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HomeMy WebLinkAboutBUSINESS PLAN 10/23/2006UNIFIED PROGRAM INSPECTION CHECKLIST= SECTION 1: Business Plan and Inventory Program .~. I L~ B B R S F I D F/RE 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 UPCF (7~99) S:\CUPAFORMS~OES2730.TV4.wpd  ~ 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 UPCF (7/99) S:~CUPAFORMS\OES2731.TV4.wpd 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 UPCF (7/gg) S:~CUPAFORMS~OES2731.'I'V4.wpd