HomeMy WebLinkAboutBUSINESS PLAN 10/23/2006UNIFIED PROGRAM INSPECTION CHECKLIST=
SECTION 1: Business Plan and Inventory Program
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B B R S F I D
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ARTM T
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME ~ ,~. INS ZN D TOE
) INSPECT ON TIM
ADDRESS ~ ~~ - ~ P
~ NO.~ O OF EMPLOY S
FACILITY CONTACT
e,(,J ~,tl~ _ -~ BUSINESS ID NUMBER
~ s-o2~ - 00 20 5~
S®cfiian 1: ~B ess Plan and inventory Program "t
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V (c=compliance OPERATION
V=Violation C ENTS
^ APPROPRIATE PERMIT ON HAND
^ BUSIfI@SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITY
^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
,~/
IzY ^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
QUESTIONS REGARDIN THIS INSPECTION?;PLEASE CALL US( AT~/(661)~3j26.3979
l ~ ~~' ' ~ 2l~ l ~/
nspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # usiness Site esponsible a ase Print)
White -Prevention Services -Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05
,~,~ KBF-6073
ANY HAZARDOUS WASTE ON SITE? ~dYtS ^ NO
UNIFIED PROGRAM INSPECTION CHECKLIST
- ~.~. ;~
SECTION 1 Business ,Plan and Inventory Program
•
FACILITY NAMF~ ~~ ~~
Bakersfield Fire Dept.
Environmental Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel: (661)_326-3979 ___
INS QTIO~A~ INSP~TION TIME
_.._
ADDRESS ~ f ~ PH NI
--- - ~~. _. i/1~- - - ~_ _ _.._ _
_ _ -- --
FACILITYCONTACT usme:
(~ ~~ ~ ~ 3-~3~ i
Section 1: Business Plan and Inventory Program
outine D Combined D Joint Agency DMulti-Agency D Complaint
dumber
1 s-o21- bU 2a~
D Re-inspection
•
ANY HAZARDOUS WASTE ON SITE?: ^ YES ^ NO
EXPLAIN:
M
QUESTIONS REGOARDING THIS SPECTION~ PLEASE CALL US AT ~GC)'I ~ 326-3979
_._ -
I pector (Please Print ~ Fire Prevention 1st-In/Shift of Site
White -Environmental Services Yellow -Station Copy
_. ._..-----._...- ---------------
sine Site Respo ible Party (Please Print)
Pink -Business Copy
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This permit is issued for the followin0:
[] Hazardous Materials Plan
rn Underground Storage of Hazardous Materials
[] Risk Management Program
[] Hazardous Waste On-Site Treatment
PERMIT ID # 015-021-002056 .... ~ ....
TOY TECH
LOCATION 2801 ,,~. ~ ~ 93304
"
OFFICE OF ENVIRONMENTAL'SER VICES' ~ ' '-MaY 1'8 ZOO1
1715 Chester Ave., 3rd Floor Approved by: VC~Ra~lpl~H~u~ey,.D~i Issue Date
Bakersfield, CA 93301 OfficeofEvim~Services -
Voice (661) 326-3979
2003
FAX (661) 326-0576 Expiration Date: ~l~U..
CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (661) 32.6-3979.
HAZARDOUS MATERIALS MANAGEMENT PLAN
1. TO avoid further action?e~~130 days of receipt.
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
--- 4. --Be as brief and concise as-possible. - .....
5. You may also attach Business Owner / Operator Form and Chemical Description Form(s)
to the front of this plan instead of completing SECTION I. below for initial submission.
