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HomeMy WebLinkAboutBUSINESS PLAN/ ~I_ ~~ ~ ~rARCO AM/PM ~ ,, ~ X900 MONTEREY ~~ ~ 1 ~- t (~ ~~L ~Y I " ' I ^ I r ` `J~ I 1 \ J ~ - -~ a ~ ~ ~ , ., ,: r-~ ~~ ,, , ~- :~: - `~ 'UNIFIED PROGRAM INSPECTION CHECKLIST ~ Prevention Services 900Tru~rtun Ave., Suite 210 ta-~a~==-~ B F R s ~ , n FIiR;f Bakersfield, CA 93301 SECTION 1: Bu iness Plan and Inventory Pr-ogram s ° aRrM ~ Tel`.:_ (661} 326-3979 2171 F 661 872 `° ~ ~7,0~ ~® _ ~R1t 1 i 0/4 0,(1 ((~~ ~~ ~ILI(l - ) - ax ( FACILI NAM (~ n ~(~'~J ~ - INSPEC IOpN /D E ~ INSPECTION TIME ~ V l© ( ~ 7~' ~- V ~ ~ ~l ~ ADDRESS t ~ PHONE NO. n O OF EMPLOYEES ~ ~4• o Q v ` ~~ ~ ~ ~ ~ ~ ~ - FACILITY CONTACT BUSINESS ID NUMBER - , j / l 15-021- /_6/~ /7//J~ ^ ROUTINE Section 1: Business Plan and Inventory Program OMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ( C=Compfiancel OPERATION V=Violation l COMMENTS ^ APPROPRIATE PERMIT ON HAND Q ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ~^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ENT°D A U G 2 0 2007 ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ly ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING I~^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ~l0 EXPLAIN: THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention ! 1" In !Shift of SitelStation # ~~ Q~~~ s Site /Responsible Party (Please Pnnt) White -Prevention Services - Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 INSPECTIONS BUSINESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST FACILITY NAME: hhfCn f~ ~~- ~~ B E R S F I L D P/RE A/PTM T BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 INSPECTION DATE: ~ j~l 7 Section 2: Underground Storage Tanks Program ^ Routine Combined ^ Joint Agency ^ Multi-Agency ^ Complaint ^ Re-Inspection Type of Tank ~l;u~ Number of Tanks Type of Monitoring ~ LW1 Type of Piping ,~y~ OPERATION C V COMMENTS Proper tank data on file j Proper owner /operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? ^ Yes GY1Jo ~% Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank Aggregate Capacity Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF?) If yes, does tank have overtill !overspill protection? C =Compliance V =Violation Y =Yes N = No Inspector: Questions regarding this inspection? Please call us at (661) 326-3979 White -Prevention Services Business Site Responsible Party Pink -Business Copy KBF-7335 FD 2156 (Rev. 09!05) .,. ~. F BEALE-MONTEREY ENT DBA ARCO AM/PM SiteID: 015-021-001416 Manager DEDINDER KUMAR Location: 900 MONTEREY ST City BAKERSFIELD BusPhone: (661) 835-8044 Map 103 CommHaz Moderate Grid: 29B FacUnits: 1 AOV: CommCode: BFD STA 02 EPA Numb: SIC Code:5541 DunnBrad:51-012-0713 Emergency Contact / Title Emergency Contact / Title RANDEEP D HILLON / F RANCHISEE DEDINDER KUMAR / MANAGER Business Phone: (661) 835-8044x Business Phone: (661) 835-8044x 24-Hour Phone (661) 599-2327x 24-Hour Phone (661) 549-2327x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact RANDEEP DHILLON Phone: (661) 835-8044x MailAddr: 2400 CARLITA RD State: CA City BAKERSFIELD Zip 93304 Owner BEALE-MONTEREY ENTERPRISES INC Phone: (661) 835-8044x Address 2400 CARLITA RD State: CA City BAKERSFIELD Zip 93304 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 ENrO ~ ~ E3ased on my inquiry of those individuals I certify tion L 2 ~ ~®ol , responsible for obtaining the informa f law that I have personally under penalty G examined and air familiar with the information submitted and believe the information is true, accurate, and r~mplete. Date S' na u , -1- 07/09/2007 F BEALE-MONTEREY ENT DBA ARCO AM/PM SiteID: 015-021-001416 ~ STORAGE CONTAINER DATA (UST FORM