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HomeMy WebLinkAboutBUSINESS PLAN '~Hazardous' Materials/Hazardous WaSte Unified permit C~)NDITIONS OF -PERMIT ON REVERSE SIDE. '": * -: .... i This ~emlit is issued for the followin~_: .. [] Hazardous Mateflals Plan : .. ' ' [] Underground'Storage of Hazardous Materials Permit ID #:: 015-000-000313 [] RiskManagement Program [3 Hazardous Waste On-$. ite TreaJment ': ... MICHAELS' PERFORMANCE LOCATION: 627 CALIFORNIA AVE IELD ' ~ '- ..:. ]ssu~ by: Bakersfield Fire Depa~ment · '~ .. - ' OFFICE OF EN~R ONMENTAL SER ~CES: ' ' ~ 171~ Chester Ave., ,rd Floor Approv~by: ~~~~~ Bakersfield, CA 93301 o~or~~s~i~ Voice {661) 326-3979 F~ (661) 326-0576 Exp~tion Date: '~~ ~O~ Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ......... ,,,,~?~,,~.~ ~.~,,,~ ........ This permit is issued for the following: ?~i?i:.,},,~i~:!!;:??~:i:.i i!iiL ,,ii!!!}[!i,~ iii~ii¢i??~iBi~i~e[ground Storage of Hazardous Materials LOCATION 627 CALIFORNIA,",,,'~?~:~:~_'~'~:~' BA~RSEIELD C '~;:~'~' ~'~-:~:::".~ ~----~ ~% - .. ~ - w ~.,~.~. ~=:~. ,., ..,:. ,... .~?- ,f ,.. '~r  B~e.field F~e D~mment Approv~ by: [ ~P~;~~ O~CE OF E~R O~AL S~ ~CES 1715 Cheaer Ave., 3rd Floor B~e~el& CA 93301 vo~¢. (s0~)3:~,, . D~t.: ~une 30~ 2000 F~ {805) ~0576 Expiration . PLAN ~, 'MAP SITE DIAGRAM' l~-'-] FACILITY BIAGRAM [--'"-q Business Name: ,2~') / ~/'-I' /~-~-~-.' <~ ?~ f~ F~,i~ Aq ~).,fLJ F"~'"' ~'tL~ ~-~.-,.. BusinessAadress: ~"O ~ ~,~ ~.~I..I[--U~-..tlJf'/.~- For Office Use Only First In Station: Area Map Ct ,of Inspection Station: NORTH . ~'~ MISCELLANEOUS RECEIVABLES ADJUSTMENT DATE , '~-i ~-O I NEWACCOUNT AOO.ESS CLOSE ACCT 'FINANCE CHARGE ~ OTHER ADJ MAILING ADDRESS P~CEL NUMBER (IF APPUC~ ADJUSTMENT CHG DATE CHARGE CODE I ADJUSTMENT AMOUNT APPRO~DBY FINANCE DEPARTMENT ~.o. ~ox ~o~ BAKERSFIELD, CALIFORNIA 93303 ' RETURN SERVICE REQUESTED,' oo ~t~ ~ ~ OFFICE OF ENVIRONMENTAL SERVICES ~ ~ .4~ UNIFIED PROGRAM INSPECTION CHECKLIST ~~~$;~ 1715 Chester Ave., 3~a Floor, Bakersfield, CA 93301 ~'['~5'?~, ADDRESS - , ~: ~ PHONE NO FACILITY CONTACT ~ BUSINESS ID NO. 15-210- INSPECTION TIME ~ NUMBER OF EMPLOYEES ~ - Sectio~ 1: Business Plan and I~e~tory PrograB ne ~ Combined ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection OPERATION C V COMMENTS A;x~priate permit °n hand ~d~--'~~ ' V~~ Busings plan contact inlbrmation accurate Visiblea~ss~ '~-'~[l~ltl~l~ ~1~ ~e ~ Verificationol~ntorymaterials ~~~ ~ ~~ . -- Verification of I.ocati~ Proper segregation of mat~al Ve cat o. ava,l: y V~n of Haz Mat traiMng~ Verification of abatement supplies ~procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: ~ Yes ~No Explain: Questions regarding this inspection? Please call us at (805) 326-3979 Business Site Responsible Pa~y White-[,,.. s,.~. Vd,ow- Smo,, Copy Pi.k- ~u~i,e~ Copy Inspector: ~~ O Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street- Bakersfield, CA. 93301 ~HAZARDOUS MATERIALS MANAGEMENT PLAN ~.struct~o.s: I O~ ~1 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible. SECTION 1' BUSINESS IDENTIFICATION DATA BUSINESS NAME: /)/? /CW,'~ ~. ~ /C~-~ ~-~),~/Z~/.//j~j LOCATION: ~-] //...~ ,~ ~ ~ C,//,Z//~/~/~A/i/~ MAILING ADDRESS: ~ ~'~ ~___-,,,~,Z/,,~-,,-;.~.,~,,~.///~ CITY: '~'~'-~:/~'-~<;/'/~-Z,~ STATE' ~//- ziP' ~.~-J/PHONE:/~'~ '-~'~ DUN 8( BRADSTREET NUMBER: SIC CODE' PRIMARY ACTIVITY: /z~/~'g2 ,;,~,~/:///'~ ~/u~© MAILING ADDRESS: ~ 9' ~,,.'z,-z~.~,,-- (,,,'.-)~, ~./~/~'~S-,g.¥,F/~.-.~,~ ~ ~'/- ~...~F~-2 sEcTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE / FD15~ :1 Bakersfield Fire Dept. , Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION ,.3: TRAINING: NUMBER OF EMPLOYEES: /~_2Z) ~ - /~//- /~',~ ~L~ MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: /'],/'g~ ,~- /~ y,~/~//,/~Z' ~-"- SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PER JUICY 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: NATION IS ACCURATE. I-UN[~ERSTAND THAT THIS INFORMATION WlLL 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 INACCURATE INFORMAII~N,,CONSTITUTES PERJURY. v"';S~G~'XTU~l~ "-- '~7~'''' '.