HomeMy WebLinkAboutBUSINESS PLAN Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF-PERMIT ON REVERSE SIDE
: This _=ermit is issued for the followin_~:
iEI Hazardous Materials Plan
: I-I Underground Storage of Hazardous Materials
Permit ID #:: 015-000-001914 ,El Risk Management Program
BAKERSFIELD SIGNS ~.~.~,.o.. W=.e O.-S~t,, T~
LOCATION: 5440 CALIFORNIA AVE
Issued by: Bakersfield Fire Department
i[[ ./,~1~~ OFFICE OFENVIRONMENTAL SERVICES' ApprOved by:
1715 Chester Ave., 3rd Floor
Bakersfield, CA 9'3301
· Voice '(661) 326-3979
FAX (661) 326-0576 .Exph-atiOnDate: : JU~e ~30.. 2OO~3
.'. . .. :.- ·
5A¢.Eg:~F ~ ELD; CA '-?3303-2057
DATZ: 3i0i/02
5440 CALIYORNiA AV~
~A¼Z!~F!ELD, CA ~330~
RETURN SERVICE REQUESTED ; ' ' ..... ~,%
I 8Al&Eqq. O c9~3~0c~0~ ~0~ O~ 0~/0~/0~ ~
I RETURN TO SENDER
:BAKER3FIELD 5IgN~
qq~o ER~TON DR STE a03
BAKERSFIELD CA_g330g-10gg
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OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301
FACILITY NAME ~-a~t~ .~tt:¢4 INSPECTION DATE
ADDRESS .K-4~,.) ~_.po~('--6x,q,,~ i~j~r PHONE NO.
FACILITY CONTACT BUSINESS ID NO. 15-210-
INSPECTION TIME NUMBER OF EMPLOYEES
Section I: Business Plan and Inventory Program
~ Routine ~ombined ~ Joint Agency I~ Multi-Agency [..,] Complaint [~ Re-insPection
OPERATION C V COMMENTS
Appropriate permit on hand ~ ~ W'~""**~..5 O/'~..-
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
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C--Compliance V=Violation
Explain:Anyhazard°uswaste°nsite?: ~]~es [~]No~_c.~ .--~,,,/a/Cy~ ~~
Questions regarding this inspection? Please call us at (661) 326-39?9 Business Site Responsible Party
White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: /-~
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3r" Floor,· Bakersfield, CA 93301
FACILITY NAME'C~C-'4~ .~,t~ · INSPECTION DATE
ADDRESS ~'~fO ~-x,,tc6'x~!~ ~./ PHONE NO.
FACILITY CONTACT BUSINESS ID NO. 15-210-
INSPECTION TIME NUMBER OF EMPLOYEES
Section 1: Business Plan and Inventory Program
[~l Routine ~...Combined I~ Joint Agency [~] Multi:Agency' ~l ComPlaint I~ Re-inspection
OPERATION C V COMMENTS
Appropriate permit on hand ,~cL.~ ! 'T'~""°n~$ ~__.)t~..
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
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance ' V=Violation
Any hazardous waste on site?: '~Yes 1~ No
Questions regarding this inspection? Please call us at (661) 326-3979 Business SiteResponsible Party
White- Env. Svcs. Yellow- Station Copy Pink- Business Copy inspector:
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME ~0C.C'x.$C~C'c/3 ~ ~ INSPECTION DATE 7/~ ?/O /
Section 4: Hazardous Waste Generator Program EPA ID #
I-I Routine ~ Combined [] Joint Agency [] Multi-Agency [] Complaint []
Re-inspection
OPERATION C V COMMENTS
Hazardous waste determination has been made ~ I 'T~K ~-te~-
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 kepi 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 Business ~ ire Rest hie Party
White - Env. Svcs. Pink - Business Copy
BAKERSFIELD SIGNS 'SiteID: 015-021-001914
Manager : BusPhone: (805) 324-8783
Location: 5440 CALIFORNIA AVE Map : 102 CommHaz : Minimal
City : BAKERSFIELD Grid: 34D FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 11 SIC Code:
EPA Numb: DunnBrad:
Emergency ~Contact / Title Emergency Contact / Title
DINNY T MATHEW / OWNER /
Business Phone: (805) 324-8783x Business Phone: ( ) - x
24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire ImmHlth DelHlth
Contact : Phone: (805) 324-8783x
MailAddr: 5440 CALIFORNIA AVE State: CA
City : BAKERSFIELD Zip : 93309
Owner DINNY T MATHEW Phone: (805) 324-8783x
Address : 5440 CALIFORNIA AVE State: CA
City : BAKERSFIELD Zip : 93309
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives: ~ ~~
THIS FACILITY IS A HAZARDOUS WAST~JGENERATOR AND REQUIRES A JOINT'INSPECTION
WITH HOWARD WINES AND THE ENGINE COMPANY. PLEASE GIVE THIS OFFICE 5 DAYS
NOTICE PRIOR TO SCHEDULING THE INSPECTION.
~ Hazmat Inventory One Unified List
--Alphabetical Order Ail Materials at Site
Hazmat Common Name... ISpecHazlEPA HazardsI Frm I DailyMax IUnitlMcP
WASTE THINNER F IH DH L 1.00 GAL Mod
I,'T'~i''J/V~Y "J-' /'~'l/%rlf~l~'o hereby certify that I have
(Type or pdnt name)
reviewed the attached hazardous materials manage-
ment plan for $,~/~£1t</~,~%5
, . and that it along with
(Name of Business)
any corrections constitute a complete and correct man-
agement plan for my facili[y.
051o412001
Signature Date
BAKERSFIELD SIGNS SiteID: 015-021-001914
~ Inventory Item 0001 Facility Unit: Fixed Containers at Site
WASTE THINNER Days On Site
365
Location within this Facility Unit Map: Grid:
CAS#
~ STATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE/
DRuM_ BARREL - METALL I C
Ambient Ambient
Liquid Waste
AMOUNTS AT THIS LOCATION
Largest Container ! Daily Maximum Daily Average
1.00 GALL 1.00 GAL 1.00 GAL
HAZARDOUS COMPONENTS
%Wt. RJ NoRS ~ CAS#
100.00 Thinner 8030306
HAZARD ASSESSMENTS
TSecret oRSIBioHaz Radioactive/Amount I EPA HazardsI NFPA USDOT# I MCP
No N No No/ Curies F IH DH / / / Mod
-2- 05/04/2001
CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 5
Location
Sub Div. Blk. . Mt
You are hereby required to make the following corrections
at the above location:
Cot. No
Completion Date for Corrections t~t,w~t/~O '~0 D/~(d$ o~:
Date ~/~/~ ~ ~ ~~
Inspector
326-3979
CORRECTION NOTICE ' ?'?¢f)
BAKEFISFIELD FII:JE DEPABT~ENT ~.~g~g 5
You are hereby required to make the following corrections
at the above l~ation:
Completion Date for Corrections
Date
InspectOr
326-3979
OFFICE OF ENVIRONMEN ,L SERVICES
1715 Chester Ave., CA 93301 (805) 326-3979
HAZARDOUS MATERIALS INVENTORY
Chemical Description Form
(one form per material per budding or area)
[-1 ADD ~ DELETE [] REVISE 200 Page __ of
BUSINESS NAME (Same as FACILITY NAME or DBA - Domg Business As) 3
LOCATION 201r CHEMICAL LOCATION r'] Yes []
CHEMICAL
No
2O2
CONFIDENTIAL (EPCRA)
205 TRADE SECRET [] Yes [] NO 206
CHEMICAL NAME
2O7
COMMON NAME EHS° [] Yes [] No 208
CAS# 209 .'If EHS is"Yes°, all amounls bei°Wmust bei~. .... '.,~L?:j.......~
FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210
TYPE [] p PURE [] m MIXTURE ,J~w WASTE 211 RADIOACTIVE [] Yes [] No 212 J CURIES 213
[] s SOLID J~l LIQUID [] g GAS 214 LARGEST CONTAINER
215
PHYSICAL
STATE
FED HAZARD CATEGORIES ,,J~l FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216
(Check all thai apply}
AMOUNTANNUAL WASTE / 217. MAXIMUM DALLY AMOUNT / 218 ] AVERAGE DAILY AMOUNT / 219 STATE WASTE CODE 220
DAYS ON SITE 222
UNITS' [] ga GAL [] Cf CUFT [] Ih ~ [] tn TONS 221
· If EHS. amount taus1 be in lbs.
STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223
(Check all that apply)
[] b UNDERGROUND TANK ~J~ f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER
J--] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN ....
[] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON
STORAGE PRESSURE ~ a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT 224
STORAGE TEMPERATURE J~a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225
I 226 227 [--J Yes [] No 228 229
2 230 231 [] Yes [] No 232 233
3 234 235 [] Yes [] No 236 237
4 238 239 [] Yes [] NO 240 241
5 242 243 [] Yes [] No 244 245
PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246
DES FORM 2731 (7198) P:\OES2731 .TV4.wpd
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3r~ Floor, Bakersfield, CA 93301
FACiLiTY NAME t~C'-q.<~l'z,C--c~ Cd,c..,.~5 INSPECTION DATE '{/'~"/q~
Section 4: Hazardous Waste Generator Program EPA ID #
[] Routine [] Combined [] Joint Agency [] Multi-Agency ~ Complaint [] Re-inspection
OPERATION C V COMMENTS
Hazardous xvast'e determination bas been made
EPA ID Number (Phone:916-o_4-1781 to ohtain EPA ID #)
Authorized tbr waste treatment and/or storage
Reported release, fire. or explosion within 15 days ofoccurance
Established or maintains a contingency plan and training
Hazardous ~vaste accumulation time fi'ames t/'
Containers in good condition and not leaking
Containers are compatible ~vith the hazardous waste
Containers are kept closed when not in use
Weekly inspection of storage area
Ignitable/reactive v,.,aste 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
P,'oper management of' used oil filters
Transports hazardous waste with completed manifest
Sends manifest copies to DTSC
Retains manifests tbr 3 years
Retains hazardous waste analysis for 3 years
Retains copies of used ()il receipts tbr 3 years
Determines if waste is restricted fi'om land disposal
C=Compliance V=Violation
Inspector: /~,], ~
Office of Environmental Services (805) 326-3979 Business ~te Responsible Party
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