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Home My WebLink AboutBUSINESS PLAN 2/15/2002 ~ ~' ~ ~" 640 Belle Terrace · ~ ~ i ' ~l ~ Bakersf CA93307 ~. .......... ~ ~ ~ (~J397-8969 Shocks - Clutchs - CV BOO~ Ba~ries - Alternatom - Water Pumps ITE DIAGFL~M I I FAC~LI, TY DIAGRAM ~usiness Nome: '~/~c~5 "'O ,~ ~ ~ For O~ice Use Only First in Station: Area Mc~ .~ at tnsc~ec:ion Sta,ion: NORTH ~ MISCELLANEOUS RECEIVABLES ADJUSTMENT DATE '/~5'//~ 2_ NE W ACCOUNT ADDRESS CHANGE CLOSE ACCOUNT FINANCE CHARGE ,,,. OTHER ADJ / MAILING ADDRESS ~~ ~q~/< CI~ ~/~Z~' STATE ~ ZIP CODE ~~ S,TE ADDRESS ~ PARCEL NUMBER (IF ~PLI~LE) ADJUSTMENT CHARGE DATE CHARGE CODE ADJUSTMENT AMOUNT ~-/,~ ~o.. ~ ~ ~-/- ¢~1 ~o~ ~ ~, "~' APPROVED BY DUE DATE: 2/ i,'.-!-' /O;:' PAYI"iENT DUE: q2i2. 50 STATEMENT OF ACCOUNT PAGE 1 CITY OF BAKERSFIELD P 0 BOX 2057 ~AKE~SFiELD, CA 93303-2057 (&&t) 326-2642 DATE' 1/15/02 TO: PAYEES~ ~ARK~T ~2 2900 DELL AVE BAKERSFIELD, CA 93304-6202 CUSTOMER NO: 11864 CUSTOMER TYPE: ES/ 20448 FINANCE DEPARTMENT CITY OF BAKERSFIELD P.O. BOX 2057 ~ BAKERSFIELD, CALIFORNIA 93303 /I ¢/~) ¢ RETURN SERVICE REQUESTED * ' ~ AEZAH II,i,,,,ll.,Ihli,,,,,Ih,,i,Ii IIl,,,,,li,,,I,IIl,,,,hl,l,,,hhhh,,h,,tli PAYLESS TIRE #2 SiteID: 215-000-001719 Manager : BusPhone: (805) 397-8969 Location: 640 BELLE TERRACE l&6 Map : 124 CommHaz : Low City : BAKERSFIELD Grid: 06D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 06 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title TED ESBER / OWNER TONY MELE / MANAGER Business Phone: (000) 940-9888x Business Phone: (805) 397-8969x 24-Hour Phone : (000) 943-9564x 24-Hour Phone : (000) 765-4880x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire DelHlth Agency-Defined Topic Title ~ Hazmat Inventory One Unified List -- MCP+DailyMax Order Ail Materials at Site Hazmat Common Name... ISpecHaz EPA HazardsI Frm DailyMax IUnitlMCP WASTE OIL F DH L 220 GAL Low TRANSMISSION FLUID F DH L 120 GAL Low ANTIFREEZE (COOLANT) DH L 55 GAL Low MOTOR OIL F DH L 120 GAL Min 1 06/23/1997 f PAYLESS TIRE #2 SiteID: 215-000-001719 ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site WASTE OIL Days On Site 365 Location within this Facility Unit SOUTHWEST CORNER OF SHOP. CAS# 221 Liquid Waste Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS STORED AND IN USE Lrgst Cent.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 220.00 165.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS I %Wt. EHS CAS# 100.00 Waste Oil, Petroleum Based No 0 -2- 06/23/1997 PAYLESS TIRE #2 SiteID: 215-000-001719 ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site TRANSMISSION FLUID Days On Site 365 Location within this Facility Unit SOUTH CORNER OF SHOP. CAS# 0 STATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Pure I Ambient I Ambient DRUM/BARREL-METALLIC AMOUNTS STORED AND IN USE Lrgst Cent.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 120.00 100.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL ~ HAZARDOUS COMPONENTS %Wt. IEHS CAS# 100.00 Transmission Fluid (Petroleum-Based) L~ 0 -3- 06/23/1997 PAYLESS TIRE #2 SiteID: 215-000-001719 = Inventory Item 0004 Facility Unit: Fixed Containers at Site ANTIFREEZE (COOLANT) Days On Site 365 Location within this Facility Unit NORTHWEST CORNER OF SHOP CAS# 107-21-1 r STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Pure [ Ambient I Ambient PLASTIC CONTAINER AMOUNTS STORED AND IN USE Lrgst Cent.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 55.00 30.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS %Wt. [EHS CAS# 100.00 Ethylene Glycol ~ 107211 -4- 06/23/1997 PAYLESS TIRE #2 SiteID: 215-000-001719 = Inventory Item 0002 Facility Unit: Fixed Containers at Site MOTOR OIL Days On Site Location within this Facility Unit SOUTHWEST CORNER OF SHOP. CAS# 8020835 Liquid Pure Ambient Ambient ABOVE GROUND TANK AMOUNTS STORED AND IN USE Lrgst Cent.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 120.00 80.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Motor Oil, Petroleum Based INo I 8020835 -5- 06/23/1997 PAYLESS TIRE #2 SiteID: 215-000-001719 Fast Format ~ Notif./Evacuation/Medical Overall Site -- Agency Notification 01/25/1996 EMPLOYEES ARE INSTRUCTED TO DIAL 9-1-1 IN THE EVENT OF AN EMERGENCY OF HAZARDOUS MATERIAL INCIDENT. -- Employee Notif./Evacuation 01/25/1996 VERBAL NOTIFICATION IS SUFFICIENT TO ALERT EMPLOYEES WITHIN THE SHOP OR YARD. THE OWNER, TED ESBER, WILL ALSO BE CONTACTED AT THE LANDCASTER STORE IN THE EVENT OF AN EMERGENCY OR INCIDENT. Public Notif./Evacuation 01/25/1996 CUSTOMERS WILL BE INSTURCTED AND ESCOURTED TO EVACUATE WAITING ROOM TO THE SOUTH AND EXIT THE BUILDING. Emergency Medical Plan 01/25/1996 SAN JOAQUIN HOSPITAL. -6- 06/23/1997 f PAYLESS TIRE #2 SiteID: 215-000-001719 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 01/25/1996 DRAINPANS ARE USED TO COLLECT FLUIDS FOR TRANSFER AND WASTE STORAGE DRUMS. ALL FRESH FLUIDS ARE HAND PUMPED DIRECTLY FROM CONTAINERS. -- Release Containment 01/25/1996 DRUMS AND CONTAINERS ARE STORED AGANIST WALLS AND KEPT OUT OF THE WAY OF WORKERS AND VEHICLES. -- Clean Up 01/25/1996 SHOP RAGS AND FLOOR MOPS ARE USED TO ELIMINATE SPILLS. WASTE OIL IS COLLECTED EVERY 90 DAYS BY A LICENSED HAZARDOUS WASTE HAULER AND ANIT-FREEZE IS RECYCLED ON SITE. Other Resource Activation -7- 06/23/1997 PAYLESS TIRE #2 SiteID: 215-000-001719 Fast Format F Site Emergency Factors Overall Site Special Hazards -- Utility Shut-Offs 01/25/1996 NATURAL GAS: NORTH END OF BUILDING. ELECTRICAL: NORTH END OF BUILDING. WATER: ??? -- Fire Protec./Avail. Water 01/25/1996 FIRE EXTINGUISHERS THROUGHOUT SHOP. FIRE HYDRANT IS LOCATED SOUTH OF BUILDING ON BELLE TERRACE. Building Occupancy Level 8 06/23/1997 PAYLESS TIRE #2 SiteID: 215-000-001719 Fast Format ~ Training Overall Site -- Employee Training 01/25/1996 NUMBER OF EMPLOYEES: 4 MATERIAL SAFETY DATA SHEETS ON FILE: YES BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE INSTRUCTED IN MSDS HAZARD COMMUNICATION INITIALLY AND ANNUALLY. Page 2 Held for Future Use Held for Future Use -9- 06/23/1997 BAKERSFIELD' CITY FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION 1715 'CHESTER .A,VE~ BAKERSFIELD, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN 1. To avoia tu[ther action, return this form within 30 days of receibt. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the auestions below for the business as a whole. Be brief ana concise cs ~os~ible. SECTION 1' BUSINESS IDENTIFICATION DATA BUSINESS' NAME' PZt ,c"/--E~ '"Z~ ~E LOCATION: ,~ MAILING ADDRESS: CITY: STATE: CUN & B m~-'-,c . RA._,~,_ET NUMBER SIC CODE: ?RIMARY ACTIVITY: "T'-, 'O W N E R: ~-~-.D '~; r~ C--r'z- MAILING AC"R:c~-'~, ~:.~'~,~ SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24, HR. PHONE .: .. ~a~ersrieid Fire Dept " F~rdous 1V~aterials Division '" HAZARDOUS MATERIALS MANAGEMENT PLAN ' SECTION 3: TI~AININO: NUMBER OF EMPLOYEES: MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: SECT[ON 4: EXEMPTION REQUEST: ! CERTIFY UNDER PENALTY OF PERJURY THAT'MY BUSINESS IS EXEMPT FROM THE REPORTING REGUtREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE:' FOR THE FOLLOWING REASONS: WE OD NOT HANDLE HAZARDOUS MATERIALS. WEDO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TiMEEXCEED THE MINIMUM RETORTING QUANTIFIES. 'OTHER (SPECIFY REASON) SECTION 5' CERTIFICATION: I, CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMAT[ON WiLL SE USED TO FULFILL MY F!RM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY.CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAF~TER 6.95 SEC. 25.500 ET AL.) AND THAT INACCURATE INFORMATION.CONSTITUTES PERJURY. SIGNATURE TITLE DATE - ..... ~ Hazardous Materials Divisio~ ~ '~ HAZARDOUS. MATERIALS MANAGEMENT PLAN Facility Unit Name: "'PA~cc----sS -"(q ~ ~ SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: B. EMPLOYEE NOTIFICATION AND EVACUATION: PUBL[O EVACUATION: O. EMERGENC',/ MEDICAL PLAN' BM~ersfiekl FLre Dept. Hazardou~ Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: ~3P-~,,,J/o~/,J,~ ~ osco ~ co~c~ ¢cu,~s ~ ' ~515A25.'C ON-YAIN ~5N7 ANO/O~ LEAN-UP PROCSDURES' SEQTiQN 8: UT[L[~ SHUT-OFFS {LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: ELECTRICAL: WATER' S?EC(AL: LOCK BOX: '/C:/NO.~.. .;F vc~, ,.., LOCATION' SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: "~,-~ B. WATER AVAILABILITY (FIRE HYDRANT): ' ~ ~ "Ac. o6. 0.3 B'~.z..~ '-r-c--rca, ccr,~ .... '.' BAKEP IELD CITY FIRE DEI RTMENT HAZARDOUS MATERIALS INVENTORY Page_of__ ! BuSiness Name P/3,(~J'L~-.%G 'T? ~ ~ ~-- Address ~ ~_) ~Ccc~=. '-~~ CHEMICAL DESCRIPTION 1) iNVENTORY STATUS: New ~ Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) Common Name: ~.~./3~ ~ ~) !/'--- 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire ~ Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) 5) WASTE CLASSIFICATION ~"~ (3-digit code from DES Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid ~;~ Gas [ ] Pure [ ] Mixture [ ] Waste ~' Radioactive [ ] 7) AMOUNT AND TIME AT FAClUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: ~-~) lbs [ ] gal ~ fi3 [ ] a) Container: Average Daily Amount: I/') ~" cudes [ ] b) Pressure: Annual Amount: t ¢;'~0 c) Temperature: Largest Size'Container: # Days On Site ~G~" Circle Which Months: AIIYear, J, F, M, A, M, J, J, A, S, O, N, D M X U.E ,,st COMPONENT CAS# AHM the three most hazardous 1). ~ ./3. 3 ~"~_. ~ ~/-.-- ~/(~ [ ] chemical components or any AHM components 2) [ ] 3) [ ] CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New ~ Addition [ ] Revision [ ] Deletion [ ] Check if chemical is ~ NON TRADE SECRET [ ] TRADE SECRET [ 2) Common Name: /~q'-~ ~-~ ':~ (~- - 3) DOT # '(optional) Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire ~ Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (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 UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: ~ ~ lbs [ ] gal ~ 1t3 [ ] ' a) Container: Average Daily Amount: ~-0 cudas [ ] b) Pressure: Annual Amount: ~ c) Temperature: Largest Size Container: ! ~ # Days On Site 2~' Circle Which Months: All Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # % v~r AHM the three most hazardous 1). ~1"/"~'~--0'~ (~)~t(..... [ ] chemical components or any AHM components 2) [ ] 3) [ ] 10) Location ~ C.~o P,~-~-~ ~ ~-~/~ I cer~fy underpena/~y of/aw, that, havepersonally examined and am familiar withthe in fom~s an~'ocu~ents, lbelie vet h, submitted information is true, accurate, and complete. ~RINT Nam~ & Title of Authorized Company Representative' . BAKERSFlt. D CITY FIRE DEPAR ENT HAZARDOUS MATERIALS INVENTORY Page__of__~ Business Name ~>~,L/L.~;3 -'~--'P--~-, ~ ~ Address ~----¢0 (~'~.C~ ~-~/~_. CHEMICAL DESCRIPTION 1) INVENTORY STATUS: NewJ;i~/ Addition[ ] Revision[ ] Deletion[ ] Check if chemical is aNON TRADE SECRET [ ] TRADE SECRET [ ] 2) Common Name: ~'~/"'~'J~ ~,t~ $ .~/,=,y.-~ ~"c.4./!/~ 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire ~ Reactive[ ] Sudden Release of Pmssure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE ~ ~ 6) PHYSICAL STATE Solid [ ] Liquid [~ Gas [ ] Pure [~ Mixture [ ] waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FAClETY UNITS OF MEASURE 8) STORAGE CODES Maximum Dally Amount: ~ 'ZO Ibs [ ] .gal ~ ~3 [ ] a) Container: ,~l~--t-'A~ - ~-~OT I~ ~.J~.~ Average Daily Amount: ~ curies [ ] b) Pressure: Annual Amount: ~'~;;;)i~) c) Temperature: Largest Size Container: ! # Days On Site ~:)~' Circle Which Months: All Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazardous 1) ""T-'{?--a~%~-.~, $Sf~x~J t~ts-(.J ~,"~ d~(:~ [ ] chemical components or any AHM components 2).. [ ] 3)_ [ ] 1 O) Location ~ ~ ~.~OC~"~ ~ ~ ~ ~ CHEMICAL DESCRIPTION 1) INVENTORY STATUS; New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) Common Name: ,,~"~! ~'~'~-- 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) ~] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION .(3-digit code from DHS Form 8022) USE CODE ~_z:~o~,...~3,,J 1'-- 6) PHYSlCAL STATE Solid [ ] Liquid [,~ Gas [ ] Pure ~ Mixture [ ] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FAClUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: ~"~"- lbs [ ] gal [¢~ fi3 [ ] a) Container: Average Daily Amount: . --~,0 cudes [ ] b) Pressure: Annual Amount: ~'~) c) Temperature: ~-~ Largest Size Container: # Days On Site ~"' CiroleWhich Months: All Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazardous 1) (~__..~'{-/-(-~'c.C~.,~,J(-:.- ~/-.-~'-J~C:~l.... .~ [ ] chemicaJ components or any~AHM components 2) [ ] 3), [ ] 10) Location //'~ /.~ ~.~t~'f-C~J'C,/'(,._ Of~-- .:~ ~.,0,1~ certify under penal~y of law, that I have personally examined and am familiar with the infomabon submitted on this end all attached documents. I believe th~ submitted information is b-ue, accurate, end complete. PRINT Name & Title of Authorized Company Representative Signature Date