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Home My WebLink AboutBUSINESS PLAN 7/17/2006 ~~ D '' DELI-MART _ ~ ~ i ' -- D ~ ~ 9628 ROSEDALE HWY. '7y 1 Y ~~i-~~ Wednesday, February 07, 2007 9:43 AM PEB-5-2807 14:23 Ft~Ot9: P To: Sarstotw Juliana Sessions B61-396-0569 29803111 747:16613959569 P,1 ~~~CiA~ INSPECTION .~PQRT Sibs: ~fl Matt t7: Febru~y 5.2007 ,4~ddress: 9628 Ftosedafe Wfigf- l3aicetsfleld, GA 'Ttse fDgcrwirsg r~ulffi for the ebovo loc~ion r~sant dva ao~kssiorrs of the t• wtsiClt are M be pl~errmed tom roeguletecy aperrcy. Ta+tk Nc 1aiYest CapO~ity 12,t]OD GellOns D 9' x 3x' P[+adt,ct Drat OCR 7itls 2~~6$~ ~~. (bj Tank has heart c~aned:m that no rosldue remetns on ttte tsntt walls X (~) W ~~ ttsa- tank has beers vaauurt iesfed at ^ X suWrt of'~.3 incfiee of HD fbr not lass than one mlrwde. (B) Wif-~s WG'at±4t-gd ~ ~vera~e of 7596 or X neater of ~ thirkrtess. ~- d,s~ed the internal t&rb~ for disoorstirsuity, x compressilfn, tension cxedcklg aril r~rresian. Test fvr icl 8rn~ har~te~ of the ktrs~g in X aacs~4ans+e wets rseEloriaNr e+eoognanad industry aaoes. Ts~ Itsa ilirljtlg using} an slecbfisal reeis~ems lioticlsy X Defetxor in aCOOSd~tics w~ nattonalty seaagniz~ed usdustr~ radar, Hpli ioc~dact. repaired aid ns-tested (d} Tank is suitable lttr corttinusd tree for a minlrrn,m otft~e (5} years X (e} Tank ~ suitable for continued use far a mintrneun or itvv (SI Yee ~~ ~ it is roetirted, or other impn~rerrierde ato etade. (th The tattle iidirl0 is ~o ' suitable for cor~nued uaa and ehstl be dosed In aoaordenos vrith Amide 7. Tt11e apat~at rsldpaotlors aewets orsty rtes corrosions vontfot eapert,LS of the lsrslc irseerrsais. Ttsv eyerrodon central aspects oP the tank would be ilea sut>ysct of a s9pa1's~ R+pert Coatir9 Inap~c0or Os+n lawtsom Pnxes6lorral Engineer Robert PBttl P,E. Addr+rs! 2~A3 Aspen Alirretr Whey trulte 24~ I,auyFtiin, tW t ~ ~~,. RegltAatad Prafeeslanal6rtd'uta4r M0. Corrosion 17 t • ~~~ilT p,~ Fit Dates 3f~11?.008 ` 1la 111 +~~RB~® p.02 ~. , ~ r. Wednesday, February 07, 2007 9:43 AM FEB-6-2~e7 14:4 FROT7:P Juliana Sessions B61-396-0569 29i3~3~ 11 T0= SGi613 p' ~` To: Scions: Qom: Fa~ruary 5.2407 5ib~: Deli Mart 56213 Ftosedel®1.1'sgtm-gY ~~ ~ The toliowin~ results for ate ebotr0 lo~iat+ neP tt,r warm of thB Spee~al hsspo~• telYch ane f~ be pnkt to ~ fY - Tank No. ~ asl: ~~y 12,000 Gaitores pMssrssisms a' x 3.2' prp~ Oasot~e P~ ~ OCiI` ~ ~ st-at.ne rasiduv remains an the tank wails (b) Tank has tin siaanad 2 A d X ~ a m i~ (a) (IU Daeesmirte that tank has Dean v~u ldws of Hear not less ar+a mtnubs. ~ !~ ~ i X r veexrwn Witrloas ultreeound feet revsraad of 7596 or ~g~ yresDSr of origins! thidoteas. 1Hsualq- alr~rioad the Ir!lertret IMting for diacontiiu~tl. X ~; tesrtsioft and aorr~osson. Tact tar a~ tbsrdnea~s of the t~B ~+ X aooatd•~ with nsdtlorn~ly ind cease- ~nO1B tialidey X Taet thm Nnina ueirfg an elm +~' perteceor In es~+Oe `"~ ^ n90D repaired arkf n~-taeced cated l . o ittdus~r c~4des. Holldsys {d) Tank is sWmDl9 inr condnued use ~r a mtrtitn~n at flw (3) ~m Terdc is tlor' mnllnued uea tOr ^ Rdemtwm ~ ~ (5) y~eo's X . {e) ~Y ~ f! is tEitihad. ar vti+ea lmprorre~tt9ras are ~' mr far eontlrnied use and sts~ i~ 'The ter+lc linlnA is r-o f ~ (0 closed In ~ edsli inspection $ only tl~ aartoeioh onr~ral aspects ~ the Uerdc ~ The oort+aslon S t Tt i s p s . contso) eepe~ ~ the tank ooasr~s be• ttts s~sbl~ ~ a eeparete rat'4r CaaW~ Den • PraEeeeionst Er~ermet tivdsrt Paul P.E. Addnesa 2~ Aep~+ tNafr Sui1B Zp4 Leupftla-, tVtl a3B0~ hignaWrs: ii~stsred Profeasidr~ ~=a L~ortasioR+ ~ ~ ~ 6gatrstion Gate: 9/31~QOB ' p.03 T. „ n Wednesday, February 07, 2007 9;47 AM Juliana Sessions 661-396-0569 Atterltl0rl: ~r Steve Uaderovood Company: Bakersfield Fine Departanent Fax Number: 8522171 Voice Number: 3263979 From: Juliana Session$ Company: Sessions Fax Number: 661-396-0569 Voice Number: 661-833-951 Subject: Deli Mart Commeats: gate: 2/7/~aa~ Number of Pages: 2 p.01 rry, pages stuck together! ~~` ~} Wednesday, February 07, 2007 9:47 AM Juliana Sessions B61-39B-0569 FFP-b-2t~9'T 14:24 FR01'i%P 29803111 T0:166i3960559 P.1 p.02 Tta: 5ieaaions IN PE .ION 1~E~'r` Sr'1~: D~ ~ASrt bats: FabirusrY 5, 2007 Address: 9628 Rosedgle hY B~d~ ~- Tt~e foNo~win9 rssedte for tha etawe loa8tion raprssant the Mons d the ~ whie~tf z~ns to bye Qrsser ~ the regv~hory agen4~r_ Tank Ha ~' Gepac~t 12,OOb GAttons D~rrsrteiarre 8' x S2' text titraoline CCR ~ ctaaned ao that no reei0ue rsmatns art ttfetenkw~e!(s P~ t ? (~-? Detannirre ttrst tank has ts~e tra~.vum te~sd ~ e X wAa~urn ~ S.3 9rr~hve o! ~ i~or rraR teas ttwn ata X ~~~ greeeer of a4ginal ~ o} 7896 ar lrttl~liy d7ewaid ttre ~ for dli~rnlrN~tY. X ppnp~ss9ort, bsnsion and eorr+os~vn. X Toss far thickness and herdrtt~ d the finMg kt ~ooordanor with gattprtielly teo industry Doses X Test tt-e ~inq usirtq an etectrirsit I~talydsy q1 aooor~r>ae wllh rtetiar~liy r~eoagntxsd . taatiday# +nce~ea. ist a<"d' ro-te~e~ x (d) Tarn is au~abbe i~cr oe}rdirx~ed saw for a minarr~-rh aEfiva (5) ]i'~ (s) 7erdc re ~itat~ tat oar>6~d lass for a mini ~ (51 Yttaa ~ M n !8 ret4a~, or vthd+' irnp~rownn~ m The tarn tinino is no kxeg~r suitable for~ontirs,ers ~ ~ shalt bs lotted in rtoe wlth Amide 7. This t t:a~eRS ~ ~ p10iri°~an amt aspeo~ aR the tank ltasrr~ata. TI'+a oenvston contra! aspet:ts at the tank its would t>R the d e seporats roPor't- t",oafinQ irtepe~or' Dan taw?torrt pro~gsior~ der Robert Psul Pte. 213 Alpert NHrraAr iMe1- $uibe 204 issugl~~ t~lH SiBnttittme: fbeg„bsrgd Prd~ortal trtgieeaer No. t:cer~ior+ 111 6epiration Cate: 3181lZOOB ~~ ,~ .: ,,,. + DELIMART ____________________________________________ SiteID: 015-021-001395 + Manager Location: 9628 ROSEDALE HWY City BAKERSFIELD CommCode: KCFD STA 65 EPA Numb: BusPhone: (661) 589-5640 Map 102 CommHaz Moderate Grid: 29A FacUnits: 1 AOV: SIC Code:5541 DunnBrad: Emergency Contact / Title Emergency Contact / Title GREG MEYER / OWNER DIANA MEYER / OWNER Business Phone: (661) 589-5640x Business Phone: (661) 589-5640x 24-Hour Phone (661) 332-8244x 24-Hour Phone (661) 301-5375x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact Phone: (661) 589-5640x MailAddr: 9628 ROSEDALE HWY State: CA City BAKERSFIELD Zip 93312 Owner GREG & DIANA MEYER Phone: (661) 399=9468x Address 7404 PENNY MARIE AVE State: CA City BAKERSFIELD Zip 93308 Period to Preparers Certif'd: ParcelNo: TotalASTs: = Gal TotalUSTs: = Gal RSs: No ------------------------------------------------------------------ Emergency Directives: ^n PROG A - HAZMAT a (~'' ENT PROG C - COMM HOOD, 1 JUC 17 PROG U - UST ~ / / CO06 ~~ D weed on my inquiry of those individuals responsible far obtaining the intormation, I certify under penalty of law that I have personally 5~ exerriined and am familiar with the information ~ ~\ submitted and believe the information is true, "~ ac~ rate, ., mplete. ~.. ~~ ~~o~ irna~~ Date -1- 04/03/2006 . ~~ ~~~~ UNIFIED PROGRAM INSPECTION CHECKLIST±' ~~~~ .SECTION 1: Business Plan and Inventory Program y BABERSFIELD FIRE DEPT Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION DATE NSPECTION TIME !~' ~J ~C.~l j p'Y 7 '- f ~'7y - ~ U ~ ADDRESS r7 r ~ -' ~ ~ HONE NO. O OF EMPLOYEES ~ / / C. E & J FACILITY CONTACT USINESS ID NUMBER 15-021- S®ction 1: Business Plan and Inventory Program ^ ROUTINE OMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (c=Compliance` OPERATION V=Violation / _ _ ____ COMMENTS __ __ _ __ _ __ ^ APPROPRIATE PERMIT ON HAND _ _ ^ BUSIf1QSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ,,y, [~ ^ VERIFICATION OF MSDS AVAILABILITY --- --_ _-- _--- _....___- - - ----- -- --- --- --- -------- - ---- -- -----...- ------- F ~ ~ 2 ~. 2006 ,~`. ^ VERIFICATION OF HAZ MAT TRAINING v J~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND ROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ~1~^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ^ NO EXPLAIN: - _ _ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (861) 328-3979 Z `~~ Ins or (Please Print) Fire Prevention / 1 `~ In / Shitt of Site/Station It White -Prevention Services Yellow -Station Copy Pink - Buainesa Copy FD2049 (Rev. 02/05) `~,~ ~`~ ~~~ ~ CITY OF BAKERSFIELD FIKE DEPARTMENT b~ OFFICE OF ENVIRONR'iEN1'AL SERVICES y~1 UNIFIED PROGRAM INSPECTION CHECKLIST ;W ~~ti,,!'~ 1715 Chester Ave., 3"' Floor, Bakersfield, CA 93301 FACILITY NAME ~~f % ~F1~~.7 Section 2: Underground Storage Tanks Program INSPECTION DATE~~~_ ^ Routine ~ C_ombined ^ Joint Agency ^ Mu1ti-Agency ^ Complaint ^ Re-inspection Type of Tank S~~/~-c~~7C z~>~ L~~Number of Tanks 3 Type of Monitoring _ Type of Piping ~,~~1~,~,~.~/ice OPE2ATION C V COMMENTS Proper tank data on the Proper owner,`operator data on the Permit fees current Certification of Financial Responsibility Monitoring record adequate and current ~ ~ L(J Maintenance records adequate and current is G .~ S ~ 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 OPERAT[ON Y N COMMENTS SPCC available SPCC on the with OES Adequate secondary protection Proper tank placarding/labeling fs tank used to dispense MVF? If yes, Does tank have overtillloverspill protection'? C=Compliance V=Violation Y=Yes N=NO Inspector: ~~ddJ ~~~z,>~-- ~~~ Office of Environmental Services (661) 326-3979 1~l'hitc -Inv. Svcs. Pink -Business Ci~ry i~~ ~.1 + DELIMART ____________________________________________ SiteID: 015-021-001395 + Manager Location: 9628 ROSEDALE HWY City BAKERSFIELD BusPhone: (661) 589-5640 Map 102 CommHaz Moderate Grid: 29A FacUnits: 1 AOV: CommCode: KCFD STA 65 EPA Numb: SIC Code:5541 DunnBrad: Emergency Contact / Title Emergency Contact / Title GREG MEYER / OWNER DIANA MEYER / OWNER Business Phone: (661) 589-5640x Business Phone: (661) 589-5640x 24-Hour Phone (661) 332-8244x 24-Hour Phone (661) 301-5375x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact Phone: (661) 589~5640x MailAddr: 9628 ROSEDALE HWY State: CA City BAKERSFIELD Zip 93312 Owner GREG & DIANA MEYER Phone: (661) 399-9468x Address 7404 PENNY MARIE AVE State: CA City BAKERSFIELD Zip 93308 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT PROD C - COMM HOOD PROG U - UST ~?sed nn my inquiry of those individuals espansiiale for obtaining the information, I certify lndor penalty of law that I have personally s~amined and am familiar with the information ;ubmilted and believe the information is true, ~y~~ ENT A ~R 2 p Zoos -1- 04/03/2006 DELIMART Manager ~ i I~~~' ~ (~~ ~~~ Location: 9628 ROSEDALE HWY City BAKERSFIELD CommCode: KCFD STA 65 EPA Numb: SiteID: 015-021-00139 BusPhone: (661) 589-5640 Map.: 102 CommHaz Moderate Grid: 20C FacUnits: 1 AOV: SIC Code:5541 DunnBrad: Emergency Contact / Title Emergency Contact j Title GREG MEYER / OWNER DIANA MEYER / OWNER Business Phone: (661) 589-5640x Business Phone: (661) 589-5640x 24-Hour Phone (661) 332-8244x 24-Hour Phone (661) 301-5375x Pager Phone (661) 399-9468x Pager Phone (661) 399-9468x Hazmat Hazards: Fire ImmHlth DelHltli p ~~tt Contact ~1~1~~" ~ ~~~ m~~ Phone: (661) 589-5640x MailAddr: 9628 ROSEDALE HWY State: CA City BAKERSFIELD Zip 93312 Owner GREG & DIANA MEYER Phone: (661) 399-9468x Address 74 04 PENNY MARIE AVE State : CA vY 30 f -~37~ City BAKERSFIELD Zip 93308 Period to TotalASTs: = Coal Preparers TotalUSTs: = dal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD PROG U - UST Based on my inquiry of these individuals responsible for obtaining the information, I certify under penalty of law that I have personally ENT'D E E ~ 2 ~ ~7 ~QQ examined and am familiar with the information / submitted and believe the information is true, ac irate, and complete. y~ nature Q to i g -1- Ol/30/2b07 fl 1 F DELIMART Last Action Type: SiteID: 015-021-00139 ~ STORAGE CONTAINER DATA (UST FORM A) FACILITY/SITE INFORMATION Business Name: DELIMART Cross Street Business Type: Org Type: Total Tanks 3 IndnRes/Trust: No PA Contact: Dsg Own/Oper BRETT A TACKET ICC Nbr: 5243805-UC PROP OWNER INFORMATION ERTY Name DIANA MEYER Phone: (661) 589-5640x Address: City State: Zip: Type INDIVIDUAL TANK OWNER INFORMATION Name DIANA MEYER~Lt~1~9y ~ ~eyerL Phone : ( 6 61) 5 8 9 - 5 64 0x Address: City State: Zip: Type CORPORATION BOE UST Fee# 006334 Financ'1 Resp: Legal Notif Date:10/01/1997 Phone: (131) 6 - x Name:DIANA MEYER Tt1:PRESIDENT/MGR State UST # 1998 Upg Cert#: 00847 -2- O1/30/~007 ;~ ; F DELIMART SiteID: 015-021-00139 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Sits ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit 1~ICP PREMIUM UNLEADED F IH DH L 12000.00 GAL 1~'fod REGULAR UNLEADED F IH L 12000.00 GAL ~Ibd DIESEL F IH L 12000.00 GAL how MOTOR OIL F DH L 60.00 GAL 1~+in -3- 01/30/2007 -4- 01/30/2007 F DELIMART SiteID: 015-021-00135 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at SitE? ~ COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED ~ Days On Sits 365 Location within this Facility Unit Map: Grid: UST S OF BLDG CAS# 8006-61-9 STATE TYPE ~ PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture I Ambient ~ Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest 12000100rGAL Dai112000100m GAL I Daily1200r00e GAL tiHGHKLVU~ winrVlv~tvl~ °sWt. RS CAS# 100.00 Gasoline No 8006019 t11~GHKL 1~J5~SJ1~1.C;1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mad ~ Inventory Item 0002 Facility Unit: Fixed Containers at Sits ~ COMMON NAME / CHEMICAL NAME REGULAR UNLEADED Days On Site 365 Location within this Facility Unit Map: Grid: UST S OF BLDG CAS# 8006-61-9 ............. STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~Ambient ~ Ambient ~-~ER GROUND TANK. AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 2500.00 GAL ns3atitcLVU~ ~:Vi~irvlvr,lvl~ °sWt . RS CAS# 100.00 Gasoline No 8006019 riEiGtiICL EiS~~J.71~1r,1V1D TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Mt~d =5- ~ 01/30/2007 F DELIMART SiteID: 015-021-001335 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME DIESEL Days On Site 365 Location within this Facility Unit Map: Grid: UST S OF BLDG CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 2000.00 GAS nr~c,s~rclivua ~uinrviv~ivla sWt. RS CAS# 100.00 Fuel Oil No. 1 No 70892]:03 ntiarucl~ t~ JJaJJrialviJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F IH / / / La~'v ~ Inventory Item 0004 Facility Unit: Fixed Containers at Sits ~ COMMON NAME / CHEMICAL NAME ""- MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: N AISLE RETAIL DISPLAY CAS# 802035 Liquid TMixture~ Ambient~E ~ AmbientT~E ~ PLASTICTCONTAINERE ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 1.00 GAL 60.00 GAL 20.00 GAL ric-~c.~rucl~VVJ l.Vl•lrV1VIJ1VIJ %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 T T T A T TI T T A A T1 lT /l1~ llTI1TT II i11iL~liiCL 1'i JJL' JJl•1LilV 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F DH / / / Miz -6- Ol/30/~007 ii ,~ F DELIMART SiteID: 015-021-001355 ~ Fast Forme ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 08/16/1955 ~ AS WE ARE A CONVENIENCE STORE WITH GAS, WE WOULD NOT HAVE AN EXPANSIVE PLAN TO EVACUATE. TELLING THE CUSTOMERS THAT WE HAVE AN EMERGENCY SITUATION AN1'7 TO EXIT. THIS CAN EASILY BE ACCOMPLISHED WHILE DIALING THE FIRE DEPARTMENT: Employee Notif./Evacuation 07/30/1955 TRAINED. Public Notif./Evacuation USING PA SYSTEM. 07/30/1955 Emergency Medical Plan 10/08/1957 911 AND DIAL DIRECT TO ROSEDALE STATION. -7- 01/30/2007 F DELIMART SiteID: 015-021-0013J5 ~ Fast Form~:t ~ ~ Mitigation/Prevent/Abatemt Overall Sits ~ ~ Release Prevention 07/17/2005 ~ OUR FACILITY DOES NOT HAVE LARGE QUANTITIES OF HAZARDOUS MATERIALS, IN FACT' INSIDE THE FACILITY WE ONLY HAVE CLEANING PRODUCTS, OIL AND OTHER CARE PRODUCTS, BATTERIES ALL ONLY BASIC CONVENIENCE STORE PACKAGES. OUTSIDE, WE STORE GASOLINE IN THREE 12,000-GALLON TANKS. THE ONLY TIME THERE WOULD BE ~, PROBLEM WITH SPILLAGE WOULD BE AT DELIVERY. IN THAT CASE, WE WOULD CALL T~I~ ROSEDALE-FIRE STATION, ONE BLOCK EAST OF OUR STORE. A HAZARDOUS WASTE TEAM WOULD HAVE TO COME OUT FOR THIS KIND OF CLEAN-UP. ANY TANK LEAKAGE PROBLEI~'t WOULD BE CAUGHT EARLY DUE TO OUR DAILY INVENTORY WORK REQUIRED BY THE KERN COUNTY HEALTH DEPT. LOST PRODUCT MUST BE REPORTED TO THE EPA. Release Containment 04/03/2005 FLOW OF SPILL WILL BE STOPPED BY FUEL SHUT-OFF OR QUAKE VALVE. Clean Up 10/08/1987 WE USE KITTY LITTER TO ABSORB SPILL AND PLASTIC BAG CONTAMINATION. Other Resource Activation 04/20/2005 CALL FIRE DEPT IF THE RELEASE IS LARGE. -8- O1/30/~007 F F DELIMART SiteID: 015-021-001395 ~ Fast Format ~ ~ Site Emergency Factors Overall Sits ~ Special Hazards Utility Shut-Offs Ol/30/20d7 A) ELECTRICAL - CAGE N OUTSIDE WALL B) SPECIAL - FUEL BREAKERS IN BREAKER BOX BEH FRONT COUNTER C) LOCK BOX - NO Fire Protec./Avail. Water O1/30/20d7 PRIVATE FIRE PROTECTION - IN-STORE SPRINKLER SYSTEM, AUDIO FIRE ALARM, AND 3 FIRE EXTINGUISHERS. DELI AREA HAS ANSUL FIRE PROTECTION DEVICE BUILT IN TCJ GRILL HOOD. NEAREST FIRE HYDRANT - 20FT FROM GAS TANKS/PUMPS, ON ROSEDALE HWY SIDE. WATER LINE IN SAME PLACE. FIRE DEPT SPRINKLER VALVE E SIDE OF BLDG NEAR REAR. BLDG WATER VALVE W SIDE NEAR REAR. rsuliuing occupancy Level /~o ~- -9- 01/30/2007 ;, F DELIMART SiteID: 015-021-001395 ~ Fast Forman ~ ~ Training Overall Site ~ Employee Training 04/03/20tl5 BRIEF SUMMARY OF TRAINING PROGRAM: EXTENSIVE SAFETY MEETINGS. NEW EMPLOYEES REQUIRED TO BECOME FAMILIAR WITH OUR SAFETY BINDER. rays a iac.iu ivi L' u~.utc vcc 17C 111 1Vi. tUI~ULC UDC -10- 01/30/2007 BARERSFIELD FIRE DEPT >~ -- to Prevention Services UNIFIED~PROGRAM INSPECTION CHECKLIST ~~~~ 9ooTruxtunAve., Suite 210 ,~x,,. ~~,:~U..~,..:.., : .: :: ~ ~ :,,:~,_.,.. ..., ,~-.:. - ..,:: _:.; ... ~Rrr Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ~ Tel.: (661) 326-3979 ~~t~j~ Fax: (661) 872-2171 ~~`"' FACILITY ME NSP CTIO DATE NSPECTION TIME ADDRESS HO E N O OF EMPLOYEES s ~ ~6 ~f0 FACILITY CONTACT USINESS ID NUMBER 15-021- 14 ~~ Section 1: Business Plan and Inventory Program V ------------ ^ ROUTINE (~~MB~INED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ~f ^ BUSlflt?SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ENT'D ,~ ~~ ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES B~^ EMERGENCY PROCEDURES ADEQUATE O CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^- FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITES EXPLAIN: - _ INSPECTION? PLEASE CALL US AT (881) 328-3979 ^ YES ^ NO (Please Print) Fire Prevention / t" In /Shift of Sfte/Station H t. White -Prevention Services Yellow - Station Copy Pink =Business Copy FD2049 (Rev. 02105) .t ~° a.LD ~~ ~~~fw4~' ``~~~` CITY OF BAKERSFIELD FIRE DEPARTMENT ~d ~ ~ ~~ OFFICE OF ENVIRONMENTAL SERVICES ~~" .y~~ UNIFIED PROGRAM INSPECTION CHECKLIST \~_w ~gti,0'~~ 1715 Chester Ave., 3rd Ftoor, Bakersfield, CA 93301 ~.~~~i FACILITY NAME) ~ I - NitFl ~ f ~ INSPECTION DATE ~Z Z Section 2: Underground Storage Tanks Program ^ Routine ~bined ^ Joint Agency ^MultrAgency ~^ Complaint ^ Re-inspection Type of Tank ~ Number of Tanks Type of Monitoring 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 Type of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available ,_. SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance =Violation =Yes N=NO Inspector: Office of Environmental Services (805) 326-3979 White -I=nv. Svcs. usiness Site Respon e Party Pink -Business Copy L ._ ~. ••1 DELIMART SiteID: 015-021-001395 Manager GREG & DIANA MEYER Location: 9628 ROSEDALE HWY City BAKERSFIELD BusPhone: (661) 589-5640 Map 102 CommHaz Moderate Grid: 20C FacUnits: 1 AOV: CommCode: KCFD STA 65 EPA Numb: SIC Code:5541 DunnBrad: Emergency Contact / Title Emergency Contact / Title GREG MEYER / OWNER DIANA MEYER / OWNER Business Phone: (661) 589-5640x Business Phone: (661) 589-5640x 24-Hour Phone (661) 332-8244x 24-Hour Phone (661) 301-5375x Pager Phone (661) 301-5375x Pager Phone (661) 399-9468x Hazmat Hazards: Fire ImmHlth DelHlth Contact GREG & DIANA MEYER Phone: (661) 589-5640x MailAddr: 9628 ROSEDALE HWY State: CA City BAKERSFIELD Zip 93312 Owner GREG & DIANA MEYER Phone: (661) 399-9468x Address 7404 PENNY MARIE AVE State: CA City BAKERSFIELD Zip 93308 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD PROG U - UST -- __ ~ -~-~__-- - _-- __~-__ _~._,_- - . -- _ - ENT'D OAT ~ ~ 2Q07 used on my inquiry of those individuals responsible for obtaining the information, i certify under penalty of law that I have personally examined and am fiamiliar with the information submitted and believe the information is true, _ ` cu r complete. ~~ /~ S~griat~ ~ e Da+ -1- 10/12/2007 •~ F DELIMART Last Action Type: SiteID: 015-021-001395 ~ STORAGE CONTAINER DATA (UST FORM A) FACILITY/SITE INFORMATION Business Name: DELIMART Cross Street Type CORPORATION Business Type: Org Type: Total Tanks 3 IndnRes/Trust: No PA Contact: Dsg Own/Oper BRETT A TACKET ICC Nbr: 5243805-UC PROPERTY OWNER INFORMATION Name DIANA MEYER Phone: (661) 589-5640x Address: City State: Zip: Type CORPORATION TANK OWNER INFORMATION Name DIANA MEYER Phone: (661) 589-5640x Address: City State: "Zip: BOE UST Fee# 006334 Financ'1 Resp: Legal Notif Date:10/O1/1997 Phone: (613) 1 - x Name:DIANA MEYER Ttl:PRESIDENT/MGR State UST ## 1998 Upg Cert#: 00847 -2- 10/12/2007 z F DELIMART SiteID: 015-021-001395 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PREMIUM UNLEADED F IH DH L 12000.00 GAL Mod REGULAR UNLEADED F IH L 12000.00 GAL Mod DIESEL F IH L 12000.00 GAL Low MOTOR OIL F DH L 60.00 GAL Min -3- 10/12/2007 _4_ 10/12/2007 Y F DELIMART SiteID: 015-021-001395 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED Days On Site 365 Location within this Facility Unit Map: Grid: UST S OF BLDG CAS# 8006-61-9 STATE T TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid L Mixture AmbientAmbient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum - I Daily Average 12000.00 GAL 12000.00 GAL 1200.00 GAL %Wt. 100.00 Gasoline RSI CAS# No 8006619 t1L-~Gl~tCL HJ JJ;J.71~1r,1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME REGULAR UNLEADED Days On Site 365 Location within this Facility Unit Map: Grid: UST S OF BLDG CAS# 8006-61-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixtur=mbient ~ Ambient _~ER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 2500.00 GAL ru~c~ritcLVUa ~.ul~irulv.c~ly1~ %Wt. RS CAS# 100.00 Gasoline No 8006619 t1HGHKL AJ 7~.7.71~1L" 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Mod HAZARDOUS_COMPONENTS = -5- 10/12/2007 {' "} F DELIMART ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME DIESEL Location within this Facility Unit UST S OF BLDG Days On Site 365 Map: Grid: CAS# Liquid TMixture ~ AmbRent~E ~ AmbientT~E -~ER GROIINDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 2000.00 GAL t1EiL,H1CLVU5 1,V1~lYV1VI;1V l:i -- ~ - %Wt . , - - l --- - - - - RS CAS# 100.00 Fuel Oil No. 1 No 70892103 ru~~Htu~ r~,aa~~~ri~ivl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Low ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: N AISLE RETAIL DISPLAY CAS# 8020835 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 60.00 GAL 20.00 GAL titiGtitCLVUa LV1~lYV1VtS1V1J oWt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 riHGa'~t<1J 1-~.7.7L" JiJ1~1L"1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min SiteID: 015-021-001395 ~ Facility Unit: Fixed Containers at Site ~ -6- 10/12/2007 r F DELIMART SiteID: 015-021-001395 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 08/16/1996 ~ AS WE ARE A CONVENIENCE STORE WITH GAS, WE WOULD NOT HAVE AN EXPANSIVE PLAN TO EVACUATE. TELLING THE CUSTOMERS THAT WE HAVE AN EMERGENCY SITUATION AND TO EXIT. THIS CAN EASILY BE ACCOMPLISHED WHILE DIALING THE FIRE DEPARTMENT. Employee- Notif . /Evacuation ,~___ _ _,_ __ __ ~ _ 07/30/1999 TRAINED. Public Notif./Evacuation USING PA SYSTEM. 07/30/1999 Emergency Medical Plan 911 AND DIAL DIRECT TO ROSEDALE STATION. 10/08/1997 -7- 10/12/2007 F DELIMART SiteID: 015-021-001395 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 07/17/2006 ~ OUR FACILITY DOES NOT HAVE LARGE QUANTITIES OF HAZARDOUS MATERIALS, IN FACT INSIDE THE FACILITY WE ONLY HAVE CLEANING PRODUCTS, OIL AND OTHER CARE PRODUCTS, BATTERIES ALL ONLY BASIC CONVENIENCE STORE PACKAGES. OUTSIDE, WE STORE GASOLINE IN THREE 12,000-GALLON TANKS. THE ONLY TIME THERE WOULD BE A PROBLEM WITH SPILLAGE WOULD BE AT DELIVERY. IN THAT CASE, WE WOULD CALL THE ROSEDALE FIRE STATION, ONE BLOCK EAST OF OUR STORE. A HAZARDOUS WASTE TEAM WOULD HAVE TO COME OUT FOR THIS KIND OF CLEAN-UP. ANY TANK LEAKAGE PROBLEM WOULD BE CAUGHT EARLY DUE TO OUR DAILY INVENTORY WORK REQUIRED BY THE KERN COUNTY HEALTH DEPT. LOST PRODUCT MUST BE REPORTED TO THE EPA. Release Containment ___`_ _ y___~~ _ 04/03/2006 FLOW OF SPILL WILL BE STOPPED BY FUEL SHUT-OFF OR QUAKE VALVE. Clean Up 10/08/1997 WE USE KITTY LITTER TO ABSORB SPILL AND PLASTIC BAG CONTAMINATION. Other Resource Activation 04/20/2006 CALL FIRE DEPT IF THE RELEASE IS LARGE. -8- 10/12/2007 P DELIMART SiteID: 015-021-001395 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~1JCC:1d1 RdGdlU.~.- Utility -Shut-Offs ___ ~,~__ _~~ _ 08/31/2007 ELECTRICAL - CAGE N OUTSIDE WALL SPECIAL - FUEL BREAKERS IN BREAKER BOX BEH FRONT COUNTER Fire Protec./Avail. Water 01/30/2007 PRIVATE FIRE PROTECTION - IN-STORE SPRINKLER SYSTEM, AUDIO FIRE ALARM, AND 3 FIRE EXTINGUISHERS. DELI AREA HAS ANSUL FIRE PROTECTION DEVICE BUILT IN TO GRILL HOOD. NEAREST FIRE HYDRANT - 20FT FROM GAS TANKS/PUMPS, ON ROSEDALE HWY SIDE. WATER LINE IN SAME PLACE. FIRE DEPT SPRINKLER VALVE E SIDE OF BLDG NEAR REAR. BLDG WATER VALVE W SIDE NEAR REAR. Building Occupancy Level 02/27/2007 150 -9- 10/12/2007 F DELIMART SiteID: 015-021-001395 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 04/03/2006 ~ BRIEF SUMMARY OF TRAINING PROGRAM: EXTENSIVE SAFETY MEETINGS. NEW EMPLOYEES REQUIRED TO BECOME FAMILIAR WITH OUR SAFETY BINDER. Page z Held for Future Use Held for Future Use -10- 10/12/2007