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Home My WebLink AboutBUSINESS PLAN (2) 1-" / ,-h If' ~y .- IW_, ,eJ" ,J - N r- . r- ., ('I) \ ~~7~ -- n '--1--- -/, ------~________u '~ I) I' MARKET EXPRESS '\, ) '!M L]500 WIBLE ROAD____ \, 1 '\ - ~~- Lf(J4 go \ ~ctO , / /! :~ . T' ~.. UNIFIED PROGRAM INSPECTION CHECKLIST;; B BAKERSFIELD FIRE DEPT Prevention Services 900 Truxtun Ave.. Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 ~,'$i~"',;:,w\;'::':;ttk-~~;t\"i~J"m1/;.'t..;c'G\<'.~.~":..~,~Xit>^r.:~""t '{'I.""'I!~\~i~ r;;.~';',,/' "l',~i:~-:.tl,Hi'/..':,f;l;'::.,;,~;',t'..:o::,,~~~,;:~'. ~,.;-_ : ;"'_: .::..t: '''t~' ,'...:."...'. ~~'5".!, 'i1'':l_~'~~': 1 ',.:: '.'.;_"i!,'i SECTION 1: Business Plan and Inventory Program . FACILITY NA,?:.O IJ n ., I ^ V' "-f-l~ PAtif\6~L.L- ADDRESS l/i~o WtfJLt, .t. FACILITY CO ROUTINE Section 1: Business Plan and Inventory Program D COMBINED D JOINT AGENCY D MULTI-AGENCY D COMPLAINT ~t{~~ D RE-INSPECTION ",,~ C V (C-COmPlianCe) V=Violation OPERATION COMMENTS ApPROPRIATE PERMIT ON HAND Business PLAN CONTACT INFORMATION ACCURATE VISIBLE ADDRESS CORRECT OCCUPANCY VERIFICATION OF INVENTORY MATERIALS VERIFICATION OF QUANTITIES VERIFICATION OF LOCATION PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY VERIFICATION OF HAl MAT TRAINING EMERGENCY PROCEDURES ADEQUATE CONTAINERS PROPERLY LABELED HOUSEKEEPING FIRE PROTECTION SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: _ DYES XNO .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 JIlMl" ~~'~l) 7 -c- Inspector (Please Print) Fire Prevention /1" In / Shift of Site/Station # White - Prevention Services Yellow - Station Copy Pink - Business Copy FD2049 (Rev. 02J05) -,,~,':'"\'-%"'iV ~~ , " ''J. J .... ~:4:" . ,''1 'A.~". \.liP -.", -~~~'k....;--:-..;."'" _ '."... _.J...---~~ ,.. '"","'., \- FIRE ORDINANCE VIOLA TION. . 'ita'; '::\ 'Remove and ~afely dispose of all h,azardOus refuse and dry vegetation on the above, premises (U.F.C.) , Provide non-combustible containers with tight fitting lids for the storage of combustible wastt.~dtubbiS'hJ"" pending its safedisposal. (U.F.e.) (';ut)!.J Relocate 'combustible storage to provide at least 3 feet clearance aroun({moi~r fuse box/fire door (N.E.e.) (U.F.C.). Relocate fire extinguisher(s) so that they will pe in a conspicuous location, hanging on brackets with the top to the extinguisher not more than 5 feet above the floor. '(N.F.P.A. No. 10) Provide and install (amount) ___ approved (type & size) _____'-~_ portable fire extinguisher to be immediately accessible for use in (area) __________--,.'___-,.- (U.F:C.) . ((~ )i,e-ch.!!.ge all fir" e extingUiShers., Fire extinguishers shall be serviced at least once each year, and/or after each use, ./ tlya person having a vamrrlcense or certificate. (U.F.e.) Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each requIred exit (door/window) to fire escape. (U.F.e.) , OCCUPANCY ,. .\~. (jjo'L TO DA\ If., COM'PANY ADDRESS (CITY, STATE, ZIP) CORRECT ALL VIOLATIONS VIOlATION CHECKED BELOW NO. COMBUSTIBLE WASTE/DRY VEGETATION COMBUSTIBLE STORAGE 1..;,. EXTINGUISHERS . ...... :~~. " -..,:;. '.( SIGNS .., , ' FJRE DOORS,"" ARE SEPARATIONS 11 EXITS 12 STORAGE 13, 14 , ELECTRICAL APPLiANCES , 15 OUTDOOR BURNING 16 RREWORKS 17 OTHER 18 :;"1' DISTRICT . , TITLE Mh It. I BLOCK NO. BAKERSFIELD FIRE DEPT. . Prevention Services .900 Truxttin Ave.. Ste. 210r ; Bakersfield, CA 93301 Tel.: (661) 326':3~79 X Fax: (661) 852,,-2171 DATE \2./0'" 10 ~ FIRM OR DBA'. ~\(J..A. 'fA \ M'fBA U- . BUSINesS PHONE 3l.}1-5u.d HOME PHO~ REQUIREMENTS , .2 3 4 .5 !.. '.. 7 8 Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the correct address of the building. (B.M.C.) (U.F .C.) Repair all (cracks/holes/openings) in plaster in (IOcatiOn)_________.:..'-________=.J_____________. Plastering shall return the surface to its original fire resistive condition. (U.B.e.) ~,( 'j( J \ Remove/repair (item & location) ____'-______________________..lJ_1)Jj v ';..hl.,;__________. Self"closing doors shall be designed to close by gravity, or by the action of a mechanicaldevice.pr by an approved smoke and . heat sensitive device. Self-closing doors shall have no attachments cap'aQ"le of preven'Ung the operation of the closing device. (U.F.e.) ',l /eJ,.J1..\ Remove all obstruCtion from hallways. Maintain all means of egress free o'f an9~0.;'age. (U.F.C.) 9 10 Provide a contrasting colored and permanently installed electric light o'ver or nea'r required exit (location) __ _____ __ ___ _ _ to clearly indicate it as an exit. (U.F,C.) Remove ,all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F,C.t.' ': Extension cords shall not be used in lieu of permanent approved wiring, Install additional approved electrical outlets where needed. (N.E.e.) (U.F.e.)' \' " Remove multiple attachment cords from specific electrical convenience ()utlet (one p.lug per outlet) (N.E.e.) (U.F.e.) Violation of Section 1102 dealino with recreational fires or ODen burnina. lU.F.C.} Violations of Section 7802 (U.F.C.1 or 8~49.040 of the Bakersfield MuniciDal Code 18.M.C.) ':eaardina fireworks. r~' DON (DATE) , , AN INSPECTION WILL BE MADE, IF NO COMPLIANCE HAS.BEEN MADE, AOOfTlONAL REGULATORY ACTION MAY BE INITIATED. I / I ' 0 AN ENFnRCJ:M WILL BE SENT BY C AIL P , , nATF. 'X ""~ I'EItIClN NOl'lCE.OI! VIOLAllON /;~ . ,( 7-~~ '\" \ ~/.... _TURE' " AFTER VIOLATIONS ARE CORRECTED, RETURN THIS NOTICE BY MAIL OR IN PERSON.!O: . BAKERSFIELD FIRE DEPT; OFFICE OF PREVENTION SERVICES . 900 TRUXTUNAVE."SUlTE 210 '. BAKERSFIELD, CA 93301 /-BV ~ oI:'ll!!.fIIe CHIEF J ~ fh/'"'\._ J \ INSPECTOR SIGNATURE LEGEND: '-... / J C.F.c. CAlFOIINIA FIRE COIlE U.B,c. UNIFOI\M IIULDlNG COIlE . B.M.C. ~MUNlClPALCO'" , N.F.PA ""'llONAL FIlE PROTECTION A!lSOCIAllON N.e.c::---IIlATlONAL ELECTRIC COIlE \ ., , H" DArE COMI'LElBll IlONATURE ... _ ...~i!~.", c;uslomer!Or~g~~a..1 YeIIO!'..1>.!!.!i,~,~!'p~".,... ;.... Pink. Prevdiin Services..A".., FD1916 IREV. 02/01) , ',< ~","/';'> ~ , -: ,-'l" .. ~" ' .' :t-"". Q . UNIFIED PROGRAM INSPECTfON CHECKLIST :;: ~.". ;,-'~"";~Oft;.r~v:;.~..'w.;~.r~r.....:;.',";:",iZj";:\ F~.~.':Jl;~tc-""_:"_;':;i' ;,-,;.~,,~,tt::;::,':;>: *--,;'_;(,'''~T-~' ,....,~ '-,', ., <l':"-'.,..,~';." ,,".-',1-'-.; ; ~'~:> ';;'-'.' .,~;..,.. .' ," ".'..:'" K.~,;",,:' I, SECTION 1: Business Plan and Inventory Program FACILITY CONTACT J, BAKERSFIELD FIRE DEPT Prevention Services 900 1iuxtun Ave.. Suite 210 Bakersfield. CA 93301 Tel.: (661) 326-3979 Fax: (661)872-2171 INSPECTION TIME I i -.....- ( :> JQ10 ORE-INSPECTION o ROUTINE Section 1: Business Plan and Inventory Program / KJ...150MBINED 0 JOINT AGENCY 0 MUL TI-AGENCY--O-- COMPLAINT ~ C V (C=comPlianCe) V=Violalion OPERATION ApPROPRIATE PERMIT ON HAND Business PLAN CONTACT INFORMATION ACCURATE VISIBLE ADDRESS CORRECT OCCUPANCY VERIFICATION OF INVENTORY MATERIALS VERIFICATION OF QUANTITIES VERIFICATION OF LOCATION PROPER SEGREGAT~_OFMATERIAL ._-------/;;--------_._--_._--~---~---_._._--------'-_.... VERIFICATION OF MSDS AVAILABILITY VERIFICATION OF HAZ MAT TRAINING EMERGENCY PROCEDURES ADEQUATE CONTAINERS PROPERLY LABELED HOUSEKEEPING FIRE PROTECTION SITE DIAGRAM ADEQUATE & ON HAND o YES ~o ANY HAZARDOUS WASTE ON SITE? EXPLAIN: __ nlion /1" In I Shift of Site/Station # While - P,evenl;on SelV;ces YeJlow - Slalion Copy COMMENTS ENr'n -. -- -,.., ..v-S E-P-Z--Q-zaOO------------ ~ Business Site/School ~e Responsible Party (Please Print) Pink - Business Copy FD~9 (Rev. 02/05) ~r::,....? ~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave.. 3rd Floor. Bakersfield. CA 93301 FACILITY NAME_"'~~~ct e~['(.~~ INSPECTION DATE qfr <f~ Co Section 2: Underground Storage Tanks Program o Routine B-Combined 0 Joint Agency Type of Tank \J)W~ ~ Type of Monitoring L L,t'v\ o Multi-Agency 3 0 Complaint Number of Tanks Type of Piping ~ ORe-inspection OPERA nON c v COMMENTS Proper tank data on file \....- /' Proper owner/operator data on filc v ,/ Penn it fees current / Certification of Financial Responsibility I' Monitoring record adequate and current {f- ( ~ Maintenance records adequate and current Failure to correct prior UST violations I' ./ 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 OPERA nON Y N COMMENTS spee available spec on tile with OES Adequate secondary protection Propcr tank placarding/labeling Is tank used to dispcnsc MVF? [I' yes, Does tank have overtill/overspill protection'? C=Compliance Y=Yes N=NO Q Inspector: Office of Environmental Services (66 White - Fnv. Svcs. Pink - Business Copy Business Site ~esponsible Party ~ -1;:~ ~~ + MARKET EXPRESS TEXACO =============================== SiteID: 015-021-000503 + Manager : Location: 2500 WIBLE RD City BAKERSFIELD BusPhone: Map : 123 Grid: lID (661) 831-9561 CommHaz : Moderate FacUnits: 1 AOV: CommCode: BFD STA 07 SIC Code:5541 EPA Numb: DunnBrad: +==============================================================================+ +=======================================+======================================+ Emergency Contact / Title Emergency Contact / Title ABDUL AZIZ / OWNER AMIN AHMAD / OWNER Business Phone: (661) 831-9561x Business Phone: (661) 831-9561x 24-Hour Phone : (661) 827-9411x 24-Hour Phone : (661) ~Oi 25BOx Pager Phone : (661) 204 4800Jt....- Pager Phone : ( ) It:;{; -46JJx +------------------------~&~h~-------+--------------------------------------+ I Hazmat Hazards: Fire ImmHlth DelHlth I +------------------------------------------------------------------------------+ Contact : ABDUL AZIZ Phone: (661) 827-9411x MailAddr: 5004 GREENVILLE CT State: CA City : BAKERSFIELD Zip : 93313 +------------------------------------------------------------------------------+ Owner ABDUL AZIZ Phone: (661) 827-9411x Address : 5004 GREENVILLE CT State: CA City : BAKERSFIELD Zip : 93313 +------------------------------------------------------------------------------+ Period to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: +------------------------------------------------------------------------------+ Emergency Directives: PROG A - HAZMAT PROG U - UST tNT'() J UN o 9 2006 Based .on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examl.ned and am familiar with the Information submitted and believe the information is true accurate. and complete. ' c~ D<-t 'I lob Signature . ~~ ,#rfJ'\ +==============================================================================+ -1- 05/30/2006 v is' MARKET EXPRESS-WIBLE Manager : J!d3I>tlr;-A-Z-TZ S CVl\.ekef ~\ Location: 2500 WIBLE RD City BAKERSFIELD ~ .~ 5 ~qJP- 015-02~0503 CommCode: BFD STA 07 EPA Numb: BusPhone: Map : 123 Grid: lID (661) 831-9561 CommHaz : Moderate FacUnits: 1 AOV: SIC Code:5541 DunnBrad: Emergency ContaEt.n I.~ Title ABDUL AZIZ So..i\\.MJ:'.~r~ef-'GWNER ~.:%f Business Phone: (661) 831-9561x 24 - Hour Phone : ( 661) ~-H-3..x CJ 7(-/1~ Pager phone : ( 661) ,:],06 4. 6 8!5x 17'g-fl1. Hazmat Hazards: Contact : ABDUL AZIZ MailAddr: 5004 GREENVILLE City : BAKERSFIELD ABDUL AZIZ 5004 GREENVILLE : BAKERSFIELD Owner Address : City Period : Preparer: . Certif' d: ParcelNo: to Emergency Directives: PROG A - HAZMAT PROG U - UST ~oO'\ \'\'" O\i\ ~~ DO~ 'f ~ ~7c-r;f'( 1- 'b- VJ J \rP\ ~ Emergency Contact I Title AMIN AHMAD Aq1 ~~ OWNER Business Phone: (661) 831-9561x 24 - Hour Phone : ( 661) ~-6-8"3X Pager Phone : ( ) q~to-I53"4 Fire t.~"'t) 0 e ~ ImmHlth DelHlth Phone: (661) ~lx State: CA q 7~ ~ l/cv'7-L Zip : ..,9~;H3 q3~ Phone: (661) -~~~~ State: CA '5'o}-9-oi::v1 Zip : ...:9-3-3-3.-3 93 '1 67.-f TotalASTs: = TotalUSTs: = RSs: No Gal Gal ~<'AY\d~ G,~bvL CT ,?-U,l So..1~. 'S~ \Cy-elOvVl-O .- R~1 . &>(ew,~/t CT \?-I.I\. t- 6cv( e..e-v '8 +- \)~O '& t'V'07 (lased on my inquiry of those individua.ls resoonsible 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. (~~hAiz- Signature -1- oi-- ,{""- Q +. Date 07/12/2007 t; ., F MARKET EXPRESS-WIBLE SiteID: 015-021-000503 9 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: MARKET EXPRESS-WIBLE Cross Street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: Dsg Own/Oper : RONALD ROGERS ICC Nbr: 5246001-UC PROPERTY OWNER INFORMATION Name : AMIN AHMAD Phone: (661) 831-9561x Address: City : State: Zip: Type : CORPORATION TANK OWNER INFORMATION Name : AMIN AHMAD Phone: (661) 831-9561x Address: City : State: Zip: Type : CORPORATION BOE UST Fee# : 032884 Financ'l Resp: SELF INSURED Legal Notif : Business Mailing Address Date:10/16/2001 Phone: (~) 611- x Name:ABDUL AZIZ Ttl:OWNER 661 i--Qt; 4- 6 <6 S '-~ State UST # : 1998 Upg Cert#: 00742 -2- 07/12/2007 i; "i F MARKET EXPRESS-WIBLE f= Hazmat Inventory f== MCP+DailyMax Order SiteID: 015-021-000503 1 By Facility Unit "I Fixed Containers on Site 9 IspecHazlEPA Hazards I Frm I DailyMax IUnitlMCP F IH DH L 15000.00 GAL Mod F IH DH L 10000.00 GAL Mod F IH DH L 5000.00 GAL Low Hazmat Common Name. . . REGULAR UNLEADED PREMIUM UNLEADED DIESEL -3- 07/12/2007 ~ -4- 07/12/2007 F MARKET EXPRESS-WIBLE p= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME REGULAR UNLEADED SiteID: 015-021-000503 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit UST Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 15000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 15000.00 GAL Daily Average 14000.00 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 F= COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit UST Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Mixture 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 9000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # I 8006619 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -5- 07/12/2007 "~ .. F MARKET EXPRESS-WIBLE p= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME DIESEL SiteID: 015-021-000503 9 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit UST Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Above Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 5000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 5000.00 GAL Daily Average 4000.00 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 -6- 07/12/2007 SiteID: 015-021-000503 1 Fast Format 9 Overall Site 9 03/19/1998 F MARKET EXPRESS-WIBLE I p= Notif./Evacuation/Medical Agency Notification CALL 911. Employee Notif./Evacuation 09/20/2006 VERBAL COMMANDS, EVACUATE OR REMAIN AS SITUATION DEEMS NECESSARY, THEN CALL 911. Public Notif./Evacuation 09/20/2006 CALL 911. THEN EVACUATE EMPLOYEES AND CUSTOMERS, IF DEEMED NECESSARY, TO CLOSEST SAFETY AND NOTIFY EMERGENCY HAZARDOUS MATERIALS TEAM. Emergency Medical Plan 03/19/1998 CLOSEST EMERGENCY FACILITIES. -7- 07/12/2007 SiteID: 015-021-000503 9 Fast Format 9 Overall Site 9 09/20/2006 F MARKET EXPRESS-WIBLE I p= Mitigation/Prevent/Abatemt Release Prevention CALL 911 FOR FIRE DEPT OR APPROPRIATE AGENCY. EVACUATE EMPLOYEES AND CUSTOMERS, IF NECESSARY. ALL HAZARDOUS MATERIAL IS PROPERLY STORED. Release Containment 03/19/1998 FUEL KEPT IN UNDERGROUND STORAGE TANKS. Clean Up 03/30/2006 SMALL SPILLS CLEAN UP WITH DRY ABSORBENT MATERIAL, LARGE SPILLS WOULD CALL AND ENVIRONMENTAL CLEAN-UP COMPANY. Other Resource Activation -8- 07/12/2007 f. -. SiteID: 015-021-000503 1 Fast Format 9 Overall Site 9 F MARKET EXPRESS-WIBLE I p= Site Emergency Factors Special Hazards Utility Shut-Offs 04/24/2007 GAS - W SIDE OF BLDG ELECTRICAL - SE CRNR INSIDE BLDG WATER - SE LARSON LN Fire Protec./Avail. Water 04/24/2007 PRIVATE FIRE PROTECTION - FEDERATED INSURANCE FIRE HYDRANT - NE CRNR WILSON & WIBLE RD Building Occupancy Level 03/30/2006 10 EMPLOYEES -9- 07/12/2007 ~, ~. ;: t'. F MARKET EXPRESS-WIBLE I p= Training Employee Training SiteID: 015-021-000503 9 Fas t Format 9 Overall Site 9 02/02/2007 MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES TRAINED AND FAMILAR WITH EMERGENCY PROCEDURES. READ AND FAMILARIZE YOURSELF WITH HAZARDOUS MATERIALS/AND LOCATION, LISTED ON ATTACHED SHEET; ALWAYS WASH HANDS WHEN YOU COME IN CONTACT WITH ANY OF LISTED MATERIALS; NO SMOKING AROUND OPEN CONTAINERS, OR ON GASOLINE ISLANDS; IN THE EVENT OF AN EMERGENCY THAT WOULD REQUIRE ADDITIONAL HELP, CALL 911 TO REPORT; AND CALL STORE EMERGENCY CONTACT TO REPORT ANY ACCIDENTS OR Page 2 Held for Future Use Held for Future Use ~_.-- --~ -10- 07/12/2007 COB 4/13/2007 8:39:45 AM PAGE 4/013 Fax Server ~.__ so ~~ '1 () MARKET EXPRESS-WIBLE SiteID: 015-021-000503 Manager : Location: 2500 WIBLE RD City BAKERSFIELD BusPhone: Map : 123 Grid: lID (661) 831-9561 CommHaz : Moderate FacUnits: 1 AOV: ComrnCode: BFD STA 07 EPA Numb: SIC Code:5541 DunnBrad: Hazmat Hazards: Emergency Contact AMIN AHMAD Business Phone: 24-Hour Phone : Pager Phone : Fire / Title / OWNER (661) 831-9561x (661) 706-4683x ( ) - x Emergency Contact / Title ABDUL AZIZ / OWNER Business Phone: ( 661) 831-9561x 24-Hour Phone : (661) 827-9411x Pager Phone : (661) 706-4685x ImmHlth DelHlth Period : Preparer: Certif'd: ParcelNo: to Phone: ( 661) 827-9411x State: CA Zip : 93313 Phone: (661) 827-9411x State: CA Zip : 93313 TotalASTs: = Gal TotalUSTs: ;;;;;; Gal RSs: No Contact : ABDUL AZIZ MailAddI: 5004 GREENVILLE CT City .. BAKERSFIELD Owner ABDUL AZIZ Address : 5004 GREENVILLE CT City : BAKERSFIELD Emergency Directives: PROG A - HAZMAT PROG U - UST gM1)01 , . ,'nnu'lrV of Ih(l"f! ifldivid'J::'!:; [.....(..r 0" r;.ll', ' -ft ;::."_".~' ;~.,~. ;()I ob~,,'nin9 Ihe ;nfcrrr.::tt:on. I n'~:t.Y .r ...." ... , I<lv' 'hal \ h:l\J':': PCr'jor.dlly 'J"(J"I IVH"\i'll~\" (J. u.. ,. . t ......-llon .. ~ . .. i.. h iliac wilh Itw ,n.l1h," f':~;.,,..,,.rlt>.:1 .,11(. ..In .,.111.. ..... t ue SU;.:o:111t:p.d ;:INI b,;;lieve the mforma.lon I~ r . 'lcc:.r"lc, <Ind C0mplele. ~ l\P~-1Y -o~ Dalfl ENTV APR 24 200i SiCJnc,i;P~ -1- 04/13/2007 COB 4/13/2007 8:39:45 AM PAGE 5/013 Fax Server ~(~ ,;.' F MARKET EXPRESS-WIBLE SiteID: 015-021-000503 1 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: MARKET EXPRESS-WIBLE Cross street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: Dsg Own/ Oper : RONALD ROGERS ICC Nbr: 5246001-UC PROPERTY OWNER INFORMATION Name : AMIN AHMAD Phone: (661) 831-9561x Address: City : State: Zip: Type : CORPORATION TANK OWNER INFORMATION Name : AMIN AHMAD Phone: (661) 831-9561x Address: City : State: Zip: Type : CORPORATION BOB UST Fee# : 032884 Financ'l Resp: SELF INSURED Legal Notif : Business Mailing Address Date:10/16/2001 Phone: (826) 611- x Name:ABDUL AZIZ Ttl:OWNER State UST # : 1998 Upg Cert#: 00742 -2- 04/13/2007 COB 4/13/2007 8:39:45 AM PAGE 6/013 Fax Server ," ~ F MARKET EXPRESS-WIBLE F Hazmat Inventory f== MCP+DailyMax Order SiteID: 015-021-000503 1 By Facility Unit; Fixed Containers on Site 9 !specHazlEPA HazardsT Frm J DailyMax IUnitlMCP F IH DH L 15000.00 GAL Mod F IH DH L 10000.00 GAL Mod F IH DH L 5000.00 GAL Low Hazmat Common Name... REGULAR UNLEADED PREMIUM UNLEADED DIESEL -3- 04/13/2007 COB - - 4/13/2007 8:39:45 AM PAGE 8/013 Fax Server ~l F MARKET EXPRESS-WIBLE F Inventory Item 0001 = COIv'IMON NAME / CHEMICAL NAME REGULAR UNLEADED SiteID: 015-021-000503 9 Facility Unit: Fixed Containers on Site ~ Days On Site 365 Location within this Facility Unit UNDERGROUND TANK Map: Grid: CAS# 8006-61--9 [ ~TA-:rE I ~YPE ~ P~ESSURE ---r TE~ERATURE ~ CONTAINER TYPE = Ll.qul.d __ MJ.xtur~Ambl.ent --1 Arnb~ent ~ER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 15000.00 GAL 15000.00 GAL 14000.00 GAL I %Wt~ 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS#S006619I TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSBSSMENTS F Inventory Item 0002 = COIv'IMON NAME / CHEMICAL NAME PREMIUM UNLEADED Facility Unit: Fixed Containers on Site; Days On Site 365 Location within this Facility Unit UNDERGROUND TANK Map: Grid: CAS# 8006-61-9 [ ~TA~E I ~YPE ~.. P~ESSURE --r TE~ERATORE ~ CONTAINER TYPE = L~qu~d __ Ml.xtur~Amhl.ent -1 Amb1ent ~ER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 9000.00 GAL tWt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS#a006619I MENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESS -5- 04/13/2007 COB 4/13/2007 8:39:45 AM PAGE 9/013 Fax Server t ~ F MARKET EXPRESS-WIBLE F Inventory Item 0003 = COMMON NAME. / CHEMICAL NAME DIESEL SiteID: 015-021-000503 9 Facility Unit: Fixed Containers on Site 9 Days On site 365 Location within this Facility Unit UNDERGROUND TANK Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE - TEMPERATURE Ambient Above Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 5000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 5000.00 GAL Daily Average 4000.00 GAL HAZARDOUS COMP NT %Wt. RS CAS # 100.00 Fuel Oil No. 1 No 70892103 ONE S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low HAZARD ASSESSMENTS -6- 04/1.3/2007 COB 4/13/2007 8:39:45 AM PAGE 10/013 Fax Server .r SiteID: 015-021-000503 ~ Fast Format ~ overall Site 9 03/19/199B f MARKET EXPRESS-WIBLE I f= Notif./Evacuation/Medical Agency Notification CALL 911. Employee Notif./Evacuation 09/20/2006 VERBAL COMMANDS, EVACUATE OR REMAIN AS SITUATION DEEMS NECESSARY, THEN CALL 911. Public Notif./Evacuation 09/20/2006 CALL 911. THEN EVACUATE EMPLOYEES AND CUSTOMERS I IF DEEMED NECESSARY, TO CLOSEST SAFETY AND NOTIFY EMERGENCY HAZARDOUS MATERIALS TEAM. Emergency Medical Plan CLOSEST EMERGENCY FACILITIES. 03/19/199B -7- 04/~3/2007 COB 4/13/2007 8:39:45 AM PAGE 11/013 Fax Server ,(\ ., SiteID: 015-021-000503 i Fast Format 9 Overall Site 9 09/20/2006 f MARKET EXPRESS-WIBLE I f= Mitigation/Prevent/Abatemt Release Prevention CALL 911 FOR F!RE DEFT OR APPROPRIATE AGENCY. EVACUATE EMPLOYEES AND CUSTOMERS, IF NECESSARY. ALL HAZARDOUS MATERIAL IS PROPERLY STORED. Release Containment 03/19/1998 FUEL KEPT IN UNDERGROUND STORAGE TANKS. Clean Up 03/30/2006 SMALL SPILLS CLEAN UP WITH DRY ABSORBENT MATERIAL, LARGE SPILLS WOULD CALL AND ENVIRONMENTAL CLEAN-UP COMPANY. Other Resource Activation -8- 04/~3/2007 COB - - - ~-- 4/13/2007 8:39:45 AM PAGE 12/013 Fax Server .. SiteID: 015-021-000503 9 Fast Format 9 Overall Site 9 f MARKET EXPRESS-WIBLE I f= Site Emergency Factors Special Hazards Utility Shut-Offs 03/30/2006 A) GAS - W SIDE OF BLDG B) ELECTRICAL - SE CRNR C) WATER - SE LARSON LN D) SPECIAL - NONE E) tOCK BOX - NO INSIDE BLDG Fire Protec./Avail. Water 02/02/2007 PRIvATE FIRE PROTECTION - FEDERATED INSURANCE/~~, ~ ~~ FIRE HYDRANT - NE CRNR WILSON & WIBLE RD. Building Occupancy Level 03/30/2006 10 EMPLOYEES -9- 04/13/2007 -. COB 4/13/2007 8:39:45 AM. PAGE 13/013 Fax Server ...~ ", t ~ F MARKET EXPRESS-WIBLE I F Training Employee Training SiteID: O~5-02~-000503 1 Fast Format 9 Overall Site 9 02/02/2007 MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES TRAINED AND FAMlLAR. WITH EMERGENCY PROCEDURBS. READ AND FAMILARIZE YOURSELF WITH HAZARDOUS MATERIALS/AND LOCATION, LISTED ON ATTACHED SHEET i ALWAYS WASH -HANDS WHEN YOU COME IN CONTACT WITH ANY OF LISTED MATERIALS; NO SMOKING AROUND OPEN CONTAINERS, OR ON GASOLINE ISLANDS i IN THE EVENT OF AN EMERGENCY THAT WOULD REQUIRE ADDITIONAL HELP, CALL 911 TO REPORT; AND CALL STORE EMERGENCY CONTACT TO REPORT ANY ACCIDENTS OR Page 2 Held for Future Use Held for Future Use -10- 04/~3/2007