~[~"-.''"_' . DATE 2. FD1590 Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: ~,~/-./- c~// B. EMPLOYEE NOTIFICATION AND EVACUATION: /,'~'//~ /./b/Je C. PUBLIC EVACUATION' D. EMERGENCY MEDICAL PLAN: ~--'~F'/~ /'"~ .: ?,_,h~ffZ~..,Z/.Z.~ '/_.~/~J :',~ I. ( Bakersfield e Dep 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: ~k~Jr¢o4k ~ z~ ~'~'~7 -~"~'//~ ~'~{z~ SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)' R,~,L GAS/PROPANE: ~,~U/Z~/C,,u ~/e / ELECTRICAL: <.'~,~_'/-'4 r~..~,,~ ,.~-~ ~'~--~/' WATER: ~c.,'~. e/v ~ ~ / SPECIAL: LOCK BOX: YE IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: B.' WATER AVAILABI.LITY (FIRE HYDRANT)' V-~- L"Z~/d~? ~ ~ .~:~/Z~ 4. ~J BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION 213o "G" STREET BAKERSFIELD, CA. 93301 (805) 326-3979 HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ ] SIC CODE DUN & BRADSTREET NUMBER MAILING ADDRESS -, EMERGENCY CONTACTS NAME '//~/C/'"//~/Z-/_ /')')~ ~'"~¢/-'-.//~/~-g--F'_~ TITLE ~/_..~ ,,L)b-'~ BUSINESS PHONE ~/~ / ? ~-// 24-HOUR PHONE NAME ./)¢. ,Z. ~¢/¢/¢ X.~ ~/:4 4 ~ TITLE ~)LL)/L/4¢~ ~ Se~emoer 30, 1~2 REGtONV LEFC STANDARD FORM BAKERSF LD CITY FIRE DEPAI'MENT HAZARDOUS MATERIALS INVENTORY Page_of_ CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New ~ Addition [ ] Revision [ ] Deletion [ ] ,/ Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ¥ 2) Common Name: ~/')~. t") .-~--t'~ ~r~_ ¢~.3"1 ( 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH ~,.~ PHYSICAL HEALTH. HAZARD CATEGORIES Fire ~ Reactive [ ] Sudden Release of Pressure [ ] immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid .~.~ Gas [ ] Pure ~Mixture [ ] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: ~r..~ lbs [ ] g~l I~ f~3 [ ] a) Container: O cunes L ] Average Daily Amount: ?~"~ b) Pressure: Annual Amount: ~_~~' · c) Temperature: Largest Size Container: ~ # Days On Site ,~_~_~ .... . .... Circle Which Months: Ye J, F', M, A, M, J, J, A, S, O, N, D ... 9) MIXTURE: List / COMPOt~NT CAS # % WT' AHM the three most hazardous 1 ) ,.~/~¢~ "~ ~ (::~,,~J [ ] chemical components or any AHM components 2) [ ] 3) [ ] CHEMICAL DESCRIPTION / 1) iNVENTORY. STATUS: New [~ Addition [ ] Revision [ ] Deletion [ ] / Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) Common Name: ~,~I..)Cf~/~.. ('~ /-- y ~' ;3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) PHYSICAL'& HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire Reactive [ ] Sudden Release of Pressure [ ] 'Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] 5)'WASTE CLASSIFICATION o~_~../ (3-digit code from DHS Form 8022) USE CODE .' Solid [ ] Liquid ~ Gas [ ] Pure [ ] Mixture [ ] Waste ~f~ Radioactive [ ] 6) PHYSICAL STATE 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: ~,~"'~-" lbs [ ] gal [fv~ ~3 [ ] a) Container: Average Daily Amount; :.~,~) cudes [ ] b) Pressure: Annual Amount: c) Temperature: Largest Size Container: # Days On Site ~.~/~..4-- C~rcle Wh,ch Months: (,All Yea~,,;)J, F, M, A, M, J, J, A, S, O, N, D the three most haz~'dous 1) (',,~4~'~' ~... {~/~. [ ] chemical compor~nts Or any AHM components 2). [ 3) 10) Location submitted information.is ~e, accurate, and complete. PRINT Name & Titl~'of Authorized Compan-y Represen~a'~'ve ' ~ gigl~atu~e- - - ~ . BAKERSF-- LD CITY FIRE DEPA rMENT HAZARDOUS MATERIALS INVENTORY Page_of_ Business Name Address CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Additional Revision [ ] Deletion [ ] J~;heck if chemical is a NON TRADE SECRET~:v~ TRADE SECRET [ ] Chemical Name: t AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire kl Reactive [{j~p' Sudden Release of Pressure [ .] Immediate Health (Acute) ~;~' Delayed Health (Chronic) [ s) WAS CLASS,F,CATION ¥ 3-diglt ooze from OHS Fo-. 8022 ,SE COOL 6) PHYSICAL STATE Solid [ ] Liquid ~ G~s [ ] Pure '~']~ Mixture [ ] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE COOLS Maximum O~ily Amgunt: /(~_.2(,,3¢~..~,/. lbs [1 gal ~ ~t3 [ ] a) Container: Average Daily Amount: /(.~ ~J~,;-'~/ curies [ ] b) Pressure: Annual Amount: ~-(', ''-) . c) Temperature: Largest Size Container: . . #.Days On Site , .~/_..~.-"" Circle Which Months: ~,AIIYe~,~,' F, M,, .A, M, J, J, A, S, O, N, D 9) MIXTURE: List ~ COMPONENT CAS # % WT AHM the three most h~zardous 1) .-'~'~/~ }"~/~:[ ~)~t J'~{' - [ ] chemical components or I any AHM components 2) [ ] 3) [ ] 1 o) Location CHEMICAL DES/.GRIPTION 1 ) INVENTORY STATUS; New ~ Addition [ ] Revision [ ] Deletion ( ] 'V/" Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) Common Name:fi · / I~J chemical Name: -~d[--I/l""-"~ AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure ~ Immediate Health (Acute) [ ] Delayed Health (Chronic) 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE q ~ 6) PHYSCALSTATE Solid [ ] Liquid [ ] Gas ~ Pure [ ] Mixtur~ J~ Waste [ ] Radioactive [ 7) AMOUNT AND TIME AT FACILiTY ~ UNITS OF MEASURE ../,~ 8) STORAGE CODES _ , Maximum Daily Amount: ~""~..~ lbs [ ] gaJ [ ] ft3. ~ a) Container: - Average Dally Amount: '.~) ~-/.~, cudes [ ] b) Pressure: Annual Amount: ~ c) Temperature:4 Largest Size Container: ~ ~--~- # Days On Site _ . Circle Which Months: , J, F, M, A, M, J, J, A, S, O, N, ° 9) MIXTURE: Ust COMPONENT CAS # % WT AHM the three most hazardous 1) ~ ~ ~-~ ~/~r/ /~ ~, t./ (.~ ,~t.~ [] chemical components or -- (' - ! any AHM components 2) '~ [ 3) [ ] I cerbfy under p~nal~/'of la~v, th~t'l have personall~ ~-xamined and am familiar with the infomatJon submitted on this and all attached documents. I believe submitted information is ~'ue, accurate, and complete. Pl~il~iT Name & Title of/Autho-rized Companyl~epresentat$'ve SignatUre Date BAKERSI LD CITY FIRE DEPAi TMENT HAZARDOUS MATERIALS INVENTORY Page of Business Name Address CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New j~.Addition [ ] Revision [ ] Detetioy'] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ 2) Common Name: ~ (g/ ~:[./~-/O V/ 3) DOT # (optional) 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure ~ Immediate Health (Acute) [ ] Oetayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3-digit cod~ from DHS Form 8022) USE CODE 6) PHYSICAL STATE . Solid [] Liquid [] Gas ~z~ Pure~,, Mixture [] Waste [] Radioactive [] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE_ / 8) STORAGE CODES Maximum Daily Amount: i*~, ("/ tbs [ ] gal [ ] ~3 t[~ a) Container; Average Daily Amount: /_.~/.j/ curies [ ] b) Pressure: · Annual Amount: ~( ~/'"~'~ c) Temperature; Largest Size Container: , ~)'¢'- # Days On Site .'~'"-"' ,Circ!e Which. Months , F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: Lis{ COMPONENT CAS # % WT AHM the three most hazardous 1 ) [ chemical components or any AHM components 2). [ ] 3) [ ] CHEMICAL DESCRIPTION 1) INVENTORY STATUS: NewiSh. Addition [ ] Revision[ ] {etlon[ ] Check if c'hemicaJ is a NON TRADE SECRET [ ] TRADE SECRET [ 2) Common Name: ri). ~___~'~. ~/t.~'~ 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire ~ Reactive [ ] Sudden Release of Pressur~ Immediate Health (Acute) [ ] Oelayed Health (Chronic] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas ~ Pure~..~ Mixture [ ] waste [ ] Radioactive [ 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE ~' 8) STORAGE CODES Maximum Daily Amount: ,]'.72..-'~ lbs [] gal [] ft3 ~ a) Container: Average Daily Amount: '/,¢'~"""] /' cudes [ ] b) Pressure: Annual Amount: ~r7 ~'~' c) Temperature: Largest Size Container: ~.,~ ~f;"-' FA~ # Days On Site _ Circle Which Months: F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazardous 1) [ ] chemical components or a~y AHM components 2) [ 3) [ ] ents. PRINT Narn~g, Title of ~uthodzed Company Repr~fs~entatJve ' Sign~r~ /~ ' ~ - Date "WE CARE" S. D. JOHNSON BAKERSFIELD, 93301 FIRE CHIEF 326-3911 April 6, ].993 Mr. Michael Colangelo Michael's Performance Automotive 627 California Ave. Bakersfield, Ca. 93301 Dear Mr. Colangelo; NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE In the inspection of your business Michael's