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Home My WebLink AboutBUSINESS PLAN 2004 .... CIIY OF BAKERSFIELD HMMP PLAN MAP SITE DIAGRAM ~ FACILITY DIAGRAM Business Name: CHEVRON STATIONS INC. #203576/1842 Area Map # 1 of 1 North Name of Area: BUSINESS AS AWHOLE SCALE 1"= 43.5' VACANT LAND DRIVEWAY 000 GAL~ (~ROPANE ~ HMS FG Chevron ~I HMH [~' [ FL ~ HMS --" FL Z i ~I i ~I i ~I I I ,.~., ,~., ~., ~ VACANT ~D 7/96 VACANT ' ~ ........ ~ND -5- 7/96 I E.M.S.S. Inc. An~nvironmental RegulatOry Complia"~ce Service Company . PLOT/SITE STANDARD SYMBOLS ' --N,.~ REFERENCE TO NORTH FIRE SUPPRESSION SYSTEMS 1' = 50' sCALE OF MAP ~ FIRE DEPT. INCLUDE ALL ADJACENT / SPRINKLER CONNECTION STREETS BY NAME t. Ft FIRE DEPT. STANDPIPE CONNECTION ~ ABSORPTIVE MATERIAL ~ ALARM ~ FIRE HYDRANT ~-X1 ATTIC SCUTTLE [] DRAIN L - / x--- DRIVEWAY i ~-C1 COOLER OR L - REFRIGERATION UNIT DOORS ~v ~v ~ FENCE/BARRiERS ~ EVACUATION ROUTE HEATING UNIT r~] EVACUATION STAGING AREA I ~ ~ ~ I ,~ , , t ~ I RAILROAD TRACKS © WASH SEWER' I~ FIRST AID LSLi SKYLIGHT (~ FIRE HOSE ~ STORM DRAIN ~'] FIRE EXTINGUISHER ~ FIRE DOOR STORAGE TANKS I-----'-I FIRE WALL IDENTIFY THE TYPE OF CONTAINER USING THE GAS PUMPS FOLLOWING SYMBOLS, SPECIFY /~ GUARD TANK CAPACITY IN GALS., LBS., STATION OR CU. FT. [~ KNOX BOX LOCATION (~HF~S ~20~M~S~' ~ FL ~ LADDER BELOW GROUND TANKS MATERIAL SAFETY DATA SHEET & ~' 1OK GAL EMERGENCY RESPONSE PLAN '- <~ PERSONAL PROTECTIVEEQUIPMENT INSULATED TANKS ((1~ ~-'~ PUBLIC TELEPHONE PRESSURIZED TANKS (~ RR REST ROOM CORR - CORROSIVE L- LIQUID ~ STAIRS C - COMBUSTIBLE OXY- OXIDIZER E- EXPLOSIVE R - RADIOACTIVE F - FLAMMABLE S - SOLID UTILITY CONNECTIONS/SHUT-OFFS G-.GAS T-TOXIC WR - WATER REACTIVE AIR CONDITIONING ~-~ ELECTRIC METER HAZARDOUS MATERIALS (~) ELECTRIC SHUTOFF STORAGE r~ GAS METER AND HANDLING AREAS L..T--J ® HMS STORAGEHAZARDOUSAREAMATERIAL ~~ PUMP SHUTOFF HMH .AZARDOUS M^TER,A~ HANDLING AREA ~WI WATER METER (~ WATER MAIN LINE GATE VALVE HWS HAZARDOUS WASTE STORAGE AREA ~HEVRON '#203576/1842 'SiteID: 015-021-001522 Manager : BusPhone: (661) 588-9066 Location: 1125 COFFEE RD Map : 102 CommHaz : Moderate.. City : BAKERSFIELD Grid: 33A FacUnits: 1 AOV:. CommCode: BAKERSFIELD STATION 11 SIC'Code:5541 EPA Numb: DunnBrad:00-914-0559 Emergency Contact / Title Emergency Contact / Title STAFF / DUTY CLERK CHEVRON MAINTENANCE / DISPATCHER Business Phone: (661) 588-9066x Business Phone: (~9~' ~ 24-Hour Phone : (800) 231-0623x 24-Hour Phone : f~F30 6~I~ Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : CHEVRON PRODUCTS CO - PERMIT DESK Phone: (925) 842-9002x MailAddr: PO BOX 6004 State: CA City : SAN RAMON Zip : 94583 Owner CHEVRON PRODUCTS COMPANY Phone: (925) 842-9002x Address : PO BOX 6004 State: CA City : SAN RAMON Zip : 94583 