HomeMy WebLinkAboutBUSINESS PLAN 2000~'~ ~ ?~ IT OF BA IF_~
O. OFFICE OF ENVIRONMENTAL-SERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
BUSINESS ACTIVITII £ 4 2000 1 of 7
FACILITY INFORMATION
BUSINE88 N~E 3
Chcvro~ S~tio~s ]~c. ~] 842/203576
,~¢~:~?~pleas~subm~t~the ~Bus~ness Owne~lOperatorAdent~ficat~n~page~lOES~Eo~m
A. H~RDOUS MATERIALS
Have on site (for any pu~ose) h~ous materials ~ or above 55
gallons for liquids, 500 pounds for solids, or 200 cubic ~t for ~ Yes 0 No 4 / H~RDOUS MATERIALS INVENTORY -
compressed gasses (include liquids in ASTs and USTs); or the
applicable F~eml ~mshold quan~ for an e~me~ h~rdous CHEMICAL DESCRIPTION (OES 2731)
subs~nce s~clfied in ~ CFR Pa~ 355, Appendix A or B; or
handle ;dlological materials in quantities for which an emergency
plan is required pumuant to 10 CFR Pa~ 30~ ~ or 70?
B. UNDERGROUND STOOGE TANKS (USTs)
1. Own or operate underground storage ~nks? ~ Yes 0 No"5 ~ UST FAClLI~ (Fo~eHy SWRCB Fo~ A)
UST TANK (one page per
UST FAClLI~
2. Intend to upg~de existing or tns~ll new USTs? OYes ~ No6 / UST TANK{oneper~nk)
UST INSTAL~TION - CERTIFICATE OF
COMPLIANCE (one page ~r tank)(Fo~eHy Fo~ C)
3. NeedtorepoAclosingaUST? OYes ~ No7 ~ USTTANK(closum~ion-onepage~r~nk)
C. ABOVE GROUND PETROLEUM STOOGE TANKS (ASTs)
O~ or opem~ ASTs above ~ese thresholds: 0 Yes ~ No 8 ~ ~ NO FORM REQUIRED TO CUPAS
~ny ~nk capacl~ Is greater ~an 660 gallons, or
--~e to~] capacl~ for~e ~cili~ is gma~r than 1,320 gallons?
D. H~RDOUS WASTE
1. Gene~teh~rdouswaste? ~ Yes 0 No9 ~ EPAIDNUMBER~pmvideatthetopofthispage
2. Recycle more ~an 100 kg/month of excluded or exempted 0 Yes ~ No 10 / RECYC~BLE ~TERIALS REPORT
recylabie materials {per HSC se~251~.2)? (one per mcycler)
3. Treat Ha~rdous waste on site? 0 Yes ~ No 11 ~ ONSlTE ~RDOUS WASTE
TR~TMENT - FAClLI~
(Fo~Hy D~C Fo~ 1~2)
: / ONSI~ H~RDOUS WASTE
TR~TMENT; UNIT (one page per unit)
(Forty D~C Fo~ I~,B,C,D, AND L)
4. Treatment subject to financial assurance requimmen~ (for Pete 0 Yes ~ No 12 ~ CERTIFICATION OF FINANCIAL
by Rule and Conditional Authorization)? ASSU~NCE (Fo~efly D~C Fo~ 1232)
'5. Consolidate h~ardous waste generated at a remote s~? 0 Yes ~ No 13 ~ REMOTE WAS~CONSOLIDATION SITE
ANNUAL NOTIFICATION (Fo~edy DTSC Fo~ 1196)
6. Need to repoA the closurelmmoval of a ~nk that was classified as ~ Yes ~ No 14 ~ H~RDOUS WASTE TANK CLOSURE
ha~ous waste and cleaned onsite? CERTIFICATION (Fo~y D~C Fo~ 1249)
E. LOCAL REQUIREMENTS
Please note that the "Yes" box has been checked to ~swer the question "Generate hazardous
waste?". Please undcrs~nd that h~ardous waste is not generated under no~a] opcrafin~
conditions. H~ardous w~tc would only be gcncrat~d ifth~re is ~ unauthorized release.
UPCF (1/99) 2
ICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
BUSINESS OWNER / OPERATOR IDENTIFICATION
'~--" ~~'-' ='--' FACILITY INFORMATION,
Page 2 of 7
BUSINESS NAME ISame as FACILITY NAME or DBA - Doing Business Asl 3 BUSINESS PHONE: 10
Chevron Stations Inc. #1842/203576 (661) 588-9066
BUSINESS SITE ADDRESS I 125 Coffee Road
CITY Bakersfield ~o z~P CODE 93308
DUN &BRADSTREET 00-914-0559 ~o SlCCODE 5541
(4 DIGIT #}
COUNW Kern 1 o
BUSINESS OPERATOR NAME Station Manager l o I OPERATOR PHONE (805) 588-9066
11
OWNER NAME Chevron Products Company - Permit Desk ~ I OWNER PHONE (925) 842-9002
OWNER STREET ADDRESS P.O. Box 6004
CITY San Ramon ~ I STATE CA ~ Z~P 94583
CONTACT NAME Chevron Products Company - Permit Desk ~ ] CONTACT PHONE (925) 842-9002
CONTACT MAILING 1
ADDRESS P.O, BOX 6004
CITY San Ramon 12 I STATE CA 12 I ziP CODE 94583
:J:i:J :?i:: !: :i:i:i: i:!: !:i:i:i :J: i:i:/:!:/:i:i: i:~ :5:[: !:!:i :i: ::!:7 'i:!:i :5: i:: ~:i:::? :i:i ?:::: :: :::::::::::::::::::::: :::::::::::::::::::::::::::::::::::::::::::: ~:i:i:: :i:i: :::::::::::::::::::::::::::::::::::::::::::: ::::::i:::::::':: :::::: ::: :: ¥:?::: :: :~::¥i:: :: ?::~¥:¥:::: :: ¥:¥::7::¢:¥i :i :i:i:¥:i:i:i:i ?:: i¥?i:: i:i:: ?i ?i i :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: i:,~¢i:!:
nAME: Staff ~2 NAME: Chev. Emer. Info. Cent.
TITLE: Duty Clerk ~2 TITLE: Staff
BUSINESS PHONE: (661) 588-9066 ~2 BUSINESS PHONE: {800) 231-0623
24-HOUR PHONE: (661 ) 588'9066 U 24-HOUR PHONE: (800) 231-0623
PAGER #: 12 PAGER #: 13
CeltifloatJon: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the
information submitted and believe the information is true, accurate and complete.
SIGNATURE OF OWNER/OPERATOR ~ DATE 13 I NAME OF DOCUMENT PREPARER 13
I ,nc.
NAIVE OF OWI~RIOPERATOR Iprint} ~3 ~3
I TITLE OF OWNER/OPERATOR
Kathy Norris ! Compliance Manager
UPCF {7/99) S:\CUPA FORMS\OES2730.TV4.wp
OF ENVIRONMENTAE'gERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
· ~ . HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION ~onopo~,p.,,~t..'o/p.,
[] ADD [] DELETE [] ,~WS~ ~00 "~ 3 O~ 7
3
BUSINE~ NAME (~ .s FACILITY NAME of DBA- Doing ~siness As) Chevron Stations Inc. fl1842/203576
Underground tank, South side of site co,~o~,~.
