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Home My WebLink AboutBUSINESS PLAN Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ........... ~:~,~,,~,?.~?~,,~,~,,~ ............... This permit is issued for the following: .~?i'%?~:::!:?'''~'~'''% ',ili!! ii iil;;:::::::, iiiiiiiii~i~i~e[ground Storage of Hazardous Materials PERMIT ID# 015-021~)00738 ,,,:=¥ii~!~..~i;~!!::iii:~i!i[i iI::~'' i:!!!:!'=!!!i i}ii!ii'.:i':!!i!:=~i!!!!!i:::~,~iiiiii, iiiiiii,,~=~kli~.agement Program LOCATION 2308 CHESTER :ii~-,.'~,,'' ~ ~i ~. ""~"~:':~ BAKERSEIELD CA '";~[='~" ~: ~::::'""::~ .... ~:.~.. 'ff1~h,--..----.?.~ ,~: ~i~ .'~ ~'~ ~' .~ '.,,,~ ~.~ ~.' ~'~ ',. ': ]~ Issu~ by: O B~ersfield Fke D~a~ment Approved by: ~~~' O~CE OF E~R ONe.AL 1715 Chewer Ave., 3rd Floor B~e~fiel~ CA 93301 Voice (805) F~ (805)~26~S76 Expiration Date: . dUn~ ~O~ ~OOO PARNELLI JONES INC SiteID: 215-000-000738 Manager : ..... BusPhone: (805) 325-9678 Location: 2308 CHESTER AV y ~, Map : 103 CommHaz : Low City : BAKERSFIELD ....................... Grid: 30A FacUnits: 1AOV: CommCode: BAKERSFIELD STATION 01 SIC Code: EPA Numb: DunnBrad:08-434-8457 Emergency Contact / Title Emergency Contact / Title DAWN HOLT / MIKE BRYANT / Business Phone: (805) 325-9678x Business Phone: (805) 325-9678x 24-Hour Phone : (805) 323-1227x 24-Hour Phone : (805) 834-8202x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth ~ Hazmat Inventory One Unified List -- MCP+DailyMax Order Ail Materials at Site Hazmat Common Name... [SpocHaz[EPA HazardsI Frm I DailyMax Unit MCP! ACETYLENE F P IH G 140 FT3 Hi ,WASTE OIL F DH L 275 GAL Low ~OXYGEN F P IH G 58 FT3 Low FREON F P IH G 3578 FT3 Mit NEW OIL F DH L 140 GAL Mit 1 07/28/1997 PARNELLI JONES INC SiteID: 215-000-000738 ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit NORTH WALL CAS# 74-86-2 Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average FT3 140.00 FT3 70.00 FT3 Maximum Stored Maximum Open Use ! Maximum Closed Use F T % ....... F ~ .... ~ .......... F-T--3 ....... %Wt.HAZARDOUS COMPONENTS EHS CAS# 100.00 Acetylene No 74862 -2- 07/28/1997 PARNELLI JONES INC SiteID: 215-000-000738 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit OUTSIDE NE CAS# 221 rSTATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste I Ambient I Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION ! Largest Container I Daily Maximum Daily Average GAL I 275.00 GAL 125.00 GAL Maximum Stored Maximum Open Use .... Maximum.Closed Use G~ .... GAL GAL HAZARDOUS COMPONENTS %Wt. Waste EHS CAS# 100.00 Oil, Petroleum Based No 0 -3- 07/28/1997 PARNELLI JONES INC SiteID: 215-000-000738 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site OXYGEN Days On Site 365 Location within this Facility Unit NORTH WALL CAS# 7782-44-7 Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 58.00 FT3 30.00 FT3 Maximum Stored Maximum Open Use_._ Maximum_Closed U. se- --- FT3- FT3 FT3 HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Oxygen, Compressed No 7782447 -4- 07/28/1997 PARNELLI JONES INC SiteID: 215-000-000738 Inventory Item 0002 Facility Unit: Fixed Containers on Site ~u~u~ ~A~I~ / ~MEMI~AL NAME FREON Days On Site 365 Location within this Facility Unit NW WALL CAS# r STATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 3578.00 FT3 1750.00 FT3 Maximum Stored Maximum Open Use MaximumrClosed Us.e-~-- F~3 FT3 FT3 HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Dichlorodifluoromethane No 75718 -5- 07/28/1997 PARNELLI JONES INC SiteID: 215-000-000738 ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME NEW OIL Days On Site 365 Location within this Facility Unit NORTH WALL CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Pure Ambient I Ambient I DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 140.00 GAL 70.00 GAL Maximum Stored _Maximum Open Use Maximum--Closed ~Us-e .......... GAL GAL GAL I HAZARDOUS COMPONENTS EHS %Wt. CAS# 100.00 Motor Oil, Petroleum Based No 8020835 6 07/28/1997 PARNELLI JONES INC SiteID: 215-000-000738 Fast Format ~ Notif./Evacuation/Medical Overall Site -- Agency Notification 04/10/1992 CALL 911 -- Employee Notif./Evacuation 04/10/1992 EMERGENCY NUMBERS POSTED AT LOCATION. -- Public Notif./Evacuation 04/10/1992 TELL PUBLIC AND SHOW THEM EXITS. - --q~-er~ency ~f~al Plan 04/10/1992 MEDI CENTER 34TH & Q ST 325-6334 -7- 07/28/1997 PARNELLI JONES INC SiteID: 215-000-000738 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 04/10/1992 OXYGEN/ACETYLENE STORED IN CHAINED CART. NO SMOKING IN SHOP AREA. FIRE EXTINGUISHERS (3) IN SHOP AREA (1) IN OFFICE AREA. RICE HULLS TO SOAK UP ANY OIL SPILLS° MONTHLY SAFETY MEETINGS. -- Release Containment 04/10/1992 IN THE EVENT OF A RELEASE OF OIL WE WILL USE RICE HULLS TO CONTAIN ALL OIL SPILLS. WASTE OIL IS CONTAINED THE SAME WAY. OXYGEN/ACETYLENE IF IT ESCAPES IT CANNOT BE CONTAINED, IN THAT CASE WE WOULD OPEN ALL DOORS AND AIR OUT SHOP ASAP. -- -Cil~-6n UP ...... 04/10/1992 CLEAN UP WOULD BE HANDLED BY CONTAINMENT OF ALL RICE HULLS IN SEALED CONTAINER. THE HAULED OFF BY BLACK GOLD A HAZARDOUS WASTE COMPANY. Other Resource Activation -8- 07/28/1997 PARNELLI JONES INC SiteID: 215-000-000738 Fast Format Site Emergency Factors Overall Site Special Hazards -- Utility Shut-Offs 04/30/1992 A) GAS - MARKED AT LOCATION B) ELECTRICAL - MARKED AT LOCATION C) WATER - MARKED AT LOCATION D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 04/30/1992 -P]~-I-~XTE--FiRE PROTECTION- ~iR--E- -E~X-TifiGUi-SH~R-j- 6~ -LocA~io~-- ..................... FIRE HYDRANT - HYDRANT LOCATED ON STREET IN FRONT OF PROPERTY. Building Occupancy Level 9 07/28/1997 PARNELLI JONES INC SiteID: 215-000-000738 Fast Format Training Overall Site -- Employee Training 04/10/1992 WE HAVE 5 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFEY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: WEEKLY SAFETY MEETING. Page 2 Held for Future Use Held for Future Use -10- 07/28/1997 0 . ~ / 01/18/94 DOBS TIRE AUTO CENTERS 215-000-'000738 Page 1 Overall Site with 1. Fac. Unit General Information Location: 2308 CHESTER AV Map: 103 Hazard: Low Community: BAKERSFIELD STATION 01 Grid: 30A F/U: 1 AOV: 0.0 Contact Name ~ Title I Business Phone 24-Hour