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Home My WebLink AboutBUSINESS PLANFINANCE DEPARTMENT C TY Of BAKERSFIELD 03 P O BOX 2057 J~ETURi'4 ,~ERVICE RETURN SERVICE REQUESTED ~SFIFLDo 5 -:. c. ,~ ~ - ~ ~ ,¢~ "'"~ ....... · ih h,,,ll,,, 11, ~ h,,,,i, It ~,,,,, i-, il I,,, h,, I'I1,,, 1,,, I h,, Ii. -~'~-- ~ Bakersfield Fire Dept. UNIFIED PROGRAM I]~PECTION CHECKLIST Enironmental Services , ' ' , ,',', , , ",'" 1715 ChesterAve SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE No. NO. of Employees 5'i ,-/ ~-'rs~.lle. "2'~_~,",~_ ..... _w_.__o_~ g.~,/- ~"ta~_ ...................... FACILITYCONTACT Business ID Number 15-021 - 002= to ., ':i::' ' ,." Section1: BUsiness Plan and Inventory program ~ Routine [] Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection C V ~C=Compliance'~ OPERATION COMMENTS \ V=Violation / I-~ [] APPROPRIATE PERMIT ON HAND [] [] BUSINESS PLAN CONTACT INFORMATION ACCURATE [] [] VISIBLE ADDRESS [] [] CORRECT OCCUPANCY '"~' [] [] VERIFICATION OF INVENTORY MATERIALS [] [] VERIFICATION Of QUANTITIES [] [] VERIFICATION OF LOCATION........... ~ --~' '--J --'' .......... I~ [] [] VERIFICATION OF MSDS AVAILABILITYE [] [] VERIFICATION OF HAT MAT TRAINING [] [] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES [] [] EMERGENCY PROCEDURES ADEQUATE [] [] HOUSEKEEPING ANY HAZARDOUS WASTE ON SITE?; [] YES [] No'J EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector Badge No. Business Site Responsible Party White - Environmental Services Yellow - Station Copy Pink - Business Copy L W REPAIR SiteID: 015-021-002210 Manager : BusPhone: (661) 834-8900 Location: 514 BELLE TERRACE Map : 124 CommHaz : Moderate City : BAKERSFIELD Grid: 06D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 06 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title ALLAN MADDOX / PARTNER ED MARTIN / PARTNER Business Phone: (661) 834-8900x Business Phone: ( ) - x 24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x Pager Phone : (661) 834-8900xCELL Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: (661) 834-8900x MailAddr: PO BOX 41763 State: CA City : BAKERSFIELD Zip : 93384 Owner ALLAN MADDOX/ED MARTIN Phone: (661) 834-8900x Address : PO BOX 41763 State: CA City : BAKERSFIELD Zip' : 93384 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: SEND MAIL TO P O BOX. =Hazmat Inventory One Unified List --Alphabetical Order Ail Materials at Site Hazmat Common Name... SpocHazlEPA HazardsI Frm DailyMax lUnitlMCP ACETYLENE E F P IH G 130 00 FT3 Hi MOTOR OIL F DH L 55 00 GAL Min OXYGEN F IH DH G 249 00 FT3 Low SOLVENT F DH L 55 00 GAL Mod WASTE FUEL F IH DH L 55 00 GAL Low WASTE OIL F DH L 55 00 GAL Low -1- 01/13/2003 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES. UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 i,~, {~t'[:~':c'- INSPECTION DATE /~ - ~S FACILITY NAME ADDRESS 5'1~( gell~"~--,[tc'f'nc~_ . ~./PHONE NO. ~b/ g3q-8~lO0 FACILITY CONTACTr'e'~ 5']-,(_.. ~z_.~mud.~ BUSINESS ID NO. 15-210- ~'~P9.210 INSPECTION TIME / ~-- ~ ,,.-~ NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [~ Routine [~ COmbined [~ Joint Agency I~ 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 segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site~?: ~ Yes ~ No Explain: ~ ~/--.e ,~. / Questions regarding this inspection? Please call us at (661) 326-3979 Business S~te Responsible Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: ~ ~ L W REPAIR SiteID: 015-021-002210 Manager : BusPhone: (661) 834-8900 Location: 514 BELLE TERRACE Map : 124 CommHaz : Moderate City : BAKERSFIELD Grid: 06D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 06 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title ALLAN MADDO~ / PARTNER ED MARTIN / PARTNER Business Phone: (661) 834-8900x Business Phone: ( ) - x 24-Hour Phone : ( ) °- x 24-Hour Phone : ( ) - x Pager Phone : (661) 834-8900xCELL Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: (661) 834-8900x MailAddr: PO BOX 41763 ~. State: CA City : BAKERSFIELD Zip : 93384 Owner ALLAN MADDOX/ED MARTIN Phone: (661) 834-8900x Address : PO BOX 41763 State: CA City : BAKERSFIELD Zip : 93384 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: SEND MAIL TO P 0 BOX. ~- Hazmat Inventory One Unified List --Alphabetical Order Ail Materials at Site Hazmat Common Name... ISpocHazlEPA HazardsI Frm DailyMax I~UnitlMCP ACETYLENE E F P IH G 130 00 FT3 Hi MOTOR OIL F DH L 55 00 GAL Min OXYGEN F IH DH G 249 00 FT3 Low SOLVENT F DH L 55 00 GAL Mod WASTE FUEL F IH DH L 55 00 GAL Low WASTE OIL F DH L 55 00 GAL Low -1- 07/01/2002 CITY OF BAKERSFIEI r D ~FFICE OF ENVIRONMENTAL VICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN 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. .. 5. You may also attach Business Owner / Operator Form and Chemical Description Form(s) to the fi'ont of this Plan instead of completing SECTION I. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA BUSINESS NAME: LOCATION: ~/~ EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE HA~,.DOUS MATERIALS MANAGE~T PLAN SECTION II. 1' DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: B. EMPLOYEE AND AGENCY NOTIFICATION: C. ENVIRONMENTAL RESPONSE MANAGEMENT: D. EMERGENCY MEDICAL PLAN: 2 HAT~IDOUS MATER/ALS MANAGEr PLAN SECTION II.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES: B. RELEASE CONTAINMENT AND/OR MITIGATION: C. CLEAN-UP AND RECOVERY PROCEDURES: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL OAS/PROPANE: / WATER:'_. £PECIAL: v PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: ,~/~~/~/-~ B. WATER AVAILABILITY (FIRE HYDRANT): (,' 3 HA~t~DOUS MATERIALS MANAGE PLAN '"' SECTION III: TRAINING NUMBER OF EMPLOYEES: o~~ MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SLrMMARY OF TRAINING PROGRAM: CERTIFICATION I, ~Z[ 2.-,L,~AJ f)Q/q~9,0,~ CERTIFY T~T THE ~OVE ~O~TION IS ACC~TE. I ~ERST~ ~Y ~S ~O~ON ~L BE USED TO F~F~L ~ F~'S OBLIGA~ONS ~ER T~ "C~O~ ~TH ~ S~E~ CODE" ON ~~OUS ~~S ~. 20 C~TER 6.95 SEC. 25500 ET ~.) A~ ~T ~ACC~TE ~O~ON CONS~ES PE~Y. S~ATM /~'~ TITLE 'DATE tlAZ MAT MNOMNT PLAN & INSTRUC 4 O ~. CITY OF BA~'RSFI OFFICE OF. ENi/IRON'~ENTAL SERVICES 171:5 Chester A've., Bakersfield, CA (661) 326-3979 SITE AND FACILITY DIAGRAM INSTRUCTIONS FOR HAZARDOUS MATERIALS MANAGEMENT PLANS These instructions explain the use of the site diagram and the facility diagram. Normally, small and medium size businesses will only have to submit a site diagram. If you have subdivided your business into smaller areas because of the complexity or size, then you will be completin~ and additional detail map, facility diagram, for each of these areas. Include insUuctions that show the route to your business it it is in a remote location. .. - SITE DIAGRAM INSTRUCTIONS The site diagram is used to show your busine~ and to indicate the businesses that immediately .. surround your property, usually within 300 feet. If you will be showing specific area detail on'.!;..?. facility diagrams, use the site diagram to show an overall layout of the plant. If'you will not b~ submitting facility diagrams, the site map must include aH of the following information: 1. Check the box on the top left comer of the form provided that indicated "Site Diagram". 2. Print the name of your business, as Shown in your HMMP, on the top of the 3. Label the location of the hazardous materials and identify them by name and tYl~" of hazard (ie. Flammable liquid, corrosive solid). 4. Label the location of'utility shutoff points for gas, electric and water services. 5. Label the location of' fire hydrants. 6. Label portions oft! -~ building protected by automatic sprinkler systems. 7. Label the direction representing north on the diagram. (The diagram form provided includes a north arrow). Map labeling must be lel~ ~nd easily understandable. Try to the use of'abbreviations or symbols. [fyou mustt~em, use provide a legend explaining your system. Maps may be returned for correction it'you t'ail to follow these instruction. FACI/,ITY DXAGRA~ I~STRUCT[ONS Facility diagrams are supplements to the site diagram. Use them to show the subdivision details ot'a l~8e business. 1. Check the box in the upper right hand corner or' the t'orm pro, vialed that indicated "Facility Diagram". 2. Print the na~ of your business as shown on your IqIVI~P. Print the name of the area that this map represents. This name' should be the same name that you used on this area's inventory report. 3. Indicate which area the diagram represents and the total number of facility diagrams that you are including. Ifa map represented the first of four areas, it would be labeled #1 of'4. 4. Follow instruction (3 -7) for site diagrams regarding the specific details to be included on each facility diagram. '. { SITE DIAGRAM ~ FACILITY DIAGRAM , Business Address: ~'/g ~//~ T~rrAc~ ..~...o L W REPAIR ~ SiteID: 015-021-002210 Manager : ~[q ~ }f((~C~. BusPhone: (661) 396-8628 Location: ~r3~ BELLE TERRACE~ Map : 124 CommHaz : Moderate City : BAKERSFIELD Grid: 06D FacUni'ts: 1 AOV: CommCode: BAKERSFIELD STATION 06 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title ALLAN MADDOW / / Business Phone: (661) 396-8628x Business Phone: ( ) - x 24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x Pager Phone : (661) 834-8900xCELL Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : --Fo~× ~/7~ Phone: (661) 396-8628x MailAddr: ~ :~ .... E 4 State: CA City : BAKERSFIELD Zip : 93307 ~33g~ Owner L W REPAIR Phone: (661) 396-8628x Address~/q[~3~· BELLE TERRACE & State: CA City : BAKERSFIELD Zip : 93307 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: = Hazmat Inventory One Unified List -- Alphabetical Order Ail Materials at Site Hazmat Common Name... ]SpooHazlEPA HazardsI Frm I DailyMax UnitlMCP ACETYLENE E F P IH G 130.00 FT3 Hi MOTOR OIL F DH L 55.00 GAL Min OXYGEN F IH DH G 249.00 FT3 Low SOLVENT F DH L 55.00 GAL Mod WASTE FUEL F IH DH L 55.00 GAL Low WASTE OIL F DH L 55.00 GAL Low ~ ,z.~L~/u /"~,~Z)~X Do hereby ceftin/~hat ~ hav~ (Type or print name) reviewed ih~ ~tiach~d hazardous materials ma~age~ merit plan ;or /--/_xJ ~/~. ~/~ and lha~ i~ along wi~h (Name of Business) any corrections constitute a comple~s and correc~ man- agemem plan for my ~acili~. L W REPAIR SiteID: 015-021-002210 = Inventory Item 0002 Facility Unit: Fixed Containers at Site -- COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE SHOP ON PORTABLE CART CAS# 74-86-2 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas 'Pure Above Ambient I Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 130.00 FT3I 130.00 FT3 100.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Acetylene Yes 74862 HAZARD ASSESSMENTS TSecretl ~SIBioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# MCP No N No No/ Curies F P IH / / / Hi ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site MOTOR OIL Days On Site DELe 400 365 Location within this Facility Unit Map: Grid: INSIDE NE CORNER OF SHOP CAS# 8020835 Liquid /Pure Ambient Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container ! Daily Maximum Daily Average 55.00 GALL 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS %Wt. CAS# 100.00 Motor Oil Petroleum Based N~S , 8020835 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP __ No No/ Curies F DH / / / Min -2- 05/16/2001 L W REPAIR SiteID: 015-021-002210 = Inventory Item 0001 Facility Unit: Fixed Containers at Site ~lVUVl~ ~Vl~ / ~ ~ ~/--kl~ ~Vl~ OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE SHOP ON PORTABLE CART CAS# 7782-44-7 Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container [ Daily Maximum I Daily Average J 249.00 FT3 249.00 FT3 249.00 FT3 HAZARDOUS COMPONENTS 100.00 Oxygen, Compressed N 7782447 HAZARD ASSESSMENTS -- TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# MCP No N° No No/ Curies F IH DH / / /I Low = Inventory Item 0003 Facility Unit: Fixed Containers at Site UUIVUVlU~ ~Vl~ / U~£ U/--kl~ ~Vl~ SOLVENT Days On Site SOLVENT 142 365 Location within this Facility Unit Map: Grid: INSIDE SEATRAIN CAS# STATE ~' TYPE PRESSURE I TEMPERATURE CONTAINER TYPE Liquid /Pure Ambient I Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 55.00 GAL[ 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS %Wt. Naphtha I ~S CAS# 100.00 N 8030306 HAZARD ASSESSMENTS TSecret RS BioHazl Radioactive/Amount ] EPA HazardsI NFPA USDOT# I MCP No No No No/ Curies F DH / / / Mod -3- 05/16/2001 L W REPAIR SiteID: 015-021-002210 = Inventory Item 0005 Facility Unit: Fixed Containers at Site ~U~UVlU~ ~Vl~ / ~±~./--kJ.J ~Vl~ WASTE FUEL Days On Site GASOLINE/DIESEL MIX 365 Location within this Facility Unit Map: Grid: INSIDE SEATRAIN NE OF SHOP CAS# FSTATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste Ambient Ii Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 55.00 GAL I 55.00 GAL ZARDOUS COMPONENTS %Wt. I ~S CAS# 100.00 Waste Oil, Petroleum Based N HAZARD ASSESSMENTS TSecret RS 'BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low = Inventory Item 0006 Facility Unit: Fixed Containers at Site ~lVUVlU~ ~Vl~ / ~ ~Z-~IJ ~Vl~ WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE SEATRAIN NE OF SHOP CAS# 221 --F STATE TYPE PRESSURE --[ TEMPERATURE CONTAINER TYPE ./Liquid Waste Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 55.00 GALI 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based N° TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies F DH / / / Low -4- 05/16/2001 W REPAIR SiteID: 015-021-002210 Fast Format F Notif./Evacuation/Medical Overall Site Agency Notification -- Employee Notif./Evacuation Public Notif./Evacuation Emergency Medical Plan -5- 05/16/2001 W REPAIR SiteID: 015-021-002210 Fast Format Mitigation/Prevent/Abatemt Overall Site I Release Preventi°n Release Containment -- Clean Up Other Resource Activation 6 05/16/2001 L W REPAIR SiteID: 015-021-002210 Fast Format Site Emergency Factors Overall Site Special Hazards Utility Shut-Offs -- Fire Protec./Avail. Water Building Occupancy Level -7- 05/16/2001 L W REPAIR SiteID: 015-021-002210 Fast Format Training Overall Site Employee Training -- Page 2 ~ Held for Future Use Held for Future Use 8 05/16/2001 CiTY OF BA~ JEPAR ENT . OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~.-{~ ~-.4~,4,c'~ INSPECTION DATE l / FACILITY CONTACT .A-tt.t~ ~-~,~r~c,~o~,. BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [~ Routine ~,~ombined [~ Joint Agency [~ Multi-Agency ~.~ Complaint {~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand t.-)?t.t,. /d'C~C..--O ~ ~-~E,'x 17~ Business plan contact information accurate ~-,ao;'~. E'~'~.t/%~T'~" Visible address Correct occupancy Verification of inventory materials ~"~e}"/~,,~d~--0 ~ Verification of quantities id Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping ~/ ~/..C"t~<JF--. ~.~<7~t'd~ Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: iffYes [~No ~ ~e~s~ Explain: /.~$7-~ l:~ll.. ~' ~A~/~/'~---~L Questions regarding this inspection? Please call us at (661) 326-3979 Business S~'te R arty White- Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector: OFHCE OF ENVIRONMENTAL SERVICES "~ ~- UNIFIED PROG~M INSPECTION CHECKLIST 17~15 Chester Ave., 3~ Floor, Bakersfield, CA 93301 ADD.SS ~% ~~ ~~ ~ PHONENO. ~ 3~ ~d~ FACILITY CONTACT A~C~ ~~ BUS.ESS ID NO. 15-210- ~SPECTION TIME NUMBER OF EMPLOYEES Section.l: Business Plan and Invento~ Program ~ Routine ~ombined ~ Joint Agency ~ Multi-Agency ~ Complaint '~ Re-inspection OPE~TION C V COMMENTS Appropriate pe~it on hand Ol~C ~ ~ ~-~ Business plan contact info~ation accurate ~q~ ~~ Visible address Co.ecl occupancy Verification ofinvento~ materials ~~'~0 ~ Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping ~ ~E~ ~.o~E Fire Protection Site Diagram Adequate & On Hand .4' C=Compliance V=Violation Any hazardou~ waste on ~ite?: ~ No Questions reg~ding this inspection? PleaSe call us at (661) 326-3979 Business Sfte Res~dnsibl~ Party White- Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector: CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~"~ {'"~ {~'~'~'/'~ INSPECTION DATE Section 4: Hazardous Waste Generator Program EPA ID # [] Routine ~ Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number (Phone: 916-324-1781 to obtain EPA ID #) / Authorized for waste treatment and/or storage / Reported release, fire, or explosion within 15 days of occurrence Established or maintains a contingency plan and training Hazardous waste accumulation time frames Containers in good condition and not leaking Containers are compatible with the hazardous waste Containers are kepi closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line Secondary containment provided Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste Proper management of lead acid batteries including labels / Proper management of used oil filters Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal C=Compliance V=Violation ns.ector: t'0' Office of Environmental'Services (661) 326-3979 B~si~ess Site ~esponsibie/Party White - Env. Svcs. Pink - Business Copy I CITY OF BAKERSFIEL~ OFISTCE OF ENVIRONMENTAL SEsRVICES 1715 Chester Ave. CA 93301 (661) 326-3979 "~'~*' ~' H~RDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one ~ per ma~al per bu~di~ or ama) ~ NEW ~ ADO ~ DELETE ~ REVISE ~ Page ~ of BUSINESS ~ME (~e ~FACILI~ ~E ~ D~ - ~ng B~n~ ~) 3 ~1~ ~EMI~L LO~TION FAClU~ ID. ~ ~ 1 ~ ~ (op~naO ~3 GRiD ~ (op~naO ~ i T~DE SECRET ~N ~ EHS* ~ y~ FIRE ~DE ~D C~E8 (~pl~e if ~u~t~ by ~ fire ~ ~PE ~RE B m ~RE B w WASTE .21~ ~DIOA~ B Y~ B No 2~2 [ CURIES PHYSI~L STA~ ~ s ~UO ~1 L~UlD ~S 214 ~RGEST~AINER 215 FED ~D ~TE~RIES ~ 1 FIRE ~ 2 ~ ~ P~SSURE ~E D 4 A~ H~L~ ~ 5 ~RONIC H~ ~6 (~ ~1 ~at apply) UN~S' ~ ~ ~L ~d CU ~ ~ lb LBS D ~ TONS ~1 DAYS ON SffE ' ~ ~S, am~nt m~t bain lbs. STOOGE ~AINER ~ a A~VE~UND T~K ~ · ~S~ONM~ALLIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL (C~ck all ~at ~ b UNDERGROUND TANK ~ f ~N ~ j ~G ~ n P~C BO~LE ~ r O~ER ~ c T~K INSIDE BUI~ING ~ g ~Y ~ k ~X ~ o TO~ BIN ~ d S~EL DRUM ~ h SILO ~ CYLINDER D p T~K WA~N STOOGE PRESSU~ ~ a ~IE~ ~.A~VE A~I~ ~ ba BELOW A~IE~ STOOGE ~MPE~RE .~ A~IE~ ~ ~ ~VE A~I~ ~ ba BELOW~IE~ ~ c CRYOGENIC 2 ~ ~0 231 ~Y~ ~No~2 2~ ~5 ~Y~ 236 ~7 ~ ~9 ~ Y~ ~ No 240 241 242 243 ~ Y~ ~ NO 2~ 2~ PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd OFIq'CE OF ENVIRONMENTAL Sg"RVICES rtt, 1715 Chester Ave., CA 93301 (661) 326-3979 H RDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one ~ per ma~hal ~er bu~ing or ama W ~ ADD ~ DELVE ~ REVISE ~ Page ~ of BUSINESS ~ME ~me ~ FACILI~ ~E ~ D~ - ~ng B~n~ ~) 3 CHEMICAL LO~TION _ -- ...... ~1~ CHEMI~L LO~TION I ~5 T~E SECRET CHEMI~L ~ME ~ ~ ~ Subj~ ,o E~ ~. to ins~i.s ~7 COM~N ~ EHS* FIRE ~DE ~ C~E5 (~pl~e if ~u~t~ by I~ tim ~i~ 210 ~ PURE ~ m ~RE ~ w WASTE 211 ~DIOA~ ~ Y~ ~ No 212 CURIES 213 PHYSI~LSTA~ ~s SOLID ~1 L~UID ~'g ~S 214 ~RGEST~AINER ~ FED ~RD ~TE~RIES (~ ~l ~at apply) . FIRE D 2 ~ ~3 P~SSURE ~L~SE D 4 AC~ H~L~ D 5 ~RONIC H~L~ A'u'ANNU~ WAS~ 217 ~ --I'M. ILY ~U' fi~ 218 ~ A~DAiLY A'U' ~ 219 STA. W~ ~DE UNffS* ~ ~ ~L ~.d CU ~ ~ lb LBS D ~ TONS 221 DAYS ON * E EHS, ~nt mu~ ~ in lbs. STOOGE CO~AINER ~ a A~VE~UND T~K ~ e ~STI~ONM~LIC DRUM ~ i FIBER DRUM ~ m G~SS BO~E ~ q ~IL (Check afl ~at apply) ~ b UNDER~OUND T~K ~ f ~N ~ j BAG ~ n P~S~C BO~LE ~ r O~ER ~ c T~K INSIDE BUILDING ~ g ~R~Y ~ k ~X ~ o TO~ SIN ~ d S~EL DRUM D h SILO ~ CYLINDER ~ p T~K WA~N STOOGE P~SSU~ D a A~IE~ ~,A~VEA~IE~ ~ ba BELOW A~IE~ ~4 STOOGE ~M~RE ~ A~IE~ ~ ~ ~VE ~IE~ ~ ba BELOW~IE~ ~ c CRYOG~IC ~ ~7 ~Y~ ~No 228 ~0 ~1 ~Y~ ~No 232 ~ ~5 ~Y~No 236 ~7 ~ ~9 ~Y~ ~No 240 241 242 243 ~ Y~ ~ No 2~ 245 PRINT ~ & TITLE OF AU~OR~D COMPA~ RE~E~E~AT~E DA~ 2~ UPCF (7~99) S:\CUPAFORMS\OES2731 .TV4.wpd ~ CITY OF BAKERSFIELI~ OFI~CE OF ENVIRONMENTAL S'E'RVICES 1715 Chester Ave., CA 93301 (661) 326-3979 "'"**"~~'""~"' HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per matetfal per building or area) ,./, i~w [] ADD i'-I DELETE [] REVISE 200 Page __ of BUSINESS ~ME (~me ~ FACILI~ ~ME ~ O~ - ~ng Bu~n~ ~) 3 FAClLI~ ID ~ ~ 1 ~ ~ (op~naO ~3 GRID ~ (op~naO 2~ .. CHEMI~L ~E ~7 COM~N ~ EHS" FIRE ~DE ~ ~ES (~p)me if ~t~ by I~ tim ~i~ 2~0 ~PE D p ~RE ~m MITRE D w WASTE 211 ~D~A~ D Y~ O No 212 J CURIES 213 PHYSI~LSTA~ D s SOLID ~LIQUID ~.g ~S 214 ~RGEST~AINER ~ 215 FED ~RD ~TE~RIES ~ FIRE ~ 2 ~ ~ 3 P~URE ~SE ~ 4 AC~ H~L~ ~ 5 ~RONIC H~ 216 (~ all ~at UN,S* ~ ~L ~ d CU ~ ~ ~b LeS ~ m TONS 221 DAYS ON SffE * E ~S. ~nt mu~ be in lbs. STOOGE ~AINER ' ~ a A~VEGROUND T~K ~ · ~STI~NM~ALLIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL (Check all ~at app,) ~ b UNDERGROUND TANK ~ f ~N ~ j BAG ~ n P~S~C BO~LE D r O~ER ~ c T~K INSIDE BUILDING D g ~R~Y ~ k ~X ~ o TO~ BIN S~EL DRUM h SILO I ~MNDER p T~K WA~N STOOGE P~SSU~ ~ A~IE~ ~ ~.. A~VE A~IE~ ~ ba BELOW A~IE~ STOOGE ~RE ~1~ ~ ~ A~VE ~1~ ~ ~ BELOWA~IE~ D c CRYOGENIC ~s ~? D Yes [] No ~.e I 2~4 235 [] Yes [] No 236 237 238 239 [] Yes [] No 240 241 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE UPCF (7~99) S:\CUPAFORMS\OES2731 .TV4.wpd ,~Dr-, ,~.~..,,~ -.,...~ i~t HAZARDOUS CI~ OF BA~RSFIEL~ MATERIALS OF~CE OF ENVIRONMENTAL S~VICES ~4~r~r 1715 Chester Ave., CA 93301 (661)326-3979 -.~,~.,~- iNVENTORY CHEMICAL DESCRIPTION (one ~ per ma~al ~r budding or ama) ~ ADD ~ DELETE D REVISE ~ Page ~ BUSINESS ~ME,(~me ~ FACILI~ ~E ~ O~ - ~ng B~n~ ~) 3 CHEMI~L LO~TION .~ [ . ~ &J~ ~. ~ ~ /~ .... ~ 201 CHEMI~L LO~TION T~DE SEORET ~7 ~N ~ EHS' FIRE ~8E ~D 6~88E8 (~l~e ~ ~u~t~ by I~ ~m ~ 2~0 ~PE O p PURE ~~RE D w WA~ 211 ~DIOA~ DY~ DNo 212 ~ CURIES 213 PHYSI~LSTA~ D S SOLID ~IQUID D g ~S 214 ~RGEST~AINER ~ 215 FED ~D ~TE~mES ~ FIRE ~ 2 ~ ~ 3 P~SSU~ ~L~SE ~ 4 A~ H~L~ D 5 ~RONIC H~ 216 (~ all that apply) ANNU~ WAS~ 217 ~I~M ~ 218 A~ ~ 219 STA~ W~ ~DE A~U~ DAILY ~U~ DAILY ~U~ UNffS* ~ ~ ~ d CU ~ ~ lb ~S ~ ~ TONS ~1 DAYSON * ff ~S, am~nl m~ ~ in lbs. STOOGE CO~AINER ~ a A~VEGROUND T~K ~ · ~S~N~UC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL (Check a8 ~at app.) ~ b UNDERGROUND TANK ~ f ~N ~ j ~G D n P~STIC 80~LE ~ r O~ER D c T~K INSIDE BUILDING D g ~R~Y ~ k ~X ~ o TO~ BIN STOOGE PRESSURE ~ A~I~ D ~.~VEA~IE~ ~ ba BELOWA~IENT ~4 S~GE ~RE ~a A~IE~ ~ ~ ~VE ~IE~ e ~ BELOWA~IE~ ~ c ~YOGENIC ~5 I [ ~ ~7 ~ Y~ ~ No ~8 2 ~ ~0 ~1 ~Y~ ~No 232 ~ ~5 ~Y~No 236 ~ ~9 ~ Y~ D No 240 241 242 243 ~ Y~ ~ No 2~ 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE UPCF (7/99) S:\CUPAFORMS\OES2731 .TV4.wpd OF ENVIRONMENTAL S~'RVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material l~er bu/Icling or area) ,~NEW [] ADO [] DELETE [] REVISE Page ~ of . ....:....?. } BUSINESS ~E (~me ~ FACILI~ ~E ~ DBA - ~ng Bu~n~ ~) 3 CHEMI~L LO~T~N ~ CONFIDENTIAL (EPC~) FACILI~ ID, ~ ~ 1 ~ ~ (op~nsO ~3 ] GRID g (op~naO ~ T~E SECRET 207 COM~N ~ EHS' FIRE ~DE ~D ~ES (~pl~e if ~u~t~ by I~ fire ~ ~:;~'~'~'~'~: ~;~'~'~*~' 210 ~PE D p PURE ~ ~ ~~ 211 ~DIOA~ DY~ D NO 212 [ CURIES 213 P HYSI~L STA~ ~ S SOLID ~ UQUID ~g~S 214 ~RGEST ~'AINER .~ 215 FED~RD~RIES ~1 FIRE ~2 ~ ~3 P~SSU~SE ~4 A~H~L~ ~5 ~RONICH~ 216 (~ ~1 ~at ~p~) ~U~ DALLY ~U~ DALLY ~U~ DAYS ON SffE UN,S* ~ ~ ~L D ~ CU ~ ~ lb LBS ~ m TONS * ~ EHS, ~nt mu~ be in STOOGE ~AINER D a A~VEGROUND T~K D · ~S~ONM~LIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL (Check a// ~at ap~) ~ b UNDER~OUND TANK ~ f ~ ~ j BAG ~ n P~TIC BO~LE ~ r O~ER ~ c T~K INSIDE BUILDING ~ g ~R~Y ~ k BOX ~ o TOTE BIN ~S~EL DRUM ~ h SILO ~1 CYLINDER ~ p T~KWA~N STOOGE PRESSURE ~a A~IE~ D ~A~VE ~IE~ ~ ba BELOW A~IE~ ~4 S~GE ~RE ~ A~IE~ ~ ~ ~VE ~IE~ Dba BELOWA~IE~ ~ c CRYOGENIC ~5 ~ ~7 ~ Y~ ~ No ~8 2 ~0 231 ~ Y~ ~ No 232 ~3 ~ ~5 ~Y~No 236 ~7 ~ ~9 ~ Y~ ~ No 240 241 242 243 ~ Y~ ~ No 2~ 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE UPCF (7199) S:\CUPAFORMS\OES2731.TV4.wpd OF ENVIRONMENTAL VICES t nRrl.t rr 1715 Chester Ave., CA 93301 (661) 326-3979 "~'~~' H~RDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one ~ ~r ma~l ~ ~ding or ama) W ~ ADO ~ DELETE ~ REVISE ~ Page ~ BUSINESS ~ME (~me ~ FAClLI~ ~E ~ D~ - ~ng B~n~ ~) 3 CHEMI~L LO~TION /~'0E ~E~~~ ~E ~ S~ ~,j CHE.~L LO~TION ~Y. ~No ~2 CONFIDE~IAL (EPC~) FACILI~ ID' ~ a t ll~'(°P'naO ~i GRID'(Op~naO ~5 T~DE SECRET CHEMI~L ~ME ~ ~ ~ ~ E Subj~ tO EPC~ r'. tO ins~s ~7 CO~N ~ EHS* FIRE ~DE ~ C~ES (~pl~e ~ ~u~t~ by I~ tim ~ :'-~ ......... ~-' ..... -'~'~" ~~s''<~, I 210 ~PE a p ~RE a m ~ ~ WASTE 211 I ~D~A~ DY. aND 212 j ~RIES 213 FED ~RD ~TE~RIES (~ all that app.) FIRE ~ 2 ~ ~ 3 P~SSURE ~E ~ 4 A~ H~L~ ~ 5 CHRONIC H~L~ 216 ANNU~ WAS~ 217 I ~,~M 218 I A~ 219 STA~ W~ ~DE DAYS ON UN.S* ~ ~L ~ ~ CU ~ ~ lb ~S D ~ TONS 221 * ~ ~S. ~nt m~ ~ in lbs. STOOGE CO~AINER ~ a A~VEGROUND T~K D e ~STI~N~LIC DRUM ~ i FIBER DRUM ~ m G~SS BO~E ~ q ~IL (Check all ~at app.) ~ b UNDERGROUND TANK ~ f ~ ~ j BAG ~ n P~STIC BO~LE ~ r O~ER ~ c T~ INSIDE BUILDING ~ g ~Y ~ k ~X ~ o TOTE BIN ~S~EL DRUM D h SILO ~ I ~LINDER ~ p TANK WA~N STOOGE PRESSURE ~ A~IE~ ~ ~-A~VE ~IE~ ~ ba BELOW A~IE~ ~4 STOOGE ~RE ~ A~IE~ ~ ~ ~IE~ ~ ba BELOW~IE~ D c CRYOG~IC 226 227 [] Yes [] No 228 229 230 231 [] Yes [] No 232 233 234 235 [] Yes [] No 236 237 238 239 [] Yes [] No 240 241 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE UPCF (7/99) S:\CUPAFORMS\OES2731 .TV4.wpd