HomeMy WebLinkAboutBUSINESS PLAN Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF ~PERMIT ON REVERSE SIDE
· ~ This ~errnit is issued for the followirtg;
I;1 Hazardous Materials Plan
[] Underground Storage of Hazardous Materials
Pormit ID #:: 015..000-001996 : ~ Rlskl~nagem~tPro~mm
HA RRYS AUTO RE PAl R
OFFICE OF ENVIRONMENTAL SER VICES' i ~ "~
1715 Chester Ave., 3rd Floor App~ovedby:
Bakersfield, CA 93301 ' ?~'' I~'
FAX {661) 326-0576 i Expiration Date:
~ Po~tage $
Ir' Codified Fee ~1. o. 0
I postma~k¢
Return Receipt Fee I · 50 Here~
~ (Endomement Required)
c:3 Reacted O.,ve~ Fee 1.50
E:~ (Endorsement Required)
.r-, ~t~.~,&~. $ 3.7~4
u3 I'Recip!ent'a Name Please Print Cl'e~rly) (To be ¢omplet~l by:mailer)
[ MR. _A O ;
c~c~ [ 3916 $. CHESTER AVE
· Complete items 1, 21 ~ ). Also complete A. Rgc~_ive.d by (Please Pti, '~ar/y)
item 4 if Restricted"De~,~'ry is desired. . ~1 ~
· Print your name and address on the reverse C. 'sign~.tq~_e/ L
so that we can return the card to you. [_j Agent
· Attach this card to the back of the mailpiece, X ~) ¥..,((' ~
or on the front if space permits. ~. _,~ _Ot~' -, ,~.j~'t....~l-I Addressee
D. Is delivery address different from item 17 [] Yes
1. Article Addressed to: If YES, enter delivery address below: ~ No
MR. HARRY BENNETT
fIARRYS AUT°
3916 S. CHESTER AVENUE
BAKERSFIEI~, CA 93307 , 3. Service Type
[~ Certified Mail [] Express Mail
[] Registered [-I Return Receipt for Memhandise
[] Insured Mail [] C.O.D.
4. Restricted Delivery? (Extra Fee) [] Yes
2. Article Number (Copy from service label)
7000 0520 0021 9610 7660 ,
PS Form 381 1, July 1999 Domestic Return Receipt 102595-99-M-1789
May 15,2001
Mr. Harry Bennett
Harry's Automotive
3916 S. Chester Avenue
Bakersfield, CA 93307 VIA
'~t RoNFIRE FRAZECHIEF Subject: Revocation of Ha~_ 's Automotive; Permit to Operate
ADMINISTRATIVE SERVICES Dear Mr. Bennett:
2101 "H" Street
Bakersfield, CA 93301
VOICE (661)326-3941
F^X (661) 395-1349 Your "Permit to Operate" at 3916 S. Chester Avenue, known as Harry's Automotive
is being revoked effective Monday, May 28, 2001, at 5:00 p.m. This "Permit to
SUPPRESSION SERVICES Operate" is being revoked due to failure to pay current as well as past due fees.
2101 "H~ Street
Bakersfield, CA 93301
. VOICE (661) 326-3941
FAX (661)395-1349 This action can be avoided by bringing your account current prior to that time. If you
have any questions, please call me at (661) 326-3979.