SECTION I: BUSINESS IDENTIFICATION DATA
BUSINESS NAME:
LOCATION: ~/
~IL~G ~D~SS:
CITY: ~~.~k]~ STATE:~' ZIP:
EMERGENCY NOTIFICATION
CONTACT TITLE BUS. PHONE 24 HR. PHONE
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION II. I' DISCOVERY AND NOTIFICATIONS
A. LEAK DETECTION AND MONITORING PROCEDURES:
B. EMPLOYEE AND AGENCY NOTIFICATION:
C. ENVIRONMENTAL RESPONSE MANAGEMENT:
D. EMERGENCY MEDICAL PLAN:
2
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION II.2: RELEASE RESPONSE PLAN
A. HAZARD ASSESSMENT AND PREVENTION MEASURES:
B. RELEASE CONTAINMENT AND/OR MITIGATION:
C. CLEAN-UP AND RECOVERY PROCEDURES:
UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)
NATURAL GAS/PROPANE:
ELECTRICAL:
WATER:
SPECIAL:
LOCK BOX: YES/NO IF YES, LOCATION:
PRIVATE FIRE PROTECTION/WATER AVAILABILITY
A. PRIVATE FIRE PROTECTION:
B. WATER AVAILABILITY (FIRE HYDRANT):
HAZARDOUS MATERIALS MANAGEMENT PLAN
sEcTiON III: TRAINING. " .,. "
NUMBER OF EMPLOYEES:. · · -.-.- ' :..... , , ', . :..~-
MATERIAL SAFETY DATA SHEETS ON FILE:
BRIEF SUMMARY OF TRAINING PROGRAM:
CERTIFICATION
I~C, ~' C~~~. CERTIFY THAT THE,ABOVE INFORMATION
IS ~kC(~TE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO
FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY
CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 S~EC. 255OO ET AL.) AND
THAT INACCURATE INFORMATION CONSTITUTES PERJURY.
SIO-~XT0-~ /' TITLE DATE
TOY TECH AUTO SiteID: 015-021-002056
Manager : BusPhone: (661) 336-0965
Location: 2801 BRUNDAGE LN A Map : 102 CommHaz ~:,,Minimal
City : BAKERSFIELD Grid: 36C' FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 03 ~ SIC Code, .
EPA Numb: DunnBrad:I
Emergency Contact / Title Emergency Contract / Title
RAY ORTEGA / OWNER OSCAR ORTEGA i / BROTHER
Business Phone: (661) 336-0965x Business Phor~e: (661) 324-4517x
24-Hour Phone : (661) 832-9776x 24-Hour Phon~ : (661) 836-2274x
Pager Phone : (661) 319-1437xCELL Pager Phone : ( ) - x
___Hazmat_Hazards: ...... Fire ! DelHlth
Contact : Phoz%e: (661) 336-0965x
MailAddr: 2801 BRUNDAGE LN A StatUe: CA
City : BAKERSFIELD Zip : 93304
Owner RAY ORTEGA Phone: (661) 832-9776x
Address : 1619 FREMONT ST State: CA
City : BAKERSFIELD Zip : 93304
Period : to TotalASTs: = Gal
Preparer: TotalUS~s: = Gal
Certif'd: RSs: No
Emergency Directives: ~
INVENTORY OBTAINED ON INSPECTION -NEED TO COMPLETE A HAZARDOUS MATERIALS
MANAGEMENT PLAN AND SITE/FACILITY DIAGRAM.
~ Hazmat Inventory One Unified List
-- As Designated Order Ail Materials at Site
Hazmat Common Name... ISpecHazlEPA HazardsI Frm I DailyMax IunitlMCP
WASTE OIL F DH L 110.00 GAL Low
WASTE ANTIFREEZE F DH L 55.00 GAL Low
'~ (~,,~/-"~ O0 hereby certify that have
I, (T~, or'pdn!
