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HomeMy WebLinkAboutBUSINESS PLAN 10/12/2003 Hazardous Materials/HazardOus WasteUnified. Permit · CONDITIONS. OFf,PERMIT ON,REVERSE SIDE ~.~: [] Hazardous Materials. plan ' · ~ 13 Underground 'Stooge of'Hazardous Materials Permit ID #:: 015-000-000440 -- [] Risk ManagementPr°gram ', MIDAS MUFFLER [] .azardou. Wast®On'site Treatment LOCATION: 28~9 BRUNDAGE LN IELD OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor Approved by: Bakersfield, CA 93301 OfficeorEvironm~Services Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: "June 30.. 2003 Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: ~¢~!~i'~'~T ')~ ?"::???:* }[[!!!iiii~. iiiiiii}iiii;='"?~B::i:iO~ae[ground Storage of Hazardous Materials LOCATION 2819  B~emfield Fke D~ment Approv~ by: O~CE OF E~RO~AL S~ ~CES ~ph Hu~~ 1715 Chewer Ave., 3rd Floor Office of ~~1 S~i~ B~e~fiel~ CA 93301 Voice (805) 32~979 F~ (80S)~6~S76 ~.. Expiration Date: ~n~ ~O~ ~OOO ITE/FACI LIT¥ FoRM NORTH SCALE: BUSINESS NAME: FLOOR:-~ 0? (CHECK ONE) S~TE DIAGRAM ~ '- I (Inspector's Comments): -OFFICIAL USE ONLY- - SA - *¢' "'-" lTD/FACILITY ~O~ (C~ECK ONE) SITE D~AGRAM FACILITY D~AGRAM ~.,,., i I .... ~ j_- t%e~r~,%sko~-o ~c £w~p CooL. cS ,iL 5-,'Pow~ r ~o~,5ho~,~ 2- %,~?r~,,o~.~ (Inspector's Comments): -OFFICIAL USE ONLY- I  (Inspect~'s Comments): -OFFICIAL USE O~'LY-' - SA - FORM ~ /~~ ~ NORTH SCALE: BUSINESS NAME:~ FLOOR:~OF ~ ~arz:~/Z~/~racrLrTV N - u~rr ~ or (CHECK ONE) SITE' DIAGRAM FACILITY D[AGR.~ ~ ~IDAs MUFFLER SiteID: 015-021-000440 Manager : /~CO~ ~~6~/ ~ usPhone: (661) 837-8371 Location: 2819 BRUNDAGE LN Map : 102 CommHaz : Moderate City : BAKERSFIELD Grid: 36C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 03 SIC Code: 7538 (~ EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact. / Title :~.?.~;.~.' L.L2C.:.~ / MANAGER CH.~.I~ ~__~.~'"~'~- / ~L ~,~AC~q~ Business Phone: (661) 323-3111x Business Phone: (661) 24-Hour Phone .-~,(~!) 327-3!9-1-x- 24-Hour Phone ~t(661) Pager Phone : 2~ ~_~~x Pager Phone:~ )~7-/7~ Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : /~l~~ ~c~_~;A Phone: (661)323-3111x MailAddr: 2819 BRUNDAGE LN State: CA City : BAKERSFIELD Zip : 93304 Owner VINCENT & MILLER BAKERSFIELD,LLC Phone: (661) 837-8371x Address : 6819 WHITE LN State: CA City : BAKERSFIELD Zip : 93309 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: Res: No ParcelNo: Emergency Directives: ~~ ~'~ I, ~)P..Ce.5 C~rc~ ~ Do hereby certify ~hat I have " (Tyf~e c~ print name) -- reviewed the attached hazardous materials manage- /~ O~c; and that it along with ment plan for -- (N~me' o! a~y corrections constitute a complete and correct man- agement plan for my facility. -1- 09/12/2003 MIDAS MUFFLER SiteID: 015-021-000440 = Hazmat Inventory By Facility Unit -- MCP+DailyMax Order Fixed Containers on Site Hazmat Common Name... ISpecHazlEPA HazardsI Frm DailyMax Iunit MCP ACETYLENE F P IH G 1200 00 FT3 Hi OXYGEN F P IH G 1685 00 FT3 Low MOTOR OIL (USED) F DH L 500 00 GAL Low HYDRAULIC OIL L 55 00 GAL Low ANTIFREEZE L 55 00 GAL Low WASTE ANTIFREEZE F DH L 55 00 GAL Low ZEP R-9175 BRAKE PARTS CLEANER F IH DH L Low ARGON F P IH G 700.00 FT3 Min MOTOR OIL F DH L 110.00 GAL Min 2 09/12/2003 -3- 09/12/2003 ~IDAS MUFFLER SiteID: 015-021-000440 ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE S WALL. ONE PORTABLE MOVES AROUND SHOP CAS# 74-86-2 ~ STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Pure I Above Ambient I Ambient I PORT PRESS CYLINDER Gas . . I AMOUNTS AT THIS LOCATIONI Largest Container Daily Maximum Daily Average 12000.00 FT3 1200.00 FT3 120.00 FT3 HAZARDOUS COMPONENTS %Wt. R~yeRSs~ CAS# 100.00 Acetylene 74862 HAZARD ASSESSMENTS TSecretNo N~SIBi°HaZNo Radioactive/Amount No/ Curies EPA HazardsF P IH NFPA/// USDOT# I MCPHi ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site 9 OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE S WALL. ONE PORTABLE MOVES AROUND SHOP CAS# 7782-44-7 ~ STATE -q-- TYPE PRESSURE ~ TEMPERATURE , CONTAINER TYPE Pure Gas Above Ambient I Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 1685.00 FT3I 1685.00 FT3I 1685.00 FT3 HAZARDOUS COMPONENTS %Wt. R~NoRS~ CAS# 100.00 Oxygen, Compressed 7782447 HAZARD ASSESSMENTS TSecretI ~SIBioHazI Radioactive/Amount EPA HazardsI NFPA USDOT# I MCP No N No No/ Curies F P IH / / / Low -4- 09/12/2003 ~IDAS MUFFLER SiteID: 015-021-000440 = Inventory Item 0004 Facility Unit: Fixed Containers on Site MOTOR OIL (USED) Days On Site 365 Location within this Facility Unit Map: Grid: WEST WALL, SOUTH CORNER CAS# 221 ~ STATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Ambient .Ambient DRUM/BARREL-METALLIC Waste Liquid AMOUNTS AT THIS LOCATION Largest Container ! Daily Maximum Daily Average 55.00 GALL 500.00 GAL 110.00 GAL HAZARDOUS COMPONENTS 100.00 Waste Oil, Petroleum Based N HAZARD ASSESSMENTS TSecret,I RS'Bi°HaZll Radioactive/Amount EPA Hazards I NFPA USDOT# MCP No INo I No No/ Curies F DH / / / Low = Inventory Item 0005 Facility Unit: Fixed Containers on Site ~tv~vju~ ~vl~ / ~£~ ~v~ HYDRAULIC OIL Days On Site 365 Location within this Facility Unit Map: Grid: E WALL CENTER OF SVC DEPT CAS# r STATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Pure Ambient I Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 55.00 GAL I 55.00 GAL 55.00 GAL 100.00 Hydraulic Brake Fluid (Diethylene Glycol Monobu .... N 112345 TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies / / / Low -5- 09/12/2003 ~IDAS MUFFLER SiteID: 015-021-000440 ~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: E WALL INSIDE SVC DEPT CAS# ~STATE TYPE PRESSURE i TEMPERATURE i CONTAINER TYPE Ambient DRUM/BARREL- NONMETAL Ambient Liquid Pure AMOUNTS AT THIS LOCATION [ Largest Container ] Daily MaximumI Daily Average 55.00 GAL 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS l i io SI 100.00 Ethylene Glycol N 107211 HAZARD ASSESSMENTS TSecretl oRSlBioHaz Radioactive/Amount EPA Hazards NFPA USDOT# I MCP No N No No/ Curies / / / Low ~ Inventory Item 0008 Facility Unit: Fixed Containers on Site 9 WASTE ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: E WALL INSIDE SVC DEPT CAS# 107-21-1 Liquid Waste Ambient Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 55.00 GALI 55.00 GALI 55.00 GAL HAZARDOUS COMPONENTS %Wt. RNo~ CAS# 30.00 Ethylene Glycol 107211 HAZARD ASSESSMENTS TSecretl ~slBioHazl Radioactive/Amount EPA HazardsI NFPA USDOT# I MOP No N No No/ Curies F DH / / / Low -6- 09/12/2003 MIDAS MUFFLER SiteID: 015-021-000440 = Inventory Item 0009 Facility Unit: Fixed Containers on Site ~vuvl~~ ~v~ / ~1~ ~vl~ ZEP R-9175 BRAKE PARTS CLEANER Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 71-55-6 F STATE -q-- TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid I Mixture Ambient [ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest ContainerIi Daily Maximum Daily Average HAZARDOUS COMPONENTS 90.00 1,1,1-Trichloroethane N 71556 HAZARD ASSESSMENTS JTSecretI ~SlBioHazI Radioactive/Amount I EPA HazardsI NFPA I USDOT# MOP No N No No/ Curies F IH DH / / / Low = Inventory Item 0006 Facility Unit: Fixed Containers on Site 9 ARGON Days On Site 365 Location within this Facility Unit Map: Grid: IN SVC DEPT & OUTSIDE S WALL CAS# 7440-37-1 F STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas ~Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER Largest Container Daily Maximum Daily Average 335.00 FT3 700.00 FT3 700.00 FT3 %Wt. S CAS# 100.00 Argon N 7440371 TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies F P IH / / / Min 7 09/12/2003 ~IDAS MUFFLER SiteID: 015-021-000440 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: WEST WALL, SOUTH CORNER CAS# 8020835 F STATE--TYPE PRESSURE TEMPERATUREI CONTAINERTYPE Liquid Pure AmbientIi Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION [ Largest Container I Daily MaximumI Daily Average 55.00 GAL 110.00 GAL 110.00 GAL HAZARDOUS COMPONENTS 100.00 Motor Oil, Petroleum Based N 8020835 HAZARD ASSESSMENTS TSecretl ~slBioHaz Radioactive/Amount EPA Hazards NFPA USDOT# ] MCP No N No No/ Curies F DH / / / Min -8- 09/12/2003 MIDAS MUFFLER SiteID: 015-021-000440 Fast Format ~ Notif./Evacuation/Medical Overall Site -- Agency Notification 07/15/1999 CALL 911. -- Employee Notif./Evacuation 01/26/1995 THE SHOP MANAGER HAS FULL RESPONSIBILITY FOR EVACUATION AND PROPER NOTIFICATIONS. IF THE SHOP MANAGER IS INJURED OR UNAVAILABLE, THE ASSISTANT SHOP MANAGER WILL BE IN CHARGE. CALL 911. Public Notif./Evacuation 11/10/1998 MANAGER OR ASSISTANT MANAGER WILL PHONE POLICE AND FIRE DEPARTMENT OR CALL 911. ALL PERSONS WILL BE EVACUATED TO THE EAST OUT OF ALL EXITS AWAY FROM WELDING GAS BY SHOP PERSONNEL. Emergency Medical Plan 11/10/1998 MERCY MEDI CENTER. -9- 09/12/2003 MIDAS MUFFLER SiteID: 015-021-000440 Fast Format = Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 11/10/1998 WE HAVE INITIATED A HAZARD COMMUNICATION PROGRAM AT OUR PLACE OF BUSINESS. THIS INCLUDES CONTAINER LABELING, MATERIAL SAFETY DATA SHEETS, EMPLOYEE INFORMATION AND TRAINING, AND A LIST OF HAZARDOUS SUBTANCES. --Release Containment 09/29/1997 SHUT OFF VALVES OF 02, ACETYLENE TO STOP FLOW OF GASES, IF VALVE IS BROKEN FILL HOLE, ONCE PRESSURE IS RELEASED. SPREAD FLOOR SWEEP (ABSORBENT) OVER AREA WEARING PROTECTIVE GLOVES AND EYE WEAR. -- Clean Up 11/10/1998 AIROUT SURROUNDING AREA, KEEPING PEOPLE AT A DISTANCE. UPON FULL ABSORBTION, SHOVEL UP AND PLACE IN PLASTIC CONTAINER, DISPOSE OF IN PROPER MANNER. MOP/SPONGES WRING OUT IN CONTAINMENT BARRELS. Other Resource Activation -10- 09/12/2003 F MIDAS MUFFLER SiteID: 015-021-000440 Fast Format ~ Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 09/29/1997 A) GAS - N OUTER WALL B) ELECTRICAL - INSIDE S WALL C) WATER - N OUTER WALL D) SPECIAL - NONE E) LOCK BOX - NONE -- Fire Protec./Avail. Water 11/10/1998 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - LOCATED 500 FT FROM FRONT OF BLDG ON CORNER OF MYRTLE ST AND BRUNDAGE LN - NE CORNER. Building Occupancy Level -11- 09/12/2003 MIDAS MUFFLER SiteID: 015-021-000440 Fast Format-~ ~ Training Overall Site -- Employee Training 11/10/1998 WE HAVE 6 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES TRAINED AT MONTHLY SAFETY MEETINGS. Page 2 --Held for Future Use Held for Future Use -12- 09/12/2003 MIDAS MUFFLER SiteID: 015-021-000440 Manager : BusPhone: (661) 837-8371 Location: 2819 BRUNDAGE LN Map : 102 CommHaz : Moderate City : BAKERSFIELD Grid: 36C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 03 SIC Code:7538 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title RENE LABONTE / MANAGER CHRIS CHAOWICK / GENERAL MANAGER Business Phone: (661) 323-3111x Business Phone: (661) 837-8371x 24-Hour Phone : (661) 327-3101x 24-Hour Phone : (661) 328-1733x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: (661) 323-3111x MailAddr: 2819 BRUNDAGE LN State: CA City : BAKERSFIELD Zip : 93304 Owner N~ ~T ~,~c~¢ ~//~ ~r~/~Phone: (661) 837-8371x Address : ~8!9 ~iiT~ ~..~ ~~/~ /.c)~'~ ~a~' State: CA City : ~tE~4~-~D ~ Zip : 93309 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ,,, = Hazmat Inventory One Unifie~ List ~ Order Ail Materials at,Site 7 Hazmat Common Name... ISpecHazlEPA HazardsI Frm DailyMax Uni~\ MCP \ ACETYLENE F P IH G 1200 00 FT3 h~ ANTIFREEZE L 55 00 GAL L~ ARGON F P IH G 700 00 FT3 Mtn.. ow,, MOTOR OIL F L 110 00 GAL Mtn MOTOR OIL (USE~) /~-~O0 hembyme~i~ ibm ve L 500 00 GAL Low OXYGEN ~e0, p~nt.,~e) F P IH G 1685 00 FT3 Low WASTE ANTIFREEZE. __~ .~^ .w~,hed haza~ou$ ~eda~s m~'L 55 00 GAL Low any corre~ions constitule a complete and corre~ m~m / agement plan for my facili~. . ~' ~")~¢~¢'" - 0a~ -- 10/01/2001 ~' ~o~re ~ ,- MIDAS MUFFLER SiteID: 015-021-000440 = Inventory Item 0002 Facility Unit: Fixed Containers on Site ~lVUVl~ ~Vl~ / ~1 ~ ~Vl~ ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE S WALL. ONE PORTABLE MOVES AROUND SHOP CAS# 74-86-2 Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 12000.00 FT3I 1200.00 FT3 120.00 FT3 HAZARDOUS COMPONENTS [ %Wt. Acetylene y~ CAS# 100.00 74862 HAZARD ASSESSMENTS [TSecret RS BioHazl Radioactive/Am°unt EPA Hazards NFPA USDOT# MCPNo No No No/ Curies F P IH / / / Hi = Inventory Item 0007 Facility Unit: Fixed Containers on Site ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: E WALL INSIDE SVC DEPT CAS# STATE ~ TYPE PRESSURE I TEMPERATURE CONTAINER TYPE Ambient I Ambient DRUM/BARREL-NONMETAL Pure Liquid AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS %Wt. ~S CAS# 100.00 Ethylene Glycol N 107211 HAZARD ASSESSMENTS [TSecret RS BioHazl Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low 2 10/01/2001 MIDAS MUFFLER SiteID: 015-021-000440 ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ARGON Days On Site 365 Location within this Facility Unit Map: Grid: IN SVC DEPT & OUTSIDE S WALL CAS# 7440-37-1 Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container ! Daily Maximum Daily Average 335.00 FT3L 700.00 FT3 700.00 FT3 HAZARDOUS COMPONENTS %Wt. ~S CAS# 100.00 Argon N 7440371 TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies F P IH / / / Min = Inventory Item 0005 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME HYDRAULIC OIL Days On Site 365 Location within this Facility Unit Map: Grid: E WALL CENTER OF SVC DEPT CAS# F STATE ~ TYPE PRESSURE --~ TEMPERATURE CONTAINER TYPE Liquid Pure Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 55.00 GALI 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS 100.00 Hydraulic Brake Fluid (Diethylene Glycol Monobu... N 112345 ITsecret RS BioHaz I HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -3- 10/01/2001 MIDAS MUFFLER SiteID: 015-021-000440 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: WEST WALL, SOUTH CORNER CAS# 8020835 Liquid Pure Ambient Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION I Largest Container ] Daily MaximumI Daily Average 55.00 GAL 110.00 GAL 110.00 GAL HAZ DOUS COMPONENTS %Wt. Motor ~S CAS# 100.00 Oil, Petroleum Based N 8020835 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N° No No/ Curies F DH / / / Min ~ Inventory.Item 0004 Facility Unit: Fixed Containers on Site MOTOR OIL (USED) Days On Site 365 Location within this Facility Unit Map: Grid: WEST WALL, SOUTH CORNER CAS# 221 F STATE -- TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid Waste Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 500.00 GAL 110.00 GAL HAZARDOUS COMPONENTS %Wt. Waste ~S CAS# 100.00 Oil, Petroleum Based N HAZARD ASSESSMENTS [TSecret RS BioHaz I Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -4- 10/01/2001 MIDAS MUFFLER SiteID: 015-021-000440 = Inventory Item 0001 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE S WALL. ONE PORTABLE MOVES AROUND SHOP CAS# 7782-44-7 Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 1685.00 FT3 I 1685.00 FT3 1685.00 FT3 HAZARDOUS COMPONENTS CAS# 100.00 Oxygen, Compressed N 7782447 HAZARD ASSESSMENTS ITSoorot ~S BioHazl Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies F P IH / / / Low = Inventory Item 0008 Facility Unit: Fixed Containers on Site ~ -- COMMON NAME / CHEMICAL NAME WASTE ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: E WALL INSIDE SVC DEPT CAS# 107-21-1 FSTATE -- TYPE PRESSURE , TEMPERATURE CONTAINER TYPE Liquid Waste Ambient I Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 55.00 GALI 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS 30.00 Ethylene Glycol N 107211 HAZARD ASSESSMENTS TSecretl RSIBioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# MCP No No No No/ Curies F DH / / / Low -5- 10/01/2001 MIDAS MUFFLER SiteID: 015-021-000440 Fast Format ~ Notif./Evacuation/Medical Overall Site -- Agency Notification 07/15/1999 C~_LL 911. -- Employee Notif./Evacuation 01/26/1995 THE SHOP MANAGER HAS FULL RESPONSIBILITY FOR EVACUATION AND PROPER NOTIFICATIONS. IF THE SHOP MANAGER IS INJURED OR UNAVAILABLE, THE ASSISTANT SHOP MANAGER WILL BE IN CHARGE. CALL 911. Public Notif./Evacuation 11/10/1998 MANAGER OR ASSISTANT MANAGER WILL PHONE POLICE AND FIRE DEPARTMENT OR CALL 911. ALL PERSONS WILL BE EVACUATED TO THE EAST OUT OF ALL EXITS AWAY FROM WELDING GAS BY SHOP PERSONNEL. Emergency Medical Plan 11/10/1998 MERCY MEDI CENTER. 6 10/01/2001 MIDAS MUFFLER SiteID: 015-021-000440 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 11/10/1998 WE HAVE INITIATED A HAZARD COMMUNICATION PROGRAM AT OUR PLACE OF BUSINESS. THIS INCLUDES CONTAINER LABELING, MATERIAL SAFETY DATA SHEETS, EMPLOYEE INFORMATION AND TRAINING, AND A LIST OF HAZARDOUS SUBTANCES. -- Release Containment 09/29/1997 SHUT OFF VALVES OF 02, ACETYLENE TO STOP FLOW OF GASES, IF VALVE IS BROKEN FILL HOLE, ONCE PRESSURE IS RELEASED. SPREAD FLOOR SWEEP (ABSORBENT) OVER AREA WEARING PROTECTIVE GLOVES AND EYE WEAR. -- Clean Up 11/10/1998 AIROUT SURROUNDING AREA, KEEPING PEOPLE AT A DISTANCE. UPON FULL ABSORBTION, SHOVEL UP AND PLACE IN PLASTIC CONTAINER, DISPOSE OF IN PROPER MANNER. MOP/SPONGES WRING OUT IN CONTAINMENT BARRELS. Other Resource Activation -7- 10/01/2001 f MIDAS MUFFLER SiteID: 015-021-000440 Fast Format ~ Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 09/29/1997 A) GAS - N OUTER WALL B) ELECTRICAL - INSIDE S WALL C) WATER - N OUTER WALL D) SPECIAL - NONE E) LOCK BOX - NONE -- Fire Protec./Avail. Water 11/10/1998 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - LOCATED 500 FT FROM FRONT OF BLDG ON CORNER OF MYRTLE ST AND BRUNDAGE LN - NE CORNER. -- Building Occupancy Level 8 10/01/2001 MIDAS MUFFLER SiteID: 015-021-000440 Fast Format -- Training Overall Site ~ Employee Training 11/10/1998 WE HAVE 6 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES TRAINED AT MONTHLY SAFETY MEETINGS. Page 2 I Held f°r Future Use I Held for Future Use I -9- 10/01/2001 ., .4 ~ CITY OF BAKERSFIELD~ ~ ~,, ],~: a s~ ;~,,_ o OFi~E OF ENVIRONMENTAL ~VICES --I ~M~ ~- 1715 Chester Ave., CA 93301 (661) 326-3979 H~RDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one ~ OELETE ~ REVISE 200 Paqe ~ I. FACILI~ INFORMATION 8U SiNESS' NAME (Sam~'~ACILI~ ~H~ &'b~ - ~hg-~6~a& ~ .................. ~ .......... T ......... ~ ........................................... 3 CHEMICAL LOCATION ~ [~ ~ ~ ~ 201 CHEMI~L COITION II. CHEMICAL INFORMATION ~ .......... ~ ~7 --- COM~N ~ME :: EHS' .~ Y~ ~ ~ ~8 210 PHYSICAL STATE ~ S ~LIO ~1 LIQUID ~ g ~S 214' ~GEST~AINER 215 FED H~RD ~TE~RIES ~ ~ FIRE ~ 2 ~CT~ ~ 3 ~ESSURE ~E ~ 4 A~ H~ ~ 5 CHRONIC H~ 216 t~ ~l that apply) ALWASTE 217 ~ ~M 2~8 i A~GE 219 STATEWAS~E ~..,oUNT t OAILY~U~ ~ DAILY~U~ I ' DAYS ON ' ~ ~S. ~nt must ~ In lbs. STOOGE CO~AINER ~ a A~GROUNO T~K ~ e ~STI~ON~UC DRUM ~ i FIBER DRUM ~ m G~S BO~E ~ q ~lL (Check all that app.) ~ b UNDER~OUND T~K ~ f ~ ~ j ~O ~ n b~STIC BOWLE ~ r OmER ~ c T~K INSIDE BUI~ING ~ g ~8OY ~ k ~X ~ o TOTE BIN ~STEEL DRUM ~ h SILO ~ I CYLINDER ~ p TANK WAGON STOOGE PRESSU~ ~ a A~IE~ ~ ~ ~BI~ ~ ba 8ELOW~IE~ ~4 STOOGE TEM~ ~ a~BIE~ ~ ~ ~IE~ ~ ba BELOW~BIE~ ~ c CRYOGENIC %~ H~RDOUS COMPONENT J EHS ~ r ~ 226 i ~7 [ ~ y~ ~ No 228 ~ 2 230 ~ ~I , ~y~ ~No 232 : ..... ................................................... .......... .................... [ .... . .............................. 3 2~,[ 235 ~ ~y~No 236 I ~7 4 ~8 239 ~Y~ ~No 240 [ 241 5 ; 242I' 243 il ~y. ~No 244 J 245 ;JPCF (7/99) S:\CUPAFORIVIS\OES2731 .TV4.wpd Hazardous Materials Inventory - Chemical Description .]ua~hl~s *or ~nlcn .in ~m~rq*)~(;v Dian ~s required :o ~e )doOl~ Oursuant to tO CFR Pa~s 30. 40. or 70. The comolet~ ,nvento~ ~nould reflect all reoo~aDle I FACILITY ID NUMBER · Th,s numar ,S ~SS,gP~ =Y ~e CUPA ~ ~. rh~ is [~ un~ue numar wn~ ~enlifies your fac~li~. 3. BUSINESS NAME - Enler the ~ull I~al name of :~e 200. AOOIOELET~ REVISE - Indicia ,g the meier,al ,s ~ng a~ ~o ~he ,nvent~. de~t~ from the ~nvenlo~, or if the info~at~n previous~ su0m~W~ is ~,ng NOTE; You may choose ~o leave ~is 01an~ ,f you re~t ~ut entire invent~ annualS. 201. CHEMICAL LOCATION - Enter the building pt oulstdg a~i~ent area where the hazardous mater~l ~s h~l~. A chem~l that is s~or~ a~ the same pressure and ~ temperature. ~n multiple I~tions wtth,n a Du,~i~g. ~n be reposed o~ a sidle p~e. NOTE; This info~atiom is nol suDject ~o public disclosure pumuant ~o HSC ~25506. 202. CHEMICAL LOCATION CONFIDENTIAL * EPC~ - NI ~usime~es wh~h are subject to t~e Em~gency Planning and Communi~ Righ~ ~o Know Act (EPC~) must cmeck 'Yes' to keep c~em~l I~ation ;n~o~al~ ~nF~enlial. If Ihe business d~s not w~h to keep chemi~l I~t~n information con~denlial chec~ 203. MAP NUMBER - If a map is included, enter the numar of ~he map on wh~h t~ I~[~n o~ the h~ardous malarial is 2~. GRID NUMBER - tf grid c~rdinates are used. enter the 9nd ~rdimates of the map thai corres~nd to ~he l~alion of the hazardous malarial. If spoilable, mulUpM g~ ~ordinales can be 205. CHEMICAL NAME - Enter the prier chemical name as~ial~ ~th ~e Chem~l A~act S~e (~S) number of the haza~ous material. This should be Intemalional Union of Pure and Appli~ Ch~,s~ (IUPAC) ~ ~ound ~ ~e MalaPai Safe~ Data Sheel (~DS). NOTE: If the ~emi~l is a mixture. ~mplele this field; ~plete ~e 'COMMON ~ME' ~M inst~d. 2~. T~OE SECRET. Check ~es' ~ t~e ~nformat~ ~n ~ ~ i~ ~a~ a ~e ~ek ~ ~o' E ~ ~ noL F~eml requ~menl: If ~s. and b~in~s is ~ub~ ~ ~C~. d~ bf ~e d~t~ T~ ~ inf~ is ~nd by 40 CFR and the must submil a 'Su~nUa~n to A~y C~ ~T~ ~ f~ (40 CFR ~.27) ~ USEP~ 207. COMMON N~E - Enler ~e ~m~ name or ~ ~ ~ ~e ~ ~te~l ~ m~um ~i~ a ~a~ metal. 208. EHS - Ch~ ~' if the h~ard~s maledal ~ am ~ve~ H~ Su~ (EHS). ~ ~n~ ~ 40 ~R. P~ ~, Ap~ix ~ If the mate~l is a m~ ~n~ining an EHS, leave this sect~n b~nk a~ ~p~{e ~e s~n ~ ~us ~ts 209. CAS ~ - Enter the Chem~al Abst~ Se~ (C~) numar f~ ~e h~ ~teHal. F~ maims. ~t~ ~e CAS numar of the m~ture if it ~s ~n a~ a numar distin~ from i~ ~m~en~. If Ihe mmtum ~s ~ ~S numar. ~e ~is ~lumn b~nk and mp~ t~ ~S numbem of the ind~ual h~ ~m~nen~ in ~e appropriate s~tion be~. 210. FIRE COOE H~RO C~ES - Fire ~e H~ard C~ des~ to ~mt res~nders t~ ~ and I~el of h~ar~ materials whi~ a busine~ ~les. Th~ info.align shall only be provided ig the I~1 ~te ~ief d~ ~ ~a~ a~ requests ~e CUPA ~ ~ to ~ll~t iL A list of the h~ard classes and on ~ow [o determine whi~ ~ass a mate~l fa~s u~ are i~l~ in the ap~ndi~s of ~le ~ of the UnEo~ Fire ~e. If a material ~s more ~an appli~ble haza~ class, i~lude all. ~n~ CUPA ~ ~ f~ 211. H~DOUS MATERI~ ~PE - Ch~ the ~e ~x ~at ~st ~ ~e ~e of ~s mate~l: pure. m~ure 0r ~ste. If ~ste material. ~k on~ ~t If mixture ~ waste, c~p~te h~ard~s ~en~ s~n. 2~2. ~DIOACTIVE - Chum 'Yes' ~ ~e ~a~s ~1~ · ~e ~ 'No' if it ~ noL 213. CURIES - If ~e h~ardous malapai is r~c~e. ~ t~ ~ ~ reda ~e ~ ~ ~des. Y~ ~y use up to ~ne ~ wi~ a ~ating d~imal ~int to reda . a~i~ in ~des. 214. PHYSICAL STATE - C~ ~e ~e ~x ~at b~t d~ ~ sale h ~ ~ ~s male~l is handle: ~IM. F~uM ~ gas. -' 215. ~GEST CO~AINER - Enter ~ Io~l ~p~i~ of ~ ~ ~n~i~r in ~ ~e mat~l ~ ~. . 216. FEOE~L H~RD ~TEGORIES - C~ck all ca~ ~ d~ ~e p~l a~ h~lffi ~s a~t~ ~ ~ ~za~s material. PHYSICAL ~RDS ~ H~L~ ~RDS Fire: Flammable Liqu~s and ~l~s. ~busUble L~u~s. ~mp~. O~em ~ A~e Heal~ ~m~late): H~h~ To~. To.c, I~nts. ~nsi~em, Reactive: Unstable React~e. O~an~ Perox~. Water R~e ~d~e o~r h~a~ ~em~ls ~ an ~ve~ effe~ ~th s~A term ex.uTe Pressure Release: Exp~s~es. ~mpressed Gases. 8~sti~ Agents Chronic Health (Delayed): Ca~. o~er h~ard~ chemi~ ~ an adve~ e~t ~ ~ te~ ex.sure 217. AVENGE DALLY ~OUNT - Cal~e ~e avem~ dai~ a~unt of ~ h~ar~ ~teHal or m~um ~n~ining a h~ar~ material, in ea~ buildi~ ~ ~ide area. Ca~ulaUons shall be ~s~ on ~e p~us ~a~s inven~ of ~te~l re~ ~ ~ ~ge. To~l all daily amoun~ and d~e by ~ numar of da~ the ~em~l will ~ ~ sile. If this is a ~te~l ~t ~s not pr~s~ been present at ~is I~U~. the am~nt shall ~ the average ~i~ a~unt ~ proj~t to be on hand duH~ the ~ume of ~e year. ~ am~nt s~M ~ ~sistent ~ ~e uni~ m~Aed in ~x 221 and s~uld n~ ex~ ~at of m~um daiN amounL 2 ~ 8. ~IMUM DALLY ~OU~ - Enter ~e maximum a~n~ of e~ h~ mate~M ~ mi~e ~ a ~za~s ~ter~l, whi~ ~ ~d in a bui~i~ adja~n~e area at any ~e time ~et ~e ~e ~ ~ ~. Th~ a~nt must ~ at a min~um ~st ~s inv~to~ of ~e ~te~l re~A~ ~ 219. ~NUAL WASTE ~OUNT - If the ~za~s matedal ~ i~ is a ~e, ~e an ~U~te of ~e annual a~nt ha~l~. 220. STATE WASTE COOE - ff the hazardous metal is a ~ste. enter ~e ap~te Califom~ ~il ~ous waste ~e as ~st~ on ~e ~ of ~e Unlfo~ H~a~ous Waste ManEesl. 221. UNITS · Ch~k the unit of measure that is most appr~dale ~r t~ ~teHal ~i~ re~ on th~ p~e: gallons, pounds. ~b~ ~eet or tons. NOTE: If the ~te~l ~ a ~eral~ de~n~ Extremely Hazards Subs~nm (EHS). all a~un~ must ~ re~A~ in ~ds. If maledal is a m~ure ~ntaining an EHS, reda ~e units ~he matedal is st~ed in (gallons, ~unds, cu~ ~k ~ ~2. OAYS ON SITE - List the total number of days dun~ ~e ~ar ~at the material is on site. 223, STOOGE CONTAINER. Ch~k all ~xes that des~ ~e t~e of storage ~n~alnets in which ~e haza~ous material is stored. NOTE: If appropriate, you may ch~se more than one. 224. STOOGE PRESSURE - Check the one box that ~sl desk.s ~he pressure al ~i~ ~e h~ar~us malapai is stored. 225. STOOGE TEMPE~TURE. Che~ ~e one box thai ~st dead.s the temperature at which [he haza~ous maledal is s~red. 226. H~ROOUS COMPONENTS 1-5 (% BY WEIGH~ - Enter the ~n~e ~h~ of the h~ardou- '~mponent in a m~ture. If a range of percenlages is available. re~ ~he h~hesi percentage in ~at ra~e. (Reda ~ ~nen~ 2 ~r~gh 5 in 230. 