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BUSINESS PLAN 6/1/2007
.~:~'~ SI TE / F AC I L I TY D I FORM 5 - NORTH SCALE: BUS INESS NAME: FLOOR: OF DATE:& ./'Z~/~7 FACILITY N~ME': UNIT ~: OF (CHECK ONE)' SITE DIAGRAM ~ FACILITY DIAGR.%M (Inspector's Comments): -OFFICIAL USE ONLY- / 1. Address: ldeaLe~5'y~ the. g. Lock'my) Box principle buildings by the Street numbers. 10. MSDS SLorage Box 2. Street(a). 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 Oralns c. Wood 4. Drainage Canals. Ditches, d. Gates Creeks, 13. Powerllnes §. Buildings a. Frame conutruction' 14. Guard Station b. Masonry construction 15. Storage Tanks: Identify the c. Metal construction capacity in gal. a. Above ground d. Access Door b. Underground 6. Utility Controls .a, Gas __ _ . 16. Diking or Berm b, Electricity I?. Bvacuation Route c. Water 18, Evacuation Area: IdentiFy the ?, Fire Suppression Systems: locetton where a, Flre Hydrants eaployeee neet, b, Fire Sprinkler 19, Outalde Hazardous Connections Waste Storage c. Fire Standpipe gO. Outside Hazardous Connections Rateria! Storage d. water Control Valves 21. Outside Hazardous for protectLoa ayateae Material Uee/Bandllng e, Fire Pu~p 22. Type of Hazardous Material/Waste Stored 8. Fire Oepartaent Access -or Used (See Below) TYPB OF HAZARDOUS NAT£RIA~ F - F~a~aable g - ~xploeive L - Liquid R - Rad~ologlcal C - Corrosive 0 - Oxldlzer G - Gas P - Poison W - Water Reactive ? - Tox/c S - Solid ~ - Cryegen~c O - Waste B - BtlologLca! Example: Flammable ~lqutd - P~ FACILITY DIAGRAM (Required liens In addition to the above) 1. Risers fo~ Sprinklers 8. ~lre Escapes 2. Partitions 9. Air Conditioning Units 3. Stairways: Indicate the 10. #lndmm levels served from highest to 1sweet. 11. Inside Hazardous Waste Storage 4. Escalator: £ndlcate the levels served From 13, Inside Hazardous highest to lowest. Nsterials Storage 5. B1evetor 13, Inside Hazardous Rater/als Use/Handling 6. Attic Access 14. Sewer Drain Inlets 7. Skylights BAKERSFIE~,D FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 ~G Street, Bakersfield, CA 93301 (805) 326-3979 TANK REMOVAL INSPECTION FORM CONTRACTOR /~2 ~/, ,,)~,~o_/; (qo.n~O- . CONTACT PERSON LABORATORY ~ ~-~ ~' ~- ~ oF SAMPLES ~ , ~ · q] .... ' TEST METHODOLOGY ' -'7-P ~ .~D[~ ~ PRELIMANARY ASSESSMENT CO. LC2' ~ CONTACT .PERSON CO~ RECIEPT / LEL% ~ 0~% .~ ~ ~ PLOT PLAN CONDITION OF TANKS ~~ ~ ~d~-cm~u~'~ ' CONDITION OF SOIL ---~ C'~~. ~C~ ~ COMMENTS DATE INSPECTORS ~AME . . ~ PFI~ WASTE OIL TANK ~ 7--. 240, ~ALLON. 40"DIA. X 7'8 ~ " l: PROpERTY LINE_~ - .. CHAINLINKFENCE EXT. 550 GAL, GUARD POST~,,,%,s- WASTE OIL TANK * cHAIN LINK GATE · . GATE o I SALEE 'BLO.1 SERVICE BLD. CANOPY ~'~ 1300 BEALE AVE. t~EALE AVE. BAKERSFIELD CA. 1710 CALLOWAY DR. BAKERSFIELD CA.. 933l~. 95,505 CA. CONTRACTER..~' LICEN~,E 4f:'415913, ~R~tNI~{~ NUM~rR GA. /' 11X17 PRINTED ON NO. IO00H CLEARI~f~NT e .UNIFIED. PROGRAM INSPECTION CHECKLIST m m~,~e.~ SECTION 1: Business Plan and Inventory Program ~" Prevention Services B n r R s r ,- ~ „ 900 Truxtun Ave., Suite 210 FiaF' Bakersfield, CA 93301 /Iarui Tel.: (661) 326-3979 2171 F (661) 872 . ax: - FACILITY NAME ~ - INSPECTION DATE INSPECTION TIME ~ tiYC.o '~ ~ - SLR: A.~~ .?- /(o-d %~S'D ADDRESS N NO. PH O O OF EMP OYEES I~~~ ~~Q~ / ~ ~) ~4~.7-C7~~ FACILITY CONTACT - ~ ~ BUSINESS ID NUMBER 15-021-C~Da3~ '~ r""_ ~~Ai-// N 4 K,4 Section 1: Business Plan and Inventory Program - - _ __ - ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS- ^ APPROPRIATE PERMIT ON HAND ^ - BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS - } ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES C~ ^ VERIFICATION OF LOCATION- ^ PROPER SEGREGATION OF MATERIAL 9 ,~( VJ ^ VERIFICATION OF MSDS AVAILABILITY ' ~ ~ ar x.. ~ ~ - C,~ ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? Id YES ^ NO EXPLAIN: L.C~ ~-fJ ~ OJT QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 _~^ Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # Business Site /Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy. FD 2155 (Rev- 09/05 _~ ~ ~~ ., . TAYLOR TIRE & BRAKE SiteID: 015-021-000388 Manager ~~3er .-~- 1nn ~ t-t~TrG~ Location: 1300 BEALE AVE City BAKERSFIELD BusPhone: (661) 327-0216 Map 103 CommHaz Low Grid: 29B FacUnits: 1 AOV: CommCode: BFD STA 02 EPA Numb: SIC Code:7538 DunnBrad: Emergency Contact / Title Emergency Contact ,/ Title / GENERAL MANAGER ~m~ ~r(~i-J / MANAGER Business Phone: (661) 327-0216x Busin ess Phone: (661) 327-0216x 24-Hour Phone 24-Hour Phone Pager Phone (6(,- ) y~Z -(,~~ x Pager Phone (~,~ )~~Z ~~~ x Hazmat Hazards: Fire ImmHlth DelHlth -`Contact Gw1~ ~G<<G~ '__^ ---- - Phone: (661) 327=0216x -^ MailAddr: 1300 BEALE AVE State: CA City BAKERSFIELD Zip 93305 Owner RAMI FARRAJ Phone: (661) 472-6983x Address 9009 SONOMA WY State: CA City BAKERSFIELD Zip 93312 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~N~°~ ~~~ ~ ~ ~~~~, PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK 1-~ ` V~ 8«nL-ri on my inquiry of those individuals resnonsiille for obtaining the information, I certify under penalty of law that ! have personally er^mined and am familiar with -the information s ~bmi, ed believe the information is true, a,curat ,and com 6 i y~ Sigi re Dat: -1- 05/17/2007 a F TAYLOR TIRE & BRAKE SiteID: 015-021-000388 ~ ~ Hazmat Inventory By Facility Unit ~ .MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE OIL F DH L 240.00 GAL Low LUBRICATING OILS F IH L 275.00 GAL Min -2- 05/17/2007 -3- 05/17/2007 F TAYLOR TIRE & BRAKE ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME WASTE OIL Location within this Facility Unit W OF SHOP BLDG SiteID: 015-021-000388 ~ Facility Unit: Fixed Containers. on Site ~ Days On Site 365 Map: Grid: CAS# 221 J STATE Liquid TYPE TWaste ~ PRESSURE Ambient ~ TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 240.00 GAL 240.00 GAL 240.00 GAL - nt~~tittLUUa ~:urirviv~lvl~ %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 t1E~GE~KL AJat5551~1~1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME LUBRICATING OILS Location within this Facility Unit W END SHOP BLDG STATE. TYPE PRESSURE Liquid TMixture-~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8020835 TEMPERATURE CONTAINER TYPE Ambient -~VE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 275.00 GAL 275.00 GAL 150.00 GAL tl!