Loading...
HomeMy WebLinkAboutBUSINESS PLAN Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ............ ~,;~;~.,,~i~,,~?,:i~i~,..,,;,;~,~,,,~,~;,,~,~ .......... This permit is issued for the following: '(~ ..... %. ~iii~ '"~'"%2",,.." ~ ~ ,' .,~ ~...;,. _. ,~.h,,},~'' '" ..! ~¢' ' ~" '~ Ism~ by:  B~ersfield Fbe D~ment Approv~ by: F ~P~ ~;~~ } 1715 Chewer Ave., 3rd Floor B~e~fiel~ CA 93301 Voice {805) ~2~979 F~ (80S)32~0576 Expiration Date: June 30, 2000 SITE/FACILITY DIAGRAM FORM DATE ' / FACILITY (CHECK ONE) SITE DIAGRASI ~-- FACILITY DIAGRAM Inspector's Co~ents): xOFFICIAL USE ONLY- - 5A - S[T£ DIAGRAM (Requl~Otems) ~--~ ~ l. Address: Identify the 9. Lock (key) Box ~ principle buildings by the Street nnmbers, i0. MSDS Storage Box 2. Street(s), Alleys, 11. Railroad Tracks Driveways, and Parking Areas adjacent to the 12. Fence or Barrier property. Include the. a. Wire street names. b. Masonry 3. Storm Drains, Culverts, ~ard Drains c. Wood 4. Drainage Canals, Ditches, d. Gates Creeks, 13, Powerllnes $. Buildings a. Frame construction 14. Guard Station b. Masonry construction 15. Storage Tanks: .";' Identify the c, Metal construction capacity in gal. ~ a. Above ground d. Access Door b. Underground 6. Utility Controls a. Gas ~ 16. Diking or Berm b. Electricity 17. Evacuation Route c. Water 18. Evacuation Area: Identify the ?. Fire Suppression Systems: location where a. Fire Hydrants employees will meet. b. Fire Sprinkler 19. Outside Hazardous Connections Waste Storage c. Fire Standpipe 20. Outside Hazardous Connections Material Storage d. Water Control Valves 21. Outside Hazardous for pr.ot~c"tton ~ystems Material " ...... ""' '~'" Use/Handling,'. ~ .... e. Fire Pump 22. Type o~ Hazardous ., :~,',,~, .,~,~ ~. Material/Waste ~ 8. Fire. O~partm~nt Access or Used Below) o.~-: ,~; ?~ ~ TYPE OF HAZARDOUS, MATER[AL .~ '~,'~ F = Flammable E = Explosive L = Liquid R = Radtologlcal ' ~. ! :~ ~ C = Corrosive 0 = Oxidizer O = Gas P = Poison ~ W = Water Reactive T = Toxic S' = Solid ~'H = 'CrYogenic D = Waste B = Etiological Example: Flammable Liquid'=' FL' FACILITY DIAORAM (Required items i~ addition to the"~bove) 1. Risers for Sprinklers 8. Fire Escapes' 2. Partitions 9. Air Conditioning Units 3. Stairways: Indicate 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/Handling 6. Attic Access 14. Sewer Drain Inlets ~',, x¢'~ STATEMENT OF ACCOUNTQ ~ . ACCOUNTS CITY OF BAKERSFIELD PAYABLE 150i TRUXTUN AVE BAKERSFIELD, CA 93301-52~8 JUL-7 PM 4:32 ( 805 )'<, .~ DATE: 6/01/98 TO: PARNELLI~,~,,~.,.',q~'~R INC 1500 EASTMAN AVE VENTURA, CA CUSTOMER NO: 3085 CUSTOMER TYPE: ES/ 3085 ~-- - -'~ ,F~ ~? ~-- ...... 5/01/98 BEOINNINO BALANCE . O0 HMO05 6/01/98 HAZ MAT HANDLINQ FEE E 110. O0 HMO17 6/01/98 HAZ"MAT ANNUAL INSPECTION 50. O0 SSO01 6/01/~8 CA 'STATE SURCHARQE 18. 50 FOR QUESTIONS OR CHANQES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER 90 , 178.50 DUE DATE: 7/01/98 PAYMENT DUE: !78.50 TOTAL DUE: $178.50 Au t motive Solutions PAYABLE June 30, 1998 City of Bakersfield 1501 Tmxton Ave Bakersfield, CA 93301-5201 custoMER 3085 To Whom It May Concern; This is to advise you that we purchased 2 Bakersfield locations from Pamelli Jones on Feb. 1, 1998. The addresses for these locations are: ~ ~ ~ 2575 Bmndage Lane (805)325-9283 Bakersfield, CA 93004 2308 Chester Ave ,~-~\ Bakersfield, CA 93301 (805)325-9678 Please re-issue this invoice to Tires One and forward to our billing address at: 2225 Sperry Ave Ste 1000 Ventura, CA 93003-7402 Thank you for your cooperation; if you have any questions, please contact me at - (805)650-9299, ext. 107. Encl. 2225 Sperry Ave., Ste. 1000 · Ventura, California 93003 · (805) 650-9299 · Fax (805) 650-7501 J 01~18/94 DOBS TIRE & AUTO CENTER 215-000-001388 Page 1 Overall Site with 1 Fac. Unit General Information Location: 2575 BRUNDAGE LN Map: 102 Hazard: Low Community: BAKERSFIELD STATION 03 Grid: 36C F/U: 1 AOV: 0.0 Contact Name , Title ~ Business Phone 24-Hour Phoneq SCOTT ANDREWS I I (805) 325-8345 x (805) 589-1528~ DAWN R. HOLT (805) 325-8345 x (805) 327-1227 Administrative Data Mail Addrs: '1500 EASTMAN AV D&B Number: 08-434-8457 City: VENTURA State: CA Zip: 93303- Comm Code: 215-003 BAKERSFIELD STATION 03 SIC Code: 5531 Owner: DOBS TIRE INC Phone: (805) 644-3699 Address: 1500 EASTMAN AV State: CA City: VENTURA Zip: 93001- Summary RECEIVED ~ ,MAR 1 0 1994 HAZ, MAT, DiV. I, I~C '~ r~h a ~..'~. Do hereby cert{fy that I have (Type or pri~t't name) reviewed the attached hazardous materials manage- ment plan 'for'~qff-~l(~-,~a ~ arid that it along with (Name of ~us~neaa) any corrections constitute a compls~e and correct man- agement plan for my facility. 01/18/~4 DOBS TIRE & AUTO CENTER 215-000-001388 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-002 WASTE OIL Liquid 250 Low ~ Fire, Delay Hlth GAL 02-001 MOTOR OIL Liquid 200 Minimal ~.Fire, Delay Hlth GAL 01/18/~4 DOBS TIRE & AUTO CENTER 215-000-001388 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-002 WASTE OIL Liquid 250 Low · Fire, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GALI Daily Average GAL I Annual Amount GAL ...... 250 i 100.00 1,200.00 Storage Press T TempI Location ABOVE GROUND TANK AmbientlAmbientlSOUTH EAST CORNER -- Conc~ Components~ MCP ~Guide 100.0% IWaste Oil, Petroleum Based ILOw I 27 02-001 MOTOR OIL Liquid 200 Minimal · Fire, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: LUBRICANT Daily Max GALI Daily Average GAL I Annual Amount GAL 200 ~ 100.00 1,200.00 Storage Press T Temp~ Location ABOVE GROUND TANK Ambient~AmbientlSOUTHWEST CORNER -- Conc~ Components~ MCP --~Guide 100.0% IMotor Oil, Petroleum Based IMinimal I 27 .0~/18/~4 DOBS TIRE & AUTO CENTER 215-000-001388 Page 4 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 FOR LOCAL FIRE AND POLICE DEPARTMENTS <2> Employee Notif./Evacuation THERE IS ONLY 6 PEOPLE AT ONE TIME. I WOULD JUST TELL THEM. <3> Public Notif./Evacuation INFORM PUBLIC OF PROBLEMS AND EXIT LOCATIONS <4> Emergency Medical Plan VALLEY INDUSTRIAL MEDICAL CENTER 01/18/~4 DOBS TIRE & AUTO CENTER 215-000-001388 Page 5 00 - Overall Site <E> Mitigati6n/Prevent/Abatemt <1> Release Prevention STORAGE IS IN SEALED BARRELS PACKED UPON A REGULAR BASIS <2> Release Containment <3> Clean. Up SPILLS IN SHOP ARE WIPED UP IF A MOJOR SPILL (WHICH WOULD BE A MAX OF 50 GAL) WE WOULD USE ABSORBANT TO PICK UP SPILL <4> Other Resource Activation 01/18/~4 DOBS TIRE & AUTO CENTER 215-000-001388 Page 6 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - NORTH WALL INSIDE SHOP C) WATER - WEST WALL JUST OUTSIDE SHOP DOOR D) SPECIAL - NONE E) LOCK BOX - YES - EAST WALL PAPERWORK ONLY <3> Fire~Protec./Avail. Water NO PRIVATE FIRE PROTECTION AVAILABLE FIRE HYDRANT - ACROSS STREET CORNER OF BRUNDAGE LANE <4> Building Occupancy Level 01/~8/~4 DOBS TIRE & AUTO CENTER 215-000-001388 Page 7 ~ 00 - Overall Site <G> Training <1> Page 1 WE HAVE 6 EMPLOYEES WE HAVE MOST OF OUR MSDS SHEET ON HAND WEEKLY STORE MEETINGS WHICH WILL OCCASIONALLY INCLUDE INFORMATION PERTAINING TO THE PROPER HANDLING OF WASTE <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use 1500 EASTMAN AVENUE · VENTURA. CALIFORNIA 93003 · (805) 644-3699 December 15, 1993 To Whom It May Concern: On November 9, 1993, Dob's Tire & Auto Centers, Inc. merged with RPJ Tire Company, Inc. dba Parnelli Jones, Inc. thus all Dob's Tire Stores will now-be known as Parnelti Jones, Inc. The corporate office will remain at 1500 Eastman Ave., Suite A; Ventura, CA 93003. Our taxpayer number is 95-2667309. If you have any questions, or need additional information, please' call Beverly LeBus at (805)'644-3699. Vice PfeB>idedt of Finance $ IlAR 2 1992Page 02/21/92 DOBS TIRE & AUTO CENTER 215-000-001388 1 ° Overall Site with 1 Fac. Unit A~8'd ............ General Information Location: 2575 BRUNDAGE LN Map: 102 Hazard: Low Community: BAKERSFIELD STATION 03 Grid: 36C F/U: 1AOV: 0.0 Contact Name . Title Business Phone 24-Hour Phonen ~:C~-L~S ~A,,~O~ ~~kr [(805) 325-8345 x (805) ~ DAWN R. HOLT (805) 325-8345 x (805). Administrative Data Mail Addrs: 1500 EASTMAN AV D&B Number: ~-~°~F~ City: VENTURA State: CA Zip: 93303- Comm Code: 215-003 BAKERSFIELD STATION 03 SIC Code: 5531 Owner: DOBS TIRE INC Phone: (805) 644-3699 Address: 1500 EASTMAN AV State: CA City: VENTURA Zip: 93001- Summary 02/21/92 DeBS TIRE & AUTO CENTER 215-000-001388 Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail' in Reference Number Order 02-001 MOTOR OIL Liquid 200 Minimal · Fire, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: LUBRICANT Daily Max GAL Daily Average GAL ] Annual Amount GAL -- '200 { 100.00 ~,20'0 O0 Storage Press T Temp{ ' Location ABOVE GROUND TANK AmbientlAmbientlSOUTHWEST CORNER -- Conc Components MCP List 100.0% {Motor Oil, Petroleum Based IMinimal I ,.c. --- 02-002 ~"~IL Liquid 250 Low · Fire, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL I Daily Average GAL I Annual Am0unt GAL 250 ! 100.00 1,200.00 Storage Press I Temp~ Location ABOVE GROUND TANK Ambient{Ambient{SOUTH EAST CORNER -- Cent 'I Components I MCP ---/List. 100.0% IWaste Oil, Petroleum Based' ILow 02/21/92 DOBS TIRE & AUTO CENTER 215-000-001388 Page 3 Ob - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification <2~ Employee Notif./Evacuation THERE IS ONLY 6 PEOPLE AT ONE TIME. I WOULD JUST TELL THEM. <3> Public Notif./Evacuation <4> Emergency Medical Plan VALLEY INDUSTRIAL MEDICAL CENTER 02/21/92 DOBS TIRE & AUTO CENTER 215-000-001388 Page 4 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention STORAGE IS IN SEALED BARRELS PACKED UPON A REGULAR BASIS <2> Release Containment <3> Clean Up SPILLS IN SHOP ARE WIPED UP IF A MOJOR SPILL (WHICH WOULD BE A MAX OF 50 GAL) WE WOULD USE ABSORBANT TO PICK UP SPILL <4> Other Resource Activation 02/21/92 DOBS TIRE & AUTO CENTER 215-000-001388 Page 5 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - NORTH WALL INSIDE SHOP C) WATER - WEST WALL JUST OUTSIDE SHOP DOOR D) SPECIAL - NONE E) LOCK BOX - YES - EAST WALL PAPERWORK ONLY <3> Fire Protec./Avail. Water NO PRIVATE FIRE PROTECTION AVAILABLE FIRE HYDRANT - ACROSS STREET CORNER OF BRUNDAGE LANE <4> Building Occupancy Level 02/21/92 DOBS TIRE & AUTO CENTER 215-000-001388 Page 6 00 - Overall Site <G> Training <1> Page 1 ~ WE HAVE 6 EMPLOYEES WE HAVE MOST OF OUR MSDS SHEET ON HAND WEEKLY STORE MEETINGS WHICH WILL OCCASIONALLY INCLUDE INFORMATION 0 PERTAINING TO THE PROPER HANDLING OF WASTE <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use City of Bakersfield ~ . ~ TRANSMITTAL SLIP Date ........ ~.-.,~.,.z..:..~../. ...................... Tc)....~.:~-,.~..~,....~..~_~....-,...~./..~.:,.,.~.~ ........ Fro~.~..~..~.~.A.e:~.....-.. ...... ~.~..~.'.-.:_ ........ For Your:-- [] Signature (~"'Acfion [] Information ri File Please:-- [] Return [-! See Me I-I Follow Up [] Prepare Answer Copy to: .................................................................................................. Memo: .............................................................................................. REC£'IVED J U L 2 -.~ 1991 1500 EASTMAN AVENUE · VENTURA. CALIFORNIA 93003 ,, (805) 644-3699 An6'd ............ July 19, 1991 Drew Sharpies City of Bakersfield P.O. Box 2057 Bakersfield, CA 93303 Dear Drew: Thank you for your assistance in tracking down the payment for Chester Avenue's Hazardous Materials Handling Fee. Would you please change the billing address on the following accounts so that we may alleviate this problem in the future: 5101 Hazardous Materials-2575 Brundage Ln. 1701 Hazardous Materials-2308 Chester Ave. SG203101 Refuse Collection - 2308 Chester Ave. SG698501 Refuse Collection - 2575 Brundage Ln. If you need additional information, or have any questions, please call me at (805)644-3699. Sincerely, .... f? ' .. t> Beverly tLeBus RRE OF..PARTMI~NT 2101 H STRI~"T RREC~ilFJ: '. 