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HomeMy WebLinkAboutBUSINESS PLAN cONDiTiONS OF pEFIMiT ON HaZardous Matenals/Itazardous' Waste Unified Permit t i he fo Iomn~ * ~ ~ ~ ~ ~ H~ous ~teflals Plan - ~ ~ ~ ~ ~ ~'~ ~ Underground Storage of H~rdous Materials ~ermit ID ~:: 015-000-001255 ~ ~ ~ ~}~ ~ Risk~ana~em~tPr~ram THE G~INERY . LOCATION: 430 BRUNDAGE LN ~ :~ ; ~ ~;~:;':~;:'~":: ::~ .,;: ..,..:~:. ~ ~'o~ ..~."~. ~'. .~. Issued by: Bakersfield Fire Department OFFICE OF EN~R ONMENTAL SER VICES ~~~ 1715 Chester Ave., 3rd Floor ~Approvedby: · Issue Date Bakersfield, CA 93301 om~o~~s~i~ Voice (661) 326-3979' 'F~ (661) 326-0576 ExpimtionDate: June 30, 2003 Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ), ,..~ ,,~,~,~,~;~,~,, ~,,,~,,,~,,~, .... This permit is issued for the following: ' .:~,,~'~'?i i~,,i ~:~"~:'~"~'~:~::~i ;ili!i ~.i i~ iiiii!i?i;:?,iilD:~iii~e,rground Storage of Hazardous Materials PERMIT ID# 015-O214)01255 .,,~¥[i~! ;,,'!:~i:i ii! ii::'" ...?,i!!ii!':i i i! 7!!!!i~i!!!!!',:..:*iiiiiiiiiiii,~ ~;~kii~anagement Program LOCAT ION 430 B RUN DAG E~[::~ ~:::'~:~:~,~:::~<~? .......... ~,..:.. ~-:_ · ~ '~:*:~ ..... ~:~=., H~:7%;'~ ........ = ..... .,~ .H: ...:~,,,:,;~q ..~}7 .~i~' ~J~'~"'"''~"~--t:'~:'i:~:--'"='=~"'~ ':~{ ~ .=4~' ;'" ":=~;~;;::.::." ...:' .:" ..'".," ..'/ ," .-"/ / :" ,' i ~ :i :~'::~i~i:::~'' Issu~ by: O B~ersfield F~e Depa~ment Approv~ by: F g:he~;~~ ' 1715 Cheaer Ave., ~rd Floor B~e~fiel~ CA 93301 ' Voice (805) 326-3979 ~ (805) 326-0576 ExPiration Date: June 30, 2000 ORTH SCAL~: CHEC:' ONE) SiTE inspector's Comments : -OFFICIAL riSE ONLY- S_I.Ti DIAGRA_M ~._~, ,i;;d iteras '" ~ 1. Address: Identify tile 9. Lt key) Box principle buildings by the Street nnmbers. 10. MSDS Storage Box 2. Street(s), Alleys, 11. Railroad.Tracks I)riveways, and Parking Areas hdjacent to the 12. Fence or Barrier property. Include the a. Wire street names. b'. Masonry 3. Storm Drains, Culverts, Yard Drains c. Wood 4. Drainage Canals. Ditches, d. Gates Creeks, 13. Powerlines ~ 5. Bnihtings a. Frame construction 14. Guard Station b. Masonry construction 15. Storage ~anks: Identify the c. Metal construction capacity in gal. d~ d. Access Door " ~, a. Above ground b. Underground 6. Utility Controls' a. Gas 16. Diking or Berm b. Electricity 17. Evacuation Route c. 'water :' 18. Evaenatlon Area: ' Identify the 7. Flr~ Suppression Systems:. ~,., '* location where .. ,~ q a. Fire Hydrants employees will b. Fire Sprinkler 19. Outside Hazardous Connections Waste Storage c. Fire standpipe 20. Outside Hazardous ...... ~ ..... ':~' ''Connections '~ ......... :' ~aterlal'Storage .... : -', .-' ..... ,,.'-' '. ..... d. Water Control Valves 21. Outside Hazardous for protectton~systems Material ~, Use/Handling e. Fire Pump 22. Type of Hazardous Material/Waste Stored 8. Fire Department Access or Used (See Below) ~ TYPE OF HAZARDOUS MATERIAL F = Flammable E = Explosive L = Liquid R = Radiological. C = Corrosive 0 = Oxidizer G = Gas P = Poison W = ~ater Reactive T = Toxic S = Solid H = Cryogenic O = Waste B = Etiological Example: Flammable Liquid = FL FACILITY DIAGRA~ (Required items 'in addition to,the abo~e) 1. Risers-for Sprinklers ..... :: 8. Fire Escapes .. 2. Partitions ' 9. Air Conditioning Units 3. Stairways: Iudlcate the 10. Windows levels served from highest to lowest. 11. Inside Hazardous Waste Storage 4. Escalator: Indicate the levels served from 12. Inside Hazardous highest to lowest. Materials Storage 5. Elevator 13. Inside Hazardous Materials Use/llandling 6. Attic Access 14. Sewer Drain Inlets 7. Skylights MAILING ADDRESS ·. SITE ADDRESS P~CEL NUMBER .:. (IF APPBCABL~ ADJUSTMENT. { CHG DATE CH~GECODE ~ ADJUSTMENT-AMOUNT · MISCELLANEOUS RECEIVABLES ADJUSTMENT NEW ACCOUNT DATE ~ '~) .