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Home My WebLink AboutBUSINESS PLAN Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This ~ermit is issued for the following: [] Hazardous Materials Plan [] Underground Storage of Hazardous Materials Permit ID #:: 015-000-000900 [3 Risk Management Program BOBS AUTOMOTIVE a Hazardous Waste On-Site Treatment LOCATION: 2626 CHESTER AVE ELD · ~,~:~, ,~ !.~' .~ '~.:-, ~'~ . ~3 ; .: ,~ "- ~ ~,~, " ~.~ ~ , ,~ ..:~' Issued by: Bakersfield Fire Depa~ment 1715 Chester Ave., 3rd Floor Approved by: r ~ Bakersfield, CA 93301 om¢¢oC~~' Voice (661) 326-3979 F~ (661) 326-0576 Expiration Date: Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ............. ,,,~;,~,,~,,~?~,~=~,,~,,,~,,~ ................ This permit is issued for the following: :,~,~,,?i'?"i ~,~i ~::?:::;i }ii?~i i ~ iiiiiii?:?'ili~:~iU~e.rground Storage of Hazardous Materials BOBS AUTOMOTIVE .:,,~/~i ",,.",, ;?.' "' iii~i~,,,=???::...~.~:..:.'il. :~:?u,:..%....,,?~;".,.~,~i,~:,i.i:;:~;~:,Hazaitdous~ Waste LOCATION 2626 CHESTER ,i:.%'",/~/~:~iw. "~ ..................... · ,, Issu~ by: O Bakersfield Fire Depa~ment Approved by: OFFICE OF EN~R ONe.AL S~ ~CES 1715 Chewer Ave., 3rd Floor B~enfiel~ CA 93301 Voice (805) 326-3979 F~ (805)~2~57~ ExpiratioaDate: dun, 30~ ~000 BOBS AUTOMOTIVE SiteID: 015-021-000900 Manager : BusPhone: (661) 323-1676 Location: 2626 CHESTER AVE %%%%%% Map : 103 CommHaz : Low City : BAKERSFIELD Grid: 19C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 SIC Code:7538 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title R L CARTER / OWNER WILLIAM H KOFAHL / Business Phone: (661) 323-1676x Business Phone: (661) 323-1676x 24-Hour Phone : (661) 366-6007x 24-Hour Phone : (661) 536-8540x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire DelHlth Contact : Phone: (661) 323'-1676x MailAddr: 2626 CHESTER AVE State: CA City : BAKERSFIELD Zip : 93301 Owner R L CARTER Phone: (661) 323-1676x Address : 2304 PAGEANT State: CA City : BAKERSFIELD Zip : 93306 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: th~t~ ~,t~ DO hereby ced:ify ~.r~,,~,,~ ~,r ~¢,n~ reviewec~ thC a~tac~,ed hazardous materials manag~ ment plan~ ~~~¢~ that it alon~ ~ith., any ~rre~ions constitute a complete and ~rre~ agement plan ~or my. facility. Signa~re / 1 07/15/2003 F BOBS AUTOMOTIVE SiteID: 015-021-000900 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 04/22/1992 KEEP SHOP CLEAN - PICKED~UP - FLOORS CLEAN PRACTICE SAFETY. DON'T KEEP MORE THAN ~GALS. OF WASTE OIL AT ONE TIME. KEEP EQUIPMENT IN GOO~NG ORDER. --Release Containment 04/22/1992 CLAY ABSORBENT. -- Clean Up 04/22/1992 RICE HULL - CLAY ABSORBENT. Other Resource Activation 07/15/200 BOBS AUTOMOTIVE SiteID: 015-021-000900 Fast Format ~ Training Overall Site -- Employee Training 06/22/2001 WE HAVE ~ EMPLOYEES AT THIS FACILITY. ~ WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: REVIEW MATERIAL SAFETY DATA SHEETS WITH EMPLOYEES. -- Page 2 -- Held for Future Use Held for Future Use -8- 07/15/2003 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~:t9~ 6 ~ .~x-O~~Z INSPECTIONOATE FACILITY CONTA'CT,..~--O C,A/d-~.,k~, BUSINESS ID NO. 15'-2~0-' INSPECTION TIME, /.~'7..l,~,~.r~ NUMBER OF EMPLOYEEs Section 1: Business Plan and Inventory Program ~..~ine~~/[~ Joint Agency [~ Multi-Agency ~ Complaint ~ Re-inspection OPERATION C y 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 e/ Emergency procedures adequate !l/r Containers properly labeled Housekeeping Fire Protection [/ ~' Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: ~ [~loYes [~ No Questions regarding this inspection? Please call us at (66 i) 326-39'/9 Business Site/~Responsible Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: /1/11 / I Postage & Fees Paid USPS /1/1// I Perm't ~o. ~-~0 ° Sender: Please print your name, address, and ZIP+4 in this box ° OFFTCE OF ENVTROI~SlEI~TAL SERVICES 1715 CRESTER AVENUE BAKERSFIEI~), CA 93301 ' · Complete items 1, 2,'and 3. Also complete A. Received by (Please Print C/ear/y) B. Date of Delivery item 4 if Restricted Delivery is desired. · Print your name and address on the reverse so that we can return the card to you. C. Signature [] Agent · Attach this card to the back of the mailpiece, X [] Addressee or on {he'~r0nt' if sP. ace permits. D. Is delivery address different from item 17 [] Yes 1. Article Addressed to: If YES, enter delivery address below: F-~ No BOB ~ S AUTO~IOTIVE 2626 CHESTER AVENUE BAKERSFIELD, CA 93301 3. Service Type [] Certified Mai[ [] Express Mail [] Registered [] Return Receipt for Merchandise [] Insured Mail [] C.O.D.... 4. Restricted Delivery? (Extra Fee) [] Yes 2. Article Number (Copy from service label) PS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-1789 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ,~ 5z~ 2 ~ o D'I,~.