4~, ,' ~. Dear Business Owner: Enclosed please find a cody of your ~.s~3onse to the Hazardous Material Business Plan requesT. We have found it necessary to rej~; your pla~ for the following reason(s) as checked below. ~ Ill~ible Business Pl~ (please print or t~e info~tion in ~glish). Fo~ ~ Missing or ~ lnc~iets Fo~ 3A ~ Missing or~ Inc~late Fo~ 4A Imm m~ Missing or~ Inco~lete Fo~ ~A Site Oiag ~ Incomnlete Faciliti, ng ar ~ This is to be co~ed a~bmitted within 3D days t~: B~kersfield City Fire De~ar~ent Hazardous Materials Division 2!30 "G" Street Bakersfield, ~ g33DI If additional co~ies of any fo~s are needed they c~n be picked u~ from the HazarUous Materials Division at 2!30 "G" Street in person. Sincerely Yours, / ~Ral~ [. ~u~ REH/eg BAKER~r-t:LD CITY FIRE DEPARTMENT i~. 2130 'G" STREET~ BAKERSFIELD, CA. 93301 (805) 326-3979 /o,~-'~ OFFICIAL USE ONLY 3 ~ '" BUSINESS NAME HAZARDOUS MATERIALS RECEIVED BUSINESS PLAN AS A WHOLE FORM 2A APR 1 9 1989 HAZ. MAT. DIV. INSTRUCTIONS: 1. To avoid further action, return this from within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for 1;he business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS ]~OENT[FICAT~[ON OATh A. BUSINESS NAME: '~o,~% T~_~ $ f~J~ B. LOCATION / STREET ADDRESS: ~-~ ~u~o-~d~L c~. CITY:.[~~,~$~'Z~-'Lp ZIP: ~c~. BUS. PHONE: SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the Stal;e Office of Emergency Services as required by law. EHPLOYEES TO NOTIFY IN CASE OF ENERGENCY: NAHE AND TITLE DURING BUS. HRS. AFTER BUS. HRS. A. "'T-PrO ~,~, ~ t'~,.~F__~ PH# ',~Z%- -~j~"5~q-'~"-- PH# B. (']'"~,"~r~,~..~ ~_~- ~'~ PH# '"~Z-¢" .-~,"~d-6o~'- PR# ~Z'5- I Z~7~7 SECTION 3: LOCATION ~F IJT[LITY SHUT-OFF8 FOR BUSINESS AS A WHOLE A, NATURAL GAS/PROPANE: ~"~ 0 ~'-~--~ B. ELECTRICAL: &')O rT_.-T~ L~ ¢ (..L.- ~/~% iF_..c2,F_- ~.~:~'7'~ 7~ C. WATER: ~¢%~/~ i~-~.~ ~.~FUS'3--- ouT%~-O~-~ ~}~g~ '~o~ O. SPECIAL: ~Y~~ E. LOCK BOX: YES / NO IF YES, LOCATION: ~/J_Dr~JL~ ,Od~-~_~_ IF YES, DOES IT CONTAIN SITE PLANS? YES ~ MSDSS? YES //~ FLOOR PLANS? YES KEYS? YES SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE SECTION 6: EMPLOYEE TRAINING EHPLOYERS ARE REQUIRED TO HAVE A TRAINING PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE SAFE HANDLING OF HAZARDOUS MATERIALS, A. NUMBER OF EMPLOYEES AT THIS FACILITY B. DO YOU HAVE MSDS (MATERIAL~SAFET~DATASH~EETS) FOR EACH HAZARDOUS MATERIAL YOU HANDLE ? C. GIVE A BRIEF SUMMARY OF YOUR HAZARDOUS MATERIALS TRAINING PROGRAM: ~ECTION 7: EXEMPTION ~EQUEST I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREHENTS OF CHAPTER 6.95 OF THE CALIFORNIA HEALTH AND SAFETY CODE FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIME EXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 8; CERTIFI,~ATION acdurate. I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et Al.) and that inaccurate information constitutes perjury. - BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA, 93301 (805) 326-3979 ~ OFFICIAL USE ONLY I1 BUSINESS NAIVE HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 3A INSTRUCTIONS 1. TO avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LTSTED BELOW 4. Be as BRIEF and CONCISE as possible FACILITY UNIT ~ FACILITY UNIT NAME: SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES SECTION ~; NOTIFICATION AND EVACUATION PROCEDURES AT THE UNIT ONLY SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A, Does this Facility Unit contain Hazardous Materials? ...... (~ NO If Yes, see B. If NO, continue with SECTION 4 B. Are any of the hazardous materials a bona fide Trade Secret? YES~/~-~? If NO, complete a separate Hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form ~4A-1) If YES, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (Ye]Iow form ¢4a-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDER$ (Fire Hydrant) SECTION §: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONt, Y, A, NATURAL GAS/PROPANE: B. ELECTRICAL: C. WATER: D. SPECIAL: E. LOCK BOX- ..Y.E.S~N~_~IF YES, LOCATION: IF YES, SITE PLANS? YES / NO MSDSs? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO - 3B - CITY of BAKERSFIELD NON--TRADE SECRETS ' Page _aL- of .L. BUSINESS NAME: ::;d2>}~.~ ~Z~..~ aMBER NAME: ~',~ ~'~ ~- NAME OF T~ FACILITY: LOCATION: ~ ~vO'~ghq~ ¢~. ADDRESS: /~0 ~g*~ ' ~'~ STANDARD IND. CLASS CODE CITY, Z]P:~~~O ~'~ CITY, Z]P:~/~,~ ~ DUN AND BRADSTREET NUMBER PHO~E ~: ~V~ab~ PHON~ ~: & ~-~ _ _ - - ~ ~ ~S~U~rO~ ~0~ ~0~ ~0~ I 2 ] 4 S 6 ? 8 9 10 11 12 13 14 lreng Ty~ ~x Average ~nual ~asure I ~ Cmt ~t ~t hi L~tt~ W~e ~W~t' Nam of Ndxtu~/~tl C~e C~e ~t ~t Est Units m Site Ty~ Pr~s Imp C~e .. I Ston~ in Facility ~ Inst~ctims v/~k all t~t apply)/ .......... ' , ~ -, . - .... / ........ . ~~c ., P~ical ~d HNlth Hazaed C.A.S. ~ ~t II Nm i C.A.S. ~ ~,. .~ /(C~k~]l tMt apply) ~- ' ..... ~ ~~_~ ~~ [ ~ Reactivity ~--~ ~la~ ~ddm Relflse i~tate Health of Pr~su,e H~lth ' ~ C~t 8~ N~ & C.A.S. ~ _t ......... ,J .............. ' '} .t_-~ L_Z ~ P~ical ~ HHlth ~zard C.A.S. Nulhr C~t Il Nm i C.A.S. N~ I .... - .......... (C~k 411 t~t a~Ty) ...................... r--~ r--n ?--n r--n r--n C~t 12 Nm i C.A.S. Nomhe ~-~ FtreHozard ~--~ R~ctivity ~--~ ~lay~ ~--~ ~ddm Release ~--~ I~ate Health of PP~suPe Health ...... ' ....... .... --._ ........ : ............ ',_,,, ....... .. ......................... .... ............ ,,.,_,,, ....... C~rtificat~ /Read and SiKh after completinE all sections/ I certify under ~elty~f la~ t~t I ~ve ~rs~ellyexamin~ end oi fali)ior with t~ infor~tim suhitt~ tn this m~ ell Ittlc~ ~u~ts, ~d t~t ~s~ ~ W inqui~ of t~e t~i~els ~sible for ob~ainina t~ti~, ~ ~tieve t~t t~ su~itt~ infoema~i~ is ~rue, accurate, and c~p)e~e. ~ / 08/10/89 DOBS TIRE & AUTO CENTERO Page 001 Site as a Whole General Infor~atior, Looation: ~575 Brundage Ln Map: 108 Hazard: Low Ident Nur,lber: 215-000-001388 Grid:36C Area of Vul: Administrative Data Mail Addrs: 2575 BRUNDAGE LN D&B Nur~lber: City: BAKERSFIELD State: CA Zip: 93304- GeoSubdiv: BAKERSFIELD STATION 03 SIC Code: 5531 Owrler: DOBS TIRE INC Phorle: (805) 325-8345 Addrs: 150(:) EASTMAN AV State: CA City: VENTURA Zip: 93001- Contact 'Title Business Phor~e ~24 Hour Phone THOMAS BARRIE (8(')5) 325-8345 x I (8(:)5) 835-9456 DAWN R. HOLT (8(.)5) 325-8345 x I (805) 323-1227 Su~,lr~ary: 08/10/89 DOBS TIRE & AUTO CENTER Page Overall Site HAZMAT INVENTORY - LIST 01-002 Old Oil 250 Low > Fire, Delay Hlth GAL Ol-OC)l Motor Oil 200 Mir, ir~al > Fire, Delay Hlth GAL 08/10/89 DOBS TIRE & AUTO CENTER~ Page 003 Overall Site HAZMAT INVENTORY - DETAILS 01-001 Motor Oil 200 MirJir~al > Fire, Delay Hlth GAL Forr~: Liquid Type: Mixture Days in use: 365 Use: LUBRICANT -- Daily Max A,,,t200 I Daily Average Ar,~t100 --1 Ar, r, ual A~,,our, t ~~r, it --1,200 ~GAL Cont a i ne~ [..PressTTer~p . Lc, cat i c,r~ ABOVE GROUND TANK lA~br~t lAr~br~t SOUTHWEST CORNER -- Corec. "t Ccm~por~er~ts ~- MCP ~ist-- 100.0%lMotor Oil lMir~ir~al ~ 01-002. Old Oil ~-~'-'="] Low > Fire, Delay Hlth GAL Fc, rr~: Liquid Type: Waste Days in use: 365 Use: WASTE ~ Daily Max Argot Daily Average Amt I Annual Arm:,ur~t --~.~nit -- 250 100 ~ 1,200 ~ GAL ...... Cor, tainer ~F'ressTTernp ~ Locat ior, ABOVE GROUND TANK A;,~br, t~A~,~br, t SOUTH EAST CORNER -- Cor, c. i Co~por, er~ts ~ -. MCP ~ist-- i00.0%~Waste Oil ~Low ~ 08/10/89 DOBS TIRE & AUTO CENTER Page 004 <D> Notif. /Evacuation/Medical for: - <1> Ager~cy Notificatior~ <2> Employee Notif./Evacuatior~ THERE IS ONLY 6 PEOPLE AT ONE TIME. I WOULD JUST TELL THEM. Public Notif./Evacuation 08/10/89 DOBS TIRE &. AUTO CENTER~ Page 005 <D) Notif. /EvacuatiorJ/Medical fop: - <4> EmergerJcy Medical Plarl VALLEY INDUSTRIAL MEDICAL CENTER 08/10/89 DOBS ]'IRE & AUTO CENTER Page 006 <E) Mitigation/PreverJt/Abater~t for: - <1> Release P~-ever, tiorJ STORAGE IS IN SEALED BARRELS PACKED UPON A REGULAR BASIS <2> Release Cor, tairm~er, t <3> Clear~ Up SPILLS IN SHOP ARE WIPED UP IF A MOJOR SPILL (WHICH WOULD BE A MAX OF 50 GAL) WE WOULD USE ABSORBANT TO PICK UP SPILL 08/10/89 DOBS TIRE & AUTO CENTER~ Page 007 <E> Mitigati,,,r~/Preve~t/Abatemt f,-,r: - <4> Other- Resource Activatic, r~ 08/10/89 DOBS TIRE & AUTO CENTER Page 008 (F> Site En~erger, cy Factors for: - <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - NORTH WALL INSIDE SHOP C) WATER - WES]' WALL JUST OUTSIDE SHOP DOOR D) SPECIAL - NONE E) LOCK BOX - YES - EAST WALL PAPERWORK ONLY <3> Fire Protec. /Avail. Water NO PRIVATE FIRE PROTECTION ABAILABLE FIRE HYDRANT - ACROSS STREET CORNER OF BRUNDAGE LANE 08/10/89 DOBS TIRE & AUTO CENTER~ Page 009 <F> Site Eme~gency Factor's for: - <4> Held fo~~ Futu~-e use 08/10/89 DOBS 7'IRE & AUTO CENTER Page 010 <G> Trair, irtg lc, r: - <1> Page 1 WE HAVE 6 EMPLOYEES WE HAVE MOST OF OUR MSDS SHEET ON HAND WEEKLY STpRE MEE]-INGS WHICH WILL OCCASIONALLY INCLUDE INFORMATION PERTAINING TO '[HE PROPER HANDLING OF WASTE <2> Page 2 as needed <3> Held for Future Use