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