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Home My WebLink AboutBUSINESS PLAN 8/21/2007n i. 1.i ~ ~/ C ~l. ~; ~- J ,, 3~~ 3ot • ~ s • ~_~ ~, ~~~\~ i 7 ,,: CI3EVRON 98109 SitelD: 015-021-000183 Manager Location: 1131 OAK ST City BAKERSFIELD BusPhone: (661) 324-7621 Map : 102 Ciaz : Moderate Grid: 35B FactTnits: 1 AOV: CommCode: BFD STA 03 EPA Numb: SIC Dade: DunnBrad:09-140-0559 Emergency Contact / Title CHEVRON NIAIl~TSI~ANCB / DISPATCH Rosiness Phone: {866} 845-4254x 24-Hour Phone (800) 231-0623x Pager Phone : ( ) - x Hazmat Hazards: Bmergeri+cy Contact j Title L~VROPi AGENCY j INFO CSi~TBR Business Phone: (800) 231-0623x 24-Hour Phone {g00) 231-0623x Pager Phone { ) - x Fire Press ImmHlth DelHlth Contact CHEVRON P$RMIT DSSR L2375 8-1 Phone: (925) 842-9002x MailAddr: Pp BOX 5004 State: GA City SAN RAMON Zip 94583 Owner CHEVRON PRODUCTS CO Phone; (925) 842-9002x Address PO BOX 6004 State: CA City SAN RAMON Zip 94583 Period to Preparers Certif ~ d: Parcellvo Emergency Directives: PRpG A - HAZMAT PROG H - HAZ WASTE GSTT PROG T - ABOVEGROUND STORAGE TANK FROG U - UST Yf •.~~.. ._ ~ '• ... '=ti=' .' 1 ' :~,,J~,• ... ~ .:,.,.. ~ ... •c r.. .. . aie "-h~jlnr'- .fir •? ., 'rt •r.7~ -..'~=17• .. ':i '~ef~:. ~~ ~'atalAS~s : - TotalUSTs: _ RSs: No ~la 1 pJ,l ~~ ~ ~i ~~4~~ Gal Gal -~- 0~/1a/~oo~ F CHEVRON 98109 SitelD: 015-oat-OODle3 ~ _.. STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITS INFORPgATION Business Name: CHEVRON 98109 Cross Street Business Type: ~3 TYPe= Total Tanks 4 ZndnRes/Trust: No PA Contact: Dsg Qwn/Oiler MAURICB TAMANIAN ICC Nbr: 5a5D201-IIC PROPERTY QWNER IN~'ORMATIQN Name : CHEVRON EMSRGEDTCY Phone: Address: City State: Zip: Type CORPORATION (800j 231-Q623x TANK aWNEIZ INFQRMATION Name GHBVItON ffi~RGENCY Address: City - Type caRpoRnTZON Phone: (8D0) 231-0623x State: Zip: BOE UST Fee# 03X913 Financ'1 Resp: SLLF INSDRBD Legal Notif Tank Owner Mailing Address Date:Oa/I7/2007 Phone: (16b~~$6 x Name:DEHBIS ROWL Tt1:ESH SPECIALIST State YJST # 1998 Upg Cert#: 00712 -2- as/10Iaoo7 _3 ~7/ao/goo? F G'HEVR,QN 9810 SitelD_ 015-021-004183 ~ ~ Haxmat Inventory By Facility Unit ~ ~ MCP+nai7.yMax Order Fixed Containers on Site q P CHEVROIJ 98109 SitelD: 015-021-000183 ~ ~ znventory Item O©01 Facility Unit: Fixed Containers oXi Site ~ COMMON NAr+ts / CHB~+fICAL NAME RF,TGQLAIt UNLEAD'Bp GASOLINB Days30n Site 87 OCTANB Location within this Facility Unit Maps G="id: W SIDE OF LOT ~# 86290-$1-5 STATE -- TYPB -'-`- PRESSURE TSMPERATURB CONTAINER TYPE ~LigLtiCl, ~Mixtur~Ambient ~ Atmbient ~SR GROUND TANK AP40UNTS AT IRIS LpCATI01v Largest Container Daily Maximum laooo.oo caw loooo.oo GAL xAtiAR~vus cc~NENTS - cwt. 100.00 4.90 3.00 2.00 10.00 Gasoline senzene Ethylbenzene Naphthalene, Crude Or Refined Ethanol Rs No No No No No cAS# e~29o1~ 71432 100414 91203 64175 K[~,:G~trt3 ~Sr;titir~.v:r5 TSecret RS BioHaz RadioactivejA~tount EPA Hazards NFPA ~ USDC?T# MCP ~No- No= Nv~ - No/ - :~ ~.es= =I~ _ =I~DI~ _ / / / - - ~1oc~ Daily Average 6000.00 GAL -5~ a7/lo/200 F CHEVRON 98109 SiteID: 025-021-000183 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAMB / CHEMICAL IdAMB MIDGRA.DE UNLEADED GASOLINE Days30n Site 8 9 OCTANE Location within this Facility Uhit Map: Grid: i~P STDE OF LOT ~# 86290-81-5 STATE TYPE PRESSURE TB~~E1tATURE CiDNTAINEFt TYPE Liquid Mixture Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS IACATION Largest Contait3~r Daily Maximum 10000. oo GAL Zaooo _ 00 CHAT, -- HAZAR~+~s Cor~aN~TS .--~ prat . 100.00 Gasoline 4.90 Benzene 3.D0 Ethylbenzene 2.00 Naphthalene, Crude Or Refined 10,00 Ethanol Rs cAS# No 86290815 No 71432 No 100414 No 91203 !NV 64175 !iRl+Hl~L1 K:i:i3575P715~Y1-7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No~--~ N~ =~T~ = No/ pries- =P~ _ =II-~DI~ 1 - f f / - _ =l++lad= Daily Average 6000.00 GAL '6- 07/10/2007 F C~IEVRON 88109 SiteID: 015-021-0001.83 ~ ~ 1_nventory Item 0004 ~ Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SUFI2EME ~1NLEAUEn GASOLINE Days On Bite 91 OCTANE 365 Location within this Facility Unit Map: Grid: W SIDE OF LOT ~# 8629Q-81.-5 STATE Liquid TYPE Mixture PRSSSIIRE Ambient TBMPERATURB Ambient ~ CONTA.INER TYPE UNDER GROUND TANK .~ ,.~.. . AMOUAITS AT THIS LOCATION Largest Container Daily f~laximum Daily Average loooo . oo (SAT, lUOoO _ oo GAL 6000 . oa CAL HAaARDOUS cor~-oN~rrs ~Wt. RS CAS# 100.0^ Gasa~.ine No 8b 290815 4.90 Benzene No 71432 3.00 Ethylbenzene Na 100414 2.00 Naphthalene, Crude Or Refined No 91203 10.00 TthauQl No 64175 - HAZARD ASSESSMENTS - TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA ~ USI~}T# MCP No-~-- Na= ~a~ ~ No/ .. - ~,ries= ~ =F= _ =IH DH= - / / / - - ~loc~ ~ Inventory Item 4005 ---~- caMMON NAME / Q~'MICAL NAME ~zE3EL FUEL #2 Location within this Facility Unit W SIDE OF LOT Facility Unit: Fixed Containers on Site q Days On Site 365 Map: Grid: CAS# b8476-34-6 STATE TYPFs PRESSURE TBNIPERATURE -~----- CONTAINER TYPE Liquid TMixtur~Ambient ~ Ambient UNDER GROUND TANK Largest Container 10000.00 CAL ArioUNTS AT THZS L+DCATIOM Daily Maximum I0000.a0 GAL Daily Average 5000.00 GAL !~l~.(!hl[JJlJVr7 4V~'~V11i7i7 iw7 $Wt. RS CAS# 100.00 Diesel Fuel No_ 2 Nv 68476346 lfALl~c1i ti7 7~~7anars~la TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA t?SDOT# MCP Na No No No/ Curies F IH DH / / / LQw ,~_ 07/10/avo~ F CHEVRON 98109 SitelD: 015-021-00018 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers an Site ~ COMMON NAME / CHBNIICAL NAME USED MOT~QR OIL Days On Site 365 Location within this Facility Unit Map: Grid: E SIDR OF SER`TICE BAYS CAS# Liquid ~Na to ~TAmbi$ent~ ~ Amba.~A~$ ABO t3ROL7ND TANK AMOUNTS AT THIS LOCATION - Largest Container Daily Maximum ]]ally Average 1000.00 GAL 1000,00 GAL 250.00 GAL NAZ.Alzpc,~us cvmrc~r}~rrls ~Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No HAGAlt1.7 ~~ZS~~r~n-r5 TSecret RS BivHaz RadioactiveJAmount BPA Hazards NFPA USDOT# MCP Na No No No/ Curies F DH / / / Low ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ CONIMaN NAME / CHEMICAL NAA~ CARBON DIOXIDE Days On Sate 365 Location within this Facility Dfiit Map: Grid: INSIDE STORE ~# 12438-9 ~GasATE TPu~rPeE ~~RESA~ient T Ambie~i7-t~R PORT P. RESI~RCYLINDER AMO~S AT TIiIS LOCATION Largest Con2gi~ r~ Daa.~.y2Maximum ~~ - Dailyl2 5r0~e FT3 gH4FliGN Eis? JZ`i~7.7YJ~C1 i ~? TSecret RS BioHaz RadioaCtiVefATriount RPA IiazardS NFPA iISDOT# MCF Na No Na Naj Curies F P III / / j Min -8- 0~/1o/2oa~ F CHEVRON 98109 SiteID: 015-021-aaals3 ~ Fast Format ~ ~ Notif./Evacuation/Medical Ovexall Site ~ ~ Agency Notification 08/22/24U6 ~ IN ANY INCIDSI~TP THAT JSOPARDIZBS HDMAN HBALTH AND SAFETY: ACTIVATE AP~-ROPRZATE 73MS[tGBNCY SHfPT-OFF, EKIACEWTS PBRSODIlJEL FROM FACILITY II$ING SAFEST ROUTES AVAILABLE ACCORDING TO THE SITUATION AND GO TO AN UFWIND AREA. AND MAINTAIN A SAFE DISTANCE. COINCIDENT WITH EVACUATION, NOTIFY II~ERGENCY RESPONSE AGENCIES BY DIALING 97.1 IF INCIDENfi REPRESENTS AN IMMEDIATE THREAT. DENY ENTRY TO 7'fiS AREA BY ANYONE OTHEK THAN 911 BMSRGBNCY RESPONSE PERSaNNBL iJNTIL AREA IS DECLARED SAFE. STANDBY TO ASSIST EMBRGBNCY RESPONSB PTRSONNEL. ANY INCIDffi~1T 7aiViDLVING A FIRE, a~zr.~n~B OR THY2SATENED R8L$A.SE OF A HAZARDOUS MATERIAL MAST ALSO 88 RBPORT~ TO TH$ STATIOAi MAIQAGER. 1'HB STATION MANAGER WILL NOTIFY THE SCI TERR2TORY MANAGER AND CHEVRON MAINTENANCE DISPATCH IMMEDIATELY. CHEVRON MAINTBNANCB DISPATCH WILL; DIBFATCH COMPANY/CONTRACTOR ASSISTANCE IF NECESSARY AND NOTIFY CHEVRON COMPLIANCE MARKET]:A1G ASSISTANT FOR PRf3PSR NC3TIFTCATION TO REGULATORY AGENCIES. LOCL UST AGENCY: BARSftSPIELD FIRE DEPT. 651-3Z6-3973 CALIFORNIA OFFICES OF $MRRGBNiCY SBRV]:CES 800-852-'7550 Employee Notif,/Evacuation - 09/29/2000 NOTIFICATION WILL HE ACCOMPLISHBD vgRgAT.r.Y (SHOUTING) AND VIA THS IN'iBRCOM SYSTEM. Public Notif./Evacuation 08/22/2006 THE STAFF DITTY CLERK WILL ANNOUNCE THERE IS AN EMERGENCY. PLSASB LEAVE THE STATION ON FOOT IMMEDIATELY_ ZF EVACUATION FROM TIPS ARBA I5 DEEMED NECESSARY, THE NEIGHBORING PROPERTI£SS LISTED BELOW WIL1, B8 NOTIFIED IF POSSIBLE: HAMPTCIN INN A'ATI? YEN CHENG RESTAURANT. -g- 07/10/2007 F CHEVRON 98109 SiteID: 015-021-0001$3 Fast Format ~ Notif./Bvacuatian/Medical Qvera~.l Site ~ Emergency Medical Plan -- - 08/22/2006 MERCY HOSPITAL, 2215 TRUXTi]N AV}3, 632-5275, 632-5000 632-5279. -~fl_ ~ 07/10/2007 F CHEVFLON 98109 SiteID: 015-021-000183 Fast Format ~ Mitigation/Prevent/Abatemt - - Overall Site ~ Release Prevention 08/22/2006 BARRIERS INSTALLED TO PREVSNfi VBHICLE COL~,ISION WITH PUMPS. VAPOR RECOVERY SYSTEMS USED WH13N FILLING UNDERGROUND TANKS. ANTILOCK NOZZLES ON PUMPS. NO SAFES TQ UNAUTHORIZPD CONTAINBRS_ NO SMDKING SIQJS POSTED, SELF-SERVE INSTRUC'~IONS PASTED. MONITORING PROGRAM IMFLBI~NTSD, DOUBLE-WALL TANKS WITH LEAK DETECTION SXSTSM. 9 9 Release Containment 08/22/2006 STOP SOURCE OF R$LBASE AS NECESSARY AND SAFE. IF GASOLINE: STOP SOURCE bF RSLEASB BY ACTIVATIPTG EMERGENCY PUMP SHUT-OFF SWITCH. BVACUAT'B ALL NQN-BSSENTIAL PERSONNEL FROM AREA. EXTINGUISH OR RBA90~{TE ALL IGNITION SOURCES. IISE FIRE SXTINGt7ISHBR, IF NECESSARY. WHILE USING PROPER PERSONAL PROTECTIVE EQUII~M~I , G~IJ'~A~IJ ~ AS~6~ ~PY~, W~gH ART ABSORBENT . AVOID BREATHING GASOLINE VAPORS BY APPROACfiING FROM UPWIND. Glean UA 08/22/2QOd KEEP NON-ESS}~1'IIAL PERSONNEL AWAY FROM AREA. NOTIFY CHEVRON MAINTENANCE DISPATCH 800-423-352$ 17UR COORDINATION WITH HAZARDOUS MATERIAL CONTRACTOR Td RBN10'VB CONTAMINATED ABSORBENT MATERIALS, IF REQUIRED. MATERIALS INVOLVED IN CLEAN-UP WILL 88 DISPDSFsD OF IN ACCORDANCE WITH ALL APPLICABLB FEDERAL STATE AND LOCAL REGULATIONS. ~~ner tteBVUS[:~ HC:41Yd.laJ.E:+u -11- 07/].0/2007 ~ CHEVRON 98109 SiteID: 015-021-00D183 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ Special Hazards Ut~.lity Shut-Offs 08/22/2006 A) GAS - NATURAL ~ - N SIDE OF RSSTROOM BLDG B) ELECTRIAL - N SIDS OF STORE BLDG N SIDE OF RESTROOM BLDG C) PLATER ~ B SIDE OF SITE METER IN SIDEWALK D) SPECIAL - EMER PUMP SHUT-OFF CASHIER CONSOLE & ODTSIDB N WA7•T, OF BLDG s) Loci Box - rro Fire Protec./Avail. Water 01/29/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - W SI~1E OF OAK ST E OF CHEVRON IN SIDEWALK. Building Occupancy Level 03/17/2005 1-9 EMPLOYEES -12- 07/10/2007 F CFISVRON 98189 - - SitelD: 015-021-000183 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training - - --- -- - 01/29/2007 ~ MSDS SHEETS ON FILE. BRIEF StB~RY OF TRAINING PROGRAM: Z~G INQ~DDBS B[IT IS NOT LIMITED TO: HAZARD CON1M[INICATICxN PROGRAM. G~RZTT6l~ A~ AL~3If}f VIDU~ PROGRAM INCI~IIDING MSDS REVIEW, HAZWOPER WRITTEN A1~7D AUDYO/VIDEO PROGRAM AWARSrTBSS LEVEL. AT A MINIMUM, ALL EMPLC3YL~S ARE TRAINED INITIALLY (C7FON HIRE} AND TRAINING IS REFRESHED ANNUALLY. image ~ Field tOr Future use HeiCl for Future uee _1B- 07/10/2007 CHEVRON PRODUCTS COMPANY P.O. BOX 6004 SAN RAMON, CA 94583 (925) 842-9002 CALIFORNIA s. r ~erCified Unified Program, ~~,gency ous ~tA~~uALs ~~S~~~S~ Chevron Stations, Inc. #g8iag 1131 Oak St 1131 oak St, Bakersfield, CA 933®4 (66i) 324-7621 `~ , ~~~ ~ -~ ~~ «~.r ~ ~~ ~ o ~ ~ ~. " c ~ `_~ ~ ~_ __ . a z a,. xw r `.: =z- 1 .s~ ~ ,~ ~~ ~ ~ e ~ ~ 1r 1 ~ ~ FOR POSTING IN THE EN~ERGENCY RESPONSE BINDER ~~ t#~e ~A~~a~~ A8E P!-~9lVE UNIFIED PROGRAM CONSOLIDATED FORM FACIIITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION Page of L IDENTIFICATION FACILITY ID# 0 0 ; 0 0 0 0 0 ' 0 0 0 0 t BEGINATING DATE I~ ENDING DATE 161 . 01/01/2006 12/3ll2006 BUSINESS NAME(sa~ffiFACU.rntrlaa~~DSw-nougt.sAS) 3 BUSINESS PHONE I62 Chevron Stations, Inc. #98109 (661) 324-7621 BUSINESS SITE ADDRESS to3 1131 Oak St CITY 164 ZIP CODE tos Bakersfield C.A 93304 DUN 8c BRADSTREET 10fi SIC CODE (4 digit #1) to7 00-914-0559 5541/5411/7538/7542 COUNTY los Kern BUSINESS OPERATOR NAME 1Q9 BUSINESS OPERATOR PHONE tto Chevron Stations, Inc. #98109 (661) 324-7621 1L BUSINESS OWNER OWNER NAME III OWNER PHONE 112 Chevron Products Company, Attn: Permit Desk L2375 B-1 925-842-goo2 OWNER MAILING ADDRESS tt3 P.O. Box 6004 CITY tta STATE IIS ZIP CODE tt6 San Ramon CA 94583 Ib ENVIItONMENTAL CONTACT CONTACT NAME In CONTACT PHONE tts Chevron Products Company, Attn: Permit Desk, L2375- BIt 925-842-goo2 CONTACT MAILING ADDRESS t tv P.O. Box 6004 CITY t2o STATE IzI ZIP CODE tzz San Ramon CA 94583 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME I23 rIAME Izs Chevron Maintenance Dispatch Chevron Emergency Information Center (CTEIC) TITLE 1Z4 V'I'LE tza Solve One Help Desk Chevron Emergency Information Center (CTEIC) BUSINESS PHONE Iu BUSINESS PHONE tzs 866-845-4254 80o-231-0623 ?A-HOUR PHONE IZ6 24-HOUR PHONE tze Chevron Emergency Information Center 800-231-0623 Chevron Emergency Information Center 800-231-0623 PAGER # Iz7 PAGER # t32 ADDTI'IONAL LOCALLY COLLECTED INFORMATION: Certification: Based on my inquiry of those individuals nsponsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiaz with the information submitted and believe the information is true, ac<arrate, and complete. SIGNAT[IRE OF OWNER/OPERATOR OR DESIGNATED REPRESENTATIVE BATE l34 NAME OF DOCOMENr PREPARER 135 ~Die6oral~ 4jRrve S/2~/2oa7 Deborah Rowe NAME OF SIGNER (print) 136 TITLE OF SIGNER 137 Chevron Products Company/Deborah Rowe Retail HES Specialist UPCF (1/99) OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOIIS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL, nESCx~rrloN (one mat®al per Ina1dmg or area) ^ADD ^DELETE ®REVISE ~0 Page of I. FACILITY INFORMATION BUSINESS NAME (Same as FACII.ITY NAME or DBA- Doing ~rpn~. As) 3 Chevron Stations, Inc. # 810 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zo2 West Side of Lot ^ YES ®No 1 MAPIi (opaonal} m3 GR:II~ (optional) 204 FACILITY m# 0 0 - 0 0 0 - 0 0 0 0 0 0 1 C4 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ®Yes ^ No 20G Petroleum Hydrocarbons ~ to ~~ ~ ~ °°~ COMMON NAME Zrn EH3s ^ Yes ®No 208 Re ar Unleaded Gasoline 87 Octane cAS# zr,s =If EHS is "Yes", a8 amounts below must be in lbs. 86290-81-5 FIRE CODE HAZARD CLASSES (CompleDeifbyCUPA) 210 Flammable Liquids Class 3 HAZARDOUS MATERIAL 211 TYPE (Chec[t one item Doty) ^ a PURE ®b. MIIXTURE ^ c WASTE ®No 212 CURIES RADIOACTIVE ^ Yes 213 PHYSICAL STATE (Check one item only) ^ a SOLID ®b. LIQUID' ^ c. GAS 214 LARGEST CONTAINER 10,000 2I5 FED HAZARD CATEGORIES 216 (Check all that apply) ®a. FIRE ^ b. REACTIVE ^ c. PRESSURE RAT.F.ASF. ®d ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MA7QMUMDAII.Y AMOUNT 21t3 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 22° 6,000 l0 000 221 'DAYS ON SITE: 222 UNITS* ®a GALLONS ^ b. CUBIC FEET ^ c POUNDS ^ d TONS 365 Check one item onl ~ IfEHS, amount must be in ds. STORAGE CONTAINER ^ a ABOVE GROUND TANK ^ e. FLASTIC/NONMETALLTC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAII. CAR ® 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 223 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c BELOW AMBIENT 224 STORAGE TEMPERATURE ®a AMBIENT ^ li. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d CRYOGENIC 225 %W"I' IlAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 100% 226 Gasoline z27 ^ Yes ®No 2z8 86290-81-5 229 2 .1-4.9'/0 230 Benzene 231 ^ Yes ®No z32 71-43-2 z33 3 .1-3% 234 Ethyl Benzene z3s ^ Yes ®No 236 100-41-4 237 4.1-2% 238 Naphthalene 239 p Yes ~ No zao 91-20-3 241 5 0-10% 24z Ethanol 2a3 ^ Yes ®No 2aa 64-17-$ zas 6 0-15% 246 Methyl Tert Butyl Ether (MTBE) 247 ^ Yes ®No zas 1634-04-4 249 ~ 0-17% 250 Tertiary Amyl Methyl Ether (TAME) zn ^ Yes ®No zsz 994-05-8 zs3 8 0-18% 2S1 Ethyl Tert-Butyl Ether (ETBE) 2ss ^ yes ®No 2% 637-92-3 zs7 If more haeardoas att prssr~ at greater than t% h7 wei~t if om-easesmo®edt a~ 8J%b~ vd~? ff a~doa~coi~ ate a~fooal ahee4 d paper eaptmlmg the regdred 6>tarmatloo. ADDITIONAL LOCALLY COLLECTED INFORMATION DOT#1ZO3 246 If EPCRA, Please Sign Here UPCF (1/99) OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - c>~IVacAL DESCRirTIOrI (one page material per building or area) ^ADD ^DELETE ®REVLSE ~ Page of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Chevron Stations, Inc. #98io9 CHEMICAL LOCATION 201' CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz West Side of Lot ^ YES ®No 1 MAP# ( 203 GRID# (optional) zoo FACILITY ID# 0 0 0 0 0' 0 0 0 0 0 0 1 C4 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ®Yes ^ No 206 Petroleum Hydrocarbons Itsobje~tm~re~~°"'~"~°°~ COMMON NAME zm zos ~S' ^ Yes ®No Mid-Grade Unleaded Gasoline 89 Octane CAS# zfl9 sDEHS is "Yes", all amounts below must be in lbs. 86290-81-5 FIRE CODE HAZARD CLASSES (CompleteifregoQedbyCUPA) 210 Flammable Li aids Class 3 HAZARDOUS MATERIAL Z11 TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE RADIOACTIVE [] Yes ®No 212 213 CURIES PHYSICAL STATE (Check one item only) ^ a SOLID ®b. LIQUID ^ c. GAS 214 215 LARGEST CONTAINER 10,000 FED HAZARD CATEGORIES 216 (Check all that apply) ®a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ®d ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAII,Y AMOUNT Zl~ MAX[MIIMDAII.Y AMOUNT 2t8 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 6,000 10 000 221 DAYS ON SITE: 222 UNITS+ ®a GALLONS ^ b. CUBIC FEET ^ c.'POUNDS ^ d TONS 365 Check one item onl • IfEHS, amoum mast be in ds. STORAGE CONTAINER ^ a ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m. GLASS BC~ITLE Q q. RAII. CAR ® b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ a PLASTIC BOTTLE ^ r. OTHER ^ a TANK INSIDE BUII.DWG ^ g CARBOY ^ k BOX ^ o: TOTE BIN ^ d STEEL DRUM ^ h SII,O ^ L CYLIIJDER ^ p. TANK WAGON 223 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ a BELOW AMBIENT 224 STORAGE TEMPERATURE ®a AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d CRYOGENIC 225 %W T 11AZARDOUS COIVIPOI~TEIVT (For IlllXhue Or A~aSte only EHS CAS # 1 100% 226 Gasoline 2r/ ^ Yes ®No 2~ 86290-81-5 zz9 2 .1-4.9% 230 Benzene z31 ^ Yes ®No ~ 71-43-2 233 3 .1-3% 234 Ethyl Benzene 235 ^ Yes ®No z36 100-41-4 z3~ 4.1-2% 238 Naphthalene 23~ ^ Yes ®No zm 91-20-3 zal 5 0-10% 242 Ethanol 243 ^ Yes ®No 244 64-17-5 gas 6 0-15% 246 Methyl Tert Butyl Ether {MTBE} zal ^ Yes ®No 248 1634-04-4 249 7 0-17% 2w Tertiary Amyl Methyl Ether (TAME) 2s1 ^ Yes ~ No ~ 994-05-8 253 s 0-18% 2sa Ethyl Tert Butyl Ether (ETBE) zss ^ yes ®No 2s6 637-92-3 zs~ It more hazardous rnmponents are prese+d at grater Wan 1% b7 wetgbR if aoo~gente, m Qt% 67 sreigld g attar8 addittmsi sbeeb d Paper eaptarhrg the regahrd lutormatbu. ADDITIONAL LOCALLY COLLECTED INFORMATION DOT#1203 246 If EPCRA, Please Sigl Here UPCF (1/99) OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOIIS MATER><ALS HAZARDOUS MATERIALS INVENTORY -CHEMICAL DESCRIPTION (aoe page ma1®alpa bu0dmg ocarea) ^ADD ^DELETE ®REVISE ~0 Page of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME ~ DBA -Doing Business As) 3 Chevron Stations, Inc. # io9 CHEMICAL LOCATION zo1 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz West Side of Lot ^ YES ®Na 1 MAPI! (opc®ap ~' GRIDt! (optio~l) 2oa FACILrrY ID# 0 0 0 0 ': 0 -~ 0 0 0 0 0 0 1 C4 IL CHEMICAL INFORMATION CHEMICAL NAME zos TRADE SECRET ®Yes ^ No zos Petroleum Hydrocarbons 1fs~x1 m esc>u., n:fer t° ~°u°ti°ns COMMON NAME 207 ~~ ^ Yes ®No zo6 Su reme Unleaded Gasoline 91 Octane cAS# zoo sIf EHS is "Yes ,alt amoants below must be in lbs. 86290-81-5 FIRE CODE HAZARD CLASSES (comp>et~:fre~dbyctlrA) zlo Flammable Liquids Class 3 HAZARDOUS MATERL4L ali TYPE (Check one item only) ^ a FtTIZE ®b. MIXTURE ^ c. WASTE RADIOACTIVE ^ Yes ®No 212 CURIES 213 PHYSICAL STATE (Check one item only) ^ a SOLID ®b. LIQUID ^ c. GAS 2la LARGEST CONTAII~IQt 10,000 215 FED HAZARD CATEGORIES 216 (Check all that apply) ®a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ®d ACUTE HEALTH ®e. CHRONIC HEALTI-I AVERAGE DAII,Y AMOUNT 217 MA70MIIM DAII.Y AMOUNT 216 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 22U 6,000 10 000 z21 DAYS ON SITE: zzz UNTTS'~ ®a GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d rows. 365 Check one item and '~ If EIIIS; am°imt meat be in tmd4. STORAGE CONTAINER ^ a ABOVE GROUNDTANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m GLASS BOTTLE ^ q. RAIL CAR ® b. UNDERGROUND TANK ^ f CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c_ TANK INSIDE BUII.DING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d STEEL DRUM ^ h. SII.O ^ 1. CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ e BELOW AMBLEN"T 224 STORAGE TEMPERATURE ®a AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d CRYOGENIC 225 %WT HAZARDOUS COMPONl~]T (For fmxture or waste Only) EHS CAS # 1 100% zz6 Gasoline zn ^ Yes ®No 226 86290-81-5 zz9 s .1-4.9% 2w Benzene z31 [] Yes ®No 232 71-43-2 z33 3 .1-3% z3<1 Ethyl Benzene z3s ^ Yes ®No z3c 100-41-4 237 4 .1-2% 23s Naphthalene z39 ^ Yes ($ No 2~ 91-20-3 zal s o-l0% 2az Ethanol 243 ^ Yes ®No zaa 64-17-5 zas 6 o-15°io 2a~ Methyl Tert Butyl Ether (MTBE) 2a7 ^ Yes ®No 248 1634-04-4 za9 7 o-I7% 2w Tertiary Amyl Methyl Ether (TAME) zs1 ^ Yes ®No 252 994-OS-8 zs3 s 0-18% ~ Ethyl Tert-Butyl Bther (ETBE) 2ss ^ yes ®No 256 637-92-3 zs7 if owre Mazardoas campmeah are prettot at gm0er Wan I% 6~ if m-msr, or 0.1% Iq wei~Q Havdao~ ~tsb a~ioml ~ee4 dpapa ~g~e ~eq°ired Adamatim. ADDITIONAL LOCALLY COLLECTED INFORMATION DOT#1203 246 If EPCRA, Please Sign Here UPCF (1/99) OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOIIS MATERIAIS HAZARDOUS MATERIALS INVENTORY - c~~ca>L DESCiurriort (om per material per building or area) ^ADD ^DELETE ®REVISE 206 Page of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME ~ DBA-Doing Business As) 3 Chevron Stations, Inc. # 8io9 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 West Side of Lot ^ YES ®No 1 MAPlI (optional) zo3 GRID# (opaonal) 2oa FACILITY ID # 0 0 - 0 0 0 - 0 0 0 0 0 0 1 C4 II. CHEMICAL INFORMATION CHEMICALNAME 2D5 TRADE SECRET ®Yes ^ No zo6 Middle Distillates ~mia?c>zw,~>o°°~ zm COMMON NAME EHS' ^ Yes ®No LS Diesel Fuel No. 2 cAS# zo9 •If EHS is "Yes", all amounts below must be in lbs. 68476-34~ FIRE CODE HAZARD CLASSES ~comp>~ifreq~byctmw) 210 Combustible Li aids Class 2 HAZARDOUS MATERIAL 2t t TYPE (Check one item only) ^ a. PURE ®b. NIIXTURE ^ c. WASTE RADIOACTIVE [] Yes ~ No ZI2 CURIES 213 PHYSICAL STATE (Check one item only) ^ a SOLID ®b. LIQUID ^ c. GAS 214 LARGEST CONTAINER 10,000 215 FED HAZARD CATEGORIES 216 (Check all that apply) ®a FII2E ^ b. REACTIVE ^ c. PRESSURE RELEASE ®d ACCTIE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MA7GM[JMDAII.Y AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 5,000 >l0 000 221 DAYS ON SITE: 222 UNTTS~ ®a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d TONS 365 Check one item onl s ifEIIS, amount must be in ands. STORAGE CONTAINER ^ a ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m GLASS BOTTLE ^ q. RAII, CAR ® b. UNDERGROUND TANK ^ f. CAN ^. j. BAG. ^ a ELASTIC BOTTLE ^ r. OTHER ^ o. TANK INSIDE BUILDING ^ g CARBOY ^ >L BOX ^ o_ TOTE BIN ^ d STEEL DRUM ^ h SII.O ^ L CYLIIJDER ^ p. T.4A1K WAGON 223 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ®a AMBIENT ^ b. ABOVE AMBIENT ^ c_ BELOW AMBIENT ^ d CRYOGENIC 225 °raw~r 1-rAZax>~us colv>PONEN r (For tnizdtue or waste tmly~ EHS cAS # I 100% 226 Diesel Fuel No. 2 zn ^ Yes ®No 2~ 68476-34~ 229 2 230 231 ^ YeS ^ NO ~ 233 3 234 235 ^ Yes ^ NO 2~ 237 4 238 ~ ^ Yes ^ No ~ 241 5 242 243 Yes No 2a4 zas If °arc hararda°s oomponrnis aro present of grater than t% 67 wefg6t B amts' or 41% b! weight 0c atfac4 additfmaf sheets of paper caphving the req°tred Ivformalbn. ADDTI'IONAL LOCALLY COLLECTED INFORMATION DOT>#1993 2`~ If EPCRA, Please Sign Here UPCF (1/99) OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CxEMicaL nESCxirrioly (®e~permat®alper ~ orarea, ^ADD ^DELETE ®REVISE 2Ixi Page of I. FACILITY INFORMATION BUSINESS NAME (Same as FACII.ITY NAME or DBA-Doing Business As) 3 Chevron Stations, Inc. #98io9 CHEMICAL LOCATION 20i CHEMICAL LOCATION CONFIDENTIAL EPCRA 2oz Inside Store ^ YES ®No 1 MAP# ( zo3 GRII~1(~~ 204 FACH.ITY ID# 0 0 0 0 0 - 0 0 0 0 0 0 1 F3 II. CHEMICAL INFORMATION CHEMICAL NAME 20S TRADE SECRET ^ Yes ®No 20G Carbon Dioxide ~ ~ ~~ re>~r ~ ~'~°~ COMMON NAME zm zos EHS= ^ Yes ®No Carbon Dioxide C02 CAS# 209 sIf EHS is "Yes", all amounts below mast be in lbs. 124-38-9 FIRE CODE HAZARD CLASSES (compieceilreq,ricedbycuPA) zlo Com ressed Gas Class 2.2 HAZARDOUS MATERIAL 211 TYPE (Check one item only) ®a. PURE ^ b. MIkTURE ^ c. WASTE RADIOACTIVE ^ Yes ®No 212 213 CURIES PHYSICAL STATE (Check one item only) ^ a SOLID ^ 6. LIQUID ®c. GAS 214 215 LARGEST CONTAINER 2429 FED HAZARD CATEGORIES 216 (Check all that apply) ^ a. FIltE ^ b. REACTIVE ®c. PRESSURE RELEASE ®d ACUTE HEALTH ^ e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MA}GMUM DA.II.Y AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 1215 2429 221 DAYS ON SITE: 222 UNITS"` ^ a. GALLONS ®b. CUBIC FEET ^ e POUNDS ^ d TONS 365 Check one item onl + IfEHS, amormt mist be in ~~. STORAGE CONTAINER ^ a ABOVE GROUND TANK ^ e. PLASTICINONMETAZLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ 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 223 STORAGE PRESSURE ^ a AMBIENT ®b. ABOVE AMBIERiT ^ c BELOW AMBIENT 224 STORAGE TEMPERATURE ®a AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d CRYOGENIC 225 %WT HAZARDOUS COMPONENT (FOI III1Xf1IIC OI waste Only) EHS CAS ~ I 100% 226 Carbon Dioxide ~7 ^ Yes ®No z~ 124-38-9 229 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ Yes ^ NO 236 237 4 23R 239 ^ Yes ^ No 240 241 g zaz 243 ^ Yes ^ No eat z45 If more 6arardous components are pressffi ai ~r ~m 1% fg ~ mo-sadoogeair, a 0.S%6y wdgld B cadmo~eds, afta~ adddisml a>w.ts of papa ~ required kfformatbn. ADDITIONAL LOCALLY COLLECTED INFORMATION DOTlIl013 246 If EPCRA, Please Sigh Here UPCF (1/99) OES Form 2731 EMERGENCY RE$i~ONSE i'ROCEDURES GASOLINE and CARBON DIOXIDE FIRE OR EXPLOSION DATA Carbon dioxide is not flammable. CAUTION: Compressed Gas Cylinder may explode in heat of fire. HEALTH HAZARD CAUTION: 1. Vapors may cause dizziness or suffocation. 2. Contact with liquid carbon dioxide may cause frostbite. In the event of a fre, spill, leak, or suspected leak in the tanks, piping, or cylinder, or natural disasters such as an earthquake or flood, the following steps are to be taken as applicable: TURN OFF PUMPS using the Emergency Pump Shut=Off Switch. 2. EVACUATION: If there is any immediate danger, ANNOUNCE to all persons on the site: 'There is an emergency. Please tum off your engines and leave the station on foot immediately." 3. CALL FOR HELP in case of an emergency by dialing 9-~ -~ and giving the following information: "THERE IS A FIRE /GASOLINE SPILL at the station (i~3i Oak St, Bakersfield)-" If anyone is trapped or needs medical attention, tell the answering dispatcher. Stay on the phone and be prepared to answer any questions concerning the situation. 4. LOOK AROUND to assure that all others have left the station if necessary, particularly those in vehicles who may need assistance or may not have heard the emergency announcement. Assist or diced assistance to, anyone having difficulty leaving the station area, and anyone wha may be injured. 5. ATTEMPT TO EXTINGUISH any small or incipient fire if you can do so safety. Have the fire extinguisher ready to use in the event of any spill. Try to contain any large spill, or use absorberrt on smaller spills. 6. REPORT to arriving emergency response personnel to provide them with any infomlation or assistance they might need using the Hazardous Materials Business PIanlEmergency Response Procedures. 7. CONTACT the station Operator if s/he is not already at the station. Use the list below for emergency contacts: Name~tle/Home #. Station Manager Home Phone 8. 1110TtfY Chevron tillfaintenance-Solve One by phone W1T1iIN 24 HOURS 1-886-~5-0254 or CHEVRON EMERGENCY INFORMATION CENTER 1-800-231-0623 Chevron will notify the appropriate State and Local agencies unless the situation requires urgent immediate response by the agencies, in which case the OPERATOR should notify these agencies: 1. LOCAL UST AGENCY: Bakersfield GTity Fire Department / (66i) 326-3979 2. CALIFORNIA OFFICE OF EMERGENCY SERVICES (24 Hours?, 800-852-7550 3. NATIONAL RESPONSE CENTER (24 Hours), 800-4248802 9. Operator should attempt to isolate leak location by inspection. 10. Chevron will coordinate whatever corrective actions need to be taken beyond the Operator's capabilities. Chevron will file whatever reports need to be filed with local and state agenaes, and send a copy to the station for the Operator's files. 11. EVACUATION: In the event evacuation is necessary, the attendant will announce for all customers and personnel to evacuate the building using the nearest exit door. All persons should go to the emergency assembly area as designated on the site map. Bring the Hazardous Materials Business Plan/Emergency Response Procedures to assist emergency responders. 12. RE-ENTRY: If evacuation has occurred and emergency responders have been called, re-entering this faality should take place with extreme caution and only underthe dired'ron of the senior emergency responder on site and Chevron personnel. THESE EMERGENCY RESPONSE PROCEDURES MUST BE POSTED CONSPICUOUSLY ON S(TE ALONG WITH THE ATTACHED SITE PLAN UPCF (1/99) OES Form 2731 r...; SITE SPECIFIC EMERGENCY RESPONSE TRAINING PLAN ~: Employees must be given this training before starting work, and refresher courses must be provided annually. Records must be kept to show when each station employee has been given his/her safety training. Use the following outline and make copies as needed. Have employee date and sign this document upon completion of training. Retain these records for a minimum of three years. I. FIRST THINGS TO KNOW: A. EMERGENCY PUMP SHUT-OFF: This turns off the turbine pumps that provide flow to the dispensers from the underground tanks. In case of a leak, shutting off the pumps will help to prevent spills. LOCATION: 1-CASHIER AREA,1-0UTSIDE BUILDING, 1-DISPENSER ISLAND B. ELECTRICAL PANEL: The panel allows you to selectively cut off power to lights, signs, pumps, etc. The main switch kills all power at the site. LOCATION: BACKROOM OF STORE C. WATER SHUT-OFF: The water shut-off may be necessary in some cases. LOCATION: LANDSCAPE AREA ON MAIN D. NATURAL GAS SHUT-OFF: If your station has natural gas, it may be necessary to shut-off the natural gas flow in an emergency. LOCATION: NONE E. FIRST AID KIT: LOCATION: BACKROOM OF STORE F. FIRE EXTINGUISHER: Use only on small fires that you can handle. Do not attempt to extinguish large fires on your own; call 9-1-1 for help. LOCATION: 1-AT CASHIER AREA 1- BACKROOM OF STORE G. SPILL RESPONSE KIT: Use FM-186 in acr~rdance to manufactures recommendations. FM-186 is to be used to immediately Gean up small Gasoline and Diesel spills. In case of large spill, merely try to contain it; a vacuum truck should be used to clean up any large spills. LOCATION: BACKROOM OF STORE H. EMERGENCY EVACUATIt~N AND ASSEMBLY AREA: LOCATION: EAST SIDE OF BUILDING ON MAIN 1. NEAREST MEDICAL FACILITY: Employees should know what facilities are available in case customers or other employees need medical attention. Mercy Hospital (661) 632-5275 (661) 632-5000 (661) 632-5279 2215 Trttxtun Ave Bakersfield, CA 93301 0.7 mi loT~ UPCF (1199) OES Form 2731 ~~ "! •' I1. All employees should review the Service Station Monitoring Plan, of which this training plan is a part. Specifically, each employee should understand the procedures to be used in responding to various kinds of emergencies, and know how to monitor for leaks of hazardous materials. As a supplement to this package, employees should also review the Emergency Response Plan filed by your business to fhe appropriate local agency. Thirdly, employees should review and have access to the Materials Safety Data Sheets you have on file for each of the hazardous materials stored at the station and must be drilled in all emergency response procedures contained herein. III. FIRST AID PROCEDURES for EXPOSURE TO GASOLINE AND DIESEL FUEL A. EYE CONTACT: Flush with water for 15 minutes while holding eyelids open. Get medical attention. B. SKIN CONTACT: Flush with water while removing contaminated dothing and shoes. Follow by washing with soap and water. Do not reuse dothing or shoes until deaned_ If irritation persists, get medical attention. C. INHALATION (Breathingl: Remove victim to fresh air and provide oxygen if breathing is difficult. If not breathing, give artificial respiration_ Get medical attention. D. INGESTION ISwa!lowinp): DO NOT INDUCE VOMITING BECAUSE GASOLINE CAN ENTER LUNGS AND CAUSE SEVERE LUNG DAMAGE! If vomiting occurs sporrtaneously keep head below hips to prevent aspiration of liquid into lungs. Get medical attention. E. NOTE TO PHYSICIAN: ff more than 2A m1 per kg has been ingested and vomiting has not occurred, emesis should be induced with medical supervision. Keep victim's head below hips to prevent aspiration. If symptoms such as loss of gag reflex, convulsions or unconsciousness occur before emesis, gastric lavage using a cuffed endotracheal tube should be considered. F. For further information, consult the Materials Safety Data Sheets for these products and for other hazardous materials. FIRST AID FOR EXPOSURE TO O'T'HER MATERIALS: Consult the warning advice on container labels or refer to the MSDS for that produd. ANNUAL CLASSROOM EMPLOYEE TRAINING TOPICS • Hazwoper • Hazard Communication • Lockout/Tagout • Caiifomia impact Vatve & Nozzle Operation • Fire Safety • Safety Orientation • SB 198 Injury Illness & Prevention Program • Emergency Response & Spill Cleanup Procedures • Robbery Prevention System • Alcohol and Tobacco Awareness Document prepared by: Chevron Products Company/Deborah Rowe, R.E.H.S., Retail HES Specialist UPCF (1/99) OES Form 2731 R ~~ ,~ G'hevron Stations, Inc. #98io9 ADDRESS: iii Oak St, Bakersfield, GA 93304 must slan thlS Toren to receroea metr 1NI ~ IAL anator i1NNlJfil DATE OF TYPE OF TRAINING EMPLOYEE NAME EMPLOYEE SIGNATURE TRAINING Initial or Annual Refresher Hazardous Materials Business Plan/Emergency Response UPCF (1/99) OES Form 2731 Chevron Apri127, 2007 i~3~ e~ Charles Bittle Retail Compliance Technician Health Environmental & Safety Permit Desk City of Bakersfield Office of Emergency Services 1715 Chester Ave., Third Floor Bakersfield, CA 93301 Chevron Products Company A division of Chevron U.S.A. Inc. P.O. Box 6004, Room L2375 6001 Bollinger Canyon Rd San Ramon, CA 94583-0904 Tel: 925 842 9002 Fax: 925 842 9585 cbittle@chevron.com RE: FINANCIAL RESPONSIBILITY FOR UNDERGROUND STORAGE TANKS Please find the following documents enclosed: 1) Proof of Financial Responsibility 2) Certificate of Financial Responsibility 3) Chevron Facility List under your jurisdiction These documents meet the financial responsibility requirements for all UST's owned by Chevron and have previously been submitted directly to the State. Please do not hesitate contacting me if you have any questions. Sincerely, ~~~L~ ~~ Charles Bittle Chevron HES Permit Desk Enclosure -- - 'c ` T Chevr~~ ~ __ ... k Stephen J. Crowe Vice President and Chief Financial Officer Chevron Corporation 6001 Bollinger Canyon Road San Ramon, CA 94583-2324 Tel (925)842-3232 Fax (925)842-6047 April 27, 2007 UST FINANCIAL ASSURANCE To Whom It May Concern: I am the Chief Financial Officer of Chevron Corporation, 6001 Bollinger Canyon Road, San Ramon, California. This letter is in support of the use of the financial test of self-insurance and guarantee to demonstrate financial responsibility for taking corrective action and compensating third parties for bodily injury and property damage caused by sudden accidental releases and/or nonsudden accidental releases in the amount of at least $1,000,000 per occurrence and $2,000,000 annual aggregate arising from operating underground storage tanks. Underground storage tanks at the following facilities are assured by this financial test or a financial test under an authorized State program by this guarantor: all underground storage tanks owned by Chevron U.S.A. Inc. are assured by this financial test. A financial test and guarantee are also used by this guarantor to demonstrate evidence of financial responsibility in the following amounts under other EPA regulations or state programs authorized by EPA under 40 CFR parts 271 and 145: EPA REGULATIONS AMOUNT Closure (§§264.143 and 265.143) $29,202,927 Post-Closure Care (§§264.145 and 265.145) $19,823,377 Liability Coverage (§§264.147 and 265.147) $8,000,400 Corrective Action (§264.101(b)) $89,554,778 Plugging and Abandonment (§ 144.63) $245,244 California State Pros?ram Closure $141,326,323 Post-Closure Care $66,208,141 Liability Coverage $42,000,000 Corrective Action 0 Plugging and Abandonment 0 f r April 27, 2007 Page 2 Louisiana State Program Closure 0 Post-Closure Care $3,724,406 Liability Coverage 0 Corrective Action 0 Plugging and Abandonment 0 Kansas State Program Closure 0 Post-Closure Care $165,000 Liability Coverage 0 Corrective Action 0 Plugging and Abandonment 0 Total $400,250,196 This guarantor has not received an adverse opinion, a disclaimer of opinion , or a "going concern" qualification from an independent auditor on his financial statements for the latest completed fiscal year. ALTERNATIVE II 1. Amount of annual UST aggregate coverage being assured by a test $2,000,000 and guarantee 2. Amount of corrective action, closure and post-closure care costs, $400,250,196 liability coverage, and plugging and abandonment costs covered by a financial test and guarantee 3. Sum of lines 1 and 2 $402,250,196 d, Tntal tanaihla accPtc --a---- ------ $127,64 nnn nnn - ,- ,- 5. Total liabilities $63,693,000,000 6. Tangible net worth $63,971,000,000 7. Total assets in the U.S. $45,258,000,000 Yes No 8. Is line 6 at least $10 million? X 9. Is line 6 at least 6 times line 3? X 10. Are at least 90% of assets located in the U.S.'