HomeMy WebLinkAboutBUSINESS PLAN (2) Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This r)ermit is iss_-ed__ for the followirl~
[] Hazardous Materials Plan
[] Underground Storage of Hazardous Materials
El Risk Management Program·
~ Hazardous Waste On-Site Treatment
PERMIT ID # 015-021-002064
MARKS AUTOMO'
LOCATION 3'831 '
93308
Issued by: Bakersfield Fire Department ·: · '-,:.~/.-* .
.l~[ OFFICE OF ENlaIR ONMENTAL SER VICES"
1715 Chester Ave., 3rd Floor pprovedby:
Bakersfield, CA 93301
Voice (661) 326-3979 Omc¢ofEv' ' Issue Date
FAX (661) 326-0576Expiration Date:
ITE DIAGRAM FACILITYD~PIAGRAM
M~RKS AUTOMOTIVE SiteID": 015-021-002064
Manager : BusPhone: (661) 325-9029
Location: 3831 BUCK OWENS BL~ ~ Map : 102 CommHaz : Minimal
City : BAKERSFIELD ~-~-'~ Grid: 23B FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 01 SIC Code:
EPA Nu~: DunnBrad:
/
Emergency Contact / Title /--'Emergency Contact / Title
MARK WILSON / OWNER
Business Phone: (661) 325-9029x Business Phone: (661) 325-9029x
24-Hour Phone : (661) 333-7557x 24-Hour Phone : (661)-~-m~-7~x-*~
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire DelHlth
Contact : Phone: (661) 325-9029x
MailAddr: 3831 BUCK OWENS BLVD State: CA
City : BAKERSFIELD Zip : 93308
Owner MA/{K WILSON Phone: (661) 325-9029x
Address : 3831 BUCK OWENS BLVD State: CA
City : BAKERSFIELD Zip : 93308
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RCs: No
ParcelNo:
Emergency Directives: ~/ k~yC~ ~~/
mview a ach®d haza ous
-1- 09/09/2003
f MARKS AUTOMOTIVE SiteID: 015-021-002064
Fast Format
= Notif./Evacuation/Medical Overall Site
--Agency Notification 10/18/2000
NONE - WE ONLY KEEP 55 GAL OF USED MOTOR OIL IN A STEEL DRUM.
-- Employee Notif./Evacuation 10/18/2000
MARK WILSON (OWNER) IS NOTIFIED IN CASE OF EMERGENCY~4~-~9~4-HM AND
333-7557 CELL, 911 FOR EMERGENCY ~ ~ ..... ~
-- Public Notif./Evacuation 10/18/2000
WE KEEP NO ENVIRONMENTAL WASTE TO SPILL WITH, EXCEPT USED MOTOR OIL. MARK
WILSON (OWNER) C~iE ii'~F~(SERVICE WRITER) ........ (HEAD TECHNICIAN)
WOULD BE RESPONSIBLE FOR~fJ~NY CLEANUP OR NOTIFICATION.
Emergency Medical Plan 10/18/2000
ANY EMERGENCY WOULD BE HANDLED BY CALLING 911.
6 09/09/2003
F MARKS AUTOMOTIVE SiteID: 015-021-002064
Fast Format
= Training Overall Site
-- Employee Training 10/18/2000
WE HAVE.--3-EMPLOYEES AT THIS FACILITY.
WE DO HAVE MSDS SHEETS ON SHELF IN TECHS COMPUTER AREA.
BRIEF SUMMARY OF TRAINING PROGRAM: LOCATION OF FIRE EXTINGUISHERS, GAS,
POWER SHUTOFFS. WHO TO CALL IN CASE OF EMERGENCY. WEAR SAFETY GOGGLES,
LOCK HOISTS BEFORE GETTING UNDER, USE OF JACK STANDS, WIPING UP SPILLS FROM
FLOOR AND STORING OF WASTE OIL.
-- Page 2
--Held for Future Use
Held for Future Use
-9- 09/09/2003
Mark Wilson
4118 F~tet--er~e (661) 325-9029
Bakersfield, CA 93308 Fax (661) 325-2724
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (661) 326-3979
HAZARDOUS MATERIALS MANAGEMENT PLAN
1. To avoid further action, return this form within 30 days of receip~.V41q/?O~'
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be as brief and concise as possible.
5. You may also attach Business Owner / Operator Form arid Chemical Description Form(s)
to the front of this plan instead of completing SECTION I. below for initial submission.
SECTION I: BUSINESS IDENTIFICATION DATA
BUSINESS NAME: M~¥x.o"~ ~:2~Lk.AV(3~"xC~Ac'\Ve_
LOCATION: ...... ~9'2~ ~ ~~ 0W~ ~V~ :'
~L~~~ss'~ %~: .................
