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HomeMy WebLinkAboutBUSINESS PLAN (2)~j ~~~ e'{ r' ~~ ~~ ~% ~~ . ;, R ~~1~ ~' ~~ ~~~ I ~ ~.~ `~ .JOHN STUART DEL TACO MOBIL -. -- ~~, ~;_ - - - ~ __ I 3624 CALIFORNIA- AVENUE L-- - ~-- - --- \ __ = DEL TACO MOBIL ~ J .. . Manager ANGIE LIEVANA Location: 3624 CALIFORNIA AVE City BAKERSFIELD CommCode: BFD STA 03 EPA Numb: SiteID: 015-021-0019175 BusPhone: (661) 325-4770 Map 102 CommHaz Moderate Grid: 35B FacUnits: 1 AOV: SIC Code:5541 DunnBrad: ............... Emergency Contact / Title Emergency Contact / Title ANGIE LIEVANA / MANAGER JOHN A STUART / VICE PRESIDE~T'f' Business Phone: (661) 325-4770x Business Phone: (661) 325-6320x 24-Hour Phone (661) 912-6303x 24-Hour Phone (661) 325-6320x .Pager Phone ( ) - x Pager Phone ( ) - x ............... Hazmat Hazards: ............... Contact TACO TWO p,~ a 3 3y, ~e- Phone : ( 6 61) 3 2 5- 4 7 7 0 x MailAddr: 8200 STOCKDALE HWY,d~t'-10 State: CA City BAKERSFIELD Zip 93311 Owner TACO TWO Phone: (66.1) 325-4770x Address 9902 RANCHO VERDE DR State: CA City BAKERSFIELD Zip 93311 Period to TotalASTs: = Gal Preparers TotalUSTs: = Coal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD PROG U - UST Based on my inquiry of those individuals nsible for obtaining the information, i certify respo under penalty of law that I have personally [AI t examined and am familiar with the information / D ~c V C ~ submitted and believe the information is true, 2 ~ ZOO accurate, and complete. ~~ Sign u Date -1- O1/30/~007 11 F DEL TACO MOBIL SiteID: 015-021-001945 ~ STORAGE CONTAINER DATA (UST FORM A) Last .Action Type: FACILITY/SITE INFORMATION "" Business Name: DEL TACO MOBIL Cross Street Business Type: Org Type: Total Tanks 3 IndnRes/Trust: No PA Contact: Dsg Own/Oper AARON KOOP ICC Nbr: 5246167-UC PROPERTY OWNER INFORMATION " Name JOHN A STUART Phone: (661) 325-6320x Address: City State: Zip: Type CORPORATION TANK OWNER INFORMATION Name JOHN A STUART Phone: (661) 325-6320x Address: City State: Zip: Type CORPORATION BOE UST Fee# 006217 Financ'1 Resp: STATE FUND Legal Notif Business Mailing Address " ............... Date:04/19/2000 Phone: (336) 620- x Name:STUARTS PETROLEUM Ttl:PRES State UST # 1998 Upg Cert#: -2- O1/30/~007 F DEL TACO MOBIL SiteID: 015-021-0019f75 ~ ~ Hazrtnat Inventory By Facility Un€ ~ ~ MCP+DailyMax Order Fixed Containers at Sits ~ ............. Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit NtCP ............ GASOLINE L 10 0 0 0. 0 0 GAL Ir+Iod GASOLINE L 10 0 0 0. 0 0 GAL i~'Iod DIESEL L 10000.00 GAL tow -3- O1/30/2b07 -4- O1/30/~007 F DEL TACO MOBIL SiteID: 015-021-001945 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Sits ~ COMMON NAME / CHEMICAL NAME GASOLINE Days On Sites 365 Location within this Facility Unit Map: Grid: UST CAS# 8006639 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture TAmbient ~ Ambient -~ER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 10000.00 GAS ............. HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Gasoline No 8006519 t11~L1HKL HJ bL' .7.71~1r11V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MSC No No No No/ Curies / / / Mt~c3. ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME GASOLINE Location within this Facility Unit UST STATE TYPE PRESSURE Liquid TMixture~Ambient Facility Unit: Fixed Containers at Sits ~ Days On Site 365 Map: Grid: CAS# 8006619 TEMPERATURE CONTAINER TYPE Ambient -~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 10000.00 GAS 1~1f'~LKKLVUI.7 l.V1YlYV1V1',1V 11.7 %Wt. RS CAS# 100.00 Gasoline No 8006619 ri1-~L1Ktt1J E'i1 J17L" A.71~1L"1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies / / / Mind -5- Ol/30/~007 F DEL TACO MOBIL SiteID: 015-021-001905 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Sits ~ COMMON NAME / CHEMICAL NAME DIESEL Days On Site 365 Location within this Facility Unit Map: Grid: UST CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 10000.00 GAS tir~~.~ucLUUS ~vi~iruiv~iv i %Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476~b2 tiHGKKL A~J1'~5a1~1L"~1V"1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MC1~ No No No No/ Curies / / / L~4v -6- Ol/30/2b07 F DEL TACO MOBIL SiteID: 015-021-0019t3~ ~ Fast Formal ~ ~ Notif./Evacuation/Medical- Overall Side ~ ~ Agency Notification 04/04/206 ~ IN THE EVENT OF A RELEASE BEYOND A NOZZLE SPILL, CONTACT THE BAKERSFIELD FIRE DEPT 326-3979. Employee Notif./Evacuation 12/11/20tl0 ALL EMPLOYEES WILL BE INSTRUCTED ON EVACUATION PROCEDURES. THERE ARE 3-EXITS IN THE BLDG, EMPLOYEES WILL BE REQUESTED TO USE CERTAIN EXITS AND MEET AT ~ PLACE SELECTED BY THE SHIFT MANAGER TO ASSURE ALL STAFF HAS EXITED THE BLDG: Public Notif./Evacuation 12/21/1998 THE TWO EXITS IN THE PUBLIC AREA WILL BE USED FOR EVACUATION OF THE PUBLIC: SHIFT MANAGERS WILL BE ENCOURAGED TO KEEP CONTROL TO AVOID PANIC SITUATIONS: Emergency Medical Plan 12/21/1998 CALL 911. -'~- Ol/30/~007 F DEL TACO MOBIL SiteID: 015-021-0019035 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Sits ~ ~ Release Prevention 04/04/206 ~ THE STATION IS UPDATED TO CALIFORNIA STANDARDS, DOUBLE-WALL TANKS, SPILL PROTECTION, OVERFILL PREVENTION MONITORS WITH AUTOMATIC TANK TIGHTNESS REPORTS. Release Containment 04/04/200~i AUTOMATIC SHUT-OFF, MANUAL SHUT-OFF. Clean Up 10/27/20b6 NOZZLE SPILLS, SATURATE WITH BITTY LITTER, SWEEP UP & BAG HOLD FOR HAZARDOi3 WASTE PICK-UP. ANY MAJOR LEAK WE USE A CERTIFIED CLEAN-UP COMPANY. v6.11C J. iLCDV UJ.VC t'~V l.1Vdl.1 V11 -8- 01/30/2007 p DEL TACO MOBIL SiteID: 015-021-001945 ~ . Fast Forma€ ~ ~ Site Emergency Factors Overall Side ~ Special Hazards Utility Shut-Offs 01/30/20©5 A) GAS - NW SIDE OF BLDG B) ELECTRICAL - PANEL SW SIDE OF BLDG D) WATER - E) SPECIAL - NONE F) LOCK BOX - NO~ Fire Protec./Avail. Water 11/14/2005 PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS OVER THE STOVES. FIREMASTEFt FOAM MACHINE. NEAREST FIRE HYDRANT - CRNR EASTON £r CALIFORNIA AVE. Building Occupancy Level 04/04/20175 53 EMPLOYEES -9- O1/30/~007 P DEL TACO MOBIL SiteID: 015-021-00190 ~ Fast Forma. ~ .Training ~ Overall Si~~ ~ ~ Employee Training 10/27/20b6 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: THE STATION IS OPEN 24 HOURS, HAS THREL SHIFTS AND THREE SHIFT MANAGERS WHO INSTRUCT THEIR PERSONNEL ON PROCEDURES IN THE EVENT OF A RELEASE. Page z nciu i.v.c ruVUiG use nC1u LVL rut~uLC Ui3~ -10- O1/30/~007 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program f -: B E R S F I D f/RE ARTM T Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPEC ION DA INSPEttT,~N TIME ADDRESS ~, ~ -~ c~1 ~ ~~`~~ ~ ~v~ PHONE NO. 70 NO OF E LOYEES ~ FACILITY CONTACT B ESS ID N MBER 15-021- j Q Sec#ion 1: Business Plan and Invea#ory Program __ ~ ~ ~ ~ 1/ ^ ROUTINE ~ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE _~ ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ENT Np ~, ^ VERIFICATION OF INVENTORY MATERIALS ` ^ VERIFICATION OF QUANTITIES y„ ~D ^ VERIFICATION OF LOCATION J ,~j ^ PROPER SEGREGATION OF MATERIAL ~~ ^ VERIFICATION OF MSDS AVAILABILITY ^ / VERIFICATION OF HAZ MAT TRAINING ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ _ _ (~ -~7 b 5~4_ ~~ ,~ ' i ~ Q P J~ ~D ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ~ oir ^ ~ SITE DIAGRAM ADEQUATE & ON HAND ~, a,/ ~~ ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ^ YES ~O QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1s' In / Sh' of Site/Station # ner-Dais White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 :,i. .rii'C~ P9t?GIL ~o'~'a Cf;L I Fi?)1t+J I r H'~.r Br};EF'~F I ELD Cis . 9'+3uy ,~..~TEt°I ;JT~~TU.~; REF~~lkT ALL FU(Vi"f I+Jfd:~ IJ~=+Rf"ihL I h~'vEIJT'~'R";` REF'?J1r:T T 1:LiIE~EL i~IULUP9E _ '448 GHL~ ULLr~i,;E = 1552 GHLS r 9U''~ IJLLAC~E= 115:' C~~L~; ,• Ti Vi:}LUt°lE = '~44r, GHLS~-:, HEIGHT = 56.4t~ 1 t'~l ?HE.3. In1r~TER ~'~~>L = U i~r~LE J~ WHTER = D.OU ItV~'HE:~ T 2 : F REh9 I I_IP9 HEIGHT = 43.'6 ] !`.f'~~,ES ~„INTER ~M+rJL = U i_ hL:~ l.,hTER = U . UU I P~lC'HE:~ TEt°iP = 7U . 5 LEG F -, T :~ : IJt'JLEHUEU t+C;LUt°IE = t;,y45 i_,r-iL ' UL.LrC:E - 5U55 iaNL `1U"; ULI_F',l;•E= ~jt+55 i3HL TC' ,?{>LUh4E = G94G ta~LS HEIGHT = 53 .'35 I PJi:'HEw~ h1rTER 1r'C;L = 1 ? GHLS L.Jr~"I'ER = 0 , aJG I Mi:'HE°~ ~ TEP'IF' = ty.J3 rift, F ~'"'~. INSPECTIONS L B I+ E R S F I L D BUSINESS PLAN & ~ rM r INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST FACILITY NAME:~er 1'~iACO M Obi Section 2: Underground Storage Tanks Program INSPECTION DATE: i ~`'~ 6 ^ Routine "~ Combined ^ Joint Agency ^ Multi-Agency ^ - omp aint ^ Re-Inspection Type of Tank ~ ~ Store ~ Number of Tanks Type of Monitoring ` ~ hu-c,a Type of Piping ~ !