HomeMy WebLinkAboutBUSINESS PLAN 12/10/2003 Hazardous Materials/Hazardous Waste Unified Permit
.~ CONDITIONS OF ~PERMIT ~ON REVERSE SIDE
This oerrnit is Issued for the follow'inn:
[] Hazardous Materials Plan
ID Underground Storage of Hazardous Materials
Permit ID #:: 015-000-001679 t3 Risk Management Program
MIDAS OF BAKERSFIELD o .-~rdous Waste On-Site Treatment
· LOCATION: 3723 AUBURN ST. *
Issued by: Bakersfield Fire Department
. 1715 Chester Ave., 3rd Floor Approved by:
Bakersfield, CA 93301
Voice (661) 326-3979
FAX (661) 326-0576 Expiration Date: June 30. 2003
..... '.'~ ' , '~ ,' (:, ?i ~'< '""";~'~" '::/*'~' ' ' ·
HazardoUs Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT .ON REVERSE SIDE
........ ~.,,,~.~,,~?;~=?~?~,,,,~,~,,~.~;= ...... This permit is issued for the following:
??'~: ?"i' ~:~i ~:;:?::':'~i ;ii!!i !~ i}~ iii;';::::i i?~:~:~DiiO~erground Storage of Hazardous Materials
LOCATION 3723 AUBURN
]ssu~ by:
OFFICE OF EN~R ONe.AL S~ ~CES
1715 Chewer Ave., 3rd Floor
B~e~fiel~ CA 93301
Voice (805) 32~3979
F~(805) 326~576 Expiration Date: June 30, 2000
od~_~,--,. P A R K I N G ,,
~~~ c.. ENTRANCE..- '
~.~.~4~ EXIT
-- ~-(T -- ........ ~.w'~- ........... ~[T ............ i~'~k ~ · -4 ~ - .' ~
'- i mmd_~ - .
.&+ oP s~-~.¢_, ~ ~ OFFICE m
· ~
~;4%e~__.,_~_3:~o~4.~(~ · ~ ~, ~ ~
~;,. ~ t~. . >~ ~' ' ' '. '- . .... ,.
_~Ts ~./~ m . . ·
~3 AUBURN - E
/ ·
,. c_._,_~ ~,_.d-~ eo~_' .~ ~ .... .~.-.-~,...:~
~ ~'~-'~, . ' ." ~ "
': '~-/~: ' ' ENTRANCE. ''.~ ..: '
'-.:-.:::.: ..:. ::: : BAY DoOR : ~ ..r BAY DOOR ' ':.'sAy__DoOR ~BAY'DOOR
'~:':--' '--:~[T .................. ~ "';:'~ ~ '-~~ ....
.~..:,.:-... .: ..., ~.~ :~ ... .
· '~ ~~"~- .. .. ,...., ..-
~ ~ ~t.~-~ .~~,.4 :'~ ~' ~ - ' -' .
' ~' ' ~ ' -: : :' "" ~' ' AD~ I I
· ? :~:~ :'~:,.... . ,... -::. ~ .
MIDAS ~ SiteID: 015-021-001679
Manager : ~g~-~? ~-L~LLiA~;S~.~~-~/ BusPhone: (661) 873-8212
Location: 3723 AUBURN ST ~/ Map : 103 CommHaz : Moderate
City : BAKERSFIELD Grid: 22B FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 08 SIC Code:7538
EPA Numb: DunnBrad:
~erge~y Contact / Title E~r~ency~Contact / Title
~'~?~/-'~!;.,~:~w~ / OPE~TIONS MGR '~C~-'r~~ / STORE ~AGER
Business Phone: (661) ~x~7-~9 Bus~ness Phone: (661) 873-8212x
24-Hour Phone : (661) 204-7774x¢~---~ 24-Hour Phone : (&~t) g~fl-9~x~
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire Press Im~lth DelHlth
............... ~ ~ Phone: (661) 873-8212x
Contact : ~ ..... ,.,~ T T~ ~ ~
MailAddr: 3723 A~U~ ST State: CA
City : BA~RSFIELD Zip : 93306- .'
Owner MR VINCENT/MR MILLER Phone: (661) 837-8969x
Address : 6919 WHITE LN State: CA
City : BA~RSFIELD Zip : 93309
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives: ~~ ~'~
cry~ Do hereby cer~i~ that I hays
reviewed ~he a~ached hazardous materiais manage-
men~ plan for~~ s
~and ~ i~ along ~i~h
~Y co~ions cons~i[ute a ~mple~e and co~s~ man-
~oms~ plan for my ~acility.
1 09/12/2003
MIDAS OF BAKERSFIELD SiteID: 015-021-001679
= Hanmar Inventory By Facility Unit
-- MCP+DailyMax Order Mobile Containers at Site
Hazmat Common Name... ISpooHazlEPA HazardsI Frm I DailyMax [UnitlMcP
ACETYLENE E F P IH G 2600.00 FT3 Hi
OXYGEN F IH DH G 2100.00 FT3 Low
ARGON/CARBON DIOXIDE F P IH G 700.00 FT3 Min
MOTOR OIL F DH L 110.00 GAL Min
2 09/12/2003
MIDAS OF BAKERSFIELD SiteID: 015-021-001679
=Hazmat Inventory By Facility Unit
-- MCP+DailyMax Order Fixed Containers at Site
Hazmat Common Name... ISpocHazlEPA HazardsI Frm DailyMax lUnitlMCP
WASTE OIL F DH L 500.00 GAL Low
-3- 09/12/2003
MIDAS OF BA~RSFIELD SiteID: 015-021-001679
~ Inventory Item 0002 Facility Unit: Mobile Containers at Site
~U~U~ ~vi~ / ~l~ ~Vl~
ACETYLENE Days On Site
365
Location within this Facility Unit Map: Grid:
PORTABLE CAS#
74-86-2
STATE TYPE PRESSURE TEMPE~T~E CONTAINER TYPE
Gas Pure Above Ambient I A~ient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
300.00 FT3I 2600.00 FT3 2550.00 FT3
100.00 Acetylene Yes 74862
ITSecret RS BioHazl ~ZARD ASSESSMENTS I I
Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
---- Inventory Item 0001 Facility Unit: Mobile Containers at Site ~
OXYGEN Days On Site
365
Location within this Facility Unit Map: Grid:
PORTABLE CAS#
7782-44-7
F STATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Gas Pure Above AmbientIi Ambient PORT. PRESS. CYLINDER
I I AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
300.00 FT3 2100.00 FT3 2000.00 FT3
100.00 Oxygen, Compressed N 7782447
{TSecret RS BioHazl HAZARD ASSESSMENTS I I
Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Low
-4- 09/12/2003
MIDAS OF BAKERSFIELD SiteID: 015-021-001679
= Inventory Item 0003 Facility Unit: Mobile Containers at Site
ARGON/CARBON DIOXIDE Days On Site
365
Location within this Facility Unit Map: Grid:
PORTABLE CAS#
7440-37-1
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Gas Mixture Above Ambient I Below Ambient PORT. PRESS. CYLINDER
Largest Container Daily Maximum Daily Average
350.00 FT3 700.00 FT3 672.00 FT3
.r-u~uuu~
%Wt. RS CAS#
25.00~Argon No 7440371
75.00 Carbon Dioxide No 124389
Tsecret RS Bi°Hazl HAZARD ASSESSMENTS I
Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
---- Inventory Item 0004 Facility Unit: Mobile Containers at Site
%J%,UvUvlUi'q J.%J,&~lVlJ~-; / ~Jl-lJ~lVli ~1, D4,/-kiVlJ~
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
PORTABLE CAS#
8020835
F STATE I TYPEPure Ambient PRESSURE I TEMPERATURE IAmbient CONTAINER TYPE
DRUM/BARREL- METALL I C
Liquid
I AMOUNTS AT THIS LOCATIONI
Largest Container Daily Maximum Daily Average
55.00 GAL 110.00 GAL 110.00 GAL
%Wt. S CAS#
100.00 Motor Oil, Petroleum Based N 8020835
------- HAZARD ASSESSMENTS
.TSecret RSlBioHazII Radioactive/Amount EPA HazardsI NFPA I USDOT# MOP
No No I No No/ Curies F DH / / / Min
-5- 09/12/2003-
MIDAS OF BAKERSFIELD SiteID: 015-021-001679
~ Inventory Item 0001 Facility Unit: Fixed Containers at Site
WASTE OIL Days On Site
365
Location within this Facility Unit Map: Grid:
S WALL BY BACK DOOR CAS#
221
r STATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Waste Ambient I Ambient DRUM/BARREL-METALLIC
{ AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
55.00 GAL 500.00 GAL 110.00 GAL
100.00 Waste Oil, Petroleum Based N 0
TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No N No No/" Curies F DH / / / Low
6 09/12/2003
F MIDAS OF BAKERSFIELD SiteID: 015-021-001679
Fast Format
~ Notif./Evacuation/Medical Overall Site
--Agency Notification 11/16/2000
911.
Employee Notif./Evacuation 05/01/1996
CAL INSTRUCTIONS.
Public Notif./Evacuation 05/01/1996
VOCAL INSTRUCTION.
Emergency Medical Plan 11/16/2000
MERCY MEDI CENTER, 820 34TH ST, 325-6334.
-7- 09/12/2003
F MIDAS OF BAKERSFIELD SiteID: 015-021-001679
Fast Format
~ Mitigation/Prevent/Abatemt Overall Site
--Release Prevention 05/01/1996
GAS IS KEPT IN PRESSURIZED BOTTLES.
--Release Containment 05/01/1996
GAS IS STORED IN APPROVED PRESSURE CONTAINERS.
-- Clean Up 05/01/1996
FOR MOTOR OIL AND WASTE OIL MOP/SPONGES, WRING OUT IN CONTAINMENT BARRELS.
Other Resource Activation
-8i 09/12/2003
F MIDAS OF BAKERSFIELD SiteID: 015-021-001679
Fast Format
F Site Emergency Factors Overall Site
Special Hazards
--Utility Shut-Offs 05/01/1996
A) GAS - SHUT OFF BEHIND DRY CLEANER
B) ELECTRICAL - EXTERIOR PANEL - NW CORNER OF BLDG; INSIDE PANEL - N WALL BY
BACK DOOR
C) WATER - N WALL W SIDE
D) SPECIAL - NONE
E) LOCK BOX - NO
-- Fire Protec./Avail. Water 05/01/1996
PRIVATE FIRE PROTECTION - SPRINKLER SYSTEM AND FIRE EXTINGUISHERS.
NEAREST FIRE HYDRANT - IN PARKING LOT, NW SIDE OF LOT IN PLANTER BOX.
Building Occupancy Level
-9- 09/12/2003
MIDAS OF BAKERSFIELD SiteID: 015-021-001679
Fast Format
= Training Overall Site
-- Employee Training 11/16/2000
~ EMPLOYEES AT THIS FACILITY.
WE
HAVE
WE DO HAVE MSDS SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: THE MANAGER HAS SAFETY MEETINGS FOUR
TIMES A YEAR, EVERY QUARTER. ALL EMPLOYEES ARE TO BE PRESENT. TOPICS RANGE
FROM DAY TO DAY, HOUSE CLEANING; USE OF EQUIPMENT; MACHINERY; STORING OF
HAZARDOUS MATERIAL; CLEANUP OF MATERIAL; HOW TO CALL FOR EMERGENCY
Page 2 I
-- Held for Future Use 1
Held for Future Use I
-10- 09/12/2003
~ ~ Bakersfield Fire Dept.
uNIFIED PROGRAM INSI=~CTION CHECKLIST ~Enironmental Services
1715 Chester Ave
SECTION 1. Business Plan and Inventory Program ~ Bakersfield, CA9330l
· ' Tel: (661)326-3979
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. No. of Employees
FACILITYCONTACT Business ID Number
15-021- oo/a?c}
,,,,~l~outine [] Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection
C V (C=Comvlia.ce~ OPERATION COMMENTS
\ V=Violation
APPROPRIATE PERMIT ON HAND
X[] VISIBLE ADDRESS
[J~[] CORRECT OCCUPANCY
~ [] VERIFICATION OF INVENTORY MATERIALS
'~/~ VERIFICATION OF QUANTITIES
-~'"~[] VERIFICATION OF LOCATION
'~ [] PROPER SEGREGATION OF MATERIAL
~ [] VERIFICATION OF MSDS AVAILABILITYE
~ [] VERIFICATION OF HAT MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
~'~' [] EMERGENCY PROCEDURES ADEQUATE
[] CONTAINERS PROPERLY LABELED
~'~(~ HOUSEKEEPING
-~/'~ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?: /~YEs [] No
EXPLAIN: /,~),,~-5 ~-- - ~/~. ~ L"?O4)¢..~,,~'~'-
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 '"'~
Inspector Badge No. ' .... ~U~§ite Responsible Party
_ /_~ White - Environmental Services Yellow - Station Copy Pink - Business Copy
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
' UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME .,-~,o,,,-~ o/ ~q,%.-~-L -/~ INSPECTION DATE
ADDRESS 3'7'z-'3 ~b~ PHONE NO. ,~- ~'z/'z-- ....
FACILITY CONTACT /g_,:~ ,,~ax~,r BUSINESS ID NO. 15-210-
INSPECTION TIME/,~,,?- .- 197'3 - -- v ,.~,.o. NUMBER OF EMPLOYEES 'Z..-
Section 1: Business Plan and Inventory Program
.~outine {~] Combined I~l Joint Agency I~ Multi-Agency ~ Complaint {~ Re-inspection,
OPERATION C ~V COMMENTS
Appropriate permit on hand
Business plan contact information accurate '-/'/t./¢,o, /'p'~.~aT.~ ~(," .....
Visible address
Correct occupancy
~0~7 ~ '
Verification of inventory materials
Verification of quantities t,,'
Verificatio/~ of location "
Proper segregation of material
~/erification of MSDS availability
Verification of Haz Mat training
Verification of abatement supplies and procedures ~,,~/
Emergency procedures adequate t-,,
Containers properly labeled V'
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand t/'
C=Compliance V=Violation
Any hazardous waste on site?: ~es: [~ No
Questions regarding this inspection? Please call us at (66 I) 326-3979 Business Site Responsible Party
White- Env. Svcs. Yellow. Station cOpy Pink- nosiness Copy Inspector.t~, · g? ~._ ~
CITY OF BAKERSFIELD FIRE· DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME 3~, F,' ~' ~ ~'~ INSPECTION DATE' -~.
ADDRESS 37 z'7 ~u~',~,e,,o ~r PHONE NO. .:977---'
FACILITY CONTACT ~A,'~:s ~' 1~' r~. BUSINESS ID NO. 15-210-
INSPECTION TIME I,~,~ -~,~cs -' t,i ,,n ,,, NUMBER OF EMPLOYEES
Section 1: Business Plan and Inventory Program
tine [~ Combined [~ Joint Agency {~} Multi-Agency I~ Complaint {~ Re-inspection
OPERATION C V COMMENTS
Appropriate permit on hand L,/
Business plan contact information accurate
Visible address
Correct occupancy :~
Verification of invento~ m/aterials
Verification of quantities " ~/ ' ~
· Verification of location
Proper segregation of material
Verification of MSDS availability Vt /.,'o~t .x ~,l' r/a ~ "
Verification of Haz Mat training
Verification'of abatement supplies and procedures t,'/ '- i .
Emergency Rrocedures adequate I,/ '.'
Containers properly labeled
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardous waste on site?: ,C~Yes I~ No
Explain: .~/, 0,-,-.e ./- ~,. ,/
Questions regarding this inspection? Please call us at (661) 326-3979 Business. Site Responsible Party
White- Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector:/ff
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME ~,n,,'- //o~,~_ nt',~,¢7 ~t z',,"'~ INSPECTION DATE
ADDRESS ~ol A,,~,,,t,o ~z-' PHONE NO. ~'~I
FACILITY CONTACT eAa, l~ t/a~,¢,-fe,',q BUSINESS ID NO. 15-210-
INSPECTION TIME /0: ~-r.. --//.' ,o -7 /?~,,,o NUMBER OF EMPLOYEES 7
Section 1: Business Plan and Inventory Program
,l~outine [~ Combined [~ Joint Agency [~ Multi-Agency .~.~ Complaint {~ Re-inspection
OPERATION C V COMMENTS
Appropriate permit on hand I~ :
Business plan contact information accurate I~ ' ..
Visible address I~ -
Correct occupancy V
Verification of inventory materials ~"'
Verification of quantities I/
Verification of location V/ ' '..
Proper segregation of material I./i .... "~,
Verification of MSDS availability
Verification of Haz Mat training · i./
Verification of abatement supplies and procedures b//
Emergency procedures adequate ~/ " ' ' ..
Containers properly labeled
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand r// /Off] /,,o~?e; - .. 7'.
C=Compliance V=Violation
Questions regarding this inspection? Pleas~ call us at. (661) 326-39'/9 Business Site Respgnsii~le Party
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3r~ Floor, Bakersfield, CA 93301
FACILITY NAME ,.W'~,o.,~ o~.,,. ,B¢,ee,~._/'d INSPECTION DATE
ADDRESS 37 .z.3 ~g,~ar'4. PHONE NO. ,~7'~-
FACILITY CONTACT_/2c~b ,t~/ose,,-- BUSINESS ID NO. 1:5-210- 00/6,
INSPECTION TIME l'tt~' - /q:r~ -- -~ v ~,,~. NUMBER OF EMPLOYEES
Section 1: Business Plan and Inventory Program
~~Routine [21 Combined [21 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 segrega~fi'on of material '~
Verification' of MSDS availability
Verification of Haz Mat training
Verification. of abatement supplies and procedures 6A~' ot~- ,~,5.¢o~e:~.o'.,vr a~ /./,~,,,oI:. '
Emergency procedures adequate
Containers properly labeled
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardous waste on site?: ~[~es [~l No
Explain:/..,)~ 7,Z' 0~/- ,. ! &oo/~¢,.
Questions regarding this inspection? Please call us at (661) 326-3979 Business Sitg, Responsible Party
MIDAS OF BAKERSFIELD SiteID: 015-021-001679
? /
Manager C~Y~ C~qC~ ~ ~ / ~-
: BusPhone: ('~/)i 873-8212
Location: 3723 AUBURN ST Map : 103 CommHaz : Moderate
City : BAKERSFIELD Grid: 22B FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 08 SIC Code:7538
EPA Numb: DunnBrad:
Emergency Contact / Title Emerqency Contact / Title
Busi3ness Phone: (~/)3~g-097~! Business Phone: (~{) 873-8212x
24-Hour Phone : (A(~I-) 20.~- ~ F~ 24-Hour Phone :
Pager Phone : (-- ) Pager Phone : ( ) - x
Hazmat Hazards: Fire Press Im~lth DelHlth
Contact : Ch~;~ C~c~ Phone: (~{)~73-~gx
MailAddr: 3723 A~ ST State: CA
City : BAKERSFIELD Zip : 93306
O~er MR VINCENT/MR MILLER Phone: (~/)
Address : 6919 ~ITE LN State: CA
'.~' '~.,-~?~,~-~ Zip : 93309
City : BAKERSFIELD ~" ~
Period : to ',~'~ ~' TotalASTs: = Gal
Preparer: ~' TotalUSTs: = Gal
Certif'd: .... ~ ..... ~ ~., ..... RSs: No
Emergency Directives:
---- Hazmat Inventory One Unified List
-- As Designated Order Ail Materials at Site
Hazmat Common Name... ISpecHazlEPA HazardsI Frm DailyMax Unit MCP
OXYGEN F IH DH G 2100.00 FT3 Low
WASTE OIL F DH L 500.00 GAL Low
ACETYLENE F P IH G 2600.00 FT3 Hi
ARGON/CARBON DIOXIDE F P IH G 700.00 FT3 Min
MOTOR OIL , ~ F DH L 110.00 GAL Min
I,'k,./~/,(~o~ ~'d~- Do hereby certify that I have
~ (Type ~r p~int name)
reviewed the attached hazardous materials manage-
ment plan for ~¢~.,r ¢~:j~k~¢C':,,~and that it along with
(Name of Business) ' -~
any corrections constitute a complete and correct man-
agemen~ plan for my facility.
~X/ (J - Signature
MIDAS OF BAKERSFIELD SiteID: 015-021-001679
= Inventory Item 0001 Facility Unit: Mobile Containers at Site
OXYGEN Days On Site
365
Location within this Facility Unit Map: Grid:
PORTABLE CAS#
7782-44-7
r GSTATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
as Pure Above AmbientI~ Ambient PORT. PRESS. CYLINDER
IAMOUNTS AT THIS LOCATION Daily Average
Largest Container Daily Maximum
FT3 2100.00 FT3 2000.00 FT3
HAZARDOUS COMPONENTS
%Wt. S CAS#
100.00 Oxygen. Compressed N 7782447
HAZARD ASSESSMENTS
TSecret RS BioHaz, Radioactive/Amount, EPA Hazards, NFPA USDOT# MCP
No N°llINo No/ Curies F IH DH / / / Low
---- Inventory Item 0001 Facility Unit: Fixed Containers at Site
I...:UiVliVlUi~{ l~{.&klVl,,'~ / %.:l"lr~;lVll ~/A/~ l~{.&klVll";
WASTE OIL Days On Site
365
Location within this Facility Unit Map: Grid:
S WALL BY BACK DOOR CAS#
221
r STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid { Waste [ Ambient I Ambient { DRUM/BARREL-METALLIC
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum I Daily Average
55.00 GAL{ 500.00 GAL{ 110.00 GAL
HAZARDOUS COMPONENTS
100.00 Waste Oil, Petroleum Based N
HAZARD ASSESSMENTS
TSoorotl oRS Bi°HaZNo N No Radioactive/Amount No/ Curies FEPA HazardsDH NFPA/// ] USDOT# MCP
2 09/28/2000
MIDAS OF BAKERSFIELD SiteID: 015-021-001679
= Inventory Item 0002 Facility Unit: Mobile Containers at Site
ACETYLENE Days On Site
365
Location within this Facility Unit Map: Grid:
PORTABLE CAS#
74-86-2
Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container { Daily Maximum Daily Average
FT3I 2600.00 FT3 2550.00 FT3
HAZARDOUS COMPONENTS
%Wt. Acetylene y~ CAS#
100.00 74862
HAZARD ASSESSMENTS
TSecretNo NoRS Bi°Hazl Radi°active/Am°unt IEPA HazardsNo No/ Curies F P IH NFPA/// USDOT# Hi MOP
= Inventory Item 0003 Facility Unit: Mobile Containers at Site
ARGON/CARBON DIOXIDE Days On Site
365
Location within this Facility Unit Map: Grid:
PORTABLE CAS#
7440-37-1
F STATE i TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Gas Mixture Above Ambient Below Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container { Daily Maximum I Daily Average
FT3I 700.00 FT3I 672.00 FT3
%Wt. RS CAS#
25.00 Argon No 7440371
75.00 Carbon Dioxide No 124389
TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No N No No/ Curies F P IH / / / Min
-3- 09/28/2000
MIDAS OF BAKERSFIELD SiteID: 015-021-001679
~ Inventory Item 0004 Facility Unit: Mobile Containers at Site
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
PORTABLE CAS#
8020835
r STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid/Pure~ I Ambient I Ambient I DRUM/BARREL-METALLIC
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
GALI 110.00 GAL 110.00 GAL
HAZARDOUS COMPONENTS
%Wt.I ~S CAS#
100.00 Motor Oil, Petroleum Based N 8020835
HAZARD ASSESSMENTS
[TSecret RS BioHaz I Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Mit
-4- 09/28/2000
F MIDAS OF BAKERSFIELD SiteID: 015-021-001679
Fast Format
~ Notif./Evacuation/Medical Overall Site
--Agency Notification 05/01/1996
911
-- Employee Notif./Evacuation 05/01/1996
VOCAL INSTRUCTIONS.
-- Public Notif./Evacuation 05/01/1996
VOCAL INSTRUCTION.
Emergency Medical Plan 05/01/1996
MERCY MEDI CENTER - 820 34TH ST - 325-6334.
-5- 09/28/2000
F MIDAS OF BAKERSFIELD SiteID: 015-021-001679
Fast Format
~ Mitigation/Prevent/Abatemt Overall Site
--Release Prevention 05/01/1996
GAS IS KEPT IN PRESSURIZED BOTTLES.
~ Release Containment 05/01/1996
GAS IS STORED IN APPROVED PRESSURE CONTAINERS.
-- Clean Up 05/01/1996
FOR MOTOR OIL AND WASTE OIL MOP/SPONGES, WRING OUT IN CONTAINMENT BARRELS.
Other Resource Activation
6 09/28/2000
MIDAS OF BAKERSFIELD SiteID: 015-021-001679
Fast Format
~ Site Emergency Factors Overall Site
Special Hazards
--Utility Shut-Offs 05/01/1996
A) GAS - SHUT OFF BEHIND DRY CLEANER
B) ELECTRICAL - EXTERIOR PANEL - NW CORNER OF BLDG; INSIDE PANEL - N WALL BY
BACK DOOR
C) WATER - N WALL W SIDE
D) SPECIAL - NONE
E) LOCK BOX - NO
~ Fire Protec./Avail. Water 05/01/1996
PRIVATE FIRE PROTECTION - SPRINKLER SYSTEM AND FIRE EXTINGUISHERS.
NEAREST FIRE HYDRANT - IN PARKING LOT, NW SIDE OF LOT IN PLANTER BOX.
Building Occupancy Level
7 09/28/2000
MIDAS OF BAKERSFIELD SiteID: 015-021-001679
Fast Format
~ Training Overall Site
-- Employee Training 05/01/1996
WE HAVE 5 EMPLOYEES AT THIS FACILITY.
WE DO HAVE MSDS SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: THE MANAGER HAS SAFETY MEETINS FOUR
TIMES A YEAR, EVERY QUARTER. ALL EMPLOYEES ARE TO BE PRESENT. TOPICS RANGE
FROM DAY TO DAY, HOUSE CLEANING; USE OF EQUIPMENT; MACHINERY; STORING OF
HAZARDOUS MATERIAL; CLEANUP OF MATERIAL; HOW TO CALL FOR EMERGENCY
Page 2
Held for Future Use
Held for Future Use
8 09/28/2000
MIDAS OF BAKERSFIELD ~:- SiteID: 215-000-001679
Manager : ~o~'7'~(.~(~?,~~p~one~: (805) 873-8212
Location: 3723 A~ ST/ / ..... Com~az : Moderate
City : BAKERSFIELD / / -- e-D ~ ~ FacUnits: 1 AOV:
ommCode: B~ERSFI~D STATI~ '~-~'W k4 ~IC Code:7538
EPA Nu~: /
Emergency Con itle ) Emergepcy ,Contact / Title
MIKE RIC~DS '{ // GENE~ ~AGER '~E~ f~q / STORE ~AGER
Business Phong/(805) 837-8371x Business Phone: (805) 873-8212x
24-Hour Phon~ ~05) ~ 24-Hour Phone : (~)qS~-~/~x
pager 9hone : (805) 328-2465x Pager Phone : ( ) - x
Hazmat Hazards: Fire Press Im~lth DelHlth
Agency-Defined Topic Title
= Hazmat Inventory One Unified List
-- MCP+DailyMax Order Ail Materials at Site
Hazmat Common Name... ISpooHaz EPA Hazards Frm I DailyMax Unit MCP
ACETYLENE F P IH G 2600 FT3 Hi
OXYGEN F IH DH G 2100 FT3 Low
WASTE OIL F DH L ~O.~GAL Low
ARGON/CARBON DIOXIDE F P IH G 700 FT3 Min
MOTOR OIL F DH L 110 GAL Min
-1- 08/11/1997
F MIDAS OF BAKERSFIELD SiteID: 215-000-001679
Fast Format
~ Notif./Evacuation/Medical Overall Site
--Agency Notification 05/01/1996
911
Employee Notif./Evacuation 05/01/1996
VOCAL INSTRUCTIONS.
Public Notif./Evacuation 05/01/1996
VOCAL INSTRUCTION.
Emergency Medical Plan 05/01/1996
MERCY MEDI CENTER - 820 34TH ST - 325-6334.
-2- 08/11/1997
F MIDAS OF BAKERSFIELD SiteID: 215-000-001679
Fast Format
~ Mitigation/Prevent/Abatemt Overall Site
--Release Prevention 05/01/1996
GAS IS KEPT IN PRESSURIZED BOTTLES.
-- Release Containment 05/01/1996
GAS IS STORED IN APPROVED PRESSURE CONTAINERS.
-- Clean Up 05/01/1996
FOR MOTOR OIL AND WASTE OIL MOP/SPONGES, WRING OUT IN CONTAINMENT BARRELS.
Other Resource Activation
-3- 08/11/1997
f MIDAS OF BAKERSFIELD SiteID: 215-000-001679
I Fast Format
~ Site Emergency Factors Overall Site
Special Hazards
--Utility Shut-Offs 05/01/1996
A) GAS - SHUT OFF BEHIND DRY CLEANER
B) ELECTRICAL - EXTERIOR PANEL - NW CORNER OF BLDG; INSIDE PANEL - N WALL BY
BACK DOOR
C) WATER - N WALL W SIDE
D) SPECIAL - NONE
E) LOCK BOX - NO
-- Fire Protec./Avail. Water 05/01/1996
PRIVATE FIRE PROTECTION - SPRINKLER SYSTEM AND FIRE EXTINGUISHERS.
NEAREST FIRE HYDR3LNT - IN PARKING LOT, NW SIDE OF LOT IN PLANTER BOX.
Building Occupancy Level
-4- 08/11/1997
MIDAS OF BAKERSFIELD SiteID: 215-000-001679
Fast Format
= Training Overall Site
-- Employee Training 05/01/1996
WE HAVE 5 EMPLOYEES AT THIS FACILITY.
WE DO HAVE MSDS SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: THE MANAGER HAS SAFETY MEETINS FOUR
TIMES A YEAR, EVERY QUARTER. ALL EMPLOYEES ARE TO BE PRESENT. TOPICS RANGE
FROM DAY TO DAY, HOUSE CLEANING; USE OF EQUIPMENT; MACHINERY; STORING OF
HAZARDOUS MATERIAL; CLEANUPOF MATERIAL; HOW TO CALL FOR EMERGENCY
-- Page 2 I
-- Held for Future Use I
Held for Future Use
-5- 08/11/1997
BAKERSFIELD CITY FIRE DEPARTM/E T_._
HAZARDOUS MATERIALS DIVISIOIXI//£~
1715 -CHESTER'AVE; '~ ~ u~L
BAKERSFIELD, CA.-93301 [8y.~~
H~RDOUS MATERIALS MANAGEMENT
To ovoid ,~rthe, oction, ,et~m ,his ,o,~ within 30 doys of receipt.
~PE/.PRINT ANSWERS IN ENGLISH,
3. Answer the questions below for the ~usiness cs o whole.
~. Be brief and concise as ~o~ible. / ~]
SECTION 1' BUSINESS IDENTIFICATION DATA
CITY: ~ ~,(~c{ ~¢ STATE: ~ ZiP' ~o~ PHONE:
DUN & BRADSTREET NUMBER: SIC CODE:
PRIMARY ACTIVITY: ~~o ~O&,~
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT TITLE BUS. PHONE 24 HR. PHONE
].
.: ' . ' ~akersfield Fire Dept .~
-~ - Hazardous 1V~aterials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN '
SECTION 3: TRAINING:
NUMBER OF EMPLOYEES: ~
MATERIAL SAFETY DATA SHEETS ON FILE:
BRIEF SUMMARY OF TRAINING PRPGRAM:
5'", ..F .
SECT[ON 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 CODEI' FOR THE FOLLOWING REASONS:
:
WE DO NOT HANDLE HAZAI~D'~30S' E4,~TERI'ALS. : '-- '
b//' WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTiTiES AT NO
TIMEEXCEED tHE MINIMUM REPORTING QUANTITIES.
OTHER (SPECIFY REASON)
SECTION 5: CERTIFICATION:
l, /'~)' ~-~----- ['~,c.,/~c~ ,.---~J" CERTIFY THAT THE ABOVE INFOR-
MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL. BE USED TO
FULFILL MY fiRM'S OBLiGATiONS UNDER THE "CALtFORN,A HEALTH AND SAFEr'D( CODE"
ON HAZARDOUS MATERIALS (DIV.. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND TH,~T
INACCURATE INFORMATION.CONSTITUTES PERJURY.
¢""- )
/
SIGNATURE TITLE DATE ....
.O
Bakers~elcl Fire Dept
Hazardous Materials Division
HAZARDOUS MAIERIALS MANAGEMENT' PLAN
SECTION6: NOTIFICATION AND EVACUATION PROCEDURES:
A. AGENCY NOTIFICATION PROCEDURES: ~-~/ /
8, EMPLOYEE NOTIFICATION AND EVACUATION:
C. PUBLIC EVACUATION'
EMERGENCY MEDICAL PLAN:
' Bakersffel&Fire Dept.
Hazardous IViaterials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN:
A. RELEASE PREVENT{ON STEPS: ~,'¢5Z~' ~p~
B. RELEASE-CONTAINMENT ANO/OR MINIMIZATION:
C. CLEAN-UP PROCEDURES:
SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY')' ..
NATURAL GAS/PROPANE: 'O~' s~a.o~ ~ ~.~!.~__ ~.A,;~' ,~ x_,~;. ,.. ~
ELECTRICAL: E~F~ .pRMc C hb~A ~,./, .~, ~.~ ~.,~. ,
SPECIAL: -~
LOCKBOX: YESO IFYES, LOCATION: ~ ~
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY:
A. PRIVATE FIRE PROTECTION: <~ ¢.(,/ ¢ol.'-.,~ ~,lc&
B,~ WAT. ER.AVAILABILI~ (FIRE HYDRaNt: '
BAKER t IELD CITY FIRE DEP I:ITMENT
HAZARDOUS MATERIALS INVENTORY Pag~_~_/of.~
Business Name (3,/~( p/¢~ ~/~c,/~tf~ v--' Address .~ ~c~ ? 4'- ~¢,v. ~
1) INVENTORY STATUS: New[ ] Addition[ ] Revision[ letion[ ] Check if chemical is a NON.TRADE SECRET [ DESECRET [ ]
2) Common Name: & "~ YE/~'/ P f ~.-- ~ ~"o,/~--- (~,,/,*//'C ,,,.. ~ ~. *," 3) DOT # (optional)
ChemicalName: C~ 0 . A,M[] CAS, ..
HAZARD CATEGORIES Fire [ active ( El~ Sudden Release of'Pressure [ immediate Health (Acute) [ .] Delayed Health (Chronic) [ ]
5) WASTE CLASSIFICATION ~- i3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas [t~ Pure' [~Mixture [ ] Waste [ ] Radioactive [ ]
7) AMOUNT AND TIME AT FACIUTY , UNITS OF MEASURE 8) STORAGE CODES
Maximum OallyAmount: 2t./'~)0' lbs [ ] gal [ ] 1t3 [.] a) Cont~ner:
Average Daily Amount: },r;~:::~(~::~ . curies [4' ~.t.)JI3'~, 'j 'b) Pressure: ~**~.~ .
Annual Amount: ~(~ c) Temperature: .
Largest Size Container: ~ o/"~ T-*
# Days On Site ,y~, ~ ~ircleWhich Months: All Year, J, F, M, A, M, J, J, A, S, O, N, D
9) MIXTURE: List COMPONENT CAS # % WT AHM
chemical components or
any AHM.components 2) [ ]
3) [
7 / ~"EMICAL OEscRI~ION
1) IN~NTORY STA~S: New [ ] Addition.['] Revision [ ~letion [ ] Check E chemi~ is a NON ~DE SECR~ [~9E SECR~ [ ]
Chemic. Name: ~ /j~.~yf~ AHM[ ] CAS' . 7Z/-vc-~ ....
4) PHYSICAL & H~L~
H~RD CATEGORIES Fire [ ~ ~eactiw [ ~ Sudden Rel~e of Pressurs[ Immediate He~th (Acute) [ ] Delayed He~th (Chronic) [ ]
5) WASTE CLASSIFICATION .(3-digit code from DHS Form 8022i USE CODE
6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas [~/ Pure [~i~ure [ ] Waste [ ] Radioactive
7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES
Maximum Daily Amount: ~*'l.~::~) lbs [ ] gal [ ] tt3. [ ] ' a} Container:
Average Daily Amount: [~ ~' cudes [] Ct;2./~'~'.. / b) Pressure: ~ ~---' '
Annual Amount: ~ ~--" c) Temperature:
Larcjest Size Container:
# Days On Site Circle Which Months: All Year, J, F, M, A, M, J, J, A, S, O, N, D
9)
MIXTURE:
List
COMPONENT
the three most h~dous 1) (~ ~, ~_
chemic~ com~nents or '/
~y AHM com~nents 2). ~
3). [ ]
10) Locatton O
I cern'fy under penalty of ~aW, ~at I '~a~e pe~Onall~ e~i~ ~d am f~ili~ wi~ ~e infomaUon submiff~ on ~is ~d all a~ch~ document. I believe
submi~ ~nfo~ab'on ~ ~e, accurate, and complete.
PRINt Nam&& Title of A~°dzed Company RepresenmOve Dam
- BAKERSFi ilrD CITY FIRE DEPAPiTiMENT
· HAZARffi3US MATERIALS INVENTORY
. CHEMI~L DESCRI~ON ..... . -
) IN~RY STA~S: N~ '
)~m~N~: ~~, ~ ~ ~ ~0~ ~~ 3)~T'(o~.
) WAS~ C~SSIRCA~ON (3~ig~ ~e ~m OHS Fo~ 8022) USE CODE
)PHYSICAL STAre
) AMOUNT AND ~ME AT FACIU~ UN~S OF M~SURE 8) STOOGE CODES
M~mum DaN A~um: 7~
Annua ~ount: ~ c) Temm~m:
Y
~ges/Size Con~
~ Oa~ On S~e :~' Circle~ich Momhs: AllYe~. J, F, M. A. M. J. J, A. S, O, N. D
= MITRE: Ust ~ COMPON~
C~
%
[ I
CHEMICAL DESCRI~ION
~N~NrORYSTA~S: N~w( ] ~d~on( ] Rews~on[ 1 Celetloni ] Checkffchemi~isaNON~OESECR~ [ ] ~ES~R~ [ ]
Common N~e:
Shem~ Name:
PHYSICAL & H~L~ PHYSICAL H~L~
H~RO CA~GORIES Fire [ ] ~esm,vel ] Sudden Reie~e of Pressure [ ] Imme~i~eHe~ (~me) [ ] ~l~d He~ (Chron.) [ ]
WAS~ C~SSlFICA~ON ,~di~it code from DHS Fo~ 8022~ USE CODE
PHYSICAL STA~ Solid
AMOUNT AND ~ME AT FACIMT~ ~NITS CF M~SURE 8) STOOGE CODES
M~mum Oailv Amount: :bs ( j ~ [ ] ~3 [ [ a) Cont~ner:
Average O~iy Amount: curies [ ] ~} Pressure:
Annu~ Amount: c) Tem~:
~ges~ Size Confiner:
~ Days On Site C;rcle ~ic~ Mont~s: All Ye~. J. F. M. A. M. J. J, A.
MITRE: ~st COMPONENT CAS · % ~ ~M
~he lhree most ~aous 1
cnem~ com~nen~or · · ...,
~y AHM c0m~nen~ 2) [ ]
Lo.on
~ info~a~on is ~e. accumm.
~ Name & cECe of A~oaz~ Com~ Represenm~e. Signa~m ~ Da~
BAKERSFiI-I D CITY FIRE DEPARiT ENT
HAZAR US MATERIALS INVENTORY
· ,. .. Page~_.:o/'.~..,~
CHEMICAL DESCRI~ON
)IN~RYSTA~S: N~{ ] ~{ ] R~{ ~! ] C~
) PHY81C~ & H~ ~ PH~IC~ H~
) WAS~ C~SSIRCA~ON ~ ,(3~ig~ ~e ~m OHS Fo~ 8022) USE CODE ...... ~'~
) PHYSlCALSTA~ Sol~ [ ] Uau~ [~ [ ] ' Pure [~ [ ] W~te [ ] ~ [ ]
AMOUNT AND TIME AT FAClIJ'Pf' UNITS OF MEA~/URE 8) STORAGE CODES
Maximum Oaily Amount:-,///O~o ;b~ (1 gal H" ~3 [1 a) Containe~.
Average Daily Amount: ' curies [ ] b) Pressure:
Annual Amount: ~~'1 c) Temperature:
Largest Size Container:.
# Days On Site Circle W/~ich Months: All Ye~, J, F, M, A. M. J. J, A. S, O. N, D
MIXTURE: list .... COMPONENT CAS # % w'r AHM
the mree most hazm'~lou$ I ) [ ]
~rly AHM =omDonan" 2) / ~0
31 [ l
~ : : ~, .: __,~ CHEMICAL DESCRIPTION
~NVENTORY STATUS: New ( J dditlon ( J Rew$~on ( lellon i ~ Check/f chemical is a NON TRADE SECRET
PHYSICAL & H~L~ ~ PHYSICAL- H~L~
H~RO CA~GORtES F~re {~ ~ea~we { j Sudden Rele~eof Pressure { ~mmeai~eHe~ (Ac~e} [
PHYSlCAL STA~ SOlid [ ] ~au,a [~G~ [ i Pure [~U~ure [] W~ta [] R~ie~ [ ]
AMOUNT AND ~ME AT FACI~ gNITS QF M~RE 8) STOOGE CODES
M~lmum OailV Amount: it0 :~ [ ] g~ [~ ~3 [ ] ~) Co~t~e~
Average Duly Amount: Jim tunes [ ] b) Pressure:
Annu~ Amount: ~ / ~ 0 C) Tempera:
~gest size Confiner: ' ~
~ Days On Site ~ C[rcte~ich Monms: All Ye~, J, F, M, A, M, J, J, A, S, O, N,
MITRE: Ust COMPONENT . CAS · %
:he three most ~aous 1} [
c~em;~ com~nen~ 0r ' ~ ....