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