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: I,~o "- ~'- Do hereby certify that I have reviewed the attached hazardous materials manage- ment p~an for~,%~ t 4~ and that it along with any corrections constitute a complete and correct man- agement plan for my facility. -1- 07/01/2004 CHEVRON #203576/1842 SiteID: 015-021-001522 STORAGE CONTAINER DATA (UST FoRM'A) Last Action Type: FACILITY/SITE iNFORMATION Business Name: CHEVRON #203576/1842 Cross Street : Business Type: Org Type: Total Tanks :. 3 IndnRes/Tr~st: No PA Contact: PROPERTY OWNER INFORMATION Name : CHEVRON MAINTENANCE Phone: (800) 423-6911x Address: · City : State: Zip: Type : CORPORATION TANK OWNER INFORMATION Name ~: CHEVRON,MAINTENANCE Phone: (800) 423-6911x Address: City : State: Zip: Type : CORPORATION BOE UST Fee# : 032934 Financ'l Resp: SELF INSURED Legal Notif : Tank Owner, Mailing Address ~ Date:04/26/2000 Phone: (925) 842-9002x Name:BRUCE CARPENTER Ttl:RETAIL ESH SPECIALIST State UST # : 1998 Upg cert#: 00856 2 0 /01/2004 CHEVRON #203576/1842 SiteID: 015-021-001522 ~ Hazmat Inventory By Facility Unit -- MCP+DailyMax Order Fixed Containers at Site Hazmat Common Name ISpooHazlEPA Hazards] Frm I DailyMax lUnitlMcP GASOLINE, UNLEADED F IH DH L 12000.00 GAL Mod GASOLINE, UNLEADED PLUS F IH DH L 12000.00 GAL Mod GASOLINE, PREMIUM F IH DH L 12000.00 GAL Mod CAR WAX F~ DH L 55.00 GAL Mod CARBON DIOXIDE F P IH G 435.00 FT3 Min 3 07/01/2004 CHEVRON #203576/1842 SiteID: 015-021-001522 = Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ffl~ ~vl~ / ~ffl~ ~ ~vi~ ' ,' GASOLINE, UNLEADED .. Days On Site 365 .Location within this Facility Unit Map: Grid: S SIDE OF SITE . CAS# 8006619 Liquid /Pure Ambient Ambien~ · UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum . Daily Average 12000.00 GALI 12000.00 GAL ' 6000.00 GAL HAZARDOUS COMPONENTS 100.00 Gasoline N 8006619 HAZARD ASSESSMENTS TSecretl ~SIBi°HaZNo N No Radi°active/Am°unt I EPA HazardsNo/ Curies F IH DH NFPA/// IUsDOT# ModMCP ] MISC. LOCAL AGENCY DATA Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag. Defined5: .Ag. Defined6: Ag. Defined7: Ag.DefinedS: Ag. Definedg: Ag. Definel0: -- Ag. Definell '-4- .07/01/2004 CHEVRON #203576/1842 SiteID: 015-021-001522 = Inventory Item ~000I ' Facility Unit: Fixed Containers at Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: · Location In Site: S SIDE OF SITE TANK DESCRIPTION Tank ID#: 1 Mfr: XERXES Compart Tank: N Installed: 02/1994 Capacity: 12000 Gals No. Of Comparts: Additional Info: ~- TANK CONTENTS Tank Use: MOTOR VEHICLE FUEL Petrol Type: PREMIUM UNLEADED Marl Name:GASOLINE,-UNLEADED Cas #: 8006619 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): STEEL CLAD W/FIBERGLASS R. P. Material(s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Installed: Corr Prot: FIBERGLASS REINFORCED PLASTIC Installed: Spill Cnt : 1994 Alarm : Exempt: No Drop Tube : 1994 Ball Float ' : Striker Plate: 1994 Fill Tube S~O: ·1994 TANK LEAK DETECTION Sgl Wall: Dbl Wall: INTERSTITIAL MONITORING TANK CLOSURE,INFORMATION/PERMANENT CLOSURE IN PLACE Last Used: Qty Remaining: Was Filled: No -5- 07/0!