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HomeMy WebLinkAboutBUSINESS PLAN 9/12/2000 Hazardous Materials/HazardOus Waste Unified 'Permit CONDITIONS OF ,PERMIT ON REVERSE SIDE This oermit is issued for the followin_a: [] Hazardous Materials Plan [] Underground Storage of Hazardous Materials Permit ID #:: 015-000-000115 : [] Risk Management Program PIERCE PLAZA TRANSMISSll [] Hazardous Waste On-SiteTreatment LOCATION: 3624 BUCK OVVENS BLVD OFFICE OF ENVIRONMENTAL SER VICES' . ' 1715 Chester Ave., 3rd Floor Approved by: Bakersfield, CA 93301 OfficcofEv~Scrvices Voice (661) 326-3979 FAX (661) 326-0576 ExpimtionDate: JU~'~e 30.. 2003 H ~M P PLAZO MAP SITE DIAGRAM ~ FACILITY DIAGRAM / Business N~me: Ca'" f2~f+Z.~ ~.5'~/r~/ Business Address: 3(0 ~ ¢/c¢7&¢ /~0. . ~¢~-¢?~r~/2 C-~ FOr Office Use Only First In Station: Area Map # of Inspection Station: NORTH  BAKERSFIELD CITY  FIRE DEPARTMENT BARBARA BRENNER HAZARDOUS MATERIAL PLANNING TECHNICIAN FAX (80~1 395'1349 BAKERSFIELD, CA 93301 MR4~0107 CITY OF BAKERSFIELD 9/12/00 ~cellaneous Receivables I~ iry 16:56:15 Customer ID . . . : 3602 Name: PIERCE PLAZA TRANSMISSION Last statement : 9/01/00 Addr: 3624 BUCK OWENS BLVD STE 11 Last invoice : 0/00/00 BAKERSFIELD, CA 93308 Current balance : 120.00 Pending ..... : 120.00- A ACTIVE ENVIRONMENTAL SERVICES Type options, press Enter. Combined Detail 5=Display Chg Bnk G Opt Trans Date Code Description Amount Balance Typ Cd L * 9/08/00 PAYMENT 120 00- 120 00 00 Y 9/01/00 stmrn Statements Processed 00 120 00 8/01/00 stmrn Statements Processed 00 120 00 6/01/00 stmrn Statements Processed 00 120 00 6/01/00 SS001 CA STATE SURCHARGE 10 00 120 00 A 6/01/00 HM005 HAZ MAT HANDLING FEE 110 00 110 00 A 5/01/00 stmrn Statements Processed 00 00 4/01/00 stmrn Statements Processed 00 00 3/01/00 stmrn Statements Processed 00 00 + F3=Exit F12=Cancel * = Pending {.~ERCE PLAZA TRANSMISSION ~~t~~_~_~ SiteID: 215-000-000115 ,, (805) 633-0273 M nager : ~ ~Do~ .~03~ ~ ~[~3~ BusPhone: Location: ~-~-~=~--RD-i-1- - Map : 102 Com~az : Low City : B~ERSFIELD ~ ~[$~'~ k Grid: 23B FacUnits: 1 AOV: CommCode: CO~TY STATION 66- SIC Code:7538 EPA Nu~: DunnBrad: Emergency Contact / Title Emergency Contact / Title STANLEY BOWEN / OWNER WILLIAM ROBERTS / OWNER Business Phone: (805) 633-0273x Business Phone: (805) 633-0273x 24-Hour Phone : (805) 399-5385x 24-Hour Phone : (805) 393-3901x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire DelHlth Contact : Phone: (805) 633-0273x MailAddr: 3624 PIERCE RD 11 State: CA City : BAKERSFIELD Zip : 93308 Owner STANLEY O BOWEN Phone: (805) 633-0273x Address : 4506 GLENCANNAN State: CA City : BAKERSFIELD Zip : 93308 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... ISpecHazlEPA HazardsI Frm DailyMax Unit MCP MOTOR OIL F DH L 175 GAL Min WASTE OIL F DH L 125 GAL Low TRANSMISSION FLUID F DH L 55 GAL Low ~o ~,,,~,,,, ,~,~_,¢,~- .... D0 hereby ce~i~ thru ~ h~ve PIERCE PLAZA TRANSMISSION SiteID: 215-000-000115 =~Inventory Item 0001 Facility Unit: Fixed Containers on Site MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: EAST WALL CAS# 8020835 F STATE I TYPE PRESSURE --~ TEMPERATURE CONTAINER TYPE Liquid Pure Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container f Daily Maximum Daily Average GALL 175.00 GAL 75.00 GAL HAZARDOUS COMPONENTS %Wt. CAS# 100.00 Motor Oil, Petroleum Based 8020835 HAZARD ASSESSMENTS TSecret ~SIBioHaz Radioactive/Amount EPAHazardsI NFPA USDOT#1MCP No N No No/ Curies F DH / / / Min = Inventory Item 0002 Facility Unit: Fixed Containers on Site %..:t;,I.vUVl~,,_.ll~J i~JZ-.U, vI~.5 / %.,.rJ.~Xvl/. %..J-.~.~ /%jZ-~j. Vl~-,, WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: EAST WALL CAS# 221 ~ STATE TYPE PRESSURE ~ TEMPERATURE CONTAINER TYPE AmbientI Ambient DRUM/BARREL- METALL I C Waste Liquid I I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 125.00 GAL 75.00 GAL 1%wa . HAZARDOUS COMPONENTS °RIS CAS # 100.00 Waste Oil, Petroleum Based N HAZARD ASSESSMENTS TSecretI oRSIBioHazt Radioactive/Amount EPA Hazards NFPA I USDOT# I MCP No N No No/ Curies F DH / / / Low 2 02/03/1999 PIERCE PLAZA TRANSMISSION SiteID: 215-000-000115 =~Inventory Item 0003 Facility Unit: Fixed Containers on Site ~U~V~Vl~ ~Vl~ / ~£ ~}J.~ ~Vl~ TRANSMISSION FLUID Days On Site 365 Location within this Facility Unit Map: Grid: EAST WALL CAS# 0 F STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE LiquidmPure I Ambient I A~ient I DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average GAL[ 55.00 GALI 40.00 GAL [ HAZARDOUS COMPONENTS %Wt. S CAS# 100.00 Transmission Fluid (Petroleum-Based) N 0 TSecret RS BioHaz i HAZARD ASSESSMENTS I Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -3- 02/03/1999 F PIERCE PLAZA TRANSMISSION SiteID: 215-000-000115 ~ Fast Format = Notif./Evacuation/Medical Overall Site --Agency Notification 06/04/1992 BAKERSFIELD FIRE DEPT HAZARDOUS MATERIALS DIVISION 326-3979. CALIFORNIA OFFICE OF EMERGENCY SERVICES 1-800-852-7550. --Employee Notif./Evacuation 06/04/1992 WORD OF MOUTH. -- Public Notif./Evacuation 06/04/1992 NOTIFY NEIGHBOR. Emergency Medical Plan 06/04/1992 NEAREST HOSPITAL. -4'- 02/03/1999 F PIERCE PLAZA TRANSMISSION SiteID: 215-000-000115 Fast Format = Mitigation/Prevent/Abatemt Overall Site --Release Prevention 06/04/1992 NOTHING OVER 55 GAL. OIL PUMPS NOT GRAVITY. -- Release Containment 06/04/1992 OIL PUMPS ONLY. -- Clean Up 06/04/1992 GREASE SWEEP. Other Resource Activation -5- 02/03/1999 / F PIERCE PLAZA TRANSMISSION SiteID: 215-000-000115 Fast Format F Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 06/04/1992 1) GAS - IN MIDDLE OF COURTYARD BEHIND MAIL BOXES. 2) ELECTRICAL - INSIDE DOOR AT 1ST YELLOW POLE 6TH REGULAR DOOR BACK DOOR LOCKED KEY AT BAKERSFIELD ENVELOPE. 3) WATER - OUTSIDE SAME DOOR 4) SPECIAL - NONE 5) LOCK BOX - NO -- Fire Protec./Avail. Water 06/04/1992 PRIVATE FIRE PROTECTION - SPRINKLERS THROUGHOUT AND FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - ???????? Building Occupancy Level -6- 02/03/1999 PIERCE PLAZA TRANSMISSION SiteID: 215-000-000115 ~ Fast Format ~ Training Overall Site -- Employee Training 06/04/1992 WE HAVE 1 EMPLOYEE AT THIS FACILITY. DO YOU HAVE MSDS SHEETS ON FILE? (YES OR NO) BRIEF SUMMARY OF TRAINING PROGRAM: Page 2 -- Held for Future Use Held for Future Use 7 02/03/1999 Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE - This permit is issued for the following: Materials Plan ....... . ........... round Storage of Hazardous Materials PERMIT ID# 015-021 O00115 ement Program Waste PIERCE PLAZA LOCATION 3624 PIERCE 5 CA Issu~l by: Bakersfield Fire Department Approved by: ~' OFFICE OF ENVIR ONMElgTAL SER VICES 1115 Chester Ave., 3rd Floor Bakemtield, CA 93301 Voice (805) 326-3979 -. FAX ($05) 326-0576 Expiration Date: June 30, 2000 Bakersfield FireDept. Hazardous Materials Division ~]~Y 2 1992 2130 "G" Street ~)/~~_. Bakersfield, CA. 93301.. HAZARDOUS MATERIALS MANAGEMENT PLAN 1. To avoid further action, return this form within 30 days of receipt. ' 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer tl~e questions below for the business as a whole. 4. Be brief, and concise as possible. SECTION 1" BUSINESS IDENTIFICATION DATA BUSINESS NAME: /~ LOCATION: ~~1 MAILING ADDRESS: 'CITY: ~q kcr si;cJ~ STATE: DUN & BRADSTREET NUMBER: SIC CODE: PRIMARY ACTIVITY: OWNER: ,..,%'Zq¢l ~/c_.' MAILING ADDRESS:' SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE FDI$ Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYEES: / MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6,95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS, WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES: OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INA~CURATE INFORMATION CONSTITUTES PERJURY, TURE ,~ .... TITLE DATE 2. FD1590 Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: B, EMPLOYEE NOTIFICATION AND EVACUATION: C. PUBLIC EVACUATION' D, EMERGENCY MEDICAL PLAN: Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: B. RELEASE CONTAINMENT AND/OR MINIMIZATION' C. CLEAN-UP PROCEDURES: SECTION $: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)' NATURAL GAS/PROPANE: //} 4'//DDL~ . ELECTRICAL: ' WATER: O~sr~ SPECIAL: LOCK BOX: YES/NO IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: T A. PRIVATE FIRE PROTECTION: B. WATER AVAILABILITY (FIRE HYDRANT): 4. FD159~ I-~Z~DOUS I~RI~S TNV~NTORY NON - TRADE SECRET ,,. OWNER NAME ~//~ ~ ~~ }' N~ OF THIS'~ FACILITY: BUSI~SS N~: ~/~~W/W ~/g~Agg/W~ ~D~SS:~D/, 6z~h~ ~ -. ,.' ST~ I~. C~SS CODE: LOCATION:~ ~/~ ~ CITY, ZIP:~~/~ ~/~ ~r3~ CITY,.. ZIP~/~m~- ~ ~ D~ ~D B~ST~ET ~BE~/FEDE~ ID ~ ~ INs~u~IONS ~R ~OP~ ~DES" I 2 3 4 5 6 7 8 9 10 11 12 13 14 Tr~s ~e ~ Average ~nual M~as~e ~ Da~ Cent Cent Cent Use Location ~e~ % ~ N~s of M~ure/C~nen~s Co~ C~e ~t ~ ~t Units on Site ~ Press ~ Code S~red in Facility ~ See Inst~ctions ~IP I fT~ 17C I ~ I ~l~- I~1/ 14~ I~l ~ ~ ~o~ m~ ~ca~ and E~l~h Ea~a~ ~.~.~. ~e~ Co~onen~ ~ ~ ~ & C.~.S. of Pressu~ . H~lth H~lth ~ ? Co~on~t ~ 3 N~ & C.A.S. N~ ~ I~1 i~" I 7ff I ~o I~= I 5~'10~1 / I ~ 19Ol ~ w~ /m /o~~ Ph~cal and H~lth ~ C.A.S. N~er Co~onent ~ i N~ & C.A.S. N~ (Check all ~t apply) . Co~onent ~ 2 N~ & C.A.S. N~er F~ Haz=d ~ Sudden ~lease '~ R~ct~v~ty ~ I~at. Deiay~ .' of Pressu~ ;- H~lth H~lth Co~onent ~ 3 N~ & C.A.S. N~er ~ I P I c~- I ¢ I ~¢ ]~c 13~¢ 106 I / I ~ I~l,I ~r ~4¢, /~* ~s Ph~cal and H~lth ~za~ C.A.S. N~er ~'~ Co~onent ~ I N~ & C.A.S. N~er (Check all t~t apply). 'h. Co~onent 9 2 N~ & C.A.S. N~  of Pressu~ H~lth H~lth Co~onent ~ 3 Na~ & C.A.S. N~er Ph~ical and H~lth ~zard C.A.S. N~er Co~onent ~ I N~ & C.A.S. N~er , (Check all t~t apply) Co~onent 9 2 N~ & C.A.S. N~er of Pressu~ H~lth H~lth Co. orient ~ 3 N~ & C.A.S. N~ ~ N~ T~tle . ~ 24' ~. Phone N~e .. ; Title 24 ~ Phone C~tif~cat~o. (~ ~ SIGN AFTSR CO~LETING ~L SECTIONS) . I c~tify ~der p~nlty of 1~ t~t I hayer ~rsonally ~in~ ~d ~ f~li~ with the ~nfo~at~on su~itted i~is ~d all attached d~ts ~d ~at ~sed on N~..~ ~FIC~ T~ OF ~OP~R OR ~~R~S A~l'uu~ ~w~u~'~I~ / ~SI~ DA~  ~MAIL TO: ~ PREMISES MUST CONFORM TO ZONING, APPLICANT SHOULD ALLOW TWO WEEKS P. O. BOX 2057 CALIFORNIA ~1 ~ ~o..~c~ss..~,.s.~c~o.s. BAKERSFIELD, CA 93303 LICENSE CHANGEOF ~ NEW ~ OWNERSHIP ,BUSINESS APPLICATION FOR BUSINESS LICENSE~AX CERTIFICATE CHANGE OF ~ PURSUANT TO ORDINANCES OF THE CITY OF BAKERSFIELD ADDRESS NAMEOFFIRM FIE~- P~zff T~~/~/~ DATE. ~ I~P~ LOCATION OF BUSINESS ~ ~/~'~( ~ ~U~ ~ TELEPHONE ¢J3 ~ (Separate ~icense Required For Each Location) KIND OF BUSINESS OR PROFESSION ~~ ~l~/O ~ ~/~/~ NAMES AND ADDRESSES OF ALL OWNERS (Or Principle Officers, If a Corporation) NAME HOME ADDRESS TELEPHONE ~ -- OFFICIAL USE ONLY -- B INSPECTION RECORD PLANNING DEPT. D FIRE DEPT. D BUILDING DEPT. REQUIREMENTS OR CONDITIONS: H.O.P. AUTHORIZATION DEPT. DATE ,CI APPLICATION CONTINUED' TYPE OF ORGANIZATION: PARTNERSHIP I~ CORPORATION I~i FEDERAL EMPLOYER IDENTIFICATION NUMBER DATE COMMENCED BUSINESS IN BAKERSFIELD ~- ~ -- ~ ~' CALIFORNIA STATE CONTRACTOR'S LICENSE NUMBER, IF ANY NATURE OF BUSINESS FORMERLY AT THIS LOCATION ~~/ ' ~o~Pr~~