reviewed the a~a, ch~d hazardous male~als
mere plan ~o~'~c~~nd ~hm i~ alon~ ~i~h
(Na~ of ~sine~)
/
any corrections constitute a comp!e~e and corre~ man-
agemen~ plan ~or my ~acili~,
Sig~mre ~ ~t®
TOY TECH AUTO SiteID: 015-021-002056
~ Inventory Item 0001 Facility Unit: Fixed Containers at Site
WASTE OIL Days On Site
365
Location within this Facility Unit Map: Grid:
INSDE SE CORNER OF SHOP CAS#
221
F STATE TYPE PRESSI/RE i TEMPERATURE CONTAINER TYPE
Liquid Waste Ambient Ambient DRUM/BARREL-METALLIC
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
55.00 GALI 110.00 GAL 55.00 GAL
. HAZARDOUS COMPONENTS
I
100.00 Waste Oil, Petroleum Based N
HAZARD ASSESSMENTS
[TSecret oRS BioHaz I Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No N No No/ Curies F DH / / / Low
= Inventory Item 0002 Facility Unit: Fixed Containers at Site ~
WASTE ANTIFREEZE Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE SE CORNER OF SHOP CAS#
107-21-1
STATE TYPE PRESSURE --~ TEMPERATURE CONTAINER TYPE
Liquid Waste Ambient Ambient PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container [ Daily Maximum Daily Average
55.00 GAL[ 55.00 GAL 55.00 GAL
HAZARDOUS COMPONENTS
%Wt. ~S CAS#
30.00 Ethylene Glycol N 107211
HAZARD ASSESSMENTS
ITSoorot ~S BioHaz I Radioactive/Amount EPA Hazards NFPA USDOT# MOP
No N No No/ Curies F DH / / / Low
2 10/18/2000
TOY T &ll VTO#O
SPECIAUZING IN TOYOTAS
FACTORY TRAINED / A.S.E. CERTIRED
Ray Ortega, Owner
661.336-0965 Office Lic. #AA208798
661.319.1437 Cell 2801 Brundage Lane, Suite A
661.335-5583 Pager Bakersfield, CA 93304
,,
CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME "7-ta~ 'T'C-r-.8- ,,&t/C-d INSPECTION DATE ~-/~'-/'~900
ADDRESS '2 ~"0 { ~t't,O,,t~ PHONE NO.
FACILITY CONTACT ~%4-cr'' ott'rc'-a& BUSINESS ID NO. 15-210-
INSPECTION TIME NUMBER OF EMPLOYEES
Section 1: Business Plan and Inventory Program
[] Routine ~-~ombined [] Joint Agency [~ Multi-Agency [~ Complaint [] Re-inspection
OPERATION C V COMMENTS
Appropriate permit on hand ~)
Business plan contact information accurate
Visible address
Correct occupancy
Verification of inventory materials
Verification of quantities
Verification of location
Proper segregation of material
Verification of MSDS availability
Verification of Haz Mat training
Verification of abatement supplies and procedures
Emergency procedures adequate
Containers properly labeled
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand (.~!
C=Compliance V=Violation
hazardous waste on site?: ~Yes [] No
Any
Explain: /.,A3~ x-'~ ~t/...z-x.. ~.C
Questions regarding this inspection? Please call us at (661) 326-3979 - Busir~ss Site Respq~ible Party
White- Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector:
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME '"~ 'TC:rL(~ ,ZkO~'Dt/'e7 INSPECTION DATE ~:~ff'~"-/ZOCO
Section 4: Hazardous Waste Generator Program EPA ID # t*,3/,,~
