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HomeMy WebLinkAboutBUSINESS PLAN (2)~ ° ~~ FLEET CARD FUELS f ~~ '~~b30 SCHIl2RA COURT - , .~ .. l 3~~ ~~. 9 ~ ~ ~~~~a~ • 1 ~s ~ ~ ~ ~ ~' ~., r, ~~, ~~. S£P g 2003 G~r,~ i i + FLEET CARD FUELS 55 _________________________________ SiteID: 015-021-001348 + Manager BusPhone: (661) 589-5772 Location: 7030 SCHIRRA CT Map 123 CommHaz Moderate City BAKERSFIELD Grid: 16D FacUnits: 1 AOV: CommCode: BFD STA 09 SIC Code: EPA Numb: DunnBrad: G ° I em{ Emergency Contact / Title ~~ Emergency Contact / Title - ~al.n t}~aveh5}`" / ,., ~4gAo~tr HIGHT / DIR RETAIL SALE Business Phone: (661) x ~~,1 Uwtle~ Business Phone: (661) 321-9961x 24-Hour Phone (661) lx 24-Hour Phone (661) 9'00-2214x Pager Phone ( ) 3Z?'g3~~ Pager Phone ( ) - x +--------------=----------971 =°-~~?-----+ ----------------- ---------------------+ Hazmat Hazards: Fire ImmHlth DelHlth Contact Phone: (661) 321-9961x MailAddr: PO BOX 81685 State: CA City BAKERSFIELD Zip 93380 Owner FLEET CARD FUELS Phone: (661) 321-9961x Address PO BOX 81685 State: CA City BAKERSFIELD Zip 93380 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law tha4 I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. `, ~, ~ /~ %~ ature Date ENT°D ~, pR 17 2006 -1- 03/22/2006 ~~b [ - .Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST >, , F R $ r , 0 900Truxtun Ave., suite 210 _ - F~~E Bakersfield; CA 93301 SECTION 1: Business Plan and Inventory Program ° aRtM Tel-.:- (661) 326-3979 _ _ - ~ Fax: (661) 872-2171 FACILITY NAME- / ~^ 5 INSP CTION ATE INSPECTION TIME ADDRESS PHO ENO. NO OF EMPLOYEES ~ - - FACILITY CONTACT BUSINESS ID NUMBER / ~ Ce.. ~~ (~ ~i(l 15-021- 1 ~~[ O _ - - -- - --- - - - Section 1: Business Plan and Inventory Program - - ~ / - - - - - -" LV/ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ~, / LW ^ APPROPRIATE PERMIT ON HAND - m~^ BUSIr1eSS PLAN CONTACT INFORMATION ACCURATE L~ ^ VISIBLE ADDRESS is/^ CORRECT OCCUPANCY ~4JV/ 0~ ^ VERIFICATION OF INVENTORY MATERIALS I~l~^ VERIFICATION OF QUANTITIES - L St/ ^ VERIFICATION OF LOCATION ~ / (S.I/ ^ PROPER SEGREGATION OF MATERIAL ~^ VERIFICATION OF MSDS AVAILABILITY ~^ VERIFICATION OF HAZ MAT TRAINING ^ -VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ~,~, / try ^ FIRE PROTECTION ~~ r ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ^ NO EXPLAIN: /~ QU INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (f~lease Print) Fire Preve~on / 1" In /Shift of Site/Station # - - ~ ~ White -Prevention Services Yellow -Station Copy Bus( eSS S~ Re/ s Bible Party (Please Print) - Pink -Business Copy - - FD 2155 (Rev. 09/05 ~~nl FLEET CARD/~F~UELS 55 SiteID: 015-021-001348 Manager.: lacy C~?~-P~~-.n ' BusPhone: (661) 589-5772 Location: 7030 SCHIRRA CT Map 123 CommHaz Moderate City BAKERSFIELD Grid: 16D FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title JOHN HAVE RSTOCK / GEN MGR CAL VLY BERK HIGHT / DIR RETAIL SALE Business Phone: (661) 327-9341x Business Phone: (661) 321-9961x 24-Hour Phone (661) 979-0947x 24-Hour Phone (661) 900-2214x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact JOHN HAVERSTOCK Phone: (661) 321-9961x MailAddr: PO BOX 81685 State: CA City BAKERSFIELD Zip 93380 Owner FLEET CARD FUELS Phone: (661) 321-9961x Address PO BOX 81685 State: CA City BAKERSFIELD Zip 93380 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif~d: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~M ~ Q ~ PROG T - ABOVEGROUND STORAGE TANK ~ ~N~'D A R~ ~ ~ ~.~~~ Based on my inquiry of those individuals responsible for obtaining the information, I certify under pen ': of law that I have personally ' exam ne and m familiar with the information sub. i t a believe the information is true , accur , a c plete. ~. ~- r ~~ Signatur Date i -1- 04/24/2007 F FLEET CARD FUELS 55 Last Action Type: SiteID: 015-021-001348 ~ STORAGE CONTAINER DATA (UST FORM A) FACILITY/SITE INFORMATION Business Name: FLEET CARD FUELS 55 Cross Street Business Type: Org Type: Total Tanks 3 IndnRes/Trust: No PA Contact: Dsg Own/Oper PROPERTY OWNER INFORMATION Name - T ~~ ~~~j~ ~u~~ Phone Address: City State: Zip: Type CORPORATION (661) 321-9961x TANK OWNER INFORMATION Name ~- J C~~ ~~E~ Phone: (661) 321-9961x Address: City State: Zip: Type BOE UST Fee# : UNKNOWN Financ'1 Resp: STATE FUND Legal Notif Date: Phone: (1 ) - x Name: Ttl: State UST # - 1998 Upg Cert#: 00713 ICC Nbr: -2- 04/24/2007 F FLEET CARD FUELS 55 SiteID: 015-021-001348 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP REGULAR UNLEADED F IH DH L 13500.00 GAL Mod PREMIUM UNLEADED F IH DH L 13500.00 GAL MOd DIESEL FUEL F IH DH L 13500.00 GAL Low -3- 04/24/2007 -4- 04/24/2007 F FLEET CARD FUELS 55 ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME REGULAR UNLEADED Location within this Facility Unit BELOW GRADE VAULT STATE TYPE PRESSURE Liquid TMixture ~ Ambient SiteID: 015-021-001348 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8006-61-9 TEMPERATURE CONTAINER TYPE Ambient ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 15000.00 GAL 13500.00 GAL 2333.00 GAL riA7,1-1tt1JV U 7 1:V1~lYV1V L' 1V 1 J owt. Rs CAS# 100.00 Gasoline No 8006619 t1AGHtC1J .°.J J1' JJl~lt'~1V 1_J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED Days On Site 365 Location within this Facility Unit Map: Grid: BELOW GRADE VAULT CAS# 8006-61-9 Liquid TMixture ~AmbRent~E ~ AmbientT~E I UNDEROGROUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 15000.00 GAL 13500.00 GAL 533.00 GAL HAZARDOUS CGl~lrvlv~ly 1 J $Wt. RS CAS# 100.00 Gasoline No 8006619 11HGt~t'C1J Ha 7.7 L' .7.71"1P~1V 1 b TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -5- 04/24/2007 F FLEET CARD FUELS 55 SiteID: 015-021-001348 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DIESEL FUEL Days On Site 365 Location within this Facility Unit Map: Grid: BELOW GRADE VAULT CAS# 68476-34-6 STATE Liquid TYPE PRESSURE TMixture ~mbient ~ TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 15000.00 GAL 13500.00 GAL 2432.00 GAL - r1r~~.~ucLUU~ wlnrvlv~lv~t~5 %Wt. RS CAS# 100.00 Diesel Fuel No. 1 No 70892103 t1HGHKL L~~ 5t;5~1~1L'1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -6- 04/24/2007 F FLEET CARD FUELS 55 SiteID: 015-021-001348 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 04/17/2006 ~ CALL 911, BAKERSFIELD FIRE DEPT. Employee Notif./Evacuation 11/27/2000 ALL CARDLOCK USERS ARE INSTRUCTED IN EMERGENCY PROCEDURES. THE PROCEDURE IS TO TURN THE EMERGENCY SWITCH OFF AND GO TO THE PAY TELEPHONE AND DIAL 911 AND ADVISE EMERGENCY PERSONNEL OF THE SITUATION. THERE ARE THREE EXITS FOR EASY EVACUATION. _ , ,,, r LLAJ111. 1YV V11 ~ l~ V0.1.. (.L0. L1V11 Emergency Medical Plan LOCAL URGENT CARE AND EMERGENCY FACILITIES. 11/27/2000 -7- 04/24/2007 F FLEET CARD FUELS 55 SiteID: 015-021-001348 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/17/2006 ~ ALL DISPENSER PUMPS ARE EQUIPPED WITH AUTOMATIC FILL SHUT-OFF NOZZLES. ALL DISPENSERS ARE EQUIPPED WITH IMPACT SHEAR VALVES IN THE EVENT OF EARTHQUAKE OR IF DISPENSER IS ACCIDENTLLY HIT. ALL DISPENSER HOSES ARE EQUIPPED WITH BREAKAWAY FITTINGS WHICH WILL STOP FLOW IN THE EVENT CUSTOMER FORGETS TO REMOVE NOZZLE FROM FUEL TANK BEFORE DRIVING AWAY. ALL DISPENSER SUMPS ARE EQUIPPED WITH POSITIVE SHUT-DOWN SENSORS. EACH VAULT IS EQUIPPED WITH BOTH VAPOR AND LIQUID SENSORS TO ENSURE POSITIVE SHUT-DOWN IN THE EVENT OF A LEAK. SITE FAX REMOTE ALERT WILL PAGE AUTHROIAZED PERSONNEL IN CASE OF ALARM. Release Containment 11/27/2000 UNDERGROUND STORAGE TANKS. Clean Up 04/17/2006 SMALL SPILLS WILL BE ABSORBED AND DISPOSED OF. LARGE SPILLS WILL REQUIRE A LOAD OF SAND FOR CONTAINMENT AND ABSORBTION. v~iici ncavut~c t-~~~.1vat,ivll -8- 04/24/2007 .! F FLEET CARD FUELS 55 SiteID: 015-021-001348 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards Utility Shut-Offs 11/17/2006 A) GAS - NONE B) ELECTRICAL - INSIDE BLDG C) WATER - DRIVEWAY NEAR DMV LOT. D) SPECIAL - EMER POWER SHUT-OFF ON BLDG NEAR DOOR E) LOCK BOX - NO Fire Protec./Avail. Water 01/31/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER ON ISLAND AND ON BLDG. FIRE HYDRANT - AT EACH DRIVEWAY ENTR ON SCHIRRA CT. Building Occupancy Level 03/22/2006 L:TNMANNED SITE -9- 04/24/2007 c. F FLEET CARD FUELS 55 SiteID: 015-021-001348 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11/17/2006 ~ MSDS SHEETS ON FILE IN THE OFFICE. Page 2' Held for Future Use i ncl.u ~ Lv.[. r u~.uic vac I -10- 04/24/2007 ~S~ FLEET CARD FUELS 55 Manager GARY CHAPMAN Location: 7030 SCHIRRA CT City BAKERSFIELD CommCode: BFD STA 09 EPA Numb: BusPhone: Map 123 Grid: 16D SIC Code: DunnBrad: SiteID: 015-021-001348 (661) 589-5772 CommHaz Moderate FacUnits: 1 AOV: o c ~~. Emergency Contact / Title r Emergency Conta t / Title JOHN HAVERSTOCK / GEN MGR CAL VLY ~~/ Business Phone: (661) 327-9341x Business Phone: (661) 321-9961x ld~@ 24-Hour Phone (661) 979-0947x 24-Hour Phone (661) 900-2214x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact JOHN HAVERSTOCK Phone: (661) "-~-~~ln MailAddr: PO BOX 81685 State: CA City BAKERSFIELD Zip 93380 Owner FLEET CARD FUELS Phone: (661) 321-9961x Address PO BOX 81685 State: CA City BAKERSFIELD Zip 93380 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK F3ased on my inquiry of those individuais responsible for obtaining the information, I certify under penalty of lavtit that I have personally ®x ', erg and am familiar with the information s b ittE d and believe the information is true, a rat ,and complete. ~ ~,~ ~ /~~ ~ not ~ Date EN~'~ -1- 07/11/2007 F FLEET CARD FUELS 55 Last Action Type: SiteID: 015-021-001348 ~ STORAGE CONTAINER DATA (UST FORM A) FACILITY/SITE INFORMATION Business Name: FLEET CARD FUELS 55 Cross Street Business Type: Org Type: Total Tanks 3 IndnRes/Trust: No PA Contact: Dsg Own/Oper ICC Nbr: PROPERTY OWNER INFORMATION Name F1 ec k ~~~ ~vel S Phone : ( 6 61) 3 21- 9 9 61x Address: 42UO R~KcK o~eng C31~d, City $~ke~s~;~1c1.~ ~ State: e~ Zip: Q33o8 Type CORPORATION TANK OWNER INFORMATION Name ~lee~- G~.~tC-v.c~s Phone: (661) 321-9961x Address: y2oo ANC/C awes 61vc1 City Pj~ke~s~;olc~ State : C'Y~ Zip : 9 3 ~ ~ ~' Type ~ or poss. }~ o n BOE UST Fee# UNKNOWN FinanC'1 Resp: STATE FUND Legal Notif Date: Phone: ( 1 } - x Name: Ttl: State US T # 1998 Upg Cert#: 00713 -2- 07/11/2007 F FLEET CARD FUELS 55 ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-001348 ~ By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP REGULAR UNLEADED F IH DH L 13500.00 GAL Mod PREMIUM UNLEADED F IH DH L 13500.00 GAL Mod DIESEL FUEL F IH DH L 13500.00 GAL Low -3- 07/11/2007 -4- 07/11/2007 Y 'i F FLEET CARD FUELS 55 SiteID: 015-021-001348 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME REGULAR UNLEADED Days On Site 365 Location within this Facility Unit Map: Grid: BELOW GRADE VAULT CAS# 8006-61-9 Liquid TMixtur~mbient~E ~ AmbientT~E ~UNDEROGROIINDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 15000.00 GAL 13500.00 GAL 2333.00 GAL ..- rlH~t~utl.l~u~ ~vl~lrvlvl~,1v1~ %Wt. RS CAS# 100.00 Gasoline No 8006619 tiHG1~tCL AJ ~ L' ~ ~1~1L' 1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED Location within this Facility Unit BELOW GRADE VAULT STATE TYPE PRESSURE Liquid Mixture~A_mbient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8006-61-9 TEMPERATURE CONTAINER TYPE Ambient ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 15000.00 GAL 135.00.00 GAL 533.00 GAL ntiGtlttu V U 7 l.. Vl"lt' V1V P~1V 1 S %Wt. RS CAS# 100.00 Gasoline No 8006619 l1L-1G1-1iCL ri. 7.7 P~J.71"1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -5- 07/11/2007 F FLEET CARD FUELS 55 SiteID: 015-021-001348 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DIESEL FUEL Days On Site 365 Location within this Facility Unit Map: Grid: BELOW GRADE VAULT CAS# 68476-34-6 Liquid TMixture ~ AmbRent~E ~ A~PeRATURE TEROGROIINDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 15000.00 GAL 13500.00 GAL 2432.00 GAL - - HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Diesel Fuel No. 1 No 70892103 t1HGHt<L H.5 5J;551~1J;1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -6- 07/11/2007 F FLEET CARD FUELS 55 SiteID: 015-021-001348 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 04/17/2006 ~ CALL 911, BAKERSFIELD FIRE DEPT. Employee Notif./Evacuation 11/27/2000 ALL CARDLOCK USERS ARE INSTRUCTED IN EMERGENCY PROCEDURES. THE PROCEDURE IS TO TURN THE EMERGENCY SWITCH OFF AND GO TO THE PAY TELEPHONE AND DIAL 911 AND ADVISE EMERGENCY PERSONNEL OF THE SITUATION. THERE ARE THREE EXITS FOR EASY EVACUATION. ,~ tUiJ 1.1 l: 1VV 1.11. ~ ~VCLl: 11QL1Vli Emergency Medical Plan 11/27/2000 LOCAL URGENT CARE AND EMERGENCY FACILITIES. -7- 07/11/2007 F FLEET CARD FUELS 55 SiteID: 015-021-001348 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 04/17/2006 ALL DISPENSER PUMPS ARE EQUIPPED WITH AUTOMATIC FILL SHUT-OFF NOZZLES. ALL DISPENSERS ARE EQUIPPED WITH IMPACT SHEAR VALVES IN THE EVENT OF EARTHQUAKE OR IF DISPENSER IS ACCIDENTLLY HIT. ALL DISPENSER HOSES ARE EQUIPPED WITH BREAKAWAY FITTINGS WHICH WILL STOP FLOW IN THE EVENT CUSTOMER FORGETS TO REMOVE NOZZLE FROM FUEL TANK BEFORE DRIVING AWAY. ALL DISPENSER SUMPS ARE EQUIPPED WITH POSITIVE SHUT-DOWN SENSORS. EACH VAULT IS EQUIPPED WITH BOTH VAPOR AND LIQUID SENSORS TO ENSURE POSITIVE SHUT-DOWN IN THE EVENT OF A LEAK. SITE FAX REMOTE ALERT WILL PAGE AUTHROIAZED PERSONNEL IN CASE OF ALARM. Release Containment 11/27/2000 UNDERGROUND STORAGE TANKS. Clean Up 04/17/2006 SMALL SPILLS WILL BE ABSORBED AND DISPOSED OF. LARGE SPILLS WILL REQUIRE A LOAD OF SAND FOR CONTAINMENT AND ABSORBTION. V1.11CL iCC.7-Vl1Ll.:C 1"Ll:l.lVdl.1U11 -8- 07/11/2007 •1 r F FLEET CARD FUELS 55 SiteID: 015-021-001348 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~rC~:lal na~uiu~ Utility Shut-Offs ELECTRICAL - INSIDE BLDG WATER - DRIVEWAY NEAR DMV LOT SPECIAL - EMER POWER SHUT-OFF ON BLDG NEAR DOOR 04/30/2007 Fire Protec./Avail. Water 01/31/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER ON ISLAND AND ON BLDG. FIRE HYDRANT - AT EACH DRIVEWAY ENTR ON SCHIRRA CT. Building Occupancy Level 03/22/2006 UNMANNED SITE -9- 07/11/2007 ~~ ~~ -. F FLEET CARD FUELS 55 SiteID: 015-021-001348 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11/17/2006 ~ MSDS SHEETS ON FILE IN THE OFFICE. rayc c riciu tvt ru~.utC U~7C nclu tvi rUI.UIC U.7'C -10- 07/11/2007