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HomeMy WebLinkAboutBUSINESS PLAN (2) Hazardous Materials/Hazardous Waste unified Permit . CONDITIONS OF PERMIT ON REVERSE SIDE This _hermit is is$~l for the followin_a: [] Hazardous Materials Plan [] Underground Storage of Hazardous Materials [] Risk Management Program Permit ID #:: 015-000-001275 [] Hazardous Waste On-Site Treatment LOCATION: 1100 E TRUXTUN AVE "IELD OFFICE OF ENWR ONMENTAL SER WCES.  1715 Chester Ave., 3rd Floor Approved by: Bakersfield, CA 93301 omccor~v~~ic~ Voice (661) 326-3979 F~ (661) 326-0576 Exp~tionDate: Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ................. ~,=,~,~;~,,, .................. This permit is issued for the following: ~,~?,? ~., ~' ~, ?x~,,x ,~=,~,~:~,,~,~:. ~,.:,-..,~. -~::~.~.--.--.-o Matenals Plan i~,>..:'-~ ~4~. ~ q .-~;;T'"-:~,~ :~&~ ~ r':~,~,.,. ~:~ ~,,,..~ "~.'."...:~i ..... ~ '..., __ ~ ~ ': ~ ~ =~ ~ :~i..d ~ ~ ~ ~ ~ ..~ ~' ,' ~' :~ i' ~ ~-. '-s ~ ' B- -"~. ".% -"= '~ .'-=~'~C~ A~:: ,~ '... ~:~' =%~ 'L...' '.? ....'"..'""?~=~.:": ;' =' ~ ' ? A.~ B~ersfield Fke Dep~ment Approv~ by: O~CEOFE~RO~ALS~'CES 1715 CheAer Ave., 3rd Floor ce of~~ B~emfiel~ CA 93301 vo~ (~o,),~,,,, June 30, 2000 ~ (805) 32~576 Exp~tion Date: CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r" Floor, Bakersfield, CA 93301 ADDRESS I/O0 ~ '7~X~.~,... ~e.. PHONENO. 32~- 0'7qa. FACILITY CONTACT ~ect~r. ~a,,, ~ e/a;. BUSINESS ID NO. 15-210- 17. ?f' INSPECTIO~ TIME /"/(~'0 NUMBER OF EMPLOYEES ~. Section 1: Business Plan ,,nd Inventory gram ~ Routine [~ Combined I~ Joint Agency I~ Mu!ti-Agency {.~ Complaint [~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities .' Verification of location Proper segregation of material Verification of MSDS availability if Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: ~Yes [~]No Explain: ~'a/~'~ a,,'/ ~. /~/L~fr.. _ Questions regarding this inspection? Please call us at (661) 326-39'/9 l-fiusi~ess §ite'Resl~s~l~ P~rty j White- Env. Svc$. Yellow- St&Cio, Copy Pi.k- Btl,i.css Copy CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r'~ Floor, Bakersfield, CA 93301 FACILITY NAME 1, ,...,,,,ri ir' INSPECTION DATE ADDRESS //00 E "~,,'.~-/';s,,., /{ ce., PHONE NO. ~2~'- O'~q 2. FACILITY CONTACT_ /t/ed"rot ~a~.~e/p£ , BUSINESS ID NO. 15-210- INSPECTION TIME /¥0'0 NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program ~ Routine 1~ Combined I~ Joint Agency [~] Multi-Agency ~ Complaint ~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: ~][ Yes ~]No /~~ ~"-~~0-~ Explain: /,,u,"a/~'~. v,'l * ~/T/t~ Questions regarding this inspection? Please call us at (661) 326-3979 b-i~usi~ess ~ite'Res~s~l~ White - Env. Svcs. Yellow-Station Copy Pink- Business Copy I nspector.'_~'~~ I) IMPORTANT DO NOT DISCARD January 18, 2002 HEb"TOR'S AUTO REPAIR 1100 E TRUXTUN AVENUE mE CHIE~ BAKERSFIELD CA 93305 RON FRAZE ADMINISTRATIVE SERVICES Dear Business Owner: 2101 'H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 California Law requires that all Businesses, which at any time during F~X (661) 396-1348 the year handle reportable quantities of hazardous materials, file a Hazardous SUPPRESSION SERVICES Materials Business plan, including inventory of hazardous materials, With the 21 ol 'H' Street Bakersfiold, CA 93301 local administering agency. Your business has filed such a plan. VOICE (661) 326-3941 FAX (661) 395-1349 This same regulation requires that these businesses review the PREVENTION SERVICES business plan submitted to determine if revisions are needed, and to certify to 1715 Chester Ave. Bakersfield, CA 93301 the administering agencies that the review was made and that any necessary VOICE (661) 326-3951 changes were made to the plan. To facilitate this review we have enclosed a FAX (661)326-0676 computer print-out of the plan you have submitted. Please review this plan in ENVIRONMENTAL SERVICES its