Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
BUSINESS PLAN (2)
i~ I~ ,~ ~~ ~ ;r~ j ;~ )~ ~ ~~'~* ARCO STATION #6218 4203 MING AVE. y08CX~ 1 ~~~ ~~ r l.!` B ~- _ ~~ ~~ ~ S ~ 1~1R ..,, • RANA~ENT INC A ARCO AM/PM SiteID: 015-021-000563 Manager F~~R S BusPhone: (661) 834-1076 Location: 4203 MING AVE Map.: 123 CommHaz :Moderate City BAKERSFIELD Grid: 11A FacUnits: 1 AOV: CommCode: BFD STA 07 EPA Numb: SIC Code:5541 DunnBrad:51-012-0713 Emergency Contact / Title mergency Contact / Title MEHDI SATER / OWNER/OPERATOR ~~Lttt / cnT rTmr.-.*Tr+ r_ ~.n Business Phone: (661) 834-1076x / Business Phone~°`''(.~•9~A~ ~r2 6~~~~ 24-Hour Phone (909) 772-5717x v 24-Hour Phone ( x /p Pager Phone ( ) - x e (!~~) "~"'t~_ Hazmat Hazards: Fire Press ImmHlth DelHlth Contact MEHDI SATER / Phone: (909) 772-5717x MailAddr: 4203 MING AVE State: CA City BAKERSFIELD Zip 93309 Owner RANA ENTERPRISES INC. Phone: (661) 834-1076x Address 507 E 21ST ST State: CA City UPLAND Zip 91786 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd:~ RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG~'H` - HAZ WASTE GEN PROG U - UST __ EN1''D ~ U L 2 3 X007 Based on m quirt' of those i reSponsib!e for oht i a nin ndividuals under penait g the infor d of la"~ that I mation, I certif examined y an s' omitted and am.familiar with th~ for onally cu rat e, and' ' 'eve the information is ation omp ete. true - A~ // , //~' ~ r ,i ~lG~ / Signa---"ture ~-t"`~ 7 ~'~7l d S -~- ~ •r ate --- ~'J ~~ ~ ~a2l~r~S ~ ( ue e X23 ~~3~'_ ~ ~~ s ~' 3~~~ r~ -1- 05/17/2007 F RANA ENT INC DBA ARCO AM/PM SiteID: 015-021-000563 ~ STORAGE CONTAINER DATA .(UST FORM A) Last Action Type: ~ `~ FACILITY/SITE INFORMATION Business Name: RANA ENT INC DBA ARCO AM/PM Cross Street Business Type: Org Type: / 3 ~~ Total Tanks 4 IndnRes/Trust: No ~ PA Contact: / sZ 3'~..(!C Dsg Own/Oper 'ja~KiSs ~p(f/~~{(~J/ICC Nbr: ~'~^~8 PROPERTY OWNER INFORMATION ~ '` Name ARCO CUSTOMER Phone: (800) 272-6349x Address: ~ - ... City Type Name ARCO CUSTOMER Address: City Type State: Zip: TANK OWNER INFORMATION Phone: State: Zip: (-Sfr6-j--2'7~~-6349x ' 6 6 r-.~~- ~D r-~ BOE UST Fee# 000506 Financ'1 Resp: SELF INSURED /' Legal Notif ~~? -S7 Date:O1/11/2000 M~~o~ ~~~R Phone: ;'"'; "__ __- x Name: ~`,C Tt1:ENVIRON. ADMIN. State UST # 1998 Upg Cert#: 28501 -2- 05/17/2007 :, F RANA ENT INC DBA ARCO AM/PM SiteID: 015-021-000563 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PREMIUM GASOLINE '~F IH DH L 10000.00 GAL Mod UNLEADED GASOLINE '~F IH DH L 10000..00 GAL •Mod UNLEADED GASOLINE _ ~,' ~ F IH DH L 10000.00 GAL Mod UNLEADED GASOLINE ~ F IH DH L 10000.00 GAL Mod CARBON DIOXIDE REFRIGERATED LIQ /F P IH L 400.00 GAL Min MOTOR OIL /F DH L 30.00 GAL Min WASTE ABSORBANT ~ F IH S 55.00 GAL UnR WASTE FLAMMABLE LIQUIDS/SOLVENT / F DH L 55.00 GAL UnR ~., .,.. -3- 05/17/2007 -4- 05/17/2007 F RANA ENT INC DBA ARCO AM/PM ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME PREMIUM GASOLINE Location within this Facility Unit UNDERGROUND STORAGE TANK STATE TYPE PRESSURE Liquid TMixture ~ Ambient SiteID: 015-021-000563 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8006-61-9 TEMPERATURE CONTAINER TYPE Ambient UNDER GROUND TANK AMOUNTS AT LOCATION - Largest Container Dail x m m Daily Average 10000.00 GAL 0000. 0 GAL 5000.00 GAL t1AGKKLV U.7 1..V1~lYV1V~1V 1 J $Wt. RS CAS# 100.00 Gasoline No 8006619 t1L~GEiKL HJJiSJJ1~1J;1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Location within this Facility Unit UNDERGROUND STORAGE TANK STATE TYPE PRESSURE Liquid TMixture ~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8006-61-9 TEMPERATURE CONTAINER TYPE Ambient ~ UNDER GROUND TANK AMOUNTS AT LOCATION Largest Container Da' y Maxim m Daily Average 10000.00 GAL 10000. GAL 5000.00 GAL I1HGtiCCLVU~J 1..V1~lYl7i~T"1V 1.7 ~Wt. RS CAS# 100.00 Gasoline No 8006619 ritiGtiltL HJ JP~iJ~71.1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -5- 05/17/2007 F RATA ENT INC DBA ARCO AM/PM SiteID: 015-021-000563 ~ ~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: UNDERGROUND STORAGE TANK CAS# 8006-61-9 Liquid TMixtur~ Ambient~E ~ AmbientT~E UNDEROGROUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Dai um Daily Average 10000.00 GAL 0000. 0 GAL 5000.00 GAL t1.y~t~tcLV ua wl~~~ ,~W-~v 1 J %Wt. ~ RS CAS# 100.00 Gasoline No 8006619 ru~~r~.tcl~ xaanJJl~i~,iv1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0008 COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Location within this Facility Unit UNDERGROUND STORAGE TANK STATE TYPE PRESSURE Liquid TMixture ~mbient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8006-61-9 TEMPERATURE CONTAINER TYPE Ambient UNDER GROUND TANK AMOUNTS AT T OCATION Largest Container Dai a im m Daily Average 10000.00 GAL 10000. 0 GAL 5000.00 GAL I1ti4tiKLVUJ ~.V1~lYV1V~1V 1.7 %Wt. RS CAS# 100.00 Gasoline No 8006619 L11iGL-].ICL 1-~~ J 7,G J.7P7r,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -6- 05/17/2007 F RANA ENT INC DBA ARCO AM/PM ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME CARBON DIOXIDE REFRIGERATED LIQUID Location within this Facility Unit BACK ROOM STATE TYPE PRESSURE _ Liquid TPure Above Ambient SiteID: 015-021-000563 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 124-38-9 TEMPERATURE CONTAINER TYPE Cryogenic INSUL.TANK / CRYOGENIC. AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 400.00 GAL 400.00 GAL 217.00 GAL rlt~~tjtcuvu~ ~vl~irviv~iv-1~5 ~Wt. RS CAS# 100.00 Carbon Dioxide No 124389 tiAGH.KL A5,~i5551~1L"~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH j / / Min ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME MOTOR OIL Location within this Facility Unit BACK ROOM OR FRONT SHELVES STATE TYPE PRESSURE Liquid TMixture ~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8020835 TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Conta0i25rG~ Daily M30100m GAL I Daily A15r00e GAL t11~GLittLVUa ~.~1nrv1V1~,1V1~ %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 t1HGHlCL Ei. 7~7r,.7J1~liS1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -7- 05/17/2007 F RANA ENT INC DBA ARCO AM/PM SiteID: 015-021-000563 ~ ~ Inventory Ttem 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE ABSORBANT Days On Site 365 Location within this Facility Unit Map: Grid: BACK ROOM AND OUTSIDE YARD CAS# ~SolidE TWaste ~ AmbRent~E ~ A~PeRATURE DRUM/BNARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 25.00 GAL t1AGHK1JVU5 1:V1~lYV1Vi''~1V 1'~ cwt. Rs CAS# 100.00 MIXTURE OF WASTE OIL HEAVY PETROLEUM DISTILLAT No t~~ritc~ r~aa.GS~rir;iv 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / UnR ~ Inventory Item 0009 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE FLAMMABLE LIQUIDS/SOLVENT Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste Ambient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 25.00 GAL HAZARDOUS COMPONENTS r r °~o Wt . RS I CAS# HAZARD A SSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR -8- 05/17/2007 F RANA ENT INC DBA ARCO AM/PM SiteID: 015-021-000563 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 09/25/2006 IN THE EVENT OF MINOR TO MAJOR SPILL OR FIRE, EMPLOYEE OR OWNER WILL CALL 911 AND LOCAL AGENCY. EMPLOYEES ARE TRAINED ON THE USE OF PERSONAL PROTECTION EQUIPMENT TO MINIMIZE CONTACT WITH HAZARDOUS MATERIALS/WASTE. OFFICE OF EMERGENCY: 800-852-7550 NATIONAL RESPONSE CENTER: 800-424-8$02 BAKERSFIELD ENVIRONMENTAL HEALTH SERVICES: 862-8700 Employee Notif./Evacuation 09/25/2006 FOR ANY EMERGENCY, CALL 911 AND REPORT. EVACUATE, IF NECESSARY, TO A SITE OPPOSITE DANGER AREA. CALL YOUR FIELD SUPERVISOR; GIVE DETAILS OF EMERGENCY. YOUR FIELD SUPERVISOR WILL NOTIFY ATLANTIC RICHFIELD MAINTENANCE, AREA MANAGER, AND MAIN OFFICE. EMERGENCY SERVICES 800-852-7550 AND/OR LOCAL OFFICE 326-3979. Public Notif./Evacuation 09/25/2006 ALARM SHALL BE GIVEN BY SHOUTING OR EMPLOYEES WILL TAKE IMMEDIATE ACTION TO HAVE ALL PERSONS LEAVE THE PREMISES BY THE SAFEST EXIT. ALL PERSONS WILL BE ASKED TO ASSEMBLE AT A SAFE ASSEMBLY AREA UPWIND. Emergency Medical Plan 09/25/2006 FOR SMALL INJURIES THE OWNER OR STORE OWNER/OPERATOR WILL UTILIZE THE FIRST AID KIT BOX. FOR MINOR TO MAJOR INJURIES THE OWNER OR STORE OWNER/OPERATOR WILL CALL EITHER 911 OR MAY CONTACT THE CLOSEST MEDICAL/CLINIC CENTER, WHICH IS LOCATED AT: MERCY HOSPITAL, 2215 TRUXTUN AVE, 632-5000. -9- 05/17/2007 F RANA ENT INC DBA ARCO AM/PM SiteID: 015-021-000563 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 09/25/2006 ~ FACILITIES ARE EQUIPPED WITH RED JACKET LEAK DETECTORS WHICH SHUTS DOWN IF LEAK OCCURS. INVENTORIES ARE MONITORED DAILY AND ARE KEPT AT A MINIMUM TO MINIMIZE RISK. NO SMOKING, PLEASE TURN OFF YOUR ENGINE, AND DO NOT TOP OFF TANK SIGNS ARE POSTED IN CLEAR VISION OF CONSUMER AND EMPLOYEES. COMPLIANCE TO POSTED SIGNS MINIMIZES POTENTIAL RISK AND HAZARDS. Release Containment 09/25/2006 FOR MINOR SPILLAGE (IE, CUSTOMER GAS TANK OVERFLOW) EMPLOYEES ARE INSTRUCTED TO CLEAN AND DISPOSE OF MATERIALS SAFELY. PROTECTIVE RUBBER GLOVES AND CLEAN-UP EQUIPMENT IS PROVIDED. FOR A MAJOR SPILL, EMPLOYEES ARE TO CALL 911 AND REPORT. THEY WILL THEN NOTIFY THE EMERGENCY RESPONSE PERSONNEL. INVENTORIES ARE MONITORED DAILY AND ARE KEPT AT A MINIMUM TO MINIMIZE RISK. NO SMOKING, PLEASE TURN OFF YOUR ENGINE, AND DO NOT TOP OFF TANK SIGNS ARE POSTED IN CLEAR VISION OF CONSUMER AND EMPLOYEES. COMPLIANCE TO POSTED SIGNS MINIMIZES POTENTIAL RISK AND HAZARDS. CONTAINMENT SHALL BE COMPLETED BY DIKING WITH ABSORBENT/OTHER MATERIAL. Clean Up 09/25/2006 CLEAN-UP PROCEDURES INCLUDE USING ABSORBENT, EVAPORATION, AND A LICENSED HAZARDOUS WASTE TREATMENT, STORAGE, AND DISPOSAL COMPANY, IF NECESSARY. OWNER WILL SHUT DOWN THE ENTIRE OPERATION OR GASOLINE PUMP BY PRESSING THE EMERGENCY SHUT-OFF. PUMPS LOCATED EITHER AT THE CASHIER OR OUTSIDE AND WILL SHUT OFF TURBINES CIRCUIT BREAKER LOCATED AT THE ELECTRICAL PANEL AREA. HAZARDOUS WASTE FROM SPILL CONTAINMENT WILL BE DISPOSED OF BY INDUSTRIAL WASTE UTILIZATION 925-0391. -10- 05/17/2007 F RANA ENT INC DBA ARCO AM/PM SiteID: 015-021-000563 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Other Resource Activation -11- 05/17/2007 F RANA ENT INC DBA ARCO AM/PM SitelD: 015-021-000563 ~ ' Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JCU1d1 ridGdLUS Utility Shut-Offs 09/25/2006 A) GAS - NONE B) ELECTRICAL - NE CRNR OF BLDG C) WATER - N SIDE OF SITE NEXT TO BLDG D) SPECIAL - EMER FUEL PUMP SHUT-OFF SWITCH IN SALES AREA NEAR CASHIER E) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - SW CRNR OF LOT ACROSS BEALE AVE 03/30/2006 Building Occupancy Level 6 EMPLOYEES 03/30/2006 -12- 05/17/2007 c F RANA^ENT INC DBA ARCO AM/PM SitelD: 015-021-000563 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 09/25/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING PROGRAM: FOR MINOR SPILLAGE (IE, CUSTOMER GAS TANK OVERFLOW), EMPLOYEES ARE INSTRUCTED TO CLEAN AND DISPOSE OF MATERIALS SAFELY. PROTECTIVE RUBBER GLOVES AND CLEAN-UP EQUIPMENT IS PROVIDED AT EACH FACILITY. FOR MAJOR SPILLAGE, EMPLOYEES ARE INSTRUCTED TO CALL 911 AND REPORT. THEY WILL THEN NOTIFY THE EMERGENCY COORDINATOR OR HIS ALTERNATE WHO WILL THEN ACTIVATE THE NOTIFICATION PROCEDURES. USE AND LOCATION OF ABSORBENT, PROTECTIVE CLEAN-UP EQUIPMENT, AND FIRE EXTINGUISHERS. ANNUAL INSPECTION AND MAINTENANCE OF SAFETY EQUIPMENT (FIRE EXTINGUISHERS, RUBBER GLOVES, AND CLEAN-UP EQUIPMENT), AND REVIEW OF PROCEDURES FOR PROPER USE OF SAFETY AND SPILL CONTROL EQUIPMENT. REVIEW OF EMERGENCY RESPONSE PLAN; EVACUATION PROCEDURES; LOCATION OF EMERGENCY FUEL SHUT-OFF SWITCHES AND MAIN ELECTRICAL SHUT-OFF SWITCH; USE AND LOCATION OF ABSORBENT, PROTECTIVE CLEAN-UP EQUIPMENT AND FIRE EXTINGUISHERS; AND THE LIST OF ALL PERTINENT PEOPLE TO CALL IN CASE OF AN EMERGENCY. MAKE SURE EMPLOYEES KNOW THE LOCATION OF THE EMERGENCY RESPONSE rc~yC ~ nciu ivt L'UI~ULC vac -13- 05/17/2007 ~ '! F RANA~ENT INC DBA ARCO AM/PM SiteID: 015-021-000563 ~ Fast Format ~ ~ Training Overall Site ~ r1C1U 1VL rULULC USA -14- 05/17/2007 l ~ + ARCO 06218 __________________________________________ SiteID: 015-021-000563 + Manager RABIA SATER Location: 4203 MING AVE City BAKERSFIELD BusPhone: (661) 834-1076 Map 123 CommHaz Moderate Grid: 11A FacUnits: 1 AOV: CommCode: BFD STA 07 SIC Code:5541 EPA Numb: DunnBrad:51-012-0713 Emergency Contact / Title Emergency Contact / Title MEHDI SATER / OWNER/OPERATOR RABIA SATER / MANAGER Business Phone: (661) 834-1076x Business Phone: (661) 834-1076x 24-Hour Phone (909) 772-5717x 24-Hour Phone (909) 772-5717x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact MEHDI SATER Phone: (909) 772-5717x MailAddr: 4203 MING AVE State: CA City BAKERSFIELD Zip 93309 Owner RANA ENTERPRISES INC Phone: (661) 834-1076x Address 4203 MING AVE State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: n ~ ~ ENTD J U L 14 2006 PROG A - HAZMAT ~ ~ PROG H HAZ WASTE GEN PROG U - UST - Based on - ~ - ------ responsible for ob agnm Y of those individuals under penalty of lawg the information, 1 certify examined and am hat I have submitted i with the pfor onally accurate e oration c e information is true, e .~`~- ate No u ~~ a.~ c.,~.. v~~Dv~ ~~~ Oo h.~.~ _~ ~ ~~~ ~~ t______________________________________________________________________________+ -1- 06/08/2006 ~~ ~~~ .~ - UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield P`ire Dept. Enironmental, Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 -- FACI~YN Q ._~I~t ~~-------------------------.__..---------.. --------------_ ---------- ------_ INS~ECTI~N~E --- INSPECTION TIME---.. ~Yf'y`~ ~(aq os ADCIRESS PHONE No. No. of E oyees FACILITYCONTACT Business ID Number 15-021- Section 1: Business Plan and Inventory Pn~gram ^ Routine ombined O Joint Agency ^MuIti-Agency ^ Complaint ^ Re-inspection ,~C/V CV=Vioationnce~ OPERATION COMMENTS W ^ APPROPRIATE PERMIT ON HAND >~^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ~^ VISIBLE ADDRESS ~^ CORRECT OCCUPANCY ~ ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL - - _..- ^ VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF HAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ~^ CONTAINERS PROPERLY LABELED ~ J------- -- - --- ---- -- __---- _--- --------- _---_ _.. - - - ..------- --_ _____...._.