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Home My WebLink AboutBUSINESS PLAN ~ :- " e e ~7 ELEVEN FOOD STORE #2125-17721 SiteID: 015-021-000817 Manager : Location: 3601 STOCKDALE HWY City BAKERSFIELD BusPhone: Map : 123 Grid: 02B (661) 834-3093 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code:5541 DunnBrad:00-734-7602 Emergency Contact / Title Emergency Contact / Title TAJINDER&KULSINDER / FRANCHISEE BRENT CRUZ / FIELD COUNSULTA Business Phone: (661) 834-3093x Business Phone: (888) 711-4876x3719 24-Hour Phone : (800) 845-0031x 24-Hour Phone : (800) 845-0031x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Period : Preparer: Certif'd: ParcelNo: to Phone: (253) 796-7170x State: TX Zip : 75221 Phone: (253) 796-7170x State: TX Zip : 75221 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : RANDY MARTIN MailAddr: PO BOX 711 City : DALLAS Owner Address City 7 ELEVEN, INC GASOLINE ACCTG : PO BOX 711 : DALLAS Emergency Directives: I, '\< \c..\tv > \Ì)H ù Do hereby certify that I have fTjfpi:! m pnnt name) :' revieW66 Hìe attached hazardous materials manage- ment pian for 7-c-,Q.Jt.e ""' and thatit along with I (Name of Business) any corrections constitute a complete and correct man- agement plan for my facility. ;4,£ s hI/a 't , D'ate -1- 05/10/2004 ~ e e F~7 ELEVEN FOOD STORE #2125-17721 SiteID: 015-021-000817 9 ) STORAGE CONTAINER DATA UST FORM A Last Action Type: FACILITY/SITE INFORMATION Business Name: 7 ELEVEN FOOD STORE #2125-17721 Cross Street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : BRENT CRUZ Phone: (888) 711-4876x3719 Address: City : State: Zip: Type : TANK OWNER INFORMATION Name : BRENT CRUZ Phone: (888) 711-4876x3719 Address: City : State: Zip: Type : BOE UST Fee# : 002251 Financ'l Resp: INSURANCE Legal Notif : Tank Owner Mailing Address Date:04/11/2000 Phone: (503) 977-7713x Name:RANDY MARTIN Ttl:ENVIRON. MGR. State UST # : 1998 Upg Cert#: 00781 -2- 05/10/2004 ,- e e f 7 ELEVEN FOOD STORE #2125-17721 f= Hazmat Inventory f== MCP+DailyMax Order SiteID: 015-021-000817 ì By Facility Unit ì Fixed Containers on Site ì specHazEPA Hazards Frm I DailyMax UnitMCP F IH DH L 10000.00 GAL Mod F IH DH L 10000.00 GAL Mod F IH DH L 10000.00 GAL Mod Hazmat Cornman Name... UNLEADED GASOLINE UNLEADED PLUS GASOLINE SUPER UNLEADED GASOLINE -3- 05/10/2004 '. e e ( 7 ELEVEN FOOD STORE #2125-17721 f= Inventory Item 0001 = COMMON NAME / CHEMI CAL NAME UNLEADED GASOLINE SiteID: 015-021-000817 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit UNDERGROUND FRONT PARKING Map: Grid: CASH 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 7500.00 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.Definedl: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.DefinelO: - Ag.Definell -4- 05/10/2004 ,0 e e f 7 ELEVEN FOOD STORE #2125-17721 SiteID: 015-021-000817 ì f= Inventory Item 0001 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: UNDERGROUND FRONT PARKING TANK DESCRIPTION Tank ID#: 1 Mfr: JOOR Installed: 01/1975 Capacity: 10000 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 : SINGLE WALL Material(p): BARE STEEL Material(s): BARE STEEL Lining : EPOXY LINING Corr Prot: CATHODIC PROTECTION Spill Cnt : 1996 Drop Tube : 1996 Striker Plate: 1996 TANK LEAK Sgl Wall: AUTOMATIC TANK GAUGING Alarm : Ball Float : Fill Tube S/O: DETECTION Dbl Wall: Installed: Installed: 1996 Exempt: No 1996 Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -5- 05/10/2004 .; e e F 7 ELEVEN FOOD STORE #2125-17721 SiteID: 015-021-000817 ì f= Inventory Item 0001 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION Piping Type : Const: Mfgr : Mtl : & : Corr : Prot : UnderGround PRESSURE DOUBLE WALL TOTAL CONTAINMENT II FLEX II II FLEX II AboveGround Piping PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 02/19/2001 Date: 04/11/2000 Name:RANDY MARTIN Prmt Number: 0817 TANK/LINE TEST :11/17/1997 CP CERT. :09/06/2002 MANWAY INSP. : 11/20/2001 UST MONIT. CERT:03/11/2003 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Ttl:ENVIRON. MGR. Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED PASS -6- 05/10/2004 .; e e F 7 ELEVEN FOOD STORE #2125-17721 p= Inventory Item 0002 == COMMON NAME / CHEMICAL NAME UNLEADED PLUS GASOLINE SiteID: 015-021-000817 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit UNDERGROUND FRONT PARKING 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 7500.00 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.Define10: -- Ag .Define11 -7- 05/10/2004 .. e e F 7 ELEVEN FOOD STORE #2125-17721 SiteID: 015-021-000817 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: UNDERGROUND FRONT PARKING TANK DESCRIPTION Tank ID#: 2 Mfr: JOOR Installed: 01/1975 Capacity: 10000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE MatI Name:UNLEADED PLUS FUEL GASOLINE TANK CONSTRUCTION W/INT LINER & C.P. TANK CONTENTS Petrol Type: UNLEADED PLUS/MIDGRADE Cas #: 8006-61-9 Type : SINGLE WALL Material(p): BARE STEEL Material(s): BARE STEEL Lining : EPOXY LINING Corr Prot: CATHODIC PROTECTION Spill Cnt : 1996 Drop Tube : 1996 Striker Plate: 1996 TANK LEAK Sgl Wall: AUTOMATIC TANK GAUGING Alarm : Ball Float : Fill Tube S/O: DETECTION Dbl Wall: Installed: Installed: Exempt: No 1996 Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -8- 05/10/2004 e e r 7 ELEVEN FOOD STORE #2125-17721 SiteID: 015-021-000817 9 f= Inventory Item 0002 Facility Unit: Fixed Containers on Site 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION Piping Type : Const: Mfgr : Mtl : & : Corr : Prot : UnderGround PRESSURE DOUBLE WALL TOTAL CONTAINMENT II FLEX II AboveGround Piping II FLEX II PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS TANK/LINE TEST :11/17/1997 CP CERT. :09/06/2002 MANWAY INSP. : 11/20/2001 UST MONIT. CERT:03/11/2003 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Ttl:ENVIRON. MGR. Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED PASS Installed: 02/19/2001 Date: 04/11/2000 Name:RANDY MARTIN Prmt Number: 0817 STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: No Installation Inspected & Certified by Registered Engineer: No Installation Inspected by Unified Program Agency: Yes Manufacturer's Checklist Completed: Yes Installer Certified by Contractors' State License Board: Yes Approved Alternate methods: Date: 04/11/2000 Name:RANDY MARTIN Ttl:ENVIRON. MGR. -9- 05/10/2004 e e ~ F 7 ELEVEN FOOD STORE #2125-17721 f= Inventory Item 0003 F== COMMON NAME / CHEMICAL NAME SUPER UNLEADED GASOLINE SiteID: 015-021-000817 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UNDERGROUND FRONT PARKING Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 7500.00 GAL AMOUNTS AT THIS LOCATION HAZARDOUS COMPONENTS ~ CAS # I 8006619 I %Wt. I : 100.00 Gasoline TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined8: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.DefinelO: - Ag.Define11 -10- 05/10/2004 e e F 7 ELEVEN FOOD STORE #2125-17721 SiteID: 015-021-000817 ì f= Inventory Item 0003 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: UNDERGROUND FRONT PARKING TANK DESCRIPTION Tank ID#: 3 Mfr: JOOR Installed: 8/1982 Capacity: 10000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL MatI Name:SUPER UNLEADED GASOLINE TANK CONSTRUCTION W/INT LINER & C.P. TANK CONTENTS Petrol Type: PREMIUM UNLEADED Cas #: 8006-61-9 Type : SINGLE WALL Material(p): BARE STEEL Material(s): BARE STEEL Lining : EPOXY LINING Corr Prot: CATHODIC PROTECTION Spill Cnt : 1996 Drop Tube : 1996 Striker Plate: 1996 TANK LEAK Sgl Wall: AUTOMATIC TANK GAUGING Alarm : Ball Float : Fill Tube S/O: DETECTION Dbl Wall: Installed: Installed: Exempt: No 1996 Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -11- 05/10/2004 e - F'7 ELEVEN FOOD STORE #2125-17721 SiteID: 015-021-000817 9 f= Inventory Item 0003 Facility Unit: Fixed Containers on Site 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION Piping Type: Const: Mfgr : Mtl : & : Corr : Prot : UnderGround PRESSURE DOUBLE WALL TOTAL CONTAINMENT "FLEX" "FLEX" AboveGround Piping PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 02/19/2001 Date: 04/11/2000 Name:RANDY MARTIN Prmt Number: 0817 TANK/LINE TEST :11/17/1997 CP CERT. :09/06/2002 MANWAY INSP. : 11/20/2001 UST MONIT. CERT:03/11/2003 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Ttl:Environ. operations Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED PASS -12- 05/10/2004 \; v' ~'l' 'i Work Order: 3128501 e . Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 ? . ,.. c '. Work Order: 3128501 e e Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 ~' 1 ,/- '. Work Order: 3128501 e -- Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 a t'- a .::r- U.S. Postal ServiceTM CERTIFIED MAILTM RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) , " , , , , " , , . I Q F F i C I A L U S E I > Postage $ ~'Certlfied Fee Return Reclept Fee Postmark (Endorsement Required) Here Restricted Delivery Fee (Endorsement Required) ,f Lr o:Q ! IT'" lIT'" I.::r- ia I a la I la Lr 1M . n1 I , ru a I a It'- Total Postage &, Sent 0 "SfrëëfAPiNö.;"· or PO Box No. ëitÿ,Siãiš;-ŽiPi.:r 7-11 FOOD STORE 3601 STOCKDALE HWY BAKERSFIELD CA 93309 ! .4 Certified Mail Provides: · A mailing receipt (IJSJ9AIJ/:/) ¡:OO¡¡ IJunr '009£ WJo;: Sd · A unique Identifier for your mallpiece · A record of delivery kept by the Postal Service for two years Im{Jortsnt RemInders: · Certified Mail may ONLY be combined with First-Class Mailœ> ¿, Priority Mailœ>. \ · Certified Mall is not available for any class of international mail, I · NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For I vaiuables, please consider Insured or Registered Mail. '( I · For an additional tee, a Retum Receipt may be requested to provide proof of delivery. To obtain Retum Receipt service, pfease complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mai/piece "Retum Receipt Requestecf'. To receive a fee waiver for a duplicate return receipt, a USPSœ. postmark on your Certified Mail receipt is required. · For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement uRestricted1Jeliveryn. · If a postmark on the Certified Mail receipt Is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. " fiRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES' ENVIRONMENTAl SERVICES 1715 Chester Ave. 8Eikersfleld. CA 93301 V!ICE (661) 326-3979 FAJ( (661) 326-0576 PUBLIC EDUCATION 1715 Chester Avè. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAJ«(661) 326-0576 TRAINING DIVISION 5642 VIc10r Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAJ( (661) 399-5763 '. . September 26, 2003 CERTIFIED MAIL 7-11 Food Store 3601 Stockdale Hwy Bakersfield, CA 93309 NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE Dear Sir or Madam: Our records indicate that your annual maintenance certification on your leak detection system was past due 09-17-03. You are currently in violation of Section 2641(1) of the California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have thirty (30) days, September 8, 2003, to either perform or submit your annual certification to this office. Failure to comply will result in revocation of your permit to operate your underground storage system. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely yours, Ralph E. Huey Director of Prevention Services By: Jt.ti££ Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services SBU/db ~~.%o~ ~ rh/;-~ .%/~ .AbOPð .r~ vr6 We/lb.//p'" 1<7-' e 8900 Shoal Creek Blvd, Building 200 Austin, Texas 78757 Phone: (512) 451-6334 Fax: (512) 459-1459 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR STEVE UNDERWOOD 1715 CHESTER AVE., 3RD FLOOR BAKERSFIELD, CA. 93301 Test Date: 04/26/2001 Order Number: 3116701 Date Printed and Mailed: 05/08/2001 Dear Regulator, ecent testing performed at the following facility: 7-ELEVEN #17721 ~' MARKET #2133 \ 3601 STOCKDALE HIGHWAY BAKERSFIELD, CA. 93309 sting performed: Un Tank tests Sincerely, -:D~ k'~ Dawn Kohlmeyer Manager, Field Reporting l': CERTIFICATE UNDERGROUND STORAGE TA SYSTEM TESTING ~,~ !I,..... .. IP TánImoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST RESULT SITE SUMMARY REPORT TEST DATE: 04/26/01 CLIENT: 7-ELEVEN, INC. 10220 S. W. GREENBURG ROAD SUITE 470 PORTLAND, OR 97223 BOB DENINNO (503) 977-7713 TEST TYPE: VacuTect PURPOSE: COMPLIANCE CUSTOMER PO: WB05071517 WORK ORDER NUMBER: 3116701 SITE: 7-ELEVEN #17721 MARKET #2133 3601 STOCKDALE HIGHWAY BAKERSFIELD, CA 93309 Manager (805)834-3093 The following test(s) were conducted at the site above in accordance with all applicable portions of Federal, NFPA and local regulations Tank Tests 1 2 3 1 REGULAR 2 REGULAR 3 PREMIUM 10,027 10,027 10,027 96.00 96.00 96.00 PASS PASS PASS 0.000 0.000 0.000 PASS PASS PASS Line and leak Detector Tests 1 2 3 1 REGULAR 2 REGULAR 3 PREMIUM 0.000 0.000 0.000 P P P N N N Y Y Y Tanknology appreciates the opportunity to serve you, and looks forward to working with you in the future, Please call any time, day or night, when you need us. Tanknology representative: KEN MINTON Test conducted by: ALBERT J. QUEIROS /¿ -!1 ~ t1d/j~ Reviewed: Technician Certification Number: 1448 Printed 05/08/2001 08:49 CCHAPA t, INDIVID TEST DATE:04/26/01 CLlENT:7-ELEVEN, INC. L TANK INFORMATION AN ~ ~ II'DJnknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 EST RESULTS WORK ORDER NUMBER3116701 SITE:7-ELEVEN #17721 Tank 10: 1 1 Product: REGULAR Capacity in gallons: 10,027 Diameter in inches: 96.00 Length in inches: 323 Material: LINED COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: NO Overfill protection: YES Overspill protection: YES Installed: ATG and CP CP installed on: / / HmANH ..KHTSSm·ØES"·uC·UH ······t .. ... . .... ........ .. .. . ... ...... ...... .... ...... ... .... .... .... .... . .... .... . ,':'",...:...",.....,.......",.::f,.)....:.:......},.}t..,........:..:.....",..:..,....:::t.\.....:::::'...::~§..:: .. ·······C·EA·('·ner· EO·mO·S·ÆES··Y··RESU· C'ÆS' .. ........ .. .,' ....... .. .. ......... .. ." "' . "' ......... ~ .. . ...... .... .. ... ;:;: :;:;:;:;::::: :.:. .."",.,':::: :. ..:;;: .....:::; ;:, :",:. .:;:;::; ..: ,:;: :;:;:".... ":'. .:.:; ,:: . . .................................................................................................................................................................................................. Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: 128.0 134.0 32.0 4.0 DUAL ASSIST New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 Dipped Water Level: 0.00 0.00 Dipped Product Level: 53.00 53. 00 Probe Water Level: 0.000 0.000 Ingress Detected: Water N Bubble N UllageN Test time: 11: 30-13: 35 Inclinometer reading: -0.04 VacuTect Test Type: Multiple tanks VacuTect Probe Entry Point: Fill Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): MONTR WELL Result: PASS COMMENTS Make: Model: SIN: Open time in sec: Holding psi: Resiliency cc: Test leak rate ml/m: Metering psi: Calib, leak in gph: Results: -1. 00 0.00 300.00 COMMENTS NOT TESTED NOT TESTED Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: COMMENTS FLEX 2.0 25.0 50 50 30 12:05 12:35 0.000 PASS PRESSURE RED JACIŒT NOT TESTED LINE TESTED FOR DIAGNOSTIC PURPOSE ONLY. Impact Valves Operational: YES NOT TESTED NOT TESTED Printed 05/08/2001 08:49 -=- INDIVID TEST DATE:04/26/01 CLIENT: 7-ELEVEN, INC. L TANK INFORMATION AN .. ;æ:!i'io- ~ ~ DInknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 EST RESULTS WORK ORDER NUMBER3116701 SITE:7-ELEVEN #17721 Tank ID: 2 2 Product: :REGULAR Capacity in gallons: 10,027 Diameter in inches: 96.00 Length in inches: 323 Material: LINED COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: NO Overfill protection: YES Overspill protection: YES Installed: ATG and CP CP installed on: / / Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: 126.0 132.0 30.0 4.0 DUAL ASSIST ggl_§ºmºBT§ITB§§!l§T3').!.~U~~*BlI' New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 Dipped Water Level: 0.00 0.00 Dipped Product Level: 63.00 63.00 Probe Water Level: O. 000 0.000 Ingress Detected: Water N Bubble N UllageN Test time: 11:30-13:50 Inclinometer reading: -0.04 VacuTect Test Type: Multiple tanks VacuTect Probe Entry Point: Fill Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS Make: Model: SIN: Open time in sec: Holding psi: Resiliency cc: Test leak rate ml/m: Metering psi: Calib. leak in gph: Results: -1.00 0.00 300.00 MONTR WELL PASS COMMENTS NOT TESTED NOT TESTED Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: COMMENTS FLEX 2.0 25.0 50 50 30 12:05 12:35 0.000 PASS P:RESSURE :RED JACKET NOT TESTED LINE TESTED FOR DIAGNOSTIC PURPOSE ONLY. Impact Valves Operational: YES NOT TESTED NOT TESTED Printed 05/08/2001 08:49 INDIVID TEST DATE:04/26/01 CLlENT:7-ELEVEN, INC. L TANK INFORMATION AN r II' DJnknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 EST RESULTS WORK ORDER NUMBER3116701 SITE:7-ELEVEN #17721 Tank 10: 3 3 Product: PREMIUM Capacity in gallons: 10,027 Diameter in inches: 96.00 Length in inches: 323 Material: LINED COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: NO Overfill protection: YES Overspill protection: YES Installed: ATG and CP CP installed on: / / Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water N Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: 126.0 132.0 30.0 4.0 DUAL ASSIST I~.IØ§I§!ir'tgf{rn§§mB§lgÞ[1 0.00 23.00 0.000 0.00 23.00 0.000 New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 NOT TESTED Impact Valves Operational: YES NOT TESTED NOT TESTED Bubble N UllageN 13:50-15:30 -0.04 Single tank Fill -1. 00 0.00 300.00 MONTR WELL PASS Make: Model: SIN: Open time in sec: Holding psi: Resiliency cc: Test leak rate ml/m: Metering psi: Calib, leak in gph: Results: COMMENTS \ Material: Diameter (in): Length (it): Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: COMMENTS FLEX 2.0 25.0 50 60 30 12:50 13:20 0.000 PASS PRESSURE RED JACKET LINE TESTED FOR DIAGNOSTIC PURPOSE ONLY. NOT TESTED NOT TESTED Printed 05/08/2001 08:49 --- -:; ... e SITE DIAGRAM e ~'\ ,,~ ~iÆ!~ ~ II'DJnImoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE: 04/26/01 CUE NT: 7 -ELEVEN, INC. WORK ORDER NUMBER3116701 SITE: 7-ELEVEN #17721 south real road ~ ® ® __0 __0 [I 0 0 ~ ^ ^ ~ ~ 0 0 .c. .º ~ REG REG () I .c. § § (J) Q) - 0 co :::u "'C m ~ U [§~ @ ®[ PREM 0 +-' en (XX) VENTS Printed 05/08/2001 08:49 CCHAPA FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 oW Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAJ( (661) 395,1349 SUPPRESSION SERVICES 2101 oH'Street Bakersfield, CA 93301 .VOICE (661) 326,3941 FAJ( (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326·3951 FAJ( (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAJ( (661) 326,0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAJ( (661) 399,5763 It .' May 17,2001 I I Ms. Dawn KoWmeyer Tanknology 8900 Shoel Creek Blvd., Bldg. 200 Austin, TX 78757 Re: Testing Results Dear Ms. KoWmeyer: I am in receipt of your latest test results for 7-ll's located at 2351 S. Union Avenue, Bakersfield, Ca 93307; 12916 Rosedale Hwy., Bakersfield, CA 93312; 5203 Olive Drive, Bakersfield, CA 93308; and 3601 Stockdale Hwy., Bakersfield, CA 93309. Unfortunately, only one of these sites is located in the City of Bakersfield. Over the past six months, we have been forwarding approximately 50% of Test Results submitted to our office to the offices of the Kern County Environmental Health Department. This has created delays for both agencies in receiving timely results. In fairness to Tanknology, both agencies have not addressed the issue but rather continue to forward mail. To facilitate this from happening in the future, I am enclosing a list of all tank sites within the City of Bakersfield. It is easy to read and in Alphabetical Order for quick reference. It is hoped that you will use this list provided so that there will be no doubt as to who has jurisdictional over-site. Should you have any questions, please feel free to contact me at (661) 326~3979. Sincer;r' Jt~ Steve Underwood, Fire Inspector Office of Environmental Services SU/db Enclosures S:IMA Y 200 II<!Kohlmeyer Testg ResuJts L TR. wpd ~~.%<'~~,/Áe Wôn~ .!¥OP uø'60/<'e.r~./6 WeAh~?"" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 oH' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAJ( (661) 395-1349 SUPPRESSION SERVICES 2101 oH" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAJ( (661) 395·1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAJ( (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAJ( (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399,5763 e . May 14,2001 Mr. Bob DeNinno 7-Eleven, Inc. 10220 S.W. Greenburg Road Portland, OR 97233 RE: Laboratory results from preliminary site assessment conducted at'the 7-Eleven Store #17721, 3601 Stockdale Hwy. in Bakersfield, CA; Pennit #BI-0196 Dear Mr. DeNinno: Upon review ofthe recently submitted laboratory results from your facility, this office has detennined that the extent of the contamination plume, associated with the UST product piping previously located on your property, has not been adequately defined. This office rèquires (in accordance with Chapter 6.7 of the California Health and Safety Code and Chapter 16, Title 23 of the California Code of Regulations) that further assessment be done to defme the vertical and horizontal extent of the contamination plume. Please submit a work plan for further assessment, to this office, within 30 days from receipt of this letter. The workplan should follow guidelines found in: Appendix A -Reports. Tri - Regional Board Staff Recommendations for Preliminary evaluation and Investigation of Underground Tank Sites; July 6, 1990. Additionally, be advised that oversight cost for this project will be billed to you at a rate of $80.00 per hour. If you have any questions, please call me at (661) 326-3979. Sincerely, 4LM~=/~ Howard H. Wines, III Hazardous Materials Specialist Office of Environmental Services HHW/db S:IMA Y 200 I IrDeNinno 3601 Stockdale Hwy UST,L2 ~~ C/J .If' (~) - j/ "'7'P // C/:' '1'1 ...7ffUÚ~fP ¡/Ú!- C/O/';l/nu/lL(~ ~~o.ß t-/'èÓope .!Y/UUb ~/(:) 0e/lÚ~~r ,,~ ~.", RW15pt.CT d -15-¡ No /J15!:h ()~ TØ¡'r7I~ ;2 - 8-7/ -- f{P.¡t'\(l..I~tj.r I ~v.d. CITY of BAKERSFIELD "WE CARE" 2101 H STREET BAKERSFIELD. 93301 326,3911 :0 t:: [: E ;""-ï l:-: t:. :-v: 1 2 7 1 i;¿ (=: J.=) DEAR Nli. GRE£=:i\/, NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE =============================================== IN THE INSPECTION OF YOUR BUSINESS 7-ELEVEN, LOCATED AT 3601 STOCKDALE HWY., BAKERSFIELD, CA 93309 ON DECEMBER 12, 1990 THE FOLLOWING HAZARDOUS MATERIALS REGULATION VIOLATIONS WERE IDENTIFIED: 1. MATERIAL SAFETY DATA SHEETS MUST BE AVAILABLE TO ALL EMPLOYEES FOR EACH HAZARDOUS MATERIAL STORED OR USED IN THE WORKPLACE. EMPLOYEES MUST BE ADEQUATELY TRAINED IN THE PROPER HANDLING OF HAZARDOUS MATERIALS. VIOLATION OF OSHA 1910. 