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Home My WebLink AboutBUSINESS PLAN (2)f f B i{{ .1 ~ ~~ O ~I N ~ ` O O . O H Gs,, z a~ Ham, i ~o w~ ~' - ~\-__ ;~ __ ,; I'~ , ~ ' -. k F i ~U __ . (~ ~ V ~~ ~~ l~ ~~ ``11 ~1 1 U~ r.. ; j ~ ~ . ~ ~ `~ 1~ -- -- - -- -- - na ~ ~ .` .~~ ~': ~` - t I ~ _ ~. E ~. k __ _ ` 1 -_ - i ~-.J _~~i, ~y ~ + FASTRIP 775 _________________________________________ SiteID: 015-021-000725 + Manager BERME JAMIESON BusPhone: (661) 397-9387 Location: 4901 5 UNION AVE Map 124 CommHaz Moderate City BAKERSFIELD Grid: 19B FacUnits: 1 AOV: CommCode: BFD STA 05 SIC Code:5541 EPA Numb: DunnBrad:18-951-4284 +______________________________________________________________________________t .Emergency Contact / Title / Title Emergency Cosita t. BERME JAMIESON / OWNER s Y~~~G,aj,,~/ OPS MANAGER Business Phone: (661) 397-9387x Business Phone: (661) 393-7000x 24-Hour Phone (661) 873-0852x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth C ~° -------------------- ~~~~~~ Contact . / , Phone: (661) 393-7000x MailAddr: PO BOX 82515 State: CA -City BAKERSFIELD Zip 93380 Owner JAMIESON HILL Phone: (661) 393-7000x Address PO BOX 82515 State: CA City BAKERSFIELD Zip 93380 Period to TotalASTs: = Gal Preparers ~ TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~(~ PROG A - HAZMAT I~ PROG U - UST ~ ENT JU ~ 2 s Zoos 8aaed on my inquiry of those individuals resp~r~~lb;a for obtaining the information, I certify under per~a!ty of law that I have personally examined and am familiar with the information submitted and belldve the information is true, accurate, and eamplete. 3' 3/ Signature Date ~o'~~ ~~ ~o~ M ,~ Sal ~~ ~ ~ ~`~ -1- 03/31/2006 ` " " ' - . BASERSFIELD FIRE DEPT Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST ~? ~~~~ 900 Truxtun Ave., Suite 210 <,.-~ ~~-:~:~.:.~ _.. ,..:. ~~ . -.:::<< :>. ~ _... -.. . -,,. .~....._._ .....3:< ,_.>:: aRrn1 Bakersfield. CA 93301 SECTION 1: Business Plan and Inventory Program ~ Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~~ NSPECTION DATE ~ INSPECTION TIME ; ~~ -Z d o s ADDRESS HONE NO. O OF EMPLOYEES -- 7 - ~ ~ 7 ~a - N 1- USIN SS ID NUMBER FACILITY CONT CT 15-021- Section 1: Business Plan and Inventory Program ^ ROUTINE C BINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION COMMENTS V=Violation _ __ _ APPROPRIATE PERMIT ON HAND ~^ BUSIfI@SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~.^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ~I]L ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ 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 ^ FIRE PROTECTION ~^ SITE DIAGRAM ADEQUATE & ON HAND L ~ G ANY HAZARDOUS WASTE ON SITE? ^ YES ^ NO EXPLAIN: - - - ----------- ---- l~UESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (887) 328-3979 Arv~~,~ ~-,a~z~ ~~ Inspector (Please Print) Fire Prevention / 1°' In / Shift of Site/Station p ~~ White -Prevention Services Yellow - Slatian Copy Pink -Business Copy FD2049 tRev. X105) . .~, ~~'~~` ''~ ~ CITY OF BAKERSFIELD FIRE DEPARTMENT ~ ~ M~ OFFICE OF L~.NVIRON1~lE N`TAL SERVICES d b~ `~ y.` UNIFIED PROGRAivi INSPECTION CHECKL[ST A__~w ~gti,,~'~~ 1715 Chester ~1ve., 3``' Floor, Bakersfield, CA 93301 FACILITY NAME ~y~~~IlD S; URI,h~~ (NSPECTION DATE ~-~ U Section 2: Underground Storage Tanks Program ^ Routine mbined ^ Joint Agency ^Mult~-Agency ^ Complaint ^ Re-inspection Type of Tank ~it`~ wA14 Number of "1•anks -? Type of Monitoring Type of Piping ~bu61 ~ w~G( OPERATION C ~% COMMENTS Proper tank data im the Proper owner;operator data on the Permit fees 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 Section 3: Abo~~eground Storage Tanks Program TANK SIZE(S) Tvr~e 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 overfillioverspill protection'? C=Compliance V=Violation Y=Yes N=NO Inspector: 0 / ` Office of Environmental Services (661) 326-3979 ~4'hitc - C-m•. Svcs. Pink -Business Ci~rv Business Site Responsible Party S Fr .: ;;1'r: f f ' 1 L!; ; LLB ~ i; ~=+:.30'; :, . ~, ~;1.I_ ^~IIP•;- ['I•:)I'J f•J•: :1:f1i-iL _ 1' 1 : Uhily. I. ~!