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Home My WebLink AboutBUSINESS PLAN Hazardous Materials/Hazardous Waste Unified Permit .~. CONDITIONS.OF .PERMIT ON REVERSE SIDE : This 0ermit is issued f~r the foIIowfl%e: El Hazardous Materials Plan E] Underground Storage of Hazardous Materials Permit ID #:: 015-000-001829 rq Risk Management Program VALLEY CYCLE' SERVICES ~.~r~o.~ W,,~ O~S.oT~.~ LOCATION: 3808 CHESTER AVE Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor '" Appr°vedby:' Voice (661) 326-3979 FAX (661) 326-0576 'i Expiration Date: "June 30. 2003 · Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: ...... ~;~, ~ ous Materials Plan ~'~' :' round Storage of Hazardous Materials PERMIT ID# 015-0214)01829 ~?~!i ement Program VALLEY CYCLE SERVICES Issu~ by: B~crsficld Fkc Department OFFICEOFE~RON~ALS~CES Approved by: ~~~~. ~ O~ee of ~en~l S~ B~e~fiel& CA 9~301 Voice (805) 326-~979 F~ (S0S) ]2~-0SZ~ Expffation Date: ~O CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ¥o-I l~s ~' (~¢ I ~--- INSPECTION DATE ADDRESS 3~o'~ C~ e-,~ T e.~ PHONE NO. FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME I S' tv,- ~ to NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [~(-Routine C} Combined CI Joint Agency [~} Multi-Agency ~ Complaint {~} Re-inspection OPERATION C V COMMENTS Business plan contact information accurate [07 ,'g Visible address Correct occupancy ;I 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 A nyhExplain: az ardous waste on si te?: [~Y es [~No Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Insp~to OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., ~akersfield, CA (661) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN STRUCTIONS~.' ~ 1. To avoid further action, return this form within 30 days ofreceipt.~k. ~ O',ptgt~,"~g..J/7 2. TYPE/PRINT ANSWERS IN ENGLISH. , "~ "~tl / 3. Answer the questions below for the business as a whole. ~ / 4. Be a~s brief and concise as possible. ~/ 5. You may also attach Business Owner / Operator Form and Chemical Description Form(s) to the front of this plan instead of completing SECTION I. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA MAILING ADDRESS: ~¢d~/ ~ ~.,,~''-'4~''~--- CITY:,~.~//_'~.X/tfi/~?f~ sTATE'df/ ZIP:,~ff.~/PHONE: _,_~_~//~ff,~z59~;'~ PRIMARY ACTIVITY: MAILING ADDRESS: EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE ° HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II. 1: DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: B. EMPLOYEE AND AGENCY NOTIFICATION: C. ENVIRONMENTAL RESPONSE MANAGEMENT: D. EMERGENCY MEDICAL PLAN: 2 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION I1.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES: B. RELEASE CONTAINMENT AND/OR MITIGATION: C. CLEAN-UPANDKECOVERYPROCEDURES: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: ELECTRICAL: WATER: SPECIAL: -~ - LOCK BOX: YES/NO IF YES, LOCATION: PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: B. WATER AVAILABILITY (FIRE HYDRANT): HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION III: TRAINING NUMBER OF EMPLOYEES: MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: CERTIFICATION I, CERTIFY THAT THE ABOVE INFORMATION 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. SIGNATIfR'E ....... TITLE' ( DATE' CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 SITE AND FACILITY DIAGRAM INSTRUCTIONS FOR HAZARDOUS MATERIALS MANAGEMENT PLANS These instructions explain the use of the site diagram and the fac/lity diagram. Normally, small and medium size businesses will only have to submit a site diagram. If you have subdivided your business into smaHerareas because of the 'complexity or size, then you will be completing and additional detail map, facility diagram, for each of these areas. Inolude instructions that show the route to your business it it is in a remote location. ,.. ~ SITE DIAGRAM INSTRUCTIONS The site diagram is used to show your busine~ and to indicate the businesses that immediately surround your property, usually within 300 feet. Ifyou will be showing specific area detail facility diagrams, use the site diagram to show an overall hyo.u.,t_, ofthe plant. If you will not be submitting facility diagrams, the site map must include aH of the foHow/ng information: 1. Check the box on the top leR comer of the form provided that indicated "Site Diagram". 2. Print the name of your business, as shown'in your HMMP, on the top of the 3. Label the location of the hazardous materials and identify them by name and type ......... of hazard (ie:-Flammable liquid, corrosive solid). 4. Label the location of utility shutoffpoints for gas, electric and water services. 5. Label the location of fire hydrants. 6. Label portions of the building protected by automatic sprinkler systems. 7. Label the direction representing north on the diagram. (The diagram form provided includes a north arrow). Map labeling must be le~ and easily Understandable. Try to the use of'abbreviations or symbols. If'you must use them, provide a legend explaining your system. Maps may be returned for correction if'you fail to follow these instruction. FACILITY DIAGRAM INSTRUCTIONS Facility diagrams are supplements to the site diagram. Use them to show the subdivision details of a large business. 1. Check the box in the upper fight hand corner of the form provided that indicated "Facility Diagram". 2. Print the name of your business as shown on your HMMP. Print the name of the area that this map represents. This.name should be the same name that you used on this area's inventory report. 3. Indicate which area the diagram represents and the total number of facility diagrams that you are including.. Ifa map represented the first of four areas, it would be labeled #1 of 4. · 4. Follow instruction (3 -7) for site diagrams regarding the specific details to be included on each facility diagram. · 2 SITE DIAGRA~ ! ! I~ACILITY DIAGRA~ ! ! Business Namo: Business Address: VALLEY CYCLE SERVICES SiteID: 015-021-001829 Manager : -// / BusPhone: (805) 324-0768 Location: 3808 CHESTER AVE - Map : 103 CommHaz : Minimal City : BAKERSFIELD Grid: 19A FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title CHUCK SHAW Business' Phone: ) 324-0768x Business Phone: 324-0768x' 24-Hour Phone : ) -~9~-9~22x~7-~ 24-Hour Phone : 589-2778x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat 'Hazards: Fire DelHlth contact : Phone: (~) 324-0768x MailAddr: 3808 CHESTER AVE State: CA City : BAKERSFIELD Zip : 93301 Owner VALLEY CYCLE SERVICES Phone: (~) 324-0768x Address : 3808 CHESTER AVE State: CA City : BAKERSFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif 'd: RSs: No IEmergency Directives.: = Hazmat Inventory --As Designated Order All Materials at Site Hazmat Common Name... ISpeoHazlEPA HazardsI Frm I DailyMax IUnit MCP LUBRICATING OIL F DH L 200.00 GAL Min I, Do hereby certify that Ihave HYP~ o p 'Et ham~ - reviewed the at~ached hazardous materials manage- ment plan for//~/,,'~e' ,,zT;.'/~ and that it along with ' - - (Na?Se of I~lneSS)~'''-~ any corrections constitute a complete and correct man- agement plan for my facility. 1 02/01/2001 VMLEY CYCLE SERVICES SiteID: 015-021-001829 Invento~ Item 0001 Facility Unit~ Fixed Containers at Site L~RI~TING OIL Days On Site 365 Location within this Facility Unit Map: Grid: SW COMER OF FRONT OF BLDG CAS# 64742-65-0 Lid Pure A~ient A~ient DR~/B~REL-METMLIC Largest Container Daily Maximum Daily Average . 200.00 GM 200.00 GM 200.00 GM ~Z~DOUS COMPONENTS 100.00 Motor Oil, Petroleum Based N 8020835 TSOOrOt RSIBi°Hazll ~Z~DASSESSMENTS I Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No [ No ' No/ Curies F DH / / / Min 2 02/01/2001 VALLEY CYCLE SERVICES SiteID: 015-021-001829 Fast Format ~ Notif./Evacuation/Medical Overall Site Agency Notification f'?f~"Em~rgency~/~/5"'/f'''3 Z~f'//£c~o,(Med~cal Plan~q~,/~,~-/~4~ ~,/~~~5~/~/~'~/~_,~./~2~/~~.~,~. "'-~?~-/' -3- 02/01/2001 VALLEY CYCLE SERVICES SiteID: 0.15-021-001829 Past Format F Mitigation/Prevent/Abatemt Overall' Site ~ Release Prevention -- Release Containment -- Clean Up ~/{ S~tw'U/~g, Other Resource Activation -4- 02/01/2001 VALLEY CYCLE SERVICES SiteID: 015-021-001829 Fast Format F Site Emergency Factors Overall Site Special Hazards -- ~tility Shut-Offs ' ' - / 12/18/1997 ELECTRI~ -~r B ) c) D) SPECI~ : ~ E) ~OCK ~OX -~ -- Fire Protec./Avail. Water 12/18/1997 PRIVATe. F~R~, PROTECT~O~ -/~?~ ~/~/~/~ Building Occupancy Level s 02/Ol/2001 VALLEY CYCLE SERVICES SiteID: 015-021-001829 Fast Format ~ Training Overall Site -- Employee Training 12/18/1997 HOW MANY EMPLOYEES DO YOU HAVE AT THIS FACILITY??????? ~ Page 2 Held for Future Use Held for Future Use 6 02/01/2001 VALLEY CYCLE SERVICES ~._SiteID: 015-021-001829 Manager : BusPhone: (805) 324-0768 Location: 3808 CHESTER AVE Map : 103 CommHaz : Minimal City : BAKERSFIELD Grid: 19A FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title CHUCK SHAW / ROBBY SHELTON / Business Phone: (805) 324-0768x Business Phone: (805) 324-0768x 24-Hour Phone : (805) 392-9022x 24-Hour Phone : (805) 589-2778x Pager Phone : ( ) - x Pager Phone : ( ) - x · Hazmat Hazards: Fire DelHlth Contact : Phone: (805) 324-0768x MailAddr: 3808 CHESTER AVE State: CA City : BAKERSFIELD Zip : 93301 Owner VALLEY CYCLE SERVICES Phone: (805) 324-0768x Address : 3808 CHESTER AVE State: CA City : BAKERSFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif' d: RSs: No Emergency Directives: ~ Hazmat Inventory One Unified List --Alphabetical Order All Materials at Site Hazmat Common Name... ISpocHazIEPA HazardsI Frm DailyMax UnitlMCP LUBRICATING OIL F DH L 200.00 GAL Min I, Do hereby certify tha~ ~ have ;{Type or p~m name) reviewed the attached hazardous materials manage- men; ptan for_ _ iN"r~ofSu'~"e--) and that it along with any corrections constitute a complete and correct man- agement plan for my facility. Signature Date -1- 04/04/2001 VALLEY CYCLE SERVICES SiteID: 015-021-001829 ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~lV~VlU~ ~Vl~ / ~ ~./-'~l,J ~Vl~ LUBRICATING OIL Days On Site 365 Location within this Facility Unit Map: Grid: SW CORNER OF FRONT OF BLDG CAS# 64742-65-0 F STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid [Pure I Ambient I Ambient I DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 200.00 GALI 200.00 GALI 200.00 GAL HAZARDOUS COMPONENTS 100.00 ~otor Oil, Petroleum Based N 80208~5 HAZARD ASSESSMENTS ITSecretl ~S BioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# MCP No N No No/ Curies F DH / / / Min -2- 04/04/2001 VALLEY CYCLE SERVICES SiteID: 015-021-001829 Fast Format ~Notif./Evacuation/Medical Overall Site Agency Notification -- Employee Notif./Evacuation Public Notif./Evacuation Emergency Medical Plan 3 04/04/2001 VALLEY CYCLE SERVICES SiteID: 015-021-001829 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site [~ Release Prevention -- Release Containment -- Clean Up Other Resource Activation -4- 04/04/2001 ~ VALLEY CYCLE SERVICES SiteID: 015-021-001829 Fast Format ~ Site Emergency Factors Overall Site iSpecial Hazards --Utility Shut-Offs 12/18/1997 A) GAS - B) ELECTRICAL - C) WATER - D) SPECIAL - E) LOCK BOX - --.Fire Protec./Avail. Water 12/18/1997 PRIVATE FIRE PROTECTION - NEAREST FIRE HYDRANT - Building Occupancy Level -5- 04/04/2001 VALLEY CYCLE SERVICES SiteID: 015-021-001829 Fast Format = Training Overall Site -- Employee Training 12/18/1997 HOW MANY EMPLOYEES DO YOU HAVE AT THIS FACILITY??????? DO YOU HAVE MSDS SHEETS ON FILE????? GIVE A BRIEF SUMMAY OF YOUR TRAINING PROGRAM: Page 2 Held for Future Use Held for Future Use -6- 04/04/2001 ~,:,{~LEY 'C¥CL~~ SERVIeES ~.-~: a,~ ~", . .... ~ S:teID: 0 5-010-002145 ~a,n%~e~ : I1~( -'-:' '-" ~RsPhone: (805) 324-076S NOV 1 .L6~'{:ion~: .3'808, CH. ESTER AV IBv ~j · ~0mmcO~e: ~IV~vz~w' ~EA-STA ~~ ..... ~ SIC Coae: 5s7z " Co:.t.a.c t / Title Emergency Contact / Title :$~W / ROBBY SHELTON / .:~s~me~s~s Phone: (805) 324-0768x Business Phone: (805) 324-0768x ~2..~'?.[H~m:r P,hone' : (805) 393-5594x 24-Hour Phone : (805) 589-2778x Ba~er-P~ne : ( ) - x Pager Phone : ( ) - x .~zma~t -H,a~z~mdS: I mmH 1 t h ~,~:~taCt: 'CHUCK S~W Phone: ( ) - x · 'M~':i.!~Aa~r: 3:8.0~ C~'ESTER ~V State: ~:i~' ~ B~:mRSF I ELD Zip : 9330: · Bm. SO--er V~LE.Y CYCLE SERVICE Phone: (805) 324-0768x ~/~'S:s~.: 3:8~8' CH<ESTER AV State: CA '~'~{:i'~' .: B~KZR$:FIELD Zip : 93301 · Re::i-o~: .: ' to TotalASTs: = Gal ~:~ej~a~er: TotalUSTs: = Gal Ce~r:~'if' d: EHSs: No ,l~[e':eyiDe:fined. To.pic Title 1 I ~=~EY CYCLE, S~W,~RVIC,ES SiteID: 015-010-002145 i --~aiz~ma~ i,~ventory By Facility Unit -~- As ~'~.ered~ Order Fixed Containers at Site "'~azm,a~t Common Name... IspecHazlEP~ HazardsI Frm I' DailyMax UnitIMcP 03/28/96 VAL. LE' YCL. E SERVICES 015-0t0--00 Page:-; 1 ....................................................................... ============================ Locatffon; 3808 CHESTER AV h~ap;103 F.laz:0 Type: 1 Cff~y ; gAKERSF~ELD Gl*fid: 19 : i AOV: .... Contact Name ............ Tfitle ......... ~--- Contact Name .......... Title ur-lUur~ ~'~*~" Busfiness v,~o,~: ~(>05) o ~24-.-07~8x ! Busine~¢s Phone: (805) 324-0768x 24-Flour ,-,~o,~e : (805) 392--9022x ~ 24--Hour Phone : (S05) 589-277Sx Pager Phone : ( ) - x i Pager Phone = ( ) - Hazma-t !nven'tor'y Licit in MCP Order Matei*ia] Name .... Hazards-- ~tax Qt~' Unit NCP LUBRICATING OZ[_ ' F' DH 200 GAl_ lqinima] SW CRNR OF FRONT OF BLDG. POLl:iRIS' sALEs Valley Cycle Ed 3808 Chester Avenue Bakersfield, CA 93301 Rhonda ( 805) 324-0768 FAX 324-0769 Works Hard~ Plays Hard