-~c~l-itCLVUA ~.vlYlrviv~ly t b %Wt. RS CAS# 100.00 Lubricating Oil (Petroleum-Based) No 8020835 til-~GHtCL E~a ~~J.71~1~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Min -4- 05/17/2007 F TAYLOR TIRE & BRAKE SiteID: 015-021-000388 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 03/08/2000 ~ CALL 911. Employee Notif./Evacuation 03/08/2000 DUE TO THE SMALL SIZE OF THIS FACILITY, THE MANAGER OR ASSISTANT MANAGER WILL, IN THE EVENT OF AN EVACUATION, QUICKLY MAKE A PHYSICAL CHECK OF BOTH BLDG TO ENSURE ALL PERSONNEL ARE SAFELY OUT. MEETING POINT WILL BE THE EXTREME SE CORNER OF THE PROPERTY. Public Notif./Evacuation 03/08/2000 IN CASE OF MAJOR HAZARDOUS SPILL OR EXPLOSION, NEIGHBORS OF CLOSE PROXIMITY WILL BE NOTIFIED. Emergency Medical Plan 03/0$/2000 CONTACT FIRE DEPT AND IN CASE OF ABOVEGROUND TANK LEAK, NOTIFY A COMPANY CAPABLE OF CLEANING UP SPILLS SUCH AS "IT CORPORATION". MEMORIAL HOSPITAL CLOSE TO TRANSPORT INJURED PERSONNEL. -5- 05/17/2007 F TAYLOR TIRE & BRAKE SiteID: 015-021-000388 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/08/2000 ~ IN CASE OF SPILL NOTIFY AUTHORITIES OF CONDITIONS. TO PREVENT SPILLS ABOVEGROUND CONTAINERS ARE INSPECTED PERIODICALLY TO ENSURE STRUCTURAL INTEGRITY. PROPER HANDLING OF CONTAINERS IS STRESSED IN EVERYDAY OPERATION. Release Containment 06/12/1992 IN CASE OF SPILL, ABSORBANT BAGGED MATERIAL WILL BE SPREAD OVER THE SPILL AREA TO CONTAIN THE MATERIAL SPILLED. Clean Up 06/12/1992 ADDITIONAL BAGGED ABSORBANT MATERIAL WILL BE USED TO SOAK UP ANY EXCESS SPILLED HAZARDOUS MATERIAL. THIS ABSORBANT WILL THEN BE DISPOSED OF PROPERLY. Other Resource Activation -6- 05/17/2007 _, F TAYLOR TIRE & BRAKE SiteID: 015-021-000388 ~ Fast Format ~ ~ Site Emergency Factors overall Site ~ .7~JCC:ld1 IldGdt U.ti" Utility Shut-Offs A) GAS - NW CRNR N SHOP BLDG OUTSIDE B) ELECTRICAL - INSIDE STOREROOM S OF OFFICE BLDG N FACING WALL C) WATER - OUTSIDE BET TWO BLDGS IN GROUND UNDER SQUARE PLATE D) SPECIAL - NONE E) LOCK BOX - NO 01/23/2007 Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - THREE FIRE EXTINGUISHERS: BC; 2 IN SHOP, ONE RATED 3A40BC AND 1 RATED 4A60BC. FIRE HYDRANT - NE CRNR OF PROP BEALE AVE & ALLEY. 02/16/2007 ONE IN OFFICE, RATED 8 Building Occupancy Level 03/01/2006 6 EMPLOYEES -7- 05/17/2007 F TAYLOR TIRE & BRAKE SiteID: 015-021-000388 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/23/2007 ~ MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUNIl~IARY OF TRAINING PROGRAM: SAFETY MEETINGS CONCERNING HAZARDOUS MATERIALS WILL BE CONDUCTED EVERY 6 MONTHS. rctyc ~ nciu .~vi r ua.uic vac nct~.a i.vi ru~.uic vac -8- 05/17/2007 UNIFIED PROGRAM INSPECTION CHECKLIST inf. t:33k~'.'YtV :Si04irt4II.^.t~::'.`2i.J:e,,, ..e. .. --~:. ~: ~. .., ".: -.:. ,... ,~~'.. '.a ' . ~<e., .~.:. . ,. ,... .:: 1 x'.v0. ..:.~.:. SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT s Prevention Services fIRI 9001Yuxtun Ave., Suite 210 ARTM s Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME CTION DATE NSP E INSPECTION TIME , J ADDRESS HONE NO. OOF EMPLOYEES ~~ 1r ~ L~ e FACILITY CONTACT USINESS ID NUMBER 15-oz,-~g~ f ~« Section 1: Business Plan and Inventory Program ,_ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (c=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND BUSIfI@SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ . VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ~ /qP~ ~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES O6 C~ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ' ANY HAZARDOUS WASTE ON SITE? l!1 YES ^ NO EXPLAIN: t~iQSi~ U/~ - ~UESTIONS REGARDING THIS INSPECTION4 PLEASE CALL US AT (681) 328-3979 Inspects (Please Print) Fire Prevention / 1" In / Shift of Ske/Station # Business Site/School ible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. OZJO5) S~s(a-t1 S CIT'E' OF BAKERSFIEL ~ - a- ~ OFFICE OF EIYVIROtYNfEiYTALSERVlCES r~xr axrr r 171 Chester Ave., Bakers>Field, CA 93301 (b61) 32b-3979 UNDERGROUND STORAGE TANKS CLOSURE CERTIFICATION -~ -----. ^ _..~.... --------'---- - - -- Page ._,_, at !. FACILITY IDENTIFICATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As} 3 PERMIT it ~ 1 ~ ~ ~ ~ ~~ _. - ~ ~ i~- TANK OWN NAME ~ -~ 740 1 ~~ D ~ _ TANK OWNER ADDRESS ~ ~ "V "~ - - Tar - t 3 ©® ~e~.L~ cITY i I TANK i INTERIOR ATMOSPHERE READINGS 2 S' -~ I1. TANK CE:OSURE INFORMATION Tank ID # + Concentration of Flammable ' fAaa~ ,n ~ ~yp'g° Top Center 745 TaBa T46b , .~ ~'.~ ~! Tao - - ration of Oxygen Center Boltem 747D ~ 74Tt •'~'- ' ~" TsoD Tsoc ' ~' . ~ On examination o the tank, t cettty the tonic is visually free from product, sludge, scats (ihin, flaky residua! of tank contents}, dnseate and debris.'.1 fnither ~~;: certify That the 1 ~rmation provided herein Is true and acxurate to the best of my knowledge. ~ _' '' ~ `'. ; "° `• <. ' 51GNATURE RT1F1 STATUS OR AFFILIATION OF CERTIFYING PERSON Certifier is a representativepf the CUPA, authorized agency, or LIA: Tso NAME OF CERTIFIER (PnnU y~ / Yes l7 No -- ' Name of CUPA, authorized agency, or LIA: Ts+ . ` ~ TITLE OF CERTIFIER ~ T55 City of liakersfteld FIn3 Department - Dftlce of F~vtranmental Services . . .~- .. c r ~ a. ~ ~ If certifier is other than CUPA / LIA check appropriate boz belovr :. Tee ADDRESS ... ^ a. Certified indusfia{ Hygienist (CIH) .. ' ' •.: ~` 1715 Chester Ave. TSa ^ b. Certified Safety Professtonal (CSP) , _ _ ~ CIT_l'_ _ -_- - - - ---, - - _ . - ^- c.. Certified Marine-Chemist (CMC)- - -- -- - -- -- I Bakersfield, CA 93301 T5T ^ d. Registered Environmental Health Spedalist (REHS) PHONE ^ e. Professional Engineer (PE} - (661) 326-3979 75e ^ f. Class II Registered Environmental Assessor DATE 75s CERTIFICATION TIME O g, Contractors' State License Board licensed contractor (with _ (Q , G~ ; ~fb+ hazardous substance removal certtflcation) TANK PREVIOUSLY HELD FLAMMABLE OR COMBUSTIBLE MATERIALS O'Yes ^ No Tb3 . l {!t yes, tha tank trrterior atmosphere shah be re-checked wlfh a t:orrtbtrstib/e gas indicator prior to work being conducted on Ilia Iaak,J I CERTIf+~~'~~l~lgl~tlRl6~j~t~jl FOR SCRAP DF~4LER, DISPOSAL ~ ~CILITY, ETC: T~ . P.O. Box 1340 1620 E. Brundage Lane Bakersfield, CA 93302 ` ~ ' 661-327-7073 -State Lic. #770603 ,~.