-.. --____. . -L"J ^ HOUSEKEEPING ---- ------- ---- ------ - - - L'1 ^ FIRE PROTECTION C~/^ SITE DIAGRAM ADEQUATE & ON HAND i ANY HAZARDOUS WASTE ON SITE: ^ YES LLIVO EXPLAIN: QUESTIONS GARDIN TH INSPECTIONS PLEASE CALL US AT ~CB'I ~ 326-3979 ,~. - Inspector Badg No., Busin s Site R on a arty White -Environmental Services Yellow -Stefan Capy Pink -Business Copy ,~ +,'~4~'. T~~ CITY OF BAKERSFIELD FIRE DEPARTMENT ;~ ~ ~ ~; OFFICE OF ENVIRONMENTAL SERVICES ~' , y~'` UNIFIED PROGRAM INSPECTION CHECKLIST \~_w ~4/,~~D 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME t`t_O ~(~~ INSPECTION DATE a.q Section 2: Underground Storage Tanks Program ^ Routine -Combined ~,^ Joint Agency ^Mu1ti-Agency ~ ^ Complaint ^ Re-inspection Type of Tank ~~~ Number of Tanks Type of Monitoring ~ (~~ Type of Piping V~C1U~ 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 ~ / c 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 overfill/overspill protection? C=Compliance =Violation Y=Yes N=NO Inspector: Oft7ce of Environmental Services (805) 326-3979 white - Fnv. Svcs. Pink -Business Copy R _, ~'~~ ~~ ~RANA ENTERPRISES, INC. ~~ 4203 MING AVE. BAKERSFIELD, CA 93309 Ma~$ ~~h~ Hazardous Materials Business Plan ~ ~~ ~~ 1. FACILITY INFORMATION SECTION ENT'D Jt~N ~ `~ X006 To be completed by all businesses, regardless of program type. Forms included in this package complies with forms/attachment required by the appropriate city or county under which the Unified Program Agency applies.. This Hazardous Materials Business Plan includes: ®BUSINESS ACTIVITIES PAGE ® BUSINESS OWNER/OPERATOR IDENTIFICATION PAGE ®EMERGENCY RESPONSE CONTINGENCY PLAN ®HAZARDOUS MATERIALS INVENTORY LIST FACILITY SITE MAP 1 UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS ACTIVITIES .Page 1 of I:. FACILITYIDENTIFICATION , FACILITY ID # 1. EPA ID # (Hazardous Waste Only) 2. BUSINESS NAME (Same as Facility Name or DBA -.Doing Business As) 3. RANA ENTERPRISES, INC. _. II. ACTIVITIES DECLARATION:::-.. NOTE: If you check YES to any part of this list, please submit the Business Owner/Operator Identification page (OES Form 2730). Does our facili If Yes, lease com lete these a es of the UPCF... A. HAZARDOUS MATERIALS Have on site (for any purpose) hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for compressed 'gases (include liquids in ASTs and USTs); or the applicable Federal threshold ®yES ^ NO a. HAZARDOUS MATERIALS INVENTORY quantity for an extremely hazardous substance specified in 40 CFR Part -CHEMICAL DESCRIPTION (OES 2731) 355, Appendix A or B; or handle radiological materials in quantities for which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or 70? B. UNDERGROUND STORAGE TANKS (USTs) UST FACILITY (Formerly SwRCB Form A) 1. Own or operate underground storage tanks? ®YES ^ NO 5. UST TANK (one page per tank) (Formerly Form B) 2. Intend to upgrade existing or install new USTs? ^YES ®NO 6. UST FACILITY UST TANK (one per tank) UST INSTALLATION -CERTIFICATE OF COMPLIANCE (one page per tank) (Formerly Form C) 3. Need to report closing a UST? ^YES ®NO 7. UST TANK (closure portion -one page per tank) C. ABOVE GROUND PETROLEUM STORAGE TANKS (A5Ts) Own or operate ASTs above these thresholds: ---any tank capacity is greater than 660 gallons, or ^YES ®NO s. NO FORM REQUIRED TO CUPAs ---the total capacity for the facility is greater than 1,320 gallons? D. HAZARDOUS WASTE 1. Generate hazardous waste? ®YES ^ NO 9. EPA ID NUMBER -provide at the top of this page 2. Recycle more than 100 kg/month of excluded or exempted recyclable RECYCLABLE MATERIALS REPORT (one materials (per H&SC §25143.2)? ^YES ®NO 10. per recycler) 3. Treat hazardous waste on site? ONSITE HAZARDOUS WASTE ^ YES ®NO 11. TREATMENT -FACILITY (Formerly DISC Forms 1772) - ONSITE HAZARDOUS WASTE TREATMENT -UNIT (one page per unit) (Formerly DTSC Forms 1772 A,B,C,D and L) 4. Treatment subject to financial assurance requirements (for Permit by ^YES ® NO l2 CERTIFICATION OF FINANCIAL Rule and Conditional Authorization)? . ASSURANCE (Formerly DTSC Form 1232) 5. Consolidate hazardous waste generated at a remote site? REMOTE WASTE /CONSOLIDATION ^ YES ® NO t3. SITE ANNUAL NOTIFICATION (Formerly DTSC Form 1196) 6. Need to report the closure/removal of a tank that was classified as ^YES ® NO la HAZARDOUS WASTE TANK CLOSURE hazardous waste and cleaned onsite? . CERTIFICATION (Formerly DTSC Form 1249) E. LOCAL REQUIREMENTS (You may also be required to provide additional information by vour CUPA or local agencvJ t5. i I UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION Pa a of I : IDENTIFICATION..:: FACILITY ID # t. BEGINNING DATE too. ENDING DATE tot. (Agency Use Only) . 12/22/2005 12/22/2006 BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3. BUSINESS PHONE t~2. RANA ENTERPRISES, INC. 661-834-1076 BUSINESS SITE ADDRESS to3. 4203 MING AVE. CITY toa. ZIP CODE tos. CA BAKERSFIELD 93309 DUN & BRADSTREET toe. SIC CODE (4 digit #) to7. 5541 COUNTY tos: KERN BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE tto. RANA ENTERPRISES, INC. 661-834-1076 II. BUSINESS;.OWNER ,. OWNER NAME tu. OWNER PHONE ttz. RANA ENTERPRISES, INC. 661-834-1076 OWNER MAILING ADDRESS: tt3. 4203 MING AVE. CITY tta. STATE tts. ZIP CODE tt6. BAKERSFIELD CA . 93309 III. ENVIRONMENTAL CONTACT CONTACT NAME tt7. CONTACT PHONE tts• MEHDI SATER 909-772-5717 CONTACT MAILING ADDRESS: tt9. 4203 MING AVE. CITY tzo. STATE 121 ZIP CODE tzz. BAKERSFIELD ~ CA 93309 _rRnvlAxY- IV . EMERGENCY -sECONDARY- NAME t23. NAME tza. MEHDI SATER RABIA SATER TITLE 124 TITLE tz9. OWNER/OPERATOR MANAGER BUSINESS PHONE ~ tzs. BUSINESS PHONE t3o. 661-834-1076 661-834-1076 24-HOUR PHONE* t26. 24-HOUR PHONE* tat. 909-772-5717 909-772-5717 CELL# tz7. t32. 909-772-5717 ADDITIONAL LOCALLY COLLECTED INFORMATION: t33. Certification: Based on my inquiry of those individuals responsible for obtaining the infotTttation, I certify under penalty of law that I have personally examined and am familiar ati submitted and believe the information is true, accurate, and complete. SI O TO DESIGNATED REPRESENTATIVE DATE t34. NAME OF DOCUMENT PREPARER t35. ~ 12/20/05 Geor a Zoumalan Ramtox NAME OF SIGNER (print) 136. TITLE OF SIGNER 137. MEHDI SATER OWNER 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 as brief and concise as possible. 5. You may also attach Business Owner/Operator Form and Chemical Description Form(s) to the front of this plan instead of completing SECTION I below for initial submission. SECTION I BUSINESS IDENTIFICATION BUSINESS NAME: RANA ENTERPRISES, INC. LOCATION: 4203 MING AVE., BAKERSFIELD, CA 93309 MAILING ADDRESS: RANA ENTERPRISES, INC. CITY: 4203 MING AVE. STATE: CA ZIP: 93309 PRIMARY ACTIVITY: GASOLINE RETAIL STATION & MIN MARKET PHONE: 661-834-1076 OWNER: RANA ENTERPRISES, INC. PHONE: 661-834-1076 MAILING ADDRESS: 4203 MING AVE. BAKERSFIELD, CA 93309 ..EMERGENCY NOTIFICATION CONTACT TITLE BUSINESS PHONE 24 HR PHONE 1. MEHDI SATER OWNER/OPERATOR 661-834-1076 909-772- 5717 CELL 909-772-5717 2. RABIA SATER MANAGER 909-772-5717 909-772-5717 HAZARDOUS MATERIALS MANAGEMENT PLAN 4 SECTION II DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: Gasoline in underground storage tank can over spill from the top of the fill pipes or leak in the ground and to the surface. Other source of leak/spill is from the dispenser unit, nozzles, and pipes. Potential of fire and explosion exist. If a leak is found the leak probe will sense the liquid release and will set off the alarm. Other hazard is carbon dioxide gas cylinders used for soda drinks. The carbon dioxide gas cylinders are secured by chains in back room. B. EMPLOYEE AND AGENCY NOTIFICATION: In the event of minor to major spill, or fire, employee or owner will ca119-1-1 and local agency. Employees are trained for the use of personal protection equipment to minimize contact with hazardous materials/waste. OFFICE OF EMERGENCY SERVICE: 1-800-852-7550 NATIONAL RESPONSE CENTER: 1-800-424-8802 BAKERSFIELD ENVIRONMENTAL HEALTH SERVICES: 1-661-862-8700 C. ENVIRONMENTAL RESPONSE MANAGEMENT: If a large release of gasoline spill or waste occurs, the owner, or store OWNERlOPERATOR, or employees will take immediate action to have all employees leave the premises by the safest exit. All employees will be asked to assemble at a safe assembly area located at South East side of the site, or at a safe upwind location. Method of evacuation is verbal. Person responsible for notification is: NAME: MEHDI SATER TITLE: OWNER/OPERATOR D. EMERGENCY MEDICAL PLAN: For small injuries the owner or store OWNER/OPERATOR will utilize the first aid kit box. For minor to major injuries, the owner, or store OWNER/OPERATOR will call either 9-1-1, or may contact the closest medicaUclinic center, which is located at: NAME OF THE HOSPITAL & TELEPHONE NUMBER: MERCY HOSPITAL 2215 TRUXTUM AVE. BAKERSFIELD, CA 93301 TEL: 661-632-5000 SECTION II RELEASE RESPONSE PLAN Emergency Procedures: Briefly describe your business standard operating procedures in the event of a release or threatened release of hazardous materials: 1. PREVENTION (prevent the hazard) -Describe the kinds of hazards associated with the hazardous materials present at your facility. What actions would your business take to prevent these hazards from occurring? You may include a discussion of safety and storage procedures. Gasoline spills can result in environmental contamination, fire, and explosion. Releases of gasoline can occur when underground storage tanks are overfilled, when motorists overfill vehicle tanks, or drive off. The releases are prevented by installed overfill devices such as flapper valves, high level alarms, or ball floats. Other spill prevention devices are impact valves, and breakaway devices. Service stations are attended by trained personnel, and gasoline is delivered by trained truck drivers. The on-site coordinator or designee will train all new employees of this facility about the procedures for safe handling of hazardous materials and products for emergency response coordination, and use of emergency response equipment and supplies. Additionally, the on-site coordinator or designee will conduct arefresher-training program for all employees on annual basis. PROCEDURE FOR STORAGE AND DISPOSAL OF HAZARDOUS MATERIALS 8~ HAZARDOUS WASTE: Liquid COZ cylinders must be secured to wall with chain (this applies for stations that serve soda in the store). Waste absorbent-from the gasoline spill, cleanup spills, or used gasoline fuel filters must be stored in a proper UN (DOT) approved container with appropriate hazardous waste label on each container. Each drum or container containing hazardous waste must be stored away from hot or ignition sources and disposed before 90 days from accumulation date. Each container must be kept closed with lid and disposed'as hazardous waste and manifested.. State manifests of hazardous.waste must be kept for three years in compliance kit. The hazardous material handled on daily basis is gasoline. Hazards associated with this product are spill, leak, fire, and explosion. Fire Prevention procedures as follows: The gasoline tanks are equipped with leak detectors that activate an alarm and disable the pump when leak is detected. Few gas stations are equipped with over fill alarm that prevents the spillage of gasoline from over filling the tanks. All the dispensers are equipped with impact valves. Daily inspection of leaks from the pipes, nozzles, and pumps. Any leaks from above mentioned equipment will be fixed immediately. Posting no smoking sign at the dispensers. Monthly inspection of fire extinguishers to ensure that are full and ready to use. Testing of the emergency shut offs located in front of the store. Testing of dispensers' start/stop emergency shut off located on the cash register. Testing the shut offs of turbine pumps. The on/off switch is on the main electrical panel. Gasoline spills. will be cleaned-up immediately using absorbent material 2. MITIGATION (reduce the hazard) -Describe what is done to lessen the harm or the damage to person(s), property, or the environment, and prevent what has occurred from getting worse or spreading. What is your immediate response to a leak, spill, fire, explosion, or airborne release at your business? Mitigation (continued): In the event of a leak or spill: 1. Attendant should shut off electricity to the pumpslturbines at the main electrical panel and close the impact valves. 2. The on-site emergency coordinator or designee will contact 911 (Fire Department) and explain the emergency and will, contact RABIA SATER. If necessary, the On-Site Emergency Coordinator or designee will request an ambulance or 6 other medical assistance. 3. Evacuate. If deemed necessary by the On-Site Emergency Coordinator or designee, all traffic on site will be halted, area coned off, and all employees and customers will. be directed to a safe area opposite the danger. There are two exits -front entrance and rear emergency exit. All persons will evacuate through one of these doors and gather in area furthest from danger. OWNER/OPERATOR on duty will account for all station personnel and customers (when possible). 4. Contain the liquid by constructing berms and/or by covering the spill with a fireproof absorbent material. Prevent liquid from entering storm drains whenever possible. 5. Scene management shall be the responsibility of the On-Site Emergency Coordinator or designees until the arrival of fire or police personnel. Upon arrival of these personnel, the Emergency Coordinator will cooperate with and offer any assistance that is requested. 6. Immediately following an emergency the On-Site Emergency Coordinator will provide for the disposal of contaminated material as directed by the local Fire Department or County Health Agency. (All spills will be reported to BP Mission Control at (800) 272-6349. The BP Environmental Compliance Specialist will make report to pertinent agencies including NRC, CA OES, Water Board, and County Health Agency.) 3. If neither gives such direction, call RABIA-SAYER for removal and disposal. In the event of a fire employees should: 1. Shout FIRE and call 911 (Fire Department). 2. Stop fluid flow by shutting off electricity to the pumps at the main electrical panels and close impact valves. 3. Evacuate by stopping all traffic on site and direct all personnel and customers to a safe area opposite the danger. 4. Scene management is the responsibility of the On-Site Emergency Coordinator or designees until the arrival of public safety response personnel. Upon arrival of these personnel; the Emergency Coordinator will cooperate with and offer assistance, as requested. Additional mitigation procedures: Employees will be informed of the health and safety hazards involved with the handling of hazardous materials such as gasoline. Employees will not smoke, light matches to cause a spark, or ignite flammable liquids or vapors. Employees must know: 1) LOCATION OF EMERGENCY SHUT OFF SWITCHES, HOW TO STOP LEAKS AT NOZZLES AND GAS ISLAND, 2) SHUT OFF PUMPS WHERE ELECTRICAL PANELS ARE LOCATED, 3) LOCATION OF FIRE EXTINGUISHERS, 4) USE OF ABSORBENT MATERIALS TO CONTAIN SMALL GASOLINE SPILLS, 5) CALL 911 IN THE EVENT OF A MAJOR SPILL, LEAK, FIRE, OR EXPLOSION. EMPLOYEES WILL BE FAMILIAR WITH THE EMERGENCY RESPONSE PROCEDURE AS OUTLINED IN THE BUSINESS EMERGENCY RESPONSE PLAN. 3. ABATEMENT (remove the hazard) -Describe what you would do to stop and remove the hazard. How do you handle the complete process of stopping a release, cleaning up, and disposing of released materials at your facility? In the event that a spill is small, station personnel should apply absorbent to the gasoline spill by sweeping the absorbent onto the spill. Once the absorbent has soaked up the liquid, sweep up the absorbent and place it in a 55-gallon drum. If the spill is larger, call 911, attempt to contain it, and follow the scene management instructions in Section 2, Mitigation. Large spills are cleaned by BP designated contractors, or as designated by the franchisee for franchise service stations. Employee's responsibilities: Employees will know the location of the nearest storm drain(s) and location of absorbent material to be used to prevent the spill from reaching the storm drains. In the event of a major spill; employees are instructed to call 911 and report. The on-site emergency coordinator will provide for the disposal of contaminated materials as directed by the local fire department or County Environmental Health. If neither gives such direction, call RABIA SAYER (909-772-5717) for disposal. BUSINESS PLAN LOCATION: A copy of business plan and training documents will be kept at all times in a compliance binder, which is located either near the cashier, or office in back room area. 7 Following are the emergency equipment of this facility: Item Use Location Maintenance Fire extinguisher Fire Control Entrance & kitchen area Yearly Service S ill absorbent Spill Control Back room/Supply room Re-stock as needed First Aid Kit Minor Injury Inside office or cashier Inventory twice a year UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILIT NATURAL GAS/PROPANE : NO ELECTRICAL: ELECTRICAL PANEL IN THE BACK ROOM WATER: SIDE WALK SPECIAL: LOCK BOX: ^YES ®NO IF YES, LOCATION: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: FIRE EXTINGUISHERS LOCATED AT ENTRANCE DOOR ,INSIDE THE STORE, AND IN THE KITCHEN AREA A. PRIVATE FIRE PROTECTION ^YES ®NO B. WATER AVAILABILITY (FIRE HYDRANT) : N/A Emergency review of liquefied (Cryogenic) Carbon Dioxide Liquefied carbon dioxide is an extremely cold liquid/gas and is stored under high pressure in a gas cylinder. The small gas cylinders, containing 20 to 50 pounds of liquid carbon dioxide, must be stored upright and be firmly secured with chain to the wall. Those large cylinders (containers), which contain 200 to 400 pounds of liquid carbon dioxide, must be either chained or anchored to the floor. Securing the cylinder prevent falling or being knocked over. All the gas cylinder must be capped at all times and transported with drum cart. The extremely cold part of pipes and valves on top of the cylinder will cause moist flesh to stick fast and tear when one attempts to withdraw from it. A leak will result in the formation of dry ice, and contact with dry ice, liquid carbon dioxide, or cold gas can cause frostbite to skin, eyes, and exposed tissues. Breathing low concentration of carbon dioxide can cause nausea, dizziness, mental confusion, and visual disturbance, shaking, headache, and respiratory problem. Liquid carbon dioxide has a high evaporation rate and when heated to above 52 Degree C (125 Degrees F) will generate high pressure. Store away from heat and ignition sources-and out of direct sunlight. High temperature can generate high pressure in the tank/cylinder and cause rupture if the safe relief valve fails to operate..Do not store the container or cylinders where they come into contact with moisture. Response Plan for Carbon Dioxide Release Carbon dioxide is cold, asphyxiant, and powerful cerebral vasodilator gas. In the event of~. release, evacuate the store, and allow the liquid/gas carbon dioxide to evaporate and the gas to dissipate. Attempt to close the main source valve to stop the release is not recommended unless if is safe to do so and you have adequate personal protection gears. If the area must -be entered by emergency personnel, Self-Contained Breathing Apparatus (SCBA), Kevlar gloves, and appropriate foot and leg protection must be worn. • Response to Carbon Dioxide Release If there are signs of visible ice on the cylinder or parts such as pipes, it is a sign of a leak and needs to be reported to your OWNER/OPERATOR immediately: In addition, the Facility OWNER/OPERATOR will contact their vendor immediately. In the event of a major release, call 911 and evacuate the store. Do not attempt to close the main source valve to stop the release. Emergency personnel such as trained fire fighters must wear special protective equipment to safely respond to a leaking CO2 cylinder. 9 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION III: TRAINING NUMBER OF EMPLOYEES: 1-2 PERSONS PER SHIFT, THERE ARE THREE SHIFTS AND TOTAL EMPLOYEES ARE ABOUT 5 MATERIAL SAFETY DATA SHEETS ON FILE: MSDS and business emergency plan is located in the compliance binder, located in the office area BRIEF SUMMARY OF TRAINING PROGRAM: Employees are trained on use of safety equipment and tools to minimize contact with hazardous materials/waste. Employees are trained and required to dial for emergency calls, 9-1-1, and evacuate the premises. Employees are trained in the use of spill clean up, first aid kit, fire extinguishers, electrical and gas shut off and use of telephones. Employees are trained to advise any response agency as to the nature and location of the problem. Initial training is conducted after hiring new employee. Trainer is the owner or manger of the store. Refresher training is done every year. Training topics are such as: 1) hazard communication program, 2) materials safety data sheets, 3) safe handling of chemicals, and 4) emergency equipment & emergency response plan. 10 UNIFIED PROGRAM (UP) FORM CONSOLIDATED CONTINGENCY PLAN EMPLOYEE TRAINING All facilities which handle hazardous materials must have a written employee training plan. The items listed below are required per Health and Safety Code Section 25504 (c) and Title 19 Section 2732. Facility personnel are trained as follows: Familiazity with all plans and procedures specified in the Contingency Plan. Methods for Safe Handling of Hazardous materials. :• Safety procedures in the event of a release or threatened release of a hazardous material Use of Emergency Response equipment and supplies under the control of the business Procedures for Coordination with local Emergency Response Organizations. Training shall be provided: • Initially for all new employees • Annually, including refresher courses, for all employees. Note: These training programs may take into consideration the position of each employee. Additional training should include: :• Internal alarm notification procedures. :• Evacuation/re-entry procedures and assembly point locatioris. • Material Safety Data Sheet (MSDS) training including specific hazard(s) of each chemical to which employees may be exposed, including routes of exposure(i.e. inhalation, ingestion, absorption). V. HAZARDOUS WASTE GENERATOR TRAINING If your business is a hazardous waste generator,. you are required to provide training in hazardous waste management for all workers who handle hazardous waste at your site (22 CCR $ 66265.16). You are also required to document training. The items below are required. EMPLOYEE TRAINING Facility personnel will successfully complete training within six months after the date of their employment or assignment to a facility or to a new position at a facility. Em to ees will not handle hazardous wastes without su ervision until trained. TRAINING DOCUMENTATION The owner or operator must maintain the following documents and records at the facility Job title for each position at the facility that is related to hazardous waste management, and the names of the employments) filling the position(s). Description for each position listed above (must include required skill, education, or other qualifications as well as duties of employees assigned to position. Records that document that the requirements for training or job experience have been met. Current employees' training records (to be retained until closure of the facility). Former em loyees' traini~ecords (to be retained at least three years after termination of employment). HHMD.HMSRF.AUG,2002 11 EMPLOYEE TRAINING PROGRAM The following describes the employee training provided for all employees that handle hazardous substances. 1. Training Topic -Procedures for handling hazardous materials, including hazardous wastes: Persons Trained: Facility Staff (i.e. cashier, maintenance) Training Time: 1/2 Hour Refresher Frequency: Annual Refresher Time: 1/2 Hour Training Content: Proper procedures for hazardous material, storage, handling and proper labeling. Proper procedures for hazardous waste, handling and proper labeling and record keeping. Review of MSDS for all chemicals used at facility. 2. Training Topic -Procedures for coordination with emergency response agencies: Persons Trained: Facility staff (i.e. cashier, Emergency Coordinator, alternate and owner) Training Time: 1/2 Hour Refresher Frequency: Annual Refresher Time: 1/2 Hour Training Content: Employees will be familiar with the emergency response procedures and emergency notification procedure as outlined in this Business Emergency Response Plan. Employees will be familiar with the kinds of emergency situations that will warrant immediate evacuation of premises. Emergency coordinator, alternate and owner will be trained on emergency notification procedures to ensure the coordination with the local fire department, paramedics, and cleanup contractor. Employees will know the location and operation of electrical shutoff switches and dispenser shutoff valves. Employees will know the location of the nearest storm drain(s) and location of absorbent materials to prevent spills from reaching the storm drain(s). 3. Training Topic -Use of emergency response equipment and materials under the business control: Persons Trained: Facility staff (i.e. cashier) Training Time: 1/2 Hour Refresher Frequency: Annual Refresher Time: 1/2 Hour Training Content: Use and location of absorbent, clean-up equipment and fire extinguishers. Annual inspection and maintenance of safety equipment (fire extinguishers, rubber gloves and clean up equipment), and review of procedures for proper use of safety and spill control equipment. 4. Training Topic -Emergency Response Plan implementation: Persons Trained: Facility staff (all employees) Training Time: 1/2 Hour Refresher Frequency: Annual Refresher Timer 1/2 Hour Training Content: Review of Emergency Response Plan;.evacuation procedures; location of emergency fuel shut-off switches and main electrical shut-off switch; use and location of absorbent, clean-up equipment and fire extinguishers; and the list of ALL EMERGENCY CONTACT PHONE NUMBERS to call in the event of an emergency. Make sure employees know the location of the Emergency Response Plan. 12 CERTIFICATION I, _ MEHDI SATER 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. COMPANY ACCOUNT EXECUTIVE SIGNATURE TITLE DATE 13 UNIFIED PROGRAM (UP) FORM HAZARDOUS MATERIALS INVENTORY FORM -CHEMICAL DESCRIPTION Indicate material OR waste (Do not combine material and waste on one form) ® MATERIAL(NON WASTE) ^ WASTE one age er material er buildin or area I. FACILITY INFORMATION ESTABLISHMENT# .- .. .- ITEM NUMBER FACILITY ID # 3 s 0 ~ 'I FACILITY MAP # GRID COORDINATE(S) E 4 1 OF 8 203 204 BUSINESS NAME i RANA ENTERPRISES, INC. suslNESS SITE ADDRESS 4203 MING AVE., BAKERSFIELD, CA 93309 II. CHEMICAL INFORMATION CHEMICAL NAME; PREMIUM 205 TRADE SECRET ®NO 2os Do not disGose trade secrets here. Contact this Dept for trade secret filing instructions. If EPCRA, follow EPA procedures COMMON NAME; GASOLINE zo7 EHS* ^ YES ® NO 2os CAS#8006619 2os EHS =Extremely Hazardous Substance (Appdx B) *If EHS is "YES", all amounts MUST be in pounds HAZARDOUS MATERIAL ^ a. PURE ® b. MIXTURE ^ c. WASTE 211 RADIOACTIVE? Yes ^ No ® CURIES 213 TYPE (Check one item only) PHYSICAL STATE ^ ® ^ ^ LARGEST CONTAINER SIZE 10,000 (Check one item only) a. SOLID b. LIQUID c. GAS d. DUST FED HAZARD CATEGORIES ® a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ^ e. CHRONIC HEALTH 216 AVERAGE 5,000 217 MAXIMUM 10,000 218 ANNUAL 219 STATE NIA AMOUNT AMOUNT WASTE N/A WASTE 220 AMOUNT CODE UNITS' ® a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS ^ E. OTHER: 221 DAYS ON SITE 222 (Check one item onty) 365 STORAGE ^ a. ABOVEGROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR 223 CONTAINER (Check all that apply) ® b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ I. CYLINDER ^ p. TANK WAGON STORAGE PRESSURE ® a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ® a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT COMPOSITION (LIST ALL COMPONENTS, HAZARDOUS FIRST) EHS CAS # 1. ss-so ,zzs GASOLINE zz7 ^ YES ® NO 228 80os-61-9 zzs 2. 1-5 230 BENZENE 231 ^ YES ® NO 22a 71-43-2 233 3. 0~ 234 ETHANOL 235 ^ YES ® NO 232 1634-04-4 237 4. 8-15 z3e XYLENE 239 ^ YES ® NO '236 1330-20-7 241 5. 7-14 242 TOLUENE 243 ^ YES ® NO 240 108-88-3 245 If more hazardous com onents are resent at rester than 1% b wei ht if non-carcino enic, or 0.1% b wei ht if carcino enic, attach additional sheets NOTES (Trade names/synonyms or other information relevant to the substances listed) zas If EPCRA, Owner/Operator please sign here 14 UNIFIED PROGRAM (UP) FORM HAZARDOUS MATERIALS INVENTORY FORM -CHEMICAL DESCRIPTION Indicate material OR fvaste (Do not combine material and waste on one form) ® MATERIAL(NON-WASTE) ^ WASTE one a e er material er buildin or area I. FACILITY INFORMATION ESTABLISHMENT# .