Performance Automotive located at 627 California, Bakersfield, Ca. on 3-29-93 the following Hazardous Materials regulation violations were identified: 1) Hazardous materials were present in reportable quantities however no hazardous materials business plan on file. VIOLATION OF CH. 6.95 CALIFORNIA HEALTH AND SAFETY CODE SEC.25503.5 (a) Any business, except as provided in subdiviS~ion (b), which handles a hazardous~material or mixture containing a hazardous material which has a quantity at any one time during the reporting year equal to, or greater than, a total weight of 500 pounds, or a total volume of 55 gallons, or 200 cubic feet at standard temperature and pressure for a compressed gas, shall establish and implement a business plan for emergency response to a release or threatened release of a hazardous material in accordance With the standards in the regulations adopted pursuant to Section 25503. VIOLATION OF CH. 6.96 CALIFORNIA HEALTH & SAFETY CODE 25509(a)(1-4) (a)The annual inven%ory form shall include, but shall not be limited to, information on all of the following which are handled in quantities equal to or greater than the quantities specified in subdivision (a) of Section 25503.5: (1) A listing of the chemical name and common names of every hazardous substance or chemical product handled by the business. (2) The category of waste, including the general chemical and mineral composition of the waste listed by probable maximum and minimum concentrations, of every hazardous waste handled by the~business. (3) A listing of the chemical name and common names of every other hazardous material or mixture containing a hazardous material handled by the business which is not otherwise listed pursuant to paragraph (1) or (2). (4) The maximum amount of each hazardous material or mixture containing a hazardous material disclosed in paragraphs ~(1), (2), and (3) which is handled at any one time by the business over the course of the year. 2) Several containers not properly labeled. VIOLATION OF OSHA 1910.1200 (1) The chemical manufacturer, importer, or distributor shall ensure that each container of hazardous chemicals leaving the workplace is labeled, tagged or marked with the following information: (i)Identity of the hazardous chemical(s). (ii)Appropriate hazard warnings; and (iii)Name and address of the chemical manufacturer, importer, or other responsible party. (4) Except as~provided in paragraphs (3) and (4) the employer shall ensure that each container of hazardous chemicals in the workplace is labeled, tagged, or marked with the following information: (i)I~entity of the hazardous chemical(s) contained therein; and (ii)Appropriate hazard Warnings. (5) The employer may use signs, placards, process sheets, batch tickets, operating procedures, or other such written materials in lieu of affixing labels to individual stationary process containers, as long as the alternative method identifies the containers to which it is applicable and conveys the information required by paragraph (2) of this section to be on label. The written materials shall be readily accessible to the employees in their work area throughout each work shift. (7) The employer shall not remove of deface existing labels on incoming containers of hazardous chemicals, unless the container is immediately marked with the required information. (8) The employer shall ensure that labels or other forms of warnings are legible, in English, and prominently displayed on the container, or readily available in the work area throughout each work shift. Employers having employees who speak other languages may add the information in their language to the material presented, as long as the information is presented in · English as Well. The above violations must be corrected by April 27th 1993 The department will schedule a re-inspection of Your facility to verify compliance. If you have any questions regarding this notice, please contact Ralph Huey at 326-3979. Sincerely, Hazardous Materials Coordinator