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HomeMy WebLinkAboutBUSINESS PLAN rrE OIAGgAM [ 1 gAcmrrY OIAGgAM ! 1 Business Name: ' f~ Business Address: ,0 D ,y September 19, 2000 FIRE CHIEF keN FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 M & M Auto Sales F~X (661) 395-1049 61 1 Baker Street SUPPRESSION SERVICES Bakersfield, CA 93305 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 Dear Mr. Hatter: F~ (661) 395-1049 PREVENTION SERVICES This letter is in response to the letter received from you regarding the on- 1715 ChesterAvo. site storage of hazardous chemicals or waste products. We did have an Bakersfield, CA 93301 VOICE (661) 326-3951 inspector go out and verify that there is no longer and hazardous product FAX (661) 326-0576 of any kind on site. ENVIRONMENTAL SERVICES 1715 ChesterAve. The bill for the current year has been canceled, however you still have a Bakersfield, CA 93301 VOICE (661) 326-3979 previous balance for the 97-98 and 98-99 fiscal years. When you were FAX (601)326-0576 inspected in October of 1997 you had l l 0 gallons of Waste Oil which TRAINING DIVISION requires the Hazardous Materials Fee. 5642 Viclor Avo. Bakersfield, CA 93308 VOICE (661) 399-4697 Thank you for clearing up this matter. Please feel free to call our office if FAX (661) 399-5763 you have any further questions. Esther Duran Office of Environmental Services STATEMENT OF ACCOUNT CITY ~OF BAKERSFIELD P 0 BOX 2057 BAKERSFIELD, CA 93303-2057 (661) 326-3979 DATE: 5/01/00 TO: M & M AUTO SALES 611 BAKER ST BAKERSFIELD, CA 93305 CUSTOMER NO: 153~0 CUSTOMEr' TYPE· ES/ 18639 CHAROE DATE DESCRIPTION ........ ' ...... .":'REF-NUMBER DUE.DATE} TOTAL AMOUNT 4/01/00 BEOINNIN~ BALANCE ~" 224. 50 ........................... ~OR mUESTIONS OR CHANQES TO YOUR ACCOUNT ~A§~ .................................. CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER 90 ........................................... 22~._5.0 ............. DUE DAI'E~ 5/31/00 ............ PAYMENT"DUE~ .......... ~4.50 TOTAL DUE: $224.50 · :. 611Bak~ Street · Bakexsfi¢ld, CA 933305 · 661-633-CARS '_ E-mail: ~a~ow~aot.~m M & M AUTO SALES Au~st 28, 2000 CA 93303-2057 m~n~ to a rant phone mnve~fion where I ~ke to someone con~mng the ; Ms ~n co.rig to ~e ~ lot for some time. I w~ told ~t it ~d m do ~ ~e or wa~e pr~s ~d I told who I ~ke m~ ~t we ~'t ~ wa~e ~t was kept on ~e lot. She ~d ~t she w~t~ to ~d ~ i~or ~ to ~e a do a brief ~ey. hel~ ~d dete~ned ~at no fee was m~ I was told to mhd a leaer thru ~e bill ~ ~op~ Plmse feel fr~ to ~1 me at ~e a~e nm~r ffyou have ~y ~e~om. S~es Mamger "- . "'. '," ., . . . " , ' : ~'"~"'. · ~ ..; "",,; ~.L. ,.. ~:h~. ' .~ . '. ~ , :,. '~ :'~: :... :f .'/? ¢~:"' ' .,,"' · ',.~' .' , ;."" MISCELLANEOUS RECEIVABLES ADJUSTMENT ADORE88 CHANGE CLOSE ACCT j ' FINANCE CHARGEI. / I · OTHER ADJ I 'y ! / cu~,o~..^~ ~ ~.. ~ ~~ ~~ MAILING ADDRESS ~:::~,( ~~C-' ~. "' SITE ADDRESS PARCEL NUMBER (IF APPUCABLE) ADJUSTMENT ICHG DATE CHARGE CODE ADJUSTMENT AMOUNT I I ' ! . REMARKS: '~'-'~e ~~' .~o cO.~ cc~ .__~Oa~&'v'~___ / Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ....... ~,,~,~.~i;~,~i,i~,~.:~!~,,.:p.~!:~,~,~,~,~, ......... This permit is issued for the following: .:~,~¢i~ii!~?T.,:~i~?;'~% ~[}}ii:. ,:ii}!!!!ii!;. i!ii!iiiii;;;:'::'~i~i[~ii~erground Storage of Hazardous Materials LOCATION 611 BAKER Issu~ by: 0 B~ersfield Fire Depa~ment Approv~ by: OFFICE OF E~R O~AL S~ ~CES 1715 Chewer Ave., 3rd Floor B~enfiel~ CA 93301 Voice (805) 326-3979 F~ (80S)~26~576 ExpkationDate: dUn~ ~O~ ~000 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfie~ld, CA (805) 326-3979 INSTRUCTIONS: 1. To avoid further action, return this form within 30 days of receipt. 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 BUSINESS NAME: LOCATION: MAILING ADDRESS: CITY: STATE: __ ZIP: __ PHONE: DUN & BRADSTREET NUMBER: SIC CODE: ~ PRIMAKY ACTIVITY: OWNER: MAILING ADDRESS: Y--bdY. D ~__---~t~ c,~-9/ 'q 3 ~O~ SECTION 2: EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE I'l'qA,q ~OU~ r~Oo'-rC--r-c- ¢'w~cz- ~ 7 - 77q~ HAZARDOUS MATERLM.~S 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 REQLrIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR TI~ FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIME EXCEED ~ MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION I, CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT Tills 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 THAT INACCURATE INFORMATION CONSTITUTES PERJURY. SIGNATURE TITLE DATE 2 ItAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES A. AGENCY NOTIFICATION PROCEDURES: B. EMPLOYEE NOTIFICATION AND EVACUATION: C. PUBLIC EVACUATION: D. EMERGENCY MEDICAL PLAN: 3 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN A. RELEASE PREVENTION STEPS: B. RELEASE CONTAINMENT AND/OR MINIMIZATION: ~"0P___.c,,~5 ~ver~-r3 00'5-' oC t,.x~ C. CLEAN-UP PROCEDURES: 6M'C~'-%'7'~ SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: ELECTRICAL: WATER: SPECIAL: LOCK BOX: YES/NO IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: B. WATER AVAILABILITY (FIRE HYDRANT): 4 Page of Business Name Address CHEMICAL DESCRIPTION I)INVENTORYSTATUS:New[ ]Addition[ ]Revision[ ]Deletion[ ] Check if chemical is a NON Trade Seeret [ ]TradeSeeret[ ] 2) Common Name: ~]~ ~ ~ ! (~ 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) Physical & Health PHYSICAL HEALTH Hazard Categories Fir~[~Reaetive[ ]S~dd~RelesseofPressure[ ] lmmediateHealth(Acute)[ ] Delayed Health (chromc)~r.]- $) WASTE CLASSIFICATION '2 '7_ ! (3=digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid[ ] Liquid/~] Gas[] Pure[] Mixture[ ] Waste[~ Radioactive[ ] 7) AMOUNT AND TIME AT FACILITY LrN1TS OF MEASURE 8) STORAGE CODES Maximum Daily Amount ! t O Lbs [ ] Gal ~ ] ft3 [ ] a) Container:. Average DaLly Amount i ! O Curies [ ] b) Pressure: Annual Amount ~2_oo c) Temperature Largest Size Container ~-~- # Days on Site ~-'~ Circle Which Months: All Yea~, I, F, M, A, M, $, J, A, S, O, N, D 9) MIXTURE: List COMPO~ CAS# % WT AHM the three most b~Tsrdous 1 ) ~ ~ ~-'~'~' O-t C=~ [ ] chemical comp~ents or 2) [ ] any AHM components 3 ) [ ] 1) INVENTORY STATUS: New [ ]Addition[ ]Revision[ ]Deletion[ ] Check /fchemical is a NON Trade Secret [ ]TradeSeca-et[ ] 2) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) Physical & Health PHYSICAL HEALTH HazardCategones Fire[ ]Reactive[ ]SuadenReleaseofPressum[ ] JmmediateHealth(Acute)[ ]DelayeflHealth(Chrouic)[ ] 5) WASTE CLASSIFICATION (3digit code from DHS Form 8022) USE CODE ~) PHYSICAL STATE Sohd [ ] Liquid [ ] Gas [ ] Pure [ ] mixtare [ ] Waste [ ] Radioactive [ ] 7) AMOUNT AND TnVIE AT FACILrI'Y UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount Lbs [ ] Gal [ ] R3 [ ] a) Container:. Average Daily Amount Curies [ ] b) Pressure: Annual Amount c) Temperature Largest Size Container # Days on Sim C~le Which Months: All Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS# % WT AHM the thr~ most hazardous 1) [ ] chemical components or 2) [ ] any AHM components 3) [ ]. I 0 )LOCATION certify unde$ penalW of law, that I have personally examined and am familiar with the int'ormatiun on tills arid all attach~ dogulll~t~. I believe the subnnttcd infolimanon is true, accurate and complete. H~RDOUS MATERIALS INVENTO~ Page of . Business Name Address CHEMICAL DESCRIPTION I)INVENTORYSTATUS:N~v( ]Addition[ ]Revision[ ]l~letion( ] Ch~ckifch~miealisaNONTrad~Sc~a~t[ ]Trad~Scca~[ ] 2) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) Physical & Health PHYSICAL HF_ALTH Ha~,rdCategones Fire[ ]Reactive[ ]S,_,dd_~aR¢leascofPrcssure[ ] lmm~iateHe, alth(Acute)[ ]I~layedH~lth(Chrumc)[ 5) WASTE CLASSIFICATION (3-digit code fora DHS Fonu 8022) USE CODE 6) PHYSICAL STATE Solidi I Liquid[ I Gas[ I Pure[ ] Mixtu~[ I Waste[ ] Radioa~ve[ l 7) AMOUNT AND TIME AT FACILrrY UNITS OF MEASURE 8) STORAGE CODES Maximin Daily Amount Lbs [ ] Gal [ ] fi3 [ ] a) Contam~ Average Daily Amount Curies [ ] b) Pressure: Annual Amount c) Temr,~ratum Largest Size Container # Days on Site title Which Months: All Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTLrRE: List COMPO~ CAS# % WT AHM the three most hazardous 1) [ ] chemical components or 2) [ ] any AI-IM components 3) [ ] I 0 )LOCATION 1) INVENTORY STATUS: New [ ]Addition[ ]Revision[ ]Deletion[ ] CheckifchemicalisaNONTrad~Seaut[ ]Trad~Se~'t[ ] 2) Common Name: 3) DOT # (option-,l) Chemical Name: AHM [ ] CAS # 4) Physical & H~alth PHYSICAL HEALTH I4a~ardCategories Fire[ ]Reactive[ ]SuddtmR¢leas~ofPressure[ ] lmmediateHcalth(AcuI~)[ ]l~laylxlHcalth(Chmui¢)[ ] 5) WASTE CLASSIFICATION (3-digit cod~ flora DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas [ ] Pur~ 7) AMOUNT AND TnvIE AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount Lbs [ ] Gal [ ] fL3 [ ] a) Container:. Average Daffy Amount Curies [ ] b) Annual Amount c) Tamtmature Largest Sm Containe~ # Days on Site Circle Which Months: All Year, J, F, M, A, M, $, 1, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS# % WT AI-nVl the three most hazardous 1) [ ] chemical components or 2) [ ] any AHM components 10 )LOCATION I certify under penalty of law, that I have pem-sonally examined and am familiar with the informatioll on this and all attae, hed dog,fillets. I believe the submitted infoHnation is trtm, accurate and complete. I HAZARDOUS MATERIALS INSI~;TION ,~ Bakersfield l~e Dept. O~qCE OF ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 Date Completed fr..)/'/o ('"~ ~ .s nes ,.mei /V'/ Location: (¢' ! ! ~A-(~.(_..-,"(_ '5 r Business Identification No. 2!5-000 ¢,J~c-'J (Top of Business Plan) Station No. -Z..-~- Shift__ Inspector. Arrival Time: ¢---,)~ 45" Departure Time: (0 ~' 5'"' Inspection Time: "~ Adequate Inadequate Adequate Inadequate Address Visable '.~ I'1 Emergency Procedures Posted [] El Correct Occupancy ~ [] Containers Propedy Labled [] Verification of Inventory Materials ri [] Comments: Verification of Quantities [] [] Verification of Location [] I'1 Verification of Facility Diagram [] [] Proper Segregation of Matedal [] 1:3 Housekeeping [] [] Fire Protection Comments: "~O 5//~J'C'%~ p~A-~,,J ¢j Electrical [] Comments: Verification of MSDS Availablity 4~1' Number of Employees: UST Monitoring Program [] El Comments: Verification of Haz Mat Training [] I'1 Permits E3 [] Comments: Spill Control [] ri Hold Open Device [] El Verification of Hazardous Waste EPA No. Abbatement Supplies and Procedures [] [] Proper Waste Disposal [] Comments: ~'~-'~_--,(~ /...I ~3<~ o,,*J D."'~O,~,~ Secondary Containment [] [] Security El El Special Hazards Associated with this Facility: Violations: ~ ~ ~,~,"'~OT";~,,J hJo"r~c<~, t,-~Ik~v~.cto,~ ~0~ / ~. ~_ AIIItemsO.K Business O~er/Manager PRINT NAME SIGNATURE Correc~on Needed ~it~H~ Mat Div. Yellow-S~fion Copy Pink-Business Copy Fox'~ig~ Do,'- ~stic "FZNE T~SPORTA~ON " "~ MAMDOUHE~IB ~ (805) S26-0S87 611 ~ ~T~ ~~'~O~ ( ~gF~ AT TRITON ) .i~I~RDOUS MATERIALS INS~TION ' ~ ~Bakersfie]d l~t~e Dept. O'~I~IcE OF ENVIRONMENTAL SERVICES ?i!iii'''~ *. '. ":" . ' '" ~1715 Chester Ave. Bakersfield, CA 93301 Date Completed Loca~on: ~.'r t .' ~(~ Business Idenfifica~on No. 2!5,000 ~~ flop of Business Plan) Station No. ~' Shift __ Inspector .-~ Arrival Time: ~ ~ ~' Depa~ure Time: lO ~ ~ InspectiOn Time: Adequate Inadequate Adequate Inadequate AddreSs Visable ~1 I"1 Emergency Procedures Posted [] [] Correct Occupancy I~' ¢'1, . Containers Propedy Labted. [] 1 Verification of Inventory Materials ri i'-I Comments: ' Verification of Quantities · ¢1 []. Verification of Location [] [] Verification of Facility Diag,ram ri- [] ' Proper Segregation of Material [] 1-1 ~ Housekeeping I-I [] ..,, Comments: T~USI/'Jc~ ¢)~,~ArJ tO~-~.~O~.O Fire Protection [] [] Electrical [] ... · Comments: Verification of MSDS Availablity ,1~ [] Number of Employees: UST Monitoring Program .~ '[] [] Comments: Verification of Haz Mat Training 1-1 [] Permits [] [] Comments: ...... Spill Control [] [] Hold Open Device [] [] Verification of Hazardous Waste EPA No. Abbatement Supplies and Procedures '~ [] i-I Proper Waste Disposal [] Comments: /~'~.'"~--(~ 4j/0<~ o\~,J ~/?..d ~ ~ Secondary Containment [] [] . '~ . Secudty [] [] Special Hazards Associated With-this FacilitY;. , ' Business Owner/Manager PRINT NAME SIGNATURE Correction Needed · VVhite-Haz Mat. Div. Yellow-Stati(~n ~Cop~ ' lt. ' . Pink-Business copy ' I,J- CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT N° 0 3 5 4 Sub Div. Blk.__. Lot_ You are hereby required to make the following corrections at the above location: Cor. ~ Completion Date for Corrections ~~~~ff_~ Da te~ '~/" Inspector 326-3979 CO-RRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT Location ..... Sub Div.: ' Blk. . Lot You are hereby required to make the following corrections at the above location: --- Cot. No ,? ',",.,z :'.[' _, Completion Date for Corrections ' ~ ' '~ ' .', ,. / ~,.; ,' .:~,' .,, ../'--,~ J ~ Date "' Inspector 326-3979