¢(-'~t- INSPECTION DATE ADDRESS t~.)~_,--, c, ,.v-,v ,-~:,',~,:2 ..~ (~A Co ~/~ ~- "' PHONE NO. ~ 2, :~ FACILITY CONTACT '~o ~b"" O..~ ,~ +~ .- BUSINESS ID NO. 15-210- INSPECTION TIME ,/~ ,~ :-..-~ NUMBER OF EMPLOYEES / Sectio/n 1: Business Plan and Inventory Program ~Routine I~ Combined [~ Joint Agency [2~ Multi-Agency ~ Complaint I~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand / Business plan contact information accurate Visible address Y'/ [.,,)[// r~/,~tt/,/ Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability b/ / Verification of Haz Mat training Verification of abatement supplies and procedures / Emergency procedures adequate Containers properly labeled t/; ~)k. el Housekeeping Fire Protection b/ / Site Diagram Adequate & On Hand C:Compliance V=Violation Explain: LO ~..~. ~.) ~- ~ ' Questions regarding this inspection? Please call us at (661) 326-3979 Business Site Responsible Party CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 CONTACT_?~ob" ~;aa~-,,.. BUSINESS ID NO. I$-210- FACILITY INSPECTION TIME ,] ~ ,,,,~ .o~ NUMBER OF EMPLOYEES / 1: Business Plan and Inventory Program tine [~1 Combined [~ Joint Agency I~l Multi-Agency ~ Complaint I~ Re-inspection OPERATION C ,y COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address V'/ Correct occupancy Verification of inventory materials I Verification of quantities V/ Verification of location Proper segregation of material Verification of MSDS availability V Verification of Haz Mat training Verification of abatement supplies and procedures V Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: I~l Yes [~No Explain: L,.3 a,.L._~..~,.,- (~-~' [ Questions regarding this inspection? Please call us at (661) 326-3979 Business Site Responsible Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: [I ,~.~ x3~L~_ BOBS AUTOMOTIVE SiteID: 015-021-000900 Manager : BusPhone: (805) 323-1676 Location: 2626 CHESTER AVE Map : 103 CommHaz : Low City : BAKERSFIELD Grid: 19C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 SIC Code:7538 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title R L CARTER / WILLIAM H. KOFAHL / Business Phone: (805) 323-1676X Business Phone: (805) 323-1676x 24-Hour Phone : (805) 366-6007X 24-Hour Phone : (805) 536-8540x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire DelHlth Contact : Phone: ( ) - x MailAddr: 2626 CHESTER AVE ~ State: CA City : BAKERSFIELD Zip : 93301 Owner R L CARTER Phone: (805) 323-1676x Address : 2304 PAGEANT State: CA City : BAKERSFIELD Zip : 93306 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~/ , ~--~-u~C°mm~n Name... ISpecHazlEPA HazardsI Frm I DailyMax UnitlMCP (Type or print name) reviewed Lhe atmched,,hazardous materials manage- an~, corrections constitute a complete and correct man- agement plan for my facility. -1- .05/21/2001 BOBS AUTOMOTIVE SiteID: 015-021-000900 ~ 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: EAST END OF LOT CAS# 221 FSTATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid I Waste I Ambient I Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average GAL I 110 . 00 GAL I 100 . 00 GAL HAZARDOUS COMPONENTS 100.00 Waste Oil, Petroleum Based No 0 HAZARD ASSESSMENTS TSecret ~S BioHaz Radioactive/Amount EPA HazardsNo N No No/ Curies F DH NFPA I USDOT# MCP 2 05/21/2001 F BOBS AUTOMOTIVE SiteID: 015-021-000900 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 04/22/1992 CALL 911 -- Employee Notif./Evacuation 04/22/1992 WORD OF MOUTH, WALK OUT OF DOORS, CALL 911 -- Public Notif./Evacuation 04/22/1992 WORD OF MOUTH Emergency Medical Plan 04/22/1992 SAN JOAQUIN HOSPITAL - 2615 EYE ST - 327-1711. -3- 05/21/2001 F BOBS AUTOMOTIVE SiteID: 015-021-000900 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site --Release Prevention 04/22/1992 KEEP SHOP CLEAN - PICKED UP - FLOORS CLEAN - PRACTICE SAFETY. DON'T KEEP MORE THAN 100 GALS. OF WASTE OIL AT ONE TIME. KEEP EQUIPMENT IN GOOD WORKING ORDER. -- Release Containment 04/22/1992 CLAY ABSORBENT. -- Clean Up 04/22/1992 RICE HULL - CLAY ABSORBENT. Other Resource Activation -4- 05/21/2001 F BOBS AUTOMOTIVE SiteID: 015-021-000900 I Fast Format ~ Site Emergency Factors Overall Site iSpecial Hazards --Utility Shut-Offs 03/20/1990 A) GAS - REAR OF BUILDING - EAST SIDE B) ELECTRICAL - REAR OF BUILDING - EAST SIDE C) WATER - REAR OF BUILDING - EAST SIDE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 03/20/1990 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS, WATER HOSES FIRE HYDRANT - 27TH STREET AT ALLEY EAST END OF BUILDING Building Occupancy Level -5- 05/21/2001 BOBS AUTOMOTIVE SiteID: 015-021-000900 Fast Format ~ Training Overall Site -- Employee Training 01/07/1990 WE HAVE 3 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE REVIEW MATERIAL SAFETY DATA SHEETS WITH EMPLOYEES -- Page 2 --Held for Future Use Held for Future Use 6 05/21/2001 '~ Postage $ - 3/-'1' 1.90 Certified Fee postmark Return Receipt Fee ]...~0 (Endomement Requ red) Here Restricted Delivery Fee (Endoreement Required) ~.omgo&~ $ 3.74 Recll~lgnt'e Name (Please Print Clearly)(Tobe comp. leted by mailer) ROB' $ AI~OHOTTVE '" c~~IJ), CA 93301 Certified Mail Provides: · A mailing receipt [] A unique identifier for your mallpiece · A signature upon delivery [] A record of delivery kept by the Postal Service for'two years Important Reminders: [] Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. [] Certified Mail is not available for any class of international mail. [] NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider insured or Registered Mail. [] For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Retum Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS postmark on your Certified Mail receipt is r_eqiuired. ~1 For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the e~ ~"~dorsement "Restricted Delivery". · If @ postmark on the Certified Mail receipt is desired, please present the arti- cie'at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. PS Form 3800, February 2000 (Reverse) 102595-00-M-1489 May 15,2001 Bob's Automotive 2626 Chester Avenue Bakersfield, CA 93301 v~ CF_.RTIFIKI) I. IAIL Subject: Revocation of Bob's Automotive; Permit to Operate. FIRE CHIEF RUN FRAZE Dear Business Owner: :~. ADMINISTRATIVE SERVICES 2101 "H" Street "~ Bakersfield. Ca 93301 Your "Permit to Operate" at 2626 Chester Avenue, known as Bob's Automotive is t VOICE (661) 326-3941 FAX (661) 395-1349 being revoked effective Monday, May 28, 2001, at 5:00 p.m. This "Permit to Operate" is being revoked due to failure to pay current as well as past due fees. SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 This action can be avoided by bringing your account current prior to that time. If you -VOICE (661)326-3941 FAX (661)395-1349 have any questions, please call me at (661) 326-3979. PREVENTION SERVICES Sincerely, 1715 Chester Ave. Bakersfield, CA 93301 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. . Bakersfield, CA93301 Ralph Huey, D~rector VOICE (661) 326-3979 FAX (661) 326-0576 Office of Environmental Services TRAINING DIVISION RH\db 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 CC: Walter Purr, Jr., City Attorneys Office Steve Underwood, Environmental Services Esther Duran, Environmental Services Drew Sharpies, Treasury CUST TYPE & N0. ~ --~l'?~-- I MISCELLANEOUS RECEIVABLES ADJUSTMENT ADDRESS CHANGE CLOSE ACCT ' FINANCE CHARGE j OTHER ADJ CUSTOMER NAME ~¢~ ~ cr~-~ <, ~ " MAILING ADDRESS ~-¢ ~ ~%-~ ~-- SITE ADDRESS PARCEL NUMBER (IF APPUCABLE) ADJUSTMENT I ~CHG DA~- CHARGE CODE ADJUSTMENT AMOUNT I ; . ! ~ · REMARKS: r od[ '~ BOBS AUTOMOTIVE SiteID: 215-000-000900 Manager : BusPhone: (805) 323-1676 Location: 2626 CHESTER AV Map : 103 CommHaz : Low City : BAKERSFIELD Grid: 19C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 SIC Code:7538 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title R L CARTER / WILLIAM H. KOFAHL / Business Phone: (805) 323-1676x Business Phone: (805) 323-1676x 24-Hour Phone : (805) 366-6007x 24-Hour Phone : (805) 536-8540x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire DelHlth Agency-Defined Topic Title ~--- Hazmat Inventory One Unified List -- MCP+DailyMax Order Ail Materials at Site Hazmat Common Name... ISpecHazlEPA HazardsI Frm DailyMax Unit MCP WASTE OIL F DH L 110 GAL Low 1 04/25/1997 BOBS AUTOMOTIVE SiteID: 215-000-000900 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site WASTE OIL Days On Site 365 Location within this Facility Unit EAST END OF LOT CAS# 221 Liquid Waste Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS STORED AND IN USE Lrgst Cent.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 110.00 100.