EPC~
205 206
CHEMICAL NAME T~DE SEC~T ~ Yes ~ No
2O7 2O8
COMMON NAME Chevron Regular Unleaded Gasoline -~,s ~v.. ~ ,o
FIRE CODE H~ C~ES/Complete if required by CUPA) 210
211 212 I 213
HA~OUS ~AL ~ a. PURE ~ b,MIX~RE ~ =.WAS~ ~DIOAC~VE ~ Yes ~ No CURIES
~PE (Check one i~m only)I ,
214 LARGEST CONTAINER 216
(Check one i¢em only)
FED HA~ CA~GORIES ~ a. FI~ ~ b.REAC~VE ~ =.PRE~U~ ~L~SE ~ d~CUTE H~LTH ~ e. CHRONIC H~LTH 216
(~eck afl ~at apply]
AVENGE DAILY 217 I MAX DAILY 218 l ANNUAL WASTE 219 STATE WASTE 220
AMOUNT 6000 I AMOUNT 1 2000 I AMOUNT CODE
UNITS* ~ a. GALLONS ~ b. CU~C FEET ~ c. POUNDS ~ d. TONS 221 DAYS ON 222
*If EHS, amours must be in lbs. SITE3 6 5
223
STOOGE CONTAINER
(check all ~apply] ~ a. ABOVE GROUND TANK ~ e. P~STIC/NONMETALLIC DRUM ~ i. FIBER DRUM ~ m G~SS BO~LE ~ q' ~IL CAR
~ b. UNDERGROUND TANK ~ f. CAN ~ J. BAG ~ n. PLASTIC BOTTLE ~ ~. OTHER
~ c. TANK INSIDE BUILDING ~ g. CA~OY ~ k. aOX ~ o. TO~ BIN
~ d. STEEL DRUM ~ h. SILO ~ I. CYLINDER ~ p. TANK WAGON
STOOGE PRE~U~ ~ e. AMBIENT ~ b. ABOVE AMBIENT ~ c. BELOW AMBIENT 224
STOOGE ~MPE~TU~ ~ a. AMBIENT ~ b. ABOVE AMBIENT ~ ¢. BELOW AMBIENT ~ d. CRYOGENIC 225
~ 100 z2~ Gasoline (Generic) 22~ ~., ~,~ 22. 86290-81-5
2 2~ 231 ~ Yes ~ No 232 233
3 2~ 2~ ~ Ye~ ~ No 236 237
4 2~ 2~ ~ Yes ~ No 240 241
6 242 2~ ~ Yes ~ No 2~ 245
ff ~e ~dous co~on~ are pr~t at ~r~te[ t~n 1~ by w~ht ff no~r~noE~c, or O. 1~ by w~ght ff =arci~c. a~oh addiD~nal ~ts of paper oap~n~ the ~e~ir~ infor~Eon.
PRINT NAME & TIT~ 0F AUTHORIZED COMPAN~ REPRESENTATIVE SIGNATURE DATE
UPCF (1/99) 4 OE$ FORM 2731 (1/99)
,. CITY OF BAKERSFI~ ·
~ICE OF ENVIRONMENTAL'~ERVICES
~ 1715 Chester Ave., CA 93301 (661) 326-3979
HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION /oho ~,~, p,, ..~,.'a/p,, ~.#~;g
3
,us~.~ .~ ~.. ~AC~U*V,A~ o~ OSA- ,o~., ~ .... A.) Chevron Stations Inc. ~1842/203576
CHEMICAL LOCATION 201 CHEMICAL [OCATIO~ 202
CONFIDENTIAL - ~ Yes ~ No
Underground tank, South side of site
2~ 206
CHEMICAL NAME T~DE SEC~T . ~ Yes ~ No
2O7
CO~O,.A~E Chevron Plus Unleaded Gasoline *EHS ~Ye, ~ No 208
FIRE CODE HA~ C~ES (Complete if ~;ui~d by CUPA) 210
211 212 ~ 213
HA~OUS ~mAL ~ a. PU~ ~ b.~lX~ ~ c.WASTE ~DIOAC~VE ~ Ye* ~ No CURIES
I
TYPE (Check one imm only]
PHYSICAL STATE ~ a. SOLID ~ b.LIQUID ~ c. GAS 214 LARGEST CO.~A~Nm 12000
(~eck one i~em
FED HA~ CA.GO.ES ~ a. FIRE ~ b.REAC~VE ~ c. PRESSURE RELISH ~ d~CUTE H~LTH ~ e. CHRONIC H~LTH 216
(Check aE ~a~ apply)
AVENGE DAILY 217 I MAX DAI~Y 218 IANNUAL WAS~ 219 STATE WASTE 220
~ou.~ 6000 I ~ou.T 12000 i ~ou.T CODE
UNITS+ ~ ~. GALLONS ~ b. CUBIC FEET ~ c. POUNDS ~ d. TONS 221 ~ DAYS ON 222
· If EHS, amounts must be in lbs. SITE 365
223
STOOGE CONTAINER ~ a. ABOVE GROUND TANK ~ e. PLASTIC/NONMETALLIC DRUM ~ I. FIBER DRUM ~ m G~SS BO~LE ~ q. ~IL CAR
(check afl ~t apply)
~ b. UNDER GROUND TANK ~ f. CAN ~ J. BAG ~ n. PLASTIC BOTCH ~ r. OTHER
~ ~. TANK INSIDE BUILDINe ~ g. CA~BOY ~ k. BOX ~ o. TO~ BIN
~ d. STEEL DRUM ~ h. SILO ~ I. CYLINDE~ ~ p. TANK WAGON
STOOGE P~U~ ~ a. AMBIENT ~ b. ABOVE AMBIENT ~ c. BELOW AMBIENT 224
STOOGE ~MPE~TU~ ~ a. AMBIENT ~ b. ABOVE AMBIENT ~ c. BELOW AMBIENT ~ d. CRYOGENIC 226
~ 100 zz~ Gasoline (Generic) ~=~ ~v., ~.o ~. 86290-81-5
2 230 231 ~ Yes ~ No 232
3 2~ 2~ ~ ~ Yes ~ No 23e 237
4 2~ 2~ ~ Yes ~ No 24~ 241
6 242 243 I~ Yes ~ No 2~ 245
PRINT NAME & TIT~ OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE
2~thy Nmris Compliance Manager ~~
UPCF (1/99) 4 OHS FORM 2731 (1/99)
CITY OF BAKERSFI~ ~
~I~FICE OF ENVIRONMENTAI~ERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
r HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION ~o,,o ~,ge ~,~- ~t~o/~,~ ~,~l,~ng ..... j
[] ADD [] DELETE [] REVI~E 200 PAGE 5 OF 7
3!
BUSINESS NAME (S... a, ,AClLITY NAME oS DBA- O~,g ~,S,,, A,) Chevron Stations Inc. //1842/203576
CHEMICAL LOCATION 201 CHEMICAL LOCATION 202:
Underground tank, South of site CONFIDENTIAL- [] Ya, [] No
EPCRA
205 206
CHEMICAL NAME TRADE SECRET [] Yes [] No
2O7 2O8
COMMON NAME Chevron Supreme Unleaded Gasoline 'EHS I--)VD, [] No
FIRE CODE HAZARD CLASSES (Complete ifreeuired by CUPA) 210
211 212 ~ 213
HAZARDOUS MATERIAL [] a. PURE [] b.MIXTURE [] c.WASTE RADIOACTIVE [] Yes [] No CURIES
I
TYPE [Check one item only)
214 LARGEST CONTAINER 215
PHYSICAL STATE [] a. SOLID [] ~.LIGU~D [] c.GAS 12000
[Check one item only)
FED HAZARD CATEGORIES [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] al&CUTE HEALTH [] e. CHRONIC HEALTH 2~6
[Check all ~at apply)
AVERAGE DALLY 217 I MAX DALLY 218 I ANNUAL WASTE Z~ STATE WASTE 220
AMOUNT 12000 I AMOUNT 6000 I AMOUNT CODE
UNITS* [] a. GALt. ONS [] b. CUBIC PEET [] c. POUNDS [] d. TONS 221 DAYS ON 222
*if EHS. amounts must be tn tbs. SITE 365
223
STORAGE CONTAINER [] a. ABOVE GROUND TANg [] e. PLASTIC)NONMETALLIC DRUM [] i. FIBER DRUM [] m GLASS BOTTLE [] q. RAIL CAR
(check all chat apply]
[] ~. UNDER GROUND TA,~ [] f. CAN [] I. BAG [] n. PLASTIC BOTT~E [] ,. OT,ER
[] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o, TOTE SIN
[] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANI( WAGON
STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224
STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] o. BELOW AMBIENT [] d. CRYOGENIC 225
~ 100 zzs Gasoline (Generic) 2~7 []Yo, [] No 2~ 86290-81-5 22.