[] Routine ¢Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection
OPERATION C V COMMENTS
Hazardous xvaste determination has been made /xfl~-l.,,,.l I"~O-~tt~-~5 ~ .~¢¢t.._
EPA ID Number (Phone: 916-324-1781to ohtain EPA ID #)
Authorized for waste treatment and/or storage ~
Reported release, fire. or explosion within 15 days ofoccurance
Established or maintains a contingency plan and training
Hazardous waste accumulation time fi'ames
Containers in good condition and not leaking
Containers are compatible with the hazardous waste
Containers are kept closed ~vhen not in use
Weekly inspection ot' storage area
Ignitable/reactive waste located at least 50 feet ['rom property line
Secondary containment provided
Conducts daily inspection of tanks
Used oil not contaminated with other hazardous waste
Proper management of lead acid batteries including labels
Proper management of used oil filters
Transports hazardous waste with completed manifest
Sends manifest copies to DTSC
Retains manit'ests for 3 years
Retains hazardous waste analysis fi)r 3 years
Retains copies of used oil receipts tbr 3 years
Determines if waste is restrictcd fi'om land disposal
C=Compliance V:Violation^ k.~J'~/' {x,..ff-'~ /Q~,fl
Omce of Environmental Services (805)326-3979 Buhn~ssk~lte-Respojt2~l~ t'arty
\Vhite - Env. Svcs. Pink - Business Copy
O'~q~ICE OF ENVIRONMENTAL~ERVICES
1 ~tm, I 1715 Chester Ave., CA 93301 (661) 326-3979
'~"*""~~~'~'~-"' BUSINESS OWNER I OPERATOR IDENTIFICATION
FACILITY INFORMATION
Page ~ Of
BUSINESS ~ME {~ ~ FACILI~ ~E or DBA- ~t~ Bml~ ~1 3 BUSINESS PHONE ~02
SITE ADDRESS
~CI~ ~ CA ZIP
DUN & ~ SIC CODE ~07
B~DSTRE~ (4 Digit ~)
COU~
OPE~TOR ~E ~m OPE~TOR PHONE ~o
O~ER ~ME ~ O~ER PHONE ~ ~?~ ,~2
O~ER ~ILING
,,.E ,,,
CONTACT ~E s~z J CO.ACT PHONE
118
CONTACT ~ILING
ADDRESS
CI~ s~ STATE ~2~ J ZIP
1~ .
NAME 1= NAME ~%~ ~ ~~ '~"
TITLE ~ TITLE ~~
BUSINESS PHONE '" BUSINESS PHONE ~ W ~ ~ ?
~*.OU..HONE '~ 2*HOU..HON~ ~3G* ~~
PAGER ~ ~ PAGER ~ 133
~ifl~flon: Ba~ on my Inqul~ of ~e IndMduals ms~nsible ~r ob~lnlng ~e Info~aflon, I ~ under ~nal~ of law ~at I have ~nally examined
and am ~mlllar ~ffi ~e Inflation subml~d In ~ls In~nto~ and ~lleve ~e Info~aflon Is ~e, a~m~, and mmplete,
URN OF O~E~OPE~TOR DATE ~ ~ME OF DOCUME~ PREPARER
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~ CITY OF BAKERSFIEI~
B
OFFICE OF ENVIRONMENTAL~ERVICES
· 1715 Chester Ave., CA 93301 (661) 326-3979
HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
(one fom~ per mate#al per bu~ing or a~a)
~ ADO ~ DELVE ~ R~ISE ~ Page ~ of
: ;;,.:~' ~``~:~:~:~`?~?~?`~::~:~1~~:~:~[~F~NF~N r~'~,,~':(~~'.~ ':~'"-~'~"~': '~ ~, ,~':.~':~,~q~z,:~
BUSINESS ~E (~e a FAClL~ ~ME ~,D~ - ~ng 8~n~ ~) 3
~1 CHERYL L~TION
CHEMI~L LO~TION I~ S I ~ 5 ~ ~ ~ 5 ~ ~NFIDE~ (EPCm)
~;~c~. ~' ~?,~.?~,~.*'~':~. :~: -,~C5~ ?~'~,:~:*~r~','::~,~, ~'=,~, , ~ ~.~' ~,~'.~;~,~:~ .'; · .