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS %Wt.Ii EHS CAS# 100.00 Waste Oil, Petroleum Based No 0 -2- 04/25/1997 BOBS AUTOMOTIVE SiteID: 215-000-000900 Fast Format = Notif./Evacuation/Medical Overall Site -- Agency Notification 04/22/1992 CALL 911 -- Employee Notif./Evacuation 04/22/1992 WORD OF MOUTH, WALK OUT OF DOORS, CALL 911 -- Public Notif./Evacuation 04/22/1992 WORD OF MOUTH Emergency Medical Plan 04/22/1992 SAN JOAQUIN HOSPITAL - 2615 EYE ST - 327-1711. -3- 04/25/1997 BOBS AUTOMOTIVE SiteID: 215-000-000900 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 04/22/1992 KEEP SHOP CLEAN - PICKED UP - FLOORS CLEAN - PRACTICE SAFETY. DON'T KEEP MORE THAN 100 GALS. OF WASTE OIL AT ONE TIME. KEEP EQUIPMENT IN GOOD WORKING ORDER. -- Release Containment 04/22/1992 CLAY ABSORBENT. -- Clean Up 04/22/1992 RICE HULL - CLAY ABSORBENT. Other Resource Activation -4- 04/25/1997 BOBS AUTOMOTIVE SiteID: 215-000-000900 Fast Format F Site Emergency Factors Overall Site Special Hazards ~ -- Utility Shut-Offs 03/20/1990 A) GAS - REAR OF BUILDING - EAST SIDE B) ELECTRICAL - REAR OF BUILDING - EAST SIDE C) WATER - REAR OF BUILDING - EAST SIDE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 03/20/1990 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS, WATER HOSES FIRE HYDRANT - 27TH STREET AT ALLEY EAST END OF BUILDING Building Occupancy Level -5- 04/25/1997 BOBS AUTOMOTIVE SiteID: 215-000-000900 Fast Format ~ Training Overall Site -- Employee Training 01/07/1990 WE HAVE 3 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE REVIEW MATERIAL SAFETY DATA SHEETS WITH EMPLOYEES Page 2 Held for Future Use Held for Future Use -6- 04/25/1997 -7- 04/25/1997 02/24/92 BOBSoverallAUTOMOTIVEsite with215-000-0009001 Fac. Unit ~ APR 161992 L~age 1 General Information By. Location: 2626 CHESTER AV Map: 103 Hazard: Low Community: BAKERSFIELD STATION 01 Grid: 19C F/U: 1AOV: 0.0 Contact Name , Title Business Phone 24-Hour Phone- IR L CARTERI (805) 323-1676 x (805) 366-6007 IWILLIAM H. KOFAHL (805) 323-1676 x (805) 536-8540 Administrative Data Mail Addrs: 2626 CHESTER AV D&B Number: City: BAKERSFIELD State: CA Zip: 93301- Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: 7538 Owner: R. L. CARTER Phone: (805) 323-1676 Address: 2304 PAGEANT State: CA City: BAKERSFIELD 'Zip: 93306- Summary r®viewed the a~tached ~'-~-, .... merit plan R~ ~iv6 ~d thai it alone with any corrections constitute a complete and corr~ ~gement plan for my facility. 02/24/92 BOBS AUTOMOTIVE 215-00'0-000900 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 Anhual Amount GAL 110 ~ 55.00 1,000.00 StorageI~Press T Temp Location DRUM/BARREL-METALLIC IAmbient~AmbientlNORTH END PARKING LOT -- Conc . Components MCP List 100.0% IWa.ste Oil, Petroleum Based ILow I 02/24/92 BOBS AUTOMOTIVE 215-000-000900 Page 3 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation WORD OF MOUTH, WALK OUT OF DOORS, CALL 911 <3> Public Notif./Evacuation WORD OF MOUTH <4> Emergency Medical Plan SAN JOAQUIN HOSPITAL 2615 EYE ST 327-1711 02/24/92 BOBS AUTOMOTIVE 215-000-000900 Page 4 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention KEEP SHOP CLEAN - PICKED UP - FLOORS CLEAN - PRACTICE SAFETY. DON'T KEEP MORE THAN 100 GALS. OF WASTE OIL AT ONE TIME. KEEP EQUIPMENT IN GOOD WORKING ORDER. <2> Release Containment <3> Clean Up <4> other Resource Activation 02/24/92 BOBS AUTOMOTIVE 215-000-000900 Page 5 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - REAR OF BUILDING - EAST SIDE B) ELECTRICAL - REAR OF BUILDING - EAST SIDE C) WATER - REAR OF BUILDING - EAST SIDE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS, WATER HOSES FIRE HYDRANT - 27TH STREET AT ALLEY EAST END OF BUILDING <4> Building Occupancy Level 02/24/92 BOBS AUTOMOTIVE 215-000-000900 Page 6 00 - Overall Site <G> Training <1> Page 1 WE HAVE 3 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE REVIEW MATERIAL SAFETY DATA SHEETS WITH EMPLOYEES <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use CITY OF B~KERSF I ELD -. ; HAZARDOUS MATERIALS I~NT~RY ~ Farm and Agriculture ~ Standard Business '. Page.__of~ NON - ~E SEC~T BUSINESS N~: BOB'SAUTOMOTIVF O~ER N~: ~ ~' N~ OF THIS FACILITY: LOCATION:' Z~Z~ CHSST~V~. ~D~SS: ~%O[ ~6~ ST~ IND. CLASS CODE: CITY, ZIP~ BAKE~SFIFJ ~ ~a ~o~ CITY, ZIP: ~, ~'~ DUN ~D B~ST~ET N~BER/FEDE~ ID ~.ON~ ~: mn~ ~o~;~J~' ~ONS ~: ~- ~ q~ - ~% - ~ ~R ~ INS~U~IONS ~R PROPER ~DES 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Tr~s ~e ~ Average ~nual Measure ~ Days Cent Cent Cent Use Location Where % by N~s of M~ture/Com~nents Code C~e ~t ~t ~t Units on Site ~ Press Temp Code Stored in Facility ~ See Inst~cttons Ph~ical and H~l[h Haza=d C.~.S. Nu~e~ Co~ponent ~ I Na~ & C.A.S. Nu~e= ~ (Check all thai appl~) Co~ponen[ ~ 2 Na~ S C.~.S. ~[ Fire Hazed ~ Sudden Release '~ R.ctivity ~ I~ediate ~ Delay~ of Pressure H~lth Health Component ~ 3 N~ & C.A.S. Nu~er Ph~lcal and H~lth Hazard C.A.S. Nu~er Co,orient ~ 1 N~ & C.A.S. Nu~er (Check all t~t apply) Co~onent ~ 2 N~ a C.A.S. N~er of Pressure Health H~lth Co,orient ~ 3 N~ & C.A.S. Nu~er (Check all t~t apply) Component ~ 2 Na~ & C.A.S. N~er of Pressure Health Health Component ~ 3 Na~ & C.A.S. N~er I I I I I I I I I I Physical and H~lth ~zard C.A.S. N~er Component ~ 1 N~ & C.A.S. N~er (Check all t~t apply) Component ~ 2 Na~ & C.A.S. N~er of Pressure H~lth Health Co~onent ~ 3 Na~ & C.A.S. Nu~er E~RGENCY CONTACTS ~1 Na~ Title 24 ~. Phone N~e Title 24 Hr Phone Certification (~ ~D SIGN AFTER COMPLETING ~L SECTIONS) I certify ~der p~nlty of law that I ~aver ~rsonally ~in~ ~d ~ f~ili~ with the info~ation submitted in this ~d all attached d~ents ~d that ~sed on ~ in~iry of those individuals res~nsible for obtaining the info~tion. I believe that the submitted info~ation is t~e, acc~ate, and complete. NAME AND OFFICIAL TITLE OF OWNEI~JOPERkTOR OR OWNER/OPERATOR'S AUTHORIZE~ REPRES~'~%TIVE SIGNATURE DATE SIGNED TO: BUILDING DEPT. BUSiNESSNAME ~'~~ ~~~,'z-~~¢~ STATUS CF HAZ MAT REGULATICNS I. r'"l Required to complete c HczcrCcus Materials Business Plcn r-] Hczcrdous McTericis Busine~ P!cn Complete II. [-]_ Risk Mcnc~ement & ?reventicn Prcgrcm Required Risk Mcncgement & Prevention Prcgrcm Requirements ore being met - CK to issue ~ermif r-i Risk Mcncgement cnC Prevention Prcgrcm ~cs I~een cp.crcveC. CK to issue Certificci'e of Occupcncy. III. [--~ No HczcrCcus Mctericl Requirements. IV. ~"11 Hczcrdcus Mcterials Reporting Requirements Complete. Comments: H azc'r~o~"~'tVr~ rtcI~ ivisio n . Date/ Hazardous Materials Division '~~~~ HAZARDOUS MATERIALS COMPLIANCE STATEMENT (To be completed I~V Building Permit Applicant and /or Site Plan -- r~ev!ew-~ODt~'-~---~Lt and returned to the Building Dept. or Plann~g Dept.) B ~ - Daytime Phone No. PLEASE READ ALL OF THE :NFORMATON CAREFULLY. FAILURE TO COMPLY WITH THE HAZARDOUS MATERIALS REGULATIONS UAY ,ESULT,. C V,L U^B, UTIES OF UP TO S2000.00 FOR DAY,. W.C, WOrm. OCCURS. Will the Applicant or fu~re beilalng occupant be recluirecl to complete a Hazardous YES NO Materials Business Plan?' I~ 1-11 (NOTE) If you handle, store, use or dispose of, repealable quantities of any hazardous substance, you are required by California Law to complete a Hazardous Materials Businels Plan. Forms can be ol~tained from the Bakersfield Fire Department, Hazardous Materials Division, 2130 G Street. Typical event clay hazardous materials you may find in your facilities may include, but not Iimitecl to: compressecl gases; fuels, all types; solvents; oils (new anti waste); thinnerl; caustic or corrosive materia~ poisonous or toxic materials; and radioactive materials. Will the applicant or future building occupant be required to complete a Risk Manage- YES NO ment and Prevention Program? ~~_ ~ (NOTE) If ,you handle, store, use or dispose of rell~rtaDle duanfltle$ of any extremely hazarclous substance you must develop a Risk Management and Prevention Program. THIS PLAN MUST BE APPROVED BY THE LOCAL ADMINISTERING AGENCY BEFORE YOU COMMENCE OPERATIONS AT THIS FACIUIY. The list otregulatecl chemicals is contained in Appendix A of part 355 of Subchapter J of Chapter I pt TItle 40 of the Code of Federal Regulations. This list pt chemicals isavaiia~le at the Bakersfield Fire Department, I-I~=zarclous Materials Division, 2130 G Street. Will the applicant or future building occupant I~e requirecl to ol~tain o permit from the YES NO Kern County Ak Polutlon Control District? Location within 1,000 feet of outer boundry pt the following: YES NO School -(any school, public or private used for the purposes pt education of II-I children Kindergarten or any of grade I to 12, inclusive) Long Te~m Care Facility- r-J j"~j Check here if none of the above apply to this proiect, r"'J (Owner,'Y'Prini~le or Officer of Business) FO 1654 Bakersfield Fire Dept. Hazar'dous Materla Division HAZARDOUS MATERIALS INFORMATION GUIDE The tOllow~ng are guiaeline$ to nel¢) me bum:ling l~ermft applicant aet~mme wnemer they will n~a to com~v w~tn the n~r~o~ mat~ reDor~ng r~u~emen~ of ChaDt~ 6.95 Of t~e C~liforn~a H~tn aha Satew C ~ae. Chapter 6.95 r~u~ O~s that nana~ ~ao~ mat~. at ~e Ca~r~a ~resnota R~o~ng ~uantmes. file a "~ra~ M~ Res~ B~e~ P~ aha ~~' wi~ me LOCal ~am~tenng Agency, wn~n · me ClW of ~~ Fire O~~t, H~ao~ ~t~ D~n, 2130 G 32~3979. B~n~ mat n~ "Acut~ H~O~ Mat~j* m~ ~ ~ ~ "Acute~ H~arao~ ~e California ~v~nm~t Coae S~n ~.2 pro~ a c~ ~ co~ ~om ~ a ~al c~cate of occupancy unle~ me~ r~ r~~ ~e ~ ~ ~ ~ m~. . P~se r~a me statist O~w ~ ae~ ~ ~ of ~e m~ ~ Ov yo~ ~e~ or ~Y a future occupant of yo~ me. fal unam t~e n~~ ma~ r~g r~~. PLEASE INOICA~ WI~ A CHECK IN ~E '~*' BOX ON ~E BUI~G PERMff APPUCA~ON IF ~E APPLICANT OR FUTURE BUILDING OCCUPANT WI~ HANDLE A H~RDOUS MA~R~L OR A M~RE CONTAINING A HA~ROOUS MATER~L: A. In a qu~ at any ~e ~e ~ ~ ~ gr~m. ~ a ~ w~t of ~ B. Or any quan~ ~ ~e Ac~ H~a~ M~ ~ ~ Vol ~ No. 77 of me Strut.) . 'NOTE: A mix.re ~ con~ one ~c~t (1%) or m~e of a ~~ ~~t is a n~arao~ m~ A m~e m~ conta~ one t~m of ~e ~c~t (0.1%) or more ota carc~ · a n~a~ mat~L If you~ propos~ Dus~ ~ ~ to nanale ~ acut~ ~a~ m~ or wJ ~ wit~.n 1~ f~t of me outm ~ounaa~ ota scn~l, you may ~ r~j~ to comp~te ~a ~p~t a R~K Management aha Prevention Program ~ pm S~n ~.2 ~ ~e Ca~ Sta~ ~vmm~t Coae. A school aetin~ in the H~ ana S~eW Coae, S~n 42~1.9(a), ~ any scn~l ~ for me purposes of ~ucation of cnilar~ ~ ~~en ~ ~y of graam i to 12 F F~RE O~CUfA~ !~ UNKNOWN AT ~ ~ME ~NE ~ACT THAT TN~ 8UIL~IN~ ~ WHICH ~lS P~MiT IS BEIN~ APPLIED ~OES NOT NAV~ A ~NANT AT ~IS TIME. DOES NOT RELIEVE ~E OWNER OR HIS AU~OR~ED AGENT F~OM THE RESPONSIBILI~ UNDE~ CALIFORNIA LAW TO INOICA~ WHE~ER FU~RE OCCUPANTS WILL NEEO TO COMPLY WI~ THE REPOSING ~E~UIREMENTS PO~ THE HANDLING OF ANY HA~ROOUS MATERIALS. IF AT A LATER DA~ YOU DETERMINE THAT A TENANT WILL BE HANDLING HA~RoOUS MATERIALS AS DESCRIBED IN THIS GU~E SHEET YOU MUST INFORM THE CI~ OF BAKERSFIELD. HA~ROOUS MATERIALS OlVISION AT (805) 32~3979. ~ G Hazardous Materials D~vision Bakersfield Fire Dept. 'W"' R E C E I V E D 2130 "O" Street Bakersfield, CA. 93301 liAR ! ~ 1990 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To avoid further action, return this form within 30 clOYS of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as o whole. 4. Be brief and concise os possible. SECTION 1' BUSINESS IDENTIFICATION DATA BUSINESS NAME' ~)~ ~'-.5 [/~ L4 ~/~)~ '{ ( ~ LOCATION' ~G ~~~ ~, MAILING ADDRESS: ~ ~ ~ DUN & BRADSTREET NUMBER: SIC CODE: PRIMARY ACTIVITY' ~ ~ ~*~ ',Y OWNER' '-~~ L ~~ MAILING ADDRESS: ~O~ ~~~ ~ SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE FDIS~ Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN ,- !'sEcTION 3: TRAINING: ~UMBER OF EMPLOYESS: MATERIAL SAFETY DATA SHEETS ON FILE: 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 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) SF~TION 5: CERTIFICATION: l, ~'0~..~'"~- '~ ~-,,-~'~',~."~.',,J'~ 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 FD15~ Bakersfield Fire Dept. ~ 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: ,,,., SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) WATER: SPECIAL' LOCK BOX: lil~NO IF YES. LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: ~----,~--e.. E,,~e-tt,o~.At~a,~.,~.~o -- B. WATER~~ AVAILABILITY ~~ (FIRE~, HYDRA~T): FD~5~ Bakersfield Fire Dept. ~ Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCy NOTIFICATION PROCEDURES: B. EMPLOYEE NOTIFICATION AND EVACUATION: C. PUBLIC EVACUATION: D. EMERGENCY MEDICAL PLAN: CI'i'Y of BAKER FIELL) Farm and Agriculture ~ Standard Business ,~.HAZARDOUS I, aAT ER TAgS TNVENTORY NON--TRADE SECRETS Page ...... of__ LOCATION_: ~___¢,,,~~~ __ A~.D.D.R, ESS. ;. _.~..'~,,~q ~g~,r~,,~'~ ST NDAR . : CJiY. ZIP~ IJIIY. ZIP:[_-~-(.-I~.~ ~( DUN AND BRADSTREE] NUMBER - - I 2 3 , 5 Iisitl 8 9 10 II~ 12 ~i!)' ,la~esofPixture/¢~rDonents Trans !Yl~e Nax Average Annual Neasure I Oyse Cent Cent Cent Us I. ocation?ece. Code come AmC Ami Est Un,ts on lype Press lemp Coue Stored In ~a__ci/lty See ]nstru:t~ons Physical and ~e8lth HAz8rd C.A.S. Number Componen~ II Name I C.A,S. Number IC~ec~ ~11 LhiL apply) . ~eHazard .Reactivity 4a~. Sudden Releaseof Pressure "lmmediateC°mp°nen~12Health Name lC,A,S. Humber Componen~ 13 Hame I C.A,S. Number Physical and ~ealth Hazard C.A,S. Number Component II Hame t C,A,S. Number IC~eck al/ that applyl Component I~ Hame I C,A.S. Number ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Hem/Ch of Pressure HealC~ Component 13 Name I C.k,S, Number Physical Ind Health Hazard C,A.S. Number CoAponent II Hame I C,A,S. Number ICheck ~11 ~hAC apply) Componefl~ I~ Hame I C,A,S. Number ~ FireHazard ~ Reac~ivi&y ~ Delaye~ ~ Sudden Release ~ Immediate He, ICh of Pressure Health Componen~ 13 Name I C,A,S. Humber (Check all that apply) Component 12 Name & C.A.S. Number ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ ImmediaTe Health of Pressure Health Componen~ t3 NAme & C,A,S, Number EMERGENCY CONTACTS ¢1 C~rtifjcation (Re~d and sign after compl~Ci(~g,~ll.~.cCi~/]q) l'cert~fy under penalt~ ol~a~ th{t I havepeEsona/ty, examln~olqotm [ami~ar. vito the InlormaHpn fu~eitt~d in this.and all aCta~hed.doc~menc~, anO t~ac easeD on.my inquiry 9r.tnose InDIviDuals re~nsio/e tot obtalflln9 the In[ormaHofl, [ believe LhaC the submitted informaHon IS ~e, accurate, ano~oAp/ece, [.' ~, ~P~=T~[;i'~li~tJ~ Of o ~r~ooerato¢ u~ o~netloperato ~ authorized r~,ese.~a~ve 03/09/90 BO AUTOMOTIVE 215-0('~0-0009 Page 1 Overall Site with 1 Fac. Unit General Ir~format ion ILocation: 2626 CHESTER AV Map: 103 Hazard: Low I ldent Number: 215-000-000900 Grid: 19C Area of Vul: 0. o i Cor~tact Nar~e~ Title | - Busir~ess Phone ---F 24 Hour Phone] IR L CARTER I ~(8~)') = d,-d--1676~ ~-''~ X (805) 366--6007 IWILLIAM H. KOFAHLI ~(805) 323-1676 x (805) 536-8540 Administrative Data Mail Addrs: 2626 CHESTER AV D&B Number: City: BAKERSFIELD State: CA Zip: 93301- GeoSubDiv: 215-001 BAKERSFIELD STATION 01 SIC Code: 7538 Owner: R. L. CARTER Phone: ( ) - Address: 2304 PAGEANT State: CA City: BAKERSFIELD Zip: 93306- Summary 03/09/90 BOBS AUTOMOTIVE 215-000-0A0900 Page 2 Hazr~at Ir~ventory List itl Referer~ce Number Order 02 - Fixed Cor~tair~ers c,r; Site 02-001 WASTE OIL Liquid 110 Low Fire, Delay Hlth GAL 03/09/90 BOBS' AUTOMOT I VE 215-000-0009(.~ Page 02 - Fixed Cor~tair~ers or~ 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 GAL ........... I' Daily Average GAL T Ar~nual Amour, t GAL 110 ~ 55 ~ 1,000 Storage I Press T Temp I Locat ior, DRUM/BARREL-METALLIC ~ An~bier, tlAmbier, t~ NORTH END PARKING LOT -- Conc~ Compor, ents ~ MCP ~ist 1OO. O% ~Waste Oil ~ Low I I 03109/90 BOBS AUTOMOT I VE :~ 15-000-000900 Page 00 - Overall Site {D) Not if. /Evacuat ion/Medical <1> Agency Notificatior~ CALL 911 <2> Employee Notif. /Evacuation WORD OF MOUTH, WALK OUT OF DOORS, CALL 911 <3> Public Notif. /Evacuation WORD OF MOUTH <4> E~ergency Medical Plan SAN JOAQUIN HOSPITAL 2615 EYE ST 327-1711 03/09/90 BO AUTOMOTIVE 215-000-0009~ Page O0 - Ove~-all Site <D> Not if. /Evacuatior~/Medical <4> Erl~erger, cy Medical Plar, (Cor, tir, ued) 03/09/90 BOBS AUTOMOTIVE 215-000-000900 Page 6 00 - Overall Site (E) Mitigatior,/Prevent/Abatemt (1) Release Preve~tio~ KEEP' SHOP CLEAN - PICKED UP - FLOORS CLEAN - PRACTICE SAFETY. DON'T KEEP MORE THAN 100 GALS. OF WASTE OIL AT ONE TIME. KEEP EQUIPMENT IN GOOD WORKING ORDER. <2> Release Contairm~er~t <3> Clear~ Up <4> Other Resource Act i vat i or, 03/09/90 BOB~ AUTOMOTIVE 215-000-0009Ce Page 7 O0 - Overall Site <E> Mit i gat ion/P~-event/Abat erst <4) Other Resource Activation (Continued) 03/09/90 BOBS AUTOMOTIVE 215-000-000900 Page 00 - Overall Site <F> Site Er~ergerlcy Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - EAST SIDE OF BUILDING IN ALLEY B) ELECTRICAL - NORTH END OF BUILDING C) WATER - SOUTHEAST CORNER OF BUILDING IN ALLEY D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS, WATER HOSES FIRE HYDRANT - 28TH & H STREETS~ SOUTHEAST CORNER <4> Held for Future use 0~/09/90 BO AUTOMOTIVE ~ 15-000-0009(~' Page 9 00 - Overall Site <F> Site Er~erger~c¥ Factors <4> Held for Future use (Continued) 03/09/90 BOBS AUTOMOTIVE 215-000-000900 Page 10 00 - Overall Site <G> Training <1> Page 1 WE HAVE 3 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE REVIEW MATERIAL SAFETY DATA SHEETS WITH EMPLOYEES <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use March 5~ 1990 TO: Nina Mayer~ Accounts Receivable FROM: Ralph E. Huey~ Hazardous Materials Coordinator SUBJECT: Bob's Automotive Nina~ account # 434901 has Changed its location to 2626 Cheater Ay. Bakersfield~ Ca. 93301~ please change your records accordingly. Thanks~ Valerie ",ii...~ ~ :......': ,~...~ -~,;-2_'.? ,. ,,j:,',',~ ~tv~e or ~r~n~ name) ~"~'d Do hereby cert~ ~-- ' ,- ~ . _~,~ that I have reviewem +he attached Hazardous Materials business olan (name of business) and that. it alon~ with the attached additions or ,corrections constitute a com~')lete and correct Business Plan for my facility. sz~nanure -' --..- .....aate CITY of BAKERSFIELD ALS NON--TRADE SECRETS LOCATION: ~ ¢~ ~,~ ~DDRESS: ~/~q U~,r,~n~ ~.~ STANDARD IND.~S~O~E '~ CITY, ZIP: ~ k~i~ ~.~,,- ~ ~OJ CITY, ZIP: '~ ~~J~ (,~ q ~ DUN AND BRADSTREET NUMBER Tr~ns Ty~ ~x A~ ~1 ~SU~ C~ C~e bt ~t Est Units Ph~icll ~ H~lth ~z4~ C.A.S. (C~k all t~ ~ly) .... ~t F~re Hazard ~--~ Rflcttvtty ~--~ hl~.hU--Jm,~ b hi~ u--J i~$lte ....... of P~ ~lth -~- ~t .... [ .... 1 ............ 1 .............. 1 1 ..... 1,.-.._1,_~,~5 ..... I - ~ .......... P~icll ~ ~lth HIZI~ C.A.S. (C~k ,11 tbt a~ly) - -- r--n r-- ~lth ,f ~ ~lth .... ~1 .... 1 k .......... ~ ...... 1 I .l~,1, I ~ ~ ....... P~tc~l ~ ~lth hz4~ C.A.S. (C~k all tMt apply) .... r ~ ~ Kl~e Hazaed ~ ~ RHcttvtty ~ ~ ~14~ ~ ~ ~ Hfllth of ~t 13 ~&C.A.S.~ __L ........... L ............ 1 .......... ]. I__.L__J. 1~ 1.___~ ...... P~c~l ~ HHIth ~,~ C.A.S. (~k ill t~t ~}~} . . .. --- . ...... C~t H, lth of Pr~,uP~ ~eolth ............ ~t ~ ~&C.A.S. ~ .... .......... Cert~ficati~ (Reed and sJ~ after compJeting all sect~o.s) I cer~4fV ~der ~]ty of ]~ t~ I ~ve ~rs~.]]ye~a~in~ ~d for~.ainin9 t~ interim. I ~lieve t~t t~ su~itt~ info. tim BUSINESS NFIME BOBS 40TIVE ID 215-000-000900 LOCATION 1G~.4 Z8TH ST HIGH .HAZARD RATING Z 1. OVERVIEW LAST CHANGE 12/18/87 BY EVAMC JURIS CODE ZtS-004 JURIS BAKERSFIELO STATION 04 MBP PAGE 103 GRID 19C FACILITY UNITS 1 HAZARD RATING Z RESPONSE SUMMARY ~A SEC 4) EMPLOYEES EMERGENCY CONTACTS 2A SE(] Z) R L CARTER ~Z3-iG?6 OR 3BG-G007 UTILITY SHUTOFFS ZA SEC 3) A) GAS - EAST SIDE OF BUILDING IN ALLEY B) ELECTRICAL - NORTH END OF BUILD'- ING C) WATER - SE CORNER OF BUILDING IN ALLEY D) SPECIAL - NONE E) LOCK BOX - NO NOTIFICATION / PUBLIC EVACU~tTION LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > PAGE 1 1Z/1S/88 11:04. MATERIAL SAFETY DAT8 SYSTEMS~ INC. (80S) G48-..G800 BUSINESS NAME BOBS AUTOMOTIVE I0 NUMBER Z1S-OOO-~OB00 LOCATION 1~Z4 ZBTH ST HIGH HAZARD RATING HAZ MAT TRAINING SUMMARY LRST CHANGE / / BY < NO INFORMRTION RECORDED FOR THIS SECTION > LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE 12/18/87 BY EVAMC ' SEC ~ SAN 30AQUIN HOSPITAL ZGI~'EYE ST PAGE Z lZ/15188 11:04 MATERIAL S~FETY D~TA SYSTEMS, INC, (80S> G48~BB00 BUSINESS NAME BOBS I~MOTIVE ID 21S-O~-~OO9OO LOCATION 16Z4. ZBTH ST HIGH HAZARD RATING-Z F~CILITY UNIT 01 ~. OVERALL HAZ~'RDOUS MATERI~LS INVENTORY L~ST CHANGE 01/19/BB BY EVAMC IO TYPE NAME MAX BMT UNIT H~ZARD LOCATION CONTAINMENT USE I WRSTE W~SI'E OIL 1~O GAL UNI<NO~N NORTH END' RRRKING LOT DRUMS OR BARRELS MET.. W~STE ID RERCENT COHPONENTS HAZARD LIST 1598.00 100.0 W~STE OIL UNKNOWN FIRE PROTECTION / WATER SUPPLIES LAST CHANGE lZ/18/87 BY EV~MC 3A SEC 4) FIRE EXTINGUISHERS, WATER HOSES 3A SEC S) ZBTH & H SI'S, SE CORNER PAGE 3 1Z/15/88 1!:04 MATERIRL SAFETY DATA SYSTEMS, INC. (80S) 648-6800 BUSINESS NAME BOBS AUTOMOTIVE ID NUMBER Z~S-000-000900 LOCATION 1GZ4 ZBTH ST HIGH HAZARD RATING 0. EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 1Z/lB/B? BY EVAMC SEC Z) WORD OF MOUTH, WALK OUT OF DOORS, CALL 911 E. MITIGATION / PREVENTION / ABATEMENT LAST CHANGE 12/18/87 BY EVAMC SEC 1) KEEP SHOP CLEAN - PICKED UP - FLOORS CLEAN - PRACTICE SAFETY. DON'T KEEP MORE THAN 1~ GALS. OF WASTE OIL AT (]NE TIME. KEEP EQUIPMENT IN GOOD WORKING ORDER. PAGE 4 1Z/15/88 11:04 NATERIAL SAFETY DATA SYSTEMS, INC. (80S) G48-G800 I BAKERSFIELD CITY FIRE' DEPART~NT "G" STREET RECEIVED 2180 (805) 326-3979 JUL 1 1987 I,~' I ~,as'~l ............ OFFICIAL USE ONLY HAZARDOUS ~ATERI ALS BUSINESS PLAN AS A ~HOLE ~OR~ ~ A INSTRUCTIONS: 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: BUSINESS IDENTIFICATION DATA B. LOCATION / STREET ADDRESS: SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving 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 Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: N.~,F~AND Tf. TLE DURING BUS. HRS. AFTER BUS. HRS. SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE B, ELECTRICAL: A~1-'%~' ['~)~'~ ~ ~:3~ \,,~. ' D. SPECIAL: E. LOCK BOX: YES ~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO - 2A - SECTION 4:~ PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS:...- .... ' .............................. ~ NO (~ NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... ~ NO ~ NO C. PROPER USE OF SAFETY EQUIPMENT: .................. NO NO D. EMERGENCY EVACUATION PROCEDURES: ................. NO NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES~ YES NO. SECTION 7: HAZARDOUS MATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... , certify that the above information is accurate. I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et Al.) and that inaccurate information constitutes perjury. BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY tD# BUSINESS NAME: BUSI NESS PLAN SINGLE FACILITY UNIT FORM 8A INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below fo~' THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT# FACILITY UNIT NAMIZ:~C>k)/~ ~-~Drwc>X-t~/C SECTION 1: MITIGATION, PRE~ION, ABATEMENT PROCEDb~ES SECTION 2: NOTIFICATION ANrD EVACUATION PROCEDURES 'AT THIS U?IT ONLY - 3A - SECTION 3: HAZARDOUS MATERIALS FOR THiS b~IT ONLY A. Does this Facility Unit contain Hazardous Materia!s? ...... ~N0 If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES~ If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form ~4A-1) If Yes, complete a hazardous materials inventory form marked: TRAOE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY E~ERGENCY RESPONDERS SECTION 6: LOCATION OF UTILITY S~T-OFFS AT THIS UNIT ONLY. A. NAT. GAS/PROPANe] B. ELECTRICAL: C. NATER: O. SPECIAL: E. LOCK BOX: YES / NO IF YES, LOCATIOn: IF YES, SITE PLANS? YES / NO MSDSs? YES /' NO FLOOR PLANS? YES / NO KEYS? YES / NO 3B - I,. BAKERSFIELD CITY FIRE DEPARTMENT D. # FORM 4A-1 Page NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY BUSINESS ~AME:~)~' ~U"r~'~A~ OWNER NAME:~.-. ~Wv'~'~ FACILITY UNIT ADDRESS: ~ ~~ ~ ADDRESS:~~ FACILITY UNIT NAME: CITY ZiP :~ o~l_~ g~k CITY, ZIP ~& PHONE ~: 6~5 t~ PHONE ~: ~-k-~V [OF~IClA5 US~ C~IRS COD~ I ONLY I 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE OUID~ N~RE: TITLE: ' SIGNATURE : ~ ~R'S~C~ CO~TACT:~N W~X~ T~TL~: ~~m~ P~ON~ ~ ~US hOURS: %Z%-~ AFTER BUS HRS: ~- . EREROENC~'~C~ONTACT:~~w~ TITLE: ~~ . PHONE ~ BUS.ROURS: PRINCIPAL B~S-I~NESS ACTIVITY: AFTER BUS HRS: - 4~-1 -