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Home My WebLink AboutBUSINESS PLAN (2) SITE/FACILITY ' G R/kFI ~o~ ~ i~p: ~¢ r~ ~4, FLOOR: OF (CHECK ONE) SITE DIAGRAM FACILITY DIAGR.~Z (Inspector's Comments); -OFFICIAL USE 0NLY- SITE BIAGRAI~ (Requir ) 1. Address: Identify the 9. Lock {key} Box principle buildings by the Street numbers. 10. RSDS 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 names. b. Masonry 3. Storm Drains, Culverts, Yard Dralns c. Wood 4. Drainage Canals, Ditches, d. Gates Creeks, 13. Powerllnes · 5. Buildings a. Frame construction 14. Guard Station b. Masonry construction 15. Storage Tanks: Identify the c. Mats! construction capacity in gal. a. Above ground d. Access Door b. Underground 6. Utility Controls a. Gas 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 meet. b. Fire Sprinkler 19. Outside Hazardous Connections Waste Storage c. Fire Standpipe 20. Outside Hazardous Connections Materla! Storage d. Water Control Valves 21. Outside Hazardous for protectionsystems Material Use/Handling e. Fire Ptmp 22, Type of Hazardous Material/Waste : Stored 8. Fire Department Access or Used (See Below) TYPE OF HAZARDOUS [/ATERIAL F = Flammable E - Explosive L - Liquid R = Radtological C - Corrosive 0 - Oxidizer O - Gas P - Poison W = Water Reactive T = Toxic 9 = ~olld H = Cryogenic O = Waste B = Etiological Example: Flammable Liquid = FL FACILITY DIAOP~ (Required Items In addition to the abo~'e) 1. Risers for Sprinklers 8. Fire Escapes 2. Partitions 9. Air Conditioning Units 3, Stairways: Indicate the 10. Windows levels served from highest to lowest. 11. Inside Hazardous Waste Storage 4. Escalator: Indicate the levels served from 12. Inside Hazardous highest to lowest. Materials Storage 5. Elevator 13. Inside Hazardous Materials Use/Handling 6. Attic Access 14. Sewer Drain Inlets 7. Skylights AUTOMOTIVE SPECIALIST SiteID: 215-000-000719 Manager : BusPhone: (805) 322-1869 Location: 1415 25TH ST ~--~-- ----~,.Map~,.: 103 CommHaz : Low /~ , ~iv~,/~-~__: 30A FacUnits: 1 AOV: City : BAKERSFIELD CommCode: BAKERSFIELD .~ ¥ Z S ~997 D ,hSrad: EPA Numb: Emergency Contact / Title~------~~¥ Contact / Title RAUL SANCHEZ / I MAX BOWSER / FATHER IN LAW Business Phone: (805) 322-1869x I Business Phone: (805) 399-5290x 24-Hour Phone : (805) 392-1871x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire DelHlth Agency-Defined Topic Title ---- Hazmat Inven~tory One Unified List -- MCP+DailyMax Order Ail Materials at Site Hazmat Common Name... ISpecHazlEPA Hazards] Frm DailyMax Unit MCP WASTE OIL F DH L 55 GAL Low WASTE FILTERS S 55 GAL UnR ~, /~o.~ I. . Do hereby cerfi~ ~ha~ ~ have · ~y~ or pdnt name) reviewed the a~a. ch~d h~ardous mmefials manage- ment plan ~or~,~. ~c,~/,%~nd ~hm i~ along wi~h any corrections constitute a complete and corre~ ~an~ agemem plan ~or ~ ~aci~i~. -1- 05/21/1997 AUTOMOTIVE SPECIALIST SiteID: 215-000-000719 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit CAS# 221 rSTATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste I Ambient I Ambient DRUM/BARREL-METALLIC AMOUNTS STORED AND IN USE Lrgs't Cent.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 55.00 55.00 espied DailyMax Stored GAL DailyMax Open Use GAL DailyMax C Use GAL HAZARDOUS COMPONENTS %Wt. I EHS CAS# 100.00 Waste Oil, Petroleum Based No 0 -2- 05/21/1997 AUTOMOTIVE SPECIALIST SiteID: 215-000-000719 ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site WASTE FILTERS Days On Site OIL FILTERS 365 Location within this Facility Unit CAS# Solid Waste Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS STORED AND IN USE Lrgst Cent.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 55.00 55.00 ~ DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS EHS %Wt. CAS# 50.00 Waste Oil, Petroleum Based No 0 -3- 05/21/1997 AUTOMOTIVE SPECIALIST SiteID: 215-000-000719 Fast Format ~ Notif./Evacuation/Medical Overall Site -- Agency Notification 01/07/1990 CALL 911 Employee Notif./Evacuation 01/07/1990 WASTE OIL IS AT A MINIMUM. WOULD CONTACT EMPLOYER. THIS IS A TWO MAN OPERATION EVACUATION IS NOT NECESSARY. Public Notif./Evacuation 01/07/1990 NONE LISTED Emergency Medical Plan 01/07/1990 LOCATED TWO BLOCKS FROM HOSPITAL - SAN JOAQUIN COMMUNITY HOSPITAL IF SERIOUS WOULD CALL AMBULANCE SERVICE. -4- 05/21/1997 AUTOMOTIVE SPECIALIST SiteID: 215-000-000719 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 03/25/1992 WASTE OIL IS PICKED UP BEFORE DRUM IS FULL. WE HAVE A STAND BY DRAIN IN CASE DRUM GETS FULL BEFORE PICKUP. WASTE OIL WOULD BE CONTAINED WITHIN DRUM AREA IF A SPILL OCCURS. WASTE OIL WOULD BE ABSORBED WITH FLOOR ABSORBANT AND THRU MOP UP. Release Containment 03/25/1992 INCLOSE IN METAL CONTAINERS. -- Clean Up 03/25/1992 DRY FLOOR SWEEP (IN BAGS). Other Resource Activation -5- 05/21/1997 AUTOMOTIVE SPECIALIST SiteID: 215-000-000719 Fast Format F Site Emergency Factors Overall Site Special Hazards -- Utility Shut-Offs 03/25/1992 A) GAS - SOUTHWEST CORNER OF BUILDING INSIDE B) ELECTRICAL - WEST SIDE OF BUILING IN ALLEY C) WATER - WEST SIDE OF BUILDING IN ALLEY D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 03/25/1992 FIRE HYDRANT - ALLEY DIRECTLY WEST OF BUILDING ON NORTHWEST CORNER Building Occupancy Level 6 05/21/1997 AUTOMOTIVE~ SPECIALIST SiteID: 215-000-000719 Fast Format ~ Training Overall Site -- Employee Training 03/25/1992 ~, ~1~ ~4,,~.~. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE, BRIEF SUMMARY OF TRAINING: TAKE EMPLOYEE TO LUNCH AND HAVE MEETING, DICUSS PREVENTIVE SAFETY. Page 2 j Held for F'uture Use Held for Future Use -7- 05/21/1997 BAKERSFIELD CiTY FIRE DEPARTMENT i~ ~-V7-"~~RDOUS MATERIALS DIVISION ~ ~ ~1111~ ~7~ ~CHESTER~.A,V~;: ' 1995 ~ BAKERSFIELD, CA. 93301 JAN 3- H;"'~'c',-.--,-;R[)OUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To avoid further .action, return this form within 30 days of receipt. '-~ =~2: .... TYPETPRINT~A-NSWERS~IN EKIGI:ISH.- 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible. SECTION 1' BUSINESS IDENTIFICATION DATA ~oc^~,o~:/4/-¢ ~.~-/-¢ ~,-/ ........ CITY: .__'/~/]-'~--¢/-z~/,¢'~ STATE:~'"¢~, ZIP' DUN 8. BRADSTREET NUMBER' SIC CODE: PRIMARY ACTIVITY: - -OWNER: MAILING ADDRE$5: SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PH®NE -~ . . Bakersdeld Fire Dept. HAZARDOUS MATERIALS MANAGEMENT PLAN' SECTION 3: TRAININg: NUMBER OF EMPLOYEES; 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. /,~ BUT THE QUANTITIES AT NO WE DO HANDLE HAZARDOUS MATERIALS, TiMEEXCEED THE MINIMUM REPORTING QUANTIT. IES. OTHER (SPECIFY REASON) SECTION15: CERTIFICATION: MATI~N~S ACCURATE. I. UND~STAND THAT THIS INFORMATION WILL 8E USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CAUFORNIA HEALTH AND SAF5~ CODE" ON HA~RDOUS ~ATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) ANO THAT INACCURATE INFORMATION-CONSTITUTES PERJURY. SIGNATURE ~ TITLE DATE. 02/20/92 AUTOMOTIVE SPECIALIST INC 215-000-0007 Overall Site with 1 Fac. Unit MAR 24 1992 IU)~ General Information By · Location: 1415 25TH ST Map: 103 Hazard: Low Co--unity: BAKERSFIELD STATION 01 Grid: 30A F/U: 1 AOV: 0.0 i Contact NameI Title Business Phone 24-iour Phone RAUL SANCHEZ (805) 322-1869 x (805 392-1871 Administrative Data Mail Addrs: 1415 25TH ST D&B Nu~er: City: BAKERSFIELD State: CA Zip: 93301- Con Code: 215-001 BAKERSFIELD STATION 01 SIC Code: Owner: ~UL SANCHEZ .... Phone: (~)?~ -~ Address: 7016 NOAH AV State: CA City: BAKERSFIELD Zip: 93308- Sugary ( ~ ~ ::: 'hr prtrlt name) , reviewed the a~ch..,., ::~...~.:,~,~.,_~,~,.~ materials manage- ment plan 'ior,4~,~,, _.d.~:~and that it ~ong with any corre~ions constitute a ~mplete and ~rr~ man~ ~~ plan for my faciliiy. 02/20/92 AUTOMOTIVE SPECIALIST INC 215-000-000719 Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 WASTE OIL Liquid 55 Low · Fire, Delay Hlth GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL55 I Daily Average30.00GAL I Annual Amount165.00GAL Storage Press T Temp~ Location DRUM/BARREL-METALLIC Ambient~AmbientlMIDDLE OF SOUTH WALL -- Conc -- Components MCP List 100.0% IWaste Oil, Petroleum Based Low I 02/20/92 AUTOMOTIVE SPECIALIST INC 215-000-000719 Page 3 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation WASTE OIL IS AT A MINIMUM. WOULD CONTACT EMPLOYER. THIS IS A TWO MAN OPERATION EVACUATION IS NOT NECESSARY. <3> Public Notif./Evacuation NONE LISTED <4> Emergency Medical Plan LOCATED TWO BLOCKS FROM HOSPITAL - SAN JOAQUIN coMMUNITY HOSPITAL IF SERIOUS WOULD CALL AMBULANCE SERVICE. 02/20/92 AUTOMOTIVE SPECIALIST INC 215-000-000719 Page 4 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention WASTE OIL IS PICKED UP BEFORE DRUM IS FULL. WE HAVE A STAND BY DRAIN IN CASE DRUM GETS FULL BEFORE PICKUP. WASTE OIL WOULD BE CONTAINED WITHIN DRUM AREA IF A SPILL OCCURS. WASTE OIL WOULD BE ABSORBED WITH FLOOR ABSORBANT AND THRU MOP UP. <2> Release Containment <3> Clean Up <4> Other Resource Activation 02/20/92 AUTOMOTIVE SPECIALIST INC 215-000-000719 Page 5 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs' A) GAS - SOUTHWEST CORNER OF BUILDING INSIDE B) ELECTRICAL - WEST SIDE OF BUILING IN ALLEY C) WATER - WEST SIDE OF BUILDING IN ALLEY D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - NONE LISTED FIRE HYDRANT - ALLEY DIRECTLY WEST OF .BUILDING ON NORTHWEST CORNER <4> Building Occupancy Level 02/20/92 AUTOMOTIVE SPECIALIST INC 215-000-000719 Page 6 I 00 - Overall Site <G> Training <1> Page 1 WE HAVE 1 EMPLOYEE AT THIS FACILITY WE' HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: 0' ~~;~ ~/~ <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use CITY of BAKERSFIELD Fare and Agriculture ~-: Standard Business Z-ZA2:AROOUS ~JA'~':~: RT A'T-S NON--'I?RADE SECRETS ' Page .... of LOCATION:. I~tg - ~,~ ,~~ ADDRESS: ~O/O ~d~ ~/.~. STANDARD IND. CLASS CODE C~TY, ZIP: ~~,~ ~ ~oI CXTY, ZIP: ~~g~l~l~' ~ ~ DUN AND BRADSTREET NUMBER PHONE ~: .~-t~]/~ PHONE ~: _~'~/~ ~ / _ ~ - - , ~ ~ Z~U~ZO~ ~R ~OP~ COD~ Irans C~e C~e ~t ~'~ Est Un*ts m Stte I~ ~ T~ ~ ~N~t~ tn F~ltty~- ~ I~t~tt~ fC~k ,il t~t ~ly) ~ ~lth of P~ ~lth .... L.I ............ 1 ....... : ...... 1 1 ..... I..2LI .... ~_~2~ I/~/ .__ P~ical ~ ~lth Ha~l~ i' C.A.S. ~ ~t II ~ (C~k ell t~t apply) r--~ ~t 12 ~ Ftq ~zard ~cttv(ty c_~ hle~ ~ ~lm ~--~ ~lth of P~ ~lth ..................... ' ~ ~t 13 ..... ~_L ~LZ2. ..... L [ ..... ! ......... ! ! ! t ! .... ' ~ ~ F~re Hazard ~ ~ Rflct*v(ty ~--d hla~ ~ ~ ~ blme ~_d legate . ..; ........................ ~.l~h of ~.~ ~lth ......... k ~ ~ j L--J ! ~ ~--' ....... ~ ....... ~' t P~ical ~ HHlth ~li~ ~ C.A.S. ~ ~t I1 h (C~k all tMt ~ly} - r--~ ~ r--~ r--~ r--~ C~t 12 Nm [ ~ F~re Hazard ~--~ ~t~v~ty ~_d ~la~ c--~ ~dd~ ~lme ~--~ I~late ~ · H~lth of Peflsurt Health ...... ........ ~NERGENCY C~TACTS I .... ~Z~ ..... T~lli ~F'~m ...... Certtficatim F~ead and s~' after compJet~nD aJ~ sect~onN? I certeS/ ~der ~lty of low t~t I ~ve mrsmmllyexamin~ ~ am fNilimr .ith t~ tnf~t(~ su~itt~ tn this ~ fo~ obt~ining, t~ ifl~ti~. I ~elieve t~t t~ su~itt~ info~ti~ is t~. accurate, ~d c~lete. ~?TiEi21-til16'6T'~;~216F'Ol-~6276~2E6~ ~-2GE~ii~'F;BF~t)IiG; ~lG$1 .................. ~ .......................... ~ti'51)~ ............................ Do her-eh5~ cert~ ~-- ~ _z., that I have ~ex.-iewem t~lV~.~. .., . attached Hazardous Materials business for 0 ~ - (name of business) and that it .along with Zhe attached.additions or corrections constitute a cOmDlete and correct Business Plan for my facility. '- si,~na~ure - date ' ' B.,~d~ERSFIELD CI'I~ FIRE DEPAR'rl~EN~r 2zso "~" S~EZT ~ECEIVED ' B~RSFIELD, CA 9330~ (805) 326-3979) 0~_~0 Ans'd OFFICIAL USE ONLY BUSINESS N~E HAZARDOUS RTERI ALS .usINESS LAN AS A WHOLZ ~OR~ 1. To avoid ~urther action, return thls for~ 2. TYPE/PRIST' ASS~ERS IS E~GLISH. 3. Answer the questions belo~ for the buslness as a ~hole. 4. Be as brief and concise as possible. SECTI0~ 1: B~SI~ESS IDE~I~IC~TIO~ D~T~ A. BUSINESS NAME: ~m~l V~ , De_~, I 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: N~.~ND TITLE r DURINC BUS. HRS. AFTER BUS. HRS. A. -~ ~-LA.~... B. Ph~ Ph~ SECTION 3: LOCATION 0F ~ILI~ S~-0FFS FOR BUSI~SS AS A ~0LE D. SPECIAL: E. LOCK BOX: YES /~F YES, LOCATION: FLOOR PLANS7 YES/~ KEYS7 YES / NO 2A- SECTION 4: PRIVATE RESPONSE TEA~ FOR BUSINESS AS A SECTION 5: LOCAL ENERGENCY 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 ~ B. PROCEDURES FOR COORDINATING ACTIVITIES WiTH RESPONSE A~ENCIES: .......................... YES---~ YES C. PROPER USE OF SAFETY EQUIPMENT:.. ................ YES (~ YES N~ D. EMERGENCY EVACUATION PROCEDURES: ................. YES ~0;~ .YES E. DO YOU ~AINTAIN EMPLOYEE TRAINING RECORDS: ....... YES ~(~ YES SECTION ?: HAZARDOUS MATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... ~-~NO I, ~~L ,~'5~Y%~Z. , 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. 25500 Et Al.) and that inaccurate information constitutes perjury. BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# BUSINESS NAME: BUSI NESS PLAN SINGLE FACILITY UNIT FORM SA INSTRUCTIONS 1. To avoid further action, this form must be returned by: ~-~-~7. 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT# FACILITY UNIT NAME: SECTION 2: NOTIFICATION .~\~D EVACUATION PROCEDURES AT TH,IS ?~.'~T.O~.L.Y,,m~.~/ ~.~.,.~.~~ SECTION 3: HAZARDOUS >~ATERIALS FOR THIS UNIT ONLY this Facility Unit contain Hazardous Materials? ...... ~N'O A. Does 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 (white form ~4A-1) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form ~4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION SECTION 8: LOCATION OF WA~ S%~PLY FOR USE BY ~RGEN~ RESPOnSeS SECTION 6: ,~0CAT~ON 0F ~T;LZ~ S~%-OFFS .&T T~ZS b~'~T O~%Y. A. NAT. GAS../PROPANE~ E. LOCK BflX: YES ..' NO [F YES, LOCATION [? \"ES, S'TF: PLA.YS'') ',"ES ,,' F.r, ooR:~r.._~.,.,,vc'~: YES ," XN '~:E'¥'S"' \'FS '" ',:0. BAKERSFIELD CITY FIRE DEPARTMENT I.D. # FORM 4A-1 Page of NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY - ADDRESS:'~ ~'~~' ~ ~ ADDRESS: ~~~~~-~(. FACILITY UNIT NAME: CITY, ZIP:_ ~~~ ~~ ~'" CITY,ZIP: ~~~~ ~' PHONE ~:_ ~~,~~ PHONE ~: ~q~--{'~ { - [OFFICIAL USE CFIRS CODE --{ ONLY 1 2 3 4 ~ 6 7 8 9 10 TYP~ MAR ANNUAL CONT USE LOCATION IN THIS ~ BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT + WT. CHEMICAL OR COMMON NAME CODE OUIDE NAME: 9 .... / ('~'~''-'- TITLE:,,,O~~ SIGNATURE: ~ '~ f ' DATE: ~-q'-~ ~ EMERGENCY CONTACT: TITLE: ~_~~ PHONE ~ BU HOURS: ~-~ AFTER BUS HMS: ~q;-~) ~ ' EMERGENCY CONTACT: ~% O~S~f( TITLE: PHONE ~ BUS HOURS: PRINCIPAL BUSINESS ACTIVITY: ~~l ~., ~~ AFTER BUS HMS: - 4A-1 -