~-O/' ~ ADDRESS CHANGE . :FINANCECHARGEJ , / ~ ' i OTHER ADJ CUSTOMER NAME _ "~~ ~c? tX ~a~' ' SITE ADDRESS ...,~ PARCEL NUMBER ,::'!, (IF AppI ICABm ADJUSTMENT i CHG DATE CHAPGE CODE ADJUSTMENT AMOUNT I REMARKS: APPROVED B'~ ~ .... The Grainery 430 Br.undage Lane, Bakersfield, CA 93304 661-327-7569 May 25, 2001 Re: ResPond to yOur RevocatiOn of Permit to Oper. ate Dear. Mr. Huey, .. · . In responds t° your letter of revocation, firSt we would like to apologize for not responding to your previous correspondence.. However, we weren't aware of such fees, especially, since our business no Ioger facilitate significant amount of hazardOus materials (flamable liquid - propane) for past number of years'. If you Would' check with the fire department's previous annual inspection report, you would see that this.is a fact. Hence, we'ld appreciate yOur attention to· this matter and uPdate your record. · If we could be of any assistanCe in your effort,' please let us know. · . . I/~eth K. Ho, mgr. N'* SITE DIAGRAM I. I FACILITY DIAGRAM · t Business Name: The Grainery / · Business Address: 430 Brundage Lane, Bakersfield, CA 93304 · 661-327-7569 EMERGENCY I I *THE GRAINERY DOES NOT EXIT HAVE GAS LINE SIDE ROLL UP ACCESS UPPER · ' , FRONT ACCESS CIRCUIT BREAKERS LOCATIONS OF FIRE EXTINGUISHERS SITE DIAGRAM FACILITY RAM I I Business Name: The Grainery Business Address: 430 Brundage Lane, Bakersfield, .CA ~93304 · 661-327-7569 BACK ALLEY MAIN ELECTRICAL N SHUT OFF EMERGENCY / RE,~,R ROLL UPu EXITI I' ACC:ESS - UPPER OFFICE THE GRAINERY ~ SIDE ROLL UP ACCESS · FOODTOWN FRONT MARKET ~ FRONT AOOESS' UPPER OFFICE *THE GRAINERY DOES NOT HAVE GAS LINE BUTCHER ACCESS MANHOLE/VVATER MAIN SHUT OFF BRUNDAGE LANE . THE GRAINERY SiteID: 015-021-001255 Manager : BusPhone: (805) 327-7569 Location: 430 BRUNDAGE LN Map : 103 CommHaz : Low City : BAKERSFIELD Grid: 31D FacUnits: · 1 AOV: CommCode: BAKERSFIELD STATION 05 SIC Code: EPA Numb: ~DunnBrad: Emergency Contact / Title Emergency Contact / Title KENNETH HO / MANAGER JAY SHINOS / MANAGER' Business Phone: (805) 327-7569x Business Phone: (805) 327-3057x 24-Hour Phone : (805) 665-8724x 24-Hour Phone : (805) 665-8724x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : Phone: ( ) - x MailAddr: 430 BRUNDAGE LN State: CA City : BAKERSFIELD Zip : 93304 Owner PATRICIA & ROBERT HO Phone: (805) 322-7569x Address : 8204 BIRGINHAM ST State: CA City : BAKERSFIELD Zip : 93311 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... ISpeoHazlEPA HazardsI Frm Da!~lyMax UnitlMcP ~ IH DH L 80.00 ~GAL UnR DO hereby oe~ify ~ha, ~ h~ DH L 18000 .. 00 FT3 Hi reviewed the attached hazardous materials manage- ,or ~ ~ ~ and ,hat it along with ment plan ~,~ . ........ .. --- ~ {Name of 8usin~) any corrections constitute a complete and correct man- agement plan for my facility. , . " , ~_,,.....~Sig~ture -1- 05/21/2001 THE GRAINERY SiteID: 015-021-001255 = Inventory Item 0002 Facility Unit: Fixed Containers on Site ~lVUVl~ ~Vl~ / ~11 ~Z--x_..L~ ~Vl~ HERBICIDE Days On Site 365 Location within this Facility Unit Map:~ Grid: SOUTH END OF STORE CAS# ~ STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE I Ambient I Ambient I METAL CONTAINR-NONDRUM Pure Liquid AMOUNTS AT THIS LOCATION I Largest Container I Daily MaximumI Daily Average GAL 80.00 GAL 90.00 GAL HAZARDOUS COMPONENTS 100.00 Herbicides N 0 HAZARD ASSESSMENTS TSecreto RS BioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# MCP No N No No/ Curies IH DH / / / UnR = Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ivUVl~ ~Vl~ / ~ ~ZA_.J_~ ~Vl~ INSECTICIDE Days On Site 365 Location within this Facility Unit Map: Grid: SOUTH END OF STORE CAS# F STATE -- TYPE PRESSURE i TEMPERATURE CONTAINER TYPE I Liquid Pure Ambient Ambient PLASTIC CONTAINER I AMOUNTS AT THIS LOCATION I Largest Container Daily Maximum Daily Average GAL 80.00 GAL 90.00 GAL I o 0 100.00 Insecticides N TSecret S BioHaz Radioactive/Amount EPA Hazards NFpA USDOT# MCP No N No No/ Curies IH DH / / / UnR- -2- ~ 05/21/2001 THE GRAINERY SiteID: 015-021-001255 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: SE OF DOOR CAS# 74-98-6 F STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE /Pure I Above Ambient I Ambient . /Liquid I FIXED PRESS CYLINDER AMOUNTS AT THIS LOCATION . Largest Container I Daily Maximum I Daily Average FT3 18000.00 FT3 9000.00 FT3 HAZARDOUS COMPONENTS 100.00 Propane Yes 74986 HAZARD ASSESSMENTS ITsecret RS BioHazl Radioactive/Amount EPA Hazards 'NFPA USDOT# MOP No No No No/ Curies F .IH DH / / / Hi -3- 05/21/2001 F THE GRAINERY SiteID: 015-021-001255 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 05/02/1991 CALL 911 -- Employee Notif./Evacuation 05/02/1991 VERBAL NOTIFICATION AND CALL 911 PubliC Notif./Evacuation 05/02/1991 INSTORE PUBLIC ADDRESS SYSTEM Emergency Medical Plan 05/02/1991 MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371 -4- 05/21/2001 THE GRAINERY SiteID: 015-021-001255 Fast Format ---- Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 05/02/1991 SMALL PACKAGED FOR RESALE --Release Containment 05/02/1991 PRODUCT IN SMALL CONTAINERS FOR RETAIL SALE. -- Clean Up 05/02/1991 MOP UP Other Resource Activation -5- 05/21/2001 THE GRAINERY SiteID: 015-021-001255 Fast Format ~ Site EmerHency Factors Overall Site -- Special Hazards 03/12/1991 NO SPRINKLER .SYSTEM, 500 GALLON LPG TANK ON PREMISES AND NUMEROUS SMALL QUANTITIES OF HERBICIDES AND INSECTICIDES IN BUILDING. --Utility Shut-Offs 03/12/1991 A) GAS - PROPANE -~ PARKING LOT B) ELECTRICAL - BACK DOOR IN FEED STORE C) WATER - METER AT STREET ON BRUNDAGE D) SPECIAL - NONE E) LOCK BOX - NO -- Fire Protec./Avail. Water 03/12/1991 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER \ FIRE HYDRANT - CORNER OF T & BRUNDAGE -- BuildinH Occupancy Level -6- 05/21/2001 THE GRAINERY ~/~/~/~/~/~/~/~/~/~/~/~~ SiteID: 015-021-001255 i~ Trai~ng ~~~~~~~~ Overall Site i~ Employee Trai~ng ~~~~~~~ 02/13/1992 o WE HAVE 2 EMPLOYEES AT THIS EACILITY o o WE YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE o o B~EF SUMMARY OF T~INING: YEARLY T~INING, ALONG WITH QUARTERLY SAFETY o MEETINGS. o o o o i~ Held for Fumre Use o O o i~ Held for Fumre Use o o May 16, 2001 The.GrainerY ~ ~'67. ~ O 430 Brundage Lane Bakersfield. CA 93304 'Via Certified l~[ail FIRE CHIEF Subject: - Revocation of The Grainery; Permit to Operate RON FRAZE Dear Business Owner: ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 · Your "Permit to Operate" at 430 Brundage Lane, known as The Grainery is b. eing FAX (661)395-1349 revoked effective Monday, May 28, 2001, at. 5:00 p.m. This "Permit to Operate" is SUPPRESSION SERVICES being revoked due to failure to pay current as well as past due fees. 2101 "H" Street Bakersfield, CA 93301 - VOICE (661)326-3941 This action can be avoided by bringing your account current prior to that time. If You FAX (661)395-1349 haVe any questions, please call me at (661) 326-3 979. PREVENTION SERVICES 1715 Chester Ave. Sincerely, Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661)326-3979 Ralph E. Huey, Director FAX (661) 326-0576 Office of EnVironmental Services TRAINING DIVISION 5642 Victor Ave. RI-Ikdb Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 CC: Walter Porr, Jr., City Attorneys Office .t Steve UnderwoOd, Environmental Services Esther Duran, Environmental Services Drew Sharpies, Treasury MR430101 ~ CITY OF BAKERSFIELD 5/21/01 ~cellaneous Receivables In~ry 08:54:11 Customer ID . . . : 3355 Name: THE GRAINERY Last' statement : 5/01/01 Addr: 430 BRUNDAGE LN Last invoice : 0/00/00 BAKERSFIELD, cA 93304 Current balance : 807.50 Pending ..... : .00 A ACTIVE ENVIRONMENTAL SERVICES .Previous balance : 807.50 Deposit balance : .00 Type options, press Enter. Open Activity 1=Select Opt Code'Description Current Overdue Total due HM005 HAZ MAT HANDLING FEE E .00 556.00 556.00 HM017 HAZ MAT ANNUAL INSPECTION .00 20.3.00 203.00 SS001 CA STATE SURCHARGE .00 48.50 48.50 F3=Exit F7=Pending activity F8=Charge hsty F9=Payment hsty F10=Combined detail F11=Invoice inquiry F12=Cancel F13=Auto charges F14=Deposit detail F21=Other tasks MISCELLANEOUS RECEIVABLES ADJUSTMENT AOOI~SS CHANGE FINANCE CHARGE I SITE ADDRESS PARCEL NUMBER 0F APPLIC, AB~ ADJUSTMENT J CHG DATE CHARGE CODE ADJUSTMENT AMOUNT ; . APPROVED BY ~~~/ .- 04/16/91 THE GRA,INERy 215-000-001~='-~'- ~ Page '. Overall ~ite with 1 Fac. Ur, it HAZ~AT. Dtv'. Ger, era 1 . I r~format i Lc, cat ic, r,: 430 BRUNDAGE LN Map: 103 Hazard :' Low Ider~t Number: 215-000-001255 G~-id: 31D' Arma c,f Vul: O. Admir, istrative Data Mail Addrs: 430 BRUNDAGE LN D&B Number:, City: BAKERSFIELD State: CA .Zip: Corem Code: ,215-005 BAKERSFIELD STATION 05 SIC Code: Owr, er: ~ P~4~ ~o .... Phor, e:, (8O5) Address: R'T 4.BD~~ ~t~N~ ~. State: CA ' City: BAKERSFIELD ~]9~1 Zip: ~- Summary reviewed" ...... ~-' ~- ..:..,~,,ms .manage- co rremlO,,,~ ~,, ,~,,. .......... ,.~ ~un,~.,,,;. ~ stud. ~r~e~ man- agement plan for myf&!cd,~y.";" $ig~ure Oato 04/16/91 THE ORAINERY 215-(')(')[)-(')(')1255- Page 2 ~,~ . Hazr~at Ir~ver~tory List. ir~ ~MCP Order -~ 02 - Fixed Cor, tair~e~s or~ Site P i r,-Ref Na~e/Haz ards, For~ Q((ar, t ity MCP 02-003 PROPANE L i q u i d 500 ~ ~ H i gh Fire, I~ed Hlth, Delay Hlth GAL 02-002 ',HERBICIDE 'Li~quid 80 Ur~rat ed ~Im~ed Hlth, Delay Hlth ~ GAL 022001 i NSEC'[ I C I DE ~ ~ L i q u i d '80 Ur,~at ed ' I~,~,~ed Hlth Delay Hlth , GAL (.')4/16/91 THE GRAINERY 215-000-001255 Page 3 O0 - Overall Site <D> Not if. /Evacuat iorl/Medical <1> Agerlcy Notification CALL 911 <2> Er~ployee ~Notif./Evacuatior~ VERBAL NOTIFICATION AND CALL 911 <3> Public Notif. /Evacuation ~- <~> Em~erge~cy Medical Plar~ MERCY HOSPITAL - 2215 TRUXTUN AVE -. 327-3371 04/16/91 · THE GRAINERY 215'000-001255 page 4 00 '- Ove~--all Site <E> Mit'igation/Prevent/Abatemt <1> Release Prever~tiors SMfiI~L PACKfiGED FOR RES~LE <P> Release Cor, tairmler, t <3> Clean Up <4> Other ~Resource Activatior~ 04/i6/91 ~ THE GRAINERY 215-000-001255 Page 5 00 - Overali Site <F> Site Er~)erger;cy Factors (1) Special~ Hazapds ~ NO SPRINKLER SYSTEM, 500 GALLON LPG TANK ON PREMISES AND NUMEROUS SMALL QUANTITIES :'OF HERBICIDES AND INSECT. ICIDES IN BUILDING. <2> Utility Shut-Offs A) GAS --pRoPANE - PARKING LOT B) ELECTRICAL - BACK DOOR IN FEED STORE C) WATER'- METER AT STREET ON BRUNDAGE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec. /Avail. Water PRIVATE FIRE PROTECTI~N - FIRE EXTINGUISHER FIRE HYDRANT - CORNER OF T & BRUNDAGE <4> Building Occupancy Level 04/16/91 THE GRA'I NERY 2i5-000-001255 Page 6 .' , 00 - Overall Site ' · <G> Trairs.ir~g <1> Page 1 WE HAV, E' 2 EMPLOYEES,AT THIS FACILITY WE YOU HAVE ~MATERIAL SAFETY DATA SHEETS ON FILE B~RIEF SUMMARY OF' TRAINING: YEARLY TRAINING <2> Page 2 as~needed ; Held for Future Use <4> Held for Future Use CTTY Of BAKERSFIELD ',; FiHAZARDOUS HATERTALS TNVENTORY FaFm and Agriculture FI Standard Business Page of i NON--TRADE, SECRETS BUSZNESS NAHE: 7'/t¢ ~P-/I/~/~,,~ OWNER NAME: JOA, T~C~<~[~-~- ~O NAME OF' TH:IS FACZLTTY: : : -' LOCATION; .~3n (~R~OA~E i ADDRESS: ~<,/ 6~,~'/c~ STANDARD ZND CLASS CODE[ . .: PHONE #:. 3-~gh~_-b,, ; RP~FER. ~'OG-~-~7~CUCT~NS FOR PROPER CODES --- -- I 2 3 4 i: 5 6 I 8 9 10 Il 12 %iw!y ,ames of 14ixture/Co,pon,nts Trane ~)~e Max Av~r)ge~ Annual MeaSure I ~)) Cont Cont Cont Us Loc~tion.WheEe. Code ~ooe -' Amt Amt EsL Un~ts on ~ce lype Press lemp Co~e Stored ~n ~ac~)~cy See Instructions (Check mil thmt mp~l)) ~ ~Fire Hazard 0 Reactivity~ ~qelayed, ealth .~Suddenof PressureRelease ~I,;~i?~ Component ,2 Ha,, S C.A.S. Number __ Component 13 Name I C.A.S. Number (Check al/ that app/yl ?. . ~ Component 12 Name & C,A.S, Number D .Fire Hazard D Remctivity[ ~qelayed D Sudden Release ~Im~i~ Health of Pressure Component 13 Name & C,A,S, Number '~' C.A.S. Mu=her Component 11 Hame ~ C.A.S. Humber Physical and Hem]th Hazard (Check a.il that apply) ~ . -Component 12 Name & C,A,S, Number D Fire Hazard D Reactivityi ~qelayed D Sudden Release ~ Im~i~ Health of Pressure i Component 13 Name'& C,A.S, Number Phvsicm.l-mnd Health Ua)ard J C,A,S, Number Component II Name ~ C,A,S, Number ; (Check all that app/H ~ Component 12 Name S'C,A.S. Number D Fire'Ha~ard ~ Reactivity ~ Delayed ~ Sudden Release ~ Im~i~ · . Health of Pressure Component 13 Name & C,A.S. Number EMERGENCY CONTACTS ,lJ'~? ~ok~,~ ~r~, 24 Hr Phone :erti[i arid ' ,(Re~d and.~fgn after compl~Cfpg,all sectf~n~) cer ]~yun~er enam[)o))aFthAt ]navepersonalm),examln~oeqoQmtamim~ar,~itb the intormac)pnau~miLtcd in this~ndall Lt~ac~ed.docgmen~), eno tbac omsea on.my ~nquiry 9r.cnose lnalv~aua)s responsio)e tor obtaining the ~ntormaclon. I bet)eve that the ~uom,tteo ,nrormation is true, accurm[e, ,no comp,eom. ' e- U~.~ 51qneo ~o oficiaJ title ot owner/operator uH o~ner/operator~s 8ut~bfized representative ' ; April 16~ 19~1 Mr, Matt Tasos The Grainery 430 Brundage Lane Bakersfield~ Ca. 93304 Dear Mr. Tasos~ Enci°sed you will find' a computer printout of the HaZardous Materials Management Plan 'that we have in the computer. Due to a change in the laws that' went into effect January~ 1989~ we ~eed to have a new inventory form,(enclosed) filled'out. This form must be filled out and returned, to our office by April 30~ 1991. .If you have any questions please don't hesitate to contact us at (805 326-3979. Sincerely ¥ou~s~ ,R~lph E, Huey Hamardous Materials' Coordinator REH:vp Enclosure 05/28/90 'HE GRAINERY 215-000-00i~ Page 1 Overall Site with 1 Fao. Unit General Information Location: 450 BRUNDAGE Lid Nap: 105 Hazard: Low Ident 'Number: 215-000-001255 Grid: BiD Area of Vul: 0.0 -~ Contact Name Title -- Business'Phone ~ 24 Hour Phone- BILL '-JOHNSON . 1(805) 3~2-7569 x (805) 589-0150 MATT TASOS - I(805i 3Z7-5057 X i(805) 395-5172 Administrative Data Mail Addrs: 430 BRUNDAGE LN D&B.Number: City: BAKERSFIELD State; CA Zip: 95504.- Comm Code: 215-005 BAKERSFIELD STATION 05 SIC Code: Owner': BILL JOHNSON Phone: ( ) - Address: RT 4 BOX 471A State: CA City: BAKERSFIELD Zip: 93304-' Summary ,',.';*"..?FF...q?...-...-¢ ...... herel:~., ~mli~, that I have - . ~,..,,,,.,,.~ tidal it along any~, ....... uJ~ ~ ec~;~ns constitute a c~mplete and correct man- agemenl Plc~,n for my facility. 03/28/90 GRAINERY 2i5~0 o'ooi ' Page 2 Haz~at Inventory. List in MCP Order 02 - Fixed Containens on Site Pln-Re¢ Name/Hazards Form Quantity MCP 02'001 INSECTIOlDE ; Liquid 80 U~r'ated Immed Hlth, Delay Hlth GAL 02-002 HERBICIDE Liqu.i~d 80-' Unratec ' Immed Hlth, Delay Hlth GAL 05/28/90 ~HE GRAINERY 215-C Page 5 02 - Fixed Oontai'ners on Site Hazmat InventoFy Detail in MOP Order . 02-001 INSECTICIDE Liquid 80 UnFated Immed H'lth, Delay Hlt. h ., . GAL CAS ~: Trade Secret: No Form: Liquid Type Pure Days: 565 Use: PEcTICIDE Daily Max GAL i Daily Average GAL f Annual Amount. GAL -- · 80 I 9o I 9o Storage r Press T Temp -~ Location ~mbient~Ambient SOUTH END OF STORE PLASTIO CONTAINER -- Cone .,~ . Componen~ ' - MOP '----FLiSt 1OO.O~ Ilnsecticides Unrated I 02-002 HERBICIDE Liquid 80 Unrated Immed-Hlth, Delay Hi'th GAL 'CAS ~:' Trade Secret: No Form: Liquid Type: Pure Days: 565 Use: HERBICIDE -- Daily Max GAL f Daily A~erage GAL ' ] Annual Amount GAL -- " 80I 9o I Storage .... Press T--Temp . Location METAL coNTAINR-NONDRUM AmbientlAmbient'SOUTH END OF STORE --- MCP iLi t -- Cone . Components Unra . lO0.O~THerbicides ted O~/ls/90 SRAI~ERY '2iS-O00-oOi*~J~' Page '4 O0 - Overall Site <D> Notif./Evaouation/Medioal <1> ~genoy Notification ·OALL 9il · <2> Employee Notlf,/Evaoumtion VERBAL NOTIFICATION AND CALL <5> Public Notif./Evaouation <4> Emecgenoy Medioal Plan MERCY HOSPITAL - 221,5 TRUXTUN AVE - 527-5571 03/28/90 'HE GRAINERY '215-0( Page 5 O0 - Overall Site <E~ Nitigation/Prevent/Abatemt -'<1> Release Prevention SMALL_ PACKAGED FOR RESALE <2> Re~ease Containment <3> Clean Up <4> Other Resource'Activation 05/28/90 IE GRAINERY 215-000-00 Page 6 O0 - Overall Site '<F> Si~e Emergency Factors ?..