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Home My WebLink AboutBUSINESS PLAN 1 _ ,~.~ : ~ 5~3~'J- BATHINDA ENT DBA HP GOGO 909 Lc, ~E l"~f'(k.~'Ny\,\ BeROTI J. MACIEL 3301 WIBLE RD BAKERSFIELD SiteID: 015-021-000091 Manager : Location: City BusPhone: Map : 103 Grid: 30D (661) 835-8044 CommHaz : Moderate FacUnits: 1 AOV: CommCode: BFD STA 07 EPA Numb: SIC Code:5541 DunnBrad: Emergency Contact / Title \ Emergency Contact RANDEEP DHILLON / OWNER aBORO'fIIY MACIEfJ Business Phone: (661) 835-8044x Business Phone: 24-Hour Phone : (661) 549-2327x 24-Hour Phone : Pager Phone : ( ) - x Pager Phone : / Title / ~iSER (661) 835-8044x (661) -397 4~~JxC;-"'4-"3?-1 (661) 71--1 8G12x . Hazmat Hazards: Fire ImmHlth DelHlth ........ Period : Preparer: Certif'd: ParcelNo: to Phone: (661) 398-9545x State: CA Zip : 93304 Phone: (661) 398-9545x State: CA Zip : 93304 TotalASTs: = TotalUSTs: = RSs: No Gal Gal Contact : RANDEEP DHILLON MailAddr: 1615 C II BT d-.4.=D c-C\.v\l.\.ol \2'/>, City : BAKERSFIELD Owner Address City RANDEEP DHILLON : 1615 8 H 3l!' 1J.-4cc> Cc\){ht-=t t:-~. : BAKERSFIELD Emergency Directives: PROG A - HAZMAT PROG U - UST Based ,on my inqu,iry of those individuals responsible for obtaining the information I certify unde~ penalty of law, ~hat I, have pe~sonally exam~ned and am ,famIliar wIth the information submitted and believe the information is true accurate, and complete, ' ~I'ho(n Signature fNTV MAR 1 ' 5 2007 Date -1- 01/26/2007 l' t'; _~ i~ 4 F BATHINDA ENT DBA HP GOGO 909 SiteID: 015-021-000091 9 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: BATHINDA ENT DBA HP GOGO 909 Cross /Street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: Dsg Own/Oper : ELISA REDFEARN ICC Nbr: PROPERTY OWNER INFORMATION Name : DOROTHY ~4Z'~CIEL '!2",....\Jbe:.e1? t>t\-l\.LC~ Phone: (661) 835-8044x Address: ~A.oo ~I'\l'\-~ ~~ City : \S~'t\:e~f\E?l ~ State :~e>l Zip: ""'ls3o.... Type : CORPORATION TANK OWNER INFORMATION Name : DOROTt:ri MACIEL \2,.A.~ 9 t)thlloN phone: (661) 835-8044x Address: ~4-c:=-o c:..d.l"\l+d.. R~_ City : R::,~e ~Sfll~: lO State :c.q:~ Zip :~'33o ~ Type : BOE UST Fee# : UNKNOWN Financ'l Resp: SELF INSURED Legal Notif : -.. Date: Phone: (166) 180-44 x Name:RANDEEP DHILLON Ttl:OWNER State UST # : 1998 Upg Cert#: 00706 ,I "- -2- 01/26/:2007 g _ c j'\ ~ ~7, F BATHINDA ENT DBA HP GOGO 909 p= Hazmat Inventory p== MCP+DailyMax Order SiteID: 015-021-000091 By Facility Unit::. Fixed containers on site REGULAR UNLEADED GASOLINE SUPER UNLEADED GASOLINE -PLUS UNLEADED GASOLINE IH DH IH DH IH DH L G L 1 9 9 DaiiyMax IUnitlMCP 10000.00 GAL Mod 10000.00 GAL Mod 10000.00 GAL Mod Hazmat Common Name... IspecHazlEPA F F F Hazards I Frm I -3- 01/26/2007 ~ _ l~ f"."~ :-; -4- 01/26/2007 '? ~ F BATHINDA ENT DBA HP GOGO 909 p= Inventory Item 0001 F= COMMON NAME / CHEMICAL NAME REGULAR UNLEADED GASOLINE SiteID: 015-021-000091 1 Facility Unit: Fixed Containers on Site 1 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 5000.00 GAt . %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # I 80066I9. HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MC:\? No No No No/ Curies F IH DH / / / Mod F Inventory Item 0002 = COMMON NAME / CHEMICAL NAME SUPER UNLEADED GASOLINE Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit UST Map: Grid: ....... CAS # 8006-61"-9 [STATE I ~YPE ~ P~ESSURE ~ TEM~ERATURE ~ ==Gas __Mlxtur~mblent ---1 Amblent ~ AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL Daily Average 5000.00 GAt %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS Gr] CAS#8006~~91 I HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MC:\? No No No No/ Curies F IH DH / / / Mod .... -5- 01/26/2007 g, " i' '" F BATHINDA ENT DBA HP GOGO 909 f= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME PLUS UNLEADED GASOLINE SiteID: 015-021-000091 1 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 5000.00 GAL %Wt. / CAS # RS 100.00 Gasoline No 8006619 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No NO/ CUries F IH DH / / / Mad HAZARD ASSESSMENTS -6- 01/26/2007 g ., " F BATHINDA ENT DBA HP GOGO 909 I p= Notif./Evacuation/Medical Agency Notification SiteID: 015-021-000091 "I Fast Format "I Overall Site "I 10/10/2006 DIAL 911 AND GIVE LOCATION, AT THAT TIME IT IS SPECIFIED GAS IS INVOLVED, ALSO NATURE OF EMERGENCY (FIRE, ETC). SUN VALLEY OIL IS TO BE NOTIFIED. Employee Notif./Evacuation 08/10/2006 EMPLOYEES ARE NOTIFIED VERBALLY. EVACUATION BY REAR DOOR, COUNT TO BE TAKEN. Public Notif./Evacuation 12/17/1991 EVACUATION BY REAR DOOR. Emergency Medical Plan 11/07/2000 CALL 911. -7- 01/26/2007 ;;t' -c, F BATHINDA ENT DBA HP GOGO 909 I p= Mitigation/Prevent/Abatemt Release Prevention SiteID: 015-021-000091 9 Fas t Format 9 Overall Site 9 08/10/2006 NO SMOKING SIGNS ARE POSTED. STOP ENGINE SIGNS ARE POSTED. TANKS AND EQUIPMENT CHECKED ON A REGULAR BASIS. Release Containment 10/20/1992 TANKS ARE CHECKED ON A REGULAR BASIS. Clean Up 08/10/2006 FOR SMALL SPILLS CAT LITTER IS USED TO ABSORB GAS. FOR LARGE SPILLS CALL THE FIRE DEPT AND SUN VALLEY WOULD BE CONTACTED. Other Resource Activation -8- 01/26/2007 -:.:; . ;; :.. F BATHINDA ENT DBA HP GOGO 909 I f= Site Emergency Factors Special Hazards SiteID: 015-021-000091 9 Fas t Format 9 Overall Site 9 Utility Shut-Offs A) ELECTRICAL - BACK ROOM B) WATER - FRONT BY ST C) SPECIAL - GAS PUMPS S SIDE D) LOCK BOX - NO 01/26/2007 OF BLDG AND BACK ROOM . Fire Protec./Avail. Water 03/30/2006 PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS AND ALARM SYSTEM. NEAREST FIRE HYDRANT - NE CRNR OF LOT. Building Occupancy Level 03/30/2006 3 EMPLOYEES -9- 01/26/2007 ~ ~-' -; - ~~:~ :. F BATHINDA ENT DBA HP GOGO 909 I F Training Employee Training SiteID: 015-021-000091 ~ Fast Format 1 Overall site 1 06/19/2006 MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ONCE A MONTH MEETING TO DISCUSS PROCEDURES IN CASE OF EMERGENCY. Page 2 Held for Future Use Held for Future Use -10- 01/26/2007 _,0'-",.,. ~.' .: ."'1 UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services D 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 r:::::::::::::.::::=:::"-=~:::::::;;::::;:-':::;:~~~~.=-'---:_-_-:--=-,-:' SECTION 1: Business Plan and Inventory Program ().. FACILITY N ADDRESS FACILITY CONTACT L\)l8.L.€. f..~ Section 1 :13uslnessPlan and Inventory Program COMBINED D JOINT AGENCY D MULTI-AGENCY D COMPLAINT D D EMERGENCY PROCEDURES ADEQUATE D CONT AINERS PROPERLY LABELED D HOUSEKEEPING D FIRE PROTECTION D SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: v (C-COmplianCe) V=Violation OPERATION D Business PLAN CONTACT INFORMATION ACCURATE D ApPROPRIATE PERMIT ON HAND D VISIBLE ADDRESS D CORRECT OCCUPANCY D VERIFICATION OF INVENTORY MATERIALS D VERIFICATION OF QUANTITIES D VERIFICATION OF LOCATION D PROPER SEGREGATION OF MATERIAL D VERIFICATION OF MSDSAVAILABILlTY D VERIFICATION OF HAl MAT TRAINING COMMENTS ~ lfJfJ'O D VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES KBF-B013 DYES !DNO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 L:.- ~).L~j Inspector (Please Print) Fire Prevention /1" In / Shift of Site/Station # White - Prevention Services Yellow - Station Copy FD 2155 (Rev, 09105 ,-- HP CO I):) 9 D '3. :3:3D 1 1..,11 BLE: RD Bi~KER~3F I El1i Cf~ 661-3'3'7-45'5:3 DEG I 4. ;~~fO~ ~ (~';- ~-.., -+-- 9:~~:]Og 1 : ~:l Ft'] E;'i~3TEI"1 ~~:ri::\TlI~',: E'EP()Fr (""";' - ---.:.-. - '2-- -- --- f~LL~fUI'~(;H (>N~3 NOF:I"lAL ~ I N\/DJTOR'/ F:EF":)F:T T 1: Ut"JLEr;[IED ''J'OLUf''lE ULLAGE 90,;; ULLA,'.:;f> TC, \/C'i.UI"lE HEIGHT 1..,JATER \/OL I."JATER TH'IP T 2: F'REI"I I UI"! \/OLUf"lE ULLAGE 91]:\; ULLAGE= TC "/()LUt"lE HEIGHT I.,\IATER VOL I....JATEF: TH'IP T 3:PLU::3 \/OLUf"lE ULLACE 9U\;; ULLAGE= TC \/OLUt"lE j. HEIGHT J.,',JATER \/OL ll,JATEF: TH'IF' ~':;;J4~J ~:102t.1 ~~rlf 1 f'j1.:I-IJ:d I":'{"I ~iJ ..~HJ...c~. I f'K:HE~::; DEG F ~3913B t"l:=: :~3 :~:: 4;::.71 I] CI,UD I=,:::j . iJ 2t:. 72 Gr:1L~-=~ 76 ':J ':~ C~f':,LE~ 66l:, 1 GAL:::; ~~ tl t:i l:j GALE:~ 28. [:9 [NCHe3 CI f~ALE~ 0. DO I NCHE~::; 67.0 DE; F 17:35 :::686 '7513E: 1?22 21.22 CI D.DO 69.9 (:~ALr::~ CALf; GALE~ Gi~LE~ ] NC:HD3 Gr~L~::~ I f"IC HE:3 DEG F ~ ~ - ~ ~ END * * ~ ~ ~ c:---.--_____ _ _" . - - - -~- f i.""',,~ a:",",*"- ~ INSPECTIONS BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 BUSINESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST Page 1 of 1 FACILITY NAME: .\-\-Q &'01;0 INSPECTION DATE: (1-/1 q I 0 () Section 2: Underground Storage Tanks Program D Routine ~ Combined D Joint Agency D Multi-Agency D Complaint D Re-Inspection Type of Tank.S'''O ".,,~.. (;.3. Number of Tanks .3 Type of Monitoring \.l ,,-__..\-ct-~ n.~ Type of Piping .pClLSS"',~ -SLO S"Te.c.ol C.r. rC5 IH;,/nr OPERA TION C V COMMENTS '.', Proper tank data on file " r'--u Proper owner I operator data on file r-v Permit fees current - N Certification of Financial Responsibility -......... f.J Monitoring record adequate and current ., ~ Maintenance records adequate and current '" '-.,) Failure to correct prior UST violations -." --.J Has there been an unauthorized release? DYes (If3 No Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank Aggregate Capacity Number of Tanks OPERA TION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placardingllabeling Is tank used to dispense MVF?) If yes, does tank have overfill I overs pill protection? Inspector: C- ~Q.k. -j C = Compliance V = Violation Y = Yes N = No Questions regarding this inspection? Please call us at (661) 326-3979 White - Prevention Services Pink - Business Copy KBF.7335 FD 2156 (Rev. 09/05) g( ~c--" c)CV li/\..) ~ I ~.'I ! I, \" " / APPLICATION TO PERFORM ElD I LINE TESTING I S8989 SECONDARY CONTAINMENT TESTING /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION i I I, Ii I' : I L BAKERSFIELD FIRE DEPT. D Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 UNDERGROUND STORAGE TANKS Page 1 of 1 PERMIT NO, I i7 - {j 4- ~ J FACILITY LINE TESTING ~ SB-989 SECONDARY CONTAINMENT TESTING ~ ENHANCED LEAK DETECTION ~ TANK TIGHTNESS TEST PERFORM FUEL MONITORING CERTIFICATION SITE INFORMATION NAME & PHONE NUMBER OF CONTACT PERSON ADDRESS (!A- OWNERS NAME OPERATORS NAME PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED TANK # IS PIPING GOING TO BE TESTED? VOlUM E ~ YES 2S NO CONTENTS ca7 '69 ( SE-~U'c€s. NUMBER OF CONT~T PERSON I I -bbt-472- G~ CERTIFIC~ION #: H:2 8 f:9a ICC #: TEST METHOD 5"Z'fc?>ZI<6-UI DATE liON B,ECO FD 2095 (Rev. 09/05) '""";'-. .... , ., , .' ". ~ S '€. 'C, ~ 'ipJ '1