entirety and make any necessary revisions on the print-out 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661)326-3979 When the review and revisions are completed sign the first page of the FAX (661) 326-0576 plan in the appropriate space certifying that the plan is complete and correct. TRAINING DIVISION Return the business plan along with any revisions to this office within 30days 5642 V~ctor Ave. Bakersfield, CA 93308 of receiving these forms. If you have any questions or if we can be of any VOICE (661) 3994697 assistance please do not hesitate to call 326-3979. FAX (661) 390-5763 Sincerely yours, Ralph E. Huey Director of Environmental Services CITY OF BAKERSFIELD FIRE DEPARTMENT f/ OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 ADDRESS //aa C. ~'~/co,~ .~¢~' PHONENO. b2_'D FACILITY CONTACT BUSINESS ID NO. 15-210- OO [ Z'7 ~'~ INSPECTION TIME lt.!l? NUMBEROF EMPLOYEES Section 1: Business Plan and Inventory Program I~' Routine [~1 Combined ~ Joint Agency [~l Multi-Agency [~1 Complaint [~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities c~ Verification of location ~,,.' Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate ~,' Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous,waste~on site?: _ [~es [~ No Questions regarding this inspection? Please call us at (661) 326-3979 ~3usmess spons~ble Party White- Env. S v cs. Yellow - Station Copy Pink - Business Copy Inspector: HECTORS ~UTO REPAIR SiteID: 015-021-001275 Manager : BusPhone: (661) 328-0742 Location: 11OO E TRUXTUN AVE Map : 103 CommHaz : Moderate City : BAKERSFIELD Grid: 29D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 02 SIC Code:7538 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title HECTOR BANUELOS / OWNER ~CES ~AiVJELOS / CO OWNER Business Phone: (661) 328-0742x Business Phone: ( - x 24-Hour Phone : (661) ~ 24-Hour Phone : (~61___]) B41-!87Ox ~_~f Pager Phone : ( )~-~3~x Pager Phone : ( ) - x Hazmat Hazards: ~¢~) 65 7~ /~ f Fire Press ImmHlth DelHlth Contact : Phone: (661) 328-0742x MailAddr: 1100 E TRUXTUN AVE State: CA City : BAKERSFIELD _~ Zip : 93305 Owner HECTOR BANUELOS Phone: (661) 328-0742x Address : 715 GAGE State: CA City : BAKERSFIELD Zip : 93305 Period : to TotalASTs: = Gal Preparer: TotalUSTs: =~ Gal Certif'd: RSs: No Emergency Directives: ---- Hazmat Inventory One Unified List -- Alphabetical Order Ail Materials at Site Hazmat Common Name... ISpeoHazlEPA HazardsI Frm I DailyMax Unit MCP ACETYLENE E F P IH G 200.00 FT3 Hi OXYGEN F P IH G 275.00 FT3 Low WASTE' OIL F DH L 110.00 GAL Low 1 06/18/2001 HECTORS AUTO REPAIR SiteID: 015-021-001275 Manager : BusPhone: (661) 328-0742 Location: 1100 E TRUXTUN AVE Map : 103 CommHaz : Moderate City : BAKERSFIELD Grid: 29D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 02 SIC Code:7538 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title HECTOR BANUELOS / OWNER FRANCES BANUELOS / CO OWNER Business Phone: (661) 328-0742x Business Phone: (661) 631-1549x 24-Hour Phone : (661) 322-1338x 24-Hour Phone : (661) 841-1870xCELL Pager Phone : (661) 631-1549x Pager Phone : ( ) - x ............................................................................... Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: (661) 328-0742x MailAddr: 1100 E TRUXTUN AVE State: CA City : BAKERSFIELD Zip : 93305 Owner HECTOR BANUELOS Phone: (661) 328-0742x Address : 715 GAGE State: CA City : BAKERSFIELD Zip : 93305 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: += Hazmat Inventory = One Unified List + +== Alphabetical Order Ail Materials at Site + ................................ + ..... 2-+ ........... + ..... + .......... + .... +___+ Hazmat common Name... ISpeoHazlEPA HazardsI Frm I DailyMax IUnitlMCPl ................................ + ....... + ........... + ..... + .......... + .... +- - -+ ACETYLENE E F P IH G 200.00 FT3 Hi OXYGEN F P IH G 275.00 FT3 Low WASTE OIL F DH L 110.00 GAL Low ~ + -1- 01/15/2002 HECTORS AUTO REPAIR ~ ~i~ SiteID: 015-021-001275 ~t $~P~ 6~.~D~usPhone: (805) 328-0742 Manager : Location: 1100 E TRUXTUN AVE 'V"~ap : 103 CommHaz : Moderate City : BAKERSFIELD ~/~0~ ~. Grid: 29D FacUnits: 1 AOV: ' ~VlCE$ CommCode: BAKERSFIELD STATION 02 SIC Code:7538 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contac~ / Title HECTOR BANUELOS / OWNER ~~ ~U~O~ / ~O-OUD ~ ~ Business Phone: (805) 328-0742x Business Phone: ( ) x 24-Hour Phone : (805) ~ 24-Hour Phone : ~/ )~D/ ~5~ x Pager Phone : (~f)~l-~?x Pager Phone : (~)~J -/87~x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: ( ) - x MailAddr: 1100 E TRUXTUN AVE State: CA City : BAKERSFIELD Zip : 93305 Owner HECTOR BANUELOS Phone: (805) 328-0742x Address : 715 GAGE State: CA City : BAKERSFIELD Zip : 93305 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... SpooHazlEPA HazardsI Frm I DailyMax Unit MCP WASTE OIL F DH L 110.00 GAL Low ACETYLENE F P IH G 200.00 FT3 Hi OXYGEN F P IH G 275.00 FT3 Low % ~P~-T~---~~' gb~ ~¥e% F P IH G 344.00 FT3 Min · {type or pdnt reviewed the attached hazardous ma~ria~s ma~,acj~- ment plan for~-~C.~<~'5 J~LAo%hr~and thru i~ along with (Name of Business) any corrections constitute a complete and correct man- agement plan for my faCiJit7. HECTORS AUTO REPAIR SiteID: 015-021-001275 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: IN FRONT OF GARAGE CAS# ~-' 221 rSTATE -- TYPE PRESSURE i TEMPERATURE i CONTAINER TYPE Liquid Waste Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average ,'7L-3i~ GAL 110.00 GAL 27.00 GAL HAZARDOUS COMPONENTS 100.00 Waste Oil, Petroleum Based N HAZARD ASSESSMENTS ITSecretl RS[BioHaz Radioactive/Amount I EPA Hazards I NFPA USDOT# MCP No No No No/ Curies F DH / / / 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: INSIDE OF GARAGE CAS# 74-86-2 Gas Pure Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average FT3 I 200.00 FT3 100.00 FT3 100.00 Acetylene 74862 HAZARD ASSESSMENTS TSecret NoRS I Bi°HaZNo No Radioactive/AmountNo/ Curies EPA HazardsF P IH NFPA/// I USDOT# MCPHi 2 08/29/2000 HECTORS AUTO REPAIR SiteID: 015-021-001275 ~ = Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ -- COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 364 Location within this Facility Unit Map: Grid: INSIDE OF GARAGE CAS# 7782-44-7 ~ STATE TYPE PRESSURE --T TEMPERATURE CONTAINER TYPE I Ambient Pure / ' ' Gas Ambient PORT PRESS CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average FT3I 275.00 FT3 160.00 FT3 HAZARDOUS COMPONENTS 100.~0 Oxygen, Compressed N 7782447 HAZARD ASSESSMENTS ITsecretl RS BioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# I MCP No No No No/ Curies F P IH / / / Low = Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ --~ COMMON NAME / CHEMICAL NAME Location within this Facility Unit Map: Grid: INSIDE OF GARAGE CAS# 7440-59-7 STATE TYPE PRESSURE i TEMPERATURE CONTAINER TYPE GasT ~ Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average FT3I 344.00 FT3 200.00 FT3 HAZARDOUS COMPONENTS 100.00 Helium N 7440597 HAZARD ASSESSMENTS ITsecretl RS'BioHazll Radioactive/Amount EPA Hazards NFPA I USDOT# I MCP No No ~ No No/ Curies F P IH / / / Min -3- 08/29/2000 F HECTORS AUTO REPAIR SiteID: 015-021-001275 Fast Format ~ Notif./Evacuation/Medical Overall Site .----Agency Notification 01/02/1991 CALL 911 01/02/1991  -~Employee Notif./Evacuation EMPLOYEES, WOULD CALL 911. Public Notif./Evacuation Emergency Medical Plan 01/02/1991 KERN MEDICAL CENTER - 1830 FLOWER ST - 326-2000. -4- 08/29/2000 F HECTORS AUTO REPAIR SiteID: 015-021-001275 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site --Release Prevention 02/12/1993 WASTE OIL IS STORED IN BARRELLS IN FRONT OF GARAGE, OUTSIDE. -- Release Containment 02/12/1993 USES A FUNNEL TO POUR WASTE OIL INTO BARRELL -- Clean Up 02/12/1993 IF SPILLED USES WOOD SHAVINGS TO PICK UP Other Resource Activation -5- 08/29/2000 HECTORS AUTO REPAIR SiteID: 015-021-001275 Fast Forma~ ~ Site Emergency Factors Overall Site Special Hazards ~ Utility Shut-Offs 01/02/1991 A) GAS - NONE B) ELECTRICAL - LEFT WALL C) WATER - IN BACK OF HOUSE D) SPECIAL - NONE E) LOCK BOX - NO -- Fire Protec./Avail. Water 01/02/1991 PRIVATE FIRE PROTECTION - 2 FIRE EXTINGUISHERS FIRE HYDRANT - IN FRONT OF HOUSE 6 08/29/2000 HECTORS AUTO REPAIR SiteID: 015-021-001275 Fast Format = Training Overall Site -- Employee Training 09/18/1990 WE HAVE 2 EMPLOYEES AT THIS FACILITY WE HAVE REQUESTED MATERIAL SAFETY DATA SHEETS NO TRAINING PROGRAM -- Page 2 Held for Future Use Held for Future Use 7 08/29/2000 ~ : 0000 94/21/92 HECTORS AUTO REPAIR 2 - - ' Page ·, MAY 27 1992 Overall Site with 1 Fac. Unit~i General Information Location: 1100 E TRUXTUN Av Map: 103 Hazard: Moderate Community: BAKERSFIELD STATION 02 Grid: 29D F/U: 1 AOV: 0.0 Contact Name Title Business Phone 24-Hour Phone- HECTOR BANUELOS OWNER (805) 328-0742 x (805) 322~1338 ( ) - x ( ) - Administrative Data Mail Addrs: 1100 E TRUXTUN AV D&B Number: City: BAKERSFIELD State: CA Zip: 93305- Comm Code: 215-002 BAKERSFIELD STATION 02 SIC Code: 7538 ~ Owner: HECTOR BANUELOS Phone: (805) 328-0742 I Address: 715 GAGE State: CA City: BAKERSFIELD Zip: 93305- Summary reviewed the attached hazardous, materials manage- merit plan a~y ~rr~ions ~ns~tu~e a~mplete and correc~ man- ~eme~ plan for my 04/21/92 HECTORS AUTO REPAIR 215-000-001275 Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 WASTE OIL " Liquid 110 Low · Fire, Delay Hlth GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GALI Daily Average GAL I Annual Amount GAL 110 ~ 27.00 650.00 Storage~~Press T Temp Location DRUM/BARREL-METALLIC IAmbientlAmbientlIN FRONT OF GARAGE -- Conc . Components MCP ~List 100.0% Iwaste Oil, PetrOleum Based ILow 02-002 ACETYLENE Gas 200 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 200 I 100.00 600.00 ' StorageIIPress T Temp Location PORT. PRESS. CYLINDER I.AmbientlAmbientlINSIDE OF GARAGE -- Conc Components I MCP List 100.0% IAcetylene IHigh I 02-003 OXYGEN Gas 275 Low · Fire, Pressure, Immed Hlth FT3 CAS.#: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 364 Use: WELDING SOLDERING Daily Max FT3I Daily Average FT3 I Annual Amount FT3 -- 275 I 160.00. 800.00 Storage press I TempI Location PORT. PRESS. CYLINDER AmbientlAmbientlINSIDE OF GARAGE -- Conc Components MCP List -100.0% IOxygen, Compressed ILow --~ D4/21/92 HECTORS AUTO REPAIR 215-000-001275 Page 3 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation NO EMPLOYEES, WOULD CALL 911. <3> Public N\f./o~' cuation / <4> Emergency Medical Plan KERN MEDICAL CENTER - 1830 FLOWER ST -. 326-2000. 04/21/92 HECTORS AUTO REPAIR 215-000-001275 Page 4 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention WASTE OIL IS STORED IN BARRELLS IN FRONT OF GARAGE, OUTSIDE. <2> Release Containment USES A FUNNELL TO POUR WASTE OIL INTO BARRELL <3> Clean Up IF SPILLED USES WOOD SHAVINGS TO PICK UP <4> Other Resource Activation 04/21/92 HECTORS AUTO REPAIR 215-000-001275 Page 5 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - LEFT WALL ' C) WATER - IN BACK OF HOUSE D) SPECIAL - NONE E) LOCK BOX -~ NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 2 FIRE EXTINGUISHERS FIRE HYDRANT - IN FRONT OF HOUSE <4> Building Occupancy Level 04/21/92 HECTORS AUTO REPAIR 215-000-001275 Page 6 00 - Overall Site <G> Training <1> Page 1 WE HAVE 2 EMPLOYEES AT THIS FACILITY WE HAVE REQUESTED MATERIAL SAFETY DATA SHEETS NO TRAINING PROGRAM <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use CITY OF BAKERSFIELD ~;~--~ · ~ HAZARDOUS MATERIALS INVENTORY :i:~_~ Farm and Agriculturel/~I Standard Business '.~ Page of NON - TRADE SECRET ~ ~ INS~U~IONS ~R PROP~ ~DES' I 2 ~ 4 5 6 ~ 8 9 10 11 12 13 14 Tr~s ~e ~ Average ~nual ~asure ~ Days Cont Cont Cont Use ~cation ~ere % by N~s of ~ure/C~nents Cqd. ~-~~~ ~ ~t Units on S~te ~ Press--~ Code S~red all that apply) Co.orient ~ 2 N~ & C.A.S. N~er I~ F~re Hazed ~ Sudden ~lease ~ R.ct~v~y ~ I~ate ~elay~ __~ of Pressure /~) H~lth H~lth / Co,orient ~ 3 N~ & C.A.S. N~ /~  all t~t apply) Co~onent 9 2 N~ & C.A.S. N~er ~ of Pressu~ H~lth H~lth Co. orient ~ ] N~ & C;A.8. Nu~ - Co.orient ~ 2 ~ & C.A'.S. N~er ~re Hazed Sudden ~lease Rmctiv~ty Z~ate (~ of Pressure H.lth H.lth Co, onent , 3 N~ , C.A.S. N~ Ph~cal and H~l~h ~za~ C.A.S. N~er Comgonent ~ I N~ & C.A.S. N~ (Check all t~ apply) . Co~onen= 9 2 ~ & C.A.S. N~er ~ F~ Hazed ~ Sudden Release ~ R,ct~vi~y ~ I~ate ~ Dela~ of Pressure H~lth H~lth Co~onent 9 3 N~ & C.A.S. N~er c~t~f~cat~on (~ ~D SIGN A~'TER CO~LETING ~L SECTIONS) I certify ~der p~nlty of law t~t I ~ver ~rsonally ~in~ ~d ~ f~li~ with the infection su~tted in ~is ~d all attached d~ts ~d ~at ~sed on ~ in~i~ of those ~vid~ls res~ble for ob~n~ng the infection. I believe that ~e su~it~d info~ation ~s t~e, acc~ate, and c~plete. Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: r~ceipt. ~'=~~__ 1. To avoid further action, return this form within 30 clays of .v,~-~ 2. TYPE/PRINT ANSWERS IN ENGLISH. 4. Be brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA . ~GI':Y::::'~~~ ~,e ~ ~ STATE:~ ZIP' ~ PHON~Sa~~ DUN & B~ADST~EET NUMBE~: SIC CODE: ~3~ PRIMARY ACTIVITY: ~&~ X t MAILING ADDRESS: SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE 2, [Tle$sqoe% , Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN ~SECTI ON 3~-_TRAIN I NGL_ NUMBER OF EMPLOYESS: MATERIAL SAFETY DATA SHEETS ON FILE: ~c~_ cecloe%~e--c! ~. 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 CHA'PTER 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: I, CERTIFY THAT THE ABOVE INFOR- 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 INACCURATE INFORMATION CONSTITUTES PERJURY. SIGNATURE TITLE DATE FDIS¢, ~. · Bakersfield Fire Dept. f',~_ Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: R-ELTE~S-ET BR_E~V'E_N_T !'QN- ST E P S: AND/OR MINIMIZATION: ~f-Z_-7~.C-E-E'~TN%;U P_-:P_R-O'C EDU R E S: ~c'r,o, ~.- ,mu'r,' s,,'r-,:,:~s ¢.oc^'r.o~ NATURAL GAS/PROPANE: ELECTRICAL: ! g'~-'~- %",0\\ ''WATER' '"'~-~ ~::~* c~ sPECIAL: rhbo ~' LOCK BOX: Y~-ES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: B, WATER AVAILABILITY (FIRE HYDRANT)' 4, FDi 5c'0 Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: ~A~--:~A-GEN.C¥~N©TIFIGATI~NPRO-C:E:DURES:: ~: ?, ~-I~-E--~'I~Y:EE-N 0TIFiGAT-I©N AND EVA ~UATiO'N: C, PUBLIC EVACUATION' D. EMERGENCY MEDICAL PLAN: CITY of BAKERSFIELD HAZARDOUS HATERIALS INVENTORY ~arm andAg~iculturo [:] Standard Business 0 NON--TRADE SECRETS PaDe of__ PIIOUE ~[:~ ~ '~&~;Z~ .... ~ PHONE ~: ~D_~ ~-~_~-~ ' ~__~ ........ - - , I i // ~ ~,~ Names of ,ixture/Co,eonents , 2 ] 4 , , 8 lO Il 1' ,/~y 'IrOns [y~e ~ax Average Annual Reasure I s ~ont ~ont Us [oc~tion.~hece. Code ~ooe II~ Act Est Un,ts on ~te/ype ~s /emp. Co~eStereo ,n ~ac,,,ty . See Instructions ~Hvsical and ~ellth ~aiard C.A.S. Number Component II Name I C.A.a. Humber (Check all that 8pply) (~'~) ~ Component 13 NamelC.A.S. Number _~ I ¢ '1~ I ~ ~ ItT: I :~ I oft I i I Y' I~sl 7,~:I~ ~:*~¢ ~: &:,lyre / PhySical Iod Pealth UHard C.i:S. Number Component Ii Name I C,A.S. Number ICheck 41/ that app/yl Coepoflen[ Hame I C.A.a. Number ~',,.,,a u ,,,c,~,~,--e.~'~rt~ u ,u~e,,,~.. ~ of Pressure Health ," ~~ /~ ~ Component 13 Name I C,A.S, Humber ~e ,,,,rd U Reactivity ~'¢t~ U Suddeno, PressureRelease U 1,~?~ Component 1~ Name, C.A.S. Number Co~ponent U Hams I C.R.~. Humber [~hYsical lnd ~ealth ~mrd C.A.a. Number ComnenC II Na~m I C.A,a. Number  (Check 811 that app/Yl ..  U Fire Hazard ~ Reactivity ~ O~laye.d ~ Sudden ~elease ~ Im~ffC°mp°nent Ii Hama I C.A.a. Number Health of Pressure Component U Name I C.A,S. Number EHERGENCY CONTACTS ff 1 ~~ ~~ Ti~C ~ 3~~ ~ fl2 :ertifj;atioq .(Repd ~.n~.~fgn afCpr cpmpl~tfpg.a11. certify under oena~t~ ol]a~ tn~t ~navepersona/~Lexaeln~tqo~e ~aai~a[.~i[~[he]nlomt]pn ~u~eitt~ tn this.lad all ]~[ached.dgcveen[~, an{ t~at oaseo on.my Inquiry gt. tnose ~mweua~s respons~o~e ~or obtaining the ln~oreatm. ! believe [hat. the ~ubm,tted ,n,o,.,~~. r, a tlonlstru,.,~, ~u~ccurate'afloc°~ ~'pIece' _ . . - ~ tf~- Bakersfield F~re Dept. ~L~'~-~ Hazardous Materials Inspection '~' Date Completed Bus~e~N~e: ~q~ ~ ~i C ~cafion: ~0 ~ ~Ca~ ~.-" ~ plan ID ~ 2is-000-00~z75 (Top right comer Business Plan) Station No. ¢' SM~ ~ Impector /, ' . ' ~. Adequate Inadequate Verification of Quantities (~~4~) Vefificafiop. of Location ~oper Se~egafion of matefi~  [ co~: ': Verification ofMSDS Availabfliw Nmber of ~ployees ~ " Verification of Haz Mat Trai~ng CorflIIle_rtts: Verification of Abatement Supplies & Procedures [~ [--] Comments: Emergency Procedures Posted [~ [~] Containers Properly Labeled Comrn~: Verification of Facility Diagram Special Hazards Associated with this Facility: Violations: FD 1652 (Rev. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office JUNE 15, 1990 DEAR MR. BANUELOS NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE IN THE INSPECTION OF' YOUR BUSINESS THE AUTO SHOP, LOCATED AT 110(1) E TRUXTUN AVE., BAKERSFIELD, CA 93305 ON JUNE 15th ]"HE FOLLOWING HAZARDOUS MATERIALS REGULATION VIOLATIONS WERE IDENTIFIED: 1) HAZARDOUS MATERIAL WERE PRESENT BUT NO BUSINESS PLAN ON F I LE VIOLATION OF UFC 80. 103(C) VIOLATION OF CH. 6.95 CALIFORNIA HEALTH AND SAFETY CODE SEC..-~os'-'='=~']'~d. 5 (a) Ar~y business, except as provided ir, subdivision (b), which har, dles a hazardous ~aterial or ~ixture cor, taining a hazardous ~aterial which has a quantity at ar~y one ti~e durir, g the reportir~g year equal to, or greater than, a total weight of 500 pour, ds, nra total v,z, lu~e of 55 gallons, or 200 cubic feet at standard te~perature and pressure for a ccm~pressed gas, shall establish arid i~ple~ent a business plar~ for e~erger, cy response to a release or threatened release of a hazardous ~aterial in accordar~ce with the standards in the regulatic, ns ad,'-,pted pursuant to, Sect it, r, 25503. 2) WASTE OIL NOT INCLUDED IN HAZARDOUS MATERIALS INVENTORY VIOLATION OF UFC 80. 103 VIOLATION OF CH. 6.~_~6 CALIFORNIA HEALTH & SAFETY CODE ~. ~(A) (1-4) The annual ir~ver~tc, ry fc, r~ shall include, but shall not be limited to, ir~for~atior~ on all of the foll,z, wir~g which are handled in quantities equal to or greater than the quantities specified ir~ subdivision (a) of Sectic, n 25503.5: (1) A l istir~g of the che~ical r~a~e a~d names of every hazardous substance or che~,~ical product har~dled by the business. '(2) The category of waste, including the general chemical and mineral co~,~positiorJ of the waste listed by probable r~aximur~ ar, d mir~ir~ur~ concer~trations, of every hazar~c, us waste handled by the business. (S) A listing of the chemical name and commor~ names of every other hazardous material or r~ixture contair~ing a hazardous material handled by the business which is not otherwise listed pursuant to paragraph (1) or (2). (4) The maximu~ 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. 3) COMPRESSED GAS CYLINDER NOT PROPERLY SECURED VIOLATION OF UFO 74. 10~ (a) General. All compressed gas cylinders in service or in storage shall be adequately secured to prevent falling or being knocked over. EXCEPTIONS: (1) Compressed gas cylinders in the process of examination, servicing and refill are exempt from this section. (~) Medical gas cylinders may be stored a~d used in the horizontal position in accordance with nationally recognized standards. The above violations ~ust be corrected by JUNE 29, 1990 The departr,~ent will schedule a re-inspect ion c,f your facility to verify compliar, ce. If you have any questions regarding this notice~ please contact Ralph Huey at 326-3979. Hazardous Materials Coordinator O Bakersfield Fire Dept. Hazardous Materials Inspection Date Completed ~-'~- ''/- ~,'~" Location: //~ o /~ 7"r'~ )c ~ Plan ID # 215-000oo/~ 7fi'Top right comer Business Plan) Station No. ~ Shift ~ Inspector t~/ Adequate Inadequate Verification of Inventory Materials ~ [-~ Verification of Quantities RECEIVED 4 ~-~ Verification of Location .~U{~ 2 ~ 1989 Proper Segregation ofMaterial H~Z. MAT. DiV. Comments: Verificationof MSDS Availability [] Number of Employees Verification of Haz Mat Training Comments: ~ Verification of Abatement Supplies & Procedures Comments: Emergency Procedures Posted Containers Properly Labeled Verification of Facility Diagram ~ [] Special Hazards Associated with this Facility: Violations: FD 1652 (Rev. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office B ERSFIELn FIRS  2~30 "G" S~EET ** B~ERSFIELD. CA 93301 MAY 1 71988 (805) 326-3979 ~aS'd ............ pUsINESS ~M~E ' INS~CT~ 0NS: 1. To avoid further action, return 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: BUSI~SS IDE~IFICATION DATA B. LOCATION / STREET ADDRESS: / / OQ ~- IR/Jx~ ~ ~E~/J~ cI~: ~AKER.~Ft~ z~P: 9 ~.~D~ BUS.PHONE: SECTION 2: ~RGENCY NOTIFICATIONS '-' .. _ ,; .: In case of an emergency involvin~ the ~elease or threatened release of a hazardous material, call 911 and 1-800-852-7S50 or 1-916-42~-4341. This will notify you~ local fire degaPtment and the State Office of Emergency SePvices as ~equiPed law. · ,- EMPLOYEES T0 NOTIFY IN CASE 0F EMERGENCY: NAME AND TITLE D~ING BUS. HRS. /AFTER BUS- HRS. "-- A ~DA)~ Ph~ Ph~ SECTION 3}' LOCATION OF ~ILI~ S~-0FFS FOR BUSI~SS AS I ~OLE A. NAT. GAS/PROPANE: ~_ , B. ELECTRICAL: '~ ~3a~ ~. C, WATER: ~ ~c~ D. SPECIAL: E. LOCK BOX: YES /~IF YES, LOCATION: IF YES, DOES ~T CONTAIN SITE PLANS? YES / N0 MSDSS? YES ,/ NO FLOOR PLANSP YES / N0 KEYSP YES / NO SECTION 4: PRIVATE RESPONS.E ,,TE~ FOR BUSINESS AS A WHOLE SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOb'R BUSINESS AS A WHOLE EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFR£$HER TRAINING IN THE FOLLOWING AREAS CIRCLE YES OR NO r-" ~ , INITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF ~A~ARDOUS .MATERIALS:... ................ .~ ............... YES N0 YES NO B. PROCEDURES FOR COORDINATI~ ~TIVI~ES WITH RESPONSE AGENCIES: .............. ~ ........... YES C. PRO~E~ USE OF SAFETY EQUIPMENT: ....... ~ ......... YES NO 'YES NO _ SECTION ~: ~Z~DOUS ~TERI~ CIRCLE ~- NO - NO~ ~ - DOES YOUR BUSINESS HANDLE HAZARDOUS ~TERIAL IN QUANTITIES LESS T,A~ 500 POUNDS OE A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES NO I, O~C~. _ O~. ~ , certify that the above information is accurate. I underst~d that this information will-be used to fulfill my firm's obligations under the new Californi~ Hemlth and Safety code on Hazardous M~teri~ls (Div. Z0 Chapter 6.95 Sec. 25500 Et' Al.) and that inaccurate information constitutes perjury. - 2B - BAKERSFIELD CITY FiRE DEPART?~E.YT 2I,?,0 "G" STREET BAKERSFIELD, CA 93301 OFFiCiAL USE fi.FLY BUSI NESS PLAN INGLE FACILITY UNIT FORM INSTRUCTIONS I. To avoid further action, this form must be returned by: 2. T¥?E./PRINT YOUR ANSWERS IN ENGLISH. 3. <~Ans~er the questions below for THE FACILITY UNIT LISTED BE!.0W ~. Be as BRIEF and C0NC[SE as possible.' FACILITY UNIT-~ FACILITY UNIT N~ME: SECTION I: MITIGATION, PRE~NTION, ABATEME5'~ PROCE~5~ES ~"'""'~ON PROCEDL-RES AT THIS L~."iT ONLY SECTION 2: WOTTF!CATiON AND - 3A - SECTION 3: HAZARDOUS MATERIALS FOR THIS b.'NIT ONlY A. Does this Facility Unit cout~in Hazardous Materials? ...... YES NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES NO If Mo, complete a separa=e hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form =4A-l) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (~ellow form =4A-Z) in addition to the non-trade secret form. List onl~ the trade secrets on form ~A-Z. g~CT!ON 4: PRIVATE FIRE P~OTECTIOX SECTION $: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS SECTIO~ 6: LOCATION' OF UTILI?f SHUT-OFFS .