- I ~ ~ A Copy of this certlflcata shall accompany the tank to the recycling I ~llsposal-fadll and be provided to the CUPA. it there Is rto CUPA, copies shall be submitted to the LIA and authorized agency; owner! operator f therlank~ em; removal contractor and the recycling / d(sposal facllity.~ : ~ ' ;,_~;; UPCF (7/99) S:ICUPAFORMStdtso1249.doc Tae ;STATE Tai D F/RE ARTM RONALD J. FRAZE FIRE CHIEF Gary Hutton, Senior Deputy Chief Administration 326-3650 Deputy Chief Dean Clason Operations/Training 326-3652 June 16, 2006 Mr. Richard Taylor Taylor Tire and Brake 1300 Beale Avenue Bakersfield, CA 93305 Re: Tank Closure of 3 Underground Storage Tanks located at 1300 Beale Avenue Deputy Chief Kirk Blair Fire Safety/Prevention Services Dear Mr. Taylor: 326-3653 Your site contained three undi~rground storage tanks that were abandoned in- place prior to 1984. During the last three months these tanks have been opened 2101 "H" Street and the rotary mud has been removed. Bakersfield, CA 93301 OFFICE: (661) 326-3941 Since these tanks met the closure requirements at that time, no further action is FAX: (661) 852-2170 ; required. RALPH E. HLiEY, DIRECTOR PREVENTION SERVICES FlRE SAFETY SERVICES • ENVIRONMENTAL SERVICES 900 Truxtun Avenue, Suite 210 Bakersfield, CA 93301 OFFICE: (661) 326-3979 FAX: (661) 852-2171 David Weirather Fire Plans Examiner 326-3706 Howard H. Wines, III Hazardous Materials Specialist 326-3649 Should you have any questions, please feel free to call me at 661-326-3190. Sincerely, Ralph E. Huey, DIRECTOR OF PREVENTION SERVICES E% A ~~ C~~~ By: Steve Underwood, Fire Prevention Officer REH/SU/db J~ ~ C~~n,r~ Jaz ~/eilas~ Jfia~ ~~~~ Ui ~ .. + TAYLOR TIRE & BRAKE _________________________________ SiteID: 015-021-000388 + Manager BusPhone: (661) 327-0216 Location: 1300 BEALE AVE Map 103 CommHaz Low City BAKERSFIELD Grid: 29B FacUnits: 1 AOV: CommCode: BFD STA 02 SIC Code:7538 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title RICHARD TAYLOR / C3i~ T~ C-iC~ ` M~~' JUDY HIGGS / MANAGER Business Phone: (661) 327'-0216x Business Phone: (661) 327-0216x 24-Hour Phone (661) ~ -n -~~?~_~~~~~G4~ 24-Hour Phone " (661) 393-7575x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact Phone: (661) 327-0216x MailAddr: 1300 BEALE AVE State: CA City BAKERSFIELD Zip 93305 Owner RICHARD TAYLOR Phone : ( 6 61) "' '`max Addre s s 4-~3--~98P~'~RY~ ~ ~ ~. ~j l o '7 a; ~ ~ t ~ l State : CA ~~ ~' 1 ~ ~ ~° City BAKERSFIELD Zip , ~$ri33a~ Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. ~ ~-i~.o~ Si ature ~ Date ~~r ~ ~~/ AR 1 ~ ~QOC -1- 03/01/2006 Hazardous Materials/Hazardous Waste Unified permit CONDITIONS ~OFPERMIT ON REV:ERSE ~SIDE · ~., :' · . ...~ .v.~ This _oermit is issued for the followin_.: ' · [] Hazardous Materials Plan [] Underground Storage of Hazardous Materials Permit ID#:: 015-000-000388 . . [] Risk Management Program ' * · TAYLOR TIRE & BRAKE a HazardOus Waste On-Site. ,n'--~"~'~ment LOCATION: 1300 BEALE AVE IELD '* -~Y ~ - ' Bakersfield, CA 93301 . Omceor£vironm~Services Voice (661) 326-3979 FAX(661) 326-0576 Expiration Date: '~rl~ ~O.. ~OO3 Hazardous Materials/Hazardous Waste Unified Permit 'CONDITIONS OF PERMIT ON REVERSE SIDE ' '- ..*' ' ' ' ' .... "'" ......................................... ........................ This Permit is-issued fOr the folloWing: ??'::; ;:., i~i~;;:'.: '~i :~ e[ground Storage of Hazardous Materials O~CE OFE~O~AL S~ ~CES ~ 1715 Chewer Ave., 3rd Floor " e of B~e~el~ CA 93301 .. Voice (805) 32~3979 F~ (805) 326-0576 .. Expiration Date: June 30, 2000 ~'~"' t"~']l%"'T"T T~'~ I TAYLOR TIRE & B~E ........ ~-~-' SiteID: 215-000-000388 Manager : /~" ~Z000 ] BusPhone: (~) 327-0216 Location: 1300 BEdE AVE ~i'~'~ ]' Map : 103 Com~az : Low City : B~ERSFIELD / Grid: 29B FacUnits: 1 AOV: CommCode: B~ERSFIELD STATION 02 SIC Code: 7538 EPA Nu~: DunnBrad: Emergency Contact / Title Emergency Contact / Title RICHARD TAYLOR /~l JUDY HIGGS / MANAGER Business Phone: (8~5~1327-0216x Business Phone: (8~5~27-0216x 24-Hour Phone : (8~3) 399-0756x 24-Hour Phone : (8~g~93-7575x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : Phone: ( ) - x MailAddr: 1300 BEALE AVE State: CA City : BAKERSFIELD Zip : 93305 Owner RICHARD TAYLOR Phone: (~) 399-0756x Address : 413 COUNTRYSIDE DR State: CA City : BAKERSFIELD Zip : 93308 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: I, ~'~c]'t~oL ~o-~ m" _ Do hereby certify that I have (Type or reviewed the aUached h~a~Ous mmefials mar:age- ~J~r~ ~ ~d that it along with ment plan for any ~rr~ions constitute a complete and ~rre~ man- agement plan for my ~cili~. -1- 02/28/2000 F TAYLOR TIRE & BRAKE SiteID: 215-000-000388 ~ Hazmat Inventory By Facility Unit --Alphabetical Order Fixed Containers on Site Hazmat Common Name... ISpecHazlEPA Hazards Frm DailyMax Unit MCP LUBRICATING OILS F IH L 275.00 GAL Min WASTE OIL F DH L 240.00 GAL Low -2- 02/28/2000 TAYLOR TIRE & BRAKE SiteID: 215-000-000388 ~ Inventory Item 0001 Facility Unit: Fixed'Containers on Site -- COMMON NAME / CHEMICAL NAME L~RICATING OILS Days On Site 365 Location within this Facility Unit Map: Grid: WEST E~ SHOP BLDG CAS# 8020835 Li~id Pure A~ient A~ient ~OVE GRO~D T~K AMO~TS AT THIS LOCATION I Largest ContainerI Daily MaximumI Daily Average GAL 275.00 GAL 150.00 GAL RAZ~DOUS COMPONENTS 100.00 Lubricating Oil (Petroleum-Based) N 8020835 RAZED ASSESSMENTS ITSecret ~slBioHaz Radioactive/Amount EPA Hazards NFPA USDOT# I MCP No N No No/ Curies F IH / / / Min ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME ! WASTE OIL I Days On Site 365 Location within this Facility Unit Map: Grid: WEST OF SHOP BLDG CAS# 221 F STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid I Waste I Ambient I Ambient I ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest 'Container Daily Maximum I Daily Average GAL 240.00 GALI 240.00 GAL HAZARDOUS COMPONENTS 100.00 Waste Oil, Petroleum Based N HAZARD ASSESSMENTS TSecretl oRS BioHaz Radioactive/Amount I EPA HazardsI NFPA USDOT# MCP No N No No/ Curies F DH / / / Low 3 02/28/2000 F TAYLOR TIRE & BRAKE SiteID: 215-000-000388 Fast Format = Notif./Evacuation/Medical Overall Site --Agency Notification 12/06/1994 CALL 911 -- Employee Notif./Evacuation 12/06/1994 DUE TO THE SMALL SIZE OF THIS FACILITY, THE MANAGER OR ASSISTANT MANAGER WILL, IN THE EVENT OF AN EVACUATION, QUICKLY MAKE A PHYSICAL CHECK OF BOTH BUILDING TO ENSURE ALL PERSONNEL ARE SAFELY OUT. MEETING POINT WILL BE THE EXTREME SOUTH EAST CORNER OF THE PROPERTY. -- Public Notif./Evacuation 12/06/1994 IN CASE OF MAJOR HAZARDOUS SPILL OR EXPLOSION, NEIGHBORS OF CLOSE PROXIMITY WILL BE NOTIFIED. Emergency Medical Plan 12/06/1994 CONTACT FIRE DEPT AND IN CASE OF ABOVEGROUND TANK LEAK, NOTIFY A COMPANY CAPABLE OF CLEANING UP SPILLS SUCH AS "IT CORPORATION". MEMORIAL HOSPITAL CLOSE TO TRANSPORT INJURED PERSONNEL. -4- 02/28/2000 TAYLOR TIRE & BRAKE SiteID: 215-000-000388 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 06/12/1992 IN CASE OF SPILL NOTIFY AUTHORITIES OF CONDITIONS. TO PREVENT SPILLS ABOVE GROUND CONTAINERS ARE INSPECTED PERIODICALLY TO ENSURE STRUCTURAL INTEGRITY. PROPER HANDLING OF CONTAINERS IS STRESSED IN EVERYDAY OPERATION. --Release Containment 06/12/1992 IN CASE OF SPILL, ABSORBANT BAGGED MATERIAL WILL BE SPREAD OVER THE SPILL AREA TO CONTAIN THE MATERIAL SPILLED. -- Clean Up 06/12/1992 ADDITIONAL BAGGED ABSORBANT MATERIAL WILL BE USED TO SOAK UP ANY EXCESS SPILLED HAZARDOUS MATERIAL. THIS ABSORBANT WILL THEN BE DISPOSED OF Other Resource Activation -5- 02/28/2000 f TAYLOR TIRE & BRAKE SiteID: 215-000-000388 Fast Format F Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 01/24/1995 A) GAS - NORTH WEST CORNER OF NORTH SHOP BUILDING OUTSIDE B) ELECTRICAL - INSIDE STOREROOM SOUTH OF OFFICE BUILDING ON NORTH FACING WALL FACING WALL C) WATER - OUTSIDE BETWEEN TWO BLDGS IN C) WATER - OUTSIDE BETWEEN TWO BUILDINGS IN GROUND UNDER SQUARE PLATE D) SPECIAL - NONE E) LOCK BOX - NO -- Fire Protec./Avail. Water 01/24/1995 PRIVATE FIRE PROTECTION - THREE FIRE EXTINGUISHERS ONE IN OFFICE RATED AT 8 BC, 2 IN SHOP ONE RATED 3A40BC AND 1 RATED 4A60BC FIRE HYDRANT - NORTH EAST CORNER OF PROPERTY, BEALE AVE & ALLEY Building Occupancy Level 6 02/28/2000 TAYLOR TIRE & BRAKE ~~~~~ SitelD: 215-000-000388 i i~ Training ~~~~~~~~ Overall Site i i~ Employee Training ~~~~~~~ 12/06/1994 i o WE HAVE 6 EMPLOYEES AT THIS FACILITY. o o WE DO HAVE MATERIAL SAFETY DATA SHEETS ON FILE. o o BRIEF SUMMARY OF TRAINING PROGRAM: SAFETY MEETINGS CONCERNING HAZARDOUS o MATERIALS WILL BE CONDUCTED EVERY 6 MONTHS. o O O O i~ Held for Fumre Use ~~~~~~~~i O O i~ Held for Fumre Use ~~~~~~~~i o O TAYLOR TIRE & BRAKE SiteID: 215-000-000388 Manager : BusPhone: (805) 327-0216 Location: 1300 BEALE AV Map : 103 CommHaz : Low City : BAKERSFIELD Grid: 29B FacUnits: 1AOV: CommCode: BAKERSFIELD STATION 02 SIC Code:7538 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title RICHARD TAYLOR / JUDY HIGGS / MANAGER Business Phone: (805) 327-0216x Business Phone: (805) 327-0216x 24-Hour Phone : (805) 399-0756x 24-Hour Phone : (805) 393-7575x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Agency-Defined Topic Title ~ Il/ = Hazmat Inventory One Unified List -- MCP+DailyMax Order All Materials at Site Hazmat Common Name... ISpecHazlEPA HazardsI Frm DailyMax Unit MCP WASTE OIL F DH L 240 GAL Low LUBRICATING OILS F IH L 275 GAL Min -1- 06/23/1997 TAYLOR TIRE & BRAKE SiteID: 215-000-000388 ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site WASTE OIL Days On Site 365 Location within this Facility Unit WEST OF SHOP BLDG CAS# 221 STATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE I Liquid Waste Ambient I Ambient ABOVE GROUND TANK AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 240.00 240.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Waste Oil, Petroleum Based No 0 -2- 06/23/1997 TAYLOR TIRE & BRAKE SiteID: 215-000-000388 = Inventory Item 0001 Facility Unit: Fixed Containers on Site LUBRICATING OILS Days On Site 365 Location within this Facility Unit WEST END SHOP BLDG CAS# 8020835 Liquid Pure AmbientIi Ambient ABOVE GROUND TANK AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 275.00 150.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Lubricating Oil (Petroleum-Based) No 8020835 -3- 06/23/1997 TAYLOR TIRE & BRAKE SiteID: 215-000-000388 Fast Format ~ Notif./Evacuation/Medical Overall Site -- Agency Notification 12/06/1994 CALL 911 -- Employee Notif./Evacuation 12/06/1994 DUE TO THE SMALL SIZE OF THIS FACILITY, THE MANAGER OR ASSISTANT MANAGER WILL, IN THE EVENT OF AN EVACUATION, QUICKLY MAKE A PHYSICAL CHECK OF BOTH BUILDING TO ENSURE ALL PERSONNEL ARE SAFELY OUT. MEETING POINT WILL BE THE EXTREME SOUTH EAST CORNER OF THE PROPERTY. Public Notif./Evacuation 12/06/1994 IN CASE OF MAJOR HAZARDOUS SPILL OR EXPLOSION, NEIGHBORS OF CLOSE PROXIMITY WILL BE NOTIFIED. Emergency Medical Plan 12/06/1994 CONTACT FIRE DEPT AND IN CASE OF ABOVEGROUND TANK LEAK, NOTIFY A COMPANY CAPABLE OF CLEANING UP SPILLS SUCH AS "IT CORPORATION". MEMORIAL HOSPITAL CLOSE TO TRANSPORT INJURED PERSONNEL. -4- 06/23/1997 TAYLOR TIRE & BRAKE SiteID: 215-000-000388 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 06/12/1992 IN CASE OF SPILL NOTIFY AUTHORITIES OF CONDITIONS. TO PREVENT SPILLS ABOVE GROUND CONTAINERS ARE INSPECTED PERIODICALLY TO ENSURE STRUCTURAL INTEGRITY. PROPER HANDLING OF CONTAINERS IS STRESSED IN EVERYDAY OPERATION. Release Containment 06/12/1992 IN CASE OF SPILL, ABSORBANT BAGGED MATERIAL WILL BE SPREAD OVER THE SPILL AREA TO CONTAIN THE MATERIAL SPILLED. -- Clean Up 06/12/1992 ADDITIONAL BAGGED ABSORBANT MATERIAL WILL BE USED TO SOAK UP ANY EXCESS SPILLED HAZARDOUS MATERIAL. THIS ABSORBANT WILL THEN BE DISPOSED OF Other Resource Activation -5- 06/23/1997 TAYLOR TIRE & BRAKE SiteID: 215-000-000388 Fast Format ~ Site Emergency Factors Overall Site --- Special Hazards -- Utility Shut-Offs 01/24/1995 A) GAS - NORTH WEST CORNER OF NORTH SHOP BUILDING OUTSIDE B) ELECTRICAL - INSIDE STOREROOM SOUTH OF OFFICE BUILDING ON NORTH FACING WALL FACING WALL C) WATER - OUTSIDE BETWEEN TWO BLDGS IN C) WATER - OUTSIDE BETWEEN TWO BUILDINGS IN GROUND UNDER SQUARE PLATE D) SPECIAL - NONE E) LOCK BOX - NO -- Fire Protec./Avail. Water 01/24/1995 PRIVATE FIRE PROTECTION - THREE FIRE EXTINGUISHERS ONE IN OFFICE RATED AT 8 BC, 2 IN SHOP ONE RATED 3A40BC AND 1 RATED 4A60BC FIRE HYDRANT - NORTH EAST CORNER OF PROPERTY, BEALE AVE & ALLEY Building Occupancy Level -6- 06/23/1997 TAYLOR TIRE & BRAKE SiteID: 215-000-000388 Fast Format ~ Training Overall Site ---Employee Training 12/06/1994 WE HAVE 6 EMPLOYEES AT THIS FACILITY. WE DO HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: SAFETY MEETINGS CONCERNING HAZARDOUS MATERIALS WILL BE CONDUCTED EVERY 6 MONTHS. -- Page 2 -- Held for Future Use Held for Future Use 7 06/23/1997 01/13/95 TAYLOR TIRE & BRAKE 215-000-000, Page 1 Overall Site with 1 Fac. Unit [ JAN 22 1995 /U/ General Information 3~-- Location: 1300 BEALE AV Map:103 Haz:2 Type: 3 I City : BAKERSFIELD Grid: 29B F/U: 1 AOV: 0.0 i Contact Name Title Contact Name Title RICHARD TAYLOR / JUDY HIGGS / MANAGER Business Phone: (805) 327-0216x Business Phone: (805) 327-0216x 24-Hour Phone : (805) 399-0756x 24-Hour Phone : (805) 393-7575x Pager Phone : ( ) - x Pager Phone : ( ) - x Administrative Data Mail Addrs: 1300 BEALE AV D&B Number: City: BAKERSFIELD State: CA Zip: 93305- Comm Code: 215-002 BAKERSFIELD STATION 02 SIC Code: 7538 Owner: RICHARD TAYLOR Phone: (8~5) 399-0756 Address: 413 COUNTRYSIDE DR state: CA City: BAKERSFIELD Zip: 93308- Summary I, ~-.t~ 'T"/o.~_. Do hereby certify that I have '' (Typ~ ~ r~int reline) reviewed the attached hazardous materials manage- ment plan for I,~,~n.'f~..., ~,J~ar~ that it along with any corrections constitute a complete and correct man- agement plan for my facility. 01/13/95 TAYLOR TIRE & BRAKE 215-000-000388 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-002 WASTE OIL Liquid 240 Low · Fire, Delay Hlth GAL 02-001 LUBRICATING OILS Liquid 275 Minimal · Fire, Immed Hlth GAL 01/13/95 TAYLOR TIRE & BRAKE 215-000-000388 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-002 WASTE OIL Liquid 240 Low · Fire, Delay Hlth GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL240 I Daily Average240.00GAL I Annual Amount2,000.00GAL Storage ~~Press l Temp Location ABOVE GROUND TANK IAmbient~AmbientlWEST OF SHOP BLDG -- Conc Components ~ MCP ---~uide 100.0% IWaste Oil, Petroleum Based ILow ! 27 02-001 LUBRICATING OILS Liquid 275 Minimal · Fire, Immed Hlth GAL CAS #: 8020835 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GALI Daily Average GAL ----~Annual Amount GAL -- 275 ~ 150.00 800.00 Storage~~Press T Temp Location ABOVE GROUND TANK Iambient~ambientlWEST END SHOP BLDG -- Conc Components MCP ---~uide 100.0% ILubricating Oil (Petroleum-Based) IMinimal I 27 01/13/95 TAYLOR TIRE & BRAKE 215-000-000388 Page 4 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL911 <2> Employee Notif./Evacuation DUE TO THE SMALL SIZE OF THIS FACILITY, THE MANAGER OR ASSISTANT MANAGER WILL, IN THE EVENT OF AN EVACUATION, QUICKLY MAKE A PHYSICAL CHECK OF BOTH BUILDING TO ENSURE ALL PERSONNEL ARE SAFELY OUT. MEETING POINT WILL BE THE EXTREME SOUTH EAST CORNER OF THE PROPERTY. <3> Public Notif./Evacuation IN CASE OF MAJOR HAZARDOUS SPILL OR EXPLOSION, NEIGHBORS OF CLOSE PROXIMITY WILL BE NOTIFIED. <4> Emergency Medical Plan CONTACT FIRE DEPT AND IN CASE OF ABOVEGROUND TANK LEAK, NOTIFY A COMPANY CAPABLE OF CLEANING UP SPILLS SUCH AS "IT CORPORATION". MEMORIAL HOSPITAL CLOSE TO TRANSPORT INJURED PERSONNEL. 01/13/95 TAYLOR TIRE & BRAKE 215-000-000388 Page 5 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention IN CASE OF SPILL NOTIFY AUTHORITIES OF CONDITIONS. TO PREVENT SPILLS ABOVE GROUND CONTAINERS ARE INSPECTED PERIODICALLY TO ENSURE STRUCTURAL INTEGRITY. PROPER HANDLING OF CONTAINERS IS STRESSED IN EVERYDAY OPERATION. <2> Release Containment IN CASE OF SPILL, ABSORBANT BAGGED MATERIAL WILL'BE SPREAD OVER THE SPILL AREA TO CONTAIN THE MATERIAL SPILLED. <3> Clean Up ADDITIONAL BAGGED ABSORBANT MATERIAL WILL BE USED TO SOAK UP ANY EXCESS SPILLED HAZARDOUS MATERIAL. THIS ABSORBANT WILL THEN BE DISPOSED OF PROPERLY. <4> Other Resource Activation 01/13/95 TAYLOR TIRE & BRAKE 215-000-000388 Page 6 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NORTH WEST CORNER OF NORTH SHOP BUILDING OUTSIDE B) ELECTRICAL - INSIDE STOREROOM SOUTH OF OFFICE BUILDING ON NORTH FACING WALL FACING WALL C) WATER - OUTSIDE BETWEEN TWO BLDGS IN C) WATER - OUTSIDE BETWEEN TWO BUILDINGS IN GROUND UNDER SQUARE PLATE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - THREE FIRE EXTINGUISHERS ONE IN OFFICE RATED AT 8 BC, 2 IN SHOP ONE RATED 3A40BC AN~ 1 RATED 4A60BC FIRE HYDRANT - NORTH EAST CORNER OF PROPERTY, BEALE AVE & ALLEY <4> Building Occupancy Level 01/13/95 TAYLOR TIRE & BRAKE 215-000-000388 Page 7 00 - Overall Site <G> Training <1> Employee Training WE HAVE 6 EMPLOYEES AT THIS FACILITY. WE DO HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: SAFETY MEETINGS CONCERNING HAZARDOUS MATERIALS WILL BE CONDUCTED EVERY 6 MONTHS. <2> Page 2 <3> Held for Future Use <4> Held for Future Use 11/21/94 TAYLORTIRE&B~KEoverall Site with 215-000-00038%1 Fac. Unit DE0051994 ,ge 1 General Information By_____ I Location: 1300 BEALE AV Map:103 Haz:2 Type: 3 City : BAKERSFIELD Grid: 29B F/U: 1 AOV: 0.0 Contact Name Title Contact Name Title RICHARD TAYLOR / JUDY HIGGS / ~NAGER Business Phone: (805) 327-0216x Business Phone: (805) 327-0216x 24-Hour Phone : (805) 399-0756x 24-Hour Phone : (805) 393-7575x Pager Phone : ( ) - x Pager Phone : ( ) - x Administrative Data Mail Addrs: 1300 BEALE AV D&B Nu~er: City: BAKERSFIELD State: CA Zip: 93305- Con Code: 215-002'BAKERSFIELD STATION 02 SIC Code: 7538 Owner: RICHARD TAYLOR Phone: (805) 399-0756 Address: 413 COUNTRYSIDE DR State: CA City: BAKERSFIELD Zip: 93308- Sugary ..~ ~q ~ 00 ? NO ACETYLENE AND NO OXYGEN ? ~'~.~t '" that I have reviewed the attached hazardous materials marmge- merit plan for_ 7"/k~7~; .., .. , m.,,,u that it along with ~,,~,-~ any corrections constitute a oomplete and correct man- agement plan for my facilily. 11/21/94 TAYLOR TIRE & BRAKE 215-000-000388 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-004 ~ ~0~~ Gas 140 High · Fire, Pressure, Immed Hlth ~3~%~ FT3 02-003 ~ ~ ~¢~2_ Gas 140 LOw · Fire,~Pressure, Immed Hlth ~ FT3 02-002 WASTE OIL Liquid 500 Low · Fire, Delay Hlth GAL 02-001 LUBRICATING OILS Liquid 275 Minimal · Fire, Immed Hlth GAL 11/21/94 TAYLOR TIRE & BRAKE 215-000-000388 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-004 ACE~E ~0 ~O~D~ Gas 140 High · Fire,~ure, Immed Hlth .~.f~_ FT3 CAS #: 74'86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING -- Daily Max FT3 I Daily Average FT3 I Annual Amount 140.00FT3 140 ~ 100.00 Storage Press T Temp I Location PORT. PRESS. CYLINDER IAbove ~Ambient SOUTHEAST CORNER SHOP BLDG -- Conc Components MCP ---~uide 100.0% IAcetylene IHigh ! 17 OXYC.~k ~/~OL~C-~ Gas 140 Low 02-003 · Fire,~ssure,r--'~ Immed Hlth ~%~_ FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3140 I Daily Average100.00FT3 I Annual Amount140.00FT3 Storage~ Press T Temp~ Location PORT.· PRESS. CYLINDER Iabove ~AmbientlSOUTHEAST CORNER SHOP BLDG -- Conc Components MCP ---TGuide 100.0% IOxygen, Compressed IL°w / 14 02-002 WASTE OIL Liquid ~qO~0~ Low · Fire, Delay Hlth GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max~GAL I Daily Averag~AL..~...00 I Annual Amount~.00.GAL -- Storage~~Press T Temp Location ABOVE. GROUND TANK IAmbient,Ambient, ~ .~~~~~._.. OF ~ BLDG -- Conc Components ~CP-~-~Guide 100.0% IWaste Oil, Petroleum Based ILow ~ 27 11/21/94 TAYLOR TIRE & BRAKE 215-000-000388 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-001 LUBRICATING OILS Liquid 275 Minimal ', Fire, Immed Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL I Daily Average GAL I Annual Amount GAL 275 L 150.00 800.00 Storage ~~Press T Temp Location ABOVE GROUND TANK IAmbientlAmbientl4~)R~H_ END SHOP BLDG -- Conci Components ~ MCP ---~uide 100.0% ILubricating Oil (Petroleum-Based) IMinimal I 27. 11/21/94 TAYLOR TIRE & BRAKE 215-000-000388 Page 5 O0 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation DUE TO THE SMALL SIZE OF THIS FACILITY, THE MANAGER OR ASSISTANT MANAGER WILL, IN THE EVENT OF AN EVACUATION, QUICKLY MAKE A PHYSICAL CHECK OF BOTH BUILDING TO ENSURE ALL PERSONNEL ARE SAFELY OUT. MEETING POINT WILL BE THE EXTREME SOUTH EAST CORNER OF THE PROPERTY. <3> Public Notif./Evacuation IN CASE OF MAJOR HAZARDOUS SPILL OR EXPLOSION, NEIGHBORS OF CLOSE PROXIMITY WILL BE NOTIFIED. <4> Emergency Medical Plan CONTACT FIRE DEPT AND IN CASE OF~k~B~4%~R85%N~ TANK LEAK, NOTIFY A COMPANY CAPABLE OF CLEANING UP SPILLS SUCH AS "IT CORPORATION". MEMORIAL HOSPITAL CLOSE TO TRANSPORT INJURED PERSONNEL. 11/21/94 TAYLOR TIRE & BRAKE 215-000-000388 Page 6 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention IN CASE OF SPILL NOTIFY AUTHORITIES OF CONDITIONS. TO PREVENT SPILLS ABOVE GROUND CONTAINERS ARE INSPECTED PERIODICALLY TO ENSURE STRUCTURAL INTEGRITY. PROPER HANDLING OF CONTAINERS IS STRESSED IN EVERYDAY OPERATION. <2> Release Containment IN CASE OF SPILL, ABSORBANT BAGGED MATERIAL WILL BE SPREAD OVER THE SPILL AREA TO CONTAIN THE MATERIAL SPILLED. <3> Clean Up ADDITIONAL BAGGED ABSORBANT MATERIAL WILL BE USED TO SOAK UP ANY EXCESS SPILLED HAZARDOUS MATERIAL. THIS ABSORBANT WILL THEN BE DISPOSED OF PROPERLY. <4> Other Resource Activation 11/21/94 TAYLOR TIRE & BRAKE 215-000-000388 Page 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NORTH WEST CORNER OF NORTH SHOP BUILDING OUTSIDE B) ELECTRICAL - INSIDE STOREROOM SOUTH OF OFFICE BUILDING ON NORTH FACING WALL FACING WALL C) WATER - OUTSIDE BETWEEN TWO BLDGS IN C) WATER - OUTSIDE BETWEEN TWO BUILDINGS IN GROUND UNDER ~PLATE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water 7'/~ PRIVATE FIRE PROTECTION - ~OFIRE EXTINGUISHERS,~ATED AT ~S, ~ ~OFF~eET--1--~,~) GA.-T.E D--I.N~_~H et~. FIRE HYDRANT -"NORTH EAST CORNER OF PROPERTY, BEALE AVE & ALLEY <4> Building Occupancy Level 11/21/94 TAYLOR TIRE & BRAKE 215-000-000388 Page 8 00 - Overall Site <G> Training <1> Employee Training WE DO HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: SAFETY MEETINGS CONCERNING HAZARDOUS MATERIALS WILL BE CONDUCTED EVERY 6 MONTHS. <2> Page 2 <3> Held for Future Use <4> Held for Future-Use MATE~,LS ~ ~kersfield Fire Dept. Haz~i'rdous Materials Division Date Completed Business Name: *~t U~4~ ~ ~ ~ I Business Iden~ca~on No. 215-000 ~ ~ 0.~ (Top of Business Plan) Sta~on No. ~ 8hi~ ~ Inspe~or ~o ~ ~al Time: 0~' Depa~re Time: 0 ?' ~ ' Inspe~on Time: ~~~ ~d~quate Inad~quat~ Vefifica~on of Oua~es ~ ~ ~OV T 5 ~994 Verification of Location ~ / ~ HAZ. MAT. DIV. plo ee Proper Segrega~on of Material Verification of MSDS Availabili~ ~ V~ri~ca~on of Ha2 ~at lrainin~ ~ V~fifica~on oI ~batem~nt 8uppli~ & ~rocedures ~ Comm~n~: Contain~r~ ~ropo~ [abol~d ~ mmen~: Verification of Facil~ Diagram ~ Special. HazardsAssociated~isFacili~: ~ ~.~)~} ~0 ~,q~, Viola~on~: Business Owner/Manager FIRINT NAME SI Correction Needed White-Haz Mat Div Yellow-Station Copy Pink-Business Copy RECORD OF TELEPHONE CONVERSATION Location: ID#__ Business Name: ~'-'~ ~, (c~' ~ ~ Contact Name: ~'~,c ~ ~-~, Business Phone: ~ ~ ? - 0~ ~ F~: Inspe~or's N~e: TimeofC~l: Date: tO/~?/5~ Time: Type of C~I: Incoming [, ] Outgoing ~]. Returned Time Required to Complete Activity # Min: /~ 04/27/92 .TAYLOR TIRE & BRAKE 215-000-000381 ge 1 Overall Site .with 1 Fac. Unit General Information Location: 1300 BEALE AV Map: '103 Hazard: Low Community: BAKERSFIELD STATION 02 Grid: 29B F/U: 1AOV: 0.0 i Contact Name Title i Business Phone i 24-Hour Phone RICHAR~ TAYLOR (805) 327-0216 x (805) 399-0756 Administrative Data Mail Addrs: 1300 'BEALE AV D&B Number: City: BAKERSFIELD State: CA Zip: 93305- Comm Code: 215-002 BAKERSFIELD STATION 02 . SIC Code: 7538 Owner: RICHARD TAYLOR Phone: ,(~0~)5~ -~7~ Address: 413 COUNTRYSIDE DR State: CA. City: BAKERSFIELD Zip: 93308- Summary reviewed the attaehee hazar(Ious mate~al~ matai~ ment plan for' l~~~~ th~ ~ ~ ~h '- any ~.eeions ~n~me a rumple a~ ~rr~ man- ~emem pmn ~r my f~i~. 04/27/92 TAYLOR TIRE & BRAKE 215-000-000388 Page 2 02 - Fixed Containers on Site Hazmat Inventory DetaiI in Reference Number Order 02-001 LUBRICATING OILS Liquid 275 Minimal · Fire, Immed Hlth GAL CAS#: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GALI Daily Average GAL I Annual Amount GAL -- 275 t ~ 150.00 800.00 Storage Press T TempI Location ABOVE GROUND TANK Ambient~AmbientlNORTH END SHOP BLDG -- Conc ComponentS -- ~: MCP List 100.0% ILubricating Oil (Petroleum-Based) IMinimal I 02-002 WASTE OIL Liquid 500 Low · Fire, Delay Hlth GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GALI Daily Average GAL I Annual Amount GAL 500 ~ 250.00 800.00 StorageIIPress T Temp Location UNDER GROUND TANK I AmbientlAmbientlSOUTHEAST CORNER OF OFFICE BLDG -- Conc Components MCP List 100.0% IWaste Oil, Petroleum Based [Low --~ ' 02-003 OXYGEN Gas 140 Low ~ Fire, Pressure, Immed Hlth FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3I Daily Average FT3 I Annual Amount FT3 140 I 100.00_ 140.00 ~torageI Press T TempI Location PORT. PRESS. CYLINDER Iabove IAmbientlSOUTHEAST CORNER SHOP BLDG -- Conc' Components. 100.0% IOxygen, Compressed ILo~CPIList 04/27/92 TAYLOR TIRE & BRAKE 215-000-000388 ' Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-004 ~CETYLENE Gas ~ 140 High · Fire,.Pressure, Immed Hlth ~ FT3 CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 I Daily Average FT3 I Annual Amount FT3 140 ~ 100.00 140.00 Storage Press T Temp Location PORT. 'PRESS. CYLINDER IAbove IAmbientlSOUTHEAST CORNER SHOP BLDG --~Conc Components MCP -. List 100.0% ]Acetylene IHigh 04/27/92 TAYLOR TIRE & BRAKE 21~-0002000388 Page 4 O0 '- Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 .~ <2> Employee Notif./Evacuation DUE TO THE SMALL SIZE OF THIS FACILITY, THE MANAGER oR ASSISTANT MANAGER WILL, IN THE EVENT OF AN EVACUATION, QUICKLY MAKE A PHYSICAL CHECK OF BOTH BUILDING TO ENSURE ALL PERSONNEL ARE SAFELY OUT. MEETING POINT WILL BE THE EXTREME SOUTH EAST CORNER OF THE PROPERTY. <3> Public Notif./Evacuation IN CASE OF MAJOR HAZARDOUS SPILL OR EXPLOSION, NEIGHBORS OF CLOSE PROXIMITY WILL BE NOTIFIED. <4> Emergency Medical Plan CONTACT FIRE DEPT AND IN CASE OF UNDERGROUND TANK LEAK, NOTIFY A COMPANY CAPABLE OF CLEANING UP SPILLS SUCH AS "IT CORPORATION". MEMORIAL HOSPITAL CLOSE TO TRANSPORT INJURED PERSONNEL. 04/27/92 TAYLOR TIRE & BRAKE 215-000-000388 Page 5 ~' 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention IN CASE OF SPILL NOTIFY AUTHORITIES OF CONDITIONS. T© PREVENT SPILLS ABOVE GROUND CONTAINERS ARE ZNSPECTED PERIODICALLY TO ENSURE STRUCTURAL INTEGRITY. PROPER HANDLING OF CONTAINERS IS STRESSED IN EVERYDAY OPERATION. <2> Release Containment <3> clean Up <4> Other Resource Activation 04/27/92 TAYLOR TIRE & BRAKE 215-000-000388 Page 6 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility ShutrOffs A) GAS - NORTH WEST CORNER OF NORTH SHOP BUILDING OUTSIDE B) ELECTRICAL - INSIDE STOREROOM SOUTH OF OFFICE BUILDING ON NORTH FACING WALL FACING WALL C) WATER - OUTSIDE BETWEEN TWO BLDGS IN C) WATER- OUTSID~ BETWEEN TWO BUILDINGS IN GROUND UNDER ROUND PLATE D) SPECIAL - NONE E) LQCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - TWO FIRE EXTINGUISHERS RATED AT 8BC, 1 LOCATED IN OFFICE, 1 LOCATED IN SHOP. FIRE HYDRANT - NORTH EAST CORNER OF PROPERTY, BEALE AVE & ALLEY <4> Building Occupancy Level 04/27/92 TAYLOR.TIRE & BRAKE 215-000-000388 Page 7 00 - Overall Site <G> Training <1> page 1 WE HAVE 7 EMPLOYEES. AT THIS FACILITY. DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE. SAFETY MEETING CONCERNING HAZARDOUS MATERIALS WILL BE CONDUCTED EVERY 6 MONTHS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use RICHARD TAYLOR e (tyee or urin~ name) FIEOEIYED Do herebT eert~-~-- ' _za thet I here reviewee the a.,t_t~_eb, ed_ Hazardous M~teri~s business elint.. .~ FEB TA~R TIRE L B~E for ~,~ l name of business~ ~~,~1~. ~nd that it elon~ with the ~tt~ched ~dditions or corrections constitute a comDlete and correct Business Plan for my facility. S i~na%~e date - CITY of BAKERSFIELD :, NO N-- 'I; RAD E S E C RE T S. ' ~a~e.~__o~.J._ C~TY, ZIP: ~~%~ ~O~ C~TY, ZZP: · ~'~L5 ~ ~'550~ DUN A~D BRADSTREET NUMBER . . ~ , P~ical ~ blth Nete~ C.A.S. ~ at I! a I C.A.S. ~ s (C~k ell t~t 4~ly) ...... . (C~k ell t~t e~ly) L~.r - ~--] [--]r~ [--~ CBt 12 ~lC.l.S. ~ Ftre Hazard ~tivity ~la~ ~--~ ~ blme -- a I~tete H~lth of Pr~sure H~lth ............ ~t 13 ~&C,A,S. ~r Certt~icatim (Read and sJ~ after colp~ei~nE all sections/ obtaining t~ t~f~ttm./I ~)~eve t~t t~ su~itt~ info,tim is t~. accurate. ~d emanate.. ~ ' BUSINESS NAME TAYLOR & BRAKE ID NUMI Z lS-0~-~388 LOCATION 1300 BEALE AU HIGH H~ZARD R~tTING 2 1. OVERVIEW LAST CHANGE 10/tl/88 BY ESTER JURIS CODE 21S-88Z JURIS 88KERSFIELD STATION MAP PAGE 103 GRID 298 FACILITY LJNITS 1 HAZARD RATING Z RESPONSE SUMMARY ZA SEC 4) NOTIFY APPROPRIATE AUTHORITIES OF SPILL, O0 NOT ALLOW SPILL TO. ENTER STORM DRAINS, REMOVE ALL'SOURCES OF IGNITION, 'ABSORB LIQUIDS WITH INERT MATERIAL SUCH AS SAND OR OIL ABSORBANT, MAY BE PICKED UP USING SHOVELS AND PLACED IN DRUMS OR OTHER.SUITABLE CONTAINERS, EMERGENCY CONTACTS ZA SEC RICHARD TAYLOR - 3Z?-OZI6 OR 399-8758 ROBERI' CHILDERS - 3Z3-OZ16 OR 323-1793 UTILITY SHUTOFFS ~A SEC 3) A) GAS - NW CORNER OF N SHOP BLOG OUTSIOE B) ELECTRICAL'- INSIDE STOREROOM S OF OFFICE BLD6 ON N F~CING WALL C) WATER - OUTSIDE BETWEEN TWO 8LDGS IN GROUNO UNOER ROUNO PLATE O) SPECIAL - NONE E) LOCK BOX - NO Z. NOTIFICATION /.PUBLIC EVACUATION LAST CHANGE 2 /14/89 BY In case of major hazardous spill or explosion, neighbors of close proximity with be notified. < NO INFORMATION RECORDED FOR THIS SECTION > PAGE 'I 1Z/Z3/88 14:39 MATERIAL SAFETY DATA SYSTEMS, INC. <805).648-6800 BUSINESS NAME TAYLOR TIRE & BRAKE ID NUM LOCATION 1300 BEALE RV HIGH HAZARD RATING Z 3. HRZ MAT TRAINING SUMMARY LAST CHANGE 2 ~4/89 BY Safety meeting concerning hazardous materials wiLli be conducted every 6 months. < NO INFORMATION RECORDED FOR THIS SECTION > 4.. LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE )0/II/88 BY ESTER SEC 5) CONTACT FIRE DEPT AND IN CASE OF UNDERGROUND TANK LEAK, NOTIFY A COMPANY CAPABLE OF CLEANING UP.SPILLS SUCH AS ~'IT CORPORATION". MEMORIAl. HOSPITAL CLOSE TO TRANSPORT INJURED PERSONNEL. PAGE Z !~/Z3/88 14:39 MATERIAL SAFETY DATA SYSTEMS, INC. (805) ~48-G800 .... ,,. .~ BUSINESS NAME TAYLOR TIRE & BRAKE ID NUM ' ' LOCATION 1300 BEALE AV HIGH HAZARD RATING FACILITY UNIT 0! A. OVERALL HAZARDOUS MATERIALS INVENTORY L, RST CHRNGE 10/11/88 BY ESTER ID TYPE NAME MAX AMT UNIT HAZARD LOCATION CONTAINMENT USE 1 PURE LUBRICATING OILS 150 GAL UNKNOWN INSIDE SHOP BLDO W WALL METAL CONTAINERS LUBRICANT ID PERCENT COMPONENTS HAZARD LIST 2808.02 1~.0 LUBRICATING OIL (PETROLEUM-BASED) UNKNOWN 2 WASTE WASTE OIL SOO.GAL UNKNOWN SW CORNER OUTSIDE OFFICE uNDERGROUND TANKS WASTE ID PERCENT COMPONENTS HAZARD LIST 1S98.o00 100.0 WASTE OIL UNKNOWN B, FIRE PROTECTION / WATER SUPPLIES LAST CHANGE 2 /14/89 BY Two fire extinguishers rated at 8BC, 1 located in'office , 1 located in shop. Fire hydraht located on NE corner of property: Beale Ave. & alley. < NO INFORMATION RECORDED FOR THIS SECTION > PAGE 3 12/Z3/88 14:39 MATERIAL. SAFETY DATA SYSTEMS, INC, (805) 848-8800 ~ ~ BUSINESS NAME 'TAYLOR. TIRE & BRAKE ID NUMBER Z1S-OOO-~O388 ' LOCATION 13~ BEALE AV HIGH HAZARO RATING D, EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 10/11/88 BY ESTER SEC 2> DUE TO THE SMALL SIZE OF THIS FACILITY, THE MANAGER OR ASSISTANT MANAGER WILL, IN THE EVENT OF'AN"EVRCUATI'ON, QUICKLY MAKE A PHYSICAL CHECK OF BOTH BLDGS TO ENSURE ALL PERSONNEL ARE SAFELY OUT. MEETING POINT WILL BE THE EXTREME SE CORNER OF THE PROPERTY. E. MITIGATION / PREVENTION / ABATEMENT L. AST CHANGE 10/11/88 BY ESTER SEC 1) IN C~SE OF SPILL. NOTIFY AUTHORITIES OF CONDITIONS. TO PREVENT SPILLS ABOVE GROUND CONTAINERS ARE INSPECTED PERIODICALLY TO ENSURE STRUCTURAL INTEGRITY. PROPER HANDLING OF CONTAINERS IS STRESSED IN EVERYDAY, OPERATION, PAGE 4 1Z/Z3/88 14:39 MATERIAL SAFETY DATA SYSTEMS, INC. (80B) B48-G800 -- - ~ / BAKERSFIELD CITY FIRE DEPARTMENT - ~i~z~f(~J~-- 2130 "O" STREET J[/{. 11987 BAKERSFIELD, CA 93301 (805) 326-39'79 ,~l{$'d ............ USE ONLY OFFICIAL ID# BUSINESS NAME HAZARDOUS MATERI ALS BUSINESS PLAN AS A WHOLE FORM aA 000388 INSTRUCTIONS: 1. To avoid further action, return this foum by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Ans.er the questions below for the business as ~ whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA A"8~ ............ A. SiNESS NA E: TCO -- B. LOCATION / STREET ADDRESS: I~ ~~ SECTION 2: E~RGENCY NOTIFICATIONS In case of an eaergency invoiving the release or threatened releaSe of a hazardous material, call 911 and 1-800-852-~550 or 1-916-42~-4341. This ~ill notify your local fire department and the State Office of Emergency Services as required by la~. ERPLoYEES TO NOTIFY IN CASE OF E~ERGENCY.; NAM~ AND TITLE DURING BUS. HRS. AFTER BUS. HRS. SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE C. WATER: cO~zfD},~t3Z.'~ D. SPECIAL: E. LOCK BOX: YES /~ IF YES, LOCATION: IF YES, DoEs IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / N0 FLOOR PLANS? YES / NO~ KEYS? YES / N0 - 2A - - SECTION 4: PRIVATE RESPONSE TEA~ FOR BUSINESS AS A WHOLE SECTION 5: LOCAL E~ERGENCY ~EDICAL ASSISTANCE FOR YOUR BUSINESS AS A ~HOLE S~CTION 6: E~PLOYEE T~INING .- 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. AZA OOS WITH RESPONSE AGENCIES: .......................... NO NO C. PROPER USE OF SAFETY EQUIPMENT: .................. NO ~ NO D. EMERGENCY EVACUATION PROCEDURES: ................. NO N~ E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES ~ YES SECTION ~: ~Z~OUS ~RI~ c~c~ v~s o~ ~o. ~o~s ~ou~ ~si~ss ~A~ ~AZA~OUS ~AZ~A~ ~ ~U~T~S ~SS ~A~ ~00 ~O~OS 0~ SOLID, 58 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES ~ I, ~1¢~ ~&.[~ , certify that the above information is accurate. I understand that thls information will be used to fulfill my firm's obligations under the ne~ California Health and Safet~ code on Hazardous Materials (Div. 20 Chapter Sec. 25500 Et Al.) and that inaccurate information constitutes perjury. SIGNATURE' ~' TITLE BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA. 95501 OFFICIAL USE ONLY ID#_ BUSINESS NAME: . . BUSI NESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be returned by: 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# FACILI~ ~IT N~: SECTION 1: MITIGATION, PRE~ION, ABATEME~ PROCEDb~ES SECTION 2: NOTIFICATION ~q~ EVACUATION PROCEDb'RES AT THIS b~IT ONLY SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit coutain Hazardous Materials9 ...... YES NO If YES, see B. If NO, continue with SECTION 4. B. Are any of tile hazardous materials a bona fide Trade Secret YES NO 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 PROT C SECTION S: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPO~Nq]ERS SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS b~'IT ONLY. A. NAT. GAs/pROPANE~': B. ELECTRICAL: C. WATER: D. SPECIAL: E. LOCK BO.Y: YES / NO IF YES, LOC,&TION: \ IF YES, SITE PLANS? YES / ~,:0 ,ISDSs., YES "' SLOOR PLANS? YES / NO i{E¥S? YES / ilo BAKERSFIELD CITY FIRE DEPARTMENT I.D. # FORM 4A-1 Page NON--TRADE SECRETS · HAZARDOUS b{ATERI ALS I N-VENTORY BUSINES9 NAME:-~..Ofl.'-~' ~B~'~U~' OWNER NAME: ~I~A~ ~VCO< FACILITY UNIT ADDRESS: ~00 ~~, ADDRESS: q{~ ~~~ ~,, ,,FACILITY UNIT NAME: ~ PHONE ~: 3~-~1~ ' PHONE ~: ~q~Oq~ [OFFICIALoNLY USE CFIRS CODE 1 2 3 4 9 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMIqAL OR COMMON NAME CODE OUIDE TITLE: Om~C~SIGNATURE: ~ ~ ~ ....DATE :~-'~ ') ' AFTER BUS HRS: E~ROENCY CONTACT: ~O~ ~;~ TITLE: ~r ~ ~~ I I PHONE ~ BUS HOURS: PR:INCIPAL BUSINESS ACTIVITY: ~ ~ ~ ~/~ AFTER BUS HRS: