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Home My WebLink AboutBUSINESS PLAN 1998 ~,"? t~/~ ' ;} 17'15 CHESTER AVENUE, 3RD FLOOR ~;:~;~c~5,::, (805) 326-3979 - ~~, '~'~ H~RDOUS MATERIALS INVENTORY FACILI~ DESCRIPTION CHECKIF BUSINESS ISA FARM [ ] BUSINESS NAME Chevron SS~ 1842/203576 FACILI~ NAME Chevron SSg 1842/203576 SITE ADDRESS 1125 Coffee Road CI~ Bakersfield STATE CA ZIP 93308 NATURE OF BUSINESS Gasoline Station SIC CODE 5541 DUN & BRADSTREET 00-914-0559 OWNER/OPERATOR Chevron Products Company 'PHONE (805)588-9066 MAILING ADDRESS P.O. Box 6004 CITYSan R~mon STATE CA ZiP 94583 EMERGENCY CONTACTS NAME Staff TITLE Duty Clerk BUSINESS PHONE (805) 588-9066 24-HOUR PHONE(g05) 588-9066 NAME Chev. Emer. Info. Cent. TITLE Staff BUSINESS PHONE [800) 231-0623 24-HOUR PHONE(800) 231-0623 BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS INVENTORY Page1 of 2_ Business Name _Che~:on S~SAN2035Z6 Address 1125_C~ffee_Eoa~ake. r~sfieJd 93_3_08 CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New[ ] Addition[ ] Revision[ ] Deletion[ ] Check if chemical is a NON TRADE SECRET [X~ TRADE SECRET [ ] 2) Common Name: Gasoline Regular 3) DOT # (optional) 1203 Chemical Name: Gasoline AHM [ ] CAS # 8006-61-9 HAZARD CATEGORIES Fire ~ Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) ~] Delayed Health (Chronic) 5) WASTE CLASSIFICATION (3-digit code from OHS Forr~ 8022) USE CODE 19 6) PHYSICAL STATE Solid [ ] Liquid IX) Gas [ ] Pure [ ] Mixture ~ Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 12000 . lbs [ ] gal ~] ft3 [ ] a) Container: 1 Average Daily Amount: 6000 curies [ ] b) Pressure: 1 Annual Amount: unknown c) Temperature: 4 Largest Size Countainer: 12000 # Days On Site: 365 C/role Which Months: (~Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazardous 1) Methyl Ted Butyl Ether 1634-04-4 15 [ ] chemical components or any AHM components 2) Toluene 108-88-3 >1 [ ] i 3) Xylenes 1330-20-7 >1 [ ] 10) Location South side of site CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition[ ] Revision[ ] Deletion[ ] CheckifchemicalisaNONTRADESECRET D(] TRADE SECRET [ ] 2) Common Name: Gasoline Supreme 3) DOT # (optional) 1203 Chemical Name: Gasoline AHM [ ] CAS # 8006-61-9 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire D(] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) ~ Delayed Health (Chronic) ~] 5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ) Liquid ~X~ Gas [ ] Pure [ ] Mixture ~] Waste [ ] Radioactive [ ] CHECK ALI T'~ATAPPI. Y 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: _12000 lbs [ ] gal [X~ ft3 [ ] a) Container:. 1 Average Daily Amount: 6000 curies [ ] b) Pressure: 1 Annual Amount: unknown C) Temperature: 4 Largest Size Countainer..12000 # Days On Site: 3~5 Circle Which Months: ~Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazardous 1) Methyl Tert ~ther 1634-04-4 15 [ ] chemical components or any AHM components 2) IoJuene 10 -8~8_8-3 >1 [ ] 3) ZyJenes 13~)_-20-7 >1 [ ] 10) Location South side_of_~/te I certify underpenalty of/aw, that I have perSonally examined and am familiar with the information submitted on thin,nd all attached d/~cuments. I believe the . / (Iff/ Eatby Norris Con3piia~ce_Macke~ag~ssJstant ~,~JJ~ k.~/I t ~ ~/¢ Print Name & Title of Authorized Company Representative ' Signature [ ¥ y --.~""~ / / Dfat~ BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS INVENTORY Page2 of 2__ Business Name C_bevron_S_SJ~C_1_SL42/2035Z6 Address ~ee._B~B_~mfield 93_3Q8 CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition[ ] Revision[ ] Deletion[ ] Check if chemical is a NON TRADE SECRET [~ TRADE SECRET [ 2) Common Name: Gasoline Plus 3) DOT # (optional) 1203 Chemical Name: GasoJine AHM [ ] CAS # 8006-61-9 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [X~] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) D~ Delayed Health (Chronic 5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid IX] Gas [ ] Pure [ ] Mixture D(~ Waste [ ] Radioactive [ ] C~f~CK~i,~, Tfl,~ r A PPk',' 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 12000 lbs [ ] gal [X~] fl3 [ ] a) Container: 1 Average Daily Amount: 6000 curies [ ] ' b) Pressure: 1 Annual Amount: unknown C) Temperature: 4 Largest Size Countainer: # Days On Site: 355 Circle Which Months: (~Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # % VVT AHM the three most hazardous 1) Methyl Tert Bub'J Ether 1634-04-4 15 [ chemical components or any AHM components 2) Toluene 108-88-3 >1 [ 3) Xylenes 1330-20-7 >1 [ 10) Location Sl:luth side of site CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition~] Revision [ ] Deletion[ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) Common Name: ~ax 3) DOT # (optional) Chemical Name: CarJ~ax AHM [ ] CAS # 111-78-2 4) PHYSICAL & HEALTH' PHYSICAL HEALTH HAZARD CATEGORIES Fire IX] Reactive [ ] Sudden Release of Pressure [ ] immediate Health (Acute) [ ] Delayed Health (Chronic) 5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] .Liquid IX] Gas [ ] Pure [ ] Mixture [X~] Waste [ ] Radioactive [ ] ~H~K AL~ Ti~AT APPLY 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 55 lbs [ ] gal [~} fl3 [ ] a) Container: Average Daily Amount: 27 curies [ ] b) Pressure: Annual Amount: Unknown . C) Temperature: Largest Size Countainer: 55 # Days On Site: 355 Circle Which Months: ~)Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazardous 1) Ethylene.GJy_col ButyLEther 1 -1128-2_ _3-6 [ chemical components or any AHM components 2) P_etm[eum Distillates 6_4741-44-2 2-5 [ 3) lsopioylA[cohoJ 67-63-0 5-2 [ 10) Location s~bmittedinf~rrnati~nistrue~acc~rate~ndc~mp~ete~~certifyunderp~na~ty~f~aw~that~haveper~na~yexaminedandamfami~iarwiththeinf~rrnati~ns~bmitted~thisanda~a~tachedd~c~r~1ents~be~ievethe~at~y~ Norris C_O/:QpJiaQCa_M az:keJ~3g.AssJ st a n t Y~~'I~~'~ Print Name & Title of Authorized Company Representative I--Signature I V ' ~ Date ~ M M~ °~~OMAP SITE DIAGRAM E~ FACILITY DIAGRAM [~ Business Name: OHEVRON SS #18421203576 I A Area Map # 1 of 1 North Name of Area: BUSINESS AS A WHOLE El SCALE ]"= 43.5' VACANT LAND DRIVEWAY F- ~ Z Z CAF WAX Z HMS -- FL Z o i'~,, :'~,, :-~,,;0-4 < x' ;:~, ;x, Om m : VACANT ~ND 4/98 VACANT ]~ '.::: ~ND -5- 4/98 BAKERSFIELD CITY FIRE DEPARTMENT 1715 CHESTER AVENUE, 3RD FLOOR BAKERSFIELD, CA 93301 (805) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To avoid further action, return this form within 30 days of 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: Chevron SS# lg42/203576 LOCATION: 1125 Coffee Road Baker~qfield 93308 MAILING ADDRESS: P_O. Box 6004 CITY:San R~mnn STATE: CA ZIP:94593 PHONE: (,805) 58g-9066 DUN & BRADSTREET NUMBER: 00-914-0559 SIC CODE: 5541 PRIMARY ACTIVITY: G~_mline St~tlon OWNER: Chevron Products Company MAILING ADDRESS: P.O_ gox 6004 San R~mon CA 94~;gt SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE 1. St~ff D,,~ Clerk (gO_S) 5gg-9066 (g05) Sgg-9066 2. Chev_ Fmer_ Info. Cent. gt~ff (800) 231-0623 (800) 231-0623 ~ Bakersfield Fire Dept. "Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING NUMBER OF EMPLOYEES:$ 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 audiovideo program including MSDS review. b. Hazwoper, written and audiovideo program. c. At a minimum, all employees are trained initially (upon hire) and training is refreshed annually. SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIME EXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I K~thv Norr~ CERTIFY THAT THE ABOVE INFOR- MATION 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. 2. Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: .C_Jxey~n_SS# 18_42/203576 SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: 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 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 Environmental Marketing Assistant for proper notification to regulatory agencies. B. EMPLOYEE NOTIFICATION AND EVACUATION: Notification will be accomplished verbally (shouting) and via the intercom system. C. PUBLIC EVACUATION: 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 Road 589-6305 D. EMERGENCY MEDICAL PLAN: MEDICAL FACILITIES: Memorial Urgent Care 6501 Ming Avenue 397-4004 Bakersfield Memorial 420 34th Street 327-1792 Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: a. Barriers installed to prevent vehicle collision with pumps. b. Vapor Recovery Systems used when filling 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 MINIMIZATION: 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 PROCEDURES: a. Keep nonessential personnel away from area. b. Notify Chevron Maintenance Dispatch (800) 423-6911 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. SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: At tank, North side of lot ELECTRICAL: Inside Fond Mart "back room" (main is in breaker box~ WATER: Meter: In Northeast sidewalk of Brlmhall Road SPECIAL: Emergency, Pump ghumff: a) Cashier console; h) Northeast corner nf Food M~rt: outside LOCK BOX: YE~ IF YES, LOCATION:. SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: Fire extinguishers are kept at the facility. B. WATER AVAILABILITY (FIRE HYDRANT): Southwest corner of Brimhall Road and Coffee Road 4. - April 16, 1998 ':: -:-: " ':'-: '-~-- ';-: -' -' :-: -':? ~;::{:}:'-': . : :::! "- :: .... " Bakersfield -" .Office:of:Enviromental Servides ~: - - : ::; ' - .: :: A-Venue, 3rdFloor - ~ __:- . ; ::~- .;___ 1715 Chester _ . .._'.: . . '- -. : :. -.~ ...... Bakersfield, eX:93361 :}:_: :'}~2; .~.; : ; : ~' ~ - ~-- T . - : .2: : '.' ' . _. ~ . _ : ~¢'~ .... ;'-' :-~ - H do,,~" Materials: :':' ;:CaSrai.' th::' --:: r'" :-~'-,-'?~ ~:~;:'5;'=_ ::-:'-' 7 '] ] ':5 Attention: : . - ~. _ , .- _ : ,: _ - Chevron Stati0~ 'Inc:has :contracted ~n3i~0~ent~] ~anage~ent S~a~O~e .Systefi~;:~nc::(~SS) t0 provide the Hazardous Materials ~gna~ment Plan for-~h~ir facility-lbcate3 in your jurisdiction. --- En~!9~d '°u will-find an ~pdat~: 1998 5azardouS Materials Management PI~ for: CheVrOn SS ~183~/201527- ~ .. - 6601-Min~ Avenue:= ~ ' - ' ' " Chevron SS ~1842J203576 : '- ~': -: 1-125 Coffee Road .: -: -:2:. -::,- Chevron SS ~1849/20656i: 3360 Panama Lane.-. ' ' - Please rep~ac~ ~y p]fins y)at yoa may cmefitiy~have:oa:~]e:with this' updated.versi0n.~- any questions reg~ding this submittal;' please ~-6ntact ~e:at(805) 925-6285 *~ ':-::: :' '.~ - - - 2:2. :.. ' . . . ....: Sh~on L. C lv . _~ . _ - . . . :.: ...... :..._ :_ . ' Enclosure -_. [: :-::--- _:2' : :'