1200 (g) The employer shall maintain copies of the required material saf'ety data sheets fClr each hazardclus chemical in the workplace, and shall ensure that they are readily accessible during each work shift. to employees when they are i~ their work area(s) (h) (1) INFORMATION. Employees shall be informed of: (i) The requirements of this section (ii)Any operations in their work area where hazardous chemicals are present; and, (iii)The location and availability of the written hazard communication program, including the required list(s) of hazardous chemicals, and material safety data sheets required by this section. ,-;;;"..,,..-,. '",,- .' . e VIOLRTION OF OSHA 19l0.1200(H) (2 ) T y' ,;;! i '{'¡ i '("I g 0 E::rll p ll:'~lf=:e t"'O'¡inlng :::.:"-¡¿~ 11 ...., .~ 1 '(lC'.!. '.\oe leas'i; : < i) Methods and observations tna~ may be used to detect the presence or release of a hazardous chemical in the ~ork area (such as monitoring conducted by the employer, còntinuous monitoring devices, visual appearance or odor of hazardous chemicals when being released, etc.); (ii)The physical and health hazards of the chemicals in the work area; (iiiJThe measures employees can take to protect themselves from these hazards, including specific procedures the employer has implemented to protect employees from exposure to hazardous chemicals, such as appropriate work practices, emergency procedures, and personal prote~tive equipment to be used; and, (iv)The details of the hazard communication program developed by the employer, including an explanation of the labeling system and the material safety data sheet, and how employees can obtain and use the appropriate hazard information. ~ The above violations must be corrected by January 12, 1991. The department will schedule a re-inspection of your facility to verify compliance. If you have any questions regarding this notice, please contact Barbara Brenner at 326-3979. 8i Y'lcet'el y, . Bat'bara Bt'eyw'le}~ Hazardous Materials Planning Technician FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3911 FAX (661) 852-2170 SUPPRESSION SERVICES 2101 "H" Street Bakersfield.CA 93301 VOICE (661) 326-3941 FAX (661) 852-2170 PREVENTION SERVICES FIRE SAFETY SERVICES· ENVIRONMENTAL SERVICES 900 Truxtun Ave.. Suite 210 Bakersfield. CA 93301 VOICE (6611 326-3979 FAX (661) 852-2171 FIRE INVESTIGATION 1715 Chester Ave.. 3'd Floor Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 852-2172 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 December 10, 2004 Mr. Brent Cruz 7-11 3601 Stockdale Hwy. Bakersfield, CA 93309 REMINDER NOTICE Re: Necessary Compliance Deadlines for UST Owners/Operators Dear Mr. Cruz: The purpose of this letter is to remind you about three compliance deadlines for UST Owners/Operators. These are as follows: 1) January 1,2005 deadline for submitting decIaration statement designating: (a) Owner/Operator understands and is in compliance with all applicable UST requirements, and (b) Owner identifies the designated UST Operator for each facility owned. (c) Owner/Operator passes and submits proof of International Code Council Test. 2) EVR upgrade requirements on spill buckets are due April 1, 2005. 3) Secondary Containment Testing on all secondary systems. Code requires re-testing 36 months from date of last test which was in 2002. Should you have questions regarding these compliance deadlines, please feel free to call me at 661 - 326-3190. Sincerely, )L cMm£J Steve Underwood Fire Prevention Officer SU:db {{6:I:/1f.'t1Ù~r¡ {he Ý{;:'J/m'mINu~1f c'Jí(1·j( Q '¡tN((~ d1Za'lI Qç{ ~'Jttlld;;' II -' .' - I ._.-.' 'P' J.:.~-_, - ".~~. ~~EVEN FOOD STORE #21.17721 ~:."" 4It SiteID: ~15-021-000817 Manager : Location: 3601 STOCKDALE HWY City BAKERSFIELD BusPhone: Map : 123 Grid: 02B (661) 834-3093 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code:5541 DunnBrad:00-734-7602 Emergency Contact / Title TAJINDER&KULSINDER / FRANCHISEE Business Phone: (661) 834-3093x 24-Hour Phone . (800) 845-0031x Pager Phone () x Emergency Contact BRENT CRUZ Business Phone: 24-Hour Phone Pager Phone / Title / FIELD COUNSULTA (888) 711-4876x3719 (800) 845-0031x () x Hazmat Hazards: Fire r Contact :f7BOB DEHINNO MailAddr: PO BOX 711 City DALLAS Randy Martin '\ Owner Address City 7 ELEVEN, INC PO BOX 711 DALLAS Period Preparer: Certif'd: ParcelNo: to Emergency Directives: phone: State: Zip Phone: State: Zip TotalASTs: TotalUSTs: RSs: No DelHlth ~ 7/70 ( TX 7522~ (~f~-19 7~ig?*7l) TX 75221 Gal Gal I, Randy Martin Do hersb rt·f h (Type or print name) . y ce y t at I have reviewed the attached hazardous materials manage- ment plan for 'J~1 ~/77,.;>'Land that it along with (Name of Business) any corrections constitute a complete and correct man- agement plan for my fa . It -1- 7~~'5 Dale 06/16/2003 ,. - ,< 'i ,~Æ7 ~ E'~EVEN FOOD STORE #21.17721 . SiteID: 015-021-000817 "I STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: 7 ELEVEN FOOD STORE #2125-17721 Cross Street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: PROPERTY QWNER INFORMATION Name : T~7-Eleven, Inc. -- phone: (B08) 711 £,ic/6x3719 Address: Gasoline Acctg. .;16'3-79(;-7/70 City : P. O. Box 711 State: Zip: Type : Dallas, TX 75221-0711 'TANK üWNER INFORMATION Name ~ BREN'f' 7-Eleven, Inc. Phone: (8-8-8) 711 <1 8 7 6K-3-r1:-9 Address: % Gasoline Acctg. .95'3- 79e:.-7/70 City : P. O. Box 711 :ate: Zip: Type : Dallas, TX 75221-0711 BOE UST Fee# : 002251 Finane I 1 Resp: INSURANCE Legal Notif : Tank Owner Mailing Address Date:04/11/2000 , Randy Martin , Phone: (&eJ) 977 7713x Name:BOB DENINNO ,- Environmental Manager ' Ttl:ENVIRON. MGR. .,;J53- 79Cø- 7/7D State UST # : , / 1998 Upg Cert#: 00781 .~ --- - -2- 06/16/2003 I I ' F F 'Ö , 7?~LEVEN FOOD STORE #21~17721 Inventory Item 0001 STORAGE CONTAINER 4It SiteID: 015-021-000817 9 Facility Unit: Fixed Containers on Site 9 DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION Piping Type : Const: Mfgr Mtl & Corr Prot UnderGround PRESSURE DOUBLE WALL TOTAL CONTAINMENT II FLEX II AboveGround Piping II FLEX II AboveGround Piping PIPING UnderGround Piping AUTOMATIC LEAK DETECTORS DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Date: 04/11/2000 . Name: BOn DBNINNe- ~,~ /'Y1Ml.-vrJ Ttl : ENVIRON. MGR. Prmt Number: 0817 Approved: Yes Expiration Date: 06/30/2003 AGENCY DEFINED PASS Installed: 02/19/2001 TANK/LINE TEST :11/17/1997 CP CERT. :09/06/2002 MANWAY INSP. : 11/20/2001 UST MONIT. CERT:09/17/2002 -6- 06/16/2003 ,. F 7? ~~EVEN FOOD STORE #21~17721 p= Inventory Item 0002 STORAGE CONTAINER . SiteID: 015-021-000817 ì Facility Unit: Fixed Containers on Site ì DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION Piping Type : Const: Mfgr Mtl & Corr Prot UnderGround PRESSURE DOUBLE WALL TOTAL CONTAINMENT II FLEX II AboveGround Piping II FLEX II PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 02/19/2001 DISPENSER CON/AINMENT pe: DISP. PAN SENSOR W/ POS. SHUTOFF TOR SIGNATURE OWNER/OP Date: 0~/11/2000 fa . Name: 0013 DENINNO~ ' -n d..t fYl(M. ~ Ttl: ENVIRON. MGR. Prmt Number: 0817 Approved: Yes Expiration Date: 06/30/2003 AGENCY DEFINED PASS TANK/LINE TEST :11/17/1997 CP CERT. :09/06/2002 MANWAY INSP. : 11/20/2001 UST MONIT. CERT:09/17/2002 STORAGE CONTAINER D A (UST FORM C) Installer Certified by tank/piping man acturer: No Installation Inspected & Certified b Registered Engineer: No Installation Inspected by Unified E ogram Agency: Yes Manufacturerls Checklist Complet Yes Installer Certified by Contractors' State License Board: Yes Approved Alternate methods: Date: 0*f±1/200Û ~ Name: BOB DENINN'O K,Þr¡Jv n7úA. ~ Ttl : ENVIRON. MGR. -9- 06/16/2003 /' .. F 7'" ~~:VEN FOOD STORE #21'-17721 p= Inventory Item 0003 STORAGE CONTAINER ~ SiteID: 015-021-000817 9 Facility Unit: Fixed Containers on Site 9 DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION Piping Type : Const: Mfgr Mtl & Corr Prot UnderGround PRESSURE DOUBLE WALL TOTAL CONTAINMENT II FLEX II AboveGround Piping II FLEX II PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 02/19/2001 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POS. SHUTOFF ERATOR SIGNATURE OWNER Date: 04-/11/2 &GO Name: Boo Del!.lllO /2Cvn 1r-n lÚA Prmt Number: 0817 Ttl:Environ. operations Approved: Yes Expiration Date: 06/30/2003 AGENCY DEFINED PASS TANK/LINE TEST :11/17/1997 CP CERT. :09/06/2002 MANWAY INSP. :11/20/2001 UST MONIT. CERT:09/17/2002 -12- 06/16/2003 - - --~!. ,~e- ?"";r_ ~,/ --' - e 7 ELEVEN FOOD STORE #2125-17721 SiteID: 015-021-000817 Manager : Location: 3601 STOCKDALE HWY City BAKERSFIELD BusPhone: Map : 123 Grid: 02B (661) 834-3093 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code:5541 DunnBrad:00-734-7602 Emergency Contact / Title Emergency Contact / Title TAJINDER&KULSINDER / FRANCHISEE BRENT CRUZ / FIELD COUNSULTA Business Phone: (661) 834-3093x Business Phone: (888) 711-4876x3719 24-Hour Phone : (800) 845-0031x 24-Hour Phone : (800) 845-0031x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth . - - ...- -, -, . . , , Contact : BOB DENINNO Phone: (208). 429-8466x MailAddr: PO BOX 711 State: TX City : DALLAS Zip : 75221 Owner THE SOUTHLAND CORORATION ,:7-éLvL~ J~ " Phone: (208) 429-8466x Address : PO BOX 711 State: TX City : DALLAS Zip : 75221 Period : to TotalASTs: = Gal Preparer: TotalUSTs: -' Gal Certif'd: RSs: No Emergency Directives: \ I, ~b 1kJJLf\~o hereby certify that I have (Type or print name) revievy~d th~_ a~ache~ ~~a!dou_s ,r.!l~tsrials m~n~g~~ ment plan for1-fiv/ú\' :à /17 z.( and that it along with (Name of Business) any corrections co . ute a complete and correct man- 11¿ {:'&- -1- 08/14/2002 " -1-" '" e e F 7 ELEVEN FOOD STORE #2125-17721 SiteID: 015-021-000817 9 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: 7 ELEVEN FOOD STORE #2125-17721 Cross Street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: ($- tm.otU¡'R.'T'_V_OWNER INFORMATION \ Name : 7 -Eleven, Inc. Phone: (,888 ) 711- 48""l-ôX3ïl9 Address: Gasoline Acctg. ~o f> YcM.- f?'(P{.p City : P. O. Box 711 'State: Zip: Type : Dallas, TX 75221-QI1J,,_ulllll'JER ('¥ INFORMATION 7-Eleven, Inc. \ ( ,8.a.&}-7-H.-·4-&7-6x-:57'1-9 Name : Phone: Address: Gasoline Acctg. ~tJ g- 1/ð'l-1?</¿, {.P City : P. O. Box 711 State: Zip: Typ~-' ---- --=-- ~----- - - -- - ~ . Dallas, TX 75221-0711 BOE UST Fee# : 002251 Finane 'I Resp: INSURANCE Legal Notif : Tank Owner Mailing Address Date:04/11/2000 Phone: ( 5-e-9 ) g::pþ'7'7'l"3"X Name:BOB DENINNO Ttl: ENVIRON. MGR. ~g' -'Yc?-'l-fi'2./b(¿, State UST # : 1998 Upg Cert#: 00781 f= Hazmat Inventory One Unified List 9 ~ Alphabetical Order All Materials at Site 9 Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP SUPER UNLEADED GASOLINE F IH DH L 10000.00 GAL Mod UNLEADED GASOLINE F IH DH L 10000.00 GAL Mod UNLEADED PLUS GASOLINE F IH DH L 10000.00 GAL Mod . - -.. ~ ---- - -. ---- -2- 08/14/2002 'i. -;. e e F 7 ELEVEN FOOD STORE #2125-17721 f= Inventory Item 0003 = COMMON NAME / CHEMI CAL NAME SUPER UNLEADED GASOLINE SiteID: 015-021-000817 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit UNDERGROUND FRONT PARKING Map: Grid: CAS# 8006-61-9 [ ~TA~E I TYPE ----r-; P~ESSURE ---r TEM~ERATURE ~ CONTAINER TYPE =L~qU~d ____pure ~mb~ent ---1 Amb~ent ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 7500.00 GAL %Wt. I .. 100.00 Gasoline HAZARDOUS COMPONENTS Grl CAS # I 8006619 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS f= Inventory Item 0001 F= COMMON NAME / CHEMI CAL NAME UNLEADED GASOLINE Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit UNDERGROUND FRONT PARKING Map: Grid: CAS # 8006-61-9 [ ~TA~E I TYPE ----r-; P~ESSURE ---r TEM~ERATURE ~ CONTAINER TYPE ==L1qU~d ____pure ~mb~ent ---1 Amb~ent ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 7500.00 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 -3- 08/14/2002 '. e e F 7 ELEVEN FOOD STORE #2125-17721 f= Inventory Item 0002 = COMMON NAME / CHEMI CAL NAME UNLEADED PLUS GASOLINE SiteID: 015-021-000817 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit UNDERGROUND FRONT PARKING Map: Grid: CAS # 8006-61-9 [ ~TA~E I TYPE ---r-; P~ESSURE ---r TEM~ERATURE ~ =L1Qu1d __pure ~mb1ent ---1 Amb1ent ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum 10000.00 GAL 10000.00 GAL CONTAINER TYPE UNDER GROUND TANK Daily Average 7500.00 GAL %Wto 100.00 Gaso11ne 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 -4- 08/14/2002 <. ¡. e e F 7 ELEVEN FOOD STORE #2125-17721 I f= Notif./Evacuation/Medical r=: Agency Notification LALL 911. Employee Notif./Evacuation SiteID: 015-021-000817 9 Fast Format 9 Overall Site 9 OS/20/1999 ] OS/20/1999 VERBAL AND CALL 911. FOR RELEASE OF HAZ MAT NOTIFY THE FIRE DEPT HAZ MAT AND STATE O.E.S. Public Notif./Evacuation OS/20/1999 ] OS/20/1999 VERBAL AND DIAL 911. Emergency Medical Plan POLICE AND FIRE DEPT 911. NEAREST ER TO LOCATION IS TO BE USED IN THE EVENT OF INJURY. -5- 08/14/2002 · e e F 7 ELEVEN FOOD STORE #2125-17721 I f= Mitigation/Prevent/Abatemt Release Prevention SiteID: 015-021-000817 9 Fast Format 9 Overall Site 9 OS/20/1999 STANDARD GASOLINE STATION SAFETY FEATURES FOR GAS PUMPS, AUTO SHUT OFFS, VAPOR SHIELDS, SHEER OFF VALVE -- COMPRESSED GASSES PROPERLY STORED IN SMALL SAFETY CONTAINERS AND WITH PROPER FITTINGS. Release Containment OS/20/1999 STANDARD GASOLINE STATION SAFETY FEATURES FOR GAS PUMPS/AUTO SHUT OFFS. VAPOR SHIELDS. SHEER OFF VALVE - COMPRESSED GASSES PROPERLY STORED IN SMALL SAFETY CONTAINERS AND WITH PROPER FITTINGS. BUSINESS EMERGENCY PLAN ON FILE AT EACH STORE. DAILY INVENTORY RECONCILIATION TO INDICATE LEAKAGE ABOVEGROUND. FIRE DEPT AND IT CORPORATION CONTACTED FOR BELOW GROUND LEAKS HEALTH DEPT CALLED ALSO BOTH INSTANCES EQUIPMENT WILL BE SHUT DOWN FOR REPAIRS. Clean Up 01/25/1996 USE ABSORBENT MATERIALS, ABSORBENT PAD (KITTY LITTER) . Other Resource Activation -6- 08/14/2002 " . "" e e F 7 ELEVEN FOOD STORE #2125-17721 I f= Site Emergency Factors ~ Special Hazards Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - BACK ROOM HALLWAY C) WATER - STORE FRONT SIDE D) SPECIAL - NONE E) LOCK BOX - NO SiteID: 015-021-000817 ì Fast Format ì Overall Site ì I 01/07/1990 Fire Protec./Avail. Water OS/20/1999 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER LOCATED IN STORE PER FIRE CODE. FIRE HYDRANT - ?????????? Building Occupancy Level -7- 08/14/2002 f:j y. '~.: e e F 7 ELEVEN FOOD STORE #2125-17721 I F Training Employee Training SiteID: 015-021-000817 9 Fast Format 9 Overall Site 9 OS/20/1999 WE HAVE 7 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: SEE HAZARDOUS MATERIALS HANDLING PROCEDURES POSTING AND EMPLOYEE AWARENESS FORM. Page 2 [ I I Held fòrFuture Use Held for Future Use -8- 08/14/2002 ß ' ~~ .,,-' ~. 'i,. -~- ...i - - 7 ELEVEN FOOD STORE #2125-17721 , , SiteID: 015-021-000817 Manager : Location: 3601 STOCKDALE HWY City BAKERSFIELD / / / / / I BusPhone: Map : 123 Grid: 02B (661) 834-3093 CommHaz : Low FacUnits: 1 AOV: / / CommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code:5541 DunnBrad:00-734-7602 Emergency Contact / Title Emergency CQntac.t_, / Title TAJINDER&KULSINDER / FRANCHISEE :, -.D I~ fa... 'kh J:- , / ; , , Business Phone: (661) 834-3099x ' Business Phone: ; 806 - ~õt og ~'- 0'" / / 24-Hour Phone : (800 ) 845-0031x 24-Hour Phone : ~ g(:/)- t:6¿9..<3' Ó '11 J Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth \ ~ 603 ~ <;1107 (:-?__: Contact : Bob DeNinno Phone: MailAddr: PO BOX 711 State: TX City : DALLAS _~\,,~O Zip : 75221 \ ~~V7"' ?,.'ù'ù\ Phone : ~ 0 b3- q '7 '7 -7 '7 / ~ Owner 7 -Eleven, Inc. : ~ Address : pC dB OX 711 ~ ?. ? State: TX City : DALLAS j ~ ~(.~~\C'f;.S Zip : 75221 Period : to 'f;.\\~\~O~· ... TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No '> Emergency Directives: I~ß ~W I~ 00 hereby certify that I have (Type or print name) reviewed the attached hazardous materials manage- ment piq,n for '7 - £v (;4,.. "" and that it along with (Nairne of Business) any corrections constitute a complete and correct man- agement plan for my f f . I ~ )-/0 ) ~ -1- 10/31/2000 :1' to 7 e e F 7 ELEVEN FOOD STORE #2125-17721 SiteID: 015-021-000817 ì STORAGE CONTAINER DATA UST FORM A) Last Action Type: Business Name: Cross Street : Business Type: Total Tanks : FACILITY/SITE INFORMATION 7 ELEVEN FOOD STORE #2125-17721 Org Type: 3 IndnRes/Trust: No PA Contact: .~PROPERTY OWNER INFORMATION Name : 7-Eleven, Inc. Phone: ~ 503- 'ì 77 - 7'1 l '6 Address: Gasoline Acctg. City : P.O.Box711 State: Zip: Type : Dallas, TX 75221-0711 TANK OWNER INFORMATION Name : 7-Eleven, Inc~ Phone: ,/503- 977- '7 "113 Address: Gasoline Acctg. City : P. O. Box 711 State: Zip: Type : Dallas, TX 75221-0711 BOE UST Fee# : 002251 Financ'l Resp: INSURANCE Legal Notif : Tank Owner Mailing Address Date:04/11/2000 Name:BOB DENINNO State UST # : Phone: (503) 977-7713x Ttl:ENVIRON. MGR. 1998 Upg Cert#: 00781 One Unified List ì All Materials at Site ì F Hazmat Inventory p== As Designated Order Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP UNLEADED GASOLINE UNLEADED PLUS GASOLINE SUPER UNLEADED GASOLINE F F F IH DH IH DH IH DH L L L 10000.00 GAL 10000.00 GAL 10000.00 GAL Mod Mod Mod -2- 10/31/2000 '1' "J'- r e e F 7 ELEVEN FOOD STORE #2125-17721 p= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE SiteID: 015-021-000817 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UNDERGROUND FRONT PARKING Map: Grid: CAS # 8006-61-9 CONTAINER TYPE UNDER GROUND TANK [ ~TA~EI TYPE ~ P~ESSURE ---r TEM~ERATURE I =L~qu~d __pure ~mb~ent ---1 Amb~ent ~ AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Largest Container 10000.00 GAL Daily Average 7500.00 GAL %wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ No CAS # I 8006619 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME UNLEADED PLUS GASOLINE Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UNDERGROUND FRONT PARKING 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 7500.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS#S006619 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ 'Curies F IH DH / / / Mod HAZARD ASSESSMENTS -3- 10/31/2000 "i' e e F 7 ELEVEN FOOD STORE #2125-17721 f= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME SUPER UNLEADED GASOLINE SiteID: 015-021-000817 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UNDERGROUND FRONT PARKING Map: Grid: CAS # 8006-61-9 [ ~TA~E I TYPE ~ P~ESSURE --r TEM~ERATURE -] CONTAINER TYPE =Llquld __pure ~mblent ---1 Amblent ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 7500.00 GAL %-wt. I 100.00 Gasoline HAZARDOUS COMPONENTS CAS#a006619 ~I TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS -4- 10/31/2000 " e e í 7 ELEVEN FOOD STORE #2125-17721 ëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000817 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Fornnat j íë Notif./EvacuationlMedical ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Agency Notification ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë OS/20/1999 j o 0 o CALL 911. o o o âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Employee Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë OS/20/1999 j o 0 o VERBAL AND CALL 911. FOR RELEASE OF HAZ MAT NOTIFY THE FIRE DEPT HAZ MAT o AND STATE O.E.S. 0 o o o âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Public Notif.lEvacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë OS/20/1999 j o 0 o VERBAL AND DIAL 911. o o o âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Emergency Medical Plan ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë OS/20/1999 j o 0 o POLICE AND FIRE DEPT 911. NEAREST ER TO LOCA nON IS TO BE USED IN THE EVENT 0 o OF INJURY. 0 o o âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf ... -5- e e 10/3112000 " , " e e í 7 ELEVEN FOOD STORE #2125-17721 ëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000817 i íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j íë Mitigation/Prevent/ Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë OS/20/1999 j o 0 o STANDARD GASOLINE STATION SAFETY FEATURES FOR GAS PUMPS, AUTO SHUT OFFS, 0 o VAPOR SHIELDS, SHEER OFF VALVE -- COMPRESSED GASSES PROPERLY STORED IN SMALL 0 o SAFETY CONTAINERS AND WITH PROPER FITTINGS. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë OS/20/1999 j o 0 o STANDARD GASOLINE STATION SAFETY FEATURES FOR GAS PUMPS/AUTO SHUT OFFS. 0 o VAPOR SHIELDS. SHEER OFF VALVE - COMPRESSED GASSES PROPERLY STORED IN SMALL 0 o SAFETY CONTAINERS AND WITH PROPER FITTINGS. BUSINESS EMERGENCY PLAN ON FILE 0 o AT EACH STORE. 0 o o o DAILY INVENTORY RECONCILIATION TO INDICATE LEAKAGE ABOVEGROUND. FIRE DEPT 0 o AND IT CORPORATION CONTACTED FOR BELOW GROUND LEAKS HEALTH DEPT CALLED ALSO 0 o BOTH INSTANCES EQUIPMENT WILL BE SHUT DOWN FOR REPAIRS. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/25/1996 i o 0 o USE ABSORBENT MATERIALS, ABSORBENT PAD (KITTY LITTER). o 0 o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -6- 10/31/2000 "" '1 '.- e e í 7 ELEVEN FOOD STORE #2125-17721 ëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000817 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Fornaat ¡ íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i íëë Special lIazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/07/1990 i o 0 o A) GAS - NONE o B) ELECTRICAL - BACK ROOM HALLWAY o C) WATER - STORE FRONT SIDE o D) SPECIAL - NONE o E) LOCK BOX - NO o o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Fire Protec.lAvail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë OS/20/1999 ¡ o 0 o PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER LOCATED IN STORE PER FIRE CODE. 0 0 0 0 0 0 0 o FIRE HYDRANT - ?????????? 0 0 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -7- 10/31/2000 ; '~ " e ., , " ., e í 7 ELEVEN FOOD STORE #2125-17721 ëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000817 ¡ íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë OS/20/1999 j o 0 o WE HAVE 7 EMPLOYEES AT THIS FACILITY. o o o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. o o o o BRIEF SUMMARY OF TRAINING PROGRAM: SEE HAZARDOUS MATERIALS HANDLING o PROCEDURES POSTING AND EMPLOYEE AWARENESS FORM. 0 o o ãëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o ãëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future lJse ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ 0 0 o o ãëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë j o 0 o o ãëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf o / /' ·~ .s-' r.. 1\, . e - " 7 ELEVEN FOOD STORE #2125-17721 SiteID: 015-021-000817 Manager : Location: 3601 STOCKDALE HWY City BAKERSFIELD BusPhone: Map : 123 Grid: 02B (661) 834-3093 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code:5541 DunnBrad:00-734-7602 Emergency Contact / Title Emergency Contact / Title TAJINDER&KULSINDER / FRANCHISEE BRENT CRUZ / FIELD CONSULTAN Business Phone: (&61) a-:u-'H)~ 30"7'1, Business Phone: (888) 711-4876x3719 24-Hour Phone : (800) 845-0031x 24-Hour Phone : (800) 845-0031x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : Phone: (214 ) 841-6718x MailAddr: PO BOX 711 State: TX City : DALLAS Zip : 75221 Owner THE SOUTHLAND CORPORATION Phone: (214) 841-6718x Address : PO BOX 711 State: TX City : DALLAS Zip : 75221 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: Bob DeNinno "- I, Environmental ManagerJO hereby certify that I have (Type or print nerne) reviewed the attached hazardous materials manage- ment pian fO;r~ ~ \ 71 lA and that it along with (Name 01 Business) any corrections constitute a complete and correct man- agement plan for 413u JD?, Date -1- 10/31/2000 T e e >. F 7 ELEVEN FOOD STORE #2125-17721 ST SiteID: 015-021-000817 9 ) ORAGE CONTAINER DATA UST FORM A Last Action Type: FACILITY/SITE INFORMATION Business Name: 7 ELEVEN FOOD STORE #2125-17721 Cross Street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name f 7 -Eleven, Inc. '\ Phone: ~) 711 4-8%'X3-'r.l: 9 : Address: Gasoline Acctg. .;;20 g- - .y6lt)- ß"¥¿" (.., City : P.O. Box 711 State: Dallas, TX 75221-0711 Type : TANK OWNER INFORMATION Name : f 7-Eleven, Inc. '\ Phone: (-e-scr) 71-1 487 6xJ 7 ~ Address: ~ g- A'/.GJ:f{ 8'"'¥ v c,.. City : Gasoline Acctg. State: Dallas, TX 75221-0711 Type : P.O. Box 711 BOE UST Fee# : 002251 Financ'l Resp: INSURANCE Legal Notif : Tank Owner Mailing Address Date:04/11/2000 Phone: (.s0:3 ) 977 - 7 "lB-x Name:BOB DENINNO Ttl:ENVIRON. MGR. dðr - ¥~ -f?q (ÍJ. & State UST # : 1998 Upg Cert#: 00781 One Unified List 9 All Materials at Site 9 SpecHaz EPA Hazards DailyMax MCP F IH DH L 10000.00 GAL Mod F IH DH L 10000.00 GAL Mod F IH DH L 10000.00 GAL Mod f= Hazmat Inventory ~ As Designated Order Hazmat Common Name... UNLEADED GASOLINE UNLEADED PLUS GASOLINE SUPER UNLEADED GASOLINE -2- 10/31/2000 e e F 7 ELEVEN FOOD STORE #2125-17721 p= Inventory Item 0001 = COMMON NAME / CHEMI CAL NAME UNLEADED GASOLINE SiteID: 015-021-000817 1 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit UNDERGROUND FRONT PARKING 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 7500.00 GAL tWt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # 8006619 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS p= Inventory Item 0002 F= COMMON NAME / CHEMICAL NAME UNLEADED PLUS GASOLINE Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit UNDERGROUND FRONT PARKING 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 7500.00 GAL m·1 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS#a006619 TSecret RS BioHaz Radioactive/Amount EFA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS -3- 10/31/2000 .,' e e , ¡ . F 7 ELEVEN FOOD STORE #2125-17721 p= Inventory Item 0003 F= COMMON NAME / CHEMI CAL NAME SUPER UNLEADED GASOLINE SiteID: 015-021-000817 l Facility Unit: Fixed Containers on Site l Days On Site 365 Location within this Facility Unit UNDERGROUND FRONT PARKING 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 7500.00 GAL HAZARDOU C MP N NTS %Wt. RS CAS # 100.00 Gasoline No 8006619 S 0 0 E HAZARD A SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod s -4- 10/31/2000 .,. e e í 7 ELEVEN FOOD STORE #2125-17721 ëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000817 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format i íë Notif./EvacuationlMedical ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i íëë Agency Notification ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë OS/20/1999 i o 0 o CALL 911. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Employee Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05120/1999 j o 0 o VERBAL AND CALL 911. FOR RELEASE OF HAZ MAT NOTIFY THE FIRE DEPT HAZ MAT o AND STATE O.E.S. 0 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Public Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05120/1999 i o 0 o VERBAL AND DIAL 911. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Emergency Medical Plan ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05120/1999 i o 0 o POLICE AND FIRE DEPT 911. NEAREST ER TO LOCATION IS TO BE USED IN THE EVENT 0 o OF INJURY. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf · :j'.e . .' -5- e e 10/31/2000 ;~.. , .. e e í 7 ELEVEN FOOD STORE #2125-17721 ëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000817 i íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format i íë Mitigation/Prevent/ Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë OS/20/1999 i 00' o STANDARD GASOLINE STATION SAFETY FEATURES FOR GAS PUMPS, AUTO SHUT OFFS, 0 o VAPOR SHIELDS, SHEER OFF VALVE -- COMPRESSED GASSES PROPERLY STORED IN SMALL 0 o SAFETY CONTAINERS AND WITH PROPER FITTINGS. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë OS/20/1999 i o 0 o STANDARD GASOLINE STATION SAFETY FEATURES FOR GAS PUMPS/AUTO SHUT OFFS. 0 o VAPOR SHIELDS. SHEER OFF VALVE - COMPRESSED GASSES PROPERLY STORED IN SMALL 0 o SAFETY CONTAINERS AND WITH PROPER FITTINGS. BUSINESS EMERGENCY PLAN ON FILE 0 o AT EACH STORE. 0 o o o DAILY INVENTORY RECONCILIATION TO INDICATE LEAKAGE ABOVEGROUND. FIRE DEPT 0 o AND IT CORPORATION CONTACTED FOR BELOW GROUND LEAKS HEALTH DEPT CALLED ALSO 0 o BOTH INSTANCES EQUIPMENT WILL BE SHUT DOWN FOR REPAIRS. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/25/1996 i o 0 o USE ABSORBENT MATERIALS, ABSORBENT PAD (KITTY LITTER). o 0 o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -6- 10/31/2000 " ,i'.. r 'J ... e e í 7 ELEVEN FOOD STORE #2125-17721 ëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000817 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format ¡ íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Special lIazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/07/1990 ¡ o 0 o A) GAS - NONE o B) ELECTRICAL - BACK ROOM HALLWAY o C) WATER - STORE FRONT SIDE o D) SPECIAL - NONE o E) LOCK BOX - NO o o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Fire Protec./Avail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë OS/20/1999 i o 0 o PRIV A TE FIRE PROTECTION - FIRE EXTINGUISlIER LOCATED IN STORE PER FIRE CODE. 0 0 0 0 0 0 0 o FIRE lIYDRANT - 71?71????? 0 0 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë i o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -7- 10/3112000 ~4.,...· ,;" , . e e :. .... í 7 ELEVEN FOOD STORE #2125-17721 ëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000817 i íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast F onnat j íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05120/1999 i o 0 o WE HAVE 7 EMPLOYEES AT THIS FACILITY. o o o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. o o o o BRIEF SUMMARY OF TRAINING PROGRAM: SEE HAZARDOUS MATERIALS HANDLING o PROCEDURES POSTING AND EMPLOYEE AWARENESS FORM. 0 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë i o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë i o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf ;-;" ~. . r~ - - 7 ELEVEN FOOD STORE #2125-17721 J SiteID: 215-000-000817 ( / / ..- ,~ Manager : Location: 3601 STOCKDALE HWY City BAKERSFIELD BusPhone: Map : 123 Grid: 02B (805) 834-3093 CommHaz : Low FacUnits: 1 AOV: CommCode: EPA Numb: elf SIC Code:5541 DunnBrad:00-734-7602 ~mergency Contact ~ Business Phone: 24-Hour Phone Pager phone I Title I FRANCHISEE (¿'oo) 80S) 831 )O"x S~j- (~) ~o}1 ( ) - x Emergency Con BRENT CRUZ Business Phone: 24-Hour Phone Pager Phone Title FIELD CONSULTAN fOD - t209) OG1 i-G.J~x tL(~- () X 00)/ Hazmat Hazards: Fire ImmHlth DelHlth Contact : MailAddr: 3-146 GOLD CAMP DR .3e-Ð Po ßoy 7// City RANCHO CO.fU::JOVA ÙéÃ--/!a5 Phone: State: Zip ( ) <:Þr= -r-x ~ 7S.2..¿/ x Owner Address City THE SOUTHLAND CORPORATION 3:à.~Q.LD--C.AMJ:-' D!:C3UìJ PO ß 0)( 711 RANCHO cu.fwOV'A De<J!c(; Phone: State: Zip Period Preparer: Certif'd: to TotalASTs: TotalUSTs: RSs: No Gal Gal Emergency Directives: F Hazmat Inventory One Unified List ì p== Alphabetical Order All Materials at Site ì Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP SUPER UNLEADED GASOLINE F IH DH L 10000 GAL Mod UNLEADED GASOLINE F IH DH L 10000 GAL Mod UNLEADED PLUS GASOLINE F IH DH L 10000 GAL Mod I &,;( ~0... Do hereby certify that! have , (fype or print namej reviewed the attached hazardous ma~arials mmìage- 7 E/ / sHr.{.17d7t2h/t it alan'" \.':'-', ment plan for---=-~~~:;¡nÐ$9) an a, '~J ;<,ll. any corrections constitute a complete and corisct man- agement plan for my facility. 04/20/1999 '" . F e e F 7 ELEVEN FOOD STORE #2125-17721 p= Inventory Item 0003 = COMMON NAME / CHEMI CAL NAME SUPER UNLEADED GASOLINE SiteID: 215-000-000817 1 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit UNDERGROUND FRONT PARKING Map: Grid: CAS # 8006-61-9 [ ~TA~E I TYPE ---r-; PI.<ESSURE ---¡ TEM~ERATURE I =L1qu1d __pure ~mb1ent ---1 Amb1ent ~ AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL Daily Average 7500.00 GAL %Wt. RS CAS # 100.00 Gasoline No 8006619 . HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS p= Inventory Item 0001 ¡:::= COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit UNDERGROUND FRONT PARKING 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 7500.00 GAL %wt. RS CAS # 100.00 Gasoline No 8006619 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS -2- 04/20/1999 ,. f. e e F 7 ELEVEN FOOD STORE #2125-17721 p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME UNLEADED PLUS GASOLINE SiteID: 215-000-000817 1 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit UNDERGROUND FRONT PARKING Map: Grid: CAS # 8006-61-9 [ ~TA~E I TYPE ~ P~ESSURE ~ TEM~ERATURE ~ CONTAINER TYPE ==L1qu1d ____pure ~mb1ent ---1 Amb1ent ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 7500.00 GAL %Wt. RS CAS # 100.00 Gasoline No 8006619 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DR / / / Mod HAZARD ASSESSMENTS -3- 04/20/1999 L e e F 7 ELEVEN FOOD STORE #2125-17721 I f= Notif./Evacuation/Medical r=: Agency Notification LALL 911 SiteID: 215-000-000817 ì Fast Format ì Overall Site ì 07/20/19931 07/20/1993 Employee Notif./Evacuation VERBAL AND CALL 911. FOR RELEASE OF HAZ MAT NOTIFY THE FIRE DEPT HAZ MAT AND STATE O.E.S. Public Notif./Evacuation 07/20/1993 1 07/20/1993 VERBAL AND DIAL 911 Emergency Medical Plan POLICE AND FIRE DEPT 911. NEAREST E.R. TO LOCATION IS TO BE USED IN THE EVENT OF INJURY -4- 04/20/1999 , ., e e f 7 ELEVEN FOOD STORE #2125-17721 I f= Mitigation/Prevent/Abatemt Release Prevention SiteID: 215-000-000817 1 Fast Format ì Overall Site ì 01/25/1996 STANDARD GASOLINE STATION SAFETY FEATURES FOR GAS PUMPS, AUTO SHUT OFFS, VAPOR SHIELDS, SHEER OFF VALVE -- COMPRESSED GASSES PROPERLY STORED IN SMALL SAFETY CONTAINERS AND WITH PROPER FITTINGS. Release Containment 01/25/1996 STANDARD GASOLINE STATION SAFETY FEATURES FOR GAS PUMPS/AUTO SHUT OFFS. VAPOR SHIELDS. SHEER OFF VALVE - COMPRESSED GASSES PROPERLY STORED IN SMALL SAFETY CONTAINERS AND WITH PROPER FITTINGS. BUSINESS EMERGENCY PLAN ON FILE AT EACH STORE. c.. / ' ~T 0 "jJ,7/,c.-./f7cN-.. DAILY INVENTORY ECONCILIATION TO INDICATE LEAKAGE ABOVEGROUND. FIRE DEPARTMENT AND .~T,OGY (800) 288-4832 *12792 CONTACTED FOR BELOW GROUND LEAKS HEALTH DEPARTMENT CALLED ALSO BOTH INSTANCES EQUIPMENT WILL BE SHUT DOWN FOR REPAIRS. Clean Up 01/25/1996 USE ABSORBENT MATERIALS, ABSORBENT PAD (KITTY LITTER) . Other Resource Activation -5- 04/20/1999 <. . " ~ e e f 7 ELEVEN FOOD STORE #2125-17721 I p= Site Emergency Factors ~ Special Hazards Utility Shut-Offs SiteID: 215-000-000817 ì Fast Format ì Overall Site ì I 01/07/1990 A) GAS - NONE B) ELECTRICAL - BACK ROOM HALLWAY C) WATER - STORE FRONT SIDE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/07/1990 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER LOCATED IN STORE PER FIRE CODE FIRE HYDRANT - ? Building Occupancy Level -6- 04/20/1999 '-10 L. /> "' e . F 7 ELEVEN FOOD STORE #2125-17721 I F Training Employee Training SiteID: 215-000-000817 9 Fast Format l Overall Site l 01/25/1996 WE HAVE 7 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING PROGRAM: SEE HAZARDOUS MATERIALS HANDLING PROCEDURES POSTING AND EMPLOYEE AWARENESS FORM. Page 2 r I I Held for Future Use Held for Future Use -7- 04/20/1999 · -.- - ....; ;.- ~ 7 ELEVEN F! STORE t212S-17721 21S-0!-OO ~~~~~'W~~ 1 Overall Site with 1 Fac. Unit , JAN Q l ~ 5 1996 General Information ~~ , """'\ : 11/01/95 \ / - Location: 3601 STOCKDALE HWY ~ City : BAKERSFIELD Map:123 Haz:2 Type: 3 Grid: 02B FlU: 1 AOV: 0.0 Contact Name r-.~i~~e/; . JAMES LYENDECKE~ I ~lLß£e Business Phone: (805) 834-30~x 24-Hour Phone : ei?D5) ÕY{--3l:FìC¡x Pager Phone () x Contact Na~e . ¡~t~e !PHI ðSlŒB Bre-tLt c..r-u U f1.'e1LcfJ (!6Y/.S Business Phone: (209r~-0711x 24-Hour Phone : (~~)~I -~39X Pager Phone : () x Mail Addrs: City: Comm Code: Administra~~ve Data 3~~ ~~~~~~A~.3141R~Did&l~Pe #3fft D&B Number: 00-734-7602 BhKERGFIELD ~CL State: CA Zip: ~3309 9Slp7 215-007 BAKERSFIELD STATION 07 SIC Code: 5541 Owner: THE SOUTHLAND CORPORAT)ON "JA n ~ Phone: (209) 261-0711 Address: 295 W Cn'AiIWELL ,lô~~/q.{p aa L'ct/Jf..pI:::fþ-#&:Jèßtate: CA City: ~E5NO~ (~ Zip: 9d-ft1-95Z07õ Summary I 4 ç ã f.1.Jí Do hereby cer1t1y that I have · ype Of print reviewed the attached hazardous materials manage- t Plan for S~~4nd that It along with men ('"8$1) any corrections constitute a complete and correct man- agement plan for my fac' '1'1. \- . e e 11/01/95 7 ELEVEN FOOD STORE #2125-17721 215-000-000817 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Cóntainers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-002 UNLEADED PLUS GASOLINE Liquid 10000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-003 SUPER UNLEADED GASOLINE Liquid 10000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-001 UNLEADED GASOLINE Liquid 10000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL " e e 11/01/95 7 ELEVEN FOOD STORE #2125-17721 215-000-000817 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-002 UNLEADED PLUS GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 10,000 I 7,500.00 I 319,133.00 Storage UNDER GROUND TANK r Press T Temp ~ Location Ambient AmbientlUNDERGROUND FRONT PARKING - Conc l 100.0% Gasoline Components r; MCP ----p;uide Moderate 27 02-003 SUPER UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 10,000 I 7,500.00 I 97,127.00 Storage UNDER GROUND TANK r Press T Temp ~ Location Ambient AmbientlUNDERGROUND FRONT PARKING - Conc l 100.0% Gasoline Components r; MCP ----p;uide Moderate 27 02-001 UNLEADED GASOLINE . Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 10,000 I 7,500.00 I 186,412.00 Storage UNDER GROUND TANK r Press T Temp ~ Location Ambient AmbientlUNDERGROUND FRONT PARKING - Conc l 100.0% Gasoline Components \-; MCP ----p;uide Moderate 27 · . .' e e 11/01/95 7 ELEVEN FOOD STORE #2125-17721 215-000-000817 00 - Overall Site Page 4 <D> Notif./Evacuation/Medica1 <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation VERBAL AND CALL 911. FOR RELEASE OF HAZ MAT NOTIFY THE FIRE DEPT HAZ MAT AND STATE O.E.S. ." <3> Public Notif./Evacuation VERBAL AND DIAL 911 <4> Emergency Medical Plan POLICE AND FIRE DEPT 911. NEAREST E.R. TO LOCATION IS TO BE USED IN THE EVENT OF INJURY ~~ .' e e 11/01/95 7 ELEVEN FOOD STORE #2125-17721 215-000-000817 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt <1> Release Prevention STANDARD GASOLINE STATION SAFETY FEATURES FOR GAS PUMPS, AUTO SHUT OFFS, VAPOR SHIELDS, SHEER OFF VALVE -- COMPRESSED GASSES PROPERLY STORED IN SMALL SAFETY CONTAINERS AND WITH PROPER FITTINGS. <2> Release Containment -----' .-- ~ --....-- - - -- -- --- - ---~------- STANDARD GASOLINE STATION SAFETY FEATURES FOR GAS PUMPS/AUTO SHUT OFFS. VAPOR SHIELDS. SHEER OFF VALVE - COMPRESSED GASSES PROPERLY STORED IN SMALL SAFETY CONTAINERS AND WITH PROPER FITTINGS. BUSINESS EMERGENCY PLAN ON FILE AT EACH STORE. <3> DAILY INVENTORY RECONCILIATION TO INDICATE LEAKAGE ABOVEGROUND. FIRE DEPARTMENT AND~RBBR lili, I.. 0¡90 CONTACTED FOR BELOW GROUND LEAKS HEALTH DEPART T CALLED ALSO BOTH INSTANCES EQUIPMENT WILL BE SHUT DOWN FOR REPAIRS. (p RD u.n.d u) æJ-er TeeÅn. 0 l Dfj;1.J-.. Clean Up (860) ~d& -4g-3~-cþ( l~jt¡/À .~ ~/~pJ Ú:df!jj¡Y/~. <4> Other Resource Activation .!:) .. .J' e e 11/01/95 7 ELEVEN FOOD STORE #2125-17721 215-000-000817 00 - Overall Site Page 6 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - BACK ROOM HALLWAY C) WATER - STORE FRONT SIDE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER LOCATED IN STORE PER FIRE CODE FIRE HYDRANT - ? <4> Building Occupancy Level .... .1...... ~ .. ..;1> e e /11/01/95 7 ELEVEN FOOD STORE #2125-17721 215-000-000817 00 - Overall Site Page 7 <G> Training <1> Employee Training WE HAVE 7 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE SEE HAZARDOUS MATERIALS HANDLING PROCEDURES POSTING AND EMPLOYEE AWARENESS FORM <2> Page 2 <3> Held for Future Use <4> Held for Future Use ....j.... It e / t 06/25/93 7 ELEVEN FOOD STORE #2125-17721 215-000-000817 Overall Site with 1 Fac. Unit Page 1 General Information Location: 3601 STOCKDALE HWY Map: 123 Hazard: Low Community: BAKERSFIELD STATION 07 Grid: 02B FlU: 1 AOV: 0.0 ,.--- Contact Name Title Business Phone - 24-Hour Phone JAMES LYENDECKER (805) 834-3093 x ( ) - S~-E' JONES (~~) 8~~ 21 ~/~ x ( ) - IJw'\ ,;>- -07 I Administrative Data Mail Addrs: 3601 STOCKDALE HWY D&B Number: 00-734-7602 City: BAKERSFIELD State: CA Zip: 93309- Comm Code: 215-007 BAKERSFIELD STATION 07 SIC Code: 5541 Owner: THE SOUTHLAND CORPORATION Phone: (.?<>'1) ~GI - 07fl Address: 3128 WIbLQW AV SU :3 01.- .;J. c¡ç tJ Cf'ð/Y/().Illl Itto,/ State: CA City: FRESNO Zip: ~3612 'J 3711 Summary Lad- ./tVt/6aJ &-l--- 1Y7~ Q/Cr/ca '7 I, Tè{f $¡'IYIIYY>6bY1 Do hereby certify that I have' (Type or print name) reviewed the attached hazardous materials manage. ment plan for '}--£1-et/t:4111/7721 and that it along w'th (Nàme of Business) J any corrections constitute a complete and correct man- agement plan for my facility. RECEIVED IJUl 1 91993 HAZ. MAT. DIV. y1t £;.. ~, ?-¡§"-93 Dale e e 06/25/93 7 ELEVEN FOOD STORE #2125-17721 215-000-000817 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-002 UNLEADED PLUS GASOLINE Liquid 10000 Moderate ~ Fire, Immed H1th, Delay H1th GAL 02-003 SUPER UNLEADED GASOLINE Liquid 10000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-001 UNLEADED GASOLINE Liquid 10000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL - e 06/25/93 7 ELEVEN FOOD STORE #2125-17721 215-000-000817 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-002 UNLEADED PLUS GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 10,000 I 7,500.00 I 319,133.00 Storage UNDER GROUND TANK r Press T Temp ~ . Location Ambient AmbientUNDERGROUND FRONT PARKING - Conc l 100.0% Gasoline Components r; MCP -----p;uide Moderate 27 02-003 SUPER UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 10,000 7,500.00 I 97,127.00 Storage UNDER GROUND TANK r Press T Temp ~ Location Ambient AmbientUNDERGROUND FRONT PARKING - Conc l 100.0% Gasoline Components r; MCP -:-¡Guide Moderate 27 02-001 UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL , CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 10,000 I 7,500.00 186,412.00 Storage UNDER GROUND TANK r Press T Temp ~ . Location Ambient AmbientUNDERGROUND FRONT PARKING - Conc l 100.0% Gasoline, Components r; MCP -----p;uide Moderate 27 e 06/25/93 e 7 ELEVEN FOOD STORE #2125-17721 215-000-000817 00 - Overall Site <D> Notif./Evacuation/Medical Page 4 <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation VERBALL AND CALL 911. FOR RELEASE OF HAZ MAT NOTIFY THE FIRE DEPT HAZ MAT AND STATE O.E.S. <3> Public Notif~/Evacuation VERBAL AND DIAL 911 <4> Emergency Medical Plan POLICE AND FIRE DEPT 911. NEAREST E.R. TO LOCATION IS TO BE USED IN THE EVENT OF INJURY .. e e 06/25/93 7 ELEVEN FOOD STORE #2125-17721 215-000-000817 00 - Overall Site <E> Mitigation/Prevent/Abatemt Page 5 <1> Release Prevention STANDARD GASOLINE STATION SAFETY FEATURES FOR GAS PUMPS, AUTO SHUT OFFS, VAPOR SHIELDS, SHEER OFF VALVE -- COMPRESSED GASSES PROPERLY STORED IN SMALL SAFETY CONTAINERS AND WITH PROPER FITTINGS. <2> Release Containment <3> Clean Up <4> Other Resource Activation 't '" e e 06/25/93 7 ELEVEN FOOD STORE #2125-17721 215-000-000817 00 - Overall Site Page 6 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - BACK ROOM HALLWAY C) WATER - STORE FRONT SIDE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER LOCATED IN STORE PER FIRE CODE FIRE HYDRANT - ? <4> Building Occupancy Level ~ , ~. ! e tit 06/25/93 7 ELEVEN FOOD STORE #2125-17721 215-000-000817 00 - Overall Site Page 7 <G> Training <1> Page 1 WE HAVE 7 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE SEE HAZARDOUS MATERIALS HANDLING PROCEDURES POSTING AND EMPLOYEE AWARENESS FORM <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use @ .:,. .. ,qm¡!"n \1\\1;,11 IJ/Îfh.... ~:...::~~---~«~ ~I:;-" :.~ /' ......-........~ -.- ", .J. -'- - '. -2 -'- -,....:., -,_.. ~~; -'.. .:l;; -::...... - ~ ,I~ r-:...... .,........ :::f7 ~-._...~ " \....". ~ àlllííí1ÍilW~ 't ~, , J /,'O«~ ''>~':<:''i':S-",,\ .~.' ¿,\ !:;",...~C""\ if..; . _ .,( :;¡, I .,'..../,_,_' i\' :"';~ì,,¡ ',\ '--, ---, ,. \"'r:-4Ó -~R~'''''/ ....~ e e CITY of B~KERSFJELD "WEC-iRE" - Steven S. Jones [~~De or prln~ name) RECEIVED FEe , 4 1989 the HAZ. MA 1: DIV. Do hereb:;" ce:-~if~,- that I ha,"e re\"ie~,'ed attached Hazardous Materials business plan for 7-Eleven Food Store (name of business) and that it along ~ith the attached additions or correc~ions constitute a complete and correct Business Plan for my facility. ~~u?~r£ 2/9/8~ ciat.e ðr /~i o ~ ~"'- \ \, . .. 'BUSINESS NAME 7 ELE. FOOD STORE #2125-17721 LOCATION 3601 STOCKDALE HWY to N~ER 2i5-ØØØ-ØØØ817 HIGH HAZARD RATING 2 1. OVERVIEW LAST CHANGE 07/29/88 BY ESTER JURIS CODE 215-007 JURIS BAKERSFIELD STATION 07 MAP PAGE 123 GRID ØZ8 FACILITY UNITS 1 HAZARD RATING 2 RESPONSE SUMMARY 2A SEt 4) EMERGENCY COORDINATOR (PRE-DETERMINED> SHALL NOTIFY ALL AGENCIES AND INTER,·COMPANY PERSONS IN THE EVENT or INCIDENT. EMERGENCY COORDINATOR SHALL IMPLEMENT ALL NECESSARY MEASURES IN REGARD TO EMPLOYEE AND ENVIRONMENTAL SAFETY AS INSTRUCTED BY TRAINING RECEIVED. EMERGENCY CONTACTS ZA SEC 2) JAMES L YENDECI<ER .- 834'" 3093 ~~~¥~~~ - 834-2711 Steve Jones UTILITY SHUTOFFS ZA SEC 3) A) GAS - NONE B} ELECTRICAL - BACK ROOM HAl.LWAY C> WATER ... STORE SIDE/FRONT 0) SPECIAL - NONE E) LOCK 80>( . NO Z. NOTIFICATION / PUBLIC EVACUATION L HSTCHANGE / / BY Verbal and dial 911. < NO INFORMATION RECORDED FOR THIS SECTION > PAGE 1 01119/89 16: 34 \'1ATERI AL SAFETY DATA SYSTEMS, INC. (80S) 848-6800 BUSINESS NA~lE 7 EL.E. FOOD STORE #2125-1772 1 LOCATION 3601 STOCKDALE HWY 10 N~ER 215-000-000817 HIGH HAZARD RATING Z 3. HAZ MAT TRAINING SUMMARY LAST CHANGE / / BY See Hazardous Materials Handling Procedures Posting and Employee Awareness form (attached). < NO INFORMATION RECORDED FOR THIS SECTION> 4. LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE 07/29/88 BY ESTER ZA SEC 5) POLICE AND FIRE DEPT 911. NEAREST E.R. TO LOCATION IS TO BE USED IN THE EVENT OF INJURY. PAGE Z 01/19/89 16:34 MATERIAL SAFETY DATA SYSTEMS, INC-<80S) 648--6800 ", I BUSINESS LOCATI ON FACILITY NAME 7 ELE. FOOD STORE #2 i 25-1772 1 3601 STOCKDALE HWY UNIT 0 ¡ 10 N.ER Z 1 5-000-000817 HI GI-! HAZARD RAT! NS Z . A. OVERALL HAZARDOUS MATERIALS INVENTORY LfíSTCHHNGE 07/29/83 BY ESTER 10 TYPE NAME LOCATION CONTAINMENT " MAX AMT UNI T HAZARD USE PURE UNLEADED GASOLINE CORNER STOCI<DALE/REAl. UNDERGROUND TANKS 10 PERCENT COMPONENTS 1 182 .00 100. ø GASOLINE' 0000 GHL HIGH FUEL HAZARD LIST HIGH 2 PURE REGULAR GHSOLINE CORNER STOCKDALE/REAL UNDERGROUND TANKS IO PERCENT COMPONENTS 11 HZ. Ø0 1 øø. ø GASOLINE 10ØØØ GOL HIGH FlÆL HAZARD LIST HIGH 3 PURE SUPER UNLEODED GASOLINE CORNER STOCKOALE/REAL UNDERGROUND TANKS 10 PERCENT COMPONENTS 1182.00 100.0 GASOLINE 10000 GfiL HIGH FUEl. HAZARD LIST HIGH -+ ~ -t-lìRBON OIO>OO£ Z i:iK rn I r)~ NEPtR ;:¡Al.E5 L.uuNTER POHTI1OlC PRESS. ['[L. Olllcn IQ PERCHJT cm1r'OUfNTSHflZPJRD LIST , 12:;1.00 10.]),V) I.ArU3Ö(4 DImUOE: ~ B. FIRE PROTECTION / WATER SUPPLIES l.AST CHANGE / / BY Fire extinguishers located in store per fire code. < NO INFORMATION RECORDED FOR THIS SECTION> PAGE 3 01/1 9/89 1 6: 34 MATERIAL SAFETY DATA SYSTEMS. INt. (805) 648-f:ì800 "BUSINESS NAME 7 ELE~ FOOD STORE #21Z5-1772t LOCATION 3601 STOCKDALE HWY 10 N'ER Z t 5'-000-000817 HIGH HAZARD RATING Z D. EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 07/29/88 BY ESTER 3A SEC Z) VERBALL AND CALL 911. FOR RELEASE OF HRZ MAT NOTIFY THE FIRE DEPT HRZ MAT RND STATE O.E.S. Call Tom Carmichael, Development Manager at 1-800-541-1334 for removal of cleanup materials. E. MITIGRTION I PREVENTION / ABATEMENT LAST CHANGE Ø7/Z9188 BY- ESTER 3A SEe 1) STANDARD GASOLI NE STAn ON SAFETY FEATURES FOR GAS PUMPS, AUTO SHUT OFFS, VAPOR SHIELDS, SHEER OFF VALVE -- COMrRES5EO GASSES PKúPERLY ~TOR~n TN SMAI I ~A~~TY CONTAINERS OND WITH P~O~ER FITTINGS. See Hazardous Materials Handling Procedures Posting and Employee Awareness form (attached). PAGE 4 01/19/89 16:34 MATERIAL SAFETY DATA SYSTEMS. INC. (80S) 648-6800 ì ) CIT}' of BAKERSFIELD F.,. .nd &qricv1tvr, '--' 5tend~rð e\l1.ntH ~ H)f';;.;;;:": ~··.RDC>:-~·' ~t;§:.':':'E"';R::r A,:!:.-S :x: Jt¡"'iJENTORY NON-TR^~E SECRETS Pa9~ .L of .J.. BUSINESS NAME: LOCATION: CITY. ZIP: PHONE $: 7-Eleven Store 2720-17771 3601 Stockdale Hwy. Bakersfield 93309 805/834-3093 O~NEh NhM~:--1-Eleven Market 2720 ADDRESS: 4008 White Lane CITY. ZIP: Bakers fie 19------2JJ.Q 9 PHONE G:_{80SL8_:E.r.=17 i 1 UTÃi. TO Ilfsnwc-<.'Jûi'f$ 1'QR FRQFftF CODE$ ~AHE OF TWls EÞ~1tlTï: 7-Eleve STAND~RC IND. CLASS CODE 54 11 DUN AND BRADSTRZEï NUMBER Q .Q - 7_ l 4.. - L §. Q. I 21 55 41 29 11 1 Irani (od. l Iy,o Cod, ) ,~. AB! . 5 , , . . " 11 Il 11 ...."...1</< AtY-..... 1 !!'Uvr-d . Oy¡ CCIt't c.ø.1 (.oM, IW·' lac..1t len ~o \ by A.el hI Unitl 0'1 5\t~ T)1'4 Pr;>;' J¡o.: W 5t0""6'1 In FocHtly 1ft ..]....~QO_J~Q.441!l~~j~Ii9-]Ü~de r-3.~_~d/!r?E.Ç__t~g J 00 C.&.S. &.ßk'. 80Qlí§.l.2...~_ ~~t el ~J ~ C,A,$, ~~ U JW¡>I.1'S af c.t~r~,¡; ».; ¡ /If t rvt: ¡ \ en; 'p~'(1ic.1 ant ""1 'tll Y"\¡r-.1 'n'fCk .11 tl'oet o¡>p1y) -, r--' . J{.; "r. !llltrd L - oJ RH':t\YHy R~g~~~~_q~.o1il1e 80Q6-.9-li ,.--,¡ r-" r-" L_..I Dchy« ~_.J ~ b1ÿ-s-..;) L_.J 1~1~t~ ....Ith of ,~~ ~I!!; ~f"t n 1Lz,-.:¡ ~ (,A.5, ~:. · Unleaded Gasoline 8006619 ~t 1] b: ~ C.!.!. ~ Su er Unleaded Gasolin~~~' -J =l...J.....______.[==~_._.__uCL. ...1.. J-=r==r=J- P¥ ¡", and "'" 1t h Mil ~r-d tC~k .11 Ilia: ð~P'1) C.A,S, -b:;.';r_~____ ~,t ûl ~,! C,Ag. ~,. r-" r-, r-' r-' ,.-, . _.J fire ~U~~ ~ _..I ~ct IvHy L - .J 0::1.~ L _.J ~ ""~>$.' ~ - oJ ! :a=ðht~ IIo;s hll of 'noIf1.>---e . IIGo 1th ~....t" ~~ ~ C.!,$ ~ Cosoc:r.;..l\t n ~; C.A.S. ~;1' =cl___..__L______.l_____n r=~-' -----..-- ---...- P"'f1f,,1 and 1I(-a1l11 ;:"'¡ðr-d ¡{heck .11 t'ol¡ 'wly) C.A.S. 1k.:T';;¡;,'_ ~,t ~1 ~':;;: t.!.:!. !!I,p'..~, -- r-., r-' r-" r-" r-'" , _... ftra M.:arð ~ _..I Rt~:tivi:y .. _.J o..l.~ · _..I Sud("" rg1HH L -... I~hta "..Ith of Pm¡vr-i KNIt'" e .. _l__.L_._______L_________._. L.. ...___..1. .._--'-__l__1. Ccø.ocn-¡,nt!1 ~ &. C.U. ~ ~,t:] ~ 1 (,A.$, ~...,. ,.. .J~_- _____ =J __.._________.___.___ ,.____1 1.1:1. .. 1___-'-__ P"'f1ic.' ..-..$ Kwh" ~H"11 (C!-.r.k all t'olt l"'Y) C.'.5. ~.__________._..___ ~!!1 ~ & C.A,5. ~ r-, r-' r-" r-' r-' , _... rtra Mu.rd ~ _..I ~thlty .. _.J o.1.~ l. _..I Sv~"" t"HU ~ _..I 1~IDtQ "..It~ of 'r~uur: KOllth C~t 11 '-' \ C...5. Jio~ ~t I] "-' \ C.A.S. ~r :_( RGl/lCY Ct1!Il JCTS II ..i~JA€!.~..~-~y.~.l)-q~ç.15.En::.. ...... nm-.Er:a.m:his.ee... 2~q?~~~::3.Q9 3 Il Uoo.s.te.v.e.....lo.nes.-_..-_.---..- t1t1la r ke t ..Ma rgl£..E:..L ~O_~/-~~:.1.2.L8. I . .:lntfiCl!lQrl (R~lIcJ IInd si£n lifter cor:plf'tlne 1111 s~ctJonsJ ~ I cortHy ",de' :>ct\I1t~ of 1... INlI I IIty, ~rs:Y1¡"y tllQ;n~ ~ '9 '"I1i1r .It\¡ t:-.t Infor...,\IQrI svbittÞ:! lor u'otfll1ln¡ tl>a tn'Ot'~!IQr1. , t.1ilY' t"'t \~ ,u~ltt~ info,..,.¡tiClt' ;, tC\l'll, "Cvrotl, ~ CÇIiI; t, .:¿. .Oo ....a.. , I.· '~1~eI1Vt le:~J·~:...JTcC?~~·~"'O"t:f~ !"~7~L J1{ ~nªgi1 F·.·~,--· ......! 'r'-' ~ ....-. '" 0 't" . 0 cr--r"r o:rt',..to" I( CW"tr o~r, or S .·..;\~rlll'ti 'fø-rt1tf'\ b\1'f' .hI. ... .11 "'k"" ~i61S'" "". ..... ~ .. ''''''' o! ..... ."",,,''',, 'n",.. ..., , ð*S"~"" ........._m.... 'm·,,¡,;,-1:-..f~.:::3.i.....-..... Ploe -l 01 ---L plges F '" ed OMS No 2050-0072 ()tm pptcw FaclUtyldel'\tlflcatlon ~ .:' . Owner/Operator Name Tier Two N/'O' 7-ELEVEN STORE NO: 17721 ',--- Name The Southland Corporation Phone ( 2141 522-4790 EMERGENCY S Ir..1 Add< SWC STOCKDA,LE @ REAL RD - M~il Address 2828 N. Haskell Dallas. Texas 75204 ~ AND I öAKERSFIELD CA 93 ~ HAZARDOUS COUNTY: KERN - Em.ergency Contact ,. .. CHEMICAL ( , INVENTORY SIC: 5541 Store Manager I STORE NO: 17721 =r::J Name NA fV¡ E: Specific SIC Code ( ) " Phone TITLE: STORE MANAGER Informarion ~ - I by Chemical ...,'.. FOR 110 I PHONE: (805) C34-3093 OFFICIAL ' .. . Name Linda Gathrirrht 24-hOUR: (P;'05) <::34-3093 ,iJ1JEv] Dale Received I .... . Phone (214 ) 522 47g0 .. , Repcrting Period From January 1 10 December 31, 1; . . . .." ." ',- -, '--,". .. ." -, ';" .:.:;:::.:.;:- ->-. ;-::-.- ", :',::.,;";.:: :'::::':.:>:. : ,. .'.-......-...-- - .... -. -..". .......-..-... ChemiçªfD~šÇ"ipt¡9ni/ Physical·" and Health Hazards Parking lot near purm islands. e 1m to I I.\:) CASc::IIIIIJ [I] D Chem. Name ImlPnòpò r~solinp Trade D 5ecrel Check all that apply: D [!] liquid [!] D Solid D Pure Mix Gas CASc::IIIIIJ [I] D ~::D Chem. Name Premium Unleaded Gasoline ... . Check all D [XJ D [i] D z ~ Ihal apply: m Pure Mix Solid liquid Gas ~ > CASc::IIIIIJ CD D r- Trade D >0 Secrel m In Chem. Name 0 c Regular r~sol i ne ~ m 0 m Z 0 ŒJ D [!] D ~ Check all » Ihal apply: Pur. Mix Solid Uquid Gas Inventory ,·Avg.» No. of . Dally Days Amount On-site 'n (code) (days) Storage Codes and Loèations .. ". . - . .. -' ., ,.:.,.". -: :.' -. . ·n(Non:-Confidential) ..,.. ........... . ..' . Storage Code Storage Locations (check all thaI apply) ~Flr. Sudden Release el Pressure Reaclivlty Immedlale (acute X Delayed (dvonlc) parkinç¡ lot near DUlTID islands. ~ Sudden Relea.. 01 Pressure ::~tlViIY [ID] ClDJ. [TI§K] Immediate (acule) . '.. X Delayed (chronic) '.. " ~Fire Sudden Release 01 Pre..ure Reactivity [Q[1] ~ lrnnwdiale (acule) Delayed (dvonic) Pnrkinq lot nPnr puJ11!'1 islands. [ili]5J Optional Attachments (Check. one) :") Certification . (Read otld sigtl ajler compleling all sections) I certify under penally 01 law lhal I have personally examined and am lamillar with 1l1li Inlormatlon submitted In Ihis and all allaclwd øocumenls. and Ihal based on my inquiry ot those tnøtvkh.ta.1 responsible tor obtaining the in'ormation. I believe that ..... submitted Inform ion is Hue. ~ccura1.. And complete. D I have aIlIC""" I Sit. plan D I hav., alllched I lilt 01 ,¡I. coordlnA.e AbtrOYlallonl ,-~ T ,inda Gathriqht - Code Corrpliance Admin. , Name aM offlci,.1 tit.. 0' O'N'net'IODP.t'.tor OR owr.ør/ope'atOf'1 au:horiled r.ptesent.ti',. ~ ..¡f~ 01 30 89 Oalft 'I:ql"'led oJ -. """",'" e to I t\:) e ~ z 3: 1ft ~ > ,.. '" 1ft II> o C ~ 1ft o 1ft Z ;;1 '" Tier Two EMERGENCY AND HAZARDOUS CHEMICAL INVENTORY Sptcific Inform a/ion by Chtmical Facllity.ldentlflcatlon Name Street Addr.ss City See page 1 SIC Code ~ ...,. FOR ·.1 OFFICIAL 10' ·:USE· .··1 ..:.:.:·.ONLY.··. Date Rec.,ved Stat. _ Zip Owner/Operator Name Name Mail Address The Southland Corooration Phone «214) 522-4790 2828 N. Haskell - Dallas. Texas 75204 ~ Emergency Contact Name Dun & Brad 1TI_r-r-r-l_ r-r-rII Number L-L-f LL-L-J L-L-L...l-J 1m orlanl: CASCIIIII] [IJ D Chern. Name No ? Di F'sF'l Fì.lP-l Check all that apply: D ~ Mix D Solid CASCIIIII] [IJ D . Chern. Name Check all D that appty: Pure Pure D Mix D Solid CASCIIIII] [I] 0 Chern. Name Check all D /JulIl1pply: Pure D Mix o Solid TradeD Sectet ~ Liquid o Gas . Physical . and Health ····Hazards ~Flre Sudden R....ase 0/ Pr.ssur. R.activlty immediate (acut. Delayed (chronic) Phone Name Linda Gathriqht (214) 522-4790 Phone Tille 24 Hr. Phone Till. 24 Hr. Phone Code Compliance Reporting Period From January 1 to December 31, IQ SIQna:l,,;r~ Da tit ~ :Ql'\ed Trade O· Sect.t D Uquid D Gal Max. Daily Amount (code) Inventor¡ Avg. No. 01 Dally Days Amount On-site (code) (days) : Storage Codes and Locations -(Non-Confidential). .. Storage Locations B 1 4 parkinq lot near PUlTIP islands.· [QU). ..Uf.3] [ili]š] ~FIr. Sudden R....ase 0/ Pr...ure R.activity [TI CIJ Immediat. (acut.) . Delayed (clvonic) ITIJ ~Fir. Sudd.n R.I.ase Q' PreSSUl8 R.activity CD CD Immediat. (acute) Delayed (clvonic) . ITIJ Optional Attachments (Check one) Certlllcatlon (Rtød ønd $ign øj/tr compttling all $tClion$) I certify under penalty 01 law that I have personAlly ..amlned and am familiar wilh Ihe informalion SUbmltteo In U'IS at"\d all aUllehed documenls. and Ihal based on my inquiry ot those Inal'W'lduals responSible lor obtaining the information. I belihe that lhe submitted InfOfma1ton is Hue. ac:curale, and complete ./ tA t' SEE FRONT PAGE Trade 0 Secr.t o Uquid o C... Name aM OffICI~1 till. of ewnerJOOftralor OR ~erJoperalor'l au:hOrized repretentali'"e 8. I have all ached a .ite plan I h."e attaChed .. liS 1 of I¡'. coordinate aber.vlAllonl ~ ~ " .!.....~ ., . e e HAZARDOUS MATERIALS HANDLING PROCEDURES FUEL SPILLAGE EMERGENCIES 1) In case of large fuel spill, (50 square feet or larger or any- thing that looks potentially hazardous) CALL THE FIRE DEPARTMENT. 2) In case of small fuel spill 50 square feet or smaller, determine potential hazard. Use absorbent material (kitty litter or sand), absorbent pad, or for very small spills, let evaporate. UNDER NO CIRCUHSTANCES HOSE OFF WITH WATER. THIS WOULD CAUSE UNDER- GROUND CONTAMINATION AND WE COULD BE FACED WITH A VERY LARGE CLEAN-UP BILL. Keep used clean-up mat~rial in a metal container with metal lid. 3) For removal of clean-up material for #1 or H2, call Tom Carmichael at 1-800-541-0334. 4) Know where the fire extinguisher is and how and when to use it. If you have to use a fire extinguisher, ALWAYS CALL THE FIRE DEPARTMENT FIRST. In our store the fire extinguishers are located: 5) Know where and how to shut off power to gasoline equipment. Every store is different; have someone show you. In our store the gaso- line power shut-off is located: C02 TANK HANDLING 1) All C02 tanks are to be stored with metal cap in place (except when in use). Replace metal cap on tank after use (empty). 2) All C02 tanks are to be chained up tightly 3/4 way up at all times. Signed: Witness: Employee Franchisee/Store Manager Complete and file in each employee file. ~ ~. - '!!.;...,; ~ ~ - e ~~ZARDOUS ~~TERIALS HA~DLING PROCEDURES FUEL SPILLAGE EMERGENCIES 1) In case of large fuel spill. (50 square feet or larger or any- thing that looks potent\ally hazardous) CALL THE FIRE DE?ART~ENT. 2) In case of small fuel spill 50 square f~et or smaller. determine potential hazard. Use absorbent material (kitty litter or sand). absorbent pad. or for very small spills, let evaporate. U~DER ~O CIRCl~lSTA~CES HOSE OFF WITH WATER. THIS WOULD CAUSE U~DER- GROLt~D CO~TA.\II~ATION AND WE COULD BE FACED WITH A VERY LARGE CLEA~-UP BILL. Keep used clean-up material in a metal container wit h me tal 1 i d . 3) For removal of clean-up material for #1 or H2. call Tom Carmichael at 1-800-541-0334. 4) Know where the fire extinguisher is and how and when to use it. If you have to use a fire extinguisher. ALWAYS CALL THE FIRE DEPART~1E!\T FIRST. In our store the fire extinguishers are 10cLlted: 5) Know where and how to shut off power to gasoline equipment. Every store is different; have someone show you. In our store the gaso- line power shut-off is located: C02 TA~K HANDLI~G 1) All C02 tanks are to be stored with metal cap in place (except when in use). Replace metal cap on tank after use (empty). 2) All CO~ tanks are to be chained up tightly 3/4 way up at all times. PLEASE POST IN STORE .. ~. .. '.' 'Z:IÞ'- , ,/ .- .' , HOfA s-es ODD 5, Re",) flr.5 -I (ot! ir(~o,~ I t>t'I '" I C ~ \A f~ h """ 5toc kd~e ~w/ 7-El~,'~n Food Store #2125-17721 3601~pckdale Hwy. Bakersfield, CA 93309 8' '7 J(/J.? / " Po. r k) t1 <j /.- of- 0. (\ d (] t"ð. SS r EEl '}-II Food 18f6C ] 5 tore. 3~oJ Gð..5 # IS}fÞ.ilJ 1'772../ STOC i cic.\./e.. Ii S ., Hwy. I UPhoff Ne.~ F v.rfl1t CJo.('(!, s+r¡ p Cente..r- 80.. tI K \ I I I I í -, 7-E1even Food Store #2125-17721 8'1 '7 5111'? t 14 elL. / ~ 'r' UII'\ ~.e-"'''''' 3Cò 0 I S Toe K D'l I-€ f-/1..U'r' '¡g¡ f? FS ~ FS ~ i=-S ~ F5 ~ F'S rg¡ D.E ~ c..ç C7<fC4 c ,J'H...,7 of ¡:. C ®J ~ ¡.,' " '. ;.~'... ,~ .. , # '. a, ,-4 . . .~ ..'- ;". Ii REAL \Z,.OAD ~ I I ,--t r Î r I~ar A ~1J ~ ~ =ve+4 ~ . 0-1. I I 7'~? J I-{lft ~--+ .1----- I I L ~ x: --------- I1J ...I' n( Q X. g t¡:; DlZlVEW"-y - . BL.OG NO.1 .() 0[) ~, :r+ .-.-..- .. ~ z ~ A ~ ~ ~ i ~ ~ ~ 1 ]: ~ ~ l l .0 ".c... ,'4 ~ \oiL. ...c:;.. eUIL-CING NO·3 I".,&oø s." "2 "SoT...."(. ,o~~-=> .I' .J .J ~ ~ ~ -L u 1e.~16~ -( L >\' - I~~~~ i ~ ~ ¡. c. 000 6~ ~L.lIL..PINC; NO. '2 '-= ~ ~T. 2.1,~OO s.C. .:¡ í ... ( -( II.. ~ .. .AI..I..eY 2 ~~ fI - ð ., ~58 ,~~Ie . ,-1=. q,- ~l1r f PROPOSED PARKING STUDY for THE WILD ~ amtecis plaœrs 1(I~'Goo~ 11.~,-z::rr~0t--J~~ 1(1 "T'I::"'f"'AL- oFF~~ Il-~ sr.eQUIliZED P'~ ~-n:::rT"Þo&.-~¡:tJ WEST SHO~PING CENTER 1 "-30'-0" d~r l ~æ . or: II . o : (-r'l :~ \ .. ~_./ o =:~ I ~., ~ ¡O U :~ ,~ ¡ ~~:.;......J tt. ~. 1,0 ìU r¡~ . 0 ~- /0 ¡I!': I~ RM 5 " I" -------- o 0 ~,-o 0 <P'~--'- I I I I I I I I I I, I I I I ----- f.!...£3>.....J,~~j~~ l I I , I I I I I I I ' I I I I I I I r. _________ __ 4 RM 4 , I 'i-/ø" _;'-0" JJ':e'., ~¿I-ð' I I1H fJ -'~··_-,-"--,..·o , . i LJmO I . ~ ! io 'I ' i, 0 II .- , () ~' .. TO ! RM2:," i ' ,\ 10' I HI ' 0, I! o . .,~.. ---------- r-l I ~ I I ~ I I I I I I I L_J RM 8 ',- ,I I I I , f'·ß" !~D 1~ ~ -f- I I.» 1'- ¡ð. ->t ' t I~ .~ to I I I J.-£.-6~- .-I-~ ' I J-d RM 3 I I ¡ I I o OOOc1> FLOOR.PLAN_,_.....:.,_____,__..,~,_______',_~..,_..,_'_,____,,1/4" : /~ ENCON COIl'fA.rINO INClNfl_wa .at_VIeI. (bfc "",hll.."o ........... .... ) . '811-8 STOCK,D.,\I,t¡ .HWY. .Bo\KERSFIELO C.o\.,1I33011 (8051834-7872 LÍìz 1'-0" Y . ~I . ..' I '~::., · H:\L\IP U-!J./J_ u-IJJr S ¡ T E DI AG RAM.i2- to Shw .. J¡:'h -ul-" ~~~~~ss ~ame: ~/~ P L.W¡ ~140-\.P FACILITY DIAGRAM ~ DE:P6-! A:~a ~aç z----L-- 0: r Jt1tlJ. LIS. ð. . . !forth Yame :: A:~a: Lrt-ALijJ R-M /Yl, I - ~Æ.hy'6 JuiiLÁ- -di.A.L . - H' yJ & iÚ1..'¡- '~J't-¡1~iL I L! j,.f), I I ~ .dá6 I L.J .!>LJ. j D..rJ JJ -! b/ lrUi:J .,' T~ " - .rl~- . ~ i .-J / ~m tLhú... ~ &Jó -~ ¡] ~ 'Ù. PM lidh-r .6/hc.. dJ. ' . ß..I'1_t1:t.uftù-.L.., . ¿jj;"uuu,¡w . ~ 6f úJl,{. JudL f3 t D, I I k~c..M11!ì1.. ~ II J,ill J.l¡J- ~fI.¡1 h. u/ . JLI\ ~~.1- -J.+WY 1 ~ , i ! i ! ~Lu i £L!U,h fj¡i:Ju.' ¡ I \ ~ ~L1éL. ¿ Y â a. Lln....}. ~ , \' - .t. . ._.. ]OJ.,;. _Ii ~/ e e " @~ ~ BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD. CA 93301 (805) 326-3979 t;>. OFFICIAL USE RFrt"I"ED J U L 1 3 1987 - :¡¡, ~ Ans'd. ............ .:nJSP 7 þ '1' rD. o I ~ì CJ-() 000817 USINESS NAME HAZARDOUS MATERXALS BUSXNESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS: 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: 7-Eleven Food Store #2125-17721. B. LOCATION / STREET ADDRESS: 3601 Stockdale Hwy. CITY: Bakersfield ZIP: 93309 BUS. PHONE: (805) 834-3093 SECTION 2: EMERGENCY NOTIFICATIONS In case of an eaer¡ency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire depart.ent and the State Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OP EMERGENCY: NAME AND TITLE DURING BUS. HRS. AFTER BeS. HRS. A. James Lyéndecker Ph* (805) 834-3093 Ph* same B. Kathy Meiia. District Manager 2125 Ph. (805) 834-2711 Ph. same SECTION 3: LOCATIOR 0' UTILITY SBUT-oPPS FOR BUSInSS AS A 1IIIOLE A. NAT, ,GAS/PROPANE: None B. ELECTRICALBack room hallwa~ C. WATER: S~nrA sjnp/Frnnt D. SPECIAL: E. LOCK BOX: YES /[¡NO) IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? (YES)/ NO FLOOR PLAJ.~S?~YES / SO MSDSS? (ÝES)/ NO KEYS? YES / NO - 2A - ,..., ~ ., 1 It e . 0; t'f' ..:. " - 'í: if i SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE " , , k L1 " Emergency Coordinator(pre-determined) shall notify all agencies and inter-company persons in the event of incident. Emergency Coordinator shall implement all necessary measures in regard to employee and environmental safety as instructed by training received. " "1\ r; ,~, "".' \.'. SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE Police/Fire Department: 911 Nearest E.R. to location is to be used in the event of injury; SECTION 8: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH I~ITIAL A~~ REFRESHER TRAINING IS THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDOUS ~TERIALS: . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . YES NO YES SO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES:.... ... ................... YES SO YES NO C. PROPER USE OF SAFETY EQUIPMENT:......... ......... YES NO YES NO D. EMERGENCY EVACUATION PROCEDL~ES:... .......... .... YES NO YES NO E. DO ,YOU MAINTAIN EMPLOYEE TRAINING RECORDS:....... YES NO YES NO SECTION 7: HAZARDOUS MATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MTERIAL IS QUAL'lTlTIES LESS THAN 500 poe~ms OF A SOLID. 55 GALLONS OF A LIQUID. OR 200 CUBIC FEET OF A COMPRESSED GAS:...... YES SO I. T~rnPR TypnrlprkPT . certify that the above information is accurate. I understand that this Intor.atlon will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et AI.) and that inaccurate information constitutes perjury. ,. SIGNATURE £ ,¿Æ // TITLE Franchisee DATE 6- 3J- ~7 - 2B - e e BAKERSFIELD CITY FIRE DE?AR~EXT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL CSE ONLY ID# - - -> - - - BUS INESS NA~Œ: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action. this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW "..' : 4. Be as BRIEF and CONCISE as possible.q- .--'---' -..',-,-- --..--;..;'" '- ' FACILITY UNIT# FACILITY UNIT N~~: SECTION 1, !lITIGATION. .PREVENrIO~, ABATEMENT_ PROCEDURES .... . fr. ~ ð~~~~~~~'!:&a.d· ~ /~ ~o/f'-/ ý~~/~'7f ~-~c~~~· ~ ~~ o>(~a:høc1~ SECTION 2: NOTIFICATION ~\~ EVACGATIO~ PROCEDLKES AT THIS L~IT O~~Y v~ 1 e!.afLQ 9 iJ .jet Rf2fJ of 7Jro lid- 11dJ1 ~~ (!)ÓS. - ~~, y~~~ f&P ~ 7/1/ J3 ¡::- D - ;dr>¡) H ~ - ~~ - ç~ A' ~ cY~ -=-----, -~---,_., Bakersfield Fire J!pt. . Hazardous Materials Inspection ~ 11 (Top right comer Business Plan) . Shift Co. ¡DSpectq Adequate Inadequate e Date Completed Business Name: 7- £L'L~AJ Location: 3tDI S(OC.I~ÐJ't¿l:: Plan ID # 215-000 Station No. 7 Verification of Inventory Materials Verification of Quantities Verification of Location Proper Segregation of Material Comments: -~-~~.----- . :':1\ '~" V RECEIVED II ~ 2. 6tf(}Ç°2 8 1990 HAZ MAT. DW. ~D ~ 0 ~ 0 ~ 0 [] ø' Verification of MSDS Availability Number of Employees Verification of Haz Mat Training Comments: o ~ Verification of Abatement Supplies & Procedures Comments: ~ o Emergency Procedures Posted Containers Properly Labeled Comments: r¡tf rEi o o Verification of Facility Diagram Special Hazards Associated with this Facility: p/ o Violations: FD 1652 (Rev. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office ·<)h-·;~;:< --. . ~ ..", ..~,_",',_ .~.'--:"ì:~...,.-.~, ~"-:'~-;~"_';:44_"__'~_ 1)./ I;) -'ìù,'r<!øv riL"",- ^- ') t {f't$oJ . 03V130.3R O~~f 8 S VOH .VIQ .T AM .SAH ",-' ---.. -....-.. '.- ____·õ " '",,' _ -;~ .'.. i -...-'t"-:"'-'l"--"'~f.:~::"::~"';\':".;:\ ¡. . ,""'7. ì'" - - . BAKERSFIELD CITY FIRE DEPARTMENT i;.¡~ ._~ ." .. 'e,' ~.., I . D . # FORM 4A-l Page 1 of 1 - - NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORV BUSINERS NAME: 7-Eleven Food Store 112125-17721 OWNER NAME: The Southland Corporation FACILITY UNIT #: 100 ADDRESS: 3601 Stockdale Hwy. @ Real ADDRESS: 1240 S. State College Bl. FACILITY UNIT NAME: CITY, ZIP: Bakersfield, CA" 93309 CITY. ZIP: Anaheim, CA 92806 PHONE #: (805)834-3093 PHONE #: (714) 635-7711 10FFICIAL USE CFIRS CODE ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE !}M .- Est. /I~~ -'- ~ ¡ corner 'Stockdale/Real 100 Gasoline/Unleaded FLLQ 1203 1 0 000 1Rn 41? r.AT. 01 1 q ~ ~M 10,000 319~133 GAL 01 19 " 100 Gasoline/Regular / I~ *à FLLG 1203 .11M 10,000 97,127 GAL 01 19 " 100 Gasoline/Super Unleaded /1 <6 'ð- FLLQ 1203 -{ :2.1~ ~~ ~'~ ~ Ft3 04 99 nr. sales counter 100 C02/Carbon Dioxide iêbl NFLG 1013 -\ .J I - A A /1 / / þ/~/ NAME: TITLE: Gasoline Manager SIGNATURE: r[ .,rL I_ ~~ /'- DATE: 6/8/87 Jack 1)oolittle , EMERGENCY CONTACT: James Lyéndecker TITLE: Franchisee .; PHONE # BUS HOURS: (805)834-3093 AFTER BUS HRS: (805)834-3093 EMERGENCY CONTACT: Kathy Mejia TITLE: District Manager;~2125 PHONE , BUS HOURS: (805)834-2711 PRINCIPAL BUSINESS ACTIVITY: Convenience store with self-serve gasoline AFTER BUS HRS: (805) 834-2711 - 4A-l - .".. ii - e