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Home My WebLink AboutBUSINESS PLAN(` r ~~ t .~ _.~: _\ ~_. (~ ~-~~ " :.: "¡ò .. . \ NORTH t ~>.":" ., i- #--zt7 - ~.~ (CHECK ONE) II " i' II II :1 IlL, !\ \II I..~ [-1 !~ !~ '10 i;IL Ii SITE/FACILITY DIAGRAM FORM 5 SCALE :¡ '; Z5 / BUS INESS NAME: DATE: 6//7/87 FACILITY NAME: SITE DIAGRAM G4S~N-5/;v¿ ,-,N:~ ./ FLOOR: C2 :<. '........ ~ <- ~ '" fì\ UNIT #: FACILITY DIAGRAM A/INTtI .srR/~t!T --I-~----I STe:G.£'. CA~t>_( - ....- .-.,~-.- ._---.. __.___________ "~I}I ..1.>..: ~"J'I H oUS t (Inspector's Comments): - ._-~----------- -OFFICIAL USE ONLY- /1\ I I'· . .. 1 rR~-;L~~--1 HMCU-13 OF OF \ "'9.' .. :.D -9 -'T' >::: ~ G"~ ---- " .\ ..-? /-> - '1'~"", /~~ -~ <J.. .-.----~--._------- I ;- Prevention Services UNIFIED P=R~RAM INSPECTION CHECKLIST: H . E R 5 F , 0 90o Truxtun Ave., suite 210 .- -____-____ __________ -__-- . _. _~ _.- _~ `-~_ _ry _~ 9 _ .__ -FIRE Bakersfield, CA 93301 II ARTM T Tel.: (661) 326-39'79 SECTION 1: Business Plan and Invento Pro ram Fax: (661) 872-2171 . FACILITY NAME ~ INSPE TION DATE INSPECTION TIME ADDRESS ~~ O ~d1 I O~ {~~ ~ PHONE NO. NO OF EMPLOYEES 7-'f ~~~ FACILITY CONTACT BUSINESS ID NUMBER ! 15-021- `G~ /~ Section 1: Business Plan and Inventory Program ~~ ^ ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION I C V (c=compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE !~,~ l"J ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ~ ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY I ~® ^ VERIFICATION OF HAZ MAT TRAINING j i ,,,., TJ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED - ^ HOUSEKEEPING ~~ ^ FIRE PROTECTION iG3 ^ SITE DIAGRAM ADEQUATE 8 ON HAND .` ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QUESTIONS REGARDING THIS INSPECTIONQ? PLEASE CALL US AT (661) 326-3979 Inspector (Please Priht) Fire Prevention / 1~` In /Shift of Site/Station # Business Site / F White -Prevention Services - Yellow -Station Copy Pink -Business Copy ^ YES -'~ NO FD 2155 (Rev. 09/05 ~_ INSPECTIONS BUSINESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST FACILITY NAME: ~ Pis N ~ ~~ C / !~ B E R S F I®L D F/RE ARTM T Section 2: Underground Storage Tanks Program INSPECTION DATE: CL `Zr U 6 ^ Routine ® Combined ^ Joint Agency ^ Multi-Agency ~mplaint ^ Re-Inspection Type of Tank ~=+«- Ske ~I c C~ Number of Tanks Type of Monitoring Type of Piping -~~~u.a~ St,.. / L~ ~L~ OPERATION C V COMMENTS Proper tank data on file Proper owner /operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current v ~ e Maintenance records adequate and current a~ 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?) If yes, does tank have overfill I overspill protection? C =Compliance V =Violation Y =Yes N = No KBf-7335 Inspector: Questions regarding this inspection? Please call us at (661) 326-3979 White -Prevention Services BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 t~~ Business Site Responsibl Parry Pink -Business Copy FD 2156 (Rev. 09/05) ~~ i >: v =Y, _,~ + GAS-N-SAVE __________________________________________ SiteID: 015-021-001531 + Manager BusPhone: (661) 324-6016 Location: 830 UNION AVE Map 103 CommHaz Moderate City BAKERSFIELD Grid: 32A FacUnits: 1 AOV: CommCode: BFD STA 08 SIC Code:5541 EPA Numb: DunnBrad: , Emergency Contact / Title Emergency Contact / Title MANSOUR S MANSOUR / OWNER YADWINDER SINGH / Business Phone: (818) 366-0914x Business Phone: (661) 324-6016x 24-Hour Phone (661) 832-6237x 24-Hour Phone (661) 832-6237x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact Phone: (661) 324-6016x MailAddr: 830 UNION AVE State: CA City BAKERSFIELD Zip 93307 Owner Phone: (661) 324-6016x Address 830 UNION AVE State: CA City BAKERSFIELD Zip 93307 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: PROG A - HAZMAT PROG U - UST ~' f3ased on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. r ~ ~ ~ ~ ~~ Sig ature Date C1~ A ~-~~ ~5 i'°ti~~~'~ ~s 3 ,~p0 ENTQ / ~N ~~ 2~~s -1- 05/26/2006 .. -- - GAS N SAVE SiteID: 015-021-001531 Manager : Location: 830 UNION AVE City BAKERSFIELD BusPhone: Map : 103 Grid: 32A (661) 324-6016 CommHaz : UnRated FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 08 EPA Numb: SIC Code:5541 DunnBrad: Period Pre parer: Certif'd: ParcelNo: to Emergency Contact / Title YADWINDER SINGH / Business Phone: (661) 324-6016x 24-Hour Phone (661) 832-6237x Pager Phone ( ) x Fire ImmHlth DelHlth Phone: (661) 324-6016x State: CA Zip 93307 Phone: (818) 366-0914x State: CA Zip 93307 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Emergency Contact / Title MANSOUR S MANSOUR / OWNER Business Phone: (818) 366-0914x 24-Hour Phone (661) 832-6237x Pager Phone () x Hazmat Hazards: Contact : MailAddr: 830 UNION AVE City BAKERSFIELD Owner Address City MANSOUR S MANSOUR 830 UNION AVE BAKERSFIELD Emergency Directives: HJ l£tD. ~ I )Il D éØt. / J/l L . . (1\;;, 'r print name) Do hereby certIfy th~~ ~ haviS revie'weo ïhe attached haz d- . a~ JUS ma~ena's managsa ment plan torð1f,·vo.- S /J/~ . (Name of BU¡¡lnøOO) . ~~~ ,~ ~@If'j~ wd~h any corrections consti~lI~s ~ comn's~~ f51fR"" Il'" WJ J¡¡,¿¡ OOf'If®d m.a¡8ïJo ~gemsn~ plan 1~r my ff~ci!j~. ..-' .~: ¡. .. '-' ".' '·~ii:~t~:":··· ~.. .:.. ~ ,/' 5;V1þ/-( Si9118IUrø -1- 07/22/2004 e e F GAS N SAVE SiteID: 015-021-001531 9 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: GAS N SAVE Cross Street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : YADWINDER SINGH Phone: (661) 324-6016x Address: City : State: Zip: Type : TANK OWNER INFORMATION Name : YADWINDER SINGH Phone: (661) 324-6016x Address: City : State: Zip: Type : BOE UST Fee# : UNKNOWN Financ'l Resp: SELF INSURED Legal Notif : Property Owner Mailing Address Date:11/06/2000 Phone: (818) 366-0914x Name:MANSOUR S. MANSOUR Ttl:OWNER State UST # : 1998 Upg Cert#: -2- 07/22/2004 e . SiteID: 015-021-001531 9 By Facility Unit 9 Fixed Containers at Site 9 specHazEPA Hazards Frm I DailyMax IUnitlMCP F IH DH L 10000.00 GAL Mod F IH DH L 10000.00 GAL Mod F IH DH 10000.00 GAL Low F GAS N SAVE f= Hazmat Inventory f== MCP+DailyMax Order Hazmat Common Name... PREMIUM UNLEADED UNLEADED REGULAR DIESEL -3- 07/22/2004 e . F GAS N SAVE f= Inventory Item 0002 = COMMON NAME / CHEMI CAL NAME PREMIUM UNLEADED SiteID: 015-021-001531 ì Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit SE CRNR OF LOT UNDERGROUND Map: Grid: CAS# 8006619 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 10000.00 GAL %Wt. I 100.00 Gaso11ne HAZARDOUS COMPONENTS ~ CAS#a006619 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS Ag.Definedl: Ag.Defined5: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined8: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Definel0: - Ag.Definell -4- 07/22/2004 e - F GAS N SAVE SiteID: 015-021-001531 9 f= Inventory Item 0002 Facility Unit: Fixed Containers at Site 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: SE CRNR OF LOT UNDERGROUND TANK DESCRIPTION Tank ID#: 2 Mfr: UNKNOWN Installed: 03/1985 Capacity: 10000 Gals Additional Info: TANKS LINED IN 11-1999 BY TANK LINERS TANK CONTENTS Petrol Type: PREMIUM UNLEADED Cas #: Compart Tank: N No. Of Comparts: INC. Tank Use: MOTOR VEHICLE FUEL MatI Name:PREMIUM UNLEADED 8006619 TANK CONSTRUCTION Type : SINGLE WALL W/INT LINER & C.P. Material(p): BARE STEEL Material(s): BARE STEEL Lining : EPOXY LINING Corr Prot: CATHODIC PROTECTION Spill Cnt : 2000 Drop Tube : 2000 Striker Plate: 2000 . Installed: Installed: Exempt: No TANK S91 Wall: AUTOMATIC TANK GAUGING Alarm : Ball Float : Fill Tube S/O: LEAK DETECTION Dbl Wall: 2000 Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -5- 07/22/2004 e e F GAS N SAVE SiteID: 015-021-001531 9 f= Inventory Item 0002 Facility Unit: Fixed Containers at Site 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION Piping Type : Const: Mfgr : Mtl : & : Corr : Prot : UnderGround PRESSURE SINGLE WALL UNKNOWN BARE STEEL AboveGround Piping CATHODIC PROTECTION PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 04/12/2004 Date: 11/06/2000 Name:MANSOUR S. MANSOUR Prmt Number: 1531 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR w/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE TANK/LINE TEST :04/16/2004 CP CERT. :10/16/2000 MANWAY INSP. :12/22/1998 UST MONIT. CERT:04/12/2004 Ttl:OWNER Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED PASSED -6- 07/22/2004 e e SiteID: 015-021-001531 ì Facility Unit: Fixed Containers at Site ì F GAS N SAVE f= Inventory Item 0003 F= COMMON NAME / CHEMICAL NAME UNLEADED REGULAR Days On Site 365 Location within this Facility Unit SE CRNR OF LOT UNDERGROUND Map: Grid: CAS# 8006619 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 10000.00 GAL %Wt. I 100.00 Gasollne HAZARDOUS COMPONENTS ~ CAS# I 8006619 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS Ag.Defined1: Ag.Defined5: Ag.Defined8: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: - Ag.Define11 . -7- 07/22/2004 e e F GÀS N SAVE SiteID: 015-021-001531 ì f= Inventory Item 0003 Facility Unit: Fixed Containers at Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: SE CRNR OF LOT UNDERGROUND TANK DESCRIPTION Tank ID#: 3 Mfr: UNKNOWN Installed: 03/1985 Capacity: 10000 Gals Additional Info: TANKS LINED Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL MatI Name:UNLEADED REGULAR TANK CONTENTS Petrol Type: REGULAR UNLEADED Cas #: 8006619 TANK CONSTRUCTION Type : SINGLE WALL W/INT LINER & C.P. Material(p): BARE STEEL Material(s): BARE STEEL Lining : EPOXY LINING Corr Prot: CATHODIC PROTECTION Spill Cnt : 2000 Drop Tube : 2000 Striker Plate: 2000 TANK Sgl Wall: AUTOMATIC TANK GAUGING Alarm : Ball Float : Fill Tube S/O: LEAK DETECTION Dbl Wall: Installed: Installed: Exempt: No 2000 Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -8- 07/22/2004 e e F GAS N SAVE SiteID: 015-021-001531 9 f= Inventory Item 0003 Facility Unit: Fixed Containers at Site 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION Piping Type : Const: Mfgr : Mtl : & : Corr : Prot : UnderGround PRESSURE SINGLE WALL UNKNOWN BARE STEEL AboveGround Piping CATHODIC PROTECTION PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 04/12/2004 Date: 11/06/2000 Name:MANSOUR S. MANSOUR Prmt Number: 1531 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE TANK/LINE TEST :04/16/2004 CP CERT. :10/16/2000 MANWAY INSP. :11/03/2009 UST MONIT. CERT:04/12/2004 Ttl:OWNER Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED PASSED -9- 07/22/2004 '. e . 0001 CHEMICAL NAME SiteID: 015-021-001531 ì Facility Unit: Fixed Containers at Site ì F GAS N SAVE f= Inventory Item F== COMMON NAME / DIESEL Days On Site 365 Location within this Facility Unit SE CORNER OF LOT, UNDERGROUND Map: Grid: CAS# r= STATE =r=MI~~~r~ PRESSURE ===r TEMPERATURE ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum 10000.00 GAL 10000.00 GAL CONTAINER TYPE UNDER GROUND TANK Daily Average 10000.00 GAL %Wt. RS CAS# 100.00 Fuel Oil No. 1 No 70892103 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -10- 07/22/2004 r. e e F GAS N SAVE SiteID: 015-021-001531 9 f= Inventory Item 0001 Facility Unit: Fixed Containers at Site 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: SE CORNER OF LOT, UNDERGROUND TANK DESCRIPTION Tank ID#: 1 Mfr: UNKNOWN Installed: 06/1985 Capacity: 10000 Gals Additional Info: TANKS LINED IN 11-1999 TANK LINERS INC. TANK CONTENTS Petrol Type: LEADED Cas #: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL MatI Name:DIESEL TANK CONSTRUCTION Type : SINGLE WALL W/INT LINER & C.P. Material(p): BARE STEEL Material(s): BARE STEEL Lining : EPOXY LINING Corr Prot: CATHODIC PROTECTION Spill Cnt : 2000 Drop Tube : 2000 Striker Plate: 2000 TANK Sgl Wall: AUTOMATIC TANK GAUGING Alarm : Ball Float : Fill Tube S/O: LEAK DETECTION Dbl Wall: Installed: Installed: Exempt: No 2000 Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -11- 07/22/2004 '. e . F GAS N SAVE SiteID: 015-021-001531 ì f= Inventory Item 0001 Facility Unit: Fixed Containers at Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION Piping Type : Const: Mfgr : Mtl : & : Corr : Prot : UnderGround PRESSURE SINGLE WALL UNKNOWN BARE STEEL AboveGround Piping CATHODIC PROTECTION PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 04/12/2004 Date: 11/06/2000 Name:MANSOUR S. MANSOUR Prmt Number: 1531 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Ttl:OWNER Approved: Yes Expiration ,Date: 06/30/2006 AGENCY DEFINED PASSED TANK/LINE TEST :04/16/2004 CP CERT. : MANWAY INSP. : 11/03/2009 UST MONIT. CERT:04/12/2004 -12- 07/22/2004 -?~ !i . ? -- GAS N SAVE SiteID: 015-021-001531 ,/ Manager : Location: 830 UNION AVE City BAKERSFIELD BusPhone: Map : 103 Grid: 32A (661) 324-6016 CommHaz : UnRated FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 08 EPA Numb: SIC Code:5541 DunnBrad: Emergency Contact / Title Emergentld. cRntact H / Title MANSOUR S MANSOUR / OWNER ~ld5 Wi (, si/l'f / Business Phone: (818) 366-0914x Business Phone: b60'3i\.f -bo ,",x 24-Hour Phone : (661) 832-6237x 24-Hour Phone : ('6')ß3~ -'231x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : Phone: (661) 324-6016x MailAddr: 830 UNION AVE State: CA City : BAKERSFIELD Zip : 93307 Owner MANSOUR S MANSOUR Phone: (818) 366-0914x Address : 830 UNION AVE State: CA City : BAKERSFIELD Zip : 93307 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: One Unified List ì All Materials at Site ì p= Hazmat Inventory p== As Designated Order Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP MIDGRADE GASOLINE PREMIUM UNLEADED UNLEADED REGULAR F F F IH DH IH DH IH DH L L L 6000.00 GAL 6000.00 GAL 8000.00 GAL Mod Mod Mod I,~ Do hereby certify that I have reviewed the attached hazardous materials manage- ment plan for £.~ -li:j~nd that it along w'th ~ f Slness) I any corrections constitute a complete and correct man~ agement plan for my facili . ~ -1- I I ~_~ r ignature J 10/03/2000 ~ [- .. . - F GAS N SAVE p= Inventory Item 0001 F= COMMON NAME / CHEMI CAL NAME MIDGRADE GASOLINE SiteID: 015-021-001531 , Facility Unit: Fixed Containers at Site ~ Days On Site 365 Location within this Facility Unit SE CORNER OF LOT, UNDERGROUND Map: Grid: CAS # 8006619 [ ~TA~E I TYPE ~ P~ESSURE ---¡ TEM~ERATURE I =Llquld __pure ~mblent ---1 Amblent ~ AMOUNTS AT THIS LOCATION Daily Maximum 6000.00 GAL CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL Daily Average 4000.00 GAL %wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # I 8006619 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS p= Inventory Item 0002 = COMMON NAME / CHEMI CAL NAME PREMIUM UNLEADED Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit SE CRNR OF LOT UNDERGROUND Map: Grid: CAS # 8006619 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 6000.00 GAL Daily Average 4000.00 GAL HAZARD U %Wt. RS CAS # 100.00 Gasoline No 8006619 o S COMPONENTS HAZ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ARD ASSESSMENTS -2- 10/03/2000 r.~ . e SiteID: 015-021-001531 1 Facility Unit: Fixed Containers at Site ì F GAS N SAVE f= Inventory Item 0003 F= COMMON NAME / CHEMI CAL NAME UNLEADED REGULAR Days On Site 365 Location within this Facility Unit SE CRNR OF LOT UNDERGROUND Map: Grid: CAS # 8006619 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 8000.00 GAL Daily Average 6000.00 GAL HAZARDOUS COM PONE TS %Wt. RS CAS # 100.00 Gasoline No 8006619 N HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -3- 10/03/2000 .. " - e SiteID: 015-021-001531 ì Fast Format =¡ Overall Site ì 01/16/1998 F GAS N SAVE I p= Notif./Evacuation/Medical Agency Notification CALL 9-1-1 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES BAKERSFIELD FIRE DEPT Employee Notif./Evacuation 01/16/1998 PROPRIETOR ONLY. Public Notif./Evacuation 01/16/1998 Emergency Medical Plan 01/16/1998 NEAREST EXIT, OUT TO STREET. 911 OR BAKERSFIELD MEMORIAL HOSPITAL. -4- 10/03/2000 ~ '. -- e SiteID: 015-021-001531 ~ Fast Format ì Overall Site ~ 01/16/1998 F GAS N SAVE I p= Mitigation/Prevent/Abatemt Release Prevention EMERGENCY PUMP SHUT-OFF. KITTY LITER USED AS AN ABSORBANT. Release Containment 01/16/1998 USE KITTY LITER IF SMALL RELEASE, OTHERWISE CALL BAKERSFIELD FIRE OES. Clean Up 01/16/1998 KITTY LITER AS ABSORBANT, THEN PROPERLY DISPOSE OF IN SEALED CONTAINER, AND HAULED OFF BY LISCENSED WASTE HAULER. Other Resource Activation -5- 10/03/2000 J'- '. -- e SiteID: 015-021-001531 9 Fast Format ì Overall Site ì I F GAS N SAVE I p= Site Emergency Factors ~ Special Hazards Utility Shut-Offs 01/16/1998 A) GAS/PROPANE - NONE B) ELECTRICAL - MAIN BREAKER C) WATER - BACK OF STORE D) SPECIAL - NONE E) LOCK BOX - NO IN BACK OF STORE Fire Protec./Avail. Water 01/16/1998 PRIVATE FIRE PROTECTION - 1 FIRE EXTINGUISHER. NEAREST FIRE HYDRANT - LOCATED AT 9TH AND UNION. Building Occupancy Level -6- 10/03/2000 ,;0- - e í GAS N SAVE ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-001531 i íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Fornaat i íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/16/1998 j o 0 o WE HAVE 1 EMPLOYEE AT THIS FACILITY. o o o o WE DO HAVE MSDS SHEETS ON FILE. o o o o BRIEF SUMMARY OF TRAINING PROGRAM: OPERATOR IS WELL VERSED IN UNDERSTANDING 0 o MSDS'S AND SHUF-OFF OPERATION OF FACILITY. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë j o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë i o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf 'I - CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME GA-s r-J ÇA./(S INSPECTION DATE <1/'1. 7 /~ ~ (() REcE\v¿ ~uE(.. ~ ~ALtBaA.ÏlON Underground Storage Tanks Program ~~TefY1 t 1C5¡;"'G- ONLY, Nor Föa.. SA<..éS... o Multi-Agency 0 Complaint ~Re-inspection Number of Tanks Type of Piping $VJS - Po.$. $'H-trí ~F' o Joint Agency Section 2: o Routine 0 Combined Type of Tank ¿,,.,¡-C..t;) Type of Monitoring A'ÍG- OPERA TION C V COMMENTS Proper tank data on tile /' fLC-ASe ~g"" II TA-"'~ ~/&o,S .-/ Proper owner/operator data on tile "...,....., PL..C...Ase SJßt11 ,..,..- '\".o...1IJK. ro{trY\S ( ~ Penn it fees current V Certification of Financial Responsibility ~ rLC...J.).:>E hI\,). -;<~sP, - SJß.M. ,r(" /' Monitoring record adequate and current .J Pæc.-.sE CA(.'&?..A T€ tyl16({ "'[ò ç/^,A.<.. SuJ IT"CHEP c)¡.J ./' 'PLG1.S¡¿ kéGP CA"i1-t~ f'Rd'Í~ CJN A'T A"- Maintenance records adequate and current txJ<2.IIV& INsPGL.n&J Failure to correct prior UST violations Co<Z-íté<.",,<=e> ~/"'G- V 5E'c.u f2é ßLC-N'DING-- \ÍAl.:VG:. ~ I~P~-r7cN Has there been an unauthorized release? Yes ~ p.c-,e ?t~S€ Section 3: C!.AU- 'P~ö<l.- 10 oc:r: 14/2ðc.ú Yða- F=/NA<... IIúSPB:...7ZdrJ ð -PezMI1'" ~ O-PEaA'(l;. Aboveground Storage Tanks Program SPCC available AGGREGATE CAPACITY Number of Tanks TANK SI Type of Tank N COMMENTS SPCC on tile with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfilI/overspill protection? C=CompJiance V=Violation Y=Yes N=NO Inspector: 0.... ) IN (?.s Oftìce of Environmental Services (805) 326-3979 White - Env. Sves, jJ~t Business Site Responsible Party Pink - Business Copy -- -·~r~ "t', . ¡::::;r 6 4 ~¢ \V:f;--rD ~<.NfL uìf (JÂ-:({[) ~S ~~ ~ N'C~ , PkI:$t ("5 r LtZASf:: uPO/':K1--E (p ~ C~J'\(;R GJC~ u..)dU<5. Ae;Æt4"'¿ e ~~---;-~ -- ....,.:;:.. e -> CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 INSTRUCTIONS: 1. 2. 3, 4. To avoid further action, return this form within 30 days of receipt. TYPE/PRlNT ANSWERS IN ENGLISH. Answer the questions below for the business as a whole. Be as brief and concise as possible. 'r I S"5 I ] ---- - SECTION 1: BUSINESS IDENTIFICATION DATA I O'~-5d~ 0A- -FØS- BUSINESS NAME: ð/JI 11' H' ç.4 t5 LOCATION: 53£) UklC)~ MAILING ADDRESS: (!J 3ð (hi 1m t'\ Av~ CITY: &h.~s.ç.1 e(f STATE: ~~ ZIP: t¡?)ð"'PHOJ:~~~1~~~# DUN & BRADSTREET NUMBER: SIC CODE: PRIMARY ACTMTY: ~(Ø~"JI~"lc.... ~~~(L OWNER:..úe.IA'-1 k ~£,u.L.r M~f{SoLl~,S, þ4!NsO~ · MAILING ADDRESS: <f¡J '30 Vt'lIO ~ A-tJ'l... SECTION 2: EMERGENCY NOTIFICATION CONTACT TITLE 1. .,14'Ðt~ ~/1tt-l~ M~~~~' 2, ~tuf 4/1llktí - Opr.J.r BUS. PHONE 24 HR. PHONE ~5- o1~~ 3{ß,g)3t6_ð~11.f .' ~.~60~g3;¡-b~31' '3 "2. ~ð l'J ) ~- ,-:rJ:ït-z~ ~tI {i '7 1 e e HAZARDOUSMATEmALSMANAGEMENTPLAN SECTION 3: TRAINING NUMBER OF EMPLOYEES: , MATERIAL SAFETY DATA SHEETS ON FILE: \ i S BRIEF SUMMARY OF TRAINING PROGRAM: op~rd{-~r I~ wcl\ lJC~5<J ;t\ JlI\.kf!o~df1Jln1 ,"!to's .¡... ~k~+ cH ""ct"td'(r,1\ Ð t .fðC'¡('f-y SECTION 4: EXEMPTION REOUEST I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIME EXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION NSc)A!~.s,MA~S~~ . I, ~ l ~~ MA: CERTIFY THAT TIIE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT TIllS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 :;Ç;S22~~~ATErnFO:~:~::STITUTESPE~ SIGNATURE TITLE DATE 2 " ..~";\ e e HAZARDOUS MATEmALS MANAGEMŒNTPLAN SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES A. AGENCY NOTIFICATION PROCEDURES: I. qll ~. C\~'l cç ßo.h~(1.(tl'(/ Ð{{lC'<.... lOof (;MÚlfOI'\J/A(¡,,{tt( S«J(CrS 3. ßlck(. Ç'l r'c. /O(pt. B. EMPLOYEE NOTIFICATION AND EVACUATION: Q { () ~cr I -\;ø í () V\ \ 'f C. PUBLIC EVACUATION: ¡{(d('!Jt e~d" I ()t1~ \-0 ~\-rcet- D. EMERGENCY MEDICAL PLAN: I, q" .9. ß~ Çd. l11c(~lorla. ( ¡.(()(,pJttl ~~ 3 ........., ·.~4· e e HAZARDOUS MATEmALS MANAGEMENT PLAN SECTION 7: MITIGATION. PREVENTION AND ABATEMENT PLAN A. RELEASE PREVENTION STEPS: r;~rfctl{'I tj)()IM~ ~~¡J~'oft / bH-'f Ilkí \Jl.J(! Q5 01-\. o.~ç,tJrfAo.rA.f- B. RELEASE CONTAINMENT AND/OR MINIMIZATION: Ù~L b ft\f II k r (+- '5 tlttd ({ fc (eo s(, () H.c.ra,h'..~ ~Ct {( BkM.,:: r'c. () G 5 V C, CLEAN-UP PROCEDURES: lee (.(..Y {l kr a ~ ah~lr bl1t\.t i tf...{V\. fr~~a('{ de ~fc9 s(', t)f- LA (j(Cl (('I t/),..Jtt ("< r , d ~ AŒ.ú{! 0 ç~ "" V ¡'{Ç~('", s('/ tUtt sk 110. vla- SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/Pk.uPANE:' ELECTRICAL: ft111l~ Ltll'l'aftt r I ~ ItJM{L ðf- ~I-o ~L WATER: -1o~I'{{ (¡of .s-hö(t SPECIAL: LOCK BOX: YE@ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/W ATER AVAILABILITY +_'N ..e.. ' ~. PRIVATE FIRE PROTECTION: ~ 4~,V\- Vfl . A. B. WATER AVAILABILITY (FIRE HYDRANT): 'I (7 ~'f/.¡.JL Ltn~ X ~ tl · 4 -..; --~ . . CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 HAZARDOUS MATERlALS UNVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ ] BUSINESS NAME G?\ S - tJ - S~}~_ FACILITY NAME SITE ADDRESS q:~.-o LJ r'\ \ <:;;ý\ Y-\.\AD CITY \3>--- ¥- ~ v- ç ç~ STATE CA\ NATURE OF BUSINESS {'-or-J'-i. S~v v~ tI- ~~ç ZIP C\ oS~ I . SIC CODE OWNERJOPERATOR~" t MAILING ADDRESS f~D CITY ß-z>}\€ v s Cr J J DUN & BRADSTREET NUMBER fó6i3<J.~-6o\c' sEI,·~\ZER. PHONE~2.~ -S',V ì u"l1 ;0. fl I\. \1'4 STATE VA.. ZIPq~SSl EMERGENCY CONTACTS NAME~ ~ V~LG- çØV 2>~Lt-bo Ht> BUSINESS PHONI\ . NAME ~~ eøt- ~b..}µ \... - tØ~3~L1-'o~ BUSINESS PHON€~ 7. 7 :5 D '-I TITLE ~ 7 (;øt ~0B.- r'J.. ~\ 24HOURPHO~\)~- o'\~~ TITLE ~Á ~..o,.. 24 HOUR PHONE(<)f.::o S') 322. ~<> \.f Î 1 åzARDOUS MATERIALS INVENáy Business Name ~lt~~ N- <5.Alf6 ....--- J, page.L of .2- Address '3D ()~IOV. A.~ CHEMICAL DESCRIPTION I) INVENTORY STATUS: New [ ] Addition [ 2) Common Name: 11 fllt·O~!c.¡ It\ F V Checkifchenri~isa 3) DOT # (optional) 4) Physi~ & Health Hazard Categories AHM [ ] CAS # PHYSICAL HEALTII Fire [vfReactive [v1 Sudden Release ofPreSSW'e [ ] Immediate Health (Acute) [V] Delayed Health (Chronic) [ Chenrical Name: 5) WASTE CLASSmCATION (3-digit code ftom DHS Form 8022) 6) PHYSICAL STATE Solid [ Liquid [v1 Gas [ ] Pure [ 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount 10 I ~IJ 0 Average Daily Amount Annual Amount Largest Size Container 10,1100 # Days on Site UNITS O~URE Lbs[] ]ft3[] uries[ ] Circle Which Months: 9)~: Li~ the three mo~ hazardous chemical components or any ARM components COMPONENT 1) ctC!..tlU(H_ 2) rd)u(c~oL 3) 'i'((PM.- lO)LOCATION USE CODE Mixture [ ] Waste [ ] Radioactive [ 8) STORAGE CODES a) Container: U5 r b) Pressure: c) Temperature All Year, J, F, M, A, M, J, J, A, S, 0, N, D CAS# AHM [ ] [ ] [ ] %Wf 2) CommonName:O~cr.uIJ\¡"'- Ù,^ li'tJtil I In e·" 1) 1NVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ Check ifchenrical is a NON Trade Secret [ ] Trade Secret [ ] Chenri~ Name: \ .... " , 3) DOT # (optional) AHM [ ] CAS # 4) Physical & Health PHYSICAL - .- HEAL TII Hazard Categories Fire [v1 Reactive [ vr'Sudden Release of Pressure [ ] Immediate Health (Acute) [ 11Delayed Health (Chronic) [ 5) WASTE CLASSmCATION (3-digit code fÌ'Om DHS Form 8022) 6) PHYSICAL STATE Solid [ Liquid [vf Gas [ ] Pure [ 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount It> , 100 cD Average Daily Amount Annual Amount Largest Size Container , lO¡ 00 0 # Days on Site UNITS OF MEASURE Lbs [ ] Gal [><] ft3 [ Curies [ ] Circle Which Months: 9)~: List the three mo~ hazardous chenrical components or any AHM components COMPONENT 1) (J,'{II7fi1.l 2) p,Jif'1AL 3) ¥'l~k.t.,..- lO)LOCATION USE CODE Mixture [ ] Waste [ ] Radioactive [ 8) STORAGE CODES a) Container: b) Pressure: c) Temperature All Year, J, F, M, A, M, J, J, A, S, 0, N, D CAS# %Wf AHM [ ] [ ] [ ] I certifY under penalty of law, that I have personally examined and am familiar with the information on this and all attached docwnents. I believe the submitted information is true, accurate and complete. H~-t».~ L. ~~<€.~ PRINT Name & Title of Authorized Company Representative K.\_~ ~ Date Signature Business Name dRDOUS MATERIALS INVENTO. ~ ~- 1-1- ~ .A-Jf? Page ~ of '""t- :-'"!I .. Address ~30 Vnt., ^ CHEMICAL DESCRIPTION I) INVENTORY ST A~l?s~~ ] Addition [ ~vision [ ] Deletion [ ] Check if chemical is a NON Trade Secret [ ] Trade Secret [ ] 2) Conunon Name: êJ::;...t.u.~ I'h'~ V 3) OOT # (optional) Chemical Name: AHM [ ] CAS # 4) Physical & Health Hazard Categories PHYSICAL HEALTH Fire [ t.rReactive [ \.¥Sudden Release of Pressure [ ] Immediate Health (Acute) [V] Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3-digit code from DHS Fonn 8022) USE CODE 6) PHYSICAL STATE Solid [ Liquid [v( Gas [ ] Pure [ Mixture [ ] Waste [ ] Radioactive [ 8) STORAGE CODES a) Container: b) Pressure: c ) Temperature 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount I(), OÐ 0 Average Daily Amount . Annual Amount Largest Size Container f () 10 c¡ CI # Days on Site UNITS OF MEASURE Lbs[ ] Gal [ ]ft3[ Curies [ ] Circle Which Months: All Year, J, F, M. A, M, J, J, A, S, 0, N, D 9)~: Li~ the three mo~ hazardous chemical components or any AHM components COMPONENT 1 ) ß(11 't.t I\.C.. 2) rdld '(ILL 3) 'N(""" CAS# %WT AHM [ ] [ ] [ ] 10)LOCATION 1) INVENTORY STATIJS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secret [ ] Trade Secret [ ] 2) Conunon Name: 3) OOT # (optional) Chemical Name: AHM [ ] CAS # 4) Physical & Health Hazard Categories PHYSICAL HEALTH Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3-digit code from DHS Fonn 8022) USE CODE 6) PHYSICAL STATE Solid [ Liquid [ Gas [ ] Pure [ Mixture [ ] Waste [ ] Radioactive [ 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount Average Daily Amount Annual Amount Largest Size Container # Days on Site UNITS OF MEASURE Lbs [ ] Gal [ ] ft3 [ Curies [ ] 8) STORAGE CODES a) Container: b) Pressure: c ) Temperature Circle Which Months: All Year, J, F, M, A, M, J, J, A, S, 0, N, D 9)~: Li~ thethreemo~hazardous 1) chemical components or 2) any ARM components 3) COMPONENT CASH %WT AHM [ ] [ ] [ ] lO)LOCATION I certifY under penalty oflaw, that I have personally examined and am familiar with the infonnation on this and all attached documents. I believe the submitted infonnation is true, accurate and complete. P!!:~:! & ~: Of~U~~~pany Repreæntative h_1. J?!- Signa e I" 1/1 IU- Date ~RDOUS MATERIALS INVEN&Y Business Name Address CHENUCALDESC~ON .¡""-t. -- Page_of_ I) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical isa NON Trade Secret [ ] Trade Secret[ ] 2) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) Physical & Health PHYSICAL HEAL 1H Hazard Categories Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ 5) WAS1E CIASSIFICATION (3-digit code from DHS Fonn 8022) 6) PHYSICAL STA1E Liquid [ Pure [ Solid [ Gas [ ] 7) AMOUNf AND TIME AT FACILITY Maximmn Daily Amount Average Daily Amount Annual Amount Largest Size Container # Days on Site UNITS OF MEASURE Lbs[ ] Gal [ ]ft3[ Curies [ ] Circle Which Months: 9)~: Li~ the three mo~ hazardous 1 ) chemical components or 2) any AHM components 3) COMPONENT 10)LOCATION USE CODE Mixture [ ] Waste [ ] Radioactive [ 8) STORAGE CODES a) Container: b) Pressure: c) Temperature All Year, J, F, M. A, M. J, J, A, S, 0, N, D CAS# %WT AHM [ ] [ ] [ ] 1) INVENfORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check ifchemical is a NON Trade Secret [ ] Trade Secret [ ] 2) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) Physical & Health PHYSICAL HEAL 1H Hazard Categories Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ 5) WAS1E CIASSIFICATION (3-digit code from DHS Form 8022) 6) PHYSICAL STA1E Solid [ Liquid [ Gas [ ] Pure [ 7) AMOUNf AND TIME AT FACILITY Maximmn Daily Amount Average Daily Amount Annual Amount Largest Size Container # Days on Site UNITS OF MEASURE Lbs [ ] Gal [ ] ft3 [ Curies [ ] Circle Which Months: 9)~: Li~ the three mo~ hazardous 1 ) chemical components or 2) any AHM components 3) COMPONENT IO)LOCATION USE CODE Mixture [ ] Waste [ ] Radioactive [ 8) STORAGE CODES a) Container: b) Pressure: c) Temperature All Year, J, F, M. A, M. J, J, A, S, 0, N, D CAS# %WT AHM [ ] [ ] [ ] I certifÿ \Ulder penalty oflaw, that I have personally examined and am familiar with the information on this and all attached documents. I believe the submitted infonnation is true, accurate and complete. PRINT Name & Title of Authorized Company Representative Signature Date - -- ....... ;,.,\.: ." . ._'.., . "l'.,. ,..~" ...:",..... . CUST~E&NO. ~ -/bS7û MISCELLANEOUS RECEIVABLES ADJUSTMENT DATE3- Ib-'B NEW ACCOUNT ¡ ADDRESS CHANGE CLose ACCT j : FINANce CHARGE' ~ , . OTHER ADJ , .x CUSTOMER NAME {Yìr1-f\'SOU( S ~'SQùC ( Gws 6\... ~e..J MAILING ADDRESS ¡ ¡ ~ d S Y é) I Oo..%\.ðo.. ~ é . .. CITY t\JD(~ ,; cÀ~ eSTATE f v4- ZIP CODE qn.;LL SITE ADDRESS )(:')0 Clfi ~ () f\ Ar ~ PAACELNUMBER (IF APPUCABlE) ADJUSTMENT R~~~S:b~; ~ó ~ùrc-ha~~ slojJ\(~ APPROVED BY 4~ _ .. STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD, CA 93301-0000 (805) 326-3979 DATE: 4/01/97 TO: GAS N SAVE MANSOUR/NAGAT 11181 OR ION AVE MISSION HILLS, CA 91345 CUSTOi"1ER NO: 3940 CUSTOMER TYPE: ES/ 3940 ---------------------------------------------------------------------------- CHARGE [iATF'TIESCRIP1ION RE~~~'ERDUE DArE rOIÀLÄI'fOCJ"NT ------ -------- ------------------------- ----------- -------- -------------- 3/01/97 BEGINNING BALANCE 687,36 FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. -------------- -------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- -------------- -------------- -------------- 687.36 DUE DATE: 5/01/97 PAYMENT DUE: TOT AL DUE: 687.36 $687.36 ,H._~. "_~.++ _"~~." _~___~~.._W~:-___d._~..n~~=_-_'===_.:=:::7~~::::.~:·:::'"____~...._~W~M=:~=:::~_;:;_._;:":!:"~:::._.~~n.~"~.~;:::":":-_'::::.:_:::.:z=_^_;:;7."::==':;:.;~_7_=..::~"::',;.._~"~...,.u.....-=;_:::._.._""~n..'.~~".~;:;;";.-::~:;:-::.~~__:';'~..-. ,_.-;,;-:,-;:-.-:::=_._""..":..~~.=__~~':^O-:_..,.__~::_; DATE: 4/01/97 DUE DATE: 5/01/97 PLEASE DETACH AND SEND THIS COpy WITH REMITTANCE REMIT AND MAKE CHECK PAYABLE TO: CITY OF BAKERSFIELD P.O. BOX 2057 BAKERSFIELD CA 93303-2057 CUSTOMER NO: 3940 CUSTOMER TYPE: ES/ TOTAL DUE: 3940 $687.36 -- ./ . .' ~.~ ~ e interoffice MEMORANDUM to: ESTHER DURAN - ENVIRONMENTAL SERVICES /2/ from: DREW SHARPLES - FINANCIAL INVESTIGATOR ~ subject: ENVIRONMENTAL SERVICES ACCOUNTS date: September 25, 1996 . 3940-ES 830 UNION AVE GASNSAVE ~~!P)f Business license information shows a new business at this location as of 6-1-96. Please have an inspection done and close this account if needed. .:2--1 ~A~ I ~d (2.L-l :3 ~(i)&&d ~ ~Þ- (1~ .du.d-dø-wr-- )Ll0~TOl CIT~ BAKERSFIELD ~ Business Master Inquiry _ 9/20/96 11 ; 04 ; 59 3usiness control 30574 I Name and Address OLIVARES' AUTO SERVICES 830 UNION AVE BAKERSFIELD CA 93307 Location ID . . Mailing Address 830 UNION AVE BAKERSFIELD 7914 CA 93307 Date opened Federal tax ID Business phone Status . . . . 6/01/96 609148156 805 861-1260 A Contractor flag . Type of ownership Emergency phone Status date . . . . . . . I . . 5/21/96 Owner Information OLIVARES, JOSE Phone . .. . . Social security Drivers license Date of birth . ?ress Enter to continue. c3=Exit F5=Display officers :12=Cancel F7=Misc information F9=Display licenses 1------------------------------------------------------------------------------1 I e _ I _ ..I' ",.0q ..),_',' ~" ", ", '(.... h ". "\ \,<'/0<'1,..4 h1·ght···,to-··Kno ull L.1st/by t...ommt...ode and/ . ,.:>1teJ.·I,,),.."..· Page' I 1------------------------------------------------------------------------------1 .; GM) N ~)A VE - ()., c:; ,...~! HJ a 0 0 04 '/ ~ t ~~ ( ::::::~ ::::r::::o: (( ¡-yµ iJ- C¡~ 77 {)j i===~==========================================================================1 I 1----------------------------------------------------------------------------1 I II L.ocation: 0:30 UNION AV Map: 10:3 Hazard: Unrated II II c··.... . (::¡AKFr":'::l"f::1 ") C' "'d' ".)2A ·1 Anv· 0 ()II ...1 \. Y ... I ..,. "'..> .I... I... . ..' r , .' '.} ,. I ,., . I 1----------------------------------------------------------------------------1 I I ! ..,. .-. ..,. Con t act N a me·'.. ... .... ,.- ,.....- Tit 1 e···· ..,. .,.. ,... ..., .... I ! .... ..,. ,.,. Con t act N a me ,... ,... ,.- .... ,... ,... ..- 'r i t 'í e···· ..- '-' .,.. .... .- ! I I I'I/ION~)OU I~ S IVlONSOU I~ / OWN E I~ II / I I II Ousiness Phone: (i:.~05) :395·-·0Ü49x II ECusiness Phone: () x II ! I 24··,·Hour Phone: (0'1(1) :365··..02·17x II 24-·Hour Phone: () x! I I I Pager Phone : () x! I Pager Phone : () x II ! 1-------------------------------------1 1-------------------------------------1 I 11--------------------------- Administrative Data ----------------------------I! I I I Mail Addrs: 830 UNION AV D&8 Number: I I ! I C' i .... n A I,·,..· ,..,.., ¡... ]. I,··, ,..) (;'........ ..··A Z·, 9'3 ", () 'I I I ..' \. y: :. \ :: ".:> ,- , :: ... ., '..> ... a ,. e: '..' .. 1 p: .. ,) ..... ¡ II Comm Code: 015-Q06 COUNTY/OFD-STA 6 RESPONSE SIC Code: 5541 I I I I -------------------------------------------------------------------------- I \ I Owner: MONSOUR S MONSOUR Phone: (818) 365-0217 I I II Address:'1 "I '18" OI~ION AV State: CA ! I I I (-. i.... IVI .[ ("(" .,. ("¡N U ·"1 I (., Z·, 9'1 ')4 ¡;;: I I _, "y: . '.:k").. _ n.. _ _.,~> ..1 p: . : ,J-- I 1----------------------------------------------------------------------------1 I I I Summary -------------------------------------------------------------------1 I II I ! I I M ·,1.' N ·,1.' II/I A ,'," ..I" i.i ·,1'. ··r·,·.J C'.:; A S.·' P l.J IVI P· ~'> I.. (.')' (....: A ...I'·I~..·:. ,'.)' 0 N "1"1 ~ I··· <" I·· 'I" N I·· (' 1,- LJ N ·r .. N A \/ A N ,.. N I ~ I "'-1.1 (;' ..,.. I I' YV I _ n'. ::: ,_>:: (: ~ .~ ) - . tf ) 1~'1 '_> I!GASOlINE PUMP ISLANDS ARE ON W SIDE OF STORE ORIENTATED PARAL.L.EL. TO UNION I ! \ AV . I \ ! I II II II I 1----------------------------------------------------------------------------1 I 1==============================================================================\ rf252- (;/ ð ¡JÛ~ ? 1------------------------------------------------------------------------------1 \ _\"-"02/9" n' ht I,' .-, I' Ib ", ", d dial:" .[\" P 2 I I .:,/ ... ..... r'19 .-··to·-· ,no. ¡I _lst.y t·ommt...o,e an, .,.>lte. J . age .. I----------------------------------------------------~-------------------------1 ;. GAS N SAVE 015-010-000047 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order __.__._MN____'____________.._____._______.__WM...._..__.__.._._.___.__M___________._._.._._.._._.________....__.__..__,.. L.iquid 6000 Vloderate GAL. 02··..()01 GA~:)OL.INE > Fi re, Immed I-r¡ th / -------.---..-.---.-----.....--...---.--.---.--.---.-.----.-.-.-.-.....-.....-.-----------..------.----..------. CAS #: 'l'rade ~:)ecret: No f.ìOOôô-19 Form: L.iquid 'l'ype: Pure Days: 365 Use: FUEL ---- Daily Max GAL ----1-- Daily Average GAL --1-- Annual Amount GAL -- 6,000.00 I 4,000,00 I 300,000,00 ------ Storage -------1 Press I Temp -1------------ Location ---------- UNDER GROUND TANK IAmbient!AmbientIUNDERGROUND SE CRNR OF L.OT - Cone -!---------------------- Components -------------1- MCP --IGuide 100,0% IGasoline IModeratel 27 02····()02 .-..--..--..-.--.-.-.--...-....-.-.-.-------.--.-..-.-.-.--.-.--.--.-...........--...-..-------.--..----.-.---.-.-.--.-.----..-.--.---.----- L"iqu"id 8000 Moderate GAL / UNLEADED GASOLINE > Fire, Immed Hlth, Oelay Hlth __.~.._.__.._.__,_____....______..______....___ø_..__.__.________.__.__.._.._.___.________._.._._..___.______ CAS :tt: Trade Secret: No 8 () 0 6 6 ., 9 Form: Liquid Days: 365 Use: FUEL 'Type: Pure ---- Daily Max GAL ----1-- Daily Average GAL --1-- Annual Amount GAL -- 8,OOO.00! 6,000,00 I 300,000.00 ------ Storage -------1 Press I Temp -1------------ Location ---------- UNDER GROUND TANK IAmbientIAmb"ientIUNDERGROUND SE CRNR OF L.OT - Cone -!---------------------- Components -------------1- MCP --¡Guide 100.0% IGasoline ¡Moderatel 27 1------------------------------------------------------------------------------1 I 12/02/94 Right....to._.!o(no.lll List/by CommCode and/_~3iteID Page:) I I----------------------------------------------------~-------------------------1 GAS N SAVE 015-010-000047 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order _H"M_.___...__.___"__.__._....____..._._.__._.________.___._._...,.____.____.._________......______..__.____._..___.._____.__ Liquid 6000 IVloderate GAL. 02-003 PREMIUM GASOLINE ) Fir e , I mmed Ii"j t h, De lay H 'j t h yÇ~ ry. ___.ø_.____.____...._______._.____.___·_______.._,·_._.__.___._._____._.__.__..._._____.._._.__.______._ CAS :It: 8006619 'rrðde Secret: No Form: L.iql..lid Type: Pl..lre Days: 365 Use: FUEL ---- Daily Max GAL ----1-- Daily Average GAL --1-- Annual Amount GAL -- 6,000,00 I 4,000,00 50,000,00 ------ Storage -------! Press I Temp -1------------ Location ---------- UNDER GROUND TANK AmbientlAmbientlUNDERGROUND SE CRNR OF L.OT - Cone -1---------------------- Components -------------1- MCP --¡Guide I 100,0% ¡Gasoline ¡Moderate I 27 !-------------------------------------~----------------------------------------1 .1 12/02/94 ¡:~ight·_·to··,I'\nowA.lll L.ist/by CommCode and/e~)iteID Page 4 I ¡----------------------~~.----------------------------------------------------1 GAS N SAVE 015-010-000047 00 - Overall Site (D> Notif./Evacuation/Medical WM._____.__.____.__.__.__,_._._.__._____.__.__._.__.______...._.._.__..._________.___.__._.___.____._.___..._..__.____.._____ <1> Agency Notification ----.-...--.--..---...---.--..--.----- CALL. 9'\'1 <2> Employee Notif,/Evacuation __.._o._____._w______.___________.______ NOTIFICATION WOULD BE BY WORD OF MOUTH <3> Public Notif./Evacuation ---.-.-.-..-----.-------.----.-.--.-.-.-- <4> Emergency Medical Plan ·___··,_··_.__·__·__·____·_·___,··______·__M_ MERCY TRAUMA CENTER 22'15 ·TFH.J)(lUN AV BAI<E I~~>¡::: I E L D CA (805) ::12'1·-:3:37'1 1------------------------------------------------------------------------------1 . : -,.~, .~~.~),:: ~=~... ~~,~ =~~.:~~~.:~..~~~~::¡,~.~ -.. .~~. ~ =.~ ~.~:..... (::;~~~:~:~~~.... ~~~~- ~.~ ~~,:: :?.... .... .... ..., .... -. '... ........ .... ,~~:~.... ,-, .... ~~····I GAS N SAVE 015-010-000047 00 - Overall Site <E> Prev./Minimization/Cleanup ----_.._------_._--,-_._~_._._._------------_._----_.---------------------.---.-----.---------- <1> Release Prevention .-.--....---.--------.-.-.--.-.-- DAILY INSPECTION <2> Release Containment ....--.-....--....--.--..-----....-------- ABSORBANT & METAL RECEPTICLE <:3> Clean Up ... ........ _..m .0.. .... .... M._ ....... .... AS DIRECTED BY AUTHORIZED AGENCY <4> Other Resource Activation .-.-.---,---.-.-.----.,.-.-,-..-.----.-"...---....--. N/A ------------------------------------------------------------------------------1 I '¡')/()')/94- 1--,' h·,·,· .--,. ~- 1 I '!::: /b' C' C' d r- d/.A.c" -I'--' j" ... 6' I . _ <.. <.., "'\1 g .t to ¡'no....1 I _.1,__ t y ...omm ..-0. e an.. -.,,'>1 te.. .. Page \------------------------------------------------------------------------------1 GAS N SAVE 015-010-000041 00 - Overall Site <F> Site Emergency Factors _.____.,.___...__u___________.___________.__________._.__.___..___.____._._____._._.___________.___._.___._ <1> Special Hazards --.-.-.-.--..-----------.- N/A <2> Utility Shut-Offs "-...---,-,.--.-.------------.- A) GAS/PROPANE - NONE B) ELECTRICAL - SE CRNR OF MINI MARKET C) WATER - ALLEY E OF STATION APPROXIMATELY 50 FT FROM NINTH ST D) SPCIAL - GASOLINE SHUTOFF BEHIND STORE COUNTER NEXT TO PHONE E) LOCK BOX - NO <3> Fire Protec,/Avail, Water -----.---..-.-.----.-.------.-.-----..---- 1 FIRE EXTINGUISHER, FIRE HYDRANT AT 9TH AND UNION, <4> Earthquake Vulnerability ----------..-----.-----.-------- N/A 1------------------------------------------------------------------------------1 \ 'I 2 / () 2 / (\ 4 r" h K. 11 I· / b ", C' d d / ~ <, 't .,. !''¡ p.'-¡ I ", .,. '" :\1g t····to..,·,no .t ...1st ,y c...omm...o.e an. .....)'.e.,..a<;Je r 1------------------------------------------------------------------------------1 GAS N SAVE 015-010-000047 00 - Overall Site <G> 'rraining ___...__..__._______._.__.w_______.__._____.._.M....._.w__.._,.._._._....___._·_·___·_______·_______·_______.--....-----.-- <1> Training Record Location IN OFFICE ~)TOr';:E <2> Describe Training Program .----.--.-.--.---.-.-.---.----.--.--.--.-- <3> Emer. Agency Coordination .-------..--.-.-.--.-.--.--..-----.-..-----...-- <4> Emer. Response Equipment --.--.--..----..-....-..----....-----.---.------ 1------------------------------------------------------------------------------1 1 '1')/0')/(\'1 I"">'-h K .11 I' /b .., ", d d/.Ac' ·1',,· P· n I .. ~ <.. .~'+ ,,1~ t··..to-·.no .1 ...1st ,y t.ommt.o.e ,:tn. .....:>lte..J .;:Ige.. 1 1------------------------------------------------------------------------------1 , GAS N SAVE 015-010-00004~ 00 - Overall Site <1> High Schools ______.__......__,______.____.___________._M_____...._..__.._________._.___h__._.__.____._·________·_____·__.---.- <H> SCHOOLS WITHIN 1/2 MILE .... .... .... .... _. _.. .... .... .M. .... .... __ .... d" _., ,._ NONE < 2 > ,.J r. Hi 9 h ~)c hoo 1 s .-.-.--.-.------.-----.---.-- NONE <3> Elementary Schools -------------....--..----....- NONE <4> Private & Pre Schools --.--.-.--.--.........---..----.-.----.---.- NONE :~ r 12/12/91 a GAS N SAVE 015-01 O-OOOca. .. ,., Overall Site with 1 ~ 1J [L Z-- Page ~ General Information I=========~====================================================================1 I 1----------------------------------------------------------------------------1 I I Location: 830 UNION AV Map: 103 Hazard: Unrated II I \Community: "BFD" RESPONSE AREA" Grid: 32A 1 AOV: 0.011 I 1----------------------------------------------------------------------------1 I 11--- Contact Name ---1------ Title ------1-- Business Phone --I 24-Hour Phone 1 I ¡MONSOUR S MONSOUR ¡OWNER 1 (805) 326-8231 x 1 (818) 365-104211 II I I() x I() II I 1--------------------1-------------------1--------------------1--------------11 1 I~-------------------------- Administrative Data ----------------------------11 1 I Mail Addrs: 830 UNION AV D&B Number: 1 I II City: BAKERSFIELD State: CA Zip: 93307- II II Comm Code: 015-901 "BFD" RESPONSE AREA" SIC C'ode: II I I -------------------------------------------------------------------------- I I II Owner: SAN DIEGO ARMOUR OIL Phone: () II II Address: PO BX 85302 State: CA II II City: SAN DIEGO Zip: 92138- II I 1----------------------------------------------------------------------------11 I I Summary -------------------------------------------------------------------1 I II II I MINI MART WITH GAS PUMPS LOCATED ON THE SE CRNR OF UNION AV AND NINTH ST II 1 GASOLINE PUMP ISLANDS ARE ON W SIDE OF STORE ORIENTATED PARALLEL TO UNION I I "AV. II II II II II 1 1----------------------------------------------------------------------------11 1==============================================================================/ i i ,¡¡ 12/12/91 . GAS N SAVE 015-010-00011 Page 2 Hazmat en tory List in Reference mber Order .>, 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Quantity MCP ,-------------------------------------------------------------------------------- 02-001 REGULAR GASOLINE > Fire, Immed Hlth Liquid 6,000 Moderate GAL -------------------------------------------------------------------------------- 02-002 UNLEADED GASOLINE > Fire, Immed Hlth, Delay Hlth Liquid 8,000 Moderate GAL -------------------------------------------------------------------------------- 02-003 PREMIUM GASOLINE > Fire, Immed Hlth, Delay Hlth Liquid 6,000 Moderate GAL -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- 12/12/91 .. GAS N SAVE 015-010-000~ ~2 - Fixed Containers on S~e Page 3 .. , ~ Hazmat Inventory Detail in Reference Number Order -~;~~~~---E~~~Ã;-~Ã~;~~~~--------------------------~~~:~~--------~~~~--~~~~;~~~- > Fire, Immed Hlth GAL I ¡ I ----------------------------------------------------------------------- CAS :It: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL ---- Daily Max GAL ----1-- Daily Average GAL --1-- Annual Amount GAL -- 6,000 1 4,000.00 I 300,000.00 ------ Storage -------1 Press I Temp -1------------ Location ---------- UNDER GROUND TANK IAmbientlAmbientlUNDERGROUND SE CRNR OF LOT - Cone -1---------------------- Components --------------1- MCP --¡List 100.0% ¡Gasoline ¡Moderate --------~---------------------------------------------------------------------- 02-002V UNLEADED GASOLINE Liquid 8000 Moderate > Fire, Immed Hlth, Delay Hlth GAL ----------------------------------------------------------------------- CAS :It: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL ---- Daily Max GAL ----1-- Daily Average GAL --1-- Annual Amount GAL -- 8,000 I 6,000.00 I 300,000.00 ------ Storage -------1 Press 1 Temp -1------------ Location ---------- UNDER GROUND TANK IAmbientIAmbientUNDERGROUND SE CRNR OF LOT - Cone -1---------------------- Components --------------!- MCP --I List 100.0% ¡Gasoline ¡Moderatel ---------t------------------~--------------------------------------------------- 02-003'¡ PREMIUM GASOLINE Liquid 6000 Moderate > Fire, Immed Hlth, Delay Hlth GAL ----------------------------------------------------------------------- CAS :It: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL ---- Daily Max GAL ----1-- Daily Average GAL --1-- Annual Amount GAL -- 6,000 I 4,000.00 I 50,000.00 ------ Storage -------1 Press 1 Temp -1------------ Location ---------- UNDER GROUND TANK IAmbientlAmbientlUNDERGROUND SE CRNR OF LOT - Cone -1---------------------- Components --------------1- MCP --I List 100.0% IGasoline IModeratel 12/12/91 ~ GAS N SAVE 015-010-000~ ., 00 - Overall Site ., Page 4 <0> Notif./Evacuation/Medical --~----------------------------------------------------------------------------- <1> Agency Notification ----------------------- IN CASE OF AN EMERGENCY DIAL 911 <2> Employee Notif./Evacuation ------------------------------ NOTIFICATION WOULD BE BY WORD OF MOUTH I; <3> Public Notif./Evacuation ---------------------------- <4> Emergecny Medical Plan -------------------------- MERCY TRAUMA CENTER 2215 TRUXTUN AV BAKERSFIELD, CA (805) 327-3371 12/12/91 ~ GAS N SAVE 015-010-0000~ ~ 00 - Overall Site ~ <E> Prev./Minimization/Cleanup Page 5 -------------------------------------------------------------------------------- <1> Release Prevention ---------------------- UNDERGROUND TANKS MONITORED WEEKLY. HOSES VISUALLY INSPECTED WEEKLY. <2> Release Containment ----------------------- <3> Clean Up ------------ <4> Other Resource Activation ----------------------------- 12/12/91 ~ GAS N SAVE 015-010-000~ ~ 00 - Overall Site ~ Page 6 .. <F> Site Emergency Factors -------------------------------------------------------------------------------- <1> Special Hazards ------------------- <2> Utility Shut-Offs --------------------- A) GAS/PROPANE - NONE B) ELECTRICAL - SE CRNR OF MINI MARKET C) WATER - ALLEY E OF STATION APPROXIMATELY 50 FT FROM NINTH ST D) SPCIAL - GASOLINE SHUTOFF BEHIND STORE COUNTER NEXT TO PHONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water ----------------------------- 1 FIRE EXTINGUISHER. FIRE HYDRANT AT 9TH AND UNION. <4> Held for Future use ----------------------- 12/12/91 ~ ~ GAS N SAVE 015-010-0000~ ,., 00 - Overall Site ,., Page 7 -------------------------------------------------------------------------------- <G> Training <1> Page 1 ---------...- <2> Page 2 as needed -------------------- <3> Held for Future Use ----------------------- <4> Held for Future Use ----------------------- 12/12/91 ~ GAS N SAVE 015-010-0000~ ,., 00 - Overall Site ,., Page 8 ; <M> Events Ledger "M" -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- 10/19/88 ANNUAL/OK -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- " '.< 12/12/91 ~ GAS N SAVE 015-010-0000~ ., 00 - Overall Site ., Page 9 <M> Inspections List -------------------------------------------------------------------------------- -----~-------------------------------------------------------------------------- 10/19/88 ANNUAL/OK CHANGE OF OWNERSHIP AND EMERGENCY CONTACT. -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- ~ e . CITY of BAKERSFIELD HWE CARE" FIRE DEPARTMENT M, R. KELLY ARE CHIEF January 11, 1995 1715 CHESTER AVENUE BAKERSFIELD. 93301 326-3911 Gas-N-Save 830 Union Avenue Bakersfield, CA 93307 Dear Business Owner: Because of the annexation of the location of your business on November 10, 1994, the Hazardous Materials Business Plan and Inventory reporting requirements of both Federal and State "Community Right to Know" regulations, as well as the underground storage tank regulations, will now be administered by the Bakersfield Fire Department Hazardous Materials Division. We have made arrangements to transfer the plans that you have previously filed with Kern County, to our office. Therefore, we will not need a new business plan and inventory from you at this time. California law does require all inventories to be updated annually and your business plans to be amended within 30 days of anyone of the following events. 1) A 100% or more increase in the quantity of a previously disclosed hazardous material subject to the inventory requirements. 2) Any handling of a previously undisclosed hazardous material subject to the inventory requirements. 3) Change of business address. 4) Change of business ownership. 5) Change of business name. You should also report any significant changes to your business plan such as contact information, telephone numbers etc., as well as your annual tank maintenance and monitoring reports to this office. We will be issuing you a new Underground Storage Tank Operating Permit as soon as we verify fees and compliance with existing regulations. For any of these changes or any questions regarding the handling or storage of hazardous materials on your site please contact us at 1715 Chester Ave., Bakersfield, CA 93301, or call 326-3979. Sincerely y'ours, 4~--- Ralph E. Huey Hazardous Materials Coordinator