HomeMy WebLinkAboutBUSINESS PLAN EDS AUTO BODY REPAIR SiteID: 215-000-001835
Manager : BusPhone: (805) 631-0436
Location: 409 E BRUNDAGE LN Map : 103 CommHaz : Minimal
City : BAKERSFIELD Grid: 32C FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 06 SIC Code:
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
EDWIN RODRIGUEZ / OWNER /
Business Phone: (805) 631-0436x Business Phone: ( ) - x
24-Hour Phone : (805) 861-1244x 24-Hour Phone : ( ) - x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire ImmHlth DelHlth
Contact : Phone: (805) 631-0436x
MailAddr: 409 E BRUNDAGE LN State: CA
City : BAKERSFIELD Zip : 93307
Owner EDWIN RODRIGUEZ Phone: (805) 861-1244x
Address : 259 JEFFREY ST State: CA
City : BAKERSFIELD Zip : 93306
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... ISpooHazlEPA HazardsI Frm DailyMax IUnitlMcP
LACQUER THINNER F IH DH L 25 GAL Mod
WASTE THINNER F IH DH L 5 GAL Mod
-1- 08/12/1999
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
,,~,,~,,~,,~,,?i~,,?,,? ~,~, ~,~,, This permit is issued for the following:
~,,¢¢i,)~ ~ ,~i~,~'~='~ .... 'i~~ii ::. :;:~:~: :.:.::i:':!::~ii:;ii;::ii!!i;i:::;i'ii:'"':' ,, :~::~.!:.~.~i~d6~s Waste
LOCATION ' 409 E BRUNDAGE
'"~:"'_ ..'-"
[ssu~ by:
Bakersfield Fire Depa~ment Approved by:
B~e~fiel~ CA 93301
Voice (805) 326-3979
F~ (805)326-0576 Expiration Date: June 30, 2000
· CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
UNDERGROUND STORAGE TANK PROGRAM
1715 Chester Ave., Bakersfield, CA (805) 326-3979
INSTRUCTIONS: /
1. To avoid further action, remm this form within 30 days of receipt.
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be as brief and concise as possible.
SECTION 1' BUSh-NESS IDENTIFICATION DATA
BUSINESS NAME: ~'f5 '5 /kOWO f'~O~3q
LOCATION:
MAILING ADDRESS:
CITY: STATE: ~ ZIP: PHONE:
DUN & BRADSTREET NUMBER: SIC CODE:
PR~IARY ACTIVITY:
OWNER:
MARLING ADDRESS: 2£q .~ C--¢-cRe~d
SECTION 2: EMERGENCY NOTIFICATION
CONTACT TITLE BUS. PHONE 24 HR. PHONE
2.
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 3: TRAINING
NU1V~ER OF EMPLOYEES:
MATERIAL SAFETY DATA SHEETS ON FILE:
BRIEF SUMMARY OF TRAINING PROGRAM:
SECTION 4: EXEMPTION REQUEST
I CERTIFY L"~rDER PENALTY OF PEKYURY THAT MY BUSINESS IS EXEMPT FROM
THE REPORTING REQUIRE~MENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH
& SAFETY CODE" FOR THE FOLLO~,¥TNG REASONS:
~T DO NOT HAx~LE :-2~Z.kRDOUS MATERIALS.
WE DO I-L&NDLE I-L&Z.kRDOUS MATERIALS. BUT THE QUANTITIES AT
NO TLME EXCEED THE _x. 12NE'vlL~l REPORTING QUANTITIES.
OTHER (SPECIFY REASON)
SECTION 5: CERTIFICATION
I. CERTIFY THAT THE ABOVE
INFORMATION IS ACCU~,ATE. I L,-NDERST,&ND THAT THIS INFORMATION WILL BE
USED TO FULFILL MY FIRM'S OBLIGASIONS UNDER THE "CALIFORNIA I-IEALTH
AND S,M:ETY CODE" ON HAZARDOUS _MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500
ET ,M...) AND THAT INACCURATE i~-FOtLMATION CONSTITUTES PER.RJRY.