A) - Last Action Type: •- FACILITY/SITE INFORMATION Business Name: BEALE-MONTEREY ENT DBA ARCO AM/PM Cross Street Business Type: GAS STATION Org Type: CORPORATION Total Tanks 3 IndnRes/Trust: No PA Contact: Dsg Own/Oper ICC Nbr: PROPERTY OWNER INFORMATION Name : DEDINDER KUMAR Phone: (661) 835-8044x Address: City State: Zip: Type TANK OWNER INFORMATION Name DEDINDER KUMAR Phone: (661) 835-8044x Address: City State: Zip: Type BOE UST Fee# Financ'1 Resp: SELF INSURED Legal Notif Business Mailing Address Date:03/01/2006 Phone: (816) 644- x Name:RANDEEP DHILLON Ttl:PRESIDENT State UST # 1998 Upg Cert#: 00851 -2- 07/09/2007 F BEALE-MONTEREY ENT DBA ARCO AMjPM SiteID: 015-021-001416 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... ISpecHazIEPA Hazards) Frm I DailyMax IUnitIMCPI UNLEADED GASOLINE F IH DH L 24000.00 GAL Mod PREMIUM GASOLINE F IH DH L 12000.00 GAL Mod MIDGRADE GASOLINE F IH DH L 10000.00 GAL Mod CARBON DIOXIDE F P IH G 400.00 GAL Min MOTOR OIL F DH L 30.00 GAL Min WASTE ABSORBENT F IH S 55.00 GAL UnR WASTE FLAMMABLE LIQUIDS/SOLVENT F DH L 55.00 GAL UnR -3- 07/09/2007 -4- 07/09/2007 F BEALE-MONTEREY ENT DBA ARCO AM/PM = ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Location within this Facility Unit UNDERGROUND STORAGE TANK STATE TYPE PRESSURE Liquid TMixture ~mbient Days On Site 365 Map: Grid: CAS# 8006-61-9 TEMPERATURE CONTAINER TYPE Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 24000.00 GAL 24000.00 GAL 12000.00 GAL ru~,~titu~vu~ ~Vl~irvlvl;ly 1 a °sWt. RS CAS# 100.00 Gasoline No 8006619 tiHGlitCL Li~~J;J~1~1tS1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME PREMIUM GASOLINE Location within this Facility Unit UNDERGROUND STORAGE TANK Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8006-61-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 6000.00 GAL I11iGKCCLVU.7 1.V1~lYV1VP~1V 1.7 %Wt. RS CAS# 100.00 Gasoline No 8006619 i'1HGHiCL t]~J .7~.7~7P72S1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod SiteID: 015-021-001416 ~ Facility Unit: Fixed Containers on Site ~ -5- 07/09/2007 F BEALE-MONTEREY ENT DBA ARCO AM/PM SiteID: 015-021-001416 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME MIDGRADE GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: UNDERGROUND STORAGE TANK CAS# 8006-61-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 5000.00 GAL IYHGL•itCLVUJ 1.V1~lYV1V~1Vl.S oWt. RS CAS# Gasoline No 8006619 riAGL-1CCL 1-~Jb~~JA1~1tS1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Location within this Facility Unit BACK ROOM STATE TYPE PRESSURE _ Gas TPure -Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 124-38-9 TEMPERATURE ~~ CONTAINER TYPE ~ Crvoaenic I INSUL.TANK / CRYOGENIC I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 400.00 GAL 400.00 GAL 200.00 GAL - HAZARDOUS COMPONENTS oWt. RS CAS# 100.00 Carbon Dioxide No 124389 I1HGH2CL H.7 .7L~JA1~1tS1V 1.7 TSecret RS BioHaz RadioactivejAmount EPA Hazards NFPA USDOT# MCP No No No- No/ Curies F P IH / / / Min -6- 07/09/2007 F BEALE-MONTEREY ENT DBA ARCO AM/PM = ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME MOTOR OIL Location within this Facility Unit BACK ROOM & FRONT SHELVES STATE TYPE PRESSURE Liquid TMixture ~ Ambient Largest Container 0.25 GAL AMOUNTS AT THIS LOCATION Daily Maximum 30.00 GAL Daily Average 15.00 GAL tiAGt1KLVUb ~vl~irvlvt;lviJ %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 tu~~tucl~ ti~ ~l;a~l~i~lvl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE ABSORBENT Days On Site 365 Location within this Facility Unit Map: Grid: BACK ROOM & YARD CAS# I STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid Waste Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 25.00 GAL T HAZARDOUS COMPONENTS %Wt. RS CAS# t1EiGHKL 1-~.7.71;~.71"1L"1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / UnR 5iteID: 015-021-001416 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8020835 TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER ~ ~ -7- 07/09/2007 F BEALE-MONTEREY ENT DBA ARCO AM/PM SiteID: 015-021-001416 ~ ~ Inventory Item 0007 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# Liquid TWaste ~ Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 25.00 GAL HAZARDOUS COMPONENTS , %Wt. HA RSA CAS# ZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR -8- 07/09/2007 F BEALE-MONTEREY ENT DBA ARCO AM/PM SiteID: 015-021-001416 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 03/15/2007 ~ IN THE EVENT OF MINOR TO MAJOR SPILL OR FIRE, EMPLOYEE OR OWNER WILL CALL 911 AND LOCAL AGENCY. EMPLOYEES ARE TRAINED IN THE USE OF PERSONAL PROTECTION EQUIPMENT TO MINIMIZE CONTACT WITH HAZARDOUS MATERIAL WASTE. OFFICE OF EMERGENCY 800-852-7550; NATIONAL RESPONSE CENTER 800-424-8802; AND BAKERSFIELD FIRE DEPT 326-3979. Employee Notif./Evacuation 03/15/2007 IN CASE OF A LARGE SPILL OR FIRE, EMPLOYEES ARE INSTRUCTED TO SHUT OFF ELECTRICAL POWER AND LEAVE PREMISES IMMEDIATELY AND THEN CALL FIRE DEPT 911. Public Notif./Evacuation 07/28/2006 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 10/10/2006 FOR SMALL INJURIES, THE OWNER OR STORE MANAGER WILL UTILIZE THE FIRST AID KIT. FOR MINOR TO MAJOR INJURIES, THE OWNER OR STORE MANAGER WILL CALL EITHER 911 OR MAY CONTACT THE CLOSEST MEDICAL/CLINIC CENTER, WHICH IS LOCATED AT: KERN MEDICAL CENTER, 1830 FLOWER ST, 326-2000. -9- 07/09/2007 F BEALE-MONTEREY ENT DBA ARCO AM/PM SiteID: 015-021-001416 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 07/28/2006 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. 3 Release Containment 10/10/2006 IN THE EVENT OF A LEAK OR SPILL: 1. ATTENDANT SHOULD SHUT OFF ELECTRICITY TO THE PUMPS/TURBINES AT THE MAIN ELECTRICAL PANEL AND CLOSE THE IMPACT VALVES. 2. THE ONSITE EMERGENCY COORDINATOR OR DESIGNEE WILL CONTACT 911 AND EXPLAIN THE EMERGENCY AND WILL CONTACT ARCO MISSION CONTROL. IF NECESSARY, THE ON-SITE EMERGENCY COORDINATOR OR DESIGNEE WILL REQUEST AN AMBULANCE OR OTHER MEDICAL ASSISTANCE. 3. EVACUATE, IF DEEMED NECESSARY BY THE ON-SITE EMERGENCY COORDINATOR OR DESINGEE, 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. MANAGER ON DUTY WILL ACCOUNT FOR ALL STATION PERSONNEL AND CUSTOMERS. 4. CONTAIN THE LIQUID BY CONSTRUCTING BERMS AND/OR BY COVERING THE SPILL WITH 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 DISPOSAL OF CONTAMINATED MATERIAL AS DIRECTED BY THE LOCAL FIRE DEPARTMENT OR COUNTY HEALTH AGENCY. (ALL SPILLS WILL BE REPORTED TO ARCO MISSION CONTROL AT 800-272-6349. THE BP ENVIRONMETNAL 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 ARCO MISSION CONTROL FOR REMOVAL. -10- 07/09/2007 F BEALE-MONTEREY ENT DBA ARCO AM/PM SiteID: 015-021-001416 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Clean Up 10/10/2006 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. LARGE SPILLS ARE CLEANED UP BY BP DESIGNATED CONTRACTORS OR AS DESIGNATED BY THE FRANCHISEE FOR FRANCHISE SERVICE STATIONS. EMPLOYEES RESPONSIBILITIES: EMPLOYEES WILL KNOW THE LOCATION OF THE NEAREST STORM DRAIN 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 ARCO MISSION CONTROL 800-272-6349 FOR DISPOSAL. 9 Other Resource Activation -11- 07/09/2007 F BEALE-MONTEREY ENT DBA ARCO AM/PM SiteID: 015-021-001416 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ arvc.lal na~ciiu~ Utility Shut-Offs ELECTRICAL - PANEL IN BACK ROOM WATER - SIDEWALK 03/15/2007 Fire Protec./Avail. Water 03/15/2007 FIRE EXTINGUISHERS IN FRONT OFFICE, LUBE ROOM, STORE IN FRONT OF BLDG, AND AT PROPANE TANK. FIRE HYDRANT - SORANNO DR Building Occupancy Level 04/04/2006 5 EMPLOYEES: 1-2 PER SHIFT; 3 SHIFTS -12- 07/09/2007 F BEALE-MONTEREY ENT DBA ARCO AM/PM SiteID: 015-021-001416 Fast Format ~ Training Overall Site ~ Employee Training 01/26/2007 MSDS IN COMPLIANCE BINDER IN OFFICE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE TRAINED ON USE OF SAFETY EQUIPEMENT AND TOOLS TO MINIMIZE CONTACT WITH HAZAROUS MATERIALS/WASTE. EMPLOYEES ARE TRAINED AND REQUIRED TO DIAL FOR EMERGENCY CALLS, 911 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 MANAGER OF THE STORE. REFRESHER TRAINING IS DONE EVERY YEAR. TRAINING TOPICS ARE: 1. HAZARD COMMUNICATION PROGRAM; 2. MATERIALS SAFETY DATA SHEETS, 3. SAFE HANDLING OF CHEMICALS; AND 4. EMERGENCY EQUIPMENT & EMERGENCY RESPONSE PLAN. 9 9 Page 2 07/28/2006 PERSONNEL ARE INSTRUCTED TO CALL 911 AND REPORT EMERGENCY. PERSONNEL ARE THEN INSTRUCTED TO PROCEED TO A SITE OPPOSITE DANGER. IF NEEDED, PERSONNEL WILL PROCEED TO CALL ALL PERTINENT PEOPLE. ALL SECONDARY ENTITIES WILL THEN BE NOTIFIED. Held for Future Use -13- 07/09/2007 -t ,. F BEALE-MONTEREY ENT DBA ARCO AM/PM SiteID: 015-021-001416 ~ Fast Format ~ ~ Training Overall Site ~ nClu iui ru~u.LC u~c -14- 07/09/2007 __ BEALE-MONTEREY ENT DBA ARCO AM/PM T~~p~wlt~R K.v~tt Manager ~-~Tmn rnrn~Tnv Location: 900 MONTEREY ST City BAKERSFIELD CommCode: BFD STA 02 EPA Numb: ~(D.3L SiteID: 015-021-001416 BusPhone: (661) 861-1972 Map 103 CommHaz Moderate Grid: 29B FacUnits: 1 AOV: SIC Code:5541 DunnBrad:51-012-0713 Emergency Contact / Title E / Title RANDEEP DHILLON / FRANCHISEE / 'M'~~~~'~ Business Phone: (661)_ - ~~ Business Phone: (661) °-~~~~~®~ 24 -Hour Phone ( 661) S~ ~3~1 24 -Hour Phone ( 661) ~~~-q'- Pager Phone ( ) __ x Pager Phone ( ) - x ....... Hazmat Hazards: Fire Press ImmHlth DelHlth Contact RANDEEP DHILLON Phone: (661) 835-8044x MailAddr : -1-63-5 a~-do ~,,r 1~ ~-~ ~~ ' State : CA City BAKERSFIELD Zip 93304 ............. Owner BEALE-MONTEREY ENTERPRISES INC Phone: (661) 835-8044x Address _ _ __ _ __ _ _ ~24d~ Gar ~ ~ }~ (Z~. State : CA City BAKERSFIELD Zip 93304 Period - to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN n PROG U - UST Based on my inquiry of those individuals responsible for obtaining the information under I certif ENT'D M AR ~ 5 , y penalty of law that I have person exami l 2007 a ly ned and am familiar with the information submitted and belie ve the information is true, accurate, and complete. Signature Date ~~ ~7 I -1- 01/26/2b07 ~~ °r F BEALE-MONTEREY ENT DBA ARCO AM/PM SiteID: STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: BEALE-MONTEREY ENT DBA ARCO AM/PM Cross Street Business Type: GAS STATION Org Type: CORPORATION Total Tanks 3 IndnRes/Trust: No PA Contact: Dsg Own/Oper ICC Nbr: PROPERTY OWNER INFORMATION Name T ^~~^~~^ l,/~T,T.TT ~f R,~p~~ -p ~}~~o~v Phone : ( 661) •8~3--3-9~-x- Address : ~4~ a~x~i ~~~ '~ _ c,ts1 - s~~ ~04~- City :~tr~lc~RS~L~uJ State: C~ Zip: X33©q-._. Type TANK OWNE`R' -I,N,FORMATION Name T ^~~'"'""` ^^^n T"" ~+~NiaEE(~ ~~~-~^~' Phone : ( 661) -8~-1--Is3-7-~ Address : ~..-4 nc~ ~ ~ ~ ~~.~,~. ~ , ~C~ l 8 a~ ~ ~9 ~- City :8~te~s~«~D State: ~~Zip: ~33vq-_. Type BOE UST Fee# Financ'1 Resp: SELF INSURED Legal Notif Date:03/01/2006 Phone: (166) 180-44 x Name:RANDEEP DHILLON Ttl:PRESIDENT State UST # 1998 Upg Cert#: 00851 015-021-001416 ~ -2- 01/26/2007 i• ~. ~ BEALE-MONTEREY ENT DBA ARCO AM/PM SiteID: 015-021-001416 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Sito ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP .............. UNLEADED GASOLINE F IH DH L 24000.00 GAL Mod PREMIUM GASOLINE F IH DH L 12000.00 GAL Mod MIDGRADE GASOLINE F IH DH L 10000.00 GAL Mod CARBON DIOXIDE F P IH G 400.00 GAL Min MOTOR OIL F DH L 30.00 GAL Min WASTE ABSORBENT F IH S 55.00 GAL tJfiR WASTE FLAMMABLE LIQUIDS/SOLVENT F DH L 55.00 GAL UriR -3- 01/26/2007 -4- 01/26/2007 F BEALE-MONTEREY ENT DBA ARCO AM/PM SitelD: 015-021-001415 ~ ~ Inventory Item 0005 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 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 24000.00 GAL 24000.00 GAL 12000.00 GAL titlGlittlJVUJ 1:V1~lYV1VJ~,1V1J ~Wt. RS CAS# 100.00 Gasoline No 8006519 YSL'~ICJH.CCL ~ J1.'LJ 171~1Y1rJ1VIJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mdt'i ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME PREMIUM GASOLINE Location within this Facility Unit UNDERGROUND STORAGE TANK STATE TYPE PRESSURE Liquid TMixture ~ Ambient Facility Unit: Fixed Containers on Sits ~ Days ~On Sine 365 Map: Grid: TEMPERATURE Ambient CAS# 8006-61-9 CONTAINER TYPE UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 6000.00 GAL ri1~GEitCLVU.7 1.V1~lYV1VJ;1V1 J cwt. Rs cAS# 100.00 Gasoline No 8006519 riEiGEiK1J H.7 .7L" J.71~1L' 1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F IH DH / / / Mc~d -5- Ol/26/~b07 F BEALE-MONTEREY ENT DBA ARCO AM/PM = ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME MIDGRADE GASOLINE Location within this Facility Unit UNDERGROUND STORAGE TANK - STATE TYPE PRESSURE Liquid TMixtur~mbient SiteID: 015-021-001416 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8006-619 TEMPERATURE CONTAINER TYPE Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION - Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 5000.00 GA~r ............ HAZARDOUS COMPONENTS SWt. RS CAS# Gasoline No 8006019 I11-1GHKL F~J~~5~1~1L'1V1.~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F IH DH / / / Mr7d ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Location within this Facility Unit BACK ROOM STATE TYPE PRESSURE Gas Pure Above Ambient 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 200.00 GAS t1EiGritCLVU~ 1.V1~lYV1Vr,1V1.7 %Wt. RS CAS# 100.00 Carbon Dioxide No 124339 I1HGF~tCL 1~.7.7~J.71~1L"1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA' No No No No/ Curies F P IH / / / Mi -6- O1/26/2b07 ,~ F BEALE-MONTEREY ENT DBA ARCO AM/PM SiteID: 015-021-001416 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: BACK ROOM & FRONT SHELVES CAS# 802035 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.25 GAL 30.00 GAL 15.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 802035 nt~~t~uc~ r-~~ a~~~i~i~lyla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F DH / / / M~ ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME WASTE ABSORBENT Location within this Facility Unit BACK ROOM & YARD STATE TYPE."" PRESSURE Solid Waste Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 25.00 GAL r- ~ HAZARDOUS COMPONENTS %Wt. RSI CAS# ............. HAZARD ASS~~~i~i~ly l a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No ~ No No No/ Curies F IH / / / UnR -7- O1/26/2b07 w F BEALE-MONTEREY ENT DBA ARCO AM/PM SiteID: 015-021-001415 ~ ~ Inventory Item 0007 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 ~mbient ~ 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 owt. RS CAS# riAGAttL A~515~51~1J;1V'1'~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F DH / / / Ui -8- 01/26/2007 F BEALE-MONTEREY ENT DBA ARCO AM/PM SiteID: 015-021-001416 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 10/10/2005 ~ IN THE EVENT OF MINOR TO MAJOR SPILL OR FIRE, EMPLOYEE OR OWNER WILL CALL 911 AND LOCAL AGENCY. EMPLOYEES ARE TRAINED IN THE USE OF PERSONAL PROTECTION EQUIPMENT TO MINIMIZE CONTACT WITH HAZARDOUS MATERIAL WASTE. OFFICE OF EMERGENCY: 800-852-7550 NATIONAL RESPONSE CENTER: 800-424-8802 BAKERSFIELD FIRE DEPARTMENT: 326-3979 = Employee Notif./Evacuation `~® ~~~~ ~ -~~.~~ ~i C~ w~~~- E~np~ ~ ~ ~~~ l Public Notif./Evacuation 07/28/2006 ALARM SHALL BE GIVEN BY SHOUTING OR EMPLOYEES WILL TAKE IMMEDIATE ACTION TC) HAVE ALL PERSONS LEAVE THE PREMISES BY THE SAFEST EXIT. ALL PERSONS WILL ~E ASKED TO ASSEMBLE AT A SAFE ASSEMBLY AREA UPWIND. Emergency Medical Plan 10/10/2006 FOR SMALL INJURIES, THE OWNER OR STORE MANAGER WILL UTILIZE THE FIRST AID KIT. FOR MINOR TO MAJOR INJURIES, THE OWNER OR STORE MANAGER WILL CALL EITHER 911 OR MAY CONTACT THE CLOSEST MEDICAL/CLINIC CENTER, WHICH IS LOCATED AT: KERN MEDICAL CENTER, 1830 FLOWER ST, 326-2000. -9- 01/26/2007 F BEALE-MONTEREY ENT DBA ARCO AM/PM SiteID: 015-021-001416 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 07/28/2005 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. Release Containment 10/10/2005 IN THE EVENT OF A LEAK OR SPILL: 1. ATTENDANT SHOULD SHUT OFF ELECTRICITY TO THE PUMPS/TURBINES AT THE MAIN ELECTRICAL PANEL AND CLOSE THE IMPACT VALVES. 2. THE ONSITE EMERGENCY COORDINATOR OR DESIGNEE WILL CONTACT 911 AND EXPLAIN THE EMERGENCY AND WILL CONTACT ARCO MISSION CONTROL. IF NECESSARY, THE ON-SITE EMERGENCY COORDINATOR OR DESIGNEE WILL REQUEST AN AMBULANCE OR OTHER MEDICAL ASSISTANCE. 3. EVACUATE, IF DEEMED NECESSARY BY THE ON-SITE EMERGENCY COORDINATOR OR DESINGEE, 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. MANAGER ON DUTY WILL ACCOUNT FOR ALL STATION PERSONNEL AND CUSTOMERS. 4. CONTAIN THE LIQUID BY CONSTRUCTING BERMS AND/OR BY COVERING THE SPILL WITH 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 DISPOSAL OF CONTAMINATED MATERIAL AS DIRECTED BY THE FOCAL FIRE DEPARTMENT OR COUNTY HEALTH AGENCY. (ALL SPILLS WILL BE REPORTED TO ARCO MISSION CONTROL AT 800-272-6349. THE BP ENVIRONMETNAL 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 ARCO MISSION CONTROL FOR REMOVAL. 9 -10- 01/26/2007 F BEALE-MONTEREY ENT DBA ARCO AM/PM SiteID: 015-021-001416 Fast Format ~ Mitigation/Prevent/Abatemt Overall Sits ~ Clean Up 10/10/20016 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 ~, 55-GALLON DRUM. IF THE SPILL IS LARGER, CALL 911. ATTEMPT TO CONTAIN IT. LARGE SPILLS ARE CLEANED UP BY BP DESIGNATED CONTRACTORS OR AS DESIGNATED }3Y THE FRANCHISEE FOR FRANCHISE SERVICE STATIONS. EMPLOYEES RESPONSIBILITIES: EMPLOYEES WILL KNOW THE LOCATION OF THE NEAREST STORM DRAIN 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 COUNTI' ENVIRONMENTAL HEALTH. IF NEITHER GIVES SUCH DIRECTION, CALL ARCO MISSION CONTROL 800-272-6349 FOR DISPOSAL. 9 9 uLner xesource t~cLivaLion -11- ~ O1/26/~b07 ,. - .. F BEALE-MONTEREY ENT DBA ARCO AM/PM SiteID: 015-021-00141:6 ~ Fast Format ~ ~ Site Emergency Factors Overall Sites ~ special Hazards Utility Shut-Offs A) GAS - NO B) ELECTRICAL - PANEL IN BACK ROOM C) WATER - SIDEWALK D) SPECIAL - NONE E) LOCK BOX - NO. 10/10/2006 ,_ r1LC rLVI.CI... ~tiV0111. YVCII.CL ~~~~v~T~ ~~~~ ~peo`t~~t~N- ~X~ri-~G~~st~C-~ ,t~ ~~©-~~--c~~Fi~~ ~ icv ~ue~ Building Occupancy Level 04/04/2006 5 EMPLOYEES: 1-2 PER SHIFT; 3 SHIFTS -12- 01/26/2007 a F BEALE-MONTEREY ENT DBA ARCO AM/PM SiteID: 015-021-001416 Fast Format ~ Training Overall Site ~ Employee Training Ol/26/20~7 MSDS IN COMPLIANCE BINDER IN OFFICE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE TRAINED ON USE OF SAFETY EQUIPEMENT AND TOOLS TO MINIMIZE CONTACT WITH HAZAROUS MATERIALS/WASTE. EMPLOYEES ARE TRAINED AND REQUIRED TO DIAL FOR EMERGENCY CALLS, 911 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 MANAGER OF THE STORE. REFRESHER TRAINING IS DONE EVERY YEAR. TRAINING TOPICS ARE: 1. HAZARD COMMUNICATION PROGRAM; 2. MATERIALS SAFETY DATA SHEETS, 3. SAFE HANDLING OF CHEMICALS; AND 4. EMERGENCY EQUIPMENT & EMERGENCY RESPONSE PLAN. Page 2 07/28/206 PERSONNEL ARE INSTRUCTED TO CALL 911 AND REPORT EMERGENCY. PERSONNEL ARE THEN INSTRUCTED TO PROCEED TO A SITE OPPOSITE DANGER. IF NEEDED, PERSONNEL WILL PROCEED TO CALL ALL PERTINENT PEOPLE. ALL SECONDARY ENTITIES WILL THEN BE NOTIFIED. 9 9 nClu tvi rul.uiC USA -13- Ol/26/~007 ;,~ - F BEALE-MONTEREY ENT DBA ARCO AM/PM SiteID: 015-021-001415 Fast Format ~ Training Overall Site ~ Held for Future Use -14- Ol/26/2b07 ~f !• . BP West Coast Products LLC 4 Centerpointe, LPR 4-453 La Palma, California 90623 Mailing Address: Box 6038 Artesia, CA 90702-6038 "n Voice (714) 670-5152 Fax (714) 670-5420 Email: stacb2.{c~bp.ccm November 8, 2006 TO: Bakersfield Fire. Department -- ~ Office of Prevention Ser--vices 900 Truxton Ave., Suite 210 Bakersfield, CA 93301 ENT'D N 0 V 15 2006 FROM: Becky Stackhouse, Permit Coordinator Environmental Compliance On behalf of Scott Hartwell, Environmental Compliance Specialist _ RE: Change of Ownership -Permit ID #015-021-001416 Former ARCO #05526, located at 900 Monterey, Bakersfield, CA 93305 was sold to Beale Monterey Enterprises Inc., 900 Monterey, Bakersfield, CA 93305, on September 20, 2006. The new owner has been asked to notify you and to register ownership. This retail gasoline dispensing facility is no longer owned or operated by BP West Coast Products LLC. If you have any questions, please contact Scott Hartwell-at 71.4-670-5248 UNIFIED PROGRAM INSPECTION CHECKLIST':' :i9e . ~.:.,~^".-, t::ar'liH:`vv JE: ~'?.. ..._7. -;, r t... -:. r. -u .. --g-:..,... ,.v.. . ,.;... ... .. , ... ... .SECTION 1: Business Plan and Inven#Pry Prrayn~ BAKERSFIELD FIRE DEPT Prevention Services ~~~~ 900 Truxtun Ave., Suite 210 ~R>rr Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME N ATE NSPE IO NSPECTION TIME I ~¢ ADDRESS HONE NO. O OF EMPLOYEES ova. ~c S - ~t~f ~~ 17.E FACILITY CONTACT USINESS ID NUMBER ~ , `~~ 15-021- /Y/ Section 1: Business Plan and Inventory Program _~j S ~~Q ~' ^ ROUTINE OMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIt12SS PLAN CONTACT INFORMATION ACCURATE ~Ju VISIBLE ADDRESS L9~ ^ ^ CORRECT OCCUPANCY VERIFICATION OF INVENTORY MATERIALS VERIFICATION OF QUANTITIES '~ ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND FD2049 (Rw.02/05) ANY HAZARDOUS WASTE ON SITE? ^ YES ~O EXPLAIN: - :.~ ~! F.LD F; ~`~ `'~~> CITY OF BAKERSFIELD FIRE DEPARTMENT M~ ()FIi'ICE OF" F:NVIRONI~IEN`I'AL SERVICES y~' UNIFIED PROGItr~PVl INSPECTION CHECKL[ST ,~ ;w ~Rti,,~' 1715 Chester Ave., 3"' Floor, Bakersfield, CA 93301 FACILITY NAME ~P ~o ~ ~ e INSPECTION DATE ~(~~ ~ Section 2: Underground Storage Tanks Program ^ Routine ~mbined ^ Joint Agency ^ Multi-Agen y Complaint ^ Re-inspection Type of Tank 1~1~5 Number of Tank Type of Monitoring _~! wy~. Type of Piping u?t= OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data un the Permit tees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S)_~ Type of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file ti~ith 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: Office of Environmental Services (661) 326-3979 ~~'hitc -Env. Svcs. Pinl UP+~FIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program ~!X%VCkUl{~ 1~1--1~Q1~ Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 PHC~JE N~ ~ No. of Employees ---8~~~ I9?2.--- Q_ _-_ ------- Business ID Number 15-021- l~l(~ Section 1: Business Plan and Inventory Program ^ Routine combined ~ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection ,~C V (v=v,oatoinnce} OPERATION L`U' ^ APPROPRIATE PERMIT ON HAND L~J ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE -----,-T------- --- ---------------- - - - _ _ ..-------- ...--- - - - - -- LW ^ VISIBLE ADDRESS LK ^ CORRECT OCCUPANCY I L]I/ ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES t~ ^ VERIFICATION OF LOCATION L1V ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE LW ^ VERIFICATION OF HAT MAT TRAINING ~^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~^ EMERGENCY PROCEDURES ADEQUATE (~^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ~^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE 8c ON HAND ANY HAZARDOUS WASTE ON SITE: ^ YES ~ NO EXPLAIN: QUESTION EGARDING THI INSPECTION? PLEASE CALL US AT ~BG') ~ 326-379 Inspector Badge No.; White -Environmental Services Vellow - Statbn Copy Bu iness Site Responsible Party Pink -Business Copy FACILITY NAM ~`~~ f~'~ ~~ CITY OF BAKERSFIELD F IRE DEPARTMENT b~ OFFICE OF ENVIRON><'IENT.AL SERVICES ., y~~' UNIFIED PROGRAM INSPECTION C1~ECKLIST ;W ~gti,,!'~ 1715 Chester Ave., 3"' Floor, Bakersfield, CA 93301 Section 2: tinderground Storage Tanks Program INSPECTION DATE ^ Routine Combined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection Type of Tank ~, ~1~5 _ Number of Tanks ~~_ Type of Monitoring _ ~L~ Type of Piping ~~ OPERATION C V COMMENTS Proper tank data on the Proper 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 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 t71e with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overtilUoverspill protection'? C=Compliance b=Violation Y=Yes N=NO r ~ -- Inspector: '~ Office of Environmental Services (6G1) 32G-3979 n F 1 Busin ite Responsible Party N'hitc - fnv. Svcs. Pink -Business Cory ~.:5~~..-T _ .' .,/,+ '*~,'. _...s _- .r.....-... „- .w ..a ...._. ,. ~..- _,. ... _ x.:~r.~.~ . .,+.s ~_ . .. - x..- ,. .M~.~,v~.~ .- .. ,. ...~1. y,21>'t>~... ..., ~ '~ L^ i=1k )t? CI Vii} ~ ~ r_, ' L~r'k:EF':JF I i.l .I ~ r ~ ~Li~, SU5-it~ 1 . I ~.{~; . HLL FIJhJ~"l~l+:l'~I;_, hJ'_:h:il,;l. 1~rr 11 I ~n.1F ~. ' ~ I ~:~r',1. r..ir ! ... ~ ~ i ~il.: , r ,lkr ,.~ JfA IJJ.~--~ T _':Iili V~.'L UI9k ULL~~ ~k: ~ :~;I .;. HEIR=~H"I' .'.ir, llJr_,HI LJr;TEk ...~I. f1 ,;I.. lnlrTEk' ,1.111.1 I Pn_ Ht_.: TEI°1F' r .. - ; ~t _r , }_. T :~:F'F,'t.:ri LILI_hiE: ~ ;I ;-~ yu`6 UL.1..ra .. ... T~' ''~ULI_Ih'lE. ._ lnlr=iTER V .: L = ..1 r ;i ;1.. WHTEk = I I . i-II.I I hJ~.'IJI: TEI°1F' = r,=' -':~ C!L-:( }' ~e;a.~-~ ~~/I~~rn~, +.BA ~'~" u °^ ___________________ SiteID: 015-021-001416 + ~o~~~ y Manager LORETTA i~~i., BusPhone: (661) 861-1972 Location: 900 MONTEREY ST Map 103 CommHaz Moderate City BAKERSFIELD Grid: 29B FacUnits: 1 AOV: CommCode: BFD STA 02 EPA Numb: SIC Code:5541 DunnBrad:51-012-0713 Emergency Contact / Title Emergency Contact / Title RANDEEP DHILLON / FRANCHISEE LORETTA CONWAY / Business Phone: (661) 861-1972x Business Phone: (661) 861-1972x 24-Hour Phone (661) 835-8044x 24-Hour Phone (661) 717-8612x Pager Phone :. ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact RANDEEP DHILLON Phone: (661) 835-8044x MailAddr: 1615 S H ST State: CA City BAKERSFIELD Zip 93304 Owner RANDEEP DHILLON Phone: (661) 835-8044x Address 1615 S H ST State: CA City BAKERSFIELD Zip 93304 Period to Preparers Certif'd: ParcelNo: TotalASTs: = Gal TotalUSTs: = Gal RSs: No ------------------------------------------------------------------- Emergency Directives: , ~~ ENT'D JUL 2 g 20 C YROG A - HAZMAT ~ ~ ~ ~ 06 PROG H - HAZ WASTE GEN ~' PROD U - UST .c~~b3l Based on my inquiry of those indlvlduels responsible for obtaining the information, I certify under penalty of taN~ t t I have personally examined and am fam gar with the information submitted and belie a the information is true, ~~ -~ ~ Date ~~' o~ 1~~~~\4 \k~ p~~~µ 5~~~ +~ -1- 04/04/2006