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~~