~ o~ ~~ sSuz OPERATION C V COMMENTS Proper tank data on file Proper owner /operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? ^ Yes ~1 0 Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank Aggregate Capacity Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF?) If yes, does tank have overtill I overspill protection? C =Compliance V =Violation Y =Yes N = No Inspector: C~-~Q,~L1M -f~~ Questions regarding this inspection? Please call us at (661) 326-3979 White -Prevention Services Pink -Business Copy BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 KBF-7335 FD 2'I ~J6 (ReV. Q9/o5) ~~~~ ~ S~/~/C~ r~, UNIFIED PROGRAM INSPECTION CHECKLIST Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 ~ °` SECTION 1 Business Plan and Inventory Program ~~ FA(:ILIT`/'JANE INSPECTION DATE INSPECTION TIME "~-- ~ ~ PHONE No. No. of Employees ADDRESS fAC;ILITYCONTACT Business ID Number 15-02 l - ~D,j Section 1: Business Plan and Inventory Program ^ Routine 1~ Combined ^ Joint Agency ^Nulti-Agency ^ Complaint ^ Re-inspection D' ^ CORRECT OCCUPANCY m/~^ BUSINESS PLAN CONTACT INFORMATION ACCURATE LY ^ VISIBLE ADDRESS ~ V \ V=Vio atonnce l OPERATION COMMENTS ~^ APPROPRIATE JPERMIT ON HAND dY ^ VERIFICATION OF INVENTORY MATERIALS ©- ^ VERIFICATION OF QUANTITIES l~ ^ VERIFICATION OF LOCATION ^ ^ PROPER SEGREGATION OF MATERIAL 'I ^ ^ VERIFICATION OF MSDS AVAILABILITYE !~ ^ ^ VERIFICATION OF HAT MAT TRAINING ~r----...-- -- ------------ --- ---- ------ ------ ' ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES it ^ ^ EMERGENCY PROCEDURES ADEQUATE ~Y^ CONTAINERS PROPERLY LABELED ~' ^ HOUSEKEEPING ©-~^ FIRE PROTECTION ^~ ^ SITE DIAGRAM ADEQUATE Sr ON HAND ANY HAZARDOUS WASTE ON SITE: ^ YES L9~N0 EXPLAIN: QUESTIO EGARDIN HI NSPECTION? PLEASE CALL US AT ~66'I ~ 326-3979 _ J„~ - ~ , Inspector Badge No., Business Site R s si a Party white -Environmental Services Yellow -Station Copy Pink • Business Copy ~~.~ ,. I'/~G/~~~1.1) R~~F ~ 1 CITY OF BAKERSFIELD FIRE DEPAR'('MENT O 1 ~°~~~ OFFICE OF E:NVIRONI~~IENTAL SERVICES `~ y~' UNIFIED PROGRAM INSPECTION CIiECKLIST ~%-w ~R/,/,'~~ 1715 Chester Ave., 3''`' Floor, Bakersfield, CA 93301 FACILITY NAME fl~~ l [,ICC' ~t\ela- Section 2: Underground Storage "Tanks Program INSPECTION DATE3G " r ~ ^ Routine ~ Combined ^ Joint Agency C,~ Multi-Agency ^ Complaint ^ Re-inspection Type of Tank ~ u F 5 Number of Tanks Z Type of Monitoring Ct c, lL~ - Type of Piping (OCUf-~ OPERATION C V COMMENTS Proper tank data on file Proper ownerioperator data on tilt Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank OPERATION Y N COMMENTS SPCC available SPCC: on file with OES Adequate secondary protection Proper tank placarding/labeling fs tank used to dispense MVF? (f yes, Does tank have overtillioverspill protection'? C=Compliance j - V=Violation Y=Yes N=NO Inspector Office of Environmental Services (661) 326-3979 1A'hitc -Env. Svcs. AGGREGATE CAPACITY Number of Tanks Piny - Ru~incss C'nry Business Site Responsible rty ~,..~: UNIFIED PROGRAM INSPECTION CHECKLIST Bakersfield Fire Dept. EnironnaentaIl Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 SECTION 1 Business Plan and Inventory Program FACILITY NAM INSPECrTl01/ OAT INSPECTION TIME E/// d`J-JJ/ ---~1 ~~Q --_~_l~~i<<---- ----------- - -- ------_-_-_ ---- -- --- Q -~ ---- - ------- ----- -- - ADDRESS P ON N No. of Employees .