/2004 CHEVRON #203576/1842 SiteID: 015-021-001522 ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping AboveGround Piping Type : PRESSURE ~ Const: DOUBLE WALL Mfgr : UNKNOWN Mtl : FIBERGLASS & : Corr : FIBERGLASS Prot : PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS DISPENSER CONTAINMENT Installed: 02/17/1994 Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Date: 04/26/2000 Name:Bruce Carpeneter Ttl:Retail Spec~ Prmt Number: 1522 Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :12/04/2002 CP CERT. : MANWAY INSP. :12/29/1999 UST MONIT. CERT:12/19/2003 -6- 07/01/2004 cHEVRON ~203576/1842 SiteID:'"015-021-001522 ~ Inventory Item 0002- Facility Unit: Fixed Containers at Site GASOLINE, UNLEADED PLUS Days On Site 365 Location within this Facility Unit Map: Grid: S SIDE OF SITE CAS# 8006619 Liquid Pure Ambient . Ambient UNDER GROUND TANK i ANOUNTS AT THIS LOCATIONI Largest Container Daily Maximum · 'Daily~Average 12000.00 GAL 12000.00 GAL 6000.00 GAL %Wt. . CAS# 100.00 Gasoline N 8006619 lTsecretl RSIBi°Hazl HAZARD ASSESSMENTS I I Radioactive/Amount EPA Hazards NFPA USDOT# MCP ~No ' No INO I No/ Curies F IH DH / / / Mod MISC.. LOCAL AGENCY DATA Ag.Definedl: Ag.Defined2: Ag. Defined3: Ag. Defined4:. Ag.Defined5: Ag. Defined6: - Ag. Defined7: Ag.Defined8: Ag.Definedg: Ag. Definel0: -- Ag.Definell 07/01/2004 CHEVRON #203576/1842 SiteID: 015-021-001522 ~ Inventory Item 0002 Facility Unit~':~ Fixed Containers at Site STORAGE CONTAINER DATA (UST FORM B'and AGENCYTDEFINED) Page 1 of 2 LaSt Action Type: Location In'Site: S SIDE OF SITE · , TANK DESCRIPTION Tank ID~: 2 ~Mfr: XERXES Compart Tank: N Installed: 02/1994 Capacity: 12000 Gals No. Of Comparts: Additional Info: TANK CONTENTS Tank Use: MOTOR VEHICLE FUEL Petrol Type: 'UNLEADED PLUS/MiDGRADE Matl·Name:GASOLINE; UNLEADED PLUS ' Cas #: 8006619 TANK CONSTRUCTION Type : DOUBLE WALL Material (p): FIBERGLASS 'Material (s) : FIBERGLASS Lining : UNLINED Installed: Corr Prot: FIBERGLASS REINFORCED PLASTIC Installed: Spill Cnt : 1994 Alarm~ : Exempt: No Drop Tube : 1994 Ball Float : Striker Plate: 1994 Fill Tube S/O: 1994 TANK LEAK DETECTION Sgl Wall: Dbl Wall: iNTERSTITIAL MONITORING TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Last Used: Qty Remaining: Was Filled: No -8 07/01/2004 CHEVRON #203576/1842 SiteID: 015-021-001522 ~ Inventory Item 0002 Facility Unit:iFixed Containers at Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING cONSTRUCTION UnderGround Piping AboveGround Piping