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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 ~,~ ~, ~5-~ ~ : . . . . . . . . -~.. .-. ~...~: I1,t,,,,11,,,1!,11,,,,,11,,,1,111,,.I,!,i,,,t,t,i,!.,I I1,,I ... 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 \Vhite - Env. Svcs. Pink - Business Copy