-. ~- FACILITYCONTACT siness ID Number 15-021- Section 1: Business Plan and Inventory Program ^ Routine mbined O Joint Agency ^Mnlti-Agency O Complaint ^ Re-inspection C ~ \V=Voatonnce) OPERATION COMMENTS ~^ APPROPRIATE PERMIT ON HAND LI LJ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY i ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ~^ PROPER SEGREGATION OF MATERIAL ~^ VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF FIAT MA7 TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEDUATE - - --- - -- ^ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ~^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE: ^ YES N EXPLAIN: QUESTIONS CARDING T IN PECTION~ PLEASE CALL US AT ~66'I ~ 326-3979 - Inspector Badge No., White -Environmental Services Yellow -Station Copy ness,Site esponsible Party Pink -Business Copy ~„~ ~~tw~~' '`~~~ ~ ~ CITY OF BAKERSFIELD FIRE DEPARTMENT , \ ;d ro; OFFICE OF ENVIRONMENTAL SERVICES ~~ , y.` \ ~ UNIFIED PROGRAM INSPECTION CHECKLIST ~=_wE~g~,d~ 1715 Chester Ave., 3~d Floor, Bakersfield, CA 93301 ~--, ~ ,,( I FACILITY NAME ~ ~ (QCD C ~~.fJ~O-. INSPECTION DATE Section 2: Underground Storage Tanks Program ^ Routine ~mbined..- ^ Joint Agency ^Minti-Agency ^ Complaint ^ Re-inspection Type of Tank I~119 ~ Number of Tanks 3 Type of Monitoring P irU/L Type of Piping ~1t,1` OPERATION C V COMMENTS Proper tank data on the Proper owner/operator data on file Permit tees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes NO Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY, Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on the with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfiill/overspill protection? C=Compliance . =Violation Y=Yes N=NO Inspector: Oftice of Environmental Services (805) 326-3979 white -Inv. Svcs. Pink -Business Copy ss~i~ Responsible Party r"s1, S + DEL TACO MOBIL =_______=________=____________________ SiteID: 015-021-001905 + Manager ANGIE LIEVANA Location: 3624 CALIFORNIA AVE City BAKER5FIELD BusPhone: (661) 325-4770 Map 102 CommHaz Moderate Grid: 35B FacUnits: 1 AOV: CommCode: BFD STA 03 EPA Numb: SIC Code:5541 DunnBrad: Emergency Contact / Title Emergency Contact / Title ANGIE LIEVANA / MANAGER JOHN A STUART / VICE PRESIDENT Business Phone: (661) 325-4770x Business Phone: (661) 325-6320x 2 4 -Hour Phone ( 6 61) ~4A--~4~'Sxq>~.-(~ 2 4 -Hour Phone ( 6 61) 3 2 5- 6 3 2 0 x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Contact TACO TWO v ~,I_ ~ hone: (661) 325-4770x MailAddr • °~~^ zT~nn~ n~ g~ ~~dC.