2 230 231 [] Yes [] No 232 233
3 234 236 [] Yes [] No 236 237
4 236 239 [] Yes [] No 24{3 2o,1
s 242 243 [] Ya= [] No 24~ 24S
f rr~ora h~zardau= oomponen~s are p~esant at gre~te~ than 1% by weight ff non-ea~einagenic, o~ O. I% by~ weight if carcinogenic, a~aoh addiZfonal sheet= of paper capping the ~equired informa~fon.
2~6dthy Norris Compliance Manager ~{3
UPCF (1/99) 4 OES FORM 2731 (1/99)
~.~~. CITY OF BAKERSFIE~Ii0
~FICE OF ENVIRONMENTAII~ERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
r, HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION ~ono ~,~, p,, ~.~,/p,, ~,#~',~
BUSINE~ NAME 1~ as FACILITY NAME of DBA- Doing ~ness A.) Chevron Stations Inc. ~1842/203576
CHEMICAL LOCATION 201 CHEMICAL LOCATION 202
In car wash CONFIDENTmL- ~ Ye, ~ No
EPC~
205 206
CHEMICAL NAME T~DE SEC~T
207 208
COMMON NAME Aries 101 1 -EHS ~Ye, ~ No
~ ~ ~ ~:: F;~ ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
FI~ C ODE HA~ C~SSES (Complete if ~ouimd by CUPA) 210
211 212 ~ 213
HA~RDOUS ~AL ~ a. PURE ~ b.Ml~ ~ c.WAS~ ~DIOAC~VE ~ Yea ~ No CU~ES
I
~PE [Check one i~em only)
214 LARGEST CONTAINER 215
,,vs~c~ sz~z~ ~ .. sou. ~ ~.u~u~, ~ ..o~s 55
(~eck one i~em o~ly)
FED HA~ CA~GORtES ~ a. FI~ ~ b.REAC~VE ~ c. PRE~URE RELISH ~ al.ACUTE H~LTH ~ e. CHRONIC H~LTH 216
'[Check all ~t apply)
AVENGE DAILY 217 I MAX DAILY 21S I ANNUAL WAS~ 219
A~OU"~ 27I AMOUNT 5 5 ~AMOUNT STATEcoDE WASTE 220~
UNITS* ~ a. GALLONS ~ b. CUBIC FEET ~ c. POUNDS ~ d. TONS 221 DAYS ON 222
elf EHS .... m .... t be in lbs. SITE 36 5
223
STOOGE CONTAINER ~ a ABOVE GROUND TANK ~ e. PLASTIC/NONMETALLIC DRUM ~ i. FIBER DRUM ~ m G~ BO~LE ~ q- ~IL CAR
(check all ~t apply) '
~ c. TANK INSIDE BUILDING ~ g. CARBOY ~ k. BOX ~ o. TO~ BIN
~ d. STEEL DRUM ~ h. SILO ~ I. CYLINDER ~ p. TANK WAGON
STOOGE PRESSU~ ~ a. AMBIENT ~ b. ABOVE AMBIENT ~ o. BELOW AMBIENT 224
STOOGE ~MPE~TU~ ~ a. AMBIENT ~ b. ABOVE AMBIENT ~ c. BELOW AMBIENT ~ d. CRYOGENIC 22~
.... ::::::::: :::.:: ::.:: :.:::::: ::::::: :::: :: ::::: ::::: ::: ::::::.::::::::: :::::::: .::.:.:.: ::: -.: :.:.:.:..:::: ::... -::.:.:,:: :::::: .: :.:.: :.:.:: :: .::: ..:. :::::::::::::::::::::::::::: ...::: ::: .::- :::::: ::.:::. :.:.: :::::: =================================== :: .:...:.:,:....::::::::::::
~ --- ~e Tetrasodium Ethylenediamine-Tetra Acetic Acid (EDTA) z~ ~v.. ~ .o ~ 64-02-8