PREVENTION SERVICES
1715 Chester Ave.
Bakersfield, CA 93301 Sincerely,
VOICE (661) 326-3951
FAX (661) 326-0576
ENVIRONMENTAL SERVICES ~~
1715 Chester Ave. .,~
Bakersfield, CA 93301
VOICE (661) 326-3979
FAX (661) 326-0576 Ralph E. Huey, Director
Office of Environmental Services
TRAINING DIvISIoN
5642 Victor Ave.
Bakersfield, CA 93308 RH\db
VOICE (661)399-4697
FAX (661) 399-5763
cc: Walter Porr, Jr., City Attorneys Office
Steve Underwood, Environmental Services
Esther Duran, Environmental Services
Drew Sharpies, Treasury
F HARRYS AUTO REPAIR i .... "-~-'~ ¥ ~L3/ SiteID: 215-000-001996
Manager : ~ ~~18 2000 ~usPhone: (661) 832-8127
Location: 3916 S CHESTER AVE ~¥ ~ap : 124 CommHaz : Minimal
'City : BAKERSFIELD / I~~:~ ~~_~rid: 18B FaCUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 05 SIC Code: 7538
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
HARRY / OWNER /
Business Phone: (661) 832-8127x Business Phone: ( ) - x
24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire DelHlth
Contact : Phone: (661) 832-8127x
MailAddr: 3916 S CHESTER AVE B State: CA
City : BAKERSFIELD Zip : 93307
Owner HARRYS AUTO REPAIR Phone: (661) 832-8127x
Address : 3916 S CHESTER AVE B State: CA
City : BAKERSFIELD Zip : 93307
Period : " to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
~ Hazmat Inventory One Unified List
F-- MCP+DailyMax Order Ail Materials at Site
Hazma't~-"Common Name... ISpooHazlEPA HazardsI Frm I DailyMax lUnitlMcP
WASTE OIL F DH L 55.00 GAL Low
-1- 01/11/2000
HARRYS AUTO REPAIR SiteID: 215-000-001996
---- Inventory Item 0001 Facility Unit: Fixed Containers at Site
~%)lV. LiV1%21~l l~l/-k.iVll"; / ~I"I.lY.;IVI.L ~./'%.lJ l~l_,q,.I. Vll";
WASTE OIL Days On Site
365
Location within this Facility Unit Map: Grid:
OUTSIDE SW CORNER OF BLDG CAS#
221
~ STATE i TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Ambient I DRUM / BA.RREL - MET_~J_,L I C
/Liquid Waste I Ambient
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
55.00 GALI 55.00 GAL 55.00 GAL
HAZARDOUS COMPONENTS
%Wt. RN~os CAS#
100.00 Waste Oil, Petroleum Based 0
HAZARD ASSESSMENTS
TSecretI oRSIBioHazI Radioactive/AmountlEPA Hazards NFPA USDOT# MOP
No N No No/ Curies F DH / / / Low
2 01/11/2000
HARRYS AUTO REPAIR SiteID: 215-000~001996
Fast Format
Notif./Evacuation/Medical Overall Site
Agency Notification
Employee Notif./Evacuation
~ Public Notif./~vacu~tion '
Emergency Medical Plan
-3- 01/11/2000
HARRYS AUTO REPAIR SiteID: 215-000-001996
Fast Format
Mit igat ion/Prevent/Abatemt Overall Site
~~se Co ~i me~t~
,Clean Up : , d 0 fl dl
Other Resource Activation
-4- 01/11/2000
HARRYS AUTO REPAIR SiteID: 215-000-001996
Fast Format
Site Emergency Factors Overall Site
Special Hazards
-- Utility Shut-Offs 01/11/2000
A) GAS -~ ~
D) SPECIAL-
E) LOCK BOX -
Fire Protec./Avail. Water 01/11/2000
NEAREST FIRE HYDRANT - .j~ OC~
Building Occupancy Level
-5- 01/11/2000
HARRYS AUTO REPAIR SiteID: 215-000-001996
Fast Format
~ Training Overall Site
-- Employee Training 01/11/2000
DO YOU HAVE MSDS SHEETS ON FILE???????? (NONE AVAILABLE FOR WASTE OIL)
GIVE A BRIEF SUMMARY OF YOUR TRAINING PROGRAM: ~/~
page 2
Held for Future Use
Held for Future Use
01/11/2000
OFFICE OF ENVIRONMENTAL SERVICES
1715 Cheste~ (~ve., Bakersfield, CA 93301 (805) 326-3979
Page
BUSINESS NAME.(~meas FACILI~NAME~rDSA-DoingBu~ness~) 3 BUSINESS PHONE ~ ~/. ~ ~02
SITE ADDRESS ~R {~ %' C~~ ~O ~ ~ ,03
CITY ~ CA ZIP
DUN & lOS SIC CODE 107
B~DSTREET (4 Digit ¢)
COUN~ ~08
OPE~TOR NAME ~ OPE~TOR PHONE ~0
OWNER NAME ~1~ OWNER PHONE 1~2
OWNER MAILING
ADDRESS ~3
CITY ' 114 STATE "~5 ZIP 116
CONTACT NAME ~7 ~ CONTACT PHONE
CONTACT MAILING ~19
ADDRESS
CITY '2o J STATE 121J ZIP 122
~ME ~ NAME ~29
TITLE ~2s TITLE ~o
BUSINESS PHONE ~26 BUSINESS PHONE ~3~
24-HOUR PHONE 127 24-HOUR PHONE 132
PAGER ¢ ~28 PAGER ~ 133
Ce~ification: Bas~ on my inquiw of ~se individuals responsible for obtaining the info~ation, I cedi~ under penal~ of law ~at I have personally examin~
and am familiar with the information submiE~ in this inventow and believe the info~ation is tin. curate, and complete.
SIGNATURE OF OWNE~OPE~TOR DATE / 1~ ~ NAME OF ~CUME~ PREPARER ~35 i.
I
NAMES OF O~E~0PE~TOR (print) 136 TITLE OF O~E~OPE~TOR 137
OE5 FO!~M 27~O (7/98,) P:\OES2730.TV4.wpd
~OFFICE OF ENVIRONMENTAL SERVICES ,
1715 Chester Ave., CA 93301 (805) 326-3979
UNDERGROUND STORAGE TANK FACILITY
Page __ of __
TYPE OF ACTION ~--] 1 NEW SITE PERMIT ~ 3 RENEWAL PERMIT [] 5 CHANGE OF INFORMATION (State type of change) [] 7 PERMANENTLY CLOSED SITE
(Check one item only)
[] 4 AMENDED PERMIT [] 8 TANK REMOVED 400
[] 6 TEMPORARY SITE CLOSURE
I. FACILITY / SITE INFORMATION -
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 FACILITY ID # ~ ~il~'~!~: . 1
NEAREST CROSS STREET 401 FACILITY OWNER TYPE [] 4 LOCAL AGENCY/DISTRICT*
[] 1 CORPORATION [] 5 COUNTY AGENCY*
[] 2 INDIVIDUAL
BUSINESS [] 1 GAS STATION [] 3 FARM [] 5 OTHER 403 [] 6 STATE AGENCY*
TYPE [] 3 PARTNERSHIP
[] 2 DISTRIBUTOR [] 4 PROCESSOR [] 6 COMMERCIAL [] 7 FEDERAL AGENCY* 402
TOTAL NUMBER OF TANKS Is facility on Indian Reservation or *If owner of UST a Public agency: name of supervisor of
REMAINING AT SITE trustlands? division, section or office which operates the UST.
(This is the contact person for the tank records.)
[] Yes [] .o' nos nos
II. PROPERTY OWNER INFORMATION
PROPERTY OWNER NAME 407 PHONE 408
MAILING OR STREET ADDRESS 409
CITY 410 STATE 411 ZIP 412
PROPERTY OWNER TYPE [] 2 INDIVIDUAL [] 4 LOCAL AGENCY / DISTRICT [] 6 STATE AGENCY 413
[] I CORPORATION [] 3 PARTNERSHIP [] 5 COUNTY AGENCY [] 7 FEDERAL AGENCY
TANK OWNERNAME 414 J PHONE 415
I
MAILING OR STREET ADDRESS 416
CITY 417 STATE 418 ZIP 419
TANK OWNER TYPE [] 2 INDIVIDUAL [] 4 LOCAL AGENCY/DISTRICT [] 6 STATE AGENCY 420
[] I CORPORATION [] 3 PARTNERSHIP [] 5 COUNTY AGENCY [] 7 FEDERAL AGENCY
*" my. BOARD OF ~QUALiZATIO. MST STORAGE FEE ACCOUNT NUMBER
TY (TK) HQ 4 r Call (916) 322-9669 if questions arise 421
V. PETROLEUM UST FINANCIAL RESPONSIBILITY
INDICATE METHOD(S) [] 1 SELF-INSURED [] 4 SURETY BOND [] 7 STATE FUND [] 10 LOCAL GOV'T MECHANISM
[] 2 GUARANTEE [] 5 LETTER OF CREDIT [] 8 STATE FUND & CFO LETTER [] 99 OTHER:
[] 3 INSURANCE [] 6 EXEMPTION [] 9 STATE FUND & CD 422
VI. LEGAL NOTIFICATION AND MAILING ADDRESs.
Check one box to indicate which address should be used for legal notifications and mailing· [] I FACILITY [] 2 PROPERTY OWNER [] 3 TANK OWNER 423
Legal notification and mailing will be sent to the tank owner unless box I or 2 is checked.
VII. APPLICANT SIGNATURE
Certification: I certify that the information provided herein is true & accurate to the best of my knowledge
SIGNATURE OF APPLICANT DATE 424 PHONE 425
NAME OF APPLICANT (pdnt) 426 TITLE OF APPLICANT 427
JSTATE MST FACILITY NUMBER (Fo~ local use only) 1998 UPGRADE CERTIFICATE NUMBER (For local use only) "/
(Formerly SWNCB Form A) July 1, 1998 P:\USTFAC-A.FM4.wpd
CITY OF BAKERSF LD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (805) 326-3979
HAZARDOUS MATERIALS INVENTORY
Chemical Description Form
(one ~o~m I~er mate~al ~ ~ or ama)
~ AO0 ~ OELETE ~ R~ISE ~ P~e -- ~
I. FAClL~ INFORMA~ON
BUSINESS ~ME (S~e a~ FACtLI~ ~ ~ O~ - ~g ~ ~) 3
CHEMICAL LO~ON ~ i~ ~ ~ ~ ~. t~ .. ~ ~1~ CHEMI~L LO~TION
II. CHEMIC~ INFORMATION
~5 T~DE SECRET ~ y. ~ ~
CHEMI~L ~
; F;RE CODE H~D C~ES (~e if ~t~ ~y I~ tim ~i~
210
~PE ~ 0 ~ ~ m M~RE ~W~ 211 ~IOA~NE ~Y. ~. 212 ~ CURIES 213
FED H~ ~RIES
(~ al Nt ~) F;~ ~ 2 ~ ~ 3 ~ ~E ~ 4 A~ H~ ~ 5 CHRONIC H~ 216
,~ UN.S* ~ ~ ~ ~ d ~ ~ ~0 ~S ~ m T~ ~1 DAYSONS~
J~ 'ff~ ~lm~.
STOOGE CO~AINER ~ a ~UND T~ ~ · ~N~C DRUM ~ i RBER DRUM ~ m ~S ~E ~ q ~IL ~
(C~eck a~ ~t a~)
~ ~ UN~OUND T~K ~ f ~ ~ j ~G ~ n ~C ~LE ~ r O~ER
~ c T~K INSIDE BUI~ING ~ g ~Y ~ k ~X ~ o TOTE BIN
~E~ ~UM ~ h SILO ~ I ~INDER ~ p T~K WA~N
STOOGE PRESSURE ~ ~IE~ ~ ~ ~IE~ ~ b; BELOW~I~ ~4
STOOGE ~~ ~ ~l~ ~ ~ ~ ~1~ e ~ BELOW~BIE~ ~ c ~YO~NIC
2 ~ ~1 ~ Y~ ~ NO 232 ~3'
3 ~4 235 ~ Y~ ~ NO 236
4 238 239 ~ Y~ ~ NO 240 241
/ 242 243 ~ Y. ~ No 2~
245
III. 81GNA~RE
PRINT ~ & TITLE OF AUTHOR~ED CO~Y REPRESENTATNE SIG~TURE DATE
OES FORM 27::) } 17/98) P:~OES2731L T¥4.wDd
CITY OF BAKERSi~LD .
~OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (805) 326-3979
HAZARDOUS MATERIAL~i INVENTORY
, Chemi~l Description F~
I. FACIL~ INFO~A~ON
~0
242 2~ ~Y~ O~ ~ 245
PRINT ~ & TI~E OF AUT~RIZED ~ ~ESENTATNE ~I~TURE DATE 2~
,OE3 FORM 27:]1 (7/9~) P:~OES272 ! .*rv4.~
I
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3ra Floor, Bakerstield, CA 93301
Section 4: Hazardous Waste Generator Program EPA ID #
[] Routine ~ombined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection
OPERATION C V COMMENTS
Ha×ardous xvaste determination has been made
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 ofoccurance
Established or maintains a contingency plan and training
Hazardous waste accumulation time fi'ames
Containers in good condition and not leaking
Containers are compatible with the hazardous waste
Containers are kept 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 xvaste analysis for 3 years
Retains copies of used ()il receipts for 3 years
Determines il' waste is restricted fi-om land disposal
C=Compliance V=Violation
Inspector: {~!/L/~'"~'~
Office of Environmental Services (805) 326-3979 Business Site Responsible Party
\Vhite - Env. Svcs. Pink - Business Copy
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301
ADDRESS '~'~ 16--1~ ~ Oto,tJM PHONENO.
FACILITY CONTACT BUSINESS ID NO. 15-210-
INSPECTION TIME NUMBER OF EMPLOYEES
Section 1: Business Plan and Inventory Program
~ fl~ombined [] Joint Agency [2i Multi-Agency [21 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
~Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance V=Violation
hazardous, wastet.~,o%q_~on site?: /~Yes [] No
Any
/
Explain: O l <.... [....C~'~ cO/ ~~
Questions regarding this inspection? Please call us at (805) 326-3979 Business Site Responsible Party
White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: ~
cus~ ~I~ & ~o. ~----~-
MISCELLANEOUS RECEIVABLES ADJUSTMENT
DATE "~'-/~-'"7'-( NEWACCOUNT ;
ADORES8 CHANGE
CLOSE ACC7' I
· F~N~NCE CH~GEi
CUSTOMER NAME ~ff'~ ~~0~-~,I 'Q .~
MAILING ADDRESS ~ ~C~ .I (~ ._~-'~ eS4-C~'"-- ~/(~ _.
SITE ADDRESS
PARCEL NUMBER
ADJUSTMENT
I CHG DATE CHARGE CODE I ADJUSTMENT.AMOUNT
t -
! .
I
~ i
REMARKS: 'r- od/ 'v'