! X (If "No", complete line 1 l .) 11. Is line 7 at least 6 times line 3? X 1` 1 April 27, 2007 Page 3 12. Current assets $ N/A 13. Current liabilities $ N/A 14. Net working capital (subtract line 13 from line 12). $ N/A 15. Is line 14 at least 6 times line 3? $ N/A 16. Current bond rating of most recent bond issue AA 17. Name of ratine service Standard & Poors 18. Date of maturity of bond February 15, 2008 Yes No 19. Have financial statements for the latest fiscal year been filed with X the SEC the Energv Information Administration, or the Rural i i. i~a111c i'fa}u1~ ~clvicc .~1alfuafu cx. rvvla Electri~f~icat~on Administration? I hereby certify that the wording of this letter is identical to the wording specified in 40 CFR part 280.95(d) as such regulations were constituted on the date shown immediately below, except that information concerning California, Kansas and Louisiana was added to make disclosure more complete. Steph J. Crowe Vic President and Chief Financial Officer April 27, 2007 iii rr ,. ~, April 27, 2007 Page 4 GUARANTEE Guarantee made this 27th day of April, 2007, by CHEVRON CORPORATION, a business entity organized under the laws of the State of Delaware, herein referred to as guarantor, to EPA Regional Administrators and/or state agencies implementing underground storage tank regulation for the states listed in Paragraph 2 (hereinafter collectively referred to as the "implementing agencies"), and to any and all third parties, and obligees, on behalf of CHEVRON U.S.A. INC. ("CUSA"), of 6001 Bollinger Canyon Road, San Ramon, California. RECITALS 1. Guarantor meets or exceeds the financial test criteria of 40 CFR 280.95(b) or (c) and (d) and agrees to comply with the requirements for guarantors as specified in 40 CFR 280.96(b). 2. CUSA owns or operates the following underground storage tanks covered by this guarantee--all underground storage tanks owned by CUSA. in the following states: Alaska Arizona California Florida Hawaii Oregon Texas Washington This guarantee satisfies 40 CFR part 280, subpart H requirements for assuring funding for taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases arising from operating the above-identified underground storage tanks in the amount of $1,000,000.00 per V~V V~ occurrence an '2,000,OOU annual aggregate. 3. On behalf of our subsidiary, CUSA, guarantor guarantees to implementing agencies and to any and all third parties that: In the event that CUSA fails to provide alternative coverage within 60 days after receipt of a notice of cancellation of this guarantee and the Director of the implementing agency has determined or suspects that a release has occurred at an underground storage tank covered by this guarantee, the guarantor, upon instructions from the Director, shall fund a standby trust fund in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. In the event that the Director determines that CUSA has failed to perform corrective action for releases arising out of the operation of the above-identified tanks in accordance with 40 CFR 280, subpart F, the guarantor upon written instructions from the Director shall fund a standby trust in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. rj t April 27, 2007 Page 5 If CUSA fails to satisfy a judgement or award based on a determination of liability for bodily injury or property damage to third parties caused by sudden and/or nonsudden accidental releases arising from the operation of the above-identified tanks, or fails to pay an amount agreed to in settlement of a claim arising from or alleged to arise from such injury or damage, the guarantor, upon written instructions from the Director, shall fund a standby trust in accordance with the provisions of 40 CFR 280.108 to satisfy such judgement(s), award(s), or settlement agreement(s) up to the limits of coverage specified above. 4. Guarantor agrees that if, at the end of any fiscal year before cancellation of this guarantee, the guarantor fails to meet the financial test criteria of 40 CFR 280.95(b) or (c) and (d), guarantor shall send within 1?.,0 days of such faihire. by certified mail_ notice to CtISA. The guarantee will terminate l20 days from the date of receipt of the notice by CUSA, as evidenced by the return receipt. 5. Guarantor agrees to notify CUSA by certified mail of a voluntary or involuntary proceeding under Title 11 (Bankruptcy), U.S. Code naming guarantor as debtor, within l0 days after commencement of the proceeding. Sena wn.nm i ur navy a~ sucn ianure. nv cen.~iiea fnalL na1.ICC LU l,U~IH. 1 fIC ~uaraniee will 6. Guarantor agrees to remain bound under this guarantee notwithstanding any modification or alteration of any obligation of CUSA pursuant to 40 CFR part 280. 7. Guarantor agrees to remain bound under this guarantee for so long as CUSA must comply with the applicable financial responsibility requirements of 40 CFR part 280, subpart H for the above- identified tanks, except that guarantor may cancel this guarantee by sending notice by certified mail to CUSA, such cancellation to become effective no earlier than 120 days after receipt of such notice by CUSA, as evidenced by the return receipt. 8. The guarantor's obligation does not apply to any of the following: (a) Any obligation of CUSA under workers' compensation, disability benefits, or unemployment compensation law or other similar law; LV ~VJlI, JUl.ll VRIILJL.II0.LI VII LV VVliVlll\. L.I I<rLillVV IIV IJRI IIIiI LI1RI1 ILV UUyJ R1 Ll~l ILiIiV I~JL Vl JULiII IIV LIIi~. (b) Bodily m~ury to an employee of CUSA arising from, and m the course of; employment by CUSA; (c) Bodily injury or property damage arising from the ownership, maintenance, use, or entrustment to others of any aircraft, motor vehicle, or watercraft; (d) Properly damage to any property owned, rented, loaned to, in the care, custody, or control of, or occupied by CUSA that is not the direct result of a release from a petroleum underground storage tank; (e) Bodily damage or property damage for which CUSA is obligated to pay damages by reason of the assumption of liability in a contract or agreement other than a contract or agreement entered into to meet the requirements of 40 CFR 280.93. 9. Guarantor expressly waives notice of acceptance of this guarantee by the implementing agency, by any or all third parties, or by CUSA. April 27, 2007 Page 6 I hereby certify that the wording of this guarantee is identical to the wording specified in 40 CFR 280.96(c) as such regulations were constituted on the effective date shown immediately below. Effective date: Apri127, 2007 CI-IEVRON CORPORATION ~~~ By: ' Stephe J. Crowe Vice resident and Chief Financial Officer ~-; ~~ B. , , As istant Secre ary April 27, 2007 Page 7 CERTIFICATION OF FINANCIAL RESPONSIBILITY CHEVRON U.S.A. INC. hereby certifies that it is in compliance with the requirements of subpart H of 40 CFR part 280. The financial assurance mechanisms used to demonstrate financial responsibility under subpart H of 40 CFR part 280 are as follows: Financial test and corporate guarantee of Chevron Corporation in the amount of $l million per occurrence. $2 million annual aeereeate. for the period commencin>? April 29. 2007 and which is anticipated to be renewed annually, with the next renewal scheduled to occur during the first 120 days of 2008. Said guarantee covers taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases. April 27, 2007 VL.L,U1l GllGG. .DG II11111V11 [11111UQ1 aL'L~IG>'Q.LG. 1V1 LIIC UG17UU GV1ll111G11G I11 L' HUI I1 G7. GIJV / a11U WIIIGII IS CHEVRON U.S.A. INC. ~~' ~ ~ Lisa 1LI. Lem~at~~k _ Senior Counsel By ~ /~~ E_lvie No_bida _ Legal~Asststant ~~~~ `~ ` Chevron Owned Stations 4/27/2007 City of Bakersfield Office of Emergency Services Chevron Station# 98109 1131 OAK ST Chevron Station# 201527 6601 MING AVE Chevron Station# 203576 1125 COFFEE RD hevron Station# 206561 BAKERSFIELD CA 93304 BAKERSFIELD CA 93309 BAKERSFIELD CA 93308 3360 PANAMA LN BAKERSFIELD CA 93313 _ .~.{ ~ CHEVRON 98109 SiteID: 015-021-000183 Manager BusPhone: (661) 324-7621 Location: 1131 OAK ST Map 102 CommHaz Moderate City :.BAKERSFIELD Grid: 35B FacUnits: 1 AOV: CommCode: BFD STA 03 SIC Code: EPA Numb: DunnBrad:09-140-0559 Emergency Contact / Title Emergency Contact / Title CHEVRON MAINTENANCE / DISPATCH CHEVRON EMERGENCY / INFO CENTER Business Phone: (866) 845-4254x Business Phone: (800) 231-0623x 24-Hour Phone (800) 231-0623x 24-Hour Phone (800) 231-0623x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact CHEVRON PERMIT DESK L2375 B-1 Phone: (925) 842-9002x MailAddr: PO BOX 6004 State: CA City SAN RAMON Zip 94583 Owner CHEVRON PRODUCTS CO Phone: (925) 842-9002x Address PO BOX 6004 State: CA City SAN RAMON Zip 94583 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK PROG U - UST Based on my inquiry of those individuals responsible for obtaining the information, E certify under penalty of lavr Th i I p' ~ ~ ~~ a have personalty examined and am familiar with th i t 'li ~ nn ~~ ~ ~ ~ Q7 e n orrration muted and believe the information is true, U c urate, and complete. .~,_. L ~ 6 zoo? ignature ._.. " pat -1- 01/29/2007 F CHEVRON 98109 = Last Action Type: SiteID: 015-021-000183 ~ STORAGE CONTAINER DATA (UST FORM A) ~~ FACILITY/SITE INFORMATION Business Name: CHEVRON 98109 Cross Street Business Type: /~I~pURU,E. Tq,.IIArRA~ Org Type: Total Tanks 4 IndnRes/Trust: No PA Contact: ~ 52.50 ZAI-uG Dsg Own/Oper ICC Nbr : MEEi~~98~- PROPERTY OWNER INFORMATION Name CHEVRON EMERGENCY Phone: (800) 231-0623x Address: City State: Zip: Type CORPORATION TANK OWNER INFORMATION Name CHEVRON EMERGENCY Phone: (800) 231-0623x Address: City State: Zip: Type CORPORATION BOE UST Fee# 031913 Financ~l Resp: SELF INSURED Legal Notif 6t 313- 3 2f6 _ _ Date : Z-~ t 7' zoo 1 Phone : (4~6~}~-~ ~ 7 x Name: '~E$~,nlE Ttl:ESH SPECIALIST State UST # 1998 Upg Cert#: 00712 -2- O1/29/~007 F CHEVRON 98109 SiteID: 015-021-00018 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Si~~ ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MAP REGULAR UNLEADED GASOLINE F IH DH L 10000.00 GAL fed MIDGRADE UNLEADED GASOLINE F IH DH L 10000.00 GAL hod SUPREME UNLEADED GASOLINE F IH DH L 10000.00 GAL ~6d DIESEL FUEL #2 F IH DH L 10000.00 GAL Lbw USED MOTOR OIL F DH L 1000.00 GAL Lbw CARBON DIOXIDE F P IH G 2429.00 FT3 Man -3- O1/29/~007 -4- 01/29/2007 F CHEVRON 98109 SiteID: 015-021-000183 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME --- REGULAR UNLEADED GASOLINE Days On Sites 87 OCTANE 365 Location within this Facility Unit Map: Grid: --- W SIDE OF LOT CAS# 86290-81:-5 Liquid TMixtur~Ambient~E ~ AmbientT~ ~ UNDER GROUNDRTANKE - AM OUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 6000.00 GAS -- HAZARDOUS COMPONENTS gWt. RS CAS# 100.00 Gasoline No 862973.5 4.90 Benzene No 71432 3.00 Ethylbenzene No 100414 2.00 Naphthalene, Crude Or Refined No 91?03 10.00 Ethanol No 64175 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount I EPA Hazards NFPA ~ USDOT# MCP No= No= No- = No/ Curies= =F= _ =IH=DH= _ / / / - _ =Mtid -5- ~ Ol/29/~007 F CHEVRON 98109 SiteID: 015-02~-000183 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Si$e ~ COMMON NAME / CHEMICAL NAME MIDGRADE UNLEADED GASOLINE Days On Site 89 OCTANE 365 Location within this Facility Unit Map: Grid: ---- W SIDE OF LOT CAS# 86290-81=5 STATE TYPE PRESSURE TEMPERATURE ~ CONTAINER TYPE Liquid TMixture Ambient ~ Ambient I UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 6000.00 GAS - HAZARDOUS COMPONENTS ~Wt. RS CAS# 100.00 Gasoline ~ No 86290$15 4.90 Benzene No 71432 3.00 Ethylbenzene No 100414 2.00 Naphthalene, Crude Or Refined No 91203 10.00 Ethanol No 64175 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount I EPA Hazards NFPA =No- No= NO-- = No/ Curies= _~ _ =IH=DH= _ / / / 1 USDOT# MCA _ _ =Mt~d= -6- 01/29/2007 F CHEVRON 98109 SiteID: 015-021-000183 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME "- SUPREME UNLEADED GASOLINE Days On Site 91 OCTANE 365 Location within this Facility Unit Map: Grid: - W SIDE OF LOT CAS## 86290-81=5 Liquid TMixture~^AmbRent~E ~ ~PeRATURE -r--EROGROUNDRTANKE - - AMOUNTS P,T THIS LOCATION - Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 6000.00 GAL ~Wt. 100.00 4.90 3.00 2.00 10.00 HAZARDOUS COMPONENTS Gasoline Benzene Ethylbenzene .Naphthalene, Crude Or Refined (Ethanol Map: Grid: HAZARD ASSESSMENTS --- TSecret RS BioHaz Radioactive/Amount ) EPA Hazards NFPA I USDOT# MCI =No--- No-= =No- = No/ Curies= =F= _ =IH=DH= _ / / / 1- _ =Mdd ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ""~" DIESEL FUEL #2 ~ Days On Site 365 Location within this Facility Unit W SIDE.. OF LOT STATE TYPE PRESSURE Liquid TMixture~Ambient RS CAS# No 86290815 No 71432 No 100414 No 91303 No 64175 CAS# 68476-34.-6 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 GAL 17tSGtiiC.UV U.7 1.V1~lYV1V~1V l ~ ~Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476346 ru~c~EUU~ r~a ~~s~inr~lv-t~a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F IH DH / / / Ltaw -7- 01/29/2007 F CHEVRON 98109 SiteID: 015-021-000183 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME -- USED MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: - E SIDE OF SERVICE BAYS CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste Ambient Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1000.00 GAL 1000.00 GAL 250.00 GAS, t1AGAK1~VU5 C:VMYVNr~1v'1'S %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No t1AGAKU Ati5~55Mr:1V'1'~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# M No No No No/ Curies F DH / / / Ltivu ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Location within this Facility Unit INSIDE STORE STATE TYPE PRESSURE _ Gas TPureAbove Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: .Grid: -- ' ~ CAS# 124-38=9 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER____ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 2429.00 FT3 2429.00 FT3 1215.00 FT3 t1HGAK1JVU5 C:VMYVIV~N'1'S ~Wt. RS CAS# 100.00 Carbon Dioxide No 12,4389 riAGHtC1J AS~~SSMr;1V'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / M31 -8- O1/29/~007 F CHEVRON 98109 SitelD: 015-021-000183 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 08/22/2001 IN ANY INCIDENT THAT JEOPARDIZES HUMAN HEALTH AND SAFETY: ACTIVATE APPROPRIATE EMERGENCY SHUT-OFF, EVACUATE PERSONNEL FROM FACILITY USING SAFEST ROUTES AVAILABLE ACCORDING TO THE SITUATION AND GO TO AN UPWIND ARE1~ AND MAINTAIN A SAFE DISTANCE. COINCIDENT WITH EVACUATION, NOTIFY EMERGENCE RESPONSE AGENCIES BY DIALING 911 IF INCIDENT REPRESENTS AN IMMEDIATE THREAD. DENY ENTRY TO THE AREA BY ANYONE OTHER THAN 911 EMERGENCY RESPONSE PERSONNEL UNTIL AREA IS DECLARED SAFE. STANDBY TO ASSIST EMERGENCY RESPONSE PERSONNEL. ANY INCIDENT INVOLVING A FIRE, RELEASE OR THREATENED RELEASE Off' A HAZARDOUS MATERIAL MUST ALSO BE REPORTED TO THE STATION MANAGER. THE STATION MANAGER WILL NOTIFY THE SCI TERRITORY MANAGER AND CHEVRON MAINTENANCE DISPATCH IMMEDIATELY. CHEVRON MAINTENANCE DISPATCH WILL; DISPATCH COMPANY/CONTRACTOR ASSISTANCE IF NECESSARY AND NOTIFY CHEVRON COMPLIANCE MARKETING ASSISTANT FOR PROPER NOTIFICATION TO REGULATORY AGENCIES. LOLL UST AGENCY: BAKERSFIELD FIRE DEPT. 661-326-3979 CALIFORNIA OFFICE OF EMERGENCY SERVICES 800-852-7550 Employee Notif./Evacuation 09/29/20010 NOTIFICATION WILL BE ACCOMPLISHED VERBALLY (SHOUTING) AND VIA THE INTERCOM SYSTEM. Public Notif./Evacuation 08/22/2005 THE STAFF DUTY CLERK WILL ANNOUNCE THERE IS AN EMERGENCY. PLEASE LEAVE THE STATION ON FOOT IMMEDIATELY. IF EVACUATION FROM THE AREA IS DEEMED NECESSARY, THE NEIGHBORING PROPERTIES LISTED BELOW WILL BE NOTIFIED IF POSSIBLE: HAMPTON INN AND YEN CHENG RESTAURANT. -9- 01/29/007 F CHEVRON 98109. SiteID: 015-021-000183 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Emergency Medical Plan 08/22/200 MERCY HOSPITAL, 2215 TRUXTUN AVE, 632-5275, 632-5000, 632-5279. 9 9 9 -10- O1/29/~007 F CHEVRON 98109 SiteID: 015-021-000113 Fast Format ~ Mitigation/Prevent/Abatemt Overall Sits ~ Release Prevention 08/22/2005 BARRIERS INSTALLED TO PREVENT VEHICLE COLLISION WITH PUMPS. VAPOR RECOVER SYSTEMS USED WHEN FILLING UNDERGROUND TANKS. ANTILOCK NOZZLES ON PUMPS. I SALES TO UNAUTHORIZED CONTAINERS. NO SMOKING SIGNS POSTED. SELF-SERVE INSTRUCTIONS POSTED. MONITORING PROGRAM IMPLEMENTED. DOUBLE-WALL TANKS WITH LEAK DETECTION SYSTEM. Release Containment 08/22/20075 STOP SOURCE OF RELEASE AS NECESSARY AND SAFE. IF GASOLINE: STOP SOURCE OF' RELEASE BY ACTIVATING EMERGENCY PUMP SHUT-OFF SWITCH. EVACUATE ALL NON-ESSENTIAL PERSONNEL FROM AREA. EXTINGUISH OR REMOVE ALL IGNITION SOURCES.' USE FIRE EXTINGUISHER, IF NECESSARY. WHILE USING PROPER PERSONAL PROTECTIVE EQUIPMENT, CONTAIN AND ABSORB SPILL WITH INERT ABSORBENT. AVOID BREATHING GASOLINE VAPORS BY APPROACHING FROM UPWIND. Clean Up 08/22/2005 KEEP NON-ESSENTIAL PERSONNEL AWAY FROM AREA. NOTIFY CHEVRON MAINTENANCE DISPATCH 800-423-3528 FOR COORDINATION WITH HAZARDOUS MATERIAL CONTRACTOR 2't~ REMOVE CONTAMINATED ABSORBENT MATERIALS, IF REQUIRED. MATERIALS INVOLVED ~1V CLEAN-UP WILL BE DISPOSED OF IN ACCORDANCE WITH ALL APPLICABLE FEDERAL STATE AND LOCAL REGULATIONS. V1.11C1 iCCb~VU1l:C til:l.1 Vdl.1V11 -11- 01/29/007 F CHEVRON 98109 SiteID: 015-021-000183 ~ Fast Formdt ~ ~ Site Emergency Factors Overall Side ~ ~ Special Hazards --- Utility Shut-Offs 08/22/2006 A) GAS - NATURAL GAS - N SIDE OF RESTROOM BLDG B) ELECTRIAL - N SIDE OF STORE BLDG N SIDE OF RESTROOM BLDG C) WATER - E SIDE OF SITE METER IN SIDEWALK D) SPECIAL - EMER PUMP SHUT-OFF CASHIER CONSOLE & OUTSIDE N WALL OF BLDG E) LOCK BOX - NO Fire Protec./Avail. Water O1/29/20t~5 PRIVATE FIRE PROTECTION.- FIRE EXTINGUISHERS. FIRE HYDRANT - W SIDE OF OAK ST E OF CHEVRON IN SIDEWALK: Building Occupancy Level 1-8 EMPLOYEES 03/17/2006 -12- O1/29/~007 F CHEVRON 98109 SiteID: 015-021-000113 ~ Fast Forma~~ ~ ~ Training Overall Side ~ ~ Employee Training 01/29/20©'7 ~ MSDS SHEETS ON FILE. BRIEF SUNIlKARY OF TRAINING PROGRAM: TRAINING INCLUDES BUT I5 NOT LIMITED TO. HAZARD COMMUNICATION PROGRAM, WRITTEN AND AUDIO/VIDEO PROGRAM INCLUDING MS~7 REVIEW. HAZWOPER WRITTEN AND AUDIO/VIDEO PROGRAM AWARENESS LEVEL. AT A MINIMUM, ALL EMPLOYEES ARE TRAINED INITIALLY (UPON HIRE) AND TRAINING IS REFRESHED ANNUALLY. rage n~iu Lur ruuurc ~~~ nc.i.u ivi r u~uiC u5C -13- O1/29/~007 Chevron Products Company ~larketin~ H_ES Permits Pp Bot 6004,1.,2375-83 Sau Ramon, CA 94183 Tel 925-842-9002 Fav 925-842-9585 cbittle~d-chevrontexaco.com February 21, 2007 City of Bakersfield Office of Emergency Services 1715 Chester Ave., Third Floor, Bakersfield, CA, 93301 Charles Bittle N~ES Permits Re: Chevron Products Company Owner Statement of UST Designated Operator [h In accordance with California Code of Regulations, title 23, section 2715(c) - (f), enclosed are the following documents: 1) Chevron Products Company Facility List for stations under your jurisdiction 2) Owner Statements of Designated Underground Storage Tank (UST) Operator and Understanding of and Compliance with UST Requirements These documents meet the compliance requirements for all UST systems owned by Chevron Products Company on behalf of our station operators. If you have any questions contact the Chevron Products Company Marketing HES Permit Desk at 925-842-9002. Sincerely, c~ Chevron Products Company, HES Permits Charles Bittle Enclosures Cc: Chevron Station Operators Facilities Owned by Chevron Products Company -Confidential City of Bakersfield Office of Emergency Services Chevron Station# 98109 1131 OAK ST BAKERSFIELD CA 93304-1063 Chevron Station# 201527 6601 MING AVE BAKERSFIELD CA 93309-3446 Chevron Station# 203576 1125 COFFEE RD BAKERSFIELD CA 93308-5747 Chevron Station# 206561 3360 PANAMA LN BAKERSFIELD CA 93313-3695 Chevron Employee Designated Operator Addendum Chevron Designated Operator Name Phone Number ICC Certificate # ICC Expiration Date Alexandra Morales (714) 457-4714 # 5248735-UC 09/01/08 Andrea Vilchis (909) 489-5247 # 5293508-UC 08/28/08 Charles Bittle (925) 842-9002 # 5236613-UC 06/13/08 David Hale (713) 219-5255 # 5249901-UC 08/17/08 David Henricksen (916) 408-7567 #5292831-UC 08/31/08 Deborah Rowe (714) 671-3216 # 5257348-UC 03/26/07 Diane R. Leri (925) 580-8737 # 5236614-UC 06/13/08 Edward Dahlgran (916) 683-1067 # 5295247-UC 11/01/08 Elia Ruth Abonasser (916) 649-3409 # 5244453-UC 11/07/08 Eric N Munns (925) 287-7182 # 5232415-UC 04/06/08 Janet McClymonds (707) 257-6025 # 5242606-UC 09/19/08 Jennifer Black (916) 708-6267 # 5294056-UC 09/07/08 John J Cattolico (925) 516-6621 # 5232421-UC 04/26/08 Luke Wytmans (650) 438-3976 # 5249752-UC 12/28/08 Marie Denzer (707) 257-6929 # 5249919-UC 11/07/08 Maurice Tamamian (818) 430-0655 # 5250201-UC 11/24/08 Michael Wilkinson (707) 255-9526 # 5296380-UC 10/11/08 Monico J Carrillo (858) 576-0423 # 5243857-UC 01/06/09 Oscar Tiscareno (909) 484-2055 # 5244554-UC 04/29/07 Paul Liang (408) 690-8252 # 5295269-UC 09/29/08 Phillip Suah (209) 423-3382 # 5249865-UC 09/07/08 Roderick Reyrao (909) 484-7644 # 5273935-UC 12!34/07 Roshell Wellmerling (925) 305-7669 # 5294699-UC 09/19/08 Sobukola Shoyinka (714) 671-3237 SIIK01529 12/14/08 Suelynn Silva (209) 423-3449 # 5244588-UC 08/22/08 Xanti Atorrasagasti (619) 392-8883 # 5289212-UC 08/28/08 City of Bakersfield Office of Emergen ..., e,..,,.,.,... . Owner Statement of Designated Underground Storage Tank(CTST) Operator and understanding of compliance with UST Requirement Facility Name • Chevron Station# 98109 Facility Address 1131 OAK ST, BAKERSFIELD, CA, 933041063 Facility Phone# : (661) 324-7621 Facility ID: 2843 Reason for Submitting this Form (Check One) Change of Designated Operator ~[Tpdate Certificate Expiration Date DESIGNATED UST OPERATORS FOR THIS FACILITY PRIMARY Designated Operator's Name • Maurice K Tamamian Relation to UST Facility (Check On Business Name (If different from above) : Chevron Products Compan ^ Owner ^ Operator ~ Employee Designated Operator's Phone # • 1925) 842-9002 ^ Service Technician ^ Third-Part International Code Council Certification # : 5250201-UC Expiration Date : 22-Nov-08 ALTERNATE 1(O ptional) Designated Operator's Name : Chevron Designated Operators Relation to UST Facility (Check On Business Name (If different from above) : Chevron Products Compan ^ Owner ^ Operator ^~/ Employee Designated Operator's Phone # : (925) 842-9002 ^ Service Technician ^ Third-Party International Code Council Certification # : Chevron Addendum Expiration Date ALTERNATE2(Optional) Designated Operator's Name : Relation to UST Facility (Check On Business Name (If different from above) : ^ Owner ^ Operator ^ Employee Designated Operator's Phone # • ^ Service Technician ^ Third-Party International Code Council Certification # : Expiration Date NOTE: THE LOCAL REGULATORY AGENCY MUST BE NOTIFIED OF ANY CHANGES TO THIS INFORMATION WITHIN 30 DAYS OF THE CHANGE I certify that, for the facility indicated at the top of this page, the individual(s) listed above will serve as the 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) Furthermore I understand and am in compliance with the requirements (statutes, regulations, and local ordinances) applicable to underground storage tanks. NAME OF THE TANK OWNER OR OWNER'S AGENT (Please Print) SIGNATURE OF TANK OWNER OR OWNER'S AGENT (Please Print) DATE: 2/21 /2007 Chevron product Company, Attn: Permit Desk OWNER'S PHONE (925)842-9002 City of Bakersfield Office of Emergen Owner Statement of Designated Underground Storage Tank(UST) Operator and understanding of Compliance with UST Requirement Facility Name • Chevron Station# 201527 Facility ID• 3186 Facility Address 6601 MING AVE, BAKERSFIELD, CA, Reason for Submitting this Form (Check One) 933093446 ^~ Change of Designated Operator Facility Phone# : (661) 831-1270 [Update Certificate Expiration Date DESIGNATED UST OPERATORS FOR THIS FACILITY PRIMARY Maurice K Tamamian Designated Operator s Name Relation to UST Facility (Check On Business Name (If different from above) : Chevron Products Compan ^ Owner ^ Operator ~ Employee Designated Operator's Phone # : (925) 842-9002 ^ Service Technician ^ Third-Part International Code Council Certification # : 5250201-UC Expiration Date : 22-Nov-08 ALTERNATE) (Optional) Designated Operator's Name : Chevron Designated Operators Relation to UST Facility (Check On Business Name (If different from above) : Chevron Products Compan ^ Owner ^ Operator ~ Employee Designated Operator's Phone # : (925) 842-9002 ^ Service Technician ^ Third-Party International Code Council Certification # : Chevron Addendum Expiration Date ALTERNATE2 (Optional) Designated Operator's Name : Relation to UST Facility (Check On Business Name (If different from above) : ^ Owner ^ Operator ^ Employee Designated Operator's Phone # : ^ Service Technician ^ Third-Party International Code Council Certification # : Expiration Date NOTE: THE LOCAL REGULATORY AGENCY MUST BE NOTIFIED OF ANY CHANGES TO THIS INFORMATION WITHIN 30 DAYS OF THE CHANGE I certify that, for the facility indicated at the top of this page, the individual(s) listed above will serve as the 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) Furthermore I understand and am in compliance with the requirements (statutes, regulations, and local ordinances) applicable to underground storage tanks. NAME OF THE TANK OWNER OR OWNER'S AGENT (Please Print) : Chevron product Company, Attn: Permit Desk SIGNATURE OF TANK OWNER ~ OR OWNER'S AGENT (Please Print) ~ DATE: 2/21/2007 OWNER'S PHONE (925)842-9002 City of Bakersfield Office of Emergen ,.., c,...,.,.,... Owner Statement of Designated Underground Storage Tank([.TST) Operator and ~~ understanding of Compliance with UST Requirement Facility Name • Chevron Station# 203576 Facility Address 1125 COFFEE RD, BAKERSFIELD, CA, 933085747 Facility Phone# : (661) 588-9066 Facility ID: 2235 Reason for Submitting this Form (Check One) ^~ Change of Designated Operator Update CertiTicate Expiration Date DESIGNATED UST OPERATORS FOR THIS FACILITY PRIMARY Maurice K Tamamian Designated Operator s Name Relation to UST Facility (Check On Business Name (If different from above) : Chevron Products Compan ^ Owner ^ Operator ~ Employee Designated Operator's Phone # : (925) 842-9002 ^ Service Technician ^ Third-Part International Code Council Certification # : 5250201-UC Expiration Date : 22-Nov-08 ALTERNATE i (Optional) Designated Operator's Name : Chevron Designated operators Relation to UST Facility (Check On Business Name (If different from above) : Chevron Products Compan ^ Owner ^ Operator ~ Employee Designated Operator's Phone # : (925) 842-9002 ^ Service Technician ^ Third-Party International Code Council Certification # : Chevron Addendum Expiration Date ALTERNATE2 (Optional) Designated Operator's Name : Relation to UST Facility (Check On Business Name (If different from above) : ^ Owner ^ Operator ^ Employee Designated Operator's Phone # : ^ Service Technician ^ Third-Party International Code Council Certification # : Expiration Date NOTE: THE LOCAL REGULATORY AGENCY MUST BE NOTIFIED OF ANY CHANGES TO THIS INFORMATION WITHIN 30 DAYS OF THE CHANGE I certify that, for the facility indicated at the top of this page, the individual(s) listed above will serve as the 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) Furthermore I understand and am in compliance with the requirements (statutes, regulations, and local ordinances) applicable to underground storage tanks. NAME OF THE TANK OWNER OR OWNER'S AGENT (Please Print) SIGNATURE OF TANK OWNER OR OWNER'S AGENT (Please Print) DATE: 2/21 /2007 Chevron product Company, Attn: Permit Desk OWNER'S PHONE (925)842-9002 City of Bakersfield Office of Emergen ,.., e,,....,..... Owner Statement of Designated Underground Storage Tank(UST) Operator and understanding of Compliance with UST Requirement Facility Name • Chevron Station# 206561 Facility ID• 16647 Facility Address 3360 PANAMA LN, BAKERSFIELD, CA, Reason for Submitting this Form (Check One) 933133695 Change of Designated Operator Facility Phone# : (661) 396-7047 `Update Certificate Expiration Date DESIGNATED UST OPERATORS FOR THIS FACILITY PRIMARY Maurice K Tamamian Designated Operator s Name Relation to UST Facility (Check On Business Name (If different from above) : Chevron Products Compan ^ Owner ^ Operator ^d Employee Designated Operator's Phone # : (925)842-9002 ^ Service Technician ^ Third-Part International Code Council Certification # : 5250201-UC Expiration Date : 22-Nov-08 ALTERNATE 1(Optional) Designated Operator's Name : Chevron Designated Operators Relation to UST Facility (Check On Business Name (If different from above) : Chevron Products Compan ^ Owner ^ Operator ~ Employee Designated Operator's Phone # : (925) 842-9002 ^ Service Technician ^ Third-Party International Code Council Certification # : Expiration Date ALTERNATE2(Optional) Designated Operator's Name : Relation to UST Facility (Check On Business Name (If different from above) : ^ Owner ^ Operator ^ Employee Designated Operator's Phone # : ^ Service Technician ^ Third-Party International Code Council Certification # : Expiration Date NOTE: THE LOCAL REGULATORY AGENCY MUST BE NOTIFIED OF ANY CHANGES TO THIS INFORMATION WITHIN 30 DAYS OF THE CHANGE I certify that, for the facility indicated at the top of this page, the individual(s) listed above will serve as the 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) Furthermore I understand and am in compliance with the requirements (statutes, regulations, and local ordinances) applicable to underground storage tanks. NAME OF THE TANK OWNER OR OWNER'S AGENT (Please Print) : Chevron product Company, Attn: Permit Desk SIGNATURE OF TANK OWNER ~ /~ OR OWNER'S AGENT (Please Print) : Jy~ ~/) DATE: 2/21/2007 OWNER'S PHONE (925)842-9002 ~;. , y ~~ UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY N ME ~ ~/ INSPE TI N DATE INSPECTION TIME ADDRESS PHONE N No. of Employees FACILITYCONTACT Business ID Number hG~~ I ~ IS-021- Section 1: Business Plan and Inventory Program ^ Routine ombined O Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection C V IV=Vo~poi^ncel OPERATION COMMENTS ~^ APPROPRIATE JPERMIT ON HAND U Ll BUSINESS PLAN CONTACT INFORMATION ACCURATE ~^ VISIBLE ADDRESS L~' ^ CORRECT OCCUPANCY I CJ ^ VERIFICATION OF INVENTORY MATERIALS ~^ VERIFICATION OF QUANTITIES ~^ VERIFICATION OF LOCATION 6J~ ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE © ^ VERIFICATION OF FIAT MAT TRAINING ® VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ~^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING L"J ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE: ^ YES EXPLAIN: QUESTION f2EGARDIN HI INSPECTIONS PLEASE CALL US AT ~66'I) 326-3979 Inspector Badge No., White • Environmental Services Yellow -Station Copy I ~, - l,~ B iness Site Responsible Party Pink -Business Copy ~~ ~i4~' '`~ ~~ CITY OF BAKERSFIELD FIRE DEPARTMENT ~~ ~ ~ ~~ OFFICE OF ENVIRONMENTAL SERVICES `~ , y.` UNIFIED PROGRAM INSPECTION CHECKLIST 't~E~gti,,~'~ 1715 Chester Ave., 3~d Floor, Bakers>lield, CA 93301 FACILITY NAME IL ~ ~~ UJ'~/ INSPECTION DATE ~ S Section 2: Underground Storage Tanks Program ^ Routine Combined ~ ^ Joint Agency ^MultI-Agency ^ Complaint ^ Re-inspection Type of Tank ~(1)~- Number of Tanks Type of Monitoring ~1~1'l Type of Piping OPERATION C V COMMENTS Proper tank data on the Proper owner/operator data on file Permit tees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes NO Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? [f yes, Does tank have overfill/overspill protection? C=Compliance ;-Violaf n Y=Yes N=NO Inspector: Oftice of Environmental Services (805) 326-3979 Bus tte Responsible Party white - inv. Svcs. Pink -Business Copy ~`~ Apri129, 2005 Ch City of Bakersfield Office of Emergency Services-UST 1715 Chester Ave., Third Floor Bakersfield, CA 93301 Chevron Products Company, lnc. P.O. Box 6004 Attn: Permit Desk San Ramon, CA 94583-0904 Charles Bittle HES Permits Specialist Phone No. 925-842-9002 Fax No. 925-842-9585 RE: FINANCIAL RESPONSIBILITY FOR UNDERGROUND STORAGE TANKS Please find the following documents enclosed: 1) Proof of Financial Responsibility 2) Certificate of Financial Responsibility 3) Chevron Facility List under your jurisdiction These documents meet the financial responsibility requirements for all UST's owned by Chevron and have previously been submitted directly to the State. If you have any questions feel free to contact me. Sincerely, C'~iar~~. ~i~e Charles Bittle HES Permits Enclosure Chevron Products Company Apri12006 2006 Financial Responsibility Station List - .:. ... • ~, r, - uievron I U5~ T Agenc~Name ~ '-~- •- .Facility No. ~ Oper atpr - - -~ - ~ ADDR65S ~f ~ CITY STATE -ZIP ~ - ' City of Bakersfield Office of Emergency Services 1715 Chester Ave., Third Floor 98109 CHEVRON STATIONS INC 1131 OAK ST BAKERSFIELD CA 93304-1063 Bakersfield CA 93301 201527 CHEVRON STATIONS INC 6601 MING AVE BAKERSFIELD CA 93309-3446 203576 CHEVRON STATIONS INC 1125 COFFEE RD BAKERSFIELD CA 93308-5747 206561 CHEVRON STATIONS INC 3360 PANAMA LN BAKERSFIELD CA 93313-3695 (~~~~~~ ~;h~.. 1 _ ~~-W-``- ~~ ~. ~_`~-~ ~i April 27, 2006 UST FINANCIAL ASSURANCE To Whom It May Concern: Stephen J. Crowe Vice President and Chief Financial Officer Chevron Corporation 6001 Bollinger Canyon Road San Ramon, CA 94583-2324 Tel (925) 842-3232 Fax (925) 842-6047 I am the Chief Financial Officer of Chevron Corporation, 6001 Bollinger Canyon Road, San Ramon, California. This letter is in support of the use of the financial test of self-insurance and guarantee to demonstrate financial responsibility for taking corrective action and compensating third parties for bodily injury and property damage caused by sudden accidental releases and/or nonsudden accidental releases in the amount of at least $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate arising from operating underground storage tanks. Underground storage tanks at the following facilities are assured by this financial test or a financial test under an authorized State program by this guarantor: all underground storage tanks owned by Chevron U.S.A. Inc. are assured by this financial test. A financial test and guarantee are also used by this guarantor to demonstrate evidence of financial responsibility in the following amounts under other EPA regulations or state programs authorized by EPA under 40 CFR parts 271 and 145: EPA REGULATIONS AMOUNT Closure (§§264.143 and 265.143) $204,987,223 Post-Closure Care (§§264.145 and 265.145) $55,496,995 Liability Coverage (§§264.147 and 265.147) $8,000,000 Corrective Action (§264.101(b)) $21,652,392 Plugging and Abandonment (§ 144.63) $225,500 California State Program Closure $84,786,473 Post-Closure Care $67,753,740 Liability Coverage $42,000,000 Corrective Action 0 Plugging and Abandonment 0 April 27, 2006 Page 2 Louisiana State Program Closure 0 Post-Closure Care $3,619,442 Liability Coverage 0 Corrective Action 0 Plugging and Abandonment 0 Kansas State Program Closure 0 Post-Closure Care $165,000 Liability Coverage 0 Corrective Action 0 Plugging and Abandonment 0 Total $488,686,765 This guarantor has not received an adverse opinion, a disclaimer of opinion, or a "going concern" qualification from an independent auditor on his financial statements for the latest completed fiscal year. ALTERNATNE II 1. Amount of annual UST aggregate coverage being assured by a test $ 2,000,000 and guarantee 2. Amount of corrective action, closure and post-closure care costs, $488,686,765 liability coverage, and plugging and abandonment costs covered by a financial test and guarantee 3. Sum of lines 1 and 2 $490,686,765 4. Total tangible assets $120,535,000,000 5. Total liabilities $63,157,000,000 6. Tangible net worth $57,378,000,000 7. Total assets in the U.S. $42,965,000,000 April 27, 2006 Page 3 8. Is line 6 at least $10 million? 9. Is line.6 at least 6 times line 3? 10. Are at least 90% of assets located in the U.S.? (If "No", complete line 1 l.) 11. Is line 7 at least 6 times line 3? 12. Current assets 13. Current liabilities 14. Net working capital (subtract line 13 from line 12). 15. Is line 14 at least 6 times line 3? 16. Current bond rating of most recent bond issue 17. Name of rating service 18. Date of maturity of bond Yes No X X X X $ N/A $ N/A $ N/A $ N/A AA Standard & Poors June 1, 2025 Yes No 19. Have financial statements for the latest fiscal year been filed with X the SEC, the Energy Information Administration, or the Rural Electrification Administration? I hereby certify that the wording of this letter is identical to the wording specified in 40 CFR part 280.95(d) as such regulations were constituted on the date shown immediately below, except that information concerning California, Kansas and Louisiana was added to make disclosure more complete. C Stepl} n J. Crowe Vice President and Chief Financial Officer April 27, 2006 Apri127, 2006 Page 4 (~T1AR ANTFF Guarantee made this April 27`h day of 2006, by CHEVRON CORPORATION, a business entity organized under the laws of the State of Delaware, herein referred to as guarantor, to EPA Regional Administrators and/or state agencies implementing underground storage tank regulation for the states listed in Paragraph 2 (hereinafter collectively referred to as the "implementing agencies"), and to any and all third parties, and obligees, on behalf of CHEVRON U.S.A. INC. ("CUSA"), of 6001 Bollinger Canyon Road, San Ramon, California. RECITALS 1. Guarantor meets or exceeds the financial test criteria of 40 CFR 280.95(b) or (c) and (d) and agrees to comply with the requirements for guarantors as specified in 40 CFR 280.96(b). 2. Guarantor owns or operates the following underground storage tanks covered by this guarantee--all underground storage tanks owned by Chevron U.S.A. Inc. in the following states: Alaska Arizona California Florida Hawaii Oregon Texas Washington This guarantee satisfies 40 CFR part 280, subpart H requirements for assuring funding for taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases arising from operating the above-identified underground storage tanks in the amount of $1,000,000.00 per occw-rence and $2,000,000.00 annual aggregate. 3. On behalf of our subsidiary, CUSA, guarantor guarantees to implementing agencies and to any and all third parties that: In the event that CUSA fails to provide alternative coverage within 60 days after receipt of a notice of cancellation of this guarantee and the Director of the implementing agency has determined or suspects that a release has occurred at an underground storage tank covered by this guarantee, the guarantor, upon instructions from the Director, shall fund a standby trust fund in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. In the event that the Director determines that CUSA has failed to perform corrective action for releases arising out of the operation of the above-identified tanks in accordance with 40 CFR 280, subpart F, the guarantor upon written instructions from the Director shall fund a standby trust in April 27, 2006 Page 5 accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. If CUSA fails to satisfy a judgement or award based on a determination of liability for bodily injury or property damage to third parties caused by sudden and/or nonsudden accidental releases arising from the operation of the above-identified tanks, or fails to pay an amount agreed to in settlement of a claim arising from or alleged to arise from such injury or damage, the guarantor, upon written instructions from the Director, shall fund a standby trust in accordance with the provisions of 40 CFR 280.108 to satisfy such judgement(s), award(s), or settlement agreements} up to the limits of coverage specified above. 4. Guarantor agrees that if, at the end of any fiscal year before cancellation of this guarantee, the guarantor fails to meet the financial test criteria of 40 CFR 280.95(b) or (c) and (d), guarantor shall send within 120 days of such failure, by certified mail, notice to CUSA. The guarantee will terminate 120 days from the date of receipt of the notice by CUSA, as evidenced by the return receipt. 5. Guarantor agrees to notify CUSA by certified mail of a voluntary or involuntary proceeding under Title 11 (Bankruptcy), U.S. Code naming guarantor as debtor, within 10 days after commencement of the proceeding. 6. Guarantor agrees to remain bound under this guarantee notwithstanding any modification or alteration of any obligation of CUSA pursuant to 40 CFR part 280. 7. Guarantor agrees to remain bound under this guarantee for so long as CUSA must comply with the applicable financial responsibility requirements of 40 CFR part 280, subpart H for the above- identified tanks, except that guarantor may cancel this guarantee by sending notice by certified mail to CUSA, such cancellation to become effective no earlier than 120 days after receipt of such notice by CUSA, as evidenced by the return receipt. 8. The guarantor's obligation does not apply to any of the following: (a) Any obligation of CUSA under workers' compensation, disability benefits, or unemployment compensation law or other similar law; (b) Bodily injury to an employee of CUSA arising from, and in the course of, employment by CUSA; (c) Bodily injury or property damage arising from the ownership, maintenance, use, or entrustment to others of any aircraft, motor vehicle, or watercraft; (d) Property damage to any property owned, rented, loaned to, in the care, custody, or control of, or occupied by CUSA that is not the direct result of a release from a petroleum underground storage tank; .t Apri] 27, 2006 Page 6 (e} Bodily damage or property damage for which CUSA is obligated to pay damages by reason of the assumption of liability in a contract or agreement other than a contract or agreement entered into to meet the requirements of 40 CFR 280.93. 9. Guarantor expressly waives notice of acceptance of this guarantee by the implementing agency, by any or all third parties, or by CUSA. I hereby certify that the wording of this guarantee is identical to the wording specified in 40 CFR 280.96(c) as such regulations were constituted on the effective date shown immediately below. Effective date: Apri127, 2006 CHEVRON CORPORATION By Step n J. Crowe Vi Presiderbt and Chief Financial Officer Y April 27, 2006 Page 7 CERTIFICATION OF FINANCIAL RESPONSIBILITY CHEVRON U.S.A. INC. hereby certifies that it is in compliance with the requirements of subpart H of 40 CFR part 280. The financial assurance mechanisms used to demonstrate financial responsibility under subpart H of 40 CFR part 280 are as follows: Financial test and corporate guarantee of Chevron Corporation in the amount of $1 million per occurrence, $2 million annual aggregate, for the period commencing April 29, 2006 and which is anticipated to be renewed annually, with the next renewal scheduled to occur during the first 120 days of 2006. Said guarantee covers taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases. Apri127, 2006 CHEVRON U.S.A. INC. `-~' ',~ isa . L~nanc"zyk ' Sen' r Counsel By ~ ~ ~ . Antoinette M. Long Legal Analyst '~ Tan/mology 8501 N. MoPac Expressway, Suite 400 Austin, Texas 78759 Phone: (512) 451-6334 Fax: (512) 459-1459 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR STEVE UNDERWOOD 900 TRUXTUN AVE., STE. 210 BAKERSFIELD, CA. 93301 Test Date: 11/17/2006 Order Number: 3149535 Dear Regulator, ~_.~ Date Printed and Mailed: 12/07/2006 Enclosed are the results of recent testing performed at the following facility: CHEVRON 98109 1131 OAK ST. X/ST CALIFORIA AVE BAKERSFIELD, CA. 93304 Testing performed: Leak detector tests Monitor Certification Sincerely, Dawn Kohlmeyer Manager, Field Reporting G ~ i Tan PURPOSE: COMPLIANCE TEST DATE: 11/17/06 CLIENT: CHEVRON PRODUCTS COMPANY P.O. BOX 6004 L-237561 SAN RAMON, CA 94583 BRETT BONACCI (925)842-5047 TANKNOLOGY CERTIFICATE OF TESTING . 8501 N MOPAC EXPRESSWAY, SUITE 400 AUSTIN, TEXAS 78759 TELEPHONE (512) 451-6334 FAX (512) 459-1459 TEST RESULT SUMMARY REPORT WORK ORDER NUMBER: 3149535 CUSTOMER PO: 4669898 SITE: CHEVRON 98109 1131 OAK ST. X/ST CALIFORIA AVE BAKERSFIELD, CA 93304 MANAGER-JALED (661)324-7621 TEST TYPE: TLD-1 Prnrlur4 Pina Tinh+nacc Taco Racul4c r." ,~ ~ .; " ~ :'' IMPACT; LINE ALINE -: LINE : .: DELIVERY., ' TEST RESULT :: FINAL LEAK RATE . , (gph) •." f VALVE{ ID `. '-PRODUCT ~- --- MATERIAL TYPE ,- _. - ~ -- FUNCTIO 1 1 SIIPREME DW FIBERG PRESSIIRE 2 2 PLIIS DW FIBERG PRESSIIRE 3 3 REGIILAR DW FIBERG PRESSIIRE 4 4 DIESEL DW FIBERG PRSSSIIRE Fviclinn 1 ina 1 aalr Tatar+nr Tact EXISTING LEAK DETECTOR.#1 EXIST ING LEAK DETECTOR #2 ~- LINE ID MANUFACTURER _ MODEL # 'SERIAL # .' RESULT- MANUFACTURER ~ MODEL # ". , `SERIAL #~ ., , RESULT 1 1 VEEDERROOT 014690 P 2 2 VEEDERROOT 001106 P 3 3 VEEDERROOT 001095 P 4 4 VEEDERROOT ELECTRONI 001107 P Nave Ranlar_aman+ I ina 1 aak Ila4ar+nr Tac4 REP LACED LEAK DETECTOR #'1 REPLA CED LEAK DET ECTOR #2 LINE MANUFACTURER MODEL # " '; SERIAL # .y ; RESULT MANUFACTURER ~. MODEL # •-'; ^;: SERIAL # .•~r`i RESUL . u~ ~w~~ct ~cw~.ou icNui~,uiuiuw~ivu, v,~u www.taunuu~uyy.wiu anu aeiec~ vn-L,~ne tteporu-wrevr, or convect your local laniato~ogy omee. Tester Name: ARTURO GUTIERREZ Technician Certification Number: Printed 12/07/2006 07:58 KOHLMEYER INDIVIDUAL TANK INFORMATION AND TEST RESULTS ~ Tan TEST DATE:11/17/06 8501 N MOPAC EXPRESSWAY, SUITE 400 WORK ORDER NUMBER3149535 CLIENT:CHEVRON PRODUCTS AUSTIN, TEXAS 78759 (512) 451-6334 SITE:CHEVRON 98109 TAN K' INFORMATION' __ ~ a~ _ Tank ID: i i Tank manifolded: No Bottom to top fill in inches: 156. o Product: suPREr>E Vent manifolded: No Bottom to grade in inches: 161. o Capacity in gallons: 9, 842 Vapor recovery manifolded: YES Fill pipe length in inches: 56 . o Diameter in inches: 91. oo Overfill protection: YES Fill pipe diameter in inches: 4 • o Length in inches: 354 Overspill protection: YES Stage I vapor recovery: DUAL Material: Dw FIBERG Installed: ATG Stage II vapor recovery: BALANCE CP installed on: / / COMMENTS TANK-TEST RESULTS Test Method:VacuTect ~ - - LE_AI( DETECTOR TEST RESULTS Test method: FTA '-." ,; ~ §~~,= Start (in) End (in) Dipped Water Level: New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 Dipped Product Level: Probe Water Level: Make: vEEDEaROOT Ingress Detected: Water Bubble Ullage Model: Test time: S/N: oi4e9o Open time in sec: Inclinometer reading: Holding psi: 2s VacuTect Test Type: rroT Resiliency cc: NOT VacuTect Probe Entry Point: TESTED Test leak rate ml/m: is9. o TESTED Pressure Set Point: Metering psi: Tank water level in inches: Calib. leak in gph: a . 00 Water table depth in inches: Results: PASS Determined by (method): Result: COMMENTS COMMENTS .LINE TEST RESULTS ,r ., ~, ;: ' ~ , _; ,..-:Test type: TL,n l~ s: ~ .,~.,~ r :; , -. ` • . _ LINE A B C - - p Material: Dw FIBERG Diameter (in): 3.0 Length (ft): 250.0 Test psi: Bleedback cc: Test time (min): NOT NOT NOT NOT Start time: TESTED TESTED TESTED TESTED End time: Final gph: Result: Pump type: PRESSURE Pump make: FE PETRO COMMENTS Impact Valves Operational: UrrxxowN Printed 12/07/2006 07:58 INDIVIDUAL TANK INFORMATION AND TEST RESULTS ~ Tanlv~tology TEST DATE:11/17/06 8501 N MOPAC EXPRESSWAY, SUITE 400 WORK ORDER NUMBER3149535 CLIENT:CHEVRON PRODUCTS AUSTIN, TEXAS 78759 (512) 451-6334 SITE:CHEVRON 98109 v v? .z .: - - •'~ .:Ki .,TANK II~1`OR~VIATION ~ 'r,~ ' ~ ~ ~.~ ~ -, ; .~-~k vs~~~- Tank ID: 2 2 Tank manifolded: No Bottom to top fill in inches: 155. o Product: PLUS Vent manifolded: No Bottom to grade in inches: 160.0 Capacity in gallons: 9 , 842 Vapor recovery manifolded: YES Fill pipe length in inches: 55.5 Diameter in inches: 91. oo Overfill protection: YES Fill pipe diameter in inches: 4 • o Length in inches: 354 Overspill protection: YES Stage I vapor recovery: DUAL Material: DW FIBERG Installed: ATG Stage II vapor recovery: BALANCE CP installed on: / / COMMENTS TA[_JK TEST RESULTS .Test Method:vacuTec t ~,:: ` X54„ LEAK DETECTOR~TEST i2ESULTS ' ~ > ",-~'' 'Test method: FTA ~-'„ ti~+ ~-~~ Start (in) End (in) Dipped Water Level: New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 Dipped Product Level: Probe Water Level: Make: vsaDfiRROOT Ingress Detected: Water Bubble Ullage Model: Test time: S/N: ooiioe Open time in sec: Inclinometer reading: Holding psi: zi VacuTect Test Type: NoT NOT Resiliency cc: VacuTect Probe Entry Point: TESTED Test leak rate ml/m: 1&9. o TESTED Pressure Set Point: Metering psi: Tank water level in inches: Calib. leak in gph: 3.00 Water table depth in inches: Results: PASS Determined by (method): Result: COMMENTS COMMENTS ti =LINE TEST RESULTS `? ~,- Test type:,.Tr~ 1 ; p " ~' ~~` ~ '~ `~ - .LINE g -_ C ~~. ~ ~ . a ~ - A ` Material: Dw FIBERG Diameter (in): 3.0 Length (ft): 250. o Test psi: Bleedback cc: Test time (min): NOT NOT NOT NOT Start tlme: TESTED TESTED TESTED TESTED End time: Final gph: Result: Pump type; PRESSURE Pump make: FE PETRO COMMENTS Impact Valves Operational: UNKNOWN Printed 12/07/2006 07:58 INDIVIDUAL TANK INFORMATION AND TEST RESULTS ~ Tan TEST DATE:11/17/06 8501 N MOPAC EXPRESSWAY, SUITE 400 WORK ORDER NUMBER31495 35 CLIENT:CHEVRON PRODUCTS AUSTIN, TEXAS 78759 (512) 451-6334 SITE:CHEVRON 98109 - _ .. ~ _ ~a:, • TANK INFOF~MATION - - ., ~ . ~. . h~ ~>~. Tank ID: 3 3 Tank manifolded: No Bottom to top fill in inches: 155. o Product: REGUZAR Vent manifolded: No Bottom to grade in inches: 160. o Capacity in gallons: 9, 842 Vapor recovery manifolded: YES Fill pipe length in inches: 55.5 Diameter in inches: 91. o o Overfill protection: YES Fill pipe diameter in inches: 4 . o Length in inches: 354 Overspill protection: YES Stage I vapor recovery: DUAz Material: Dw FIBERG Installed: ATG Stage II vapor recovery: BAZANCE CP installed on: / / COMMENTS TANK TEST RESULTS.Test Method:vacuTect` -.-~~ ~~" - "s ~" LEAK DETECTOR TEST RESULTS ,`-_<. Test method: FTA 'r, ;~ . '"~~~ Start (in) End (in) Dipped Water Level: New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 Dipped Product Level: Probe Water Level: Make: vssDSRROOT Ingress Detected: Water B ubble Ullage Model: Test time: S/N: ooio9s Open time in sec: Inclinometer reading: Holding psi: 22 VacuTect Test Type: NoT xoT Resiliency cc: TESTED VacuTect Probe Entry Point: Test leak rate ml/m: 1s9. o TESTED Pressure Set Point: Metering psi: Tank water level in inches: Calib. leak in gph: 3.00 Water table depth in inches: Results: PASS Determined by (method): Result: COMMENTS COMMENTS ~ LIhfE TEST RESULTS Test type.-'rLn 1 r° ~ " _° ,` ~ 'y' - ~ ~; LIME .A, ~ B C Material: Dw FIBERG Diameter (in): 3 .0 Length (ft): 250.0 Test psi: Bleedback cc: Test time (min): NOT NOT NOT NOT Start time: TESTED TESTED TESTED TESTED End time: Final gph: Result: Pump type: PRESSURE Pump make: FE PETRO COMMENTS Impact Valves Operational: UNKNOWN Printed 12/07/2006 07:58 INDIVIDUAL TANK INFORMATION AND TEST RESULTS ~ Tanlv~obgy TEST DATE:il/17/06 8501 N MOPAC EXPRESSWAY, SUITE 400 WORK ORDER NUMBER3149535 CLIENT:CHEVRON PRODUCTS AUSTIN, TEXAS 78759 (512) 451-6334 SITE:CHEVRON 98109 t. ,.~~.-' .~~~ ~.~~ s '~?TANKINFORAAATION.~,r. s ~~ .~ h 7 ~ - ,~ Tank ID: 4 4 Tank manifolded: No Bottom to top fill in inches: 155.5 PfodUCt: DIESEL Vent manifolded: No Bottom to grade in inches: 160.5 Capacity in gallons: 9 , 842 Vapor recovery manifolded: No Fill pipe length in inches: 57.0 Diameter in inches: 91.00 Overfill protection: YES Fill pipe diameter in inches: 4 . o Length in inches: 354 Overspill protection: YES Stage I vapor recovery: NONE Material: Dw FIBERG Installed: ATG Stage II vapor recovery: xoNE CP installed on: / / COMMENTS TANK.TEST RESULTS Test Method: VacuTect -- LEAK DETECTOR TEST RESULTS ~ '=': -.r Test method: FTa . v . ~ Start (in) End (in) Dipped Water Level: New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 Dipped Product Level: Probe W ater Level: Make: vssDERROOT Ingress Detected: Water Bubble Ullage Model: ELECTROxxc Test time: S/N: ooiio~ Open time in sec: Inclinometer reading: Holding psi: 20 VacuTect Test Type: NoT NOT Resiliency cc: VacuTect Probe Entry Point: TESTED Test leak rate ml/m: 1s9. o TESTED Pressure Set Point: Metering psi: Tank water level in inches: Calib. leak in gph: 3.00 Water table depth in inches: Results: Pr+ss Determined by (method): Result: COMMENTS COMMENTS ~.. LINE TEST RESULTS ., : , , ` -:: _~ ":'I. , Test type: _ T~ i , ~, ~ ,~, .• • , ° .LINE:., ;~ ~ ... ~ :...~ C U - :. A Material: Dw FIBERG Diameter (in): 3.0 Length (ft): 250.0 Test psi: Bleedback cc: Test time (min): NOT NOT NOT NOT Start time: TESTED TESTED TESTED TESTED End time: Final gph: Result: Pump type: PRESSURE Pump make: FE PETRO COMMENTS Impact Valves Operational: UNKNOWN Printed 12/07/2006 07:58 _ MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of Califomia Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3 Title 23, Califomia Code of Regulations This form must be used to document testing and servicing of monitoring equipment. If more than one monitoring system control panel is installed at the facility, a separate certification or report must be prepared for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a wpy of this form to the local agency regulating UST systems within 30 days of test date. A. General Information Facility Name: CHEVRON 98109 Site Address: 1131 OAK ST. X/ST CALIFORIA AVE Facility Contact Person: MANAGER - JALED Make/Model of Monitoring System:TLS-350 B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment inspected/serviced Tank 1D: 1-SUPREME Tank ID: 2-PLUS 89 X In-Tank Gauging Probe. Model: MAG 1 X In-Tank Gauging Probe. Model: MAG 1 X Annular Space or Vault Sensor. Model: 409 Annular Space or Vault Sensor. Model: 409 )( Piping Sump/Trench Sensor(s). Model: 208 Piping Sump/Trench Sensor(s). Model: 208 X Fill Sump Sensor(s). Model: 208 Fill Sump Sensor(s). 208 Model: Mechanical Line Leak Detector. Model: Mechanical Line Leak Detector. Model: ~( Electronic Line Leak Detector. Model: PLLD X Electronic Line Leak Detector. Model: PLLD X Tank Overfill/High-Level Sensor. Model: ATG Tank Ove~ll/High-Level Sensor. Model: ATG Other (specify equipment type and model in Section E on page 2). Other (specify equipment type and model in Section E on page 2). Tank ID: - Tank ID: - In-Tank Gauging Probe. Model: MAG 1 In-Tank Gauging Probe. Model: MAG 1 X Annular Space or Vault Sensor. Model: 409 Annular Space or Vault Sensor. Model: 409 X Piping Sumplfrench Sensor(s). Model: 208 X Piping SumplTrench Sensor(s). Model: 208 ~( Fill Sump Sensor(s). Model: 2Q8 X Fill Sump Sensor(s). Model: 208 Mechanical Line Leak Detector. Model: Mechanical Line Leak Detector. Model: X Electronic Line Leak Detector. Model: pLLD X Electronic Line Leak Detector. Model: PLLD Tank Overfill/High-Level Sensor. Model: ATG Tank Overtill/High-Level Sensor. Model: ATG Other (specify equipment type and model in Section E on page 2). Other (specify equipment type and model in Section E on page 2). Ispenser 1/2 Dispenser ID: 3/4 Dispenser Containment Sensor(s) Model: 208 X Dispenser Containment Sensor(s) Model: 208 X^ Shear Valve(s). X Shear Valve(s) Dispenser Containment Float(s) and Chain(s). Dispenser Containment Float(s) and Chain(s). DispenserlD: 5/6 DispenserlD: 7/8 X^ Dispenser Containment Sensor(s) Model: 208 X Dispenser Containment Sensor(s). Model: 208 XO Shear Valve(s). Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser Containment Float(s) and Chain(s). DispenserlD: 9/10 DispenserlD: Dispenser Containment Sensor(s) Model: 208 Dispenser Containment Sensor(s). Model: ~X Shear Valve(s). Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Dispenser Containment Float(s) and Chain(s). If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this certification is information (e.g manufacturers' checklists) necessary to verify that this information is correct. and a Site Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the (Check all that apply): ~ System set-up XD Alarm history report Technician Name (print): ARTURO GUTIERREZ Certification No.: A24526 City: BAKERSFIELD CA Zip: 93304 Contact Phone No: 324-7621 Date of Testing/Service: 11/17/2006 Work Order Number: 3149535 Signature: _ License. No.: Testing Company Name:Tanknology Phone No.: (800) 800-4633 Site Address: 8501 N. MoPac Expressway, suite 400, Austin, TX 78759 Date of Testing/Servicing: 11/17/2006 Page 1 of 3 Based on CA form dated 03/01 Monitoring System Certification Monitoring System Certification Site Address: 1131 OAK ST. X/ST CALIFORIA AVE Date of Testing/Service: 11 /17/2006 D. Results of Testing/Servicing Software Version Installed: 123.02 Complete the following checklist: x Yes No * Is the audible alarm operational? Q Yes ^ No * Is the visual alarm operational? Q Yes No' Were all sensors visually inspected, functionally tested, and confirmed operational? ^ Yes ^ No' Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? x Yes No' N/A If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? Q Yes ^ No' ^ N/A For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (check all that apply) ^x Sump/Trench Sensors; ^x Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? Q Yes ^ No ^x Yes ^ No * ^ N/A For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e.: no mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill points(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? so ^ Yes' ^X No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. ^x Yes' ^ No Was liquid found inside any secondary containment systems designed as dry systems? (check all that apply) X^ Product; ^x Water. If yes, describe causes in Section E, below. ^x Yes ^ No' Was monitoring system set-up reviewed to ensure proper settings? Attach set-up reports, if applicable. Yes ^ No • Is all monitoring equipment operational per manufacturers' specifications? * In Section E below, describe how and when these deficiences were or will be corrected. E. Comments: TESTED FAILSAFE FOR PROPER FUNCTION. REPROGRAMMED OVERFILL LIMIT FROM 95% TO 90%. ADJUST THE ALARM SOUND ON EXTERNAL OVERFILL ALARM FROM .05 SECONDS TO 15 SECONDS. FOUND LIQUID ON DIESEL STP SUMP, MIXED WATER AND PRODUCT ABOUT TWO CUPS. LIQUID WAS CLEANED OU AFTER INSPECTION. Page 2 of 3 Based on CA form dated 03/01 Monitoring System Certification Site Address: 1131 OAK ST. X/ST CALIFORIA AVE Date of Testing/Service: 11 /17/2006 F. In-Tank Gauging /SIR Equipment Check this box if tank gauging is used only for inventory control. ^ Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: ^X Yes ^No' Has all input wiring been inspected for proper entry and termination, inGuding testing for ground faults? ^X Yes ^ No • Were all tank gauging probes visually inspected for damage and residue buildup? 0 Yes ^ No' Was accuracy of system product level readings tested? QYes ^No' Was accuracy of system water level readings tested? x Yes ^No' Were all probes reinstalled properly? 0 Yes ^ No * Were all items on the equipment manufacturers' maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD) : ^ Check this box if LLDs are not installed. Complete the following checklist: Q Yes ^ No' ^NiA For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? Check all that apply) Simulated leak rate: 0 3 g.p.h ^ 0.1 g.p.h ^0.2 g.p.h x Yes ^ No' Were all LLDs confirmed operational and accurate within regulatory requirements? x Yes ^No' Was the testing apparatus properly calibrated? ^ Yes ^ No' 0 NiA For mechanical LLDs, does the LLD restrict product flow if it detects a leak? 0 Yes ^No' ^ NIA For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? Q Yes ^No' ^ N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? 0 Yes ^No * ^ NiA For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? Q Yes ^No' ^ N/A For electronic LLDs, have all accessible wiring connections been visually inspected? Yes ^No' Were all items on the equipment manufacturers' maintenance checklist completed? " In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 3 Based on CA form dated 03/01 SWRCB, Jariuary 2002 Page 1. Secondary Containment Testing Report Form This form is intended for use by contractors performing periodic testing of UST secondary containment systems. Use the appropriate pages of this form to report results for all components tested. The completed form, written test procedures, and printouts from tests (zf applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: CHEVRON 9 810 9 Date of Testing: 11 / 17 / 2 0 0 6 Facility Address: 1131 OAK ST. X/ST CALIFORIA AVE BAKERSFIELD, CA, 93304 Facility Contact: MANAGER - JALED Phone: (6 61) 3 2 4 - 7 6 21 Date Local Agency Was Notified of Testing : / / Name of Local Agency Inspector (if present during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: TANKNOLOGY, INC . Technician Conducting Test: ARTURO GUTIERREZ Credentials: ~ CSLB Licensed Contractor ~ SWRCB Licensed Tank Tester License Type: License Number: Manufacturer Manufacturer Training Component(s) Date Training Expires / / / / / / / / 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Tested Repairs Made Component Pass Fail Not Tested Repair Spill Box 1 SUP FILL ~ ^ ^ ~ ^ ^ ^ ^ Spill Box 2 PLU FILL ~ ^ ^ ^ ^ ^ ^ ^ Spill Box 3 REG FILL ~ ^ ^ ~ ^ ^ ^ ^ Spill Box 4 DIE FILL ~ ^ ^ ^ ^ ^ ^ ^ If hydrostatic testing was performed, describe what was done with the water after completion of tests: CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To the best of my knowledge, the facts stated in this document are accurate and in full compliance with legal requirements Technician's Signature: ~~"'~ Date: 11 / 17 / 2 0 0 6 SWRCB, January 2002 9. SPILL/OVERFILL CONTAINMENT BOXES Page 2 Facility is Not Equipped With SpilUOverfill Containment Boxes: SpilUOverfill Containment Boxes are Present, but were Not Tested: Test Method Developed By: ~ Spill Bucket Manufacturer ~ Industry Standard ~ Professional Engineer Other (Specify) Test Method Used: ~ Pressure ~ Vacuum ~ Hydrostatic Other (Specify) Test Equipment Used: Eq uipment Resolution: Spill Box # 1 SUP FILL Spill Box # 2 PLU FILL Spill Box # 3 REG FILL Spill Box # 4 DIE FILL Bucket Diameter: 12 " 12 " 12 " 14 " Bucket Depth: 12 " 12 " 12 " 14 " Wait time between applying pressure/vacuum/water and starting test: 10 MIN 10 MIN 10 MIN 10 MIN Test Start Time: 7: 4 5 7: 4 6 8:15 7: 4 7 Initial Reading (R ~ ): 4 1/ 2" 4 1/ 8" 4 3/ 4" 4 3/ 8" Test End Time: 8: 4 5 8: 4 6 ~ 9:15 8: 4 7 Final Reading (RF ): 4 1/ 2" 4 1/ 8" 4 3/ 4" 4 3/ 8" Test Duration: 1 HOUR 1 HOUR 1 HOUR 1 HOUR Change in Reading (R p- RI) 0 0 0 0 Pass/Fail Threshold or Criteria: P P P P Test Result:- ~ Pass ~ "Fail ~ Yass ~ Fail ~ Pass ~' Fail ' ~ Pass ~ Fail Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) INITIAL TEST ON 87 SPILL BUCKET FAILED, REPLACED DRAIN VALVE AND RETESTED. Work Order: 314 9 5 3 5 9. SPILLIOVIrR~'ILL C!O~TAINy1El~T BOXES . Facility is Not Equipped With SpilllOve~ll Containment Boxes J $pifllt~verfill Containment Boxes are Present. but were ltiot Tested Vest Iufethod Developed By: Spi11 Bucket Manufacturer Industzy Standard Professional Engineer Other (Sped} Test Method Used: Pressure Vaeuurn vdrostati Other (5peetfy) Test Equipment [; sed: Equipment Resolution: ' ' O~~ Spiii Box # ~ ~ Spill Box # Z, Spill Boz # 3 ~` pil! Bux Bucket >aiameter: R Z l^~, c ~'~ ~ ~~ 4 ~ s Bucket I?epth: t'l. ~ 1'L ~ rL'i ~ j ~ `~ Wait time betweCn applying '. pressurelvacuum,'water ~ and 5urring test: `~ Yvl ~~ ~? Y~ try - - ~DN'~LU~ I ~ c {I1 Test Start Time: -- -_ ^~ `, ,ti to •-- j '7 ' g`. ~ i _~ _ ~.{ ~ Initial Reading {R,): L_ l ~.. i-i` ~ "i t.1 .I ~ ~ ~ Test )=nd Time: ..(.~.. _._ .- FinalReadi~lg{Rr): _~~-i,.`' C--1 .. ~ _ LS~a!~ --s-•C~ ~ ^^` Test Dtu'ation: ttlv ~}Y--' ,,~4~y-~ Change in Reading (RF- ~ ~ i i Pass'Fai1 'fhnesltold or C:ritena: ~- Test~R~esulf ". ass~:..0 Fsil~~ .... >~" si= ~:~:D 'silt ~ 'i?~ss~ t~ Cl F'aiEi'~• ~ :ass ^ Fail Comments - {incltede inj'ormrrtion on repu[rs mode prior tq restang, and recornmrn~ed follow-up for furled tesbl ..___ t+n~~~~ ~G-~~ ova ~~ v>n. ~'~ ~•w'n-... < < ~ ~ o~x- sr. .- -~ •-~ - - t3~'f~t"~s ~"t l~~.p c~ - ~33t~ Tanknology Inc. 8900 Shoal Creek, Building 200 Austin, Texas 78757 ~ Tanlmo/ogy 8501 N MOPAC EXPRESSWAY, SUITE 400 AUSTIN, TEXAS 78759 (512)451-6334 FAX (512) 459-1459 TEST DATE:11/17/06 WORK ORDER NUMBER3149535 CLIENT:CHEVRON PRODIICTS COMPANY SITE:CHEVRON 98109 COMMENTS witness me/ld/sb with Steve IInderwood. Reprogramed overfill to 90~ per inspector, replaced 87 Philtite drain. All testing passed with repairs. PARTS REPLACED QUANTITY DESCRIPTION ". 1 REPLACEMENT DRAIN HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) ~ ~ 4. ITEMS TESTED ~ - ~ = ~. ' HELIUM PINPOINT LEAK TEST RESULTS ` , ' ' a >>~ T -,,~ ,"'~.:~,; Printed 12/07/2006 07:58 KOHLMEYER ITE DIAGRAM -. ~~ 8501 N MOPAC EXPRESSWAY, SUITE 400 AUSTIN, TEXAS 78759 (512)451-6334 FAX (512) 459-1459 TEST DATE: 11/17/06 WORK ORDER NUMBER3149535 CLIENT:CHEVRON PRODIICTS COMPANY SITE: CHEVRON 98109 Chevron #98109 STP DSL ~ O 1131 Oak St. I Bakersfield, CA 10K 93304 ~• STP SUP ~ Oj UL STP l H,{~) Oj 99 • 10K '~'~ STP PLU ~~~ O S ~'H',I~) I 10K m z E N .- . Printed 12/07/2006 07:58 KOHLMEYER Work Order: 314 9 5 3 5 CHEI!k-::[1 STN 192::r ... .... ._ 11 ;t UHF: ST HHKEkSFIELD CA 66 t -324-'lb'w E 3d 1 lly NOV 1 /, c006 4' i11i Hr1 SYSTEM ST~+TtJ=: kl:Y'~1kT HLL FUNCTIONS NORI'h+]L I NVEIVT~ :R': REPORT T 1::3UPREME Vr}LUr1E _ $067 Gf+LS ULI.H[;E = 1775 GALS 90% ULLAG~= 790 GHLS TC VOLUME = 8023 i~1LS HEIGHT ~ 69.37 INCHES WATER VUL = ]D GALS WATER = 0.75 INCHES TEMP - f,7.8 LEG F T ?:PLUS Vc;LUME _ 'lU'~t3 t>ALS ULLHU'E - :'814 GriLB 90% ULLAGE= 1829 GALS T!: 1lOI.ur1E = 6962 ,r+t.S HEIGHT = 61.01 INI~HEw WHTFR VGL = 0 i;tiC i aIHTER = 0.00 i w~: HEfi ALAkhI HISTUR`,' REPt;RT ---- ~ SENSOR ~+L:;ki°I - • ~ - L 1:y2 ANNULHF. HNNULAR SFH~E SENSOR ciUT HLARM ND'v 17. 20Uti 13:50 rirl FUEL AL.~Rr1 NCV t7. 2006 0:42 F+M FUEL ALHRM Np',r 21. 20D5 t :51 I'I'I ~ 3E ~ ~ ~ ENC~ 3f * ~ ,~ .c HLARNI HIS7'C;KY REPORT ALARM H I:sTOk'•: kEFOR'f --,-- SENSOk [+LHRM ~--- L 4:83ANNUL~+F. HNNULHR Sf'Hi;E SENSOR OUT HLARJ! NOV 17. 2001 8:50 Hr1 FUEL ALrjkf°I NOV 17. 2006 0:49 AM FUEL ItLARM NOV 21. 2005 1:.35 PM * * ~ •R ~ ENL x . * * ~ ALARM NiSTORY kEPOk'f T 3:RE~:+JLAR VOLUI'IE = 7657 +;ALM ULLHi;E ~ 2 ] ti7 GHLS 9U4' ULLHGE= 12D'e GHLS Tt" VO1.t1F1E = 76~ E +3HLS HEI~,HT = 65.9a INi.'HEE WATER VOL 0 GALS WATEk = O.UD INCHEw TEMP = 62.5 TiEr F T 4:DIESEL Vtii,UME = x299 GHLS ULLAGE ~ 5543 Gs-1LS 909: UI.-LA~:E- G5°8 GALS TC VOLUME = 4254 GALS H£ I C:NT = •t 1 ,113 I NL'riES IJATER VOL = 0 r~ALS lJATER = D.00 iNGHE:1 TEMP = 83.1 DEG F • ••--- SENSOR ALr+kr'I ----- L 2:92 PTPESUMF' F'1FINV 9UMF SENSOR 8UT HLHRM NQV 17. 20D6 8:5t] rjM 1` ~=&L ALHRM NOV 17. 2086 6:40 rJ•I FUEL HLHRM APR 3, 2D06 b:2U Y!•1 R iE 3E 3f it END 3f 3f x !r w ----- Si:NSUk ~;i,ARM ----- L 5:t39PIPE SUMP PIPING SUMP SENSOR OUT ALHkrI I~Q+1 17. .'OOb 8:50 r,J'I FUEL ALHRM NGV i 7. '?C10E b:47 AM FUEL ALARM .IAN 1- 'tUUfJ 5:30 PM * * ~[ * 3t ENG ~t ~ ~ ~ x SGFTWARE REVISIGN LEVEL VERSION 123.02 SOFTL~HREit 3461 _'. ~ • t tri1 ••~ CREATf:L - 02.11.~5,1b.17 NG SciFTWtikE r!i]DULE SYSTEM FEATUkES: E'ERIt1LIC IN-THNK 'TESTS ANNUAL I N-Tr~NK TESTS r,LHRM H 1 STOk`; REFUk'1' •---- s'ENSOR ALHf1Fl ----•- L ~ ; 92 S~fP SUMF GTP SUMP S6:N$DR UUT HLARM NOV ~;. 20iib 8:50 HM FUEL ALARM NOV 17. 2006 6:39 r;hl FUEL r+LARNI NOV ~• [ . 2005 1 : -L5 pM ALARM -t t STUkY REF'c~RT ----- SENSOR ALHRM --••-• L 6:89STP SUMP STp S:Jr1P SEN30R OUT ALHRNI NAV 17. ='006 8:50 Hri FUEL ALHRM NOV 17. 2005 6:46 w•! FUEL ALAI~t•I NOV 21. ?005 1:L•b PM Tanknology Inc. 8900 Shoal Creek, Building 200 Austin, Texas 78757 ~Jork Order: 314 9 5 3 5 ALARI~1 H [ fiTCSkY kEFORT ---- 1 N-TAN)r ALAFdI - T 2 : PLUS ALHkIK H [STORY kF.I•'Uk~f ---- IN-THNK HLHRM •- T 1:SOPREMF HIGH WHTER HLARM NOV 17. 2aa6 6:08 AM NOV 21 , '~u05 12:28 F•M NOV 22. 2604 9:11 :~t•I OVERFILL AL++kri NvV 17. 20G6 7:21 AM NOV 22. 2004 x:30 AM NOV 22. 2DD4 '3:20 AM Hi+iH PROLUC:T tiI.ARM NOV 17. ~D06 7:21 NM JUiV t2, 2006 7:16 AM NGV 2 t . 2005 1 n :;11 PM INVALID FUEL LEVkL N(SV 17. '2006 6: G~ AM NOV 21. 2005 12:24 PM NOV 22. ~ati4 9:36 rthl F•ROE1~ oUT NOV 17. 2DG1; 7:23 Art NOV 1'7. 2UI,If 6:21 HI'1 NQV l7, 2046 6:17 HM HIGH 4WTER WARiy I E1G NOV 17. 2006 6:138 HM NOV 21. 2005 12::•x3 PM NOV 2':. '2004 9:11 AM DELIVERY NEEDELI NOV f7. 2006 6:04 APB NOV 2?. 200 6:5Q FM AUG 15. ?005 6:35 FM T1AX PRODUC:T HLARM NOV 17. 200E 7:81 AM NoV 21. 2005 12:31 PM NOV 2'2. 200a 9:?0 AM 40W T£I'1P I.k~RN I NG NOV 21 , 2005 12:34 };P'I SETUP DATr; s.IARNiN~ HUG 4, 2CID3 11:41 HI't HIGH ~.1ATF:]t ALHRM Nov 17. 2CIUe. 6: J4 F+M NOV 21. '?005 12:39 F'M NOV 21. ?o0.ri 12:25 >••ri iY~'EkFILL HLNRM NGV 17. 2006 7:33 AM UEC 25. 2C104 7:13 HNI NOV 2~'. 2U04 3:29 HM LOW PkODUCY HLAkIi AUG 8. 2CJU6 9:01 FNI ;iUG 4, ~OD3 1 ] :41 r1h1 ~ULUEN LOSS HLHRM ItiOV ] 7, 200b 6:00 ,iht NOV 21. 20D'i 12:21 PM hUG 17. 200.3 1:02 PM NIGH PI'tOE+U%T ALHRM NOV 17, 2006 7:32 HM JtiL 28. 2UOti 6: ] 7 r~li NUV 21. 20G5 12:36 PM 1NVALiG FUEL L~lEL NOV 22. 200a 9:3E: HM :AUG 4, 3003 1:31 F•P1 PROBE OUT Nov 17. 200E 7:34 AM NOV 17. :006 6:19 AM N9V 17, 2006 6:G0 AM H ] C,;H WHTER ~;RN I N+, NOV 17. 200E 6:3:;' HM NOV 17. 2D06 6: u-1 AM NOV '~ 1, '?005 12:33 F•rl LEI.I VER'f NEEDED NOV 17. 2006 6:ill AM r1UG 8. 26D6 5:3b PM FES '25, 20Gd 4:48 PIh M~iX P!'rSAU~T HLHRM NOV 17. _o0b 7:33 tiM NOV 21. 20D~i 12:3v PM Nou '27, 200a 9:20 AM L~sW TEMP Wr+RM1NG NOV :1, 2005 i2:~C PPt * * ,e * ~ ENU x ~ r~LHkM HISTORY kEPORT ---- I N-THNK Ai.:~RM ~- T 3:R£+3UI..AR HIGH WHTER ALAkM NOV 17, 20a6 E;:D5 :+ri NOV 21. 20D5 12:39 PM WGV 22. 2004 9:16 AM OVERFILL ALHRM NOV 17, 3006 7:28 +1M NOV 12. 2006 5:36 FM P:OU 12. 2606 5:2U P!•1 LOW PTZODW~T ial.fikM OCT ':0. 20D6 4:40 YM OCT !5. 200(. 8:54 FM OCT 6, '%006 12:17 PM HIGH PRODIi[:T ALAKM NisV l7. 2DG6 7:28 AM NOV 1?. 20D6 5:14 I'M NOV ! 1 . 200t; 10:01] AM INVALID FUEL LEVFL O~:T 20, 200n 8:46 &fr S>wI' 10. 20A6 t :10 AM AUG 28. SD06 6:55 PM PROBE OUT tVOV 17. 2Di16 7:29 x,M ttlOV 17. 200ti 6:21 HFs NoV 17. 2006 o:iFJ AM HIGH WATkR WAKNINI: NOU l7, 2DOo 6:D5 Hh1 NOV 21. 2005 12:39 FM NOV 22. ZU04 `1:16 HM DELIVERY NEEDED NOV 17. 200E 6:u2 HM NOV 3, 2000 10:34 Pht OCT '?1. 20x70 3:31 F'FI MAX Pk:1aUCT NLHRI•I N0V 17.20Db 7: _9 AM 3UL 30. 20D6 8:46 iaM JUL 4. 2606 5:44 PM LOW TEMP WHRNING NOV I7. 2006 a:19 AM ALARFI HISTOR`: RE:FCSk'f ---- I N-TAN}; NLrtRM - T 4:L1£SEL HIGH WH7ER ALNhI-1 NOV 17. 201)b 6:08 '~rl NOV C1. ~'u05 12:31 F'hl NOV 22, c":i04 9:11 aNl OVERFILL ALAP.M NO~i 17, 2001 '7:13 AI! NOV 22. 20n4 9:19 APt JUL 26, GD04 10:3y Hrl HIGH PRODUC7 Hl_ARM Noy 17, 2006 'r:t3 AM NOV !7. 2006 r.:57 AM 5EP 1s. 2006 10:09 HM I NVHL 1 D FUEL I,>=V[~ NOV 21 . 2005 12:2E F•r'1 NOV 22, :OD4 9:~~ wrl HUt; 4, 2003 1 : ~~ ~ PM PRi'E3E OUT NOV 17. 20Gc 7:18 AI'1 NOV 17, 200E. 0:22 AP7 NOV 1?. :OOo 0:16 hM NIGH ~+TER WAk1r 11JG NOV 17. '?006 6:~~18 AM NOV 21. '?t)D5 12:3a PM NOL+ 22. 2G04 9:17 ;fil DkL1VERY NE);LEi~ NOV 17. ?[106 6:G5 AM OCT 2. =006 5:16 PP'I SFCP 9, cD06 9:5:i PM Mr+:+ PRODUG7 riLARM N0V 1?. 2iJG6 6:57 AM SEP 13. ='006 1 D : ~~9 AI"I NOV 21, 2005 12:56 PM LOW TEMP WHRt1ING NOV 17, 2006 7:20 AM * e * ~ +t END x eE ~ x * iE se . ,~ ENL ~ .~ +E t ~ ~ x ~ * ,1 ENU ~ : '~ ~ k Tanknology Inc. 8900 Shoal Creek, Building 200 Austin, Texas 78757 work Order: 314 9 5 3 5 ALARM H I STUk''I REPOh''1' ----- SEhLSOR ALARM - -~- L 7:87 ANNULAR ANNULr~R SPADE SENSOR GUT HLAR1'i NUV i?. 2006 8:50 AM FUEL ALHkM NOV 17. 2DD6 6:45 :3PI FUEL ALr~RM NOV 21. 3005 1:4t PM ~[ 3E ~ ~[ END ,. ,. ALARM M [STORY REF•c?RT ----- SEN`~UR HLARM -- L 8:87 PIPE SUMP PIPING SUMP FUEL ALARM NOV 17. 20D6 6:a•i AM FUEL ALHF2M NOV 22. 2004 10;55 AM SENS+~k OUT ALARF1 NOV ~2. 2004 k 0:.?.E ;-d•? ~ ~ ~ w a END lE * ~ ~ ALARM H I s;'f'UkY REPORT ----- SENSZtrt HLNkM ~- -•- L 9:87 STP 3uMp STP SUMP SENSOR DUT ALARM NOU 17. 2D06 6:49 AM FUEL ALARM NOV 17. 2C1p6 b:43 HM FU>=L ALARM NOU 22. 2ooa I u : ~,~~ HM ALARM HI;~TUkY REbUkT L10:L1ESEL ANNULAk ANNULAR SPACE SENSOR OUT r+l.r+RM NOV 17. 2GG6 B:q9 HI'I FUEL ALARM NOV !7, 2006 b:,37 AM FUEL ALARM NOV 21. 3005 1 :53 F'ti .~r~~ENA~.r~x ~i1.ARF1 N I 'TORY kC>•~t%F:T ----- SENSOR AWRM --~--- L.11:DSL PIPE SUMP PIPING SUMP SENSOR U~1T HLARM NOV 1~. 20bc 8:5G HM FUEL ALARM F1GV 17, ?fi0h 6:38 AM FUEL ALARM NOV 21, 20D5 t:48 PM * x ~[ * ~ END * * * a ~ hLARM H15TORY REPGkT ----- SENSOR ALARM ----- I-1 :: C~SL S'P}~ SUF1P STF UI'1P S1;NSOR GUT HLr:IRM NOV 17. 2006 B:53 wM FUEL ALARIM NOV 17, 2LiDa; 6:34 AM FUEL ALARM „ .,,,,,r _ r... ALARM H1:;TORY REPCiRT ---- •• SEtu60R AI_Hkl~ -- ~ ~ - LlS:DISP 1-2 G[SPENSER PHN FUEL tiLARM NOV 17. ?006 t:5t AM FUEL ALARM NOV ':tl, ?005 1:27 PM FUE1- KLARM NUV 22. 200.3 11 :13 HM ~[i[lc+l[END~~ **: H!_ARM HISTORY kEPURT ----- r~£lrSaR ALARt~1 ~--~ L14:DISF~ 3-4 DISP1='NS~R PAN SENSUk Gtll' ALARM NOU 17, 2D06 B: mil HM FUEL ALftRM NOV 17. 2DL16 6:5G NM FU1;L ALARM NOV 21. 21JU5 1:2b PM 3c w w # REND ~ ~ ~ It ALHRI•I HISTOki REPORT ----- SENSOk H1.r1RM ----- L15:DISP 5-b D1 ~FENSI;R P„N SENSGF. OUT ii(_ARM NuV 17. 2086 8:50 AFI FUEL ALARM NUV l7. 208b 6:52 At1 FUEL ALARM NOV 21. 2005 1:'5 PM ALakrl HISTOR`i kEPORT ----- :iI~NSbk nLAf3M -- L16:DISp 7-8 DISC~l;NSER PAN SIrNS+JR OUT ALr~kFl Nov s7. 2GD6 8:50 Ar FUEL ciLHRM NOV 17. 2006 0:53 Ar FUItiL ALARM NOV 21. 2005 1:?4 Pf ALARM HISTORI' RETORT --= -- SEi~SOR ALHRIi -• L17:DISF' 9-10 DIi3PENSER PAN FUEL ALNRNI NOV 17. 2~lub 6:5a :,F FUE[. ALA1~PI NOV 21. .'•Oti5 1 :23 Ff FUEL HI.HRhI NOV 22, t~304 11 : il5 HF i ~[ ~[ ~ x ENG * * ~ Tanknology Inc. 8900 Shoal Creek, Building 200 Austin, Texas 78757 W`.'ork Order: 314 9 5 3 5 ALARM ~1ISTORI' kFr{+RT ----- SEiV3JR ALAI;M ----- PLLG SHUTDUwT] ALARM NDV 17. 2000 8:14 AM ALARM H 1 S'TJRY Ht F'UkT ----- SEIVSuk ALARM ----- W2DSS 1.11•+6 FAIL 8 1:SUPREi1E NO~! 17. GGU6 8:14 AM PLLD SHIJTUDWN ALARI-s NOV 17. 2Q06 8:05 .~hl PLLD SHUTDOWN ALi3Rhl NOV 17. 2006 6:5~ Hh1 GROSS L I 1V£ FA I L NOV 17. 200n 8:09 Hhl pLLTi sHUTAUWIV ALARM NOV 17. 2006 b:53 AM FLED SHUTIK~IJN ALARM NOV 17. 2GD6 6:54 Ali PLLl`~ SHUTDOWN fiLARM NOV 17. 2006 5:53 AM PLLD SHUTDOWN ALHRM NUU 17. 2UU6 6:52 AM PLLD 6HUTUOWN ALAI'Ct'I. NQV 17. 2~}n6 6:51 AM PLED : HUTDObIN f+LARM NOV 17. 200e 6:5D AM PLLD SHUTDOIN HLARM NOV 17. 200E E:42 AM PLED SHUTDOWN rtL+~RM NOV 17. ~p06 6:4J) AM T+LLD SHUTUUWN ALF-kl'7 NDV 17. 2006 0:39 AM 1E * ~i R +e END * x ~ * x * ~ iE END ~ ~ R ~ PLLD SHU1'pOWN AL:~RM NOU 17. 1UOn 6:•1.3 Ati rt ~ ~ * * END ~ * ~ ~ ~ PLLD SHUTDU4iN ALARM NOV 17. 2006 5:52 HM T'LLD SHUTUJIJN ALARM NO+J 17. 20Gt 6:51 AM PLLD SHUTDOWN ALAk11 IVOV 17. 2Dt}ro 6:5D HIi PLLD SHUTDOWN HLr1Rht NUV 17. 2Ono 6:.ty rVN PLLD SHUTDOWN HLARM "IOV 17, ?G06 ti:47 wl1 PLLL SHUTDOI,JIV HLrtRM NOV 17. 2006 6:36 qM ALARM H€STORY kEPOR't' ----- SENSOR ALARM ---- Q 4:UiESEL PLLD SWOTLUWN ALARM 1VOV 17. ?iH16 8:2;i i+P'I ~S 1.f NE FA11- I._. 17, zDD6 8:23 Ah'1 PLLD SHOTDOLJN ALr~&-'i . - iir' 17. [(ii~e 5:54 F71•t ALHRM H 1 STDRY REF^t~ftT PLLD SHU', • Ol•JN AI.r+kN. --- -- SENSUk r1tARf9 ---•- NOV y 7. G. IGb b: 51 hM ~d 3:R£GLLAR PLLG SHUTDOWN ALHh'I'1 NCV 17. 20gc. 8:17 Ala PEEL SH: 'N '-M NDV l Y. .• •d ~ ~~ROSS 1.1tlF FAIL NUV 17. 2605 8:17 ti11 PLLD tiHll'TDUWI• I,µRM PLLD SHUT1i061N H1.ARf1 NDV i7. '~OD6 c:54 AM PEEP sHUTU{rWSd ALARI'I NOV 17. 200h 0.53 AM PLED SHUTDOWN raLHRM NOV 17. 200e 6:52 AM PLED SHUTDOWN Al-ARM IVDV 17, 2D1)6 6:51 r~M PLLG SHUTD~x.1N ALARM NOV 17. 2U06 0:50 AM PLLL SHUTDDWN P.LARM NOV 17. 2b06 6:45 AM PLLD SHIJTUU~dN µLARM NOV 17. ?006 6:.14 AM PLLD SHUTDOWN t;Lr+RM NCV 17. 2DLi0 6:Oti rl€`~ PLLD SHU~fDOWT1 Ai.ARM NOV 21. 2005 •1:111 PM GROSS LfNE FAIL NUV :l. 20U5 4:01 PII ^ * * a ;E END * x ~ ~ . PLLD SHUTLJIdN ALHRM NUV 17. 200E 0:44 r~M Tanknology Inc. 8900 Shoal Creek, Building 200 Austin, Texas 78757 i ~~ UNDCR~ROVNl3 STbFiAGE TANKB nuuup;~NA4oll~llrilioa3istllV!In10NlPEiP `~ APPLICATION TO PHRRORM ELD! LILAC TESTINQ ! 8131IS9 $ECoNDARY CONTAINME'.NT Tf!STINd _ JTANfi TIaHTN!!98 TLST AND TQ PERFORM 'lN1fI iMONfT bRING CERTfF I TION CA / ~ ~ . ' ~ - . pERMIT NO. 1 - T rr7 / r~ ~~- ~AI~RSF'~LD F1~ DSPT. Pfrevefff<ttaa 8ervicefs 90o mrl~xt.,~ Ave., st.. 210 Hakersfield, CA 933x1 'Ilel.: (B81) 326-5979 F'ax: (BB1) 852-2171 Pggo 1 of 1 :,.d ENHANCED LEAK DETECTION ^ LINE TE8TUVQ ^ 8886 SECONDARY CONTAINMENT TESTING ^ TANK TIBNTNESR TEILT ~ TO PERFORhA FUEL MCJNITdRINLi CEFITIFICATION FAGJLITY ~~vrp~ ~ a~'~~ NAME J!I PHQNE NUf~BHR 33R CONTACT pER80~1 w 7 ADORess Il~1 Qak~. I~akersf~etd GII~ g33o~ OWNERS NAME OPERATORS NA1NE pErabR T4 OPERATE N0. NUMBER OF TANKB TO BE TESTED PIPING GQING D YE TENT ~ 9 ~M2 ~t fas - '~°I 'I~~l~, R ular ~~7 ~ °t~4Z biese ~ ...... . .. P . HE ::.. ......... ...... _...... .. ::.... NAME OF TEBlINq CI>rapANY 7anknolo , I nC. NAME Ji PHONE NUNBER CIJ- g~ CONTACT PERSON .....•. r :, Anthony Gho.ks (9~)1) 878.4Q60 NAILING ADDRESS 41765 Enterprise Circie S. 5ulte D Temecula, CA 92590 NAME B PHONE NUNBER OF Ai~ .. `~ ~~~ ~~~ TESTER OR SPECUU_ INSPlCTOR: QEIiTIFICATION lM CO DUCTED TR•T TO BE ~ ~ ~ ~ .. ~ e ~ ICG MI ~~~ ~~~ ~~ ~~ NETNQo 81GNATUREOpAPPLICAJ~T DATI;: it ~ ~~ APPROVED BY j DATE FD 2096 (Rev. 09105) S/I 19099 L9606 A$olaurlu cl Ntl 55 01 9002 /90/11 !~ tJNDERQROUND BTORAQE TANK8 - -_}: :=~mmvq:ugr.:miiv:gr.7s:.~~:: c:o:: ~n;:q::;lov:afllvlrt:MMar..nux~.N`t: '. APPLICATION '~' TO PERFORM ELR/LINE TESTING ~' SdASS ®CCCNDARY CONTAIN MINT TESTING !TANK TiQHTNEBS TEST AND TG PERFORM FUEL M0NIT0RINQ CERTIRCATION PERMIT ND. ~ `~ BAKER$F~LD F DEPT. ~~~t ~'reventiaa 8ervicer Atlw 90O'IYuxtun Ave., Ste, 210 Bakersfield, CA 93301 Te1.; ($$1J 32$-9979 Fax: (fi61} 855-2171 pt~ge 1011 ^ ENHANCED LEAK DETEOTION ^ LINE TESTING ^ 98.986 9EC0NDARY CONTAINMENT T6$TINti n TANK TIALTIJPCC TCCT ~ TA PFAFApM F11Y-t AA[fN17CfitlNf: C!PnTicl[7n71n1u FACiu'n' ~1 yy~ ~ ~~ `~Zt7 NAME 8 PHONE NUMB Oi° ONTACT PER$pN ADDRf:39 r,•~~ M;~ ~ ,'. Sak~ers~iei~ C~1 ~!'.~3i?? p { ~ OWNERS N A M E OPERATORS NAME PERMIT Tp OPHRATE NC. NUMBER OF TANKS TO BE TESTED I PtPINb IN T Q NO TANK (i _.. ... .... _ -- CCNTE T . I ___ 118~q .~+phsw+Q. r ~ l 3 tt ~4~ R al~R ~ ~7 t~uc:TaaTIN~.~ta~p;...:. ..... . NAIAE OF TESTINQ COMPANY Tanknolo ~ 1nC. 9Y NAIrIE s PHONE NUMBER OF CONTACT PeRSON Anthony Cheeks (947)876.4060 MmL1Nt} AbORl66 41785 Enterprise Circle S. Suits D Temecula, CA SZ590 NANB A PHQNL NUNSER OP ~>~ p~~` 5~~ ~~Q,tl~ TESTER OR SPECIAL INSPECTOR: '~ ` CERTIFICATIQN M: CONDUCTED: !6T TO 0! ~` (jw 'J ~ ~ w {J~ IpC ~I: ~~~ ~~~ ~ ~ ~~ ITNOC SIQNATURE OF APPLICANT bAT£: ~ ` ~ D APPROVED BY _-~ DATE ~ FD 2085 (Rev. 08/D5y £/Z 19099[9608 ~c4eleuquel NV 95 01 900Li90i11 M a r m r e a W m 0 Y a 4 O :D 0 0 N b O .~, 1., TAFiKI110LQG1'-SU. CAs_!F{}RMEA 3$GZ t:?9~EP+i~~?PlSE~IF.~.."E r.r~t'.-!?lij29 [7ATE / I f ~;. . , ~ - ?qtr '~ ~~. _, - I _ ~-.. liels FJ. P'~vi ,:9. {aiia;.w. xe1ri:F~xe~ .t' n'OL~0~}00 3 ~0 2~'` ~~ i 2 2t7Qfl ~ 4'~~: 0 ~ 2 60 2 SG 2~i~' :,' ~;' w~' .; A-r ~_~~T~-:._~~.. _ _ _ _ _ ._ _ __ _ __ _ _ _ -_ _ _ - _ _ _.~. ~_ '~±au~ ..._~ s .:-- ... a ~.: ..:,.:.~~.i::1 =~''. _ .L- _ - -ter .. - , e ... _. ....._ ~ _ -_ . _ ~ _ ~.~i _ - - ~. _. _. .. ~ ._. . ~- _ _. _..i _ .-. u~ >...- .. iii _.+.as.li .. _.s ia_.Jav~' ~=_ ~ru_-M~: ~ .~~..: ~.? :'~_~~~:.. ~. ___ ~u~. i7~ i~ _ ~ii_ _ J TAidKNOLOGY-SO. CALIFORNIA ~~ ,1~ PH. {B51) 67ago6o , 1 /8-zanz2~oa~2s 41795TE6t~UP Lq, CA ~ ~. U _ - 4721i~5026 v 3 oA-re ~ , f L~~~ 3 ~ - PAY ^ ,. s ~o ~ of -' ~ i~ ~~~ j .~ $ ~'; f ~; ~ _. ~~ ~_ Mdb y~ _ GLfarel we6ds9e.~+m /1 ` ~ . ~~'D00~00 39C 3~' ,~~ a< 2+200©2 ti?~: O~ 260 2 SEA 26{x' !~` ~ ' . .~ __ 'Y _ _. J Jean~i~Love~ - 98109 HMBP pdf ~~.~ ~w,~.K.~_.._~.,_.~_._.....~. _~6~..~~,~,~~..~,.~.~ _,.~.,~_.~ ~~..~~~n~ ,-.,~~._~~,~- ~~.~°~ Page~1 `,.. _ ~~~ ~~~ CHEVRON PRODUCTS COMPANY P.O. BOX X004 SAN RAMON, CA 94583 (925) 842y002 CALIFOF2NIA Certified Unified-Program Agency HAZARDOUS MATERIALS BUSINESS PLAN HMBP 2006 Chevron Stations, Inc. #98109 1131 Oak St 1131 Oak St, Bakersfield, CA 93304 (661) 324-7621 EN~~ MAC 17 X00 FOR POSTING 1 N THE EMERGEN CY RESPONSE BINDER at the .CASHIER ARE PHON E ~~~ ~Jeannl Love~I - 98109 HNlBP,pdf _e~ _....w~...~..,ffi.r..,~.~.~ ~ ~~~~,....~, ,~.~u~~~~ryv..~~..~,.~ll.~, Page 2 UNIFIED PROGRAM CONSO IDATED FORM FACILITY 1 NFORMATI ON BUSINESS OWNER/OPERAT~~2 I DENTI FICATION ~ ....... ~ I . I DE NTI FI CA11(~N FAgLITY1D# 0 0 -' 0 0 0 - O O O O O O t BEGINNING DATE too ENDING DATE tut ..01101/2006 12/3112006 3 BUSINESS PHONE BU9 NESS NAME (smneesFAGL iTV ruME «oeA -Doi ro suAresAS) toz Chevron Stations inc. #98109 (661) 324-7621 BUSINESS SI TE A DDRESS tat 1131 Oak St ..., arv tea ZIPODDE t~ Bakersfield ... _.. CA 93304 DUNBBRADSTREET tos 9000DE(4digit#) tm 0 0 -914-0 559 ..,..,.. 5541154111753817 542 oouNTY ,~ Kern BUSINESSOPERATORNAME tog BUSINESSOFERATORPHONE tto Chevron Stations Inc. #98109 ....... (661) 324-7621 II. BUST NESS O WER OWNER NAME ttt OWNERFHONE ttz Chevron Products Com n Attn: Permit Desk L2375 B-1 925-842-9002 OWNERMAILINGADDRESS na P.O.Box 6004 ...,.... qTY itd STATE tts ZIPCODE ne San Ramon .... CA 94583 III.ENVIRONMENTAL ONTACT CONTACT NAME to CONTACT PriONE tta Chevron Products Com an Attn: Permit Desk L2375- Bt 925-842-9002 CONTACT MA I L I NGADDRESS ns P.O. Box 6004 ........... qTY tzo STATE t2t ZIPOODE t~ San Ramon ,.. CA 94583 -PRIMARY- IV.EMERGENCY CONTACTS SECONDARY- NAME tz3 hiAME t~ Chevron Maintenance Dis etch Chevron Emergency Information Center (CTEIC) TITLE tea T TLE tea Solve One H el Desk „Chevron Emergency Information Center (CTEIC) BUSINESSRiONE tss B SINESSR~ONE tas 866-845-4254 8oo-z3i-o623 24HOURR-IONE tas 2 HOURR-IONE tzs CIl@/IOn InfORIYdIOn C81teT 80x231-0623 , ,,,Chevron Emergency Information Center 8oo-z3i-0fi23 FAGER# trr GER# .,...., t32 ADDITIONALLOCALLY COLLECTED INFORMATION: Catific8ion : Ba?ed on my inquiry of hose individuAs re~tortsiWeforolrtaning theinforitfdi6n, I oetify undo' petdty of IaN th3 I ha+epason~ly etaninei atd anfaniliawiththeinformAionsubmitteda+dbdieretheinform3ionistruQazurBQ aldoomplde SIGNATURE OFOWNHi/OFEWITORORDESIGNATBJR~RES6'VTATIVE DAtt= t3a NAME OFDOCUMBJTFR~AR62 t38 Can rPYU6utGS Co~ry/~lrha/rf St7Qer4 2j,`F7C.S 3/1/2006 Richard S. Allen, R.E.H.S. .,, . . NAME OF SIGNH2 (girt) 138 TITLE OF SIGNE2 137 Chevron Products Company/Richard S. Allen, R.E.H.S. Retail HES Spedalist UFCF (1/99) OES Forrn 2731 Jeantii Loveci-98109 I-IMBP pdf p s~~~l~ ~a~~ ~~~ ~~~ ~ ~~m~~~a Page 3 UNIFIED PROGRAM CONS~OLI DATED FORM HAZARDOUS MA~~RIALS HAZARDOUS MATERIALS INVENt~RY -cHeMlcA~ DescRIPTION t«~ aaoe ~ ~~i aloe w.I a re «~m) ^ADD ^DELETE ®REVISE ...... 200 Pie d I. FACILITY INFIWI~2MATION BUST NESS NAME(Same ~ FAG LITY NAMEor D BA - Odng Bu3ine;s As) Chevron Stations Inc. #98109 CHEMICAL LOCATION zo1 CHEMICAL LOCATIONCONFlDENTIALEPCRA z~ West 9deofLot ^ YES ® NO t MAF#(optimel) 200 GRID#(aptiael) 2oa FACILITYID# Q 0 O 0 0 'r 0 O 0 0 0 0 1 ~ II. CHEMICAL IN~+bRMATION CHEMICAL NAME za5 TRADESECRET ~ Yes ^ No zos F~trolelan dratabor>,s Irsmle~tmexRe.. ~~e~tolran,ccom COMMON NAME zap z~ EHS' ^ Yes ®No Ular Unleaded C-,~Ollne 87 Octets CA9q ~ 86290$1-5 'IfEHSis"Ya5', zll anamfsbdaw mustbein Ibs. Fl RE ODDS HAZARD CLASSES (C«npeteif require°by WPA) 210 Rammable Li Ldds pass 3 .... HAZARDOUS MATERIAL 211 TYPE (Check eta item my) ^ a PURE ®h MIXTURE ^ a WASTE ...... RADIOACTIVE ^ Yes ®NO 212 .... CURIES 213 PHYSICAL STATE 274 (Check ane item aiy) ^ a SOLID ®h LIOUID ^ a GAS ,... LARGEST CONTAINER 10,000 ...... 215 F® HAZARD CATEGORIES 2te (Cltetlc all that aptly) ®a FlRE ^ h REACTIVE ^ c PRFSSURERELEASE I$i d ACUTE HEALTH ®e CHRONIC HEALTH AVERAGE DAILY AMOUNT 277 MAXIMUM DAILY AMOUNT 216 ANNUAL WASTE AMOUNT 279 STATE WASTE CODE 2~ 6 DDD 1 ~ ~ OO 221 DAYSON SITE: 2zz UNITS' ~ a GALLONS ^ h CUBIC FEET ^ c POUNDS ^ d TdFIS 365 Ctak ore item Orl ' If EH apart mat hein .............. STORAGE CONTAINER ^ aABOVE GROUNDTANK ^ e PLASTIGNONMETAL LIC DRUM ^ i. FIBERDRUM ^ m GLASS BOTTLE ^ q RAIL CAR ~ h UND62GROUND TANK ^ f. CAN d j. BAG ^ rt PLASTIC BOTTLE ^ c OTHER O aTANK INSIDE BUILDING ^ g CARBOY d k: bOX ^ a TOTE BIN ^ d STS DRUM ^ hSILO O I. CYLINDER ^ p, TANK WAGON .... 223 STORAGE PRESSURE ®a AMBIENT ^ b ABOVEAMBIENT ^ c BELOW AMBIENT 22a STORAGE TEMPERATURE ®a AMBIENT ^ h ABOVE AMBIENT ^ c BELOW AMBIENT ^d CRYOGENIC ............ 225 %WT' HAZARDOUS COMPONBVT (For mix0lre txwaste crly) i9-IS CAS# 1 100% 22e G~oline z'n ..._.... ^Ye; ®No zze $6290-81-5 2ze 2 .1~.9% xto Ba>a~le eat QYes ~ No 232 71-032 zi3 3 .1ti9% z~ Ethyl Benzt3x. ~ ^Yrs $~ No gas 10Q41-~ zap 4.1-2% z3e Naphthalefte e3e ^Ye;; ®No 240 91-20~ zat 5 0-10% 2~ Etha'td ~ ..._. ^ YF.S $i No 2~ 6417-5 z~ 6 0-15% zas Methyl Tt~t Butyl Etha(MTBE) z4~ QYes $l No zaa 16,94-Od-4 zw 70-17% z5o TE7tiary Amyl Methyl Etha(TAME) es, ^Ye; ~ No zs2 994-05$ 2s3 8 0.18% 254 Ethyl Taft-Butyl Ether (ETBE) ^ Yea ®No zss 637-92-3 ~ I mvehwrtlws°anprwhuapgrtatpaebr flan 7X b/helytlfnoncerdmpatc,a0.1 bixNyttfmltmmparicpMach etldtlmN deatsafppr caphrliptlr rpiraAlrformetiart ............. ADDITIONALLOCALLYOOLLECiEDINFORMATION DOT#12OS 2~ If EFCRA, Re3;e Sign Has UF~F (1/99) OES Farm 2731 +~Jeanrn Loven - 98109 HMBP pdf .~,~..~~.~.~....w.-..m.~„~,,.P __~ ,.~.~. ~ ~u..,~..~A,~. .~Y., _~.,-..~~.,.aa..,a,~.~.n~_~,~.Page 4 UNIFIED PROGRAM CON~C)LI DATED FORM HAZARDOUS MA7~It1ALS HAZARDOUS MATERIALS INVEN~"C~RY -cHEM~caL DESCRiPrioN (are peas per metsi S per tai l di neor see) ^ADD ^DELETE i~REVISE.„,,,,,, 200 ~ of ~ I. FACILITY INFb~MATION ~ BUSINESS NAME(S3rle ~ FAgLITY NAMEor DBA - Ddng Busne~ As) 3 I Chevron Stations, Inc. #98109 ~ giEMICAL LOCATION 201 CHEMICAL LOCATIONCONFlDENTIALEFg7A za2 West 9de0f LOt .... ^ YES ® NO 1 MAPof(optianS) 203 GRID#(opliorel) 204 FaaurYlD# 0 0 ,'= 0 0 0 - 0 0 0 0 0 0 1 ~ II. CHEMICAL INS' ~.~tMATI ON CHEMICAL NAME z0s TRADES`CRET ~ Ye; ^ No 2a ({~~~j (~~~ ........ ... It9ibjecltaEFCR7.. rNertoin9ructipre COMMON NAME zm EH5 ^ Ye; ®No zoe Mid-GradeUrdeBded Ga9oline 890da1e ........ casa 2oa 86290.81 "IfEHSis`Ye;'. ~I anountsbAow rnustbein Ibs. Fl RE OODE HAZARD q_ASSES (canpeteif repuredgIX1E14) 210 RaTtrrlable Li aids pass 3 HAZARDOUS MATEf21AL TYPE (Check ore item afyj ^ a PURE ®h MIXTURE ^ c WASTE 211 RADIOACTIVE ^ Yes ®No ~ 212 ...... CURIES 213 PHYSICAL SPATE 27a (Cherie ale item ally) ^ aSOLID ®ti LIQUID ^ e GAS ....... LARGEST CONTAINER 1(1,000 ...... 215 FED HAZARD CATEGORIES 218 (Check 91 tfal agcy) ®a FIRE ^ h REACTIVE ^ c PRESSURERELEASE ~ d ACUTE HEALTH ®e CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT zte STATE WASTE CODE 220 6000 10 000 .... 221 DAYSON SITE: 222 UNITS' ®a GALLONS ^ h CUBIC FEET ^ a POUNDS ^ d tdNS C ae iten W ' If EH alwt mat he in ......... STORAGE CONTAINER ^ aABOVE CROUNDTANK ^ e PLASTICINONMETAL LIC DRUM ^ i. ~IBERDRUM ^ m GLASS BOTTLE ^ q RAIL CAR ~ It UNDERGROUND TANK ^ f. CAN Q j. BAG ^ n PLASTIC BOTTLE ^ r.OTHER ^ cTANK INSIDE BUILDING ^ g CARBOY Q k: BOX ^ a TOTE BIN ^ d STEEL DRUM ^ h SILO ^ 1. CYLINDER ^ R TANK WAGON 223 STORAGE PRESSURE ®a AMBIENT ^ b. ABOVEAMBIENT ^ c B~OWAMBIENT 22a STORAGE TBu1PERATURE ®a AMBIENT ^ h ABOVE AMBIENT ^ c BLOW AMBIENT ^d CRYOGBJIC 22s %Wf HAZARDOUS COMPONB/IT (Far mixGre orwa~e oily) 8-LS CAS# 1 100% 228 Ger~oline rrr ...,_, ^Yes ®No 2za 8629(}$1_5 zee 2 .1~.9% 230 Betaaie ~1 ^ YES ~ No 2az 71-032 233 3 .1-3% z3a Ethyl Ba>aaie zas ^ Ys ®No z3s 100,41-4 z3z 4.1-2% 233 N~hth~afe z3s ^Ye; ~ No 24e 91-ZO.3 zaf s 0-10% 242 Eth31Dl zea ............. ^ Yes ~ No zaa 64.17-5 z~ s 0-15% tae Methyl Tet Butyl Ether(MTBE) zaz ^YES $i No zae 1634-04-4 zaa ~ 0-17% 2~ Tatiay Amyl Methyl Ether (TAME) ~1 ^ Ye; ~ No zsz 994,-05-$ zs~ a 0-18% 2s4 Ethyl Tet-Butyl Ether (ETBE) zss ^ YES ~ No zsa 637-92-3 z~ If mars IezarAtecanppertamaprasrtal Qaetar [lien f% by vsiyY if rmurdmpaiq a 0.[% byxeidt If ddrainopeicpttach artldorml Seated pelw mptvirpttr raq~iradlrfamMlort ADDITIONALLOCALLYCOLLECiEDINFORMATION DOT#1Y03 298 If EFCR4, Fe®e 9gn Here UR'F (1/99) OES Forrri 2731 Jeanni Loveii -~ 98109 HMBP.pdf ~ ~~.~~~~'_~~'~~~~~~ ~ ~~ ~ ~~~~~~~~~~~~~~~~ Page 5 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MA7~I21ALS HAZARDOUS MATERIALS INVENtORY -cHEMlcnt_ DESCRIPTION cone ceB9 oar mffirieri tlpx to I d ro err eras) ^ADD ^DELETE ®REVISE,,,,,,_,__ 200 ~ of ~ I. FACILITY INFt~~iMATION .......... _ ~ BU9NES5 NAME(~Tle as FAG LITY NAMEor DBA -Deng Busne;s As) 3 ~ Chevron Stations, Inc. #98109 ..... ~ CHEMICAL LOCATION 201 CHEMICAL LOCATIONCONRDENTIALEFCRA 2~ Wei 9deof Lot _ ^ YES ® NO 7 MAP#(optiore~) 203 GRID#(opti°rel) 204 FAGLITYID# 0 0- 0 0 0 - 0 0 0 0 0 0 1 ~ II. CHEMICAL INFORMATION CHEMICAL NAME ~ TRADEgCRET I$ Yes ^ No 2~ RP,IroIEIdTI droprborts HsiEject toEFL^R4, refer toi ~ructian COMMON NAME zm EHS' ^ Yes ®No ~ 9u Unleaded Ga9ol i ne 91 OQa~e ............ cASa 2os 86290-81~ ............. 'IfEHSis°Ye;, 791 arquntsbelow mtu[Uein Ibs Fl RE CODE HAZA RD G.AS~S (candeteir regiireOby cuaa) z7o Ranm~le Li Llids Qass 3 .., HAZARDOUS MATERIAL TYPE (Check are item ody) Q a PURE ®ti MIXTURE ^ a WASTE 27t RADIOACTIVE ^ YES ~ No ztz CURIES 273 PHYSICAL STATE eta (Cl7aic are item orYy) ^ a SOLID ®0 LIOUID ^ c GAS ....... LARGESiCONTAwER 10,000 ....... 2t5 FED HAZARD CATEGORIES 2te (Check zll fl~t$.yly) ®a FIRE ^ h REACTIVE ^ c PRESSURERELEASE ~ d ACUTE HEALTH ®e CHRONICHEALTH AVL32AGE DAILY AMOUNT 277 MAXIMUM DAILY AMOUNT 278 ANNUAL WASTE AMOUNT 219 STATE WASTE CWE 220 6000 10 000 ..... 227 DAYSON SITE: 222 UNITS' ®a GALLONS ^ h CUBIC FEET ^ c POUNDS ^ d ff7NS Ctedc ore item arl ' If EH arnut mat bein ,..,........ STORAGE CONTAINER ^ aABOVE GROUNDTANK ^ e PLASTIC/NONMETAL LIC DRUM d i. FIBER DRUM ^ m GLASS BOTTLE ^ 4 RAIL CAR ~ h UNDERGROUND TANK ^ f. CAN Q j. BAG ^ n PLASTIC BOTTLE ^ r.OTHER ^ aTANK INSIDE BUILDING ^ g CARBOY ^ k §OX ^ a TOTE BIN ^ d STEEL DRUM ^ hSILO ^,,,,I: ,CYLINDER ^ p TANK WAGON 223 STORAGE PRESSURE ®a AMBIENT ^ h ABOVE AMBIENT ^ a gE60W AMBIBdT ............. 224 STORAGE TEMPERATURE ®a AMBIENT ^ h ABOVE AMBIENT ^ c ®ELOW AMBIENT ^d CRYOGENIC 225 %WT HAZARDOUS COMF70NBVT (Far mixhre orw..ete ally) .............. 6iS CAS # 1 100% zze C~oline 227 .............. ^Ye; ®No zzs 8629()-81-5 229 2 .1-4.9% 230 BPI1Zelle z3+ ^ Yes 1~ No 232 71-032 233 3 .1-3% 234 Ethyl Berle z~ ............ ^ Ye; $I No x•e 10041-4 237 4.1-2% zis N~trth~ene 239 ............... ^Ys ~ No 2m 91-20-3 zn, 5 a10% za2 Ethaiol 243 ^ Yts $I No 2aa 64175 zas s a~si zee Met I Tert Butyl Ether (MTBE) ie7 ........... ^Yes )~ No zee 1634-p4~4 2m 7 0-17% zso Tertiay Amyl Methyl Etha(TAME) .,..~+ ^Ys )~ No zsz seer-osa zs~ B 0-18% zs4 Ethyl Tart-Butyl Ether (ETBE) 285 ^ Yes ®No 255 637-92-3 zs7 Ifmare InrerdaamnpvrbereP~rtM aesM flan t%by vwlytif rex'urdrnpriga0.1% MvsiUit i111yfcimpwtcpltech addtiaml9wted paper ceptvirotte regiiretllrlametim ............ ADDITIONALLOCALLY OOLLECTED INFORMATION DOT#12O$ ~ If EPCRA, RES;e 9gn Here UPCF (1/99) OES Form 2731 .. eanni Loven - 98109 HMBP pdf ~"~ ~'~ ~ ~~~~~~~~ ~~~ ~~ ~ ~~ ~ ~ ~~~'~~~~Page 6 UNIFIED PROGRAM CON~tJJLI DATED FORM HAZARDOUS MA~'~I21ALS HAZARDOUS MATERIALS INVENtC~RY -cHEMICAI_ DESCRIPTION ..... core pe0evar rneceriewer 6ui I dirpa area) ^ADD ^DELETE ®REVISE,,,, ,, 200 Pie d ~ I. FACILITY INF1~~2MATION ~ BUSINESS NAME(S3ne ~ FAgLITY NAMEw DBA - Ddng Busness As) 3 I Chevron Stations, Inc. #98109 ~ giEMICAL LOCATION 2D1 CHEMICAL LOCATIONGONRDENTIALEPCW\ zoz WE5f$deOfLOt ... ^YES ® NO 1 MAP#(olxiorel) 203 GRID#(agiorei) 20a FAC{LITYID# ~ Q ~- ~ ~ ~ - 0 0 ~ 0 4 0 1 ~ II. CHEMICAL INFC~!~2MATION giEMICAL NAME ~ TRADESEgiET Iffi Yr=; ^ No zoa M i ddI a Di sti l I fie; ....... If srgect t°exw# rder to in3rucliae COMMON NAME zo7 ~ EHS ^ Yes ®No LSDiesd Fud No. 2 ,.,,., .. case z~ ~7~34-6 "IfEHSis"Y~", BI anountstfAow mlutbein Ibs. RREOODEHAZARDCLASSES (CangddfrepdreAbytX1PP,) 210 GDrrllxlstideLi Lddspass2 .. HAZARDOUS MAT'ff21AL TYPE (Cheek are iten aiy) ^ a PURE ®h MIXTURE ^ c WASTE 211 RADIOACTIVE ^ Yes ®No 212 CURIES 213 PHYSICAL SPATE 214 (Chadc ale itari arty) ^ aSOLID ®h LIQUID ^ c GAS ..... LARGEST CONTAINER 10,000 ....... 215 F® HAZARD CATEGORIES 21ti (Check gl tt~ t~{1y) ®a FlRE ^ h REACTIVE ^ c PRESSURERELEASE ~ it ACUTE HEALTH ®e CHRONICHEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMCUNT 219 STATE WASTE CODE 220 5000 10 000 .... 221 DAY SON SITE: zzz UNITS ®aGALLONS O h CUBIC FEET ^ cPOUNDS ^ d ttJhlS C ae iten 'If EHS mat bein ............. STORAGE CONTAIN6t ^ aABOVE CROUNDTANK ^ e PLASTIGNONMETAL LIC DRUM Q i. ~IBERDRUM ^ m GLASS BOTTLE ^ 4 RAIL CAR ~ h UNDERGRW ND TANK ^ f. CAN ^ j. BAG ^ n PLASTIC BOTTLE ^ r.OTHER ^ cTANK INSIDE BUILDING ^ g CARBOY ^ k f3ox ^ a TOTE BIN ^ d STEEL DRUM ^ hSILO d,,,,I,.,QYLINDER ^ R TANK WAGON 223 STORAGE PRESSURE ®a AMBIBJT ^ h ABOVEAMBIENT Q c !')FLOW AMBIENT 22a STORAGE TEMPERATURE ®a AMBIBJT ^ h ABOVEAMBIENT ^ c BL30W AMBIENT ^d CRYOGENIC 225 °/aWT HAZARDOUS COMPONBdT (Far rrlixare orwa~e aiy) ................ BiS CAS# f 100% 2zs Diems Fud No.2 zzr ............. ^Yta $I No 22e 6g47Fr34-6 22s Z 230 i31 .............. ^Ye<; ^ No 23z z33 3 z3a ~ ..., ^ Ys ^ No z3e 237 4 z3e zas ^ Y~ ^ No zao 2a1 5 2a2 zaa ............. ^ Y~ ^ No 2aa zas Ifmora herarAasaanparrtaareAasrtat Qastw than l%bJ velytlf natcardmpaiq rr 0.1%lyrwldY ifcdtdteparieetfadr eoHtiorel3retsdpepr aphrirptle ragilra0idnmetion .............. ADDITIONALLOCALLYCOLLECTEDINFORMATION DOT#1993 24s If EPCRA, Re®e 9gn Hae UPCF (1/99) OES Form 2731 s Jearm Loveri - 98109 HMBP.pdf ,~..~._..~..~.., s,.~.,_.~. ..v,~.w,_,w...~. ~~.~:~~..~..~,,~.,~,..,,~~,W. ~,.,.~~,,~ .~........., Page 7 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MA~FtIALS HAZARDOUS MATERIALS INVEN~IWMRY -cHEnnICAL cESCRIPrloni ....... (ore Peg° Ixr meteri elper bui I d np ar see) ^ADD ^DELETE ®REVISE,,,,,,,,.... 200 P~ of ~ I. FACILITY INFt~~tMATION ~ BU9NESS NAME(S9ne ~ FAgLITY NAMEor DBA - Ddng Btsn7~ As) 3 ~ Chevron Stations, Inc. #98109 ... ~ GdEMICAL LOCATION 201 CHEMICAL LOCATIONCONFlDENTIALEPCRA ~ Irtside30re .. ^ YES ® NO 7 MAP#(optionei) 2IXi GRID#(optiond) 2117 FAgLITYID# 0 0 ,.- 0 0 0 - 0 0 0 0 0 0 1 ~ II. CHEMICAL INF~N2MATION q~EMICAL NAME zas TRADESECRE7 ^ Y7?; ®No ~ ~ WIU0f1 DlQxlde ......,. It9fijxltoEl~RA,refertoins,ucd«.a COMMON NAME ~ ~ EH5 ^ Ye: ®No Canon Dioxide 002 ...... GAS# z~ 124-3&9 "IfEHSis"Yr:;', 91 arauntsbAow mu5tbeinlls. Fl RE CODE HAZARD O_ASSES (canp~dt regtiredby cum) z7o Com Gas p ass 22 .. HAZARDOUS MAT921AL z77 TYPE (Check One it7maAy) ®a PURE ^ h MIXTURE ^ c WASTE ....... RADIOACTIVE ^Yfs ®NO 272 ...... CURIES 273 PHYSICAL STATE 27a (Check ane Itenwy) ^ aSOLID ^ h LIQUID ®c GAS ....... LARGEST CONTAINE2 2429 ....... 215 F® HAZARD CATEGORIES 278 (Chsk 81 that a~fy) ^ a FIRE ^ h REACTIVE !~ cPRESSUREREIEASE ~ d ACUTE HEALTH ^ e CHRONICHEALTH AVERAGE DAILY AMWNT 217 MAXIMUM DAILY AMOUNT 278 ~ ANNUAL WASTE AMOUNT 21g STATE WASTE CODE 220 1215 2429 ..... 221 DAYSON SITE: 222 UNITS ^ aGALLONS ®b CUBIC FEET ^ cPOUND5 ^ d Tf1WS Check ane it ad ` If EH snout m7st bein .......... STORAGE CONTAINER ^ aABOVE GROUNDTANK ^ e PLASTIGNONMEiAL LIC DRUM ^ i. FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR ^ hUNDERGROUND TANK ^ f. CAN d j.BAG ^ rt PLASTIC BOTTLE ^ r.OTHER ^ nTANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ n TOTE BIN ^ d STEEL DRUM ^ h 9L0 ~,..Ir. CYLINDER ^ p TANK WAGON 223 STORAGE PRESSURE ^ a AMBIBJT ®h ABOVEAMBIBdT ^ n 6B_OW AMBIENT 224 STORAGE TEMP62ATURE ®a AMBIENT ^ h ABOVEAMBIENT ^ c BEtOW AMBIENT ^d CRYOGBJIC 2a5 %WT HAZARDOUS (xMPONB3T (For mixtUe orwa9e afy) BiS CAS # ~ 100% zz7s Cabort Dioxide 2a~ ^Yes ®No 228 1243&9 ~g Z 230 287 ............ ^ Ye: ^ NO 232 233 3 z3a 2a5 ..,., ^ Ye5 ^ No 23a za7 4 23s tag ^ Ys ^ No zao za1 5 zaz z4a ^ YES ^ No zaa zas Ifnw.temravsounpn.rt.u•ReslYat¢°ebl rlm,lx °r M.lyenm.v.d°oga+avo.7x nywitlt irmao,panicperacn,aa°awl aemea pepx esprviro°•••Wr.airtam.tiv. ADDITIONALLOCALLYCOLLECiEDINFORMATION DOT#1013 z-06 If EPCRA, R7~e 9gn Hse UFCF (1/99) OES Form 2731 ~Jeanni Loven - 98109 HMBPWpdf ~~~~~ ~~ ~~~ ~ ~ -~ ~~~~ ~ ~ ~~~~ ~~ Page 8 UNIFIED PROGRAM CON~fJLI DATED FORM HAZARDOUS MA'~'i=~21ALS HAZARDOUS MATERIALS INVEN~"~RY -CHEMICAL DESCRIPTION (ore Pepe Per meteri 41Per tui I di rp or area) ^ADD ^DELETE ®REVISE.,,,..,. 200 T'~ of ~ I. FACILITY INFC)~2MATION ~ BUSINESS NAME(33r7e ~ FAG LITY NAMEor DBA -Ddng 67rsne>s As) 3 Chevron Stations, Inc. #98109 ~ CHEMICAL LOCATION 201 CHEMICAL LOCATIONCONFIDENTIALEFCf7A zoz Eat SdeOf yelvl0; S ... ^ YES ® NO 1 MARk (ogiorei) 203 GRID#(agiorel) 204 FAGLITYID# 0 0- 0 0 0 - 0 0 0 0 0 0 1 D3 II. CHEMICAL INFORMATION CHEMICAL NAME 2os TRADESECRET ^ Yg ®No 200 used Motor Oil If aihjec/to EFCRA, rdertoi rerucliore ............ COMMON NAME pz ~ EHS ^ Ye; ®No Used Motor oil .... ca°# 2os WA ............ ' I f EHS is `Ye; , ~I anounts b9ow must be in Ibs Fl RE CODE HAZARD CLASSES (comgxeifregrireaoy curs7) 270 RBmmable Li 'ds CIa~ 1 ~~ ~~~~~ HAZARD W S MAT6tIAL TYPE (Chak u7e item aiy) ^ a PURE ^ G MIXTURE ®c WASTE 211 ....... RADIOACTIVE Q Yfs ®N9 272 ....... CURIES 213 PHYSICAL STATE 274 (Check 9r7e Itenmly) ^ aSOLID ®h LIQUID ^ c GAS ....... LARGEST CONTAINER 1,000 ...... 276 FED HAZARD CATEGORIES 278 (Check AI 1hK 5afy) ®a FIRE ^ h REACTIVE ^ c PRESSUREREIEAS= (~ d ACUTE HEALTH ®e CHRONIC HEALTH AVERAGE DAILY AMOUNT 277 MAXIMUM DAILY AMOUNT 278 ANNUAL WASTE AMOUNT 279 STATE WASTE CODE 229 250 1 0 0 0 500 221 zz7 DAYSON SITE: z2z UNITS ®a GALLONS ^ h CUBIC FEET ^ c POUNDS ^ d tbNS hark ienM 'If EHSaroutmstbein .....,. ONTAINHt ^ aABOVE GROUNDTANK ^ e PI.ASfICINONMETAL LIC DRUM Q i. ~IB62 DRUM ^ m GLASS BOTTLE ^ q RAIL CAR ~ hUND92GROUND TANK ^ f. CAN d j.BAG ^ n PLASTIC BOTTLE ^ c OTH92 ^ aTANK INSIDE BUILDING ^ g CARBOY CJ k SOX ^ a TOTE BIN ^ d STEEL DRUM ^ h SILO d I. CYLINDER ^ R TANK WAGON ............. 223 STORAGE PRESSURE ®a AMBIENT ^ h ABOVEAMBIENT ^ c B~10lNAMBIENT 224 STORAGE TEMPERATURE ®a AMBIENT ^ h ABOVE AMBIENT ^ c B6.OW AMBIENT ^ d CRYOGENIC .............. 225 %V7/T HA7AF2DOUS CCM PCNl3~1T (Far mixlue a wad; Orly) l3-IS CAS # i 100% zz6 Used Motor Oi I 2zi ^ Yes ®No 229 WA 2x9 2 239 287 ^ YBS ^ NO tax 233 3 z34 gas ..., ^ Y~ ^ No z36 z3z 4 239 za9 ^YC5 ^ No z49 za7 5 242 243 .. ~~. ^ Yes ^ NO 244 245 7ftMla 7ernean evnpu,wb...w.srte7vaet4r 77rn 7x H/ ..7p,<Irnn.cnrarnp.+q Q otx fH'~71'e 7f eAtarcpericpltetlradAno~ lreteAP7sr mrtv7nptle reolired7rtametian .......... ADDITIONALLOCALLYCOLLECTEDINFORMATION DOT#9189 240 If EPCRA, Reese 9gn Hee UFLF (1199) OES Form 2731 ~Jearmi Love~n -98109 HMBP pdf ~~~~~ ~~ ....~~t~ ~ ~ ~~~~~~~~~~~~ Page 9 EMERGENCY RESPONSE PROCEDURES GASOLINE and CAF~ON DIOXIDE F1RE OR EXPLOSION DATA Carbon dioxide is not flammable. CAUTION: Conipfessed Gas Cylinder may explode in heat of fire. HEALTH HAZARD CAUTION: 1. Vapors may cause dimness or suffocatioYi: 2. Contact with liquid carbon dioxide may Cc'IUSe frostbite. In the event of a fire, spill, leak, or suspected leak irti the tanks, piping, or cylinder, or natural disasters such as an earthquake or flood, the follCt'wing steps are to be taken as applicable 1. TURN OFF PUMPS using the Emergency Pump Shut-0ff 5Witch. 2. EVACUATION : If there is any immediate danger, ANNOUNCE to all persons on the site: "There is an emergency. Please tum off yore engines and leave the station on foot iMYnediately." 3. CALL FOR HELP incase of an emergency by dialing 9-~,"~ and giving the fdlowing information: 'THERE IS A FIRE /GASOLINE SPILL at the station (1131 Oak St, Bakersfield )." If anyone is trapped or needs medical attention, tell the answering dispatclmer . Stay on the phone aril be prepared to answer any questions concemirg the situation. 4. LOOK AROUND to assure that all others have left the statioh if necessary, particularly those in vehicles who may need assistance or may not have heard the emergency ariixwn cement. Assist or direct assistance to, anyone having difficulty leaving the station area, and anyone who may be injured. 5. ATTEMPT TO EXTINGUISH any small or incipient fire if yoti can do so safely. Have the fire extingrrisher ready to use in the event of any spill. Try to contain any large spill, or use absortment on smaller spills. 6. REPORT to aniving emergency response personnel to provl de them with any infomration or assistance they might need using the Hazardous Materials Business PlanlEmergency Response Procedures. 7. CONTACT the station Operator 'rf s/he is not already at th€3 station. Use the list below for emergency contacts: Name/Titl Home #: I Station Mat1l51ger I IHome 8. NOTIFY Chevron Mainterrarice-Sdv a One by phone WITHIIrf 24 HOURS 1-855-8454254 or CHEVRON EMERGENCY INFORMATION CENTER 1-006-t31-0623 Chevron will notify the appropriate State and Local agences uriless the situation realrires urgent immediate response by the agencies , in which case the OPERATOR. should notify these agencies: 1. LOCAL UST AGENCY :Bakersfield City Fire Department 1 (661) 326-3979 2 CALIFORNIA OFFICE OF EMERGENCY SERVICES (t4 Hours),800-852-7550 3. NATIONAL RESPONSE CENTER (24 Hours), 800-4248802 9. Operator should attempt to isdate leak location by inspectidh: 10. Chevron will cooridinate whatever corrective action s need tti be taken beyond the Operator's capabilities. Chevron will file whatever reports need to be filed with local and state agencies, and send a copy to the station for the Operators files. 11. EVACUATION: In the evert evacuation is necessary, the atterxiarrt will announce for all customers and personnel to evacuate the building using the nearest exit door. All persons should go to the emergency assembly area as designated on the site map. Bring the Hazardous Materials Business PlanlEmergency Response Procedures to assist emergency responders. iz. RE-ENTRY : If evacuation has occurred and emergency respohde rs have been called, reentering this facility should take place with extreme caution and oNy urxier the direction of the senior emergency responder on site and Chevron personnel. THESE EMERGENCY RESPONSE PROCEDURES MUST BE POSTED CONSPidUOUSLY ON SRE ALONG WITH THE ATTACHED SRE PLAN UR'F (1/99) OES Form 2731 Jearmi Love~n 98109 HMBP,pdf~~'~ ~~~ ~ ~ ~ ~~~~~~ ~ ~ ~~~ ~~~~~~~~ Page 10 ff SITE SPECIFIC EMERGENCY ~SPONSE TRAINING PLAN Employees must be given this training before starting waft; and refresher causes must be provided annually. Records must be kept to show when each station employee has been given his/her safety training. Use the fdlowing outline and make copies as needed. Have employee date and sign this document upon completion of trairng. Retain these records for a minimum of three yeah: I. FIRST THINGS TO KNOW: A EMERGENCY PUMP SHUT-0FF: This toms off thetuibihe pumps that provide flow to the dispensers from the underground tanks. Incase of a leak, shutting off the ptlrrips will help to prevent spills. LOCATION: 1-CASHIER AREA. 1-OIliSIDE BUILDING.,.1~ DISPENSER ISLAND B. ELECTRICAL PANEL :The panel allays you to selectively cut off power to lights, signs, ptanps, etc. The main switch kills all paver at the site. LOCATION: BACKROOM OF STORE C. WATER SHUT-0FF: The water shutoff may be necessary in some cases. LOCATION: LANDSCAPE AREA ON MAIN D. NATURAL GAS SHUT-0FF : If your station has natural gas, it maybe necessary to shut-off the natural gas flow in an erner~gency. LOCATION: NONE E. FIRST AID KIT: LOCATION: BACKROOM OF STORE F. FIRE EXTINGUISHER :Use only on small fires that yoU ban handle. Do not attempt to extinguish large fires on your own; call 9-1-1 for help. LOCATION: 1-AT CASCASHIER AREA 1- BACKROOM OF >~70RE G. SPILL RESPONSE KIT: Use FM-186 in accordance tb ii~anufactures recommendations. FM-186 is to be used to immediately dean up small Gasoline and Diesel spills. Incase of large spill, merely try to contain it; a vacuum tnrclc should be used to dean up any large spills. LOCATION: BACKROOM OF STORE H. EMERGENCY EVACUATION AND ASSEMBLY ARSAt LOCATION: EAST SIDE OF BUILDING ON MAIN 1. NEAREST MEDICAL FACILITY: Employees should ki"kiw what fadlities are available in case customers or other employees need medical attention. Mercy Hospital (661) 632-5275 (661) 632-5000 (661) 632-5279 2215 Truxtun Ave Bakersfield, CA 93301 0.7 m i N E UFCF (1/99) OES Form 2731 Jearmi Loven -%98109 HMBP pdf ~ ~ ~-~M~~~~ ~'~~~ ~~'~~~~ ~~~~ Page 1~1 I I. All employees should review the Service Station Morritoring Flan, of which this training plan is a part. Specifically, each employee should understand the procedures to be used in responding to various kinds of emergencies, and know how to monitor for leaks of hazardous materials. As a supplement to this package, employees should also review the Emergency Response Ran tiled by you business to the appropriate local agency. Thirdly, employees should review and have access to the Materials Safety Data Sheets you have on file for each of the hazardous materials stored at the station and rrAlst be drilled in all emergency response procedures contained herein. III. FIRST AID PROCEDURES for EXPOSURE TO GASOLIIyIIr AND DIESEL FUEL A EYE CONTACT: Flush with water far 15 minutes while hddi ng eyelids open. Get medical attention. B. SKIN CONTACT: Flush with water while removing contamii9ated clothing and shoes. Follow by washing with soap and water. Do not reuse Gothing or shoe s until Cleaned. If irritation persists, get medical attention. C. INHALATION IBreathina): Remove victim to fresh air and provide oxygen if breathing is d'rfficult. If not breathing, give artificial respiration. Get n>ediral attention. D. INGESTION (Swallowinal: DO NOT INDUCE VOMITING BECAUSE GASOLINE CAN I=NTER LUNGS AND CAUSE SEVERE LUNG DAMAGE! If vomiting occurs spontaneously keep hieatl below hips to prevent aspiration of liquid into lungs. Get medical attention. E NOTE TO PHYSICIAN: If more than 2.0 ml per kg has been irryested and vomiting has not occurred, emesis shor,dd be induced with medical supervision. Keep Victim's head below hips to prevent aspiration. If symptoms such as lass of gag reflex, corn~Esi ons or unr,Ciisciousne ss occur before emesis, gastric lavage using a cuffed endotracheal tube should be considered. F. For further infomration, consult the Materials Safety Data Sheets for these products and for other hazardous materials. FIRST AID FOR EXPOSURE TO OTHER MATERIALS: Consult the warning advice on container labels ~ refer to the MSDS for that product. ANNUAL CLASSROOM EMPLOr'V'EE TRAINING TOPICS Hazwoper Hazard Communication LockoutlTagout California Impact Valve & Nozzle Operation Fire Safety Safety Orientation SB 198 Injury Illness & Prevention Program Emergency Response & Spill Cleanup Procedures Robbery Prevention System Alcohol and Tobacco Awareness Documerrt prepared by: Chevron Products Company/Richard S.Allen, R.E.H.S., Retail HES Specialist UFa/F (1/99) OES Form 2731 earrni~Loveri - 98109 HMBP.pdf ~"."`~..w~. .~ ~.~~.~,,~.__.,~......~ .~,,....~m,,~~.__M.ti...~.~.~. ~•.~---~A~- .~.~`Page~121 ~. Hazardous Materials Business ~'I~nlEmergency Response Employee Trai~~hg Log _ BUSINESS NAME: Chevron Stations, Inc. #98109 i ADDRESS: 1131 Oak St, Bakersfield, CA 93304 Em to es must si n this form rove the r ived their INt71aL and/or ANNUA Emer en Re nse Trainin EMPLOYEE SIGNATURE DATE OF TYPE OF TRAINING EMPLOYEE NAME TRAINING Initial or Annual Refresher ........... .............. ............... ...... ..._. ............. ............ ............. ...... ............ ........... ... .. .............. UPCF (1/99) OES Form 2731 earmi Lover - 98109 Site Map~~df ~~ ~~~~~~~~~'~~~~~ ~~ ~ ~~ ~ ~ ~~~ Page~1 VIC011ry NAi y N c pF I ~ I ~_ _ --_t. ~ au I ® I s~ onr~ ~ ~ ~~ ~o~ioilo~ro~ ~ li•`I IiL'II{~`IIC~`I I II II II I ~ $ I II II II I 3 W I l~l l~l t'~1 l'~1 ~ zl I ' I n ~'r a I ------ I alx Ifim ®- -~ i . Z a al I I _ °ac'Ip: I I I ~I I 1 I I I I ~ I I I I ~ _ _ ~ I ~ ® ~ ,~ ~ I ------ n<v r ~ o .w.r. ~r.r ~ I GRDUND & 6RNDE PUN I o I 0 p KrM fOMCf ft~11W If-f 1Pf ~Y~ M ~ 1 fi~OYN. ~K e~w, u OIn11on DAK STREET A