SIGNATURE TITLE DATE
2
HAZ~OU$ MATERIALS MANAGEM]~ PLAN
SECTION 6: NOTIFICA~ON AND EVACUATION PROCEDURES
A. AGENCY NOTIFICATION PROCEDURES:
B. EMPLOYEE NOTIFICATION AND EVACUATION:
C. PUBLIC EVACUATION: -~, ~ ~
~ Ed's Auto Body
Edwin Roddguez
(805) 63 i -0436 409 E. Brundage Ln.
(805) 632-3576 - Pager Bakersfield, CA 93307
D. EMERGENCY .XtEDICAL
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN
A. I~F. LEASE PREVENTION STEPS:
B. RELEASE CONTAi2N'MENT AND/OR MINIMIZATION:
C. CLEAN-UP PROCEDURES:
SECTION 8: UT~ITY SHUT-OFFS (LOCATION OF SHUT-O~S AT YOUR FACII.ITY)
NATLTP~&L GAS/~PROPANE:
ELECTRICAL:
WATER:
SPECI.1Z,:
LOCK BOX: 'x-ES/NO IF YES. LOCATION:
SECTION 9: PRIVATE FIRE PROT,_C ~ ~O. WATER AVAILABILITY
A. PRIVATE FIRE PROTECTION:
B. WATER AVAILABILITY (FIRE 14YDRANT):
:ln. ess Name /~_.'-~5~b .,~J~'CO ~df'b Actciress ~
CHEMICAL DESCRIPTION
! INV~NTOF~$TAll. I~: Ne~{l~ Addilien! ! P.e~lieni ) De___~__ I ] Chee~itdtemi~Mi~lNONll~~.[
Chem~ N~: ~M [ ] CAS ~
;H~lC~ & H~ PHYSI~ H~
~D CA~RIES Fire ~ Re~ { ] S~aen Re~e of Press~e [ ~ lm~ He~ ~e) [ ]
WAS~ C~SSIFICA~ON (~ig~ ~e ~m OHS Fo~ 80~ USE CODE ~
PHYSICALSTA~ Sol~ [ ] UQu~ ~ G~ [ ] Pure [ ] M~ [ ] W~tl ~.
AMOUNT AND ~ME AT FACI~ ;NITS CF M~SURE 8) STOOGE CODES
M~mum0aiyAmoum: ~ [~ { ] ~a ~ ~3 [ ] ~ Co~ ~L ~ ,.~
Average Om~ A~unt: tunes [ ] b) Pm~um:
Annum A~um: c) Tempera:
~est Size Commne~ ~
~ Oa~ On S~e ~ ;;m~e~cn Monms: All Ye~. ;. F. M. A. M. J. J. A. S. O. N. D
:~e mree most n~aous ~ ) [
:~em~ com~nen~ or "
~y AHM com~nents ~ [ ] :
CHEMICAL DESC~I~ION ~ ~gj~
'~NTCRY STA~S: New { ~ ;acmen ~ ] =ews~on ( ] Ca,etlon. ' Chec~ ff cnem~ is a NON ~DE SECR~ [ ] ~E SECR~ [ '
.;em,c~ Name: AHM [ ] CAS ~
=HYSICAL & H~L~ =~YSICAL
~RD CA~GCR~ES Fire ~ ;ea~ve { ~ Suaaen Re~e~e c~ ~'essure ~ ' .mmea~eMe~ {Ac~e) [ ] ~ He~ (Chmnm) [ '
· ','ASTE C~SSIFICA~CN ~o~g~t cote ~om OHS Pc~ 8C22~ USE CCCE
;MOUNT AND T;ME AT FAC~ _NITS CF ~,~5UAE 8) STOOGE CODES
M~lmum Cauv Amount: ~ :s { ' ;~ ' ' 93 [ ] al Cont~ne~
Average OaN Amount: c;nes ( ] b) Pressure:
Annu~ Amount: c) Tempera:
~gest S,ze Cont~ner:
~ Dave On S~te ~ ~ C,:c:e w~cn ~,iontns: All Yeu. ,, F. M. A. M. J. J. A. S, O. N. D