~C~ IState • CA City ~AKER~FIELD - - 5t1 x'4"2. N-l0 PKC~ 33F1 Zip 93311 ------------ `~~(~sC-c~1d---~~~~-~----------------------------+ Owner TACO TWO Phone: (661) 325-4770x Address 9902 RANCHO VERDE DR State: CA City BAKERSFIELD Zip 93311 Period to TotalASTs: = Gal Preparers TotalL7STs: = Gal Certif~d: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD PROG U - UST F~T'D IV®U 14 2006 Based on my inquiry the information, Ilcer fy responsible for obtaining ersonallY under penalty of law tha4 I have p ex fitted and belie e~lthe nformationo is true, acc~lrate, and comple~t date -1- 04/04/2006 4 `. DAL TACO MOBIL SiteID: 015-021-001905 = Manager ANGIE LIEVANA Location: 3624 CALIFORNIA AVE City BAKERSFIELD BusPhone: (661) 325-4770 Map 102 CommHaz Moderate Grid: 35B FacUnit~: 1 AOV: CommCode: BFD STA 03 EPA Numb: SIC Code:5541 DunnBrad: Emergency Contact / Title Emergency Contact / Title ANGIE LIEVANA / MANAGER JOHN A STUART / VICE PRESIDENT Business Phone: (661) 325-4770x Business Phone: (661) 325-6320x 24-Hour Phone (661) 912-6303x 24-Hour Phone (661) 325-6320x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Contact TACO TWO PMB334 Phone: (661) 325-4770x MailAddr: 8200 STOCKDALE HWY M-10 State: CA City BAKERSFIELD Zip 93311 Owner TACO TWO Phone: (661) 325-4770x Address 9902 RANCHO VERDE DR State: CA City BAKERSFIELD Zip 93311 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD PROG U - UST ... _ , ry' 4 ~OQ~ ~~ ;~ +'~ ' {t} f (/l ]( /fr ! J F ( 6/ ~, . ~J -~-- 07/11/200 i F i7EL TACO MOBIL SitelD: 015-021-001905 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: DEL TACO MOBIL Cross Street Business Type: Org Type: Total Tanks 3 IndnRes/Trust: No PA Contact: Dsg Own/Oper AARON KOOP ICC Nbr: 5246167-UC PROPERTY OWNER INFORMATION Name JOHN A STUART Phone: (661) 325-6320x Address: City Type CORPORATION Name JOHN A STUART Address: City Type CORPORATION State: Zip: TANK OWNER INFORMATION Phone: (661) 325-6320x State: Zip: BOE UST Fee# 006217 Financ'1 Resp: STATE FUND Legal Notif Business Mailing Address Date:04/19/2000 Phone: (336) 620- x Name:STUARTS PETROLEUM Ttl:PRES State UST # 1998 Upg Cert#: -2- 07/11/2007 F DEL TACO MOBIL SitelD: 015-021-001905 = ~ Hazmat Inventory By Facility Unit = ~ MCP+DailyMax Order Fixed Containers at Site = Hazmat Common Name... ~SpecHaz~EPA Hazards Frm ~ DailyMax ~Unit~MCP GASOLINE L 10000.00 GAL Mod GASOLINE L 10000.00 GAL Mod DIESEL L 10000.00 GAL Low -3- 07/11/200 F DAL TACO MOBIL SiteID: 015-021-001905 ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site = COMMON NAME / CHEMICAL NAME GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: UST CAS# 8006619 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture Ambient ~ Ambient -~ER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily .Average 10000.00 GAL 10000.00 GAL 10000.00 GAL TTT Aw TT1/1TTl1 !Y/\~RT\I1LTT11TTA _ _-- _. ~V 8006619 I1E~GHttL HA.7L" .7.71~1L'r1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / j Mod ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME GASOLINE Location within this Facility Unit UST STATE TYPE PRESSURE Liquid TMixture ~-Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 8006619 TEMPERATURE CONTAIN~'R TYPE AmbientUNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily .?average 10000.00 GAL 10000.00 GAL 10000.00 GAL l7tiL,['i1VJV V.7 l..VllYV1Vr,1V 1 ~7 oWt. RS CAS# 100.00 Gasoline No 8006619 17t~GK1VJ liA DP~a7.711L`J.V 1 ~J TSecret RS BioHaz RadioactivejAmount EPA Hazards NFPA ~;JSDOT# MCP No No No No/ Curies / / / Mod -5- 07/11/2007 F D$L TACO MOBIL SitelD: 015-021-001905 = ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site COMMON NAME / CHEMICAL NAME DIESEL Days On Site j 365 Location within this Facility Unit Map: Grid: UST CAS# STATE ~"~' TYPE T PRESSURE TEMPERATURE ~~ CONTAINER TYPE Liquid I Mixture I Ambient ~ Ambient I UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily .Average 10000.00 GAL 10000.00 GAL 10000.00 GAL t1F~GHKIIVUJ 1;V1~lYV1V~1V"1'S ~ '- %Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 ru~~.ytc.u xa ~ ~~ 5r~ty 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -6_ 07/11/2007 F DEL TACO MOBIL SiteID: 015-021-001905 Fast Format ~ Notif./Evacuation/Medical Overall Site Agency Notification = 04/04/2006 IN THE EVENT OF A RELEASE BEYOND A NOZZLE SPILL, CONTACT THE BAKERSFIELD ~ FIRE DEPT 326-3979. Employee Notif./Evacuation = 12/11/2000 ALL EMPLOYEES WILL BE INSTRUCTED ON EVACUATION PROCEDURES. THERE ARE 3 EXITS IN THE BLDG, EMPLOYEES WILL BE REQUESTED TO USE CERTAIN EXITS AND MEET AT A PLACE SELECTED BY THE SHIFT MANAGER TO ASSURE ALL STAFF HAS EXITED THE BLDG. Public Notif.jEvacuation = 12/21/1998 THE TWO EXITS IN THE PUBLIC AREA WILL BE USED FOR EVACUATION OF THE PUBLIC. SHIFT MANAGERS WILL BE ENCOURAGED TO KEEP CONTROL TO AVOID PANIC SITUATIONS. Emergency Medical Plan = 12/21/1998 CALL 911. -7- 07/11/2007 F DEL TACO MOBIL SiteID: 015-021-001905 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt ~~verall Site ~ ~ Release Prevention = 04/04/2006 ~ THE STATION IS UPDATED TO CALIFORNIA STANDARDS, DOUBLE-WALL TANKS, SPILL PROTECTION, OVERFILL PREVENTION MONITORS WITH AUTOMATIC TANK TIGHTNESS REPORTS. Release Containment = 04/04/2006 AUTOMATIC SHUT-OFF, MANUAL SHUT-OFF. Clean Up = 10/27/2006 NOZZLE SPILLS, SATURATE WITH KITTY LITTER, SWEEP UP & BAG HOLD F~;~R HAZARDOUS WASTE PICK-UP. ANY MAJOR LEAK WE USE A CERTIFIED CLEAN-UP COMPAI:~TY. V 1.11CL 1CC b"V ULLC HC~l,1Vdl. 1. V11 -8- 07/11/2007 F DAL TACO MOBIL SiteID: OlS-021-001905 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ Special riazaras Utility Shut-Offs = 02/28/2007 GAS - NW SIDE OF BLDG ELECTRICAL - PANEL Sod SIDE OF BLDG Fire Protec.jAvail. Water = 11/14/2006 PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS OVER THE STOVES. FIREMASTER FOAM MACHINE. NEAREST FIRE HYDRANT - CRNR EASTON & CALIFORNIA AVE. Building Occupancy Level = 04/04/2006 53 EMPLOYEES -9- ~~ID .......__.........__ ~----- O1.~ ~~~~..9-~3-7 :. F DAL TACO MOBIL J1l.G1L: V1.7-VG1-VV1JV...7 Fast Format ~ ~ Training ~Jverall Site ~ ~ Employee Training = 02/28/2007 ~ MSDS SHEETS ON FILE. BRIEF SUNtMARY OF TRAINING PROGRAM: STA IS OPEN 24-HRS-PER-DAY, ~:3P,S THREE SHIFTS AND THREE SHIFT MANAGERS WHO INSTRUCT THEIR PERSONNEL ON :PROCEDUR.ES IN THE EVENT OF A RELEASE. rage ~ . ~ ~ r _ •zciu ivi ru.a..ui.c vac C1C1U LVL PULLLIC V:ie -10- 07/11/2007 eq_.__ . .