Phone] DAWN HOLTI I (805) 325-9678 x (805) 323-1227] MIKE BRYANT · (805) 325-9678 x (805) 834-8202/ Administrative Data Mail Addrs: 1500 EASTMAN AV D&B Number: 08-434-8457 City: VENTURA State: CA Zip: 93003- Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: Owner: CALIFORNIA CORP Phone: (805) 664-3699 Address: 1500 EASTMAN AV State: CA City: VENTURA Zip: 93003- Summary ~, ~- '~ ~ ~'~' Do hereby certify that i have (Type or P~nz ~) reviewed th~ a~ach~d h~rdous m~tefi~l~ manage- any corrections constitute a complets and corre~[ man- 61/18/94 DOBS TIRE AUTO CENTERS 2151000-000738 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-004 ACETYLENE Gas 140 High · Fire, Pressure, Immed Hlth FT3 02-003 OXYGEN Gas 58 Low · Fire, Pressure, Immed Hlth FT3 02-001 WASTE oIL Liquid 275 Low · Fire, Delay Hlth GAL 02-002 FREON Gas 3578 Minimal · Fire, Pressure, Immed Hlth FT3 02-005 NEW OIL Liquid 140 Minimal · Fire, Delay Hlth GAL 01/18/94 DeBS TIRE AUTO CENTERS 215-000-000738 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-004 ACETYLENE Gas 140 High · Fire, Pressure, Immed Hlth FT3 CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3140I~ Daily Average 70.00FT3 ----~ Annual Amount 140.00FT3 -- Storage Press T Temp~ Location PORT. PRESS. CYLINDER Above ~AmbientlNORTH WALL -- Conc~ Components MCP Guide 100.0% IAcetylene High 17 02-003 OXYGEN Gas 58 Low · Fi~e, Pressure, Immed Hlth FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: pure Days: 365 Use: WELDING SOLDERING Daily Max FT3I Daily Average FT3 I Annual Amount FT3 58 ~ 30.00 58.00 Storage Press T Temp Location PORT. PRESS. CYLINDER Iabove IAmbientlNoRTH WaLL --.ConcI Components MCP ---~uide 100.0% IOxygen, Compressed Low ! 14 02-001 WASTE OIL Liquid 275 Low · Fire, Delay Hlth GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GALI Daily Average GAL T Annual Amount GAL 275 ~ 125.00 2,640.00 Storage . Press T Temp Location DRUM/BARREL-NONMETAL AmbientlAmbientlOUTSIDE NE -- Conc Components MCP ---rGuide 100.0% IWaste Oil, Petroleum Based Low ! 27 61/18/94 DOBS TIRE AUTO CENTERS 215-000-000738 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-002 FREON Gas 3578 Minimal ~ Fire, Pressure, Immed Hlth FT3 CAS #: Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLING Daily Max FT3 Daily Average FT3 Annual Amount FT3 3,578 I 1,750.00 I 3,578.00 Storage Press T Temp Location METAL CONTAINR-NONDRUMIAbovo 1AmbientINw WALL -- Conc Components MCP --~Guide 100.0% IDichlorodifluoromethane IMinimal ~ 12 02-005 NEW OIL Liquid 140 Minimal ~ Fire, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: OIL TREATMENT Daily Max GALI Daily Average GAL I Annual Amount GAL '140 I 70.00 1,200.00 Storage Press I Temp Location DRUM/BARREL-NONMETAL AmbientlAmbientlNoRTH WALL -- Conc~ Components MCP ---TGuide 100.0% IMotor Oil, Petroleum Based Minimal I 27 U1/18/94 DOBS TIRE AUTO CENTERS 215-000-000738 Page 5 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation EMERGENCY NUMBERS POSTED AT LOCATION. <3> Public Notif./Evacuation TELL PUBLIC AND SHOW THEM EXITS. <4> Emergency Medical Plan MEDI