~ --- =3o Sodium Hydroxide 23~ ~v.. ~,o ~3~ 1310-73-2
~ --- z~ 2-Butoxy ethanol z3s ~.. ~,o z3s 111-76-2 z37
4 --- 238 Nonionic Suffactant Blend 2~ ~ Yes ~ No 240 241
s --- ~z d-Limonene ~3 ~v.. ~,o ~ 5989-27-5
f ~fe ~d~S ~On~ e~e p~t at ~f~t~ ~n ~ ~ w~ght ff ~tEnoE~c, or O. ~ ~ by w~ght If earci~c, a~ch addiEonal ~ts of paper cap~n~ ~ re~i~
PRINT NAME & TIT~ OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE
2~thy Norris Compliance Manager
UPCF (1/99) 4 DES FORM 2731 (1/99)
. CITY OF BAKERSFIEIai~
(~ICE OF ENVIRONMENTA~RVICES
1715 Chester Ave., CA 93301 (661) 326-3979
r HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
[one pa~e per ~t~al
BUSINE~ NAME (~ as FACILITY NAME of DBA - Doing ~ness As) 3
Chevron Stations Inc. ~1842/203576
CHEMICAL LOCATION 201 CHEMICAL LOCATION
Inside Storage area CONFIDENTIAL- ~ Yes ~ No 202
EPC~
MAP ~ {opEo~l) 203 ] G~D ~ (op~onal] 2~
I
2O5
c,E~c,~ ,A~E Ca rbon Dioxide t~o; SECRET
2o~
co~Mo,,~ Carbon Dioxide 'E,s ~.. ~ no 2o~
FIRE CODE HA~ C~ES fComplem if~;ui~dby CUPA) 210
212 ~ 213
HA~RDOUS ~RIAL ~ a. PURE ~ b.MI~RE ~ c.WAS~ 211 ~DIOAC~VE ~ Yes ~ No CURIES
TYPE fCheck one ite~ on/y)
PHYSICAL STATE ~ a. SOLID ' ~ b.LIGUlO ~ c.GAS 214 LAROEST CONTAINER 435 21~
[Check one ite~ onlF]
FED HA~RD CA~GORIES ~ a. FI~ ~ b.REAC~VE ~ c.PRE~U~ ~L~SE ~ d.ACUTE H~LTH ~ e. CHRONIC H~LTH 216
(Check all ~at app/y)
AVENGE DAILY 217 ~ MAX DAILY 218 IANNUAL WAS~ 219
AMOUNT 435 ] AMOUNT 870 ]AMOUNT STATEcoDE WASTE 220
UNITS* ~ a. GALLONS ~ b. CU~C FEET ~ c. POUNDS ~ d. TONS 221 DAYS ON 222
~lf EHS, amours mu~ be in lbs. SITE
223
STOOGE CONTAINER ~ a, ABOVE GROUND TANK ~ e. P~STICINONMETALLIC DRUM ~ I, FleER DRUM ~ m G~ BO~LE ~ q, ~IL CAR
{check afl ~ apply]
~ b. UNDER GROUND TANK ~ f. CAN ~ J. BAG ~ n. PLASTIC BOTCH ~ r. OTHER
~ c. TANK INSIDE BUILDING ~ g. CA~OY ~ k. BOX ~ o. TO~ BIN
~ d. STEEL DRUM ~ h. SILO ~ I. CYLINDER ~ p. TANK WAGON
STOOGE PRESSU~ ~ a. AMBIENT ~ b. ABOVE AMBIENT ~ ~. BELOW AMBIENT 224
STOOGE ~MPE~TU~ ~ a. AMBIENT ~ b. ABOVE AMBIENT ~ c. BELOW AMBIENT ~ d. CRYOGENIC 225 i
~ 100 z~s Carbon Dioxide zz~ ~Yea ~ No 2ZE 124-38-9 229
2 230 231 ~ Yes ~ No 232 2~
3 2~ 235 ~ Yes ~ No 23E 237
4 238 239 ~ Yes ~ no 24C 241
S 242 243 ~ Yea ~ No 2~ 24S
ff ~re ~rd~s ~on~ ere pr~t at gr~t~ t~n 1% by wRiSt if no~r~no~=, or O. 1% by w~ht if =erciM~c. a~ch addiO~nal ~ of ~per cap~n; t~ re~ir~ infor~O~n.
PRINT NAME & TIT~ OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE
246
UPCF (1/99) 4 DES FORM 2731 (1/99) ;
CITY OF BAKERSFIELD
HMMP PLAN MAP
SITE DIAGRAM [~] FACILITY DIAGRAM ~-l
Business Name: CHEVRON STATIONS INC. #1842/203576
,~ Area Map # 1 of 1
North Name of Area: BUSINESS AS A WHOLE
SCALE l" = 43.5'
VACANT LAND
DRIVEWAY
Z
< z z
CAR
PRODUCTS
z
TANK
; z
PANEL
QUIPMENT
O
Z
-
,~, ,~, ~,
LOADING AREA r-
VACANT LAND VACANT :=~
-5- LAND
CITY OF BAKERSFIELD SYMBOL LEGEND
~ FENCE ALL TYPES)
ELECTRIC
*~'.e GATE IN FENCE
WATER --/-- STANDARD DOOR
SPRINKLER FIRE DEPT.
CONNECTION ~ ~-ff-[UNDERGROUND
I I
,_p_A_L__, STORAGE
FIRE HYDRANT- PUBLIC TANKS - LIST
CAPACITY
FIRE HYDRANT-PRIVATE
AUTOMATIC SPRINKLER ~ ABOVEGROUND
BUILDING OR AREA STORAGE TANKS
FIRE ALARM ~ RAILROAD TRACKS
MATERIAL SAFETY ~ PESTICIDE STORAGE
DATA SHEET STORAGE AREA
EVACUATION AREA
TYPES OF HAZARDOUS MATERIALS
FLAMMABLE <~ LIQUID
4~ CORROSIVE <~ SOLID
~ WATER REACTIVE ~:> GAS
EXPLOSIVE <~ RADIO.LOGICAL
4~ WASTE EXAMPLE: FLAMMABLE
LIQUID
POISON EXPLOSIVE GAS
. CITY OF BAKERSFIELD ~
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
HAZARDOUS MATERIALS MANAGEMENT PLAN
INSTRUCTIONS:
1. To avoid further action, return this form within 30 days of receipt.
2. TYPE/PRINT ANSWERS IN .ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be brief and concise as possible.
5. You may also attach Business Owner / Operator Form and Chemical Description Form(s)
to the from of this plan instead of completing SECTION I. below for initial submission.
SECTION 1: BUSINESS IDENTIFICATION
BUSINESS NAME: Chovron .qtarions Ina. #1R42/203576
LOCATION: 1125 CoffeeRoad Bakersfidd 93308
MAILING ADDRESS: p.o_ go~ 6004
CITY:San Ramon STATE: CA ZIP: 94s83 PHONE: (92s) a42-9007
PRIMARY ACTIVITY: Gasoline Station
OWNER: Chevron Products Company - Permit Desk PHONE: (925) g42-9002
MA~ING ADDRESS:P_o_ Row 6004 San Ramon CA 94583
EMERGENCY NOTIFICATION:
CONTACT TITLE BUS. PHONE 24 HR. PHONE
1. Staff Du~ Clerk (661) 588-9066 (661) 5~8-9066
2. Chev. Em*r_ Info_ Cent. Staff (gO~ 231-0623 (gO~ 231-0623
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION II. 1: DISCOVERY AND NOTIFICATIONS
A. LEAK DETECTION AND MONITORING PROCEDURES:
Aboveground: Visual observation znd regular inspection
Underground: Fuel storage and delivery system monitored via Veeder-Root TLS-3$0
B. EMPLOYEE AND AGENCY NOTIFICATION:
Notification will be accomplished verbally (shouting) and via the intercom system.
a. In any incident that jeopardizes health and safety: 1) Activate appropriate emergency shutoff; 2) Evacuate
personnel from facilky using safest routes available according to the situation; and 3) Go to an upwind area and
maintain a safe distance.
b. Coincident with evacuation, notify 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 a 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 Maintenance Dispatch will: 1) dispatch Company/,Contractor assistance if necessary; and 2) notify Chevron
Compliance Marketing Assistant for proper notification to regulatory agencies.
Additional Notification procedures as outlined in the Written Underground Monitoring Plan shall be followed should
the underground monitoring system go into alarm.
C. ENVIRONMENTAL RESPONSE
Small spills: Taken up with inert absorbent and placed in sealed spill drum. Contents of spill drum are removed by
authorized service and legally disposed.
Underground release: If an underground release is confirmed, the fuel system shall be shutdown and emptied until
cleanup is completed under the supervision of Chevron Maintenance Dispatch. Contaminated earth and other materials
shall be removed and disposed by a licensed hazardous material cleanup contractor.
D. EMERGENCY MEDICAL PLAN:
MEDICAL FACILITIES:
Memorial Urgent Care 6501 Ming Avenue 3974004
Bakersfield Memorial 420 34th Street 327-1792
2
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION II.2: RELEASE RESPONSE PLAN:
A. HAZARD ASSESSMENT AND PREVENTION
a. Barriers installed to prevent vehicle collision with pumps.
b. Vapor Recovery Systems used when £Jling underground tanks.
c. Antilock nozzles on pumps.
d. No sales to unauthorized containers.
e. "No Smoking" signs posted. Self-serve instructions posted.
f. Monitoring Program implemented.
g. Double walled tanks with leak detection system
B. RELEASE CONTAINMENT AND/OR MITIGATION:
a. Stop source of release as necessary and safe. If gasoline, stop source of release by activating emergency pump shutoff
switch.
b. Evacuate all nonessential personnel from area.
c. Extinguish or remove all ignition sources. Use fire extinguisher if necessary.
d. While using proper personal protective equipment, contain and absorb spill with inert absorbent. Avoid breathing
gasoline vapors by approaching from upwind.
C. CLEAN-UP AND RECOVERY PROCEDURES:
a. Keep nonessential personnel away from area.
b. Notify Chevron Maintenance Dispatch (800)423-3528 for coordination with Hazardous Material Contractor to
remove contaminated absorbent materials if required.
c. Materials involved in cleanup will be disposed of in accordance with all applicable Federal, State, and Local
regulations.
UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY):
NATURAL GAS/PROPANE: None
ELECTRICAL: In.,ide Food Mart "hack room' (muln i~ in breaker box)
WATER: Meter: In Northeast sidewalk of Brimhall Road
SPECIAL: F. mergencT, Pump Shutoff: a) Ca.~hier console; h) Northeast corner of Food Mart: outside
LOCK BOX: YES~N_fl) IF YES, LOCATION:
PRIVATE FIRE PROTECTION/WATER AVAILABILITY:
A. PRIVATE FIRE PROTECTION:
Fire extinguishers are kept at the facilitY.
B. WATER AVAIL_ABILITY (FIRE HYDRANT):
Southwest corner of Brimhall Road and Coffee Road
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION III: TRAINING
NUMBER OF EMPLOYEES: 9
MATERIAL SAFETY DATA SHEETS ON FILE: Yes
BRIEF SUMMARY OF TRAINING PROGRAM:
Training includes but is not limited to:
a. Hazard Communication Program, written and audio/video program including MSDS review.
· b. HAZWOPER, written and audio/video program-Awareness Level.
c. Hazardous Material Business Plan (additional Emergency procedures)
d. Operating Procedures (including proper use of gasoline equipment and additional emergency procedures)
e. Written Underground Monitoring Procedures (including proper notifications) all employees attend the formal Chevron
Stations Inc. Training Program. Training is provided upon hire and annually thereafter at a minimum. New employees work
under direct supervision until required training is completed.
CERTIFI CATI ON:
I, Kathy Norris CERTIFY THAT THE ABOVE INFORMATION
IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO
FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY
CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND
THAT INACCURATE INFORMATION CONSTITUTES PERJURY.
~~IGNA~ Compliance Marketlng Assixtant (ff/~,'~ [6 ~)
TITLE DATE
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