The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLAN EUREKA PAINT & BODY I i ~ 900 13TH STREET ~~ ~~~~~~' ~ ~~ 1"\~ ~ ~) i ,~ ~~~ HaZardous Materials/Hazardous Waste Unified 'Permit CONDITIONS OF.-PERMIT ON REVERSE SIDE This Dermit is issued for the following: [] Hazardous Materials Plan E] Underground 'Storage of Hazardous Materials Permit ID #:: 015-000-000491 . E] Risk Management Program '. · EUREKA PAINT & BODY r'l Hazardous Waste On-Site Treatment .... LOCATION: 900 13TH ST iELD ., 5:' ~ .. "~,~:~. ~.,. ~: ..... .. .. · ~.~ .' OFFICE OF ENVIRONMENTAL SER VICES' " 1715 Chester Ave., 3rd Floor Approved by: . Bakersfield, CA 93301 umc¢ofEvirommm~Services Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE .......... .~,,,,~:.~,,~.,,:.,,::~??:~..,,,,~ ............... This permit is issued for the following: .~; ".. ". :.~: .~=.:: '::"~F; ~. 3' ~: iii~ '~ '~ ,~t~F~'~ "'~' ~;':::~::::"~' ',:~ '~' '"" ~' :~ ,, .. .....'~: ~-.' b.%1~:~:~.. -. -~:~ . . ~::i~i..~:,~:.~::,,, 1~;.;~ ~!~?,... :E'-.... '"~: i,r.. '-..',~ ,1 .i --' ''4 '"'""P'~" ':~*- ~' ~ ' ' ,' ,~ .' ~ I ~ % ,~"¢1 ""'":"'" ii" ..¥~! ~, "-... '4i~..I " ........ ;"" ~''' '~'" ' ' ~ ' ' ' I ' ':'A ~. ,-. ....~ ,. ~: ~ ~ . . ...... ~ ~f .,. ~: ~ ~..... -.,,~ "~.:,._.._...~ .~: ~,-, ..... ~' '.~ .,:. _ ":,~ .... ,, · ,........." ...-...:., .-::,?~-%:.~.-' ,. · .., .; - .~ ,-.~,~g::,..-..,, .,...' ,,.-.. :.. ,..' ,.' ,, ~ .,' ~,.,~.,.~,~,~,::'" Is~ by: · B~ersfield Fke Depa~ment A~rov~ by: 1715 Chewer Ave., 3rd Floor ~ Office of ~en~l B~ersfiel~ CA 93301 Voice (805) 326-3979 F~ (805)~26-0S76 Expiration Date: ~n~ ~O~ ~OOO UREKA PAINT & BODY WORKS ~ /~ ~~' BAKERSFIELD, CALIFORNIA 93301 Phone 323-0496 ..X .... N ..~ ....~ ~'~ ,-.. , ~t1,.~ · ~4-k~l, - EUREKA PAINT & BODY WORKS 117- 23rd STREET '" ~' J~ /5' Phone 323-0496 BAKERSFIELD September 13, 1994 Eureka Paint & Body Works ~ 900 13th Street Bakersfield, California 93301 Dear Owner: Our office has notified you on several occasions that your hazardous materials account is seriously past due. You have failed to make payment or to make and keep any payment arrangements. The City of Bakersfield hereby demands payment in full on account HM403601 in the amount of $378.11. Payment must be received in my office within ten (10) working days of your receipt of this demand. Failure to make payment within the ten working days will force the City of Bakersfield to commence legal action against you. If a judgement is granted you will be held liable for the amount of the suit plus court costs plus interest at 10% until such time as the judgement is satisfied. Respectfully, Financial Investigator City of Bakersfield · Treasury Division · P.O. Box 2057 Bakersfield · California - 93303 ~CITY OF BAKERSFIELD FIRE DEPARTMENT ~'~ ~ ~"~ OFFICE OF ENVIRONMENTAL SERVICES $.3, 'gZ VNIF E. PROa M INSPECTION 1715 Chester Ave., 3~ Floor, Bakersfield, CA 93301 FACILITY NAME L~/U:/~ ~'~ ~SPECTION DATE _ ADDRESS ~O/~ /Y/~ PHONE NO. FACILITY CONTACT BUSINESS ID NO. 15-210- ~/ ~SPECTION TIME NUMBER OF EMPLOYEES Section I: Business Plan and lnvento~ Program ~ Routine ~ Combined ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection OPERATION C V 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 Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: Explain: Questions regarding this inspection? Please call us at (661) 326-3979 Business Site Responsible Party While - Env. Svcs. Yellow - Slalion Copy Pink - Business Copy Inspector: EUREKA PAINT & BODY WORKS SiteID: 015-02~1-000491 Manager : BusPhone: (661) 323-0496 Location: 900 13TH ST Map : 103 CommHaz : Moderate City : BAKERSFIELD Grid: 30C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 03 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title REYNALDO RUIZ / OWNER / Business Phone: (661) 323-0496x Business Phone: ( ) - x 24-Hour Phone : (661) 872-2768x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: (661) 323-0496x MailAddr: 900 13TH ST State: CA City : BAKERSFIELD Zip : 93301 Owner REYNALDO RUIZ Phone: (661) 872-2768x Address : 4001 COLUMBUS ST State: CA City : BAKERSFIELD Zip : 93306 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ~ Hazmat Inventory One Unified List ~-- Alphabetical Order Ail Materials at Site Hazmat Common Name... SpocHazlEPA HazardsI Frm DailyMax lUnitlMCP ACETYLENE F P IH G 600.00 FT3 Hi ARGON F P IH G 300.00 FT3 Min OXYGEN F P IH G 300.00 FT3 Low WASTE ANTIFREEZE F DH L 30.00 GAL Low WASTE OIL F DH L 30.00 GAL Low WASTE PAINT F DH L 110.00 GAL UnR -1- 09/20/2001 EUREKA PAINT & BODY WORKS SiteID: 015-021-000491 ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: SOUTHEAST CORNER OF SHOP CAS# 74-86-2 F STATE ~ TYPE i PRESSURE TEMPERATURE CONTAINER TYPE Gas /Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 600.00 FT3 300.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Acetylene Yes 74862 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# MCP No No No No/ CuriesI F P IH / / / Hi ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site COMMON NAME / CHEMICAL NAME ARGON Days On Site 365 Location within this Facility Unit Map: Grid: SOUTHEAST CORNER OF SHOP CAS# 7440-37-1 FSTATE i TYPE PRESSURE TEMPERATUREI CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average FT3 300.00 FT3I 150.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Argon No 7440371 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -2- 09/20/2001 EUREKA PAINT & BODY WORKS SiteID: 015-021-000491 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: SOUTHEAST CORNER OF SHOP CAS# 7782-44-7 r STATE ~ TYPE i PRESSURE TEMPERATURE CONTAINER TYPE Gas /Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 300.00 FT3 175.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# MCP No No No No/ CuriesI F P IH / / / Low F Inventory Item 0008 Facility Unit: Fixed Containers on Site COMMON NAME / CHEMICAL NAME WASTE ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE NW CORNER OF BLDG CAS# 107-21-1 Liquid Waste Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 30.00 GAL 30.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 30.00 Ethylene Glycol No 107211 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -3- 09/20/2001 EUREKA PAINT & BODY WORKS SiteID: 015-021-000491 F Inventory Item 0009 Facility Unit: Fixed Containers on Site COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE NW CORNER OF BLDG CAS# 221 Liquid Waste Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 30.00 GAL 20.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ .Curies F DH / / / Low F Inventory Item 0007 Facility Unit: Fixed Containers on Site COMMON NAME / CHEMICAL NAME WASTE PAINT Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE ~ TEMPERATURE CONTAINER TYPE Ambient I Ambient DRUM/BARREL-METALLIC Waste Liquid AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 110.00 GAL 55.00 GAL HAZARDOUS COMPONENTS [ %Wt. RSI CAS# HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# MCP No No No No/ CuriesI F DH / / / UnR -4- 09/20/2001 EUREKA PAINT & BODY WORKS SiteID: 015-021-000491 Full Format Type+Category+Sub-Category+Date2(ASC) Order One Unified List INSPECTIONS Reference Dates Summary Description PHILLIPS 03/27/1996 OK PHILLIPS 10/02/1995 OK 10/05/1988 OK OK Reference Dates Summary Description HAMMONS 01/07/1994 OK 20 MIN INVENTORY HAS CHANGED - NO DIESEL, KEROSENE, WASTE OIL, LACQUER - 5 GAL ANNUAL. Reference Dates Summary Description STRICKLA 04/10/1990 OK Reference Dates Summary Description -5- 09/20/2001 EUREKA PAINT & BODY WORKS SiteID: 015-021-000491 ~ Full Format Type+Category+Sub-Category+Date2(ASC) Order One Unified List Reference Dates Summary Description PONEC 06/22/1989 FOLLOW UP NO VERIFICATION OF HAZ MAT TRAINING UNABLE TO VERIFY INVENTORY OR QUANTITIES Reference Dates Summary Description HUEY 12/11/1992 FOLLOW UP OK HUEY 10/06/1989 FOLLOW UP OK TO SUBMITT REVISED BUSINESS PLAN BY 10/13/89 DO NOT CHANGE INVENTORY UNTIL BUSINESS REVISES PLAN. Reference Dates Summary Description HAMMONS 11/23/1992 FOLLOW UP NO LONGER CARRIES WASTE OIL, DIESEL OR KEROSENE. PAINT STORAGE. BUSINESS PLAN PROGRAM ROUTINE INSPECTION Reference Dates Summary Description -6- 09/20/2001 KBF-7171 CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT N° 1 0 8 2 Location flOC) /~ ~ Sub Div. . Blk. . Lot You are hereby required to make the following corrections at the above location: Cot. No Completion Dale for Corrections Date Inspector 326-3979 F EUREKA PAINT & BODY WORKS SiteID: 015-021-000491 ~ Full Format Type+Category+Sub-Category+Date2(ASC) Order One Unified List ROUTINE INSPECTION BUSINESS PLAN PROGRAM ROUTINE INSPECTION Reference Dates Summary Description EINSTEIN 10/12/2000 OK 10-12-00 - PUT ADDRESS ON BLDG. EINSTEIN 09/13/1999 OK TISINGER 06/10/1998 OK EXTINGUISHER NEEDS RECHARGING. RAMOS 06/04/1997 OK HAZARDOUS WASTE GENERATOR ROUTINE INSPECTION Reference Dates Summary Description WINES 04/12/2001 SEE CORRECTION NOTICE #1082 4-12-01 - PLEASE HAVE HAZARDOUS WASTE PAINT & THINNER PROPERLY DISPOSED OF BY A LICENSED HAZARDOUS WASTE HAULER. (LAST DISPOSAL MANIFEST DATED 1996) -7- 09/20/2001 MR430107 ~ CITY OF BAKERSFIELD ~ 9/20/01 M~ellaneous Receivables In~ry 09:56:17 Customer ID . . . : 2961 Name: EUREKA PAINT AND BODY WORKS Last statement : 9/01/01 Addr: 900 13TH ST Last invoice : /~/~0-/'~ BAKERSFIELD, CA 93301 Current balance : % 944.5~ Pending ..... :~0 A ACTIVE ENVIRONMENTAL SERVICES Type options, press Enter. ~/Combined Detail 5=Display Chg Bnk G Opt Trans Date Code Description Amount Balance Typ Cd L 8/01/98 stmrn Statements Processed 00 226 50 N - 6/30/98 stmrn Statements Processed 00 226 50 N - 6/11/98 stmrn Statements Processed 00 226 50 N - 6/01/9~stmrn Statements Processed 00 226 50 N - 6/01~ SS001 CA STATE SURCHARGE 18 5~ 326 50 A 00 - 6/01 HM017 HAZ MAT ANNUAL INSPE 50 00 ~Y~ 208 00 A 00 - 6/01/98 HM009 HAZ MAT HANDLING FEE 158 00 158 00 A 00 - 5/01/98 stmrn Statements Processed 00 00 N More... F3=Exit F12=Cancel * = Pending MR430107 ~ CITY OF ~RSFIELD ~ 9/20/01 ~ellaneous Receivables In~ry 09:56:17 Customer ID . . . : 2961 Name: EUREKA PAINT AND BODY WORKS Last statement : 9/01/01 Addr: 900 13TH ST Last invoice : 0/00/00 BAKERSFIELD, CA 93301 Current balance : 944.50 Pending ..... : .00 A ACTIVE ENVIRONMENTAL SERVICES Type options, press Enter. Co~ined Detail 5=Display Chg Bnk G Opt Trans Date Code Description Amount Balance Typ Cd L 1/15/99 SS001 CA STATE SURCHARGE 18 50 453 00 A 00 - 1/15/99 HM017 HAZ MAT ANNUAL INSPE 50 00~-~-~8 434 50 A 00 - 1/15/99 HM009 HAZ MAT HANDLING FEE ~'158 00 384 50 A 00 -- 1/01/99 stmrn Statements Processed 00 226 50 N - 12/01/98 stmrn Statements Processed 00 226 50 N 11/01/98 stmrn Statements Processed 00 226 50 N - 10/01/98 stmrn Statements Processed 00 226 50 N - 9/01/98 stmrn Statements Processed 00 226 50 N More... F3=Exit F12=Cancel * = Pending MR430107 ~ CITY OF BAKERSFIELD ~ 9/20/01 M~ellaneous Receivables In~ry 09:56:17 Customer ID . . . : 2961 Name: EUREKA PAINT AND BODY WORKS Last statement : 9/01/01 Addr: 900 13TH ST Last invoice : 0/00/00 BAKERSFIELD, CA 93301 Current balance : 944.50 Pending ..... : .00 A ACTIVE ENVIRONMENTAL SERVICES Type options, press Enter. Combined Detail 5=Display Chg Bnk G Opt Trans Date Code Description Amount Balance Typ Cd L 9/01/00 stmrn Statements Processed 00 662 50 N - 8/01/00 stmrn Statements Processed 00 662 50 N - 6/01/00 stmrn Statements Processed 00 662 50 N - 6/01/00 SS001 CA STATE SURCHARGE 10 00 662 50 A 00 - 6/01/00 HM017 HAZ MAT ANNUAL INSPE 50 00~-~-~ 652 50 A 00 - 6/01/00 HM009 HAZ MAT HANDLING FEE 158 00 602 50 'A 00 5/01/00 stmrn Statements Processed 00 444 50 N - 4/01/00 stmrn Statements Processed 00 444 50 N More... F3=Exit F12=Cancel * = Pending MR~30107 ~ CITY OF BAKERSFIELD ~ 9/20/01 ~ M~ellaneous Receivables In~ry 09:56:17 Customer ID . . . : 2961 Name: EUREKA PAINT AND BODY WORKS Last statement : 9/01/01 Addr: 900 13TH ST Last invoice : 0/00/00 BAKERSFIELD, CA 93301 Current balance : 944.50 Pending ..... : .00 A ACTIVE ENVIRONMENTAL SERVICES T~pe options, press Enter. Combined Detail 5=Display Chg Bnk G Opt Trans Date Code Description Amount Balance Typ Cd L 1/01/01 stmrn Statements Processed .00 944 50 N - 1/01/0t SS001 CA STATE SURCHARGE J...0.._._.._'_00 944 50 A 00 1/01/0i HM018 SM QUANTITY HAZ WAST ~~ 934 50 A 00 - 1/01/01 HM017 HAZ MAT ANNUAL INSPE '53.00 ~O-~ZoOD881 50 A 00 - 1/01/01 HM009 HAZ MAT HANDLING FEE '166.00~- 828 50 A 00 - 12/01/00 stmrn Statements Processed .00 662 50 N 11/01/00 stmrn Statements Processed .00 662 50 N 10/01/00 stmrn Statements Processed .00 662 50 N More... F3=Exit F12=Cancel * = Pending CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGtL~M INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakerstield, CA 93301 FACILITY NAME F-t,.Jt'4~'t<.A ~A-,,,/'r ~ ~:~bh/ INSPECTION DATE Section 4: Hazardous Waste Generator Program EPA ID # ~ COO O 1 41 ~. Routine [] Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made / EPA ID Number (Phone:916-324-1781 toohtain EPA ID Os} Authorized for waste treatment and"or storage // Reported release, fire. or explosion within 15 days of occurance i/fi& Established or maintains a contingency plan and training Hazardous waste accumulation time frames Containers in good condition and not leaking Containers are compatible with the hazardous waste Containers are kept closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet fi'om property line SecondaL'y containment provided O U-Om,/ &,.f,/,.4'C,-- rOt'2.da,~.5' Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste of lead acid batteries including labels Proper rnanagement of used oil fi Iters ,,///& Proper nlanagement Transports hazardous waste with completed maniti:st Sends manifest copies to DTSC Retains manifests for 3 >,'ears Retains hazardous waste analysis for 3 >,ears Retains copies of used oil receipts for 3 5'ears Determines il' waste is restricted fi'om land disposal C=Compliance V=Violation Office of Environmental Services (805) 326-3979 "'""'~sines. Site R~ponsible Party \Vhite - Em'. Svcs. Pink - Business Copy OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 "~"'"'~~"'"'~"" HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one fonw per material l~er building or area) [] NEW /~kpo [] DELETE ~:] REVISE 200 Page ~ of __ BUSINESS ~ME (~me ~ FACILI~ ~E ~ DBA - ~ng Busin~ ~) 3 ~,~ CHEM~L LO~TtON ~ Y~ ~ No 202 205 ~ T~DESECRET ~Y~ ~No 2~ CHEmICaL ~E If Subj~ to EPC~, ref~ iD 207 = CO~N ~ EHS' ~ Y~ ~ No FIRE CODE H~D C~SSES (~pl~e if ~u~t~ by I~1 fire ~i~ 210 FED H~RD ~TE~RIES ~ 1 FIRE ~ 2 R~CT~ ~ 3 PRESSURE REL~SE ~ AC~ H~L~ ~ 5 ~RONIC H~LTH 216 (Ch~ ali'~at apply) ANNU~ WAS~ ~ 217 ~ ~l~M 218 AVENGE ~ 219 STA~ WAS~ ~DE A~U~ DAILY ~U~ ~ DAILY ~U~ UN.S* ~a ~L ~ d CU ~ ~ lb LBS ~ ~ TONS ~1 DAYS ON S~E ~2 ' ~ EHS. am~nt must be in lbs. STOOGE CO~AINER ~ a A~VEGROUND T~K ~ P~S~ONMETALLIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL ~R 2~ (Check afl ~at apply) D b UNDERGROUND TANK ~ f ~N ~ j BAG ~ n P~STIC BO~LE ~ r OTHER ~ c T~K INSIDE BUILDING ~ g ~R~Y ~ k BOX ~ o TOTE BIN ~ d S~EL DRUM ~ h SILO ~ I CYLINDER ~ p TANK WA~N STOOGE PRESSURE ~ A~IE~ ~ ~ A~VEA~IE~ ~ ba BELOWA~IE~ ~4 S~GE TEM~RE ~ A~IE~ ~ ~ A~VE ~IE~ ~ ba BELOWA~IE~ ~ c CRYOGENIC 1 ~ ~7 ~Y~ ~No 228 ~ 2 ~0 ~1 ~ Y~ ~ No 232 233 3 ~ ~5 ~Ym~No 236 237 4 ~8 239 ~ Y~ ~ No 240 241 5 242 243 ~ Y~ ~ ~ 244 245 ~RINT NAME & TITLE OF AUTHORIZED COMPANY REPRESE~ATIVE SIG~TURE DATE 2~ UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd O CE OF ENVIRONMENTAL ,RVICES 1715 Chester Ave., CA 93301 (661) 326-3979 "~"~~"~"" HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one fonT~ per material per but/ding or area) I~ NEW ~DD [-] DELETE ~ REVISE ~ Page ~ of BUSINESS ~ME (Same as FACILI~ ~ME ~ D~ - ~ng Busin~ ~) 3 CHEMICAL LOCATION ~ I~ ~ C~ ~ ~*0~ 201~ CHEMI~LLO~TION ~ CONFIDENTIAL(EPC~) ~ Y~ ~ No ~2 FACIL,~ ID. ~ ~ ; ~ ', ~l~P.(o~t~naO 203GRID.(op~naO 205 T~DE SECRET CHEMI~L ~ME ~ ~ ~ ( ~ ff Subj~ to EPC~ ref~ to insulins ~7 COM~N~ EHS* ~Y~ ~No ~ . FIRE CODE H~D C~SSES (~pl~e if r~u~t~ by I~ fire ~i~ 210 J CURIES 213 ~PE ~ p PURE ~ m MITRE ~w WASTE 211 ~DIOACT~ ~ Y~ ~ No 212 ~ PHYSI~L STATE ~ s SOLID ~IQUID ~ g ~S 214 ~RGEST~AINER ~ 215 FED H~RD ~TE~RIES (~ all ~at apply) FIRE ~ 2 R~ ~ 3 P~SSURE REL~SE ~ 4 AC~ H~L~ ~ 5 CHRONIC H~LTH 216 A~u~ANNUAL WAS~ ~ 217DAILY~I~M~u~ ~ ~ 218 ] AVE~GEDAiLY A~U~ ~ 219 STA~ WAS~ ~DE UN.S* ~a ~L ~ ~ CU~ ~ lb LBS ~ ~ TONS 221 ~ DAYSONS~E * g EHS, am~nt must ~ in lbs. STOOGE CO~AINER ~ a A~VEGROUND T~K ~ e P~STI~NM~ALLIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL (Check all ~at apply} ~ b UNDERGROUND TANK ~ f ~N ~ j BAG ~ n P~STIC BO~LE ~ r O~ER ~ c TANK INSIDE BUILDING ~ g ~R~Y ~ k BOX ~ o TOTE BIN ~ S~EL DRUM ~ h SILO ~ I CYLINDER ~ p TANK WA~N ~a A~IE~ ~ ~ A~VEA~IE~ ~ ba BELOWA~IE~ ~4 STOOGE PRESSURE STOOGE TElEWaRE ~ A~IE~ ~ ~ A~VE A~IE~ ~ ba BELOW A~IE~ ~ c CRYOGENIC I ~ ~7 ~Y~ ~No 228 2 ~0 231 ~Y~ ~No232 3 2~ 235 ~ Y~ ~ No 236 ~7 4 ~8 ~9 ~ Y~ ~ No 240 241 5 242 243 ~ Y~ ~ No 244 I 245 P~INT ~ME & TITLE OF AU~ORIZED COMPANY REPRESE~ATIVE SIG~TURE DATE 2~ UPCF (7199) S:\CUPAFORMS\OES2731 .'l'V4.wpd CUST E & NO. ~ - o~.~c~ ~ ~ MISCELLANEOUS RECEIVABLES ADJUSTMENT ADDRESS CHANGE CLOSE ACCr j 'FINANCE CHARGE I __ OTHER ADJ ! ~/ /- MAILING ADDRESS C~C)(--) [">~~ ~ SITE ADDRESS PARCEL NUMBER O~= APPUC,~LL=) ADJUSTMENT J CHG DATE CHARGE CODE I ADJUSTMENT AMOUNT : 1 ' EUREKA PAINT & BODY WORKS Jgl~ 4 188~ SitelD: 215-000-000491 -- Manager : BY: 3usPhone: (805) 323-0496 Location: 900 13TH ST -- _.~ap : 103 CommHaz : Moderate City : BAKERSFIELD Grid: 30C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 03 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title REYNALDO RUIZ / OWNER / Business Phone: (805) 323-0496x Business Phone: ( ) - x 24-Hour Phone : (805) 872-2768x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact : Phone: ( ) - x MailAddr: 900 13TH ST State: CA City : BAKERSFIELD Zip : 93301 Owner REYNALDO RUIZ Phone: (805) 872-2768x Address : 4001 COLUMBUS ST State: CA City : BAKERSFIELD Zip : 93306 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ~ Hazmat Inventory One Unified List ~-- As Designated Order Ail Materials at Site Hazmat Common Name... ISpeoHazlEPA HazardsI Frm DailyMax lUnitlMCP OXYGEN F P IH G 300 FT3 Low ARGON ~I~6V~/~~ ~/~ ~)O h~0b~ C~i~ ~ h G 300 FT3 Min -1- 11/03/1998 EUREKA PAINT & BODY WORKS SiteID: 215-000-000491 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: SOUTHEAST CORNER OF SHOP CAS# 7782-44-7 ~ STATE ~ TYPE I PRESSURE TEMPERATURE CONTAINER TYPE Gas /Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 300.00 FT3 175.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: SOUTHEAST CORNER OF SHOP CAS# 74-86-2 Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 600.00 FT3 300.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Acetylene No 74862 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# MCP No No No No/ CuriesI F P IH / / / Hi 2 11/03/1998 EUREKA PAINT & BODY WORKS SiteID: 215-000-000491 ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site COMMON NAME / CHEMICAL NAME ARGON Days On Site 365 Location within this Facility Unit Map: Grid: SOUTHEAST CORNER OF SHOP CAS# 7440-37-1 FSTATE i TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 300.00 FT3 150.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Argon No 7440371 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -3- 11/03/1998 EUREKA PAINT & BODY WORKS SiteID: 215-000-000491 Fast Format F Notif./Evacuation/Medical Overall Site Agency Notification 09/15/1993 CALL 911 Employee Notif./Evacuation 09/15/1993 ALERT EMPLOYEES. CALL 911. TURN OFF MAIN POWER LOCATED INSIDE AND OUTSIDE NW CORNER. TURN OFF MAIN GAS NW OUTSIDE. Public Notif./Evacuation 09/15/1993 NONE LISTED Emergency Medical Plan 09/15/1993 MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371. MERCI MEDI CENTER - 34TH & Q ST - 325-6334. -4- 11/03/1998 EUREKA PAINT & BODY WORKS SiteID: 215-000-000491 Fast Format F Mitigation/Prevent/Abatemt Overall Site Release Prevention 01/07/1990 CHAIN WELDING TANK TO CARRING RACK. KEEP ALL PAINT AND THINNERS IN METAL CONTAINERS IN METAL STORAGE CABINETS. NO SMOKING SIGNS. WATER HOSE HOOK UP AT DIFFERENT LOCATIONS IN SHOP. KEEP FIRE EXTINGUISHERS UP TO DATE. KEEP AND HAVE EMPLOYEES READ MATERIAL SAFETY DATA SHEETS. Release Containment Clean Up Other Resource Activation -5- 11/03/1998 EUREKA PAINT & BODY WORKS SiteID: 215-000-000491 Fast Format F Site Emergency Factors Overall Site Special Hazards Utility Shut-Offs 09/20/1996 = A) GAS - NORTHWEST CORNER OF BUILDING B) ELECTRICAL - NORTHEAST CORNER OF BUILDING C) WATER - NORTHWEST OF BUILDING OUTSIDE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 09/20/1996 PRIVATE FIRE PROTECTION - Building Occupancy Level 6 11/03/1998 EUREKA PAINT & BODY WORKS i~ Training ~~~~~~~~~~~ Overall Site i~ Employee Training ~~~~~~~~~ 09/20/1996 WE HAVE.EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: MATERIAL SAFETY DATA SHEETS GIVEN TO EMPLOYEES TO READ AND EMPLOYEES SIGN OFF WHEN THROUGH. i~&&&& Held for Future Use 09/11/96 EUREKA PAINT & BODY WORKS 215-000-000491 Page 1 Overall Site with 1 Fac. Unit General Information Location: 900 13TH ST Map:103 Haz:3 Type: 3 City : BAKERSFIELD Grid: 30C~/U: 1 AOV: 0.0 / Contact Name Title '-~Contact Name/ Title REYNALDO RUIZ / Business Phone: (805) 323-0496x Business~To~ (8~~496x 24-Hour Phone : (805) 872-2768x 24-Hour Pho~g~9~~5-/8470x Pager Phone : ( ) - x Pager~_Rko~: Administrative Data Mail Addrs: 900 13TH ST D&B Nu~er: City: BAKERSFIELD State: CA Zip: 93301- Co~ Code: 215-003 BAKERSFIELD STATION 03 SIC Code: Owner: REYNALDO RUIZ Phone: (805) 872-2768 Address: 4001COL~BUS ST State: CA City: BAKERSFIELD Zip: 93306- - Sugary I, ~E~'~L/~//c/o t~,/"~, DO hereby certify that l have ( ! ype or p~int harms) reviewed the attached hazardous materials ment plan for c-F~ .~~. #£~ (~-~at it along with any corrections constitute a complete and correct man- agement plan ~or my facili~. 09/11/96 EUREKA PAINT & BODY WORKS 215-000-000491 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-002 ACETYLENE Gas 600 High · Fire, Pressure, Immed Hlth FT3 02-001 OXYGEN Gas 300 Low · Fire, Pressure, Immed Hlth FT3 02-006 ARGON Gas 300 Minimal · Fire, Pressure, Immed Hlth FT3 09/11/96 EUREKA PAINT & BODY WORKS 215-000-000491 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-002 ACETYLENE Gas 600 High · Fire, Pressure, Immed Hlth FT3 CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 Daily Average FT3 Annual Amount FT3 600 I 300.00 I 600.00 Storage ~ Press T Temp~ Location PORT. PRESS. CYLINDER IAbove JAmbientlSOUTHEAST CORNER OF sHop -- Conc Components MCP ---TGuide 100.0% IAcetylene IHigh ! 17 02-001 OXYGEN Gas 300 Low · Fire, Pressure, Immed Hlth FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 Daily Average FT3 Annual Amount FT3 . 300 I 175.00 I 450.00 Storage I Press I Temp I Location PORT. PRESS. CYLINDER Above JAmbient SOUTHEAST CORNER OF SHOP - Conc Components MCP ---TGuide 100.0% Ioxygen, Compressed ILow ! 14 02-006 ARGON Gas 300 Minimal · Fire, Pressure, Immed Hith FT3 CAS #: 7440-37-1 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 Daily Average FT3 Annual Amount FT3 300 I 150.00 I 300.00 StorageI Press T TempI Location PORT. PRESS. CYLINDER IAbove IAmbientlSOUTHEAST CORNER OF SHOP -- Conc Components MCP ----~Guide 100.0% IArgon IMinimal I 12 09/11/96 EUREKA PAINT & BODY WORKS 215-000-000491 Page 4 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation ALERT EMPLOYEES. CALL 911. TURN OFF MAIN POWER LOCATED INSIDE AND OUTSIDE NW CORNER. TURN OFF MAIN GAS NW OUTSIDE. <3> Public Notif./Evacuation NONE LISTED <4> Emergency Medical Plan MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371. MERCI MEDI CENTER - 34TH & Q ST - 325-6334. 09/11/96 EUREKA PAINT & BODY WORKS 215-000-000491 Page 5 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention CHAIN WELDING TANK TO CARRING RACK. KEEP ALL PAINT AND THINNERS IN METAL CONTAINERS IN METAL STORAGE CABINETS. NO SMOKING SIGNS. WATER HOSE HOOK UP AT DIFFERENT LOCATIONS IN SHOP. KEEP FIRE EXTINGUISHERS UP TO DATE. KEEP AND HAVE EMPLOYEES READ MATERIAL SAFETY DATA SHEETS. <2> Release Containment <3> Clean Up <4> Other Resource Activation 09/11/96 EUREKA PAINT & BODY WORKS 215-000-000491 Page 6 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards / <2> Utility Shut-Offs J A) GAS - NORTHE~T CORNER OF BUILDING B) ELECTRICAL ~ NORTHEAST CORNER OF BUILDING ~ s~c~ - ~o~ ~ ~oc~ .ox - ~o <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - <4> Building Occupancy Level 09/11/96 EUREKA PAINT & BODY WORKS 215-000-000491 Page 7 00 - Overall Site <G> Training <1> Employee Training / WE HAVE ~ ~MPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: MATERIAL SAFETY DATA SHEETS GIVEN TO EMPLOYEES TO READ AND EMPLOYEES SIGN OFF WHEN THROUGH. <2> Page 2 <3> Held for Future Use <4> Held for Future Use '! 09/03/93 EUREKA PAINT & BODY WORKS 215-000-000491 Page 1 Overall Site with 1 Fac. Unit General Information Location: 900 13TH ST Map: 103 Hazard: Moderate Community: BAKERSFIELD STATION 03 Grid: 30C FlU: 1 AOV: 0.0 Contact Name Title Business Phone 24-Ho~-~7~ ' Phone- REYNALDO RUIZ (805) 323-0496 x (805) ~C~021 FRANK G. RUIZ (805) 323-0496 x (805) ~8 Administrative Data Mail Addrs: 900 13TH ST D&B Number: City: BAKERSFIELD State: CA, Zip: 93301-, Comm Code: 215-003 BAKERSFIELD STATION 03 SIC Code: Owner: REYNALDO RUIZ :. Phone: ~ )~T2 Address:-~-~"'"~"-~'~-?$~ ~/6~! ~/~~ State: CA City: BAKERSFIELD Z/p: 93306- Summary b SEP ! ~ 1993 ;By I, ~,,~'/~/ ~/~/;~ DO hereby certify that I have / (Typo or p~t ~) reviewed the a~ached h~ardous materials manage- merit plan fo~,~~..~n~ that it along w~h any ~rr~ions ~nstitute a ~mplete and co~re~ man- agement plan for my facili~, 09/03/93 EUREKA PAINT & BODY WORKS 215-000-000491 Hazmat Inventory List in MCP Order Page 2 02'- Fixed Containers on Site Pln-Ref Name/Hazards .~ Form Max Qty MCP 02-002 ACETYLENE ~ Fire, Pressure, Immed Hlth Gas 600 High FT3 02-003 ACRYLIC-LACQUER AUTOMOTIVE PAINT · Fire Li~ ~ Moderate ., GAL ~ 02-004 DIESEL FUEL - /~. ~, j~ ~ '?~// Low GAL 02-005 KEROSENE / .~ · ~ ~ Low GAL 02-001 OXYGEN .~ · Fire, Pressure, Immed Hlth Gas 300 Low FT3 02-007 WASTE OIL ~ Fire, Delay Hlth L~ ~ Low ' GAL 02-006 ARGON ~ · Fire, Pressure, Immed Hlth Gas 300 Minimal FT3 09/03/93 EUREKA PAINT & BODY WORKS 215-000-000491 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-002 ACETYLENE Gas 600 High ~ Fire, Pressure, Immed Hlth FT3 CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 Daily Average FT3 Annual Amount FT3 -- 600 I 300.00 I 600.00 Storage Press T TempI Location PORT. PRESS. CYLINDER Above I AmbientlSOUTHEAST CORNER OF SHOP -- Conc Components MCP ---~uide 100.0% IAcetylene IHigh / 17 02-003 ACRYLIC-LACQUER AUTOMOTIVE PAINT Liquid ~JhO- Moderate CAS #: Trade Secret: No ~~~F~w~ Form: Liquid Type: Mixture Days: 365 Use: SPRAYING Daily Max GAL I Daily Average GAL I Annual Amount GAL 70 I 35.00 . 270.00 Storage IIPress T Temp Location METAL CONTAINR-NONDRUMIAmbient/AmbientlNORTHEAST CORNER OF SHOP -- Conc Components MCP Guide 40.0% Xylene, Mixed Moderate 27 10.0% Toluene Moderate 27 5.0% n-Butyl Acetate' Moderate 26 5.0% Naphtha Moderate 27 5.0% Mineral Spirits Moderate 27 09/03/93 EUREKA PAINT & BODY WORKS 215-000-000491 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-004 CAS #: Trade Secret: No Form: Unknown Type: Pure Days: Use: CLEANING Daily Max GAL Daily Average GAL Annual Amount GAL 55 I 0.00 I 55.00 Storage Press Temp Location DRUM/BARREL-METALLIC I T IsE -- Conc Components MCP ----~Guide 100.0% IDiesel Fuel No.1__lM°~~l. 27 02-005 KEROSENE ? ~ //~'~ Low ·~L CAS'#: Trade Secret: No Form: Unknown Type: Pure Days: Use: CLEANING Daily Max GALI Daily Average GAL I Annual Amount GAL 55 ~ 0.00 55.00 Storage Press Temp Location DRUM/BARREL-METALLIC I T IsE -- ConcI Components MCP ---~Guide 100.0% IKeroSene ModerateI 27 02-001 OXYGEN Gas 300 Low · Fire, Pressure, Immed Hlth FT3 CAS #: 7782-44-7 Trade secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 Daily Average FT3 Annual Amount FT3 300 I 175.00 I 450.00 Storage Press T TempI Location PORT. PRESS. CYLINDER Above ~AmbientlSOUTHEAST CORNER OF SHOP -- ConcI Components MCP ---TGuide 100.0% IOxygen, Compressed Low ! 14 09/03/93 EUREKA PAINT & BODY'-WORKS 215-000-000491 Page 5 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-007 WASTE OIL Liquid . · ~3~ Low · Fire, Delay Hlth CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL Daily Average GAL Annual Amount GAL -- 55 I 55.00 I 55.00 StorageI~Press T Temp Location BIN IAmbient/AmbientlNORTHWEST CORNER OF SHOP -- Conc I Components I MCP --~Guide 100.0% Waste Oil, ·Petroleum Based Low ! 27 02-006 ARGON Gas 300 Minimal · Fire, Pressure, Immed Hlth FT3 CAS #: 7440-37-1 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 Daily Average FT3 Annual Amount FT3 300 I ~ 150.00 I 300.00 Storage [ Press T Temp ] Location PORT. PRESS. CYLINDER· Above /Ambient SOUTHEAST CORNER OF SHOP -- Conc Components MCP ---~Guide 100.0% IArgon IMinimal I 12 09/03/93 EUREKA PAINT & BODY WORKS 215-000-000491 Page 6 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation ALERT EMPLOYEES. CALL 911. TURN OFF MAIN POWER LOCATED INSIDE AND OUTSIDE NW CORNER. TURN OFF MAIN GAS NW OUTSIDE. <3> Public Notif./Evacuation NONE LISTED <4> Emergency Medical Plan MERCY HOSPITAL - 2215 TRUXTUN AVE -~327-3371. 09/03/93 EUREKA PAINT & BODY WORKS 215-000-000491 Page 7 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention :~ CHAIN WELDING TANK TO CARRING RACK. KEEP ALL PAINT AND THINNERS IN METAL CONTAINERS IN METAL STORAGE CABINETS. NO SMOKING SIGNS'. WATER HOSE HOOK UP AT DIFFERENT LOCATIONS IN SHOP. KEEP FIRE EXTINGUISHERS UP TO DATE. KEEP AND HAVE EMPLOYEES READ MATERIAL SAFETY DATA SHEETS. <2> Release Containment <3> Clean Up <4> Other Resource Activation 09/03/93 EUREKA PAINT & BODY WORKS 215-000-000491 Page 8 00 -. Overall Site <F> Site Emergency Factors <1> Special Hazards '<2> Utility Shut-Offs A) GAS - NORTHEAST CORNER OF BUILDING B) ELECTRICAL - NORTHEAST CORNER OF BUILDING C) WATER - ? D) SPECIAL - NONE ? E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - <4> Building Occupancy Level 09/03/93 EUREKA PAINT & BODY WORKS 215-000-000491 Page 9 00 - Overall.Site <G> Training <1> Page 1 WE HAVE ~EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: MATERIAL~SAFETY DATA SHEETS GIVEN TO EMPLOYEES TO READ AND EMPLOYEES SIGN OFF WHEN THROUGH. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use : Bakers ]e Fire Dept. ,. ~,~ HAZARDOUS MATERIALS DIVISION Date Completed Business Name: ~~"~-"~/ /'~/~- ~ ~'0/') Y~ ~/'~~ Location: ~;;)0{~ /3 ~ ~'~- Business Identification No. 215-000-,'~00z/~/ ('l'op o!/~usiness Plan) S~a,o~.o. ~ S~if~ /~ Ins~e~o~ ~.~',~'~'~W~, Adequate I n a-B'Eq'~at~e .... ' ' --'~'--'---~,-=: ..... Verification of Inventory Materials I~ I~] Verification of Quantities I~ '/ Verification of Location I~/ I~] n Proper Segregation of Material ~ ts; Verification of MSDS Availablity I~ I~] Number of Employees Verification of Haz Mat Training ~ I~] Comments: Verification of Abatement Supplies & Procedures Comments: · Emergency Procedures Posted ~ "// · ~ Containers Propek~y Labeled I~ ~ Comments: Verification of Facility Diagram ~ I~ ~,~--c~ ~, ~ o! ,- Special Hazards Associated with this Facility: ['~b t.~,~-~ ~ ~,~_~- --~ ations: ~~~ ~v4C{~l'"Cq~ "'3I All Items O.K. ~ d-~,~,~' -,~;~'"o ~ Correction Needed B"ff~ss Owner/Mana"~er - FD 1652 (Rev. 1-90) Whita-Haz Mat Div, Yellow-Station Copy Pink-Business Copy (t,v~e oz" prin= name) NOV 0 3 1969 Do herebs- certify that I.-.h-ave rex.-iewed~t~k'e H'aT"MAT'DIV' attached Hazardous Materials business plan .,.-. {name of business) and that it along with the attached additions or corrections consti~ ~ ~ ~u~e a complete and correct Business Plan for my facility. CITY of BAKERSFIELD NON--'I?RADE SECRETS ' BUS [NESS NAHE: ONNER NAME:: NAME OF T~ F~LX~: LOCATXON: ADDRESS: STANDARD XND. CLASS CODE CITY, ZIP: CXTY, ZXP: DUN AND BRADSTREET NUMBER PHONE ·: PHONE ~: - - (C~k all t~t a~ly) ~lth of P~ ~lth (C~k 411 t~t ipply) ~lth of P~ ~lth ~t of P~su~ Mlth ~t 13 Certlficatt~ (ReBd and sfKn after compJetJnf aJJ sections) certify ~der ~)ty of- 1~ tMt I ~ve ~rs~allyeNai~n~ ~d Ii fN~l~ar etth tM tnformt1~ su~tt~ tn this ~ ill ittKM ~wts, ~ tMt Ms~ ~ W ~W of t~l ~Mtv~IS ~sible fox,obtaining t~ tnt~ttm I ~l~eve tMt t~ su~ttt~ ~nto~t~m ts t~ accurate and cmalete. __ CITY of BAKERSFIELD HAZARDOUS MATERIALS INVENTORY Farm and Agticulture [] Standard.Business [] ~ NON--TRADE SECRETS Page ___ of__ :USINESS NAHE: OWNER NAHE: ,NAHE OF THIS FACILITY: OCATION: ADDRESS: STANDARD IND. CLASS CODE': -- 3ITY, ZIP': CITY. ZIP: DUN AND BRADSTREE7 NUHBER ........................... 'HONE #: PHONE #: - - -- REFER TO-TNSTRUCT-'~ONS POR HROPER CODES - - 1 g 3 4 5 6 I 8 9 10 11 12 13 irelns T. yqe Hax Average Annual Heasure I Dy.s Cont Cont Cont Use Location.Hhe[e. ~xbyt ~laees of ,ixture/Cc~onents Code ~ooe AmC Ami EsL Un~ts on 5~ce Type Press Temp Code Stored ~~1 ~1 ~oI ~.~' 18~.1 .~' I/~-I /I ~ I~. I ~ ~ ~~ ~~ ~/. Physical and Health Hazard C,.A,S, Humber Component II Name S C,A,S. Humber (Check all that apply) Component 12 Name & C,A,S, Number ~Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Immediate Health of Pressure Health Component 13 Name & C,A.S. Number Physical and Health Hazard C,A,S. Number Component l1 Name & C,A,S, Number (Chec~ all that applyJ Component f2 Hame & C.A,S. Humber [] Fire Hazard 13 Reactivity [] Delayed ET Sudden Release [-! Immediate Health of Pressure Health Component 13 Name & C.A,S, Number Physical and Health Hazard C.A,S. Humber Component. II Name & C,A.S, Number [Check al1 that apply) Component 12 Name I C.A,S. Number 0 Fire Hazard rl Reactivity [] Delayed [] Sudden Release [] Immediate Health of Pressure Health Component 13 Name & C,A,S, Number Physical and Health Hazard C,A,S, Number Component II Hame & C.A,S, Number (Check al1 that apply) Component 12 Name & C.A.S. Number [] Fire Hazard 0 Reactivity 0 Delayed 0 Sudden Release [] Immedi~ Health of Pressure Hea~ Component 13 Hame & C.A.S. Humber ferti[i;al:ioq ,(Repl~ an.d.~ign after complef;it.~g,all secCf,ons.) certify under @enmity ol!a)~ thqt J navepersonal~y examlnqoaqo Qm rami118~?/it~j the in~ormaclon ~u~mittfU in this Qnd all. at~aChed,dOcvmenc), mnO t~mc omo on.my ~nquiry ~f. those lnOlVlOUams respons)D~e Tot obta)nin9 the'information, I believe that the suomltteo IntormaclOq IS true, mccurmte, and complete. . Na~-e~o or. Iai'title Of o ri.r/operatOr U~ own.r/operator s authorized representative Oi[~T~~ Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: D,,,,-"'/NUMBER OF EMPLOYESS' .-- ~ MATERIAL SAFETY DATA SHEETS ON FILE'. BRIEF SUMMARY OF TRAINING PROGRAM: SECTION 4: EXEMPTION REQUEST: 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 TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS 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 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. SIGNATURE TITLE DATE FD1590 Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH, 3. Answer the questions below for the business as a whole. 4. Be brief aha concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: LOCATION: MAILING ADDRESS: CITY: STATE: ~ ZIP: PHONE: DUN & BRADSTREET NUMBER: SIC CODE: PRIMARY ACTIVITY: OWNER: MAILING ADDRESS: SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE 1. 2, .... Hazardous Materials Inspection Date Completed Location: ~ /-~ Plan ID # 215-000 ~J¢] (Top right comer Business Plg'fi'~J. ,,~,X~-. _...,,.,) Station No. .~ S~ ~ tns~ecto ~. Adequate Inadequate Verification of tnvento~ Materials ~E~IV60 ~ Ve~nca~on of Quantities dOL ~ 7 19~9 ~ ~ Verification of Location HAL ~AT. OIV. ~oper Se~egafion of Matefi~ efification of MSDS Availab~i~ ~~ N~ber of~ployees Vefifica~on of Haz Mat Traifing ~~~ Co~B: Verification of Abatement Supplies & Procedures ~ l--] Comments: Emergency Procedures Posted [~ [--I Containers Properly Labeled ~ [--] Comments: Verifcafion of Facility Diagram Special Hazards Associated with this .Facility: Violations: FO 1652 (Rev. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office ,V! 0 .TAK.,t .S A H 0~ ~ BAKERSFIELD CITY FIRE DEPARTMENT /O~ 2130 "G" STREET --~k~ BAKERSFIELD, CA 93301 (805) 326-3979 OFFICIAL USE ONLY HAZARDOUS gTERI ALS BUSINESS PLAN AS A WHOLE FORM 2A 1. To avoid further action, ~etuvn this fo~m by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answev the questions below fop the business as a whole. 4. Be as b~ief and concise as possible. SECTION I: BUSINESS IDE~IFICATION DATA SECTION 2: E~iERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE . AFTER BUS. HRS ' SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: ~q'.~'. ~,f~¢, ~ ~(,,Ljc~W~ B. ELECTRICAL: /'V'~ ~ ~~ C. WATER: D. SPECIAL: E. LOCK BOX: YES /~ IF YES, LOCATION: ~ IF YES, DOES IT CONTAIN SITE PLANS? YES / NO ~SDSS? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND CIRCLE YES OR NO ~NITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDOUS ~ MATERIALS:.... .................................... Y~ NO YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... (~ NO YES NO C. PROPER USE OF SAFETY EQUIPMENT: .................. ~ NO YES NO D EMERGENCY EVACUATION PROCEDURES: ................. NO YES N~ E DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... ~...Oj YES SECTION ?: HAZARDOUS MATERIAL CIRC£E~YES OR NO DOES YOUR~.USINESS HANDLE HAZARDOUS MATER~,IAL IN QUANTITIES LESS THAN 500 POUND~OF A SOLID~-'~ GALLO~.~OF m LIQUID, 0~/~00 CUB.!J~ FEET OF m COMPRESSED GAS: ...... Y~ NO I,~~ ~.~ ~~ , certify that the above information is accurate. I f~stand that ormatlon will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et Al.) and that inaccurate information constitutes perjury. SIGNATUR~~~g~'~~~ TITLE ~ ~/~ DATE - 2B - BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# BUSINESS NA~[E: BUSI NESS pLAN SINGLE FACILITY UNIT FORM SA INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below foF THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as ·possible. SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES SECTIOS 2: SOTIFICATIO~ .&~ EVACUATION PROCEDURES ~T THIS U~IT O~LY' - SA - SECTION 3: HAZARDOUS ?4ATERIALS FOR THIS UNIT ONLY B. iilmN:liltc. Of the hazar~ m_omp_lete a separaN~aleria~I~na fide Trade Se.~t'et Y~i ~_n~,.~r~' ES NO SECTION 4: PRIVATE ~I~ PROTECTION ~pLy FOR USE BY~RGENCY RESPONDERS/ . SECTION 6: LOCATION OF UTIL~ SHUT-~F$ AT THIS UNIT ONLY. B. ELEC[I'RICAL: · ' ~ ' D SPEC, ~ / / E LOCK BOX: YES / N~ IF YES, LOCATION: IF k'ES, SITE PLANS'? YES / NO ~[SOSs? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO - SB - BAKERSFIELD CITY FIRE DEPARTMENT I.D. # FORM 4A-1 Page of NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY PHONE ~: ff27__~ PHONE ~: '~L~Z/ ~ ' mOFFICiAi ONLY I 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS ~ BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT MT. CHEMICAL OR COMMON NAME CODE OOIDE EMER6ENCY CONTACT:/~'~A,~ic~,"~ i~(~/~ TITLE: f) /4~A,/~," PHONE #-BUS HOURS= ~7-Oy~ AFTER BUS HMS: ~7~-~I P~INCIPAL BUSINESS ACTIVITY: '~,,,'r~ ~ C~C~ ~1~ AFTER B"S HMS: ~/--~X~ 4~-1 I-L~Z~US ~T]:I~I~J_S ~I.~2~AG~NT pT Lax; ~ I NS/IRUCT IONS These instructions explain the use of the site diagrmm and the facility diagram. Normally, small and medium size businesses will only have to submit a single diagram that shows the overall business site in reiationshiD to the surrounding businesses, ~s weii as, instructions that show the route to your business if it is in a remote location. If you have subdivided your business into smaller areas because of the comDlexity or size, then you wiii be completing an additional detail mad (facility diagram) for each of these areas. SI~E DIA~ INS~UCTIONS (See Smile Diagrmm, Attached) 1 Check the box on the tod left corner that indicates "Site Diagram". Print the name of your business as shown in your NMMP. The site diagram is used to show your business and an indication of the businesses that immediately surround your DroDerty, usually within 300 feet. This mad should show the location of the hazardous materials and should identify them by their hazard class, as shown by the symbols included with these instructions. The samDle should assist you in determining the correct method of identifying storage locations. If your business site is located in a remote area or one which may Dresent a Droblem for emergency rescue Dersonnel to find, you must also indicate the travel route to your business site. FacInI~k~ DIA(~t~.~ INS~I=ZUCTIONS 1 Check the box in the uDDer right hand corner that indicated "Facility Diagram". Print the name of your business as shown in your HMMP, 3 Indicate which area this is and the total number of facility diagrams that you are including. As an examDle, if your business ham been subdivided into four areas and this mad reDresents the first area, this would be facility diagram $1 of 4. 4 Print the name of the area that this mad covers. This name should be the same name that you utilized on the tod of your inventory reDort and HMMP. The Facility Diagram shows a smaller area of your business in more detail than = site diagram. Use the symbols Drovided to indica%e the appropriate features of this Darticular area. -~-7 Controls ~ MSDS Storage Gas Fence {Ail Types) Indicate Height Water /~-- Standard Door Sprinkler Fire De~. Connection ~lo. 0oo I Unde--~3rc~n~$torage Fire Hydrant - Public . ~ ..... :, Railroad Tracks Fire Hydrant - Private Automatic Sgri~lered &~ Abovegro~d Tanks Buiidin~ or Ar~a ~ Evacua=ion Ar~a T~e~ cf Hazardous Materials SIT E DIAGRAM FACILITY DIAGRAM ~ Ncr-..h Name of Ar-_a: