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HomeMy WebLinkAboutBUSINESS PLAN Hazardous Materials/Hazardous Waste Unified Permit . CONDITIONS OF .PERMIT ON REVERSE SIDE · -' ' ~' ' ~ This ~it is issued for the following: E] Hazardous Materials Plan [] Underground Storage of Hazardous Materials Permit ID #:: 015-000-001779 E] Risk Management Program DAVIDSON ENTERPRISES [],~rdou. W..te On-S,~V~mo.t LOCATION: 3223 BRITTAN ST OFFICE OF ENVIRONMENTAL SER VICES' ' 1715 Chester Ave., 3rd Floor Approved by: Bakersfield, CA 93301 of~ceof~-v~s~ic~ Voice (661) 326-3979 FAX(661) 326-0576 "Expiration. Date: .Ju.. 30. 2OO':1 :~_~',-':*. ,-,-~ '.. '.'. Hazardous Materials~azardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ......... ,~,~,,~=,, ~'?!~.i;~,, ~,=,,~,~,~, .......... This permit is issued for the following: II ~Issu~ by: II ~V. ~- .'7~ B~e~el~CA 93301 II ~,OJ~ Voice (805) 326-3979 _ H ~' F~ (805)3260576 Expiration Date: .' $ITR MA? -- Form b .... AREA ~AP -. Form 6A Form 5A Box is Checked: APea MaD ~ o~ ~'n._~ ~North Name o~ Area: '~ ~ Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave SECTION '1 Business Plan and Inventory Program Bakersfield, CA 93301 Tel: (661)326-3979' INSPE TIO DATE INSPECTION TIME FACILITY NA'ME ' PHONE No. ADDRESS NO. of Employees .......... ~CILITYCONTACT Business ID Number 15-021 - , ' :~ ' ' ". ,.~ · Section ~1- Business Plan.and Inventory progmm ~O, outine [] Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection C V (C=Compliance'~v=violation ,/ OPERATION COMMENTS A [] APPROPRIATE PERMIT ON HAND [] Fl 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 AVAILABILITYE ~ i"1 VERIFICATION OF HA-'.'.'.'.'.'.'.'.~AT TRAINING J~ i-~ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ i'"1 EMERGENCY PROCEDURES ADEQUATE .................................. ~, ....... [] ~ CONTAINERS PROPERLY LABELED ~.--~'J~el ~)i"~'~l~"J~'Y'' ~-'~ ~1 ~, HOUSEKEEPING' ~,-~ [~ [] FIRE PROTECTION ~ [] SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?; ~[ YES [] No QUESTIONS~PECTION? PLEASE CALL US AT (661) 326-3979~ spector No. -- Bus~ponsible Party White - Environmental Services Yellow - S{ation Copy Pink ~ Business Copy DAVIDSON ENTERPRISES SiteID: 015-021-001779 Manager : BusPhone: (661) 325-2145 Location: 3223 BRITTAN ST %~%~  Map : 102 CommHaz : Moderate City : BAKERSFIELD Grid: 23B FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 SIC Code:3441 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title PHIL DAVIDSON / PRESIDENT ROBERT DAVIDSON / Business Phone: (661) 325-2145x Business Phone: (661) 325-2145x 24-Hour Phone : (~474-0175x 24-Hour Phone : (661) 588-0336x Pager Phone(~ - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: (661) 325-2145x MailAddr: 3223 BRITTAN ST State: CA City : BAKERSFIELD Zip : 93308 Owner DAVIDSON ENTERPRISES Phone: (661) - 32x52145 Address : 3223 BRITTAN ST ° State: CA City : BAKERSFIELD Zip : 93308 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: Res: No ParcelNo: Emergency Directives: 1 08/04/2003 DAVIDSON ENTERPRISES ~ SiteID: 015-021-001779 Manager : ' BusPhone: (805) 325-2145 Location: 3223 BRITTAN ST Map : 102 CommHaz : Moderate City : BAKERSFIELD Grid: 23B FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 SIC Code:3441 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title PHIL DAVIDSON ~)PRESIDENT ROBERT DAVIDSON ~9) Business Phone:~( 325-2145x ~Business Phone: 325-2145x 24-Hour Phone : (805) 2~-~-7~- ~D~73 24-Hour Phone : ~ 588-0336x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: (805) 325-2145x MailAddr: 3223 BRITTAN ST State: CA City : BAKERSFIELD Zip : 93308 Owner DAVIDSON ENTERPRISES .~~ Phone: (805) 325-2145x Address : 3223 BRITTAN ST ~ ~ ~/~ State: CA City : BAKERSFIELD '~ /~ ~ Zip : 93308 Period : to ~9~ ~TotalASTs: = Gal Preparer: 'c~.~ TotalUSTs: = Gal Certif'd: '~ RSs: No Emergency Directives: ~ Hazmat Inventory One Unified List ~ [-- As Designated Order Ail Materials at Site 9 Hazmat Common Name... ISpecHaz EPA HazardsI Frm DailyMax Unit MCP AQUEOUS SOLUTION MIXTURE L 4000.00 GAL Low DIESEL L 200.00 GAL Low ARGON F P IH G 300.00 FT3 Min OXYGEN F IH DH G 564.00 FT3 Low CO2 F P IH G 3360.00 FT3 Min ALKALINE L 4500.00 GAL UnR ~, 'lZos~r o^v..~'~o~ Do her~y ce~i~ ~ha~ I hav~ ~ or p~nt ~me) ~eYiewsd ~hs a~achsd haza~ous mmedals m~. 'age- men~ plan ~or.D~v:r.~ ~T.,n,tand ~hat i~ a~ong ~i~h (Name of Busine~), ' any core.ions consfi~u~s a complete and corre~ man- agemsm plan for my ~cili~. 09/05/20o0 DAVIDSON ENTERPRISES SiteID: 015-021-001779 = Inventory Item 0001 Facility Unit: Fixed Containers at Site ~tVUVlU~ ~Vl~ / ~ £ ~A_J_~ ~Vl~ AQUEOUS SOLUTION MIXTURE Days On Site 365 Location within this Facility Unit Map: Grid: SW CORNER OF THE YARD CAS# STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid I Waste I Ambient I Ambient I ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 12000.00 GALI 4000.00 GAL 53.00 GAL HAZARDOUS COMPONENTS 1.00 Crude Oil N 8002059 HAZARD ASSESSMENTS ITsecretI ~SIBioHazI Radioactive/Amount I EPA Hazards NFPA USDOT# MCP No N No No/ Curies / / / Low = Inventory Item 0002 Facility Unit: Fixed Containers at Site DIESEL Days On Site 365 Location within this Facility Unit Map: Grid: S SIDE OF YARD CAS# Liquid /Pure Ambient Ambient Above Ground Tank AMOUNTS AT THIS LOCATION Largest Container { Daily Maximum I Daily Average 250.00 GALI 200.00 GAL I 3.00 GAL HAZARDOUS COMPONENTS 100.00 Diesel Fuel No. 2 N 68476302 TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies / / / Low -2- 09/05/2000 DAVIDSON ENTERPRISES SiteID: 015-021-001779 ~ Inventory. Item 0003 Facility Unit: Fixed Containers at Site ~UIVUVlU~ ~Vl~ / ~ ± ~_/A__L~ ~Vl~ ARGON Days On Site 365 Location within this Facility Unit Map: Grid: PORTABLE CARTS IN SHOP CAS# 7440-37-1 F STATE T TYPE PRESSURE I TEMPERATURE CONTAINER TYPE Ambient PORT PRESS CYLINDER Above Ambient Pure IGas . . AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 666.00 FT3I 300.00 FT3 3996.00 FT3 HAZARDOUS COMPONENTS %Wt. RN~oRS CAS# 100.00 Argon 7440371 HAZARD ASSESSMENTS TSecret{ ~SIBi°HaZNo N No Radioactive/Amount No/ Curies EPA HazardsF P IH NFPA/// USDOT# I MCPMin ~ Inventory Item 0004 Facility~ Unit: Fixed Containers at Site ~U~I~ ~Vl~ / ~ ~_~_L~ ~Vl~ OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: PORTABLE CARTS IN SHOP CAS# 7782-44-7 F STATE -- TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 282.00 FT3 564.00 FT3 10.00 FT3 HAZARDOUS COMPONENTS }s CAS# 100.00 Oxygen, Compressed N 7782447 HAZARD ASSESSMENTS TSoorotI ~SIBioHazI Radioactive/Amount I EPA Hazards NFPA USDOT# MCP No N No No/ Curies F IH DH / / / Low -3- 09/05/2000 DAVIDSON ENTERPRISES SiteID: 015-021-001779 = Inventory Item 0005 Facility Unit: Fixed Containers at Site ~UlV~VlU~ ~Vl~ / ~I~./A.J_~ ~Vl~ CO2 Days On Site 365 Location within this Facility Unit Map: Grid: PORTABLE CART IN SHOP CAS# 128-38-9 F STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas I Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 336.00 FT3 3360.00 FT3 200.00 FT3 HAZARDOUS COMPONENTS %Wt. RNo~ CAS# 100.00 Carbon Dioxide 124389 HAZARD ASSESSMENTSI TSecreto RS BioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# MCP No N No No/ Curies F P IH / / / Min = Inventory Item 0007 Facility Unit: Fixed Containers at Site ~UlV~VlU~ ~vl~ / ~ ± ~.Z-%_LJ ~Vl~ ALKALINE Days On Site UNSPECIFIED 365 Location within this Facility Unit Map: Grid: SW REAR OF YARD CAS# FSTATE ~ TYPE PRESSURE --7 TEMPERATURE CONTAINER TYPE Liquid I Waste Ambient / Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION [ Largest Container I Daily Maximum Daily Average 5000.00 GAL 4500.00 GAL 5.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# HAZARD ASSESSMENTS TSecret RS BioHaz, Radioactive/Amount I EPA Hazards, NFPA USDOT# MOP No N°llINo No/ Curies / / / UnR -4- 09/0.5/2000 DAVIDSON ENTERPRISES SiteID: 015-021-001779 Fast Format F Notif./Evacuation/Medical Overall Site Agency Notification -- Employee Notif./Evacuation 04/18/1997 SHOP SUPERVISOR VERBALLY NOTIFIED EACH EMPLOYEE IN THE SHOP AND YARD AREA. THEN HE NOTIFIED THE OFFICE PERSONNEL. ALL EMPLOYEES ARE TO MEET IN FRONT OF THE OFFICE AT THE MAIL BOX ON THE CURB OF THE STREET. -- Public Notif./Evacuation 05/16/1997 NONE REQUIRED. OUR FACILITY CONTAINS 100% VOLUME OF LARGEST CONTAINER ON PROPERTY S/W PROPERTY BY USE OF CONTAINMENT DIKING. Emergency Medical Plan 04/18/1997 SAN JOAQUIN COMMUNITY HOSPITAL - 2615 EYE ST - 395-3000 OR MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371. -5- 09/05/2000 ~ DAVIDSON ENTERPRISES SiteID: 015-021-001779 Fast Format = Mitigation/Prevent/Abatemt Overall Site --Release Prevention 04/18/1997 WE HAVE A SPILL PREVENTION CONTROL AND COUNTER MEASURE PLAN, THAT MEETS THE FEDERAL REQUIREMENTS OF 40CFR PART 112 AND IS APPROVED BY A REGISTERED PROFESSIONAL ENGINEER WITH A COPY ATTACHED. -- Release Containment 04/18/1997 THIS COMPANY HAS A SPILL PREVENTION CONTROL AND COUNTER MEASURE THAT MEETS THE FEDERAL REQUIREMENT OF 40CFR PART 112 AND IS APPROVED BY A REGISTERED PROFESSIONAL ENGINEER WITH A COPY ATTACHED. -- Clean Up 04/18/1997 ALL SPILLED MATERIALS DRAIN TOWARDS A COLLECTION SUMP WHERE THEY ARE INTRODUCED INTO OUR RECYCLING SYSTEM AS DESCRIBED IN LOK REPORT. Other Resource Activation -6- 09/05/2000 DAVIDSON ENTERPRISES SiteID: 215-000-001779 ager %~ ~ BusPhone: (805) 325-2145 Ma Location: 3223~RITTAN ST Map : 102 CommHaz : Moderate City : BAKERSFIELD Grid: 23B FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 SIC Code:3441 EPA Numb: ~_~ O~\% ~q~ DunnBrad: Emergency Contact / Title Emergency Contact / Title PHIL DAVIDSON / PRESIDENT ROBERT DAVIDSON / Business Phone: (805) 325-2145x Business Phone: (805) 325-2145x 24-Hour Phone : (805) 334-1817x 24-Hour Phone : (805) 588-0336x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Agency-Defined Topic Title ~ Hazmat Inventory One Unified List -- MCP+DailyMax Order Ail Materials at Site Hazmat Common Name... [SpooHazlEPA HazardsI Frm I DailyMax IUnit[MCP AQUEOUS SOLUTION MIXTURE L ~ ~GAL Low ~ON./OXYCE~~ ~ ~ ~i~--F~P-~ Low OXYGEN' F IH DH G ~ 1~ FT3 Low DIESEL L g~ GAL Low CO2 F P IH G ARGON F P IH G ~3~ FT3 Min ALKALINE L ~~ ~GAL UnR :~DAVIDSON ENTERPRISES SiteID: 215-000-001779 = Inventory Item 0001 Facility Unit: Fixed Containers at Site ~U~U~ ~a~ / C~ICAb NAME AQUEOUS SOLUTION MIXTURE Days On Site 365 Location within this Facility Unit SW CORNER OF THE YARD CAS# Liquid Waste Ambient Ambient ABOVE GROUND TANK AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 12000.00 4000.00 ~'~ ~. ~ DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS %Wt. EHS CAS# 1.00 Crude Oil No 8002059 DAVIDSON ENTERPRISES SiteID: 215-000-001779 = Inventory Item 0006 Facility Unit: Fixed Containers at Site ARGON/OXYGEN Days On Site MIX ~:, 365 Location within this Facility Unit , PORTABLE CARTS IN SHOP CAS# ~ STATE TYPE PRESSURE i TEMPERATURE i CONTAINER TYPEI Gas Mixture Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 ~~UU~ %Wt. EHS CAS# 98.00 Argon No 7440371 2.00 Oxygen, Compressed No 7782447 DAVIDSON ENTERPRISES SiteID: 215-000-001779 ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~U~U~ ~ / ~1~ N~ OXYGEN Days On Site 365 Location within this Facility Unit PORTABLE CARTS IN SHOP CAS# 7782-44-7 Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst Cent.this Loc FT3 DailyMax this~,Loc FT3 Da~lyA~V§ th~s Loc FT3 282.00 ~ / ~,~ ~ ~ DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Oxygen, Compressed No 7782447 DAVIDSON ENTERPRISES SiteID: 215-000-001779 ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site DIESEL Days On Site 365 Location within this Facility Unit S~}3IDE OF YARD CAS#  STATE T TYPE PRESSURE TEMPERATURE /I.~ONTAINER TYPE Liquid/ Pure Ambient Ambient U~DER G~GUi~D TA~i~' AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMa~Cthis Loc GAL DailyAvg this Loc GAL 25o. oo DallyMa× Stored GAL DallyMa× Open Use GAL DallyMa× Closed Use GAL HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Diesel Fuel No. 2 No 68476302 DAVIDSON ENTERPRISES SiteID: 215-000-001779 ~ Inventory Item 0005 Facility Unit: Fixed Containers at Site C02 Days On Site 365 Location within this Facility Unit PORTABLE CART IN SHOP CAS# 128-38-9 Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER /i:~ ~ AMOUNTS STORE~AND IN USE Lrgst qon~.~hAs Loc DailyMax/~hTs LOC ~li~l~ DailyAvg thTs Loc DailyMax Stored FT3 DailyMax Open Use FT3 I DailyMax Closed Use FT3 I HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Carbon Dioxide INo I 124389 DAVIDSON ENTERPRISES SiteID: 215-000-001779 ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ARGON Days On Site 365 Location within this Facility Unit PORTABLE CARTS IN SHOP CAS# 7440-37-1  STATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure I Above Ambient I Ambient PORT. PRESS. CYLINDER ~' AMOUNTS STORED AND IN USE Lrgst Co~.this Loc FT3 Daily~x this Loc FT3 Daily~uq this Loc FT3 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Argon No 7440371 DAVIDSON ENTERPRISES SiteID: 215-000-001779 ~ Inventory Item 0007 Facility Unit: Fixed Containers at Site ALKALINE Days On Site UNSPECIFIED 365 /Location within this Facility Unit S,~/REAR-- OF YARD CAS# F STATE -- TYPE j PRESSURE j TEMPERATURE CONTAINER TYPE Liquid .,x,~aste Ambient Ambient ABOVE GROUND TANK AMOUNTS STORED AND IN USE Lrgst Cont this Loc GAL ,., DailyMax,~this Loc GAL DailyAvg this Loc GAL DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL DAVIDSON ENTERPRISES SiteID: 215-000-001779 Fast Format ~ Notif./Evacuation/Medical Overall Site Agency Notification -- Employee Notif./Evacuation 04/18/1997 SHOP SUPERVISOR VERBALLY NOTIFIED EACH EMPLOYEE IN THE SHOP AND YARD AREA. THEN HE NOTIFIED THE OFFICE PERSONNEL. ALL EMPLOYEES ARE TO MEET IN FRONT OF THE OFFICE AT THE MAIL BOX ON THE CURB OF THE STREET. -- Public Notif./Evacuation 04/18/1997 NONE REQUIRED. OUR FACILITY CONTAINS 100% VOLUME OF LARGEST CONTAINER ON PROPERTY ~PROPERTY BY USE OF CONTAINMENT DIKING. Emergency Medical Plan 04/18/1997 SAN JOAQUIN COMMUNITY HOSPITAL - 2615 EYE ST - 395-3000 OR MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371. DAVIDSON ENTERPRISES SiteID: 215-000-001779 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 04/18/1997 WE HAVE A SPILL PREVENTION CONTROL AND COUNTER MEASURE PLAN, THAT MEETS THE FEDERAL REQUIREMENTS OF 40CFR PART 112 AND IS APPROVED BY A REGISTERED PROFESSIONAL ENGINEER WITH A COPY ATTACHED. -- Release Containment 04/18/1997 THIS COMPANY HAS A SPILL PREVENTION CONTROL AND COUNTER MEASURE THAT MEETS THE FEDERAL REQUIREMENT OF 40CFR PART 112 AND IS APPROVED BY A REGISTERED PROFESSIONAL ENGINEER WITH A COPY ATTACHED. -- Clean Up 04/18/1997 ALL SPILLED MATERIALS DRAIN TOWARDS A COLLECTION SUMP WHERE THEY ARE INTRODUCED INTO OUR RECYCLING SYSTEM AS DESCRIBED IN LOK REPORT. Other Resource Activation DAVIDSON ENTERPRISES SiteID: 215-000-001779 Fast Format Site Emergency Factors Overall Site Special Hazards -- Utility/S~ut-Off~~ 04/18/1997 A) GAS - ~ SIDE OF~LDG INSIDE FENCE B) ELECTRICAL ~, SIDE OF----INSIDE OF FENCE ~.~ _,_~ E) LOCK BOX - NO ..... ~'-: ....... Fire Protec,/Avail, Water 04/18/1997 PRIVATE FiRE PROTECTION - ','m~ u~riC~ ANDo~, ........ **,~, ~ .~r ...... ~OMATIC SPRTNWT.wR S~TEM PLUS FiR~ ~A'I'IN~UI~H~Mb. THE SPRIN~ER._ ~,~,.~"~ _~¢ n~.. ~u~..~ r.~,. SI'Dm O~~ NEAREST FiRE-HYDRANT - IS LOCATED ON THE CURB OF THE PROPERTY ~MMFD~FTM TO Building Occupancy Level DAVIDSON ENTERPRISES SiteID: 215-000-001779 Fast Format ~ Training Overall Site f' Employee Training 04/18/1997 HOW MANY EMPLOYEES AT THIS FACILITY~ WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: TRAINING IS HANDLED THROUGH OUR SB198 MANUAL. THIS MANUAL IS ON SITE AT ALL TIMES. -- Page 2 -- Held for Future Use Held for Future Use ¢ ........... /--- 02/58/95 EMRS Right~-Know Full format for ilestone Page i~'~~'"'.: Overall Site with 1 (~& 8AKER~FZELD Gnid:~ : 1 AOV: 0.0 City Con,act Name Title ~ --- Con,act Name Ti~e ...... PHiL DAViDSON / PRESIDENT ~ ROBERT DAVIDSON / Business Phone: (805) 325-2145x ] Business Phone: (805) 325-2145x 24-Hour Phone : (805) 334-1817x I 24-Houm Phone : (805) Pager Phone : ( ) - x I Pager Phone : ( ) Adminis~raCive Da~a ~ail Addrs: 4231 FOSTER AV D&B Number: City: BAKERSFIELD Scare: CA Zip: 93308- Comm Code: 015-660 LANOCO AREA-STA 66 SIC Code: 3441 Owner: DAV!DSON ENTERPRISES~%~' Phone: (805) 325-2145 Address: 4231 FOSTER AV State: CA City: 8AKERSFZELD Zip: 93308- Summary TANK REPAZR SHOP 300 GAL SKID TANK AT REAR OF PROPERTY COMPRESSED GAS CYLZNDERS AT ~ WALL OUTSIDE OF SHOP. I,~'t\'[f~ ~'tt~ ~ do hereby certify that l have (T~pe 0~nt Name) reviewed the attached hazardous materiels mansgement plen for~i~~,,~~~iand that it, along with any (Name ot Busine~} corrections, constitutes a complete and correct management plan for my facility. T Signature Data 02/28/95 EMRS R~g ow Full format: for ADD ~es~:one Page 2 OAVI DSON ENTERPRISES 015-010-003141 02 - Fixed Containers on Site Hazmat Inventory Detail in Ret=erence Number Order 02-001 AQUEOUS SOLUTION MIXTURE Liquid 12000 Low > GAL CAS ~: 134 Trade Secret: No Form: Lffquid Type: Naste Days: Use: NASTE Daily Max GAL .... I-- Daily Average GAL I Annual Amount GAL - 12,000.00 I 4,000.00 I 24,000.00 Storage I Press I Tamp -I Location ABOVE GROUND TANK I I ISM CRNR OF THE YARD - Cone -t Components I- MCP '--IGuid 1.0% ICrude Oil ILo~ I 2? 99.0~ INATER Iunrated I 0 02-002 DIESEL Liquid 150 Lo~ > Fffre, De]ay H]th GAL CAS ~: Trade Secret: No Form: Liquffd Type: Pure Days: 365 Use: FUEL Daily Max GAL .... I-- Daily Average GAL I Annual Amount GAL - Storage I Press I Tamp -I Locatffon BRU;4/'~A&&~-~TA~L~C, I I IS SIDE OF YARD - Conc'-'zi Components I- MCP --IGuid;- 100.0~ IDiesel Fuel No. 2 IModeratel 27 ©PV DAVIDSON ENTERPRISES 015-010-003141 02 - Fixed Containers on Site Hazma~ Inventory Detail in Reference Number Order 02-003 ARGON Gas 666 Minimal > Pressure FT3 CAS ~: Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING .... Daily Max FT3 I Daily Average FT3 I Annual Amount FT3 - 666.00 ! 300.00 I 3,998.00 Storage I Press I Tamp -I Location PORT. PRESS. CYLINDER ] I tPORTA8LE CARTS IN SHOP -Conc -I Components I- Mcr --IGuid 100.0~ IArgon IMinimal I 12 02-004 OXYGEN Gas 282 Minimal > Pressure FT3 CAS ~: 778244? Trade Secret: No Form: Gas Type: Pure Days: 365 Use: HELDING SOLDERING Daily Max FT3 I Daily Average FT3 I Annual Amount FT3 - 282.00 I 100.00 } 1,692.00 Storage I Press I Temp -I Location PORT. PRESS. CYLINDER J J IPORTABLE CARTS IN SHOP -Conc -I Components I- MCP --IGuidc 100.0~ lOxygen, Compressed ILow I 14 02/58/95 ENRS Right Know Full format for lestone Page 4 DAVIDSON ENTERPRISES 015-010-003141 02 .- Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-005 C02 Gas 1275 Minimal > Pressure FT3 CAS ~: Trade Secret: No Form: Gas Type: Pure Days: 365 Use: ~ELDING SOLDERING Daily Max FT3 I Daily Average FT3 I Annual Amount FT3 --- 1,275.00 I 600.00 I 3,400.00 Storage I Press I Temp -I Location PORT. PRESS. CYLINDER I ] ]PORTABLE CART IN SHOP - Cone -i Components 100.0% lCarbon Dioxide ILow 02-006 ARGON MIX Gas 330 Low > Pressure FT3 CAS ~: Trade Secret: No Form: Gas Type: Pure Days: 365 Use: NELDING SOLDERING Daily Max FT3 .... ]-- Daily Average FT3 I Annual Amount FT3 -- 330.00 I 150.00 I 330.00 Storage I Press I Temp -I Location PORT. PRESS. CYLINDER ] I ]PORTABLE CARTS IN SHOP - Conc -I Components 98.04 IArgon IMinimal I 12 2.0~ IOxygen, Compressed 02./28/95 ENRS Rffght- l-Know Fug~ format for ]es~one Page 5 DAVIDSON ENTERPRISES 015-010-003141 02 - Fixed Containers on Sffte Hazmat Inventory Oetaffl fin Reference Number Order. 02-007 UNSPECIFIED ALKALINE Lffquffd 1200 Unrated > GAL CAS ~: 123 Trade SecreT: No Form: Lffquffd Type: Waste Days: Use: WASTE Daily Max GAL .... I-- Dai3y Average GAL I Annual Amount GAL - 1,200.00 I 200.00 I 24,000.00 Storage I Press t Temp -I Location ABOVE GROUND TANK IAmbien~lAmbientlSE RNR OF YARD. - Cone -I Components I- MCP --IGufd 99.04 IWATER iUnrated I 0 I .02/28/95 EMRS Right-to-Know Full format for ADMN Milestone Page 6 DAVIDSON ENTERPRISES 015-010-003141 O0 - Overall Site <O> Notif./Evacuation/Medical <1> Agency Notification <2> Employee Notif./Evacuation SHOP SUPERVISOR VERBALLY NOTIFIED EACH EMPLOYEE IN THE SHOP AND YARD AREA. THEN HE NOTIFIED THE OFFICE PERSONNEL. ALL EMPLOYEES ARE TO MEET IN FRONT OF THE OFFICE AT THE MAIL BOX ON THE CURB OF THE STREET. <3> Public Notif./Evacuation NONE REQUIRED. OUR FACILITY CONTAINS 100~ VOLUME OF LARGEST CONTAINER ON PROPERTY W/N PROPERTY BY USE OF CONTAINMENT DIKING. <4> Emergency Medical Plan SAN JOAQUIN COMMUNITY HOSPITAL MERCY HOSPITAL 2615'EYE ST 2215 TRUXTUN AV BAKERSFIELD,, CA BAKERSFIELD, CA (805) 395-3000 (805) 327-3371 I 02/28/95 EMRS Right-to-Know Full format for ADM Milestone Page 7 DAVIDSON ENTERPRISES 015-010-003141 O0 - Overall Site <E> Prev./Minimization/Cleanup <1> Release Prevention WE HAVE A SPILL PREVENTION CONTROL AND COUNTER MEASURE PLAN, THAT MEETS THE FEDERAL REQUIREMENT OF 40CFR PART 112 AND IS APPROVED BY A REGISTERED PROFESSIONAL ENGINEER WITH A COPY ATTACHED. <2> Release Containment THIS COMPANY HAS A SPILL PREVENTION CONTROL ADN COUNTER MEASURE THAT MEETS THE FEDERAL REQUIREMENT OF 40CFR PART 112 AND IS APPROVED BY A REGISTERED PROFESSIONAL ENGINEER WITH A COPY ATTACHED. (SPILL PREVENTION CONTROL AND COUNTER MEASURE PLAN IN PROGRESS FOR COMPLETION). <3> Clean, Up ALL SPILLED MATERIALS DRAIN TOWARDS A COLLECTION SUMP WHERE THEY ARE INTRODUCED INTO OUR RECYCLING SYSTEM AS DESCRIBED IN LOK REPORT. <4> Other Resource Activation 1~02/28/95 EMRS Rffgh~-to-Know Full format for ADMN Milestone Page 8 I DAVIDSON ENTERPRISES 015-010-003141 00 - Overall <F> Si~e Emergency Factors <1> Specffa] Hazards <2> Uti]iffy Shu~-Offs A) GAS/PROPANE - H SIDE OF 8LDG INSIDE OF FENCE. B) ELECTRICAL - E SIDE OF 8LOG INSIDE OF FENCE. C) HATER -~/CRNR OF 8LDG OUTSIDE OF FENCE. D) SPECIAL - E) LOCK BOX - NO <3> Fffre Protec./Avaffg. Hater THE OFFICE AND SHOP HAVE AN AUTOMATIC SPRINKLER SYSTEM PLUS FIRE EXTINGUISHERS. THE SPRINKLER CONTROL IS ON THE H SIDE OF BLDG INSIDE OF THE FENCE. FIRE HYDRANT IS ON THE CUR8 OF THE PROPERTY IMMEDIATELY TO THE H. <4> Earthquake Vulnerabili~w BLDG ~MECHANICAL SYSTEMS ARE CONSTRUCTED AND INSTALLED ACCORDING TO BLDG CODE SEISMIC OCCURENCE REQUIRED. I~ 02/28/95 EMRS Right-to-Know Full format for ADMN Milestone Page 9 DAVIDSON ENTERPRISES 015-010-003141' 00 - Overall Site <G> Training <1> Training Record Location WRITTEN PLANS: 4231 FOSTER AVE BAKERSFIELD, CA 93308 (1) MATERIAL SAFETY DATA SHEETS. (2) EMPLOYEE TRAINING DATA SHEETS. C~~V (3) SPILL PREVENTION PLAN. (43 HAZARDOUS MATERIAL BUSINESS PLAN. <2> Oescribe Training Program <3> Emer. Agency CoordinaTion 02/28/95 EMRS Right-to-Know Full format for ADMN Milestone Page 10 DAVIDSON ENTERPRISES 015-010-003141 O0 - Overall Site <H> SCHOOLS WITHIN 1/2 MILE <1> High Schools <2> Jr. High Schools <3> Elementary Schools <4> Private & Pre Schools Farm and Agriculture [ ] K~R~r COUM~¥ FlU ~ZA~US ~I~$ Z~RY DUN aND B~ST~ET NUMBER. Standard ~usiness ~ ~ ~ ~ CITY, ~IP~ ' . ' ' CIT~, ZlP:r 4 ~ 8 9 10 [~ReKtivt~ Farm and Agriculture I ] K~RH CO~ FXR~ DBPJ%R~Jq~,~' ~tandard ~usiness [~] ~ $ Page I 2 3 ~ 5 6 7 8 9 I0 11 Tr~ T~ ~x A~rege A~t geoeure C~t C~t C~t ~e X ~ N~e of RTxt~e/C~ts ;[ lFire [ ]OelK Mlth ~S N~r C~ & ~S I Fi ]Reactivity [ ~ Reteffe of Pr~sure f om~ m Site [ ] C~t & ~ ( ] t~lete He,[th L~ati~ ~t I ¢1 [ ]F~re [ ]Oet~ ace[th ~ ff~r C~t & ~S [ ]ReKt~v(ty ( )~ leteeee of Procure t Ol~ m Site [ ] CW i US ( )Re~tfvfty [ ]~ Re~e~e of Pr~g~ g 0*~ ~ Site ( ] C~ & ~S [ Ii--late Reelth Lmetlm .; .. ~t I OS [ ]leectlvtty [ 1~-~ lote~e ~ Preg~re f O~'~ ~lte [ ] C~t & ~S F OF THE HAZAROOU$ MATERIAL EIJ~INE$~ PLAN, THE AMOUNT DUE I$.,.."~A~E0 ON .?:~' :::.: "-"' ., THE OUANTITY. AND TYP~ Or HAZAROOU~ ~ATERIAL~ HANOLEO AT Y~ FACILITY .... :':~';:..... :"' '"' . '~,,~ :. .. 0A~RSF[~LO, CA 0330~ ~AKER~F~ELO,. CA 93308 ,'~..::i ..... KL~q" ~ COUNTY FIRE DEPARTMENT .,_ (805) 861-2761 ,, ~ I , , HAZARDOUS fiAT ]/: R'r/iLS BU$'r NI~S$ PLAN F O RI~I 2 For~ Due By: ~ '7 1989 SECTION 1: BUSINESS IDEITTIFICATION DATA A. FULL LEGAL BUSINESS NAME: Davidson Enterprises, Inc. B. PHYSICAL LOCATION/STREET ADDRESS: 4231 Foster Ave. CITY: Bakersfield ZIP: 93308 BUS. PHONE: (.805) 325-2145 C. MAILING ADDRESS: .4231 Foster Ave. ",, . CITY: Bakersfield ZIP: 93308 D. HAVE YOU FILED A BUSINESS PLAN WITH THE DEPARTMENT UNDER A DIFFERENT NAME'WITHIN THE LAST TWO YEARS7 YES NO X IF YES, UNDER WHAT NAME DID YOU FILE? E. THIS SUBMISSION IS A NEW X OR REVISED BUSINESS PLAN SECTION 2: EMERGENCY NOTIFICATIONS In the event of an emergency involving the re]ease or threatened release of a hazardous material, telephone 9-1-1 and then (800) 852-7550 or (916) 427-4341. This will notify your local fire department and the State Office of Emergency Services as required by State law. Additional Federal reports may be required. PERSONS WHO SHOULD BE NOTIFIED IN CASE OF EMERGENCY AT YOUR BUSINESS THAT HAVE FULL ACCESS AND CAN PROVIDE TECHNICAL ASSISTANCE: NAME AND TITLE .~.. DURING BUS...:;tgR~..,,. ,..AFTER BUS. HP~. -"J;.'"' ..',:~k' '''~'';' : ' ~' ' : "' ~, ~' :'~'';''' ' ' ' A. Phil Davids.on Presldent.:::v' ' ;' ~': '~'"":".'-," Ph~'325-2'145"j'i'''':'''' ',Ph# 324-9027'. ' "'"'' B. Robert Davldson Chairman ph#~25-21,~5 Ph~ 328-.161 ': -.CONTINUZD ON REVERSE - SECTION 3: LOCATION OF THE MAIN UTILITY SHUTOFFS FOR THE ENTIRE BUSINESS A. NAT.GAS/pROPAWE: West side of bu.i!.~io~._~nside of fence. B. ELECTRICAL: East side of building inside of fence. C. WATER:North East corner of building out side of fence. D. SPECIAL/OTHER: E. LOCK BOX: YES~t IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDS? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO SECTION 4: PRIVATE RESPONSE TEAM DESCRIPTION Do you have a group of employees trained to handle minor accidents involving hazardous materials at your business7 Yes No__" If so, you must explain the level of training and equipment they possess. and how they are notified to respond. ~ SECTION 5: IDENTIFICATION OF THE CLOSEST APPROPRIATE F2~ERGENCY MEDICAL ASSISTANCE AVAILABLE TO YOUR BUSINESS ~1 San Joaquiu Community Hosplt. al #2 Mercy Hospital ADDRESS: 261~ Eye Street 22]5 Truxtun CITY: Bak. ersfield, CA Bakersfield!. PHONE: {~05 ) 395-3000 PHONE: (805) 327-3371 CO~9~ENTS/ADDITIONAL Ii[PO: ,, - CONTINUED ON NEXT PAGE - 1' (2) SECTION. .6: .EMPLoYeE ' ~AINING EMPLOYERS ARE REQUIRED BY STATE LAW TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS: 1) Methods for safe handling of the hazardous materials used by your business. The CAL OSHA Hazard Communication Standard. 3)Correct ~se~of emergency response equipment and supplies available at your business. 4) The prevention, minimizing, and cleanup procedures you have developed for your business and explained on the business plan forms. 5) The emergency evacuation plans you have developed, the notification procedures used to alert people to evaluate, and the closest location to obtain appropriate emergency medical care. 6) Procedures to coordinate with and assist the local emergency personnel that may respond to your business. 7) Who and how to call for immediate assistance in the event of an accident involving hazardous materials. Describe the location of the written plan and the training records which are required to be developed and maintained. State law req%~ires your training records to be inspected. Written Plans: 423] Foster Ave. Bakersfield, CA 933~k~ Training records: ~ /(1) Material Safety Data Sheets ~ ~ (2) Employee Training Handbooks -~ (3) Spill Pervention Plan (4) .Hazardous Material Business Plan STOP Is your business divided into smaller geographic areas or units? X No Continue on with Sections 7 through 10 of this form. Yes Do not answer Sections ? through lO of this form. Sign you= n~me &~. ~he ~om of .Page 5, ~hen fill out a FO~ - CONTINUED ON REVERSE - SECTION 7: 'ExpLAIN WHAT PREVENTION, MINIMIZATION, AND CLEANUP _ PROCEDURES YOUR EMERGENCY PLAN INCLUDES. INCLUDE A DESCRIPTION OF MONITORING METHODS AND PROCEDUR~-S. We have a Spil I prevention control and counter measure P~an, that me,-;ts th~. federal re.qu[rement ~'~f &OCFR part 112 and is aa~oro.ve,] by a registered Professional Engineer with a copy %acneG. SECTION 8': ExpLAIN THE NOTIFICATION METHOD AND EVACUATION PROCEDURES YOU HAVE DEVELOPED FOR THE EMPLOYEES TO USE IN AN EMERGENCY. YOU MUST INCLUDE A MEETING POINT. Shop Supervisor verbally notifies each employee in the shop and yard area. Then he notifi,:s the office person=l. 611 employees are to meet in front of the office at the mail box on the curb of the street. - CONTINUED ON NEXT PAGE - $~CTION'9: EXPLAIN WHAT'~ PRIVATE "FIRE PROTECTION SYSTEMS ARE IN PLACE THAT MAY ASSIST EMERGENCY RKSPONDERS. The office an~ shop have an automatic sprinkeler system plus fire e~tingulsher. .' The sprinkeler control ls i:.on the west side of building inside of the fence. SECTION 10: LIST THE LOCATION OF ANY WATER SUPPLIES THAT MAY BE USED BY EMERGENCY RESPONDERS. ~i;: F~re Hydrent is on the curb of the property immediately to the west. I, ~ ~ , certify that th..e .~'ormat~on submitted ~ ail the business plan forms is accurate and complete. I understand t~at this information will be used to fulfill my obligations under California Health and Safety Code Division 20 Chapter 6.95 et seq. and T].tle 42 U.S.G.C. Section 1100 et seq. and false information may be  le by fine, imprisonment, 9r both. (5) ~a~_0ode (CoJumn 1) Use Codes (Column 10) A -: Add This Item 01. A~di~Jve D Delete This item 02 Adhesive R ~ Revised Information .,. 03 Aerosol/Inflation O~ Aries;the t' ~ c 05 Bactericide Type Code {c:c, lum~, ~) 06 B.'lastJng ~: 07 Catalyst W = Waste (M~';t, Also: Add 10 Cooling 13 Emu] sJ fier,'Demu] sJ I Jer 14 Etching Measure Units (CoJumn 6) i5 Experimental/Analytical 16 Fabrication LBS = Pou~,ds 17 ~e~tilize~ TON = Ton~.i (2,00o lbs) 18 Formulation/Manu~ac.tu~in~ GAL = Gallons 19. Fuel BBL = Barre.ls (42 ga]s} 20. Fungicide Ft3 = Cubic Feet 21. Grinding CUR :: ,':ur'i~s; 22 Heating · 23 Herbicide 24 Insecticide Container Type (~:(~.lumn 7) 2t~ ln~;t'ructional 26 Lubricant _u.j] . llnd,?r',~roulad Tank 27 Medical Aid ur 02. Al,c,w,~gr'~.~ll~d T,lnk- 2U Neut-ra] 03. Fixed l'res~;urized Cylinders 29 Painting 04. ]"c~l'l~t,],~ Pres,;ri.red Cylinders 30 05. [nsuJat. ed Tank (Includes 3] Plating 06. D['tlm:~ or I~.~rrels Metallic 33 07. Drums oe Sarrc]s -- Non-- 34 Scaler (la C~4i'b()y ( :; } 36 SteI'J ] iz~']' 09 Glass; C.,[~tainer ( s 37 Storage/In 10 P la~ t. ic (.:o[ita i LI~ r S} 3ti :.;tripper I 1 k~OX ( ,-::.; ) 39 W~sh ing 12 Ba~(~) 4U 13 Met:<~ [ Co/~tdil,,.-rs Not Drums 4 i water Tre~i:me,'lt ]4 In M,-,i'l~J]~t:l'y t,l' ['rocessing 42 Welding Equit,ment 4:3 Well Inoe,:tjon or f~ervice 1,,. Unl i~e,'l Smnps 45 Resale 46 Aircraft Systems 47 Battery/Electrolyte Container Pressure .(Column 8), 48 Breathing Air 2 Greater Than Ambient ' '~ ..... "': ;"- '.'":.~1 Fire Pro~ectlon ' = Less than Ambient P~ess .v.".,?..: - -" 52 Hydraulic Equipment Container Temperature (Column 9)7;" 54, Testing 4 = Ambient Temperatur~ ~-. 55. Wholesale Chemicals 5 = Greater than Ambient 99. OTHER-Specify on 6 = Less than Ambient Temp but not another pago :~'~ =.r, r~cu~bJre -- ~ KERN COU~' ..~_.. FIRE DEPARTMENT HAZARDOUS MATL' I ALS I NVENTO RY BUSINESS ~AME: Dav~d~nn Knk~rp~t~Tn~. OWNER NAME:~~~~rprises~ Inc LOCATION:~231 Foster Ave. ADDRESS: 6231 Fo~ter Ave ........................ · CITY, ZIP: Bakersf~eida~A. ~3308 CITY, ZIP: Bakersfield, CA STANDARD IND. CLASS CODE: .......... . NAME OF THIS FACILITY: .... ~n~ .................... REFER TO INSTRUCTIONS FOR PROPER CODES Hea,t, Crude 011 ..- "- ~ ~ ~- ~- -z e~+~e of Pressure an ?re ....... ...-' ...... [.~,~eO i ~.t ~ L .. ' ' -~ - :zi,,e : .....~ :~i~y~,j Heaith (:.A.,~. Numoer "';::" · -~ ,- -- ~ ',J) ~ Oays ~ ~[. ~ ~,zoo ~oo z~,ooo ~ alkallne'"-- -~-~ ....... ~ ........................... ..:. Hea:~h ............................................................................ Solu%tOn i - - '~ .................................. ?':.'~ .............................. . J - J I :-RooePL .................................... Dav[dson Chairman ........................... ,328-1~ .......... ~.t.,~ :~k~ ~. ~'~.~ Chc~t t~u,,,~r I Page 1 of ~ " ONSITE HAZARDOUS WASTE TREATMENT NOTIFICATION FORM FACILITY SPECIFIC NOTIFICATION ¢ " For Use by Hazardous Waste Generators Performing Treatmeut [] Initial } Under Conditional Exemption and Conditioual Authorization, I-] Revised i and by Peruut By Rule Facilities Please refer to the attached [tutructions before completing this form. You may notify for more than one per~ing tier by u~ing th~ notification.form, DTSC 1772. You mast anach a separate unit specific notificotion form for each unit at thi~ location. There are different unit specific notification forms for each of the four categories and an additional natification form for transportable treatment units fT'lT./'s). You only have to submit forms for the tier(s) that cover your g, nit($}. Oi~cttrd or recycle ti~ other um~ed forn~. Number each page of your completed notifcation package and indicate the total number of pages at the top of each page at the 'Page ~ of ~'. Put your EPA ID Number on each page. Please provide all of the information requested; all fields mast be completed except those that state 'if different' or 'if available'. Please type the information l~ovided on this form arid any attachments. 7he notification will not be considered complete without payment of the appropriate fee for each tier un~ which you are operating. (Please note that the fee is per 77ER not per UNIT. For example, if you operate $ anitt bat they a~ all Conditionally Authorized, you only owe $1,140, ~I0'1'5 tim~ $1,140. !f you operate any Permit by Rule unit~ and any units trader Conditional Authorization you owe $2,2~0.) ChecYc~ should be made payable to the Depatfrnent of Toxic eub~t~ Contgol ~ be ~rt~ha~l to the top of ti~ form. Please write your EPA ~ Number on the check. Fill in the chet:k number in the bat abov~ I. NOTIFICATION CATEGORIF.~ Indicate the number of unit~ you operate in each tier. This will also be the number of uait ~i~,ci, fl¢ not~cation~ you nm~ attach. · Number of units and attached unit specific notifications Fee ~ Ti~ A. ,, 7' Conditionally Exempt-Small Quantity Tr~atmant (Form DT~C 1772A} $ 100 B. , . ' Conditionally Exempt-Specified Wa.mt~gan~m (Form DTSC 1772B) $ I00. C. Couditioually Authorized (Form DT$C 1772C'} $1,140 D. Permit by Rule (Form DTSC 1772D) $1,140 Total Number of Units Total Fee Attached $'/.'O o .... II. GENERATOR IDENTIlrICATION ~-?^ iD SUM]~V-a CA/. _.0 £ ~ ! / 2. ~ --7 _4. so£ mss~ (if ,v,ii,~i,) H._Hq__ _. NAME (Company or F~-alitr) .~?~.,',,/.~o,, z:~,. ?.,>~, ,.Z, ~ , · PHYSICAL LOCATION ~ 2.3 / /~.~ ~..- ~, ,~4 DTSC 1772 (1/93) Page I COMPANY NAME (DB^) CITY STATE ZIP COUNTRY (o~ly ~,c,,e~e.~ if nm USA) CONTACT PERSON PHONE NUMBER( ).~ (Fu'st Nan.) (Last Nam*) HI. TYPE OF COMPANY: STANDARD INDUSTRIAL CLASSIFICATION (SIC) CODE: Use either one or two $1C codes (a four digit number) that best describe your company's products, services, or industrial activity. F:.... :.-~a~-_ '-~'..I,, r.. ~ I. £ -~-~ IV. PRIOR PI~,EOT STATUS: Oreck ym or no to each question: YES NO r-! ~ 1. Did you file a PBR Notice of Intent to Operate (DTSC Form 8462) in 1992 for ~ location? r"'[ [~ 2. Do you now have or have you ever held a state or federal hazardous waste facility full pe~','t~, or interim status for any of these treatment umts? r-! I~ 3. Do you now have or have you ever held a s~ate or federal full permit or interim status for' any other h~rdous waste activities at this location? [~i [] 4. I-bye you ever l~ld a v~riance/ssued by the Depm'tm~t of Toxic $~ Control for the treatm~t you · re now notifying for ~t th/s lo~tion? r-] [] 5. ihs th/s loc~tion ~ver be~/nspected by the stye or any local agency ~s a h~rdous waste generator? V. PRIOR ENFORCEMENT HISTORY: Not rm/u~redfrom genzmmn on/y nodfy/ng at co~ithnm~ ~rzm/n. YES NO '. [-] [~ Withi~ the last three years, has this facility been the subject of any convictions, judgments, settlements, or final orders rmmlting from an action by any local, state, or federal environmental, hazardous waste, or public health enforr, ement agency? .. (For the purposes of this form. a notice of violation does not constitute an order and need not be reported unless it was not corrected and became a final order.) r-[ if you answered Yes, check this box and attach a listing of convictions, judgments, settlements, or orders and a copy of the cover sheet from each document. (See the lustmctions for more information) DTSC 1772 (1/93) Page 2 VI. A'I'FA CF[M~NTS: [] 1. "A plot pi/m/map detmling the location(s) of the covered unit(s) m relation, to the facility boundaries. [~ 2. A umt specific notification form.for ~ach umt to be cover~l at this location. VII. CERTIFICATIONS: Thu form must be signed by an authorized corporate o.~Cicer or any other tx, r~on in the company who has operational control and performs decision-making functions that govern operation of the facility ~ title 22, California Code of Regulations (CCRJ section 66270. I I~. ,411 tkree c~pie~ hum have original xignamzet. Waste Minimization i certify that I have a program m place to reduce the volume, quantity, and toxicity of wns~ generated to the degree I have determined to be economically practicable and that I have selected the practicable znethod of treatment, storage, or disposal currently available to me which minimizes the present and futu~ threat to human health and the envY. Tiered P~rmltting (~gn'tification I certify that the umt or umts described in these documents n~et the eligibility and operating requirements of state statutes and regulations for the indicated permitting tier, including generator and secondary contatinment requirements. I understand that if any of the umts operate under Permit by Rule or Conditional Authorization, I will also be requim:l to provide required financial assuran~ by January 1, 1994, and conduct a Phase I environmental a.ssessm~t by January 1, 1995. I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance w~th a system de.signed to assure that qualified perSOnnel properly gather and evaluate the information submi_n__~i_. Based on my inquiry of the person or persons who manage the system, or those directly respo~a.~'ble for gathering the information, the information is, to the be~t of my knowledge and belief, true, accurate, and complete. I am aware that there are substantial penalties for submitting false information, including the possibility of ~tes and imprisonment for knowing violations. -"N,"-- ' · --' Date Signed OPERATING REQUIREMENTS: Please note that generators treating hazardous waste onsite are required to. comply with a number of operating requirements whi'ch' differ depending on the tier(s) under which one operate~. The. xe operating requirements are set forth in the ~tatut~ and regulations, some of which are referenced in the 27er-Specific Factsheet$. SUBM]SSION PROCEDURES: You must xubrn~t two copie~ of this completed notification by certified mail, return receipt requested, to: Department of Toxic Substancer Control Form 1772 Otuite Hazardoas Waste Treatment Unit 400 P Street, 4th Floor (walk in only) P. O. Box 806 Sacramento, CA 95812-0806. You must also submit one copy of the notification and attachments to the local regulatory agency in your jurisdiction as listed in the instruction materials. You must also retain a copy us part of your operating record. All three forms must have original signature~, not photocopie, x. DTSC 1772 (1/93) Page 3 CONDITIONALLT' EXEMlq'-SMALL QU~ATMENT UNIT SPECIFIC NOTIFICATION (pursuant to Health and S~fety Code Section 25201.5(n)) NUMBER OF TREATMENT DEVICES: 0 T~k(s) ~_~ Container(s) l , 2., 2% :z Please Note: Generators operating units under Conditionally F.x~npt Small Quantity Treatment may not operate any other units under other permitting tiers or hold any other state or federal Imaau'dous wsste permit or authorization for this fae//ity. Eaefi ~nit m~t he clearly identified and labeled on tb~ plot p~:n attact~d to Form 1772. A.~ign your o~n unique n~nber to ~nit. ~ number can be seq~n~ial (Io 2, 3) or you may ~e an~ ry~tern you choose. ~ category i~ only a~ailable to generators tMa treat ~ than $$ gal~o~ or ~ pound~ ofhazardo~ waxt¢ in any ~ month in ~ uni~ at tbis fac~lit~ and tfiat are not otberu~e r~laired to obtain a Mlzardou~ ~te fac~liti$ permit. TM~ vo~rn~ limit al~plie~ to tb~ TOTAL hazardo~ waste tre~ed on~ite in any ca~ndar morab, and ~ NOT a ~mit for ~ vm.~t~$rream or umt separcae~. ~ waste..~rean~ treated rnu.~t be limited to tho~e listed in title ~2, CCR, $~c~ion 67450.11o wfiiefi are also lixted Emer tile e~tirnated rnorabl~ total volume of fiazardou.~ wa.~te treated !~ tbi~ ~mit. TM~ $bould be tbe maxinuan or highest amount trexaed in an~ rnontfi. Indicate in the narrative (~etion I1} if yoar operation~ fiave $e~a~onal voriatiom. ~ne following are the eligible wa~te~tream~ and treatment proce$$e~. Plebe cfie& all applicable boxe~: 1. Aqueous w~at~s containing h~xav~l~t chromium may b~ tnmt~l by the following proems: I'-] a. R~ia~tioa of he~v~l~,,t eAzromium to trival~t ¢lzromium with .~xliam 'bi:mlfit~, aodium' ar.~bisulfit~, tkio~dfm, ferrous ~ulfat~, ferro~ ~lfide or ~lf~r dioxide pnavid~l both pH ~d -OOition of thC r~lucmg sx~ antoamically coatroll~L 2. Aqueous wast~ containing m~t:ds iist~! ia Title 99, CCR, s~:tion 6~261.2~ (a)(2), including ailver from and/or fluoride r~ts may b~ tre~t~! by the following t<knoiogi~: [~ a. pH ~ljustm~t or neutralization. ~ b. Precipitation or cryatallization. ]~ ¢. pl~ s~'paratio,, by filtration, c~-mrifug~tion, or gravity .~ttliag. ["[ e. P, ev~ra~ oamoaia. [-'] f. Metallic replacen~mt. ['~ g. Plating thc metal onto an electrode. ['-] h. El~etrodi~lyai~. r-] i. El~etrowmmag or el~:trolyti¢ re,avery. ['-[ j. Chemic. al atabiliz~tion using ~ilic~t~ and/or ~meotitious type~ of r~¢tiom. [~] k. Ev,,poration. DTSC 177ZA (1/93) Page 4 CONDITIONALLY EXEMFr~MALL QUANTrrY TRE~ ' uNrr SPECIFIC NOTIFICATION (pursuant to HeaRh and Safety Code Section 25201.$(a)) 3. Aqueous wnstes with total orgamc carbon less than ten percent as measured by EPA Method 9060 and less than one percent total volatile organic compounds as measured by EPA Method 8240 nmy be trmted by the following t~.imologies: ~ a. Plmse separation by filtration, centrifugation or gravity settling, but excluding super critical fluid extraction. [~ b. Adsorption. [~] ¢. Distillation. ['"=l d. Biological processes conducted in tanks or containers and utilizing naturally occurring microo~,anisms. [~! e. Photodegradation using ultraviolet light, with or without the addition of hydrogen peroxide or ozone, pmvid~ the treatment is conducted in an enclosed system. f==[ f. Air stripping or steam stripping. 4. Sludges, dusts, solid metal objects and metal workings which contain or as~ contnmi,,,t,.~l with metals listed in title 22, CaR. section 66261.24 (a)(2) and/or fluoride salts may be treated by the following technologies: ["""[ a. Chemical stabilization using silicates and/or cementitious types of reactions. ["'=[ b. Physical processes which change only the physical properties of the waste such as grinding, sltr~iding, crushing, or compacting. ~1 ¢. Drying to remove water. E~] d. Sepa~tioa based on differences ia physical properties such as size, magnetism or ckmity. 5. Alum, gypsum, lim~, sulfur or phospham sludges may be treated by the following technologies: ~,. Chemical stabilization u~§ silicates and/or ccmentitio~s ~ of r~:fions. ~J b. Drying to r~move water. ' ~ ¢. Pha.~ r~-paration by filtration, ccntrifugation or ~n'avity settling. 6. W~ idenfifiod in title 22, CC~R, section 66261.120, tl~ m~t the crit~'ia ~nd requimm~ts for ~ ~ ¢l~ific~ion in title 22, CCR, .~ction 66261.122 may be treated by th, following t~:hnologies: [~J ,. Chemical ~abilization ming silicates md/or ~n~fifiom ~ of ~.~tiom. [~ b. Drying to r~move water. ~_~ ¢. Pha~ .~mh-ation by filtration, ~trif~gation or gravity ~'Jtling. D d. S~r~a~ing to ~,,f~ate components ba.~d on ~i~. . D e. ,g~'l~'ation ~ on differenc~ in physical pml~rties ~nch as ~i~, maS~etism or d~a~ity. DTSC 1772A (1/93) Page 5 " ~ a. ~e~ mbili~i~ ~g sili~ ~d/or ~titio~ ~ of ~o~. foHo~g ~olo~: ~ c. Neut~i~tion. DTSC 1772A (1/93) ~__ ~~~_. Page6 CONDrrXONA/.LY ~MPT-SMALL QU,~IT1TY TRF. A~ UNIT SPECIFIC NOTIFICATION (puzsuant to HeaRh and Safety Code Section 2.q201.$(a)) 11. NA.RRATXVE DESCRII~rlONS: Provide a brief description of the specific wazte treated and the rreanneru proce~ used. 2. TREATMENT PROCESS(ES) USED: ['~ ~i ~%.e.~.?~ , ~. ~nn [;.~-~,'~n. (...~r-~v:~, J-~-.'~'.~'~. ffi. ~UAL MANAGEMENT: Check Yes or No to each question as it applies to all rmidual~ from thi~ treatment unit. YES NO f"=1 [~ 1. Do you discharge non-hazardous aqueous waste to a publicly owned ~t works (POTW)isewero. ~l i~ 2. Do you discharge non-~,=-~rdous aqueous waste under an NPDES permit? ~ r'] 3. Do you have your residual h~,~,-dous waste hauled offsite by a registered t,--,,,dous waste hauler? If you do, where is the waste seato. CTzeck ali that appb/, [-I n. Offsite recycling ~1 b. Thermal treatment r=l d. Further treatment ~ 5. Other m~hod of disposal. Slx:if'y:~ ~t~,'F.~ ~-,6~- --~ /~,~'~ ~ ~,~-~ ~/-~ IV. BASIS FOR NOT NEEDING A FEDERAL PERMIT: -- In order to demonstrate eligibility for one of the onsite treatment tiers,facilities are required to provide the bezi. v for determining that a hazardous waste permit i.t not required under the federal Resource Conservation and Recovery Act (RCRA) and the federal regulations adopted under RCRA ('17tle 40, Code of Federal Regulations (CFR)). Choose the reason(s) that describe the operation of your onsite treatment units: ["[ 1. The b,,~-nious waste being treated is not a ha~ntous waate under federal law although it ia regn~i~*__nt aa a ha~,ntous waste under California state law. [--] 2. The waste is treated ia wastewater treatment units (tanks), as defined in 40 CFR Part 260.10, and diacharged w a publicly owned treatment work~ (POTW)/sewering agency or un~r an NPDES [m-mit. 40 CFR 264.1(g)(6) and 4O CFR 27O.2. DTSC 17723. (I/93) (~0~~ Page7 ' CON~rrlo~t.L¥ F..XESO'r-SMALL Qt~nNTn'Y TRE~NT "~ ' UNIT SPECIFIC NOTIFICATION (pursuant to Health and Safe~y Code Section 25201.5(a)) IV. BASIS FOR NOT NL~DING A FEDERAL PERbl3T: (continued) r""[ 3. The w-_a~e is treated in elementary neutralization units, as defined in 40 CFR Part 260.10, and discharged to a POTW/sewering agency or und~ an NPI}ES permit. 40 CFR 264.1(~)(6) and 40 CFR 270.2. [~ 4. The waste is treated in a totally enclosed treatmmat facility as defined in 40 CFR Part'260.10; 40 CFR 264. l(g)(5). f--[ 5. The. co. mpany g .eaemtea no mo~ than I00 kg (approximately 2'/gallons) of hazardous ~ in a calendar nxmth and is eligible as - federaJ conditionally exempt small qua~itity generator. 40 CFR 260.10 and. 40 CFR 261.5. ~ 6. The waste is tr~at~ in an accumulation tank or container within 90 days for over 1000 kg/month generators and 180 or 2'/0 days for generators of 100 to 1000 kg/month. 40 CFR 262.~4, 40 CFR 270. l(c)(2Xi), and the Preamble to the March 24, 1986 Federal Regis~. l~' 7. Recyclable materials are reclaimed.to recover economically significant amounts of silver or other precious.metals. 40 CFR 261.6(a)(2)(iv), 40 CFR 264.1(g)(2), and 40 CFR 266.70. ~ 8. Empty container rinsing and/or treatment. 40 CFR 261.7. ..-: V, TRANSPORTABLE TREATMENT UNIT: Check Ye~ or No. Pleate refer to the Itattruction~ far more information. YES NO r-I I~ is this unit a Transportable T~atment Unit.'? ': If you answered yes, you must also-complete and attach Form 1772E to this page. The Tier-Specific Factsheets contain a summary of the operating requir~nmts for this category. Please review those requirements carefully before completing or submitting this notification package. DTSC 1772A (1/93) 1~,~ $