- . ~ ITEM NUMBER FACILITY ID # 3 s ~ ~ 'I FACILITY MAP # GRID COORDINATE(S) E 4 2 OF 8 203 BUSINESS NAME RANA ENTERPRISES, INC. BuslNESS SITE ADDRESS :4203 MING AVE., BAKERSFIELD, CA 93309 II. CHEMICAL INFORMATION CHEMICAL NAME; UNLEADED zos TRADE SECRET ®NO zos Do not disclose trade secrets here. Contact this Dept for trade secret filing instructions. If EPCRA, follow EPA procedures COMMON NAME; GASOLINE 207 EHS' ^ YES ® NO Zoe CAS#8006619 zos EHS =Extremely Hazardous Substance (Appdx B) •If EHS is "YES", all amounts MUST be in pounds HAZARDOUS MATERIAL ^ a. PURE ® b. MIXTURE ^ c. WASTE 211 RADIOACTIVE? Yes ^ No ® CURIES 213 TYPE (Check one item only) PHYSICAL STATE ^ ® ^ ^ LARGEST CONTAINER SIZE 10,000 (Check one item only) a. SOLID b. LIQUID c. GAS d. DUST FED HAZARD CATEGORIES ® a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ^ e. CHRONIC HEALTH 216 AVERAGE 5,000 217 MAXIMUM 10,000 218 ANNUAL 219 STATE N/A AMOUNT AMOUNT WASTE N/A WASTE 220 AMOUNT CODE UNITS' ® a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS ^ E. OTHER: 221 DAYS ON SITE 222 (check one item only) 365 STORAGE ^ a. ABOVEGROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^, i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR 223 CONTAINER (Check all that apply) ® b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ I. CYLINDER ^ p. TANK WAGON STORAGE PRESSURE ® a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ® a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT COMPOSITION (LIST ALL COMPONENTS, HAZARDOUS FIRST) EHS CAS # 1. 89-90 226 GASOLINE 227 ^ YES ® NO 226 8006-61-9 229 2. 1-5 230 BENZENE 231 ^ YES ® NO 2z8 71-43-2 233 3. 0.6 234 ETHANOL z35 ^ YES ® NO 232 1634-04-4 237 4. 8-15 238 XYLENE 239 ^ YES ® NO 236. 1330-20-7 241 5. 7-1a 2az TOLUENE z43 ^ YES ® NO 240 108-88-3 245 If more hazardous com onents are resent at rester than 1°lo b wei ht if non-carcino enic, or 0.1°fo b wei ht if carcino enic, attach additional sheets NOTES (Trade names/synonyms or other information relevant to the substances listed) gas If EPCRA, Owner/Operator please sign here 15 UNIFIED PROGRAM (UP) FORM HAZARDOUS MATERIALS INVENTORY FORM -CHEMICAL DESCRIPTION Indicate material OR waste (Do not combine material and waste on one form) ® MATERIAL(NON WASTE) ^ WASTE one a e er material er buildin or area I. FACILITY INFORMATION ESTABLISHMENT # .- • ` .- ITEM NUMBER FACILITY ID # 3 B O O ~ FACILITY MAP # GRID COORDINATE(s) E 4 3 OF 8 203 BUSINESS NAME RANA ENTERPRISES, INC. Buswess sITE ADDRESS :4203 MING AVE. ,BAKERSFIELD, CA 93309 II. CHEMICAL INFORMATION CHEMICAL NAME; UNLEADED 2os TRADE SECRET ®NO zos Do not disclose trade secrets here. Contact this Dept for trade secret filing instructions. If EPCRA, follow EPA procedures COMMON NAME; GASOLINE 207 EHS* ^ YES ® NO 208 CAS#8006619 2os EHS =Extremely Hazardous Substance (Appdx B) *If EHS is "YES", all amounts MUST be in pounds HAZARDOUS MATERIAL ^ a. PURE ® b. MIXTURE ^ c. WASTE 211 RADIOACTIVE? Yes ^ No ® CURIES 213 TYPE (Check one item only) PHYSICAL STATE ^ ® ^ ^ LARGEST CONTAINER SIZE 10,000 (Check one item only) a. SOLID b. LIQUID c. GAS d. DUST FED HAZARD CATEGORIES ® a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ^ e. CHRONIC HEALTH 216 AVERAGE 5,000 217 MAXIMUM 10,000 218 ANNUAL 219 STATE N/A AMOUNT AMOUNT WASTE NIA WASTE 220 AMOUNT CODE UNITS' ® a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS ^ E. OTHER: 221 DAYS ON SITE 222 (Check one item only) 365 STORAGE ^ a. ABOVEGROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR 223 CONTAINER (Check all that apply) ® b. UNDERGROUND TANK ^ f. CAN, ^ j. BAG . ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ I. CYLINDER ^ p. TANK WAGON STORAGE PRESSURE ® a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ® a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT COMPOSITION (LIST ALL COMPONENTS, HAZARDOUS FIRST) EHS CAS # 1. as-so..zzs GASOLINE zz7 ^ YES ® NO 228 8006-61-9 229 2. 1-5 230 BENZENE 231 ^ YES ® NO 228 71-43-2 233 3. 0-6 234 ETHANOL 235 ^ YES ® NO 232 1634-04-4 237 4. 8-15 238 XYLENE 239 ^ YES ® NO 235 1330-20-7 241 5. 7-14 242 TOLUENE 243 ^ YES ® NO 240 108-88-3 245 If more hazardous com onents are resent at realer than 1% b wei ht ifnon-carcino enic, or 0.1 % b wei ht if carcino enic, attach additional sheets NOTES (Trade names/synonyms or other information relevant to the substances listed) gas If EPCRA, Owner/Operator please sign here 16 UNIFIED PROGRAM (UP) FORM HAZARDOUS MATERIALS INVENTORY FORM -CHEMICAL DESCRIPTION Indicate material OR waste (Do not combine material and waste on one form) ® MATERIAL(NON-WASTE) ^ WASTE one a e er material er buildin or area I. FACILITY INFORMATION ESTABLISHMENT # • - •` •- ITEM NUMBER FACILITY ID # 3 6 O O 'I FACILITY MAP # GRID COORDINATE(s) E 4 4 OF 8 203 BUSINESS NAME RANA ENTERPRISES, INC. BuswESS SITE ADDRESS :4203 MING AVE., BAKERSFIELD, CA 93309 II. CHEMICAL INFORMATION CHEMICAL NAME; UNLEADED 205 TRADE SECRET ®NO 206 Do not disclose trade secrets here. Contact this Dept for trade secret filing instructions. If EPCRA, follow EPA procedures COMMON NAME; GASOLINE 207 EHS* ^ YES ® NO Zoe CAS#8008819 209 EHS =Extremely Hazardous Substance (Appdx B) "If EHS is "YES", all amounts MUST be in pounds HAZARDOUS MATERIAL ^ a. PURE ® b. MIXTURE ^ c. WASTE 211 RADIOACTIVE? Yes ^ No ® CURIES 213 TYPE (Check one item only) PHYSICAL STATE ^ ® ^ ^ LARGEST CONTAINER SIZE 10,000 (Check one item only) a. SOLID b. LIQUID c. GAS d. DUST FED HAZARD CATEGORIES ® a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ^ e. CHRONIC HEALTH 216 AVERAGE 5,000 217 MAXIMUM 10,000 218 ANNUAL 219 STATE N/A AMOUNT AMOUNT WASTE N/A WASTE 220 AMOUNT CODE UNITS" ® a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS ^ E. OTHER: 221 DAYS ON SITE 222 (Check one item only) 365 STORAGE ^ a. ABOVEGROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR 223 CONTAINER (Check all that apply) ® b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ '1. CYLINDER ^ p. TANK WAGON STORAGE PRESSURE ® a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ®. a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT COMPOSITION (LIST ALL COMPONENTS, HAZARDOUS FIRST) .EHS CAS # 1. ss-so 228 GASOLINE zz7 ^ YES ® NO 228 8006-61-9 229 2. 1-5 230 BENZENE z3i ^ YES ® NO 228 71-43-2 233 3. 0-6 234 ETHANOL 235 ^ YES ® NO 232 1634-04-4 237 4. 8-15. 238 XYLENE 239 ^ YES ® NO 236 1330-20-7 241 5. 7-14 242 TOLUENE 243 ^ YES ® NO 240 108-88-3 245 If more hazardous components are resent at realer than 1% b wei ht if non-carcino enic, or 0.1%b wei ht if carcino enic, attach additional sheets NOTES (Trade names/synonyms or other information relevant to the substances listed) zas If EPCRA, Owner/Operator please sign here 17 UNIFIED PROGRAM (UP) FORM HAZARDOUS MATERIALS INVENTORY FORM -CHEMICAL DESCRIPTION Indicate material OR waste (Do not combine material and waste on one form) ® MATERIAL(NQN-WASTE) ^ WASTE one a e er material er buildin or area I. FACILITY INFORMATION ESTABLISHMENT # .- . ITEM NUMBER FACILITY ID # $ G O O 'I FACILITY MAP # GRID COORDINATE(s) E 5 5 OF 8 203 204 BUSINESS NAME RANA ENTERPRISES, INC. BuswESS SITE ADDRESS :4203 MING AVE. BAKERSFIELD, CA 93309 II. CHEMICAL INFORMATION CHEMICAL NAME; MOTOR OIL 205 TRADE SECRET ®NO zos Do not disGOSe trade secrets here. Contact this Dept for trade secret filing instructions. If EPCRA, follow EPA procedures COMMON NAME; LUBRICANT OIL 207 EHS* ^ YES ® NO 208 CAS# MIXTURE OF HEAVY 209 EHS =Extremely Hazardous Substance (Appdx B) *If EHS is "YES", all amounts MUST be in pounds HAZARDOUS MATERIAL ^ a. PURE ® b. MIXTURE ^ c. WASTE 211 RADIOACTIVE? Yes ^ No ® CURIES 213 TYPE (Check one item only) PHYSICAL STATE ^ ® ^ ^ LARGEST CONTAINER SIZE 0.25 (Check one item only) a. SOLID b. LIQUID c. GAS d. DUST FED HAZARD CATEGORIES ® a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ^ e. CHRONIC HEALTH 216 AVERAGE 15 217 MAXIMUM 30 218 ANNUAL 219 STATE N/A AMOUNT AMOUNT WASTE N/A WASTE 220 AMOUNT CODE UNITS` ® a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS ^ E. OTHER: 221 DAYS ON SITE 222 (Check ane item only) 365 STORAGE ^ a. ABOVEGROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM [] m. GLASS BOTTLE ^ q. RAIL CAR 223 CONTAINER (Check all that apply) ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ®n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ I. CYLINDER ^ p. TANK WAGON STORAGE PRESSURE ® a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ® a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT COMPOSITION (LIST ALL COMPONENTS, HAZARDOUS FIRST) EHS CAS # 1. 98°~ 228 LUBRICANT BASE OIL zz7 ^ YES ® NO 228 MIXTURE 229 z. 1-z 23o ADDITIVES, ANTI-OXIDANT z31 ^ YES ~ ® NO 232 N/A 233 3. 234 235 ^ YES ^ NO 236 237 4. 238 239 ^ YES ^ NO 240 241 5. .242 243 ^ YES ^ NO 244 245 If more hazardous com onents are resent at rester than 1% b wei ht ifnon-carcino enic, or 0.1% b wei ht if carcino enic, attach additional sheets NOTES (Trade names/synonyms or other information relevant to the substances listed) z4s If EPCRA, Owner/Operator please sign here 18 UNIFIED PROGRAM (UP) FORM HAZARDOUS MATERIALS INVENTORY FORM -CHEMICAL DESCRIPTION ' Indicate material OR waste (Do not combine material and waste on one form) ® MATERIAL(NON-WASTE) ^ -WASTE one a e er material er buildin or area I. FACI LITY INFORMATION ESTABLISHMENT# .- ITEM NUMBER FACILITY ID # 3 s ~ ~ 'I FACILITY MAP # GRID COORDINATE(s) 2oa 6 of 8 z03 p g BUSINESS NAME RANA ENTERPRISES, INC. BuswESS sITE ADDRESS: 4203 MING AVE. BAKERSFIELD, CA 93309 II. CHEMICAL INFORMATION CHEMICAL NAME; REFRIGERATED CARBON DIOXIDE zos TRADE SECRET ®NO zos Do not disclose Vade secrets here. Contact this Dept for trade secret filing instructions. If EPCRA, follow EPA procedures COMMON.NAME CARBON DIOXIDE ,REFRIGERATED LIQUID 207 EHS* ^ YES ® NO 206 CAS# 124-38-9 209 EHS =Extremely Hazardous Substance (Appdx B) •If EHS is "YES", all amounts MUST be in pounds HAZARDOUS MATERIAL ® a. PURE ^ b. MIXTURE ^ c. WASTE 211 RADIOACTIVE? Yes ^ No ® CURIES 213 TYPE (Check one item only) PHYSICAL STATE ^ ® ^ ^ LARGEST CONTAINER 400 (Check one item only) a. SOLID b. LIQUID c. GAS d. DUST FED HAZARD CATEGORIES ^ a. FIRE ^ b. REACTIVE ® c. PRESSURE RELEASE ® d. ACUTE HEALTH ^ e. CHRONIC HEALTH 216 AVERAGE 200 217 MAXIMUM 400 218 ANNUAL 219 STATE N/A 220 AMOUNT AMOUNT WASTE NIA WASTE AMOUNT CODE UNITS• ^ a. GALLONS ^ b. CUBIC FEET ® c. POUNDS ^ d. TONS ^ E. OTHER: 221 DAYS ON SITE 222 (Check one item only) 365 STORAGE ^ a. ABOVEGROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR 223 CONTAINER (Check all that apply) ^ b. UNDERGROUND,TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ® I. CYLINDER ^ p. TANK WAGON STORAGE PRESSURE ^ a. AMBIENT ® b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ^ a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ® d. CRYOGENIC 225 %WT COMPOSITION (LIST ALL COMPONENTS, HAZARDOUS FIRST) EHS CAS # '. '°° zzs CARBON DIOXIDE 227 ^ YES ® NO 226 124-38-9 229 2, 230 231 ^ YES ^ NO 232 233 3. 234 235 ^ YES ^ NO 236 237 4. 238 239 ^ YES ^ NO 240 241 5. 242 243 ^ YES ^ NO 244 245 If more hazardous com onents are resent at rester than 1% b wei ht if non-carcino enic, or 0.1% b wei ht if carcino epic, attach additional sheets NOTES (Trade names/synonyms or other information relevant to the substances listed) gas If EPCI2A, Owner/Operator please sign here 19 UNIFIED PROGRAM (UP) FORM HAZARDOUS MATERIALS INVENTORY FORM -CHEMICAL DESCRIPTION Indicate material OR waste (Do not combine material and waste on one form) ^ MATERIAL(NON-WASTE) ® WASTE one a e er material er buildin or area I. FACILITY INFORMATION ESTABLISHMENT # .- ., ~_ ITEM NUMBER FACILITY ID # 3 G O O 'I FACILITY MAP # GRID COORDINATE(s) D 6 7 OF 8 203 204 BUSINESS NAME RANA ENTERPRISES, INC. BuslNESS siTE ADDRESS :4203 MING AVE. BAKERSFIELD, CA 93309 II. CHEMICAL INFORMATION CHEMICAL NAME :WASTE ABSORBENT 8 SPENT FUEL FILTER 2os TRADE SECRET ®NO 2os Do not disclose Vade secrets here. Contact this Dept for trade secret filing instructions. If EPCRA, follow EPA procedures COMMON NAME; WASTE ABSORBENT 207 EHS* ^ YES ® NO Zoe CAS# N/A 209 EHS =Extremely Hazardous Substance (Appdx B) *{f EHS is "YES", all amounts MUST be in pounds HAZARDOUS MATERIAL ^ a. PURE ^ b. MIXTURE ® c. WASTE 211 RADIOACTIVE? Yes ^ No ® CURIES 213 TYPE (Check one item only) PHYSICAL STATE ® ^ ^ ^ LARGEST CONTAINER SIZE 55 (Check one item only) a. SOLID b. LIQUID c. GAS d. DUST FED HAZARD CATEGORIES ® a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ® d. ACUTE HEALTH ^ e. CHRONIC HEALTH 218 AVERAGE 25 217 MAXIMUM 55 218 ANNUAL 219 STATE AMOUNT AMOUNT WASTE 55 WASTE 134 CODE AMOUNT UNITS` ® a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ~ d. TONS ^ E. OTHER: 221 DaYS ON SITE 222 (Check one item only) 365 STORAGE ^ a. ABOVEGROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR 223 CONTAINER (Check all that apply) ^ b. UNDERGROUND TANK ~] f. CAN [] j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN 5 GALLON CONTAINER ® d. STEEL DRUM ~ h. SILO ^ 'I. CYLINDER ^ p. TANK WAGON STORAGE PRESSURE ® a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ® a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT COMPOSITION (LIST ALL COMPONENTS, HAZARDOUS FIRST) EHS CAS 1. too z2s MIXTURE OF SILICATE & HYDROCARBONS& 227 ^ YES ® NO 22s 229 SPENT FUEL FILTERS 2. 1 230 231 ^ YES ^ NO 232 233 3. 2 34 235 ^ YES ^ NO 236 237 4. 238 239 ^ YES ^ NO 240 241 5. 242 243 ^ YES ^ NO 244 245 If more hazardous com onents are resent at realer than 1% b wei ht if non-carcino enic, or 0.1% b wei ht if carcino enic, attach additional sheets NOTES (Trade names/synonyms or other information relevant to the substances listed) z4s If EPCRA, Owner/Operator please sign here 20 UNIFIED PROGRAM (UP) FORM HAZARDOUS MATERIALS INVENTORY FORM -CHEMICAL DESCRIPTION Indicate material OR waste (Do not combine material and waste on one form) ^ MATERIAL(NON-WASTE) ® WASTE one a e er material er buildin or area I. FACILITY INFORMATION ESTABLISHMENT# .- •' .- ITEM NUMBER FACILITY ID # 3 s 0 0 'I FACILITY MAP # GRID COORDINATE(s) D 6 8 OF 8 203 204 BUSINESS NAME RANA ENTERPRISES, INC. BuslNESS SITE ADDRESS :4203 MING AVE. BAKERSFIELD, CA 93309 II. CHEMICAL INFORMATION CHEMICAL NAME :WASTE FLAMMABLE LIQUID 205 TRADE SECRET ®NO 206 . Do not disclose trade secrets here. Contact this Dept for trade secret filing instructions. If EPCRA, follow EPA procedures COMMON NAME; WASTE FLAMMABLE LIQUID 207 EHS* ^ YES ® NO Zoe CAS# N/A 209 EHS =Extremely Hazardous Substance (Appdx B) *If EHS is "YES", all amounts MUST be in pounds HAZARDOUS MATERIAL ^ a. PURE ^ b. MIXTURE ® c. WASTE 211 RADIOACTIVE? Yes ^ No ® CURIES 213 TYPE (Check one item only) PHYSICAL STATE ^ ® ^ ^ LARGEST CONTAINER SIZE 55 (Check one item only) a. SOLID b. LIQUID c. GAS d. DUST FED HAZARD CATEGORIES ® a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ® d. ACUTE HEALTH ^ e. CHRONIC HEALTH 216 AVERAGE 25 217 MAXIMUM 55 218 ANNUAL 219 STATE AMOUNT AMOUNT WASTE 55 WASTE 134 CODE AMOUNT UNITS* ® a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS ^ E. OTHER: 221 DAYS ON SITE 222 (Check one item only) 365 STORAGE ^ a. ABOVEGROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR 223 CONTAINER (Check all that apply) ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN 5 GALLON CONTAINER ® d. STEEL DRUM ^ h. SILO ^ I. CYLINDER ^ p. TANK WAGON STORAGE PRESSURE ® a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ® a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT COMPOSITION (LIST ALL COMPONENTS, HAZARDOUS FIRST) EHS CAS # t. too 22s MIXTURE OF GASOLINE & WATER OR 227 ^ YES ® NO 228 229 OTHER CONTAMINATION IN GASOLINE 2. 1 230 231 ^ YES ^ NO 232 233 3. 2 34 235 ^ YES ^ NO 236 237 4. 238 239 ^ YES ^ NO 240 241 5. 242 243 ^ YES ^ NO 244 245 If more hazardous com onents are resent at rester than 1% b wei ht if non-carciho enic, or 0.1% b wei ht if carcino enic, attach additional sheets NOTES (Trade names/synonyms or other information relevant to the substances listed) gas If EPCRA, Owner/Operator please sign here 21 UNIFIED PROGRAM (UP) FORM HAZARDOUS WASTE GENERATOR PAGE OF BUSINESS NAME: 3 FACILITY ID # I RANA ENTERPRISES, INC. NUMBER OF EMPLOYEES: tssb EPA ID # 2 I. TYPE OF GENERATOR. A PLEASE CHECK THE FOLLOWING BOXES THAT APPLY RCRA GENERATOR (FEDERAL WASTE)' NON RCRA GENERATOR (CALIFORNIA WASTE ONLY LARGE QUANTITY GENERATOR >I000 KG HAZARDOUS WASTE PER MONTH ^ ^ SMALL QUANTITY GENERATOR (>100 KG BUT <1000 KG HAZARDOUS WASTE PER MONTH) ^ ^ CONDITIONALLY EXEMPT SMALL QUANTITY GENERATOR (< 100 KG HAZARDOUS WASTE PER MONT ^ II. WASTE STREAM IDENTIEIC'ATION PLEASE COMPLETE THE TABLE BELOW. SEE INSTRUCTIONS FOR CODES AND EXPLANATION. PROCESS B WASTE DESCRIPTION C WASTE ID D AMOUNT E PER YEAR DISPOSAL METHOD STORAGE G METHOD CHANGING FUEL FILTER OR USING ABSORBENT TO CONTAIN SPILL USED FUEL FILTER/WASTE ABSORBENT 134 55 GALLONS B A WATER CONTAMINATED WITH GASOLINE FROM SUMP WASTE WATER 134 55 GALLONS B A i I cert~ that the information provided herein is true and accurate to the best of my knowledge. OWNER/OPERATOR NAME H MEHDI SATER OWNER/OPERATOR TITLE I OWNER OWNER/OPERATOR SIGNATURE DATE 7 12/20/05 OFFICIAL USE ONLY DATE RECENED REVIEWED BY CUPA III. PA IV. DISTRICT ~/, INSPECTOR 22 .INSTRUCTIONS FOR THE UNIFIED PROGRAM (UP) FORM HAZARDOUS WASTE GENERATOR PAGE (LA COUNTY) The waste generator page is used to identify your generator status and all waste streams generated at your facility. FACILITY ID NUMBER.Leave this blank. The Certified Unified Program Agency assigns this number (CUPA) and identifies your facility. 2. EPA ID # If you generate, recycle, or treat hazardous waste, enter your facility's 12-character U.S. Environmental Protection Agency (U.S. EPA) or California Identification number. For facilities in California, the number usually starts with the letters "CA". If you do not have a number, contact the Department of Toxic Substances Control (DTSC) at (916) 324-1781, (800) 61-TOXIC or (800) 61-86942, to obtain one. BUSINESS NAME Enter the full legal name of the business. 133b. NUMBER OF EMPLOYEES Enter the total number of employees currently working at your facility. A. TYPE OF GENERATOR Check the box that most closely apply to your facility. RCRA GENERATOR Check the box that best describes the amount of Federal listed and regulated hazazdous waste generated by your facility. Leave blank if your facility doesn't generate hazardous waste regulated under Subtitle C of RCRA (the Resource Conservation and Recovery Act of 1976). NON - RCRA GENERATOR Check the box that that best describes the amount of California-only listed and regulated hazardous waste generated by your facility. Leave blank if your facility doesn't generate non-RCRA hazardous waste. Boxes include: • Large Quantity Generator (greater than 1000 kg per Hazardous Waste per month) • Small Quantity Generator (less than 1000 kg per month but greater than 100 kg Hazazdous Waste per month) • Conditionally Exempt Small Quantity Generator (less than 100 kg Hazardous Waste per month) Note: 1. 1 kg = 2.2 lbs. 2. For Acutely Hazardous Waste or Extremely Hazardous Waste, facilities that generate greater than 1 kg per month are considered Large Quantity Generators and facilities that generate less are considered Conditionally Exempt Small Quantity Generators. B. PROCESS Briefly describe all processes that generate hazardous waste(s) at your facility. Example: plating, machining, painting, etc. C. WASTE DESCRIPTION Describe the type of waste that is generated from each process listed. Example: heavy metal sludge, waste oil, etc. D. WASTE ID List the Waste ID #'s for all RCRA and non-RCRA hazardous waste. Refer to 22 CCR § 66261.126. E. AMOUNT PER YEAR List the amount of hazardous waste generated from each sepazate process in kilograms, pounds, gallons, or tons per year. F. STORAGE METHOD Enter the letter that corresponds to the type of storage used at your facility for each of the hazardous waste streams listed. A =Drums B =Underground Tank , C =Aboveground Tank D =Waste Pile E = In Process Equipment G. DISPOSAL METHOD Enter the letter in the space provided to describe the disposal method used at your facility for each of the hazardous waste streams listed. A =Treatment Onsite B =Treatment Offsite C =Recycle Onsite D =Recycle Offsite H. OWNER/OPERATOR NAME Indicate the name of the person who signed the form. I. OWNER/OPERATOR TITLE Indicate the title of the person who signed the form. J. .DATE Indicate the date the form was signed. 23 ERN COUNTY HAZARDDOUS MATERIAL DIVISION BUSINESS NAME: RANA ENTERPRISES, INC 3 4 5 6 7 9 ~ ~.. C D E SITE MAP DATE :12/26/05 HAZZARDDOUS MATERIAL PLAN SITE ADDRESS: 4203 MING AVE. BAKERSFIELD, CA 93309 F G H I J ~: Z W J J ~~ Q VENT u- PIPE ~ TB z ~ RR Y Q oo : o • •~` wq y ST! .N :...............:.. RQ ................... o~'~'~wq y I ~° - z- / _„ oq/1 ~~ ~O o ~C / '~//J~o //v oa//:J / Q ~v // v_ ~// J=^oo//~~oQ f ~ ~.. v ..///Q4;o 1 ........................j ....:.......... ~jK/ / ^/ ~ \/ v / p .............................. EM .......~ ........~...............; ......... ~' & BPS Q W: ~ o ~ > ~: • ~ ® ~ Z EM NOEL'S ME~CICAN GRILL LL] ~~ Q Q ~ .~. z~ U J J ~: (~ Lli..:......... ~: ..1........ . J ~: ~: .... ~ST~c~,~.Q .................:.................. ~Nrq~ LEGEND ® SEWER FLOOR DRAIN ® STORM DRAIN FIRE HIDRANTS & CONNECTIONS (7{ SPRINKLER SYSTEM }~ VALVES AC AIR CONDITIONING SHUTOFF a ELECTRICAL SHUTOFF © GAS SHUTOFF O WATER SHUTOFF O EMERGENCY SHUTOFF ( i.e. GAS PUMP } ® D4SPENSER {BLAND ® FIRE EXTINGUISHER MSDS MSDS & CONTINGENCY $~ Bp PLAN 1 BUSSINESS~PLAN /~ SAFETY SHOWER 8 /~ EYEWASHES pP PERSONAL PROTECTIVE EQUIPMENT SPILL CONTAINMENT & ^X MITIGATION EQUIPMENT FIRST AID EQUIPMENT viii EMERGENCY ASSEI~ABLY 4iRP7f AREA SENSORS OR PROBES ® LEAK DETECTOR • • ALARM MONITORING CONSOLE ~ UNDERGROUND _ _ STORAGE TANK Cd2 C02 LIQUID !GAS CYLINDER DISPENSER SHUTOFF MO MOTOR OEL FL FLAMMABLE LIQUID CL COMBUSTIBLE LIQUID EM EMERGENCY EXIT O ABSORBENT ~~ CHAIN LINK FENCE TE TRASH ENCLOSURE TB TRASH BIN RR REST ROOM CASHIER SCALE 1" = 50 Ft ~~_ DIRECTION ....~_. Owner Statements of Designated Underground Storage Tank (UST) Operator and Understanding of and Compliance with UST Requirements Facility Name: RANA ENTERPRISES, INC. Facility ID #: Facility Address: 4203 MING AVE. BAKERSFIELD, CA 93309 Reason for Submitting this Form (Check One) ^ Change of Designated Operator Facility Phone #: 661-834-1076 ^ Update Certificate Expiration Date Designated UST Operator(sl for this Facility PRIMARY Designated Operator's Name: GEORGE, SARKISS ZOUMALAN Business Name (If different from above): RAMTOX CORPORATION Designated Operator's Phone #: 818-992-8981 International Code Council Certification #: 5238439-UC ALTERNATEI Relation to UST Facility (Check One) ^ Owner ^ Operator ^ Employee ^ Service Technician ®Third-Party Expiration Date: 7/09/06 Designated Operator's Name: Tony Mansour Relation to UST Facility (Check One) Business Name (If different from above): RAMTOX CORPORATION ^ Owner ^ Operator ^ Employee Designated Operator's Phone #: 626-372-9619 ^ Service Technician ®Third-Party International Code Council Certification #: 5269136-UC Expiration Date: November 17, 2007 ALTERNATE 2 (Optional) Designated Operator's Name: Relation to UST Facility (Check One) ' Business Name (If different from above): ^ Owner ^ Operator ^ Employee Designated Operator's Phone #: ^ Service Technician ^ Third-Party International Code Council Certification #: Expiration Date: I certify that, for the facility indicated at the top of this page, the individual(s) listed above will serve as Designated UST Operator(s). The individual(s) will conduct and document monthly facility inspections and annual facility employee training, in accordance with California Code of Regulations, title 23, section 2715(c) - (f J. Furthermore, I understand and am in compliance with the requirements (statutes, regulations, and local ordinances) applicable to underground storage tanks. NAME OF TANK OWNER (Please SIGNATURE OF TANK OWNER: DATE: 12/22/05 OWNER'S PHONE #: 661-834-1076 NOTE: 1) SUBMIT THIS COMPLETED FORM TO THE LOCAL AGENCY (NOT THE STATE WATER RESOURCES CONTROL BOARD) BY JANUARY 1, 2005. THE LOCAL AGENCY.LIST IS AVAILABLE AT: www.waterboards.ca.gov/ust/contacts/cupa a~vs.html. 2) NOTIFY THE LOCAL AGENCY OF ANY CHANGES TO THIS INFORMATION WITHIN 30 DAYS OF THE CHANGE. November 2004 y {4 State of California State Water Resources Control Board Division of Clean Water Programs P.O. Box 944212 Sacramento, CA 94244-2120 For State Use Only CERTIFICATION OF FINANCIAL RESPONSIBILITY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM A. I am required to demonstrate Financial Responsibility in the required amounts as specified in Section 2807, Chapter 18, Div. 3, Title 23, CCR: ® 500,000 dollars per occurrence ®1 million dollars annual aggregate or AND or ^ 1 million dollars per occurrence ^ 2 million dollars annual aggregate B. RANA ENTERPRISES, INC. hereby certifies that it is in compliance with the requirements of Section 2807, (Name of tank owner or operamr> - Article 3, Chapter 18, Division 3, Title 23, California Code of Regulations. The mechanisms used to demonstrate fmancial res onsibili as re uired b Section 2807 are as follows: C. Mechanism Name and Address of Issuer Mechanism Coverage Coverage Corrective, Third Party T e Number Amount. Period Action Compensation State UST Fund State Cleanup Fund N/A $ 995,000 per Continous Yes Yes P.O. Box 94422 occurrence and Sacramento, Ca 94244 annual aggregate Chief Financial MEHDI SATER N!A Office letter RANA ENTERPRISES, INC. '4203 MING AVE. BAKERSFIELD, CA 93309 $5,000 per Annaul occurrence and annual aggregate Yes I Yes Note: If you are using the State Fund as any part of your demonstration of financial responsibility, your execution and submission of this certification also certifies that ou aze in com Hance with all conditions for artici ation in the Fund. ' D Facility Name Facility Address RANA ENTERPRISES, INC. 4203 MING AVE., BAKERSFIELD, CA 93309 L'j • Signature of or 0 for / J'.Z~ Date ~ Name and Title of Tank Owner or Operator /f~ ~ //~.' ~ ~ 12/22/05 MEHDI SATER, PRESIDENT Signature of Witness or Notary Dale ~ Name of Witness or Notary Submit original to local UST regulatory agency. Keep a copy at each UST facility. (Instructions on Reverse) UN-049 - 1/2 www.unidocs.org 01/29/02 Self- Insured Mechanism Letter From Chief Financial Officer To Whom It May Concern: I am the Chief Financial officer for RANA ENTERPRISES, INC. located at 4203 MING AVE., BAKERSFIELD, CA 93309. This letter is in support of the underground storage tank cleanup fund to demonstrate fmancial responsibility for taking corrective action and or compensating third parties for bodily injury and property damage caused by an unauthorized release or petroleum in the amount of at least $5,000.00 annual aggregate coverage. Underground storage tanks at the following facility is assured by this letter: Site Addresses as follows Facility Name Facility Address RANA ENTERPRISES, INC. 4203 MING AVE., BAKERSFIELD, CA 93309 Name and Address of each facility for which financial responsibility is being demonstrated. 1. Amount of Annual Aggregate Coverage being assured by this letter: $5,000.00 2. Total Tangible Assets :...................... $ 2,000,000.00 3. Total Liabilities :..............................$ 1,000.000.00 4. Tangible Net Worth :..........................$2,000,000.00 I hereby certify that the wording of this letter is identical to the wording specified in subsection 2808.1 (D). (1). Chapter 18. Div. 3, Title 23 of the California Code of Regulations. I declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge and belief. Executed at: 4203 MING AVE., BAKERSFIELD, CA 93309 12/22/05 e /~ ~~~ Signature MEHDI SATER Print Name OWNER Title iIN-049 - 2/2 www.unidocs.org 01/29/02 -- -- Monitoring & Response Pfan for Doubie-Wall Underground Storage Tanks Date: 12/22/05 1. Facility Identification Business Name :RANA ENTERPRISES, INC. Operator Name: RANA ENTERPRISES, INC. Street Address: 4203 MING AVE. BLVD. City: BAKERSFIELD County: KERN State CA Cross Street: STINE RD. Telephone: 661-.834-1076 2. Tank Leak Detection Monitoring Eauipment Tank ID: 1 10,000 GALLON GASOLINE Product: 91 Monitor Sensor Monitoring Monitor Type Manufacturer Model Manufacturer Model Frequency ® Interstitial Monitoring VEEDER ROOT TLS350 VEEDER ROOT 794390-409 Continuous ^ Other (specify): Tank ID: 2 10,000 GALLON GASOLINE Product: 87 Monitor Sensor Monitoring Monitor Type Manufacturer Model Manufacturer Model Frequency ® Interstitial Monitoring VEEDER ROOT TLS350 VEEDER ROOT 794390-409 Continuous ^ Other (specify): Tank ID: 3 10,000 GALLON GASOLINE Product: 87 Monitor Sensor Monitoring Monitor Type Manufacturer Model Manufacturer Model Frequency ® Interstitial Monitoring VEEDER ROOT TLS350 VEEDER ROOT 794390-409 Continuous ^ Other (specify): Tank ID: 4 10,000 GALLON GASOLINE Product: 87 Monitor Sensor Monitoring Monitor Type Manufacturer Model Manufacturer Model Frequency ® Interstitial Monitoring VEEDER ROOT TLS350 VEEDER ROOT 794390-409 Continuous ^ Other (specify): Tank ID: 5 N/A Product: Monitor Sensor Monitoring Monitor Type Manufacturer Model Manufacturer Model Frequency ^ Interstitial Monitoring ^ Other (specify): Page 1 of 7 3. Pi in Leak Detection Monitorin E ui ment Monitorin Method Manufacturer Model Monitorin Fre uenc ® Sump leak sensors connected to continuous monitoring~system VEEDER ROOT Specify type: 794380-208 Continuous ^ Discriminating ® Non-disc~iminatin ^ Mechanical line leak detectors with. programmed leak threshold of three allons er hour ® Electronic line leak detectors with VEEDER ROOT programmed leak threshold of : PLLD Continuous ^ 0.1 h ^0.2 h ®3 h ® Line integrity testing by: ^ Electronic line leak detector is equipped to conduct line tightness ®Annually testing ^ Other: ® Third party testing ^ Not re uired ^ Other (Specify): 4. Dispenser Leak Detection Monitoring Equipment .Monitorin Method Manufacturer Model Monitorin Fre uenc ^ Mechanical float in dispenser containment ® Electronic leak sensor in dispenser containment: ^ Discriminating VEEDER ROOT 794380-208 Continuous ® Non-discriminatin ^ Visual inspection Visual inspection log maintained on site. ^ Daily ^ Other: ^ No under-dis enser containment ^ Other (specify): 5. rosrcroe snutaown caaamm~es ~® System does have positive shutdown capabilities ~ ^ Individual dispenser shutdown will occur whenever release is sensed in under-dispenser containment ® Automatic pump shut off will occur whenever: ® Release is sensed in turbine sump ® Release is sensed in primary piping ® Release is sensed at dispenser ® Monitoring system is disconnected or fails in any way (fail safe) ^ Other (specify): 6. Secondary Containment Testin ^ Secondary containment is not tested ® In the State of California, secondary containment systems installed on or after January 1, 2001, shall be tested upon installation, six months after installation, and every 36 months thereafter. Secondary containment systems installed prior to January 1, 2001, shall be.tested by January 1, 2003, and every 36 months thereafter. 7. Annual Equipment Certification/Testing ® Annually ^ Other (specify): Page 2 of 7 _ 8. Personnel Responsibility The facility operator indicated in Section 1 of this plan is responsible for conducting routine monitoring activities; reporting of alarms, leaks, and equipment problems; and, maintaining UST monitoring records. George Zoumalan Environmental Compliance Specialist is responsible for assigning a contractor to perform periodic maintenance and inspections of equipment; arranging and scheduling annual certification, tightness testing, servicing and calibration. 9. Record Keeping The Operator specified .in Section 1 of this plan is responsible for completing the Daily Visual Underground Storage Tank Monitoring Log, the Corrective Action/Alarm Log, and recording daily tank stick readings. Written records of all monitoring, testing, and maintenance performed shall be maintained on-site for a period of at least three years. These records must be made available, upon request within 36 hours, to the state or local agency. 10. Training Personnel responsible for maintaining UST monitoring records (i.e. logs, test reports, equipment service reports, etc.) have been instructed that such records must be maintained on-site, availablerfor inspection, for a minimum of three years unless county UST agency has indicated otherwise. Personnel are trained at initial hire and annually by the Operator specified in Section 1 to perform the following tasks: 1. Take tank level measurements 2. Read dispenser meters 3. Inspect equipment 4. Recognize warning signs: dispenser hesitations, meter spins and odors 5. Manually close dispenser impact valve 6. Replace dispenser filters 7. Shut down the system by knowing the location of electrical panel breakers, and emergency shutoff switches 8. Test the electronic monitor system 9. Respond to alarms, leaks or equipment problems 11. Unauthorized Release Response and Reporting Policy Facility personnel are responsible for the initial spill response and notifications. RANA ENTERPRISES, INC, may dispatch an environmental contractor for cleanup and disposal of hazardous waste. Any unauthorized release into the secondary containment of the underground storage tank system will be removed by a designated contractor in accordance with federal, state, and local regulations. Upon notification to RANA ENTERPRISES, INC. by the operator of a suspected unauthorized release, RANA ENTERPRISES, INC. representative will verbally notify all pertinent agencies immediately. An operator shall notify the RANA ENTERPRISES, -INC. of any inventory reconciliation that exceeds the allowable variation immediately. 12. Facility Procedure for Responding and Reporting. an Unauthorized Release 1. Determine if release is manageable and safe for on-site personnel to respond. 2. Minor Spill (manageable by on-site personnel) • Shut down turbine/pump at emergency shut-off switch or main electrical panel. • Place absorbent on spill. Used absorbent will be placed in an approved, labeled, and properly sealed container. Report spill to Facility Supervisor Notify Facility Manager. Complete the Report of Product Spillage/Loss Form and file in the Community-Right- to-Know section of the Hazard Communication Program Compliance Kit. Major Spill (Not manageable or unsafe for on-site personnel) • Shut down turbine/pump at emergency shut-off switch or main electrical- panel. • Evacuate if necessary. • Call 911. • . Attempt to prevent spill from entering storm drain or leaving property, if safe to do so. • Report spill to Facility Supervisor and call MEHDI SATER 661-834-1076 • Notify Facility Manager MEHDI SATER • Contact Environmental Compliance Specialist if you have questions or need additional help at telephone: MEHDI SATER • Complete the Report of Product Spillage/Loss Form and file in the Compliance binder. Page 3 of 7 13. Party Responsible for Pertorming the Monitoring The Facility Operator is responsible for monitoring all equipment for proper operation. Name: Title: Site Manager 14. Party Responsible for Maintaining Equipment I 15. Location Where the Monitoring will be Performed (with Plot Plan) Monitoring will be performed in an area of the station not accessible to customers, where applicable. 16. Party Responsible for Scheduling Testing of Equipment -GEORGE ZOUMALAN is responsible for scheduling testing of equipment. Contact. Name: GEORGE ZOUMALAN Title: Environmental Compliance Specialist Telephone: 818-992-8981 17. Signature of Operator Signed name: Printed name: SATER Title: Site Manaoer Date: 12/22/05 Page 4 of 7 Daily Visual Underground Storage Tank Monitoring Log * If an alarm condition exists, immediately notify the tank owner/operator/manager/supervisor, shut down effected product, and record the condition on the Alarm Activation/Discharge Log. Facilit No. Tank Monitorin Make & Model Month/Year S stem condition Ins ector Da O erational Alarm* Initials Comments 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 - 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Page 5 of 7 ..~ OPERATION & MAINTENANCE RECORD_Under round Stora a Tank S stem Corrective Action/Alarm Lo Facility No. Date /Time Reported To Date /Time Description of Conditions Corrective Action Taken of Discovery Page 6 of 7 Appendix C. Site Plan (if applicable) Page 7 of 7 UNDERGROUND STORAGE .TANKS -FACILITY TYPE OF ACTION ^ 1. NEW SITE PERMIT ^ 3. RENEWAL PERMIT ® 5. CHANGE OF INFORMATION (Specify change - ^ 7. PERMANENTLY CLOSED SITE (Check one item only) ^ 4. AMENDED PERMIT local use only)_CHANGE OF OWNERSHIP ^ 8. TANK REMOVED ^ 6. TEMPORARY SITE CLOSURE 400 FACILITY /-.SITE INFORMATION FACILITY ID # 1 SITE NAME (Same as FACILITY NAME or DBA) RANA ENTERPRISES INC. 3 6 0 0 1 ` 3 BUSINESS ADDRESS CITY :BAKERSFIELD ZIP CODE 4203 MING. AVE. 93309 NEAREST CROSS STREET 401 FACILITY OWNER TYPE ^ 4. LOCAL AGENCY/DISTRICT' STINE RD. ® 1. CORPORATION ^ 5. COUNTY AGENCY' BUSINESS ® 1. GAS STATION ^ 3. FARM ^ 5. COMMERCIAL ^ 2. INDIVIDUAL ^ 6. STATE AGENCY' TYPE ^ 3. PARTNERSHIP ^ 7. FEDERAL AGENCY' 402 ^ 2. DISTRIBUTOR ^ 4. PROCESSOR ^ OTHER .403 TOTAL NUMBER OF Is facility on Indian Reservation or "If owner of UST is a public agency: name of supervisor of TANKS ON SITE trustlands? division, section or office which operates the UST. (This is the contact person for the tank records) 4 404 ^ Yes ® No 405 406 ~. IL PROPERTY OWNER INFORMATION . _ __ PROPERTY OWNER NAME 407 PHONE 408 RANA ENTERPRISES INC. 661-834-1076 MAILING OR STREET ADDRESS 409 4203 MING. AVE. CITY 410 STATE 411 ZIP CODE 412 BAKERSFIELD CA 93309 TANK OPERATOR TYPE ® 1. CORPORATION ^ 2. INDIVIDUAL ^ 4. LOCAL AGENCY /DISTRICT ^ 7. STATE AGENCY 413 ^ 3. PARTNERSHIP ^ 5. COUNTY AGENCY ^ 8. FEDERAL AGENCY IN. TANK OWNER INFORMATION TANK OWNER NAME 414 PHONE 415 RANA ENTERPRISES INC. 661-834-1076 MAILING OR STREET ADDRESS 416 4203 MING. AVE. CITY 417 STATE 418 ZIP CODE 419 BAKERSFIELD CA 93309 PROPERTY OWNER TYPE ® 1. CORPORATION ^ 2. INDIVIDUAL ^ 4. LOCAL AGENCY /DISTRICT ^ 7. STATE AGENCY 420 ^ 3. PARTNERSHIP ^ 5. COUNTY AGENCY ^ 8. FEDERAL AGENCY IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER TY (TK) HQ Call (916) 322 - 9669 if questions arise 421 V. PETROLEUM UST FINANCIAL RESPONSIBILITY INDICATE METHOD(S) ® 1. SELF-INSURED ^ 4. SURETY BOND ® 7. STATE FUND ^ 10. LOCAL GOVT MECHANISM ^ 2. GUARANTEE ^ 5. LETTER OF CREDIT ^ 8. STATE FUND & CFO LETTER ^ 99. OTHER: ^ 3. INSURANCE ^ 6. EXEMPTION ^ 9. STATE FUND & CD 422 VI' LEGAL-NOTIFICATION AND MAILING ADDRESS Check one box to indicate which address should be used for legal notifications and mailing. Legal notifications and mailings will be sent to the tank owner ONLY, unless box 1 or 2 is ^ 1. FACILITY ^ 2. PROPERTY OWNER ® 3. TANK OWNER 423 checked. ;; VII. APPLICANT SIGNATURE. Certificaticn: I certi e ' orm n p vided herein is true and accurate to the best of my knowledge. SIGNAT 0 P I T ~, ~ DATE 424 PHONE 425 ~ ~ ~ 12/22/05 9osa72-s717 NAME OF AP LICANT (print) 426 TITLE OF APPLICANT 427 MEHDI SATER OWNER STATE UST FACILITY NUMBER (For local use only) 428 1998 UPGRADE CERTIFICATE NUMBER (Forlocal use only) 429 UNDERGROUND'STORAGE TANKS -TANK PAGE 1 °' TYPE OF ACTION I__I 1. NEW SITE PERMIT LJ 4. AMENDED PERMIT ~ 5. CHANGE OF INFORMATION (Check one item only) 6. TEMPORARY SITE CLOSURE ^ 3. RENEWAL PERMIT ^ 7. PERMANENTLY CLOSED ON SITE (Snecifv reason -for local use only rSnecifv chance -for local use nnlvl ^ 8. TANK REMOVED 430 FACILITY ID # 1 BUSINESS NAME (Same as FACILITY NAME or DBA~ 3 6 0 0 1 RANA ENTERPRISES INC. BUSINESS ADDRESS CITY ZIP CODE 4203 MING. AVE. BAKERSFIELD 93309 LOCATION WITHIN SITE (Optional) 431 _ L° TANK DESCRIPTION A scaled lot Ian with the location of the UST s stem ineludin ,tiuildin sandlandmarks shall he sufimdtedto the,local a enc . TANK ID # 432 TANK MANUFACTURER .433 COMPARTMENTALIZED TANK ^ Yes ®No 434 1 Xerxes If "Yes", complete one page for each compartment. DATE INSTALLED (YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 10,000 1 ADDITIONAL DESCRIPTION 438 ll. TANK°~CONTENTS' ....___...... TANK USE 439 PETROLEUM TYPE 440 ® 1. MOTOR VEHICLE FUEL ^ 1a. REGULAR UNLEADED ^ 2. LEADED ^ 5. JET FUEL (If marked, complete Petroleum Type) ' ®tti. PREMIUM UNLEADED ^ 3. DIESEL ^ 6. AVIATION FUEL ^ 2. NON-FUEL PETROLEUM ^ 1c. MID-GRADE UNLEADED ^ 4. GASOHOL ^ 99. OTHER ^ 3. CHEMICAL PRODUCT ^ 4. HAZARDOUS WASTE (Includes COMMON NAME (from Hazardous Materials Inventory page) 441 CAS # (from Hazardous Materials Inventory page) 442 used oll> Gasoline ^ 95. UNKNOWN $OO6-07-9 III..', TANK CONSTRUCT,_IO~N - TYPE OF TANK ^ 1. SINGLE WALL ^ 3. SINGLE WALL WITH ^ 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 ®2. DOUBLE WALL EXTERIOR MEMBRANE LINER ^ g5. UNKNOWN (Check one item only) ^4. SINGLE WALL IN A VAULT ^ gg, OTHER TANK MATERIAL -primary tank ^ 1. BARE STEEL ®3. FIBERGLASS /PLASTIC ^ 5. CONCRETE ^ 95. UNKNOWN 444 ^ 2 STAINLESS ^ 4. STEEL CLAD W/FIBERGLASS ^ 8. FRP COMPATIBLE W/100 % METHANOL ^ 99. OTHER (Check one item only) STEEL REINFORCED PLASTIC FRP TANK MATERIAL -secondary tank ^ 1. BARE STEEL ®3. FIBERGLASS /PLASTIC ^ 6. FRP COMPATIBLE W/100 % METHANOL ^ 95. UNKNOWN 445 ^ 2 STAINLESS ^ 4. STEEL CLAD W/FIBERGLASS ^ 9. FRP NON-CORRODIBLE JACKET ^ 99 OTHER . (Check one item only) STEEL .REINFORCED PLASTIC (FRP) ^ 10. COATED STEEL ^ 5. CONCRETE TANK~INTERIOR LINING ^ 1. RUBBER LINED ^ 3. EPOXY LINING ^ 5. GLASS LINING ^ 95. UNKNOWN 446 DATE INSTALLED 447 OR COATING ^ 2, ALKYD LINING ^ 4. PHENOLIC LINING ®6. UNLINED ^ 99. OTHER (Check one item only) (For local use only) OTHER CORROSION ^ 1. MANUFACTURED CATHODIC ®3. FIBERGLASS REINFORCED PLASTIC ^ 95. UNKNOWN 448 DATE INSTALLED 449 PROTECTION IF APPLICABLE PROTECTION ^ 4 IMPRESSED CURRENT ^ 99 OTHER . . (Check all that apply) ^ 2. SACRIFICIAL ANODE SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (Forlocal use only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452 (Check all that apply) ®1. SPILL CONTAINMENT ®1 ALARM ^ 3. FILL TUBE SHUT OFF VALVE ® 2. DROP TUBE ^ 2. BALL FLOAT ^ 4. EXEMPT ® 3. STRIKER PLATE IV. TANK LEAK DETECTION (A description of,the monitoring program shau tie submitted to me local agency)., IF SINGLE WALL TANK (Check all that apply): 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only) : 454 ^ 1. VISUAL (EXPOSED PORTION ONLY) ^ 5. MANUAL TANK GAUGING (MTG) ^ 1. VISUAL (SINGLE WALL IN VAULT ONLY) ^ 2. AUTOMATIC TANK GAUGING (ATG) ^ 6. VADOSE ZONE ®2. CONTINUOUS INTERSTITIAL MONITORING ^ 3. CONTINUOUS ATG ^ 7. GROUNDWATER ^ 3. MANUAL MONITORING ^ 4. STATISTICAL INVENTORY RECONCILIATION (SIR) + ^ 8. TANK TESTING BIENNIAL TANK TESTING ^ 99. OTHER ``°V. TANK_CLOSURE-INFORMATION/_PERMANENT CLOSURE-IN PLACE __ ESTIMATED DATE LAST USED (YY/MM/DD) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 gallons ^ Yes ^ No i' UNDERGROUND STORAGE TANKS -TANK PAGE 2 ~r" .. ... VI PIDIIJ(A(`AWC]'RI'ICTIC9p-rrhti..~~ii,.i,~s ~...,~~n-.: ... UNDERGROUND PIPING ..., ABOVEGROUND PIPING SYSTEM TYPE ®1. PRESSURE ^ 2. SUCTION ^ 3. GRAVITY 458 ^ 1. PRESSURE ^ 2. SUCTION ^ 3. GRAVITY 459 ^ 1. SINGLE WALL ^ 3. LINED TRENCH ^ 99. OTHER 460 ^ 1. SINGLE WALL ^ 95. UNKNOWN 462 CONSTRUCTION/ ®2 DOUBLE WALL ^ 95. UNKNOWN ^ 2. DOUBLE WALL' ^ 99. OTHER MANUFACTURER MANUFACTURER 461 MANUFACTURER 463 ^ 1. BARE STEEL ^ 6. FRP COMPATIBLE W/ 100 % METHANOL ^ 1. BARE STEEL ^ 6. FRP COMPATIBLE W/ 100 % METHANOL MATERIALS AND ^ 2 STAINLESS STEEL ^ 7. GALVANIZED STEEL ^ 2. STAINLESS STEEL ^ 7. GALVANIZED STEEL CORROSION PROTECTION ^ 3. PLASTIC COMPATIBLE WITH CONTENTS ^ 95. UNKNOWN ^ 3. PLASTIC COMPATIBLE WITH CONTENTS ^ 8. FLEXIBLE (HDPE) ^ 99. OTHER (check all that ®4. FIBERGLASS ^ 8. FLEXIBLE (HDPE) ^ 99. OTHER ^ 4. FIBERGLASS ^ 9. CATHODIC PROTECTION apply) ^5. STEEL W/COATING ^ 9. CATHODIC PROTECTION 464 ^ 5. STEEL W/COATING ^ 95. UNKNOWN 465 '' VII. P.IPING~LEAK DETEGTION~~(Check all that apply)(a.description o/the monitonng.progremshall he sutimitted to the locaiagency:) - UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL PIPING 466 SINGLE WALL PIPING 467 PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply): ^ 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUTOFF FOR ^ 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUTOFF FOR LEAK, SYSTEM FAILURE AND SYSTEM DISCONNECTION +AUDIBLE AND VISUAL LEAK, SYSTEM FAILURE AND SYSTEM DISCONNECTION +AUDIBLE AND VISUAL ALARMS ALARMS ^ 2. MONTHLY 0.2 GPH TEST ^ 2. MONTHLY 0.2 GPH TEST ^ 3. ANNUAL INTEGRITY TEST (0.1 GPH) ^ 3. ANNUAL INTEGRITY TEST (0.1 GPH) ^ 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: ^ 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM +TRIENNIAL PIPING INTEGRITY CONVENTIONAL SUCTION SYSTEMS: TEST (0.1 GPH) ^ 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM ^ 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): ^ 7. SELF MONITORING SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): ^ 7. SELF MONITORING GRAVITY FLOW: ^ 9. BIENNIAL INTEGRITY TEST (0.1 GPH) ~ GRAVITY FLOW: ^ 8. DAILY VISUAL MONITORING ^ 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) (Check one) ® a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ^ a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ® b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM ^ b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION DISCONNECTION ^ c. NO AUTO PUMP SHUT OFF ^ c. NO AUTO PUMP SHUT OFF ® 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR AUTOMATIC LEAK ^ 11 RESTRICTION . ^ 12. ANNUAL INTEGRITY TEST (0.1 GPH) ^ 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTIONlGRAVITY SYSTEM: SUCTION/GRAVITY SYSTEM: ^ 13. CONTINUOUS SUMP SENSOR +AUDIBLE AND VISUAL ALARMS ^ 13. CONTINUOUS SUMP SENSOR +AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply): EMERGENCY GENERATORS ONLY (Check all that apply): ^ 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUTOFF +AUDIBLE AND ^ 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUTOFF +AUDIBLE AND VISUAL ALARMS VISUAL ALARMS ^ 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR ^ 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST RESTRICTION ^ 16. ANNUAL INTEGRITY TEST ^ 16. ANNUAL INTEGRITY TEST ^ 17. DAILY VISUAL CHECK ^ 17. DAILY VISUAL CHECK ,. ~~ ~' Vllls DISPENSERrCONI'AINMENT ~~~ ~~ DISPENSER CONTAINMENT ^ 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE ^ 4. DAILY VISUAL CHECK DATE INSTALLED 468 ^ 2. CONTINUOUS DISPENSER PAN SENSOR +AUDIBLE AND VISUAL ALARMS ^ 5. TRENCH LINER /MONITORING ® 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER +AUDIBLE AND VISUAL ALARMS ^ 6. NONE 469 _.. IX. OWNER/OPERAT,OR~SlGNATURE I certify that t info ti pro ed he in is true and accurate to the best of my knowledge. ~GN/ F DATE 470 12/22105 NAME OF OWNER/OPERATOR(print) 471 TITLE OF OWNER/OPERATOR 472 MEHDI SATER OWNER RevlseU 611112002 UNDERGROUND STORAGE TANKS =TANK PAGE 1 ~ TYPE OF ACTION ^ 1. NEW SITE PERMIT ^ 4. AMENDED PERMIT ® 5. CHANGE OF INFORMATION ^ 6. TEMPORARY SITE CLOSURE (Check one item only) ^ 3. RENEWAL PERMIT ^ 7. PERMANENTLY CLOSED ON SITE - (Specify reason -for local use only (Specify change -for local use only) ^ 8. TANK REMOVED 430 FACILITY ID # ~ - . 1 ": BUSINESS NAME (Same as FACILITY NAME or DBA~ 3 6 0 0 1 RANA ENTERPRISES INC. BUSINESS ADDRESS CITY ZIP CODE 4203 MING. AVE. BAKERSFIELD 93309 LOCATION WITHIN SITE (Optional) 431 I. TANK DESCRIPTION,- A scaled iok lan with the=location ot,the=US=T s stem ihcludin buUdih sand lahdmarks sha/hbe subinittedao the:loeaLa enc ) ' TANK ID # 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ^ Yes ®No 434 2 Xerxes If "Yes", complete one page for each compartment. DATE INSTALLED (YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 10,000 1 ADDITIONAL DESCRIPTION 438 IL TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 ® 1. MOTOR VEHICLE FUEL ® 1a. REGULAR UNLEADED ^ 2. LEADED ^ 5. JET FUEL (If marked, complete Petroleum Type) ^ 1 b. PREMIUM UNLEADED ^ 3. DIESEL ^ 6. AVIATION FUEL ^ 2. NON-FUEL PETROLEUM ^ 1c. MID-GRADE UNLEADED ^ 4. GASOHOL ^ 99. OTHER ^ 3 CHEMICAL PRODUCT . ^ 4. HAZARDOUS WASTE (Includes COMMON NAME (from Hazardous Materials Inventory page) 441 CAS # (from Hazardous Materials Inventory page) 442 Used Oil) Gasoline ^ 95. UNKNOWN $006"01'9 ` IIL ,TANK'CONSTRUCTION" TYPE OF TANK ^ 1. SINGLE WALL ^ 3. SINGLE WALL WITH ^ 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 ® 2. DOUBLE WALL EXTERIOR MEMBRANE LINER ^ 95. UNKNOWN (Check one item only) ^4. SINGLE WALL IN A VAULT ^ 99. OTHER TANK MATERIAL -primary tank ^ 1. BARE STEEL ®3. FIBERGLASS /PLASTIC ^ 5. CONCRETE ^ 95. UNKNOWN 444 ^ 2. STAINLESS ^ 4. STEEL CLAD W/FIBERGLASS ^ 8. FRP COMPATIBLE W/100% METHANOL ^ 99. OTHER (Check one item only) STEEL REINFORCED PLASTIC FRP TANK MATERIAL -secondary tank ^ 1. BARE STEEL ®3. FIBERGLASS /PLASTIC ^ 8. FRP COMPATIBLE W/100 % METHANOL ^ 95. UNKNOWN 445 ^ 2. STAINLESS ^ 4. STEEL CLAD W/FIBERGLASS ^ 9. FRP NON-CORRODIBLE JACKET ^ 99. OTHER (Check one item only) STEEL REINFORCED PLASTIC (FRP) ^ 10. COATED STEEL ^ S. CONCRETE TANK INTERIOR LINING ^ 1. RUBBER LINED ^ 3. EPOXY LINING ^ 5. GLASS LINING ^ 95. UNKNOWN 446 DATE INSTALLED 447 OR COATING ^ 2. ALKYD LINING ^ 4. PHENOLIC LINING ®6. UNLINED ^ 99. OTHER (Check one item only) (For local use only) OTHER CORROSION ^ 1. MANUFACTURED CATHODIC ®3. FIBERGLASS REINFORCED PLASTIC ^ 95. UNKNOWN 448 DATE INSTALLED 449 PROTECTION IF APPLICABLE PROTECTION ^ 4. IMPRESSED CURRENT ^ 99. OTHER (Check allfhatapply) ^ 2. SACRIFICIAL ANODE SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (FOrlocal use only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452 (Check all that apply) ®1. SPELL CONTAINMENT ®1. ALARM ^ 3. FILL TUBE SHUT OFF VALVE ® 2. DROP TUBE ®2. BALL FLOAT ^ 4. EXEMPT ® 3. STRIKER PLATE IV.'' TANK LEAK''DETECTION (A description of the monitoring program shagbe submitted to the /bcal agency} IF SINGLE WALL TANK (Check all that apply): 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only) : 454 ^ 1. VISUAI. (EXPOSED PORTI ON ONLY) ^ S. MANUAL TANK GAUGING (MTG) ^ 1. VISUAL (SINGLE WALL IN VAULT ONLY) ^ 2. AUTOMATIC TANK GAUGI NG (ATG) ^ 6. VADOSE ZONE ®2. CONTINUOUS INTERSTITIAL MONITORING ^ 3. CONTINUOUS ATG ^ 7. GROUNDWATER ^ 3. MANUAL MONITORING ^ 4. STATISTICAL.INVENTORY RECONCILIATION (SIR) + ^ 8. TANK TESTING BIENNIAL TANK TESTING ^ 99. OTHER V. TANK CLOSURE INFORMATION /PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED (YY/MMIDD) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 gallons ^ Yes ^ No Revised 6/77/ZOOZ " - UNDERGROUND STORAGE TANKS_-TANK PAGE 2 VI: PIPING CONSTROCTION /cne~k;ali rnat aooi~i ` UNDERGROUND PIPING ABOVEGROUND PIPING SYSTEM TYPE ®1. PRESSURE ^ 2. SUCTION ^ 3. GRAVITY 458 ^ 1. PRESSURE ^ 2. SUCTION ^ 3. GRAVITY 459 ^ 1. SINGLE WALL ^ 3. LINED TRENCH ^ 99. OTHER 460 ^ 1. SINGLE WALL ^ 95. UNKNOWN 462 CONSTRUCTION/ ®2. DOUBLE WALL ^ 95. UNKNOWN ^ 2 DOUBLE WALL' ^ 99 OTHER MANUFACTURER . . MANUFACTURER 461 MANUFACTURER 463 ^ 1. BARE STEEL ^ 6. FRP COMPATIBLE W/ 100 % METHANOL ^ 1. BARE STEEL ^ 6. FRP COMPATIBLE W! 100 % METHANOL MATERIALS AND ' ^ 2 STAINLESS STEEL ^ 7. GALVANIZED STEEL ^ 2. STAINLESS STEEL ^ 7. GALVANIZED STEEL CORROSION PROTECTION ^ 3. PLASTIC COMPATIBLE WITH CONTENTS ^ 95. UNKNOWN ^ 3. PLASTIC COMPATIBLE WITH CONTENTS ^ 8. FLEXIBLE (HDPE) ^ 99. OTHER (check all that ®4. FIBERGLASS ^ 8. FLEXIBLE (HDPE) ^ 99. OTHER ^ 4. FIBERGLASS ^ 9. CATHODIC PROTECTION apply) ^5. STEEL W/COATING ^ 9. CATHODIC PROTECTION 464 ^ 5. STEEL W/COATING ^ 95. UNKNOWN 465 ,., VIL'PIPING;L:EAK DETECTION (Check,al/that apply)(a descnption,ofthe rnonitonng program shall besubmltted to the IocaCagency) UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL PIPING 466 SINGLE WALL PIPING 467 PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply): ^ 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUTOFF FOR ^ 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUTOFF FOR LEAK, SYSTEM FAILURE AND SYSTEM DISCONNECTION +AUDIBLE AND VISUAL LEAK, SYSTEM FAILURE AND SYSTEM DISCONNECTION +AUDIBLE AND VISUAL ALARMS ALARMS ^ 2. MONTHLY 0.2 GPH TEST ^ 2. MONTHLY 0.2 GPH TEST ^ 3. ANNUAL INTEGRITY TEST (0.1 GPH) ^ 3. ANNUAL INTEGRITY TEST (0.1 GPH) ^ 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: ^ 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY CONVENTIONAL SUCTION SYSTEMS: TEST (0.1 GPH) ^ 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): ^ 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) ^ 7. SELF MONITORING SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): ^ 7• SELF MONITORING GRAVITY FLOW: ^ 9. BIENNIAL INTEGRITY TEST (0.1 GPM) ~ GRAVITY FLOW: ^ 8. DAILY VISUAL MONITORING ' ^ 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) (Check one) ® a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ^ a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ® b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM ^ b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION ^ c NO AUTO PUMP SHUT OFF DISCONNECTION . ® 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR ^ c. NO AUTO PUMP SHUT OFF RESTRICTION ^ 11. AUTOMATIC LEAK ^ 12. ANNUAL INTEGRITY TEST (0.1 GPH) ^ 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: - - SUCTION/GRAVITY SYSTEM: , ^ 13. CONTINUOUS SUMP SENSOR +AUDIBLE AND VISUAL ALARMS ^ 13. CONTINUOUS SUMP SENSOR +AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply): EMERGENCY GENERATORS ONLY (Check all that apply): ^ 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUTOFF +AUDIBLE AND ^ 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUTOFF +AUDIBLE AND VISUAL ALARMS VISUAL ALARMS ^ 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR ^ 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST RESTRICTION ^ 16. ANNUAL INTEGRITY TEST ^ 16. ANNUAL INTEGRITY TEST ^ 17. DAILY VISUAL CHECK ^ 17. DAILY VISUAL CHECK VIII. DISPENSER CONTAINMENT DISPENSER CONTAINMENT ^ 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE ^ 4. DAILY VISUAL CHECK DATE INSTALLED 468 ^ 2. CONTINUOUS DISPENSER PAN SENSOR +AUDIBLE AND VISUAL ALARMS ^ 5. TRENCH LINER /MONITORING ® 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER +AUDIBLE AND VISUAL ALARMS ^ 6. NONE 469 > IX. OWNER/OPERATOR SIGNATURE I certify that th in r ion vide erei is true and accurate to the best of my knowledge. SIG P DATE 470 12/22/05 ,' N ME OWNER/OPERATOR(print) 471 TITLE OF OWNER/OPERATOR 472 MEHDI SATER OWNER Revised envzooz ~ ' UNDERGROUND STORAGE TANKS....:- TANK PAGE 1' - ~ TYPE OF ACTION ^ 1. NEW SITE PERMIT ^ 4. AMENDED PERMIT ® 5. CHANGE OF INFORMATION ^ 6. TEMPORARY SITE CLOSURE (Check one item only) ^ 3. RENEWAL PERMIT ^ 7. PERMANENTLY CLOSED ON SITE - (Specify reason -for local use only (Specify change -for local use only) ^ 6• TANK REMOVED 430 FACILITY ID # y BUSINESS NAME (Same as FACILITY NAME or OBA~ 3 6 0 0 1 RANA ENTERPRISES INC. BUSINESS ADDRESS CITY ZIP CODE a2o3 MING. AvE. BAKERSFIELD 93309 LOCATION WITHIN SITE (Optional) 431 L _TANK DESCRIPTION A scaled.. lot Ian with the location of the UST s stem mdudin bui/din sand landmarks shall be submitted to the local a enc TANK ID # 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ^ Yes ®No 434 $ Xerxes If "Yes", complete one page for each compartment. DATE INSTALLED (YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 10,000 1 ADDITIONAL DESCRIPTION 438 II. TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 ®1. MOTOR VEHICLE FUEL ® 1a. REGULAR UNLEADED ^ 2. LEADED ^ 5. JET FUEL (Ifmarked, complete Petroleum Type) ^ 1b. PREMIUM UNLEADED ^ 3. DIESEL ^ 6. AVIATION FUEL ^ 2. NON-FUEL PETROLEUM ^ 1c. MID-GRADE UNLEADED ^ 4. GASOHOL ^ 99. OTHER ^ 3 CHEMICAL PRODUCT . ^ 4. HAZARDOUS WASTE (Includes COMMON NAME (from Hazardous Materials Inventory page) 441 CAS # (from Hazardous Materials Inventory page) 442 Used Oil) Gasoline ^ 95. UNKNOWN 8006-01-9 IN. TANK CONSTRUCTIQN' TYPE OF TANK ^ 1. SINGLE WALL ^ 3. SINGLE WALL WITH ^ 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 ® 2. DOUBLE WALL EXTERIOR MEMBRANE LINER ^ g5. UNKNOWN (Check one item only) ^4. SINGLE WALL IN A VAULT ^ gg. OTHER TANK MATERIAL -primary tank ^ 1. BARE STEEL ®3. FIBERGLASS /PLASTIC ^ 5. CONCRETE ^ 95. UNKNOWN 444 ^ 2. STAINLESS ^ 4. STEEL CLAD W/FIBERGLASS ^ 8. FRP COMPATIBLE W/100 % METHANOL ^ 99. OTHER (Check one item only) STEEL REINFORCED PLASTIC FRP TANK MATERIAL -secondary tank ^ 1. BARE STEEL ®3. FIBERGLASS I PLASTIC ^ B. FRP COMPATIBLE W/100% METHANOL ^ 95. UNKNOWN 445 ^ 2. STAINLESS ^ 4. STEEL CLAD W/FIBERGLASS ^ 9. FRP NON-CORRODIBLE JACKET ^ 99. OTHER (Check one item only) STEEL REINFORCED PLASTIC (FRP) ^ 10. COATED STEEL ^ 5.CONCRETE~ TANK INTERIOR LINING ^ 1. RUBBER LINED ^ 3. EPOXY LINING ^ 5. GLASS LINING ^ 95. UNKNOWN 446 DATE INSTALLED 447 OR COATING ^ 2. ALKYD LINING ^ 4. PHENOLIC LINING ®6. UNLINED ^ 99. OTHER (Check one item only) (For local use only) OTHER CORROSION ^ 1. MANUFACTURED CATHODIC ®3. FIBERGLASS REINFORCED PLASTIC ^ 95. UNKNOWN qqg DATE INSTALLED 449 PROTECTION IF APPLICABLE PROTECTION ^ 4. IMPRESSED CURRENT ^ 99. OTHER (Check all that apply) ^ 2. SACRIFICIAL ANOD E SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (For local use only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452 (Check all that appy) ®1. SPILL CONTAINMENT ®1. ALARM ^ 3. FILL TUBE SHUT OFF VALVE ® 2. DROP TUBE ®2. BALL FLOAT ^ 4. EXEMPT ® 3. STRIKER PLATE ~~; IV. TANK LEAK DETECTION (A descnption;bf the monitoring programshall be su4mitted to the local agency) IF SINGLE WALL TANK (Check all that apply): - 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only) : 454 ^ 1. VISUAL (EXPOSED POR710N ONLY) ^ 5. MANUAL TANK GAUGING (MTG) ^ 1. VISUAL (SINGLE WALL IN VAULT ONLY) ^ 2. AUTOMATIC TANK GAUGING (ATG) ^ 6. VADOSE ZONE ®2. CONTINUOUS INTERSTITIAL MONITORING ^ 3. CONTINUOUS ATG ^ 7. GROUNDWATER ^ 3. MANUAL MONITORING ^ 4. STATISTICAL INVENTORY RECONCILIATION (SIR) + ^ 8. TANK TESTING BIENNIAL TANK TESTING ^ 99. OTHER V. TANK CLOSURE,INFORMATION (,PERMANENT CLOSUREJN PLACE ESTIMATED DATE LAST USED (W/MM/DD) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 gallons ^ Yes ^ No rcevisea cnvzooz UNDERGROUND STORAGE TANKS -TANK PAGE 2 ~ VI. 'PIPING'CONSTRUCTION 7Checkau,tnatappiY) ~ SYSTEM TYPE ®1. PRESSURE ^ 2. SUCTION ^ 3. GRAVITY ^ 1. SINGLE WALL ^ 3. LINED TRENCH ^ 99.OTHER CONSTRUCTION/ ®2. DOUBLE WALL ^ 95. UNKNOWN MANUFACTURER MANUFACTURER 461 ^ 1. BARE STEEL ^ 6. FRP COMPATIBLE W/ 100 % METHANO MATERIALS AND ^ 2 STAINLESS STEEL ^ 7. GALVANIZED STEEL CORROSION PROTECTION ^ 3. PLASTIC COMPATIBLE WITH CONTENTS ^ 95. UNKNOW (check all that ®4. FIBERGLASS ^ 8. FLEXIBLE (HDPE) ^ 99. OTHER aPPIY) ^5. STEEL WI COATING ~ y CATHODIC PROTECTION YII. 456 ^ 1. PRESSURE 460 ^ 1. SINGLE WALL ^ 2. DOUBLE WALL' ^ 2. SUCTION ^ 3. GRAVITY 459 ^ 95. UNKNOWN 462 ^ 99. OTHER 463 I L ^ 1. BARE STEEL ^ 6. FRP COMPATIBLE W/ 100 % METHANOL ^ 2. STAINLESS STEEL ^ 7. GALVANIZED STEEL N ^ 3. PLASTIC COMPATIBLE WITH CONTENTS ^ 6. FLEXIBLE (HDPE) ^ 99. OTHER ^ 4. FIBERGLASS ^ 9. CATHODIC PROTECTION 464 ^ 5. STEEL Wt COATING ^ 95. UNKNOWN 465 UNDERGROUND PIPING SINGLE WALL PIPING 466 PRESSURIZED PIPING (Check all that apply): ^ 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUTOFF FOR LEAK, SYSTEM FAILURE AND SYSTEM DISCONNECTION +AUDIBLE AND VISUAL ALARMS ^ 2. MONTHLY 0.2 GPH TEST ^ 3. ANNUAL INTEGRITY TEST (0.1 GPH) . CONVENTIONAL SUCTION SYSTEMS: ^ 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): ^ 7. SELF MONITORING GRAVITY FLOW: ^ 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) ®a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ® b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION ^ c. NO AUTO PUMP SHUT OFF ® 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION ^ 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTIONlGRAVITY SYSTEM: ^ 13. CONTINUOUS SUMP SENSOR +AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply): ^ 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUTOFF +AUDIBLE AND VISUAL ALARMS ^ 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR RESTRICTION ^ 16. ANNUAL INTEGRITY TEST ^ 17. DAILY VISUAL CHECK np6on of the monitoring program shall be submitted.fo the local agency) ABOVEGROUND PIPING SINGLE WALL PIPING 467 PRESSURIZED PIPING (Check all that apply): ^ 1. -ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUTOFF FOR LEAK, SYSTEM FAILURE AND SYSTEM DISCONNECTION +AUDIBLE AND VISUAL ALARMS ^ 2. MONTHLY 0.2 GPH TEST ^ 3. ANNUAL INTEGRITY TEST (0.1 GPH) ^ 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: ^ 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM ^ 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): ^ 7. SELF MONITORING GRAVITY FLOW: ^ 8. DAILY VISUAL MONITORING ^ 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) ^ a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ^ b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION ^ c. NO AUTO PUMP SHUT OFF ^ 11. AUTOMATIC LEAK ^ 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: ^ 13. CONTINUOUS SUMP SENSOR +AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply): ^ 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUTOFF +AUDIBLE AND VISUAL ALARMS ^ 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST ^ 16. ANNUAL tNTEGRITY TEST ^ 17. DAILY VISUAL CHECK _ _ _ CONTAINMENT DISPENSER CONTAINMENT ^ 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE ^ 4. DAILY VISUAL CHECK DATE INSTALLED 468 ^ 2. CONTINUOUS DISPENSER PAN SENSOR+AUDIBLE AND VISUAL ALARMS ^ 5. TRENCH LINER /MONITORING ® 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER +AUDIBLE AND VISUAL ALARMS ^ 6. NONE 469 ,ll ,(,_ ~~, 'JX. OWNERIOPERATOR SIGNATURE I certi6y thatt~i~e irtf rm i pro ~ e e m is true and accurate to the best of my knowledge. IG~]ATdJR F O ~R DATE 470 ~~+/ 12/22/05 NA OF OWNER/OPERATOR(print) 471 TITLE OF OWNER/OPERATOR 472 MEHDI SATER OWNER Revised 6N 1/2002 L UNDERGROUND STORAGE TANKS -TANK PAGE 1 _ ~ TYPE OF ACTION ^ 1. NEW SITE PERMIT ^ 4. AMENDED PERMIT ® 5. CHANGE OF INFORMATION ^ 6. TEMPORARY SITE CLOSURE (Check one item only) ^ 3. RENEWAL PERMIT ^ 7. PERMANENTLY CLOSED ON SITE (Specify reason -for local use only (Specify change -for local use only) ^ 8. TANK REMOVED 430 FACILITY ID # - { BUSINESS NAME (Same as FACILITY NAME or DBA~ 3 6 0 0 1 RANA ENTERPRISES INC. BUSINESS ADDRESS CITY ZIP CODE 4203 MING. AVE. Bi4KERSFIELD 93309 LOCATION WITHIN SITE (Optional) 431 I. TANK DESCRIPTION A scaled lot Ian wrih the location oGthe UST s stem'includin buildin sand,landmarks sha/l be submittedto the /ocafa enc .) TANK ID # 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ^ Yes ®No 434 4 Xerxes If "Yes", complete one page for each compartment. DATE INSTALLED (YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 10,000 1 ADDITIONAL DESCRIPTION ~ ~ 438 IL TANK CONTENTS . TANK USE 439 PETROLEUM TYPE 440 ® 1. MOTOR VEHICLE FUEL ~® 1 a. REGULAR UNLEADED ^ 2. LEADED ^ 5. JET FUEL (I/marked, complete Petroleum Type) ^ fib. PREMIUM UNLEADED ^ 3. DIESEL ^ 6. AVIATION FUEL ^ 2. NON-FUEL PETROLEUM ^ 1c. MID-GRADE UNLEADED ^ 4. GASOHOL ^ 99. OTHER ^ 3 CHEMICAL PRODUCT . ^ 4. HAZARDOUS WASTE (Includes COMMON NAME (from Hazardous Materials Inventory page) 441 CAS # (from Hazardous Materials Inventory page) 442 Used Oil) Gasoline ^ 95. UNKNOWN 8006-01-9 - 'III. TANK CONSTRUCTION TYPE OF TANK ^ S. SINGLE WALL ^ 3. SINGLE WALL WITH ^ 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 ® 2. DOUBLE WALL EXTERIOR MEMBRANE LINER ^ 95. UNKNOWN (Check one item only) ^4. SINGLE WALL IN A VAULT ^ 99. OTHER TANK MATERIAL -primary tank ^ ~, BARE STEEL ®3. FIBERGLASS /PLASTIC ^ 5. CONCRETE ^ 95. UNKNOWN 444 ^ 2 STAINLESS ^ 4. STEEL CLAD W/ FIBERGLASS ^ 8. FRP COMPATIBLE W/100% METHANOL ^ 99. OTHER (Check one item only) STEEL REINFORCED PLASTIC FRP TANK MATERIAL -secondary tank ^ ~. BARE STEEL ®3. FIBERGLASS /PLASTIC ^ 8. FRP COMPATIBLE W/100 % METHANOL ^ 95. UNKNOWN 445 ^ 2. STAINLESS ^ 4. STEEL CLAD WIFIBERGLASS ^ 9. FRP NON-CORRODIBLE JACKET ^ 99. OTHER (Check one item only) STEEL REINFORCED PLASTIC (FRP) ^ 10. COATED STEEL ^ S. CONCRETE TANK INTERIOR LINING ^ 1. RUBBER LINED ^ 3. EPOXY LINING. ^ 5. GLASS LINING ^ 95. UNKNOWN qq6 DATE INSTALLED 447 OR COATING ^ 2, ALKYD LINING ~ ^ 4. PHENOLIC LINING ®6. UNLINED ^ 99. OTHER (Check one item only) (For local use only) OTHER CORROSION [] ~. MANUFACTURED CATHODIC ®3. FIBERGLASS REINFORCED PLASTIC ^ 95. UNKNOWN 448 DATE INSTALLED 449 PROTECTION IF APPLICABLE PROTECTION ^ 4. IMPRESSED CURRENT ^ 99. OTHER (Check all that apply) ^2.SACRIFICIALANODE SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (For local use only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452 (Check all that apply) ®1. SPILL CONTAINMENT ®t. ALARM ^ 3. FILL TUBE SHUT OFF VALVE ® 2. DROP TUBE ®2. BALL FLOAT ^ 4. EXEMPT ® 3. STRIKER PLATE IN. TANK LEAK-DETECTION (.4'description`ottke monitoring program shalftie submitted to the Idcal agency) IF SINGLE WALL TANK (Check all that apply): - 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only) : 454 ^ 1. VISUAL (EXPOSED PORTION ONLY) ^ 5. MANUAL TANK GAUGING (MTG) ^ 1. VISUAL (SINGLE WALL IN VAULT ONLY) ^ 2. AUTOMATIC TANK GAUGING (ATG) ^ 6. VADOSE ZONE ®2. CONTINUOUS INTERSTITIAL MONITORING ^ 3. CONTINUOUS ATG ^ 7. GROUNDWATER ^ 3. MANUAL MONITORING ^ 4. STATISTICAL INVENTORY RECONCILIATION (SIR) + ^ 6. TANK TESTING BIENNIAL TANK TESTING ^ 99. OTHER V. TANK CLOSURE INFORMATION 1 PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED (W/MM/DD) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 gallons ^ Yes ^ No ecewsea onirzwc UNDERGROUND STORAGE TANKS -TANK PAGE 2 VI. PIPING CONSTRUCTION (Check allthatappiy)' UNDERGROUND PIPING ABOVEGROUND PIPING SYSTEM TYPE ®1. PRESSURE ^ 2. SUCTION ^ 3. GRAVITY 458 ^ 1. PRESSURE ^ 2. SUCTION ^ 3. GRAVITY 459 ^ 1. SINGLE WALL ^ 3. LINED TRENCH ^ 99. OTHER 460 ^ 1. SINGLE WALL ^ 95. UNKNOWN 462 CONSTRUCTION/ ®2 DOUBLE WALL ^ 95. UNKNOWN ^ 2. DOUBLE WALL' ^ 99. OTHER MANUFACTURER MANUFACTURER 461 MANUFACTURER 463 ^ 1. BARE STEEL ^ 6. FRP COMPATIBLE W/ 100 k METHANOL ^ 1. BARE STEEL ^ 6. FRP COMPATIBLE W/ 100% METHANOL MATERIALS AND ^ 2 STAINLESS STEEL ^ 7. GALVANIZED STEEL ^ 2. STAINLESS STEEL ^ 7. GALVANIZED STEEL CORROSION PROTECTION ^ 3. PLASTIC COMPATIBLE WITH CONTENTS ^ 95. UNKNOWN ^ 3. PLASTIC COMPATIBLE WITH CONTENTS ^ 8. FLEXIBLE (HDPE) ^ 99. OTHER (check all that ®4. FIBERGLASS ^ 8. FLEXIBLE (HDPE) ^ 99. OTHER ^ 4. FIBERGLASS ^ 9. CATHODIC PROTECTION apply) ^5. STEEL W/COATING ^ 9. CATHODIC PROTECTION 464 ^ 5. STEEL W/COATING ^ 95. UNKNOWN 465 ~~VII:7f'If'-INGLtAK'Ut'IttG:IIUN~(Gheck~allthatapply)(a UNDERGROUND PIPING SINGLE WALL PIPING 466 PRESSURIZED PIPING (Check all that apply): ^ 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUTOFF FOR LEAK, SYSTEM FAILURE AND SYSTEM DISCONNECTION +AUDIBLE AND VISUAL ALARMS ^ 2. MONTHLY 0.2 GPH TEST ^ 3. ANNUAL INTEGRITY TEST (0.1 GPH) CONVENTIONAL SUCTION SYSTEMS: ^ 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): ^ 7. SELF MONITORING GRAVITY FLOW: ^ 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) ® a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ® b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION ^ c. NO AUTO PUMP SHUT OFF ® 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION ^ 12. ANNUAL INTEGRITY TEST (0.1 GPH) , SUCTION/GRAVITY SYSTEM: ^ 13. CONTINUOUS SUMP SENSOR +AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply): ~pbon:df the monitoring program shall be submitted tb;the local agency ) ABOVEGROUND PIPING SINGLE WALL PIPING PRESSURIZED PIPING (Check all that apply): ^ 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUTOFF FOF LEAK, SYSTEM FAILURE AND SYSTEM DISCONNECTION +AUDIBLE AND VISUAL ALARMS ^ 2. MONTHLY 0.2 GPH TEST ^ 3. ANNUAL INTEGRITY TEST (0.1 GPH) ^ 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: ^ 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM ^ 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): ^ 7. SELF MONITORING GRAVITY FLOW: ^ 8. DAILY VISUAL MONITORING ^ 9. BIENNIAL INTEGRITY TEST (O.t GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) ^ a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ^ b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION ^ c. NO AUTO PUMP SHUT OFF ^ 11. AUTOMATIC LEAK ^ 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: ^ 13. CONTINUOUS SUMP SENSOR +AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply): 467 ^ 14. CONTINUOUS,SUMP SENSOR WITHOUT AUTO PUMP SHUTOFF +AUDIBLE AND ^ 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUTOFF +AUDIBLE AND VISUAL ALARMS VISUAL ALARMS ^ 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR ^ 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST RESTRICTION ^ 16. ANNUAL INTEGRITY TEST ^ 16. ANNUAL INTEGRITY TEST ^ 17. DAILY VISUAL CHECK ^ 17. DAILY VISUAL CHECK VIIL DISPENSER CONTAINMENT _.... DISPENSER CONTAINMENT ^ 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE ^ 4. DAILY VISUAL CHECK DATE INSTALLED 468 ^ 2. CONTINUOUS DISPENSER PAN SENSOR +AUDIBLE AND VISUAL ALARMS ^ 5. TRENCH LINER /MONITORING ® 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER +AUDIBLE AND VISUAL ALARMS ^ 6. NONE 469 .. IX. OWNER/OPERATOR SIGNATURE I certify that the information provided herein is true and accurate to the best of my knowledge. SIGNATURE OF OWNER/OPERATOR DATE 470 12/22/05 NAME OF OWNER/OPERATOR(pnnt) 471 TITLE OF OWNER/OPERATOR r 472 MEHDI SATER OWNER rtevisea envzuuz ~'- HAHERSFIELD FIRE DEPT ;, UNIFIED PROGRAM INSPECTION CHECKLIST'S >, Prevention Services ~~t~ 900 Truxtun Ave., Suite 210 .: :,~.~:.. ~ .~,.w,~f~ : ~~-_~<- ~.:, ~, ; .~: ~ ..... - >... ~ ..,:. ~;., , .. <.:< ...,... " aRt~lr Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ~ Tel.: (661) 326-3979 Fax: (661) 872-2171 a FACT TY NAME ^ N TIO DATE NSPECTION TIME ~ ~ ~ U Co/ ~ ADDRESS HONE NO. OOF LOYEES ~aC3 Mc~ ~~- ~(~ b FACILITY CONTACT USINESS ID NUMBER 15-021- ~~ Section 1: Business Plan and Inventory Program ~ S~~ ^ ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIrI@SS PLAN CONTACT INFORMATION ACCURATE V ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ~11 ' I , ~ ~ ~ 7nn~ I ^ _ VERIFICATION OF INVENTORY MATERIALS ~Y ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROC DURES ^ EMERGENCY PROCEDURES ADEQUATE _ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ( ~C~` d ,~ / l~' ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITES ^ YES d~ EXPLAIN: - - -- OUESTI S REGA N THIS INSPECTION? PLEASE CALL US AT (601) 526-3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Station f Bus' esponsible PaAy (Please Print) White -Prevention Services Yellow -Station Copy Pink - Bwinesa Copy FD2049 (Rw. 02/05) ,'''~~~. T ~; 1~' ~ ~ M\ W y'1 ~~ ~~ FACILITY NAME~Q~~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRON1~~lENTAL SERVICES UNIFIED PROGRAM INSPECTION CI~F.CKLIST 1715 Chester Ave., 3r`' Floor, Bakersfield, CA 93301 INSPECTION DATE Section 2: Underground Storage Tanks Program ^ Routine ~ombined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection Type of Tank _ ~}A~ Number of Tanks Type of Monitoring ~~,ta~ Type of Piping .Qr~ rf OPERATION C V COMMENTS Proper tank data on file Pmper owner/operator data on the 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 1 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 overtill/overspill protection'? C=Compliance V=Violation Y=Yes Inspector: Office of Environmental Services (66I) 326-3979 Whitc N=NO Business Sit Responsible Party f nv. Svcs. Pink -Business Copv