~T THIS UL,'IT O~'L7. A. .',.'AT "~' '" ' '"" · ~A:.,.~ B. ELECTRICAL: C. WATER: D. SPECIAL: ,-_, _OC,', BOX: YES );0 iF YES, LOCATIOX': IF 'lES, Sr.T£ PLAN'S? 'FES / .X'O >[SDSs? ,YES " FLOOR PLANS? YES ./ :':0 KEYS? VES ." I.D. # 2.~-.~r~r,:~/) FORM 4A-1 Page ~ of tlAZARDOUS MATERI ALS INVENTORY BUSINESS NAME: ;q~CTOR~ /}UFO R~PA)R OWNER NAME: H~CTDR ~mNH~.~ FACILITY UNIT ADDRESS:_, 1i0~ ~,~l~X~ff~, ADDRESS: 7~ ~ FACILITY UNIT NA~E: CITY, ZIP: ~ KE~/~ f3~m~ CITY,ZIP: ~m~~;~/m ' ~-~-dT~ ~ ~2~-~~ ]OFFICIAL USE CFIRS C6DE - ' ~ '[ ONLY 1 2 3 4 5 6 7 8 9 16"' TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT' CODE CODE FACILITY UNIT WT. C.EMIqAL OR COMMON NA~E CODE GU~DE~ NAME:~~R BA~U~ZO~ TITLE ' SIGNATURE:~ DATE: ~MERGENCY CONTACT: ~O~f ~O~O~ TITLE: (~%~ PHONE ~ BUS .OURS~ HOUR . EMERGENCY CONTACT: ~ T~TLE: PHONE ~ BUS s~ ~RIN'-CIPAL BUSINESS ACTIVITY:__ ~0~ ~e~'C AFTER BUS HRS: HAZARDOUS MATERIALS INSPECTION P~ S~~ OF ~~ · VZOIJtTZONS: CITY of BAKERSFIELD tiRE DEPARTMENT D. S. NEEDHAM ~N~ ' "~ ~'~O 2101 H STRFET FIRE CHIEF BAKERSF ELD, 93301 326-3911 DEAR NR. BRNU~LDS NOT,DE OF V~DLRT~DN RND SCHEDULE FOR CDNF'L~NCE IN THE INSPECTION OF YOUR BUSINESS THE AUTO SHOP', LOCATED AT 1100 E TRUXTUN AVE., BAKERSFIELD, CA 93305 ON JUNE 15th THE FOLLOWING HAZARDOUS MATERIALS REGULATION VIOLATIONS WERE IDENTIFIED: 1) HAZARDOUS MATERIAL WERE PRESENT BUT NO BUSINESS PLAN ON FILE VIOLATION OF UFC 80. 103(C) VIOLATION OF CH. 6.95 CALIFORNIA HEALTH AND SAFETY CODE ~-- ~- ...... 5 (a) Any business, except as provided in subdivision <b), whic~ handles a hazardous material or mixture containing a hazardous ~aterial w~ic~ has a quantity at any one time during the reporting year equal to, greater than, a total weight of 500 pounds, or a total volume ,:,f 55 gallc, ns, or ~00 cubic feet a~ standard temperature and press~ire for a compressed gas, s~aii establish and implement a business plan for emergency response to a release or threatened release of a hazardous material in accordance wit~ t~e s~andards in t~e regulations adopted pursuant to Section ~5503. 2) WASTE OIL NOT INCLUDED IN HAZARDOUS MATERIALS INVENTORY · OF UFC VIOLATION OF CH. 6.96 CALIFORNIA HEALTH & SAFETY CODE 85509(A) (1-4) The annual inventory form s~aii include, but shall not be limite~ to, information on ail of t~ne following which are handled in quantities equal to or greater than the quantities specified in subdivision (a) of Section ~5503.5: (1) A listing of the chemical name and common names of every hazardous substance or c~emical product handled by the business. (2) The category of waste, including the general chemical and mineral composition of the waste listed by proOable maximum and mir~ir~ur~ cor:centratior~s, of every hazardous waste hat, died by the bus ir~ess. (S) A listin~ of the ~hemi~al r~ame and comn~on names ,z,f every c, ther hazardous n~aterial or n~ixture cc, ntaining 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), arid (3) which is handled at any one time by tl~e business over the course of the year. S) COMPRESSED GAS CYLINDER NOT PROPERLY SECURED VIOLATION OF UFO 74. 107 (a) General. All compressed gas cylinders in service or in storage shall be adequately secured to prevent falling or being knocked over. EXCEPTIONS: (1) Cor~pressed gas cylinders in the process of examination, servicing and refilling are exempt fror~ this section. (~) Medical gas cylinders may be stored arid used in the horizontal position in accordance wit~ nationally recognized standards. The above violations must be corrected by JUNE 29, 1990 The department will schedule a re-inspect ion of your facility to verify compliance. If you have arty questions regarding this notice, please contact Ralph Huey at 326-39'79. · Sir~erely, . / j Haza?dous Materials Coordir~ator