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Home My WebLink AboutBUSINESS PLAN 8/21/2001 Si M & M HOBBIES )/ teID: 015-021-002233 Manager : ~ BusPhone: (661) 833-8674 Location: 4600 ASHEA~ 310 %%%%%% 2¢9 Map : 123 CommHaz : Minimal City BAKERSFIELD Grid: 15C FacUnits: 1 AOV: : CommCode: BAKERSFIELD STATION 09 SIC Code:5945 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact /- Title GARY CRAWFORD / / Business Phone: (661) 833-8674x Business Phone: ( ) - x 24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth Contact : ~ o, Phone: (661) 833-8674x MailAddr: 4600 ASHE A~E 310 State: CA City : BAKERSFIELD Zip : 93313 Owner ~- Phone: (661) 833-8674x Address : 4600 ASHEA~ 310 State: CA City : BAKERSFIELD Zip : 93313 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: (Yl~ ~, ~ n~) mvie~)ci ih® attach~)d h~ardous mate~ais manage- shy ~~ons ~nstilul~ a ~mp~ ~nd ~rre~ man- ~nt plan for my ' -1- 09/09/2003 9:/? CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 ADDRESS J6~ ~ ~ ~ ,6 PHONE NO. %3~- FACILITY CONTACT..~ ~~ BUSINESS ID NO. 15-210- ~SPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and lnvento~ Program Routine ~ Combined ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand /cf~-~ .~t~..."~T- Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials ~.AC$ C ~-/(~Log;,4~ Verification of quantities ~ Verification of location t~ ~,o6 ~ ~~ 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 ~ ~ Site Diagram Adequate & On Hand ~,~~ C=Compliance V=Violation Any hazardous waste on site?: ~ Yes ~No Explain: Questions reg~ding this inspec6on? Please call us at (661) 326-3979 Business Site Responsible Pany~ While- Env. Svcs. Yellow- Slalion Copy Pi.k- ~si.~. Copy Inspector: '""'":" ' . ": CITY OF BAKERSFIELD FIRE DEPARTMENT i OFFICE OF ENVIRONMENTAL SERVICES ~ tJ i 'UNIFIED PROGRAM INSPECTION CHECKLIST ! ,, 1715 Chester Ave., 3rdFIoor, Bakersfield, CA 93301 FACILITY NAME /Itl ~ pv[ ~:~44~¢'5 INSPECTION DATE ~/Z!/O! ADDRESS ,46OO /~.<)~: 44 ~ ,0 PHONE NO. ~"5'~- FACILITY CONTACT ~t~Ct.V' Cp4aoe:o,z~ BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: '~, Business Plan and Inventory Program ..~~" '.. ~'~ Routine i', [~ Combined [~ Joint Agency [~ MUlti-Age. ney ~ Complaint [~ Re-inspection OPERATION C V " COMMENTS Appropriate permit on hand · '~ k./~'t,O ~"'~-~ T Business plancontact mformatton accurate Visible address ~ Correct occupancy .... Verification of inventory materials <~e.~q~ ~.. ~/(~/.ae;,4~ Verification of quantities '~'~" ~-' f- ~' .. Verification of location 't~,o~ ~'~t.~5; ~c.~-r~-q. Proper segregat, ion 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 ~/ >C¢~.$(_7 ~ ,~ uq(.~ eft C=Compliance V=Violation AnY hazardous waste on site?: [~] Yes ~No~ Explain: " Questions regarding this inspection? Please call us at (661) 326-3979 Business Site Responsible Party // White- Env. Svcs. Yellow- Station .Copy Pink- ~usi.ess Copy Inspector: ' '(.~ '""~: 5; / Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This =ermit is issued for the followinq: I~ Hazardous Materials Plan [] Underground Storage of Hazardous Materials D Risk Management Program PERMIT ID # 015-021-002147 [] Hazardous Waste On-Site Treatment PACIFIC COAST RE~ IX)CATION: 4600 ASHE ROAD 3~I/] ~,~ ~' CA 93313 OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor Approved by: (--~aYV~Y'm~i ~ss.~ mt~ Bakersfield, CA 93301 Offic¢ofEvh'onme~Sereices Voice (661) 326-3979 FAX(661) 326-0576 Expiration Date: JMII~ 30.. 2003 SITE DIAGRAM ! % ! · F~C3LL'FY DIAGRAM i4~0 . " ' - Bakersfield Fire Dept. Enironmental Services. 1715 Chester Ave SECTION 1. Business Plan and Inventory Program Bakersfield, CA 9330l ~r~C~g_ff~.~j ~ ~g_~ ~ ~ Tel: (661)326-3979 INSPECTION DATE INSPECTION TIME FACILITY NAME<L~'~ = ADDRESS PHONE No. No. Ioyees FACiLITYCONTACT Business ID Number ~_~ ~,~ .: . ?' :~' ": ~.'".' .-': ':"~' Section.i~ BUSiness Planand InVentoryProgmm · j: '. 'f: .." ~ · .~ ,.~ "'/ ,, . · . · . ~ , . . 