CENTER 34TH & Q ST 325-6334 01/18/94 DOBS TIRE AUTO CENTERS 215-000-000738 Page 6 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention OXYGEN/ACETYLENE STORED IN CHAINED CART. NO SMOKING IN SHOP AREA. FIRE EXTINGUISHERS (3) IN SHOP AREA (1) IN OFFICE AREA. RICE HULLS TO SOAK UP ANY OIL SPILLS. MONTHLY SAFETY MEETINGS. <2> Release Containment IN THE EVENT OF A RELEASE OF OIL WE WILL USE RICE HULLS TO cONTAIN ALL OIL SPILLS. WASTE OIL IS CONTAINED THE SAME WAY. OXYGEN/ACETYLENE IF IT ESCAPES IT CANNOT BE CONTAINED, IN THAT CASE WE WOULD OPEN ALL DOORS AND AIR OUT SHOP ASAP. <3> Clean Up CLEAN UP WOULD BE HANDLED BY CONTAINMENT OF ALL RICE HULLS IN SEALED CONTAINER. THE HAULED OFF BY BLACK GOLD A HAZARDOUS WASTE COMPANY. <4> Other Resource Activation 01/18/94 DOBS TIRE AUTO CENTERS 215-000-000738 Page 7 O0 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility ShutrOffs A) GAS - MARKED AT LOCATION B) ELECTRICAL - MARKED AT LOCATION C) WATER - MARKED AT LOCATION D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS ON LOCATION. FIRE HYDRANT - HYDRANT LOCATED ON STREET IN FRONT OF PROPERTY. <4> Building Occupancy Level 01/18/94 DOBS TIRE AUTO CENTERS 215-000-000738 Page 8 00 - Overall Site <G> Training <1> Page 1 WE HAVE 5 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFEY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: WEEKLY SAFETY MEETING. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use 1500 EASTMAN AVENUE · VENTURA, CALIFORNIA93003 · (805) 644-3699 December 15, 1993 To Whom It May Concern: On November 9, 1993, Dob's Tire & Auto Centers, Inc. merged with RPJ Tire Company, Inc. dba Parnelli Jones, Inc. thus all Dob's Tire Stores will now be known as Parnelli Jones, Inc. The corporate office will remain at 1500 Eastman Ave., Suite A; Ventura, CA 93003. Our taxpayer number is 95-2667309. If you have any questions, or need additional information, please call Beverly LeBus at (805)644-3699. Vice Pfe~de~t of Finance 13~ klm ~217o I ~oe d~~zE~V. -772 :~b I O Bakersfield~'ire Dep~ HAZARDOUS MATERIALS DIVISION Date Completed ~~. ~~ ~ ~- Inspector~~,~ Adequate ,nadequa e ~ , of Invento~ Materials erEication of Quantities ~~~ Ver~ication of Loc~ion Proper Segregation of Materi~ Comments: Verification of MSDS Availabli~ Number of Employees Verification of H~ Mat Training Comments: Verification of Abaement Supplies & Procedures Comments: Emergency Procedures Posted Containers Properly ~beled Comments: Verification of Facility Diagr~ Special H~ards Associated with this Facility: Violations: ,,,~~~f~.~ All Items O.K. ~ I~usin~JSS O~n~/l~l~nager Correction Needed I~ FD 1652 (Rev. 1-90) Whita-Haz Mat Div. Yellow-Station Copy Pink-Business Copy RECE VEB 02/20/92 DeBS TIRE AUTO CENTERS 215-000-000738 ~ 2 1992 Page 1 Overall Site,with 1 Fac. Unit General Information ~$'d ............ Location: 2308 CHESTER AV Map: 103 Hazard: Low Community: BAKERSFIELD STATION 01 Grid: 30A F/U: 1AOV: 0.0 Contact NameI Title i Business Phone 24-Hour Phono- IDAWN HOLT (805) 325-9678 x (805) 323-1227 ~ (805) 325-9678 x (805) Administrative Data Mail addrs: 1500 EASTMAN AV D&B Number: O~'g~%/'F~J~ City: VENTURA State: CA Zip: 93003- Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: Owner: CALIFORNIA CORP Phone: (805) 664-3699 Address: 1500 EASTMAN AV State: CA City: VENTURA Zip: 93003- Summary RECEIVED APR 0 02/20/92 DeBS TIRE AUTO CENTERS 215-000-000738 Page 1 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 WASTE OIL Liquid 275 Low · Fire, Delay Hlth GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL I Daily Average GAL I Annual Amount GAL 275 ~ 125.00 2,640.00 Storage Press T Temp Location DRUM/BARREL-NONMETAL IAmbient/AmbientlouTSXDE NE -- Conc Components MCP List 100.0% IWaste OiI, Petroleum Based ILOw I 02-002 FREON Gas 3578 Minimal · Fire, Pressure, Immed Hlth FT3 CAS #: Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLING Daily Max FT3I Daily Average FT3 I Annual Amount FT3 3,578 ~ 1,750.00 3,578.00 Storage Press T TempI Location METAL CONTAINR-NONDRUM Above IAmbientlNW WALL -- Conc Components MCP List 100.0% IDichlorodifluoromethane Minimal I 02-003 OXYGEN Gas 58 Low · Fire, Pressure, Immed Hlth FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3I Daily Average FT3 I Annual Amount FT3 58 ~ 30.00 58.00 Storage Press I TempI Location PORT. PRESS. CYLINDER Above I AmbientlNORTH WALL -- Conc Components I MCP List 100.0% IOxygen, Compressed ILOw I 02/20/92 DeBS TIRE AUTO CENTERS 215-000-000738 Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-004 ACETYLENE Gas 140 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 140 I 70.00 140.00 Storage Press T Temp Location PORT. PRESS. CYLINDER IAbove /AmDiontlNoRTH WALL -- Conc Components MCP List 100.0% IAcetylene IHigh I 02-005 NEW OIL Liquid 140 Minimal · Fire, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: OIL TREATMENT Daily Max GALI Daily Average GAL I Annual Amount GAL 140 ~ 70.00 1,200.00 Storage Press T Temp Location DRUM/BARREL-NONMETAL IAmbientlAmbientlNORTH WALL -- Conc Components MCP List 100.0% IMotor Oil, Petroleum Based IMinimal [ 02/20/92 DOBS TIRE AUTO CENTERS 215-000-000738 Page 3 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation EMERGENCY NUMBERS POSTED AT LOCATION. <3> Public Notif./Evacuation NONE LISTED <4> Emergency Medical Plan MEDI CENTER 34TH & Q ST 325-6334 02/20/92 DOBS TIRE AUTO CENTERS 215-000-000738 Page 4 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention OXYGEN/ACETYLENE STORED IN CHAINED CART. NO SMOKING IN SHOP AREA. FIRE EXTINGUISHERS (3) IN SHOP AREA (1) IN OFFICE AREA. RICE HULLS TO SOAK UP ANY OIL SPILLS. MONTHLY SAFETY MEETINGS. <2> Release Containment <3> gle~n Up <4> Other Resource Activation 02/20/92 DOBS TIRE AUTO CENTERs 215-000-000738 Page 5 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - MARKED AT LOCATION B) ELECTRICAL - MARKED AT LOCATION C) WATER - MARKED AT LOCATION D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water ! FIRE HYDRANT - ???????????? <4> Building Occupancy Level 02/20/92 DOBS TIRE AUTO CENTERS 215-000-000738 Page 6 00 - Overall Site <G> Training <1> Page 1 WE HAVE 5 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFEY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use Do nereb.v certifi that i have revie~,'ed the .r-~a_ ~.~_., attached Hazardous Na~erials business plan (name of business) and that it alon~ with the attached additions or ,corrections constitute a complete and correct Busines-~/Plan for mM facilit.v. '-~/~'~/~'%i,.~A'tu/e ~ date BUSINESS NAME DOSS TIRE AUTO CENTERS ID NU'~BER 215-OO0-O~O'738 LOCfiTION Z308 CHESTER RV HIGH HAZARD RATING 1. OVERVIEW LAST CHANGE 03/ZB/88 BY ESTER JURIS CODE NAP PAGE tO-3 GRID 3OR FACILITY UNITS t HAZARD RATING Z RESPONSE SUH~4RRY ZR SEC 4) OUR STORE MRNRGER~ ~', KEEPS RT HRND ~EDICRL E~E~ENCY NUMBERS, R FILE ON HRZ~IRDOUS MATERIALS AND WHAT RCTI~ IS REQUIRED IN R HINOR EME~ENCY. UTILITY SHUTOFFS ~R SEC R) GAS - MARl(ED RT LOCt~TION B) ELECTRICAl, - MARKED RT LOCATION C) UATER - MARKED A'¥ LOCATION 'O) SPECIAL - NONE E) LOCK BOX - NO NOTIFICATION I PUBLIC EVACUATION LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > PAGE 1 lZ/ZTt88 17:3G MATERIAL SRFETY DATA SYSTEMS, INC. (805) G48-B8~ BUSINESS NB~E DOBS TIRE AUTO CENTERS ID NUMBER Z}S-880-~0738 LOC~TION Z~O8 CHESTER AV HIGH H~RRD R~TING 2 3. HBZ H~T TRAINING SUMMARY LRs'r CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE 03/Z9/88 BY ESTER SEC S) MEDI CENTER 34TH & O ST PAGE MATERIAL SAFETY DRTR SYSTEMS~ INC. (805) G48-G800 BUSINESS NAME DOBS TIRE AUTO CENTERS ID Nt]Y?BER LOCATION 2~08 CHESTER AV HIGH HAZARD RATING Z FRCiLIT¥ UNIT A. OVERALL HAZARDOUS HATERIRLS INVENTORY LAST CHANGE 0~/29/88 BY ESTER ID TYPE NAME MAX AMI' UNIT HAZARD t. OCATION CONTAINMENT USE 1 WASTE WASTE OIL 2?5 GAL UNKNOWN OUTSIDE NE DRUMS OR B~RR NON MET. WASTE ID PERCENT COMPONENTS H~ARD LIST 1S98,00 1(~8.0 WSSTE OIL UNKNOWN 2 PURE FREON ~578 FT~ LOW NW WSLL METAL CONTAINERS COOLING ID PERCENT COMPONENTS HAZARD LIST 1~8G.8~ ~4~.0 DiCHLOROOIFLUOROMETHANE LOW ~ PU~ OXYGEN B8 FT~ HIGH NORTH WALL PORTABLE PRESS. CYL. WELOING/SOLDERING ID PE~ENT COMPONENTS HAZARD LIST 23S~.88 ;~,8 OXYGEN, COMPRESSED HIGH 4 PURE ACETYLENE ~4~ FT~ EXTREME NORTH WALL PORTABLE PRESS. CYL. WELDING/SOLDERING ID PERCENT COMPONENTS HAZARD LIST 1241.~ 1~,~ ACETYLENE EXTREME S PURE NEW OIL 148 G~L UNKNOWN NORTH W~LL DRUMS OR 8ARR NON MET. OIL TREATMENT ID PERCENT COMPONENTS H~Z~RD LIST Z8~8.~ 1~.8 MOTOR OIL UNKNOWN PAGE 3 MATERIAL SAFETY DATA SYSTEMS, INCo (805) BUSINESS NAME OOBS TIRE AUTO CENTERS ID NUMBER 215-~-~0738 LOCATION 2308 CHESTER AV HIGH HAZARD RATING B. FIRE PROTECTION / WATER SUPPLIES LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 03/ZB/B8 BY ESTER PAGE 4 12/27/88 l?:3B MATERIAL SAFETY [1A'TA SYSTEMS, INC. (805) Gz~8-GS~ BUSINESS NAME DOBS TIRE AUTO CENTERS ID N R Z15-OOO-O~73B LOCATION Z308 CHESTER AV HIGH HRZARO RATING Z E. MITIGATION / PREVENTION / ABATEMENT L~ST CHRN~ ~3/29/8B BY ESTER SEC 1) OXYGEN/~CETYLENE STORED IN CHAINED C~RT. NO SHOKING IN SH~~ AREA. FIRE EXTIN6UISHERS (3) IN SHOP RRE~ (1) IN OFFICE ~RE~. RICE HULLS TO SO~K UP ~NY OIL SPILLS. MONTHLY SRFE'rY MEETINOS. PAGE S t2/27/88 MATERIAL S~FETY DRT~ SYSTEMS, tNC, <805) G4B-G80~ BAKERSFIELD, C~. 93301 (80§) 326-~979 HAS ARD.~US ~TERI ALS BUSINESS 'PLAN :'as A WHOLE INS~UCT!ONS: 1. To avoid further action, return this fol(m 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDE~IFICATION DATA CITY: ~gKefS~C'~ ZIP:, ~33~/ { BUS.PHONE: SECTION 2: E~RGENCY NOTIFICATIONS ~'" In case of an emergency involvtr, g the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Offic~, of Emergency Services as requi~ed by EMPLOYMES TO NOTIFY IN CASE OF EMERGENCY: SECTION O: LOCATION OF ~ILI~ S~-OFFS FOR BUSI~SS AS A ~OLE A. NAT. GAS/PROPANE: ~C4 B. ELECTRICAL: ~ D. SPECIAL: E. LOCK BOX: YES / NO IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLAN~? YES / NO MSDSS? YES / NO ~OOR PLANS? YES / NO KEYS? YES / NO - SECTION 4: PRIVATE RESPONSE TEAM FOR 3USINESS AS A WHOLE SECTION 5: L0~AL EMERGENCY MEDICAL ASSISTANCE ~OR YOUR BUSINESS AS A WHOLE SECTION 6: EMPLOYEE T~INING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM ~HICH CROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAI~ING IS THE FOBLO~ISG A~EAS. CIRCLE YES OR ~0 ~ ISITI~B REFRESHER A. ~ETHODS FOR SAFE HASBLI~G OF B. PROCEDURES FOR COORDI~ATISG ACTIVITIES WITH RESPONSE ~GENClES: ........... ~ .............. YES ~ YES SO C. PROPER ~SE OF S~FETY EQHIP~EST: ' ' ~ SO ~ SO D. E~ERGESCY EV~CHATIOS PROCED~RES:..I ......... : .... YES ~ YES E. BO YOU ~I~TAIS E~PLOYEE TR~ISI~G ,~ECORBS: ....... YES ~ YES ~O SECTION *: ~ZARDOUS ~TERIAL O~- DOES YOUR BUSINESS HANDLE HAZARDOUS ~TERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A SOLID, 55 GALLONS OF A LIQUID, OR 200~CUBIC FEE!' OF A COMPRESSED GAS: ...... ~ NO :[, ~C ~ ~ ,icertify that the above information is accurate. I understand that th~s ~nfo~matton will be used? to fulfill m~ firm's oblf~attons under the ne~ California Health and Safet~ 2ode on Hazardous ~aterlals {Div. 20 Chapter Sec. 25500 Et ~1.) and that Inaccurate information constitutes B^I(ERSFIEI, D UI'I'Y FIRE 'I.rD. , FORM 4A-1 Page NON--TRADE SECRETS HAZARDOUS MATERi ALS. INVENTORY A~ESS: ~ Ck~ ~u~ ADDRESS: I~ ~~ ~ FACILITY UNIT NAME: c~v, z~: ~~c~ ~ qf~f ci~v,z~: ~)~~ ~ v~ ~:~ ~.o~ ~: ~ c~g?~ [0SS~C~An ~S~ CS~S CO~ CO~ AMOUNT AMOUNT FACILITY UNIT CHEMICAL OR COMMON NAME -- NAME TITLE: SIGNATURE: DATE: EMERGENCY CONTACT: ~z~5~,/r,-~ /--l~--f- TITLE: ~'7/)~ ~c~ PI1ONE # BUS HOURS:'~ AFTER BUS HRS: ~'~'-~ EMERGENCY CONTACT: ~-4"/~-~ ~'~c.3X~ TITLE: ~_vq~ ~7/~:~F..PHONE # BUS HOURS: - AFTER BUS. HRS: PRINCIPAL BUSINESS ACTIVITY:__ - .4A-1 - BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# BUSINESS PLAN SINGLE FACILITY UNIT FORM SA INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer-the q~st~ions belOw for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT# FACILITY UNIT NAME: SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES SECTION 2: NOTIFICATION .%\q] EVACUATION PROCEDURES AT THIS UNIT ONLY '--~;'0. ~ C-.~' SITE/FACILITY DIAGR-~dv~ FORM 5 NORTH SCALE: BUSINESS NAME: ~ , ~- ~ ~ ~ / ~ FLOOR: DATE: / / FACILITY N~ME: .x~.~ ~- I ~ UNIT m: OF (CHECK ONE) SITE DIAGRAM FACILITY DIAGR:~M Inspector's Comments): -OFFICIAL USE ONLY-