CITY:%~¢%~ ~el a STATE: ,~ ZIP:q~HONE: ~q
OWNER: ~2~.~-x_ ~o~l\e--~rN . PHONE:
MAILING ADDRESS: .5~3 ~ 6t.c,~ c~,.~e_~- ~vg' "'
EMERGENCY NOTIFICATION
CONTACT TITLE BUS. PHONE 24 HR. PHONE
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION II. 1' DISCOVERY AND NOTIFICATIONS
A. LEAK DETECTION AND MONITORING PROCEDURES:
"'B. EMPLOYEE AND AGENCY NOTIFICATION:
C. ENVIRONMENTAL RESPONSE MANAGEMENT:
D. E~RGENCY ~DIC~ PL~:
2
/ HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION II.2: RELEASE RESPONSE PLAN ..
A. HAZARD ASSESSMENT A/ND PREVENTION MEASURES:
C. CLE~-~ ~ ~CO~RY PROCED~S:
UTILI~ S~T-OFFS ~OCATION OF S~-OFFS AT YO~ FACILIT~
SPEC~:
LOCK BOX: ~~ IF ~S, LOCATION:
PRIVATE FIRE PROTECTION/WATER AVAILABILITY
A. PRIVATE F?~E PR?TECTION: ~ /A'~T]~-~ & ?v~ wC~: ~ ~'% O ~ ~
.
B. WATER AVAIL~ILITY (F~ ~~T): ~ a [ t ~
3
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION III: TRAINING
NUMBER OF EMPLOYEES: ~ -3
MATERIAL/SA~FETY DATA SHEETS ON FILE:
BRIEF SUMMARY OF TRAINING PROGRAM:
.....
CERTIFICATION
~s ^cc~,~r~. ~ ~-o~.s'r~o ~_,~ r.~s r~o~r~o~ w~ ~ ~sD
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 INACCURATE_INFORMATION CONSTITUTES PERJURY.
" . __ _ dh~^ ~/ ~ ~-
SIGNATURE - - - TITLE .......... DATE
4
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3r~ Floor, Bakersfield, CA 93301
FACILITY NAME /Mf'~~-- t5 ~v~ INSPECTION DATE 7/~
Section 4: Hazardous Waste Generator Program EPA ID #
[] Routine (]~ Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection
OPERATION C V ~~;t~-NTS~'-.,,.
Hazardous waste determination has been made
EPA ID Number (Phone: 916-324-1781 to obtain EPA ID #) /
Authorized for waste treatment and/or storage
Reported release, fire, or explosion within 15 days of occurrence
Established or maintains a contingency plan and training
Hazardous waste accumulation time frames
Containers in good condition and not leaking
Containers are compatible with the hazardous waste
Containers are kept closed when not in use
Weekly inspection of storage area
Ignitable/reactive waste located at least 50 feet from property line
Secondary containment provided
Conducts daily inspection of tanks
Used oil not contaminated with other hazardous waste
Proper management of lead acid batteries including labels
Proper management of used oil filters
Transports hazardous waste with completed manifest
Sends manifest copies to DTSC
Retains manifests for 3 years
Retains hazardous waste analysis for 3 years
Retains copies of used oil receipts for 3 years
Determines if waste is restricted from land disposal
C=Compliance V=Violation
Office of Environmental' Services (661) 326-3979 B~si~e~s
White - Env. Svcs. Pink - Business Copy
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME ~4/2~ff- ( '5 ~e'tO,~7'~ ~/~ INSPECTION DATE
Section 4: Hazardous W~ste Generator Program EPA ID #
[] Routine ri21( Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection
OPERATION C V ,/--~-~ ~ ~"~'E-NT S-"~'~
Hazardous waste determination has been made -
EPA ID Number (Phone: 916-324-1781 to obtain EPA ID #)
Authorized for waste treatment and/or storage '
Reported release, fire, or explosion within 15 days of occurrence
Established or maintains a contingency plan and training
Hazardous waste accumulation time frames e77d0~Off.- VeX)
Containers in good condition and not leaking
Containers are compatible with the hazardous waste
Containers are kept closed when not in use
Weekly inspection of storage area
Ignitable/reactive waste located at least 50 feet from property line : .. , .~.
Secondary containment provided
Conducts daily inspection of tanks
Used oil not contaminated with other hazardous waste
Proper management of lead acid batteries including 'labels
Proper management of used oil filters
Transports hazardous waste with completed manifest
Sends manifest copies to DTSC
Retains manifests for 3 years
Retains hazardous waste analysis for 3 years
Retains copies of used oil receipts for 3 years
Determines if waste is restricted from land disposal
C=Complianee
V=Violation
Inspector: {'~ r ~C'"-~
Office of Environmental Services (661) 326-3979 Business S~te Responsi~le4~arty
White - Env. Svcs. Pink - Business Copy
OFFICE OF ENVIRONMENTAL SERVICES
tr mntr r . t rr 1715 Chester Ave., CA 93301 (661) 326-3979
-.~-~, & ~~lm~..~ ~' H~RDOUS MATERIALS INVENTORY
Chemi~l Description Form
(one ~ per martial per buildi~ or ama)
~ ADD ~ DELETE ~ REVISE ~0 Page
~:~:~.-~, '~/..-,~:,-':~..~c?:~>?~:~ '.:~:.:r:~..~.. ~..~'~; ~?,~'~: ::%'~,/-:.~.~.~:~'.'-,~'~:~'~.':~:%:'::~-~:?:~,,~
~ ..::,'~ ,~..: ::~ ;:~: ': '~, ?~,: ~ '~;:::~?~:~:~::~ ~.' ¥.:~ :,:': ::,~ ;;:: ~;:, ~/~ ,'=:.'~:: :~:~ :~ .~ ~.~': F?:'~:~:~: '¥: ~-?~:~:~?: I? FACI El~: IN FORMATION. ?;~ ~ ~:~;,~ ~;;.:::~:;~,~?~;~::~::~t~:~?:~ ~:~::, ¥ :~:~:~'~*~;~ ~? ~.~;~'
BUSINESS ~ME (Same ~s FACILI~ NAME ~ D~ - ~ing Busin~ ~) 3
' ~1 CHEMICAL LOCATION ~ Y~ ~ No ~2
CHEMICAL LO~TION ~{ ~ ~ ~ ~ ~ ~ CONFIDENTIAL (EPC~)
FACILI~ ID ~I ~ [~ 1 ~P ~ (op~naO~ 203 GRID ~ (op~naO 2~
205 T~DE SECRET
CHEMICAL
~~ ~ ~ If Subj~ to EPC~, ~f. to iinstm~.s
207
COMMON ~ME EHS* ~ Y~ D No 208
CAS~ 209
FIRE CODE H~D C~SES (~mptete if r~u~t~ by {~1 fire
~PE ~ p PURE ~ m MI~URE ~ WASTE 211 r ~DIOACTIVE D Y~ ~ No 212 CURIES 213
PHYSICAL
STATE
215
FED
H~RD
~TE~RIES
~IRE ~ 2 R~CT~E ~ 3 PRESSURE REL~SE ~ 4 ACUTE H~LTH ~ 5 CHRONIC H~LTH 216
(Ch~ all that apply)
UNITS* ~a ~L ~ d CU ~ ~ lb LBS ~ tn TONS 221
DAYS
ON
StTE
*~ EHS, am~nt must be in lbs.
STOOGE CO~AINER ~ a ABOVEGROUND TANK ~ e P~STIC/NONM~ALLIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL CAR 223
(Check afl ~at apply)
D b UNDERGROUND TANK ~ f CAN D j BAG ~ n P~STIC BO~LE ~ r OTHER
~ c TANK INSIDE BUILDING ~ g CARBOY ~ k BOX ~ o TOTE BIN
STEEL ~ h SILO ~ I CYLINDER ~ TANK
DRUM
P
WAGON
STOOGE PRESSURE ~ AMBIE~ ~ aa ABOVE AMBIE~ ~ ba BELOWAMBIE~ ~4
STOOGE
TEMPE~TURE
~BIE~ D aa ABOVE AMBIE~ ~ ba BELOW AMBIE~ D c CRYOGENIC 225
226 227 [] Yes [] No 228 229
230 231 [] Yes [] No 232 233
234 235 [] Yes [] No 236 237
238 239 [] Yes [] No 240 241
242 243 [] Yes [] No 244 245
PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246
F~m 2731(3/99)
CITY OF BAKERSFIEi
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
~'~ ~-'~" HAZARDOUS MATERIALS INVENTORY
Chemical Description Form
(one form per matedal per building Drama)
ri ADD [] DELETE [] REVISE 200 Page __ of __
BUSINESS NAME (Same as FACILI~ ~ME ~ DBA - Doing Busin~ ~) 3
CHEMICAL LOCATION /.)~ / ~ ~ ~ ~ ~ 201rCONFIDENTIALCHEMICAL LO~TION(EPC~) mY. raND 202
FACL~ D~ ~]~ ~? 1 ~P ~ (op~na0 . 203 GR D ~ (op~naO 2~
205 T~DE ~ECRET ~ Y~ ~ No 2~
CHEMICAL NAME
~~ ~ ~ ~ If $ubj~ to EPC~, ref. to iinst~i~s
~7
~M~N ~E EH$* ~ Y~ ~ NO 208
FIRE CODE H~RD C~SSES (~plete if r~u~t~ by I~1 fire ~ie0
210
~PE ~URE D m MI~URE D w WASTE 211 ~IOACTIVE D Y~ D No 212 ~ CURIES 213
PHYSICAL STATE D S SOLID ~IQUID D g ~S 214 ~RGEST ~AINER //O 215
FED H~RD ~TE~RIES
(Ch~ all that apply) IRE ~ 2 R~CTIVE g 3 PRESSURE REL~SE ~ 4 ACUTE H~LTH ~ 5 CHRONIC H~LTH 216
AMou~ANNUAL WASTE 217JJ DAILy~IMUMA~u~ ~O 218 AVE~GEDAiLY AMOU~ 219 STATE WASTE CODE
UNITS' ~L ~ d GU ~ ~ lb LBS ~ ~ TONS 221
DAYS
ON
SITE
* If EHS, am~nt must be in lbs,
STOOGE ~AINER ~BOVEGROUND TANK ~ e P~STI~NONM~ALLIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE
(Check ag ~at apply) _
~ b UNDERGROUND TANK ~ f CAN ~ j BAG ~ n P~STIC ~LE ~ r OTHER
~ c TANK INSIDE BUILDING ~ g ~RBOY ~ k BOX ~ o TOTE BIN
D d STEEL DRUM D h SILO ~ I CYLINDER ~ p TANK WAGON
STOOGE
PRESSURE
~a AMBIE~ ~ aa A~VE ~BIE~ ~ ba BELOW AMBIE~ 224
STOOGE TEMPE~TURE ~BIE~ ~ aa ABOVE AMBIE~ ~ ba BELOW AMBIE~ ~ c CRYOGENIC 225
226 227 ~ Y~ ~ No 228
230 231 ~ Y~ ~ No 232 ~3
2~ 235 ~ Yes ~ No 236 237
238 239 D Y~ ~ No 240 241
242 243 ~ Y~ ~ No 2~ 245
PRI~ NAME & TITLE OF ~UTHORIZED COMPANY REPRESENTATIVE ~I~TURE DATE 246
Form 273 l(3/gg)
~~ CITY OF BAKERSFIELI~HAZARDOUS MATERIALS INVENTORY
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
Chemical Description Form
"' (one form per material per building or ama)
[] ADD [] DELETE [] REVISE 200 Page __ of __
BUSINESS NAMEable(Same as ~ACILI~ NAME ~ O~ - ~ng Busin~ ~) 3
~1 CHEMI~L LOCATION ~ Y~ ~ No ~2
CHEMI~L LOCATION ~ WS'O~ ~ ~~ ~ ~ CONFIDENTIAL (EPC~)
205 T~DE SECRET D Y~ ~ No ~
20~
COM~N ~ME EHS*
FIRE CODE H~D C~SSES (~plete if r~u~t~ by I~1 fire ~ieO
210
. PuRE ~ ~ ~URE ~STE 2. ~D,OAC~,~E DY~ DNo 2~2 J
~PE
CURIES
213
PHYSI~ STATE D s SOLID ~IQUID D g ~s 214 ~RGEST CONTAINER ~ 215
FED
~RD
CATE~RIES
1 FIRE ~ 2 R~CT~E D 3 PRESSURE REL~SE ~ACUTE H~LTH ~ 5 CHRONIC H~LTH 216
(Ch~ all that apply)
ANNUAL WASTE 217 I ~IMUM ~. 218 AVENGE 219 STATE WASTE ~DE
~OU~ I DAILY A~U~ ~ DAILY AMOUNT
UN.S* ~a ~L ~ d CU ~ ~ lb LBS ~ tn TONS 221 DAYS ON S~E
* ff EHS. am~nt must be in lbs.
STOOGE ~AINER ~ a ABOVEGROUND T~K ~ e P~STI~NONM~ALLIC DRUM ~ i FIBER DRUM ~ m G~SS ~LE ~ q ~IL
(Check afl ~at apply) -
~ b UNDERGROUND TANK ~ f C~ ~ j BAG ._~ n P~STIC BO~LE ~ r OTHER
~ c TANK INSIDE BUILDING ~ g ~RBOY ~ k BOX ~ o TOTE BIN
~STEEL DRUM D h SILO ~1 CYLINDER ~ p TANKWAGON
~a ~BIE~ ~ aa ABOVE AMBIE~ ~ ba BELOWAMBIE~ ~4
STOOGE
PRESSURE
STOOGE
TEMPE~TURE
~ ~BIE~ ~ ~ ABOVE AMBIE~ ~ ba BELOW AMBIE~ ~ c CRYOGENIC
226 227 [] Yes [] No 228 229
230 231 r"'l yes [] No 232 Z33
234 235 [] Yes [] No 236 237
238 239 [] Yes [] No 240 241
242 243 [] Yes [] No 244 245
PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246
Form2731(3/99)