~ i ' HE1~.:H`!' -= •1"~ r_,' {!:: CIE= `~lG. llj i .;I .I 'nTi GriL~~ Z t. .'1.x:.1 !h!1, r ' I~'~i : l'r~;I..:_ L:Jri`1'1=.F; _ i"~ . J~~FIL:c= T rP1P = >r~L:::: F IJLLH~~E= - i . _. y1=1:.:; ~ ILI_:r-il:L= - .`'i 1 =- i ~1-.-...- f..lr."I'L:1: i , = I:i . I Il! 11~l_'f. 9U`;; i_!i.l_r`it:~E= ~c=~at i_;F;L:_ HEIi=HT '-~5.^~ IP1i:H1.. ' ~~ l:Jr I'FR' ~ - -U . lJ0 I N~-H :: . _. T G :1>kEf 9 . i.JhdL . ?2~, ULLi-;i;E _ `NC!:i3. i:ar:;LS i 9U, IJLLri~a_= ~ =lti.'_I GHLS I l.Ji=r`I'ER = 1=i . `~cl I Pli:'HE~, 1'EF'1F = t. a . S LiEi_~ F i '~ri-;: IILLr~.;i_= caci 1;x;1.:=~ Ti=: ~~JLLIf•'lE _ `,f~l?" c;~iL HE I ~ HT = t.: ~ . U' I IVCI-iL ~ I GJF3TEk: _ ~ i . u0 I i'il:='I-iE: 1'Eh9F' = 6~ . Lila.; P x ~ '. I:.fND `.UNIFIED .PROGRAM INSPECTION CHECKLIST C _-__-. .~~.- _-~~~_ ___- , .__~_ ~.-_--_. SECTION 1: Business Plan and Inventory Program Prevention Services H. E a 5 F, D 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 ~erM r Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITYyk101E /t~ ~ d/ INSP/EC ON DA I INSPECTION TIME ~ ADDRESS ; PHONE O. NO OFEMPLOYEES S', ,~ - q t 3 ~ - i FACILITY CONTACT BUSINESS ID NUMBER ^ ^ / , 15-021- /J /~I. S Section 1: Business Plan and Inventory Program ~~ ~(}~~1 ^ ROUTINE ~ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS APPROPRIATE PERMIT ON HAND - ~ ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE i ^ VISIBLE ADDRESS jfi ~, v ^ CORRECT OCCUPANCY j ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY i ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION _ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QUESTI REGAR G IS INSPECTION? PLEASE CALL US AT (661) 326-3979 c. Inspector (Please Print) Fire Pr en ' n / 1~` In /Shift of Site/Station # it /Responsible ( ease Print) White -Prevention Services- Yellow -Station Copy -Pink -Business Copy FD 2155 (Rev. 09/05 ^ YES ~NO .> r~ INSPECTIONS BUSINESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST B ~ E R S F I L D F/BE AIirTM T Page 1 of 1 FACILITY NAME: Section 2: Underground Storage Tanks Program INSPECTION DATE: [~~,~~ ^ Routine ^ Combined ^ Joint Agency ^ Multi-Agency ^_ Complaint ^ Re-Inspection Type of Tank ~~ Number of Tanks Type of Monitoring ~~~ Type of Piping 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 Maintenance records adequate and current Failure to correct prior UST violations ~ Has there been an unauthorized release? ^ Yes ^ No Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank 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 V =Violation Y =Yes N = No 7 Inspector: Questions regarding this inspection? Please call us at (661) 326-3979 White -Prevention Services Aggregate Capacity Number of Tanks BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Busin ss Site Responsible Party Pink -Business Copy KBF-7335 FD 2156 (Rev. 09/05) ~~ FASTRIP 775 Manager BERNIE JAMIESON Location: 4901 S UNION AVE City BAKERSFIELD CommCode: BFD STA 05 EPA Numb: SiteID: 015-021-000725 BusPhone: (661) 397-9387 Map 124 CommHaz Moderate Grid: 19B FacUnits: 1 AOV: SIC Code:5541 DunnBrad:18-951-4284 Emergency Contact / Title Emergency Contact / Title BERNIE JAMIESON / OWNER R CRAIG LINCOLN / OPS MANAGER Business Phone: (661) 397-9387x Business Phone: (661) 393-7000x 24-Hour Phone (661) 873-0852x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact R CRAIG LINCOLN Phone: (661) 393-7000x MailAddr: PO BOX 82515 State: CA City BAKERSFIELD Zip 93380-2515 Owner JAMIESON HILL Phone: (661) 393-7000x Address PO BOX 82515 State: CA City BAKERSFIELD Zip 93380-2515 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG U - UST ~~ D~ Based on my inquiry of those individuals res i ~"'~~ ~~~ ~ ~~~/ pons ble for ob±aining the information, I certify exam ned and am familiaa with the ~fo mati on submitted and believe the information is true a , ccurate, and complete . Signature e Date ~~ Q -1- 03/22/2007 ~, F FASTRIP 775 SiteID: 015-021-000725 ~ STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: FASTRIP 775 Cross Street Business Type: Org Type: Total Tanks 7 IndnRes/Trust: No PA Contact: Dsg Own/Oper DOUGLAS M YOUNG III ICC Nbr: 0878646-UC PROPERTY OWNER INFORMATION Name R CRAIG LINCOLN Phone: (661) 393-7000x Address: City State: Zip: Type CORPORATION TANK OWNER INFORMATION Name R CRAIG LINCOLN Phone: (661) 393-7000x Address: City State: Zip: Type CORPORATION BOE UST Fee# 003279 Financ'1 Resp: Legal Notif Business Mailing Address Date:04/17/1995 Phone: (336) 600- x Name:R CRAIG LINCOLN Ttl:VP State UST # 1998 Upg Cert#: 00775 -2- 03/22/2007 r. F FASTRIP 775 SiteID: 015-021-000725 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ~~.~ ~ftP (~~~~~d ~i5o1iN~ F IH DH L 12000.00 GAL Mod r"j~;~ulcr.r Lli.~/~ow/~d ,~ p~o~ o ~~ F IH DH L 12 0 0 0.0 0 GAL Mod PREMIUM UNLEADED F IH DH L 12000.00 GAL Mod ~Zll~af GLsi~~t~t~e~ ~~0~ ~ ~~ F IH DH L 12 0 0 0 . 0 0 GAL Mod PREMIUM UNLEADED F IH DH L 12000.00 GAL Mod DIESEL F IH DH L 12000.00 GAL Low DIESEL L 12000.00 GAL Low -3- 03/22/2007 _4_ 03/22/2007 F FASTRIP 77.5 ~ Inventory Item 0001 COMMON NAME / CHEMICAL~?N`A~M~E Location within this Facility Unit SE CRNR STATE TYPE PRESSURE Liquid TMixtur~Ambient SiteID: 015-021-000725 ~ 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 12000.00 GAL 12000.00 GAL 4190.00 GAL ruyc~tinl~vuJ l.Vl•lt'V1VP~1ViS %Wt. RS CAS# 100.00 Gasoline No 8006619 17tiGtiiCL tiJ .7 L~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 ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME ~1~~(,rl~t~-er' ~.~s~/~a'El'~~~~~c3l~~as~ Location within this Facility Unit SE CRNR STATE TYPE PRESSURE Liquid Mixture ~mbient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8006-61-91 TEMPERATURE CONTAINER TYPE Ambient ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 5697.00 GAL IltlGriRIJV IJJ \.V1~lY V1V P~1V1S oWt. RS CAS# 100.00 Gasoline No 8006619 L3HGtl2CL H. 7.7 P~.7 J1"1P~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -5- 03/22/2007 F FASTRIP 775 SiteID: 015-021-000725 ~ ~ 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: SE CRNR CAS# 8006-61-91 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 2169.00 GAL I1t1GL-1RLVUa7 1.V1~lYV1V1~,1V1J oWt. _ RS CAS# 100.00 Gasoline No 8006619 rltiGtilCL Ei~ 7J1;J~71~11,J1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0005 _COMMON NAME / CHEMICAL NAME Location within this Facility Unit SE SIDE OF UNION AVE STATE TYPE PRESSURE Liquid TMixtur~mbient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8006-61-9 TEMPERATURE ~ CONTAINER TYPE Ambient I UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 12000.00 GAL 12000.00 GAL 12000.00 GAL 11EiAL-iRLVV.7 ~.V1•lYV1V AlV1J °sWt. RS CAS# 100.00 Gasoline No 8006619 IlEiGKCCL HJ JJ~JJJ1~1tS1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -6- 03/22/2007 F FASTRIP 775 SiteID: 015-021-000725 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED Days On Site 365 Location within this Facility Unit Map: Grid: SE SIDE OF UNION AVE CAS# 8006-61-9 Liquid TMixtur~mbient~E ~ AmbientT~E -~EROGROUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 12000.00 GAL 12000.00 GAL 12000.00 GAL ne-~~tixlivua uvrirvlvr~lyl~ %Wt. RS CAS# 100.00 Gasoline No 8006619 I1E~GE~tCL 1~~7.7~~.71~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DIESEL Days On Site 365 Location within this Facility Unit Map: Grid: SE CRNR CAS# 64741-44-2 Liquid TMixtur~ Ambient~E ~ AmbientT~E ~UNDEROGROUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 12000.00 GAL 12000.00 GAL 6450.00 GAL nt~~t~tcL~u~ ~vinrvlvr~ly 15 %Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 t1E~GHKL HJJL' .7~1~1L' 1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -7- 03/22/2007 J• ~ F FASTRIP 775 SiteID: 015-021-000725 ~ ~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DIESEL Days On Site 365 Location within this Facility Unit Map: Grid: SE SIDE OF UNION AVE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 12000.00 GAL UT7TDlll17TQ rnTrtnnTTL~TTm [+ 1 arlulZiW V V IJ V Vl'lr VlV L'llV 1 IJ oWt. RS CAS# 100.00 Fuel Oil No. 1 No 70892103 rll'~L~tiRL HJ ~raiJ Jl•1L'1VlA TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -8- 03/22/2007 F FASTRIP 775 SiteID: 015-021-000725 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 07/26/2006 ~ CALL 911 AND, IF NEED, CALL STATE EMERGENCY OFFICE 800-852-7550 OR 619-262-1621. Employee Notif./Evacuation 07/26/2006 A. SHUT OFF (IF POSSIBLE) MAIN POWER BREAKER. B. EVACUATE BLDG AND ANYBODY ELSE IN OR AROUND THE PREMISES. C. DIAL 911. D. NOTIFY NEIGHBOR(S) AND BUSINESS(ES) TO EVACUATE, IF NECESSARY. Public Notif./Evacuation NOTIFY SURROUNDING FACILITIES. 12/06/1994 Emergency Medical Plan MERCY HOSPITAL, 2215 TRUXTUN AVE, 327-3371. 12/01/2000 =9- 03/22/2007 F FASTRIP 775 SiteID: 015-021-000725 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 07/26/2006 ~ ALL AREAS ARE KEPT CLEAR OF COMBUSTIBLE PRODUCT. PUMPS HAVE EMERGENCY SHUT-OFFS. ABSORBENT MATERIALS ARE STORED ON SITE. Release Containment 10/04/1999 SMALL SPILLAGE, SHUT DOWN MAIN SWITCH, HOSE DOWN AREA MAJOR SPILLAGE, NOTIFY FIRE DEPT FOR ASSISTANCE. Clean Up 07/26%2006 VEHICLE OVERFILLS, SMALL SPILLAGE: HOSE AREA. DRIVE OFF WITH NOZZLE, SUBSTANTIAL SPILLAGE: SHUT DOWN ENTIRE SYSTEM. VEHICLE DAMAGE TO PUMP RESULTING IN LEAK: SHUT DOWN POWER TO DAMAGED PUMP(S), HOSE AREA, CALL DISTRICT OPERATIONS MANAGER. ADJACENT BUILDING(S) FIRE: SHUT DOWN ENTIRE ISLAND(S) EMERGENCY CONTROL SHUT-OFF. FIRE DEPT WILL ADVISE WHEN TO RESUME OPERATIONS. Other Resource Activation 10/04/1999 NOTIFY DISTRICT (OPERATIONS) MGR TO CALL OUT EMERGENCY RESPONSE PERSONNEL 393-7000. -10- 03/22/2007 F FASTRIP 775 SiteID: 015-021-000725 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~lC 1..10.1 nac.ai u~ Utility Shut-Offs A) GAS - NW CRNR EXT BLDG B) ELECTRICAL - SE CRNR INT OF STORE BEH STORAGE AREA DOOR C) WATER - SE CRNR EXT OF BLDG D) SPECIAL - NONE E) LOCK BOX - YES 01/31/2007 Fire Protec./Avail. Water FIRE HYDRANT - SE CRNR OF BLDG 03/31/2006 Building Occupancy Level 14 EMPLOYEES 03/31/2006 -11- 03/22/2007 l a' r ~ , ~ F FASTRIP 775 SiteID: 015-021-000725 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 07/26/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. rayc ~ nclu ivi ru~uie use nciu iui. ru~ui~ use -12- 03/22/2007 7~j~~s Owner Statements of Designated Underground Storage Tank (UST) Operator and Understanding of and Compliance with UST Requirements Facility Name: Fastrip #19 (Exxon) Facility ID #: 3076 Facility Address: 4901 So. Union Avenue, Bakersfield, CA 93307 (City) Reason for Submitting this Form (Check One) ^ Change of Designated Operator Facility Phone #: 661-397-9387 X Update Certificate Expiration Date Designated UST Operator(s) for this Facility PRIMARY Designated Operator's Name: Douglas M. Young III Relation to UST Facility (Check One) Business Name (If different from above): Conf dente UST Services, Inc. ^ Owner ^ Operator ^ Employee Designated Operator's Phone #: 800-339-9930 ^ Service Technician x Third-Party International Code Council Certification #: 0878646-UC Expiration Date: September 22, 2008 ALTERNATE 1 (Optional) Designated Operator's Name: Jennifer Davis Relation to UST Facility (Check One) Business Name (If different from above): Confidence UST Services, Inc. ^ Owner ^ Operator ^ Employee Designated Operator's Phone #: 800-339-9930 ^ Service Technician x Third-Party International Code Council Certification #: 5252886-UC Expiration Date: March 15, 2009 ALTERNATE 2 (Optional) Designated Operator's Name: Edward Mitchell Relation to UST Facility (Check One) Business Name (If different from above): Confidence UST Services, Inc. ^ Owner ^ Operator ^ Employee Designated Operator's Phone #: 800-339-9930 ^ Service Technician x Third-Party Intemational Code Council Certification #: 5258845-UC Expiration Date: May 15, 2008 I certify that, for the facility indicated at the top of this page, the individual(s) listed above will serve as Designated UST Operator(s). The individual(s) will conduct and document monthly facility inspections and annual facility employee training, in accordance with California Code of Regulations, title 23, section 2715(c) - (f). Furthermore, I understand and am in compliance with the requirements (statutes, regulations, and local ordinances) applicable to underground storage tanks. NAME OF TANK OWNER (Please SIGNATURE OF TANK OWNER: DATE: March l3, "LUU7 OWNER'S PHONE #: 661-393-"/UUU NOTE: 1) SUBMIT THIS COMPLETED FORM TO THE LOCAL AGENCY (NOT THE STATE WATER RESOURCES CONTROL BOARD) BY JANUARY 1, 2005. THE LOCAL AGENCY LIST IS AVAILABLE AT: www.waterboards.ca.~ov/ust/contacts/cupa ag, sue. 2) NOTIFY THE LOCAL AGENCY OF ANY CHANGES TO THIS INFORMATION WITHIN 30 DAYS OF THE CHANGE. November 2004 FASTRIP 775 SiteID: 015-021-000725 Manager BERNIE JAMIESON Location: 4901 S UNION AVE City BAKERSFIELD BusPhone: (661) 397-9387 Map 124 CommHaz Moderate Grid: 19B FacUnits: 1 AOV: CommCode: BFD STA 05 EPA Numb: SIC Code:5541 DunnBrad:18-951-4284 Emergency Contact / Title Emergency Contact / Title BERNIE JAMIESON / OWNER R CRAIG L INCOLN / OPS MANAGER Business Phone: (661) 397-9387x Business Phone: (661) 393-7000x 24-Hour Phone (661) 873-0852x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact R CRAIG LINCOLN Phone: (661) 393-7000x MailAddr: PO BOX 82515 State: CA City BAKERSF IELD Zip 93380-2515 Owner JAMIESON HILL Phone: (661) 393-7000x Address PO BOX 82515 State: CA City BAKERSF IELD Zip 93380-2515 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif' d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG U - UST ~~~ ~~t~~ ~~~~ Eased on my inquiry of these individuals respcnsib!e for obtaining the information, I certify under penalty of lavr that I have personally examined and am familiar with the information submitted and believe the information is true. accurate, and complete. 7 ~ 7 Si nat t D g ure a e -1- 07/11/2007 F FASTRIP 775 SiteID: 015-021-000725 ~ STORAGE CONTAINER DATA (UST FORM A) Last Action Type: - - FACILITY/SITE INFORMATION Business Name: FASTRIP 775 Cross Street Business Type: Org Type: Total Tanks 7 IndnRes/Trust: No PA Contact: Dsg Own/Oper DOUGLAS M YOUNG III ICC Nbr: 0878646-UC PROPERTY OWNER INFORMATION Name R CRAIG LINCOLN Phone: (661) 393-7000x Address: City State: Zip: Type CORPORATION TANK OWNER INFORMATION Name R CRAIG LINCOLN Phone: (661) 393-7000x Address: City State: Zip: Type CORPORATION BOE UST Fee# 003279 Financ'1 Resp: Legal Notif Business Mailing Address Date:04/17/1995 Phone: (336) 600- x Name:R CRAIG LINCOLN Tt1:VP State UST # 1998 Upg Cert#: 00775 -2- 07/11/2007 F FASTRIP 775 SiteID: 015-021-000725 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP REGULAR UNLEADED GASOLINE F IH DH L 12000.00 GAL Mod REGULAR UNLEADED GASOLINE F IH DH L 12000.00 GAL Mod PREMIUM UNLEADED F IH DH L 12000.00 GAL Mod REGULAR UNLEADED GASOLINE F IH DH L 12000.00 GAL Mod PREMIUM UNLEADED F IH DH L 12000.00 GAL Mod DIESEL F IH DH L 12000.00 GAL Low DIESEL L 12000.00 GAL Low -3- 07/11/2007 -4- 07/11/2007 F FASTRIP 775 SiteID: 015-021-000725 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME REGULAR UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: SE CRNR CAS# 8006-61-9 Liquid TMixture ~mbient~E ~ AmbientT~E ~ UNDEROGROUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 4190.00 GAL IS1iGEit'CLVU.7 1..V1~1rV1VJJIV 1.S %Wt. RS CAS# 100.00 Gasoline No 8006619 rit]GHKL Y,~5tS5~1~1J;1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME REGULAR UNLEADED GASOLINE Location within this Facility Unit SE CRNR STATE TYPE PRESSURE Liquid Mixture I Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8006-61-9 TEMPERATURE CONTAINER TYPE Ambient -~ER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 12000.00 GAL 12000.00 GAL 5697.00 GAL ru~Gr~ucLVUa ~.Vl~irvlv~tvta %Wt. RS CAS# 100.00 Gasoline No 8006619 !'1HGEiKL H~J ~71;.7.71.11;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 r F FASTRIP 775 SiteID: 015-021-000725 ~ ~ 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: SE CRNR CAS# 8006-61-91 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~mbient ~ Ambient ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 2169.00 GAL - HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Gasoline No 8006619 rlti4ti[CL 1•lJ JJ'.+JJ1.1P~1V 1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME REGULAR UNLEADED GASOLINE Location within this Facility Unit SE SIDE OF UNION AVE STATE T TYPE PRESSURE Liquid 1 Mixtur~ Ambient 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 12000.00 GAL 12000.00 GAL 12000.00 GAL i~c~rucl~v~J ~.vl•1rvi~1;1dTS %Wt• RS CAS# 100.00 Gasoline No 8006619 I1ti4tuCL tiJ JL' JJ1.1P~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -6- 07/11/2007 F FASTRIP 775 SiteID: 015-021-000725 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED Days On Site 365 Location within this Facility Unit Map: Grid: SE SIDE OF UNION AVE CAS# 8006-61-9 Liquid TMixtur~mbient~E ~ AmbientT~E ~ UNDEROGROUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 12000.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Gasoline No 8006619 I1HGEiCCL HJ JP~JJP'1r,1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME DIESEL Location within this Facility Unit SE CRNR STATE TYPE PRESSURE Liquid TMixtur~-Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 64741-44-2 TEMPERATURE ~~ CONTAINER TYPE Ambient I UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 6450.00 GAL nr~c~rucLVUJ 1,V1~lYUlV~1V1J oWt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 I1HGLiICL EiJ JP~JJ1~11~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -7- 07/11/2007 F FASTRIP 775 SiteID: 015-021-000725 ~ ~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DIESEL Days On Site 365 Location within this Facility Unit Map: Grid: SE SIDE OF UNION AVE CAS# Liquid TMixtur~mbient~E ~ AmbientT~E ~ UNDEROGROUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 12000.00 GAL HAZARDOUS COMPONENTS oWt. RS CAS# 100.00 Fuel Oil No. 1 No 70892103 I1HGtiiCL ti JJl~JJI°lP~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -8- 07/11/2007 F FASTRIP 775 SiteID: 015-021-000725 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 07/26/2006 ~ CALL 911 AND, IF NEED, CALL STATE EMERGENCY OFFICE 800-852-7550 OR 619-262-1621. Employee Notif./Evacuation 04/11/2007 SHUT OFF (IF POSSIBLE) MAIN POWER BREAKER. EVACUATE BLDG AND ANYONE ELSE IN OR AROUND THE PREMISES. DIAL 911. NOTIFY NEIGHBORS AND BUSINESSES TO EVACUATE, IF NECESSARY. Public Notif./Evacuation NOTIFY SURROUNDING FACILITIES. 12/06/1994 Emergency Medical Plan MERCY HOSPITAL, 2215 TRUXTUN AVE, 327-3371. 12/01/2000 -9- 07/11/2007 F FASTRIP 775 SiteID: 015-021-000725 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/11/2007 ~ ALL AREAS ARE KEPT CLEAR OF COMBUSTIBLE PRODUCT. PUMPS HAVE EMERGENCY SHUT-OFFS. ABSORBANT MATERIALS ARE STORED ON SITE. Release Containment 10/04/1999 SMALL SPILLAGE, SHUT DOWN MAIN SWITCH, HOSE DOWN AREA MAJOR SPILLAGE, NOTIFY FIRE DEPT FOR ASSISTANCE. Clean Up 04/11/2007 VEHICLE OVER-FILLS, SMALL SPILL: HOSE AREA. DRIVE OFF WITH NOZZLE, SUBSTANTIAL SPILL: SHUT DOWN ENTIRE SYSTEM. VEHICLE DAMAGE TO PUMP RESULTING IN LEAK: SHUT DOWN POWER TO DAMAGED PUMP, HOSE AREA, CALL DISTRICT OPERATIONS MANAGER. ADJACENT BUILDINGS FIRE: SHUT DOWN ENTIRE ISLANDS EMERGENCY CONTROL SHUT-OFF. FIRE DEPT WILL ADVISE WHEN TO RESUME OPERATIONS. Other Resource Activation 10/04/1999 NOTIFY DISTRICT (OPERATIONS) MGR TO CALL OUT EMERGENCY RESPONSE PERSONNEL 393-7000. -10- 07/11/2007 F FASTRIP 775 SiteID: 015-021-000725 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .~Nc~.ial nac,atu~ Utility Shut-Offs 04/11/2007 GAS - NW CRNR EXT BLDG ELECTRICAL - SE CRNR INT OF STORE BEH STORAGE AREA DOOR WATER - SE CRNR EXT OF BLDG Fire Protec./Avail. Water 03/31/2006 FIRE HYDRANT - SE CRNR OF BLDG Building Occupancy Level 03/31/2006 14 EMPLOYEES -11- 07/11/2007 F FASTRIP 775 SiteID: 015-021-000725 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 07/26/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. a rays ~ nc ll.l 1VL 1'UI~uIC U.S~C l1C 111 1VI rUI.ULC USC'' -12- 07/11/2007 ~- ~~ UNIFIED PROG-RAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services B E R 5 F, 0 900 Truxtun Ave., Suite 210 ---- FIRE Bakersfield, CA 93301 ARTM T Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECT N D E INSPECTION TIME ~ ~ ~~~ ~ (,,,'` ADDRESS r- PHON E O. NO OF E OYEES ( ~ Q e i~ { ~v - FACILITY CONTACT USINESS ID NUMBER 15-021- . ~ ~ ~ ~~ , Section 1: Business Plan and Inventory Program - ^ ROUTINE Q MBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION j C V (C=compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND I ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY I ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY A ~ - ^ VERIFICATION OF HAZ MAT TRAINING O' ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING i ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE 8 ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES `~,NO EXPLAIN: / QUESTIO EGAR HIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire revention / 1~' In /Shift of Site/Station # ess Site I e nsible Pa - White -Prevention Services Yellow -Station Copy - - Pink -Business Copy - ~ - "- - FD 2155 (Rev. 09105 ;~ - INSPECTIONS BUSINESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST ~ --rr FACILITY NAME: ~~n BAKERSFIELD FIRE DEPT. Prevention Services B E R S F I L D 900 Truxtun Ave., Ste. 210 Flli<E Bakersfield, CA 93301 ARTM T Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 INSPECTION DATE: Section 2: Underground Storage Tanks Program ^ Routine ~ombined ^ Joint Agency ^ Multi-Agency ^ Complaint ^ Re-Inspection Type of Tank f1t>,?-t=~ Number of Tanks Type of Monitoring ~c~yh Type of Piping 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 Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? ^ Yes - No Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank Aggregate Capacity Number of Tanks OPERATION Y N 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 V =Violation Y =Yes N = No Inspector: Questions regarding this inspection? Please call us at (661) 326-3979 White -Prevention Services Pink - Busir KBF-7335 - ~ ~ Prevention Services UNIFIED PROGRAM INSPECTION "CHEC.KLIST R . F R's'F , 9001Yuxturi Ave., Suite 210 FiRF Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ' ° ,aRrM - Tel.: (66.1) 326-3979. - - ~ Fax: (661) 872-2171 FACILITY NAME - - - - ,INSP TION DATEINSPECTION TIME - - I w s-r ~ ~ 7 `~ 20 (b ADDRESS p~ O !PHONE NO.~,,, ^ ~ INO OF EMP~ EES - FACILITY CONTACT BUSINESS ID NUMBER - SOtr~'~ C ~ .~ 15-021- a,~ Section 1: Business Plan and nventory Program ^ ROUTINE ~ COMBINED ^ -JOINT AGENCY ^ MULTI-AGENCY- ^ COMPLAINT' ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS - ' ~, ^ APPROPRIATE PERMIT ON HAND ~~ ^ BUSIrteSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~ '~ ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES - I ^ VERIFICATION OF LOCATION f I :: r, ~; ^ 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 ii i ^ HOUSEKEEPING ~e y, r c G~ .. ~- -7 1 ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES (VIVO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (667) 326-3979 ~~ t~l Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # I. - White -Prevention Services Yellow -Station Copy -. Pink -Business Copy i FD 2155 (Rev. 09/05 - ~. .. V 'P~~4~tiLli pl~~v CITY OF I3AKERSFiELD FIRE DEPARTMENT ~~ ~ ~ M~ OFFICE OF ENVIRONMENTAL SERVICES `~' y~` I~iNIFIED PROGRAI~1 INSPECTION CHECKLIST \~__•w ~g~,d'~~ 1715 Chester Ave., 3r`' Floor, Bakersfield, CA 93301 ~.~~i FACILITY NAME ~ADS-'C ~)~ INSPECTION DATE ~ ~ ~ Section 2: tinderground Storage Tanks Program ^ Routine ~ Combined Type of Tank Type of Monitoring _ ^ Multi-Agency Number of Tanks Type of Piping OPER:~TION C V COMMENTS Proper tank data on file Iu b T E ~ " ?~ C.c~S!- .~ •~ CO Proper o~~•nerioperator data on tiie dT, ~p-{-gyp ~ ~~ o,,.o~ Permit fees current ~ Certification of Financial Responsibility tJGK ' ~~ `ELv ~i^~ Monitoring record adequate and current ~ C~..o fa.~ S~~e3 dog- ~ ~ )\4aintenance records adequate and current ~,,,~,¢,,~;. ~-},~ S /'~c_ ~,~,~~, St r•e~ Failure to correct prior UST violations 7 ~ 1~ ~ a Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Tvne ~f Tank AGGREGATE CAPACITY Number of Tanks ^ Complaint ^ Re-inspection 7 Opv •ks OPERATION Y N COMMENTS SPCC available SPCC on the ti~ith OES Adequate secondary protection Proper tank placardine%labeling (s tank used to dispense MVF? If yes, Does tank have overtilUoverspill protection'? C=Compliance V=Violation Y=Yes N=NO Inspector: ~~`~~''"`~ ~ Office of Environmental Services (661) 326-3979 Vl'hitc - ~m~. Svcs. ^ Joint Agency usiness Site esponsible Party '~ Pink -Business Ci~ry