2~,. ' a~ 242.) 227,'H~ROOUS COMPONENTS 1-5 NAME - When re~ni~ a h~a~ous matedel ~at is a m~ture, llst up to ~ve ~emical ~mes of hazardous components in that mixture by per~nt weight (refer to MSOS or. in the ~se of trade s~re~, refer to manufacturer). All hazardous c~nen~ in Ihe mixture present at grealer ~han 1% by ~hl i~ non~rCin~enic, or 0.1% by ~ight if car~n~en~, should ~ rep~. If more than five h~ar~us ~mponenls are present a~ve these parentages. ~u may attach an additional sheet ~ ~r to capture the requir~ informat~n. ~en repoAing waste mixtures, mineral and chum;cml should De listed. (Repo~ f~ ~mponenls 2 ~hrough 5 in 231. 235. 239. and 243.) 228. H~ROOUS COMPONENTS I-5 EHS - Check 'Yes' il the ~mponent o~ the mixture is considet~ an Extremely Hazar~us Substance as de,ned in 40 CFR. PeA 355. or 'No" i~it is not. (Repo~ for com~nents 2 through 5 in 232, 236. 240, and 244.) 229. H~AROOUS COMPONENTS l-5 CAS · Lisl the Chemical Abstra~ Semice (CAS) numbers as telal~ ~o the ~azardous ~m~ne'nts in the mixture. (Repeat ~or 2-5.) 246, LOCALLY COLLECTEO INFORMATION - This space may ~ us~ by the CUPA o~ ~ Io collar 3ny additional information necessa~ to meet the requirements pi their ;ndJwdual p~ms. Co~laci the CUPA or ~ ~or guidan~. UPCF (1/99) 7 OES Fom~ 2731 Dear Business Owner: FIRE CHIEF RON FRAZE This notice is meant to act as a reminder that the California Health ADMINISTRATIVE SERVICES and Safety Code, Chapter 6.95, requires any handler of hazardous materials 2101 'H' Street Bakersfield. CA 93301 to revise their hazardous materials business plan within 30 days of any one VOICE (805) 326-3941 FAX (805) 395-1349 of the following events: SUPPRESSION SERVICES2101 'H' Street (1) A 100 per cent or more increase in the quantity of a Bakersfield, CA 93301 previously-disclosed material. VOICE (805) 326-3941 FAX (805)395.1349 (2) Any handling of a previously-undisclosed hazardous PREVENTION SERVICES 1715 Chester Ave. material, subject to the inventory requirements of Chapter Bakersfield. CA 93301 VOICE (805) 326-3951 6.95. FAX (805) 326-0576 ENVIRONMENTAL SERVICES (3) Change in business ownership. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326-3979 (4) Change in business address. FAX (805) 326-0576 TRAINING DIVISION (5) Change of business name. 5642 Victor Ave. Bakersfield, CA 93308 VOICE (805)3994697 Any questions regarding these required revisions, please call the FAX (805) 399-5763 Hazardous Materials Division at (805) 326-3979. Sincerely yours, Director, Office of Environmental Services / CITY OF BAKERSFIELD FIRE DEPARTMENT ..~/' OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME ~/~'~L~ (¥~'~' ,~/ INSPECTION D~_~,~7~/~'~/~/ ADDRESS ~(l~ ~A0~/._ l-A6 PHONE NO. FACILITYCONT,~C'T_~-,~ ~{L4qYe..,7.~ BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [~outine [~ Combined {~ Joint Agency {~ Multi-Agency ~ Complaint [~ Re-inspection OPERATION CIV COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials ~/ ~x~r~ ~"~ 'r'l ~:~l0 ~.a.~ Verification of quantities C ~:(~ Verification of location C./ Proper segregation of material C Verification of MSDS availability Verification of Haz Mat training C Verification of abatement supplies and procedures Emergency procedures adequate C_. Containers properly labeled Housekeeping Q~ C..~ff~ ~ ~ Fire Protection ~ ~ V)^.,,It,.. f"'l_ ' - I f ~,;,.~,! ~);n~t~ ~,~ (,'r~ "4 Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: [~] Yes [~]No ~_~ ~ (I ~/~,f,/~~ ~?S)it5 Explain: Questions regarding this inspection? Please call us at (661)_ 326-3979 ['~i~' ' ei~es~o~nsible Party White - Env. Svcs. Yellow - Station Copy Pi.k-,..i.ess Copy Inspector: + MIDAS MUFFLER SiteID: 015-021-000440 + Manager : BusPhone: (661) 837-8371 Location: 2819 BRUNDAGE LN Map : 102 CommHaz : Moderate City : BAKERSFIELD Grid: 36C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 03 SIC Code:7538 EPA Numb: DunnBrad: EmergeDcy Contact / Title Emergency Contact / Title RENELA~ONTE / MANAGER CHRIS CHAOWICK / GENERAL MANAGER Business Phone: (661) 323-3111x Business Phone: (661) 837-8371x 24-Hour Phone : (661) 327-3101x 24-Hour Phone : (661) 328-1733x Pager Phone : ( ) - x Pager Phone : ( ) - x I Hazmat Hazards: Fire Press ImmHlth DelHlth +- + IContact : Phone: (661) 323-3111x MailAddr: 2819 BRUNDAGE LN State: CA City : BAKERSFIELD Zip' : 93304 IOwner NOEL CHUNG Phone: (661) 837-8371x Address : 6819 WHITE LN State: CA City : BAKERSFIELD Zip : 93309 + + IPeriod : to TotalASTs: = GalI Preparer: TotalUSTs: = Gal Certif'd: RSs: N° Emergency Directives: += Hazmat Inventory One Unified List + +== Alphabetical Order All Materials at Site + + + ........... + ..... + .......... + .... +- - -+ Hazmat Common Name... ISpeoHazlEPA HazardsI Frm I DailyMax IUnitlMCPI + + ........... + ..... + .......... + .... +- --+ ACETYLENE ............ F P ''IH G' ' ~1200;'-00 FT3 Hi - ANTIFREEZE L 55.00 GAL Low ARGON F P IH G 700.00 FT3 Min HYDRAULIC OIL L 55.00 GAL Low MOTOR OIL F DH L 110.00 GAL Min MOTOR OIL (USED) F DH L 500.00 GAL Low OXYGEN F P IH G 1685.00 FT3 Low WASTE ANTIFREEZE F DH L 55.00 GAL Low L Do hereby ce~i~ thru i have r.:':~:~w~d ~he attached h~a~ous minerals manage- n'~'~t p~an fo~ and thru it along with any corrections constitute a complete and corre~ man- +: ....... -1- 01/22/2002 Signa~Jre [~te MIDAS MUFFLER SiteID: 215-000-000440 Manager : BusPhone: (805) 837-8371 Location: 2819 BRUNDAGE LN Map : 102 CommHaz : Moderate City : BAKERSFIELD Grid: 36C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 03 SIC Code:7538 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title Business Phone: ~805) 323-3111x Business Phone: (805) 837-8371x : 24-Hour Phone ~ 24-Hour Phone (805) -8-~2~-~9~~ Pager Phone : ( ) - x ~10~ Pager Phone : Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: (805) 323-3111x MailAddr: 2819 BRUNDAGE LN State: CA City : BAKERSFIELD Zip : 93304 Owner NOEL CHUNG '~ ~, Phone: (805) 837-8371x Address : 6819 WHITE LN __~o~' ~ State: CA Period : to ,~. ' '. TotalASTs: = Gal Preparer: '.--,,~,,' TotalUSTs: = Gal Certif'd: '~L- RSs: No Emergency Directives: ~ Hazmat Inventory One Unified List q -- Alphabetical Order Ail Materials at Site q Hazmat Common Name... ISpooHazlEPA HazardsI Frm I' DailyMax Unit MCP ACETYLENE F P IH G 1200 FT3 Hi ANTIFREEZE L 55 GAL Low ARGON F P IH G 700 FT3 Min HYDRAULIC OIL L 55 GAL Low MOTOR OIL F DH L 110 GAL Min MOTOR OIL (USED) F DH L 500 GAL Low OXYGEN F P IH G 1685 FT3 Low WASTE ANTIFREEZES, ~t~ii d~]~LL~ DO hGmby ce~i~ ~h~ ha~s 55 GAL Low  06/29/1999 MIDAS MUFFLER SiteID: 215-000-000440 ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE S WALL. ONE PORTABLE MOVES AROIIND SHOP CAS# 74-86-2 ~ STATE ~ TYPE__ PRESSURE I TEMPERATURE CONTAINER TYPE Gas /Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 1200.00 FT3 120.00 FT3 HAZARDOUS COMPONENTS %Wt. ~S CAS# 100.00 Acetylene N 74862 TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies F P IH / / / Hi ~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: E WALL INSIDE SVC DEPT CAS# F STATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid Pure Ambient Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 55.00 GALI 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS %Wt.I ~S CAS# 100.00 Ethylene Glycol N 107211 ITSecretRS BioHaz HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low 2 06/29/1999 MIDAS MUFFLER SiteID: 215-000-000440 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME ARGON Days On Site 365 Location within this Facility Unit Map: Grid: IN SVC DEPT & OUTSIDE S WALL CAS# 7440-37-1 FSTATE ~ TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 335.00 FT3 700.00 FT3 700.00 FT3 HAZARDOUS COMPONENTS %Wt.I oRS CAS# 100.00 Argon N 7440371 HAZARD ASSESSMENTS TSecret RS'BioHaz' Radioactive/Amount EPA Hazards NFPA USDOT# MOP No NoliN° No/ Curies F P IH / / / Min = Inventory Item 0005 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME HYDRAULIC OIL Days On Site 365 Location within this Facility Unit Map: Grid: E WALL CENTER OF SVC DEPT CAS# STATE -- TYPE PRESSURE I TEMPERATURE CONTAINER TYPE Ambient' DRUM/BARREL-METALLIC Ambient Liquid Pure AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 55.00 GALI 55.00 GAL 55.00 GAL HAzARDous COMPONENTS %Wt.I ~S CAS# 100.00 Hydraulic Brake Fluid (Diethylene Glycol Monobu... N 112345 HAZARD ASSESSMENTS I TSecreto RS BioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# MCP No N No No/ Curies / / / Low -3- 06/29/1999 MIDAS MUFFLER SiteID: 215-000-000440 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: WEST WALL, SOUTH CORNER CAS# 8020835 Liquid Pure Ambient Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 110.00 GAL 110.00 GAL HAZARDOUS COMPONENTS %Wt. ~S CAS# 100.00 Motor Oil, Petroleum Based N 8020835 HAZARD ASSESSMENTS TSecret ~S BioHaz Radioactive/Amount I EPA HazardsI NFPA USDOT# I MCP No N No No/ Curies F DH / / / Min ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME MOTOR OIL (USED) Days On Site 365 Location within this Facility Unit Map: Grid: WEST WALL, SOUTH CORNER CAS# 221 VSTATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid Waste Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 500.00 GAL 110.00 GAL HAZARDOUS COMPONENTS %Wt. ~S CAS# 100.00 Waste Oil, Petroleum Based N  S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies F DH / / / Low -4- 06/29/1999 MIDAS MUFFLER SiteID: 215-000-000440 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~N NY--UvI~ / ~I~Z--~.L, N~vl~ OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE S WALL. ONE PORTABLE MOVES AROUND SHOP CAS# 7782-44-7 F STATE = TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Gas /Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 1685.00 FT3 1685.00 FT3 HAZARDOUS COMPONENTS %Wt. ~S CAS# 100.00 Oxygen, Compressed N 7782447 HAZARD ASSESSMENTS TSoorot ~S BioHaz Radioactive/Amount I EPA HazardsI NFPA USDOT# I MCP No N No No/ Curies F P IH / / / Low ~ Inventory Item 0008 Facility Unit: Fixed Containers on Site ~ -- COMMON NAME / CHEMICAL NAME WASTE ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: E WALL INSIDE SVC DEPT CAS# 107-21-1 Liquid Waste Ambient Ambient DRUM/BARREL-NONMETAL 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 TSecret RS BioHaz Radioactive~Amount, EPA Hazards' NFPA USDOT# MCP No N°llNo No/ Curies F DH / / / Low -5- 06/29/1999 MIDAS MUFFLER SiteID: 215-000-000440 Fast Format = Notif./Evacuation/Medical Overall Site -- AHency Notification 01/26/1995 CALL 911 -- Employee Notif./Evacuation 01/26/1995 THE SHOP MANAGER HAS FULL RESPONSIBILITY FOR EVACUATION AND PROPER NOTIFICATIONS. IF THE SHOP MANAGER IS INJURED OR UNAVAILABLE, THE ASSISTANT SHOP MANAGER WILL BE IN CHARGE. CALL 911. ~ Public Notif./Evacuation 11/10/1998 MANAGER OR ASSISTANT MANAGER WILL PHONE POLICE AND FIRE DEPARTMENT OR CALL 911. ALL PERSONS WILL BE EVACUATED TO THE EAST OUT OF ALL EXITS AWAY FROM WELDING GAS BY SHOP PERSONNEL. EmerHency Medical Plan 11/10/1998 MERCY MEDI CENTER. 6 06/29/1999 MIDAS MUFFLER SiteID: 215-000-000440 Fast Format ~- Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 11/10/1998 WE HAVE INITIATED A HAZARD COMMUNICATION PROGRAM AT OUR PLACE OF BUSINESS. THIS INCLUDES CONTAINER LABELING, MATERIAL SAFETY DATA SHEETS, EMPLOYEE INFORMATION AND TRAINING, AND A LIST OF HAZARDOUS SUBTANCES. -- Release Containment 09/29/1997 SHUT OFF VALVES OF 02, ACETYLENE TO STOP FLOW OF GASES, IF VALVE IS BROKEN FILL HOLE, ONCE PRESSURE IS RELEASED. SPREAD FLOOR SWEEP (ABSORBENT) OVER AREA WEARING PROTECTIVE GLOVES AND EYE WEAR. -- Clean Up 11/10/1998 AIROUT SURROUNDING AREA, KEEPING PEOPLE AT A DISTANCE. UPON FULL ABSORBTION, SHOVEL UP AND PLACE IN PLASTIC CONTAINER, DISPOSE OF IN PROPER MANNER. MOP/SPONGES WRING OUT IN CONTAINMENT BARRELS. Other Resource Activation 7 06/29/1999 F MIDAS MUFFLER SiteID: 215-000-000440 Fast Format ~ Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 09/29/1997 A) GAS - N OUTER WALL B) ELECTRICAL - INSIDE S WALL C) WATER - N OUTER WALL D) SPECIAL - NONE E) LOCK BOX - NONE -- Fire Protec./Avail. Water 11/10/1998 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - LOCATED 500 FT FROM FRONT OF BLDG ON CORNER OF MYRTLE ST AND BRUNDAGE LN - NE CORNER. Building Occupancy Level 8 06/29/1999 MIDAS MUFFLER SiteID: 215-000-000440 Fast Format = Training Overall Site -- Employee Training 11/10/1998 WE HAVE 6 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES TRAINED AT MONTHLY SAFETY MEETINGS. -- Page 2 -- Held for Future Use Held for Future Use 9 06/29/1999 MIDAS ~3'FFLER ~ RE~,~-~V~F~-~ SiteID: 215-000-000440 Manager : BusPhone: (805) 837-8371 Location: 2819 BRUNDAGE LN IBY' /Map : 102 Com~mHaz : Moderate city : BAKERSFIELD u-~",~-~----~--JGrid: 36C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 03 SIC Code:7538 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title K~,~.~v,v, ;.~TIN / MANAGER (~i~-> MIKE RICHARDS / GENERAL MANAGER Business Phone: (805) 323-3111x~.~;.%--Business Phone: (805) 837-8371x 24-Hour Phone : (800) 4~8--4~1-9x °-24-Hour Phone : (800) 458-4519x 7x Pager Phone : ( ) - x Pager Phone : (805) ~j~ Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: ( ) - x MailAddr: 2819 BRUNDAGE LN State: CA City : BAKERSFIELD Zip : 93304 Owner ~I.~'CE,,. ;-fiLLER ~ Phone: (805) 837-8371x Address : ~-9--4~-~-LN ~%1~ ~.3~_ ~A~ State: CA City : -B~F~F~.~F-~F~D ~t~£,~_k~ Zip : 93309 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif 'd: RSs: No Emergency Directives: = Hazmat Inventory One Unified List -- As Designated Order Ail Materials at Site Hazmat Common Name... ISpooHazlEPA HazardsI Frm I DailyMax Unit MCP OXYGEN F P IH G 1685 FT3 Low ACETYLENE . F P IH G 1200 FT3 Hi MOTOR OIL 5~ p~t F DH L 110 GAL Min MOTOR OIL (USED) ~'"~.,~-%7-'-- Do heFeby c~ih/~at I h~ve 500 G~ Low re~ ~ ~~ h~rdous any ~rr~ ~u~e a ~mpl~le a~d cerr~ man- agement p~n for ~y -~- lO/2~/~ MIDAS MUFFLER SiteID: 215-000-000440 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE S WALL. ONE PORTABLE MOVES AROUND SHOP CAS# 7782-44-7 Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average FT3 1685.00 FT3I 1685.00 FT3 HAZARDOUS COMPONENTS N 7782447 100.00 Oxygen, Compressed HAZARD ASSESSMENTS TSecret[ RSIBioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# I MCP No No No No/ Curies F P IH / / / Low ----- Inventory Item 0002 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE S WALL. ONE PORTABLE MOVES AROUND SHOP CAS# 74-86-2 Gas /Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 1200.00 FT3 120.00 FT3 HAZARDOUS COMPONENTS wt. I CAS# 100.00 Acetylene N 74862 HAZARD ASSESSMENTS TSecretl RSIBioHaz Radioactive/Amount I EPA Hazards[ NFPA USDOT# MCP No No No NO/ Curies F P IH / / / Hi 2 10/21/1998 MIDAS MUFFLER SiteID: 215-000-000440 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site MOTOR OIL Days On Site 365 Location within this Facility .Unit Map: Grid: WEST WALL, SOUTH CORNER CAS# 8020835 r STATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid Pure Ambient Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 110.00 GAL 110.00 GAL HAZARDOUS COMPONENTS %Wt. ~S CAS# 100.00 Motor Oil, Petroleum Based N 8020835 HAZARD ASSESSMENTS TSecret ~S BioHaz Radioactive/Amount I EPA HazardsI NFPA USDOT# I MCP No N No No/ Curies F DH /./ / Min = Inventory Item 0004 Facility Unit: Fixed Containers on Site MOTOR OIL (USED) Days On Site 365 Location within this Facility Unit Map: Grid: WEST WALL, SOUTH CORNER CAS# 221 F STATE i TYPE i PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 500.00 GAL 110.00 GAL HAZARDOUS COMPONENTS wt.I CAS# 100.00 Waste Oil, Petroleum Based N HAZARD ASSESSMENTS TSeoret RS BioHaz Radioactive~Amount, EPA Hazards, NFPA USDOT# MCP No N°llNo No/ Curies F DH / / / Low 3 10/21/1998 MIDAS MUFFLER SiteID: 215-000-000440 Fast Format ~ Notif./Evacuation/Medical Overall Site -- AHency Notification 01/26/1995 CALL 911 -- Employee Notif./Evacuation 01/26/1995 THE SHOP MANAGER HAS FULL RESPONSIBILITY FOR EVACUATION AND PROPER NOTIFICATIONS. IF THE SHOP MANAGER IS INJURED OR UNAVAILABLE, THE ASSISTANT SHOP MANAGER WILL BE IN CHARGE. CALL 911. -- Public Notif./Evacuation 01/26/1995 MANAGER OF ASSISTANT MANAGER WILL PHONE POLICE AND FIRE DEPARTMENT OR CALL 911. ALL PERSONS WILL BE EVACUATED TO THE EAST OUT OF ALL EXITS AWAY FROM WELDING GAS BY SHOP PERSONNEL EmerHency Medical Plan 01/26/1995 MERCY MEDI CENTER -4- 10/21/1998 F MIDAS MUFFLER SiteID: 215-000-000440 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site --Release Prevention 01/26/1995 WE HAVE INITIALED A HAZARD COMMUNICATION PROGRAM AT OUR PLACE OF BUSINESS. THIS INCLUDES CONTAINER LABELING, MATERIAL SAFETY DATA SHEETS, EMPLOYEE INFORMATION AND TRAINING, AND A LIST OF HAZARDOUS SUBTANCES. --Release Containment 09/29/1997 SHUT OFF VALVES OF 02, ACETYLENE TO STOP FLOW OF GASES, IF VALVE IS BROKEN FILL HOLE, ONCE PRESSURE IS RELEASED. SPREAD FLOOR SWEEP (ABSORBENT) OVER AREA WEARING PROTECTIVE GLOVES AND EYE WEAR. -- Clean Up 01/26/1995 AIROUT SURROUNDING AREA, KEEPING PEOPLE AT A DISTANCE. UPON FULL ABSORBTION, SHOVEL UP AND PLACE IN PLASTIC CONTAINER, DISPOSE OF IN PROPER MANNER. MOP/SPONGES WRING OUT IN CONTAINMENT BARRLES. Other Resource Activation -5- 10/21/1998 F MIDAS MUFFLER SiteID: 215-000-000440 f Fast Format ~ Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 09/29/1997 A) GAS - N OUTER WALL B) ELECTRICAL - INSIDE S WALL C) WATER - N OUTER WALL D) SPECIAL - NONE E) LOCK BOX - NONE Fire Protec./Avail. Water 09/29/1997 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - LOCATED 500 FT FROM FRONT OF BLDG ON CORNER OF MYRTLE ST AND BRUNDAGE LN - NE CORNER. Building Occupancy Level 6 10/21/1998 MIDAS MUFFLER SiteID: 215-000-000440 Fast Format ~'Training Overall Site -- Employee Training 09/29/1997 WE HAVE 6 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES TRAINED AT MONTHLY SA -- Page 2 --Held for Future Use Held for Future Use 7 10/21/1998 "' ~7~.kRDOUS 5L~TERIALS ENV'EN'~Y Padre of C~E~C,~ DESC~ON 1~ ~ ,EN tORY STA~S New [~1A~Uon [ ] Re~s~ [ ] ~leti~ [ ] Ch=k ffch~a~ is n NON Trade S<~ [ ] Tr~ S~=[ ] Ch~a~ Nme: ,~ [ ] CAS ~ H~d Categofi~ F~e [ ] R~ve [ ] Sud~ Rel~ of~e~ [ } ~n~a~ H~ (.Acute) [ ] ~l~y~ t tol~ (Chromc)[ " 5) WAS'~ CIASSFF]CA~ON (3~t ~ aero DHS Fo~ 8022) USE CODE 5}P~SICALSTA~ Solidi } Liqmd[~ ~[ } ~e[ I Mi~e[ ] W~ '} M,(OU~' t~ ~ AT FAC~ UMUS OF N~ 8) STOOGE CODES Av~e D~ly~o~t _~~ Cm~ [ } b) ~e~: 3m~ ~omt c) ~ Days on Si~ Chmle ~ich M~s: ~, F, Nh A, ~ J, J, ,~ S, O, N, D 9~ S.~: List CON~N~ C~ ' ~e ~ mo~ ~o~ 1) { } i)FF4VTN~ORYSTA'~S:New[~A~FIon[ ]Re~si~[ ]~Ie~a[ ] Ch~k~ch~,i~lisaNONT;~Ic~[ ]Tmd~( ] 2; C,munon Nme: _..~.~_~. _ 3) ~T ~ (option) Ch=~i~ N~e: ~ [ ] CAS ~ H:~d Categon~ Fire { ] R~ctive { ] Sudden Rele~ of~ [ j ~iam H~O~ (Acute) { J ~lay~ H~th 5) WASTE CD~S~CA~ON. :: (3~t ~ from D~S Fora 8022) USE CODE oSP~SIC~STA~ Solidi ] Liqmd[ ] G~[~ ~e[ } Mi~me[ ] W~e[ ] ~&~five '~ &MOUNF ~ ~ AT FAC~ U~'~S OF N~U~ 8) STOL4GE COD~ S Mm~m Daily Amour ~ ~4 3 Lbs [ ] C-~ { ] ~ ['~ } ~) Con~ ;. Av~ge DaVy ~o~l ~ ~ Cunes[ ] b) Pres~e. _._ ~ge~ Ske Conmm~ ~53 ~ .~ ~ C~le %~ch Mon~: ~J, F, M. A, M, J, J, ~, S, O. N, D Days on Slte N~X [~: List CON~D~ C,~q the tN'~ most ~dotm 1 ) ?RLNT Na~¢ · Tide ofAuGo~cd Com~y R~re~mta~ve Signa~ur~ / Page C [:EE MICAL DESCRIPTIO~ .-- -. ,%~ .... -~ , , ,~ ~:Nt,_RYSTA'['US New(~Ad~oa[ ~Re~si~[ ]~le~on[ I Ch~k~fch~t~aNONTra~ret( ':~,'.u' -ucgod~ ["~e [ ] R~cuve [ ] Sudden Rc!~ of ~ess~e [ ] b~a!iate Hc~ (Acute) [ '- ' ~S~qC.&~ON (2.d,~t c.o~ from DIIS Fom~ 8022) USE CODE ' ..: .' .... S'I'A~ Sol.id[ ] L~qmd[~ ] C-~[ ] ~ue[ ~ ~fixtme[ ] Wa~e ; .,.,....,,, AN~ 1~ AT FAC~ ~[l'S OF ~AS~ g) STO~&GE CODES M~m~D~ly~o~t ~ L~[ jG~[~J~[ ] a) Con~ on Site CLmle Which M~s: ~J, F, M, A, M~ J, J, ,.~ S, O. N, D . ~.x ~ ~.,,z. List CO~N~ C~ ~he tt~ :,,~ hatm~o~ l) ................................................................. chcm~:cal come.Is or 2) I)D.D~NTORYSTAIUS:New{~JA~fion/ /Re~hsi~f ~ledonf ] Ch<kifch~isaNONTradeS~'~d[ jTradeFc~[ ,':h~ Name: _ ~. D_ .... .Xt~ [ ~ C:~ ~ ,:az~'dCatcgodc~ F~c[ ]R~cfive[ ~S,~Rel~c,f~e~[ ] [mm~a~eHc~llh(Acute)[ jE~l~y.~He~th(Ch~c)[ WAS I~ CL&SS~I(:A~ON (Ydi~t c~e from D~B Fora 8022) USE CODE .~4OL~T ,~xD 'r~ Ar FAC~LrD' L~W5 OF ~XSL~E 8) STO~&GE CODES Maxmmm Daily Amotmt ..ff~ Lbs ~ ] C-~ [~1 ~3 [ ] a) Conmm~ ,V'~ge Daily ~o~t ~5~ Crees [ ] b) Dcs~e: .A~m~ Amour ,:) Tcm~a~e ~ Days oa S~te Ci~le W~ich Months: .&H Year, 1, F, M, A, M, J, J, A. g, O, N. D S.~'7~E: List CO~I' CAS~ · e tNc~ mosl ~do~ I ) chcnmcal ~mp~nen~ or 2) _ ..... ,))L~?A~ON c~g~' tmd~ ~]ty of law, ~at [ We ~ly ex~m~ and am fiunih~ '~5~ Zc wab~auon on th5~ and ~1 ~,,m~ N~m~c & *"'~,ue o(Au ~onz~t Ct?m~y R c~re~mla u ye ~ --- Date i MIDAS MUFFLER , ~ ~',, SiteID: 215-000-000440 Manager : ~'k~k~~kvL~// \V//~sPhone: (805) 837-8371 Location: 2819 BRUNDAGE LN ~'~%,,~-~ ~ ~~p : 102 Com~az : Moderate city : B~ERSFZELD / ~'~p 2_ ._ //~id: 36C FacUnits: 1 AOV: , I/1l .. CommCode: B~ERSFIELD S~ATION~:Q3~~ ~-~IC Code: 7538 · . ,.';r~ EPA Nu~: L~~ · QunnBrad: -~ - '~'~ ~ Emergency Con, act/ / Title Emergency Conta/~' - ~itle ' Business Phone: (805) 323-3111x Business Phone: (805) 837-8371x 24-Hour Phone : (80~)~-~-~ 24-Hour Phone : ',~. ~~. ..~ Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Agency-Defined Topic Title = Hazmat Inventory One Unified List -- MCP+DailyMax Order Ail Materials at Site Hazmat Common Name... ISpeoHazlEPA HazardsI Frm DailyMax Unit MCP ACETYLENE F P IH G 1200 FT3 Hi OXYGEN F P IH G 1685 FT3 Low MOTOR OIL (USED) F DH L ~ ~ GAL Low MOTOR OIL F DH L 110 GAL Mit agement plan for ~y -1- 08/11/1997 f MIDAS MUFFLER SiteID: 215-000-000440 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 01/26/1995 CALL 911 -- Employee Notif./Evacuation 01/26/1995 THE SHOP MANAGER HAS FULL RESPONSIBILITY FOR EVACUATION AND PROPER NOTIFICATIONS. IF THE SHOP MANAGER IS INJURED OR UNAVAILABLE, THE ASSISTANT SHOP MANAGER WILL BE IN CHARGE. CALL 911. -- Public Notif./Evacuation 01/26/1995 MANAGER OF ASSISTANT MANAGER WILL PHONE POLICE AND FIRE DEPARTMENT OR CALL 911. ALL PERSONS WILL BE EVACUATED TO THE EAST OUT OF ALL EXITS AWAY FROM WELDING GAS BY SHOP PERSONNEL Emergency Medical Plan 01/26/1995 MERCY MEDI CENTER 2 08/11/1997 MIDAS MUFFLER SiteID: 215-000-000440 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 01/26/1995 WE HAVE INITIALED A HAZARD COMMUNICATION PROGRAM AT OUR PLACE OF BUSINESS. THIS INCLUDES CONTAINER LABELING, MATERIAL SAFETY DATA SHEETS, EMPLOYEE INFORMATION AND TRAINING, AND A LIST OF HAZARDOUS SUBTANCES. -- Release Containment 01/26/1995 SHUT OFF VALVES OF 02, ACETYLENE TO STOP FLOW OF GASES, IF VALVE IS BROKEN FILL HOLE, ONCE PRESSURE IS RELEASED. SPREAK FLOOR SWEEP (ABSORBENT) OVER AREA WEARING PROTECTIVE GLOVES AND EYE WEAR. -- Clean Up 01/26/1995 AIROUT SURROUNDING AREA, KEEPING PEOPLE AT A DISTANCE. UPON FULL ABSORBTION, SHOVEL UP AND PLACE IN PLASTIC CONTAINER, DISPOSE OF IN PROPER MANNER. MOP/SPONGES WRING OUT IN CONTAINMENT BARRLES. Other Resource Activation -3- 08/11/1997 MIDAS MUFFLER SiteID: 215-000-000440 Fast Format F Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 05/11/1992 A) GAS - NORTH OUTER WALL B) ELECTRICAL - INSIDE SOUTH WALL C) WATER - NORTH OUTER WALL D) SPECIAL - NONE E) LOCK BOX - NONE -- Fire Protec./Avail. Water 05/11/1992 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - LOCATED 500 FEET FROM FRONT OF BUILDING ON CORNER OF MYRTLE ST AND BRUNDAGE LN - NE CORNER. Building Occupancy Level -4- 08/11/1997 MIDAS MUFFLER SiteID: 215-000-000440 Fast Format ~ Training Overall Site -- Employee Training 02/03/1992 WE HAVE 6 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE ALL EMPLOYEES TRAINED AT MONTHLY SAFETY MEETINGS. Page 2 --Held for Future Use Held for Future Use -5- 08/11/1997 01/19/95 MIDAS MUFFLER 215-000-000440 Page 1 Overall Site with 1 Fac. Unit General Information Location: 2819 BRUNDAGE LN Map:102 Haz:3 Type: 3 City : Bakersfield Grid: 36C F/U: 1 AOV: 0.0 Contact Name Title Contact Name · Title Business Phone~ (805) 323-3111x /IBusiness PhoneI (805) 24-Hour Phone : (805) ~3~8~~ ~1 24-Hour Phone . (805) Pager Phone : ( -' ~ . P er Phone : (~ ~ P ~~n~ : (~-~ ~- I Administrative Data Mail Addrs: 2819 BRUNDAGE LN D&B Nu~er: City: BAKERSFIELD State: CA Zip: 93304- Co~ Code: 215-003 BAKERSFIELD STATION 03 SIC Code: 7538 Owner:~INCENT ~11~/ Phone: (805) 837~8371 Address: 6919 WHITE LN State: CA City: BAKERSFIELD Zip: 93309- Sugary l,~t~-. ~: ~. ~,~/J . Do hereby certify that, have (Type or print name) reviewed the attached hazardous materials manage- ment plan for/W()'~3 /~,,/'~/~-and that it along with (Name Of Business) any corrections constitute a complsts and co rr~-'~ man- agemem plan for my facili[yo Signature Date 01/19/95 MIDAS MUFFLER 215-000-000440 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-002 ACETYLENE Gas i~~~ Highl~ - · Fire, Pressure, Immed Hlth FT3 02-001 OXYGEN Gas 1685 Low · Fire, Pressure, Immed Hlth FT3 01/19/95 MIDAS MUFFLER 215-000-000440 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-002 ACETYLENE Gas 1020 High · Fire, Pressure, Immed Hlth FT3 CAS #: 74-86-2 Trade Secret: No \~/_ Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 Daily Average FT3 Annual Amount FT3 I I ,0 0.00 Storage Press T Temp Location PORT. PRESS. CYLINDER Iabove 1AmDiontlouTSlDE S waLn/o,~--Oo -- Conc Components MCP ---TGuide 100.0% IAcetylene IHigh I 17 02-001 OXYGEN Gas 1685 Low · Fire, Pressure, Immed Hlth FT3 CAS #: 7782-44-7 Trade Secret: No ~' Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 I Daily Average FT3 1 Annual Amount FT3 1,685 ~ 1,685.00 3,370.00 Storage Press T Temp Location PORT. PRESS. CYLINDER IAbove /AmbiontlouTSIDE S WALL -- Conc Components MCP ---TGuide 100.0% Ioxygen, Compressed ILow ! 14 01/19/95 MIDAS MUFFLER 215-000-000440 Page 4 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation THE SHOP MANAGER HAS FULL RESPONSIBILITY FOR EVACUATION AND PROPER NOTIFICATIONS. IF THE SHOP MANAGER IS INJURED OR UNAVAILABLE, THE ASSISTANT SHOP MANAGER WILL BE IN CHARGE. CALL 911. <3> Public Notif./Evacuation MANAGER OF ASSISTANT MANAGER WILL PHONE POLICE AND FIRE DEPARTMENT OR CALL 911. ALL PERSONS WILL BE EVACUATED TO THE EAST OUT OF ALL EXITS AWAY FROM WELDING GAS BY SHOP PERSONNEL <4> Emergency Medical Plan N~AREST HOSPITAL 01/19/95 MIDAS MUFFLER 215-000-000440 Page 5 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention WE HAVE INITIALED A HAZARD COMMUNICATION PROGRAM AT OUR PLACE OF BUSINESS. THIS INCLUDES CONTAINER LABELING, MATERIAL SAFETY DATA SHEETS, EMPLOYEE INFORMATION AND TRAINING, AND A LIST OF HAZARDOUS SUBTANCES. <2> Release Containment SHUT OFF VALVES OF 02, ACETYLENE TO STOP FLOW OF GASES, IF VALVE IS BROKEN FILL HOLE, ONCE PRESSURE IS RELEASED. SPREAK FLOOR SWEEP (ABSORBENT) OVER AREA WEARING PROTECTIVE GLOVES AND EYE WEAR. <3> Clean Up AIROUT SURROUNDING AREA, KEEPING PEOPLE AT A DISTANCE. UPON FULL ABSORBTION, SHOVEL UP AND PLACE IN PLASTIC CONTAINER, DISPOSE OF IN PROPER MANNER. , - <4> Other Resource Activation 01/19/95 MIDAS MUFFLER 215-000-000440 Page 6 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NORTH OUTER WALL B) ELECTRICAL - INSIDE SOUTH WALL C) WATER - NORTH OUTER WALL D) SPECIAL - NONE E) LOCK BOX - NONE <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - LOCATED 500 FEET FROM FRONT OF BUILDING ON CORNER OF MYRTLE ST AND BRUNDAGE LN - NE CORNER. <4> Building Occupancy Level 01/19/95 MIDAS MUFFLER 215-000-000440 Page 7 00 - Overall Site <G> Training <1> Employee Training WE HAVE 6 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE ALL EMPLOYEES TRAINED AT MONTHLY SAFETY MEETINGS. <2> Page 2 <3> Held for Future Use <4> Held for Future Use BAKERSPIELD- CII:Y PIHE UI=PAH I M NI ? - H ~/~RDOUS MATERIALS INV ,/E~'~ ORY Page. of CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ~Addition [ ] Revision [ ] Deletion [ ! Check if chemicaJ ia · NON TRADE SECRET [ 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ (1 Reactive ~ .Sudden Release of Pressure [ ] Immediate Health (Acute) ~ Delayed Health (Chronic) 5) WASTE CLASSIFICATION --~ (3-digit code from DHS Form S022) USE CODE 7) AMOUNT AND TIME AT FAClU'rY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: ~'/'0 lbs I. ] gal [-1"'fl3 [ ] e) Container. Average Daily Amount: ,//'~ curies [ ] b) Pressure: C~( ~' Annual Amount: ~ ~ c) Temperature: . Largest Size Container: # Days On Site ~ ~,.,('" Circle Which Months: /,....~llYe~. J. F, M, A. M, J, J, A, S, O, N, D 9) MIXTURE: Ust COMPONENT CAS # % w'r AHM the three most hazardous t) · [ ] ch.m,oe, com.n.nt, or ' any AHM components ~) ~ 0 '/-o V" ~ / C 3) [ ] lO) Location ~ ~.~"7~ _ CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New {~Addition [ ] Revision ~ ! Deletion [ ] Check if chemical is a NON TRADE SECRET 4) PHYSICAL & HEALTH ' ~'/'R PHYSICAL HEALTH HAZARD CATEGORIES Fire [ eactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed HeaJth (Chronic) [ )WASTECLASS,FICATIO. fromDHS orm. i USECODE 6) PHYSICAL STATE Solid [ ] Liquid [-,]'"~as [ ] Pure [~'~ure [ ] W~te [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FAClUTY UNITS OF MEAS?.~E 8) STORAGE CODES Maximum Daily Amount: //'~ lbs [ ] gal [,-~ft3 [ ] a) Container, Average OaJly Amount: ~ curies [ ] b) Pressure: Annual Amount: c) Temperature: , ~c.~' Largest Size Container: ' ~'~.~.-- # Days On Site _~ ~, ~' Circle Which Months:(,~AII Y_e~.~// J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: Ust COMPONENT CAS # % WT AHM the three most hazardous 1) [ ] chemical components or 3) [ ] ce~'fy under penalty of law, that I have personally examihed and am lamiliar with the Jnfomae'on submitted on this and alt attached document~. J believe P'RINT Name & Title of Authorized Company Representa#ve Signature Date 04/14/92 MIDAS MUFFLER 215-000-000440 Page 1 · ~ Overall Site with 1 Fac. Unit General Information Location: 2819 BRUNDAGE LN Map: 102 Hazard: Moderate Community: BAKERSFIELD STATION 03 Grid: 36C F/U: 1 AOV: 0.0 Contact Name Title Business Phone 24-Hour P~one~, 1~ ~I~,,~U,}AI'< LL ~-t~.~(~P- (805) 323-3111 x (805) -~9~3---~__J.~ Administrative Data Mail Addrs: 2819 BRUNDAGE LN D&B Number: City: BAKERSFIELD State: CA Zip: 93304- Comm Code: 215-003 BAKERSFIELD STATION 03 SIC Code: Owner: ~ Aug~-h~kS~N~/~u~5-~IAJ~FA/'1- Phone: (805) ~-~k Address: ~ 8~-YMI~%-~R ~ql~ ~J~/z 7~ L~ · State: CA City: BAKERSFIELD Zip: 933~ Summary RECEIVED .#AY 0 § 1992 HA7 ~.~T. DIV. I, -~w W/.m~gLL_ Do hereby certify that I have L_. o-r~,o,~e.,,~ ..... reviewed the attached hazardous materials manage- ment plan for Nt tbs% and that it along with - ' (Name of Business) any-corrections constitute a complete and correct man- ~lement plan tor my fa~ii~, 04/14/92 MIDAS MUFFLER 215=000-000440 Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 OXYGEN Gas 1685 Low · Fire, Pressure, Immed Hlth FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 I Daily Average FT3 I Annual Amount FT3 -- 1,685 ~ 1,685.00 3,370.00 Storage Press T Temp~ Location PORT. PRESS. CYLINDER Above I AmbientlOUTSIDE S WALL - Conc Components 100.0% Ioxygen, Compressed ILo~CP IList 02-002 ACETYLENE Gas 1020 High · Fire, PresSure, Immed Hlth FT3 CAS #: 74-86-2 Trade Secret: No ·'Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3I Daily Average FT3 I Annual Amount FT3 -- 1,020 ~ 1,020.00 2,040.00 Storage Press T Temp~ Location PORT. PRESS. CYLINDER Above ~AmbientlOUTSIDE S WALL - Conc Components MCP List 100.0% IAcetylene IHigh I 04/14/92 MIDAS MUFFLER 215-000-000440 Page 3 00 - Overall Site <D> ~ot~f./~vacuat~on/~odical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation THE SHOP MANAGER HAS FULL RESPONSIBILITY FOR EVACUATION AND PROPER NOTIFICATIONS. IF THE SHOP MANAGER IS INJURED OR UNAVAILABLE, THE ASSISTANT SHOP MANAGER WILL BE IN CHARGE. CALL 911. <3> Public Notif./Evacuation MANAGER OF ASSISTANT MANAGER WILL PHONE POLICE AND FIRE DEPARTMENT OR CALL 911. ALL PERSONS WILL BE EVACUATED TO THE EAST OUT OF ALL EXITS AWAY FROM WELDING GAS BY SHOP PERSONNEL <4> Emergency Medical Plan NEAREST HOSPITAL 04/14/92 MIDAS MUFFLER 215-000-000440 Page 4 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention WE HAVE INITIALED A HAZARD COMMUNICATION'PROGRAM AT OUR PLACE OF BUSINESS. THIS INCLUDES CONTAINER LABELING, MATERIAL SAFETY DATA SHEETS, EMPLOYEE INFORMATION AND TRAINING, AND A LIST OF HAZARDOUS SUBTANCES. <2> Release Containment <3> Clean Up 04/14/92 MIDAS MUFFLER 215-000-000440 Page 5 ~ 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NORTH OUTER WALL B) ELECTRICAL - INSIDE SOUTH WALL C) WATER - NORTH OUTER WALL D) SPECIAL - NONE E) LOCK BOX - NONE <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT.- ????????????? <4> Building Occupancy Level 04/14/92 MIDAS MUFFLER 215-000-000440 Page 6 ~ 00 - Overall Site <G> Training <1> Page 1 WE HAVE 6 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE ALL EMPLOYEES TRAINED AT MONTHLY SAFETY MEETINGS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use BULK TRANSFER (Business) BUSINESS NAME /f~2--r~/.fl~O,~ SITE LOCATION 2~/9 ~,~~ OLD OWNER N~E ~ ~~ ~'5w O~ER ADD. ~&~o ~. ACCOST N~BERS INVOLVED THIS INFORMATION IS TAKEN FROM THE DALLY REPORT AND SHOULD BE VERIFIED PRIOR TO ANY CHANGES. DISTRIBUTION: Sanitation Hazardous Materials ,,'"~ -*" ~,\ CITY of BAKERSFIELD .,1~o V',,e. -. ..... -.' . [ty~e or pr~ name) ~g~'..O 1 1~8~ Do hereby c=~t~fy that I have reviewed the ~1~'~ attached Hazardous Materials busine'ss Dian RECEIVED (name of business) HAZ. MA~DI~ and that it along with the attached additions or corrections constitute a comDlete and correct Business Plan for my facility. ' azgna~ur.e~/~/ date - CITY of BAKERSFIELD LOCATION: CITY, ZIP:~ff~f~/Z1~ ~¢ ~ITY, ZIP: DUN AND BRADSTREET NUHBER PHONE ~: ~,¢- ,~,~ .~/// PRONE ~: _ _ - -- _ _ - Ir.ns ~y~ ~x l~ ~1 M~m I ~ Cmt ~t ~t ~ L~tt~ ~ t~ i d nlxt~/~tl C~e ~e Mt Mt Est Un,ts m Sttl l~ ~ TW ~ ., St~ in F~tlity (C~k all t~t ~ly) . i--__ire Hazard [ ~ R~ttv~ty [ ~ ~la~---- ~ bl~ ~--~ i~ate ~lth of P~ ~lth ~lth of ~ ~lth .... ~_t ...... k ......... 1 ~.I I .l I L.. I ...... ~ ............... P~icol ~ ~lth ~zo~ C.A.S. i at II b i C.l.S. i (C~k ii! t~t a~ly) -r-~ - - r-~ Wt 12 NmaC.A.S.~ HHIth of P~su~ ~lth Wtl] ~ i C.A.S. ~ I t L i I I t I I t ~ ,' (C~k ~11 t~t ~ly) ' J Flee Ho~ard ~--J ~tivity Nle~ ~--~ ~ Raise -- I~teto H~lth of erasure Health ClrtificotJ~ (Read and s~ after compIet~nE all sections) I certify trader N~llty of la~ that I have personallyexamned end am f~Jlilr ,tth t~ tnfor~tim su~itt~ tn thls ~ eIJ Itt~ ~ts, ~ t~t ~s~ m ~ i~t~ of t~e J~Jvi~ls ~sible fore, braining t~ inf~tt~. I ~lieve t~t t~ su~itt~ info~ti~ is t~. accurate. ~d c~ ..... ~'~zZ..-.~.~.~___~~~x~ ............. ~~~~~~ ................ :.Z~ CITY of BAKERSFIELD '-- / HAZARDOUS MATERI ALS INVENTORY' ~ON--TR~DE ~ ECRETS ' ~,~.Z.o~.Z CITY, ZIP:~fW~$[/$-i$ 9~$~ CITY. ZIP: ~~ [~UN AND BRADSTRKKT NUMBER ~ ? 3 4 S J T 8 J I0 11 I~ 13 II (~ C~ ~ ~ Est ~its ~ Slto 1~ ~ lm ~.. St~ tn FKtJltyW b INt~ttW IC~k eli t~t o~ly) ..... _ .,  -- _ r--~ ~t ~ ~&C.A.S. ~ , ~lth of ~ blth .......... - ~ - -- ~t ~ M & C.A.S. ~ ~.[Lk~_~__~.~.~_ ~I.~'.D'Y~! ~ ! q]~& I~ - ~// ~_ '~ - · - . .... ~lth ~ ~ ~lth .... _._~k ..... 1 ,.1 I I I I I 1 I . ' ' ~t~l ~ ~lth ~t~ C.A.S. ~ ~t II ~ I C.I.S. ~ (C~k ~11 tMt ~Jy) ~--~ r--. - -- -- ~t ffi ~&C.A.S. ~ ~lth of Pm~ ~lth .... ' ...... ~t ~ ~&C.l.S. ~ ..~__k__~ ~ [ ~ :,. . , ~ ~ 'h_~ i ' .' . ..... '" *col ~ Mlth hsd C.A.S. ~ Mt II ~ & C.A.S. ~ k oll tMt MJy) ~_ ~. -- r--5 ~-- r--5 -- Mt 12 b&C.A.S. ~ Ce~i(~ (~eed and fi~ att~r coJpI~tjn~ ail sections) I certtfl, W ~lty ~ 1~ t~t I ~ ~el~llveuaJM ~ p fNillor ~tth tM tnf~ttm W~ttd tn this ~ al? ottW ~tl. ~ tMt ~s~ ~ ~ 4~t~ of t~e iMtvtMIs m~tble BVSINESS NAME MIDAS MUFFLER ID NUMBER Z1S--000-00~440 LOCATION 28t9 BRUNDAGE LN HIGH HAZARD RAYING 3 t. OVERVIEW LAST CHANGE 05/25/88 BY TERRY JURIS CODE 215-~r~3 JURIS BAKERSFIELD STATION 03 MAP PAGE 10Z GRID 3GC FACILITY UNITS I HAZARD RATING ~ RESPONSE SUMMARY 2A SEC 4: NONE. EMERGENCY CONTACTS/Z~/ ~¢~¢~ ~/,-O& V2 ROD ATCHISON - 3Z3-3111 OR 39'3-SGGG UTILITY SHUTOFFS ZA SEC 3: A) GAS - N OUTER WALL; B) ELECTRICAL.- INSIDE SOUTH WALL: C) WATER - N OUTER WALL; D) SPECIAL ~.. NONE~ E) LOCK BOX - NONE. NOTIFICATION / PUBLIC EVACUATION LAST CHANGE / / BY o~ ~9~T-A,I~,R¢~R iv','// .,~e -/~e .,~,,,,'~ ,~,,'~ DeF+ o£o ~?/ < NO INFORMATION RECORDED FOR THIS SECTION > /[2// /°c~-,/~w,r ~,,'1/ xY'~ ~Y, mCT~,~ TO 7'~ ~,m, rT' 6uT ~ PI/ ExiT PAGE 1 1ZlZ3/88 1,5:35 MATERIAL SAFETY DRTR SYSTEMS, INC. <805) S4B-'B800 BWSINESS NAME MIDAS MUFFLER ID NUMBER 21,5-000-000440 LOCATION ZSIB BRUNDRGE LN HIGH HAZARD RATING 3 3. HRZ MAT TRAINING SUMMARY LAST CHANGE / / BY < NO INFORMRTION RECORDED FOR THIS SECTION > LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE O5/2S/88 BY TERRY SEC S: NERRESI' HOSPITBL PRGE Z 1Z/Z3/88 1S:3S MRTERIRL SAFETY ORI'R SYSTEMS, INC. (805) G4.8-G800 BNS'INESS NRME MIDAS MUFFLER ID NUMBER 21S"00~-0~0440 LOCATION Z819 BRUNDAGE LN HIGH HAZARD RATING 3 FACILITY UNIT 01 A. OVERALL HAZARDOUS MATERIBLS INVENTORY LAST CHANGE 05/Z5/88 BY TERRY ID TYPE NAME MAX AMT UNIT HAZARD LOCATION CONTAINMENT USE 1 PURE OXYGEN /~ ~-JZ~ FT3 HIGH OUI'SIDE S WALL PORTABLE PRESS. CYL. WELDING/SOLDERING ID PERCENT COMPONENTS HAZARD LIST Z35~.OO ~OO.O OXYGEN~ COMPRESSED HIGH Z PURE ACETYLENE ~ -G-~FT~ EXTREME OUTSIDE S WALL PORTABLE PRESS. CYL. WELDING/SOLDERING ID PERCENT COMPONENTS HAZARD LIST lZ41.00 100.0 ACETYLENE EXTREME FIRE PROTECTION / WATER SUPPLIES LAST CHANGE 05/Z5/88 BY TERRY SEC 4: PRIVATE FIRE PROTECTION - FIRE E>(TINGUISHERS. SEC 5: NONE. PAGE 3 1ZIZ3/88 MATERIAL SAFETY [}F~TA SYSTEMS, INC. (805> B~.B-B800 B~SINESS NAME MIDf~S MUFFLER ID NUMBER Z tS-~0-000440 LOCATION Z81~ 8RUND~GE LN HIGH HAZARD RATING EMPLOYEE NOTIFICATION / EVACUATION LFtST CHF~NGE 05/25/88 BY TERRY SEC Z: THE SHOP MANAGER HAS FULL. RESPONSIBILITY FOR EVACUATION AND PROPER NOTIFICATIONS. IF THE SHOP MANAGER IS INJURED OR UNAVAILABLE, THE ~SSISTANT SHOP M~NAGER WILL BE IN CHARGE, CALL. E. MITIGATION / PREVENTION / ~B~TEMENT L~ST CHRNGE 05/25/88 BY TERRY SEC I: WE H~VE INITIALED A H~ZARD COMMUNICATION PROGRAM AT OUR PLA~E OF BUSINESS, THIS INCLUDES CONTAINER L~BELING, MATERIAL SAFETY DATA SHEETS, EMPLOYEE INFORMATION AND TRAINING, AND A LIST OF HAZARDOUS SUBT~NCES. PAGE 4 12/23/88 1S:35 M~TERIBL SAFETY DATA SYSTEMS, INC. (805) G48--G800 2130 "G" STREET BAKERSFIELD, CA 9330Z J0L 8 1987 (805) 326-3979 Ans°d ............ OFFICIAL USE ONLY HAZARDOUS MATERI ALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS: 1. To avoid further action, retur~ this form by 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~ SECTION 1: BUSINESS IDENTIFICATION DATA SECTION 2: E~ERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-42Y-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: DORING BUS..RS. AFTER BUS. HRS. Ph# SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A ~IOLE m. ELECTRICAL: ~~ '~--~.. ~+ ¢~o~3' ~ Il C. WATER: 6]~j~,-~[~.- ~0 ~~~ ' D. SPECIAL: E. LOCK BOX: YES / ~ IF YES, LOCATION:' IF YES, DOES IT CONTAIN SITE PLANS7 YES / NO MSDSS~ YES / NO FLOOR PLANS? YES / NO KEYS~ YES / NO - 2A - 7 SECTION 4: PRIVATE RESPONSE TEAN 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 PROGRAM WHICH PROVIDES EMPLOYEES WITH ~NITIAL AND CIRCLE YES OR NO · ~ ~~~~INITIA~ ' 'REFRESHER,, A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS:...' .................................... ~ NO YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... YES ~ YES NO C. PROPER USE OF SAFETY EQUIPMENT: .................. ~ ~NO 'YES NO D. EMERGENCY EVACUATION PROCEDURES: ................. YES ~ YES NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES ~ YES NO SECTION 7: ~Z~OUS ~TERI~ CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A SOLID, 55 GALLONS]OF A LIQUID, OR~ FEE__~T OF ~ ~S: ...... .~. S NO ~/~/,~f)2C,//~/~.~f ,certify that the above information is accurate. I unde¥~nd that~i~nformation ~ill be used to fulfill my firm's obligations under the ne~ California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et Al.) and that inaccurate information constitutes perjury. .... l ~ ..... -'~ .... BAKERSFIELD CITY FIRE DEPART.~NT 2~30 ,G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# BUSINESS NAME: BUSI NESS PLAN SINGLE FACILITY UNIT 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 LISTED B~ELOW 4. Be as BRIEF and CONCISE as .possible. FACILITY UNIT~ FACILITY UNIT NAME: SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDbqRES SECTION 2: NOTIFICATION .~%~D EVACUATION PROCEDURES AT THIS b~'IT ONLY - 3A - SECT!OX 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, coraplete a separate hazardous materials inuentory form marked: NON-TRADE SECRETS ONLY (white form .~4A-1) If Yes, complete a hazardous materials inventory form marked: TRABE SECRETS O~LY (yellow 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 8: LOCATION OF WATER SUPBLY FOR USE .BY ~MERGENCY RESPON~DERS SECTION 6: LOCATION OF UTiLiTY SHUT-OFFS AT THIS, h~.'.IT:ONLY. A. NAT. GAS/'PROPANE": B. ELECTRICAL: C. WATER: D. SPECIAL: E. LOCK BOX: Y~$ rF YES, LOCATION: iF YES, S~. ,E PLANS? YES ,/ .¥0 MSt}ss., Yr_.~ ." FLOOR Pr. ANS? YES / .NO ~EYS? YES .'" XO - 3B - BAKERSFIELD CITY FIRE DEPARTMENT I.D. # FORM 4A-1 Page ~of NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY BUSINESS NAME: , { J~,_~ ~ ~ OWNER NAM ~0 FACILITY IT 'ADDRESS: ~ ~'~~ ~ ' ADDRESS: ~[ Z O.L~ ~D~k ~ FACILITY UNIT NAME: · CITY, ZIP: ~~~ ~ ~O ~ CITY,ZIP:~~~,~ PHONE ~: ~.~- ~ PHONE ~: ~~0~ ~ IOFFIClAL USE CFIRS CODE - ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT ,USE LOCATION IN THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMIQAL OR COMMON NAME CODE OUIDE / NAME __TITLE: ~,~. SIONATURE: D~TE: E~ERGENCY CONTACT: TITLE: ~On~4~ [E { BUS HOURS: ~ .~, AFTER BUS HRS: H~EROENCV CONTACT: ~ TITLE: ~~ .. PHONE { BUS HOURS: · PRINCIPAL BUSINESS AC~IVIT'Y: '~_,~~ ~,,~= ~/~ AFTER BUS HRS: / - 4A-1 -