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Home My WebLink AboutBUSINESS PLAN (2)Hazardous Materlals/Hazardous.'W.aste~ Unified~Permit CONDITIONS OFPERMIT ON REVERSE SIDE Permit ID #:: 015-000-000037 ~:. H & S BODY WORKS & TOWI LOCATION: 300 21ST ST IELD , . This _oermit is issued fOr the following' ~ Hazardous Materials Plan [] Underground Storage of HazardOus Materials - [] Risk Management Program [] Hazardous Waste On-Site Treatment Issued by: Bakersfield Fire Department.. ' OFFICE OF ENVIRONMENTAL SER VICES'. 1715 Chester Ave., 3rd Floor · ": ? · Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Approved by: . (~ Ralpl~Huey, ~i ' .- Office of Ev~Services ~ Issue Date Expiration Date:June 30. 2003 Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE .............. .--:,,~,~?,=,,~,,v,,~;~m ............... This permit is iSsued for the following: Materials Plan ,, .....il' .ll : .." ..' ..' ....l ... :. ' .... t ] ~''' Issued by: Bakersfield Fire Department OFFICE OF ENVIR ONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 Approved by: Expiration Date: June 30, 2000 .... ,,, TE/FACI LI TY D I AG R~klVi FORM / (c~EcK o~,) SITE ~.~, / ~C~ l(Inspector's Comments): -OFFICIAL USE ONLY- SITE 0 [AGRAt4 Items) 1. Address: ldent he 9. Lock Box .,-. ~:~ principle buildings by the Street nuabers, 10, HSDS Storage Box 2, Street(s), Alleys, 11. Railroad Tracks Driveways, and Parking Areas adjacent to the 12. Fence or Barrier property. Include the a. Wire street naaee. b. ~asonry 3. Store Drains, Culverts, Yard Drains c. Nood 4. Drainage Canals, Ditches, d. Gates Creeks, 13. Powerl!nes 5. Buildings a. Frame construction 14. Guard Station b. Hasonry construction IS. Storage Tanks: Identify ~he c. Hetal construction capacity in gal. a. Above g~ound d. Access Door b. Underground 6. Utility Controls a. Gas 16. Diking or Hera b. Electricity 17. Evacuation Route c. #ater 18, Evacuation Area: Identify ~he ?. Fire Suppression Systems: location ~here a. Fire Hydrants employees will meet. 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 .Material ~se/Handling e. Fire Pu~p ~2. Type of Hazardous Nateriai/~aate 3toted 8. Fire Department Access or Used (See ~elow) TyPE OF HAZARDOUS I~ATERIA~ F - Fla~able E - Explosive L - Liquid R - Hadiological C - Corrosive 0 - Ozidizer O - Gas P - Poison M - Mater Reactive T - Toxic $ - Solid H - Cryogenic D - Masts D - Etiological Exaaple: Flanaable Liquid · FL FACILITY DIAG--., (Required items in addition ~o ~he 1. Risers ~or Sprlnk~ers 8. Fire Eeca~a ~. Partitions g. Air Conditioning Uniis 3. S~air~ays: Indicate the ~0. Mlnd~ hAZhest ~o lowest. ' ....... : 1~. Inside Hazardous Ma~e Storage 4. EscaAaZor: indicate IeveA, nerved from la. Inside Hazardous ~. Elevator 13. {nslde Hazardous ~terials Use/H~dllng 8. Attic Access 14. Se~r Drain 7. Skylights H3tSIP P L.~N- 5lAP 103"~:::~b gDSITE DIAGRAM ~ FACILITY CIAGRAM A,,, JUL 2 6 1990 RECORD OF TELEPHONE CONVERSATION Location: / Business Name: ~R'F4~c~'~-1' ~: ~U,.~.~-~,cTI~, $";-tt, J~<, Conta~ N~e: ~~ - ~ ~P~,~ F~ Business Phone: ~ F~: Insp~or's N~e: ~W ~g ~A~ ~Z~- Time of C~l: Dine: ~- ~ q ~ Time: I~ ~ ~ Min: Type of C~I: Incoming ~ Outgoing [ ] Returned Content of Call: Actions Required: Time Required to Complete Activity # Min: H & S BODY woRKs & SiteID: ~01~-021-000037 : Manager :~~~~~ BusPhone: (661) 324-6703 Location: 300 21ST ST %~%%~ .Map : 103 CommHaz : Moderate City BAKERSFIELD Grid: 30B FacUnits: 1 AOV: : CommCode: BAKERSFIELD STATION 04 SIC Code:7532 EPA Numb: ~ 6~O6~0~5 DunnBrad: Emergency Contact / Title Emergency Contact / Title DICK SHEPHERD JR / OWNER RICHARD COMPTON / OWNER Business Phone: (805) 324-6703x Business Phone: (805) 324-6703x 24-Hour Phone : (805) 871-1989x 24-Hour Phone : (805) 871-1704x Pager Phone : (805) 329-8897x Pager Phone : (805) 329-8897x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: (661) 324-6703x MailAddr: 300 21ST ST State: CA City : BAKERSFIELD Zip : 93301 Owner DICK SHEPHERD JR Phone: (661) 324-6703x Address : 2712 FAIRFAX RD State: CA City : BAKERSFIELD Zip : 93306 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: 1 08/14/2003 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME /-~ 4 5 ~o~"/ b~O~.~ - INSPECTION DATE q-t~:~- O"r.., ADDRESS ~'C~ ~_(5~T gT- PHONENO. ~Z~- ~7o3' FACILITY CONTACT D/~-K-- 5'-(4zZP/'~,0--,b BUSINESS ID NO. 15-210- (5~OOO .~7 INSPECTION TIME /,'5'~,t., ,~ NUMBER OF EMPLOYEES /:g- Section 1: Business Plan and Inventory Program fi Routine [~ Combined [~l 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?: Yes [~] No Explain: ,..~(3L L/L~ef".f ] {~A Questions regarding mis inspecfon? Please call us at (661) 326-3979 B~ness S~te Resp~ble Pa~y white- E.~. Svcs. Yenow - marion Co~y Pink - aasiaess Copy Inspector: H & S BODY WORKS & TOWING [~IG~'~%Z~-'~-'~ SiteID: 215-000-000037 Manager : I ~0~~ ~ BusPhono: (805) 324-6703 Location: 300 21ST ST 'y: ~ Map : 103 CommHaz : Moderate City : BJ~ERSFIELD 'lB Grid: 30B FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 SIC Code:7532 EPA Numb: DunnBrad: Emergency Contact / Title I Emergency Contact / Title DICK SHEPHERD JR / OWNERI RICHARD COMPTON / OWNER Business Phone: (805) 324-6703x Business Phone: (805) 324-6703x 24-Hour Phone : (805) 871-1989x 24-Hour Phone : (805) 871-1704x Pager Phone : (805) 329-8897x Pager Phone : (805) 329-8897x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: ( ) - x MailAddr: 300 21ST ST State: CA City : BAKERSFIELD Zip : 93301 Owner DICK JR.~ Phone: (805) 324-6703x Address : 2712 FAIRFAX RD State: CA City : BAKERSFIELD Zip : 93306 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: 1 10/11/1999 F H & S BODY WORKS & TOWING SiteID: 215-000-000037 ~ Hazmat Inventory By Facility Unit -- As DesiHnated Order Fixed Containers on Site Common Name... ISpecHazlEPA HazardsI Frm DailyMax Unit MCP Hazmat ACETYLENE F P IH G 425 FT3 Hi OXYGEN F P IH G 225 FT3 Low PAINT F IH DH L 60 GAL Mod 2 10/11/1999 H & S BODY WORKS & TOWING SiteID: 215-000-000037 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: PORTABLE CAS# 74-86-2 Gas Pure Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 425.00 FT3 200.00 FT3 HAZARDOUS COMPONENTS %Wt. ~S CAS# 100.00 Acetylene N 74862 HAZARD ASSESSMENTSII TSecret RS BioHaz Radioactive~Amount, EPA Hazards ,No N° No No/ Curies F P IH NFPA/// USDOT# HiMCP ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ -- COMMON NAME / CHEMICAL NAME ! OXYGEN I Days On Site 365 Location within this Facility Unit Map: Grid: PORTABLE CAS # 7782-44-7 Gas Pure Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 225.00 FT3 150.00 FT3 HAZARDOUS COMPONENTS o %Wt. RS CAS # 100.00 Oxygen. Compressed N 7782447 HAZARD ASSESSMENTS TSecret NoRSIBioHaz Radioactive/Amount I EPA HazardsI NFPA USDOT# MCP No No No/ Curies F P IH / / / Low -3- 10/11/1999 H & S BODY WORKS & TOWING SiteID: 215-000-000037 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME PAINT Days On Site 365 Location within this Facility Unit Map: Grid: CAS# F STATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient METAL CONTAINR- NONDRUM AMOUNTS AT THIS LOCATION LarGest Container Daily Maximum Daily Average /f~Ac- /~,~,'-~ GAL ~ 60. 0 0 GAL ~ GAL HAZARDOUS COMPONENTS %Wt. oRS CAS# 25.00 Mineral Spirits N 8030306 15.00 Naphtha No 8030306 5.00 Methyl Ethyl Ketone NO No 78933 3.00 Ethylene Glycol 107211 . . , ,HAZARD ASSESSMENTS TSecret[ RS'BioHaz[ Radioactive/Amount' EPA Hazards' NFPA USDOT# MCP NoIII[IN° No No/ Curies F IH DH / / / Mod F H & S BODY WORKS & TOWING SiteID: 215-000-000037 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 05/14/1997 CALL 911 -- Employee Notif./Evacuation 05/14/1997 VERBAL AND CALL 911. -- Public Notif./Evacuation 05/14/1997 VERBAL AND CALL 911 Emergency Medical Plan 05/14/1997 325-1255 - NILES STREET CLINIC. -5- 10/11/1999 H & S BODY WORKS & TOWING SiteID: 215-000-000037 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 05/14/1997 OXYGEN AND ACETYLENE BOTTLES CHAINED IN A PORTABLE CART. --Release Containment -- Clean Up Other Resource Activation 6 10/11/1999 H & S BODY WORKS & TOWING SiteID: 215-000-000037 Fast Format Site Emergency Factors Overall Site Special Hazards ~ Utility Shut-Offs 05/14/1997 A) GAS - NW CORNER B) ELECTRICAL - N WALL CENTER BLDG AND NE BACK WALL C) WATER - NE CORNER 3 FT N OF BLDG D) SPECIAL - NONE ) LOCK BOX - NO -- Fire Protec./Avail. Water 05/14/1997 PRIVATE FIRE PROTECTION - 5 FIRE EXTINGUISHERS & SYSTEM ON PAINT BOOTH. FIRE HYDRANT - 21ST AND V ST. Building Occupancy Level 10/11/1999 F H & S BODY WORKS & TOWING SiteID: 215-000-00003~ 9 Fast Format.~ = Training Overall Site --Employee Training 05/14/1997 WE HAVE 10 EMPLOYEES AT THIS FACILITY. WE HAVE MSDS SHEETS ON FILE. BRIEF SUMI~Y OF TR. AINING PROGI~I: GO OVER MSDS FOR S~ETY PREU~I~.UWIONS. Page 2 --Held for Future Use Held for Future Use -8- 10/11/1999 H & S BODY WORKS & TOWING ' SiteID: 215-000-000037 NAY 8 1997 Manager : BusPhone: (805) 324-6703 Location: 300 21ST ST By ~, Map : 103 CommHaz : Moderate City : BAKERSFIELD Grid: 30B FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 SIC Code:7532 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title DICK SHEPHERD JR / OWNER RICHARD COMPTON / OWNE~//~ Business Phone: (805) 324-6703x Business Phone: (805) 324-6703x 24-Hour Phone : (805) 871-1989x 24-Hour Phone : (805) Pager Phone : (~og)~ -~g~x Pager Phone : ~5) ~9 -~x Hazmat Hazards: Fire Press ImmHlth DelHlth Agency-Defined Topic Title ~ Hazmat Inventory One Unified List [--- MCP+DailyMax Order Ail Materials at Site Hazmat Common Name... ISpocHazlEPA HazardsI Frm DailyMax IUnitlMCP ACETYLENE F P IH G 425 FT3 Hi LACQUER THINNER F IH DH L ~--~ ~ GAL Mod OXYGEN F P IH G 225 FT3 Low (Typa ~ print heine) reviewed ~!~ r~ached h~rdous ma~e~s (t~ame any corrections constitute a cornple~e and corr~c~ man- agern~m plan for n~y ~acigi~y. -1- 04/25/1997 H & S BODY WORKS & TOWING SiteID: 215-000-000037 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ACETYLENE Days On Site 365 Location within this Facility Unit PORTABLE CAS# 74-86-2 r STATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE I Gas Pure Ambient I Ambient PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3 425.00 200.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS EHS CAS# %Wt. 100.00 Acetylene No 74862 -2- 04/25/1997 H & S BODY WORKS & TOWING SiteID: 215-000-000037 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME LACQUER THINNER Days On Site 365 Location within this Facility Unit CAS# STATE -- TYPE PRESSURE , TEMPERATURE CONTAINER TYPE Liquid Mixture Below AmbientI Below Ambient DRUM/BARREL-METALLIC AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL ~ ~ ::~:~. 0 0 5 5.0 0 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL %Wt. EHS CAS# 27.00 Naphtha Solvent No 8030306 2.00 Toluene No 108883 20.00 n-Butyl Acetate No 123864 25.00 Acetone No 67641 5.00 n-Butyl Alcohol No 71363 5.00 Xylene, Mixed No 1330207 -3- 04/25/1997 H & S BODY WORKS & TOWING SiteID: 215-000-000037 = Inventory Item 0002 Facility Unit: Fixed Containers on Site OXYGEN Days On Site 365 Location within this Facility Unit PORTABLE CAS# 7782-44-7 r STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure AmbientIi AmbientJl PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst CoLt.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3 225.00 150.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Oxygen, Compressed No 7782447 -4- 04/25/1997 H & S BODY WORKS & TOWING SiteID: 215-000-000037 Fast Format ~ Notif./Evacuation/Medical Overall Site -- Agency Notification 05/17/1990 CALL 911 -- Employee Notif./Evacuation 05/17/1990 VERBAL AND CALL 911. -- Public Notif./Evacuation 05/17/1990 VERBAL AND CALL 911 Emergency Medical Plan 05/17/1990 325-1255 - NILES STREET CLINIC. -5- 04/25/1997 H & S BODY WORKS & TOWING SiteID: 215-000-000037 Fast Format Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 05/17/1990 PAINT STORED IN METAL CABINETS. OXYGEN AND ACETYLENE BOTTLES CHAINED IN A PORTABLE CART. -- Release Containment -- Clean Up Other Resource Activation -6- 04/25/1997 H &' S BODY WORKS & TOWING SiteID: 215-000-000037 Fast Format Site Emergency Factors Overall Site Special Hazards -- Utility Shut-Offs 12/18/1991 A) GAS - NORTHWEST CORNER B) ELECTRICAL - NORTH WALL CENTER BUILDING AND NORTHEAST BACK WALL C) WATER - NORTHEAST CORNER ~ FEET NORTH OF BUILDING D) SPECIAL - NONE ~ E) LOCK BOX - NONE Fire Protec./Avail. Water 12/18/1991 PRIVATE FIRE PROTECTION -~ FIRE EXTINGUISHERS Building Occupancy Level 7 04/25/1997 H & S BODY WORKS & TOWING SiteID: 215-000-000037 Fast Format Training Overall Site -- Employee Training 08/25/1992 WE HAVE ~ EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE GO OVER MSDS FOR SAFETY PRECAUTIONS -- Page 2 -- Held for Future Use Held for Future Use 8 04/25/1997 09/09~93 H & S BODY WORKs & TOWING 215-000-000037 Page 1 Overall Site with 1 Fac. Unit General Information Location: 300 21ST ST Map: 103 Hazard: Moderate Community: BAKERSFIELD STATION 04 Grid: 30B' F/U: 1 AOV: 0.0 Contact Name Title Business Phone 24-Hour Phone- RICHARD~COMPTON OWNER 805) 324-6703 x (805) 366-5049 Administrative Data Mail Addrs: 300 21ST ST D&B Number: City: BAKERSFIELD State: CA Zip: 93301- Comm Code: 215-004 BAKERSFIELD STATION 04 SIC Code: 7532 Owner: DICK~ JR. ~- ~·~_ ~ .... --_9 Phone: (805) 324-6703 Address: 2712 FAIRFAX RD( State: CA City: BAKERSFIELD ·~ Zip: 93306- Summary · ' RECEIVED OCT 0 reviewed the attached hazardous materials manage- any corrections constitute a complete and corre~ man- agement plan for my facili~. 09/09V~3 H & S BODY WORKS & TOWING 215-000-000037 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-001 ACETYLENE Gas 425 High · Fire, Pressure, Immed Hlth? FT3 02-003 LACQUER THINNER Liquid 110 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-002 OXYGEN Gas 225 Low · Fire, Pressure, Immed.Hlth FT3 09/09J93 H & S BODY WORKS & TOWING 215-000-000037 Page 3 ~ 02 , Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-001 ACETYLENE Gas 425 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 I Daily Average FT3 I Annual Amount FT3 425 ~ 200.00 800.00 Storage ~~Press T Temp Location PORT. PRESS. CYLINDER IAmbient~AmbientlPORTABnE -- Conc Components MCP --TGuide 100.0% IAcetylene IHigh ! 17 -- Notes 02-003 LACQUER THINNER Liquid 110 Moderate· , Fire, Immed Hlth, Delay Hlth GAL CAS'#: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: PAINTING -- Daily Max GAL I Daily Average GAL I Annual Amount GAL 110 ~ 55.00 _ 660.00 Storage Press T Temp Location DRUM/BARREL-METALLIC IBelOw· /BelOw I -- Conc Components MCP Guide 27.0% Naphtha Solvent .~ Moderate 27 2.0% Toluene Moderate 27 20.0% n-Butyl Acetate Moderate 26 25.0% Acetone Moderate 26 5.0% n-Butyl Alcohol Moderate 26 5.0% Xylene, Mixed Moderate 27 09/09/93 H & S BODY WORKS & TOWING 215-000-000037 Page 4 ~ 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-002 OXYGEN Gas 225 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 I Daily Average FT3 I AnnuaI Amount FT3 225 I 150.00 . 1,000.00 Storage Press T Temp~ Location PORT. PRESS. CYLINDER Ambient~AmbientlPORTABLE -- Conc Components -,/Guide 100.0% Ioxygen, Compressed IL°~CP '1 14 -- Notes 09/09/93 H & S BODY WORKS & TOWING 215-000-000037 Page 5 _.- ., 00 - Overall Site <D> Notif./EVacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation VERBAL AND CALL 911. <3> Public Notif./Evacuation VERBAL AND CALL 911 <4> Emergency Medical Plan 325-1255 - NILES STREET CLINIC. 09/09/93 H & S BODY WORKS & TOWING 215-000-000037 Page 6 · ~ 00 - Overall Site <E> Mitigati°n/Prevent/Abatemt <1> ReleaSe Prevention PAINT STORED IN METAL CABINETS. OXYGEN AND ACETYLENE BOTTLES CHAINED IN A PORTABLE CART. <2> Release Containment <3> Clean Up <4> Other Resource Activation 09/09793 H & S BODY WORKS & TOWING 215-000-000037 Page 7 ~ 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NORTHWEST CORNER B) ELECTRICAL - NORTH WALL CENTER BUILDING AND NORTHEAST BACK WALL C) WATER - NORTHEAST CORNER 10 FEET NORTH OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NONE <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 2 FIRE EXTINGUISHERS FIRE HYDRANT - 21ST AND V ST <4> Building Occupancy Level CITY OF BAKERSFIELD FIRE DEPARTMENT OCT:' OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r'~ Floor, Bakersfield, CA 93301 FACILITY NAME d4S' ~ob~4 ~,oo~.tc,C ~ ~SPECTION DATE ADD.SS YO0 2~ ~ ~ _ PHONE NO. FACILITY CONTACT~z~~~ BUSINESS ID NO. '5-210- ' Section 1: Business Plan and Inventory Program ~Routine ~ Combined [~ Joint Agency [~ Multi-Agency ~.~ Complaint OPERATION C V COMMENTS Appropriate permit on hand .~, / Business plan contact information accurate Visible address [/ei Correct occupancy ~t/ Verification of inventory materials g/ ~ Verification of quantities Verification of location V/ , Proper segregation of material e/' Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate [,/ / Containers properly labeled iV' Housekeeping Fire Protection Site Diagram Adequate & On Hand b/' C=Compliance V=Violation ~y-~n'aza~oous waste on sate;~.~-. ~ Yes [~ No Question'~ing this inspection? Pleas.~cali us at (661) 326-3979 Bu§iness Site Responsible Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector 09/09V93 H & S BODY WORKS & TOWING 215-000-000037 Page. 8 00 - Overall Site <G> Training <1> Page 1 WE HAVE 6 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE GO OVER MSDS FOR SAFETY PRECAUTIONS <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use ~/...~ ~~>~ <~ 5/~ ~F RECEIVED . CITY of BAKERSFIELD JUL 2 6 1990 ~ HATER[ALS INVENTORY Farm andAgticulture ~ Standard Business ~HAZARDOUS HAZ. MAT~ DIV; ~e ~_ of ~: LOCATION;_q~-~/~- ' ~yy~°ztp~:~: ~/,~. ~.~/ .... . DUN AND BRADSTREET NUHB? y//~ CITY. ZIP:~. ~1;~.- ~:~y I 2 3 4 5 6 I 8 9 10 II 12 %1~y Names of Nixture/Components Trans !yqe Max Avfrpge Annual Measure I ~y) Cont Cont Cont Us tocation.Whe[e storea Code ~ooe Amt AmC Est Un~ts on site Type Press Temp Cole in ~acli~ty See Instructions mphvsical and Health Hazard C,A,S. Number ~-'~ -- ~ Component I1 Name & C.A.S. Number (Check al/ that apply) ~m-- ; Component t2 Name t C.A,S. Number ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ lm~i~ Health of Pressure Component 13 Name I C.A.S. Number Physical 8pd ~emith Umzard C.A.S. Number Component I1 Name & C.A,S. Number (Check all that app/~l Component 1~ Name & C.A.S. Number ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Im~i~ .... Health of Pressure Component 13 Name I C.A.S. Number Physical and Health ~a~mrd C,A.S. Number - Component II Name I C,A.S. Number ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ ImmediateCgmp°nent 12 Name I C,A,S. Number Health of Pressure Health ~ '-- ~ Component 13 Name A C,A.S. Number I I Is' I ' I I I I I I I Physical 8od Health UaTmrd C,A,S. Number Component I1 Name I C,A,S, Number (Check all that apply) : Component 12 Name ~ C,A,S. Number ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Im~i~ Health of Pressure Component 13 Name I C,A,S, Number EHERGENCY CONTACTS fll'~/~~.~~.llCie ~;Hr Pn0ne ,ame .... Na~e "'~ ~-~- . ....... ;ubmltted informer1 n is true,.accurat~, aha complete, . / N~ e'oa~OtlC18i [tTJ-~/Of o~.rlo!)eratofb~x-joirn! . p~' ' t ~ / e ' ' --' " July 17, 1990 M~. Dick Shepherd J~. H & S Body Works & Towing 300 21st Street Bakersfield, Ca. 93301 Dear Mr. Shepherd: Per our phone conversation of July 17, 1990, I am enclosing the inventory forms for you to complete on the 55 gallon drum' of Lacquer Thinner. We need to have this form returned to 2130 G Street by August lO, 1990. If we can be of any assistance, please don't hesitate to call (805) 326-3979. Sincerely Yours, Valerie Pendergrass Hazardous Materials Division Q Bakersfield Fire D~pt. Hazardous Materials Inspection Date Completed ff:~- t' 9 - ~ O Business Name : ~' 4- ~, ~O~--;, LA-~O~__iff_~- {RECEIVED Location: ~<2> ~--- f~ ',ItIN 9_ ?. 1990 plan ID # 215-000 .~"7 (Top right comer Business Plan) N ~ 7. MA, T. DIV. Adequate Inadequate Materials []~-] Ve a ono nvento. Verification of Quantities ~ ~ Verification of Location ~- ~ ~' ~ ' ~ ~ ~oper 'S~~ ~ ~ Verification of MSDS Availabfli~ ~ ~ N~ber of ~ployees ~ Vedficafion of Haz Mat Trai~ng ~ ~ Co~: Verification of Abatement Supplies & Procedures {~ [-] Comme3'l~: Emergency Procedures Posted Containers Properly Labeled ~ [--] Verification of Facility Diagram [-~ [~] Special Hazards Associated with this Facility: Violations: FO 1652 (~v. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Oh'ice ( fy'We or '~r±r',..~ name ) JAN 2 5 1989 Do he~eb.T: certifT: that I have reviewed the attached Hazardous Materials business plan name of busi.~/ess) and that. it along with the attached additions or corrections constitute a com~].ete and correct Business Plan for mM facilit.~-. , na ure :at CITY of BAKERSFIELD Fare and A0riculture ~ Standard e,si..s N 0 N -- T I~/k D ~ ~ ~ C !-~ !~ T ~c~ , ~ag, ~/._ of ./._ LOCATION: _"~:)~:)'-~/' ~ff~ ADDRESS: ~O~-~,/ ~-- STANDARD IND. C~ASS / ~ ~ ~U~O~ ~W ~OP~ ~D~ -~ - - ~ -- ~t ~ ~&C.a.S. ~lth of ~m ~lth - r (C~k iii tMt e~ly) ................. ~lth of P~ ~lth flHIth of Pr~sure ~lth Carttfi¢ll:tofl (Read and siRn after coepletinR al) sections) under Nflalty of lw t~t I ~ve ~rsmillyexamin~ ~ Ii fruitier ,tth t~ tflf~tim,su~itt~ Iff this BUSINESS NAME H & S BODY WORKS & TONING ID NUMBER 215-000-000037 LOCATION 300 21ST ST HIGH HAZARD RATING 3 1 . OVEI~VIEr~g LAST CHANGE 05/17/88 BY TERRY JURIS CODE 215-001 JURIS BAKERSFIELD STATION 01 MAP PAGE 103 GRID 30B FACILITY UNITS 1 HAZARD RATING 3 RESPONSE SUMMARY 2A SEC 4: NONE EMERGENCY ~ONTACTS 2A SEC 2:(~YDICK, JR. ~SHEPHERD - 324-6703 OR 871-1989 0~*°~ (~RICHARD ~. ~~PY~ - 324-6703 OR ~~~O~ UTILITY SHUTOFFS 2A SEC 3: A) GAS - NW CORNER; B) ELECTRICAL - N WALL CENTER BUILDING AND NE BACK WALL; C) WATER - NE CORNER 10 FEET N OF BUILDING; D) SPECIAL - NONE; E) LOCK BOX - NONE. 2 NOTIFICATION / PUBLIC EVACUATION ,,^ST CH^ GE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > PAGE 1 12/12/88 14:51 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME H & S BODY WORKS & TOWING ID NUMBER 215-000-000037 LOCATION 300 21ST ST HIGH HAZARD RATING 3 3 . HAZ MAT TRAINING SUMMARY LAST CHANGE / / BY 14 ~-,. ~ f ~ , S, D . A . ~ ~..-~. '~ ,~,-.~, ~ < NO INFORMATION RECORDED FOR THIS SECTION 4 o LOCAL ]EMERGENCY MEDICAL ASS I STANCE LAST CHANGE 05/17/88 BY TERRY 2A SEC 5: 325-1255 - NILES STREET CLINIC° PAGE 2 12/12/88 14:51 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME H & S BODY WORKS & TOWING ID NUMBER 215-000-000037 LOCATION 300 21ST ST HIGH HAZARD RATING 3 FACILITY UNIT 01 A . OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 05/17/88 BY TERRY ID TYPE NAME MAX AMT UNIT HAZARD LOCATION CONTAINMENT USE 1 PURE ACETYLENE 283 FT3 EXTREME PORTABLE PORTABLE PRESS. CYL. WELDING/SOLDERING ID PERCENT COMPONENTS HAZARD LISTS 1241.00 100.0 ACETYLENE EXTREME 2 PURE OXYGEN 154 FT3 HIGH PORTABLE PORTABLE PRESS. CYL. WELDINGYSOLDERING ID PERCENT COMPONENTS HAZARD LISTS 2359.00 100.0 OXYGEN, COMPRESSED HIGH 3 PURE OXYGEN 83 FT3 HIGH PORTABLE PORTABLE PRESS. CYL. WELDING/SOLDERING ID PERCENT COMPONENTS HAZARD LISTS 2359.00 100.0 OXYGEN, COMPRESSED HIGH 4 PURE ACETYLENE 140 FT3 EXTREME PORTABLE PORTABLE PRESS. CYL. WELDING/SOLDERING ID PERCENT COMPONENTS HAZARD LISTS 1241.00 100.0 ACETYLENE EXTREME B o FIRE PROTECTION / WATER SUPPLIES LAST CHANGE 05/17/88 BY TERRY s .c 3A SEC 5: PAGE 3 12/12/88 14:51 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME H & S BODY WORKS & TOWING ID NUMBER 215-000-000037 LOCATION 300 21ST ST HIGH HAZARD RATING 3 D . EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 05/17/88 BY TERRY 3A SEC 2: VERBAL AND CALL 911. E . MITIGATION / PREVENTION / ABATEMENT LAST CHANGE 05/17/88 BY TERRY 3A SEC 1: PAINT STORED IN METAL CABINETS. OXYGEN AND ACETYLENE BOTTLES CHAINED IN A PORTABLE CART. PAGE 4 12/12/88 14:51 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BAKERSFIELD CITY FIRE DEPARTMENT, NON--TRADE SECRETS HAZARDOUS MATERI ALS I NVENTORY BUSINESS NAME: ~ O"NER NA.E:~/~'~~>~~.~y,~/~ FACILITY UNIT ADDRESS: ,~00:~/~ ~~F ', ADDRESS: ~9/~2.~/~~-~/)¢ F~cILITV UNIT NAME: C~TV, Zi~:~/~~/~/ ~ ~~/ CITV,Z~:_~_Z~j ~'. PHONE ~= ~:"--.~_~~ '~ PHONE {= ~-- <~/-]~ OFFICIAL USE CFIRS CODE ONLY NA~I.E~ TITLE: O~b ~..)~'.~ . SIGNATUREQ~_ ~/, .DATE EB~'RO'ENCY C( ]TACT: ~;~ .~]l~j~ ~ ~ TITLE:., ~A~ ~0NE i S~ HouR~: ~ ,~ '~/'~ ' ~/-- AFTER BUS HRS: // ~. TZTLH: ~<,~>~_~ ~ .. PHON~ ~ BUS HOURS: ~r~C~eA~. ;~ ~S~N~SS'~c~'i~TV:~~&T~ ~~-~~i~ ~?~?~ ~T~ ~US aRS: ~ - 4A-1 - 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.0.T ,CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE ( BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 98301 OFFICIAL USE ONLY ID# BUSI NESS PLAN SINGLE FACILITY UNIT FORM SA INSTRUCT IONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACI'LITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as .possible. .. ' -' ':.. FACILITY UNIT# FACILITY UNIT NAME: SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDbqlES .' SECTION 2: NOTIFICATION .~\~ EVACUATION PROCEDL~ES AT THIS L~'IT ONLY SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials? ...... YES NO If YES, see B. 'x If NO, continue with SECTION 4. B.~re any of the hazardous materials a bona fide Trade Sec: YES NO If N~complete a sepa. ate hazardous materials invent form ma~ked: NON-TRADE SECRETS ONLY (white form ~4A- If Yes ~[ ere a hazardous materials inventory marked: TRADE ONLY (yellow form ~4A-2) in additi~ to the non-trade secret form. list only the trade secrets on f( 4A-~. SECTION 4: PRIVATE FIRE OTECTION .... -, , SECTION $: LOCATION OF WATER SUPPLY BY EMERGENCY RESPOYDERS SECTION 6': LOCATION OF AT 0STY. A. NAT. GAS/PROPANE'% B. ELECTRICAL: C. WATER: D. SPECIAL: E .... LOCK BOX: v~s ,"' NO IF YES, LOCATION: iF YES, STM:,,. PLANS? YES / NO MSDSs9 YES '" .Ye. FLOOR PLANS? YES / NO ~EYS? YES ." ¥0 - 3B - 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 OFFICIAL USE ONLY BUSINESS NAME HAZARDOUS B{ATERIALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS: 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 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. ~-!-~*zz~,- ~/p~z'~Ac/ DURING BUS HRS. AFTER BUS. HRS. SECTION ~: LOCATION OF ~ILI~ S~-OFFS FOR BUSI~SS AS A ~O~E ~.,,¢%A. NAT. GAS/PROPANE: ~)0~'~ /~ -~,~ ' ~'~,~AJ D. SPECIAL ~ E. LOCK BOX: YES / NO IF YES, LOCATION: " IF YES, DOES IT CONTAIN SITE PLANS? YES /~NO~.---~ MSDSS? YES FLOOR PLANS? YES /~NO ,. KE~S? YES ~0 2A - SECTION 4: PRIVATE RESPONSE TEA~ FOR BUSINESS AS A WHOLE SECTION 5: LOCAL EI~ERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE _ 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 NO YES NO C. PROPER USE OF SAFETY EQUIPMENT: .................. YES NO YES NO D. EMERGENCY EVACUATION PROCEDURES: ................. YES NO YES NO E. DO YOU ,.MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES NO YES NO SECTION ?: HAZARDOUS MATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN.500 POUNDS~? A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS ....... ~ NO I¥~/~.~lZ/Y/~//~/f~.~ ,certify that the above information is.accurate. I'~6'ndersta~that~i~'-i~formation will be used to fulfill my firm obligations s unGer the new Ca~lifornia Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et Al.) and that inaccurate information constitutes perjury.