,~'~RE: ~st COMPONENT CAS a % ~ AHM
three most n~ous ~, [ ]
~eml~ com~nen~ or
iny AHM com~nen~ 21 [ ]
N~e & TiUe of ~cnz~ Com~ ReD~m~e ' Sig~ / '
-;ne~ Name Adar~
CH~i~ DESCRI~ON
Co~n N~: 3) ~T · (~;
WAS~ C~SSIRCA~ON (~ig¢ ~e ~m OHS Fo~ s0~} USE CODE
PH~ICALSTA~ SoI~ [ ] Uau~ ( ] G~ [ ] ~ure ( ] M~m [ ] W~te [ ]
~MOUNT AND ~ME AT FACI~ ;NITS CF M~SURE 8) STOOGE CODES
Annum A~t: c) Tem~: '1
~est Size Contmne~
= Da~OnS~te ::~e~cnMomns: AllYe~. ~. F. M. A. M, J. J. A. S. O. N. D
MITRE: ~st COMPONENT CAS ~ % ~ AHM
:~e mree most n~o~ ~ ) [ ]
:~em~ com~nen= or
~y AHM com~nen~ :) [ ]
) Loc~{Ion
CHEMICAL ~ESCRI~ION
'~NTCRY STATJS. New ( } A~c~on i ~ =ews~on [ ~ ~e~e~on ' Chec~ ~ cneml~ is a NON ~DE SECR~ [ ] ~E SECR~ [ '
2gmmon N~e: 3) ~T · (o~).
;.~em~c~ Name: AHM [ ] CAS ~
=~YSICAL & H~L~ =HYSICAL H~
.';ASTE C~SSIFICA~ON ~q~t cooe ~om DHS Fc~ 8C22~ USE CODE
=NYSICALSTA~ Sohd [ ] _cu~o [ ] G~ [ ] Pure [ ] Mi~u~ { ] W~te [ ] R~ [ ]
;MOUNT AND ~ME ~T ~C~ ~NiTS ~: M~SU~E 8) STOOGE CODES
M~lmum Ca,vAmount: :s { ~ ;~ ~ ~ ~3 [ ] a) Cont~ne~
Average C~N Amount: :;~es { ' b) Pressure:
Annu~ Amount: c) Tem~re:
~ges~ S~ze Cont~ner:
~ Oavs On SAc 2.rc:e ~h:c~ '.'ont~s: All Ye~. J. F. M. A. M. J. J. A. S. O. N. O
'.q~RE: ~st COMPONENT CAS · % ~ AHM
I
te ~nree most n~ous 1) [ ]
~ in~on w ~e, accu~, ~ comutete.
Name & Ti#e of AL~c.",ze~ ComDany l~epresenra~ve $ignalure Date
:ness Name Adoress
CHEMICAL DESCRIPTION
C,~m~n N~ne: 3) DOT ~
:.hem~m Name: NlM ! ] CAS
~HY~ICAL & HEALTH PHYSICAL HEALTH
'"AZA.RDCA~RIES Fire [ ] ~em:~zvel ] SuaaenReleaseotP~'essure { ! immedia~eHeeJm(Acu~) [ ]
WASTE CLASSIFICATION (3-¢licJg c~ae ~m OHS Form 8022! USE CODE
=HY$1CALSTATE S~lid ( I bau~t ( ] Gaz ( ] Fure ( ) MixaJm ( ) W~sm [ ] F~..i..:]
~MOUNT AND TIME AT FACILrT'Y ;.,NITS CF MEASURE 8) STORAGE CODES
Mammum OadvArnounz: ;=s (i c.a~ {] ,'t3 [ ] a~ Container:
Annum An'mum: c) Tem~rm~m:
La,'~es! Size Contmnec
= Oars On S~te ::=:eWh~c~ Mor~es: ~ll Yem. * F. M. A. M. J. J. A. S. O. N. D
/IIX'T1JRE: L:st C~MPONENT CAS a*
-e mree most nazamous ~ I
~emlca~ comoonenl~ or
.'~v AHM components C', [
L~C~tlon
;VENTCRY STAT~S. New i I ;cc~en i ! =evasion ( ] ~ele~ion. Chec~ ~ cnem~c.,m ~s a NON TI:tADE SECRET [ ] TRADE SECRET
;mmon Name- 3) DOT #
'emfcaJ Name: ~,HM [ 1 CAS ~t
"vSICAL & HE.AL~'~ :~VSIC~L HF_ALTH
~2A~D CATEGC~!E$ :~re ;eac=~ve ~ : 5u~aen Re~esse c' ='ess~re ,mmeamze memtn ~Acutel [ ~ ~ He~ (Chmnml
~S~ C~SSIFICA~CN ~tq~t cote ~om OHS Fc~ .C,_ USE
,~CU~T ANC ~ME ;T 7;C;UW _:,,T~ C.: ',~SbRE 3) STOOGE CCDE5
M~mum Ca~v Amount: :s . . ;~ . . ~3 [ ~) Con~mne~
Average Ca~ Amount: ;;~es ~ ; ~) Pressure:
Annu~ Amount: c} Tem~re:
~ges~ S~ze Con~aner:
'~RE: ~st CGMPCNENT CAS ·
mree mos~ n~ous I'. [ ]
~m~ ~m~nen~ or
'amc & TitJe of Au:~c=zea Com=~ny, Reoresenra~ve Signore O~e
new--t_ Name Address
CHEBIGIU. DESCRIFTION
PHYSICAL & MEALTH PHYSICAL HEALTH
· ~AZARDCA~R1E~ Fire [ ] Reaaavll ] SueleenRele~eofPressure ! ; lmmeelilllHea#~(Ac~e) [ ]
WASTE CL~.H$!!=ICATION (3-clig~t ¢o~e Imm OHS Fom~ ~022~, USE CODE
· HYSlCALSTATE Solid [ ] L~qu~ [ ] GM [ ] Pure [ ] Mi~m~m ( ] Waste [ ] I~ [.-']
:,MOUNT AND TIME AT FACIUTY ;;NITS CF MEASURE 8) STORAGE CODES
Max~num 0,~Amount: 'os ( ] c.m { ] ~3 [ ] a~
Average ~uv Amount: :unes [ ] b)
Annu~ Amount: c) Temoemmm:
Lazge~t Size Comamer.
=~ DaYS On S~te C;,'¢te Which Monms: All Yea~. J..=. M. A. M. J. J. A. S. O. N. D
· 41XTURE: ~st COMPONENT CAS ,~' % Wl' AHM
.'.emmaJ comoonems or
.'W AHM comD~neflts r) [
CHEMICAL :~.SC~IFTION
;VE_NTCRY STAT'J$ '~ew i ! ;Qc.',!cn i ! =ewslon t I CemDon ' Check( rf chemical is a NON TRADE SECRET I[ ] TRA~E SECRET
ommon Name: 3) ~:XDT ,t* (eDt]oMi)
;emac=, Name: AHM [ ] CAS
xZARD CATEGCR!E$ Fire ~ ' ;ea~lve ( ] Suc3oen ~e,eue c? =".<.sure ' ' .mmeol-fei-lealtll (Acute) {
r AS~ CLaSSIFICATiON 3'a;q;t CO(=e n'om OHS Fc~'~ 8C~2! USE CC~E
~.Y$ICAL STATE- .Cohd [ ! _.-u~o [ I Ga5 [ ] :'.'re I M~ure [ I Waste [ ] Ral31oa¢~ ( ]
Mazlmum C~a,v Amount: :s : : _:~ ~ [ ~) Contmner.
Averaqe ~a~rv Amount: :;nes . , ~) Pressure:
AnnueJ Amount: cl Temoera~ure:
~,.,~'~ e S t 5J~.e
C~MPCN~T :AS #
L~st
three moss naZa~ous 1 ~ [ ]
em~cm comcx3nems or
v AMM comoonem~ 2.1
! ~0 mforl??aDorl ~ Due. accurate, ano complete.
~arne & iTtle of Au~'~ c.s"zed CornDany/~eDreSM?~aDve $igrlatutl
SITE DIAGRAM [ 1 FACILITY DIAGRAM
Busine~ N~me: