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Home My WebLink AboutBLUE RHINO - PROPANE EXCHANGE SYS @.~i ~1 ~~~~ µ a qty ~i ~ ~t~~~i ~ ~ (BLUE RHINO -PROPANE EXCHANGE SYS) FASTRIP j 2698 OSWELL STREET r ~~,. lam. ---------- -- - --- ~4~ ?- -' s FASTRIP 347 Manager SURJIT SINGH Location: 2698 OSWELL ST City BAKERSFIELD CommCode: BFD STA 08 EPA Numb: SiteID: 015-021-000622 BusPhone: (661) 872-3029 Map 103 CommHaz Moderate Grid: 23A FacUnits: 1 AOV: SIC Code:5411 DunnBrad:l7-364-9625 Emergency Contact / Title Emergency Contact / Title HADDADIN AYMAN / OWNER R CRAI G LINCOLN /~:~'~u~~~,~~~-,~v~ a Business Phone: (661) 872-8283x Business Phone: (661) 393-7000x 24-Hour Phone (661) 496-6524x 24-Hour Phone (661) 393-7000x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact R CRAIG LINCOLN Phone: (661) 393-7000x MailAddr: PO BOX 82515 State: CA City BAKERSFIELD Zip 93380-2515 Owner JACO HILL Phone: (661) 393-7000x Address PO BOX 82515 State: CA City BAKERSFIELD Zip 93380-2515 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG U - UST M Based on my inquiry of those individuals responsible for obtaining the information, I certify ersonally I h h ~IU~~ M _D ~~ ave p at under penalty of law t i IMI ~~~~ on examined and am familiar with the informat submitted and believe the information is true, accurate, ~~ Date Signature ~o~d ;~ ~ -1- 01/31/2007 F FASTRIP 347 SiteID: 015-021-.000622 ~ STORAGE CONTAINER DATA (UST FORM A) Last Action Type: • FACILITY/SITE INFORMATION Business Name: FASTRIP 347 Cross Street Business Type: Org Type: Total Tanks 4 IndnRes/Trust: No PA Contact: Dsg Own/Oper ICC Nbr: PROPERTY OWNER INFORMATION Name R CRAIG LINCOLN Phone: (661) 393-7000x Address: City State: Zip: Type : CORPORATION TANK OWNER INFORMATION Name R CRAIG LINCOLN Phone: (661) 393-7000x Address: City State: Zip: Type CORPORATION BOE UST Fee# 019753 Financ'1 Resp: SELF INSURED Legal Notif Tank Owner Mailing Address Date:04j24/2000 Phone: (366) 170-00 x Name:R CRAIG LINCOLN Ttl:VP State UST ## 1998 Upg Cert#: 00761 -2- 01/31/2007 F FASTRIP 347 SiteID: 015-021-000622 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP REGULAR GASOLINE F IH DH L 12000.00 GAL Mod DIESEL FUEL #2 F IH DH L 12000.00 GAL Mod PREMIUM GASOLINE F IH DH L 12000.00 GAL Mod F IH DH L 12000.00 GAL Mod ~G-'G(~` CSC C~,d^' ~ Gs4S c.:r ~l f2%~- -3- 01/31/2007 -4- 01/31/2007 F FASTRIP 347 ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME REGULAR GASOLINE Location within this Facility Unit UST BELOW ISLAND STATE TYPE PRESSURE Liquid TMixtur~ Ambient Days On Site 365 Map: Grid: CAS# 8006-61-9 TEMPERATURE CONTAINER TYPE Ambient -~ER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 12000.00 GAL 12000.00 GAL 6131.00 GAL r1r~GxtclJVUa ~vlnr~iv~lvl~ %Wt. RS CAS# 100.00 Gasoline No 8006619 t11~GHttL H.7~I;~.71~11:S1V 1.7 TSecret RS BioHaz .Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME DIESEL FUEL #2 Location within this Facility Unit UST BELOW ISLAND STATE TYPE PRESSURE Liquid Mixture-Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# ~~y~~~~ TEMPERATURE CONTAINER TYPE Ambient ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 4862.00 GAL riL-~G1~iCL V U .7 1, V1~lY V1V L" 1V 1 J %Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 i'S1iGEitC1J 1~~51;J71~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod SiteID: 015-021-000622 ~ Facility Unit: Fixed Containers on Site ~ -5- 01/31/2007 F FASTRIP 347 SiteID: 015-021-000622 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PREMIUM GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: UST BELOW ISLAND CAS# 8006-61-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture~Ambient ~ Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 2992.00 GAL -- tit~~Httuvua Lvl~irvlv.c~iv1J %Wt. RS CAS# 100.00 Gasoline No 8006619 tiL~Gl-1KL 1~J JI;JJ1~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ ,~ Curies F IH DH / / / Mod ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME Location within this Facility Unit UST BELOW ISLAND STATE TYPE PRESSURE Liquid TMixtur~mbient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8006-61-9 TEMPERATURE CONTAINER TYPE Ambient -~ER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 12000.00 GAL 12000.00 GAL 7183.00 GAL nr~Gtitu~uuJ ~.v1~lrvivr~ivtJ °sWt. RS CAS# 100.00 Gasoline No 8006619 I1HGt1CCL H J~JP~J.71~11~.1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -6- 01/31/2007 F FASTRIP 347 SiteID: 015-021-000622 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 07/27/2006 ~ CALL 911 OR, IF NEED, CALL STATE EMERGENCY OFFICE 800-852-7550 OR 619-262-1621. Employee Notif./Evacuation 12/01/2000 ALL EMPLOYEES ARE TRAINED AND AWARE THAT IN THE EVENT OF AN EMERGENCY SITUATION THEY ARE TO FOLLOW THESE PROCEDURES: A) SHUT OFF (IF POSSIBLE) MAIN POWER BRAKER. B) EVACUATE THEMSELVES AND ANYBODY IN OR AROUND THE PREMISES. C) CALL 911. Public Notif./Evacuation 08/11/2006 ALL EMPLOYEES ARE TRAINED AND AWARE THAT IN THE EVENT OF AN EMERGENCY THEY ARE TO EVACUATE ANY PERSON OR RESIDENT WITHIN OR AROUND THE VICINITY OF THE EMERGENCY SITUATION. THEN NOTIFY AUTHORITIES BY DIALING 911. Emergency Medical Plan 08/11/2006 911 EMERGENCY, MEDI CENTER, 820 34TH ST, 325-6334, OR MEMORIAL HOSPITAL, 420 34TH ST, 327-1792. -7- 01/31/2007 F FASTRIP 347 SiteID: 015-021-000622 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 08/11/2006 ~ ALL EMPLOYEES SHOULD BE AWARE OF LOCATION OF EMERGENCY SHUT-DOWN CONTROLS FOR GASOLINE EQUIPMENT. PROCEDURES TO FOLLOW IN THE EVENT OF AN EMERGENCY ON THE GAS ISLAND ARE AS FOLLOWS: A) IF A CUSTOMER OVERFILLS A VEHICLE TANK RESULTING IN A SMALL SPILL - HOSE DOWN THIS AREA WITH WATER. B) IF A CUSTOMER DRIVES OFF WITH GAS NOZZLE IN CAR FILL TANK RESULTING IN A SUBSTANTIAL FLOW OF GASOLINE - SHUT DOWN ENTIRE SYSTEM, CALL FIRE DEPT, CALL DISTRICT MGR, CLEAR THE GAS ISLAND. C) IF VEHICLE DAMAGE TO ONE PUMP RESULTS IN A LEAK - SHUT DOWN POWER TO THIS PUMP ONLY, HOSE DOWN AREA AND CALL YOUR DISTRICT MGR. D) IF AN ADJACENT BUSINESS/BLDG IS ON FIRE, SHUT DOWN THE ENTIRE GAS ISLAND E) CALL OPERATIONS MANAGER 393-7000. Release Containment 10/25/2000 IN EVENT OF SPILLAGE, SHUT DOWN MAIN SWITCH, CLEAN AREA. MAJOR SPILLAGE, NOTIFY FIRE DEPT FOR ASSISTANCE. Clean Up 08/11/2006 CUSTOMER OVERFILLS VEHICLE RESULTING IN SMALL SPILLAGE: HOSE AREA. DRIVE OFF WITH NOZZLE RESULTING IN SUBSTANTIAL SPILLAGE: SHUT DOWN ENTIRE SYSTEM. VEHICLE DAMAGE TO PUMP RESULTING IN A LEAK: SHUT DOWN POWER TO DAMAGED PUMP, HOSE AREA, CALL DISTRRCT MANAGER. ADJACENT BLDGS FIRE, SHUT DOWN ENTIRE ISLAND, EMERGENCY CONTROL SHUT-OFF AND FIRE DEPT WILL ADVISE WHEN TO RESUME NORMAL OPERATIONS. CALL OPERATIONS MANAGER 661-3.93-7000. -8- - 01/31/2007 F FASTRIP 347 SiteID: 015-021-000622 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ Other Resource Activation 1OJ25/2000 NOTIFY DISTRICT (OPERATIONS) MGR TO CALL OUT EMERGENCY RESPONSE PERSONNEL. -9- 01/31/2007 F FASTRIP 347 SiteID: 015-021-000622 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~JCL1cY1 lldGCL1.Uw7- Utility Shut-Offs A) GAS - NW EXT CRNR OF BLDG FACING AUBURN B) ELECTRICAL - NW REAR INT STOCKROOM ENTR SW SIDE C) WATER - NE FRONT EXT CRNR OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO 01/31/2007 Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS: ISLAND AND ONE SE INT STOCKROOM AREA. FIRE HYDRANT - NW CRNR OF PROP FACING AUBURN. 08/11/2006 ONE N SIDE INT DOOR TO GAS Building Occupancy Level 03/31/2006 10 EMPLOYEES -10- 01/31/2007 i... . F FASTRIP 347 SiteID: 015-021-000622 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/31/2007 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES SHOULD BE AWARE OF LOCATION OF EMERGENCY SHUT-DOWN CONTROLS FOR GASOLINE EQUIPMENT. PROCEDURES TO FOLLOW IN THE EVENT OF AN EMERGENCY ON THE GAS ISLAND ARE AS FOLLOWS: IF A CUSTOMER OVERFILLS A VEHICLE TANK RESULTING IN A SMALL SPILL HOSE DOWN THE AREA WITH WATER; IF A CUSTOMER DRIVES OFF WITH A GAS NOZZLE IN CAR FILL TANK RESULTING IN A SUBSTANTIAL FLOW OF GASOLINE SHUT DOWN ENTIRE SYSTEM AND CALL FIRE DEPT, CALL DISTRICT MANAGER, CLEAR THE GAS ISLAND; IF VEHICLE DAMAGE TO ONE PUMP RESULTS IN A LEAK - SHUT DOWN THE POWER TO THIS PUMP ONLY, HOSE DOWN AREA AND CALL DISTRICT MANAGER; AND EACH STORE WILL HAVE A LISTING OF EMERGENCY CONTACT PHONE NUMBERS POSTED NEAR THE SALES COUNTER rays ~ nciu i.vL ru~uic v5c -11- 01/31/2007 ~. F FASTRIP 347 SiteID: 015-021-000622 ~ Fast Format ~ ~ Training Overall Site ~ nciu Lui ru~uic u~c -12- 01/31/2007 i~ i 437 Owner Statements of Designated Underground Storage Tank (UST) Operator and Understanding of and Compliance with UST Requirements Facility Name: Fastrip #26 (Exxon) Facility ID #: 3020 Facility Address: 2698 Oswell Street, Bakersfield, CA 93306 (City) Reason for Submitting this Form (Check One) ^ Change of Designated Operator Facility Phone #: 661-872-8781 X Update Certificate Expiration Date Designated UST Operator(s) for this Facility PRIMARY Designated Operator's Name: Douglas M. Young III Relation to UST Facility (Check One) Business Name (If different from above): Confidence UST Services, Inc. ^ Owner ^ Operator ^ Employee Designated Operator's Phone #: 800-339-9930 ^ Service Technician x Third-Party International Code Council Certification #: 0878646-UC Expiration Date: September 22, 2008 ALTERNATE 1(Ontiona/) Designated Operator's Name: Jennifer Davis Relation to UST Facility (Check One) Business Name (If different from above): Confidence UST Services, Inc. ^ Owner ^ Operator ^ Employee Designated Operator's Phone #: 800-339-9930 ^ Service Technician x Third-Party International Code Council Certification #: 5252886-UC Expiration Date: March 15, 2009 ALTERNATE 2 (Optional) Designated Operator's Name: Edward Mitchell Relation to UST Facility (Check One) Business Name (If different from above): Confidence UST Services, Inc. ^ Owner ^ Operator ^ Employee Designated Operator's Phone #: 800-339-9930 ^ Service Technician x Third-Party International Code Council Certification #: 5258845-UC Expiration Date: May 15, 2008 I certify that, for the facility indicated at the top of this page, the individual(s) listed above will serve as Designated UST Operator(s). The individual(s) will conduct and document monthly facility inspections and annual facility employee training, in accordance with California Code of Regulations, title 23, section 2715(c) - (f). Furthermore, I understand and am in compliance with the requirements (statutes, regulations, and local ordinances) applicable to underground storage tanks. NAME OF TANK OWNER (Please Print): ~--~ J. SIGNATURE OF TANK DATE: March 23. 2007 VU OWNER'S PHONE #: 661-393-7000 NOTE: I) SUBMIT THIS COMPLETED FORM TO THE LOCAL AGENCY (NOT THE STATE WATER RESOURCES CONTROL BOARD) BY JANUARY 1, 2005. THE LOCAL AGENCY LIST IS AVAILABLE AT: www.waterboards.ca.eov/ust/contacts/cu~a a~ys.html. 2) NOTIFY THE LOCAL AGENCY OF ANY CHANGES TO THIS INFORMATION WITHIN 30 DAYS OF THE CHANGE. , November 2004