Type : PRESSURE Const: DOUBLE WALL Mfgr : UNKNOWN Mtl : FIBERGLASS " & : Corr : FIBERGLASS Prot : PIPING.'LEAK DETECTION UnderGrOund Piping AboveGround Piping AUTOMATIC LEAK DETECTORS DISPENSER CONTAINMENT Installed: 01/01/1994 Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Date: 04/03/1997 Name:SHARON BELLER Ttl:MKT. ASST. Prmt Number: 1522 , Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :12/04/2002 CP CERT. : MANWAY INSP. :12/29/1999 UST MONIT. CERT:12/19/2003 STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: Yes Installation Inspected & Certified by Registered Engineer: No Installation Inspected by Unified Program Agency: Yes ManUfacturer's Checklist Completed: Yes Installer Certified by Contractors' State License Board: Yes Approved Alternate methods: Date: 04/03/1997 Name:SHARON BELLER Ttl:MKT. ASST. CHEVRON ~203576/1842 SiteID: 015-021-001522 = Inventory Item 0003 Facility Unit: Fixed Containers at Site GASOLINE, PREMIUM Days On Site 365 Location within this Facility Unit Map: Grid: S SIDE OF SITE CAS# 8006619 F STATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE Ambient I Ambient I UNDER GROUND TANK Pure Liquid I AMOUNTS AT THIS LOCATIONI Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 6000.00 GAL %wt. s ~cas# 100.00 GasOline N 8006619 HAZARD AiSESSMENTSI EPA I TSecretI RSlBioHaz Radioactive/amount Hazards · NFPA USDOT# MCP No INO I No No/ Curies F IH DH / / / Mod MISC. LOCAL AGENCY DATA Ag.Definedl: Ag. Defined2: Ag. Defined3: Ag. Defined4: Ag. Defined5: .Ag.Defined6: Ag. Defined7: Ag. DefinedS: ' Ag.Definedg: Ag. Definel0: -- Ag. Definell .-lO- o7 o. 1/2oo CHEVRON ~20357'6/1842 SiteID: 015-021-001522 ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site STORAGE CONTAINER DATA (UST FORM B and AGENCy-DEFINED) Page 1 of.2 Last Action Type: Location In Site: S SIDE OF SITE TANK DESCRIPTION - Tank ID#: 3 Mfr: XERXES ... comPart Tank: N Installed: 02/1994 Capacity: 12000 Gals No. Of Comparts: Additional Info: TANK CONTENTS Tank Use: MOTOR VEHICLE FUEL Petrol'Type: REGULAR UNLEADED Marl Name:GASOLINE, PREMIUM Cas #: 8006619 TANK CONSTRUCTION Type :' DOUBLE WALL Material(p): FIBERGLASS Material(s): FIBERGLASS Lining : UNLINED Installed:. Corr Prot: FIBERGLASS REINFORCED PLAsTIc Installed: Spill Cnt : 1994 Alarm : Exempt: No Drop Tube : 1994 Ball Float : Striker Plate: 1994 Fill Tube S/O: 1994 TANK LEAK DETECTION Sgl Wall: Dbl Wall: INTERSTITIAL MONITORING TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Last Used: Qty Remaining: Was Filled: No -11- 07/0!/2064 : CHEVRON #203576/1'842· · -SiteID: ~015-021-O01522 ~ Invent°ry'Item'0003 ' ~Facility Unit: Fixed Containers at Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED)"~Page 2 of 2 PIPING CONSTRUCTION ~' iUnderGr0und Piping AboveGr0und~Piping Type :~ PRESSURE ~.