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HomeMy WebLinkAboutBUSINESS PLAN· Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This 0ermit is issued for the followin~l; [] Hazardous Materials Plan [] Underground Storage of Hazardous Materials Permit ID #:: 015-000-001124 [] Risk Management Program S O U T H E R N A U TO S U P PLY [] Hazardous Waste On-Site Treatment LOCATION: 307 19TH ST :IELD OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Approved by: ~C~IpVHueY'D~: Issue Bakersfield, CA 93301 OmceorE~S~ic~ Voice (661) 326-3979 ~~ F~(661) 326-0576 Expi~tionDate: Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ........ ~,,,,~,~,~,~.i~,,?777:?ii~>~,,.:i~,.,~,,~ ....... This permit is issued for the following: PERMIT ID# 015-021e01124 ~¥~= ~ ~ ~$~ ?' _.:,~:~}~*:~:~?~[~¥~;~,~*~k~lgemant Program SOUTHERN AUTO o LOCATION 307 19TH ~_ [ssu~ by:  B~ersfield Fire Depa~ment Approv~ by: F gP~ ~;~~ ' 1715 Chewer Ave., ~rd Floor B~e~fiel~ CA 93~01 Voice (805) ~26-~979 F~ (805)326-0576 Expiration Date: June 30, 2000 CHECK ONE) SITE DIAGRAM ~ FACILITY DIAGR.~ SITE DIAGRAM (Re ed Items) 1. Address: Identify the ~/~ 9. Lock (key) Box principle buildings by the Street numbers. 10. MSDS Storage Box 2. Street(a), Alleys, //~ ti. Rallroud Tracks Driveways, and Parking Areas adjacent to the 12. Fence or Barrier property. Include the a. Wtre~~'~ street names. b. Masonry 3. Storm Drains, Culverts, ~ Yard Drains c. Wood Creeks, 13. Powerllnes 5. Buildings a. Frame construction 14. Ouard Station b. Masonry construction 15. Storage Tanks: Identify the c. Metal construction ~ capacity in gal. a. Above ground d. Access Door b. Underground 6. Utility Controls a. Oae g,~/ 16. Diking or Berm b. Electricity/ 17. Evacuation Route c. Water~''~ 18, Evacuation Area: Identify the ?. Fire Suppression Systems: location where a. Fire Hydrants employees will b. Fire Sprinkler 19. Outside Hazardous Connections Waste Storage c. Fire Standpipe 20. Outside Hazardous Connections Material Storage d. Water Control Valves 21, Outside Hazardous for protection systems HatorlaI Use/Handling e. Fire Pump 22. Type of Hazardous Mxteria1/Maste Stored / 8. Fire Department Access ~/ or Used (See Selow) TYPE OF HAZARDOUS HATERIAL F - Flammable g - Zxploslve L - Liquid R - Radlological C - Corrosive 0 - Oxidizer G - Gas P -PoLson Water Reactive T - Toxic S - Solid H = Cryogenic O · Waste B - Etiological Example: Flammable Liquid · FL FACILITY DIAGRAM (Required items in addition to the above) 1. Risers for Sprinklers 8. Fire Escapee 2. Partitions 9. Alu Conditioning Units 3. Stairways: Indicate the 10. WlndM levels served from highest to loP, eat. 11. Inside Hazardous Waste Storage 4. Escalator: Indicate the levels served from 12. Inside Hazardous highest to lowest. Hateriall Storage 5. Elevator 13. Inside Hazardous ~ateriale Use/Handling O. Attic Access 14. $eme~ Drain Inlets ?. Skylights PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE REMIT AND MA~E CHEC~ PAYABLE c~Tv OF PO ~OX ~0~7 CUSTOMER NO: 3D85 CUSTOMER TYPE: ES/ 3D85 TOTAL DUE: $179. O0 STATEMENT OF ACCOUNT CITY OF BAKERSFIELD P 0 BOX 2057 BAKERSFIELD, CA g~203-2057 DATE: ~/0~/01 TO' ~OUTHERN AUTO SUPPLY PO BOX 2426 BAKERSFIELD~ CA ~3383 CUSTOMER NO: 3285 CUSTOMER TYPE: ES/ 3~85 CNARQE DATE DESCRIPTION,~: 'REFJNOMBER DOE DATE TOTAL AMOUNT !/Oi/O! BEGINNINO~ BALANCE rOL , 179. O0 FOR OUE~TION~ OR CHANQE8 TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER 179.00 DUE DATE: 3/05/01 PAYMENT DUE: 179.00 TOTAL DUE: $179.00 ~ATE: ~t0~10! D~E DATE: REMIT AND MAKE'CHECK PAYABLE TO: CITY OF BAKERSFIELD PO BOX2057 ' BAKERSFIELD CA ~3303-~007 (~1) CUSTOMER NO: 3285 CUSTOMER TYPE: ES/ 3285 TOTAL DUE: $17g. 00 PO BOX CUSTOMER NO: 3285 CUSTOMER TYPE: ES/ 3~85 TOTAL~ DUE: ~179. O0 SOUTHERN AUTO SUPPLY JAN ~ ~ I SiteID: 215-000-001124 Manager : ~-~L_ ~BusPhone: (805) 324-9882 Location: 307 19TH ST ~Map : 103 CommHaz : Low City : BAKERSFIELD Grid: 30D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 SIC Code:5531 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title TIM SCHMIDT /.MANAGER / Business Phone: (805) 324-9882x Business Phone: ( ) - x 24-Hour Phone : (805) 397-5251x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) = x Hazmat Hazards: Fire DelHlth Contact : Phone: ( ) - x MailAddr: 307 19TH ST State: CA City : BAKERSFIELD Zip : 93301 Owner TIM SCHMIDT, MANAGER Phone: (805) 324-9882x Address : 5113 CENTAUR State: CA City : BAKERSFIELD Zip : 93304 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: = Hazmat Inventory One Unified List -- MCP+DailyMax Order Ail Materials at Site Hazmat Common Name... ISpecHaz EPA HazardsI Frm I DailyMax IUnitlMCP ANTIFREEZE F DH L 60.00 GAL Low MOTOR OIL F DH L 120.00 GAL Min I, C'~-~/d'ILD"3~Do hereby ce.i~ that , have revieWed the attached hazardous materials manage- ~~ ~/-~, and that it along with ment plan for~ any corrections constitute a complete and correct man- agement plan for my facility. ,./. _ . SOUTHERN AUTO SUPPLY SiteID: 215-000-001124 = Inventory Item 0002 Facility Unit: Fixed Containers on Site ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: FRONT SHOW ROOM CAS# 107-21-1 ~ STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE Ambient I Ambient I PLASTIC CONTAINER Pure I Liquid I AMOUNTS AT THIS LOCATIONI Largest Container Daily Maximum Daily Average GAL 60.00 GAL 30.00 GAL HAZARDOUS COMPONENTS 100.00 Ethylene Glycol 107211 TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No/ Curies F DH / / / Low = Inventory Item 0001 Facility Unit: Fixed Containers on Site MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: FRONT SHOW ROOM CAS# FLSTATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE iquid Pure [Ambient [Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION [ - Largest Container Daily Maximum Daily Average GAL 120.00 GAL 60.00 GAL HAZARDOUS COMPONENTS 100.00 Motor Oil, Petroleum Based N 8020835 TSecret RS , BioHazI HAZARDASSESSMENTS I I I Radioactive/Amount EPA Hazards NFPA USDOT# MCP · No No I No No/ Curies F DH / / / Min -2- 12/15/1999 SOUTHERN AUTO SUPPLY ~~~~~ SitelD: 215-~-~1124 i Notif./Evac~tio~M~ic~ ~~~~~~ Over~l Site i Agency Notification ~~~~~~~ 03/06/1990 i O C~L 911 o O i~ Employee Notif./Evac~tion ~~~~~~ 03/06/1990 i O VENAL NOT~ICATION AND CALL 911 BY LO~ SPEAR P.A. SYSTEM. EVAUCATION o BY FRONT DOOR NORT~AST SIDE DOOR ~ST OR BACK DOOR SOUTH ALLEY ENT~NCE. o O i~ ~blic Notif./Evac~tion ~E~~E~E~E~E~~ 03/06/1990 i O EMPLO~ BY LO~ SP~R, ADJACENT BUSIN~S~ BY PHO~ o O i~ Emergency M~ic~ Plm ~~~~~~~ ~/24/1997 i O ~MO~ HOSPIT~ - 420 34TH ST - 327-1792 OR o ~LL ~~NCE - 1~1 21ST ST - 327-4111 o O -3- 12/15/1999 SOUTHERN AUTO SUPPLY litliitit~tt~//lC~itttiiii~tlii SiteID: 215-~-~1124 ii Mitigatio~PrevenffAbatemt t~itiiiiii~iti~iiiiitiiiiiitit Overall Site i~ Release Prevention ~~~~~~~ 03/06/1990 O ~TE~ ~ ~L PAC~GED FOR ~ALE IN S~LL CONTMN~S ~CiNG i~EE Release Coherent ~~~~~~~~i ~ CIe~ Up ~¢~~~¢~~~~¢~~ 03/06/1990 302 MC~Y DRY S~EP LOCATED AT SOUTH END F~EZE SPIL~. THE E~LO~ ~LL BE ~NED TO D~ ~O~D SPILL ~SO~ENT ~LL BE ~ IN ~TAL CONT~NER OUTSIDE OF STO~ IN FENCED BACK SOUTH POR~ON. ~SO~ENT S~L BE ~MOVED AS ~~OUS ~TE~. O -4- 12/15/1999 Site Emergency Factors 0 0 0 A) GAS - SOUT~T CO~ER ALLEY o B) ELECT~CAL - SOUT~T CO~ER ALLEY C) WATER - SOUT~T CO~ER ~LEY D) SPEC~L - NONE o E) LOCK BOX - NO O O P~ATE F~ PROTEC~ON - ~ ~VE F~ EX~NG~SHERS O O O F~ H~~T - SOU~ST CO~ER OF 19TH & V ST O' O O -5~ 12/15/1999 SOUTHERN AUTO SUPPLY i~ Tra~ng ~~~~~~~~ Overall Site i~ Employee Tra~ng ~~~~~~~ 03/06/1990 O WE ~VE ?? EMPLO~ AT T~S FACILITY o O DO YOU ~VE ~TE~AL S~ETY DATA SHEETS ON FILE? o O EMPLOYE~ TO BE T~NED ON LABELING PROG~M, TO ~DERSTAND ~T TO DO IN o CASE OF SPILL. USE 302 MC~Y DRY CLEAN ON OIL. LOCATED IN SOUT~ST CO~ER OF B~LDING NEXT TO ~STROOM. O O i~ Held for Furore Use O i~ Held for Fu~e Use O -6- 12/15/1999 ~ .... SiteID: 215-000-001124 Manager : i APR ~ 3 1997 SusPhone: (805) 324-9882 Location: 307 19TH ST Map : 103 CommHaz : Low City : BAKERSFIELD ~% ;rid: 30D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 SIC Code:5531 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title TIM SCHMIDT / MANAGER / Business Phone: (805) 324-9882x Business Phone: ( ) - x 24-Hour Phone : (805) 397-5251x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire DelHlth Agency-Defined Topic Title ---- Hazmat Inventory One Unified List -- MCP+DailyMax Order Ail Materials at Site Hazmat Common Name... ISpooHazlEPA HazardsI Frm I DailyMax lUnitlMCP ANTIFREEZE F DH L 60 GAL Low MOTOR OIL F DH L 120 GAL Min the attached h~z~do~ m~d~l~ plan for ~~ fi~nd ~ha~ i~ ~o~ ~i~h corrsctions c~ti~ut~ ~ compl~t~ and ~ -1- SOUTHERN AUTO SUPPLY SiteID: 215-000-001124 ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ANTIFREEZE Days On Site 365 Location within this Facility Unit FRONT SHOW ROOM CAS# 107-21-1 Liquid JPuro Ambient Ambient PLASTIC CONTAINER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 60.00 30.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS j %Wt. EHS CAS# 100.00 Ethylene Glycol No 107211 -2- SOUTHERN AUTO SUPPLY SiteID: 215-000-001124 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site MOTOR OIL Days On Site 365 Location within this Facility Unit FRONT SHOW ROOM CAS# F STATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid Pure Ambient Ambient PLASTIC CONTAINER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 120.00 60.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 -3- F SOUTHERN AUTO SUPPLY SiteID: 215-000-001124 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 03/06/1990 CALL 911 -- Employee Notif./Evacuation 03/06/1990 VERBAL NOTIFICATION AND CALL 911 BY LOUD SPEAKER P.A. SYSTEM. EVAUCATION BY FRONT DOOR NORTHEAST SIDE DOOR EAST OR BACK DOOR SOUTH ALLEY ENTRANCE. -- Public Notif./Evacuation 03/06/1990 EMPLOYEES BY LOUD SPEAKER, ADJACENT BUSINESSES BY PHONE Emergency Medical Plan 03/06/1990 MEMORIAL HOSPITAL 420 34TH ST 327-1792 OR HALL AMBULANCE 1001 21ST STREET 327-4111 -4- SOUTHERN AUTO SUPPLY $iteID: 215-000-001124 Fast Format = Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 03/06/1990 MATERIALS ARE ALL PACKAGED FOR RESALE IN SMALL CONTAINERS RACING FUEL KEPT IN A SEALED METAL DRUM Release Containment --Clean Up 03/06/1990 302 MCKAY DRY SWEEP LOCATED AT SOUTH END REAR OF STORE USED FOR OIL OR ANTI FREEZE SPILLS. THE EMPLOYEES WILL BE TRAINED TO DAM AROUND SPILL ABSORBENT WILL BE KEPT IN METAL CONTAINER OUTSIDE OF STORE IN FENCED BACK SOUTH PORTION. ABSORBENT SHALL BE REMOVED AS HAZARDOUS MATERIAL. Other Resource Activation -5- F SOUTHERN AUTO SUPPLY SiteID: 215-000-001124 Fast Format ~ Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 03/06/1990 A) GAS - SOUTHWEST CORNER ALLEY B) ELECTRICAL - SOUTHWEST CORNER ALLEY C) WATER - SOUTHWEST CORNER ALLEY D) SPECIAL - NONE E) LOCK BOX - NO -- Fire Protec./Avail. Water 03/06/1990 PRIVATE FIRE PROTECTION - WE HAVE FIRE EXTINGUISHERS FIRE HYDRANT - SOUTHEAST CORNER OF 19TH & V ST Building Occupancy Level -6- SOUTHERN AUTO SUPPLY SiteID: 215-000-001124 Fast Format = Training Overall Site -- Employee Training 03/06/1990 WE HAVE ?? EMPLOYEES AT THIS FACILITY DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? EMPLOYEES TO BE TRAINED ON LABELING PROGRAM, TO UNDERSTAND WHAT TO DO IN CASE OF SPILL. USE 302 MCKAY DRY CLEAN ON OIL. LOCATED IN SOUTHEAST CORNER OF BUILDING NEXT TO RESTROOM. -- Page 2 --Held for Future Use Held for Future Use -7- )5~01/~5 ~ 5-000-001124 Overall Site with 1 Fac. Unit General Information Location: 307 19TH ST Map:103 Haz:2 Type: 3 City : Bakersfield Grid: 30D F/U: 1 AOV: 0.0 Contact Name Title ~4?~q~tact Name Title 'TIM SCHMIDT / /;7~g/~~ DON SC~ Business Phone: (805) 324-9882x Bus.ess Ph~ 324-9882x 24-Hour Phone : (805) 397-5251x 24-Hour~P~ ~~7-1491x Pager Phone : ( ) - x Pagans : ( ) ~ x Administrative Data Mail Addrs: 307 19TH ST D&B Nu~er: City: BAKERSFIELD State: CA Zip: 93301- Co~ Code: 215-004 BAKERSFIELD STATION 04 SIC Code: 5531 Owner: TIM scHMIDT ~~ Phone: (805) 324-9882 Address: 5113 CENTAUR State: CA City: BAKERSFIELD Zip: 93304- Sugary 05~01/95 TIMS AUTO PARTS 215-000-001124 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-002 ANTIFREEZE Liquid 60 Low ~ Fire, Delay Hlth GAL 02-001 MOTOR OIL Liquid 120 Minimal ~ Fire, Delay Hlth GAL 05~01/95 TIMS AUTO PARTS 215-000-001124 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-002 ANTIFREEZE Liquid 60 Low · Fire, Delay Hlth GAL CAS #: 107-21-1 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max GAL I Daily Average GAL I Annual Amount GAL -- 60 ~ 30.00 400.00 Storage Press T TempI Location PLASTIC CONTAINER Ambient~AmbientlFRONT SHOW ROOM -- Conc Components MCP ---~uide 100.0% IEthylene Glycol ILow ! 27 02-001 MOTOR OIL Liquid 120 Minimal · Fire, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GALI Daily Average GAL I Annual Amount GAL -- 120 ~ 60.00 720.00 Storage Press T TempI Location PLASTIC CONTAINER Ambient~AmbientlFRONT SHOW ROOM -- ConcI ComponentsI MCP ---~uide 100.0% IMotor Oil, Petroleum Based IMinimal I 27 05'/01/95 TIMS AUTO pARTS 215-000-001124 Page 4 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation VERBAL NOTIFICATION AND CALL 911 BY LOUD SPEAKER P.A. SYSTEM. EVAUCATION BY FRONT DOOR NORTHEAST SIDE DOOR EAST OR BACK DOOR SOUTH ALLEY ENTRANCE. <3> Public Notif./Evacuation EMPLOYEES BY LOUD SPEAKER, ADJACENT BUSINESSES BY PHONE <4> Emergency Medical Plan MEMORIAL HOSPITAL 420 34TH ST 327-1792 OR HALL AMBULANCE 1001 21ST STREET 327-4111 0~/01/95 TIMS AUTO PARTS 215-000-001124 Page 5 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention MATERIALS ARE ALL PACKAGED FOR RESALE IN SMALL CONTAINERS RACING FUEL KEPT IN A SEALED METAL DRUM <2> Release Containment <3> Clean Up 302 MCKAY DRY SWEEP LOCATED AT SOUTH END REAR OF STORE USED FOR OIL OR ANTI FREEZE SPILLS. THE EMPLOYEES WILL BE TRAINED TO DAM AROUND SPILL ABSORBENT WILL BE KEPT IN METAL CONTAINER OUTSIDE OF STORE IN FENCED BACK SOUTH PORTION. ABSORBENT SHALL BE REMOVED AS HAZARDOUS MATERIAL. <4> Other Resource Activation 05/01/95 TIMS AUTO PARTS 215-000-001124 Page 6 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - SOUTHWEST CORNER ALLEY B) ELECTRICAL - SOUTHWEST CORNER ALLEY C) WATER - SOUTHWEST CORNER ALLEY D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - WE HAVE FIRE EXTINGUISHERS FIRE HYDRANT - SOUTHEAST CORNER OF 19TH & V ST <4> Building Occupancy Level 0~/0~/95 TIMS AUTO PARTS 215-000-001124 Page 7 00 - Overall Site <G> Training <1> Employee Training WE HAVE ?? EMPLOYEES AT THIS FACILITY DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? EMPLOYEES TO BE TRAINED ON LABELING PROGRAM, TO UNDERSTAND WHAT TO DO IN CASE OF SPILL. USE 302 MCKAY DRY CLEAN ON OIL. LOCATED IN SOUTHEAST CORNER OF BUILDING NEXT TO RESTROOM. <2> Page 2 <3> Held for Future Use <4> Held for Future Use Ammunt Numlmr March 21~ 1995 Date New Account New Addm~ Esther Dumn Close Account From Service Change Other Adjustments: X Fire Department - Hazardous. Materials Division Department/Division TIMS AUTO PARTS Billing Name 307 19TH STREET Billing Address Site Address Pamel # (If Applicable) Landlord Name & Address (If Applicable) ADJUSTMENT Last Billed Correct Billing Adjustment to Effective Date of Billing Change < 19.22 · 03-01-95 Remarks: ESCROW HAS CLOSED ON THIS ACCOUNT. WE HAVE ACCEPTED CHECK #9386 AS FULL PAYMENT. WE WILL WRITE OFF THE FINANCE CHARGES. LAW OFFICES McMURTP,.EY 8 HAIKTSOCK A PROFESSIONAL CODP-.ATION GENE P,..MicMUP. TR.E¥ 200{ 22ND STR. EET, SUITE ~.OB~.T~.__ HARTSOCK BAKER.SFIELD, CALIFORNIA 93301 lAMES A. WOP. TH March 13, 1995 RECEIVED ~ I 4 1995 CITY OF BAKERSFIELD HAZ. MAT. D~V, P. O. Box 2057 Bakersfield, California 93303-2057 RE: TIM' S AUTO PARTS Gentlemen: This firm is escrow agent for the sale of that certain automotive business known as Tim's Auto Parts. In that regard, enclosed please find this firm's check number 9386, in the amount of $160.00, which represents payment of your claim received in escrow. This amount was based on your statement (copy also enclosed), accrued interest and any payments, if applicable. Escrow is now closed, and your acceptance of this check indicates full payment of your claim submitted into escrow. Therefore, please release any lien you may have. Very truly yours, McMURTREY & HARTSOCK %._I~Ef,~,~ lq.' HANI~AMAN, ' ' Legal Assistant /kmh Enclosures cc: Mr. Don McMurtrey wp51/apw/t i ms/ci ry. It ~ Page: 1 Account Billing/Collection Activity Inquiry SUTL108 Acct : 453301 Cyc St: CL Bill St: NO Cyc: 5 Rt: Seq: $SN : Parcel: .... Svc Cls :e Name : TIMS AUTO PARTS Svc Add: 307 19TH ST Amt due: 179.22 Current Period Postings Lst Pmt: -110.00 Type Desc Date Amount Receipt # Pmt Dte: 02/17/94 Bgl PENALTY 03/01/95 16.00 -- Prior Bills -- B92 FINANCE CHARGE 03/01/95 3.22 Date Balance 01/01/95 160.00 01/01/94 0.00 01/01/93 0.00 01/01/92 0.00 01/01/91 0.00 02/15/90 0.00 02/01/90 0.00 Enter '/' For Billing History, 'P' To Print Report, 'D' For Detail Page, or '/C' For Credit and Deposit History or 'XX' To Exit 03/18/92 TIMS AUTO PARTS 215-000-001124 .Page 1 Overall Site.with 1 Fac. Unit General Information Location: 307 19TH ST Map: 103 Hazard: Low Community: BAKERSFIELD STATION 01 Grid: 30D F/U: 1 AOV: 0.0 iTiM Contact NameI Title i .Business Phone 24-Hour Phone~805) 397-5251 SCHMIDT (805) 324-9882 x {805) 397-1491 IDON SCHMIDT (805) 324-9882 x ( Administrative Data Mail Addrs: 307 19TH ST D&B Number: City: BAKERSFIELD State: CA Zip: 93301- Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: 5531 Owner: TIM SCHMIDT Phone: (805) 324-9882 Address: 5113 CENTAUR State: CA City: BAKERSFIELD Zip: 93304- Summary 03/18/92 TIMS AUTO PARTS 215-000-001124 Page 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 MOTOR OIL Liquid 120 Minimal · Fire, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GALI Daily Average GAL I Annual Amount GAL 120 ~ 60.00 720.00 Storage Press T Temp_ ~ Location PLASTIC CONTAINER Ambient~AmbientlFRONT SHOW ROOM -- Cons I Components I MCP iList 100.0% Motor Oil, Petroleum Based IMinimal 02-002 ANTIFREEZE Liquid 60 Low · Fire, Delay Hlth GAL CAS #: 107-21-1 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max GAL60I~ Daily Average30.00GAL I Annual Amount400.00GAL -- Storage~ ~Press l Temp . Location PLASTIC CONTAINER IAmbient~AmbientlFRONT SHOW ROOM -- Cons Components MCP List 100.0% IEthylene Glycol ILow --~ 03/18/92 TIMS AUTO PARTS 215-000-001124 Page 3 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation VERBAL NOTIFICATION AND CALL 91'1 BY LOUD SPEAKER P.A. SYSTEM.~ EVAUCATION BY FRONT DOOR NORTHEAST SIDE DOOR EAST OR BACK DOOR SOUTH ALLEY ENTRANCE. <3> Public Notif./Evacuation EMPLOYEES BY LOUD SPEAKER, ADJACENT BUSINESSES BY PHONE <4> Emergency Medical Plan MEMORIAL HOSPITAL 420 34TH ST 327-1792 OR HALL AMBULANCE 1001 21ST STREET 327-4111 03/18/92 TIMS AUTO PARTS 215-000-001124 Page 4 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention MATERIALS ARE ALL PACKAGED FOR RESALE IN SMALL CONTAINERS RACING FUEL KEPT IN A SEALED METAL DRUM <2> Release Containment <3> Clean Up 302 MCKAY DRY SWEEP LOCATED AT SOUTH END REAR OF STORE USED FOR OIL OR ANTI FREEZE SPILLS. THE EMPLOYEES WILL BE TRAINED TO DAM AROUND SPILL ABSORBENT WILL BE KEPT IN METAL CONTAINER OUTSIDE OF STORE IN FENCED BACK SOUTH PORTION. ABSORBENT SHALL BE REMOVED AS HAZARDOUS MATERIAL. <4> Other Resource Activation 03/18/92 TIMS AUTO PARTS 215-000-001124 Page 5 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - SOUTHWEST CORNER ALLEY B) ELECTRICAL - SOUTHWEST CORNER ALLEY C) WATER - SOUTHWEST CORNER ALLEY D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - WE HAVE FIRE EXTINGUISHERS FIRE HYDRANT - SOUTHEAST CORNER OF 19TH & V ST <4> Building Occupancy Level 03/18/92 TIMS AUTO PARTS 215-000-001124 Page 6 00 - Overall Site <G> Training <1> Page 1 WE HAVE ?? EMPLOYEES AT THIS FACILITY DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? EMPLOYEES TO BE TRAINED ON LABELING PROGRAM, TO UNDERSTAND WHAT TO DO IN CASE OF SPILL. USE 302 MCKAY DRY CLEAN ON OIL. LOCATED IN SOUTHEAST CORNER OF BUILDING NEXT TO RESTROOM. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use CITY OF BAKERSFIELD HAZARDOUS NA~ERIALS LOCATION: .--~Oq lq. ~ ~, ' ~ ~D~SS: ,~/1%' ~~[~ - ST~ IND. CLASS CODE: ~.~/ . CITY, ~IP: ~~ ~ ~} · ~ ~ INS~U~IONS ~R PROPER ~DES' 1 2 3 4 5 6 7 8 9 10 ~s ~e ~ Average ~nual Measure ~ Da~ Cont Cont Cont Use Location ~ere ,% by N~s of M~ture/C~nents Code C~ ~t ~ ~t Units on S~te ~ Press Te~ Code ~red ~n Facility . ~ ~ ~n~t~ctions (Check all that apply) of Pressu~ H~lth H~lth : Co. orient I I I Ph~tcal and H~lth Hazard C.A.S. N~er Co~onent ~ 1 N~ ~ C.A.S. N~er (Check all ~t apply) Co~onent 9 2 N~ a C.A.S. N~er ~ Fi~ Haz=d ~ Sudden ~leas. ~ ~cti~tty ~ im~iat. ~ Delay~ ' of Pressu~ ' H~lth H~lth Co~onent ~ 3 N~ & C.A.S. N~er {Check all ~ apply)  Ft~ Hazed ~ Sudden ~lease of Pressu~ H~lth H~lth Co~onent ~ 3 N~ & C.A.S. N~ Ph~tcal and H~lth ~za~ C.A.S. ~er Co~onen~ ~ 1 N~ a C.A.S. N~ (Check all t~t apply) . Co~on~t 9 2 N~ a C.A.S. N~ ~ Ft~ ..z~d ~ Sudden ~lease ~ R.~tvtty ~ l~ta~ ~ Delay~ ". of Pressu~ H~lth H~lth Co~onen~ ~ 3 N~ & C.A.S. N~ ~ ~ttl~ - - 24 ~. Phone ~e ,., ~ttle 24 ~ Phone c~t~ica~ion (~ ~ SIGN AFTER CO~LETING ~L SECTIONS) I,certify ~de~ p~nl~y o~ 1~ t~ I ~ve~ ~rsonally ~t~ ~d ~ ~1t~ with ~he tn~o~tton audited tn ~ts ~d all a~tached d~s ~d ~at ~aed on ~ ~i~ o~ ~ose . t~tvtd~ls ~eB~le ~ obCat~ng the tn~o~tton. ~ believe ~ ~e su~t~d tnfo~atton t~ t~e~ acc~ate~ and~pl~. :'~'. -~.'" v'q CITY of BAKERSFIELD ~us'~ ............ Do he~ebT' eert _~ that I have reviewed the 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 facilit,v. signature date RECEIVED J A~ 2 ~ ~SB9 CITY of BAKERSFIELD '~ / HAZARDOUS MATERI ALS I NVENT.ORY' Farm and &oricuitura ~--~ Standard Business NON--'FRADE S E CREW'S BUSINESS : CZTY, ZIP: ~F~ ~ ~_~/ CZTY, ZI~: ~V~ J~ ~.~ DUH AND BRADSTREZT NUHBER Irons T~ ~x i~riqo ~l ~su~ I ~ Cmt ~t ~t - ~ L~tt~ ~ ~ ~ ~ of Ntxt~/~tS C~e C~e Mt Mt Est Units m Site I~ ~l l~ ~ St~ in F~lltty ~ ~ I~t~tiw ~ ,n t~ ,~lv) .__ . ~lch of Mlth ~__t~Z4~ [ ~ MCtlvtty ~--J bl~th~-J ~ blt ~--~ IitKI Of ~ bllh p~c,~ ~ ~l~h ~,,~ c.~.s. ~ ~0 ~ - P~iczl ~ Hfllth ~ll~ C.l.S. ~ (C~k ~11 t~t e~ly) - r --~ r--~ -- c-- CBt ~t 13 ~ i C.A.S. ~r Cer'tJficoti~ (Resd and SiKh after coMpYetinE all sections) I cert?y ~der ~lty of 1~ t~t I ~ve ~rsmollyexemnff and ii f~ilJor with t~ Jnformtim su~tt~ In this ~ 011 IttKM ~ll, K t~t ~s~ m ~ i~i~ of t~e tMlvl~ls r~lJble for obtaining t~ inf~ttm, I ~liev~ tMt t~ su~ittK infomti~ is t~, accurate, end cmpietw.tJ N~-~h~TT~'~l-TlTl~'ST-~r~$Tor'OR-~75~F~F'[-$~Fli~';[~T~E]~ 51~T~ ............. ~ ...................... ~T{'S~ ..................... 1. OVERVIEW LAST CHANGE 01/1Z/88 BY EVAMC JURIS CODE ZlS-.~i JURIS 8AKERSFIELO STATION 01 MAP PAGE t03 GRID ]0O FACILITY UNITS 1 HAZARD RATING RESPONSE SUMMARY ZA SEC 4) NO PRIVATE RESPONSE TEAM EMERGENCY CONTACTS ZR SEC TiM SCHMIDT 3Z4-B88Z DON SCHMIDT 3~4-988Z ~97-t491 UTILITY SHUTOFFS 2A SEC A) GAS - SW CORNER ALLEY B) ELECTRICAL - SW CORNER ALLEY C> WATER -- SU CORNER ALLEY D) SPECIAL - NONE E) LOCK BOX - NO NOTIFICATION / PUBLIC EVACUATION LAST CHANGE / / BY < NO iNFORMnTION RECORDED FOR THIS SECTION > PRGE 1 1Z/19/88 14~30 MAI'ERI~L SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NRME TIMS AUTO PARTS ID NUMBER ZIS.-O~-OOIlZ4 LOCRTION ~ 1~'fH ST HIGH H~Z~RD H~Z M~T TRaINInG SUM~RY LAST CHR~E / / BY ~ NO ZNFOR~TZON ~ECORDED FOR THZS SECTZON ~. LOCRL EMERGENCY MEDICAl7 ASSISTANCE LAST CHANGE 01/tZ188 BY EVRMC ZR SEC S) MEMORIRL HOSPITRL 4Z~ 34TH ST 3Z7-~?BZ I oo l t PRGE Z 12/19/88 14:30 MATERIAL SAFETY DRTR SYSTEMS, INC, (805) 848-8800 LOCATION 307 19TH~'~T HIGR'~HA~ARD RATING 3 F ILITY UNIT R. 0VERRLL HAZARDOUS MRTERI~LS INVENTORY LAST CHANGE O1/t2/80 DY EV~MC ID "'-,T,~PE N~ME MAX AMT UNIT HAZ~RD~ 1 PURE GASOLINE ~ 1OO GAL HiGH  ~ 0R B~ELS ~ T 2 PURE MOTOR OIL ~2~ G~L UNKNOgN FRONT SH0g ROOM BOX~ES] LUBRICANT ID PERCENT COMPONENTS H~ZBRD LIST 28~B.OO ~OO.O MOTOR OIL UNKNOgN 3 MIXTURE ANTI FREEZE GO GRL UNKN0gN FRONT SHOW ROOM .... PLASTIC GONT~INER[S]-- COOL. ANT ID PERCENT COMPONENTS H~Z~RD LIST ~BO~.OO 10~.O ETHYLENE GLYCOL UNKNOgN B, FIRE PROTECTION / DATER SUPPLIES 7"Yt9~-~ oF ~./~__. ~_ ~( ~ L~ST CHRNGE 01t12/88 BY EVRMC < NO INFORMATION RECORDED FOR THIS SECTION PAGE 3 1Z/1B/88 14:30 M~TERIAL SRF'ETY DRT~ SYSTEMS, INC. (805) G48-GS~ BUSINESS NRME TIMS RUTO PRRTS ID NUMBER Z15-'~)-~5~1124 LOCflTION. _ 307 15t~H_,$]' _ .......... HI.GH H~ZSRD RRX~G_ 3 D. EMPLOYEE NOTIFICRTION / EVRCURTtON I, RST CHRNGE ~/~/~8 BY EVRMC E. MITIGRTION / PREVENTION / RBRTEMENT LRST CHRNGE 01/12/88 BY EVRMC 3R SEC 1) M~TERIRL$ RRE RLt. PRCKFtGED FOR RESRLE IN SM~LL CONTRINERS PRGE 4 12119188 14:3¢ MRTERIRL SRFET~ DRT~ SYS'TEMS", INC. (8'053 6~8~68~" SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous ~[ateria!s? ...... .~ NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES If~No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (~vhite form ~4A-~l) If Ye.s, complete a hazardous materials inventory form mare<ed: TRADE~ECRETS ONLY (yellow form ~4A-2) in addition to the non-tz-ade secret fxorm. List only the t~ade secrets on form 4A-2. SECTION 4: PRIvAT~,LRE PROTECTI 0N SECTION 5: LOCATION OF WATE~SUPPLY FOR ~SE BY E~RGENCY RESPON~ERS . SECTION 6: LOCATION OF UTILI S AT THIS UNIT 9NL~. A. NAT. B, ELECTRICAL/. ' C. WATER: D. SPEC!AL: E. LOCK BOX: Y~S / NO IF YES, LOCATION: tF YES, SITE PLANS; YES / NO ~[SDSs9 YES /' NO FLOOR PLANS? YES / NO KEYS? YES / NO - 3B - BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# BUSINESS NAME: BUS I 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. 8. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as .possible. FACILITY UNIT# / FACILITY UNIT NAME: '7'C//"4 ~ /~L/TZ) SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT ONLY - 3A - 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 REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS:...- .................................... YES (NO") YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... YES ~ YES NO C. PROPER USE OF SAFETY EQUIPMENT: .................. YES~ YES NO D. EMERGENCY EVACUATION PROCEDURES: ................. YES -YES NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES YES NO SECTION ?: HAZ~d~DOUS MATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUN~F A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... Y(~N0 I, ~-~_'~__~?~Q7 , certify that the above information is accurate. I understand that this information 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. 28500 Et Al.) and that inaccurate information constitutes perjury. " "' , RECEIVED BAKERSFIELD CITY FIRE DEPARTMENT [ M ~// 2130 "G" STREET NOV 2'~ 1987 ....- BAKERSFIELD, CA 93301 1O$- O ............ ""~ - OFFICIAL USE ONLY NESS NAME BUSINESS PLAN AS A WHOLE FORM 2A 1. To avoid further action, return this foe~ by 2. TYPE/PRIST' ANSWERS IS ESGLISH. 3. Answer the questSons belo~ ~or the buslness as a ~hole. ~. Be as brie~ and concise as possible. SECTIO~ 1: B~SI~ESS IDE~I~IC~TIO~ D~T~ SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7850 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 DURING BUS. HRS. AFTER BCS.L~HRS. SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A ~IOLE A. NAT. GAS/PROPANE: ~/(.~2 ~0f2~-~-~ /~~f B. ELECTRICAL: ~_ ~'~_ ~-- ~ c. WATER: _Vp' D. SPECIAL: E. LOCK BOX: YES / NO IF YES, LOCATION: t~/'C) · IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO - 2A - · BAKERSFIELD CITY FIRE DEPARTMENT I.D. # FORM 4A-1 Page NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY - - BUSINESS NA~IE: 7{'/~q~5 ~~ ~T~ OWNER NA~E: ~(~ 5C~IOT FACILITY O~ ADDRESS:_,, 307 {~ 57, ADDRESS: ~(/~ ~~d~. FACILITY UNIT NAME: CITY, ZIP: ~~/ ~~~/~ CITY,ZIP: pBo~ ~:_ ~ ~ ~.~~ PHO~g n: ~7-~/ ovvIC~a~ US~ CYRUS co~g ~Y 1 ~ 3 4 5 ~ 7 8 9 10 TYPE ~AX ANNUAL CONT USE LO~ATION IN TBIS ~ BY BAZARD D.O.T CODE fi~OUNT A~OUNT UNIT CODE COUE FACILITY U~IT WT. C~E~I~AL OR CO~ ~. COD~ ~UIDB NAME: ~ ~~/~ TITLE: ~W~~_ S IONATURE: DATE: E~ERGENCY CONTACT: ~~ TITLE: ~~~ PHONE ~ BUS HOURS: ~/~ ~~/~ T~T~S: ~~~ AFTSR SUS ~RS: ~ ~7 --/q~/ . P~ONS ~ SUS HOURS: ~-- EMERGENCY CONTACT: e~sc~e~ ~usi~sss ACTiViTY: ~0 ~~ A~TgR e~S aRS: ~7-- - 4h-1 - " ~' " ' ' "~' ' ~_v, . . ", .. ~,. .~ ~ ~-. ~' ,. ..~ '~al~ labied ~rd~a~io~ must be'~. wetd;~ on co~nem m;g~t cause fire, .~ ................... ~,..~ ~ ~ ' . ~ ., , .~ , . . .~.: . / ~.~ · ~ ~ , ,~,~ ,.~' . - ,. .... ~...,~ ...... . · ,~ ~ ,~ ~ . . . .. , .: · ~- . ~ ~ :'~' , . , .. ,'r,., "' ..... ' ~ASOLINE ....... ~, ~...~..,~ .~ ~. ~, . ~ d~',,,~ · ~. DOT PROPER SHIPPING ~E,, ~ . ,~ ., ~ ? .'.L * ~ . .. . , , · ,~. . . EMm~.~BI~ empti~ c~talner r~ , .. :~*'- ~- / '% ,~ "':, ~':<: ~ ~ta~ pr~,~u~ (~r or liquid) ' ~'~ ,~ .- '~, ,~ ~' "- . ~ ' 'al}~ I~led ~ard '~a~io~ mu~ be' ~: ;.: .'" I ;' :. ~ ,,~ ,.~vmvn ~ m~ ~r~-~ ~1~~;";"- ~ x~ '_ .......... = ....~J . ~ , . . . ~ , '.. m :: -:.: ..... ; ............ ~ ........ :::::::::::::::::::::::::::::: ................ :~- '. '~ .... ~.--' · , . .,~,. :~'.-~ . --~'.' _ ~ ~ _.--x_ ' / .......... · ~. ', ~ d ~1 I ;, ~ . .: . . ~ ~ , ~,.~ '~- .. ~ · :. , ~:2~.~.. ~;;-- ;~---<:--,~? ~ ~ ~ nvol~ prolO~ or r~m~ ~l ~lth ~kln Avoid nr I ~.: .... .'='-~ ' "~ "' ~ :.'~Y E'"" ' ': ·~" ' ',' - ~ ,,% '~ ' :. -'' - ~:'~"~ :'~"e'~ . ~ ~ ~'~-":,t~ m~ ' ; '~ ~ ~ .~ '~"" .... ~ .... ~. ... .- ..... . . ~: . ... . ~- ~ .~ ,y, ~. ....... , ,. . ~., ,._,,..~.1:: - . ,.., , ~,.:,~4 ~:.~, ,.,. r~-- .- .. · ~,~.,: .'_ ......~