<1> op_olal Hazards :?..'~ <2> Utility Shut-O¢¢s A) GAS - PROPANE - PARKING LOT B) ELECTRICAL - BACK DOOR IN FEED STORE ~ C) WATER - METER AT STREET ON'BRUNDAGE ~,:, D) SPECIAL - NONE E) LOCK BOX - NO ' . <3> Fi?~e Proteo./Avail. Water ¢'~"IVATE FIRE PROTECTION.- ????????????? FIRE HYDRANT - ???????????? <4> Held for Future use 05/28/90 'HE GRAINERY 2i5-oo0'o0 Page 7 O0 - Overall Site <e>'Training <l> Page l WE.HAVE 2 EMPLOYEES AT THIS FACILITY .-' DO YOU HAVE MATERIAL SAFETY DATA SHEETS oN FILE? BRIEF SUMMARY OF TRAINING: YEARLY TRAINING <2> Page 2 as needed Held for Future Use .<4> Held tot Future Use ./ - ) Ba]~.ersfield Fire Dept. " ' HAZARDOUS MATERIALS DIVISION ': - :' Date comPleted BuSiness.Name: .~-¢-_ .~rz.A~-'3'L~- RF£E!VED · 'Location: .~1' 90 ~1~~ ~ -e.~. L.~, - Business Identification No. 2i5'000 0oi. 'Z. 5~ (Top of Business Plan) -. ,4~sd' ..... ' ~ ...... StationNo. '~ : Shift ~>' Inspector ~t.L,~OOCZ. E~:~p,'I'5} . .. Adequate,' - Inadequate Verification of Inventory Materials I~'/'.'/ Verification of Quantities ~ I~ . / -' Verification of Location ~ '- ~ Proper Segregation of Material'~'// ~] CommentS: . " · Verification of MSDS Availablity Number of Employees' '~ .... ', Verification of Haz Mat Training ~ Comments: ~::z.~* k/~.GT~$'erl~- ¢-'I,L.~_ A--C-~.S/~'~U~"5.~' ,/r~.~. .--~?.,,~,~ ~ ~ ~-r::c-.~ct.~ o'~. ~zv?....~-; -. ~ ' Verification of Abatement. SuPplies & ProcedUres . ' ~ ' Commenis: "~~ /~.,(.,,. ~L.~ F_--~i/v~O~;Sd,?-"E-~-~.. " · Emergency. Procedures Posted: ~ .Containers Properly Labeled ~ ' Verification of Facility Diagram ~ Special Hazards Associated with this Facility: I, JO .Sr~z~'~'z.c-¢Tt' ~-~-¢1~-,,,.~ Violations: ~!'~.-~ ~;X;'~N&U~5~---~ N"~T~D .~"/~,'~ "J~,, · " ' Correction Needed .~ Busines~Owner/Manager. ' .. ... ... ' FD 1652(Rev. !;90).'.::.. " ' '' :- ., .. Whit~-Haz Mat Di~. Yellow.~tation COpy Pink-Business Copy (~)i~i>: !~' ~i . "' CITY of BAKERSFIELD FIRE DEPARTMENT 2101 H STREET D. S. NEEDHAM BAKERSFIELD, 93301 - FIRE CHIEF .. Dear Business Owner: Enclosed you will find a computer printout of the HazardOus Materials Management Plan that is currently ~n our computer, we have highlighted the areas that ~eed to be revised. Also enclosed you will find a blank inventory sheet, this shoulO be used to update or make any necessary changes to your Znventory. The printout along with any inventory changes should be returneO to thi~ office by March 15, 1991. If you have any questions please don't hesitate to contact us at 326-3979. Sincerely Yours, Valer~e Pendergrass Hazardous Materials Divlsion Enclosures'  ~! MEMORANDUM ~-~ FEBRUARY12,1991 TO: VALERIE~ HAZARDOUS MATERIALS FROM: DREW SHARPLES,i-'FINANCiAL INVESTIGATOR ...... ' ' ' 430 Brundage Lane sold on 10-17-90. I believe the businesses, Foodtown Market and The Grainary, were also part of the sale. Ne~ Owner: Robert Yong Kil Ho & Patricia Address: 430 Brundage Lane Bakersfield, CA 93304 RE: HM 464301 -- (~-~ HM 466901 - I~ krc F:M.DS13 CITY of BAKERSFIELD HAZARDOUS MATERIALS INVENTORY Form andAgticulture ~ S~andard Business [] NON--TRADEE SECRETS Page of__ SUSlN_ESS NAME;-T~'~ C~Ck~'~e_Cq OWNER NAME: . ,~'~/ .~ C>~r~ NAME OF THIS FACILITY: ' .OCArlON; ,~,_~' ~-,~,<PJr~r,e' ~ J._~A , ADDRESS; (O,~-E ~- t~_o',~ %') \ ~¥-- SIANDARO IND. CLASS CODE: - ......... Irtfls !yqe Max Average Annual Measure ! ys (~ont ~ont (ant Us tocmtjon.Whece. Code Iaaa Ami Ami Est Ufll[S off mLe mype ,ess lamp Cole Stored Iff ~acHicy See Instructions Phy)icll Ipd Ilellth Hazard C.A.S. Number ~ L~ ,,~-(,~, Component II Name I C.A.$. Humber (Check mil thm~ mi)Ply) COmponent I~ HAme I C.A.$. Number [] Fire Hmzmrd [] Remctivity ~ 0elmyed I-I Sudden Relemse I] lmmedimte Health or Pressure . HeAlth Component lC) Nmme I C.A.$. Humber PhyHcAI O[ld Pemlth [Imlard C,A.S. Number Component II Name I C.l.$. Number (Check mil that epp/yl Component IZ Name I C.A.$. Humber [] Fire Hmzmrd I-I Remctivity [] BelAyed ~ Sudden Release [] Immediate Hem Ith of Pressure Health Component 13 Name I C.A.$: Number Physical mild Itellth [tmzmrd C.A.S. Number · Component II Nmme I C.A.$. Number ICheck all that mpp/yl Component 12 Hame I C.A.$. Number I] Fire Hazard [] Reactivity [] Delayed ti Sudden Release [] Immediate Hea/t.h of Pressure Hea Ith Component 13 Name I C.A.S. Number PhyHcll Ipd Ilellth Uazlrd C.l.$. Number Component II Name I C.A.S. Number (Check mil that apply) · . Component 12 Name I C.A.$. Number I] Fire Hmzmrd [] Reactivity [I Oelmyed I] Sudden Pelemse [] ImmHeedailYhe Hea ICh of Pressure Component 13 Name I C.A.S. Number erti[i~m[ioq .(Repd a.,n.cl.~fgn af~pr complqti(~g,~ll .~ct~i,ons.) ,certify unbar I)enmltl~ Ol!ml~ tnqt i nmvepersonmj~)'.exmmlnq~qo~m lamil~a[.¥itgtne/nloreat)pn ~u~miLt.e~l' in this.end mi) i~tmcned.d;cum.eflt$, In0 t.hmc omseo off.my Inquiry 9t. tnose Ifl01VIQUm/S responsible for obtaining tile Information. [ believe that the ~.,// ,,.~, ,,- ,~ /' · Bakersfield Fire DePt. HazardOus Materials Inspection Date Completed ,,~.~z.-,o~ y ~/~ Bus~e~ N~e: ~ ~'/~~' ~ ~ C E i V E ~ Loca~on: ~~ ~~~ ~' FEB 1 6 1~0 Plan ID ~ 215-000~/~,~ ~ (Top right comerBushess Plan) ~ ~ ............ Station No.' ~ S~ ~ Inspector ~~~ Adequate Verification' of InventOry Materials ~ Verification of Quantifies ~ Verification of Locati6n ~ ~oper Se~egafion of Material. ~ Co~: Verification of MSDS Availabfli~ ~ Nmber of Employees /~ o Verification of Haz Mat Trai~ng ~ Verification of Abatement Supplies & Procedures [] [~] Comments: Emergency Procedures Posted [~ [-~ Containers Properly Labeled ~,. [] [-~ Coma%ants: Verification of Facility Diagram [~ [--] Special Hazards Associated with this Facility: FD 1652 (Rev. 3-89) White-Haz Mat Div. Yellow-Station~ Copy Pink-Business Office ;" CITY oBAK£Z SPi£!.D RRE DEPARTMENT- 2101 H STREET 0. S. NEEDHAM E~M(ER.~=tB.~. 93301 FIRE CHIEF 326.G911. Dear Business Owner: Enclosed please find a copy of your response to the Hazardous~Material Business Plan reques:. We have found it necessary to reject your pian for the following' reason(s) as checked below. ~ Illegible Business Plan (please print or t~e infomation in English).. Fora 2A ~ Missing or ~ncomplete ~ 4<~. Form 3A ~ Missing or[--'~ Incomplete Form SA ~ ~ Site Diagr~ r'-T Missing or ~ Incomplete Facilities Diagr~ ~ Missing or['~ Incomplete This is to be corrected and resubmitted within 30 days to: Bakersfield City Fire Department Hazardous Materials Division 2130 "G" Street Bakersfield,. CA g3301 If additional copies of any forms are needed they can be picked up from the Hazardous Materials Division at 2130'"G" Street in person. Hazardous Materials Coordinator REH/eg' BAKERSFIELD 'mz DEZa. g IBBB /~ 2130 "G" S~EET ~' B~m~S~ZnD, CA 9ssoz An~'d ............ (805) 323-39v9 BUS [NESS N~[E BUSINESSFORM PLAN 2AAS A ,WHOLE~ rNS=UCTIONS: ~~~ ~ ~' 1..To avoid ~ur:her action, return this [oum by 2] TYPE'/PRINT ANSWERS IN ENGLISH. 3. Answe~ the queszions betow flor Zhe business as a whole. 4. Be as brie[ and concise as possible. SECTIO~ 1: BUSI~SS ZDE~IFZCATIO~ DATA CITY~~4~Z~ ZIP: ~g~~ BUS.PHONE: ~ SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-832-7550 or 1-916-427-4341. This will notify your local fire department and the State 0ffice of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NA.M.~ AND TITLE DURING BUS. HRS. AFTER BUS. HRS. SECTION 3: LOCATION OF l~!Ll.~f S~-OFFS FOR BUSI~SS AS A. ~OLE B. ELECTRICAL: , D. SPECIAL: FLOOR PLANS? YES / XO' KEYS? YES / NO - 2A - SECTION 4: PRIVATE RESP, ONSE TE~L~ FOR BUSINESS AS A WHOLE , SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE SECTION 6: EMPLOYEE TRAINING .,. EMPLOYERS ARE REQUIRED TO HAVE A ?ROGRA)I WHICH PROV~DES EMPLOYEES WITH iNITIAL AND REFRESHER TRAINING IN'THE FOLLOWING AREAS. CIRCLE' YES OR NO iNiTiAL REFRESHER A. METHODS FOR SAFE,HANDLiNG OF HAZARDOUS MATERIALSi .... : .................................. YES NO YES B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... YES NO YES NO C. PROPER USE OF SAFETY EQUIPMENT: .................. YES NO YES NO D. EMERGENCY EVACUATION PROCEDURES: ................. - YES NO YES NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES. NO YES NO sEcTIoN ?: HAZARDOUS MATERIAL CIRCLE YES - NO - NONE DOES YOUR BusiNESS HANDLE HAZARDous .,L~zR~AL iN QUANTI:,~S LESS Ti~A.Y 5eD POUYDS'~ A SOLID, ~S GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES NO I, , certify that the above information is accurate. I undecst~d that this information wi!! be used to r'ulfi!t my ffium'a oblizntions under the new California Health and Safe~y code on Hazardous >~aterials (Div. 20 Chapter 8.95 Sec. 25500 Et Al.) and that inaccurate information constitutes perjury. S I GNATURE TITLE 'DATE BAKERSFIELD Ci~f FiRE DE?ART.~[EXT 2!30 "G" STREET BAKERSFIELD, CA 95501 GT~'..-.Ci:\L USE '3NLY BUS I NESS PLAN SINGLE F_~C I L.I T¥ UNIT ~ O ~I .~ INSTRUCT ! ONS I. To avoid further action, this form mus~ be re-~u~'ned by: 2. TYP£.,'PR!NT YOUR AXSWERS IN ENGLISH. 3..Answer the questions below for THE FACII, tTY'UXIT LISTED EEi. OW ~ Be as BRIEF and .... FACILI~f UNIT~ FACILI~ ~IT N~: SECTION !: ~ITIGAT!ON, P~ION~ .4BATEMES~ PROCEDb~ES - 3A - SECTION 3: HAZARDOUS MATERIALS FOR TH[S'f,.'NIT ONlY A. Does ~his Facility Unit conr. ain Hazardous .Ya~eriais? ..... . YES XO if YES, see B, .' ,-. If NO, continue with SECTION '~:' B. ~e ~nY of the hazardous materials a'bona' fide Trnde Secret YES ~z'.,~'.;o, compie~a a separate hazardous materials in~enzorv' for~ marked: NON-TRADE SECRETS ONLY (white form IA-l) Y~.~, complete a hazardous materials inventor form marked: If ~,x~aDm ~cr~rr~ OXLY (ye~iow form ='4A-2) in addi on to the non-trade secret List only the trade secrets on m 4A-Z. ~CTIOM 4: FIRE PROTECTION' SECTION $: LOCATION' OF WATER ILY FOR USE BY RESPONDERS SECTION 6: LOCATION OF UT!L!?f SR'b~T-OFFS {IS UR'IT 05~¥. A. >.'AT. "'~ ,~i.~ . PROP.\57E': B. ELECTRICAL: C. WATER: / O. SPECIAL: / LOCK BOX: v~c X'O ,_'F YES, L~C.,TIO.,: FLOOR PLA:,:S? .......... ::~ ." XO zr,:S: YES .." :,:0 - 3B - i BAK'ERSFIELD CITY FIRE DEPARTMENT I.D. # , FORM 4A-1 Page .... : NON--TRADE SECRETS ~ HAZARDOUS MATERI ALS INVENTORY BUSINESS NAME: / ' OWNER NAME: ~'3 FACILITY UNIT #:__ :~/~,t'9 ~(~ ADO.ESS: t.~ FACILITY UNIT NAME: P.ON~ .: ¢3~'C~_ ..ON~ .: ~[OFF,C,ALoNLY USE CFIRS CODk: '1 2 3 ~' 4 5 6 7 8 9 lO TYPE ~AX ANNUAL CONT USE LOCATION IN T~IS ~ BY BAZARD CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT . WT. CHEmiCAL OR COMMON NAME CODE GUIDE NAME: TITLE: SIGNATURE: DA*~ ' E~ERGENCY CO~TACT: TITLE: PHONE ~ BUS HOURS: ~FT~R B~S E~ERGENCV CONTACT: TITLE: PHONE ~ BUS HOURS: PRINCIPAL BUSINESS ACTIVITV:~ AFTER BUS HRS: /~~ ~ CITY of BAKER SFIELD .~'~ ,~3'.i--..~ FIRE DEPARTMENT 2101 H SSREET D. S. NEEDHAM BAKERSFIELD 93301 FIRE CHIEF 326-3911 Mr. Bill Johnson The 6rainery 430 Brundage Ln Bakersfield, Ca. 93304 Dear Mr. Johnson: PLEASE LOOK AT THIS PACKET! You uere asked for additional inTormation reDardinD your Hazardous Materials Business Plan in May. This information MUST be completed by March 1, tgBg. Failure to comply could result in Civil Penalties up to $Z,000.00 per day per violation. S.14qcere!Y, '/ , Ralph E. Huey Hazardous Materials Division REH:vp