HomeMy WebLinkAboutBUSINESS PLAN (2)~i ji
oCARQI7EST/SO AUTO SUPPLY I
;_1135 COLUMBUS STREET 1-1
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This _~ermit is issued for the following:
I;I Hazardous Materials Plan
[3 Underground Storage of Hazardous Materials
Permit ID #:: 015-000-001029 (3 Risk Management Program
S 0 U T H. E R N A U TO S U P PLY D Hazardous Waste On-Site Treatment
LOCATION: 1135 COLUMBUS ST .,~ .: ..~ IELD
3-: -:;~. i "..~'
~': ~.~.. :i~-~' ' ~. , >.~
..... ?
/' ~ ~';~ -~' 3-"
I ssu ed by: Bakers field Fire Department ~~l~~
OFFICE OF ENVIRONMENTAL SER VICES - .
1715 Chester Ave., 3rd Floor ^pprovedby:
Issue Date
Bakersfield, CA 93301 OfficeofEvironmenl~tTServices
Voice (661) 326-3979
FAX (661) 326-0576 Expiration Date: June 30:2003
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
~,~ ~,,~,~,~,~,,~,~,=~,~ ............ This~)ermit is issued for the followina: '
· ,~,~ ~'"i? ~' ;" ~' ~ ~i~::,,~i,~;,,:::::,~:::;:.::::::~:;Ji::: :j.: :)*~Et~Hazardous Materials Plan
· ~:~'~'i !:~, '. ~ground Storage of Hazardous Materials
PERMIT ID# 015-0214)01029 .,~i~¥'i;~~ i;,~ '.iiiiii ~ji!i? ..,?!ii!!!ii i ~! !!,!i!!!i:'.: iiii:}i~ ~Ei~nagement Program
~~i~''~' ~;~.~ ~'~:" ~ : ~'~ ~:::~ ?:::~ :~::.:::::~ :::~ ::~ :::~'~ '""; ~ :~'~::~ ~'::~::: ~~db~s Waste
LOCATION ' 1135 COLUMBU~
~[ ~F' =='.~[.:~'",.... ~..~'~[.' ,~ ~ .. ~.... ~. 'i; F ~. .....
]ssu~ by:
Bakersfield Fire Depa~ment Approv~ by: ~~~~'
OFFICE OF E~R O~AL S~ ~CES ~ ~ph Huey~
1715 Chewer Ave., ~rd Floor
B~e~fiel~ CA 93301 ~ Office oriental S~i~
Voice (805) ~2~979
F~ (805)~26-0S76 Expkation~t~:
UNIFIED PROGRAM INSPECTION CMECKL.IST
SECTION 1 Business .Plan and Inventory Program
• FACILCTY NAME
_________ ~____~~'~-e~~-------TRT~.~-.-..-.-..PRl~7~.---- -.._.._-_____.-......-_........_...-.......----..-.._.-._. PHONEN _ b~--~ No. ofEmployees~....-_~.
ADDRESS
----- X135---~o~~wibuS---~-~~------------------.___----------- .- --_.....__..--- -- ---------.. ----_._4
FACILITYCONTACT 8uainesa ID Number
15-021- oo ~ ~ 2 Q
Bakersfield Fire Dept.
Environmental Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel: (661) 326-3979 _ _ _ _
Section 1: Business Plan and Inventory Program
Routine ~ Combined O Joint Agency OMulti-Agency O Complaint O Re-inspection
•
ANY HAZARDOUS WASTE ON SITE?: DYES LIa< IVO
EXPLAIN:
•
QUESTIONS REGARDING THIS INSPECTIOW~ PLEASE CALL US AT ~66~ ~ 326-3979
N I '~'C ~ C fk ~ S C-
Inspector (Please Print) Fire Prevention 1 sl-INShift of Site
Whfte -Environmental Services Yelbw -Station Copy
/yJ~/~~id //c~iPNRS~'z
Business Site Responsible Party (Please Print)
rn
8
Pink - Business Copy
Bakersfield Fire Dept.
UNIFIED PROGRAM' PECTION CHECKLIST Enironmente] Services
1715 Chester Ave
SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301
Tel: (661)326-3979
FACILITY NAME INSPECTION DATE ~ INS~CTION TIME
PHONE Nrc.
ADDRESS ~No. of Employees
FACILITYCONTACT Business ID Number
· :' '.~ ." Section l: Business Planand lnventory'PrOgmm
[] Routine [] Combined [] Joint Agency [] Multi-Agency ~ Complaint ~ Re-inspection
C V ~,~C=C°mplianCe)V=Violation OPERATION COMMENTS
[~[] APPROPRIATE PERMIT ON HAND
~ ~ VISIBLE ADDRESS
~ ~ CORRECT OCCUPANCY
~ ~ VERIFICATION OF INVENTORY MATERIALS
~ ~ VERIFICATION OF QUANTITIES
~ ~ VERIFICATION OF LOCATION
~ ~ VERIFtCAT~ON OF HAT MAT T~INING
~ ~ VERIFICAIION OF ABATEMENT SUPPLIES AND PROCEDURES
m m EMERGENCY PROCEDURES ADEQUATE
~ ~ HOUSEKEEPING
~ ~ FIRE PROTECTION
~ D S~T~ D~GR~ ADEQUATE & ON HAND
ANY H~ARDOUS WASTE ON SITE?: ~ YES
EXPLAIN:
Inspector ~' Badge .o~ -- '"'~' _. .
7'--
White - Environmental Services Yellow - S{ation Copy Pink - Business Copy
sO~rHZU~ A~rO SUPPLY t ~/1Rw'CEIVS~ siteIo: 215-000-00102~
I
Manager : . [ ...... ~ · BusPhone: (805) 324-4006
J~N ~3 2OOO
Location: 1135 COLUMBUS ST.-~Y:.:~ ~ _ ........... ~ Map : 103 Com~az : Moderate
City : B~RSFIELD Grid: 16C FacUnits: 1 AOV:
CommCode: B~ERSFIELD STATION 08 SIC Code:
EPA Nu~: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
MARTIN HERNANDEZ / MGR DON MCMURTREY / PRESIDENT
Business Phone: (805) 872-1955x Business Phone: (805) 327-0288x
24-Hour Phone : (805) 366-7024x 24-Hour Phone : (805) 322-3404x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact : Phone: ( ) - x
MailAddr: 1135 COLUMBUS ST State: CA
City : BAKERSFIELD Zip : 93305
Owner SOUTHERN AUTO SUPPLY INC : Phone: (805) 327-0288x
Address : PO BOX 2426 State: CA
City : BAKERSFIELD Zip : 93303
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
~ Hazmat InventorY One Unified List
-- MCP+Dai~yMax Order All Materials at Site
Hazmat Common Name... [SpocHazIEPA Hazards[ Frm I DailyMax IUnitlMCP
SOLVENTS' ~ IH DH L 64.00 GAL Mod
ANTIFREEZE F DH L 260.00 GAL Low
FREON F P IH G 1111.00 FT3 Min
MOTOR OIL F DH L 350.00 GAL Min
I, _~W~,~/-/~rN~-go hereby certify that I have
(Type or I)dnt name)
reviewed the attached hazardous materials manage-
ment Plan for~? ~r-,~e,.,/,~ ~'u~'~nd that it along with
(Nan~ o~ aumnou)
any correction~ constitute a complete and correct man-
~gement plan for my facility.
SOUTHERN AUTO SUPPLY SiteID: 215-000-001029
= Inventory Item 0003 Facility Unit: Fixed Containers on Site
SOLVENTS Days On Site
365
Location within this Facility Unit Map: Grid:
SOUTH WALL 'CASS
8030306
F STATE r TYPE PRESSURE --~ TEMPERATUREI CONTAINER TYPE
Ambient Ambient METAL CONTAINR- NONDRUM
Pure
I l,iquid
Largest Container. Daily Maximum Daily Average
GAL 64.00 GAL 32.00 GAL
I 1%Wt. HAZARDOUS COMPONENTS I I~R
100.00 Naphtha N°s
TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT% MCP
No No No/ Curies IH DH / / / Mod
= Inventory IteTM 0005 Facility Unit: Fixed Containers on Site
ANTIFREEZE Days On Site
365
Location within this Facility Unit Map: Grid:
CENTER AISLE CAS#
107211
F STATE T TYPE i PRESSURE i TEMPERATUREI CONTAINER TYPE
Liquid Pure Ambient Ambient PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
l Largest Container I Daily Maximum . I Daily Average
GAL '~ 260.00 GAL 130.00 GAL
HAZARDOUS COMPONENTS
100.00 Ethylene Glycol 107211
HAZARD ASSESSMENTS
[TSocrotlNoRSIBioHazI Radioactive~Amount I EPA Hazards NFPA USDOT# I MOP
No No No/ Curies F DH / / / Low
-2- 12/15/1999
SOUTHERN AUTO SUPPLY SiteID: 215-000-001029
---- Inventory Item 0004 Facility Unit: Fixed Containers on Site
-- COMMON NAME / CHEMICAL NAME
FREON Days On Site
'365
Location within this Facility Unit Map: Grid:
SOUTH WALL AND STORAGE .ROOM CAS#
75718
Gas METAL CONTAINR-NONDRUM
AMOUNTS AT THIS LOCATION
Largest'Container Daily Maximum I 'Daily Average
FT3 1111.00 FT3I 550.00 FT3
HAZARDOUS COMPONENTS
100.00 Dichlorodifluoromethane 75718
HAZARD ASSESSMENTS
I Radioactive/Amount HazardsI NFPA I USDOT# I MCP
TSoorotI RS I BioHaz EPA
No [No [ No 'No/ Curies F P IH / / / Min
= Inventory, Item 0001 Facility Unit: Fixed Containers on Site
--COMMON NAME / CHEMICAL'NAME
MOTOR OIL ~ Days On Site
· ~ ,. 365
Location within this'.Facility Unit Map: Grid:
WEST SIDE SHELF CAS#
8020835
~ STATE I ~PE'Pure . PRESSURE ~ TEMPE~TURE CONTAINER TYPE
AMOUNTS AT ~IS LOCATION
Largest Container Daily Maximum I Daily Average
GAL 350.00 GALI 175.00 GAL
HAZARDOUS COMPONENTS
100.00 Motor Oil, Petroleum Based I~ I 8020835
HAZARD ASSESSMENTS
Radioactive/~ount EPA Hazards I NFPA I USDOT# I MOP
TSecretl RS BioHaz
No'~No No No/ Curies F DH / / / Min
-3- "12/1S/1999
SOUTHERN AUTO SUPPLY SiteID: 215-000-001029
Fast Format
= Mitigation/Prevent/Abatemt Overall Site
-- Release Prevention 10/17/1991
ALL CHEMICALS ARE IN CONTAINERS AND iF THERE IS A SPILL WE HAVE ABSORBENT'S
TO HELP GET THEM UP. THIS DOESN'T HAPPEN VERY OFTEN.
Release Containment 10/17/1991
PRODUCT CONTAINED IN SMALL CONTAINERS THAT ARE SEALED.
-- Clean Up 10/17/1991
CLEANUP QUICKLY WITH A SUITABLE ABSORBENT.
Other Resource Activation ~
-5- 12/15/1999
SOUTHERN AUTO SUPPLY SiteID: 215-000-001029
Fast Format
~ Site Emergency Factors Overall Site
' Special Hazards
-- Utility Shut-Offs 02/05/1990
A) GAS - NORTHEAST CORNER OR BUILDING
B) ELECTRICAL - INSIDE WEST SIDE IN OFFICE
C) WATER - EAST OF STORE AT CURB SIDE
D) SPECIAL - NO
E) LOCK BOX - NO ~
-- Fire Protec./Avail. Water 02/05/1990
PRIVATE FIRE PROTECTION- FIRE EXTINGUISHERS ONE NORTH AT CHECK OUT
STAND ONE-BEHIND COUNTER.
FIRE HYDRANT -- WEST OF .STORE _ON COLUMBUS STREET AT MILLER OUTPOST ENTRANCE.
Building Occupancy Level
-6- 12/15/1999
SOUTHERN AUTO SUPPLY SiteID: 215-000-001029
Manager : ~ 8usPhone: (805) 324-4006
Location: 1135 COLUMBUS ST / · Map : 103 CommHaz : Moderate
City : BAKERSFIELD : 8¥-- Grid: 16C FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 08 SIC Code:
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
MARTIN HERNANDEZ / MANAGER DON MCMURTREY / PRESIDENT
Business Phone: (805) 872-1955x Business Phone: (805) 327-0288x
24-Hour Phone : (805) 366-7024x 24-Hour Phone : (805) 322-3404x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Agency-Defined Topic Title
~ Hazmat Inventory One Unified List
-- MCP+DailyMax Order Ail Materials at Site
Hazmat Common Name... ISpooHazlEPA HazardsI Frm I DailyMax lUnitlMCP
SOLVENTS IH DH L 64 GAL Mod
ANTIFREEZE F DH L 260 GAL Low
FREON F P IH G 1111 FT3 Min
MOTOR OIL F DH L 350 GAL Min
~ or ~ neme)
reviewed ~he a~ached h~ardous mat~als ~anags~
men~ plan for ~d ~4~ ~ ~nd tha~ it along with
any corrections ~nsti~ut~ a compl~ts and OOFFG~ man-
agement plan for my
SOUTHERN AUTO SUPPLY SiteID: 215-000-001029
~ Inventory Item 0003 Facility Unit: Fixed Containers on Site
SOLVENTS Days On Site
365
Location within this Facility Unit
SOUTH WALL CAS#
8030306
STATE -q-- TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid /pure Ambient I Ambient METAL CONTAINR-NONDRUM
AMOUNTS STORED AND IN USE
Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL
64.00 32.00
DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL
.AZARDOUS COMPON~.NTS
wt, I
100. 001Naphtha No I 8030306
-2-
SOUTHERN AUTO SUPPLY SiteID: 215-000-001029
~ Inventory Item 0005 Facility Unit: Fixed Containers on Site
ANTIFREEZE Days On Site
365
Location within this Facility Unit
CENTER AISLE CAS#
107211
F STATE ~ TYPE PRESSURE i TEMPERATURE CONTAINER TYPE
Liquid /Pure Ambient Ambient PLASTIC CONTAINER
AMOUNTS STORED AND IN USE
Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL
260.00 130.00
DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL
HAZARDOUS COMPONENTS
%Wt. EHS CAS#
100.00 Ethylene Glycol No 107211
-3-
SOUTHERN AUTO SUPPLY SiteID: 215-000-001029
= Inventory Item 0004 Facility Unit: Fixed Containers on Site
FREON Days On Site
365
Location within this Facility Unit
SOUTH WALL AND STORAGE ROOM CAS#
75718
F STATE -- TYPE PRESSURE --[ TEMPERATURE I CONTAINER TYPE
I Ambient Ambient METAL CONTAINR-NONDRUM
Pure
Gas
AMOUNTS STORED AND IN USE
Lrgst Cont.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3
1111.00 550.00
DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3
HAZARDOUS COMPONENTS
%Wt. IEHSI CAS#
100.00 Dichlorodifluoromethane ~ 75718
-4-
SOUTHERN AUTO SUPPLY SiteID: 215-000-001029
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site
MOTOR OIL Days On Site
365
Location within this Facility Unit
WEST SIDE SHELF CAS#
8020835
Liquid Pure Ambient Ambient METAL CONTAINR-NONDRUM
AMOUNTS STORED AND IN USE
Lrgst Cent.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL
350.00 175.00
DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL
HAZARDOUS COMPONENTS
%Wt. EHS CAS#
100.00 Motor Oil, Petroleum Based No 8020835
-5-
F SOUTHERN AUTO SUPPLY SiteID: 215-000-001029
Fast Format
~ Notif./Evacuation/Medical Overall Site
--Agency Notification 10/17/1991
CALL 911
Employee Notif./Evacuation 10/17/1991
ALL PERSONAL HAVE BEEN INSTRUCTED TO LEAVE AT THE MOST CONVENIENT EXIT AND
MEET ON WEST SIDE OF BUILDING.
-- Public Notif./Evacuation 10/17/1991
VERBAL WARNING
Emergency Medical Plan 10/17/1991
NEAREST HOSPITAL.
-6-
SOUTHERN AUTO SUPPLY SiteID: 215-000-001029
Fast Format
~ Mitigation/Prevent/Abatemt Overall Site
-- Release Prevention 10/17/1991
ALL CHEMICALS ARE IN CONTAINERS AND IF THERE IS A SPILL WE HAVE ABSORBENT'S
TO HELP GET THEM UP. THIS DOESN'T HAPPEN VERY OFTEN.
-- Release Containment 10/17/1991
PRODUCT CONTAINED IN SMALL CONTAINERS THAT ARE SEALED.
--Clean Up 10/17/1991
CLEAN UP QUICKLY WITH A SUITABLE ABSORBENT.
Other Resource Activation
-7-
F SOUTHERN AUTO SUPPLY SiteID: 215-000-001029
Fast Format
F Site Emergency Factors Overall Site
Special Hazards
--Utility Shut-Offs 02/05/1990
A) GAS - NORTHEAST CORNER OR BUILDING
B) ELECTRICAL - INSIDE WEST SIDE IN OFFICE
C) WATER - EAST OF STORE AT CURB SIDE
D) SPECIAL - NO
E) LOCK BOX - NO
-- Fire Protec./Avail. Water 02/05/1990
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS ONE NORTH AT CHECK OUT
STAND ONE BEHIND COUNTER.
FIRE HYDRANT - WEST OF STORE ON COLUMBUS STREET AT MILLER OUTPOST ENTRANCE.
Building Occupancy Level
-8-
SOUTHERN AUTO SUPPLY SiteID: 215-000-001029
Fast Format
= Training Overall Site
-- Employee Training 10/17/1991
WE HAVE 8 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING: STORE HAS SAFETY MEETINGS QUARTERLY.
Page 2 I
Held for Future Use I
Held for Future Use I
-9-
09/11/95 SOUTHERNoverallAUTOsite.withSUPPLY 1215-000-001Fac. Unit ~ 00I I1 7995 ~ ~ge 1
General Information By ....
Location: 1135 COLUMBUS ST Map:103 Haz:3 Type: 3
City : BAKERSFIELD Grid: 16C F/U: 1 AOV: 0.0
Contact Name Title Contact Name Title
MARTIN HERNANDEZ / MANAGER DON MCMURTREY / PRESIDENT
Business Phone: (805) 872-1955x .~. Business Phone: (805) 327-0288x
24-Hour Phone : (805) 366-7024x 24-Hour Phone : (805) 322-3404x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Administrative Data
Mail Addrs: 1135 COLUMBUS ST D&B Number:
City: BAKERSFIELD State: CA Zip: 93305-
Comm Code: 215-008 BAKERSFIELD STATION 08 SIC Code:
Owner: SOUTHERN AUTO SUPPLY INC Phone: (805) 327-0288
Address: P O BX 2426 State: CA
City: BAKERSFIELD Zip: 93303-
Summary
I,~,~rc/-~ ~;~/v,~r~p~zDo hereby ce~i~ that I have
~y~ ~'~.m ~) ~. .
r~iewed'the a~ed h~ardous mate~als manage-
ment plan for~u.~..~o ~~ that it along with
(~ ~ ~) ~
any ~rr~ions ~nstitute a ~mplete and ~ffe~ man-
agement plan for my facili~.
09/11/95 SOUTHERN AUTO SUPPLY 215-000-001029 Page 2
Hazmat Inventory List in MCP Order
02 - Fixed Containers on Site
Pln-Ref Name/Hazards Form Max Qty MCP
02-003 SOLVENTS Liquid 64 Moderate
· Immed Hlth, Delay Hlth GAL
02-005 ANTIFREEZE Liquid 260 Low
· Fire, Delay Hlth GAL
02-004 FREON Gas 1111 Minimal
· Fire, Pressure, Immed Hlth FT3
02-001 MOTOR OIL Liquid 350 Minimal
· Fire, Delay Hlth GAL
09/11/95 SOUTHERN AUTO sUpPLY 215-000-001029 Page 3
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-003 SOLVENTS Liquid 64 Moderate
· Immed Hlth, Delay Hlth GAL
CAS #: 8030306 Trade Secret: No
Form: Liquid Type: Pure Days: 365 Use: CLEANING
Daily Max GAL I Daily Average GAL I Annual Amount GAL
64 ~ 32.00 224.00
Storage Press T Temp~ ' Location
METAL CONTAINR-NONDRUM Ambie~tlAmbientlSOUTH WALL
-- Conc Components MCP ---TGuide
100.0% INaphtha IModeratel 27
02-005 ANTIFREEZE Liquid 260 Low
· Fire, Delay Hlth GAL
CAS #: 107211 Trade Secret: No
Form: Liquid Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE
Daily Max GALI Daily Average GAL ~ Annual Amount GAL --
260 I 130.00 1,200.00
Storage Press T TempI Location
PLASTIC CONTAINER AmbientlAmbientlCENTER AISLE
-- Conc Components MCP -~Guide
100.0% IEthylene Glycol [Low ~ 27
02-004 FREON Gas 1111 Minimal
· Fire, Pressure, Immed Hlth FT3
CAS #: 75718 Trade Secret: No
Form: Gas Type: Pure Days: 365 Use: COOLING
Daily Max FT3 I Daily Average FT3 [ Annual Amount FT3
1,111 I 550.00 19,000.00
Storage Press T Temp~ Location
METAL CONTAINR-NONDRUM Ambient I Ambient I SOUTH WALL AND STORAGE ROOM
-- Conc Components MCP ----~uide
100.0% ]Dichlorodifluoromethane IMinimal I 12
09/11/95 SOUTHERN AUTO SUPPLY 215-000-001029 Page 4
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-001 MOTOR OIL Liquid 350 Minimal
~ Fire, Delay Hlth GAL
CAS ~: 8020835 Trade Secret: No
Form: Liquid Type: Pure Days: 365 Use: LUBRICANT
Daily Max GAL I Daily Average GAL 1 Annual Amount GAL
350 ~ 175.00 3,000.00
Storage Press T Temp~ Location
METAL CONTAINR-NONDRUM AmbientlAmbientlWEST SIDE SHELF
-- Conc~ Components ~ MCP ---~uide
100.0% IMotor Oil, Petroleum Based IMinimal I 27
09/11/95 SOUTHERN AUTO SUPPLY 215-000-001029 Page 5
00 - Overall Site
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
ALL PERSONAL HAVE BEEN INSTRUCTED TO LEAVE AT THE MOST CONVENIENT EXIT AND
MEET ON WEST SIDE OF BUILDING.
<3> Public Notif./Evacuation
VERBAL WARNING
<4> Emergency Medical Plan
NEAREST HOSPITAL.
09/11/95 SOUTHERN AUTO SUPPLY 215-000-001029 Page 6
00 - Overall Site
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
ALL CHEMICALS ARE IN CONTAINERS AND IF THERE IS A' SPILL WE HAVE ABSORBENT'S
TO HELP GET THEM UP. THIS DOESN'T HAPPEN VERY OFTEN.
<2> Release Containment
PRODUCT CONTAINED IN SMALL CONTAINERS THAT ARE SEALED.
<3> Clean Up
CLEAN UP QUICKLY WITH A SUITABLE ABSORBENT.
<4> Other Resource Activation
09/11/95 SOUTHERN AUTO SUPPLY 215-000-001029 Page 7
00 - Overall Site
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - NORTHEAST CORNER OR BUILDING
B) ELECTRICAL - INSIDE WEST SIDE IN OFFICE
C) WATER - EAST OF STORE AT CURB SIDE
D) SPECIAL - NO '~
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS ONE NORTH AT CHECK OUT
STAND ONE BEHIND COUNTER.
FIRE HYDRANT - WEST OF STORE ON COLUMBUS STREET AT MILLER OUTPOST ENTRANCE.
<4> Building Occupancy Level
09/11/95 SOUTHERN AUTO SUPPLY 215-000-001029 Page 8
00 - Overall Site
<G> Training
<1> Employee Training
WE HAVE 8 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING: STORE HAS SAFETY MEETINGS QUARTERLY.
<2> Page 2
<3> Held for Future Use
<4> Held for Future Use
~ JUf~ ~ 199Z
04/27/92 SOUTHERN AUTO SUPPLY 215-000-00102 · ge 1
Overall Site with 1 Fac. Unit
General Information
Location: 113'~ COLUMBUS ST Map: 103 Hazard: Moderate
Community: BAKERSFIELD STATION 08 Grid: 16C F/U: 1 AOV: 0.0
Contact Name Title Business Phone I 24-Hour Phoneq
~ MANAGER (805) 872-1955 x I
DON MCMURTREY PRESIDENT (805) 327-0288 x (805) 322-3404
Administrative Data
Mail Addrs: 1135 COLUMBUS ST D&B Number:
City: BAKERSFIELD State: CA Zip: 93305-
Comm Code: 215-008 BAKERSFIELD STATION 08 SIC Code:
Owner: SOUTHERN AUTO SUPPLY INC Phone: (805) ~7-
Address: P O BX 2426 State: CA
City: BAKERSFIELD Zip: 93303-
Summary
any ~rr~iens ~t~e ~m~e a~ ~ man-
~emem p~an,~r my ~1~.
04/27/92 SOUTHERN AUTO SUPPLY 215-000-001029 Page 2
02 - Fixed Containers on Site
Hazmat Inventory Detail in Reference Number Order
02-001 MOTOR OIL Liquid 350 Minimal
· Fire, Delay Hlth GAL
CAS #: 8020835 Trade Secret: No
Form: Liquid Type: Pure Days: 365 Use: LUBRICANT
Daily Max GALI Daily Average GAL I Annual Amount GAL --
350 ~ 175.00 ~ 3,000.U0
Storage~lPress T Temp Location
METAL CONTAINR-NONDRUMIAmbient~AmDientlWEST SIDE SHELF
-- Conc Components MCP List
100.0% IMotor Oil, Petroleum Based IMinimal I
02-003 SOLVENTS Liquid 64 Moderate
· Immed Hlth, Delay Hlth GAL
CAS #: 8030306 Trade Secret: No
Form: Liquid Type: Pure Days: 365 Use: CLEANING
Daily Max GALI Daily Average GAL I Annual Amount GAL
64 ~ 32.00 224.00
Storage Press T TempI Location
METAL CONTAINR-NONDRUM Ambient~AmbientlSOUTH WALL
-- Conc Components MCP List
100.0% INaphtha ModerateI
02-004 FREON Gas 1111 Minimal
· Fire, Pressure, Immed Hlth FT3
CAS #: 75718 Trade Secret: No
Form: Gas Type: Pure Days: 365 Use: COOLING
Daily Max FT3I Daily Average FT3 I Annual Amount FT3
1,111 I 550.00. 19,000.00
Storage Press T Temp~ Location
METAL CONTAINR-NONDRUM AmbientlAmbientlSOUTH WALL AND STORAGE ROOM
-- Conc Components MCP List
100.0% IDichlorodifluoromethane IMinimal I
04/27/92 SOUTHERN AUTO SUPPLY 215-000-001029 Page 3
02 - Fixed Containers on Site
Hazmat Inventory Detail in Reference Number Order
02-005 ANTIFREEZE Liquid 260 Low
~ Fire, Delay Hlth GAL
CAS #: 1072'11 Trade Secret: No
Form: Liquid Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE
Daily Max GALI Daily Average GAL I Annual Amount GAL
260 ~ 130.00 1,200.00
StorageI~'Press T Temp Location
PLASTIC CONTAINER Iambient~ambientlCENTER AISLE
-- Conc Components MCP List
100.0% IEthylene Glycol IL°w I
04/27/92 SOUTHERN AUTO SUPPLY 215-000-001029 Page 4
00 - Overall Site
<D> Notif./Evacuation/Medical
<1> Agency NOtification
CALL 911
<2> Employee Notif./Evacuation
ALL PERSONAL HAVE BEEN INSTRUCTED TO LEAVE AT THE MOST CONVENIENT EXIT AND
MEET ON WEST SIDE OF BUILDING.
<3> Public Notif./Evacuation
VERBAL WARNING
<4> Emergency Medical Plan
NEAREST HOSPITAL.
04/27/92 SOUTHERN AUTO SUPPLY 215-000-001029 Page 5
00 - Overall Site
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
ALL CHEMICALS ARE IN CONTAINERS AND IF THERE IS A SPILL WE HAVE ABSORBENT'S
TO HELP GET THEM UP. THIS DOESN'T HAPPEN VERY OFTEN.
<2> Release Containment
PRODUCT CONTAINED IN SMALL CONTAINERS THAT ARE SEALED.
<3> Clean Up
CLEAN UP QUICKLY WITH A SUITABLE ABSORBENT.
<4> Other Resource Activation
04/27/92 SOUTHERN AUTO SUPPLY 215-000-001029 Page 6
00 - Overall Site
'<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - NORTHEAST CORNER OR BUILDING
B) ELECTRICAL - INSIDE WEST SIDE IN OFFICE
C) WATER ~ EAST OF STORE AT CURB SIDE
D) SPECIAL - NO
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS ONE NORTH AT CHECK OUT
STAND ONE BEHIND COUNTER.
FIRE HYDRANT - WEST OF STORE. ON COLUMBUS STREET AT MILLER OUTPOST ENTRANCE.
<4> Building Occupancy Level
04/27/92 SOUTHERN AUTO SUPPLY 215-000-001029 Page 7
00 - Overall Site
<G> Training
<1> Page 1
WE HAVE 8 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING: STORE HAS SAFETY'MEETINGS QUARTERLY.
<2> Page 2 as needed
<3> Held for Future Use ~
<4> Held for Future Use
"05/22/91 S HERN AUTO SUPPLY 215-000 1029 Page 1
./~ _~~ , Overall Site with 1 Fac. Unit
General Information
I
Location: 1135 COLUMBUS ST~ Map: 103 'Hazard: Moderate I
Ident Number: 215-000-001029 Grid: 16C Area of Vul: 0.0
~ '~ontact NameI ~¢~'~Title i Business Phone ~124 Hour Phenol
!~B-~~ m4M~6~ (805) 872-1955 x 805) 393-7280!
DON MCMURTREY (805) 327-0288 x 805) 322-3404/
Administrative Data
Mail Addrs: 1135 COLUMBUS ST D&B'Number:
City: BAKERSFIELD State: CA Zip: 93305-
Comm Code: 215-008 BAKERSFIELD STATION 08 SIC Code:
Owner: SOUTHERN AUTO SUPPLY INC Phone: (805) -
Address: P O BX 2426 State: CA
City: BAKERSFIELD Zip: 93303-
Summary
05/22/91 S HERN AUTO SUPPLY 215-00 1029 Page 2
Hazmat Inventory List in MCP Order
02"- Fixed Containers on Site
Pln-Ref Name/Hazards 'Form Quantity MCP
02-003 SOLVENTS Liquid 64 Moderate
Immed Hlth, Delay Hlth GAL
02-005 ANTIFREEZE Liquid 260 Low
Fire, Delay Hlth GAL
02-004 FREON Gas 1,111 Minimal
Fire, Pressure, Immed Hlth FT3
02-001 GR~9~4~ ~ 0~ Liquid 350 Minimal
Fire, Delay Hlth GAL
02-002 GREASE Solid ~ Minimal
Fire, Delay Hlth~ LBS
05/22/91 HERN AUTO SUPPLY 215-00~ 029 Page 3
00 - Overall Site
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
ALL PERSONAL HAVE BEEN INSTRUCTED TO LEAVE AT THE MOST CONVENIENT EXIT AND
MEET ON WEST SIDE OF BUILDING.
<3> Public Notif./Evacuation
<4> Emergency Medical Plan
NEAREST HOSPITAL.
05/22/91 HERN AUTO SUPPLY 215-00 029 Page 4
00 - Overall Site
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
ALL CHEMICALS ARE IN CONTAINERS AND IF THERE IS A SPILL WE HAVE ABSORBENT'S
TO HELP GET THEM UP. THIS DOESN'T HAPPEN VERY OFTEN.
<2> Release Containment
<3> Clean Up
<4> Other Resource Activation
05/22/91 $ HERN AUTO SUPPLY 215-00 01029 Page 5
00 - Overall Site
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - NORTHEAST CORNER OR BUILDING
B). ELECTRICAL - INSIDE WEST SIDE IN OFFICE
C) WATER - EAST OF STORE AT CURB SIDE
D) SPECIAL - NO
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS ONE NORTH AT CHECK OUT
STAND ONE BEHIND COUNTER.
FIRE HYDRANT - WEST OF STORE ON COLUMBUS STREET AT MILLER OUTPOST ENTRANCE.
<4> Building Occupancy Level
05/22/91 S HERN AUTO SUPPLY 215-00 01029 Page 6
00 - Overall Site
<G> Training
<1> Page 1
WE HAVE 8 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING:
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
::'] i CI-I'Y of BAKER F/ELU
i , HAZARDOUS MATERIALS INVENTORY -.
Farm and Agriculture FI' Standard Business []
~ NON--TRADE SECRETS ;i
BUSINESS NAH. E:_~O~T~,,,~/ ~4~,,T'O ~r,~/~ OWNER NAME~ ~ ~ ~m~ NAME OF THIS FACILITY:
LOCATION; /1~ ~oZu~,,.~ .~.~ I' / ADDRESS; P~ ~- ~ ' STANDARD IND. CLASS CODE~
ir,ns [,,e Hex Average~ Annual Heas~re ,~,s Con[ Cont Cont Us location?eta. ~ ,,~, Names of'Hixture/CemDonents
~Lored ~n ~cn~y
Ph~sic~l ,nd Be, l~h'H,z,rd , C.A.S. Number(check,ll~h,L,~gl,) ~ ComponenL Jl N,meJC.A.S. Number
,'; Co~Ponent 12 Na~e I C,A.S, Number
ire Hazard I~ Reactivity= ~ ~ela~ed ~ Sudden Release ~ [~
.~ Health of Pressure ~i ~ ~ ...
r Component 13 Name I C.A.S, Number
ICnec~ ~11 thB~ aprp~y)
~ ComponenL. t2 Hame I C.A.S. Number
~ Fire Hazard~]~ Reactivity ~ DelayedHea/th .~ Sudd~nof PressureRelease ~ ]~ ~i
,~ Component 13 Name I C,A.S, Number
'~ Reactivity ~ Delayed ~ Sudden Release ~ Im~J~ Component 12 Nam~ I C.k,S. Number
Component 13 Name I C,k.S. Number ~:~.
P~ic~l'eod Healt~ ~Hard C.A.S. Number Component II Name I C.A.S, Number
~ Fire Hazard ~ ~ ReacLiviL~ ~ Belayed ~ Sudden Release ~ lm~i~ Co~poflenL 12 NBAe I C.A.S. Number
' ~ Health of Pressure ~
Component 13 Name ~ C,A.S. Number
ferCiicaion ~rRe~d and sign af~pr comPl~Ciitg,~ll.~c~ipn~)
certify un,er penile[ ~l]a~ that I havqpe[sonH~LeXa~ln~geqola t~i~ar.~i[~ [ne]n(ormsugn ~u~aiLL¢4 in this.end all ~
a't.[ached.d~c~en[~,~ang [pac oasea, on. ay tnqutry 9r.tnose ~no~v~aua~s responsible tot obcatning the I~tOr~acloo. [ believe
su~[teo ~ntoraetl~n Is true, accurate, 8no complete
~F~T~~,, ,,~, ~ of ovner/operator: uR o~ner/operator's authorized reoresentaTIv~
2130 "G" STREET
B~E.SFIELD, CA 93301
(805)'. 326-3979 10 C
us:. NESs N, E 001029
HAZARDOUS MATERI ALS ~~ ~
BUSINESS PLAN AS A WHOLE
FORM 2A
INSTRUCT I ONS:
1. To avOid further action, return this fol~m by
2. TYPE/PRINT 'ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. 8e as br'ief and concise as possible.
SECTION 1: BUSINESS IDENTIFICATION DATA
A. BUSINESS NAME: ~--~bGt"/'~/'~J ~U'T-~ X~ P~ ~
SECTION 2: EI~ERGENCY NOTIFICATIONS
In case of an emergency involving the release or threatened release of a
hazardous material,' calk 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: ,~?~,-Ig~'.5"~ ~?-?%?0
NA~E AND TITLE ~RIN~ BUS. ,RS. AFTER B,~S.
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
A. NAT. GAS/FRGFANE:
B. ELECTRICAL: ~ ~ ~~ ~ t D~ ~ ~Frc~ ,
C. WATER:, ~~ ~ ~a ~ ~3 ~,~
D. SPECIAL:
E. LOCK BOX: YES /~ IF YES, LOCATION:
IF YES, DOES IT CONTAIN SITE PLANS7 YES / N0 MSDSS? YES / N0
FLOOR PLANS.? YES / N0 KEYS9 YES / N0
- 2A -
SECTION 4: PRIVATE RESPONSE TEi%~ 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 INi[TIAL AND
REFRESHER TRAINING IN THE FOLLOWING AREAS.
CIRCLE YES OR NO INITIAL REFRESHER
A. METHODS FOR SAFE HANDLING OF HAZARDOUS
MATERIALS: ....................................... YES ~ YES
B. PROCEDURES FOR COORDINATING ACTIVITIES
WITH RESPONSE AGENCIES: .......................... YES ~ YES
C. PROPER USE OF SAFETY EQUIPMENT: ................. : YES~ ~ 'YES
D. EMERGENCY EVACUATION PROCEDURES: ................. YES~ YES
E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES YES
SECTION 7: HAZ~fl~DOUS I~ATERIAL
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: ...... ~E~
NO
/
I, /~/~/~/~',~ef , certify that the above information i.s accurate.
I understand that this i~formation 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.
BAKERSTiELD CTTY FTRE DEP,\RT.%E)[T
2!30 "G" STREET
BAKERSFIELD, CA 03301
CTTiJTAL ~'~E 0XLY
BUSI'~,[ESS NAZE:
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM SA
INSTRUCTIONS
I. To avoid furthe? action, this form Must be ~eturned by:
2. ~'~E,:PR!NT YOUR A~'SWERS iN ENGLISH.
3. Answer the questions below for THE FACILITY UNIT LISTED BELOW
4. Be as BRIEF and ~ONC~SE as possible.
SECTION I: ~IT!GA~!ON. PRE~,WiON. ABATEME~ PROCEDL~ES~
SECTIOn' ~: ............ NO .... C,-,~ _ON ~,AC~.-,. .... .'< ?ROCEDL"R,,ES ,','r' ..-'4','rS f2,;'i''~ ,.,.,:,'"'?~'~
S~CT~ON 3: HAZARDOUS .~tAT_V.R~ALS FOR T~I$ I,%.?IT
A. ~oes Zhis FaciliZy UaiZ contain Hazardous Hazerf:.~l.s? ......
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 (~vhite form
If Yes, complete a hazardous materials inventory form marked:
~ADE SECRETS ONLY (Fellow fo~z ~4A-2) in addition to the non-t~ade
secFet fo~m. List only the t~de secrets on fo~z 4A-2.
SE~ION 4: PRIVA~ FIRE PROTECTION '.
SE~ION, 5:. LOCATION OF WA~ S~PLY FOR USE BY ~G~ RESPOnSeS
D. SPECIAL:
· I XO ) ._ '~C,T:O.,
LOCK Bt)X: VE.~ r'~ YES, L ..... ' * ":
I.D. ~ FORM 4A-1 PaRe __ of
NON--TRADE SECRETS
HAZARDOUS MATERI ALS INVENTORY
AD'I)RESS:. //~,~ .~Y-.-i/~,~,~ ~ ~ ADDRESS: ...... ~~ ACILITY UNIT NAME:
CITY, ZI~': ~/<~'~/~ ~ ~Y~o4-- CITY,ZIP:~~~/~ ~ ~yo~ .
~BONE ~:--~0 ~-~oo~ PHONE ~: (~) 3~7-0~ / ., FFICIAL USE CFIRS CODE
ONLY
1 2 3 4 5 6 7 8 9 10
TY~E ~AX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.O.T
~O'~E ANOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE
, ,
. _ .~ ~ . ~ .e
~AME: ~. ~~t/~~ TITLE: ~, /~ SIGNATURE:
EMERGENCY CONTACT: ~ /~ TITLE: ~'~o~ ~F PHONE · HOURS:
,- ~dB~_&~ .~ /' AFTER BUS HRS:
EMERGENCY CONTACT: ~o~ /~~'A~ TITLe: ~~. -. PHONE ' BUS HOURS: ~W--~.~F
PRINCIPAL BUSINESS ACTIVITY: ' ~ ~ {_,~~ ~ (~q{~ AFTER BUS HRS:
- 4n-~ - ~ ~_~
I..D-. · FORM 4A-1 Page ~of,
NON--TRADE SECRETS
HAZARDOUS MATERIALS INVENTORY
~USlNESS NAME: OWNER NAME: FACILITY UNIT #:.__~___
~RES'S: ADDRESS: FACILITY UNIT NAME:
-CITY, ZiP: CITY,ZIP:
·HONE ~: PHONE #: [OFFICIAL US~' CFIRS CODE
.,,I ONLY
1 2 3 4 5 6 ? 8 9 10
T~E MAX ANNUAL CONT:USE LOCATION IN THIS % BY HAZARD D.O.T
~O~E AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE
EMERGENCY CONTACT: TITLE: ~/~"'/ P~O~f · ~US~OUR~: '
~ AFTER BUS HRS:
EMERGENCY CONTACT: TITLE: PHONE # BUS HOURS:
PRINCIPAL BUSINESS ACTIVITY: AFTER BUS HRS: