HomeMy WebLinkAboutBUSINESS PLAN rrE OIAGgAM [ 1 gAcmrrY OIAGgAM ! 1
Business Name: ' f~
Business Address:
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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