~5 ~ T~E SECRET
FIRE ~DE ~ ~ES (~ae ~ ~ by I~ ~m ~ ~0 ,
~ p ~ D m ~ ~w WA~ 211 ~ ~IOA~ D Y~ ~ ~ 212 CURIES
~1 FI~ ' ~ 2 ~ D 3 P~ssu~ ~E ~ 4 AC~ H~L~ ~ 5 ~NIC H~L~ ~6
FED
(~ all fiat
cr ,,,
UNff~ ~ ~ ~ d CU ~ ~ I= [SS D = TONS =~ O~YS ON S~E
STO~E ~AINE~ ~ ~ ~U~D T~K ~ ~ ~TI~N~AEIC D~U~ ~ i FlaE~ DRU~ ~ = ~ SO~ ~ q ~lL
(Check all ~at app.)
~ ~ UN.RefUND ~ANK ~ ! ~N ~ j S*~ ~ ~ P~C ~ D r O~ER
~ ~ ~K iNSiDE SUi~IN~ ~ g ~Y ~ k ~X ~ o TO~ ~IN
~ ~E ~UU D h Silo ~ I CYUNOER ~ ~ T~K
STOOGE P~SSU~ ~a ~IE~ ~ ~ A~VEA~I~ ~ ba BELOW~IE~ ~4
STOOGE ~~
~'a~l~ ~ ~ ~VE~I~ D ~ B~OWA~IE~ ~ c ~Y~ENIC
2 ~ ~ 231 ~Y~ ~2
242 243 ~ ~ ~ ~ 2~
PRINT NAME ~ REPRESENTATNE SIGNATURE
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OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
(one fo~n per material l~er building or area)
[] NEW C'] ADO [] DELETE [] REVISE 200 Page __ of
BUSINESS ~E (~e ~ FACIL~ ~ME ~,D~ - ~ng 8u~ ~) 3
~1 CHERYL LO~TION ~ Y~ ~ No ~2
CHEMI~L LO~TION /~1 ~ ~ ~ ~ ~~ ~ ~ ~ ~NFIDE~L (EP~)
FAClLI~ ID ~ ~ ~ 1 ~ ~ (op~naO ~3 GRID ~ (op~nah
~ ~ T~ESECR~ ~Y~
CHEMI~L ~E
~ Subj~ to E~ ~ to insulins
[ EHS' ~ y~
CO~N ~
FIRE ~DE ~O C~ES (~me ff ~t~ by I~ tim ~
~PE ~ p ~ ~ m ~ ~ WA~ 211 ~D~A~ D Y~ D ~ 212 CURIES
PHYSI~STA~ ~S ~LID ~UID ~ g ~S 214 ~GEST~R
~5
FED~~RIES ~1 FI~ ' D2 ~ D3 ~SSU~E ~~H~L~ ~5 ~NICH~ ~6 '
(~ ~1 ~at appN) :r
UN.S* ~ ~L D d ~ ~ ~ lb ~ D m TONS
~YS
ON
S~E
' ~ EHS, ~nt m~ ~ In
;TO.GE ~AINER ~ a ~VEG~UND T~K ~e ~N~IC ~UM ~ i FIBER DRUM ~ m G~ BO~ D q ~IL
'Check afl ~at ap~) ~
~ b UNDERG~UND TANK D f ~ ~ j BAG D n P~TIC BO~E ~ r O~ER
~ c T~K/NStDE BUI~ING ~ g ~Y ~ k ~X ~ o TO~ BIN
~ d S~EL DRUM ~ h SILO ~ I CYLI~ER ~ p T~K WA~N,
STOOGE P~SSU~ ~ ~IE~ D ~ A~VE ~IE~ Dba BELOW A~IE~ ~4
/
STOOGE
~ a ~IE~ D ~ ~VE ~1~ ~ ~ B~OW A~IE~ ~ c CRY~NIC
~7
2 ~ ~ ~ Y~ ~ ~ ~2
. ~ ~5 ~Y~ ~6
~ ~9 ~Y~ ~ 2~ 241
242 243 ~ Y~ ~ ~ 2~
',OMPANY REPRESENTATIVE 246
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