13~Routine I"1 Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection C V [ C=Compliance ) OPERATION COMMENTS \ V-=Violation ~' [] APPROPRIATE PERMIT ON HAND J~ [] BUSINESS PLAN CONTACT INFORMATION ACCURATE J~ [] VISIBLE ADDRESS ~ [] CORRECT OCCUPANCY ~ [] VERIFICATION OF INVENTORY MATERIALS ~ r'l VERIFICATION OF QUANTITIES ~r' [] VERIFICATION OF LOCATION ~ [] PROPER SEGREGATION OF MATERIAL ~' ~ VERIFICATION OF MSDS AVAILABILI'PFE {~ f'l VERIFICATION OF HAT MAT TRAINING [~ [] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ EMERGENCY PROCEDURES ADEQUATE --[~ ¢'~ CONTAINERS PROPERLY LABELED (~ [] HOUSEKEEPING ~ I"1 F~RE PROTECTION ~ [] SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: [] YES J~'~Jo EXPLAIN: White - Environmental Services Yellow - S~ation Copy Pink - Business Copy PACIFIC COAST RESPIRATORY .teID: 015-021-002147 Manager : BusPhone: (661) 833-4700 Location: 4600 ASHE RD 311/12 ~&~ Map : 123 CommHaz : Low City :. BAKERSFIELD ~ Grid: 16D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 09~'~ ~%~%%%% SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title RAMIRO MEJIA / WAREHOUSE MGR CHRIS~}~Y~¥~~/ MANAGER Business Phone: (661) 833-4700x Business Phone: (661) 833-4700x 24-Hour Phone : (661) 398-8410x 24-Hour Phone : (661) 635-6706x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : Phone: (661) 833-4700x MailAddr: 4600 ASHE RD 311/12 State: CA City : BAKERSFIELD Zip : 93313 Owner JIM HOXTER Phone: (805) 481-3326x Address : PO BOX 1542 State: CA City : ARROYO GRANDE Zip : 93421 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: - [rYl:te or I~In! heine) ~viewed the a~ached hazarcious mmerials manage- ment plan ~or ~/~ J~,'~Jgl a/~'/nd that it along with shy co~e~ions ~nsfi~ute a complete and ~rr~ man- ~em~m p~n ~r my -1- 09/15/2003 PACIFIC COAST RESPIRATORY iteID: 015-021-002147 Fast Format ~ Training Overall Site -- Employee Training 01/18/2001 WE~HAVE.~EMPLOYEES AT THIS FACILITY. DO YOU HAVE MSDS SHEETS ON FILE KEPT IN CLEANING AREA. BRIEF SUMMARY OF TRAINING PROGRAM: YEARLY, SAFETY AND HANDLING TRAINING COVERING FIRE HAZARDS, PREVENTION, COOL DOWN PROCEDURE, USE OF FIRE EXTINGUISHERS, VENTILATION, PROCEDURE, NOTIFYING EMERGENCY RESONSE PERSONNEL AND EVACUATION PLANNING. Page 2 I Held for Future Use Held for Future Use I -8- 09/15/2003 PACIFIC COAST RESPIRATORY SiteID: 015-021-002147 Manager : BusPhone: (661) 833-4700 ~Location: 4600 ASHE RD 311/12 Map : 123 CommHaz : Low City : BAKERSFIELD Grid: 16D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 09 SIC Code: EPA Numb: DunnBrad: ! Emergency Contact / Title I Emergency Contact / Title RAMIRO MEJIA / WAREHOUSE TECHI / Business Phone: (661) 833-4700x Business Phone: ( ) - x 24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : Phone: (661) 833-4700x MailAddr: 4600 ASHE RD 311/12 State: CA City : BAKERSFIELD Zip : 93313 Owner PACIFIC COAST RESPIRATORY Phone: (661) 833-4700x Address : 4600 ASHE RD 311/12 State: CA City : BAKERSFIELD Zip : 93313 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ~ Hazmat Inventory One Unified List 9 -- As Designated Order Ail Materials at Site ~ Hazmat Common Name... ISpecHazlEPA HazardsI Frm DailyMax Unit MCP OXYGEN F IH DH G 2500.00 FT3 Low I, ..~ ~,,, ~-c~ _ Do hereby certify that ~ have (TyPe or' print name) reviewed the attached hazardous materials manage- ment plan for ~o.~:,~.,;~. Co,~5-r and that.it a'~ong with --'--'"~am-"~"~BuSiness) any corrections constitute a complete and correct man- agement plan for my facility. Date 12/20/200( PACIFIC COAST RESPIR3tTORY SitelD: 015-021-002147 ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~lV~Vl~ ~Vl~ / ~i ~4_~ ~Vl~ OXYGEN Days On Site 365 / Location within this Facility Unit Map: Grid: INSIDE REAR OF BLDG #311 CAS# 7782-44-7 Gas Pure Above Ambient Ambient. PORT. PRESS. CYLINDER · I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 2500.00 FT3 2500.00 FT3 2500.00 FT3 HAZARDOUS COMPONENTS %Wt. RNo~ CAS# 100.00 Oxygen. Compressed 7782447 HAZARD ASSESSMENTS TSecret RS BioHaz, Radioactive/Amount, EPA Hazards, NFPA USDOT# MCP No N°llINo No/ Curies F IH DH / / / Low -2- 12/20/2000 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN L~STRUCTIONS: ' ~' 3'~"~,7~~~~'x 1 To avoid further action, return this f~ of receipt [~' / 21 TYPE/PRINT ANSWERS IN EN~'~i-I7 ........... ~- ' ' ~ 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. .,. 5. You may also attach Business Owner / Operator Form and Chemical Description Form(s) to the front of this plan instead of completing. SECTION I. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA LOCATION: t~k0C~O P~<o'~4~ IQc~ ~ Sil[ ~.-.~i2.- MAILING ADDRESS: t~ ~oc> o t~V~ ~- f~. ~k ~o ~ \ - ~o CITY: ~:~,o, Ke.e~eAcL STATE: ~ ZIP:e}3313 PHONE: '&:~ PRIMARY ACTIVITY: 0_. ~'x ~, S ~' e [ ~, 3 MAILING ADDRESS: ~).O. (~oox ~.~c[Z /~O..t~.o'qo C~ro~cke.. c,~q q'3qz-I EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II. 1: DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: B. EMPLOYEE AND AGENCY NOTIFICATION: C. EN VIRO~NT~ ~SPONSE ~AGE~NT: D. EMERGENCY MEDICAL PLAN: 2 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II.2: RELEASE RESPONSE PLAN .' A. HAZARD ASSESSMENT AND PREVENTION.MEASURES: . B. ~LEASE CONTA~NT ~/OR MITIGATION: ~: t ~: ~, C. CLEAN-UP AND RECOVERY PROCEDURES: t,,.toL f...~,0't ~'oe, wx~-~od, kk~-5,,.*a . UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) ELECTRICAL: Loc,~:.o~, 'et~ o~. S:l,_,_ WATER: or,' ~rv-~k 1,~ '~o~ of.- ~'~c~,,~_ SPECIAL: LOCK BOX: YES/NO IF YES, LOCATION: PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: ~ P{~ ~ S ~~ ~ ~ ~ IO~'V ~ ~ ( [ ~ ' ~ ~ ' B. WATER AVAIL~ILITY (FI~ ~~NT): 3 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION III: TRAINING NUMBER OF EMPLOYEES: MATERIAL SAFETY DATA SHEETS ON FILE: "~ ~-$ ~'~e4:,~. BRIEF SUMMARY OF TRAINING PROGRAM: CERTIFICATION I, ,~ c~., C~,r~ CERTIFY THAT THE ABOVE INFORMATION 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 .TH~_ _T_~RMATIO_N CONS_T_I_T~,IES PERJURY. SIGNAT~ ~x\ TITLE DATE · , JCAHO Accredited ~MIRO MEJIA W~EHOUS~ IEC~CIAN ,t600 ASIDE ~, SUITE 311 & 312 ~RSF~LD, CA 93313 661-833-4700 *FAX 661 ~833-4706 CITY OF BAKERSFIELD FIRE DEPARTMENT .... OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave" 3rd Fi°°r' Bakersfield' C~0~ I "~'~-'l(C~ FACILITYNA,ME?.f~t~tC.~Or~T~C'c3-g'u?-INSPECTIONDATE'.~/?~o/,~.) ~C ADDRESS d-~60r.3 A$(A~ ~: 'gt~ ~"~t"t~ PHONENO. ~"53 FACILITY CONTACT ~ ~r~3 r~-'~'t~ BUSINESS ID NO. 15-210- ~ INSPECTION TIME NUMBER OF EMPLOYEES ~ Section 1: Business Plan and Inventory 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 7~-0C.) ~ ~- Verification of location I~"d~, O~ ~t~ Of" 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 v/ ~t.,a~.~ '~L~/'~t~ Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: [21Yes ~ Explain: Questions regarding this inspection? Please call us at (661) 326-3979 Business Site Responsible Party / White- Env. Svcs. Yellow- Station Copy Pink- ~.~ine~ Copy Inspector: CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES ' UNIFIED PROGRAM INSPECTION CHECKLIST Floor, Bakersfield, C~fl~l~ FACILITYNAME~/3~t~/(.. (Or~S~" ~,C'O. ~'v?. INsPECTiONDATE ..- ~ .'o/'~ FACILITY CONTACT ~ tCXO '~C~t^ BUSINESS IDNO. 15-210- INspECTION · TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program (xRoutine [~ Combined [21 Joint Agency ~ Multi-Agency [2],Complaint [~l 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' 2- ~'-O~ ~' ~ " Verification Of location ' I,~d~, O~ ~C4XIZ.. o(' 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 ' ~/ ~L./~_tE '"tPt.~¢/X,zr> oO ~t. iYo ' Housekeeping. Fire ProtectiOn · Site Diagram Adequate & On Hand C--Compliance V=Violati0n Any hazardous waste' on site?: [21 Yes Questions regarding this inspection? Please call us at (661) 326-3979 Business Site Responsible Parry White - Env. Svcs. Yellow - Station Copy Pink - BUsiness Copy Inspector: .