~ . .. Const:' DOUBLE WALL Mt 1 :: .FIBERGLASS' COrr : FIBERGLASS ~ · Prot : ~ PIPING LEAK DETECTION · underground. Piping AboVeGround Piping AuTOMaTIC LEAK DETECTORS 'DISPENSER CONTAINMENT Installed: 01/01/1994 Type: DISP..PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Date: 04/03/1997 Name:SHARON BELLER Ttl:MKT. ASST. Prmt Number: 1.522 , Approved:' Yes Expiration Date: '06/30/2006 AGENCY DEFINED TANK/LINE TEST :12/04/2002 CP CERT. ~: MANWAY INSP. :,12/29/1999 UST MONIT. CERT:12/19/2003 STORAGE CONTAINER DATA (UST FORM C) Installer Certified by t. ank/pip~ng'manufacturer:'. ' Yes 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'B°ard: Yes ApprovedAlternate methods: Date: 04/03/1997 - Name:SHARON BELLER' Ttl':MKT. ASST. CHEVRON #203576/1842 Si~eID 015-021-001522. ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site CAR WAX Days On 'Site ARIES 1011 ~ 365 Location within this Facility Unit Map: Grid: IN CAR WASH CAS# AMOUNTS AT THIS LOCATION Largest Container~1 -Daily Maximum I Daily Average 55.00 GALI 55.00. GAL ·'1 27.00 GAL %Wt. RS CAS# 6.00 Ethylene Glycol Butyl Ether No 111762 5.00 Petroleum Distillate, Straight Run Middle No · 8030306 5.00 Isopropyl Alcohol No 67630 HAZARD ASSESSMENTS TSecretINo N~S I Bi°HasINo Radioactive/AmountNo/ Curies 'l EPA ' Ha zardsF .'DH '//NFPA/ '[ 'USDOT# ModMCP MISC. LOCAL AGENCY DATA Ag. Definedl: Ag. Defined2: Ag. Defined3: Ag. Defined4: Ag.Defined5: Ag'.Defined6: A~.Defined7: Ag. Defined8: Ag.Definedg: Ag.Definel0: -- Ag. Definell -13- ' 07/01/2004 CHEVRON #203576/i842 siteID: ~015-021-001522' ~ ~ Inventory Item 0005 FaCilitY. Unit Fixed, Containers.at Site 'CARBON DIOXIDE ~ ,. - - Days On Site . ' : · · 365 Location within th~'s Facility Unit. :Map: Grid:' ,INSIDE STORAGE AREA ~. " ' CAS# " ~' .. 124-38~9' - F ~STATE ~ TYPE PRESSURE' TEMPERATURE CONTAINER TYPE Gas ~Pure ": 'Above 'Ambient I Cryogenic INSUL,..TANK / CRYOGENIC Largest Container ,Daily Maximum Daily Average 435.00 FT3 435.00 FT3 435.00 FT3 HAZARDOUS COMPONENTS 100.00 Carbon Dioxide N ,124389 HAZARD ASSESSMENTS TSecretl~slBi°HazRadi°active/AmountlEPAHazardsl'NFPANo N No No/ Curies F.P 'IH~ · / / / IusD°T# MinMCP' MISC. LOCAL AGENCY DATA Ag.Definedl: Ag.Defined2: Ag2Defined3: Ag.Defined4: Ag. Defined5: Ag. Defined6:,' Ag. Defined7: Ag.DefinedS: Ag. Definedg: Ag.Definel0: -- Ag.Definell F CHEVRON #203576/1842 SiteID.: 015-021-001522 ~' Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 02/19/1999 A) IN ANY INCIDENT THAT JEOPARDIZES HUMAN HEALTH AND SAFETY: 1) ACTIVATE APPROPRIATE EMERGENCY SHUTOFF; 2) EVACUATE PERSONNEL FROM FACILITY USING SAFEST ROUTES AVAILABLE ACCORDING TO THE SITUATION; AND 3) GO TO AN UPWIND AREA AND MAINTAIN A SAFE DISTANCE. B) COINCIDENT WITH EVACUATIONNOTIFY EMERGENCY RESPONSE AGENCIES BY DIALING 911 IF INCIDENT REPRESENTS AN IMMEDIATE THREAT. C) DENY ENTRY' TO THE AREA BY ANYONE OTHER THAN 911 EMERGENCY RESPONSE· PERSONNEL UNTIL AREA IS DECLARED. SAFE. D) STANDBY TO ASSIST EMERGENCY RESPONSE PERSONNEL. ANY INCIDENT'INVOLVING k FIRE, RELEASE, OR THREATENED RELEASE OF A HAZARDOUS MATERIAL MUST ALSo BE REPORTED TO THE STATION MANAGER. THE STATION MANAGER WILL NOTIFY THE CSI TERRITORY MANAGER AND CHEVRON MAINTENANCE DISPATCH IMMEDIATELY. CHEVRON USA MAINTENANCE DISPATCH WILL: 1) DISPATCH COMPANY /CONTRACTOR ASSISTANCE IF NECESSARY; AND 2) NOTIFY CHEVRON USA ENVIRONMENTAL MARKETING ASSISTANT FOR PROPER NOTIFICATION TO REGULATORY AGENCIES. -- Employee Notif./EvacUation 02/19/1999 NOTIFICATION WILL BE ACCOMPLISHED VERBALLY (SHOUTING) AND VIA .THE INTERCOM SYSTEM. ~· -- Public Notif./Evacuation . 02/19/1999 A) THE STAFF DUTY CLERK WILL ANNOUNCE "THERE IS AN EMERGENCY. PLEASE LEAVE THE STATION ON FOOT IMMEDIATELY."' B) IF EVACUATION FROM THE AREA IS DEEMED NECESSARY, THE NEIGHBORING PROPERTIES LISTED BELOW WILL BE NOTIFIED IF POSSIBLE. FASTRIP - 1200 COFFEE RD - 589-6305. Emergency Medical Plan 02/19/1999 MEDICAL FACILITIES: MEMORIAL URGENT CARE - 6501 MING AVE - 397-4004 OR BAKERSFIELD MEMORIAL - 420 34TH ST - 327-1792. · -15- 07/01/2'004 ~ner / Identification P~ge BUSINESS NAME (4) CHEVRON SERVICE STATION ~ 203576 / 1~2 BUSINESS PHONE (5) ~ (661) 58~9066 SITE ADDRESS (6) 1125 Coff~ R~d CI~ (7) Bakersfield ~ STATE (8) ~ -ZIP (g) DUN&BRADSTREET (10) ~91~59 ~ SIC CODE (4 DIGIT~) (11)[ 5541 ~ILIH~ ADD~88 (~) ~.0. Box ~ Cl~ (~) i San Ramon STATE (24) ~ CA ZIP (25) ~ 9~83 P~ma~ EMERGENCY CONTACTS Sec°nda~ NAME: (26) S~ff NAME: (31) Chevron Maintenance TITLE: (27) D~ Cle~ TITLE: (32) Dispatcher BUSINESS PHONE: (28) (~1) 5~ BUSINESS PHONE: (33) 2~HOUR PHONE: (29) (8~) ~1~ 2~HOUR PHONE: (~) ~ (800) 231-0~ PAGER ~: (30) N/A PAGER ~: (35) ~ N/A REGU~TED SUBSTANCES (RS) ON SITE RS (~) ~ ~YES ~ NO ~ 'x ........................................................................................ Registration (CaffARP) form. ADDmONAL LOCALLY COLLECTED INFORMATION Ce~i~cation: I ce~i~ under ~naEy of law that I have ~rsonally examined and am familiar ~th the info,etlon subm~ in this invento~ and believe the infection is true, accurate, and complete. Pdnt Name of D~ument Preparer (38) ~ H.V. (Hal) O'Rear Signature of Owner/O~rator (39) ,~~~~~~ OES Fo~ 2730(11~4) FR~R.DOC [~v 12-9~ ~+ CHEVRON STATION #i842 576 SiteID: 015-021-001522 Manager : ~%~%~ BusPhone: (661) 588-9066 Location: 1125 COFFEE RD Map : 102 CommHaz : Moderate City : BAKERSFIELD Grid: 33A FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 11 SIC Code:5541~ EPA Numb: 'DunnBrad:00-914-0559 + ~-- =========+ Emergency Contact / Title Emergency Contact / Title STAFF / DUTY CLERK CHEV EMER INFO / STAFF Business Phone: (800) 423-6911x Business Phone: (800) 231-0623x 24-Hour Phone : (800) 231-0623x 24-Hour Phone : (800) 231-0623x Pager Phone : ,( ) - x Pager Phone : ( ) - x + ....................................... + ..................... ~ ................ I Hazmat Hazards: Fire Press ImmHlth DelHlth Contact ~: CHEVRON PRODUCTS CO - PERMIT DESK Phone: (800) 231-0623x MailAddr: PO BOX'6004 State: CA City : SAN RAMON Zip : 94583 Owner CHEVRON PRODUCTS COMPANY Phone: (800) 231-0623x Address : PO BOX 6004 State: CA City : SAN RAMON Zip : 94583 ~j/~ ~0 ~ TotalASTs: Gal Preparer: ~,~~ TotalUSTs: = Gal ParcelNo: Emergency Directives: -1- 07/30/2003 CERTIFICATE OF UNDERGROUND STORAGE TANK SYSTEM TESTING 8900 SHOAL CREEK, BUILC)ING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST RESULT SITE SUMMARY REPORT TEST TYPE: PTK- 88 PURPOSE: COMPLIANCE TEST DATE: 05/23/02 CUSTOMER PO; 46.10991-000 WORK ORDER NUMBER: 3122701 CLIENT: CZ.I~VRON SITE: CHEVRON 2 0 3 5'76 P.O. BOX 2292 1125 COFFEE 145 S. STATE COT.LEGE BT,VD. BAKERSFIE[aD, CA 93308 BREA, CA 92822 CRA'r O MORGAN MANAGER (714) 671-3282 (661} 588-9066 Thc following test(s) were conducted at thc sitc above in accordance with all applicable portions of Federal. NFPA and local r¢§uladons Line and Leak Detector Tests 92 I SUP/~EME 87 2 RInG U'~'~AD 89 3 PLOS Tanknology apprcciatc~ thc opportunity to serve you, and looks/brward to working with you in iht future. Please call any time, day Or night, when you need ua Tanknology representative: Test conducted by: KEN MINTON DAVID ~ASKY Reviewed: Technician Certification Number: Printed 02/25/2003 16:38 KMINTON Feb-26-O3 O7:49A TANKNOLOGY 909 308 1239 P.O3 8900 SHOAL CREEK, BUILDING 200 AUSTIN. TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE:0 -~ ! 2 3 / 0:2 WORK ORDER NUMBER3.1~- ~-'703. CLIENT: CH~'V~ON SITE: C~-~3~R. ON ;20 3 ,~'7 $ COMMENTS One 55 gallon drtua left on site provided by Joe Rhodes. Three hours labor instal~ing test boots under all dispensers. All line interstitials failed. 87 and 91 'tank annular spaces failed. 89 STP su~np failed. Dispenser [3an 1/2 failed. 87 vspor spill bucket ~ailed. PARTS REPLACED i;i! iiii::! HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) .... .....~.'. : ;: '" :;:i : ~i s'? :!iii: :, : i:.'~ : :~ ~ .' !. Printed 02/25/2003 16:38 KMINTON Feb-26-03 07:49A TANKNOLOGY 909 308 1239 P.04 SITE DIAGRAM 8900 SHOAL CREEK, BUILDING 200 AUSTtN, TEXAS 78757 (512) 451-6334 FAX (512) 4.59-1459 TEST DA'I'E: 05/23/02 WORK ORDER NUMBER~122'7 01 CLIENT: C~01~ SITE: CH~"v'~OI~' 2 0 3 5'7 6 C-STORE Printed 02/2512003 16:38 KMINTON Feb-26-03 07:50A TANKNOLOGY 909 308 1239 Po05 Summary of Site Data Critical Data Survey done by: DAVID LASKY I verify that the information Site Name & ID # CHEVRON 203576 and diagram are correct. Address: 1 125 COFFEE RD. City, State, Zip: BAKERSFIELD, CA 93308 [] Yes ~ No Phone # (661) 588-9066 Site Information WO~ 3122701 Tank# 1 Tank# 2 Tank~ 3 Tank# 4 Tank# 5 Tank# 6 Tank# 7 Tank# 8 Product SUPREME R~:G UNLEAD PLUS Tank Size 12082 12082 12082 Tank Diameter 111 111 111 Tank Material DW STEEL DW STEEL DW STEEL Manifolded (Tk #) N N N '" overfill (Typ~} Y Y Y' Overspill (Type) Y Y Y Line Malerial DW FISERG DW FIBERG DW FIBEI~G Line Secondary Containment Y Y Y Mechanical Leak Detection Stage ! (Type) DUAL DUAL DUAL Stage II (TyI)e) BALANCE BALANCE BALANCE ATG Y Y Y CP N N N Site Diagram 02/25,'2O03 Feb-26-03 07:50A TANKNOLOGY 909 308 1239 Po06 SB-989 SECONDARY CONTAINMENT SUMMARY RESULTS TEST DATE: 05/23/2002 WORK ORDER NO,: 3122703. CLIENT: CHEVRON SITE: CHEVRON 203576 P.O. BOX 2292 1125 COFFEE RD. 145 S. STATE COLLEGE BLVD. BREA CA 92822 BAKSKSFIELD CA 93308 CRAIG MORGAI~ 714-671-3282 Tank Interstital Tests SUPR~ Joor FAIL RE~ ~ Joor FAIL PLUS Joor PASS Piping Inte~tits~ Tests ~th FA~L REG~AR ~ ~i th FAI~ B~RE~ ~t t~ FAIL Sump & Under-Dispenser Containment Tests PLUS Wes~e~ Flberglas~ Fail ~/% ~erican Con~a~en~ Pass ~UP. Phil-T~e Pass RE~ weB=em Fiberglass Pass 1/2 ~er~can Conta~ent Fail 9/10 ~eric~ Contai~en= Pass ~G. o~ Pass 5/6 ~rlc~ Conta~= Pass SUP. oPw Pass Ta~knolo~y repre~ntative: Semites conduc~ by: KEN MINTON DAVID ~5KY SECONDARY CONTAINMENT TEST RESULTS 0' I E: CHEVRON 203576 203576 WORK ORDER: 3122701 0~ I SITE ADDRESS: 1125 COFFEE RD. BAKERSFIELD CA 93308 O REASON FOR TEST: SB-989 Compliance Groundwater Level(" from grade): O TANK INFORMATION AND INTERSTITIAL TESTS ~ Start Initial Finish Final Pass/ ~) Dia Material Ma~ulact~rerD~nl~_,,,.~h Test Method TAnk Product Tank Size (" 1--- Time Level Tirr~e ResuE Fail 1 SUPREME 12082 1 t i DW STEEL Joor 63 Vacuum 1210 -10.04 -Hg 1230 0 -Hg FAIL ~ Z 2 REG UNLEAD 12082 111 DW STEEL Joer 62 Vacuum 1150 -1003 .Hg 1215 0 .I-Ig FAIL ~ O 3 PLUS 12082 111 DW STEEL J~or 58 Vacuum 1226 -10.06 "l-lg 1326 -9.97 'Hg PASS r- O 4 ~ 5 6 7 8 Comments' Above failures were pedotmed at bosom of riser/top of lank LINE INFORMATION AND INTERSTITIAL TESTS ~ Volume ~ ,~r~ Inilial Firush Final Pass/ Tank Product (Dia'" ) Ilea{) ,.Lan' Maledel Manufac~rer (gallons) Test Method Time Level Time Result Fail 1 PLUS 4.00 225 DW FG Smith 73 Pressure 1700 5 ps~ 1730 2 psi FAIL -, 2 REGULAR 400 225 DW FG Smith 73 Pressure 1708 5 psi 1738 0 psi FAIL 3 SUPREME 4 O0 225 I DW FG Smith 73 Pressure 1720 § psi 1758 0 psi FAIL 4 5 6 7' Comrne~ts: 3~JrlllY-t Y ON¥ OllYA J.ON 3~10J3~13~-I± SNOLLY~.13N-Jd AAog=Jt] .LS]/9NILOOH$31BflOB/SI ~;~ dl/lt3S dSlO 0 ~ '' ~Sed ud§ S~ed qd$ 000' t~l ~ 90000'- 'G O~Z ~ lldA ~ L L L 3llSeld ~l!/-I!qd S~]d Jau!e3uoO II~S N ~oz:~ :"~w~ SllflS3a 1SgllN3~NlVINOO AaYONOD3S I