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 -