proper tank data on file Proper owner,'operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection'? C=Compliance V=Violation Y=Yes N=NO Inspector• OFfice oFEnvironmental Services (661) 326-3979 White - f nv. Svcs. Pink -Business Cu~y ~ < ~-r G-(: 1i~- Business Site Responsible P r " , ;/ GOSFORD SHELL SiteID: 015-021-000670 Manager URSULA HANSON Location: 4050 GOSFORD RD City BAKERSFIELD CommCode: BAKERSFIELD STATION 09 EPA Numb: BusPhone: Map : 123 Grid: 16C (661) 833-4002 CommHaz : High FacUnits: 1 AOV: SIC Code:4925 DunnBrad:19-408-5059 Emergency Contact STEVE YANG Business Phone: 24-Hour Phone : Pager Phone / Title / DEALER (661) 833-4002x (818) 720-1489xCELL () x Hazmat Hazards: ' Fire Press ImmHlth DelHlth Period Preparer: Certif'd: ParcelNo: to Phone: (925) 766-3498x State: CA Zip 90810 Phone: (925) 766-3498x State: CA Zip 90810 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : BRUCE T. MARUBSHI MailAddr: 20945 A WILMINGTON AVE 4-257 City CARSON Owner Address City SHELL OIL PRODUCTS US 20945 WILMINTON AVE CARSON Emergency Directives: " L!/(J¡JLA !lA NJêítl Do h('f~by c~rtif\1 ?h~t I have ~, r'',' ;If!"flllt lW!1'iOc' r~vl~.p,!od the attached hazardous materials manage.. m(jnt plan for VA/IIGs oIL. ~lind that it along with / (NfttrK¡ of Buø/Moo) any 00 rrectlons constitute a complete and correct man.. agèment plan for my faciKty. .../'~ . .-_., ~ " .(,. ·.r':~:·· "..;,<?..,.~." i1ðo/()I! Dale ' fkJCv~ $i¡plll'llmt ,...-- -1- 09/28/2004 .~ " F GOSFORD SHELL SiteID: 015-021-000670 ì STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: GOSFORD SHELL Cross Street : Business Type: Org Type: Total Tanks : 4 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : FRANK HUTCHINS Phone: (661) 834-2822x Address: City : State: Zip: Type : TANK OWNER INFORMATION Name : FRANK HUTCHINS Phone: (661) 834-2822x Address: City : State: Zip: Type : BOE UST Fee# : 039026 Financ'l Resp: SELF INSURED Legal Notif : Tank Owner Mailing Address Date:05/17/2004 Phone: (310) 816-2207x Name:BRUCE T. MARUBASHI Ttl:H&S COORDINATOR State UST # : 1998 Upg Cert#: -2- 09/28/2004 " SiteID: 015-021-000670 9 By Facility Unit 9 Fixed Containers on Site 9 specHazEPA Hazards Frm DailyMax unitlMCP E F P IH G 14556.00 FT3 Hi F IR DR L' 12000.00 GAL Mod F IR DR L 10000.00 GAL Mod F IH DR L 10000.00 GAL Mod F IH DR L 10000.00 GAL Low F P IR G 848.00 FT3 Min F GOSFORD SHELL f= Razmat Inventory p== MCP+DailyMax Order Hazmat Common Name... PROPANE UNLEADED GASOLINE POWER PLUS GASOLINE POWER PREMIUM GASOLINE DIESEL #2 CARBON DIOXIDE -3- 09/28/2004 " SiteID: 015-021-000670 ì Facility Unit: Fixed Containers on Site ì F GOSFORD SHELL f= Inventory Item 0005 = COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit CANISTERS IN RACK Map: Grid: CAS# 74-98-6 STATE - TYPE Gas Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 727.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 14556.00 FT3 Daily Average 7278.00 FT3 HAZARDOUS COMPONENTS ~ CAS# 749861 %Wt. I 100.00 Propane TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi 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- 09/28/2004 SiteID: 015-021-000670 ì Facility Unit: Fixed Containers on Site ì F GOSFORD SHELL f= Inventory Item 0001 F== COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit E SIDE OF LOT Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 12000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Daily Average 6000.00 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.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -5- 09/28/2004 F GOSFORD SHELL SiteID: 015-021-000670 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: E SIDE OF LOT TANK DESCRIPTION Tank ID#: 1 Mfr: OWENS CORNING Installed: 06/1991 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 : 1998 Drop Tube : 1998 Striker Plate: 1998 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 1998 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 -6- 09/28/2004 .; F GOSFORD SHELL SiteID: 015-021-000670 9 f= Inventory Item 0001 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 UNKNOWN FIBERGLASS AboveGround Piping FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 11/08/1998 Date: 05/17/2004 Name:BRUCE T. MARUBISHI Prmt Number: 0670 DISPENSER CONTAINMENT Type: DISP. PAN LIQUID SENSOR & ALARM OWNER/OPERATOR SIGNATURE Ttl:H&S COORDINATOR Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :01/20/1997 CP CERT. :03/09/1994 MANWAY INSP. :07/01/1999 UST MONIT. CERT:02/05/2004 STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: Yes Installation Inspected & Certified by Registered Engineer: No Installation Inspected by Unified Program Agency: Yes Manufacturer's Checklist Completed: No Installer Certified by Contractors' State License Board: No Approved Alternate methods: Date: 05/17/2004 Name:BRUCE T. MARUBISHI Ttl:H&S COORDINATOR -7- 09/28/2004 SiteID: 015-021-000670 ì Facility Unit: Fixed Containers on Site ì F GOSFORD SHELL f= Inventory Item 0002 === COMMON NAME / CHEMICAL NAME POWER PLUS GASOLINE Days On Site 365 Location within this Facility Unit E SIDE OF LOT 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 6000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS CAS # I 8006619 ~ No 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 -8- 09/28/2004 F GOSFORD SHELL SiteID: 015-021-000670 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: E SIDE OF LOT TANK DESCRIPTION Tank ID#: 2 Mfr: OWENS CORNING Installed: 06/1991 Capacity: 10000 Gals Additional Info: Compart.Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL MatI Name:POWER PLUS GASOLINE TANK CONSTRUCTION TANK CONTENTS Petrol Type: PREMIUM UNLEADED Cas #: 8006-61-9 Type : DOUBLE WALL Material(p): FIBERGLASS Material(s) : Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 0 Drop Tube : Striker Plate: Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: TANK LEAK DETECTION Dbl Wall: INTERSTITIAL MONITORING Installed: Installed: Exempt: No o Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -9- 09/28/2004 F'GOSFORD SHELL SiteID: 015-021-000670 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 LINED TRENCH UNKNOWN FIBERGLASS AboveGround Piping FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 12/08/1998 Date: 05/17/2004 Name:BRUCE T. MARUBISHI Prmt Number: 0670 DISPENSER CONTAINMENT Type: DISP. PAN LIQUID SENSOR & ALARM OWNER/OPERATOR SIGNATURE Ttl:H&S COORDINATOR Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :01/20/1997 CP CERT. :03/09/1994 MANWAY INSP. :07/01/1999 UST MONIT. CERT:02/05/2004 STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: Yes Installation Inspected & Certified by Registered Engineer: No Installation Inspected by Unified Program Agency: Yes Manufacturer's Checklist Completed: No Installer Certified by Contractors' State License Board: No Approved Alternate methods: Date: 05/17/2004 Name:BRUCE T. MARUBISHI Ttl:H&S COORDINATOR -10- 09/28/2004 SiteID: 015-021-000670 9 Facility Unit: Fixed Containers on Site 9 F GOSFORD SHELL p= Inventory Item 0003 F= COMMON NAME / CHEMICAL NAME POWER PREMIUM GASOLINE Days On Site 365 Location within this Facility Unit E SIDE OF LOT 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 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 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.DefinelO: - Ag.Define11 -11- 09/28/2004 F GOSFORD SHELL SiteID: 015-021-000670 ì f= Inventory Item 0003 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B ánd AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: E SIDE OF LOT TANK DESCRIPTION Tank ID#: 3 Mfr: OWENS CORNING Installed: 06/1991 Capacity: 10000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL MatI Name:POWER PREMIUM 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 : 1998 Drop Tube : 1998 Striker Plate: 1998 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 1998 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 -12- 09/28/2004 F GOSFORD SHELL SiteID: 015-021-000670 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 LINED TRENCH UNKNOWN FIBERGLASS AboveGround Piping FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 12/08/1998 Date: 05/17/2004 Name:BRUCE T. MARUBISHI Prmt Number: 0670 DISPENSER CONTAINMENT Type: DISP. PAN LIQUID SENSOR & ALARM OWNER/OPERATOR SIGNATURE Ttl:H&S COORDINATOR Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :01/20/1997 CP CERT. :03/09/1994 MANWAYINSP. : 07/01/1999 UST MONIT. CERT:02/05/2004 STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: Yes Installation Inspected & Certified by Registered Engineer: No Installation Inspected by Unified Program Agency: Yes Manufacturer's Checklist Completed: No Installer Certified by Contractors' State License Board: No Approved Alternate methods: Date: 05/17/2004 Name:BRUCE T. MARUBISHI Ttl:H&S COORDINATOR -13- 09/28/2004 SiteID: 015-021-000670 , Facility Unit: Fixed Containers on Site, F GOSFORD SHELL f= Inventory Item 0004 F= COMMON NAME / CHEMICAL NAME DIESEL #2 Days On Site 365 Location within this Facility Unit E SIDE OF LOT Map: Grid: CAS# 68476-34-6 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 6000.00 GAL %Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low 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 -14"'" 09/28/2004 " F GOSFORD SHELL SiteID: 015-021-000670 9 f= Inventory Item 0004 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: E SIDE OF LOT TANK DESCRIPTION Tank ID#: 4 Mfr: OWENS CORNING Installed: 06/1991 Capacity: 10000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL MatI Name:DIESEL #2 TANK CONTENTS Petrol Type: DIESEL Cas #: 68476-34-6 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): FIBERGLASS Material(s): FIBERGLASS Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1998 Drop Tube : 1998 Striker Plate: 1998 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 1998 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 -15- 09/28/2004 ;; F GOSFORD SHELL SiteID: 015-021-000670 9 p= Inventory Item 0004 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 UNKNOWN FIBERGLASS AboveGround Piping FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 12/08/1998 DISPENSER CONTAINMENT Type: DISP. PAN LIQUID SENSOR & ALARM OWNER/OPERATOR SIGNATURE Date: 05/17/2004 Name:BRUCE T. MARUBISHI Prmt Number: 0670 Ttl:H&S COORDINATOR Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :01/20/1997 CP CERT. :03/09/1994 MANWAY INSP. : 07/01/1999 UST MONIT. CERT:02/05/2004 STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: Yes Installation Inspected & Certified by Registered Engineer: No Installation Inspected by Unified Program Agency: Yes Manufacturer's Checklist Completed: No Installer Certified by Contractors' State License Board: No Approved Alternate methods: Date: 05/17/2004 Name:BRUCE T. MARUBISHI Ttl:H&S COORDINATOR -16- 09/28/2004 SiteID: 015-021-000670 , Facility Unit: Fixed Containers on Site, F GOSFORD SHELL f= Inventory Item 0006 == COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Days On Site 365 Location within this Facility Unit STOREROOM Map: Grid: CAS# 124-38-9 STATE - TYPE Gas Pure PRESSURE.---- TEMPERATURE Above Ambient Cryogenic CONTAINER TYPE INSUL.TANK / CRYOGENIC Largest Container 848.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 848.00 FT3 Daily Average 424.00 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 F P IH / / / Min 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 -17- 09/28/2004 .. GOSFORD SHELL SiteID: 015-021-000670 Manager URSULA HANSON Location: 4050 GOSFORD RD City BAKERSFIELD BusPhone: Map : 123 Grid: 16C (661) 833-4002 CommHaz : High FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 09 EPA Numb: SIC Code:4925 DunnBrad:19-408-5059 Emergency Contact STEVE YANG Business Phone: 24-Hour Phone : Pager Phone / Title / DEALER (661) 833-4002x (818) 720-1489xCELL () x x Hazmat Hazards: . Fire Press ImmHlth DelHlth Period Preparer: Certif'd: ParcelNo: to Phone: (925) 766-3498x State: CA Zip 90810 Phone: (925) 766-3498x State: CA Zip 90810 TotalASTs: Gal TotalUSTs: = Gal RSs: No Contact : BRUCE T. MARUBSHI MailAddr: 20945 A WILMINGTON AVE 4-257 City CARSON Owner Address City SHELL OIL PRODUCTS US 20945 WILMINTON AVE CARSON Emergency Directives: ~, !//(Jt/LA /fA Na~{!Do h("f!;t~y c~rti~J ~hat i havs "'"Tf ,':':! ;~f~¡"'" IW!.Fj«' FIiV!@'W(1d ih~ ~iach~d hazardous ma~ertafs manageo m~n~ plfjf'j ~(jr IIAIVGS oil.. (Ùf1ið1©1 ~M~ i~ tS\lon~ wi~ro Î (NM'IG M Buolnooø) any 00 m~d¡on~ OOfi~~if¡!J~&J ~ oom~i~® ®1nd corrtSQ M8ìij<:> ~Q*m~n~ plalr! tor my ~ooi"iy. /'. , .__". _ h ~.t.'· ·.r':~( ",.' ?)·h-...... " fJ8~Ä'I Mw~d%~ -1- 09/28/2004 " F GOSFORD SHELL SiteID: 015-021-000670 9 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: GOSFORD SHELL Cross Street : Business Type: Org Type: Total Tanks : 4 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : FRANK HUTCHINS Phone: (661) 834-2822x Address: City : State: Zip: Type : TANK OWNER INFORMATION Name : FRANK HUTCHINS Phone: (661) 834-2822x Address: City : State: Zip: Type : BOE UST Fee# : 039026 Financ'l Resp: SELF INSURED Legal Notif : Tank Owner Mailing Address Date:05/17/2004 Phone: (310) 816-2207x Name:BRUCE T. MARUBASHI Ttl:H&S COORDINATOR State UST # : 1998 Upg Cert#: -2 - 09/28/2004 ,- F GOSFORD SHELL SiteID: 015-021-000670 ì p= Hazmat Inventory By Facility Unit ì f= MCP+DailyMax Order Fixed Containers on Site ì Hazmat Common Name. . . s'peCHaz EPA Hazards ì Frm 1 DailyMax UnitMCP PROPANE E F P IH G 14556.00 FT3 Hi UNLEADED GASOLINE F IH DH L' 12000.00 GAL Mod POWER PLUS GASOLINE F IH DH L 10000.00 GAL Mod POWER PREMIUM GASOLINE F IH DH L 10000.00 GAL Mod DIESEL #2 F IH DH L 10000.00 GAL Low CARBON DIOXIDE F P IH G 848.00 FT3 Min -3- 09/28/2004 SiteID: 015-021-000670 1 Facility Unit: Fixed Containers on Site 1 F GOSFORD SHELL f= Inventory Item 0005 === COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit CANISTERS IN RACK Map: Grid: CAS# 74-98-6 - TYPE Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 727.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 14556.00 FT3 Daily Average 7278.00 FT3 %Wt I 100.åo Propane HAZARDOUS COMPONENTS ~ CAS# 749861 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi 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 ~ SiteID: 015-021-000670 ì Facility Unit: Fixed Containers on Site ì F GOSFORD SHELL p= Inventory Item 0001 F== COMMON NAME / CHEMI CAL NAME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit E SIDE OF LOT 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 6000.00 GAL %Wt. j 100.00 Gasoline HAZARDOUS COMPONENTS Gr] 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.Definedl: Ag.Defined5: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.DefinelO: - Ag.Definel1 -5- 09/28/2004 F GOSFORD SHELL SiteID: 015-021-000670 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: E SIDE OF LOT TANK DESCRIPTION Tank ID#: 1 Mfr: OWENS CORNING Installed: 06/1991 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 : 1998 Drop Tube : 1998 Striker Plate: 1998 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 1998 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 -6- 09/28/2004 , F GOSFORD SHELL SiteID: 015-021-000670 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 UNKNOWN FIBERGLASS AboveGround Piping FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 11/08/1998 Date: 05/17/2004 Name:BRUCE T. MARUBISHI Prmt Number: 0670 DISPENSER CONTAINMENT Type: DISP. PAN LIQUID SENSOR & ALARM OWNER/OPERATOR SIGNATURE Ttl:H&S COORDINATOR Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :01/20/1997 CP CERT. :03/09/1994 MANWAY INSP. :07/01/1999 UST MONIT. CERT:02/05/2004 STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: Yes Installation Inspected & Certified by Registered Engineer: No Installation Inspected by Unified Program Agency: Yes Manufacturer's Checklist Completed: No Installer Certified by Contractors' State License Board: No Approved Alternate methods: Date: 05/17/2004 Name:BRUCE T. MARUBISHI Ttl:H&S COORDINATOR -7- 09/28/2004 SiteID: 015-021-000670 9 Facility Unit: Fixed Containers on Site 9 F GOSFORD SHELL f= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME POWER PLUS GASOLINE Days On Site 365 Location within this Facility Unit E SIDE OF LOT 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 6000.00 GAL %wt. I 100.00 Gasoline HAZARDOUS COMPONENTS [æ] CAS#S006619 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.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -8- 09/28/2004 " F GOSFORD SHELL SiteID: 015-021-000670 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: E SIDE OF LOT TANK DESCRIPTION Tank ID#: 2 Mfr: OWENS CORNING Installed: 06/1991 Capacity: 10000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL MatI Name:POWER PLUS GASOLINE TANK CONSTRUCTION TANK CONTENTS Petrol Type: PREMIUM UNLEADED Cas #: 8006-61-9 Type : DOUBLE WALL Material(p): FIBERGLASS Material(s) : Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 0 Drop Tube : Striker Plate: Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: TANK LEAK DETECTION Dbl Wall: INTERSTITIAL MONITORING Installed: Installed: Exempt: No o Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -9- 09/28/2004 Co F GOSFORD SHELL SiteID: 015-021-000670 ì p= Inventory Item 0002 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 LINED TRENCH UNKN'OWN FIBERGLASS AboveGround Piping FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 12/08/1998 Date: 05/17/2004 Name:BRUCE T. MARUBISHI Prmt Number: 0670 DISPENSER CONTAINMENT Type: DISP. PAN LIQUID SENSOR & ALARM OWNER/OPERATOR SIGNATURE Ttl:H&S COORDINATOR Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :01/20/1997 CP CERT. :03/09/1994 MANWAY INSP. : 07/01/1999 UST MONIT. CERT:02/05/2004 STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: Yes Installation Inspected & Certified by Registered Engineer: No Installation Inspected by Unified Program Agency: Yes Manufacturer's Checklist Completed: No Installer Certified by Contractors' State License Board: No Approved Alternate methods: Date: 05/17/2004 Name:BRUCE T. MARUBISHI Ttl:H&S COORDINATOR -10- 09/28/2004 SiteID: 015-021-000670 ~ Facility Unit: Fixed Containers on Site ~ F GOSFORD SHELL p= Inventory Item 0003 F== COMMON NAME / CHEMICAL NAME POWER PREMIUM GASOLINE Days On Site 365 Location within this Facility Unit E SIDE OF LOT 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 6000.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Gasoline No 8006619 HAZARD SME T TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ASSES N S Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined8: f- Ag. Define11 -11- 09/28/2004 F GOSFORD SHELL SiteID: 015-021-000670 ì f= Inventory Item 0003 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B ánd AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: E SIDE OF LOT TANK DESCRIPTION Tank ID#: 3 Mfr: OWENS CORNING Installed: 06/1991 Capacity: 10000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL Matl Name:POWER PREMIUM 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 : 1998 Drop Tube : 1998 Striker Plate: 1998 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 1998 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 -12- 09/28/2004 · F GOSFORD SHELL SiteID: 015-021-000670 ì f= Inventory Item 0003 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 LINED TRENCH UNKNOWN FIBERGLASS AboveGround Piping FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 12/08/1998 Date: 05/17/2004 Name:BRUCE T. MARUBISHI Prmt Number: 0670 DISPENSER CONTAINMENT Type: DISP. PAN LIQUID SENSOR & ALARM OWNER/OPERATOR SIGNATURE Ttl:H&S COORDINATOR Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :01/20/1997 CP CERT. :03/09/1994 MANWAY INSP. : 07/01/1999 UST MONIT. CERT:02/05/2004 STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: Yes Installation Inspected & Certified by Registered Engineer: No Installation Inspected by Unified Program Agency: Yes Manufacturer's Checklist Completed: No Installer Certified by Contractors' State License Board: No Approved Alternate methods: Date: 05/17/2004 Name:BRUCE T. MARUBISHI Ttl:H&S COORDINATOR -13- 09/28/2004 SiteID: 015-021-000670 ì Facility Unit: Fixed Containers on Site ì F GOSFORD SHELL f= Inventory Item 0004 === COMMON NAME / CHEMICAL NAME DIESEL #2 Days On Site 365 Location within this Facility Unit E SIDE OF LOT Map: Grid: CAS# 68476-34-6 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 6000.00 GAL %Wt. RS CAS # 100.00 Diesel Fuel No. 2 No 68476302 HAZARDOUS COMPONENTS . TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low 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: I- Ag .Define11 -14- 09/28/2004 - F GOSFORD SHELL SiteID: 015-021-000670 ì f= Inventory Item 0004 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: E SIDE OF LOT TANK DESCRIPTION Tank ID#: 4 Mfr: OWENS CORNING Installed: 06/1991 Capacity: 10000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL Matl Name:DIESEL #2 TANK CONTENTS Petrol Type: DIESEL Cas #: 68476-34-6 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): FIBERGLASS Material(s): FIBERGLASS Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1998 Drop Tube : 1998 Striker Plate: 1998 Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 1998 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 -15- 09/28/2004 · F GOSFORD SHELL SiteID: 015-021-000670 ì f= Inventory Item 0004 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 UNKNOWN FIBERGLASS AboveGround Piping FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 12/08/1998 Date: 05/17/2004 Name:BRUCE T. MARUBISHI Prmt Number: 0670 DISPENSER CONTAINMENT Type: DISP. PAN LIQUID SENSOR & ALARM OWNER/OPERATOR SIGNATURE Ttl:H&S COORDINATOR Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :01/20/1997 CP CERT. :03/09/1994 MANWAY INSP. : 07/01/1999 UST MONIT. CERT:02/05/2004 STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: Yes Installation Inspected & Certified by Registered Engineer: No Installation Inspected by Unified Program Agency: Yes Manufacturer's Checklist Completed: No Installer Certified by Contractors' State License Board: No Approved Alternate methods: Date: 05/17/2004 Name:BRUCE T. MARUBISHI Ttl:H&S COORDINATOR -16- 09/28/2004 SiteID: 015-021-000670 ì Facility Unit: Fixed Containers on Site ì F GOSFORD SHELL f= Inventory Item 0006 == COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Days On Site 365 Location within this Facility Unit STOREROOM Map: Grid: CAS # 124-38-9 - TYPE Pure PRESSURE.---- TEMPERATURE Above Ambient Cryogenic CONTAINER TYPE INSUL.TANK / CRYOGENIC Largest Container 848.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 848.00 FT3 Daily Average 424.00 FT3 HAZARD US COMPONENTS %Wt. RS CAS # 100.00 Carbon Dioxide No 124389 o TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min 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 -17- 09/28/2004